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,'` Town Hall, 53095 Main Road
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®42. ir ��,�'� Southold, New York 11971
JUDITH T.TERRY ---Aw / FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
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. 1563-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 B)
Property Address 2 H I GHPOI NT MEADOWS (LOT #3)
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 IIS
OFFICE OF THE TOWN CLERK ••�FFUL '
Town of Southold � C'Q = Application No./...56 3
Judith T. Terry, Town Clerk . - ';: ,.
Town Hall, 53095 Main Road .- $10.00 - Residential z�
P. O. Box 1179 $25.00 - Non-Residential
Southold, New York 11971 !*°/*F(--Telephone
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE Octaben 17, 1990 _
OWNER NAME: D B M Co. •
OWNER MAILING ADDRESS: 443 Ma.Ln StJLeet, P. U. Box 2130
Gneenpan t, N.Y. 11944
OWNER PROPERTY ADDRESS: 0tc,%afe Woe (Madel B) (Highpa,%nt Meadow')
• Lot #3 Sauthafd, N.Y.
OWNER TELEPHONE NUMBER: 516-477-2223
TAX MAP NO. : Section 55.00 Block 6 Lot 15.001 _
CROSS STREET: Lusa DA,Eve
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 close:t road.)
1/1, ,
S� r
rViCF A!-=_VoW. G'
RECEIVED BY:
-Town Clerk's Office
DATE:
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SURVEY FOR
AUFEOM COUNTY DEPARTMENT OF HEALTH SERVIC4^ D.B.M COMPANY •
LOT NO. 3, HIGHPOINT II AT SOUTHOLD,SECTION ONE”
FOR APPROVAL Of CONSTRUCTION ONLY AT SOUTHOLD DATE SEPT 6, 989 .
2 TOWN OF SOUTHOLD SCALE I 40' r
APR t 1990 H NO. o, �l
DATE ( SUFFOLK COUNTY, NEW YORK NO 89 - 1025 ':
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HEALTH DEPARTMENT-DATA FOR APPROMOL TO CONSTRUCT / ANC DN+17 Yw,• r^ Tot TITLE CONVON• GOv111w- I
•NE *MR WAIS_W,_ •SOURCE OF WATER PRIWITL_ PUIL,C IL r[rr•. AG/r[•A•C.I rD.•G'Ns r'lu r.or L'sT[D t���. *•SVI CO TAs WAP MST MIDSECTION_IA_BLOCK LOT 120015 I wI•[PI •wC TO net ••••••IES 01 iTR LENDING 1 r-41
■MEW 0R( NO OWELLIMS WITHIN 100[LET OP TNS PROPERTY INS Oru,IOM Gu0•••'I(S 1 rOT TEO ILC
0TH[• f0AM 00051 SHOWN HEREON D AOOI TIOwAI Sl WNS 0• SU•S[OU[wT -
■TOIL WATER SUHLT YO HOW DISPOSAL STERN/OR TH11 RESIDENCE .WN[•S I • •�'•
D•7T•wt[7 •••C 515 • T•OW ••oP[•TT LINES E� 45:i•
■ILL CONFORM TO TH(STAYrW1H)f OF TINE SW/OlR COUNTY 10[T's TIwA IT••1 rU•[s SI POR •SPECIFIC d,T -
OF HEALTH SONYICES ••U••OSI •NO ••[ r0••0 SI MO TO[ST•SLISN f0 • 01-
YPLICMT A3 co ••D•(••• L 11S O•I0.001/RECTUM 0 FENCES AO SJ•••
ADOR[ss. T-0. 13 A 400 OSTRANDER AVENUE
G•.fE.0port Al•1(9vY TLL Y72-2223 YOUNG & YOUNG RIVERHEAD,NEW YORK
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NOTE• AL DEN W YOUNG,PROFESSIONAL ENGINEER
SUBDIVISION MAP NOT FILED AS OF SEPT 6,1989 AND LAND SURVEYOR N YS LICENSE NO 12845 •
HOWARD W YOUNG, LAND SURVEYOR
•TIC LOCATION CO WELLIWI,IIPTIC TASRISTI•CLuroOLs(CT•)'MON.H[•LD• N Y S LICENSE NO 45893
AR(MON FIELD O.7(•'AT IONS Arq OR OATH 0505N[0 PROW
OT•NDIs L SONS INC MS
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