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02629
FDTNAP VNTY DEPARTbIENT OF HEALTH
DMillon of Mov, , ewtd Hadth Services, Carmel, N.Y. 10512
F k*PnM& PV -22 -88
1TE OF CONSTRUMON COMPLIANCE FOR SEWAGE DISPOSAL SYSTE
Form :&
construction
Ma01ng Address l" 'O V O , • I LJ- WJ %jc" - LM.L
Fee Enclosed.[ Amount $100.00
T /O.Putnam Valley
Town or Vdb ge
Tax Map 35 mock 02 Lot 08
Subdivlslon Name__ N/A
Subdv. Lott# N/A
Date Permit Issued MA,tZC At 2 i ,q0i-9
Separate Sewume System bMt by W.M. Construction, Inc. Address Box 808 Shrub Oak, NY 105 §8
Consisting of__1, 600 Ganom Septic Tank and 36- — 24 inch trench
won supply: Public Supply From Address
on X Private Suppy Drilled by P. F. Beal & Sons Address P.O. Box B, Brewster, NY
BType Residential Lot Size 9.18 acresHas Erosion rantral Rppn Cmmplet-pd? NO
Number of Bedrooms '3 Has Garbsge Grinder Been installed? NO
Other Requirements
I certify that the system(.) as listed serving the above premises were constructed essentially as shopp on the plans of the completed work ( copies
of which are attached), and in accordance with the standards, rules and regulations, i accor cs the sled plan, and the permit issued by the
Putnam County Department'Of Health.
Date- SeptembeX 14, 1990 Cartifled by P.E. X R.A.
Address BADEY & WATSON, RT. , COLD SPRING, NY 10516 License Ne, 62505
Any parson occupying promises served by the above system(s) shall promptly take such action as nuy be necessary to secure the correction Of any unan"
conditions resulting from such usage. Approval of the separate sarwraga system shall become null and void as soon as a pubV= unitary sawer becomes
avallable and the approval of the private water. supply shall become null and veld when a public: water supply becomes available. Such approvals are
subiaet to mod Ies nor �Cha"�7n, In the ludoment Of the COmmistleer of Haslth.,uch r1yocation. modHkatkm Or Chan" Is nseag►y.
. ey�.�� T
3/89 at ale
SAM COUNTY DEPARTMENT of HEALTH to Provide rermn
at\� DlvlaO �nyhtinmentas Haft Services. Carmel, N.Y. 10512 On c CATS OF COMPIJANCds
r�dt M
PV -.2 2= 8 8`
CONSTR ON PEMW FOR SEWAGE DISPOSAi, SYSTEM _ „ T/O Phi 1 ip s town
._...... Town,
Lgcated u
icco ee rd. Osawana Hei ,� -
N/A cat:d, Lot a N/A Tax Map 3 5 Block 0 2 Lot 0 8
Subdivlebn awe OC! S P /� --/' air b i
Renewal_ ❑ Revision
owner /Applicant Name W.M. Construction Inc.
Date of Previous Approval
M.Wag Address
1205 East Main StrPPt __ Town Shrub Oak, NY zip 10588
Building Type Frame Res i d e r> c el..t Ares 9.180 Acres FIR secaon only Depth �;=e
Number of Bedrooms
3 Design Flow G P D 600 PCHD Notification to Rogl� When
tt
SOP-aft Sewage sratem to waaw of _19.QQ-GaRen Septic Tank and_
336 Lai- X .,Y }ro „�H
To be coostractod by Unknown Address
Water supply: pQMk Supply From Address
on X -- Private Sap* Drilled by-7 Unknown ._Address
other > "Akementa
1 represent that I am wholly and compl,tely responsible for the design end location of the proposed with th (s )t 1) that the separate sewage disposal sy nom
above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an coon a ens o 0
County Department Of: Health, and that on completion thereof a "Certificate of Construction Compliance” satisfactory to the Commissioner of Health will
be submitted to the Department, and a written guarantee will be furnished the owner, his SutcessM16 heirs or assigns by the builder, that said builder will
place in good operating condition. any. pert of said sewage disposal systom during the period of two (2) yews immediately following the date of tho 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 Shawn on thb approved plan and that said well will be installed in ccord th the standards, rubs and regu a ens of .the Putnam
County Department of Health. P.E. X _ R.A.
