HomeMy WebLinkAboutMoshouris ELIZABETH A.NEVILLE,MMC Town Hall,53095 Main Road
TOWN CLERK , P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICSlei
Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born,Southold Town Clerk's Office
DATED: April 4,2019
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4741 for a Cesspool/Septic Tank Construction
Permit submitted by:
Ruth Metcalf for Irene Moshouris.
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk Count,Health Department
Signature
Dated
S'aFF014,
�
ELIZABETH A.NEVILLE " Town Hall,53095 Main Road
TOWN CLERK P.O.Box 1179
Southold,New York 11971
MARRIAGE OFFICER
REGISTRAR VITAL STATISTICS Fax(631)765-6145
RECORDS MANAGEMENT OFFICER Telephone(631)765-1500
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
irk, ,j
Residential @$11 V or Non-Residential @$25 Application No. I
Permit No.R 10 t -6 V3
Applicant Name I t fi i r t C' t f.ib tt t` t �iLt
I
Applicant Mailing Address rl f C Y uhf C a
Septic Tank X or Cesspool
Brief Description of Proposed Construction or Alteration
Poo t
Location of Proposed Construction/Alteration:
Owner of Property: Lr e, u;t-i rx i r i
Owner Mailing Address: � i vrt i
^t.V-,ire ( t
Owner Property Address: 2-C U"iTaJt'€Ve,
P,C, ' +-L,r v—a 6 ( (Is--)
Name and phone number of contact person
Tax Map No: Section �0(0 Block 3 Lot
Cross Street toZ t �
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
r
Gacl
Signature of Applicant Date
Received by:
SCTM# 1000-106 3-19
PROPERTY 205 CENTRAL DRIVE
SCHD APPROVAL: FRVICE I i e"
AR7 "q,OF ADDRESS MATHTUCK,NY 11952
UFFOL'K.COUNITV 61 - N 1000-t06.-3-26
OVALOFN101F SPIROS KOSTARAS ZONING R40
E R l'u" 0, P P,
"ILI O\LEL 57.6
y 0'30"W IMPROVED -PUBLIC WATER BUILDING HEIGHT ALLOWABLE-35'
'
N 86 0
ACTUAL-15.5'
(n 3. ENERGY CODE I COMPLIES WITH 2015 IECC
3: ir
I 0-al W F
;L
'0 KL-F LOTCOVERAGE LOT SIZE
( ANO '
iG 171 (D Allowable Lot Coverage-20%'"W af
Lo On (10,800 sf)X(.2) 2.160Sf
A,p BEDRO-0115 T
4J
TM#1000-106-3-19 (0
V:wt NO SURFACE WATER WITHIN 300' (1) EXISTING LOT COVERAGE
'5' hTE OF-A7v-- owl 1-0
FROM '— Existing Dwelling 1,125sf
Existing Deck 410sf
1000-106—3-27 N/CVF THOMAS 4 PROPOSED DRYWELL,'4
TYR OF 4 Existing Basement Stair 35sf
LIVING TRUST Existing Garage 175sf
IMPROVED - TOTAL 1,775Sf
PUBLIC WATER
(16.5%)
—.—a--
..... PROPOSED LOT COVERAGE
I (DW2 Renovated Dwelling 1,547sf
-
Renovated ecks,
p d&':m�Vv W te' J-SlORY'ADDITION
Exist.BsmtSDt(unchanged)364sf 35sf
0
Exist.Garage(unchanged)175sf
TOTAL 2,121sf
ELEV=585 1000-106—3-18
(19.6%)
N101F NIKOLAOS HALKIAS 1000-106—3-20
DARK BROWN LOAM OL IMPROVED -PUBLIC WATER N101F TAU PATERA MOU LLC
IMPROVED -PUBLIC WATER
AC
BROWN CLAYEY SAND/ EXISTING
T
_�
SANDY CLAY SC/CL PROPOSED DECK ADDITION DECK 17'-2' D ,�?
IL KRA
T HE
K) DECKING
0
EXISTING SEPTIC SYSTEM TO BE NEW BLUESTONE PAVERS
D CLEAN AND REMOVED IN PORTION OF EXIST,ASPHALT PAVING TO BE REMOVED A
'ACCORDANCE
W1 SCDHS STANDARDS z
C=E
PORTION OF EXIST.DRIVEWAY TO REMAIN
PRO� DSEFTICTANIK-413RRIEI
TANK CAPACITY-1250 GA
N.UQ.SURF AREA-34 SF 0 0
PALE BROWN FINE SAND SP
8'DIA.X 4'LIQUID DEPTH
7
PROPOSED LEACHING POOL-- 6,0" T TEST HOLE LOCATION
Ljj 4
1 17' 300 SFSIDEWALLAREA IOTA"MINEXISTING WATER LINE TO REMAIN NOTES:
(1)POOL-8'DA X 12'DEEP ri� 1.LOCATION OF CURRENT SEPTIC TANK LOCATED ON 10/24/16
COMMENT.,NO WATER ENCOUNTERED _10
SURVEY
OVERHEAD ELECTRIC LINE-
TEST HOLE DATA SUPPLIED BY PROPOSED 50%EXPANSION TANK To RELOCATED METER
— -ill CONCRETE WASHOUT AREA 2.ELEVATIONS REFER TO N.A.V.D.1988 DATUM
SILT FENCE
EL
155.55' EL-58Z -58.6'90.00 EXISTING UTILITY POLE-TO REMAIN 3,
UNDERGROUND UTILITIES ARE BASED ON SURVEY AND ARE
APPROXIMATE,CONTRACTOR SHALL CALL 811 AND HAVE THEIR
S 86 00'30"E EXACT LOCATIONS VERIFIED AND MARKED.
EXISTING WATER METER-TO REMAIN
F ar 83-_nNa�lv 4.SCWA-WATER VERIFICATION REQUEST(10/18/18)-ALL
PROPERTIES WITHIN 150'ARE CONNECTED TO PUBLIC WATER
CATCH BASIN
t3y Heafth Dep. rn-feni;
j MLN20AFIA
_—WAII-E --IR—--—--IM
C/1 El 110
CENTRAL DRIVE
DRAINAGE AREA CONSID��E REQUIRED I DRAINAGE PROVIDED(MIN.)
Site Pian
M E R Y L K R A N E R
MAIN HOUSE ROOF 0
1,884sf x 1 x.167 31 Set 1 . r , h , t t
(existing+proposed) 1,884sf le.1'=�20'-O'
i111 DIA. 2 LF D - N A-01
1 W11
2 DEEP X 8'
3 DEEP X8,D 3 LF DW2 SITE PLAN INFORMATION BASED ON SURVEY DATED OCTOBER
TOTAL 315cf/42.2 8 LF SDDEEP X 881 DIA
24,2016 BY PECONIC SURVEYORS,NYS LICENSE#049618 11.7.18(Rev 12.4.18) 260 H O R T ONS LANE
or 11 DEEP X D
21 DEEP x VDIA Equiv) MOSHOURIS POST O=FICE BOX 1600
SOUTHOLD, NY 11971
205 Central Drive
12)2"HAINFALL f;QN
6 3 1 Mattituck NY 11952 4 6 ? 3 6
SCTM#1000-106.-3-19 1 n k a h i t e c t . I . m.