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HomeMy WebLinkAbout2180DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30.18 -1 -24 BOX 19 to I or ,%r.. r? r , : , , Rev. C8 PUTNAM COUNTY DEPARTMENT OF HF'ALTH Division of Environmental Health Services, Carmel, N.Y. 10512 Engineer Must Provide PV 22-85 P.C,H.D, Permit # 1 CITE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM. PUT: LJ Aa�eFY;_: .. _..._ LAKE SHORE ROAD EAST Town or Village Located at Tact Map 8 Block 2 Lot 3 • 1 & 3.2 RONALD FIORENTINO ROAR G BROOK Owner/applicant Name Formerly -- --- Subdivision Name Subdv. Lot # 410.& 41 Melling Address LAKE SHORE ROAD WEST Zip 10579. Date Permit Issued..- 12/1/86 PUTNAM VALLEY, NEW YORK Separate Sewerage System built by R. F I:ORENTINO Address SAME Consisting of 1250 Gallon Septic Tank and - -140LF OF TRI— GALLERIES 12' —0 " o . Water Supply: Public Supply From Address ors XXX.X Private Supply Drilled by N. Anderson Address BAR ER ATRERTn PITT VAT ►]gy Building Type ONE FAM, RESIDENCE Has Erosion Control Been Completed? YES Number of Bedrooms 3 Has Garbage Grinder Been Installed? N Other Requirements I certify that the system(s) as listed serving the above premises we e c structed easent al as shown on the ans of the completed work ( copies of which are attached), and in accordance with the standards, rules a d r ulations, in ac co danc with the fil plan, and the permit issued by the Putnam County Department Of Health. / FEB. 13 1987 Date r Certified D P,E. R,q,XX Addres,MUSC00T NOR D#2JBX 48,9'-MAHOPAC,NEW YO 10541 055 7 � 6 use No - -- Any person occupying premises served by the above systems) shall pro ptly t ke we ction as may be necessary to secure t e correction of any unsanitary conditions resulting from such usage. Approval of the separate sews go. stem all become null and void as soon as a pub(;: sanitary sewer becomes available and the approval of the private water supply shall become null void an a public water supply becomes available. Such approvals are subject to modification or change when, In the judgment of the Commissions Heal h revocation, modification or change is necessary. Date 2°`' / By _ Title 1e� / � b� Rev. • 3186 ` 'i � CONS'I'RLJCTIUN PUTNAM COUNTY DEPARTMENT OF HEALTH . Division of Environmental Health Services. Carmel, N.Y. 10512 Engineer to Provide Permit # SEWAGE DISPOSAL SYSTEM at LAKE SHORE RAOD EAST _ on CERTIFICATE OF COMPLIANCE PUTNAM VALLEY Town or Village Name ROARING BROOK LAB &d, jet #410 & 411 Ta: Map 8 Block 2 Let 3.1 & 3.2 I R. FIORENTINO Renewal _❑ Revision Y Owner /Applicant Name Mailing Address LAKE SHORE .ROAD Date of Previous Approval Town PUT. VAL . , NY ZIP 10579 Building Type .ONE FAM, RES . • Lot Area 53, 712SF Fill Section only Depth Volume Number of Bedrooms 3 Design Flow G /P /D 600 PCHD Notification Is Required When Fill is completed Separate Sewerage System to conslat of 10 0 0 capon Septic Teak and 13 6 LF OF TRI GALLERIES To be constructed by R. F.I ORENT INO Add. K . SH . RD. WEST ,PUT . VAL . , tY 10579 Water Sapplys_Pdbllc Supply From Address XX ors Private Supply Drilled by N N. ANDERSON Address BARGER ST , PUTNAM VALLEY, NY 10579 Other Requirements represent that sm wholly and completely responsible for the design and location of the propose system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accords