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Home My WebLink AboutDBM Co (18) A III 4f DIX JUDITH T. TERRY $ G : Town Hall, 53095 Main Road TOWN CLERK : Z P.O. Box 1179 REGISTRAR OF VITAL STATISTICSf! `� Southold, New York 11971 MARRIAGE OFFICER � Fax (516) 765-1823 s0.1$4 Telephone (516) 765-1801 *1 , OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 734 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 ON10/19/90. Name Of Owner DBM CO. Mailing Address 1 P. O. BOX 2130 City St Zip GREENPORT NY 11944 Property Address 1 MOCKINGBIRD LANE (HIGHPOINT MEADOWS LOT #49) City St Zip SOUTHOLD NY 11971 Tax Map No. section 55.00 block 6 lot 15.055 Cross Street TUTHILL ROAD EXT. Building Permit Number Cross Reference: Issue Date: 7/24/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) . in cg Foyle 73V , iuI, !I ._ . . . , _ ., , , a271991 I+ 1R\\ 31 t BLDG. DEPT. 1 ' ` , d TOWN OF SOUTHOLD J Town Hall, 53095 Main Road „ P.O. Box 1179 y '1 � ,Vx' Southold, New York 11971 JUDITH T.TERRY '' f 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: June 26, 1991 Transmitted herewith is a copy of application No. 752 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 '\ DISAPPROVE Comments: 4..0 ,cam..,.,W.J.: 01-i 7CdickCf2ta 141 N- G .x. -9 d: iNe. ! o119 ` q �,57'x, 1 Gu 2_(2 _JA:' !ma ignature /1 g c 1 31" 24 1991 Dated Town cierk aims OFFICE OF THE TOWN CLERK ,c0074:\ \i Town of Southold ,J & Judith T. Terry, Town Clerk i.��. . Application No. 7S-02_) Town Hall, 53095 Main Road 1,, Construction P. 0. Box 1179 Ln,,,. a,?: , -.- Southold, New York 11971 �• Alteration Telephone �l r � Residential c / (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 $1(-) DATE 6-a Li- 9 APPLICANT NAME: Q k APPLICANT ADDRESS: 03 /4-1,f i,<) 5 jr / Q. Ea)c x130 g -r Y 1 1Hz/ SEPTIC CESSPOOL '• DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION A.) 6-tk_.) I-}pJ5E LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: -D g 1, e} OWNER MAILING ADDRESS: 16 . ©. 6 OX & I30 -T ,3V 119 y �( OWNER PROPERTY ADDRESS: pir) �//`1 G I e.o • 0 C.-IN 615A/9014f mit) TELEPHONE NUMBER OF CONTACT PERSON: I (o - - TAX MAP NO. : Section S 5 Block 62 Lot • • CROSS STREET: %U T H /L t,- Rb. E XT. BUILDING PERMIT NUMBER CROSS REFERENCE:-. ,9 Signature of Applicant s RECEIVED BY: Town s Office DATE: ( �/Cl/ r - 11 il\'11 . li — — 40C/1/� go, T R:Ig0.00 L,,17146. 9 G%ON• \ O CrA P. Qj, \A"q of, `��/p XN•59 ��s /�/ ?D 6.0 Sm I rc ,,y' Rc6 •00' 1..74.2 F, '� N O• �" ''r I' \o' „,.. PRO►OSEO �c.P � y ' y ,� , SANITARY 7 _I I. I 31 O 4.0\ SYSTEM 11 �i ; tP, v° �• J�< �. B. ” i 5.T ml c i I1 1,1.1 13Gi !' a,.. I oc ° I OC l b PROP.LOCATION \/ \ .1.1:' , ", OF MOUS( I 1 090 01/4 DP` 1- `as. Ey,' /, Dt'l \ $, h It§�e c.v l' Ot / O1% �i°:`:I S.-.� _ • _. 'L I r • `, / i'l ... lT! t, r, SURVEY FOR D.B.M. COMPANY SUFFOLK COUNTY DEPARTMENT OF HEALTH =vices LOT NO.49,"HIGHOINT MEADOWS,SECTION THREE" AT SOUTHOLD DATE: OCT.15,1990 FOR APPROVAL OF CONSTRUCTIONONLYTOWN OF SOUTHOLD SCALE-. 1"=40• OCT 191990 HS-REF. NO. ,� - J� 0 SUFFOLK COUNTY, NEW YORK No. 90-0802 DATE - _ R UNlUTMORIS[0 AL T[RATION OR AODi TION TO NIS _ r j ' SURVEY 4 A VIOLATION OF SECTION TtOS OF THE (/ �.-7 �. i i1 NCW YORK STAY[ eouCATION LAW tP E OF '�t�`�. APPROVED -_�/� , = '/� //�----L - *COPIES OF THIS SURVEY NOT ![ARAM INC LAND fi . 3 p�'j e: 5 $6�5-- (/01.'S--' NOT SURVEYOR'S S DERED TOBER VALII D STRUE COPT .1%t' .1%t' W IO �t I GGARAMT[ES INDICATED HEREON SNAIL RUM MALT 10 0 HEALTH DEPARTMENT-DATA FOR APPROIML TO CONSTRUC T TAW PERSON FOR WNOH THE SURVEY IS PRE►AREO * Z . AND d NIS TEMILE TO THE TITLE COMPANY,GOVERN- •t p •NEAREST DAM OAIN_MI ' N SOURCE OF WATER-N114TE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED `{f R OOP CO. _Moo 10CRStCTVON 3'1.KOCK_A_LOTB�S.t HEREON,AND TO THE ASSIGNEES OF THE LENDING \ *THIN AM NO BWELLMNG WITHIN 100 FEET OF THIS PR OS TTITUTINSTITUTIONS IARANEES ARE ORT SUBSEQUENT OWNERSNABLE Those OTHER THAN OSE SHOWN NtREOti DONAL 4' ■THE METER sum.,Ape Snail DISPOSAL SYSTEM FOR NIS ROIO(Pa WILL CONFORM l0 THE STANDARD*OF TN[SUFFOLK COUNTY DEPARTMENT R of Static t! SHOWN HEREON FRON PROPERTY UNES 41.4- W NEAL TN/pNICES. TO ElIf TINE l7RUC TIRE! All[1011 A SP[CI►IC ' A/PLICAMT PURPOSE AND ARE NOT TO Bt USED TO ESTABLISH G' p ESt+J "��j PROPERTY LINES OR FOR THE ERECTION OP FENCES S J AMIE"9-y3 ma„0 6T 6'reI'l4rori" JUld »f9 r 400 OSTRANOER AVENUE TEL V72-zzZ3 YOUNG a YOUNG RIVERHEAD,NEW YORK NOTE' SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W.YOUNG,PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MARCH 19,1990 AS FILE NO.8912. AND LAND SURVEYOR N Y.S UCENSE NO 12845 • HOWARD W.YOUNG, LANO SURVEYOR o *we Looms"aPMEUW1,DEPTICTANK/$TIRCESIPOOLS( )SNOWNMIAMI N.YS.LICENSE NO.45893 KM FROM FIELD WIRESIMITIONS AND OR DATA OBTAQB FROM E.T. SRAMOIS a Sous INC.