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Home My WebLink AboutMeskouris, Chris & JimELIZABETH A. NEVILLE, MMC TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS OF MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, NewYork 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net TO: FROM: DATED: OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ~ Southold Town Building Department Carol Hydell, Southold Town Clerk's Office August 10, 2011 Transmitted herewith is a copy of application No. 4032 for a Cesspool/Septic Tank Construction Permit submitted by: Frank Notaro for C & J 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 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 Signature Dated ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFOR/VrATION 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 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 ~ $25 Application No. Permit No. Applicant Name Applicant Mailing Address Septic T~ ~or Cesspool Bhef Description of Proposed Cons~ction or Alteration Location of Proposed Construction/Alteration: Owner of Property: ~q ~.~ t~-4 Owner Mailing Address: Owner Property Address: .~:~ number of contact person Name and phone Tax Map No: [~ ~ OSection , ~ ~! Block ~'l Lot [ ~,. I Cross Street t~ NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL ^ppli .t Date q Received by: ,, NOTE' ' SUBSURFACE. SEWAGE DISPOSAL SYSTE'M DESIGN BY~ ,JOSE'PH F'I$CHE'TTI, I'IOBAR T ROAD $OUTHOLDt N.Y, 11971 (631) 76§'~954 Certified to: James Meskouris Chris Meskouris lawrence J. Silbermma, E~t. Lawyers Title Insurance Corporation FLOOD ZONE FROM FIRM JGIOJCOIJ9 G MAY 4, 1998. COASTAL EROS/ON HAZARD LINE FROM COASTAL EROSION MAP PHOTO 59-SJJ-BJ. LOT NUMBERS REFER TO BLOCK 2 "MAP OF CAPTAIN KIDD ESTATES" FILED IN THE SUFFOLK COUNTY CLERK'S OFFICE ON JANUARY 19, 1949 AS FILE NO. 1672. I om fomilior w/th the STANDARDS FOR APPROVAL AND CONSTRUCTION OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES ond will obide by the conditions set forth therein ond permit to construct. Elevotions referenced to N.C. V,D. l The Iocotion of ~vells ond cesspools s'hown hereon ore from field observotions ond ~r from doto obtoined froth ANY ALTERATION OR ADDI1?ON TO TUIS SURVEY IS A V?OLA?70N '-Of~'S£CTION 7209 OF THE NEW YORK STATE EDUCATION LAW. EXCEPT AS PER SECTION 7209-SU~DI[4SION 2. ALL CERTiFICATIONS HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF SAID MAP OR COPIES BEAR i'HE IMPRESSED SEAL OF THE SURVEYOR VCrtOSE S/GNA TURE APPEARS HEREON, I - [ CROSSECTION SEPTIC SYSTE.M I- I~.OO GAL PRECAST CYLINDRICAL SEPTIC TANK -8'~ 4' LIQUID DEPTH 6- LEA~ING POOLS ~'~ ~ ~' DEEP WITH 3' SAND COLLAR (SW) 2' ~BOVE GROUND ~A TER AREA=16,540 SQ. FT. LOT COVE.RAGE.* AR£~I TO TIE LINE = 16,540 AREA TO COASTAL EROSION HAZARD LII~: = 5150 H3E. ~ DECKS - 1494 sq. fL f~t9/'/5150 ' 29% t -35. 77' Suffolk County Call 852- To o th ers. Be Of Health 48 Hours Inspection(s). SURVEY OF PROPERTY A T MA TTITUCK INLET TO'tN OF SOUTHOLD SU?~OLK COUNTY, N.Y. l O00-99-O.t-l~.l SCALE: 1'--~¢0' APRIL 7, 2009 JUt. Y ~f gO0~.. ¢8e~ r~o~ AUG. 20, 2009tg. O.H.) AUG. £7, ~009 (LOT COVERAGEI Oct. P-9~ ~-010 ¢CONTOURS ADDEDI JUL Y 7', ffOII (ee~dlffe~el SUFFOLK COUNTY DEPART~£NT OF HEALTH SERVICES PERMIT FO~ A?~O~,'Ai OF CONSTRUCTION FOR A SINGLE FA[4iL'( ~ESiOENCE ONLY ~0~ M~Xl~M OF ~ ~ ~00~ EXPIRES THREE YEAR~ FROM DATE OF APPROVAL TEST HOLE. DA TA McDONALD GEOSClENCE EXCAVATION INSPECTION REQUIRED FOR SANITARY SYSTEM DEPARTMEhT (6J1) 765-5020 P.O. BOX 909 '" 12J0 TRAVELER STRE£TI I'~Q 121 SOUrHOLO, N. Y.