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ELIZABETH A.NEVILLE / ' O . Town Hall,53095 Main Road
TOWN CLERK 4g , P.O. Box 1179
vs y� Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G @ ��
MARRIAGE OFFICER '�► . , Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER -lleurV06°. Telephone (631) 765-1800FREEDOM OF INFORMATION OFFICER ��111�+ �� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3362 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : NEMSCHICK SILVERMAN ARCHITECTS
Address 1: 735 DERRFOOR PATH
City St Zip CUTCHOGUE NY 11935
Descripton of Proposed Construction or Alteration
-NEW RESIDENCE
-FINAL APPROVAL REQUIRED BY THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner PETER & ALETRA TAGIOS
Mailing Address 1 26 AMHERST ROAD
City St Zip PORT WASHINGTON NY 11050
Property Address 1 545 WILLIAMSBURG DRIVE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 78.00 block 5 lot 16.000
Cross Street MAIN BAYVIEW
Building Permit Number Cross Reference:
Issue Date: 9/28/05 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE 1t° 1O 4 Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
N �r Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER 4 . I Fax(631) 765-6145
`. �• Telephone (631) 765-1800
RECORDS MANAGEMENT OFFICER l
FREEDOM OF INFORMATION OFFICER ',COUry r 1 *v. '•,, southoldtown.northfork.net
.•.... //
16 2006 OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 15, 2005
Transmitted herewith is a copy of application No. 3507 for a Cesspool/Septic Tank Construction
Permit submitted by:
Nemschick Silverman Architects, P.C.
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.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
i
Comments: r►�'
Signature
Dated
4rFoL,�►Gel
:.
ELIZABETH A.NEVILLE ���`1`� GS\ Town Hall, 53095 Main Road
TOWN CLERK O P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ! w Southold, New York 11971
MARRIAGE OFFICER : '� 1� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �f� aoe� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER = '� 01.1 southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @ $10Z or Non-Residential @ $25 Application No3S 07
Permit No.32 ,—
Applicant Name 4li !� eALVOt /542(41Wri f'
1
Applicant Mailing Address 1p, VettizOvt. tomil
G rtc 1N i [°1ic
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration
Location of Proposed Construction/Alteration:
i�1
Owner of Property: 1' ittr2 isw-A
1 �✓`
Owner Mailing Address: A110-WO
PCO , r . �f o -.o
Owner Property Address: 72.1, 4111.1 & t 1 ilk,
� oLt.• s4 • 110)71 ,�/,�,
Name and phone number of contact person � ' r#,e -1001
Tax Map No: Section Block �� Lot `O
Cross Street TIN 62Arr
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVE ITH HEALTH DEPARTMENT APPROVAL
�
.(o,
ignature Applicant
Date
Received by:
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. .-t. SURVEY OF PROPERTY
ML SITUATEDBAYVIEW AT
•
iTOWN OF SOUTHOLD
7;:,,,_,,, j SUFFOLK COUNTY, NEW YORK
44
01 S.C. TAX No. 1000-78-05-16
•
eve w''�P,N/rQ !� FEBRUARY 22, 1999
/ �74j l} �C9 1\t JUNE 29 1999 ADDED PROPOSED HOUSE
• p *II JULY 28, 199 REVISED AS PER EN-CONSULTANTS
•
O� CEE
n /Q 6„ AUGUST 3, 1999 REVISED AS PER EN-CONSULTANTS
JRNO , • SEPTEJANUARY 16, 2000 MBER 8, 1999 SEVISED SITE PLANED AS PER•
.H.S.
.....--*/ 3 7 JULY 10, 2000 ADDED WELL EASEMENT & PROP. WELL
f , / ` + FEBRUARY 11 2001 REVISED PROP. SEPTIC SYSTEM WALL
/ ' v •
O JUNE 5, 2001 ADDEb PUBLIC WATER SERVICE & REMOVED PROP. WELL
P00 I� h' ,� e • APRIL 22, 2002 ADDED TEST HOLE 81 & B2
COND SU h $ JANUARY 9. 2004 REVISED SITE PLAN
H, ry ' y AREA = 18,207.32 sq. ft.
o--wr ° �j���' �.. Z'G ►" /G'1'. , 0.411 ac.
Nob
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1. ELEVATIONS ARE REFERENCED TO N.O.V.O. 1929 DATUM •
EXISTING CONTOU NS ARE SHOWN THUS:1QD
EXISTING CONTOUR LINES ARE SHOWN THUS• ---8- — -
PROPOSED ELEVATIONS ARE SHOWN THUS: O.0
/' 1(J�o,- S'`-•=0/ PROPOSED CONTOUR -NES ARE SHOWN THUS: 04
•JJG��QQ+ff'' , ••`/i• - 2. THIS PROPERTY IS N FLOOD ZONE: AE (EL B) AS SHOWN ON . .
