HomeMy WebLinkAboutWickham ELIZABETH Ad NE �� � � 'Down Full, 53095 Main Road
TOWN CLERK P.O.Box 117
I I� Southold, r 11 71
REGISTRAR OF VITAL Fax(631) 7m 1
MARRIAGE OFFICER 40
RECORDS MANAGEMENT OFaFICER � Telephone (031) 765-1500
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FREEDOM OFOFFICE " ' ,i TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION Or ALTERATION PERYM
CESSPOOL Or SEPTIC TANK
Residential 1 -4 Non-Residential @$25 Appli ati No.
Permit
Applicant Name Glynis Berry,studio a/b architects
Applicant Mailing Address,
rient, 11957
Brief Description 0 Proposed ��� � S leaching ��
.... _..._. ...m
is �"a _Or Cesspool--
ConstructionOr l�,e ation I/I/ pools
Location of proposed tru ti /Ait rat.0 a
r of Property: Wickham
Owner Mailing Address* __ ,NY. . ...._...1935
_..,._............................— ,..... .. .�- __._.... 11....._,.,µ, ...,.........,.
Owner PrOpertY Addxessl 4299 New Suffolk Road,New Suffolk,NY 1195
Name d 1 Iglu contact person Glynis berry 6.31690 96561 Bob Eichinger(installer)
_mmm
Map No: Section 1 S 33.1
� _............-----..........
Cross Street Wicks a
NOTE:: l I ITT: APPLICATION. NEW
ad
DEPARTMENT APPROVAL
Received _...
-- --------- ......
FIND
MON
N/O/F
WICKHAM
BUNGALOW EAST
LLC
001, DEVELOPED
USE PUBLIC WATER
N/O/F
VICKHAM F CONTROLPANEL
:;ALOW EAST
LLC HOTEsTo NORWECO 5000PD
LE
,EVELOPED y EXISTING
PUBLIC WATER i SEPTIC TANK
REMOVED
FIND EX
W' RE PIPE
OP CONNECTION TO GRAVEL CK
CATED BREAKER ON DRIVEWAY
SE MAIN PANEL -
TINGA
'TRICAL PANEL - 7
X
x
CO ER
R C
X,
I, WOOD
4"WASTE,TVP.
/ ✓ DECK
�CF?16
DISTRIBUTION BOX
FRAME
SHED WOOD ECK 2"MIN.VENT
X41 BULKHEAD
Z,
EXISTING HOUSE TRAP
FIND MON
00"
,
AN BASED ON s"
(BY
MEETZCER
C SURVEYORS,P.C,
909
)AD
)LD,NY 11971
NOTES:
OF PROPERTY
SUFFOLK N/O/F FND
)F SOUTHOLD WICKHAM FAMILY PIPE
K COUNTY,NY. LLC
)-08-33-1
;/1991 DEVELOPED
NS 7124/1991 USE PUBLIC WATER
DNS 8/23/1991
4,1992 FINAL
29,671 SQ.FT, (TO TIE LINE)
IN FIRM ZONE C
IONS ARE REFERENCED TO N,G,V.D
_OOR EL.=13.5
:NT FLR.=47
__NT WINDOWSILL=11.1'
— POWER SUPPLY
CONNECTED TO DEDICATED 115 VOLT AC,SINGLE-PHASE,10
AMP MIN.,15 AMP MAX.CIRCUIT BREAKER IN THE MAIN
ELECTRICAL PANEL OF THE HOUSE
CONTROLPANEL
"SERVICE PRO CONTROL CENTER"
— FOR NORWECO SINGULAIR TNT
— 4"(2"MIN.)DIA.HDPE VENT DISTRIBUTION BOX
W/CHARCOAL FILTER POLYLOK 12"
18"MIN.ABOVE GRADE, W112"RISER 4"WASTE
36"MIN.FROM ANY WINDOW OR DOOR CLASS 2400 OR SDR 35
1/8"PER 12"SLOPE MIN,
Wl Cli-I...I.-
NEE Z REMAIN.REUSE
!A.,4-FOOT DEEP LEACHING
y
'FOLK COUNTY DEPARTMENT OF HEALTH SERVICES' Owner:
)EMENTS,AND SHALL BE STRICTLY IN ACCORDANCE TO THE Parnel Wickham
f LIQUID WASTE LICENSE PURSUANT TO CHAPTER 563
:S)AND ENDORSEMENT J(INNOVATIVE AND ALTERNATIVE mailing address:
;H THE SUFFOLK COUNTY DEPARTMENT OF LABOR, PO Box 999,Cutchogue,NY 11935
SUANT TO SUFFOLK COUNTY CODE§563-79(11)(J) THE
°CONSUMER AFFAIRS MAINTAINS A LIST OF LIQUID WASTE tel 631 5136325
email wickhamjp@gmail.com
TO HAVE AN INITIAL 3-YEAR WARRANTY,
property Tax Map#:
TO HAVE ACTIVE O&M(OPERATION AND MAINTENANCE) 1000-110-8-33.1
)WNER AND SERVICE PROVIDER.
