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HomeMy WebLinkAboutTR-9666A Glenn Goldsmith, President QF SO(/Tyo Town Hall Annex A. Nicholas Krupski,Vice President ,`O �� 54375 Route 25 John M. Bredemeyer III l [ P.O. Box 1179 Southold,New York 11971 Michael J.Domino N G • Q Telephone(631) 765-1892 Greg Williams Fax(631) 765-6641 OUNT`I,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 1810C Date: Ami130, 2021 THIS CERTIFIES that the upgrade of existing septic system to an Innovative and Alternative Onsite Wastewater Treatment System (UA OWTS)• for the existing 4'x5'6" outdoor shower with drain joined to a 4"wide drain pipe which empties into existing_ ell; At 150 Oak Avenue, Southold Suffolk County Tax Map #1000-77-2-5 Conforms to the application for a Trustees Permit heretofore filed in this office Dated July 30, 2020 pursuant to which Trustees Administrative Permit#9666A Dated August 19, 2020,was issued and conforms to all the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for the upgrade of existing_septic system to an Innovative and Alternative Onsite Wastewater Treatment System(UA OWTS)• for the existing 4'x5'6" outdoor shower with drain joined to a 4"wide drain pipe which empties into existing drywell. The certificate is issued to James & Cathy Sleckman owners of the aforesaid property. 4"— Authorized Signature Glenn Goldsmith,President *0 SO(/ry Town Hall Annex 54375 Route 25 A.Nicholas Krupski,Vice President ,`O l0 P.O. Box 1179 John M. Bredemeyer III Southold,New York 11971 Michael J. Domino c� G Telephone(631) 765-1892 Greg Williams '� �� Fax(631) 765-6641 &UNT`I,�� BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD DATE OF INSPECTION: INSP CTED BY: • �� d, Ch. 275 Ch. 111 INSPECTION SCHEDULE Pre-construction, haybale line/silt boom/silt curtain 1St day of construction Y2 constructed Project complete, compliance inspection Co ENT �� : ate✓ CERTIFICATE OF COMPLIANCE: Glenn Goldsmith,President So�/�y Town Hall Annex 0 Michael J.Domino,Vice-President �� l0 54375 Route 25 179 John M.Bredemeyer III P.O.Box 1 ' � � Southold,New York 11971 A.Nicholas Krupski G Q Telephone(631) 765-1892 Greg Williams 0 �� Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 9666A Date of Receipt of Application: July 30, 2020 Applicant: James & Cathy Sleckman SCTM#: 1000-77-2-5 ''•-Proje'ct Locatiow,150 Oak Avenue, Southold Date of Resolution/issuance: August 19, 2020 ..Date of Expiration: August 19, 2022 Reviewed-by,: Michael J. Domino, Trustee T Project Description: Upgrade existing septic system to an Innovative and Alternative Onsite Wastewater Treatment System (I/A OWTS); for the existing 4'x5'6" outdoor shower with drain joined to a 4"wide drain pipe which empties into existing drywell. Findings: The project meets all:the-requirements for issuance of an Administrative Permit set forth in'Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the operations as indicated on the project plan prepared by James Sleckman received on August 11, 2020 and stamped approved on August 19, 2020; and the site plan prepared by Glynis M. Berry, RA dated July 22, 2020 and stamped approved on August 19, 2020. Special Conditions: None. Inspections: Final Inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Glenn Goldsmith, President Board of Trustees - I' ! wiI - _I I I I I__I --'- ••I -- i-I I - -' - - I ! � ! -i I y ! � h I I I 1 I i ' I ' • f / 1 i, I !-- _ �— .- 4n , ® �°��,����f�pV V L.V-� `ORD OF it Rul STEES �--i— TOWN_OF-SOUTH'LD --, --- -DATE ra I -4_ 1 I I I I I I I I -;- -I - - -I--I- -i--I --,1 —I— -- _ -� - -I---i----I--I----i- I i---i -�--I--� , odc FF T_7 01,11i AU-G_1 1 2020- - VJ C �✓I �- fjnuthpJ imam �i �I— Voard d I _IT77- l I I II I i I Ii I i _ 1- F-(�FF :=I Iii__- = �I_i �I I ISI �lal�l9l� I i ®` ! I I -- �I __1=f=1_1_ �l�!�I� _1- Iii_ �— } ,_; I � Imo- ,, �n-, ,�I=_,�_—,�,_— .I a_ _ , �I _ , _ `_I _� IF� - ► I�- I�! f�l ISI I� ZIR — I�� - _I �I�I r® -- 7 1 17-1-717 n 1 �1� I (�n inn_�n - F-1 I I � I � n-�_ AUG 1 1 2020 - �� n Bc.dot - 1I I I I ! nn n! -I I__I-I-I nnn I l l n n n-L L _i �I®nnnnP® P-n nnl_ nnm� �nl nl - nn n@nn f In �nnn� Pn ! 1 I f isi I-1 n nf �n nnnl� Ii I-I_ -Un6_II�n �nf 1 f P i ins -+_,, �--' �r r I n i _ J - n p.�-� I-nl n n I- I n I nn n � nn n nm-nnn, i nn nen-_i�,a ��; _�-=�� _� I I-��► �_I_� -n-nr -�- n ►- I �nilnn II�I � III � +���n ! - �-In!Trnf nyn �fn nnln-nil nnn nnn x r 1 ( -I -7- -- LOW WATER LINE (5/28/20 9:30 AM BY Glynis Berry ______ "--- -- SANITARY SYSTEM DESIGN: GENERAL CONDITIONS: studio a/b architects EXCAVATION: 1. INSTALLATION SHALL COMPLY WITH SUFFOLK COUNTY DEPARTMENT OF HEALTH SEPTIC AND TREATMENT TANKS:250 SF, 27.8 CY SAND BAG, I #OF BEDROOM: 3(2 bedrooms+ den) SERVICES' ' 'REGULATIONS, STANDARDS AND REQUIREMENTS AND SHALL BE STRICTLY IN 651 West Main Street, LEACHING FIELD: 111 SF/4 CY 10, TYP. 500 GAL.TANK PRIMARY/TREATMENT SYSTEM: I/A OWTS ROTH RMT500 SEPTI-TECH STAAR 0.5 (CATEGORY 1) ACCORDANCE TO THE MANUFACTURER'S INSTRUCTIONS. Riverhead, NY 11901 Z OR EQ. I/A OWTS CAPACITY REQUIRED: 400 GPD Table 3 631 5912402 I/A OWTS CAPACITY DESIGNED: 500 GPD 2.THE INSTALLER MUST HOLD A CURRENT LIQUID WASTE LICENSE PURSUANT TO CHAPTER 631 3231426 563 ARTICLE VII (SEPTIC INDUSTRY BUSINESSES)AND ENDORSEMENT J(INNOVATIVE AND glynis@studioabarchitects.com ALTERNATIVE TREATMENT SYSTEM INSTALLER THROUGH THE SUFFOLK COUNTY N y --_- --- --__HIGH wAtER LANE (From survey dated aisa000Z_____ _ LEACHING SYSTEM: PRESSURIZED SHALLOW DRAINFIELDS, USING 39"WIDE DEPARTMENT OF LABOR, LICENSING AND CONSUMER AFFAIRS, PURSUANT TO SUFFOLK mailing address: GEOMAT BY GEOMATRIX SYSTEMS _- -------- 2 (1) I COUNTY CODE§563-79(11) (J).THE DEPARTMENT OF LABOR, LICENSING,AND CONSUMER PO Box 444 -- - APPROX.EDGE OF WETLANDS (from survey dated 4/5/200u REPLACE SOILS WITH CLEAN SAND AND GRAVEL ABOVE EXISTING SP LAYER,ALSO AFFAIRS MAINTAINS A LIST OF LIQUID WASTE LICENSE HOLDERS. Orient NY 11957 ------_------ ------------------------ ___ PUMPED FILL TO REQUIRED ELEVATION. GEOMAT TO BE INSTALLED DIRECTLY ON FILLED SP OR -- -" 3 (2) FROM SW SOILS. EXCAVATED 3.ALL INSTALLED I/A OWTS ARE REQUIRED TO HAVE AN INITIAL 3-YEAR WARRANTY. --- ° ° WELL PERCOLATION TEST NOT REQUIRED FOR SW OR SP SOILS. AIMS OF BLO wAL� gEM --_ �� l3> S86°0830rrE 57.63 FOR CATEGORY 1 I/A OWTS ON SAND AND LOAMY SAND'A PERCOLATION RATE TO BE 4.ALL INSTALLED I/A OWTS ARE REQUIRED TO HAVE ACTIVE O&M(OPERATION AND _�Fj. ------ MAINTENANCE)AGREEMENTS BETWEEN THE PROPERTY OWNER AND SERVICE PROVIDER. _- 1 5 MIN/IN,WITH AN ALLOWABLE APPLICATION RATE OF 3 GAUSF/DAY THE PRESSURIZED SHALLOW DRAINFIELD SHALL BE COVERED BY THE SAME 0&M AS PER TABLE 13 AGREEMENT. coNc� E °3Q'S� 6 X55 SCG�S - ' TEMPORARY ILT FEN E - - - - ` REQUIRED LENGTH FOR EFFECTIVE WIDTH 39 INCH WIDE GEOMAT: 5. SERVICE PROVIDERS MUST REPORT ALL O&M ACTIVITIES TO SCDHS(SUFFOLK COUNTY (p� 110(GAUDAY)x 3 BEDROOMS =330 GAUDAY(AS PER 5-110 A2 DUE TO SITE N � /'-X X X SANDBAG, FILTER DEPARTMENT OF HEALTH SERVICES). /" LIMITATIONS) DIVIDED BY AN APPLICATION RATE OF 3 GAUSF/DAY= dN �0 x LOCATION OF D WATERING AS PE YSDEC STANDARDS TYP• REQUIRED AREA OF 110 SF. �( F� I 6. COVENANTS MAY BE REQUIRED ON PROPERTIES WHERE I/A OWTS ARE INSTALLED O�MER GEO� (1)34' LONG;39"WIDE PRES�URIZ GEOMAT 110 S XPA SI N EQ2 R =33.8 FT REQUIRING;SYSTEM REPLACEMENT IN EVENT OF FAILURE; O&M REQUIREMENT;ACCESS TO I 50%EXPANSION REQUIRED= 17 LF DHS INSPECTION/SAMPLING ON QUARTERLY BASIS IF NEEDED; OTHER REQUIREMENTS THAT PSE PNN�P� \ MAINTAIN 10'CLEARANCE TO TRE OOTS SCDHS DEEMS NECESSARY. Owner: EACH OF 34 ZONS O21 X DESIGNED: ( )EXPANSIROW ROW OF 34' ONYX \ + 3/16 INCH HOLES WITH ORIFICE SHIELDS SPACED 2 FT APART 7. PERFORMANCE STANDARDS FOR I/A OWTS TECHNOLOGIES: Cathy and James Sleckm an ->-� DEWATERING TANK DETAIL NINETEEN M19 MG/EORESS.TREATED EFFLUENT CONCENTRATIONS FOR TOTAL NITROGEN OF Mw - EL. 5.5 J I I x 3 18 HOLES PER LATERAL; 18 TOTAL ( ) 0 Q - 11 --------- FUTURE 1/4" - 1 -0 SEPTI-TECH STAAR 0.5 W/ 1000 GAL ST 5° - --------��i EXPANSION DOSE VOLUME: REQUIRED MAX: 0.25 GAL/DOSE X 110.5 SF(1x 3.25 x 34) \ � -- -34.0 -- � SEPTIC/TREATMENT CONSTRUCTION CRITERIA: EXISTING CESSPOOL TO BE PUMPED AND REMOVED - 27.6 GAL(SCDHS RESIDENTIAL STANDARD 5-110 F 6 b) 1. SEPTIC/TREATMENT 1 1/2"PUMP BACK L.6' `1 N I ALL NON-CONCRETE TANK WALLS, FLOORS, ROOF AND ACCESS COVERS SHALL RESIST A -_ .--- MASONRY (6), DOSE VOLUME 2"AIR INTAKE W/ __� z z `� PATIO I I i Total lateral volume= 2.6 GALS(SOFTWARE) AN APPLIED FORCE OF 300 POUNDS PER SQUARE FOOT(PSF). CARBON FILTER _ e3M� 'a 'a o CE Total volume 4.2 GALS II. NON-CONCRETE PREFABRICATED SEPTIC TANK&I/A OWTS SHALL CONFORM TO THE ZONE 3V INTERNATIONAL ASSOCIATION OF PLUMBING AND MECHANICAL OFFICIALS AMERICAN GROUND ELEVATION 15.7' RECOMMENDED Minimum dose= 5 to 10 x lateral pipe volume NYS plus manifold/TRANSIT NATIONAL STANDARD FOR PREFABRICATED SEPTIC TANKS"ANSI Z1000-2007 AND ANY property Tax Map#: CONTROL PANEL EXISTING 8 7 I DRYSHEw FOR back flow p p ( ) p 111. EACDATES THERETO.H SEPTIC TANK&I/A OWTS SHALL BE IDENTIFIED BY THE MANUFACTURER AND 1000-77-2-5 15 AMP AND 20 AMP CONNECTIONS 2-STORY, FRAME ( � I Lu 0 Q 5 x 2.6 = 13 GAUDOSE, OR DISPLAY THE FOLLOWING INFORMATION PERMANENTLY MARKED AT THE INLET END OF site street address: TO DEDICATED BREAKERS ON w; DWELLING GE ERA OR �U- 1' BROWN LOAMY SAND 10 x 2.6=26GAUDOSE THE TANK: 150 Oak Avenue HOUSE MAIN PANEL IN UNFINISHED FF: EL 10'(9') I 0 Q O U - - - - 1. MANUFACTURER NAME OR LOGO Southold, NY 11971 BASEMENT z w m DESIGNED: 23.5 GAUDOSE 2. CAPACITY AND NUMBER OF OPENINGS d Lu a 3. MAXIMUM DESIGN LOAD -vZ 2 > SITE PLAN BASED ON SURVEY ( N ;' 9 --r oREQUENCY:330 GPD/23.5 GAUDOSE = 14 DOSES/DAY OR EVERY 1 HR AND 43 MIN. U' O o I ($� Q COw PALE BROW MEDIUM COARSE SAND 4. THE DATE MANUFACTURED. OF LOTS 176, 178, &P/0 175 ti` DEMAND DIFFERENCE IN FLOAT: 1 INCH N O O N I o v� IV ALL CAST-IRON AND HDPE COVERS SHALL BE SET AT FINISHED GRADE BE LOCKING AS SHOWN ON MAP OF GOOSE BAY ESTATES .o�G2z2 0' cd I r TANK CAPACITY: 1287 GAU4.56' HT=282 GAUFT OF HT/12"=23.5 GAL PER INCH. TAMPER-RESISTANT,WATERTIGHT,INSECT-PROOF, FLAT,SKID-PROOF,AND BE FILED NOVEMBER 13, 1934 C � 0 > COVE D RUN TIME for 23.5 GAUDOSE:23.5 GAU 15.9 GAUMIN= 1.48 MIN OR 1 MIN 29 SEC. W < p I 13.7 APPROVED FOR SEWAGE USE. COVERS AND RISERS SHALL BE CAPABLE OF FILE NO. 1176 i O I SITUATE, SOUTHOLD,TOWN: SOUTHOLD, '7 - WITHSTANDING A TRUCK WHEEL LOAD(36 S IN.OF 2500 LB FOR 60 MIN WITH A MAX. �ta'Z W �� EL. 1.0 14.7' MEDIUM TO COARSE SAND DISCHARGE RATE: VERTICAL DEFLECTION OF 1.5 IN. SUFFOLK COUNTY, NY 7 CG PEB�LE ' p - - - - - - DIFFERENCE BET. 1ST&LAST ORIFICE= 4.8% < 10% OK (SOFTWARE) V. HDPE COVERS AND RISERS ARE REQUIRED TO BE USED ON NON-CONCRETE SEPTIC No. Description Date SURVEYED APRIL 5,2000 r DRIV AY S) VELOCITY: 2.5 FPS >=2 AND <=8 OK SOFTWARE AMENDED 01-30-01 01-17-02 � < � 'I � �- •. (SOFTWARE) TANKS.THEY SHALL BE SET AT FINISHED GRADE, BE LOCKING,WATERTIGHT, INSECT- AMENDED u7 PROOF,AND BE APPROVED FOR SEWERAGE USE. SCTM#1000-77-2-5 O 10'SCGI� WATER IN MEDIUM TO COARSE SAND PUMP: VI. IF A RISER COVER WEIGHS LESS THAN 60LBS A SECONDARY SAFETY LID OR DEVICE CERTIFIED TO JAMES SLECK:MAN �L__-- =-= - o .