!' 3 •
.` C - �• - - • ZONE AE(1 6): BASE FLOOD ELEVATIONS DETERMINED
e/!/� FLOOD INSURANCE RATE MAP No. 36103C0166 0
/ rg� ev/2.5' /O/ S? /5' SLP �__, /c r 3. PROPOSED SANITARY SYSTEM STRUCTURES SHOWN THUS:
if
/ .s.. �'. ;'yir' 'iN ° * — %%Pi
'.3t�-•.. - - PROPOSED EXPANSION POOL
• 9', .
/ 9 Q-_ � 3 o \ h� /p ' ..�.� �'_" - ' _ .O"S shrew -dam % PROPOSED LEACHING POOL
/ ,a ,7•, o ' •
' "'off/p, - . _, plop .
1 �•. ^ PROPOSED SEPTIC TANK
h • 4. THE LOCATION OF WELLS AND CESSPOOLS 'SHOWN HEREON ARE FROM FIELD
^r if / �cI^ - p_ .2:-.- OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS.
3 I SOti O f��Z►�G Y.. �1=L•7�- W. THE PROPOSED SEWAGE DISPOSAL SYSTEM SHALL BE EFFECTIVELY OLIO OUT. DOWN TO •
�j / IiiJ. V./ ,/ -�.. - C .. • GR[ATEhA SIX 1) FOOT THAN THE ATA OF LEACHINO POOL �� AND GRAVEL FOR A WATER SIX (!) FEET
�,��•C�� OO /-, 3 f�UJ,' il pv /.bIO / � 7•/ .+ '� •+/'��`tT.9O 7. AREA OF EXCAVATION TO BE BACKFLLED WITH ACCEPTABLE SAND & GRAVELaJ ,, w _ E• 2401 cu. Yds. Of F0.-WILL BE NEEDED FOR THE SANfTARY SYSTEM.
v '4 O• / ' -yy}- `I .U •O • 0 • 9. TOTAL UPLAND AREA s 13,312 sq. H.
q? CO O i / J h 10. NON DISTURBANCE BUFFER ADJACENT TO WETLAND BOUNDARY,
f1 / , %, cT3 °per LJ 1 I. SEPTIC ON-TURF TANK'BUFFERSHALL
ALBE MBE ESTABAINED SHHAN� OVER ENTIRE PARCEL
0.
. iSt 4 .. •
').(5 -- I' 0.44/14t • 4\ ........ . ....-- -$1....- - -
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It.R..4<ij P IN te- 1• ego. ot '3A-A. 0% - . -r-1.727227e.--—521--/W-1-?.=.e.trl - —
•S= •�. ,• /�} , , 1 !�� (LOT COVERAGE CALCt1LATEUCOJER UPLAND AREA)
��� O h �+Tr / tQ• �, OS �► _ �r.or�7 ..i. :rnh • DESCRIPTION AREA N A COVERAGE
4.
1\).C9 t%O _..t........
ir•'� PRE EJtG/1VA1E LRISUITA9LE _
lj \ • 501-5 TO ELEI/ATION 8 PRIOR x �a�� �QT - ^- ,( HOUSE 1.012 q. H. 820x
`',?'9 -.G ,'.N IZ // Cf PORCH 3JE p. H. 2.02%
t�y9b ,146 NI
\ �.0 �G TO G-AMSHCLL EXCAVATION -
Q \ .i i_ E L OIh HATER nR O SCREENED PORCH 259 p. H. 2.11%
_,
0 . +'VOVIttfr, * \� I `�, ` TOTAL 1,7ts.q. H. tLM11. _ C •
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/ O TCB"Ab�!'% ..N
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,o, ,4A, N. 144 \ --:::.:::,-...- /,$i 410 * 4.t,.;,,, /.en I A.\\. 4 . .... 1 .
-14\\ dr* Ole ..../ 411 0 ‘
, .4*(''f.>. . S it7,4. 44/7.41 / / . "I . - : \ . -
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'►” , . % . �� / % ) I .Soi/ P/er�trr>c+t1�` • { I ENGINEER'S CERTIFICATION REQUIRED.'
