Loading...
HomeMy WebLinkAbout3286DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73. -2 -9 BOX 26 03286 dr dr 03286 f ""0 k",r*- .-J, .- .rw+,+.+•+m>n`P"TK .- °'cx+�'F'T a- '— �fv'_>G � v�� I' PUTNAM COUNTY DEPARTMENT OF HEALTH Rev. 3/86 I) ivlelonofEnvlionalental •HealtbrServlCos.Cirmel,'N,7f . Engineer 1Vlast Po CERTIFI - OF, CONS TBUCTION:COMPLIANCE,FOR -:SEWAGE DISPOSAL SYSTEM Located nt Ta: Map; Owner /applicant Name � � 77 ��v`"vll�l�> Formerly Snbdivjsif Melling Address ' � Vp O Date Penal.t seed Y v Lot N�— Separate sewerage Syatedi bullf ,6y 1 a1� d. t tom° Adaress °' fV Coneteting of A-7,4F �, Gallon Septic Tank and Water Snpplyi Public Supply From Address or: Private Sapply.D*llleii by Address " Building Type d ?T`1 Has Erosion Cg166,1 Been Completed? 1 ; Garbage Grind' Bedrooms. er Been Installed? Other Bogalreritents �t "� O\t- -L �> t7P �i �i" L ZA4ti1 Pl�t3+�7JiM'�e�y� "A I certify that •the systei (s) as, listed serving the above, premises .were •constructed essentially is.shown:o e, ans the completed work ( copies of which are attachedi; -and in,hccordarice wi£ti the standards rules and requlatioiis, in Accord ce with I - d:p and the permiyt,.a ued by the 11 Putnam County De tment j {�f Health Oats ©' S Certified by ;� ' P.E. R.A. Addreif . tacena No: Any person occupying. "premises �ervad by,the above systems) shat) promptly lake such action as may tN; :necessary to ure the correction of any unsanitary congitions resulting fromrsuch usage Approval of the separate sewerage system shall become null and void; as soon. as a `Dubs.: sanitary avve► becomes available and the'-approvil: of the private water supply shat) become butt and`..void" when .a' pubik wets► supply ic6' es: available Such approvals are subject to modMtution or change . when in the •judgment, ofeYa Co�missioeer.of Hp s ch rev ocatbn; modtticatlon or cMnge Is mcassary. Date �� �_ -� Title � .e WILL UUrirLt*11U1v r"MrUAl DEPARTMENT OF HEALTH nr�antI! —Health PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only 5 REET ADDRESS: WNlvl 1 1 Y TAX GRIO NUMBER: ny�' WELL LOCATION WELL OWNER NAME: ADDRESS: t `® _ t •. tJ RIVATE ❑ PUBLIC USE OF WELL . 1 - primary 2 - secondary `.RESIDENTIAL O PUBLIC UPPLY - O AIR /COND. /HEAT PUMP O ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST/ OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE P-- YIELD SOUGHT gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE _gal. REASON FOR DRILLING '15 NEW SUPPLY O PROVIDE ADDITIONAL SUPPLY O TEST / OBScRVATION ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA ' WE DEPTH _� ft. STATIC WATER LEVEL ft. DATE MEASURED DRILLING EQUIPMENT ❑ ROTARY )S.COMPRESSED'AIR PERCUSSION ❑ DUG 0 WELL POINT ❑ CABLE PERCUSSION O OTHER (specify): WELL TYPE ❑ SCREENED O OPEN END CASING. ` &OPEN HOLE IN BEDROCK O OTHER CASING DETAILS TOTAL LENGTH ft- MATERIALS: STEEL O PLASTIC O OTHER LENGTH.BELOW GRADE /0-3 —ft. JOINTS: