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HomeMy WebLinkAbout0993DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.46 -1 -79 BOX 10 'I I�yL L J6 I } L 11 F� I r} ' I �I I IN To IN r I. II ` 00993 CERTIFIC T OF _ CONSTR .UCTION<'COMPLIANCE- FOWSEWAG 101SPOSAL :SYSTEM T Pat,terson,' z Town`or Villga Any person occupying premi co iditlons resulting from su available and the approval 01 • iubJect to modification or: < Fs be,neoessaiy to secure the coriactIon "of any unsanitary ime null and'void-as soon es' a public aniUcy' awar'- bsicortNs ublid: water supply becomes available. . Such approvals , are such. revocation, modiflcatIon.or change is'riecosary, i 2 PUTNAM COUN'T'Y DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Key Realty Corp. 53 3 13 &14 Owner or Purchaser of Building Section Block Lot Owner Building Constructed by Newburg & Newton Roads Location - Street Patterson Municipality Modular Building Type Putnam Lake Subdivision Name 7318 -24 Incl. Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, worlamnship, 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 matte bye z6 sti- '5Lali� "except where t,'�e -fai��,�e �o - .^,perat� - prape�l1T -ice - -- - - -r - -- 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 Environmental 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 iwaitftna ntilizina the system. Corporation Name (if Corp.) Address rev. 9/85 mk .0 w O WELL UUr1rLh 1U1v rMrUA -1 DEPARTMENT OF HEALTH Division Of Environmental .Health... Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only WELL LOCATION STREET ADDRESS: To wN /vl 1 I Y TAX GRIO NUMBER: ya N,4 /tj 4,4*t - /D,q�j- �„cpS ©n./ f 3 -3 =/31/¢ WELL OWNER NAME: b /❑, /iiG G4,4.SCC AJ ADDRESS: C?hAl 02 4 K EAR N /o ^�pgIVATE n PUBLIC USE OF WELL 1 - primary 2 - secondary VRESIOENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED, 0. BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT �� gpm. /NO. PEOPLE SERVED ,5— /EST. OF DAILY USAGE gal. REASON FOR DRILLING NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST / OBScRVATION REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH ADS' ft. STATIC WATER LEVEL ��ftj DATE MEASURED DRILLING EQUIPMENT ❑ ROTARY (`COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING: geOPEN HOLE IN BEDROCK ❑ OTHER TOTAL LENGTH _ tL MATERIALS:. ''STEEL - ❑ PLASTIC ❑ OTHER CASING _- LENGTH.BELOW GRADE j3 ft. JOINTS: ❑ WELDED IWTHREADED ❑ OTHER DETAILS DIAMETER in. SEAL: XCEMENT GROUT O BENTONITE ❑OTHER WEIGHT PER FOOT Ib. /ft. I DRIVE SHOE: YES ONO LINER: O YES XNO SCREEN _ DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? FIRST OYES ONO. _ -- _____ -.. SECOND - . _.,- __._. " "__._._- _ _ _,•- __- ...__._ _�.__..- _._.__ .� - -•• - -• GRAVEL PACK ❑ YES O NO GRAVEL SIZE. DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH ft. WELL YIELD TEST If detailed pumping METHOD: O PUMPED a tests were done is in- COMPRESSED AIR , formation attached? BAILED O OTHER ❑ YES O NO It more detailed formation descriptions or sieve analyses WELL LOG are available, please attach. DEPTH FROM SURFACE wafer Bear- ing Well Dla- meter FORMATION DESCRIPTION CODE, }t. it. WELL DEPTH it. DURATION hr. min. DRAWOOWN ft. YIELD 9pm. Land Surface �vEle� E 02 o Lc ,#/rc / To %r ,2E�- WATER ❑ CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? O YES ONO ANALYSIS ATTACHED? O YES ❑ NO STORAGE TANK: TYPE CAPACITY GAL. PUMP INFORMATION TYPE MAKER MODEL CAPACITY DEPTH VOLTAGE HP WELL DRILLER NAME ,&y,b ARvzslQw &jjeZ.L- CO_7V4G DATE AOORESSA007&75�Z SIGROURE CAoe ^92y ,/(l y SOS 2 ,Or -town Medical Laboratory, Inc. 321 Kear Street _ ._.