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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.08 -1 -23 BOX 27 1 ru J L I ;rj I ' .'L, i, , IF 16 ir 061 Igo, - 11 03379 THIS 5t9i� �.��. :.6.2 -14 VEJ4140 -14 DRIVL �05 4,b.S -74o4 -955 t Lo -r Tvwk at TV MA.Nk VOT , cap p ow AL G 1 74'% v� I waLL �j • 4-1 '. 6 " t . C IZ�S n � � E• .OTN r UN Lri. 0► ............ .....:......... RiCTM. DIVISION OF �NV11fONN1lTVAL HEALIN .����r r:. ,r. �.T N 4• ?4 �- 4 ` TA N K (;teoo Q�c) t ._frClf� 3! a 8 Vls'�U54. ;tall c ' •'• +•.11„1„ Q.g `'� ' ° .N �� VS sc�►Ll:. 1► C 30 �� M fy'�5..... Lot 4. ss,o 11 NEE ry .Pi YE 4 CAL OT.' .Sc�.lt, J =1oc I� r� R� To 4o l 1000 yap. 5LpYIG TAge. 2c �tt�• i' ° 3!cPO1 V- cs,�E► . V Coe�t, f f E ILPILIUA ► INC, Aoy,,A- . o k hUi , ll . E�lGINEc:RS. pL�.�tha�S PUTNAlf+'I COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. b f0312 CERTIFICATE OF CONSTHUGTIUiM GUMMIAINt:t rUn *CVV %JC Ul4rV0AL 0Y.1t CIN r ) r,�,�• , - �._� ; , Town or Village i Located at 4.• I'•�t. Section G� Block l Owner— ��� IBC A. V ... ! O �'� ✓– ' Lot Job �`a 1 .)Q • `? Soparato Sowerage System built • by :r A r t i` i =E ' `.1 PI f Address {`1(�!' l� ' C. Consisting of 100 'Ga1..'Septic Tank 6;`f �� i1 lineal Feet X �,,? width trench Other requirements " Water Supply: Public Supply From V� Private Supply Drilled ?y Address Building Type Has' Erosion Control Been Completed? Of %I% If P.JI No.lof Bedrooms r3 Date Permit Issued I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of attached), and in accordance with the standards, rules and regulations, plans filed, and the permit Issued by the Oate ' Certified by Address t- t a completed work (copies of which are lutnam County Department of Health. P.E. R.A. 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 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 area subject to modification or change when, in the judgment of the Commissioner of gealth, such revocation, modification or change is necessary. y r / � J 1•:�, �r• /,�••!!�ti/ � 8Y r .'�. Title : ✓ %. ` f; "/ .. Date , .. _..,_1 .J... �....' tr ..�...+_��: .....w{..s..... e......:. :.._ ..:...... �.w.wr_...a.� ✓.1rt.... _... .M .'. .. .r Ii..rufY:I..- .ur..ir�J - i .6w1_.�►.u__.w..Yw�.r TA, MKM CI &CO �. •'ar..��!` .c.y..y p'r xi... .i.. -. '�IS�B. ��irJt,e•�t�'�:�1�' - �•. - ,'..i..�•F"�`.. ,..,;�, -», .. c.... t. TF. AA v 3t .`,� �• e I( as ®D � .�� , tot � � �. � �= sfl�•iU k�/Ll � q5 I ' V- -fog VA �b AN- If �•• VNFOYOf�10CiTIV 90y. /A1:. to 4_ •kc -LLy I A 14'T C,6 ��IGIp��f• &cd, pLa.�dhez�cf l A at;' 31° # ®° 0GX) qAl , 5EPTIc TA NV 90y. /A1:. to 4_ •kc -LLy I A 14'T C,6 ��IGIp��f• &cd, pLa.�dhez�cf PUTNAM COUNTY DEPARTMENT OF HEALTH "4r Re: Property of Date % 1/ 1,11.119 t�_ Located at /�,2.2 j/j / lk-L 1 1�OCL (T Section 73. gr Block Subdivision of Subdv. Lot '#_ � Filed Map # Gentlemen: This letter is to authorize a duly licensed professional engineer or reg (Indicate to apply for a Construction Permit for a separate serve the.above noted property in accordance with Lot 2-3 Date istered architect sewage system, to 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 - - ton- neet- io -n--w- - tl., -- this-- .mat,ter and to- •supervise the construct` on -:.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. C/ ersigned: P.E. , R d---, Address Very truly yours, -1 " Signed Own of Property 3c)-Y2 I-mlewl- Address Town 10 i ` _a'. / Tel- 6phone I Al le hone U TNAM COUN-T-,Y-DEPARTMEr4TiUF REALLY H-': t 1- ev 'nvlronmen En on IA"' Provide P C "Pertinit, f_V 0 A C, UMMA Obisio V1 4 Owner/a pokiii Na__ bd lAt'# 4 . 