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HomeMy WebLinkAbout1496DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -3 -36 BOX 14 I,y,. I, .� L'r. 7 oil oil � . , . • ir �`� ti � � I - -. .,. wr Sent By: LLL; 1234567 ; Sep -12 -02 8:45AM; Page 1/2 ice= �l.L�►Q . Ate=[ xamooBoa 'd AN I U01, 4i JO $up PUPA -as aptpoq I 04 pao :sw;oJd a "P M 10 Aqjsaodwa app aqI aq 111a► s!'= V°° aV swage► oI P q d3QDAld sa4sotpnc aapsWoja! Imubasq= =* put osaodw uo p #* uo poseq Pooshpa aq o3 �P uvoq aeq »(o :d s 31 'da(DAN Pug lgaolsw)a+d aM 2V `HOQad g9 VW ICAM PPP A01 W* sN4 4MM s 03su.qp.roo3 ► ;nvm�sdaQ s.0 •SupM NtR aqI swum Pm jRCo i,N'wopw* oq fo A n al W pis noljj •a�adsa� aq uo Posaq (Pgi =SioQ ao WO MWO WGId JRGDAN mp a gwAWp la lai+mdoo s?q.L •Sapm Ioo of Acrid =gw=ojuj gig mR opted o> TwomMoAd d!wp v* to b Wwdnj aqI n it Info td j"!nm=D g .toi SASS Pngdojd o •pow Mugd Sa(US ao 41p~ 000t ump m'g4 wog v2po SI SS pasodoi ❑ 'pogpm3jQ g m asoo-�Mrw vjo pq OOZ mq" 9189 posodo sa o _ -. _.._. -_ ._ __' ►ltl,lo [off so: Io goe�os .c �,mf�aaRae roc I??3 OOS_ Im.$, S P?sodoi oeao rauato ,�o ao o msg veaoto s od s 0 4P H8 I�+M; 9 . aP SLSS Pwd o - - 0 m :?fa"o IOUs �, %iidVHi a 190 =NASOI O I-ITZIL dmi D :93mad Sim -HOS b � � :# �wo�d _ _ � -�� '$oppi +o 1W a$ solid pwgqdmo3 qq aq Im m ALopq vo!Iea�.to3nt am O)c J.WT IQRUS to VGV a - AI0LLNS1Yd XL 03m IM31193mm 60sol )PA AWK 'aommoia PWI "goo t IUPIVSH 10 .1 KT u &a i sw wit a iAynnow d.M=(" jomaq MMXy�ml qnd A OA -d =V91 Z 'd UGLOLD 161 "ON xvi HOUR ANa All "I ld AV Z;:01 sal 00 -9 -Ivn SEP -12 -2002 THU 08:46 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 1 rl SCALE IN 1110 OF AN INCA -T--- ._ 23 - 2' 9_._. o1rl 23 ' o 38. 70 AC. CAL. I� r � 24 i 1! I 'PUTNAM COUNTY DEPARTMENT OF HEALTH V DIVISION OF ENVIRONMENTAL HEALTH .SERVICES. INITIAL INDIVIDUAL /COMMERCIAL SITE INSPECTION FORM SECTION A. GENERAL INFORMATION Name of Project /�►LG,+,� i(TV) `��j� County `�yr'��t/, Site Location �.�77 Tye►/ G1/Y 7'/�i ��f — 2- Building construction begun _Lt/C) Extent`- Is property within NYC Watershed ? ................. Yes 0 No SECTION B.- TOPOGRAPHY (Pleas check all appropriate boxes) Rolling St p _slope dGentle slope Flat 2. vidence of wetlands ki" f Lw.area su flooding .Bodies "of water Drainagge ditches Rock outcrops y -Ct < e vov%zey g "3.. - Property lines or corners evident::...:....: ....... ..................:...:...::... ...... 0 y =esNo, 4. Do water courses exist on or adjoin the property? ST !¢/i%?....... Yes 0 No 5. Will these affect the design of the sewage system facilities ?............ - Yes - No 6. Do watershed regulations apply in this development ?..... .. ................. No 7 Will extensive grading be necessary?....r.�.. .6,�1.i�?«:.13. Wit% 5 Yes No w_8:.:- Will,.extensive -fill be- necessary for SETS ?:..:::. - ::.. - - _. ; .... ..: - :..::::.:. _ _ - Yes " No 9. Do filled areas exist within the SSTS area? ........................................ Yes 0 No If yes, what is the condition of the fill? SECTION C. SOIL OBS VATIONS 10. Appearance of soil: Sand 0 Gravel Loam =Clay Hardpan Mixture 11. 12. 13. 14. Observed from: a Borings Bank cut dBackhoeexcavati.ons Soil borings /excavations observed by la , 2 ('': / /� on Depth to groundwater t �' ®� on _ Depth to mottling ,L Cl/ /0� !� on 15. Are test holes representative of primary & reserve areas.. 0 Yes No 16. Soil percolation tests made by N% e on n ffJ ( % al art 7 17. Soil percolation tests witnessed by 14ZA on SECTION D (on back) Form ST -1 2 SECTION D. DRAINAGE 18. Will proposed grading materially alter the natural drainage in this or adjacent areas? E� Yes No 19. Will groundwater or surface drainage require special consideration? :............:....... Yes 7-1 N 20, Will gullies, ditches, etc., be filled and watercourses be relocated ? ..............:.......:.. Yes No SECTION E. REMARKS 21. If a common water supply is proposed; has an inspection been made of the existing or proposed source and facilities? ...:..........::................ ............................... F Yes No Inspection data 22. Do adjacent wells and/or sewage systems exist? ..................... .... ............................ EZIYes E:] .No 23. Additional comments Zo�� . �� �er� r�wLT r'� � f ay 24. Site observer /inspector and.title 25. Date(s) of obsetvation(s)inspection(s) TEST PIT.PROFILES = Hole # _Lot. # �p Depth to water 41,0466 Depth to_motding - -- A/0624 - Depth to rock/imp. G.L. 0.5 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 Hole # 'Lot # 6 Depth to water Depth to mottling a Depth to rock/imp. 4/=K G.L. . 0.5 1.0 2.0 3.0. 4.0 5.0 -1 60� 6.0 Hole # . Lot # Depth to water -Depth 09 niQttlio- ' Depth to rock/imp. G.L. • ©� 0.5 1.0 2.0 3.0 4.0 5.0 1 7.0 7.0 8.0 8.0 9.0 9.0 10.0 ot� vid 5,L f,'oe catty �i. ara trel . o 5.0 -1 60� 6.0 Hole # . Lot # Depth to water -Depth 09 niQttlio- ' Depth to rock/imp. G.L. • ©� 0.5 1.0 2.0 3.0 4.0 5.0 1 7.0 7.0 8.0 8.0 9.0 9.0 10.0 10.1