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Home My WebLink AboutDemetriades, Dino Town Hall 53095 Main Road f �- - P.O. Box 1179 1 Southold, New York 11971 JUDITH T. TERRY TELEPHONE TOWN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD December 2, 1987 Dino and Despina Demetriades 1009 Washington Avenue Old Tappan, New Jersey 07675 Re: Petty Drive Orient, New York Dear Mr. and Mrs. Demetriades: Enclosed herewith is the Construction, Alteration or Modification Permit for a Septic Tank or Cesspool System for which you applied. Please be advised that each owner of real property operating an on-site sewage disposal system, such as a septic tank or cesspool must, prior to such operation, possess in the name of the owner an Operation Permit for the system. The Operation Permit is issued by the Town Clerk's Office. The fee for an Operation Permit is ten dollars ($10.00) for residential use and twenty-five dollars ($25.00) for non-residential. Please have the owner complete the enclosed Application for an Operation Permit and return it to this office along with. the proper fee. For your general information I have enclosed an Informational Bulletin regarding the Scavenger Waste Laws adopted by the Southold Town Board. Should you have any questions pertaining to either permits or the Scavenger Waste Laws, please do not hesitate to contact -this office. We will be glad to assist you in any way possible. Very truly Yours, Judith T. Terry Southold Town Clerk Enclosures (3) JTT/Ijc �r OFFICE OF THE TOWN CLERK Town of Southold Judith T. Terry, Town Clerk Town Hall, 53095 Main Road c P. O. Box 1179 v' Southold, New York 11971 Telephone (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 261 Residential X Fee $ 10.00 Non-Residential Septic Cesspool X PERMIT ISSUED TO: NAME: Dino Demetriades ADDRESS: 1009 Washington Avenue Old Tappan, New Jersey 07675 DESCRIPTION OF PROPOSED CONSTRUCTION or ALTERATION New Single Family Dwelling APPROVED as per Suffolk County. Health Department approval. LOCATION OF PROPOSED CONSTRUCTION or ALTERATION: OWNER OF PROPERTY: Dino and Despina Demetriades OWNER MAILING ADDRESS: 1009 Washington Avenue Old Tappan, New Jersey 07675 OWNER PROPERTY ADDRESS : Petty DRive Orient, New York TAX MAP NO. : Section 14 Block 2 Lot 8 CROSS STREET : Bight Road BUILDING PERMIT NUMBER CROSS REFERENCE: --------- Judith T. Ter Southold Town Clerk DATE : December 2, 1987 (TOWN SEAL) _ D o r BLDG. DEPT. t1� TOWN OF SOUTHOLD To a , 53095 Main Road P.O. Box 728 1 Southold, New York 1 1971 JUDITH T.TERRY TELEPHONE TowN CLERK (516)765-1801 REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD - December 1, 1987 To: Victor Lessard, Southold Town Building Department From: Judith T. Terry, Southold Town Clerk- Transmitted herewith is a copy of application No. 265 for a CONSTRUCTION or ALTERATION-Permit for a cesspool or septic system submitted by Dino Demetriades Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if we may issue the permit. Please complete the form below and return it to my office. Thank you. • op v��6./�..r/ Judith T. Terry Southold Town Clerk I have reviewed the application and location map of the project cited above and make the following recommendation: APPROVE - '( DISAPPROVE - COMMENTS: a.. �z ak.