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Home My WebLink About3176DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 72.-l-24.15 191 m 19 lir %9 : ti .. -r A f �� #� r 03176 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT..- _. e:,oe:�.c �- �treet•zu'�uc�s'' "' ya ,5-7 l' ri %Villa1ga-!1Map,72,j x Grid Block 24 Lot(s) 1V Well Owner: Name: Address: Use of Well: 1- primary 2- secondary Z R dential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment e- Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing _2n__ Open hole in bedrock Other Casing Details Total length ,A ) ft. Length below grade / ,ft. Diameter Gin. Weight per foot / G lb /ft. Materials: X Steel _ Plastic _ Other Joints: _ Welded Threaded i Other Seal: -f Cement grout _ Bentonite _ Other Drive shoe: -,>-- Yes _ No Liner:. Yes -,/—No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _ Bailed _Pumped Compressed Air Hours Z Yield _ gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or sieve alyses-.._.rl are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface CJ' " ey - -- If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Capacity Depth AMode'—X Voltage P Tank Type olume Date Well Completed 3 h o zq5 Putnam County Certification No. Date of Report q l8 59 Well Driller (signature) iwi't: tvact location of well witn distances to at least two permanent landmarks to be provided on a separate sneevpian. Well Driller's Name c c - Address: &"R � �� Signature: 4 . f l Date: G f� 15 / 0 S-7 y White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 .��i —na -77 sn:YS An KU1M MRURU REAL ESTATE 914 528 1975 P.02 RM 0 PUTNAM COUNTY DEPARTMENT OF HEALTH VISION OF ENVIRONIVIENTAI. HEALTH SERVICES 'WELL O1�9P1I,�TI0A1 �P ®RT Well IMatlon Street Address: T n/Villag ®: y Tax Grid d Map Block t(s) well Owner: Blame: Addr9ess: Use of �'Vetl: ,�- RAUdential Public Supply Air cond/heat pump Itr ti on ` 1=plrimary Business Farm Test/monitoring 40th r(spee1W Z- secondary Industrial Institutional Standby. Drilling Equipment _>c Rotary Cable percussion Compressed air percussion_ Other (spec' ). . Well Type Screened Open end casing -r Open hole in bedrock Other v�. Total length .9 / ft. Materials: X Steel Plastic Other tea_ Casing Details Length below grade , f't. Joints-, Welded a., 'Threaded Oth ° Diameter in. Seal:. 7L Cement grout _ Bentonite : et Weight per toot / g lblft. Drive shoe: Yes _-No', Liner: Y s �e.Aio Diameter to Slot Size Length(ft) Depth to Screen (ft) eloped? '"''•'-3 Screen Details First Yes No 'a Second ours Well Yleid Test _ Bailed �; Pumped ompressed Air Hours Z Yield gpm oe,ptc 10A z=.-,=M tan sur ece•stode specs y fl) During yield tcst(il) Depth oreumplcted well in t Well Log __Depth From Surface Water Well Formation If more detailed n. ft. Bearing Diameterpa) Descriptlon information Lend Surface of descriptions or p sieve analyses �..... -- •brg: Esadii617i5p ..__- ._ ..., .._ Y -_ _ please attach. If yield was tested Feet Gallons Per Minute Pump /Storage Tannk Inform lion at dlffertint depths Pump TypeUabs 4i4.Capacity dwing drilling, Depth 19C� Model list: - Voltage 23D IMP 3 Tank TypQb&&"."CaQluM0,jw- A fttnem County Ccriffliallon Wo. 15M or port WC11 Driller s gnatum h........... N� k t WAlon of rae with distances to at east two PC t landmarks to be providcd on a separate sheet/ . well Dtiltees Name lsft,� ►°- t C - Address: /9` Signature: Date: r 9 4r� White copy: SID File; Yellow copy - Building Inspector, Pink copy - Owner; Orange copy - Well driller It rm WC-97' A ku ut- I -wD- a ---- .-. --. . v11& S9R I975 P.01 :1 7V A W Pent otate 376 CHURCH ROAD, PUTNAM VALLEY, NEW YO gRK 10570 (914)528-3633 SENDING FAX i;- Roll TD: FROM: I . UN RMER OF PACES iNaJUDIM THIS SEM; 4 PUTNAM COUNTY DEPARTMENT OF HEALTH ^'?s31�, fi1��.l�T Y Ic�+O1. `➢lr.. .�.Fs.,:.j?T•. .Y .11 .��' „1 �:��T ��:�s, P' ?.!��Y'! CERTIFICATE OF CONSTRUCTION COMPLIANCE F ATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located a�1/e A s� if e ae6,1i 9 Owner /Applicant Name / / V e> Formerly Mailing Address Town or Village �!lle- 8' Tax Map % / Block- Lot Subdivision Name 141' � i 'flas1/ eSl Subd. Lot # 1-3— Date Construction Permit Issued by PCHD '�`� � Zip ® ®�Tf Separate Sewerage System built by eir”, Address S r; 1 e, Consisting of /21"& Gallon Septic Tank and 44 e y / /- 1-4–` Il Other Requirements: Water Sunnly: Public Supply From. Address or: A"" Private Supply Drilled by. IV, Address Al%' TT iB uiiuifig T croo, C onr i / ? i . a b eeGuiita Number of Bedrooms Has garbage grinder been installed? I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with t CHD Construction Permit and approved plans and the standards, rules and regulations of the Putn � ent of Health. _ Date: i� Certified by P.E. A R.A. esign Pro 1) irence �� G se y the systems Address y J�� Any per An occupying premises W take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocation, modificatio or ch a is necessary. By: Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchaser of Building Tax Map Block Lot /I Building Constructed by Al /�111_� �s T Location - Street y TownNillage Subdivision Name Building Type Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is 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 treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the r.. The undersigned further agrees to accept as conclusive the determination of the Public Health Director 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: Month 2= Day_�WYear Signat Title: General Contractor (Owner) - Signature Corporation Name (if corporation) Address: State Zip Corporation Name (if corporation) Address: State /- 41 A1041". 