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HomeMy WebLinkAbout2074DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.48 -2 -33 BOX 18 02074 JTElm 1 r a 111 1 , L� �1 `� ' 1` F - 'n � `, 117 ' I . .` ANN at 02074 `�. 36 Z PUTNAM COUNTY DEPAR MENT OF HEALTH ENGINEER MUST Divislon ot.Environmenial Health SwIdees, Carmel, N. Y. 10512 PROVIDE PERMIT #P23 -84 CERTIFICATE OF. NSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM T. Patterson - — Town or Village 1 Located at Cameron & Queensbury Roads, TM; �ao".,.29: w�; 3;_,(u 11::Jaak ..:Suhd:•) ovvne►A"D'��ielopment' 2`orB.Foro,erly J. Haj�se— n --r- r- -. ^'Ta,��ap Lot i« 1� subs. t,t r 906 -10 Incl. Separate Sewerage System built by Brian O'Connor Address Lake Carmel, NY 10512 Consisting of 1000 pal. Septic Tank and 209 ft. X 24" wide laterals Other requirements Effluent Pump in Pit w /audible - visible Alarm Water Supply: Public Supply From 7 X Private Supply Drilled By _ Address Building Type Modular No. of Bedrooms two Date Permit Issued 8/26/85 Has Erosion Control Been Completed? ye3 Has garbage grinder been installed? yes I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies of which are attached), and in accordance with the standards, rules and regulations, in accordance with the filed plan, and the permit issued by the Putnam County Department Of Health. _ Data 12 September 1985 Certified by_ Address RD 9 Fair Street, rmel, NY 10512 P.E. X R.A. License No. 29206 Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and v �hen a public water ply becomes available. Such approvals are sub)ect to modification or change when, in the Judgment of the Commi ner Pf Heath, such revoer r- modi/Ctifion o�hange- IF7feee ury. ■asss - Rev. 6/85 WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH '3/71 ^ Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK • .,..P _•. • 1" is - Pepe -nd submittedto County- IW ry of analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME Robert Jones Altars Devel.-Cor ADDRESS 11 Holiday St. Pawling,-N.Y. 12564 y LOCATION OF WELL (No. a Street) (Town) (Lot Number) Cameron Rd. Putnam Lk. Patterson, N.Y. PROPOSED USE OF WELL BUSINESS ® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL ❑ SUPPLY 1:1 INDUSTRIAL E] CONDITIONING (SpHER ecify) DRILLING EQUIP MENT El ROTARY DAR PERCUSSION ❑ PERCUSSION ❑ OTHER (specify) CASING DETAILS LENGTH (tee t) 121 _ DIAMETER (inches) 6 WEIGHT PER FOOT 19 © THREADED El X YES F I NO L_Xj YES NO YIELD TEST X HOURS G.P.M. ❑ BAILED El PUMPED COMPRESSED AIR YIELD (G.P.M.) 2 WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specl /yleet) 401 DURING YIELD TEST fleet) l Total drawdown Depth of Completed Wall in feet below Land surface: 505 SCREEN DETAILS MAKE LENGTH OPEN TO AQUIFER (feet) SLOT SIZE DIAMETER (Inches) IF GRAVEL PACKED: Diameter of well including gravel pack (Inches): GR VEL SIZE (Inches) ROM (feet) TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET 0 100 Clay 100 505 Felspar If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED 8 -26 -85 DATE OF REPORT 9 -12 -85 WELL DRILLER ($Ignature) Boyd Artesian Well, Co. xt. 0z uarmel, iv. x . GG3 -3�p - / L � L J• Altera Development corp. Owner or PurcWaser of Building TM 29 Section Owner 3 Building Constructed by Block Cameron & Queensbury Roads 1 Location - Street Patterson Municipality Modular Building Type Lo t Putnam Lake Subdivision Name 906 -10 Subdv. Lot # GUARANTEE OF SEPARATE SEWAGE SYSTEM I represent that I am wholly and completely responsible for the location, workmanship ,.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 success- ors, 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 initial use of the sewage disposal system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occu- pant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determin- _� __at.i.ori�:of tbe._D.irectox.. of- the._ Divi.s.i.on - -of. _Eaivi r..oninen- ta.h.