O WELDED THREADED ❑ OTHER DIAMETER A in. SEAL: ❑ CEMENT GROUT O BENTONITE '15,pTHER WEIGHT PER FOOT 1-7 -lb./ft. DRIVE SHOMYES ONO LINER: O YES ONO SCREEN DETAILS. C _. _� DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? FIRS T... ❑ YES . ❑ NO _ HOURS SECOND - GRAVEL PACK ❑ YES O NO GRAVEL SIZE- DIAMETER OF PACK in. TOP DEPTH -ft. BOTTOM DEPTH It. WELL YIELD TES? If detailed pumping t METHOD: O PUMPED 1 tests were done is in- ❑ COMPRESSED AIR r formation attached? ❑ BAILED ❑ OTHER ; ❑ YES D NO It more detailed formation descriptions or sieve analyses WELL LOG are available, please attach. DEPTH FROM sllaFACE Water Sear- ing well meter neter DESCRIPTION cooE. ft rt WELL DEPTH It. DURATION hr. min. DRAWOOWN It. YIELD 9Fm. Lane SuAace 1 d�✓ 7 Y WATER ❑ CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? ❑ YES ONO ANALYSIS ATTACHED? O YES ❑ NO -Lill IV STORAGE TANK: TYPE CAPACITY GAL. PUMP INFORMATION TYPE MAKER MODEL CAPACITY DEPTH � VOLTAGE HP���� JA RIL EA ME DAT ,� SIGs RE •���,, Yorktown Medical Laboratory, Inc. ,AB # 321 Kear Street Date Taken .-­.!=T5/11/.89 Time:. 3:30 PM Yorktown Heights, N. Y. 10598 Date Rc' d : 5/11/8.9 Time: 3 : 50PM 10598 0 ,Pat T4.. __ _ ._ .. . at'e Y— � 5.'1$8 - < Director: Albert H. Padovani M. T. (ASCP) Collected By: MR. ADAMS JIM CA___ Referred By:" .r Sample Location: WELL: DEVON'DEV. STEVE ADAMS LOT 1111 PLUMBING & HEATING INLAND DRIVE ­Phone #/ .225. -4906 CARMEL,.NY 10512 Phone .## Sample Type: L J Repeat Test? I ( check each) LABORATORY REPORT ON-.THE QUALITY OF WATER I110riGAINI -C NGIN -- M- i,T11L MICi <OBIULOGICII (CrU /100mL��� _ Acidity ._... Alkalinity _ Chloride _Detergents, MBAS Hardness, Total Nitrogen, Ammonia Nitrogen, Nitrate Phosphate, Total Sulfate _ Sulfide Sulfite METALS (mg /L) Copper Iron Lead _ Mercury _ Sodium Zinc MISCELLANEOUS pH (units) _ Color (units) _ Odor (TON) Turbidity (NTU) GENERAL BACTERIA Standard Plate Count (CFU /1.OmL) MEMBRANE FILTRATION TECHNIQUE "Total Coliform Fecal Coliform Fecal Streptococcus MOST PROBABLE NUMBER TECHNIQUE Total Coliform Index F -ec-a1 Cori- form.- I- nd-ex - - -- _. ^�.. KEY-FOR TERMINOLOGY CFU = Colony Forming Units CON = Conflue.nt (q.v. TNTC) LT = < = 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: -Incoming . . LE 4 °C _ GT 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 ORK STATE PUBLIC DRINKING WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF SAMPLE COLLELIJON. THESE RESULTS INDICATE THAT THE WATER SAMPLE (Did) (Didn't) ON) ET THE SATISFACTORY CHEMICAL QUALITY STANDARDS OF.THE NEW YORK PUBLIC G WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF SAMPLE COLLECTION. 2 /86(Rvsd7 /87)RWE Albert H. Fadovani, M.T. (ASCP), Director LA) ELL -DEPrk STA-nG LPL - 30 d Go -)LD� I �� wp 23oV _ jE)465 -� . 6 GALVAti, 2Y-b PUTNAM COUNTY DEPARTKM OF HEALTH W. Of- ENVIR _HF.�L��'H..