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HomeMy WebLinkAbout0856DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25. -1 -40 BOX 9 i s� i IL i 1'` ■ * L t PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # P-19 'F6 Located at 1J ce n q t_x c/1 L a -'�q P. Town or Village %'QTY -rS ob Owner /Applicant Name A s'1 14c�+�+, Z�,� Tax Map _ S2 Block �_ Lot Formerly Mailing Address ] ' Date Construction Permit Issued by PCHD Subdivision Name Q Uri L ►! Subd. Lot # Zip IOSo Separate Sewerage ftstem built by tic it aw 1 lei r do Address. -3'7 04w, r- �=a r••1� j i Consisting of ) "Z.SU Gallon Septic Tank and v-- p s A_42� .� , Other Requirements: Water Supply: _ Public Supply From D;,f, ,� , / _ Address Oc•„we,5 i�SSbC -. or: Private Supply Drilled by Address Building Type 9-e s Has erosion control been completed? Yes Number of Bedrooms Has garbage grinder been installed? N o I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of the Putnam County /pepartment of Health. Date: ;i - IG•. -`� Certified by k-k: s .� �. P.E. R.A. Professional) Address License # �'(� t '2_!J Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the, correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals arx, subject to modification or change when, in the judgment of the Public Health Director, such revocati m ification o ge is necessary. � "% By:. Title: Date: v White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 LAURENT ENGINEERING ASSOCIATES, P.C. ' \ MILLBROOKE OFFICE CENTRE _ Route 22 3 Milltown Road Brewster, New York 10509 j(914)278 -6108 • (FAX) 278 -2658 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS February 16, 1999 Mr. Robert Morris, P.E. Putnam County Health .Department 4 Geneva Road Brewster, NY 10509 RE: Individual SSDS Compliance Presige Homes LLC. Denand Lane Quail Ridge - Lot 1 Town of Patterson Dear Mr. Morris: Enclosed are the following 1. Five (5) prints of Drawing S -1, "As -Built Plan," dated 1- 25 -99. 2. "Certificate of Construction Compliance for Sewage Disposal System," dated 2- 16 -99. 3. "Guarantee of Subsurface Sewage Disposal System," dated 2- 16 -99. 4. Laboratory Report, dated 2 -3 -99. 5. Application Fee in the amount of $200.00 payable to Putnam County Health Department. If there are any questions concerning the enclosed, please call. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. 1� Harry W. Ni hols, Jr., P.E. HWN:JM:his 98029 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located at PAHAND (,XNa Town or Village PA i Tap-J�)°�4 Owner /Applicant Name I'�E�S'tl� �µ� r Tax Map Block Lot 0 Formerly Subdivision Name Q y �� L R-1 O�,G Subd. Lot # Mailing Address 2 6YP- '' 13 r- � pL AF—fio N YC N }-' Zip 1'0 je4 Date Construction Permit Issued by PCHD Separate Sewerage System built by JXHG,5 CtA14 L1Ar,-Dy Address 11 AW FAW 4 PAWu9+ W S� Consisting of i V"20 Gallon Septic Tank and y t'F Mc;, rWK14 T Other Requirements: Water Supply: Public Supply FromaJAIL PM No&�NM5 MAddress Phi -ZjCH NY or: Private Supply Drilled by Address Building Type P-E'S IDcNL -a= Has erosion control been completed? Y65 Number of Bedrooms 4 Has garbage grinder been installed? No I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulatio. of the Putnam C ty TDement of Health. Date: 2' I(p Certified by P.E. R.A. esign Professional) Address 17-0 M jet_ ► o vV�4 F-00 6 "Yi CF NY 10 S'01 License # 6('13A Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocation, modification or change is necessary. Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 owner ;- Dr�, P&chasek o P(TTNAA cbu�gy r)r-:y)ARax,,,7,7, OF 11EAU111 tDIVIS1019'OF ENViR0NiIMWPAI', SERVICES VCS E` Bt Ill-- Location, - Street E�L75 0 0 LI Building Type cion Block' Lot dUAIL- ._P--Q(A5 SuLxlivisioli N�Ule ubd vision Lot # GHAJ21� 1.76-; 'OP .111111!,11 Ill P'ArK IIFIVIAC.;' T)T';FQ,;AT,',qYf'jIjj7M* ra'sponsible . for ihe location, w tint] ticl coiq .! )).ta.L system workmanship, mate0alk. consttuction ind drainAge cr the sewag6 disposal serving.the 'abo've'.d'esG�i.b6a."-broperty, and that it.:r,.as been'constructed as shown on tha approved plan or'atjp'r8v.ed wiieudweiit Lh.dk6.Lo, and In accordance with the standards;'rules:ana -.iRegulations of the Putna"m County ..Department. of Health, and her6by'guarantee. to tie 'owner; .: '- . his successors, heirs or . assigns, to plice in good ...operating condition -any part of said system constructed by me which fails to t� operate! for .a .period. of. two. -years iinnediately following the date of approval of the the sewage disposal system, or any 11C Compliance" for' w "Certificate of C 'fail.urn to operate. properly is repairs mde, by ma to su6 riy!