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631- 589 -8100
24. -2 -23
BOX 9
Me 10,111
Sop�rate Sewerage System built by mow, e�h lcca�d G+lTAddess
Contale of• Gallon. Septic Teak /and$
ZSc75
watei Supply: Public Supply From, Addreei
ors Private Supply DM W .by A SdNS Address y ?irti.4 ✓E i ? I iY
Bulldlug Type Hea Eroelon Control Been Completed?
Number of Hediooms Hue Garbage Gilnder Been InetipedY
Otber. Requirements ;
' I certify fleet fife system(e) as listed serving the above 'premises rere.trone tea esaentially as.at"w on the p s of the completed work (copies
o! rhich are attached); and inracc4dance With the standards; ules hnd-reg tions 'in•.acco Banc th the fi plan, d the permit issued by the
Putnam County t)epgrtmeni Of'Health.
`� ( Cer, f P.E. R.A.
'i• .Oats by
Address na NO.
6� 2 •
Any parson .occupying premises caved, by "the above systems) shall promptly take 'such 4/n as may t» neiessary to secure the eor►ectlon ot, any unsanitary
conditions resultingfrom such usiys I4DDroval of the separata sevvbraps:system, shalecome nu11 and void as.loon as a Dubt ;: sanitary sewer baeomsia
'available and. the' ipprovial ot'the -private: water supply shall become null and .vokP when r publl water supply becomes available. Such approvals are
subjeci• to modification "Or -change when. 'in the;"judgmeAt `ot the' Commisiione► .:'of . salt , 0e�r we , ion;• modification' or• chinos Is necessary.
Date y Title
M C
WELL GUMYLr:'11UN icr,rurci
* * DEPARTMENT OF HEALTH
Division Of Environmental Health Services
PUTNAM COUNTY DEPARTMENT OF HEALTH
Office Use Only
WELL LOCATION
STREET ADDRESS. WNr l TAX GRID NUMBER:
East Branch Road, Patterson, New York -- 2 — 2
WELL OWNER
NAME: G Z ADDRESS:
Frank Galizia 12 Mill Lane, Brewster, NY 10509
❑ PBIVATE
O PUBLIC
USE OF WELL
1 - primary
2 - secondary
® RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED
O BUSINESS ❑ FARM ❑ TEST /OBSERVATION O OTHER (specify)
❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY O
MOUNT OF USE
YIELD SOUGHT gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal.
REASON FOR
DRILLING
[]REPLACE EXISTING SUPPLY ®TEST /OBSERVATION []ADDITIONAL SUPPLY
[j]NEW SUPPLY (NEW DWELLING) DDEEPEN EXISTING WELL
DEPTH DATA
WELL DEPTH 205 ft.
STATIC WATER LEVEL. --1-2 ft.
DATE MEASURED 4/10/96
DRILLING
EQUIPMENT
65 ROTARY 91 COMPRESSED AIR PERCUSSION ❑ DUG
❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify):
WELL TYPE
❑ SCREENED ❑ OPEN END CASING 0 OPEN HOLE IN BEDROCK ❑ OTHER
CASING
DETAILS
TOTAL LENGTH 5 3_ tL
MATERIALS: ® STEEL O PLASTIC O OTHER
LENGTH BELOW GRADE 52 ft.
JOINTS: ❑ WELDED ® THREADED O OTHER
DIAMETER 6 in.
SEAL: 0 CEMENT GROUT ❑ BENTONITE D OTHER
WEIGHT PER FOOT 7 9 Ib. /ft.
I DRIVE SHOE 12 YES ❑ NO
LINER: D YES @ NO
SCREEN
DETAILS
DIAMETER (in)
'SLOT SIZE
LENGTH (ft)
DEPTH TO SCREEN (1t)
DEVELOPED?
FIRST
O YES ONO
HOURS
SECOND
- -
_.
_ .
GRAVEL PACK
❑ YES
❑ NO
GRAVEL
SIZE:
DIAMETER
OF PACK in.
