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HomeMy WebLinkAbout2127DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 19. -2 -14 BOX 19 02127 SHERLITA AMLER, MD, MS, FAAP Commissioner. o H.ealth •....._ . .... LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI ...::County- Executive_. _..._. _. .. ROBERT MORRIS, PE' Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREET 12Tp�. �o - I9lp5 TOWN Py-rr j Ain ty TAX MAP# is - 2- j 14 Ic NAME �e.C' �-V Mij'f� HONE �� PCHD# l Q MAILING ADDRESS 1 DESCRIPTION OF ADDITION fppp NUMBER OF EXISTING BEDROOMS I PROPOSED # OF BEDROOMS (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) t "Any addition which is considered a bedroom requires formal approval of plans (Construction permit) I prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to Putnam County Health Dept., 1 Geneva. Rd, -Brewster; Td`s' 1 " 0509; t iroiie: (8�+5) 278-06130. 8 - _ _ _ ..:._......... _.. _ l.. Certified check or money order for $100.00. A Sketches of existing floor plan (drawn to scale, all living area including basement) 3' sets of proposed floor plan (drawn to scale — with name, street and tax map #) *Non - professional sketches are acceptable 4 Copy of survey showing well and septic locations to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet /5 of the property line. Contact this office with any questions. Copy of Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool(845)278 -6014 Fax(845)278 -6648 f- -�� � 9 SHERUTA AID LER,1!' D. MS, FAAP Commisslon&---o,f. aaltt. ...... LORETTA MOY,INARt, RN, MSN Assoceale Commissioner of Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count ROEF:I2T J. OGNDI County Executive Re: L,� �4 T-Z _ (Owner's Name) Tax Map #:- 2 Address: 1016T 12-t-. Town: I' lA Year According to records maintained by tie Town, the above noted dwelling, is in compliance with Town Code. is not in compliance with Town Code. - The. Leg4l Bedroom Coui af ^ This, information has been obtained from: Certificate of Occupancy: Other. SS&-SS s(L' S Building Inspector 5 a3 f )07 Date Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 ' SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Robert Scott 138 Seven Hills Lake Carmel, NY 10512 Dear Mr. Scott: DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health i June 24, 2008 Re: Addition — A- 109 -08 1965 Route 301 (T) Putnam Valley, TM # 19 -2 -14 I have received and reviewed the plans for the proposed addition to the above mentioned residence. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: Per this Department's engineering meeting on June 23, 2008, the following determination has been made: - . L. The legal bedroom count for the dwelling is.ong. The potential_bedroom,count of your " ro'oged-addi66h—is'thred:' The Sdcond'storV 1 Zonsidered Co be t�vo- nitial bbdruot S'"''"' P P y -�- - - -- p - due to its size. 2. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a professional engineer Please review the proposed floor plan to reflect no more than one potential bedroom, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements for three bedrooms. GDR:kly Sincerely, -0 . -�a4 Gene D. Reed Sr. Environmental Engineering Aide Environmental Health (845) 278 -6130 Fax(845)278-7921 Water Supply Section (845)'225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 I I I I I 1 , i : 1 I , , 1 1 , I , I I I ,��s::.;�,s t I , I :�,. '. � ", "• ! 'i ..I ..I..� am N -1 "�'''�'•a-.# , I I i I I I ! St i i , ' ; i ' Ry -� l•4�f �„s�, i ! f ! I 97th . 'S; I ! , I I i I 1 : I I 1 1 1 ! , t ( � I ! , +6V �n1 i I i 1 : I i I , '�;�i'"'•?: � �� �1F�, I I II {_ ,.•''' �'°+' ;s'`� I ! I i I I ! I i '�' 1 i�„+��' i i 1 i ' ! I �� •-:,. ! 1 I 1 ! jo ( I. i e :1�! >U•.'! N I j ! 1 i ' � i } , -' 1 I 1 t ! � !_ ! f .., � I I I i� I i I � r � i t � I i j �a.,.�� 9'F`a•,.•u "`" t 4!'�.L�!' 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'1' I r 'o ° I T_:; t ,I it I ' I. ; i .,i }ef"f a� �i �.�_ 'i -. ._IFr' -�• - -- f,- ! !_!_._ I , , 1 j I ,� ��'0���, � T,. ,:r �rrl -. �,i, .� �,. -) i 1 1 •j ' ;� `"; I I (;- r. .i, ��+�j. I 11 I I 1 1 - 4 : I I I i I -I -� : r� a' : t _ k I 1 . - _'�.. -� .c.• - `•k - � - 'M'___i I _ i i S { , �, i I i I { i '�` t I I ! : , j 1 I ..I ! i jr� .i ' , I I 1 U, i ( : ! r -� r { ..I I•! I ��' _�'' _, -.._? ®- i�.=- .� -I, --i f I•-r - --- } I r I II Ir r I t ' r , -._.. .�I � 'r'__ II ..- ;'- , �; , �.: 1 r�:""�_ -�'_ 1 - : r -•. � I�. ;.-, ,.! ..11l. � ��,'.�'�,'!