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Home My WebLink About2741DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 61-.08-1-31 BOX 23 02741 IN rLl 02741 PUTNAM COUNTY HEALTH DEPAR'IlIENT DIVISION OF ENVIRat4ENTAL HEALTH SERVICES .-..C. : -. ;�.. r.V•. >.- ^.:...,. �V rt••♦-vaR .._. .•.v ..w...R: ..�... .t ::. ..r.'�...... r_��w- sG-.- a._..... v.....: ...� :�... �. •14...,2Y'f'�:.: .t .. -v.V _ ... �i• �.aw .. �•MiR. w +h.'� PROPOSAL DISPOSAL SYSTEM REPAIIt OWNER'S NAME T --�t m S PHONE ;-2_G- 2-1 l SITE IDCATION Al 6 / /9 ` -(e MAILING ADDRESS .) %�-�") %�'l /�l C d �r1 Vf1 /.o ev N Y j(f r7 PERSON INTERVIEWED D j QO _ . J a eHV -e - Name & Relationship (i.e, owner, DATE 11-2-0-If - - -- 1! C-, �k-"i 0, ID 1,. -9 9.1 M 0 D!; L PCHD Caap)laint # ant, etc.) _ TYPE FACILITY %)jC✓/ (/ /' /Ot'7y/% /�Z PHONE 2Fr- -S-7 REGISTRATION # Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal from licensed professional engineer or registered arc hitgct., /Z ropoeal appr v ` Proposal Disapproved % 2 Z-(1, � is Signature i e Date rcposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house oorners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, repo agent of owner agree to the above conditions. % SIGNATURE TITLE IP1F.S: V&te MM Yellow in ffi); Pink LVOjmit•) ,Water Supply �,w ly Building jTyp® 3 WELL COMPLETION REPORT Office Use Only DEPARTMENT OF HEALTH Division Of Environmental Health Services y PUTNAM' COUNTY 'DEPARTMENT OF-HEALTH WELL TYPE I ❑ SCREENED ❑ OPEN END CASING CASING DETAILS TOTAL LENGTH LENGTH.BELOW GRADE DIAMETER WEIGHT PER FOOT DIAMETER (in) SIRE' DURESS: TOWN /VILLAGE 1G1lY W61110 NUMBER: METHOD: O PUMPED i tests were done is in- JELL LOCATION FIRST -ZS– 3 - i3 �' 14 -- WELL.OWNER NAME: ADDRES PBIVATE YIELD I O NO I hr, min. O PUBLIC gpm. USE OF WELL' Eff RESIDENTIAL ❑ PUBLIC SUPPLY O AIR /COND. /HEAT PUMP O ABANDONED 1- primary ❑ BUSINESS. ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) 2 - .secondary ❑ INDUSTRIAL 0 INSTITUTIONAL 0 STAND =BY O MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED EST. OF DAILY USAGE _:f� _,/ gal. REASON FOR `NEW SUPPLY O PROVIDE ADDITIONAL SUPPLY O TEST108SERVATION DRILLING ❑ REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH Sod ' ft. STATIC WATER LEVEL `� ft. DATE MEASURED DRILLING XROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG EQUIPMENT ❑ WELL POINT ❑ CABLE PERCUSSION O OTHER (specify): WELL TYPE I ❑ SCREENED ❑ OPEN END CASING CASING DETAILS TOTAL LENGTH LENGTH.BELOW GRADE DIAMETER WEIGHT PER FOOT DIAMETER (in) GRAVEL SIZE: SCREEN METHOD: O PUMPED i tests were done is in- DETAILS FIRST -- SECOND. WELL DEPTH GRAVEL PACK O YES YIELD I O NO GRAVEL SIZE: WATER ❑ CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS O COLORED ANALYZED? ❑ YES ONO ANALYSIS ATTACHED? O YES O NO PUMP INFORMATION , TYPE 3 ,14'1� CAPACITY .� MAKER DEPTH �� MODEL /-/ 6 VOLTAGE; � HP _!k 'SLOT SIZE A OPEN HOLE IN BEDROCK O OTHER ft. MATERIALS: m STEEL O PLASTIC O OTHER •VLft. JOINTS: O WELDED ®THREADED ❑ OTHER in. SEAL: ❑CEMENT GROUT O BENTONITE BOTHER — lb./ft. I DRIVE SHOE:&YES O NO LINER: OYES .&NO LENGTH (1t) DEPTH TO SCREEN (IQ DEVELOPED? O YES ONO HOURS �-�. ...