4�_..,t- �� -/ O'er /77Form GS -97 YML ENVIRONMENTAL NTAL SERVICES ic�J1Ci}h .�.T._% i •w. _.ry ,air 4... .ti., na_a ..r a- ate:- -'L•ww �:. - .ns� ;i .w•� ...'+! ^w+zry.. - N.� a ::^ •2��s0G� Albart. H. Padovan;i_ , D .rect.or LAS #-, 87.802114 rCLIIEN T 43 2, r'•Jnf`•I ST��aT P R 0 C PAG,- MAURO, HENRY CRATE /1 °IMr TAKEINI., 0911/21/9`3 0^.'_`-'0A 375 CHURCH RD DATA" /TIMES REC "D: 09/21/99 10.00A PUTNAM VALLEY, NY 10579 REPORT DATE: 09/29/99 PHONE ; ( 914 )- 1528- -3831 SAMPLING SITE: 73 NORTON HOLLOW ROAD PUTNAM VALLEY , NY 10579 Cul._' D BY' HENRY MAURO NOTES-.." - KIT TAP, DATE FLAG PROCEDURE SAMPLE= TYPE. .: PCITARLE PRESERVATI\:2ES: NONE" TEMPERA-i URE .. : COL IFORM METH: MF RESULT NORMAL - RANGE METHOD PUTNAM c.NTY PROFILE !_E7& rt, w 09/21/`:)9 MF T. COLIFORM <1 /100 Mi... ABSENT 1008 09/21/99 9 LEAD ( IMS ) 2.9 ppb 0 -15 PPID 91.()J. 01_)/2.1/9"1") NITRATE N1TROG ',.G5 MG /L 0 -• 10 9139 09/21./99 NITRITE N:I:TROG <0.01. MG /L NIA 914.6 :CR,0N FP..) <0.060 MG /I... 0 -0, .3 n)!- :l . 2 `.r,7 09/21/99 MANGANESE r , , `S , Mn rIn) 0 .01..3 MG/ L.. �)_0 , _ m /l 203 09/211/99 S0DII.1M ( Na) 3.02 MG /L i`d /A 09 '1/9 9 PH 7.4 UNITS 6 ., a -?, _5 0 09/21/99 HARDNESS , °T'ri"(`AL 178 r1Ci, /L N/A 09/21/99 ALKALINITY (AS 72.0 MG /f._ N/A COMMENTS ;, c. ".T THESE RESULTS INDICATE rHi-_�T THE WATE , (I�1r15.' WAS NOT) OF SATISFACTORY SANITARY QUr °ILITY ACCORCa: G, W THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb; /C:u LEAD l..i l-fli is for public: schools a.ra Bet. at 15 ppb,, EP.,- Lead & CoPPer .Rule, for Public Systems re- quires that. no in4�r than 100 of their distribution point. s have a LEAD value of more than 1.5 ppb and a COPPER value of 1.3 rng /L., else treatment. must. be undertaken to rei_uc =_y the waters corro. -=Five p0t(,rIti..aJ. ,. Fe /Mn If [- .)ot.h .i.ron and manganese, are present., t)e.j.r total value ,X)f" i" :�d f l l nrat. -Yce, =;d 0 mq /L , 14a No limits for Sodiurn are proscribed. Stjggested guicjelinea� sta.t.e that for �.,:aopl.e on .9 sod -Jum re tr .ct;ed diet,the water f•iou1.d cc,ntadn no more than 20 rng /L of Sod.i urn . For t.hc: s.e on P. moderately restricted di.ei., a. Maximum of 270 mg /L of Sodium is suggested. `~ YML ENVIRONMENTAL SERVICES 321 Kear Street ' Yorktown Heights N.Y. 10598 Albert H. Padovani, Director LAB #: 87.802095 CLIENT #: 2432 NON STAT PROC PAGE MAURO, HENRY DATE/TIME TAKEN: 09/15/99 09:00A 375 CHURCH RD DATE/TIME REC'D: 09/15/99 10:00A PUTNAM VALLEY, NY 10579 REPORT DATE: 09/2009 PHONE: (914)-528-3833 SAMPLING SITE: 73 HORTON HOLLOW RD : PUTNAM VALLEY, NY COL'D BY: HENRY MAURO NOTES...: KIT TAP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORNAL - RANGE METHOD 09/15/99 MF T. COLIFORM ABSENT /100 ML ABSENT COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATER (WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDI NE�q��HE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. SUBMITTED BY: Director ELAP# 10323 Yf,, L ENVIRONMENTAL SERVICES 321 Kear Street Yorktown .Height.y�- _iN- Y--- -:LQ.� w, �.e rM1•; r .. �• o-t^ a .iv.:�.aa.rsz.d^r'� +cYZ.. \awa.4 :r9 xr�Yw+�0r- '.±- ��r.r. � ►4r0�z�hmLV�'\ =Ill 1.: >•'-sa¢x:rN':I'.lR "� —�P°M try. �MV��az:A�n +.o ..r9. c.nrPr�._r Q._. .n�.•v.i =w.� Albert H. Padouani , Direc:t.or. LAB #: 87.802114 CLIENT #k: 2432 NON STAT PROC PAGE. 2 MAURO, HENRY DATE /TIME: TAKEN: 09/21 /99 09:300 75 CHURCH IUD DATE /TIME REC "D: 09/21/99 10:OOA PUTNAM VALLEY, NY V0579 REPORT DATE: 09/29/99 PHONE (914) --528- -380:3 SAMPLING SITE: 73 HOR.+ON HOLLOW ROAD : PUTNAM VALLEY, NY 10579 COLT ' FJ BY : HENRY MAURO NOTES—: KIT TAP; DA`I°E. FLAG PROCEDURE. SAMPLE TYPE..: POTABLE PRE SERVA` IVE : NONE. TEMPERATURE..:! COLIFORM METH: MF" RESULT NORMAL - RANGE METHOD PH PH SCALE IN WATER RANGES FROM 1--14. MEASUREMENT OF PH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. (WATER WITH A LOW PH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF PH IS 6.5 TO V.S. Hd TOTAL_ HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE ".°R[JNESS MAY RANGE FROM 0 TO HUNDREDS OF MG/L,-DEPENDS ON THE SOURCE AND TREATMENT TO WHICH TI'-ii' WATER HAS BEEN SUBJECTED,, SOFT WATER„ 0--70 MrG /L `,;''ERY 'HARD WATER: ABOVE E 300 M Gi L }1A.0 L2.1..1�r�7:"n, 70 -1A.Q S .1_ yi'9 I I Fes' tiliJ l,lr'Iin: .1.�I�J�iI,fI. _� _�f.<.T:c1.t_n /�z+T,1C�11 —x.17 ' fl_� 08MITTED BY:, Albert H. . M O A j , M . T . C, f �r S C P ) Director L._AP #k 10323 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENt VIRONNIENTAL HEALTH SERVICES FINAL SITE I1'SPECTION Date:. O ner Wv o n T( Permit 9 TIM M ?Z. i — Z4ri Subdivision Lot r 1. Sewage Svstem Area F .! a. STS area located as per approved plans ........................... N b. Fill section - date of placement v n 3A barrier Loth. Width Avg D th c. Natural spit not stripped .................................................. V d. Stone, brush, etc., greater than 15' from STS area.......... u e. 100' from water course/ wetlands ...... ............................... II. Sewage Svstem a. Septic ianlk size -1,000 .... ...1,25 .......other ................ l b. Septic tank installed level ........................................ I....... c. 10' minimum from foundation. ......... ............................... d. Distribtuion Box outlets at same elevation. water tested .............. 2. Protected below frost... 3. Minimum 2 ft.Original soil between box & trenches lmgliJunction BoX -pro erl set .. ................ ............................... z; r quired Oc'� Len;th installed 2. Distance to watercourse measured Ft.. t®0 t 3. Installed according to plan ......... .....................::.::::::: "- Slope of trench acceptable 1/16 -1/32" /foot. 5. 10 ft. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface .................. A 7. Room allowed for expansion, 100% ......................... X 8. Size of gravel 3/4 -1 %2" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... 10_ _pipe -ends. avne I. = :...:.....:: - - �P umD or Dosed Systems 1. Size o pump c am er ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual/audio. % 4. Pump easily accessible, manhole to grade ................. 5. First box baffled ........................... ..................... 6. Cycle witnessed by H.D.estimated flow /cycle. .......... - III. HouseBuildin \ , a. ouse ocated per approved plans . ............................... 1 b. Number of bedrooms .......... . ...... .............................. .t� W. Well a. Well located as per approved plans............ I ................... b. Distance from STS area measured Sb® ft ....:...... c. Casing 18" above grade...: .............. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ... ............................... i. Erosion control provided ................. ............................... ' .. RAPE .r IMM�_ ' .. PUTNAM C - UNTY DEPARTMEN! �jF HEALTH jD SION OF ENVIRONMENTAL HEALTH SERVICES :t .rc .+.i a�G" ..1✓A"�, - �.�'C. �G� +s.-�1:'. S.'.'.c'c si?4;tc .:^t -,. .. -. `-ra h'r..K'.� +_K•✓`�' +/.: .. ^JSn�:rt T..-..T..+w T.:'4..^a � `..e'34:i�: �-YV. ^_ ....v... �"��crC�� ~....lT; m -:. �v��`Y.n •.ct+a ® STR� CT ®101 PERMIT FOR SEWAGE TREATMENT SYSTEM F -Li a PERMIT # 1 Located at /k" //" q. i Town or Village Subdivision name yr, //., ��1 Subd. Lot # 43° Tax Map Block 2V Lot /r- Date Subdivision Approved / 9 Al Renewal Revision Owner /Applicant Name /iii, - y /^v Date of Previous Approval Mailing Address pv Jse-,o7 �1/ Zip ,05-7 Amount of Fee Enclosed GU Building Type G1��+�i -� Gc Lot Area 3SMr-No. of Bedrooms 4_ Design Flow GPD ou Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of % �;2 Sa gallon septic tank and -,4 o o, • ,01 Other Requirements: To be constructed by a�rl �r Address .4a--w e Water Supply: Public Supply From Address or: `rivafe ' ~Adddre §s� I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment s, sy tem described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: j P.E. 2 y R.A. Date 207 Address 29 7 )zel� ;�� License # -A # i 7J• APPROVED FOR CONSTRUCTION: This approval expires two ye 7s from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Approved for discharge of domestic sanitary sewage only. By: AIL Title: if (�N 7 Date: 3 l / qo White copy - HD File; Yellow copy - uilding Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTN'�M COUNTY DEPARTMENT ) HEALTH DIVISIOi-, OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL ..� :v .. _- -.. :..r : . :�.;,.: 4�db7. `E'i ��: vi'i'j p��i ,�-_: -,r-. =,. �, �.� •.., ..::...r •i'i.i'ii3 �Giilil.�.�' •.��'rn, �- . - �.�s.:. -� ; ., Well Location: Street Address: TownNill Tax Grid # //age �r //v lac✓ fW � ve �l ap i2 .% Block 2 y Lot(s) IX Well Owner: Na //me: t� %f�ili I Address: ® P�►✓flc�� e, '/" d 4, Gam! P'O Use of Well: ekesidential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought _ gpm # People Served Y Est. of Daily Usage fe 6 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling __e New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes j,-' No Name of subdivision Lot No. Jr Water Well Contractor: X' - 04, 4t .11-,4o01�11 Address: �� - ✓a !`� Is Public Water Supply available to site? ................... ............................... Yes No j- Name of Public Water Supply: .-. To F NE�' y Distance to property from nearest water main: �y+,` F s s �.s Proposed well location & sources of contamination to be provided ar e` iD Applicant Signature.. M � ' .._. M PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and 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 or their designated representative 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. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue 3 Permit Issuing Official, C . Date of Expiratio po Title: Permit is Non- Transfer ab White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 PUTNAM COUNTY DEPARTMENT )F HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APpI_ -It ATrl1N.FOR A:?'PRnA g.:.P>u' pT; A]tyiT FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: 2. Name of project: 5> />!5 4. Design Professional: 6. Drainage Basin: 7. Type of Project: _k�`Private/Residential Apartments Office Building 3. Location TN: ,�V 5. Address: ->,977- �• -.�er� f7r. Food Service Institutional Realty Subdivision Commercial Mobile Home Park Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? /r/a Type Status (check one) ....................... ................:.............. Type I Type II 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... 10. Has DEIS been completed and found acceptable by Lead Agency? ............... 