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HomeMy WebLinkAbout2648DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 52. -3 -73 BOX 22 logo go or IL 'r t f Is i \ PUTNAM COUNTY DEPARTMENT OF HEALTH Re 3186, Division of Envirofsmiiiial Healtfi Services. Carmel, N.Y. 10512 Engineer to Provide Permit # on CERTIFICATE OF COMPLIANCE 6 g i C STRUCTION PERMIT. FOR SEWAGE SPOSAL SY , Permit III \ / 1/7,4" /4'LG�Y at Town - or Village .�'7:4/C :.T .:�. » -i+.. __...__._ x'jr "i.,Y� �z�..s._. _..►�. _..�:�:- ._:..:.+u .- _ .e! r�. Y..:- �c�.:�. _ -..+ .. _._._ -. _ _ .. .. -. - ... .. -.r.r .... t.. So sion Name %�V/ Sabd. Lot N 9Tax Map Block _.T _ tl _Lot Owner /Applicant Name rro Renewal_ ❑ Revision ❑ Date of Previ Approval Mailing Address ZIP- Banding ; Type ��S'% �!�(� �l�L Lot Area [!�PCAD ection Only Depth Volume Number of Bedrooms J Design Flow G /P/D � Notification Is Required When Fm is completed Separate Sewerage System to consist of Gall on Septic Tank an ! ;i x To be constructed by Ad/ wz(� Address AW7110J A) Water Supply; Public Supply From Address or. vote Supply Drilled by Z :J Address I 61 Other Requirements, • d� represent that am wholly an 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 regulations o e 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- ante 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 i accordance. with the startdqds, rul and regu aT oT not the Putnam County Department of Health. Date /°L –3- k6 igned • Address 2-4/71 License No APPROVED FOR CONSTRUCTION: This approval expires one r fro a data issu u less construction of the building has been undertaken and is revocable for cause or may be amended or modified when consi ad nece ry by a or Ith. Any change .alteration of construction requires a new permit. ApDrov for disposal of domestic it y s an or (aivB�ftpn ly. Date � f3 y Title CATS OF CON; Located at ����� C Owner /appUcant Name 10 Division of l+wboomental Haft Serviced, OCaemel, N Y "10512 QQ P most P tUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM PIJ t✓& 6 - • Town or V 0 Ter: Map '–� Blwk Lot _ 11j'D J BYiP,(!w Ar QAX Subdivision Name �!� — - .• MaMail Address —cAry Fee EnclosedlZ Amount Separate Sewerage System bunt by & C t U ffle QT GfJW "� C4Mlstbrg of 1490V Gallon Septic Tank and Ytlbdv. Lot #i Date Permit Issued Water Supplys blic Supply From Address orPrWate Supply Drilled by AS 0Av ddeess 9 9'19j . � X j A� ltd �B�er $ 4 BuB��Pe j�'esj/J Lot Size �; Has Erosion Cnntrnl Reran Cmmplatar9? Number of Bedrooms Has Garbage Grinder Been btetaned? �= Other Requirements f– T1-- I certify that the systam(s) as listed serving the above premises were constructed essentially as shorn on the plans of the completed yd'rk- 0copies of which are attached), and in accordance with the standards, rules and requlat no in accordanes,r the fled plan, and the permit•(bY;e Putnam Coup De tment Of Health. > Y® Dab certified by r PE ��G11 Address LIpnN No Any person occupying premises served by the above system(s) shall promptly take such action as Me be necessary to secure the Correction of any uj sai_ rtr in conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as won as a putt% sanitary aawN,be00 available and the approval of the private water supply shall become null and void when a public water supply becomes available. such a 84 e-, subject to modifi tb�n or Mange when. in the judgment of the commissionwcmi:Nealth. such revocation, modification or change Is naet+wwry. - 189 Date // Title Y„ 1 represent %that 1 am wholly and eompeatoly rosponalble for the design and loea[+on of the proposed systom(s); 1) that the Oi rate ream di gel ttom Toro- de�ribed-will w constructed os ahOarn on tho appr� amendment there to and in accordance with the standards, rules a ragu ns o rase County DePMma t_" Of 0466911h, avid that an completion thereof a "Cereifieato of Construction Compliance" satisfactory to tho Commissioner of Ho,khwill be Uplamkted to the Departmwat, and a written emorantoo will be furnished the owner, his sucaeawih hairs or assigns by the builder. that said builder will place in gods opmatislt co"Ition. any @art of mid Mw OM disposal system during the period of two (2) yews Immediately following the dote of the Im- "ce Of the egg "al of the CcSrtifkaMe of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above wk0 be loeatod as shown on Me, appr plan and that old well will bo Ingle it a Jdaneo with t pridaraA rubs and rclfu ns of th Putnam County Depar@ OIlhl Date ® 5 n e F.E. R.A. Ads`aoae LllOnso WO APPROVED FOR CONSTRUCT1ONs This approval axplero two years from the date issued unless con uction oft building .has boon undortaken and Is revocable for cause or may bo one or madiflod when considered ncem ary by the Commissioner of MOM Any change or altwation of construction requires a ne pormlt. AppeoaCd for disposal of don wdk sanhao:y-scwa©a, and /or Mato water supply only. Rev. ® ^ -L/� ® 1088® I� COD[- OP I am i8 OP CONTU A� d � IM MWAi iyffm P�/l 6 D& r Y qx A," Deft OF °,� l Date Subdivision Approved Fee Enclosed ® Amnl,nt 1 represent that I am wholly and completely responsible for the design and location of the proposed system(%); 1) that the so rata sepal d1 sal stem abOVO doeaibed will be constructed as shown on the approved amendment there to and in accordance with the standards, rules a rogu wn% ram County Department of Health, and that on completion thereof a "Certifkate of Construction Complianco" satisfactory to the Commissioner of Haelthwill be wArnMed to the Deplartmeld. and a written guarantee will be furnished the owner, his successors, hairs or assigns by the builder, that old builder will piece in good operating Condition any part of said -,wage disposal e l system during the period of two (2) yes Immediately id iately following thato of the Now 61100 Of the approval of the Certificate, of Construction Compliance of the original system or any repairs thereto; 2) that the drilled wall described above will be located as ohown on the approved plan and that said well will be installed in a Mordance with i stalhda rules and regi—=Wn of tbp Putnam County OapO � 04 t4aettA. 