Loading...
HomeMy WebLinkAbout2676DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 61. -1 -30 BOX 23 61 INNS i,yti ; • : ` ti� No IN I , 1 i - NIJ 02676 I WLLL UUr1rLZ11U0 AzsruAl 61 DEPARTMENT OF HEALTH ..Division.Of.Envirohmentai Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only WELL LOCATION 'STREET ADDRESS: TOWNIVILUGUCHIr W*GRIO NUMBER:— Canopus Hollow Rd., Putnam Valley,NY WELL OWNER NAME: ADDRESS: Michael Beali's, 17 N.Brae Ct.,Tenafly,NJ 0$678 0 PBIVATE 0 PUBLIC Foo USE OF WELL 1- primary 2 - secondary 0 RESIOENTIAL• 0 PUBLIC SUPPLY ❑ AIR/COND./HEAT PUMP 0 ABANDONED O.BUSIN �§S 0 FARM 0 TEST /OBSERVATION ❑ OTHER (specify) ❑ IND68 01AL � INSTITUTIONAL 0 STAND-BY ❑ AMOUNT OF USE \J YIELD SOUGHT gpm./NO. PEOPLE SERVED EST. OF DAILY USAGE gal. REASON FOR', 'DRILLING [3 NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST/OBSERVATION 0 REPLACE EXISTING SUPPLY O. DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 420 35 STATIC WATER LEVEL t 8/10/87 DATE MEASURED DRILLING EQUIPMENT 0 ROTARY (a COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION 0 OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. CkOPEN HOLE IN.-BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH 184 ft MATERIALS: IRISTEEL 0 PLASTIC .0 OTHER LENGTHRELOW GRADE 183 ft. JOINTS; 0 WELDED MtHREADED 0 OTHER DIAMETER —fi- in. SEAL: EICEMENT GROUT ❑ BENTONITE 0 OTHER WEIGHT PER FOOT 1.9— Ib./ft. DRIVE SHOE: El YES ❑ NO LINER: 0 YES ERNO SCREEN DETAILS DIAMETER (in) *SLOT SIZE LENGTH (it) DEPTH TO SCREEN (it) 'DEVELOPED? FIRST. OYES ONO HOURS Snow GRAVEL PACK ❑ YES 0 NO GRAVEL SIZE: OIAMETER* OF PACK in. I TOP DEPTH —ft. BOTTOM -DEPTH — It. WELL YIELD TEST If detailed pumping METHOD: 0 PUMPED i tests were done is in- (31. COMPRESSED AIR_ formation attached? 0 BAILED ❑ OTHER 0 YES -0 NO 'WELL' LOG " mare detailed formation descriptions or sieve analyses are available. please attach. DEPTH FROM SURFACE, Water Bur- Well Dia- inater In FORMATION DESCRIPTION CODE. WELL DEP71i ft. DURATION hr. min. DRAWOOWN it. YIELD gpm. L 'd s2Nrt,c'e_ 50 Di ill' ng in overburden clay & bldrs. Hj t rvek at 501 4201 06 400 10+ 50 18L Iril ing ifa rock,se.t.__ casing,grouted. 181 42( IrilL in in rock granite. WATER 0 CLEAR TEMP. QUALITY 0 CLOUDY HARDNESS 0 COLORED ANALYZED? 0 YES ONO ANALYSIS ATTACHED? 0 YES 0 NO STORAGE TANK: TYPE WX 302. CAPACITY q C, GAL. WELL DRILLER NAME DATE. ADDRESS SIGN PUMP INFORMATION TYPE .4111 brue - q i b I - - CAPACITY —, �_,10 9 MAKER Gould DEPTH 380 IOEJ95412 MODEL VOLTAGE 230 HP J� -:., F.-,. �. s.....,- e».,,, r,a.- .•-- .- .v.�-- r.�.,- °'?,..� -'.'^^. -z - c-: - x ..u�.-":�a.�:.....�'a'y a°.., �- --1-� ^ *'" � .r-- s.-- --.•-' -�,, - P[JTNAAI COUNTY DEPARTMENT OF HEAL Rev. 3/86 Dlvisiot of Envlgotintentat wealth Seevlc®e, Caren ®t, N.Y. Englnaer >(ust Provide gl/ P.C.B$ D. Peimit.H= CERTFCATE OF CONSTRUCTION COiPLIAACE' FOR SEWAGE DSPOSAH SYSTEM 04 h //}yt � L/ Town -oral e V UlL � lI O i G° Tag l�i[a , Located at / P- Block �e f Lot •� Odvnee /appllcant'Naime lG/ ( -r .:Foroprly Subdivision R)mme — Stibldv. %t N taiantn Write I O!!7 �7 Y�C Zip Date Peimit Issued �•�i�•� /�' (Yd Consisting of L Gallon Septic Tanta and TT V 4 14 V 8, . e ® y „ Water Supply. Public Supply From a Address ors Prlvafe, Supply Drilled by Adds® ®s (r r r� Building Typ® �"' 7�Y�r� Has Erosiob Control Boon Completed? Numher.of