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Home My WebLink AboutZupa SOUTHOLD WASTEWATER DISPOSAL 'PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4431-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner MARY S. ZUP/A ------------------------------ �;�� w� ami✓ Mailing Address 1 4565 PARADISE POINT ROAD ------------------------------ Mailing Address 2 :ls�Oi ------------------------------ City St Zip SOUTHOLD NY 11971-0000 Property Address 1 580 BASIN ROAD ------------------------------ Property Address 2 ------------------------------ City St Zip SOUTHOLD NY 11971-0000 -------------------- -- ---------- Owner Telephone No. 631-765-6112 ------------ Tax Map No. section 81.00 block 1 lot 16.007 Cross Street PARADISE POINT ROAD ------------------------------ ---------------------------------- Issue Date: 7/19/11 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) r-r r o�oSu�Foc��® y` G ELIZABETH A. NEVILLE o y� Town Hall, 53095 Main Road TOWN CLERK C#* P.O. Box 1179 REGISTRAR OF VITAL STATISTICS O ® Southold, New York 11971 145 MARRIAGE OFFICER y �� Fax (631) 765-6 RECORDS MANAGEMENT OFFICER ��l Telephone (631) 7656-1-1 800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net a OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Lit I Residential @$10 X or Non-Residential @ $25 Application No. 1 Permit No. Owner Name AA A R N/ S- 7 U PA Owner Mailing Address I-IrLi_ PIS K k D 1 S L P�(Al--7- 9 D . S o f ko lJ, S I I,) / Owner Property Address - 0 R'4s I W//n Owner Telephone No. 63 1 Tax Map No: Section l00 0-V. Block - / Lot Cross Street P4& A DE f= P61,4/r ROAD Please check each that applies: New Construction X Alteration to Existing System Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) % d /Z I Signature f pl ant Date Received by: ` D 2 Oa I `I O xov S - - � tn � ' II 70 0 x 72 / / Im / DRYWELLI -`— /- -- ---- ---- clJven- 1- _------ - -- I \Z o - �S- 7 7s A y STONE I / d / / I/ \ — — — — jai 144 COVER 2 39' 43' 7 WAL L I I / ' —WOOD DECK mUNDERGROUND c I 27 2' u A PROPANE %7 7 21 0' 21 0' 14 3 TANK CAP ip la I% �I -1.5 � � o m 0 COO UNDER GENERATOR 73% WOOD DECK •- -15 � A 00 w LEACHING i — p0 5 3 I /I 7 g a -UNITSIR GOND /POOL Y un I I r - - - ` x 7 5 % DRYWELL 74 n J N (® ) CL C ~ I � r/ — 2 'STORY FRAME HOUSE 0 • SANKIC �J�J I 153 -5: C'� N I I o 8 °�_ GRATE \ Z \ \ SE r\ Ftyq} APR0 Lo ON Z • LEACHING \ N q 3 a m Ly0 \ 0 POOL #i eE k w \ 00 s � ^� x 14 U s F Srq �$"00- . %9 0 % 8 6 x ONE 29 2, 0 11 0' 0 29 1' B -i \ �G \ 7\ IV — — _ — — — — — — — d 9 O `yy STONE STONE — -�y— 99 8_ — — p �Q _ .WALL WALL 0 3 { ° r x v e ` \ \\ ROOF OVER ^1 \ V) x— 7 �4 — — — — — 8 7�Fy0 e \ \ CONC STOOP, \ a 04f/r _ ` �°h Or \ l 1� e e — — ��-DR)nMELL x 9�n �� a May v P Z — — ` AS F�F W fr x 6 4 — — — UTILITY Qc�f E f ° 13 6 Q s��7 'IV M CGED -NO PALE _ _4444 p� d 2 _ b (� O CJ1 Z 62 6'(, 6U kh'Fg0 3 7' ` �S\oeVEL MAPA-N WIUY �1\ / \ 8 `eSPHALT DRIVE4AY ° d X-L7 d E 2�—o e °�.' �` )S ��°24'20, 07 49 — �W fr\ \ 0 \ \\ �� ° 1 1 6 x 410 6 o 0 8 �6'' \� — o� \ \ I / l 1z 7 ° d �\ x�4 £ (Us �4V w w V /y \ s \ \ %a 4 x \ \ \ — �\ rY es P F�GI .O � � m \ \ x\jam \ \ \\\ 1 p \ \ \ —13- - f, /114x0 ° e -�- ° e \\X 7 D&4/CWq 36 \,�� \ , \ \ \ °/ \ \b _ %�13 ��,° % 11s�\\� sere? 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N \\ F \ 6 F QE x 7 5 i y O g 1-PpOLE� — _\�_ `_ F O &6' OADWAY OW Z — 0 7 \ �3 \ \ \ — gOUp1DPR��pP 'i — , i 2 4 2 — A TOP OF BANK \ \ \ \ CONC DM 9 [NT r_gSpyALT CU 3 S\ \ 6 ON l�ticilv N \ \ O` By / / i BOTTOM 6AG > pU FkF0 DOC \ \ \\ P LeO / i 8 Ay'000 BUOF gW6 TlE WgrfR f� 07 -' Z K 6Z , 1 'v yfg0 \ 6 W0 N sTRff® \J -• \ \ \�— -_� P // b6'A3' Vv RqM 68°38 S <iy7j OD TIE 46.3.?j' P N O0 \ FLAG yz\ =z \___NT 5 61 p' P Z S 9 26'' ATB ro q40 fo �N J PREPARED IN ACCORDANCE WITH THEJ( �1 fV S2 NG gpp1,RE V1 O S �°JS'' o s �0y Fge�UN MINIMUM 0D ° LINEA ° o M G Z S 0,qR STANDARDS FOR TITLE SURVEYS AS ESTABLISHED ��P 0 3 11E 1E MARK ��Y 00 , 3 00�� Y 2 N BY THE L I A LS AND APPROVED AND ADOPTED S 'Q Y _. Q� S3 HIGH WA � N ' �/ ^ FOR SUCH THE NEW YORK STATE LAND N Rg40 66�.7,, W m j ^ MgPPrNC TITLE ®IgTON E&,v .W m FLOATN- 4 V o C .� G Wool, (14 w 00 o N 4 Co00 Cn 2 aF i V v 50467 4 034rN0 y �w S M O� �4AW �O NYS L c No 50467 Oqa ^ 1Taft UNAUTHORIZED ALTERATION OR ADDITION t 6� � ® �� TO THIS SURVEY IS A VIOLATION OFGaq SECTION 7209 OF THE NEW YORK STATERIP% 12 _ EDUCATION LAW L-al la U W COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY i Successor To Stanley J Isaksen, Jr L S CERTIFICATIONS INDICATED HEREON SHALL RUN Joseph A Ingegno L S ONLY TO THE PERSON FOR WHOM THE SURVEY Title Surveys - Subdivisions - Site ons - Construction Laout ITITLE COPAY,S PREPARED, AND ON HIS BEHALF TO THE y LENDING INSTITUTION ELISTIED ENTALAGENCY ANDND P PHONE (631)727-2090 THE ASSIGNEES OF THE TO(631)727-1727 TUOTION CERTIFICA710NS ARE NOTDI GNSFERABLE OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road THE EXISTENCE OF RIGHT OF WAYS Jamesport, New York 11947 PO Box 16 AND/OR EASEMENTS OF RECORD, IF Jamesport, New York 11947 ANY, NOT SHOWN ARE NOT GUARANTEED.