HomeMy WebLinkAbout41060-Z gUFFat JrCdGy Town of Southold 3/9/2017
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P.O.Box 1179
Ao, 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38849 Date: 3/9/2017
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 7955 Skunk Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 104.4-23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/28/2016 pursuant to which Building Permit No. 41060 dated 10/5/2016
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 Baumann,Kristen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41060 02-01-2017
PLUMBERS CERTIFICATION DATED
P?h4onzed�!S'ignatuwe
gufEat� TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
o • 4 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#: 41060 Date: 10/5/2016
Permission is hereby granted to:
Baumann, Kristen
125 Prospect Park W Apt#1 F
Brooklyn, NY 11215
To: construct accessory in-ground swimming pool as applied for.
At premises located at:
7955 Skunk Ln, Cutchogue
SCTM # 473889
Sec/Block/Lot# 104.4-23
Pursuant to application dated 9/28/2016 and approved by the Building Inspector.
To expire on 4/6/2018.
Fees:
SWIMMING POOLS -IN-GROUND WITH FENCE ENCLOSURE $250.00
CO - SWIMMING POOL $50.00
Total: $300.00
uilding Ins or
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This•application must be filled in try typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
1. Final survey of property with accurate-location of all buildings,property lines,streets,and unusual natural or
topographic features.
2. Final Approval from Health Dept_of water supply and sewerage-disposal(S-9 form).
3-. Approval of electrical installation from Board of Fire Underwriters.
4- 'Swom statement from plumber certifying that the solder used in system contains less than 2110 of I% lead. -
5. Commercial building,industrial building, multiple residences and similar buildings and installations,a certificate
of Code Compliauce-from architect or engineer responsible for the building.
.6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings(prior to April 9, 1957)non-conforming uses,or buildings and`pre-existing" land uses:
1_ Accurate survey of property showing all property lines,streets,building and unusua-I natural or topographic
features.
2. A properly epmpleted application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant-
C. Fees
1. Certificate of Occupancy- New dwelling$50.00, Additions to dwelling$50.00, Alterations to dwelling$50.00,
Swimming pool $50.00, Accessory building-$50.00, Additions to accessory building$50-00, Businesses $50-00.
2_ Certificate of Occupancy on Pre-existing Building- $100.00
3_ Copy of Certificate of.Occupancy-$-25
4- Updated Certificate of Occupancy - $50.00
. 5. Temporary Certificate of Occupancy - Residential $15-00,Commercial$15.00
Date-
New Construction: Old or Pre-existing Building: (check one)
Location of Property_ e2.
House No. m J Street
Hamlet
Dwner or Owners of Property: A,/?J 5 beA �Aa_A4W��
Suffolk County Tax Map No 1000, Section �Q Block Lot
Subdivision
_ Filed Map. Lot:
Permit No. 0 6O Date of Permit. Applicant:
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Zequest for: Temporary Certificate Final Certificate: (check one)
1
:ee Submitted $
Applicant Signat re
A®F S
Town Hall Annex Telephone(631)765-1802
54375 Main Road CP- Fax(631)765-9502
P.O.Box 1179 �� roger.richertOD-town.southold.ny.us
Southold,NY 11971-0959
COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
Issued To: Baumann
Address: 7955 Skunk Lane City: Cutchogue St: New York Zip: 11935
Building Permit#: 41060 Section: 104 Block- 4 Lot 23
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: DBA: MRJ Industries License No: 41853-ME
SITE DETAILS
Office Use Only
Residential X Indoor Basement Service Only
Commerical Outdoor X 1st Floor Pool X
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures
Service 3 ph Hot Water GFCI Recpt 1 Wall Fixtures Smoke Detectors
Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps 1
Transformer Appliances Dryer Recpt Emergency Fixtures Time Clocks
Disconnect Switches 1 Twist Lock Exit Fixtures TVSS El
Other Equipment. Inground Swimming Pool to Include; Bonding, Pool Lights, 1-20A Pump
Receptacle, 1- GFCI Circuit Breaker.
Notes:
Inspector Signature: Date: February 01, 2017
0-Cert Electrical Compliance Form.xls
SOUlyo!
