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01000
t; PUTNAM COUNTY DEPARTMENT (*'.-;.HEALTH_.-' '7. �' ' ..
tE,OF Division of Environmental Health Services, Carm% N. Y 10512 permit e P . 50 -85 CE TI K CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL. SYSTEM ` T. Patterson :.._.
Town or Village .
Located. at 25 Quebec Road Tax Map 52 Block. 5
__ , _ . � _ Y
Owner Susan & Michael B(ihall616k—ly _Seelke Tax Map lot n 9.1 , Saba. r i a 45.89- 4701
Separate Sewerage System built by Brill .Excavation-Co., Inc.. Address Miller Rd., Pawling NY 12564'
Consisting of 1000 Gal. Septic Tank and 500'+ x 24" wide laterals
Other requirements nnDP
Water Supply: Public Supply From
Y Private Supply Drilled By P.F. Beal & Sons
Address. Brewster, NY 10509
Building Type Modular No, of Bedrooms three Date Permit issued .1017/85
Has Erosion Control Been Completed? yes
I certify that the system(s) as listed _serving the above premises were constructed essentially as shown on the.plans of.the completed work ( copies..
of which are attached), and in accordance with the standards, rules and regulations, in accordance with the filed plan,.and the permit issued by the
Putnam County Department Of Health.
Date April 30, 1986 Certified by
Address
Any person occupying premises served by the_ above systern(s) shall pr p
conditions resulting from such usage. 'Approval of the separate, se a
available and the approval of the,private. water supply shall become a
subject to modification or change when, in the judgment of the m
Date
8
ey ' r
P.E. X R.A.
Mel NY 16512 Llcense.No. 29206
pt take such action as may be necessary to secure the correction of any unsentlary
ge system shall bec me null and void as soon as .a public .unitary sewer becomes
nd v whe s blic water suppl becomes available. : Such approvals are
issio er of such revocation, odlffcation or change Is necessary.
TItN��.
Rev. _ -§I _ _ -- ' _
in
Michael & Susan Schallock
Owner or-Purchaser of Building
TM 52
Section
owner 5
Building Constructed by Block
Quebec Road
Location - Street
T. Patterson
Municipality
Modular
Building Type
9.1
Lot
Putnam Lake
Subdivision Name
4689 -4701 Incl.
Subdv. Lot ##
GUARANTEE OF SEPARATE SEWAGE 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 success-
ors, 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 initial use of 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 occu-
pant of the building utilizing the system.
The undersigned further agrees to accept as conclusive the determin-
ation .of the-'Director-of th.e D,ivision_.:of.._Environmental Health Services
of the Putnam County Department of Health as to whether or not the fail-
ure of the system to operate was caused by the willful or negligent act
of the occupant of the building utilizing the system.
Dated this 29th day of April 19 86 Signature -9„4e�
Title President
Corporation Name if corp.
Miller Road., Pawling, NY 12584
Address
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMPLETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Division of Environmental Health Services, Putnam County Department of Health
' r
Michael & Susan Schallock
Owner or Purchaser of Building
owner
' Bu Tdirig -Coristructed- by
Quebec Road
Location Street
T. Patterson
Municipality
TM 52
Section
9.1
Lot
Putnam Lake
Subdivision Name
Modular 4689 -4701 Incl.
Building Type Subdv. Lot #
GUARANTEE OF SEPARATE SEWAGE 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 success-
ors, 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 initial use of 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 occu-
pant of the building utilizing the system.
The undersigned further agrees to accept as conclusive the determin-
ation of the Director of the Division of Environmental Health Services
-of --th-e- Putnam- County Department of Health as to• whether-or-not the fail-
ure of the system to operate was caused by the willful or negligent act
of the occupant of the building utilizing the system.
Dated this 29th day of April 19 86 Signature
Title 67 !t.X_f( . ,� .
Michael & Susan Schallock
Corporation Name if Corp.