7 Dgi 4 S�' -7 P-P P,, da 2 Conaleting of Gallo T, Jf Water suppiyi Addjj®jjg or Ad"(W to i li�i El�slon B" tktid % 12 4 TY L affe.- G r A. N=ber of ledroontal 1_Q Bas W Oibir ge4 ren 4�,:4qy-s-t',*,(0) L,��*o�lLikl��"p��ing���". ve wi�ii� ;corlstructed;esieilti AlT ekll,.s I 'completed'* work (.,copies y tha�, 'IM of ' with the 'standards ',:.rules L�an L pa . the by the , 'Of.LHealth; Oats a Corti which nam Count Department R,.A. led by AVE N o. -Ada" 60 Ahy person occupying '.00jMjSdSjserved the 'j- its' (f) !,h.ail,---P!q,!np4ly",a,e,,s!C.h oct,lb,n'.l Imlo ui correction, ol -any.untanitory nulls r lbV; -unitary 69WO becomes conditions restAtini-44" --- 'ar m Sholl D0009 a Fawi� ors avallabli d f private. C Ui _%jo ;tvhen �i' I' a piat IV or,:�Chajge 15 nec"ry. SUOJQ�t to Ica t lWo L. Dote By T1 0 PUTNAM COLTUff DEPARTMENT OF HEALTH DIVISIOi4 OF ENVIRONMENTAL HEALTH SERVICES v.. isy.. +�cu- zs.�- a. «�:- .�*�w�:.���..'j ;�..:.ge�- .:i+i+.r oa,%.wraar. c+ yew. ii. �a, .�..»i:....vr...ew��r+.n,:.:��. .. ... ...... .. .. � _. .�. •,. ,, -.... .:. ... .�. '... owner or Purchasee of Building Building Constructed by Location Street Municipality Building Type 73. � ) - �73 Section Block Lot Subdivision Name Subdivision Lot # GUARAWEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I.,represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal - system serving the above described property, and that it has-been constructed as shown on the approved plan or approved amendment thereto, and in' accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage disposal system,' or any "repairs in"ade fibs tne"et�° ucYr syst t; °e�ceept v ere -the -fa -1- re 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 caused by the willful or negligent act of the occupant of the the system. Dated thi 31 day of 19,92- r General Co actor (Owner --Signature ry- Corpo tion Name (if/Corp.) r.r. - rev. 9/85 mk system to operate was building utilizing Signature kQ�� V An 1414 Title 0 Y Corporation Name (if Corp.) Address l ! Town oc VWag LOC�tB�" =fit ' r/ �. �r /!% /7 L/ °•;��. _ �� %., i ✓� I.« - �'&iC fi Ownec /ppp8cant Riau® s^ Ci Focmocly SUMVIAiii Rlmme x Sabtly gat p w CDLUFY Owner or Porch er of Building Building Constructed by Location - Street Municipality Building Type OF Section Block Lot �a fie, Subdivision Naive Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE .DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, wor)ananship, material, construction and drainage of the sewage disposal system serving the above described property,..and..that.it . has_been constructed..as.shawn 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 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 negligent act of the occupant of building utilizing the system. Dated this 2/ day of e5 r 19 -2 Signature Title General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk Corporation Name (if Corp.) . Address �....•�. ..,s .i..a. ,. .... i �:� AL'•.. :fir- --..s ...a. n.r -Y. ... r.. -n �. �.r. Mr. Peter Byrne 9 Kenith Drive Putnam Valley NY 10579 Dear Mr. Byrne: S+�e Ufa .yyt. J.: .. +..�6 �wKa•.�tR . >.'M . <.T :..... f:: .ti..C...