HomeMy WebLinkAboutGeraci ¢cI FFDI,r
ELIZABETH A.NEVILLE �� � Town Hall,53095 Main Road
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TOWN CLERK P.O.Box 1179
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Southold,New York 11971
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER ^ Fax(631)765-6145
RECORDS MANAGEMENT OFFICER ,( -- 1: Telephone(631)765-1800
FREEDOM OF INFORMATION OFFICER y southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRICT
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK (�f�
Residential @$10, or Non-Residential @$25 Application No. °
Permit No.
Applicant Name _ i'k i - 0(-j
Applicant Mailing Address ' ? 11:-,v t� ' L t
Septic Tankor Cesspool
BriefDesorlpnonofProposedConstructionorAlteration a 3--A-17')U��17,
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Location of Proposed Construction/Alteration:
Owner of Property: 0 i f t
p Y
Owner Mailing Address:
Owner Property Address: 3
-� ...n21 c�i iC
Name and phone number of contact person_��.v-
Tax Map No: tC00 Section 140 Blocker Lot
Cross Streeth +kk_
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH HEALTH DEPARTMENT APPROVAL
3 "
r Siting#:re of. pplicafl D3 to
s ✓`
Received by: e i f• �
If.hater testing:Seal tank;fill tank with water to outlet Invert cover.
elevation,let stand far 24 hours.Refill the tank to the outlet Invert 3.All pumps and float trees must be accessible and ser
after th..34-hazer period Is complete.-et the tmk stare for an access openings.
additional 10-hour period.T-e-ark'.<_.approved i-wa:er level Is held
far t'a IG-hour period.Water pressure testing Is recommended to be 4.The floats shall be attached to a Schedule-40 PVC f
done onsite after Installation. can be easily removed for service or adjustment.The fl
be attached to the farce main
I.° OWTS TANK_.CONB GPEON MA cRIAL REOuiREME NT5:
5.The Department shall observe the pump system ape,
Non-Concrete Tanks normal operating cycle.
A.All walls,floors,and roof and access covers shall resist on applied
force of 300 pounds per scuc:re foot(psf). &.Inspection for leakage of the force main fittings will b
the pump test procedure.
B.Unless otherwise stat-ad In this standard,nan-conerete pref.&II-ted
tanks shall conform to the Intorratlor.a Association of Plumbina and
ALARM PANEL SHALL BE-
Mcchanlca[Officials(IAFMAfJ)A,-1—Ivct'.onal Standard,far
Prefabrlcated Septic Tanks ANSI ZI000-200-1 material requirements -IN A 1,4ELL VENTILATED AREA AS DRY AND PROTECTEi
and any updctes thereto. ELEMENTS AS POSSIBLE
O.Non-concrete tanks shall not be Installed In areas where the -IN AS CL05E OF PROXIMITY TO MAGBLOWER AS 11055
groundwater level can rise to the level of the bottom of the tonk(s)
unless: -WIRED BY QUALIFIED ELECTRICIAN
I. T:e tank is manufactured to accommodate an anchoring system.
2.The design professional ubmi s auva ncy colcu etlons. -IN A LOCATION THAT ALLOWS UNENCUMBERED ACCESS
3.Galcudatlons shall Ina done.1tin highest erpecied,'rccorded ground INSPECTION AND MAINTENANCE
water.
A A safety factor of 15 Is required.To provide a safety factor of IS AIR BLO'r,LR SHALL BE: _
anchoring or additional ballast can be used.Soli cover on top of the s
tank
shall at be considered her determinlne the amount of cnchoring or -IN AS CLOSE PROXIMITY TO CONTROL PANEL AS P05e
oallast weight rewired.
5.Particular care must_be taken ci,lrg Instalovo bodding:and -ON A SOLID(E.6.CONCRETE)PAD TO MINIMIZE VERA
backf{Mina
of these yr is sa as to arevent demoge to tank.walls.The -IN A LOCATION ABOVE WATER LEVEL
manufa4t�rar's
Instollotlon Instructions shall be followed. -AWAY FROM GREASE EXHAUST FANS
6.All tanks should be sold by the mon0octurer completely assembled.
If,because of size,the tank Is delivered to the slI a In settlors,all -AWAY FROM BEDROOM WIND01,15 AND OTHER LOCATIC
joints shall be sealed with watertight gaskets. OPERATIONAL SOUNDS MAY BE A NUISANCE
7.All tanks shall rue tested for waver a5htness after Installation using a
method specifled by the monufocturer and approved by the Department. -IN A LOCATION THAT ALLOWS UNENCUMBERED ACCESS
INSPECTION AND MAINTENANCE
D.In addition to the separation distances stated in Table I,
non-concrete tanks shall not be Installed withln three(3)fact of a -WITH PROPER ELECTRICAL 6ROUNDIN6
driveway or parking area unless a permanent fence or other permanent
traffic barrier Is Installed(such as curbs). -WITH WIRING AND ELECTRICAL CONNEOTION5 MADE BY
ELECTRICIAN
-WITH NO 05.EG75 ON TOP OF ELECTRICAL CORD
-IN A WELL-VENTILATED SPACE OUT OF DIRECT SUNL164
PROTECTED FROM ELEMENTS SUCH AS DIRECT RAIN OR
SUFFOLK GOUNTI' HEALTH DEFARTMENT AFFROVAL
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SUFFOLK Cott&fir`
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Ti�ei��o�±'Ira�rr"s
and+are€etrnd t be fn ca't l
trots;the S> 0?.+C S ir, y.r
r� ter .tTfiy.cril` t-u s� L°'Y:
i e,,en's b_-Sed t(ccr:€nfCCr tial
Submitted by b_-Sed
fi SRV e CATS
_REVIIFthj AN GIM-zp
,141"Lg PLACE
H.S. REFERENCE NO.: RIO-1 -004-7 SITE PLAN NOTES.
TH15 15 AN ARCHITECTS SITE PLAN 4 15
SUBJECT TO VERIFICATION BY A LICENSED
DWEOTLLISURVEYOR, THE INFORMATION
NG REPRESENTED ON TH15 51TE PLAN 15 THE
WATER ARCHITECTS BEST OF KNOV4LEF,6E AND
KA5 OBTAINED FROM A SURVEY DATED
pLjj3LIC MARCH 25,201cl PREPARED BY:
FECONIC 5URVEYOR5
1230 TRAVELER STREET
SOUTHOLD,N.Y. llq'71
TEL(631)165-5020
EDWARD N. RICOARDS
NIOIF VACANT YACHT
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CMF ALONG
84.319
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METER tof W Rent Submit
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