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HomeMy WebLinkAbout2352DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www. sca nyo u rd ocs. co m 631- 589 -8100 41.14 -1 -19 BOX 20 ' ,'L IN L r I• I. ti, ` 02352 - Rev .m-3/86,,, o PUTNAM COUNTY DEPARTMENT OF HEALTH , D sion of Environmental Health Services, Carmel, N.if.10512 Engineer Mnet Provide, P.CcH D PenIDItN __...CERT>FICATE OF CONSTRUCTION COMPUANCE FOR SEWAGE DISPOSAL. SYSTEM �..,.... _ - .: Town or village - - -. Located at Lake Shore Road : West Tax Map 12 Block 1 Lot 9 Lee'Skolnick Roaring 461 Owner /applicant Name Formerly Subdiv6lon Name Subdv..Lot N jK uing aaare.a 116 University-Place- �p 10003 - Date" PermitIssuea 9 25 =.84 New York; NY Separate' Sewerage System built by Ra .,..:Fior:entino - Consistlpg of 10.00 Gallon Septic Tank t Val, N Trenchs Water Supply: Public Supply:From Address ore XX' Private Supply Drilled by N. Anderson . Address Put. Val,., NY . 10579 Building Type 1 F am o Res' ' Has; Erosion Control Been Completed? YE Number of Bedrooms. 3 Has Garbage .Grinder Been Installed? Other Requirements I certify that the system(s) as listed seri.ing the abode premises we co ated assent all as shown on the plans of the completed work ( copies of which are attached), and, in accordance with the standards, rules' d regul tions, in a ith the e,•`plai d the permit issued by the Putnam County De' rtment.;of- .Health. P .Date 'e f .1.9/8,.7 Certified by E C a XX MUSCoot Nort , F #2, X488, K =tops 11056 Address ifshall No 1 Any 'person. occupying. premises served by. the above syitem(s)- shall.p mptly t e w coon as may be necessary to , re the correction of any unsanitary conditions resulting from such usage. Approval of :the separate ,' rage „tsm'shall become null and void As soon'ss- a pubc': sanitary lower becomes available and the approval.of the privste'Witer'supply shall become nu void .when public water supply becomes available Such approvals are subject to' modification or, change when, in the judgment of t_he 6MMIssioner of Health,` —such revocation, modification or change Is necessary, Date ®� 0 "y� ,C �, By s Tt �� a ►� W Y WL'LL trV11rL1;11VIN AzrVAl DEPARTMENT OF HEALTH Division Of Environmental Iieal.t b - Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only 116 0.-7— -0 - Y WELL LOCATION STREET ADDRESS: W'GRIO NUMBER �' dR� �% , WELL OWNER NAM ' - o x �,�°' ADO s• pBIVATE ❑ PUBLIC USE OF WELL 1 - primary 2 -secondary JR RESIDENTIAL ❑ PUBLIC SUPPLY O AIR/COND./HEAT PUMP O ABANDONED ❑ BUSINESS ❑ FARM O TEST/ OBSERVATION ❑ OTHER'(specify) ❑ INDUSTRIAL 0. INSTITUTIONAL ❑ STAND -BY ❑. MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED �—' / EST. OF DAILY USAGE ° 0 gal. REASON FOR DRILLING NEW SUPPLY O PROVIDE ADDITIONAL SUPPLY O TEST / OBSERVATION ❑ REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH ��r ft. STATIC WATER LEVEL 0?0 f ft. r9ATE MEASURED s r DRILLING EQUIPMENT '� ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION O OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. IL OPEN HOLE IN BEDROCK O OTHER CASING DETAILS TOTAL LENGTH ft. MATERIALS: .STEEL O PLASTIC O OTHER LENGTH.BELOW GRADE Ao,ft. JOINTS: ❑ WELDED ®.THREADED O OTHER DIAMETER in. SEAL: ❑ CEMENT GROUT O BENTONITE�WTHER WEIGHT PER FOOT � Ib. /ft. DRIVE SHOMYES ONO UNER: OYES,gNO SCREEN DETAILS _x DIAMETER (in) SLOT SIZE LENGTH (it) DEPTH TO SCREEN (ft) DEVELOPED? FIRST O YES ONO flOURS- SECOND , .... _ _ .._._.. _ __ _ _ , ...R � � GRAVEL PACK 11 YES O NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH tt. BOTTOM DEPTH It. WELL YIELD TEST If detailed pumpingIELL METHOD: O PUMPED I tests were done is in- XCOMPRESSED AIR it formation attached? O BAILED O OTHER ; ❑ YES O NO LOG It more detailed formation descriptions or sieve analyses are available, please attach. . DEPTH FROM SURFACE Water Bear- ing Well Dia- meter FORMATION DESCRIPTION ft. ft. WELL DEPTH It. DURATION hr. min. ORAWOOWN ft. YIELD 9Pm_ Land SuAace ` / -® WATER O CLEAR ' TEMP. QUALITY O CLIkOY HARONE O COLD D ANALY D? O YES ONO ANALYSIS A CHED O YES O NO STORAGE TANK: TYPE . . CAPACITY GAL. WELL DRILLEBJI /(9M E Vie/ 16, 1 OAT ADDRESS ��'✓ /J�y' �/"'_ PUMP INFORMATION TYPE CAPACITY MAKER DEPTH MODEL VOLTAG HP p p LAB�0� Yorktown Medical •Laboratory, Inc. Collection Station Used: 321 KeaiStreet Carmel Yorktoivn Heaghes,I�:�: I�59� -. � - -- - .