HomeMy WebLinkAboutDBM Co (32) JUDITH T. TERRYA
z Town Hall, 53095 Main Road
TOWN CLERK - p [�+ P.O. Box 1179
REGISTRAR OF VITAL STATISTICS &Pi .�` Southold, New York 11971
MARRIAGE OFFICER ® �� �i�' Fax (516) 765-1823
sem, Telephone (516) 765-1801
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
•
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 1886-R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
New X Existing
Name Of Owner DBM CO.
Mailing Address 1 P. O. BOX 2130
Mailing Address 2
City St Zip GREENPORT NY 11944-0000
Property Address 1 470 ORIOLE DRIVE
Property Address 2
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-477-2223
Tax Map No. section 55.00 block 6 lot 15.010
Cross Street LISA DRIVE
Date Of Last Pump Out 0/00/00
Issue Date: 4/22/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK •cOFQA'.,% --
Town of Southold , �� �.- CSG' Application No., / F
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Judith T. Terry, Town Clerk ,,
Town Hall, 53095 Main Road .0 $10.00 - Residential
P. O. Box 1179 crz ;_! �`' $25.00 - Non-Residential
Southold, New York 11971 Off® ` `
Telephone T49,.(
-44 .k•V
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
goI for
/ 319 Z OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE - e,2_J - q 2-
OWNER NAME: M C-0 ,
OWNER MA.ILINC ADDRESS: L4 Ll 3 H A. ,v S 1 . P. 0.
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OWNER PROPERTY ADDRESS: q o ye I' O L t= 11 R 1 t E - - -
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OWNER TELEPHONE NUMBER: S 1 to - `/7 -7- Z Z Z 3
TAX MAP NO. : Section 1�"u` Block 6 Lot / , I U
CROSS STREET: 1_ I 5 A- U 2 I V L
TYPE OF SYSTEM:-` Septic Tank New Existing
Cesspool New ✓ Existing
Residential 1/ 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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tur- •f Appliant
RECEIVED BY: l�
own Clerk's Office •
DATE: 7 / j`'�-
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Subdivision- "Map of Yennecott Park"
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Suffolk County File No 5187 Q c„,1.-...
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SURVEY FOR
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES TIMOTHY DOHERTY a JULIE DOHERTY I
I GLE FAMILY DWELLING OP Y LOT NO.7,"HIGHPOINT MEADOWS,.SECTION TWO"
APRT o i '7 AT SOUTHOLD . DATE APR 16,1992
DATE- 9S REF NO.
The sewage disposal and water supply facilities for this TOWN OF SOUTHOLD SCALE I 50
location have been Insocc'ed by this Department and/or SUFFOLK COUNTY, NEW YORK NO 92 0305
other,agencle and oued to be satistactory. NUNAU TMORI2ED ALTERATION OR ADDITION TO THIS CERTIFIED TO' '
�.�-- I T)` HESURVEY A VIOLATION
T ONSECTION 7209 OF THE NE
by
G ,. O. �, i v� TIMOTHY DOH - E OF N
Chief of®urkan of Wastewater MaAgement N COPIES OF THIS SURVEY NOT BEARING THE LANG JULIE DOHE-' NSS W/O
SURVEYOR S INKED SEAL OR EMBOSSED SEAL SHALL TICOR TIT • GU pW�
*GUARANTEES NOT BE TDERED TO BE A y•L INDICATED HEREON SHALL TRUE
RUNCOPY
ONLY TO SOUTHO I $A I 9 BANK ''O 9't`
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT THE PERSON FOR WHOM THE SURVEY IS PREPARED 7f 'Z' -`I,' Z
AND CN HIS BEHALF TO THE TITLE COMPANY,GOVERN- ,i p
* WATER SIAIN_MI • *SOURCE OF WATER PRIWITE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED y '
M SOFT CO TAX NAP CHIT 1000 SECTION_SA_BLOCK LOT ISI HEREON,AND TO THE ASSIGNEES OF THE LENDING '.,1�E`�`
*THE*[ ARE MD DWELLINGS WITHIN 100 FEET OF THIS PROPERTY IMS TITUT10N GUARANTEES ARE MOT TRANSFERABLE tet,:?...--
OTHER
--
OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT
N THE WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FOR THIS RO'DEICE OWNERS
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT I DISTANCES SHOWN HEREON FROM PROPERTY LINES f t^F.'• ',40
OF HEALTH SERVICES EXISTING STRUCTURES ARE FOR A SPECIFIC 4s
APPLICANT, �,n !` PURPOSE AND ARE NOT TO BE USED TO ESTABLISH ED ND OS'
a.'v` W PROPERTY LINES OR FOR THE ERECTION OF FENCES
ADORES! ' o p a� j 3o
.
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G--1"p 42_93pPor-t" ti-d-ltQt(V TEL V77-LZZ3 YOUNG a YOUNG 400EOSTAD AVENUE
NEW YORK
NOTE' O-STAKE '
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG,PROFESSIONAL ENGINEER ,
SUFFOLK COUNTY ON MAR 19,1990 AS FILE NO.8911 AND LAND SURVEYOR N YS UCENSE NO 12845
° HOWARD W YOUNG, LAND SURVEYOR ,
m *THE LOCATOI OF WELLIW),SEPTIC TANKISTTB CESSPOOLS(C►I SHOWN HEREON NYS LICENSE NO 45893
ME FROM FIELD OSSERIILTIONS ANO OR DATA°STAINED FROM OTHERS
2B
BRAND'S i SONS INC.