4 '.4t F SUBMIT P.E. OR R.A.CERTIFICATION
. • G2t,, \' I
I /it-7 0.o �• -AOR INS?ALLA'1r10N,AND NST UCTION
4t 4 It • ,\ `�� P Nel-
v � r /8-- .' vi /6' _141. ';e45 FOR FINAL APP LOYAL. ,_-It- 1 /
r .,c)cl\
404
\ :,� fid• '�� �'� - - .�P1lL7r7 .„ • ,
YY 1‘ \ ��• iii � � __ ���a ger .__ .f._
�/ cif '.SI_cr7�c .Z.:'!_:,'20.'6,,?)�� /o�v} •.3"ec7`iO/7 AA
‘7,,i, \.\ 4// � ) CERTIFIED T0: / -20`) / /aCV) "4, ! �40gliESS1�,tt� • PREPARED IN ACCORDANCE WITH THE MINIMUM
, N._______Li/
STANDARDS FOR TITLE SURVEYS AS ESTABLISHED
PROPOSED SEPTIC SYSTEM AND ti� �Ft1CK S BY TME L.I.A.LS. AND APPROVED ANO ADOPTED
RETAINING,WALL DESIGN BY @ �` mss- it- re' iri with$08Tdg{ view FOR SUCH USE BY THE N YORK STATE LAND
* ti v O. �P TITLE ASSOCIATION.
r FREDERICK S. KEITH, P.E. OF .aa r l �/
o°° SAG HARBOR ENGINEERING. �jr21
, '" 0 • � I,ep , ;tom
p. O wo i 1 4,:4;0140 Jlr„ . •
'� .-- rte,
do. EXCAVATION INSPECTION REQUIRED '��:",�; r
l,o 9959 0�� SANITARY SYSTEM! IN ;,w '''?..\-7-:\,:t4 ; . cn
•
TEST HOLE DATA - y �a .y
(TEST HOLE DUG BY MoQONALO GEOSOEIVCE ON F:BRLMLRY 4, 1990) •
i ={ ` 71 w# C;)[Ti
ELJY. 5.4' 0• •°L.' , -` ;�. N.Y.S. tit. Nroc . 668
BROWN SARIN LOAN Ol SERVICES
• t' , � . , 1.0 - .-•'
L TFFOLIrC COUNTY DEPARTMENT OF HEALTH SERV IC!S
ELEV. z1' .. ,
TEST HOLE B1 TEST HOLE' B2 as PERIVIIT FOR APPROVAL pO�F+�CONSTRUCTTOI�I FOR A UNAUTHORIZED ALTERATION OR ADDmoN {.y 0
(TE$T HOLES 91 92 DUG BY MrnrlNAl D FOSCIFNCF ON APRIL 11, 2002) Pm* SINGLE FAMILY RESIDENCEONLY TO THIS SURVEY ISA VIOLATION OF
.1�' •4'� 0' SAND a Law . ' over BROWN SANDY LDAw OL SECTIOEDUCAT7209 OF THE NEW YORK STATE Joseph A . I n gi e r o -
• ���� Mnc�D i// 1, WATER IN BROWN SILTY SAND SM .A 0.. /pi: _ 9 7^ 0/6
AK BROWN ALTA-AAM a �...: TE + ••�0• "' COPIES OF THIS SURVEY MAP NOT BEARING Land Surveyor
a A ,V4.44 BROWN CLAYEY SAND SC rT.: BROWN SILTY SAND S4
4.1• Z. y IPPROVED THE LAND SURVEYOR'S INKED SEAL OR
WATER N BROWN CLAYEY SAND SC LAV cur M�' GREYISH DROWN CLAYEY SAND SC __ EMBOSSED SEAL SHALL NOT BE CONSIDERED
M� 9 • •�.!Gs1. t . m7 i I p* '�yf TO BEA VAUD TRUE COPY.
MINN WMija '11;1t IN BROWN SANDE CLAY CI. WATER N GREYISH BROWN CLAYEY SAND0 a• SC FOR-MAXIMUM OF 3 BEDROOMS CERTIFICATIONS INDICATED HEREON SHALL RUN .
WATER IN BROWN SILTY SAND SM WATER N BROWN SILTY CLAY Cl. - ONLY TO THE PERSON FOR WHOM THE SURVEY
am= 13• is '-� Io' ms's WATER N BRO.94 EWE IS PREPARED, AND ON HIS BEHALF TO THE Title Surveys - Subdivisions - Site Plans - Construction Layout
WATER N BROWN SILTY SAND SM TD MEDIUM svD SO EXPIRES THREE YEARS FROM DATE OF APPROVAL TITLE COMPANY, GOVERNMENTAL AGENCY AND
• =WATER N PALE BROWN 12• , LENDING INSTITUTION LISTED HEREON, AND
ENE SAND SP - WATER N FN
BROWN E SAND SP = 24• _ TTOTIT J ASSIGNEES OFNS THE
AREN INNG INST- . PHONE (631)727-2090 Fax (631)727-1727
= 15'
OFFICES LOCATED AT MAILING ADDRESS
THE EXISTENCE OF RIGHTS OF WAY 322 ROANOKE AVENUE P.O. Box 1931
i - AND/OR EASEMENTS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. RIVERHEAD, New York 11901 • Riverhead, New York 11901-0965
mor
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