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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73. -1 -26 BOX 26 03239 NR Lo „. 46 r , I- Ll ION J6 - 03239 t ! PUTNAM COUNTY DEPARTMENT OF HEALTH Engineer to Provide Permit q BV . 3186 Camel. ' Division of Environmental Health Servfcas. Cael, N.Y. 10511 on CERTIFICATE OF COMPLIANCE Permit # CONS ON ON PERMIT FOR SEWAGE DISPOSAL SYSTEM T own o e Lasted J�t _. Subdivision Name Sabd. IA... Tax Map BI Lot9 ® Renewal_ ❑ Revision ❑ Owner /Applicant Name /P.Ql��#UA�® 04;t� Date of Previous Approval Mailing Address / L.G./ it %�.iia /Q {A Town Building Type -Lot Area % Section Only Depth Volume Number of Bedrooms Design Flow G /P /D 9-0 PCHD Notification Is Required When Fill Is completed �,r,. Separate Sewerage System to consist oof�G/anoon Septic Tank Y -zq II.s/10 at1Q2�%�lQ/d 7ML- /Vaf>►L; S To be constructed by AeMA - UJAX% li. �iA Q Address 43116kW4 t`i7Al Jr Water Sappb,. Public Supply Fro m ' ddress ®/ j or: =Private Supply Drilled bys �s Other Requln FV p A' VW " . represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system, above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regulations o e Putnam County Department of Health, and that "on completion thereof,a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwiil be submitted to the Department, and a written guarantee willrbe furnished the owner, his successors, heirs or assigns by the builder, that said builder will 11 place in good operating condition any part of.,Said sewage disposal system during the period of two (2) years Immediately following the date of the issu- ance of the approval of the Certificate of Construction Compliance of the.original system or any repairs thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be installed in a ordance wit stantl ds, rules and regu Mons o Putnam Count y De /prtmer /�I f Health. ° Date Signed P.E. R.A. - 40 0 d� Address License No APPROVED FOR CONSTRUCTION: This approval expires one r from the date issued unless nstruction of the building has been undertaken and is revocable for cause or may be amended or modified when eons' Bred ecessary by .the Commissioner of Health. Any change or alteration of construction requires ewper�mit. A roved for disposal of domestic rani �6ewa e, and /o ate water wD q�Y� Date-�� ( BY Title ' Re f/ • 6 PUTNAM COUNTY DEPARTMENT OF HEALTH ° Division of Environmental Health Services, Carmel, N.Y. 10512 Engineer Must Provide Permit #. _P.C.H,Di CERTD7CA OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM / d7-Aot,+41 GLG-Y Located at ' � /�! C tr /C b Owner /applicant Name 04.) OSI ' e' Formerly Mating Address L� 7 Z�� L r Zip �2 - Town or Village Tax Map Block -Lot Salxlfvielon )V-amo14"f" SkI Sabdv. Lot NJ_ Date Permit Issued e- 7'y-,E7 Separate Sewerage System built by 0 �f {[s t'�� 0Y096i/ � � Address 'A 61- L-IfLiA42 f1 Ll' 16- y Consisting of / 9 -0 ® Gallon Septic Tank and ��� �-r %ems lo::�r Who(- o4galmdAi '`,Poo Water Supply: Public Supply From Address or:_4AO-000�Private Supply Drilled by t� mss -- ' 1 � i't el( Building Type ,efrf ,oa-AowAF c , Has Erosion Control Been Completed? Number of Bedrooms Has Garbage Grinder Been Installed? A& Other Requirements Ala a- I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies of which are attached), and in accordance with the standards, rules and re ulations in accordance th the sled plan, and the permit �ised by the Putnam cousn�ty partm t Of Health. .!/ Date `ry Certi d by P.E. R.A. Address zgkaeA License No. Any person occupying premises served by the above system(S) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a pubt': 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 modi71-4- tion of change when, in the judgment of the Commissioner of Health, such rev�tion, modification or change Is necessary. ( I � 1 _ V ' I/I/l/ Title z LO?LtE ALLEN BEALS, M.D., J.D. Commissioner of Health -�� - - ROBERT MORRIS, P.E., MPH Director of Environmental Health September 2, 2014 DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Bruce Brothers 11 Birch Hill Road Putnam Valley, NY 10579 Re: Addition — A- 133 -14 No Increase in Number of Bedrooms 11 Birch Hill Road (T) Putnam Valley, T.M. 73.4-26 Dear Mr. Brothers: MARYELLEN ODELL This Department has received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from this Department dated September 2, 2014. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at four without prior approval by this Department. _ 2. = =The area of the existing sewage disposal system and its expansion area must be . maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc .. . 4. The approval is for the modifications only and does not validate any construction shown as existing that has not obtained proper approvals from other agencies having jurisdiction. 