HomeMy WebLinkAbout47313-Z Ek Town of Southold 7/28/2022
P.O.Box 1179
o -
53095 Main Rd
1'jfj� ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43293 Date: 7/28/2022
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 1255 Donna Dr.,Mattituck
SCTM#: 473889 See/Block/Lot: 115.46-12
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/10/2021 pursuant to which Building Permit No. 47313 dated 1/10/2022
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:
accessory in-ground swimming pool fenced to code as applied for.
The certificate is issued to Urbank,John&Mary
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47313 5/16/2022
PLUMBERS CERTIFICATION DATED
ut o ze Signature
�ocuFFOik�,o TOWN OF SOUTHOLD
ay BUILDING DEPARTMENT
y x TOWN CLERK'S OFFICE
SOUTHOLD, NY
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#: 47313 Date: 1/10/2022
Permission is hereby granted to:
Kelly, Michael
1255 Donna Dr
Mattituck, NY 11952
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
1255 Donna Dr., Mattituck
SCTM #473889
Sec/Block/Lot# 115.-16-12
Pursuant to application dated 12/10/2021 and approved by the Building Inspector.
To expire on 7/12/2023.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CERTIFICATE OF OCCUPANCY $50.00
Total: $300.00
B 'ding Inspector
- 0f SOUj,�ol .
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179 a sean.deviinl-town.southold.ny.us
Southold,NY 11971-0959 Q
�ycOUNTY,�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: John Urbank
Address: 1255 Donna Dr city:Mattituck st: NY zip: 11952
Building Permit* 47313 Section: 115 Block: 16 Lot: 12
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: TRC Electric License No: 46689ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service
Commerical Outdoor X 1st Floor Pool X
New X Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures Bath Exhaust Fan
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO2 Detectors
Sub Panel A/C Blower Range Recpt Ceiling Fan Combo Smoke/CO
Transformer UC Lights Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 4'LED Exit Fixtures Pump
Other Equipment: Intermatic Pool Panel 8 Circuit 3 Used, Pump 220GFI, Hayward Deckbox Transforme
Hayward Salt Generator, Heater
Notes: Pool
Inspector Signature: Date: May 16, 2022
S.Devlin-Cert Electrical Compliance Form
SOGIyo�
# # TOWN OF SOUTHOLD BUILDING DEPT. VV/
�o • �o
765-1802
INSPECTION .
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY' [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL(ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:.
DATE S 6 INSPECTOR
SOUT�olo
TOWN OF SOUTHOLD BUILDING DEPT.
co 631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ rULATIOWCAULKING
FRAMING /STRAPPING [ AL
[ ] POLO-
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
Jell
1 L-01
DATE 1 INSPECTOR
FIELD:lNSPEC 'Ia T,T owm:.,: _
FOUNDATxON 1- T
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o4�g1SFFttlK�Q� TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-0959
icy ae
Telephone(631) 765-1802 Fax(631) 765-9502 https://www.southoldtowiiny.,-ov
'sr'szasi" ,
Date Received
APPLICATION FOR BUILDING PERMIT
For Office Use Only ® (C 1� E (I�7 D n E
PERMIT N0. ✓ Building Inspector: L� lEJ 21
f . DEC 1 0 2021
Applications'and forms`.must.be filledEout'iri their entirety.lncompl,ete.;;„ BU
::: :E:.
:;'appliceti`o.'ns.will'not be`accep'ted_;Vilhere the Applicant is:not;the owner;an,. TOWN OFSOUFpT
=wOwner's`Autiiorization for`rn_`(Page•21 shall'be com,pleted'.;;: y;
Date:
71
OWNERS}®F PRfOPERTIf:
N:a e:t �b� .,..lav•.V i ^ SCTM#1000-
Physical Address: 1 55 ®•rA +k.lL
Phone#i 4 K1 4� 05® -77(f-3- -
7
77`C .-7 Fg4J
4.
5
t'
R SON
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E :
N
A
�M
Name: Moraw FjqxdWag SerAi !'i __,-�OGID-�J bc .
Mailing Address: Sure Z,1Z„_ •__,.,
Phone#: LzvbDVM4NY11 Email:rn 4eu c `{)n �tln
�r(JU+�l 1 CO (-ANI
DESIGN PROFESSIONAL,INFORMATI®N:`
Name: I ,
Mailing Address: , �� . fb �1
Phone#:51� _Ll”,�- GJ�/��. Email: n I-
-CONTRACTOR INFORMATION:'. .
