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Home My WebLink About2733DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 61.08 -1 -9 & 61.08 -1 -12 BOX 23 02733 last Provide enmit q ' NJ — -.... _ . .. ...•R s. a.�" .h•..�..,.... .. �. .. .. .. r.. y�, .. ,+.a !e.. ••ism Located at .. � r r G 'L �. . ...:.: ... r....n.. .. ,a�,..:��:;,.. Tax Map I • Blocl _Lot + Owner /applicant N_ e, laex.s 1m►n _Formerly Subdivislon: Nam e b ubdv Lot k 47— $u;y Mailing Address" r ~a"', o� 125 ZIP- Date Permit Issued P11 18 - ii Separate Sewerage System built by L��Ngr d S+nh Address 1' (a . d � ' N y i . t V SZ (. L Consisting. of I'DOt� Gallon Septic Tank and -� �s3c✓A lilon has Water Supply: PubHe Supply From Address or., Private Supply Drilled by Address ge e T 'w ' jOdd 6VIlle, Erosion Controf Been Completed? Number of Bedrooms !r• Has Garbage Grinder Been Installed? 00 .Other R.equbrements I certify that the system(s) as listed serving the above premises were constructed ass t lly as shown on a a of the completed work ( copies of ahi6h' are attached), and in accordance with the standards, rules and regula ions, n c6rdance with t f' lan, and the permit issued by the 'Putnam'Cou ty Department Of _Health.. p - Date �7 Z2� L'�O �j Certifled by y P.E. R.A. /O O jGGn '. .e- D /N.� GSf IBS UG �.�K �N 10 LJ tI &175b Address License O. Any person occupying promisees served by the above system(s) shall promptly take. such action as may bd.necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval' of the separate seweiage, a ~':shell become 1 and void as soon as a pubs ;: sanitary sewer becomes avaHat►le? and the.eppro al of'the pilvate'water supply shall become null:aq v id Aen a publ ter supply becomes available. Such approvals are subiect to modif ratio r change when, in the judgment of the Commis Health;' oration, mogltlutlon or change Is eesaary, Date ` 8Y Title " 4� WILL UUMYLC:'IIULV rAzruni Office U Only DEPARTMENT OF HEALTH . ; - 6 'Di'vision '�Sf` EYfV7iroament'a- Iiea3gli Service? (/ PUTNAM COUNTY DEPARTMENT OF HEALTH �• — 7j STREET ADDRESS: WNr TAX GRID NUMBER: WELL LOCATION Tra it of the Maples & Dennytown Road, Putnam Valley, NY WELL OWNER NAME: Gershon Palevski AOORESS :159 Teatown Road C/0 Aaron Cohen Associates Croton -on- Hudson, NY ❑ PBIVATE ❑ PUBLIC USE -OF WELL 1 - primary 2 - secondary 0 RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING . ®REPLACE EXISTING SUPPLY ®TEST /OBSERVATION ADDITIONAL SUPPLY NEW SUPPLY (NEW DWELLING). DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 245 ft. STATIC WATER LEVEL 6 tt. DATE MEASURED 5/1/96 DRILLING EQUIPMENT 12 ROTARY 0 COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING ® OPEN HOLE IN BEDROCK 0 OTHER CASING DETAILS TOTAL LENGTH 3 ft- MATERIALS: 0 STEEL ❑ PLASTIC ❑ OTHER LENGTH BELOW GRADE ft. JOINTS: ❑ WELDED 0 THREADED ❑ OTHER DIAMETER 6 in I SEAL: 0 CEMENT GROUT ❑ BENTONITE 0 OTHER WEIGHT PER FOOT 19- 1b./ft. I DRIVE SHOE. 0 YES ❑ NO I LINER: I'J YES 0 NO SCREEN DETAILS .. _ . _. DIAMETER (in) SLOT SIZE LENGTH (it) DEPTH TO SCREEN (it) DEVELOPED? FIRST O YES ONO SECOND .. w..�.:.:�. - -. .�. °.... GRAVEL PACK ❑ YES O NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM OEM R. WELL YIELD TEST ' If detailed pumping METHOD: O PUMPED i tests were done is in- COMPRESSED AIR ,formation attached? O BAILED O OTHER ; ❑ YES ❑ NO WELL LOG If more detailed formation descriptions or sieve analyses are available, lease attach. DEPTH FROM SURFACE Water Near- 'n9 Well Dia- deter FORMATION DESCRIPTION coat It. tt. WELL DEPTH It. DURATION hr. min. ORAWOOWN ft. YIELD gpm. Surface 14 Dr. ilinq in overburden clay & boul ers 14 Hi r ck at 14' 245 6 hr 180 7 14 32 Dr 11'ng in rock, set casing, grout d 32 245 Dr lling in rock granite WATER ❑ CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS ❑ COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? ❑ YES O NO STORAGE TANK: TYPE WX #302 CAPACITY GAT.. 86 PUMP INFORMATION. TYPE submersible CAPACITY 7 cf pm MAKER Goulds pEpT}I 200' MODEL 7GS07412 VOLTAGE230 HP� WELLORILLERNAME P.F. Beal & Sons, I DATES/ /96 ADDRESS 4 Putnam Avenue SIGNATURE Brewster, NY 10509 3/89 16-erry L. bjeal AUG 23 '96-03-.26 AARON COHEN ASSOC. 403 P01 0&—.) 159 Te4 rtownRoL74. Croton -on Hudson,, New York 10520 „r.�..K _ ,. .., <s.. ,.. s.. ........- c:,�.ro.wr•.- .r•n._.nr. -...: :r!.. -.. �..,r.::.. . •.w w. .«...ry ••n r. •�..`. w:a _ _ ....... _,. �. r„v .:.w...-- ..-w-n ..r. z..�Vr .