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Home My WebLink About1526DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -4 -22 BOX 14 1' 1 I r. L i rm I� . L '. . .�i� 7�'L r. .' IN 6 �' 17� , 01526 Rerr.k 3186 J` OF-CONS Located atL Owner/ it Name Mdling'Addfess 4-7-7- ,a Y ^ -• ` x, -77 '_ "".r�- s`�,?�" . ""� .l a�+R. i.,... "` ,r" r`, z Sa`�' C. ,Rr •v.. PUTNAM COUNTY. DEPARTIYIENT OF HEALTH Division of Eevirorimental Heidih SiM668ii C rmel,-N.Y.14512 Sefla"; Sewerage Systeml gllt bi Consisting of Water Supply :. - Pabllc SapplyFrom Address or: _ Private Supply Drilled .by Address Ballaiing Type Has Eroslon Control Been Completed? ' Number of Bedrooms . Has Garbage Grltider Been lnstalledY Other Requirements I certify thatthe system (s) 'as .listed servingthe above.,'premiseswere constructed essentially as shown on the plans of the completedwork•( copies . of which.4e attached), and in accordance with.the standards;' rules and regulations, in accordance with the filed plan, and the permit issued by the •'Putnam County De` rtmeOP alth - %� Y Gate 1/ L�./ Gi' —�—v Certified Dy /r-� P.E. R.A. �_ Address `� • "° Z Licsnse No. `V Any person occupying ,premises sarvsd'D'y. the above system($) shall,promptly -take such ectionas may be nedssery_ to seeunthe eo►reetbn of any unsanitary conditions resulting' frohi such usage Approval of the separste'savverage.system shall become null and void as soon as a pubtt: Sanitary. saws► becomes available antl the,-approval of the p►iwte water supply $hall,become 'hull . and vokt•.when'.a ouplk:.watw supply becomes available. Such, approval's are subject to modifiritlon :or "cha /n /peG /�wh /ps�n; In the'JUdgment of the Col Yliriission r 'o h, such revocation modification or change Is nacissary. Date 2 W l� "(C / ( / f� T(tN m "TIT * WrjLL I,VPLCLr.11VV4 L%r1rvl\1 DEPARTMENT OF HEALTH -.. ,.. Iivis'ion 'Of Environmental Health Services° LL` PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only .. WELL LOCATION STREET ADDRESS: 76WN791ELACTICIly TAX GRID NUmaEd: a WELL OWNER NA E: ADDRESS�::� i�Q o �S "I /f/o4� l/l 4 Is-1 N1 0 ❑ PUBLICS USE OF WELL 1 - primary 2 - secondary ❑ RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED ❑ BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify) p INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT S� gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING OREPLACE EXISTING SUPPLY ®TEST /OBSERVATION [ADDITIONAL SUPPLY NEW SUPPLY (NEW DWELLING) ® DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 30y ft. I STATIC WATER LEVEL A D ft. DATE MEASURED ��5p DRILLING EOUIPMENT ®'ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED QkPEN END CASING ❑ OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH a I ft MATERIALS: I1I,8TtEL O PLASTIC O.OTHER LENGTH BELOW GRADE JOINTS: . ❑ WELDED E3—THREADED ❑ OTHER DIAMETER _1¢_ in. . SEAL: O CEMENT GROUT .❑ BENTONITE EWT`HER WEIGHT PER FOOT Ib. /it. DRIVE SHOE ❑ YES LINER: O YES @-NO SCREEN DETAILS . ..___ DIAMETER (in) 'SLOT SIZE LENGTH (it) DEPTH TO SCREEN (ft) DEVELOPED? FIRST O YES ONO ...__, HOURS SECOND '�� ___... __ ._... .._... -_._._ _..... _._. ._ .. -.