HomeMy WebLinkAboutDBM Co (51) /pow.. .-
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ELIZABETH A.NEVILLE �.Z�� y���` Town Hall, 53095 Main Road
TOWN CLERK �� c -� r P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER �0 Fax (516) 765-1823
RECORDS MANAGEMENT OFFICER ,`may* a0�•1 Telephone (516) 765-1800
FREEDOM OF INFORMATION OFFICER - as.
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 1981 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : DBM CO.
Address 1 : P.O. BOX 2100
City St Zip GREENPORT NY 11944
Descripton of Proposed Construction or Alteration
SANITARY SYSTEM FOR SINGLE FAMILY DWELLING.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES. REF #R10-98-0052
Name Of Owner DBM CO.
Mailing Address 1 P.O. BOX 2100
City St Zip GREENPORT NY 11944
Property Address 1 MOCKINGBIRD LANE
City St Zip SOUTHOLD NY 11971
Tax Map No. section 55.00 block 5 lot 15.057
Cross Street TUTH I LL ROAD EXT.
Building Permit Number Cross Reference:
Issue Date: 12/15/98 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A.NEVILLE s' �O Gy Town Hall, 53095 Main Road
TOWN CLERK t� 0 P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS rrr
Za
MARRIAGE OFFICER `� �f O�� Fax (516) 765-1823
P Telephone(516) 765-1800
RECORDS MANAGEMENT OFFICER _ Ol siI'
FREEDOM OF INFORMATION OFFICER
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Linda J. Cooper, Southold Town Clerk's Office
DATED: December 11 , 1998
Transmitted herewith is a copy of application No. 2060 for a Cesspool/
Septic Tank Construction Permit submitted by:
DBM Co. .
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
Linda J. Cooper
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above
and make the following recommendations:
APPROVE 1/
DISAPPROVE
Comments:
Signature
/4/ r
Dated
f ,
OFFICE OF THE TOWN CLERK 1„ +`/`,cII��OI
,••••••••,/�►,,
TOWN OFSOUTHOLD �',,�41;4 U� Application No. ,Qt)6)
ELIZABETH A.NEVILLE,TOWN CLERK
P.O.BOX 1179 Construction
SOUTHOLD,NEW YORK 11971
Alteration
Telephone
�i' $10.00 - Residential
(516) 765-1801 �l � ,�'� $25.00 -Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION RE�RII\/e'n
for
DEC 1 1 1998
CONSTRUCTION or ALTERATION PERMIT
Cksk
SEPTIC TANK or CESSPOOL Southold
Permit No.
Fee $
DATE - 9 8
APPLICANT NAME: C__U
APPLICANT ADDRESS: /. 0 . a x 3i O 6
l; 2 i A PO 2- r V /
SEPTIC f CESSPOOL
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
L� f Fff Ml , Y /4-6
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: 1) ,3 H C
OWNER MAILING ADDRESS: P O 6 o & + o
2E - ,d Pe
OWNER PROPERTY ADDRESS: NDC i L
Soo 1 o (- 10
TELEPHONE NUMBER OF CONTACT PERSON: .Sib - ..-{ -1 -1- 1 3 O 0
TAX MAP NO. : Section 1/4_6-5- Block .5 Lot /5-, S •?
CROSS STREET: 7 U T y / L L R o L- ), T,
BUILDING PERMIT NUMBER CROSS REFERENCE:
\\4ziem,riLlil-4-116-411....4to s
•
Signature of App ' at
RECEIVED BY: L--0” 1)-Dc5-L-
Town �Cllerk's Office
DATE: �� 11 9 1�
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BROWN
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61 I.Cr 0 BROWN
P \ , , SANDY
LOAM
2.5.
PALE BROWN
LOAMY SAND 3.5'
GREYISH BROWN
1 CLAYEY SAND
7.0' I-
BRO TNO FINE ;._
SEWAGE DISPOSAL
COARSE SAND
(USE (3) POOL SYSTEM) EL=10.6 11.4
WATER IN I.
BROWN FINE
HOUSE TO
FINISH GRADE- q��s1 ,4,, FF.251. COARSE SAND 13.0 t.
