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ELIZABETH A.NEVILLE ��_ I : Town Hall, 53095 Main Road
TOWN CLERK ; y 2 P.O. Box 1179
REGISTRAR OF VITAL STATISTICS � Southold, New York 11971
MARRIAGE OFFICER �1 Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER -4Ol #C3%iii Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICEsa
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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. 2531 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 #R10-00-0267
Name Of Owner ZOUMAS CONTRACTING CORP.
Mailing Address 1 PO BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 560 WATER TERRACE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 88.00 block 6 lot 13.027
Cross Street LITTLE PECONIC BAY LANE
Building Permit Number Cross Reference:
Issue Date: 3/27/01 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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4
ELIZABETH A.NEVILLE ��_ t: Town Hall, 53095 Main Road
TOWN CLERK ; y t P.O. Box 1179
REGISTRAR OF VITAL STATISTICS ` Southold, New York 11971
MARRIAGE OFFICER �� Fax l �1�, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER =_ 7�,� #0.1 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 13, 2001
Transmitted herewith is a copy of application No. 2619 for a Cesspool/Septic Tank
CONSTRUCTION/ALTERATION Permit submitted by:
Zoumas Contracting
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: Maintain required setbacks from adjacent wells,buildings,property lines and water
Bodies. EXCAVATION INSPECTION REQUIRED.
S' ature
Dated
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••'•�• Q � •. Application No.
OFFICEOFTHETOWNCLERK • 0V L/1 c, Z
TOWN OFSOUTHOLD '� . 'r' � L Construction_ __
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OWN CLERK
�yggi'IiA.NEVIll�•T � F -:'..•�,t,, a,�' ;,�s' ,,,a+ .;-4.11
P.O.BOX1179 ti• p 5 Alteration
o •s T�;• rri •
SOUTHOLD,NEW YORK 11971 • '',••1•V
;y ` ' . f, ,�� . $10.00 - Resldential
Telephone % 40/1'0,• $25.00 -Non-Residential
(516) 765-1801 •
Y.,,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
` - APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT.
SEPTIC TANK or CESSPOOL
Permit No.
________ izi____________
Fee .$____________
2L
DATE J
APPLICANT NAMEu d-o-1F
••'���;P.®:,Box 361
APPLICANT ADDRESS:___________, ya(�I11(fl�1VE1i��
SEPTICCESSPOOL y • -
DESCRIPTION OF PROPOSED CONSTRUCT'' , OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued. ,
LOCATION OF PROPOSED CONSTRUCTION�f1���� �����ii�a�m
OWNER OF PROPERTY : -i
Wading River NY 1179
OWNER MAILING ADDRESS: `` >•.
OWNER PROPERTY ADDRESS 41 ,e,. •
TELEPHONE NUMBER OF CONTACT PERSON: O'
�� �. 57°-
TAX MAP NO. : Section gg . Block Block , Lot„,l -01' 7 -
CROSS STREET ; L-r • ` a ii i
BUILDING PERMIT NUMBER CROSS REFERENCE: '
;4: 'drift.-
Signa N. •sem:.• • lc- ,
� 4=••' - RECEIVED BY•t#t ----------------.
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.A',, Wn Clerk's Office
DATE: _ -
LOT AREA .' 321I5 Sq. Ft.
rF,/FL. ELEV., = 32,5
NOTE: MAXIMUM CLEARING OF LOT IS LIMITED TO 58%.
(AR.-ELEV. = 31`0
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LOT NUMBER 4
Ex1St1.J6 WAkER mAiN '
(30.2) WATER ' - TERRACE
( 30 o)
_ S. 58°01'20" E. 145.72'
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N. 58°01'20" W. • ��' .:_ ,.��• .... _ - «-
.aI ;2 COL Y EFARTMENT OF HEALTH 5ER�1CC ;a
1�r,L OF CONSTRUCTION OR,i',1,
LOT NUMBER 32 SINGLE -MvULY RESIDENCE OTM Le;
VACPrU+ '
Dr,.TE ' 2- ) l'''' 1...0 .44 t 7), ...P....,,t,,•22.7_,P.,.L(.17.,,,... 1
` FOR i. AXiMUIVI OF' t__.,.,1> EDROO ?r; 1
EXPIRES THREE YEARS FROM DATF 07!!` 'p`, ..d 1
tel OFFSETS (OR IMENSIONS) , OUAkANTEES INDICATED nitiwl. JOB NO. 00-354', FILE NO. ANGEL SHORES
MOWN HEREON PROM THE SHALL RUN ONLY TO THE mom
TRUCTURE$ TO THE PROPERTY FOR WHOM THE SURVEY IS P .
INE3 ARE FOR A SPECIFIC FUR- PART, AND ON HIS BEHALF TO SURVEYED,FOR
'OSE AND USE AND THEREFORE THE TRITE COMPANY, GO ERNMEN LOT'NUMBER•,25
VEE blot MT@m IDTO WIDE THE TAL AGENCY AND LENDING INSTT-
RECK* OF FENCES, RETAINING TUTION LISTED HEREON, AND TO MAP OF ANGEL SHORES
VALES. POOLS. PATIOS, PLAN.TMNE THE ASSIGNEES OP THE LENDING
NATR ON TO O BtWLDMiL t' INSTITUTION. GUARANTEES TRANSFEMBLEADDITIONAL
,4 INSTITUTIONS OR iU88Ri�UENf SITUATED AT BAYVIEW
JNAUTHOAIZED ALYERATION 6R-,-
%WHIM TO THIS SAM ES-A i!k 1 ,
i1olAUCH app ., III 03 Of IRS WNW NMI TOWN OF SO,UTHOLD;.SUFFOLK COUNTY, NEW YORK
Is,•II7) !%Nil ,.. ,,, MARINO M S TANS! ,�UOMO
p�, • + t+�,: tEPS IMosPso to is SCALE 1" = `50' DATE 9-26-2000
xRatiavaf;`sa,. "°< YAIID'rot1rOo .
'FILED MAP NO.- 9729 -DATE '8-23-1995
U A R A N T E E D ONLY TO i
TAX MAP NO. 1000-88-6-13.27 (REF. ONLY) DISK I93
, HAROLD F.,'TRANCHON- JR. P.C.
.LAND SURVEYOR
' 1 866 WADING' R'I'VER'-MANOR RD. WADING RIVER, '
NEW YORK,,-11.792 '
N.Y. LIC. NO. 04899251,6-929-4695
AROLD F. TRANCHON JR. PENN. LIC. NO. 21115-E ',',