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47226-Z
.,vat GL Town of Southold 3/17/2022 o , P.O.Box 1179 1 • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42926 Date: 3/17/2022 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 440 Sunset Way, Southold SCTM#: 473889 Sec/Block/Lot: 91.-1-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/7/2021 pursuant to which Building Permit No. 47226 dated 12/14/2021 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: "as-built" interior alterations(family room converted to bedroom)to existing single family dwelling as applied for.. The certificate is issued to LaManque,Donna&Jensen,Michael of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au rize ignature o�suFFdc�-�o TOWN OF SOUTHOLD a Gy� BUILDING DEPARTMENT x TOWN CLERK'S OFFICE oy • o�� SOUTHOLD, NY ?101 , BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 47226 Date: 12/14/2021 Permission is hereby granted to: LaManque, Donna 114 Spring St Port Jefferson, NY 11777 To: Legalize as-built interior alterations at existing single family dwelling as applied for, with SCHD approval, Trustees #1881C and with flood permit. At premises located at: 440 Sunset Way, Southold SCTM #473889 Sec/Block/Lot# 91.-1-8 Pursuant to application dated 10/7/2021 and approved by the Building Inspector. To expire on 6/15/2023. Fees: AS BUILT- SINGLE FAMILY ADDITION/ALTERATION $688.00 CO-ALTERATION TO DWELLING $50.00 Flood Permit $100.00 Total• $838.00 Building Inspector as�oFSOI/T9 ° # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 4 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ _] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ _] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: OK-414 i� 6p/l DATE'1 @tO INSPECTOR Of SAUTyo� �.. 'TOVIIN OF SOUTFlQLWOUILDING DEPT. ro s � I 1 fu Vt it REMARKS � "f U = Vi M 15 v / SfrL YL dl)d-I. r (Dc L DATE 28 J2,,)-2-1 : :1N SPECTOR 1 'DA FIELD.INSPEC�. , R_p�RT•. . TE::. C4MIWLENTS ' FOUNDATION:::(iST� y --- --------=----- ----- -- FOUNDATION::(2NA). . z ROUGH.FRAIYIING:B `4 ^ PLUMBING: y INSULATION. •; STATE ENERGY CODE 7. FINAL ; .17 DD�TIbNAL CC� NTS Ell V. IL G y CIA :�.• � B V z TOWN OF SOUTHOLD—BUILDING DEPARTMENT y Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 hltps://www.southoldtom�nm.gov Date Received APPLICATION FOR BUILDING PERMIT For Office Use Only PERMIT NO. a Building Inspector: OCT 0 7 2021 Applications and forms must be filled out in their entirety. Incomplete R applications will not be accepted. Where the Applicant is not the owner,anTOWBUILDING DEPT Owner's Authorization form(Page 2)shall be completed. N OF SOUTH&D Date:9/29/21 OWNER(S)OF PROPERTY: Name:Donna LaMangue & Michael Jensen SCTM #1000- y73�8q y Project Address:440 Sunset Way, Southold, NY 11971 Phone#:631-408-0165 Email:americanwaymike@gmail.com Mailing Address:114 Spring Street, Port Jefferson, NY 11777 CONTACT PERSON: Name:Michael Jensen Mailing Address,114 Spring Street, Port Jefferson, NY 11777 Phone#:631-408-0165 IEmail:americanwa mike mail com - - _ ___ .._____..._. _ -__. - y-- _9. DESIGN PROFESSIONAL INFORMATION: Name:N/A Mailing Address: Phone#: Email: CONTRACTOR INFORMATION: