HomeMy WebLinkAboutD'Addario, JimsoUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
~Residential (~ $10 or [] Non-Residential ~ $25 Septic Tank ~for Cesspool
.em i, No._ fill7
Application No. _
ApplicantName: ~:~"~ ~ a r~t,..j 4$ e_._ ~(-~,'~1o ./ ~/e.,,..~
Brief description of Propsed Consmction or Alteration: A
Location of Proposed Construction/Altemgon: , .
Owner of Property: ~'~r~ +' ~a'~4-- ~ fi. dd,~,
Owner Mailing Address: _ ~/'~' f-t/ac k 'To ,u ¢ n_
Property Address: 8el'foO tr)e¢~,~,c- t.-~'.7'
Person ~/'e,~ ,.., ""('
Name and Telephone No. of Contact :.
Tax Map No.: Section: //OC'O Block:_
NearestCrossStreet: l'3 P-~.y ..'4 oe. /lO0 ~
NOTE: LOCATION MAP MUST BE SUBMI'ITED WITIt APPLICATION. NEW
L/ Siganture of Applicant Date
Received by: -
SURVEY OF
LOT 6
( FLORENCE G. DOWNS)
"MAP OF PROPERTY OF,4. L. DOWNS
FILED AUG. 14,1929 ~SMAPNO. 21
A T LAUREL
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
I000- /26- 05-06
SCALE, 1"=40'
SEPT. 29, 1986
Dec. 29~ /993 (foundo/ion)
F~b. 16~199zi ( Tie D/s/once)
,MARCH 13. 2006 (ADDIF/C%N'S)
Aug. 9, 2006 l=gdition)
JUNE /2~ 200¢ (F!N.Z~L ~
NOV. 9~ ~0t2 (ADDITION)
N.Y.S. LIC. NO. 49618
PECONIC SURVEYORS, P.C.
(6~1: 765 - 50;SO FX (63i; 765- 1797
P. O. BOX 909
1250 TRAVELER STREET
SOUTHOLD~ N.Y. 119 71
NOV 13 2012
AREA
29,612 sq. ft. to tie line
CERTIFIED TO:
THE MORTGAGE CENTER,/NC.
CHICAGO TITLE INSURANCE COI~C~ANY
PEGASUS ~BSTR~CT, INC.
PROPOS~:F ,~.~E'W SEPTIC SY.S TE;v;
[ ~ IOOO F]c~i. PRE. CAST SEPTIC TANK
I - 10¢ :, 6' DEEF ~_EAP.NIt4G POO!_
WITH 3' SAND (b'W; COL(.A¢
ABC~V'E' GROUND W~
E'XiSTING SEPTIC SYSTEM TO
REMOVED AND REPLACED IN PL.ACE