• ...:. a..... r, � w�•....a �n.r��, (414) 271 -8170 or (914) 271.5472 FAX (914) 271 -24341 !FAX TRANSMISSION COVED SHEET ?o: �� Jr �n�s FAX Nvmber. Fes,: *1L Total number of paps inciuc Call (914) 271$1'10 ifyon do Dates (0 .Iz 2,77.9 G stiel �. this eoversheet• receive the total traasmtssion i� H4 64 _._..._.. u-.s -f3u�y a 0,4e 2 i HUb 23 z1b W3:;27 Cy BARON COHEN ASSOC. 403 P02 PUTN; Office Use Only DEPARTMENT OF HEALTH COUNTY DEPARTMENT OF REALtH WELL LOCATION =1REET =00RES Trail of TAX CAM MUSM Vie Maples & Dennytown- goad, Putnam valley., NY WELL OWNE9 RANE- Gersho C/O Aa 1 Oalevski eaownoa 159 TtRd ron Cohen As6o6,atas Croton-an-Hudson, I'Tv 10 F 81VA., 10 PUBLIC USE OF WELL 1 - primary 2 - secondary (0 RESIDENTIAL ❑ BuSiNESS ❑ INDUSTRIAL ❑ PUBLIC SUPPLY ❑ AIR.jCQND./HEAT.PUMP ❑ ABANDONED ❑ FARM ❑ TEqTIOSSEIRVATION 0 OTHER (specify) 0 INSTITUTIONAL ❑ STAND-BY ❑ AIWGUNT OF USE YIELD SOUGHT gpm./MO. PEOPLE SERVE EST. OF DAILY USAGE _ gal. REASON FOR DRILLING OREPLACE E)ISTING JENEW..S.UPPLy SUPPLY []TEST /OBSERVATION [JADDTTIONAL SUPPLY (NFW DWELLING) DEEPER) .E ISTING WELL DEPTH DATA WELL DEPT14 _L451 ft. I -STATIC WATER LNEL FDATE MEASURED 5/1/96 DRILLING EQUIPMENT (I ROTARY ❑ WELL POINT M COMPRESSED AIR PERCUS5.100 13 DUG 0 CABLE PERCUSSION 0 OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING 0: iPEN HOLE IN BEDROCK 0 OTHER CASING DETAILS TOTAL . LENGTH 32 tL ±ATEMALS- 19 STEEL ❑ PLASTIC 0 OTHER LENGTH BELOW GRADE 31 ft. JIOINTS: ❑ WELDED JU THREADED 0 OTHER DIAMETER 6 in.: i EAL: 0 CEMENT GROUT ❑ BENTONITE 0 OTHER WEIGHT PER FO T --1-9- lb.11L tRIVE SHOE 0 YES 0 NO LINIER-.0YES QW0 SCREEN DETAILS 0 ETER (In) 'SLOT SIZE LEN THIM O&MTQ SCREEN (11) DEVELOPM "H'T DYES OND SECOND GRAVEL PACK 0 YES o No GRAVE J _%L DIAMETER J_ OF PACk,: 1nz- OWTH NOMM WELL YIELD TEST It detail a METHOD: 0 PUMPED t tests wer to COMPRESSES AfR !'Ormatict 10 SAILED 11 OTHER 113 YES 1p . pumping i done is in- attached? 0 NO If mot # detailed formation descriptions ersieve analym NWELL LIOG are avoilable. please attach. DEM FROM water I' ee,,r V SUAWFACE FCRYATMN NUMPMm TL ft. Wfu K-M OU It. rw ORAWDOWN yTLj) swuce 14 Dr' lli overburden clay bould-,r 14 iq rq*zk at 141 245 6 hr .180 7 14 - 32 D rjllft_in rock, set casing, grout d 32 245 Dr 121' In rock qranite MATER a CLEAR TEMP. 69ALITY 0 CLOUDY HARDNESS 0 COLORED ANALYZED? O ANALYSIS ATTACHED? 0 YES E OPIC, 1 NO j STORAGE TANX: TYPE WX*302 CAPACITY GAL. 86 PUMP INFORNAMN 7ypE submersible CAPACITY UUM Goulds nEM Mk 7GS07412. VOLTAGE 3 qPM 201D @3P_-L. WEU DKW NAME P, P.F; Beat & Sons? Inc. Aomwss 4 Putnam iAvenue =nawm Z Brewster,' NY 10509 ajoy — — — —� I - mr-Imur4 wrILN HbbUk-. 4e3 P03 NORTH LABORA LAB ID NUMBER: IRIES,-INC. CE TM TEOF LAB ORA R YANALYSIS 96-2942 CLIENT: I P F Beal & Sons 4 Putnam Ave Brewster NY 109 .SAMPLING LOCA COLLECTED BY. DATE COLLECTED: DATE RECEIVED: DATE OF REPORT:- Falevski: Put Valley C. S. 05/16/% 05/16/% 05/21/% TIME COLLECTED:. 11:30 AM ANALYTE 1 RESULT' UNITS MAX CNTUT LEVEL" NWMOD ANALYZED Total Coliform Absent Must be "Absent" SM18(9223) 05/16/96 E. Coll absent Must "Absent' SM18(9223) 05/16/96 This sample, as submitted to the laboratory, and as compar4,d to the New York State limits for drinking water quality for the testsodonned, was- E - ---...-6e, --ACCEPTA-BLE NOT ACC PT ABLE NYSELAP#11218 Maryann Fasano, Assistant Wratory Director CT Lab Approval #PH-0171 Under1laW results areAmaccept4le . according to health department and /orTJS EPA codes. "Maximum Contaminant Level Orum permissible concentration all6vvo by health department and/or US EPA codes). 618 Clock Tower Commons, Brew si er, NY 10509-9241 f 914-276-7600 /Fax 914-278,7754 PLMtAM COUNTY DEPARMW OF HEALTH DMSION OF WV-MO SAL HEALTH SERVICES owner or Purchaser of Building Block Lot oo- eyxLw k P Building Constructed by Location treet h_u tot i�ic�.pa.Xity Building 'Type Subdivision Name Subdivision Lot # - GUARANTEE OF SMURF' SEAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible. f or the location, workmanship, material., construction and drainage of the sewage disposal system serving the above described pzopertY, 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 iumediatel.y following the date of approval of the "Certificate of Construction Compliance" for the swage disposal system, or any repairs -made - to- -such - i3ytt�j -_ie ep whose the failure to operate properly is caused' by the willful or negligent act of the occupant- of" the bu sdiag uti"ladi��g =- -- the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environirent„al 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 