Name:N/A Mailing Address: Phone#: Email: DESCRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project: F±1 Other Designate an existing room (family room)to be a bedroom $0 Will the lot be re-graded? ❑Yes RNo Will'excess fill be removed from premises? ❑Yes RNo 1 PROPERTY INFORMATION Existing use of'property:Vacation_homeIntended use of property Vacation home_._ Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to residential this property? ❑Yes ®No IF YES, PROVIDE A COPY. Check-Box After Reading: The owner/contractor/design professional is responsible for all drainage and storm water issues as provided by Chapter 236 of.the Town Code. APPLICATION IS HEREBY,MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold,Suffolk,County,New York and other applicable Laws,Ordinances or Regulations,for the construction of buildings, additions,alterations or for removal or demolition as herein described.The applicant agrees to comply with all applicable laws,ordinances,building code, housing code and regulations and to admit authorized inspectors on premises and in building(s)for necessary inspections.False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the New York State Penal Law. Application Submitted By(print name):Michael Jensen ❑Authorized Agent 19 Owner Signature of Applicant: Date:»moo. STATE OF NEW YORK) SS: COUNTY OF Suffolk ) Michael Jensen being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)he is the co-owner (Contractor,Agent, Corporate Officer,etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application;that all statements contained in this application are true to the best of his/her knowledge and,belief; and that the work will be performed in the manner set forth in the application file therewith. Sworn before me this fo day of C�C�GriJ�Y , 20021 Notary Public LYNNE K.BURNS NOTARY PUBLIC,STATE OF NEW YOF[ PERTY OWNER AUTHORIZATION Registration No.4796041 (1 Vhere the applicant is not the owner) Qualified in Suffolk County My Commission Expires AN O&I I, residing at do hereby authorize to apply on my behalf to the Town of Southold Building Department for approval as described herein. Owner's Signature Date Print Owner's Name 2 Glenn Goldsmith,President �O :SO(/Ty' Town Hall Annex 54375'Route 25 A Nicholas Krupslci,Vice President P.O.Bob 1179.. . John M.Bredemeyer III .; Southold,.New York.11971- Michael J.Domino Telephone(631) 765-1-8:92 Greg.Williams Fax(631) 765-6641... ' EC T• 4 2021 BOARD.OF TOWN TRUSTEES.' -T 0.WN.0Y90UTHOLD:. :. :BUILDING DEBT. .TOWN OF SOUTHOLD. CERTIFICATE OF-COMOMM NCE = Date;Ieceber 6;:202'1 ...:-.::.. CERTIF)EES that the-installation of-an UA:OWTS_septic-s At. 4440.'Sunset Way, Southold.. - Suffolk.Countyy-TaX'Map.