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ELIZABETH A.NEVILLE ; Town Hall, 53095 Main Road
TOWN CLERK 4=. 11 P.O. Box 1179
REGISTRAR.OF VITAL STATISTICS ® Southold, New York 11971�� Fax(631) 765-6145
MARRIAGE OFFICER 4' `. f1
RECORDS MANAGEMENT OFFICER =__ 4ar�®��1°' Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
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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. 2764 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 #R10-02-0007
Name Of Owner ZOUMAS CONTRACTING CORP
Mailing Address 1 PO BOX 361
City St Zip WADING RIVER NY 11792
Property Address 1 OAKLAWN AVENUE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 70.00 block 3 lot 22.000
Cross Street JERNICK LANE
Building Permit Number Cross Reference:
Issue Date: 3/20/02 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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Igo/ OFFOl�c a �
ELIZABETH A. NEVILLE 1_� d• Town Hall, 53095 Main Road
TOWN CLERK % o - % P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS Fax (631) 765-6145
MARRIAGE OFFICER ` O �,
RECORDS MANAGEMENT OFFICER t: #4,
ilg %Or/�, Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER -. ° i southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD �pr
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TO: Southold Town BuildingDepartment i f ;
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h l;l j `-i't 2 7 2002 ;.
FROM: Linda J. Cooper, Southold Town Clerk's Office � ''' _
DATED: February 27, 2002 TCr •` ' -
, __ ._' •- -
Transmitted herewith is a copy of application No. 2852 for a Cesspool/Septic Tank Construction
Permit submitted by:
Zoumas Contracting Corp.
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: C7 ' `
-716T-44.11‘./s it-
Signature
7 3 2 0 7--
Dated
L 4'
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r ••• OLI(1,' Application Noi.` 3—
OFFICE OFT? TOWN CLERK ♦ • .
TOWN OF SOUTHOLD ��••�O_J '�` ,, w`• 0,�
p ,. ., ,, Construction
Gt 17'a CN P. .BOX 11.TO�vN CI rRK ' ;Of 4' , ., t
P.O.BOX 1179 1 ;
!� s , I .. r rt ! Alteration
SOUTHOLD,NEW YORK 1!97! t tri ,til , ; � 1 ••
�y0 �. '. •.... ,E ••�.•• $10.00 -Residential
Telephone ‘s:Q/ v' ,`')• $25.00 -Non-Residential
(516) 765-1801 • ..„d,,
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
- APPLICATION
for
. CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANI< or CESSPOOL
Permit No.
Fee .$
. DATE i-/d--7 ( A----
.
APPLICANT NAME: 2-0U x-. 6jj4TF} -6-TIN 0V.
:��=�d;p,6:;•Box 361 _ •
APPLICANT ADDRESS: • WaciitijiverNY-1-1 Z
SEPTIC to CESSPOOL Yi •
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION .
A • I c. fait. (0
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: • •
• OWNER OF PROPERTY :
• ZQU[�AS CONTRACTING CORP.
OWNER MAILING ADDRESS: ppBox 361
Wading River,NY 11792 . `S
PROPERTY ADDRESS: a7N Cv --icC.,4-ri✓ DWim/ ,
OWNER � ,��
TELEPHONE NUMBER OF CONTACT PERSON : :�/S~7®
TAX MAP NO. : Section e-20 Block 3 Lot_ fh,__Z---a---- .
CROSS STREET : Q._n )ivtc,K. ti()-(\hz_„- • •
.
BUILDING PERMIT NUMBER CROSS REFERENCE: . •
' • ' ` ''
;iia=.
Sig re of•'Ap3 tP t! -,.:-. .•t,.;• •- ;
•
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• RECEIVED BY ` n
Town Clerk's Office
mo ••
•
DATE: a 6.-•'7 / 0
is.
a LOT' AREA= 42,813 sq. ft.
F.F. ELEV'= 25.5 VACANT
•GAR.ELEV,,,= 24.0 LOT NUMBER 12
-'- VACANT
LOT NUMBER 13
125.90
S 30'14'20"E (2Z4)
(22.5)
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m
z z
z
o (24.0) (24.0) o
1-1
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58.8'
o a
,p— PROP. 0
LU.I n I DWELLING "I
O -1-•23.8 L_ O
(24.0) I
10 1I
rn
� s (24.0) TO
(O S to
w Z J 1;
n Q I,,
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c
ct I G' r - —I
L.I
250.00'
(222) N 23'23'50"W 125.00' (21.8) •
OAKLAWN AVENUE
existing rater main
VACANT
THE OFFSETS (OR DIMENSIONS) SHOWN HEREON FROM THE STRUCTURES TO THE
PROPERTY UNES AHE FOR A SPECIFIC PURPOSE AND USE AND THEREFORE ARE NOT JOB No. 01-617 FILE No. PECONIC DEVEL. CORP.
INTENDED 10 GUM THE ERECTION OF FDLOM. REDWING MILLS POOLS. PAWS,
PLANIND AREAS. A°omoN TO BUILDINGS OR ANY OTHER CONSTRUCTION. SURVEYED FOR
swam=A MMON OR AOOn1ON TO THUS SURVEY IS A NOIATHON of SECTOR LOT NUMBER 2
720/1 OF THE NEW YORK STATE ETON WM' MAP OF PECONIC DEVELOPMENT CORP. AT SOUTHOLD
GUARANTEES INDICATED HERON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SITUATED AT SOUTHOLD
SURVEY IS PREMED. MD ON HIS BEHALF TO THE TITLE COMPANY. V'E
OOwMERTAt
AGENCY ANO LENDING INSIRUTON USTED HE EON. MID TO THE AOI OF THE
LDRCHMO INSITIU N. OUARANIEEs ARE NOT TRA CABLE TO "mMNAL INsmunas TOWN OF SOUTHOLD - SUFFOLK COUNTY N.Y.
OR SUBSEQUENT OMNEt+.
COPIES OF S SLIMY MAP NOT BEMBNG THE LAW SURVEYOR'S INKED SEAL.OR SCALE 1" = 50' DATE 12-20-2001
MS
EMBOSSED SEAL SHALL NOT BE COMMEND TO BE A VAUD TELE COPT.
FILED MAP No. DATE
CERTIFIED ONLY TO: TAX MAP No.(REF ONLY) 1000-70-3-P/022 DISK 500
HAROLD F. TRANCHON JR. P.C.
LAND SURVEYOR
itc,„1,1 --r,on--cf-s- 1866 WADING RIVER-MANOR RD. WADING RIVER,
NEW YORK, 1'1792
N.Y. LIC. No. 048992 631-929-4695
HAROLD F. TRANCHON JR. PENN. LIC. No. 2115-E