HomeMy WebLinkAboutRadoccia, Richard ',,,,iii,
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ELIZABETH A.NEVILLE s y ; Town Hall,53095 Main Road
TOWN CLERK o P.O.Box 1179
ti Z Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER I, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER '#.11 �a0li�� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER .,,��� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4260-R Residential X Non-Residential
Fee $ 10.00 New x Existing
Name Of Owner RADOCCIA, RICHARD
Mailing Address 1 3165 LAUREL TRAILS
Mailing Address 2
City St Zip MATTITUCK NY 11952-0000
Property Address 1 3165 LAUREL TRAILS
Property Address 2
City St Zip MATTITUCK NY 11952-0000
Owner Telephone No. 000-000-0000
Tax Map No. section 126.00 block 12 lot 1.000
Cross Street LAUREL COURT
Issue Date: 9/30/04 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK OC��FF( C'
TOWN OF SOUTHOLD Off. QS Application No. 4/a
ELIZABETH A.NEVILLE,TOWN CLERK ; A $10.00 - Residential ✓
P.O.BOX 1179
SOUTHOLD,NEW YORK 11971
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. f��•�i $25.00 - Non-Residential
Telephone 0 Jit `�� '�
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE / -?/Dc/
•
OWNER NAME: \ CACt r( RCA_ri 0 C c 1
OWNER MAILING ADDRESS: 31 6s EciLLt rP 1 -1"-}-e4-; 1
1.--,c&Ak re A ,\J /' ii S 91---
OWNER PROPERTY ADDRESS: 3c-y - Q Ct ) ek CJS,
OWNER TELEPHONE NUMBER: 6 3 I - Ct Lt f I d 31
TAX MAP NO. : Section 1 2 b Block f a_ Lot I
CROSS STREET: L,G,Vk r-e_ e ou.. -
TYPE OF SYSTEM: Septic Tank New / Existing
Cesspool / New /-- -, Existing
Residential i•- -Non-Residential
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to buildin. - - • - road.)
. 411104.
ignature oficant
RECEIVED BY: j},1-' s----'
own Clerk's Office / ' /,4iG
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DATE: 0 4 I°Y "414-, ai
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Li .9--.6i Map of Lot 9
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"Map of Laurel Links"
T_r-- Filed:November 23,2001,Map Number 10712
_-"7� SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES Situated at Mattituck
- APPROVAL OF CONSTRUCTED WORKS FOR Town of Southold,'Suffolk County,New York
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25 ,c2A Sii4G;.E FAMILY F:ESIDENCE District 1000 Section 126 Block 12 Lot 1
Date JUN 1 6 2004 H.S.Ref.No.R[O 0 Z0O(05
-.-- me sewage disposal and water supply facilities at sus locaron have been
—� Inspected andlor Certified by this Department a other attendee and blab b
---\ be satisfactory FORA MAXI " OF 4 BEDROOMS.
c‘—‘
Walter J.Hilbert,P.E.,' ANTHONY ABRUZZO R.L.S.
Office of Wastewater Management REGISTERED LAND SURVEYOR
,`"I? ^- 1500'Hortons Lane
�<:" >Ii.. Southold,New York 11971
, -'`i)..-c . (631)209-0676
* 4 * FINAL SURVEY:May 25.2004
ANY ALTERATION OR ADDITION TO THIS MAP IS A VIOLATION OF SECTION 7209 , ,-
OF THE NEW YORK STATE EDUCATION LAW.COPIES OF THIS MAP NOT
BEARING THE LAND SURVEYOR'S ORIGINAL SIGNATURE AND INKED OR EMBOSSED Cgiktib 0000:1
SEAL SHALL NOT BE CONSIDERED A VALID TRUE COPY
THIS PARCEL IS SUBJECT TO ANY EASEMENTS OR RESTRICTIONS OF RECORD. • "ANO- .•
ELEVATIONS REFER TO AN ASSUMED DATUM.
SEPTIC AND WATER LINE LOCATION BY CONTRACTOR Scale: 1"=
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