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35.-3-6
BOX 15
01673
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6
1
01673
: ak
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.3 ''August Sio
"RD9. Fair Si
perm ' AMoved- for Cobol' - '011,41cionis
Rev.: m Wires �a
41V
danc*,With the itaridil►ds, rule$ and regulations of, tree. putruirn
kn,conwivice- "lisit . 4?!y t6jhi CoinmissionSIF of-keelthwill
sue"amors,'hiks or. assigns by the builder. that said builder will;7
6i �oiiwi (if yews 11inioi6diateily, following t- , - , " f
."clatev
any rejm6k t@Weto; 2) that the drilled Well -410=16id above
�ntM'stir4orAS, ' rules and raquletmo1, the ".Vtrtmrn
P.'E.. X RA.
10 $12 License No '25�PIB
oless -'construdion of the building has ►iven.undwtaken and is
kion-w'•'of kimilIkk Any ctmin" or attention of construction
wata supp#V only.
Title
j
,PUTNAM CQU`rM DEPARTMENT OF IMALTD
i'S®icem ®. 1DtvsoD of Env�onmeatol S®eltl N:Y 10511. ��r;to Provld®Permtt q
oa CEl3TIFICATE OF COMPOANCE
CtDNSTI;UCTlalty FOR SEWAGE DESPOSAL SI'STM* .:Permit . q P 17 8 3
T.. Patterson :. iS 0. 2060).
Farm. o- Market Road
Located st learn ov ``Village
Melville Hall
Subdivision Name Sabd. Lot q e Tax 71 " -Block
N 2
Eenewal_ � °. llevielon ❑
-
®vn ®r� - ppueantNam Collett •& Melville:,Hall
P 8 11 84, 8/16/85,777:/:-86; - 9/9/87
Date of Previous A proy®1� /
ads Address Earm- t0- market Rti,: Town Patterson, LIP. 12:563
Frame 5± Acres, y
Building Type - lot Area Ftil Secdon Only Depth_ Votame
Flo 600
Nartbei of Bedrooms TWO Desi w G P D PCED Notification i® $eqa When 'FIIi®oompl®ted
Separate Sewerage System, to consist of 1.00 0 Gallon Septic Tank m�i 375: x 24" w x 18" D., La t e r a1 s .. _. .
To be•eoastructed by �: , Address
Water Supply: , ,PAH' Sapp1, From dress
or: Petyat® Sapply'Drlll®d by _Addy es®;,
Otloer;Ylenulrententa' ..`NOne • , ..; .. ,
p y p y oni�ble for the design and location of tfie proposetl syitem(s) 1) that the separate sewage disposal' system
I re resent that 1 am wholl and com lately resD
above described will be, constructed as shown on tiii- ipDroved,'amendment therezto and .m:accordance wdh the standards, rules an regu a ions o e Putnam
County Department o(; Heatt6,,and that on completion thereof a "Certificate of Construction Compliance' satisfactory to the Commis Sid er of H'
De :submdtetl :to the oepartment and ;a written guarantee will be furnished, the owner, his Successors -heirs or assigns by'ttie builder, that said builder Will
place in 'good condition any part of ;te'kf sewage tlisp'osal systeni'tluring_tne•period of two:(_2) yearsimrnediately following the date of the issu-
once of the approval of the`CertAicata -of Construction Compliance of ilie original system or "any repairs: thereto; 2) that the drilled well described above
wili.68 Jocatedlas thooan'on the apliroveQ plan and that sa�d'well will'be installed' ,in ccso ance:.with the; Stan aril , rules. and regu a 10ns of the. ,Putnam
County Department of Health; o
Date 31 August 1988 Sronad'. P.E._ R.A.
ACdrea -R D9 Fair St Carme ' NY 1051.2 Lieense Nd 29206
APPROVED FOR - CONSTRUCTION ThisapprOVal, expues two yee►s.,from the •(fate issued unless construction' of the. building has beers. undertaken and is
revocable for cause�or may be . amended :or,motlifk4.when considered,nacessary,,�y the ,!Commissioner of. Health' Any change or alteration of construction
requires a new permit. Approvetl for disposal j�ofdornestic sanitary sewage; and /or'.pri star s pp ' my.
