HomeMy WebLinkAbout50663-Z TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
r
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#: 50663 Date: 5/13/2024
Permission is hereby granted to:
Bailey, Edward
... ..
300 Bennetts Pond Ln
Mattituck, NY 11952
To:, Construct an in ground swimming pool accessory to an existing single-family dwelling.
Pool and pool equipment must maintain a minimum side and rear yard setback of 10
feet and pool must be a minimum distance of 20 feet from septic cesspools.
At premises located at:
300 Bennetts Pond Ln, Mattituck
SCTM # 473889
Sec/Block/Lot# 111-13-4
Pursuant to application dated 4/2/2024 and approved by the Building Inspector.
To expire on ...._11/12/2025.� ........_
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $300.00
CO- SWIMMING POOL $100.00
Total: $400.00
C/�...... ........_..._.......... ...... ........
Building Inspector
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
` Telephone (631) 765-1802 Fax (631) 765-9502 lit°tos:fivvw so ut.ho'ldt�°a�v�ny. ,Yo '
Date Received
BUILDINGAPPLICATION FOR
For Office Use Only l� p
PERMIT NO. Building Inspectors, _ I a 2 2024 �
�r . .
Applications and forms must be filled out in their entirety.Incomplete
applications will not be accepted. Where the Applicant is not the owner,an
Owner's Authorization form(Page 2)shall be completed.
Date:3-15-24
OWNER(S)OF PROPERTY:
Name:Edward J Bailey & Debra J Sweda SCTM# 1000-113-13-04
Project Address:300 Bennets Pond Lane Mattituck, NY 11952
Phone#:631-806-4313 ]:Eail:d ss8@optonline.net
Mailing Address: 300 Bennets Pond Lane Mattituck, NY 11952
CONTACT PERSON:
Name:Ann Southard
Mailing Address: 467 Miller Place Road Miller Place NY 11764
Phone#:631-928-2693 x100 Email:annie@swimtechpools.com
DESIGN PROFESSIONAL INFORMATION:
Name:
Mailing Address:
Phone#: Email:
CONTRACTOR INFORMATION:
Name: Swim Tech Pool Services, Inc. - Michael Homerick
Mailing Address:467 Miller Place Road Miller Place NY 11764
Phone#:631-928-2693 x100 Email:annie@swimtechpools.com
DESCRIPTION OF PROPOSED CONSTRUCTION
[:]New Structure ❑Addition ❑Alteration ❑Repair ❑Demolition Estimated Cost of Project:
D Other In-Ground Vinyl Swimming Pool 16x32 Rectangle 32,795.00
Will the lot be re-graded? ❑Yes 1*No Will excess fill be removed from premises? ❑Yes RNo
1
PROPERTY INFORMATION
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 ONO IF YES, PROVIDE A COPY.
19 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):Edward J Bailey & Debra J Sweda []Authorized Agent ROwner
Signature of Applicant: Date: 3-15-24
M
STATE OF NEW YORK)
SS:
COUNTY OF Suffolk )
Edward J Bailey & Debra J Sweda
being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
(S)he is the 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
_day of WO 20c3ILj
Notary Public
ANFE—SZ0—UTHAi71D,
NOTARY PUBLIC,STATE OF NEW YORK
PROPERTY WEIRAUTHORIZATIONOual ie iNo.ff kC t
(Where the applicant is not the owner) om° i "I drr Maron iz„ 1
1, 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
A p--
NYSIF
New York State Insurance Fund PO Box 66699,Albany,NY 12206
1 nysif.com
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE (RENEWED)
^"^^^^ 112855800
SWIM TECH POOL SERVICES, INC
467 MILLER PLACE ROAD
MILLER PLACE NY 11764
SCAN TO VALIDATE
AND SUBSCRIBE
POLICYHOLDER CERTIFICATE HOLDER
SWIM TECH POOL SERVICES, INC TOWN OF SOUTHOLD
467 MILLER PLACE ROAD 53095 MAIN STREET
MILLER PLACE NY 11764 PO BOX 1179
SOUTHOLD NY 11971
POLICY NUMBER CERTIFICATE NUMBER POLICY PERIOD DATE
12406 522-9 637650 12/19/2023 TO 12/19/2024 3/29/2024
THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE
FUND UNDER POLICY NO. 2406 522-9, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR
WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL
OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW.
