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Home My WebLink About2158DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30. -2 -52 BOX 19 02158 ,6 J - � �, �� , �� 'rL 1 L ' 02158 PUTNAM COUNTY DEPARTMENT OF r c Division of Environments/ .Health S&vrm,' Carmel, HEALTH ENG I NEER MUST: PROVIDE P11-' �. N. Y. 10512 PERMIT #., CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE' DISPOSAL SYSTEM Located at I) C1 �� /u�p - i��i� E Owner —5 ■ ,w / ��2 / Formerly ` Separate Sewerage =System built Consisting of 1600 Gal. Other requirements T1t.1 Town Or Vinite Tax Map 145- Block Tax Map Lot 0 6.1 Subd. Lot 4 Addreis QUE) i LBAU�i Water Supply: . /Public Supply From {nom,` � Privaie-5upply Drilled BY 06-6- �" .7 \ "' *'-k��`' _ Address Building Type No. of Bedrooms -� 8 Has Erosion Control Been Completed? Date Permit Issued Has garbage grinder been installed? 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 accord ce with the filed/glan, and the permit issued by the Putnam County Department Of Health. /f/ff% 7, / Date �-w a % l 18b y. � I C( Certified by. �° Address T, tJ r "��-;� `" P. E. R. A. License No. v 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 void when a public water supply becomes available. Such approvals Are subject to modification or change when, in the Judgment of the Commissioner of Health, such revocation, modification or change Is necessary. Date ` 8Y Title A.Ph� Rev. 6/85 is I Owner or-Purchaser f'Building 6+n-y .S7 t 1J Zc� Building Constructed by -pu ca � ize I J Location treet Municipality Building Ty e s Section Block Lot Subdivision Name Subdve Lot # _a. 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 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 syste a `_ f ` Dated this day of .� 19 � Signature �- Title C7, �' ASo 13 Corporation Name if corg�� Address Fp- k. S -- - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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 BRiEWSTER LABORATOMES Sou 224 - BRIEWSTIER, N.Y. (99 4) 225 -2072 VV�TEF� �,rJ,�,LYSIS REF'OO RT - SAMPLE NO. 5988 SOURCE: Gary Sawyer faucet -well Block 1 278a Pudding St., Lot 6.1 Putnam Valley, NY Sec 5 COLLECTED: November 6, 1985 BY: Gary Sawyer 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. November 8, 1985 Roy Bickwit P.E. Director N/F MENDELOWITZ Iron pin 150.37'r \,.a S Vro do,011"E r! c"i C� wall Cy b fn C6 X6.5 VO v 69.3 X59.3! < 4r-Cross cut _j W IL ioi 0 CID i r m - z in W 0 ICI 0 0 c C 0 O 0 $Me wall QeMr. lly—on line _,!'Iron pin U. U.) Jt U UJ C> 7 IC 3 0 10 I I I Lt: NU /CrJ r— 10 **-Y & - . . I SURVEY OF PROPERTY PREPARED FOR MR. and MRS. GARY SAWYER situate in the ..TOWN OF PUTNAMNALLEY PUTNAM COUNTY, NEW. YORK. Scale: I"= 50' Possession only where indicated 5ur-eyb-"hA � date Feb. 19,1985a,?e maR Feb. zo, 1785 Surveyed: July 24, 1984 and map prepisred: July 24,1984 4, by New York State Licensid-Su'rveyor N0.38804 Guaranteed to: In accordance with the existing Code of Practice for Land Surveys as adopted by The New York State Association of Professional Land Sur- veyors, Inc. Alteration of this document, except by a licensed Land Surveyor, is illegal. All certifications are valid for this map-and copies thereof only if said map or copies bear the impressed seal of the surveyor whose signature appears hereon. I : I N] 0 1,01 Putnam COWAY Department of Health - Division of EAVIronmental Health Services Appt&Ve_d.at noted for conformance with applicable Eules and Regulations of the PuthbA toifhty Health Department. S1 stare & Tit §h Date 41"P4 c;-r,( 4',,,r fl __ � "— �� .._ it __ II - ! � --- �' ..