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HomeMy WebLinkAboutZoumas, John o�osuFFoc,�oo ELIZABETH A.NEVILLE,MMC may r/y Town Hall,53095 Main Road TOWN CLERKC P.O.Box 1179 CO2 2 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS %b-- Fax(631)765-6145 MARRIAGE OFFICERTelephone(631)765-1800 RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER www.southoldtownny.gov OFFICE OF THE TOWN CLERK j .7 F,' TOWN OF SOUTHOLD 'J J �' SEP 2 9 2014 U TO: Southold Town Building Department FROM: Sabrina BornSouthold Town Clerk's Office L' °T DATED: September 29, 2014 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4267 for a Cesspool/Septic Tank Construction Permit submitted by: JNS Contracting LLC Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department t Signature Dated • PROPOSED DWELL 2,380 SQ. FT. Wj4 BEDROOMS GAR ELEV. 24.0.0 LOT AREA = 2 4SQ. FT. SANITARY SYSTEM 1000 GALLON SEPTIC TANK, 1 LEACHING POOL 8'DIA. X 12' DEEP = ( ) ELEVATI(3AIs FFL ELEV. = 26.0 NOTE DATUM NAVD 1988 DWELLING / PUBLIC WATER NOW OR FORMERLY MYRON YOUNG 4> 6 (,� (22.3) 00' ©� (22.4) " + hmn a+ion«,t N 28'37'00"E 100.00' rn ryl N � O r Z O (24.0) (24.0) (A C 0 \ C: w � C3 UD 49' N PROP 2 STY rq r'1 \ l7 DWELL 'ti C: C: W W � r— o r 28.1' i 49 n W TEST HOLE (24.0) CAR D , ED a Porch (24.0) t D C, C 1P IZ P) u R=55,48' L=46.97' Q4 (22.7) (its) 122.56' S 28'37'00"W 153.00' ex"" wow m , x x PECONIC BAY BOULEVARD DWELLINGTPUBUC R SUFFOLK COUNTY DEPARTMENT OR HEALTH SERVICES PERMIT FOR APPROVAL OF CONSTRUCTION FOR A SINGLE FAMILY REStIOna ONLY RECEIVED tZ DATES 26 H.S. REF NONO1Q-� - c�u�, 7 JUL 3 Q 2O� APPROVED CA--41 SUFE.CO. HEALTH SERVICES FOR MAXIMUM OF BEDROOMS OFFICE OF WASTEWATER MGT. EXPIRES THREE YEARS FROM DATE OF APPROVAL NOTE: Location of water mains & adjoiners water supply by others and are not TME arPsr_rs(OR owee"M 3WW Hamm MW Tire=WxWW=TO TMB. guaranteed. LINM NK MR A WOMM PWftU AND WA7li Me 7M0oVa AK MOT to*ME Im vachm of F8}CE,S,tiEfAl1"wux 00M& MAIL JOB No. 14-130 FILE No. 959 F PIAM M AIWVL A Demm TO SURMM an AW ONM cmana C11 K &'MGroM OR AWMW To TOM 2*4Y IS A MUM#OF secim SURVEYED FOR 10ANNIS ZOUMAS OF rrW NEW`OW $WE UKXMM LW I KNOWN AS LOT NUMBER 2 MINOR SUBDIVISION amwxwm W►0000 MON sau.Waw aLY m INH pamm Fm om TME MAP FOR CECIL T. YOUNG TEST HOLE BY McDONALD GEOSCIENCE Aw4y is PW 1b,*6 of M MF Ta Trite TWA OM~,wMaffiew SITUATED AT LAUREL ELEV.=22.6M NO ©I T ND W NNO IwWTUTiGM Wawa"MEM1w. TO HE 7-10-20.14 AQ90f AL DOW *MMPMK VAW MMM MW NOT OR SUBOSQUEW O0aTWs. WMWOME TO WOOR TOWN OF SOUTHOLD, SUFFOLK COUNTY, N.Y. L�. OOPS OF DO X WM MAP aar WA9" TME LAW S MM 9EAt.OR SCALE 1" 40' DATE 7-8-2014 DARK BROWN LOAM OL1."LL POT W TO K A 16 M Me Copy FILED MAP No. DATE 2.5 BROWN SILTY SAND SM CERTIFIED ONLY TO: TAX MAP No. (REF ONLY) 1000-128-3-12.5 DISK 2014 PALE BROWN FINE SAND SP HAROLD F. TRANCHON JR. P.C. LAND SURVEYOR 17' P.O. BOX 616 NO WATER ENCOUNTERED �7 1 1866 WADING RNER-MANOR RD. WADING RIVER, N.Y. LIC. No. 048992 NEW YORK, 11792 HA ROLD F T RA NCHON.JR. PENN. LIC. No. 2115-E 631-929-4695 o�SOFFO��-�o ELIZABETH A. NEV LLE ,``1` Gy Town Hall, 53095 Main Road TOWN CLERK p P.O. Box 1179 REGISTRAR OF VITAL STATISTICS H Southold, New York 11971v. MARRIAGE OFFICER 0?, • �`F Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER �f Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER �'� �a 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 f or Non-Residential @ $25 Application No. .�(.26 7 Permit No. Applicant NameN� Applicant Mailing Address Q v �3Dj ISS K)-A \ Septic Tank_,moor Cesspool i Brief Description of Proposed Construction or Alteration_k) Location of Proposed Construction/Alteration: Owner of Property: J�� Owner Mailing Address: U, '-'rn C,V<- N-)-1 Owner Property Address: 5"^ �— Name and phone number of contact person Tax Map No: Section �0Block 7j Lot a.S Cross Street )e-\k,,—r a V' NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY TH HE TH D PARTMENT APPROVAL ure of Applicant Date �/y Received by: