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HomeMy WebLinkAbout1524DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -4 -20 BOX 14 . ,. :,INN to Am to ., k 'I t ri I 01524 PQil MCOUM orus"= mddm4wnmwkw�wdold&MW=&CAN NT.19W O�ovWrw�Jlt /� -Q''Q� Patterson Bullet Hole Road TWE 4W x 'dick:--Woods- 73 - —Mull 6 ,�...,1 h, 71Ok5rz 2T UoA4 M u &149 w.e..i —aa�t Redd= ❑ ! o...dwWRe..:Vegas 9 r •N(�S +'R�, D (Z., nom. of 4/29/88 ( #P -28 -88 ) Mism man" Datg Subdivision ""roved July 1985 Fee Enclosed ❑ mmmnnt eft TW Residential tat Am 2.486 M Sadw old, , 3•S vdam, 00 4 DooW Flew G PD 800 PMONedffiesdodkRequind Wrae F• r a SepebaaSwsawSeimramt j 1250_ - S.PWT.,&.W 444 LF of PPVC Fields To ie.ea.att.*ai hF To be determined Add Wow S raft Sib pNaii Ad�aaa on XX *+tom SNp* DjMei b_n ha riPtarmi nadummes . otiae 2.5.' fill required in SSDS .area (500 cv + / -) 1 ►ev"a u.that i am wholly am completely, responsible for the design and location of the proposed fydem(p; 1) that the apwate sawaM dhposal system; above demigod will be constructed as iliown on the approved amendment there to and in accordance with the standards. rules an refu ns County Doptartmant M HlMltt4 and that on comONtion.thenof,a "Certificate of Construction CMMII@nte" satisfactory to the Commissioner of Mealthwill be sebinlftell to the Department. slid., a written , guarantee .will be furnished the owner. his tuCCOUWS. hobs w assigns by the builder. that said builder will bap M pod .NnatNg co " Mi an wry part of sold sawaM disposal system during the period of two (2) years line liatey following thedste of the Nor an0a of the ap~ of the certificate of Constructmn ComplNnp of he ory stem or any t s thereto; 2) that the drilled well deswlgod above will be located ae Mmorw an the aMetorM plan and that said wen will M stet N it ulas and reju oii ns of the Putnam County DaMrtmemt of ~h. ON* 4/19/90 Shamed RE. % x M.A. — 0 aicensa No 66674 �^PPROVED FOR CONSTRUCTION: This approval expires two IS ni the date issued union construction of the building has been undertaken and is ievo?able for taus or may be oi�atiees or modified when con cossary the Commissioner of H anh. Any Change or akwation of Construdlon aguye e w 71,li L, Approved for diMMI of domestk or private water supply only. Rea.. , /gCpy /LI',IJ , Oab •y �Me��• v(J /lJiC1 Title 10/88 DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL a PCHD PERMIT # WELL LOCATION Street Address Town/Village/City Tax Grid Number Bullet Hole Road . Patterson 73 6 1.14 WELL OWNER Name Mailing Address Theodore Patrou 179 Mitchell Road, Somers, NY 10589 Wrivate O Public USE OF WELL 1 --X primary 2 - secondary ® RESIDENTIAL ® BUSINESS O INDUSTRIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION O INSTITUTIONAL O STAND -BY 0 ABANDONED O OTHER (specify AMOUNT OF USE YIELD SOUGHT 5 gpm /46 PEOPLE SERVED 5 /EST. OF DAILY USAGE 300 gal REASON FOR DRILLING @NEW SUPPLY O PROVIDE ADDITIONAL SUPPLY ® TEST /OBSERVATION ❑REPLACE EXISTING SUPPLY ODEEPEN EXISTING WELL DETAILED REASON FOR DRILLING Applicant r es water sLip2ly for proposed 4 - bedroom WELL TYPE 13DRILLED ® DRIVEN ®DUG GRAVEL 13 OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Burdick Woods Subdivision Lot No. WATER WELL CONTRACTOR: Name To be dete fined Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: NAME OF PUBLIC WATER SUPPLY: DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: N/A YES X NO TOWN /VIL /CITY LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON REAR OF THIS APPLICATION ON SE 7 -13 -92 (date) (s 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 s.hall: 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: S� 19� Permit Issuing Uffic i.a Date of Expiration: 19 Permit is Non - Transferrable White copy: H.D. File Yellow copy: Building Inspector Pink Copy: Owner 287 Orange copy: Well Driller PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date July 6, 1992 Re: Property of Theodore Patrou Located at Bullet Hole Road .(T) Patterson Section 73 Block 6 Lot 1.14 Subdivision of Burdick Woods Subdv. Lot # 14 Filed Map # 2067/2067A Date Aug., 1985 Gentlemen: This letter is to authorize Julius I. Cesare of Shah Trans /Environ Engineering, P.C. a duly licensed professional engineer X or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, 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 Health Law, and the Putnam County Sani- tary Code. Very truly. yours, //y Signed 724� y ZF�— Countersigned: Owner of Property P. E. , 1M. , # 4112 ,,�� ,� 179 Mitchell Road l � Address Shah Trans /Environ E in ing, P.C. Somers, New York 10589 Address Town 101 South Bergen Pl;;_wFreeport, NY 11520 914 - 277 -5212 Telephone 516 - 868 -0900 Telephone (�J J BALDWIN & CORNELIUS, P.C. C ' 101 S. Bergen Place FREEPORT, NEW YORK 11520 TO C • CD 1i' G e17 e, V CC, e-4 Byvellfj_e� "I /V 1015-019 DATE �� -� 'Z_ JOB NO. ATTENTION. RE: P H' 1 f2, o l.Cr •�.. A- c0AJ'4✓ L" C.