- lea.lth_ .S*- rvd- ces_- -- of the Putnam County Department of Health as to whether or not the fail- ure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the Sys Dated this 21 day of .August 19 85 Signature Title Contractor Brian O'Connor Corporation Name if core.) Lake Carmel, NY 10512 Address THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health a. Altera Development Corp. Owner or Purchaser of Building TM 29 Section owner 3 _._ :Humc.�ing.._Cons,t:ru�� ted by Cameron & Queensbury Roads Location - Street Patterson Municipality Modular Building Type 1 Lot Putnam Lake. Subdivision Name 906 -10 Subdv. Lot # GUARANTEE OF SEPARATE SEWAGE SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, 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 success- ors; 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 initial use-of the sewage disposal system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occu- pant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determin- ation of the Director of the Division of Environmental Health Services _.._ ._ .of-- .th.e- .P.utnam County:.. Department of Health as to-whether or not the_ fail- ure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this 21 day of August 19 85 Signature ' Title President Altera Development Corp. Corporation Name if corp. 11 Holiday St., Pawling, NY 12563 Address THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health (orktown Medical Laboratory, Inc. LOCATIONS: (4(321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245.3203. 321 Kear Street O 201 BUTTONWOOD AVE.. PEEKSKILL. N.Y. 10566 737 -8777 Yorktown Heights, N.Y. 10595 ❑ 495 MAIN ST., MT. KISCO. N.Y. 10549 666.3335 (914) 245 -3203 ❑ STONELEIGH AVE. (NEAR HOSPITAL), CARMEL. N. Y. 10512 278 -9330 dtrCCt('T. Albert dovani M. T. �ASCPJ_ - - 9'. � — � - __ ...: , ,H/...P DATE TAKEN- / T— ,,,,` 1 vrAo® �'�" 7 DATE RECEIVED; — - DATE REPORTED: afj5Z j0ftt Lab , Al SAMPLE URCE: �c X77,9 e / 2 J`& �/4 41A,1 REFERRED BY: l�. �i/ LE -t-t J L Collector:.. LABORATORY REPORT mg /L ❑ ACIDITY ............................ .:...................... ........ ❑ ALUMINUM ................................ ............................... ❑ ALKALINITY i P- ................ ......... ........... ... ❑ ANTIMONY ...... ............. ............ 0 ............ 0 ...... .. .�. BACTERIA, TOTAL /mL ..... ....................... ❑ ARSENIC .................................... ............................... . O 80D, 5 DAY ............................ ....0.......................... ❑ BARIUM ........... . ................ ... ... ... .............. .................... ❑ BROMIDE ............................ .............................:. ❑ BERYLLIUM . ................................ ...:..................4........ ❑ CARBON DIOXIDE, FREE ........ ............................... ❑ BISMUTH .................................... ............................... Cu CHLORIDE ............................ ............................... L7 BORON ........................................ ............................... ❑ CHLORINE ............................ ............................... ❑ CADMIUM ................. ..:......................................... ....... ❑ COD .................................... . ............................... ❑ CALCIUM .................................... ............................... ❑ COLOR (units) ................. ............................... ❑ CHROMIUM Itot.) ............................ ............................... ❑ CYANIDE ............................ .0......................0...... ❑ CHROMIUM Ihexavalent) .................... ............................... ❑ DETERGENT, ANIONIC ............ ............................... . ❑ COBALT .................................... ............................... ❑ FLUORIUE ............................ ............................... ❑ COPPER .................................... ............................... ❑ HARDNESS ............................ ............................... ❑ COLD ....... ............................. ............................... ❑ MPN COLIFORM COUNT/ 100 ml ............................... ❑ IRON ........................................ ..........0.................... j>j!'Mr T COLIFORM COUNT/ 100 ml ..................... .... 13 LEAD .:...................................... ................0.............. ❑ CONFIRMATORY TEST ............ ............................... ❑ LITHIUM .................................... ............................... ❑ NITROGEN, AMMONIA .........:. .................. .............. ❑ MAGNESIUM ................................ ..............0................ O NITROGEN, KJELDAHL ............ ............................... 0 MANGANESE ............... . ...... . .......... . ......................... ..... ❑ NITROG.EN, NITRATE ............ .................0.........:... ❑ MERCURY .................................... .....:......................... -.... ,; .. O_.NITROGEN, ORGANIC.. ................ ............ .............. _ ._ ❑.NIC.K L.................,.. .....,......;,............:..;. ,.:...�:......�.:_... - -._- .. _ . ".. ❑ODOR (units') .......... ❑ PALLADIUM ................................ ...........0.........0......... ❑ OIL & GREASE ........................................................ ❑ POTASSIUM ................................ ............................... ❑ pH (11 n i t S ) ...................... ............................... ❑ RHODIUM .................................... ............................... ❑ PHENOL ................................ ............................... ❑ SELENIUM .................................... ............................... ❑ PHOSPHATE (ortho) ................ ............................... ❑ SILICON .................................... ............................... ❑ PHOSPHATE (condensed) ............ ............................... O SILVER ❑ PHOSPHATE (total) ...... ......................... ...:............ ❑ SODIUM ........................ ................................................. ❑ SOLIDS. SETTLEABLE, ml /L .... ............................... ❑ TIN ............................................ ............................... uSOL',DS, SUSPENCE0 ............. ............................... ❑ iI ":C ........................................... ............................... ❑ SOLIDS, DISSOLVED ............. ...........................0... ❑ .................................................... .........0....... ............... ❑ SOLIDS, TOTAL ..................... .....................0......... ❑ .................................................... ......................0........ • SOLIDS, VOLATILE ................... ................ ........ .. .. .... ❑ REMARKS:.................: ............................... ............... • SPECIFIC CONDUCTANCE (uhMO S / CM) ............... ❑ ...................:................................ ................4.............. ❑ SULFATE ............................. ..............a................ ❑ .................................................... ............0.................. ❑ SULFIDE ............................. ............................... O .................................................... ....................0.......... ❑ SULFITE . ............................. ............................... ❑ .................................................... ............................... ❑ SURFACTANTS ..................... ............................... ❑ .................................................... ............................... ❑ TURBIDITY (NTU ) . ........................... .............. ❑ . ............................................... ............................... THESE RESULTS INDICATE THAT THE WATER WAS OF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED,�� THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEM- ICAL QUALITY OF THE NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS, DRINKING WATER STANDARDS (PART 72) FOR THE PARAMETERS TESTED WHEN THE SAMPL WAS LECTED. N/A not applicable Alhert w P.An —ni M T IscrP1 mr.ein. 