87 Date- �� ZS vgy.
it le
IE
a
DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641
APPLICATION TO CONS`T�ZUC"TA- 'WA'VEkR WELL; ' ' :::::::'
PCHD PERMIT #
WELL LOCATION
Street Address Town Village City Tax
7-2, - rte' a K 9/_ /� ��
Grid Number
— z _ ;�'.
WELL OWNER
Name
'//
Mailing Address
."
OPrivate
O Public
TISE OF WELL
- primary
2- secondary
RESIDENTIAL
0 BUSINESS
0 INDUSTRIAL
O PUBLIC SUPPLY O AIR /POND /HEAT PUMP
O FARM O TEST /OBSERVATION
O INSTITUTIONAL O STAND -BY
O ABANDONED
O OTHER (specify
O
AMOUNT OF USE
YIELD SOUGHT
gpm /# PEOPLE SERVED 3- --�;_/EST. OF DAILY USAGE-"�"G gal
REASON FOR
DRILLING
SUPPLY O PROVIDE ADDITIONAL SUPPLY
O REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL
❑ TEST OBSERVATION
DETAILED
REASON FOR
DRILLING
-e
WELL TYPE
x: BILLED
ODRIVEN
ODUG
®GRAVEL
®
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES _1 0
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:
Lot No.
WATER WELL CONTRACTOR: Name 71,MO Address:
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES G ��
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 v,� SEPARATE SHEET
(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 provide"y the Putnam County
Health Department. .._..-
Date of Issue: �'/` �"� 19
Date of Expiration: 19
ermit ssu�ng c a
Permit is Non - Transferrable Whi te copy: H. D. File
Yellow copy: Etuilding Inspector
Pink Copy: Owner
287 Orange copy: Well Driller
r
PUTNAM COUNTY DEPARTMENT OF HEALTH
°DI�i 1S'TON" Or'" 'ENV i_2ONNiU+IV`TAI,' ilE il,Ti E1F�i` E.S
Re: Property of
Located at
Date 31 August 1988
Collett & Melville Hall
Farm -to- Market Road
(T) Patterson
Section 71 Block 2 Lot 16.2
Subdivision of Melville Hall
Subdve Lot #
Gentlemen:
2
Filed Map #
This letter is to authorize John H. Prentiss
Date
a duly licensed professional engineer R 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
corinection With this" matter' and to" supervise 'tile construct on 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<
A rsi nec�
E. R. IA. , #
1154
4
NO
o
�f1HE S1Fjti
Address JORM H. PRENTISS, P.E.
R09 FAIR ST 914 -878 -6111•
CARREL, NEU YORX 10512
Telephone
Very truly yours,
Signed
Owner of Property.
zC,44a4 %
Address
Town
j/ -� - Z7T
Telephone
PUTNAM COUNTY DEPARTMENT OF HEALTH
OF.. ENVIROj.iU-7-NMAI.:,.R.EA�,T.H.�zsER-vi--cEs-t;
Date 3 August 1992
Re: Property of Collett & Melville Hall
Located at Farm-To-Market Road
(T) Patterson Section old 71 Block 2 Lot 16.2
Subdivision of Melville Hall
Subdv. Lot #:
Gentlemen:
2 Filed Map #
Date
This letter is to authorize John H. Prentiss
a duly licensed professional engineer X or registered architect
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 promulgated by the Cormrissioner 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 if "cbnf dkmity with the
147, Education Lay....
_gblic Health Law, and the Putnam county
Sanitary Codqgo'�H. PREN
is
Counsigne 29201D 4
O,P T14 E SI NJ
P.E., R.A., # 29206
RD9-Fair St., Carmel, N.Y. 10512
Address
914-878-6170
Telephone
Very truly yours,
Signedx
Property owner
Farm-To-Market Rd.
