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HomeMy WebLinkAboutSedlacek 01 JUDITH T. TERRY :O x �� Town Hall, 53095 Main Road TOWN CLERK ® ' rY r' P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (516) 765-1823 MARRIAGE OFFICER ej �r 1' Telephone (516) 765-1801 RECORDS MANAGEMENT OFFICER X01. FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 3290-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner SEDLACEK, THOMAS AND WIFE Mailing Address 1 3 BEDFORD COURT Mailing Address 2 City St Zip SPRING VALLEY NY 10977-0000 Property Address 1 310 SEA-AIRE LANE Property Address 2 (LOT 11) City St Zip MATTITUCK NY 11952-0000 Owner Telephone No. 914-352-3459 Tax Map No. section 100.00 block 3 lot 15.011 Cross Street REEVE AVENUE Issue Date: 12/07/94 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK '•�FFD` ' Town of Southold , 0��� C�G� , Application No. °2'�� Judith T. Terry, Town Clerk a. ' Town Hall, 53095 Main Road - .�� ' $10.00 - Residential P. O. Box 1179 cry .:14hi ; $25.00 - Non-Residential Southold, New York 11971 Telephone _o( jr Y► (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL - j - Operation Permit No. 11 25R Fee $ 10.'00 BUILDING PERMIT #22077Z BOH #R10-94-0030 . DATE DECEMBER 6, 1994 OWNER NAME: SEDLACEK, MR. & MRS. THOMAS OWNER MAILING ADDRESS: 3 BEDFORD COURT SPRING VALLEY, NY 10977 OWNER PROPERTY ADDRESS: 31 0 SEA-AIRE LANE (LOT 1 1 ) MATTITUCK, NY 11952 OWNER TELEPHONE NUMBER: 91 4-352-5439 TAX MAP NO. : Section 100 Block 3 Lot 15.011 CROSS STREET: REEVE AVENUE TYPE OF SYSTEM: Septic Tank New Existing Cesspool X New X Existing Residential X 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.) APPLICANT: PFENNIG CONSTRUCTION CORP. r � ALIO P.O. BOX 244 WADING RIVER, NY 11792 Si•,natu e of • •p 'cant • RECEIVED BY: ) Towk's Office DATE: / l7/9K SURVEY OF LOT C-) LOT 1 1 N uNyNCtO� N' cCESSPOOLAPPROXIMATE O —.—' MAP OF " """ SEA— AIRE ESTATES C, FILE No. 6780 FILED FEBRUART 5, 1979 0 fi SITUATED AT \ v.,. .. 00.1 '.. - MATTITUCK . • d z� .�''' •° ..4. • 4 . ' . 4. • Ems • . TOWN OF SOUTHOLD • •' •••• • • ••...• • . PPS 9 • . • Ns "�.. ° SUFFOLK COUNTY, NEW YORK Q . . 150°o maST S , p' ' • c PP . • • • ;� �'' S.C. TAX No . 1000® 100® 03® 15 . 1 • •• a3�°2o� „:, �! \ 1 SCALE 1 " =30' ,,,.. \ \ , MARCH 15, 1994 '< �� `� 1 —"` d'. JUNE 25, 1994 (FOUNDATION LOCATION) FOR • titer°V\ 01 W NOVEMBER 17, 1994 (FINAL SURVEY) 44ig °� 1Vr: 1 tfit°N i N.. • Gc''1 42 — 1LS \I...c °0` ?s \ \ ®' CERTIFIED TO: soc 10,14 ��, 0 ` t THOMAS SEDLECITECK ,1141 ..., \ coo . 1 1' -410/r.ie• 9 ,�� 1, �, c0�+° \ AREA = 44,21 .0198.67 sq. ft. Zo 5.1 1 FR�M�� zad�T. 1 S • ...,..-04, .......v..., , --c-, NOTES: Ino NGU %�� 1. ELEVATIONS ARE SHOWN THUS: 4, H 1111-- -:„.i �►•�' \ 0 x' 2. ELEVATIONS ARE REFERANCED TO AN ASSUMED " 519:--- j 20 tee,. o.�/ 0 2. B.O.H. REFERENCE No. R10-94-0030 -.- V#41k4 * \ Tli Com'* 1 4i, etAr,....8 ©0 - \ . %VI\u' r' .0 is 0 ton 1 LOT \ TEST HOLE DATA H MIL /11 V. MEET HOLE DATA AS PER FILED MAP TEST HOLE ON 1 O \ e WELL ` 46+0 N4.� +1 Toa son_&Loom O v 4v44+44 1tt Y.0.4��1 5.0• sso, .4., osoL St \ •e 00. • \ A ,,,,, 4 G A SAND & GRAVEL 4. \ - • .e 4 ,A 17.0' 1 o'+ \ ' 4 E 1 \ \ itJA 1 .,® Loll \ , m1 0`►0p 115o 1 �� (cF eto-1lNKNO1, \ 1 N , , gkr2-53 5£1 0 504 •-- 9 f. ssN 1 4$'1:.57 \ LOT® 10441 • PFENNIG CONSTRUCTION P.O BOX 244 WADING RIYER PIY 11791 (516) 929-4023 FAX (515) 92; . 1 • LOT , . . . - . . , , • . . SURVE LpT/0 001:00 ApPROMATE „.CESSPOOL LW�N MAP (103- SEA- AIRF ,C-1 -- . ...... FILE No. 6780 FILED �' 4. SITUAT;. \ • \ • r MATTr TOWN OF _ • . •• • A. • SUFFOLK COUN -tP�. oo ' . • • • • • • • • •1. -• ..`s.: TAX No . 100 7.-4 - :. ; •�, ., S.C. •:. •t - • " 40010 �f • SCALE ..., . : '`4. :�,..-: . x...:,. .31,2 „ :� • • • • '--; \\ � MARCH 1 �d r. _ C. \t, JUNE 25, 1994 (FOUL • • ! :. • °,'. ' . - \ Cit NOVEMBER 17, 199 It 5, Po °N ,bt o1 pintot\ N • U w vtok cloci• 0. ,„.,, v..--Gss °°' .rte" \ _ cn sss,tiTISK II .\ 01:10VW * . 16A 'O. 50 00 lilltl' . 7-.9,- 0014c" \ 0 .0 t Ga ,�� c 1. ELEVATIONS ARE ,dovci 4 tOs • 2. ELEVATIONS ARE Ikcam"" 'l' ' 34•V \ 02. B.O.H. REFEREE: op,- 0 . i l .4 0195 \V*- roj' -. .., 51 va° vosi a Nuc+\ \ i �'q r."-- , 0 \ ..A tntic-V4 La '' \ x o V.,-.1x o \ o otil �,. \ � \ \ ' It ! \ \ ,J \ "ice \ S \ \-301. \ '\ l \ O \ •o ' LpTO . —1' k.w-00,41 \ , fop PO, �9 s•10 1 20, \ 1 11;3 \ S \ \ LpT 41014/ 1 �•--ti� - \ \.. J