HomeMy WebLinkAboutLafauci SOUTHCLD V*STEVIATER DI SPCSAL PERM T
CPERATI CN PERM T
SEPTI C TANG or CESSPCQ
Oiler at i on ,Per rri t W. 4491-R Resi dent i al X Wn-Resi dent'i al
Fee $ 10. 00 New X Exi st i ng
Nacre a Cover JOSEPH & WSALI E LAFAIJG
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Mbi I i ng Address 1 440 E 79TH STREET, ART 15E
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Wi I i ng Address 2
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0 t y St- Zi p NEW YORK W 10075-0000
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Pr oper t y Addr ess 1 225 VV N3AN;D ROAD
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Property
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Property Address 2
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0 t y St Zi P. ORI ENT W 11957-0000
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Choler Tel ephone W. 646-666-0164
Tax Map W. sect i,on 19. 00 block 1 1 of 12. 400
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Cross St r eet RCUTE 25
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I
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I ssue Date: 5/26/ 16 E i zabet h A Nevi I I e
-------- Sout hol d Tow, CI erk
(TOIN SEAL)
��SUFFO(/-c
ELIZABETH A. NEVILLE a ,�� Town Hall, 53095 Main Road
TOWN CLERK r�r� 4 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS O Southold, New York 11971
MARRIAGE OFFICER 'cif! o�� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER 0•� q `�� Telephone (631) 765-1500
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
OPERATIO. i;PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10-X—or Non-Residential @ $25 Application No. H y►`
Permit No.
Owner Name �6e f762-1�al ����/�� �c2 J GWd 1-
Owner Mailing Address 79�h .5 ��� �D7 /J7Z-
Owner Property Address h1laclald:f—o' /S tt.ol.
Owner Telephone No.
Tax Map No: Section Block Lot 6 a
Cross Street Ole,
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 lto building
and closest road. New construction may submit e,opy of surve with SCHY approval.),.
i.a}pirli dll�{�q tI
Signatu e o pplic
Received by: r
.r
* * * RECEIPT
Date: 05/20/16 Receipt#: 205016
Quantity Transactions Reference Subtotal
1 Septic Permit-Operation - Resid. 4491 $10.00
Total Paid: $10.00
Notes:
Payment Type Amount Paid By
CK#5184 $10.00 Lafauci, Joseph
Southold Town Clerk's Office
53095 Main Road, PO Box 1179
Southold, NY 11971
Name: Lafauci, Joseph
440 E.79th St, Apt•15e
New York, NY 10075
Clerk ID: CAROLH Internal ID*4491
:Q
SURVEY OF PROPERTY
SITUATE
ORIENT
TOWN OF SOUTHOLD
G�55 � SUFFOLK COUNTY, NEW YORK
G�SSs__0 S.C. TAX No. 1000-19-01-12.4
SCALE 1"=40'
O AUGUST 26, 1991
5wELL JULY 24, 2006 UPDATE SURVEY
AUGUST 24, 2007 UPDATE SURVEY
DWELLING 286.76' STAKE MARCH 22, 2010 ADDED PROPOSED HOUSE
• MAY 7, 2010 ADDED RELOCATED PROPOSED HOUSE
°,' N 86°29,40„ E N MARCH 25, 2014 REVISED PROPOSED HOUSE
APRIL 14, 2014 RELOCATED PROPOSED HOUSE
UNDERGROUND O JULY 31, 2014 REVISED AS PER S.C.D 0 H S.
FOUND PROPANE DECEMBER 8, 2014 ADD STORMWATER MANAGEMENT PLAN
�\O CD<i PIPE ° 30.00' I TANK CAP
ELECTRIC MAY 10, 2015 FOUNDATION LOCATION
T/J\ z Z I ,.—ELECTRIC
I W DECEMBER 2, 2015 FINAL SURVEY
o W Co2Q IJ oJ�oo AREA = 491.1343 acrest.
L4 01 �J I s s� s�
O o ° 2�9ip hti 'Lc�,�ao OE'C fn
STONE DRIVEWAY
_ 99'8 • _ 1 ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
J'f 0O 'S' ^' �F.cOpo _135.8 x EXISTING ELEVATIONS ARE SHOWN THUS:
WOOD S�UVD os� 06'p, �O�v f — 2. LOT NUMBERS SHOWN THUS Q REFER TO MAP OF MINOR
�f o C° r F p� O. — .� SUBDIVISION MADE FOR FRANK STILLO.