11. Name of Lead Agency Exempt Unlisted Ala 12. Is this project in an area under the control of local planning, zoning, or other j ..iariwavvu .. ............................... .. ... 13. If so, have plans been submitted to such authorities? ........ ........................:...... �f 14. Has preliminary approval been granted by such authorities? A-4 Date granted: 15. Type of Sewage Treatment System Discharge ................. surface water groundwater 16. If surface water discharge, what is the stream class designation? .................... 17. Waters index number (surface) ................................... ............................... 18. Is project located near a public water supply system? .........:............ 19. If yes, name of water supply Distance to water supply 20. Is project site near a public sewage collection or treatment system? ................ /14-1 21. Name of sewage system' Distance to sewage system/%% 22. Date test holes observed 23. Name of Health Inspector 24. Project design flow (gallons per day) .........: �........... ....... ............................... 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... Alo 26. Has SPDES Application been submitted to local DEC office? ......................... Form PC -97 i/ � �5 27. Is an portion of this project located within a designated Townr -State wetland? . �_4 any r � � a 28. Wetlands ID Number .................... ............................... 2q. ±Is Wetlands�Permit required? ............................. ........... ............................... A //a Has application been made to Town or Local DEC office? ............................... . 30. Does project require a DEC Stream Disturbance Permit? ... ..............................� 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, laridfilling, sludge application or industrial activity? ............................ Yes/No �<' ._ 32. Is project located within'1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? ............................... Yes/No DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ................... 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ................................ ............................... _ 35. Are any sewage treatment areas in excess of 15% slope? ................................. A10 36. Tax Map ID Number .......................... ............................... Map 7,11 Block ;?- b Lot 37. Approved plans are to be returned to ..... Applicant ✓ Design Professional NOTE: All applications for review and approval of a -new S.STS to b° lc�� ate ; ^thin the NBC � 'atPr�hed �i7aii oe sein iu tliz Dep'ar[ment; and need not be sent in duplicate to the DEP, although the project may require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater,plans or the creation of impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item I .,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNATURES & OFFICIAL TITLES: Mailing Address: ................ ............... i do� . PUTNAM C' LINTY DEPARTMENT��F HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES J : Tn_A -. . * �j'r!!7' ._ SIT, ��T r7�'n� . ,. •,fin (� �ti'y,,S J' � iv-� - �+3Z.�,.. .Tire ^ ir. ,. t,Z.r`F;�� }� y - _ ..�.� ,. _ ..•. :-.� ..... _. <�}'•`:. �c� - ,c.• �3,� 'ft�'�:._ r rA • ._. 6J_.:y �.:+1'T:T- �3*a..Ei � ✓`�.•i4 "r-c`=T�5�1' 1 i:.u�'i ivliii\ Y ►7 1 ti7 �ilVl y'::. . - _. . Owner -GrI �,, c'v Address Z3 eu/ v e� Located at (Street) / 41? Tax Map 72. ! Block z y Lot 15' / (indicate nearest cross street) Municipality �i /��. -r./ Drainage Basin SOIL PERCOLATION TEST DATA Date of Pre - soaking Date of Percolation Test Hole No. Run No. Time Start - Stop Ela se Time Min.) Nth to Water om Ground Surface (Inches) Start Stop Water Level Drop In Indies Percolation Rate A in/Inch 31- Jr 2 3—.3� 4 5 1 z�O /� �� ' 3 3 3?W 4 5 1 2 3 4 5 ,. NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 i 2 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTHK HOLE NO. ... - .... HOLE NO. '. - . _ . A HOLE NO.� G.L 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6:0' 6:5' 7:0' 7.5' l 8.5' 10.0' Al Indicate level at which groundwater is encountered w- Indicate level at which mottling is observed. - Indicate level to which water level rises after being encountered -� Deep hole observations made by: %ll ✓c, DateIZi- Design Professional Name: J =„ J 1 + va pt 47t-- Address: zg7, 2— P��n6- e -e4- r1)V(f Signature: Design Professional's Seal i PUTNAM fjUNTY DEPARTMENI .J) F HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES . r' __,.'#° ..: r. r.,.e v rf. .. ..�, a. ♦ 1J... rw. y��... .. ,._ .. _., _�. -..i. _.. ....`.'.:c�e* -;: :r.�o`,r;'.:;.�.:..a._.w t`' �..+_ sA r�- :..:vim :... • ... _s.