�^I"I _ I OWNER'S NAME &- geff Lute Y - 'PH= 228 -5612 SITE LOCATION 1965 Route 30/, Canmd NY To 19. -2 -14 I MAILING ADDRESS PERSON INTERVIEWED At. L u t a (owne rt i ( i,,,' /i PCHD Complaint # Name & Relationship (i.e, owner tenant, etc.) DATE Yan. 6, 2000 TYPE FACILITY % ni..vate /iwe.L Lna PROPOSED INSTALLER Mahopac SanLtati.on Sentic0 Inn. PHONE 628 -4526 REGISTRATION # 4/ 4$5 Kenni.cut ili. l 2d., Mahopac NY Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal syst ®. Different7 location may require submittal of proposal fran licensed professional engineer or registered architect. InA&Zl NaatLc lank_ and (/O) R - ha&aP_&A wi.fh anavel unden and aaound uni n WeU LA overt /00 ' 4eef awag. �-�i -L Proposal approved Proposal Disapproved Inspector's Signature & n � G 77 Date roposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g. house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. x'6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or repo a ent of owner agree to the above conditions. SIGNATURE G . TITLE y & i t.4 z - DATE V i�TIRK: *Abe MV; j YeUaw (23,ri ED; Pink (A TUaknt) MAHOPAC SANITATION SEPTIC, INC. Septic Tank Service 217 Kennicut Hill Road MAHOPAC, NEW YORK 10541 A, Manf6v -'**R' IT— &V no. y16 Ica Agl 41 z a �i �I I Soo ®� 3o,' a m -2 0 0 �7 i� 0 0 IS- �� i �� i 5 .3a;/o� (6 Ho A0# r 3��'7v Sal �7 AMi+ fi COG AX ti ; p•r � - PtTIl�AM CC(IIlTl'Y �ALTH � '• ` 'd �tAA * DIVISI�i G1F SEEiVIC�S r• 1� x r, DISPO6AL SYSTEM REPAIR _.r � L his � t�4� ,r :. t S i n �• ��°`qt d ��� �'y F , rt '.,w�, �,,,� , :,: Ir• t v, , ., ; • t:}q t , -.. tR .fie v 1 P , 1. `��d" t.+ t �; '� iai Z,1."t' �74 {� v 1.�, 1` -. ` j �,t1 �. _ {. Fan r ,y 1 £' ' i e•} � 1 � � Tl: 1 u:ro i s� a "t.�S,i � ♦ i ti tr .: h�,'dz'[ 'i :.'�V'f` �i •. .� �t ,y', i:Yy L �;. /r r i y'' � kk a' ��p� E }BLS Vf.tif x - x �} t f'�`�7 \. , .a.4.: •i t / , n yi�t `: +)� a. a ti _4 �i s, F F k t.; ^ ^'T „ ri ir.,l•� !7•i .,"'1Y/ {w/� t I�Qi�L�. .�%o /},j �d �i-+�W \ t' p .Ka.. ��J� ,, �,] t/ �, ,!s, L� Y' 1 ..t . . J � J ,�V S"�! � �i��ir.www�r 4 Y: f ..� ii7* /�• "l. �/T • 7 G ADDHWs 6 Rocsie OL a CaR;,u I N /0 ��T 1 i�.• mR `,t of / 7- y.,• •:' y i °$ \''`�� :k 1 pCSD Canplaint # Name & ! owner tenant etc ' QiZ• � �.. .. Relati �<y iv; a., s �. • .. •, . ' ..' ✓ (,� ,I.+, lr� J.+ .. TYPE FACILIZY'.: ' t•m - .I��1y .' irfM r' t k " t«YJiWL11J .Llvlll t i 'mWIO v! (♦ t�` ' S Y{. t_ _ e {` , _!!t�4���i. :'` µ v� = � PHOM 26 C• 4 d ;tEGI STRATTON #:Y tat., d„ ma/4o�octc Nyr t'kwt' Cl' sketch locat�,nc all, . I �,.. en wells) • Repair mus in saiieeoca£i"oit Mane �' as .: '_ Different. locaaticn :may. requirg submitta Y of: proposal :from licensed professional engineer or. i� ' registered `: architect. } LRhf�l Pla tC' /ftJt%t and � /n% � aKnARw »>lf%1 a R ?VP� uRll� @n �r►� to [ aRO,u LIRCtJA. Well i a oven /OO � feet ai�au� ',, ,, y r C E .t r ^. ;.'t 7• , !, c `a 4" 't p �� v a 1. y A. `•1., a .� r , y .,. , ,yf.� }t� �(} r i t �, •.J"., ,1� Sh tr ' t , �.6 ? e 's'i' i ;j �. ,k ' •, � ' �)I '�Cr! 1 / I( •4 4,t t ` e, 'y .. .. is �f113.., Z D _ 3 ('. 'A ' Proposal approved i Proposal Disapproved \ :, {R �} r�;t� Inspector's Signature & Title Date �r , �. +�cyi-+' �"'r•' Z ''"r"�" f - •`"-.- 'f+-s -;i•' }�,f y. • ,,, \ � tint ,}•!� }a +...� � • � % � .. t 4 ti� r,l'�".Pi'^t .� Proposal approved ''with' tthhd'' following conditions: t,�a'r�� .1 1, Brocnrement 'of :,.an iV�il t T— Zt4 y penpi , if applicable• St]bID18810[1 Of _as �i.+uyiJ, * repair sketch., in icate .•,~F a. Owner.I name• 4 A b. Site Street Name, � T wrn and .Tax Map number. F c {'IAC�tioil of installed.eaWonents tied tO,aWO fixed pOints,.(e.g :,house corners). d. SYet® on,.,: concrete septic tank' �, ? "¢'�,`'`' i �11� ^M•Q L . i threerec�ist 6' diam x 6 ��dee y„ J ..d'C� surrauuled .,by Wac.�. foot. -)• r .r��yn, s M! �!h, 1,v u i��z .:` • Vel y �C� p� - 5^ 1�1�1M� _ , .,r,.i� fit, YF' ". L _� K_,� r•. yt�' r r,^��C�.�_yinF'ws4.. zuaaber• 4'- J•y1��.t ,;aht :,,f kr.j��y.��.' f? ty rrtx� c.5 ' '�L�t itv�.'/ir . iEk U S�ste,�rir�to� Pf;.: ;aea, dance withtitheroposa�, Cond3.tions. t i }s7 `�S y, r- fi t i. j r i! a,�,y v -c-d t•t r . v yn.t rt Fy r j s 4.*.' i (i� t,: r t�• r4 ,i}; ., r {t nY�'� t' - 4 { �` .n . N, k5. ° `•t y � �� � � � -�1!: �j `' ^P �3 a�: nr3 �3 � fr rr � t .c � r _^ h ` b (•�+l,a 4A �� �.tC -��5, -. $•r�,:L y�,Y4,,' .e �,'b'�d;= V1,11 , �z - J t ? t .. F r �, o J)`S"YYYn'rf ^. ? �� ?t! c�' ' :•cei + 2 `.