--trm, (­<ropt wh To thn -caused by-. the willful or negligent act of the. occapant of the building utilizing the system.' The undersigned furthe�r agree.,; to as conclusive the determination of the. Director of the Division of Environiretntal Services of the Putnam County. !!uce of the system E6 operate was Department: of Health. '.as to whether or not U,-2 !.L.L- n qliLjr!nI. nul_ 1 or ()I' of Lho buildincj utilizing caused by,�ho willful the system. Dated this day. of 19 .... J.,J;.13 Lu 111J. Lle 9M9.5, General ConV&ctor ner) = qnaLurc Corporation Naine (if Address Mk Corporation Name (if Corp.) 7 Address k A--V, 1.2T6el YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y.. 10598.. _.. ( 914) 245-2800 Albert H. Padovani, Director LAS #: 93.812410 CLIENT #: 10176 NON STAT PROC PAGE i PRESTIGE HOMES LLC DATE /TIME TAKEN: 01/28/99 12:00F 2 BYRAM BROOK PLACE DATE/TIME RECD: 01/28/99 12:40P AF MONK:: , NY 10504 REPORT DATE: . 02/03/99 PHONE: (914)-765-0681 SAMPLING SITE: LOT #1, DANAND LANE SAMPLE TYPE..: POTABLE : PATTERSON, NY (QUAIL RIDGE DVLPMT) PRESERVATIVES: NONE COL'D BY: KEVIN HANNA TEMPERATURE..: NOTES.. KT COLIFORM METH: NF ------------- — - - - - -- ti ---------- ~~- ~-------- N������N�� DATE FLAG PROCEDURE PUTNAM CNT:T PROFILE 01/2228/99 MF T. COLIFORM 01/28/99 LEAD (IMS) 01/28/99 NITRATE NITROG 01/28/99 NITRITE NITROG 01/28/99 IRON (Fe) 01/28/99 MANGANESE (Mn) 01/28/99 SODIUM (Na) 01/28/99 pH 01/28/99 HARDNESS,TOTAL 01/28/99 ALKAL I N I T'Y (AS 01/28/99 TURBIDITY (TUR RESULT ABSENT /100. ML 17.7 ppb 1.95 MG /L <0.01 MG /L <0.060 MG /L 5.96 MG /L 7.3 UNITS 104 MG /L 84.0 MG /L 1 NTU NORMAL - RANGE METHOD ABSENT ►08 1009 0 -15 ppb 9101 0 = 10 9139 N/A 9146 0-0.3 mg / 1 2037 0-0.3 mg / 1 2037 N/A 6.5 -8.5 9043 N/A .N/A -0-5 NTU COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATE' (WAS)il AS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORD NEW YORK STATE AND EPA FEDERAL DRINfING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb, /Cu LEAD limits for p EPA Lead & Copper than 10% of their than 15 ppb and a treatment must be potential. _iblic schools are set at 15 ppb. Rule for Public Systems requires that no more distribution points have a LEAD value of more COPPER value of 1.3 mg /L, else water undertaken to reduce the waters corrosive Fe /Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg /L. Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg /L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg /L of Sodium is suggested. YML ENVIRONMENTAL SERVICES 321 k:`ear Street. - Ycri %town Heights-, N.Y. 10598 ( 914) 245 -280 0 Albert. H. Padovani, Director LAB #: 93.802410 CLIENT #: 10176 NON STAT PROC PAGE 2 PRESTIGE HOMES LLC 2 BYRAM BROOK PLACE ARMONK , NY 10504 r504 DATE /TIME TAF;EN : (--)1/28/99 12-.0(--)R DATE /TIME RECD: 01/28/99 12:40P REFORM- DATE: 02/03/99 PHONE: (914)-765-0081 SAMPLING SITE: LOT #1, DANAND LANE. SAMPLE TYPE..: POTABLE : PATTERSON, NY (QUAIL RIDGE DVLPMT) PRESERVATIVES: NONE COLD ELY: KEVIN HANNA TEMPERATURE..: NOTES...: KT COLIFORM METH: MF -- -- - - - - -- DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD pH pH SCALE IN WATER RANGES FROM 1 -14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG /L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG /L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0 -70 MG /L VERY HARD WATER: ABOVE 3oO MG /L MODERATELY' HARD WATER: 70-140 MG/L.. MG /L = M I LL i GRAM PER LITER. HARD WATER: 14o -30"o MG /L (1 arain /gallon = 17.2 MG /L) SUBMITTED BY: Albert . Padovani, M.T.(ASC-) Director ELAP# 10323 t Z 3 8� NN Q N 2 CY. tP 1 d i 030 89� 90 / OP' Iq All*iP� 16 to A CtY p , of law. T 1A I1 FOXC- i o. i \ _— ea g�ciht• wA AtA Q ?qc- I 2:I...jy •. �9lL•A6 yam.-•_ `u � 4. gR p Ex `hTIN N C, o N h Z I1 FOXC- i o. i \ _— ea g�ciht• wA AtA Q , DIMENSION CHART (in ft.) No. A B 4 41' 39� 5 4(P' 43' 6 51' 481 8 ro3' 5q' 9 ro0 , 8Ca 10 55' Ig 40' 1y, 14 19 3 I' l2 17 g2'} , le T7' 4r3' 19 `12� 42' ZO ro8' V i I I i PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL-- HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # -3 Located at Pt04A HD ENE Owner /Applicant Name PX17-�' Ii4 Formerly 40 1A E6 0 ww'- Town or Village PA1 -rr-_P-60 i­+ Tax Map 26- Block Subdivision Name C2 v Al l-- Subd. Lot # Lot 14 �Ll lets Mailing Address 2 6y9 -4r" 13 r- ' Pi4%1' O ALH K 1J � Zip 1044 Date Construction Permit Issued by PCHD Separate Sewerage System built by JA HG'i GtAi4 L1A40 Address 'hl AW F*pA 4 PAWUH" Consisting of 0 Gallon Septic Tank and L'F /%e-;, IWK,14 Other Requirements: Water Suooly: Public Supply FrornOWPIL P94 14MOV496 AMkddress QK1 ,Z;0" 1 NY or: Private Supply Drilled by Address -...._- Building Type .. _ - PLE-6 0&11�" Has erosion- control -been completed? YES Number of Bedrooms 4 Has garbage grinder been installed? NO I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulatio of the Putnam C ty. De ent of Health. Date: !Z'.16-11 Certified by �, P.E. A R.A. esign Professional) Address ''1,0 Hh, J 0WH i4ftD B w, rj5R NY I License # 601-A Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocation, modification or change is necessary. Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 BRUCE R. FOLEY Public Health Director March 15, 1999 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Harry Nichols Laurent Engineering Millbrooke Office Centre Route 22 & Milltown Road Brewster, New York 10509 Re: TM# 25.4-40 Town of Patterson Dear Mr. Nichols: This office has received and reviewed the most recent set of plans for the above mentioned project. We would like to offer the following comments for your consideration. Water analysis for lead exceeds state standards. Results show 17.7 ppb (0.017 mg /1). The Maximum is 0.015_mg /1. It is recommended that the system be flushed and the water be retested for lead. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact us if any questions arise. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj 7 tY• ^!`..,�,i .1'� ' . . I; ... ' �I. (I I �,.. ;'x'.1,1.. �1' .. , , PUTNAM COOH1.I f.)1'.1 ?11tZ`ZM,'.i1 017: ffl.- d1L`III bIVISIUiV.'OF lI]VII2UVMINII!,_T_, ':L:i :��_ii SERVICES _ CLC :; g� Owri or; Purchaser. of gqi; —ging. scion Block Lot `` I :.•e.. '' 'i. I y,y i; ;1; �I,, .I,, I. "li: I Ir... -,1 �J''(Ilil Itil ��j I' I � • I'j��',.✓ (i� s °'! ►, au..'a.d rig C.t�ngjtrrrxE'!1:i1 tai ( — - LocaGip i, -• Street s.ulx iivision Ntc(c>e ` Municipality. Subdivision Lot Building Type-.- i C'Lln2 'I n' ;;1 IIt� 11121 n('P: ', C:'' S' I'wr, r I:)T: ; fi(1, ,711', sY.;.197N `I'ropraaant;;�th' t.';, ;'am:.wlcol.ly and caultrI_ctoljt rob fion:lble for tiha location, workmanship, material,: conritruc:tion ��nrl.. dr.,-c,i.nhgo c the sewitgo clisposal system s ertiinc the abpve ., :desG i :property, and :that it ; r:as been 'constructed as shown on the approvid plan or Ubpr Ved Wilecccln(erct Lhcite:Lci, arch in accordance with the standards;' rules.: and ::regulations of the Putnam County; Department of Health, and hereby guarantee' to tie 'oowner "his successors, heirs or 'assigns, to place in good operating condition-agcy part of said system constructed by me which fails to operate' for .a .period. of. ::years isnnediately following the date of approval of the "Certificate of Construction Compliancc fot -the sewage disposal system, or any repairs made 'by ma to 5tirh 'n,y:.tr-inI rxror)t- wlll�ro t,hr fa.i.l.urn. to operate properly is' caused. by: the willful or negligent act of Uie oc:c °spant of the building utilizing the system. The undersigned further agrc:us tti 'ti.c cc. I:. -.I , conclusive the determination of the -: director of the Division of Environirental L ; ;].:h Services of the Putnam County. Departr4ent of ileal'th ,as to whether oc not of the systen to operate' was Cau�ad by,th�a willful 'or, �b*lii;]r.nl:. nul_ of: I_ho <ti ::..,I,;(nL of Lho buildings utilizing the systei .l Dated this 7� day. of - .1.` -I - -�f �;lc;;kcturu T �^ / I'j. tie , ?rb .4v _Jv�_ General Con ct.or (O 11 r) - �' yc>a tur. e Corporation Name (if Corp.)' Corporation Name (If CO > ►; _:,• 3 7 F �� ��rer._�� Address Pgw�n 1V�c� y Address wl A- Y% x.ay.-9 /00• irk .. , 1. . I ` T'U1'NnM COUN L'X f)I :l ?11tZ`TN!; ;� ";� nl'` t))_11L`iI1 - .,. DIVISION.- OF UW RO�M� 1'!,i ;a.::'i<: a_H SERVICES �� _ I; Owned ':or; 'l zchaser. of.. )3t�i'1''it� `��� cion :Brock Lot ' �'S'�� •, 8u a.d nr� , C�,n��:�tx�:�:s�:l t��► •; • ..r, ,'" :. , dUAIL E5 iACnt:ion Street �— ;�ulx iivi:c ion Nang: Municipality. .Suix�ivision Lot # Building Type' ' , , c;r.trt2l�t�i,•[ ?,r:•, 'fi mrrP; ! ,)wr(; o r: ;;� ckr nrr ,Y 'V T ,l,.'itrtr;.wholly and xabgonaible for the location, workmanship, material: co6a:ttUrtion and., Ar,ain,hge cf the aewago disposal system 'serving the abpve;,.des rib property, and that *t ;cas been 'constructed as shown on the approved pla'ri or appr6V;ed waendnseiit 'th ke:to and in accordance with the standards;' rules: and* ;:regu ations of the Putnam, County:• Department. of Health, and hereby guarantee to the '©wn' ';his succ.�ssors, 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 iinnediately following' the date of approval of the "Certificate of Constriction Compliance fo`r the sewage disposal system, or any repairs made Y�y me t ca �u�h fiystr�n, oxrr-r)t wh�rc, hr fa:i.l.ure' t.ca - operate . properly is.. caused by: the willful or negligent act of the. occupant of the building utilizing the system.' The undersigned further ayreu,,* W ''oc cc conclusive the determination of the• airedtor of the Division• of Environim -nUd aJ. ;t, Services of the Putnam County. Department of . Heal-th ,as to whether or not t„ 1.6 1'.hive of the system .to operate Iwas 6auai6d by,tpg'willf -ul 'Or-l'ib'jllt:�t:r►L n(A.. tel: Lhp of Lho building utilizing the system. Dated this ��- day, of �.. .l�) %% :';a_�;n,:it:u;:(r ...General Con actor (Oyrnc:r) .� Corporation Name (if Corp.) Corporation Name Uf Corp.,) •- Address .Address f. .,rev. -9/8.5 A pblwyA Comm n1.T�t Zr" .rX; qr tlE71LZTl DIVISIOOiV.'OF :EWI- RUNMERiAl', `I_A!�MH SERVICES , ;, , r : f e•�'c -5.� /,cam • . _ .__ owned :or Purchaser of Bt�� 11hg,; r ?� c iori :Block' Lot � d � y(.r I ; (,, • 'li: I � r �i'� {Ihll � (I1 I I ll/ v'rrvv ( 'Q S 8l3 Z7t� , Ci'�l1kJi;•:2.`tXi`;i: try 'a•i , � r' :. , dUAIL- P-045 Location Street "�I. M11Cllclpallty .,; :',- Subdivision Lot # I Building Type• ' CiT:Ull21�NM.