�..... DIAMETER TOP. I BOTTOM OF PACK in. DEPTH R. I DEPTH It. tp /�� O� 1f more detailed formation descriptions or sieve analyses Y!1 are available, please attach. DEPTH FROM Water Well SURFACE sear- in FORMATION DESCRIPTION CODE It. It ing meter In STORAGE TANK: TYPE if CAPACITY % *7—O WELL DRIWR NAME AODRE M!tr�- GAL. DA SIGfATURE WELL YIELD TEST 1 If detailed pumping METHOD: O PUMPED i tests were done is in- 0 COMPRESSED AIR ; formation attached? O BAILED ❑ OTHER :OYES ONO WELL DEPTH I DURATION DRAWOOWN YIELD I It. I hr, min. ft. gpm. WATER ❑ CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS O COLORED ANALYZED? ❑ YES ONO ANALYSIS ATTACHED? O YES O NO PUMP INFORMATION , TYPE 3 ,14'1� CAPACITY .� MAKER DEPTH �� MODEL /-/ 6 VOLTAGE; � HP _!k 'SLOT SIZE A OPEN HOLE IN BEDROCK O OTHER ft. MATERIALS: m STEEL O PLASTIC O OTHER •VLft. JOINTS: O WELDED ®THREADED ❑ OTHER in. SEAL: ❑CEMENT GROUT O BENTONITE BOTHER — lb./ft. I DRIVE SHOE:&YES O NO LINER: OYES .&NO LENGTH (1t) DEPTH TO SCREEN (IQ DEVELOPED? O YES ONO HOURS �-�. ...�..... DIAMETER TOP. I BOTTOM OF PACK in. DEPTH R. I DEPTH It. tp /�� O� 1f more detailed formation descriptions or sieve analyses Y!1 are available, please attach. DEPTH FROM Water Well SURFACE sear- in FORMATION DESCRIPTION CODE It. It ing meter In STORAGE TANK: TYPE if CAPACITY % *7—O WELL DRIWR NAME AODRE M!tr�- GAL. DA SIGfATURE October 1986 RWE Yorktown Medical Laboratory, Inc. _ P. 0. Box 99, 321 Kear Street ;._ . r a_w s. r> .,. .•Y •v... -. c_.... � .. ... ..: _.�. _ - — • ,� ti- - _.: _ r' �s> ,e:?.a..= . ar_.. -.. .. -.. n. _ , e_.• _ .. -, r .� .. :r Yorktown Heights, N. Y. 10598 (914) 245 -3203 THE MEANING OF THE REPORT ON BACTERIOLOGICAL QUALITY OF WATER This report has been prepared to help you understand the report concern- ing the bacteriological, or. "sanitary," quality of drinking water. The purpose of the analysis is twofold: first, to determine the total bacteria present, listed as GENERAL BACTERIA per milliliter (ml) of water; and, to determine the amount of TOTAL COLIFORM bacteria per 100 ml. Of these two determinations, the second, TOTAL COLIFORM bacteria, is the most important. For public water supplies of drinking water, the COLIFORM bacteria density must be ONE OR LESS, according to the N.Y. State Sani- tary Code, Part 5. The State Sanitary Code, Part 5, gives no guidelines. for private water supplies, such as wells or springs, but it is recommend- ed that these sources comply with the state regulations. The TOTAL COLI- FORM bacteria serve as an indicator of sanitary quality, and include several species which are, more or less, the normal inhabitants of the intestinal-tracts of man and animals. Consequently, they are usually found in tremendous numbers in fecal matter and sewage. These organisms don't usually constitute a hazard in themselves, but when found they do indicate a potentially dangerous situation, since sewage at any time may have disease carrying, pathogenic organisms present. If you have a positive TOTAL COLIFORM reading greater than one colony, it may be due to: septic. system overflow or failing, leech fields; improper collection or handling of the sample; or, underground contamination over which you have no control. Whenever a positive COLIFORM reading is.ob t. al- ne .d,- _.yt.