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HomeMy WebLinkAbout3386DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.08 -130 BOX 27 0 m 19 t 03386 ��� M7 r r5� n m4 s M. w, anr°�9 Sad gT r Z. Y .. PUTNAM COUNTY DEPARTMENT OE : HEALTH 4 y L Diyision of Environmental Health Sel!ices, Carmel • N tY 10512 �Ef3�9�I�a1T�• 4F` �D','r"ess�F:E3CT10N COA9DLl�R,tC� �rJ.R SEW.nGE.' 91SIP.0�1L'SYST�N� ..` ,. r- U , �,a Town or Vrlla e C Q Block Located' at Section . X • f� r Lot Job r� Owner .d S v� S� / ,, o Separate• Sewerage 'System built by Address 7 � 2.b0. 3 �. Consisting of Gal.: Septic, Tank lineal Feet' X width trench Other requirements - Water S`uPPIY Public Supply, From �, Prniate Supply Drilled BY C S or ( S Address `Budding Type' 'd`� G� No, of Bedrooms' Date Permit Issued 2.�. Has' Erosion: Control Been -Completed ?; 1 certify that the systems) as listed'ser4ing the above premises were: constructed essentially as.shown on the plans of the completed work (copies :of which are ;attached), and- in actor ante with the. standards, .rules and regulations plans filed, and the permit issued by the .Putnam County Departm nt of Health Date �.• ertified P.E RA Z N ,,�, . r .ems, \fQ ►�.e�� Address y License No Any,person occupy,�ng:premisesrserve'd by. the above, system(s) shall promptly take.such, action as may be necessary to secure the correction of any unsanitary, ;conditions resultrng: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. $uch approvals are'` subject. to modification ''or change' when; in the judgment of the Commissioner of Health,. such reyqcatloxl, modification or change is necessary, ByCiL+ Title G m 7 . r, PEEKSKILL MEDICAL LABORATORY 1879 Crompond Rd. Barclay Plaza Bldg. A, Apt. 1 Peekskill, New York 10566 PE 7 -13777 DATE COLLECTED RESULTS OF EXAMINATION OF WATER 1o/15/74 OWNS DATE RECEIVED Val Pete Construction Corp., 10 Grandview Ave., Ardsley 10/16/74 CITY, VILLAGE, TOWN VOR NAME. OF SUPPLY j; DATE REPORTED Lot 16, Block 8, TM # 62 10/18/74 SAMPLING POINT Well BACT8RIA PER ML. (Agar plate count at 35'C). 5 COLIFORM GROUP ;(Most probable N6. /100ml.) less than 2.2 HARDNESS,TOTAL - ppm DETERGENTS - ppm NITRATES (as N) - ppm IRON, TOTAL - ppm, FLOURIDE (F) - mg./I. These results indicate that the water was yes of a satisfactory sanitary quality when the sample was collected. A. H. PADOVANI, M. T. (ASCP) WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental Health Services COUNTY OFFICE BUILDING • CARMEL, NEW YORK ;ar w,.� �fiis: r ;4^i� io beiccr+►�iiete�t %i�yw ;i Fiii rarid^siit �r lice 6 C' iitif�ly�rleait�t° GePmTmeTrt 'togetherwit4rfaboratory'rep6ft bV, analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAM,Q �J, i /% 6/vSl ADDRESS �^ iQ C •�1� JJ1 e&/,4t `- „ L'e'o S�` �► %, LOCATION OF WELL // (No. A Street) L (Town) (Lot Number /�C'/y��' ✓ A% /% / U ✓IY it / !/ryffr PROPOSED USE OF WELL BUSINESS DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ OTHER ) DRILLING PMENT EQUIPMENT 11 ROTARY S AIR PERCUSSDION El PERCUSSION 1:1 OPHE Y ) CASING DETAILS LENGTH (feet I DIAMETER Inches) WEIGHT PER FOOT �Z lid:J THREADED 1:1 WELDED DRIVE SHOE YES ❑ NO WAS CASING GROUTED? ❑ YES ❑ NO YIELD TEST ❑ BAILED ❑ PUMPED HOURS G.P.M. COMPRESSED AIR 'T" YIELD (G.P.M.) MATER LEVEL MEASURE FROM AND SURFACE —STATIC (Specify feet) DURING YIELD TEST fleet) � Depth of Completed Well in' feet below Land surface: SCREEN DETAILS MAKE ' LENGTH OPEN TO AQUIFER (feet) SLOT SIZE DIAMETER (inches) IF GRAVEL PACKED: Diameter of well including gravel pack (inches): GRAVEL SIZE (inches) FROM (toot) TO (feet) DEPTH FROM LAND SURFACE' FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. . •--- FEET io ac If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE L COMP ETED Iq ­74 OAT F R OR "� z -7 � WELL DRILLER (Signature) Q I / X� 71,1. er or Ibrcha_;er of building . ?