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 s�Bgv �/Z �a -r/o,, AddressComee'a" %'asr Located at (Street ot Indicate nearest cross s reet �_&.,. Late Ste /, Lam poe /0J,,=I. Municipality o Watershed (,'�t� -e Q,., SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse. Depth-to Water Water, Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start - Stop Drop in Min. /in drop Inches Inches Inches 1 1/0j Ma t 1 o//),o ef aOd V Iced 1 2 3 s Notes: 1) Tests to be repeated at same depth until aroximately equal, soil _,, rates are obtained at each percolation test hole. A11 pp data to e submitted for review. 2) Depth measurements to be made from top of hole. '.. 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 iq. �/? � Address �►.�.�ro.»� o,,,e �v�v /Zodds Tax Located at (Street �s%ry Dr,,Cyst =9-. 49 Block- .Lot f �indlcate nearest moo cross street_ _& ,,� La,E,� S/. -Lo-es Municipality -&eZ3 o Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole _ Number CLOCK TIME PERCOLATION PERCOLATION apse. Depth to Water Water Level - No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 1 /0 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 from top of hole. � .. Ar ca ap Subd.-Wtl# 10 RTkFICAT Carmel, N. ters - ` nam.lake -9 ) Modular Abb- Gal. Septic Tank and Separabi, S6wera§e,_Syitem to 'consist of To be constructed by Wker Supply: Public Supply 'From hn ory It 6 County-bipartmiint of. H 'It `29 206 r. n�� Approved Title bate I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES - COUNTY �.OFEICE.'BTIL: I- 111u;` 'CARMEL;... ;., .Y. :.R. ,.v. DESIGN I>TA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner 64'` Address g U Located at (Street ,, Sec . Block. Lot ��G! /C� �Indlca e nearest cross street) Municipality 1 Watershed //• < SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION RIM Elapse No. Time Depth to Water From Ground Surface water ve in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches AOL �j 3 1 2 3 1 5 .. Notes: 1) Tdpts 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 from top of hole. - x TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION'OF:SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. HOLE NO. G. 6" 12" 18" 24" 30" 36" 42 48" 5411 60" 6611... 7,211 78<< lid& 84" INDICATE LEVEL AT IrF4Tg GROUND WATER IS ENCOUNTERED�o INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED A10 E TESTS MADE BY Date Soil Rate UsedMin/l "Drop: No. of.Bedro eptic Absorption�Area Pro dedd Address .. DESIGN- .._.:. _ . .. �� � . ... ... . S.D. Usable Area Pro vide d 3,nk Capacity Gall Type��� L.F.x24" -----75Ftt-- width trench. Other 0 urea SEAL THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: j 'o'•.tib pE 04389 Soil Rate Approved -Sq. Ft /Gal. Checked by ~ °OV��FFSSiflt 11mv 94 St. Andrew Place Yonkers, New ,York 10705 August 15, 174 Putnam County Department of Health County Office Building Carmel, New York I, Robert Perrin, am the owner of Lots 906 -910 located at the intersection of Rhinecliff and Cameron in Putnam Lake. Plans have been submitted for approval of the sewage disposal system on this property showing a 75 -foot separation from the proposed well and sewage disposal system. I am aware that this 75 -foot distance is below the Putnam County standard and take responsibility for it. Very truly yours,. Robert Perrin pu�'� C` .� LA /� PUTI`T °AM C ®UNTY DEPAR'I1�iE1VT ®F IAY,TH I Diyisfon of Environmental Health Services Carmel N TY 10512 WR l F RENE :CONSTRUCTION PERMIT :FOR ;SEWAGE "D,ISPOSAL SYSTEM PAnTTERSO _-- -&h-m °eron & QueObury Rds- Town or'`V,Ilage Located at Section Block Subd,gisionl + n a m - I- a' 4 n Lot - �� Job 906` 7 8 9 0 R ( P r f •.cp p^ 1 n .> :: t` ' Address f Owner' Building Type Lot Area 109 000 Number ,of Bedrooms Total Habitable-. Square Feet- ^ ?.