HomeMy WebLinkAboutDBM Co (6) JUDITH T. TERRY
Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK p T
REGISTRAR OF VITAL STATISTICS 1 Southold, New York 11971
MARRIAGE OFFICER yQ �- Fax (516) 765-1823
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(516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 756 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 8/20/91 .
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 5
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.008
Cross Street LISA DRIVE
Building Permit Number Cross Reference:
Issue Date: 9/10/91 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
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f �' Town Hall, 53095 Main Road
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JUDITH T.TERRY ~-,'..-.)-7.z.--,:!_(--'". TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Southold s Town Code Enforcement Officer
From: Linda Cooper, Southold Town Clerk's Office
Dated: September 4, 1991
Transmitted herewith is a copy of application No. 777 for a Cesspool/
Septic Tank Construction Permit submitted by:
D B M 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 X
DISAPPROVE ,
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Town dart Soudbfd
OFFICE OF THE TOWN CLERKVDL�`,
Town of Southold ,<J , � D
) Application No. 7 `76
Judith T. Terry, Town Clerk E
Town Hall, 53095 Main Roadu-3 14 �3 Construction
P. O. Box 1179 1?,
Southold, New York 11971 . ' Alteration
Telephone r ►�� Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. -2 7
Fee $ /e J
DATE 24 . 3, /9 9/
APPLICANT NAME: 1713 frt C.
APPLICANT ADDRESS: q y 3 t-t4 ,,v „sr , • 0 . , o X 2 ! 3 0
0-712 C,v-70o 2 7- ,J 1 r 19 y
SEPTIC CESSPOOL %/
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: b C3 M Co
OWNER MAILING ADDRESS: P . D. Go ), .. I 3 o
OWNER PROPERTY ADDRESS: !
TELEPHONE NUMBER OF CONTACT PERSON: ci7 7-- 2-2.- 2.- 3
TAX MAP NO. : Section 5 Block 6 Lot /S. g
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CROSS STREET: L/.54 )/Pr h
BUILDING PERMIT NUMBER CROSS REFERENCE:_.
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Signature of pplicant
RECEIVED BY:
immiiiirk's Office
DATE:
S `P14 A 1991
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\Subdivision - Iighpoint MeadowsSection OneOSuffolk County File No.8910
• LISA DRIVE ,,,
c\`Z
SINGLE FAMILY DWELLING ONLY • •
EXPIRES TWO YEARS FROM DATE OF APPROVAL
SURVEY FOR • -
D.B.M. COMPANY • ,,,•:-.G.--
SUFFOAK COUNTY btAA!( MENfi OP HEALTH SERVICE` LOT NO.5,NIHIGHPOINT MEADOWS,SECTION TWO
AT SOUTHOLD DATE JULY 22,1991
FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCALE I"=50' Vis` -
(-
AUG 20 1991 r, 0
HS REF• NO SUFFOLK COUNTY, NEW YORK No. 91 0644tr
N- *uNAU THORIZ CO ALTERATION OR ADDITION TO THIS -
_ nj /� SURVE• N R VIOLATION OF SECTION 7209 OF THE
\Y"`,,:/ ��llJ�r YORK SLATE EDUCATION LAW - �E OF NEw 4, `!
Lf.'ROVED �� ' / j *COPIES OF THIS SURVEY NOT NEARING THE LAND S*CP ` --
0,
L
G . �_•:__ SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL SD w f•
am
2, • / - ��-� NOT■E CONSIDERED TO NE A VALID TRUE COPY y1I4�- ■GUARANTEES INDICATED HEREON SHALL RUN ONLY TO b
EALTN DEPARTMENT-DATA FOR APPR••• v CONSTRUE I THE PERSON FOR WHOM THE SURVE' Is PREPARED y' 4. 1, Z
AND a+ HIS BEHALF TO THE TITLE COM►ANT,GovuJEN- TQ
'NEAREST WATER SAIN_MI t N SOURCE OF WATER PRINTF_ °•NRK _ MENTAL AGENCY AND LENDING INSTITUTION LISTED f■'t..'
1 NEFF CO TAX MAP DIST 1000 SECTION 55 BLOCK G LOT ISA HEREON,AND TO THE ASSIGNEES OF THE LENDING
•THEN ARE MD DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE ^'7 ,
70 ADOITIONAL INSTITUTIONS OR SUBSEQUENT
)THBR THAN THOSE SHOWN HEREON OWNERS
•THE WATER SUPPLY AMD SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE *DISTANCES SHOWN HEREON FROM PROPERTY LINES /re,
E,' .
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES ARE FOR A SPECIFIC fS.
X*GAL TN SERVICES PURPOSE AND ARE NOT TO BE USED TO ESTABLISH •Tf0 Oa
APPLICANT' LS / �•, PROPERTY LINES OR FOR TME ERECTION OF FENCES LAND SURA
sooRE Nsq q 3 "A ,/6 , _ ,O 0 /3 o x 2,1 0 400 OSTRANDER AVENUE
�/.'EE,Kif'�+SPT /`�.I� 119L1`I TEL Sly-4"71-1 -�-3 YOUNG YOUNG RIVERHEAD,NEW YORK
OTES ■=MONUMENT ALDEN W YOUNG,PROFESSIONAL ENGINEER
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N Y.S LICENSE NO 12845
SUFFOLK COUNTY ON MAR.19,1990 AS FILE NO.8911.
HOWARD W YOUNG, LAND SURVEYOR
•OW LOCATION OF WELLINO,SEPTIC TANK(fnS CESSPOOLS(CPI SHOWN HEREON N Y S.LICENSE NO 45893
ME FROM FIELD OPERATIONS AMD OR DATA°OTNM[D FROM OTHERS - Z.B.
RRANDIS A SONS INC. I