HomeMy WebLinkAboutZoumas ELIZABETH A.NEVILLE,MMC �yQ Pim Town Hall,53095 Main Road
TOWN CLEF P.O.Box 1179
cop Southold,New York 11971
REGISTRAR OF VITAL STATISTICS I& ® . Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER ��.� q �►a www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER
OFFICE OF OWN oIF S TOWN oU O D CLERK D R(gND'V[E n
V
TO: Southold Town Building Department MAY 1 1 2017
FROM: Sabrina Born, Southold Town Clerk's Office BUILDING pD»•
TOWN OF SOUTHOLID
DATED: May 10, 2017
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4488 for a Cesspool/Septic Tank Construction
Permit submitted by:
Nicholas Zoumas for Ioannis Zoumas
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
<V,c
Signature
0 0
Dated
� O
ELIZABETH A. NEVILLE �`�� ��� Town Hall,53095 Main Roa.
TOWN CLERK q _ P.O. Box 1179
REGISTRAR,OF VITAL STATISTICS �. hey
Southold, New York 11971
MARRIAGE OFFICER Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER jr southoldtown.northfork.nef
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residdntial@$10 ✓ or N o - e Q
n R sldentlal @$25 Appllcationo. 8 1�. U
Permit No. 0
Applicant Name C�1t�d�i p201.&as
Applicant Mailing Address �q
AA r
Septic Tank. or Cesspool
Brief Description of Propo d Construction or Alteration__
Location of Proposed Construction/Alteration:
Owner of Property: AIj
Owner Mailing Address: ® N C Gu
Lj
Owner Property Address:
Name and phone number of contact person 63 . q)- y 5-J-6 d
Tax Map No: Section Block )C Lot
Cross Street 4A A u J S'j— a,
NOTE: LOCATION MAP MUST BE S MTTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY H HEALTH ARTMENT APPROVAL
Signature of Applicant Date
Received by:
EXISTING T
GRADE'
INSPECTION� REQUi€.ED 12-10'
' X�A�.PA I,,oN INSPE 11 6'
BROWN LOAM (OL)
g4g4g4jjj l�.sPP�. f�vORESANITARY SY�'°C�t� Y
p�,��r�y �g j°y y�pp� [� BROWN SILT (ML) S•!�i°c'O1.IC COUNTY DEPARTMENT OF HEALTH SEiaiVICss
DIY �{ LTA I)F.PAR S ^"NT1 IF TRUST
l�ERMIT FOP.APPROVAL OF CONSTRUCTION FOR A
- ! s 10'
SINGLE FAMILY RESIDENCE ONLY'
W
100.00' — —
N 84'S0'SO E FG. ELEV. BROWN FINE TO COARSE SAND (SW)
r -'Z'2 _ JUN 0 3 2016 /
12 1 p ®I;T L00t
Q.�� 4-•f"Y I ' fYPPFLLOYF,D
j o w �w� 6' y r 13
F.G. EMV , --- IR�UF.l
z OF SEDROO
W L �1J.50
��-�'�z� F.G. ElEY. +�
F.G. ELEV. 13,20 A' .1 1 30' (HIGHEST EXPECTED �Kjlj `4' v YRC� w�y(IZ p�xT��� Pa
GROUNDWATER-USGS WELL 5167 832 tJ'st :JI'1I 2� a
17T / /'� 13.17 ) fT(� 9 -
1 PROPOSED J J 'aM��ka
MATER IGI'•�- 1.00'jENCOUNTERED WATER)
METER o ul tp p' ? WATER IN PALE BROWN FINE TO
PROPOSED S a + /� ST \ N/F COARSE SAND (SW)
VOULA CHANGALIS
`.w CTAP q -('I' •^� `ti IRREVOCABLE TRUST
1 Y t-� TEST HOLE BY MCDONALD
13.011
4:IkC. y " it GEOSCIENCE - FEB 26, 2016
0 sFA
N S o �l G ELI100 PROPOSED TEST HOLE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
Cz -1244 w DWELLING NTS "---;-�---- _ _�
t \LP TDS F(29A'N Q LEGEND: SUFFOLK COUNTY TAX MAP r -
35.0' GARAGE FFE=13
W y .5') 4 DISTRICT- 1000
3 • ( PROPOSED BUILDING
// � I• SECTION: 03600
- ; Q ; ` F.G-'E1F/. BLOCK. 0200
` a LOT 008.000
SMO MIRY } I Q PROPOSED ASPHALT DRIVEWAY
{ Ld 1 1 LP 1 -- ----�' BUILDINGS: SU
y7^ /•.
