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SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4331-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner RICHARD OLIVO
Mailing Address 1 285 ROUTE 25A
Mailing Address 2
City St Zip ROCKY POINT NY 11778-0000
Property Address 1 1680 BRIGANTINE DRIVE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-356-4593
Tax Map No. section 79.00 block 4 lot 2.500
Cross Street SCQUARE RIGGER LANE
Issue Date: 12/15/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
,��,,0 SOFFOL,eco, ` '�
0
ELIZABETH A.NEVILLE ~� A I ' . • . 53095 Main Road
TOWN CLERK 3 : $ P.O. Box 1 •
REGISTRAR OF VITAL STATISTICS ‘°O.46_ .��/ Southold, New York 11971
MARRIAGE OFFICER . V ,, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER 4 * *soli Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER ..,,,S" southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10or Non-Residential @$25 Application
Permit No.
______#4 / n ;h A l /Owner Name /)/ iar1/ J/ Li,-1 MQ
Owner Mailing Address JeS f7-/S57)(7
*iv P /1/ . //77?
Owner Property Address '/6c0 (/ g iV id/P 2)r`
(collo 1/ 97/
Owner Telephone No. 576 - 357,- 1S 93
Tax Map No: Section 79 Block is/ Lot (75
Cross Street ,qu or e N�j t)e Ie ,6A iu'p
Please check each tIt applies: New Construction l/
Alteration to Ex' g System
Residential 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 sub ' copy of survey with SCHD proval.)
44.7); (Y _ t) . /)/17/.0 .
Signature of Applicant Date
Received by:
SURVEY OF '" ,_� r s . ?,
ma F a 2
LOT 56 T :
Nil, / MAP OF �" `'�
� HARBOR LIGHTS ESTATES �. �!- j
�� wE11 SECTION THREE .& 0 ' .414f1:11r:"--'
.r
4 ((PI':
s � FILE No. 5147 FILED AUGUST 7, 1968 `t,-,-)1
F - Al„
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py7
' ir"`'' �� SITUATED AT `''r�'T'11
p� 4 BAYVIEW / '.4"'s
�' ,III, S.,
ms`s' TOWN OF SOUTHOLD J ;Jp I, SUFFOLK COUNTY, NEW YORK a �� r�41G F o9S.C. TAX s"• •-04-25 A r �o> `:• '
LE 1"=40'
. ,-4
O \III, DECEMBER 1, 2003 ADDED PROPOSED HOUSE ,/�{' l 5 _
"�� JUNE 28. 2004 ADDED DRYWELLS ���'�11j `� I �CP `�
ph ,illi '�" AREA = 33,047.64 sq. ft. �'F =
O� 1�1, O4 T 0.759 ac. o )Q1c.
�� ai.I
VIII, cs6, %�, �s CERTIFIED TO: ). f Q ' `5 _
O ' c :U.Vo 1
THOMAS JORDAN n„,. ,i
III, III ANNETTE JORDAN VICINITY MAP
III
WETLANDS �� SCALE: 1"=24,000'
U.S.G.S. QUADRANGLE MAP: SOUTHOLD, N.Y.
N (AMS 6566 III SW-SERIES V821)
4, VIII, -... o, �, 4 CESSPOOL
ors-
-,
�v' `�, `-°� J�l, �„ , �' rte. NOTES.
->, �'p Fo a_ssPDOL 1. ELEVATIONS ARE REFERENCED TO N.G.V.O. 1929 DATUM
,III, tis, ^ � O EXISTING ELEVATIONS ARE SHOWN THUS: ''?
/fi 611, Gly<y`y 1 j EXISTING CONTOUR LINES ARE SHOWN THUS: 10
9 s F°�2 a -; �0 .” 2. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
°s OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
tick i q 3. ANY WETLAND BOUNDARIES SHOWN ARE SUBJECT TO VERIFICATION
lr 43 �' `h BY NEW YORK STATE AND/OR OTHER REGULATORY AGENCIES.