�� 17 CAPABLE OF DELIVERING 15.9 GPM AT 10.2 TOTAL DYNAMIC HEAD BY JOHN C. EHLERS LAND SURVEYOR I I Cl) SHALL BE PROVIDED. �' (GOULDS PUMP LSP03 1/3 HP 115/230v OR EQUAL) NYS LIC. NO. 50202 RR TIE RETAINING WALL 2. SEPTIC TANK&I/A OWTS SHALL BE WATERTIGHT AND CONSTRUCTED OF SOUND AND 6 EAST MAIN STREET, RIVERHEAD, NY 11901 HT VARIES-5-22" I DURABLE MATERIALS THAT ARE NOT SUBJECT TO EXCESSIVE CORROSION OR DECAY. T 631 369 8288 TEST HOLE#1 DISTRIBUTION CALCULATIONS A. ALL SEPTIC TANK&I/A OWTS MUST BE CERTIFIED AS WATERTIGHT BY MANUFACTURER AREA: 10,166 SF OR 0.23 ACRES I I BY k.wOYCHUK L.S. ASSEMBLY EXIT: 2.0 IN USING EITHER VACUUM TESTING OR WATER TESTING METHODS. TOPO REFERENCES NGVD '29 DATUM WM 130.0' �. DATE: 05/01/2014 TRANSIT DIA.: 1.5 IN 1. VACUUM TESTING MUST PULL 4"OF MERCURY(HG), FOR 2 MINUTES WITH A LOSS OF FEMA MAP#3610300166 G, EFFECTIVE DATE MAY 4, 1998 GUY WIRE �,\N N86°08'30�� -' - / MANIFOLD DIA.: 0 IN 10%OR LESS. .GHQ VV 26.15' HIGHEST EXPECTED GROUNDWATER LATERAL DIA.: 1.25 IN II. WATER TESTING:SEAL TANK; FILL TANK WITH WATER TO OUTLET INVERT ELEVATION UPDATED BY SUBSEQUENT REFERENCES: 8°�S� ELEVATION 1.0' #ORIFICE/LATERAL: 18 FOR 24 HOURS. REFILL THE TANK TO OUTLET INVERT AFTER 24-HOUR PERIOD AND NAVD'88 FROM SC GIS(5', 10', REDUCE'29 CONTOURS BY ONE FOOT(X) s6 ��g� #LATERALS PER ZONE: 1 LET STAND FOR 10 HOURS.APPROVED IF WATER LEVEL IS HELD FOR 10 HOURS. FEMA REFERENCES FROM MAP 36103CO166H REVISED 9/25/2009 OAK AVE N U #OF ZONES: 1 B. ALL PENETRATIONS PIPES SHALL BE CONNECTED TO TANKS WITH A WATERTIGHT ALL DEVELOPED PROPERTIES WITHIN 150'USE PUBLIC WATER SIZE OF ORIFICE: 3/16 IN SEALED FLEXIBLE JOINT AND THE PIPE GASKET SHALL BE FASTENED TO THE PIPE WITH SHED/DRIVEWAY/BERM ARE APPROXIMATIONS 4 TEST HOLE DATA LATERAL LENGTH: 34 FT A STAINLESS STEEL RETRACTABLE CLAMP. NTS HEAD AT LATERAL END: 3 FT (2.3 FT REQUIRED) ELEVATION LIFT: 5.0 FT 3. THERE SHALL BE A MINIMUM ONE-FOOT AIR SPACE MEASURED FROM THE OUTLET INVERT I/A OWTS LAYOUT TO THE BOTTOM OF THE TANK COVER. 1 11 201-011 PROJECT SITE �- 5 ; Other Notes: 4.ACCESS TO EACH TANK OR COMPARTMENT OF THE TANK SHALL BE PROVIDED BY AN I Pressurized SOIL TREATMENT UNIT ACCESS COVER WITH AN INSIDE DIMENSION OF AT LEAST 20 INCHES IN DIAMETER,AND IN ;�, -- 1. ALL PIPING FROM THE PUMP FLANGE TO THE DISTAL END OF THE LATERAL SHALL COMPLIANCE WITH 5-111 AND 5-114B-7 OF CDHS RESIDENTIAL STANDARD 2016.ALL ABBREVIATIONS. BE PRESSURE RATED SCHEDULE(SCH)40 POLYVINYL CHLORIDE(PVC)OR OPENINGS SHALL MEET THE FOLLOWING REQUIREMENTS: EQUIVALENT AND MEET ASTM STANDARD D-1785 WITH PRESSURE FITTINGS. A. OPENINGS SHALL BE PROVIDED OVERALL INLET AND OUTLET PIPES APPROVED & AND - _ 1y -��- 2. TRANSPORT/MAIN MANIFOLD PIPING OVER UNDISTURBED TRENCH BOTTOM WITH B. WHERE EXTENSIONS ARE REQUIRED,THEY SHALL BE WATERTIGHT LP LEACHING POOL _�,,.;,r Ate: ,.` @ AT MAX. MAXIMUM �/' �, ,' , '' , BACK FLOW TO TANK(1/1671-F). C. SEPTIC TANK&I/A OWTS MANUFACTURERS SHALL PROVIDE A LABEL OF NONCORROSIVE BOARD B.C. BOTTOM OF CURB MIN. MINIMUM ;.rte--! 1 a_;;,�L„r t; F�,-a,- 3. A CHECK VALVE SHALL BE INSTALLED JUST ABOVE THE PUMPS BEFORE THE MATERIAL IN PROMINENT LOCATION AT EACH ACCESS OPENING TO WARN ENTRANCE BW BOTTOM OF WALL N.T.S. NOT TO SCALE '" -r M TREATMENT FIELD. PROVIDE PIPE DRAINAGE EITHER BY USE OF A SOLENOID VALVE INTO TANK MAY BE FATAL" TOWN OF SOUTHOLD CONC. CONCRETE PROP. PROPOSED ,-'f ' r� (OPEN WHEN THE PUMP IS OFF) OR BY INSTALLING A WEEP HOLE 1/4"TO BE PLACED t AFTER THE CHECK VALVE U C.O. CLEAN OUT r y ` A CH L E IN THE PUMP TANK,WITH SPRAY DIRECTED AWAY FROM SEPTIC TANK&I/A OWTS INSTALLATION STANDARDS REQ. REQUIRED 4r.,,-�����.� .• � ` , � � •,.,,,,n,z,rr)ATP DB DISTRIBUTION BOX SCDHS SUFFOLK COUNTY DEPARTMENT OF I `' _�.�^'`` _ SENSORS. 1.ALL APPLICABLE RECOMMENDATIONS PROVIDED BY THE MANUFACTURER SHALL BE E or ELEC. ELECTRIC y 4. PUMP TANK TO HAVE BOTH HIGH-WATER ALARM AND PUMP CONTROLS AND LOW- IMPLEMENTED. ewkv HEALTH SERVICES TEST HOLE 1 -�, WATER AND REDUNDANT OFF CONTROL.WITH A DUAL PUMP SYSTEM,THE HIGH LEVEL ELEV.or EL. ELEVATION ST SEPTIC TANK t� 3,- , 11" " P' t fI G GAS T.O. TOP OF ,' J `1 ,-' ' r- _ I j '' � SHALL ANNUNCIATE THE ALARM AND START THE SECOND PUMP. 2.THE SEPTIC TANK&I/A OWTS SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS(WITH A (� -• J HDPE HIGH-DENSITY POLYETHYLENE T.C. TOP OF CURB �;s '' �:- ,'" 1 5. THE PRESSURE HEAD NEEDS TO BE MEASURED IMMEDIATELY AFTER THE MAXIMUM TOLERANCE IN ANY DIRECTION OF +/-ONE QUARTER INCH)ON A MINIMUM 3 INCH z '�7 fYn',Fln�..r I/A OWTS INNOVATIVE AND ALTERNATIVE ONSITE TW TOP OF WALL j INSTALLATION OF THE PRESSURIZED DRAIN FIELD AND RECORDED AND LEFT ON SITE THICK(OR MANUFACTURERS RECOMMENDATION) BED OF PROPERLY LEVELED AND WASTEWATER TREATMENT SYSTEM W WATER +�''�- .,,.,,.,.., ,-!'ti 1 (CONTROL PANEL), COMPACTED SAND(FREE FROM ROCKS) OR PEA GRAVEL. BACKFILL SHALL BE PLACED INVERT ---- 6. TREATMENT FIELD TO BE 10' FROM TREE AND BUSH ROOTS. AROUND THE SEPTIC TANK&I/A OWTS IN SUCH A MANNER INV. W/ WITH -, RAS TO AVOID DAMAGE AND LG LEACHING GALLEY , 7. FINISHED GRADE OF PRESSURIZED TREATMENT FIELD SHOULD BE 6-18 INCHES COMPACTED IN 6-INCH LIFTS. BACKFILL SHALL BE FREE OF LARGE STONES, STUMPS,AND bk J';r"`"'' , ABOVE THE ELEVATION OF ITS INFILTRATIVE SURFACE AND SHOULD BE MOUNDED TO CONSTRUCTION DEBRIS. COUNTER SETTLING.ADJACENT LAND SURFACE SHALL MAINTAIN THE SAME TEST HOLE LOCATION MAP ELEVATION FOR A DISTANCE OF 3 FEET FROM THE TREATMENT FIELD EDGE,WITH A 3.THE TOP OF THE SEPTIC TANK&I/A OWTS SHALL NOT BE LOCATED GREATER THAN TWO CONTROL PANEL ABOVE EL.9' TRANSITIONAL SLOPE NO STEEPER THAN 3:1. AND HALF FEET OR LESS THAN ONE FOOT BELOW FINAL GRADE. FOR SEPTIC TANK& I/A CONNECT TO DEDICATED 115 + 5 NTS 8. ORIFICES IN THE DISTRIBUTION LATERALS SHALL BE DRILLED IN THE BOTTOM OF OWTS WITH DOMES,THE TOP OF THE DOME SHALL NOT BE LOCATED GREATER THAN TWO �- VOLT AC,SINGL-PHASE, (1) 15 THE PIPE AND FITTED WITH ORIFICE SHIELDS. AND HALF FEET OR LESS THAN ONE FOOT BELOW FINAL GRADE. AMP AND(1)20 AMP CIRCUIT 9. THE END OF EACH LATERAL WILL HAVE A CLEAN OUT WITH A SWEEP ELBOW(NOT ; BREAKER ON HOUSE PANEL, 90°)WITH A MALE ADAPTOR AND SCREW CAP. 4. HIGH GROUNDWATER THE PREFERRED METHOD OF DEWATERING WILL BE BY PUMPING I JUL 3 Q 2020 CONNECT TO GENERATOR 10. LATERALS CAN BE NO LONGER THAN 50 FEET. AT RATES LESS THAN 45 GALLONS PER MINUTE FROM AN ADJACENT,DEEPER HOLE, TRANSFER SWITCH 12. A SOD OR SEEDED GRASS COVER SHALL BE INSTALLED ABOVE THE TREATMENT. PROPOSED METHODS FOR DEWATERING WILL NEEDS APPROVALS AND EVIDENCE OF 13. ALL PRESSURIZED FIELDS SHALL REQUIRE LATERAL FLUSHING/BOTTLE BRUSH COMPLIANCE WITH NYSDEC REQUIREMENTS. 4"WASTE 1.25"SCH 40 PRESSURIZED TREATMENT AT LEAST ONCE A YEAR. r PIPE MIN. 1/8"PER 12" DEWATERING NOTES: '- CAST IRON WITHIN FROM SLOPE DOWN TO LATERAL FOR ACTIVITIES REGULATED BY 6 NYCRR PARTS 661,663,666 AND TEMPORARY FOUNDATION WALL,, CONTINUED TO CLASS 2400 OR SDR 35,(OR SDR40) GEOMAT LEACHING DEWATERING SUBJECT TO PART 602,PERMIT SAP-1-17-001 SHALL BE OBTAINED FROM 1/4"PER 12"SLOPE MIN. SYSTEM, 39"WIDE NYSDEC BY THE CONTRACTOR. PROJECT I ALL ACTIONS SHALL BE CO 1.25 NOT LIMITED TO: SCH 40 PRESSURIZED COMPLAINT WITH THE ASSOCIATED REGULATIONS, INCLUDING BUT Innovative a n d LATERAL A. INSTALLATION OF EROSION CONTROLS HOUSE 2" DIA.AIR INTAKE W/ORIFICES&ORIFICE SHIELDS IN B. NO DISTURBANCE OF VEGETATED WETLANDS Alternative Onsite W/CARBON FILTER GEOMAT SYSTEM ALLOW SPACE FOR FUTURE EXPANSION C. NO CONSTRUCTION DEBRIS IN WETLANDS OR ADJACENT AREAS NYLON STRAP MIN. D. NO WET OR FRESH CONCRETE OR LEACHATE SHALL BE ALLOWED TO ESCAPE INTO THE Wastewater Treatment 18"MIN.ABOVE GRADE, 10,000 PSI RATING (1)ROW OF 39"WIDE WETLANDS OR WATERS OF NYS.ONLY WATERTIGHT FORMS TO BE USED.WET CONCRETE 36"MIN. FROM ANY (TYP) GEOMAT,34' LONG SHALL NOT BE POURED TO DISPLACE WATER WITHIN FORMS. /�/'� EL. 9'+/- WINDOW OR DOOR TOP OF MOUND NECESSARY AS E. NO TOXIC MATERIALS System m (I/A O V V I S4"WASTE .0 MIN. NECESSARY TO y ) 1"+/- HIGHER THAN z� MAINTAIN EL, 5.5'+/-or 3s2a3s . QIET D MATERIALS SHALL BE STORED IN WORK AREA OR 100FROM WETJ CLASS 2400 OR SDR 35 FINISHED GROUND � LANDS OR WATER BODIES. BASE FLOOD ��I I EL. 6'+/- 1/8"PER 12"SLOPE MIN. io HIGHER 17��" 150 Oa k Ave. EL. 7' ' ( FINISHED GRADE '� 3 ?� G. DISTURBED AREA TO BE SEEDED AND MULCHED WITHIN TWO DAYS OF FINAL GRADING. C,rR 0 - - - ;�=--= -7 EL.5.5'+ 3.0' H. NYSDEC MUST BE IMMEDIATELY NOTIFIED IF A PETROLEUM ODOR OR SHEEN IS5 SSM -`C�• 1 MAX. MIN DETECTED DURING EXCAVATION. 1 MAX Y CELLAR 1.5 SCH 40 >- - - - I. THE DEWATERING OPERATION SHALL BE CARRIED OUT BYA WELL DRILLER DULY W - ° REGISTERED IN ACCORDANCE WITH SECTION 15 1525 OF THE ENVIRONMENTAL / PRESSURIZED .1 r -• .`..,.,' ;`.'; , `:?.,.