- i- s=- re- c- o'mme -dtii that -.you - •r- ew:te -:s-ta of receiving .the results, to confirm the positive value. If a confirm - ation of the contamination is made, or whenever a water.system is re- paired or opened up, the system should be sterilized by the addition of chlorine in some form before returning the water system to normal use. (YML will perform this service for you. Contact the Environmental Section for more details). The item GENERAL BACTERIA per ml is a secondary concern. There is no lim- iting value set for this determination, but it is mainly of interest as an indicator of general sanitary quality, and is used by the technician studying the water sample, for if the BACTERIA level is elevated, it flags the possibility of finding COLIFORM bacteria. Drinking water is analyzed mainly by the Membrane Filtration Technique, or "MFT." This test requires a mandatory two (2) business days to complete, and sometimes takes longer. It must be understood that the results of any testing apply to the water source only at the time the sample was collect- ed. Unusual weather conditions, installations of new septic tanks or fields, or changes in the water system might affect the sanitary quality of the water. Thus, analyses should be made as often as circumstances warrant, and at least once per year to monitor the integrity of the water source. For more information, either about chemical testing which is not part of the bacteriological examination, or about sanitary quality, please contact the Environmental Section at (914) 245 -2800 or -3203. 1Vt&LUVV11 1V1V.1;U16.1a1 JL04VV1aLV1yf 111%1% LAB I 0 0 23 5 7S. 321 Kcar Street i York town Heights, N.Y. 10S98 Collection &'-wt-ion (914t.245.3203 Carmel Peekskill Mt. Kisco Wev City Director: Albert H. PadowniAL T.(ASQ) L Date Received: Date Reported: LDP/ /e� Collected By: Referred,By-. All'�*V*n _j Sample. Source:_ WL . /oj_ LABORATORY REPORT ON-BACTERIOLOGICAL QUALITY OF WATER. GENE AL BACTERIA Standard Plate Count per 1.0 ml (Agar plate @ 35 °C `MEMBRANE FILTRATION TECHNIQUE (MFT)— Total Coliform Der 100 ml Fecal Coliform rer. 100 ril Fecal Streptococcus per 100 ml YOST PROBABLE NUMBtP TECHNTQUF (MPN)—. Total Coliform: MPN Index ner 100 ml Fe,ca-1 Col:iform�: - -M.PN Index Per _106 OTHER ANALYSES THESE RESULTS INDICATE THAT THE WATER SAMPLE. jLMW(WAS NOT) (NOT APPLICABLE) OF A S ACCORDING ,qISFACTORY SANITARY QUALITY ACCORD _M NEW YORK STATE DRINKING WATE ANDARDS FOR THE PARAMETERS TESTED,. AT THE TIME OF COLLECTION. bert H. Padovani, M.T. U—SCO, Director* LEGEND RDS ■ Recommend Disinfect-,' Ing Water Source < ■ less than TITC Too Numerous Too - Count PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Tom`5antore Section R5 _ 3 _ 13&14 Owner or Purchaser of Building Section Block Lot Tom Santoer Building Constructed by Long Ridge Trail Location - Street Putnam Valley Municipality 1 Story Frame Building Type Camp SunnyBrook Sec Q 2 Subdivision Name 25 & 27 Subdivision Lot # GUARANIEE 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 system;-except where the failure_ t4. _ opexate properly- .is - - - 'caused -by 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 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 system. Dated this 15 day of April 19 87 Signature Title General Contractor (Owner) - Signature Corporation Name (if Corp.) Corporation Name (if Corp.) Address .,,T,r =7 rev. 9/85 mk h. oy1 e INSP. BY: (Name of Owner) (Str t Location) INITIAL SITE INSPECTION YES NOI COMMENTS Wetlands on /or proximate to property .............. Property lines or corners found .................. Canestimate house location ........................ Will driveway need cut ..................:......... Must trees be removed - note these................. Deep holes representative of entire SDS area...... Additional deep holes needed....... .. .......... