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ELIZABETH A.NEVILLE � �� y� Town Hall, 53095 Main Road
TOWN CLERK o - P.O.Box 1179
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Southold,New York 11971
REGISTRAR OF VITAL STATISTICS V 0
MARRIAGE OFFICER %.-_444,
?,iL �����, Fax(631) 765-6145
RECORDS MANAGEMENT OFFICER �__ ® , Telephone(631) 765-1800
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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. 3089 R Residenti-al x Non-Residential
Fee $ 10.00 Septic x Cesspool
PERMIT ISSUED TO:
Name : SCHEMBRI HOMES INC
Address 1: 102 SANDPIPER DRIVE
City St -Zip RIVERHEAD NY 11901
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 #R10-03-0063
Name of owner GERAZANIS, STALIOS
Mailing Address 1 " 58 SURREY ROAD
City St Zip NEW HYDE PARK NY 11040
Property Address 1 550 TASKER LANE
City St Zip — GREENPORT NY 11944
Tax Map No. section 33.00 block 4 lot 41.000
Cross Street SUTTON PLACE
Building Permit Number cross Reference:
Issue Date: 10/20/03 Elizabeth A. Neville
Southold Town clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE ,�h`Z` 6Od\ Town Hall, 53095 Main Road
TOWN CLERK p P.O.Box 1179
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Southold,New York 11971
REGISTRAR,OF VITAL STATISTICS
:15 14 Fax(631) 765-6145
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER ��,f o�i,�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = ' * NY southoldtown.northfork.net
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OFFICE OF THE TOWN CLERK ` ((5��
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TOWN OF SOUTHOLD
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TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: September 23, 2003
Transmitted herewith is a copy of application No. 3223 for a Cesspool/Septic Tank Construction
Permit submitted by:
Schembri Homes Inc
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
* * * * x
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: >_ __ _4110 -
Signature_ t‘pc -e-‘.
/2 3
Dated
.OFMCE OF TICE TOWN CL7RX
TO WN Or SOUTHOLD �Qc�VFFOI�'��G Application No.`2
2-23
fUBE7
ELH A.NBVILI E.TOWN CIRRX CY
P•0•BOX 1179 Construction
SOUTHOLD.NEW YORK 11971 p rT"ti Alteration
Telephone �' $10.00 -Residential
.s(63t) 765-1800 --4 '.. ' $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 9C../ •
APPLICANT NAME: Alkdi
APPLICANT ADDRESS: tem. I_ Lir226
SEPTIC CESSPOOL
DESCRIPTAJv
OFPOS6�ONSTRU�I9N�ORALTERATION
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LOCATION.MAP: Must be attached hereto before permit may be Issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: y- c
OWNER OF PROPERTY: �
OWNER MAILING ADDRESS: U ,fir ;r /� /
J - "O
Erffly
OWNER PROPERTY ADDR S 04- i
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TELEPHONE NU MBE 0 CONTACT PERSO �� .11-4c-
TAX MAP NO.: Section 3 Block Lot �' I
• CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERE CE:
�- Signature of Applicant
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RECEIVED
C� ^mac. "own er s 0 Ice
DATE: 4 Z. L
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f1;
, tiese SURVEY OF
1 `���*-V`�_ LOT 29
c� 4G�y -`i*."., MAP OF
LST Os �� 9 EASTERN SHORES
00 `d,'•giE-• '`' FILE No. 4021 FILED APRIL 27, 1964
O/FppAS \...
c 0 oo P� \. SITUATED AT
115 p N��� co 516 k i GREENPORT
JO 0•It e cs* \�.S `k. TOWN OF SOUTHOLD
04- 0%.‘.5-,141. •1% �.. SUFFOLK COUNTY, NEW YORK
1 ^ 'O, S.C. TAX No. 1000-33-04-41
I SCALE 1"=30'
/ O' ��%cF F,.'.c,- a APRIL 2, 2003
15 / r sc.
c
c. + / 6t` `� -- / ° s °2��°E o AREA = 15,000.00 sq. ft.
s i c \ N \ " °G Ta
'a� G \QE ;41,‘2,=-_ __,-,Z."._ y° s'c^ a „_op, v.;:', c 0.344 ac.