-i c Pe vpi, A ✓ S S `1�.5 l > WE ARE SENDING YOU %Attached ❑ Under separate cover via / L the following .items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order COPIES DATE NO. DESCRIPTION c0AJ'4✓ L" C.-i c Pe vpi, A ✓ S S `1�.5 l 13,:n L�>i ; ceJI'o 11 -+o C o ­,5 }-- a c. os e>`i e r W P. i THESE ARE TRANSMITTED as checked below: AFor approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted > ❑ As requested ❑ Returned for corrections ❑ For review and comment �� n .e., ❑ FOR BIDS DUE 19 REMARKS • Resubmit copies for approval • 'Submit copies for distribution ❑ Return corrected prints o. ❑ PRINTS RETURNED AFTER LOAN TO US COPY TO � � SIGNED: ' vtooucr 240 a Inc, cmton, um aun. It enclosures are not as noted, kindly notify us at once. .�4 PA 11f47-1L Baldwin &, Cornelius, P.C. CONSULTING ENGINEERS — LAND SURVEYORS April 26, 1990 Mr. Robert.Morris Putnam County Health Dept. Old Route Six Center Carmel, New York 10512 RE: Murphy SSDS (Formaly Patrou SSDS) Burdick Woods Subdivision Lot No. 14, Renewal Dear Mr. Morris, Please find enclosed the following materials for the above referenced permit renewal: (1) Applications Letter regarding site conditions (2) Construction Permit Application (Renewal) (3) Authorization Form - - (4•) Water Well Construction Permit Application Should you require any further materials, do not hesitate to contact this office. Very truly yours, 4" John F. Eberle, PE Project Engineer RD 5 • ROUTE 22 • COLONIAL SQUARE • BREWSTER, NY 10509 • (914) 279 -7115 • FAX (914) 279 -2289 Q, y 2 6 -�Po S u - ' Pfio c,4W J) PA-TT-c- fits 04 j� 7W /3 e d ck. 6 u rf r � � o T 41,0 ;? 6 6 6 7,f /j 7z 1xil--01244 1411 0C)G124,014 (e .4,v-o s4-j%c PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date April 19, 1990 Re: Property of ;H. Robert & Joan Murphy Located at Bullet Hole Road (T) Patterson Section 73 Block 6 Lot 1.14 Subdivision of Burdick Woods Subdv. Lot # 14 Filed Map # 2067/2067A Date August 1985 Gentlemen: This letter is to authorize John F. Eberle of Baldwin & Cornelius, P.C. a duly licensed professional engineer xx or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, 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 Health Law, and the Putnam County Sani- tary Code. Counters: P. E. , 9c0 Ad Baldwin & RD 5r,e pfe. 22, Brewster, NY 10509 Very truly yours',,,�1 Signed O ( er of Property 1349 Kingsbury Dr. Address Wellington,. Florida 33414 (914) 279 -7115 Telephone Town 279 -2551 Telephone DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT #� WELL LOCATION Street Address Town/Village/City Tax Grid Number Bullet Hole Rd. Patterson 73 6 1.14 WELL OWNER Name Mailing Address W e 11 i n g Private H. Robert &Joan Murphy_, 1349 Kingsbury Dr. Florida CTPublic 33/ USE OF WELL 1A.- primary 2- secondary RESIDENTIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP D ABANDONED BUSINESS O FARM 0 TEST /OBSERVATION ❑ OTHER (specify, D INDUSTRIAL b INSTITUTIONAL O STAND -BY. O AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED -_5 /EST. OF DAILY USAGE 300 gal E3 REPLACE EXISTING SUPPLY O TEST/ OBSERVATION M ADDITIONAL SUPPLY NEW SUPPLY NEW DWELLING) 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING `-Applicant rPgiji rPs iAigtP.r siippl V fnr nrn n -,Pri - hPrirnnm nNPlling WELL TYPE DRILLED DRIVEN ODUG. GRAVEL O OTHER IS WELL SITE SUBJECT TO FLOODING? YES „y Y NO- IF WELL, IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Burdick Woods Subdivision Lot No. 14 WATER WELL CONTRACTOR: Name to be determined Address : IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES xx NO NAME OF PUBLIC WATER SUPPLY: __ TOWN /VIL /CITY -- DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: N/A LOCATION SKETCH & SOURCES OF CONTAMINATION' PROVIDED DON SEPARATE SHEET 4 -26 -90 (date) (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within .thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to Assure that any and all water or waste products from such well drilling operations be contained on this property and in suc a manner as not to degrade or othe ise contaminate surface or groundwater. Date of Issue: 19 4'3 Date of Expiration 19 4 Z, Pe it Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller above described, w�li be constructed as shown on the -, M -ry T. pproved amendment there$ to and in'afxordance with the standiirtls rules an regulations :o e u Warn County. Department of Health, ;and the {on complotwn thereof a Ceitit�cate,;of Constr,uetion Compliance satisfactory to,the COMMisslOrler of Healthwill ha suQmitted to ahe Oepartmanf, and a .written. guarantee 6viU be turn�sheq f ownor, his successor ;.heirs or,assgris by the puiltler, that said builder will pNce din. good operating condition any "pail of said sewage: disposal - system du inp' the r' i f