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Home My WebLink AboutLazarides i ®�OgVEEO[��®G ELIZABETH A.NEVILLE,MMC may. .y Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 r/3 Z Southold,New York 11971 REGISTRAR OF VITAL STATISTICS p ® Fax(631)765-6145 MARRIAGE OFFICER �'� ®� Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER ®1 . www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD ® D TO: Southold Town Building Department FEB 2 2017 FROM: Sabrina Born, Southold Town Clerk's Office BU LDING DEPT. DATED: February 2,2017 TOWN HE SOUTHOLD RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4462 for a Cesspool/Septic Tank Construction Permit submitted by: Heather Sanderson for George Lazarides Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map-,of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department RECEIVED Signature FEB 1 4 2011 Dated Southold Town Clerk SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 4462 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : HEATHER SANDERSON Address 1: 180 GLORIA BLVD City St Zip HAUPPAUGE NY 11788 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. FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT-REF #:810- 16-0090 Name Of Owner GEORGE LA7ARTDES ----------------- ------------ Mailing Address 1 128 PLANDOME ROAD ------------------------------ ------------------------------ City St Zip MANHASSET NY 11030 -------------------- -- ---------- Property Address 1 1345 RUTH ROAD ------------------------------ ---- ------------------------- city ----------------------------------------------------------- City St Zip MATTITUCK NY 11952 -------------------- -- ---------- Tax Map No. section 106.00 block 7 lot 13.000 Cross Street LUTHERS ROAD ------------------------------ Building Permit Number Cross Reference: ----- ------------ ------------ Issue Date:Date: 2/15/17 EljJzabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) fF L ELIZABETH A. NEVILLE,MMC � Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 CD W 2C Southold,New York 11971 REGISTRAR OF VITAL STATISTICS %A-- Fax(631)765-6145 MARRIAGE OFFICER Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN y yDCLE TOWN VV N OF SO V THOL TO: Southold Town Building Department FROM: Sabrina Born, Southold Town Clerk's Office DATED: February 2, 2017 RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4462 for a Cesspool/Septic Tank Construction Permit submitted by: Heather Sanderson for George Lazarides Please review the application and location map and advise if this office may issue the permit. Please complete the form below and return it to me. Thank you. I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: Final approval required from the Suffolk County Health Department Signature Dated ELIZABETH Ela NEVtLLE Town Hall, 543095 Main Road TOWN CLERK F.O. Box 1179 Southold, New York 11977. REGISTRAR OF VITAL STATISTICS + } r MARRIAGE OFFICER } Fax (631) 765-6140 RECORDS MANAGEMENT OFFICER Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN r� ,p q CLERK l' TOWN OSO /7 1 HOLD SOUT OLD WASTEWATER DISTRICT APPLICA'T'ION CONSTRUCTION N or ALTERATION PERMIT CESSPOOL or SEPTIC" TANK Residential $10 or Non-Residential @$25 Application No.t{�{� -- Pennit No, \1.0 �.._�n`00 1 Applicant Nalrle Heather Sanderson Applicant Mailing;Address 180 Gloria Blvd Hauppauge, New York Septic Tank ✓or Cesspool Brief Description of Proposed Construction or Alteration Location of Proposed Construction/Alteration: Owner of Property: George Lazarides Owner Mailing Address: 1287 Plandome Road Manhassett, New York Owner Property Address: 1345 Ruth Road Manttituck, New York 11952 Nance and phone number of contact person Heather Sanderson 516-359-0873 Tax Map No: Section 106 Bloch 07 Lot 13 Cross Street _ of� f` F-5 NOTE: LOCATION MAP MUST BE SUBMITTED TTI APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY rTT E .T T+JPAI " 1�7ENT APPROVAL __ __ 1_!1_!. Signa re f Applicant Date Received by DWELLING ��•-...�' SURVEY OF a SES PUBLIC WATE 7o.zo x `v `- :DWELLING 0 O 0 USESLI ! R� A� oo.00 70 oZ MAP OF 70.53 I� Iry x �/ oFpP , aa! (z) 1tT�1 CAPTAIN KIDD ESTATES 69_91 70.06 � �0�• ',1 1 69 89 x N 7026'00 0l' RE FILE No. 1672 FILED JANUARY 19, 1949 GUY x 707020 1 1, TEST HOLE DATA SITUATE M 1? &RAt6 N R WAS posT Il l w N, (TEST HOLE DUG BY McDONALD GEOSCIENCE ON SEPTEMBER 27, 2016) MATTITUCK INLET 68 98 -- ® GPS 1 W 0.0, 000O% WA's B.5 BROWNSANDY LOAM OL TOWN O F S O U T H O L D s 1 Mti1ER _ I.0' � MPJLSoxE 1 1 G 69.07 .,::�(..... 