25 Quebeck Road -RR 3, Patterson, NY 12563
Address
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMPLETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
- - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - -
Division of Environmental Health Services, Putnam County Department of Health
WELL COMPLETION REPORT
3/71
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services
COUNTY OFFICE BUILDING - CARMEL, NEW YORK
This report is to be completed by well driller and submitted to County Health Department together with laboratory report of
._ ....analysis. of water sample indicating.water is of satisfactory bacterial. quality. before. certificate of construction compliance is issued.
REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION
OWNER
NAME Maureen
Action Assoc.,Lobraico
ADDRESS
Box 221,Barnum Corners,Brewster
LOCATION
OF WELL
(No. & Street) (Town) (Lot Number)
Schallock — Quebec Rd., Patterson, NY
PROPOSED
USE OF
WELL
USINESS
L DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL
❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (speif )
EQIIPMENT
U
ROTARY � AIR PERCUSSION ❑. PERCUSSION ❑ OTHER if )
CASING
DETAILS
LENGTH (feet)
32 r
DIAMETER (Inches)
6 11
WEIGHT PER FOOT
9 b1 s . ❑X THREADED ❑ WELDED
jD91 E SHOE
�IYES ❑ NO
W
CASING �jU 9
YES 0 NO
YIELD
TEST
n HOURS G.P.M.
❑ BAILED PUMPED ❑ COMPRESSED AIR 6 25
YIELD (G.P.M.)
25
WATER
LEVEL
MEASURE FROM LAND SURFACE —STATIC (Specify teat)
301
DURING YIELD TEST (feet)
Depth of Completed Well
in feet below Land surface: 145'
SCREEN
MAKE
LENGTH OPEN TO AQUIFER (teat)
DETAILS
SLOT SIZE
DIAMETER (Inches)
IF GRAVEL
PACKED:
Diameter of well including
gravel pack (Inches):
GRAVEL SIZE (Inches)
FROM (feet)
TO (toot)
DEPTH FROM LAND SURFACE
FORMATION DESCRIPTION
Sketch exact location of well with distances, to at least
two permanent landmarks.
FEET to FEET
0
2
Drilling.inoverburden .
clay and boulders
Hit rock at 2 feet
2
32
Drilling in rock,set
casing,grout6d.
z
145
Drilling in rock granite.
If yield was tested at different depths during drilling, list below
FEET
GALLONS PER MINUTE
DATE 1217/85
°4�21�86 RT
WELL DRILLER (Signature)
_BREWSTER-LABORATORIES
Box 224 - BREWSTER, N.Y.
(914) 225 -2072
- WATER ANALYSIS REPORT -
SAMPLE NO. 6115
SOURCE: Michael Schallack
PO. Box 40
Quebec Rd.
Patterson: r4y
COLLECTED: April 7, 1986
BY: Haviland Plumbing
BACTERIOLOGICAL EXAMINATION
Coliform Count, MF Method
Faucet - Well
0 per 100 ml.
This result indicates the source of the sample was
of satisfactory sanitary quality when the sample was collected.
April 14, 1986
`V
` i
- I
ENGINEER=% t ,. PROVIDE "PE'RMIT"
P TTN AM COUN TY RTMEN "OF REAUR - CEUbfItAft OF COMPLIANCE. E,,
6 ervices, aii-mel N 1� 0512.:.-�r'PERMJ--,T,,
h
Division P50 85; i
009AL��-, Yi� EM'
CONSTR TION, PERMIT FOR SEWAGE DISPOSAL "Tat t6fsofi r
7 7.
777777777 Town, or ,-Village t
Tax W ,9
6 .-Road- p
Qi1e8ib, 2�, Block
Located at Bi 229 3.)
'476 " 1 A ��: �'
S�bdivls il�itnamt` Lake, subd.�, Lot i 4689 7 02
ion
Sto
'cwherAdg.-ieis Susam',& Mithae V-Sidhalloo-k P,. Q.. :Box, 217_, ......