- "OT''a:'pIMIS1 IIZI 1�('1 � T WT.0 r' .'f�;C; li.flr:7U.p SY a'I9'7�'1 ........._... -. ��f 's '•I .r ®pr ®ere�n.t ithe t 1 "'i r►..wllo.l.ly and ccwr�r -,' Lti�. o�n�ionsl'b1e for the location, wor nship, materiaal0.. cotast action and Arainhge c-f the sewlga c�ispoeal'system serving the abpv'e :,.desqril 'property, and that it :has been constructed as 'shown on thm approved :plan or a�prdved alnenrLu6.rit, "Ll? r Li,,< and In accordance with the <.standards;'rules:and,:regu ations of the:Futnam. County;Department of Health, and I, hereby guarantee to the 'owngry ''his sucr.,,�ssors, heirs or 'assigns, to place in good ;.,.:operating "condition- -any part of said sys tem`"L'co ;,, nstructed by me which fails to ti operate'for .a :period. of: two. -yeaxs imnediately fohawing the date of approval of the "Certificate of ConStrjuction Compliance" £cr the sewage disposal systr or any repairs tea s -by -ma *,o «c}� fiy r��n, ��x�e�i( wh�r�� t�r:.'fa.i:l.ur.P to operate •properly..is caused' by' the willful or negligent act of ,'.the. occ apaiit of the building utilizing the system. The undersigned further agrees L6;;a,cc<:_y'�. :�s conclusive the determination of the,:•Direc. or of the Division .of Environirnntal ` ---vJ. h Services of the Putnam County. Department of. Health as to whether or nol: to-, f.L_ ' ure of the system do operate' was . lixing c)1 L1«, of Lho building utiC83sei by tho willfulor jligrn . the . system. Dated this da of S1,-,. �atu' c //'� e T,�es (3� General Con ctor le.r) - `'.gnature !/ Corporation Name (if Corp.)• � / - YML ENVIRONMENTAL SERVICES '-- � 321 Kear Street-­ Yorktown Heights, N.Y. 10598 (914) 245-2800 _ Albert H. Padovani,, Director , '#: 93.802410 CLIENT #: 10176 NON STAT PROC ' PAGE 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ �ESTIGE HOMES LLC '' .BYRAM BROOK PLACE ZMO NY 105()4 ,. . DATE/TIME TAKEN: 01/28/99 12:00P DATE/TIME REC'D: 01/28/99 12:40P REPORT' ATE: 02/03/99 - PHONE: '(914)-765-0681 � ING SITE: LOT #1, DANAND LANE SAMPLE TYPE..: POTABLE �.'. : PATTERSON. NY (QUAIL RIDGE DVLPMT) ' PRESERVATIVES: NONE ' D BY: KEVIN HANNA OTES."-.: KT ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ , DATE FLAG PROCEDURE PUTNAM CNTY 01/28/99 01/28/99 01/28/99 01/28/99 ' 01/2B/99 01/28/99 01/28/99 01/28/99 01/28/99 01/28/99� ' '01/28/99 PROFILE MF T. COLIFORM LEAD (IMS) NITRATE NITROG NITRITE NITROG IRON (Fe) MANGANESE (Mn) SODIUM (Na) pH HARDNESS,TOTAL ALKALINITY (AS TURBIDITY (TUR TEMPERATURE..: COLIFORM METH: MF --------------- ------------------����� RESULT ABSENT /100 ' 17.7 ppb 1.95 MG /L <0.01 MG /L <0.060 MG /L <0.010 MG/L 5.96 MG /L 7.3 UNITS 104 MG /L <1NTU NORMAL - RANGE ML ABSENT 0-15 ppb 0. _ 10 N/A 0-0.3 mg/l 0:-0.3mg/l N/A' 6,5-8.5 N/A N/A - - - ' ' -- 0-5 NTU COMMENTS: ` SACT THESE RESULTS INDICATE THAT T) OF A SATISFACTORY SANITARY QUALITY ACCORDI HE NEW YORK STATE ` AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. (�pG/Cu LEAD limits for public schools are set at 15 ppb. EPA Lead & Copper Rule for Publ'ic.Systems requires that no more than 10% of their distribution points have a LEAD value of more than 15 ppb and a COPPER value of 1.3 mg/L, else water treatment must be undertaken to reduce the waters corrosive potential. . If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. No limits for Sodium are proscribed. Suggested guide lines state ` ' that for people on a sodium restricted diet,the water should ^ contain no more than 20 mg/L of Sodium. For thoseon a moderately restricted diet, a maximum of 270 mg/L of Sodium ' is sugge,il"t.e-d. ` r � METHOD 1008 91D1 � 9139 9146 2037 2037 9043 - � ` ^ ' ' YML ENVIRONMENTAL SERVICES --321Kear Street . Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director ' CLIENT #: 10176 ~~~~~~~~~~~~~~~~~~~ ___ BROOK PLACE Kv NY 10504 AMPLING SITE: LOT #1,,DANAND LANE | |�'J«.�. : PATTERSON. NY (QUAIL RIDGE [)VLPMT> BY: KEVIN HANNA NON STAT PROC PAGE 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE/TIME TAKEN: 01/28/99 12-.00P DATE/TIME REC'D: 01/28/99 12:40P REPORT DATE: 02/03/99 PHONE: (914)-765-0081 DATE FLAG PROCEDURE ' ��.. SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: ' COLI.FORM METH:.MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ `ESULT . NORMAL -RANGE METHOD -14. MEASUREMENT OF pH IS ONE OF pH'SCALE IN WATER RANGES FROM 1 THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. -pH MIGHT BE CORROSIVE TO METAL PIPES AND WATER WITH A LOW FIXTURES., THE NORMAL RANGE OF pH IS 6.5 TO 8.5. TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG./L. THE � HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. S OFT 'WATER: 0-70 MG/L _yERyHARDWATER: ABOVE 300 MG/L - MODERATELY-HARD WATER: 70-140 MG/L MG/L = MILLIGRAM PER LITER HARD WATER: 140-300 MG/L (1 grain/gallon = 17.2 MG/L) - - ` ELAP# 10323 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Street Location A COY Town 77A iW�112) 1. Sewaee Svstem Area Owner a. STS area located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course/wetlands ...................................... II. Sewage System a. Septic tank size - 1,000 ...... ..1,250... other ................ b. Septic tank installed level .............. ............................... c. 10' minimum from foundation .......... .............. .................. d. Distribution Box 1. All out ets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box - properly set ........... ............................... f. Trenches i. Length required 4Y, 0 Length installed 2. Distance to watercourse measured `) G0- Pt.......... 3. Installed according to plan ......... ............................... 4. Slope of trench acceptable 1/16 - 1/32" /foot ............. 5. 10 ft. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100 % ......................... 8. Size of gravel 3/4 - 1%" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... 10. Pipe ends capped ........................ ............................... g. Pump or Dosed Systems Size ot pump chamber ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual / audio .................... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled .......................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. HouseBuildin a. ouse ocated per approved plans ... ............................... b. Number of bedrooms ....................... ............................... IV. Well Nell located as per approved plans . ............................... b. Distance from STS area measured ft.. .......... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dinto exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ... ............................... i. Erosion control provided ................. ............................... Rev. 6/97 Date: Permit # Subdivision Lot # Form ST -3 LAURENT ENGINEERING ASSOCIATES, P.C. j / \ MILLBROOKE OFFICE CENTRE \ Route 22 & Milltown Road Brewster, New York 10509 (914)278 -6106 - (FAX) 278 -2658 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS February 16, 1999 Mr. Robert Morris, P.E. Putnam County Health Department . 4 Geneva Road Brewster, NY 10509 RE: Individual SSDS Compliance Presige Homes LLC. Denand Lane Quail Ridge -.Lot 1 Town of Patterson Dear Mr. Morris: Enclosed are the following 1. Five (5) prints of Drawing S =1, "As -Built Plan," dated 1- 25 -99. 2. "Certificate of Construction Compliance for Sewage Disposal System," dated 2- 16 -99. 3. "Guarantee of Subsurface Sewage Disposal System," dated 2- 16 -99. 4. Laboratory Report, dated 2 -3 -99. 5. Application Fee in the amount of $200.00 payable to Putnam County Health Department. If there are any questions concerning the enclosed, please call. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. Harry W. Ni hols, Jr., P.E. HWN:JM:his 98029 / 3ln-5 leP••�• l..wd�e:f�.td.t 1�.etait 1 Ri.■w s.�ue 1Ltak..a i�b M etoti.b 7d :1;i.A[�C,eN 1- dr�5es t �-. #ahr >�7 •' �t�� :alb' Fe.�.:. _ . •' on 1 frprMMCaMt,l am wlwl(y.antl:OOn�pMt�tY riwek,66 for tM dNide ak, above 4istived will be oon OV.d sniNWlnent C!wwtY Dopwtnwnt of HMRl%' MIS tlNt 0r1 eompNtkMahwool ii, 'CMtl1 •` z ;', ; - -: M wIMOMtM. ',to : tM %OMMtinont: an0 • w►Ntin bwrantN \will ?bO "turn Mia aw 'tl�d eMlatbN'tOMi11M. ony oat` of nN O-W. - a0NOw.!:'g � ' , awa e1 pl:'aiM.r�t M tIM e.eeMlia. of .C' °ontt.uttion eomliint� o �' _ ,nib M IOia:M M MloMf1,M tM abprei�d t>� r� tMt�Ykl wNl will M J e.«Ilnl, oiwt a ifweh AM1tOVE0 f +OA. CONSTNUCTIt)!1: TRH NO!Owl � :ONM tMrO -yM►t J/o •.� ; fit:, ,',hirOt�OM /a. tauM.ar,niOy Oi "on'NO�d erilaONMd wllie tonfidMOO:Ma NKulns ,. Mw pwM!t AoprooM fd� dlflpOYl Of dOriMttk wnKrry `M io /8,8 t- iution _Of t' p[OpoMd ,tytt", - :1) tMt tIN; M tit.'tiw dl to ft.11l N. to anA ki ictOid.neemitp the:dandi►dt,`r4W i.W o It. Of ,Conttrudloil Compll.nptidild4fy.to thM.CommlMlo w Of MMKhwlll 10 daM'ownW. AIs C' '", ►s, t»Mi:or'afiyni'.by the WNW. the Mid •bnikW will �ni:du►kN tM �ktd of two,! =I .Y!Mt'Mn!n!diNNy fOlbiWiyaMAkt. of tM'b�w Ibi orMlnH syfbni` .�H rp.bs tiwintoi Y) tfMt tM drilled,*01 daorIl d .11otle A tM dal0arOfr wIM' and rw OZii Fs Ot . the, HutMm. 4 i •- t.k:.� Nd o�93y tM daN. hNNO kltt tonft►udbn .of thM' it lifWM, bMn ,und�►tJikM Shd A NYbY •tM CominisftonK, of FWKR °Aey "-tMnN`Or aKMitgll'of gongiuctbn �, ��a privaN watts fuppM ony F ' , . _ ziti. 1 n • s�ailr. iw. w � UAJIC i Ote�w� 1hs a1fLN 1 rybl rims Raid. J,b tc Sub ivicidri "4n— n^rnvPd / 3ln-5 leP••�• l..wd�e:f�.td.t 1�.etait 1 Ri.■w s.�ue 1Ltak..a i�b M etoti.b 7d :1;i.A[�C,eN 1- dr�5es t �-. #ahr >�7 •' �t�� :alb' Fe.�.:. _ . •' on 1 frprMMCaMt,l am wlwl(y.antl:OOn�pMt�tY riwek,66 for tM dNide ak, above 4istived will be oon OV.d sniNWlnent C!wwtY Dopwtnwnt of HMRl%' MIS tlNt 0r1 eompNtkMahwool ii, 'CMtl1 •` z ;', ; - -: M wIMOMtM. ',to : tM %OMMtinont: an0 • w►Ntin bwrantN \will ?bO "turn Mia aw 'tl�d eMlatbN'tOMi11M. ony oat` of nN O-W. - a0NOw.!:'g � ' , awa e1 pl:'aiM.r�t M tIM e.eeMlia. of .C' °ontt.uttion eomliint� o �' _ ,nib M IOia:M M MloMf1,M tM abprei�d t>� r� tMt�Ykl wNl will M J e.