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EXAZABETH A.NEVUAB Town Hall,53095 Main Road TOWN CLERK Pe0. Box 1179 REGISTRAR971 STATISTICS�I'I ''l I Southold, 11 . .IA ( 31) 765-6145 RECORDSMANAGEMENT OFFICER Telephone ( ) 765-1800 FREEDOM OF INFORMATION OFFICER � .,�� sautholdtown.no athfork net [C'[C'E OF CLERX DISTRICTSOUTHOLD WASTEWATER APPLICATION CONSTRUCTION or ALT CESSPOOL or SEPTIC TANK Residential esi tial 10 r Non-Residential @$25 ApplicationNo.LaV Permit No. Applicant Name Glynis er , studio a/b architects lic t ailing ldh°ess ries , 11957 _ __.._w.......� ..........�� _° ..... ....... _ ....... Septic cr Cesspool Brief Description of Proposed .s ctic r . to mlion. . WTS it l acliin alleles Location of Proposed Construction/Alteration: Owner of Property. se ora Owner Mailing Address375 Wells asLaurel, 119 ... ........ .. ..�....._.. .._............... ..�_46 Owner Pre1�,1 � 375 Wells Road,111946 Name_ and phone number of contact person Glynis Berry 631680 9656/ Ei hin er(w suedler) 2 1.. ........ ....... ... .o_. 1 .. ... .._,,..,wwww,. Section Tax Map No: 8 Lot Cross eet Alborive NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW CONSTRUCTION REQUIRES SURVEY T HEAIJ-4 DEPARTME T APIPROVALL 4 � mst rel APllc t to 11-1 Received y: 50%EXPANSION ' N/OIF (3)-4"DEEP GALLEYS ----- ANDREW DUERWALDUSES PUBLIC WATER LOCATION MEASUREMENTS `I \' TAX LOT NtOfF � � T° 19 1C 28.3' CONSTANCE R ZAHRA 2017 liA� 1D 31,8' IRREVOCABLE TRUST C �u 110.29' USES PUBLIC WATER MONUMENT N 88-18'50" E 2C 27' FOUND FFNC E 3C 28.4' _ STOCKAI)EIEN�._ 2D 25A' TAX LOT �`� ` ( EFENCE ALONG LINE w 15 � R TREE 3D 217 n'I Tn TREE 4C 21.4 ani 13001 100 1 1 1 la _1 J o 4D 25.2' 2 1iN� I EL. 5B 24.2' o I T 5C 25.1' ri :, - �,_ O 6A 25' CD 1 sltaW aT�l. 6B 19.5' oW©OOILITI--orP rzEINES A/C Un1T;t- 7A 22.8' D W' Uf 76 17.6' _..�... crUN DISTRIBUTION 2a z ,..- r." '�,- .....CIE 2 STORY SA 20.3' BOX ` DWELLING �I 8B 15.8' f PAVED C - NO.a75 = PATIO 12 5 9A 2" FF.F EL.t5.7'+1- Ofj I_m 9B 15' S �.. _.rCbNTROL PAN z a j / CO - BLOWER SITE PLAN IS BASED ON SURVEY BY i R BARRET BANACCI&VAN WEELE,PC I n DATED JULY 2,2007 BLOCK CURE -'- CO' SURVEY NOTES: _ VENT B ocNcuR6 , TRX MAP:1000-128-8-18 GRAVEL DRIVEWAY SITUATE LAUREL,TOWN OF SOUTHOLD SUFFOLK COUNTY,NY s' ¢ wOOD FE dCE LOTAREA=10,188 SQUARE FEETOR MONUMENT S 88°18'5J W 0.23 ACRES. FOUND I SANITARY SYSTEM LOCATIONS TAX LOT y ELEC.,VENT 1g — 1 PROVIDED BY HOME OWNER AND AIR NIO/F LINES CONTOURS ARE BASED ON SC GIS JOAN P BERNATH FUJI CEN 5 USES PUBLIC WATER UA_OWTS LAYOUT -- POWER SUPPLY CONNECTED TO DEDICATED 115 VOLT AC, SINGLE-PHASE,20 AMP CIRCUIT BREAKER ON HOUSE PANEL FUJI CLEAN CONTROL PANEL ------ 4"WASTE CAST IRON WITHIryry2'FROM MAC 8''LOWER IN PROTECTION FOUNDATION WAL'4,CONTI' -.D TO COVE -J PAD CL PER120 S OPER MIN. ,R40) P8"Box 444c' LEACHING POOL Orient NY 11 r2 SIDEWALL AREA,(3)-4'DEEP GALLEYS AS PER EeEiVED RDS TABLE 6 YS JUN 10 201 [ SUFE.Co.HEAILTH SERVICEN OFFICE OF WASTEWATER MGT- VITH SUFFOLK COUNTY DEPARTMENT OF HEALTH ORDS,AND REQUIREMENTS,AND SHALL BE STRICTLY IN UREA'S INSTRUCTIONS. Owner: :URRENT LIQUID WASTE LICENSE PURSUANT TO CHAPTER (BUSINESSES)AND ENDORSEMENT J(INNOVATIVE AND Joseph