5. This approval is valid for two (2) years and expires on September 2, 2016. Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the responsibility of the applicant. If you have any questions, please contact me at (845) 808 -1390 ext. 43261. Respectfully, Gene D. Reed Principal Engineering Aide GDR:cw cc: BI (T) Putnam Valley ALLEN BEALS, M.D., J.D. Commissioner of Health R0_13E_R_T MORRIS,_ P.E. 73irecior of Environmental Health MARYELLEN ODELL County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone #.(845) 808 =1390 Fax #. (845) 278 -7921 ADDITION APPLICATION RESIDENTIAL ONLY • §W�'Wrx !�t04 STREET I �ti �� �10 TOWN Pv*r. vim- TAX MAP # i s z(o NAME 1���fLrr'T1R -� PHONE 9%� -51Z'324 MAILING ADDRESS `� DESCRIPTION OF - � ADDITION 1"t wt� *NUMBER OF EXISTING BEDROOMS NUMBER OF PROPOSED NEW BEDROOMS * (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUELDING INSPECTOR) "Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, ' Brewster, NY 10509, Phone; (815) :808 -1 �9�. -_, • ,- : _.. . - -- 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement,. to be shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin HA -1) 3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) * Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin HA -1) 4. Copy of survey showing all well and septic locations on the subject property to the best of your knowledge. Include date of installation known. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building . Department with legal bedroom count of dwelling. OFFICE USE COIVZMENTS 4. 6 - M-LEN BEALS, M.D., J.D. Commissioner of Health ROBERT .MORRIS, P.E. Director of Environmental Health- _. _....., .� :... DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 77921 Town Legal Bedroom Count & Proposed Addition Status Re: (Owner's Name) Tax Map # -7 3 ' 2� Address: Town: Year Built: L"{ Accordi ng to records maintained by the Town, the above noted dwelling, is V / in com Hance with Town Code. P . MARYELLEN ODELL County Executive Is not in compliance with Town Code. �` 1�he�Legal Bedroom Count �is: � 1� �- .. ^.._.�_�`._.��._ •_. _ _ ._ .. ,:.. �.,� . , � _........._ .. R.._.� -.... �. . This information has been obtained from: Certificate of Occupancy: Other: The plans for the proposed addition are considered: Addition to existing house only Teardown and/or re -build allowed under Town Regulations a Building Inspector Date 5. g PUTNAM COUNTY DEPARTMENT OF HEALTH 'IVISION OF ENVIRONMENTAL HEALTH SERVICES Date 1�, �� S Re: Property of /4%�-%V�l Located at gjer-' /*�. t� . (T) �[l;�9/�9.tfl //r3GCt- Section Block Lot Subdivision of Subdv. Lot # Filed Map ate t Gentlemen: This letter is to authorize a duly licensed professional engineer or 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 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, the Public Health Law, and the Putnam County Sani- tary Code. v�i'Z�Gl.upY✓ / Countersigned: P. E . , R , # 'Z-�y' I�Fo 0'// ,RO,< Z Y z-- Address Telephone Very truly yours, Signed ', 7 A0 er of P44operty Address � / ,l ) Gt i - C-- I r It �6:( IiJG Town 76� Telephone PETER C. ALEXANDERSON County Executive P. A DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Mr. William F. Zeiler RFD #11, Box 242 Mahopac, New York 10541 Dear Mr. Zeiler: July 7, 1987 JOHN SIMMONS. M.D. Deputy Commissioner JOHN KARELL, Jr.. P.E. Director RE: Proposed SSDS O'Keefe, Birch Hill Road Town of Putnam Valley, TM 72 -5 -5 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: 1. Standard note 5 not shown on plans 2. Footing and gutter drain discharge location as shown on plans is not acceptable. 3. Expansion area is not.shown on plans. submittec' and a~fieldT inspection on July 6, ~1987 �� ~~ generates concern that the location of the proposed SSDS is on a slope greater than 15 %. It is advised that the proposed system be located where the slope is less severe, i.e. below the original proposed location. Upon receipt of a submission, revised to reflect the above comments, this application will be, considered further. Ver ruly yours, =-: R beit Morris .,�:: • - RM:pt L Environmental Health Technician DEPARTMENT OF HEALTH Division of Environmefttal Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL WELL LOCATION Street Ad ess own /Villa City Tax Grid Number 9 WELL OWNER Name T'� Addre s ,,�� ;rama Bliag -' Po rivate Cir D Public USE OF WELL eRRESI ENTIAL 0 PUBLIC SUPPLY O AIR /COND /HEAT P J O ABANDONED primary 0 BUSINESS O FARM 0 TEST /OBSERVATION D OTHER (specify, 2 - secondary 0 INDUSTRIAL O INSTITUTIONAL O STAND -BY AMOUNT OF USE YIELD SOUGHT �`® gpm /# PEOPLE SERVED___&_/EST. OF DAILY USAGE d p gal REASON FOR WOREW SUPPLY [-)PROVIDE ADDITIONAL SUPPLY 0 TEST /OBSERVATION DRILLING O REPLACE FXIS TING SUPPLY 0 DEEPEN EXISTING WELL DETAILED .