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells /septics......... ................... D. H. 1 Lot Depth to G.W. Depth to rock Soil Descri tion 0 ft. 3 ft. 6 ft. 9 ft. " 12- ft . D. H. - Deep Hole G.W.- Groundwater D. H. 2 Lot 4r" D.H. 3 Lot. Depth to G.W. O'X Depth to G.W. Depth to rock 1 u Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. 12 ft.- Z'�O1 5 0 ft. FINAL SITE INSPECTION INSP.BY: 3 ft. NO CAS � 6 ft. ; 3�'G 7 9 ft. ! jj2:...12 -ft. ?j soli Descri.pti 33 3 DATE: ► - 3 - FINAL SITE INSPECTION INSP.BY: YES NO CAS House SSDS located per approved plan .. ......... Length of trench measured 3 GZ' Width of trench average Slope of tile line and trench acceptable......... r J 2 ?j Roan allowed for expansion trenches .............. Over 100 ft. fran watercourse .................... Natural soil not stripped or SDS area unnecessarly graded............................. 10 ft. maintained fran property line and 20 ft. from house .............................. a Distance well to SSDS (ft.) ...................... XI Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench ................ 15 ft. of peripheral soil horizontally from trench q"_ % 'I Qa wd- i k- 0 e, -,d \6 .................................... Boxes properly set.. . .... ................... Could surface runoff fran driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE.. .. PI M1 M ` � Issti - r =jLR r PUTNAM t,COUNTY DEPARTMENT ,OF HEALTH E, Division'of Environmental Health Services, Carmel 'N Y 1.0512 u CONSTRUCTION., PERMIT FOR SEWAGE._DISPOSAL,SYSTEM a �° fttnam Valley. (T)F > .�"` n 1 .Town or village .. ..i.AWt.Od• --8�, ....1..'y Rd�P -, •:+ '��"„x- fir. Ci16n� BIOCk �. - t SubdivisionGamp Suti1T}TbI'ook in Happy V#lley Sect 1 Lot 13 & 14 .'J ob r _ James F, St e 4 xti �,� ° 8$5:` Va1en_ tine `Avenue' Bromc Nli . Owner • ; Address s' Buitdih9'TYPe 2 9tA2'g�anjQ 'L-ot Area 1 gCl•A 1�iJO" ��}M 3 deaigned4 iAi7 �,ll. r. r 'e g a ilAWT ` Number,•,.of Bedrooms - F' U !`.. Total Habitable Space Square Feet z Separate Sewerage. System to consist of a 12� Gal - Septic Tank lineal feet .X 36 width trench tt,;ri To be constructed by- L Heaidy cos 1 Address ` S b1A Brook Rd -'Water Supply. ,'.', sPub�ha:Su*yIY eom �; PLit2lam Y e3i atpy•'. ' x Puckey Well ��rillers Peivate''Supply to be drilled by Adtlress RC'o `-'es . '.a U o FD 3Peeks t Pa' ok Rd R )a Other Requirements DOIn t� C S X119 r4fYFO 1 epresent that I, am wholly and; completely responsible for the design and location of. the proposed. system(s);:1);' n�0>q .disposal ,system. :above described will be constructed asL,shown on .the approved arrientlment there to and 19 accordance with+thestan ar - , r,, - .::.,,.. pp fit, s ^" Co' unty Department, of'r:Health _•and hat oh�completion`�thereof a''�Certificate of Construction CompUance't; sat l` 'be submitted -to the D6parimeiit; and _a written ,guarantee will 'be furnished the owner, fiis_wccessors, heirs otba r place - "In' good operating -condition any part of said sewage disposal system during the period of two (2)�yeaAs ance of .the .approval of the Certificate of Construction :Compliance of the original system or any repairs :fh twill be located 5s shown.on the approved plan and that said well i-W,be installed in accordance with the standar s, County- Department of :Health 2 t 3 e d Date June :11; 1973 Y`A'dilress APPROVED ' FOR CONSTRUCTION 'This approval expires one year from the date iuued ,.ur •revocable for ,cause or: may be` amended -'or modified wheh eonside[ed necessary by';the Comm equires,a new permit '.,Approved for disposal of domestic nitary sew and /or nva oate�?