=•,,; ,_ a CONSERVATION LAW. 1 . # HIGHEST EXPECTED_ I TRANSIT PIPE E :°:l�; CLEANOUT&DISTAL HEAD PORT l '' ''' " "' J. DISCHARGE SHALL NOT VISIBLY INCREASE THE TURBIDITY OF THE RECEIVING WATER P GROUNDWATER L. 1.0' l M fV O OR S I � BODY RESULT IN SCOUR O 6 6 USE F GEOTEXTILE FILE G 9 ,� Y T R BA S A DIFFUSER,ER OR a IGH F S OTHER Q H EST EXPECTED GROUNDWATER 1' EL � 1 8 M f f r` � 18 18 z o _ _ _ _ _ _ _ _ _ _ _ _ 2- - APPROVED METHODS. `� _ - _ _ ____ _ _ _ _ _ - _ - m - - - - - K. OBTAIN AUTHORIZATION OF OWNER OF THE MUNICIPAL STORMWATER DRAINAGE EL.0'+/^-� - - _ - _ _ - _ _ - _ V �- HIGHEST EXPECTED - m O REPLACE EXISTING SOIL W/SAND AND SYSTEM PRIOR TO DIRECTING ANY DEWATERING DISCHARGE TO THE SYSTEM. GROUNDWATER EL.1.0 a REPLACE EXISTING SOIL W/SAND AND a GRAVEL ABOVE SP OR SW SOIL LAYER GRAVEL ABOVE SP OR SW SOIL LAYER I/A OWTS Layout (AS REQUIRED PER SOIL CONDITION) (AS REQUIRED PER SOIL CONDITION) THE METHOD OF DEWATERING AND THE APPROVALS SHALL BE GIVEN TO THE DESIGN a, a, PROFESSIONAL BEFORE CONSTRUCTION BEGINS. (2)-CONCRETE DEADMAN M �� � � 18 W X 8 H X 8 L o TRANSITION FROM 2 EXIT LOGITUDINAL SECTION CROSS SECTION' _ WITH(2)-#4 REBAR X TO 1.5"PRESSURIZED w w CONTINUOUS EA TANK W W TRANSIT LINE, SCH.40 F- GENERAL NOTE Project number 2017 0 o Q ¢ 1. BEFORE ANY EXECUTION,VERIFY ON SITE, IF APPLICABLE: LO z o N N -GRADE ELEVATIONS AT THE HOUSE WHERE THE WASTE MAIN PENETRATES. Date 7/22/20/2020 LU v M ? O 0 -GRADE ELEVATIONS WHERE EACH UNIT WILL BE INSTALLED. Drawn by GB 2 _j �- J -HOUSE WASTE LINE MAIN LOCATIONS AND INVERT ELEVATIONS. o- W 0 W W W w 0 O -ANY UNDERGROUND UTILITIES, INFRASTRUCTURES,AND/OR STRUCTURES Checked by HA Lo Z m z z z a p O -ANY TREES WHICH MAY AFFECT TO THE I/A OWTS INSTALLATION 2. GARBAGE DISPOSAL UNITS SHALL NOT BE USED WITH A I/A OWTS. O 0 m m 3. TANKS SHOULD NOT BE PUMPED WHEN GROUNDWATER IS HIGH OR FLOOD CONDITIONS C ■ O 1 M SECTION DIAGRAM EXIST. N 3/16" = 1'-0" Scale As indicated NOTE CONFIGURATION CHANGE. SIDE ENTRY TO TREATMENT TANK STAAR NYLON STRAP MIN.10,000 PSI RATING studio a/b architects BUOYANCY CALCULATION (TYP) I 651 West Main Street, CALCULATION ASSUMPTIONS: Riverhead, NY 11901631 5912402 1-1/2"PUMP BACK ST Concrete Density= 150 Ib./ft3 I 631 3231426 ■e - - - Saturated Soil Density= 110 Ib./ft3 glynis@studioabarchitects.com Water Density= 62,4 Ib./ft3 Groundwater Level: EL 1 I mailing address: Calculate with the tank empty PO Box 444 Soil weight above tank shall not be included in the calculations s8"CL TO CL Orient NY 11957 Apply 1.5 safety factor 18" I 18" STAAR 0.5 Construction: _- __ �• c(0 ML • • INFILTRATOR IM 1060 TANK Pre-Tank weight: tank 320 LBS ' O ° ' O ' ' O ' ' O ' (2) DEADMEN 8' L X 8"H X 18"W= 8.04 CF X 150 LB/CF =2412 LBS IN GRAVITY C LET TOTAL WEIGHT UNINSTALLED 2732 lbs. (2)-CONCRETE DEADMAN 18"W'X 8"H"X 8'L FROM HOME )� �• �• a� «� �• ` WITH (2)-#4 REBAR CONTINUOUS EA TANK GRAVITY Soil above Deadmen O . ° ° ° , 0 . , O . ° ° ° • O • 2 X 12SF X5.62'X 110/CF= 14,836 LBS ANTI-BUOYANCY DETAIL- INFILTRATOR 1 • • • • • • , TOTAL WEIGHT INSTALLED 17,568 lbs. TANK 4x4xl.5 TEE a EM a 0 0 VIM U NTS PROVIDED BY , SEPTITECH UPLIFT FORCE Owner; Volume of Water Displaced TANK: 1287/7.48= 172 CF X62.4'= 10,736 LBS Cathy and James Sleckman 127" ENTER THIS SIDE DEADMEN:2 X 8.04 CF X 62.4 LB/CF=1,003 FOR FUJI CEN5: 1/4"SSTL CABLE Uplift Force by Water Displaced 11,739 lbs. SECURED BY SSTL CLEVIS(TYPE 4) AIR INTAKE SNORKEL 1"ELECT CONDUIT BUOYANCY CALCULATION CLEVIS ATTACHES TO NYLON (PROVIDED BY SEPTITECH) INTO RISER STRAP RING W/CARBON FILTER 2"AIR INTAKE INTO RISER Tank+ Deadmen 3/8"x 12 x 1 1/4"SSTL EYE HOOK Total Weight= 97,568 lbs. Uplift Force= 11739 lbs. (TYPE 4)OR , SEPTITECH CONTROL THREADED SSTL OR HOT DIP Negative Buoyancy 5,829 lbs. GALVANIZED ROD WITH DROP PANEL Weight-Uplift Ratio = 1,5 >= 1.5 OK FORGED HEAVY DUTY EYE NUTS property Tax Map#: 24.0"ACCESS PORT WITH LOCKING LID with Suffolk County requirements. 1000-77-2-5 RISER 6"MIN., 30"MAX. INSTALL AT 0.6'IN GROUNDWATER(NORMAL SITUATION)THE WEIGHT-UPLIFT 2" MI MIN.• I ;,° ` site street address: SECONDARY SAFETY DEVICE,TYP. RATIO IS 5.8' z ^N. 6" 4. z_ 150 Oak Avenue iO _ Southold, NY 11971 (2)-#4 REBAR III - - _ III W--L -- _ - -- - J-1` CONTINUOUS 111WN --I III 1 1 1 I ( I ELECT AL --- AIR INTA INLET � DEADMAN SECTION REDUCE 2"EXIT ASSEMBLY _ _ - - - - F TO 1.5"PRESSURIZED TRANSIT ANTI-BUOYANCY DETAIL- DEADMAN LINE AFTER EXIT SECTION No, Description Date CONTINUOUS 1 1/2" = 1'-0" ELASTOMERIC GASKET A a im, inc� evel Float N (VVhite) Control Power lwlc gh evel Float 11 C (Yellow) 1EAmo StAAR Disc arge Pump - P eed Control Panel (Clear) -Y-------COMP PRIMARY SEPTIC TANK ----- ---- °__------ - - _�--------- 115V C Retu Pump -=- ---------- --- -=---------- ---_ -- 20 m SEPTITECH STAAR .50 PROCESSOR (Black) SIZED IN ACCORDANCE WITH LOCAL CODES 6"MIN. PEA GRAVEL O SAND p (PROVIDED BY SEPTITECH AS OPTION) COMPACTED BED SINGLE LINE DIAGRAM Recir ulate Pump 127" 24"`1- STAAR 0.5_0.75_1.0 (Red) 115 VOLT NOTES: SEPTITECH STAAR .50 PROCESSOR RECIRC PUMP: TSURUMI OM3 W/(2)7/16"VENTURI, PHASE 1-115V/0.2 HP, 1)All Wiring to the tank should be minimum 3.2A/5.1A FULL 1 BREAKER 8A #14 AWG THHN or TFFN unless otherwise noted. IN INFILTRATOR IM-1060 SEPTIC/PUMP TANK P-BACK PUMP: GOULDS LSP-03, PHASE 1-115V/0.33 HP,2.9A/7.2A FULL/BREAKER 8A Control Ponel 5 VAC WORKING CAPACITY 1094 GAL r-�:,^•,-•� (-z`VOC 1-I--z'° �A� W/N°u`r DISCHARGE PUMP:GOULDS LSP-03, PHASE 1-115V/0.33 HP,2.9A/7.2A FULL/BREAKER 8A + + I„ P TOTAL CPACITY 1287 GAL 127"L X 62,2"W X 54.7"H WEIGHT 320 LBS �d 11� n"�°�-,' _ }- ° c� 115 VOLT VERSION ;_,r� ;. Y„ „�r SeptiTech STAAR 0.5 W/INFILTRATOR M •`-��" " ne'^ \ Pra my rank ={-1.}'1 .'-.ate" �;0 •T--L �,_{jr. L tIOnOI\TANK ••w Pr• enr '�--K1r5 VAC 6"OF TOP SOIL 1.25"SCH.40 PVC DISTRIBUTION PIPE (6"MIN.TO 18"MAX.) DISTRIBUTION PIPE jea, SPECIFIED ORIFICE HOLES SHALL BE UNIFORM OVER SYSTEM ORIFICE SHIELD "° ���• ,r • Q-BARRIER TERMINAL e rrrrr..ua ryTr n .III - �.�... WITH GEOGUARD ORIFICE SHIELD FABRIC 39"GEOMAT WIDTH 2'-0"MIN. TRANSITION FROMl ":;;.. G EOMAT "°"'° 1.5 PRESSURIZED ''�`^ GEOMAT CORE SIDE CLEARANCE TRANSIT PIPE TO GEOMAT LENGTH _ NUILJ; 1._ pP CLEANOUT&DISTAL HEAD PORT user AC lied Power Control P°Prer Pump Can tr°I P^-r 1.25"PRESSURIZED o All wring to cn°conk eh,�Ia ce mnmPm �-- 3- o�A�.9 Am Pa "` Po.er #14 AWG THHN w TFFN unless otherwise noted. FABRIC TOP OF FILL - W/THREADED CAP LATERAL PIPE SCH "AmP as.m; �(= o "'VAC 0' "AmP, / 1 2JO VAC III=Am W Ne Ptrel iH� FINISHED GRADE FUTURE 40' SLOPE Power Feed � A^^ • 1 3/0 75/1.0 -��t:::ii-1 Neater EL. 5.4 + EXPANSION 1/3 MAX.• INSTALL STAAR 05115 WILT .075.7.0 ❑ Ultre,�bt gteNM°°l°^ srw"R I'"t ❑ APT° gm - - -- - - /-/-J- �, aI/ --- ---I , I---I 7 SeptiTech STAAR Electrcal Diagrams d °.d ° .•�� " Md ° 4 36" MIN. 0 1/8"PER 12"SLOPE , a 18'-0"MAX• C. to C. d a:,.. . o q o 1.: JUL 3 0 PERMEABLE FILL A ° .b .,: DOWN TO LATERAL ` 2�2� 1-60 MINUTES PER INCH a ° d •A• PERCOLATION RATE, OR SAND ¢_ _ _ _ _ _ _ _ _ _ _ E AND LOAMY SAND. - - - - - - - M CO g ow PROJECT z GROUNDWATER BOTTOM 1 - PLACE ON UNDISTURBE=D EXISTr EL. 1.0' OF MAT > y` =u- SP OR SW SOILS, REPLACE Innovative and N EL.4.9' �` " EXISTING SOIL TO REACH LAYER OF SP OR SW SOILS IF NEEDED PRESSURIZED GEOMAT LEACHING SYSTEM PRESSURIZED GEOMAT LEACHING SYSTEM 4- Alternative Onsite (APPROX. 1 FT) CROSS SECTION LONGITUDINAL CROSS SECTION O Wastewater Treatment 2 GEOMAT LEACHING SYSTEM DETAILS 1 CONTROL PANEL System (I/A OWT�S) WITH MAIN SERVICE PERSPECTIVE VIEW PROVIDE 15 0 Oak Avee SMA - 1.25"SCH.40 PVC LATERAL CONNECTION TO �G (DISTRIBUTION PIPE) GENERATOR SWITCH i �S M• MALE THREADED SLATE OR OTHER MALE THREADED MALE THREADED 36" MINIMUM 2 x 2 w -- -- - SPECIFIED ORIFICE HOLES ADAPTER AND CAP SUITABLE COVER ADAPTER AND CAP ADAPTER AND CAP 514 X 6 CEDAR FENCE POST tr i -4 c� DECKING , _ _,- --1 - GEOGUARD ORIFICE SHIELD WOVEN WIRE FENCE J, ,t�1W P - - - 1 4- C 6 x 6 - 10/10 WWF 'S' �'i�18a6 Q 3/4 GEOMAT o ( ) T CLEANOUT&DISTAL y4 CORE FABRIC � w z_ HEAD PORT w Q FILTER CLOTH I/A OWTS Details - FABRIC MALE THREADED � �// �G�- DAPTER AND CAP j SEWER PIPE � z � N DOUBLE SIDED _ 45 DEG. ELBOWS WYE g S�OPF - III IIS - -- a LASCO D448-040 - -iii - -- - -- 30 DEG ELBOW 60 DEG WYE -T 4X4 ACQ POSTS EMBED FILTER CLOTH GDF OR EQ. Project number 2017 - 24"SUBMERGED TO SOIL, „ 11� MIN, 6 INTO GROUND SCH 40 90 DEG SWEEP ON Date 7/22/20/2020A ----- -- -, --- --- 6"OF PEA GRAVEL BED z 4 g Drawn by HA a SCH40 COUPLING ALTERNATE A:FOR BENDS ALTERNATE B1: FOR USE WITH ALTERNATE B2: FOR USE WITH �� - BLDG. EXTENSION/CONNECTION BLDG. EXTENSION/CONNECTION N UNDERGROUND LINES io Checked by GB W/DOUBLE SIDED SWEEP 24"MIN. BELOW GRADE v - GEOGUARD ORIFICE SHIELD CLEAN OUT DETAIL FOR AREAS NOT SUBJECT TO VEHICULAR TRAFFIC SECTION DETAIL V `- CONTROL PANEL INSTALLATION C42 0 3 GEOMAT LEACHING SYSTEM DETAILS 2 4 CLEANOUT DETAILS n DIAGRAM collection Copy 1 Silt Fence Details N 1 1/2" = 1'-0" N.T.S. N.T.S. Scale As indicated � F AUG 1 1 2020 -1 L�--�j 15-0 Oak Avenue, Southold, NY 11971 l,rr,n Southold, NY 11971 Town of Southold Board of Town Trustees P0Box 1179 Southold,NY 11571 Attention-D=iane Dear Diane, As per our phone conversation of last week, enclosed are my plans for the existing Qutdoor shower on my property. These plans contain a drain to the existing drywett on my survey. I°f you have any question, please feel free to contact me. My cell#is 516 4581729&my email address is Com. Regards, James Sleckman AUG 1 1 2020 s l r r u i i 10 3 1 I I � ? 