HomeMy WebLinkAboutManafo SCUTHCLD VIASTBfATER d SPOSAL PERM T
CPERATI CN PERM T
SEPTI C TANG or CESSPOCL
Cper at i on Per ni t Nb. 4494-R Rlesi dent i al X Wn-Resi dent i al
Fee $ 10. 00 New X Exi st i ng
Narre Cf Ower J C6EPH MWO
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Mei I i ng Address 1 P O BCK 275 �\-�-
Nbi l i ng Address 2 ------ � (��
O t y St Zip PEOCN C W 11958-0000
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Property Address 1 75 VELLS ROAD
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Pr oper t y Addr ess 2
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O t y St Zip PEOCN C W 11958-0000
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Ower Tel ephone No. 516-779-6012
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Tax Mbp Nb. sect i on 75. 00 block 6 1 of 3. 001
Cr oss St r eet ROUTE 25
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I ssue Date: 8/09/ 16 B i zabet h A %vi I I e
-------- Sout hol d Town CJ erk
ELIZABETH A.NEVILLE ® �1
Town Hall, 53095 Main Road
TOWN CLERK C P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS ®
�® �®� Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER �► 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. 9 9 9 I
Permit No. `R�l F-
Owner Name o S� It Ulu vt L-.�ZS
Owner Mailing Address O as
V>eC-ouiC_ i U)V, l 'a
Owner Property Address r C4.15e_((t k ( JQ,A
Owner Telephone No. l fo --L-7 of^ o LZ
Tax Map No: Section 75,00 Block Lot 3 eoo t
Cross Street 2F
Please check each that applies: New Construction
Alteration to Existing System
Residential. t-/ —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.)
Sign e o f Applicant Date
Received by:
S.C.T.M. NO. DISTRICT: 1000 SECTION: 75 BLOCK: 6 LOT(S):J.I
,Q,O� �nj2i o�� �'��;s�'• LAND N/F
y '1 OF
JUAN A. MONZON
ZONIA M. ALVARADO
V
LAND N/F
SAO 1 1 OF
ti 0�6�� i tSl� i JEFFERY ANDRADE
41 � . 1 �e
�tP TIDAL WETLANDS
�0 1 ► AS SHOWN ON FILED MAP
►
f3. ► i
��, ► 751 NON—TURF-
BUFFER
ON—TURFBUFFER 6'� `I'-' ,,I,•
0®. ,II,
t� aha
o.
- \ � sroDkE `
SHED
.2'
\ J'
6�
\ 4'0RODW SS gU ppppRRRE,O yC o, w00D
\� (3}e'ONa4'OEEP L.P. ' 4,p�,9' • STEPS
• \ 610 �.h. o. `ao a�
tp
G�
1410c �601�
SEPTIC LOCATION \ \
POINT A" POPINT 9"
S.T. 18.5 41' \
L.P.S1 19' 52'
L.P#2 31' 58'
L.P.13 31' 47'
REVISE SEPTIC MEASURMENT 06-18-16 THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
FINAL SURVEY 04-15-16 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA: 80,050 SQ.FT. or 1.84 ACRES ELEVATION DATUM: _________________________
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SEC77ON 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY
MAP NOT BEARING THE LAND SURVEYOR'S EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION
LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE,
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS EASEMENTS
AND/OR SUBSURFACE STRUCITURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOT 1 CERTIFIED T0: JOSEPH MUNAFO;
MAP OF: JOHN SCOTT JODI MUNAFO•
FILED:APRIL 27, 2009 No. 1 1699
SITUATED AT: PECONIC
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK Professional Land Surveying and Design
+ P.O. Box 153 Aquebogue, New York 11931
FILEPHONE (831)298-1588 FAX (631) 298-1588
# 14- 192 SCALE: I "=50' DATE: APRIL 12, 2015 N.YS. LISC. NO. 050882 maintaining the records of Roberti. Hennessy do Kenneth M. 1/oychuk