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HomeMy WebLinkAbout0776DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 24. -1 -84 BOX 9 -- p km! �., .. ' �- 00776 PUTNAM COUNTY DEPARTMENT OF HEALTH i Dlvislosi of EnvironmenW Health's Miiee; Cannel N:Y 10512. Engmeer,tq Provide Permit #:: On CERTIFICATE of COMP t !`ANCTQfT(`17(1N VF.QMIT FT4'CFW AGF�TICDTCAr CVCTC11a ' �'� 1 '<1 t", I.represent that 1:',im wholly and Completely responsible forthe design and location' .of. the proposed system(s); 1) 'that the separate :sewage disposal system above described will,be' constructed as shown on'the approved :amendi County Department of: Nea(th' . pnd that"on complet1on thereof a be,' iubimitted .to the' Department, and a: written guarantee will be place' ;m good,- operating condition.any. part of •said sewage.. dispo ance,of the approval i;of the Certificate of Construction 'Complier will be located'as shown'on the approved plan and that said well County Depa►tment'Of Health. Date Sig er Address r APPROVED FOR CONSTRUCTION ;This approval expues,two yeari revocable for cause or,m5y be amended 'or,modified when.conii re requires a new permit. Approved' for disposal of domeitit an 8.4 8i Dats r,¢ -..—b By Qi ant thereto a_ nd in accordance with the standards rules an regulations o ;,• e; u nam ert�hute''of :Construction'•COmplisnce •'satifiactory to'ths Commissioner of Health will lurnished'the owner, his successors, heirs or assigns by the builder, that sal' bu{lder'will 1 system - during ,the periotl,of two(2) years Immediately fo,llowinq thetlete of the' fisu- e of the "onginal system orany repeirs reto; 2) that the drilled well described atiove Iled in accordance with e's nd s, rules and r u a qns of, the Putnam ^ P E. R.A. — 7� /Yl1/Z ys( '- Ucense 14 from the .date issued unless . constructUOn,of• the,building fias open undertaken and Is iecessary by the Commissionei' of Health.. Any change or sit eiation of construction :s®ewago. an /y /frrlivaattee %Waiter supply only: ' _77 Tit DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y.' 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL Qo PCHD PERMIT #P697 WELL LOCATION Street Address of � e Town Village City Ta 1P rWh 5 � C '� Grid Number Lvt 1 >1 WELL OWNER N me RO z Mailing Address O t2i C k ekoo a Cove Private Public 8 S OF WELL primary 2 - secondary M- ESIDENTIAL 0 BUSINESS 0 INDUSTRIAL 0PUBLIC SUPPLY 0AIR /COND /HEAT PUMP O FARM 0 TEST /OBSERVATION C3INSTITUTIONAL 0 STAND -BY ' 0ABANDONED 0 OTHER ,(specify 0 AMOUNT OF USE YIELD SOUGHT _gpm /# PEOPLE SERVED 5;-(o /EST. OF DAILY USAGE % Q0 gal REASON FOR DRILLING WN7EW SUPPLY 0 PROVIDE ADDITIONAL SUPPLY OREPLACE EXISTING SUPPLY ODEEPEN EXISTING WELL 0 TEST /OBSERVATION DETAILED REASON FOR DRILLING WELL TYPE ®DRILLED DRIVEN ®DUG ®GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES _ C NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name I.` .1D. Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: &P.1A TOWN /VIL /CITY --r DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED []ON REAR OF THIS APPLICATION N SEPARATE EET '(date) (s nature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions.of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form pr d by the Putnam County Health Department. Date of Issue: 6_4 19 U Date of Expiration: 19 ermit Issuing Officia Permit is Non - Transferrable White copy: H.D. File Yellow copy: Building Inspector Pink Copy: Owner 2/87 nrancra mnv- WP11 nri 11 ar j DIVISION OF ENVI1MRM7ML'HEALTH SEMCES- DESIGN DATA SHEET- SUBSUF'ACE SEWAGE DISPOSAL SYSTEM FILE NO. owner Robe✓? sciatt -tht Address gye Well I Located at (Street) O % j Roue � -t q. Sec. _ Block _ 15 Lot (indicate nearest cross street) municipality 17Z -��G� f So1n - Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre- Soaking Date of Percolation Test l 30 HOLE NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level- No. Time Ground Surface In Inches Soil Rate DT �� Start -Stop Min. '.Start Stop Drop In Min /In Drop '24 Inches Inches Inches 1 to-m- I1,0 5 30 24 a ,� to 2 D 22.5 I. b 20 3 WS - 4:11 3o 2t 22.5 1. s 2n 4 5 1 10 : 40 - I r 10 2 ii:2o - II :So 30 0 2 3 If: SS ` I 11S :30 '24 22.5 L. �S 2 a 4 5 NOTES: 1. Tests to be repeated* at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to* be suimittW for review. 2. Depth measurements to be made from top of hole. 2 3 4 a ,� 5 NOTES: 1. Tests to be repeated* at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to* be suimittW for review. 2. Depth measurements to be made from top of hole. DEPTH G.L. 2' 3' 4' 5' 6' 7' 8' 9' 10' 11' 12' 13' TEST PIT DAM TO BE SUBMITTED WITH APPLICATION. HOLE NO. HOLE NO. Z 1 OpSai I = d -G T o'�5ai � IN HOLE NO 14' INDICATE LEVEL AT WHICH GROUNI MTER IS ENCOUNTERED D All h e. INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED t DEEP HOLE OBSERVATIONS MADE BY: J ✓iV VV, NI(�o�S �� }. DATE: DESIGN Soil Rate Used/& 2J Min /1" Drop: S.D. Usable Area Provided O �' No. of Bedrooms 4 Septic. Tank Capacity 1 LGD gals. Type Absorption Area Provided By .500.,_ L.F. x 24" width trench <�pF NE►gr0 Other Name C)v ✓y 5 ✓ Signature 0 I .tv, 1 W Address �d4ie, f SEAL , �? FO No. 56124 �t1 p A9 P� 13 a��^�i�IcJl Dv. - �'6l swh -N -1 � ESSio. THIS SPACE FOR USE BY HEALTH DEPARTMFNP ONLY: Soil Rate Approved sq.ft /gal. Checked by Date WUlYl'1 Ll�ctu�y.•u...•- INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET - CONSTRUCTION PERMIT - n� DATE BY : (Street Location) �` - DOCUMENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results Perc Hole Depth s /s. SUBDIVISION - Perc - (3) Fill - cd House Plans - Two sets Well permit; PWS letter Vari ce Request GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DETAILS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump'.pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data: perc and deep results Two-Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter,Curtain Drains*(discharge OK) Perc--& Deep - Holes.