`� 1 Sh ij: i,t".' I� /;YaS avner /�r ,�,�wrex <a ree to the. dOVe .oanditions i .L 1•,J j lair 't lv::yy.�e �' i' /l v ti S •i f r • ><; i t� :!' v ) i3'.i, �,7) } LS a� •Y ! < c-• � J?•1'. •¢• M/�������pp�' \ .1ya• t[ lry •I��� �w� C yJ..t 2'.. SFr� i14i -qtr �F '`a.- :�NY11* 1 - y � � 3t �1: � F. M� X8'.t.} �VL�11V1�. /►�[�M ?'ic �?x',�y i 1 i�`' r' , �I r .tilt �t?. /`�<i+,�r? y .: 9 h yr: r , ��� �! � '•P ,. }'���p � // J, x L Ifa�t��'2 , Z_. .�r -.. �; �� ��� 1.!!'t^ r �t `� ./ •?1 •. Mf�GI �/ / � :�.V�, 0��'�.�.airi�r.C� °.� p�fN�..'✓,•'��`,. �w- 1,..��},��y. /ti�.+.�t �/xti� �N��•�•;� /,nf..�`�. �r}yyii *� :• 'illi`r}R ia�) % ,Y�.1owv:(n ffi /'•' "FyYV t ... .� • t I ' yty i 4++ t t -,;.: ':i.:.. v, ;• +.r.w +Y�v"a,'W:►k, rN. ar9 �°', ' r_' S, (1y i PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES POAL"faIE `�ETENT SYSTEM =RE YES NO Z Internal Use Only PERMIT # � ❑ L7 Repair Permit issu t,54ears ❑ Not in aters ed ❑ Repair withi oyd's Comers . Branch or Croton Falls Res. ,❑ legated ltd ❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland 6 Joint Review SITE LOCATION < 12 fa-340 TOWN TM # OWNER'S NAME h4r, J7;:-, 1-14'h-- PHONE # MAILING ADDRESS ' CAl�s &J z,301 Car-~ 1, ,�J `� 16S-1 � APPLICANT ..l+✓- fy-eV V C. -,41;r-n QWd4e.r Dame &Relationship (i.e., owner, tenant, contractor) DATE FACILITY TYP PCHD COMPLAINT # PROPOSED INSTALLER 'r �% j�o���, `„PHONE # ADDRESS REGISTRATION /LICENSE # d Proposal (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,agree to the conditions stated on this form SIGNATURE TITLE DATE (owner) I, the septic installer,"a ree to`comply with-the con . di'tio "ns of this permit for the septic system repair SIGNATURE IT DATE ,Z (installer) Proposal approved with the followin nditions: f 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 fit 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. INTERNAL USE ONLY Pr osal Approved Proposal Denied ❑ S10 I pector's Sigriature & Title A Date Expiration Date PT Repair proposal is in compliance with aDplicable codes Yes ❑ Nq COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 MissionArts Design Group, Inc. LETTER OF TRANSMITTAL 7' 2 Raymond Drive. Date: Sept 18, 2009 Carmel New York 10512 RE: Lutz Res Septic Repair i = r s T Pfibne' 1945- 228 =23> sa�., < . _ . .. .: "1965" '3'01 earn iel, Y ...,,...... °,,. . �.0 _.,_ Fax: 845- 228 -2594 TM 19. -2 -14 Putnam Valley e -mail: DMFlorance @MissionArtsDG.com Project #: 3241 TO: Mr Joe Paravita Putnam County Dept. of Environmental Health 1 Geneva Road Brewster, NY 10509 We are sending you attached under separate cover, the following items via • U.S. Mail ❑ Overnight El Pick Up ❑ Hand Delivery • Originals ❑ Reports ❑ Plans ❑ Colored Prints • Prints ❑ Photographic Exhibit 0 Specifications ❑ Other: Copies Date Dwg. No. Description 1 7/28/09 SSTS -1 Proposed SSTS Repair Plan, and notes 1 7/28/09 SSTS -2 Proposed SSTS Repair Details These are transmitted: ❑ For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review /comment ❑ Resubmit copies for approval ❑ Submit _ copies for distribution Remarks: Please find signed and sealed drawing for your use in approving stamp for a septic repair permit with the Putnam County Health Dept. SIGNED: Douglas M. Florance Copies to: 05/19/2009 17:54 FAX PUTNAM COUNTY HEALTH DEPARTMENT Q002/004 YES ln4ernal Use OnIX PERMIIT 0 ❑ Repair PermA issued In last 5 years 0 Not in Watershed U U Repalrwithin Boyd's Comers, W. Branch of Craton Falls Res. U Delegated ❑ ❑ Repair within 200 h. of a watercourse or DEC-mapped wetland ❑ Joint Review SITE LOCATION 665 Q% 30 I TOWN J cJA-oA V 4.Lul TPA 0 01 Z' 14-' OWNER'S NAME &_;JrcC -1 L_Q T B PHONE # 7-1-9-502. MAILING ADDRESS 15i'r' APPLICANT , ] e �..E. Name '& Relationship (i.e., owner, tenant, contractor) r FACILITY TYPE - HCOMPLAINT DATE � ® PROPOSED INSTALLER Pig` PHONE P ADDRESS REGISTRATION /LICENSE lit Pr„ oposal (Include a separate sketch locating the house, property Dries, all adjacent wells within 200 17994 of aeprair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature acid aid ®zit of the repair. I, as owner,agr�ee to the nditions stated on this form SIGNATURE �' TITLE DATE 0 !