HomeMy WebLinkAboutVourakis, E. D.ELIZABETH A. NEVILLE, 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
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork, net
TO:
FROM:
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Carol Hydell, Southold Town Clerk's Office
JUL - 9 2010
BLDG. OEPI.
IOWN OF SOUIHOLI)
DATED: July 7, 2010
Transmitted herewith is a copy of application No. 3961
Permit submitted by:
for a Cesspool/Septic Tank Construction
E. D. Vourakis
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.
I have reviewed the application and location map of the project cited above and make the following
recommendations: j
APPROVE
DISAPPROVE
Comments:
Signature
Datef~t9
TOWN CLERK
REGISTBAI~ OF VITAL STATISTIC8
· MARRIAGE OFFICER
REOORDS MANAGEMEN~ OFFICEB
FREEDOM OF INFORMATIOH OFFICER
..,Town Hall, §809§ Main
P.O. Box 1179
Southold, NewY0rk 119'7
Fax (631) 765-614§
Telephone (681) 765-180~
sou tholdtown.nor~hfork.n,
RECEIVED
OFFICE OF THE TOWN CLERK .~
TOWN OF SOUTHOLD
&ti. -6 ~1S
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
Southold Town Cleric
CONSTRUCTION er ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential ~ $10/or Non-Residential ~ $25 __
^ppli a,ion No. 3
Permit No.
Applioan~ Mailing Address
Septic Tank ./or Cesspool
B~)~f Description of Proposed Construction or Alteration.
Location of Proposed COnstruction/Alteration:
Owner of Property: [ . %. 'k-~e~'~g.4 s.
Owner Mailing Address: &3-~'~' ~{00_
.
Owner Property Address: I SO~ ?o ~.~_. Kd
t
Name and phone nurnbcr of contact person L~.-~-~_,.~.~I ~
TaxMapNo: ~Ooo Section ,~ Block O~ Lot
Cross Strut .%,~,..~ X0(4,,a ha-e,.
NOTE: LOCATION MAP MUST'BE ~,WIWED WITH APPLICATION. NRW
CONSTRUCTION REQUIRE8 SURVE~W~.~r~TMENT APPROVAL
, Sig~tum~f Apphcant ' Date
/
Recoived by:.
I0 ~o~
.i
BToOO'$3" E.
N.
. , L ~ 1~8.3T' ~ ~.~ '
EL IIZ.6
LO'7- COVERAGE
HOUSE- 4150 sq. fl.
'4150/29171 = 14.2%
PROPOSED SEPTIC SYSTEM
( 5 BEDROOMS
I- SEPTIC TANK- 1500 GAL.
2 LEACHING POOLS - 8'f~ x 8' DEEP
The locations of wells Md cesspools
shown hereon are from field observe/ions
and or [rom ~d~/a ob/o/ned from afl, ers.
EL 109.1
J am familiar w/th lite STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMII,,~' RESIDENCES
and will ~bMe ~y lite cofldltlofls se/ for/it fit~reln ~1 ~n lite
perm// /o cofls/rucL ·
W
LOT
ANEA
= 29,1.71sq. ft. _
ANY AI ?'ERA T/ON OR ADDITION TO THIS SORVEY IS A VIOLA T¢ON
OF SECTION 7Z09 OF THE HEY/ YORK STATE EDUCATION LAW.
EXCEPT AS PER SECTION 7E09.- SUBDIVISION E. ALL CERTFICA TIONS
I-IEREON ARE VALID FOR THIS MAP AND COPIE~ THEREOF ONLY IF'
SAID MAP OR COPIES BEAR THE IMPRESSED ~EAL OF THE ~5~JRVEYOR
WHOSE SIENA TURE APPEARS ~EuN.
DF/ - DRYY/EL&
L..OT NUMBERS ARE REFERENCED TO SUBPIV_t~O~ N'
ROCKCOVE ESTATES F/LED IN TH~ OFFICE'OF
THE SUFFOLK COUNTY CLERK ON JUNE II. ~00/
AS Mt[P NO. 106~7
ELEVATIONS ARE REFERENCED TO AN ASSUMED D,4 TUM.
' ~ h~,"ZO06 ~ffP~ TIC SYSTEM]
STORM WATER CALCU~
Vc = VOLUME (cu./L) [
HOU~-415O sq. fl. //
4~0 . 0.~ . ~ = 706 ~u.f~. ~/1~/~
9129 - 0,17 ~ I = 1552 cu. fl. PECOMC SURGE
~258 c~,fl, (631) 765 - 5020 FAX
~/~z.z = ~.~ ~ P. o. ~ox ~o~
~ ~l~, ~ ~ n~s 8'~8 dee~ I~SO TRA VELEN STREET
....... r SOUTHOLD~ N.
O6