IF YOU WISH TO RECEIVE NOTIFICATIONS REGARDING SAID POLICY,INCLUDING ANY NOTIFICATION OF CANCELLATIONS,
OR TO VALIDATE THIS CERTIFICATE,VISIT OUR WEBSITE AT HTTPS://WWW.NYSIF.COM/CERT/CERTVAL.ASP.THE NEW
YORK STATE INSURANCE FUND IS NOT LIABLE IN THE EVENT OF FAILURE TO GIVE SUCH NOTIFICATIONS.
THIS POLICY DOES NOT COVER CLAIMS OR SUITS THAT ARISE FROM BODILY INJURY SUFFERED BY THE OFFICERS OF THE
INSURED CORPORATION.
PRESIDENT
MICHAEL G HOMERICK
SWIM TECH POOL SERVICES INC
ONE PERSON CORP
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE
COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER
THE COVERAGE AFFORDED BY THE POLICY.
NEW YORK STAT,S7URNCE FUND
DIRECTOR,INSURANCE FUND UNDERWRITING
VALIDATION NUMBER: 942182513
3 DATE(MM/DD/YYYYI
=RL>AC CERTIFICATE OF LIABILITY INSURANCE
02/06/2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Commercial Support
g PHONE (631) 390-9700,,,,,,.. . ..,,,._ _......�w w..
Ed ewood Partners Insurance Center � __,,,Support
��� FAIL
40 Marcus Drive t l wll 4 �__._.......... A : Nq ...631I 390-9790 M
3rd Floor E-MAIL MSMCerts a icbro)cers com
Melville NY 11747 A4094t _w.. ° w .w . .__ ......� _._............. w-...__
INSURERS AFFORDING COVERAGE NAIC#
. . _...w, w...._�........................ ..�.,..... ...... .�_ � INSURER A: INSURANCE AN . ... 19682
_.........
INSURED INSURER B:
Swim Tech Pool Services, Inc. INNSURERC: .ww--� .
467 Miller Place Rd INS URERD:. _.
Miller Place NY 11764 INSURERS:„ ww-._._._............I."—._w__.w_......__.......
INSURER F:
COVERAGES OB CERTIFICATE NUMBER:Cart ID 27668 (23) REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN R — TYPE OF INSURANCE "8 POLICY NUMBER ^w MM/OD EFFµ 0�iLDYCY .. _.. w....._....LIMITS _�ww.........__.~~
R
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
GrT0'RFAT .................. .. --- w_w...........
CLAIMS-MADE FX OCCUR 12UUNOZ8766 02/01/2024 02/01/2025 PR M[SER(E�q.,.., „$k--_ 300,000
MED EXP(An one person) $ 10,000_. .__..,.,.-....... �................ ....
w_w.............. .....ww-_ w...ww. PERSONAL BADVINJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY1:1 PRO- � LOC PRODUCTS-COMP/OPAGG x$ 2,000,000
IET �www.....�_ -----
OTHER., E pl Benefits Liab $ 2,000,000 µ
AUTOMOBILE LIABILITY COMBINED SINGLE LiM $
Ea accadsnq . . ..-.w....ww_........ w-....
ANY AUTO BODILY INJURY(Per person) W$
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS - °°°°°°°°° —
HIRED NON-OWNED sPxcorYrAf«(AE $
AUTOS ONLY AUTOS ONLY .-- --------- •-
UMBRELLALIAB OCCUR E_ACHOCCURRENCE $
EXCESS LIAB w. CLAIMS-MADE "AGGREGATE ._......... $ __...w...........mm -w._.�
DE.�..... ...._- RETENTION$........................_m.�.�. � $
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY Y/N TAT.,TE URH" ...............
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N/A .......
OFFICERIM EMBER EXCLUDED?
(Mandatory in NH) E.L DISEASE-EA EMPLOYEE, $
If yes,describe under ..........._........,.....� www_................ .w...----.............., w.
