HomeMy WebLinkAboutMoglia, John (2) `4SO(/r�o/_
ELIZABETH A.NEVILLE ' � 4 •: Town Hall, 53095 Main Road
TOWN CLERK l P.O. Box 1179
s�+ bigSouthold, New York 11971
REGISTRAR,OF VITAL STATISTICS G
MARRIAGE OFFICER Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER _ Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER =#Co ,� ,t•0' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4309-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner MOGLIA, JOHN
Mailing Address 1 10 POPLAR STREET
Mailing Address 2
City St Zip SAYVILLE NY 11782-0000
Property Address 1 575 JACOBS LANE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 631-872-9618
Tax Map No. section 88.00 block 1 lot 1.004
Cross Street MAIN BAYVIEW ROAD
Issue Date: 3/24/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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17Th ♦
ELIZABETH A.NEVILLE � ~ ; Town Hall, 53095 Main Road
TOWN CLERK S P.O. Box 1179
REGISTRAR OF VITAL STATISTICS %♦ ( t � Southold, New York 11971
MARRIAGE OFFICER ♦;'yh a�' i� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 1 �►fillTelephone(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 No4 301
Permit No.
fr/f Owner Name jv/�J /iv
Owner Mailing Address JJ �L INS. fX•
s"4/ L , ,1 / /7/z
Owner Property Address 54—'7 J o z
55-4/17906o
Owner Telephone No. 63/ ?7L frg/
Tax Map No/d c7° Section Block 01 Lot AV
Cross Street
Please check each that applies: New Construction
Alteration to Exisg System
Residential z/ 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 su. • t copy of survey with SCHD approval.)
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Si ii e of Applic Date
Received by
3etl
SURVEY OF
o `' '�°, S s9.3o, LOT 2
144. �, �o MAP OF
s: F
• DEERFIELD FARM
wL
FILE No. 10596 FILED MARCH 27, 2001
® LST SITUATED AT
von • 1 O BAYVIEW
I TOWN OF SOUTHOLD
•
I SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-88-01-1.4
SCA
E
�' APRILE10, 2001
FEBRUARY 25, 2005 UPDATE SURVEY
N.
APRIL 12, 2005 REVISED AS PER S.C.D.H.S. NOTICE 3/31/05
APRIL 19, 2005 ADDED PROPOSED HOUSE
MAY 20, 2005 FOUNDATION LOCATION
Nk0 AUGUST 26, 2005 FINAL SURVEY
Z4I
/ AREA = 43,650.00 sq. ff.
i,
Q 1.002 ac.
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/ •?, 1. FLOOD ZONE NFOIMIA110N TAKEN MOW
`e.,,. �* / \ n.00D RISLIR a E RARE WP W. 3110300196 6
1 1A0 ZONE
X.: AREAS OF 300-YEAR FLOM%WAS OF 100-TE FLOOD BM*OW
sa
DEPTH OF LESS 11W1 1 FOOT CR MR4 0F1ARIWE PADS L 5 1WW
4(3 !� i SQUARE LITE:AND WAS PROTECTED II WWII FARM 1W-
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-YEAR FLOOD.
••40.,., I `` QTQT -•.. 201E x: AREAS oCiEI�MED TO if OUTSIDE 00O-YEAR PLDOORMI
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ID i a, 4 MEASUREMENTS FROM BUILDING CORNERS
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N,N / QA • O °. TO SEPTIC SYSTEM COVERS
v, .,..z•�_� -
_'•c 3„ ar c „ DESCRIPTION CORNER( ORNER
f 111 / r` s �Y �j� SEPTIC TANK 31' 13'
k ^ // 0
LEACHING POOL #1 24' 24'
t (.....‘'...YLEACHING POOL #2 38' 33.5'
L0?' S�,P �� LEACHING POOL #3 42' 24'
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1 k w4:,1 i 10 SURVEY v UNAUTHORGID awt�gNA OF
noe t �!
. �.., SECTION 7200 OF DHE NEM YORK STATE
EDUCATION IAM. • .- eph A.r MO
ING
_ 1�� 11E IANDCOPES �SIAN Y�OR'S NEED SEAL OSURSEY we NOT AR
I' e y -7"--
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a l� a TO A MiLq 7RLJE COPY. E Land Surveyor
'CYO p CERIIFIC ooN5 MDICATEO HEREON SHALL RUN
rw5l rt°:vla 4.yd 'u t,�,._,,,..., 'f�T, ONLY 10 DIE PERSON FOR WHOM DE SURVEY
'
.�' „�.:s a$t ': !� �. IS PREPPED,AND ON HIS BEHALF TO THE $, pip,W - Site Flora - Construction Layout
_ _ . - - -- j�k tib MERCY MD
.ISLiTU110NTITLE COMPANY,0N US16N"`Ln'Im HEREON.ETD
RIM Surveys -
• 2 TO THE ASSIGNEES OF THE LOMB NIM1-
TUTION. CCRIIF1CA710N5 ARE NOT TIVIISFO01lLE. PHONE (631)727-2040 Fox (631)727-1727
��,A % OFFICES LOCATED AT WING ADDRESS
,6 ANY, NOT SHOWN ARE NOT GUARANTEED. 322 ROANOKE AVENUE P.O. Box 1931
Rt4ERI EAD, Now York 11901 R3wrhood, Now York 11901-0965
25—U137L 1