1 AUG 1 1 2020 'L � AUG 1 1 2020 li I t + i x r i {• � 1 i 71 + r v E G ,a r 1 I � AUG 1 1 2020IN- -- Fa 4 :J 9 ,+ c"^; ' OFFICE LOCATION: � ' � � ��'�tivMAILING ADDRESS: Town Hall Annex p P.O. Box 1179 54375 State Route 25 Southold, NY 11971 (cor. Main Rd. &Youngs Ave.) m Telephone: 631 765-1938 Southold, NY 11971 , LOCAL WATERFRONT REVITALIZATION PROGRAM TOWN OF SOUTHOLD MEMORANDUM To:: Glenn Goldsmith, President Town of Southold Board of Trustees From: Mark Terry, AICP LWRP Coordinator Date: August 3, 2020 Re: LWRP Coastal Consistency Review of JAMES & CATHY SLECKMAN SCTM# 1000-77-2-5 JAMES & CATHY SLECKMAN request an Administrative Permit to upgrade their existing septic system to an Innovative and Alternative Onsite Wastewater Treatment System (I/A OWTS). Located: 150 Oak Avenue, Southold. SCTM#: 1000-77-2-5 The proposed action has been reviewed to Chapter 268, Waterfront Consistency Review of the Town of Southold Town Code and the Local Waterfront Revitalization Program (LWRP) Policy Standards. Based upon the information provided on the LWRP Consistency Assessment Form submitted to this department, as well as the records available to me, it is my recommendation that the proposed action is CONSISTENT with the LWRP policies and therefore CONSISTENT with the LWRP Pursuant to Chapter 268, the Board of Trustees shall consider this recommendation in preparing its written determination regarding the consistency of the proposed action. Cc: Damon Hagan, Assistant Town Attorney Glenn Goldsmi'- resident l f Town Hall Annex Michael J. Domino,' tPresident 54375 Route 25 John M. Bredemeyer IIIA "`ry, P.O. Box 1179 A. Nicholas Krupski Southold,NY 11971 Greg Williams , Telephone Fax(631 192 )765-664 BOARD OF TOWN TRUSTEES TOWN OF SOUT OLD Date/Time: Completed in field by: JAMES&CAT SLECKMAN request an Administrative Permit to up"1grade their existing septic system to an Innovative and Alternative Onsite Wastewater Treatment System (1/A OWTS). Located: 150 Oak Avenue, Southold. SCTM#: 1000-77-2-5 CH. 275-3-SETBACKS WETLAND BOUNDARY: Actual Footage or OK=4 Setback Waiver Required 1. Residence: 100 feet 2. Driveway: 50 feet 3. Sanitary Leaching Pool(cesspool): 100 feet 4. Septic Tank:75 feet 5. Swimming Pool and related structures: 50 feet 6. Landscaping or gardening:50 feet 7. Placement of C&D material: 100 feet TOP OF BLUFF: 1. Residence: 100 feet 2. Driveway: 100 feet 3. Sanitary leaching pool(cesspool) 100 feet: 4. Swirnt*ng pool and related structures:. 100 feet �— Public Noti of Hearing Card Posted: Y / N Ch,2.75 Ch. 111__ SEQRA Type: I 11 Unlisted Action Type of Application: Pre-Submission Administrative Amendment Wetland Coastal Erosion Emergency _Violation m Non-Jurisdiction Surveys 5 years:Y/N Wetland Line by: C.E.H.A. Line Additional information/suggested modifications/conditions/need for outside view/consultana ica o pp n completeness/comments/standards: ..... � ..... XIL 41 0�1 - – ° I have read &acknowledged the foregoing Trustees comments: „, m_ , Agent/Owner: 44- P Present were: J. Bredemeyer M. Domino G.Goldsmith N. Krupski G.Williams Other SURVEY OF LOTS 1-76, 1-7-7, 1-18 P/O I-T5 N A5 5HOM ON MAS' OF 6005E BAY E5TATE5 w s E f7ILW NOVEMBER 13, 1x34 FILE No, IJ.7o 51TUATE,66UTHOLD TOM 5OUTHOLD 5UEEOLK GOUNTY, NY I SURVEYED APRIL 5, 2000 AMENDED: 01-30-01, 01-11-02 02-10-03,12-30-04, 02-0q-05 SUFFOLK GOUNTY TAX # 1000-1-7-2-5 OERTHqED TO: JAMES SLECKMAN 6 0 0 5 E o �mcdL Road, Geo High Water z (PEIILED 011, ' — �� �tvck Wa of _II �� q L �P of Bank �p�� Remaln5 _ // 30 ri�r� 57.63 / el 6 / 6 vl r I # \ a I I # 4-1 o �, a- � Zj ��� � Z O I 0 - - - �, I - - - - - �, - , � I GE o S I PROPOSED DRYNELL �0, P2 STD ORYFOR ROOF RUNOFF \ ADDITION — 8' DIA. V DEEP 100' From � / �yj N (eXiStln�) A= I Story m Frame al Dwe01, m I 1 FF = eI \ 261 ° of \ n r �I M (0Patio I °I I \ ml r°-1 a I p S\ > 43, J U L 3 0 2020 el 14' �� N 08'30 ' YY Sli;i!i01d 10.41 26.15' 0%:YG of Tff1:1r;j 1 7 �,� Venue 0 � °? I� NOTES: � �,<P ■ MONUMENT ♦ STAKE AREA =10,166 50. FT. OR 0.23 AGRE5 TOPO REFERENGES NGVD '2q DATUM FEMA MAP #3610360166 G, EFFEGTI VE DATE MAY 4, IggB w.a^lnar,aee al l.ral, eeell,°^la, pricy mop Oearinp a I,eens ue IanOre vey9r° eal°19 a a,^laden 01 sect—"1209 cu0r0ly le lnn°2 nl l% ne.Yore stere Eeucel,-Le. JOHN C. EHLERS LAND SURVEYOR Only° nrrne ln.arl91na1 nl °pies* 9tempaE°eee]`anel]°De°cans lueraE°to°D9 vel la true Copies* GRAPHIG 5GALE 1"- 20' 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 Earlllraell°n9 lne,relee n^°°^1,yn,ly lnel ln,e ,siine°caov alrP Ocl,ce"1 or°Len°9urvay9 oaonie9 RWERHEAD N.Y. 11901 Lee—......"'ao;a`: tY9,�of1o�.anal`�o'nn,� r is t joss..for.nom Lne survey,e nr arae nelr t°the Vele a°nenV 1mma�nman- 369-8288 Fax 369-8287 REF.\\Hp server\e\2000 pros\20-141B.pro "1°....c,n^^''°"°' '""" °^"°`°°"r°°^ °"a t°mea ,9nees 11-1.17.112,lna msutl—1 veru„en- u0m are n9l lile m e9eltl°nal Inez,w4°m LOW WATER LINE (5/Z84209:30 AM BY Glynis Berry ______ - - SANITARY SYSTEM DESIGN: GENERAL CONDITIONS: studio a/b architects EXCAVATION: 1. INSTALLATION SHALL COMPLY WITH SUFFOLK COUNTY DEPARTMENT OF HEALTH SEPTIC AND TREATMENT TANKS:250 SF,27.8 CY SANDBAG, #OF BEDROOM: 3(2 bedrooms+ den). SERVICES'REGULATIONS STANDARDS AND REQUIREMENTS AND SHALL BE STRICTLY IN � TYP500 GAL.TANK PRIMARY/TREATMENT SYSTEM: I/A OWTS 651 West Main Street LEACHING FIELD: 111 SF/4 CY g ACCORDANCE TO THE MANUFACTURER'S INSTRUCTIONS. ROTH RMT500 SEPTI-TECH STAAR 0.5 (CATEGORY 1) Riverhead, NY 11901 OR EQ.41 I/A OWTS CAPACITY REQUIRED: 400 GPD Table 3 631 5912402 THE INSTALLER MUST HOLD A CURRENT LIQUID WASTE LICENSE PURSUANT TO CHAPTER 631 323 1426 c o o I/A OWTS CAPACITY DESIGNED: 500 GPD 563 ARTICLE VII(SEPTIC INDUSTRY BUSINESSES)AND ENDORSEMENT J(INNOVATIVE AND glynis@studioabarchitects.com 2 ______ L_____ LEACHING SYSTEM: PRESSURIZED SHALLOW DRAINFIELDS, USING 39"WIDE ALTERNATIVE TREATMENT SYSTEM INSTALLER THROUGH THE SUFFOLK COUNTY O� __HIGH WATER LINE (From Survey dated 4!512000 DEPARTMENT OF LABOR, LICENSING AND CONSUMER AFFAIRS, PURSUANT TO SUFFOLK mailing address: N -----" GEOMAT BY GEOMATRIX SYSTEMS -- - - - APPROX.EDGE OF WETLANDS (from survey dated 4151200? (1) - - - REPLACE SOILS WITH CLEAN SAND AND GRAVEL ABOVE EXISTING SP LAYER,ALSO COUNTY CODE§563-79(11)(J).THE DEPARTMENT OF LABOR, LICENSING,AND CONSUMER PO Box 444 PUMPED FILL TO REQUIRED ELEVATION.GEOMAT TO BE INSTALLED DIRECTLY ON FILLED SP OR AFFAIRS MAINTAINS A LIST OF LIQUID WASTE LICENSE HOLDERS. Orient NY 11957 3(2) FROM EXCAVATED SW SOILS. 3.ALL INSTALLED UA OWTS ARE REQUIRED TO HAVE AN INITIAL 3-YEAR WARRANTY. ' WELL PERCOLATION TEST NOT REQUIRED FOR SW OR SP�6 SOILS.t4��� 4.ALL INSTALLED I/A OWTS ARE REQUIRED TO HAVE ACTIVE O&M OPERATION AND FOR CATEGORY 1 I/A OWTS ON SAND AND LOAMY SAND A PERCOLATION RATE TO BE S86°08�30"E �' 1 -5 MIN/IN,WITH AN ALLOWABLE APPLICATION RATE OF 3 GAUSF/DAY MAINTENANCE)AGREEMENTS BETWEEN THE PROPERTY OWNER AND SERVICE PROVIDER. REMAINS OF BLOC W ALL _-----&r0. _- _ 57.63 AS PER TABLE 13 THE PRESSURIZED SHALLOW DRAINFIELD SHALL BE COVERED BY THE SAME 0&M AGREEMENT. ootid" o3Q,�o 6 l5� SGG4S - ' TEMPORARY ILT FEN E - - REQUIRED LENGTH FOR EFFECTIVE WIDTH 39 INCH WIDE GEOMAT: 5. SERVICE PROVIDERS MUST REPORT ALL O&M ACTIVITIES TO SCDHS SUFFOLK COUNTY N6� SAND BAG, 110(GAUDAY)x 3 BEDROOMS =330 GAUDAY(AS PER 5-110 A2 DUE TO SITE w� x x x FILTER LIMITATIONS) DIVIDED BY AN APPLICATION RATE OF 3 GAUSF/DAY= DEPARTMENT OF HEALTH SERVICES). LOCATION OF D WATERING IAS PE YSDEC STANDARDS TYP• REQUIRED AREA OF 110 SF. 6.COVENANTS MAY BE REQUIRED ON t•J�E�i FOR � N� � • PROPERTIES LHERE I/A OWTS ARE INSTALLED 1F 110 S IN2 =33.8 FT G (1)34' LONG39"WIDE PRES URIZ GEOMAT 50% EXPANSION REQUIRED= 17 LF RQUIRNG;SYSEMRPLACMENT IN EVENOF FAILURE;O&M REQUIREMENT;ACCESS TO MAINTAIN 10' I DHS INSPECTION/SAMPLING ON QUARTERLY BASIS IF NEEDED; OTHER REQUIREMENTS THAT N CLEARANCE TO TRE GOTS P PNNv \ I DESIGNED:(1) ROW EACH OF 34 SCDHS DEEMS NECESSARY. OEOwner: 50%EXPANSION: (1) ROW OF 34' ON ��Zl° �+ 3/16 INCH HOLES WITH ORIFICE SHIELDS SPACED 2 FT APART 7. PERFORMANCE STANDARDS FOR I/A OWTS TECHNOLOGIES: I DEWATERING TANK DETAIL I/A OWTS MUST MEET TREATED EFFLUENT CONCENTRATIONS FOR TOTAL NITROGEN OF Cathy and James Sleckman \ s - x 18 HOLES PER LATERAL; 18 TOTAL __-J 3 -EL.5�5� � i i 1/4" = 1 -Ott NINETEEN(19) MG/L OR LESS. FUTURE I SEPTI-TECH STAAR 0.5 W/1000 GAL ST 5 - EXPANSION DOSE VOLUME: REQUIRED MAX: 0.25 GAUDOSE X 110.5 SF(1x 3.25 x 34) SEPTIC/TREATMENT CONSTRUCTION CRITERIA: EXISTING CESSPOOL TO BE PUMPED AND REMOVED MSN ``, \ 34.0' - - =27.6 GAL(SCDHS RESIDENTIAL STANDARD 5-110 F 6 b) X •�; N � ____ --- -[7(6) 1.SEPTIC/TREATMENT 1 1/2"PUMP BACK L.6 1\ �^ �--- pgONRY I , 1 ALL NON-CONCRETE TANK WALLS, FLOORS, ROOF AND ACCESS COVERS SHALL RESIST `\Q '"s_ PATIO I i x DOSE VOLUME AN APPLIED FORCE OF 300 POUNDS PER SQUARE FOOT(PSF). 2"AIR INTAKE W/ 1 Total lateral volume=2,6 GALS(SOFTWARE) I1. NON-CONCRETE PREFABRICATED SEPTIC TANK&I/A OWTS SHALL CONFORM TO THE CARBON FILTER _ --" e3 'o- o o ce Total volume 4.2 GALS ZONE 36' INTERNATIONAL ASSOCIATION OF PLUMBING AND MECHANICAL OFFICIALS"AMERICAN X X �ti NATIONAL STANDARD FOR PREFABRICATED SEPTIC TANKS"ANSI Z1000-2007 AND ANY property Tax Ma #: SHED GROUND ELEVATION 15.7 RECOMMENDED Minimum dose= 5 to 10 x lateral pipe volume(NYS), plus manifold/TRANSIT p CONTROL PANEL I UPDATES THERETO. I 1000-77-2-5 W FOR DRY R back flow EXISTING 8(7) (r III. EACH SEPTIC TANK&IIA OWTS SHALL BE IDENTIFIED BY THE MANUFACTURER AND 15 AMP AND 20 AMP CONNECTIONS 2-STORY, FRAME , W p Q' S x 2.6 26G L/DOSE E, OR DISPLAY THE FOLLOWING INFORMATION PERMANENTLY MARKED AT THE INLET END OF site street address: TO DEDICATED BREAKERS ON w; DWELLING GE ERA OR a s' 1' BROWN LOAMY SAND 10 x 2.6=26GAL/DOSE THE TANK: 150 Oak Avenue HOUSE MAIN PANEL IN UNFINISHED FF: EL 10'(9') I 0 Q O U - - - - BASEMENT � I Z�w m DESIGNED: 23.5 GAL/DOSE 1. MANUFACTURER NAME OR LOGO Southold, NY 11971 2. CAPACITY AND NUMBER OF OPENINGS SITE PLAN BASED ON SURVEY G � Q w a- 3. MAXIMUM DESIGN LOAD 1 9(8) o w o� FREQUENCY: 330 GPD/23.5 GAUDOSE= 14 DOSES/DAY, OR EVERY 1 HR AND 43 MIN. 4. THE DATE MANUFACTURED. OF LOTS 176, 178, &P/0 175 - w PALE BROWN MEDIUM TO COARSE SAND DEMAND DIFFERENCE IN FLOAT: 1 INCH N O 0 N o C0 IV ALL CAST-IRON AND HDPE COVERS SHALL BE SET AT FINISHED GRADE BE LOCKING AS SHOWN ON MAP OF GOOSE BAY ESTATES .0�`LZ 2 c9 6� d TANK CAPACITY: 1287 GAL/4.56' HT=282 GAUFT OF HT/12"=23.5 GAL PER INCH. ' FILED NOVEMBER 13, 1934 G t� RUN TIME for 23.5 GAUDOSE:23.5 GAU 15.9 GAUMIN= 1.48 MIN, OR 1 MIN 29 SEC. TAMPER-RESISTANT,WATERTIGHT,INSECT-PROOF, FLAT,SKID-PROOF,AND BE a' < O� » covE D I t" / r r 13.7' APPROVED FOR SEWAGE USE. COVERS AND RISERS SHALL BE CAPABLE OF FILE NO. 1176 < O� I 'W n -0 tr - - - - WITHSTANDING A TRUCK WHEEL LOAD(36 S IN. OF 2500 LB FOR 60 MIN WITH A MAX. SITUATE, SOUTHOLD, TOWN: SOUTHOLD, 2 I LU `J EL. 1.0 14.7 MEDIUM TO COARSE SAND DISCHARGE RATE: SUFFOLK COUNTY, NY O O PEBLE - - - - - - o o VERTICAL DEFLECTION OF 1.5 IN. 