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TOWN OF SOUTHOLD BUILDING DEPARTMENT 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#: 52104 Date: 07/15/2025 Permission is hereby granted to: Oregon Rd Prop LLC 6175 Oregon Rd Cutchogue, NY 11935 To: Construct additions and alterations to an existing single-family dwelling as applied for to include interior renovations,a second-floor deck,basement laundry room,the removal of the east porch and an HVAC system as per SCHD approval. Premises Located at: 9435 Oregon Rd, Cutchogue, NY 11935 SCTM#95.-4-21 Pursuant to application dated 04/28/2025 and approved by the Building Inspector.. To expire on 07/15/2027. Contractors: Required Inspections: Fees:. Single Family Dwelling- Addition &Alteration $1,498.50 CO Single Family Dwelling-Addition /Alteration $100.00 Total $1,598.50 - 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 h ::l' .soa�tholdtownn . ors Date Received APPLICATION FOR BUILDING PERMIT E C E � U E ., For Office Use Only PERMIT NO. � 1 Building Inspector., 2025 Applications and forms must be filled actin their'enti�ety:Ina vanplete uNfin rlr ,f pp _ wall no ;be accepted: Where the Appl6nt is not the owner,an o��E� ra ti��y Owner's Authorization form(Page`)`shall be cd P' 'e'' Date. a(. a d o2 OWNERS)OF*PER7Y,0 Name: SCTM# 1000- of-- Project Address: 13 T q �° S Phone#: Email: Mailing Address: CONTACT PERSON: Name: G �) Mailing Address: �� 8 Yr p �' 01 Phone#: S'7 Q f.--7 Email» fir. �t DESIGN PROFESSIONAL INFORMATION: Name: " ` f ��e r� pp ..............bL Mailing Address: � ) akn Al 11968 Phone#: 63 . 3 Email: V C� Ilanavb An , CONTRACTOR INFORMATION: Name: 1 COn( 1� 7 1 �62 `-Talyrlet ` too fl Mailing Address: O 13Qx ley-do— a m l ']Phone#: ���. �3�• i�� LE-mail, C,feet/ i' .f ,- DES,CRIPTION OF PROPOSED CONSTRUCTION ❑New Structure ❑Addition Xteration Repair ❑Demolition Estimated Cost of Project: ❑Other $' 0• QO Will the lot be re-graded? ❑Yes N0 Will excess fill be removed from premises? ❑Yes o 1 ' r r 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. i ,, �'/ r, �'T)f��J �1��ckgrj�ttgn p�Fes�`ie�ial is teslfans t�fa fcr all�lra�rafge anid stA�rm wafer lssaas�p�dr��by fa r l�n{thQ Town def AP" �ICA7 f�IrIS H ��Y Kll l�kd h�B�illdtri ,tlg rtm r ithe`issuanc 6 4 Building P4rm�t furdGar tto �1)ng>oir r�r °' loan r „Soo olds' Y / , '' '!f� rd a or lC lal ns wnucdo > F/ r , r r,, , r , r rr r r „ � ,,/ rr/ , ! , rrrr r r r�� ,� r/a, r ✓r. :f�r[�, /�'�„ � a/r�i ,. � ";; r� � �r� add e o 'or r"rim I,a'd m h,aSlf� ' e a rein e w rrg�Iabfe laws, tdtn�rA 3 trld�f Evde f�ousin °rx(r ark a" �d'inic�Gth �p I� mines n to bGndln � fo�necessarlfitf�peatlgr►e fra se�tat�rraa is a�t�� ryg ' uNs(a �a as a d�s� misn{art�r4x (fanEd �kTof� � ffa1et4 �rCtte t+enaMr: Application Submitted B (print name): '' �- 44/17 Authorized Agent ❑Owner Signature of Applicant: Y� Date: STATE OF NEW YORK) SS: COUNTY OF TT / being duly sworn,deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)he is the o b-ac, lr'" Cr" AeA (Contractor,Agent, Corporate Office ,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 nowledge and belief;an that the work will be performed in the manner set forth in the application file therewith. SA'RIBARA H.TAN'DY Sworn before me this Notary Public,State Of New York No.. 01TA6086001 da of 20 Oualified In Suffolk tint y Ex lrea Notary Public PROPERTY OWNER AUTHORIZATION (Where the applicant is not the owner) I, residing at do hereby authorize i to apply on my be f to the Town of Southold Building Department for approval as described herein. ,.- - '1-1 Owner's Signature Date Land 1&)kl Prid Owner's Name 2 , �s Albert J. Krupski, Jr. CIFORlMMA FIER SUPERVISOR m l�\1[A\NA\&G]EM]ENIF SOUTHOLD TOWN HALL-P.O.Box 1179 6' Town of Southold 53095 Main Road-SOUTHOLD,NEW YORK 11971 C 3"TER 236 - STORMWATER MANAGEMENT REFERRAL FORM, ( APPLICANT INFORMATION TO BE COMPLETED BY THE APPLICANT ONLY FOR PROPERTIES ONE ACRE IN AREA OR LARGER. ) - - - - - - - - - APPLICANT: (Property Owner, Design Professional, Agent, Contractor, Other) NAME: Date: #- o?��0?0�� (Print) Contact Infor nati n: cu o (E-Mail&Telephone Number) 3 f Proper I Address / Location of Construction Site: 05 © S.C.T.M. #: 1000 District Section Block Lot TO BE COMPLETED BY SOUTHOLD TOWN ENGINEERING DEPARTMENT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Area of Disturbance is less than 1 Acre. No S.P.D.E.S.Permit is Required I Project does Not Discharge to Waters of the State. No S.P.D.E.S. Permit is Re uired - Area of Disturbance is Greater than 1 Acre & Storm-water Runoff Discharges Directly to Waters of the State of New York. THE APPLICANT MUST OBTAIN a S.P.D.E.S. Permit DIRECTLY From N.Y.S. D.E.C. Prior to Issuance of a Building Permit. ❑ - Area of Disturbance is Greater than 1 Acre &Storm-water Runoff Flows Through Southold � S.P.D.E.S. Permit throu Waters the Southo Southold Town Engineering Department APPLICANT MUST OBTAIN Towns MS a S P.D.I S. Prior to Issuance of a Building Permit. / � / S a ��c/V v Date. k� Reviewed By. +� �� FORM * SMCP-TOS December 2024 Generated by REScheck-Web Software Compliance Certificate Project 9385 Oregon Road, Cutchogue Energy Code: 2018 IECC Location: Cutchogue, New York Construction Type: Single-family Project Type: New Construction Project SubType: None Conditioned Floor Area: 2,230 ft2 Glazing Area 30% Climate Zone: 4 (5572 HDD) Permit Date: Permit Number: All Electric false Is Renewable false Has Charger false Has Battery: false Has Heat Pump: true Construction Site: Owner/Agent: Designer/Contractor: 9385 Oregon Road Cutchogue, NY 11935 Compliance: 2.2%Better Than Code Maximum UA: 455 Your UA: 445 Maximum SHGC: 0.40 Your SHGC: 0.40 The h Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. bab-oru igradetradeoff's are no lion for coiiiMdered br'i the UA or performance comphancle path in REScheck, Each slab-on-.hare q � `�code 61SLrVafl0uu w-vallruc!:and Lell��„phi rri qu.uh ernernLs. �ua4;r�ra���V� c�°�r tR°ri-r;���r��u'�b�Iar��P�rlroa�� �a�:rr�r� aea;�t r�rs�b�.I°�6rrr�"rvlrrbl•rrrru°r�e�ureu'. Envelope, Assemblies WEN Flat Roof-Sunroom: Flat