�. Owner or Purchaser of Building Building Constructed by M Location - Street Municipality ; aaL Building Type Block Lot CAS 1-.04 c� Subdivision Name �t Subdivision Lot # GUARAINI'EE 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 3crist�u�t -en- Compliance " -_ -e f eG disposarl - .systzn,- or.an�z. v 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 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 nealictent act of the occupant.of the building utilizing the system. Dated this day of 1901 Gen al Cbntractor (Owner) - Signature Corporation Name~(if .) D. n . 9411 ur> rp >An 14 (J'r VT re - rev. 9/85 mk Title s Y I vbyt Co ration Name (if Corn_) P.0 - i ; 1 YL4N Address FaLaL SI'T_'E INSPFCTICN Date 1 �' STREJT LCyC -ATION A/ C (�� � C9v- NF -R(�� PEIMST p ll. �'� �- 24 Q OR SUEDIVISION LOT I E0 IV. V. VI. - _q,o-Y.'. •. -. ... _ - : {. __. -. - "_ r'., __- .. ,oar• ....' � m�.rvcxc...Mno, .. _.. ... wi,. "��. � , .- �: -.�^- t' _ SE-/&-GE DISPCS L ARFA a. SDS area located as per annroved plans b_ Flt se✓-`- cn - Date of plac-anent 2:1 barrier - uTg W—H AVG_DPTH u c. Natural soi? not s: --ircei ( t d. Stone, been, etc_ , create_- t']an 15' from SDS area ( 1 e_ 100 ft_ from water course /wetlands. I i I SaUA- DIS -12MA , S.fST -EM a_ Seotic tank size - 1,000 1,2 _ b. Sentic tank insi?1 —led level I I c. 10' m,nim-n fr= fcundaticn I ( I d_ No 90° bends, cle=_nout wi thin 10 ft_ of 45° bend I I I e_ DISZ'RMUTIC_N BCX I ( I 1. A- 1 outlets at same elevation - water tested 2. Proter- =-A be? cw f =cst 3. Minim- 2 f__ oriciral sciill betweerri box and trenanes I I I f. JUNCTION LOX - rromerly set C. TRMIx-5 r -� 1_ Le_hgth ruined Le_na�hh ins��alled D 2. Dist -rice- to wate_r=ii se n --asL, - i • f t- 3. T-ns= =11- a =rdi_nq to nlan 4 Distance center to cs-,i er 5. Slcrz of tre_r1C'1 accamtable 1/16 - 1/32 " /foot. 6. 10 feet f=or mrcoertv line - 20 feet - foun caz-1 Ons I I 7. Denth of t_arx:h < 30 inches from s�race 1 i 8. Rc= al? awed for eY --arGi en, 50-os ip ` 9. Size of c,—avz? 3/4 - 12" dia- meLer • 12 10. Deoth of crvel in t_enca 12" mi-ni= L. ' Pipe ends cnna h. P', - e DC 5E SfssT axTS - 1 Size of moro Gac�i? =r 2. Ove--=:lcw tank n K 3. Alarm, vi mss? /audio _ 4 P= e=_sT? v acc`=sib1e ranhole to c_ roe 5. First box b =1e3 I I d 6. Circle w_=nessed by fie_1 to LKpF--t7, est',at- flow C-JCIe i I I -z Q1 V-'0-- a. F=, locates rpr abnrcved nfans . b. Number of be roars L W=:: •r• a_ Well lc<--t= as a=roved plans b. Distance from SDS area ny----ssred �� � T it_ I I I ,�./�uu ✓r. n'T AI C_ Casing 18" above trade- t I I d_ Scirace dra-insce around we-1-1 accent= -le. a- LCxes urco—emly arcuted b. A- 1 io-es ra -aal Li v boot ? lea I I c. All pimes flesh with inside of box I` I d. Par-kfill nate ial contains stones < 4" in diameter e. CLrtain drz? n installed according to plan I ( I f. Cirtai n drain cut all prote=•ted & dir. to exist_wat`rcours� g_ Footing drains disc arce away frem SDS area h. SL face water orote- _-tien adeouate I i.. E=cslcn