'y G o DIFFERENCE BET. 1ST&LAST ORIFICE= 4.8/o < 10/o OK (SOFTWARE) V. HDPE COVERS AND RISERS ARE REQUIRED TO BE USED ON NON-CONCRETE SEPTIC No, Description Date SURVEYED APRIL 5,2000 ".. DRIV WAYI �'� VELOCITY: 2.5 FPS >=2 AND <= 8 OK SOFTWARE AMENDED 01-30-01, 01-17-02 O �- (SOFTWARE) TANKS.THEY SHALL BE SET AT FINISHED GRADE, BE LOCKING,WATERTIGHT, INSECT- SCTM#1000-77-2-500 II14 10 SCGI CERTIFIED TO JAMES SLECKMAN LO PROOF AND BE APPROVED FOR SEWERAGE USE. j o WATER IN MEDIUM TO COARSE SAND PUMP; VI. IF A RISER COVER WEIGHS LESS THAN 60LBS A SECONDARY SAFETY LID OR DEVICE - - 17' CAPABLE OF DELIVERING 15.9 GPM AT 10.2 TOTAL DYNAMIC HEAD SHALL BE PROVIDED. BY JOHN C. EHLERS LAND SURVEYOR 1 07 (GOULDS PUMP LSP03 1/3 HP 115/230v OR EQUAL) NYS LIC. N N STREET RIVERHEAD, NY 11901 RR TIE RETAINING WALL 50202 6 EAST MAIN I 2. SEPTIC TANK&I/A OWTS SHALL BE WATERTIGHT AND CONSTRUCTED TED OF SOUND AND DURABLE MATERIALS THAT ARE NOT SUBJECT TO EXCESSIVE CORROSION OR DECAY. T 631 369 8288 HT VARIES-5-22" W TEST HOLE#1 DISTRIBUTION CALCULATIONS I A. ALL SEPTIC TANK&I/A OWTS MUST BE CERTIFIED AS WATERTIGHT BY MANUFACTURER AREA: 10,166 SF OR 0.23 ACRES BY k.wOYCHUK L.S. ASSEMBLY EXIT: 2.0 IN USING EITHER VACUUM TESTING OR WATER TESTING METHODS, TOMO REFERENCES NGVD'29 DATUM WM FEMA MAP#3610300166 G, EFFECTIVE DATE MAY 4, 1998 GUY WIRE 130,0' / "� DATE: 05/01/2014 TRANSIT DIA.: 1.5 IN I. VACUUM TESTING MUST PULL 4"OF MERCURY(HG), FOR 2 MINUTES WITH A LOSS OF - ,,50,,4 N86008130„w 26 1 � HIGHEST EXPECTED GROUNDWATER MANIFOLD DIA.: 0 IN 10%OR LESS. LATERAL DIA.: 1.25 IN 11. WATER TESTING:SEAL TANK; FILL TANK WITH WATER TO OUTLET INVERT ELEVATION UPDATED BY SUBSEQUENT REFERENCES: °'3ri I 5 ELEVATION 1.0' #ORIFICE/LATERAL: 18 ' "AVD '88 FROM SC GIS(5', 10', REDUCE'29 CONTOURS BY ONE FOOT(X) s6$ A,9$ #LATERALS PER ZONE: 1 FOR 24 HOURS. REFILL THE TANK TO OUTLET INVERT AFTER 24-HOUR PERIOD AND FEMA REFERENCES FROM MAP 36103CO166H REVISED 9/25/2009 1 OA� p ` , LET STAND FOR 10 HOURS.APPROVED IF WATER LEVEL IS HELD FOR 10 HOURS. #OF ZONES: 1 B. ALL PENETRATIONS PIPES SHALL BE CONNECTED TO TANKS WITH A WATERTIGHT, [ r SIZE OF ORIFICE: 3/16 IN SEALED FLEXIBLE JOINT AND THE PIPE GASKET SHALL BE FASTENED TO THE PIPE WITH ALL DEVELOPED PROPERTIES WITHIN 150'USE PUBLIC WATER H V SHED/DRIVEWAY/BERM ARE APPROXIMATIONS N `'' E TEST HOLE DATA LATERAL LENGTH: 34 FT A STAINLESS STEEL 4 NTS HEAD AT LATERAL END: 3 FT (2.3 FT REQUIRED) RETRACTABLE CLAMP. ELEVATION LIFT: 5.0 FT 3.THERE SHALL BE A MINIMUM ONE-FOOT AIR SPACE MEASURED FROM THE OUTLET INVERT 1 I/A OWTS LAYOUT ( ,r,,,i,�-.,,,, TO THE BOTTOM OF THE TANK COVER. PROJECT SITEr I Other Notes: 4.ACCESS TO EACH TANKOR COMPARTMENT OF THE TANK SHALL BE PROVIDED BYAN Pressurized SOIL TREATMENT UNIT ACCESS COVER WITH AN INSIDE DIMENSION OF AT LEAST 20 INCHES IN DIAMETER,AND IN ABBREVIATIONS. �tc, �_ 1. ALL PIPING FROM THE PUMP FLANGE TO THE DISTAL END OF THE LATERAL SHALL COMPLIANCE WITH 5-111 AND 5-11413-7 OF CDHS RESIDENTIAL STANDARD 2016.ALL <.,� BE PRESSURE RATED SCHEDULE(SCH)40 POLYVINYL CHLORIDE(PVC)OR OPENINGS SHALL MEET THE FOLLOWING REQUIREMENTS: f s EQUIVALENT AND MEET ASTM STANDARD D-1 785 WITH PRESSURE FITTINGS. A. OPENINGS SHALL BE PROVIDED OVERALL INLET AND OUTLET PIPES & AND / r m'- 2. TRANSPORT/MAIN MANIFOLD PIPING OVER UNDISTURBED TRENCH BOTTOM WITH B. WHERE EXTENSIONS ARE REQUIRED LP LEACHING POOL •`�, �.�,,�.�,::/ `•, ,= ,THEY SHALL BE WATERTIGHT AT .�� '� .- � BACK FLOW O TANK 1 6" F @ MAX. MAXIMUM �, ,f T ( /1 /L ). C. SEPTIC TANK&I/A OWTS MANUFACTURERS SHALL PROVIDE A LABEL OF NONCORROSIVE B.C. BOTTOM OF CURB MIN. MINIMUM i j I ,..,,{ , ",r„-�... 3. A CHECK VALVE SHALL BE INSTALLED JUST ABOVE THE PUMPS BEFORE THE MATERIAL IN PROMINENT LOCATION AT EACH ACCESS OPENING TO WARN "ENTRANCE BW BOTTOM OF WALL �,- ` tt ..+ i' f N.T.S. NOT TO SCALE . ^-` ' - ly - TREATMENT FIELD. PROVIDE PIPE DRAINAGE EITHER BY USE OF A SOLENOID VALVE INTO TANK MAY BE FATAL" CONC. CONCRETE PROP. PROPOSED , ' ..�tr•,r I } (OPEN WHEN THE PUMP IS OFF)OR BY INSTALLING A WEEP HOLE 1/4 TO BE PLACED C.O. CLEAN OUT REQ. REQUIRED 44 11 ,�', '-'� AFTER THE CHECK VALVE IN THE PUMP TANK,WITH SPRAY DIRECTED AWAY FROM SEPTIC TANK&I/A OWTS INSTALLATION STANDARDS DB DISTRIBUTION BOX "r'"' "' SCDHS SUFFOLK COUNTY DEPARTMENT OF ! '•,, _ �•, - 9= � SENSORS, 1.ALL APPLICABLE RECOMMENDATIONS PROVIDED BY THE MANUFACTURER SHALL BE E or ELEC. ELECTRIC HEALTH SERVICES ,, f` 4. PUMP TANK TO HAVE BOTH HIGH-WATER ALARM AND PUMP CONTROLS AND LOW- IMPLEMENTED. ST SEPTIC TANK TEST HOLE 1 �_ -' ELEV. or EL. ELEVATION , --w--•--___._ WATER AND REDUNDANT OFF CONTROL.WITH A DUAL PUMP SYSTEM THE HIGH LEVEL , � t,,, r. 'tee s G GAS T.O. TOP OF �� f ''`{ ' I �'.� SHALL ANNUNCIATE THE ALARM AND START THE SECOND PUMP. 2.THE SEPTIC TANK&I/A OWTS SHALL BE INSTALLED AT LEVEL IN ALL DIRECTIONS(WITH A HDPE HIGH-DENSITY POLYETHYLENE 3 `r'"r'"'" J ) 5. THE PRESSURE HEAD NEEDS TO BE MEASURED IMMEDIATELY AFTER THE MAXIMUM TOLERANCE IN ANY DIRECTION OF+/-ONE QUARTER INCH)ON A MINIMUM 3 INCH I/A OWTS INNOVATIVE AND ALTERNATIVE ONSITE T.C. TOP OF CURB �' ''- "'"Y r 'r� • INSTALLATION OF THE PRESSURIZED DRAIN FIELD AND RECORDED AND LEFT ON SITE THICK OR MANUFACTURER'S RECOMMENDATION BED OF PROPERLY LEVELED AND T'VV TOP OF WALL '�,� '., �� ,/ 1 ( ) WASTEWATER TREATMENT SYSTEM NJ WATER r'�r'�- - % (CONTROL PANEL). COMPACTED SAND(FREE FROM ROCKS) OR PEA GRAVEL. BACKFILL SHALL BE PLACED INV. INVERT W/ WITH ` -"`�_ 6. TREATMENT FIELD TO BE 10' FROM TREE AND BUSH ROOTS. AROUND THE SEPTIC TANK&I/A OWTS IN SUCH A MANNER AS TO AVOID DAMAGE AND LG LEACHING GALLEY , ' -� 7. FINISHED GRADE OF PRESSURIZED TREATMENT FIELD SHOULD BE 6-18 INCHES COMPACTED IN 6-INCH LIFTS. BACKFILL SHALL BE FREE OF LARGE STONES, STUMPS,AND ABOVE THE ELEVATION OF ITS INFILTRATIVE SURFACE AND SHOULD BE MOUNDED TO CONSTRUCTION DEBRIS. COUNTER SETTLING.ADJACENT LAND SURFACE SHALL MAINTAIN THE SAME ELEVATION FOR A DISTANCE OF 3 FEET FROM THE TREATMENT FIELD EDGE WITH A 3.THE TOP OF THE SEPTIC TANK&1/A OWTS SHALL NOT BE LOCATED GREATER THAN TWO n TEST HOLE LOCATION MAP TRANSITIONAL SLOPE NO STEEPER THAN 3:1. AND HALF FEET OR LESS THAN ONE FOOT BELOW FINAL GRADE. FOR SEPTIC TANK&I/A CONTROL PANEL ABOVE EL.9' NTS 8. ORIFICES IN THE DISTRIBUTION LATERALS SHALL BE DRILLED IN THE BOTTOM OF OWTS WITH DOMES,THE TOP OF THE DOME SHALL NOT BE LOCATED GREATER THAN TWO CONNECT TO DEDICATED 115 THE PIPE AND FITTED WITH ORIFICE SHIELDS. AND HALF FEET OR LESS THAN ONE FOOT BELOW FINAL GRADE. VOLT AC,SINGL-PHASE,(1) 15 9. THE END OF EACH LATERAL WILL HAVE A CLEAN OUT WITH A SWEEP ELBOW(NOT JUL 3 0 2020 AMP AND(1)20 AMP CIRCUIT 90°)WITH A MALE ADAPTOR AND SCREW CAP. 4. HIGH GROUNDWATER THE PREFERRED METHOD OF DEWATERING WILL BE BY PUMPING i BREAKER ON HOUSE PANEL, r 10. LATERALS CAN BE NO LONGER THAN 50 FEET. AT RATES LESS THAN 45 GALLONS PER MINUTE FROM AN ADJACENT,DEEPER HOLE. CONNECT TO GENERATOR 12. A SOD OR SEEDED GRASS COVER SHALL BE INSTALLED ABOVE THE TREATMENT. PROPOSED METHODS FOR DEWATERING WILL NEEDS APPROVALS AND EVIDENCE OF TRANSFER SWITCH 13. ALL PRESSURIZED FIELDS SHALL REQUIRE LATERAL FLUSHING/BOTTLE BRUSH COMPLIANCE WITH NYSDEC REQUIREMENTS. 4"WASTE 1.25"SCH 40 PRESSURIZED TREATMENT AT LEAST ONCE A YEAR, CAST IRON WITHIN 2' FROM PIPE MIN. 1/8"PER 12" DEWATERING NOTES: SLOPE DOWN TO LATERAL FOR ACTIVITIES REGULATED BY 6 NYCRR PARTS 661,663,666 AND TEMPORARY FOUNDATION WALL, CONTINUED TO DEWATERING SUBJECT TO PART 602,PERMIT SAP-1-17-001 SHALL BE OBTAINED FROM -_ CLASS 2400 OR SDR 35, (OR SDR40) GEOMAT LEACHING NYSDEC BY THE CONTRACTOR. PROJECT SYSTEM, 39"WIDE 1/4"PER 12"SLOPE MIN. ALL ACTIONS SHALL BE COMPLAINT WITH THE ASSOCIATED REGULATIONS, INCLUDING BUT ■ 1.25 SCH 40 PRESSURIZED AO LIMITED T ON OF EROSION CONTROLS Innovative ve a n d HOUSE LATERAL B. NO DISTURBANCE OF VEGETATED WETLANDS Alternative Onsite 2 DIA.AIR INTAKE W/ORIFICES&ORIFICE SHIELDS IN ALLOW SPACE FOR FUTURE EXPANSION C. NO CONSTRUCTION DEBRIS IN WETLANDS OR ADJACENT AREAS W/CARBON FILTER NYLON STRAP MIN. GEOMAT SYSTEM D. NO WET OR FRESH CONCRETE OR LEACHATE SHALL BE ALLOWED TO ESCAPE INTO THE 18"MIN,ABOVE GRADE, 10,000 PSI RATING (1)ROW OF 39"WIDE WETLANDS OR WATERS OF NYS.ONLY WATERTIGHT FORMS TO BE USED.WET CONCRETE Wastewater Treatment 36"MIN. FROM ANY (NP) GEOMAT,34' LONG SHALL NOT BE POURED TO DISPLACE WATER WITHIN FORMS. EL. 9'+/- WINDOW OR DOOR TOP OF MOUND REGRADE AS E. NO TOXIC MATERIALS System (I/A O 4"WASTE 1"+/- HIGHER THAN Z NECESSARY TO 391. 24' 39" F. ALL EQUIPMENT AND MATERIALS SHALL BE STORED IN WORK AREA OR 100' FROM WET CLASS 2400 OR SDR 35 0' MIN. MAINTAIN EL. 5.5+/-or BASE FLOOD _�;I EL.6'+/- FINISHED GROUND LANDS OR WATER BODIES. 1/8 PER 12 SLOPE MIN. �� HIGHER Z 17112° 150 Oak Ave ', ,i I FINISHED GRADE 3 G. DISTURBED AREA TO BE SEEDED AND MULCHED WITHIN TWO DAYS OF FINAL GRADING. J q EL. 7 3.0' H. NYSDEC MUST BE IMMEDIATELY NOTIFIED IF A PETROLEUM ODOR OR SHEEN IS I C��. 1 MAX. MIN DETECTED DURING EXCAVATION. -- - - -------------------N ------ -- --- ---------- - --- ------- - ---- W I y- - - - 1 MAX. WELL DRILLER DULY CELLAR ____________ _ 1.5 SCH 40 l•; i. : .;. REGISTEREDINACCORDANCE WITH SECTION 5R 5125 OF HEY ENVIRONMENTAL PRESSURIZED i',. ;i Z I Q CONSERVATION LAW. g HIGHEST EXPECTED_ TRANSIT PIPE �:•', '::l m CLEANOUT&DISTAL HEAD PORT I ' "`" "'' =�; n J. DISCHARGE SHALL NOT VISIBLY INCREASE THE TURBIDITY OF THE RECEIVING WATER y 218 y0 GROUNDWATER L. 1.0' i: :., l N 18' 18" HIGHEST EXPECTED GROUNDWATER EL 1' z BODY OR RESULT IN SCOUR, BY USE OF GEOTEXTILE FILTER BAGS,A DIFFUSER,OR OTHER ''�e„� _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Z. _ _ _ _ _ APPROVED METHODS. }a K. OBTAIN AUTHORIZATION OF OWNER OF THE MUNICIPAL STORMWATER DRAINAGE EL. 0'+/=-y - - - - _ _ - - _ - - _ _ �- HIGHEST EXPECTED 0°'0 M - SYSTEM PRIOR TO DIRECTING ANY DEWATERING DISCHARGE TO THE SYSTEM. OWTS GROUNDWATER EL.1.0 a REPLACE EXISTING SOIL W/SAND AND REPLACE EXISTING SOIL W/SAND AND I/A O V V 1 S Layo u t N a GRAVEL ABOVE SP OR SW SOIL LAYER GRAVEL ABOVE SP OR SW SOIL LAYER (AS REQUIRED PER SOIL CONDITION) (AS REQUIRED PER SOIL CONDITION) THE METHOD OF DEWATERING AND THE APPROVALS SHALL BE GIVEN TO THE DESIGN (2)-CONCRETE DEADMAN oo PROFESSIONAL BEFORE CONSTRUCTION BEGINS. 