__ "- - ;U 114 Oil 4-o�G 6_1 _12iaz:� _�_ .1 L-1 A.Z. ST 4 A Z, - _12iaz:� _�_ .1 L-1 A.Z. P ., DAVID D. BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services CERTIFIED RETURN RECEIPT REQUESTED Mr. Gary Sawyer 278 A Pudding Street Putnam Valley, New York 10579 Dear Mr. Sawyer: April 7, 1986 JOHN SIMMONS, M.D. Deputy Commissioner RE: Finding of Violation & Stipulation Offer - Sawyer SDS - Pudding Street (T) Putnam Valley TM 5 -1 -6.1 Permit # PV 23 -84 . Please be advised that the construction of the sewage system and well authorized by the above captioned permit is in violation of Article III, Section 1(b) of the Putnam County Sanitary Code in that the facilities were not installed in accordance with plans approved by Robert J. Tutoni on May 24, 1984 and the system was used for disposal of sewage without prior issuance by the Department of a Certificate of Construction Compliance. You are referred to a letter dated February 14, 1986 from Jay Hodgens of this office in this matter, copy attached. Enclosed is a Finding of Violation notification, along with an Answer Form which you may choose to complete and return within seven (7) days after receipt of this notice. Also enclosed is a Stipulation Offer which indicates the Violation,. Stipulation and Penalties. You may resolve this matter by agreeing to the Stipulation and returning it within seven (7) days after receipt of this notice. If you have any questions relative to the above, do not hesitate to contact me at this office. V ry my ours, ohn Karell, Jr.,'P.E. Director JK:mk Environmental Health Services enc. cc: T. Costello, County Attorney Enforcement File TWO. COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 9 9 DIVISION OF ENVI ROWENTAL HEALTH PUTNAM COUNTY HEALTH DEPARTMENT ------------------------------------------- - - - - -X IN THE MATTER OF THE COMPLAINT AGAINST, GARY SAWYER PUDDING STREET PUTNAM VALLEY, NEW YORK FINDING OF Respondent(s), VIOLATION Arising Out of Alleged Violations of the Public Health Law of New York, The Sanitary Code of the County of Putnam, and Administrative Rules, Regulations and Standards Promulgated Pursuant Thereto. ------------------------------------------- - - - - -X PLEASE TAKE NOTICE THAT CHARGES have been preferred against you in that you have violated the health laws and /or the Sanitary Code as more fully setforth below - Violation Explanation Article III, Section 1(b) Failure to .install a sewage system and Putnam County Sanitary Code well water supply in accordance with approved plans. Failure to obtain a Certificate of Construction Compliance prior to using the sewage disposal system. YOU MAY ANSWER THIS FINDING OF VIOLATION on the enclosed form within seven (7) days after receipt of this Finding and Notice. IF YOU ELECT TO CONTEST any of the factual allegations, you may include with your Answer any statement of defense, mitigation, denial or explanation for each contested violation. If you elect a hearing on any of the allegations, you must indicate in the Answer whether witnesses will be called. IF YOU ELECT NOT TO CONTEST the factual allegations in the Finding of Violation, your Answer must contain an admission that the allegations are true. AN ADMISSION IN THE ANSWER CONSTITUTES A WAIVER OF A HEARING ON THE EXISTENCE OF THE FACTS ALLEGED IN THE FINDING OF VIOLATION. UNLESS YOU STATE THAT AN EXPLANATION WILL BE OFFERED, AN ADMISSION WILL BE .DEEMED A WAIVER OF A HEARING AS TO THE AMOUNT OF ANY PENALTY TO BE ASSESSED. ANY ALLEGATIONS IN THIS FINDING OF VIOLATION WHICH ARE NOT ANSWERED WILL BE DEEMED ADMITTED. ANSWER AND EXPLANATION MUST BE FILED within seven (7) days with the Division of Environmental Health, Putnam County Health Department, Two County Center, Carmel, New York 10512. FAILURE TO FILE AN ANSWER within seven (7) days of service of this Finding of Violation upon you constitutes a waiver of the right to a hearing, and, without further notice to you, the Commissioner of Health may make a factual finding of violation to render a decision and order sustaining the allegations and imposing a penalty. THESE PROCEEDINGS MAY BE RESOLVED BY STIPULATION AGREEMENT between the Putnam County Health Department and you. Attached you will find a proposed STIPULATION, with the terms and fines (if any) to be paid. Should you desire to resolve the proceedings in this manner, sign on the designated line and have your signature notarized. Return this STIPULATION within seven (7) days, with a certified or bank check in the amount of Two Hundred and Fifty Dollars ($250) representing the fine in this proceeding, to the Putnam County Health Department. Da t e d : / //i /A�r, Carmel, New York OWNER /OPERATOR RESPONSE: You may decide to accept or decline the Department's Stipulation. YOU-MUST SIGN BELOW and return one copy of .this.form to the Department within seven (7) days from receipt of this Stipulation. Check the appropriate box: I accept ..the above Stipulation offer and will comply with the conditions set forth. n I decline the above Stipulation offer and will appear for a Formal Hearing (to be scheduled). *,r MARGARET M. eLOOZA" NOTARY PUBLIC, State of New York No. 31.4605 ,602 Qualified in Westchester County Commission expires March 30, 19, S gned By: Owner /Oper or to STIPULATION OFFER In the matter of Finding the following Violations against: Mr. Gary Sawyer 278 A Pudding Street Putnam Valley, New York 10579 Violation Ex lanation Article III, Section l(b) Failure to install a sewage Putnam County Sanitary Code and well water supply in accordance with approved plans. Failure to obtain a Certificate of Construction Compliance prior to using the sewage disposal system. The following Stipulation is herewith offered: Item # 1. The owner will reconstruct the system pursuant to discussions at a field meeting held on March 24, 1986 with Messrs. Hodgens & Budzinski of this office, your engineer, Mr. Daly and yourself and pursuant to the information contained in Mr. Hodgen's letter dated February 14, 1986. 2. The owner will submit "as- built" plans signed and sealed by a professional engineer, licensed and registered to practice in New York State by April 30, 1986. 3. The owner will submit the necessary documentation for a Certificate of Construction Compliance by April 30, 1986. Fines 1. Failure to install a sewage system and well in accordance with approved plans. $1,000 2. Failure to obtain a Certificate of Construction Compliance prior to using the sewage system. $1,000 3. $1,750 of the fine will be suspended upon compliance with items 1 and 2 above by the required dates. 4. $250 fine is payable within seven (7) days. Mr. Gary Sawyer 278 A Pudding Street Putnam Valley, New York 10579 ANSWER FORM `I�Y� (Operator Must Answer Here Within DEPARTMENT OF HEALTH Seven (7) Days) Please Check One TWO COUNTY CENTER I Box For Each Item) Law, Code, Date I I Maximum I I Admitl I I Viol.l Rule I of I CARMEL, N.Y. :10512 I Assessible I I wit/hl I No. I Regulation I Violatiorl ( Fine I Admit] Ex 1.1 Den PCSC Art. 1111 Failure . to install a sewage system & well water supply in 1 I I I 1. 1. 1 Section 1(b)I 3127186 1 accordance with approved plans. I $1,000 I I K I I Failure to obtain a Certificate of Construction Compliance I I I �. I 1 2 1 1 (prior to using the sewage disposal system. 1 $1,000 1 1 �.�.. �� -�✓c� �- -CnC: (�� -� vim- `�i��-,., �.�,v� J2 �L�.e� � `;�.c�e.�..Q� G .zz l�� C ZIA., O U �""- �l�:,�l��/ � \`�i��.ia��`/ I✓..'.L .F�J / /17A��J� /'�'UU EESLL�LCU I-' a-up -taev� Ali 11:111,11, 11 00 PUY--" ��fix� I�CG� .1�/jGC➢�c�� V--2 *t' `John�M . S PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES immons, M.D. �missioner of Health — FIELD ACTIVITY REPORT — Signature an" Title -.PERS.ON AN,CHARGE OR INTERVIEWED: I`.:acknowl.edge receipt of a copy of this Fxeld_•Act:vty Report .................. TITLE: Sheet of INSPECTION Orig. Routine Orig. Complain _ Orig. Request Compliance Complaint Comp Final Group Illness Construction Reinspection Field, Sampling Only Field Conference Other TELEPHONE: Explain 1 - NAME?, Street Municipality (T)(V)(C) MAILING ADDRESS P.O. Box Post Office Zip Code TELEPHONE' _PERSON IN CHARGE `OR-INTERVIEWED Name `•nd Title z ' DATE°��. TYPE FACILITY TIME ARRIVED �G .�� TIME LEFT Signature an" Title -.PERS.ON AN,CHARGE OR INTERVIEWED: I`.:acknowl.edge receipt of a copy of this Fxeld_•Act:vty Report .................. TITLE: Sheet of INSPECTION Orig. Routine Orig. Complain _ Orig. Request Compliance Complaint Comp Final Group Illness Construction Reinspection Field, Sampling Only Field Conference Other TELEPHONE: Explain PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Commissioner of Health — FIELD ACTIVITY REPORT — Sheet of INSPECTION NAME Orig. Routine _ Orig. Complain ADDRESS �p1�rN �j'Z -� .. Orig. Request No. Street Municipality (T)(V)(C) Compliance Complaint Comp MAILING ADDRESS Final P.O. Box Post Office Zip Code Group Illness Construction TELEPHONE _ Reinspection PERSON IN CHARGE J Field, Sampling.Only OR INTERVIEWED Field Conference Name and Title Other DATE 3 -27 -8(;- TYPE