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HomeMy WebLinkAbout1689DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35. -4 -4.1 BOX 15 !7- �•� - IN :I �1,� IN IN I I ,` ' 1 -I I �, L - 4-0 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES L o + DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Address oAt> Located at (Street) FA rz M 7-o IvIAIC ka I- F.2, Tax Map 3S Block z Lot (indicate nearest cross street) Municipality E - =EM Watershed EEFA-5-r '69ANCU SOIL PERCOLATION TEST DATA Date of Pre-soaking 3 z ?6) Date of Percolation Test 1 1 zq 2 13 ............ W ............. :: rom: Percolation .... .. .. Tame Ala C "T a D ;lnc q .... a . ... ....... Rite ..... :Hole l�io Run N Mari 1 n es - fin h 2 0157 -3v 2-3 2Z 7,57 11 00 - 4 I.z :-3� y �� �" 5 2 3 4 5 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. :5 1 min for 1-30 min/inch, s 2 min for 31-60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD-97 -' xJA_ -VIJ kW. I _%JK L'1\ TAI" Jl \17""I JLA .. Aa 4wa A..!.., .v FIELD ACTIVITY REPORT g5 I-A TPl 1V^ l i . .= -nTTT[�[\• ,� -., I. laf )I l z ss, 1 /'J /�. Iii j ♦ -T ©i1d {// J Street Town' -' State Zip. P RSON IN CHAR i t. r E .. . I�fare and' Title. _ TYPE OF FACILITY Ng t it U z ' -' -�- � �- ",.��' ' -.- t� ->�ar _- -. _� - co•c.. ._ ate- ra. ,,.. , '� , "`��A�p a < is " I acknowledge. receipt of this report SIGNATURE; 02J96 'title, PUTNAM- COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET -SUBSURFACE SEWAGE TREATMENT SYSTEM �l Owner .A`R 1< Address 23;g Q . M WA .Located at (Street) egj?� To MArzK e T Vj; Tax Map 3 s ,, Block Loth_ (indicate nearest cross street) Municipality PAZ EI ? eN Watershed XZANcH SOIL PERCOLATION TEST DATA Date of Pre - soaking 9/2.6 % 7e. Date of Percolation Test 9/29/98 1 1 _ 1; 5- 2 L- ' 3 4 X5 3 - 3; 5 2 3 .4 5 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth 3 ao equal percolation rates are obtained at percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 Shect� -ors[- * * PUTN`AM COUt�NTY�DEP�A_�RTMENT LOF HEALTA, "�..,v�iJ.,��`1►��.LiI\ Mild7ftil'l11 \lttl YIM� 1L ILUA YyJ +i:tIT'li..�'iv= FIELD ACTIVITY REPORT Td:, /M 'ADDRES Street.. : - I Town State Zip PERSON IN CHARGE OR INTERVIEWED- Name Arid--Title -'- TYPE'0F FACILITY vra► ��o�t� �t,.. `i3Yrr� �.Pr,3; FINDINGS �,� t7C !�E'V'C 11 ale- 41ne 'v� 8 - : _ va o M • ` TJRT Signature and Titl < s x r) REPORT RECE I acknowledge receipt of this report - s SIGNATUR ; F Title., ; PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Address M6-E614 7, Located at (Street) MAC T RL. Tax Map 3�. Block Lot , (indicate nearest cross street) Municipality Watershed ,,r--A sT ]3gA Cam_ SOIL PERCOLATION TEST DATA Date of Pre - soaking 9 1g-SZ9, 0 _ Date of Percolation Test �/2 e�20 fil NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 sv — u .-1 5, Xe Dr 2 o2� - 16A, 4 a:© f-2.,6 /121 PZ� —z6 3 5 3 � � / _ `oZ � 4� 3 ., 4Ia- 4 5 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 sv — u .-1 Sheet / of _4 PUTNAr _4!QQVNTY DEPAR FIELD ACTIVITY REPORT Street Town State Zip PERSON IN CHARGE Dqtp. ()R TNTFRVTFViTF.T). Name and Title TYPE OF FACILITY: ­5 o, /.,-- F:,LP1/1L/ 7-!S TINDINGS: r5l Signature and I acknowledge receipt of this report.: SIGNATURE: _.....,.t..... ,...,..•ri,...�. �..:x.- _a� t.._ _ . RECORD'OFPHOTNE, CONVERSAVIii71 f a Time: Date: Person calling: z la 1y/ 1��� -�� Phone #: % — l p Reason () Inspection: OXDeeps and /o eres: _ Scheduled F Time Date Tent Town: RA T—%k�N T Tax Map #: Comments: C lorpte J• i, RANAyt Time: L%; 30 Date: Perso Reaso ( ) Inspection: Deeps and /or Drc IQ % Scheduled 11 Dat 1 t ri..���►s��:�,.f��e./ ,s.. fir. Tentative /to be confirmed ( ) ( ) Town:" %—% Road /Stree GI Tax Map #: 3 5'-- !q 4t Comments: rTI t �fTl'�l'T'j 1 1 a = 51 6 SCALE IN t /I0 OF AN INCH 334 �J 27�tr •.Pio 24'% y�uy�` t 3.00 �. /'�� 0 �. re �s "118.95 AC. CAL. - I � 2 18 AC. CAL. 12.20 I 25 �BBAG AC. ` 1 45.70 AC. y I O , A a 084 AC. - -_ X57.29 1 ^ Z46G6 (.� /M 40&32 1 i. 16.07 AC. CAL. . -79.0 C I p5.55 xes e ! 23 At N 4 $ ' ,o• 465.66 � 1 9 2+ Opp. T1 nn .:P 240 v 216 At CAL .,aT d•O� \5L 1 ' P. 22 , At I = I.Q E 6 21 uAa nn 6.15 AC. �~ 5� �• +13a At �^ x90.80 !9 660.30 j ' •,X - � . ?7 '� a -�'• \ � � � , 016 6.53 AC. 6.04 16 . 20 AC. 7.97 AC. �, cAC 8: f I8 .q° ' txtii4 W3 AC. CAL Ay oy.}: 5.11 AC. 1.53 �G / 20.93 Ate • ; ya :5 - Y 4.89 AC./ V14 Y �f = ll A ' 11.35 AC.' �•/ � . 12 acels � - 1 1 6 � I 951.99 5.91 AC. CAL. 5 OvApl . Ix 110.96 AC. CAL. r 9 6 1 1.54 At. a 10 7.2 1.37 At 12 733.05 os a , (\L� ' +13 a S4 Af a 1496 u ! B9 a y � 18 9e 390.x9 . 8 t9 17,ny ty p41 6i�, 1 91 1.7 Ac 3.24 AC. 8 87 66 es S r 992 9 20 B3 93 24.58 AC. 1s AC. 55 ,.„ !)9.33 AC. CAL. + X uAy X 29 35 �ti 0 311. Oy \0 ���; "`', :Lao AC' 28 '�1 � IH4 nAa b , hg o Ilas.4o 4o Iza.4o a?s .- • ..p /.. \a .,et , 44 '� <. $ 4az Ac 'Q r, J'•+. a 1 35.06.. >` 75 � "I 76 ' 2.67 AC. 82 0 i .51 AG x.97 A4 0 a" 2.50 e 1 �� _AC. 4 Ian h -59 80 s 7B � 1.46 � ' AC.• rots !( }4 �•35x 111 At. 9179 , 1,9p N At .v .. :1 '1 69 105.7 AC. I 1 ' 4.95 A( AL \ . 63 44.52 AC. CA' >, 57 . 19.69 AC. CAL. J 737.76 x41.82 SeVe \f 56