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Home My WebLink AboutDBM Co (16) il"citf Wirt: JUDITH T. TERRY z Town Hall, 53095 Main Road � L ; P.O. Box 1179 TOWN CLERK v rn Southold, New York 11971 REGISTRAR OF VITAL STATISTICS (J. `�, Fax (516) 765-1823 MARRIAGE OFFICER ar O4''�� Telephone (516) 765-1801 ' OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 774 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 9/19/91 . 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 34 City St Zip SOUTHOLD NY 11971 Tax Map No. section 55.00 block 6 lot 15.037 Cross Street TUTH I LL ROAD Building Permit Number Cross Reference: Issue Date: 11/12/91 Judith T. Terry Southold Town Clerk I TOWN SFA1 1 • 00 ,, Foy "�- �F i OCT 2 41991 '` ,k'`� CpG��, JU i T. TERRY .:11i—°' : . . . Town Hall, 53095 Main Road `�`• CL» l f 1 r f v rZr+ P.O. Box 1179 REGISTR• • OF 1 r•. a �. 3`= • Southold, New York 11971 MA` • • E OFFICER0 �- Fax (516) 765-1823 = 01 * � Telephone (516) 765-1801 • OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD To: Southold Town Code Enforcement Officer From: Linda Cooper, Southold Town Clerk's Office Dated: October 24, 1991 Transmitted herewith is a copy of application No. 795 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 DC DISAPPROVE Comments: Q,,. �,, Q a+y► S4, Co. VJ 144031. 11, o,r, g\‘4\\No RECENED Signature "ri'! J x. 1991 10`a$`°‘ Dated TrAtan Clerk 5Oi1thhOC1 OFFICE OF THE TOWN CLERK Town of Southold :� Application No.79' Judith T. Terry, Town Clerk Town Hall, 53095 Main Road cto i ' Construction �: `F;d 1-r P. O. Box 1179 �;:4A * Alteration Southold, New York 11971 - 0�- Telephone N 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. 795— Fee $ 15Fee $ /O - DATE 2 APPLICANT NAME: T 81L4 C..0 APPLICANT ADDRESS: 1.114, /4 , 0 ST. ) P• © . ';30X �- ► 3 c) C2E�,c)Pox T / ^l. y. (9 q q SEPTIC CESSPOOL ✓ DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION one D.. rel 4.j 12 & sIc1' E'NCc LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: / 6 1-( 00 . OWNER MAILING ADDRESS: P. O • c�. o k - 13 d ce= /OA 2T ,<3 / /, 9Vy OWNER PROPERTY ADDRESS: ORIOLE 7),Q (LOT 3 ) _Sou i / -) It 9 i TELEPHONE NUMBER OF CONTACT PERSON: y -7 -7-ZTAX MAP NO. : Section SS Block 6 Lot /S. 3 7 . CROSS STREET: / () 7-1-i/L R E.--77-)( 7', BUILDING PERMIT NUMBER CROSS REFERENCE:.. • Signature o Applican RECEIVED BY: Town Clerk's Office DATE: l �02 cl/ / C f 4 No l\\(‘ LISA DRIVE -~— ',TO •2e, 1 z+ • 9, 1.7 /Y4C441.) fL wir 1,, EY O Lot 33 ,? / ' (VACANT) ', z-809.OT. 1 ti OS / /\ IOAP Z36.68 bh� ATNaq .40 /� / /Q /14, M ` e . ".R 30 / I __ \ p9 M 5. to' Op L __3j, _ O,,MOMN h z \ ......" N it • in I 7 ry _W I 0. >. X01 E c i tv4o4N5 • 1- En I A. 0 IN X A-• . C : 41 I p 3 N Lot 34 h CO Area=25494 s.f. I „, 0 N h Z I Y 0 0 c N R t W v __ W _ N.89°54I0''W. 100.23 / %,tom �fiitE; t3v'.. now or formerly Carl & Anthony Codan &Another _. Or. S. r s t9 y CI '�Srs: 91. SURVEY FOR -. D.B.M. COMPANY • SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVKs LOT NO.34,II HIGHPOINT MEADOWS,SECTION TWO" AT SOUTHOLD DATE. OCT.15,1990 FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCALE 1":40' OCT 191990 . SOS G SUFFOLK COUNTY, NEW YORK N0. 90-0801 DATE �S REF. NO./i /I C v ) I •uNAUTHQWIfED ALT[ARTION OR AUDITION TO THIS /,'i_. �.\ 1` A4, � ) SURYEO O A VIOLATION OF SECTION 7209 OF THE _ 1 ll'� 4 / NEN FORK STATE EDUCATION LA■ LoPROVED / - •coRIES O[TNI'SURVEY NOT SEARING rot LANG PtE OF hc' SUR vE TONS INRED SEAL OA EMBOSSED SEAL SNA LL St 3 Q��/ A; C— c_ \ .07 RE NGUARANOEISDNOICATED HEREON SHALLERED TO SE•yALIO ECOPT RUN ONLY TO PRD w Ji HEALTH DEPARTMENT-DATA FOR APPRTME PERSON FOR WNON Tot SURVEY Is PRERARIO 0 �O r OPAL TO CONSTRUCT ANO ON NIS REMO'TO TN/TITLE CONRAN+,GOvNN- y .t . i N WATER WAIN NI • *SOLING(OF WATER PHYTE_PLIC_ NENTAL AGENCY ANT LENDING INSTITUTION LISTED T -"*14°. 517 •NNE CO.TAX NAP DIST jQ$4i[CTIDN AS_BLOCK 6 or X5.1 NN[ON,AND TO THE ASSIINE[S OF rot LENDING ?*,:�yyyIC ITH[K ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE MOT TRANSFERABLE 5 OTHER THAN THOSE SHOWN HEREON TO ADOITIOIAL INSTITUTIONS OR SUBSEQUENT4. N INC WATER SUPPLY AND SEWS[DISPOSAL STITCH FOR THIS RESIDENCE OWNERS •n5a WILL COI/ORM f0 TK STANDARDS 0/THE SUFFOLK COUNTY N DISTANCES SHOWN HEREON 'PON PROPERTY LINES Of WILL F SS IC[/ TOEEISTINA STRUCTURE/ AR[FOR A SPECIFIC APPLICANT, .' � PURPOSE AMO ARE NOT TO S[ TO ISN fI ..IJ 6 co PROPERTY LIMES OR FOR THE ERECTION OF FENCES LAND SOt R�4C� .DDR[./y4� Iukl v ST f .,, a,I ti YOUNG YOUNG 400 OSTRANDER NU al y77-22-2 3 RIVERHEAD,NEW YORKAVEE NOTE ■:MONUMENT SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG,PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MAR.19,1990 AS FILE NO.8911. AND LAND SURVEYOR N Y.5 UCENSE NO 12845 • HOWARD W YOUNG, LAND SURVEYOR 5 •TM LOCATOIOP W[LLIWI,I[mC TAPROOM C[IIPOOLS(OF)MOWN HEREON N Y S.LICENSE NO 45893 'c AR[PROW FIELDNIUCWATIOII AND OR DATA ONIH TA [D FROM S Z.S. •MIDIS A SONS INC.