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_c /�,%�SOFFOL,jc ELIZABETH A.NEVILLE `1'�h� OGt Town Hall, 53095 Main Road TOWN CLERK o P.O. Box 1179 y = Southold New York 11971 REGISTRAR OF VITAL STATISTICS 1 MARRIAGE OFFICER :‘k � � Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER _�Q! �a0�,• Telephone (631) 765-1800 lig FREEDOM OF INFORMATION OFFICER ,��� 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. 3073 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 ONE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #R10-00-0123 Name Of Owner VAZQUEZ, DON & JEAN Mailing Address 1 46 ROUNDABOUT ROAD City St Zip SMITHTOWN NY 11787 Property Address 1 2360 NORTH SEA DRIVE City St Zip SOUTHOLD NY 11971 Tax Map No. section 54.00 block 5 lot 1.000 Cross Street HORTONS LANE Building Permit Number Cross Reference: Issue Date: 9/08/03 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) 3b73 ,/�,,o�OS�FFOLA►co ELIZABETH A.NEVILLE �0 i`L` 4-`� Town Hall, 53095 Main Road TOWN CLERK 1 p � P.O.Box 1179 REGISTR OF VITAL STATISTICS � yy. Southold, New York 11971 MARRIAGE OFFICER O Fax Fax(631) 765-6145 RECORDS MANAGEMENT OFFICER =4* at). / Telephone (631) 765-1800 FREEDOM OF INFORMATION'0-- ICER = 'e :01 southoldtown.northfork.net _...�' - moi' 5 V, . AUL L 1\OFFICE OF THE TOWN CLERK\-----;..\ 1` .`'.. 3 T TOWN OF SOUTHOLD � TO4Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: Transmitted herewith is a copy of application No. 3203 for a Cesspool/Septic Tank Construction Permit submitted by: ' Don & Jean Vazquez 1 I 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. 3 i Linda J. Cooper E t * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE I/ DISAPPROVE Comments: � ' / / , i i V K Signature , 1 e l‘if .7 1i t 1. • ,odes,....•••••;•. �$6. ��� 3[/(C Application No.3 _____2.3 OtiICE OF THE T015'I:CL�E�} .� C� O/ 'h, TOWN OF SOUTHOLD OLD L ��� � .` 4 'o k,(i���J Construction �?J�y!a P.t.BOX G,TC15t�C� h. 4��. � ,R1 1 J `i • �' i o.O.gox!!79 1 = w ,�ti ,I,•1' , vrIr+ = Alteration SOUTHOLD,NEW YORK 1197! 14. yam ' el, A ,,�0- 4, . $10.00 - Residential Telephone f�0/ ) ' ����• $25.00 -Non-Residential (51 6) 765-1 801 .fir„i TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT - APPLICATION • for CONSTRUCTION or ALTERATION PERMIT , SEPTIC TANI< or CESSPOOL Permit No, Fee .$ DATE , - 0 • g. APPLICANT NAME : ......__...... Z-OUMA-S-...j TF.-3- .{GC-$ftP• • :;:::p,p,;,Box 361 APPLICANT ADDRESS: � adiii� }� ivert�lY i1-79 SEPTIC ,6 CESSPOOL___ • DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION 2.1.- Pi MikAle b ,x_i Q___I t.,__,!_ . LOCATION MAP: Must be attached hereto before permit may be Issued. LOCATION OF. PROPOSED CONSTRUCTION OR ALTERATION: ' • OWNER OF PROPERTY : Ii:)O N AQP LJ 2�ug z-. OWNER MAILING ADDRESS: _ I y SND d L. , ' A OWNER PROPERTY ADDRL� D0 No Fro serA- De/ Ue_.. TELEPHONE NUMBER OF CONTACT PERSON : ,Qg- m TAX MAP NO. : Section _S-9 •____,__Block 0 • Lot____. ,..__QL,,_•^.____.. .. • CROSS STREET : X-70 S -•4'`” . BUILDING PERMIT NUMBER CROSS REFERENCE: • . , • -.0111111,'` ignature o - • .