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HomeMy WebLinkAbout2697DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 61. -2-4 BOX 23 1 r 111 ;lj, Ili 0 Ir ., I,y�. N i �' 91 r hi •, T rs 02697 PUTNAM COUNTY DEPARTMENT OFf HEALTH Y � � t, 1 -� ' ,v rDiv�aron of Envrionmenta7 Hee /ih Servr�es < rme/ N' Y �105i2 `�' " � Penis.'« PV66 2 S� yr' 3. -- .. ..• ,^ -,. � _; � 4 ' CE FOR ,SEWAGE DISPOSAL SYSTEM Y, T Putnam Vallev CERTIFICATE OF NSTRUCTION COMPLIAN Town O► Vllla s�� . �idT1Q�L18 Alll ROaa y Tax itap clock C Located- at v William Dun1Q P y K 'p C+wner Formerl i - v `t }Tax Na 'Lot i 7 � � � � 3ubd ,Lot N ` i i•,1` i�" ,, - t _ � p � pct 4L •, -�. � r _'Separate Sewerage` System built 'by H war' t CTrit PZ't ` �a L* Addreu k OSCawana `bake.` 'Rdo Putnam V L ey Yx Conslsting of SePtic Tank and ` a' F! Other requirOments s .� F;,i' � l .._+ . .+ S N. ; a •.+, t � b� '" fly..: { +` . ', `t � �" : 1 �. a � i w _ TrRu �,1t t� a + �� t 4 c.'. 5. '-"SS � ..:, .t a ). sE' -K t ✓. f a � 4 x � � tti by; v Water Supply Public Supply Private uP 'SPIy Drilled BY r Era.CkSOn Brothers 1 nC • e� Addr855 L ruij v: tfk.Ws r vs `''.}F' ttt a r Building Type YP'x'ame residential "s No` of Bedrooms Date Pa►mit Issued r,Has Erosion COntrO) Been COmpletBdT l eS nt { u y Y w'gi `S. f .. 4 . - t t `.°•.r' y A y� y. �' .1 5r .c. 4 ;- '`S' }L.. i&", v K `i r l e �1': i k " r t 4� a1 ceztify that, the syetem(s) ae- ;lieted'servipq the above premises ,were';conatrucEed esseriEially as shown on the plans of the completad`vrork (copies, of which are attached),,; and iniaccordance with 'the standards rules and'requlations in eccordance with the filed plan, and the permit iseuad,by the fi rr Putnam County tiep%tmebt OfcHealth a t : V •� " -rC C't,� r+ RK}'' T y n4. } �. 'cv Cr4t l� K M "iAt s ` W ti ,V (�p�f ' Oate June 3�, 198 r .M y Ft4 CW $ .i.M1 s-4` 1 .t h` t - Ada:e:: 1 northridge Road; �Q'ekskill ucene• No 2Z84�6 '' " -.;y :;t �, . y .�x3.. +r Ut, -... i f 9. °} '1Y tom.' ,� �� •4;V.Ay + M. a Any person occuDYing premises served by tnesaboveasystem ( s) shall promptly take weh action as maybe necesN►y to secure the correction, of eny unsanitary' ` o- Oft'ons resulting from wch usage. tApprova( of the separate seweragesystsm shall ;become null and void.as won'as "Y pubik; san'tary siwer'becomes s ,, avellable and theA aDprovalt of flue; private ;water •supply shall become null aodkvoid wAen a publie4water supply beeoiries avalgbN. `Such, .epprovali :are.' sub)ect' to; modification ^'oi. "chaff qe when;; in the 'ludgment of tho;;COmmisstoner ,of'Health;.;wch 7eyoeatlon," modification or <ehanga 'IS, neesissa►y a t 1. n : •it: i a @wr �YL ttys t 91vx 1 cy,: :.`^r�rc Itl�.;N .r.1 'v � � M•fi f d1i �{ox, a v F-� � b,.. a'a'1^,i " I l d t r v } b.' y' 'G• '1i ,y t . 1 r'tc `+i.t k,•,, r t ,..r < 1� '.Rk�t* 4u� 'xg rip 4rF, ,.: ts+ a 4 vl 4 F, 1 ,l t } .Rev 9'81 .. . WLLL UUr1r1jz1.LU" LXTI.Cv"L DEPARTMENT OF HEALTH Divisi(5r.. 0f--Ei,.vA_rQnmeaxt a 1.11ealth, S,er.vices;:.-, PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only 'fill 'STREET AOURESS. TO icily TAX . GRID NUMBER: C�s I vy%o\ -t (3j ( Q� L 0 7 " WELL LOCATION WELL OWNER NAME AUUKtbS: j�) " ., LAJA ( YPRIVATE 0 PUBLIC USE OF WELL 1 - primary 2 - secondary 01RESIDENTIAL ❑ PUB Y ❑ AIR/COND./HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST/OBSERVATION ❑ OTHER (specify) 0 INDUSTRIAL 0 INSTITUTIONAL ❑ STAND-13Y ❑ AMOUNT OF USE YIELD SOUGHT gpm./NO. PEOPLE SERVED _L1_1 EST. OF DAILY USAGE -3j2(—) gal. REASON FOR DRILLING j_�'NEW SUPPLY ❑ PROVIDE ADDITIONAL -SUPPLY 0 TEST/OBSERVATION ❑ REPLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH ft. I STATIC WATER LEVEL .=�% DATE MEASURED 1147 DRILLING EQUIPMENT 0 ROTARY 0 COMPRESSED AIR PERCUSSION ZI DUG 0 WELL POINT 0 CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED 0 OPEN END CASING, 1218PEN, HOLE IN BEDROCK 0 OTHER CASING TOTAL LENGTH ft. -MATERIALS: IVISTEEL 0 PLASTIC 0 OTHER LENGTH.BELOW GRADE fL JOINTS: 0 WELDED EKHREADED 0 OTHER DETAILS DIAMETER in. SEAL: EMEN YGROUT 0 BENTONITE CIOTHEP WEIGHT PER FOOT Ib./ft. DRIVE SHOE: YES 0 NO LINER: OYES BIND SCR Ais -7 DIAMETER (in) 'SLOT SIZE LENGTH (it) DEPTH TO SCREEN (It) DEVELOPED? - FIRST 0 YES - ONO. HOURS SECOND .✓nk GR E L,P 0 YES ❑ NO GRAVEL SIZE DIAMETER OF PACK —In. TOP DEPTH —ft. BOTTOM OEM It. WELL YIELD TEST If detailed pumping 00: 0 PUMPED i tests were done is h, COMPRESSED AIR formation attached? ❑ BAILED. ❑ OTHER ',OYES -ONO It more detailed formation descriptions or sieve analyses LIOG are available, please attach. NWELL DEPTH FROM IW,,,, SURFACE CE IBear- ing - Well Dia- mete In FORMATION DESCRIPTION 4 1 cone, ft. It. WELL DEPTH ft. DURATION hr. min. DRAWOOWN ft. YIELD gpm. Lan d Surface AID Al I'l AID 4— WATER VCLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS 0 COLORED ANALYZE�? ES ONO ANALYSIS ATTACHED? WYES ONO STORAGE TANK: TYPE Me c CL+7.'*d /V,44 r- CAPACITY .2o CAL. PUMP I FORM TIN TYPE sit CAPACITY 90 J A IF MAKER DEPTH MODEL VOLTAGE iL3- HP I - WELL DRILLER NAME "OCI 6&.1- ADDRESS SIGr RE 0 LP 32.00 LAB'S Yorktown Medical Laboratory, Inc. 321 Kear Street Collection Station Used: Carmel Peekskill Yorktown Heights, N. Y. 10598. l- 5-3203 Director: Albert H. Padovani M. T. (ASCf) Date Taken:' Date: Received: fl*7 Al Date Reported: Collected ty:, -j Referr-ed- B qSample.,Source-. IL i�1421 S 40 lAo I 16j _j LABORATORY REPORT ON BACTERIOLOGICAL QUALITY OF WATER GENERAL BACTERIA ✓tand a'rd Plate Count per 1.0 ml (Agar plate @ 35 °C) MEMBRANE FILTRATION. TECHNIQUE (MFT) --*Total Coliform Der 100 ml Fecal Coliform 'ner 100 ml Fecal St-reptococcus per 100 ml MOST -PROBABLE NUMBER TECHNIQUE (MPN) Total Coliform: MPN index ner 100 Ml Fecal Coliform: MPN Index per 100m1 = Less Than OTHER ANALYSES THESE RESULTS INDICATE THAT THE WATER SAMPLE As WAS NOT) (NOT APPLICABLE) OF A SATISFACTORY SANITARY QUALITY.ACCORDING T THE NEW YORK.STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT HE TIME OF COLLECTION. Albert H. Padovani' M.T. (ASCP), Director . ELAP #10323 LEGEND RDS = Recommend Di'siin'f6ct- ing Water Source TNTC = Too Numerous To Count CONF = Confluent _< = Less Than > = Greater That. d Building Type OF HEALTH 2, z Section Block Lot Subdivision Name 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 "Certificate of Construction :Compliance" for .the, sewage disposal. system, 'or any repairs made by' me to such -systn; ecept' where the falure`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 I%4 day of 19SZ7 Signature S Ti a 3 A General o e S1 tor y 9 er C$' Corporation Name. (if Corp.) Corporation Name (if Corp.) Address Address rev.. 9/85 mk I Ii. IV. V. Vi. /,C TIO APPENDIX C FINAL SITE INSPECTION Date. OWNER vspected bycj�" �, . a ;. �-- �I�._ �'• -OR�SLiBDIVI�SION�:��:,.