__ .,...: -_.. :._. - — GRAVEL PACK O YES ❑ NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH ft. WELL YIELD TEST If detailed pumping METHOD: ❑ PUMPED t tests were done is in- t O COMPRESSED AIR , formation attached? O BAILED ❑ OTHER ;OYES ❑ NO WELL LOG it more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water Bear- I ^9 Well Dia- meter FORMATION OESCRIPTION CooE tt. ft. WELL DEPTH It. DURATION hr. min. ORAWDOWN 1t, YIELD gpm. Land ce T ( I S, 3 6 sue. WATER O CLEAR TEMP, QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES ❑ NO STORAGE TANK: TYPE A CAPACITY GAL. WELL DRILLER NAME- OATS ADDRESS Q� �� SIGA&URE CIV l' 0160.1 V PUMP INFORMATION TYPE CAPACITY MAKER DEPTH MODEL VOLTAGE HP YML Environmental LAB NUMBER X. Services . . . . . . . . . . . DATE TIME TAKEN "'-321'KeFSf'Str6et,Yo"ktbWii'H6ightg,NY-'1'0598-- ELAP #10 . 323 (914) 245-2800 1 DATE/TIME RC'D DATE REPORTED h. COL'D BY above INOTESI RESULTS OF WATER TESTING X ANALYTE RESULT UNITS ZnOAc MWMF,-MPN 11� ALKALINITY mg/l. AMMONIA mg/L ARSENIC. n-g/L CHLORIDE mg /L COLOR Units CONDUCTIVITY umhos/cm COPPER mg/L DETERGENTS mg/L FLUORIDE n-g/L HARDNESS n-g/L IRON mg/L LEAD n-g/L MANGANESE mg/L MERCURY n-g/L x NITRATE mg/L per 100 mL NITRITE FECAL COLIFORM n-g/L per 100 mL ODOR E. COLI TON per 100 mL pH, FECAL STREP. S. per 100 mL 00�3407 Tll-25-92 2:15pm_ :-------.---1--- 4-- --- - .1- 111-25-92 2:45pin N=OV 2 7. SAMPLING Kite en Tap Home add. SITE For Lab Use Only __z Potable — HNO3 _ pH LT 2 X— <4C Nonpo,table NaOH pH GT 9 <20>4C HCl Na2SO3 >20C STAT! H2504 ZnOAc MWMF,-MPN 11� P/A] RESULTS OF WATER TESTING X ANALYTE RESULT UNITS PHOSPHOROUS mg/L SILVER n-g/L SODIUM mg /L SULFATE n-g/L SULFIDE mg/L SULFITE mg/L - TURBIDITY NTU ZINC mg/L SPC per 1.0 mL x TOTAL COLIFORM per 100 mL FECAL COLIFORM per 100 mL E. COLI per 100 mL FECAL STREP. per 100 mL These results indicate that the water sample A [WAS NOT] [NA] of a satisfactory sanitary quality according to the New York. State Sanitary Code, for the WAS] aSl e tested, at, the i e.of sample collection. These results indicate tha e w ter ample [WAS] [WAS NOT] NA] o 'a satisfactory chemical quality according to the New York State Sai tary d or the parameters tested, at t e tim of sample collection. NA = Not Applicable N = Not Present (Negative) SUBMITTED BY: P = Present (Positive) SA = See Attachments) * = Also done because Total Coliform was present Albert H. Padovani, M.T. (ASCI-1) TNTC = Too Numerous To Count Director > = GT = Greater Than < = LT = Less Than PUTNAM COUNTY DEPPRM = OF ==11, DIVISION OF ENVIROi'ZMTAL HEALTH ERVICES Owner or Purchaser of Building Section Block Lot Building Constructed by Lo ion - Street r Municipality Building Type ?U -`4D i CK Cluo S. Subdivision Name Subdivisicn Lot GUARANI'EE OF SUBSURFACE Sr QGE DIS =CAL SYSTMA I represent that I am wholly and completely res_cnsible for the location, workmanship, material, construction and drainage c- the sewage disposal system serving the above described property, and that it has begin constructed as shown on the approved. plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam 