HomeMy WebLinkAboutGonzalez, Jewell a
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4307-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner GONZALEZ, JEWELL
Mailing Address 1 1380 WATERVIEW DRIVE
Mailing Address 2
City St Zip SOUTHOLD NY 11971-0000
Property Address 1 1380 WATERVIEW DRIVE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 631-765-4031
Tax Map No. section 78.00 block 7 lot 25.000
Cross Street MAIN BAYVIEW ROAD
Issue Date: 3/07/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE Town Hall,53095 Main Road
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TOWN CLERICP.O.Box 1179
REGISTRAR OF VITAL STATISTICS Southold,New York 11971
MARRIAGE OFFICER ,+' Fax(631)7654145
RECORDS OFFICER � * ,,'°'' Fax
(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 Nok 30-)
Permit No. 3 O 9
Owner Name )E2"c_ u,iz+�cz
Owner Mailing Address /3 ,c D't ,
Owner Property Address S— K1—r4 —
Owner Telephone No. 7(9 s- 4o 3 (
Tax Map No:/U O Section `7 8' Block ? Lot 07,S--
Cross
?SCross Street /4Ai
Please check each that applies: New Construction vG—
Alteration to Existing System
Residential Non-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate
building and systen; 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.)
oV G,
,1 F7. 1f Ii 1.10.
Received by:
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N ,s �o Young & Young
q� �j, 400 Ostrander Avenue, Riverhead, New York 11901
'�-\,rk 49 �. p .....S'
631-727-2303
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�P Howard W. Young, Land Surveyor
1•— Al V P1-.1` Thomas C. Wolpert, Professional Engineer "i
f�l/ � '?� 0 1 / ^tom / Robert C. Tait, Architect
G,y `p 'L \i -}- U�`� , Ronald E. Pfuhl, Landscape Architect gil
W Ec'e-N-- ��oBe •.,
,r/ �/. �4-�U , Douglas E. Adams, Professional Engineer
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/'' oo \��,' NOTES
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/�--/ P1„CP/ AREA = 16,5a-7 SO. FT. $11
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/ /' • FIRM FLOOD INSURANCE RATE MAP PANEL NO. 3610360166 &
S a�,� /'� LAST DATED MAY 4, Icic18. 1
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�` - \N- �' �''.� '�''�/q ��► SURVEYOR'S GERTI F I C. TION
�0�� ��\ � , f',Al � j:'' ,gyp{ �' %�8, ' '`` • WE HEREBY CERTIFY TO JEWELL Z. GONZALEZ, �i
c0 J0 �� r' , \,l`v �Q OOH} q // 0 DECISION 2000 REAL ESTATE SERVICES, INC.
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6, HSBC MORTGAGE CORPORATION THAT THIS
o /•� _04,1,-, /.= 0, A /�� SURVEY WAS PREPARED IN ACCORDANCE WITH THE CODE OF Pco
\ '�,� ' �� P' PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK IV
\ q9� �' STATE ASSOCIATION OF PROrC,S10NAL LAND SUR a •.�
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e ,, HOWARD W. OUNG, N.Y.S. L.S. NO. 45843 ' lit I 9 Y tq \r
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} 111 1 ( Rf' p. ,—�-, 4 t Southold, Town of Southold ,,� , . Pt si
! -/- pt Suffolk County, New York r -eRI
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. [0. i z q q �/ p-•, /� / (0 a FINAL SURVEY JULY 28, 2005 8
I Q y 0 0 Coq,, j p, / v ADDED CERTIFICATIONS ONLY JULY 21,2004 °
o t��, x • / c/ p,., FOUNDATION LOCATION JULY 15, 2004
9t �'�» ., c AMENDED SANITARY SYSTEM FEB. 25, 2004 s� 3
ao n Com/ ftx v` ADDED TEST HOLE FEB. 2, 2004 i
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R . • c MAP PREPARED NOV. II, 2003
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` p Iraaa exr ser �r rout o wrA.r SET A-STAKE rouro o.PIPE FOUND Ro.ROOF OVER c.cHIM.EY JOB NO. 2003-0445 FSPI
i 0 CA j DAS. 2003_0445_fs
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