�:::».. .> ._ . ...w�..��- v -,. , .� .,a:�T.�,. n:,_,,::..a a,.,- ,._....;;.. y NCI I- Ca^_ Ea,4TS SEWAGE DISPOSAL AREA a. SDS area located as approved lans A 0 b. Fill section - Date of placement 2:1 barrier. LGTH WIDTH AVG. DPTH C., Natural soil not str-irmed d. 'Stone, brush, etc., greater than 151 from SDS area. e. -100 ft. fran water course/wetlands-,'-:,-� SEWAGE DISPOSAL SYSTEM a. Septic tank size - 1,000 1,250 b. 'Septic tank instal-led level c. 101 minimun fran foundation d. No 90' bends, cleanout within 10 ft. of,45-"-� 6T 41: e. 'DISTRIBUTION BOX 1. All outlets at same elevation -4ter test)d-- 2. Protected belcw frost 3. Minimum 2 ft. original soil between -t6k and trenches 0 f. JUNCTION BOX --prope—rly set 0, g. TRENCHES 1. Length reau;*Lred Length installed v � x 2. Distance to"water-course measured. ft. 3. Installed. according to plan 4. Distance center to center - 5. Slope of trench acceptable 1/16 1/32 "/foot. 6. '10 feet free prcbe-y-j,--y line - 20 feet - foundations 7. Depth of trench < 30 inches fran. surface 8. Rom allowed for expansion, 50% 9. Size of gravel 3/4-- Jill diameter 10. Depth of gravel in trench 12". minimum 11.' Pipe-ends canned h.- PUMP'OR DOSE 'SYSTEMS ..-. Size of pump -1. 2. Overflew tank 3. Alarm, visual audio 4. Pump easily accessible manhole to grade 5. First box baffled 6. Cycle witnessed by Health Department estimated flow Sycle HOUSE a. House located per approved plans. b. 'Number of bedrooms WEIL a. well located as per approved plans. b. 'Distance fran SDS area measured ft. c. Zgs�inql8l- above cjrade. d. Surface drainage around well acceptable. OVERALL WORKMASHIP a. Boxes properly grouted S b. All pipes partially backfilled Ilk\ c. All ]2ipes flush with inside of box d. Backf ill material contains stones < 4" in diameter 0 U kcz--7 If, I's e. Curtain drain installed according to plan I f. Curtain drain outfall, protected &-dir. to exis t.watercoursej g. Footing drains discharge away fran SDS area h. Surface water 2rotection adeauate i. Errosion control provided on slopes greater than 15%. 7m T It i4l PUTNAM COUNTY DEPAR'n+M OF, HEALTH DNSICkI ;(' FNt '%C20NMEN3�,L�`F�,LTH <_SIIZVICES ..DESIGN.. DATA .. SHEET- SUBSUFACE .,SEWAGE:, DISPOSAL` SYSTEM FILE N0: ..Dun m:: r -� -,r; =fox k01: °3.ar -. .0 n� �V=: i' :10598 T Owner. Ar essTM 1 n' . e Located -,at.. (Street) Canopus Hill Road Sec. $lock 1 Lot 2 • 7 2 '(indicate',= dst 'cross street) . Putnam Valley (T) Peeks ill L:. Municipality -, . Watershed SOIL PERCOLATION TEST DM RDQIJTRED TO BE `SUBMI=- WITH APPLI .�z, , p° �',. 1985: Jan 5; 1986.... _ - -_ :.....:_ Date of Pre - Soaking ... Date of Percolation Test January , 1986 HOLE Nl�'7tiEF(.. _. _ .. t:L L&A.:1' 1M ... r;K1 11.E111W1V ......... .::' Run -Elapse Depth to Water From Water Level No... , . _.. Ti;*. ... Ground Surface In :Inches.. :. Soil Rate Start Stop Min. Start Stop Drop In Mn/In Drop _ ...... ......... ..Indies ....... Indies. Inches (1) 2s32, 2 e 45 13 42,0 25 .45.25 390.0 4.33. 2150 3104 14 42.25 45/25 3.00 3s08 3 :22., 14 42.25 45.25 3.00 4.67. 3 4 5 ...... 