two ( ),years immediately fallowiig the date of the isw- an�s .of the approval of, the Certificate of CoristrucUon Compliance of o inal s y p Ys thsr s! the drilled well.dosaieed ,above will be lot ated as shown on the approved plan and that sa�0 well will be inst n act and; rules end regu a Oos oP.';the Warn County Department 91f1 h Oats Signed P.E. R.A. Address aldwlnkbrhei#* ,_RD 6, RTE 22; rr License No APPROVsED FOR CONSTRUCTION Tlin approval.'expires,fwo Year.s`from` the 'date issued unless: construction .of -the building has been undertaken .and is - revocable for cause or =may de amended or:modifiedwhen considereG censer by th ;Commissi !sin 'of Hlalth: Any change or alteration of construction req UllBS a D Ti A r0 for tlisposal'Of, -0OTBSI iC senate►' ew ; ehd '•V lY - RCV� j /Z 1/87. Date — BY Trtl m t APP...r' IDIX B CW PU NAM COUNTY DEPAMEM OF HEALTH - DIVISION OF ENVT_RObZflMU HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS RE(TIEW S'riEET - CONSTRUCTION PE.RM.IT DATE REU M OED • 7 �--� BY: G (:Fame of Owner) (Street Location) r L W COM_M�TS YES DOCUNg'' US jam/ t Pe_rnit Application G., _ r-porate Resolution Plans - Three sets —°'°"s /s f Engineers Authorization Design Data Sheet (DDS) SUEDIVIS S Deep Hole Lcg Parc Consistent Perc Results (3) Fill Pe- rc..•Hole Depth cd �-- [ House Plans - Two sets �9 Well ® permit; PWS letter Variance Reouest Legal Subdivision Subdivision Approval Checked on Ex- approval SSDS Adj. Lots Check Wet (Town /DEC Permit R & D) ra On DDS Plans & Permit Sarre REQUIRM DLIA_T S ON LF trench provided requir ,@, Swage System Plan (north, arrow) 60 ft. - _ Serge System cydra is _ e - G_avi ty Flow Pare-1 lel to Lours Fill Profile & Dimensions - Volu- e 100$ e D or J Bcx;Trencn /Gallery; Pump pit details Septic Tank - Size, Detail _ ... - Well Detail, Service Line if over Construction Notes (grinder rate) A AV. Design Data: Perc and deep results Two -Foot Contours Existing & Proposed lopes Cut ooting/Guttn ,Curj�ai n Drains (di sc:iarge Oil) Per ep oles Located FILL SYSTEMS Representative of primary and expansion clavbarrier Expansion Area; shown; gravity flow,ssff. size 10 ft. ®_ If Pined Pit & D Box Shown & Detailed fill notes House - No. of Bedrooms new spec. Wells & SSDS's w /in 200 ft. of Proposed Sys' ens Property Metes & Bounds House Setback Necessary (Tight lot) depth gauges House Sewer - 1 /4 " /ft. 4 "0; Type pipe 100 vr. flood elev. �,�-'" No Bends; Max. Bends 45° w /cle=- out SEPARATION DISTANCES SPECIFIED ON PLAN Fields ' 10' to P.L., Driveway, Large Trees,Top of fil 20' to Foundation Walls 200 ft. reservoir, etc. 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. e, an 150 ft. trigall /gall. 15' to Drains - Curtain, Leader, Footing 35'to catch basin, stormdrain,uiDed wate_rcours 10' to Water Line (pits -20') rZ ( b 1 N %f �' ;:.' J - f AV1) P Pr 50' intermittent i ttent drainage course Septic Tanks 10' from Foundation; 50' to will BALDWIN & CORNELIUS, P.C. Putnam Business Park RD 6 Rte. 22 BREWSTER, NEW YORK 10509 (914) 279-7115 TO _PWNf►/n CDUN7Y } :13L1& ; 2& 4X0 X d ,/7`F 506 CeVrcF rz WE ARE SENDING YOU Attached ❑ Under separate cover via_ ❑ Shop drawings L Prints ❑ Plans ❑ Copy of letter ❑ Change order ❑ ILIEUTEIM oIF TURSOMOUML DATE •ATTENTION JOB NO. '"7 RE: BoAvicr Wve z-6 % ���U asps -- P�zrrn f�v9n.y F cc c��/ ❑ Samples the following items: ❑ Specifications COPIES DATE NO. DESCRIPTION a ���U asps -- P�zrrn f�v9n.y F cc c��/ �Ti2a�a SAS -- ��N iT� v nJ THESE ARE TRANSMITTED as checked below: xFor approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 REMARKS • Resubmit copies for approval • Submit copies for distribution • Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US "7Ac �cG � f✓1/�: '�� /�'i� y Ls P � DNS f��Di7.t -SS �%U t! � COPY TO SIGNED: If enclosures are not as noted, kindly noti us once. 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 4 f—rW WELL LOCATION Street Address Town/Village/City Tax Grid Number BULLET HOLE ROAD PATTER SON 763 6 / WELL OWNER Name Mailing Address tbPrivate STEVE PATROU, RD 4, SHORE ROAD, BREWSTER, NY 10509 13 Public USE OF WELL 1 - primary 2- secondary ® RESIDENTIAL 0 BUSINESS O INDUSTRIAL 0 PUBLIC SUPPLY O AIR /COND /HEAT PUMP 0 ABANDONED ❑ FARM O TEST /OBSERVATION ❑ OTHER (specify U INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED 5 /EST. OF DAILY USAGE 300 gal REASON FOR DRILLING MNEW SUPPLY ❑PROVIDE ADDITIONAL SUPPLY ❑TEST /OBSERVATION O REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING Applicant requires water supply for proposed 4 bedroom dwelling. Health Depar m t. Date of Issue: 19�. Date of Expiration: 19 'Permit Issuing Official Permit is Non- Transferrable WELL TYPE 13DRILLED. 