Loading...
HomeMy WebLinkAboutMutsakis, John ,_ .0,�opF SO(/ryol ELIZABETH A.NEVILLE ti '` Town Hall, 53095 Main Road TOWN CLERK 41 * P.O. Box 1179 cn e REGISTRAR OF VITAL STATISTICS Southold, New York 11971 � G Q �� MARRIAGE OFFICER �O �1 Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER l �. Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER _ - C'U +W � ,, 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. 3439 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : JOHN MOUSTAKIS Address 1: 45 SUNSET LANE City St Zip GREENPORT NY 11944 Descripton of Proposed Construction or Alteration -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner JOHN MUTSAKIS Mailing Address 1 45 SUNSET LANE City St Zip GREENPORT NY 11944 Property Address 1 45 SUNSET LANE City St Zip GREENPORT NY 11944 Tax Map No. section 33.00 block 4 lot 54.000 Cross Street SOUND DRIVE Building Permit Number Cross Reference: Issue Date: 6/08/06 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) /'/�IO�OF S007„,- ELIZABETH A.NEVILLE Town Hall, 53095 Main Road TOWN CLERK i 4 4 t P.O. Box 1179 N �r Southold, New York 11971 REGISTRAR OF VITAL STATISTICS G Q MARRIAGE OFFICER 4O o�� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER : 4 Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER C�U +�.°�� southoldtown.northfork.net OFFICE OF THE TOWN CLERK MPy 0 TOWN OF SOUTHOLD TO: _ Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: May 10, 2006 Transmitted herewith is a copy of application No. 3592 for a Cesspool/Septic Tank Construction Permit submitted by: John Moustakis 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 Comments: 1r- Signature °GA-XI 6 Dated ',,�o`Og�FFO,(�4 ; ELIZABETH A.NEVILLE 1��it \� Town Hall,53095 Main Road TOWN CLERK 1 1 P.O. Box 1179 REGISTRAR OF VITAL STATISTICS :IV) � M : Southold,New York 11971 MARRIAGE OFFICER *', Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER 'y,�fol 0° le Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER ,,ill southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @$10 or Non-Residential @$25 Application No. 3, Permit Nv oh \ Applicant Name c, Pp � t..4.-t..1 - MokATC-441,5 Applicant Mailing Address tf.-, t a,c r, (_/f/1 a EAif Septic Tank or Cesspool / Brief Description of Proposed Construction or Alteration_ Location of Proposed Construction/Alteration: Owner of Property: S (:1(514-i‘ ,M©ki—ChCA-1 -c� Owner Mailing Address: !.f - c U ,, gE Lib Owner Property Address: cis— - Sox) ••-J A/ '6 ' jt ..r Name and phone number of contact person Tax Map No: Section 33 Block Y Lot .S y Cross Street .. G A NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALDEPARTMENT APPROVAL :74 /U17iti4‘.nature of Applicant Date Received by: c"-Y - A cL n M 3 KOC AOil ei i�Z n — �� //� ���} �d.3CyI ' l �t rio: m 'AN DIo43noS .Lt��1S .�1Zj{:;aS'. . �7'. , 4.1% 'eouelosoe0 NouoOaW Aq 3 t���� 1::1_447:5, O Q SOOZ/S l/!0 D6uuoyed n 0:y ry a s.�_;� Q6104 lal 6uuoq IIoS N""�'"',•.