a with the standards, rules and regulations of e Putnam County Department of Health, and that on completion theieof a " to of Construction o pliance" satisfactory to the Commissioner of Healtnwill be submitted to the Department, and a written guarantee will b flumni-S d the owner, his cce rs, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disp sal syste during the per d two (2) years Imm dlately following thedate of the issu- ance of the approval of the Certificate of Construction Complia a of th original system r ny , pairs thereto; that the drilled well described above will be located as shown on the approved plan and that said well will be stall accordance st ards, r as and regu a�laTons of the Putnam County Department of Health. Date 10/17/86 Signed r P.E._ R.A. MUSCOOT NO,RF 2, 488, MAHOPAC, N 0'i l4�nse No 11056 Address APPROVED FOR CONSTRUCTION: This approval expires one y r from t e date ' ued unless construction of he building has been undertaken and is revocable for cause or may be amended or modified when considers eces y by t e Commissioner of Health. ny change or alteration of construction requires a new permit. Approved for disposal of domestic sanitary ... ate► supply only. I I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISIO4 OF ENVIRONMERIAL .HEALTH SERVICES RONALD FI0RENTIN0 8 2 3.1 p& 3.2 Owner or Purchaser of Building Section Block Lot RONALD FIORENTINO Building Constructed by LAKE SHORE ROAD.EAST ROARING BROOK'LAKE Location - Street Subdivision'Name .... PUTNAM.VALLEY 410 &'411 Municipality Subdivision Lot t ONE:FAMILY RESIDENCE Building Type GUARANIM 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 standard's, 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 - - - eaused ,by- the -wi11•ful 7or -Yieg'1-igent- act of- the,occupant of "the bu Bing utilizing" the system. = The undersigned further agrees to`. accept.. as -conclusive the determination the Director of the Division of Environinental Health. Services of the Putnam Coun Department of Health as to whether or not the failure of the system to operate wa: caused by the willful or negligent act of the. occupant of the building utilizin•:, the system. Dated this 13 day of FEB. 19 87 General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk Signature. Title CONTRACTOR Corporation Name' (if Corp.) AcY&ess a ti BREWSTER ILAB®RATOM ES _ B0u 224 - BREWS4EiR, (994) 225 -2072 SAMPLE NO. 6393 SOURCE: Kenny Fiorentino hose bibb - well Lakeshore Drive East Putnam Valley, NY COLLECTED: November 20, 1986 BY: P.F.Beal & Sons, Inc. BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method 0 per 100 ml. Hardness 2gpg Iron 0.02 mg /1 PH 6. This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. November 25, 1986 % � 6 Roy Bickwit P.E. Director Office Use Only DEPARTMENT OF HEALTH. Division Of Environmental Health Services COUNTY -DEPARTMENT OF HE ALTH —STREET WELL'LOCAT'ION AOURESS: WNW I I TAX GRIO NUMBEit'* Lakeshore Dr. , E. Roaring Brook Lake, Putnam Valley, NY WELL OWNER NAME. ADDRESS: Kenn y.Fiorentino, T,akPs'hn-rR Ap R BaAX_in_ZBrook Lk. P. V. ❑ PRIVATE 0 PUBLIC USE OF' WELL Iff RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR/60NO./HEAT PUMP ❑ ABANDONED 1- primary 2 - secondary ❑ BUSINESS 0 FARM 0 TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL 0 STAND-By 0- AMOUNT