21.5 (.2 2 t 1 C4' ' 22.4 I WATER IN I
GREYISH BROWN
CLAY AND
I ! LE =202 i I E :20.4 SANDY CLAY
I.E=19.5 I 1 I E.19.7 EXCAVATION INSPECTION REQUIRED 37.0'
1 3'�CESSPOOL-a�I 3' I I FOR SA "TARY SYSTEM WATER IN
1000 GAL. E [
BY HEALTH DEPARTMENT BROWN FINE
'= SEPTIC TANK TO
-.7, ; I MEDIUM SAND •
GROUND \ a inJ BACKFILL WITH CLEAN 430
WATER EL■10.6 SAND B GRAVEL
SUFFOLK COUNTY DEPAR i iV Etti:O:I-ALTH SERVICES
SURVEY FOR
D.B.M. COMPANY
PERNIITFOR APPROVAL C9 c.77.7: -
' 7._Cr\I7 3RA LOT NO.51, �IHIGHPOINT MEADOWS, SECTION THREE " DE11 i , 's9C
DECC. 6 , 1991
,
G FAI'�ILY Rrs o)�:i C ley AT SOUTHOLD DATE . NOV. 29, 1991
DATE "G� F.NO �.�[�%'e+o � 'TOWN OF SOUTHOLD SCALE I"= 50'
'
APPROVED Iry , SUFFOLK COUNTY, NEW YORK NO 91 1034
, \tet UMAUTHOR1Z ED ALTERATION OR AO DITION TO THIS
•
FOR!"Yi1LTtAt�� vSDMIIQ SURVEY R A DIOL ATION OF SECTION 7209 OF THE CERTIFIED TO
i'Vll Yiff/WRVr1 i ROOMS NEW YORE STATE EDUCAToN LA D.B.M. COMPANY
*COPIEs of nos suRVEr NOT BEARMG THE LAND BRIDGEHAMPTON NATIONAL BANK
WIRES TIM YEARS FROM DATE OFAPPROVAL SURvE'IORS INKED SEAL OR EMBOSSED SEAL SHALL
No BE CONSIDERED TO BEA VALID TRUE COPY TICOR TITLE GUARANTEE
*GUARANTEES INDICATED HEREON SMALL RUN ONLY TO
v.H DEPARTMENT-DATA FOR APPROVAL TO ONSTRUC T TME PERSON FOR *HON THE SURVEY IS PREPARED
AND ON HIS BEHALF TD THE TITLE CONPANT, GOVERN- 1`1C�/
a NEAREST WATER GAIN—GI . *SOURCE OF WATER MATE_PUBLIC_ MENTAL AGENCY AND LENDING INSTITUTION LISTED G(._ NEW
B SWF CO TAX MAP DMT 1000 SECTION 55 BLDCK __i_ LOT ,8.57 HEREON, AND TO THE ASSIGNEES OF THE LENDING �,` ^`y
*THEME ARE ND DWELLINGS WITHIN (00 FEET OF THIS PROPERTY TITuTIONNAL GuARANTEESINSTITA ORMSUBSEGSFE ABLE r'\��Y W r�` O��
OTHER THAN THOSE SHOWN HEREON To OWNERS /
R THE WATER SUPPLY ANO SEWAGE DISPOSAL SYSTEM FOR THIS RESIDENCE 1 -
•DISTANCES SHOWN HEREON FROM PROPERTY LINES
• CONOF OFEAL TIOwTOC[TIIE STANDARDS OF THE SUFFOLK COUNTY DEPARTMENT TOEx!STING STRUCTURES ARE FOR A SPECIFIC = ' =y�;' 1
PURPOSE AND ARE NOT TO BE USED TO ESTABLISH l
�.'
A/►LICANT 1---i:.
w& Co PROPERTY LINES OR FOR THE ERECTION OF FENCES -...,-....,7-7[-,j '. f
ADDRESS 1 !� o O (� •
P R9' 1 R AVENUE
�,-�'e� o •T ,v� TEL y77- �o 0 YOUNG YOUN ` 4441 . �� - .
eceived
NOTE ALDEN W YOUNG,PROFESSIONAL ENGINEER Sufio k County
SUBDIVISION MAP FILED IN THE OFFICE OF THE CLERK OF AND LAND SURVEYOR N `CS UCENSE NO 12845
SUFFOLK COUNTY ON MARCH )9,1990 AS FILE NO. 8912. SEP 2 5 998
a. HOWARD W.YOUNG, LAND SURVEYOR
m •T) LOCATUI OF WELL(W),SEPTIC TANRIST]B CESSPOOLS(0)SFIOWN HEREON N Y.S LICENSE NO 45893 dept. l7 Health Services
y. AIME PROM FILLS 'WRUERIMTIONS AMD OR DATA OBTAINED FROM OTHERS • _ z S
BRANOIS F. SONS INC. )