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Home My WebLink AboutZoumas guF�oc,� ELIZABETH A. NEVILLE, MMC �y0� C0 Town Hall,53095 Main Road TOWN CLERK P.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS 0 Fax(631)765-6145 .MARRIAGE OFFICER ,fi ��. Telephone(631)'765-1800 RECORDS MANAGEMENT OFFICER �Ol �� www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department I FROM: Sabrina Born, Southold Town Clerk's Office MAY 2 2 2018 DATED: May 22, 2018 'OUMDum Dom° TOWN OF S® O'Lu RE: Cesspool Construction Application Transmitted herewith is a copy of application No. 4610 for a Cesspool/Septic Tank Construction Permit submitted by: JNS Contracting 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 V DISAPPROVE Comments: Final approval required from the Suffolk County Health Department c r Signature ----------------- Dated ELIZABETH A.NEVILLE,MMC �'° � t , �r�, Town Hall,53095 Main Road F TOWN CLERKP.O.Box 1179 Southold,New York 11971 REGISTRAR OF VITAL STATISTICS Fax(631)765-6145 MARRIAGE OFFICER �` f �" Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER www.southoldtownny.gov FREEDOM OF INFORMATION OFFICER OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM:, Sabrina Born, Southold Town Clerk's Office DATED: May 22, 2018 RE:: Cesspool Construction Application Transmitted herewith is a copy of application No. 4610 for a Cesspool/Septic Tank Construction Permit submitted by: JNS Contracting 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: ',iii l rov l rec uiretl 1lorn tl�e 5�11folk C ur tv I lc ltl 1. cpa°trr�er�t Signature Dated o 'F � ELIZABETH A. NEVILLE � �� Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (631) 765-6145 MARRIAGE OFFICER "r Telephone (631) 765-1800 RECORDS MANAGEMENT OFFICER �� FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $10 or Non-Residential @ $25 Application No Permit No. Applicant Nanic . Applicant Mailing Acc rcss - Septi c fair or Cesspool_,,,,,_ brief l3escr ip icon of Proposed Construction or A:ller ataorr ��mu/ Location of Proposed Construction/Alteration: Owner of Property: �� Owner Mailing Address:__' Q. Jj Owner Property Adcr Name and phone number of contactn erso — ^ p __. �ry°.awn� �� ..��% � � -. Tax Map No: Section Block Lot Cross Street NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY wJ r'I EALTH DEPARTMENT APPROVAL dd m 1 , Signature of Applicant Gate ) Received by: .._ S C TM NO DISTRICT: mo SECTION: 97 BLOCK: 7 LOT(S);26.2 —EI,,SCWA MAINLEGEN1. TAP PROPOSED BUILDING PROPOSED ASPHALT DRIVEWAY 375 TO S17MIX > 95'TO DEE RFRONT Etf GE I��E S ROAD LITTLENECK ROAD PROPERTY LINE PATH 75'12 W 160.0o, PROPOSED CONTOUR A n^ryF- = 444" 246,1'4 --11,0--EXISTING CONrOUR )ATE S PROPOSED SEPTIC TANK 'I PPRO_ Hs REF.pro. *1 PROPOSED SANITARY LEACHING POOL A JfE LAND MAINTAINED BY OTHERS, PROPOSED SANITARY PIPE Fop W aigum C) ------- PROPOSED I WATER 4c CY PIRES THREEYEA-p S FRO#, TEST HOLE LOCATION DATE OF A7Pao V,." EX UNDERGROUND WATER 01 D- I 0 1 V�i LOT I D,ppc x 2p w. (ABANDONED Wa10 fit' 44 - EPARTMENT OF HEALTH SERVICES a lft,�,OIJNTY 10 > y, EVI a 8 s 4 ................ =1 D 'y (RQb H REF. #:RlO-16-0073) 1- 1111 111` V� .......... DRY BROWN SANDY LOAM (OL) ........... epartmle4, 2 SrORY RESIDENCE 19A, BROWN LOAMY SAND (SM) 8, 4 BEDROOM R-40 (RESIDENTIAL) ELEC� °off PALE BROWN MEDIUM TO 5S" PETER COARSE SAND (SP) 4 SITE AREA: 109 ACRE ----WAXER EL 0.9 1 No FASTING SURFACE WATER WITHIN 100' C� (HIGHEST EXPECTED) 2 NO PRNKTE WATER WELUS ARE LOCATED WITHIN 150'OF THE PROPOSED SANITARY 0 SYSTEM NO PUBLIC WATER WELLS ARE AMON zoo'or THE PROPOSED SANITARY C) SYSTEM PALE BROWN MEDIUM SAND 6,0' 3 NO DRAINAGE STRUCTURES WITHIN 2W OF SANITARY SYSTEM W/GRAVEL IN WATER SP) MAY 03, 2016 THERE ARE NO KNOWN WELLS(DEEP OR SHALLOW)WITHIN 1SWOF PROPOSED K WOYCHUK LS SANITARY STRUCFURES. THERE ARE NO KNOWN STORM DRAINS WITHIN 20'OF PROPOSED CESSPOOLS 2 THERE IS A WATER MAIN AVAILABLE ON EUGENES ROAD, cz 3 PROPOSED SANITARY I ARY BY TEM IS DESIrHED FOR A IGAIL OF I.-DEDMQW, CA TEST HOLE 4 ]EST HOLE PERFORMED BY K,WOYCHUK IS ON 5-03-2016 N T S S U RYFLAQ,115" 01 I MEASUREMENTS ARE IN ACCORDANCE WITH U.S.STANDARDS 2, BEARINGS SHOWN ARE IN NEW YORK STATE PLAN COORDINATE SYSIEM,LONG ISLAND ZONF, 31 El-`NI SHOWN HERE ON REFERENCE"VD 1988 4 ExisnmG SURVEY PERFORMED BY KENNETH A WOYCHUK LAND SURVEYING, PLLC ON CL MAY 5, 2016. REVISED ON JUNE C3,2016, LOCK04G W E COVER 1`0 GRADE -------\ !Z - (11.50) FINISH GRDE 0 g I ---, I-X� 0 �j (IFFIL 14 00) C, F 1,11 50 KID < Lj ------ ............... 1/4'-FT, -- — I COVER ........... CIO ..............�n 11000 In tru INV 7 " URUSI2�SCONE ONVI'VAY INVEIRT-1s: d R10-Hy PDOFF,s......IT"---7 114VERT ICI Do) INVERT (10 79) T '0 VER f I OV 0- "T COLLAR FOUNDATION aw o t POOL CLEAN S75*36'03"ll' f26,00 WALL WFLE mT ICOARSE 5 LOT 3 5*-8 6 SANDI DO TANK I ORA VEL wUNDEVELOPED 3WIN USE UL 4' DAPPROVED SEWER PIPE DO V-1 , l 11 1 1 1 1000 GAL. --(400) u wElt;f4m SITE PLAN PRECAST S.T. ........... SCALE:?"=60' R, 7ATE BYDESCRIPTION APPROV BY 7 awmo WATER 0.9 REVISIONS TOWN OF SOUTHOLD PREVIOUSLY APPROVED SANH'ARY ROM: PROFILE ELEVATIONS HAVE BEEN UPDATED AS SUFFOLK COUNTY NY N,-T I S - PER NEW LOCATION 0. r ---r ELIGENES ROAD E a �0 (D r- v'zcale IV culci-lacAmIl R 1`0 (D PROPOSED SANITARY PLAN 0 :3 DO THE EDUCATION LAW OF THE STATE OF NEW YORK PROMEMIS ANY L. K. McLEAN ASSOCIATES, P.C. GO DO Z PERSON FROM ALTERING ANYTHING ON THE DRAWINGS AND/OR CONSULyING ENGINEERS �l SOUTH COUNTRY NO,BROOKHAVEN,NE.W YORK 1171.9 rHE ACCOMPANYING SPECIFICATIONS,-UNLFSS IT'S UNDER IT I r .............. - GINCER, WflT Cpf 9—t 14" DjP4CIIIGU Lr A LICCN.'�ED PROFFS��OSIHAL EN IIF/CFD s—R,: AS NOTED 0.4-a 'NIn r. -.T ShG�H, Undo d By: AITERAHOVIS ARE MAN— tflE Pf�,OFEISJUNAL FrIGINEER MIP,' SEAL, 0ATt AND DEYCIZIOV THE FULL RyTOT or flHE ALTEPATIntl ON THE DRAWING AND/OR IN 'THE SPECIFICArION (NYS ED LAW Dr Vn By: MF Date: APRIL 2018 SAl Appl—d By: RGD RW NO 17011.000 SECTION 7209-2) A �'L 0 TO 7,