ofw 19 -� rieral. Contractor (comer) - Signature Corporation Nam (if Corp.) Address rev. 9/85 mk Signature Title Corporation Name (if Corp, InsG� � PUTNAM COUNTY DEPARTMM OF BMIT! DIVYSION OF ENVIRONMENTAL HEALTH SERVICES I !1: owlMir or Purchaser of Bui in g," Block Lot E'U � Buildin nstructed by A. Location treet Subdivision Name ici it - Subdiivision Lot Mum x y # 1e_� Building TWe GtPYMM OF SMSURFAC2 SEMGE 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 izrmediately following the date of approval of the "Certificate of Construction Compliance" far the swage disposal system, or any - - - repairs ade.3�y me: to _such _ system, except where the operate properly is Caused by the willful or negligent act bf- 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 Environinental 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 sy,.steu. �---� „ Dated this day of 19� Signature Title ; cWWr_ l Contractor (Owner) Signature ___. Coloration Naze (if Corp.) Address rev. 9/85 A 1xv l �a�f 1.)�Lc_ Corporation Name (t Corp.) est- a2��- 0. Co ULU C.4 1he- Ma'alf,5, SAMOMM Rao J, Qe4-960A k&Lsk� Dab ad bevhm" 1� e ntga J TOWM 706 I rogirosdint that I am* wholly and complateli'vo"onsiblo for tho do4n above dosrai00d will tid consOuctod as-iihoirin on tho, appraiwd amohdm County Dop�ir¢ihont of ith. and . that on corno";6n t6or . oof 6''C writta�n e4orant 11 49, 1 em OOMIH64. oo t*ji condltlon:�-onv-onk of liow dispose 0Rco of oo�q I a I UPI of tho Cort III , 0 - t - 0 61 construction Complienc woo, Flo loibtoig as OwV6 on i h9 appr pion and that tblditsr6l! will bb County 6cliogintont,of Hoolth. Coto Slaned. APPROVED FOR CONSTRUCTION -This OPPrOV01 QU6006 taro j4�6) Mocailo for I cause . or may bo am . o . ndcd or mo , difiad hon . 1 00 0 0�r rMuif M it. Approucd for Moo Rev. 10/88 Do f C1. 001C1,164blion of thO,PrOP010d SYStOM(S)-. I I that tho soperato -20 dl! stem Ent thero to and in accordbrica - with thodandords. rules and regumigione Wl , or VIEW xtrficoto (if. 6iistruction Cornpfioncoll MUslactorly to tho Corrmiswpr ,of Hopithwill ur . pishod.tho-own(r. his zuccoasmk holm ,or assigns by tho buildw. that said buildw will 1, 9t th IV WIPT j-, ". 1.0d -0 two YC;Fs o faliowinD tho"tp of thoi IMu- a 69 tho'� I or any roqzoost 2- Iliat'the jrlIICd ., well dogcribct 060tio t-viih tho atondo r and rce-uTZ70-neof tho Putnam 4 ;i,;Te-V- ZA496-i ma C! 7 SO L iconso M o construction of tho building has beon undortotton and is y chango or artmation of construction TRIO DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION .TO CONSTRUCT A WATER.-WELL PCHD PERMIT WELL LOCATION Street Address — d e Ala4ye s Village City Tax Grid Number u - ,,, Z WELL OWNER ame G. C.10- ig,'1 Mailing Address C, 0 /0!;Z?, Private O Public USE OF WELL 1 - primary 2 - secondary (3 RESIDENTIAL 0 BUSINESS 0 INDUSTRIAL ❑ PUBLIC SUPPLY O AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION M INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify- O AMOUNT OF USE YIELD SOUGHT j gpm /# PEOPLE SERVED_ /EST. OF DAILY USAGE jea_$al REASON FOR DRILLING REPLACE EXISTING SUPPLY ❑ NEW SUPPLY NEW DWELLING ❑ TEST /OBSERVATION GI ADDITIONAL SUPPLY 13 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING Old. WeAl n,-st l a o cL ro ri w ' Ct WELL TYPE DRILLED DRIVEN ODUG 0. GRAVEL 0OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF LL IS LOCATED IN A REALTY kUBDIVISION, NAME OF SUBDIVISION: v15i N., o F Z NSA Suiny 13 — g h-al Cpl' 3 e� /9 3 !O Lot No . C $ WATER WELL CONTRACTOR: Name W WOWA1 A.7- ' j 1M E Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES �_NO NAME OF PUBLIC WATER SUPPLY: U /A TOWN /VIL /CITY —T DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: (2 ZZ-A Z 7hAy Soo LOCATION SKETCH & SOURCES OF CONTAMINATION CDON SEPARATE SHEET (date) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant any and all water or waste products from such well property and in su h a manner as not to degrade o Date of Issue • � 1 �i / 19 Date of Expiration Z 2, 19 Permit is Non - Transferrable 3/89 shall take appropriate action to assure that dril operations be contained on this r oth w' cont nate surface or groundwater. Permit Issuing Official White copy: HD File Pink copy: Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller GILBEc?.T'MARTRA A MRS % MILDRED L COCIRANE 269 CANOPUS HOLLOW RD PUTNAM VALLEY, NY 10579 50.20 -1 -17 PDX SOL 11 TRAIL OF T'HE HIEMLOCKS PUTINAM VALLEY, NY 10579 61.5 --1- -1 BLEIWEISS HERBERT 959 STH AVE NEW YORK, NY 1CO19 VINGER FREDERICK 257 CANOPUS HOLLOW ROAD PUTNAM VALLEY, NY 10579 51.5 -1 -s 14E RCADO MAR I O 8. �10Ai4 266 CANOPUS HOLLOW RD PUTNAM VAL'4BY , NY 10579 61.8- -1. -10 RETTA MARGARET 635 CASTLE HILL AVE BRONX, ICY 10473 yRE'iTA JAMES J 635 CASTLE HILL AVE BRONX, NY 10473 61.8 -1 -13 ";CIENZL DAVIT 1.2 PRIMROSE AVE. WEST WiiIT8 PLAINS, NY 106.07 61.5 -1 -25 MEADOW MARGE;Y AMY 1 PETER CIO ARTHUR MEADOW 280 PROSPECT AVE. HACKENSACK, NJ 07601 I negat 02 _� wywraw Date Slmnp n C uJ a Pesbt flee 2err.1 bneG,.bi bw,u)'. ....