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Home My WebLink About2678DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 61. -133 BOX 23 02678 I I Ir 1 6 T? ■ r 1 ; i oil -,� lum 02678 s- •,x.<p's/ _ - .... _'T ..-- '.'.C- ^.�'"+. ..._ r- -'�:-r V.x^ w-•, . ^L 5 = r " f '.� t'�1 _ V _- `.._.•.•_ `r PUTNAM COUNTY DEPARTMENT'OF HEALTH Y Rev. 3/86. B vision of Environmental Health Services, Carmel, N.Y 10512: r Engineer Must Provide P C.H D Permlt li CERTIFICATE OF C TRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM !dA C Located at �d �% s%� / 4 /�% Tai MaP , Block Lot Owner /applicant Name // CC Y a 'Cie � / Ol1l rr 4 /�t *2' e- Former) Sabdlvlslon Nsme t Subdv. Lot'N. MaWng Addresa, .� .J 'OV Zlp d S 3�_ Date Permlt Ieened Separate'Sewerage System' built by !�' yYI1T Address Consisting of );x, s—& Gallon Septic Tank and � y � L � � -� 'f• r✓' i �� na ��s Water Supply: Public Supply From Address orr ! Private Supply Drilled by I� �rl a�.rr � orb Address d Z:x �3�• 1�• Build Ing Type Has Erosion Control Been Completed? Number of Bedrooms Has Garbage Grinder Been InstalledY Other Requirements I'csrtify that the'.aystem(s) as listed serving the above premises were constructe lly as shown'on the plans of the completed work ( copies of which are attached), 'and in accordancs with the standards,-rules and regul IDFJNLW nca with'the filed plan, and the permit issued by the Putnam County DDeppaartmennt.of'8ealth_, 4 Oats •• V 7U C rtifled'by �P Ct' P.E. R.A. Address 0� � W�.. s License No.Z �Q-5 I Any person occupying prertilses W" ved by the above systems) shall'pro:nptl conditions resulting from, such usage. Approval of the separate sswerslle wallet le and 'the approval of the pilvate water supply shall become null and' wblect to modification or. Mange when, in the Judgment of the Cornmissi Date e°/LO 1 he ��, By sassily to secure the correction of shy unsanitary void as soon as a pubt;: sanitary sewer becomes supply. becomes_ available. Such approvals are son, modification or change is necessary. Title n' PUTNAM COUNff DEPARTMENT OF HEALTH DWISION OF :E*IVURO _►qM HEALTH SERVICES . Owner or Purchaser of Building Section Block Lot q Building Constructed by ,,-- Location - Street Municipality Building Type Subdivision Name 4 Subdivision Lot # GUARANM 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 °'C -ert'ificate--of' Coast- ruction Compliance" for the sewage disposal system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept . as conclusive the determination of the Director of the Division of Environimntal 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 ?y Signature General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk Title D W ip Corporation Name (if Corp.) Address 4 CO�� WELL COMPLETION REPORT Office Use Only ►� DEPARTMENT OF HEALTH 4 W 0 PUTNAM COUNTY DEPARTMENT OF HEALTH' REET ADDRESS: wN� I ST TAX GRIO NUMBER: WELL LOCATION DONNER PATH PUTNAM VALLEY WELL OWNER NAME: ADDRESS: TOM FAROANE DONNER PATH PUTNAM VALLEY ' NY 10579 ❑ PRIVATE ❑ PUBLIC USE OF WELL lb RESIDENTIAL O PUBLIC SUPPLY ❑ A.IR /CONO. /HEAT PUMP O ABANDONED 1- primary ❑ BUSINESS O FARM O TEST /OBSERVATION ❑ OTHER (specify) 2 - secondary ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT 20+ gpm. /NO. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR []REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION []ADDITIONAL SUPPLY DRILLING NEW SUPPLY (NEW DWELLING) L7'DEEPEN EXISTING WELL DEPTH DATA ' WELL DEPTH 1$0 ft. STATIC WATER LEVEL 29 _._ ft. DATE MEASURED 1/13/90 DRILLING C! ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG EQUIPMENT ❑ WELL POINT O CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED )J OPEN END CASING O OPEN HOLEIN BEDROCK O OTHER TOTAL LENGTH a.0._5__ ft. MATERIALS: ® STEEL ❑ PLASTIC O OTHER CASING LENGTH BELOW GRADE 104 ft. JOINTS: ❑ WELDED 91 THREADED . ❑ OTHER. DETAILS DIAMETER in. SEAL: O CEMENT GROUT O BENTONITE 60THER WEIGHT PER FOOT lb. /ft. I DRIVE SHOE O YES CkNO I LINER: 0 YES P NO SCREEN DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (1t) DEVELOPED? DETAILS FIRST O YES ONO SECOND ._ _.... ..... HOURS GRAVEL PACK O YES GRAVEL DIAMETER TOP BOTToM O NO SIZE: OF PACK in. DEPTH IL OEM It. WELL YIELD TEST t If detailed pumping t it more detailed formation descriptions or sieve analyses WELL LOG are available, please METHOD: O PUMPED 1 tests were done is in- formation DEPTH FROM . water well .attach. CXCOMPRESSED AIR , attached? 0 YES ONO SURFACE Bear- In9 Dia- In FORMATION DESCRIPTION caoE O BAILED ❑OTHER It ft. WELL DEPTH DURATION DRAWOOWN YIELD Land 5 Fill/Ban It. hr. min. 1t. gpm. 6+ .20+ WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ❑ NO ANALYSIS ATTACHED? O YES O NO STORAGE TANK: TYPE Well —X -Troll 251 PUMP INFORMATION CAPACITY GA?,. TYPE Submergible CAPACITY 8 WELL DRILLER NAME DATE 6/20/90 Grune3 fos DEPTH ft 90 Norman Anderson Well Drilling ADDRESS SIGr RE [MAKER El 5507 -18 230 3/4 Moo VOLTAGE HP 152 Barger St Putnam Valley, NY 321 Kear Street Yorktown Heights, N. Y. 10598 .�- Director: Albert H. Padovarti M. T. (ASCP) T_ FARAONE, ANITA 3 DONNER PATH PUTNAM VALLEY, NY 10579• Date Taken: 7 10/90 Tams. R AM Date Rc' d : z4i n1go. Time: g , sn Date Reported: - ._.._._:.._....._...__C 1- fddted By.:'- �..._ A _ FARAf1NF PO /Client # Referred By: Sampling Site: KTTCiiFN TAP• J Phone �14 ) 528 -0533 REPORT ON THE QUALITY OF WATER INORGANICS (mg /L) MICROBIOLOGICAL 1 OmL —Alkalinity Chloride _ Copper _ Detergents, MBAS _ Hardness, Calcium _ Hardness, Total Iron _ Lead _ Manganese _ Mercury _ Nitrogen, Ammonia _ Nitrogen, Nitrate _ Nitrogen, Nitrite _ Phosphate, Total Silver _ Sodium Sulfate _ Sulfide _. __�.... - Pres-ence/Absense- JPAJ _ Sulfite. - Zinc' Total 'Coliform P A PHYSICAL MISCELLANEOUS KEY FOR TERMINOLOGY _ Standard Plate Count (CFU /1 mL) Membrane Filtration Method p V/ Total Coliform 9 Fecal Coliform Fecal Streptococcus Most Probable Number Method Total Coliform Fecal Coliform Fecal Streptococcus _ pH (S.U.) _ Color (Units) Conductance (ohms /c) _ Odor (TON) Turbidity (NTU) CFU = Colony Forming Units IT = < = Less Than GT = i LAB # = Greater Than Yorktown Medical Laboratory, Inc. See Attached 321 Kear Street Yorktown Heights, N. Y. 10598 .�- Director: Albert H. Padovarti M. T. (ASCP) T_ FARAONE, ANITA 3 DONNER PATH PUTNAM VALLEY, NY 10579• Date Taken: 7 10/90 Tams. R AM Date Rc' d : z4i n1go. Time: g , sn Date Reported: - ._.._._:.._....._...