TOP
DEPTH ft.
BOTTOM
DEPTH, If.
WELL YIELD TEST If detailed pumping
D P 9
METHOD: O PUMPED i tests were done is in-
O COMPRESSED AIR ; ` ormation attached?
O BAILED ❑ OTHER ; ❑ YES O NO
sieve analyses
WELL LOG If more detailed formation descriptions or sie
are available. please attach.
DEPTH FROM
SURFACE
Water
Bear-
*
Well
Dia-
neter
FORMATION DESCRIPTION
coot:
It
ft
WELL DEPTH
It.
DURATION
hr.
min.
DRAWOOWN
ft.
YIELD
gFm.
Surface
36
Dri
llinq
in overburden clay & boul
erS
36
Hi
r
ck at 36'
205
6 hr
160
45+
36
53
Dr:lling
in rock, set casing, routd
53
205
Dr:llincf
in rock granite
WATER ❑ CLEAR
QUALITY O CLOUDY
' O COLORED
ANALYSIS ATTACHED?
TEMP.
HARDNESS
ANALYZED? ❑ YES ONO
O YES O NO
STORAGE TANK: TYPE Well Xtrol WX #250
CAPACITY GAI,,. 44
PUMP INFORMATION
TYPE submersible
MAKER Goulds
MODEL 7EH05412
CAPACITY 7, qp
DEPTH 180L
VOLTAGE2_MHP__'-,
WELL DRILLER NAME P.F. Bea 1 & Sons, In E 5 / 1/96
ADDRESS 4 Putnam Avenue sIGNATU
Brewster, NY 10509
3/89
'b
PUTNAi•1 COUNTY DrE_PARTtr,FNT OF FM4MH
D IVI S ION OF ENVIRD',\ : .L REP LTH S ERV ICES
crwner or Purchaser of Building
. S1407t
Building Constructed by
Location - Street -
P.�7'r,F�svcl
t•Suzicir>_-_1 ity
Building Type
.Z Z3
Section Block Lot
LCD- ?P
Subdivision hart
2
Subdivision Lot
G(J3�Rk1171FF, OF SU_ SU FACT SaE ,E- E DIS-POS-AT, SXSMIE i
I r_eoresent that I am wholly and co .moletely responsible .for the location,
wor'ro ansnip, m to -cial! construction and drainage of 'the sewage disposal system
serving the above described property, a-�d. that it has-been constructed as shown cn
'tiie approved plan: or aoprov.ed amendment, thereto,- and-.'in accordance with the
st- andards, rules and regulations of the:Putna�,q Coen x Depa::— r nt of Eealtti, and.
,hereby gu�xantee to the oromer, his successors, heirs or assigns, to place in gold
operating condition any part of said system constructed by me which fails to
operate for a pericd of two years irre5..iately following the date of aporoval of the
"Certificate of Construction. Compliance" for the sewage disposal system, or any
repairs made by nY_ -Aco such system, except where the failure to operate. properly is
caused by the willful o'r negligent act of the occupant.of the banding utilizing
the sys trn .
The undersigned further agrees to accept as conclusive the deteunination of
the Director oi: the Division of Environ�,Ental Sealth Services of the tna`u County
Department of Eealth as to whether or not- the failure of the sx t ooerate was
Gused by the willful or neglicent act of the occupant of t,�e diX utilizin9
the system.
Dated this ��; pay of S� 19 Signature
a Ti tle
CP..neral Contractor (Orh;:e_Y) - Signature
Corporation i�aae (if Corn
L iiiII{'�zn ZIA
P-ddress
rev_ 9/ci5
rtk
IF, I IN , _MI1
MM Wal
s
NORTH AMERICAN
LABORATORIES, INC.
CERTIFICATE OF LABORATORY ANALYSIS
LAB ID NUMBER: 96 -2560
CLIENT: P F Beal & Sons
4 Putnam Ave
Brewster NY 10509
SAMPLING LOCATION: Galizia, E. Branch Rd, Brewster
COLLECTED BY: B. M.
