HomeMy WebLinkAboutZervoudis, StevenELIZABETH 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
9/14/2010TO:
FROM:
DATED:
RE:
Carol Hydell, Southold Town Clerk's Office
September 14, 2010
Cesspool Construction Application
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
Southold Town Building Depamnent //j~/[_~.~iiT~:~,,,o'-~[
Transmitted herewith is a copy of application no. 3979
Permit submitted by:
Frank Notaro for Steven Zervoudin
for a Cesspool/Septic Tank Construction
Please review the application and location map and advise if this office may issue the pemiit.
Please complete the form below and remm it to me. Thank you.
Carol Hydell
I have reviewed the application and location map of the project cited above and make the following
recommendations: f
APPROVE
DISAPPROVE
Comments: Final approval required from the Suffolk County Health Department
Signature
Dated
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
~"ResidentialApplication No. ~ $10 or [] Non-Residential ~ $25 Septic Tank~'Orpermit No.Cessp°°l~ t~ []7
Applicant Name: I.-4~-. ~~-~
Applicant MailingAddress: ~. ~ ~ [
Briefdescri tion of Pro sed ~:~A~on
P P :
Location of Proposed Construction/Alteration:
OwnerofPrope~: _ 3 . ~ 0 ._
Owner Mailing Address: _ ~ ~
Prope~y Address: [~O ~1~
S~m~ ~,~ T~¢Oho,~ So. oCCom¢~ V¢~o,: $~ I - ~ ~ '
Tax Map No.: [~ Section: ~ ~ Block: ~ Lot: ~
Newest Cross Street: ~
NOTE: LOCATION MAP MUST BE SUBMITTE9 W1TH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL.
a~ ~~ Date
Sig
Received by:
SCDHS Ret,# R10-10-0028
N
SURVEY OF PROPERTY
AT EAST MARION
couNr
I~-BB-OS-OB R=25.00~
SCALE: 1 ~40' ~=~ ~0'
mAeCH ZO O
MARCH ~, ~0~0 (CERT~FfCA TIONS) ~ '
CERT~IED TO' A~IL Z$, ZOlO (pr~os.d ~o~
~o~ ~u ~W ~VE~I~ A~ 28, g~O (A~T~S)
LOT 6
(~uNG)
sEpTIC 150'+
LOT NUMBERS REFER TO 'HIGHPOINT AT EAST MARION,
SEC710N ONE" FILED IN THE SUFFOLK COUNTY CLERK'S
OFFICE ON JANUARY 11, 1984 AS FILE NO. 7680.
ROOF RUNOFF
HOUSE 5033 SO. FT.
8~t~1 x 0.17' ~6 VF
E.Z - ;2~.$
PROVIDE $ D~gs ~ ~ 8' D~p
HOU~ TO USE GUTTERS ~ LEADERS
C~CTED TO DRY~LLS
\
\
\
\
\
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ELEVATIONS REFERENCED TO AN ASSUMED DATUM
I om fomilior with the STANDARDS FOR APPROVAL
AND CONSTRUC?70N OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
ond will obide by the conditions set forth therein ond on the
permit to construct.
The Iocotion of wells ~nd cesspools shown hereon ore
from field observotions ond or from d~to obtdned from others.
ANY ALTERATION OR ADDI~70N TO THIS SURPEY IS A ~IOLArlON
OF SECTION 720~0F THE NEW YORK STATE EDUCATION LAI~.
EXCEPT AS P~R SECTION 7209-SUBDI~4SlON Z. ALL OERT~TCATIONS
HEREON ARE VAED FOR TMfS MAP AND ~ THEREOF ONLY IF
:m:~OVAL
258,66'
HF~NU, FLR., EL. 0
E7.57,5'"
0 x
L.O~T~jg~ G)
PROPOSED SEPTIC SYSTE~
9 BEDROOMS
I' 2250 gd (10 dia..~4.5 elf. Deplh SEP~T~C_.TANK
~- 8' dio'x /4' Deep Leqching
/
LOT
COVERAGE
HOUSE
DECK 115 s ~.,
POOL
7020 sq. ft.
7020/40484= 17.3~