HomeMy WebLinkAboutMeskouris „,iii,,
ELIZABETH A.NEVILLE �ie kt ”x 't N %A Town Hall, 53095 Main Road
TOWN CLERK ® t P.O. Box 1179
CIA t
REGISTRAR OF VITAL STATISTICS \ ® : _ ,: ' Southold, New York 11971
`' `�'r,� V 0MARRIAGE OFFICER � `� - 4 �1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER � So • X10 Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 2544 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : FRANK SHERLOCK
Address 1 : 1900 WESTVIEW DRIVE
City St Zip MATTITUCK NY 11952
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 #R10-01-0059
Name Of Owner MESKOURIS, MARY
Mailing Address 1 69-08 DITMANS BLVD
City St Zip JACKSON HEIGHTS NY 11370
Property Address 1 155 BREAKWATER ROAD
City St Zip MATTITUCK NY 11952
Tax Map No. section 113.00 block 3 lot 4.000
Cross Street COX NECK ROAD
Building Permit Number Cross Reference:
Issue Date: 4/16/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
r -
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111
ELIZABETH A.NEVILLE 4
o Gia`` Town Hall, 53095 Main Road
TOWN CLERK ti 2 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS : �, Southold, New York 11971
MARRIAGE OFFICER ` y "l��1Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER �, Ol .A ,' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER �
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: March 28, 2001
Transmitted herewith is a copy of application No. 2632 for a Cesspool/Septic Tank Construction
Permit submitted by:
Frank Sherlock
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:
gnature
d6/6 (
Dated
OFFICE OF THE TOWN CLERK It'' �l 1��K
TOWN OF SOUTHOLD ,/'It',,,,
O� (4 Application No. o�
FT J7ABETH A.NEVILLE,TOWN CLERK 0 J1 �•/
P.O.BOX 1179 !� ; Construction
SOUTHOLD,NEW YORK 11971 ; v • T
Alteration
Telephone $10.00 -Residential
''
(631) 765-1800 _ l �,�� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee .$
DATE S / 3--1/4/
APPLICANT NAME:
S �C enzod1c
APPLICANT ADDRESS: °1 Gv Gs -e S� u V r? /1/I n,7-7 6✓y
SEPTIC CESSPOOL c/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
•
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: /dn ) "o at> �? (,.SIT ( 1M k SA-eidouq
OWNER MAILING ADDRESS: d - tion 5 f3 cvJ
i.-12elcgo /,/,c&n A/"! / 1370
OWNER PROPERTY ADDRESS: /S$ wig ft /-err,-
TELEPHONE NUMBER OF CONTACT PERSON: 6 3 '` c.1 8 (13 6i
TAX MAP NO. : Section 1/ '3 Block Lot 4/
CROSS STREET: K -14A
BUILDING PERMIT NUMBER CROSS REFERENCE:
/Or (2Z211(
Signature of Applicant
RECEIVED BY: /61
Town Clerk's Office
DATE: S1/4 "./Gr
e - I. .i •r
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WELLSURVEY OF PROPERTY
SITUATED AT
MATTITUCK
TOWN OF SOUTHOLD
/f TEST HOLE DATA SUFFOLK COUNTY, NEW YORK
, ' (TEST HOLE DUG BY McDONALD GEOSCIENCE ON NOVEMBER 17. 2000) S.C. TAX No. 1000-113-03-04
` IA�o; ° SCALE 1"=40'
2t:44$ BROM taw sum vim mew mom S" JANUARY 5, 2001
f 5c~`' 3 FEBRUARY 23, 2001 REVISED SITE PLAN
° F owsKI
CST TROJAN
°�SHI 1.34+
•‘....--:•a AREA = 41,256.66 sq. ft.
RICHARD ' TROJAN a 27� �tVi� " '' 0.947 ac.
pWEWNG a \ ? "' °- PALE BROWN FNE m TEDIUM SAND SP
•
79 \ cam to :ir. a�
E ms's ! �� tg1A1OCK �} 18.f \ ts.4 \ \ • EDGE ROw \ :. : 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM
N 81'54'00" '�, R0 `0F 1� O \\ \ \�i�EOPDXro � 'a ;::`� t2 3' DUSTING ELEVATIONS ARE SHOMM THUS: 20.0
\ \ \ yl�w\ 18.4 \ \\ \ (rl\ z ol�` _ — EXISTING CONTOUR LINES ARE SHOWN THUS:-——-20————
\ \ ♦ \ \ v —_-----
FINE m��SAND SP 2 MINIMUM SEPTIC TANK C ES_FOR A l TO 4 BEDROOM HOUSE IS 1.000 GALLONS.
