HomeMy WebLinkAboutDBM Co (47) iiodoV
,,I ® Town Hall, 53095 Main Road
JUDITH T. TERRY
Tp try P.O. Box 1179
OWN CLERK
REGISTRAR OF VITAL STATISTICS Southold, New York 11971
MARRIAGE OFFICER O o �S 'i� Fax (516) 765-1823
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1-4 ® 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. 1975-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 1 135 MOCKINGBIRD LANE
Property Address 2 (H I GHPOI NT MEADOW LOT 55)
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-477-2223
Tax Map No. section 55.00 block 6 lot 15.061
Cross Street TUTH I LL ROAD EXTENSION
Date Of Last Pump Out 0/00/00
Issue Date: 9/23/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
GFFiCE OF THE TOWN CLERK ► c3FQ(
Town of Southold �� :•:.,, �Q� Application No. 1 9 7 6--
Judith T. Terry,r Town Clerk a� a ~sit $10.00 - Residential
Town Hall, 53095 Main Road
p. O. Box 1179 '�' 4 ' $25.00 - Non-Residential
Southold, New York 11971
Telephone q ,
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(516) 765-1801 rrri711
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
�- - p • . 1.
SEPTIC TANK or CESSPOOL
Operation Permit No./ 67-76-
Fee $ /I
DATE 9/15/92
OWNER NAME: V B M Co.
OWNER MAILING ADDRESS: P. 0. Box 2130
Gn.eenpont, N.Y. 11944
OWNER PROPERTY ADDRESS : 135 Moclthtgb,iAd Lane
Southold, N.Y. 11971
OWNER TELEPHONE NUMBER: 5'16-477-2223
`TAX MAP NO. : Section 055 Block 06 Lot 15.61
CROSS STREET: Tu,tl'zitt Road Exte -tclon
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.)
Signature of Applicant
RECEIVED BY:/.Z,
Town Clerk's • ffice
DATE: 9/ /c �-�
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SURVEY FOR'.
SUFFOLK COUNTY DEPARTMENT OFHEAtfHREM/ICES EDNA Mc GUI RE
YDYIELWLTONLY LOT NO.55,IIHIGHPOINT MEADOWS,SECTION THREE
fINGIE S.REF.NO. 9Y-,. 0-7Y AT SOUTHOLD DATE SEPT 18,1992
The sewage disposal and water supply facilities for the TOWN OF SOUTHOLD SCALE I'•=40'
locabontime been inspected bythis Department and/or SUFFOLK COUNTY, NEW YORK NO 92-815
other agencies and found to be satisfactory:
Q �1 •UHAUTIIONNIEED ALTERATION OR ADDITION TO THIS CERTIFIED TO.
,Q QQ SURVEY e A VIOLATION OF SECTION 75TH OF THE
4RIe of Sanaa Of Was rl(I rfagement HEW TORN STATE EDUCATION LA• TICOR TITLE GUARANTEE
•CDPIEE OFS RHI!SURVEY NOT EBE•RNGMBOSSED
SHE LAND BRIDGEHAMP N NATIONAL Bl�1,K A
NOY EY CON INKED SEOL OR VALID SCD ECO SMALL ,N., /,
NOT■E•GuARAMTEEIONDIC TO BE HEREON•VALID TLLE UNP♦ EDEA MFG Ir'IrTNTC� '� IYA�/�
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT TME PERSONEFOR WHOME DTHE SURJET•SLPREPAR D RUN CNLY m ��\ �C� ��� j
•ND d HIS RCHALF TO THE TITLE COMPANY.GOvEANN- 41. Q4yA.,broc /
N NEAREST WATER RAIN_MI I N SOURCE OF WATER INNATE_PUec,C_ MENTAL AGENCY AND LENDING INSTITUTION LISTED 'yl 1 .�
N MWF CO TAF NAP OW IODO SECTION-IS_BLOCK fL LOT 15 61 HEREON.AND TO THE ASSIGNEES OF THE LENDING
4„.,,,ti:OT ER AN H OW[HOW! WITHINEREON 100 FEET OF T1117 PROPERT'/ INSTITUTION GUARANTEES ARE NOT TRANSFERABLEtIl- CTO A001TIOMAL INSTITUTI0113 OR SUeSEDUCNTOTHER AER SUPPE A OSE AGEEON OWNERS <. .
■TML ONFOR TO T AW S[WG[DIf1'OSAL SYSTEM POR TVI!RESIDEMC[ *DISTANCES SHO•* HEREON FROM PROPERTY LIMES WILL CONFORM TO THE STANDARD!OF TNC SUF►OLN COUWTY DEPARTMENT TO[FISTING STNUCTUNES ARE FOR A SPECIFIC i�',,Ny : Ff
OF WEALTH SERVICES PURPOSE AND ARE NOT TO BE USED TO ESTABLISHC('„ Yj,Q�B�,t,'�c O Q�
APPLICANT. �g^, f PROPERTY LINES OR FOR THE ERECTION OF FENCES �7�f0[ANDS�Ryd���``
_l lit ���.m, n\0�\
ADDRESS P,o 2 0.1 a r30 400 OSTRANDER AVENUE
• G rertAea.C l�L6 rt4Y4 TEL
Y77-ZZZ3 YOUNG aYOUNG RIVERHEAD,NEW YORK
NOTE• A=STAKE ■ =MONUMENT Q=FIFE
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF ALDEN W YOUNG,PROFESSIONAL ENGINEER
SUFFOLK COUNTY ON MARCH 19,1990 AS FILE NO 8912. AND LAND SURVEYOR N VS UCENSE NO 12845
a. HOWARD W YOUNG, LAND SURVEYOR
m N TK LOCATR?I OF WELLIWI,SEPTIC TANRISTIB CESSPOOLSICPI N OPR INEREOM NYS LICENSE NO 45893
F. MC PROM FIELD OBSERVATION!AND OR DATA OBTAINED FROM OTHERS 714
BRANOIS•SONS INC