2/87 Pink Copy: Owner DRIVEN E]DUG Orange copy: Well Driller GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: BURDICK WOODS SUBDIVISION Lot No. WATER WELL CONTRACTOR: Name TO BE DETERMINED Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: N /A. LOCATION SKETCH & SOURCES OF CONTAMINATION ON REAR OF THIS APPLICATION March 23,1988 (date) PROVIDED (signature) 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 pro i e y Yhe Putna Co nt Health Depar m t. Date of Issue: 19�. Date of Expiration: 19 'Permit Issuing Official Permit is Non- Transferrable White copy: H.D. File Yellow copy: Building Inspector 2/87 Pink Copy: Owner Orange copy: Well Driller f ,BALDWIN & CORNELOUS, P.C. Putnam Business Park RD 6 Rte. 22 BREWSTER, NEW YORK. 10509 (914) 279.7115 TO 'T%�INArn COON r Hh; /�crot E%�o LIEUTEM (IF U12MOM UL DATE JOB NO. ATTENTION - '�tcc. ticp6c:S a RE: f 2ota- ksoWs - l Coft-GrOjel0tJ Tcx+1T A P�tC�'il d WE ARE SENDING YOU Attached ❑ Under separate cover via the following items: • Shop drawings • Copy of letter 0 Prints ❑ Change order ❑ Plans ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION f 5 =-&5 Coft-GrOjel0tJ Tcx+1T A P�tC�'il d PC t CId'"t clnl ie� � /ov, o � . �/L�C.I FYI ir✓iJy� -y F/C C PCLICL*nrtsr� l�L -�/� 1 Z5s0s PeS16,) ;Pe-t?nrS THESE ARE TRANSMITTED as checked below: xFor approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE REMARKS �G • Resubmit copies for approval • Submit copies for distribution ❑ Return corrected prints 19 ❑ PRINTS RETURNED AFTER LOAN TO US f�ey U�,rt JIVS Tce44 r f,> X457- ,�}�5�7n i 7z� e °�.✓T9t® sit "� f r✓,�. COPY TO SIGNED:' It enclosures are not as noted, kindly notif us t once. PUTNAM COUNTY- DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date March 23, 1988 Re: Property of STEVE PATROU Located at BULLET HOLE ROAD (T) PATTERSON Section 73 Block 6 Lot 1.14 Subdivision of BURDICK WOODS Subdv. Lot # 14 Filed Map # Z041 Z04 .A Date AUG. I MS Gentlemen: This letter is to authorize DONALD CROTTY of BALDWIN & CORNE.LIUS, P.,C. a duly licensed professional engineer X or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, 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 Health Law, and the Putnam County Sani- tary Code. Countersigne P.E., R.A., # Tele Very truly yours, Signed Owne• of Property TD 044 Address -Bg' -- W'S TEl�- Town Z77- ZS I Telephone 1?FP'I.Ii G. 1,: 611, 1. 2„ 24" 30" 3Eill /4811 4" 60" 66" 72" 78" TEST PIT DATA RDQU= TO BE SUBMITI'E.D Lt7I111 APPLICATION DESCRIPTION OF SOILS ENOOUNIU ED IN TEST HOLES HOLE W. 1.4 A BOLE NO_ 14B BOLE N0. 14C TOPSOIL LOAM CLAY Rock Q 72" TOPSOIL .LOAM CLAY /LOAM ROCk ? 66" . TOPSOIL I SANDY LOAM ROCK ? 42" 84" •...... - - 1•IIDICIITE. LEVEL. AT WUC U CRO(IND411TER -IS i?t fiiZ 37 N /..,a, II iDICl1TE LEVEL TO Wg.IC EI WATER LEVEL RISES AF= BEING k30UNTEEM N/A i)REP IiOLE OBSE11VUIONS MADE BY: J. Eberle DAM: March, '1885 DESIGN Soil Rate used 8 Min/l" Drop: S.D. Usable Area Provided 5000 SF Ito. of Bedrooms 4 Septic Tank Capacity 1200 gals. Type Masonry Absorption Area Provided By 444 L.F. x 24" width trench Utlier 3.5' fill required (approximately 400 c.y.) Ilan» 8ALDWIN & CORNELIUS, P, C. Al dress RD 6, ROUTE 22 DREWSTER, NY 10509 1.111S SPACE FVR USE BY IirMMI DEP1 MW:.Nx ONLY: Signatur``� SEAL _ � S[:.0 liJ �, •V-, te 4 ;... ,F,���. � .•�; :� rr' •l i � Soil Itat:e Approved sq -Wgal. Checked by Date PUINA14 COUNTY DHPAIZIMEN'P OF 11FAL111 DIVISION OF awI tMiEffrAL ILEALTH SERVICES DESIGN DATA SHM- r- SUBSUFACE SCWAGE DISPOSAL SYSTa4 FILE NO. O,nier Steve Patrou Address RD 4, Shore Road, Brewster, NY 10509 Located at (Street) Bullet Hole Road /McManus Road Sec. 73 Block 6 Lot 1 (indicate nearest- cross street) municipality Patterson Watershed Croton SOIL PEROOLATION TEST DATA RBQMM TO BE SUBMITM WITH APPLICATIONS Date of Pre - Soaking Date of Percolation Test 2 32 -47 15 28 31.00 3.00 5.04 3 49 -11 22 28 32.00 4.00 5.50 4 S 1 14 -45 31 29 34 5.00 6.20 HOLE 2 46 -04 UU-s Z C10a TIME PER�!ION 3.50* 5.14 PEROOLATION Run Elapse Depth to Water'Frau Water Level 26 No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min/In Drop 32.5 3.50 8.57 Inches Inches Inches 5 03 -35 32 29 1 13 -31 18 28 31.25 3.25 5.50 2 32 -47 15 28 31.00 3.00 5.04 3 49 -11 22 28 32.00 4.00 5.50 4 S 1 14 -45 31 29 34 5.00 6.20 2 46 -04 18 29 32.5 3.50* 5.14 3 05 -31 26 29 32.5 3.50 7.43 4. 32 -02 30 29 32.5 3.50 8.57 5 03 -35 32 29 33.0 4.00 8.00 1 ' 2 3 - t/ S• P� rata+ C • C . ♦ 'i 60 J � W� cm • ino joy ?OR. /�. t *17ES : 1. Tests to be repeated' a t same depth untA ppk �'tel r are obtained .at each percolation test t�o1�111 d�,a to be subzu tad for review. e�•.