Address
Patterson, N.Y. 12563
Town
Te, Mr. & Mrs. Melville Hall
374 Aquarina Blvd:
Melbourne Beach, FL 32951
,t - -1 - -/Z q- q47"2-
-4 ro
7 1 ; j k y •; v :.4 a g ..,, � 4� b a J . n p r� .�' -, ,S At
s ;!'Q111A1[ OODlf!! DgA�if�I'fl' OF �AL'!H - >✓ - , �
b at+r t.��.r.a■.wa..�se..�...c�ta.�.Y i�ai
P 17;83
�..
s T` Patterson I
1 i :• `arm -'To ,Market labad ar
` Ilrta Melva Fiat •1
r �..m,1_] �a`vlaiais OS 0 2 0 60
' y' � t'oll��t�t s& N�el��.11e =Hall � i •{ i
1/is Adiiraa
Farm.,To,,,Market -Road 4 .- T�Brewster .N Y t.l 1'10509 '
i
Da *P Sii6division An>;r'oved Fee Encliised �" Amtii,nr
R
4
Frame << { 5+ Acres
waft "S _
r
Lat Ana F®'Seatha .',, `
[11a� at Diiauia Two i r ,' Plow G4, ,''' Y�gsihed Wks FM anpMtad
f
600 -. PC®NaUSntlo�la
. „ a oatirlat 1
1000r�..
375' x 24 7 r,w x,18 ".deep: laterals
aai�ai y --
�t,M 4
w.br rtiia s ib Pr..
X P F Son��.,,P 0 Box "B" , Brewster, N Y 10509'
aei t>td..a. S�b�
e `
OIWe Ltatirlasiaola w rt 'None a
1 nprasant that 1 am wholly and compMtaly nWOndbN forth dasbn and loption of .the propoad tystam(yl 1) that the ail taw dl sil' stem •.
iteoiw dncritiad wtll a construeta0 of `shown oi� tM apMO amendment there to arW in accwganp with tM statndards, rules a .raga �s o m
oamty OeOntnrnant ; ;M MMRIy and that on coniipNtion ttiaaef ♦ !Cutifkata of Construction Com0lianp' stidactorY -to tM Commialone of NaaKhwlll
N, iuprnittid to tM'_:Oapaitrmirn! and ": a written jt *ailt a will M fuinlfMd tM owmr hie tuccatao► MNs or issipns sy the t►uilda th l said Duilda will
ptap N posid opaatNn/ coedkbn any. pat of »Id sawaja dispoal system durNn� the pa)od of two (2) years lmnnwiately followlnii thtid of the 120 -
MOa o1 tM ;apprewl, of tM ,CartHk ti3 of'Conttrudiar ,ComplNna o/ tM orMinal syftNn<o► any.'repkt th reto Q)':tMt tM•'d[i1h0 wN1 Wfai�id, e6ow
rrM1:N loeataA as'ihawn on tlw apOrooad pMn and.tMt saki wNl will;t►a InstelNA in ieeorWnoa with the- standa/ds, ruMS: end rpu ns , of the Putnam
_ s
CewntY OipartrMat of I a1th X
Kati 20 July 1990 P.E.
t ,
`A��sl.° rRD9 ;Fair Street SC elY N Y 105 S 2426
1 A PROVEO FOA CONSTRUCTION Thkratpp ► oval axpirMLL two yw►s from tM data iauad unNSS constructbn of tM_ building Mstaan undataka)• and Is
ravonaeN fp.uua o� nnaY l» `imewae'or modHiiO whin tonsidweA nm a ' OY tM ConNnlsitorar Ot iii• Any c 4 Or It atWe Of, construction
nsquNa a niw permit App. jfr� itp ! of domestle anitiry away and /o►' prtnrat water nl
F Doi
.e'_.. _ /'. " - • !. -
PUTNAM COUNTY DEPARTMENT OF HEALTH
E_ . .. _..,_ .. _.. _ _. _ - .,,..- �DIU- ISZON:.< O�'.. E1�IVI�Ra) N_ �IEYJ'�ALF-HEAd;TH�YSE?�V�ICES- -. °.�• -. _ � -. - ...:........1.....:.....:�
Date 20 July 1990
Re: Property of Collett & Melville Hall
Located at Farm -To- Market Road
(T) Patterson Section 71 Block 2 Lot 16.2
Subdivision of Melville Hall
Subdv. Lot # E Filed Map # i"fTI Date I-l3-i6
Gentlemen:
.This letter is to authorize John H. Prentiss
a duly licensed professional engineer X or registered architect
to apply for a Construction Permit for a separate sewage system, to