- '-_-c - lx: .: LETTER OF AUTHORIZATION RE: Property of r i O' / C! !.r ✓ d Located at Am., i .1 %Ile a/ /Cdd T/V�wvlw e1 0- Tax Map # Block .' Y Lot /3 Subdivision of 11r,0 %G�w Subdivision Lot # c5" Filed Map # Date Filed Gentlemen: 151— 3"W �/ This letter is to authorize � a S Gd i #-'a '�p a duly licensed Professional Engineer v or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or water supply systems in conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public Health ._....I aw, -and the Plimarm County M.itary Code. Countersigned: P.E.,Y A., # Mailing Telephone: Very tru Signed: Mailing Address: 3 WA440 '/.VW'� State Zip /&s- Telephone: Form LA -97 DEPARTMENT OF HEALTH . Division of Environmental Health Services 4 Geneva Road Brewster, New : York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 March 5, 1998 Frank Sullivan, PE 2972 Ferncrest Drive Yorktown Heights NY 10598 Re: Horton Hollow Road - H. Mauro TM# 72.1 -24 -15 (T) Putnam Valley Dear Mr. Sullivan F"6 BRUCE R. FOLg�EY This office has received and reviewed the most recent set of plans for the above mentioned project, on February 25, 1998. We would like to offer the following comments for your consideration. Please submit plans as stated and detailed in Putnam County Health Department police.sa.n ...q_prqcedu r es bulletin ST -19; �.,...::_., .,..._.: _...: ,...._._... This office will continue its review upon receipt of a reviewable set of plans. Please feel free to contact us if any questions arise. Very truly yours, Adam B. Stiebeling Asst. Public Health Engineer ABS:tn ( i 5 Al , 1 - i )� Y w VJ r ":L' K y. ,f. i pp : -. f - ,1 ?� ,; T``K/ Rr' k. r �G�l a. 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I o , a Aie o. �, �1 r` ` r L d j �r �,, -" ' y , fin, 3 �' �t l,�� 1. i .. 1� 4r1 a.� �. ..: ; yr ., ' =�c i .. - f , ... : �1�' t.� V'i :bv �;. -` . A ... . �' /: , . . . ,': j R' fJ ..f { - 'C' :. - ; . , - .. SLl. Ly. �- •. >. < o "q$ ' . . • +' ; •' . i ; I Nq Sr ORO, 4 if :.w :.7 ..... ..... Ji It -z I Nq Sr ORO, 4 if :.w :.7 It -z lot 1d t 10A I ov I Nq Sr ORO, 4 if :.w :.7 t 4.0 CONSTRUCTION PERMITS Prior to any construction of a SSTS, plans for such system must first be approved by the Department. There are generally two types of construction permits reviewed by the Department; those requiring 2 feet of fill or less, and those requiring greater than 2 feet of fill. The submission requirements for each type are specified below. A. Construction Permit Submission Requirements For Lots ReauirAe No fill or Fill Two -Feet Deep or Less /C, nstruction Permit Application. (Appendix K) _. Letter of Authorization for Design Professional. (Appendix K) t� gorz Application for Approval of Plans For A Wastewater Treatment System. (Appendix K) Corporate Resolution (if 'corporate ownership). (Appendix K) Short Environmental Assessment Form (EAF).(Appendix K) 0 5. ..Desi gri -?ta. ShPPt .�A.pp.�nY.K) - , . sw r t4 - NOTE: All .submitted Department application forms shall contain original signatures (no photo copies). 7 e (3) sets of plans bearing the seal and signature of a Design Professional, licensed and registered to prac iir New York State. These plans shall be to scale (minimum 1 inclv t940 feet horizontal and 1 inch to 10 feet vertical) and shall include, as a minimum, th ollowi oaroperty survey with metes and bounds descriptions and m ' r physical features. The plan shall make reference, by note o - y survey source and in the case of lots not subject to a fi e map, a certified copy of a survey be provided. b'. tum reference is to be provided (i.e., National Geodetic Vertical Daturp 929, or assumed/other). I; l V y t � '_ R`Y'A L c. ouse location with proposed finished.-, floor and basement elevations speci d. err— an and profile of the SSTS, to include 100 percent reserve area, construction details of absorption s� man componen in" a septic t k, distribution or junction boxes, pump pit, dosing siphon, etc. o.cation of driveways. I o) f. Location of well or public water main and house service connection. wo -foot contours of the property: If ground is to be cut or filled, both existing and proposed contours must be shown. Location of any watercourses, ponds, lakes or wetlands on, or within 200 fee property. Accurate location of all deep test holes and percolation test holes. Omission of soil testing on lots in recently approved subdivisions will be at the di tion of the Department. ocation of all existing wells and SSTS within 200 feet of proposed SSTS and wolls. or a note static _that done exist.withn.20.0.fieet, . a_.c n +ir. - . . � I ♦ - s -• - .. - w C.y.u....p .. u. r 3'.'.�. ."b -orr .a .r.i .,...... � 1, . . .. . t � • «n- .....a ' .. ..rte .G•.m.' --e itle box indicating name and address of property owner; parcel tax map identification number; property location, including street and municipality; name, address and phone number of Design Professional; date of drawing, including dates of any revisions; and scale. and discharge points for gutter, footing, storm and curtain drains. �esign criteria on plans to include number of bedrooms, soil percolation rate and deep test hole soil information, and sizes of SSTS components. n. onstruction notes pursuant to Appendix C. Of o Space fogxtfifam County Health Department approval stamp (minimum 3" x 5" )*eferably at the lower right hand portion of the design plan. cation map (minimum scale of 1" = 2,000'). t. .2 . Erosion control measures for house, well,and SSTS. r. When a pump pit is proposed due to insufficient elevation for gravity flow or for dosing purposes, the pump pit design/ tail .shall include, as a minimum, the following: Make and model of pump to be used and operational characteristics. e -day's storage past the high�evel alarm within the pump chamber. Che valve. Gate va ve. Unions Operating an /Ievels or pump. Means for p p moval for maintenance. Pump cu should supplied with the engineering report. The pu p operating ra e should be indicated on the pump curve. Pu dose volume to be e al to 75 percent of the volume available in e SSTS pipe network. inimum velocity of 2 feet per s rond to be provided in force main. - Baffled distribution box to be utilized\.for SSTS. - Trench detail for force main, specify pipe e and rating, bedding and cover. Note stating, "All electrical work and..materiol;oy— in-tallaticn - :. s hall c'orrrply with the National .Lecirical Code. " Note stating, "All pump power and control wiring shall be made directly to the control panel without any outside splices. " Note stating, "The pump control panel, disconnects and alarms shall be located inside the house. " Two (2) sets of house plans with title block as specified in 7. k. above, one of Two must accompany copy of approved Construction Permit to the Building Inspector of the local municipality... Upon approval of the Construction Permit, the house plans will be signed and stamped: "Approved For Bedroom Count only". 