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Home My WebLink AboutSkuludis, Demetrios.J' ELIZABETH 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: July 31, 2015 JUL 3 1 2015 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4334 for a Cesspool/Septic Tank Construction Permit submitted by: Demetrios Skuludis 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, Signature Of /J— Dated Ic ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown.northfork.net Residential @ $10 or Non -Residential @ $25 Application No.� Permit No. Applicant Name_ Demetrios Skuludis Applicant Mailing Address 1546147th Street, Whitestone, NY 11357 Septic Tank X or Cesspool Brief Description of Proposed Construction or Alteration New 1 story single family dwelling Location of Proposed Construction/Alteration: Owner of Property: Demetrios Skuludis Owner Mailing Address: 1546 147th Street Whitestone. NY 11357 Owner Property Address: 625 C8dar Dr. South Southold NY 11971 Name and phone number of contact person Demetrios Skuludis - (917)-440-3387 Tax Map No: Section Block 03 Lot 11.5 Cross Street North of Main Bayview Rd — NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant Date Received by: V1Z1'�'p* TEST HOLE 33Ot CESSPOOL :� - X1'1: �: '♦ q G 90 7z 4 0 4 ° � a 4 4 O 4 < 4 4 4 SUFFOLK COUNTY DEPARTMENT OF HEALTH 5ERVlb;h� PERMIT FOR APPROVAL OF CONSTRUCTION FOR A WELL SINGLE FAMILY RESIDENCE ONLY L 3 0 S. REF. NO ®A APPROVED BEDROOMS FOR MAXIMUM OF . EXPIRES THREE YEARS FROM DATE OF ARRRO AL 00W \ \NO L0T / NAGE r 4. .Q 4 d" d M4E:Ey 4, 4 1 e n A d 86, F�NGE 31.0 F \ SS r ,f S Q J' ` O� 6S' 00 s •..:.. C)'� '..• -Q "-o sic P.O. Box 16 Jamesport, New York 11947 0 •' X M4E:Ey 4, 4 1 e n A d 86, F�NGE 31.0 F \ Fax (631)727-1727 r ,f S Q J' ` O� 6S' 00 MAILING ADDRESS 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947 NM GE(S) 4 �tiotiST o By Staff <c C90!y I?e (� pmlm nt of Health Sekrrac� 4 yC` C O 4i9�yo�ic 35.0 •� O�� y�000 � 4BOCFc+ HPC, 4 4 �09T + L 4 a.> t TEST HOLE DATA (TEST HOLE No. 4 AS SHOWN ON FILED MAP) EL 33.0•} 0' TOPSOIL 1.0' LOAM 3' SAND 6' 8' EL. 16.0' 17• EL 12.01 HIGHEST EXPECTED GROUND WATER TEST WELL No. USGS 4107530722055D1 S 53331.1 PAGE 1 OF 2 SURVEY OF LOT 34 MAP OF HIGHPOINT AT EAST MARION SECTION TWO FILE No. 7755 FILED JULY 13, 1984 SITUATED AT EAST MARION TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-31-03-11.5 SCALE 1"=40' OCTOBER 23, 2007 SEPTEMBER 17, 2014 ADD PROPOSED HOUSE NOVEMBER 18, 2014 REVISED SITE PLAN MARCH 20, 2015 REVISED SITE PLAN AREA = 40,669 sq. ff. 0.934 ac. CER TIFIED TO. DEMETRIOS SKULUDIS WELLS FARGO BANK, NA FIDELITY NATIONAL TITLE INSURANCE COMPANY OF NEW YORK NOTES: 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM EXISTING ELEVATIONS ARE SHOWN THUS: 50.0 PROPOSED ELEVATIONS ARE SHOWN THUS: , -J.O 2. REFER TO FILED MAP FOR TEST HOLE DATA. 3. MINIMUM SEPTIC TANK CAPACITIES FOR A 1 TO 4 BEDROOM HOUSE IS 1,000 GALLONS. 1 TANK; 8' LONG, 4'=3" WIDE, 6'-7" DEEP 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA. 1 POOL; 12' DEEP, 8' dia. PROPOSED EXPANSION POOL ® PROPOSED LEACHING POOL PROPOSED SEPTIC TANK 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. 6. LOT COVERAGE: DRAINAGE SYSTEM CALCULATIONS: ROOFED AREA (HOUSE, PORCHES) - 4,610 sq. ft. 11.3% OF LOT AREA DRIVEWAY AREA - 5,667 sq. ft. 13.9% OF LOT AREA ROOF AREA (INCL. HOUSE AND PORCHES): 4.610 sq. ft. TOTAL- 10,277 sq. ft. 25.2% OF LOT AREA 4,610 sq. ft. X 0.17 = 783.7 cu. ft. 783.7 cu. ft. / 42.2 = 18.6 vertical ft. of 8' dia. leaching pool required i PROVIDE (4) 8' dia. X 5' high STORM DRAIN POOLS PROPOSED 8' DIA. X 5' DEEP DRYWELLS FOR ROOF RUN-OFF ARE SHOWN THUS: r� PREPARED IN ACCORDANCE WTH THE MINIMUM V. .7 STANDARDS FOR TI ESTABLISHED THE L.I.A.L 0 APe VE OPTED FOR SUCH �}I �,(QjiK_ST LAND DRIVEWAY: TITLE As cl 66ww ^ v(t� E'SST TRIBUTARY #1 AREA: 2,207 sq. ft. 2,207 sq. ft. X 0.17 = 375.2 cu. ft. 375.2 cu. ft. / 42.2 = 8.9 vertical ft. of 8' dia. leaching pool required PROVIDE (2) 8' dia. X 6' high STORM DRAIN POOLS WITH GRATE F^ TRIBUTARY #2 AREA: 3,460 sq. ft. 3,460 sq. ft. X 0.17 = 588.2 cu. ft. 588.2 cu. ft. / 42.2 = 13.9 vertical ft. of 8' dia. leaching pool requiredj: PROVIDE (2) 8' dia. X 7' high STORM DRAIN POOLS WITH GRATE PROPOSED 8' DIA. X 7' DEEP DRYWELLS FOR DRIVEWAY RUN-OFF ARE SHOWN THUS: UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. Nathan 'T4ff_--'Orwin III Land Surveyor Title Surveys - Subdivisions - Site Plans - Construction Layout PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 1586 Main Road P.O. Box 16 Jamesport, New York 11947 Jamesport, New York 11947