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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.10 -2 -47 BOX 20 'Irm '7 0 Irl 96t. � ■ �,�, �, � -Im } ` 02328 Re 3 486 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N.Y. 10512 Engineer Mast Provide s % P.C.H.D. Permit N- 2��( lo . _CE .._ _CATE._OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM 7-P7L'%//! (���% -✓ n. . _ : _ P4I ,_...� :. .- _:... ._..� Rd, , __ ...... •. - �'�7 ". �f! C.�, Town or V � e` � 8g O a -/ Located at i b ri S Tau Nap r, Block 5 /_ 4 of Owner /applicant Name jj�� Formerly Subdivision Na e Sabdv. Lot q MaWng Address PO Aim 12-28 !O� Date Permit Issued Separate Sewerage System built by 'd Address /TA�/% A—W-0116� Consisting of ©� Gallon Septic Tank and 6 Water Supply: Public Supply From ' � _ / ' _ Address p le or: Private Supply Drilled by /vdI'/�I&W A7C /7 Address /•• '�'t/ ®� � � �`4wm Has Erosion Control Been Completed? Building Type® Number of Bedrooms Has Garbage ,Grinder Been Installed? Other Requirements %l.C� L� �'�" �"� �� y/'G� / /1.►� I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies of which are attached), and in accordance with the standards, rules and regulations, in accordance with the filed plan, and the permit issued by the Putnam County Department Of Health. Date u ` Certified b �r P.E. R.A. Address PO �' O�L " - License No. D.g20032 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 pubV: 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. y Date By —2� `'�-- �T,tle "___� fi�0�0 WELL COMPLETION REPORT Office Use Only DEPARTMENT OF HEALTH Division Of Environmental Hea1>i:In Services W PUTNAM COUNTY DEPARTMENT OF HEALTH ST ET ADDRESS: � WNIVI TAX GRIO NUMIIM- WELL LOCATION WELL OWNER jAME: PUBLICS USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑ PUBLIC SUPPLY: ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM O TEST /OBSERVATION O OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL O STAND -BY ❑ MOUNT OF USE YIELD SOUGHT S� m. /N0. PEOPLE SERVED -�" 9P / EST. OF DAILY USAGE '( °O gal. REASON FOR DRILLING NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST / OBScRVATION 0 REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 300 ft. STATIC WATER LEVEL ` l`clft. DATE MEASURED ;Z// b DRILLING EQUIPMENT ja ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. )Z OPEN HOLE IN BEDROCK 0 OTHER CASING TOTAL LENGTH ft MATERIALS: &STEEL O PLASTIC OTHER LENGTH .BELOW GRADE ft. JOINTS: ❑ WELDED j'THREADED ❑ OTHER DETAILS DIAMETER in. SEAL: ❑ CEMENT GROUT O BENTONITE.BTITHER WEIGHT PER FOOT Ib. /ft. DRIVE SHOE�ELYES ❑ EO LINER: ❑ YES ` NO SCREEN _ DETAILS .... DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? FIRST . ... . _. _ _ O YES O NO, POURS SECOND .. GRAVEL PACK O YES O NO GRAVEL SIZE DIAMETER OF PACK in. TOP DEPTH fL BOTTOM DEPTH It. WELL YIELD TEST If detailed pumping . M H00: O PUMPED tests were done is in- COMPRESSED AIR , formation attached? O BAILED O OTHER i 0 YES ❑ NO WELL LOG It more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water Bear- ing weR Dia- mate FORMATION DESCRIPTION pOE, ft. it, DEPTH It. DURATION hr. min. ORAWOOWN It. YIELD gpm. Surface % 10 0 WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? O YES ONO ANALYSIS ATTACHED? O YES O NO STORAGE TANK: TYPE Cid." (_ 7/%Ve, aJ a CAPACITY ) GAL. " 7' © PUMP IN ORMATION � (L,� TYPE �' CAPACITY y MAR DEPTH °2 o VOLTAGE HP WELL DRILLER NAME =4y✓ o AO '�� SIGFIXTURE �A W,3 17 U &j946 IVIS A2-,4CvL,6 D hqo 014 67. IF Y,0 Dic c 4 9f i I - -/?o. �ox -22- - -- —P m D14le-c-riCio —7A 4A),6 isOZ.7- C) 4- FO Li &j946 IVIS A2-,4CvL,6 D hqo 014 67. IF Y,0 0 Lj _,CAAJ P�o �Vd - '�'1 S i I - -/?o. �ox -22- - -- —P m OA) C 6- T Fo �C.