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ELIZABETH A.NEVILLE Town Hall, 53095 Main Road
TOWN CLERK o - P.O. Box 1179
REGISTRAR OF VITAL STATISTICS "%°
i Southold, New York 11971
MARRIAGE OFFICER ;�,t,L ���,�� Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �41
a®�i� Telephone(631) 765-1800
FREEDOM OF INFORMATION OFFICER ,s' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3053 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 #R10-03-0068
Name Of Owner SCHROEDER, MARILYN
Mailing Address 1 2050 NE 39TH STREET, 208
City St Zip SOUTH LHP FL 33064
Property Address 1 2780 STARS ROAD
City St Zip EST MARION NY 11939
Tax Map No. section 22.00 block 4 lot 26.000
Cross Street MAIN ROAD
Building Permit Number Cross Reference:
Issue Date: 6/11/03 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
,I°'ool4 , OFFOUr --
p 00 N
ELIZABETH A.NEVILLE 4 Town Hall,53095 Main Road
TOWN CLERK % O - iP.O.Box 1179
REGISTRAR,OF VITAL STATISTICS V v' Al
Southold,New York 11971
MARRIAGE.OFFICER--,..7) `:®1i Fax Fax(631) 765-6145
REEORDS, MANAGEMENT OFFICER "'/� ao �� Fax
(631) 765-1800
FREEDOM_OF-INFORMATION OFFICER '.l �;�'�� southoldtown.northfork.net
rLIT MAY 302003 , 1
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: May 28, 2003
Transmitted herewith is a copy of application No. 3178 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 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:
l.
APPROVE
DISAPPROVE
Comments:
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OFFICE OFTHE T0IYNCLERR •�••'•� ��i(�'O//,,.%• Application No���0
TOWN OF SOUTHOLD •�• ( 5,v' w v��
C,17'P, ;a A.NEVIL E,TOWN CLERK '� Q ;•,• ;e ft. .i :, Construction
P.O.BOX 1179 I 41:,t4,/ � , • rn s Alteration
SOUTHOLD, ^WYORL:!!>7 � fit ', {tc ��
1, '` ''''/',•••c-/ ' .�� $10.00 - Residential
Telephone �``�0Dl � 1. •�J MO $25.00 -Non-Residential
( 516) 765-1801 44 d
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
•
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL .
Permit No.
Fee .$
DATE , 101-.9/0 3
APPLICANT NAME : nUMA5_ fiYFiA-;T-1-1\16•-00HP.
APPLICANT ADDRESS: Viadin�RiverttH 9
SEPTIC � CESSPOOL •
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION .
•
J- Fn m ) 1- y I:1),,u_e_1/7/ 1,2_
. .
LOCATION MAP: Must be attached hereto before permit may be Issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATI,OnN�: • •
' OWNER OF PROPERTY : M da-(Ll Ly SG�f1W&I) €iz--
OWNER MAILING ADDRESS: ®.SO /VLF 39 ,g sch,u4--<4=t-c72-0 e
Cov , 1-14 p 4. soy .
"N'E R PROPERTY ADDRES a
O1� _, L pr c2-til A A I Ai 44/1/ °/0
TELEPHONE NUMBER OF CONTACT PERSON : 9c4 7- 7 .570
TAX MAP NO. : Section ( _Block_ fLot ,r2, ,,,..-.._ .•--_._..
•
CROSS STREET : 'M AY 11\1 fff •
BUILDING PERMIT NUMBER CROSS REFERENCE: • •
' : '.natur'��`'..., cantw , ;t's''•;
RECEIVED ..-ift) lk.. .._, ..
6Y : _
mo i. T wn Clerk's Orrice
DAT .
7A03
..
LOT AREA 22,322 SQ.FT. ,. ' -
R �� .GAR ELEV 38.0
F FL ELEV 38.0
VACANT
NOW OR FORMERLY CAMERON COOK
S 10'48'30""E 120.91 ' MAP
fd S 10'50'53"E 120.91' ACT.
7Nts '
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I- 0.0'N (38.0) (3A)
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o z. I garage b
3 —24.eIN 73
z cv ,e fd (36.0) ( (1.9i •
stk b)
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• •
(35.4) (34.7) .
N 10'x17'20"W 120.90'
---------------1-'
-_-.____--__.�� --. ' S'1 ARC O A Tl (34.2) .
`;u7;:oL'( COUNTY DEPARTMENT OF HEALTH SERVICES
'LR1's_: 'an APPROVAL OF CONSTRUCTION FOR A
';!;vIICLE.FAMILY RESIDER 1.4,Old` TEST HOLE BY McDONALD GEOSCIENCE 4-21-2003
I . 3-006$ 0, DARK BROWN LOAM OL
DATE-,���4"'D� SLS r. ,,N'D. �.c5.. - 1 BROWN SILTY SAND SM
AP ROVED_ / t'�a i•/' e_ a 3.5'
FOR MAXIMUM OF 4 DROOMS J
,ARES THREE YEARS FROM DATE OF APPROVAL COARSE SAND
BROWNN FINE TO
D SW
17' — '‘`, 1 v
THE OFFSETS(Olt C ENSION!) SHOW HEIIFDN Fl CN THE STRUCTURIDS TO THE .....! r..S C,r,
PROPERTY LNEr ARE FON A.!'EOFIC-PURPOSE ANO use AND THEREFORE ME NOT JOB No. 03-161 FlL.E N .,': O REST WOODS
WENDED TO OUQE THE OF FT:IICQ. REUYNNO MIS.,POOLS. PADCIS, <_r a- j
RIINrrra Aa7tRON TO OLI.Sa+PS OR ANY OTTER oONHrRUOr1oN SURVEYED FOR 2a a :-:•-:,
UNAUTHORIZEDJUIRKITON CIR Aali11O1 TO MS SLAW Is A VIOLATION OF SECTION LOT NUMBER 21 --tom N C"'Entli ,-1
=XI OF TELE NW YORK SORE EDUCATION IM. - MAP OF SOUNDCREST WOODS SE .''--1 ''�n,
GUARANTEES REACATED HERON EMIL FOXI MX TO THE PEON FOR W$OY THE SITUATED AT E . MARION 2-1.u,
SURVEY N'PRF'IJED.ANO ON HIS ODYLF-TO DE TrrLE CoMI WV. oOYEiousu rAL - rrt t
MOW AND LENOP Q NSTIMION US7®MEM AND TQ THE ASSIONF}7 OF THE j �---
Loma NaRIUNON;OUARANr�ATE NOT TTWORWAI E TO AOOI1aNAL wsmuslONS TOWN OF SOUTHOLD, SUFFOLK UTI .)N.Y,
at SUBSFOUDIT OMNI
COPIES OF THIS soma Wr NOV awn mg Imo e<iH1IEY'OR's w® SCALE 1 = 40' ` -IWE x=14-003 SEAL OR -rtn LO
a Moi ° v�o TRUE FILED MAP No. 5315 DATE 6-9-1969
CERTIFIED ONLY TO: TAX MAP No. (REF ONLY) 1000-22-4-26 DISK 2003
HAROLD F. TRANCHON JR. P.C:
LAND SURVEYOR
P.O. BOX 616
1866 WADING RIVER—MANOR RD. WADING RIVER,
F .1...,_.,_,,,..(ei: 1:::- "1-14.....4,....„..t....--A,
-I /L .„.t._-A"f-• - NEW YORK, 11792
N.Y. LIC.`t+lo. 048992 631-929-4695
HAROLD F. TRANCHON JR. PENN. LIC. No. 2115-E . , .