HomeMy WebLinkAboutDBM Co (48) � '''/'
,�14FOIKc�Gi
y=
JUDITH T. TERRY z Town Hall, 53095 Main Road
TOWN CLERK T P.O. Box 1179
REGISTRAR OF VITAL STATISTICS Lin
Southold, New York 11971
MARRIAGE OFFICER Q O� '�� Fax (516) 765-1823
� 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. 2013-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 1 255 ORIOLE DRIVE
Property Address 2 (HIGHPOINT MEADOWS LOT #23)
City St Zip SOUTHOLD NY 11971-0000
Owner Telephone No. 516-477-2223
Tax Map No. section 55.00 block 6 lot 15.026
Cross Street LISA DRIVE
Date Of Last Pump Out 0/00/00
Issue Date: 12/03/92 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
I /i •
-
OFLICE -OF THE TOWN CLERK c�VFFO(rC'
Town of Southold Q 0 = Application No.a0l.3
Judith T. Terry, Town"Clerk'
```i rofr*^axL. 1 $10.00 - Residential
Town Hall, 53095 Main Road
" ;_-
P. O. Box 1179 u-3 $25.00 - Non-Residential
Southold, New York 11971 O ® ,ryi/,
Telephone •
(516) 765-1801
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
OPERATION PERMIT
SEPTIC TANK or CESSPOOL
Operation Permit No.
Fee $ •
DATE Novembers 30 , 1992
'OWNER NAME: D B M Co. •
OWNER MAILING ADDRESS: P. 0. Box 2130
Gneenpon t, N.Y. 11944
OWNER PROPERTY ADDRESS:,_ 153 0A- oee Dtc,Lve
Southo.2d, N.Y.
OWNER TELEPHONE NUMBER: 516-477-2223
a "
TAX MAP NO. : Section 55 Block 6 Lot 15.26
CROSS STREET: Lusa Dnive
•TYPE OF SYSTEM: Septic Tank New Existing
XX
Cesspool XX New Existing
Residential XX 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.)
4 1%.0/ iir
Signature of Applic
RECEIVED BY:
Town Clerk's Office
DATE:
P.
-4
FTFVF ilyr.:ITI)
1J
a ','OV ¶O 1992
•
S C CFPT OF —�—
• MAIN I-:DU_1 i :ERVIC'S
rWATE=
ORIOLE I DRIVE •
I 8 82.34.20"VI' 207.t7 q,
4
a • N 82D3420 E. - ms-
1
f :09001
IISCP
�,I1',>i-...7 \d'• o
1kI,\‘ A
N
Z 1j -.--:.:\ et_ .4-...."—‘_-- 11- G
o1" YB' Ma 6 £ a C)_
N
+. { m
- �_ N 2 g-TY ro
$" MP FRAME '',4
5.r
n, HOUSE Tal
f l
lox
Ie.i 139' .2.4 e 1
e- -
1 _
1 O
1
• T7
`, Lot 22 O
1 ill
-
1 x
1
1 —A
ill
Lot 24 - T1s 2
I.1 n
1
O
z
LOt 273§ 4s.t:
=
Area -
f I1 .
- _ ,,I yAT10N EpSEMENS
- 1 CONg£.Q
C----- .
N ,11 cO"
1
u'. �� "
1 1
Dt6Ap ski.
100.28 1
\- si ___----i— ---\----- _
•
...................... �� I Lot 28 _
V.01 2-9
^
1
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES SURVEY FOR `
• N L
FAMILY DWELLING ONLY GORDON TYRER a DIANE TYRER
DATAQV 2 j IgU2H.S.REF.NO. 9,0-56—g./ LOT NO.23,"HIGHPOINT MEADOWS,SECTION TWO" -
The sewage disposal and water supply facilities for this AT SOUTHOLD DATE NOV. le,1992
locabon have been inspected by this Department and/or TOWN OF SOUTHOLD SCALE I"=40'
other drd trI sats ry• SUFFOLK COUNTY, NEW YORK NO 92-0988
(J, �o�o> I.G.
N WYUTMORIIEO ALTERATION OR ADDITION TO THIS
Chis of Bureau of Wastewater Management , SURVEY O A VIOLATION OF SECTION 7209 OF THE CERTIFIED TO•
NEW YORK STATE EDUCATION LAM GORDON TYRER
R COPIES OF THIS SURVEY NOT BEARMG TkE LAND DIANE TYRER
SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NORTH FOR F��
, NOT BE CONSIDERED TO BE A VALID TRUE COPY �--tau
9 NGUARANTEES INDICATED HEREON SMALL RUN ONLY TO CHICAGO 3 klOmKN OMPANY
HEALTH DEPARTMENT-DATA FOR APPROVAL TO CONSTRUCT ' THE PERSON FOR WHOM TME SURVEY IS PREPARED ��� W Y.
AND OM NIS BEHALF TO THE TITLE CONIANY,GOVERN-
' B WATER BIAIN_MI • *SOURCE OF WATER PRIMATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED
R SOF CO TAX NAP DIST IOOO SECTION 5'_3 BLOCK_ii_LOT 15a2e HEREON,AND TO THE ASSIGNEES OF TME LENDING 7.
O 411,x .
RTM[R[ ARE NO DWELLINGS WITHIN 100 FEET OF TNI!PROPERTY INSTITUTION GUARANTEES ARE MOT TRANSFERABLE - r' •'1f^
OTHER THAN THOSE SHOWN HEREON TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT = ISN%�)F(��I
OWNERS -f I10046:,;q,f
B THE WATER!UP/LY AND SEWAGE DISPOSAL THESYSTEM FOR THIS R[!ID[HCN *01liAMCf! SHOWN HEREON FROM PROPERTY LIM(3 !Y ,1,010:'' i 1
WILL CONFORM TO THE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT --✓_._l
OF HEALTH SOVIC[S TO EXISTING STRUCTURE!•ME FOR A SPECIFIC /
p PURPOSE AND ARE NOT TO BE USED TO ESTABLISH (/ I �
APPLICANT. ✓ pt� Co PROPERTY LINES OR FOR THE ERECTION OF FENCES C� 4158 .-.9 -
ADDRESS (, AoV—ycW13 O SPOLANDS
�`
C9 VQQwppr t
1'1114
TIL y71^2223 YOUNG 8s YOUNGRIVERHEAD,NEW YORK AVENUE
NOTE•
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 LICENSE NO 12845 ,
0 c STAKE HOWARD W YOUNG, LAND SURVEYOR - -
o *RC LOCATOR OF W4L(W),SEPTIC TANKISTMB CESSPOOLS(CP)!PORN HEREON NYS LICENSE NO 45893
+ M(PROW FIELD OSSERMTIONS ARDOR DATA OBTAINED FROM OTHERS
BRANDIS&BONS INC. _ -
h,,a`t��� J•'3i4,7.4-,!,,c,..;:'•:;;;;„:;,7-17,-6.»,,,,,,,:...1,'.'!• ..' -_ _ -
1. aF'ur4...a1•--.. ibJ.,. ' , ,--»..,. a_;vWbr"isa.'....'.:....-.,e
.._ .- •f=.�.i..:,. - ,rv,:1:`wiz+,.»?.i3k..