HomeMy WebLinkAboutConsiglio JUDITH T. TERRY z Town Hall, 53095 Main Road
TOWN CLERK ® T ;1 P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
516
MARRIAGE OFFICER ® ®� � Fax (516) 765-1823
144�-__'�,�I®1 �1a �� 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. 3180-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner CONSIGLIO, SALVATORE
Mailing Address 1 338 MARLIN STREET
Mailing Address 2
City St Zip DIX HILLS NY 11746-0000
Property Address 1 1815 HAYWATERS ROAD
Property Address 2
City St Zip CUTCHOGUE NY 11935-0000
Owner Telephone No. 516-586-1554
Tax Map No. section 111 .00 block 4 lot 16.000
Cross Street OLD MENHADEN LANE
Issue Date: 3/02/94 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
• ...
OFFICE OF THE TOWN CLERK cl\VFO(,r3���
Town of Southold C'Q ' , Application No.
r•
Judith T. Terry, Town Clerk_ �
Town Hall, 53095 Main Road }� =
.G 1 $10.00 - Residential
P. 0. Box 1179 �Y1_; ' ; $25.00 - Non-Residential
Southold, New York 11971_ O0 �0���`
• Telephone : 1
• d
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ /4 - b -
DATE 6124/ 1`
OWNER NAME: �t/.4 fle 6/3,0‘9)6a
OWNER MAILING ADDRESS: 33 / 9ie,J c) dam• Aj41 / // 7Yi
OWNER PROPERTY ADDRESS:/ /r /44/31,64( 0,r4j , ky,
OWNER TELEPHONE NUMBER: L!gd~/moi
TAX MAP NO. : Section /// Block (j V Lot / 4
CROSS STREET: Oki fri '4rtalt'N
TYPE OF SYSTEM: Septic Tank 1/ New v Existing
Cesspool ✓ New / Existing
Residential / Non-R- '• -ntial
DATE OF PREVIOUS PUMP-OUT:
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.)
Ja13,1" 77:7
Signaturg!of Applicant
RECEIVED BY: Kvx___ai
- Town C erk's 0 fice
DATE: 7 4},,,ei & . /9 957
i
The water supply and sewer disposal
systems for this residence vie conform
to the standards of The Suf!^1& County
Prepared In accordance with the minimum Deportment C.11 Heel? �c+r'%.''>;•
crar.aJras for Me surveys as established
by the i..i.A.L.S. and approves and adopted
lar such use by The New Yon: State Land
, Title Also cia!'.1.
/338J
(DWELLING) 1 339 I
(DWELLING)
\ WELL
MO SS t
o � P
MON - i '° t ,n
?9. /_�'°
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4,,,_ _ 0.9NFE �F-�JO
'ND(1; MON NT oC\ l•T N
NC
(f 360 F
Lq- 349 ! %% •
OP® %a
/ ryrS,<(' a
// (DWELLING) Is
`JcP co
0 -
0V
CHICKEN
COOP
�a. Well ! x'487
\ X
c?�j , LswELL ( VACANT)
i •,..•1`6...,
11.
\�o� 3- I A>
8 TEST .
>, HDCLE
a /• oc ` c� Da Ti' DAM BROWN SANDY
t•Q /� -> 3 4- c. LOAM 2.
J
/ a� 3 / DROWN ANDY L.,.1 U
ti s.
R
a f'/VD / hI �// BROWN LOAMY SAND /
i TION• /� D1/ 2.8'
i - F / .,I. /
® /
r ®�+ PALE COMSE
6A// SAND'
i
i y
:1t.P74...
,0 _ 1-7.
\
,a, h0
470- cbc‘i_
0 C.P. ^ -
(DWELLING) SURVEY OF
iO
LOT 3 4 9
CER7'Ir-/ED T0: / 4° MAP OF SECT/ON "D '�
CHICAGO TITLE INSURANCE-------
COMPANY
TITLE NO. x3808-0/688 NASSAU POINT CLUB PROPER TIES,
SAL.VA TORE J. CONSIGLIO ( VACANT) INC_
ANGELA CONSIGLIO
FLED ALA Y Z 1926 FILE NO. 806
AREA 27,635 SQ. FT. AT NASSAU POINT
TOWN OF SOUTHOLD
The locations of wells and cesspools shown hereon are from field SUFFOLK /�r'i> lir l V V.
observations and or date obtained from others. ti.r OV 1
1000 - 111 - 04 - 16
Scale 1" - 40'
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES May 20. 1988
FOR APPROVAL OF CONSTRUCTION ONLY. April 22,1993 (found.)
DATE HS REF. NO. a44 O NEW?
C: 0�1. MEt.Q �'t
e4
APPROVED , . i.:1,
10:;, � N. .S. LIC. NO. 4961.8
t� .,rrl-,-r ,r
Co 'Y 5 -..EKY,#),, P.C.
( '4,5,6,5_ -s^ �
MAIN ''r A l
,•''-';-/. /,•�c 3/9/93 SOUTHOLD, N.Y. 11971
•
88 - 323