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HomeMy WebLinkAboutConnone, Ignatius ,01 S004- ELIZABETH A.NEVILLE /0 Y! Town Hall, 53095 Main Road • TOWN CLERK it 41P.O. Box 1179 • REGISTRAR OF VITAL STATISTICS c/+ 41c Southold,New York 11971 MARRIAGE OFFICER ` ► Fax�1e1 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER Ol� ��1 Telephone(631) 765-1800 `� FREEDOM OF INFORMATION OFFICER = COUNTI,� 1° southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4292-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner CONNONE, IGNATIUS S Mailing Address 1 PO BOX 702 Mailing Address 2 City St Zip ROCKY POINT NY 11778-0000 Property Address 1 4205 BREAKWATER ROAD Property Address 2 City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 631-744-1039 Tax Map No. section 1.06 block 3 lot 6.000 Cross Street EAST ROAD Issue Date: 12/06/05 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) oil OFFOUr ELIZABETH A. NEVILLE / 4pG.y Town Hall, 53095 Main Road TOWN CLERK ' p l P.O. Box 1179 REGISTRAR OF VITAL STATISTICS � yy, Southold, New York 11971 MARRIAGE OFF:[CER : G 4 $ Fax(631) 765-6145 �o RECORDS MANAGEMENT OFFICER -.14 ' Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER 4 4 ill: :.", southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Z- Residential @$10 ✓or Non-Residential @$25 Application No. Permit No. Owner Name 1sak'iv,S 3 L`CGr1r\Orte_ Owner Mailing Address� :�� kk.2,► 4 Q`I Kr._Av Owner Property Address i a Os ' recA.4ckkA.e r Q.a Ack.414-1/44.cam. Owner Telephone No. 631- 7q y_ / 037 Tax Map No: Section / 0 6 Block 3 Lot 6 Cross Street E a,ST g•• ck Please check each that applies: New Construction ✓ Alteration to Existing System Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD . • .royal.) 41prAP.. . 2 .,fr Signature of Date Received by: L BLOCK 7,� MAP 0 ''`° :_.;;2 2 r ,,_ CAPTAIN KIDD ESTATES LOT F(Ii.� FILE No. 1672 FILED JANUARY 19, 1949 9 S 86`00'30" E SITUATED AT � ° ' D.S. -----_.._ �` F 151.1 ' $ TOWN OF StUTH© .D ,_.. - o x� HEDGE . x r W 0 of •oI w SUFFOLK COUN:TY,_ NES/" YC RK . -- - c TA -N_o i 000 os o3 os O f -� r a`r J4 -_ _ - _ ._..: -s.__: _ ._ -' - -1 n __ _n.;�-: _ -.-.._ - _� -_- -vim "� ,- _.. .Ef _ m,,r, [��� - _ -._ --' - .- • -._.-- - ._ "-t2-' -'-: : 57 -ter-.. -; ` n. € fi- A'� - r'4-ra.i-.�_,- - z -_-.v. _� .>,-._.tr-- ,, _ ii _ _ .---7-_-.1.,_ t _ dd -- - , ter. .-.m -.. o '�' - p b r zw OK ,p� 4. fr, c� oD ° ��,,�, CERTIFIED TQ p ilia." ..) �� �•� I ^� ° IGNATIUS S. CANNO E VIfTS � 'TANK13'11C . 1.,,-,H;',,,, i O I LQ ` y` ,i.';,' -1;4.-';'-‘1":'' •a .- t" _ TREE ;4> 7� r '' 1�TM�IM ACCORD E „,,T..„NIMMWi 42 Z t.5' 1 2s'OtA �z, r ' CEti9.OR APPROVED ANS ADOPTED{llSE I 1 / TREE ° • . _ E!Y Tiff YORK STATE Iv 86'00'3W wos�'' iii��o N W ' '( ROw of eusHEs s � alg.Ltu'J G�LsGN 13 .3' 3fi , „syr, z• R=25.00 :- k4';�`� o • v ' . �,� aF PAVEMENT °tr • ° t=43.78, � '', , • • • ° 7 o � EAST ROAD • a - . ' e r J ° b N.Y.S. lic: No. 4 SUFFOLK COUNTY DEPARTMENT Cr HEA;:LTS-1 SERVICES APPROVAL C=(; - 12u.T Joseph: A. Ingegnt A��£j Yt_ DEJ uNATHORisuR ALTE,tAT10N OR A001110N Land Surveyor Oats 2 6 �pnst-;...9.. To THS suD A Is A VIOLATION OF Rel.I\0 !2(C:3 U 3 SECTION 7209 OF THE NEW YORK STATE Tn.: EDUCATION UW. / t fhb 'Of!1•.:7.2.trO9'I COPIES OF THIS SURVEY MAP NOT BEARNC FOR -•. y r V Z �"'iC 3,iM[w'i.ic�tO THE LANG SURVEYOR'S INKED SEAL OR _C^ Qt.".j, EMBOSSED SEAL SNALL NOT ESE CONSS)ERED Title Surveys -Subdivisions - Site Plans - Construction Loi V TO BE A VAIJD TRUE COPY. [..... K.:;,':'---..''.-.-1.----_--.-----...__ CERTFICAT10NS INDICATED HEREON SHALL RIM PHONE (631)727-2090 Fax (631)727-17: ONLY TO THE PERSON FOR WHO&THE SURVEY i - IS PREPARED.AND ON HIS BEHAiF TO THE 1 TSTLE COMPANY, OWER*IMENTAL AGENCY ANO OFFICES LOCATED AT MAILING ADDRESS THE EX EAStE OF RIGHTS OF WiAY NST(iUtIW7 LISTED HEREON.AND AND/OR EASFUENTS OF RECORD, tF 322 ROANOKE AVENUE P.O. Box 1931 -----.._ TO THE ASSIGNEES THE LENDNC INSTI- ANY, NOT SV'WN ARE NOT GLIA tANTEED. TUTION. CER1IF7CA170HS ARE NOT TRANSFERABLE RNERHFAD, New York 11901 Riverhead, New York 119[ y