.Date 3/I 2 8 / 9 0 signed
nTr» v r_ G7nm_n Pt- 9 Cold SDrina. N.Y License No 62505
APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the building has been undertaken and s
alteration of construction
revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any change or
requires a new permit. Approved for disposal of domestic sanitary sewage, and /o w water cap onl
rer. oat, ev - - -- - - -- - - --
1/87 . _ _. _- -- -- — ° - --
v TNAM COUNTY DEPARTMENT OF HEALTH
Divlt'. _ ,.f Environmental Health Services. Carmel, N.Y. 10512 on CER7 Engineer o Provide Pe
+�) CONSTP,rJCTIO%iR- FO R SEWAGE tJISNOSAS. SYSTEM -, Permit q
Located at Wicopee Rd. (Oscawana Heights Rd.) T/O Putnam Valley
Town or Village
Subdivision Name N/A Solid. Lot N N/A Tax 3 5 Block 0 2 Lot 08
Owner /Applicant Name W.M. Construction INC. Renewal_ p Revision 0
M.ftgAddr.. 1205 E. Main Street
Date of Previous Approval
Town Shrub Oak, NY Zip 10588
Building k'rame Residence Let Area 9.108 acres
Section only Depth volume
Number of Bedrooms 3 Design Flow G P D 600 F Notification Is Required When Fill is completed
Separate Sewerage System to consist of 1 n 0 0 Gallon Septic Tank and 3 3 6 L.F. x 24" trench
To be constructed by Unknown Address
Water Supply: Pdbllc Supply From
or: X Private Supply Drilled by Unknown ,Address
Other, Require mente tZ n n �; i i to overcome grade restriction
1 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 an regu a sons e Putnam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissiono er 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 the date of the issu-
ance of the approval of the Certificate of Construction Compliance of the original system or an epairs 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 a ortla ith stn ards, rules and regu as iTf'ons of the Putnam
County Department of Health, .\ -
Date 6/29%88 SIgnad PE X
APPROVED FOR CONSTRUCTION: This approval expires t
revocable for cause or ma be ended or modified when co
requires a new .14er mites JAp ro ad for disposal of domesti
C*
icense No 62505
frcM the date issu d tile's construction of the building has been undertaken and is
nec nary by/%he o ssioner of Hhal Any change r al oration of construction
frs ail an ri�ate r ateruplYAYZ
DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641
APPLICATION TO CONSTRUCT A WATER WELL ooGG
PCHD PERMIT #010
WELL LOCATION
Street Address
Wicopee Road,
Town/Village/City Tax Grid Number
T/0 Putnam Valley 35 -02 -08
WELL OWNER
Name Mailin Address WPrivate
':W,:M::. CONSTRUCTION, 1105 E. Main St. , Shrub Oak, NY pPublic
USE OF WELL
1 - primary
2- secondary
>$ RESIDENTIAL
0 BUSINESS
0 INDUSTRIAL
O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP O ABANDONED
O FARM ❑TEST /OBSERVATION ❑ OTHER (specify
b INSTITUTIONAL O STAND -BY O
AMOUNT OF USE
YIELD SOUGHT —5.
gpm /# PEOPLE SERVED3 -6 /EST. OF DAILY, USAGE600 gal
REASON FOR
DRILLING
NEW SUPPLY ❑PROVIDE ADDITIONAL SUPPLY OTEST/OBSERVATION
OREPLACE EXISTING SUPPLY ❑DEEPEN EXISTING WELL
DETAILED
REASON FOR
DRILLING
To provide
potable water supply for new residence
WELL TYPE
®DRILLED
DRIVEN
E]DUG
aGRAVEL
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES X NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: N /A
Lot No.
