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HomeMy WebLinkAboutHionas SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4411-R Residential X Non-Residential Fee $ 10.00 New Existing X Name Of Owner IRENE & MIKE HIONAS ------------------------------ C\_ --4"" Mailing Address 1 23-23 41ST STREET ------------------------------ Mailing Address 2 ''o riU,S City St Zip ASTORIA NY 11105-0000 O to -------------------- -- ---------- Property Address 1 900 CENTRAL DRIVE ------------------------------ Property Address 2 ------------------------------ City St Zip MATTITUCK NY 11935-0000 -------------------- -- ---------- Owner Telephone No. 718-728-8949 ------------ Tax Map No. section 106.00 block 2 lot 17.000 ------ --- ------ Cross Street INLET ------------------------------ ---------------------------------- Issue Date: 1/12/10Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) MRS NMOJ,) 5(aoTO uMos pTougnoS -------- aTTzAaN 'V ugaclezzTH OT/ZT/T ageQ anssi ---------------------------------- ------------------------------ larmi -4aaa-4S ssoaO ------ --- ------ 000'LT qoT Z xooTa 00'90T uoiPaas 'oN d-ew xei, ------------ 6Tv68-8ZL-8TL 'ON auoudaTa,n aauMO ---------- -- -------------------- 0000-5£6TT M )IOIILIILILVN dZZ qS A-4?O ------------------------------ Z ssaappV Agaadoad ------------------------------ HARi*Q TTdJ D 006 T ssaappV Agaadoad ---------- -- -------------------- 0000-S0TTT )iN vildonSK dzZ 4S A-4zO ------------------------------ Z ssG-rPPV .6uITT-eW ------------------------------ ZSMnS II,STTV £Z-£Z T ssaappV bu-ETT-eW ------------------------------ SKNOIH EXIW 13 SNME aauMO JO aUJ'eN X Buz-4szxH MaN 00'OT $ aa3 T-ezquapzsaH-uoN X T-ez-4uapzsag N-TT:�-v 'ON -gTLlad uozgPaadO 'IOOdSSSO ao MWL OIIndHS ILIWHHd NOIILVHadO ZINURd 'IKSOdSIQ UEJVM2IlSKM CnOHJlIOS a OS13FFO`�1 � � C ELIZABETH A.NEVILLE �� y� Town Hall, 53095 Main Road TOWN CLERK coo Z P.O. Box 1179 REGISTRAR,OF VITAL STATISTICSO � Southold, New York 11971 5-6145 RECORMARRIAGE S MANAGEMENT OFFICER y��• ��0�� Tele hoFax ne (6331) 1 765- 800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net RECEIVED OFFICE OF THE TOWN CLERK 4, P4...; TOWN OF SOUTHOLD JAN 8 2010 SOUTHOLD WASTEWATER DISTRICT c_..Pn.,r.t T APPLICATION ftaaq cleat OPERATION PERMIT CESSPOOL or SEPTIC TANK - Residential @$10-kor Non-Residential @$25 Application No. Permit No. Owner Name 1-r2.�-2.-�- s c cs S �-� (0/o ( S Owner Mailing Address �� �'"�`• I �• Owner Property Address 3 —a 0 Owner Telephone No. �� ZcCf` r L-v I Tax,Map No: Section Block 2— Lot Cross Street A-V\I q4- Please check each that applies: New Construction Alteration to Existing System Residential X 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 o y of!grvey with SCHD approval.) '/ff Signature of Oplicant Date Received by: C LOT AREk = 19,031 SQ. FT. NOMBER 84 � �,, . . ��� LOT : ,n NOµRER 83 �E 92.0 �� �:,� . +' • '�,.: ;�,� ,' . LOT t 132700 00 r oworAQEN AlaMWONN 'Mal 0 cn Zy .n�t i G fin( (•/ to p rq 2e' 20' �_.. Z 2 — 4TWIRINGS w/DOME k'• 2nd*dMk N °l 12 14.0' 1p 20' 1A ck .p 4 24.0' a 2 sty fr dwell N W f , 20 a 190' 12.5. ,� O q gar 4 N 0 178'a t 22.8 to Ct 300 J ®II o c! R=25.00' Z C.p. �I L=3�9.27'� wateripm �PE 299.71 meter b '30"W � N, his. S —• — edge of pavement NOTE: CESSPOOL, SEPTIC TANK do WATER LOCATIONS BY OTHERS. T , SERVICE LOC �R1V1�' CENTRAL RIVE NOTE. sE nC MTEM 12-17-2009A LOCATEDDWELLING DEPT.NFOMATION SURVEY 1 - 1500 GAL SWnC TANK 4-29-2009 1 _ S, DU l•EACHINO POOLS, 18' DEEP TTE OFFSETS (OR DI119r5{ONSI SHOYiN SMWMM 1D THE PROPEM ONES ARE FOR A OMM F�AM USES AM nMWn=AM NOT JOB No. 09-58 FILE No. CAPTAIN KIDD ESTATES WENDED TO GUIDE THE MWICIN OF FF?IOF±<. I CAIN W" MGM PAID KAMM AFSVL Am nm TO BwLw Ds OR ANY OTHO CONSIRUORON. SURVEYED FOR UNAun =AuMTM OR ADM" TD THS gURVer IS A MATION SWIM LOT NUMBER 93 +o � OF THE NEN YM STATE EDik'w M IN' MAP OF CAPTAIN KIDD ESTATES cXURA M INDICATED HERON SHAD.RUN ONLY TO IMEPER80N FM WHOM TME SITUATED AT MATTITUCK y g FSt .AND ON HIS 8EIW-MTHE ME DIC'MANY. GOV K mom AD wow IpwRmDON US= HEREON,AND TO THE IMONEES OF THE �DNG IDDM. MARW=ASE WTTO ADO IWITIUO NS TOWN OF SOUTHOLD - SUFFOLK COUNTY N. . OR SCALE 1" 40' DATE 4-7-2009 T►� �R� O EroR S mxEG WL OR DATE 1-19-1949 4)(m OF TIRS SURVEY IIIIP NOT BEARNO 10 6E A SU I TRUE COPT. EMBOSSED MLsI1Nl NOT��� FILED MAP No. 1672 TAX MAP No.(REF ONLY) 1000-106-2-17 DISK 2009' CERTIFIED ONLY TO: HAROLD F. TRANCHON JR. P.C. C LAND SURVEYOR 1866 WADING RIVER-MANOR RD. WADING RIVER, �J NEW YORK, 11792f,>Oc FNo. 048992 631-929-4695 HAROLD F. TRANCHON JR. PENN. LIC. No. 2115—E