Bedroopia. Gsrbege Griad ®r Been In ®talledY � Other Regalre ®ents I certify that the ayetem(s) as`;i!,"d serving"the above,premises.were constructed ease tiall as shaven on the plans -of the completed work ( copies Y of which are'attachedl, dud in',agcdrdance with tne:atandarda; "rules and regulatidns,A ' accordance wi file tan, and Elie permit'dssued by the Putnam County rtment Of Health r �:. Date �/ Y�a�, Certified by P.E.R.A. Address �c 1 -•� Iconsa wo Any person occupying premises 4rrd by the above tystem(6) shall promptly talte such action,os may be nocestiary to eacure the correction of any unsanitary conditions resulting from such usage... Approval of the separate , age, system shall b ®co null and vold as boon as a pubs':, sanitary muter becomes avallatile and the appro6af of, the p►.)vate. water. supply shall`b ®comer 1 end' v twv an, a io,a!ator- supply bocornos available. Such approvals are subject to rmo��f�1U�f+t1n hangs" when, in 4he, )udgmenY Hof the�� - (sale 04 M t aurev tloii, Ificatlon or change Is noc ►y. �k� -m"- F>-- t n TItto Data _ BY BREWSTER LABORATORIES Box 224 - BREWSTER, N.Y. (914) 225 -2072 . .. u.Cb6 r't� - �•. .. .. , �t. - .. r .. .i ��_- i.v.♦_,+a .. R +... i..Kb4�� Y ..� --� ... -`or v✓•n .. ....�t.. .. a.v - WATER ANALYSIS REPORT - SAMPLE NO. 6806 SOURCE: Dr. Beals Canopus Hollow Rd. Putnam Valley, NY COLLECTED: December 1. 1987 BY: P.F.Beal & eons, Inca BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method Hardness 3gpa- Iron Omg/1 PH 6.9 hose bibb -well 0 per 100 ml. This ,result indicates the . source of the sample was of satisfactory sanitary quality when the sample was collected. December 3, 1987 Roy ickwit P.E. Director In PIflNAM COUN'T'Y DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _- Owner or.Purchaser of Building Building Constructed by lea f - Location - treet A%'a. 1(-114' ��Iz Municipality Goy �a Building Type Section Block Lot Subdivision Name Subdivision Lot # GUARAF7= OF SUBSURFACE SEWAGE DISPOSAL SYSTEMS I represent that I am wholly and completely responsible for the location, wor}ananship, 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 '.'_Certificate_ of Construo_t-ion: Compl- fiance" .for_�the- secvage disposal system, :or' any -repairs "made by me to'such- system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this day of 19 �$'� Signature Title Ge eral Contractor ) - Signature Corporation Name (if .Corp.) Corporation Name (if Corp.) Address Address rev. 9/85 mk pUrNAM COUNTY DEPARTMENT OF. HEALTH _ DIVISION OF ENVIRON1RV=AL HEALTH SERVICES .... ... u rr r. .. ... t•!+• n..nlnitt..s. ..w .. ..a t .. (. .. � ... .0 ..V .i ..i Ybr .. r.... ��.w V. ... n`+ ���r.v .. Owner or Purchaser of Building Building Constructed by CG �.ab /,� /ldL/ X cz Locate Street f vkL Municipality G d Building Section Block Lot Nz f Subdivision Subdivision.Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM . . „ ..I 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 '"Cer-tificate of- Construction: Compliance'. for the sewage disposal system, or any repairs made by me to iii6h- 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 determinaticn of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the..occupant of the building utilizing the system. Dated this day of 19 Signature Title General Contractor ( ) -- Signature Corporation Name (if Corp.) & «-, cl,4 