--•.,_.. `'�".ne'9tfA �`. P,Y +. ;-s Q ..31_,> N 0 3 0 Z. nN N N fill CO prey ,Z•4Z N �+J l'"-- ,z.4� o zl N ,o l� Ab 3Wbdd NOILII/aad N V) a AHOLS Z 'd011d N Z Z4(MMIri)DLL N it ifrill 03N dit. " .,141,"" 110' AO • cv T. iiii fog E '.W DIo4V'S 4.005.0000 , 3; proutwn Al SOOZ/S l/9 : p6ehi uuuye0 0,4.00 IPS ���^ spodsse0 03E31NrOON3 L31YM OH ((��((���� �1 BUOSU(3 >2 iant..8 ' % , \l�S. / '` `t. / 1'1G n 702 4>!. 111 �� s puns as toy , N x2700d ONIHOV37 of 04v uwo..g _ _ .81 M r. °S3afuma15 " '" . 91 X 0,9 MON N pups ' ) AayLNVS 03S0d0ad M3N 0NV :03S0d021d s .(yes pug Slood 03NOONVBV N33M1.313 33P Y310 n 1fd1 1WININ ,f AJIa3A 01?1311V1SNl rr^^ 9t ,1:EL W 0 lanou8 + ( •suogoln66J t� P, %02 uSI VJ S puns asuooD _ uuewO0de0 41100N 40003 410W1 DI. aui ...OM/ Q LIWA 6w0pJ0oo0 ul pOuopuogo quo pups T o u091) Om IPJ�oq Mu, .61101201 'ANIDIgVI vJ .1 CO pesueOq 6q pelyuen eq oy uon000l jp O N puts _N Od 6IO66e0 tIo aNY „uo ORde6 6ug61x3 N s Al.11s uwoug N l 6 d a puts unpau s 04. 341.4 uwtug ,9 O -SL S N puuN M „ OS' , 6 l ..SZ N S 4lis pug .1 1 Woo).(puts O u.o-Jq ry..og V1V 1 31OH 1S31 • 1 — I ( - — — --- Single family home Water Source: public water NO SURFACE WATERS OR WETLANDS . Sewage Disposal:conventional . subsurface system WITHIN 300' OF APPLICANT'S PLOT. . • . CONCRETE COVER FINISHED GRADE el 26.5 TRAFFIC BEARING FF El 30' AT SEPTIC TANK SLAB do COVER AT ALL 4" E.H. CAST IRON STRUCTURES 74' FAI ® t/4"/FT SLOPE n Min. tom Max.{g' __ 1'' .. 1' Min. to 2' Max Hon q canInectior ' ' 1 1 el Z I el 22.5' . e \ :_== f !NW' d. 20.75'• '_=� LIQUID? _• OUTLET TEE ®®= - IT) C �� 1 LEVEL j • INVERT EL. 22' D®== i .::�� m h ao®� iiN _, 73 m o_ao 4" SDR-35 1/8"/1' ®®® ' m a Q o=o= < _{ Septic Tank in accordance of SCHD OUTLET TEE'S TO LEACHING POOLS oho® R' -n P �I uo I� -1 F 0 (j N O LS Standards for Precast Structures ALL PIPE OUTLET INVERTS EQUAL For (Expansion Pool) DeI BA. WITH SANDS GRAVEL C y popsMA ='IAL 3'-0'MIN. - ` I D 1 SEPTIC TANK(1,500 GALLON) o0® ? �/AR. PRECAST (1 in 13 5 or 6 Bedrooms Leaching Pool in accordance of SCHD; ; -C _ -n x) CJ Standards for precast structures l 1 M G > 0 m II 3'Min. D w �7 a C .13 agnitary Detail - Residential Septic System NTS _ __ ..'—:- 73 1 } j 0 1 roun.11 :.,,..- (3' Min.) _ell rl t m -v •r 1 i TO m n Property Data obtained from survey prepared by LOCATION: 45 Sunset Lane 0 5' 0 1 a 1.1 Anthony Abtuzzo, LS, 1700 Hortons Lane, Southold, HAMLET OF GREENPORT y fes ; NY 11971 dated 03/23/2002., TOWN OF SOUTHOLD o �O , s MAP OF: Describe. . • PE`t ti�T� COUNTY OF SUFFOLK -n c n f Ce45, FT, 0� STATE OF NEW YORK v Ca 1 . tilliN111 F - X I 11 m 1 X S \ - '.'_ 71 :��+.. SCTM# 1000-033-04-054 v rn iter 1 OF NE`N�O . RESERVED - SCHD-WWM r ERIC J.PELLETIER,ARCHITECT,PC A 45 SUNSET LANE CA ' g ri F. m AxcsrrEcrs/PMPerxs GREENPORT,NY 00 m m . c i z 28.260 MIDDLE COUNTRY ROAD SUITE S ` * s � YORK 11764 t631>ul.FLORIDA LOC Site Plan and sanitary details Su No Revisions/Submissons Dote