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HomeMy WebLinkAboutCriblez, Gaston ,\ "p Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 southoldtown. northfor k. net ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFIC [". \ '. ~ .' Ie', il U'w \_. c'l ~ .,-.G.l........ "\O\l'~ J\llIO?\) . .oj FICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: . ui.g Department FROM: Lynda M Bohn, Southold Town Clerk's Office DATED: July 10, 2006 Transmitted herewith is a copy of application No. 3611 Permit submitted by: for a CesspoollSeptic Tank Construction Gaston Criblez Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Lynda M Bohn * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE ~ DISAPPROVE Comments: ~~ ~~~~~ ~ ~v"~~e /U-r-~~~ Signature 07/3 ft 6 Dated / / ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER ., Town Hall, 53095 Main Roal P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 sou tholdtown .northfork.net . f --1 p.~ J~ ,).1'. jp? OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD W ASTEW ATER DISTRICT APPLICATION CONSTRUCTION or ALTERATION PERMIT CESSPOOL or SEPTIC TANK Residential @ $IO~ or Non-Residential @$25_ Application No.'3& II Permit No. AppIicantNarne Gaston Criblez by Charles R. Cuddy, Esq. Applicant Mailing Address P . 0 . Box 1 547 Riv~rh~~n NY 11Q01 Septic Tank-x- or Cesspool_ . Brief Description of Pro posed Construction or Alteration r"t"\nc:::.t-rllr't-inn nf c:::.;nglp f;:llmily nw~lling Location of Proposed Construction! Alteration: Owner of Property: Gaston Criblez and Rosemarie Criblez Owner Mailing Address: 326 I\rleiqh Rd.. Douqlaston, NY 11363 Owner Property Address: 1315 Watersedge Way, Southold, NY 11971 Name and phone number of contact person ~h" r 1 P <: R Tax Map No: Section RR Block " Cross Street Gi n r,,,np ~llnny. F,<:q <!;ll 8200 Lot O!;R 00 NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL ~~ Signature of Applican 7-7- CG Date Received by: \ I' e I II I <( I' ] II I ~ 1\ \ '}I I E1991 i 1 ._ S5117'20"E 12.50' f\ 12.50' '- l..!'^ I ~~dl . ,JvOt 1__'" S .~"" I'~ --, F.E. LP. LP r-~~. a (10.3)~ ~ ~ /" \/ ~ . p,op ~ ~ ~ Proposed I Walk __ ::;..-- .". 0 Sonltar _ ~ C '" syster/ S.T.O I 1 I I I I I 1 I 38.0' \ \ .I~D 8'" .g a . d m E\.10,~ "ll~ B~i 0 0 l~~ 0 0 1/ 0 I \ [",t'09 Sooito 1 ~~e~R'ouSIY Inst~~e~YStt~m emoved . I I \ \ \ I I "'0') ( I - / / ( I #~ #,1~" / ~,/ I .,,'~ " " ,~- ,. #" ..." () ~ / I ,....-) / () ) ( ) ( ~~~ ( ,/ (/ ) ( (! ! !)_ _'''''', ) (/ ! /) ! ((' 7 I ! () /" /) () /...4-"'~ ' ..',,'"' /' ) / (/ (/ ( (,..- / / ! (! ) / / ;-; ?~o< / ) /). / tIE.(.\l. )e"~) / </ ) , /) ) / () Wf 7 ,?N ! / () I () \?t-CO~\C I) ) (' 1/1.( , / ~ o . Uti11ty Pole \ I g I .n I ~ ____-------.-------12'\. ------ 0' ~ i E- oi .... h.!. .~ h ~ ", co. 3 1 1 I I I I \ \ \ \ I I 1 1 I \ I I (1.\0 \ 1 I I 1 I I I I \ \ I \ I . u~ i~ 'iia ;'v> ",. .r:g S~ ~o. Existing Sanitary ___ ~~em a8 per ous Survey 40' ~ Existing Deck . r ~ It l' ~ ~ b ~ ! "Ii ~ 100,00' EI.9.9 I. (10.0) -7 /fence / 1.5'€.. 87.50' ~ . ~ ~ io '" III lnv. 9.7 50.0' lev 9.5. ~- (11.0) A~ Proposed ~ 3-'\4. Bedroom ,,' '1\.-1.'<- R~sldence ",'V)" ~;g; (On Crowl Space) (; ).- ~ 12.0" Fi"t Floo' E1.~1~~) ~ '" ~;,. Cp",'\)q,~ ~ . ~ ~'\ ~ ~ 50.0' S'o E .0 cr; :ll ro ci OJ '0 g ~ ~ '0 8 i.i ,,~- !d .r~t ";;l~ ;:\ o. ~ ~ '" i2 in ~ " ~ r;; c 1l ;B ~ o u ~ 3 (11.0) ~ b . . ~ '0 . .0 ~ i (.) Shed <0 .,; 21.4' [\.\O.B ~ ~ '" ;ot DO '" Z ~ o . ~~ ~N $0 [\,\\,2