DATE COLLECTED: 05/03/96 TIME COLLECTED: 8:30 AM
DATE RECEIVED: 05/03/96
DATE OF REPORT: 05/08/96
ANALYTE
RESULT* UNITS
MAX CNTMT LEVEL **
METHOD
ANALYZED
Total Coliform
E. Coli
Absent
Absent
Must be "Absent'
Must be "Absent'
SM18(9223)
SM18(9223)
05/03/96
05/03/96
This sample, as submitted to the laboratory, and as, compared _to the New York State limits for drinking.......... .
water quality for the tests performed, was:
V ACCEPTABLE. _ NOT ACCEPTABLE.
NYS ELAP #11218
Maryann Fasano, Assistant Laboratory Director CT Lab Approval #PH -0171
* Underlined results are unacceptable according to health department and /or US EPA codes.
** Maximum Contaminant Level (maximum permissible concentration allowed by health department and /or US EPA codes).
618 Clock Tower Commons, Brewster, NY 10509 -9241 / 914 - 278 -7600 / Fax 914 - 278 -7754
— —
^ lDii�lAll[ OODlRY D>WARTUM OF MCALiB
I I oN dendsovermisimaidawmg ¢teal. �
N.Y.1M al to rte; ritu w o %
asi CJ�1>!3G►TB �FjCOMrIJAI�iCB�i
s++rs` ',f�ic,S2ul���4 1 Let A,a.. (�G CK� FfDs•�u•,o.q p vahme
N■.b.r d Baiow Dadp;Flow G P D 0 PCH b Rotaa4 vba M is essno lea
smwa a Sant sloftm to mild d Jyci�Baa Siva Task
T� r•;er4oelad by Addyan
Wataa• SW* IrtM. Adhees
an ftfttH .%W* Dyad by• _
Oliver Ratde.iids
1 represenUthatl am wholly and pomplately•responsibie for the design and.location of, the proposed system(Q; 1) that the separate sawaildl dis o s stem
a0ove described will be constructed as shown on the approved amendment there -to and in accordance with the standard$. rules an regu • ono O • Flulnern
County Department of t'wnth, .,and that, on completion thereof a ^Ci►Nfkate of Construction Compliance" satisfactory to the Commissloner Of MMRhw111
be submitted to the Department, and a written guarantee will be furnisMd the owner, his successors, heirs or atsigns.by the bulltla►, that laid sounder will
place in pod operating condition,any out Of MiCsawage_ disposal, system during the Period of two(2) yeasinimedleteiy following thedate Of the law
ance of the approval of the Certificate of Construction Compliance of the original system or any rgoir$ thereto; 2) that the drilled well described above
Will be located its Mawli on tM approved plan. and that said well will ",instal in accordance with tha st rd M. and regulations of the Putnam
County Department Of N•silpth
Date 10 13 1 f� S reed' P.E. PA.
4% /E - 1 _ 11 1 u , is
Addre+�X11 ll LJI lJt_♦` UC t V License NO
APPROVED FOR CONSTRUCTION: This approval 4xpires two yi►s., from.the date yIssued unless construction of the building has bean undertaken and is,
revocable for *cause or May be aniii or modified when, considered nec > b _ he Commissioner Of MeaRh. Any change or alteration of construction
renluNes a now per it. Approved for, dispowl'of domestic sanitai ;sewpa, n o water supply only.
ev'.� -�
0/88 Date by Title
0
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
APPLICATION TO CONSTRUCT A WATER WELL }� U
PCHD PERMIT
WELL LOCATION
Street ress
►Li '-�t11
o Village City Tax Grid Number
�i rsi.�
WELL OWNER
Nam
t.