«Ilnl, oiwt a ifweh AM1tOVE0 f +OA. CONSTNUCTIt)!1: TRH NO!Owl � :ONM tMrO -yM►t J/o •.� ; fit:, ,',hirOt�OM /a. tauM.ar,niOy Oi "on'NO�d erilaONMd wllie tonfidMOO:Ma NKulns ,. Mw pwM!t AoprooM fd� dlflpOYl Of dOriMttk wnKrry `M io /8,8 t- iution _Of t' p[OpoMd ,tytt", - :1) tMt tIN; M tit.'tiw dl to ft.11l N. to anA ki ictOid.neemitp the:dandi►dt,`r4W i.W o It. Of ,Conttrudloil Compll.nptidild4fy.to thM.CommlMlo w Of MMKhwlll 10 daM'ownW. AIs C' '", ►s, t»Mi:or'afiyni'.by the WNW. the Mid •bnikW will �ni:du►kN tM �ktd of two,! =I .Y!Mt'Mn!n!diNNy fOlbiWiyaMAkt. of tM'b�w Ibi orMlnH syfbni` .�H rp.bs tiwintoi Y) tfMt tM drilled,*01 daorIl d .11otle A tM dal0arOfr wIM' and rw OZii Fs Ot . the, HutMm. 4 i •- t.k:.� Nd o�93y tM daN. hNNO kltt tonft►udbn .of thM' it lifWM, bMn ,und�►tJikM Shd A NYbY •tM CominisftonK, of FWKR °Aey "-tMnN`Or aKMitgll'of gongiuctbn �, ��a privaN watts fuppM ony F ' , . _ ziti. 1 n n X le— BRUCE R FOLEY Acting Public Health Director DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Mr. Ron GabIiele Tel. (914) 278 - 6130 Fax (914) 278 - 7921 October 10. 1997 2661 Springhurst Street Yorktown Heights, New York 10598 Re: Proposed SSDS: Plural Realty, Inc. Danard Lane, Lot #1 (T) Patterson Dear Mr. Gabriele: Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." "You are referred to Article 128.1 of the, official compilation of Codes, Rules and regulations of the State of New York I Title 10, relative to the need for approval of individual sewage disposal systems by the City of New York. You should contact city Officials in this regard." 11 T road and town of the above regarded lot. ' -3) Property-metes and bounds are not complete, i e., bearings have-not been noted. - 4) Erosion control measures for the house and SSDS are to be shown and detailed, furthermore a note is to be added stating all erosion control measures are to be installed prior to the start of any construction. 5) Expansion area is to be clearly labeled on the SSDS plan view. 6) Remove or cross out fill section detail, it is not applicable to this submission. 7) SSDS profile notes "Proposed Grade ".. It appears that a cut in grade is proposed. Please be advised it is not permissible to cut in the SSDS area. Any grade changes must be by the addition of ROB fill. Furthermore all:proposed contours must be shown in the SSDS plan view. Upon receipt of a submission, revised to reflect the above, this application will be considered further. Very ly yours, Robert Morris, P. E. Public Health Engineer RM /mh watershed BRUCE R. FOLEY Acting Public .Health Director DEPARTNENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 August 14, 1997 Ron Gabriele 2661 Springhurst Street Yorktown Heights, NY 10598 Re: Proposed SSDS: Plural Realty, Inc. Danand Lane Lot #1 (T) Patterson Dear Mr. Gabriele: Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed.. Comments arc. offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." "You are referred to Article 128.1 of the official compilation of Codes, Rules and Regulations of the State of New York, Title 10, relative to the need for approval of individual sewage disposal systems by the City of New York. You should contact city Officials in this regard." 1. SSDS plan is not legible, e.g., notes,, road name, sewer line slope, etc., cannot be read. Current codes requires that 100% expansion area is provided. 3. Trench cover is to be noted as geotextile material. 4. Septic tank detail is not legible. 5. Erosion control measures for the house and SSDS is to be shown and detailed. Furthermore, a note is to be added stating all erosion control measures are to be installed prior to the start of any construction. 6. Property metes and bounds have not been noted on plan. 7. Property and engineers address is to be noted on the title block. Upon receipt of a submission, revised to reflect the above, this application will be considered further. Very truly yours, Robert Morris, P. E. Public Health Engineer R.7/jp FIR5T FLOOR Gentlemen: This letter is to authorize. a duly licensed professional.engineer -.or. registered architect (Indicate), to apply for a Construction Permit fora separate sewage system,'to serve the. above noted property in :accordance with the s-tandards.,.rules- or-regulations as. promulagated,by the.Commissioner of the.Putnam.County Department of Health, and to sign,all necessary papers on-my behalf.in connection with this matter and to supervise the construction of said system or systems'in conformity with the provisions of Article 145 or. .147; Education Law; the Public Heafth.Law,%and the Putnam County.Sani tary Code. ^_ very truly yours, w P 4.y�A; _: Signed Owner of P oper.ty — Address... I � e 12602 Address ' Town 105W 919- ¢�� 63 73 `Telephone Vf Telephone Count.ersigne$1: . P -E., fir., "' -?ii ^� ri BONNIE L. NEMES ' ; ,-NOTARY PUBLIC, State dt New York No.01NE5076871 Qualified in Dutchess County ' omhnission ExphesApril 28,' ' Corporate "Seal g %$� PUTNAM COUNTY DEPARTMENT.OF_HEALTH Division of Environmental