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Town of Southold
53095 Main Road PO Box 1179 AUTHORIZED REPRESENTATIVE
Southold NY 11971
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
n 1 _F I
NIEW
Workers' CERTIFICATE OF INSURANCE COVERAGE
STATE Compensation
Board DISABILITY AND PAID FAMILY LEAVE BENEFITS LAW
PART 1.To be completed by Disability and Paid Family Leave Benefits Carrier or Licensed Insurance Agent of that Carrier
1 a.Legal Name&Address of Insured(use street address only) 1 b.Business Telephone Number of Insured
SWIM TECH POOL SERVICES INC (631)928-2693
467 MILLER PLACE ROAD
MILLER PLACE,NY 11764
1c.Federal Employer Identification Number of Insured or Social Security
Work Location of Insured(Only required if coverage is specifically limited to Number
certain locations in New York State,i.e.,a Wrap-Up Policy)
112855800
2.Name and Address of Entity Requesting Proof of Coverage 3a.Name of Insurance Carrier
(Entity Being Listed as the Certificate Holder) New York State Insurance Fund(NYSIF)
TOWN OF SOUTHOLD
53095 MAIN STREET 3b.Policy Number of Entity Listed in Box"la"
PO BOX 1179 DBL 5394 18-5
SOUTHOLD,NY 11971
3c.Policy effective period
02/01/2024 to 02/01/2025
4.Policy provides the following benefits:
® A.Both disability and paid family leave benefits
❑ B.Disability benefits only
❑ C.Paid family leave benefits only
5.Policy covers:
® A.All of the employers employees eligible under the NYS Disability and Paid Family Leave Benefits Law
❑ B.Only the following class or classes of employers employees:
Under penalty of perjury,I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named
insured has NYS Disability and/or Paid Family Leave Benefits insurance coverage as described above.
Date Signed 3/29/2024 By
(Signature of insurance carrier's authorized representative or NYS Licensed Insurance Agent of that insurance carrier)
Telephone Number (866)697-4332 Name and Title Kristin Markwica,Head of Disability Insurance Unit
IMPORTANT: If Box 4A and 5A are checked, and this form is signed by the insurance carrier's authorized representative or NYS
Licensed Insurance Agent of that carrier,this certificate is COMPLETE. Mail it directly to the certificate holder.
If Box 413,4C or 5B is checked,this certificate is NOT COMPLETE for purposes of Section 220, Subd.8 of the NYS
Disability and Paid Family Leave Benefits Law. It must be mailed for completion to the Workers'Compensation Board,
DB Plans Acceptance Unit, PO Box 5200, Binghamton, NY 13902-5200
PART 2.To be completed by the NYS Workers'Compensation Board(Only if Box 4C or 5B of Part 1 has been checked)
State of New York
Workers' Compensation Board
According to information maintained by the NYS Workers'Compensation Board,the above-named employer has complied with the NYS
Disability and Paid Family Leave Benefits Law with respect to all of his/her employees.
Date Signed By
(Signature of Authorized NYS Workers'Compensation Board Employee)
Telephone Number Name and Title
Please Note:Only insurance carriers licensed to write NYS disability and paid family leave benefits insurance policies and NYS licensed insurance agents
of those insurance carriers are authorized to issue Form DB-120.1. Insurance brokers are NOT authorized to issue this form.