__C 1- fddted By.:'- �..._ A _ FARAf1NF PO /Client # Referred By: Sampling Site: KTTCiiFN TAP• J Phone �14 ) 528 -0533 REPORT ON THE QUALITY OF WATER INORGANICS (mg /L) MICROBIOLOGICAL 1 OmL —Alkalinity Chloride _ Copper _ Detergents, MBAS _ Hardness, Calcium _ Hardness, Total Iron _ Lead _ Manganese _ Mercury _ Nitrogen, Ammonia _ Nitrogen, Nitrate _ Nitrogen, Nitrite _ Phosphate, Total Silver _ Sodium Sulfate _ Sulfide _. __�.... - Pres-ence/Absense- JPAJ _ Sulfite. - Zinc' Total 'Coliform P A PHYSICAL MISCELLANEOUS KEY FOR TERMINOLOGY _ Standard Plate Count (CFU /1 mL) Membrane Filtration Method p V/ Total Coliform 9 Fecal Coliform Fecal Streptococcus Most Probable Number Method Total Coliform Fecal Coliform Fecal Streptococcus _ pH (S.U.) _ Color (Units) Conductance (ohms /c) _ Odor (TON) Turbidity (NTU) CFU = Colony Forming Units IT = < = Less Than GT = ' = Greater Than NA = Not Applicable SA = See Attached TNTC = Too Numerous To Count REMARKS /COMMENTS For La b se (For Lab Use) SAMPLE TYPE: (Check One) v,-'Potable _ Non - potable OUTGOING: (Check Each) HNO _ HC13 — H2SO4 _ NaOH ZnOAc Na2S203 Other: INCOMING: (Check Each) a/ GT 4 /1.E 200C GT 200C PH LE 2 _ pH GE 12 Other: THESE RESULTS INDICATE THAT THE WATER SAMPLE WAS) - (WAS NOT) (NA) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO YORK STATE PUB IC DRINKING WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF SAMPLE CO TIONO THESE RESULTS INDICATE THAT THE WATER SAMPLE (DID). (DID NOT) (NA) MEET THE SATISFACTORY CHEMICAL QUALITY STANDARDS OF THE NEW YORK STATE L DRINK- ING WATER CO ES, FOR TH ARAME'7;E#2S TESTED, AT THE TIME OF SAMP COLLECTION. 3 7 /87(Rvsd1 /90)RWE er m a ovani• M.T. , erector PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services. Carmel. MY: 1051? on CERTIFICATE OF COMPLIANCEa 1 Permit a i' .14-937 CONSTRUCTION FOR SEWAGE DISPOSAL SYSTEM Located at z2d :n e,1_11 .f :S�y r mown or Vie t�/L :... _.. Subdlvlsbn Name �" 'C% /%°c'er�•r✓� gated. Lot # - - :Tea: MapBlockr. Renewal_ O Revhdon Owner /Applicant Name Al P% /"fJ /•Jf (�`' Date of Previous Approval MaWng Address Town Zip z� �� , Building Type - &_> %c1�'� ��r Lot Area // n 6 A- Number of Bedrooms 1i• Design Flow G P D 5 a Gf Separate Sewerage System to consist of L a? 80_Gaoa Septic Tank an To be constructed by r Address Fill Section Only " Depth Volume PCHD Notification Is Required When FIB Is completed Water Supply: He Supply From Address ors �`/ Private Supply Drilled by — address ' Other ReciArements I represent that I am wholly and completely responsible for the design and location of the proposed rQ ` at the separate sewage dispowl s stem above described will be constructed as shown on the approved amendment there to and in accordan LOl If�� ulas an regu a ions o e u nom County Department of Health, and that on completion thereof a "Certificate of Construction Q '1'8ats cto to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his of ids, heirs or s the buildei, that sold builder will place in good operating condition, any part of said sewage disposal system during the per d t o I I ly following thedate of the Issu- ance of the approval of the Certificate of Construction Compliance of the original syste r ,sal ;4 the drilled well described above will be located as shown on the approved plan and that said well ill be Installed in ac rdance it County •L% r regu s ens of the