- .- ._. -.s". ..- .�. .. .. ... . ,_.. ... ..r .. .. «.......... ._.�.. ��+ LL OS i/! .i/i' /OS6�• �� il4n NA' 1036 fo a games. p �lL'8 .av� a ° 63 see Ave s 73 6 nr N / 3 PS Form 3806, Receipt for Registered Mail (Custom" copy) S FO m 3808, Reca pt for Fiagistered Mail COPY)) Februay 1995 s.. bbmu bn on RSrorse) 'abnmry 1995 _ nbalblafw O0. 77a I:. $tam Z2 q8� Co Ragletaared No.. — Rep. F» f Spade( $ . D.wa p. RaF » Z7 7B, Date Stamp ,1 . A 9paNel s � 1 R..b s 3 D°ew ��r,�••6:• Ponago 1 Remkbal nwmlp f R»Im f �i'.r ai Deemy a1 ?ermn ,s py FEE RIby DmnneemurK. ea R»boeo b bumlbd ro Cust»wr MunD . wen W0001 bb,neuanel Recab»h. F.0 VWe e ❑ ft" bburlee baooWryb LLniw b fa.a.rweel Casten. wtk Penet. 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F" y°°° S p all .1.219 e&i1&8R cxRC E} � iaOCiJA�e I re�e /R o �i�ec E GAS kM /US62 a q 4 9 ° 2 Ry efb Q a r s Alkill ok< NY, 400/9 $ %sQCfje yP ES PS Form 3806, Receipt for Registered Mail (Custom-, Copy) February 1995 B »Mlambrbnon Revers.) ug C 1 A el ear N %s%9 o j99 `L t Form 1995 Receipt for Regi ered Maw * (Custom r�/ rbnlary lees w �y Registered No. ,?Z.7,O `Dg�,. egie>ared No. TI* Rap. F» s s e Rep.F »:.s .. spedm s neR®ro s R— : s �q S Retem S OstipP f a. cM .3 a� P �Z Doe "cros 3 Ponape 1 Rmblaed S t E a by ROCO,w by oo..we bm.r,» WM Pony WOOD: he.nNonw WOtld Ol lk Umibd To C°AarorMurt Delon 0 swum» bW-.I.,ft U.IW PeaA1gPlPdtpp lqe Must Declare' 'RM bd WDOO:btt -wtw t Ful VeWaf swalam At" (s..ft —) � efilO bed AB (Wyd.ew�weeWUa pv ..�Y. Rd VWW � b,pui'» Y,Cl,ewht!Udbe Imuren _ PnNemoO K.1 nmolmCI AB PUepmo0.B O1 all alto? aec 6c { )W Mx cxe-6 LL Sslnia NY 105 2 ks5/ /41 ?- 6,2 sell ti A . �e Gf /ed ' trrkeg4� Fin e e Q �e lq/tm /s ycnC�w� evac! '::..p.. 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We7, .VISq<& SY Q February 1995 )s Form 3806, Receipt for Registered Mail emrom (Cal� . wa:1 -'abnmty 1985 Ya .. sua: .. .r. .. T: •n..:r. ry,.: —x•.. v. n... r.. n+...n.. � w.. r iv.e w... .. . «. ,�. REAL PROPERTY TAX SERVICES AGENCY Friday, May 5, 1995 Gershon Palevski 120 Chapter Circle Ossining, NY 10562 re: Putnam Valley.Tax Map # 61.8 -1 -9 & 12 Dear Mr. Palevski, In reference to your recent inquires about the above mentioned tax map number, please examine the following: I have reviewed deed liber 323 page 357 recorded 9/9/46, file map # 133A and submitted survey. Lot "C" and the pond (portion of tax map # 50.20 -1 -17) are combined into tax map # 61.8 -1 -12 with 0.889 acres and 195.17' frontage on Dennytown Road. If you have any further questions, please do not hesitate to call. Sincerely, eeorge R. Michaud Director of Real Property Taxes rvice Agency cc: Ronald Fiorentino, Chairman of the Putnam Valley Board of Assessors 40 GLENEIDA AVENUE - CARMEL, N.Y. 10512 (914) 225 -3641 Ext. 310 BILLY CROWDER �hauma�' Robert Chesnut Secretary Town. Engineer Jeffrey Contelmo 27$ -4990 November 13, 1995 TOWN OF PUTNAM VALLEY PLANNING BOARD 265 OSCAWANA LAKE ROAD PUTNAM VALLEY. NEW YORK 10579 CAMP SUNNYBROOK BY GERSHON PALEVSKI CAMPUS HOLLOW ROAD & TRAIL OF THE MAPLES TM #61.8 -1 -9, 12 AND P/0 50.20 -1, -17 FILE #61.8/1095/551 Members Michael Amorosano �Kenneth.Kuritzky Sal Santamorena John Zarcone,Jr. Adm. Assistant VITTORIA COLESANTI (9141 526 -3740 WHEREAS, a lot line change was required because deeds were filed for only portion of the parcel lknown as TM# 50.20 -1 -17 which did not include the pond and this without benefit of subdivision, and WHEREAS, the owners of the property in question, Camp Sunnybrook, Inc.;. have authorized the contract vendee, Mr. Gershon Palevski, to proceed with the application for a lot line change before the Planning Board.and thus legalize the status of the parcels involved, and WHEREAS, Mr. Palevski has complied with all the requirements of the Code of the Town of Putnam Valley and the requests voiced by the Planning Board with _ regard to this application which _combines ,the two parcels i n . question __.. __--• :-- _..._.�.._,..p1Bs-'.