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 tI e date of approval of the "Certificate of Construction. Compliance" for the say-age disposal system, or any 'repaiYs`iiiade _by z to -such `$stein, except where the failura-to -operate 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 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 building utilizing the system. Dated this —L !'' day of 192 Signature Title General Contractor (Owner) - Signature Corporation Name (if Corp.) s.. - rev. 9/85 mk Corporation Name (if Corp.) Address 4 _ p'=T� E. c-rl gao Cw Ca CrC_E - D" . EC� -_ - l _ I f+- ilia _ C• f—a. 7�r1' -. r� Zrc: lr� =_�._• c5 �T c�Z'v�id t' oo n - CL P cr_r_fiC v- r � ( I tl 2_I, -i_ LG I i C- t�_�r =? s�i_ r_c�_.�-_T�= _ _ � u _ 1 L' _ � _._�..a' -II f LrrTIL._ • E _C' _ r C� � —L...T 1. —•�_Li ?�i �?? c5 f:�•i WL`-1 1_ ^5_G_° GL �C1 E_ inn �E_c�c ,_ c`tf =l T L'r L =rte be C_= �_c=ce away t=ar, a: -- ,000 S. =mac= LLa_ _ ir C_- CL•� Pi� 10 E_ r � cam,! = -� � _C_v :�i • -- - ( �� I 1 10011"1 1 I I : C -- 1 I { G =� I 4 _ p'=T� E. c-rl Cw Ca CrC_E - D" . EC� -_ - l _ oo tl _ All -7 7-es C. ?�i �?? c5 f:�•i WL`-1 1_ ^5_G_° GL �C1 - C^r� =T"15 5"_nes < 1�. �n cla =ra- ,_ c`tf =l T L'r L =rte be C_= �_c=ce away t=ar, S. =mac= _ 7" vI Yx -X 4 bkP,,�k -0 PUTNAM COUNTY HEALTH t V., 4e�itfi jtueii Pi6idii Permit M6ql' of Eii Se6� !6p CIE CA RM F7 TE KIVANCE., v F % P CONSTIICTION P 16*6 or'� Village Z 4� SubdMsfo Subd. Lot # Tai Map Block Lot Z, crw7 'Asi0ii O—ei/Apinient N" Date Of P Meffing Jf Town CHD -d -Number F1 J3 P� D XeM AobfiiRequIrb_, IF 4eviileao Seweiege System, to ieiidsi;o,f Gallon w, _V 77, ort, if by vffled Other Rj!qlpremenu men I represent thiaitj 'am whiolly and !,he 0!sigrvpnd location; !h!.,separate-,-rsdWi*ge-,disposaI -,,-system above :dascFibiiid !!T a there'' -e' 9. ,t tory to,the' k ill - County epartment �Ai�.'H4iih,�'ioo',,toat.9n,complet f,,cc;ristruct lon-corno ia hce'�'i sat isfac commissioqe� pf,r,.. GaLlthw -Y, be supornitted'to- the-dipirtiniint, 46&.a`-:�v!,! furnished �l. the. owner, is successors.- Iniews,or assigns by; the'. bu'i h&tr said-b6dii,�r;+Will ,en:.gua.rantqe*lllIPb'. place in 0jrt of said,,si f`� — f011O*iI �Opi�jiif wagi�%disposal ' ' :; iyitehid ng Or i6d.. f `Ssil _t t 2). that the &J'hea tj!LdGK�ibeq,�SPO �'ike. of, the �4`pproval,, of tio TIP.Tncp��o 5 a., I . 1 s lie. ere !11 - w 11 , be, lo I cat . ed I �as s . hown on I the approved pia —Put 46i actor i� a ds, is and regu =a!Ons Of he n f papariment .1 -Hea".' Date Sig RE R.A�, Address riser No APPROVED FOR P , !f confiiidlon' ofjhe.'building h as ,b'e6n . unqertaken . a nd, is 46voii6le for cause or a ffenced-ori6aW k ii n essary:by.e.-ommissioner of Galth. Any rhange or -alteration c onstru ction � . requires a new p lipPioviid�for disposal o me W_ iivite %�itei supply' only. kiv. 14% V87 Date Tale i �. ,P I PETER C. ALEXANDERSON. County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 February 26, 1990 Frank Fowler 380 Plain Street Ridgefield, CT 06877 Fie: Proposed SSDS: Pal ie'ro Bullet Hole Road (T) Patterson, TM 473 -6 -16 Dear Mr. Fowler: JOHN KARELL Jr., P.E. Director Review of plans and other supporting documents submitted at this time relative to the above -- captioned project has been completed. Comments are offered as follows-. 