Name.-
Mailing
ame:Mailing Address:
Phone#: Email:
x.31-.1s�. ! ..
D'ESGRIPTION OF>PROPOSED'.CONSTRUGTIO.N' '
El New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
Wither
Will the lot be re-graded? ❑Yes QP Will excess fill be removed from premises? Vfyes ❑No
1
¢ �13
PROPERYY'INFORMAI 10'N"`f
Existing use of property: Intended use of property:
Zone or use district in which premises is situated: Are there any covenants and restrictions with respect to
this property? ❑Yes ❑No IF YES, PROVIDE A COPY.
. v: ' 1 -.. -n. �.. "t.:.... ': .-t v'.• r 1 •�•.,�••..:r.vim_ -, �'=`••4
eck BOX After heading The owner/contractor%design professional is responsible,for•all drainage and storm water'issues,as provided•by "
chapter 236 of the-Towo Cade. APPGICATION�IS'HEREBY MADE'to the Building Department-forthe issuancevf a Building Permit pursuant to:the Building Zone;
Ordmance.of the Town of Southold;§uffolk;.County,NeuGYoik a`nd other applicable Laws,Ordinances^or Regulations,for the'construction of'buildings,. '
addition"s,alterations or forremoval.or d-molition as herein described.The.applicant agrees to complV.With all applicable lavers,,ordinances;building code,.,,:
housiriicwe and regulations"and to,adipd authoriied,inspectors on premises and in'buildmg(s)-fo".necessary inspections.False statements made herein;are k'=
punishable as a Class A misdemeanorpursuant to,Section;210:45 of.the New York'$tate`Penallaw:'
Application Submitted By(print name): []Authorized Agent ❑Owner
Signature of Applicant: Date:
STATE OF NEW YORK)
S •
COUNTY OFRuv- )
bi (Ancj U&P ';t being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the aa&n-�
(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 a elief;and
that the work will be performed in the manner set forth in the application file therewith.
Sworn before me this
day of ,l..d'JeU Mb�&r ,20 2k fW
Notary Public
`'f oae�nafie Edith Kilicatslan
Publi
,� a Notary c=State of New York
PROPERTY
OWNER A i ORIZ 41!QN
(Where the applicant is not the owner)
Qualified n. Suffolk County'"
IVIy Commission expires 11 2
-77
residing at
do hereby authorize ao E= ( •e "eh to apply on
my behalf4o tRhold Building Department for approval as described herein.
Qwner�s�-Si`n'atare�:`=► `Dat�-
E33
2
� IQL UILDING DEPARTMENT- Electrical Inspector
TOWN OF SOUTHOLD
Town Hall Annex - 54375 Main Road - PO Box 1179
crs: K
Southold, New York 11971-0959
Telephone (631) 765-1802 - FAX (631) 765-95,02
roc err(cDsoutholdtownny.gov — sea rid(aD_southoldtownny.gov
APPLICATION FOR ELECTRICAL INSPECTION
ELECTRICIAN INFORMATION (All Information Required) Date: 2,
Company Name:
i
Electrician's Name: 0,tf?g- muggy
License No.: 9I Elec. email: T9C ,/Z6 (P.I W4l rl..Get
Elec. Phone No: -``Zy�$. [9I-request an email,copy of Certificate of'Compliance
Elec. Address.
.s
JOB SITE INFORMATION (All Information Required)
Name: T/K l<
Address: f. �S c,,�11{O� (71Z- •/1, �T"u:e(� 1 f4 SZ
.% Cross-Street:
3
Phone`fVo.•_.5�� —(� ,moo o -7-1
Bldg.Permit#:
3. 3-
Tax Map District: 1000 Section: BI'ock: a Lot:
BRIEF DESCRIPTION OF WORK, INCLUDE SQUARE FOOTAGE (Please Print Clearly): _
Square Footage.
Circle All That Apply:
Is job ready for inspection?: ® YES ❑ NO ❑Rough In � Final
Do you need a Temp Certificate?: ❑ YES &�]' NO Issued On
Temp Information: (All information required) —'
Service Size❑1 Ph 73 Ph Size: A # Meters Old Meter#
❑New Service❑Fire Reconnect[]Flood Reconnect❑Service Reconnect❑Underground❑Overhead
# Underground Laterals D 1 2 7 H Frame Pole Work done on Service? D Y N
Additional Information:
PAYMENT DUE WITH APPLICATION
� Cr1
Co
T ls��
HM ENGINEERING P.C.
