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HomeMy WebLinkAbout4843PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES ©� PROPOSAL FOR SEWAGE TREATMENT SYSTEM REPAIR Internal Use Only PERMIT # ❑ �E�1/ Repair Permit issued in last 5 years ❑ Win Watershed ❑ ,t—{J, / Repair within Boyd's Comers, W. Branch or Croton Falls Res. Delegated ❑ Ld' Repair within 200 ft. of a watercourse or DEC-mapped wetland ❑ Joint Review SITE LOCATION Vii& 14111 ^ TOWN ` TM #3 J OWNER'S NAME, PAS PHONE # v MAILING ADDRESS APPLICANT al i o Name & Relationship (.e., owner, tenant, contractor) DATE 1 Z FACILITY TYPE �4K— PCHD COMPLAINT # PROPOSED INSTALLER fn 10 E'AV (,, woyK,3 LLB- PHONE # 7S— l L/ q -2 ADDRESS g III 13gvtZz 1k i2$eEGISTRATION /LICENSE # O Pro al (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the repair. I, as owner,agre the c diti, s stated on this form SIGNATURE TITLE DATE (owner) I, the septic installers agree to compi with the conditions of this ermit for the septic system repair SIGNATUR TITLE DATE ,2 16 (Installer) V Pr000sal aaoroved with the folloMag conditions: 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best ft design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. 11JTFUNIA11 "QF: MU11 V Proposal Approved Proposal Denied ❑ Inspector's Signature & Title - Date Expiration Date ,Repair proposal is in compliance with applicable codes Yes O No COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 l� 6Z t3 D -11/zvzole- /ol 14 . 3,/w Sheet 1 of 1 Putnam County Department of Health • Division of Environmental Health Services Field Activity Report Name: Parks Telephone: Address: 41 Apple Hill, Patterson NY Street .Town State Zip Person in Charge or Interviewed: Date: 2/23/12 Name and Title Findings: R- 029 -12, Went to site for final, The repair was done as per permit and drawings. Okayed to back fill. Pictures on file Inspector:, r /-, %' CrC.�rti i� Telephone:. Sigffature and Title Report Received by: I acknowledge receipt of this report: Signature: Title: Field Activity Report: cw Date: ..N Y a PUTTNAIVI COUNTY DEPARTIVlENT OF HEALTH DMSION OF ETNVIRO WENTAL HEALTH SERVICES DESIGN DATA SKEET - SUBSURFACE SEWAGE TR.EATZVVIEN7 SYSTEM Owner: e'er 6Z Located at (street):y /e: iViunicipality: Address: TIL 9 Section - Mock 7 Lot 0'2- Watershed: Y'1114 11 -' -, S ®II: PERCOLATION TEST DATA Date of Pre - soaking: 2 ho // z_ Witnessed by: C (" J . Date of Percolation Test: a2 —1 /Z Dole No. Run No. Time Start - Stop Elapse Time (min,) Depth to water from ground surface (inches.) Start - Stop Water level drop in inches Percolation Rate min/inch I - - 30 �2 _a a 2 - 3"w Jt' - 73 L 3 , t 3a u 2- — 2 3 Zd 5 I - Z ;. 3 4 I 2 3 f 4 5 E I 2 3 4 5 Notes: 1. Tests to be repeared at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e., < 1 min for I -36 min/inch, < ? min for 31-60 miniinch). ALL data to be submitted for review. 1. Depth measurements to be made from top ofhole. Form DD -97, pe 1 uf'_ Form ST -1 PUTNAM COLN'TY DEP ,TN[ENT OF. HEALTH. y DMSION l�F NTVIRONMENfAL HEALTH SERVICES INITIAL INDIVIDUAL /COMMERCIAL SITE INSPECTION FORM. - SECTION A. GENERAL INFORMATION Name of Project - �°!'