1. Engineers authorization form not signed (enclosed), 2. 100% expansion area not shown on plan. 3. In the pump pit chamber, the detail shows the drop from pump on to pump off cis 18 inches. Correct drop to reflect a dose of 100 gallons. 4. Show actual SDS profile. Include sewer line, septic tank and pump chamber. 5. Due to the slope in the SDS area it is suggested that a D -box is used. -.E,. - - C- ontour.lives - incorrectly labeled -,- aleva -t•ion 1 -ine- 786-runniag- through ..__- proposed house should be labeled 788. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, 6:� . C-M I Robert Morris Assistant Public Health Engineer RM /jp DESIGN-DATA SHEET - //E Owner Located at (Street) APPENDIX J ..-PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES E- SEWAGE' DISPOSAL' SYSTEM ' - - /() , Address C5 6 1A XMwzz/V �Sec: Block Lot to nearest cross street) Municipality LJf% Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre,-Soaking6- �7Z�'' Date of Percolation Test HOLE J.; NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start-Stop Min. Start stop Dro p In Min/In'Drop Inches Inches Inches P6 1z 2 , to -7 QIL 3 /0 4 5. 2 LO it Z' . 4 5 W, 62 2 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 fran top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE N0.. D% - ROLE N0. [ HOLE NO. l/ T= 2' i LI t 3' 41 11 I it l r� r /c 5' ! G/i %Cll I . 6' 7, �` l s' 9' 10' 11' 12' 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER iS F,N00UNTERED INDICATE LEVEL TO WHICH WATER LEVEL* RISES AFTER BEING ENCOUNTERED �- DEEP HOLE OBSERVATIONS MADE BY: 76 r DATE: LSCI D Soil Rate Used /�� -�' Min /1" Drop: DESIGN S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity / gals. Type�c� Absorption Area Provided By L.F. x 24" width trench Other ✓ `; �% , Name Address -)NU ! flUlfi/ SEAL THIS SPACE MR USE BY HEALTH DEPARIITM ONLY: OF Nf. Soil Rate Approved sq.ft /gal. Checked by Date PUTNAM COUNTY DEPARTMENT OF BEALTH Division of Eev6umerital Healtb Seevlcee. Cermel N Y 1051? : Englneersto Provide Permit q i on CERTIFICATE OF COMPLL4IVCE Permit 'q WAGE DISPOSAL SYSTEM ® Bnna>og Type /`l �i F�; Lei Area C- Number. iii "Bedrooms Deelgn Flow °G' P D Separate Sewerage Syetom to "it of Gallon Septic Tank and = To?be conatrgcted by; C Water Sappl3: Pabllc Supply From or:,_ —Private SioOly Dr111ed by Other Roodromcnte 1 represent, that �i am ;wholly and completely retponsiD le for the des�gna nd locate above described will be eonstructed asshown on the ;approved �arrmendmerit there to County Department of: Health,,. and; that_ on completion thereofa . "Cert , fieate:'i be submitted, to the Department, and a e written °guarantee will -b6. Ill plate in good operating condition any part of said sewage. tlispoial system -A ence, or the approval ot, the Certificate of - Corlstructlgn CoinDiiance of the o will be located vs-showit on the'approvad plan- 'arid that said well will, be installetl Iii County Depart