Mailin Address .yam
r- ,• f✓v / .-
rivate
D Public
E OF WELL
l - primary
- secondary
SIDENTIAL
0 BUSINESS
0 INDUSTRIAL
O PUBLIC SUPPLY O AIR /COND /HEAT PUMP
O FARM 0 TEST /OBSERVATION
0 INSTITUTIONAL O STAND -BY
O ABANDONED
0 OTHER (specify
p
AMOUNT OF USE
YIELD SOUGHT` gpm /#
0 REPLACE EXISTING SUPPLY
60EW SUPPLY NEW DWELLING
PEOPLE SERVED_ /EST. OF DAILY USAGE 'Q gal
O TEST /OBSERVATION 13 ADDITIONAL SUPPLY
0 DEEPEN EXISTING WELL
REASON FOR
DRILLING
DETAILED
REASON FOR
DRILLING
�
WELL TYPE
E36ILLED
ODRIVEN
DDUG
GRAVEL.
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES 4.---NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:
Lot No.
WATER WELL CONTRACTOR: Name r Address:
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO
NAME OF PUBLIC WATER SUPPLY: SIZA - TOWN /VIL /CITY ---
DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: /
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
1 SEPARATE SHEET
-F � s- 113 ° 9 `I' &Lo
(date) signatur
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 provided by the Putnam County Health Department.
During all well drilling operations, the applicant shall take appropriate action to assure that
any and all water or waste products from such well drilling operations be contained on this
property and in such a manner as not to degrade or otherwise contaminate surface or groundwater.
Date of Issue: / 19 % ---�
Date of Expiration 19 ';;-7� Permit Issuing Official
Permit is Non - Transferrable White copy: HD File Pink copy: Owner
3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIROI-*IENTAL HEALTH SERVICES
Date
Re: Property of_
Located ata
(T) J�ct%�J�- i,srih Section �.�, Block. Z Lot 2-3
Subdivision of
K,.ka P�2
Subdv. Lot 7#
2
Filed \tap J1
23
bate�
Gentlemen:
This letter is to authorize
a duly licensed professional engi. peer or registered architect
D (Indicate) D
to. apply for a Construction Permit for a separate -se 'iaage system, to
serve the above noted property in accordance with the standards, rules,
or regulations a`§ promulagated'by the Commissioner of th-e Putnam County
Department o£ Health, and to sign. '11 necessary papers on my :behalf."
connection with this..matter and to supervise the construction of said
system or syttems in conformity with the provisions of Article 145 or t
147, Education Law, the •Public Health. Law, and the Putnam County Sani-
'Lary Code
Counters} `� cf'�
P.E. , R.A.��;
144�e_OOIL 01<1
Address
&"L[
(fa C68
Tel -.hone
t
Very truly yours,
Signed C
Ovmer of P op,erty
l5 Jon pcc C�SG� t
Address
�y(
Toi.n
Telephone
. LAURENT ENGINEERING
ASSOCIATES, P.C.
MILLBROOKE OFFICE CENTRE
Route 22 8 Milltown Road
9 . Brewster, New York 10509
RANDOLPH K LAURENT, P.E. (914)278 8108 - (FAX) 278-2658
HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS
October 13, 1994
Mr. William Hedges
Putnam County Health Department
4 Geneva Road
Brewster, NY 10509
RE: Individual SSDS
Drina Knapp Subdivision - Lot #2
East Branch Road
Patterson, N.Y.
Dear Bill:
Enclosed are the following:
1. Four (4) prints of Drawing SS -2 "Proposed SSDS - Lot #2 ",
dated 10- 12 -94.
2. "Application For Approval of Plans For a Wastewater Disposal
System ".
3. "Construction Permit for Sewage Disposal System ", dated
10- 13 -94.
4. "Application to _ C-onstruct a Water Well", dated 10- .13 -94 .. _ -_. _. . _
5. "Design Data Sheet ".
6. "Letter of Authorization ", dated 10- 12 -94.
7. Two (2) copies of Residence Floor Plan(s), for "Bedroom
Count Only ".