Finora M INSTALLER)THROUGH THE SUFFOLK COUNTY NIG AND CONSUMER AFFAIRS,PURSUANT TO SUFFOLK DEPARTMENT OF LABOR,LICENSING,AND CONSUMER 375 Wells Road UID WASTE LICENSE HOLDERS. Laurel,NY 11948 tel 631 298 4086 EQUIRED TO HAVE AN INITIAL 3-YEAR WARRANTY, email jfinora@optonline.net EQUIRED TO HAVE ACTIVE O&M(OPERATION AND (WEEN THE PROPERTY OWNER AND SERVICE PROVIDER. )ORT ALL O&M ACTIVITIES TO SCDHS(SUFFOLK COUNTY property Tax Map#:1000-126-8-18 ES). site street address: ON PROPERTIES WHERE I/A OWTS ARE INSTALLED 375 Wells RoadLaurel,NY 11948 NT IN EVENT OF FAILURE;O&M REQUIREMENT;ACCESS TO UARTERLY BASIS IF NEEDED;OTHER REQUIREMENTS THAT )R I/A OWTS TECHNOLOGIES: =FLUENT CONCENTRATIONS FOR TOTAL NITROGEN OF ON CRITERIA: No. Description Date kLLS,FLOORS,ROOF AND ACCESS COVERS SHALL RESIST BUNDS PER SQUARE FOOT(PSF). TED SEPTIC TANK&I/A OWTS SHALL CONFORM TO THE I OF PLUMBING AND MECHANICAL OFFICIALS"AMERICAN EFABRICATED SEPTIC TANKS"ANSI Z1000-2007 AND ANY --------- 5 SHALL BE IDENTIFIED BY THE MANUFACTURER AND DRMATION PERMANENTLY MARKED AT THE INLET END OF .............................. ................ R LOGO iF OPENINGS D. VERS SHALL BE SET AT FINISHED GRADE,BE LOCKING, ............ ........ -IGHT,INSECT-PROOF,FLAT,SKID-PROOF,AND BE ::. COVERS AND RISERS SHALL BE CAPABLE OF .EL LOAD(36 S IN.OF 2500 LB FOR 60 MIN WITH A MAX. N. ........... .......... RE REQUIRED TO BE USED ON NON-CONCRETE SEPTIC .............. ..... T FINISHED GRADE,BE LOCKING,WATERTIGHT,-4NSECT-- OR SEWERAGE USE. SS THAN 60LBS A SECONDARY SAFETY LID OR DEVICE ............... BE WATERTIGHT AND CONSTRUCTED OF SOUND AND -- --------------- IOT SUBJECT TO EXCESSIVE CORROSION OR DECAY. MUST BE CERTIFIED AS WATERTIGHT BY MANUFACTURER 'ING OR WATER TESTING METHODS. ,ULL 4"OF MERCURY(HG),FOR 2 MINUTES WITH A LOSS OF NK;FILL TANK WITH WATER TO OUTLET INVERT ELEVATION E TANK TO OUTLET INVERT AFTER 24-HOUR PERIOD AND .---------------.. ................................. ....... APPROVED IF WATER LEVEL IS HELD FOR 10 HOURS. ALL BE CONNECTED TO TANKS WITH AWATERTIGHT, THE PIPE GASKET SHALL BE FASTENED TO THE PIPE WITH ABLE CLAMP. 4E-FOOT AIR SPACE MEASURED FROM THE OUTLET INVERT )VER. 1/p < MPARTMENT OF THE TANK SHALL BE PROVIDED BY AN f 16 AMENSION OF AT LEAST 20 INCHES IN DIAMETER,AND IN 116 413-7 OF CDHS RESIDENTIAL STANDARD 2016.ALL L C, rp jpj.1;1-OP -OWING REQUIREMENTS: 00VED OVERALL INLET AND OUTLET PIPES I Nl�1or(zA, )UIRED,THEY SHALL BE WATERTIGHT Ja�c !UFACTURERS SHALL PROVIDE A LABEL OF NONCORROSIVE ;ATION AT EACH ACCESS OPENING TO WARN"ENTRANCE fil ATION STANDARDS _4 TIONS PROVIDED BY THE MANUFACTURER SHALL BE Craig Knepper,P.E.,Chipf I -�' , HALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS(WITH A LECTION OF+/-ONE QUARTER INCH)ON A MINIMUM 3 INCH PROJECT MMMENDATION)BED OF PROPERLY LEVELED AND ROCKS)OR PEA GRAVEL.BACKFILL SHALL BE PLACED )WTS IN SUCH A MANNER AS TO AVOID DAMAGE AND Innovative and 'KFILL SHALL BE FREE OF LARGE STONES,STUMPS,AND Alternative Onsite &IIA OWTS SHALL NOT BE LOCATED GREATER THAN TWO NE FOOT BELOW FINAL GRADE.FOR SEPTIC TANK&I/A Wastewater Treatment THE DOME SHALL NOT BE LOCATED GREATER THAN TWO NE FOOT BELOW FINAL GRADE. Svstern O/A , F