OF USE YIELD SOUGHT 22 5 gpm./NO. PEOPLE SERVED EST. OF DAILY USAGE gal. -REASON FOR NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION BS C ON DRILLING Z -REPLACE.EXISTIN.G;-SUPPLY -• C]:DEEPE-N-EXISTING--WELL,~,--, DEPTH DATA WELL DEPTH 2.255 t ft. STATIC WATER LEVEL 30 ft. MEASURED 11/11/86 DRILLING )b�ROTARY IN COMPRESSED AIR PERCUSSION 0 DUG EQUIPMENT 0 WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE 0 SCREENED ❑ OPEN END CASING. XX.OPEN HOLE IN BEDROCK 0 OTHER TOTAL LENGTH 21 tL MATERIALS: USTEEL 0 PLASTIC 0 OTHER LENGTH.BELOW GRADE' 20 ft. JOINTS:. 0 WELDED., , JaTHREAD ED 0 OTHER CASING DETAILS DIAMETER .6 1h. SEAL:. CMEMENT GROUT ❑ 8ENTONITE 0 OTHER WEIGHT PER FOOT 19 1b./ft. DRIVE SHOEMES '0 NO LINER: 0 YES ZMO SCREEN DIAMETER (in ) (in) ,.) 'SLOT SIZE LENGTH GTH (111)� DEPTH TO SCREEN (ft) DEVELOPED? DETAILS FIRST 0 YES 'O NO SECOND HOURS GRAVEL PACK ONO ...J GRAVEL ' SIZE: . DIAMETER OF PACK I 9- TOP. DEPTH —ft. BOTTOM DEPTH — It. WELL YIELD TEST If dei�iled pumping MErH*OO: INPUMPEO tests were done is in- :.,foe ' ?,�, O-COMPRESSED'AIR, --: mAtion;attadhed'?,�,' 0 8AILED 0 OTHER 'DYES -ONO 11 more detailed 1&ittiflion descriptions or sieve analyses WELL LOG - are available. pleaie... attach. DEPTH FROM, - - SURFACE I Water pese_� lng Weil v " I meter In - " '' '­. __. FORMATION DESCRIPTION ODE • it. I (L WELL DEPTH It. DURATION hr. min. DRAWOOWN It. YIELD 9pM. Surface. 6. Drilling in overburden clay and bLdr� -Tjf-Trnrjc at 10 feet 225' 6 205. 20 6,7 21 )riiiijag in rock,set casing,grouted.1 21 22 1; n-r-niij, in rock -aranite, WATER ❑ CLEAR TEMP. QUALITY 0 CLOUDY HARDNESS 0 COLORED ANALYZED? 0 YES ONO ANALYSIS ATTACHED? 0 YES ONO STORAGE TANK: TYPE CAPACITY GAL. PUMP INFORMATION TYPE MAKER MODEL CAPACITY DEPTH VOLTAGE — HP WELL DRILLER NAME P.F. Beal & So–ns, -Lnc. DATE / ADDRESS PO Box B Brewster,NY 1058 11 11/ 6 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEMM DISPOSAL SYSTEMS -% 2 - 321 1 \1.3 . � � l/ - FIELD .XNSRE ON REPORT DATE:---.— INSP . BY. (Name of Owner) (Street Location) INITIAL SITE INSPECTION YES NO OAS Wetlands on /or proximate to property............ Property lines or corners found....... Can estimate house location ....................... / Willdriveway 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. - Deep Hole G.W.- Groundwater D.H. 1 Lot D.H. 2 Lot D.H. 3 Lot Depth to G.W. Depth to G.W. Depth to G.W. Depth to rock Depth to rock Depth to rock Soil Descri tion 0 ft. 0 ft 3 ft. 3 ft 6 ft. 6 ft 9 ft. 9 ft 12 ft. 12 ft Soli Descr 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. Soil Descri DATE: FINAL SITE INSPECTION INSP.BY-. YES NO CAS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Roan allowed for expansion trenches .............. Over 100 ft. from watercourse .................... Natural soil not stripped or SDS area unnecessarly graded........... ..... o ........ 10 ft. maintained from property line and 20 ft. from house.— . ........................ Distance well to SSDS (ft.) ...................... Numberof bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench.. ............ 