-i:he= -area ---with -..tine -pond -and -the- a ss-.easement from •eanopus•Ho-1lmV Road; NOW, THEREFORE, BE IT RESOLVED THAT, a Negative SEQR Declaration be.filed and LOT LINE CHANGE be granted subject to the filing of deeds pursuant to Section 56 -4 of the subdivision regulations of the Town of Putnam Valley. BY: Billy L. Crowder Chairman C, _ BRUCE- R. FOLEY, A.S. _ Acting Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 February 6, 1996 Larry LePere Land Technologies 10 Pine Crest Road Valley Cottage, NY 10989 Re: Proposed SSDS: Palevski Trail of the Maples (T) Putnam Valley Dear Mr. LePere: 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: "The construction of this sewage disposal system may be subject to local wetlands egulations. You should contact local wetlands officials in this regard." OV, . Current regulations requires that an equal distribution system be designed for all pump systems. Revise plan utilizing a 5 outlet distribution box. /S Acceptable house plans have not been submitted. V Neighbor notification is required. 6 Erosion control measures for the well has not been shown on plan. Upon "Recei'p "t " -of "a- submission;' rev i'sedto_"reflect'the above comments, this application will be considered further. Verm y yours, Awo Robert Morris, P. E. Public Health Engineer RM/ j p vy ~ DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 270-6130 Larry LePere Land Technologies 10 Pine Crest Road Valley Cottage, NY 10989 Dear 0 FO LEY,, R_. Acting puu|m *oa|m Director December 11' 1835 Re: Proposed SSDS: Palevnki Trial of the Maples (T) Putnam Valley Review of plans and other supporting documents Submitted at this time relative to the above-captioned project has been comple1ed. Comments are offered as follows: "The construction of this Sewage disposal system may be subject to local wetlands regulations. You Should contact local wetlands officials in this regard." /1. Standard form PC-1 has not been completed, i.e., items 24-36 has not been '`cO0plet8d.,- �L'''-`-- approvable for a two bedroom - not ' Neighbor notification is required (guideline enclosed). v4. Lotter from the Town Of Putnam Valley building inspector or the zoning board of appeals is required stating the above referenced lot is a legal building ~~~ lot. V-5. 8GDS hydraulic profile has not been an. 6. Erosion control measures for the hmu d SSDS are to be shown on the plan along with a mote Stating all erosion control measures are to be installed prior to the start of any construction. ~'7 Proposed number of bedrooms has not been Stated on plan. It is advised that the proposed well location be revised (plan enclosed). | ~^9' Stor0#ater is being discharge onto the proposed Q8DS expansion area, ,/ therefore, this area is not acceptable. Revise accordingly. "~1O. Please provide information on existing easement, i. e., who is legally responsible and if there are any restrictions OD the easement. v J 11. f it is possible to cross the easement then the pressure line is to be shown slieved by a CMP under the easement. 12. Current codes do not allow untreated building paper or hay for trench covers, . cross out on trench detail. Upon Receipt of a submission, revised to reflect the above comments, this application will be considered further. RM/ j p Ve truly yours, Robert Morris Public Health Engineer 4 Q 1 �.. \.. 53 l I N • • J 59.78 AC. CAL. m I 114.49 AC. CAL. /• m / s1 t.AL. .:�!• .. , ... -- - .. _ _, . � " . z .,,n. a..-_ c; ;..,. r I -s._ -Y- -.. . " - - z . -, ... .. =... �. _ . _ . ..,. x. w - _-a;:._ _ b�:, .�. �,� 762 e3 .. \ 13.32 AC. CAL. 47237 N 1 \ u6.65 45 ' 4.10 AC. CAL. 52 6"5.35 AC. CAL. 2B. s" 70 .�..�• , 44.72 24.04 AC. CAL. �• it `3 ]A>' 44 7.1 a,•, Zz- = ti w 4.23 AC. 51 4.72 AC. Z3 01 1366.06 ti's `6�i� \ �0 6.36 AC. 7.4 J �'� 7.5 iato +0 �° 5.95 AC. J /..,L 50 qp .,,� 10.21 AC. 8 o a 53.35 AC. CAL. j74'n 9 .11 AG �O�i s r5.\ r '�'• 8.62 AC. `.. ,pt!P 9 one 10 Ac. 7.86 AC. 10 5.26 AC . ' 49 48 o 3;� ' �'�• ]462•x' I I { AC.. 685.02 B 5.20 A%. \'$ 7.03 AC.3' I I B6J 2Tg31 45 r 1125.27 40 u 2521 rj 521.27 0 663.]6 12 24b. 7.82 AC. ~ • 6 ' 80.73 AC. CAL. �F'r� r s s 46 7.68 AC. 5.67 AC. 'y •�rp13 44 �6• s 7°262 8.23 AC. �, 3 3 rr. • a WtCCOPEI( 2a co $ ? 5.14 W 471 ° �� 14 1 39 Q `� I 41. 5.63 AC. -O ° �pb 8.58 AC. 4.77 At a 32 AC. AC m 5.m 43 X 95 �et AC xls 53 38 W a :,� 3 22 x 15 AC. do a 37 6 2e7 `o .a 52 zllDl 2ar� z0oo� 200.0 205.0 149.9 - _.. 9 MoD• - ' 8 ^82 AC. ... .. ,_. _4.88 AC. - .4''� d5 � � • ,� ROA N i AC. CAL. ti 36 ti 13 a 1.95 9 °d 17 :y r7� a s 'ri . AC. /' . e y . 