- Located Representative of primary and expansion Expansion Area;shown;gravity flow,suff. size If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells &-SSDS's w /in 200 ft. of Proposed Systems Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 1'0; Type pipe No Bends; Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Iarge Trees,Top of f iL 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan' 15' to Drains - Curtain, Leader, Footing 351to catch basin,stormdrain,piped watercours4 10' to Water Line (pits -20') 50' intermittent drainage course Septic Tanks 10' from Foundation; 50' to well r; 15' Well to PL 9 10 1 PUTNAM COUNTY DEPARU14ENT OF HEALTH - DIVISION OF ENVIRONMEN U HEALTH SERVICES INDIVIDUAL W= SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS �,� P FIELD INSPECTION REPORT TX DATE: 2g' 0 LIZ) (ZT ZZ S c, j A P 0 INSP . BY- (Name of Owner) (Street Location) INITIAL SITE INSPECTION YES NO MMMS Wetlands cn /or proximate to property.............. Y• Property lines or corners found ................... tl- Can estimate house location ....................... Will.driveway need cut ............................ Must trees be* removed - note these ................ uc Deep holes representative of entire SDS area...... Ulu, D U5 Additional deep holes needed... ..... ........... ? w A N U Sufficient SDS area available considering driveway �S cut, house location, separation distances,etc... ? M A4 vl ptia-� Adjacent wells/ septics ............................ V_ -r ss-DS Access to proposed well location for drilling.... t D.H. -Deep Hole G.W.- Grouncwater D.H. 1 Lot. D.H. 2 Lot D.H. 3 - Lot - Depth to G.W. Depth to G.W. Depth to G.W. Depth to rock Depth to rock Depth to rock N elk 1 A Ft t LC-p /X Soil Descri t. 0 ft. o 3 ft. 61 L AM 6 ft. 0 ft. 3 ft. 5� )I 6 ft. 9 ,ft. 12 ft. 9 ft. 12 ft. Soil Description 0 ft. 3 ft. 6 f t. 9 ft. Soil Description DATE: FINAL SITE INSPECTION INSP.BY: YES NO CONPAEbUS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Room allowed for expansion trenches .............. Over 100 ft. fran watercourse .................... Natural soil not stripped or SDS area unnecessarlygraded ............................ 10 ft. maintained fran property line and 20 ft. fran house .............................. Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench ................ 15 ft. of peripheral soil horizontally frantrench ..... ............................... Boxesproperly set ........... ................... Could surface runoff fran driveway, roads,- ground surface, etc., channel near SDS area.... Does lot drainage appear OK•,iri area of SDS::...... FINAL GRADNG OF SITE A -C CEPTAB . .. . - — I - — ...� :_ _ u-. �J'. 4T! i• M�i�r:' y' a�! n'+ R': w':.7 1' a• f%"f C!'! �. Ya�K? �4�.,+ n,. 4� • :•rR�!!- R•',w.t'.^•�nr"�,�v►•y %=��.n- 'P',p'�;h �3•1,;�,�!}ti5�r 'G'i4��T1g17►�,,,�E Af!'G.it�L,•�.C�•:hr •t. � •'v `— ... ••u. - - .. .. n •..J 2-3'i� b' i?.. v .+::_..4J.._�.V� Ln.7.�.•.in• jr.;Fr,:- 1 :'i�M.1..1'rs :'!:q h�41 tt�!• • •: •qMtr�e�.- s.'°.'1':� DEPARTMENT OF WLTH Division Of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y..10512 • (914) 225 -3641 . , APPLICATION TO ABANDON A WATER WELL PLEASE PRINT OR TYPE SISW AUUHESS. 1UMPV1LLAG6C11F 11;E GHIU NUM80i WELL LOCATION J?nu.Je -2 2,, ,., IV WATER WELL Name: / Address: CONTRJkCTOR: " 6� � rw fo ecd -- . REASON FOR a ,, . n O ,, Lk i -PRE - . C)S Qsc ix ABANDONMENT: �'` �� � � DESCRIPTION OF WORK �/ u TO BE PERFORMED: sv (f (d te) i (signature) .. PERMIT This permit to abandon one water, well as set forth above is granted under.provisions -of Subpart.5 =2 of Part-5-of the New'York State Sanitary Code and provided that: Within 30 days of the-completion of the abandonment -of the•water' well, the applicant shall submit to the Department a certified statement that the information delineated on, the application'.'; for this per has been completed.. Date of Issue g"..