�, PUTNAM COUNTY DEPARTMENT OF HEALTH N lam Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTR CTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Pc/ Ala M 44,LSY �T q �q Town or Villane ._ Located t � G Tax Map?o FJt- �� -� Block IR04 Subdivision dkWG ga�� LAWS Lots r =i Y =T Job, Owner _YVf 1110M M6Ure0j L Mrot Building Type P4 r S 2:d C4K ek Lot Area Number of Bedrooms Design Flow Separate Sewerage System to consist o Gal. Septic Tank To be constructed by Water Supply: Public Supply From �/( Private Supply to be drilled by + ��2,N4,4 L' Address III PSES '5-r- 170 Aryl Other Requirements Total Ha itable_ SP • `_Sa are Feet Addeesssess��u �y I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules and regulations o the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following thedate of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the'drilled well described above will be located as shown on the approved plan and that said well will be installed in accordance with the standards, rules and regulations of the Putnam County Departmert of Health. Date `/ A4 , SAig_ne �r P, E. RI,A, �✓ Address 74doK X0 �'Y4i o�Q �J4' License No. APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the - Commissioner 'of Health. Any change or alteration of construction requires as new permit. Approved for ces disposal of domestic sanitary sewage, and ate w�at -er sup ly only Date L✓ �_. By�y����'_ Title✓ PETER C. ALEXANDERSON County Executive Mr. John Swanson RFD 4, Geymer Dr. Mahopac, NY 10541 Dear Mr. Swanson: �.....,. _,.. _ENID L. CARRUTH, M.P.H. - Public Health Director JOHN KARELL Jr.; P.E. DEPARTMENT OF HEALTH Director Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 December 8, 1988 Re: Compliance - LaWare Arbutus St. (T) Putnam Valley TM #5 -.1 -16.4 and #15 -3 -6 A final inspection of the above captioned sewage disposal system was conducted by this writer on September 7, 1988 and November 29, 1988. The following observations were made: 1) House setback appears to be greater than the approved setback causing the sewaee disposal area to be mislocated. 2-- Y Trench -on = No -Trench-West side is 15 feet .away--from.-foundation of. _ house. A minimum distance of "-20 feet' "i's 'r"equined. °`- - 3) Well not located as.shown on approved plans. 4) Fifty percent expansion area does not appear available. This department, therefore, finds it necessary to: 1) Remove any existing linear feet of trench less than 20 feet away from the house foundation and relocate in the expansion area. 2) Have a licensed surveyor locate the edge of swamp, retaining wall, septic tank, distribution box, ends of trenches, well, house and available expansion area for further review. If you have any questions, please contact this writer. Very truly yours, LCW /kv Lawrence C. Werper Assistant Public Health Engineer PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Mr. John Swanson, PE RFD 34, Geymer Drive Mahopac, NY 10541 Dear Mr. Swanson: April 20, 1989 I Ii ( - LIU ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Re: Compliance - Laware Arbutus Street (T) PV TM #5 -1 -16.4 & #15 -3 -1 A reinspection of the above captioned disposal system was conducted by this writer on April 19, 1989. The following observations were made: 1) Trench.on North -West side, 15 feet away from foundation of house, has been abandoned. 2) The above mentioned trench has been relocated in the expansion area. A review of 'As Built' plans indicate that fifty percent expansion area can be documented,_ .as_ ava ,l.able, .a...,minimum of 50. feet away. ��from= -the -edge -:- swamp. _...... This Department, therefore, can continue its compliance approval process once the required paperwork is received. If you have any questions, please contact me at your convenience. Very truly yours, l Lawrence C. Werper LCW:jr Assistant Public Health Engineer DAVID D. BRUEN County Executive John Swanson RFD 7, Box 120 Geymer Drive Mahopac, New York Dear Mr. Swanson: DEPARTMENT OF HEALTH . Division Of Environmental Health Services October 23, 1986 10541 RE: Proposed SSDS L A ware Arbutus Street (T) Putnam Valley The referenced application is being returned.for the following reasons: 1. Tax Map # not provided; it should be included on each document 2. New well permit forms are provided. Please complete -We will send you , extra _c.ppies _:.fox:_youur. 