� REASON FOR DRILLING WELL 'TYPE L&ffDRILLED ❑ DRIVEN ®DUG ® GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES 111' NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: fgw ffica Xm r Lot No. d� WATER WELL CONTRACTOR: Name Address:SP IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED []ON REAR OF THIS APPLICATION ON S P TE SHEET (date) (signature) 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. Date of Issue:, Z-01 19B7 Date of Expiration Permit Issuing Official Permit is Non - Transferrable APPENDIX B PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVJRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEWSHEET -CONSTRUCTION PERMIT (Name of Owner) CO,211E NTS f IF trench provided required 60 ft. max. li Parellel �r DATE - - BY: �- (Stye t Location) YES NO DOCUMENTS Permit Application Corporate Resolution Plans - Three sets s/s Engineers Authorization Design Data Sheet (DDS) SUBDIVISION Deep Hole Log Perc Consistent Perc Results (3) Fill Perc Hole Depth cd House P1 - Two sets Well V permit; PWS letter -'Variance Request GENERAL J414 / / - Legal Subdivision Subdivision Approval Checked, EX- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R.& D) Data On DDS Plans & Permit Same > /,A/4-- REQUIRFD DETAILS ON PLANS '14 Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flow Fill & Dimensions - Volume x• rench /Gallery; Pump'.pit details Septic -Size, Detail Well Detail, Service Line if over canstrticfaLon- te5 Design Data: perc and deep results -' o -Foot Contours Fisting & Proposed Driveway & Slopes Cut /Footing /Gutter,Curtain Drains (discharge OK) Perc & Deep Holes Located /Representative of primary and expansion Exp—a_nsion Area;shown;gravity flow,suff. size If Pumped Pit & D Box Shown & Detailed House - No. of Bedroans Wells & SSDS's w /in 200 ft. of Proposed System: Property Metes & Bounds -douse Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 "0; Type pipe No Bends; Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L.., Driveway, Large Trees,Top of fil 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expar, 15' to Drains - Curtain, Leader, Footing -- 35'to catch basin,stormdrain,pi ep d watercour-r" - 10' to Water Line (pits -201) - 50' intermittent drainage course Septic Tanks 10' from Foundation; 50' to well 15' Well tn Pr. - r-Liwi u J l :.V, .uvSrh:C:1iC)N Date Ins b y ) t STREET IOCATION l �i / /� c /� CWNER O \ PERMIT # /! V TM # OR SUBDIVISION LCT # I. II Lm V. VI. 1 YES Nd CCl'�AZEI�fIS :_..� SEWAGE DIS a. SDS area located as _ aporovedp plans b. Fill section - Date of placement 2:1 barrier_ LGTH WIDTH AVG.DPTH c. Natural soil not striuoed d. Stone, brush, etc., greater than 15' from SDS area. ;�;o 3WY e. 100 ft. free water course /wetlands. SEV&LE DISPOSAL SYSTEM a. Septic tank size - 1,000 1, 250 � b. Septic tank installed level ` c. 10' minimum fran foundation d. No 900 bends, cleanout within 10 ft. of 450 bend e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested A IV 2. Protected below frost 3. Minimum 2 ft. original soil betwe--._.n box and trenches f. JUNCTION BOX - properly set - g. TRENCHES 1. Length required V length installed / L 6 * C. 0 6 �u 2. Distance to waterco se measured: ft. 3. Installed according to plan CS7s 4. Distance center to center 4��, 5. Slo of trench acceptable 1/16 - 1/32 " /foot. ?':; 6. 10 feet fran prcperty line - 20 feet - foundations 7. Depth of trench < 30 inches fran surface 8. Roan allcwed for exr_ansion, 50% 9. Size of gravel 3/4 - lV' diameter 10. Depth of gravel in trench 12" minimum x - ll.-Pipe ends capped. h. PLC OR DOSE SYSTEMS 1. Size of pum chamber }i r _ - 3. Alarm, visual audio 4. PL=p easily accessible manhole to grade 5. First box baffled 6. Cycle witnessed by Health Depa-rtment estimated flaw per cycle4' HOUSE a. House located per approved plans. b. Number of bedroans Lf ELL a. Well located as per approved plans b. Distance fran SDS area measured ft. c. Casing 18" above grade. d. Surface drainage around well acceptable. OVERALL `GOPI MASHIP - , a. Boxes properly grouted V A ;s+ b. All pipes partiallv backfilled c. All pipes flush with inside of box d. Backf ill material contains stones < 4" in diameter e. Curtain drain installed according to plan f. Curtain drain outfall protected & dir.to exist.watercours g. Footing drains discharge away fran SDS area h. Surface water rotection adequate i. Errosion controi provided on slopes qreater than 15 %. 