HomeMy WebLinkAboutDBM Co (20) o' (10
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rf' ' Town Hall, 53095 Main Road
$ P.O. Box 1179
1 00. Southold, New York 11971
JUDITH T.TERRY -.,,,i,,00 FAX(516)765-1823
TELEPHONE(516)765-1801
TOWN CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 600 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : DBM CO.
Address 1 : P. O. BOX 2130
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 4/12/90.
Name Of Owner DBM CO.
Mailing Address 1 P. O. BOX 2130
443 MAIN STREET
City St Zip GREENPORT NY 11944
Property Address 1 ORIOLE DRIVE (MODEL B)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.001
Cross Street LISA DRIVE
Building Permit Number Cross Reference:
t
Issue Date: 5/03/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
c)
11\\L±PR 17 1990 �oo ;
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Town Hall, 53095 Main Road
TOWN OF SOUTHOLD � '�� P.O. Box 1179
- 01 ���� Southold, New York 11971
JUDITH T.TERRY TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: April 17, 1990
Transmitted herewith is a copy of application No. 614 for a Cesspool/
Septic Tank Construction Permit submitted by:
DBM Co. (Model B)
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: � 5?� tia 1N% CAD, r
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Ca. ca.oL4ls, Ct• 11(1
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Signature
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Dated
OFFICE OF THE TOWN CLERK ' ' C.jVFFULk
Town of Southold
Town "Clerk CG 6(
Judith T. Terry,
Application No.
Town Hall, 53095 Main Road jcra C Construction
P. O. Box 1179i? 0�� Alteration
Southold, New York 11971
0_1 t ' �� Residential
Telephone
(516) 765-1801 " Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. •
Fee $
DATE App 16. 1990
APPLICANT NAME: V B M Co.
APPLICANT ADDRESS: 443 Main StAee,t, P. 0. Box 2130, Gneenpont, N.Y. 11944
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
one a vL1 y howse I oP61- Q"
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 1) B M Co.
OWNER MAILING ADDRESS: 443 Main Street, P. 0. Box 2130, Gneenpoit , N.Y. 11944
OWNER PROPERTY ADDRESS: tame 62-tLe-LU y�
TELEPHONE NUMBER OF CONTACT PERSON 323-2585 fc``ft
TAX MAP NO. : Section 55 Block 6 Lotp/o 15. 1
CROSS STREET: Hasa Verve, Sowthoed
BUILDING PERMIT NUMBER CROSS REFERENCE:
• . ti ., p, i t
RECEIVED B
wn Clerk's Office
.DATE: APR 1 7 MO
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SURVEY FOR
,uFFOU( COUNTY DEPARTMENT OF HEALTH SBIVICes D.B B.M. COMPANY
LOT NO.4, "HIGHPOINT II AT SOUTHOLD,SECTION ONE"
FOR APPROVAL OF CONSTRUCTION ONLY AT SOUTHOLD DATE. SEPT. 7, 1989
TOWN OF SOUTHOLD SCALE I ". 40'
DATE APR 12 IQ C r HS REF.,14o7 o s
SUFFOLK COUNTY, NEW YORK NO 89- 1026 a
I _
'�"�;"Z,�. V`� RUHAUTr01112(D •LTERN Ti ON OR ADDi TION ro.THls GUAR ANTE OI
APPROVED ! \„,...___.„) su*v e.v itauc,N of s[CTIDN T20.OF THE F, .• .a
=X �
INN TORR STAT[EDUCATION LAW D.B.M. 4
Ca(o 3 Y %,-/S - /.) — •COPIES OF THIS SURVE+NOT SURING THE LAND TIC.'S - E
SURV[TON'S IMBED SEAL OR[NBOSSED SEAL IO _
NOT SC CONSID(R[D TO SF AYAL�D TRUE CONT .�� • ` `.
RGUA RAN T001 INDICATED NERCO.SN4l RUN OcoD M
NLT TO O a _
HEALTH DEPARTMENT-DATA FOR APPRON[L TO CONSTRUCT TME rERsoM FOR trot THE SURVE+iS PPE/M[o i -
ANO ON NIS KNALF TO THE TITLE CONPAMT,°OVEAN-
N SCARES?WATER BAIN_MI _ *SOURCE CO WATER PRIMATE PUBLIC I' MENTAL •GENCT AND LENDING INSTITUTION LISTED
■'DUFF CO.TAX NAP DIST V9.9:SECTION 3 'DOC*OC*_A_LOT P/O is HEREON,AND TO THE ASSISNEES OF THE LENDING tt4,1
*TWINE ANE NO WELLNESS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTELS ARE NOT THEW SFERA BLE3
INNER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUNSEOUENT
OWNERS 1
*THE WATER SUPFIT AND SEWS[DISPOSAL SYSTEM FOR}NIS ROID(NCIT •DISTANCES SHOWN HEREON FROM MOPERTT LINES 'ANv(A.�D+I ,
4 '3
WILL CONFORM TO TIE STANDARDS OF THE SUFFOLK COUNTY TOERISTING STRUCTUNES E FOR •SPECIFIC l /,*
Of NEAL TN NQVICL! PURPOSE AND ARE NOT TO DE USED TO ESTABLISH T
APPLICANT. es„._ co PRO/[NTT LINES OP FOR THE ERECTION OF FENCES PEND at
ADORED Q.o ?.&-,. 13o
-r<.. p. o 'IL YL '77-22239114 YOUNG a YOUNG *HEAT DN NEW YORKR
NOTE
SUBDIVISION MAP NOT FILED AS OF SEPT.7,1989 AN DEN W YOUNG,PROFESSIONAL ENGINEER
ANO LAND SURVEYOR N Y-S.UCENSE NO 12845
HOWARD W YOUNG, LAND SURVEYOR
,71 NTN(LOCATA71 OF WILLIWI,DEPTIC TANNbT)NC[SSPOOLS(0)WAIN N[N[ON NYS.LICENSE NO 45893
AR[PRON FIELD OMERINTIONS MOOR DATA OSTAIIED/NOM OTHERS
SRANOIS•SONS INC.
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