— __.__- _._Yorktow-n- He-ights, N. -Y. 10598 (914) 24$.3203 Director: Albert H. Padovani A T. (ASCP) r � 32.015390 LAB I Date Taken: Time: 14 -Time: Date Reported: JUN. 1 01988 Collected By:(��[/ %?► G- 25��j(% Referred By: Sample Location: T Phone # Al- s-_, -3a Phone 9 — I Sample Type: Repeat Test? (check one) LABORATORY REPORT ON THE QUALITY OF WATER INORGANIC ;YON- METALS (mg /L) MICROBIOLOGICAL (CFU /100mL) Acidity Alkalinity Chloride Detergents, MBAS Hardness, Total Nitrogen, Ammonia Nitrogen, Nitrate Phosphate, Total _ Sulfate _ Sulfide Sulfite METALS (mg /L) _ CoDuer _ Iron Lead ?danganese _ Mercury _ Sodium Zinc MISCELLANEOUS pH (units) Color (units) Odor (TON) Turbidity (NTU) GENERAL BACTERIA t/ standard Plate Count (CFU /1.OmL) MEMBRANE FILTRATION TECHNIQUE zTotal Coliform V Fecal Coliform Fecal Streptococcus MOST PROBABLE NUMBER TECFNIQUE Total Coliform Index Fecal Coliform Index KEY FOR TERMINOLOGY N/A = Not Applicable LT = Less Than ( < ) GT = Greater Than (>) TNTC= Too Numerous To Count CON = Confluent ( =TNTC) NR = Non- reactive REMARKS /COMMENTS (For Lab Use) Potable _ Non - notable _ ST? INF _ ST? EFF Other: Sample Status: (check each) 0utaoiniz HNO3 _ HC1 H2S.04 NaOH ZnOAc Na2S203. Other: Incoming LE 4 °C ,,7'GT 4 °C _ DH LE 2 pH GE 9 pH GE 12 Other: THESE RESULTS INDICATE THAT THE WATER SAMPLE (WAS (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO ThVU.9 YORK STATE DRINKING WATER. STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTIO . THESE RESULTS INDICATE THAT THE WATER SAMPLE (DID) (DIDN'T) (N /A) MEET THE SATISFACTORY CHEMICAL QUALITY-STANDARDS OF THE NEW YORK STAT KING WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION . . 2 /86(Rvsd7 /87)RWE lbert,.H. Padoyan , M.T. ASCP), Director 1 1 a II. IV. V. :~ VI. �•s .A. . Arr ru.�la �. FILL SITE INSPECTION Date Wpected m4 # OR S'JBDIVISICN LOT # J --% 3 __YES -NCI_ _ _ -- Cam_ Sc'tivpC=E DISPOSAL AREA a. SDS area located as per approved plans p �� b. Fill section - Date of placement 2:1 barrier- LGTH VY-= AVG.DPTH c. Natural soil not strr ipped I I d. Stone, brush, etc., greater than 15' fran SDS area. rAO ) e. 100 ft. from water course /wetlands. _I I SET.QGE DISPCLS ?L SYSTEM a. Septic tank, size 1�66O 1,250 aWL) b_N b. Septic tr.r:k installed-level c. 10' minim n from foundation 1k 1 1 d. No 90° bends, cleancut within 10 ft. of 45° bend x I I e. DISTRIBUTION BOX 1. All cutlets at same elevaticn - water tested 2. Protected below frost I 3. M1n?mzm -2-f t. original soil tet-ae =n box and trenches f. JL- NCTION BOX - properrly set I I I g. ��iC'Iir,S 1. Leznc�`z rerui red - Z Lana -L-i installed Tt- 2. Distance to watercourse me= _=-,1rec fr. 3. Instal-led according to plan A. Distance center toJcenteT_' ) x 1 1 5 . Slope of tranch acceptable 1/16 - 1/32 ° /fcot. f (, I 6. 