-J Signature 1 LA zt?3 Date Y •� OFFICE OF THE TOWN CLERK �S�FFO(,� Town of Southold Judith T. Terry, Town Clerk Application No. �S Town Hail, 53095 Main Road j�C Construction / P. 0. Box 1179 O� Alteration Southold, New York 11971 Telephone �! i Residential (516) 765-1801 Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ Zd �. DATE November 25 , 1987 - APPLICANT NAME: DINO DEMETRIADES APPLICANT ADDRESS: 1009 Washington Ave. , --Old Tappan, NJ 07675 SEPTIC CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION ONE FAMILY DWELLING LOCATION MAP: Must be attached hereto before Permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: DINO DEMETRIVES and DESPINA DEMETRIADES OWNER MAILING ADDRESS: 1009 Washington Ave . , Old Tappan, NJ 07675 41 OWNER PROPERTY ADDRESS: Petty ' s Bigbt, Orient rlia TELEPHONE NUMBER OF CONTACT PERSON: 201-666-2484 or 201 666-1116 TAX MAP NO. : Section /y Block oZ Lot CROSS STREET: O. BUILDING PERMIT NUMBER CROSS REFERENCE: — Signature. of Applicant RECEIVED 131 own Cler s Offi e DATE: DEC OI Town Clerk Soul" y�T fi fw 41 40 cp x ,meq S # r A lit 106 �• Gow4t R Ai , h 1Nzi':9 16 -Lo m 'plp /. ase . < 33'-pl. ID j�`ql iAI ��+ �JIf11tilFYii. AA1 Al i, 414- O/ ry &W .. .,.«..,.. .,, -, - I '•�w• ••!r/!1�}I.f:+4+64",�+--Wa'F... � y -":m „... �:""�.!��, —_�'+�.+.�4+•w.+>. ..y.....y�.�s.wp.y..,•,r._ - a.,+K . ! - \ - . ` _ •1 � t AY AI A Y1_ '• f Rtz 08 t S 00 4 ; • , 64 vu. All . �t ; JN ' 17 - 44 � 0� ' �0 ' a �qi x 4 � J SURVEY FOR D/IIID DEMEMADES' a DESP/NA DEMEM14DES SUFFOLK COUNTYDEPARTMENT OF ,HEALTH sERVICE6 L or NO. 4 ,"PE T T Y'S . B/GNT " r AT OR/ENT DATE AtAi /4 /9071' FOR APPROVAL OF .CONSTRUCTION ONLY DATE " TOWN OF SOUrHOLD SCALE !" 50' '�O g $ 9 t� SUFFOLK COUNTYNEW YORK N0 / , Ol- ® H REF. 0.' "Z )' G 3 #UNAUTHORIZED -ALTERATION OR ADDITION TO THIS 1 SURVEY IS A VIOLATION OF SECTION 7209 OF THE OF NE APPROVED' NEW YORE[ STATE EDUCATION LAW k� N/ ylh r+•r, III COPIES OF THIS SURVEY NOT BEARING THE LAND. S� ` SURVEYOWS INKED SEAL OR EMBOSSED SEAL SHALL ��t0 W ` *� t, t x r $� NOT BE CONSIDERED TO BE A VALID TRUE COPY .� *GUARANTEESINDICATED HEREON SHALL RUN ONLY TO HEALTH DEPARY MENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE ,SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERN- NEAREST WATER MAIN M1.t -*SOURSEOf WATER, PRIVATE✓PUBLIC MENTAL AGENCYAND LENDING INSTITUTION LISTED N•SUFF CO,TAX MAP DIST.,,eso 3ECTIOR 0/4 BLOCK 02 LOT,o,,,o�� HEREON,AND TO rHE.ASSIGNEES OF THE LENDING ° *THER[,-ARE NO DWELLINaT1ttITNIN 100 FEET OF HI PROPERTY` INSTITUTION: OUAgANTEES ARE NOT TRANSFERABLE " I rl>s 1 tR; OTHER THOSE SHOWN HEREON. TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT I. �•�' t , *THE WATER.SUPPLYAND SEWAGE DISPOSALSYSTEM FORTHISRESIDENCEOWNERS. WILL CONFORM to THE STANDARDS Of THE SUFFOLK COUNTY,DEPARTMENT K'DISTANCES SHOWN HEREON FROM PROPERTY LINES E5 ' -W OF HEALTH.SERVICES: TO EXISTING STRUCTURES ARE FOR A SPECIFIC PURPOSE.AND ARE NOT TO SE.USEO TD ESTABLISH, APPLICANT- PROPERTY LINES OR FOR THE ERECTlON.Of FENCES. } ` • R. * � ADDRESS d' t TEL:, y YOUNG . YOUNG 410, OSTRANDER AVEM�fE$' r 8= MRUMENT RIVERNW)I NEW YOR SUED%�/S/ON•MAPF/LED/N 1HE.OFF/GEDFTHECLER/rOF. ALDEN W.YOUNG,PAOFESSIONAL ENOINEER r51IFF01 c U/VTY ON;JAN.P6, i9�`3 as�ltl�Na7 AND,LAND SURVEYOR N.r.s.LICENSE NO,19845 I D OUNG,L ND SURVEYOR y , ir 1f THE jACATIONOFWEII(W),SEPTICT X(ST)SCESSPoocSlctlSHowNHEREON N.Y.S.LICENSE NO.46893 ARE R FIELD OBSERVATIONS AND DATA O AI 0 FROM Ot E S