12° 13° 14° . :1NBi0ATEw AT WU1KII 9CRCU� Et 73 `rAWAJUVfXER,c' - o done :i - ` None INDICATELEEL V. TO WHICH T ATER LEM `'RISES AFTER `BEING E1=UNTFRED DEEP HOLE OBSERVATIONS MADE BY: John S... Romeo . Sept 28985 & _. 6o- t986 DESIGN Soil Rate Used 6_7,. I'll wl Drop: SY D: ,Usak�le Area Provided 5000 SF + No• of Bedroans 'Septic: Tank Capacity,; 1250' gals ? ipe .Masonry Absorption _Area Provided By 4.00 ... ` L.F. x 24" wid- ti trench , _ Other TEST PIT DATA- RBQUIM TO ME, %SUBMMM. WITH: APPLICATION DESCRIPTION OF' SOILS., ENOOUNTERED IN -TEST HODS Perc Ferc 2 eP Deep hole DEPTH HOLE N0. .:HOLE NO. HALE NO. _ .Topsoil =� w. . _ . -.. fps . _ T oil _ Topsoil Tgs�il GoL• Topsoil Topsoil m Topsoil 1° ;Topsoil brown9ai. yqa sandy brown, ; s , y,, s . ::Urc , , bi OW11 , silty 20 aoam loam \ oam. ...grey, loam gre ;san. y,:.:�grave.. y grey, san ° a -loam; sandy: grey, sandy, 3° oam -some large. some arge gravelly gravelly ou ers bou ers: ,., , same - large some : large r.._., boulders boulders 12° 13° 14° . :1NBi0ATEw AT WU1KII 9CRCU� Et 73 `rAWAJUVfXER,c' - o done :i - ` None INDICATELEEL V. TO WHICH T ATER LEM `'RISES AFTER `BEING E1=UNTFRED DEEP HOLE OBSERVATIONS MADE BY: John S... Romeo . Sept 28985 & _. 6o- t986 DESIGN Soil Rate Used 6_7,. I'll wl Drop: SY D: ,Usak�le Area Provided 5000 SF + No• of Bedroans 'Septic: Tank Capacity,; 1250' gals ? ipe .Masonry Absorption _Area Provided By 4.00 ... ` L.F. x 24" wid- ti trench , _ Other e �., «: �J •+ •- _ • � � oo �• �o A Yes : • a. 12 !IS SPACE FOR USE BY HEALTH''DEPARDTM ONLY: Signature SEAL a® J� 27846 •; NMI Soil Rate Approved sq.ft /gal. Checked by 5 Date Pere 1 - Pere Deep 3 Deep DEPTH HOLE. NO. HOLE W. HOLE NO. h o l d Topso l :-::. -t; =.. .. Topso il _ spSo _ i G.L. �. Topsoil Topsoil Topsoil : iq Top-96i 1' brownsilty� sandy , btowno sa ty;san y;: brown ,si y, loam raw n,sil loan 2' loam loam ire o s:andY, -. - gravelly loam large: y . 6TeY,o san , grate Y. loam, some 1,arge �nua grey, s dy ' grey', s d„ 3. some gravely gravelly boulder8 . boulders ": oam 7 szm6 large oam some LaFge 4'. oulders boulder's 5 I - 10'. 11° , 12 !IS SPACE FOR USE BY HEALTH''DEPARDTM ONLY: Signature SEAL a® J� 27846 •; NMI Soil Rate Approved sq.ft /gal. Checked by 5 Date PUnMM COUNTY DEPAFM4MP OF HEALTH - DIVISION OF ENYMUZOUAL HEALTH SERVICES .INDIVIDUAL �WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS 7 - / REVIEW SHEET - CONSTRUCTION PERMIT / 12 . (Name of er) (Str0et Location) COMMENTS NO DOCE ENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc.Results (3) 30" Perc Hole Other House Plans - Two sets If PWS Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan 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 Two-Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage & Expansion Area Expansion Area ;shown ;gravity_flow,suff. .size If- t & t- & -D- Box° SYbwn & i7etailed _ ._ ..._._._.._ House - No. of Bedrooms Wells & SSDS's Win 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 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields Q V( 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (Inc. expan) 15' to Drains- Curtain,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' from Foundation 50' to Well 15' Well to PL GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town/DEC Permit R & D) Data On DDS Plans & Permit Same • PLY 11" COUNTY 0 - DIVISION OF EwnmENTAL HEALTH SERVICES SUBSURFACE SEWAGE DISPOSAL SYSTEMS. REVIEW SHEET - CONSTRUCTION PERMIT DATE REVIEWED: .