#1000- Conforms-to_fhe application fora-.:Truitees Permit heretofore:f ed. n this: office Dat: d November 5 2021. .ursuant to.which;Trusfees Administrative-Peirmif#10024A P Dated.,November 1.7, 2021 was issued:and coaiforms to all. the requirements•and.colnditions of the applrcahle provlisions of law. .Th'e.'roject 'for which this:certificateis being issue- is for the.installation-of an UA OWTS-septic system: caelJen &DaiaLa � ru :oher�ihe;certiticate.is ns.sued:to�b,4ihen -of the aforesaid property:. uthorized Signature LaM � 10-6-21 To whom it may concern: Thank you for my recent inspection by Mr.John Jarski relating to a rental permit application that I had submitted for 440 Sunset Way,Southold. During the inspection, Mr.Jarski informed me that I needed to submit a building permit application to have my second floor"family room" converted to be utilized as a "bedroom". This would be bedroom number 3. Therefore, please see the following information included in this packet. • Building Permit Application • Copy of Inspection Report • 4 copies of Second Floor Plan showing Family Room converted to Bedroom 3 (no electrical work needed or performed). • Survey(with new septic system shown as well) • Suffolk County Dept. of Health approval for recently installed Innovative/Alternative Sewage Disposal System: Hydro Action ANC 500, rated for 550 gallons/day treatment(suitable for 5 bedroom home (110 gal/day/bedroom). Please let me know if you need anything else. ® ECEOVE Thank you, OCT o 7 2021 Mike Jensen BUILDING DEPT 440 Sunset Way TOWN OF SOUTHOLD Southold, NY 11971 americanwaymike@gmail.com 631-408-0165 4•x 4•POST �.x r -..T._ .,_ .� 1-1...- _ CID=IN cRR 16.00 I " -- -- 9'-g -- ---� i n DDl JAC 4-r x DCL JACF 2-21 X Q, !]TUDS r1PLT}7 5TUD5 P Y-.T _ yA PkC - ' TW20"ii 10 I D - ■ _ i,'� UN6 Iti. 5TU ?COT T -t 31• R _ $?_' 77�1t -RAIL N R7UNDA x7N r05T `-' WALL C[IL Ij _ 1NCUUTtoe+ o - rOUN 71 - a c OCL JASJA o nAm 9'-z' AAAAD D - A — es,W ----- 1uor:c 2-2.x`. 4• / r05T ' Ti J -3• -- CD P, 2'xc 0 9nm o DM.JAc R WALL 1'd' 971D R-19 rO CL�_ 606D • .INSUTAT CUING HT. 0 m u'RuTvRAt cciuNr ni. n o b In ��b Z W STUD WNL Dr --447-KWf WALL TY/20310TW-2031C Hl T _ 1.05T TO ri RJDGt VALLEY - Ct1UNG MT. t' 4 � ' TO CCt,UW 1 a D y7/AS !/,MAty f��ei As 1� i/4, '. 1, At T TO ..,} -- COUNTY OF SUFFOLK 4 STEVEN BELLONE SUFFOLK COUNTY EXECUTIVE DEPARTMENT OF HEALTH SERVICES GREGSON H. PIGOTT, MD,MPH Commissioner SANITARY REPLACEMENT/RETROFIT ACKNOWLEDGEMENT Letter in Lieu of Inspector Certification Prepared by: Emily Efstration Environmental Analyst Date: January 11; 2021 Subject: Donna LaManque and Michael Jensen (SIP Appl. ID 4242) Address: 440 Sunset Way, SOUTHOLD, NY 11971 The Suffolk County Department of Health Services Office of Wastewater Management has verified a catastrophic failure of the preexisting sewage disposal system on the above referenced property and has satisfactorily completed a sanitary system replacement/retrofit to an I/A OWTS. The replacement/ retrofit to an I/A OWTS was performed in accordance with the Department's Replacement and Retrofit Standards and reported electronically to the Department through-the Septic Haulers Information Portal (S'HIP) which launched on August 5,2019. If you have any questions or comments regarding this I/A OWTS installation please call 631-852-5459. Sincerely, (� REPLACEMEPITOFFAILEDSANITARYSYSTEM pLk WRHAN I/AOWTS HAS BEEN COMPLETED Justin P Jobin Reclaim Our Water wv...