t (e Address rev. 9/85 mk Corporation Name (if Corp.) Address ante of the approval 'of, the` Certificate of. COnsirUcti Compliance;, of the ong{n 1 system or any repair thereto;•2) that the drilled well described above will'be locatedss shown`on the approved plan ano that said well will be. install ed. �n ordance with the . _' arils" rules, end. re9u a ons of 'the Putnam .. County Departmiyent of((��Health +:,; • ' Date E RA ��GCA 6/�� &�VI�1i utPfBUfi��. n�1� AdG►eu License No APPROVED FOR CONSTRUCTION ThisaDP!ovel •expves one'year from the date issued unless reconstruct ion of ,t he bu{ldmg has been undertaken and is revocable for `cause or'may be amended o!:modifieff when con;�deredrnecessar Dy the Commissioner of;Health ' -Any change or alferation of, constiuction requires a new permit Approved for d� p- of domest¢.'san{tar�aewage and /or ivate w6 er wDDly only Date 8 Title ° --� IE Date Engineer Dear ( "� 'L /')CJ 0,441-'V { Re: Avyfl,ydyUV� (o Gi.cr,.�/ 76�-�--- Review of plans and other supporting documents submitted at this time relative to the above- captioned project has been completed. Comments are offered as follows: /) 4­,,� - 6 1-4 v 4 (5 a V r&v­l G-s 7-;*- C 2 r b f V "-C' 1 �) Levovo �GV1 G�U--� S�.�r�Svn. S�✓�� /J ?S�GS� //�� Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, Lawrence C. Werper Assistant Public Health-Engineer LCW: D!A,QUffNO and DONAHU E CONSULTING ENGNEERS ❑ John V. D'Aquino, P.E. Daniel J. Donahue, P.E. 314 Oscawana Lake Road 200 Breckenridge Road - Putnam.. alley,. N.Y. 10579... , :- Maiiopac, N.Y -. 10541 914 -526 -2039 914- 628 -7576 j 11) � TO ''A 01n G/V Jf� t G'7�Xleel7`i� _ WE ARE SENDING YOU X Attached ❑ Under separate cover via ❑ Shop drawings ❑ Copy of letter [LC VUEB OF MUSHOUM11. DATE JOB NO. ATTENTION RE. Ca,.%�j �zc� f� d�Gsa�,•%���� �f�� /mot I� _ 4 I.1' C[? % G•.4 ` -e G''I �ir.�.j•�'yr� ' �'r:- /!�i %.rz...Z, e following items: ❑ Prints. ❑ Plans ❑ Samples ❑ Specifications ❑ Change order ❑ COPIES DATE NO. DESCRIPTION ,( C[? % G•.4 ` -e G''I �ir.�.j•�'yr� ' �'r:- /!�i %.rz...Z, r �INaX_ THESE ARE TRANSMITTED as checked below: (' For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 REMARKS ❑- Resubmit copies for approval • Submit copies for distribution • Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US COPY TO SIGNED: -� If enclosures are not as noted, kindly notify us at once. ............. ......... _ D'AQUINO and DONAHUE .CONSULTING ENGINEERS ❑ John V. D; kquino, P.E. Daniel J. Donahue, P.E. 314 Oscawana Lake Road 200 Breckenridge Road y ..Putnam: Valley, N.Y. 10579 Mahopac, N.Y. 10541 9,114( -526 -2039 � 914- 628 -7576 TO /�U /�lG�'► C41,2' T"� /•cz LIEUTEM ors MUSEDUMU DATE f r JOB NO. NO. 'RE: e �� ! c� O T Cth�• �"yo �� r� /'u ' 7 6 7 Cot %f 4 a vl' t+ _, WE ARE SENDING YOU ❑ Attached ❑ Under separate. cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION ' t+ °THESE ARE TRANSMITTED. as checked -below - - ❑ For approval • For your use • As requested ❑ For review and comment ❑ FOR BIDS DUE REMARKS • Approved as submitted ❑ Resubmit copies for approval • Approved as noted ❑ Submit copies for distribution • Returned for corrections ❑ Return corrected prints 19 ❑ PRINTS RETURNED AFTER LOAN TO US COPY TO SIGNED: If enclosures are not as noted, kindly notify us at once. L1 � �����.