HomeMy WebLinkAboutDBM Co (25) C
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Town Hall, 53095 Main Road
J P.O. Box 1179
•�ll®1 •�`a®��� Southold, New York 11971
JUDITH T.TERRY �� .aili''�� TELEPHONE) 18
16) 1801
TOWN CLERK
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1562-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New X Existing
Name Of Owner D B M CO.
Mailing Address 1 P. O. BOX 2130
Mailing Address 2
City St Zip GREENPORT NY 11944-0000
Property Address 1 ORIOLE DRIVE (MODEL A)
Property Address 2 HIGHPOINT MEADOWS (LOT #4)
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-477-2223
Tax Map No. section 55.00 block 6 lot 15.001
Cross Street LISA DRIVE
Date Of Last Pump Out 0/00/00
Issue Date: 10/23/90 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
I,
OFFICE OF THE TOWN CLERK
Town of Southold 0 Co = Application No./S-6 --
6, 1
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road I' c :< $10.00 - Residential
p. O. Box 1179 v' »:r -Y . "' i �� $25.00 - Non-Residential
Southold, New York 11971 Obi-® {' FOS
Telephone •
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE October. 17, 1990
•
OWNER NAME: D B M Co. • '
•
OWNER MAILING ADDRESS: 443 Matin Stir.eet, P. 0. Box 2130
Giteenporrt, N.Y. 11944
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OWNER PROPERTY ADDRESS: Oi,Lo9e Drri,ve -(Mgda A) (HL2hpoint l4eadow4)
Sowtho!d, N.Y. (Lot #4)
• 1
OWNER TELEPHONE NUMBER: 516-477-2223
TAX MAP NO. : Section 55.00 Block- 6 Lot 15.001
CROSS STREET: Lusa D'ri.ve
TYPE OF SYSTEM: Septic Tank New Existing
Cesspool x New x Existing
Residential x Non-Residential
DATE OF PREVIOUS PUMP-OUT:
LOCATION MAP: Must be attached hereto before permit may be issued.
(Locate building and system; give north arrow and feet
of distance, approximately, to building and closest road.)
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RECEIVED BY:
Town Clerk's Office
DATE:
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SURVEY FOR }
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERYL D.B.M. COMPANY
• LOT NO 4, "HIGHPOINT II AT SOUTHOLD,SECTION ONE"
FOR APPROVAL OF CONSTRUCTION ONLY AT SOUTHOLD DATE SEPT 7, 1989
o S TOWN Of SOUTHOLD SCALE I 43'
'ou^ -
DATE APR 17 HS REF.)10 SUFFOLK COUNTY, NEW YORK NO es 1026 4
////��^ ip �7 �; •O UTM01tl loN OR•DDIT ON TD rwu GUARANTE..
APPROVED \ l' y` `� ` SURVEY e A VIOLATION v SECTION T209 OF THE D B M I PggY "'
1 NE. IES F TTTTIN EDUCATION oN L•. NEJE. ire E r-
7(� U 3Y •^+S J(I ' �)�- . NU(TOv 1501 SIAL NOT BEARING TNt LAND TIC.'g t'iA O
SURVEYORS INKED SEAL OR E55055E0 SEAL ,9.0
NOT SE CONSIDERED TO BE•V•LIO TRUE COPT
■GUARANTEES INDICATED HEREON SHALL RUN OILY TO O� `O
HEALTH DEPARTMENT-DATA FOR APPROMBL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED ; Y !, G
ANO ON MIS BEHALF TO THE TITLE CONPWY,GOWAN- 5
•MEARLST PETS SAIN_YI' ■souscE OF WATER PRIVATE_PLOLIC✓ MENTAL AGENCY AMD LANDING INSTITUTION LISTED i..i� IIIiiN a
■SUFI Co TAX YAP DIST 1000 SECTION 3A_SOCK G LOT P/015.1 HEREON,AND TO THE ASSIGNEES OF THE LENDING * t-
■HIP AM ED WILLIMS WITHIN 100 PUT OF THIS PROFCRTT INSTITUTION GUARANTEES ARE POT TRANSFERASI[ lag:_ - _
OTHER THAN THOSE SHOWN HEREON
TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT '
OWNERS t
N THE WATER SUPPLY A10 WNW DISPOSAL SYSTEM FOR THIS ROMC
ID[ [ R DISTANCES SHOWN HEREON FROM PROPERTY UNES MEW'D�0j1 4' .3
WILL COMFORT' TO TN[STANDARDS OP THE SUFFOLK COUNTY TO EXISTING STRUCTURES E ION •SPECIFIC -1r.
Of SULTS SOTVIC[S PURPOSE AND ARE NOT TO SE USED TO ESTASLISM \ SMD SUR APPLICANT. (3.0,A_ f _PRO INES OR FOR THE ERECTION 0/FENCES •
ADDRESS p.0 OIf-rT 130 -
6-rte.,-.9-a,t r11 IlcAyTIL V72-2.7-2-3 _ YOUNG a YOUNG � roR E AVENUE
NOTE• r' , ALDEN W YOUNG,PROFESSIONAL ENGINEER
SUBDIVISION MAP NOT FILED AS OF SEPT 7,1989 • AND LAND SURVEYOR N YS UCENSE NO 12845
HOWARD W YOUNG, LAND SURVEYOR
u •TIE LOCATION OF WO.LIWI,SEPTIC TANKISTISCESSPOOLS(09 SHOWN HMCo NYS LICENSE NO 45893
ARE/ROY FIELD OCSEIFA\TIONS MOOR DATA OBTAINED IRON
BRANDS A SONS INC HAS
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