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JUDITH T.TERRY �� 'L1 Town Hall, 53095 Main Road
TOWN CLERK. ; y P.O. Box 1179
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REGISTRAR OF VITAL STATISTICS O Southold, New York 11971
MARRIAGE OFFICER : Fax(516) 765-1823
RECORDS GEMENT OFFICER -
�/�O �0�11� Tele hone (516) 765-1800
FREEDOM OF I FORMA ION OFFICER ••••••.,, ' p
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1641 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING
Address 1 : 18 DEERFIELD DRIVE
City St Zip WADING RIVER NY 11792
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES.
Name Of Owner ZOUMAS CONTRACTING
Mailing Address 1 18 DEERFIELD DRIVE
City St Zip WADING RIVER NY 11792
Property Address 1 ROCKY POINT ROAD
City St Zip EAST MARION NY 11939
Tax Map No. section 31 .00 block 1 lot 5.005
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 4/22/97 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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7T • B 1T i Town Hall, 53095 Main Road
I�l�y �� P.O. Box 1 179
r I�O�U ��O�I Southold, New York 11971
JUDITH T."FERRY ��� _ = TELEPHONE
TOWN CLERK ,\•„••�. (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 7, 1997
Transmitted herewith is a copy of application No. 1711 for a Cesspool/
Septic Tank Construction Permit submitted by:
Zoumas Contracting •
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.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE !/
DISAPPROVE
Comments:
RECEIVED
Signatur
APR 2 2 1997 6��� 7
Dated
Southold Town Clerk
` fir. 0111tcuuc
OI-r ICE OF 111E TOWN CLERK S� Iait- ;
Town of Southold (,..„.% �,. ,(•&
� � Application No. /
Judith T. Terry, Town Clerk
+� _ �`
town IlaII, 53095 Main Road ` • Construction c/
P. O. Box 1179
Southold, New York 11971 OBJ Alteration
Telephone �l Or. '
Residential - ✓T- --_
(516) 765--11301 '""' Non-Residential
TOWN OF SOUTHOLD
SOLJTIIOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL_
Permit No.
Fee $
DATE !.) /-7 97
APPLICANT NAME:_- 24/vvl0 62 Na.. 4 Cf1N - - -
APPLICANT ADDRESS: le &ea.( 6.4.0 ogiv ., .
a/40_1A'6- ((it/1.. .17-_!: 7 /09 4--
SEPTIC /CESSPOOL ,/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
1,-- 'ti x_..15_ X 0.ei. f--1-itA
•
LOCATION MAP: Must be attached hereto before permit may be issued.
• LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION :
OWNER OF PROPERTY : 200,,ti4-e, Co Al4..,,,,.1.4._
OWNER MAILING ADDRESS /47 ‘012.44,144._n _ _ �? �
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OWNER PROPERTY ADDRESS: _ _ pv_ ze,/,.
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__._._C_•-__ - _ c,....C�1------
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TELEPHONE NUMBER OF CONTACT PERSON: S 70
TAX MAP NO. : Section WO Block Lot (
CROSS STREET : 1"() A-1,1/41
BUILDING PERMIT NUMBER CROSS REFERENCE :
Sig r411/ of Al Ii Alb, -__..
RECEIVED BY :
Town CI rtes Office
DATE: il- 7- .
LOT A R!A : 52,557 sq.f t .
E F'EL 24 5
CHR EL 2Z S
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VACANT LOT NO. 23
LOT NO, 24 °
167,71'
N 13005'50"W. 25.0' (21.3)
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SO9°43' 10"E 168.00'
(20.0) ROCKY POINT ROAD ( 20.2) tO
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THE OFFSETS (OR DIMENSIONS) GUARANTEES INDICATED HEREON JOB NO. 97-98 FILE NO. EAST MARION WOODS
SHOWN HEREON FROM THE SHAD RUN ONLY TO THE PERSON
STRUCTURES TO THE PROPERTY FOR WHOM THE SURVEY IS PRE-
F LINES ARE FOR A SPECIFIC PUR- PARED, AND ON HIS BEHALF TO SURVEYED FOR
PIDSE AND USE AND THEREFORE THE TITLE COMPANY, GOVERNMEN-
ARE NOT INTENDED TO GUIDE THE TAL AGENCY AND LENDING INSTI- LOT NO. 25
:RECTION OF FENCES, RETAINING TUTION LISTED HEREON, AND TO
WALLS, POOLS, PATIOS, PLANTING THE ASSIGNEES OF THE LENDING MAP OF EAST MARION WOODS
AREAS, ADDITION TO BUILDINGS INSTITUTION. GUARANTEES ARE
OR ANY OTHER CONSTRUCTION. NOT TRANSFERABLE TO ADDITIONAL
INSTITUTIONS OR SUBSEQUENT
JNAUTF:ORIZED ALTERATION OR OWNERS. SITUATED AT EAST MA R ION
ADDITION TO THIS SURVEY IS A
!IC.ATION OF SECTION 7209 OF • THIS SURVEY MAP NOT
HE NEW YORK STATE EDUCAT• LAND SURVEYOR'S TOWN OF SOU T HOLD-SUFFOLK CO U N TY NY.
AW. • EMBOSSED SEAL
TO se SCALE 1" = 50' DATE 3- 21 - 1997
►:Jai 1Li6 _
GUARANTEED • LY ii• 'S'o FILED MAP NO. 8759 DATE 6 -7 - 1989
TAX MAP NO. 1000-31-1 -5.5 (REF. ONLY) DISK 164
z ,l'r=:J • HAROLD F. TRANCHON JR. P.C.
1-..- u
1-..- LAND SURVEYOR
0`� �O' 048992 ,--�O� SUCCESSOR TO WILLIAM G. ME1ER
O LANDr' 1 866 WADING RIVER-MANOR RD. WADING RIVER,
°,'�'.('� F 7-TAA--
4 . NEW YORK, 11792
8992
HARbLD F. TRANCHON JR. N.Y. LIC.LIC. NO. 21115 516-929-4695
PENN. 21115-E