� .. C�� }� � � �-- • APPENDIX c G G • FINAL SITE INSPECTION Date Inspected b LGq�TION OWNER OR �ffto VISION ,I,OT # .r IV. `% . VT. YES Na COM_�'DfiS Sr'TKAGE DISPOSAL AREA a. SDS area located as per approved la_*i t. b. Fill section - Date of placement 2:1 barrier. LGTH WDYrH VG.DPTH c. Natural soil not stripped d. Stone, brash, etc., greater than 15' r"_on SDS are--. e. 100 ft. from water course/wetlands. SF , v,G✓ DISPCSAT, SYST I a. Septic tan'.•t size - 1,000 1,250 I b. Septic tarn K installed level c. 10' mini= from foundation d. No 90° bends, cleaneut within 10 ft. of 45° bend e. DIST TjTICN BOX 1. All outlets at same elevation - water tested I I 2. Protect- below frost 3. Mini an, 2 ft. original soil between bcx and trenches f. BOX - procerly se= � (JUNCTION 1. Lenc-"L-i re ai red - 0-(7" Lerch ; ns- li ei 2. Distance to watercourse meas•,ir u f,-. 3. Installed according to plan 4. Distance center to center 5. Sloce cf trench acceptable 1/16 - 1/32 " /foot. 6. 10 feet f_cm roperty line - 20 fit - foundations 7. Denth cf t_ench < 30 inches fran surface 8. Roan allowed for ex-cansion, 50% 9. Size of gravel 3/4 - 1 " diameter 10. Depth of gravel in trenc�-i 12" minima 11. Pipe Pr3- T OR SYSTE.S 1. Size of pLTTiID chamber 2. Over- -lcw tank 3 . Aia* -i, viva sl /audid 4 PtnnD easily access Able manhole to c_ade 5. First bcx baffled: I - 6. Cvcle witnessed by He=1--ch DennarLrert I estirrat--: flow per cycle. �. =cuse lccy cer aDprcver plans. t _. N:L=Ler of bez -cars c�'Ne l l lcc t - as plan- G. Distance fry. SD-c -- T ?sured -- -- c. Casing 18" ahcve d. Sur-ace drainage around well acc °pt= *-_: I � I CVERAL , WORKMTC- 1P a. Boxes rcceriv crc�at a b.. A11 pipes partially c. All pipes fiusi, with-inside of box d. Back -ill rrate�rial ccnta ins stones < 4" in diarrate_r e. Curtain drain installer accordinc'to pia_n f. Curtain drain cut:all rotacted & dir.to exist_watercours I 9. Footing drains disc:-iarQe awav fran SDS are h. Surface water prote& cn ade uate i. 'Errosion ccntrci provided on slopes cra-=ter t-..an 15 %. DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512.(914) 225 -3641 APPLICATION. TO..CONSTRUCT -A WATER..WELL.._.._. _ _ .... _...........___�. _.... . -� . PCHD PERMIT •.# a tLL LOCATION Street Address C� To Village City Tax Grid Number / /mod A4 Za 11 .s'- - 3- - u ELL OWNER Na e ;AX-C / V z rivate // Address rpublic /S o (� L -1 X ,�9Q- ,,USE OF WELL _e- primary 2- secondary RESIDENTIAL BUSINESS 0 INDUSTRIAL ❑ PUBLIC SUPPLY Q AIR /COND /HEAT PUMP D ABANDONED O FARM ❑ TEST /OBSERVATION ❑ OTHER (specify O INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT��gpm /�� - SEVED /EST. OF DAILY USAGE d gal REASON FOR DRILLING NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION REPLACE EXISTING SUPPLY D DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING 4a' 4 C10% {d 2 S u r u r {ri WELL TYPE DRILLED DRIVEN ODUG GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: /V 6 Lot No. WATER WELL CONTRACTOR: Name 10 bR d e ��irn ' h,,c, d Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES t/ NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY - °--DIST.ANCE TO-PROPERTY-FROM NEAREST WATER MAIN: - - °� - - LOCATION SKETCH & SOURCES OF CONTAMINATION ❑ ON REAR OF THIS APPLICATION ( ate) o PROVIDED PERMIT RI ON SEPA SHEET (signature) 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 withi.n thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. Date