The URL can be used to link to this page

Home My WebLink About2610DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 52. -2 -53.2 BOX 22 6i� , =r 'I i r - - ' L 02610 WELL UUMYL611U1V KrXUMI 4 � * , f DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH -_ Office Use Only WELL LOCATION STREET ADDRESS: TOWNIVIC TAX GRID NUMBER: od WELL OWNER Nom- f ADDRESS: 1R pBIVATE O PUBLIC USE OF WELL 1 - primary 2- secondary - �RESIDENTI PUBLIC SUPPLY AIR /COND.IHEAT PUMP 0 ABANDONED 0 BUSINESS O FARM 0 TEST /OBSERVATION 0 OTHER (specify) 0 INDUSTRIAL 0 INSTITUTIONAL O STAND -BY 0 MOUNT OF USE YIELD SOUGHT �� gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal: REASON FOR DRILLING []REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION ❑ADDITIONAL SUPPLY JaNEWSUPPLY (NEW DWELLING) ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH -TOO r ft. STATIC WATER LEVEL— ft. DATE MEASURED >16 DRILLING EQUIPMENT ROTARY O COMPRESSED AIR PERCUSSION 0 DUG O WELL POINT 0 CABLE PERCUSSION 0 OTHER (specify): WELL TYPE 0 SCREENED O OPEN END CASING �0 OPEN HOLE IN BEDROCK 0 OTHER CASING DETAILS TOTAL LENGTH A I _ ft MATERIALS: A STEEL O PLASTIC 0. OTHER LENGTH BELOW GRADE __ L ft. JOINTS: 0 WELDED --THREADED 0 OTHER DIAMETER �in. SEAL:,OXEMENT GROUT O BENTONITE ❑OTHER WEIGHT PER FOOT lb./ft. DRIVE SHOE 04ES ONO I LIN ER: 0YES 15NO SCREEN DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (it) DEVELOPED? FIRST O YES ONO OURS° . SECOND _ ....... - ` �- ........H GRAVEL PACK ❑ YES ❑ NO GRAVEL SIZE: DIAMETER OF PACK in. TOP OEf H ft. BOTTOM DEPTH ft. WELL YIELD TEST ' If detailed pumping METHOD: ❑ PUMPED tests were done is in- PRESSED AIR ,formation attached? O BAILED ❑ OTHER ; ❑YES ❑ NO WELL LOG It more detailed formation descriptions or sieve analyses Yy are available, please attach. DEPTH FROM SURFACE water Be Bar- ing Well ia- deter FORMATION DESCRIPTION p0E ft. ft WELL DEPTH ft. DURATION hr. min. DRAWOOWN ft. YIELD 0M. Surface H WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES O NO [A t-t STORAGE TANK: TYPE CAPACITY GAT,. PUMP INFORMATION TYPE MAKER MODEL CAPACITY DEPTH VOLTAGE HP WELL DRILLER NAME 9., m� y-� �_ DA ADORES S j� tA7URE G� d k e , J rc Ff?,a�![ G L- looms ^ 7 _ C.AI. GONG. 4rL' .2 40 `\ \ CD 4l sEPT�o i G 42 b 40, lo\ \ Cj 7D w k- /.j 45' 4 4z' Oil� $. 40' S 45' • .•1 'O .. . ' \VADE'T+ZENGIFES - 13 J q f L 42, t ><b J �� o � n A -S u 1.. L-r L o GnTt vay.�,. A•� / / ,•Jr. -all / G 1 '410 18° 2 (og° 34° 3 Putnam County Department of Health -7 ~�` 4 / �1'/ -,� '73° 7� . ''` r'1 �r 4.� %`L.a��..;�I..�i��.i \ 5 ArC JQ� aA c eC 1)B�ed �'gr. g31}f Tame ttlth e Aulea am Ftegulatiaile of tho S3° 103° 6 43° Ali Z 490 74° fa 108° III° I► ill° 123° �3 III° 1290 4 1200 1340 v� o� �a le Q / / ,•Jr. -all / Putnam County Department of Health _ 4 ~�` ,� 'V �' .•fir p�f / �1'/ -,� Division of Environmental Health Services 7� . ''` r'1 �r 4.� %`L.a��..;�I..�i��.i \ i�. •i'4.N•5;. ��. '�4� �'.