�M P,'�b County, Site Location Building construction begun :Extent Is property within NYC Watershed ?............ ...... F7 Yes " F Igo .SECTION ,B. (Please check all appropriate boxes) ; Q. a ca o' a 1. I Iilly - - Rollins Steep slope Gentle slope Flat' 2. Evidence of wetlands a Low area subject to flooding =' Bodies of water Drainage ditches Rock outcrops - 3. Property lines or corners evident.........:.:.. ....:::.. ....:..:.....:................: qo 4.. - 'Do water courses exist on or. adjoin- the.property? :.........................:. s . Ye �No 5. Will these affect the design of the sewage system facilities ?............ YPs No 6. Do watershed regulations apply n � this development? ....................... No =.Y .7 . Will extensive grading be necessary ? .............. :.....:......... ........... ..... Y es �—'IQ0 8: Will extensive fill be necessary. for SSTS ?........................................ . Yes No• ' 9. Do filled areas exi t within the SSTS area ? ................ :.'..:....., .....:.:...: Q Yes . [�No If yes, what.is.the condition of the fill? SECTION C. SOIL, OBSERVATIONS 10. Appearance of soil: Sand Gravel Loam Clay Hardpan Mixture . -- Dbserve'd- E-om-�--- -Borin-gs.:.__.- .- -Bank -cut ..'.-_ :_�$ackhoe-ex�aveitrt�ns- _.. - -- ........... 12. Soil borings /excavations observed by on 2j 2 �� ► 2 .13. Depth'to groundwater on 14. Depth to mottling ... on 15. Are test holy rear, entative of primary & reserve areas .....: ..:..... :.:.:.................. Yes 0 No 16. ..Soil percolation tests made by.' on 17. Soil percolation tests witnessed by on SECTION D (on back) Form ST -1 SECTION D. DR.AJNAGE ' 18. Will proposed grading materially alter the natural drainage in this or adjacent areas ? .F7 Yes � No 19. Will groundwater or surface drainage require special consideration? ............•..•...... Q Yes F7 I46 - 20.. Will gullies, ditches, etc:, be filled and watercourses be relocated. ? :.................t ..... -Yes No SECTION E. REMkM. , 21. If a common water supply is proposed; has an-inspection been made of the existing or probosed source and facilities ? ......:........ Yes; Inspection data . -. No 22. Do -adjacent wells and/or sewage systems exist?... ................. ....:...:.:.::..........:....:. Yes 23. Additional comments 24. • Site observer /inspector and title 25. Dates) of pbs--rvation(s)inspection(s) TEST PIT PROFILES - Hole r Lot Hole 'Lot �. Hole Lot n Depth to water Depth to water - Depth to water Depth to mottling Depth to mottling Depth to mottling Depth to rocklimp. - Depth to rock/imp. Depth to rock/imp. G.L. 1 ' , . � G.L. G.L. • 0.5 .0.5 0:5 10 2.0 h �h�.r, 2.0 2•.0 UY 3.0 3.0 4.0 4.0 4.0 5.0 Sah 51A lb,rvL 5.0 , 0.0 .6.0-0 Gr" 6.0 6.0 ' 7.0 7.0 s:o 8.0 8.0 9.0 9.0 9.0 10.0. 10.0 10.0 5"` gyp t EFyri fa i ` h i ��� REM _41y I.� } g� pg�i t jj is ir fQl P� iQ WW If ,� � +�C' i ''.Y i •2 1 4.fi�''��y�' `� 1'- ?i t a�`: �, � � �`'w �. ;�,y�"�.,'`�' ry, I •,n �fil .s:..,��4 � •w �• �-r f�j ,'4` -t'c�_,y ♦ '.�ur�,.pi� -�•' }a _ - na.�„d•;lv;.'!gTy T,rl,�+y. �,� Vi wl* Aw MIA z Va _ \ -.. ,..-.