C`nz--0 vro Ld--,4 en sloees areater than 15$_' PUTNAM COUNTY DEPARTMENT 0 Division of Environmental He alth Services. CONSTR ON PERMIT FOR SEWAGE DISPOSAL SYSTEM Located at ._ J- on Nye' Subd. Lot # fz a Owiter/.ApplIcant Name- Olng Address a / ooh J4 B"I1,1ing Type A r 0 Lot Area NumWir of Design Flow G P D Separate Sewerage System to consist of _1.8A_Cfl0. S.,Pdc Tank ...d To be constructed, by 0 Address Water'Suppl� :.0 Public Supply From Address -7— djjr Private Su p ply Drilled by --Add." nib R ta FHEALTH Carmel, N.Y. 10512 Engineer to Provide Permit # on CERTIFICATE OF CO CE Permit # V Town or Yfilage.1 Ta: Map Block I t Renewal— ❑ Revision —0 Date of Previous Approval Town zip er en for the design -.04 location of the proposed system(s); 1) that the separate sewage disposal system above described; 'am wholly and completely responsible s and regulations of the Putnam !.ijIl, be constructed as shown on the approved pproved amendment there to and in accordance with the standards, rule 'C apartment , of '.Health, and that on,completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill �.q n, y D ���o.' Pa o he Department, and a written guarantee will be furnished the owner, his successors,-heirs r assigns by the builder, that said builder will ass a ,a od operating 0( Immediately following thecipte of the Issu- cotin.,jo condition any part of said sewage disposal system during the period of two (2 rs to d once of.,the­,'appibval �6f the Certificate of Construction Compliance of the original system or any re rs t reto; 2) that the drilled well described above t� will .1 , , . i, d �,� , Sh -, approved , r' ZaT ions o f the Putnam loca 0 as own on the approved plan and that said well will be installed in accorcunce wA% the stand ds, rules and rag County t en t , of Health. ate. S;q.. P.E. R.A. Oats.1 yLicense No Address approval e/pires t ears from the. date issued unless con1truction of the building has been undertaken and is -",APPROVED FOR CONSTRUCTION: This app two y causi`6r may be amended or modified when considered necessary by the Commissioner of Health. Any change or alteration of construction j6Qbjrej a new'perma. Approved for disposal of domestic sanitary sova", and r to water supply only. t y Till 5­ .::a 1/87 0. PUTNAM COUNTY DEPARTMENT OF HEALTH - _ biViYiON F OF ENVIRONMENTAL - HEALTH SERVICES` ' Date s /' ' Re: Property of Af�lt�/ Located at— (T) Section Block Lot i L-r� 3O Subdivision of -- Subdv..Lot # J' Filed Map # % -! 6 Date Gentlemen: This letter is to authorize Z a duly licensed professional engineer L,--o'-r 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 wi h'this mat` er an �to 'supervi"s °e "ilz'e- cori 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, Si g ned 4'j, A Countersigned: , Owner of Property �9 P . E . , R . A . , ,� � A ar %�c�''� lole e -7ow,,) 1,j-6-)vz i Address ;wn) Telephone Telephone /• •• • �I• ► I� • y. • Reim U77A •• • IS V.1 m •ly 3, x1p •7 - _.. DESIGN DATA. SHF,ET SiDBSE7F'ACE -SEWAGE DISPOSAL .:SYSTEM FILE ICU. Omer yy Address C.,2 TN. Located at•(Street)i� - Sep. Block - Lot (indicate nearest cross street) Municipality _ V d I ieAA Watershed SOIL PERCOLATION TEST DATA RBQUIRED TO BE SUBMr= WITH APPLICATIONS Date of Pre- Soaking Date of Percolation Test QA 1q94 HOLE NUMBER C LOM TIME PMCOLATION 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 Shop Inches Inches Inches '/ 4 5 3a 2 7 3.37 3 J `�Dlo /7 l� ` �— 20 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. ,WITii APPLICATION DESCRIPTION OF SOILS ENC')OUNTERED - IN TEST HOLES DEPTH HOLE NO. HOLE N0. HOLE NO., 21 3' 49 13' 14° INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER.BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: X } DATE: /0 DESIGN Soil Rate Used 3/' Min/1" Drop: S.D. Usable -Area Provided fGC�J No. of Bedroans _ Septic Tank Capacity /,_5^D gals.. Type Absorption Area Provided QU L.F. x 24" width trench rP By _� ,MTS',� S IR.0 141 �. f ,ter 'A Name 1 / /irf?r� �U� Signature Address SEAL !I Y_ a . $1 '(Ul� C'N• "'.J . m THIS SPACE FOR USE BY HEALTH DEPART ONLY: Soil Rate Approved sq.ft %gal. Checked by Date t�.u��.. _. .... :... c�_.: �:::.'--- `�:R+ertAAtisB�+1►Yw:o safe} ri�Ldi�oGrtarsaCAt•. �u: falt+ rr ::= ::I�Nra*•:1��@a'2ts.`ri'di. ;•:;:ter »5r�h'i'�'�i7?G•.�-$�' �'t.4.`: Z:zJ o � 9 � , PUTNAM COUNTY DEPARTMENT OF HEALTH Bivi- •Ian.,o•f -EinvAi, nrdantal=it'",H�W- Wrtices_t._ .. s . .�..,.�..> •... AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PER,KIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Commissioner of Health In the matter of application for: I�UljrlA)6 C b G--a SU_�Ai*VJS1,e)A1 is — represent that k1VT7'1V6' II am an officer or employee of the corporation and am authorized t o act for k �' APM-7-V d . //kN/aame /off Corporation) having offices at m Whose officers are: President: /_ /A- I p'L- -t &2-x)4M Name and Address) Vice - President: /V //(. /v/Hg1cl %/V'6'!/''iAWJV, 1f/U and Address7" .� Secretary:�,``� >..,.....,, (Name and Address) Treasurer: A WO&W7— t t(, xixo- (Name and' Address •s J N and that I am and will be individually responsible for any and all acts of the corporation with respect to the approval requested and all subsequent acts relating thereto. Sworn to before me this Q day Signed: Z&4_4 of Title: Z, Notary Public_ MARC L. SAli?E!, .. Nap! Public. State cf NewYork Na 9820275 Qualified In Wesbc aW 0w* commission Expire; Nw. 30.1989 Cornorare Seal 8/84• DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 ^° "P,PPLTCP,'I;IbN TO CONSTRUCT ' "A WATER' WELL`" - PCHD PERMIT # WELL LOCATION St et Ad es Villag ity Tax Grid Number WELL OWNER Nam / Mai Address ri_vate O Public USE OF WELL 1 - primary 2 - secondary SIDENTIAL O BUSINESS O INDUSTRIAL 6 PUBLIC SUPPLY O AIR /C ND /HEAT PUMP O FARM O TEST /OBSERVATION 0 INSTITUTIONAL O STAND -BY O ABANDONED p OTHER (specify AMOUNT OF USE YIELD SOUGHT___5 gpm /# PEOPLE SERVED g /EST. OF DAILY USAGE 60 gal REASON FOR DRILLING EW SUPPLY O REPLACE EXISTING SUPPLY O PROVIDE ADDITIONAL SUPPLY O DEEPEN EXISTING WELL O TEST /OBSERVATION DETAILED REASON FOR DRILLING WELL TYPE bjDRILLED DDRIVEN ®DUG GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: HzIn Lot No. WATER WELL CONTRACTOR: Name 7'•3 2, Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X-1Z NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY —-DISTANCE TO PROPERTY FROM - NEAREST WATER MAIN : LOCATION SKETCH & - __gQURCES OF CONTAMINATION PROVIDED AR OF THIS APPLICATION SEPA TE (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: lg Permit Issuing Official Permit is Non - Transferrable White copy: H. D. File Yellow copy: Building Inspector Pink Copy: Owner 2/87 Orange copy: Well Driller i11?1! 2 LN191IV-4w.1 Puma CCUNIY DEP.aHmm OF HEALTH - DIVISIM.-OF F WIRCNME= HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFP EE SENNGE DISPOSAL SYSTEMS ..M'ira •a¢..criArt -r.. �,h4 •rc -i: �: .c -•¢ .r. _ .. _ ... -ry ✓�'i�,�,�;•. - _: =.. - . *.. ry =- w.S -a-ri' -vas; •wc-n� �.. ... i-.. •..}sa��.:.: -�-i. ij•i V Lr w S'ri T CONSTRUCTION P_RM.IT DATE RZIr"v BY: r` (:lame of Cwne -r) (Street Location) C�2rL�LPI'S YES j NO-1 DOCMwMJTS o %` Permit Application Corporate Resolution' '. Plans. - Three sets s//c: -Aldo ( Engineers P_uthorizaticn f r Design Data Sheet (DOS) SJEDIVISICN Deep Hole L-og Perc y�c" ,,-p- Consistent Perc Res,.ts (3) Fill- Perc Hole Depth Cd .. �-� 60 ft. max. Pear- 1 -e?—to contours.. 00S e� SYSTEMS ft. 1 notes 100 yr. flood elevd:Z_— 200 ft. reservoir, etc 150 f t. trigall /gaooll. ans = Two se_s 1 Fe-rqu t; P113- Variance Request - C'c;I`1ERPL r Lzrl Subdivision --�-� Subdivision Approval Cneccca- Ex- coDrova1 SSO-S Ad' Lots C.hG':<c We*-? and (TCwz1 /DEC Pe_ni t R & D) �( Data Cn DDS Plans & Psrmit Same REQli'IFtED DETA —= CN P?.�NS Se.Jage System Plan - (nortin a=_cw) cC,age System Hydraulic Prof-'-l- - Gravitv Flcw 1� r le & Durensioas - Vol�.� e 21- r J ; Trencn /Gallery; PLup pit details ..ep lc 'Tank — Size, Detail ' Well Cecil, Servics Line it over ....- _ Cc:; nst` �c�i; Grz :.�ots._..(.cri�tde�:•..rtel •- �.�- .__ =__,'' , i Design Data: perc and deep resis Two-Foot Contours Existing & P_ccosed Driveway & Slopes Cyst `NFbotin /Gutter,CurLain Drains (cis, barge OK) Perc & Deep Holes Located Representative or primary and e�nsion Expansion A.rea;shcwm;gravity flcw,suff. size If Pmped Pit & D Box Shcwn & Detailed House - No. of Bedroans Wells & SSDS's Win 200 ft. of Proposed- Syst`n- Propert y Mertes & Bounds House Setback Necessary (Tight lot) House Seger - 1 /4 " /ft. 4 110; T'YTe pipe No Bends; Max. Bends 45° w /clenout SERMWION DISTANCES SPECIFIED CN PLAN Fields 10' to P.L., Driveway, Large Treees,Top of fi. 20' to Foundation Walls - 1001.to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. ems: 15' to Drains - Curtain, Leader, Footing 35'to catch basin, stormdrain,oiced watercour_ 10' to Hater Line (pits -201) 50' inte=nittent drainage course Seutic Tanks 10' fran Foundation; 50' to well 1 S T Mal l i-,•, nr 9 �` 4" 101101 $ P L' tren h provided �-� 60 ft. max. Pear- 1 -e?