HomeMy WebLinkAboutGeorgiadis, George OFFOUr
ELIZABETH A.NEVILLE,MMC � �® =. l/, Town Hall,53095 Main Road
TOWN CLERK ® ; P.O.Box 1179
ti ySouthold,New York 11971 4712
REGISTRAR OF VITAL STATISTICS " Fax Fax(631)765-6145
MARRIAGE OFFICER 17106. Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER Oj * g,d www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER -., ,,,•s
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD r
TO: Southold Town Building Department II +1 1
L`I OCT 29 2015 IJ,
FROM: Carol Hydell, Southold Town Clerk's Office
DATED: October 29, 2015 �
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4352 for a Cesspool/Septic Tank Construction
Permit submitted by:
Scott Mckay for George Georgiadis
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
4
di
Signature
Dated
%SUFFOLI-
ELIZABETH A. NEVILLE ���°Z` „_: '' G� Town Hall, 53095 Main Road
,,,r • • P.O. Box 1179
cf3TOWN CLERK `
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER o Fax (631) 765-6145
� " �_
RECORDS MANAGEMENT OFFICER =��0 ®���, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = '� :V ,�opt. southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
_ 35 2
Residential @ $10 or Non Residential @ $25 Application No.
Oorri" p, Permit No. 1 n
Applicant Name Li vi c:44 011c- ft te-ft
Applicant Mailing Address D%S CMA_ (Anc-RA
VI« '1I
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration Aew psi v*. L
Location of Proposed Construction/Alteration: 2-0d -\b5SC3-N'►4 L % A.
Owner of Property: r4 )yL.. '20 Csj OL(A 'S
Owner Mailing Address: Cr 5 / S g1 ._� S
Owner Property Address: c OD 1O SSCSYVI
Name and phone number of contact person (Ip I(-- Com"` ' 1 1 e'
Tax Map No: Section (c'9 Block 3 Lot 16,
Cross Street --1 � Lv-C_—
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WI •:_ - ! .- ' NT APPROVAL
d -
Si: .t - 4•44. p 'can Date
Received by:
S.C.T.M. NO. DISTRICT: 1000 SECTION: 69 BLOCK: 3 LOT(S): 10.4 RECEIVE
JASMINE JULLA1vE U2 9 2015
SUFF.CO.HEALTH SERVICES
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9-' OFFIICE OFWASTEWATERJ
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10' WIDEWATER LINE VACANT 150' I
EASEMENT AS SHOWN ON VACANT 150'I
O FILED MAP. LOT 2ko '"'- . j 4::..:..: ® _` •
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O _'/ PROPOSED — 1RQN • v CUTTER DRAIN
>? / 5-6 BEDROOM EL 22.5 + /• W.V.
J / SANITARY SYSTEM . ' ••: q. . • ' ., DRY /'
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TOWN 226.0o,
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DEVELOP / OL SANDY BROWN
0.8'
MENT RIGHTS —
SUFFOLK COUNTY DEPARTMENT OF HEALTHSERVICES BROWN
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MEDIUM
TO
I PERMIT FOR APPROVAL OF CONSTRUCTION FOR A COARSE
SAND
W/GRAVEL 13.9'
SINGLE FAMILY RESIDENCE ONLY
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a DATE Ib//v//c H.S. REF. NO. l�1° /5 -D0V 1
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NO WATER
06-8-15
FOR MAXIMUM OF BEDROOMS K. WOYCHUK LS
EXPIRESTHREEYEARS FROM DATE OF APPROVAL
THE WATER SUPPLY, WELLS, DRYWELLS AND CESSPOOL
REVISED 07-27-15 LOCATIONS SHOWN ARE FROM FIELD OBSERVATIONS
AND OR DATA OBTAINED FROM OTHERS.
AREA: 32,808.3.7 SQ.FT. or 0.75 ACRES ELEVATION DATUM: NAVD88
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 EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. GUARANTEES 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 INSTITUTION, GUARANTEES ARE NOT TRANSFERABLE.
