HomeMy WebLinkAboutDBM Co (2) 'F,,,
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JUDITH T.TERRY �I_, G'y1• Town Hall, 53095 Main Road
TOWN CLERK P.O. Box 1179
T tt Southold, New York 11971
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REGISTRAR OF VITAL STATISTICS ` 11 Fax(516) 765-1823
MARRIAGE OFFICER y 1
RECORDS MANAGEMENT OFFICER =
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•j iG� ELJG. [1E'T._._
• YoW 1 Halt 53095 Main Road
I y � P.O. Box 1179
44o ����� Southold, New York 11971
NMJUDITH T.TERRY ` 1 TELEPHONE
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TOWN CLERK (516) 765-1801
REGISTRAR 01 VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD I/J/ (0 ( �/
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 9, 1997
Transmitted herewith is a copy of application No. 1714 for a Cesspool/
Septic Tank Construction Permit submitted by:
DBM Co •
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.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
• Comments:
RECEWED
711,(4.
Signature
APR 2 7, 1997 70/,7
Dated
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1 own of Southold $'c\ - """'• ? cx f C,�
Judith 'I-. Terry, 1 owl' Cleric ' '2''it,)1(;i:,11 •��f; 1 Application Nul -7/I
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own hall, 53095 Alain Root/ �� �i'` .��., �) Cuttsll•lltalott
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Sautht,lcl N York 1 �0.• ' •
• --',-P Alteration
New c 1 9.11 • -rii, �1t .-: (r $
Telel,huttr •.• ''0! )14 Ac�ttr Residential
(516) 765 • 10111 �''' '�"'`rtt Nun-Residential
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SOU1 1101.1/ WAS] EWA I ER DISPOSAL DISTRICT
AI'I'I-it:,� HON
for
• COI•lS I UUIIC I ItIIN tor Al. l'I:UAT 1011 PERMIT
SEP I it, TAIII; ter CESS1'O)t)I. ;
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Permit No.
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DATE -g -9/ . -
.t APPLICANT NAME: I) 13 Il ��°�._...___._..__.._ -.------_---- .
APPLICANT ADDRESS: 443 Wit, S(.hrrt, I'. 0. Sox 2100
(Theerip(01, N.V. 11944
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SEI'rIC X CESSPOOL
DESCRIPTION Or PROPOSED C;ONS"I RUC 1 1014 OR ALTERATION
Itelt1 tltuet.ttIIL
LOCATION MAI': Must be attached Iterett, before permit may lie Issued.
LOCATION or PROPOSED CONS FUIJC-IION OR ALTERATION:
OWNER UI= PROPERTY : (7 814 C''•
OWNER MAILING ADDRESS: q43 llrtio S(hcP.t, 1'. 0. BOX 2100
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Wireiiginh(, 11.V. 119.11
• OWNER PROPERTY ADDRESS: o ki o 4.- G �Rt t/e
Smtflutfil, 14.V,
TELtt'Ilc)NE NUMI;ER or CmmIIAc:T I'1_Rsc)N :
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TAX MAP NO. : Section 55 Mock ' 6 Lot /S, 43 •
CROSS STRIEI:T:_ T_u.TI-IILL fLd..._.‘xT_.__ _- _.__._.._
UUILVIN(:; PERMIT NUMIII:R CROSS Itl:l'ER11i(;I::. _
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SUFFOLK COUNTY DEPARTMENT OP I1 ALTI"I SERVICES i 1 V it'FC
Pzz::i:x�"." .A ,.07.7.,c Y,C ''C11�r 7.11'C A ION FOR A SURVEY FOR
auc17AUILp.,81:77I ;^,1...,Ci D.B.M. COMPANY MAY 8, 1996
LOT NO.40 iiHIGHPOINT MEADOWS SECTION TWOII MAR. 8,1994
R+� — 5'6– 0O 3 1 DEC. 16,199 1
DATP.-' J A'I REF .� . AT• SOUTHOLD DATE : AUG. 13, 1990
Art APP1;OViM _ . ••' a ...t... , VA . ., , TOWN OF SOUTHOLD SCALE I": 40'
PG':C, AJ�i1iIT`�/tQFIIEi. '_I.L�iI�S SUFFOLK COUNTY, NEW YORK NO. 90-0620
K UIMUTNORIZED ALTERATION OR ADDITION TO THIS CERTIFIED TO:
EXPIRES THREE YEARS FROM DATE OF APPROVAL supper a A VIOLATION Of SECTION 7204 of THE
NEW YORK STATE EDUCATION LAW D.B.M. COMPANY
N COPIES OF THIS SURVEY NOT SEARING THE LAND BRIDGEHAMPTON NATIONAL BANK
SURVEYOR'S INKE 0 SEAL OR EMBOSSED SEAL SHALL
NOT BE CONSIDERED TO BE A VAL10 TRUE copy TICOR TITLE GUARANTEE
NGUARANTEES INDICATED HEREON SHALL RUN ONLr 10
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR wIIOM THE EEY IS MY,PREGOVERN
AMO d+ NIS BEHALF TO THE TITLE COMPANY,pOvERN-
N NEAREST WATER SAIN-�MI. . N SOURCE or WATER: ►RIrATE__PUBIic _ MENTAL AGENCY AND LENDING INSTITUTION LISTED
M SEFF CO. TAX MAP DIST 1000 SECTION._.3.0._SLACK _L_LOT 15.43 HEREON, AND TO THE ASSIGNEES OF THE LENDING
*THERE ARE ND DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
OTHER THAN THOSE SHOWN HEREON TO AOOIT10NAL INSTITUTIONS OR SUB SEOUENT
II THE WATER SUPPLY AND WAS[ DISPOSAL SYSTEM FOR THIS RESIDENCE OWNERS
MIMIC q,
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SIWWN HEREON FROM PROPERTY LINES a
TOEKiSTMG STRUCTURES ARE FOR A SPECIFIC
OF HEALTH SERVICES
APPLICANTPURPOSE AND ARE NOT TO SE USED TO ESTASLISH
1 c.", 71_2ZL'2, PROPERTY LINES OR FOR THE ERECTION OF FENCES
ADDRESS 44: ' •'( D B M COI.
GRELI 1 4BOX 21e HAIN O' YOUNG & YOUNG RI 0 OSTRADER ON NEWAVENUE
EET
NOTE : II=MONUMENT OUND AKE Sroct ET 11941
SUBDIVISION MAP FIL ,IN THE OFFICE OF TtiE__CLERK OF ALDEN W.YOUNG,PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON MAR.'I§,1990 AS FILE NO.8911. AND LAND SURVEYOR N Y.S.LICENSE NO.12845 •
. HOWARD W.YOUNG, LAND SURVEYOR
*HIE LOCATION OF WELL(W),SEPTIC TAMK(OT),CESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE NO.45893
a IRE FROM FIELD OSlERMTIONS ANO OR DATA OSTAINED FROM OTHERS
Z.S.
SRANDIS A SONS INC.