17 �� 35 °ooti °ms's oY $ 14 �0 es' g 01 A o tq his JI. 32.50 AC. $0 AC. .y zco�A ~ e °Jr15 rzei "N0 z °9��6 5 00 1 624 A� i r 111. g • '� \ /6f w •'^ °� .45 rfl 4p @ •ei • n. • .` '6 16 3.01 A6 3.40 AC. AC. $ S ,L�9� ti 6 �9 i \ �o K i 19 J� gtr4.4b ~ 32 3. 6 r °1 .ea 8 $ S 8 44A 0 23.85 AC. CAL. i4o 12 �� 13.12 AC. 4 �1\ 71�AGo�s 20 IV CO) ' J �e1• v �� % � tAt 11 . •° 2co .ti'' V 17 / 7 5.12 A. 21 s•'' , At 200.0 �� 18 7 ' J� ?� °5. J %\ �'Att • .: 24 10.� 5.67 AC. ti °a9 20.89 AC. CAL. ' 58674 3 22� 12.48 AC. AL 6.35 AC. J.e 2 ` 23 t 161 At ]] !v5. `PtSt AC " 27 CAL to 1 / A7�36 v8 I o 25� 31.29 31.25 AC. S4e ;' N 11.29 AC.� 1 A ' a `1h P/0 63 -2- 171.79 261.73 246.39 6 \ 26 $ _322_ P/063_2-31- - - - - -- P/0 63_2- 30----- - - - - -- --- NOTE NO LOT 3 -50 P/0 63.3 -7 REVISIONS S SPECIAL DISTRICT INFORMATION UVOL -SDI- PUTNAM VALLEY CFI7IRAL SOM DISTRICT - -- 372603 S STATE LIK p pl 7/1771 AHO C CANA& CENTRAL SOM DISTRICT :.. 372002 C off sA/71 AMB T ¢5.A= L,H3 "m F FIRE -F- PVINAM VALLEY FIRE PROTECTION DISTRICT V a. as Z"S B W2443 P 2Aam OAu COaTimm owes Ste, µWAD ROAM Raw. 01 5Ii8AAVBATERLINE RIS� s SPECIAL DISTRICT L _� -,. _ SOiDOL DISTRICT Ll APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES . INDIV_ ID_ UAL. WATER SUPPLY & SUBSURFACE ,SEWAGE DISPOSAL- :SYSTEMS kEVIEW SHEET for CONSTRUCTION PERMIT STREET LOCATION //4 NAME OF OWNER e BY B. HEDGES R. S OTHER DATE W TAX MAP # DOCUMENTS. Y RMIT APPLI ATION C -1 WELL PERMIT M P S LETTER M ENGINEERS AUTHORIZATION M DESIGN DATA SHEET(DDS) m CORPORATE RESOLUTION S THREE SETS JZIHQR�SE PLANS - TWO SETS VARIANCE REQUEST SUBDIVISION LEGAL SUBDIVISION SUBDIVISION APPROVAL-CHECKED PERC RATE FILL REQUIRED DEPTH CURTAIN DRAIN REQUIRED MSTANDPIPES GENERAL m,,EX- APPROVAL SSDS ADJ. LOTS Y m EXP. AREA; SHOWN; GRAVITY FLOW, SUFF. SIZE m IF PUMPE SHOWN & DETAILED m I Ei3BQ011�15 m LLS &_ SS W/IN 200 FT. OF PROPOSED SYSTEM m PROPERTY METES & BOUNDS m HOUSF-Sa✓TBAGKNECESSARY (TIGHT LOT) HOUSE SEWER—l-/4"/FT. 4 "0; TYPE PIPE ND_S MAX. BENDS 45 W /CLEANOUT FILL SYSTEMS r LAYBARRIER 10 FT HORIZONTAL: SLOPE 3:1 TO GRADE FILL SPECS m FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES FILL PROFILE & DIMENSIONS VOLUME FILL IN EXPANSION AREA WETLAND ( TOWN/DEC PERMIT REQ ?) TRENCH ATA ON DDS PLANS & PERMIT SAME TRENCH PROVIDED =60 FT MAX RE- 1969 - NEIGHB RR� QTIFIF�ICAT ON ARALLEL TO CONTOURS^ LETTER III/ZBA N� 44' G / 6 ;e� ' �.% L 100% EXPANSION PROVIDED m 100 YR. FLOOD ELEVATION REQUIRED DETAILS ON PLANS *D;S:HYDRAULIC E- S-YST��I - (NORTH ARROW) PROFILE. m GRAVITY FLOW GRINDER NOTE) m DESIGN DATA: PERC AND DEEP RESULTS m TWO -FOOT CONTOURS EXISTING & PROPOSED RFRIVEWAY & SLOPES CUT OOTING /GUTTE TAIN DRAINS EjER., CONTR E,WELL, SSDS ON-CONTROL NOTE: & DEEP HOLES LOCATED m REPRESENTATIVE OF PRIMARY AND EXPANSION SEPARATION DISTANCES SPECIFIED ON PLA FIELDS 110' TO P.L. DRIVEWAY, LARGE TREES TOP OF FILL 2 ' O FOUNDA ON WALLS 15' WELL TO P.L 00 TO WELL -00' IN D.L.O.D., 150' PITS 1 STREAM WATERCOURSE LAKE (INC.EXPAN) L� 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (PITS -20') m 50' INTERMITTENT DRAINAGE COURSE V 00 FT. RESERVOIR, ETC.= 150 FT. GALLEY SYSTEMS 5' MIN TOC.D.S= >5 %,20'- 4 %,25'- 3%,30'- 2 %,35'- 1%,100' <I% m 20' MIN TO C.D. DISHARGE /100' WITH 182 CONS DAY DIS. SEPTIC TANK x,10' FROM FOUNDATION; 50' TO WELL COMMENTS: 440,13[b-Z C.1 A W41 a Do • • •O * ZOM901 *k r. • •• • � �• •; �� v •�y r: �• tea. DESIGN- DATA_SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner (Gex-s k on T4,1 P.vS%1 Address T e les Located at (Street) _..� '}ac.�✓� Rx-d Sec: (al. 8 Block I Lot (indicate Aearest cross street) 1 ' _ CA�roPus G....a.0�• Municipality PUTo Phvx Watershed �-{vci Sor �tK.,� SOIL PEROCIIATION TEST DATA RE1QiTlFtED TO BE SUBMITIED WITH APPLICATIONS. Date of Date of Percolation Test 199 Dino oMm Run' Elapse Depth to.Water From Water Level INTO. Time Ground Surface In Inches Soil Rate Start-Stop Min.._ Start Stop Drop In Min /In Drop Inches Inches Inches P I 1 2 X2.32_ I;o1 :30 1!.'/4 11' /� 3 1103 - 1:33 :30 I % 18 % 30 5 P2 1 IyDs - 12 35 s 3a W/4 ..........., .2..'12:40:.. 1�,10:_..:'�o:,. �.�.:.'� ..__.... y: - •- 1-$�4._..._. ....: ��.,. Z. S�2:.4:.µ.;u�IU�._�...- ..._.._ 3 )',1?, (1 -Z *00 14,25' 24 5 1 2 3':.i;:•. 5,� = Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data t6 be•submittiad for review. 