TER WELL CONTRACTOR: Name Unknown Address:
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE:
YES X NO
NAME OF PUBLIC WATER
SUPPLY: N/A
TOWN /VIL /CITY
DISTANCE TO PROPERTY
FROM NEAREST
WATER MAIN:
greater than 1 mile
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
❑ON REAR OF THIS APPLICATION RQv SF'A T�
6/29/88
(date)
PERMIT
j _ -
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 s.hall:
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 pe it.
3. Submit a Well Completion Report on a form pr vide by th utnam Copnt
Health Department.
Date of Issue: U0 19
Date of Expiration: 19 rmit ssuin f 1
Permit is Non - Transferrable White copy: H.D Fi1feCi
Yellow copy: Building Inspector
Pink Copy: Owner
2/87 n, -nruTC r nrny. TA7e1 l nv-4 11 or
P.1TNAM COUN'T'Y DEPAMA= OF FEUTH - DIVISION OF EVi VIRONME.�'�MU HEALTfi SE?v- S
r[?AL._S = SUJPPLY SUBSURFPC✓ SEWAGE DISPOSAL SYSTEMS.
�Vl p FIELD INSPECTION REPORT.
/AJ �. .
Ca u c_ b '" 1 °P INSP . BY
(Nare of Cwner) (Street Location)
INITIAL SITE INSPEIION = YES NO CCl^- ih-LIS
Wetlands on /or proximate to property ..............
Property lines or corners found................... NZ
Canestimate house la _:.ticn .......................
Will driveday need cut ............................
Mast trees be•reroved - note these...........
Deep holes representative of entire SDS area......
,p0diticnal seep holes needed ...................... I�Z
Sufficient SDS area available considering drivewav I
cut, house location, sec ration distanc=s,etc... i
Adjacent wells/ septics ............................ Ovair.-3
Acc� =s to orccos� well location for drillir_c.... •� I I
P. H. 1 Lot -
Deoth to G.W.
Deoth to rock
0 f;,,--.
3 ft_
6 ft.
12 ft
i
t
Soil Cescrinticn
GSM
FINAL SITE INSPECTION
D. H. 2 Lot
Depth to G_W.
Depth to rock
Eoi! Descrictici
0 f t.
3 f t.
6 ft.
12 ft.
DIM:
INSP.EY:
Ecuse SSDS located per approved plan .............
Leng'h of trench nil -.?_ -Urea
Width of trench average
Slope of tile line and trench acceptable.........
Room allowed for exnsion trenches ...............
Over 100 ft. from Ovate .Tccurse ....................
Natural soil not strip_ced or SDS area
unnecessarlygraded .............................
10 ft. maintained fran property line and
20 ft. fran house ..............................
Distance well to SSDS (ft_) ......................
Number of bedroans c e-- ks ........................
Stones, brush, sums, rubble, etc., greater
than 15 ft. fran nearest trench................
=� 15 ft. of peripheral soil horizontally
frantrench ..... ...............................
Ekesproperly set ...............................
Could surface runoff fran arive-aay, roads,
around surface, etc-, channel nesr SDS are=-....
in area of SDS:: - - - --
S� L
/ia vt--
D.H. - C- en Role
G.�Y . - Z:rCUI'iC'i.VGter
D. H. 3 _ Lot
Depth to G. W.
Depth to rock
0 ft.
3 ft.
6 ft_
12 ft
COVYNENRIS
6 °t-
S�
JJJJJ���� R avc g
BREWSTER LABORATORfES - � _ -... _ �._..�. �•- - r ..
Box 224 - BREWSTER, N.Y.
(914) 279 -4945
- WATER ANALYSIS REPORT -
SAMPLE NO. 7825
SOURCE: W.M. Construction
Wiccopee Rd.