serve the above noted property in accordance with the standards, rules
s•
or regulations as promulgated 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
sy`steiii or systems _ifi" conformity with` the provisions of Article 145 or
147, Education Law, the Public Health Law, and the Putnam County
Sanitary Code. QROfESSIONgt
P q'i2
v`` �o�� �`�s�`�F Very truly yours,
G ,
Countersign : F� 6
Ip N0. 2920
NE STAI �4
P.E., R.A., # 292
RD9 -Fair St., Carmel, N.Y. 10512
Address
914 - 878 -6170
Telephone
Signed x
P operty w r
Farm -To- Market Road
Address
Brewster, N.Y. 10509
Town
914 - 279 -2981
Telephone
77
7 -*% `77- ", .. . ! �. , _77-VT
7"
V". fi
A4 C664ft,DEPARTIMENT OF HEALTH
_'�,
v Inicii.toPi-ovide Peridit #'
Ing
DiAsiloid of
on CERTIFICATE .OYCOl",
- Permit . SYSTEM CONSTRUCTION
PERMIT FOR AGE�.-RISPOSAL
Tdvir-n_ Aiv. v 11ki
e
or",
5�
:'Lot . T
:S vWqrn ZIW
vifiek Apphiifitw""'
Z7 v A tf�
Date of rpvjqps Approval J 'I
Town h ZIP
_V 0
'_C
9
Number of Bedrooms! €' x,
Des NO
Required When FM le completed
Separate Sewerage System to consist jo .—
, .
WAV14JO,
conetr'acted by
Wa
ter S40 ream .3'.
S_
'o
t
)M4 ,by
a M
the -'4*6 , , " a I the �systems) .' 1) that the :separa e sewage disposal system
h,
wh:011 cbr�g4k#ly. - .�iblefor esign a OC
above ldescri6id willbe coristcucted
County Department ,or, IHaalth,,a
'be I;Uqrpi!ted- ,, .!0, the e::bek4rtrr4nt;
plate ... ... — 6 -'-i- '-I — I . -
once of.'.the'appr6vil' Rf, the Cert
M" be locat!
dias shoWn 6n,thi..appi
(;Ounty pepartment of,""lthL..'
Date
AAc
j
revocable 1 .. , for ca. us e, .or" m:.' a y ' be i"ffie.
i
ricuo. ms ? vi _ Perri f A provec
1/87 St- Y,
'i'he Co I mmission r, of, H' a Ith will
thereo
4i';'w heirs--.'6F:a"ni!bV the builder. that said builder, Will
vage a owner
yjajs immediately following the date of.the issu-
uri� , "'i
well described above
I �"o h sjern-"q!,.onX',,!epaq j'tna't. he drilled b
well T,ai accordance 1,-',t he �U�ap_ 141i's 4.gu7. ,O.s or the Putnam
.P. E R.A.
I icanse Nd!�Zm
u i
'Underta�e6 and is
wo, rs,' M the 'pate 41 S G I! building has been
cons ;hoc isar .Commissioner f Health.'- Any change of alteration. of construction
,it IC Oei water supply
Till
PUTNAM COUNTY DEPARTMENT OF HEALTH
Date
Re: Property of /-/,V®®
Located at OW at
(T) ��' � Section F/ Black Lot U-2
Subdivision of %C T
Subdvm Lot ## Filed Map # r Date
Gentlemen:
This letter is to authorize J10A4 4 IF Amyhs-s
a duly licensed professional engineer 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
cOnYleC-t "1-01i w`i't ti , 't'ili"B" C11G1.'l.er and to aUjiErV7.SE: ti3e`'c'inStY ^uCtl.L011 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.
Co rsigned:
N PRF,yT
RE
Address JOHN H. PRENTISS, P.E.
R09 FAIR ST 914- 878 -6170
CARMEL, NEW YORK 10512
Telephone
Very truly yours,
Signed
Owner of Property T_
Telephone
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES'
.;COUNTY..OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner ' Co (le- ;�, �ew� I �e I-b i I Address
s�er'Nbe�t TaxMap %/ Block � ... Lot-. ....