�0 (owner) ..:l, the.septic insta771 gre to comply with the conditions op -this permit for the septic system repair SIGNATURE TITLE DATE (Installetr` Proposal approved with the -following conditions: I . Procurement of any Town Permit, ii 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 tit design and there is no guarantee to the duration at which the completed SSTS tepair will function, 0. No completed work is tp be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Approved ❑ Proposal Denied ❑ Inspectors Signature & Title Date Eupiration Date Repair piroposial is in compliance with applicable codes Yes 8 No COPIES: PCHD; Owner; Installer PC -RP 99ML i C( . Rev. 2/07 SHERLITA AMLER, MD, MS, FAAP ._• _w, - - =� Ccnulrissioneroj "N�citih : = - "��- LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI ` County Executive DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 ROBERT MORRIS, PE Director of Environmental Health TO: DEPARTMENT OF ENGINEERING AND DESIGN REVIEW PRIORITY - SEPTIC REPAIR DELEGATION STATUS FOR SUBSURFACE SEWAGE TREATy1ENT SYSTEM PROGRAM JOINT REVIEW PROJECT: Ll Z T0�Ki: J.iyt .____ / APP DATE I NOTICE OF COMPLETE APPLICATION: DATE: -- Within the drainage basins of West Branch Boyds Corner Reservoir or Croton Falls. C Within 500 feet of a reservoir, reservoir stem or contro e. Within 200 feet of a watercourse or a DEC wetland and appearing on a subdivision map approved after December 31, 1992. 1 Design flow- greater than 1000 gallons /day. Commercial SSTS. jtreviewrepair l Environmental Health (845) 378 -6130 Fax (845)278-792l Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (8 45) 278 -6036 WIC (845) 378 -6678 Nursing Home Care Fax (8 45) 278 -6085 Early intervention /Preschooi (845) 378 -6014 Fax (845) 378 -6648 September 4, 2009 Mr. Joe Paravati, Inspector. Putnam County Health Dept. 1 Geneva Road Brewster, New York 10509 RE: The Lutz Residence 1965 Route 301 Town of Putnam Valley, New York Tax Map No. 19., Block 2, Lot 14 Dear Mr. Paravati, 23 "Areb.ite:eture oa a Finer Scale" 2 Raymnncl 'Drive, Carmel, NY 1'�35 "1'2 lrsnisn@ isiionArtsiJUxoiln 0 phone. 845.228.2333 Enclosed please find the following for the above captioned project: • Two (2) copy of the Proposed SSTS Repair Plan, and notes SSTS -1, dated 07.28.09 • Two (2) copy of the Proposed SSTS Repair Details SSTS -2, dated 07.28.09 • Two (2) copy of the Engineering Report dated 07.28.09 • Two (2) copies of the Design Data sheet M Fax: 845.228.2594 This repair represents the best available . solution -to the failure, given the constraints -of the. site. :: - -• �- Please review, comment and call me should you have any questions or comments Sincerely, MissionArrs Design Group, Inc. by &I ��i IV Douglas A. Florance, R.A. A.I.A. Enclosures Cc ission A 1 rt s ► 'Group a , Inc. September 4, 2009 Mr. Joe Paravati, Inspector. Putnam County Health Dept. 1 Geneva Road Brewster, New York 10509 RE: The Lutz Residence 1965 Route 301 Town of Putnam Valley, New York Tax Map No. 19., Block 2, Lot 14 Dear Mr. Paravati, 23 "Areb.ite:eture oa a Finer Scale" 2 Raymnncl 'Drive, Carmel, NY 1'�35 "1'2 lrsnisn@ isiionArtsiJUxoiln 0 phone. 845.228.2333 Enclosed please find the following for the above captioned project: • Two (2) copy of the Proposed SSTS Repair Plan, and notes SSTS -1, dated 07.28.09 • Two (2) copy of the Proposed SSTS Repair Details SSTS -2, dated 07.28.09 • Two (2) copy of the Engineering Report dated 07.28.09 • Two (2) copies of the Design Data sheet M Fax: 845.228.2594 This repair represents the best available . solution -to the failure, given the constraints -of the. site. :: - -• �- Please review, comment and call me should you have any questions or comments Sincerely, MissionArrs Design Group, Inc. by &I ��i IV Douglas A. Florance, R.A. A.I.A. Enclosures Cc issionArtws 'Architecture on. a piaer Scale si r _... tZayr�aaac€._pOve, C �rnnel, N'Y X0512 i a Phone: 845.228.2333 inc: IP Fax. 845.228.2S94 I Engineering Report for Septic Repair to: El The Lutz Residence: 1965 Route 301, Town of Putnam Valley New York, Tax Map No. 19. , Block 2, Lot 14, Prepared for:' Mr Jeff Lutz ° - -1965 Route 301 Carmel, New York 10512 i Prepared By: MissionArts Design Group, Inc. 2 Raymond Drive Carmel, New York 10512 I Report Prepared on July 28, 2009 �■ Engineering Report for Septic Repair to the Michelsen Res. October 20, 2008 Page 2 DesiLyn Intent: Pursuant to your request and, as a result of the existing sewage disposal system failure for the above captioned project; please find the following Engineering Report for the Repair of the existing sewage system with an Alternative Sewage Treatment System as indicated in "Appendix 75 -A Wastewater Treatment Standards —Individual House Hold Systems" as contained in Chapter II of Title 10 (Health) of the Official Compilation of Codes, Rules and