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HomeMy WebLinkAbout3283DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73. -2 -6 BOX 26 .. 6 1I` ati r - L - 03283 - -°-- -� -- --: iown or ♦wage Located at rI:C�F- tJi9c� Tax MiP Z- :131ock_Lot Owner_ /sippllcant Name' G Qn � 1 Formed Sobdivfsion Nerve +v I abdv. Lot N� a �.. zi 1 o s 9 ��,-_ 1 a1 Address P Date.l?ermit Issued 9 Separate: Sewerage' System ballt_ by�^�� �m�r Address N Conalsting of A off. -s0 Gallon Septic Tank and i Water Sapplyr public Supply From Address ` or: !% Private Sapply "Drilled by Address —� SZ ���le�'Q n: u-r AL1 i1' Baps: Ty� 1Tt� Has Eroilon Control Been Completed? Number of Bedrooms Has Garbage' Grinder Been Installed? �' i7 tJ Willa Other R.egdremeate . 'I certify that the systems) as listed serving the shove premises _were'conetructed'essentially as shown on a plans of the completed work ( copies of which.a!e attached), an in accordance with the.standards, rules "and regul s` d cco ce wi h f led'' an; and the permit issued by the Putnam County 6i r ent" f,Healt " � Date Csrtifled-bX ',: P E.. R.A. Address . Ltesnq r4 v Any per on occupying premises served by,the abov.'e system(sl••shsli promptly take •tuch;octbn 6s may bsi n,aeeuary to sacure tha,correction: of any "unsanitary C6 resulting Yrom such usage Approval of the sepaiate sewerage;syttam shelf become. null end void ar,won`at a Pubt% sanitary tiwer.beeomes r _-.. avallaDle and. the approval of "the private :water wDp�Y shall' "become null and void -When a Public water supply_ eKornes available. Such approvals are wblect to Modification, : or change :when, do the judymsrrt of the "Commissioner of Malth such revocation, modificatbn or change If necessary. Title . " -6. A_sc wzjaL t,.Vr1r1jr1LLV0 nrEV1%.L Office Use Only DEPARTMENT OF HEALTH Division Of ,:Environmental Hea1C Services U6 04 PUTNAM CO ME 1 COUNTY DEPARTMENT OF HEALTH . I - I a EET AOQRESS- TOW LAGILQL%_ TAX GRID tiUMSER:- WELL LOCATION WELL OWNER NA ADDRESS: *RESIDENTIAL PRIVATE C3 UBLI C3 UBLIC IC USE OF WELL 1 - primary 2 - secondary g6 ❑ LIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED 0 BUSINESS ❑ FARM ❑ TEST/ OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND-BY ❑ AMOUNT OF USE YIELD SOUGHT gpm./NO. PEOPLE SERVED EST. OF DAILY USAGE SU gal. REASON FOR DRILLING )M-NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST/OBSERVATION ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH — wkoo ft. STATIC WATER LEVEL. 34-11"Ift.1 DATE MEASURED DRILLING EQUIPMENT AQ ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG "'C�WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. ><OPEN HOLE IN BEDROCK ❑ OTHER TOTAL LENGTH ft MATERIALS: OSTEEL 0 PLASTIC 0 OTHER CASING DETAILS GRADE lalf&'ft. JOINTS: OWELDED 19THREADED 00-IHER _LENGTH.BELOW DIAMETER _,L in. SEAL: ❑ CEMENT GROUT ❑ BENTONITE ]ZOTHER WEIGHT PER FOOT 12 ib./ft., DRIVE SHOE: YES ❑ NO I LINER: 0 YES ,4N0 SCREEN UT -AILS-.1 DIAMETER (in) -SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (I Q DEVELOPED? FIRST IOUF SECONO-­ GRAVEL PACK 0 YES 0 NO GRAVEL SIZE. DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DE"i — It. WELL YIELD TEST If detailed pumping METHOD:. 