1 PETER C. ALEXANOERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 August 12, 1987 JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL, Jr., P.E. Director Mr. William Zeiler RFD #11, Box 242 Mahopac, NY 10541 Re: Proposed SSDS Dear Mr. Zeiler: O'Keefe, Birch Hill Rd. (T) Putnam Valley Tax Max 72 -5 -5 lot 4 Review of plans and other supporting documents submitted a this time relative to the above - captioned project has been completed. Comments are offered as follows: 1. As per. our1:onew_on� =e ;� cion, t2ie SSDS laterals are to } = -be -deiiigned ' 10 feet on center. 2. Footing and gutter drain discharge point is to be shown below SSDS, i.e., it is to be piped around. Upon receipt of a submission, revised to reflect the above comments,'this application will be considered further. Very truly yours, ��ajll__904z� Robert Morris Environmental Health Technician RM:amm PUTNAM COUNTY DEPARTMENT OF HEALTH Owner or Purchas f Building O' -g , s aflrl I, mss(2 i(S . 1V t, Building Co strucjted a on - Street +A-j A VK VqI) Municipality • (�f- t7 ` 1'e, J';-tir Building Type° Section Block Lot Anc-4 O r W Se C- ) Subdivision Name Subdivision. Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTTM I represent that I am wholly and completely responsible for the location, worl=ship, 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 CoriStruc "t ori" Compliance "� ft", the "sewage - dls T" Mari; or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of 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 % day ofaL 19-il G/e�erl�iCon ctor (Owner) - Signature �/ iq-�� �P— C-C1C �e-rs , Lv C Corporation Name (if Corp.) fri I-bff J�s-1 p rev. 85 mk Signature Title {ri° 6 . 1C)�-10 y Jam; AI PUINAM COUNTY DEPAIM= OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEQLE DISPOSAL SYSTEMS _: , FIkI,D. INSPk7CTIQN .REPORT f Ut rd INSP. TBY: e (Name of er) (Street tion) INITIAL SITE INSPECTION YES NO CCi�1NTS Wetlands on /or proximate to property .............. Property lines or corners found ................... Can estimate house location ....................... Will.driveway need. cut ...........:................ Dist trees be- remved - note these ................ Deep holes representative of entire SDS area...... /7� r�vJty P.dditional deep holes needed ...................... Sufficient SDS area available considering driveway cut, house location, separation distances, etc... Adjacentwells /septics ............................. P. H. 1 Lot - Depth to G.W. Depth to rock Soil Descriptia 0 ft. 3 ft. 6 ft. 9 ,ft. D. H. - Deep Role G.W.- Grouncwater D. H. 2 Lot D. H. 3 Lot - Depth to G.W. Depth to G.W. Depth to rock Depth to rock 0 ft. 3 ft. 6 �ft. 9 ft. Soil Descri 0 ft 3 ft 6 ft 9 ft f DATE: - FINAL SITE INSPECTION INSP . BY : YES N0 cON2-= House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable.......... Roan allowed for expansion trenches .............. Over 100 ft. fran watercourse .................... Natural soil not stripped or SDS area unnecessarlygraded ............................ 10 ft. maintained fran property line and 20 ft. from house .............................. Distance well,to SSDS (ft.) ...................... Numberof bedrooms checks ........................ Stones, brush, stumps, rubble,-etc., greater than 15 ft. fran nearest trench .. ............. 15 ft. of peripheral soil horizontally frantrench ..... ............................... Boxesproperly set........ ..................... could surface runoff from driveway, roads, - ground surface,. etc., channel near SDS area.... L Does lot drainage appear OK•,in area of SDS::...... FINAL QRADNG OF SITE P_CX'EP'rAB E .... -A gig"ture & Ti as S, DA Ai 7R o o 'K4EF r- C/rvA for Zov Foriv rO AIAI OF R/I rN A M 1/,44 1. 67Y — 19IJ rA)AAI Co, 72�VE Z ,3 9 k7 ro.)eOR,p oCaoqo 16R,< A954 (9/4) 6,?.3 - 4 76,4- of NttV \pM F. e- 0 ,4,95,,CR7--td ss jlll Date December 4 --', 1987 TOWN OF PUTNAM VALLEY `@ 87 - Zorie�Qstrict R--1 PERMIT RECORD o Application k hereby made for Bl dg• P.ermiLWork to start (Modular) L-acation. of .Premises— Street or Road Birch Hill Road — DV172 -5 -5 SEC: BLOCK LOT FRONTAGE Depth Rear ACRES (other description) or number of square feet O'IOEEFE, ANTHONY TMif72 -5 -5 Birch Bill Road One Family W /Deck (Modular) PERMIT # 87 -1880 _ .._. .._.. _ . .. - - -. . PAPERS. x�NV1S .....__. _ FooTTrrc - _ _. Lag .$� _. -- - AS�_BUII,T• - �i-- �a-- �Jaa-t�� . a$ =$9 t a,•, y, k ��i� •; YES' >F AN Sanitary Permit Plumbing PeYmit $_ 2BA Approvals Well Pezmit $ f _ ABACA Approval $ 00 TOTAL $ I i ,Rev. 1/85 rj �q is j,I sA G� TJT-IT T nf%'KAnT L�TTl�TT DL�D/1DT W1JLL IJVL -LJ. LL' .L il/L1 "J.Jl l/1%1 '"` ►G DEPARTMENT OF HEALTH ` ,- iv2sio_n, Of_ Environmental Hea11�i>`;Sery gs ,;r�� PUTNAM COUNTY 'DEPARTMENT OF HEALTH -o Office Use Only .