8. Check in the amount of $300.00, review fee.
We would appreciate your review, approval and issuanc of the
Construction Permit at your earliest convenience.
Very truly yours,
LAURENT ENGINEERING ASSOCIATES, P.C.
j j
0) - `/)tk, -1 �� ji �-u • «6�
Harr Y W.
Nichols, Jr., P.E.
HWN:bd
94093
enc s .
cc: Mr.
F. Galizia
hO :Z Wd h 1 130 h661
1-q
- -MV4 COMM DEPARTMENr OF BFA.L7 -- .
_JET .OF HEALTH -SERA.. 29....:`,
DESIGN DATA SHEET- S(JBSUF'ACE S&gACE'DISPOSAL-SYSTEM
ply Lamer` �ra k l.`���1 ZL Address. 5 Vv►,� a,- ^ale,
z -
rc J'
Located at (Street) ��Cc� vac. PW .... .. Sec. 2�f�. Block - Lot
(indicate nearest cross street),
Municipality �t,� cm� jy t'i Watershed
SOIL PERCOLATION TEST aIATA RDQU= TO HE SUBMITTED WITH APPLICATIONS
Date of Pre- Soaking Date. of Percolation Test
HOLE
y
NL14BM = CLOCK TIME PERCOLATION
PERCOLATION
Run Elapse Depth to WateriFrcm Water Level
'
No. Time Ground Surface In Inches
Soil Rate .
Start-Stop- Min. Start stop Drop In
Inches
Min/In Drop
!
Inches inches
24' '13.7 °. 7f`-(... --� 3"
9
-T3 VV -S -Z 7 ct-
4 ..
:.
5
.. -
- r
1 'q'• zi V--,30-
i
3
3,-3 3 k
5 r
i
r
q
NOTE- ;: 1. Tests to be repeated at same depth until approximately equal soil rates
are obtained at each percolation test hole. All data
to* be submittmd
for review.
r•
2. Depth measurererits to be made fran. top of hole.
rev. 9/85
TEST PIT r �\ REQUIRED TO BE 'SUBMITTED W= 'MICATION
DESCR... _ION OF SOUS laXXX3111TRED IN _ `HOLES .
DEPTH HOLE N0. % HOLE NO. iP. -8 HOLE M.
G.L.
1r
41
6' -
9'
10'
11'
12
14' _
INDICATE LEVEL AT WHICH GROUND�ZATER ISMENOOUNTERED N n t
INDICATE LEVEL TO WHICH WATER LEVM RISES AFTER BEING ENMUNTERE1)
s s
DEEP HOLE O `
:. E�SERVATYONS MADE BY: � rte vt, • ► - DATE: •�� � �i I ���' � �.
DESIGN
Soil Rate Used 6 qO Min /1"
Drop, S.D..Usable
Area Provided
No. of Bedroans _
Septic 'Tank Capacity
Z
gals. Type
ti�
Absorption Area -Provided By -4ZI y L.F. x 24" width trench o�`- ° �o
® pf NE
� ®
O
Other
�/ Q, �iA
p \�
"Lip" {y
Name �C 1�� < X YI i .. P��� vt (•
Address % . « Or,
�{' NI
_4►
� Un
�
0467
FE S10\
i r-
THIS SPACE jFoR USE BY HEALTH DEPARTMENT Old v '.
Soil Rate Approved
sq. ft /gal.' -
_ �-
v
N� by
Date
�PY.7T•I�T,A• -N� CO�CJNT'X" D�Q.P,.1:2.TM�NT Off' X��.A.L.'T�
APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM
i . Name and Address of Applicant: �/.K+,
�lj U1� /.iD dr � ✓ V
2.
4.
C's
VA
Name of Project: Ha o 3. _. Locatior(3/V /C: ��cL
Project Engineer: 5. Address: �a
License Number:
Type of Project: • •;:. ;;i; �.:. ' . .; .