P.O.Box 914
EAST NORTTEL:51i6--4476-5392PORT,NY 11731 DEC 1 0 2021
EMAIL:HMARNIKA@OPTONLINE.NET R
P➢l)}.L+�,h=�'RCPT
November 26, 2021
Town of Southold
Building Department
Town Hall
Southold,N.Y. 11971
Dear Sir/Madam:
This is to certify that the drainage facilities to be used exclusively for the construction of a swimming pool
on the premises of:
Urbank Residence
1255 Donna Drive
Mattituck,N.Y. 11952
will not require draining because the pool is constructed with a vinyl liner. The pool water will be
continuously recirculated through the filter and will be reused from year to year. The drainage from the
filter backwash is nominal and will not interfere with the public water supply, the existing sanitary
facilities or public highways.
Sincerely,
YHMEineering P.C-7,
arnika P.E.
S-1 uffolk County, , Dept, of,
Labor, Lite nsing & Consumer Aftirs
HOME IMPROVEMENT U E SE
Name
!! I H El J DOMIN[Gl
ness xNat te
T17 iS& certifies that the
��arer, is +d�u�1� : , Iioen�sed LONG 1I�JJ : P�= �� & PATIO INC
the Cou=rty .of sufWk
icenseNurm'-ber,
: H-4- 707,
Rosalie Dzra o Issued.- 0110
COMM, -- iss—iGner
gxptre
01 /01'12N3
Ars�= Note: ALL SUBSURFACE STRUCTURES; UNAUTHORIZED ALTERATION OR ADDITION
eaWATER SUPPLY, SANITARY SYSTEMS, TO THIS SURVEY IS A VIOLATION OF
rt�aul a M riC�6r Al DRAINAGE, DRYV✓ELLS AND UTILITIES,
SECTION 7209 OF THE NEW YORK STATE
C20,020 sq.1 6e carfale SEPT. 2021 SHOWN ARE FROM FIELD OBSERVATIONS EDUCATION LAW.AND OR DATA OBTAINED FROM OTHERS. COPIES OF THIS SURVEY MAP NOT BEARING
THE LAND SURVEYOR'S INKED SEAL OR
0.46 acres 21\00NM DRIVE THE EXISTENCE OF RIGHTS OF WAY EMBOSSED SEAL SHALL NOT BE CONSIDERED
AND/OR EASEMENTS OF RECORD IF TO BE A VALID TRUE COPY.
ANY, NOT SHOWN ARE NOT GUARANTEED. GUARANTEES INDICATED HEREON SHALL RUN
ONLY TO THE PERSON FOR WHOM THE SURVEY
IS PREPARED, AND ON HIS BEHALF TO THE
Premises known as: TITLE COMPANY, GOVERNMENTAL AGENCY AND
1 1255 Donne Drive LENDING INSTITUTION LISTED HEREON, AND
TO THE ASSIGNEES OF THE LENDING INSTI—
TUTION. GUARANTEES ARE NOT TRANSFERABLE.
LOT 63 "—� LOT 55
IN OF DEEP ROLE CREEK ESTATES
FILED JANUARY 28, 1955 FILE NO. 4256 1,lAP OF DEEP ROLE CREEK ESTATES
concrete +log ry "LED JANUARY 28, 1965 17L NO. 4256
monument ��® %�126911y'
7 S/ L _ 0 00' ° I
_ o fence fence car. stockade fence - -��0.71E
®
0.2S v fence car.f
® 1 a6'S 0.1{1 chain(1k fence
403 o
o IseU /fence car.