FACILITY _ �. TIME ARRIVED TIME LEFT Explain FINDINGS: INSPECTOR: r—�� 1� <� kpifc TELEPHONE: 2-1FZ S-i, nature and lTl ale PERSON IN CHARGE OR INTERVIEWED: I acknowledge receipt of a copy of this SIGNATURE: Field Activity Report .................. TITLE: ln� 0 4 DAVID D. BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services Mr. Thomas Daly, P.E. Box 243 Shenorock, NY 10587 Dear Mr. Daly: '�'K JOHN SIMMONS. M.D. Deputy Commissioner Re: Sawyer SDS Construction Compliance Pudding Street, PV, TM 5 -1 -.61 Permit PV 23 -84 This Department is in receipt of the above referenced submission dated 17-January 1986 and received 29 January 1986. Review indicates that the following items have not been supplied: 1. Well yield test results. off- 2. Required certification on as.�built plan. 0f.1 3. Location of trench ends on as built plan. off✓ 4. Well referenced to two fixed points on as built plan. .5! House sewer cleanout location referenced to two fixed p(� ` P oints • . ¢r trna l�q %S AL c� e ti 0� 6. House footing drain location and depth on as built plan. As.communicated by Mr. Budzinski of this office, it is necessary to install the curtain drain as approvedlor excavate a deep test hole at least seven feet deep to verify adequate depth of soil above high ground water is provided by the footing drain. (!-,(L 7. Depth of fill appears to be less than the required three foot depth. As no notice of final inspection was provided by this Department, fill placement has not been demonstrated to be adequate. Accordingly, a seven foot deep test hole at a point south of last trench is required to verify the adequacy of fill placement. Departmental excavation inspection is required. 01" 8. Notification for Departmental inspection of:-encasement of footing drain to a point at least fifteen feet from closest trench. As built plan must reflect accurate location of ends of perforated, discharge and encasement pipe ends. Departmental inspection is required. -continued - TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 I -2- T. Daly; P.E. Sawyer SDS C X . , PV 2/14/86 In light of the fact that the installed sewage disposal system and well are presently in use and that you are wholly and completely responsible that the separate sewage disposal system above-described will be constructed as shown and in accordance with the standards, rules and regulations of the Putnam County Department of Health; 'and that on completion.a Certificate of Construction Compliance satisfactory to the Commissioner of.Health will be submitted to the Department. The insufficiencies noted above must be addressed immediately. Following Departmental inspection of the fill and drains as noted above and receipt of revised compliance documentation, review will continue. If you have any questions, feel free to call me at 225 -3838 or 225 -3833. JSH:amm cc: Gary Sawyer, Pudding Str Marvin O'Dell, PV Buildi File _, ,t DAVID D. BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services Mr. Thomas Daly, P.E. Box 243 Shenorock, NY 10587 Dear Mr. Daly: February 14, 1986 f JOHN SIMMONS, M.D. Deputy Commissioner Re: Sawyer SDS Construction Compliance Pudding Street, PV, TM 5 -1 -.61 Permit PV 23 -84 This Department is in receipt of the above referenced submission dated 17 January 1986 and received 29 January 1986. Review indicates that the following items have not been supplied: 1. Well yield test results. 2. Required certification on as -"built plan. 3. Location of trench ends on as.built plan. 4. Well referenced to two fixed points on as built plan. 5. House sewer cleanout location referenced to two fixed points. 6. -House footing drain location and depth on as built plan. As communicated by Mr. Budzinski of this office, it is necessary to install the curtain drain as approved, or excavate a deep test hole at least seven feet deep to verify adequate depth of soil above high ground water is provided by the footing drain. 