(Name of Owner) (Street Location) C; TS YES NO DOCLDUNM g goQc-,/Permit Application �'., 1 ­10 -8(� Corporate.Resolution Plans - Three sets Engineers' Authorization Design.Data Sheet (DDS) Tai BALLIQ RSQ Deep Hole Log ; Consistent Perc Results (3) 3'Z 1 30" Perc Hole.. --- Other 0&)L-%/ ►N M 5 ✓ House Plans.-- Two sets N R If PWS - Letter U R Variance Request RBQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flow` ,/Fill Profile &Dimensions - Volume D or J Box-;Trench/Gallery; Pump: pit details Septic Tak - Size, Detail ✓ Well Detail, Service Line if over Construction Notes Design Data Two -Foot Contours Existing &Proposed Driveway.& Slopes Cut Footing /Gutter Curtain Drains ,/ ✓ Perc & Deep Holes Located 04tv Representative of Sewage & Expansion Area /Expansion Area;shown;gravity flow,suff. size If Pimped Pit_ & D Box Shown .& Detailed - �- �Fiouse' � No.o of *_biro=- y , 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 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10! to P.L., Driveway, Large Trees ' dation Walls ' .1; 200' in D.L.O.D, 150' pits 100 to Stream, Watercourse, Lake (inc. expan) 15' to Drains- Curtain,Storm,Leader,Footing 25' to.Catch Basin 10' to Water Line (pits -201) Septic Tanks 101.from Foundation 50' to Well' 15' Well to PL GE MML Legal Subdivision ? Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked ' Wetland (Town/DEC Permit R & D) Data On DDS Plans & Permit Same *PUTNAM COU ENT dP'HEALTH DIVISION-.OF'ENVIRO*MaAL HEALTH SERVICES dATER. SUPPLY /.SUBSURFACE `S3RGE DISPOSAL SYSTEMS ... :FIELD INSPECTION REPORT r. , DATE: 1A (Name of Owner) (Street Location) G. INITIAL SITE INSP ON YES NO. COMMENTS Wetlands on/or proximate to property.. ............. Property lines or,-corners found ..............:.... .. Can estimate house location ...................:... IZ Will driveway need cut.* ............................. No` �- Must trees be removed - note these.............::.. Deep holes representative of entire SDS area +...... / Additional deep holes needed..... ...... w Sufficient SDS area available considering driveway cut, house location, separation distances,etc..: Vol" Adjacent wells /septics ......... . . .....: p 'Access to proposed well location fordrillin - 'S D.H. '- -Deep Hole D. H. 1 Lot Depth to G. W. Depth to rock Soil Description 0: ft. J 3 ft. Ko�X 6 ft. ��- 9 ft. .12 ft. fL G.W.- Groundwater D. H. 2 Lot D. H. 3 Lot Depth to G.W: :• ": Depth to G.W. Depth to r Depth toj,.rock Soil Descri tion Soil De cri tion 0 ft. 0 ft. 3 ft. ASS %Za 3 ft. S1 6 ft.„ 6 ft. ! 9 ft. 9 ft. 12 ft. 12 ft.' DATE: FINAL SITE INSPECTION INSP.BY: YES NO OQNA]''S s Muse SSDM-Aocated per approved plan ........:.... Length of trench measured Width of trench average Slope of the line and trench acceptable......... Roan allowed for expansion trenches .............. Over 100 ft. from watercourse .................... Natural soil not stripped or SDS area . unnecessarly graded ............................ 10 ft. maintained from property line and 20 ft. from house .............................. Distance well to SSDS (ft.).. .................