--.. can'C' '' 77--- -i, . : .; RECEIVED BY : JJlerl<'s Office • own ' q ' DATE: Z' d3 , - ' / `L SURVEY OF PROPERTY ' 1 4c4tir �� SITUATED AT SOUTHOLD , * „....., - t . TOWN OF SOUTHOLD ' ' NEW YORK SUFFOLK COUNTY, S.C. TAX No. 1000-54-05-01 /i SCALE 1"=40' OCTOBER 14, 1999 /okyJ ,, -,0 qr NOVEMBER 15, 2000 REVISED PLOT PLAN v �oT� �� / Lei eo,C6�� ' ,SSS•/NS'•�'R SUFFOLK COUNTY DEPARTS OEHEALTTHSERVICES MAY 10, 2002 REVISED PROPOSED HOUSE v T. �� L� -Yr �o�� p8 4r/T JULY 26, 2002 REVISED SITE PLAN �� ^� o pp,, SEPTEMBER 26, 2002 REVISED FILL CALCULATION C.;) FOR APPROVAL OF C1�1'dj�'�'+J 3© FOR JANUARY 9, 2002 REVISED LIMIT OF CLEARING LINE O �r / v o Y -a1��4- / ^. �/yi iJ :9 S >LN s PLd b'.5. 1 T L"� ONLY AREA = 24,822.79 sq. ft. ���� ° �� / �_ , - 9 89 ( 10-00-0(23, //�� 0.570 ac. y' Qo° - /� O 8 ? 1 V ISS REF.i�O. �� . 7 so .1 4 , ,. •j� / F 88,roe._ �� \ � CERTIFIED TO �� �� �' / ••, I .:•.. \ 640 J tr , •• - • J. VAZQUEZ :: �P ` , , ;"T OL, AAle s AP /� I'. '_%(�, APPROVED .._. - _ _._ ,�. JEAN C. VAZQUEZ 'C/ s • c S4'� J�j 'f tP''''2 / 1440 �`'C4-<' )- Fo Ago x45• ieJ '',t, FOR MAXIMUM OF B..,-%•0►. S q :,�, <.&,, 104 SSO 40g�rCr,o { ` � / 11 Q� o ,0' , `k4 , '- . is pp,, MIRES THREE YEARS FROM DATE OF APPROVAL 8 5J ,0 un'T'IPs 2 4 � � U�� / /b 1- ELEVATIONS ARE REFERENCED TO N.C.V.D. 1929 DATUM �J,`4,�° ":( - �-Q•� ?• •,�Qr�-rY !- { / 0d rl , EXISTING ELEVATIONS ARE SHOWN THUS: i 0 - oy� W OP ( V , • O �' • EXISTING CONTOURS ARE SHOWN THUS: - 5 , _t}t' 9 PROPOSED ELEVATIONS ARE SHOWN THUS:I1 4 e('));.`'P Q / or,,,, / \� i ,II % , ' PROPOSED CONTOURS ARE SHOWN THUS: 0 �.J � • Q _ _ - > / -•" 2. REFER TO FILED MAP FOR TEST HOLE DATA. e� ,b ' Q 33 �• P; 1, di�� r1 i - 3 /` ' CR v,,,0 3 SEPTIC SYSTEM LEGEND y 4f\ ��� W • e °��`/ '�`,SQ��`<l � .'•e �, -• _ • 1, / 1`317 .OIL. ''41, PROPOSED EXPANSION POOL O d- A/(q`hP .-"0",, /.',y� - .�i,' �?p r ,I, / l 1. 'NNN %PROPOSED LEACHING POOL ,o-i o .IO'' p,� as _"IL."P^ ��'''j;I -Y/ _ �O• _ p� uu[,'' Nt. ®PROPOSED SEPTIC TANK ��9e , S '' L �al �� •I�!' 4. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD ,W O,„, a F?; a-�`.. - Sso /y =J �� - / \ OBSERVATIONS ANO/OR DATA OBTAINED FROM OTHERS 1l, (_/�_,r ` � egC3._-� A L- 1 , 5. THIS PROPERTf IS IN FLOOD ZONE AE (E. 11). AS SHOWN OH @�;' ,hok. T(N/NqA / I . - �� C FLOOD INSURANCE FLOOD ELEVATIONS RAFE MAP No. 361 03C0154 DETERWINED G i vd O O J 6. TOTAL UPLAND LOT AREA = 23.330 sq. ft. • N - ~ 1 . , AIL G� �' BUILDING COVERAGE = 1 770 sy H. OR 7.59% OF TOTAL UPLAND LOT AREA. LA, Obi A aQmm Y O� DECK & STEPS COVERAGE = 1,076 sq. N. OR 4.61% OF TOTAL UPLAND LOT AREA- TOTAL COVERAGE = 2,846 sq. ft. OR 12.20% OF TOTAL UPLAND LOT AREA. • \�estu �.��- 9y rO0 - f,-.1- N !' .11l. \OI'VyO��' P� 7. PROPOSED DRYWELLS SHOWN 7HU5:� if. /� �fy' • - ! o 41 ,(;. �R 8. 2501 cu. yds. OF CLEAN SAND FILL TRUCKED IN FROM AN UPLAND SOURCE WILL BE � .G, !