\ �a ± +�At� '+ti1p .x• c -xlf�s �� �,1 , �..- '�:��ulck t � f i � - .L ,� •i. .. a � a �. b F _ k -� ._ may. �',. -o,k _: .. �+' s\ �� y __ .-{ � �_ '_ � — "e — i. �_ i .��` .._ a _ -RIX, '2z T, sck"." On 4 mA - 'N!-%A ;TAKIR" 4w iF, Nra t;! A `63 - /wl Aw giagw.—, 4A ............ ... 1 IR a. IR t fin:, .yam• a,> .. i OvIDE, RERMIT # 9 OF 4COMPM �'ANCE'r .,e 5 E s t 9,r .� t � .jai "-.. � t K _ tr �• .� r Ta r,. ,�� c 4 t t Old Route !22 t 4 _T Locatetl',at ss' ax Ma aS 3 81ook? ��4Lot r'.`;C >M1'}y4�y t> z v H Cc° `•" ..}: 6 :'q, i.? r i @ �, { r s ;`�, prrtl }� *i y =,,�`r ?.,, t F :5„�! 1" s' ,� t, r •'•. ar > w ,'! ry} € A le �H1llt € X15 W Subdivision pP Subd tot tf Renewal Q Revision .rig, "�• Owner /Address • Date OP Previous Approval + -' r 4 lBull Y r L Q.. Fill, §actidg T YPe on Olil z s x Y P C N. D Notification R Number of Bedrooms 3 [iesign eiow c P/D 600 e4u red - nc Separate ,:Sewerage,?System to' consist of �y Gal Septic Tsnk' and '.,SOQ L1n., F;t. dlsapOSal trees N Pura in'e RD W Wingdale', �N Y To De constructed by g Address r � Water Supply `' Pubhr Supply From r X f P F Beal & Sons PrrvFate Supply to sbe dnlletl tby. 4 Putnam Aue, Brewster, N Y. `Address 'Other. Requnement`s I represent that f em }wholly antl completely respons�lile for the design and location of the proposed system(s)` 1) that the separate sewage °disposal system above destr� bed will be constructed as shown�oh thb approved amendment therw to and in accordance with.the standards rules an regu a lobs o a Putnam ,. w r� _ 3. n & �:::.ax a.a.av }s wv > ,r ve.. r j. b . ,..;H. _. ^ ,:. ._, k r. Cqun, Y.. Department `of Health, •and that on.Lcompletion "thereof a Certificate of Construction +•Compliance �iat�sfactory'to the Commissioner of Health will be wbmittetl to -the Department 'hand a *written tguarantee w01 3be furn�shtid3he owner his sueeessors:'heirs or ass�gris Dy the builder that said builtler will x n. w M z m r pleas' ih 'good operatng ;condition any'pa►t of said sewage:disposal�4system: tluringAthe period of two •(2) years immediately :following tti`edate of the Issu- e of the approval of the �Certif,cate o1; ConstrucUOn Compliance Fof the origina4 fystem of any rapaus thereto 2) that the drilliid,we11 described .above. will be located ss shown on °,theiapp►oved =plan andAhat sa�drwell will be' installed: nn `accordance with the,`fstaritlards, rules:''and 'reyu_s�Tfions -:,Of`.' Ae•. Putnam County Department of Health e 3/3/86' i v . st inn P Ei ' R.A. Dat Ieilts arwic 4 1 990 Address A `� License :No z APPROVED FOR ^CONSTRUCTION Th s approvaltlsexpires•sone`'yea► from the ''date issu construction of the Duiltl�ng has been undertaken and is revgcable,aor, cause or may ..beyamended4aormodi led when co * r4e neeeisary, by the, ommission r of Health Any;,cha ration c ,, construction equires.;a. new perm/yit A+ p�/p�ro d' for dispossl�sof domesti ysan t y e a and or private swat ,supply onl' Date t3Y Title e Rev...6 /85 i ..,J....+..�.y...*- .- .c- -....N- -ru. �,,.} ?e -^a'- ��sr',cY' rite '.e���sticu_- :r- +a«+>..LV...• - -- '�.'