�► � ��-, X11 �: _ . 1iun is i h i, l.:i. Cy 4-1611i_11,61; Constructed_ by Section iKQ,--Y)A UY-V,4e, vocation - Street C 3uildino Type GUARANTY OF SEPARATE SEf,?AGE SYSTEM I represent that I am wholly and completely responsible for the location, !orkmanship, material, construction and.drainage of the sec:Tage disposal sysfem ;erving the above described property, and that it has been 'constructed as shown 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 eaube(' .Lv -che willful u:o Ileklhtil l ac k: a Ch E! 0l3 i:ii Nuii L Vt �iav ..LL11...a1b ga l A,} LG•y..b The undersigned further agrees to .'accept as conclusive the determination • f:: thL Diz ec tor of ,thy. D�;v sio:3- of •environmental Health Se rvices 'of -t1) q - Pu tnam Coun #L lepartment of }lcalth as to whether or not, the failure of the system to operate was aused by the-wiLL,`ul or negliaent act of the occupant of the building utilizing the ystem. gated this day of 0 19� Signature �`1 � �-` % - A �s C�i ►'S7 G��j�. Ti file Ze ct c 4..y (if corporation, give name and address IK- HREE (3) COPIES ARE REOUIi.ED WITH THREE '(3) COPIES OF FINAL PLANS' BEFORE CERTIFI•CAT'r" F COMPLETION WILL, BE ISSUED. , UARANTOR TS RFOUTPJ:D TO. FILE NOTICE OF DATE OF'FIRST USE OF SYSTEM.. _ _--- ______w____aw___w_ww__ ______ ..__I- __________r__.:_- -r_ -__ o_wa__www_a._r_ _dw__w__r__ ivision of Envir®nmental Health Services, Putnam. County Department of Health t .o • o 7 ORAillo 7 r !/ �• L k VA �- - _ fo V.PSI Cons Co, B 8 :^(�6u � 7 - <'t' 4+- '�-��� >tYran .on+ur e-.;. .. �- .• -.w.= ..�,yf- �.. �. - rt,�t�,.:.. nor - r.�em —� �� wtui:�.�.+r�.. e.: .. _-.te -- +}!.h+�':.r,. cc 3 o Tan /d%Gi... '�� L 7 � , �� a. ./�( .. .v -,:�� = � • .w- g. .rte y p 2 ly vd on R, �:.:. R, iccfe; 11 V Ar- ,r 4`�8�0�� " P.UTN'. i• d� t Y 1 t Q'e / r Y Ou l ?'E: p•tr / Qd OR DIVISION OF. r. pEiNM MAL HEALTH S t i ..t .,, •+� 3 Tt 1, �ii� t \,AS.• � j N .. :t.`!i „ -. 7f '�j_�.J'fYh .i .�_. ___....- _...FiJAWL... -J.�.. .., •? !t V `.+"� - ` :i7 ^''h 4711' '4'o �- ��. PRAWN BILK. a PATE for: vk _16 /6 iv ,.'A },;y. ,w "r.y.y.::a�ca•.�i::�:.x':." -::.fir �.: �:e •.c 'a.•< .w et: rR'�Li" ._.. e "_ -.� '��;'�d �'�r �x �:. ::fe, a . wi: •: i�� :ri�i ?: -r. 0.�ia.r _ .. ...�. a" 1` S, ® jI F� 4 y Pao Gall Pe�c�t. . 1. ro f 4j A .t, S3 je Je X' 3r4' <,ar 1155.E F r'' jV k e6 i"— 1 4i T.}t �° 'LAP. r j t'J '•' f , i t "C T � X319 74 .,.n .4 SY.AjN ,.+fit yt r „�.�" .�.�.. — /f r4 0 �•Q6� MIT ' D1 «Old. DIVISION OF 13. HEALTH S60!!! � 4rie:� :rr ' a � :�}� - .�` •'d,'v;. `:A;! • "i'r •� . Nf �.J } „A'!., �: �s � "1 . t �': •�i .if: :r .ys' ,4 a`�r''rY y�S'• 'fit. r.,J,• °�`•�':!` �!�`� -1•' 'Y •rte. %i4 .7�• •, n:” .•j.;', .A.•,: 4 a �n'^,:9��.'Ff4.•.: ..fi:.. �M.:.. 4� �+ '� ' • r*t���:•a n"brd ''ti . ,�} • .• � 'i.''vui:�rif,��s"Iii`,�.°k�"'f 1•`ii#.;. ",?t. �; ��r ����i',}�F'i.�:, ^t•.., • ,�.` :.x:.�.�gpv. r'.tr .. .. ���• . '`�•� ... h .. • ".Number' of Bedrooms 1 +�� ;Separate ;Sewer59e,- Sy'stem� to consist ofYF ? � -`• � �: '�+ "'`•Water Supply Public Supply ":From 11110115 W d 91 3 � 4 LQ 4y - Td pt�c Tank AC bitable Space � C lineal feet: X w i,. -S �ysr 4 � ` Square: Feet,:; width trench.,; o, ti n r , w'J wagedisposal system ions of'..the : .Putnam issioneof Heelth'will t•i • that "said builder will , gr the date of the, iisu vvel I':desEUibed t aliove;;-� Is of ahe Putnam, r , E ' , v�arn�c�� Yt License No te'.