— -- ...�P.ee.kv.ki11:_.,�...._.. `Mt..Kisco Nev City _ (914) 245 -3203 Director: Albert H. Podovoni M. T. (ASCP) _ Date Taken: 2 3a;AeV ; Date Received.,;-,2b ,,/Z-''J r RON FIOREN.TIO Date _Reported: Collected. By: a,e d RD1, Referred By: Sample. Source: . PUTNAM VALLEY, - NY 10579 L —j 528 -2373. vG 60&S7 mGc 7iy.�i Y y LABORATORY REPORT ON BACTERIOLOGICAL QUALITY OF WATER GENERAL BACTERIA lzstandard Plate Count per...1.0 ml (Agar plate @ 35 °C) MEMBRANE FILTRATION TECHNIQUE (MFT) IZZT otal Coliform per -100 ml O _ Fecal Coliforlm ner 100 ml Fecal Streptococcus per 100-m1 MOST PROBABLE NUMBER TECHNIQUE (MPN) _. Total .Col,iform: _._MPN_Inde.x_ ner 100 .ml Fecal Coliform: MPN Index Der 100 ml 0THER ANALYSES TH SE RESULTS INDICATE THAT THE WATER SAMPLE (D(WAS) (WAS NO T) (NOT APPLICABLE) OF A SATISFACTORY SANITARY QUALITY ACCORDING NEW YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT IME OF COLLECTION. Albert;H. Pa ovani, M.T. (ASCP), Director LEGEND ADS = Recommend Disinfect - ing Water Source < _ .less, than TNTC = Too Numerous Too Count b. PUTNAM COUNTY DEPARMW OF HEALTH DIVISION OF ENVIRONMUAL HEALTH SERVICES. .:.ua. �. ....,.n �s i. �, _. as -...n •v-_✓.<.r1 :.�. �, :: '•. .. .,: �..,, e.:a .s. _• _. � .. :'1�...,r ..w.z�. <.rs .._. ., ... .. ..r. .. LEE SKOLNICK Owner or Purchaser of Building.. Building Constructed by LAKE SHORE WEST Location. - Street PUTNAM VALLEY Municipality 12 1 9 Section Block Lot ROARING BROOK LAKE Subdivision Name 461 Subdivision Lot # ONE FAMILY RESIDENCE Building Type GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described propertyl, and that it.has been constructed as sham on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of.Health, and hereby guarantee to the owner, his successors,: heirs or assigns, to place in good . operating condition any. part of said system constructed by me which fails. to operate fora period of two years immediately following the date of approval of. the "Certificate. ,of.- Construction., Compliance ", for. the sewage. disposal- system;:--or• any, repairs made by me to such system,.except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept:as conclusive the determination of the Director of the Division.of Environmental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of t e building utilizing the system. Dated this 2 o day of Cry' . 19LS� Signature GR' Title G. Contractor Sewage 'System on rae or General Contractor (Owner) - Signature Corporation Name (if Corp.) Corporation Name (if Corp.) L Shore Rd. Putnam Va ley, NY Address Address rev. 9/85 mk �.,.. -,.gt-^. z rr . � "- •' _. �, TUTNAM COUNTY DEPARTMENT OF HEALTH " °� Perm E r TV,, 48 \ \�I piwsion of Environmenial Health vices,Careno I /V. Y 10512 COItISTRION PERMIT .FOR SEWAGE': DISPOSAL SYSTEMS ��o = Putnam Valle Twn�or­ village Located at T 'Road W _:St Tax Map" .L2 Block " toc O .Subdivision Roar :M g Bro ok Lake subs - Lot a 461` Renewal Revygion _��11 L, _ _ r ` Owner /Addresz • Skolnick, 11 i Uzi verSity .Place f Previous Appioval 8./30/83 One Family House' ' 28 0.0.0 SF �� Building Type Lot Area r Fill Section Only E)" ,` Number of BedfOOmf. Design. -Floe G /P /D �h�� P.C. R. D. Notification Requited -1000... ...:420: LF of. F.ield's Separate: sewerage, System to consist of Gal. Septic Tank and TO be constructed by Kastuk & Sons ad dress .P.utri am Val -levy 14Y :,'I 0579 :. 