TELEPHONE o a �• X06 y �� 3 LOT NUMBERS SHOWN THUS � REFER TO MAP OF MINOR
BOX 'm0� It CyVy� �Z n� SUBDIVISION MADE FOR PETER SLEDJESKI.
9 F
rn
D ° I ?cd'oo 0 cc^ o. w + x]
G b
°
K� I ° �gooL�Pb } X09 tie? w b SEPTIC SYSTEM TIE MEASUREMENTS
b, ,� a
n � W ° II v ° °
HOUSE
HOUSE
CHING y a
POOL No-2
° v w Q(iV CORNER FA CORNER EB
I a
I \*J
(JJ C LEACHING ggpTlC ° B" SEPTIC TANK 17' 62'
POOL No.l K I w COVER
° < Io° ° LEACHING POOL 28 5' 61'
° STONE DRIVEWAY w COVER 1
a:
FOUND ° ° I \ LEACHING POOL 34.5' 47' -'
CONC. MON. 30.21''. I F 7455 COVER 2
ONC. MON. I w
•=•-�!'e....a >~ .,
3,50' �� FD. CM. 1J
N.0.3'W. WELL �.�.tl\ L [.!a11J
FOUND FENC POST¢ WIR
� CONC. MON. ROW OF EVERGREEN TREES �
/ re W 1.9•S.E f FENCE
o N 86 41 00 FUT OF HEALTH SERVICES
192.18' N j SUF OLK COUNTY i?_PART
3 F _�_
•�ti / DWELLING 4° 9'oO,r O.L.Cf %'�n1-�~�%�,—`�rti WORKS PRP N ACC ROANc:t-WITH THE MINIMUM.
p (CESSPOOLS OVER 150') RP� OVAL C'•F -. `N:y r I�D_WORKS FOR y
O i � ❑ I� W 0.2'W A SINGLE FAIL",1�Y iiSTAI
tSiDC�VCE O TH .IO.. E E AABU ED
II
IANO
/,;A
� 6 (CESSPOpLSELC/A/G 2UIU . H.S.hL V f.iL'0. I `I ' O b n A�9a F 7
r OVER I I
5p� Thsc,Nac� dispo:,at and v airs cappiy 1ldfi:ies zi b,is I=Wn have
Mo
cDLi. / jSA It+3 (C'v a .dicT C'Ort is,1 ` 'v i7-'':33''JT�..^ r oumr zgenGles XW c J
�Usia=ry FOR A EIIAXi;'.MA OF BEDROOMS.
FO.
cm,
r�
Y.
A l�T
li V TO EXISTING
rs
.(j' WELL �-
/T/ �FWalterJ. Hil`uz�3,
OIIivY Waster ator Management Y.S. Lic. No. 50467
SNUIALTERATION OR ADDITION
TO THIS SU „y` ,OSA
EXISTING-- lm9 OF THE NEW YORK STATE
EDUCATION NLAW. Nathan Taft Corwin III
I WELL COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR Land Surveyor
EMBOSSED SEAL SHALL NOT BE CONSIDERED
TO BE A VALID TRUE COPY
CERTIFICATIONS INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
CERTIFIED TO: I IS PREPARED. AND ON HIS BEHALF TO THE
TITLE COMPANY, GOVERNMENTAL AGENCY AND Title Surveys — Subdivisions — Site Plans — Construction Layout
JOSEPH A. L6 FAUCI DING INSTITUTION LISTED HEREON,AND
TONTHE ASSIGNEES OF THE LENDING INSTII-
ROSALIE Lo FAUCI TUTON. CERnFICAnONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fox (631)727-1727
LAND AMERICA COMMONWEALTH TITLE INSURANCE COMPANY THE EXISTENCE OF RIGHT OF WAYS
TITLE No. RH07301004 AND/OR EASEMENTS OF RECORD, IF OFFICES LOCATED AT MAILING ADDRESS
ANY, NOT SHOWN ARE NOT GUARANTEED. 1586 Main Road P 0. Box 16
Jamesport, New York 11947 Jomesport, New York 11947
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