Ceiling or Scissor Truss 163 49.0 0.0 0.026 0.026 4 4 Kitchen (Insulation to roofline): Cathedral Ceiling 352 49.0 0.0 0.022 0.026 8 9 Main Living (Insulation to roofline): Cathedral Ceiling 975 49.0 0.0 0.022 0.026 21 25 First Floor Exterior Walls: Wood Frame, 16" o.c. 1,375 20.0 0.0 0,059 0.060 47 48 Window 2: Wood Frame 582 0.320 0.320 186 186 SHGC: 0.40 Second Floor Exterior Walls: Wood Frame, 16" o.c. 1,025 20.0 0.0 0.059 0.060 52 53 Second Floor Glazing: Wood Frame 138 0.320 0.320 44 44 SHGC: 0.40 First Floor Exterior Floors: All-Wood joist/Truss 1,083 19.0 0.0 0.047 0.047 51 51 Project Title: 9385 Oregon Road, Cutchogue Report date: 04/15/25 Data filename: Page 1 of10 REScheck Software Version : REScheck-Web ciInspection Checklist Energy Code: 2018 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified _. .. . ... _ ,., a ... _......._ & Reci.ID I Pre-inspection/Plan Review Value Value Complies? Comments/Assumptions _., 103.1, Construction drawings and ❑Complies 103.2 documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the building envelope.Thermal ❑Not Observable envelope represented on ❑Not Applicable construction documents. 103.1 Construction , C �...�. .m_..... _....., �e,,, .ue.a�� ... ,.... �.._._ .......... .........w __.__.. ._.... ._._....__-- ��_�m� .... uction drawings and ❑Complies 103.2, documentation demonstrate ❑Does Not 403.7 :energy code compliance for [PR3]1 lighting and mechanical systems ❑Not Observable Systems serving multiple ❑Not Applicable dwelling units must demonstrate compliance with the IECC Commercial Provisions. 302.1, Heating and cooling equipment is Heating- Heating: ❑complies 403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR2]2 on loads calculated per ACCA Cooling: Cooling: ❑Not Observable Manual] or other methods Btu/hr Btu/hr approved by the code official. ONot Applicable Additional Comments/Assumptions: I� 9... m p ��� P ( � �Low rn V. _. pacl(Tier 3)1 Hi h impact (Tier,l) 2 iMedium impact Tier 2) 3 " Project Title: 9385 Oregon Road, Cutchogue Report date: 04/15/25 Data filename: Page 3 of10 Section d Ip Plan �Verified -FieldVerified Framing / Rough-in Inspection ValueValue Complies! Comments/Assumptions & Re 402.1.1, Door U-factor., U- U- ❑Complies See the Envelope Assemblies 402.3.4 ❑Does Not table for values. [FR1]1 ❑Not Observable ❑Not Applicable....�... ....._.....� 402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies 402.3.1, average). ❑Does Not table for values. 402.3.3, ❑ 402.5 Not Observable [FR2]1 ❑Not Applicable 303.1.3 U-factors of fenestration products � ❑Complies [FR4]1 are determined in accordance ❑Does Not 11v, with the NFRC test procedure or taken from the default table. ❑Not Observable ❑Not Applicable 402.3.5 Fe nestration in thermally isolated U- U- � . � �.� .. ElC ............. ---_- �� ...-...omplies [FR8]1 sunrooms in Climate Zones 2-8 ❑ Isolated ❑ Isolated ❑Does Not have maximum U-0.45. ❑ Not Isolated ❑ Not Isolated ❑Not Observable 1 ❑Not Applicable 402.3.5Skylights in ther........mall.�._.... ..