0 PUMPED tests were done as h, OCOMPRESSED AIR formation attached? 0 8AILIf0 ❑ OTHER '0 YES ❑ NO It more detailed formation descriptions or sieve analyses WELL LOG' are available, please attach. DEPTH FROM SURFACE 1Bear- Water ing Well Dia- meter FORMATION DESCRIPTION CODE ft. I WELL DEPTH ft. DURATION hr. min. DRAWOOWN it. YIELD gpm- d s Lanuirlace 4jW 1.1 4 lie A Qf WATER 0 CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS OC6LOREO ANALYZED? OYES ONO ANALYSIS ATTACHED? OYES ONO STORAGE TANK: TYPE-410&X 7- rd CAPACITY GAh BATE WELL DRILLEB NAME A� ADO � f�,%0,5 - 7 K-,� PUMP NF MATT TYPE .4qq4,frA ACITY MA 7-b-6d&. AAn DEPTH MODEL 3_X1Q--4:_2�LTAGE?-_3_ChP_ 11 -1 Yorktown Medic al T hf*ir for Inc LAB " -:�' : °" `= �7 J , 321 Kear Street Date Taken : 1-f Time: 44 P1 Yorktown Heights, N. Y. 10598 Date Rc_' d :. - Time: if2 5 .q): '_agGA.... _ ..... _, .< Dste ;Repo tad. °SE 209989 - ., • Y.. �. Director: Albert H. Padovani M. T. (ASCP) Collected By: 4�rejAJ ulegA &_?1L<jA,6 - Referred By: T- Sample Location: Asr 7 �JFiLSc�.tJ 1.rJG�L �d��LG/NG ��c xa �� - tea. � � l�X .J�L1 �.L.Ctrrt 112 L c�N Phone #-�' � � r� 4A7/ 10,S­ Phone # ` Sample Type: L �G47iV�2 i J Repeat Test? _ I (check each) LABORATORY REPORT ON THE QUALITY OF WATER INORGANIC NON- METALS mg/L) MICROBIOLOGICAL (CFU /lOOmL _ Acidity Alkalinity _.Chloride Detergents, MBAS Hardness, Total Nitrogen, Ammonia Nitrogen, Nitrate Phosphate, Total Sulfate Sulfide Sulfite GENERAL BACTERIA _ Standard Plate Count (CFU /1.OmL) MEMBRANE. FILTRATION TECHNIQUE Total Coliform Fecal Coliform Fecal Streptococcus METALS (.mg /L) MOST PROBABLE NUMBER TECHNIQUE Copper Iron _ Total Coliform Index Lead Mangg.Ae.$g__._._ ',r �euK� _... - _- :Fecal -C6112 index Mercury Sodium KEY FOR TERMINOLOGY Zinc CFU = C in F mi n Units MISCELLANEOUS pH (units) Color (units) Odor (TON) Turbidity (NTU) ooy or g CON = Confluent (q.v. TNTC) LT = C = Less Than GT = �:> = Greater Than N/A = Not Applicable S/A = See Attached TNTC= Too Numerous To Count REMARKS /COMMENTS (For Lab Use) _ ✓Potable Non - potable STP INF STP EFF Other: Sample Status: (check each) Outgoing HNO3 _ HC1 H2SO4 NaOH ZnOAc _ Na2S203 Other: LE 4 °C _ SGT 4 °C pH LE 2 'pH GE 9 pH GE 12 Other: ELAP No. 10323 THESE RESULTS INDICATE THAT THE WATER SAMPLE (Was) (Wasn't) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO TH NEW ORK STATE PUBLIC DRINKING WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF SAMPLE COLLE TION. THESE RESULTS INDICATE THAT THE WATER SAMPLE (Did) (Didn't) (N /A) MEET THE SATISFACTORY CHEMICAL QUALITY STANDARDS OF THE NEW YORK PUBLIC DRIN G WATER CODES, FOR THE_ PARAMETERS TESTED, AT THE TIME OF SAMPLE COLLECTI . lx/ RV i 2Z, ,e - ''. -2G /'07 /_ 2 /86(Rvsd7 /87)RWE Albert H. Padovani, M.T. (ASCP), Director PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _ _ . _. ....._..._ •:�- .„'c`�''.. "s =v.... .,.. r-, r r, _ -- . -•r ... _.. :ems 'F: w. "::.