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Home My WebLink AboutMcKay � 1 t SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 4451-R Residential X Non-Residential Fee $ 10.00 New X Existing Name Of Owner LINDA & SCOTT MCKAY ------------------------------ Mailing Address 1 225 BLOSSOM LN ------------------------------ Mailing Address 2 ------------------------------ City St zip SOUTHOLD NY 11971-0000 -------------------- -- ---------- Property Address 1 225 BLOSSOM LN ------------------------------ Property Address 2 ------------------------------ City St zip SOUTHOLD NY 11971-0000 -------------------- -- ---------- Owner Telephone No. 631-287-7010 ------------ Tax Map No. section 69.00 block 3 lot 10.005 ------ --- ------ Cross Street JASMINE LN ------------------------------ ------------------ --------------- Issue --------------------------------------------------------------- Issue Date: 2/11/15Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) l �o��S�FFO�,�coG ELIZABETH A.NEVILLEo y� Town Hall, 53095 Main Road TOWN CLERK rn 2 P.O. Box 1179 REGISTRAR OF VITAL STATISTICSO Southold, New York 11971 RECORDS MANAG MANAGEMENT OFFICER RIAGE OFFICERy��• �aO�� TelephoneFax ( 31) 765-6145 (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net APIZ OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION OPERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 C'_/or Non-Residential @$25 Application No. 75l Permit No. / 7 Owner Name J or, 4- Owner Mailing Address c\2 a2 R M S L -'V iaVc� C! 7/ Owner Property Address Owner Telephone No. 1000 .-- Tax Map No: Section 6 C3 Block , b Lot 16 . 5 Cross Street_ I" ksa_,[�p I '#� Please check each that applies: New Construction Alteration to Existing System Residential Non-Residential NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate building and system; give north arrow and approximate distance in feet from system to building and closest road. New construction may submit copy of survey with SCHD approval.) J Signature of Applicant Date Received by: , SURVEY OF HANDS ON SURVEYING 26 SILVER BROOK DRIVE N LOT 4 FLANDERS, NEW YORK w E 11901 Ir I M/' OF TEL:(631)-369-8312-FAX.(631)-369-8313 A MARTIN D. HAND L.S FLOWER HILL BLDG. CORP. COPIES OF THIS SURVEY MAP,EITHER PAPER OR ELECTRONIC,NOT BEARING CLUSTERED CONSERVATION SUBDIVISION CONTHE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID COPY AND SHALL NOT BE USED FOR ANY PURPOSE. OF BEACH PLUM HOMES CERTIFIED TO:SCOTTMCKAY SITUA T E LINDA MCKAY WATER MILL ABSTRACT,CORP. BRIDGEHAMPTON NATIONAL BANK SOUTHOLD TOWN OF SOUTHOLD SUFFOLK COUNTY,NEW YORK S.C.T.M. DIST 1000 SEC. 69 BLK.03 LOT 10.5 JOB NO.2013-264 15 8 0 15 30 45 60 75 90 105 120 135 MAP NO. 11458 SCALE: 1"=30' SEPTEMBER 16,2013 FILED:NOVEMBER 01,2013 REVISIONS: PREP FOR SOUTHOLD JASMINE LANE ADD POOL, PROP.GA AGER101 313TER E w s REV.PER SOUTHOLD COMMENTS 1 19%13N r LOC. FOUNDATION 1/13/14 R=25.00' REV.POOL LOCATION, SCREEN POR /18 L=39.27' FINAL SURVEY FOR HEALTH& TOW s /1Alz REV. FINAL SAN DIMS. 1/5/15 LICENSE NO.050363 LOT AREA:33,712 SQ.FT. =0.774 ACRE N SANITARY DIMENSIONS AS RECEIVED FROM INSTALLER WATER LINE AS RECEIVED FROM BUILDER co v J R::20-00' L=17.45 O g$ LOT 5 S 77019'20"E 190.02' - - ALINE OF PLANTED TREES O � o R=50. o� \ o� o jQD PN CP P o m m gL m � pp! pRp� GpJ N 101.4' C-) OGLo 2q;f Z 64 .0' qb4 0 - n� 161 Q 0 EASEMENT A-SUBSURFACE smR ILWES RECORDED OR UN RECORDED ARENOTGUARANTEED UNLESS RIYSICALLYEVIDENi ATTIE I N TME OF SURVEY THEOFFSET LOR DIMENSIONS)SHOWN HEREOn FROM THE STRIA;TURES]DTHE ' SE—I PYLINES ARE FOR A SPECIFIC M L AND LIGE AND HEREFORE ARE VSE ACMTFNOW M GLIDE THE ERECRON OF FENCE$RETAINING WALL$PODLS PAROS PUNTING AREA$ NS TO BULDINGS AND ANY Y—EAOTHER CONSTRUCTION. WAUT O IWD ALTERATIONDRA-ITON T I TO TNI$SURVEY IS A V IXA TION SECTION]Ni OF THE NEW YORK S)A EDUCATIONUW. CORES DF TSS 3LN SfNM NOT BEARING THE UND SURVEYORS INNER SEAL OR � EMBOSSED SEAL SHALL NOT BECONSDEREO TD BEA VALID TITLE COPY. CERTIRCATIONS INDICATED HERON SHALL ONLS) RUN N 77°19'20"W ISONLY TOTHE R:RSRS FOR WHOM THE SURVEY 227.OO PREPARED A N NIS BEHALF m THE , TITLECOMPANY.GOVERNMENTALAGENCYAND LENDING INSTITUNON LISTED HEREON.AND TO TIE ASSIGNEES DF THE LENDING INST- TURON.CERTRCALIONSARENOTTRANSFERABLE TO ADdTONAL--IONS OR SUBSEQUENT OWNERS. VACANT..