HomeMy WebLinkAboutBaskurt � Hall,Town 63095 Main Road
TOWN CLERK ' P.O.Box 11?
REGISTRARCp'II.T STATISTICS � ®tet 1 R Fax C,63
j 7 111 1
45
MARRIAGE OF � Telephone( 31) 765-1800
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
, TOWN OF T" OLS
SOUTHOLD WASTEWATER DISTRICT
AI C"IM
CONSTRUCTION "
CESSPOOL or TIC TANK
Residential $104/— or Non-Residential @$25 Application No.
Permit No..
Applicant Narne Glynis Berry,studio a architects
Applicant Mailing ,ddress�—.
® Box 444, Orient,ICY 1195.7 � ... . .. .�„ .. ...�� �...�__......�,,�
SepticTank—or Cesspool-
Brief
essI ?'
resmsmdrainfield
rieDescription fpConstruction
Proposed �� ri.�.. /.AOWTS, pressurized...kwWa
OwnerLocafion of Proposed Construction/Alteration:
l"Property'... _ Erol,,Baskurt
Owner Mailing Address: ...�� ......................�...�............................,...95�
�� 3.5�75�M1..Lane,..�.
pec®nxc I�TY �1.......�_....... .
Owner Property Address: 3575 Mill Lane, peconic,NY 11958
Name and.phone nuniber of contact per i Glynis Berry 631 600 9656/john Gran ll(ln er)63). 9
1. 99 .....� . .._-- .�.......
Tax Map No: Section. 67 lock 2................� t 12
a�,....w...,. -.-._.-
014
r ss Street
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
66
W�I # ,t ..� lea ; Date
� l�p
eeei ° .e .......�.� �� �.w .... .... �w,,....
studio a/b architects
WITH SUFFOLK COUNTY DEPARTMENT OF HEALTH
DARDS,AND REQUIREMENTS,AND SHALL BE STRICTLY IN 651 West Main Street,
:TURER'S INSTRUCTIONS. Riverhead, NY 11901
631 5912402
CURRENT LIQUID WASTE LICENSE PURSUANT TO CHAPTER 631 323 1426
tY BUSINESSES)AND ENDORSEMENT J (INNOVATIVE AND info@studioabarchitects.com
EM INSTALLER)THROUGH THE SUFFOLK COUNTY
)ING AND CONSUMER AFFAIRS, PURSUANT TO 'SUFFOLK mailing address:
DEPARTMENT OF LABOR, LICENSING,AND CONSUMER PO Box 444
DUID WASTE LICENSE HOLDERS, Orient NY 11957
REQUIRED TO HAVE AN INITIAL 3-YEAR WARRANTY.
REQUIRED TO HAVE ACTIVE O&M (OPERATION AND
=TWEEN THE PROPERTY OWNER AND SERVICE PROVIDER,
--PORT ALL O&M ACTIVITIES TO SCDHS (SUFFOLK COUNTY
CES).
:D ON PROPERTIES WHERE I/A OWTS ARE INSTALLED '
ENT IN EVENT OF FAILURE; O&M REQUIREMENT;ACCESS TO
QUARTERLY BASIS IF NEEDED; OTHER REQUIREMENTS THAT
7O I/A OWTS TECHNOLOGIES: Owner:
EFFLUENT CONCENTRATIONS FOR TOTAL NITROGEN OF Erol Basku rt
TION CRITERIA:
3575 Mill Lane,
Peconic NY 11958
/ALLS, FLOORS, ROOF AND ACCESS COVERS SHALL RESIST tel 516 286 8145
OUNDS PER SQUARE FOOT(PSF). email ebaskurt@rfbcpa.com
ATED SEPTIC TANK& I/A OWTS SHALL CONFORM TO THE
)N OF PLUMBING AND MECHANICAL OFFICIALS"AMERICAN
REFABRICATED SEPTIC TANKS"ANSI Z1000-2007 AND ANY
TS SHALL BE IDENTIFIED BY THE MANUFACTURER AND property Tax Map#:
FORMATION PERMANENTLY MARKED AT THE INLET END OF 1000-67-02-12
)R LOGO site street address:
OF OPENINGS 3575 Mill Lane,
Peconic NY 11958
ED.
OVERS SHALL BE SET AT FINISHED GRADE, BE LOCKING,
,TIGHT, INSECT-PROOF, FLAT, SKID-PROOF,AND BE
)E. COVERS AND RISERS SHALL BE CAPABLE OF
1EEL LOAD (36 S IN. OF 2500 LB FOR 60 MIN WITH A MAX.
.5 IN.
ARE REQUIRED TO BE USED ON NON-CONCRETE SEPTIC
AT FINISHED GRADE, BE LOCKING,WATERTIGHT, INSECT- No Description �......._ Date
FOR SEWERAGE USE.
ESS THAN 60LBS A SECONDARY SAFETY LID OR DEVICE
..,.__ .................... n. n ...__ _...............
-L BE WATERTIGHT AND CONSTRUCTED OF SOUND AND -------- -
NOT SUBJECT TO EXCESSIVE CORROSION OR DECAY. ...................................... _.......... -. ..........._
> MUST BE CERTIFIED AS WATERTIGHT BY MANUFACTURER
)TING OR WATER TESTING METHODS.
PULL 4"OF MERCURY(HG), FOR 2 MINUTES WITH A LOSS OF
ANK; FILL TANK WITH WATER TO OUTLET INVERT ELEVATION - �............ - - � °
HE TANK TO OUTLET INVERT AFTER 24-HOUR PERIOD AND .................,.,..... .
2S.APPROVED IF WATER LEVEL IS HELD FOR 10 HOURS. _..,_ ...
