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HomeMy WebLinkAboutMohr, Christopher t %OFFO4tie ELIZABETH A. NEVILLE tie Gyd Town Hall, 53095 Main Road TOWN CLERK o - P.O. Box 1179 y, t Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Q �� Fax (631) 765-6145 MARRIAGE OFFICER :� �1 RECORDS MANAGEMENT OFFICER ; we/ *no" Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,o0 �� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4049-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner MOHR, CHRISTOPHER Mailing Address 1 520 CLEARVIEW AVENUE Mailing Address 2 City St Zip SOUTHOLD NY 11971-0000 Property Address 1 1425 JACOBS LANE Property Address 2 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 631-765-6821 Tax Map No. section 79.00 block 6 lot 4.004 Cross Street MAIN BAYV I EW ROAD Issue Date: 9/20/00 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) Itt � iia OFFICE OF THE TOWN CLERK C��FFO� TOWN OF SOUTHOLD .)) CSG Application No. (,.�d FI IZABETH A.NEVILLE,TOWN CLERK 41 $10.00 - Residential P.O.BOX 1179 a SOUTHOLD,NEWYORK 11971 � � $25.00 - Non-Residential Telephone _?1�,� * s e". (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ DATE ) 9i0 J OWNER NAME: C H 1Q 1 S TB,()H c,ei: Y`/I rn'w OWNER MAILING ADDRESS: S Z 0 CleliKevrckd C� 1 l OWNER PROPERTY ADDRESS: \ Ll Z. OWNER TELEPHONE NUMBER: j(,s (QZ 1 TAX MAP NO. : Section - Block Lot LI •4:940(-1 CROSS STREET: 14 G 1,n gc. Jl[lr-► tPit TYPE OF SYSTEM: Septic Tank New Existing Cesspool / ' New Existing Residential_) Non-Residential 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.) j, VL Signature of Applicant RECEIVED BY: wn Clerk's Office DATE: 1 166 -a.- r .. SURVEY 1 if CERTIFIED TO: LOT 4 !i . S 6' FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK , �Ai ,OO A 3S. THE tS 1r10IOOU( COUNTY NATIONAL BANK MAP OF �,Bt T MOH CROWLEY ESTATES O\�4Q �Q�. "@ems E` FILE No. 8236 FILED DECEMBER 12, 1866 �,�� SITUATED AT c? 40., BAYVIEW TOWN OF SOUTHoLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-79-06-4.4 "it' J V O j? 11 SCALE 1"=50' lI �A �r T JULY 29, 1998 �O�' VIRIf DECEMBER 22, 1999 ADDED PROPOSED HOUSE & B.O.H. DATA V R '11(2,.. v SAD AREA = 102,444.51 s4. ft. Ea._ oy3=,A) SwF4� k< 2.352 «. o X04 ti� 2 ; 11.3 s °S.', "IlliNit 0( IIw LST r41144114it i r \\ £ "''y 3 / • • 1:74 3 ,R' '4Ss ;. 106 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM44.1.,..::,,:::7:-rr , O2 EXISTING ELEVATIONS ME SHOWN THUS:10.0 • 2. REFER TO FRED MAP FOR TEST HOLE DATA. �'' E -.�( �O. 3. MTHMUW SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS. _ ,' a� � / : 1 TANK; i' LONG, 4•-3- WIDE, 6•-7' DEEP 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq H SIDEWALL AREA. LOT � / 1 POOL 12 DEEP, 8' ala. OAF<</© el PROPOSED EXPANSION POOL C' v / � '� M y� PROPOSED LEACHING POOL / ` ®PROPOSED SEPTIC TANK �•n • / 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD ' • (/l 12 SP , OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. / ^_,( frit .7"--..a, . WITH THE MINIMUM `< ,�� ('` , .,, / "`SLKtvEYs AsESTABLTSNIED /' v 7.t ❑wa y F , "'° AND MOP ED F/ r,/ r.; y , YORK STATE LAND .. /,': •^� Joseph A. ingegno ff,/1 ,�ry.qC--G, / 'AY k,�1 d� UNAUTHORIZED ALTERATION OR ADDITION V �� ` L,. 1l �/ +f/.,,d ' O AOLATioN OF SSEECT01 7 OFSURVEY�THE NEW YORK STATE 'vc M4 / �/ Land Surveyor _ • Sl EDLICATKMI LAM. V8 / e�. COPIES OF THS SUN,EY MAP BORIC * * THE LAND SURVEYOR'S MED SEAL OR c ' r 5� EMBOSSED SEAL SNMI.L NOT BE aoNSN]E.RED ,TINe Surveys - Subdiris.ons - Site Pans - Construction Layout ' ' ee �'' TO BE A YAM T111 COPY. /.- `r, ... - . ,,-.p. CERTIFICMONS INDICATED HEREON%mil RUN ONLY T P FOR SURVEY ��, ,� PHONE (518)727-2010 Fax (516)722-5093 3 .'- Is PREMED..AND DN HIS 6e Mtr TO THE )_` if: -.......,,N,.........- �r TITLE ��HFAEOt AN THE (*STUICE OF TIGHT OF WAYS / OFFKFS LOCATED AT SWUNG ADDRESS N.Y.S. Lic. No. 49668 roAsspF THE taIrtim wI�NND_- Amon wows of Row. if- . "� One union Squae P.O. Box 1931 F TUTION. CERTIFICATIONS ARE NOT 1WwISPERABIE. ANY. NOT SHOWN ARE NOT GUARANTEED. / % Aquebo8ue. New Yak 11931 Riverhead, New York 11901 lita-464A