•n•�,.a• 2. Depth measurements to be made fran top of male. r. ,3 p D. T-'.j iY DE ATIT !ERT Or HEALTH Frill A f"A AN UTA FLATL TTATX LAXL nu Lu — --------- ------ ---- WTED EXCEL HOMES 2748 HAMILTON L " CK 4A=—, a W-W CCLDC HEUW PA am 69 IL *GEN= vDalm wfufftml� PA 17M mn 4mr♦m 7w cv 21fix 5 �x I M 316 2 N L=6 W-W lv-r ;,Fl I,--. UTH saint III O 7-4 % ..m ' F G .I 3 3 30 3= 3= V-4, V-3 Lor 31-0 W-V w-e vr 4v— LAYD ALL 0 . Y= tTAW F11111L 11111M bd Lu — --------- ------ ---- WTED EXCEL HOMES 2748 HAMILTON L " CK 4A=—, a W-W CCLDC HEUW PA am 69 IL *GEN= vDalm wfufftml� PA 17M mn 4mr♦m 7w 3 PUTNAM COUNTY DEPARTMENT OF HEALTH a Rev 31'8 Division of Environmental Health Services, Carmel, N.Y. 10512 �( r Engineer Must Provide f L X.H.D. Permit k CE' ATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Town or V e Located at t a ��°-� ® Tax Map Block ' Lot _ owner/ Name+ ,I�6 Z— l����� Formerly Subdivision Namet'�At�K v. Lot pl` Mailing Address .. ..0 ry 1 p. V.- Zip l V•S j �' Date Permit [sand l Separate Seweiage ,System built by Address S �— Coneis of i Gallon Septic Tank and �g Water Supply: Public. Supply From Address or: Private Supply Drilled by —' Address GT_1:% Cj ��L i k r.� l� � LI r Building Type Has_ Erosion Control Been Completed ?_� Number of Bedrooms Has Garbage Grinder Been Installed? Ve, . Other Requirements . I certify that the systems) as, listed serving the above premises were con at ess nt 1 as shown on the plans of the completed work ( copies of which are attached), and in accordance with the standards, rules and re at ns, i a cor ante v' the filed plan, and the permit issued by the Putnam Coun y Department of 11i+eaith. Date � � CS f f 74 Certified by Address ' -�' _J'` License No.� Any person occupying premises served by the above systems) shall promptly take such action as may be necessary to Secure the correction of any unfinitary conditions resulting from such usage. Approval .of the separate sewerage system shall become null and void as soon as a pubt'. unitary Sewer. becomes available and the approval, of the private water supply shall become null and void when a public watts supply becomes availabW Such approvals are subject to modification or change When, in the judgment Of the COtnmifaiOnef O t/7 revocation, modification or change is necessary. . Title Date v ,. i ,4 I �. ._ . .. A T-E A N' K -/ 2-d 7 R TAriK > �5a 4 ` a l - 72. r cv I LOT* 14 AREA 2,4863 AcReS `1 o . AYE' Q �i3 A N _ N N /� $. \. w 35,78: s: �� • off!:; �� F 26:x:'•: Rr„16� ce,.P. i P75-16 9 ! - County Department of Health f(en of EA,viro_nmental Health Serv:. ved as noted for confo_-_anca tviti cable Pules and E_.; laticn of the m county Health Department. tnra l.. Title �� i` 9 _TA419 FRo"1 MAP o1` Sv2VY LoT N' 2. 14 , AS 5ROvJN 00 SUBA�visioN PL-A'r BURR IGK WOOD. (fIi-ED MAP 14. 2067 TbWd of FATT• kg0h) PUTn1HM. CbuNTY, htY sr-4e.£ (''- 50' iome 3o, W4 15Y. Pt- ry 4.161 1� RS-1, pO THIS IS TO CERTIFY THAT THE SEWAG - DISPOSAL SYSTEM WAS CONSTRUCTED AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS INSPECTED BY ME BEFORE IT WAS COVERED OVER. THE SYSTEM WAS CONSTRUCTED IN ACCORDANCE WITH ALL STANDARD RULES AND REGULATIONS OF THE PUTNAM CNTY HEALTH DEPARTMENT AND THE N.Y.S. DEPARTMENT OF HEALTH. �.�v 4 ��I. A1.mT T TA11 T1TT1ATIT WALL UVrlrJ 11VLN L%r,rVAl ,a a. DEPARTMENT OF HEALTH si:dw Of 'Einvirdiamental HealT:h :Saxr3.ces ._..._ - - -- PUTNAM COUNTY DEPAR MENT OF HEALTH Office Use Only _ -_ -. - ...... -.. ...,...... _�._ ....__.: .. WELL LOCATION STREET AOOR 5 WNi VI L1 Y W GRID NUMBER: e Calf ,. t../ —q-20 WELL OWNER NAME: ,� ADDRESS: j2L 4A Y rAw IZS a �� / �pgIVATE D PUBLIC USE OF WELL Q primary 2 - secondary E DENTIAL ❑ PUBLIC SUPPLY O AIR /COND. /HEAT PUMP d ABANDONED ❑ BUSINESS ❑ FARM O TEST /OBSERVATION O OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm - /N0. PEOPLE SERVED 9'_/ EST. OF DAILY USAGES gal. REASON FOR DRILLING .(]REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION ❑ADDITIONAL SUPPLY NMEW SUPPLY (NEW DWELLING) ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH Jal_ ft. STATIC WATER LEVEL � ft DATE MEASURED DRILLING EQUIPMENT O ROTARY COMPRESSED AIR PERCUSSION ❑ DUG 0 WELL POINT O CABLE PERCUSSION O OTHER (specify): WELL TYPE ❑ SCREENED O OPEN END CASING OPEN HOLE IN BEDROCK O OTHER CASING DETAILS TOTAL LENGTH — tL MATERIALS: STEEL O PLASTIC O OTHER LENGTH BELOW GRADE fi- JOINTS: OELDED O THREADED O OTHER DIAMETER in. SEAL: MENT GROUT O BENTONITE ❑OTHER WEIGHT PER FOOT Ib. /ft. DRIVE SHOE OS ❑ NO I LINER: OYES ❑ NO SCREEN DETAILS _..._.._ AMETER (in) 'SLOT SIZE LENGTH (It) DEPTH TO SCREEN (it) DEVELOPED? FIAS p YES ❑ NO HOURS S OD- GRAVEL DIAMETER TInDOEPTH P SIZE: OF PACK. tL GRAVEL PACK 0 NO OTTohl 0 ft. WELL YIELD TEST It detailed pumping t p p 9 M HOD: ❑PUMPED tests were done is in- t OMPRESSED AIR , formation attached? BAILED O OTHER 0 YES f, NO I�JELL LOG if more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water Bear- ing Well Dia- meter In FORMATION DESCRIPTION e paE It IL WELL DEPTH ft. DURATION hr. DRAWOOWN It, YIELD gFm. /1min. jand F WATER ❑ CLEAR TEMP. QUALITY O CLOUDY HARDNESS ❑ COLORED ANALYZED? O YES ONO ANALYSIS ATTACHED? OYES O NO STORAGE TANK: TYPE CAPACITY