snlent of, Health - Date. 2Y-�_9 10 Sig t ` Addiess Ci __ - APPROVED 'FOR CONSTRUCTION Tlns approval expires two Years from the c revocable for cause or may be amended or enodified when co`nsi �nl necessar :i requires.a n w per it..Approved fo'r - disposal of domestic' swage, 5 1/87 Date- ,n ate �,� • V _ BY O� . Iii1I� n Compliance" satisfactory to the Commissionor'bf Healthwill successors, heirs or, assigns by the builder; that said builder' -hill od of'two (2) years Immediately following the date of theAssu- or `any repair 'th to; 2) that .the, drilled well described ;above wi h they n r ysr ! and regu a tons of the Putnam / P.E. ppFI,.A. -7 N � �t��i license o (less construction of the buitding has been undertaken and is assigner of Health.. Any - change .. or alteration of construction /liviieersu/fpply only. 7V/ kC.7 Title r —.. 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 A' dff ess A[171�t ,P—1,e pa&=220 Village /City Tax Grid Number 73 - &— Aa WELL OWNER Name ��i Mailing Address ..j( ,3SIVO l cSl �% �lG 05 SC50 rivate Public 15SE OF WELL - primary 2 - secondary ,RESIDENTIAL ® BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION D INSTITUTIONAL O STAND -BY 0 ABANDONED [30THER (specify, AMOUNT OF USE YIELD SOUGHT O2�' gpm /# PEOPLE SERVED /EST. OF DAILY USAGE gal REASON FOR DRILLING EW SUPPLY fOREPLACE EXISTING SUPPLY O PROVIDE ADDITIONAL SUPPLY (3 TEST /OBSERVATION ® DE PEN EXISTIJiG WELL DETAILED REASON FOR DRILLING ) _S � - WELL TYPE RILLED DDRIVEN ®DUG [-]GRAVEL ® OTHER IS WELL SITE SUBJ &CT TO FLOODING? YES >C No IF WELL IS LO TED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION /rte ' /YY/ /0 �f-� ;7 K,4-7 Lot No. 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 ON REAR OF THIS APPLICATION SEPARATE SHEE (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 provi d by the Putnam County Health Dep rtment. Date of Issue: 19 Date of Expiration: 19� rmit Issuing Official Permit is Non- Transfer able White copy: H.D. File Yellow copy: Building Inspector Pink Copy: Owner 2/87 OranaP miov: WP11 nri11 Pr 4 V c V. 60 ft. 10 m_ _; ill nom= dssmth cal- S f_ccd e:,_-.r. at=. 55 ft. t_?�`?1.1= -1 t -+ OF E--lr 1.1 D2'12S!CN! CF ENv 1 ?C�7�14a7D1, II "_ ji CAS RE%_7=1 5H_—'-T - CCNS =Z :CV Mrm BY: LCC*`CC) Crr_ -,crate Resol'st4C1 I I Pl - 7--rse sam' s E:a�incc p-u`lcri_ =ticn Design Dct✓ St -e -�r (acs - i �C 1 P_rc Edle z s;'_ r cz ��rJw_SiCV C. I SNP' i` C,:= .__'C =.:. Dc Gin ut.V Plans & Jn--j +• -_ i�T� .i F'__ F= cr_'_� & Dim=- -�_c ^s - 4ci =�� •� _� = -::- I= C4 c. . C_-,-lst:7uCticn 'Notes i lI Lae_Cal T2 pe—C and deco Dr_vaewmv & Slc_ es c2t 1/ I Fcflr��r =1�_�r Cyr D Of � -:i i•= (:� =` Lac C� {� O�f --- Pcr` & Duo Hales T,-= —'-^_' 'I II 8= Pr`sc^_aL1v7c cL Exz- a-n51� 3=-= i.`- .1Cni? :: _Ii _7 r rY� _c- s •. i= P' ' Pi & 1 Ecx Si'1C.vm & ie - =? (� I Hcuse - 1,10. cf Wells & S :LS t 5 W / -'1 2f30 L �. cf P_C_e t! t�T -S & B ,Unds Hc�e Se ct Necz --sa (Tic1� icL I/ ( fide Suer - 1/4n/ft-._,d" 0; Tom_ No n ^4; ax. Fa- ^,ds 451, SM,RA -Mr- T Di.S'T^ -tiC✓: S_= .�._T^r:7 C'N- .:tq 10' to P_L., DrivJcvc7, L =r�� T`_" �,Tc CL Z I 201 to rcunC? �iCn SV2115 / 100' to Well1; 200' i:z D.L.O.D, 1501 pi 100' t7 5 ==.,, !