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`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
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/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
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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
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