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [/]IFINAL
OLATION
FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS:
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DATE �' INSPECTOR
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2NDXFINAL
SULATION n
[ ] FRAMING / STRAPPING 1,f—LINA( AV F-PAC&
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: 6ml
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DATE INSPECTOR
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TOWN .OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
REMARKS:
01
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DATE 2 INSPECTORT
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] SULATION
[ ] FRAMING / STRAPPING [Vf FINAL&UD li
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
REMARKS: wvvwx O
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DATE INSPECTOR
FIELD INSPECTION REPORT DATE COMMENTS
FOUNDATION (1ST)
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FOUNDATION (2ND) tQ
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ROUGH FRAMING&
PLUMBING
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INSULATION PER N.Y-.
STATE ENERGY CODE
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ADDITIONAL COMMENTS
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I'HOLD BUILDING PERMIT APPLICATION CHECKLIST
DEPARTMENT Do you have or need the following,before applying?
`MALL Board of Health
UTHOLD,NY 11971 4 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 j� Survey ✓
SoutholdTown.NorthFork.net PERMIT NO. q U Check
Septic Form
N.Y.S.D.E.C.
Trustees
C.O.Application
Flood Permit
Examined 20t Single&Separate
Storm-Water Assessment Form >%
Contact:
Approved ,20 Mail to: LD1 �CB�S :,7
Disapproved a/c �'CS'/{�L 1 6 ky/c/
Expiration l120
i
Phone: –Co 312—
D ('g [5U'VLE
DULICATION it ng I ector
SEP 2 8 2016 FOR BUILDING PERMIT
Date ,• /7 , 20�
BUILDING DEPT. INSTRUCTIONS
TOWN OF SOUTHOLD
a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4
sets of plans, accurate plot plan to scale. Fee according to schedule.
b.Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or
areas, and waterways.
V c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a permit
shall be kept on the premises available for inspection throughout the work.
" e.No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector
issues a Certificate of Occupancy.
£ Every building permit shall expire if the work authorized has not commenced within 12 months after the date of
issuance or has not been completed within 18'months from such date. If no zoning amendments or other regulations affecti'n'g the
property have-been enacted in the interim, the Building Inspector may authorize, in writing,the extension of the permit for an
addition six months. Thereafter, a new permit shall be required.
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, or 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 for necessary inspections
(S',,nature of icant or e,if a rporation)
a _
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises f S 711
• (As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate o facer) _
Builders License No. � �Pl =-ff
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
a
House Number Street / Hamlet
County Tax Map No. 1000 Section G�� Block Z71 Lot
Subdivision Filed Map No. Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: >
a. Existing use and occupancy
b. Intended use and occupancyGiJ� �
3. Nature of work (check which applicable): New Building Addition Alteration-�--�
Repair Removal Demolition Other Work
(Description)
4. Estimated Cost '7' Fee
(To be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front (n r,m j \�", F =Ream
Depth Height Numbe'r�of Stories ? r
'
01
8. Dimensions of entire new construction: Front Rear "l ' D'ep'th
Height Number of Stories
9. Size of lot: Front Rear Depth it ,, "T,° F' 'cyR
10. Date of Purchase Name of Former Owner
11. Zone or use district in which premises are situated
y
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO —
13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES_X,,NO
14. Names of Owner of premises 4 e/-3 b-Q-A 6WAddress
Name of Architect Address Phone No
Name of Contractor7-S/-R-%/Vi,4- R&)L5 Address/U�%f-e-- AVe- Phone No. 6 !r=,l r2 9-2,-6 3/-a-
u---
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO
* IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED.
b. Is this property within 300 feet of a tidal wetland? * YES NO
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
16. Provide survey, to scale, with accurate foundation plan and distances to property lines.
17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES NO
* IF YES, PROVIDE A COPY.