Putnam Department of Health. ;� Date /� Oigned r ' P.E. _y R.A. — U % �� /� "� 2tic`s9 `• �J / / Address License No _ APPROVED FOR CONSTRUCTION! This pproval expires two Years from the ate issued unless rorL_ a building has been undertaken and Is revocable for Cause Or may be amendetl r modified when considered necessary by the COMnliSfiOne► Of ea h. Any change or alteration of construction requires a new _permit. Approved foe disposal of domestic sanitary sewagS-6nd /or_povaq_ water jupgly only. Rev. 1/ Date �y —.J /' � � 8Y Title PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services. Carmel, N.Y. 10512 Engineer to Provide Permit k on CERTIFICATE OF CO CE CONSTR ON PERMIT FOR SEWAGE DISPOSAL SYSTEM Permit N Iocated s / >? /� �r -F %� % - _ Town or @ -- - ` - - - - y - - } Subdivision Name's C'�� >J 1 V > Snbd Lot q ' ' jam-• ' Tea Mal Blom Lot - : r%ld, ! Owner/Applicant Name � i G/ awe Renewal_ ❑ Rovision ❑ Date of Previous Approval ,p Mailing Address Y�J-j�✓ y D� Town zip11/ Building Type 1 der ce Lot Area—:: '7 `' Fill Section Only Depth Volume Number of Bedrooms Design Flow G P D PCHD Notification Is Required When Fill Is con leted Separate Sewerage System to consist of �'�� Gallon Septic Tank and 0 i� To be constructed by _ Address Water Supply: Public Supply From Address or: Private Supply Drilled by — Address Other Rea ulremoats 1 represent that 1 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 regulations o e Putnam County Department of Health, and that on completion thereof a. "Certificate of`t:5�qstity ti Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, anti a written guarantee will be furnishv t1�6;rov�ha�Cs,Alkcessors, heirs or assigns by the builder, that said builder Will place in good operating condition any part of said sewage disposal system b g�b9; iapl 'of two (2) years Immediately following the date of the issu- ance of the approval of the Certificate of Construction Compliance of the rtg tyf ar® "any repairs thereto; 2) that the drilled well described abovo will be located as shown on the approved plan and that said well will be Install q. ac nee h he standards, rules and regu Mrons of the Putnam County Department of Health. P.E. _ R.A. Date Address � r / �� License No S r— .r APPROVED FOR CONSTRUCTION: Th' approval expires two years from ty`�•; t ¢ i goy con APPROVED of the building has been undertaken and is revocable for taus or may be mend or modified when consid ed neces yob �gjssioner of Health. Any change or alteration of construction requires a never p�r it. ppf disposal of domestic fiery age, dR .a r ly o y: Rev. J/ 71!' 1/87 Date By Title r ® Ins e-t 7 SRF:f.T ICc,kTIbN 4aefeg — / PERM?T LM CR uMDIVISICN LT a No CO["LM�fI'S I. Szr-.GE DISPOSAT, AREA__, a_ SDS area loc3t� as r a�rove3-lens; .�. b. Fill- section - Date of placement 2:1 barrier. LOTS W= AVG_DPTE C- Natural soil not striLoed d_ Stone, br.Laz, etc-, cr=am- tin 15' from SDS area. e_ 100 ft_ from Water course /wetl.angs. II_ C^r DISPOSAL, SYSTR4 a. Seotic tank size - 1,000 1,250 b. Semtic tank insi=i ? ed iev -i c_ 10' min n=. from fcur_cs on d. No 90° bends, cleancut within 10 ft_ of 450 bend e_ DISZR.L'R.L UrTICN BOX 1. All outlets at same e? evati on - watDr tested 2_ Prote^t-� below frost 3. Mini= 2 f--- cric? n =i soil L^E_r«n box and t_ _zc f. JLN�r-TICN W.X - oroue--�ly set 1. Lan . n re=Ured - 4?