* 4 Separate, Sewerage System to consist of ., 9 n n Gal. Septic Tank + lineal feet X n witlth trench To be determrnPd Address Y To be constructed. by Water Supply: PublicESuooly From - Private .SuPPIY, to be drilledTlQ3! �ig -=C� t a r m i n a ri Address r- D' C Other Regreents �IL.m,..n W �:7 �0 : gal.' --f u mTT is wm t, A represent'that 1 am wholly and, completely. responsible .for the desi §n and location of, the proposed.,system(s); 1') that the - separate sewa9e;disposal:.system� ... above described Will be constructed, as'shgwn on the:approved amendment there to -and In accordance with the standards, ruiee.an regu,a Ions o e ' u County :D,epartment of. Health,:'and that on completion thereof a. "Certificate of,Construction Compliance^ satisfactory to the Commissioner of Healthw�ll be submitted to the Department, and a`written,,guarantee wilt be furnished the owner;: his successors, heirs or assigns by-the budder that said builder':wtll place' in good- operating condition any,, part of said "sewage disposal .•system during' the period of �two,(2) years 6irriediateiy` following the date of the' -issu ante of ,the approval of the Certrficate "of -Construction Compliance of the on i�ta1 system or any repairs thereto'; 2)' that 06%40114 : well described above: will be' located as shaarn on.the approved plan'and that said well will beJnstall ccord ance with' the standards i►ules and "regula ons f: 46 Putnam: - County ,Department of Health Date 0 t _9 9 7 _ Signed P E xR A Address p} �`� n ^':gym o 7 ni V ,a L 7 n r l o License No 0 4 3!88 0 rt't.. c-1 R'C'w Y let'TL - - - APPROVED FOR CONSTRUCTION:' This approval expires one year from the date issued .unless construction of 'the bwlding has been undertaken ant revocable for.cayse or:may be amended orinodified when considered necessary -by-the Commissioner' of Health Any ' ehange -,or aiteraUon of eonstrucf" regwres,a ne permit Approved for disposal of domestic tary sewag and / r private water supply -only A. Date ��� -� By Title � K �7 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel :IV: Y, 0512 , CONSTRUCTION PERMIT..FOR,SEWAGE :DISPOSAL ;SYSTEM, V' l la �!J��_� ��/1� Town or ge voca+ 'd It : /y _ Sect oQn� — p B lock — `$ubdiyision Lot ✓�"r `7 d '�' ✓ ��� Job Owner Address ,Bu'Id'ng" ',Type Area'. r Number -of Bedrooms. Total Ha "table Space • Square` Feet Separate'Sewerage,System : to o s'st of y'.5, Gal Sept' Tank /` lmeat feet X �� `width trench . r z To be constructed by Address Water Sy pply Public Supply From £ r " a ,Private "Supply, fo be drilled 'by ' L4!' Add 5' _ _Other Requirements -- _ 3 y mss© 1'- represent. that I'am wholly and completely responsible for the de's'gn and location of -the proposed system(s);: 1) that `the separate sewage disposati system . above described. will +be. constructed as shown on the approved amendment there to'and iri accordance with the, standards ,xules.and'regulations:g the ' u nam _County '1Department,of :Health,-rand,that -on completionthereof a "Certificate of Construction Compliancet.sat'sfactory to theCommiss'oner of Healthwill be ,subm.itted to,?the,Department, <andta wr'ttenrguaranfee . w'IP be furn'shetl the owner, his successors he�'rsor ass'gns'by the 6u'Ider "that said.bu'Ider.. "will . s ,place "in,`good gperating_'cond'tion. any part of'said sewage disposal system during• the- period.of •two (2) years immed 'atbly'.followTh9.thedatebf the.'issu ance" of _the - appeovaf-,of the Certificate `,of 'Construction ;Compliance of '.the on system or'any repairs thereto,:2j'th5t fihe, drilled well described atiove will be.locked.as shown on the approved "Ian and that said well will be installed cordaricie with 'the standar rules_ and regulations oof::the Putnam' County Department of Health r Date - A signed Address License No. APPROVED FOR CONSTRUCTION T s, approval ,expires,oneyear.fromthe date- -."issued'.un less: structi n q. the,:bu'Id'ng_has been undertaken ;and is revocable -for cause or may be amended or =mod'f'ed when considered necessary by the Commis swnor:- of Health Anyrchange or alteration of construction ' ►egwres a permd pprovetl for disposal of domestic Saniwage and /or" pnvate 'water supply only spate Title y F. Datn • ,, p.: �nsp.by: INITIAL SITE ITIS'PECTION e Yes ' No Ccmm.,ents Proporty lines or ccrners found Can estimate house location . . . . . . . ° . .. Will driveway need cut . . . a . • .. C , . Must ,trees be removed -note these . . . . . . . Is deep hole r. ;;presenta.t:ive of ent r-' SDS area Additional deep 'roles needed. . . . . . . . . . Sufficient 5D3 ai,ea available corsideri: =g driveway cut, house location,.separation distances., etc. . '. . ° . . .. . 