• � WELL LOCATION 5 A ES WNNIL 1 I Y TAX GRID NUMBER: fa —S WELL OWNER So ADORES ' �� 7j- - vl�y/ ❑ PUBLICS USE OF WELL 1 - primary 2 - secondary RESIDENT A ❑PUBLIC SUPPLY O Al /COND. /HER PUMP ❑ ABANDONED 0 BUSINESS O FARM ❑ TEST / OBSERVATION ❑ OTHER (specify) O INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT _ gpm. /NO. PEOPLE SERVED _/ EST. OF DAILY USAGE gal. REASON FOR DRILLING NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION O REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH �� r ft. STATIC WATER LEVEL r ft. DATE MEASURED 26� �0% DRILLING EQUIPMENT ,�Y- ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT: ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE. 0 SCREENED ❑ OPEN END CASING. 'OPEN HOLE IN BEDROCK ❑ OTHER CASING TOTAL LENGTH ft_ MATERIALS: ;BZTEEL ❑ PLASTIC ❑ OTHER LENGTH.BELOW GRADE o JOINTS: ❑ WELDED 12MREADED ❑OTHER DETAILS DIAMETER_ in. SEAL: ❑ CEMENT GROUT ❑ BENTONITE THER WEIGHT PER FOOT Ib. /ft. I DRIVE SHOEkYES ❑ NO LINER:OYES 1 #NO SCREEN DIAMETER (in) SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (it) DEVELOPED? FIRST, QAQ HOURS GRAVEL PACK O YES ❑ NO GRAVEL SIZE: DIAMETER TOP OF PACK in. DEPTH ft. BOTTOM DEPTH ft. WELL YIELD TEST If detailed pumping METHOD: O PUMPED tests were done is in- COMPRESSED AIR , formation attached? O BAILED ❑ OTHER ; 0 YES 0 NO are available, please attach. r., ELL LOG ff mare detailed formation descriptions or sieve analyses PTH FROM SURFACE water Dear- ing well Dia- Mater FORMATION DESCRIPTION cooE. . ft WELL DEPTH ft. DURATION hr, min. LDRAWtOOWN YIELD Lan ce 964) �9ppm. d WATER ❑ CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS O COLORED ANALYZED? 0 YES ❑ NO ANALYSIS ATTACHED? ❑ YES ❑ NO _ STORAGE TANK: TYPE - CAPACITY /X GAL. WELL DRILLER NAME C p Aoo4* � � n –- 510ATURE ft 7 7� � 0 r y 2. /4� PUMP INFORMATIO ; 1C� TYPE _ APACITY �+ 6 MAK,ErR DEPTH ��� MODELS ��' f VOLTAGE 7, 3 u HP ✓ /-.. (-i%. ENID L. CARRUiH, M.P.H. County Executive C•W UOti Public Health Director �V 1 JOHN KARELL Jr., P.E. DEPARTMENT OF HEALTH Director Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 March 8, 1989 William F. Zeiler, PE Concord Road Mahopac, NY 10541 Re: Compliance - O'Keefe Birch Hill Road (T) PV - TM #72 -5 -5 Dear Mr. Zeiler: Permit # PV -51 -87 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: Please send a copy of bacteriological analysis of water.from drilled well. They were misplaced or not received by this Department. Upon_, re -ceipt of .a�- su- l�m-,.s-si- on-.; -. r.e<vised, t.o refl:-ec,t the .,abpXe cpmme it's; iris-application will be considered.further. Very truly yours, Lawrence C. Werper LCW:jr Assistant Public Health Engineer 0 , COUNTY OF WESTCHESTER E-1 I Rev. 86 DEPARTMENT OF LABORATORIES AND RESEARCH' VALHALLA. NEW YORK 10595 BACTERIAL EXAMINATION OF DRINKING AND TREATED WATERS Lab. No. W-- soltle.No. Date Coll'd 4 Time 3 0 Lab. No. ENT. L Li i 2: Time Set L, itt6d Tests (Circlei)t S SP C, C. Coliform MON olitoim Membrane, Fecal, Other A0 Coli'd by Agency Coli'd for Coll'd from: Name VA&I A Address f (St. Ad.) (Cay, Town, V.11W), izip "0") fewinrif Identification of Source .Sampling Point within Promises QA4 Refrigerated? AkV Chlorinated? Yes 0 No *fee— mg/l. To!sl—mgll. pH RESULTS OF EXAMINATION OF WATER M 00'i"I Standard Plate Count acteria p- r ml .,(4i loIlform Group.- Membrane Method/100 mi. Number Positive Tubes Total Coliform Fecal Coliform Other The" results indicate sample (was, was not) of Reported by: satisfactory sanitary quality when the sample was collected. Date - • P �� Now.1116owo liffe) DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM '-t4 --.- *4�. FILE gyp. Owner �J�'y y © G / %G-� Address 112,C) 'tiFid• Located at ( Street) BI& (`N W/ c c. 4 Sec. 7 2, Block Lot (indicate nearest cross street) Municipality f' 7A1 X4 �s¢Gt;�' Watershed SOIL PERCOLATION TEST DATA PBOUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre- Soaking 2, - F.7 Date of Percolation Test SOLE 2f -2-7 3 �, 7 NUMBER CLOCK TIME - y2� PERCOLATION Z7. PERCOLATION Run Elapse Depth to Water Frain Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 1 L'03 L IJ 16 2 1 -%9 1 -V3 z zy 2--2 -3 d 3 6= Y9 1:0y -46 Ly 27 00.1 - 4 7,-Dy 7= 3,r 7-6 Z% 2-7 3 7 A 3 6 2f -2-7 3 �, 7 4 7 : zb' 2..x`33 - - y2� - .Zy - Z7. 3 _. �7 -: 3 6 2f -2-7 3 �, 7 4 7 : zb' 1 �� 210 2-7 3 /a. 5 1 2 3 4 5 NOTES: 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 APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES G.L. 11 21 31 41 51 61 71 81 91 10, ill 12' 13' I C4AJ0,Y 1A INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL To WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: DATE: DESIGN Soil Rate Used Min/1" Drop: S.D. Usable Area Provided 6700 sF No. of Bedrooms Septic Tank Capacity 12-,g 0 _ gals. Type &# ?jev; —,-e- Al-'sorption Area Provided By A-"j _ L.F. x 24" width trench Other Name k1Z•64 4.44 Signature Address SEAL THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft/gal. Checked by Date To r U,vfi4-b /loo essre r.