^+ / ArC JQ� aA c eC 1)B�ed �'gr. g31}f Tame ttlth e Aulea am Ftegulatiaile of tho :,• .:. . j-THIS IS TO CERTIFY THAT THE SEWAGE DISPOSAL SYSTEM WAS L�- 0 tS'ST116CTED AS INDICATED, F-7:::' L;1 .1 ,� -•r l AG re -�7_1 L) P 0 n L L4 -OUT i ;.ON THIS PLAN AND THAT THE SYSTEM WAS � INSPECTED BY--ME- BEFORE -IT WAS COVBRED OVER ..THE SYSTEM WAS CONSTRUCTED IN ACCORDANCE 417TH ALL STANDARD-RUCES'AND REGULAI'IONj 1 „ = 40•o0' '; OF THE Porw,,M COUNTY DEPARTMENT OF HEALTH AND THE NEW YORK STAB PePT• oFHEALTW , - PUTNAM,COUNTY DEPARTMENT OF HEALTH . e 31,86 Division o(Environmental Health Services; Caimel, N.Y 10512 Engineer Must Provide 96 ' P.0 H D. Permit p > . RTIFICATE OF CONSTRUCTION COMPLIANCRFOR SEWAGE DISPOSAL SYSTEM PUTNAM VALLEY ; ,. WTCCOPE1 ROAD 5 -2 "'Town of a ?` .fuse Loca Taz Map Block � '`2 Lot DONALD LEISENGAidG lam TEISEN•GANrr 2 Owner/ pucant Name erly Subdivision •Name - sttbdy. Lot k Mailing Address 338 PEEKSKILL HOLLOW, RD Zip 10579 Date Permit Issued 3120/9`6, PUTNAM VALLEY., NY. Separate Sewerage System bout by RICHARD BECCERELLI Address 19 CHESTER PL, LAKE. PEEKSKILL NY 10537 Consisting of 1000 Gallon Septic Tank and ti T.F . f1F T F A (' i T l\ f; r FIELDS Water Supply: Public Supply From Address or: X Private Supply Drilled by N . ANDERSON Address 1.52 BARGER ST, PUTNAM VALLEN . NY, 10579 Balldhtg Type ONR FAMTT.V R ES Has Erosion Control Been Completed? D A R� Number of Bedrooms 3 Has Garbage Grinder Been install Other Requirements I certify that the system(s) as listed serving the above premises were at 1 h ns of the completed work ( copies of which are attached), and in accordance with the standards, rules and ulat that? i ' pla and the.permit issued by the Putnam County Department Of Health. Date 8/12/96 Certified by ' P.E. R.A. X Address 2 MU S COOT ROAD OR A ' C �'5 4" 1 CA no Ncd 1 0 5 6 Any person occupying premisei.served by the above systems) shall prom p ke ch a ► a�i( secure th* correction of any unsanitary conditions resulting from such usage. Approval of the separate sewer go shalt nipfeaco soontas a publi: unitary sewer becomes ava(labls,and th appro I of the private water supply shah become null v when a `p ly becomes available. Such approvals are subject to mod Ie do or change when, in the judgment of the Com of M Ith" C tion, modification or change Is nary. Date By Title C YML ENVIRONMENTAL SERVICES 321 f(ear Street Yorktown Heigh~s, N.Y-. 10'-n98 ' ^ (914.) 245-2800 Albert H. Padnvani, Director _ ' LAB #: 32.4lb864 CLIENT #: 6563 NON STAT*PROC PAGE I LEISENGANG" KIMBERLY DATE/TIME TAKEN: 07/24y96 12:45 147 WICCOPEE RD DATE/TIME REC'D: 07y24/96 13:30 PUTNAM VALLEY, NY 10579 REPORT DATE: 07/26/96 PHONE: (914)-526-3680 ' SAMPLING SITE: SAME/KITCHEN TAP SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE COL'D BY: KIMBERLY LEISENGANG TEMPERATURE..: { 4C NQTES".": I I COLIFORM METH: MF DATE FLAG PROCEDURE RESULT NORMAL - RANGE 07/24/96 MF T. C0LIFORM ABSENT /100 ML ABSENT COMMENTS: BACT THE OF SATISFACTORY SANITARY QUALITY ACCORDING—TZI-THE NEW YORK STATE , AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS ° TESTED, AT THE TIME OF COLLECTION. SUBMITTED BY: --------- Albert H. Padova i, M.T.