Health• Services.. AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY-HEALTH DEPARTMENT TO: Commissioner. of Health Tn the matter of application. for: s-►7LUc.776iy -pr- ry » iT Fa' d Q4 1� LOT f I , • LQYY represent that I am :an :officer or employee of the corporation.and.am authorized f i'aAJ to act'for (Name of Corporation) �' "►GLi�... �rG(,�j� ©'1' having offices at / .Whose officers are: Presi ;ent: V 1^ ! J4 Cc ini &-7 J (Name and Address) Vice - '.resident: (Name and Address) (Name and Address). Treasurer: (Name'and Address) and that I am and will be individually responsible for any and all acts of the corporation with respect to the approval requested and d1l.'subse;quent acts relating thereto. Iry - Sworn to before me thi'§ 3 0 day ' Signed: of W1 19 q Ti t;l e: Notar-, Public BONNIE L. NEMES ' ; ,-NOTARY PUBLIC, State dt New York No.01NE5076871 Qualified in Dutchess County ' omhnission ExphesApril 28,' ' Corporate "Seal g %$� PUTNAM COUNTY DEPARTMERr OF HEALTH LOT -t= t DIVISION OF HEALTH SERVICES DESIGN DATA SHEET- SUBSUFACE SUgAGE DISPOSAL SYSTEM FILE N0. Owner Address %` D Located at (Street) Sec. Block Lot (indicate nearest cross street) Municipality Watershed SOIL PERCOLATION TEST DATA RBQUIRED TO BE SUB U= WITH APPLICATIONS Date of Pre-Soaking Date of Percolation Test HOLE NOMBER CLOCK TDS PERCOLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 1 2 3 Sac Z(qy8biui9io,J Ajj!!MV4-t 4 5 198 1 . V 3 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 submitted for review. 2. Depth measurements to be made from top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. HOLE NO. G.L. 1' 2' 3' 4' 5' 6' 7' 8' 9' 10' 11' 12' 13' 4 -L&- t�DV PST 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: DATE: -- DESIGN Soil Rate Used 1, -ice Min /1" Drop: S.D. Usable Area Provided `'�by[) No. of Bedrooms Septic Tank Capacity I�2g o gals. Type ,L)c Absorption Area Provided By .S D L.F. x 24" width trench�` Other Name, CR1- Signature Address ��,�, /"� l�/�r� SEAL THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. Checked by. Date PUI'NAM COUN'T'Y DEPARM4ERr - OF HEALTH L6T DIVISION, OF HEALTH. SERVICES N DESIGN DATA SHEET- SUBSUFACE .SBgAGE DISPOSAL SYSTEM .. .FILE NO. .Owner ,��u2A -i- Address ��c: Located at (Street) Sec. Block Lot' '(indicate nearest cross street) Municipality Watershed . 'SOIL PERCOLATION TEST DATA RDQUIF2ED' TO BE SUBMITTED WITH APPLICATIONS Date of.Pre- Soaking. Date of Percolation'Test HOLE NLEBM CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to'Water Fran Water. Level No -.. Time . Ground Surface In.Inches Soil Rate Start -Stop, Mina Start Stop Drop In Min /In Drop Inches Inches Inches 2 3 Sac. "ab i o JS i o",) Ai:- Zo Li/tZ 1 2 5 . 2 - 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 submitted for review. 2. Depth measurements to be made fran top of hole: rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES - DEPTH. HOLE -NO.- -- -- HOLE __NO._.. _ . HOLE NO...– – G.L. • 2' 3' 6' > .� � � J � V 14V PC 4 s My 9' 10' , 14' INDICATE LEVEL'AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE. LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENUOUNTERED DEEP-,HOLE OBSERVATIONS MADE ,BY:. DATE ' - DESIGN _ - ..Soil, Rate Used / / - /S— Min /1" Drop: S.D. Usable Area Provided ,'�-boo No. of Bedrooms •r Septic Tank Capacity /�S�o gals. Type ,J Absorption Area Provided By_ S D L.F, x 24" width.trench Other- �Wyo'? Name T�o•�i1z- I�RI,L Signature Address�� I S/�- J- /ti�J��> Si— SEAL BL !ic �° or s cry" THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date PurNAM cajary DEPARTmEw OF HEALTH DIVISION OF ENVIROMENTAL HEALTH SERVICES DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE' NO.. f Owner Address Located at (Street) ,77 q, T L4-n2T Sec: Block Lot (indicate nearest cross street) Municipality Watershed SOIL PERCOLATION TEST DATA RDQI.TIFtED TO BE SUBMIT'T'ED WITH APPLICATIONS Date of -Pre- Soaking Date of Percolation Test HOLE. NUMBER CLOCK TIME PERCOLATION . PERCOLATION Run Elapse, Depth to Water From Water Level No. Time Ground Surface', In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In btop Inches Inches Inches 1 2 3 4 �-ol L.S 3 V V L4-gg04 4 5 3. 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 submitted for_ review. 2. Depth measurements to be made from top of hole. rev. 9/85 5 iJth✓ 19$�r 2 4 5 3. 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 submitted for_ review. 2. Depth measurements to be made from top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE --NO. HOLE NO.. HOLE_NO. _ G.L. • 1� 2' . 3' 4' 7' pit s' ✓ 9s 9' 10' 11' 12' 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: DATE: DESIGN Soil Rate Used /f -IS.- Min /1" Drop. S.D. Usable Area Provided N�jbc)n No of Bedrooms Septic Tank Capacity /.Z� o gals. Type. �. ✓G. Absorption Area Provided By S D L.F. X 24" width trench Other -- - -- of NEW Name t?b A.; 1 ill F= C - . Signature Address��. % .