✓ .iw"V6S 9*." /< �v vac tN>cre LOw.P"jy, n 6 AJ A LD Cx O C D S',fNd.' 1466zr , X P 73Z -yo/ y ,Cor r ra Nj LIS4 �t V Nea••sz••so "W To r U,vfi4-b /loo essre r.✓ .iw"V6S 9*." /< �v vac tN>cre LOw.P"jy, n 6 AJ A LD Cx O C D S',fNd.' 1466zr , X P 73Z -yo/ y ra �t AT 0 4!n /�� g,tivrmAy yry. T `� p•F l 4R,E.9 79,4 45' S. /. 624 lqe e--s MAP OF sOR V'-,— i Ew1Y /TC ED 'SuaoiYrsiO�/�lAPOF � AREPAREO fDiC - I•t/T.E�U7nl�9/7 COUNTYCI,E�Q.t,:s _,� O� ANTHON 3' O '/iG., FicEO/'1AP /3/7 70, WN OF PL 7N- ,91 I Y/l.C. ZY- /0071VA1'1 COUNT Y-1VZ-A1 YO.PK .SCA.tE% %•' 50, _ OAT.E;'.SEPTb�1B.ER 17.1987 ' �.P.EPAR.EO By F�n/AL : APa. /9, /9Py t 1V /t c /AM F. 2�lXA-R P,eaF,ESS�ONAL bNG /N,eeA G` .C%1N0 SU.Qi,EYaR 1 � , CONCORD iQOAO - MAh'OPAG • N.EIV Yo/P/C ID54 I F f (914) 628 - 4764 �,y' � t/ I 5; ; I cl , piq-,,AM couNM AUG 2 7 20f4:. DEPARTMENT OF fi8ALTH f �•W z�(y ti OS� ! 11 w t G 1 CL CD CL fn cn -- a 1 54 c 1 �� - ..` °'4 ;F "�' - �r�`r" �y= �y�ss� •„r:tr�.r3�w'.;tYl�i,}zT*n.� �-,E.� ;�,a��'�1i ti ��'���,u' �. �� � 1 o t n X2' a H VI 6 i 2 � J LL9 U i .501 I/rlTii Notes 1. All trees-within 10 feet of the proposed SSDS shall be removed. 2. , SSDS to be inspected,by.the design-- erigineer/architect -and- the Putnam County Health Department after construction and prior to backfill. 3. No trucks-, machinery, building materials, nor excavated earth shall be allowed in the sewage disposal area. Construction of SSDS to be in accordance with these plans, any revisions thereto, and the rules and regulations of the permit issuing governmental agency. - 4. Minimum 'wall yield of 5 gprn is required. Yields less than 5 qprn will be immediat6l), reported to the Putnam County Department of Health. SAIC, 6_1A1 6, t -r A, y ,f S' sr/.,J 0,0 r.Uep. 14-*,P L7' F[. of Pd-c z/, 1773 Ar -4 t6 6 gj-34'E 4" D.n. C. 1. P. y /f Q 0 0 '9 _:"n 1(7 4 5 0 0 Wee t Notes 1. All trees-within 10 feet of the proposed SSDS shall be removed. 2. , SSDS to be inspected,by.the design-- erigineer/architect -and- the Putnam County Health Department after construction and prior to backfill. 3. No trucks-, machinery, building materials, nor excavated earth shall be allowed in the sewage disposal area. Construction of SSDS to be in accordance with these plans, any revisions thereto, and the rules and regulations of the permit issuing governmental agency. - 4. Minimum 'wall yield of 5 gprn is required. Yields less than 5 qprn will be immediat6l), reported to the Putnam County Department of Health. SAIC, 6_1A1 6, t -r A, y ,f S' sr/.,J 0,0 r.Uep. 14-*,P L7' F[. of Pd-c z/, 1773 Ar -4 t6 eN M s 0A '9 41 M/ a L;OUIICy Uuvarlemaill 01 healzh _division T Envikonmontal-Healt h Servicab Approved -as noted for conformance with applicable Rules and Regulations Of tbffl County Health Department. Dot- --R 7- /A A] 7-9 0 A( K S17'414 74- IN rlle /'/j r1v 14 M VtI, L& Y 19v rA),-} I 60. 10 /ATE . 7-IJAIC-- Z -'!r, i /?C' V: /96-7 17, 9 R7 "Y/,z z /"?"v �OA)coR,q /F0,90 - 1WqO,4We - /VF.AV YORK 1,054 oo (9141) 623-4764 of NZW yo 01 "1 J4 F. fp.r14 e- '5' CA14 /0-/ 1; I'n 4" D.n. C. 1. P. y /f 1(7 eN M s 0A '9 41 M/ a L;OUIICy Uuvarlemaill 01 healzh _division T Envikonmontal-Healt h Servicab Approved -as noted for conformance with applicable Rules and Regulations Of tbffl County Health Department. Dot- --R 7- /A A] 7-9 0 A( K S17'414 74- IN rlle /'/j r1v 14 M VtI, L& Y 19v rA),-} I 60. 10 /ATE . 7-IJAIC-- Z -'!r, i /?C' V: /96-7 17, 9 R7 "Y/,z z /"?"v �OA)coR,q /F0,90 - 1WqO,4We - /VF.AV YORK 1,054 oo (9141) 623-4764 of NZW yo 01 "1 J4 F. fp.r14 e- '5' CA14 /0-/ 1; f1111 I W I 3 W � I u W 0 2 I d > W O I W I I v W r —I{ —A SH LTIC INLET f� iT �i� �I RING - I I O OUTLET 4 =0" 5•. O` - I14 11 I t CONCRETE SEPTIC TANK ' L fug -- SLABS POURED IN PLACE ARE DESIGNED TO IL I I I ul SUPPORT A MIN. LOAD OF 300:P.SF. L' PLAN ?. LASING 20 FT. MIN. LOCATION STAKE �� •� LENGTH UNDER ANY �.. CONDITIONS. ' ` -� 12 •• MIN. - REMOVABLE MANHOLE, REMOVABLE MANHOLE, 20" I41N. OPENING 20" MIN: OPENING BA RS. 6`O.C. 36" MAX. - 4" SOLID PIPE WITH TIGHT SANITARY SEAL ON WELL CAP —SCREEN VENT 112 " I I USE CLAY PUDDLE CORE 11-j BETWEEN CASING AND 7 = INVERT OF INLET "ABOVE WELDED SLEEVE DRITTLL HOLE. 48•r MIN. IP TYPE COUPLING SOLID ROCK FROM PUMP CASING, 2" MIN GROUT 'ELL CASING 10' MIN. IN ROCK EAL 'HICKNESS BUSHING OR ' SANITARY SEAL ON WELL CAP —SCREEN VENT CAST IRON PIPE, WITH TIGHT JOINTS, V41 FT. M IN. ;.SLOPE —rl INLET i CAULKED JOINT SANITARY TEE • I i u I 112 " I 11-j 7 = INVERT OF INLET "ABOVE WELDED SLEEVE 48•r MIN. IP TYPE COUPLING - I OF OUTLET. FROM PUMP TO PUMP 'ELL CASING BAFFLES MAY BE m BUSHING OR ' 3111111UJJ USED INSTEAD ' I� LEAD CAUL KING. TYPICAL SECTION OF DRILL-ED WELL CAST IRON PIPE, WITH TIGHT JOINTS, V41 FT. M IN. ;.SLOPE —rl INLET i CAULKED JOINT SANITARY TEE • I i u I JOINTS, GRADED t/8" /FT- MIN. OUTLET kl CAULKED JOINT I; I1; SANITARY TEE �t • 6" MIN. WALL THICKNESS FOR POURED IN PLAC, CONCRETE .....