of Issue: x 19_ A Date of Expiration: A? ti219 �Y� Permit Issuing idal Permit is Non - Transferrable DAVID D. BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services. December 1, 1986 Mr. Daniel Donahue RFD #11, Box 20.0 Breckenridge Road Mahopac, New York 10541 RE: Proposed SSDS Beals .Canopus Hollow Road (T) Putnam.Valley Tax Map # 57 -3 -71 JOHN SIMMONS, M.D. _ Deputy Commissioner Dear Mr. Donahue: Review of plans and other supporting documents submitted at this time relative to the above captioned project has been completed. Comments are. offered as. follows: provide greater separation between end of'trenches'and driveway " "show Tinvert "'df"' `overf lbw from pufiip' "chamber 7t6 second" D -Boy "on profile confirm with NYSDEC if a stream protection permit will be necessary to cross stream with driveway note should be added that all electrical work in pump chamber should be to NEC codes Upon receipt of a submission, revised to reflect the above comments,. this application will be considered further. Ver truly yours, Anne i tner AB:pt Asst. Public Health Engineer cc:AB . JK File TWO COUNTY CENTER - CARMEL, N.Y.. 10512 (914) 225-3641 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL'HPALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 ` DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owne Address /17 Alae -f 4 Al,c� Located at (Street C�!oPOr fia /low 6dicate �► ate, d Sec . S 7 Block 3 Lot � neares cross street) 2 15 9 `�� Municipality, u ..-h dd,..; v4, //r Watershed 1�e.{�4,�� / ��. 2. A5, / S' SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS �ly. bL � Via' Foe Number CLOCK TIME PERCOLATION PERCOLATION RLM apse Depth to Water- Water Level No. Time From Ground Surface in Inches Soil Rate . Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 29 �1. 51 _rf 3/ 410 3is 3, a 2 15 9 `�� 2. A5, / S' a2 h �ly. bL � Via' 3 5 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 submitted for review. 2) Depth measurements to be made from top of hale. i T=T PIT DATA RFQUn=- TO BE SUFK'i`TED tdZE APPLICATION DESCRIPTION OF SOILS EyCOUNrMED IN TEST HOLES DE71M HOLE NO. HOLE NO. HOLE NO. HOLS NO. 61° 120 18,9 240 3099 36, 142Q9 48M 540 60" 66'° ?2w ?8°° 84w 4 1 - a�zc.A ,E L= AT wEIcH GRow wATm IS =OUc= �1 aN2 aMICATE L= FOR WEICH WATER LEVA RISES AFTER BEING Err � � b N � . STS MOE � DAB , � l J . � ®�� l N� Pe E�� ?G DE;slc�r 3oi.l. Rate Used NWI b Drop: S.D. Usable Area Provided 7. b 6� do. of Sedrooffis_=�_ Septic Tam CapacityA 08 6 Gals. Masonry Metal® lbso rption Area Provided by 240 x 369 , JWi'� . \. her d �. lam lddress Fy / \j9T -0. 4 h3� ,0" ; 9 1, /b.,0 GC JUG% 16 FO(=NE�j� Plj T#,+pl CoLm 7 Health Department � 1 Rate Approved Sq.Ft. /Gal, Checked by Date i �I PUT�IAM COL]I�rY DEPAR'QEW OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES • INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS � ' REVIEW SHEET - CONSTRUCTION PERMIT `(y DATE REVI l� _ (Name of Owner) (S eet Location) CON'S YF5 NO � DOCUMEfFrS Permit Application N Corporate Resolution Plans - Three sets Vs Engineers Authorization Design Data Sheet (DDS) SUBDIVISION Deep Hole Log Perc Consistent Perc Results (3). Fill 30" Perc Hole cd Other House Plans - Two sets If PWS - Letter if wellipermi.t Variance Request LF trench provided REQUIRED DETAILS ON PLANS required Sewage Systen Plan 60 ft. max. Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank Size, Detail Well Detail,.,Service Line if over. Construction Notes Design' Data r< . Two- Foot.Contours Existing & Proposed. ' ' ?;Driveway &` Slopes ' Cut - Footing /Gutter. - Curtain Drains ,Perc .& Deep',Holes Located. Representative:of.Sewage'& Expansion Area ' Expansion' Areashown ;gravity,flow,suff.'size mped -Showi:.:. &:=Detailed' . _ :_.. ,..__..._. :House No: of :Bedrocros ; Wells &'.SSDS's w /in 200 "ft. of Property Located Property Metes &Bounds House Setback Necessary (Tight lot) House Sewer.- 1 /4 " /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCI S SPECIFIED ON PLAN Fields f �JU4 .10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D,. 150' pits 1 ,_Z 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains- Curtain,.Leader, Footing 351to catch basin,stonr rain, i watercourse 10 ',to Water.Line (pits -20') 50' intermittent drainage course S2aicc Tanks 10 1 tram Foundation; " 50 to well. . 15' Well to PL. GENERAL ;Legal Subdivision _ Subdivision Approval..Checked 1 Ex= approval SSDS Adj.-Lots Checked IIK .Wetland - (Town/DEC Permit -R & D) ;Data DDS -Plans & Permit Same w.e PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date hHl- Re: Property of Located at Gfq /1) 0)001/ (T) Section Block Lot Subdivision of Subdv, Lot # Filed Map # Date Gentlemen: This letter is to authorize aauwo 4 p)-N Dow n utdc a duly licensed professional engineer ✓ or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said - stem -or-* s stems •-•iii conformit with -- th6 rovisions 70f, Article i or y' Y • P 5..... 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Sign Countersigned: Owner of Property P - E. , R. A. , # Address r-) I'# R -W_6o RJ Address M % q (0' J& v 96 Telephone r6 0 A _FG f- N J e) %C'7C> Town 9L O 1 S 6 9- -'7 If o'� 2- Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS . F INSPECTION REPORT _ ..DATE: INSP. BY: (Name of Owner) .(Streot Location) INITIAL SITE INSPECTION YES NO COMMENTS Wetlands on /or proximate to property .............. Property lines or corners found ................... Can estimate house location.... ................ Will driveway need cut ............................ Must trees be removed - note these ................ Deep holes representative of entire SDS area...... Additional deep holes needed....................... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... X Adjacent . .... ....... ...... . wells /septics....... . .... Access to pr000sed well location for drilling..... Se D. H. 1 Lot Depth to G:W. Depth to rock Soil De, 0 ft. 3 ft. 6 ft. 9 '.ft. 12 ft. D. H. 2 Lot Depth to.G.W. Depth to rock Soil Descrintioi 0 ft. 3 ft. 6 ft. _...:..__ ... -712. ft. u.n. - ueeY ncu(-- G.W.- Groundwater D.H. 3 Lot Depth to G. W. Depth to rock Soil Descri tion .0 ft. 3 ft. 6 ft. 9 ft. DATE: FINAL SITE INSPECTION INSP.BY: YES NO COMMENTS House SSDS located per.approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Roam allowed for expansion trenches .............. Over 100 ft. fran watercourse .................... Natural soil not stripped or SDS area unnecessarly graded............ .... ........ 10 ft. maintained fran property line and 20 ft. fran house.... ........................ Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench ................ 