9. If water service is from a public supply or community supply, a letter from the water supplier will be required stating that they will be able to supply the property with water at adequate pressure. U.0,4ell Permit Application, if required. (A PPridix K) 11. Applications for Construction Permits for lots created prior to 1969 will not be reviewed until such time as the Department is provided with proof that notification -of the application for construction was made to all property owners contiguous to the property in question. A location map, showing the contiguous properties along with the property owner's name and tax map number, must also ° be provided to the Department. Notification shall mean receipt by each contiguous property owner of a copy of the notification form in Appendix E along with a copy of the latest site plan. Proof of receipt of notice by contiguous property owners can include either of the following: 1. Copies of registered mail receipts. 2. Copies of the notification form signed by the contiguous property owners. Failure to provide the Department with adequate documentation of the performance of the notice will result in delaying action on the application until proper notice is executed. .'.. _glis -1111 Cla %CIF 1.1 i.S ;.i Q 1.ificatiOn .Sho;.'IId �i ?, cc7rt_to. the, r� slit �r �� is *�rnn �nc�; n� +in`rc. by the Design Professional. 12. Fee - See Appendix I. B. Construction Permit Submission Requirements For Lots Requiring Fill Greater Than Two Feet in Depth 1 -6. Same as Section 4.0 A. 7. Same as Section 4.0 A., except for d. d. Two separate plans will be required; the title box for both plans must contain the statement, "Preliminary Design For Fill Placement Only". 1.4 i. Plan and Profile of Fill Section - Three, (3) copies of this plan will be required showing the dimensions of the fill pad i.e.. length. width and death, top and bottom slopes of periphery ,of the fill) depth gauge locations. well. septic tank. house and driveway locations This plan shall not show the design of the trenches, distribution box, etc., and this plan will be approved by the Department to allow placement of fill. The Department must be notified of the date of placement of fill. All horizontal separation distances involving fill greater than 2 feet in depth are measured from the toe of the slope of the fill. The estimated volume of fill in cubic yards must be specified on the plan for the ROB, unclassified and impervious soil materials. An equal distribution box rather than drop or junction boxes should be utilized in fill sections, with its foundation set below frost. Depth gauges will be required in the fill section (i.e., one (1) at each corner and one (1) in the center of the fill pad). The SSTS reserve area fill is required to be installed at the time of primary fill placement. ii. Plan and Profile of the Fill Pad and SSTS. One (1)..copy of this plan will be required showing the design of the absorption trenches in the fill area. Such design must show that a reserve area of 100 percent can be placed on the lot conforming to all applicable restrictive distances. This: planCAyil.l be._. .Y r et.a.,i. na e_ d �..fQ._ .. .. for hDepartment's- f After a "Construction Permit" for the placement of fill is issued by the Department, a rcopy of the "Construction Permit ", one (1) set of the approved plans, and one (1) copy of the stamped house plans should be presented to the Building Inspector in the respective municipality in order that a `Building Permit' may be issued. The local municipality should be contacted for their particular requirements for a Building Permit. A Design Professional is required to assure that -`the SSTS is constructed in accordance with the approved plans. If any significant departures from the approved plans are proposed because of field conditions encountered during construction, they must first be approved by the Department. 8 -12. Same as Section 4.0 A. 13. Fill must be stabilized in accordarice with fill note #1, located in Appendix C, after which time a second application for a Construction Permit must be made to the Department and shall include: a. Results of a minimum of two (2) soil percolation tests in the stabilized fill. b. Three (3) sets of plans pursuant to Section 4.0 A.7. including the fill certification note contained in Appendix C. c. The following certification statement is to be added to the construction (trench layout) plan: "This Design Professional has inspected the ROB fill material on fdate and does hereby certify that such material has been placed and stabilized in accordance with the requirements of the NYS Department of Health, the Putnam County Department of Health and the approved fill plan. The material itself has been tested and at this time is considered suitable for use in a subsurface sewage treatment system. The soil percolation rate in the settled fill based on percolation tests after stabilization is minfinch. " SIGNED: Design Professional All Construction Permit approvals are valid for a period of two (2) years from the date of issuance. Construction Permits are required to be renewed when a permit is over two (2) .. years old, regardless of whether the same or a new owner is involved. •.