DB-120.1 (10-17) Certificate Number 781900
hIr 41' &I
GENERAL N TES
1.Install pool in accordance with approved site plan,local zoning and construction �Q� Z co
codes,2020 Residential Code of New York State and 2020 Energy Conservation PO V_
POOL DECK
Construction Code of New York State. ¢ �¢"xt"BOLT WITH NUT
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2.Locate patio,pool,pool equipment and fencing as specified on approved plot plan. & 2 WASHERS W Lj
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Install all products in strict conformance with manufacturer's instructions. All warning MIN. 6°TH (7 PER JOINT REO'D.)-,_ \\
ICK I k--:F. \ F� a
labels to be permanently affixed. CONCRETE COLLAR :r /�/�\ WALL-STEEL 14 GA. �•-I a „�'� Z
3•Install pool in free draining sub de. Backfill with clean select REQ'D.AT BASE OF "�^" \\/\\/ W 2oz. G235 a ,�.,'2 0
p g gra granular fill. 32�-0" WALL PANELS 8 ;,' n°>� c://\// / ( ) = 1 o Z
\ \ GALVANIZING
4.Water treatment plant to conform to the following minimum specification. Pump to Z •;'c=: 2'.• /\//\ '� 0 3
DRIVE RODS THROUGH m•;� :r, BOLT mx21¢° W o
turn 1 volume in 18 hours. Filter to pass no more than 5 gpm/sf. 1 skimmer. HOLES IN PANELS 10° ;:<` /\//\ Vx M,o
5.Provide potable water supply in pool area. INTRO UNDISTURBED j\\ \ 0 n o
6.Provide dedicated electric circuits of capacity sufficient to service water treatment i j\j/ REINF. m g
plant. All electric in pool area to be protected by ground fault interrupt. Install all i I 2'SAND OR VERM. //\\//\ \\//\\/ ROD w a
P i CONC. \ \ \
electric in accordance with the N.E.0&local requirements.There shall be no overhead � — — — —� �
electric lines within 10'of the pool. I I I UNDISTURBED EARTH SUPPORT SUPPORT MAY BE <c
'7.Slope deck a'per foot away from pool. All concrete to be 3,500 psi,5-7%air BACKFlLL SHALL BE FREE-DRAINING CLEAR BRACE SUPPORT BOLTED TO THE ANGLE w u�,
entrained unless otherwise noted. I IN ANY OF THE
GRANULAR MATERIAL SUCH AS SAND,TRACE a t�
o$,Install a temporary 4'high construction barrier OR TRACE SILT PRE-PUNCHED HOLES
about the pool during its installation. _ �— _ _I _ I_ a. _
Maintain such barrier until a permanent barrier is in place. TYPICAL LINER INSTALLATION DETAIL TYPICAL WALL BRACE ASSEMBLY
m
9.Install erosion controls prior to the start of construction as required and specified I y I1 0
hereon.Maintain such controls during construction. I I %-x1" BOLT W/NUT& CONCRETE DECK REQ'D. 0
10.The permanent barrier about the pool area shall comply with local ordinance,the I 2 WASHERS CORNER BRACKET +, 0-
J (TYP. 14 EA CORNER)
Residential Code-of NYS Chapter R326-Swimming Pools,Spas and Hot Tubs — 12-14x1°SELF DRILLING
P g P � �� \ � RIM-LOCK COPING
FASTENER (18°D.C.) D R2UDED ALUMINUM
Section R326.4.2 and conform to the following minimum specifications. � - U ¢ � Z
a.The top of the barrier shall be at least 48 inches(1219 rum)above grade measured VINYL LINER HUNG
on the side of the barrier which faces away from the swimming pool. The maximum PLASTIC CORNER (HUNG) N o w
vertical clearance between grade and the bottom of the barrier shall be 2 inches(51 INSERT
rum)measured on the side of the barrier which faces away from the swimming pool. RADIUS CORNER Z W�. %W
¢ i
COPING POOL WALL PANEL
CD
Where the top of the pool structure is above grade,such as an aboveground pool,the Z
barrier may be at ground level,such as the pool structure,or mounted on top of the TYPICAL CORNER DETAIL RIM-LOCK COPING DETAIL
pool structure. Where the barrier is mounted on top of the pool structure,the POOL PLAN WALL DETAILS `� ,
maximum vertical clearance between the top of the pool structure and the bottom of TA C
the barrier shall be 4 inches. SCALE:NONE
b. Openings in the barrier shall not allow passage of a 4-inch-diameter(102 mm)
sphere.- ,,rM
c.Solid barriers which do not have openings,such as a masonry or stone wall,shall 2 WALL DETAILS
not contain indentations or protrusions except for normal construction tolerances and 1'00NON-DIVING POOL
tooled masonry joints. NONE f
d.Maximum mesh size for chain link fences shall be a 2.25-inch(57 mm)square USE OF DMNG EQUIPMENT IS PROHIBITED A-1 0 7
unless the fence is provided with slats fastened at the top or the bottom which reduce O�
the openings to not more than 1.75 inches(44 mm).