�;a,:.z•::*i_ i:+A- Owner or Purchaser of Building Building Constructed by Location - Street VAJ Municipality Building Type Block Lot t °fit; J i �t . 7 G ' e-),- Subdivision Nhnva Subdivision Lot # GUARA= OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health„ and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction ..Compliance" f.or _the sewage disposal sy_stan, : or any - =..,. �repairs,=made`•by rc�e fa sucE % system,' exeept where id-failur'e" to operate p "ropefly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant Q tTe fuilding utilizing the system. Dat this day of d�'�j'- 19e, Signature Title Gen al.%Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk V '-t FXR -' ' Vyr Corporation Name (if Corp.) ?-b �-U� -It � Ip Address a �1 p vc PIITNAM COIINTY DEPARTMENT OF,HEALTH 'Dlvldon at Envhtiomentsl HesN6 Sevlces. Carmel N Y 1051? � Provtde�Peimtt Il' " r . ! on CERTIFICATE OF COMPLUNCE . Peeanit N tire_ CONSTRII ON PERMir FOR SEWAGEkDLSPOSAL S]rSTEM '�..�i ±.` Iocateal at l(.(,�° W� onm Will Ts: �1�DA� t Renewd,_O ReAsto' p • Otl� /ApPRcpnt -Name . Date of Prevloas Apptovd ,8'Aat!►.1r[' -Gf OJe�1�li�no�5 CTowa�_1c��J iEi� y>p IO518 BdW1aS Type�lt/�cL► Lot Ares ` ` FIU Sectloa Od r ; Npmbei; of Bedrooaw "r ` Deeiga Flovi :G P D -EC®Nodficiildon is �etlglred 611:FiO tnpleted Separate Seweitsae,Syatem to ooaatst 4 �� r Galtoa Septic Taal ari' f To 6e twastrdcted by • Addrees "�- Water St = Pt(bilc Supply From Addeeee ors �P.tvate.SuPPIr Dtlaed br 5 ° 3r !7 A:t.1..,v. Otber, Rel(ahemeate • L��l �JI l iZ',tLl� 1 represent that 1 °am wholly and completely }responsible4fo► the'tleugn and location of the.rproposed systems) 1) tnpt the separate ,'sewage'disposal�systsm above' descnbea =wUl be constructed as shown on the`approvaG;amendmen4ithera to and in accordance wdh the`stangardi rules.an regq a ions o s, ' Putnam County, Department of Heafth, inA that'on completion the,eot s Cerfrfreete ;.of Construetion,Complranee^ satisfactory to the Corrimiisioner ofi Healthwill 11 M submitted to �the:Department c,antl a „written'querantse will Ds—fu►nishedtha owners his;wctesso►s, lieiisor assign's by the Duikler ;that sai0`builtler will, Place..;in gootl' oparahnq: contlition my pail of slid` sswa9e tlisposal System durirq the'perksd bf, two (2) ":Years imjnsdiately:followiig the Wti'of the isw anea: of: the epprovN oI_khe Certifkati_', Construction t or ipliance 'bf the original system or any rapai►s,thereto U that'tha.drllleA' well tlasbigetl aboys will Datoeated as'shorvn on the approved pleh, and that saitl well will be `inrialletl in aecordan wit, the sta " rtls u s a r`aqu ns of Me Putnam bounty Department of Health s s rA t a Date , A Signed PE N R A Address 47 t ieense No e APPROVED. FOR CONSTRUCTION This a'oprovsl ezpues two years f om the .date issued unless eonst -ion ot:the building hai been undertaken antl`.is revocsible4or uuse or,may beaamentled or;motlifietl vv hen considereQ:hefessar "Dy the Commissioner Health.,.,Any chanye.or al(eration,of construction regwres. new :perm roved' for tlispo 1 domeriic sanitary sew tprivate w ei wpply,onry. Y ra l87 Date' - ' /�� r �-�L`� Title DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 r- .