....v rL.:;. PUTNAM COUN`T'Y DEPARTMENT OF HEALTH - DIVISION OF . ENVIROR FIELD INSPECTION REPORT ZZZ-49 (NAmLf of Owner) (Street Location) INITIAL SITE INSPECTION YES NO Wetlands on /or proximate to property.............., Property lines or corners found .................... Can estimate house location ........................ Will driveway need cut .................... Must trees be removed - note these............ Deep holes representative of entire SDS area....... Additional deep holes needed ................ ..... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells/septics .. ......... ......... ... D.H. 1 Lot Depth to G. W. Depth to rock Soil Descripti4 0 ft. 3 ft. 6 ft. 9! ft. 12 ft. . D. H. 2. Lot Depth to G. W. Depth to rock 0 ft. 3 ft.. 6 ft. 9 ft. 12 ft: Soil Descri tion DATE: -� FINAL SITE INSPECTION INSP.BY: House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench'acceptable......... Room allowed for expansion trenches .............. Over 100 ft. from watercourse...... ............ Natural soil not stripped or SDS area unnecessarlygraded............................. 10 ft. maintained from property line and Distance well to SSDS (ft.)......�.,� ..... � Number of bedrooms checks . > .. o ............... ,fie :/ Stones, brush, stumps, rubble, etc., greater �. than 15 ft. fran nearest trench ...°............ 15 ft. of peripheral soil horizontally fran trench ............................... Boxes properly set . ............................... Could surface runoff fran driveway, roads, ground surface, etc., channel near SDS area. Doe's lot drainage appear OK in area of SDS....�f 1-1-Ar e-OA rv` f1F CTfM A(Y`F'PTAATF- _- - - ------ YES REG] DATE: INSP. BY: iii i NO G.W.- Groundwater D.H. 3 Lot Depth to G.W. Depth to rock 0 -ft. 3 ft. 6 ft. 9 ft. 12 ft. Soil Description 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. Owne" �� �} SC /-� Address Q L D (q n U TC 2 a Located at (Street j 1j) (,. LAKE Sec. Block �_Lot . L �in ire nearest cross street) Municipality Ps-r `a (•2 So A/ Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS to 5 9UTNA.M COUN 11 ACTH ,ax Notes: 1) Tuts 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. P E?bp0SF_n L 01 *61.5 a Bole Number is CLOCK TIME. PERCOLATION PERCOLATION No. Start -Stop apse Time Min. Depth o . Va e� r From Ground Surface'in Start Stop Inches. Inches Water Level Inches Soil Rate Drop in Min. in drop Inches 15A. 1 2..y3 -258 15 29% 3:2% 3% 2 3,.00 - 3: y 1 y 2 9 3 3 33 :17 -333 1(0 .2 9 . 31 3 S 46,) ToPscuL_ 12'x- 3o' CLAM LQFIP4 yAJJS1i -T G2AUEL 5 _ 23:1Q -3:y9 30 a V. 3q161 - g:21 O- $r'rN35nu L T"— 2& CLAD/ Lo�i-1 yu /S)LT 1�-128VEL 5 1 2 to 5 9UTNA.M COUN 11 ACTH ,ax Notes: 1) Tuts to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO.- HOLE NO. G.L. T(7 psn I i- 6 r LOAM, 1211 1811 2411 3011 36" CL� LORV)vi/ 42" S1 LT d g-RPL)EL 48 54 60" 66 72 7811 g- c )o w Loprmp RT 8411 1 M- 7'- # INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO.WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY r)F M g gr- S-r Lp Htnahi Date I gj) 3 DESIGN Soil Rate.Used.3 Min/1"Drop: S.D. Usable Area Provided colo No. of Bedrooms -7 !R Septic Tank Capacity Gals. Type 0- bNc-,e E Absorption Area Provided.Bydioo I L.F.x2411 w.