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Halkidis
ELIZABETH A.NEVILLE,MMC ay® �� Town Hall,53095 Main Road TOWN CLERK ® P.O.Box 1179 COD Southold,New York 11971 REGISTRAR OF VITAL STATISTICS b Fax(631)765-6145 MARRIAGE OFFICER �'� ®Q' Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD D [RQR00Y[R DTO: Southold Town Building Department APR 1 4 2017 FROM: Sabrina Born, Southold Town Clerk's Office RIJILDING DEQ; DATED: April 14, 2017 TOWN OF SOUI'HOLD RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4475 for a Cesspool/Septic Tank Construction Permit submitted by: George Halkidis 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 D,q5-/- o� Dated �ps�FF0Q, o ELIZABETH A. NEVILLE Town Hall,63095 Main Roa. TOWN CLERK ( p P.O. Box 1179 `w Southold, New York 11971 REGISTRAR OF VITAL STATISTICS %y MARRIAGE OFFICER O Fax (631) 765-6146 RECORDS MANAGEMENT OFFICER y�f�� �d� Telephone(631) 765-1800 FREEDOM OF INFORMATION OFFICER so utholdtown.northfork.nef OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residdntial @$10--V—/or Non-Residential @$25 Application No. Permit No. K1 _ I -00'57 Applicant Name l'E-O�L( L' Applicant Mailing Address - Septic Tank. or Cesspool Brief Description of Proposed Construction or Alteration_ !6'L nJ l t-i- (;"LLj L-�oNt� Location of Proposed Construction/Alteration: Owner of Property:_ 6Le;bs -}�4L Owner Mailing Address:—%- '77 Co Owner Property Address: 10 00 PSN Name and phone number of contact person l'EbL .RL1-- k� C(0 _-5 -' I L+(0 3 Tax Map No: toev Section 1 Block Z Lot _ Cross Street �r V),fAAJ NOTE: LOCATION MAP MUST BE SUB TED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY ALTH DEPARTMENT APPROVAL Li /I SignaI6 plica--n-t- Date Received by: J 9301AWS "OYFAN 9109 9 1i )NN 5U RVEY OF LOT 25 CMAG03M N ON A CERTAIN MAP ENTITLED "GREEN ACRE5 AT ORIENT' FILED IN THE 5UFFOLK COUNTY CI ERK'5 OFFICE ON W E APRIL 13, 1962 A5 MAP NO. 3540 51TUATE: ORIENT TOWN : 50UTH OLD S 5UffOLK COUNTY, NY 5URVEYED 05-05-2014 PROP05ED ACTION5 08-13-2014 UPDATED 03-30-2015 AMENDED SEC, INC: 01-26-2015 MAIN HOUSE INVERTS PROPO5ED REVISED 08-21 -2015 5%SLOPE MAX NOT TO SCALP 20'MIN FROM LOCQNG CAST FF ELEVATION 14;7 PROP05ED REVISED 03-14-2016 + HING POOLS OVER TO GRADE 5%SLO MAX GRADE EL-12.0 5UFFOLK COUNTY TAX# r•M;N-�, INV-t03 INV-11 �7 INV-9 6 1000 - 15 - 2 - / ON INV-9.8.PER�T i!4'PER POOT ODM z3•ie. 1000 PTIC TANK D�tP�eufloNi'oa SEPTIC TANK CERTIFIED TO: 3'MJN. — — — ..... —GRQDND WATER-U Z GEORGE HALKIDIS WELL f ... SUFFOLK COU-41Y OG?AR7'h1EN OF HEALTH SERVICES APi'ROVED~TN1CA;�Ci #i-$� l4 REVIEW DETERMINATION DATED I� .ERMIT FOR APPROVAL Or.CONSTRUCTION FOR A O r31NGLL•: FAMILY RF IDRAICE ONLY LOT 27 �ExOAVAl10N 1 EanON FIEWRIED FOR Nl ARY SYSI IY DA q�L3�I�' EF. 10-I 'fJtq 7 uwt=tt R BY HEA DEPART NT - _ SFPTIc IN� AP ROVED FE. f `�� EI.�b 2' FOR :Ax{1t!l1Lf OF._.14 BEDROOMS -� - ° 1 50ttE 1rE. 0.4'N �..