Located at (Street) o, g. 1 `, L
k indicate nearest cross streeUT
Muriic`ipalityc('�'�at Watershed, -��
SOIL PERCOLATION TEST DATA`RE4UIRED TO'-BE SUBMITTED WITH,APPLICATIONS
:,Hole
Number,:.. ...CLOCK. TIME PERCOLATION PERCOLATION
Run apse Depth to Water a er Level-
No. Time - From Ground Surface in Inches Soil Rate
Start -Stop Min. Start Stop Drop in Min./in drop
Inches Inches Inches
4 .. r. z.V- .: 1344' )4.
I
Notes'— '1) Tests to.be repeated at same depth until a roximately 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.
� I
THIS SP `'FOR °USE''B — HEALTH DEPARTMENT C
Soil- Rat,E•.Approved`.:. ;.. ,,,.. 'Sq. Ft/Cal a
e
Dpte
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH'SERVICES
Date 24 J U ne" 1983
.."
'Re: Property of
t Melville Hall
Located at FaM':-to41a"rket,,, Road", T. Patterson
(T)_ Tax M4P lock 2 Lot 16.2-
Subdivision of Melville M. Hall
Subdv. Lot # 2 Filed Map # 1491 Date .1/1.3/70
'Gentlemen:
This letter is to authorize Aohn H. Prentiss, P.E.
X,
a duly licensed professional engineer:':, or registered architect
(Indicate
to apply fora Construction Permit for a separate sewage system, to
fy
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
147,. Education Law 44*`.Rublic Health Law, and the Putnam County Sani-
tary Code. C4 N. PRE:NT'�cy
Very truly yours,
Signed
O e Owner of Property
0;'rHE SlOt
jP. E. , - 1XXXXXX # 29206 Farm -to- Market .Road 1 Address
_R O.. Fair Street Patterson, NY 1LE63
Address' Town
C,
-Camel, NY .10612. r. E'V -.7 9- -Z- I V- f
914-878-6.170 Telephone
Telephone A U F G
V
f : CCU
PUT-NAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
John.M. Simmons, -M.D.
Depo;y Commissioner of, Health- -:.
FIELD: ACTIVITY REPORT -
Sheet of
;r
=
- INSPECTION:
NAME NALL
Orig. Routine
-
Orig. Complain
ADDRESS Vim~- To•�AR.KET'RD
�►'RERsont
Orig. Request
No. ,Street
Municiva°li.ty._(T)(V)(C)
Compliance
Complaint Comp
MAILING ADDRESS
Final
P.O. 80 _
:Post ''Office Zip Code
Group illness
Construction
tELEPHONE
v 2
- Reinspection..
PERSON, IN- .CHARGE
:^
Field, Sampling Only
OR INTERVIEWED jNrOLVILI�G _ UAIL4,
Field Conference
Name
and Title: ;
Otter
DATE , . _3 TYPE
FACILITY . °.
TIME ARRIVED t0 Ann- _
TIME LEFT �v0 _A °.
Explain
I "S-
4u `
. a iN A
A L AA
-
PM jjj�fi SR5 M eA
to .. - Q _ s. tS !A
16* &M flat' b�3t.
�..._�.�. —.. _..W.n +WaWl16iM. _- _ __ __ — __ -- _ �Y..rY Yr ✓•► - - r..+ Yaw. L. wIKMW ...�wl►+r��..itii`vrn...L�•�.r W.Mr_... .w•w.��w.•.w�
' rmt)M COUNTY I
INDIVIDUAL
y «a
S.
.�: Y�; "1 1' �_ ` �' �' li1: L�11 ;�ai:�M�."1�;�►re��i��'fS�.: 'f "
REVIEW SHEET - CONSTRUCTION PERMIT
.�z:..r- _..a :y.... - .�_:.,_..,:����f�� / �[.�JUC �.�� ;BYE.• T ,
(Name of Owner) (Street Location)
COMMENTS YES NO DOCUMENTS
Permit Application
Corporate Resolution
Plans - Three sets
g�.neers Authorization
Design -Data Sheet(DOS)
�a Deep Hole Log
Loo 74 Consistent Perc Results (3)
30" Perc Hole
Other
House Plans - Two sets
f PWS - Letter
'ariance Request.
