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Home My WebLink AboutDBM Co (40) JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK ® �+ P.O. Box 1179 REGISTRAR OF VITAL STATISTICS :` Southold, New York 11971 MARRIAGE OFFICER -;N=,' Fax (516) 765-1823 4 / 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. 1832-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 1100 ORIOLE DRIVE Property Address 2 HIGHPOINT MEADOWS LOT 34 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-477-2223 Tax Map No. section 55.00 block 6 lot 15.037 Cross Street LISA DRIVE Date Of Last Pump Out 0/00/00 Issue Date: 1/22/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) � r, JUDITH T. TERRY Town Hall, 53095 Main Road , , , � ; ? � � P.O. Box1179 TOWN CLERK ® h' r Southold, New York 11971 REGISTRAR OF VITAL STATISTICS Fax (516) 765 1823 MARRIAGE OFFICER = ® ®�� Fax (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. 1832-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 1100 OR I LOE DRIVE Property Address 2 H I GHPOI NT MEADOWS LOT 34 City St Zip SOUTHOLD NY 11971-0000 Owner Telephone No. 516-477-2223 Tax Map No. section 55.00 block 6 lot 15.037 Cross Street LISA DRIVE Date Of Last Pump Out 0/00/00 Issue Date: 1/22/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) OFFICE OF THE TOWN CLERK c31FO(,r0„= Town of Southold �� t Application No. /W5 Judith T. Terry, Town Clerk "'' '`- $10.00 - Residential Town Hall, 53095 Main Road o P. O. Box 1179 $25.00 - Non-Residential Southold, New York 11971 O 0�/�� Telephone 7o1 y��; .' (516) 765-1801 TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT . • APPLICATION for OPERATION PERMIT SEPTIC TANK or CESSPOOL Operation Permit No. ) 111-1.1q1 Fee $ • I _ DATE Januatty %7, 1992 OWNER NAME: V B M Co. OWNER MAILING ADDRESS: 443 Man Sheet, P. G. Box 2130 Gneenpont, N.Y. 11944 OWNER PROPERTY ADDRESS: 1100 0A. oee Dtu;ve Souiho!_d, N,Y. 11971 ' OWNER TELEPHONE NUMBER: 516-477-2223 TAX MAP NO. : Section 55 Block 6 Lot 15.37 CROSS STREET: Lisa Wtive TYPE ;OF SYSTEM: Septic Tank New Existing Cesspool New XX Existing Residential XX Non-Residential DATE OF. PREVIOUS PUMP-OUT: LOCATION MAP: Must be attached hereto before permit maybe issued. (Locate building and system; give north arrow and feet of distance, approximately, to building and closest road.) 0/ Signature of Applicant RECEIVED BY: - Town Clerk's Office _ DATE: ��6,- a LISA DRIVE 1 ` R; v n '� 40 rn—,� y 0:62200. =I�V:rrr� 1•I^T w x.I Cl ,p` - Tv rn o nc • l°`S0 3 -_-r - • x,< °°• CO 4993• \ 0 \ c O�C R, 4'4. pR I, UU 00' Lot 33 ;��• �04 ,' ` i \ . / ' 80.0 j, F, hCO Z9 r1 - ♦ \\ o/ / M\ INz g •\ I T 2 . 393 ' RRgUyp l'..) r __ / .5WRE9 ZI S i O -� / °°° ,,J N I1�m zIs N / N I ,. 1 y C7 ,1 Loi 3S74 ED • E c z i , 0 0) I `4 / 0 I 3 c A/ W - ~ 3 N Lot 34 t Tin Area=25494 s.f. I ° ''' • E1 . N I • - I I = I N 89°54'10"W 10023 •, , , s now or formerly Carl & Anthony Codan &Another ' SURVEY FOR - SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES D.B.M. COMPANY DEC 18,1991 SINGLE FAMILY DWELLING ONLY LOT N0.34,"HIGHPOINT MEADOWS,SECTION TWO" NOV 12,1991 OCT 31,1991 DATIW--13 199Z{S REF NO. 91 SD/(p AT SOUTHOLD DATE OCT 15,1990 The sewage disposal and water supply facilities for this TOWN OF SOUTHOLD SCALE I 40' location have been inspected by this Department and/or SUFFOLK COUNTY, NEW YORK I NO 90-080i other ages a foun o b factL , t-9,2"^"- (,R •, , •uoMuTHORIE ED ALTERATION OR ADDmON TO NIS CERTIFIED TO D B M f SURVEY Is•015 ATIOM of SECTION 12 09 of TOE COM•• •F Nf, . , Chief of Eureau of Wastewater Management NET/YORK STATE[DUCAT ION LA• BRIDGE •MP'T•, • 10 . BANK = •COPIES OF THIS SURVEY NOT SEARWG THE L•ND NOV P5 CCONI INKED TOL BE.EMBOSSED 19110!TRUE SEAL TICOR I -P''' YO 9* •GUARANTEES INDICATED NEREON!NILE RUN SILT TO 0 C' �_ THE ARSON FOR T/NOM TOE 5URYEY IS PREPARED HEALTH DEPARTMENT-DATA FOR APPROVAL 70 COHSTR„ IZ AND ON HIS DC NALf TO THE TITLE COMPANY LISTED- '� G.-T:111 R 333333 T/R[R PAIM_MI • VSOURCE OF WATER MILOT 1537 LIC,_ MENTAL AGENCY AND LENDING INSTITUTION LISTED ' R SERF CO TAIL MAP DIST IODOSECTIDN_•5_•LOCK SL_LOT,1537 HEREON,•ND TO THE ASSIGNEES OF THE LENDING ' ...7'.."..A) te T STIEHL ARE MD DWELLINGS WITHIN 100 FEET OF THIS PROPERTY IN TITUTI°I'N INSTITUTIONS GUARANTEES' OR NSTS SUBSEQUENT TRANSFERABLEOTHER THAN THOSE SHOWN HEREON TO ADOIO ■THE WATER SUPPLY AMD SEWAGE DISPOSAL SYSTEM FOR TRIS RESIDENCE OWO DISTANCES Slq•H HEREON FROM MOPE RTY LILACS ERS 4 4D . B9� __ WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY TO(FISTING STRUCTURES APE ION A SPECIFIC F. LOF 4µ1 SERVICES - PANPOSE AND •RE NOT TO RE USED TO ESTASLISN 'A /SW''�OF APPT)i3\ CO PROPERTY LINES OR FOR THE ERECTION OF FENCES Ti •°°" U G-r�'"ii)`o rt wJ TEL Li77-�X2.3, YOUNG a YOUNG •.4000 TRA AVENUE NEW YORK NOTE ■=MONUMENT p=STAKE SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ,,'+I ALDEN W YOUNG,PROFESSIONAL ENGINEER SUFFOLK COUNTY ON MAR 19,1990 AS FILE NO 8911 ,q, AND LAND SURVEYOR N YS LICENSE NO 12845 HOWARD W YOUNG, LAND SURVEYOR 2 •TK LOCATION OF 1FCLLiW 1,SEPTIC TANRISTTS CESSPOOLSICPI WARN HEREON - ' : M[ OM FIELD ORERMLTIOMS MS OR DATA OITA/MED FROM OTHERS NYS LICENSE NO 45895, FR z[ BRANDIS A SONS INC .