� e isolated U- U- ❑Complies [FR9]1 sunrooms in Climate Zones 2-8 ❑ Isolated ❑ Isolated []Does Not have a maximum skylight U- ❑ Not Isolated ❑ Not Isolated ❑Not Observable factor of 0.70. All other sunroom skylights must meet code ❑Not Applicable requirements. 404.........1.1 Air barrier and thermal barrier....................................... ..................................... .....:.m....__... ._ _._..... ..... m...m.._w .. _µ m ......_ 2. p - 2. ❑Com lies [FR23]1 installed per manufacturer's ❑Does Not instructions. ❑Not Observable ❑Not Applicable 402.4.3Fenestration that is not site built ❑Co- -- � — ��mplies [FR20]1 is listed and labeled as meeting ❑Does Not . AAMA/WDMA/CSA 101/I.S.2/A440 or has infiltration rates per NFRC [-]Not Observable 400 that do not exceed code ❑Not Applicable limits. 402.4.5 IC-rated recessed lighting fixtures: - � OComplies [FR16]z sealed at housing/interior finish ❑Does Not and labeled to indicate <_2.0 cfm leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403.3.1 Supply and return ducts in attics ❑'Complies [FR12]1 insulated >= R-8 where duct is ❑Does Not >= 3 inches in diameter and >_ R-6 where < 3 inches. Supply and ❑Not Observable return ducts in other portions of ❑Not Applicable the building insulated >= R-6 for diameter>= 3 inches and R-4.2 for< 3 inches in diameter. 403.3.2 Du cts, air handlers and filter _a .® OComplies _ .......� _,.m ..._�.m� [FR13]1 boxes are sealed with ❑Does Not joints/seams compliant with International Mechanical Code or ❑Not Observable International Residential Code, as ❑Not Applicable applicable, 403.3.5 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. ❑Does Not 11Nr ❑Not Observable ❑Not Applicable g p ct(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 9385 Oregon Road, Cutchogue Report date: 04/15/25 Data filename: Page 5 of10 section Plans Verified Field Verified ' ._w ..__ Reim I D ...—.o. _.. .. .... .....m�.. ........ ...... # Insulation Inspection....... ... ...... complies? Comments/Assumptions 303.1 All installed insulation is labeled ❑Complies [IN13]2 or the installed R-values ❑Does Not !1V provided. ❑Not Observable ❑Not Applicable �402.1.1, Floor insulation R-value. Wood � -� Wood ElDoes lies ee th n � yL�Y�u omplies "See the Envelope Assemblies Not table for values. [IN1]1 ❑ Steel ❑ Steel ❑Not Observable ❑Not Applicable 303.2, Floor .�.���...._��_�.. ...�._ ___.. .w. . ........... ...ry.....�_ m, _.�..... .r .....-.�.�.... � .......� insulation installed per ❑Complies 402.2.8 manufacturer's instructions and ❑Does Not [IN2]1 in substantial contact with the mr underside of the subfloor, or floor ❑Not Observable framing cavity insulation is in ❑Not Applicable contact with the top side of sheathing, or continuous insulation is installed on the underside of floor framing and extends from the bottom to the top of all perimeter floor framing members. 402.1.1, Wall insulation R-value. If this is� a R �_W R omp......�..