�a�w LF- mg--E-i irist : 6 2. Distance to water=uf s a eft. � 3. I_ns t = i l e to olan r 4. Distance center to c=ntar 5. Stare of t_encn acce=,tabie 1/16 - 1/32 "/foot. 6. 10 from nrcz"v 1?*ie - 20 four- -aticr 7. Death of tre_ncz < 30 inches Lea stir =ace 8. Roamm? ave i for EY= - -Sicn, 50% 9. Size of cravz 3/4 10_ Decth of travel in trench 12" minis ll . - Pipe erns cord h. CR DOSi SY.gT�S 1. Size of u= chamber ME o 3. P! a=, vsma /andi o 4 Pumn e=si?v accessible manhole to cede 5. First b=c =1� 6. Cvcle w_ _n°. =sue by Health to estimat= flow r,:—=- cvc-le I IV. Ec a. ECLSe lo=-tea Derr a:=rcved plans. b_ Mmnb =T of bedronrs V. Wr* a- W- 1 1CY t-^ as a=ra c 1 DlarS b. Distance from SLS area aeasur-e-3 C. Casing 18" above crade- d_ Sa=ace d- nail_T]cce around well accentab °_. a- $CXes urc"C_ fly Qrc&,- b., Aril pices rz-- -tiaLv ba6dille3 c. ALI pipes f usIn wicn inside of bc-x d. Backfill material contains stones < 4" in diamta- e. 0 -gain drain installed according to plan f. Car' ain &—,=in eutfall orcte tea & dir. to ax�-, st_wata�-c g_ Fcntinq d -Tai nc cu.saria.rae away fran SLS arEa h_ Surface wat_*- Drot_e Lion adezuate i_ E,os.ien crn'c---o Drocld° ' on sleces c--ea—t_ gent 13-s_ LM [i �, %.,,c ir:'.:.Vi ,�.•t�:y�. := ! . � "., `c.J � 4N�, [�i. �I : ti;I! i1TJ��; �'" �� i,r•. c i o wfa 25588�6di5,hes soil pate b.,.� �o s6�66� °ems min. $'' ddo lC�Ground �r3 Drop Drop g��I,pt,6��,6,wb,,�,� 4q,m7y ��,,,, M D&ie� 21nchw Xrsc es 2,s e 0 �l E I 3 4 3 TEST PIT DATA RDQ MM TO BE SUBMITTED WITH APPLICATION D��'.S(RIPTION OF SOILS IN TEST HOLES - DEPTH HOLE NO. HMZ ND. L HOLE NO. ..,. G.L. r : �a�/ O' /• .J..,_ . a _ r. y .t . of a'.:.. > . `- .ir.- a .. z.. _.. M . .. n •.o:r .. ... r. 3' 4' S' 6' ?' 8' 9e 10, .0 22 13' 14' . < . IMCMM7 LEVEL _ -AT -T M ICH';GRO.� . is ER - ............. r ... INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENOOt]1�PPE[tEa DES HOLE OBSERVATIONS MADE BY: � i tea•-/ DATE: DESIGN Soil Rate Used Miq/1" Drop: S. D. Usable Area Provided L_�'67v v No. of Bedrooms Septic Tank Capacity / ZS�U gals. Type Ala Absorption Area Provided By d U L.F. x 24" width..ticench Other r• Address - 797,?-- Soil Rate Approved sq.ft,/gal. Checked by Date DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 ARPLTCATZ- ON;: -TO =CONSTrZU0T ::A- ;WATER"WELL.- PCHD PERMIT # -�11 WELL LOCATION /Street Address TToown Village C/ity Ta+xy Grid Number WELL OWNER Name _-Mailin Address ,,�- ivate /77 ' tir4e VI I�e O Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL 0 PUBLIC SUPPLY OAIR /COND /HEAT PUMP 0ABANDONED 0 BUSINESS 0 FARM 0 TEST /OBSERVATION 0 OTHER (specify 0 INDUSTRIAL O INSTITUTIONAL 0 STAND -BY AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE Y'dO gal REASON FOR DRILLING 91TEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ® TEST /OBSERVATION 0 REPLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE CaftILLED ®DRIVEN ®DUG ®GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES i-' NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: ,,f .O Lot No. WATER WELL CONTRACTOR: Name Address: �.