Regulations of the State of New York. Proiect location: The project site for this repair to the existing SSTS is located at 1965 Route 301, Town of Putnam Valley Putnam County, New York. The project site is identified as Tax Map No. 19, Block 2 ,Lot 14. Project existing conditions and site constraints: o The subject parcel is zoned for a single family residence. o The structure is an existing one story dwelling with Two (2) bedrooms. o The subject property is located between Clarence Fahnestock Memorial State Park and Sagamore Lake. The finished first floor elevation is 104.6'. The existing dwelling is approximately 177' away from water ( stream at property boarder). I o The irregular shape 6 acre lot runs along Route 301 to the north and is a Town Highway Commercial lot to the south and a Preservation District to the East. The House and sheds are located by the road with the grade slopes steeply down from the north past the house to a flat rear yard. The property is rocky and wooded to the -rear property line. I- 0 The building is supplied with water from an individual well located in the driveway North west of the house. o The house has gutter and leaders that discharge to the surface on the side of the house and flow down to away from the existing SSTS toward therear of the lot. o The subject lot currently has an existing SSTS that consists of a 1000 gal plastic septic tank (previously installed in 2000 repair #R15 -00.) and 10 Rechagers on a gravel bed, located in rear yard of the house be hide the existing sheds. Effluent has been observed leaching out to the surface from the leaching field and resulting in system in failure. ❑ 2 Raymond Drive, Carmel, NY, IOSI2 ❑ Phone: 84S. 228-2333 ❑ Fax: 84S. 228. 2S94 ❑ MissionArtsDG .com Engineering Report for Septic Repair to the Ivlichelsen Res. October 20, 2008 Page 3 r Iwo test holes was excavated and witnessed by representatives of the Putnam County Septic Repair Program 6.12.09 (refer to soil testing data sheet). During the soils investigation at DT21 the area was found to have a layer of trace of top soil, followed by a layer of R.O.B. between 2 " -24" deep, followed by a layer of top soil between 25 " -30" deep followed by a layer of yellow brown silty sand between 31 " -84" deep. At DT -2 the area was found to have a layer of trace of top soil, followed by a layer of R.O.B. between 2 " -18" deep, followed by a layer of top soil between 19 " -24" deep followed by a layer of yellow brown silty sand between 25"- 60" deep, no water or ledge was observed. Two perc tests were performed (7.15.09 ) The resulting in a stabilized rate was over 15 min/inch at PT 1 at a depth of 25 1/2 ", a stabilized rate was over 15 min/inch at PT2 at a depth of 42" as indicated on the test data sheet. An area in the rear of the house were next to the existing septic system is located is the best location and most feasible area to design and install the best fit, alternative septic repair system. Remedial action taken: Utilizing the soil test data, and considering the aforementioned projects existing conditions and site constraints, a system installed with the "Eljen in -drain system" in a trench layout has been selected for the new sewage treatment system repair (refer to SSTS -1 for location and amount). Since this system is a repair, an alternate technology was selected to treat the effluent prior to discharging it into .the receiving native soils. The "Bljen in -drain Treatment System" was selected due to its ability to effectively treat effluent before being discharging into a small limited area for the system. The existing septic system is in failure and conventional means, methods, techniques and best design practice and standards of the systems repair in kind will not properly solve the problems associated with the failed system. A best fit alternative unit utilizing a_pre- treatment system of the waste water is therefoTe:re�6ihmended for this site. A properly sized' absorption area will be the best way to obtain the filtration of the wastewater. The new alternative SSTS shall replace the entire existing treatment system. Please note; refer to the SSTS plans for the layout of the sewage treatment system. The system is proposed to consist of the following components: ♦ The existing 1000 Gal plastic septic tank with Effluent filter (previously installed in 2000 repair #R15 -00) will be pumped and reused with a new effluent filter installed. ♦ Install new Eljen in -drain B43 modules, 8 modules per bedroom based on the perc rate of 15 min/inch for two bedrooms. Total of 16 modules.