Putnam Valley, N.Y.
COLLECTED: 9-7-90
BY: P.F. Beal & Sons
BACTERIOLOGICAL EXAMINATION
Coliform Count, MF Method
i61 a �2 s
TEST WELL
0 per 100 ml.
This result indicates the source of the sample was
of satisfactory sanitary quality when the sample was collected.
.m
PUTNAM COUNTY DEPARTMERr OF HEALTH
DIVISION OF EV.LROi�NrAL HEALTH SERVICES
GILBERT C. & JANICE H. RICBMAN
Ommmw Purchaser of Building
W.M. CONSTRUCTION, INC.
Building Constructed by
WICCOPEE ROAD
Location - Street
TOWN OF PUINAM VALLEY
Municipality
RESIDENTIAL
Building Type
35 02 08
Section Block Lot
Box 808, SHRUB OAK, NY 10588
N/A
Subdivision Name
N/A
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
��erti f i ca_te. raf�Ccansts ur-tion . Comps a.ance" ...for. .the - sewa .disposal;' systs�m,.._or AQ . =�._.
~ 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 deten-aination of
the Director of the Division' of Environinental 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 the build utilizing
the system. )
Dated this 14th day of Se9t.' 19 90
Gen al Contractor (owner) - Signature
W.M. Construction , Inc.
Corporation Name (if Corp.)
Box 808, Shrub Oak, NY 10588
Address
rev. 9/85
mk
Signature
Title
W.M. Construction, Inc.
Corporation Name (if Corp.)
Box 808, Shrub Oak, NY
ess
`a
Q14. AI.fTT TI.IT AIT T1TT\ATT
1Gti /�l Wr+LL 1�V1'ir LPrl lViv i�:r VAt
DEPARTMENT OF HEALTH
Division..Of. Etivironnten _al Heal t h...Ser.Trice�
�W Y0 PUTNAM COUNTY DEPARTMENT OF HEALTH
office Use Only
WELL LOCATION
STREET ADORESS: WN/ l 1 Y TAX GRID NUMBER:
Wiccopee Rd. Putnam Valley, NY -�
WELL OWNER
NAME: ADDRESS:
W.M. Const. Co., Box 808, Shrub Oak, NY 10588
❑ PBIVATE
❑ PUBLIC
USE OF WELL
1 - primary
2 - secondary
]a RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP 0 ABANDONED
❑ BUSINESS ❑ FARM ❑ TEST/OBSERVATION O OTHER (specify)
❑ INDUSTRIAL O .INSTITUTIONAL ❑ STAND -BY ❑
MOUNT OF USE
YIELD SOUGHT gpm. /NO. PEOPLE SERVED / EST. OF DAILY USAGE gal.
REASON FOR
DRILLING
OREPLACE EXISTING SUPPLY ❑TEST /OBSERVATION ❑ADDITIONAL SUPPLY
®NEW SUPPLY (NEW DWELLING) []DEEPEN EXISTING WELL
DEPTH DATA
WELL DEPTH 465 ft.
STATIC WATER LEVEL 200 ft.
DATE MEASURED 9/6/90
DRILLING
EQUIPMENT
C ROTARY 19 COMPRESSED AIR PERCUSSION 0 DUG
❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify):
WELL TYPE
❑ SCREENED ❑ OPEN END CASING ICJ OPEN HOLE IN BEDROCK ❑ OTHER
CASING
DETAILS
TOTAL LENGTH '2_ ft-
MATERIALS: USTEEL ❑ PLASTIC ❑ OTHER
LENGTH BELOW GRADE 31 ft.
JOINTS: ❑ WELDED ® THREADED ❑ OTHER
DIAMETER 6 in.
SEAL: ® CEMENT GROUT ❑ BENTONITE ❑ OTHER
WEIGHT
PER FOOT 19- Ib. /ft.