Lot Area _q y1j,
B "M ft. Fill Section �Oiil
9 pe
600 P.C. H.; .D. 'Notii�q�ti4��,.�equired_,
'N6m6 r of Itiirborns G/P/D
S", laterals.
eparate -sewerage, System to cohiiiir of 1000 G Septic Tank and 500',. x 24"—wide
77—
77
To, be constructed' by Address •
b
#iter Supply: Public. Supply' From
x Private Supply to 'be Or Med,
by 7-
Address'
-Heialthir —'19,79,:,%
Ov
7 5" I'll-, p a r. a ti on loard'.. of
Other'.-Recluirements we,
I represent that-I am WhQqy�,` and cornpletle ly*,iie'i6onsitii. iojr kh Jid location 6 , I f" orop6siitiJ systems) - i that the, - separate, , :se%o4ge,.,d isp'oral . systi Bm,
design a
.. above described,. illbe-tionAi6cie6 as sho�qn,�6n the ii'�64446-aAii - 66meriiitierejo,arid IK-acc6idinice wiith"i'h6sta�iii-ar.ds�-�ru!es',and regulations of j,the Putnarn
eoonty 'l?'!pp4r't'm'en"t` of - Health, ahid-that completion 'there . of" a Certificate o . Constructioh Comp`niince�! satisfactory fo the
mitt thi-owner, s successors, the, "., builder` j , I will',
-
6� submitted :j6 tjj� bepaitniient,and . a w!! t,ten quar��teewill: be'I. A iiisors,:'Milis-di-iassigns by �builder.,that, said-,
any.*,,pai e qisp sa �,,sy !!I diately-folic
place I in-,goicidr'operatino ,condition 0: 1 ' it the Period, of hdio (2) years- . krnmeo owing: thia.dati,:of-lhe i
ance of 'the of .•the-- Ce"kiiicafti" of " dbivistitiction' �Compliance_ ' the original Sys q r m or-any repairi't:fie%r'etd';;2') that tliii
-_ 4 1 - . e
will bi located as shown on'fhe al�pro4id,plari a oil 0
pid saig-_" well be Installed'," 'aCc idarice with *r the je stafiaiirids,' �rules and 007uTa i:is —,o
A" Putnarri
..,d6unty Departmenii'of"',
Health
d
dit, C 5 P_E.
e t O&lB i'_' ;J6, RA
6 No
i/71ciffii,
e
RD 9— F if� t Street , IN" 1- 0 512 29*2.0'
Address rmmid
License No.
OR -C'0NSTR_ T�is, pprova the: date issue u , niess con ruc ion 0
APPAOVED'F UCI Ori, I St f.thb building has been 6666hileiein arid J.'r
1?5pirps one -
eq!as!RFY -tPle Co m. of
rqvocaple, for ca , u _ se,or-mayr be amended or. modified - When o si a keilth. Any chanje'-or -alteration of construction;
.dome I sa a Only.
r ij a r' "pp"-:
_r *Ap
n ;pe 0 ��Aati��atei
" 4P.
requires a e A' �Ordl�,powl-- o
T"
Date Title
itev. 6/85-
ilm
' ENGINEER TO; PROVIDE., PERMIT #
PUTNAM COUNTY DEPARTMENT OF HEALTH ON cERT FicAT of COMPLIANCE.�
Division of fnyironmentaf He2lih Services, .;irarme% N. Y..10512 PERMIT'
C/a
•
GONSTR CTION 'PERMIT FOR SEWAGE DISPOSAL SYSTEM. T Patterson
own or iliage.
