HomeMy WebLinkAboutMartz SCLITHCLD VIASTEVATER d SPCGAL PERM T
CPERATI CN PERM T
SEPTI C TANG or CESSPOCL
Oper at i on Per ni t No. 4151-R Pesi dent i al X Non-Rasi dent i al
Fee $ 10. 00 NL-w X Exi st i ng
%rre Cf Owner ThECDCRE C MWrZ, J R
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Nbi I i ng Address 1 145 RYERSCN AVEJLE
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Nbi I i ng Address 2
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0 t y St Zip LLE NY 11949-0000
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Property
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Property Address 1 555 BRC»DAATERS ROAD
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Property
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Property Address 2
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a t y St Zi p C rCHCCLE NY 11935-0000
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Owner Telephone No. 631-878-8443
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Tax Nbp No. sect i on 104. 00 block 120 1 of 6. 001
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Or oss St r eet VY14 EV'ETA ROAD
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I ssue Date: 12/27113 B i zabet h A, Nevi I 1 e
-------- Sout hol d Tom a erk
(TOIN SEAL)
�o�oSUFFoc,�oo
ELIZABETH A. NEVILLE Gy� Town Hall, 53095 Main Road
TOWN CLERK � Z P.O. Box 1179
REGISTRAOF VITAL STATISTICS O Southold, New York 11971
R,
MARRIAGE OFFICERy • � Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER l �a 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.
Permit No.
Owner Name
Owner Mailing Address �-
o /19
Owner Property Address
Owner Telephone No.
Tax Map No: S)e4o n ck Lot
Cross Street q �L/,' -
Please check each that applies: New Construction
Alteration to Exis ing System
Residential Non-Residential
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. (Locate
building and system; give north arrow and approximate istance in feet from system to building
and closest road. New construction may submit copy survey wi SC D oval.)
✓� 4
Signature o Applicant Date
Received by:
* * * RECEIPT * * *
Date: 12/27/13 Receipt#: 160695
Quantity Transactions Reference Subtotal
2 Septic Permit-Operation -Resid. 4151 &4152 $20.00
Total Paid: $20.00
Notes:
Payment Type Amount Paid By
CK#5807 $20.00 Martz Jr., Theodore
Name: Martz Jr., Theodore
145 Ryerson Ave.
Manorville, NY 11949
Clerk ID: CAROLH Internal ID:4151 &4152
S.C.T.M. I. DISTRICT: 1000 SECTION: 104 BLOCK: 12 LOT(S):6.1
#R 1 O-08-0023
DWELLINGS
W/PU8 WATER �..�
c•o_,NYT15
CL 2Q89 BR¢ADWA .._
i TERS
NYu6 a s,
80'MAP - ON. W.M. •�•
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81�0�''$0" �' EL 3 MON. iRR£CU[gq CURyE• .
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MON.
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o C N
CQ .. ` EL•44.3 w�°snps E
ro a.2 8
} 54.7'
s1+ W� NGSt9FaI z
W/FJB WATER t sTM o
t o t X555 N tA.7 79.5' 2
ix C. 1t 225' t6.2 eF
t`�' i U.P.
.
> ooh• >r � -y DWELLINGS
a�io �' W/PUBLIC WATER
Z C'0, �T 2s.3' ��
36.5' Joy ' 150'
2.5'
CX
�:n ^tT� S'• � i
rf� z W
EL 4a.9
s
gT 5fy. o a
I
0.6'W 2.0' -
fi SCJ rn
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46.9'
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so'„ fRPN 2
a o
33.5'0 `� V
1 1
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24'
NLA EL 31.4 LOT 191
O
O
LOT 188 CV
O
ELEV. 39.4 O
OR BROWN W LOT 189 LOT 190
SANDY LOAM 1. claC
BROWN CQ
SILTY SAND 3.5 O N n
PALE Z -+
BROWN
FINE Cn
TO
MEDIUM
SAND
NO WATER 17•
N66•48'.10"lY RECEIVED
12-22-07 DWELLINGS 200.00' MON.
W/PUBLIC WATER
�— 150' DEC 0 2 2013
LOT 202
ADD NEW SANITARY LOCATION 11-15-13 SUFF.CO, HEAL FH 3 SE'R ICES
REVISED SANITARY 08-27-13 OFFICE OF WAe I' TE
REVISED 06-22-13 THE WATER SUPPLY, WELLS, D
REVISED 09-23-10 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
REVISED 09-20-10 AND OR DATA OBTAINED FROM OTHERS.
AREA: 71,038. 19 SQ.FT. or 1.63 ACRES f ELEVATION DATUM: ASSUMED
UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 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 ^IMENSIONS 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;AOR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOTS 189 & 190 INCL. CERTIFIED TO: THEODORE C. MARTZ JR.;
MAP OF:AMENDED MAP "A" OF NASSAU CLUB POINT PROPERTIES IN.'. ABSOLUTE ABSTRACT INC.;
FILED: JUNE 28, 1922 No. 156 FIDELITY NATIONAL TITLE INSURANCE CO.;
SITUATED AT: CUTCHOGUE
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, PLLC
SUFFOLK COUNTY, NEW YORK be Professional Land Surveying and Design
„ r P.O. Box 153 Aquebogue, New York 11931
FILE 27-36 APRIL 30, 2007 PHONE (631)298-1588 FAA (631) 298-1588
# SCALE: 1 =4O DATE: N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy k Kenneth M. Woychuk