DRIVE SHOE: Ed YES O NO
LINER: b YES ®NO
SCREEN
DETAILS
DIAMETER (in)
'SLOT SIZE
LENGTH (It)
DEPTH TO SCREEN (ft)
DEVELOPED?
FIRST
o YES. O
._ _..
_
_
SF"COt10::
-= :. . _
- :. -
_
-HO
• HOURS .
GRAVEL PACK
O NOS
GRAVEL
SIZE:
DIAMETER
OF PACK in.
TOP
DEPTH tt-
BOTTOM
DEPTH It.
WELL YIELD TEST If detailed pumping
METHOD: ❑ PUMPED t tests were done is in-
COMPRESSED AIR , formation attached?
❑ BAILED ❑ OTHER i ❑ YES ❑ NO
rV �L� LOG
II more detailed formation descriptions or sieve analyses
are available, please attach.
DEPTH FaaM
SURFACE
a ar-
In9
wen
013-
meter
In
FORMATION DESCRIPTION
CODE
ft.
ft.
WELL DEPTH
It.
DURATION
hr. min.
DRAWOOWN
It.
YIELD
9pm.
Surface
15
D-ill
ing in overburden clay .& bldr
.
H
t lock
at 15'
465
6
445
6
5
2
Drilling
in g in rock set casing, grout
d.
rock granite,
QUALITY ❑CLOUDY HARDNESS
❑ COLORED ANALYZED? ❑ YES ONO
NALYSIS ATTACHED? O YES ❑ NO
[MAKER ❑CLEAR TEMP.
STORAGE TANK: .TYPE Well Xtrol 302
CAPACITY 86 GAL.
NFORMATION
ubmersibb CAPACITY
Gould DEPTH 400
5ES07412 VOLTAGE 230HP 3/4
WELL DRILLER NAME P.F. Beal & Sons, I c DAT / 3/ 0
ADDRESS PO Box B SIGN3(TURE
Brewster, NY 10509
a/ o7
DEPARTMENT OF HEALTH
Division..of Environmental Health Services
110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 70310
APPLICATION TO CONSTRUCT A WATER WELL
PCHD PERMIT # PV -22 -88
WELL .LOCATION
Street Address
Wiccopee Road
Town/Village/City
T/O Philipstown
Tax Grid Number
35 -02 -08
WELL OWNER
Name Mailing Address MPrivate
W.M. Construction 1205 East Main.Strett Shrub Oak 13 Public
USE OF WELL
1 - primary
2 - secondary
® RESIDENTIAL
® BUSINESS
® INDUSTRIAL
® PUBLIC SUPPLY O AIR /COND /HEAT PUMP ® ABANDONED
O FARM O TEST /OBSERVATION O.OTHER (specify,
t9 INSTITUTIONAL O STAND -BY
AMOUNT OF USE
YIELD SOUGHT
5 gpm /# PEOPLE SERVED 6 /EST.. OF DAILY USAGE 600 gal
REASON FOR
DRILLING
O REPLACE EXISTING SUPPLY O TEST /OBSERVATION 12- ADDITIONAL SUPPLY
EI NEW SUPPLY NEW DWELLING) ® DEEPEN EXISTING WELL
DETAILED
REASON FOR
DRILLING
To provide
potable water supply for new residence
WELL TYPE
DRILLED
®DRIVEN
®DUG
UGRAVEL
®
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES X NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION,, NAME OF SUBDIVISION:
Lot No.
-WATER WELL CONTRACTOR: Name Unknown. Address: .
is PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO
NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY
DISTAPTCE -10 RO EYtTY 1tOM NEAREST-VATER MAIN: -G "re -ale r E an i Mil e -
'LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
O ON SEPARATE SHEET
3/28/90
(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.
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
r-o perty and in such'a manner as not to degrade or otherwise contaminate surface or groundwater.