_=ka (Inc. 15' to Drains ,ta;..�, Ir=e =, :cctLnc 35 1tc G'tC1 ' *1�c1= d w-4— rL I 10' to Ater LL ^.e (pi t=-20') —J 50' er=m_ -re Cc•.` -s= 'l J L 1=' i`� 1 'Pr LV PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 February 26, 1990 Franc Fowler 380 Maim Street Ridgefield, CT 06877 Re: Proposed SSDS: Paliero Bullet Hole Road (T) PattersonV TM #73 -6 -16 Dear Mr. Fowler: JOHN KARELL Jr., P.E. Director Review of plans,and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: I/V Engineers authorization form not signed (enclosed). VT, 100% expansion area not shown on plan. SK ✓3. In the pump pit chamber, the detail shows the drop from pump on to pump off ds 18 inches. Correct drop to reflect a dose of 100 gallons. ✓4. Show actual SDS_profQq. Iiiclude_sewer line_, se.ptic..tapt and pump chamber. S. Due to the slope in the SDS area it is suggested that a D - -box is used. ✓6. Contour lines incorrectly labeled, elevation lipe 786 running through proposed house should be labeled 788. Upon receipt of'a submission, revised to reflect 06 above comments, this. application will be considered further. RN /jp truly yours!, ? // g�._. 14 Robert Morris Assistant Public Health Engineer r'6 Q M LE Oc FEB 2 8 R90 ,o PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH-_52RVI0ES - -' COUNTY OFFICE.BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. /�L ley iS i ()wiitw Aciirr�tttt,'� LocaLud in (SLruet L�ulle/ kle soc. Block Lot n ica e near(I cross street) fit iiIcI1,)u:l:lLy f �� cd7 Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS TF07 I�uuil.r..r CLOCK TIML PERCOLATION PERCOLATION Run M apse No.- Time Start -Stop Min. Depth to a From Ground Start Inches er Water Level Surface-in Inches Stop Drop in Inches Inches Soil Rate, Min. /in drop 3 dI zc i r 5 V lI ♦ 5 1 2 3 4 5 TE f Note; 1) 'Pests to be repeated at same ciepth until approximately. equal soil two obtained +:tit oucli porcolat:ion test hole. Aldata to bo submitted for rewacw. 2) aX.pth measurements to be made from top of hole. / i —. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION .OF SOILS 'ENCOUNTERED IN TEST HOLES —. DEPTH: HOLE NO. G.L. To a 2' 3' c l 4' 5' i! 61 7' s' 9' 10' 11' 12' 13' 14' HOLE NO. 7-B . HOLE NO. L� C INDICATE LEVEL AT wait i GROUNDWATER IS. ENCOUNTERED A lon e_ INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED M4 DEEP HOLE OBSERVATIONS MADE BY: PC �+_D DATE: DESIGN _ Soil Rate Used ��°'� Min /1" Drop: S.D. Usable Area Provided /000 5 F/ No. of Bedrooms mil" Septic Tank Capacity /2150 gals. Type CSC,, Absorption Area Provided By 500 L.F. x 24" width trench Other /10 `1l 1 /� ; &1-?2 Vrj_ %`7/// Name _ /�.l,C� ��L11�� f �� _ Signature Address �5 SEAL �^ THIS SPACE FOR USE BY HEALTH DEPARZMENT ONLY: S 9 0 qrE OF NV8 Soil Rate Approved sq.ft /gal. Checked by Date PA vE D L- I t--.4 O k i r• 3 iR yr P Nt v F h 4 �r 3 � r� t 'x) ;9 2 � n •l F a M S S{. � h r �' y � t> s; t•^ a 'nom. 1„S i e - 1 j ` Y w t Y a � Cr?S b � S '� I � •u �h' �' �YS � s%p69ri k ,� � R 3 "w C A yr P q ° h 4 �r 3 � r� t 'x) ;9 .,f^ _ yr P q ° h 4 �r 3 yr