G.Tn a �'�, Joao P =. _ �;� m� \ 0G. -a • a ��
y SI Sq 1 \c0 e
1 - _ '� p O F `� CERTIFIED TO:
r^ 'e 7/' _-_.— `� ..__.._.._ ?2Os c� •
rr �r STELIOS GERAZOUNIS
marrimn_` It3�LfI= \ c^ 21-0 � �O No 61t- y�
ON\
Ac
13
13'
O = IaIlarTHW pts• Epi-eUL
�d. 50 7 !M MOly NO1. ELEVATIONS AREENC
\ '' E TIONS REFERENCED TO AN ASSUMED DATUM
----`
L \ \ O V cosmic ELEVATIONS ARE SHOWN THUS:50 Q
O; y0 \,\ ' -+w..� _---\ cE 2. REFER TO FILED MAP FOR TEST HOLE DATA.
7a •(�' VI \ !rY�A2W/M� _ f��`11• 3. MINIMUM SEPTIC TANK CAPACRIES FOR A 1 TO 4 BEDROOM HOUSE IS 1.000 GALLONS.
\ ""'� - / y1\ 0- , I TANK; 8' WNG 4'-5' WIDE, 6'-7' DEEP
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-(5).. • . \° Oaf t 0 4. MINIMUM LEACHING SYSTEM FOR A 1 TO 4 BEDROOM HOUSE IS 300 sq ft SIDEWALL AREA.
,� �W■11 1 POOL: 12' DEEP, B' d10.
(7 4 c^ BYcp_ O / 4 a0- .4:::1 PROPOSED EXPANSION POOL
44.144.
- - IQ?,
......—_
,( C3 e- .o BVI
PROPOSED LEACHING POOL
.y0 .�' Yy y COUNTY
v1' Z1�a,t^+ y-�LTS�A �,�-T C� T �/�
i _ \� e ri 30 51Jn X0.LSL 1.\!C.'ltl 1 DE. M SaY ril:,ati �, d HEALlri O V1C S (//� PROPOSED SEPTIC TANK
' , - e- Ipit
��* 5. THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD
�� - o Yp ift P A a��dL1i.'IR FOR i PROV AL OF CONSTRUCTION FOR A s. ZONING USE DISTRICT: R-40
OBSERVATIONS AND OR DATA OBTAINED FROM OTHERS.
00 \ ,, \N E�gL k,,`kG•c i NGLw FA :' T T! DEN ONLY
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\ ���'S ‘50
e� DATE •
5:4444_ HS REF.NO - o-O -oo4
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\T-k S r�PPL O -4411a.,411116,-54106-.A.__ � a, ADOPTED
x' r 2 , r '� _ -.._._.._. _._.-- . - .. 7.,,4100:14.14..-:=:-.� .�� � YORK STA1E LANG
.-. -`��jc°y�, ��, FOR MAX r UM OF EE ,,e.i MS '0 Off. ^ 1
<�, EXPIRES THREE YEARS FROM DATE OF APPROVAL �Ir, ' i ` ;i-
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•9 vi)�� /": N.Y.S Lk. No. 49668
<</ ,fl UNAUTHORIZED ALTERATION OR ADDITION
C� ' TO THIS SURVEY 6 A VIOLATION OF
-Pt, •C EDUCATIOCTION N09
THE NEW YORK STATE Joseph A. Ingegno
t� A COPIES OF THIS SURVEY NAP NOT BEARING
��ryry rrttA : 7 'llitSVM ?'3+,:10 EMBOTHESSED SEAL SHALL s r�BE CONSIDERED /� Surveyor
57 I17)t{ �� ;!x t{ ',2 •.' a '� TO BE A VALID TRUE COPY. Land
u
SUTTONCERTIFICATIONS INDICATED HEREON SHALL RUN
S cSURVEY
-PONLY TO REPARED.PERSON HIS BEHALF TFOR WNW-S
IS-PREPO THE
• y 1JA L 63E FI UU TIRE COMPANY,COVERNMETJrµµ,,AGENCY AND Tale Surveys - Subdivisions - Site Pions - Construction Layout
LENDING INSRT1R10N LISTED ENDO G-AND
TO THE ASSGNE'ES OF THE LL7fDC/O NSA-
I 1 @`t n O^ t+ TIMMN.CERDRCARINS ARE NOT TRANSFERABLE. PHONE (631)727-2090 Fax (631)727-1727
S f�i il� ,J J THE EXISTENCE OF RIGHT of wAYs OFFICES LOCATED AT YAC ADDRESS
AHO/OR'-F„ASENENIS OF RECORD, IF
ANY, NOT SHOWN ARE NOT GUARANTEED. 1380 RO¢NOKE AVENUE P.O. Box 1931
RIVERHEAD, New York 11901 Riverhead, New York 11901-0965
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