Z$D' a 0.81E
tonding r
It steps a
STORY a
Nz �. FRAME ` LOT 62
asphalt vafk
RFSIDEIYCF �
nda d CT/+P OF DEEP HOLECRE ESTATES
deck FILED JANUARY
40.3' 1.1 4.7' f � � . 4256
ASNALT 06 LOT 56
DRIVEWAY N garage � DFCK '� y W OF LEEP RALE CREEK ESTATES
\ 0. 9
211' 0 ® FLED JANUARY 28, 1965 FILE N0. 4256
r
Planter
I asphalt walk ' steps e I
a a concrete -_ p rs
I frame ret Wall 1
a monument — 121'
p<anier ponds
- _ o sled
182.001 fence a'aad terca 1 ' V ychain nk v J
0.174 o fence car. fence's meet ,ry®11'�Q
1 0.7s o.4 s N9719L j/1/ fe,.e end
0.7)V 0.65
LOT 69
1,IAP OF DEEP HOLE CREEK ESTATES
"LED JANUARY 28, 1965 FILE N0. 4256
Cti OF NFL'v
CD 1%O1 T0 �O
.s 4c�866
r iVtD S�
z5UrV1^Vy Of Lot 62
MAP OF DEEP HOLE CREEL( ESTATES
F1LEO JANUARY 28, 1965 FILE NO. 4256
situate at
attituck
LAND SURVEYI_NGTown ' of Southold
Nii�Bt�oville@aol.com _ � ��.��� � �� � ��y, N e w York
TITLE MORTGAGE SURVEYS
TOPOGRAPHIC SURVEI a x Map #1000- 115- 16-12
'(S
SITE PLANS Scale 1 99— 30' September 9, 202
John Minto, L.S. Jacqueline Marie Minto, L.S. GRAPHIC SCALE
LICENSED PROFESSIONAL LAND SURVEYOR LICENSED PROFESSIONAL LAND SURVEYOR
NEW YORK STATE LIC. NO. 49856 NEW YORK STATE LIC. NO. 5108
30 0 15 30 60 120
Phone: (631) 724•-4832 '
P.O. Box 1408 Smithtown, N.Y. 11787
( IN FEET )
1 inch = 30 ft:
7APPR VED AS NOT D
3
DATE: B.P.# /�
FEE: ' BY:
NOTIFY BUILDING DEPARTMENT AT
765-1802- 8 AM TO 4 PM FOR THE RETAIN STORM WATER RUNOFF
FOLLOWING INSPECTIONS: PURSUANT TO CHAPTER 236
1. FOUNDATION - TWO REQUIRED OF THE TOWN CODE,
FOR POURED,CONCRETE
2. ROUGH FRAMING & PLUMBING
3. INSULATION
4. FINAL - CONSTRU(';ION MUST
BE COMPLETE - :.0.
ALL CONSTRUCTI,:,i, &HIALL MEET THE ELECTRICAL
REQUIREMENTS OF T HE CODES OF NEW iNSPECTION REQUIRED
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS.
COMPLY WITH ALL CODES OF
NEW YORK STATE & TOWN CODES
AS REQUIRED AND CONDITIONS OF
J�
ENCLOSE POOL TO,CODE:
D TOWN P G BOARD :UPON COMPLET'llop
D TOWN TRUSTEES BEFORE "WATER
OCCUPANCY Ok
USS IS UNLAWFUL
WITHOUT CERTIFIC/
)F OCCUPANCY
Q NOTES:
1.POOL AND PROPERTY TO CONFORM TO 2020 NYS UNIFORM FIRE PREVENTION AND BUILDING CODE,TOWN OF
CONTINUOUS CONCRETE SOUTHOLD CODE AND 2017 NATIONAL ELECTRIC CODE.
BRACE COLLAR (ENTIRE 2.POOL SHALL CONFORM TO ANSI/APSP/ICC 5 STANDARDS R326.3.1.
(m'.) PERIMETER) SEE DETAIL BENCH/ 3.SECTION R326.7 POOL ALARM REQUIRED.
THIS SHEET SWIM—OUT 4.ENTRAPMENT PROTECTION REQUIRED SECTION R326.5.
5. POOLSHALL COMPLY WITH BARRIER REQUIREMENTS SECTION R326.4.
• 6.POOL SHALL COMPLY WITH 2020 ENERGY CONSERVATION CONSTRUCTION CODE OF NYS SECTION R403.10:
. ` ;Y ` �r:'' .• . POOLS AND PERMANENT SPA ENERGY CONSUMPTION(MANDATORY).
SECTION R403.10.1 HEATERS
SECTION R403.10.2 TIME SWITCHES
I SECTION R403.10.3 COVERS
" 7.SLOPE PATIO SURFACE 1/4"PER FOOT(MIN.)AWAY FROM POOL.
8.LOCATION OF PROPOSED SWIMMING POOL AND POOL EQUIPMENT BY OTHERS.LOCATION TO COMPLY WITH
4x 8' LOCAL ZONING REQUIREMENTS.
STEP ® � �— I 9.BACKFILL MATERIAL TO BE FREE DRAINING GRANULAR MATERIAL(NO CLAY OR LARGE ROCKS).