I _j S 0 \ PROPOSED TOPSOIL do SEED AREA FOR PERFORATED PIPE I SUT'F• CO, !l!ziA�yj ' 1 ccry
' 0I F.G. ELEV. p {F -?'13,1- `3 T,1("t if�,•�
0 i -13.20 \ I- ---- PROPERTY LINE EXISTING PROPosEDk {:1^ — -7
i
":!; '( N F -Q�}- PROPOSED CONTOUR
VACANT 2 STORY RESIDENCE -••--..1 '�'`,,,,"1
b,„F};:'<� "•" �'"j �'O' PANAGIOTIS RODAMIS ZONING 4 BEDROOM
—11
. {y � � �,<m:"•.°,•�,. ��." .,.n��,^,••:w"� ~%---'.','-1 c � .0—E%ISTING CONTOUR
` w a:•Yt;^ , E a,+. y;.' <'.. '' " RD 1 PROPOSED TREE LINE
1 R-40(RESIDENTIAL-NON CONFORMING)
-1 E1FV, 4' LELANDS o
F.G.� F.G \ / I PROPOSED SEPTIC TANK GENERAL NOTES:
3 F.G. ELEV. t� PROPOSED SANITARY LEACHING POOL 1. AREA OF LOT-18750 SO, FT. (O"43 ACRES){ \ I RIM E1.EV. 6 FE 13 13'04 2. THERE ARE NO KNOWN WELLS (DEEP OR SHALLOW) WITHIN 150' OF PROPOSED
��// (em —S— PROPOSED SANITARY PIPE CESSPOOLS THERE ARE NO KNOWN STORM DRAINS WITHIN 20'OF PROPOSED CESSPOOLS
11.80 � � o
I (4VF) I —D— PROPOSED B" PERFORATED DRAINAGE PIPE 3 THERE IS A WATER MAIN AVAILABLE ON FIDDLER LANE.
4 PROPOSED LTAL OF
4' e.C'_ANDS S TEST HOLE PERFORMEDSANITARY
BYMu DONALDIS NGEOSC ENCEED FOR A OON 2 26-20106�Me
RD PROPOSED B"ADS ROOF DRAINAGE PIPE, 12. f;� 6 PARCEL LIES IN FLOOD ZONE "X" (AN AREA DETERMINED TO BE OUTSIDE THE 500 YEAR
O 100,00' { `� PROPOSED 8'0 DRAINAGE STRUCTURE (SOLID COVER) 7 NEIIFLOG BORNGPLAI )DWELLINGS ARE CONNECTED TO PUBLIC WATER.
8450'50" ►✓
PROPOSED 8'0 DRAINAGE STRUCTURE (OPEN GRATE)
o I3 S N F 1 SURVEY NOTES:
I I CANDACE KURR 1 —W— PROPOSED 1" WATER SERVICE {�
V ® I BEARINGS SHOWN ARE IN NEW YORK STATE PLANE COORDINATE SYSTEM, LONG ISLAND A�lT6I.9 MEASUREMENTS ARE IN ACCORDANCE WITH U S STANDARDS
C)I ) 0 TEST HOLE LOCATION Eat HORIZONTAL DATUM IS REFERENCED TO NAD83 (2011) THROUGH USE OF RTK GPS
ZONE
ii ��y�1 pq��gy�,
tl I I1 h .i E% UTILITY POLE 3u �a/f:..�° OBSERVATIONS VERTICAL DATUM IS REFERENCED TO NAVD88 (GEOID12A)
I ; y .(•l'-Y'1 EX. TREE LINE �e,`� ° 9 UNAUTHORIZED ALTERATION OR ADDITION TO A SURVEY MAP BEARING A LICENSED LAND
I f ( X533 1 SURVEYOR'S SEAL IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK
p a a EX TREE .(c taz�., u STATE EDUCATION LAW
SITE PLAN ^ 5. ONLY COPIES FROM THE ORIGINAL OF THIS SURVEY MARKED WITH AN ORIGINAL OF THE
EX LELAND
! I LAND SURVEYOR'S "EMBOSSED"OR 'INKED"SEAL SHALL BE CONSIDERED TO BE VALID
SCALE 1"=20' ��•1 d V j s TRUE COPIES.
O "-"'wl"---- EX. UNDERGROUND WATER u,/6 CERTIFICATIONS INDICATED HEREON SIGNIFY THAT THIS SURVEY WAS PREPARED IN
O
ACCORDANCE WITH THE EXISTING CODE OF PRACIICE FOR LAND SURVEYORS ADOPTED BY
#'1`
MINIMUM HORIZONTAL SEPARATION DISTANCES `•w. THE NEW YORK STATE
`A t CERTIFICATIONS SHALL RUNONLYTO THE RPERSON OR WHOM THE SURVEY S1DPREPARED
_ ^' _ a ��'� � AND ON HIS BEHALF TO THE TITLE COMPANY,GOVERNMENTAL AGENCY AND LENDING
3 '��"-i" aSEPTiCTANK' CHjNGa t ' r "+j-, - ��'"'-y,)T"'• _ t INSTITUTION LISTED HEREON AND TO THE ASSIGNEES OF THE LENDING INSTITUTION
p TABi,POFMINIMUMIIORIlANTAI.SEPAMTtON 'ST:W_ERuxE"
•^" OISTANCPS FROH•;l'y '1_CREASETHAP OR V'„FOOL:k;-",,- ^'�_ t 1 404,% t�:-1 , + �/9 `� ^\4� CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
c _ ',MAN11017 (. _ - 1;iM Q� GC1� � OWNERS
-MEgpO 7. RIGHTS-OF-WAY NOT SHOWN ARE NOT CERTIFIED
BUILDING WffH CELLAR 10 FT y-10 FT ^5FT, `A. .- tUgA1El.'" ::..,�•�L r _ - _ , 8. THE SURVEY
o` • 11 y _, u+ I, ,,, _ _ ^ -�.- - _ :;� E U EY CLOSES MATHEMATICALLY.