- _ - r .. .. ..._ x. w •- �r n .. ... -asi_. ..a- J..w.. .. :i .i .+.. ..`. .... ' . - . ♦. _ten.. a. -.�.. .. - .- - -- 5.0 CONSTRUCTION PERMIT RENEWALS . The purpose of issuing permits with expiration dates is to provide the Department with flexibility should standards or site conditions change in the future. In addition, the Department must be assured that a Design Professional is employed to assume responsibility of the proposed design and to supervise and inspect construction. Approval of renewals will not be granted until the Department makes a site inspection and the following items are submitted. A. Construction Permits being renewed by the Design Professional who obtained the . original permit (original or new owner). SUBMIT: 1. Letter of Authorization 2. Construction Permit Application 14 i. Plan and Profile of Fill Section - Three (3) copies of this plan will be required showing the dimensions of the fill pad (i.e.. len -th. width and depth top and bottom slopes of periphery of the fill) depth _gauge locations. well. septic tank. house and driveway locations This plan shall not show the design of the trenches, distribution box, etc., and this plan will be approved by the Department to allow placement of fill. The Department must be notified of the date of placement of fill. All horizontal separation distances involving fill greater than 2 feet in depth are measured from the toe of the slope of the fill. The estimated volume of fill in cubic yards must be specified on the plan for the ROB, unclassified and impervious soil materials. An equal distribution box rather than drop or junction boxes should be utilized in fill sections, with its foundation set below frost. Depth gauges will be required in the fill section (i.e., one (1) at each corner and one (1) in the center of the fill pad). The SSTS reserve area fill is required to be installed at the time of primary fill placement. ii. Plan and Profile of the Fill Pad and SSTS. One (1).,copy of this plan will be required showing the design of the absorption trenches in the fill area. Such design must show that a reserve area of 100 percent can be placed on the lot conforming to all applicable restrictive distances. _. This plan will : be, retained for..,the:. Department's... files., for future reference. After a "Construction Permit" for the placement of fill is issued by the Department, a `copy of the "Construction Permit ", one (1) set of the approved plans, and one (1) copy of the stamped house plans should be presented to the Building Inspector in the respective municipality in order that a "Building Permit" may be issued. The local municipality should be contacted for their particular requirements for a Building Permit. A Design Professional is required to assure that-the' SSTS is constructed in accordance with the approved plans. If any significant departures from the approved plans are proposed because of field conditions encountered during construction, they must first be approved by the Department. 8 -12. Same as Section 4.0 A. 13. Fill must be stabilized in accordance with fill note Tl,,located in Appendix C, after which time a second application for a Construction Permit must be made to the Department and shall include: 15 a. Results of a minimum of tw0 (2) soil percolation tests in the stabilized fill. b. Three (3) sets of plans pursuant to Section 4.6-A.7. including the fill certification note contained in Appendix C. c. The following certification statement is to be added to the construction (trench layout) plan: "This Design Professional has inspected the ROB fill material on 6Late and does hereby certify that such material has been placed and stabilized in accordance with the requirements of the NYS Department of Health, the Putnam County Department of-Health and the approved fill plan. The material itself has been tested and at this time is considered suitable for use in a subsurface sewage treatment system. The soil percolation rate in the settled fill based on percolation tests after stabilization is min /inch." SIGNED: Design Professional All Construction Permit approvals are valid for a period of two (2) years from the date of issuance. Construction Permits are required to be renewed when a permit is over two (2) years old, regardless of whether the same or a new owner is involved. 