7. water. SuPPIy: Public Supply From XX PriMq Supply to, be, drilled by N. Aridersbn ... Putnam Val 10579 Address Other Requirements I reprewnt that vam wholly and completely responsible for the design and location Of the' proposed syst"(s);,I) that` the separate sewage dis oral - system .above described will be Construcfed as sfiown•on the approved amendment there Wand in accordance with.the standards,_rules•an . regu a,�ons o , tne : Putnam County Department of ` Health;, and that on `completion thereoi'a "Certdicate .of Construction Compliance ":satisfactory to, the Commissioner of Healthwill be submitted' to t(►e Department, and 'a written guarantee will De furnished the owner, - his.successors,, heirs or auigns 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 .the -date of the issu once of the approval d the Certificate of ' .Construction Compliance of `the original system or` ny iepaiis fierot' 2) that the driliad'weil described above will be located'as shown on the " approved plan and ttiat said well will be inst in. accordance h the standards' les,and regu a i�'ons'. f the 'Putnam County Department of Health, pate ' 8/15/83 9ned pre R.A. X Addre F BX 88' a C 105. ,.erase lyo: `l'1056 APPROVEQ'FOR CONSTRUCTION This approval expires one year f t..,, date is ed' -unle truction of, the. -b ilding has been untle ► taken and is revocable for cause or may be amended or.modified when ' nsi er nec ry by, t Coen sinner f Health.,- Any c rage or ai Lion of construction . requir, p rmit pp ov` or disposal Of domestic nits[ s age d/ rival water ._ _. .. - SY . .. - Title - Rev. 9-81 - - M r Supplye s yr rr,i Ira °� PUTN*M:�®13N .T� � �NT ®� sH]�'A�.T)� Permit B U' s�� {t Division of Environmental Health Servi es, :Carmel 11/ Y 0512 !N ,PERAIIIY��FOR�.SEWAGE' DISPOSAL;=SYSTEflA �%�� �6 ✓P:u'triam V down or lage �k'e ,Shore..'Ro;ad ;West- 12 Block _.Lw _ �rQt Tax Map — L �a�,�lq- �•DOQk� �G�e Sobd. I�ot N....61,' Renewal _� .Revision dew S�orkr ' f�y M. I' j. APPro Date Of Pie -ioes val )ne Fain House 28 OA0 5F` Lot Area r Fill Section Only' b Ims' 3 `Design Fiow c /p /o i 6.00 t il P.0 H .D. Notification Required System .to- consiit' of 66 0" Gal; Septic Tank and 420 LF of. Fields A. Kastuk & Sons Putnam; j7alley NY 10579 f by Address i public Supply From ' XX private Supply to be tlriued by N Anderson ; Aea ►ess Putnam .Valley NY 10579 �- , f m:wholly and completely responsible for thedasignand '.location of the:proposad system(s); :1) that the separate ;sewsge.disposal4ystem Ill: be, constructed as shown on'.the appioved.ameiidment there to and In''accordance ;with,t6e standards rules an regu a ohs O + e .0 nam _ nt i -of Health and that on.completion thereof a Certificate of' Constructlon.COmplianea'� sitisfictory to, the Commissioner. of AieIthwill he +0epartment and a written guarantee wlll''be furnished the owner, his successors .Heirs or assigns by:tne build ®► that sak! buildair will. Brat ng condition any part `of said sewage disposal system during the pe►iod oi, two ;(2) years immediately following 4hedate o4 th'e ;isw- >val,':of the rCertificate of Construction Compliance iof the original system or.any.repairs thereto,; 2) that `th'e,driiled.welLdeseribed• above . A— hown on tlie' approved plah,and that said well will be Installed in `accordance ,with the,,.sta' artls; {ules Bn regu a, ons o4 - `'.the' 'Putnam tt of Health A 5f, 83 U COOt`N St eed E O f p RA Address ai'o ac i0 11,0 'ens Nto, 5 6 CONSTRUCTION :Thu approvil expires one year from the dat i ued, unless construction •of the build as been undertaken and Is s or ;may be`amOnded or modi(ietl when consid necessary ;by?`t a Com stoner of. Health. Any Change qr alteration of Construction tt rmit Approved for, disposal of dorrf a sari y eubage id /or pr sejtar supply' only.' � d �e ♦ � L s� __ _�- Pig. V . � | ��� IF lE�� ������ �� .