��97,3Y ey e Tutnam ;of Healthwill id builder will ite of the issU- i &ribed above dhe Putnam e . R.A. )nstruction -of the bufidfM**#9een undertaken and is r .of Health Any, change or alteration of constr, ~� 'ctu ion wPPly only �; PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES __..._.__ _ _ _ e .. Date April 239 1984 Re: : P ert`y_o"f- Thomas Santore o Ridge Trail Located at - �.;.�„d -� - -Z � R g (T) Putnam Valley Section 25 Block 3 Lot 13 & 14 Subdivision of Camp Sunnybrook Section 1 Subdva Lot # 25 & 27 Filed Map # 139A Date 1930 Gentlemen: John S. Romeo 'his letter is to authorize a duly licensed professional engineer X or registered architect (Indicate to apply for ..a Construction Permit for separate sewage system, to serve the above noted property in accordance with the standards, rules - or regulations.as promulagated by the Commissioner of the Putnam.County Department of Health,,.and to sign all necessary -papers...on my behalf in connection with this matter and to supervise the construction of said system or systems .in.conformity with the provisions of Article 145 or 147, Education Law tary Code. the Public Health Law, and the ® ° °00 ®000 ®®® 0 ° �pNAI ENC /NEf °�0 0. o S. . R c ® ,o'° o °�ery truly yours, 0 w ~� T. o 0 w 0' gned Countersigned: -0000 OR0 0000 ° 0 POE. , ?� , # 27846 ° ®®°°°G°® 1 Northridge Road Address Peekski119 N.Y. 10566 737 - 1056 Telephone Putnam County Sani- .,O.wi' -r OK Property Address Towns Telephone t T'llsT.,D CREC' K L l -3T. . Date:— jb Insp. by: -- ,:.t., - • -,... .. -w -.. ,... i. ._. -. .;ra`n.:. .._,.o.0 :•'ww�;;� ".ids: ,;.e•= r'•*•'� °' SAI.T.TX�1L SITE, ] Tr1SYrCTJ��P' Yes? No Comments Property lines or corners found V Can estimate house location . . . . . . . . � Will drivcway need cut Must• treez be removed -note these V, Is deep hole representative of entire SDS- area V Additional deep holes needed. Sufficient SDS area available considering` driveway cut, house location, separation , distances, etc. DEEP MOLE DATA Dspth Water elevation: Rock elevation: O Soils de. scr_:i.;)tion: S,�r✓D� !-v + Date. FINAL S_I-Tr E'TSMI-EC`fTIO Insp. by: - — House located where - shot;n on -approved plan SUS located where approved . . . . . . . :Ien tla of trench m ;asu�red • W:idtii of trench average SJ_ope of file line and trench. acceptable _ Room allowed for expansion trenches . . . . . _ Over 50 ft. from swamp, wat.ercour•se' _- - 1\Tatiirhl -soil- not stripe °d or SDS area' wu•iecessa.rily graded 10 Pt. maintained from prop.line and. 20 ft. from house . . . . Sepo.ra-.ration of trench from house, well _:--etc... Tollows 'humUer of bedrooms checks . . . . . . . . ... Stones, brush..' stumps, rubble, etc-. greater than. 15 ft. from nearest trench 15 It. of peripheral soil horizontally from -trench Junction boxes properly set Could surface run off from driveway, roads, ground surface, etc.' chanaiel nca.r SDS area . . . . . Does ] -ot drain,-we annear O.K. in area of SDS FINAL GrMING Or SITE ACCEPT1 BITS Gentlemen: PUTNAM. COUNTY DEPARTMENT..OF .HEA -LT-H DIVISION OF ENVIRONMENTAL HEALTH SERVICES Re: Property of Located at Section 25 Date June 119 1973 James F. Steipp Long Ridge Trail Block 3 Lot 13v14 This letter is to authorize John So Romeo a duly licensed