�Y1,/ -�V y"� IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY - n DISTANCE, T. O-. .P,ROPERTY.,YROM_NEAREST_.WATER ?SAI•N: , LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED []ON REAR OF THIS APPLICATION EON SEPARATE SHEET (date) `� .� (fig . , e) r 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 appl.icant 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 permit. 3. Submit a Well Completion Report on a form provid by the Yutnam County Health De 'rtment. Date of Issue: _ a a 19� Date of Expiration: 19 rmit Issuing Official Permit is Non- Transferrable White Copy: H. D. File Yellow copy: Building Inspector Pink Copy: Owner 287 Orange copy: Well Driller PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 March 15, 1989 Frank Sullivan, P.E. 2972 Ferncrest Drive Yorktown Heights, New York 10598 Re: Construction Permit Lot #2 Rock Meadows (T) Putnam Valley ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Dear Mr. Sullivan: This Department has received and reviewed the engineering plans for the above referenced proposal and we offer the following comments for your consideration: 1. The portion of the brook on the north property line is not shown on the plans. You are referred to the attached copy of the approved subdivision plans. 2. Both the house and the sewage disposal area have been moved farther back on the re ert A lar a p_or.ti,on:.of the 'xo bsed :sews a dis ' sal area is- outside 'the' area" approved on the subdivision plan. The sewage system should be located above the 262 contour and 100 feet from the brook in accordance with the approved subdivision plat. Because of revised house location, it is necessary to utilize the area below the 262 contour, additional deep holes and soil percolation test holes must be excavated and tested. If you have any questions, conta the writer at Ext. 304. Yj�ry krul�r tyours, i �otin Kare111✓,V3kV, \.P. irector, VV Environmental Health Services JK:pt cc:JK File LW Thomas Farone 26 Pleasant Road Putnam Valley, New York 10579 f� J C� (iv�Rr= of C war) w F_ - =JIDLC 3 CF EE.-== '_- - DI7 -Tsici cf- qv=. ��TLaL Fiz3L�= c`4T�� WAI cujpPL'1 u +SJrSJ�c�a( c-z'iA DISi -r•a:L Scs- c REV ;v S= - CCNSLLC�TC�i PE-1�7_" ( Y Z- (. NO I I PeY ut A =Il c a c].cr_ V � V /'- Des;cn DGT Si (DCE) CL1L 11 c_Q C-z—r Ecie Lcc - r P,rC Cwi= .rE_ L-I c - — 4 1 -If I Ecuse p' = -- - T-wc s_ _s -Re u=s -,__1E fir• Le=a_ S� . _=_ Vic: Fill D cr J Ec {;'" ==rata Cz_l _T; Ste' _i_C�i -- he:2 -DEr-' - -,> C`-r�,:C ,Li -- 1.= cTj= -- C..:nsL��Cr1Ca"i'NCLSS Ces_cn L`ai— Perc and Ge =_ raSul __ Two -Fit- C_- ntCurs & Dr ;varav & S1cces Cut J - FcCL'_iiC�%r`�r�C'?�'_'_:a Di�_f!s (C= S� ^cL"•�c C_{. Perc & Deaec Ecies L=-Ed ��yy,,,,Re`Jrasan- atIve cL prim.` j,- ar.d cv-^,.•a�ir?c_C.a acnansicc Zara ; sh-cre a; z ravity f_a , sufa_ - 5:,^.." -- If Pty.: Pit & D Pcx Si=cwn & Ecuse - RTc. cf Eedr :G:Ls Wet GG & SSCS' s w /--,z 200 ft. cf r occseE S_ P_'c_ e_TT : etss & Et unr^ S Ecusa Sc::2C:t NCC°s ar"i MicaL 1Ct) Ecuse Seier - 1 /4 " /=t. 4"G; -Tice pi e No =; Max.. Ee_^.