SQUIRED DETAILS ON PLANS
ewage System Plan
ewage System Hydraulic Profile - Gravity Flow
'ill Profile & Dimensions - Volume
or J Box;Trench /Gallery; Pump pit details
septic Tank - Size, Detail
Tell Detail, Service Line if over
;onstruction Notes
)esign Data
:too -Foot Contours Existing & Proposed
) riveway & Slopes Cut
looting /Gutter Curtain Drains
?erc & Deep Holes Located
Representative of Sewage & Expansion Area
mansion Area ;shown ;,gravity flow.,si ?ff...size _:..._...�
I'f•Pumped Pit & D Box Shoran & Detailed
louse - No. of Bedroans .
+Tells & SSDS's Win 200 ft. of Property Loc--ted
. roperty Metes & Bounds
,louse Setback Necessary (Tight lot)
louse Sewer - 1 /4 " /ft. 4 "0; Type pipe
No Bends; Max. Bends 450 w /cleanout
3EPARATION DISTANCES SPECIFIED ON PLAN
Fields
10' to P.L., Driveway, Large Trees
20' to Foundation Walls
100' to We11; 200' in D.L.O.D, 150' pits
100' to Stream, Watercourse, Lake (inc. expan).
15' to Drains- Curtain,Stotm,Leader,Footing
25' to Catch Basin
10' to Water Line (pits -201)
Septic Tanks
10' from Foundation
50' to Well
15' Well to PL
GENERAL
Legal Subdivision
Subdivision Approval Checked
Ex- approval SSDS Adj. Lots Checked
Wetland (Town/DEC Permit R & D)
Data On DDS Plans & Permit Same
pUrNAM COUNTY DEPARIMNX Ur r=-Lu.Ln.- VJ.
SSDS/WS-Pa
c SEP= m
2. Mniran r bed Cf Pea 9m;el
I vAnirrm nth cf bgia- 41
4. Ie#h - nu umm brim wldffi tO mmm= far
tunas Width.
5. mn±m 171 weer.
6. Icmtim StBkP-
7. Ybztnle - qeirig - Rinfiruli 20" in drrter
8. Baffle ecterd 20% cf I icuii decffi abae liqjid
Level 0:41,17U", cI=5',b-12 ").
9. If lax# G.T. 9 feEt- - me 2 aqmrhmts.
io. mir&nni tark rapacity M 931/3 be5mcav 1200
g32v4 bq9:rcm-134 cf/3 bfum;161 cf,/4 hdmL
11. jtjc aating fxr re-ixf aced amcrete.
12. jjj�t taq/taf ELe W below f Lcw line.
13. ctiet te?/kaffle 18" below flow line.
14 Inlet p# --&p 1&'I per fit min. (2%) .
15. Inlet pipe cast i=, 4'IrEm
,16. ojtlr--t pipe slcpe 1/8" per fit nun. (1%) .
17. CaDCEdfaints fix SMAtaW te2S-
I 115 :f 9 V Fix I R
1. inlet invert min. 2" abwe citlet invert.
2. All o± lets at eleatiaL
3. otlf* P to 5" above tai* botba►
4.. linimm 171 bs55irxg clef saril cr pm gmvd.
5. Inlet b ale.
6. mminm 17, cwer.
Fenxeble mer fir
9. 1 SLq:e outs at 1/8 1 kVf t. (1%)
10. Fxwt gam
WN-af55if. Floozow-995'
1. Sq)-- 1A6 in./ft- to 3/32 in. (0.5% to 0.250.
2. 3/4" to 11" aud)Ed Stan cr wBd)Ed 9zv1
aggrefi:te-
3. 41, mixiimm latEMBI diameter.
4. 2' mL,-Ar= aggregate G;er hItEral.
5. c, minimn aggregate u-Ber late al.
6. Ltd bai2ding parer cr 2" -Cf Sb:aW MET
aggL�te-
7. 6" mininA 12" Rodnin myth bxkfM.
8. ox =M to allcw fmc setffing, V -5".