Tax�.a w._. - ---
Located .eL p 52 - elo�« -5.,
Subdivision Putnam Lake suba. Lot ir4689 -4701 aL$IzQal. ❑ Revisigp p
owner /Address- Kurt J. Seelke Data Of Previous, Approval
Building Type Modular Lot Area 24000r sa.. ft. Fill.Section Only ❑
Number of Bedrooms three Design Flow G /P /D 600 P.C. H. D. Notification Required nn -
Separate Sewerage System to consist of 1000 Gal. Septic Tank and 5 00 ft. X 24 in. wide `laterals
To be constructed by Address
Water Supply: Public Supply From
X Private Supply to be drilled by
Address
Other. Requirements 74' well curisrtitinnhr Boa -rd of 14Pa1 th annrnval 197 SI!B 11410 .IIOt t�- RP• rae11
I represent that I am wholly and completely responsible for the 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 amendment there to and in accordance with the standards, ►Wes and regu a ions o a u ham
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill
be' submitted to the Department, and a written. guarantee:" iWill tie furnished the owner, This sdccessors, heirs or . assigns by the. builder, that, said builder will
place in good operating condition any part of said sewage disposal system during the period. of two (2) years immediately following the date of the issu-
ance of the approval of the Certificate "of' Construction- Compliance of. the original system or any repairs the►eto.; 2) that the drilled well described above
will be located as shown on the approved plan.and that said well will be installed in' accordance with the standards, rules and regula i— �{rons of the Putnam
County Department of Health.
Date (/ctoDer _ / , ait)9 Signed CTLL[�c.• / / ! I I P.E.X R.A.
�Kenewa appxova- t9�9) " NY 10512 29206
Address ,RD9-Fair. . St; , Ca License No.
APPROVED FOR .CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is
revocable for cause or may be amended or modified when. considered necessary, ,by the Com stoner of ealth. Any change or eration of construction
requires a new permit. Approved for disposal of domestic n( age, an or p►i to water 1 -- •-
Date ° G By Title
Rev. 6/85
P5TNA1141 COUNTY :.DEPAitTMENT AOF 'HEALTH
>t -
j " Division of `Enwronmtental' Health. Services Carmel N . Y 115:12
5 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SXSTEM _ P1 tterSOn
Town or Village
Locatetl at QUebeL R aU r Tax MaP Block 5x
Putnam Lake'.` SOi5$3
Subdivision,= m Lot Job
;-
Anthony Gastelluzo 9 31 Quebec Road
Owner. -- - _ • - Address
Frame
Pu
1
Are 8000'+ tnam Lake NY 10509
Bu�lding TYPe Lot a s
Number of,`,Bedrooins Three Design Flow 6O0 Gal '- ota abitatile 5pa'ce' 6+ =Squar e Feet
I
Separate 'Seweroge.:5ystem fo consist of � 0.00
= 3 Gal Sep k nd i
tjc Ta n a
t To be constructed' by - ArJ
j er. Supply. Pubhc -tupPiY',From
Wat
Private SUPPIY to `be drUled by ? "`
4
Other Requirements
1 represent that I am wholly and completely. responsible for,the tles�gnand location of; the proposed 'system(s) :1) that •the, separate `sew disp0,0iyA6m
above described .will be coristructed asdshown on the approved amendment there •_to`and`in . aecdrldance with the stanifards,'rules and regula ions o t e u nam !
County Department of Health, antl that on'completion thereof a Certif�catetz of Construction' Compliance satisfactoryYO the Commissioner of. Health will -
i be subrriitted,'to the Department_,.and a "tten`guarantii will be furnished.the owner his °successors; heirs;oi assignS,by the builder -that said, ,builder will
place in -good operating condition any part of said; sewage disposal system during -the period of two -(2) yearrimmediately fohowing thedate,:of the.issu
i r
'.ance of the approval of the Certificate
of'-Con, struction Compliance`- of 'the or�guial systemor, any repairs.thereto 2) Yliat theidrilled, well describetl, ab
will be' located as shaWn.on the approved plan and that -said well will be, installs in accordance .with the' -.sta rds rules and regula i� ons of the` Putnam
County Department- of Health
---.