15 fto of peripheral soil horizontally from trench ..... .............................. . � Boxes properly set.. .... . ................... Could surface runofffram driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS......, FINAL GRADNG OF SITE ACCEPTABLE.. PUTNAM COUNTY DEPARTMENP OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS ��- j1-,.4-3.1-,,. ( Name of Owner) REVIEW SHEET - CONSTRUCTION PERMIT DAI'E REVI o�- (Street Location) DOCUMENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results (3) 30" Perc Hole Other House Plans - Two sets If PWS - Letter Variance Request REQUIRED DETAILS ON PLANS. Sewage System Plan Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume . . D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data Two -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter Curtain Drains Perc & Deep Holes. Located Representative of Sewage & Expansion Area E>cpansion Area; shown; gravity flow suFf . _see_.:.. :•= -- Ifi -'Pit &`D *Box Shown & Detailed House - No. of Bedroans Wells & SSDS's w /in 200 ft. of Property Located Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 110; Type pipe No Bends; Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains- Curtain,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' fran Foundation 50' to Well 15' Well to PL GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town/DEC Permit R & D) Data On DDS, Plans & Permit Same btleuxvllx �� 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 R. Fiorentino Address Lake Shore RD West,Put. Val.,NY 10579 Located at . ( Street Lake Shore Rd EasS:ec . 8 Block 2 Lot 3.1 & 3.2 ica a nearest cross•s ree Municipality Town of Putnam Valley -Watershed Hudson River. SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse. Depth to a er a er ve No. Time _ From:Ground'Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches PTH##1 ' 1 9`$30r, 10 :00 . 30 '36, 39.5 3.5 30/3 0 5 =8, 5 210-:01 10:31 30 36 39.5 305 30/3.5 =8,5 310 32 11.62 in r 3a _ s _ 5 30- 13.5_8 5_ 411:03 11:33 30 36 3905 3.5 30/305 =805 -PTH#2 19:35 10:05 30 36 3905 3,5 30/3,3 =9.0 210:06 10:05 30 36 39.5 3013 36/3o3 =900 411:08 11:38 30 36 39.5 3.3 30/ 3 a'3 =9 0 0 5 1 2 - r 1 � jJ .� f, Notes: 1) Tests I to be repeated at same depth until a roximately 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. DAVID D. 'BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services JOHN SIMMONS. M.D. Deputy Commissioner November 12, 1986 Joel Greenberg, R.A. RR #8, Muscoot North Baldwin Place Road Mahopac, New York 10541 RE: Proposed SSDS Fiorentino Lake Shore Road (T) Putnam Valley 8 -2 -3.1 & 3.2 P. V. Roaring Brook Lake Dear Mr. Greenberg: Review of plans and other supporting documents submitted at this time relative to the above captioned project has beeri:completed.- Comment are offered as follows: submit 2 copies of house plans submit'.3 copies of well permit'application show horizontal and vertical scale and finish floor elevation on sewage profile provide 10' separation of galleries.to driveway show leader, gutter and footing drains Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly ours, Anne tner AB :pt Asst. Public Health Engineer .cc:AB JK .File TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 ,. APPLICATION. TO•:CON�STRUCT *;WATER 'WELD ?? PCHD PERMIT WELL LOCATION Street Address LAKE SHORE ROAD Town/Village/City Tax EAST PUTNAM VALLEY, NEW YORK Grid Number 8 =2 -3.1 & 3.2 WELL OWNER Name Address MPrivate KENNETH FIORENTINO LAKE SHORE ROAD W. PUT, VAL,NY ❑Public USE OF WELL 1 - primary 2 - secondary 