10 feet fran property line - 20 feet - €curdations T. Depth er tr non < 30 incnes fran sus =ice ix 1 1 8. Roan allowed for excansion, 50% 9. Size of gravel 3/4 - 1111 diameter 1 ) 10. Deptn of gravel in trench 12" nuniII1L'm 11. Pile ends capped h.. PLMP OR EC-SE SYSTEMS 2. Overiicw tank 3. Ala.Lm, visual /audio 4. Pump easily accessible manhole to gra& 5. First box baffled 6.. Cycle witnessed by Health Depp�ent estimated flew per cycle HOUSE ' a. House located Y approved plans. b. Number of bedrooms WELL a. Well looted as per approved plans b. Distance fran SDS area measured (C c. Casing 18" above grade. d. Surface drainage around well acceptable. OVM�U ORKMASIMP a. Faxes properiv grouted b. All pipes partially backf filled c. All pipes flush with inside of box d. Bar-kfill material contains stones < 4" in diameter X e. Curtain drain installed according to plan f. Curtain drain outfall rotected & dir.to eeist.watereours g. Footing drains discharge awa from SDS a-rE--- h. Surface water I tection adea ate Er i. rosion contro rovidei.oi slopes great than 15 %. PUTNAM COUNTY DEPARTMENT OF HEALTH TOWN Patterson DATE 12/14/87¶ . REFERRED TO NO. 760 -87 TAKEN BY BH TELEPHONE CALL X IN PERSON LETTER CONFIDENTIAL REQUEST FROM Ray Keying TELEPHONE 27q -ti7Rg ADDRESS Putnam Take, Patt-Prgnn ENVIRONMENTAL HEALTH: Home Sewage_ x Rodents Migrant Camp Other_ Refuse Public Water Food Service COMPLAINT OR REQUEST selDtic tank back of house, may be off property line- Stake disappeared corner Newburg and Manchester. ACTION TAKEN BY FINDINGS / �// i �., � '.3 a /`7' -� 4 ✓v i/- ; DATE - c /r'v fs 51�.� /��A�r� -� �iv,`yti y.�_• -. �1�t. d /� 7-61 6 S v % -I-' // 7<U %f, FOLLOW UP INSPECTION (s) DATE FINDINGS�� S� ,S tSC_ G -.s -.✓ �� �� S Y S 1 ` -f ,✓ G .� v L—�-� - --� %G=am — DATE FINDINGS PROBLEM ABATED DATE PERSON NOTIFIED 4„ ESTIMATED TOTAL MAN HOURS SPENT zl i (!: abpve':descnba will be constructed ss shown on the approved'ar County Departmantt of," Health, and thaton completion therei W- 'submitted- fo the Department,: and awrittenugusrantee�w Puce in, .good 'operating °condition any part of said sewage,•: ance'.of the approval oi.'the t7ertdicateof Construction Con �- will De'locatedis shown on the,,approvetl plan and that said well" CountyDeDartment OfrHealth ogee 13 June 1.987 Y Address �9 Fa1r St; '- APPROVED FOR CONSTRUCTION This spproval.explres two ravouDte for cause or rilay be' amended, or modified when cons repui4s a new':Dermi ;-Approved for R� posal of ldomestic s r qna I ;. 1 -a NY 1051.2 s—I rears Irom the -date issued'-Unless; >constr ered'necetsary ;tiy thi � GommisSioner of nitary. sewage and/or torivi w fu 6 ice' satisfactory 'to'the COmmissiOner'of Mealthwill heirs or is i9ns byaie Dwlde , thattsaid'buitdei will 2) years Immediately following the data of the ifsu• eirs thereto;;2) that the Grilled well d_escribedrabov.a 'aiidarr s, rules and rag oni ot'. -,jhe Putnim License No?920.6'- uchon of the building has been undertaken and is Fealth. , A_ ny' change or alterations of construction �I1L only.' 1 ul RECORD OF TELEPHONE CONVERSATION PUTNAM COUNTY DEPARIMMT OF HEALTH Division of Environmental Health Services Program:_ Town Facility: Time: i. e,' Date: Telephone Caller's Name: DISCUSSION: 71 h� z/ P � , V ,6- - C', DEPARTMENT.OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT # WELL LOCATION Street Address kJ Ve Town Villa''gtte __City Tax Grid Number ii, +-C �-e -ps 0 ki WELL OWNER Name K� A Mailing Address ca, e( N (D .Private !