(ASCP) Director ELAP# 10323 PL rmm COUNrl'Y DEPAm= OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH. - SERVICES DONALD LEISENGANG Owner or Purchaser of Building OWNER Building Constructed by WICCOPEE ROAD Location - Street TOWN OF PUTNAM VALLEY Municipality ONE FAMILY RESIDENCE Building Type 52 2 Section Block Lot LIESENGANG Subdivision Name 2 Subdivision Lot # GUARA= 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 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 for a period of two years immediately following the date of approval of the "Certtf: irate .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 Environinental Health Services of the Putnam County Department of Health as to whether of'not the failure of the system to e was caused by the willful or negligent act of the occupant h ' e buil uti izing the system. ,_ Dated this Q`j— day of �_ 19� � � r General Contractor (Owner) - Signature 1' AJ AWE &6JjMJ1AJ6, &, Corporation Name (if Corp.) �ddress lc& �- rev. 9/85 mk Signa Title Corporation Name (if Corp.) Address w Vw. P1T1'NAM COUNTY DMARITAENT OF HEALTH _ \ D#Wbi= of mavAeemoaw HesiMh Saevloea. Camel. N.Y. 10512 -EighpoortopovNep estsltf N e• CEI 19 CATB 01r CO CB CO N PEMOD WAf DISPOSAL SlSM TOWP_aOs>Dft I P WICCOPEE ROAD . _ Imam at owe a vmll�e _ subair . ; -• . Lot r era _ 2 - .. Bloek ,` OtrnadAppilasaNa+b DONALD LEISENGANG Renewed -0 Bevies 0 338 PEEKSKILL HOLLOW RD.. DMe of Previous Approval MWft AadMft PUTNAM VALLEY, N.Y. 10579 Town Z Date Subdivision Approved Fee Enclosedi •Amnnnt $300 Beaftes Ty" ONE FAM . RES . yet Atran 5 ACRES section � Depth volpme Nober of Bedroos•e 3 Dacha Flow G P D 60 PCHD NodGmdon 4 Bequked When FM In completed Sep.eate Sewoww syetees a oeaatee o[ _LO 0 0. ,Wlm Sepik Tt& ad 3 3 6 LF OF LEACHING TRENCHES To be emmir ded by NOT SELECTED Address wetM SUP*: PA& SapMY Ftosn Addnm an X pd,,.f. Sp* DMW by NOT SELECTEDAdd .. Otbw Reed1roweeft I represent that 1 am wholly and completely responsible for the design and location of the proposed am($); 1) that the separate sowage disposal s stem above described will be constructed as shown on the approved amantlmen and in accordance t the stantla►tls, rules a regu rons o • mere County Department of Health, and that on completion thereof a ° ificate o onstruction Col lia cell satisfactory t the Commissioner of Mglthwill a submitted to the Department, and a written guarantee will be meshed the ner, his sucp s, heirs w assigns b e buikhr, that said builder will place In .good operating condition any part of said sewage dispowl. em duri the period of t o ears immedia a following thedate of the issu- epee of the approval of the C*Mfkate of Construction Compliance o1. th em o► any Ms thereto; 2) 1 t he drilled well described above wltl be located as shown on the approved plan and that said well will be Installed in ac rdance ith the ate rd rubs uu a'TfTOns of the Putnam COUnty Department of Health. Date 3. / 8 / 9 6 Signed '.Address TWO MUSCOOT ROAD OR r MAHO A r .Y. ,iceMeNo 11056 APPROVED FOR CONSTRUCTION: This approval expires two year the d e iswad unless onstruction of the building . s been undertaken and is revocable for cause o► may be amended or modified when consider ry the Issi or of Health. Any change or ation of construction requires a Mw per t. Pproved for disposal of domestic son f ape, and /or to w ter supply only.. Rev., 10/88 Oate By Title DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION.-T-0= CONSTRUCT - A •.rt3ATER -WELL ,G PCHD PERMIT # / 4-5 / WELL LOCATION Street Address Town/Village/City Tax Grid Number WICCOPEE ROAD PUTNAM VALLEY, N.Y. 52 -2 -53 WELL OWNER Name Mailing Address MPrivate DONALD LEISENGANG 338 PEEKSKILL HOLLOW RD. PUTNAMO Public USE OF WELL &- primary 2 - secondary ® RESIDENTIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O ABANDONED 0 BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify, O INDUSTRIAL C7 INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 2 /EST. OF DAILY USAGE 1 50 gal O REPLACE EXISTING SUPPLY O TEST /OBSERVATION GI ADDITIONAL SUPPLY NEW SUPPLY NEW DWELLING 0 DEEPEN EXISTING WELL REASON FOR DRILLING1 DETAILED REASON FOR DRILLING NEW HOUSE BEING BUILT WELL TYPE ®DRILLED 13DRIVEN ODUG GRAVEL C1 OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: LEISENGANG Lot No. 2 WATER WELL CONTRACTOR: Name NOT SELECTED Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY DISTANCE,zTO PROPERTY. FROM- NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION ®ON SEPARATE SHEET 2/6/96 (date) 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. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such manner as not to degrade or othe ise contaminate surface or groundwater. 2 Date of Issue: J 0 19 JO k�� 144$X(7 Date of Expiration 311 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller 1. 2. 4. 6. PUYNAM COUNT"( DEPAR-rM9ENT OF HEALTH APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM Name and Address of AppTicant: DONALD LEISENGANG 338 PEEKSKILLHHOLLOW ROAD PUTNAM VALLEY, NEW YORK 10579 TOWN OF Name of Project: LEISENGANG SUBDIVISION 3. Location T /V /C: PUTNAM vAT,I. y ARCHITECT JOEL GREENBERG R.A. 2 MUSCOOT ROAD NORTH Project 16 5. Address: 10541- 11056 914 628.661 License Number: Phone: Type of Project: Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building XX Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEAR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted XX 8. Is a Draft Environmental Impact Statement (DEIS) required? ............. NO 9. Has DEIS been completed and found acceptable by Lead Agency? N/A 10. Name of Lead Agency N/A 11. Is thls project"i'n 'an -area under -the contr6l -of -local = plann -ing,% .zoning,:.. -. or other officials, ordinances? ......." .. ............................... YES - 12. If so, have plans been submitted to such authorities? ....... YES SKETCH APPROVAL 13. Has preliminary approval been granted by such authorities? NO Date Granted: 11 /13/95 14. Type of Sewage Disposal System Discharge...... Surface Water X 15. If surface water discharge, what is the stream class designation ?........ Ground Waters N/A 16. Waters index number (surface) .......................................... N/A 17. Is project located near a public water supply system? .................. 18. If yes, name of water 'supply N/A NO Distance to water supply 5 MILES 19. Is project site near a public sewage collection or disposal system ?..... NO 20. Name of sewage system N/A Distance to sewage system5 MILES 21. Date test holes observed: 22. Name of Health Inspector: 23. Project design flow (gallons per day) ...... ............................... 11/93 M. 2. 24. .Is State Pollutant Discharge Elimination System (SPDES) Permit Jrequired? . NO" 25. Has SPDES Application been submitted to local DEC Office? ............... N/A 26. Is any portion of this project located within a designated Town or State wetland? .................................. ............................... NO 27. Wetland ID Number ........................ ............................... N/A 28. Is Wetland Permit required? .............. ............................... NO Has application been made to Town or Local DEC Office? .................. N /A 29. Does project require a DEC Stream Disturbance Permit? 30. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ........ YES or NO NO 31. Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or NO any other potential known source of contamination? ..............YES or NO DESCRIBE: 32: Is there a local master plan or file with the Town or Village? YES 33. Are camunity-. water,. sewer fact- 1- i.taes planned. to-be .deye.loped within 15 years. NO 34. Are arV sewage disposal areas in excess of 15% slope? NO 35. Tax Mai ID Number .... ..................... ............................... . 52-2-53 ARCHITECT 36. App rived Plans are to be returned to: ................ Applicant Xk If the a pElication is signed by a person other than the applicant shown in Item 1, the applic at im must be accompanied by a Letter of Authorization. Failure to comply with this provisionnay be grounds for the rejection of any submission. .y he'by affirm, under penalty of perjury, that information provided on this for-p s true to the best of my knowledge and belief. False statements made her-e# are punishable',as a Class A Misdemeanor pursuant to Section 210.45 of the tuna 1 Law. SIGNATURE!& OFFICIAL TITLES:Y 1C- 338 PEEKSKILL'HOLLOW ROAD MAILING MRESS : PUTNAM VALLEY, NEW YORK 10579 GREENBERG 4rchltecf TWO MUSCOOT ROAD NORTH MAHOPAC, NEW YORK 10541 914 628 -6613 FAX 628 -2807 3 -96 -023 ® PRINTS ❑ SPECIFICATIONS ❑ SHOP DWGS ❑ SAMPLES ❑ OTHER COMMENTS: ENCLOSED PLEASE FIND APPLICATION FOR CONSTRUCTION PERMIT. THIS SUBDIVISION WAS JUST RECENTLY APPROVED AND THE FIELD WORK WAS DONE BY MIKE BUDZINSKI JUST BEFORE THE WINTER. MR. LEISENGANG IS PRESSED FOR TIME SINCE HE MUST ORDER HIS MODULAR HOUSE BY NEXT WEEK OR HE WILL BE CHARGED AN ADDITIONAL $3,000. THE MODULAR COMPANY WILL NOT TAKE THE ORDER UNLESS HE HAS A BUILDING PERMIT. THANKING YOU IN ADVANCE FOR YOUR INTEREST AND COOPERATION. MR. LEISENGANG APPRECIATES YOUR EXPEDITIOUS HANDLING OF ISSUING THIS CONSTRUCTION PERMIT. FROM JOQL (;RCgNBC-R(;. R.A. COPIES TO: APPROVAL ,YOUR USE ❑ REVIEW ❑ COMMENTS COMMENTS: ENCLOSED PLEASE FIND APPLICATION FOR CONSTRUCTION PERMIT. THIS SUBDIVISION WAS JUST RECENTLY APPROVED AND THE FIELD WORK WAS DONE BY MIKE BUDZINSKI JUST BEFORE THE WINTER. MR. LEISENGANG IS PRESSED FOR TIME SINCE HE MUST ORDER HIS MODULAR HOUSE BY NEXT WEEK OR HE WILL BE CHARGED AN ADDITIONAL $3,000. THE MODULAR COMPANY WILL NOT TAKE THE ORDER UNLESS HE HAS A BUILDING PERMIT. THANKING YOU IN ADVANCE FOR YOUR INTEREST AND COOPERATION. MR. LEISENGANG APPRECIATES YOUR EXPEDITIOUS HANDLING OF ISSUING THIS CONSTRUCTION PERMIT. FROM JOQL (;RCgNBC-R(;. R.A. COPIES TO: PUTNAM COUNTY'.:DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 2/6/96 Re; Property of DONALD LEISENGANG Located at WICCOPEE ROAD (T) PUTNAM VALLEY Section 52 Block 2 . Lot 53 Subdivision of DONALD & NANCY LEISENGANG Subdv. Lot # 2 Filed Map # 246-7 Gentlemen: This letter is to authorize JOEL GREENBERG, R.A. Date a duly.licensed professional engineer --or registered architect x (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 Cdunty Department of Health, and to sign all necessary papers on my behalf in this .'mattes ' -a_.-,',id"to ion o-f-zaid, system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public He�Llth Law., and the Putnam County Sani- tary Code. Count P.E., TWO T(ld-:Fjss MAHOPAC, NEW YORK 10541 914..628-6613 Tt-1,-nMnn,-. Very truly yours, Signed Owner of - - -- Property - 74 338 PEEKSKILL HOLLOW ROAD Address PUTNAM VALLEY, NEW YORK 10579 Town 526-2061 Telephone a Pun-mm CDURN ..DEPARTMENT • OF, HEALTH., . . DIVISION OF •HEALTH SERVICES. DESIGN DATA - SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Apr DONALD LEISENGANG •-pd&ess 338 PEEKSKILL HOLLOW ROAD, PUTNAM N.Y. Located at (Street) WICCOPEEI ROAD Sec; 52 Block 2 Lot 53 (indicate nearest cross street) Municipality TOWN OF PUTNAM VALLEY Watershed HUDSON RIVER SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITIED WITH APPLICATIONS Date of Pre- Soaking 10/26/95 Date of Percolation. Test 10 / 2 7/ 9 5 25 HOLE 20.5. 3 25/3 =8.33 38:51 9:16 25 17.5 20.5 NLMM CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level 49:17 No. Time Ground'Surface 'In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop, Inches Inches Inches 'TH #1 18:00 8:24 24 17.5 20.5 3 24/3 =8.0 28:25 8:50 25 17.5 20.5. 3 25/3 =8.33 38:51 9:16 25 17.5 20.5 3 25/3 =8.33 49:17 9.42 25 17.5 20.5 3 25/3 =8.33 5 TH. #2 18:05 8:30 25 17.0 20.0 3 25/3 =8.33 r 28:31 8:57 '26 17.0 20.0 _ 3._ 38:58 9:24 26 17.0 20.0 3 26/3 =8.66 4 9:25 9?'51 .26 ' 17.0 20.0 3 26/3 =8.66 5 1 , 2 NOTES: 1. Tests to be repeated'.at..same depth until approximately equal soil rates are obtained at each percolation test hole. All data :to' be su mitw for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 4` a TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION. DESCRIPTION OF SOUS ENCOUNTERED IN'TEST HOLES DEPTH HOLE NO., 1 HOLE NO.. 2 HOLE NO. T OP "'SclI; ,OP,.S MEDIUM BROWN MEDIUM "BROWN .21 SANDY LOAM SANDY LOAM 31 4' 5' 6'. 7, 8' 9' 10' 11' 12' 13' 14' ......INDI•C -ATE - M'Mi -AT maic € GROUND R.. IS- ..ENOOUaT'FR m) - k1ONE - - -- •._......