THE OFFSETS OR DIMENSIONS SHOWN HEREON FROM THE PROPERTY LINES TO THE STRUCTURES ARE FOR A SPECIFIC PURPOSE AND USE THEREFORE THEY ARE
NOT INTENDED TO MONUMENT THE PROPERTY LINES OR TO GUIDE THE ERECTION OF FENCES, ADDITIONAL STRUCTURES OR AND OTHER IMPROVEMENTS. EASEMENTS
AND/OR SUBSURFACE STRUCTURES RECORDED OR UNRECORDED ARE NOT GUARANTEED UNLESS PHYSICALLY EVIDENT ON THE PREMISES AT THE TIME OF SURVEY
SURVEY OF: LOT 3 CERTIFIED TO: GEORGE GEORGIADIS;
MAP OF: FLOWER HILL BUILDING CORP. CLUSTERED
CONSERVATION SUBDIVISION OF BEACH PLUM HOMES
FILED: NOVEMBER 1, 2006 No.11458
SITUATED AT: SOUTHOLD
TOWN OF: SOUTHOLD KENNETH M WOYCHUK LAND SURVEYING, -PLLC
Professional Land Surveying and Design
SUFFOLK COUNTY, NEW YORK orf York 11931
414j4( P.O. Box 153 Aquebogue, New
. FILE # 15-68 SCALE: 1 '1=30' DATE: JUNE 8, 2015 PHONE (631)298-1588 FAX (631) 298-1588
N.Y.S. LISC. NO. 050882 maintaining the records of Robert J. Hennessy & Kenneth M. Moychuk
•
SCTM #
8 1 00 -- V.?.- - 101 ,4 TOWN OF SOUTHOLD PROPERTY RECORD CARD
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26 SILVER BROOK DRIVE
LOT 4 FLANDERS,NEW YORK
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11901
MAP OF
TEL(631)-369-8312-FAK(631)369 8313
• u • MARTIN D.HANDLS
U# FLOWER.�„1 ILL BLDG.CORP. COPIES OF THIS SURVEY MAP,EITHER PAPER OR ELECTRONIC,NOT BEARING
13Ei.,;C TERED CONSERVATION SUBDIVISION CONTSIDERADTOUBEA ViWDCOPYA DI'SHALLNOTBEUSSEDFORANYPURPOS.
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s ` OF BEACH PLUM HOMES
w N 812 SITUATE
w N =o c CERTIFIED TO.SCOTT&LINDA MCKAY
SOUTHOLD
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y o TOWN OF SOUTHOLD
SUFF1 Q(COUNTY,NEW YORK
STM!1I$T 1000$FC 69 RI K 1�31.OT 10 i\
15 8 0 15 303 45 60 75 90 105 120 135
SCALE 1"=30' DATE SEPTEMBER 16,2013
LOT AREA:33,712 SQ FT=0.774 ACRE JOB NO.2013-264
MAP
TEST HOLE#2 JASMINE [-ANE ACREFILEJOB NOVEMBER 01,2013
PER FILED MAP -, •
TOP EL.19' I �' qN •
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R=2500' SUFFOLK COUNTY DEPARTMENT IIF HEALTH SET/ICES / -. •'• - , �`
PERMIT FOR.,?PRO..,i ,-.i,__ _" -
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DATE ' ._, .,- .,:; .t�.L.l'_lyl^O0(-I ,\ '
SAND&GRAVEL I ` '
el. APPRGJcD C�CLLL...�...14_CL&-e,v0
SW FOR MAXIMUM 3 EEORCOMS
EXPIRES THREE YEARS FROM )ATE OF APPROVAL
•
7 =17.45' LICENSE NO 05)363
MAP PREPARED FROM OFFICE RECORDS
NO WELLS EVIDENTWITHIN 150'OF SUBJECT PROPERTY
TEST HOLE#2 ON SURFACE WATER EVIDENT WITHIN 300'
PER FILED MAP
O0 LOT5
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I •� LEACHING POOLS WITH 50%EXPANSION
I I (....5"o:/1 ? - 1,000 GAL.SEPTIC TANK
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LOT1
VACANT
DEVELOPMENT RIGHTS TO BE
SOLD TO THE TOWN OF SOUTHOLD
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