0,�/ pates x % Signed P.E._ R.A. _ AdaUO9a Liconso ido 29L97 APPROVED FOR CONSTRUCTION, This approval - xpires two years from the date issued unless constructifn of the building has beon undertaken and is revocable for cave- or may be amended or modified when considered ncco mry by the Commissioner of Health. Any change or alteration of construction squires aa°P40 pamit Appeoved for difadeal of domestic mnkary gip, and /ere hall tAP s IVaty. Rev.® 10/88 V PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Owner or Purchaser of Building Section Block Lot C gp —Zr 4E 7,1301 e 11A Building nstru /cted by Location - Street Subdivision Name IdW4� Municipality Subdivision Lot # R,C; S I t) a2 uilding Type GUAIWM 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 Departiinent 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 - madam -by- -s- to. nc r system;-- exo6pt• where - the, • failure^ to- .cperate--prope-rly is------- .. __. _.... caused by the willful or negligent act of the occupant of the building utilizing the system. n-I d d f th t The un ersigne U.S. er agrees o accep as conc usive e e ernuna ion- .;o. -.� the Director of the Division of Environmental Health Services of the Putnamb County`_: n"'? 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 building utiliz:hg? - the system. Dated this 0 c %^ day of 2y 19 Signature -< Title T cal A) 4,11V General ntrac - Signature Corporation Name (if Corp.) ess rev. 9/85 mk Corporation Name (if Corp.) Address ^^' � THIS SAMPLE AS RECEIVED AT THIS LABORATORY MET ~ DID NOT MEET THE REQUIREMENTS OF NEW YORK STATE DRINKING WATER STANDARD,S Deborah A. Wilson, Bacteriology Laboratory Director )at� NEW YORK STATE DEPARTMENT OF HEALTH APPROVED LABORATORY: ELAP ID NO. 11218 6l8 CLOCK TOWER COMMONS, RTE 22,8REWSTER,NY l05O9/4l4-278-76O0/ FAX 9l4'Z97'O536 NORTH AMERICAN � LABORATORIES, INC REPORT OF BACTERIOLOGICAL EXAMINATION OF WATER =================== ==== == = ============== = = == | Service ^�� Report to: _�����_��v���| SAMPLE NO.__________________ DW2210 | | | B�2 B 141 South Rd Ad�ress:__o«��_�_____| ` R RT | | Town: 821mea____State:_NY__Zip:________~''elephone no:__________ | / | Sample source:________________________________________________________ / | | | Location:_______Don Svaooae__________________________________________ | | | 1 Street address:­_ _________________________ | | Putnam Valle 0� | | Town:____County:_���o�m __ ----- State: ....... Zip:________ | | | ========================================================================= Sampled by:_ Service Date:__ _ T�me:_____________ ' � | | ========================================================================= RESULTS, ��_�����������_��_�_ ` | METHOD _ | |------------------------------------------------- _� _ . ------+------------�-� ' | Total coliform MF: Present ---------- Absent__"^ |SM (16), 909A | | | | | Total coliform MPN: Present _Absent |SM | (16), 908A | | | 1 E. Cali: Present---------- Absent ------------ | | | | | | Fecal coliform membrane filter:____________ no per. 100 ml|SM (16), 909C | | | | Fecal coliform MpN:_� no per | 100 ml|SM | (16), 908C | � | | Standard Plate ' no per 1.0 ml|SM (16), 907A | ^^' � THIS SAMPLE AS RECEIVED AT THIS LABORATORY MET ~ DID NOT MEET THE REQUIREMENTS OF NEW YORK STATE DRINKING WATER STANDARD,S Deborah A. Wilson, Bacteriology Laboratory Director )at� NEW YORK STATE DEPARTMENT OF HEALTH APPROVED LABORATORY: ELAP ID NO. 11218 6l8 CLOCK TOWER COMMONS, RTE 22,8REWSTER,NY l05O9/4l4-278-76O0/ FAX 9l4'Z97'O536 e , Q►latt��rr. J�ti - ✓/I WLLL l.Vl'LtLAl1V1V itLtVltl DEPARTMENT OF HEALTH Div_iBiop._. Qf EnyJronmental .Healtrh. Services. _ PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only WELL LOCATION STREET ADDRESS: WNIVIL ! 1 Y TAX GRID NUMBER: J/ o% _ WELL OWNER NAME: ADDRESS: &� r�..Cekse P8IVATE O PUBLIC USE OF WELL 1 - primary 2 - secondary eRE81DENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM O TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT _,�_ gpm. /NO. PEOPLE SERVED / EST. OF DAILY USAGE 6�� gal. REASON FOR DRILLING EIYEPLACE EXISTING SUPPLY ❑TEST /OBSERVATION ❑ADDITIONAL SUPPLY EfNEW SUPPLY (NEW DWELLING) []DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 6 _ ft. '�n�r, STATIC WATER LEVEL —2_ ft. DATE MEASURED' y4)// DRILLING EQUIPMENT ❑ ROTARY IeCOMPRESSED AIR PERCUSSION ❑ DUG 0 WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE �� ❑ SCREENED ❑ OPEN END CASING O OPEN HOLE IN BEDROCK ❑ OTHER CASING TOTAL LENGTH �o� ft. MATERIALS: STEEL ❑ PLASTIC ❑ OTHER LENGTH BELOW GRADE_ ft. JOINTS: 13 WELDED THREADED ❑ OTHER DETAILS DIAMETER in. SEAL: ❑ CEMENT GROUT BENTONITE ❑ OTHER WEIGHT PER FOOT !7 Ib. /ft. DRIVE SHOE YES ❑ NO LINER:OYES NO SCREEN DETAILS DIAMETER (in) 0T SIZE LENGTH (It) DEPTH TO SCREEN (ft) DEVELOPED? FIRST ❑YES ONO SECOND GRAVEL PACK O NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH R. BOTTOM DEPTH It. WELL YIELD TEST If detailed pumping METHOD: O PUMPED tests were done is in- L t L°J COMPRESSED AIR , formation attached? O BAILED O OTHER ; ❑ YES ❑ NO 1I�LL LOG if more detailed formation descriptions or sieve analyses available, please attach. DEPTH DEPTH FROM SURFACE, Water sear. ing well Oia- meter FORMATION DESCRIPTION cooe 1t tt WELL DEPTH It. DURATION hr. min. DRAWOOWN It, YIELD gpm. Surlace ✓ `• r © /p d 65' 1/ 6 WATER irCLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES O NO STORAGE TANK: TYPE CAPACITY Go_ %/e Or&oQ60*L. PUMP HFORMATION _ TYPE CAPACITY .