e. Gates in the barrier shall be self closing,self latching and be secured with a key or w
combination lock or other approved child proof mechanism. Pedestrian gates shall w
open away from the pool. Where the self latching mechanism is less than 54 inches o z o G M<o o z m W
above the bottom of the gate the latching mechanism shall be on the pool side of the
HEIGHT OF W,gIER � Ww ooN 3 Z- o
barrier and the gate and barrier shall have no opening greater than Z"within 18"of the = z Z z N W w w z z W
latch and its release mechanism. F�a o a= z
I PUMP WITH TIMER ow ow
f.The permanent barrier shall be erected and functional no later than 90 days after the Z F7 M C o } N 00.
o
3 "o SWITCH FILTER Z5; omw4 3
completion of the pool. I a w g w L2'8�
11.Where the design uses a wall of the dwelling as a part of the permanent pool T` _ CHLORINE GENERATOR NPQ� R,Z r.-
�OOw �m�wo .pWw
barrier installer shall provide one of the following access control measures. WASTE RETURN JET SKIMMER ¢o o w$ a Y w o
a.Operable windows within the wall shall have a latching device located no less than 3
48 inches above the floor.Openings in operable windows shall not allow the passage �¢v','iw5 �»a c�iwc��
of a 4 inch diameter sphere when the window is in its largest open position. 3'_g" �'_0" 11 -0" 10�-6"
b.All doors with direct access to the pool through that wall shall be equipped with an
alarm which produces an audible warning when the door and its screen,if present,are
opened. The alarm shall sound continuously for a minimum of 30 seconds [2"0 SCH40 O Jimmediately after the door is opened and be capable of being heard throughout the AFFX TAG ,
house during normal household activities. The alarm shall automatically reset under all STATING "MAIN PVC, TYP.
conditions. The alarm system shall be equipped with a manual means,such as touch LATERAL SECTION THROUGH POOL DRAIN" m 0 a) - H
O � � Z
pad or switch,to temporarily deactivate the alarm for a single opening. Such 0 0
deactivation shall last for not more than 15 seconds. The deactivation switch(es)shall N z Ld
be located at least 54 inches(1372 mm)above the threshold of the door;or 18X23 BOTTOM 3'-OLl Y Q"
c.Other means of protection,such as self-closing doors with self-latching devices, DRAIN, TYP. OF 2 _ W which are approved by the governing body,shall be acceptable so long as the degree of
protection afforded is not less than the protection afforded by Items 4.a or 4.b O CU ¢ J
described above.
12.Install all suction fittings in accordance with Section R326.6 "Suction Outlets", o
O
Single and multiple outlet systems shall be protected against user entrapment as 1 POOL DETAILS 3 WATER TREATMENT z . a w
detailed herein or ANSI7SPSP/ICC 7. U
a.Single and multiple pump systems shall have a minimum of 2 suction outlets —
separated by a minimum distance of 3 feet. A_1 NONE Lu
b,Suction outlets shall be equipped with a cover conforming to ANSI/ASME
Al 12.19.8 or have a drain grate with a minimum projected dimension of 18"by 23"or w
mi J
have an approved channel drain system. � _J
c.Provide Atmospheric Vacuum Relief System conforming to ASME Al 12.19.17. Z m d.Pool cleaner fittings,if provided,shall be located in an accessible area and be _
located between 6 and 12 inches below the minimum operational water level or be an °CU C.4f)
attachment to a surface skimmer. m
Te YN1Gs1 THE 9JFVEY -.�HS BE}U1LF(0 IFE 117LE CWIPANY,CGVEFYHENTAL AGENCY AND IENUING 4YSi1NTlGN IJS7EG HEfjGM,AND TO(HE ASSIGNEES .„c ccNf11NG IN571Tl1TIDF.CERTIFICATIONS ARE NGT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEgtlENT OtiNERS. (S)1NE LOcniivry ur Y.:115(Y7),SEPTYC TANK�(ST)!t
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