( 21 provided 3 rows of 7) ♦ The existing soil at the Eljen in -drain trenches is to be removed down below the layer of buried top soil and then replaced back under the units with the removed buried top soil reapplied on top. The buried top soil is being removed to allow effluent to reach under lining soils. ■ 2 Raymond Drive, Carmel, NY, IOSI2 ■ Phone: 845.228.2333 ■ Fax: 84S. 228.2594 ■ MisslonArtsDG .com ■ Engineering Report for Septic Repair to the Michelsen Res. October 20, 2005 Page 4 r � Manufacturer's data (Table 4 in "Eljen GSF Design Manual for NY') was used to size the absorption bed area. The in situ percolation rate 15min/inch was used to size the Eljen in -drain B43 modules 8 modules per bedroom for two bedrooms = 16 modules required. The location as shown for the required new SSTS area has been selected as a best fit solution resulting from the following site constraints; house location, existing topography, ledge, soils types, perc rate, and property line configurations (refer to SSTS for location). Effluent shall be delivered to the Existing 1000 gallon plastic septic tank with effluent filter (previously installed in 2000 repair #R15 -00) and then discharged by gravity main to a distribution box feeding the Eljen in -drain B43 modules. This system has been designed to pre -treat the waste water before the effluent reaches the virgin soil. Given all the constraints of the site the aforementioned alternative septic repair system represents the best available solution to correct the current failure of the existing septic system. Please review, comment and call me should you have any questions or comments. Sincerely, Mi.ssionA.rts Design Group, Inc. Dougl . Florance, R.A. A.I.A. 13 2 Raymond Drive, Carmel, NY, I05I2 13 Phone: 845.228.2333 13 Fax: 84S. 228.2594 ❑ MissionArtsDG .com ❑ PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET- SUBSURFACE SEWAGE TREATMENT SYSTEM ' Owner: Located at (street): Municipality: 1-0- fk)I'k.A— Address: !9tos 0(10 36l i TM 9 Section: �� Block •Z-Lot Watershed: j SOIL PERCOLATION TEST DATA i Witnessed by: Date of Percolation Test: i Date of Pre - soaking: -7 1 5 Lo I Hole No. Run No. Time Start— Stop Elapse Time (min.) Depth to water from around surface (inches) Start -Stop Water level drop in inches Percolation Rate min /inch X C> I /i- 2A (If 2 I� 2 1 IVV 2+v 3 0 ! I — 211 2. 2 1 eo -12: Zo 3v ! 2 3 j 2,2 12 tSo v - 3 0 2 4 5 2 3 ! 4 f 1 , 2 , 3 j 1 5 ! Notes: [. Tests to be repeated at same depth until aoproximdtely equal percolation rates are obtained at each percolation test hole. (i < 1 min for 1 -30 miniinch, < 2 min for 31 -60 minrinch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD-97. a; ! or f TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE N0. HOLE NO. HOLE NO. G.L. 1.0' c-�- 1.5' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' .._ ._....10.0'... Yr,L", � _ `,p tyk skvoo Indicate level at which groundwater is encountered Indicate level at which mottling is observed 3a t4 t Indicate level to which water level rises after being encountered Deep hole observations made by: Cfi � � 1"z(� LLl)G11�� E( ogAwxf,- Date �. I'2 G Design Professional Name: SUN} :2 k -f CCR ddress: :Z ''d . t — ti JUN -04 -2009 16:07 rv.. BRUCE R FOLEY Public Mal& Director MISSIONARTS DESIGN GROUP DEPARTMENT OF HEALTH 8452282594 P.02 i j LORETTA MOLINARI RN., M S.N. Associate Public Health Dove'tor Director of Patient Services 1 Geneva Road . . 'Brewster, New York 10509. , DUEST FOR FULD TESTIN G � ATTENTION: 0 JOSEPH PARAVATI I3 GENE REED All information below must be fU completed prior to any scheduling. DATES UNfE 2r � ENGINUR OR FIRM t a►'� PHONE : �2 REASON: DEEPS-..X PERCS: ❑ PUMP TEST: a i ROAD/STREET: I (CIS _' dv',1f_ COI TOWN: 1� V ► N Drr`k 15.1 L.. .� _ TAX MAP#: _ � � .' E SU$DYMION: '"' LOT #: ownA.