� MAKER DEPTH MODEL'7 � •-° /< VOLTAGE • � �--r -- WELL OAILLER NAME GATE A4MRT M. HYATT & SONS, INC. Well Drilling #TUAE /(� Rte. 311 R.R. 2 Box 171A NEW YORK 12563 DEPARTMENT OF HEALTH Division of Environmental Health'Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 PCHD PERMIT # WELL LOCATION Street Addr s Town cJ llage City Tax Grid Number 4iG� e WELL OWNER Name fling Address � Aojrivate 0"Public USE OF WELL 14CZ-�arigmaj>D 2 - secondary ,'RESIDENTIAL BUSINESS D INDUSTRIAL ® PUBLIC SUPPLY 0 FARM O INSTITUTIONAL Q AIR /COND /HEAT PUMP O TEST /OBSERVATION 0 STAND -BY D ABANDONED 0 OTHER (specify, AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED_ /EST. OF DAILY USAGE al E3 REPLACE EXISTING SUPPLY E] TEST/ OBSERVATION 13. ADDITIONAL SUPPLY bfNEW.,SRPLY NEW DWELL NG ® DEE N EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING er_ WELL TYPE .t DRILLED ®DRIVEN. []DUG ®GRAVEL . ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES. NO IF WELL IS LOCATED IN A `REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No.. WATER WELL CONTRACTOR: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE- TO PROPERTY. FROM NEA.RIFST WATER 'MAIN:.._ u.. LOCATION SKETCH 4 SOURCES OF CONTAMINATION PROVIDED N SEPARATE SHEET , (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 thirt; *. (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 a manner as not to degrade or otherwise contaminate surface.or groundwater. Date of Issue •��' 19 �� Date of Expi tion 19 Permit Issuing Off al Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller ' APPaMLX B PC71',iAM CCU-.7PY DEPAM r OF HF -UTri - DIVISIC1 OF ENVIRCMEWML HEALTE SERVICE L�IDIVIDLML KATEZ SUPPLY & SUESJRFAC- S`rI =-- DISFCSnL SISTEmS REV -=11 Sr'.s r - CONSU=ICN PERMIT E RE A1v1vv,v7-11 A-Tll ClY r2n/C� C i�Jl�/ Cl / 6 c av✓ — BY: G../ (Name of Owre_*-) (Street Locsticn) C S YES I NO I ' I � I 15ti- I I I I I i I I � i I I I 15ZI _ I I L Lrenc, orcvid d r=e-" b L460 L4 to contours �100% ems. I I I I I I �I I I I i. I I F_I, SYSTE`�S II Cl ayb rri er m j j U P-6r, ,G I 10 ft. f ill note I new Cents gauge I 100 yr. flood elev. 200 ft_ reservoir, etc. L 150 ft. trig-all/call. I' I ZH I I D=a^ —NITS . Pern.i.t A.00lication Coq=ate�Resoluticn Plans - Three sets ='s Engineers Authorizaticn Design Data Sheet '(DCL) Cu�DIVTSICN Deep Hole Lcc Pere Consistent Perc Res-,, is (3) Fill Per-- Sole Depth C- House Klaus - Two sets Well Fe -snit; F;vS 1 =_per Variance Re<_nest Le al Surdivisicn S di•risicn Accroval C :ec:ci-=� Ex- accrcva_ SSDS Ad- L,-t-= C'-ecckema Wet .d (Tc, -n /DEC Permit R & D) Darr Cn DDS Plans & Permit Same REYUIM DE- Tc CN PE:tiS S�.�ace S s --n Plan - (norr_'i a _ cw ) C.,,age Svstem Hvcraulic P=cr"_1_ Fill Prof i le & Dimensicns - Vold ine D or(f�F=;Trencn /Gallery; Pz pit details Seotic Tank - S..ze, Dcr�i l Well Devil, Service Line i = cve_ Ccnst:,:cticn Notes (cancer rte) Ziesian.T�-ta.: perc ;and deep resjits C--OOt ntOdlr3� Drlvecr_v & Slopes Cat Foot? n /Gstt°`r, Cur ta-;n Drains (discharge Cam{) Perc & Deeo Holes Loc t Representative or prim ry ac:a expansion _ Dx-pansion Ase--; shown; _ravit,,r fir-- w,suff. size If Pmpea Pit & D Lox Shcwn & Detailed House G No. of Bedroans Wells & SSDS's Win 200 ft. of Proposer Svst =_ Properly Metes & Bounds House Setizack Necessary (Tight lot) House Seater - 1 /4 " /ft. 4110; yZ,rce pipe No Bends; M--x. Bends 45(' w /cleanout Sr PA_RATICN DISTANCES SPECIF = CN PT_ N Fields 10' to P.L., DriveTNav, Loge Tre`:s,Tco Of f 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, LaJke (inc- er 15' to Drains - Curtain, Leader, Footing 35 'to match basin,stormdrain,Z). =d wate_rccu 10' to Water Line (pit: -20') 50' i.nt imittent drai race course Seotic Tanks 10' fran Foundation; 50' to well 15' Well to PL 9 95 -20-5 (946) -25c DEC PERMIT NUMBER '177A_Z1 -1 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ift eftwd Under the Environmental Conservation Law a6NYCRR 608: Water Quality Certification Article 17, Titles 7, 8: SPDES Article 19: Air Pollution Control* Article 23, Title 27: Mined Land Reclamation Article 24: New X Freshwater Wetlands N —New, R— Renewal, M- Modification, C— Construct ( *only), 0— Operate ( *only) EFFECTIVE DATE EXPIRATION DATE(s):. ; :,- December 31, 1989 Article 15, Title 3; 6NYCRR 327, Ettore Annunziata and Jim Byrnes 328, 329: Aquatic Pesticides ADDRESS OF PERMITTEE Article 15, Title 5: Austin Road., Mahopac, NY 10541 Protection of Water aArticle Article 15, Title 15: TELEPHONE NUMBER Water Supply Article 15, Title 15: NAME AND ADDRESS OF PROJECTIFACfILITY (If different from Permittee) Water Transport Southeast Peekskill Article 15, Title 15: LOCATION OF PROJECTIFACILITY Long Island Wells F7Articles Article 15, Title 27: UTM COORDINATES Wild, Scenic and Recreational Putnam Rivers ift eftwd Under the Environmental Conservation Law a6NYCRR 608: Water Quality Certification Article 17, Titles 7, 8: SPDES Article 19: Air Pollution Control* Article 23, Title 27: Mined Land Reclamation Article 24: New X Freshwater Wetlands N —New, R— Renewal, M- Modification, C— Construct ( *only), 0— Operate ( *only) EFFECTIVE DATE EXPIRATION DATE(s):. ; :,- December 31, 1989 PERMIT