----- -T—� e.P_. L P. Lp EX ,IRETHREEY RS-FR(�i►1 DATE OFAPIL �� -R Ow 20' MIS �P 4P. LP • L- A�ALE AND O SILT FENCING STOOP / �`Q PROp`c - .0 o ;o �.w `� �o �`SEPT 1 CA /TopSolt 1 O �a.a/ N 7,a - Z -STOCR�FPAf� o' / / / / is \ I O M G i�it O OO 5F N� / I S T z - r `-c 6 n/ iv� PROPOSED cr I �q r" v - y O 100 2 STORY / Z.a < I r� tf� 70 or � t�f+"13 / '4 gEOROOM ` - ' a- olio S Z O r -iz a 2 a FRAME ri0U5E w �[' 8 ' (V I CO ° � ., / � LO 0 � of i C) \ W iN,9.a \ IL 1 '88v N �� �� . a s4 o.w 69.0 _ - 1� s- 7 16 \ PORGri o_ _- ' V#I If►P } O WELL W PROP09ED SPOT RA / I � O • � rn - YJ � �,,. � `iQ • NON DISTURBANCE J / r' i BUFFER r O -/TEST 1` ,r,' ,/ J ,/ 1 I /EL•�$1 < 0 HOLe V' O_ EL EL.-1 O � n EDGE OF WETLANDS - W pRAIN Gfi1NG Ai ORIENT' _ PONDOF GREEN ACRES A9 PER VACANT VACANT cr ZONE R-40 COVERAGE CALCULATIONS • WELL AND LATERAL MUST BE PROPOSED HOUSE= 2,765 Sq. Ft. or 13.2% SHOWN ON FINAL SURVEY PROPOSED PORCH= 1 ,278 561. Ft, or G. I%D PROPOSED COVERAGE 4,043 Sq. Ft- or 19.3% MAX. ALLOWABLE 4,1,50.5cl. Ft. or 20% RAINAGE SYSTEM CALCIJLATICNS: OOF AREA-2,765 5q,Ft. 2,7G5 Sq.Ft.X 0.17-471 MrD71/42.2- 12 VERTICAL FT.OF 8'DIA.LEACHING POOL REQUIRED TEST NALD GEOSCIPNCP 7.8.1Ew ROVIDE(3)8'DtA,s 4' 5TORM DRAIN POOLS TEST HALE DATA PL-I t7 BROWN LOAM Ot• v BWDMrN5ANl7y51L7 ML ,i•''�` Of" IT 5M -8' PALE OYtjitU'M, FINE SW - -8.3 TO COARSE SAND NOTE:DRIVEWAY TO BE PITCHED TO DRYWELLS AND TRENCH WATER IN PALE BROWN sw DRAIN TO AVOID DRAINAGE FROM ENTPRINGTOWN RIGHT OF WAY. I PINE TO COARSESAND EDGE OF WETLANDS AS DEU)IEATED BY SUFFOLK ENVIP.ONmorrAL SEP,VICES I O-I0=2014 -17' COMMENTS:WATER EWOUNT6tED"'BELOW SURFACE DRIVEWAY TO BE PERV1OU5 NQTF-5 -UnwWwl"alleroUon w adddltn 10 o survey MONUMENT MINDOC mop bee of;a licensed land surwprb seal is o T G .Wahan ar ecIllon 7200,sub-ohision 2,of the 0 PIPE FOUND JOHN- C. E H LE R5 LAND 5U RV EYO R .��N C.Eye 6� New York Stale Cducallon I-.* -X—i� CHAIN LiNKPENCP O� 'Dory copies from the origin al of I'll,swrey ' I'm I'll, mdked.ith an atgi+ol of the toad 9utre;9 of slanged sed Shag be considered to he W/d true !tT Cables" ELEVATIONS REPEKENCE NAVD 1588 6 EAST MAIN STREET N.Y.5. UC. NO. 50202 * fI -Cwtirmailcrns indicated hereon signify that this n survey.as prepared accordance.11h the C.- Area = 20,900 s Ft. RIVERHEAD N.Y. 1 1901 369-8288 Fax 369-8287 Wiry Code of Proclice Surveys for Land adopted ' a• ' { c by the Ile,e y«h stole association of Profetsi 01 Area - 0.479 Acres �p T �O Land Surwyws Said ceitircalipas sholl run Only GRA C 1 O Ionc3dandland5urveyor.com F fa the pereon for ham the"'-Y 4.pres,Ored, u� tis 502 J ' and rn his behalf to the tate oompony,governmen- FQ Iat ogency and tending i slitulion listed h«can,and DWG 1 OF 3 LAND o the ass ghees of the Il ndog mtl101ian Cnhlca- 14-129 frons are not Ironsferoble to odd,tioncl ASUlutions r