� jZ/N�I�.SI ST SEAL THIS SPACE FOR USE Soil -Rate Approved sq.ft /gal. Checked by Date `,C.i3 DI U/S f0� PinWA COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIROMMM HEALTH SERVICES DESIGN DATA .SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Ux;i cA2 6us;na4s C_'/ 7�. Address A Located at (Street) ,.rvN C Sec. B. Block 3 Lot. _ (indicate nearest cross street) Municipality Watershed �U SOIL PERCOLATION TEST DATA RDQUIRM TO BE SUBMITTED WITH APPLICATIONS Date of Pre - Soaking Date-of Percolation Test HOLE kl�m R C.LOCR T121E PERCOLATION PERCOLATION Run Elapse-... Depth to Water.Fran Water Level No. .r.. Time Ground Surface' In Inches Soil Rate Start -Stop Min. Start Stop. Drop In Min /In.Drop Inches Inches, Inches 1 2 3 ��tii�1� %u1SIotiJ ��f7i2ou��� ki 5 i98� 1 3' 4 5 1 % )= 2 3 4 NOTES: 1.:.Tests* "th..'be repeated at same depth until approximately equal soil rates are obtained.at each percolation test hole. All data to'be submitted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. HOLE NO. G.L. 1' 2' 3' 4' 5' 6' =� �USabiV%5 /O-j l �-6 L4--UP—e,; 7' tv r 77 t s' g' 10' 11' 12' 13' 14' /Uo L) / y -g INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: DATE: DESIGN Soil Rate Used J / -/ Min /1" Drop: S.D. Usable Area Provided 5Z o 6 No. of Bedrooms Septic Tank Capacity 12-57) gals. Type Absorption Area Provided By L.F. x 24" width trench c 0'F FIE1VYp�y Other Name /� ®.�tu +� C 4221g, Signaturef. 4• ", 'L- Address SEAL THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date ni CN-.- ; 1C2! EY (St-_ Plans - Sets S/ fir... =. Ei - (��) _; � y ' c =C:•i FS,= GC1_ Da_ `Z Cr a..- r...0 -� c: C.- I -,_ Vic_= -- D CT r- �---�1 j\=1 Cam' -J_Cc L•__ = 1_ C'1 =_ i i CC- t Ec'. =. Fir �c:t Necs =_w (.1-, _ lc CNN PLAN 10' t� __L_, Dri��`.Yer, L --T T. = -`ITC: Cs _ 20' to F 1 - i00 4�t=1- 2�0' in D -r' C-D, -1'0 PI - 1 J i ' Ems- 100' to _ _�� I/ ' to Dry' s 10, to t =Y Li e_(_' 1\rL_ .- - t�& D =,-x c` &Lem?' .0 �- I - ci E =cy - -- _ .fit �E�S I .. ri�_ ! 2CO ft- C' -- - =v sz:ec I .__ ._ & EC'Lr:= i i CC- t Ec'. =. Fir �c:t Necs =_w (.1-, _ lc CNN PLAN 10' t� __L_, Dri��`.Yer, L --T T. = -`ITC: Cs _ 20' to F 1 - i00 4�t=1- 2�0' in D -r' C-D, -1'0 PI - 1 J i ' Ems- 100' to _ _�� I/ ' to Dry' s 10, to t =Y Li e_(_' 1\rL_ .- - PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Z-0 --go Re.: Property of Cam! IGC�t21V j u D vs/ !�t �S , Located at &.1 /'tl- �'i�C��_ 12 ►5•• i CI(T) Section Y Block Lot Subdivision of Subdv. Lot # Filed Map # Date Centlemea: This letter is to authorize���� a duly licensed professional engineer _ (indicate) to apply ror a Construction Permit for a separate sewase system. to serve the above noted property in accordance with the standards, rules or regulatiwis as promulagated by the Commissioner of the Putnam County Department of health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of sand system or systems in. conformity with the provisions of Article 145 or 147. Education Law, the public Health Law, and the'Putnam County Sani- tary Code. Very truly yours, Signed �t. S"AW Couxttersigned; O'w'ner £ Property Catrc_r re_ l A ; P.E. , Jt.A. , # Address Address Telephone • ,'own (R 4 - -7 _18-07)-? 7")-7 Telephone ' pUJIMM COUNTY DEPAR'RUM OF EEALTH DIVISION OF MMMWIAL HEALTH SERVICES t�ETACViCQ RE -SiDGA t# AL 3,,cLc FAM%I:V - DESIGN DATA SHEET- SUBSUFACE S&gAGE DISPOSAL SYSTIN FILE NO. 910 MAGI M STRC- F-T -(S V ITC C) OWi1er !- EnEQMA�I 1�dRCH dXeSS fREWS'_J�� /•' IOSo9 "AVILAWD DiZ1VG AWT> ` Located at (Street) f3121 MSToNE %L-L. RoAp Sec. 18 Block 3 ;Lot Z (indicate nearest cross street) Municipality ITATTF- Z -50.jk-3 Watershe3 Cizoma),� SOIL PERCOLATION TEST DATA RDQUIRED TO BE.SUBNSr= WITH APPLICATIONS Date of Pre- Soaking 1( z s/ 8 (o Date of Percolation: Test i Z s.' NO C = TIME PEROQLATION PERCOLATION . Run Elapse Depth to Water FYam Water Level No, Time Ground Surface In Inches Soil Rate Start-Stop Min. Start Stop Drop In`. Min/In Drop Inches, Inches Inches ' 19:23 -9;3x3 io . Z4- Z7' 3 . 3.3�' 1 29;39 3 •� ' s'o - i*Z 4 5 1 9,.:k en - lo; C Z Z4 Z 3 3 .Z7 3 3, 4,0 Z ¢ Z7 �? io'o4• - lo'• 3� 3S . �•' 3 Z7 4 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 submi.ttbd for review. 2. Depth measurements to be made fran top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESC R=ION OF SOILS FNCAt]NTE M IN TEST HOLES DEPTH HOLE -NO. J. HOLE NO. HOLE NO. G.L. 2t 3' 4' 6' :. 71 8' 9' 10' 12' 13' 14' INDICATE LEVEL AT TAMICH GROUNIXNATER IS F.iII000NTERED 14DICI= LEVEL 'In WHICH WATER LEVEL RISES AFTER BEING ENMUNTERED No,y G DEEP HOLE OBSERVATIONS MADE BY: M.'suo'2I ►.JSr-i ?, -S;. cLAiZK. DATE:: DESIGN • Soil Rate Used i - ► t5* Min/1" Drop: S.D. Usable Area Provided . 5 o o O S - F, No. of bedrooms 3 Septic 'Tank Capacity T o o o gals: Type Absorption Area. Provided By. 3 7 S L.F. x. 24" width trench To Pso 1 L S/`Npy G iZAV�C.I.Y L� AM %" I T H Rov t. Dc sz! Other Nam jZA �.lt> o L jo?M L A k,) im)_ M t' !. E . Signature Address 7 3 }=.,4 i '2 ��fl :� i2►yE SEAL .O THIS SPACE FOR USE BY HEALTH DEPAi m' = ONLY: Soil Rate Approved sq.ft /gal. Checked by 144 `.V" Date C