HomeMy WebLinkAboutDBM Co (19) •
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JUDITH T. TERRY z Town Hall, 53095 Main Road
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TOWN CLERK p T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS $ Southold, New York 11971
MARRIAGE OFFICER -yQ 0�' �� Fax (516) 765-1823
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,00 Telephone 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. 972 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
CESSPOOL SYSTEM FOR NEW SINGLE FAMILY DWELLING.
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 MOCKINGBIRD LANE
HIGHPOINT MEADOWS
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 6 lot 15.056
Cross Street TUTHILL ROAD EXTENSION
Building Permit Number Cross Reference:
Issue Date: 4/15/93 Judith T. Terry
Southold Town Clerk
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JUDITH T. TERRY z_ L _ ' Town Hall, 53095 Main Road
TOWN CLERK z p T P.O. Box 1 179
REGISTRAR OF VITAL STATISTICS 1 �
€P Southold, New York 11971
MARRIAGE OFFICER / i V` . ,, Fax (516) 765-1823
---___.101 it lot Telephone (516) 765-1801
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OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
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TO: Southold Town Building Department
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FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: April 2, 1993
Transmitted herewith is a copy of application No. 999 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.
C(.9-tr -)
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE
DISAPPROVE
Comments: CL. ,e..,,. e 42kka, o,n gttq ,Q ca.4.00-01/4¢4.l, '4i-
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Signature
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Dated
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crricror THE ,TnWJ CLERK .1 �t501 rc\\frf:t
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on of Southold
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Application No. tuditt uw(t "PO'
Hall. 53095 f,laitt I oatl , i , � • „c ;; • kI ow" ;
. O. 13ox 1 110 t,'' It1)6.1i"
ri Conslructlor►SotttI(Old, New York 11911 ►_ vo.- Alteration
1 eie tltor►tr `1�t...-,C��t4ts(�
r Residential
I rr
( 51(;) 7(iS !Hut
Non Residential
I ntytl nI S0011101_1)
SUU 1 1101 1r WAS 1 FIVA i ER DISPOSAL DISTRICT
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Ir�r
CUNslPDC I Intl t,t Al iLIZAIION PEMIEr
SI I' I i(: 1-A111; or CESSP'nnI.
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Permlt No•— _
Fee $
I)A FE .Ap'1-12 2, 1993
APPLICANT NAME: l) 8 tl ('o,
APPLICANT ADDRESS: 4.13 Moist '3i'rrrt I', O Box 2130
G'rt'rntv''t f, H. V. 11914
S E P ri c c:l:s s po(t_ xx
l)ESCRIP-riON or PRorosr:I) GUNS I ROC I ION OR Al.TERATION •
- ttery cht'e.l'f..i.ng
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LOCATION MAP: Must he allt►cl►rtI I'to('It) before permit may he Issued.
LOCATION Or PROPOSED CONS I RIR; I I(UI OR ALTERATION:
OWNER Or PROPERTY : I) 8 11
OWNER MAILING ADDRESS: 4." 114111 C(ucc't, 1 . 0. Box 2130
(�'trr'►►i)tt'((� 1) y. 11411___ --
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OWNER PROI'ERTY ADDRESS' MocFiingbcted Lane, Hijhpoint_Meadow6
�(trtrheftl, N. V.
TELEPiONE NUMt3ER or cm) 1 AC I PERsori: 411-2223 --
T X MAP NO. Section `'r' 111o( I( 6 15.56
Lot
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CROSS STREET: Tu hiLe. Road Extenzion
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SINGLE FAMILY DWELLING ONLY
EXPIRES TWO YEARS FROM DATE OFAPPROVAL
SURVEY FOR
D.B.M. COMPANY
SUFFOLK COUNTY DEPARTMENT OF HEALIr1 SERv)C':a LOT NO.50, HIGHPOINT MEADOWS,SECTION THREE"
AT SOUTHOLD DATE. JULY 22, 1991
FOR APPROVAL OF CONSTRUCTION ONLY TOWN OF SOUTHOLD SCALE i'...50.
91-0647
• SUFFOLK COUNTY, NEW YORK
DATE AUG 201991 HS O.(�r) 3Air?3 •UNAUTHORIZED ALTERATION OR ADDITION TO THIS
SURVEY O• vIOLAnoN W SECTION YtoS OF THE It OF NEW
/� VP YORK STATE EOUCAT ION LAW TS1 P" y
L��,�l„:F,T --1'/ �I�'/ r .RIES OF TN'S SURVEY NOT R(APIG THE LAND WO w �,
_'__ V SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL M- j '/'
3A1 �/ SE CONSIDERED TO BEAVALIDTRUE COPY ��
I) ��� !:�1 NGUARAMTEES INDICATED HEREON SHALL RUN ONLY TD tt 2.
THE PERSON FOR ANON THE SUNvEY .5 PREPARED T
HEALTH DEPARTMENT-DATA FCR APP`ONSL TO CONSTRUE T AND a HIS BEHALF TO THE TITLE COMPANY,GOVERN- y
MENTAL AGENCY AND LENDING INSTITUTION LISTED t5061. TB NEAREST VARA MAIN_MI _ RSOURCE OWATEK/ MIMTE PUBLIC_
B SI/F CO TAX MAP ow 1000 SECTION_1.5__BLDCK L0,'ISAB HEREON,AND TO ME ASSIGNEES OF THE LENDING
R TN(RE ARE NO OW ELLIMSS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
OTHER THAN THOSE SHOWN HEREON OWNERS (. +O. 45g93
r THE WM
*ASTER SLILY AMD SERPA(DISPOSAL SYSTEM FOR THIS REST DENLI *DISTANCES SHOWN HEREON FROM PROPERTY LIMES t1 rf
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TO EXISTING STRUCTURES AR(FOR A SPECIFIC A/�
OF HEALTH SERVICES PURPOSE AND APE NOT TO BE USED TO ESTABLISH ND U.�/ rAP►LICAMT• D /] frf Co . PROPERTY LINES OK FOR THE ERECTION OF FENCES
AoOOESSq,4 MAT..) 27. p.D. 8ok x.130
()l/ZC6.0006CT /L)/ I1 cit44 TEL S"/6 LI"77-2.2.2.3 YOUNG & YOUNG 400E OST DTRANNE AVENYORUE
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.5 UCENSE NO 12845
HOWARD W YOUNG, LAND SURVEYOR
o RTNE LOCATION Of WEL LAW I,SEPTIC TAMKISTIS CESSPOOLS(CP)SHOWN HEREON N.Y S.LICENSE NO 45893
• AIIE PROM FIELD OBSERMTIONS NOON DATA OBTMNCD FROM OTHERS Z.B.
• ANANOIS A SONS INC. • •