+_4_th trench. L IEWJfter A.• bigna �PV3M-'1zuM1Z4N=L'fi=VAff rML-Mig, I THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft/Gal. Checked by Date CERTIFI Located 5 Owner /appllcanf Nab Mailing Address 'ConSIS&g4f or 9 Nttmber�of Bedrooms Older Regn(remente •= of which are attached) - Putnam County Departure Oat6,1 4 71 Date j LINN"10512 V, � En On eer Maat M, AL. SYSTE (n C Tax Mao -.B11o_o:-k'_ Lai, Su&H%Isloui Name Dd V. Lot � Ditti Peruflflwqiad: Addi6si UL Address A Ad4reii ,aA�Wj AjjC LIS OF, D acted on ih..plans of " . e, completed work copAes f n,,'epFo accordance -filed plan, and th6 p6rinit ..iss d by� t a on! �jan ue. R.A J:1. Iv LIC such action, as may tie necps"ry.tp securethe cor►isetion of any.upsphitary . n'shall become Ir and void as won as- -a pib '-. unitary, nw6r becomes 'C w­e t or Upply bte . Comes. a vallabP.. approval are. 'H th c rev b6 i0h,'Madification or change Is noc*$Nry. r i "! 'Title WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental Health Services COUNTY ,OFFICE BUILDING - CARMEL, NEW YORK This report is to be completed by well driller and submitted to County Health Department together with laboratory report of analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WOTHIN 30 DAYS OF WELL COMPILETION OWNER NAME J & P Develo ment.Cor o ADDRESS 10 Galloway Htso9 Wa.rwick9 NY 10990 LOCATION OF WELL . (No. d Street) (Town) (Lot Number) Lot 1 Apple Hill Subog Patterson9 NY PROPOSED USE OF WELL B NESS USI ® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Speciy) N EQUIPMENT EQUIPMET ❑ OTHER ROTARY A R PERCUSSION PERCUSSION (specify) — CASING DETAILS LENGTH (feet) 1 t DIAMETER(inches) 6 u WEIGHT PER FOOT 19 lb S EE THREADED ❑ WELDED O X YES ❑ NO WAS CA3TR El YES UTED? NO YIELD TEST X - HOURS G.P.dA. ❑ BAILED ❑ PUMPED ❑ COMPRESSED AIR 6 YIELD (G.P.M.) WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specllyfeet) 20 U DURING YIELD TEST (feet) 25 9 De pth'of Completed Well in feet below Land surface: 4 t . . SCREEN MAKE LENGTH OPEN TO AQUIFER ( lest) DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL PACKED: Diameter of well including gravel pack (Inches): GRAVEL SIZE (Inches) FROM (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 15 Drilling in overburden clay and boulders lHit rock t Drilling in rock9 set casing, grouted. 31 34r) Drilling in rock =anitco- If yield was tested at different depths during drilling, list below, FEET GALLONS PER MINUTE DATE WELL COMPLETED 4114186 DATE OF REPORT 14 86 WELL DRILLER (Signatur PtTI'NAM COUNTY ,DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Apple Hill Development Corp, 69 4 6.4 Owner or Purchaser of Building Section Block Lot . J. & P. Developemnt Building Constructed by Old Route 22 Location - Street Patterson Municipality Single Family Residence Building Type Apple Hill Subdivision Name 15 Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL 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 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 system, except where the failure 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. n _ . Dated this 8 day of August 19_26 Signature Title eral Contractor (Owner) - Signature Apple Hill Dev. Corp. Corporation Name (if Corp.) 10 Galloway-Hpights, WarwirkAMY 10990 Address rev. 9/85 mk Secretary be ; Coe Co oration Name (if Corp.) 10 Galloway Heights, Warwick, NY 10990 es-, BREWSTER LABORATORIES Box 224 - BREWSTER, N.Y. (914) 225 -2072 SAMPLE NO. 6256 SOURCE: J &P Development Co. well Lot 15 Apple Hill Subdivision Patterson, NY COLLECTED: August 4, 1986 BY: PeF.Beal & Sons, Inc. BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method 0 per 100 ml. This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. August 6, 1986 0 it 35- 14 -�p 2- Liq 1 -- ID .- 41, f4- (l l�� j L t� g 111'7' Y'h � LAV o y,ov L,rl'y�(z-t-tti(-".k,(4- ?, /S qTS�-i ii SO 4--7 71 ---------- "DID 41, f4- (l l�� j L t� g 111'7' Y'h � LAV o y,ov L,rl'y�(z-t-tti(-".k,(4- ?, /S qTS�-i ii sEPrlc :.l ocAT\OVA .ScNEVUt - , GROM TO TOr0. :.T,D TO -IO v/ JUWG'fldM'00X- CP_.WR AA CP.NP.,Bp' FROM;. CFOJWAA -FROM CRw)ct AA CVi,4Vk S - N p . 1 � Q" S& 65 2A.. (04' 9B. 26' .T9- 51'- - o. . gO1L LOG' 3 70 fog 3A TO' 96 .55 . 84' SB' ��3• . ` �` � 4 Ta T4' 4A. ' -T(a_ 102.. .4� 9d 65 `i %0. TOPSOIL' 5 83 6d SA 54' 10' 5 6 5a 72' " - o V 90' 81'. _ GA 96' Ill , "'V 102! 19' _ 0U •°.ud1� N- 0; Co'-'8d'CLA`! LOAM 94. \lT 76 109 bla R 6 7J 30"_90 "CLA`! LOAM W/ S1L'T 1� GRAVEL \ \\ p 'A PERCOLAT \ON RATE \ \� / \ a ` \\ L1N.F1" /T'REN0A REQO. - SOC �y 1 \\ \ \ \\ s. LIN- FT-/TReWCA PRC3VIDE:D -504 L OT 15' AR EA= I k G, 1-7 2 SFr A \,:z . , ARE-), o . c' \ \ \ \\ \�� THE:.$EWAGE ;DISPOSAL SYSTEM WASH CONSTRUCTED As'., S. INDICATES ON THIS PLAN AND THAT THE:: 4Y$TEM WAS;INSPBCTED DY ,ME�BEFORE?.I•T,WAS COVERED • \ \' OVER THE: SYSTEM .WAS CONSTRUCTER IN ACCORDANCE WITH ALL S.T¢NDARD RUI CS AND`:REGULATIONS OF 1HE \, — : •, `'-_" ` �` \� �\ eutriaw Gouacy.Dapartmenz br Heaicn PUTNAM COUNTY DEPARTMENT - �� —' \\ _ — \ \ !.)vision.of'Environmental Hea lth Ser OF 41EALTH. vice not© ante w Ta ,IS(+"ved db d for conform with -� �� �_ - �� 64 Put le Rules and Regulations of SA nam County Hea.Lth D the _ 9nt. Qi / / / / / / _ = \� -- _� og 2A SA* APPLE N1LL. °' / �; / / / / ' r \ l i a s g DEVELOP4.!1ENT FN co AA n 4 yC PC+"t"T7✓R50►J PL\TNt�M CO. ,_- �'S, °� CONSULTIPl6 EA4 61N IO C�R.LLOWA.f HEIFaN ti 1000 GAL, 5S -TI'IC TANK WAiZW ICK, case I i w 9p SIO P�. �y it N 5EPTIG LOCATIOAI 9LA4 j �`LE-•1 =6d 'DATE'• T-2 1516 PLY.L_IC•N0.c3s&&S3 %Y 9� -301L L0G 0�= TO,-Z I L log,- 30° CLA.`f LOAM 30 °-OHO "CLAK LOAM W/S1LT *, GRAvEL P1= RCALAi ION PROPOSED WELL \ \ ' OD RATE \ LIN.FT /TREIJCN REQO• - SOO / obi \ \ \\\ \\ \ \-rzLy �tl� LL �/TRENCN PR(T/IDET�_SOO 0-r 15 AKE'A= I llo.I72 SFt them �O onmental Se ifiai13 on °� En T °e ait�i tjw noted for catio of roved as eo gnlee liDablty tare& —Dev le I / .3� 0 �cu R`AIN \ 0�11�1 TO CB 4a O CURTAIN '-(A��t DRAIrJ t�- � f�F20POSED 5EPT1 C- AREA [".iAR, 61985 PUTNAM COUNTY DEPT, OF HE ��OF NEW y y�P r n• eN r a LL m ���• z E Ly 3eb °'� PATTeRsowvuTNAm Co., N`(. C0WSUL'TIP16 EMGIWEej;K 10 C-41-OWA.`f HIEje VATS WASZW %CK, N.Y. 15Co.Le'.Ift=S6 VATE4 • 11 -10-b5 N.Y. LIC HO.OS&&g-A