^' -:2 -_ .ic.,. ..'ty`'- =: ".. —+_.._ ;:.. ', ''f ='�tii+ ,..:r;:.,. `:» vm'-=.-t +:►:nom.. .:-'<. '!..- :...uny%..w....+a* %. �. sJ._ APPLICATION TO CONSTRUCT A WATER WELL1, PCHD PERMIT # WELL LOCATION C et Address Town Vill ge City Tax Grid Num�berr WELL OWNER Name Mailing Address `J v ovate O Public USE OF WELL 1 - primary 2 - secondary 13ddSIDENTIAL O BUSINESS O.INDUSTRIAL ®PUBLIC SUPPLY [3AIR /COND /HEAT PUMP 17 ABANDONED O FARM O TEST /OBSERVATION 0 OTHER (specify O INSTITUTIONAL O STAND -BY AMOUNT OF USE YIELD SOUGHT S gpm /# PEOPLE SERVED /EST. OF DAILY USAGE CPOO gal REASON FOR DRILLING ZWEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION QREPLACE XISTI G SUPPLY ❑DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE OlIkILLED DRIVEN ®DUG ®GRAVEL C] OTHER IS WELL SITE SUBJECT'TO FLOODING? YES ✓ NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:. 57 Lot No.- g WATER WELL CONTRACTOR: Name Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES L-90 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 Nee�� (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: 19 Date of Expiration: 19 ermlt ssuin f lcl Mite Permit i.s Non - Transferrable copy: H. D. File Yellow copy: Building Inspector Pink Copy: Owner 2 87 Ornnr m mrnr- WAI I flri I I mr t PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental. Health Services w..r.� .�.+ �..- .rn.ss•.✓�,c�...y i... .r.�.. r.- ...�. . ..— ..�rr.....vvm� s.w.a�iwT.....e. .+� -r.a nM�u .rV ....�:• � ��� .. —.. -1..� � ..r..�.a AFFIDAVIT — CORPORATE OWNER APPLICATION FOR PEEL41T APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Commissioner of Health In the matter of application for: I �WAID Y) represent that I am an officer or employee of the corporation and am authorized to act for`�d (Name of Corporation) having offices at y j\`4 -L - C QV%Aoyk. �� pj�Q a �� �► g�� �� Whose officers are: President: ' WEk-WM-N (kQ (Name and Address) Vice — President: �A1Q v� 1 �� t'j. �.� �• " (Name`and Address) ' Secretary: (Name and Address) Treasurer: ) 0Qwzk,&D . , 0e_k (\%4 y) \� (Name and Address) and that I am and corporation with thereto. will.be individually responsible for respect to the approval requested and any all and all acts of the subsequent acts relating e Sworn to before me this day Signed: U&A��^ of 19_ Title: U1 L� &21bej- Notary Public Corporate Seal 8/84• PUTNAM COUNTY DEPARTMENT OF HEALTH DIVI SION­-QF... ENVIRONMEN.TA-L.-.HEAL.TH..SERVIC.ES�,,;.�-,- - Date 1glon-. 1, 044'x3 Z Re: Property of '-CX-:aACk3 Located at M �Z-Block­kj Lot_ 163 A 19 I'm Subdivision of Subdv. Lot # Filed Map # T. MICHAEL DALY,,P.E. Gentlemen: CONSULTING ENGINEER P. 0. BOX 243 This letter is to authorize SHENOROCK N. y- a duly licensed professional engineer,or registered architect t� (Indic a e 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 conn.ect�orr wi-t--h:;thi,7s-- ma ter and, -to-­.supervise the.----constructi:orr­.af .