HomeMy WebLinkAboutDBM Co (24) ,,,,,,,,,iii,,�
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* Town Hall, 53095 Main Road
;y0�, �•'� P.O. Box 1179
'yQ ib,,,' Southold, New York 11971
JUDITH T.TERRY
'��..,ii/iiI'1 FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
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. 657 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
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES ON 10/19/90.
Name Of Owner DBM CO.
Mailing Address 1 P. O. BOX 2130
City St Zip GREENPORT NY 11944
Property Address 1 ORIOLE DRIVE
HIGHPOINT MEADOWS (LOT 18)
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.001
Cross Street TUTH I LL ROAD EXT.
Building Permit Number Cross Reference:
Issue Date: 10/30/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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`, ' Town Hall, 53095 Main Road
BLDG DEPT. ` ;`'O�y O ',�
TOWN OF cr ;TPr . P.O. Box 1179
..........., .. _"' OJ ���o• Southold, New York 11971
JUDITH T.TERRY — .,,,i, Si�� 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: October 211, 1990
Transmitted herewith is a copy of application No. 672 for a Cesspool/
Septic Tank Construction Permit submitted by:
DBMCo
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
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Signature
/0/..1.6/16
Dated
1 ` I`•
OFFICE OF THE TOWN CLERK 1.1410Cx`,
• Town of Southold ;��
J Application No.
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road t V.12
, Construction
P. 0. Box 1179 '•-
Southold NewYork 1 1971 �••cb Alteration
Telephone °l xit �.a0 Residential
(516) 765-1801 " Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICAT ION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /O - Z 3- 1 0
APPLICANT NAME: /3 M (
APPLICANT ADDRESS: qui 3 M A / T P. 0 . ✓3 h k i 13 0
(2) 206-,0-70c) 2 r
SEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION A..) 6-it)
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: C3 t C o -
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: L 0 i 00 U ( 140 (_ ei<
/ h` {U//U% 1 -194c)L )
TELEPHONE NUMBER OF CONTACT PERSON: _7 7- v Z Z 3
TAX MAP NO. : Section S S- : Block 6 Lot Pia "
CROSS STREET: / U T N l L. L ,Q 6. L ) 7 •
BUILDING PERMIT NUMBER CROSS REFERENCE:..
//.1,
C
Signature of Applicant
RECEIVED BY: at __
/
Tow Clerk's Offices`='-
DATE: /G /� L,//9',) QCT 2 19 U
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SURVEY FOR ?�.:.�'.�
D.B.M. COMPANY V<;;,
3u1-FOLK COUNTY DFP..^-h,+4 OF HEALTH SERVICES LOT NO. 18,�� ��
HIGHPOINT MEADOWS, SECTION TWO
AT SOUTHOLD DATE : OCT.15,1990
FOR APPRDYAL CF t NSTPUCVON ONLY TOWN OF SOUTHOLD SCALE: 1"=40
SUFFOLK COUNTY, NEW YORK NO. 90-0800
D,,,QCT 191990 HS f:r LTHIS -NO 1) f 1 0 UMAUTHOR12EO ALTERATION OR ADDITION TO IS
., -/ SURVEY 4 A VIOLATION OF SECTION 7209 OF THE
NEW YORK STATE EDUCATION LAW
4PPROVED 4. J COPIES OF THISSURVEY Nor BEARWG THE LAND PSE OF "fw
SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SMALL s S� y
-30 6)/. "--
1S , ') NOT Bt CONSIDERED TO BE A VALID TRUE coPr D 0
(DP I� *GUARANTEES INDICATED HEREON SHALL RUN ONLY TO �.R ('('. 9
HEALTH DEPARTMENT-DATA FOR APPR• TO Cu' ' ICT
•
THE PERSON FOR WHOM THE SURVEY IS PREPARED `� rp 1�
T TIT PANr Ov N-
ANO O� HIS BEHALF TO HE TITLE COM G ER
N NEAREST WATER MAIN—MI. • N SOURCE OF WATER PRIVATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED _
HEREON, AND TO THE ASSIGNEES OF THE LENDING + Q
N SUIT CO. TAX MAP 01ST 1000 SEC TION A�BLOCK�_LOT D/O IS.I � "�.
*MERE ARE NO MILLIONS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE . NOT TRANSFERABLE %}�
TO AOOITIONAL INSTITUTIONS OR SUBSEQUENT Tt.-W
OTHER THAN TRIOSE SHOWN HEREON /
N THE WATER SUPPLY AND SEMAGt DISPOSAL SYSTEM FOR MIS RESIDENCE OWNERS n ,
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT *DISTANCES SHOWN HEREON FROMPROPERTY LINES
TOEKISTING STRUCTURES ARE FOR
A SPECIFIC p,�s.:
Of HEALTH SERVICES. PURPOSE AND ARE NOT TO SE USED TO ESTABLISH 4 `
AP►LICAMT' i� f1 Co PROPERTY LINES OR FOR THE ERECTION OF FENCES 4$I't (AND 'RVEA
DRESS /y3 Mi i a,'oW t,3 5 6-re e, 4-t
AD . /i94/
TEL. ii ' &a z3
YOUNG a YOUNG � DNEAVENUE
RhEA • W YORK
NOTE tALDEN W.YOUNG,PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N.Y.S.UCENSE *0.12845
SUFFOLK COUNTY ON MAR.19,1990 AS FILE NO.8911.
e HOWARD W.YOUNG, LAND SURVEYOR
S N THE LOCATION Of VELUM),SEPTIC TANK(ST1B CESSPOOLS(CP)MOWN HEREON N.Y.S.LICENSE NO.45893
•
ARE PROM FIELD OBSERVATIONS MID OR DATA OBTAINED FROM OTHERS - i.e.
s. RRANDIS a SONS INC. . .