'future use _. 3. One more plan of SSDS should be submitted.` As submitted, this application is too incomplete to review. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. AB:pt cc:AB JK File Very truly yours, n e Bittner Asst. Public Health Engineer TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) . :225-3641 DAVID D. BRUEN County Executive John Swanson RFD 7, Box 120 Geymer Drive Mahopac, New York Dear Mr. Swanson: DEPARTMENT OF HEALTH Division Of Environmental Health S RKECEIVEL-'O') October 23, 1986 OCT j 1986 10541 PUTNAM DEPT. DEPT. OF COUNTY RE: Proposed SSDS �1 Ware Arbutus Street (T) Putnam Valley JOHN SIMMONS, M.D. Deputy Commissioner The referenced application is being returned for the following reasons: 1. Tax Map # not provided; it should be included on each document 2. New well permit forms are provided. Please complete. We will send you extra copies for your future use. 3... One more plan of SSDS should be submitted. As submitted, this application is too incomplete to review. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very, truly yours, n e Bittner AB :pt Asst. Public Health Engineer cc:AB JK File TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225-3641 co DAVID D BRUEN JOHN $IICAMON5 M.O:" "' County Executive Ftt, �Q� Deputy Commissioner DEPARTMENT OF HEALTH Division Of Environmental Health .Services November 26, 198.6 Mr. John H. Swanson RFD #7, Box 120 Geymer Drive Mahopac, New York 10541 RE: Propdaed SSDS La, Ware Arbutus Street Roaring Brook Lake'.. (T) . Putnam. Val -ley Tax Map; # 5-1-16.4 and 15 -3 -6 \� Dear Mr. Swanson: Review of plans and other supporting,documents submitted at this time relative to the above captioned project has'been completed: omments are offered as follows wetland area to the east of SSDS is a'design:ated State Wetland; �g'� Separat )1i-,dxS.t i ce._of _1Q0'_ should be maintained.- �oc�; .r-7df�. �Q well detail should show grade sloping away from well plans should indicate exact location';of SSDS on lot #87. ov, show gutter and leader drains P �lt./ ✓ tax neap # should be included on all documents where indicated �:' bends in sewer pipe should be eliminated by placing septic tank in direct line show detail of curtain drain plan shows' insuffI`c�,erit length of trench; should provide at least 300 lin. foot r TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 F PUTNAM COUNTY DEPARn4ENP OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEMGE DISPOSAL SYSTEMS _;R -1 W. W'_SHEETT — Cor1STRUC°rlri-N. :PR�:?bUT:. -: a 1 VAS ^ ) - - DATE REVI . I°,t QXA A O n 4-1 ,v� BY: (Name of Owner) (Street Location) COMMENTS YES NO DOCUMENTS Permit Application Corporate Resolution D� Plans - Three sets y}1 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 Expansion Areashown;gravity f- c1R�;suff. -size , If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Property Located Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 "0; Type pipe No Bends; Max. Bends 45° 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 -20,1) Septic Tanks 10' from 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 p DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 _ .. _ ._.:.:..,P.P_LcICAT,.I {�N__�'rJ rwC�n?S'?'RUC?' A._.WATER- WEI�I;;,:: <: ..lu..,.,�. ",..._ ...x,.�.._....._:.�_ �.,<.,_.v.._ PCHD PERMIT # �/ WELL LOCATION Street Address A i' -jou -� a6 Town Village ity. Tax +. U ��.n r _ Grid Number WELL OWNER Na ,q Address � i6 l3�'e - ^�' !%E� Lo ,s vV �7 i�l�t►`Yi t�P �'It rivate ; 4J ❑ Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑ BUSINESS ❑ INDUSTRIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP O FARM ❑ TEST /OBSERVATION O INSTITUTIONAL ❑ STAND -BY D ABANDONED ❑ OTHER (specify ❑ AMOUNT OF USE Y3; LD SOUGHT E�2 gpm /# PEOPLE SERVED 4 /EST. OF DAILY USAGE S gal REASON FOR DRILLING OKEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL ❑ TEST /OBSERVATION DETAILED REASON FOR DRILLING IV -yv 14 Oirnc m tu' i` -To nio Yv r f 4c, Te <74 +ter I d WELL TYPE DRILLED ODRIVEN ODUG ®GRAVEL C3 OTHER IS WELL SITE SUBJECT TO FLOODING? YES Ae- NO IF WELL, IS LOCATED IN .A EALTY .SUBD VISION, NAME OF SUBDIVISION: R Lq� 13P-.