`L❑ Public USE OF WELL 1 - primary 2- secondary G RESIDENTIA 0 BUSINESS 0 INDUSTRIAL PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION 0 INSTITUTIONAL O STAND -BY O ABANDONED ❑ OTHER (specify, O AMOUNT OF USE YIELD SOUGHT F-;ve gpm /# PFOPLE SERVED $lx /EST. OF DAILY USAGE gal REASON FOR DRILLING WNEW SUPPLY O PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION OREPLACE EXISTING SUPPLY ❑DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING S, WELL TYPE ,DRILLED DDRIVEN ODUG [3GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: pub W /re Lot No. WATER WELL CONTRACTOR: Name 0yd Wn WRW:5 c Address: &g,�LZjC4r*e(! k/Y10 j'1 Z IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _NO NAME OF PUBLIC WATER SUPPLY: 6�> 64 , I TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED []ON REAR OF THIS APPLICATION JDON SEPARATE S 13ij u„e jqj67 A1 (date) signat e) 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. Date of Issue: y 19 8 �/��`' Date of Expiration: ,� c.�- -P _2119 Permit Issuing f cia Permit is Non - Transferrable Whine copy: H.D. File Yellow copy: .Building Inspector Pink Copy: Owner 2/87 Or;gnrrr= r�nrnr• Tacl 1 nv-i 11 cr COUN'T'Y DEPART OF HEALTH - DIVISION OF ENVIRONMENTAL ` HEAi;iu ,,bi Kylt xw,, INDIVIDUAL LATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS Name of Owner) CORM EN'TS " REVIEW SHEET - CONSTRUCTION PERMIT. ( Street Lodation) -- - - I YES I NO I DOCUMENTS r� �r Permit Application le Corporate Resolution Plans -. Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results Perc Hole Depth /,- d l./ e Ai I -eq required q S ' 60 ft. max. Parellel to contours // -- / 4 .� I k I I s /s. SUBDIVISION - Perc (3) Fill ca Plans - Two sets - Well permit; PWS letter Variance 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 V Pl Profile & Dimensions - Volume J Box; Trench /Gallery; Pump.pit details tic Tank - Size, Detail Well Detail, Service Line if over Construction Notes ox® -• 4!5:-0e -' *v Design Data: perc and deep results. Two -Foot Contours Existing & Proposed Driveway & Slopes Cut. -Foo -tirnT /Gut- ter -,Cur r,- Dr- a-- ns- ._(discharge_i�RK)_ _. 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 Win 200 ft. of Proposed Systems Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees,Top of fil: 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 watercours 10' to Water Line (pits -20') 50' intermittent drainage course Septic Tanks 10' from Foundation; 50' to well 15' Well to PL 9 10 PU NAM COUN'T'Y DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENrAL HEALTH SERVICES - - -. _ -- DESIGN. DATA -.SHET- SUBSUFACE SEWAGE - DISPOSAL _SYSTEM Owner Red 1+1f Cew n . Address _h.N R s Located at ( Street) t4a v ; (and DrlNme Sec. -t1y�� Block _� Lot (indicate nearest cross street) K .. Watershed SOIL PERCOLATION • • v REQUIRED • BE SUBMr= W APPLIaTIANS Date of Pre - Soaking 'L9 rri Date of Percolation Test saw, HOLE NUCER CLOCK TIME 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 I l tto8 1143 3� Z� i4 3 2 114- 3 1114- 41 l 3 1124 110j: 4-1 14 2.1 t t 13 I' F 4.4 3 t 1.7 2 t 144 1 Yyv 3 3 1110 ILS6 36 ).77 y4 3 i Kl 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 fram top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOIIS ENCOUN'T'ERED IN TEST HOLES _ . DEPTH i3UIZ _1W: 7 nvl,r: D".._. - -G- G.L. 1' 2' 3' 4' 5' 6' 0 7' 8' 9' 10' 12' 13' 14' - INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH DATER LEVEL RISES AFTER BEING ENCOUNTERED fjo one DEEP HOLE OBSERVATIONS MADE BY : (�, �'(; @q , 8. r W. N. 04 P.C. 0, f $ Dom: 447,9187- - - DESIGN Soil Rate Used Min /1" Drop: S.D. Usable Area Provided '5'o Q__ No. of Bedrocros rpQ Septic Tank Capacity loot) gals. Type c Nit Absorption Area Provided By L.F. x @tummmiffimith 4-')r4' (rah Ier►es /l,3•" CrumS•E��� 6,-*,/el Uy -Iar 4a.