16' $1AflMMING PCOL I I .' 10.FILL POOL WITH WATER PRIOR TO BACKFILLING.
S.F. 11.POOLTO,REMAIN PERMANENTLY FILLED.
•..; 12.ALL DRAIN COVERS TO MEET ALL REQUIREMENTS OF THE VIRGINIA GRAEME BAKER(VGB)POOLAND SPA
I SAFETY ACT.
13. NO DIVING EQUIPMENT PERMITTED.
14.CONTRACTOR SHALL VERIFY SOIL BEARING LOADS PRIOR TO INSTALLATION OF POOL.
15.THIS PLAN IS FOR CONSTRUCTION.ON PROPERTY AT 1255 DONNA DRIVE,MATTITUCK,N.Y.11952 ONLY.
16. HM ENGINEERING,P.C.SHALL NOT BE RESPONSIBLE FOR CONSTRUCTION MEANS,METHODS,TECHNIQUES OR
32' PROCEDURES UTILIZED BY THE CONTRACTOR,NOR FOR THE SAFETY OF THE PUBLIC OR CONTRACTOR'S
EMPLOYEES,OR FOR THE FAILURE OF THE CONTRACTOR TO CARRY OUT THE WORK IN ACCORDANCE WITH THIS
36' PLAN.
17.-SUCTION OUTLETS SHALL BE DESIGNED AND INSTALLED IN ACCORDANCE WITH ANSI/APSP/ICC 7.
18. NO SURCHARGE ALLOWED WITHIN W OF SHALLOW END AND V OF DEEP END.
NOTE:
NOT TO SCALE THIS IS A NON-DIVING POOL.
FILTER BRACE (FILL 6'
;Ump�
CAVITY VAIN GRAVEL
AGGREGATE OR
CONCRETE)
3'_4" VIEW ACROSS CENTERLINE OF HOPPER 2"0 (�) SKIMMER
3 OVAL MAIN DRAIN WITH _� p VINYL UNER
T1 ��� 3.0' STRAINER (VGB, _
2' SAND BOTTOM, (MIN.) SAFETY.ACI', _
3-4" HIGH
TAMPED & ROLLED APPROVED DRAINS) O FIBER REINFORCED
15' 8' 6' 3'
SWIMMING POOL COMPOSITE PANEL
0
° 8" X 36'
jar CONTINUOUS
CONCRETE COLI.M
POOL MOW DRIVE STAKE r ;�<;; ';,' O (F?JTIRE PERIMETER)
NOT TO SCALE FILTERED WATER ;t '`, '
RETURN, NUMBER OF
NOZZLES VARIES PER
POOL SIZE
MAIN DRAIN PIPING SCNEMAIIC LEVELING BASE UNDISTURBED
GENERAL NOTE: EARTH
ALL MANUFACTURED ITEMS AND CONSTRUCTION SHALL COMPLY WITH THE 2020 NOT TO SCALE
RESIDENTIAL CODE OF NYS,INCLUDING THE SPECIFICATIONS IN SECTION R326. NOTE: WALL SEQ )QN AND BRACE, )5TEM
DRAWING CONFORMS TO ANSI/APSP-7 SUCTION NOT TO SCALE
ENTRAPMENT AVOIDANCE CODES.
NOTE:
BACKFILL MATERIAL TO BE SAND,GRAVEL OR OTHER
NON-EXPANSIVE MATERIAL.
PREPARED FOR: ®EC 1 0 221
URBANK RESIDENCE
1255 DONNA DRIV EPT
TOwim OF S'OJ-L�OLD
fi
JA (TUCK, N.Y 11952 . L„
L DATE: 11!26/2021
NOTE: l
HIM ENGINEERING, P.C. SCALE: AS SHOWN.
THESE PLANS ARE AN INSTRUMENT OF SERVICE AND ARE THE PROPERTY OF HM ENGINEERING P.C,UNAUTHORIZED ` ! f C,6 �/ P.O.BOX 914,EAST NORTHPORT,NY 11731 SHEET: 1 OF 1
ALTERATIONS OR ADDITIONS TO THESE DOCUMENTS AREA VIOLATION OF SECTION 7209 OF THE NEW YORK STATE Tei:(516)476-5392 Fax:(631)980-7671 Email:hmarnika@optonline.net RESIDENTIAL SWIMMING
EDUCATION LAW.INFRINGEMENTS WILL BE PROSECUTED. UT RAISED SEAL AND BLUE SIGNATURE POOL PLAN