•000CCC " 5•. I I �._O � . PEA GRAVEL OR 't SECTION • CLEAN SAND TYPICAL 1200 GAL. CONCRETE SEPTIC TANK SEPTIC DETAILS prepared for New ro SAP pN F. I i R prepared by WILLIAM F. ZEILER Professional Engineer & Land Surveyor lid iy p1 �� Concord Road - Mahopac -New York 10541 (914)-628-4764 fA P40FESSIONp�E z oc s t. 4 j� r S r k ASPHALTIC SEAL 7 = INVERT OF INLET "ABOVE i f 3 INVERT n - I OF OUTLET. N I I L10UID LEVEL I_ -- _ —VE BAFFLES MAY BE m 3111111UJJ USED INSTEAD ' I� - OF SANITARY TEES U I2 a I W 1" CEMENT PARGING Z � O ON INSIDE O JOINTS, GRADED t/8" /FT- MIN. OUTLET kl CAULKED JOINT I; I1; SANITARY TEE �t • 6" MIN. WALL THICKNESS FOR POURED IN PLAC, CONCRETE .....•000CCC " 5•. I I �._O � . PEA GRAVEL OR 't SECTION • CLEAN SAND TYPICAL 1200 GAL. CONCRETE SEPTIC TANK SEPTIC DETAILS prepared for New ro SAP pN F. I i R prepared by WILLIAM F. ZEILER Professional Engineer & Land Surveyor lid iy p1 �� Concord Road - Mahopac -New York 10541 (914)-628-4764 fA P40FESSIONp�E z oc s t. 4 j� r S r k County Health Department after construction and prior to backfill. �, 3. No trucks, mavhinery, building materials, nor excavated earth shall be ,DISPOSAL TRENCH DETAIL" „Inrsract d ON cENrE4) allowed -in the sewage disposal area. Construction of SSDS to be in - - >. ' " °' "' "` - " accordance with these plans, any revisions thereto, and the rules and regulations of the permit issuing governmental agency. I f 4. r4i immediatelylreportedito -the Putnam County I�e1rtnentsof Health �11 be Notes :Required When Fill Proposed 1. Fill must be allowed to stabilize for 60 to 90 days following placement �. �( �d be inspected by the Putnam County Department of Health for acceptance, C f f O t_U__ . BOX prior to installation of the sewage system. Late of placement must,ee DETAIL , reported to Putnam County Department of Health. - s ° 2. nan of bank f111 Shall be suitable for sews absorption, be free of fines `INLET. -� .;�. sewage rpt' oa ° o , ° { ;b ether unsuitable material and shall have an in -place percolation rate at least 1 to that in the natural soil after the required stabilization . ` equal j o ° °I period. The engineer /architect shall perform a final percolation test in ° • o'� the fill after stabilization. -- - o °o o° Remweable cover J_ff r, —► Z � q, 1 f�l PE p - prepared by CuRTA /n/ DMA /f/ WILLIAM F. ZEILER Professional Engineer & Land Surveyor aZ.h� Concord Road- 14ahopac -New York 10541 ( 914) 628 -476<k PNOFESSIO ;;a { 3 ° �3 3. .I#ipervious fill, clay rrier, shall be a dense clayey soil with little or 'nb sewage absorption capacity. • ° ° ° 0 SEPTIC DETAILS Prepared for ° O o � ° a ..: -. . ;, • - .. . " d, ° oO� E ° of NEt v �)y / �Y /'1E�- c>'PSs M F. P L. f�l PE p - prepared by CuRTA /n/ DMA /f/ WILLIAM F. ZEILER Professional Engineer & Land Surveyor aZ.h� Concord Road- 14ahopac -New York 10541 ( 914) 628 -476<k PNOFESSIO ;;a { 3 ° �3 E o I D'I %il o -/' Tom Sore. f0GR r. /PATE B -/u M.-'1N14I c5 9.3 4, SDf} Srw /c / ••� So e i; a e j.8,2,L qC f- i 1. 1 A11 trees'within 10 feet of the proposed SSDS shall be removed. 1 2. SSDS to be inspected by the design engineer /architect and the Putnam County Health Department after construction and prior to backfill. 3. No trucks, machinery, building materials, nor excavated earth shall ',be allowed in the sewage disposal area. Construction of .SSDS to be 'fft accordance with these plans, any revisions thereto, and the rules and' regulations of the permit issuing governmental agency. 4. Minimum well yield of 5 gpm is required. Yields less than 5 gpn will be immediately reported to the Putnam County Department of Health. S.ero for S rwis, .4or,rr q ,(s f,y.un! od sr/ao. Ai,#P /'' -T FL. ' OF a.ReN Ir/ /KS .Pd'e / rcEn 1wfy z/, /979 ,}.r.flp -1917 As- r3�,�� A�HVNS/oas LES.END I o Sk -71,- T v r o •• Q DiST.P /BUT /CN./�Ox ^, • �,F,PCOLAT /O�t/ TEST,iOLE ` DEEP TESTI/OL.E L C• WeL c H3.F — — 4 "OA. I p E.PF /P/`P. - 4, SDf} Srw /c / ••� So e i; a e j.8,2,L qC f- i 1. 1 A11 trees'within 10 feet of the proposed SSDS shall be removed. 1 2. SSDS to be inspected by the design engineer /architect and the Putnam County Health Department after construction and prior to backfill. 3. No trucks, machinery, building materials, nor excavated earth shall ',be allowed in the sewage disposal area. Construction of .SSDS to be 'fft accordance with these plans, any revisions thereto, and the rules and' regulations of the permit issuing governmental agency. 