STATE OF NEW YORK)
SS:
COUNTY OF J� )
�� l�. l/v�sG�¢-d✓'''�' being duly sworn, deposes and says that(s)he is the applicant
(Name of individua�lpsigning contract) above named,
(S)He is the oyV�/�-,Oft--��/e-—
(Contractor, Agent, Corporate Officer, etc.)
of said owner or owners,a d i duly authorized to perform or have performed the said work and to make and file this application;
that all statements containe in this application are true to the best"of his kbc�� ��� lief; and that the work will be
performed in the manner s t h in the application filed therewith. Notary Public, state of New York
No.01 FR6137963
Qualified in Suffol,County
Sworn to before e thi Commission Aires D c.05,2
day o 201
tary ubign ure of App 'c nt
4 Scott A. Russell so 4' STO]KIMINVA']C'EK
SUPERVISOR - MA,INN A\G IEMIFIN IF
SOUTHOLD TOWN BALL-P.0.Box 1179
53095 Main Road-SOUTHOLD,NEW YORK 11971 Town of Southold
CHAPTER 236 - STORMWATER MANAGEMENT WORD SHEET
( TO BE COMPLETED BY THE APPLICANT )
ICOM THIS PROJECT RgVOL E ANY OF = FCI.I;OWING.
Yes No (CHECK ALL THAT APPLY)
0,0 A. Clearing, grubbing, grading or stripping of land which affects more
than 5,0+00 square feet of ground surface.
❑ B. Excavation or filling involving more than 200 cubic yards of material
within any parcel or any contiguous area.
® C. Site preparation on slopes which exceed 10 feet vertical rise to
100 feet of horizontal distance.
D. Site preparation within 100 feet of wetlands, beach, bluff or coastal
erosion hazard area.
❑ E. Site preparation within the one-hundred-year floodplain as depicted
on FIRM Map of any watercourse.
®0,F. Installation of new or resurfaced impervious surfaces of 1,000 square
feet or more, unless prior approval of a Stormwater Management
Control Plan was received by the Town and the proposal includes
in-kind replacement of impervious surfaces.
If you answered 1110 to all of the questions above, STOP! Complete the Applicant section below with your Name,
Signature, Contact Information,Date & County Tax Map Number! Chapter 236 does not apply to your project.
If you answered YES to one or more of the above,please submit. Two copies of a Stormwater Management Control Plan
and a completed Check List form to the Building Department with your Building Permit Application.
APPLICANT_ (Property Owner,Design Professionat Agent,Contractor,Other) S.C.T.M. 1000 Date
'Q m J T ,q D st ct �j �7 /
NAA E l f�l� � J-JAL s 4-7�9 U�' L
Section Block Lot
FOR BUILDING DEPARTMENT USE ONLY s
Contacnformati®n:
9 (p
ir<i air v,�
Reviewed Br.
— — — — — — — — — — — — — — — — — — TW 4
Date.
Property Address/Location of Construction Work — — — — — — — — — — — — — — —
c;7 Appro�ed for processing Building Permit.
Stormzvate1 Manageanent Control Plan Not Required.
E-]
Stormwater Management Control Plan is Required
(Forward to Engineering Department for Review)
FORM * SMCP-TOS MAY 2014
O'�'pE SO(/jyol
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Town Hall Annex J Telephone(631)765-1802
54375 Main Road ��::ax(631)765- 512
P.O.Box 1179 Q ro-ger.richert(a�town.sout od.ny.us
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Southold,NY 11971-0959 O IE
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91
BUILDING DEPARTMENT JAN 191 I `
TOWN OF SOUTHOLD
APPLICATION FOR ELECTRICAL INSPECTION �F;_ ,.,��� ,;�T.
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REQUESTED BY: re- e-c-r16r 1 c/C4 Date: 9
,17
Company Name: lq4l?- j i- , f��e�s 179
Name: a 0./?A l 5 o h
License No.: Y1 ,A
Address: d "� va t_ ✓-r/
Phone No.: Sl 9
JOBSITE INFORMATION: (*Indicates req fired information)
*Name: Kns �
*Address: S <S
*Cross Street:
*Phone No.: 0 0&0
Permit No.:
Tax Map District: 1000 Section: �0 Block: Lot:
*BRIEF DESCRIPTION OF WORK(Please Print Clearly) ��,tJ��-y� d206 L-
(Please Circle All That Apply)
*Is job ready for inspection: YES / NO Rough In Final
*Do you need a Temp Certificate: YES / NO
Temp Information (If needed)
*Service Size: 1 Phase 3Phase 100 150 200 300 350 400 Other
*New Service: Re-connect Underground Number of Meters Change of Service Overhead
Additional Information: PAYMENT DUE WITH APP ATION
82-Request for Inspection Form
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APP O ED AS NOTED
DATE: S P (�b COMPLY WITH ALL CODES OF
FEE: D BY; - NEW YORK STATE & TOWN CODES
NOTIFY BUILDING AS REQUIRED AND CONDITIONS OF
765-1602 8 ANI TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - T'NO REQUIRED RD
FOR POURED CONCRETE
2. ROUGH - FRAMING & PLUMBING '----=00tlWRUSIEES
3. INSULATIONB�-.
4. FINAL - CONSTRUCTION MUST
BE COMPLETE F( ,�.