2. Depth measurements to be made fran tap of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENOXMMM IN TEST HOLES DEPTH HOLE NO. ®T ( HOLE N0. D G.L. To aft AA 1 ° Lac ► -OW PON U 14 bvj, 3' �e�► 66 -7 �y a g, a� 4' PT 3 HOLE NO. 07-4 T. 50 ce 4� 6' 7' VYL 8' 9' 10' 11° 12° 13' 14° -. = (EW5,69 -- INDICATE- .L• EVEL AT WHICH= ,GROUTER IS - ENCICU 3TERED° INDICATE -LEVEL TO WHICH WATER LEVEL RIS AFTER BEING ENOOUNTERED ®T lbi Z. DEEP HOLE OBSERVATIONS MADE BY: �L. c (� x,61 °� dg�" DATE: �9 DESIGN Soil Rate Used 3 ® Min/1" Drop: S.D. Usable Area Provided No. of Bedroans Septic Tank Capacity gals. Type ConOeeto_ Absorption Area Provided By L.F. x 24" width trench Other Name 41w rte. L42-A Signature Address i �► e.. �" SEA THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date PC -1 PUT NAM COUNTY D E PA R T M E N T O F H EA L T H APPLICATfON `F(1R'' APPROVAL OF-- P- L -ANS,: F.OR: A :-.WAS:TDWATER DISPOSAL . SY.ST.EM,.__.._.._ 1. Name and Address of Applicant': 6e r-5 0n I, "J(0,,�X L f 2Q C 0 S5! n trim 2. Name of Project: G.(eAvs(y PC-E; e,. -c z- 3. Location�DV /C: P0*'0L-*1 Uw1111 4. Project Engineer: LAtA3a,,aio(,d /L-Ytt� PC 5. Address: OP A.- M q)e1-. License Number: �� Phone:3 /4- 2-69-6S70 6. Type of Project: Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) Is this project subject to State Environmental Quality Review (SEAR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS). required? 00 9. Has DEIS been completed and found acceptable by Lead Agency? ............ 0 A 10. Name of Lead Agency IJT 11. Is this project -in. an. area, under the control of local planning, zoning, or other officials; ordinances? - - -: ...............:. -.: . -... �.; :.. �:. :,�:- 12. If so, have plans been submitted to such.authorities? .................. 13. Has preliminary approval been granted by such authorities? N A Date Granted: 14. Type of Sewage Disposal System Discharge...... Surface Water x Ground Waters 15. If surface water discharge, what is the stream class designation ?........ N A 16. Waters index number (surface) .......................................... 17. Is project located near a public water supply system? .................. 001 18. If yes, name of water supply Q /A Distance to water supply N A 19. Is project site near a public sewage collection or disposal system ?..... 20. Name of sewage system Distance to sewage system 21. Date test holes observed:-3-'18 - J522. Name of Health Inspector: . kcarrLS 23. Project design flow (gallons per day) ...... ............................... 11/93 PC -1 fFUY Nse M COUNYV ®ERAR7MEfr Y OF HEAH—TH - FPLI'CATION FOR- -.APPROVAL. OF:.PILhNS ,FQR:.A .,..WASTEWATER DISPOSAL. SYSTEM 1. Name and Address of Applicant: 2. Name of Project: 4. 3. Location T /V /C: Project Engineer: 5. Address: License Number: Phone: Type of Project: Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify). 7. Is this project subject to State Environmental Quality Review (SEQR)? m Type Status (Check One) Type I.. Exempt Type, II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? ........ Has DEIS been completed and found acceptable by Lead Agency? 10. Name of Lead Agency 11. Is this project, in,.an area, under the control of local planning, zoning, or other o1=f�c�ais; ard'�r7ances ? ~- ....,. ...::. -. -:. o,-�_r a_. �.. .. a...- �•._,. _ . _ .. _ 12. If so, have plans been submitted to such authorities? .................. 13. Has preliminary approval been granted by such authorities? Date Granted: 14. Type of Sewage Disposal System Discharge...... Surface Water Ground Waters 15. If surface water discharge, what is the stream class designation ?........ 16. Waters index number (surface) ........................ 17. Is project located near a public water supply system? .................. 18. If yes, name of water supply ,Distance to water supply 19. Is project site near a public sewage collection or disposal system ?..... 20. Name of sewage system Distance to sewage system 21. Date test holes observed: 22. Name of Health kn',50ektor:'" 23. Project design flow (gallons per day) .................... `.... 11193 �..j _ -,i ......., DESIGN DATA SHEM-SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner' Georskoi) RrUeA.151ki, Address w / Located at (Street) ri!:j +oLjwi Re" Sec Block Lot/ (indicate dearest cross street) municipality RU_Tof -&A _UA'-C.6 Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITMD WITH APPLICATIONS Date of Pre-Soaking M,2. 995 Date of Percolation Test 4 6` 3o A4A) ROLE NUMBER CI= ME PERCOLATION 'PERCOLATION Run Elapse ..Depth to Water From Water Level NO. Time Ground Surface In Inches Soil Rate Start-Stop Min. Start stop Drop In Min /In Drop Inches Inches Inches 1 2,5' 2 12, 3 2., 1;0 1 :30. 