--.zctaitnnm acct:mfo Environmental Projects Coordinator DIVISION OF ENVIRONMENTAL QUALITY Protect. PublicHeaIth 360 Yaphank Avenue, Suite 26,Yaphank NY 11980(631) 852-5750 Fax(631)852-5760 Prevent.Promote. Suffolk County Department of Health ScrN ices Office of Wastewater Management 360 Yaphank Avenue,Suite 2C Yaphank,New York 11980 (631)852-5700 OR HCalthWW i(dsuffolkcountyny.gov CERTIFICATION OF SEWAGE DISPOSAL SYSTEM BY INSTALLER Leave blank any items that are not applicable to the installation. "A seivake disposal systent.sketch alan, with location measurements from at least two building corners must be provident on the back, or on a separate sheet and attached to this form** I Health Department Reference Number: SHIP ID 20-01145 Suffolk Tax Map '9: Dist: 1000 Sect(s) 91 131k(s) I Lot(s) 8 Proiect dame or Address: :44OSunset Wav,Southold NY 11971 Applicant%Homeowner Name: Michael Jensen and Donna Latnangue Date of System Installation: 114 0P TS TREATMENT UNJ T1 SEPTIC TA NK Make and Model � d-d 44 o,t 1411 Sid C Volume(gallons): Rated Daily Treatmebt Capacity(gallons): X5-0 Material: j ] Concrete, j ] Fiberglass/Plastic Material: [Concrete [ ] Fiberglass/Plastic Shape: [ ) Rectangular, [ ] Cylindrical ' Top: [ ] Slab, [ ] Traffic Slab, [ ] Dome DISTRIBUTION LEACHING POOLS( applicable) Number of Pools dc �u�szc� Name of Tank Manufacturer: i•� Diameter and Effective Depth GREASE TRAP Top: [ ] Slab [ ] Traffic Slab [ ] Dome Volume (gallons): Name of Precast Manufacturer: Material: [ ] Concrete, [] Fiber-lass/Plastic Top: [ ] Slab, [ ] Traffic Stab, [ Dome LEACHING POOLSIGALLEYS Name of Tank Manufacturer: Total Number of Pools;Galleys 1p G--j Iey 5 Diameter/Dimensions and Effective Depth -I— � � OTHER LEACHING STRUCTURES Top: [ ] Slab Traffic Stab [ ] Dome Make and Model (if applicable): [ ] NIA P /� Name of Precast Manufacturer: l4 W �--Total Linear Feet of Leaching Structure(s): COVERS AND LIDS Installed covers comply with current standards (secondary safety device installed if cover weight less than 60lbs.) [NYes [ ] N/A i hereby certify that the subsurtace sewage lisp sal system components described herein,have been installed by me in accordance with the approved plans and,`or standards of t}}1�Sutfiot aunty Depa mens of Flealth Services as well as any other municipal agency requirements:and any and all mcchanical/clectrical =��r ed and are operational in accordance with manufacturer';recommendations. In;ta;lir . Si°?!f:'.ttt! 0)lit /—// '-d45-a-'1 installer's Name: John Crand.ell J -Company Name: A&A Sewer and Drain Maintenance Inc Phone 631-849-1599 {ompany.Address: 12 Whitewood Drive Rocky Point NY 11778 Consumer Affairs Liquid Waste License Number and endorsement(s): 54=440LW **LNADDITION TO ABOVE, COMPLETE BELOW FOR SANIT..4RYREPLACEbIENTIRETROFIT O:VLY; In addition to the above information, I hereby ify that this OWTS replacement or retrofit meets the Department ReplacementiRetrotit Standards, and that other alternativ s are no en •ironmentally feasible. I also certify that this OINTS replacement or retrofit installation represents an improvement to exisyir g sewn e sposal yg onditions. 