0 a ° . DEEP H0 =E DATA - Dapth: _ Water elevation: G :- Rock elevation: v • Soils description: �„- v _ _ - 'Date: FINAL SITE 'I>`1SPECTIO�`r Insp.. b T: House located where shown on approved plank ... _ ai�a+, ' .� V 6.•La c Gibe w i ` G g{f�.+t" V Y c:iS . . 1tie 'th i�` '���rn Ch r-6 aG care . . Width of trench average Slope of the line and trench acceptable , Room allured for ex.,pansi on t.rer_ches ° Over- 50- ft.- -frcm swam_pj .- !atercoUrse - .. Natural soil not stripped or SDS area unnecessarily grades ° . . ° . . .10 Ft. trYs intair_ed from prop . Una and .20 ft. from house . Sspa:ration of trench from house, well etc. follows tila.n . . o . . ° .a. ° ° ° . . Y . Number of bedrooms checks ° , tomes. brush, stumps, rubble, etc < greater than 15 ft. from nearest trench . . . . . .. 15 Ft. of peripheral soil horizor:�ally from trench . . . . . . . . . . . . ° . . •. . ° Junction boxes proper °?y set Gould surface run off from dyiver� :ay, roads, area surface, etc.. channel near SDS , A rea O . . . . O . . . . . . a ° . . . O Does lot drairaLe, annear 0. K. in area of SDS INAL MUING OF SITE ACCEPTAB?� _ I Structure located from survey by surveyor noted Gelowo-__ ell located by: Surveyors survey._ - - ❑_ Well drillers report -Engineers mesurementsE_ i Tank, boxes, pill.- galleries N laterois 10cated by: Contractor: En`g�neer:• C Healthdgpt: Cl 11v�tt f, Field inspection by: Health dept s da.t s i.�- P• Enganeer ® date - Ar KZ,T$ _ �i mumsi County Depar=00t of He0"' ! Hea Jivieion Of Eaoiro}�mental lth servioot �` NOTES: oe aith ad as noted for "'form an the .. a and Reg11latlons of ea1tJ1 DeDa�t_oun e tie bit* bIMEN$1ONS A - C =_�c�� =lei .8 ._ C ir A - D D -� ' 8 D .A H all -474T.:- �pll I I _ L 6 r �T _ r ;� ir- t; i OWPOR _A.L- q Yi{GA, Pr-"V G_L 0r m' - LOCATION Street:G,b(,t��p�' Q�UJTG�t��r~iliz' _2oA�5 Toan:pAf� - Gounty Stote SUBDIVISION:_ Qf�[�?AI�( L�A.Kr� �o�II''-- 8 - -10�_ Map :O`rl,K' --?'" - -- -- — - — -+' F` — — Block. _ LOT Ns Builder: ;— Surveyor: Ii�G I'�o� 1. — _9. Drown: p u a� Date;9_ jZ -8,5 Scale: M col , ob NY 2 �4� JOHN H PR ENTISS P.E. wg n �' CONSULTING ENGINEER RD CARMEL NY 10312- (9K1878 -J6. . I - — FIM N� d , .►� r�� ti vr1 r x —rYP — dz , . � Pok P. �'fAL.. Ao g „H” �` I�000yal.. ham' flc. TAIL ed 6i5oC.�AL fUI -jr 4 •rip& as >- t� 2 P 6P 20o` M 'M e �9 �~ Ad 191 PL.Cs VIt l 5L L e el I 4L AR Nt.. c AM E2a 1Z OA.D � �,oc�sstawc _ I Structure located from survey by surveyor noted Gelowo-__ ell located by: Surveyors survey._ - - ❑_ Well drillers report -Engineers mesurementsE_ i Tank, boxes, pill.- galleries N laterois 10cated by: Contractor: En`g�neer:• C Healthdgpt: Cl 11v�tt f, Field inspection by: Health dept s da.t s i.�- P• Enganeer ® date - Ar KZ,T$ _ �i mumsi County Depar=00t of He0"' ! Hea Jivieion Of Eaoiro}�mental lth servioot �` NOTES: oe aith ad as noted for "'form an the .. a and Reg11latlons of ea1tJ1 DeDa�t_oun e tie bit* bIMEN$1ONS A - C =_�c�� =lei .8 ._ C ir A - D D -� ' 8 D .A H all -474T.:- �pll I I _ L 6 r �T _ r ;� ir- t; i OWPOR _A.L- q Yi{GA, Pr-"V G_L 0r m' - LOCATION Street:G,b(,t��p�' Q�UJTG�t��r~iliz' _2oA�5 Toan:pAf� - Gounty Stote SUBDIVISION:_ Qf�[�?AI�( L�A.Kr� �o�II''-- 8 - -10�_ Map :O`rl,K' --?'" - -- -- — - — -+' F` — — Block. _ LOT Ns Builder: ;— Surveyor: Ii�G I'�o� 1. — _9. Drown: p u a� Date;9_ jZ -8,5 Scale: M col , ob NY 2 �4� JOHN H PR ENTISS P.E. wg n �' CONSULTING ENGINEER RD CARMEL NY 10312- (9K1878 -J6.