-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. Very truly yours, A SOned 44V Countersigne Owner of Property MY P.E., R.A., # Address 7, enNS11 PAY, RE. I I L? Address P. O. Town SHENOROCK, N.Y. 10,r,87 A 9 -zoo Telephone Telephone APPENDIX B PUTNAM COUNTY DMAR`IME U OF HEALTH - DIVISIM OF ENVIRONMENML HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEMM DISrPOSAL SYSTEMS `P2NiiT _ ..+..... -� :_:..tea.- ...<....,r - •�i�'i` . r -. � - ,� , +ca. � ..�... 5: '(;Name of Cwne --- ) CCi+%=S reouired ' X6,0. f' t. ��Yar A6 e_. SYSTalS fi4 notes new aec. contours DA BY (Street Location) YES NO DOCUMEM Perni.t Application Corporate. Resolution °-� Plans - Three sets Engineers Authorization Design Data Sheet MCS) Deep Hole Log Consistent Perc Res;ilts Perc Hole Depth DATE X 200 ft. reservoir, e tc 150 ft. trigall /gall. s/s C CUBDIVISICN Per` 4 (3) Fill cd �— --=two sets _ per-mit; F -vs letter Request GENERAL Legal Subdivision c- ° Subdivision Approval Checked P-c-a_ proval SSDS Ad-J. Lots Checked -Wetland (Town /DEC Pernait R & D). Data Cn DDS Plans & Permit Safe REQUIRED DETAILS CN PLAINS Swage System Plan - (nor -Un arr;-w ) Selvage System Hydraulic Profile - Gravi =�_v F1cw -Fill Profile & Dimensions - Voiu-ne J Box;Trench /Gallery; PumD pit details Septic Tank - Size, Detail � � v Well Detail, Service Line if ever .Construction Notes (gr nceY` rate) Design -Dati: Perc and deep results Two-Foot Contours Existing & Proposed Driveway & Slopes Cut Footin /Gutter,Curtain Drains (discharge OK) Perc & Deep Holes Located Representative of primary and expansion Expansion Area; shown; gravity flcw,suff. size If Raped Pit & D Box Shown & Detailed House - No. of Bedroons 57-- Wells & SSOS's Win 200 ft. of Proposed System Property motes & �._. House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 1'0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Tre- -s,Top of fi' 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, lake (inc. e.-,Pai 15' to Drains - Curtain, Leader, Footing 35'to catch basin,stormdrain, piped watercour: 0' to Water Line (pits -20') 50' intermittent drainage course Septic Tanks 10' frcn Foundation; 50' to well 15' Well to PL 9 0400" e2 &.17 ea o- RnMM CUWY DEPAFUMENr OF Y. •' • F ENVIRCNMENTAL HEALTH'SERVICES DESIGN DATA SHEET SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. �� LXX ���,�����jjj iL e.SS•tj.. .._ (.�. =-0-r �n�:....;� ^. . •- ` T�- . Located at (Street) Kw t-t� `'ZUfh� -bee: -7, Block i L Lot l � (indicate nearest cross street) Municipality Watershed -7E�p �, LL- SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre- Soaking Date of Percolation Test HOLE NLMER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 7� 2 �� ��� i �'g 7 17 3 I j . lB r i''t' I 3 7a 4 5 1 2 3 4' 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 snbmitttd for review. 2.. Depth measurements to be made fran top of hole. rev. 9/85 TEST PIT. DATA REQUIRED TO DEPTH HOLE NO. HOLE NO. HOLE NO. _G..L.�tL 2' +r 3' e r 5' y� A 6' 7' o� 8' �o 9' 10' 11' 12' 13' q 14' ...