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ELIZABETH A. NEVILLE �e Town Hall, 53095 Main Road
TOWN CLERK ; 4D P.O. Box 1179
REGISTRAR OF VITAL STATISTICS °jam ,� Southold, New York 11971
MARRIAGE OFFICER : C) � Fax Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �® s � Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER '_ `L D',,'��
OFFICE OF THE TOWN CLERK
SOUTHOLD 11WITRr & SAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2576 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 #R10-00-0001
Name Of Owner ZOUMAS CONTRACTING CORP
Mailing Address 1 PO BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 BAYBERRY LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 52.00 block 3 lot 16.000
Cross Street MIDDLE ROAD
Building Permit Number Cross Reference:
Issue Date: 5/17/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
A, -4 •-.,!,-r. ....
95 7
ELIZABETH A.NEVILLE ���� ,,,,,,,,,,,,,,,,,,,,,,,,
,, „..". ®�'y
Town Hall, 53095 Main Road
TOWN CLERK C y % P. O. Box 1179
REGISTRAR OF VITAL STATISTICS % �t Southold, New York 11971
MARRIAGE OFFICER `� 4 ����� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �®l ��®,�i� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER ,."..00'D
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 2, 2001
Transmitted herewith is a copy of application No. 2664 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 Depaitinent 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 .r'
DISAPPROVE
Comments:
ignature 4
Dated
.CA6Gq
OFFICE OF THE TOWN CLERIC ��s" 0V0Li CO %i • Application No
TOWN OF SOUTHOLD ��� O . ;'} : �"'' . ���: Construction L'
ELIZABETH A. .BOX 11,9 CLERK % 1 "4,
it'` c,,i '• , ;
P.O.BOX 1179 � � �� � rri Alteration
SOUTHOLD,NEW YORK 11971 t p� Ht• k •y ;'�r y•� .�1 • $10.00 -Residential
Telephone -�.Q.1 )ye - ••• $25.00 -Non-Residential
(516) 765-1801 004,01...
TOWN OF SOUTHOLD i,ars
l'
SOUTHOLD WASTEWATER DISPOSAL DISTRIC.T 4,Q). tt
"3"(4,6„,
4.00
• , APPLICATION
for
•
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL •
Permit No. •
Fee $
DATE 2l 0/
APPLICANT NAME: z3u66 "•_ •
h =1�;P.0:',Box 361
• APPLICANT ADDRESS: �, in•npuve x
SEPTICCESSPOOL '
DESCRIPTION OF PRO OSED CONSTRUCTION OR ALTERATION
LOCATION ON MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • •
• . OWNER OF PROPERTY : MUMS CON CTI ;'- ' 1 .:._
•.0. Box 361
OWNER MAILING ADDRESS: • 'V'
. 'Mint . .
' OWNER PROPERTY ADDRESS: g, • L.: .
TELEPHONE NUMBER OF CONTACT PERSON: a ��
BBlock Lot�,,. ...,�. ,c;L__ ___
•
TAX MAP NO. : Section__________
CROSS STREET : V ► fl L .
BUILDING PERMIT NUMBER CROSS REFERENCE:
•
. . . ' . WO
—=�j nature off= - !cant , •
C.-4. RECEIVED BY Tow____________________n Clerk's Office
DATE:
LQT AREA::27,550 sq. ft. ' . • •
F. FL'ELE i= IC -
G4R."ELE = - 12 S •
"co„ • \ ,
D.A ELL - PU 5 LI C WATER. •:* .
cow •
/Le ►sip . f cy
o�
CZ- BAYBERRY LANE ( q'3) WAY '
EXISTWG WATER MAIN
tL 1200 gaL SEPTIC SYSTEM . .
`C� S. 56'45'20” E. 5-POOLS,I0'dia., 2'DEEII45.00' • FD.MON.