_� �' :::. _ .:.' ............', ,..:_...._ .. INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED N/A DEEP HOLE OBSERVATIONS MADE BY: JOEL GREENBERG , R. A. Dom. 10/26/95 DESIGN Soil Rate Used 8 -10 Min/1" Drop: S.D..Usable Area Provided 5,000. No. of Bedrooms 3 Septic Tank Capacity 1250 gals. Type PRECAST SCR T—E .Absorption Area Provided By 333 L.F. x 24" width trench ��aEO Other w ayyRt N E Gk C`y' ` N ame JOEL GREENBERG, R.A. Signature , Address' TWO MUSCOOT ROAD NORTH SEAL ti ° Oil 6�0� MAHOPAC, NEW YORK10541 OF t�l THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. 'Checked by Date APPENDIX 3 e PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES __INDJVU)UA- l -WAT-ER SUPPLY.&. SUBSY 3RFACE= 'SEWACaE- DISPOSAL IS-YSTEMS'° _ : -.' :: : REVIEW SHEET for CONSTRUCTION PERMIT STREET LOCATION ' NAME OF OWNER BY B. HEDGES R.MORRIS OTHER DATE �_/ TAX MAP # DOCUMENTS. PERMIT APPLICATION ® PC -1 WELL PERMIT ED PWS LETTER `ENGINEERS AUTHORIZATION DESIGN DATA SHEET(DDS) - CORPORATE RESOLUTION ® PLANS THREE SETS W,.HOUSE PLANS - TWO SETS VARIANCE REQUEST SUBDIVISION EJ ,LEGAL SUBDIVISION SUBDIVISION APPROVAL - CHECKED M PERC RATE m'k6 REQUIRED DEPTH m16URTAIN DRAIN REQUIRED mSTANDPIPES EXP. AREA; SHOWN; GRAVITY FLOW, SUFF. SIZE IF PUMPED PIT & D BOX SHOWN & DETAILED 'HOUSE - NO. OF BEDROOMS WELLS & SSDS'S W/IN 200 FT. OF PROPOSED SYSTEM PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) HOUSE SEWER - 1 /4 "/FT. 4 "0; TYPE PIPE NO BENDS; MAX. BENDS 45 W /CLEANOUT FILL SYSTEMS LLAYBARRIER 1 10 FT HORIZONTAL: SLOPE 3:1 TO GRADE FILL SPECS m FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES FILL PROFILE & DIMENSIONS VOLUME GENERAL E'FILL IN EXPANSION AREA EX- APPROVAL SSDS ADJ. LOTS WETLAND ( TOWN/DEC PERMIT REQ ?) TRENCH 'DATA ON DDS PLANS & PERMIT SAME m LF TRENCH PROVIDED =60 FT MAX _ 'PRE- ,1969 - .NEIGHBOR NOTIFIFICATION :-:PARALLEL TO:CONTOURS = _ . - LETTER 100% EXPANSION PROVIDED m 100 YR. FLOOD ELEVATION REQUIRED DETAILS ON PLANS SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE m GRAVITY FLOW CONSTRUCTION NOTES (GRINDER NOTE) DESIGN DATA: PERC AND DEEP RESULTS- TWO-FOOT CONTOURS EXISTING & PROPOSED DRIVEWAY & SLOPES CUT FOOTING /GUTTER/CURTAIN DRAINS 'EROSION CONTROL; HOUSE,WELL, SSDS EROSION CONTROL NOTE PERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY AND EXPANSION SEPARATION DISTANCES SPECIFIED ON PLAN FIELDS 10' TO P.L., DRIVEWAY, LARGE TREES TOP OF FILL I-LJ 20' TO FOUNDATION WALLS Ed 15' WELL TO P.L ff r00 TO WELL, 200' IN D.L.O.D., 150' PITS 00 TO STREAM WATERCOURSE LAKE (INC.EXPAN) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (PITS -20') - 50' INTERMITTENT DRAINAGE COURSE ;200 FT. RESERVOIR, ETC.[]-] 150 FT. GALLEY SYSTEMS 15' MIN TO C.D. S= >5 %,20'- 4 %,25'- 3 %,30'- 2 %,35' -1 %,100' <1% 20' MIN TO C.D. DISHARGE /100' WITH 182 CONS DAY DIS. SEPTIC TANK m 10' FROM FOUNDATION; 50' TO WELL COMMENTS: VA C❑NSTRUCTI ❑N /SPEC X `.V 23•_q• f'F— R.KN —i... ,.. SSE Ittir .a .:;y �.._T� � -..• 6•-0' 11'_5' 9' -6' ! p SEE HOLE 06 - 17._1.'