•. -t _ '. {�w.vi DEPARTMENT OF HEALTH Division Of Environmental Health Services Geneva Road, Brewster, New York 10509 (914) 278 -6130 RE: Proposed Addition Byrne Kenith Drive (T) Putnam Valley JOHN KARELL Jr„ P.E., M.S. Public Health Director May 14, 1992 Review of plans and other supporting documents submitted at this time relative to the above - captioned project is in progress. _.,._._T e-,p, ads_ �ndi_ .a_tp, th, tx.a�n : -aadd — bedr:ooth =:as 'ta a substantial increase in living space is proposed. Under these conditions, the present separate sewage disposal system code requirements must be met. Comments are as follows: 1. Formal approval of plans, prepared by a Professional Engineer in accordance with applicable sections of our submission guidelines, is required. Plans will provide for the installation of additional subsurface sewage disposal system meeting present code requirements. . Upon receipt of a submission revised to reflect the above comments, this application will be considered further. I may be reached at ext. 161 to discuss any questions concerning the above comments. Very-)truly yours, Robert Morris Assistant Public Health Engineer RM:mk Sig E fA. s I L E--j c) F. 6.2.] 4 f.-L VE'At4LIH VRsvL t .1 Erc Lf 12 ?,6 Tc,wt4 '6V TV"MANk Vkt.lVC wT c . . e.-Al G 1 14 IJA 11 UUN ot UUN AL,,, . ...... . .................. RECTOR, DIVISION OF tN"MMMTAi HEMIN !%M-rflrf! VM to ltjff� Jiv 4114 tot 4. j L ! V. vt\L all In 4-1 0 150 LD L C) kc m E 14 To -6 123 34. yAL 5c,?11c TAKP- 'r,l? R6FESsj AV A. ., --I <-\\ 'CO9T4, C> PLOT' 38998 0 A .7 <) rN, AQ� k kELL�, , 9-S 4 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 Located at (' l l I i' t` +• • i +, ?{ 1:; l.yi Owner Separate Sewerage System built by t 1' 5` Consisting of jt -'' -'2 Gal. Septic Tank Other requirements Water Supply: Public Supply From V'� Private Supply Drilled BY Building Type Has Erosion Control Been Completed? �•:;i.,tl;i- l,r:'rl:Y Town or'Village�— Section In U Block ^' Lot Job Address C Gp !`[• j �� .. . lineal Feet X > width trench No, of Bedrooms Date Permit Issued 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 regulations, plans filed, and the permit issued by ,thV- Isutnam County Department of Health. Date i�t j Certified by % ........ ............ ..__ '.`ttom _"� P.E. R.A. Address � •�! t., _" � ` PAP, 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 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 Commissioner of ealth, such revocation, modification or change is necessary.' BY �. i, ✓' /i .i. Title Date r �A�, cs'�S/ 5o �- 33.x' "_`.'Q�c. ; e.;�,r• I- t��s�'�.(c�f. ;t�a� .��' _ � .- . �rcl.r� - �........ 4-`• �.a�..�: i ...-. o•..� \,..e. .,� b .. .e r,. _...... s+.,,. ter... -,�. .. 7`�+.. .:...: � «� -..—a: .... __ c.. a , -,�. , _ .. - .,_ _....._.....� 3C4Lrz ( of -46 �ff-- r- �,� fob, -,A 7 .....P Q . �. .Pt AN ��O V A E 1.9C T9 34,' DATA ,COSTA., tA lNe. �/ 1�aUy 1 �v L I N.`�. g: W 9OV)", 1 Poo JUNCTION BOX J Restne.HC> 20 vy/ 0. '-0 'V J� T Z 0 4— MAN to .o, PLAN —7 4r, -'_Z4 0 <__ L 7 GRD. LEVEL MIN. MA —y CAT IR�; SECTION SAN4i#RY fRE 48• TYPICAL CONC. PRE AST CONC.. SEPTIC TANK REIN il"C. C. BAW', 0/ GROL LEVEL EARTH —Z o `S3 BACKFILL . ....... 31 to' -30• BLDG. PAPER /* OR HAY 4 0 00 PERFORATED V st, Pt PE " 7--T CLI 24"MIR c e ABSORPTION THE LZ NOTES YSTEM TO BE CONSTRUCTED IN ACCORDANCE APPROVED, s REGULATIONS OF THE P u T t4 A co OF HEALTH. SYSTEM SHALL NOT BE BACKFILLED UNTIL IN! 1974 ENGINEER AND THE LOCAL HEALTH DEPARTM - All hp SYSTEM TO CONSIST OF A 5(Dcl GALLOI AND IS- FT. qF -4 FT. TRENCH Wil PITCH OF 1/16• PER FOOT. BT IOR DIVISION OF DISPOSAL SYSTEM GRADES REFERENCED MVIRONMCNTA� HEALTH SERVICO FLOOR ELEVATION UNLESS OTHERWIS C, v k L A SYSTEM FOR V* U N C—j 140 �4 Poor. fko,.T 2, 5EPAr4-4-T 0 'DJ5iT&s4c T', -L-akAm&R_ A _AqF_A,� To 4, VA-M IFY CARMEL, NEN TAX MAP N0.62 BLIL N4 TOWN OF ,P 4 _77-' NEW Y� cod Ap WZ -:13c 'Tm DINT )VER 2 5! N GR AVEL on (SHED STONE 'H ITH THE RULESAND ITY DEPARTMENT ECTED -BY DESIGN* IT IF REQUIRED. +SEPTIC TANK A MAXIMUM:-.