� table for values. Assemblies lies See the Envelope 402.2.5, mass wall with at least /2 of the ❑ Wood Wood ;❑D ❑ oes Not 402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN3]1 exterior, the exterior insulation requirement applies (FR10). ❑ Steel ❑ Steel ❑Not Applicable .......................3 ��.:, . _ .W. ................� ... _.. 03.2 Wall insulation is installed per ❑Complies [IN4]1 manufacturer's instructions. ❑Does Not ❑Not Observable ❑Not Applicable 303.2 Sunroom wall insulation installed ❑Complies - - [iN9]1 per manufacturer's instructions. ❑Does Not ❑Not Observable ❑Not Applicable 303.2.. .-......m.......�__... �_�_��...W . ..... �® M �.... ...�....� — Sunroom ceiling insulation is ❑Complies [IN11]1 installed per manufacturer's ❑Does Not instructions. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 9 p er 1) 2 M.................... ....... I edium impaact(Tier 2) , 3 Low Impact(Tier 3) 1 Hi h Im act(Ti � .... .. ..... ..._....-�..._.�..__._d_ . ... Project Title: 9385 Oregon Road, Cutchogue Report date: 04/15/25 Data filename: Page 7 of10 4 Y. ears Plans Verified Field Verified # Final Inspection Provisions Value Value a Complies Comments/Assumptions & ICe ID 403.6.1 All mechanical ventilation system ❑Complies [FI25]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy and air flow limits per Table ❑Not Observable R403.6.1. ❑Not Applicable 3.2 hot water boilers supplying heat ❑� Complies [0 - - ..��, heating ®,.....�._..-.-......._ ... ..._...�..... . ❑Does Not systems have outdoor setback control to lower boiler water ❑Not Observable temperature based on outdoor ❑Not Applicable temperature. 403.5.1.1 Heated water circulation systems ❑Complies [FI2812 have a circulation pump.The ❑Does Not system return pipe is a dedicated return pipe or a cold water supply ❑Not Observable pipe. Gravity and thermos- ❑Not Applicable syphon circulation systems are not present. Controls for circulating hot water system pumps start the pump with signal for hot water demand within the occupancy. Controls automatically turn off the pump when water is in circulation loop is at set-point temperature and no demand for hot water exists. [02 ].1.2 comply eattrace 515 1 or UL .,.. . _ �..„.......❑Does.. .�— mplies p y Not 515. Controls automatically adjust the energy input to the ❑Not Observable heat tracing to maintain the ❑Not Applicable desired water temperature in the piping. 403.5.2 Demand recirculation wa.ter.......... .. ❑Complies [FI30]2 systems have controls that ❑Does Not manage operation of the pump and limit the temperature of the ❑Not Observable water entering the cold water ❑Not Applicable piping to <=_104°F. .... --- ..._.... �.............. 403.5.4 Drain water heat recover y units ❑Complies [F131]2 tested in accordance with CSA ❑Does Not B55.1. Potable water-side pressure loss of drain water heat ❑Not Observable recovery units < 3 psi for ❑Not Applicable individual units connected to one or two showers. Potable water- side pressure loss of drain water heat recovery units < 2 psi for individual units connected to three or more showers. — ......... �.._. .............._ . �..�. .. ...... n. ..... ..............-.... 