HomeMy WebLinkAboutDavanezos, Taxiarhis
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ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFOR1fATION OFFICER
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Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO:
FROM:
Lynda M Bohn, Southold Town Clerk's Office
DATED:
July 6, 2006
Transmitted herewith is a copy of application No. 3610 for a Cesspool/Septic Tank Construction
Permit submitted by:
Taxiarhis Davanezos
Please review the application and location map and advise if the project has received Suffolk County
Health Department approval and if this office may issue the permit.
Please complete the form below and return it to me.
Lynda M Bohn
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I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
/
DISAPPROVE
Comments:
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Signature
07/0 7ht
Dated' /
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,. .
ELIZABETH A. NEVILLE '.' ~
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
"-.1' .
P.O. Box 1179
Southold, New York 11971
Fax (631) 765.6145
Telephone (631) 765.1800
sou tholdtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTH OLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential@$10_ or Non-Residential@$25_
Application No.3Ce (b
Permit No.
Applicant Name! A X I A t2- H l 5 .D A. V A 1\1 e: L. C9..J
Applicant Mailing Address--13G 3' - 8.1- S Te...
. f2 P-.oo ~v AI, N. '/ tl a. 9.-8
Septic Tank v or Cesspool_ ,
B~C(fDescription of Proposed Construction or Alteration_ f,!--O~ 0 $ :1. ~
~ O\Je:t!- ~1~(ING. {<;T()~ ~)~6,-6=~
Location of Proposed Construction! Alteration: ~"P ( ~~.K i..s 1) A-LJ \t\ 1'-\ e1 () S
Owner of Property: 13LUl ('AC-l ""J:' H.' ,f~li!!# r ..:AJ.II')'1
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Owner Mailing Address: 136'~ r 11.J. 5.,/L
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Owner Property AddressJ 300. Gre.e.\I1I1l )(. 0'
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Name and phone nnrnber of contact person 6 t/ /. :z 1/ t/. R6tJtJ .
Tax Map No: Section (S- Block I ~t tjO
Cross Street AI 0';'71/ ~ G1 0 f!.-I i/f-
NOTE: LOCATION MAP MUST BE S ED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES S HEALTH DEPARTMENT APPROVAL
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Signature of Applicant
Date
Received by:
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SURVEY OF
LOT 40
MAP OF
GREEN ACRES AT ORIENT
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FILE No. 3540 FILED APRIL 13, 1962
SITUA TED AT
ORIENT
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NEW YORK
S.C. TAX No. 1000-15-01-24
SCALE 1"=30'
JULY 9, 1996
JULY 26. 2005 ADDED EXISTING CESSPOOL & WELL
AUGUST 1. 2005 UPDATE SURVE & ADDED B.O.H. DATA
FEBR ARY 22. 2006 ADDED PROP. ADDITION AND ADDITIONAL SURROUNDING WELL & CESSPOOLS
~ APRIL 19. 2006 ADDED PROPOSED SEI'T1C SYSTEM
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AREA = 19,051.17 sq. ft.
0.437 ac.
CERTIFIED TO:
CHICAGO TITLE INSURANCE
TITLE No. 9608-260870
TAXIARHIS DAVANELOS
t.lARIA DAVANELOS
COt.lPANY
.Ii1Ir68i.
1. ELEYAt10NS ARE IlUEREMCEO TO All ASSUMED DATUM
EXJST1fIIlI ELEVA110NS AM: SHOWN THUS: :iQ.D
2. REFER TO FLED ..,.,. I'OIt TEST HOLE QAT....
3. T1tE: LDCATIOH or WElLS AND CESIfOOt.S SHOWN HEREON AIlE FJIOM F1tLD
O8SIlN'AllONS NtD/OR DATA OBTAKD f1IOW OTHERS.
.... ....... SEPIlC TAJI( CAPM:fTI[J FOIl A 5 TO . IIPROOW HOUSE IS 1.500 CiAI.L.DNS.
1 TANK; ~ DIA., " tal
S. ..INI....... LEACHING S't'ST'EW F"OIt A 1 TO " IIEDROOM HOUSE 1$ 300 .. ft SIDEWAlL AREA..
2 POOLS; s' Dll., .. DEEP
@P'M)fIIQS[D5CltIFUTl.REDCJONraIONPOOL
~ PROPOKD" ~ 1Ill' DUP I..EACHIMGPOOI.
~ rlIOP'OSED I,SOD GM.LON SCPnC TAMe
.. THE EXJSTItO SEP11C S'f'S1DI SHAlL IE PLIIlPED CLEAN AND EllHDt
F1UED WITH ClEAN SAND AI PER s.c.o.".s. 5fIECIf1CATlONS.
~ AllEMTlON OR ADOmON
m1llS~I5AWll.ATlONOF
WElL 5EClIt1I 7201 OF THE NEW YORK STATE
EDUCA1IOH lAW.
N.Y.S. Uc. No. 49668
Jos ph A. Ingegno
Land Surveyor
COPIES Of 1ttS SlIMY lIMP NOr 8f"JIlNl:
'H1JIND~IICEDSfALOR
~SEALIMIUNOTI[OON9IlI!RED
TO IE A w.J) muE COI"r.
CER1Fll:AT'IONS lOCATED HEllIEON !tW.!. ......
otI,.y 10 THE JIfJtSION RlR .... tHE SlIMY
IS PlEJIMED. NrG ON .. IDWF 10 TH[
mu: <DIIWfY. ~ /II1EJfC'( NC)
t.ENIlIC INSnT\JnON l.JS1B) HEREIlN. HI)
TO THE .fIIIIQtG:s Of lHE I.DIlIIG Nm-
1'U1ION. CGnW'ICA1lONS ME NOr TM<<SnJNlL
THl DCJSrDICE 01 IIIIilHT Of' WAYS
AMD/OIA tASDIDITS Of RECORD. IF'
AHY. NOT SHOWN ur NOT GUMANT[[D.
Title 5uMI)'S - SubdIvftJicIM - Sit. PIons - Construction Layout
PHONE (631)727-2010
Fax (631)727-1727
........AD<lflESS
P.O. Box 1931
Rlverheod, MI. York 11901-0985
0fflCES L~1ED AT
322 RtW<<)I([ A\IENlIE
RM:RHEAO, New YOft( 11801