- FINISHED TIRST NOTED. 717 � f.,.: " . I � .11 'I, .11 , � - ,, , I" . . , , , , , . , . , * - , �t �, . �?-,, , I � �, ,�, - , , ,� , -� � , - . . , . , , . - , �� , 1 .1 - ,� , : %, I I � � � .1. . I , �. I - � , -� � " ;�, , ..,. 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IJ-7 ---------- tt ------------ -- ----- ------ --- - - - - -- -- ---------------- - -- 0-0 aj LA .k- - ---------- - -- ---------- 4A ly -------- ---- lz-- ----------- - ------ - - --------- -------- - ----- --- --- - - - ---------- ------------ -- -------- 1.31 ly -------- ---- lz-- ----------- - ------ - - --------- -------- - ----- --- --- - - - ---------- ------------ 'ZIN ly -------- ---- lz-- ----------- - ------ - - --------- -------- - ----- --- --- - - - ---------- ------------ VA a R--:171" Teti, ' PEEKSKILL MEDICAL• LABORATORY 1879 Crompond Rd., Barclay Plaza B1dg:.A Apt. 1 Peekskffl ;New 4-1 82, DATE COLLECTED RESULTS OF EXAMINATION OF WATER OWNS DATE RECEIVED Val 7/30/74.. . CITY, VILLAGE, TOWN VOR NAME OF SUPPLY DATE;REPORTED Lot # Block 7, TM 62 SAMPLING POINT ' Well BACTERIA PER ML; (Agar plate count a-3-55-C--). COLIFORM GROUP (Most probable N6, /100ml.) HARDNESS, TOTAL - ppm 4 less than 2.2 DETERGENTS'- ppm NITRATES (as N) - ppm IRON, TOTAL - ppm FLOURIDE'(F) mg /I. These results indicate that the water was jieS of a satisfactory sanitary quality when the sample was collected. A. H. rADOVANI, M. T. (ASC ) Wlitl _o OIVIPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental Health Sorvices COUNTY OFFICE. BUILDING • CARMEL, NEW YORI< This report is to be completed by well driller and sui�niitted to COUrIty Health Department together with laboratory report of - -" -n{ atTa;yo `SsArate'•$icmp #3 iradicaticog .w�Itar:isoP:,ati� #aciory' bacterial- yl�tllit}� beforecsrTiate'�iforistrLiction compliance 'is issued: REPORT MUST BE SUBMITTED WITHIN 30 DAYS_ OF WELL COMPLETION OWNER M / � / / G� � j / P_U <. /o A ADDRESS . LOCATION OF WELL (No. d Street) (Towvwk (Lot Number) a /✓iY % D (ji �l /1� . PROPOSED USE OF WELL BUSINESS l_-1J DOMESTIC ESTABLISHMENT CJ FARM n TEST WELL ❑ SUPP Y INDUSTRIAL LJ CONDITIONING OTHER DRILLING EQUIPMENT 1:1 rV ROTARY �J COMPRESSED Q CABLE ❑ OTHER AIR PERCUSSION PERCUSSION (Specify) CASING DETAILS LENGTH (feet) IDIAMETER(inches) WEIGHT PER FOOT D THREADED El WELDED DR 'E SHOE DYES ❑NO "LAS CTSTN��j TED? ❑YES LJNO YIELD TEST HOURS G.P.M. EI EAILED PUMPED � COMPRESSED AIR 12— YIELD (G.P.M.) WATER LEVEL MEASURE FROM LAND SURFACE— STATIC (Specify lect) � DURING YIELD TEST (feet) � � Q Depth of Completed Well in feet below Land surface: SCREEN MAKE ' LENGTH OPEN TO AQUIFER (foot) DETAILS SLOT SIZE. DIAMETER (Inches) IF GRAVEL PACKED: Diameter of well including gravel pack (Inches): GRAVEL SIZE (Inches) FROM (loot) TO (feet) I DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two_ permanent landmarks. FE "E7 iv r[21 I If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE ' DATE WE COMPETED DA E PF RE ORT WELL DRI ER 6;z_:c'6 l�nlcr or llarchasev of building G( \'_'. % t 1, 1 V " ' a v tuilc inb Constructed by o • � � � Dew ,ocztion - Strut o iuilding Type ! Zuliicipal:i y _ _c 9"...... vct rv.t, -. r. .y. ,v. �' - d.