12 RESIDENTIAL ❑ PUBLIC SUPPLY ❑AIR /COND /HEAT PUMP ❑ BUSINESS O FARM O TEST /OBSERVATION ❑ INDUSTRIAL ❑ INSTITUTIONAL O STAND -BY 17ABANDONED ❑ OTHER (specify AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 4 /EST. OF DAILY USAGE300 gal REASON FOR DRILLING ®NEW SUPPLY ❑REPLACE EXISTING ❑PROVIDE ADDITIONAL SUPPLY SUPPLY ®DEEPEN EXISTING WELL DTEST /OBSERVATION DETAILED REASON FOR DRILLING DOMESTIC WATER SUPPLY FOR NEW HOUSE. WELL TYPE DRILLED ❑DRIVEN ODUG ®GRAVEL ®OTHER IS WELL SITE SUBJECT TO FLOODING? YES XXX NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: ROARING BROOK LAKE Lot No. 410 & 411 WATER WELL CONTRACTOR: Name NORMAN ANDERSON _ Address: BARGER ST,P9UT. VALo ,NY IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES XXXX NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE.- TO- PROPERTY:- -FROM- NRAREST..._WATER..MAIN• r LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON REAR OF THIS APPLICATION ®0 RAT 11/14/86 (date) - _____T_(4Tgnatu 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 thirty (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. Date of Issue: 19��G Date of Expiration: 19 ap ermit Is 'ng Office" Permit is Non - Transferrable 8/86 PUTNAM COUN'T'Y DEPART OF HEALTH - DIVISION OF ENVIRONMENTAL FIELD INSPECTION REPORT INSP. BY ( of Owner) treet Location) INITIAL SITE INSPECTION YES NO COMMENTS Wetlands on/or proximate�to property y.. ........... Property lines or corners found ................... Can estimate house location... .................. G Will driveway need cut ............................ Must trees be removed - note these ................ J� 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. - Deep Hole G.W.- Groundwater D.H. 1 Lot D.H. 2 Lot D.H. 3 Lot Depth to G.W. G-r. ?' Depth to G.W. Depth to G.W. Depth to rock Depth to rock Depth to rock Soil Description Soil Descri tion it- estr' ion 0 ft. ( 0 ft. 0 ft. 3 ft. ""'"` 3 _ -.3 f 3 ft.p� 6 ft. �J 6 ft. 6 ft. 9 ft. 9 ft. DS 9 ft. l Uk& 12 ft. 12 ft.'� vI2 ft. M DATE: FINAL SITE INSPECTION INSP.BY: YES NO COMMENTS 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 unnecessarly graded............ .... ......... 10 ft, maintained from property line and 20 ft. from house... .... .................. Di-stance well to SSDS (ft.). ...................... Numberof bedrooms checks ........................ St_o►es, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench ................ 15 ft. of peripheral soil horizontally Fran trench ................................ Boxes properly set ............................... Coatld surface runoff fran driveway, roads, grand surface, etc., channel near SDS area.... j Do--slot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE..... .......... PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 5/1/85 Re: Property of Ronald Fiorentino Located at Lake Shore Road East. (T) 8 Section - - - -- -Block 2 Lot 3.1 &302 Subdivision of Roaring Brook Lake Subdvo Lot * 410 & 411. Filed'Map # Date Gentlemen: This letter is to authorize Joel L.. Greenberg a duly licensed professional engineer or registered architect xxx (Indicate . to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance wiih 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".,1ttie .pravisitons of Article 145 or �: - -14 7, £citxco ion Law, E0 q tary . Code. G\ ��RENCE c �wv a M° 0 56 is Health Law, and the Putnam County Sani- untersig ed> �op NEB �o 11056 oot No,RFD #2.Bx 488 9s ,C,NY 10541 ,3 'e ��lr Very Signe Lake Shore Road'West Address Putnam Valley,NY 10579 Town 528 -2373 Telephone 6 T R-1-11" w sxv.,m. v WVN.LnJ .40 N*01 00 W.0 OW, y 01 1 MWI-74MA 6 NOl.LVWWdNJ J.