404.1 90 or more of permanent ❑Complies [FI6]1 fixtures have high efficacy lamps. ❑Does Not ❑Not Observable ❑Not Applicable .... . e._ -- -- -- ... w _.. m..... _... 404.1.1 Fuel gas lighting systems have ❑Complies [FI23]3 no continuous pilot light. ❑Does Not luo ❑Not Observable ❑Not Applicable , Ekom �0�]3.. _..Compliance certificate...posted. ..,. ..,- .. ......� ..��...n.. �,..� .._ ,,,,� ._,❑Doesplies Not. ...�..m...__.—�........�..,..s�.._. ❑Not Observable ❑Not Applicable g P (Tier _ ........... .. ... -- 1 Hi h Im act (Ti er 1) min ]'Medium Impact(Tier 2) ......[ 3 m�mLow Impact(Tier 3) Project Title: 9385 Oregon Road, Cutchogue Report date: 04/15/25 Data filename: Page 9 of10 art Efficiency Certificate MMUMMIMEMOMMOZEEM Above-Grade Wall 20.00 Below-Grade Wall 13.00 Floor 19.00 Ceiling / Roof 49.00 Ductwork (unconditioned spaces): Window 0.32 0.40 Door 0.25 Heating System: Cooling System: Water Heater: Name: Date: Comments .................. ........................................ ....................... .................. I- THE DESIGN ENGINEER SHALL OBSERVE THE I/A OWrS PRIOR TO BACKFILL ii Pirdessionall's Ceift.ification Requiiied HORIZONTAL DISTANCE IMP= LEACHING WASTRII EfiSToRuwA7Ev AN I be in;Rec the MAIN D DURING SYSTEM STARTUP, �tqd b Submit 113,1F,m III A.CeWfication For FROM: TANK STRUCTURE f0RC11 DRYWFLL 2,THE I/A OWTS INSTALLER SHALL HOLD APPROPRIATE ENDORSEMENTS ......... 5 FT 8 Fr. 5 FT 10 FT FROM SUFFOLK COUNTY DEPARTMENT OF HEALTH AND SHALL BE AN The installatioN j and ConAiructfmn IX)f I he Sawage�Dlisposall SysteViIj 6, T 111 3—, If ,I AUTHORIZED INSTALLER AND IS RESPONSIBLE FOR COMPLETING ALL Suffolk Cou of Health Services. Use FoTim WWM-073 DiLandro t Andrews ONSITE INSPECTIONS NOTED IN THE PERMIT CONDITIONS. GENERAL NOTES: Waiter lines must 3.THE I/A OWTS INSTALLER SHALL REGISTER THE ONSITE TREATMENT CRAWLSPACE1 WINDOW 10 Fr 10 Fr. 5 FT, NIA E n g I...r 1 n o SYSTEM WITH SUFFOLK COUNTY DEPARTMENT OF HEALTH,THE ENGINEER -5754, 48 hours in andoriment of the exisfing sarfltaTy system�Inust The hr� . ...... .........MIA Y Call (631) 852 OW11INd SLAB 5 IFT, V9 FT OF RECORD SHALL PROVIDE RECORD DOCUMENTS AS REQUIRED BY rmg�m� 'd-6,IT,- ........ ISO County Rd.39 SCDHS. 10 FT. S with 11he Delpartinent's reqWirerneints, Suite 10 4-AN EXECUTED OPERATION AND MAINTENANCE CONTRACT BETWEEN THE advance, to schedule ® 5 Fr 5 FF. 5 F�E 5 FT_ Southampton,N.Y.11968 MAINTENANCE PROVIDER AND THE PROPERTY OWNER SHALL BE Submit compileted fon'ri WWIM-080 as piroof --il ?A Offli(631)259-3959 D NNA 9, ffi PROVIDE TOTHESCDHS P_. mom mm" Ceti "to No.:0019523 'Err 5.GARBAGE GRINDERS ARE NOT PERMITTED UPSTREAM OF THE I/A OWTS_ 1,11 OWTS SHALL BE TESTED FOR WATER TIGHTNESS PRIOR I ARRIVAL TO SITE USING A METHOD APPROVED BY THE MANUFACTURER,THE rr— rofession al 7, ALL ELECTRICAL LINES FROM THE DWELLING TO THE CONTROL PANEL AND I AIN "1 ("l')' '�-SE"�:",::::,�ll,�F�)AR,A r i ON WEII]E�lq AW 01�R ........