HomeMy WebLinkAboutMeskouris, JamesELIZABETH A. NEVHJ.E, RMC, CMC
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southol/d, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
TO:
FROM:
DATED:
Carol Hydell, Southold Town Clerk's Office
December 23, 2008
Transmitted herewith is fi copy of application No. 3779
Permit submitted by:
for a Cesspool/Septic Tank ALTERATION
Chris Rivera for James Meskouris
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 remm it to me.
Carol Hydell
APPROgE
DISAPPROVE
Comments:
I have reviewed the appliCation and location map of the project cited above and make the following
recommendations: ~
Maintain required setbacks from adiacent wells, building.q~ property lines and water
Bodies. EXCAV,~TION INSPECTION REQUIRED.
ELIZABETH A. NEVILLE
TOWN CLERK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 M~in Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10 '~or Non-Residential ~ $25
Application No. ~
Permit No.
Applicant Name
Applicant Mailing Address /.~ o
Septic Tank ,.~o~Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
Owner of Property:
Owner Mailing Address:
Owner Property Address:
Name and phone number or contact person ~/7,~ ,-¢ ,/q~ff~ ~_. ~'~/b_ .2~
Tax MapNo: /a~ Section I ~ ~' Block [ ~t ~
Cross S~eet
NOTE: LOCATION MAP MUST BE SUBM_~TTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY~WI~'I-IEALTH DEPAR.~4ENT APPROVAL
Signature of Applicant // Date
Received by:
LONGiS[.AND SOUND
N 50'21'20'____E
SURVEY OF LOT 38 ~ ~
BLOCK 2
.~LP OF~
CAPTAIN KJDD ES TA TES
FIL~__D ~ 19~ .1949 FILE NO. 1672
A T M,~ TTITUCK INLET
TOWN OF SOUTHOLD
SUFFOLK COUNTY ; N
¢000 -, 106- 01- 36
SCALE: I"=2D'
~ I~, EOO8 ~t#enm
APRIL 2a, 2008 (REVISION)
';~.UGUST a.~, 2ooa taD. H,1
50. OZ'
2'~ne V~ eliS
J ~
AREA OF EXISTIN$ HOUSE AND DECK - 2399 sq. ft.
AREA A T COMPLETION OF CONSTRUCTION =
2594
LOT COVERAGE AT COMPLETION OF
CONSTRUCTION TO MHWM
,~C UI4T
/0.7
'259~t ;q, ftJI3847eq, ft, "19~'
TO COASTAL EROSION HAZARD
2594sq. fl./6125 sq. fl .
TO V/QOD BULKHEAD
E594 sq. fl/'~'lO0 sqJJ =
. EXIST~ LOT COVER~ TO MH~M-
~399~47 - 17.3~
· ~o CO~L E~/ON L~E
.'TO WOOD BULKRE~D
E399/~00~ 33.8~
~own hereoe ore /rom §ale Observo#o~
,~d or /rom dolo o~r~ from o/hers,
El. al8
I:
PALE BROWN FINE
' 6RAD~I6 TO FME TO
COAR~F..SAND SP-$W
)VA TER ~V PALE
lINE TO COARSE
~4ND
WA TER IN BROWN
~L TY ~4ND
SM
· A r~ ~ BRoWN
SALVO E,o
RAIN RUNOFF:
PROVIDE ~ DRY
8'~ ~ 6' DEEP
~ DRY WELL
UC NO. 49618
P.C.
(631,1 765 -,179~
11971
89-188