�-� \ ` �� \\ \ \ �/ CTI" r 24 � WATER N PALE BROWN
1 TANK: B' LONG, 4'-3'
\ \ \ h�k3' \ .�¢ OI 1a 3. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300
\ \.
\ ` \ x-1.2.Z\ \\ / O- �u` 2 POOLS: g• DEEP, 6' db. W ff sIDEWAu AREA.
♦ \\ \\\\ \\ \ ♦` g.3� ___ -..,-•:._;-.? ' .- \ %' �'�+•j1 �+ �� tr PROPOSED EXPANSION Pool
\ 15.7
\\\\\\ N
\ \� \\ - \\ ��\ 1 !1\\ 1-3
/�PROPOSED LEACHING POOL
ttilom. ` \ \ \ \\ •� r ,-, ` u`;' \ 's' \ "J% _ 1—' J 1 ®PROPOSED SEPTIC TANK
SLS. \ \ 14 8 N \ \ _ �_ \ C im ' I C 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
O • \ \ \ \ : .�;—� r \ �T\ \ OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS
O y • \ \ • !.� ._��„ , \ \ \ \ A1 C� �.r{ _ S. FLOOD ZONE INFORMATION TAKEN FROM:
< ♦ : v \ tri
b.
FLOOD INSURANCE RATE MAP No• 3810300481 C
`\ \\\ \\I4'4\, `� I 414 4 - ___-=-_- =__ ZONE AE: BASE FLOOD ELEVATIONS DETERMINED
•
�I _ _ ' _ .;,-,-;• �2•Q; rn y N :::
/ j c _ C`�J\ \ \ ` �-...--"�_-�'_-c""�"�'_-j G-�-r ,, � •^� �]•
` \ \ \ \Q =- AREAS DETERMINED m BE OUTSIDE 500-YEAR FLOOOPIAN.
•\ \ \ .c.....„.:..\::::;\: �I• �b
\ \ \ \ Ai ;1Pt ! ,. \ \u-¢ `\ �-1� St1� 1 t1L:i COtiY,Y UEPA4'iA}Iei; ON
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u \ RA ___ \\ \ .. ' 0 P RMi�'Foy App�avrt.OM
CONSTRUCTION �'O A
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- _ \ \ I Sj1VOL I�AE3IL(F�ESIDENCC ONLY
y , 'W4/4-•• 4 i A \ : - '- \ •+2 DATE3/1C3 ie•J N-0-1-- ,
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II X2.4 max I ,I >''' I ::,• s \\ \N \ j C �p
I I �/ I \ I7.G �gGN ;E �, �2p EXPIRES p��9�,^gpl� �° A-- L3�O�.OdO�gk��n 1A9
I / arY WIRE 4� ' I I : \\ STOP\ \ ` m. intlaPIRF. I IISa� �i�A i [�V I'."d E 1i� ®Y APPiA'./�S/ L
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rr rJ // N 89 4'2(}' I '+R" — ------1-3k-22'-a SIGN ,.�•` ATTR VALVE (1.)@..-- J® ` 'tus.TITLE 5 ?ASES7A so n
un •.+ -- - = _ ,F k�,:'`t, ADOPTED
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'jam/ 'J�• S _ y --04�/1 1�4
,a., COX NECK ROAD %�IA ► i'� 7,-- -1.:e„ —
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Nh (PUBLJC WATER IN STREET) �t1ae , �-•.. „_
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tt:Q.S. Lic. No. 49668
#•§V' 4* UNAUTHORIZEDALTERATION OR
IA O�FRON
QP VACANT SECTION 7209 OF THE NEW YORK STATE
a
DWELLING EDUCATION UW. oseph A. Ingegno
(WELL OVER 150) coptss wm NOT BEARING
THE LAND 7suRVEYSURVEY
"DaTs RIM SEAL OR
°' ` '"" D Land Surveyor
m 6E A VALID TRUE COPY.
2 POFICATIONS INDICATED HEREON SHALL RUN
m THE PERSON FDR WHOM THE SURVEY
IS PREPARED,AND ON HIS BEHALF TO THE
TULE COMPANY, GOVERNMENTAL AGENLY
I INSTITUTION MED ANDD Title Surveys — Subdivisions — Site Plans — Construction Layout
TO THE ASSIGNEES OF THE LENDING NSD-
T .CERTIFICATIONS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727
THE EXISTENCE OF RIGHT OF WAYS OFFICES LOCATED AT
AND/OR EASEMENTS OF RECORD, IF MARLING ADDRESS
ANY. NOT SHOWN ARE NOT GUARANTEED. 1380 ROANOKE AVENUE P.0 Box 1931
RIVERHEAD, New York 11901 FSverhead, New York 11901-0965
20-672A