HomeMy WebLinkAboutGeraci 7
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 4363-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner STEPHEN GERACI
------------------------------
Mailing Address 1 PO BOX 463
------------------------------
Mailing Address 2
------------------------------
City St Zip CUTCHOGUE NY 11935-0000
-------------------- -- ----------
Property Address 1 450 BITTERSWEET LANE
------------------------------
Property Address 2
------------------------------
City St Zip CUTCHOGUE NY 11935-0000
-------------------- -- ----------
Owner Telephone No. 631-758-5540
------------
Tax Map No. section 104.00 block 2 lot 7.300
Cross Street PINE TREE ROAD
------------------------------
----------------------------------
Issue Date: 12/06/07 Elizabeth A. Neville
-------- Southold Town Clerk
(TOWN SEAL)
4osuFFoc,��,
0
ELIZABETH A. NEVILLE �`Z`� Gy Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
CA = Southold, New York 11971
REGISTRAR OF VITAL STATISTICS VG.
MARRIAGE OFFICER Fax (631) 765-6145
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. �03
Permit No. S Z
Owner Name
Owner Mailing Address �V
G U A-1
Owner Property Address 5.s /*/T7`C�SG�517 4
Owner Telephone No.
Tax Map No: /Section OBlock Z- Lot 73�
Cross Street /il/G /� ,
Please check each that applies: New Construction
Alteration to E sting 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.)
,,s
1
Signature of t
icant Date
Received by:
BITTERSWEET LAN
30' WIpE WATER MAIN
w N 66'22'50"E II . 183.36' PIPE
w PIPE i0 S£RVICE. ONE
EL 21 EL 19.7 TIE O4\
e� y J 3 3
Z o
S \ \ N MONC
N � W
W = Q; 150'+ TO fTl
OPROPOSED Ci DRIVEWAY O WELL AND CESSPOOL
O f RESIDENCE f�i
w � 1
0.0' %0 WELL 0
� 3.5
z N PROPOSED THREE
z O U > �'
Q Q o S
Y
o BEDROOM RESIDENCE IW 15
OJ m0 w0 0+ TO CESSPOOL
LL
LL 3 L ST o
Z N o o IW RESIDENCE TEST HOLE BY
C) a M o
McDONALU GEOSCIENCE
K m w O EP SOUTHOLD, NY ON JULY 13,1999
C) 3 0 PROPOSED ORIGINAL GROUND
UTILITY
D= L O GARAGE BROWN SANDY LOAM OL
ti Lu 1,
Z V) Z So• 6.0'
w 24.0'
m
BROWN LOAMY SAND SM
w RESIDENCE
U
w —3.5'
l�
cc
w
3
N
O N
W
O 0 PALE BROWN FINE TO
RESIDENCE COARSE SAND SW
TEST HOLE y
o
EL 19 EL 18
�5000� oRs" S 66'22 50 W 183.36
os
R`I\6o�R PJ�� N
TO B E SERVICED(VACANT LAND) 0 CESSPOOL
alio OGo� SUFFOLK COUNTY WATER AUTHORITY
FOR SCDHS USE ONLY
t>
I
SURVEY OF
0
LOT 2
1 `ij Q g a •� IN
Nj
SUBDIVISON MAP FOR MABELLE DEMPEWOLF
.� SITUATE
CUTCHOGUE, TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
i t W O�� SURVEYED FOR: STEPHEN GERACI
j Q
® t 0 t=. TM# 1000-104-02-007.3
C3
Z NOTE: THIS LOT WILL BE SHOWN IN A MINOR SUBDIVISION WITH LOT NUMBERS
C SPECIFICALLY PREPARED FOR THE SUFFOLK COUNTY DEPT. OF HEALTH
} ��', Q ►� �j SERVICES. ON THIS MAP, IT WILL BE SHOWN AS LOT #2.
O +� SCDHS APPLICATION NUMBER S10-98-0009
e
SURVEYED: 7 DECEMBER 2005
SCALE 1"= 40'
SCDHS# RIO-05-0028
GUARANTEED T0:
AREA = 41,872 S.F.
STEPHEN GERACI OR
0.961 ACRES
GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO THE PERSON F5 PREPARED, AND ON HIS BE ALFOHOT TO THE Y SURVEYED BY
TIME
DING
LENDING GOVERNMENTAL THEREON,AND - STANLEY J. ISAKSEN, JR.
TO 774E ASSIGNEES OF THE LENDING 1NS71TU710N. P.O. BOX 294
GUARANTEES ARE NOT TRANSFERABLE TO
ADD177ONAL IIVS77TU77ONS OR SUBSEQUENT OWNERS NEW SUFFO K. N.Y. 11956
—
UNAUTHORIZED ALTERATION OR AODl710N TO THIS 631 -734 835
SURVEY IS A VIOLA TOM OF SEC 770M 7209 OF
774E NEW YORK STATE EDUCATION LAW.
C•OP'ES OF THIS SURVEY MAP NOT BEARING --THE LAND SURVEYORS EMBOSSED SEAL SHALL LIC SED SU VE
NOT BE CONSIDERED TO BE A VALID TRUE
=-'°' S Lic. o. 49273 05R1A58 "
1. 2 FEB 07 SHOW REV. HOUSE AND GARAGE, REVISE DW LOCATION.