HomeMy WebLinkAboutAriizumi Io;
ELIZABETH A.NEVILLE',MMC Town Hall,53095 Main Road
TOWN CLERK �- P.O.Box 1179
Southold,New York 11971
REGISTRAR OF VITAL STATISTICS Fax(631)765-6145
MARRIAGE OFFICER Telephone(631)765-1800
RECORDS MANAGEMENT OFFICER 5: www.southoldtownny.gov
FREEDOM OF INFORMATION OFFICER _-
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
TO: Southold Town Building Department
FROM: Sabrina Born,Southold Town Clerk's Office
DATED: October 29,2419
RE: Cesspool Construction Application
Transmitted herewith is a copy of application No. 4807 for a Cesspool/Septic Tank Construction
Permit submitted by:
Glynis Berry&Hideaki Ariizumi.
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE
Comments: Final aproroval required from the Suffolk County Health Department
Signature
Dated
IFI-
ELIZABETH
�, -
ELIZABETH A.NEVILLE AQ Town Hall,53095 Main Road
CLERK
P.O.Box 1179
TOWN aff Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER Fax(631)765-6145
RECORDS MANAGEMENT OFFICER Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER aoutholdtovni.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SO OLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10 1 or Non-Residential @$25 Application No,qL0
Permit No.
Applicant Naac Glynis Berry,studio atb architects
Applicant Mailing kddress_PO Box 444,Orient,NY 11957
Septic Tank or Cesspool
Brief Description of Proposed Construction or AIteI tion I/A OWTS with shallow disper saal
_(ngavity)
Location of Proposed Construction/Alteration:
Owner of Propel; (311mi,Berry and Hideaki Arlizurni
Owner Mailing Address; PO Box 444,Orient,NY 11957
Owner Property Address: 1410 Trumans Path,East Marion NY 11939
Name and phone number of contact person Gly—Rerry 631680 96561 Bob Eichinger(installer)
Tax Map No: Section 31 845 11gi.I.V1 12 Lot 11
Cross Street Main Road
NOTE: LOCATION MAP MUST BESUBMITTED WITH APPLICATION, NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEP TIENT APPROVAL
Sign-ata—fe of App- l Dal--
Received by.
LAND N1F OF EXISTING CESSPOOLS TO BE REMOVED
WILLAIM FAINGLAS
DEVELOPED EXACT IOC iONOFWAS-E
FUJI CEN 5
ANE UNDERGROUND I FOR TD L xNe LAND OF EDITH M.BERRY,GLYNIS
PUBLIC WATER — VENT AR.':LER���.cRsrPA�CHT
�l M.BERRY,HIDEAKI ARIIZUMI
j (1� CONTROL PANEL
ENTRY
�' DRY SHED ONLY
BLOWER SHED ACCESS TO PUBLIC WATER
N 64 05'40"e 142.00'
SHED
it x' 8 a+' 1+ �' AIR — --_ '.� '._DRY O
i� A'G TERRACE h TEST
a B J — HOLE
o H
23 6` z� OEE
- . I a �
FCO
- - CIL-
- - 6FTB.4CK7 4' p LAND N/F OF REINHARDT
N fJ�
LLIIROWS DEVELOPED
��' �` c 1 STY FRM. d -PUBLIC WATER �
N; ELGE!GSF 1AUL Qu140`40 DWELLING f
011 If r' — POWER SUPPLY CONNECTED TO(2)DEDICATED 115
VOLT AC,SINGLE-PHASE,15 AMP CIRCUIT BREAKER
i'.
� J � ON HOUSE MAIN;EXISTING PANEL NEEDS UPGRADE
1
�o
(LOCATED IN IST FL BEDROOM).UNFINISHED
Nli kms; aa' O \ BASEMENT BELOW
T I
'1 jl '- 3 - F ¢ y \ OVERHEAD ELECT LINES
S 64°05'40 W_
Y S 64°05'40"W 143.00' N86 --N£i4�5 4fl_E--963-1 3-
—� o
— TEMP.SILT FENCE 5��0
z I DURING INSTALLATION _ RIGHT OF WAY � DIRT DRIVEVvAY WDM� o
01 r - ----a_ o
<1 LAND N/F OF 1420 S jam_ c'
TRUMANS PATH LLC — Vy
SITE PLAN BASED ON SURVEY BY DEVELOPED S 64°05'40"W 100.00' LAND N/F OF
KENNETH M.WOYCHUK,N.Y.S.LISC.NO.050882 PUBLIC WATER STAEPHANIE+
DATED:8/25,2014 -WILdAM-GORGA
S.C.T.M.NO.DISTRICT:1000 SECTION:31 BLOCK:12 LOT:11
AREA:8,122.5 S.F OR 0.19 ACRES _
ELEVATIONS BASED ON DATUM N.A.V.D.1988,FROM SC GIS —
i
FEMA FLOOD ZONE X,EXCEPT AT BASE OF BLUFF AE EL.6'
;A =U SEPTIC TANK&I/A OWTS SHALL CONFORM TO THE
ON OF PLUMBING AND MECHANICAL OFFICIALS"AMERICAN G..`
oREFABRICATED SEPTIC TANKS"ANSI 21000-2007 AND ANY
tTS SHALL BE IDENTIFIED BY THE MANUFACTURER AND Property Tax Map#:
AFORMATION PERMANENTLY MARKED AT THE INLET END OF 1000-31-12'11
OR LOGO site street address: �.....
