HomeMy WebLinkAboutPanagopoulos ' ,���,®�®SUFFO1�0
ELIZABETH A. NEVILLE ����° 4 yd;
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ELIZABETH A.NEVILLE �� S ; Town Hall, 53095 Main Road
TOWN CLERK c9 - 2 ; P.O. Box 1179
vv. fit t Southold, New York 11971
REGISTRAR OF VITAL STATISTICS : el",,_ �� Fax (631) 765-6145
MARRIAGE OFFICER .� �, o1
RECORDS MANAGEMENT OFFICER �,_ ®: #0 ° Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER •_ „����,,r��� southoldtown.northfork.net
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1 OFFICE OF THE TOWN CLERK
LLi
; :; JUL
2002 TOWN OF SOUTHOLD
T Ten,°"-``Soiitl alct:To uilding Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: July 15, 2002
Transmitted herewith is a copy of application No. 2959 for a Cesspool/Septic Tank Construction
Permit submitted by:
Sonia Panagopoulos
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
C _ 7 / \
Comments:
'
/lei �, - .
____27/4.4%11
Signature
t5 7A/0°2—
Dated
OFFICE OF THE TOWN CLERK � ,,,f,,,iiiiii,
�
TOWN OF SOTJTHOLD . C.`�OLKC C
ELIZABETHA NEWT LP,TOWN CLERK � � OGt Application No. ��4j
P.O.BOX 1179
Construction 1.-/
SOUTHOLD,NEW YORK 11971 ; Z
n Alteration
Telephone .`1*' 1�� $10.00 -Residential V
(631) 765-1800 = 0.� ilk g�
0 $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 �� L'
APPLICANT NAME: -
APPLICANT ADDRESS: VI ° ' O�
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION Z -e-CON\ l kulnR
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: C� `C`
OWNER MAILING ADDRESS: ° t
OWNER PROPERTY ADDRESS: 1 j \ Q
TELEPHONE NUMBER OF CONTACT PERSON: L)c _ �\r 0 c O °
‘'
TAX MAP NO. : Section Di° Block 01-- Lot -(� � '
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
Signature of Applica t
RECEIVED BY: fZc,
Town Clerk's Office
DATE: Io'--
,.
' ,1
t
40/ SURVEY OF
vLOT 122
N
/S44 ND IN
S\V MAP OF PEBBLE BEACH FARMS
5g•
36' 00» E ND
SITUATE
N
CO ' EAST MARION,
vi Az*• . TOWN OF SOU THOLD
co
ro SUFFOLK COUNTY, N. Y
CNI
`,- / SURVEYED FOR
: c= w--
` \ o n PETER PENTAGOPOULOS
.•.a •_ , \ \ 6�0F SONIA PENTAGOPOULOS
\r.
`!'" " r \'
' \ \ ZONED R-40
.,._ L.-, \\\1\12\la,,--,_-
----.
\
, \� �
` 7-0• '\`42\ �"�
11/ • . , .
\ •,'► 4
64--gyp.\54\2= \�\ FOR S.C.D.H.S. USE ONLY
\ \
,A4 ‘.44 : LOT 123
COgsT44 \`
LOT 121 j EROS�oy ,�,
4R,
Z NE
NOTE ELEVA770
IN THIS AREA I a ,
UNKNOWN I t 1:7 _ :r " '1
p '• 62 ; '-e ; ,
64 I o °i? 1 � `�'
C
I B0 :
I w r _;� ; 1 i=„
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; s 3 ` .1 <P
f
1! " 5 {`° — 1
Vi,i P Y j '•
1 _ `
,� P'OPOSE t3,? 10 V E ' _Q
h ''e :r; r� 2 o y
12 5 BEDf OQM
RESIDEN /l '=r � w-
vNDER`/ 7.5'MIN ':4� 6 t ti
LC) '� �5 W V\ Aq0 ,i9 1
0j PROPOSED I W>. {'.6." U.;
N 1500 gol O� o0 1
STANK O O0ti- ,...� u--�:
N k R, C' :
56 . - FROPO'S'f16'X8!----\58____.?.; N f���4�� :-`
ESS-EWLS N 770
`\ P-F�OPO.sED rri _� 17 , ,ryes~ ` i}y'y'o.„ TM 1000-030-02-70
CM ----, 30Z-EXP_ANSIUM-� d �' • ' b- ° 'Y ' o' 11.1) FM # 6266
S 6�• 43.�- ` O ���� , FILED JUN. 11, 1975
72 2 `tl'i '
2 R=20 00' �U
�y� y�` M r/ A=3/ 42' i� SURVEYED 11 OCTOBER, 2001
• 5�9 •86' E_'/` E ' SCALE 1"=40'
5//?4/A--;`• AREA (AS PER FM)= 28,099 SF
7 " O OR
0.645 ACRES
53.6
GUARANTEED TO
• PETER PENTAGOPOULOS
SONIA PEN TAGOPOULOS
ELEVATIONS SHOWN ARE
IN 1929 NGVD.
TEST HOLE #6 DATA
PER FILE MAP 16266
FILED 11 ,VNE, 1975
r EXISTING GRADE
\y �\ TQ'SOL
— —aJ' ,
CLAY&LOAM
GUARANTEES INDICATED HERE ON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
— —m.o. IS PREPARED, AND ON HIS BEHALF TO THE
FINE s o-aAY ARE COMPANY, GOVERNMENTAL AGENCY, SURVEYED BY
LENDING INSTITUTION, IF LISTED HEREON, AND
— —2ao' TO THE ASSIGNEES OF THE LENDING INSTITUTION STANLEY J. ISAKSEN, JR.
D
�A GUARANTEES ARE NOT TRANSFERABLE TO
ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. P.O. BI)X 294
NEW S IFFOLK NY 11956
UNAUTHORIZED ALTERATION OR ADDITION TO THIS 631— 34-585 /
SURVEY IS A VIOLATION OF SECTION 7209 OF
THE NEW YORK STATE EDUCATION LAW. F/
COPIES OF THIS SURVEY MAP NOT BEARING I NS ' Dw-UR
THE LAND SURVEYORS EMBOSSED SEAL SHALL NYS L/ N y. 49273 r
NOT BE CONSIDERED TO BE A VALID TRUE s
COPY. 01C1Si4