Date 1 Pe ruary=19.7 7., X
- w Signed P
_ 29206
�.
atddress a : d 6 Box _ 35 a License No a
I ,APPROVED FOR CONSTRUCTION •This•a
pprOVaI'explr n fromt date- issued unless construetion of the, building has been untlertaken and is
I
rev ocabl for cause or may be amended or modif,ed whe cohsitl ed nets iy -, y ., is' n of ;Health:', Any Change r alteration of: const ►uction
require new permit ,'Approved ,for disposal of `do notary -ae age nit /or' p' vats`; a supply o`
F
rt
Date
By Tate
- r
(( i
` -a
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Carmel, N. 'Y. 10512
,:�Pj
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM
Quebec Road
Located at
Subdivision _ Putnam Lake`-
Owner Kurt J. Seelke
Building Type Frame _ _ _ Lot Area 180001+
Plumber of Bedrooms _ j� ee-_ Design Flow _ 600 Gal
Separate Sewerage System to consist of _. _... 1000 Gal. Septic Tank
To be constructed by
Water Supply: _ Public Supply From _
X ?
-- Private Supply to be drilled by
SO 5;83 , Dwg , 2
Patterson
Town or Village
Tax Map N 52. Block 5
Tax Map Lot # 9 Subd. (j
Address 65 Melrose Avenue
Croton -on- Hudson, NY 10520
Total Habitable Space 1056
Square Feet
and 508 ft. 2' trench / ( ) ( g
)leaching pits
Address _
AddreAss�
Other Requirements ..._�"1St�s - _ t E N Lip S Ty i 4�7 .LGCIg j%�
A.& P.-=F� "PRe,ON— Al 6AP,06 P-01b
I represent that I am wholly and completely responsible for the design and location of the proposed system is) ; 1) that the separate seawa a dis sal
system above described will be constructed as shown on the approved attachments hereto and in accordance with the standards, rules "cl regulations
of the Putnam County Department Of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commission-
er of Health will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assi,gris by the build-
er, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) yea=e immediately
following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repaisa thereto; 2)
that the drill well described above will be located as shown on the approved plan and that said well will be installed in accordaiece with the stan-
dards, rules and regulations of the Putnam County Department Of Health.
14 May 1979 c
P. Date _ Signed
1ENEWAL- OriOnal Permit Idd oSCastel luzzo _ .D. 9, Fair . , Carmel, NY 29206
8 License No.
APPROV O FOR CONSTRUCTION: This approval expir s on fro date issued unless construction of the building has been undlertaken and is
revocablAC
a a or may be arpended or modified whe co . dered n essar by t o issioner of Health. Any change or alterat' f construction
requires W ermit. Approved for disposal of is sanitar se or p e water supply only.
Date �Jj _ Title
PUTNAM 'COUNTY' DEPARTMENT- -0Y-HEALTH ". _ ..__
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner .. ... 6 � Address
Located at (Street i f _ y Block Lot
indicate nearest cross -
Municipality. 'A'm *Z,2%ga Watershed
SOIL PERCOLATION DATA REQUIRED TO BE SUBMITTED APPLICATIOWS
dole
Number CLOCK TIME PERCOLATION PERCOLATION
RLM Elapse p o a er Water Level
No. Time From Ground Surface in Inches Soil Rate
Start -Stop Min. Start Stop Drop in Min. /in drop
Inches Inches Inches
,� 1 /0/7 /®if- 7 �
5
1.
Ag
Der
2
1
z
Notes: 1) Te'gts to be repeated at same depth until approximatelyy 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.
/ll
5
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRIPTION--- OF SOILa- EENCOUNTERED"-IN TEST HOLES
DEPTH HOLE NO. HOLE N0.
G.L.
611
1211
1181 1t
2`t 11
3011
3611
4211
x-811
5411
6011
6611
7211
rr {
7811 J
JCAT.LEVEL AT WHICH GROUND WATER IS .ENCOUNTERED ,+vole
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTEREDA4p-w 4WA,, AltOYM .
