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Desai
ELIZABETH A. NEVILLE, MMC 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 � � M j Telephone(631)765-1800 RECORDS MANAGEMENT OFFICER 4, 9 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: August 27, 2018 RE: Cesspool Construction/Alteration Application Transmitted herewith is a copy of application No. 4649 for a Cesspool/Septic Tank Construction Permit submitted by: John Zotos for Nitin P. Desai 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: ........... .......-... Signature ......... Dated ELIZABETH A. NEVILLC p �'' Town Hall, 53096 Main Roa, TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL S'T'ATISTICS ,,, Southold New York 11971 MARRIAGE OFFICER # Y Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER S �! Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFICER southoldtown.nort fork.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. 9... 7) I AName- Iicantc� � Applicant Mailing Address 3 Septic Tank.',-' or Cesspool Brief XD� escrptiol' of Proposed Construct' or ion o� ltcrat S� ..-..... _..._._�.. �..,� Location of Proposed Construction/Alteration: Owner of Property: Owner Mailing Address:. w a .. C.,,.. (Or Owner Property Address: :o, 4 e__ Name and phone number of contact person Tax Map No: Section OS-1 Block Lot Cross Street— s_ NOTE: LOCATION MAP MUST*BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUMES SURVEY WITH HEALTH DEPARTMENT APPROVAL Si tulit of Applicant )Ilte Received by: a S U R v F-- Y OF PROPERTY SCTM No. 1000-051- 1 - 15 902 p 68D Situate Town Of Southold Suffolk County, New York CROSS SYiVsrE Pxan®sEn saNrraRY M ta Nou3E I' = 20' FF EL!54• SCALE: I`° = 40 ` AREA TO TiE LINE: 29,373 sq. ft. t U.E;eF=; a- 174847ia:d Et . § or 0,6743 ocres u.;�.s AREA TO COASTAL EROSION HAZARD AREA LINE: I° 19,194 sq. ft. or 0,4406 acres t •DE € a VSU U-L 1 IMCES ZONING DISTRICT: „R-4t 'A lanniuM in PERMIT Mf anc with department r F� ICYRF-smaihicx ONLY Certif ; ed on1y to : i f m.aa5 as pmf 6/2.©/d57`r,, tea Nitin Desai DATE �., AF.� APPROVED t 0-- LANG ISLAND i70RW1,&,�iNIjM OF Coastal Erosion Hazard Area Line SOUND EXPiRES From Coastal Erosion Hazard Area Map Photo #55-579-83 89°56°46'E S 79016521E 1a y,� sraRMwA: RUNOFF cALcuLArlaNs £t' �� � r3e DED IN ACCORDANCE WITH Op T� _ ScOF NI'l Prop. Roof Area x 0,167 C ,` 29.52° `az - DETERMINATION DAT i Sc 1.678 x o. 167 Sc 280.2 cu,ft. Provide (2) 8° dia.x 4° deep drywells Z 4�-- z� — y` ti=c bi. -717- 11, 337.9 cu.ft. Provided �.. X74 Plan Approved._ - O r indicates proposed drywel! Go Moms 2 t=j _.•-e-` -�._ '"'`.. _ ,:a. --- —Exost: Lal �'° erg 7400 r f<<'9kj rs 3 c t.. NLOTE. No offsite fill to be trucked Exst o r orf HoUse" 39 onto property s_ - - Ex str 8 Shed- 152 -y 1' e� <. -'` a;-�._ - --- �a Ex stt 0 i r} tram &ildina 25 sq.ft. — s Exst- q Shad a.t F Sty- #r_ Sdo-: 31 sq.ft. Perpiired Lot v-ra 3.838 s . (20-N) �Jare aS hie ed an ea.^ at 5a rhol€r Buildable Land (McDonald GeoScience) ...# e_ar - -'8 �� -.o and P -a=fa •- o:ian lizard Line October 28. oSci - "" (LaEA I27s9 s.rets"j _ T 0�°. 9.194rtoft r ,�a . TEST HOLE Elevation: 52.6° -.f t - ---_ _�m.i .. a0 -._. - - Proposed t o o-e e 1.750 sq.ft. (9.17%) 0' - 0 Mixed sand, loam 6 gravel r.e rg_1---5-z C.3 a T,. _ Proposed Hav4e1.04'sq.ff, _ Proposed a 404 . 