ISSUED TO Article 25: Ettore Annunziata and Jim Byrnes Tidal Wetlands ADDRESS OF PERMITTEE Article 27, Title 7; 6NYCRR 360: Austin Road., Mahopac, NY 10541 Solid Waste Management* aArticle 27, Title 9; 6NYCRR 373: TELEPHONE NUMBER Hazardous Waste Management Article 34: NAME AND ADDRESS OF PROJECTIFACfILITY (If different from Permittee) Coastal Erosion Management Southeast Peekskill Article 36: LOCATION OF PROJECTIFACILITY Floodplain Management F7Articles 1, 3, 17, 19, 27, 37; UTM COORDINATES 6NYCRR 380: Radiation Control PERMIT ISSUED TO PERMIT ADMINISTRATOR Ettore Annunziata and Jim Byrnes AIfgg ADDRESS OF PERMITTEE New Paltz, NY 12561 Austin Road., Mahopac, NY 10541 AGENT FOR PERMITTEEICONTACT PERSON Page 1 of 4 TELEPHONE NUMBER William F. Zeiler, P.E. (914) 628 -4764 NAME AND ADDRESS OF PROJECTIFACfILITY (If different from Permittee) Southeast Peekskill LOCATION OF PROJECTIFACILITY COUNTY TOWN/YI>:{KLK UTM COORDINATES Freshwater Wetland OL -40 Putnam Putnam Valley DESCRIPTION OF AUTHORIZED ACTIVITY Place approximately 125 cubic yards of fill within the adjacent area of the above wetland.: in conjunction with- construction of.a.sewage dis osa'1 s stemzrconst.ruct a sing/ family residence with associated driveway and well within said adjacent area.in accordance with a plan dated November 22, 1986, last revised January 5; -19 8 as prepared by William Zeiler, and as conditioned herein. GENERAL CONDITIONS By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compli- ance with the ECL, all applicable regulations and the conditions specified herein or attached hereto. 1 . The permittee shall file in the office of the appropriate regional permit administrator, or other office designated in the special conditions, a notice of intention to commence work at least 48 hours in advance of the time of commencement and shall also notify him/her promptly in. writing of the completion of the work. 2. The permitted work shall be subject to in by an authorized representative of the Department of Environmental Conservation which may order the work suspended if the public interest so requires pursuant to ECL §71 -0301 and SAPA §401(3). 3. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages, direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and descrip- tion resulting from the said project. 4. The Department reserves the right to modify, suspend or revoke this permit at any time after due notice, and, if requested, hold a hearing when: a) the scope of the project is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations are found; or b) the permit was obtained by misrepresentation or failure to disclose relevent facts; or c) newly discovered information or significant physical changes are discovered since the permit was issued. 5. The permittee is responsible for keeping the permit active by submitting a renewal application, including any forms, fees or supplemental information which maybe required by the Department, no later than 30 days (180 days for SPDES or Solid or Hazarduous Waste Management permits) prior to the expiration date. 6. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work or as authorizing the impairment of any rights, title or interest in real or personal property held or vested in a person not a party to the permit. 7. The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of -way which may be required for this project. 8. Issuance of this permit by the Department does not, unless expressly provided for, modify, supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Department or any of the terms, conditions, or requveme contained in such order or determination. 9. Any modification of this permit granted by the Department must be in wr' ' g and a ached hereto. PERMIT ISSUANCE DATE PERMIT ADMINISTRATOR ADDRESS 21 South Putt Corners Road AIfgg William E. Steid a New Paltz, NY 12561 AUTHORIZED SIGNATURE Page 1 of 4 95.20.6a (1;86)—;25C ADDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34, 36 and 6 NYCRR Part 608 ( Freshwater Wetlands 10. That if future operations by the State of New York require an al- other environmentally deleterious materials associated teration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation 'r:. 4 r -shafl cause, unreasonable obstruction to the free navigation of said waters or flood flows of eridanger th-e- 1iealth6safisty "•dr,weifare.,..of ;: the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be com- plefed, the owners, shall, without expense to the State, and to such extent and in such time and manrter as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 11 . That the State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. 12. Granting of this permit does not relieve the applicant of the responsi- bility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. 13. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any 1-i 15 16 17 18 19 with the project. Any material dredged in the prosecution of the work herein permuted shall be removed evenly, without leaving large refuse piles, ridges across :tfi?,.bed•.of.a, waterway or f(oodplain or deep hples that may have a tendency to cause damage to'-navigable charinels:or.tb_xhly banks of,,,, a waterway. There shall be no unreasonable interference with navigation by the work herein authorized, If upon the expiration or revocation of this permit, the project hereby authorised has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. If granted under Article 36, this permit does not signify in any way that the project will be free from flooding. If granted under 6 NYCRR Part 608, the NYS Department of Environ- mental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301, 302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95 -217) provided that all of the conditions listed herein are met. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by on r r 95.20 -6i (7)87) -25c NEW YORK STATE DEPARTPIENT OF ENVIRONMENTAL CONSERVATION � SPECIAL CONDITIONS 24 Freshwater Wetlands (New) For Article 1. To satisfy the requirement of General Condition No. 1, the permittee or a representative shall contact, by telephone, the Division of Law Enforcement in New Paltz (914/255 -5453) 48 hours prior to the commencement of any portion of the project authorized herein. 2. The permittee skull require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads and understands this permit and all special conditions. 3. Prior to commencement of work, a continuous row of staked haybales shall be installed at the limit of disturbed area as depicted on the approved plan. Such haybales shall be fully maintained until a suitable vegetative cover is established on all disturbed soils. 4. No disturbance to the wetland proper is authorized except for the minimum operatin of equipment necessary to construct the driveway. No excavation, filling or grading is to take place within the wetland proper. 5. The sewage disposal'system shall be constructed in strict accordance with the requirements and final approval of the Putnam County Department of Health. 6. All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass seed andmulched with hay or straw within one week of final grading. Mulch shall be maintained until a suitable vegetative cover is established. 7. For any of the lots containing portions of Freshwater Wetland OL -40 or the wadjaceht 1.40:_ ,�aat.:..caatcol" acea� :ii`l e.wdeed: .o't adh:..sush_q:r_o.pPrx .- sh�1J_:... contain a restriction as written below: "For as long as any portion of the property described in this deed is subject to regulation under Article 24 (the Freshwater Wetlands Act) of the Environmental Conservation Law of the State of New York (ECL), there shall be no construction, grading, filling, excavating, clearing or other regulated activity as defined by Article 24 of the Environmental Conservation Law on this property within the freshwater wetland area or 100 foot control area as shown on the Septic Design Plan for Annunziata and Byrnes at any time without having first secured the necessary permission and permit required pursuant to the above noted Article 24. This restriction shall bind the Grantee's, their successors and assigns and shall be expressly set forth in all subsequent deeds to this property ". DEC PERMIT NUMBER 3728 -31 -1 FACILITY ID NUMBER PROGRAM NUMBER 3 of 4 95 -20-6f (7;87; -25c NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION DEPARTMENT OF HEALTH r Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICA.T,TC)1_, Tf� CONS_ T.R ^UCT A WATER WELL PCHD PERMIT #/ �✓'�� WELL LOCATION Street Address own V' age City ' / Tax A-q Grid Number 31-- WELL OWNER Name Address AJAd�U®!%�l p &Private . 6 O Public USE OF WELL 1 - primary 2 - secondary EKESIDENTIAL O PUBLIC SUPPLY O AIR) /HEAT PI-9 ® BUSINESS 0 FARM O TEST /OBSERVATION ® INDUSTRIAL U INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify; AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED -3 /.EST. OF DAILY USAGE VOO gal. REASON FOR DRILLING EtiJ SUPPLY OREPLACE EXISTING OPROVIDE ADDITIONAL SUPPLY SUPPLY ODEEPEN EXISTING WELL []TEST/ OBSERVATION DETAILED REASON FOR DRILLING _ &,Q L)e AA,gti&.y- F°o,2 �,►tXeJ ,�tsJ•iAEd/G+G -� _ WELL 'TYPE ODRILLED O DRIVEN ODUG O GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES e% NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES 6,-' NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY ..__ ....DISTANCE'--TO . PPOPERTY- .EROM.. NEARES.T.. WATER ;MAIN.; :.,... - - - .::_ .................,._ LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED O ON REAR OF THIS APPLICATION P TE SHE (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 pro ided by the Putna County Health Department. Date of Issue: 19 Date of Expiration: -- 19 fo Memit Issuing ffici En Permit is NonrTransferrable A ALOIS KRAL Chairman BILLY CROWDER Secretary Town Planner JOEL GREENBERG (914) 628 - 6613 TOWN OF PUTNAM VALLEY PLANNING BOARD PUTNAM VALLEY, NEW YORK 10579 BYRNES &ANNUNZIATA WETLAND PERMIT APPLICATION - LL3 -1987 TM #35 -4 -1 - PEEKSKILL HOLLOW ROAD /. a 4. /? �,,v Members: ROBERT CANAVAN BRIAN DOYLE GERTRUDE McKAY Clerk VITTORIA COLESANTI (914) 526 -3740 PB8/1/1988 WHEREAS, the applicants are proposing to build a single family house on property containing portion of a state controlled wetlands for which application has been submitted to the N.Y.State D.E.C., and WHEREAS, the same wetlands are also under the Town's jurisdiction thereby requiring the review by the wetland inspector with regard to the work that can and cannot be done within the wetlands in question as well the controlled area surrounding same, and WHEREAS, William Zeiler, P.E., who is the applicants' engineer has prepared and revised the drawings showing the location of the various improvements proposed for the property. and., has, also. .indicated the various.... wetlands,protective':.measurs :, NOW, THEREFORE, on recommendation by the wetland.inspector, Michael Priano and the Town Planner, Joel Greenberg, and on motion by Billy Crowder,seconded by Brian Doyle, a NEGATIVE DECLARATION MAY BE FILED, and FURTHER RESOLVED THAT, on recommendation by Messrs Priano and Greenberg, on motion by Billy Crowder seconded by Brian Doyle and