ALL CONSTRUCTON SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW.
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS. OCCUPANCY OR
USE IS UNLAWFUL
'RETAIN STORM WATER RUNOFF WITHOUT CERTIFICATE
PURSUANT TO CHAPTER 236 OF OCCUPANCY
OF THE TOWN CODE.
ELECTRICAL
INSPECTION REQUIRED
ENCLOSE,-OOL TO CODE:,
UPON COMPLETION `
I E!FORE1-11 ER°E
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- Woo.; PLAfe
8.5"
3,500 PSI
V. c F �) �' ear �� -F r�AAIM�c�ING -CONCRETE
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POOL AND PROPEM M ADM! M N.Y. STATE RESIDENTIAL
CODE AWPVl C G 2010 EDITION
POOL TO CCt*'ORM TO ANSIMSPI sWOARDS AG103.1 �����FATR®�`��® Swirc��in1NG f--��—
BAUMANN
�5 g; 7955 SKUNK LANE
CUTCHOGUE,NY
SDCI'ICN 6107 _ �,
,POOL ALARM REQUIRED �O� `"0'47U ����
H. ROY JAFFE, P.E.
82 EAGLE CHASE,WOODBURY, N.Y. 11797
516-364-0148
FAX 516-364-0158
September 22,2016
Town of Southold
Building Department
Town Hall
Southold,NY
Dear Sir:
This is to certify that the drainage facilities to be used
exclusively for the construction of a swimming pool on the
premises of :
BAUMANN
7955 SKUNK LANE
CUTCHOGUE,NY
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 .
Very truly yours,
p
H. Roy Jaffe, P. E. - a
i �OFr1L,✓�
sat:j.
1 K ROY JAFFE,P.E.
82 EAGLE CHASE
WOODBURY,NY 11797
FINgL G AOE I
TO GRADE- WITµC4.ST I204 Y-- — ' rx" MIH.
FRAn6__AND COVER - IF i 2Y"MAX.
UNDER PAvED AREA I � 1, ,
joTO 4' D Z4 Mlh,
AL2IA,•pIPE I 2`�l M\�1,
`S l4NT-JOINT$ Fes-- 'D
I N -►.
`
ON SLOPE -/9 PER GT.
NOTE' DE514N RAS 15
'/_Z THAT OF_1NE U►{pm= Il
L-YANG 5AriD t GRAVEL 5TRATA
EFFECTIVE b EFTµ
I (501-ID DOME)
J '1-5 MAX
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z 3 �'IN 3'MIN,
GllovH ATF.R
*COLLAR MATERIAL
6'hAµ
Ilan eT Y•oh�
RnTEABLE%OIL
UNDERLYING 5AND 6 G.RA\,EL STR.A"!A
* NOTES CAPACITY - 1263 GALLONS ( 169 CU. FT. )
NOTE: 2 drywells required
1 . COLLAR IS NOT REQUIRED WHEN RATEABLE MATERIAL EXISTS FOR FULL DEPTH ,
2 . THE MATERIAL USED FOR CCLLARING SHALL BE COMPRISED 'OF SAND & GRAVEL
FILTER MATERIAL CONTAINING LESS THAN FIFTEEN ( 15 ) PERCENT FINE SAND
SILT & CLAY (SILT & CLAY FRACTIONS ARE NOT TO EXCEED ( 5 ) PERCENT) .
TYPICAL DETAIL - DIFFUSION WELL ®F6�p��
BACKWASH FROMPOOL 70 GPM @ 5 eFTR MIN = 350 GAL® � ��,�� .,.,�0�.
BAUMANN �� !
7955 SKUNK LANE
CUTCHOGUE,NY ��®� "?14 i U ;���