�. e = INDICATE•wI�V ,-A' , :�'.1Qk - -- _,.I INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: �";� DATE: DESIGN Soil Rate Used `t[; Min /1" Drop: S.D. Usable Area Provided �`'UDea No. of Bedrooms .4 Septic Tank Capacity I gals. 9)iW ` Absorption Area Provided By I(OB, - ago Other - �j -`',"i� Name Signature Address r 3 SEAL THIS SPACE FOR USE BY HEALTH DEPARUTM ONLY: Soil Rate Approved sgaft /gal. Checked by Date �rxF z rx'pL �€ „+ f,ae ctta V LOT c0. x . 1.1968 AC; lb i LOCATIONS L R V t {M � 3i .5 zn�?. AFT' '0 �' ...s..i& On', x ,_` .. -:. � cc.. +� M"St '�� ..t,. J,;,., .., ... /iii, •�,., ....,.. 4). .,� b :k2'f';�:x t '. ig.� ,S�Y.-.yy ,t• _ L- � � •{,,::Gw •. -h ",F �,• 'A .c •'3k � .. x'1 J � :�� -V �1�p SA, p aCONSTRLJCTED AS,INDI& ONx3HiS PLAN AND--THAT THE' ' ( r'TM iqs I ME,H]+FbRE ,(1 glas COVERm OVER: N W i 'ONS1'RUCTE 1 IN ACCORDANCE 1NTTH ALLS sxSTEI� `THE RUBS ANQ it¢ - IL 710NS OF 7H£ PUTNAM COUNTY, • � � pF:f�AFt1MENT�OF HEALTH 5 .,- ,: pR z ;YUtnam.C_ouniy llepartimeni birl, xeaith Jivsipon 'of Enviror.•• n al Ilealtn Servicoe 2. ` _.ApDrove(C .o noted : x conformance with ryC� ;pP?1caL 'Hal co a.d'Regulations of. the ?utnam C a ;cy ea D partment. a. i Qlanatux'e "T.it SEPTIC TANK J .` A 61F d� REQUIRED '& INSTALLED - ? .1250 'GAL MASONRY SEPTIC TANK .168 LIN FT, OF TRIGALLEYS .7' DEEP CURTAIN DRAIN ' NOTE: HOUSE, DRIVE & WELL , LOCATIONS AS PER" SURVEY BY' DON DONNELLY AUG. 29, 1989 j a yI� C, d , 4• s� PLAN @ SCALE 1" =30' WELL ..AS BUILT. SEPTIC :, SYSTEM FOR DEVON.: DEVELOPMENT CORP. LOT NO.B;`' HUNTWG RID& FM2276' lAA- 82- 11- 15 \19 \8' MILLER : ROAD . TOOT NAM OF -. PU RJAM VALLEY PUTNAM CO. N.Y. SFpT'29,1989 REV.ISIONS::. 1_ CAR DtWY, FIX ..BOX U3 Smotoc I Y - SEPTIC TANK 57' -5' 22' . DIST. BOX 1 1191 POINT 2. 126' 106-1O' POINT 3 132' —g' 114' -9' POINT, 41 139' -8° 125' -5' POINT 5 ' 116' 125' -8" POINT 6 106' —g' 118• POINT 7 98'-- 107• -7° L R V t {M � 3i .5 zn�?. AFT' '0 �' ...s..i& On', x ,_` .. -:. � cc.. +� M"St '�� ..t,. J,;,., .., ... /iii, •�,., ....,.. 4). .,� b :k2'f';�:x t '. ig.� ,S�Y.-.yy ,t• _ L- � � •{,,::Gw •. -h ",F �,• 'A .c •'3k � .. x'1 J � :�� -V �1�p SA, p aCONSTRLJCTED AS,INDI& ONx3HiS PLAN AND--THAT THE' ' ( r'TM iqs I ME,H]+FbRE ,(1 glas COVERm OVER: N W i 'ONS1'RUCTE 1 IN ACCORDANCE 1NTTH ALLS sxSTEI� `THE RUBS ANQ it¢ - IL 710NS OF 7H£ PUTNAM COUNTY, • � � pF:f�AFt1MENT�OF HEALTH 5 .,- ,: pR z ;YUtnam.C_ouniy llepartimeni birl, xeaith Jivsipon 'of Enviror.•• n al Ilealtn Servicoe 2. ` _.ApDrove(C .o noted : x conformance with ryC� ;pP?1caL 'Hal co a.d'Regulations of. the ?utnam C a ;cy ea D partment. a. i Qlanatux'e "T.it SEPTIC TANK J .` A 61F d� REQUIRED '& INSTALLED - ? .1250 'GAL MASONRY SEPTIC TANK .168 LIN FT, OF TRIGALLEYS .7' DEEP CURTAIN DRAIN ' NOTE: HOUSE, DRIVE & WELL , LOCATIONS AS PER" SURVEY BY' DON DONNELLY AUG. 29, 1989 j a yI� C, d , 4• s� PLAN @ SCALE 1" =30' WELL ..AS BUILT. SEPTIC :, SYSTEM FOR DEVON.: DEVELOPMENT CORP. LOT NO.B;`' HUNTWG RID& FM2276' lAA- 82- 11- 15 \19 \8' MILLER : ROAD . TOOT NAM OF -. PU RJAM VALLEY PUTNAM CO. N.Y. SFpT'29,1989 REV.ISIONS::. 1_ CAR DtWY, FIX ..BOX U3 Smotoc I Y -