1 Mstaller*s Signature � Installer's Name: JohmCrandell 'I HIS DOCUMENT MUST CO`iTAIN ORIGINAL SIGNATURES FRO;sr1 THE INSTALLER WAN\4-07y (06,19i Kuo Suns- . qj acoo x�r�o Ac4a AN500L f -1Rz 13,t I 6 } c.Y t'f!i Cfd mow►,� �� ��d�F" 3 2 (gc 11 -cl y A = 4 c z S�' 5A; `{3 5Cz A&A SEWER AND DRAIN G,c , �� �' MAINTENANCE, INC. 8738 (516)491 AASEWERANDDRAINMAJNTENANCE_CORM AASEWERDRAIN II.COM Suffolk County Department of Health Services Office of Wastewater Management 360 Yaphank Avenue, Suite 2C, Yaphank, New York 11980 (631) 852-5700 OR Hea1thWWM4a_)suffo1kcountyny,gov CERTIFICATION OF CONSTRUCTED WORKS BY DESIGN PROFESSIONAL Health Department Reference Number --- _,t_l� 0 C+ _S. .-._. . _---.-_-- Suffolk Tax Map p . Dist. 1000 Scet(s)__-_91 Blk(s)_ I-------- Lot(s) Project Name/Address y�o S,,NsI:T- V*Y SouTrrOL-0 /,/y 11791 Applicant/Property Owner Name )'1tc fit6t.- '�CN1El/ ITEMS BEING CERTIFIED (Check all that ripply) Community Sewer Lines andlor Community Sewer Collection System Components [ j Retaining Walls(installed as part of the sewage disposal system) [ e wage Pump Station/Valve Chamber Subsurface Sewage Disposal System and all Related Components(Srpuc uink.grouse:"p.kaching systern, t/A Owl S.do , If Applicable---1/AOWTSMnnuf,,twcx: HypADACTIO&I Model- AMC-S00 [ ( Sewage Treatment Plant and all Related Components [ )Water Supply Components ( ) Abandonment of Fre-existing Sewage Disposal System Components ( ] Abandonment of Pre-existing Water Supply Components (Vf Other 01t0NG0 Pvnt STkTrOW AW GOWCAETr GAY lr0 LXfr_rtr1() S'�SrL7tYl As the Licensed Professional Engineer or Architect, I or qualified personnel under my direct supervision. have inspected the work specified above in accordance with the New York State Education Law,and (check one). ['V1 i hereby certify that all material and work conforms to approved plans and permit conditions.and/or standards issued pursuant to the Suffolk County Sanitary Code. (Attach any inspection or test reports required by the Department.) ( J 1 hereby certify that all material and work conforms to approved plans and permit conditions, and/or standards issued pursuant to the Suffolk County Sanitary Code, except as described in my attached addendum.(Also attach any inspection or test reports required by the Department.) INDICATE BELOW IF THIS PROJECT INVOLVED THE BEST-FIT REPLACEMENWRETROFIT OF AN EXISTING SEWAGE DISPOSAL SYSTEM ( J I hereby certify that this sewage disposal system installation has been performed as a Best-Fit Replacentent/Retrofit-and conforms with the appropriate Standards to the greatest extent possible, and that other alternatives are not environmentally feasible. I also certify that the protection of public health and the environment was given priority over all other considerations,and this OWTS installation represents an improvement to existing sewage disposal conditions Engineer's/Architect' Lam:/ Z '� signature: Print Name 1to'"'f OrawrE,t /PE N t-(t-?ora License Number: 09' f73 0 CO 0. L y rr 0 w When inspections are required,this certification shall not b 0 1a by personnel of the Department. THIS DOCUMENT MUST CONTA TUBE FESSO WW M-073 (05/19) N t j N i li. NI I j Vit.Es' I I AF f_l11.1,(.1lk'H0N -R 'NITI A U R�JAS`1`1? N FION, R1 NFVi kl- OR I'R A N' 11 k,R 01 =2,\ P.. P i. AN D A I R,il yA TI F, ......... I S I i Is I. 11 P011-0 P)k 1\_11*10 BIE ;i. TETHE PL S I:" F'NDI(� A Df� REN FAYAL QF _fir.