7. Depth of fill appears to be less than the required three foot depth. As no notice of final inspection was provided by this Department, fill placement has not been demonstrated to be adequate. Accordingly, a seven foot deep test hole at a point south of last trench is required to verify the adequacy of fill placement. Departmental excavation inspection is required. J 8. Notification for Departmental inspection of-encasement of footing drain to a point at least fifteen feet from closest trench. As built plan must reflect accurate location of ends of perforated, discharge and encasement pipe ends. Departmental inspection is required. - continued- TWO. COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 U T. Daly, P.E. Sawyer SDS C.:C., PV -2- 2/14/86 In light of the fact that the installed sewage disposal system and well are presently in use and that you are wholly and completely responsible that the separate sewage disposal system above described will be constructed as shown and in accordance with the standards, rules. and regulations of the Putnam County Department of Health;" and that on completion a Certificate of Construction Compliance satisfactory to the Commissioner of Health will be submitted to the Department. The insufficiencies noted above must be addressed immediately. Following Departmental inspection of the fill and drains as noted above and receipt of revised compliance documentation, review will continue. If you have any questions, feel free to call me at 225 -3838 or 225 -3833. JSH:amm cc: Gary cc arvir VIMFi1e Very truly yours, %N % 1i N ! � .,l •� At 1 PUTP4M COUNTY DEPARTMENT OF HEALTH Permit H - ! Division of Enwronmenral Health Serlrces Ca mel N Y 10512 CONSTRUCTION PERMIT FOR SEWAGE ;�DISPO.. SAL SYSTEM 4 rl; WA owe 1 e Located at �-y�( Tax' Map _ �Hlock tot i 1 Subdivision N �-- •' Subd ; LOt p, . Renewal _ ❑ Revision .'[] 'Owner /Address •� `' Date��Of Previous Approval. 1 Building.Type L•ot Area. Pall gection-0nly ❑ t� Number of Bedrooms -Y. Design: Flow G /P /D �.� O �' P C H D/�NOtification Required Separate Sewerage Syiterti to consist of ��nn Gal Septic Tank and `� 71��g , ` `r• ►1�1 �+ 47 7 o be "constructed by �' ''iJ, . "3� Address Water Supply: Public- :Supply. From _SC Private Supply to be drilled by .Address SILL .� !y'Z-r7lliJ `1Z�� Other Req uvements 1 represent that I am wholly and completely responsible' for the design.and location of ,the, proposed iystem(s);'.1) that the separate sewage disposal system dment there to and, in.accordance.wifh the standards, rules an regu,a ons o e. Putnam ' above describetl_w�ll be constructed as shown on the approved amen , , County Department of_,- Health ,,,and that on completion thereof a SC.ertificate of 'Construction Compliance ",satisfactory to the,Commissloner of, County be'sutimitted to the Department; and ,a,.written guarantee will be furnish'e'd the owner his'successors, heirs or assigns by the`buiI er, that said= builder will place in good operating'contlition �iriy. part of said sewage disposal system during't he. perlod of -two (2) years immediately following thedate of the isiu 1. once of the approval of the 'Ceitificate °of Construction Compliance 'of `the original system:or any_:repairs theret )`that• the. drilled` well described above will be located as shown on the,.approved. plan and thataaid well will be insfatled in =accor anc ,with,. a stand' d r es•a regu a ons ':of,' the -Putnam' County Depart ent of Healt �. Date Signed % P.E. y R.A. Address License No.7� f�./ a APPROVED .FOR CON57RUCTION: This 'approval expires one year from the date "issued unless _construction of t building has been undertaken and is revocable .for cause or may be..arnended ;or'modified when considered :necessary, by Elie Commissioner _ of Health.. 'Any change .or alteration of construction requires•a new erm�t A -proved for disposal of .domestic sam _ry sewage, and /o nvate• water supply only P. P Date BY Title .Rev. 9 -81 - PUTNAM COUNTY DEPART OF HEALTH - DIVISION OF ENVIROMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY /SUBSURFACE SEWAGE DISPOSAL SYSTEMS FIELD INSPECTION RL-PORT I N ITIAL SITE IN SPELT ION I �r J 5-I YE.S I NO Property lines or corners found ................... Can estimate house location ..... o ................. Will driveway need cut ............................ Must trees be removed - note these .... >........... Deep hole representative of entire SDS area — o ... Additional deep holes needed ...................... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells /septics...o.. ........ ......... D.H. 1 Lot Depth to G.W. Depth to rock 0f 3f 6f 9f 12 D.H. 2 Lot Depth to G.W. Depth to rock Soil Descri tia 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. DATE: INSP. BY D.H. - Deep Hole 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 C6O55 �F-120�A- A \A AJV A� DATE: (0-23- -- FINAL SITE INSPECTION INSP.BY: YES NO COMMENTS _ House SSDS located per approved plan.. ........ — �r Length of trench measuredc�� Width of trench average 2 Slope of tile line and trench acceptable ...... < <. i Room allowed for expansion trenches .............. Over 100 ft. frcan swamp, watercourse ............. Natural soil not stripped or SDS area unnecessarly graded .......... . ...... ........... . 10 ft. maintained from property line and 20 ft. from house... ......................... Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench...o — ......... 15 fto of peripheral soil horizontally from trench.. — o ............................. Boxes properly set ......... ..................... i Could surface runoff frcan driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE.. .<. ... rev /9/85 �x� - A �L �''�q, �u� v�ac�'�,�. r��¢� . mk COrL-1 im.. ^ai u \1 kC au..3� .. n .a 1 j i C/o I(!-D- 22 59 AC. Ne s 24.1 SaAMI N031.; 0 Nq W % 20.20 AC CAL. ST (PICT , C 8.54 A AC CAL, 2.32 2 A 23/ 12.40 C.0 3 168. 37 Ar- Ile' 73.09 AC CAL. 011 Wo LEGEND A.0. SCHOOL DISTRICT LINE —SCH-- CLOCK NUMBER OD +� N� m-r C -U,44 —I— PARCEL NUMBER 7 • CATER -1 DISTRICT LINE —*— DEED BLOCK RLPgBfA 64&-o oN N.3 —L= .0 LOT .... W,, PARK DISTRICT LILAC LEGEND SCHOOL DISTRICT LINE —SCH-- CLOCK NUMBER OD FIRE DISTINCT LILAC —I— PARCEL NUMBER 7 • CATER -1 DISTRICT LINE —*— DEED BLOCK RLPgBfA t!� LIGHT r"STRI'T LINE —L= .0 LOT .... I PARK DISTRICT LILAC —0— OECD DIMENSION D SEWER DISTRICT LINE —6— SCALED DIMENSION PRELIMINARY MAP, " 5 TOWN OF PUTNAM VALLEY SCALE- C-400' Fmato No 36 PUTNAM COUNTY, N.Y. MATV Aram —xr —, 4-29-63mve u— —1—A- Yo PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date )A4- Re: Property of Located at 0 C4 �—" (T).?ij-k-jjW &LA& Section Block Lot Subdivision of hJ(4 d Subdv. Lot # -"?A&,C-Filed Map #Y Date Gentlemen: This letter is to authorize l0 1v` G a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a. separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed Countersigned: Owner of Property # 4�4-(c Address ox o' Address l4- 67f3•- o��-7 Telephone Telephone PUTNAM COUNTY DEPARTMENT.OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. ._Owner eMZ Address 4%5;4 Located at (Street _ 0 0 $Ajw S—% Sec. Block Lot �Indica e neares cross street) Municipality 4,�,W xm, V dy Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Number CLOCK TIME' J-- PERCOLATION PERCOLATION Run 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 Notes: 1) Tests to be repeated at same depth until approximatel equal soil rates are obtained at each percolation test hole. All data to bye submitted for review. 2) Depth measurements to be made from top of hole. 2 -Z Q CI 3 a_ Zl `Z, C `7_0 13 4 n - A S4- l7 - 20 3 (. 5 0-14 1 Z7- 3 g3 2 2 ZZ 3 R (3 Z 3 0-so a,6 t 9 2Z 3 l 2 1 2 3 4 5 Notes: 1) Tests to be repeated at same depth until approximatel equal soil rates are obtained at each percolation test hole. All data to bye submitted for review. 2) Depth measurements to be made from top of hole. i • x TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOTL3ENCOUNTERED IN TEST HOLES DEPTH HOLE NO.- HOLE NO. "L HOLE NO. G.L. -�olL j 6 It 12" 18" 24" 0 / 30" 11 k i 36'f r ►i 42" 48" 7) c�G 5411 6o" �Qa< 66" 7211 78" 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED /r� INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTE�D , 4 TESTS MADE BY 'j ; Date 17-1 DESIGN Soil Rate Used j( 2QMin/l "Drop: S. D. Usable Area Provide No. of Bedrooms Septic Tank Capacity Gals. Absorption Area Provided By/ Z�L.F.x24 w yt, `trenc .`< Address THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Cal. Checked by Date 7Rj iT C E VE D f !�Y 2 ! I PUTNAM COUNTY DEPT. OF HEALTH ` ! ��.. � 'e . � � jj :` \ \ �\ \� \ Q i, .\ ` `\ �`,,` �� s \ �h�. <� . � � � \ :`� � Cow h.c�� ' i �� i ': S .t t ; �; ,� __ �,,,, ct�` h -... J