professional engineer X or registered architect (Indical—e)- to apply for a Construction Permit for a separate sewerage system; to serve the above noted property in accordance with the standards, rules or regulations as promulgated. by the Commissioner of the Putnam County Departu,eiit of HBaitii, and to sign dii necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 1?. :7 Education _Law., the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: P.E:; R.A., #12784M6 1 Northridge Road (Seal) A e4A ress Peekskill, . N.Y.-,, 10566, 7 e 1056 Telephone Very truly yours,. Signed l, �✓C xLC -�-� �- ,gwner /o// Property//� '�J�/Add�dy'res +/yss o? /o? 9Y3 e ep one DOCUMENTS. House plans 0. K. Design. data. sheet_ Peres presoaked? Min., 30" pert test depth Cont. results for 3 runs_ D. Hole log 0. K. Corporate-Affidavit for of Authorization for engineer Letter from Water Supply' If variance requested -such REVIEW CHECK' SHEET Meet Std. Remarks es No i i r than individual i applicable oted on plans & apps. DETAILS i.f change is proposed,) Existing contours shown �show'new contours) Slopes for driveway cuts, etc. shown Water service line location Footing drain, etc. location Top slope., bottom slope of fill, f Percolation tests and.deep test pit location Septic tank size and conformance to std. 3 B. R. house minimum House setback shown i ,_ ,. to. 1'1�iUSi1 V_1JV1. _ 1_l UG 1_L .V W . n — All water within 50 'ft-: -of PL shown Plan and profile SL�S All other wells and SDS closer.200' - shown or:- reference .made - .... _._. _ . . ._ ... Property boundaries (metes and bounds - clearly shown ) _ I 1 _- . SEPARATION DISTANCES SPECIFIED ON PLAN 10' to P.L. 20' to Foundation walls 100' to Nearest well 50' to stream, march, lake, etc incl 15' to Curtain drain*_ 10' to water line (pits -20' 15' to storm drain 10' to large trees 101 from foundation to septic tank 15'.to pipe from leader. drain & foo ir�. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES - •- - - - -._ _ _ ... - - -- _ ._ . ..COUNTY.:- OFFICE BUI1 - IN,' .CAR E ; -,�V; -Y;ti: - - T 51a =. - - - -- •• -_...:_.. - -. DESIGN DATA.SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE N0. Owner Thomas Santore Address 51 Fair Street Camel; N.Y. 10512 Located at*(Street Long Ridge TrailSe6.25 "' Block 3 �I, ndicate nearest cross street) Lot 13 &, 14 Municipality Putnam Valey (T) Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS oe Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water. a er Level No. Time From Ground Surface in Inches Soil'Rate Start-Stop Min. Start Stop Drop in Min. /in drop Inches Inches , Inches W11002 32 10 X57 25 20.75 23.75 3..00 8.33 21101 o1 ll s 27 26 .2045. 23.75 3.00 8.66 31100 1106 26 20.75 23.75 — —3.00 8.66 5 I (2) 110 :37 10 :59 22 .20.25. z3. z5 3.00 7.3.3 21104 04 ll s 28 : - 24' ='. ..... _:. 2.0. -25 23.. 5.. : 3, 0.0. .„ . - ._...$_� �� - 311 04 ll s59 25 20025 23.25. 3.00: 803.. ;. i 41204 12s29 25 20025 23.25 300 _ _ 8,33 i 1 4. yn a Notes: 1) Te'�ts 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. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES bEPTH" -`1,012•' . Nut.- 1- . HOLE NO'. _ _� -2 - ._- ......: G.L. Topsoil Topsoil Topsoil 6" n n r r 12" SANDY-.GRAVELLY SANDY, GRAVELLY, SANDY,GRAVELLY _ 1811 LOAM LOAM LOAM -- 24" _. 