-",NSFFjZ SOF 1,R o u s R 1,*G Riv 1,11_0 N: SHI P20-0 .... ......... ... ... LL 1- N i I" "it:I Jt if'.a zi.1 Da.m I a 1-:I'a: 1 u e M i I it-,L, ki. If f 1jr-J, v T., "INFO Rt\lA I'li 0, ivdv�,Ac,�.(:S i N I I I PlN FIRATION ANO fV'S -4Nli li'-1:VION: _j I!, ;wt it, Hu"an�dflwml smaphw OCt.,11 tsJ 111v ffiqm-tawill dw prvvvous re'jlisirafiloll wal1 lfff iR lb fill f%.2 "t'd 4t 14, td d f PA,chod Jeri�iev im!"I Doov.a 1w,;�;r"2"Qk-0 EN i NL y Al m.lIli �111,j,ih rom l"t. C ,\ACt y �,d Drain �re ri q n T i l it C. Phone 631-849-1599 Mobile 516-491-8738 Fax 631-228-4443 Email aaser;erdraini;dr, ,,!`cor 12 Whitewood Drive Rocky Point, NY 11778 3 YEAR SERVICE CONTRACT FOR HYDRO ACTION AN 500 A&A Sewer and Drain Maintenance Inc.will provide 3 consecutive years of service, which will provide inspection and service of your Hydro Action 5dO I/A OWTS System. One inspection every six months as per local and NSF International regulations.The contract will include the following. • Inspect the control pane!OPS unit • Inspect recirculation pump and air pump, clean and replace filters if necessary,clean discharge pump if system is PSD • Check diffusers for proper air pressure • Check sludge and scum levels • Check floats and alarms and adjust if needed • An effluent quality inspection consisting of a visual check for color,turbidity,scum overflow and examination for unpleasant odors. • Clean laterals of leaching field once per year if system is PSD Owners/Users operation instructions must be strictly followed or warranties are subject to be voided. Alarms and emergencies are NOT included in this contract. The owner/user will be held responsible for the cost of this service at$145.00 per hour plus parts if not under warranty, or do to misuse. If the unit needs to be pumped do to sludge build up it will be at the owner/users expense. Pumping is NOT included in this contract. Property Address: 440 Sunset Way, Southold NY 11971 Owner/user: Michael Jensen and Donna Lamanque Contact Info:631-408-0165/americanwaymike@gmail.com System start up Date 1-11-2021/ Contract Start Date 1-11-2021/ Contract End Date 1-11-2024 Total cost for the 3 year contract is$1222.03 (this includes tax). A&A Sewer and Drai ainte a Inc Owner/User Signature: Signature: Date: ls Date: a4 il � a� Thank You for your business! Please visit our website! www.aaseweranddrainmaintenance.com A5-BUILT SITE INFO PIJ.TIO'.. _ -y S JFFCLt COUIVTI'TA MAF !D: !000-e I-I-b -EXI5TlRG 4 5ffDROO1,4 HOME. NO F OF05ED CONE T FICTION. LCT A.REA, n 3 3 ACRES 14.'05 5E PFOPE LOCATED AI 4G7 7:;45E: \'Va! !•• F J F a OL HOLD TOWN CF CLTHOLD.5UFFOLI:COU 1%NEI;i'ORl _ 1! At,� UP\FI PROVIDED E O :N C. Em-EP-5LAND5URVEYpr ��y�;� ° :�URVEYFD:07-30-2004 UPDATED 04.27-2005 .'ix��:.•"�T%-���1.t1�,�•`r�r�-_� l -VEP aL D,TUr✓-NAVC :564 DATUM 171 Existin ©� _ 5 o G�sUR\ SIT PLAPJ. -5LJFFACE WATER H V'N I (EY, E �f a{j -ALL Hpl? -1 WI HI 150LF ARECONNECTED P T Ef T N TO PU�:.IC t P, �,,. �`P2` k _ _ ice el-5-9 GEfJEF,AL ItpTE7: LAND N/F OF FRANK,MANGANO - EY.'5TING 4-BEDROOM Hp'W V i!H FAILING 5AMTARV BLOC!;CESPOOL'S;. fir^, +,. t 2. EMERGENCY I/A 01h T5 5ANITA4Y r;EPLa.CEF✓ENT DESIGrJ SUFFOU:COUNTY51P GP,ANT PP,pJECT. S= �C�!