GAL. PUMP INFORMATION TYPE MAKER MODEL CAPACITY DEPTH VOLTAGE HP WELL DIM DATE f'! AGGRESS Clapp Hill Road S=TURE `1 LaGranggv l e, N.Y. 1254 03,11 223-1175 ov ANALYSIS DATA SHEET TYPE: PW LOCATION: Bullet Hole Rd., Lot 14, Patterson, NY REPORT TO: Key Realty Corp. ADDRESS: 93 Gleneida Ave. CITY, STATE, ZIP: Carmel, NY 10512 DATE COLLECTED: 09 -20 -94 TIME COLLECTED: 3:25 PM COLLECTED BY: R. McGlasson REPORT DATE: 09 -22 -94 LAB # 94 -6715 SAMPLE.. SOURCE: Well- DATE ANALYSIS RESULT UNITS METHOD ANALYZED Total Coliform Absent COLILERT 09 -20 -94 THIS SAMPLE AS RECEIVED AT THIS LABORATORY MET THE REQUIRE TS OF NEW YORK STATE DRINKING WATER STANDARDS. Laboratory Director NEW YORK STATE ELAP CERTIFICATION NUMBER: 11218 618 Clock Tower Commons, Rte 22, Brewster, NY 10509 / 914- 278 -7600 / Fax 914- 297 -0536 PUTNAM COUN'T'Y DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Owner or chaser of Building Building Location - Street Municipality Building Type 6Y L/ ��o Section Block Lot Subdivision Name 1 u �-- Subdivision L # ot GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, wotkmanship, 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. made by-me to such systein, except where the - failure to operates properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as the Director of the Division of Environinental Health Department of Health as to whether or not the fail ur caused by the willful or negligent act of tt the system. Dated this day of 19 4 General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk conclusive the determination of Services of the Putnam County e of the system to operate was ^ ` Am I represent that I arn wholly f6r* the design ind location of the proposed 5 . ystem $1 1 t.ha! the- ospar mo, dIVla;M above described will be constructed asi shown on th� approved mrniindMe�fthere to''ind In accadarice with the stapdsrds rule$ and 'as Mn her. o0istely !0I)owiAq the date of the Items. "Cet in im" Operating Ition y -port of Iiild 16W800 di st d 0 two( ) ar.!Ca of the approval of =411tiXte,of Construction Compl!onfts'of the i9l SY hy r iri Over M.)-that the drilled welf 4-440110-0 - Due Date —APPROAD FOR CONSTA ra�val-exiokn two " rs from th: 60/issued unless'c'ons'truction 44,th's building has been undertei(enind is UCTION: This ap'-p Y" ..,revocable for iauso or may be amended or modified when considered.nocesury by the Commissioner of Heafth. Any change or alteration of consti4dion m DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 APPLICATION "TO -CONSTRUCT•A WATER_ -WELL PCHD PERMIT # 1, IS WELL SITE SUBJECT TO FLOODING? YES AC� NO IF WELL AS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: V r_ f:$ L C iC:- C5 r3 S Lot No. t j WATER WELL CONTRACTOR: Name Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: - - LOCATION SKETCH SOURCES OF CONTAMINATION PROVIDED rj C ,7/ , ON SEPARATE SHEET s 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 Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the During all well drilling operations, the applicant any and all water or waste products from such well property and in s h a m ner as not to degrade or Date of Issue: t 19 Date of Exp ation 19r the Putnam County Health Putnam County Health Department. shall take appropriate action to assure that drilling operations be contained on this otherwise contaminate surface or gro d er. Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller Street Addr ss T Village City Tax Grid Number WELL LOCATION t L-c 4 Name Mai Address rivate WELL OWNER &g O Public USE OF WELL V_RE IDENTIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP 0 ABANDONED 1 - primary 0 BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify, 2- secondary 0 INDUSTRIAL U INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT �gpm /# PEOPLE SERVED-4(a—/EST. E3 REPLACE EXISTING SUPPLY O TEST /OBSERVATION OF DAILY USAGEj622_gal Gl ADDITIONAL SUPPLY REASON FOR DRILLING W SUPPLY NEW DWELLING 0 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE DRILLED DRIVEN ODUG � GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES AC� NO IF WELL AS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: V r_ f:$ L C iC:- C5 r3 S Lot No. t j WATER WELL CONTRACTOR: Name Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: - - LOCATION SKETCH SOURCES OF CONTAMINATION PROVIDED rj C ,7/ , ON SEPARATE SHEET s 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 Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the During all well drilling operations, the applicant any and all water or waste products from such well property and in s h a m ner as not to degrade or Date of Issue: t 19 Date of Exp ation 19r the Putnam County Health Putnam County Health Department. shall take appropriate action to assure that drilling operations be contained on this otherwise contaminate surface or gro d er. Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date �"- Lz Re: Property o Located at (T) ��('Q� Section Block Lot Subdivision of 2U ( GIB. ��-1c5 CO,D G Subdv. Lot Filed Map # 2—©6 7 Date Gentlemen: This letter is to authorize / -moo V // ®�✓�� a duly licensed professional engineer v or_ registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, 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 Health Law, and the Putnam County Sani- tary Cnap _ Address Telephone Very Sign 4ress Town �i��1�22s gs8� Telephone PC -1 PUT NAM C OUNTY D E PARTMEN T O F H E.AL TH APPLICAT-IOR -FOR, APPROVAL QF-•- PLANS:_F- 4}J-,— .WASTEWATER DISPOSAL SYSTEM t _> 1. Name and Address 2. Name of Project: 4. Project Engineer: yT• �ofL�� -��1 5. Address:�� i 01 W_ License Number: Phone: 6. Type of Project: _ Private /Residential Apartments Office Bui ld'ng Food Service Commercial Institutional Mobile Home Park Realty Subdivision Other (specify), 7. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (Check One) Type I.. Exemot Type II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? Has DEIS been completed and found acceptable by Lead Agency? ........... 10. Name of Lead Agency 11. Is. this. project in an area under the control. of local plann.in.g, zoning, or other officials, ordinances? 12. If so, have plans been submitted to such authorities? Fl�� A 13. Has preliminary approval been granted by such authorities? Date Granted:_ 14. Type of Sewage Disposal System Discharge...... Surface Water _Ground Waters 15, If surface water discharge, what is the stream class designation ?........ 1.fi.... Waters ...,index number ..(surface) ......:.:: . ..... .....: 17. Is project located near a public water supply system? 00 18. If yes, name of.water supply` Distance to water. supply 19. Is project site near, a public sewage collection or disposal system ?..... . IU b ?0. Name of sewage system Distance to sewage system ?. Date observed: 23. Name of Health Inspector: ?4. Project design flow (gallons per day) ...... a .. P. D ••••••••••••••• � /��2 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?.. / 26.:Has SPDES Application been submitted to local DEC Office? ............... 27. Is any portion of this project located within a designated Town or State wetland? .. .. . .. ... ...................� 28. Wetland ID Number ................... ... .......... ....... 29. Is Wetland Permit-required? ........ ....... ...... ....., Has application been made to Town or Local DEC Office? '10. Does project require a DEC Stream.Disturbance Permit? ................... .11. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ......... YES or NO 2. Is project located within 1,000 feet.of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? ................YES or NO DESCRIBE: 33. Is there a local master plan or.file with the Town or Village? ............ 34. Are community water, sewer facilities planned to be developed within 15 years? 35.... Are any - sewage.- disposal - .areas. in excess of � 15% slope? .. - - 3.6. Tax Map ID Number ..................... 37. Approved Plans are to be returned to: ................ Applicant Engineer If the application is signed by a person other than the applicant shown in Item 1, the application must be accompanied by a Letter of Authorization. Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm,. under penalty of perjury, that information, provided on 'this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A isdemeanor pursuant to Section 210.45 of the Pena 1 Law. SIGNATURES & OFFICIAL TITLES: dAILING ADDRESS: r •• o• i� • • • MIA •• •, is d. Mi � ; �• may. DESIGN- DATA-,: SHEET-- SUBSU,FACE - SEWA 3E -- DISPOSAL SYSTEM, = : -_: -- ---FILE NO _- - _.__.......... . Owner Address Located at (Street) Sec. Block Lot (indicate nearest cross street) Municipality Watershed SOIL PERC0LATI0N TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre - Soaking Date of Percolation Test HOLE NUMBER CQ�OC'R 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 /7n Drop Inches, Inches Inches 2 3 4 5 1 2 3 •u> t' r % NOTES: l.' 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 ENCOXR41MM IN TEST HOLES DEPTH HOLE NO. % HOLE NO. ,HOLE NO, G.L. " /Cx- 1' 2° 3° 4° 5°. Ice 6' 7e. 8' 9' 10° 12° 13' ' �o 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENMUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: S �: DATE: DESIGN Soil Rate Used Min /1" Drop: S.D. Usable Area Provided'` No. of Bedrooms Septic Tank Capacity �OgC) gals. Type GSobf Absorption Area Provided By e L.P. x 24" width trench Other Address �C� �.� v SEAL �y 4 m —/ Fo ho.5�505 d► 'THIS SPACE FOR USE BY HEALTH DEPAR`iYKENT ONLY: °fi���iuco Soil Rate Approved sq.ft/gal. Checked by Date :APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL __ ._� ....,._,.