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Home My WebLink AboutDBM Co (26) f JUDITH T. TERRY �1 } Town Hall, 53095 Main Road TOWN CLERK 9 tl' �.t P O. Box 1179 REGISTRAR OF VITAL STATISTICS -t T.,11 „j ` Southold, New York 11971 MARRIAGE OFFICER _�i _.?-�'^, '{, � Fax (516) 765-1823 A '✓` _ ;yf Telephone (516) 765-1801 fyy� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1611-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 2 443 MAIN STREET City St Zip GREENPORT NY 11944-0000 Property Address 1 HIGHPOINT MEADOWS, LOT 14 Property Address 2 TUTHILL ROAD EXTENSION 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 ORIOLE DRIVE Date Of Last Pump Out 0/00/00 Issue Date: 1/17/91 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK cOFO(,r _ Tov,wn of Southold �Q COG Application No. / 17 Judith T. Terry, Town"Clerk& • T w . y Town Hall, 53095 Main Road $10.00 - Residential P. O. Box 1179 cn ' 1504 $25.00 - Non-Residential Southold, New York 11971 O `® �• Telephone %"" (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT APPLICATION for ' OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. Fee $ • DATE December 6, 1990 'OWNER NAME: D B M Co. OWNER MAILING ADDRESS: 443 Main Spree , P. 0. Box 2130 Gneenpo'rt, N.Y. 11944 OWNER PROPERTY ADDRESS: Highpoint Meadows Lot #14 Tr thL22 Road Ext., Southold, N.V. OWNER TELEPHONE NUMBER: 516-477-2223 TAX MAP NO. : Section 55.00 Block 6 Lot p/o 15.01 CROSS STREET: O/r,Lole Dir,Lve 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.) Signature of Applicant pp RECEIVED BY: Town Clerk's Office DATE: 1 r• / :�GO ` - � � a•is , .::••.; a� �� _ i i N f0 . M N A . O_ N I I \ 23 r CI' L'' 0 '1 b �"©t 2,5\?�9 0. n 7 cn CP 0 (!1 N -0 -, G °o p \4 si• co o 0 N 2 �' ..".....s. 2403420E \_ONI-ec 2\99 0 0 3 n►*Bs ``D O \� K WO a 2.o •- N N O) Z - S o. N tD_ N4'' / 60,,,o w„ C7�_ had/ 11 P �o� 14x.1' — - 5.• Q T. o.P / / 0 II�+ 8� 82 7 L 30 ,fir P.., 0--� 211 , a p SIO;15 ,! .!k. �Op 50 .0 - 12668 I • -, - \ -14°3 42 Ix* ov �� v..__0,t 15 • — \ -74-. - ---_ -_ 2 O 2 SURVEY FOR RICHARD FOGLIA & JOSEPHINE SCIACCA LOT NO. 14, "HIGHPOINT MEADOWS, SECTION TWO " AT SOUTHOLD DATE . DEC. 13, 1990 TOWN OF SOUTHOLD SCALE• I"=40' SUFFOLK COUNTY, NEW YORK NO 90- 0984 *usAuTmoRIZED ALTERATION OR ADDITION TO THIS CERTIFIED TO: SURVEY OA VIOLATION OF SECTION 7209 OF THE RICHAR i • , • • NEI/ YORK STATE EDUCATION LAW JOSEP I S IA �Ilr *COPIES OF THIS SURVEY NOT SEARING THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL D.B • ;MI i_ P.,O NoT BE CONSIDERED TO BEA VALID TRUE copy TI AR T 1r Uf(R• l • NGUARANTEES INDICATED HEREON SHALL RUN QTLY TO B-• DG' 0 P •1 N • • •L . • K HEALTH DEPARTMENT-DATA FOR APPROW4L TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED YY ,t► AND OM HIS BEHALF TO THE TITLE COMPANY, GOVERN- T 'j . * NEAREST WATER SAIN.M1 4 N SOURCE OF WATER PRIvATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED N a SUPF CO. TAX MAP DIST 1000 SECTION SB BLACK 6 LOT p/o 15.1 HEREON,AND TO THE ASSIGNEES OF THE LENDING { *THEM ARE NO DWELLINGS WITHIN 100 FEET OF THIS PROPERTY INSTITUTION GUARANTEES ARE NOT TRANSFERABLE "T.• TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT "' .�` OTHER THAN THOSE SHOWN HEREON OWNERS N THE WATER SUPPLY MID SEWAGE DISPOSAL SYSTEM FOR THIS RESI DE= O OI STANCES SHOWN HEREON FROM PROPERTY USES ! ' W,LLCONFORM TO THE STANOAROS OF THE SUPFOLK COUNTY DEPARTMENT TOEx!STING STRUCTURES ARE FOR • SPECIFIC Q 5" OF HEALTH BEINICES ' ,AR. - APPLICANT• PURPOSE;AMO ARE NOT TO BE USED TO ESTABLISH s • PROPERTY LINES OR FOR 'THE ERECTION OF FENCES II(pp �'`4' 4 . ADDRESS - . -- ._ -_ - •-• _ _ TEL l - NG YOUNG ., BOO OSTRANDER AVENUE A R VERr�EA®, NEW YORK NOTE: 6,= STAKE 0=PIPE 'SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF j I ALDEN W YOUNG,PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MAR. 19,1990 AS FILE NO.8911. , ` • / AND LAND SURVEYOR N.Y_S.UCENSE NO 12845 11 HOWARD W.YOUNG, LAND SURVEYOR' m •THE LOCATION Cr WES.LIWI,X9,TIC TANKIST)•CESSPOOLS(CP)SHOWN HEREON N.Y.S.LICENSE N0.45893 m v• ARE PROM FIELD OoNtaPVA 1T 0iL •S MID OR DATA °SUMMED FROM OTHERS • — — — — ' z.8.