'.PESTS MADE BY��J.Ar.A. •�/.F.T.� i //�• 3,I�7i` /wa �irtRlPste 1 /+�f
DESIGN
Soil Rate Used % - )OMin/l "Drop: S.D. Usable Area Provided Sb o r-A
__ _N,o._ of _Bedro-oms _ erf..._ .Septic - Tank.. Capacity __ /000 Gals . Type_s��.,,�_
Absorption Area Provided Bye L.F.x2411 3b" ' width trench..
Other Ne..!
Address. PR G\
Ca9 .tier 'i�"!� a� N E.y�/ .,. \
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: �c •' '�
Soil Rate Approved Sq. Ft /Cal. Che c ,o Date
9si� h0 2921
Or rHE STFtt-o
PbM M COUNTY DEPA M1ENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS
FIELD INSPECTION REPORT
DATE:
INSP. BY:
(Name of Owner) Street Location)
INITIAL SITE INSPE7C,TION YES NOI COMMENTS
Wetlands.on /or proximate to property.: .,...
Property lines or corners found ...................
Can estimate house location ............ 0 ........
....
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. ..... ........ ......
Access to ro sed well location for drillin ..
D.H. - Deep Hole
G.W. - Groundwater
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
Soil Description
0 ft. 0 ft.
3 ft. 1 1 3 ft.
6 ft. 6 ft.
9 ft. 9 ft.
12 ft. 12 ft.
Soil
1Jtil' .M:
FINAL SITE INSPECTION INSP.BY:
House -SSDS located per approved plan...:-:......
Length of trench measured
Width of trench average
Slope of tile line and trench acceptable.........
Roan allowed for expansion trenches ..............
Over 100 ft. fran watercourse ....................
Natural soil not stripped or SDS area
unnecessarly graded ............................
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
fran trench ..... ...............................
Boxes properly set ........... ........ ........
Could surface runoff fran driveway, roads,
ground surface, etc., channel near SDS area....
Does lot drainage appear OK in area of SDS.......
FTNAT. MAnMr. OF STTF. ACT_P'.PTARTR ------------------
Soil Description
0 ft.
3 ft.
6 ft.
9. ft.:
If ell, 12 ft.
�
N01 COMMENTS
E,
z,4si 7;i ocdf s s °9 ' F
3� �64� s / ► Tt�� �,v��d £ ! Aloe 9 A Y St, !?Y- IA) 58 o i.-
SM,4
�lD 5�1 /,D A S61JA4 f, 6-1I11 8%- 0� ,S'4"taCrt o
y
SECTION e - B
Out 1
DETAILS -OF DISPOSAL FIELD
EQUAL
DI T �PLAN— I --
+j imperv�ous�
to absor on ,
I, removable cover cloy
gravel
all fill to be
4 "# solid pipes 7 �; + dd1*RTAl soil inlet to 11 nciton bo 1 _ Q ROB grovel'
to next ,I on f ;firer lateral 2 min,
from septic tank F�-E box 12 °deep3 1n. tight lolnt vitreous
to absorption truth Cloy pipe or e4uivl
3/4 "stone o Both boxes) SECTION B= B
gravel om of box must beiveI and firmly supported to bsl.ow frost line.Footing to extend to 36 ° graded forated below ground level
OVERFLOW stone • 2)Waterproofed masonry" o aincrete construction
SYSTEM T CAIN 3)7Ight joint pipe from- s► pfic tank to box and between v11 boxes CAL Fll
4 BoNles to Insure squal,dntnbutlon may b• required.
PLAN SECTION t'
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PK QUEBEC
NAIL
Set'
THIS SURVEY IS ACCURATE AN CORRECT
BY: �-
GERALD L. LYNN WAPPINGERS FALLS, N.Y.