%_ =r Ma, A = '1-» Lot No. ' WATER WELL CONTRACTOR: Name tjoyn'l" A 1mPs(,, Address: `°' C' V rlc,9m IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES - NO NAME OF PUBLIC WATER SUPPLY: tJ .A TOWN /VIL /CITY DISTANCE TU• PROPERTY- FROM NEAREST._WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED [)ON REAR OF THIS APPLICATION 0ON67PQR,�TE SHEET.,e2 0 (date) (signature) 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 �ermi�uing Date of Expiration:,3� 19 'cial ,- Permit is Non - Transferrable PUM M COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES �, . �. _> - � _ ������ _. j_ ..._ter � _��� � � °=•�dH P-It�; AV (Na 6ff Owner) (Street INITIAL SITE INSPECTION Wetlands on /or proximate to property .............. Property lines or corners found ................... Can estimate house location ....................... Will driveway need cut ...................:........ Must trees be removed - note these................. Deep holes representative of entire SDS area...... Additional deep holes needed.......... ... ...... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells/ septics ............................ D. H. 1 'Lot Depth to G. W. Depth to rock Soil Descriptic 0 ft. 3 ft. r 6 ft. j 9 eft. __.. _12 ft D.H. 2 Lot Depth to G.W. Depth to rock &PORT.. YFS NO OC)NIIKFS Soil Description D.H. -.Deep Hole G.W.- Groundwater D.H. 3 Lot Depth to G. W. Depth to rock 0 ft. ° 0 ft. FINAL SITE INSPECTION INSP.BY: YES 3 ft. J� 3 ft. 6 ft. 6 ft. Length of trench measured 9 ft. Width of trench average 9 ft. Slope of tile line and trench acceptable......... Soil DATE: FINAL SITE INSPECTION INSP.BY: YES NO COMMUS 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. fran watercourse .................... Natural soil not stripped or SDS area unnecessarly graded........... ... ........ 10 ft. maintained fran property line and 20 ft. fran house ..... ........................ Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft: fran nearest trench.. ........... 15 ft. of peripheral soil horizontally from trench ..... ............................... Boxes properly set.. . .... .......... ......... Could surface runoff fran driveway, roads, ground surface, etc., channel near SDS area.... ( __ Cues lot drainage appear OK in area of SDS* ....... FINAL GRADNG OF SITE ACCEPTABLE°... PurNAm COUNTY DE PARENT OF HEALTEr DIVISION OF E V IRMUN'I'AL HEALTH SERVICES DESIGN DATA 'SHEET'= SUBSL,FtiCE`�dl QYZ POvP.L. SXST�M.�;. „ - FILE W Owner Wia m huVreat Address $! down S-E'• Pee �-s44.v l l �( Y p rang $reo Located at (street) QrbU+IJ.S (Pudding sec. c t e> Block Lot +M (indicate nearest cross street)Nf Municipality POT14 » i & 11 e_q Watershed (66r vim) , SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMI= WITH APPLICATIONS Date of Pre- Soaking g 14 ACO - - Date of Percolation Test 15tallAr. 5 3 4 101 J8 Z1.10 3,10 3.ZC2 5 1 Portolaf1'e,i Qw e o +a tb {M1 t,:4 1,:4.ict4 2 3 4 5 NOTES: 1. Tests to be repeated at same depth un-tU approximately equal soil rates are obtained at each percolation test`;hole. All.-data to be subnitted for review. 2. Depth measurements to be made frm top of hole. rev. 9/85 HOLE NUMBER COCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches Note 1 3 18 '20 2 ! ; -05 *t 2 G, Lb fi=t% 3% t•8� 3 4 5 3 4 101 J8 Z1.10 3,10 3.ZC2 5 1 Portolaf1'e,i Qw e o +a tb {M1 t,:4 1,:4.ict4 2 3 4 5 NOTES: 1. Tests to be repeated at same depth un-tU approximately equal soil rates are obtained at each percolation test`;hole. All.-data to be subnitted for review. 