�/��rd'J s - - 1!2zoz >�� 0,1' S�'Oy1`v�S NEEDED FOR THE PROPOSED SEPTIC SYSTEM. • PREPARED IN-ACCORD NCE W THE MINIMUM "'9 - 4. S \�' z° TEST:::: DATA Si K.,aft_c 1SWZ� ESTABLSHFD S >y - 4 ,,� 0 �. �v4,,\ ,���yy.Z L1ALS-MAD"A”. AND ADOPTED off'- - o (TEST HOLE DUG BY McDOCIENCE ON OCTOBER 8, 1999) /F1RlS E-BY�iE. �I,,YORI< STATE LAND G(L2 •, p QQ i,`1RL� 1 `; 78 °tl <,1- f�`r ELEv I�[,�``CI/.{,,'•_ NlCi. eT}// (,�(�'\1 Q 4��� � _ _ ZYG as' 0' MIXED SAND ANO LOAM /� ' ` PROPOSED SEPTIC SYSTEM DETAIL 1fZ 1�� -,%t'q; I ! HOUSE (NOT ro SCAtE) ;.+r. _ _ �f s..:/�4� r�l: `/ $:,,,., S ! I � t �v .LLD: FwsH cPADe :::-.:::-.1..--;:-.-:?" c r, A' ' FSS,p,t,`, 1 - ..,I m4��EELEV E7FI 9 9' '....j',---1173. PALE BROWN NEDtUM TO COARSE SAND O� 7 M � ..,•:,,.7.5"�f WR}1 tax GRAVEL SP \/1 A/ ` --I' MIN. TOP EL 38' �j J, • TOP 2 94'` 5-7 !1'Ns! : •. am_ s��z�j i '�,JJ��",./-,:''' Y•./ / y �r}I, INN.i"DK _ ELEV.0 s -?5.:.~_- ]7 • -�''� A11,,1� `�'//i' .� IN✓sV rain 4 PITCH APPROVEDI I T5µ min Pr IPROVED�9%1' CNV POOL 48' �I' l IN -� COLLAMINNIMIMR d N Y,S L c. No. 49668 - -- UNAUTHORIZED ALTERATION OR ADDITION "' -, -_ EL 9 41 BiV EL I-�Z I m ----- -- TO PIPS SURVEY IS A VIOLATION OF .T I-9''—i 49• 6 F ' ,�a•—?--f Ie'y+-� f[ "" i� SECTION 7209 CF THE NEW YORK STATE - - JoseAg�y� y��� EDUCATION LAW DISTRIBUTION POOL LGItOUNU WATER WATER IN PATE BROWN uED1ou TO COARSE ■ �• �^ COPIES OF THIS SURVEY MAP NOT BEARING s POOL SYSTEM DOT.El. 28' THE LAND SURVEYOR'S INSEAL OR O-W as Land Surveyor Pw. !momSAND WITH 10X GRAVEL.SP • EMBOSSED SEAL SHALL NCO BE CONSIDERED RI, BE A VALID TRUE COPY CERTIFICATIONS INDICATED HEREON SHALL RUN SEPTIC TAMS_11) ONLY TO THE PERSON FOR WHOM THE SURVEY I ACNINLJM SEPTIC TANK GPAt3aE5 TDR A t 3 eEr;OoM Houses 1.000 GNLrws LEACHING POOLS (5) �� IS PREPARED,AND ON HTS 9"}W-F TO THE t TANK a•1550 a-3'WEE.s'-Y DEE Title Surveys - Subdivisions - Site Plans - Construction Layout TIRE COMPANY GOVERNMENTAL AGENCY AND z. 5HAVE A �ce+iPRtSSF•e sTTaNcni of 3.000 nI AT za pAYs 1 LF5 POOLS.ZK•n�eS FCR A I TO 3 aWROOM HDusE 5 300 aS rt SODENALL AREA TO TING 'SSGNEES LISIcU HFP.EDN,AND 3 MNL THICIe 9LYL BE A ICNu4M OF 3'.A TOP;NCKSESS OF a'ANO A BOTTOM T er.XNESS CF C IIIMMI TO THE ASSIGNEES OF THE LENDING I SFEB N_WALLS.BOTTOM AND TDP WU.L,7,NIAAN RETFDTENG TD R•9ST AN APPLIED FDPCE OF 300 Par 2 LEACHNG POOLS ARE TO BE CONSTRUCTED OFT 5ASr REI.FORCED OONCTME(OR EQUAL) YUKON C£RTIFIGTIOFS ARE NOT TR4NSFFABLE 4 ALL JOINTS SHNL SE WALED SO TPAT THE TANK IS ILL LU.CER.0 STRUCTL?r5.of DOMES ANDOOR SLABS ' PHONE (631)727-2090 Fax (631)727-1727 3 ALL covens SHALL se aF PRECAST�No-vacED CON.CPETE(OR MAO 1a' 5.THE SEPTIC TANK SHALL T& NSTNIED AT LEVEL IN ILL DIRECTIONS(YOTN A VAX TOLERANCE OF We) a A IO'ma,DISTANCE 9Erv!cEN LFJCfffiVD POOLS Alio WATir2 LNE SHALL BE WVMAIhED OFFICES LOCATE/AT MAlUNC ADDRESS THE EXISTENCE OF RIGHT OF WAYS A s as n cc rPACTED SAND P<A w 5.AN a'm+,.OtSTNNCE BETwfFNLL r ALEACHING Poi AND SEPTIC TAM<99.1 9E MAINTAINED AND/OR EASEMENTS OF RECORD, IF Ti A IO'min.DsrANCE 9ETWEN SEf'DC TANK ANO HOLE SHALL BE MVNTAdiED 1380 RO LAVENUE PO Box ox 1931 ANY, NOT SHOWN ARE NOT GUARANTEED. --- �, nn? RIVERHEAD. New York 11901 Riverhead, New York 11401-0965