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench ................ 15 ft. of'peripheral soil horizontally . from trench ..... ......................:........ Boxes properly set ............................... Could surface runoff from driveway, roads, ground surface, etc., channel near SDS area.... L Does lot drainage appear OK in area.of SDS....... FINAL GRADNG OF SITE ACCEPTABLE .................. 6 i PUTNAM COUNTY DEPARTMENT'OF HEALTH . .DIVISION'OF',ENVIRONMENTAL HEALTH SERVICES COUNTY- OFFICE= BU1- MMING; CARMEL ,IN -. =Y: i .,:_10:12 - ;. - DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Wiiliam Dunlop Box lol Yorktown, N.Y. 10598 Owner Address , ..Located at (Street Canopus Hill ROc: 57 Block 1 'Lot 2.2 6dicate nearer ; .cross s ree Municipality Putnam Valley - . Watershed PeekskiY,7. SOIL PERCOLATION TEST DATA REQUIRED TO. BE - SUBMITTED :WITH : - APPLICATIONS Presoaked January Hole Number 'CLOCK TIME "PERCOLATION : PERCOLATION Run apse p., a Water ..Water Level Time om Ground Surface in Inches Soil Rate' Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches I riches ' (?) } ioa3o' io1 49 19 79.25 82.25 3.00 2 �.0_�55 11 il5 2�� 79.2 82.25. �6 6? Notes: 1) Tuts 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 hole. 5 : Notes: 1) Tuts 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 hole. 4 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES .._..,., :. 7, -.:.:�.,+K.: .•: < =. -.rF a:r >,a ,' :r:.-� -� .-.. .._.a.m;.>,>:I. DEPTH HOLE N0. 3 HOLE NO .4 HOLE NO. Topsoil Topsoil G.L. Tlopso= To soil 1211 br''in dt by sicridy , 1811 loam loam san #grey.geave:l Y... . 2411 gravelly .loath loam larger- stones larger - stones 301 . 42" . 48„ 54n 60" .: 66 if 78It.. 1 v 8�±" - - OUND WATER IS INDICATE LEVEL_AT WHIGH GR ENCOUNTERED .None . _ ZNDICATE -- °LEVEL, ,TO.. W11i.CH ,WATER- EEVEI,., RISES A�-?TER BEING- ENCOUNTERED - TESTS :MADE BY ,John S.: Romeo Date .Januaxx .6-a 1986 - FE SIGN Soil .Rate_Used 6-�7 :. -Min/1 "Drop: S.D. Usable 5000 SF + Area Provided No of Bedrooms 4 Septic. Tank. _Capacity . 1250 Gals o ® nry__ Absorption Area Primed By L.F.x2411' .. 192 .hF of Trigalleries® ... . ...:.. _ ..'e ame. igna . 1 Northridge Road Address SEALo . Peekskill, NY 10566 THIS SPACE FOR.USE BY HEALTH DEPARTMENT ONLY:.0000 ® ® ®. ..:'Soil Rate :Approved Sq. Ft /Gal. Checked by Date. Notes: 1) Tuts to be repeated at same depth until a proximately 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 hole. .PUTNAM COUN'T'Y DEPARTMENT OF HEALTH DIVISION ;OF, WnRONNIENTAL` HEALTH • SERVICES :•, r • _ COUNY OFIC F,; BII SN: G s• C RUM, r ....._ . ...' _ ; Y - „...- :-. `: ..; ' ' ;. lo- - _.. t• . -DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL -SYSTEM -FILE NO Box Willam p 101 Yorktown N. Y • _.. _ _. _.....:..: AddressOwner Located .,at- (.Street Canopus_•Hill I�oaadee Block 1 Lott Z.. °' -— - ca a +near ed �cro s s ree K t. ti J 8 10TWU cipalit y °Putnam Val -ley a `Watershed ` ; Peekskill , ti. SOIL''AERCOLATION TEST'. DATA .- ,PEQUIRED”- TOi,BE::SUBMITTED .WTT- H:'.APPLICATIONS a, ..•.. Hole .....:.... Number CLOCK TIME :PERCOLATION PERCOLATION:'•,:, ._ Elapse P .o.. er a e.r _:. Ve.. _......:...._.,._.. No. Time -From Ground Surface- in Inches Soil Re.t66 ., - .Start -Stop _.. _ .