3011 3611 4211 4811 5411 60n ° 7811 �U 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None INDICATE - LEVEL : -T.0 . WHICH WATER LEVEL- RISES.. AFTER_, BEING. ENCO.:U�VTEREI� ; ..TESTS ' MADE "B .. __..._.. Apr' 1 " °T� T g81 �. .... - - Date' `[nhn DESIGN Soil Rate Used 8 -10 Min/1 "Drop: S. D, Usable Area.Providpd .5000 - SF No. of Bedrooms _3 Septic Tank Capacity 1000 Ga3z.90 1 , .®cVasonry Absorption Area Provided By 333 L.F.x24 G W$d c . 0 Name Jonn s. Romeo bignarure_ Address 1..Northridge Road SEAL Puukskttt,' THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal. Checked by �. 0 �278+6 0 �`of I��oo 0000.6 Date PUTNAM COUNTY DEPARTMENT OF HEALTH _._.__;- T�IVISION: QF EN�FIRONMENTAI7::HEA3;TI COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA 'SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE-NO. Owner "James F. Steipp Address 2885 Valentine Avenue- Bronx, ICY 10458 Located at'--(Street long Ridge Trail Sec': 25 Block 3 Lot, s & 14 �Indicate.nearest cros s street) Municipality Putnam Valley (T) Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION RM Elapse Depth to Water Water LeveI No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 1 1 1:15 1:36 21 18.25 21.25 3.00 740 2 1 :36 2 :01. 25 21.25 24.25 3000 8003 3 5 1s�6 1 :48- .22-- X17,75- "29M.."'! 3,00..:: 7.33 -: ,2 1:48` � 2 :12 24 20.75 23.75 3.00 8.00 3 I 5 2 , 3 4 5 Notes: 1) Te'gts 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. 2411 3011 361f 42" 4811 5411 6oll 66" 7211 7811 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None V111CH WATER E. 74__ .—I-INDICAT LEVEL- ..'TESTS MADE , BY John S. Romeo.... .,Date January 27y 1973 DESIGN Soil Rate Used 8-10 MirVl "Drop: S. D. Usable Area Provided 5000 8F + No. of Bedrooms 3 Des asS4ptic Tank Capacity 1200 Gals. Nhoonry Absorption Area Provided By .. 240 L. F. x24 3 b x . k� �ch. V John S, Romeo bigna Address 1 Northridge Road -Peekskillp NJ. 1-0566 THIJ SPACE F SE BY HEALTH DE RTMENT ONLY: q Checked by 4 Soil4ate Ap e f k . Pt/Gal. H11V3H �O 'JM uNn.00 V4VN.Ln-d Date TEST -PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES .DEPTH HOLE NO'. HOLE NO. HOLE NO. G.L. Topsoil Topsoil Topsoil 611 41.1 Topsoil 619 Topsoil 5n Topsoil sandy loam sandy loam sand . loam some stones —9m--e stonesp sume sbunesp 7 1811 trace clay trace clay trace clay 2411 3011 361f 42" 4811 5411 6oll 66" 7211 7811 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None V111CH WATER E. 74__ .—I-INDICAT LEVEL- ..'TESTS MADE , BY John S. Romeo.... .,Date January 27y 1973 DESIGN Soil Rate Used 8-10 MirVl "Drop: S. D. Usable Area Provided 5000 8F + No. of Bedrooms 3 Des asS4ptic Tank Capacity 1200 Gals. Nhoonry Absorption Area Provided By .. 240 L. F. x24 3 b x . k� �ch. V John S, Romeo bigna Address 1 Northridge Road -Peekskillp NJ. 1-0566 THIJ SPACE F SE BY HEALTH DE RTMENT ONLY: q Checked by 4 Soil4ate Ap e f k . Pt/Gal. H11V3H �O 'JM uNn.00 V4VN.Ln-d Date .I : �E P b: A 3T31l 33_,,30 d9�1 �� 7 �4j7S�y sa .7{/•_ ADe� r6 10 'y�a'. G - -� t • -> dbe;M� DooR !r -i i i pew K. ErtrrAMO, woe 0. f Doe!= O_ f % s d�Lo° PUTNAM CO!JPJTY PARTMEN7 OF HEAL'iH �i i eac. hi / ^ ?: P-I,,POVED FOR H.- n i / t I <-57 ' Ii -e c /r -F _i,./�Si fit; S/ s• ca �o- cr�r,r°y� 9r yc°o OiT tg zr SignaturE & iitie to .- . �! Q w r 2 L,cI/Ec P49 �i is t .I : �E P b: A ADe� .I : �E P b: A Me R to fT el F1NA'L- LARATM104 �- - Xji` '�. 4 - _ as .•'. • � iZ �2 + x,25 '�'`" ?0 ' ,' `�f .i � o 37 { 0 3a.f Ln 3Z :S- .!�'.s... 'Si O _ F Q� �* �1i. i .. 4*° •y Qf. Y -ot �• >/ f fF 3> it ' 1773 /Z �'tJ.O. 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