I OF OPENINGS 1410 Trumans Path
East Marion,NY 11939
QED.
'OVERS SHALL BE SET AT FINISHED GRADE,BE LOCKING,
RTIGHT,INSECT-PROOF,FLAT,SKID-PROOF,AND BE
SE. COVERS AND RISERS SHALL BE CAPABLE OF
HEEL LOAD(36 S IN.OF 2500 LB FOR 60 MIN WITH A MAX.
1.5 IN.
ARE REQUIRED TO BE USED ON NON-CONCRETE SEPTIC
AT FINWSHED GRADE,BE LOCKING„WATERTIGHT,INSECT_
FOR SEWERAGE USE. No. IDescriptign Date
LESS THAN 60LBS A SECONDARY SAFETY LID OR DEVICE
LL BE WATERTIGHT AND CONSTRUCTED OF SOUND AND -
_
NOT SUBJECT TO EXCESSIVE CORROSION OR DECAY.
3 MUST BE CERTIFIED AS WATERTIGHT BY MANUFACTURER
TING OR WATER TESTING METHODS. -'
PULL 4"OF MERCURY(HG),FOR 2 MINUTES WITH A LOSS OF
'AW FILL TANK WITH WATER TO OUTLET INVERT ELEVATION
. -
HE TANK TO OUTLET INVERT AFTER 24-HOUR PERIOD AND - -
3S APPROVED IF WATER LEVEL IS HELD FOR 10 HOURS. -
HALL BE CONNECTED TO TANKS WITH A WATERTIGHT,
)THE PIPE,GASKET SHALL BE FASTENED TO THE PIPE WITH ...- -
:TABLE CLAMP.
)NE-FOOT AIR SPACE MEASURED FROM THE OUTLET INVERT
-
;OVER. - ..-.,. .
)MPARTMENT OF THE TANK SHALL BE PROVIDED BY AN - - _-
DIMENSION OF AT LEAST 20 INCHES IN DIAMETER,AND IN �
1148-7 OF CDHS RESIDENTIAL STANDARD 2016,ALL
_LOANING REQUIREMENTS -.-
)ED OVER ALL INLET AND OUTLET PIPES -
QUIRED,THEY SHALL BE WATERTIGHT -.-- — �-
NUFACTURERS SHALL PROVIDE A LABEL OF NONCORROSIVE
CATION AT EACH ACCESS OPENING TO WARN"ENTRANCE ^
LATION
ARDS
'ATIONS PROVIDED BY THE MANUFACTURER SHALL BE
.. _ ..-
HALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS(WITH A
RECTION OF'/-ONE QUARTER,INCH)ON A MINIMUM 3 INCH
COMMENDATION)BED OF PROPERLY LEVELED AND
ROCKS)OR PEA GRAVEL.BACKFILL SHALL BE PLACED
D'WTS IN SUCH A MANNER AS TO AVOID DAMAGE AND (� rV j i C(AgC v- '(j
1KFILL SHALL BE FREE OF LARGE STONES,STUMPS,AND SU FOLK COUNTY DEPARTMENT 01`HE!
Aj
pt
IFMCEq F jpgr,� �
&I/A OWTS SHALL NOT BE LOCATED GREATER THAN TWO t�� ➢n 15111 NAi E rt ID "�
NE FOOT BELOW FINAL GRADE,FOR SEPTIC TANK&I/A
THE DOME SHALL NOT BE LOCATED GREATER THAN TWO heS7 docwnenw,hal/e 6e n reViewed
NE FOOT BELOW FINAL GRADE. I 'and aI°0 I.Ottn(t to 1aS in corripli ..
with tkrw Sulrcalk L aUnt'y Sanft4rY Code
ao talrernerlts based upon iniorrnat on
3IFY ON SITE,IF APPLICABLE: submitted by the applicant.
HOUSE WHERE THE WASTE MAIN PENETRATES. } f
EACH UNIT WILL BE INSTALLED.
CATIONS AND INVERT ELEVATIONS. APP OVAL DATE
=S,INFRASTRUCTURES,ANDNOR STRUCTURES REVIE CING Eft
:CT TO THE I/A OWTS INSTALLATION
ALL NOT BE USED WITH A I/A OWTS.
ED WHEN GROUNDWATER IS HIGH OR FLOOD CONDITIONS PROJECT
Innovative n
Alternative Onsi
Engineer's rOn€�:caion Wastewater Treatment
SubrTaEi F�".E.Or R.A.1 ,A.Certlficataal�
For in.IaRlotion and Construction System {I/A
OL'For j=% al Approval. Use f=orm WWM-073. 1410 Truman,
h �
t�aF€iiax€,sci rfu;i�saal�Funivarysysternmustbeill F02
c0foforninne,c wit€)de1 w tment requirement Subat2it ...—
campleterlsonnWWN1-60 as proof. I/ OWTSLayout
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4 S M
Y i:f ALTH DEP, Ci 7C N G Project no
W. 1913
Date 7/7/19_...
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Checked by HA
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