/ /Private /Residential* Food-Service • - ...Commercial ,
Apartments Institutional _ Hobile Nome Park
Office Building Realty Subdivision. Other (specify)
Is this project subject: to State Env.ironmental•Quality Rev iew.(SEQR)?
Type Status (Check One) •Type.I;. Exempt
Type SI. Unlisted.
8. Is a;..Oraft Environmental Impact Statement (DEI$) required? .............. d
9.. Has-DEIS been coriDleted and- found acceptable by Lead,Agency? ...........
i
0. N.an,e Hof Lead Agency
.a
11. Is this project in an area under the contro-1 of -local planning, zoning,
or other officials, ordinances ? %. . ...:........ i � J
1,2. If so., have plans be.en.submitted to such, author .s ties? ..................... o
(f ,
13. Has preliminary approval been 'gren '? ted by such authorities Date Granted:
J.
14. Type of Sewage Disposal: System Discharge.....,. •Surface Water Ground Waters
16. If surface water discharge, what is the stream class designation ? ........r
:o. Waters index - number (surface) .......... ............... ....... .............
7, Is project located near a public water supply system? ................... Vo
3. If yes, name of water supply Distance to water supply —�
9.
1.
Is project.site near a public SE:-wage collection or disposal system ?..... Ald
Name of sewage system /V Distance'to sewage system
Date observed: CLl «Yip— 23. Nsime of Health Inspector: �/qL 6uJ2_i4L l /
Project design flow (gallons per day).,...: ........ .......... ..............
- 2.
25, Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?..
26. Has SPDES Application been submitted,to'local D- EC.Office?
27. Is any portion of this project located within a designated Town or State
wetland? .... ............................... .. .......................... 0
23. Wetland ID Number ........................ ...............................
29. 'Is Wetland Permit ,required? .............................................. '
Has application been made to, Town or Local DEC Office? .. ...............
30. Does project require a DEC Stream Disturbance Permit? .
31. Is or was project site used for agricultural activity involving application
cr pesticide$ to orchards or other crops, solid or hazardous waste disposal; `
1.andfilling, sludge application or industrial activity? YES or NO O
32. Is project located within 1;000 feet o; existence of abandoned landfill',
hazardous waste site, salt stockpile; 'landfill, sludge disposal site or
any other potential known•source of contamination? ..............YES or NO
DESCRIBE:.
33. Is there a local master plan` or file with the Town or Village ?.. ..... .
3.-,. Are coc:;)unity water, sewer t
facilities planned o be developed within 15.
, years? CJ
35. Are. any sewage disposal areas in excess of 15% slope? ........................
36. .... .. _ ..... ...... . —-
Tax. Hap ID dumber � .. .. .. .. �
37. Approved Plarls are to be returned to: .............. Applicant _LZ' Engineer
If the application is signed by a person other than the.appl,icant shown in Item.1, the.
pplication must be - accompanied by-a Letter of Authorization: Failure to comply with this
provision may be grounds for the rejection of any submission.
I hereby affirm, under penalty of perjury;- that information provided on this
fo „ is true to the best of b�y knowledge and be7ief.' False state�•rents; made
herein are punishable as a Class A Hisde,-,eanor pursuant to Section 210.45 of
the Pena 1 LaN.
SIGNATURES & OFFICIAL TITLES:
'.AILING ADDRESS:
13rcJ, /%
' APPENDIX 3
PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS
REVIEW SHEET for CONSTRUCTION PERMIT
STREET LOCATION. NAME OF OWNER i
BY B. HED ORRIS OTHER DATF�CO��AX MAP # 2
DOCUMENTS.