L.,L: e of Issue: ��%//I /JAI Z j' 19
Date of Expiration 19 Permit Issuing Officia
Permit is Non - Transferrable White copy: HD File Pink copy: Owner
3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller
I'll'1'NAN COUNTY DUAR"1?IENT OF HEALTH
Division of Er►vi.ronmental 11ealth Services
AFFIDAVIT - CORPORATE OWWrR APPLICATION
FOR ri-mm .1' APPLICATION SUBMITTED TO
PUTNA`t COUNTY HEALTH DEPARTMENT
TO: Comniissioner of Health
APPLPIDIX L
In the matter of application for:
wER M lT To GOMS RY61 A S EWMIE DI SM.SA L S`(ST&M r
represent that I am an officer or employee of the corporation and am authorized
to act for CJ C6 IV J_ �Z U_ j_/?7 /NC .
(Na«►e of Corporation) (�
having offices at
Whose officers are:
�1/ ! ! , �C o 7 '/ 2J
President:_ i ! 4 � 46, _ _'___ �-
��� (flame and Address) /U• Y /0_5 v
Vice- Fresident: �_ — 0 t c', /rr..� .?e1
(Name and Address)
Secretary:
(;`lame and Address) ,
. ., .Treasurer. .. �. ,. .r_ ..�.__ ...... .= � ...... ... . ...�... _ ..,. .... . -. . _...:....... ......_._...:_...._....._._.... .... - ..,..._.
(Name and Address)
and that I am and will be i.ndivi:dt►ntly responsible for any and all acts of the
corporation with respect to the approval requested and all subsequent acts relating
thereto.
Sworn to before me this .-2- )_ day Sig►►ed:
of... 19 �� Title:
— J•S •� elaR a. r.
Notary ublic .-" r
L► J ,
I Corporate Seal ''`'• `'' , :'
8/.84
AM ENO :,
PUTNAM COUNTY DEP.ART1+ ENT OF HEALTH - DIVISION OF ENVIROMMM HEALTH SERVICES
INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPCSAL SYSTEMS
MCCMTV- vcgp,.J :uG
(Name of Cwner)
REVIEW 'SHEET C O- NSIRUCTION" PERMIT' -- =
DATE
V V �u�L�- �/✓ws i�r `it7G�'
BY:
(Street f— =tics)
CCM IIK.ENTS
YES
I NO
vXlj
I
I
LF trench provides
rea-uir-----3 '$3
60 f t. max.
Parallel to contours
100% exp.
FILL SYSTEMS
clavbarrier
10 ft.
fill notes
sC
new saec.
depth gauges
100 yr. flood elev.
200 ft. reservoir, etc. LJ
150 ft. trigall /gall.
DOTS
Permit Application
Corporate Resolution
Plans - Three sets
Engineers Authorization
Design Data Sheet (DDS)
Deep Hole Log
Consistent Perc Results
Perc Hole Depth
RL4V'IrtiwED : `T" .1- b�l�G
Cif
s/s
S'JBDIVISICN
Perc
(3) Fill
cd
House Plaf�s — TWO sets
Well - pe_rnu t; P,wS letter
Variance Reauest
GKNERAL
Leal Subdivision
Subdivision Approval Checked
Ex- approval SSDS Ad . Lots Che -ked
Wetland (Tcwn /DEC Psrzmit R & D)
Data On DDS Plans & Permit Same
REQUIRED DETAILS CN PI?NS
Se,Aage System Plan - (north arrcw)
SEaag2 Systrn Hydraulic Profile - Gravity Fig
Fill Profile ns- ons - Volu"ne
D or. ench llery; Pump pit details
Septet - Size, Detail
Well Detail, Service Line if over
Construction .Notes,.__ (grinder rte
Design Data: T�erc 2suh's