^s A5, ° w/ C_= e =*icLi S2-P RA"'`_TCN. DISZ=ti�, C =7t T CN p1N Vr -V i F; �l - 1 tc P.L., r,ve,Ygj Ie*ce T es,Tcc cf 20' to FC'ci-ic= -t=ca Walls 100' to kel1; 200' in D.L.Q.D, 150' Pi 100' t.r --, 13 to Dra? i1S -Cur -- i il, Leader, F-cot -i ric 35't^. CtGl L--=s;a- l,stcr=i =- _??,Li--er wa 10' to Water Li - -e (_ i _= -_fl I S=LL=C Ttr-Zc-= 10 .L_ ^.l 'i .0 �i) - I i I I i I I I C- :CCU== 100_ I F= S-�ST -v= C1av�rT I _ I i 10 ft_ ; note= I I sr_ e I /C CeCt:,y c_auces 1C0 v flccc e1e =r. I 2C0 f�. re_Se'_ -vc i -; E =c- i U � I I /I Fill D cr J Ec {;'" ==rata Cz_l _T; Ste' _i_C�i -- he:2 -DEr-' - -,> C`-r�,:C ,Li -- 1.= cTj= -- C..:nsL��Cr1Ca"i'NCLSS Ces_cn L`ai— Perc and Ge =_ raSul __ Two -Fit- C_- ntCurs & Dr ;varav & S1cces Cut J - FcCL'_iiC�%r`�r�C'?�'_'_:a Di�_f!s (C= S� ^cL"•�c C_{. Perc & Deaec Ecies L=-Ed ��yy,,,,Re`Jrasan- atIve cL prim.` j,- ar.d cv-^,.•a�ir?c_C.a acnansicc Zara ; sh-cre a; z ravity f_a , sufa_ - 5:,^.." -- If Pty.: Pit & D Pcx Si=cwn & Ecuse - RTc. cf Eedr :G:Ls Wet GG & SSCS' s w /--,z 200 ft. cf r occseE S_ P_'c_ e_TT : etss & Et unr^ S Ecusa Sc::2C:t NCC°s ar"i MicaL 1Ct) Ecuse Seier - 1 /4 " /=t. 4"G; -Tice pi e No =; Max.. Ee_^.^s A5, ° w/ C_= e =*icLi S2-P RA"'`_TCN. DISZ=ti�, C =7t T CN p1N Vr -V i F; �l - 1 tc P.L., r,ve,Ygj Ie*ce T es,Tcc cf 20' to FC'ci-ic= -t=ca Walls 100' to kel1; 200' in D.L.Q.D, 150' Pi 100' t.r --, 13 to Dra? i1S -Cur -- i il, Leader, F-cot -i ric 35't^. CtGl L--=s;a- l,stcr=i =- _??,Li--er wa 10' to Water Li - -e (_ i _= -_fl I S=LL=C Ttr-Zc-= 10 .L_ ^.l 'i .0 �i) - 1� N2� r�3 7'� � -, mi 11 � J o� A_ p _ Ii� 9 Prj11,.P_'4 CCU—=_ D11.:_mnF .T427r OF HE'UTHI - DIVISIC A OF E1�IG=NZiEML HE:AI,Tri S�24ZC_S R\D?"VT^=ra1, W-A= SUPPLY & SuE_cZRF =- Sr:Y-A = DISFr-su S'iS�+5 RE V=i S= - 'r DATE RE iV V BY: V (:�---nle of Ovnar) (Si =e`C L r—,tica) =5 I NO I DC RA-E:ri'S I I Pew--it A.pol i cation 1 �L rata ' Resclut_ca Plans - Three scats F_hciP_e° - :5 AuthcriZaticn Desicn Det^ Sheet (DCS) Su�Di�T_S =Cii Dee_ acle Lcc per`_ Ccr,sisr nt Perc (3) Fi. I I `. Pe_rc aele Dectt -1 cc HcuSe P1 -n z - tic, -t Hell ✓ / Fe—.m 7 t; F; 1 -Vey iaics Rues t Lc—a - I Sarc -vi sicn Sutersicn Accr. Vc' C ecic d E-c ap_ rcval SSCS cl .. I,cLS C ecke_ We--2 and (Ta, /DEC R & C ) 'Da- CIl DDS Plans & pe=i t -_ REQ=-,ED, DErr, � c UN : - - \S .c. =.vc�e SSr.�'.1 P! an - (^.^•r =. c. =�.J} S =.vac: Sys tam P=c-__= - - Fil1rProfile & DiTens_cas - VC -,1== D or J Ecx;`=encz /C_? 1= y; P'=i , pi = d=`__? s Septic T —nk -Size, Det_il _ We_' 1 DeTe i 1, S- arvics Li__. 1. Cv e_ Ccnst_ructicn NOL°i _c -_RGer rc _e) . )res_cn Data: peYc�Qiicc =b ra7sL Tic -Fcot Contour= Existing & P_cccsed Drivegv & Sloces Cut FcoLin�Gut_er,C r-Y__, Drains (c_scharge CK) Per^ & Deep Holes Repress- ritative or prim ry and s_=ansica E cp<nsiCQ Ps=.- ;shcMn;:zLGvlt_7 fir--.q,suff. size I= P= Pit & D Ecx Shcwn & Deeta -ile—d: House - No. of Be^'.rocros Hells & S:.OS's w /in 200 ft. cf Proposed SYst- Proce_* ty Metes & Ecunds Hcusce Sett, ack Necessary (Ticht lot) House E,5;er - 1 /c1 " /ft. 4 "0; ` "Te piCee No Bends; Max. Beads 45° w /c_e=ut SEPI RATIC'N DISr N=-:z S?ECL7 = CN PT_:?N )F; Lire Tie s,Tcc of : 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' Pit= 100' to SC—ream, �iat_rccourse, Lake ( irc. e-"�_ 15' to Drains 'fir i n, I,-_-acer, Fcctinc 35'tc Catch > sin,stcrrarain,oic wit =-r:c� 10' to Rater Line (Ti;,--=-201) 50' int =*-tti tt`nt drai:Iace crI -se Sectic Tonic`: 10' f_an Found. t_cn; 50' tc well 13' Weil to PL 9 ' I I I I I I i � I I I I I recu__ 60 ft. 10G�• I I i i f I I F SYS E. S i clavcar .T I 10 ft. new� I I Cent cclucss 1,20 flcca. el_-r. I r I I I 2C0 ft. r=servci , etc. i_0 ft. t= cu l all. �r I. I I Plans - Three scats F_hciP_e° - :5 AuthcriZaticn Desicn Det^ Sheet (DCS) Su�Di�T_S =Cii Dee_ acle Lcc per`_ Ccr,sisr nt Perc (3) Fi. I I `. Pe_rc aele Dectt -1 cc HcuSe P1 -n z - tic, -t Hell ✓ / Fe—.m 7 t; F; 1 -Vey iaics Rues t Lc—a - I Sarc -vi sicn Sutersicn Accr. Vc' C ecic d E-c ap_ rcval SSCS cl .. I,cLS C ecke_ We--2 and (Ta, /DEC R & C ) 'Da- CIl DDS Plans & pe=i t -_ REQ=-,ED, DErr, � c UN : - - \S .c. =.vc�e SSr.�'.1 P! an - (^.^•r =. c. =�.J} S =.vac: Sys tam P=c-__= - - Fil1rProfile & DiTens_cas - VC -,1== D or J Ecx;`=encz /C_? 1= y; P'=i , pi = d=`__? s Septic T —nk -Size, Det_il _ We_' 1 DeTe i 1, S- arvics Li__. 1. Cv e_ Ccnst_ructicn NOL°i _c -_RGer rc _e) . )res_cn Data: peYc�Qiicc =b ra7sL Tic -Fcot Contour= Existing & P_cccsed Drivegv & Sloces Cut FcoLin�Gut_er,C r-Y__, Drains (c_scharge CK) Per^ & Deep Holes Repress- ritative or prim ry and s_=ansica E cp<nsiCQ Ps=.- ;shcMn;:zLGvlt_7 fir--.q,suff. size I= P= Pit & D Ecx Shcwn & Deeta -ile—d: House - No. of Be^'.rocros Hells & S:.OS's w /in 200 ft. cf Proposed SYst- Proce_* ty Metes & Ecunds Hcusce Sett, ack Necessary (Ticht lot) House E,5;er - 1 /c1 " /ft. 4 "0; ` "Te piCee No Bends; Max. Beads 45° w /c_e=ut SEPI RATIC'N DISr N=-:z S?ECL7 = CN PT_:?N )F; Lire Tie s,Tcc of : 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' Pit= 100' to SC—ream, �iat_rccourse, Lake ( irc. e-"�_ 15' to Drains 'fir i n, I,-_-acer, Fcctinc 35'tc Catch > sin,stcrrarain,oic wit =-r:c� 10' to Rater Line (Ti;,--=-201) 50' int =*-tti tt`nt drai:Iace crI -se Sectic Tonic`: 10' f_an Found. t_cn; 50' tc well 13' Weil to PL 9 DESIGN DATA SHEM SUBSUFACE SEWAGE DISPOSAL SYSTEK FILE . NO- Qamer -ate Address Located at (Street) /7& ,�;,,? tv- �J� -g-� Sec. --% Block 3 Lot 2, (indicate nearest cross street) Municipality � � / lle, Watershed SOIL PION TEST DATA TO BE SUBMITTED WITH APPLICATIONS Date of Pre - Soaking Date of Percolation Test MOLE NUMBER C= TIME PEROOLATION PEROOLATION Run Elapse Depth to Water Fran Water Level No- Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Agin /In Drop Inches Inches Inches 2P A::7 y 9r� 2-- a3 4 5 OF C€9 4 5 1 2 3 4 5 NdTE.Se 1. Tests to be repeated at same depth until approxin -ately equal soil rates are obtained.at each percolation test hole. All data to'be suhnitted for review. 2. Depth measurements to be made from top of hale. rev. 9/85 1 G.L. 1' 2' 3' 4' 5' 6' 7' 8' PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. HOLE N0. 47,7 rV 9' 10' 11' 12' 13' 14' _ - INDICATE "' I: EM AT WHICH CRUUNI TER IS ENCOUNTERED _ U� INDICATE LEVEL TO WHICH WATER LEVEL RISESJAFTER BEING ENCOUNTEREDo� r /� . DEEP HOLE OBSERVATIONS MADE BY: / � DATE. DESIGN Soil Rate Used Min/1" Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity 1 s gals . Type ='ten Absorption Area Provided By L.F. x 24" width .trench Other Name •.o - h G °L FOR USE BY HEALTH Soil Rate Approved OF Wgh; r —'� Signature SEAL;. ONLY: sq.ft/gal. Checked by Date .f .. .: • ._ .: � ;r �.� j f�, �J f p •� _ M�� y - � j� d! _ �.. .. i � � - . t ', � J�1 ��. � ,, j .�,�!w °� i� = `� r •,� ; :, _ _ . _ �' t: t � ^! . . �. !� �� c ,. .f 4 ` i .. _ _ '� _ .i d ' .. � t