- 1J1 Q NY EP CRITERIA FOR JOINT REVIEW AND WITNESSING QF S0114-TES _ PTO...:. o�,�' °' • Proposed STS within 500 feet of a reservoir, reservoir stem or control lake. a Proposed SSTS within 200 feet of a watercourse or a DEC wetland. ❑ Proposed SSTS design flow greater than 1000 gallons /day orSPDES Permit required. © Proposed &STS for a Commercial. project. It is the respoasi bility ofthe design professional to provide the above information prior to soil testing. This Department will determine the NYCDEP project status (Joint or Delegated) based on the response. It you answered yn'to any of the questions, NYCDEP most witness the soil tests.' This Department will cohrdinate a matually guitahle time for field testing with the Design Professional and NYCDEP. If a project has been determined to be Delegated based on the above response and then subsequant information indicates NYCDEP is required to witness the soil tests, it will be the sole responsibility of the design professional to schedule re'- witnessiAg of the soil testing with NYCDEP. FOR COUNTY USE ONLY DATE* / e�- /0 _ TabfC: zo 0© I COMM: �. (FIELDTEST) 10n, 1 C4awrrnel Po.nd 42 Ll Ai Y P, Lake Cdrn�af V., ck� Foshay Union,4; Corners CenT N 301 Ninham' u nh v en Corners 10, A J� 7-- Aw, MR, Af 0XV5." -2 ple. T:47 Clear Pool �,v .41 V 0. f s Tibet N gyf&!, RIAR j. Odgewood Golf Club 41 7 . � \� Q.00�� `$ � �� \`� 14 OQ do Use, t I ! I i /. ` tt polt R B A 40 --- Lockwood q. Pond 7/ .N. Ha A �MO _gj t�U kC, SSI Corners Long Pond, /---- .. i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: / —Q-7-7— Address: jt?6 5 7Z4'. 3 c�/ Located at (street): TM # Section:/? Block Lot Municipality: 1Pv7� ag VAILEZ Watershed: A uQp o,j SOIL PERCOLATION TEST DATA Witnessed by: Date of Pre - soaking: Date of Percolation Test: Hole 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� 1 i 2 4 - 5 1 2 3 4 5 1 2 3 4 i 1 i 2 3 4 Notes: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e., < 1 min for I -30 min /inch, < 2 min for 3 I -60 min /inch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97, pa I of 2 JUN-04-2009 16:07 MISSIONARTS DESIGN GROUP 8452282594 P.03 ">C) - - -- - - - - - - - - - - - 9- T . �§ t zrc lalu w iul I Q J � 180, u --1 In • JUN -04 -2009 16:07 MISSIONARTS DESIGN GROUP ` 4 Miss ion Ar is 1„ 8452282594 P.01 Des 1 I n. G r.0 11 i i To: t j r ` ' From: Douglas A Florance Fax l__T3 � lJ�pj — 'q pages-. o,. Got induclingj Cover) P6one:' l g4Q Z`7S —61`30 Datc . 61+49 Re' CC: . -Fie ❑ Urgent ❑ For Review 0 Please amment ❑ Pfease.Reply ❑ Please Rccy/ le WT r ioP�� r- i L4 C 1 - I O61 . ■ 2 Raymond Drive. Caand NY. Y 05I2tn F}iom 845.228.2333x". ] 0 F.,x: 845.228.2594 ❑ gNfl5 �ice(,,IylissionAi mDG I'ann ■ .I uArchi kect:ure on a Ff n e r SC* �a�e 1 i i To: t j r ` ' From: Douglas A Florance Fax l__T3 � lJ�pj — 'q pages-. o,. Got induclingj Cover) P6one:' l g4Q Z`7S —61`30 Datc . 61+49 Re' CC: . -Fie ❑ Urgent ❑ For Review 0 Please amment ❑ Pfease.Reply ❑ Please Rccy/ le WT r ioP�� r- i L4 C 1 - I O61 . ■ 2 Raymond Drive. Caand NY. Y 05I2tn F}iom 845.228.2333x". ] 0 F.,x: 845.228.2594 ❑ gNfl5 �ice(,,IylissionAi mDG I'ann ■ .I New York City Department of Emilromoenta l f Prateciian •www.n,yc.gov /dep 517„Junction Boulevard Flushing, NY 11373 465.Columbus Avenue ValhWia;'Idew York. '10591336 •' • Ste "v'en 11U:' LiWiits Acting Commissioner Tel, (718) 595 -6565 Fax (718) 595 -3557 Bureau of Water Supply Paul V. Rush, P.E. Dawy. Commissioner. Tel `(994)742 -2041 Fax (914) 741 -034$ Oct 1 My 1 U: 51 F. U'L October 1; 2009. Michael Budzins4, P.E. Putnam County Department of Health 1 Geneva Road Brewster, New York 10509 Re: Lutz Residence- SSTS -PCRP 1965 Route 301, (T) Putnam Valley. TM # 19 -2 -14 Boyds Corner Reservoir Drainage Basin _. DEP Log # 2009 -BC- 0616 -DJR.1 Dear Mr. Budzlnski: The New York City Department of Environmental Protection (DEP) has determined that the above-referenced applicataoia received by the DEP on September 17, 2009, is incomplete, The following information is required, before the DEP may commeuce'its review: o As (mottling was observed at 38 ;caches, provide addition fill material to maximize the separation distance between the bottom.of the trenches' and the mottled layer., d Provide the number of bedrooms on the'site plan. If.you.have -any questions regarding I:W matter, p tact tk>e undersigned_._ at (914) 742 -2010. Sincerely, avid Alderi.sio Isociate Project Manager astewater Design Review : Roger Sokol, P_E_,• NYSDOH Oct 1 2009 10:52 P.01 �fFAL 'New Fork City Department of Environmental Protcction Bureau of Water Supply Division Of Engineerinr 465 Columbus AveT)ue Valhalla, New York 10595 TO: (! `� FAQ: ��pZ 1 (ri1 /Ire A 1 , P --SON FAX DATE: V/ le SUBIJECT: — T # of pages: ■ee'a;■eaaINK0Yeaaabea ago apes* page" reraaraareawass some U *%wae ova aresaeaeertr COMMN S: Sheet of PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION O.F. EAN.