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Home My WebLink AboutCriblez, Gaston (2) �o��pF SO(/jyol ELIZABETH A.NEVILLE O Town Hall, 53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS Southold, New York 11971 MARRIAGE OFFICER �� Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER �lyTelephone (631) 765-1800 C FREEDOM OF INFORMATION OFFICER ow southoldtown.northfork.net OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 3456 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : CHARLES R. CUDDY ESQ. Address 1: P 0 BOX 1547 City St Zip RIVERHEAD NY 11901 Descripton of Proposed Construction or Alteration -CONSTRUCTION OF SINGLE FAMILY DWELLING -FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT Name Of Owner GASTON AND ROSEMARIE CRIBLEZ ------------------------------ Mailing Address 1 326 ARLEIGHT ROAD ------------------------------ ------------------------------ City St Zip DOUGLASTON NY 11363 -------------------- -- ---------- Property Address 1 1315 WATERSEDGE WAY ------------------------------ ------------------------------ City St Zip SOUTHOLD NY 11971 -------------------- -- ---------- Tax Map No. section 88.00 block 5 lot 68.000 ------ --- ------ Cross Street GIN LANE ------------------------------ Building Permit Number Cross Reference: ---------------------------------- Issue Date: 7/19/06 Elizabeth A. Neville -------- Southold Town Clerk (TOWN SEAL) ' �o��OF SO�j�ol ELIZABETH A.NEVILLE O Town Hall, 53095 Main Road TOWN CLERK l P.O. Box 1179 REGISTRAR,OF VITAL STATISTICS G Q Southold, New York 11971 MARRIAGE OFFICER Fax (631) 765-6145 RECORDS MANAGEMENT OFFICERl Telephone (631) 765-1800 FREEDOM OF INFORMATION OFFIC �C�UI�1�,� southoldtown.northfork.net ;t j, FICE OF THE TOWN CLERK SUL ' TOWN OF SOUTHOLD S., FROM: Lynda M Bohn, Southold Town Clerk's Office DATED: July 10,2006 Transmitted herewith is a copy of application No. 3611 for a Cesspool/Septic Tank Construction Permit submitted by: 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: Signature 07 13 0 Dated ELIZABETH A.NEVILLE ."Town Hall,53095 Main Road TOWN CLERK P.O. Box 1179 REGISTRAR OF VITAL STATISTICS iN Southold, New York 11971 MARRIAGE OFFICER 'l` Fax (631) 765-6145 RECORDS MANAGEMENT OFFICER � Telephone (631)765-1800 . 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_X or Non-Residential @$25 Applicatio o. Permit N . Applicant Name Gaston Criblez by Charles R. Cuddy, Esq. Applicant Mailing Address P.O.Box 1547 Ri vPrhen, NY 11901 Septic Tank-�or Cesspool Brief Description of Proposed Construction or Alteration rnnSt.r11Ct_i-an of single fami 1 )z r1wP1 1 i ng Location of Proposed Construction/Alteration: Owner of Property: Gaston Criblez and Rosemarie Criblez Owner Mailing Address: 326 Arleigh Rd. , Douglaston, NY 11363 Owner Property Address: 1315 Watersedge Way, Southold, NY 11971 Name and phone number of contact person Char 1 e s R_ Cuddy., E.rI_ 369-8200 Tax Map No: Section 88 Block 5 Lot o 6 R , o n Cross Street Gin Lane NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL Signature of Applicant-*-"' Date Received by: I E Health Department Reference Number: R10-03-60 1•- E Survey for: N HEALTH DEPARTMENT USE diel Associates, LLC Described Property .., N Map of Bay Haven �P P^e^ �s° .0 +� "'' �'- At Southold Pii /�T3' L;Lj r � ASf!' ....r:. � rad- �I;yaZ v, +�Pt�S A�°GPS Town of Southold 1NGLEFAP I Y .-jDTNCv,OtiLY �^��° f Suffolk County, New York + ATS+ 4 s�� C�� HS Rte" �1 l� fl-��-�>�� °may - i _. 