HomeMy WebLinkAboutPosillico Construction Co Inc (2) ELIZABETH A. NEVILLE _ 'f� Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
REGISTRAR OF VITAL STATISTICS �� Southold, New York 11971
�� Fax (631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER =, l �a�o iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ���
OFFICE OF THE TOWN CLERK
SOUTHOLD THCSBOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4104-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner POSILLICO CONSTRUCTION CO
Mailing Address 1 31 TENNYSON AJVE
Mailing Address 2
City St Zip WESTBURY NY 11590-0000
Property Address 1 1620 AUGUST LANE
Property Address 2
City St Zip GREENPORT NY 11944-0000
Owner Telephone No. 516-333-0666
Tax Map No. section 53.00 block 4 lot 44.038
Cross Street PHEASANT PLACE
Issue Date: 8/23/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ti
OFFICE OF THE TOWN CLERK C�UFFQ OC' Li/0y
TOWN OF SOUTHOLD "�, Olj Application No.
4ILIZABETH A.NEVILLE,TOWN CLERK $10.00 - Residential
P.O.BOX 1179 g
SOUTHOLD,NEW YORK 11971 to f t $25.00 - Non-Residential
Telephone '/ * `e :. ' 1
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
- for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE 8/Z 3`0
OWNER NAME: gr,5/ bet, 51YuC"77c.,•, .i C.
OWNER MAILING ADDRESS: 3 / -rPfr,„/ 5v..-, 4-e
Wes4oy J //I /1590
OWNER PROPERTY ADDRESS: / 2-0 Ac„s- 2g,-„E.
s-1—eez-,,o(16 /v)/ //9 9/c'
OWNER TELEPHONE NUMBER: S/6 - 333 - 066 C
TAX MAP NO. : Section 5 3 Block el Lot 9e(• 38
CROSS STREET: PA.e q sa.✓f /a/Ace
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool f 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.)
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Signa - of Applicant
RECEIVED BY:
Town Clerk's Office
DATE:
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.
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JOB No. AUG-36 TAX I.D. No. 1000-53-04-44.38
THE LTIONSOCATIONAND OR OF WELLSDATAOBTAINED,WATER SERVICE
LINES, SEPTIC TANKS AND CESSPOOLS
SHOWN HEREON ARE FIELD OBSERVA-
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FEMA MAP No.3610300159 G • G f ice o f W ate,I., h'; 4,,Y3ter adahagerneat
N 31°32'30'W 135.65' .
SEPTIC LOCATIONS
CORNER A CORNER B LOT 34
SEPTIC 23' 35'
LP1 23' 47'
LP2 33' 42'
LP3 33' 26'
FILE MAP No. 9107 6/3/91
Unauthorized alteration or addition to this document is a violation of Section 7209
of the New York State Education Law.
SURVEY OF: LOT 36
Certifications indicated hereon shall run only to the person for whom it is prepared
and on his behalf to the Title Company,Governmental Agency and Lending
Institution listed hereon,and to the assignees of the lending institutions or M/O AUGUST ACRES SECTION 1
subsequent owners.
Coseal
oll not becoment not eedaearingtheprofessional'sinkedsealorembossed ARSHAMOMAQUE, TOWN OF SOUTHOLD
seal shall not be considered a valid true copy.
The offsets[or dimensions]shown hereon from structures to the property linos are
for a specific purpose and use and therefore are not intended to guide the erection of SUFFOLK COUNTY NEW YORK
fences,retaining walls,pools,planting areas,addition to buildings or any other
construction.
The
not guaara nteed ce f right of ways and/or easements of record,if any,not shown are SURVEY DATE: 7/18/01 SCALE: 1"=50'
CERTIFIED ONLY TO: ��OF NEW y
MELISSA BOWEN RUBIN AND JOSHUA RUBIN �P. o-r-.. DESTIN G.GRAF
r F.STIN G.GRAF 'f' LAND SURVEYOR
INTER-COUNTY ABSTRACT CORP. [#4071 ] ;
J Q}.
;, t' 73 Woodlawn Road
RockyPoint, N.Y. 11778
By DESTIN G. GRAF N.Y.S. LIC No. 50067 �o��� 63
,o 631-821-3442
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