811.08' (10•A5 ti' 1 (9. W
kt )- I t¢ •t 4 al' • ,
• ,
0 ;* . A.,-
t.
o 0 .. 't. '°0, IAI '..(
ch Z (17A
TEST HOLE 12-23-1999 "� ---� �'/.0) ��-0 � � (
by M°DONALD GEOSCIENCE N Gq.- 13•0IT.$ �T f �T—
E L 10.3 1 D .� e j 1 l`c•
0"r- ' 19.5 Prop
brown clayey loam x - 4So' TJ.,+r IL M ' �� r
3' -. F.C. '
pale brown fine to D� y1•`'
coarse San with = 02 ) (11'0, •
O dli�dtA, 1.''„
w
10 -20%69relSWm LI c
w
6.6'- a ad�C OOWIN DEPARTMENT OF HEALTH SERVICES - co ~
water in pale 3 Z �' . a--:.'° '
brown fine na J f4 , PIMPS?FORAP ROVAL+OFCON9'1�RUCZ'tONPOB A 1- > O c�'
sand coarse with a ' LE FAMILYEtESIDZNCE+DILLY J r
10 — 20 '/o - 0 z- a O O ,� �.�2io'-o o -ods( -
gravel SW -I o zOVED At=- ---"
w 1wu
0 0 H FORMAXIMUMOFLBEDROOMS " 3.
13'_ r EXPIRES THREE YEARS FROM DATE OP APPROVAL Cr '
M
Y. (11'8) (7.01 N "! i
• F.C.0.6'N. ii—
x poet&' if— ' f 111e�ITq'm F.C.I.5'N.� v.. ^?
U'W. F.C.0.6V., F.C.O0 0.6.N: -17 N.
145.00' r�-I "'.�r7
56.45'20"W. - J
J ' ' DWELLINGS-WELLS ^_ ....
-.r cf.- -C� . .
REVISED SANITARY SYSTEM 2-2-2000
12 -28-99 ADDED TESTHOLE * '
ne OFFSETS (fiR IMENSIONSi GUAkwNlEES 'NuIu►tED htiteu0
JOB NO. 99-889 FILE NO. SHORECREST
' MOWN HEREON FROM THE SHALL RUN ONLY TO THE FERS014
iTRUCTURES TO THE PROPERTY FOR WHOM THE SURVEY IS PRE- SURVEYED FOR-
INES ARE FOR A SPECIFIC PUR- PARED, AND ON HIS BEHALF TO
'O&E AND USE AND THEREFORE THE TIRE COMPANY, GOVERNMEl4 LOT NUMBER II .
%RE NOT MRBJDED TO GUIDE THE TAL AGENCY AND LENDING WWI- MAP OF SHORECREST,AT ARSHAMOMOQUE '
°RECTION OF FENCES, RETAINING TUTION LISTED HEREON, AND TO .
MALLS, POOLS, PATIOS, PLANTING THE ASSIGNEES OF THE LENDING .
AREAS,'ADOMON TO BUILDINGS INSTITUTION. GUARANTEES ARL
7RANY01?ERCONSTRUCTION. NOT TRANSFERABLE TO ADDITIONAL
I INSTITUTIONS OR SUBSEQUENT SITUATED AT ARSHAMOMOQUE ,
INAMTISORI110 ALTERATION OR OWNERS. - .
I
TO SURVEY Is A TOWN OF SOUTHOLD-SUFFOLK COUNTY.N.Y.
1OP SECTION 7109 Of COPIES Cf THIS ;WAY N
HE NM "QS( :EAIE:p E EDIICATXI1 BEARING THE LAND SURVEYOR'S ' '
i AIS. IMO SEAL OR tMBO)UD SEAL SCALE ' 1" = 40'1 DATE 12-3-1999
waL NOT BE OONSIDEtII? To a ,,
1 •VAI U) VII�COw - - FILED MAP NO. 5584 - . DATE. 44-1971 ,
I GUARANTEED ONLY'� OF NEW y�'Q . ' TAX'MAP NO.IQ00_52-'3-16 (REF. ONLY) DISK 210
} *-TRA1yc, .F • •• - HAROLD ,F: TRANCHON JR. P.C.
v� ,S,O _4
{ p r. i . LAND SURVEYOR
t = 4 m .. `
# �.� ;=-i \ 186,6 ,WA'DING "RIV,ER-.MANOR-.RD. WADING RIVER,
1
//PS �
( F0489'" o� f .
7ip NEW'YORK, 1 1 792
SFIC. NO.- 048992 •
L. HAROLD F. TRANCHO .LAND LIC. NO. 21115-E M L • .. .M.,w.,..��..