-:- Drop in.:._... . -Min. Start.. `----:Stop P:.. Id-n- /in drop - . Inches, Inches Inches 11) 1 2 132...2,o 43 13. 42.25 .' 45.25 3•.90__.._......._..4.33 2 2150 0 :04 14 42.2 5 45/25 3.00- 4:67 y 3 3 :08 322 14 :.42.25 45.25 -: - ...3: 00 . _. _.........w4:67. : 4 (2):l 2 t37 2,52 , 15 . 43•.75..._ .46.75 3..00 _....5.: 00 56. 3:x:13 t :1? :007 67.-, - =r .r 3. -3 118 3 :35 ... 17.. _ ...43075 46.75 3: oo ... 5.6? • •. 1 _ .5 2 5. Notes: 1) Tuts to be repeated at same depth until a proximately 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 hole. 84n. INDICATE LEVEL AT - WHICH GROUND WATER IS E1COUNTERED None. ZND2CATE.. _ _ ., . TO WE1I Ij�J TFT,® ES RAFTER „BEING ;ENCO _ N n :. 'VESTS MADE B _. _.. _.._ .... -.- Soil Rate Used 6 -7 Min/l "Drop: S.D. Usable Area Provided .5000 SF + _. , _.....�... �,. 12 0 ...:. sonr No. of Bedrooms Septic Tank Capacity 5 Gals °° - Absorption Area -Prov ed..By - L.F.4" . _ ®� 192 LF, of Tri galleries ame John S. Romeo Signa ure Address l Northridge Road SEA FOGROXIII BY ®® p 27846 o -- - . _.._... _ .. ... ......._ ® ®� _ moo. _ _ . _. THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate. Approved Sq. Ft /Gal. Checked by Date i .. 648 057 =ya; B,CINNINC at a point in ...stone va11 on the northerly aide of G�nopuaii 1 Road,: =bald: -point b8it►g a eor6er= common to:.bande, .now- - v sc T w �I of formerly,.of' the Westeheatev utnam•'CouneiT,'Inc Boq $couts.of + I Aioertca..and eubject:tract;Ithence, "with the northerly slat of said:. ! Road, along .a stone wall; the., fol loving ; three bearings and detaneee South W 01'.54 ",East, 79:93 feet; +� South'34° 54•= 04" East, 58 82 feet, and. , j Soutti_45° 46':.30" East, 61 35 feet said another,.point in,eaid zR I scoria wall -on the northerly slat of said Road,:thence'. vith the property sine of'`subject `tract. "along'tfie boundary 'line of lends of A AaY, r j the.Unite¢..Statee of America (Appalachian National.Scenic.trail, r" 4 tt7 , Tract 276 11. Parcel B),.the fol`loving two bearings and distances: North 44' 131 . 30" -East, 372:.99 feet, end,: �' North 45' 46' "30" West, 298:50 feet to a point on the property , line of said Boy, Scouts, thence,;with Che property, line of said Boy 5, i Scouts, South 26' 30 23'= :West, .347 52 €set io the Fjint of { " beginning,- F,i ! Containing•2 00 acres, mace or I The above: described parcel, des.ignated•es 'tract 276=60;_Appalachiai► y National Sceaic.;Trail,'ia a•portion of Trott' "216 11; Parcel 8'acquired'. I 'by the,United`States of America from`Weatcheeter Putnam.,Council,,''Inc by data dated.Maich:lE, 1982 and r'ecdrded March 19,'1982 in Deed -Book I . 782, Page 700,,'ia Lhe:Clerk'e Office: of 4utnaip County, State of Nev .; ,.t York , THE LEGAL, REFERS TO A -PLAT ENTITLED "PROPERTY IN POSSESSION OF r WASHINGTON IRVINC,COUNCIL B SA., IN :VIO CANOPUS HILL AOAD", BY: M. M + SPECTER,.P E , L S ..CONSULTI,NC ENGINEERS, - 'PLANNERS; ,LAND=SURVEYORS, SO HAARLEM WHITE.:PLAINS, 11Eii YOAR 10603. DATED JUNE 1S, 1981; 1 " -m200';. .'DR­ NUMBER UP 1931 ! €: SUBJECT to rights,ontatandiag fa tbird,,pasties for aiifting'easeseate `for public twdn and hi�hrap9; public ntiliti�a, rdltoada'aad p palianA t - _t 1 � :!tits +?!c• dol y it - :. � .. .. a.o•c�aa.... �4w -'r.. a. -a,. x.2-... ;tj:::. r -w - .r. w_,.. , Mr. & Mrs.. Dunlop ..PO Box 101 Yorktown Heights, Dear Mr.. Dunlop: � .rv.ane .