HomeMy WebLinkAboutDBM Co (37) OFOLA,
JUDITH T.TERRY �� _ d• Town Hall, 53095 Main Road
TOWN CLERK ; P.O. Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS ` ® Fax(516)765-1823
MARRIAGE OFFICER ap.',�
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RECORDS MANAGEMENT OFFICER - .( * ��� Fax
(516) 765-1800
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No. 3451-R Residential X Non-Residential
Fee $ 10.00 New X Existing
Name Of Owner DBM CO.
Mailing Address 1 P. O. BOX 2130
Mailing Address 2
City St Zip CREENPORT NY 11944-0000
Property Address 1 1295 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 15.032
Cross Street - LISA DRIVE
Issue Date: 3/22/96 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
- I . . ,
I00
OFFICE OF THE TOWN CLERK SVFFD(�'
Town of Southold, V CQ '. -'ry Application No. (4J7
Judith T. Terry, Town Clerk
Town Hall, 53095 Main Road - 1 $10.00 - Residential
P. 0. Box 1179 cn S $25.00 - Non-Residential• "
Southold, New York 11971O �$ .
Telephone Oj ` , �••
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION5 ' , -
•
for
OPERATION PERMIT - - -
' SEPTIC TANK or CESSPOOL -
Operation Permit No. '
Fee $ '
DATE 3
OWNER NAME: ,Cj. M Co
OWNER MAILING ADDRESS: P. 0 . B o x 2 ( 3 0
R CEJ T Ny 1194`
-- - OWNER -PROPERTY. ADDRESS: 9 5— ® P I .o L L"" .bl1. .
500714 01- Ny Il91P
OWNER- TELEPHONE NUMBER: 511, - £411-)-11- 1-3 '
TAX MAP NO. : Section S 5— Block ' , Lot 1/ 5.-", 32
CROSS STREET: - ' L 13 !t "bP_ t u '
TYPE OF SYSTEM: Septic Tank New Existing •, ' •
Cesspool New ✓ Existing _
Residential ✓ ' Non-Residential
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.)
of App icant
RECEIVED BY: /1// //--4->`x---/- -
-Town Clerk's Office
DATE: ' S/ _.,&/9/5 _
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• �L <�' 54893OOJNs DEPARTMENT OFH LH SER/ICE8
Approval of i SINbLE FAMILY iiiiiim I— e G`Oil;, ',;,.:..
IAN 16 1996 F�,� C�$plI.. 10-qs c2,6' SURVEY FOR
i��.: r: .' ;�<,�..�:r� D.B.Ali', C O COM PA N Y -,,: �,....;,,
le;:apt uis` s8d+aur r.!, :.
. �'dlFf' _ >�81°.9" a;.=1' LOT u JULY.;':
lhi3I «,.fe have zi,,eaainspeo, andl r:r-; «,�'` _- N0.=29, : HIGHPOINT MEADOWS TWO APR.'
ilpEd by.;sl:� E; !$anc3r&$or other THOLD OEc.=:,
e agencies` ''°;;`.t-, AT' SOU . :DATE. ' 'NOV.' `2
and F;rtlr d.o be sr�3sfac:garyf.,.F ,a ` TOW N
�/ OF' SOUTHOLD SCALE I^:_
_ 40,
s. e,qq r SUFFOLK COUNTY, NEW YORK No. 9�.
..d���(� �y 6 '103
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t� suRv r of SECTION 7209 OF THE FIEp,TO,:
fflc l of A/at3r end�,�'d£i�,�t;.t�,�rfAr M"7IKOOOm,�E'(1 ' • NEW YORK S TATE EDUCATION LAW D B M COMPANY