�u IMPROVED-PUBLIC W-ATER SITE PL rJ AND RFFEP,E'_-ELEVATIpidS TO BE uSFC PUP EI,nEPGEPJCY(:A.OWn,I15 SANITAP':'�YSTEh%1 P �� CON-15-1 ONLY. E�:AC FPOPERTY5TFU'CTUFE FOOTP^!tri. PP.OPERTYBOUNDART5.TANK z� L k G ti y OVERHEAD AND LTIL17: LOCATIION5,A.ND ELEVATION ARE NOT GUARANTEED. ELECTRICAL4.01,151TE UTILITY MAPr.-OUTS TO 5E PERFOR.MI D 5Y CON T RACTOP,PRIOR TO PERFORMING 51TE ' s t r g j��._ SERVICE VVORK: ��} g 9RTPg <t y ASF t r Y - 5. 50IL TEST HOLF DATA PROM_EC FG°IvEIG'HeCF100C plliE LCC'TED i 2855 CEDAR.BEACr r 'tet i„�a POA;. OUTHOLD N..P.10-I3-002.SP SaN n/ATERL LVr"5 FOUND 3A'5ELOW -ADE. GROUNDWATER U A5'FOUND AT EL. 0.5' G. EX15TING SANITAP 51-0CF,CE55FGOL5 TO 5E PU!v'PED AND P`_PAOVED OR ABANDONED A5 3 - t ' •� ' �. IJECE55.4RY PER 5C[)'rlS,5 aNDA.DS. W I nr9: s COJTPACTOPT4 . VIS U x Fi=6ty� F iF �- } X' E c 6• r RESFO J5i5LE TO D'Et/ATEF A V_CESSARY. JD 1115TALL_L.OH`_•APPROVED A�1TI-51-1 YANCY ThE HYDRO, z 1 DEA.DMAN FOR PPEC.45T CONCRL-TE HYDPOPC ION Ti;-lllr.. W s _y G X ��'�--� PPOPOSEL'11.4 OV:TS SEPTIC SYSTEM?FOR LIP TO 4 BEDROOM,r FSIDE!JCE: ❑ a 4 ft�'nE �§ 1 Ct, ONE, FP 5T H _r,RC)ACTION MODEL Ata- OOC I/A 01Ni5 ti^,;'ANTI-5J0`'AtJCY,TR FF!C RATED Q �- " £ j�41CJin� _ ✓ r, �a FISERS AND CA5T P. 5 TO GRADE. W r x `a 2. GNE HYDROA IO J 51LCWEP. VENT AND CONT,R . } ? " 3. ONE OP Jco 51M Fx furor TFTIOI�AND PP300y FLAA . t 4. TVJO'2 L RC1VS O I -FOOT EFFECT LVE^ PTH .tiF IC FATED LEACHING GALLF� PSD � (j� Z x ss .: ; HOT W W Tus 7' x` t EACti' PE C IcS.TOTAL O 1X(6; I-FOOT LEAC :LUG GALLE)"S. (n Q " ✓ L 5. !.PPP,CXIr✓.ATELY 30 YAPD5 OF CLEAN 54ND FILL F`OR F5.D LEACHING TRLIN.HE5. co z J �1.•J�"�.I r77 I ;'. ' ,moi E "' _ } jj GENERAL SAP UAP'5)5T El,/,AND lN5TALLra,-!OP:NOT F-5: � Q X e!4-5,3 ;: Fro'me No;�_e _ h ' PUBLIC W SCJ, Z r c t I/A Otto-"I 5EFTIC 5 `TEM J° :GIJ D FOP.UP'O 4 BEDROOM HOME PEF SJ`'PGU COUNT' _ X @ yr£ � t-tN, FLOOR EL=�.2' 4 X e i 5 �� WATER DEPARTMENT. OF`i ALTH Si.ANDA? . f5CDH5) � �- Ng py SERVICE 2. GONTf;AC:7OR 5 RE5PI NSIDLE FOR DE-WA. Ri FNG A5 NECE554R1'.GFCUHDwATEF 'iI T!CIPATED g y j EXISTING SEWER INVERT TO BE RELOCATE a t ( �t � 0y, ; ESi\ GFG i4K W �J OBY LICENSED PLUMBING CONTRACTOR. vA`EQLL NEC- OI'DP Q EXISTING BLOCK CESSPOOL TO BE PUMPS COJDITipNS. m I?ORT OF sA Je OR FEA GRA`V'EL MAY BE REQUIRED. _ S - e EXIS.FFE:8.2 . G• C' INVERT P RELOCATED I - S AND ABANDONED PER SCDHS STANDARDS. PROP IE:5.rt _ l PP _. S�IJITAP.\' ,R b I l DP.AiN F'IPE 1 EFT;p B FLOCATE '.NU BE 4-Ih H CA5T IFCI;AT U C WOOD DECK EXIS.GRADE 82 P,ORA,E S e '"`c-e FGUiJ?ATIGN FEIJETP.ATIG4J ANON 4-;IVC`t P\%C.1:.Pw5 C Oxl'.45�TD.EA''M GF FOUNDATI::)N, { r C 1 . y, R j=7.2 4. 1,,AOvvT5 5HALL BE TESTED FOR 4TEF TIGN7NE55 PRIOR TO AKIIANG OrJ51TE U51NG THE METHOD APPROVED BY MANUFACTURER. EXISTING PROPANE TANK. ,HE DEStcrJ ErJGINSEP.SHau OVER5EE Tr!E O1N75 DUPING EMEFGENC>'i145TALLATION AND 1.0 , T. MAINTAIN10'SETBACKTO gr5, ti'STARTUP. SANITARY STRUCTURES, G. TME'OviT511,15TALLER 511ALL 55 LiCEN5ED FiCLD AN EIdD045EMEh;T FROM 5CDH5 AND BE A L.------�' 60't 1 y; - HYDKOACTION HL 1 NOR!=E 11,15TALLER. C 5'TAN THE D T`+IN5T.ALLEF.5!