4 ppRQVED Aoe%y Suffolk County Tax Map Dist. 1000 Sect. 088 Block 05 Lot 68 FOR tvlA, �;SUN!OF 3 NOTES I � L%PM3 THME YEARS FROM DA'T'E OF APP110RJAL 1. AREA = 16,250 SQ. FT. OR 0.37 ACRES eell �S�' UPLAND AREA= 14,215 SQ. FT. OR 0.33 ACRES `51- 2. El= MONUMENT FOUND y y> 9F qiE 3. 0= STAKE FOUND Q1 4. N.G.V.D. 1929 DATUM 5. PROPERTY LOCATED IN ZONE AE, (EL 8), AS SHOWN TocT ��. pho%f v ON THE FLOOD INSURANCE RATE MAP, PANEL `� ry O cq s AP 166, MAP NUMBER 36103CO166 G, EFFECTIVE sT�ro �� ''e �• MAY 4, 1998. 6. EL.XX.X= EXISTING SPOT ELEVATION 7. (XXX)= PROPOSED SPOT ELEVATION 8. AREA OF IMPERVIOUS SURFACES WITHIN UPLAND AREA; A. PRIOR TO CONSTRUCTION= 0.000 SQ. FT. Approved in accord n-2 with 'C+�ard UI` (�,viow a�e`� ��// �c�' / � B. AFTER CONSTRUCTION= 1500 SQ. FT./ determination datid -� Ze° °�e`� c 14,215 SQ. FT.= 10.5% 9. NO ADDITIONAL FILL REQUIRED, EXCESS MATERIAL �° FROM FOUNDATION EXCAVATION TO BE REMOVED FROM SITE AND DISPOSED OF IN AN APPROVED 10. RUPLAND LOCATION 40 ZONE, NON-CONFORMING LOT, o / / MIN. FRONT YARD= 35' MIN. REAR YARD= 35' 4 / MIN. SIDE YARD= 10' TOTAL SIDE YARD= 25' 11. SUBDIVISION MAP FILED IN THE OFFICE OF THE P2a`9 4- oPy �/ //• // y 6e°o CLERK OF SUFFOLK COUNTY ON JANUARY 22, G% ssos ; y �o� eo�ey 1959, AS MAP NUMBER 2910 'zey oe^ ) 12. LEADERS AND GUTTERS TO BE PIPED To ON SITE s DRAINAGE °. / 72z to 0" e'Oe /7 0 ° SS7• °may oe / o F TEST HOLE ENGINEERS CERTIFICATION BY McDONALD GEOSCIENCE 6-16-03 1 HEREBY CERTIFY THAT THE WATER SUPPLY'S 030 er°C'� / / l i5 EXIST. SURFACE " PROJECT SWEREGDEDSIGNOEDABY ME�ORSUNDER MFOR Y "bQ 0` o�ey°co , Soef ° Fo IvC'� ELEV.=10.0 DIRECTION. BASED UPON A CAREFUL AND THOROUGH CIA / ,�J S , r STUDY OF THE CONDITIONS, ALL OL1OTS ITE ASAND PROPOSSED GROUNDWATER TO /� Brown Silt ok / ,• p\ Y� � Loam OL � r r� °p °, �, 4-.)* 1 THE SUFFOLK COUNTY DEPARTMENT OF HEALTH 1P'°//, � F <A �,y�� pre r L� Brown Silt SERVICES CONSTRUCTION STANDARDS IN EFFECT O \ / c 711j ML 3' AS OF THIS DATE. / C°' ^ / 3 �� Brown Fine OEGD^ .0. "�•' / 6, to Coarse OJ \ \ �O• Sand With a' A ys�t%4 / ° \�Q.J 00 10% Gravel ;-.� \�i Al e oG�a' / e�c0 0°0;/ \ \ A �F J �. Fi9 .2 i`/ �0 S. 'V/C �fl s s '�o o� /' \ 9 Water in � �` -f 0 7 Ze p g gyp. So°o Brown Fine y / D 0C 9 S �; 0&. to Coarse / 70 or,0oa 3 '�� faf°yP°1 O r�F Sand With oQ t0 Fi V'� A O° 9S h e4o 10% Gravelry i 0� sF e sw ANGELO S. NIC SIA,'I P ` LI NOV,600 r", Sf F �o�dei °o a� �'� ?!0.063875 r O \ e ° 9 O t ry /yr g � IT o',,osffo^y y Dept. 01 ° oii S / °� / PaySfP ' SURVEYORS CERTIFICATION 7 a / 0s WE HEREBY CERTIFY TO BIEL ASSOCIATES THAT THIS FKR BEDROOM SURVEY WAS PREPARED IN ACCORDANCE WITH THE C.I. COVER TO OUSE CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY FINISHED GRADE GRADE (TYP.) EL.=14 0 _ THE NEW YORK STATE ASSOCIATION OF LAND D6 / °� ELEV. 10 ELEV. SURVEYORS. •/ / 2j �% oy"• a 11.0 J eG/kh -,Z? NP CF a^ 7 0170 E=9.7. IE=8.8 IE=9.0 IE=9.5 + f;r t•ALW' .77 ° 8' MIN. /2 e A/on D c ELEV. 6.8 2' MIN. CESSPOOL S,T. �. t :tt = ' ..: a a ^�°4`' 1000 GAL. _\• i f'.ik"c::,�'-,.,'ts .' ,yV a O eu/kheodPo' Fxist9F!70) �FreoJa. "° �o JOHN SCHNURR, N.YSrL':.S. N0 •:495177 3. j�" All Vp/° @ulkh 0 p• Fe GROUND WATER w,; .� ,x.^• "' ,;, . nd Are eOOf 02�ce ELEV. 4 8 pewP. s Fl, , `�te�Oy9 SECTION SEWAGE DISPOSAL SYSTEM ::,aiy `�'�'. ' op\� �/ �J w USE (5) 8( DIAD POOL SYSTEM JOHN SCHNURR, PLLC [(5) 8' DIA. x 2' = 250 S.F.] LAND SURVEYOR ROCKY POINT, N. 2Y. 11778 AF FCS ' �C0/VICSys3 (ss>) 744-2055 6q y ''11 04, '