unanimously carried, WETLAND PERMIT BE GRANTED subject to: 1. The amount of bankrun be kept at 2 -1/2 feet; 2. Restrictions being placed on the deed that will guarantee the future protection of the wetlands by preventing any further disturbance of the wetlands beyond what iS presently being proposed 3. Relocation of the house to minimize the impact of its construction. on the wetlands 4. The heavy construction equipment be kept completely outside the wetlands, as indicated on Mr. Zeiler's drawing. T7 -Vittoria M. Colesanti Clerk 1 z n PUMAM COUNTY DIFAVISOM OF II mis �', :,_ •; :: I 1` Rod& Ste. CWMSL IQ.T. loge >�s®t M PwvWe l!er� w fERTEPICATZ F CQDUUANCE FOR WMAUB DiilPOSAL SYSiIM / wu w Vogp Tax y . G S Udd- DaW of Previme Appeovd 0" A Twe4 ^ Y mp %C�� 95 -20-5 (9!86) -25c DEC PERMIT NUNIBER 3728-31-1 FACILITY /PROGRAM N NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION taboo Article 15, Title 3; 6NYCRR 327, 328, 329: Aquatic Pesticides Article 15, Title 5: Protection of Water Article 15, Title 15: Water Supply Article 15, Title 15: Water Transport Article 15, Title 15: Long Island Wells Article 15, Title 27: Wild, Scenic and Recreational Rivers PERMIT _ Under °tlhe Envirt5nmentalrCoriservation Law 6NYCRR 608: Water Quality Certification Article 17, Titles 7, 8: SPDES Article 19: Air Pollution Control* Article 23, Title 27: Mined Land Reclamation X Article 24: New Freshwater Wetlands N —New, R— Renewal, M- Modification, C. Construct ( *only, 0 -0 ate ( 'only) 71 1 . EFFECTIVE DATE Ld EXPIRATION, DATE(s) . December 31, 1989 PERMIT ISSUED TO Article 25: Tidal Wetlands Article 27, Title 7; 6NYCRR 360: ADDRESS OF PERMITTEE Solid Waste Management' Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management ACENT FOR PERMITTEE /CONTACT PERSON Article 34: TELEPHONE NUMBER Coastal Erosion Management Article 36: NAME AND ADDRESS OF PROJECT /FACILITY (If different from Permittee) Floodplain Management �—I Articles 1, 3, 17, 19, 27, 37; 1 6NYCRR 380: Radiation Control PERMIT ISSUED TO Ettore Annunziata and Jim Byrnes ADDRESS OF PERMITTEE Austin Road, Mahopac, NY 10541 ACENT FOR PERMITTEE /CONTACT PERSON TELEPHONE NUMBER William F. Zeiler, P-.E. (914) 628 -4764 NAME AND ADDRESS OF PROJECT /FACILITY (If different from Permittee) Southeast of Peekskill H011 w Rnn LOCATION OF PROJECT /FACILITY COUNTY TOWNA:C9rW4MIC UTM COORDINATES Freshwater Wetland OL -40 Putnam I Putnam Valley DESCRIPTION OF AUTHORIZED ACTIVITY Place approximately 125 cubic yards of fill within the adjacent area of the above wetland in conjunction with construction of .a sewage disposal: ;system;.construct a:singl, family residence with associated driveway and well within said adjacent area in accor ance with a plan dated November 22, 1986,. last revised January 5,-?1988-as prepared by William Zeiler, and as conditioned herein. GENERAL CONDITIONS By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compli- ance with the ECL, all applicable regulations and the conditions specified herein or attached hereto. 1 . The per rn'tee shall f ice in the office of the appropriate regional permit administrator, or other office designated in the special conditions, a notice of intention to commence work at least 48 hours in advance of the time of commencement and shall also notify him /her promptly in-writing of the completion of the work. 2. The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation which may order the work suspended if the public interest so requires pursuant to ECL §71 -0301 and SAPA §401(3). 3. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages. direct or indirect, of whatever nature, and by whomever suffered, arising out of the project described herein and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and descrip- tion resulting from the said project 4. The Department reserves the right to modify, suspend or revoke this permit at any time after due notice, and, if requested, hold a hearing when: a) the scope of the project is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations are found; or b) the permit was obtained by misrepresentation or failure to disclose relevent facts; or c) newly discovered information or significant physical changes are discovered since the permit was issued. 5. The permittee is responsible for keeping the permit active by submitting a renewal application, including any forms, fees or supplemental information which may be required by the Department, no later than 30 days (180 days for SPDES or Solid or Hazarduous Waste Management permits) prior to the expiration date. 6. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work or as authorizing the impairment of any rights, title or interest in real or personal property held or vested in a person not a party to the permit. 7. The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights -of -way which may be required for this project 8. Issuance of this permit by the Department does not, unless expressly provided for, modify, supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Department or any of the terms, conditions, or requireme s contained in such order or determination. 9. Any modification of this permit granted by the Department must be in wi ' g and a ached hereto. PERMIT ISSUANCE DATE PERMIT ADMINISTRATOR ADDRESS 21 South Putt Corners Foaa _a/T�✓��Lv��1989 William E. Steid a New Paltz, NY 12561 IZED SIGNATURE /i J,—"— C �/ I Parse 1 Of 4 � ���� ~~' '^^~^'`~~~^~p/~~~~' TELEPHONE' U it N�M� OF TRANSFEREE STREET, . CITY 4 � . TRANSFEREE --- . � NAME "''°^"'`IPROJECT' ` y ar, q: i STREET ` Cxr, ' - - _ ZM HAS WORK BEGUN ON THE PROJECT7: If there will be any modifications to thd cui,ient; at! st tt4c statement speelf lhg:the details',-`.