-AL F EG'5TEP,THE OPISITE TR.EATtAEidT 5Y5TEP:4 W/!THI 5CDn5. THE `C O 0 8' DE51C-t.Cl,Gl.-E-. -ALL POVI =CES. FIC,,XION DODCU s 5 PF- 5C "F N 1 PTI MEIJT. h REpLI,�L B:"._ DHS. EXISTING LEACHING SETBACK TO LG LG A 5 _A AN OFF TIOPI A vC f,,AI T TAI JCE CON-. �F.A5F FwffFIq T'1E IIA I TCiv NCE PROVIDER,AND THE Z I SURFACE WATER 60 LF3 PROF r I Y OWNER 5.TALL SE PROVIDED TO 5CDtiG FOR I/A O'A,75 AND SD=5YSTE;A. w > X 'v w 5 A G-AREAGE GRINDER 5H4NLL I40-T BE INSTALLED UPSTRPAV-OF THE OkW.5 2 _ LG LG LG MA T ER SOFTENER EACI"VV,SH 5`!.SLL IJ, 5E rLL15`1ED 70 PRL ED SSPTiC 5'YSTE!,:. (W, t. �1 11 5'± I. COl''TIt4C. OR 15 F.E:�PCIVSIBL� 10 pC`i AIIV YG�'VrJ_UILDIN FEPMiT�'.A�I�ELEJ:7APY PZIpR IC �+ 00 ![ 1151 .LLPTION CF 7tiE PROPOSED 5FFTIC 51'51C-IJi. Q m M coX 1 PROPOSED LEACHING SETBACK TO U z z 8- SURFACE WATER 115 LF z 4 :a, IN c• W W d j a - Q W Y X c i Q z Lei= Tf:°i•31 .. ~ r e Q (D t- C) } - _ S91044�� PROPOSED 2X 4.75'WIDTH BY 25.5'LENGTH LEACHING GALLEY PSD w xo J TRENCHES WITH 1-FOOT EFFECTIVE DEPTH AND H-20 TRAFFIC RATED (� ❑ CD ¢m a HYDROACTION CONTROL PANEL, LAND N!F OF THOMAS SIMON COVERS. TOTAL OF SIX(6)LEACHING GALLEYS. = N /1 COMPRESSOR ASSEMBLY AND VENT � � Z ¢o + 1, IMPROVED-PUBLIC WATER W o ELECTRICAL: i HYDROACTION: 20 AMPS i ORENCO PUMP STATION: 20 AMPS p 16,3 SOIL CONDITIONS:TEST HOLE FROM FOIL OF NEIGHBORA PROPERTY:R10-13-0020NE W t PROPOSED PRECAST 0-6"LOAM.0,5'-3'BROWN CLAYEY SAND.T-7'BROWN&PALEWtBROWN MEDIUM SAND(SP), % HYDROACTION MODEL AN-500C I/A GROUNDWATER AT EL.0.5'1 7'-13'WATER IN PALE BROWN FINE TO MEDIUM SAND. LLJ OWNTS W/ANTI-BUOYANCY { PROPOSED ORENCO SIMPLEX PUMP PSD LEACHING TRENCHES DESIGNED FOR 1-5 MIN/INCH PERCOLATION RATE AND 4 DATE:11-18-2020 STATION W/DEADMAN AND PF:3005 BEDROOM HOME.CONTRACTOR TO EXCAVATE DOWN TO SP SAND AND BACKFILL WITH SCALE: 1:20 PUMP CLEAN SAND FILL AS NECESSARY TO BASE OF PSD TRENCH.APPROXIMATELY 30 YARDS OF CLEAN SAND FILL. DESIGNER:TAO PSD LEACHING CALCULATION: SHEET: C C� FUJI CEN-5:CATEGORY 1 I/A OWTS ✓AN ITALY 5ITE PLAN 3 GPD/SLEACHING G 1-5 MINUTE PERCOLATION RATE LEACHING GALLEYS 4.8 SFlLF,USE MAX 3.25 SF/LF � 440 GPD/3.0 GPD/SF/3.25 SFILF=45.12 LF SCALE= 1 :20 USE 2X25.5 LF LEACHING GALLEY TRENCHES.TOTAL OF 51 LF>45.12 LF. APPROVED AS NOTED OR �� ���LAW�I�L FE "".83F�,UD BY:P �- �._� 1 ' Is IOERTIFU L. NOTIFY BUILDING DE .A, T M.. . AT 765-180.2, ,=6AM TO I -,M T'L+E �'' F c FOLLOWING INSPECTIONS 0I� `"'��° 'NCC 1..;FOUNDATION - TWO REQUIRED FOR.-POURED CONCRETE 2.,90UGH - FRAMING & PLUMBING 3. ,INSULATION 4.:FINA� - CONSTRUCTION MUST COMPL\( WITH ALL b0bFS, OF BE COMPLETE FOR C.O. F ALL CONSTRUCTION SHALL MEET THE NEW YORK STATE &��W! ' _,c�DC` -REQUIREMENTS OF THE CODES OF NEW AS REQUIRED AND.-CONDITiU�IS . YORK STATE. NOT RESPONSIBLE FOR SOUTHNZBA DESIGN OR CONSTRUCTION ERRORS. SQtii}IOLD TOWN PLANNuNu E' GG I G �D7 1k AdditionalNY:S.DEQ Certification May Be Peo sired. FLM ZOH'Xs 4�, � COWLY V, 51144 RETAIN STORM WATER RUNOFF PURSUANT TO CHAPTER 236Ot�'i' .za,~*:;•� �.p � .`,,..;� OF THE TOWN CODE. &=iRICA1.IP11SF+amoN REQUIRED -I ii ,'',1,�R I ,I 11 1, � 1 1..............j I,,5�_`,"Ill, '.�, � . 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