TWO -Foot Contours istin & ropos
Drivee.aay & Slopes 0;2 �
Footina/Gutter,Curtain Drains (discharge OK)
Perc & Deep Holes Located
Representative of primary and expansion
Expansion Area; shown; gravity ficw, Buff. size
If ftg)ed Pit & D Box Shown & Detailed
House .1 No. of Bedreans
Wells & SSDS's w /in 200 ft. of Proposed Systar
Property Metes & Bounds
House Setback Necessary (Tight lot)
House Seeger - 1 /4" /ft. 4 110; Type pipe
No Bends; Max. Bends 450 w /cleanout
SEPARATION DISTANCES SPECIFIED ON PLAN
Fields
10'' to P.L., DriveTaay, Large Tree._.s,Top of f
20' to Foundation Walls
100' to Well; 200' in D.L.O.D, 150' pits
100' to Stream, `watercourse, Lake (inc. expa
15' to Drains - Curtain, Leader, Footing
35'to catch basin,stormdrain, piped watercour
10' to Water Line (pits -201)
50' intemnittent drainage course
Septic Tanks
10' fran Foundation; 50' to well
15' Well to PL 9
PEn=M CDUN1Y DERARIMENr OF
DIVISION OF I• •' IN V• L HEALTH �• ry
DESIGN DATA SHEET -SUBSUFACE S09AGE DISPOSAL
STEM - FILE.NU
owner W.M. Construction ING. Address 1205 E. Main St. ,^ Shrub Oak, NY' 10588.
Located at (Street) Wicopee Rd. /Oscawan, Heights Rd. Sec. 35. Block 02 Lot 08
(indicate nearest cross street)
Municipality T/O Putnam Valley Watershed Peekskill Hollow -SRooK
SOIL PER0D=ON ZEST DATA REXUl TO BE SUBMITIED WITH APPLICATIONS
Date of Pre- Soaking 5/31/88 Date of Percolation Test
6 / l/ 8 8
HOLE
• NUMBER CC= TIME PERCOLATION +
PERODIMION
Run Elapse Depth to'Water From Water Level
No. Time Ground Surface In Inches
Soil Rate
Start-Stop Min. Start Stop Drop In _
Min/In Drop,
Inches Inches Inches
A 1 1:28 -1258 30. 26.0 29.0 3.0 10,
2 1:59 -2:29 30 26.0 29.0 3.0 10
3'2:30 -3:00 30 26.0 29.0 3.0' 10
4
5
B 1 1:20 -1:50 30 26.0 29.0
3 0 - 10 r
2 1:51 -2:21 30 26.0 29.0 3.0 10
3 2:23 -2:53 30 26.0 29.0 3.0 10
4
5
3
rev. 9/85
21
41
9G INDEX 512800 644500
3
o�
w
W
0
0
N27-04'05"E 19.93' -
N 6 -46 22 "E 13.39 =
r. N 27 °1454 "E
�: - N 7- °55'05 "E, -8.79=
7$, AWA NA
2°28 371IE 34.05
N3 �
46.14
N36° p1'41 •E
44.56
N 31og8'48' E
'4 "C 49-77'
N30 °03 6.13'_
TV N136500 8 3 33
N 26 °32
or
NOW
S
U
me _ o , '5
'\ I81 For '
ENLARGED DETA IL 447.59
/•= 50'
�00 E
via
1 ,
h`
EXISTING ✓' me p,�e
WELL-16 Fr°
od
yio
'good — DQ
� r SIePe
'p gyp, SPI TWIN ZI _ <Ee
�B- MA E
G• Re°Ity
T•
formerly
Of
..A.TrOues �
At kins
o °f
ut a
k.2
r
� t�G
2
QO
h0 06 NA
C) 5
�
eu nam ooynty.Deyartmelll nesitic
o Envi nmept H9altYyrSUr°i:
ppr oed as noted for oonfo�manoe With
.plioable Rules and Regulations of thi
Putna�CVMwnkt,,Yy
� +
',�i'b° �H-e,&->_Dep&rtt;9nt'-
�90 Acrd _
6 I I9 ''° °,ev ` rner 55DS— AS —BU /L T
' f r PREPARED FOR
i6 t` II .�I SPINE IN IS'BIRCN
r -
W.M. CONS TRUC T /ON INC.