15 ft. of peripheral soil horizontally from trench ..... ............................... Boxes properly set ........... .......... ........ 2buld surface runoff fran driveway, roads, ground surface, etc., channel near SDS area.... )oes lot drainage appear Min area of SDS.:..... [ � FINAL GRADNG OF SITE ACCEPTABLE:.. DAQUINO and DONAHUE CONSULTING ENGINEERS 10 "fe I, ❑ John V. D'Aquino Daniel J. Donahue RD 2 Box 17 Breckenridge Road Put. Valley, N.Y. 10579 Mahopac, N.Y. 10541 526 -2039 628 -7576 t i �.i�L.. ,1.�1_ 4V WE ARE SENDING YOU 'A Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order Cl DESCRIPTION tt �lduaL- �.'._.. TN.ESE-.ARE_ TRANSM1TTED• -as ihecked- -below: - A<For approval ❑ Approved as submitted ❑ Resubmit copies for approval 0 For your use ❑ Approved as noted ❑ Submit copies for distribution -- ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ ,For review and comment ❑ ❑ FOR BIDS DUE /19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS 11 A / u•, s' j A)_ J A..)}i i / 7J `'W �/ at /-� �r �/ r% C, k- �•f/�� i 2 �7 7rj Lr/ �z r � c.� L -e Cal It COPY TO P1 q co r SIGNED: If enclosures are not as noted, kindly notify us at once. j, ;._ mom is l•.51fc3lJ�' t .. rs1 mom aw am moo mill A- y � 1 ` �r;: i..yF �. ..�. _ �.. E...�i�;..0 :.- 1aMx.� •JP ^✓e -. ���i� �.vO :� _ ... 9 > (�� C, AAAk�b1.. • �1F" M;p 77CIEF,�-- 441 iFK A ' C Rh 7 AU ;\ pus Hlil li'Wo� P-tic ► f vvap GIC -o ChB IfG, r A Soil Map-Putnam County, New York Map ..Unit Legend USDA Natural Resources Conservation Service Web Soil Survey National Cooperative Soil Survey 2/5/2015 Page 3 of 3 Aw AW, 4 rf i '1P ChB. Charlton loam, 2 to 8 percent 18.5 14:6% slopes ChC Charlton loam, 8 to 15 percent 5.0 4.0% slopes. ChE Charlton loa m, 25 to 35 percent 1.0 0.8% CIC Chariton loam, 8 to 15 percent 10.1 7.9% slopes, very stony CID. Charlton loam, 15 to 25 percent 13.4 10.6% -slopes, very stony CIE Chariton loam,;25 to, 3.5 percent 2.7' 2.1% slopes,. very *stony CrC; Charlton Chatfield complex, 0.2 01% rolling, * Very rocky csb Chatfi6ld-Chartion qomplex'. 5.7 •4.5% hilly, very'.:rocky - - Ff riuvaquentsUdifluvents; 8.3 14.4% complbx': frequently flooded. Fr F red'on s'ilt',Ioam 3.6 .2.8% HnB -------- Ily!oam kh&ley grave y sand, 3 0.6 0.5% 168 percent slopes, HrF Hollis k o ck outcrop . complex, m0ex 3.1 2A% ..v6rysteep PnC. he sandy-,Ioam,-8 tbrl 5- 15-.6 percent s160&s PnD Paxton fin . 6 sandy lo . am, 15 to 7,3 -5.k- '25perceritslopes PoD Paxton Me- sandy, loam, 15 to 6.5 5.1% 25 percent slopes, very stony Ra Re yn.h6m silt 16am 1.3 .1.0%, RhA Riverhead- foam, 0 to 3 percent 3.9 ... - 3.1% slopes - RhB Riveffieid-loam, .3 to 8 percent 7.5 slopes Water 0.9 0.7% WdC Woodbridge loam, 8 to 15 1.8 1.4% percent slopes. Totals for Area of Interest 127.0 106.0% USDA Natural Resources Conservation Service Web Soil Survey National Cooperative Soil Survey 2/5/2015 Page 3 of 3 Soil Map—Putnam Countv, New York PUt1*nCounV,-N'ewY,6rk#Mq), Nlap UnitNmft Aq"JUAOU,---- rcent of A_ OI ChB Chadton1loam, 2 to 8 percent 4.8 16.4% slopes ChC Chariton loam, 8.to.15 percent 2.1% slopes -0.6 CIC Charlton loam, 8 to 15 percent .0.4 1.5% slopes, very stony. CID Chariton loam, 15 to 25 percent 1.9 6.5% slopes, very stony CIE Charlton loam, 26 to 35 percent 4.3% slopes, very stony Ff Fluvaquents-Udifiuvents 11.0. complex, frequently flooded Fr Fredon silt loam* 3.4 11.6% HnB Hinckley gravelly loamy sand, 3 0.6 2.1% to .8 percent,slopes P.nC Paxton fine sandyloam, 8 to 15 0.1 0.4% percent slopes_ PnD n Paxton fi e,sandy loam, 15 to 6.2 oz% 25 percent slopes Ra Raynha.rn silt loam. 3.7% RhA Riverhead loam, 0 t 3 percent .... 