2. Depth measurements to be made frm top of hole. rev. 9/85 TEST PlT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. Ik 02 HOLE NO. Top �5e G.L. 1, Gruftl 5 (S ray 00 21 31 41' 5' 61 it 71 81 99 KLkamv: L� 10, PUTNAM r.OUNTY Qf HEALTH 121 13' 14' .GRO M-qDXA=- —INDICATE LEVM; AT'WHICH- INDICATE I= TO TV41HICH WATER LEVEL RISES AFTER BEING ENMUNTERED f-4 A DEEP HOLE OBSERVATIONS MADE BY: Pa4w Flop- DATE: J� G *7 DESIGN / A" Min/1 Drop: S.D. Usable Area Provided I .Soil Rate Used c ed No. of Bedrooms Septic Tank Capacity gals Type Absorption Area Provided By L.F. x 24" wi dth trench 01 Other Name 7ehM SYVdV)56n- Sigrniat 119 1!76X Iola m er X) I-, Address S r THIS SPACE FOR USE BY HEALTH DEPAMMENT ONLY: Soil Rate Approved sq.ft/gal. Checked by Date SMILET LOCATION %� Qu '� yS C y� Insr-ted y C, r✓ C4AN. � �� �✓�GZ� -- P -EMIT /%J 1 �-- / ZM Q OR S- JHDMSIC -,4 LOT a I. II IV. V. V-T. YEs SEKACM DISPOSAL. ARC b. Fill section - Date of placameant 2.1 barrier - LGTH W-= AVG -DPTH c. Natural soil not st-i=Ded I d. Stone, brush, etc., greater than 15' from SDS area. I K I e. 100 ft. fran water course /wet-lands. I I SrN -AL- , DISPOSAL SYS '� a. Septic tank size 1,00 1,250 I b. Sentic tank insta—lleTleval I I c. 10' minimum from foundation I d. No 90° bends, cl-eanout within 10 ft. of 450 bend I e- DISTRIBUTION BOX 1. All outlets at same elevation water t°st� 2. Protected below frest I 3. Minimum 2 f-;---. original soil betwe--n box and trenches f. JUNCTION BOX - proryrly set i - g- TRFn= 1. Lerngth reauireri - 3 �' J Lencr`n installed I I 2. Distance to watercourse m--=s,3rea : ft- I I I 3. Instellea ac =rdin to plan I I 4 Distance canter to center 5. Sloree of trench acceptable 1/16 - 1/32 " /foot. 6. 10 feet "ran prone tv line 20 feat - f u ouncaE -s: 7. Depth of� trench < 30 inches from mace ( I i 8. Roan allaw-ed for e-x-,arsion, 50% i I 9. Size of Gravel 3/4 - lj" diarnet_r I I 1 AU A- 10. Depth of gravel in trench 12" minirnn I I ?.•Pine eves carmen h. PLC' OR DOSE SYS�S 1. Size of pL'nt0 chamber f T 2. -Ove_low tank _ 3. Alan, visual /audio 4. Pmm easily accessible manhole to Qrde I 5. First box baf =led I 6. Cvcle witnessed by Heal t'h De arument I I I estimated flaw cvcle I HOi,TSF. a. House located parr anuroyed plans. b. Nud)er of bec!roars WML a. W -z 1 located as rnr approved plans I 1,0 D b. Di stance from SDS area measured c. Casing 18" above grade. I I I d. Surface drairiace around well acceptable. I i OVERALL WORJM.G� I a. Boxes proce—r-ly grouted � b. All pices r,--r ia-1 v backfilled I c. All 1 ipes flush with inside of box I I d. Baakfill material contains stones < 4" in diameter e- Csrtain drain installed according to plan cl f - Oulz ain drain out=all protey-t.ed & dir. to exist_watercours� g. Footing drains cu scharae away free SDS area I I h. Surface water vrot°L:tion adeouate i. Errosion c--n=-ol provided on slopes areatar than 15 %. DAVID D. 'BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services November 26, 1986 Mr. John H. Swanson RFD #7, Box 120 Geymer Drive Mahopac, New York 10541 JOHN SIMMONS, M.D. Deputy Commissioner RE: Proposed SSDS La Ware Arbutus Street Roaring Brook Lake (T) Putnam Valley Tax Map # 5 -1 -16.4. and 15 -3 -6 Dear 'Mr. Swanson: Review.of plans and other supporting.'-documents submitted at this time relative to.the above captioned project has -been completed. . Comments are offered as follows:. ►.. _.... .:_ wetland area_ _to the .east of SSDS is a designated State-Wetland;" _disterice of 10'0 should "7be maintained. well detail should show grade sloping away.from well plans should indicate .exact location of.SSDS on lot #87. show gutter and leader drains tax.map # should.be included on all documents where indicated bends in sewer pipe should be eliminated by placing septic tank in direct line . show detail of curtain drain plan showsl:insufficient.length of trench; should provide at least 300 .lin. foot TWO. COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 � R Q 2 - _....