9. 2'v&3imn from tm-rh b3ttm t0'Vater-5ft-90:b
10. 51min.frm trench b:Atm to iTmvkm
7 ft. 9:ad--
11. Tre-,c1 qmcing=in.61O.C.(24"b:o-ch).
12. Umm-.t lateral ends mist be plugged.
13. Fj-U - 2:1 s1cpas
nun. 101 bzjcrd trerxh.
dspth.-3jnsy-oRx xak+;2nax-o;er rater
lapemeabLe bxaer.
c 'L Wn Eon
1. -Stp CE casing 18" abom gmxrL
2:_..; - -,-, - -
I - Miaimn 201 casing cf steel cr wa#± iraL
4. 101 ndnimm gra± into rod--
5. Oil et 41 belcw O.G. min.
6. S3dtary ssals
7. Gmmd go5sd flay fran w1l.
1- O-ecb-11 to aUcw fcr settling: 4"4"
2.
• - U" mtxal soil b3d�fijj.
I Utmated bj0ding p�pm.
4. P to 11" cleEn gm-,Pl cc stca--
5. 14ffi. 411 jDaftrabad pip-,
Pipe invart 6'-' cff bottam
7. 18,1 - 2411 wide tla-cb.,
8- DEpth a5agoate.
9- SEPMUM frM EMS area 151 ir�m.
WOW*
M-1-GA4421101 ��
APPENDIX D
" CONSTRUCTION NOTES
��+
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SERVING SINGLE FAMILY RESIDENCES
Basic Required Notes .
1. All trees within 10 feet of the proposed SSDS shall be removed.
2. SSDS to be inspected by the design engineer /architect and the Putnam
County Health Department after construction and prior to backfill.
3. No trucks, machinery, building materials, nor excavated earth shall be
allowed in the sewage disposal area. Construction. of SSDS to be in
accordance with these plans, any revisions thereto, and the rules and
regulations of the permit issuing governmental agency.
4. Minimum well yield of 5 gpm is required. Yields less than 5 gpn will be
h ediately reported to the Putnam County Department of Health.
Notes Required When Fill Proposed
1. Fill must be allowed to stabilize for 60 to 90 days following placeient
and be inspected by the Putnam County Department of Health for acceptance,
prior to installation of the sewage system. Date of placerent must be
reported to Putnam County Department of Health.
2. Run of bank fill shall be suitable for sewage absorption, be free of fines
or other unsuitable material and shall have an in -place percolation rate
at least equal to that in the .natural soil after• the required
stabilization period. The engineer /architect shall perform a final
percolation test in the fill after- stablilization.
3. Impervious fill, clay•barrier, shall be a dense clayey soil with little or
no se'rage absorption capacity.
A
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+�L i
�r q4 .:..�rr,....r,.,::. N +•. _,- ,......ui,S::ikl.:.,aue�.4.:n, i �.st..:.^L.,..�.3 -:.7,a "I1u•tiL:vzlu.nd.•_ :':.�K Aw.ea.c.«..v+:. n.r:..tr+v%i::z u•...�: aft.. �fJt• Fdk` riRE+:"+ tA�toMi`e�?tt:?S*i��:SPl.4Fi..4
PUTNAM COUNTY DEPARTMENT OF HEALTH
b 6
A DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date July 14, 1986
Re: Property of Melville Hall
Located at—Farm-to-Market Road
(T) Patterson Section TM 71 Block 2 Lot 16.2
Subdivision of Melville Hall
Subdve Lot # 2 Filed Map # Date
Gentlemen:
This letter is to authorize John H. Prentiss
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 ''i4-7 -'ur
147, Education
La Q��W 6tc
c Health Law, and the Putnam County Sani-
y�0 `a N. PRE ryCr�
tary Code.
Very truly yours,
G
�ac
G •
s 0
aQ
-
Signed �� 74, `' ®®
igned:
e
f FrNE ST�jEO
Owner of Property
o Ae #o7q�CS(o
Farm -to- Market Road
,
�.
Address
�vz
NY
Address
Town
RD9 H. PRT 914-8 P.E.
Ri39 FAIR ST 914 -8712 -6170
��� 1,7
CARMEL_
m vn,RK ios32
T lephone
Telephone
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Pl AN —1— -SE Cq 1`ON
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