�:n��,�.atf� ,'�1srt.e .,•'.y -. �== .::s:h;s;;�;i i��,�_:�a�K:, a Section GUARANTY OF SEPARATE SE1,7AGE SYSTEM , e I represent that I am wholly and completely responsible for the location, orkmanship, material, construction and.drainage of the set..age disposal system ervino the above described property, and that it has been constructed as shorn on he approved plan or approved amendment thereto, and in accordance with the standards. ules and regulations of the Putnam County Department of Health, and hereby guaranty o the owner, his successors, heirs or assigns, to place in good operating condition ny part of said system constructed by me which fails to operate for -a period of t.,o ears immediately following the date of initial use of the sewage disposal system, or ny.repairs made by me to such system, except where the failure to operate properly ti CciUSE'U -UV Llle willful ui tii`i iii �'1iE of i iiNui;L vi Laic u:uia:. :.fib he The undersigned further agrees to-accept as conclusive the determination f the Director of the Division of Environmental Health Services of the Putnam County epz.a_tmen..t.,of ��. l: the _.as,...to.- whethc.r..1..or. not .,t} e failure of the s���.ter . to:.op r:�tte c, as aused by the- willful or negligent act of the occupant . of the b^ ' din1; utilizing the Y ystem. ated this ` day of 19 " Signature ' Title �- / Zr (if corporation, give name d addresz !TREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS' BEFORE CERTIFI.CATE' F COMPLETION WILL BE ISSUED. .' ]AP,j' NTOR TS RFOUIRED TO. FILE NOTICE OF DATE OF FIRST USE OF -SYSTE'1. ----------------------------- --- — m— m------ --- - -- --- ------- ---------- --- - -- .vision of Environmental Health Services, Putnam. County Department of health A t o r SAS �` I kph ., 11 S c �6� t e 998' LL"(� i K {:. .�CR►�:@. ..l �Ol� � TF ,1,�::�kn� ���b6:S+at ��t I��e � .�� 1 r n h'- 7 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH.SERVICES COUNTY OFFICE OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE N0. Ica Owner t,14 L; <, , Address �y,C)SC..o; Located at (Street i��, ��.�, : , Sec. �� d- Block "7 Lot � ndi.ca e neares cross street) Municipality 9"0 i 0411A �,� �(� �{ Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 2 19 3 i`:�' is 1 3 4 5' 1 2 3 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. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO HOLE NO. HOLE NO. .c' -, ......... r -.0 :.I:i � •.. .: a .��.r .�c {y 'j x _. .. . , .. _ •. •�'• ,r .;.:xi� -i; ., .,'-. >._:�'•i¢v`�;��e<.ie••�.inr..: .. iri+i�'s; v. >j�- -=rz; .;. ._ .'.x-. '.: _ . � , _: i 6" 12" 1811 i — 2411 3 If i 36 if 42" 48" 54 it f 60" E ' 66" 72" 78" p 84" INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Date 1 p( 4 _ DESIGN_...._. 4Soil Rate Used'( Min/1 "Drop: S.D. 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A,�, COUNTY'DEPARTMENT S b OF HEALTH.' _�VED SYSTEM. SHXJ,.NOTILBE BACKLFILLED UNTIL INSPECTED BY DESIGN ENGINEER AND THE LOCAL HEALTH DEPARTMENT i,,F REQUIRED. 1 R.L 07*.,_plLA 'R- w 'J'u-tq 0 01 tA ci Sr--T t, I-- Lo w 1W A W, XT. to. k w , ac.s:s-r7 Tp :4 Yr Tll.� IN 4- SYS-:TEM. TO,,tONSIST OF A 90- GALLON SER�!T'IC TANK AND, 'Ic — FT_ FT TRENCH WITH A AXIMUM 'T PrrC+r OF 1/16'. PER FOOT. DfSPOSAL .SYSTEM GRADES REFERENCED TO F,NISHED FIRST INVIRONMENTAL HEALTWURVIr� -,FLOO �_iLEYATIPN UNLESS OTHERWISE NqTED. S. S N SYSTEPIA' FORVAL_ PE7 Q�oF HOWARD A. KELLY,JRa ASSOCIATES. i, 3 ;9 ACAR4ME6 EW YORK .4 TAX MAP�NO.G2 6LX.N0. dor'"O. TOI�q OF 1- AN llo� '�rjAtL rasa wAC 5 5 sc A �.b_ itk'd' Date 4 Dr.bmMU No A