4.4% slopes.. -RhB... Riv*erhe4c-loeimi3Lto;8-rpercent----��--�.-�--- :-:-: -. I.T. W Water. 0.9. 3.1% WdC Woodbridge-loam, 8 to 15 0.5 - 1.8% percent slopes Totals for Area of Interest 2r 9.1 100.0% USDA Natural Resources 280 Conservation Service Web Soil Survey National Cooperative Soil Sur-Vey 2/5/2015 Page 3 of 3 i t ' Soil Map — Putnam County, New York i E Natural Resources Web Soil Survey Conservation Service i National Cooperative Soil Survey4 s I. i 2/5/2015 Page 2 of 3 P MAP- LEGEND MAP INFORMATION Area of Interest (AOI) Spoil Area ? The soil surveys that comprise your AOI were mapped at 1:24,000. [� Area of Interest (AOI) Stony Spot Warning: Soil Map may not be valid at this scale. Soils 0 Soil Map Unit Polygons Very Stony Spot Enlargement of maps beyond the scale of mapping can cause Wet Spot i misunderstanding of the detail of mapping and accuracy of soil line Sol Map Unit Lines placement. The maps do not show the small areas of contrasting .13 Sbil Map Unit Points Other t e soils that could have been shown at a more detailed scale. it= °' Special Line Features Special point Features ; ~ Please rely on. the bar scale on each map sheet for map V Blowout Water Features measurement. Streams and Canals i Borrow Pit of.Map: Natural Resources Conservation Service Transportation s Web Soil Survey URL: httpJ /websoilsurvey.nres.usda.gov � . oClay Spt .Rails: Coordinate System: Web Mercator (EPSG:3857) 0. Closed Depression' ati Highways Interstate Hi hwa s Maps from the Web Soil Survey are based on the Web Mercator Gravel Pit- US Routes ' projection,. which preserves direction and shape but distorts ! distance and area. A projection that preserves area, such as the Gravelly Spot . Major Roads i; ; Albers equal -area conic projection, should be used if more accurate Landfill .:.1. calculations of distance or area .are required. Local Roads Lava Flow Background 4 . This product is generated from the USDA -NRCS certified data as of the version date(s) listed below. Marsh or swamp ®- Aerial Photography {' Soil Survey Area: " Putnam County, New York '.. Mine or Quarry ! ; .SurveyArea.Data: Version 11, Sep 16, 2014 Miscellaneous Water. Soil map units are labeled (as space allows) for map scales 1:50,000 Perennial Water Or larger: . Rock Outcrop Date(s) aerial images were photographed: Mar 26,201 I—Apr 16, 2012 .. Saline Spot' r The orthophoto or other base map on which the soil lines were e Sandy spot . compiled and.digitized probably differs from the background @. _ severely Eroded Spot " : + imagery displayed on these maps. Asa result, some minor shifting f ' of map 't boundaries may b e ident urn e evident. Sinkhole Slide or Slip ' `.. Sodic Spot E Natural Resources Web Soil Survey Conservation Service i National Cooperative Soil Survey4 s I. i 2/5/2015 Page 2 of 3 � 7 t N •;, a- 7 Z . � y e; X11 e o Uao.. 1� J _ a t f is 1 3• ; o PJ� \ J 1 do � 7 t N •;, a- 7 Z . � y .. ...... cry. .• _ e; X11 e o Uao.. 1� J _ a f is 1 3• ; o PJ� \ J 1 .. ...... cry. .• _ 1 ,I I a � I • 1A `--,, # ' ul e; X11 e o 1 ,I I a � I • 1A `--,, # ' ul e; i .0 . Uao.. 1� 1 ,I I a � I • 1A `--,, # ' ul e; .0 . Uao.. 1 IIr l0