4. Minimum well yield of 5 gpm is required. Yields less than 5 gpn will be immediately reported to the Putnam County Department of Health. S.ero for S rwis, .4or,rr q ,(s f,y.un! od sr/ao. Ai,#P /'' -T FL. ' OF a.ReN Ir/ /KS .Pd'e / rcEn 1wfy z/, /979 ,}.r.flp -1917 As- r3�,�� A�HVNS/oas I N TS � b •N/No L Y0.7' H3.F 3 NY•9' s7.v' N sX7' 73.7.' f 6 yr' 6 ze, G 79.0' /e.. 3' -. 9Z- 84- o o. A � K i' �S'EPT /C DES /iii✓ SDA OREPAQED Lo.e o A /V THO ff y o'KC-"EtE "' W /o" 1 , -" 110'I1ol/0 THIS IS TO CERTIFY THAT THE SEWAGE DISPOS&'SgSRM6.1.-P, WAS CONSTRUCTED AS UNDICATED OY THIS PIiA1Y�NDs Yi�j �Ft THE SYSTF ! o i CT I-5) DY D BEFORE IT VIAS COVER- ., ED OVER T1DE l 5,:.. ,...:.. C0 -1.,T UCTID IN ACCORDANCiz, ..0 eq,ot Gna. 'WITH ALL THE I;'_.SsS ?.17D REG'JLATIcws OB THE PUTvdikP,,, TANK COMM DTPARTMEJT OF HEALTH. rJ r q / ,Slr&Ate 14 X rONN D/F PUTNAM l/qL I- (---Y - IOIJVfYM' ,GO. DATE: TudE 2-",' g. /987 �F d. X ej�. / y 19-R7 K PPEPr9PErJ BY �s- du /�/- i4.6; a, /9B6 OROFES'S /ON9.0 ENG /NE.ER � LfJn/O SV.41%EYD� — CO.ilCD f,2 PO,vD /I%9 /OPr9C N.Ew Yo e,"C A95-4 / (9/4 )1028 - 4 7& 4- 1pt�'pF NEW ro i r � - ,.85* -CO7'w ne TRB•✓cf�c3. �SlO �g' i; c'.:,° ,. >up: i 1• • Z� 7' S I S�DA � b •N/No ;�Ly C 0 ai i h I, It �nam of ftealtL County Department 0 V on of Environmental'Health Service - 1 /}S �v��•� 1 Approved as noted for conformance with applicable Rules and Regulations of.the 2 Putnam County Health Department,. Aigaatnre & Title �S'EPT /C DES /iii✓ SDA OREPAQED Lo.e o A /V THO ff y o'KC-"EtE "' W /o" 1 , -" 110'I1ol/0 THIS IS TO CERTIFY THAT THE SEWAGE DISPOS&'SgSRM6.1.-P, WAS CONSTRUCTED AS UNDICATED OY THIS PIiA1Y�NDs Yi�j �Ft THE SYSTF ! o i CT I-5) DY D BEFORE IT VIAS COVER- ., ED OVER T1DE l 5,:.. ,...:.. C0 -1.,T UCTID IN ACCORDANCiz, ..0 eq,ot Gna. 'WITH ALL THE I;'_.SsS ?.17D REG'JLATIcws OB THE PUTvdikP,,, TANK COMM DTPARTMEJT OF HEALTH. rJ r q / ,Slr&Ate 14 X rONN D/F PUTNAM l/qL I- (---Y - IOIJVfYM' ,GO. DATE: TudE 2-",' g. /987 �F d. X ej�. / y 19-R7 K PPEPr9PErJ BY �s- du /�/- i4.6; a, /9B6 OROFES'S /ON9.0 ENG /NE.ER � LfJn/O SV.41%EYD� — CO.ilCD f,2 PO,vD /I%9 /OPr9C N.Ew Yo e,"C A95-4 / (9/4 )1028 - 4 7& 4- 1pt�'pF NEW ro i r � - ,.85* -CO7'w ne TRB•✓cf�c3. �SlO �g' i; c'.:,° ,. >up: i 1• • Z� 7' S 771c, CIO I m ri Zp flN tP RN r7 O tJ Ir F-_ I F') C'_ 7- r--% r-N I L L I 414 77Y lee '01 Yi ort ...... .... ue4 `. f J. j �� yk. ,a I -� i � }� ! :� ,, i ,, �' �:�.. , > �y �� I� - ,- i.,:. � .. _ , "� ' . !.: �-, •, D,•t 1-,4 0-/' so/� , 9 '5. 0 kj jq r. A)aLL. )3 eg/ L5 �911 '40 U „,A;: I healUk L) vartWOLIT, 0 OGY Services Division stal Realth of--inviron- for conformance With joVeQ as noted ions Of t" d Regulat applicable G A AJ 7_1Y 0 IV Y OKC6FC-' Co. _OA11V 0/_1 P11004M L144 1Ozjr1.),,, DATE: 7U/V6 ZS, i9" Tut_y '30 /987 4 �G. 17 9 a7 4764- of;NE F.. CAII 11-117 44- ',485..CR7'Ad 5 �'y PROFIEW SkI.Irle XIVIt, 445 0 Notes - — 1Z =. 1— All trees within 10 feet of the-proposed SSDS shall be removed. It. 2. SSDS to be inspected-'-by the design engineer/architect and the Putnamj County Health Department after construction and prior to backfill. SDA 3. No trucks, machinery, building materials, nor -excavated -earth shall be;': allowed in the sewage disposal area. Construction of SSDS to be ini accordance with these plans, any revisions thereto, and the rules and; regulations of the permit issuing governmental agency. 4. Minimum well yield of 5 gpm is required. Yields less than 5 gpin will be! immediately reported to the Putnam County Department of Health. S,4 16 7- A' 1/ 4 04 X.VZO. Af-,P of S Sec z/, /973 As A,.* , 9 '5. 0 kj jq r. A)aLL. )3 eg/ L5 �911 '40 U „,A;: I healUk L) vartWOLIT, 0 OGY Services Division stal Realth of--inviron- for conformance With joVeQ as noted ions Of t" d Regulat applicable G A AJ 7_1Y 0 IV Y OKC6FC-' Co. _OA11V 0/_1 P11004M L144 1Ozjr1.),,, DATE: 7U/V6 ZS, i9" Tut_y '30 /987 4 �G. 17 9 a7 4764- of;NE F.. CAII 11-117 44- ',485..CR7'Ad �'y PROFIEW I co Jr y': 2 a . i u (iI�!. z-late � TZa nz 1 BEi>d2op M � �i Vo - - -- — — - -- .•- -- 4YL Cc dj i z o 5 ,� � � O' I �,p c�,_ ""r -•�;'� �'_ ____ �2 ems/ OF i 1� dy ao •�v . f i b --���• t ""I d' _1 Scll� t -- ..O.V A •,�! +n6 ,.o, y o = ,ice- -a - -- �vilBab – — -- ' � x C: � §"' i `'`1 et » r -aet. D :tY�� � � -a..�p � / � •�"'� ��� �� � z "` -N..i � `,�� : � �'.�i$`S� �t '.` c y � .b, ,'�� +?rpa 3°� � ,. tt 1 Cw+2�F._aa'c{ 5 at,S !•9t+ ,�r �,,�'�u � �' °..a:: '•� 3:�. ��� u. u �,1 l04 �iZ�i "I I NMII� 1'� // q a EC, rr =ate x� t, SO UVKJg CJON 1Lzi `-7 I N I a r',Sb �;/.,2 l�ii ✓dam u - - -- w d O 10 -- f o F, 0 G po a a ets J• �, NIrnl c'� • 11 � x/ a : e71 .; fyl fyFl Z� !' ✓1 �.J/Yt7 /�.?• cY�k1� �;� � � ;/ � '�,,;