�' y, ...... WELL OWNER NAM:. AOORESS. '/¢vpet e�G ci�r�o . yl1 `d: 'h- O P81VATC r n v ® sew 0 PUBLIC WELL TYPE ❑ DRILLED DRIVEN � DUG ❑ GR.NVEL ❑ OTHER DEPTH DATA WELL DEPTH ' ft. - STATIC WATER LEVEL _. ft. - - -� DATE MEASURED USE OF WELL O RESIDENTIAL O PUBLIC SUPPLY O AIR /COND. /HEAT PUMP ABANDONED 1 - primary O BUSINESS O FARM: O TEST /OBSERVATION O OTHER (specify) 2.- secondary 0 INDUSTRIAL O INSTITUTIONAL O ,NAND -BY WATER WELL Name: / Address: CONTRJkCTOR: " 6� � rw fo ecd -- . REASON FOR a ,, . n O ,, Lk i -PRE - . C)S Qsc ix ABANDONMENT: �'` �� � � DESCRIPTION OF WORK �/ u TO BE PERFORMED: sv (f (d te) i (signature) .. PERMIT This permit to abandon one water, well as set forth above is granted under.provisions -of Subpart.5 =2 of Part-5-of the New'York State Sanitary Code and provided that: Within 30 days of the-completion of the abandonment -of the•water' well, the applicant shall submit to the Department a certified statement that the information delineated on, the application'.'; for this per has been completed.. Date of Issue g"..�' y, ...... Separate Sewerage System out by r` 1. �'-1 .. L k c � t ai, L C� ti (G Address 4 �. Consisting of, i _.ZS`0 Gallon Septic Tank and a-49105949& Water Supply'- Public Supply From Address or y' Private Supply Drilled by (l r`' Address PLC. A-t, 13v Building Type C-9,1 Haa Etesion Control Been Completed? Number of Bedrooms � Has Garbage Grinder Been Installed? a Other Regairemerits I certify that the systems) as listed serving she above premi es were constructed essentially as•shown on the plans of the completed work ( copies of which are attached)., and in,accordance`wiih the standards ruiee and 9'a tions, in accordance with.• a led lan, and the permit issued by the Putnam County`Depaitment Of•Health N3 Cietl DY :' P,E.� R,A. % Date �(J,t 1 Address ( 1+�� e1 /!�/ ? I'I lit'_ �sL { 1` Vkekk, � � Licsnq No. Sip 1 ZLi Any person occupying premises served byahe, above systems) shall pompfly take such action as may be necessary to secure the correction "of any unsanitary conditions resulting from such usage App►oval,'of 4he'separate iewerbgb, system shall become null and void as soon as 'a pubs : sanitary sewer becomes available and-the approval of the private Water supply shsil - become -null and yoid'when a,-public water supply becomes evallabN. Such r;pprovaU are subject to modification or hange when in the ' judgment of the :Commissioner of,-Health, .such' revocation, modification or change Is necessary. Date / 1 PUTNAM COUNTY. DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Owner or Purch of Building Section Block Lot Building Constructed by Location - Street PQfIIIroti Municipality Building Type Subdivision Name Subdivision Lot # GUARAN= OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations.of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period.of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage disposal system, or any repairs made by._me.to.such system, except where. the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. r Dated this AS day of /?Y 19 0 a Signature Title �+ rg "J., General Contractor er) - Signature Co ration Name (iceCorp.) as ess _ rev. 9/85 mk Corporation Name (if Corp.). fir- M PQw w Address BREWSTER LABORATORIES Box 224 - BREWSTER, N.Y. (914) 225 -2072 - WATER ANALYSIS REPORT - SAMPLE NO. 6699 SOURCE: Robert Scigliano Old Route 22 Patterson, NY COLLECTED: September S, 1987 BY: Mill Drilling, Inc. BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method well This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. September 9, 1987 Roy Bickwit P.E. Director 0 per 100 ml. .e WZIJL UUrlriLzlly" Azrvn1 DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH' Office Use Only WELL LOCATION STREET ADDRESS: wNivl 1 Y / TAX GRIO NUMBER: Old Rte. 22 (o - = , WELL OWNER NAM • ADDRESS: Robert Scigliano 107 Chelsea Cove-S., Hopewell Junc. PBIVATI ❑ PUBLIC USE OF WELL 1 - primary 2 - secondary (RAESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR/COND./HEAT PUMP ❑ ABANDONED ❑ BUSINESS 0 FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT 5 gpm. /N0. PEOPLE SERVED 2 / EST. OF DAILY USAGE 250 gal. REASON FOR DRILLING >0 NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /08SMATION ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 4 8 5 ft. STATIC WATER LEVEL 45 ft. DATE MEASURED 9/1/87 DRILLING EQUIPMENT ❑ ROTARY 43 COMPRESSED AIR PERCUSSION ❑ DUG 0 WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. 4�: OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH 1 _ ft. MATERIALS: AISTEEL ❑ PLASTIC ❑ OTHER ' LENGTH.BELOW GRADE _ ft. JOINTS: ❑ WELDED ,QTHREADED ❑ OTHER DIAMETER h in. SEALa CEMENT GROUT 0 BENTONITE ❑ OTHER WEIGHT PER FOOT I Ib. /ft. DRIVE SHOE ❑ YES ❑ NO LINER: ❑ YES _ 0 NO SCREEN DIAMETER (in) 'SLOT SIZE LENGTH (it) DEPTH TO SCREEN (ft) DEVELOPED? DETAILS FIRST O YES O NO HOURS SECOND GRAVEL PACK O YES O NO GRAVEL SIZE DIAMETER OF PACK in. TOP DEPTH ft. sanui . DEPTH It. WELL YIELD TEST ; It detailed pumping METHOD: O PUMPED t tests were done is in- t O COMPRESSED AIR ,formation attached? O 8AILED O OTHER O YES N0 WELL LOG It more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water 8ear- ing well Ola- in FORMATION DESCRIPTION CaoE, ft. ft. WELL DEPTH ft. DURATION hr. min. DRAWOOWN ft: YIELD ggm. Surface boulders 15 .70 Soft weathered bedrock 340 1 15 - 340 JZ2 70 495 d' m to hard. black granite WATER CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? =YES ONO ANALYSIS ATTACHED ?XXYES O NO STORAGE TANK: TYPE CAPACITY GAL. WELL DRILLER NAME MILL DRILL , NC. 710/87 ADDRESS Putnam Ave. SIGfnM Brewster,. NY Rob r Mill, si ent PUMP INFORMATION TYPE CAPACITY MAKER DEPTH MODEL VOLTAGE HP J7. FLqt'r, SI` E rdS2FCI'ION Da ts 2, / Insp�cw �N 0ice 12 � % 2 Z— cw-N&q � � / G z/ T! OR SIEDrrsiCi LOT -ri I Y=*C, Lc; r�ti . -c- :: DISPCS_ -L P_RF.k a. SLS a= =. __ lcc t-Ed as T^,--- acoroved ulans 10. DenC -h cf cravel in trendh 12" min?,;, : , b. F -J } s2--t _cn - Date cf placement 2:1 b r_e_r LGTF; Wi T-H AVG.DFTH - c. I tug =i soil r_ct strinned I I I c. Stcre, br sh, etc., create -- tin 15' f_an Si,•S area I I I E. 100 ft. frun water I X I I SwrG� DISrCS- , SISTD1 I a. S=-s-? C tar+{ size - 1,000 1 I I b. .C..'