������_ ,���^�^BIERG _ .wusceov NOIRTH, lR0i) IBN0X 4" NEW VORKN034N ' - AUGUST 20, 1986 � ' MR. J0HNKARELL JR., P.E. ENVIRONMENTAL HEALTH SERVICES C�8 m* PUTNAM COUNTY DEPARTMENT 0F HEALTH - TWO COUNTY CENTER CARMEL, NEW YORK 10512 =., RE: SK0LNICK SDS ��^~c s'-'n LAKE SHORE ROAD ,o i PUTNAM VALLEY, NEW YORK TM 12-1-9 ROARING BROOK LAKE 4461 ' ' DEAR MR. KARELL, 1 AM IN RECEIPT OF YOUR LETTER DATED AUGUST 19, 1986. AS l TOLD YOU OVER THE PHONE TODAY, MY FILES INDICATE 'rHAT N0 HE0UE5T-.F0R- A FINAL' INSPECTION-WAS'MADE'BY� MY 0FFICE. HOWEVER, WE ARE AWARE OF YOUR REQUIREMENTS AND THOSE OF THE BUILDING DEPARTMENT AND WE WILL FOLLOW THROUGH WHEN I RECEIVE ALL THE NECESSARY INFORMATION FROM THE VARIOUS PEOPLE INVOLVED IN THIS PROJECT. HAVE ANY 0UEPTJ0NS� HESITATE T0 JALL ME. VERY TRULY YOURS, --�l t., - iopi I Anpom ...��.,.�.= JLG:AC CC: LEE SK0LNICK MARVIN 0`DELL, P.V. BUILDING INSPECTOR TOWN PLANNER ~FUTNAW VALLEV, NEW VORK° L r DAVID D. BFUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental. Health Services August 19, 1986 Mr. Joel Greenburg, R.A. RR #8 Muscott North & Baldwin Place Road Mahopac, NY 10541 Dear Mr. Greenburg: F JOHN SIMMONS, M.D. Deputy Commissioner Re: Skolnick SDS Lake Shore Road, PV, TM..12 -1 -9 Roaring Brook Lake #461 Reference is made to a letter from James S..Hodgens dated April 16, 1986 to you, copy attached, relative to the above - captioned property. Such letter is believed to be self explanatory. Review" of our files indicates we have had no further corres- pondence or action relative to this project to date except that Mr. Kostuk has indicated that he did not install' the system.._.(The construction permit states he will.) You:are reminded that this house cannot be occupied until ,a, certificate of construction compliance is approved by the Department, issuance of which is contingent upon provision of additional information and documentation as set forth in the above mentioned letter. If you have any questions, please.call me at extension 241. ery tr ly yours, qh"'Ka ell, Jr., P.E. Director Environmental Health Services JK:amm cc: Lee Skolnick Marvin O'Dell, P.V. Building Inspector /JK File Attachment TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 DAVID D. BHUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services - April 16, 1986 Mr. Joel Greenburg, R.A. RR # 8 Muscott North & Baldwin Place Rd. Mahopac, New York '.10541 Re: Skolnick SDS Final Inspection `Lake Shore Road, PV, TM 12 -1 -9 Roaring Brook Lake #461 Dear Mr. Greenberg:' JOHN SIMMONS, M.D. Deputy Commissioner Based upon your April 1, 1986 notification for final inspection of the above referenced system, a Departmental inspection on April 7, 1986 indicated the system had been relocated from the permitted location and backfilled. Though the boxes were excavated, the apparent system relocation coupled with the'inabil#y to verify placement of three feet of bank run will necessitate Departmental re- inspection. In order to verify compliance with County and State regulations, it will be necessary to excavate and expose the following system components to permit on: septic tank :and junction= 6xi inlets" and- 6iitlets.;. and - trench ends. Additionally adequate deep test holes in vicinity of relocated Sewage Disposal System 'must be dug to a depth of at least seven feet. These deep test holes can be dug during inspection of the balance of the system to assure they are adequate. Please call me when the above arrangements are made to establish a time for our joint field inspection. If there are any questions pertaining to the above please call me at 225 -3838 or 225-3833. Very truly yours, �Sames S. Hodgens Assistant Public Health Enaineer bh/ JP cc: File A. Kostuk & Sons, Installer Lee Skolnick, 116 University P1ace,New York,NY 10003 TWO. COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONDERUAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEVU GE DISPOSAL SYSTEMS FIELD INSPECTION REPORT DATE: INSP. BY: INITIAL SITE INSPECTION I YES I NO I CONTENTS Property lines or corners found ................... Can estimate house location ....................... Willdriveway need cut ............................ Must trees be removed - note these................ Deep hole 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 Descr 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. D. H. 2 • Lot Depth to G.W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. boll Descr r 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. Descri 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. bran swamp, watercourse ............. Natural soil not stripped or SDS area unnecessarly graded............................ 10 ft. maintained fran property linand e 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 frcm trench ..... ............................... Boxes properly set ............................... �ould surface runoff fran driveway, roads, ground surface, etc., channel near SDS area.... )oes lot drainage appear OK in area of SDS....... yINAL GRADNG OF SITE ACCEPTABLE.. ..... ...... rev /9/85 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date �29 CtLy Re: Property of Lee_ GkOL N ICK Located at LAkt- Gtkmg RZ � WF- (T) Section Block Lot Subdivision of P-06R. G EFLOoK LAKE Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize `j[� j, ( zr- -NSj�—R� 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 _ sst.em . ox_. s_ ysaerrx ::sri_°c.drif_..o:rrxiay._itb .the._ provisions- of - Art:c1:e5..:or_ 147, Education tary Code. Countersigne P.E., R.A., is Health Law, and the Putnam County Sani- Very truly yours, t Signed �&- Owner of Property RFD "2, Box 488 I Address ' nnahopoc, NY 10541 ,. 9j+ 3 Telephone 116 U t oy r—�P—s rrT R, ACS Address Nr-W Town 2t2 X24 Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUN'Y OFFICE BUII;DING,­.CAlL -; DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.. Owner Lee Skolnich Address 116 University Place, New York, NY 10003 Located at (Street Lake Shore West Sec. 12 Block 1 Lot 9 Indicate neares cross street) 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 apse Depth to Water a er Leve 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 8.00 -8.33 33 16 19 3 33/3 =11 2 8.34 -9.07 33 16 19 3 33/3 =11 3 9:08 -9:41 33 16 19 3 33/3 =11 4 9:42 -10:15 33 16 19 3 33/3 =11 5 PTH #2 1,8:05-8:38 33 16 19 3 33/3 =11 16 3 9:13;9:46 33 16 19 3 .33/3=11 �F 5 1 2 3 , ' C;, 5 Notes: 1) Tests to be repeated at same depth until approximatelyy equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH ' 'HOLE N0: ° - IIOLE. NO: DTH #:2- DTH #1 G.L. Top Soil _ Top Soil 6" --sand, Small Stones, Sand, Small Stones, 12" & Some Clay _ & Some Clay _ 18" 24" 361 „ 5411 66" 7211 84" INDICATE. LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None INDICATE LEVEL.-TO-WHICH-WATER LEVEL RISES AFTER BEING ENCOUNTERED_. None _.__ _ - :TENS- MADE.•$Y Joel DESIGN Soil Rate Used 11-15 Ydn/l "Drop: S.D... Usable Area Provided 5j000 SF No. of Bedrooms - 3 Septic Tank Capacity 1 000 Gals. Type Pre -cast conco Absorption Area Provided By 420 L.F.x24" �3b" enc . �ha lvame Joel Greenberg bignature - - Address Muscoot North, RFD #21 Bx 488 S L 0) Mahopac, NY 10541 0,1 THIS SPACE FOR -USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal.- Checked by_ to 9 E7' 4, 7- 5EPpTI DISC: .1CT '.. 7 .,� '. ° gutj J&T .kT J6r, y r dl f� " ✓�" d SP✓ Pry T 1, 5� J J Hamm J f ,3' b : %, ' F t t 7 ' ' _ 43' _ � ' 0' 8r zr� a5J 32' ZJ.' 3�" ` :38�.. �7. 55' So• r y r P' i J J Hamm J f ,3' b : %, ' F t t ...._— t 4 � � , - �' --�-. -' - _,,.,.• - - - .w _ tiw '.-} �.fi r•.f.. S ,. k ^ �. .._._k ...- .- _-"" -' -'