C BUILDINGONSLAS SFT LOFT 5 F '7 1 ,t,'y .Z,yp _ -"a
U NATER SERVICE LINE/LATERALS/MAINS
LOFT. 30 FT. 10 FT ,_ T-t - a`,---^"%= :1 - , '*'"'„til✓'' Yt+`t -
}
UNDERGROUND UTILITIES 5 F 5FT 5 F {• •1` 1 '1 ` -.t:.1,#ii } -S - -r ^•f t, -- - t' - '*+'" e',;
LZ
SURI'ACE WATER/RLGULATEU WEfLANOS 7q FT 100 FT 50 FT 1,; ;� - _ _ �'},'��•�.�~ 'i'{i
pt Fl
PUBLICWATLRWELL -S - ` i'� � - J' p'k • ' 5/4/16 MF
_ 200 FT 200 FT 50 FT _ } - yj• "g= T Mh PLL - _ r✓. _ '.; RCD
rn { - ; �-,,fiA - _ - -^1- sa»5�,r�-� AS PER MEETING WITH SCDHS ON 4/26/16
PRIVATEWELL L't, - - -N ', ;•! DATE BY DESCRIPTION APPROV BY
0 100IT 150 IT 50 FT _ •�,' '•` ^yj , � � _ e G •.
_ '- REVISIONS
.: ( = ;
SfOM1RAIN/S70RMWATERRECHARGE BASIN 20 FT 20 FT 30 FT '••' 1 �-•�-^ << ^•{•.---t.; _ •p 4_ •
O CATCH BASINSNONLLA )/ 10 FF 5FT ,-- °,: ",'` `1`._.`._-:;-'_ - [[ L•-^ 3_ - TOWN OF S
( CITING DRAINAGE.PIPE 5FT Tri .tea..
COUNTY NY
O I,EACHINGPOOL flIT BFT IO FT �� �"-. -� -,E' "S" [,''•'�1 „•- �.,t ;� ''" '� �-,_ � - -.'m. z`. '• - _ SUFFOLK
El0 SfiFfIC TANK PUMPSTATION,GI9EASETRAP,OR 5FT BFT St7 •`�- *- - �/ -' -;' ',S- . -" - -• -``ter
MANHOLE ' . FIDDLER
C PROPLRTTUNTS 5 F 10 FT 5IT '*. •6 t{ I / '-. •,1'�. x4 >- 'a 'S,-"°"°"/ilk ""'SLTE�LOCATION"" LANE
C SWIMMING POOL - , , _ _ .M ."` • _ -4', .1. rt`.^.• �"eF;' `";.-s
zOFT 20Ff Ser qry=
,sITE LOckTIONt _ -N,gSSET" , ,,;•` _ - :,,� -- ,' � `1_.a:, '`�k.:`: PROPOSED SANITARY PLAN
RETAINING WALL VATER PROD i A - '�`"" ,/ r 4 =`eM1� +^�� E
R 0 to IT to IT s Fr `-i;•_ _ s'(( .4 yE= _ - -0 j, 3 ; •--
'" _ .:!'e:r:�1_ ,�
FUFLSTORAGETANKS(BFLOWGROUND) 2D Ff 20 FT IO FT - - E ,( �'�•i '-' �+�- _ , '_��``- (Y.
TOP �,..'. s �`rz L. K. MCLEAN ASSOCIATES, P.C.
N T EMBANKMENT OR STEFP SLOPE -_ _ _ _ _ -.'4 '` 1 R.6 ,a, •+'' { r
1594SIOPEORGREATER 25 FT 25 FT 25 FT " { ) _ - _ •f .� _ _ _ ,.Yx- ,.,~�, I, TOO(11718
fp ,i, a§t.(`=' .. j :• ,- la.<' :..- 'i :' - .'�-1 ` cONslnm+c bIW12EER5 a7 StXRx OOUY181'RD.@Il00[luTEI
a'N BLUFFS GSIT 65 F7 GS FT {'. _',i' .a -I'--g: -/ '.'".s.' ; ~_ _ 1 .a_1,z-'. .w'S $ '.i_ - Sheet No
o -� - ry° C—pee BY MF/CFD score AS NOTED
SITE MAP - LOCATION MAP Orme Etr MF Dete MARCH 2016
v N.TS NTS
AFPlwea BY- RGD Fie No 16031.000
I