• ct c 4_:\ installed level a. P-mo e=sily accessible rrznk.,cie to a?'a; e I c. 10' trd nLmm, ft-aft fcur_cst_cn 5. First box baffled d. No c00 �c ^_CS, cl —cut w_tZl i 10 2t. cf C'° �ma I co e. BOX I l. P }, cult-le-1--s at sa re e! ev t'_c*_ - Ttin =_ Lem l =' I I 2. Frot =_ - ccH frost -2 I FF 3. I"�' ? "'Lu ft. cricina so-i ]retie -n CC`{ arQ t_e_"_ches b. N-m- Le_r of bed-rcczns %. TN=, CN aX - nrcce-rl v set- VY= a. Ttie� l� locoed as Et-,r acaroyei plans Ty • b. Distance from SDS area ireasured 0 v ft. I 2. Ci' s =ncs tC wGterccurse Irieaas `ec I c. Casinc 18" above grade. 3. L- =_t=i le - ac=rdinc to o1ar. Dist. --c°_ center to ce tar C� �. �1cCe CE 6. 10 - -- f_= / . C. `c 8. Roma a11cH 9. Si ^e cz cra'vEi 3/4 10. DenC -h cf cravel in trendh 12" min?,;, : , 11. Pi ,--e encas c:.ccEd I I I h. F--v CR GCSE SYSTEMS 1. Size Cr pum G`1aTi.^Er _ I I I. Cve_r -f c-a t. r-k I 3. P1c'"il, vis-ual/audio a. P-mo e=sily accessible rrznk.,cie to a?'a; e I I 5. First box baffled I 6. Cc-le witnessed by He=i to Decart"me_nt E<ti �atw flow per cycle E.CUSE I - a. Ficuse located per anorGVed Plans. b. N-m- Le_r of bed-rcczns VY= a. Ttie� l� locoed as Et-,r acaroyei plans Ty , b. Distance from SDS area ireasured 0 v ft. I I I c. Casinc 18" above grade. d. Surface drainage around well accentabie. ly OVaRAI:L WCFIC%P3'd!P a. EcYes mrxe —rly =cuteed . b. All pizes - rti ally backf illed I _ ` I c. A.!1 pipes flush with inside of box I I d. Eackf -J-1-1 irate-rial ccr_tai ns stones < a" Li diameter e. Cticrtair drain installed accordinc to plan L f. Cl1 r-,F i n brain CutT_a11 prote- - -'' & dir to exist wateYcours2 I I c. Fcot:c drains d_sc_harae awav free SDS are= h. surf-ace water probectim adeou ce i . Erro= i cn control provided on si m-e= cre_,t=r than TRENCH \ �� SYsTeM q $B ?W Nom' N t 5V- TO . IOANPON1050 AS= �l�il,1 oIM NSION CHAKY ooa t3iV° 1 Y j x 4411'•x, :0 - }8 y./Yiw �2. I 57.3' - 8�� �7 �. 1 37' 3�. 4 72 3 83' Do'i.. TS'.o PAT Co 87' So;2 W "a2 �ti�4r�r 5 f i 9 2 IGb' i'L5 13 &'- L+Zr 10 00 DE Ise II 90 3 � 2 � • > ta1a i :, . A f�3, 28 l 1 13 !)3, Ioe,- . �q AE 14 /.S 110 L ©T :P � A 15 iCAZ.E ' /%- it2� � �' S7r'y.oc yo •E TRENCH \ �� SYsTeM q $B ?W Nom' N t 5V- TO . IOANPON1050 AS= �l�il,1 oIM NSION CHAKY ooa t3iV° A 3y s Ti -'YS' ro:W }8 y./Yiw �2. I 57.3' 2 8�� �7 �. 1 37' 3�. 4 72 3 83' Do'i.. TS'.o Co 87' So;2 W "a2 9 b0' IGb' i'L5 13 &'- L+Zr 10 00 102, Ise II 90 28 l 1 13 !)3, Ioe,- . X29' 143, 14 g5� 110 t 135' 1qi� 15 95'. it2� � �' N -383; S/ A - lne,.; 4' /9 N8$ yh; a /D'W�'!✓ /412.7' �'° • ti: s 3 � 'ss 20• w 3ss,o�: Zb . 377 30 ova E ,�E pv 3l, X78- `O /•'SO ° °W' /&3.77. ooa 3y s Ti -'YS' ro:W A GS y./Yiw �2. I 57.3' �' 6 GI =`,YY= X34 .W ••4.,?O, ; > 3�. 4 72 TS'.o 3.2' M �`1250�L SEP ?IG fANK 1!O SGG =:ws' ioMw So;2 � \ • � \ \ � � as 7qw 142 44 q 31 \ \ 30 '724 } ss Flo s� z°' 100 ml 00 ml \ .2 AL. 506 1 SEfr16 TANK olsfK box SySftM WSY64WK A =p� q � to a 34 LF• ABA RT bPTRe6,ac -"AIitM 4d6 eyl'ICIwo HOUSE 70 - -' 6G A0ANp2NE0