*.". Date ST7ATE. ZIP, 0 ltk- at )N'—""- ENVIRONMENTAL ddNSF_RVATI0N.COMPL&E6.--' If~ CERTIFICATION: This certifies that the transferee Is the -ind will comply with all conditions In 1fWAJQrAfi&AdttW I hereby affirm that under penalty of perjury that � In formal knowledge and belief staterhdRtCiihAd"6Mt*W .Mgnature and Title STREET INAME OF FACILITYIPROJECTj-� FF ENT F�r( M - CERTIFICATION: This certlfiei-thaii�t F]nanmeofnermx ` ' tA - c lion, and ri New application required. P '(Iriame � A'A qplstrati Date - c lion, and ri New application required. P '(Iriame � A'A qplstrati Date b PUTNAM COUNTY DEPARTMENT OF HEALTH d DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Z Re: Property of Located at�G�S /� /�! (T) �1iiN/.�`1 6'/f� C(r`y Section $' Block �f Lot I Subdivision ofl,�J Subdv. Lot # Gentlemen: Filed Map # Date This letter is to authorize a duly licensed professional engineer,",*,- ngineer ✓ or registered architect (Indicate to apply for a Construction Permit for 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 system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: / "a /G P.E. e ' . , # y2-IrW 2� G°0.✓0a,& 6 Address 11�1-ldwf= &'' /OJ" ra/ -,17.P, Telephone Very truly Signed S, ff JOwn1 er -o� Pro eertyy Address C)1 ~(Cc:t f� A� 1 �e�ak- _ /Y /V Town �,14 �6 D --,3L -7 Telephone PUTNAM CxXjISI'Y DWARiMENT OF HEALTH ,. DIVISION. tF.. HEALTH : SERVICES -. DESIGN DATA SHF,E'r -S MSUFACE S&gAGE DISPOSAL SYSTEM FILE N0. Owner .G Tope f •c/Niu�� l �T,4 Address Ales ;i.✓ . Located at (Street) . Ac- C- G - a c& o 4) 6 Sec. 3 S- . Block Lot / (indicate nearest cross street) municipaiity �uTitj/f.44 UAf�!L Watershed SOIL PERCOIATION TEST DATA REQUIRED TO HE SUBMITTEI) WITH APPLICATIONS Date of Pre- Soaking // --z /- 6 Date of Percolation Test HOLE NL24EM CLOCK 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 MWIn Drop Inches Inches Inches 1 Al : Z7 10-'s-7 30 1 1y' Z 3 l ®.o 2 1,9 /, Z .3,D ?y ZG 2- . /tea 3 11'2,7 4 Ila 2 12—. z7 "o 3 3 AW. - /2,:'/.(! - 2 f/YY /� 117 5 1 2 3 4 NOTES: 1. Tests to be repeated at same depth until apprcximately`egnal soil rates are obtained-at each - percolation, test hole. All data to'be- suimittod for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 DEP'!'H G.L. 2' . 3' 4' 5' 6' 7' 9' TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION rflf'IRTTV'tTMT AT fATT f. TT\TMiT1TT.1/1TM\ TAT ITRY/T TAT• T1A + HOLE NO. % All &�1 13' 14' INDICATE LEVEL, AT WHICH GROUNDWATER IS' ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING;,ENOOUNTERED �p DEEP HOLE OBSERVATIONS. MADE BY kll-G //},vl , �E/ ��L- DATE: Z Z DESIGN �p00 Soil Rate Used 1j'-.Z0 Min/1" Drop: S.D. Usable Area Provided No. of Bedrooms 3 Septic Tank Capacity /0m0 gals. Type a,1&,e6F1,?_ Absorption Area Provided By --�= 0 L.F. x 24" width trench Other 2' led f3. `;'L� pp C'/�' Nam Signature Address � ,�.t� Z SEAL 137, DEPA MEM - ONLY: PROfE5S1��'P� y Soil Rate Approved sq.ft /gal. Checked by e PUnM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRCNMERTAL HEALTH SERVICES DESSIGN DA-Th.-S-HEET-SUBSUFACE SEWAGE -DISPOSAL -:SYSTR4 FI M- NO. Owner T Xbertla-o CAd&ess C_—pan &yce Located at (Street) Sec. r Block Lot (indicate nearest cross street) Municipality f-1 —tA)4 m Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre-Soaking k136 Date of Percolation Test 4 5 ,00 NOTES: 1. Tests to be repeated' at m tely equal soil rates are obtained .at each per All data to' be submitted for review. 03- ­j:7 N" 2. Depth measurements to be 'fkc&-t6p of hole. rev. 9/85 HOLE NUCER CLOCK TIME PERCOLATION PERCOLATION �rGL Run Elapse No. Time SECT, Start-Stop Min. Depth, to Water From Ground Surface Start stop Inches Inches Water Level In Inches Drop In Inches Soil Rate Min/In Drop 1 3., i5y 4:10 /s, Ir 711 r110 2 Y.'/* 0 3 YO ! :jrq 13- 4 6K.19 2-3 Z. q 3 5 40 2 01 Y. s-z, 3 4 :r. 0 5 2 3 4 5 ,00 NOTES: 1. Tests to be repeated' at m tely equal soil rates are obtained .at each per All data to' be submitted for review. 03- ­j:7 N" 2. Depth measurements to be 'fkc&-t6p of hole. rev. 9/85 a. r TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCAUNIERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. HOLE NO. G.L. 1' 2' 3' 4' 5' y+ 6' 7' s' 10' 11' 12' 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: = � g� L _ �. DATE: DESIGN Soil Rate Used /?.47 Min /1" Drop: S.D. Usable Area Provided 0 00 � Ji No. of Bedroams �j Septic Tank Capacity jtr 0 b gals. Type C�lC Absorption Area Provided By L.F. x 24" width trench Other Z �y� A 0 P GC. l cJ PC,,+C C` Name LVCx,L,,fM E Signature R Address SEAL THIS SPACE FOR USE BY HEALTH DEPAR`DENT ONLY: 40, 042��� �NSF� PROFESStOyp�'��� Soil Rate Approved sq.ft /gal. Checked by Date °r I� v '�Y N 1 • ! -ro No�`D,✓ +yy� �9pFe P4Exs�'�,� ��ly�4tr h��YN f tf P• y t 09 1� Q° ��r +tio f .- �' Fv gti�i SY• - 6D/I00 pt rrrlQar1q, 1, 0 UA 01– c or Ps.. 14%x£ i 5 -/7'4' 84. � /Z7, 58, ,vs�•� zs•6 f{o ,4 t0H/ ., . pO 17B PEA ✓ , Zr SCALE /' =s0' e of 1 u.,/ S. i c (iA %A �• A— ` $,/,v4r FaG Soocy i -- ° ct�y / o o o 641- eo we . Loner a'-7� U A Sc,f : 140,er, , "= 7-,' VErlr /" = /O' - \3' -.- - .. /49. p a t l�nam Counts Department of Eiealtn To T "'PK.v �'tV1 ®iat� of Env ron tal Health Servios, l 5 � 14� �d 3C Sl� rpb76d IIS noted for conformance with Pi}1 cable Rules and Regulations Of the 116aSCIl Depart —t. t0rs°, 8+ �et�a„ EowtW P?cr�N.CCD =O /Z Pc !// YO ° y/I�t/ts & 0. SY2A C JJ E t iTU.f ra i� Yr�<" NEIy 7o w,v OF /JVT.vA 7 !/,IC�ty S.