YN/
MT APPLICATION
1
LL PERMIT DD PWS LETTER
JINEERS AUTHORIZATION
;IGN DATA SHEET(DDS)
ZPORATE RESOLUTION
LNS THREE SETS
JSE PLANS - TWO SETS
VARIANCE
SUBDIVISION
= LEGAL SUBDIVISION
= SUBDIVISION APPROVAL•CH CKED _
QD'PERC RATE
m
FILL-REQUIRED �' EPTH
CURTAIN DRAIN REQUIRED =STANDPIPES
GENERAL
ER,F PROVAL SSDS ADJ. LOTS
W 1969 . ( TOWN/DEC PERMIT REQ? )_
DS PLANS & PERMIT SAME_
NEIGHBOR NOTIFIFICATION_
YR.`FLOOD ELEVATION Z C �1� ---_—
YEN, --
E ; SHOWN; GRAVITY FLOW, SUFF. SIZE
ED PIT & D BOX SHOWN & DETAILED
4jH0 - NO.OFBEDROOMS
& SSDS'S WAN 200 FT. OF PROPOSED SYSTEM
?P5R METES & BOUNDS
JSE SETBACK NECESSARY (TIGHT LOT)
USEWER - 1 /4 75T. 4 "0; TYPE PIPE
BENDS; MAX. BENDS 45 W /CLEANOUT
FILL SYSTEMS
CLA
19A HORIZONTAL: SLOPE 3:1 TO GRADE
LL SPECS = FILL NOTES
FILL CERTIFICATION NOTE
DEPTH GAUGES
= VOLUME
= FILL IN EXPANSION AREA
se-it�RENCH
TRENCH PROVIDED =60 FT MAX
LLELTO CONTOURS
1000/b EXPANSION PROVIDED - -
,t„ -56�. SEPARATION DISTANCES SPECIFIED ON PLAN
REQUIRED DETAILS ON PLANS ffi;DS -
PSYSTEM PLAN - (NORTH ARROW) . ..DRIVEWAY, LARGE TREES TOP OF FILL
DRAULIC PROFILE = GRAVITY FLOW 20' NDATION WALLS 15' WELL TO P.L
d£ UCTION NOTES (GRINDER NOTE) O�ELL, 200' IN D.L.O.D., 150' PITS
� bATA: PERC AND DEEP RESULTS _� A O53 WATERCOURSE LAKE (INC.EXPAN)
JTWO-EQOT CONTOURS EXISTING & PROPOSED 50' CATCH BASIN, 35' STORMDRAIN, PIPED WATER
w WAY & SLOPES CUT 0' ATER LINE (PITS -20')
FOO /GUTTER/CURTAIN DRAINS ERMITTENT DRAINAGE COURSE
=,ER OSION CO ROL; HOUSE,WELL, SSDS 20 •RESERVOIR, ETC.= 150 FT. GALLEY SYSTEMS
EROSI ONTROL NOTE 5' MIN TO C.D. S = >5 %,20'- 4 %,25'- 3 %,30'- 2 %,35' -1 %,100' <1
P & DEEP HOLES LOCATED ` 20' MIN TO C.D. DISHARGE /100' WITH 182 CONS DAY DIS.
REPRESENTATIVE OF PRIMARY AND EXPANSION SEPTIC
' FROM FOUNDATION; 50' TO WELL
COMMENTS:
I.
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16 vr;�rrPJ 9.
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4
2 �25o G
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� EX/5T 4 ,80
�ES��ENCE
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d I EXiS
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c � I ►pproved as rcted J
tppl.icab -le Vules ai
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Ii att�lt'� TWO
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� .. � S , .. J 3�'' f Y 1 _ .4 =. > �'` '� ` ''.�r'"''}. ;� •L�xY ,� X FtiiT N �,, � �. �+• rt $ � :s �' x � ;;�
n
FF
-
D/MENS /O/Y CHARTO/V.rr) : .
/V °
A
B
l
38.5
/g 5
2
42.5
2 2..5
4
43.3
34.0
5
45.5
41.0
6
46.0
45.5
7
51.5
51.5
e
55.0
57.5
9
59.0
/0.
63.5
69.0
l/
97.0
52.0
/2
95.0
53.5
13
95.0
57.0
14
96.0
66.0
15
97.5 ~
64.5
16
98.0
68.5
/7
/00.0
73.5
16
102.5
70.0
19
1056
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