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ELIZABETH A.NEVILLE �11 �� Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
CO2 ft i Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
`® ;;®� ,g Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ®,( �� �,� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2505 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ZOUMAS CONTRACTING CORP.
Address 1 : PO BOX 361
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. REF # R10-00-0009
Name Of Owner VOGEL, ROBERT
Mailing Address 1 64 LINWOOD ROAD NORTH
City St Zip PORT WASHINGTON NY 11050
Property Address 1 WATER TERRACE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 6 lot 13.006
Cross Street AVENUE OF TREES
Building Permit Number Cross Reference:
Issue Date: 2/06/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
0,0 V.
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ELIZABETH A.'NEVILL'E`--_r, - ��-�==+�� : Town Hall, 53095 Main Road
TOWN CLERK
; P.O. Box 1179
REGISTRAR OF VITAL STAT (I�I S 1 �' ��®' +C, Southold, New York 11971
N
MARRIAGE OFFICER �, : sts 3'` �0 Fax(631) 765-6145
RECORDS MANAGEMENTOFFICER ��g�= ®o( • ��� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFF1 ER7��'4s��7�� 1••, �•�����,�,Tom, '�
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: January 31, 2001
Transmitted herewith is a copy of application No. 2593 for a Cesspool/Septic Tank Construction Permit
submitted by:
Zoumas Contracting for Robert Vogel
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:
ature
Dated
OFFICE OF THE TOWN CLERIC •.•"".FVULK • Application No.
TOWN OF SOUTHOLD �` ,�� •
E IZeBETHA.NEVILLE,TOWNCLERK � �� { Construction
P.O.BOX 1179 ` 1-� �*'^� ` " ` �
SOITPHOLD,NEW YORK 11971 : v K t ren : Alteration
v'0� I • $10.00 - Residential
Telephone #4, + �•,•' $25.00 -Non-Residential
(516) 765-1801 -sows
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCT ION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
•
Permit No.
Fee .$
DATE ,/ 62,
•
APPLICANT NAME: ZOUW Sfli CTINC CORP.
APPLICANT ADDRESS: = P.O.,Box361
Wading River IlY 11792
SEPTIC CESSPOOL
DESCRI TION OF PROPOSED CONSTRUCT! OR ALTERATION •
1CA-111 / iej
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED' CONST CTTION OR ALTERATION: • •
• OWNER OF PROPERTY: gCA.i' V® GSL
• OWNER MAILING ADDRESS: r Li w+r r 41
0,itt-
OWNER PROPERTY ADDRESS: L Lav
01•-)
TELEPHONE NUMBER OF CONTACT PERSON:
TAX MAP NO. : Section
®eg Block 6 Lot L .-.- . .._._..•...
CROSS STREET:
v-A,,,, .4_
BUILDING PERMIT NUMBER CROSS REFERENCE:
- 411
'.nature • - • 111=- •
RECEIVED BY:
Town Clerk's Office
yyT
DATE:
SURVEY OF
• 1 TM 1000-088-06-13.6 LOT# 4 ,
IN 29 DECEMBER, 1999
FM9729 MAP OF ANGEL SHORES '-
. CILE`LIG. 23, 1995 SCALE 1'"=30'
r
SITUATE
o BA YV/EW, _ ' 'J.,
; AREA= 30,000 SF
TOWN OF SOUTHOLD
GUARANTEED TO6887 ACRES
SUFFOLK COUNTY, N. Y.. �_
ROBERT S. VOGEL ZONED AC
COVENANT ABSTRACT CO. INC SURVEYED FOR ROBERT S. VOGEL
• TOWN OF SOUTHOLD NOTE: ELEVATIONS SHOWN HEREON
ARE ASSUMED DATUM
' ALL LAND VACANT WITHIN 150. OF MIS LO'
PARCEL 'B' ' ALL UTILITIES BELOW GROUND ,
"OPEN SPACE"
S 58' 01' 20"E 150'
' SET
STAKEQL Z4.o <<Z8'/ SAKE
0
oN
N
LOT GENLY LEVEL WITH
PITCH TO THE EAST
1
.] ,
• \--I
LOT 5
LOT 3 VACANT
! VACANT 46'
i PROPOSED
f 3 BEDROOM
7 ,Cr) RES.
I PEoP PROPOSED .
14-1 1.
GARAGE DRI VEWA Y
52'
PROPOSED - I \1
SEPTIC
II
TANK L1 J I
I i
t PROPOSED \L
NI-
1. j a CESSPOOL pit 3I io
I to
f 50 a/ a
I lyj Pi
S h EXPANSION ' RI
to
Q 2 STAKE 230,0 ...../ I Ec
Sri.
�__ STAKE
71E= 455' N 58'01' 20" W 150
1.3 X 3.0' 1,5•,r 0'3.
TEL BOX a cS TEL BOXI
r♦ FIRE WELL
(AT GRADE) BELGIUM I BLOCK CURB
u
k
WATER TERRA CE CB
KMASPHALT I PAVT
— WM
VACANT LAND
FOR S.C.D.H.S. USE ONLY
TEST HOLE DATA
TEST HOLE#3 IN LOT 27 ON SAID FILE MAP
(APPROX. 305' SOUTH & WEST OF LOT#4 ) ,
..iv' .} N r- EXISTING GRADE
'T3 ,„,4...
„,4LT7 i ” ',\<<-.\v.<-,, / , _ LOAM
c s."..,..... {r�! ICj'`
: 2 y P 8 8
{ f cJ ---_..c5 Ps /
, • k o 4 kl ty SAND k GRAVEL
t ,\ z � I $7' GROUND WATER
i . 0Guorantees indicated here on shall run
> I , ••�+ only to the person for whom the survey
• '' IE[_ i, r f•r.tcd, and cn his behalf to the
, d s
• y p (� C7 x t 1• ^rrnv, Coverts enIc t Agency,
( ' + y ���
11 6 '� I t,ti.n, if hs,--: h:r-cn, and
pri CO� TT��r Lam. - t: .!ie c c•r,nzes of III• !en.',t,a ,nst Luton
a r K. 9 VI G..r ore ret trots' 'Ale H K n a.,dil onal Insuluticrs Or st.b;oC;Uont owner.. SURVEYED BY
O ~ txi
0 C) '(9) STANLEY J. ISAKSEN, JR.
Unauthorized alteration or addition to this
O �; n P.O. BOX 294
—_9 �,, Zy survey is a violation of Section 7209 of NEW „$'UFFOLK, NY 1195.
the New York Otale Education Law. 631-7 4�5;.e.. / fr
• ' _
• .op!es of•Ihis survey map not bearing CENSE/ NAND SUS'• YOR
Il,o Land Surveyors embossed seal shall NYS Li I' NO. 492 3
not be considered to be a valid true 99C859
copy.