�P P M F. �2 s p.ca-�,/.rre zr A-// f. iw t 2E- Cow co,ca .av 4> qry- zt' -- v76 ...l z Fle 9 Ef0 PROFESSIONP��� a w U , CIW >I C I I SOLID ROCK I I %12 " MIN GROUT iSEAL THICKNESS CASING 20 FT. MIN. LENGTH, UNDER ANY CONDITIONS. SANITARY SEAL ON WELL CAP — SCREEN VENT 1=4_SLEEVE 4P TYPE COUPLING �. FROM PUMP . TO PIMP —° WELL CASING �I �-UG TYPICAL StCTION OF I--�� l^cILL`_ V VSrEL_L i� i+ t, i� I �1 }I ;I I i , —s INLET IIIViI i I SEAL I') RING OUTLET F BOLTS O • 5.:0 r CONCRETE SEPTIC TANK ,. I } SLABS POURED IN PLACE ARE DESIGNED TO P SUPPORT A MIN. LOAD OF .300 P.S.F PLAN LOCATION STAKE 12 • MIN. ' 'REMOVABLE MANHOLE, BARS, 6 Ot. 36" MAX. � REMOVABLE MANHOLES 20" MIN. OPENING �R3 " E20" MIN. OPENING r 14 SOLID PIPE WITH TIGHT -- [JOINTS, GRAQED 1/B " /FT. MIN. CAST IRON PIPE, WITH ASPHALTIC SEAL � n Z INVERT OF INLET TIGHT JOINTS . I I 3 "ABOVE INVERT n qj I/4/ MIN. SLOPE INLET I a OF OUTLET. I } ;F, I L _ LiOUID LEVEL OUTLET I — II. CAULKED JOIN)! I' CAULKED JOINT of ,j kI •!•, I-1.4-- BAFFLES MAY BE _q. I SANITARY TEE I 1lJ USED INSTEAD I '' I' OF SANITARY TEAS U `y 5 SANITARY TEE _ F. a { 1'• CEMENT PARGING <I ° I" ON INSIDE .l I _ 6" MIN. WALL i'b/ICKNESS 1 P J ......_ I FOR POURED IN,,,! PLACE - } CONCRETE .I PEA GROVEL OP�; SECTION CLEAN SAND j. 1000 GAL. CONCRETE SEPTIC TANK S.F.PTIC DETAILS j prepared for ' F NEIV T. DE/ / o i .M . T prepared by WILLIAM F. ZEILER �- Professional Engineer S Land Surveyor \ j Concord Road - Kahopac -New Yorlc 10541 " N ?to,,eLA 7 (914` 628 -4764 oll '�4 FRL':ESSIONI'� 2 c- F3 4 ' LIS£ CLAY PUDDLE OR I I BETWEEN CASING AND 'DRILL HOLE. CASING, 10* MIN. IN ROCK 1 ��III SANITARY SEAL ON WELL CAP — SCREEN VENT 1=4_SLEEVE 4P TYPE COUPLING �. FROM PUMP . TO PIMP —° WELL CASING �I �-UG TYPICAL StCTION OF I--�� l^cILL`_ V VSrEL_L i� i+ t, i� I �1 }I ;I I i , —s INLET IIIViI i I SEAL I') RING OUTLET F BOLTS O • 5.:0 r CONCRETE SEPTIC TANK ,. I } SLABS POURED IN PLACE ARE DESIGNED TO P SUPPORT A MIN. LOAD OF .300 P.S.F PLAN LOCATION STAKE 12 • MIN. ' 'REMOVABLE MANHOLE, BARS, 6 Ot. 36" MAX. � REMOVABLE MANHOLES 20" MIN. OPENING �R3 " E20" MIN. OPENING r 14 SOLID PIPE WITH TIGHT -- [JOINTS, GRAQED 1/B " /FT. MIN. CAST IRON PIPE, WITH ASPHALTIC SEAL � n Z INVERT OF INLET TIGHT JOINTS . I I 3 "ABOVE INVERT n qj I/4/ MIN. SLOPE INLET I a OF OUTLET. I } ;F, I L _ LiOUID LEVEL OUTLET I — II. CAULKED JOIN)! I' CAULKED JOINT of ,j kI •!•, I-1.4-- BAFFLES MAY BE _q. I SANITARY TEE I 1lJ USED INSTEAD I '' I' OF SANITARY TEAS U `y 5 SANITARY TEE _ F. a { 1'• CEMENT PARGING <I ° I" ON INSIDE .l I _ 6" MIN. WALL i'b/ICKNESS 1 P J ......_ I FOR POURED IN,,,! PLACE - } CONCRETE .I PEA GROVEL OP�; SECTION CLEAN SAND j. 1000 GAL. CONCRETE SEPTIC TANK S.F.PTIC DETAILS j prepared for ' F NEIV T. DE/ / o i .M . T prepared by WILLIAM F. ZEILER �- Professional Engineer S Land Surveyor \ j Concord Road - Kahopac -New Yorlc 10541 " N ?to,,eLA 7 (914` 628 -4764 oll '�4 FRL':ESSIONI'� 2 c- F3 4 ' 1 • - cars- _c�Torr arc:' -s ' - - • - . 5- '.`i_rfG 5'_siGL- - :.r,-- v`c-]_:.rr -y . -S 2- --_cv `_cfls'1vE_�c+�- c.:, M7N. rr' . ^t �.0 - ra MIN _ �_. - .I - = n_s, a._v rWfiSicr�s — =a, `7= :•. t - J// N7H• 3/3 ,'i+4 X. f / /Z� 4 Re _.4fOR:.1<'J' PVC .. .. I •� 30TTOM CF - -g,v G4 2 �_ _ -.�� - _ jr. •�< S2 ",H(N. '� ri +�i:,.. 11 it Yi�/� less -.�� =11 P'P' C,71Oc G• �'__ 'l F2_ T_/'T_°__ Oi S Cr1 '_s _*'�_.L ds - �. C_: e OR CRUSHBJ GRAD29 7�/6 /FT, ` .80 .WIN. / " �0� =(7 nw = t0 _ ?.I� =. G ^ = -i _ a=— = ci ^' -11 $. The sewer system design shown hereon does not provide for the installation - :cif a garbage grinder,.such installation requires the approval of the Putnam PPOPIL- eRCUND T "County Dept. of Health. we, c ?.. Sur =• F; 'i. i11 1-, w z'?cr to s -_ CO t.o CO CL, 'oi1 clams._._ . n /1 - r__) i )w = == cr t_n a -_:. C_•� �r 172 of .s =� _` cr z�_- D1.5 )8 ,L 'TRENCH DETAIL t INSTALL s' ON CE.Irl ' _ _ -- _ _ _-- �r- or -t.. of ._ _e�.ZG2 CfyL1_ ze - ;e _ .. - `- ...-_- R -r =--t cc-L l-L" ham'= c - ---nt cf - • ? - AM of 1-a-r_< =' 1 11 sha i he Suitable for SE"rac= z sc .. =-, � °-9 cf =_ es . _ • or p7thar tss_t_.le r,•zt_ =1 s. >> r 'ravz z-n in:-plate • at lest- e=_7 + t Ln the r__ y t soil a __ the - -- S- ` 1 (_��(�/_! ICI ^�/ 3- °_:r cs :: i1. may z_z s='i1 �zc`r= zc =_�_i sai! �z1 or ._ ... �l f:.[4 l._'.l_O I_4 C -J�//� no Sewage 2-- ar:` =cR DETAIL • � i a. v h �� +mss will t� rect_red is the 1 >11 section, one at each comer, ootoi� slope and one in the center of to mill Fad' INL= i ! �- j �•. Fill suitable 16r se.vzge absorption should contain no more than °' ana preferably no more than 27. fines by weight. Fines are clay and silt particles _ that pass a 200 sieve and, no more than 1011, by weight, of the fill material r should pass a 100 sieve. 7 � � � i SEPTIC DETAILS R Corer prepared for r� /' + 1 pr =_par__ b_r C • -. %;` G� °r0 SS ior. al Z & _a RC Sl!_ve7c_ _c -.4: '--054-1 •:J l 16 .. ;.. - �ai•_)oZg_ =i5s ,/, %to ;e�r�c��' • ai ° N o I /D• /O' I L' I G I Lail: L' 6• 6 I a.t.✓. QJ -- �I YR'DO .. .. •. ,'1 � yo 'n'i p O r' p O I C. ti r Putnam c Mli "T Ilona^ � y. of Eealth Division of L'itvir' rt._4 lcalth SerV ces y ,s sY�.y� Aeree=r yrE KS APP��O�'F_�K. r'iiL ��. � 1,wee 1.�, 'In rc P� i .r l s a .d o P =e^ of -.._i.,n County prba t Went. Efi"i ... Q SP�yI�,,E .�. °/ � ... ,YL:?T /CAL•,,' = /D• P• • I, SEI✓A6.E D /SPOSAL SYSTEM 7114 ,ZZ1,1ALL,Ep To LO, /FO,PM oT l Deis / 2,'9.7 9G 2Z �c.: s _ /F/ CAT /O,US iIS,S'ETFORTN,BY TB%fITNAiy �UNTY/i/EALTi/ / i Y S —Ln.rs .�FD�sru,eeeo A,rr.r l✓•cxe .� i\ ° o• � /i �r Evur.+[.,r�...w ace.ea t p0 yR' 3. 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