N.Y. REG. SURVEYOR No. 049292
RO A D
—1 HEREBY CERTIFY T0--
PAWLING SAVINGS BANK
REVISED: APR. 21, 1986 "AS- BUILT"
REVISED: JAN. 9,1986
f
r
1
a
i
1
SCALE: I °= 20'
b �Y
r p
_ k
SURVEY FOR
MICHAEL 81 SUSAN
SCHALLOCK
TOWN OF PATTERSON
PUTNAM COUNTY
NEW YORK
OCT. 23,1985
Fd.
P. K.
NAIL
Set
0
t
85 -28 ° GLL
.I
4
i
LOT NUMBERS ARE AS SHOWN
ON PLAN TITLED ''SIEVENTH MAP
OF PU!'NAM LAKE"
QND FILED
Z
AS MAP No. 149 -F
i
44
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I
I
Fd.
S 0° ' 201 E i
Fd.
i 260.00' I I
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11
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1 1
4702
4701
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4698 j 4697 j 4696 j 4695 j 4694 j 4693
1 4692 1 4691 j 4690 I 4689
LOT
4688
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1 P
O
PK QUEBEC
NAIL
Set'
THIS SURVEY IS ACCURATE AN CORRECT
BY: �-
GERALD L. LYNN WAPPINGERS FALLS, N.Y.
N.Y. REG. SURVEYOR No. 049292
RO A D
—1 HEREBY CERTIFY T0--
PAWLING SAVINGS BANK
REVISED: APR. 21, 1986 "AS- BUILT"
REVISED: JAN. 9,1986
f
r
1
a
i
1
SCALE: I °= 20'
b �Y
r p
_ k
SURVEY FOR
MICHAEL 81 SUSAN
SCHALLOCK
TOWN OF PATTERSON
PUTNAM COUNTY
NEW YORK
OCT. 23,1985
Fd.
P. K.
NAIL
Set
0
t
85 -28 ° GLL
.I
4
i
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,
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-o�1c. �c�Tic T r'K
__7 .�
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4!'4 Lll� \
0
U
Putnam County Depaz'tment of Ith
Dipisio oY ronmental Health $epvitjt)a
o d r aanfornsnoe f with
th
A d ]atione oY the
app ab1 rHulea and -Rai
{.
Pa tY Do
ignatnre & tie
f 7
,ZGaO•oo/
r
` —JJ IJc'fl o tJ eoox .
y
Structure totaled from survey by surveyor noted below®_
Welt located by: Surveynrs•sur-vey�_ -.. _ id_. - _ -- ____, -_• _ __
Wend(idersrefult- -.-- .f�t--1{-- -- _-- ._�-- - - -- -_
} Er)i nee is McSW ame nS6.Li -__._
(l1,rK, nor,s; p,Ys, Qauer,e9 fig iateiais in;,arad by:Contractor:
I Engineer: 1]
t1 �1 nealtr, �c p:: n
Fletd Inspection by: '-,ealth Qept G]I da1 e:.�
tngrnr+er note
I •
NOTES:
A.
DIMENSIONS _
A. - B
A - c
--
A C `�Q_S% B 'E,
A E a_�pI" IDI(B - }_- +I-
A - F , —_0' B - F _ 3 UJ QpeFtssron� .f
A - {o = Ez4T JQJr6 - c
A = H r__�2IB - H -- _ 7A -IB
r__ 1 . 8-Z A K
SANITARY_ — SYSTEM DESIGN 5 BUILT'
OWNER: -
LOCATION/Street: (;kLf071VI G -IOAL?
Town:,A.r GfZ�f� - County: U AM
SUBOI I 1 N;
B I o ck •. -- L OT N s _- .%�:
' Builder: — -- — - - --
:
Drawn: pr D�A Date; 1 Style' fir` zpl Job N
W g. s
JOHN H. PR ENJISS RE—,
' CONSULTING ENGINEER /'��
,' RD r), F* �a I:' CARMEL NY 10512 -(9141 878 -6170. fj�,ri�j//