•yr tr .a.. aa. .z i.c•.. '.CV ._ .r cs .r. Ns s . JOHN KARELL Jr., P.E. M.S. Public Health Director DEPARTMENT: OF HEALTH Division Of Environmental . Health ,Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 January 28, 1991 A -is9� Re: Existing Residence Dunlop - Canopus Hill Road (T) Putnam Valley TM #t51 -1 -2.2 PV -2 -86 I have reviewed the floor plan of your existing residence. The plans indicate three bedrooms and a small den'or office. The location of the den /office would indicate that this room was originally designed as .a bedroom;-however, the size and the existing exhaust system does not allow adequate space for.this to be considered a bedroom by this Department..' The_ setiege.. ev v w disposal. system. designed and - app rgyed by- this •-Department (PV -2 -86) 'is - V - forrta -fo'ur bedroo:p'eiirucfur'e." 'Therefore, if.'th a room- -sere to be� enlarged, as. a fourth bedroom, the'sewage disposal system.bhould be adequate. If you have any questions, please contact me at your convenience.. Very truly. yours, William Hedges Sr. Public Sanitarian WH /jp AR vet , Ntap 4-2— 4- 3 3 4-8 a0 -1 IR Str A-_r DEPARTMENT,,OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 1051.2 (914) 225-0310 January 28, 1991 Mr. A Mrs. Dunlop 00 Box 101 Yorktown Heights, MY 10598 Re: Existing Residence Dunlop - Canopus Hill.Road (T) Putnam Valley TH #57-1-2.2 PV -2 -86 Dear, Kr. Dunlop: JOHN KARELL Jr., RE, M.S. Public Health Director I have reviewed the floor plan of your existing residence. The plans indicate three bedrooms and a small den or office. The location of the den /office would indicate that this room was originally designed as a bedroom, however, the size.and the existing exhaust system does not ally adequate space*for.this to be considered a bedroom by-this Department.. 6 Agool 490-teii Aea igned ..*and". appimxved 346 44 sal'� for .'a'four bedroom structure. 'Therefore, * if this room were to be enlarged, as a fourth bedroom, the sewage disposal system should be adequate. If you have any questions, please contact me at your convenience. WH/jp Very truly yours, William Hedges Sr. Public Sanitarian a S t o i S 4 t 1, W6 �,'� i r r ,1 Z MO'ff 2 to *t�," - .— .+-•.- -- 'x== - -�— - c r f rY Bl1FFLE Ili 1 S. L _ a rx Iv .R f. 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''t ,x •�?2•i':'yt 'r{.�y� � � .':i;:� t � .� '.:•:, f2�1/�hsWL, 31q, E' -tg } }� <� t2 4 ` �ert�� CouytJr Department `oS flealLi ' �A t 3 s r 1i�e1�`'`civir6nm8ntai' Health.Servia� t M �r c � Y } pZ 3Yor oonformanoe pitA s e F �PZ'o�A�r as noted i c Gam, §t 5f/ ,� kplicab ie H11seanda8egu1atlone , o4 r. Cana° �utn_ a�Co t9Sealth s7f, Y.�i. - 9 ^` "'"'c:s.42.i[,•�',yvn I N.trti _ 't x r_L s - y •'rr � ,.4,. � ` _4''rz_, . t -! '.SEPT � t7�r;r . ,� K. �r..iy la ,-i "�`•5.:.-��. P "ice - v . lNaLQP ELIRO y.{�rr15E � t � .y"G.s. ¢f .T i . yw3 4!' .t?iy; _R.Y, yY �.�.:e'... �� /1 ) j !t t^ ) ` !t•.�yn -✓ o - .ISSr, l: .: i•2' � AS . li.'L .- -ik .:r T, !'�. .;'Y -a C' r t "-a:.� .i.:.l, � iJl- 3./'7'�, f-F 4,/ izl 4.:iY :4' • - tj TOWN aR PU. T 14 ' AIL - t COUNTY 1q� L.. F Of TRt GALLE6tl f s `. •- � . - - � .. _. ,. .. r .... .• ., .,,•.emu <i t {- d ° + i