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Home My WebLink AboutZachariadis, KostaELIZABETH A. NEVILLE, MMC 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 www.southoldtownny.gov OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Carol Hydell, Southold Town Clerk's Office DATED: June 2, 2015 RE: Cesspool Construction Application , t JUN -2 2015 Transmitted herewith is a copy of application No. 4322 for a Cesspool/Septic Tank Construction Permit submitted by: Almas Construction for Kosta Zachariadis 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 V DISAPPROVE Comments: Final approval required from the Suffolk County Health Department Signature v Dated ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR, OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER o�oSUFFoc�=�o o� y� N = OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown. northfo rk. n et CONSTRUCTION or ALTERATION PERMIT CESSPOOL or' SEPTIC TANK Residential @ $104 or Non -Residential @ $25 Application No Permit No. Applicant 6/1 Applicant Mailing Address 3 iZ_ f- - z4j&,4 '� t_ L'C.'P� / /_ 2 Y Z Septic Tank or Cesspool Brief Description of Proposed Construction or Alter, j Location of Proposed Construction/Alteration: Owner of Property: 1'40Sh, aP_ �' C Owner Mailing Address: % 3 61w/c Owner Property Address: S N Name and phone number of contact person ,d c � d /'s ?1) szy-'�543 Tax Map No: Section (D - Block Lot ] Cross Street 11 .NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH EPARTMENT APPROVAL Signature ant Date Received by: �I' I - � PROPOSED DWELL t,065 SQFT. WITH 5 BEDROOM REA 19,057 SQ. FF. SANITARY SYSTEM b& GAL SEPTIC 'TANK GAR. ELEV. 22.0 2 LEACHING POOL 8' DIA. x 8` DEEP ELEVATIO ENT OF HEALTH SERVICES NOTE DATUM N.A.V MFOLK COUNTY [)EPA= > PER141T FOR APPROVAL OF CONSTRUCTION FOR A EXCAVATIO14 INSPECTION REQUIRED SINGLE FAMILY RESIDENCE ONLY FOR SANTITARY SYSTEM 13Y HEALTH DEPARTMENT :j APPROVED �� 6/` � / DWELL/NG / WELL NOW OR FORMERLY DUNHUBER VACANT /50' RIGHT OF WAY) 150 ^ _-____- ^ __-_�_�x_-__ x ______ x split rail fence � | / oO VACANT LLI SEE by others and are not |0 ()fexisting sanituy system must be Abaundonmc | ! Cn | _j Cn NOTE EXISTING C� (00 /| | �3 CN | U 0' | DRIVEWAY NOTE ` UMOSSED SEAL SRAa NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFIED ONLY TO: - LOCATION OF PROPOSE DRIVEWAY SUBJECT ' � r`| -v .| CO prop water service | | �� approx. | / )� ofation bu | | | �o be ' ' � �- / obondonnd| k6 Ce N m _ o /u /.5 | ru DWELt 3 X7.' FRAME DWELLING aprrox. location of V-.4�--� �o\prop house / ul - LP| \ 0 to prop 'mune (22.0) well | r� � -� u' 'MU TEST HOLE LP _ � 1� r� _ 0 u� 0 0 0 LIN /CL 0 EX Ld zz cr- \ Ld Ld 0� � O 2: 5' min FD O.F split rail fence NOT E: THE OFMM (OR DIMENSIONS) SHOWN HEREON FROM THE SWCIURES TO THE 33' /E | VACANT LLI PLANTING ARM ADDITION TO HUWNGS OR MY OTHER CONSMUCTION. by others and are not |0 ()fexisting sanituy system must be Abaundonmc UNAUTHORIZED ALIERATION OR ADDMON TO THIS SURVEY IS A VIW110N OF sEanoN guaranteed. 7200 OF THE NEW YORK STAIE EDUCA'nON LAW, ornform c with department requirement Submit coral _j Cn | - =AND UWDING INSTITUTION USM HM -ON. AND TO THE ASSIGNEES OF THE � U 0' | DRIVEWAY NOTE ` UMOSSED SEAL SRAa NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFIED ONLY TO: BROWN SILT ML LOCATION OF PROPOSE DRIVEWAY SUBJECT NOT E: THE OFMM (OR DIMENSIONS) SHOWN HEREON FROM THE SWCIURES TO THE Location of water mains PROPERTY UNES ARE FOR A SPECIMPURPOSE AND USE AND THEREFORE ME NOT INTENDED TO GUIDE THE ERECTION OF FENCES, KTAINING W&I.S, POOL.S, PATIOS, & adjoiners water supply PLANTING ARM ADDITION TO HUWNGS OR MY OTHER CONSMUCTION. by others and are not UNAUTHORIZED ALIERATION OR ADDMON TO THIS SURVEY IS A VIW110N OF sEanoN guaranteed. 7200 OF THE NEW YORK STAIE EDUCA'nON LAW, TEST HOLE BY McDONALD GEOSCIENCE GUARWREES INDICATED HERON SKAU RUN ON LY TO 7HE PERSON FOR WHOM THE 3-19-2015 SURVEY IS PREPARED. A14D ON HIS auiAff To THE Tm.E COMPANY, GovmmairAL =AND UWDING INSTITUTION USM HM -ON. AND TO THE ASSIGNEES OF THE OR.SUSSEQUENT OWNERS. U 0' COPIES OF THIS SURVEY MAP NOr BEARING 1HE tAND SURVEYOR'S INKED SEAL OR DARK BROWN LOAM OL UMOSSED SEAL SRAa NOT BE CONSIDERED TO BE A VAUD TRUE COPY. CERTIFIED ONLY TO: BROWN SILT ML � � PALE BROWN FINE SAND SP . 17' NO NATER r-� HA(� ` N�.LIC. No. O48Bg2 TRANCHON JR. PENN. LIC. No. 2115-E � ^ ` TO OBTAINING EASEMENT OVER 50' RIGHT OF WAY 12-18^ SNOW & ICE ON GROUND JOB No.. 15-25 RLE Nu. 903 F SURVEYED FOR ' SITUATED AT CUTCHOGUE TOWN OF 30UTM0LD, SUFFOLK COUNTY, N.Y. SCALE l~ = 30' DATE 2-25-2015 FILED MAP No. DATE TAX MAP No. (REF ONLY) 1000-103-5-1 DISK�:201.5 HAROLD F. TRANCHON JR. P.C. - LAND SURVEYOR P1} - BOX 81G ` 1808WADING RIVER -MANOR RD. WADING RIVER, NEW YORK, 11792 631-929-4695