589° E SPIKE IN IB' BIRCH O AS - BUILT ', '
_ S�/ /UNTO i
NOAk7L 90QOIUNENDIMLATERAL TOWN OF PUTIVAM VALLEY
B SP IN 29' MAPLE
See Enlarged Delai; above. BIT 14.5 PUMAM COUNTY
AS - BUILT AS - BUILT AI6 01.3 END LATERAL NEW YORK
RELOCATION - DIMENSIONS RELOCATION - DIMENSIONS BIB I" SCALE /in. = /OOf/ SEPTEMBER 14, 1990
FEET I A19 55.0 DROP 00%
13
14 �
o \ IS
C ' 17 ' (16' � /� 1 ly
C le
Fof
ENLARGED DETA /L
/" = 50,
e
l
3i
ut
\\ �00 Poje I I o
N
g6
N 27004'05 "E
N 604622 "E 13.391 a
o N 270145411E
N'7055 05 E .8.79
WA NA o� �l
�1 3(
Macadam
R ®s40 °
E 134-05-
34.0 5 � vo
N 322813'" LAJ
0p1'4111 E 46.141 3: /
N36 11E 44.561 � -®
N 31048148
003 4511E 49�7'�`� -�a
/
N30 6.131 ,
W
,\,,8o54'22 281E 13.43
3'
N26032144E
J� 0.9 O Jf
441 'fig
Duel I in9
e
F'0 m
Wood oecK
I" le I' M F SPIKE IN 1 5 "6 1 RCH
or
�iCl 90 0� 1
E SPIKE IN 8" BIRCH
.eJ 5 6
SP IN 24" MAPLE Nov
See Enlorged Detail, above.
AS - BUILT
RELOCATION - DIMENSIONS
FEET
NO 4,
At
24.5
END LATERAL
BI
73.5
"
A2
20.0
END LATERAL
82
1 72.5
"
A3
15.5
END LATERAL
/
EXISTING 3'
10.0
WELL
12.0
-
END LATERAL
B4
75.0
A5
15.5
01 ood
65
72.5
` - 5ti
o
0 A SPI N TWIN
^8,. MA E
G28) U
21 0 2 `D-
>!' 0
)to
steps)
73.0
,,o
J� 0.9 O Jf
441 'fig
Duel I in9
e
F'0 m
Wood oecK
I" le I' M F SPIKE IN 1 5 "6 1 RCH
or
�iCl 90 0� 1
E SPIKE IN 8" BIRCH
.eJ 5 6
SP IN 24" MAPLE Nov
See Enlorged Detail, above.
AS - BUILT
RELOCATION - DIMENSIONS
FEET
At
24.5
END LATERAL
BI
73.5
"
A2
20.0
END LATERAL
82
1 72.5
"
A3
15.5
END LATERAL
B3
73.0
10.0
A4
12.0
-
END LATERAL
B4
75.0
A5
15.5
-_
END LATERAL
65
72.5
rA16
B16
A6
19.0
END LATERAL
B6
73.0
A7'
50.0.
_
DROP BOX
67
41.5
A8
47.5
_
DROP BOX
Be
40.5
for 01er,
I
AS - BUILT
RELOCATION - DIMENSIONS
FEET
A9
46.0
DROP BOX
B9
40.0
"
AID 45.5
B10140.5
A 11 46.5
B II 41.5
DROP BOX
-- -- -... -1
DROP BOX'
DROP BOX
"
END LATERAL
^. 12
P 12
3
! 48.5
03.5
78.0
613
15.5
"
A14
78.5
END LATERAL
B14
10.0
A15
79.0
END LATERAL
B15
8.5
"
80.0
END LATERAL
rA16
B16
10.0
"
7."A4- : 35 -03-01