0 sq..t_ 0,5' - 7 Brown sandy silt ML Prevvoe. d 4' td � Encloia, e: 82 sq.ft. P.Ih Pd ) ha b.6rckt01404 7' - 49' `. Brown s i 1 ty sand SM ��-,= 49' - 59 water in brown silt sand SM - - ]x Yis r s a F g < � vat' 59° - 83 water in brown fine to medium sand SP - Ground.otor o Elev. 3.0° FOR SANITARY Vam _- T S r DEI ae89 Oa) p - --_; 9WSa.B .� y \ \\ \\ \\\\ f a®:r�g t®have. y y\vV yA\=vv t E Pro ..d Com.Ped yAy� v vvA v €sass EC'astar.rs �: \\\\ \\\� t tar Id.cheai..al Eq.fp �� �< App ant®ta.atian * r In.mil:(1)8'die.x t2 d p A iwate Lacatio U)1.000 gal. S.ptrc F.nc. to pot Exfeting Mouse TEST be Ra orad D';'` = ye i € r - - - r t 2' 155 - -repa.ad •.._ wof ams Wells Land Now or Formerly of ° f + Land Now or Fortnerry of Mary Yatrokis ga 18975 Sound View Avee LLC 3z- W.11 Y s t £ s'710 !a te t. Q f._6 It RSQ d Es PP,—d i � IFI 11 I _ € - r 1 SUBUT R.A.ACERTIFICATION N 87`2-j 'tv � 02 � 1 FOR INSTALLATION AND CoNmucTjot4 ` i OF ,gyp Li ti. FOR FINaL0 . r_ t V USEFoRm A-V ) This approval is renew t F�� f 1 indicates set lath, 1 �s r indicates found concrete monument . ` 3g yp7 No StrV 1-s wnNh 150' O indicates found iron rod. Date indicates set 12' iron pin . - g * indicates utility pole. ' •` °- t NO TES: Ma t 2� 0 8 Revise ..trot wed hou=} 1, curhor ea ?e tion or addition to a Survey map baa q a licensed land AUG, h 20 201 'r?t e nboriny we!' survey or e r a violation of section 7209, sub drvts.c= 2 of the N.Y. it 18 14 to; P, 0p 65 e0 of State Educatra` Low. M r 1r 1 ` 0 � se we. ��ne- , v system Iocc.io.n 2. Only copies from the ori ina! of this su,=say marked with an ori inal of the i Apo 1 23 20,14 Rev se site olon l Not a va ca unless marked rtl � Sr w bled '1n .a be e roved land surveyor's embos.e2 seal ar inked seri shall be considere to be valid p P with ori 7nal' and surveyor`s copies. embossed seal d sicnature -oro L t- rtri adr dimensions f ua y 21, 2014: Lath' oroDosred struCtures J. Certifications indicated ha on .tarty that thisurvey was prepared to accordance with the exi na Codo of Practice, for Land Su vdvs adopted by the Febraa v 2 1 - r000ser � ar N.Y. State Association of roresziancl Lard Surveyors. Said c rtificotions t eCYmbe> 16. 2013,- Proposed sitePton. , shall run only ;a the parson rat than th surves l -�reporeand on his behalf December 3• 2013,` Locate nei hbor ina shed to the °rt,e cc -10 My. have nneE�.ta' agency and erd'1nc institution listed hereon. Oc ober 29. x'0'13.: Test 'ole - ond to h sraa0es 0= rhe (endaa St to f' r-. Ce;,7fioattans »� not tress- October 25. 2013: Nel l bOrin well (� Se t7C tnf0 ferable to add t atilt ns utions cr s bseaaenr owners. nt4. Underground improvements or encroachments. if any, are not shown hereon. Surveyed: September 25, 2013 David L. Saskas 5. The ex_tence of right of so,°s. wetlands and?®r easements of record. if any, N. Y. S. L i c, No. 049960 not s,boxn are not guaranteed_ 6. All natural features Shown on survey. including but nor limited to Bluff Crest, Saskas Surveying Company, P,C, Clearinq, and wetlands should be verified xitl the appropriate regulatory agency. 124 Cedar Street East Hampton , New York 11937 7. Elevations shorn are bated on USC d GS datum. (NA VD 1988) AW Alm- SURVEY I N G (631 ) 324-6917 FAX 329-4768