site street address
O&M ACTIVITIES TO SCDHS(SUFFOLK COUNTY 4299 New Suffolk Road,New Suffolk,NY 11956
,PERTIES WHERE IIA OWTS ARE INSTALLED REQUIRING;
JRE;O&M REQUIREMENT;ACCESS TO DHS
ISIS IF NEEDED;OTHER REQUIREMENTS THAT SCDHS
ITS TECHNOLOGIES:
CONCENTRATIONS FOR TOTAL NITROGEN OF NINETEEN(19)
No. Description Date
_RIA:
;1,28 DAYS SET,AND COMPLY WITH ASTM C-1227-10A, ........
NST CONCRETE SEPTIC TANKS"
,QRS,ROOF AND ACCESS COVERS SHALL RESIST AN
,UARE FOOT(PSF).
rIC TANK&I/A OWTS SHALL CONFORM TO THE
IBING AND MECHANICAL OFFICIALS'AMERICAN NATIONAL
IC TANKS"ANSI 21,000-2007 AND ANY UPDATES THERETO.
�E IDENTIFIED BY TtE MANUFACTURER AND DISPLAY THE
FLY MARKED Al ThIIJNLET ENO OF THE TANK:
GS
kLL BE SET AT FINISHED GRADE,BE LOCKING,TAMPER-
DF,FLAT,SKID-PROOF,AND BE APPROVED FOR SEWAGE
APABLE OF MTHSTANDWO A TRUCK WHEEL LOAD(36 S IN,
(TICAL DEFLECTION OF 1,5 IN, —---
STRUCTURES,WHEN NOT REQUIRED TO BE BROUGHT TO l
ACED CONCRETE(OR EQUAL)
tED TO BE USED ON NON-CONCRETE SEPTIC TANKS.THEY
-OCKING,WATERTIGHT,INSECT-PROOF,AND BE APPROVED .......
RTIGHT AND CONSTRUCTED OF SOUND AND DURABLE
'ESSIVE CORROSION OR DECAY.
)ERTIFIED AS WATERTIGHT BY MANUFACTURER USING ..... ..
:STING METHODS.
MERCURY(HG),FOR 2 MINUTES WITH A LOSS OF 10%OR
..........
,NK WITH WATER TO OUTLET INVERT ELEVATION FOR 24
?INVERT AFTER 24-HOUR PERIOD AND LET STAND FOR 10
iVEL IS HELD FOR 10 HOURS. fQ,
NNECTED TO TANKS WITH A CAST-IN-PLACE,WATERTIGHT,
'ASKET SHALL BE FASTENED TO THE PIPE WITH A
ANY NEW HOLES REQUIRED TO BE INSTALLED ONSITE SIJFF0LK',,,`;_Pr
-INCH BUTYL RUBBER JOINT
5E SEALED WITH ONE(1) N4jq1Su:'TAMILY
11-990.JOINTS ALIGNED IN THE SAME PLANE WILL ALSO Date
)UTSIDE OF THE JOINT,
Ttre scyrqIn IMF X101 InIj 4,00,M 'AV Ihn Imv�,n h��
, T0 � mp 1*11
IR SPACE MEASURED FROM THE OUTLET INVERT TO THE Imir".0M anXCN,ra 5wr¢0y 9Prd4t w o 1�"aqelc ol.fIvId lx,rld a
t?,Y 6FORCOMS,
JT OF THE TANK SHALL BE PROVIDED BY AN ACCESS
.AST 20 INCHES IN DIAMETER,AND IN COMPLIANCE WITH 5- crliq Chief
INDARD 2016.ALL OPENINGS SHALL MEET THE FOLLOWING OfNce Of
LL INLET AND OUTLET PIPES
IEY SHALL BE WATERTIGHT
;RS SHALL PROVIDE A LABEL OF NONCORROSIVE
M ACCESS OPENING TO WARN"ENTRANCE INTO TANK
PROJECT
NDARDS
)VIDED BY THE MANUFACTURER SHALL BE IMPLEMENTED. Innovative and
STALLED AT LEVEL IN ALL DIRECTIONS(WITH A MAXfMUM Alternative Onsite
DARTER INCH)ON A MINIMUM 3 INCH THICK(OR
�01`PROPERLY LEVELED AND COMPACTED SAND(FREE
:IALL BE PLACED AROUND THE SEPTIC TANK&I/A OWTS IN Wastewater Treatment
,COMPACTED IN 6-INCH LIFTS,BACKFILL SHALL BE FREE
'CTION DEBRIS,
System (I/A OWTS)
MHALL NOT BE LOCATED GREATER THAN TWO AND HALF
ADE FOR SEPTIC TANK&I/A OWTS WITH DOMES,THE New Suffolk R9