18"W'X 8"H"X 8'L Md TRANSITION FROM 2"EXIT LOGITUDINAL SECTION `r CROSS SECTION' d _ WITH(2)-#4 REBAR J X TO 1.5" PRESSURIZEDw w CONTINUOUS EA TANK W W TRANSIT LINE, SCH.40 i- GENERAL NOTE Project number 2017 o Y W 1. BEFORE ANY EXECUTION,VERIFY ON SITE,IF APPLICABLE: Date 7/22/20/2020 i° N z o N N u_ W -GRADE ELEVATIONS AT THE HOUSE WHERE THE WASTE MAIN PENETRATES. W er �r M �r O O -GRADE ELEVATIONS WHERE EACH UNIT WILL BE INSTALLED. Drawn b > w 0 w w w� p o -HOUSE WASTE LINE MAIN LOCATIONS AND INVERT ELEVATIONS. y GB nn. Z F- W -ANY UNDERGROUND UTILITIES,INFRASTRUCTURES,AND/OR STRUCTURES Checked by HA O Z m z z z a p -ANY TREES WHICH MAY AFFECT TO THE I/A OWTS INSTALLATION m co c,, 2. GARBAGE DISPOSAL UNITS SHALL NOT BE USED WITH A I/A OWTS. C 3. TANKS SHOULD NOT BE PUMPED WHEN GROUNDWATER IS HIGH OR FLOOD CONDITIONS ■ O 1 co 2 EEXIST. _CTION DIAGRAM 3/16" = 1'-0" Scale As indicated NOTE CONFIGURATION CHANGE.SIDE ENTRY TO TREATMENT TANK STAAR NYLON 10,000 PSI RATING Studio a/b architects BUOYANCY CALCULATION (TYP) I 651 West Main Street, CALCULATION ASSUMPTIONS: Riverhead, NY 11901631 591 2402 1-1/2"PUMP BACK ST Concrete Density= 1501b./ft3 �- I 631 323 1426 Saturated Soil Density= 110 Ib./ft3 631 323 142 oabarchitects.com Water Density= 62.4 Ib./ft3 Groundwater Level: EL 1 I mailing address: Calculate with the tank empty PO Box 444 Soil weight above tank shall not be included in the calculations sa°CL TO CL Orient NY 11957 Apply 1.5 safety factor l 18" I 181, STAAR 0.5 I Construction: :I ; 6 • ,� cNo . . . • I • , AL . , INFILTRATOR IM 1060 TANK r -- • • e . • . . • • (2) DEADMEN 8'L X 8"H X 18"W=8.04 CF X 150 LB/CF =2412 LBS 4"GRAVITY O • O • • O O Pre-Tankweight: tank 320 LBS TOTAL WEIGHT UNINSTALLED 2732 lbs.C .�FROM HOME ) WITH (2)-#4 REBAR CONTINUOUS EA TANK GRAVITYM INLET PIPE r Soil above Deadmen (2)-CONCRETE DEADMAN 18"W X 8"H"X 8'L o . • � .u . O . o •1 im . • o . 2 X 12SF X5.62'X 110/CF= 14,836 LBS ANTI-BUOYANCY DETAIL- INFILTRATOR • • • ,. , • • . • ,. TOTAL WEIGHT INSTALLED 17,568 lbs. TANK 4x4xl.5 TEE ® NTS PROVIDED BY ' UPLIFT FORCE SEPTITECH Volume of Water Displaced Owner: - - TANK: 1287/7.48= 172 CF X62.4'= 10,736 LBS Cathy and James Sleckman 127" ENTER THIS SIDE DEADMEN:2 X 8.04 CF X 62.4 LB/CF=1,003 FOR FUJI CEN5: 1/4"SSTL CABLE Uplift Force by Water Displaced 11,739 lbs. SECURED BY AIR INTAKE SNORKEL 1"ELECT CONDUIT BUOYANCY CALCULATION SSTL CLEVIS(TYPE 4) (PROVIDED BY SEPTITECH) INTO RISER CLEVIS ATTACHES TO NYLONSTRAP RING W/CARBON FILTER 2"AIR INTAKE Tank+ Deadmen INTO RISER Total Weight= 97,568 Ibs. (TYPE 4)OR1/4"SSTL EYE HOOK Uplift Force = 11,739 lbs. SEPTITECH CONTROL Negative Buoyancy 5,829 lbs. THREADED SSTL OR HOT DIP PANEL ZED ROD WITH DROP Weight-Uplift Ratio = 1.5 >= 1.5 OK FORGEDGALVANHEAVY DUTYEYE NUTS roe Tax Ma #: 1 property p with Suffolk County requirements. 24.0"ACCESS PORT WITH LOCKING LID 1000-77-2-5 RISER 6"MIN., 30"MAX. INSTALLAT 0.6'IN GROUNDWATER(NORMAL SITUATION)THE WEIGHT-UPLIFT 2" MIN.-'6" MIN. I e• site street address: SECONDARY SAFETY DEVICE,TYP. RATIO IS 5"8' 150 Oak Avenue L, I co ° ° _ Southold, NY 11971 ELECT --=- I I I ! I II I-I-I I I `" '• " ""' CONTINUOUS AIR INTA Z_ � W INLET DEADMAN SECTION REDUCE 2"EXIT ASSEMBLY - - - r TO 1.5"PRESSURIZED TRANSIT AN LINE AFTER EXIT TI-BUOYANCY DETAIL- DEADMAN 6 p SECTION No. Description Date CONTINUOUS ELASTOMERIC 1 1/2" = 1'-0" GASKET 77 Low evel Float N W c (White) Control Power High evel Float 11 C wi c (Yellow) 1 E Am StAAR Disc arge Pump • , P Deed Control Panel (Clear) lel - 2-COMP PRIMARY SEPTIC TANK SEPTITECH STAAR .50 PROCESSOR 115 V IC Retu Pump (Black) SIZED IN ACCORDANCE WITH LOCAL CODES 6"MIN. PEA GRAVEL OR SAND 20 mp (PROVIDED BY SEPTITECH AS OPTION) COMPACTED BED SINGLE LINE DIAGRAM Recir ulate Pump 127" 24" STAAR 0.5_0.75_1.0 (Red) 115 VOLT NOTES: SEPTITECH STAAR .50 PROCESSOR RECIRC PUMP: TSURUMI OM3 W/(2)7/16"VENTURI, PHASE 1-115V/0.2 HP, 1)All Wiring to the tank should be minimum IN INFILTRATOR IM-1060 SEPTIC/PUMP TANK 3.2A/5.1A FULL I BREAKER 8A #14 AWG THHN or TFFN unless otherwise noted. WORKING CAPACITY 1094 GAL P-BACK PUMP: GOULDS LSP-03, PHASE 1-115V/0.33 HP,2.9A/7.2A FULL/BREAKER 8A Control Panel 5 VAC _24 VOC------ � DISCHARGE PUMP:GOULDS LSP-03, PHASE 1-115V/0.33 HP,2.9A/7.2A FULL/BREAKER 8A + r :"'"" n TOTAL CPACITY 1287 GAL 127"L X 62.2"W X 54.7"H --�,I WEIGHT 320 LBSI "� -� • ,•.,• 115 VOLT VERSION xl_ ------------ I • SeptiTech STAAR 0.5 W/INFILTRATOR TANKS ., Tank �-: .�-a u ,;.�w -�.• ��,lo�a� "�--7 115 VAC 6 - OF TOP 501E , -. - r, tl 1.2511 SCH. 40 PVC DISTRIBUTION PIPE (6 MIN.TO 18 MAX.) DISTRIBUTION PIPE 7 S, ao au _ ' ••^ n' SHALL BE UNIFORM OVER SYSTEM n' • ..,.0 ,. O-BARRIER TERMINAL ORIFICE HOLES ORIFICE SHIELD WITH GEOGUARD ORIFICE SHIELD " '' " ..•x•^ FABRIC TRANSITION FROM 39 GEOMAT WIDTH 2'-0MIN. 1.5' PRESSURIZED GEOMAT - '! �--�.�°µ••"•-• " User Supplied Power TRANSIT PIPE TO CLEANOUT&DISTAL HEAD PORT "-" NU ILS: 00 - ll 1. GEOMAT CORE SIDE CLEARANCE 1.25"PRESSURIZED GEOMAT LENGTH a 1)All Wiring to Th.TbrM should rth m "i ". �= 115 VAC OD Amp FABRIC TOP OF FILL W/THREADED CAP „b"A #'1+AWC THHN or IF .r1.aa bch.rW a" "-... Ib Amp IID VAC ° EI 113 VPC O_-_AmP. EL.5.5'+/- LATERAL PIPE, SCH 20 Amp o 2�0 VAC Y---Amp,W,N=u rw 40. ., 0"„xxxl........,.. o NAa,,. FINISHED GRADE FUTURE SLOPE Power Feed INSTALL STAAR 06_075_10 z �--a-°p:e' o MIL^WW1 gl.^II=bll°^ EL. 5.4' 6 W7LT STAAR +---0° o Mob.m ' W � i • a aim-m°l. _--_ SIGN 1/3 MAX. 05/0 76/1 0 l , I- I I I III I- _ _ --� _�L� - - -- SeptiTech STAAR Electrcal Dia rams III 7 b ^ ° -° NTS r- r /•°' - ° -. - °" a .°.• - °'° M.` °° 36" MIN. - - a " 8. T pa4 81_0"MAX• C. to C.° V iI JUL 3 2020' 1/8"PER 12"SLOPE PERMEABLE FILL ° : DOWN TO LATERAL °1-60 MINUTES PER INCH z a LL m PERCOLATION RATE, OR SAND ¢ E O�¢ - - - ----- AND LOAMY SAND. - - - - - - - - - - - - - - - - - - - - - - - - =w PROJECT z GROUNDWATER BOTTOM ` W~ PLACE ON UNDISTURBED EXIST. g EL. 1.0' OF MAT / �` � � " m W-' d SP OR SW SOILS, REPLACE iv EL.4.9' Innovative and y` ) �'` =LL' EXISTING SOIL TO REACH LAYER 6 OF SP OR SW SOILS IF NEEDED PRESSURIZED GEOMAT LEACHING SYSTEM PRESSURIZED GEOMAT LEACHING SYSTEM 1 Alternative Onsite (APPROX. 1 FT) OS1 CROSS SECTION LONGITUDINAL CROSS SECTION �\el Wastewater Treatment 2 GEOMAT LEACHING SYSTEM DETAILS 1 CONTROL PANEL WITH MAIN SERVICE PERSPECTIVE VIEW System (I/A OWTS) 1/2" = 1'-0" PROVIDE 15 0 Oak Ave. �� q9 1.25"SCH.40 PWC LATERAL CONNECTION TO Fl � (DISTRIBUTION (PIPE) GENERATOR SWITCH - MALE THREADED SLATE OR OTHER MALE THREADED MALE THREADED 36 MINIMUM 2 x 2 5/4 X6 CEDAR FENCE POST 9 - N -- - SPECIFIED ORIFICE HOLES ADAPTER AND CAP SUITABLE COVER ADAPTER AND CAP ADAPTER AND CAP DECKING J - WOVEN WIRE FENCE ? GEOGUARD ORIFICE SHIELD GEOMAT W 4- o (6x6 - 10/10 WWF) �T 02148 I � 3/4"G EOMAT / o OQ -- - CORE FABRIC CLEANOUT&DISTAL HEAD PORT W w FABRIC MALE THREADED SEWER PIPE FILTER CLOTH Z I/A OWTS Details � ¢ ADAPTER AND CAP j � o --- - ! --' - DOUBLE SIDED ? S�0 N _ 45 DEG. ELBOWS WYE P -- -- 4. - -I-- d LASCO D448-040 r' --- 30 DEG ELBOW 60 DEG WYE OR EQ. Project number EMBED FILTER CLOTH SDE 2017 I______i i�--- i i i � iii' ": '°.'- • ;" a°-- 4X4 ACQ POSTS G ------------- =114 TF 24"SUBMERGED TO SOIL, MIN. 6" INTO GROUND Date 7/22/20/2020 • SCH 40 90 DEG SWEEP ON 6"OF PEA GRAVEL BED 4 Drawn by HA 2 YH SCH40 COUPLING ALTERNATE A: FOR BENDS ALTERNATE B1: FOR USE WITH ALTERNATE B2: FOR USE WITH �� BLDG. EXTENSION/CONNECTION BLDG. EXTENSION/CONNECTION N UNDERGROUND LINES (o Checked byGg 0)W/DOUBLE SIDED SWEEP 24" MIN, BELOW GRADE C9 GEOGUARD ORIFICE SHIELD CLEAN OUT DETAIL FOR AREAS NOT SUBJECT TO VEHICULAR TRAFFIC SECTION DETAIL CONTROL PANEL INSTALLATION GEOMAT LEACHING SYSTEM DETAILS 2 CLEANOUT DETAILS nDIAGRAM collection Copy 1 Silt Fence DetailsC ' 02N 1 1/2" = 1'-011 U 1/211 = 1'-0" N.T.S. N.T.S. Scale As indicated 8/10/2017TAT E S '� `� inai8B=�Om�`cogYPg GOOS-E AY G% M1 < = ' 'w 1050 Pine (d G e C.S,S t� t5 F�(� a!� tJ '; ;- ..�_. ��', s1000 Putt: 900°Pine scoks - t, 7930 Pine C 6 �` '0-k = 1�Stitleit a X4 0 - 3 1¢tlt1S'o ki ~ �0 `' y� , k 'A7 = fi.5t3 HiCCh 5 485 Pine J', 484/PI/BSc` Ito47 _ nA CteAda 340 PiPe ,fir �'�pt31 ':rte �� M1 �' ,• � r �h - . e,, 207,0 Cedar Xm / z/ campbe 015 Nelson <>k ? 440 Pine - :, 1975 Cedar s /dsa' - 1'9^!a Cedar_ 2015 Pine 50 H h 9 eta 6 ter Cedar lmfarl 70 Pine i,' 0A5 Hitkgty X75 Hickory https.//mail.google.com/maiUu/O/#inbox/15dcd3754fc292a9?projector=l 1/1 S`0 6 4 fL ' K ti w, `o12 C) F 1"4 6 U J Ci- PVI ,f pop L) ons T �c(Ali No AT14 I � .fitly f i' _ S /l�L OF i-� d u J �Z $ t��wtw� rel q,f 4otjSk(P v p 1 / 0 LArj-s To t v4 r�=� L- 4TH N try I SA 11 1� --- •Ai --- --iit ---- — -- --L' - ±moi------- - ------- ------- ' F - ------' w • �.z ---�- -b---- ^�-- --------------t �ticottr AVE --- m- 9 .W_u� p r� K ,owe SOUi170L0 SECTION NO NOTICE COUN OF SUFFOLKce © E Real Property TaxServlAgenCy Y 077 1000 RO. TY YAP' L 0� Michael J.Domino,President x � �,:, Town IFaIl Annex 4' 54375 Route 25 John M.Bredemeyer III,Vice-President P.O.Box 1179 Glenn Goldsmith ` -= '-= ;, Southold,New York 11971 A.Nicholas Krupski r Tete hone(631)765-1592 }do` _ P ou Greg Williams `, t� � # Fax(631)765-6641 FFCcEIVE BOARD OF TOWN TRUSTE 1 TOWN OF SOUTHOLD J U L 3 0 2020 This Section For Office Use On ly f'i cd BeardSc of Tri:stnesTav�n Coastal Erosion Permit Application Wetland Permit Application _Administrative Permit Amendment/Transfer/Extension �( Received Application: 7-30.20 _Received Fee:$-& Completed Application: 7.30,20 Incomplete: SEQRA Classification: Type I Type II Unlisted Negative Dec. Positive Dec. Lead Agency Determination Date: Coordination-(date sent): LWRP Consistency Assessment Force Sent: CAC Referral Sent: Tate of Inspection: Receipt of CAC Report: Technical Review: _ d,,-_ �-- Public Hearing Held: GU � Resolution: Owner(s)Legal Name of Property(as shown on Deed): J r,?