- -VlI ONMENTAL.119E k 'Lf "S'ltkVICES FIELD ACTIVITY REPORT ADDRESS, l q�s lZfi 30l i"'v; A%�/✓1 V/�lLLg > J, y Street Town State Zip PERSON IN CHARGE f nR TNTFRVTFWFT)• :n Z144& 75G iL , 9 �>� -3/O� Name and Title TYPE OF FACILITY: 557-S FINDINGS:�o�A� 02/96 Hole # Lot # i r T1ST PIT PROFILES Dept's -to- water Hole # Lot # . Hole # _ Z Lot # Hole # Lot # .Depthtowvater = Depth'tograter: - "'.....'•.,.,..- Depth to water ._. Depth to mottlingr - " Depth to mottling. Depth to mottling Depth to rock/imp. j6Ajp-r Depth to rock/imp. Depth to rock/imp. G.L. G.L. G.L. 7rnat�+e i5,, 0.5 0.5 - 0.5 0.5 I 1.0 1.0 L3 ;/ 1.0 1.0 ; ®� 2.0 2.0 2.0 2.0 3.0 3.0 3.0 3.0' . 4.0. so 4.0 S:' Sa.. 4.0 5.0 S 5.0 ° 5.0 ' 6.0 r✓ 6.0 6.0 7.0 .7.0 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 10.0 10.0 Hole # Lot # Hole # Lot # Dole # Lot # Dept's -to- water '-Depth to'water " Depth to water Depth to mottling Depth to mottling Depth to mottling Depth to rock/imp. Depth to rock/imp. Depth to rock/imp.' G.L. G.L. G.L. 0.5 0.5 0.5 1.0 1.0 1.0 2.0 2.0 b >. 2.0 3.0 3.0 3.0 4.0 4.0 4.0 5.0 5.0 -5.0 ' 60 60 6.0 I 7.0 7.0 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 10.0 10.0 T O r � V � A Z O Ln 7' C0 co CDQ m N I (ti I W O Z 'c eh--� Q... ''ayl- lz 2 32 F6-1 jN t".V� Vk-Lrr...f SOLID PIPE OVER ROCK OUTCROPING D15TRI BUTTON E3OX Sj \ I END L TO GAP l HOLE � FO CRA 5PA Jvcf L m� -Lo 31-10 34-1 , As w -4 �5- ��'� o -- ' Nv r T O r � V � A Z O Ln 7' C0 co CDQ m N I (ti I W O Z 'c eh--� Q... ''ayl- lz 2 32 F6-1 jN t".V� Vk-Lrr...f SOLID PIPE OVER ROCK OUTCROPING D15TRI BUTTON E3OX Sj \ I END L TO GAP l HOLE � FO CRA 5PA Jvcf i DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New-York 10509 (914) 278 -6130 „ u_...._.:.:AP - Ll- .CATI.ON..�TO... CONSTRU.CT..A .WATER, WELL .: 4.., ; -:::� :M:•. PCHD PERMIT #6)- WELL LOCATION Street Address ki- 3o I Town V1ii-age Frfty Tax Grid Number T u�nczm \/o. OlSon 00 02 01q 060 Occo WELL OWNER Name P ar k k U ra 3 Mailing Address 4'5 vie-s+ Si 1 N SBPrivate O Public USE OF WELL 1 - primary 2- secondary gI RESIDENTIAL 0 BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP 0 FARM 0 TEST /OBSERVATION O INSTITUTIONAL 0 STAND -BY O ABANDONED ❑ OTHER (specify, O AMOUNT OF USE YIELD SOUGHT J gpm/ # PEOPLE SERVED _5' /EST. OF DAILY USAGE S ,,0 O Sal REASON FOR DRILLING REPLACE EXISTING SUPPLY ❑ TEST/ OBSERVATION GIADDITIONAL SUPPLY Q NEW SUPPLY NEW DWELLING 13 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING e a ; han6-ducl WQ WELL TYPE DRILLED DDRIVEN DUG (;RAVEL. O OTHER IS WELL SITE SUBJECT TO FLOODING? YES V' NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name ' Ar 01ctn Well Co Address: RI)5 IQiSa CA('m21 NI IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES v-' NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN.: i. LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED M ON SEPARATE SHEET (dat ) (sigh ture) 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 thirt -y (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 provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drillin operations be contained on this property and in such ,a manner as not to degrade or other w a conta nate surface or groundwater. Date of Issue: y 19 Date of Expiration 113 19 :Permit Issuing Official Permit is Non- Transferr ble Wh_itei - copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller I Boyd Aftesian WeN (Co., Deco -R- . � o.:,,.5 -.- Rte.....52.1--:. D. N Carmel, N.Y. 10512 (91 4) 225-3196 ABILITY M AP- K Rf 301 t �v ----------- ---- -- --- ------ 9 1pD I SO t �� ;. �. �, �: ;� i �. �. q ;� i� t� �= I ISM 1 �� �► � I , \, ;f $ AREA - I O l\ 1 WWOEN / 0 I °� -- � czM2 SPACE I } ; PAVYlJ Q + I o 1 \ I 0 1 COAC. l i PAroE( ONE STORY - �� l - y�> r / L�CAB /N - - -_ - c'awaefswnu 1 FF, %04.6 9a- 1 ,,_-SO+-- C^ / '^ WALK TOM4Df _- - -_ - -� �i� O:X_ PENCE G4ROEN _ _ >� -- —_- Cam/ - -_.�� — __- - - - -_- 1 - /02-- - - - -_- -�� _-- _�__— _- •- -__ —_- --- - - - - -- —'c - - -- - - - - -� - - - --- �, ROUTE.30 / PAVEA,ENT 40' ?• ALL SURVEY AND TOPQsRAPHIC INFORMATION HAS BEEN TAKEN FROM MAP OF 5URVEY BY PETER R " HUSTIS DATED OCT. 6J954 AND "DECKER S 5 T 5 R E P A I R P L A N p yh " ;;r w gwilp SURVEYING" CONTRPLTOR TO VERIFY CA RRENT SITE GONDITION5 AND OBTAIN PROPERTY LINE MARKINGS hl SCALP, I- • 10' -0' O S' 2O' FROM A LICENSED SURVEYOR AS REQUIRED. .Ij Y 6� L �y } I .t r 17 �I I I' 11 = r \ \ V' v i I + rn I I ► x -o p�-nX � IZiI_ \ O rn Nj II 1\ I II � i �rn - - - -- - - - __ 1 rn — 9s \ ; \ I -nG� -q z Aq m 1 13 � ZZ LD W / O C.° I U3 r II y r II$ - Q /ern! 5TON,- PopI m /