HALL BE CONNECTED TO TANKS WITH A WATERTIGHT,
� ��N
/TIva I TEST
Gz1�
HOLE
WATER LINE
TO SHOWER r
7
kt1 Servicer
l FUJI CEN 5
r
PUMP TANK e y ✓ ✓ a , (a
WITH ONE PUMP
✓� ,,✓ t ✓ - WATER SERVICE
GMAT 39"
1OEXPANSION
owit 'r
'2111 POWER SUPPLY
ti �� - l
y ,, CONNECTED T
T ��0 115 VOLT AC,SIN
�0' /' q� 0 k PHASE,30 AMP C
�yP� BREAKER ON HO
p C / PROVIDE TRANS
SWITCH FOR GEI
CONNECTION
CONTROL PANEL
a
BLOWER
L"
1
`may
sysIcTin must be in
uirekiloil I'Submit
proof
ILA
01
r0 °0
r
Engineer's Certitacilon Required
Submit P.E.Or RA.Certitir anon
e
lde mstauea on the FDr Installat"On And 4�on tructi n
et waste line.All utilities
Of C
ninimum separation to -(4 1 ?w ,"r�'
:em. For Final Approval, Use orm
WWW73,
SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
PERMIT FOR APPROVAL OF CONSTRUCTION FOR A
- 4"WASTE SINGLE FAMILY RESIDENCE ONLY
CAST IRON WITHIN 2'FROM
FOUNDATION WALL,CONTINUED TO DATE H.S.REP.N0, 1.
CLASS 2400 OR SDR 35,(OR SDR40) y
1t4"PER 12"SLOPE MIN. APPROVED,
FOR MAXIMUM OF 21
BEDROOMS
-4"(2"MIN.)DIA.HDPE EXPIRES THREE YEARS FROM DATE OF APPROVAL
VENT
Wl CHARCOAL FILTER T - ""`
18"MIN.ABOVE GRADE, 1.5"TRANSMIT 1"LATERAL
36"MIN.FROM ANY
WINDOW OR DOOR
- —
EL.6.0' EL.6.0' EL.6.2'
as.,
GRAVEL,SILT,COARSE SAND
SP
, N
GRAY/GRAY BRN.SAND,TR. d" G
18.01 GRAVEL,SILT,
d i k\ f
SP
DK.GRAY/GRAY BRN.FINE SANDY
?3ff SILT,TR.CRAY,ROOT FIBERS A 4,
ML-OL?
ti
LT,GRAY/GRAY SAND,TR.GRAVEL,
SILT WATER LINE
SP TO SHOWER
l2.0'-
N,
OLE NOTIF�H A N�GE,4(SS-�
SOIL MECHANICS DRILLING CORP 2Y�S County
1;
I _BY-S:Iff-]�k County Lieputtinent of HeWth
SEPTEMBER 11,2015
;T EXPECTED GROUNDWATER
ION 2.5' FUJI CEN 5
F
PUMP TANK
WITH ONE PUMP
GEOMAT 39"
7 50%EXPANSION,4`
v Co
'j,0-
17-
Al, Al
Op
0
4L
&
CAVATION INSF° TION ftQ-UIR
FOR SANITARY SS q,YE ID,
BY HEALTH DEPR r
Xr
FAbandolullent ofexistul
o"
"7r
With
department must b
"Y System must be in
With departillent rc
u
co,np -C,
AN IS BASED ON SURVEY BY cOnVeted r.
rin W�vjq-1��) 'ehlent Submit
,DW.YOUN6S.N.Y.S. L.S.NO.45893 as proof
>TED 7/24/2017
NOTES:
rFOREROLBASKURT
'MAP N5.2 OF PECONIC SHORES"
ic.,Town of Southold oq-
;ounty,New York
d,
ax Map District 1000 Secion 67 Block 02 Lot 12
URVEY COMPLETED SEPT.02,2015 ST air,
EPARED SEPT.03,2015
OF REVISIONS
BUILDING PERMIT DATA FEB 15,2017
URVEY JULY 24,2017
TA Engineer's CertifOction fie Lei
UeanouT must Oe instalien on the Submit P.E.Or R A Cedific, -
c ton
9,112 SQ.FT. 11,
VISION-"MAP NO,2 OF PECONIC SHORES"FILED IN THE septic tank inlet Waste line,All utilities For installa ij And Co 't
OF THE CLERK OF SUFFOLK COUNTY ON SEPT.15,1930 AS require a 5ft minimum separation to Of V
.654. the septic system.
CT PARCEL IS IN ZONE AE(EI-9)-SEE FLOOD INSURANCE For FinalAP rDVel, Us
AP NO,36103CO161H DATED SEPT.25,2009 orm WWM-073,
'AL DATUM=N.A.V.DATUM(1988)
DWTSLAYOUT
............................... .... ..
20'-0"
POWER SUPPLY
CONNECTED TO
DEDICATED 115 VOLT AC,
SINGLE-PHASE,20 AMP CIRCUIT 4"WASTE
BREAKER ON HOUSE PANEL, CAST IRON WITHIN TFROM
FOUNDATION WALL,CONTINUED TO
ISE PROVIDE TRANSFER SWITCH CLASS 2400 OR SDR 35,(OR SDR40)
FOR GENERATOR CONNECTION j 1/4"PER 12"SLOPE MIN.
4"(2"MIN.)DIA.HDPE
CONTROL PANELS ✓ VENT
W/CHARCOAL FILTER
BLOWER IN 18"t' ABOVE GRADE, 1.5"TRANSM' V LATER/
COVER ON 36"it FROM ANY
PAD WINDOW OR DOOR