..., 2x6 EXTERIOR WALLS 2 16'.O.C. O O O 23'-10 1/4' I MB O AND KS UBELA� Lila .. - _—__ -- 2.4 1 z, 1 z' FUT VENT 1 �� o• 1 >' ) r�;,:;,,::: A! ll'-0' B'-0' o ry a 24]0 Mao ®O• D63D .•'12•- jam,- •�;_�'M =`� 2 -1 VR'rN V1'a1r��Vr; _ML / 1 4-11/2-,g 114• w A 3' DIA. STEEL COLUMN x/24'x24'xl2' DEEP FOOTER BENEATH °' 25• L�-W - 11'-0' Imo\ s:,C a"'r� - / 717) N4 -3395 fAX -(717) 441- 7577_•?O�' °.?f?T' BANDS TO RIDGE BENZ IN ACCORDANCE .VIND CRLam DETAILS voim'� I r$ ) / ub ;.v g b BEDROOM H2 , ?,+ R a - KITCHEN II \\ iDININGRD'D7 ../ io BATH p1 e'3'll LIN ^ IL_cvnss n II guaa OfDIBRLDII II mN NL. BCAIa ws 11' Q i El • '7. MITLOOR HALL 1' -7 1/2' f II ON � � O 1 NOTE f7 IGTDIG.II I N R -7SEE CLO 9'-3 112' `D LIN 3•- p•10' II -4• VAULTED CLG , I I II \ II 11' S0 1 2' Zo CLO It LI/ \U BEDROOM D1 LIVINGIIRODM \\ / \ CLO II, 4'-6- O 14'-8' 2• -p• I 60' O� 11, 6, 25'-711 1 Il• -6, nll OI _A 2 -i 1/2'xtl 1 /4' +lr-1 1? M(.. z.b cc 2.6 I SN —E /ON — ? /NY 1 1 - 1 1 1 C� 1 1 - f 1 p SEE HOLE 06 - 1 2x6 EXTERIOR WALLS 2 16'.O.C. 11.4• PROV VINGED GATE 1 x - 1 27644 CATSKILL 1 s(s �`= 1 z, 1 u 1 �� o• 1 . PROVIDE 3 -2x6 UNDER CEILING HEADER• 2 LOCATIONS NOTED ) r�;,:;,,::: A! 02/23/199 1 /a• =1' -0 • 4 -2x3 SPF STUD GRADE (PER HALF) BUILDER IS RESPONSIBLE FOR PROVIDING J viND COL. i0 gE, / 1 4-11/2-,g 114• w A 3' DIA. STEEL COLUMN x/24'x24'xl2' DEEP FOOTER BENEATH IZ PER HALT) AND - IRSTALLCO ON -SITE E CONT. FROM TITP Or PR205 FIRST STORY PLR 717) N4 -3395 fAX -(717) 441- 7577_•?O�' °.?f?T' BANDS TO RIDGE - .....6 og1 BENZ IN ACCORDANCE .VIND CRLam DETAILS voim'� I r$ ) / ub ;.v g ) 1 f ) 3'�•�- 1� 2 =6,r -- .: ... . TES, p SEE HOLE 06 - 2x6 EXTERIOR WALLS 2 16'.O.C. . B' -D• CLG HT. . ROOF SYSTEM TO BE 16. O.C. . VAULTED CLG BEAM OVER LR /DR TO BE, 6 -1 1 12'x11 1/4'x12' -iD 112' ML (2 B EACH FOLD /2 I? RIDGE) x - - 27644 CATSKILL . BUILDER IS RESP. FOR INSTALLING WIND COLUMN IN ACCORDANCE,_ s(s �`= -.+: -/DETAILS FOUND ON PAGE 11B OF EXCEL HOMES' SUBMISSION SET � DRAWN BY-, CwIXED Br, DATD SCALE . PROVIDE 3 -2x6 UNDER CEILING HEADER• 2 LOCATIONS NOTED I��y T% r�;,:;,,::: A! 02/23/199 1 /a• =1' -0 • 4 -2x3 SPF STUD GRADE (PER HALF) BUILDER IS RESPONSIBLE FOR PROVIDING MANUFACTURED STRUCTURES A 3' DIA. STEEL COLUMN x/24'x24'xl2' DEEP FOOTER BENEATH RAB2. BOX 683, LIvERpODL PA 77as..:ad.•;-" =a - PR205 • SITE LOCATION: PUTNAM VALLEY, NY, PUTNAM COUNTY, 35 PSF SNOW LOAD 717) N4 -3395 fAX -(717) 441- 7577_•?O�' °.?f?T' *' - .....6 og1 {i ��4a<t z c ,To the be c[ of my 1n 1.10 , belief and profess tonal judgement, I. this Factory Manufactured Home (FHHI pion hae been approved. from A system set of FMH plans pr ev 66..ly approved by DHCR, Appl l cation Ho. 01315, Menu - facurer•s Ho. 0497, I Eapiretlon Date 11- 07 =96, vhich has not been modified in any manner. energy portion ofthla FMH plan has been prepared us is Bart 5 of Nev York State Energy cons ve[lon construction Code '(Energy End e)rand•Sa in full compli- ance rlth the energy Pr de "• Lam.. --- -- - ---- -- � _. --- - -_ - . -. 11 „! • �I n, in 6 .a r •i ii. .yl;