5.0 CONSTRUCTION PERMIT RENEWALS r..:: The purpose of issuing permits with expiration dates is to provide the Department with flexibility should standards or site conditions change in the future. In addition, the Department must be assured that a Design Professional is employed to assume responsibility of the proposed design and to supervise and inspect construction. Approval of renewals will not be granted until the Department makes a site inspection and the following items are submitted. A. Construction Permits being renewed by the Design Professional who obtained the original permit (original or new owner). SUBMIT: 1. Letter of Authorization 2. Construction Permit Application BRUCE R .. FO LEY Public Health Director August 23, 1999 'f iLRE T T k MOLRiAR1 KIN., M.S.N. Associate Public Health' Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Frank Sullivan, PE 2972 Ferncrest Drive Yorktown Heights, New York 10598 Re: Mauro, Lot 5, Horton Hollow Road TM# 72 -1 -24.15 Town of Putnam Valley Dear Mr. Sullivan: A final inspection was conducted on August 11, 1.999 of the SSTS and well for the above referenced project. I offer the following comments: As discussed with the owner (builder) Mr. Mauro: a) Fixed tie -off points are to be provided for swing ties_of_septiq,and,related * Attempting to tie septic to house will not provide for accuracy. b) The access way is to be maintained to septic tank for servicing, i.e. pumping. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 2157 if any questions arise. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj I LIGHT t VENT CHART I0001'1 NME I�dI1aED SUMMED R I2!LlPI LRTIFICI<L LIG� '—_'ED LEGEND TO TELE•ASION MILET T SWITCH ® FHONE OUTLET 1 DUPLEX RECEPT SUIITCHED RECEPT 43 3 -wGi SWITCH CEILWG LIGHT OT THEWh STAT RECESSED LIGHT SPOT L—T BATH Ft1l I LKAII WALL LIGHT - DENOTES LOCATION FOR IIrSKiNIA OF LPPRO• /AL ® UL. LPPRO•IED: <C -DGJ 5.O GET =CTOR —ERE LPPLICABLE U1. APPROVED 'AC- OC)SFIOKE DETECTOR LOCATED ON CEILWG AT BASE OF STARS [ON SITE BY OTHERS) r - IMPORTANT an_occ"a .a6 I il w �iTt a '': D KwnT_ ae � n O. , rcwamw w c s a eur T' xu�ra t.0 �oPu[.,Gw .O1O uw.cVL TOR T6U KVa R 400 WLL BE MW r b:_CmeG To msE PH.A4s HQ'E0F►EF6 DATE, ` SUILDEI! � — DATE. b C a OF i E-'; fa. HOUSE f i.:Si S Al P:ii)i'f;u3 (! ? L'ua )W'l ilr'U 0'! ONLY, IPEDP W.T; D�Z� I clo I {OUSE J),I 1N5 iTL'SC !:.:.`i ;{;, ;L� ,_U >'I'Ili. PCIk')H 1,011 Al'l,gWVAL H —�A7 L ENEiYaY CODE THESE PLANS ARE IN C X- IFLIANCE MATH THE AMENDED NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE, PART S SECTION TSH4 DATED MARCH I, IM 2. NEW YORK BYSTEFE COMPLIANCE (SPIGLE FAMILY) THESE PLANS HAVE BEEN IZERIVED FROM PRE- VIOUSLY APPROVED SYSTEM PLANS, APPLICATION 01540, APPROVAL • NY 0092, DATED MAY 21, P354. THESE PLANS ARE IDENTICAL TO T14E APPROVED PLANS ON FILE UAT4 DOOR AND NAVE NOT BEEN MODIFIED IN ANY Mj.4l FIRST FLOOR PLAN W-O" CEILING HEIGHT !; . • L e rrl �i - y► I DATE, 1 0 � � n$ G B 4S � 33 3�2 Y �s L p W 91 e� n P a s a ° MOVIE, MILESTONE DRAUJM- IST FLOOR PLAN LAYOUT eHEer, LIGHT 4 ROOM NAME Reauli�T i� 1� T 1 r!� I w, P I i CHART LEGEND D D VENT MIPPLIED ® TELEN910 OUTLET + S TCH ® P110NE OUTLEt 1 p f! 3 -Wdr 91WTCH '!Y DUPLEX RECEPT $ SWTCHED RECEF" CEILNG LVA T O THERnOSTGi RECESSED LGM 0 le SPOT L-.T .y BGTM FW 1 LKaNi O ':14L L* .T A DENOTES LOCATION FOR WSGNIA 6 GPPROV4 ® '.L. APPROVED (GC -DC: SIiOCE DETECTOR ` 6 A8 514 T 19.48 4BI 524 ` a n - - --t r- - -n -` r---- - - - - -� II I I III P O 1 1 D I w. D I I W III I AREA yy I I I L I I wALK•N { LJ___J L___U T CLOSET MSTR I D L re I E5EDRc2 M 4 BATH O pHA�LLLL1 BATH '.WERE GPPLILLBLE UL. GPPRO'FD . eC -DC) SFIOKE DETECTOR LOCATED CN CEILNG AT BASE OF STAIRS I— SITE Br OTHERS/ [TIPORTANT - CUSTOMER Apt-go VAL 1� Y •"c , e¢ ft ,EV« ro x e"�wr �,+rore eou,us m.r ! 1 we,[n • � roans v ex4as a rwe star[ naroarto rso "" "'� d1� "rwlcruuT TOUR HOUSE WLL BE BUILT 4CCORDN3 TO THESE PLANS N@@C*Zft DATE, I' K d11LDER. DATE, \ L o s• PUTNAM COUNTRY ifp7F ":!3T3`I. YT frE r[LCrTE9 'HOUSE PLANS APPILd3BEI1 FOLL 6LE:17 OLI COUNT IDNLl; ALL 4(7 llit'��1P. I1V ll i'L.1tS MUST II{S SU -) a CL':')'It'THE fQ109 UDR (PE&(JVAL �. 2 . =S GNATUPE S 'I'LTL[ g,'+ NOTE, L ENERGY CODs THESE PLANS ARE IN COMPLIANCE UATH THE AMENDED NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE, PART S SECTION 1814 DATED MARCH I, t99L 2. NEW TOW SYSTEMS COMPLIANCE (SW3LE FAMILY) T1ESE PLANS HAVE BEEN DERIVED FROM PRE- VIOUSLY APPROVED SYSTEM PLANS, APPLICATION • 0840, APPROVAL a NY 0084, DATED MAY 41, 1994. THESE PLANE ARE IDENTICAL TO T1E APPROVED PLANS ON FILE UT14 DNCR AND HAVE NOT BEEN M0004ED R4 ANY MANNER SECOND FLOOR PLAN 8' -O" CEILING HEIGHT R 5 .9 1 � � , I HOP BY: DATE: Al a no O � m t�§ a °¢¢ 8i te,: ` a n - - --t r- - -n -` r---- - - - - -� II I I III P O 1 1 D I w. D I I W III I AREA yy I I I L I I wALK•N { LJ___J L___U T CLOSET MSTR I D L re I E5EDRc2 M 4 BATH O pHA�LLLL1 BATH �1 O LINEN WALL aaEET 3 ® ; T I'' 7 MASTER BEDROOM 6EDra'OOM 3 � t BEDROOM r 7eN n- ffiT 4J" tlBt 3 -4" 7B7 fm'! o s• PUTNAM COUNTRY ifp7F ":!3T3`I. YT frE r[LCrTE9 'HOUSE PLANS APPILd3BEI1 FOLL 6LE:17 OLI COUNT IDNLl; ALL 4(7 llit'��1P. I1V ll i'L.1tS MUST II{S SU -) a CL':')'It'THE fQ109 UDR (PE&(JVAL �. 2 . =S GNATUPE S 'I'LTL[ g,'+ NOTE, L ENERGY CODs THESE PLANS ARE IN COMPLIANCE UATH THE AMENDED NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE, PART S SECTION 1814 DATED MARCH I, t99L 2. NEW TOW SYSTEMS COMPLIANCE (SW3LE FAMILY) T1ESE PLANS HAVE BEEN DERIVED FROM PRE- VIOUSLY APPROVED SYSTEM PLANS, APPLICATION • 0840, APPROVAL a NY 0084, DATED MAY 41, 1994. THESE PLANE ARE IDENTICAL TO T1E APPROVED PLANS ON FILE UT14 DNCR AND HAVE NOT BEEN M0004ED R4 ANY MANNER SECOND FLOOR PLAN 8' -O" CEILING HEIGHT R 5 .9 1 � � , I HOP BY: DATE: Al a no O � m t�§ a °¢¢ 8i te,: 1` t OLD it/ i' m -ta99. ?moo q,. Ii" la�yo / %� oScff� 44 n