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HomeMy WebLinkAboutPiraino, Anton r SCUTHCLD VIASTEVIATER d SPOSAL PERM T CPERATI CN PERM T SEPTI C TANK or CESSPOCL Cper at i on Per ni t W. 4490-R Resi dent i al X Wn-Fbsi dent i al Fee $ 10. 00 %W Exi st i ng X Name a Q&nner ANTCN O PI RAI NCJ J R ------------------------------ MbiIing Address 1 670 NCRTH BAYM EW R04D ------------------------------ Mbi I i ng Addr ess 2 ------------------------------ Ci t y St Zi p SCUTHCLD NY 11971-0000 -------------------- -- ---------- Property Address 1 670 NCRTH BAYM BN ROAD ------------------------------ Property ----------------------------- Property Address 2 ------- ---------------------- 0 t y St Zip SCUTHCLD NY 11971-0000 -------------------- -- ---------- Owner Telephone W. 631-765-8662 Tax Map Nb. sect i on 70. 00 block 13 1 of 15. 000 ------ --- ------ Cr oss St r eet R NE NECK ROAD ------------------------------ ------------------------ Issue -------------------------------------------------- Issue Date: 1/ 13/ 16 D i zabet h A Navi I I e -------- Sout hold Town d erk (TOJN SEAL) ELIZABETH A.NEVILLE � :.A4 Town Hall, 53095 Main Road TOWN CLERK coo P.O. Box 1179 REGISTRAR OF VITAL STATISTICSSouthold, New York 11971 MARRIAGE OFFICER ® ®�� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER ®fig `;►� Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 or Non-Residential @$25 Application No. Permit No. Owner Name A✓1 k ovi c o Owner Mailing Address 6_70 �� 7 4'`• '�� i� Owner Property Address S,n .\e Owner Telephone No. 6 3 1" 6L-11 5 3 -7 r ly Tax Map No:I LIV 0 Section �7 —Block Lot Cross Street P c p,e- i\)e-C,L 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 approval.) 6 �,�.• � 1Z_ Signature of Applicant Date Received by: (4 * * * RECEIPT * * * Date: 01/12/16 Receipt#: 197988 Quantity Transactions Reference Subtotal 1 Septic Permit-Operation- Resid. 4490 $10.00 Total Paid: $10.00 Notes: Payment Type Amount Paid By CK#1773 $10.00 Piraino Jr.,Antonio Southold Town Clerk's Office 53095 Main Road, PO Box 1179 Southold, NY 11971 Name: Piraino Jr., Antonio 670 N Bayview Road Southold, NY 11971 Clerk ID: CAROLH Internal ID:4490 SURVEY PROPERTY OF DESC SITUATED AT PINE T03FN OF SKOUTHOLD ' SUFFOLK COUNTY, NEW YORK S.C.T.M. NO. 1000-70-13-15 AREA = 15,000 SQ. FT. PINE NECK ROAD ELEVATIONS ARE N.A.V.D. 1988 DATUM GU.4RkN EES OR CERnFICAVONS ARE NOT TRANSFERABLE. UNDERGROUND UTILMES EASEMENTS NOT SHOWN AND UTILITY POLE LOCATIONS ARE NOT GUARANTEED. THE OFFSET DIMENSION SHOWN HEREON FROM THE STRUCTURES TO THE PROPERTY LINES ARE FOR SPECIFIC PURPOSE AND USS THEREFORE ARE NOT INTENDED TO GUIDE THE EREC770M OF FENCES, RETAINING WALLS, POOLS, PA770S, PLANTING AREAS, ADDITION TO BUILDINGS AND 07HER CONSTRUCTION. THE EXISTENCE OF RIGHT OF WAYS, WETLANDS AND/OR EASEMENTS OF RECORD. IF ANY, NOT SHOWN ARE NOT GUARANTEED O UNAUTHORIZED ALTERA71ON OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUC4770M LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS SIGNATURE AND RED INK OR EMBOSSED SEAL SHALL O NOT BE CONSIDERED A TRUE VAUD COPY. LM 62 ALL LOCA77ONS OF AND DISTANCES TO WELLS AND CESSPOOLS ARE BY LOCA71ONS FROM HOMEOWNERS, FIELD OBSERVATIONS AND/OR INFORMATION OBTAINED FROM LAND NOW OR FORMERLY OF OTHERS. SINCE MOST ARE NOT VISIBLE THESE LOCA77ONS AND DIMENSIONS CANNOT PAULINE LUTER BE CERTIFIED. DWELLVVG - PUBLIC HATER M NO WELLS WITHIN 150' OF SUBJECT PARCEL N 83005'30"E 150.00' O EL 17.6 ?0 O EL 18.0' FE3Cq fl. 4 PLASTIC FE. 0 2 1 0� h 1.3 E. C4 O of o oTEST HOLE �g O A/C UNIT EL 17.8' EL 17.6' 3 52.7' O -.,z� C b to I A=33.8 / B_2B. 5' colvC. O O n t1i Qo c� B=42.2'l�p✓�01 n E ~ D S7ODP PORCH �.. O SSTEM CONC. `I' 19. d ( _) _ O ,,�►4 O STOOP OP. x o o p 2nd. O O FR.smD . 6 45.1' (PORCH) ON SLAB EL 17.0 W EL. S,�. BLOC WIRES U 6 � �"1IaA� 5.0' FIREPLACE DOk�& H CP. 12.2 1WAY ON EL.15.2' FE. 6 N. Nj FE.COjt. FE CO�i. EL 14.8' PnrAR 5.21., b FD. 0.1 E. 6 Pumc FE. 0.8 S. 0.3 S. tq o MON. FE.0 z>B:4'CL.F. S 8305'30"W 150.00, WALL o.4 N. MON , r. a, PAT T. SECCAFICO y> LAND NOW OR ORMERLY OF ,�„ .�' KATHLEEN AND MTH CROPPER w w PROFESSIONAL LAND SURVEYOR, P.C. 1 a o Q I �? ©. - SUCCESSOR TO - DRELLING - PUBLIC WATER DONALD TASE, L.S. RICHARD WILHELM AND AssocwTES Ci. R NORTHSTAR SURVEYING, P.C. PAUL T. CANALIZO, L.S., ROBERT A. KART, L.S. �e GOOD GROUND SURVEYORS, P.C. 328A Main Street Hampton Atrium Unit D-4 n Center Moriches, NY 11934 186 W. Montauk Highway o Hampton Bays, NY 11946 Phone: (631)) 878-0120 Phone: 631 728-5330 Fax: (631) $78-7190 Fax: �631� 728-6707 PSECCAFI CO®OPTONLINE.NET N.Y.S. LIC. NO. 049287 REVISED: 11/03/2015 (ADDED NEW SEP77C ONLY) COPYRIGHT - 2015 PAT T. SECCAFICO P.L.S., P.C. FILE NO. T61047 SCALE: 1" = 30' DATE: 03/31/2015