-S S L F'C'K M ifri C,+-r#Y SC-P`Uf m 4 Mailing Address: S 6 P tC V re, d n T 14 ° C_�O IJY I I 1 - Phone Number: Suffolk County Tax Map Number: 1000 - 7 " Property Location: 150 o A (c 1' e a 9 C) U I4 o c.0 Aly 119.31 (If necessary,provide LILCO Pole#, distance to cross streets,and location) AGENT(If applicable): Mailing Address: Phone Number: Board of Trustees I)lication GENERAL DATA Land Area(in square feet): l ®) 0 2 Area Zoning: e S I a- L Previous use of property: z S i 4-AW t*f D Intended use of property: J 1 J C�✓ Covenants and Restrictions on property? Yes ✓, No If"Yes",please provide a copy. Will this project require a Building Permit as per Town Code? Yes No If"Yes", be advised this application will be reviewed by the Building Dept.prior to a Board of Trustee review and Elevation Plans will be required. Does this project require a variance from the Zoning Board of Appeals? Yes V No If"Yes",please provide copy of decision. Will this project require any demolition as per Town Code or as determined by the Building Dept.? Yes ®/No Does the structure (s) on property have a valid Certificate of Occupancy? Yes No Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. Has any permit/approval ever been revoked or suspended by a governmental agency? V"'No Yes If yes,provide explanation: Project Description(use attachments if necessary): Of G R 4[3 E (z,X ( s T // C E ES Pogo L �0 IM 0 V T S Board of Trustees 'Ai.cation WETLAND/TRUSTEE LANDS APPLICATION DATA Purpose of the proposed operations: U P Ic Rr'�D rz A X I //✓C Area of wetlands on lot: © square feet Percent coverage of lot: ® % Closest distance between nearest existing structure and upland edge of wetlands: 7 feet Closest distance between nearest proposed structure and upland edge of wetlands: �3,Q feet Does the project involve excavation or filling? No ✓ Yes If yes,how much material will be excavated?__cubic yards How much material will be filled? cubic yards Depth of which material will be removed or deposited: 4 Q a _feet Proposed slope throughout the area of operations: Manner in which material will be removed or deposited: c) 1 L ion W 05' C/�5, d >' _ 7X V C Iz' Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations(use attachments if appropriate): Board of Trustees ? `9lication "FIDAVIT l Al BEING DULY SWORN IMPOSES AND AFFIRMA THAT HE/SHE IS THE APPLICANT FOR THE ABOVE (DESCRIBED PERMIT(S)AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF S KNOWLEDGE AND BELIEF,AND THAT ALL WORK L BE.DONE IN THE MANNERSET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTTHOLD AND THE BOARD OF TRUSTEES HARMLESS AND FREE(+IRON ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S)2 IF GRANTED. IN COMPLETING THIS APPLICATION,I HEREBY AUTHORIZE THE TRUSTEES,THEIR AGENT(S) OR'REPRESENTATIVES,INCLUDING THE CONSERVATION ADVISORY COUNCIL,TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH THIS APPLICATION, INCLUDING A FINAL INSPECTION. I FURTHER AUTHORIZE THE BOARD OF TRUSTEES TO ENTER ONTO MY PROPERTY AND AS REQUIRED TO INSURE COMPLIANCE WITH ANY CONDITION OF ANY WETLAND OR COASTAL EROSION PERMIT ISSUED BY THE BOARD OF TRUSTEES DURING THE TERM OF THE PERMIT. gnature of Property Owner Signature o roperty Owner 411— � . SWORN TO BEFORE ME THIS ��--�-------DAY OF 20,,20 Notary Public RANDOLPH AMENGUAL Notary Public,State of New York No,02AM6251700 Co missified in on Expires Nov.21York .unty 20 a APPLicANT/AGENT/RE-PRESENTATWE TRANSACTIONAL DISCLOSURE FORM The Toum of Southold's Code of Fthies nrohibits conflicts of interest on the part of town officers and employees.The purpose of this form is to provide infirmation which can alert the town of�tossihlc conflicts of intcn st and allow it[o#ake tvhatever action is necessary to avoid same. p .YOUR NAME: _ S ! c,k fus °" C P N'1 F S (Last name,first name,ipiddle initial,unless you are applying in the name of someone else or other entity,such,as a company.If so,indicate the other person's or company's name.) NAME OF APPLICATION: (Check all that apply.) Tax grievance Building Variance Trustee Change of Zone Coastal Erosion Approval of plat _ Mooring Exemption from,plat or official map Planning Other (lf"Other,name the activity.) t r' t f '.,0 4 t"_J-- W L-I(Q°t'41 P Do you personally(or through your company,spouse,sibling,parent.or child)have a relationship with any officer or employee of the Town of Southold? "Relationship"includes by blood,utarnage,or busiucss interest."Business interest'means a busiatess, including a partnership,in which the town ofticer or employee has even a paati,d ownership of(or employment by)a corpot ation in which the town officer or employee owns more than 5%of the shares. YES NO If you answered"YES",complete the balance of this form and date and sign where indicated. Name of person employed by the Town of Southold Title or position of that person Describe the relationship between yourself(the applicant/agent/representative)and the town officer or employee.Either check the appropriate line A)through D)and/or describe in the space provided. The town officer or employee or his or her spouse,sibling,parent,or child is(check all that apply): A)the owner of greater than 5%of the shares of tate corporate stock of the applicant (when the applicant is a corporation); B)the lcl:al or beneficial owner of any interest in a non-corporate entity(w1wil the applicant is not a corporation); C)an officer,director,partner,or employee of the applicant;or D)the actual applicant. DESCRIPTION OF RELATIONSHIP Submitted this day of CT"t t�� 2022.0 Signature Print Name u n 6►'It_S Sf l2��,u Fortn TS l Win Short Environinen,tal Assessment F PaH I -Project information Instructions for Conavieting Part I-Project Information. The applicant or,project sponsor is responsible for the completion of Part I. Responses become part of the application for approval or funding,are sulLjcct to public review,and may be subject to further verification. Complete Part I based on information currently available. If additional research or investigation would be needed to fully respond to any item,please answer as thoroughly as possible based on current information. Complete all items in Part 1. You may also provide any additional information which yogi believe will be needed by car useful to the lead agency;attach additional pages as necessary to supplement any item. Part I-Project and Sponsor Information Name of Action or Project: SE) c)A f-c 14 0 rz 0- Project Location(describe,and attach a location map): JSO OA (C 40 (z� SOLal .iq.O..L0 , AJ IVF 614cmy4RO or- #OUJ8 Brief Description of Proposed Action: 0 ex 1S 'T11J(. (310cfc CeSgjOdOl f o 11A C) \'V Name of Applicant or Sponsor: d Tc'ePl11"1e;C3/ )JY 316 ) C4W)l S Z-6 CK M ON I -F'S - S L 19C I(MAW Q G M 4 1 C 41 Address: `50 0 14 K A U e u City/PO: State- Zip Code: 'S a LtTq 0 L-6 A/x 11917� 1.Does the proposed action only involve the legislative adoption of a plan,local law,ordinance, NO YES administrative rule,or regWation? If Yes,attach a narrative description of the intent of the proposed action and the environmental resources that LT may be affected in the municipality and proceed to Part 2. If no,continue to question 2. 2. Does the proposed action require a permit,approval or funding from any other governmental Agency? NO YES If Yes,list agency(s)name and permit or approval: r—l-L.10 /W,-&jyOa1t 3.a.Total acreage of the site ofthe proposed action?- acres b.Total acreage to be physically disturbed? 00 2 2, acres c.Total acreage(project site and any contiguous properties)o'Amed or controlled by the applicant or project sponsor? acres 4. Check all land uses that occur on,adjoining and near the proposed action. 0 Urban 0 Rural(non-agriculture)- 0 Industrial 0 Commercial D6"sidential(suburban) ®forest ®Agriculture OAquatic ElOther(specify): EIP&rkland Page I of 3 5. Is the proposed action, NO YES I N/A a.A permitted use under-the zoning regulations? 0 b.Consistent with the adopted comprehensive plan? 6- Is the proposed action consistent with the predominant character of thq existing built or natural' NO YES landscape? -7. Is the site of the proposed action located in,or does it adjoin,a state listed.Critical Environmental Area? NO YES If Yes,identify: C,00 6 Ec�,Cw C_ 6 4 y f A50yv I g d J C.." 9,04 r a-.' C04 SM I- r"r a k",747. UILNI kJ4ZFV, U 0E6 I fj�;O/J 01.1 0 ff 8. a. Will the proposed action result in a substantial increase in traffic above present levels? NO YES b.Are public transportation service(s)available at or near the site of the proposed fiction? a 12r 0- c.Are any pedestrian accommodations or bicycle routes available on or near site of the proposed action? El 9.Does the proposed action meet or exceed the state energy code reqqiTeMents? NO YES If the proposed action will exceed requirements,describe design features and technologies: F] 10. Will the proposed action connect to an existing public/private water supply? NO YES If No,describe method for providing potable water 11. Will the proposed action connect to-existing wastewater utilities? NO YES If No,describe method for providing wastewater treatment: r I 12. a.Does the site contain a structure that is listed on either the State or National Register of Historic 0 YES Places? b-Is the proposed action located in an archeological sensitive area? :­ I 13.a.Does any portion of the site of the proposed action,or lands adjoining the proposed action,contain NO YES wetlands or other waterbodies regulated by a federal,state or local agency? b.Would the proposed action physically alter,or encroach into,any existing wetland or waterbody? If Yes,identify the wetland or waterbody and