�. _ _._ -�.. _... s_ _ - ,__. - >R_E. �S•H -EST �:o-r €ONS= T.RIi.CTL ©, 2:E:�, •I __ AM 0 F 0WNE STREET LOC.ai' i Y DATE z% TA, MAP T �o ,. DOCUMENTS. APPLICATION PWS LE-ITE ENGIN AUTHORIZ4TICN N DATA SHEE (DDS)_ DOLE LOG CONSISTENT PERC RESULT ) REfC-HOLE DEPTH EOEORATE RESOLUTION NS THREE SET PLANS - TWO SETS (OK) ? HOLES LOCATED HEALTH SERVICES SYSTEMS t�5 ATIVE OF PRIMIARY AN-D EXP.M.NSION ,AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE ZiPED PIT & D BOX SHO «N & DETAILED - NO. OF BEDROOMS LS & SSDS'S W/IlN 200 FT. OF PROPOSED SYSTEM �-! 1 PROF ..METES & BOUNDS ETBACK NECESSARY (TIGHT LOT) L HOUSE SEWER - 1 /47/FT. 4 "0; TYPE PIPE NDS; _MAX. BENTS 45 iV" /CLEAtiOlbT FILL SYSTEMS VARIANCE REQUEST �CLMYBARRIER �RAL 010 FT HORIZONTAL: SLOP 3: 4I LEGAL BDIVISION _ /� /'/ % �✓� Q] FILL SPECS DIVISION APPROVAL CHECKED DEPTH GAUGES PERC RATE FILL PROFILE & DIM1Ev FILL REQUIRED m VOLUME CIJ�TAIN DRAIN REQUIRED LIJSTAl IDPIPES _ TRENCH EX -. AL SSDS ADJ. LOTS �TOWN/DEC PERMfIT R & D) TRENCH PROVIDED A,•S PLANS & PER 41T SAME ;lA NEIGHBOR NOTI ;IFICATION FLOOD ELEVATION SYSTEM PLAN - (NORTH ARROW) )RAULIC PROFILE = GRAVITY FLOW = TRENCH/GALLEY 0 P- PTT DETAILS INK- SIZE, DETAIL PAIL, SERVICE LINE IF OVER CTION NOTES (GRINDER RATE) BATA: PERC AND DEEP RESULTS - T CONTOURS EXISTING & PROPOSED AY & SLOPES CUT J /GUTTER/CURTAIN DRAINS E TO CONTOURS 100eb EXPANSION PROVIDED SEPARMTLO_N.DISTANCES SPECIFIED ON PLAN FIELDS L , DRIVEWAY, LARGE TREES, TOP OF FILL 2229- ' TUNDATION WALLS WELL, 200' IN D.L.O.D., 150' PITS 1 AMI WATERCOURSE LAKE (INC.EXPAN), 50' TO CH BASIN, 35' STORMLDRAIN, PIPED WATER TO WATER LINE (PITS -20') 'Olt RM•fITTENT DRAINAGE COURSE 200 FT. RESERVOIR, ETC.M 150 FT. GALLEY SYYSTE.)-IS �SEPTIC TANKS FRIQ�.Njl(UNDATION; 50' TO WELL WELLS 15' «ELL TO P. L. 8'3.21 S6.29' S1. o2' — xx LOT 14 AREA - 2,4863 Ack£s av MAP off` �uRYFY LOT M2. I� AS 54OWN oO trrs10tV e-� SURDIGK WOODS (F i L E-0 . MAP !vq. 20 67 3 iZWN OF W-t`Mk 5:on) 9UT qm Cvw"ty, tqY SZ-ALE f so' Ju.v 30, 1q4 o, /.Q ry rV 1JoGes! Ercm&a� s or eo � row l� (xk a F �i 2 (� map was mafe +^ r al tr� sc�vmy a( vt p.-Tm g� C'O-Pl06ed c+n Jvng 29, 1994 All -,r2 Vrrl,d )] WALG tiTT %r i-h S mar on cop -s 6/&rro( �-.41J D SJ 1Z V F YO l2 ,551 °- 24- 42��_ */l , s 5- 4 °-12 =29 St,J 7' a d 'r2n 7JfGf+.1r'A� der' /.Q ry rV 1JoGes! Ercm&a� s or eo � row l� (xk a pm«�f i Sny, 4 4., horeon ,'�C- Fle:l map ret�s- S5(�22' -32'E eom p vFrs as - S Sit 24'- r2 ` E (� map was mafe tr� sc�vmy a( vt p.-Tm C'O-Pl06ed c+n Jvng 29, 1994 All -,r2 Vrrl,d )] WALG tiTT %r i-h S mar on cop -s 6/&rro( �-.41J D SJ 1Z V F YO l2 .I :l t KEY REALTY CORP. /KEY REALTY CORP. 49' -4' 1-30 1/2' =3/4' 4 J9 37' - 1/2' 3 2y 223 5' 1 SN- E6554/QN- 7507/N7 6' -e' 12' -2 1/r 11-4 1/2' 6' -4 10' -5' I p 46' -4' - 1 y 35-10 1/4' "-3' > N 0, � •P1I0 W U Ll 2x6 - •{ ' 12' -5' N 2450 2150 AL 56 D2{ DV 1'Z 2' M VENT 2450 in 5' -D' 4. 11' B12 fV ' 16-11' O ❑E < < > T TA PLAT[. SLATE AND p:5 LA8[L LOUTTCH Tn>' - '� ONE ru • in 17' S' A W W N ° I I n N LIN © FLR iSR iu 1 v 3 H Z BATH 02 n 1 ' ' I DINING ROD M o R R a ' j BEDROOM, Rl PE587 SD R 001 0, G Ea 161.1E S0 R > a - 1/2 n i nss RE'PD .H] IP.91 LIGHT RED'D VDT RIVD KITCHEN • u BATH *1 VENT 003 VENT RED'0 LIGHT PROV'D M78 LIGHT PRO" 11" von PROV'D I t> I r ii86 VEM PR01"D IV" i e 2j 1! t AM LILLY 3' -r ' - 68 1/2' y %24,_4, HALL 15' -1 1/r A I ` -9' 3-3'. L 6' -0' 10-3' 3' -6' L 3' -0' 6 3-9' 4' -6' 'r6A -. -4 1/2' W LIN CLO I PAtf" 5'-6' CLO S' -6' CLO I CLO L A uv 4 {- •• i a ❑�- is' -1 1/2' ' F 8' -7 1/r ❑ 4 / + i r LIVING ROOM' S; BMW Pas SO R � Eny rr N 03 BEDROOM tl2 ' t' Mm VENT REVD = LIGHT i m 128.94 .�. 1P0}1 SO R N 1031 LIGHT REWD n =6 VENT REST F D15A7 = R 1094 LIGHT Ism •�+ 'j 000 VENT PROWD ADO'L L1GNT/vENT PRIIV9 j ' 2180 LAIR PRIT 'D n SAE VENT RED'D am LIGHT PROvT i BY SLILmm IA o IL26 VENT PROV'D T O 7 o E186 VENT PROV'D } y i V. � 1 TOYER 'D . •i 19-10 1/r 6' 1/r 12'-6' 2 i NDRp -P:R F R2 , zx6 - -- -- - - -- - -- - - - - - -- 06 - - - 1/P'x9' 9z Ra -I 4`i' -e 3/4' O 9=0 1/B' O� O V9�0' 15'17 1/2' u3 =3' O� O 17-7' - ' 10' -5' 13' -6 1/4' 9'-9 3/4' 15' -5" 6'-10' NOTES' 1. 2x6 EXTERIOR WALLS E 16' O.C. 2. 8' 70' CLG HT, 3. ROOF SYSTEM TO.BE 16' O.C. 4. CLG BEAM OVER L"R TO BE- 2- 2x10x9' -4' SPFR2 5. BUILDER IS RESPONSIBLE TD PROVIDE AND INSTALL VINDDVCS) AND /OR DOOR(S) IN ACCORDANCE w/ ALL APPLICABLE CODES 6. BUILDER IS RESPONSIBLE FOR PROVIDING A PROPERLY SIZED HEATING SYSTEM TO COVER A 50A00 BTU LOSS 7. SITE L13CATION CARMEL, NY] PUTNAM COUNTY] 40 PST SNOV LOAD 20-8 I /r 6-51D2' ' �8 -10' �E. — I A 27656 WALNUT HILL I RAW Br. GSUiD ■Y. DATE. 20/1994 Sa RM 04/ XL4381 c� V G G C A Z > N 0, W U Ll G - Z W W O < < > A W W N w p a Z 3 H Z C) W04 ¢ < 1 G > 001 0, G Ea L) > a :I O VWi�x z .H] x W. H W PUTNAN COUNTY DEPARTMENT OF HEALTA HOUSE PLANS APPROVED FOR DEDI C01. 00U.. _ ONLY; Signature & Title Date iii � /• J'� / �_ .• qty / l .