__...._ John H. Swanson November 26, 1986 percolation holes should be backfilled to prevent injuries Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, a Anne Bittner AB:pt Asst. Public Health Engineer cc:AB JK File N" $ v . PETER C. ALEXANDERSON County Executive Mr. John Swanson RFD #4 Geymer Drive Mahopac, NY 10541 Dear Mr. Swanson: DEPARTMENT OF. HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 March 10, 1989 ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Re: Compliance - LaWare Arbutus Street (T) Putnam Valley TM# 5 -1 -16.4 & #15 -3 -6 I have received and reviewed the "As Built" plans submitted for the above captioned property. Three items of my letter dated December 8, 1988, have not been addressed. 1) The edge of swamp .must be located by a licensed surveyor. 2) Fifty percent expansion area must be shown on plans in the form of expansion trenches. 3) The existing trench less than 20 feet away from the-house .foundation must be relocated -in- the expansion- -ar-ea and shown ... on plans.._ _ _., .. _ .. .. ,. _._ .. _ _. _..... . If you have any questions, please contact the writer. LCW:jr Very truly yours, C Lawrence C. Wer er Assistant Public Health Engineer ✓06VIQ 1-.(4 ;) /N^% l- 4 / 7`r)0 rrn /0 -Iley% r., PETER C, - At.EXANDERSON .- / =1 County Executive Mr. John Swanson RFD 4, Geymer Dr. Mahopac, NY 10541 Dear Mr. Swanson: Public Health Director JOHN KARELL Jr., P.E. DEPARTMENT OF HEALTH Director Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 December 8, 1988 Re: Compliance- LaWare Arbutus St. (T) Putnam Valley TM #5 -1 -16.4 and #15 -3 -6 A final inspection of the above captioned sewage disposal system was conducted by this writer on September 7, 1988 and November 29, 1988. The following observations were made: 1) House setback appears to be greater than the approved setback causing the sewaee disposal area to be mislocated. 2) Trench on North -West side is 15 feet away from foundation.of house. A minimum distance . of- 20.jee,t .,is..:r-.egpir-ed, 3) Well not located as shown on approved plans. 4) Fifty percent expansion area does not appear available. This department, therefore, finds it necessary to: 1) Remove any existing linear feet of trench less than 20 feet away from the house foundation and relocate in the expansion area. 2) Have a licensed surveyor locate the edge of swamp, retaining wall, septic tank, distribution box, ends of trenches, well, house and available expansion area for further review. If you have any questions, please contact this writer. Very truly yours, LCW /kv Lawrence C. Werper Assistant Public Health Engineer fl C o PETER C. ALEXANDERSON County Executive ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. DEPARTMENT OF HEALTH Director Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 March 10, 1989 Mr. John Swanson RFD #4 Geymer Drive Mahopac, NY 10541 Re: Compliance - LaWare Arbutus Street (T) Putnam Valley TM#5 -1 -16.4 & #15 -3 -6 Dear'Mr. Swanson: I have received and reviewed the "As Built" plans submitted for the above captioned property. Three items of my letter dated December 8, 1988, have not been addressed. �1) The edge of swamp must be located by a licensed surveyor. ©�c. /2) Fifty percent expansion area must be shown on plans in the G� form of expansion trenches. @ ✓ 3) The existing trench less than 20 feet away from the house foundation must be relocated in the expansion area and shown - - on, p. an --. _ If you have any questions, please contact the writer. Very truly yours, C•� Lawrence C. Wer er LCW:jr Assistant Public Health Engineer. ,.,V/,=- :t"4r, _ 96 �.S 9, ic�o- oo - zOo 00 Cir ru e- I: 6a" 41, All L�erj fLt Prot; I ST02Y FRAME HOUSE ! { zne .Av o ION. 1c o. 7s f moo. 7S /V -4 - .. .. ...•. .xa. e:e.__�.a'nY _.7 .... ` .a < .. - .�.i•a. ��+F�f! .Ya+/.L+.zr a- �.a.t�L' 1..�- . Cv% Aq V _ Jf i IV !,Z. � /'� _ n ;a t s .�s*..L sA (; t.E .✓ t t - w�,y _ Jy� r` _ e y "� f�. �^ 37 Ju�rcf NY ; !3 4. 7S - o .ate 5; 0 7 _ -� 0.38- I� / ` "° r ILg d�riRrl±Z ill L�vLLiTi+ Sere; s' =. RivYe of say 1041–(-41 ��CG /��as =eta g roomed as n`otod for Regulations a the