>S.LSOO WaWS SNO lit�[A3H Ill., I AlW S3SOdW%d XVI UO. "09 Ott X0080 9 A Is 111�6�61 I J 01 al IR NO lz or 6a ez LZ 01 61 el cl N, 2v cil 91 rl. • 9 /-1' 'isola' • T R-1-11" NOl.LVWWdNJ J.>S.LSOO WaWS SNO lit�[A3H Ill., I AlW S3SOdW%d XVI UO. "09 Ott X0080 9 A Is 111�6�61 I J 01 al IR NO lz or 6a ez LZ 01 61 el cl N, 2v cil 91 rl. • 9 /-1' 'isola' • 77. a. I ® IV. V. Vi. APPENDIX C FINAL SITE INSPECTION Date j2, / OWNER I pected by )0,/ $. ()P1 Si-TRT)TX7T.qTrW Tryp 4 YM Nd CCMM&9TS SEWAGE DISPOSAL AREA a. SDS area located as per approved plans b. Fill section - Date of placement 2:1 barrier.. IGTH WIDTH AVG.DPTH c. Natural soil not stripped. d. . Stone, brush, etc., rester than 151 from SDS area. A e. 100 ft. fram watercourse /wetlands. SEWAGE DISPOSAL SYSTEM a. Septic tank size - 1,000 1,250 ) b. Septic tank installed level c. 101 minimum from foundation d. No 900 bends, cleanout within 10 ft. of 450 bend e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested 2. Protected below frost 3. Minimum 2 ft. original soil between box and trenches f.. JUNCTION BOX -,properly set g. TRENCHES 1.. Len required - 1 A Length installed .2. Distance to watercourse measured*. ft. 3. Installed according to -plan 4. Distance center to center p —A- k: 5. S.12r,�2 of trench acceptable 1/16 - 1/32 " /foot. i 6. 10 feet from property line - 20 feet - foundations 7. Depth of trench <-30 inches from surface 8. Roan allowed for expansion, 50% 9. Size of gravel 3/4 - 11" diameter 1 10. Depth of gravel in trench 12" minimum 11. Pipe ends hb PI-W- -OR. -DOSE.- SYSTEMS 1. Size of pump chamber, 2. Overflow tank 3. Alarm, visual audio 4. Pump easily accessible manhole to -grade 5. First box baffled 6. Cycle witnessed by Health Department estimated flow per cycle HOUSE a. House located per approved plans. b. Number of bedrocins WELL a. Well located as per approved plans b. Distance from SDS area measured ft. c. Zgs�ing 18" above grade. d. Surface drainage around well acceptable. OVERALL WORKMASHIP a. Boxes properly grouted b. All pipes partiallybackfilled c. All pi flush with inside of box d. Backfill material contains stones < 4" in diameter e. Curtain drain installed according to plan f. Curtain drain outfall protected & dir.t6 exist.waterCOUrSE g. Footing drains discharge away frcm SDS area h. Surface water protection adequate i. M'-r—osion control provided on slopes greatex than 15%. n Ol p •,�,�. ,�, ":q `' SEA �0� ,p O J o Y G/0 •,,60.00' .o o- o W 40.00 ' F'Cb DQ' � 1 �453�712 m c'� 1000 Ga P¢ECAST 0 0 o' 7/ 5L0 Ca4c. fie c TDAIKN 5¢ '' _ ✓ 31 ~� 9Q } ti� ti t cv% N TYP. JUwcT v Q 80+ta5 - k v ki 40OLr- OF � c 4 W V -0' w 102 o g CLEA41i s c �s o. } F E X05 O 0 Q I jpWA 0•DO = �� �9•_` o n 'Oo "CEO/ N gtoPE V4 r e a [/ sr' 30 • _ , °� Q� P. X30, pole 'C 4a 0� wood A d s-i- 0 r �J li'E 'PL A 1.1 I11= 30.0' Drawing TItIe:. \�/!aG.E .I ;�i.. L o Protect; 777" o u 5 Fob Dr 2 1 � M("L. 4C. � Io2.ErvTiNO � -. L A 4C= ��{OQ E rZOA�% - TAx MAP- 0 -- 3.i�3.2 Ch 'PU-TNAt -A VOLLE`�, N Y. to5-74)