—to contours.. 00S e� SYSTEMS ft. 1 notes 100 yr. flood elevd:Z_— 200 ft. reservoir, etc 150 f t. trigall /gaooll. ans = Two se_s 1 Fe-rqu t; P113- Variance Request - C'c;I`1ERPL r Lzrl Subdivision --�-� Subdivision Approval Cneccca- Ex- coDrova1 SSO-S Ad' Lots C.hG':<c We*-? and (TCwz1 /DEC Pe_ni t R & D) �( Data Cn DDS Plans & Psrmit Same REQli'IFtED DETA —= CN P?.�NS Se.Jage System Plan - (nortin a=_cw) cC,age System Hydraulic Prof-'-l- - Gravitv Flcw 1� r le & Durensioas - Vol�.� e 21- r J ; Trencn /Gallery; PLup pit details ..ep lc 'Tank — Size, Detail ' Well Cecil, Servics Line it over ....- _ Cc:; nst` �c�i; Grz :.�ots._..(.cri�tde�:•..rtel •- �.�- .__ =__,'' , i Design Data: perc and deep resis Two-Foot Contours Existing & P_ccosed Driveway & Slopes Cyst `NFbotin /Gutter,CurLain Drains (cis, barge OK) Perc & Deep Holes Located Representative or primary and e�nsion Expansion A.rea;shcwm;gravity flcw,suff. size If Pmped Pit & D Box Shcwn & Detailed House - No. of Bedroans Wells & SSDS's Win 200 ft. of Proposed- Syst`n- Propert y Mertes & Bounds House Setback Necessary (Tight lot) House Seger - 1 /4 " /ft. 4 110; T'YTe pipe No Bends; Max. Bends 45° w /clenout SERMWION DISTANCES SPECIFIED CN PLAN Fields 10' to P.L., Driveway, Large Treees,Top of fi. 20' to Foundation Walls - 1001.to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. ems: 15' to Drains - Curtain, Leader, Footing 35'to catch basin, stormdrain,oiced watercour_ 10' to Hater Line (pits -201) 50' inte=nittent drainage course Seutic Tanks 10' fran Foundation; 50' to well 1 S T Mal l i-,•, nr 9 �` Yt,o v. i e 1 . ®� � �� �2GO 4t. *A &-,q k -X --M kK 5�P1 brl Gtr �•Gj�'p�a+ SCi '6X t - L{ i 3 �® �04•a k � (300 la�Fr >1• }' 2 '." I 9 e a 4 � t• � i �a � ® � a�co � .� j , ��i '•�•, � vl��„JgY I y S aJ2,_ 3.. ;� 6'1 w , 013 �! ��� +� �' _` \�>; a�a � -��� � �o'PF� ��mi�,< •�•.0 tao��u.K 5<<i�39 � ��' -9' '��Z4 a "{, �� ItR aS ♦ ;a�as , fj s IIIIS IS TO cautint CHAT THE SEWAGE DISPOSAL SYSTEM W.AS �Q x 4 CONTRLjC_ L'EU AS '1NDlCATP.0 ON THIS PLAN. AND THAT THE SYbfli t:EVAS 1NSI'ECTI -D BY ME 13 TORE IT WAS COVERED OVER. �� � ��� I�U1l� 1►li,���t7t1G �•�^ _ T14E SYSTEM,tS +A'S CONSTRUC'T'ED IN ACCORDANCE WIT14 ALL THE RULES AND REGULATIONS OF THE PUTNAM COUN TY �� �� '��f,.�. '•; DEPARTMENT OF HEALTH. Ot+ Q .'f �!>�t.Vh -� p °< Its F. 7 r4taam t;ountiy, Lepartmenc oZ !Llfa1 L1. •tvlelon { ry of Eavironmental Health servicb. IPproved _•, * as noted for conformance with +9plioable Wee -and Regulations of the 1 i Ww �r V4 ' Putnam County Health Department. p 0 a'a6 �a �F„�O�'� .. tl lww hnra A Ta.aie� �j/ . f ♦�lil...�G. . }i / r pit � n� ti,