HomeMy WebLinkAboutNardolillo ,,owFFo�K�®G__`
JUDITH T. TERRY `1 Town Hall, 53095 Main Road
TOWN CLERK p T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS tin
�� Southold, New York 11971
MARRIAGE OFFICER yQ , Fax (516) 765-1823
��� �� Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
- SEPTIC TANK or CESSPOOL
Operation Permit No. 2077-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New Existing X
Name Of Owner NARDOLILLO, LOUIS AND WANDA
Mailing Address 1 P. O. BOX 78 -
Mailing Address 2
City St Zip LAUREL NY 11948-0000
Property Address 1 170 WOODSIDE LANE
Property Address 2
City St Zip LAUREL NY 11948-0000
Owner Telephone No. 516-298-4276
Tax Map No. section 127.00 block 5 lot 1 .000
Cross Street LAURELWOOD DRIVE
Date Of Last Pump Out 0/00/00
Issue Date: 3/16/93 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK ��•cOFO(.,t- - d/ /
�
Town of Southold .. _ CQG', Application No.a /
T. Terry, Town Clerk . Jo-
Judith " � %
w,, ' ! $10.00 - Residential
Town Hall, 53095 Main Road _ , ;
P. O. Box 1179 u' �`. �;i.= h�i $25.00 - Non-Residential
� _ %.
Southold, New York 11971 O404'
y�
Telephone .( Y► `
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
' Fee $
DATE Rawl /79-2
OWNER NAME: Loq,i. Ain rf/Ji l
OWNER MAILING ADDRESS: p 0 /3O,( yc j
/ 70 600,0(cmk 44,
OWNER PROPERTY ADDRESS: Lai.ei-e / ' /l-97'-?
OWNER TELEPHONE NUMBER: (5/4) --
TAX MAP NO. : Section
Block Lot
/C.�fU '-/ /logo- d1 7 — �5—
CROSS STREET: �-
TYPE;OFr:SYSTEM: Septic Tank ✓ New Existing
Cesspool New Existing ✓�
Residential )/--
DATE OF PREVIOUS PUMP-OUT: lJ/ D^1V Od•
9pfiL2fr` ?JS soepPialAig
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
—40
Sig •t e-. ' pplicant
RECEIVED 'BY: -- —Town Clerk's Office
- - - - --- - --
DATE: ' RECOVED
Town Clerk Southold
r
-•_' •T 7,7if1 +,t', 'rjyul_1'% Nigh Nitrates - Water not to be=iused for preparation of, baby
r ! ' ` ' formula or use by infants under 6 mos. of age.
ii`\1 l CI. 1 11 .
•SUFFOLK COUNTY HEALTH DEPARTMENT
DATEH. D. REF. `L (c_SO,?-C
Tho sew«, ,_,1:,t` ':`- - - --"y
faai'. , : a_ . - _ - - - -- -- _ E.?e'1
r insr• ', 1- i: c, "::: L_3 found
to
i .':. ' Val
We91 00 Eels- ��
M°rtit 250 \
0,
0
i.,-,-,
Q.
m r
0
,55.a0 E �}
N 64 Iv, -
Lot
Gcss12oo . &r1
�3s�SeP
� r
Z
KI---411-------
/ _45
N m/ 'y 30 9 m z4 3 aL/�v�
t‘l ' / c
o /,,a mem In p/ h0
A 4• 1'� u� _ -
p 1 Z Sfoiy L, qa/ /� __ _ -55 Z' o
Se O does 5A4. -
0L p
C
7 s o ' .
u. U 140.350„
CO
N '6e48 W.
i
n — N
•
-- 9 /p' FUruR£ `s- X00 00
\ v• -
71 ,
\ ,
------\ . _
_-
_
---
ZD
-33
•<_
71
,
NOTE
mr .=MONUMENT
SUBDIVISION MAP FILED IN THE OFF/CE
OF THE CLERK OF SUFFOLK COUNTY
ON MAY 17, /9 7/AS FILE NO 5595
e.
REVISIONS YOUNG & YOUNG •
APR/L 9,/976 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK
OCT. 5,/976
ALDEN W. YOUNG HOWARD W.YOUNG
PROFESSIONA.Y. ENGINEER AND LAND SURVEYOR
LAND SURVEYOR. N.Y.S. LIC. NO, 12845 N.Y.S. LIC. NO. 45893
•
SURVEY FOR:
le
F
UNAUTHORIZED ALTERATION OR ADDITION TO NE4;.,
THIS S.,RVEY IS A VIOLATION OF SECTION
LOUIS T. NARDOLI LLO ,
s 0 ' 7209 OF 'HE NEW YORK STATE EDUCATION
Ao„lit D W ) LAW
• ,i)c. II i
0 LOT 14 LAURELWOOD ESTATES "
(-.1. 6 cop.E-• OF THIS SURVEY MAP NOT BEARING
THE L-N- SJRVEGR'S INKED SEAL OR
1.• , .,,,,P6s 0 EMB055E 3 SEAL SHALL NOT BE CONSIDERED
k%1 ic '0 PE A VAL:D TRUE COPY ' AT
LAUREL GUARANTEED TO:
SOUTHOLD SAVINGS BANK
L,AR:,,- ES ATEO HEREON SHA,L RUN
0 :.N.f "; 'HE PEPSCN ,OR WHOM rHE I TOWN OF HOME TITLE DIVISION OF'CHICAGO
SOUTHOLD ,.... 45s93 ..,,IR E. 5 .REpARE0,AN!: Of, H BEH.,J. TITLE INSURANCE CO.-
,
r'r'''E ''' ' ':DIVP."J v. SOVEPNME,.-AL
43,
b ,ItiO*
e
LAND SO— tiE,1).. AN:, 'Th n-E A 3'.47‘•EE' ,:r 7 W SUFFOLK CO., N.Y ey/yintaivji
Mr r rl..q! E--cf.E r0 Apo"ir,NAL. .
.
iuT.:..t.s .,-, ',JbSEOUEN1 CWNERS SCALE DATE: NO1"= 40' DEC. 17, 1975 . 75- 0 ii•-_,]-;_-- 1 :_i
-. 2.•- - - ,----,..„:,,,,,,...,.....:__;_.-___-_,-_----_-_, __. . __. -• - ..,_—_-_,....—_,......„-J•