— FROM THE CONTROL PANEL TO THE JUNCTION BOX SHALL BE SEALED AND ***MA[[q BE CONCRETE RETAINING 10 Fr 10 FT. 5 FZT 5 FT_ O-F INS S, S, .N,D WATER TIGHT 20 Fr 20 Fr. 8-CONTROL PANEL TO BE SET ON A PRECAST CONCRETE PEDESTAL AND SET am 2 INCHES ABOVE GRADE TO PREVENT WATER INTRUSION. INS F Al.............1............1111111111.['') lI'I'l'"'Il,)�RY��������-WE��............I..S A[qD SAI'q 1 11 ARY SYS r �EIM AUD WA I El�ZJI............. 9.I/A OWTS SHALL BE LOCATED MINIMUM 3'-O"FROM THE DRIVEWAY.A 6 INCH HIGH PRECAST CURB SHALL BE INSTALLED IN-BETWEEN THE THE DRIVEWAY AND THE IIA OWTS IF 3 FEET SEPARATION CANNOT BE MAINTAINED. 10LNEW OWT SYSTEM To BE VENTED THROUGH PLUMBING,NO HOUSE )PSS%j TRAP BE INSTALLED 1 1,ANY DESIGN CHANGES TO SCDHS APPROVED PLANS MUST BE REVIEWED BY DESIGN PROFESSIONAL AND RE-PERMITTED THROUGH SCDHS PRIOR TO CONSTRUCTION, 12,POOR DRAINING SOILS IN THE LOCATION OF THE LEACHING FIELD MUST BE EXCAVATED TO A 6FT STRATA OF VIRGIN WELL DRAINING SOILS(SP/SW) AND REPLACED WITH ASTM C-33 CLEAN FILL, I&A VERTICAL SEPARATION OF AT LEAST 18 INCHES SHALL BE PROVIDED BETWEEN THE BOTTOM OF THE SEWER LINE AND THE TOP OF ALL UTILITIES AT HORIZONTAL CROSSINGS SEWER LINES SHALL ALWAYS BE RUN BELOW S 0 GROSSING UTILITY LINE CD PARCEL INFORMATION: LU giffii AT CUTCFOGUE LU UJ TOWN OF SOUTHOLD C) U') 0z SUFFOLK COUNTY,NEW YORK EXISTING SHED, Uj q 0 LOT AREA:50,105 Fr'OR 1.150 150 ACRES S,C.T M,#1000-95-4-21 NO UTILITY o SERVICE r C) 0 z q� 0 2,5-FUJI CLEAN CENSW/90* SITE PLAN BASED ON SURVEY PREPARED BY: 55.3,1 7 x LATERAL ADAPTER DAVID H.FOX L.S.P.C.N.Y.L.S.#50234 00, 1� FOX LAND SURVEYING 19 r 1 41',,, ,EX1GnNOSANITAR1T..E tD z _j 64SUNSETAVENUE FUI WESTHAM 4 �e CLEAN OUT WELL :=; 00 PTON BEACH,N.Y.11978 AN yy 0 w EYED: J —W SURVEYED:DEC 19,2024 4", EXISTING WATER LINE DE LEACH 110 TO BE REMOVED LL. FQ.FWAIIO poi ............................. §ANI-EARY SYSTEM Iff N_ TOTAL NUMBER OF BEDROOMS:4 1 A 1 SIZE REQUIRED:440 GPD LEACHING REQUIRED:300 FT' C04ROL �V j� 0 PROPOSED SEPTIC SYSTEM: PANEL T500 GPD PROPOSED)(1) FUJI CLEWEENEi (1) 8'-G"Ox 12'-0'01EEP LEACHING POOLS(301Z FT2 PROPOSED) O.26 6 LO mpi 4 0 >_ Lh 13� Z Cp PROPOSED PRIVATE C:) WELL AND WATERLINE 0 W 0 % 0 0 T_ HOLE 0 00 0 b a) 0 0 Revisions No, Date Description _T 1. NOTE: EXISTING SEPTIC TO BE REMOVED :WATER SERVICE FOR NEIGHBORING PROPERTIES WITHIN 159 IS SHOWN % I UJIGLEAN I/A OW"T'S 2 3 -4-1- 4 DATE _27.0-4 "UFFOLK COUNTY 1),EPAITrmENT OFI-IFALTH SERV ICES TEST HOLE DATA S EL:56 8'—0.0 OL -MIXED LOAM Designed By 1 IUD IV 710N FOR A PERMIT F'ORAPPROVAL OF( ONSTRIA., Dram By: JTS S�INGLE FAMILY RESIDENCE O,NIN Umcked by; j SP LIGHT BROWN FINE TO Date:_3/W02 COARSE SAND S PROPOSED SEPTIC PLAN DKIT 3/21/2025 R-25-0398 scaie:NOTED APPROVED SCALE:1"=30' ELEVATIONS SHOWN ARE BASED ON USC AND GS DATUM[NAVD 19W) 4 Bj�,I)R,Ooms FOR N4AX I IMU SEEATTACHIAENT(S) C-1 NO GROUNDWATER ENCOUNTERED TO JT BELOW GRADE EXPIRES THREE YEARS FROM DA'TE OF APPROVAL TEST HOLE BY: ............................. ELBOWSIBENDS IN SEPTIC LINE BEFORE SEPTIC SYSTEM ARE NOT PERMITTED FOR NEW CONSTRUCTION.ONLY BENDSIELBOWS SHOW ON PERMITS ARE ALLOWED. DRAWING IS INTENDED TO BE 34"x22"TO SCALE ...........