1 11 WNXwcE '' O 1 y O PALE BROWN SILTY SAND ML SUFFOLK COUNTY, NEW YORK 69.23 1 11.8 1 t� NSE 11 1 �, S.C. TAX No. 1000- 106-07- 13 �Y l0 69_22 1 SCALE 1 "=20' Z x � �� 1 CesTooa- 1 7.0' N 11 10 ;OON 0 11 272016 BROWN SILTY SAND SM SEPTEMBER , No 68.1868.68 1 12'7°� a., —�-- 31.0' OCTOBER 21 , 2016 ADD SITE PLAN _ �r ® 1 PALE BROWN FINE SAND SP NOVEMBER 15, 2016 UPDATED SEPTIC LOCATION 10. NOTE'S. �? N • • • • �• 38' 1 . ELEVATIONS ARE REFERENCED TO N.A.V.D. 1988 DATUM •RpP ' ' • ' ' .t. ' EXISTING ELEVATIONS ARE SHOWN THUS: x 60.00 NO WATER ENCOUNTERED NE STORY •GP �° ;•,•�. 0 • • • •0 1 SSY.:.:.:.•.`.:.:�.'. 4•ae 2. MINIMUM SEPTIC TANK CAPACITIES FOR 4 BEDROOM HOUSE IS 1,200 GALLONS. o Nous • • • • • FL. ?0; °,•, .•,PRS H�$E•• • • .•••• . ••�•, 67.58 DWELLING 1 TANK; 8 dia. 4 LIQUID DEPTH vp,w X 345 O . .PROPOSE'.'\.'.'. . . .'.'.'. W'^5'•'•`•'•.:.:...•. . . . . -d-g USES PUBLIC WATER s > N BE REM E '•'•••'•'•••••' B SED f.FL. 71'50 .�::`. . . �2 1 3. MINIMUM LEACHING SYSTEM FOR 4 BEDROOM HOUSE IS 350 sq ft SIDEWALL AREA TO . . . . . . . . .j. . . . . . . . . PROPOSE ,�, LOT 01 1 POOL; 12' DEEP, 8' dia. 66.86 f., • °•,•,•, •`,`,', ,•,•,•,`,•,'.'1..- ..•.'.`.`.'.`.`.'.'.`. . . . . . . .. . . 10 x . . . . . . .. . . . . . . . . . . . . f�0�'� • • • ' • • • •`�' '.'.'.'.'.'.'.'.'. . . . . . . . . . . . . . . . . PROPOSED EXPANSION POOL DWELLING 4 a9;ej • •.•.•_•.•.••••• , > . . . . . . . ° e . . ! ®`' Ix0 USES PUBLIC WATER ;� • • • • • ° • . . . . . . %g 0 rL° Tt o_ j. . . . . . . . . . . . . �,•• i �7a.1 •'•I•'•'•`•••`•`•`•• ` �fi:�:�: � , Q 0 < 0 PROPOSED LEACHING POOL 0 1A sT ••••1••••�•°••• °:'i � In - 0 0 LOT 199 1 GA Ac . `�'.'.`.'. ".".`. Pkilo ""`,+ 1� � 0 1 . ;° •.•.• �� LOT 200 %9 PROPOSED SEPTIC TANK FE 7'S 1 65.24 x THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD 5iSTORY 65_15 Gb) C S _ S°NG y x 1 c rfv �t i OBSERVATIONS AND/OR DATA OBTAINED FROM OTHERS. —� —_ x 0 �H U. 1EXISTING SEPTIC SYSTEM STRUCTURES SHALL BE PUMPED CLEAN AND I T°�MG�O * REMOVED IN ACCORDANCE WITH S.C.D.H.S. STANDARDS. 1? I DRAINAGE SYSTEII� CALCULATIONS° t c°� - 0- > NOTE: LOCATIONS AND EXISTENCE OF ANY 65.38 x 1 ROOF AREA: 1,784 sq. ft. 1 €L. fall _ 2 &td SUBSURFACE U11UTIES AND/OR STRUCTURES $" I 2,461.5 sq. ft. X 0.17 = 418.5 Cbl. ft. % < � � Lei NOT READILY VISIBLE, ARE NOT CERTIFIED. m 418.5 cu. ft. 42.2 = 9.9 vertical ff. of 8' dia. leaching P require utr® , ' 4 THIS sulzvEr Is suBlEcr To ANY EASEMENT PROVIDE (2) 8' dia. X 5' high STORM DRAIN POOLS Dy�, SURVEYING U $NT OF RECORD AND ANY OTHER PERTINENT FACTS ,c ��# � 9"" METES�� AN j,J BOUNDS S lJ R V E Y 11� � WHICH A TITLE SEARCH MIGHT DISCLOSE PROP ED 8' DIA. X 5' DEEP DRYWELLS FOR ROOF RUN—OFF ARE SHOWN THUS: ® (a3 22 AMERICAN AVENUE "UNAUTHORIZED ORVEY�IZ D BEARING CENSEDDLAND SURVEYOR'S I ® x _ CORAM, N.Y. 1 1727 SEAL IS A VIOLATION OF ARTICLE 134, SECTION 7208,SUBDMSION 2, OF THE NEW YORK STATE 0 PHONE (631) 736-9350 EDUCATION uw 0. 0�� x� , 54.h`cwE.. �b ® .;•vo�� fY FAX (631) 736-9350 not from the original of this survey map Ab Tt C) �OT�j Oa E iistin°.�s 9a`�a e 9 w ar& !a �E "M" G �• not marked with an original of the land v .. � � o-1�,a � i � � ti," x surveyor's inked seal or his embossed seal 0 b ancc��r t t,,cr-t�.,aaa..aent n.,upaire-men Submit � x 6 LOTS: 13 BLOCK: 07 SECTION: 106 DISTRICT: 1000 shall not be considered a valid true copy." Certification indicated hereon signify that complete o W1%W _ as Proof. MAP OF: CAPTAIN KIDD ESTATES this survey was prepared iaccordance with the existing Code of Practice for Land Surveys adopted by the New York State Association of Professional Land Surveyors. Said CP I 9 SITUATED AT: MATTITUCK INLET certifications shah run only to the person � ', for whom the survey is prepared, and on his 1 1®®®42 1 TOWN OF SOUTHOLD SUFFOLK CO , N.Y behalf to the title company, governmental y�1d \ agency and lending institution. vs. 64.778e RAtL�C Certifications are not transferable to P05t ! !! additional institutions or subsequent owners." Rte' LOT 01 6�e 40 �� AREA = 1 4,917 sq. ft. CERTIFIED JOB No.: 16-224A DWELLING 0.342 OC. TO DATE: OCTOBER 21, 2016 VACANT LOT O2 USES PUBLIC WATER