Loading...
HomeMy WebLinkAboutCaiola 4 SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4410-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner GENE & SHARI CAIOLA ------------------------------ - - Mailing Address 1 27 SOUTH PENATAQUIT AVENUE ------------------------------ Mailing Address 2 ------------------------------ City St Zip BAY SHORE NY 11706-0000 �dl -------------------- -- ---------- C) Property Address 1 1430 CLEARVIEW AVENUE ------------------------------ Property Address 2 _- ------------------------------ City St Zip SOUTHOLD NY 11971-0000 -------------------- -- ---------- Owner Telephone No. 631-665-8310 ------------ Tax Map No. section 70.00 block 9 lot 54.000 ------ --- ------ Cross Street OAKLAWN EXT ------------------------------ ---------------------------------- Issue Date: 1/07/10Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) t � ®G ELIZABETH A.NEVILLE y� Town Hall, 53095 Main Road TOWN CLERK ria = P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O Southold, New York 11971 MARRIAGE OFFICER y�• a��� Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER 1 Telephone (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 @$25 Application No. 7� /0 Permit No. � Z Owner Name G-e-f1 C"' O;aer Mailing Address 5a.,��c'\� g 0 Owner Property Address o C\cc-r-.e A-C c— c-, a A — SoA g\\-,-- N Al =( 071 Owner Telephone No. ('o G 5` ^ S a \ co. Tax Map No: Section p ® Block ® Lot ® ` sy Cross Street 0 c�_\-,%1 r,,� r\ E -x V- Please check each that applies: New Construction V101- Alteration to Existing System Residential o/ Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) //z Z�� Signature of Applicant Date rA Received by: Q � f c, i L N HOUSE f RJR EL/r a EL It,/ FMSYIED GRADE EL 11 P• 1 4 SUR VEY IE ST LP ' l• O I� -�y. OF PROP 9.' a°'18 8• 14 T SOUT ERTY E<2J Q.Ato WATER 3 0/ s�a T® �OvD d �r NOF SOUTHWD C QN-i NEW SEPTIC SYSTEM yQ,' �/ 1 Vic;=,� \ �p� Q SCJ OT 1 ��, ltFF K COUNT _ 3- LEACHING Pi PRECAST 8SE4.5 DEEP A�B��C, r0 �,�8e. rc .r� �� `��• ! 1000=�'0-09-5 y N' Y ( ' WITH 3' SAND COL L R 3' MW Q sr +� A30VE GROUND WA R �q�, h'�' �� �$ �� .\40 �� F _ SCA L.9 1=3O' e - .a j /a va-f'Ic�'pl �l► o I. osc� 49ECEMBER 5, 2006 t O - p- � h A,° 5.OE,� �', . o� s :, ' ' P�� 'moo �F6'/ 2raoa 2opLv f , ffor t�S _ ' �. O 1 s�y, �.• ' a�,: ; � " � • ; y� 'oo- MAR�'H /0, 2008 ` 4 JUNE 27 2 (L O T COVERAGE) I - 9t 28 2008 (REV/S/ONSJ LOT COVERAGE - r, fi Lu , 009 r4ddit s a }3 HOUSE, DECKS, POOL DRIVEW. Y 4 o I ��.s �,�' AT COMPLETION OF CONST" ' 4 .��,�,� ?B,,'A 9• 'Q Suppo .CQ(JjV'fy�E ,� 4 705 ' a_ i TMENT_OTr 23518 s sq.ft. UPLANDS � �� err�osx ALTH SEJiY)( 3 q ro �� eat» �vsxtaa,�„x,���t 4705123518 = 20% L 0 T �a c �� `© C �"' 7L1' 'IDERT�:I�'ONLY DATE Y �q 0 AEF /�� TEST B ORING -?-6 r Y BY D 09 D GEOSCIENCE �i� � ` �� APPROVED D EL 10.3 C .�4,. l - ' DARK OBROWN LOAM _ �; c {� A / o OW /I, K�+1IJM OF I BEDROOMS a- / EXPMES E YEARS FROM aA 3 BROWN SILT ,NL OF O /�� ARONA, _ y f/ TB PALE BROWN FINE- TO /NE COARSE SAND WITH !O% GRAVEL •'S E -� `ice i2 f' i RAIN RUNOFF (ROOF) ' W �t - SW ��ry �' 6 c a� / �f��, 3328 sq.fl " s• �f,, 3 3328 * D.17 X l = PALE BROWN FINE eS � �; 566/42.2 = /,3 566 cu.f1. MEDIUM SAND SP s ^J 13.4 VF ;r:_; L, 8.2 PROVIDE 3 DRYWELLS 8'� x'S' DE Con, s x .s .'' '<s,a��D1 ust be- TO EL 2�` __ OR EQUAL EP � � crrI�3 haw ��B st: ws € aaabaa WATER /N PALE _— ___ /��� v4 fiza�'d . _ BROWN FINE TO MEDIUM.SNAD SP `, ti 4 -4.t• / ` yam tis \tip gY�� ,tips, o� q •'�� CONTOUR LINES BARE REFERENCED TO THE,FIVE EASTERN �6S -6, '�QiTo 'E' •�jry TOWNS TOPOGRAPHIC MAPS (NGVD) N =MONUMENyT SOF NFI,i, q,P 9 �P ��`� - - �• �O$/y � \ - LOT NUMBERS RCFER TO ""SUBDIVISION MAP SMITHFIELD c:) O q� �c PARK FILED'+IN r'THE SUFFOLK COUNTY CLERKS OFFICE ON DECEMBER 27, 1,966 AS FILE NO. 4770. x O ANY ALTERA770M 0R ADDITION TO THIS SURVEY IS A VIOLATION A` , I Fzo00 ?o!?c A0.0', FIRM OF SECTION 72090E THE NEW YORK STA 7E EDUCA77ON LAW. ECONI IC NQ '9iVC Y EXCEPT AS,PER SECTION 7209—SUBDIVISION 2. ALL CER77F7CA77ONS V� P. 49618 3 /b3 G o1�` 9�0419�o J- HEREON ARE VALID:FOR 7tflS MAP AND COPIES (HEREOF.ONL Y lF (631) 76 — AREA/�pC n 5 SAID MAP OR COPICS BEAR, 77-1E IMPRESSED SEAL OF THE SURVEYOR P.O. BOX L.4t�� ) 765_1797 -25+��� ��' �' D=WETLANDS FLAG WHOSE SIGNATURE APPEARS HEREON. 1230 TRA VELER EET l SOUTHOLD, N. Y 11971 06