HomeMy WebLinkAboutDBM Co (35) xec5VULfre,-----4,
JUDITH T. TERRYt Town Hall, 53095 Main Road
P.O. Box 1179
TOWN CLERK O 41
REGISTRAR OF VITAL STATISTICS ® •�` Southold, New York 11971
MARRIAGE OFFICER a
G O r' Fax (516) 765-1823
si„
��;���! 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. 3050-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 1 325 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 15.027
Cross Street LISA DRIVE
Date Of Last Pump Out 0/00/00
Issue Date: 6/28/93 Judith T. Terry •
Southold Town Clerk
(TOWN SEAL)
OFFICE OF THE TOWN CLERK .00FDU(
�'=
Town of Southold Application No.3 C.)SZ
Judith T. Terry, Town Clerk cy►
Town Hall, 53095 Main Road max $10.00 - Residential
p. O. Box 1179 cry 444 ;' $25.00 - Non-Residential
',
Southold, New York 11971 O �mss,.P1
_SAP',1r
Sa7
--
Telephone ( Y► 0
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $
DATE June 21, 1993
OWNER NAME: ; V B M Co.
OWNER MAILING ADDRESS: P. 0. Box 2130
Gneenpotct, N.Y. 11944
OWNER PROPERTY ADDRESS: 325 Oruofe DA,Lve (42-4-0?
Sowthofd, N.Y. 11971
OWNER TELEPHONE NUMBER: 516-477-2223
TAX MAP NO. : Section 55 Block 6 Lot 15.27
CROSS STREET: Lisa Vi 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.)
(11' 4.41
)b. () ,,c
Si A4 62113s4' 1
RECEIVED BY:
Town Cle k's Office
DATE: - - �j
.i ', 1':F,$WY
V,. 4Y b . _
•
1 •1
4/)4 '' '.
G. _
�z•-'
(VACANT) ( •(
01 V --1��1__
•
asX
1.i,q .i' Ell3D
�1,•C = '� pRIVE
- 1.)c . C Evi3A J.—MOLE
62.3420"w. 307.17 R:
0 1 75.251 s
-3 0 0 H.82°3412011E. <-6,9 0.
�Z3� EL=23.4 .6,,
EvZ3.3 �cPl
y1A�po IPaprost0 ( IA
mp GO SPN 11PRy
T fa SVSTtM TY TI °
Z i.4� 11111 I tv
at.
•4./' . O ,, i, Nr PR°G0560 3TC
or NOOSE r
_g____ _I_ r
,) *•%•,%;•
6``V1PS ' N
41 200* 1
/ m
i
/ LOt23
r 'VACANT)
Lpt 25 % _
. I
r 0
�
ro Lot 24 2
•
Asea:25103 s .
1
1
L'
! N
r gASENENS
I N CONSER`1AT10N
, 1 ---7--____ t
•
r_ ...1�_ N (
-
__ EL.21, I
O
64.021 I __�1 '
N.8 °351 0...2.10e “,14.1
4/IIW. 78°16'40
SII lb t3.FIAMIL} TELLING ONLY
Lot 3j4 _Ef IR S TWO-YEARS-FROM DATE OFAPPROVAL -
(VACANT) 1
(gO4H O 1 iv��AN9T)
� I
,
SURVEY FOR
aUFFiOLK COUNTY DEPARTMENT OF HEALTH StVICES D.B.M. COMPANY
LOT NO.24,°HIGHPOINT MEADOWS,SECTION TWO" -
AT SOUTHOI O -.-- - -
-