HomeMy WebLinkAboutDBM Co (3) �'° SUfFOL,-
JUDITH T.TERRY �� � Gy�.c Town Hall, 53095 Main Road
TOWN CLERK k , P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICSOy 1�'
MARRIAGE OFFICER aO '1� Fax(516) 765-1823
RECORDS MANAGEMENT OFFICER 411jlig '�► ��� Telephone(516) 765-1800
FREEDOM OF INFORMATION OFFICER et°
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1471 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DBM CO.
Address 1 : P. O. BOX 2130
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR NEW SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. SCHD REF. #R10-95-0098
Name Of Owner DBM CO.
Mailing Address 1 P. O. BOX 2130
City St Zip GREENPORT NY 11944
Property Address 1 215 MOCKINGBIRD LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.060
Cross Street TUTH I LL ROAD EXT.
Building Permit Number Cross Reference:
Issue Date: 5/06/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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JUDITH T.TERRY ; o= .. % Town Hall,53095 Main Road
TOWN CLERK t ti Z 1 P.O.Box 1179
REGISTRAR OF VITAL STATISTICS 0 Southold,New York 11971
MARRIAGE OFFICER :/2, Q- iFax(516)765-1823
RECORDS MANAGEMENT OFFICER 49.( * �aeII' Telephone(516)765-1800
FRE OM OF INFORMATION OFFICER .••..„ 000
nt
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,; APS 3O OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
I_ Q•DFpT thold Town Building Department
FRC,.. Off''id- J. Cooper, Southold Town Clerk's Office
DATED: April 30, 1996
Transmitted herewith is a copy of application No. 1531 for a Cesspool/
Septic Tank Construction Permit submitted by:
D BM 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: /-� JAI _,----7,'~, SI_? %�/v -5' 0a��
Signatu
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MFSO SINGLE FAMILY DWELLING ONLY
'�l/y %Fp EXPIRES THREE YEARS FROM DATE OF APPROVAL
SURVEY FOR
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICIN D.B.M. COMPANY
LOT NO.54,"HIGHPOINT MEADOWS,SECTION THREE"
FOR APPROVAL OF CONSTRUCTION ONS) AT SOUTHOLD DATE: OCT. 15,1990
SCALE 1'=40'
DATE
AUs 2 2 19% /Q� �••,� TOWN OF SOUTHOLD
HS REF. NO. `/ SUFFOLK COUNTY, NEW YORK NO. 90-0803
Or ,y A UIMUTHORIEED ALTSI*TION ON ADDITION TO THIS
AA SURVEY M A VIOLATION OF SECTION 1500 OF THE PTE OF sit
APPROVE HEV YORK STATE EDUCTION LAW
*COPIES OF THIS SURVEY NOT SEARING THE LAND Pap R, AO'
SURVETOIKS (HALO SEAL OR EMSOSSED SEAL SHALL
NOT SE CONSIDERED TO SE A VALID TRUE COPY O'' }O t
• NOV ARANTEES INDICATED HEREON SHALL RUN ONLY 10 * r • 0
HEALTH DEPARTMENT-DATA FOR APPROWIL TO CONSTRUCT TME PERSON FOR WHOM THE SURVEY IS s
AND d HIS *HALF 70 THE TITLE COMPANY,GOVERN- ���• 0
M NEAREST WELT MAIM MI.• S SOURCE OF NATER'PRIVATE JUSLIC_ MENTAL AGENCY AND LENDGININSTITUTION LISTED
M!1/I CO.TAE MAP EMT Jb SECTION.DO SLOES_t_LOT 1 s 15.1 HEREON,ANO TO THE ASSIGNEES OF THE TENORS, --- �
*THEM ARE MD DWELLINGS WITHIN 100 FEET OP TIME PROPERTY INSTITUTION. GUARANTEES ARE NOT TMNSIERASLE
OTHER THAN THOSE SHOW* HEREON TO ADDITIONAL INSTITUTIONS OR SUISEOUENT 41
N TIE WATER SUPPLY AND!EVADE DISPOSAL SYSTEM PON THIN NOIDENQ OWNERS ••• i[.
*DISTANCES SHOWN HEREON FROM PROPERTY UNE! P
WILL CONFORM TO THE STANDARD,OP THE,CAROLS COUNTY TO(SISTINE STRUCTURES ARE FOP A SPECIFIC '2O .LOQ'
ON ILALTH suivie(s. p g M CO. PVR►OSI AND ARE NOT TO SI USES TO IAN 14$5 5.1`1`'•
wueAMr' ALIMAIN STREET PROPERTY LINES OR FOR THE ERECTION OF FENCES
ADORES! P.O.BOX 2130
orI ENPOFIT,fly 11944q-"_)'vz,3 YOUNG a YOUNG 400
OHE
STAO NE AVER E
W YORK
NOTE' ALDEN W.YOUNG,PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LANG SURVEYOR N.Y-S.LICENSE NO 12945
SUFFOLK COUNTY ON MARCH 19,1990 AS FILE NO.B912.
• HOWARD W.YOUNG, LAND SURVEYOR
i S THE LOCATSSI o W(LL(WI,SEPTIC TANNISTIS CEIIPOOLE(CPI SHOWN mutton N.Y.S.LICENSE NO.45893
$ ARE PROM FIELD OSSERVATIONS MOOR OATS OOTA/PKO PROM OTHERS I.A.
BRAND'S A SONS INC.