1 eo'14 3 1*-03- 1,033 :30' 2;14 18% 4A_j '. 2-:01 4 1 .34 - :30 1 5 Q2 1 IV&S,_ 2 24 'VIV Z4 3 0A .1 &A. -1.2S7 4 30 5 N=: 1. Tests to be repeated at same depth until apprcximately 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. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION PI-3 DEPTH HOLE NO. ®T i HOLE N0. DT L HOLE NO. G.L. ~T -026-1 ¢6n a>,4cs�4.6 -UA '� ®v�roPyo 1 ° i.t ►•,.�- vowv, c�,.d �I bv�� vaww 21. sib 3' _ �� 4' N DT4 sa— 4 cA,-, a-7 Lou,.,. gcn•�, 51 � a rear wa 6' %' ®�' °!�" 71 8° 9' 10' 11° . 12' 13' 14' M- LEVEL°AT.WHICH' GROUNUKATER IS ] N [-JNTERED-- VA m. _ .... rl;.. INDICATE LEVEL TO WHICH DATER LEVEL RIS AFTER BEING ENMUNTERED ®T } ZJ DEEP HOLE OBSERVATIONS MADE BY: om g P�►°¢�� -� DATE: �9 DESIGN Soil Rate Used ®_ _ Min/1" Drop: S.D. Usable Area Provided No. of Bedrooms z Septic Tank Capacity I gals. Type Concoee.N Absorption Area Provided By L.F. x 24'° width trench Other A „. Name A•w Yom. L�,P�2 I •� Signature'' — �f Address 10 Pine- g l=' SEAL Ve-1& , Cateae, M.4 j Z)%q THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq. ft /gal. Checked by Date � •� • � r.•: � is v •iy r: �• ��. DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM - _ ,FILE NO Owner: `Gdrskan �4,�P.yS�G�' Address T►- &5 I Located at (Street) _r T�Wr7 Sec. Block Lot/Z (indicate dearest cross.street) Municipality u'T'1J n U1qtC. Watershed. ter ('L40 u�.r SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMI= WITH APPLICATIONS Date of Pre- Sono ing 99 Date of Percolation Test M 199 : 30 HOLE k mm CLOCK PERCOLATION PERCOLATION Run. Elapse Depth to Water From Water Level No. Time Ground Surface In'Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches PI 1 s 3a 1 (1 '/ , µ'1/,N. 1r02 :30 Id`/T I-1 `/T 1,00 30 1•'.2S" 24 '`"►ujiy 3 1:03_ ►•'33 :3o_ (� %_ 18'/ l.oz> 30 4 :30 1100 5 P2 1 �2'a5 - IZ'3S s 3a 1 (1 '/ , 2•0 µ►�fiu 2.It 40_ -.. J;10 ,30.. . `� I.g% 1•'.2S" 24 '`"►ujiy 4 ,� ;4, :30 I � ► S% x,25' Z4 '�`�u 5 1 .. 2 "c:a 5 NaTESc 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 hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH e .y �3 DEPTH HOLE NO. Vt I HOLE NO. DT HOLE NO. - _ - &V — i �e 1' U a LJ- �.�►� �,,.d. 31 14 4' 5'. 6' 71 � 8' 9' 10' "a 12' 13' 7 DT4 -•P '-' 7,'�,�,�r„1a;, -gip:.: ,v,._ a 14' INDICATE LEVEL AT WITS 6R SS ENCOUNTERED °'" - INDICATE LEVEL TO WHICH WATER LEVEL RIS AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: Orft) DATE: DESIGN Soil Rate Used 3 ® Min/1" Drop: S.D. Usable Area Provided No. of Bedroans 2_0 Septic Tank Capacity 1 gals. Type Conore.4 Absorption Area Provided By L.F. x 24" width trench Other Nam L A..o rz4,-�� Lefewy, Sig-nature THIS SPACE FOR USE BY HEALTH DEPT ONLY: Soil Rate Approved sq °ft/gal° Checked by Date PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL -- HEALTH ,SERV_ICES Date 5 -3- 5 Re: Property of I Ire"I �� e les Lcu*Senn 6rcvk Aq-� n� _ Located at (T)P(g�na, V c- llf:,, Section Block Lot 9 and 12- Subdivision of �eso 6d t vas, w o f Lof 41- rozin2,,a SUM Afj � VI cQAC Sk,- C'k Subdv. Lot # C vw•ci b Filed Map # 389 Date 3Q, 1,93(0 Gentlemen: This letter is to authorize emu; � L& Pet, �L . a duly licensed professional engineeror 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 con.. ection..with .this. matter and to-supervise-they-construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned • QrtJt P. E. , R. A. /0 P,ne Guestd Address Telephone Very truly yours, Signed Address Town q 14 - -94-1 - I--,7- Telephone aha . .. . e+ N O 0 20 APL IFN- 00 O --. .pIA PVC,-.SCHEDULE 40-2 --_ --_. _ PRESSURE PIPE �o. 6 1 ti� 00' + ry f2" df PLE o F" X00' 41 00 + + T.5 N O O g o6. 9i .3 +ry 9 S � o tiG6� es�e2� N +ryo� 6s gad N t, LL Ome O e pt 1000 GA 12" cedar CONCRETE 20 SEPTIC TANK 6'DIA. PRECA T CONCRETE ,'j,r 6,, �}yit PUMP PIT WITH TWIN: red pi�o ",,red, pi ALTERNATING PUMPS � 16" r 1 ryOb a PT. f' + 12 ° L tiI0 h9 gxtis FTa'l''e ory _• - .... _ ... .. .. .._ B 211.13 gte O�.y ry0 ,rch l9 ry °ve1D + + a . ro °led X90 � �s r Cg!! N xp 0 T T 1"'ll -1 1'r A \ Y Y� IjJ`' -YY A 1 50' -10" 2 69' -0" �01- r JAN 1 2 3 4 5 0 applicable Rules an tn'am CG7ty H6 Signature & Title i Measured Distances Between Points B O D E F- G H I J K L M NJ 50' -10" 64' -0" 70' -1 1 77'_ -8" 84' -5" 90' -0" 69' -0" 66' -8" 67' -4" 69' -4" 72' -4" 76' -5" 26' -2" 32' -6" 38' -8" 44' -0" 50' -0" 118'-7" 117'-5" 116'-0"114'-7" 1 12'• -4" 16' -7" 30' -4" 56' 81' -6" 4' -10" 74' t