extent of alterations in square feet or acres: 14. [Shoreline tify the typical habitat types that occur on,or are likely to be found on the project site. Check all that apply: OForest rL_1 Agricultural/grasslands ®Earlyidid-successional [!fWetland- []urban E]Suburban 15.Does the site of the proposed action contain any species of aniinal,or associated habitats,listed NOI YES by the State or Federal government as threatened or endangered? U 16.Is the project site located in the 100 year flood plain? NO YES 17.Will the proposed action create storm water discharge,either from point or non-point sources? NO YES If Yes, a. Will storm water discharges flow to adjacent properties? [:]NO F_JYES F] b.Will storm water discharges be directed to established conveyance s3f94!ms'(nmoff and storm drains)? If Yes,briefly describe: r]NO []YES Page 2 of 3 I S.Does the proposea action include construction or other activities that result in the impoundment of NO YES water.or other liquids(e-&retention pond,waste lagoon,dam)'! If Yes,explain pulpose and size: F\TfF] 19.'Has the site of the propokd action or an ad[ljoinmig property beenthelocation of an active or closed NO YES solid waste management facility? If Yes,describe: 20.Has the site of the proposed action or an adjoining property been the subject of remediation(ongoing or NO YES completed)for hazardous waste, If Yes,describe: 1 AFFIRM THAT THE INFORIOL4TTON PROVIDED ABOVE IS TRUE AND ACCURATE To THE BEST OF lely KNOWLEDGE Applicantisponsor name: SigC,0,910 7 JZ"'fl) Date. Signature: PRINT FORM Page 3 of 3 Disclaimer: The EAF Mapper is a screening tool Intended to assist project sponsors and reviewing agencies to preparing,an environmental assessment form(EAF).Not all questions asked in the EAF are answered by the EAF Mapper.Additional'Information on any EAF question can be obtained by consulting the EAF Workbooks. Although the EAF Mapperprovides tfte rtwsf up to date dig a(-data auaiiabie to DEC,you may also need to contact local or other data sdurces in order to obtain data not provided by the Mapper.Digital dila is not a substitute for agency determinations_ 7. °'dna ."e++e:1° `;'Y^D,Ft.l .«y; kj-e`en ._ __ _ .t' katnif,i- •t-.w* •'�.y.... en•Z, "'r_'SU1.'ii5 ....-.,1t"1«1.:,L'c!s ar•c tr's F-N::Ca r E.(1.at:a^ dp'cTI m + , 7,'M 1,__.'fy'f_, n3�:,,a. „.7.. ._R`, .I '.1n7'3,�a �;�a.., __ I,_,l• _i3 Part 1 /Question 7 [Critical Environmental Yes Areal Part 1 /Question 7[Critical Environmental Name:Goose Creek, Name:Peconic•Bay and Environs, Reason:Significant Area-Identify] coastal fish&Wildlife habitat,Aeason:Protect public health, water,vegetation, &scenic beauty,-Agency:Southold,Town of,Agency:Suffolk County, Date-.3-13- 90, Date:7-12-88 Part 11 Question 12a [National or State No Register of Historic Places or State Eligible Sites] Part 1 /Question 12b [Archeological Sites] 'Yes Part 1 !Question 13a[Wetlands or Other Yes- Digital mapping information on locel and federal wetlands and Regulated Waterbodies] waterbodies is known to be incomplete.lRefer to EAF Workbook. Part 1 /Question 15[Threatened or Yes Endangered Animal] Part i /Question 15[Threatened or Piping Plover Endangered'Animal-Name] Part 11 Question 16[100 Year Flood Plain] Yes Part 1 /Question 20[Remediation Sitel No say Short Environmental Assessment Form - EAF Mapper Summary Report 1 Town of Southold LWRP CONSISTENCY ASSESSMENT FORM A. INSTRUCTIONS 1. All applicants for permits` including Town of Southold agencies, shall complete this CCAF for proposed actions that are subject to the Town of Southold Waterfront Consistency Review Law. This assessment is intended to supplement other information used by a Town of Southold agency in making a determination of consistency. *Except minor exempt actions including Building Permits and other ministerial permits not located within the Coastal Erosion Hazard Area. 2. Before answering the questions in Section C, the preparer of this form should review the exempt minor action list„ policies and explanations of each policy contained in the Town of Southold Local Waterfront Revitalization Program. A proposed" action will be evaluated as to its sigmificwlt beneficial and adverse effects upon the coastal area(which includes all of Southold Town). 3. If any question in Section C on this form is answered "yes" or "no", then the proposed action will affect the achievement of the LWRP policy standards and conditions contained in the consistency review law. Thus, each answer must be explained in detail, listing loth sutanortinLy and non- supporting facts. If an action cannot be certified as consistent with the LWRP policy standards and conditions, it shall not be undertaken. A copy of the LWRP is available in the following places: online at the Town of Southold's website(southoldtown.northfork.net), the Board of Trustees Office, the Planning Department, all local libraries and the Town Clerk's office. B. DESCRIPTION OF SITE AND PROPOSED ACTION SCTM# -7 - � ` S PROJECT NAME C c, O A It A U E I / 19 0 W J S The Application has been submitted to(check appropriate response): Town Board 0 Planning board F] Building Dept. El Board of Trustees l� 1. Category of Town of Southold agency action(check appropriate response): (a) Action undertaken directly by Town agency(e.g.capital El construction,planning activity,agency regulation,land transaction) (b) Financial assistance(e.g.grant,loan,subsidy) (c) Permit,approval,license,certification: ©/ Nature and extent of action: .J Location of action: 6® 0 OX �U � , S 0 c C(N d L IJ A) Site acreage: C, Present land use: Q e's d ett-j(4t d a't iz Present zoning classification: c ! e n� 2. If an application for the proposed action has been filed with the Town of Southold agency, the following information shall be provided: (a) Name of applicant: C C-11Ck/1 /I/ (b) Mailing address: IS-0 O 0-/( //7 0, S () " fihtv (-4 tiY 11Tv (c) Telephone number:Area Code( ) b z 3 f 6 O (d) Application number,if any: Will�t-h�-e�aaction be directly undertaken,require funding,or approval by a state or federal agency? U Yes No❑ If yes,which state or federal agency' IL) C c,e-1 �y C. Evaluate the project to the following policies by analyzing how the-project will further support or not support the policies. -Provide all proposed Best Management Practices that will further each policy. Incomplete answers will require that the form be returned for completion. DEVELOPED COAST POLICY Policy R. Foster a pattern of development in the Town of Southold that enhances community character, preserves open space,makes efficient use of infrastructure,makes beneficial use of a coastal location,and minimizes adverse effects of development. See LVVRP Section III—Policies; Page 2 for evaluation criteria: KYes ❑ leo ❑ Not Applicable Repl,,�fNS ftt- CX1 Sf (AJ C es PC)dL- w ,v w w Xciv" can fd Attach additional sheets if necessary Policy 2. Protect and preserve historic and archaeological resources of the Town of Southold. See LWR P Section III—Policies Pages 3 through 6 for evaluation criteria ❑ Yes ❑ No IN Not Applicable tr 1 Attach additional sheets if necessary Policy 3. Enhance visual quality and protect scenic resources throughout the Town of Southold. See LWRP Section III—Policies Pages 6 through 7 for evaluation criteria c ❑ Yes ❑ No [2"N of.Applicable Attach additional sheets if necessary NATURAL COAST POLICIES Policy 4. Minimize loss of life, structures, and natural resources from flooding and erosion. See LVIRP Section M—PoliciesPages8 through 16 for evaluation criteria F] YesF-1No blot Applicable Attach additional sheets if necessary Policy 5. Protect and improve water quality and supply in the Town of.Southold. See LVVRP Section III —Policies Pages 16 through 21 for evaluation criteria C"f" Yes ❑ No ❑Not Applicable �l� �. C� u/� (mal/ t .►•t ��vue Our W,1 hv pnL�e�C/ iicev �, ug^ ti - es0C" C e�,f Attach additional sheets if necessary Policy 6. Protect and restore the quality and function of the Town of Southold ecosystems including Significant Coastal Fish and Wildlife Habitats and wetlands. See LWRP Section III—Policies; Pages 22 through 32 for evaluation criteria_. ❑ ❑ Yes Iota Not Applicable ThwTS C-Ju-cC N ��C) eoru C-e.S s 4+ 001, k a v r e IS 1"f l!ere- eISS 1 cnAy F .� o o� Attach additional sheets if necessary Policy 7. Protect and improve air quality in the Town of Southold. See LVVRP Section III — Policies Pages 32 through 34 for evaluation criteria. ❑ Yes [—] No YNot Applicable Attach additional sheets if necessary Policy 8. Minimize environmental degradation in Town of Southold from solid waste and hazardous substances and wastes. See LWRP Section III—Policies; Pages 34 through 38 for evaluation criteria. ❑ Yes ❑ No El Not Applicable PUBLIC COAST POLICEES Policy 9. Provide for public access to, and recreational use of, coastal waters, public lands, and public resources of the Town of Southold. See LWRP Section III—Policies; Pages 38 through 46 for evaluation criteria. ❑ YedO leo[geNot Applicable Attach additional sheets if necessary WO ,G COQ_ 'POLICIES Policy 10. Protect Southold's water-dependent uses and promote siting of new water-dependent uses in suitable locations. See I..VMP Section M—Policies; Pages 47 through 56 for evaluation criteria. ❑ Yes ❑ No [S2"''Not Applicable Attach additional sheets if necessary Policy 11. Promote sustainable use of living amarine resources in bong Island Sound, the Peconic Es vy and Town waters. See I.V�P Section.M—Policies; Pages 57 through 62 for evaluation criteria. Yes ❑ No❑ Not Applicable Attach additional sheets if necessary Policy 12. -Protect agricultural lands in the Town of Southold. See LVVRP Section III—Policies; Pages 62 through 65 for evaluation criteria. ❑ Yes 1:1 No YNot Applicable Attach additional sheets if necessary Policy 13. Promote appropriate use and development of energy and mineral resources. See LWRP Section III—Policies; Pages 65 through 68 for evaluation criteria. ❑ Yes ❑ No EYNot Applicable PREPARED BY LWL Sj22J IMaw, TITLE © WN e -DATE -7/21/23