\III -0- .� 4. UPLAND AREA = 13,474 sq. ft.
III' \� q �� \`; �j 5. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS.
TEST HOLE DATA ' Ore ?� _. 1 TANK; 8' LONG, 4'-3' WIDE, 6'-7' DEEP
6. MINIMUM LEACHING SYSTEM FOR 1 TO 4 BEDROOM HOUSE IS 300 sqft SIDEWALL AREA.
(AS SHOWN ON PERVIOUS SURVEY) -.344.
a �O A�� \r 9' 1�,•..,07�,:-t I p'1 2 POOLS; 6' DEEP. 8' dia.
EUV.us. _ `�G� '9r ��F" A t•� �� - . .. �',i%�:F; ,gypi
aw0. �„�s olar��, p ? p�' �aIt.W.:•'••.:',M fo`e ^� 9,..
p 1�1� 62Sb PROPOSED EXPANSION POOL
or 40• • �(� �O b tT `-SILTY•°• Fs�`Lt� ,S2. A `Ii, 4 i L FE /Wilt;N!�, n754,PROPOSED SEPTIC TANK
G�� � ,.S'o ;.r. �yA % i 7. PROPOSED 6' DIA., 5' DEEP DRYWELLS WITH ROOF LEADERS:I\1
1
IF
L vio7Osv 4
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\ :'h�� ` .\ v i ��O�IG*p
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E"Y alWE SUFFOLK COUNTY DEPARTMENT OR HEALTH SERVICE! tit 1, '�.1� `JS��
�INNNN� PERMIT FOR APPROVAL OF CONSTRUCTION FORA s ��16 �`- � ���� �/
• f
�� SINGLE FAMILY RESIDENCE ONLY �:mom ,o� c� P
6`� o ?`� ��G 5°,
r G1 �" OC 1 F % /- 0� 0
DATE .�9 I d ki H. . R . 0.i(\'' ,- ,
APPROVED , ��
e STANDARD w AccITLE CE THE TABIJSN
9f l FOR MAXIMUM OF c• EfYSTANDARDS FOR AND • I• A, ESTAEILSFED
`�J/� FOR
THE LIALS. AND »� Joseph A. Ingegno
FOR SUCH USE. 1 4 STATE LAND
EXPIRES THREE YEARS FROM DAT F APPROVAL. UNAUngRIZED ALTERATION OR ADDITION
TILE b
` TO THIS SURVEY LSA VIOLATION OF ,,`
SECTION 7209 OF THE NEW YORK STATE Land Surveyor
����i�PtE�� EDUCATION LAW �,.
/� ttfi �sCOPIES OF THIS SURVEY
�I/ ' "��}! � T I i �I}.: 0 / o���\G DDS EYOR'S INKED NOT
OR
DAROSSE
1/44,C'•4 1 I 1 § $'j j `ily�5 eJ TO v Akio TRUE COPY SHALL NOT 9E CONSIDERED I )
Title Surveys - Subdivisions - Site Plana - Construction Layout
l�Ct''' CEFMFICATIOIS INCICATED HEREON SHNA RUN
v3 € ONLY TO THE PERSON FOR 1,04001 THE SURVEY ! PHONE (631)727-2090 Fax (516)727-1727
IS PREPARED. AND ON HIS DEHA F TO THE :,
�_G1l/�> THE EXISTENCE Of RIGHT Of WAYS 11711 COMPANY, GOVERNMENTAL AGENCY AND few
1`4) AND/OR EASEMENTS Of RECORD, IF LENDING iksi VES LISTED HEREON.AND \ �,: OFFICES LOCATED AT AWING ADDRESS
ANY, NOT SHOWN ARE NOT GUARANTEED. ro THE' THE LE1NOI+c - 322 ROANOKE AVENUE P.O. Box 1931
TUTK)!1. CETOFICATKI/5 ARE NOT TR,WSFERARI,E. v-', S. Lic. No. 49668 RNERHEAD, New York 11901 Riverhead, New York 11901-0965
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23-303A