► 411 Sf 4eg Other A P,. Name Signature Address . ZT90T IMAM .i SEAL 'SSYlf�38d •H jjMp c 2 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. Checked by ro ,I t ys N PUTNAM COUNTY DEPARDIENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS FUT,D INSPECTION t2EE'OIrl 46 k � - -- - - ^ DATE: � INSP. BY: outa.—It M14- (Namd of Owner) ( Street do ) INITIAL SITE INSPEMON YES NO CC44ENTS Wetlands on /or proximate to property .............. Property lines or corners found ................... Can estimate house location ........................ Will driveway need cut ............................ Must trees be removed - note these............... Deep holes representative of entire SDS area...... Additional deep holes needed..... ........ ..... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells/ septics ............................ D. H. 1 Lot Depth to G. W. Depth to rock Soil Descri tip 0 ft. 3 ft. 6 ft. 9 f�. D. H. 2 Lot Depth to G. W. Depth to rock Soil Descri tia 0 ft. 3 ft. 6 ft. 1C� 9 ft. to - - 12 ft: D. H. - Deep Hole G.W.- Groundwater D. H. 3 Lot Depth to G.W. Depth to rock Soil Descri tion 0 ft. 3 ft. 6 ft. 9 ft. 12 ft.- DATE: FINAL SITE INSPECTION INSP.BY: YES NO COMMER S 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. from watercourse .................... Natural soil not stripped or SDS area unnecessarly graded............................. 10 ft. maintained fran property line and 20 ft. from 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 from trench ..... ............................... Boxes properly set......... ......... ........ Could surface runoff from driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE.. i e l�mrt at G-XIr�-7 -11'�� gravel 4 "� solid pipes-,) 8�npe� - to next from septic tank _ box 2 "do ep 3 - •- /4 stone or �t gravel graded OVER t= ; ; x stones TYPICAL CURTAIP �. PLAN SEC T10 I I , 407 B� fit 6 6�p'�u 555 /a B oXot ,j `Z or ° ti ice'- 'n f _ _ Z*- � C}- --'" G Ul- � -TjcaN �o�c p� 0_ `, V \ � �/. P100 C " GA .ol -jr-, T'A,,IJ V i -- - i =_2� = o7�i - t 1 f C _' 2 - o - 1 s i putnam County Department of Health Dio`ision of Environmental Health serpioes ipl'.roved as noted for Conformanoe with applicable Rules and Regulation of the.. ?u"nam County H th Department.- ilimattu e h Tit I D M J q V 1:1•- 1 V ; M., Structure located from survey by surveyor noted belii.4 Well located 'by: Surveyors survey.- Well drillers report Engineers mesurementsDT Tank, boxes, pits, gallenef 9 laterals lo-cated by:Contractor: / Engineers H'ea lth da.pt: i Field tinspection by: Health dept ® do t s:- 67_ Enpd user ® data --j? 67. This is to certify that the sewage - disposal system was constructed as. NOTES: indicated on this.plan and that th system was inspected by me beifor it was covered over.' The system s constructed in accordance wiyl all standard rules and regulat i,6ns of the P.C.H.D. 6 the N.Y.S.O.H. A 8 A - C -- - i =_2� = o7�i - t 1 f C _' 2 - o - A Ea - E ■_ �y1 -�7 -- i� a- _O t - A _ g sr . �iTB _ G A H '- L- - - -8 - H . - - --- A - J ° - - - -- _.8.- J `-- - - - --- A - K °• - - - - --8 K °-- - - -- -- LOCATION Street:j I� t ��.rp�,j •� - Town:VA - - County: - HAS(- Stage - -_ SUBDIVISIpN:P Mop:Jy>/`01 - - Block•.1_L -- LOT Ns.i (*. - -- Budder: — Sur vey or: �7��/�G rawn:O p/yl [Date:6_ -7_88 Scole: it =�� J Nt 2 4 Ig _JOHN H, PR ENTISS PE -! CONSULTING ENGINEER RD �, Fri t.� CARMEL NY 10812 -(9141 878 -6170. ,I Map P—V?rd �r 144' R* wl 6.4 C rP. *5- PS3 -.44- 81,2 Fr(re'a G%WYi•�.Of 4H 5P mrn CS ��oJ" i' , t f i