`issued unless construction 0f, ilhe bwldirig has been undertaken hand is ;the Commissioner. of Health r Any change or alteration off' construtj} d/o spr vate water supply .only, , Ti�q PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES OUNTY OFFICE BUILDING, CARMEL, N. Y. 1761 I 5ff 7 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. S-14 cx. Owner OcLl- CoAs�. Address 10 Gra4_QxCu) bl', t (arlt Located at (Street - Sec. Ga, Block Lot nearest cross street) 4SQ �q. G Municipality'. PQ:tj0q'ff% QO-Mec j, Watershed Vs kid I SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION TFve1 'PERCOLATION Run Elapse Depth to Water Water No. Time From Ground Surface in Inches Soil Rate Start-Stop Min. Start Stop Drop in Min,./in drop Inches Inches Inches 2 d� I 3 id— to IQ 7z 4 inO 5 2 .5 T 2 3 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. App 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 N0. 1 I 6" 12" 18" 24" 30" 36 if 42" 48" 5411 60" 66" 72 78" 84" INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH ,�IATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY ,'1/, Date o� DESIGN- Soil Rate Used 10 Min/1 "Drop: S.D. Usable Area Provided -No. of Bedrooms Septic Tank Capacity 96co Gals..,. T �e Absorption Area Provided By_90-0L.F.x24" `b"— Idt rent ivame �, J bignature - Address SEALrx.,.. >.:F.r Tq 998 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: rF of NEw Soil Rate Approved Sq. Ft /Cal. Checked by Date I y. , si, �s•psl Ipy` z `y, r• .r tj r i>' `r` ' ' EM :>' �r 4,y i' 1��� 11 `.,r .c! y 1j ,C' r` ' i` • _� v/M tr IF t }K ;. i��ashe`s'� gat D e'atla "k ep�a �a v^y xt „ i+ v. +:.., '` i...,,r ,y",, ' ,.� !..? o .. ; .o-� �c u! r .4. F. .». I. -t ta'. -fw• .t,}',.i , - Y . r::.;.'. AFF°IAAVIT CORPORATE OWEA APPLIG xIOhU f V +• t`,, t i FOR `i 1WT ;,REQUIRED 'BY' iESTCHESTF COUN1i'X SANITARY CODE (Please, type* oY° print .a 1 a ;.. c ig TO e ° ;r t�OYl fOr Co»n3sslon„r of Health In .the utter of :appi�ca CONSTRUCTION PERMIT FOR ,:SEWAGE" DISPOSAL..SYS�TEM m L, .Peter Rizzo repsent' that` I am sut - c.rized 'to act far the Val -Pete. Co`nitruction Corpo , . _: ;�, .� • �. �.' �. sae ..� j t� �o Go°porion . gi faces at G and'. e a 10 r � View �v ... havi.n of _ .. _ Ards 1e New York ! phase r offic�ra are _ .. _ m' �w .� .� .. Pre'sadht Peter. Rizzo, Ardsley, N.Y. i, am .. 4 Re d • 3 . (N , e &Homer Address ).. •3 V$ Pd,/s4 r r' Y m 4 a1'o r u we w. - NName &' Home AddressN Sea Mauro Valenti -ne, Scarsdale, N.Y Y m —•— -- -- ` NName & • Romp dre ss�j Treae., , a by Resoluton.adop 9 ted` Seopt e 2 1 7 . with respect -to the: permat: requested; and . all - subsequent ,acts .relating thereto, ., t Sworn to before me this 'day Signed of 1 L `g„ Title ' • �uc�T,�P�Y C _ BONNIE K.'ST AUBURN` Notary Public,' State .of-New York Qualified in Putnam County, Commission Expires March 30, 1.9 { APril 159 1972' "''``` 'r'-- °aw,x�+`'r .�' `�? „'s -•-a •.- :.:»•3--- s -nc ,t: .....m..- *;•.:.... -.- ..".^.�3 �. // .. /�, AM ;COUNT1l DETMEI+IT €r F FIIEA�.T`tA - NEER TO PROVIDE,'PERMIT # �3JTrI,, ON °CERT' FICATE OF. 'COMPLIANCE, }, G ff t� , ONision of Env�ronmenial Health Services, Carmel M ' V X10612 PERMIT CONSTRUCTION PERAAIY F OR SL"' AE ;:DISPOSAL SYSTEM - F .�R Town o® y,i llage PAO R aivax - F� Located at Tax Map swell �s°b�ei3 y 1 :.� Subdivision ' "` Sid Lot N r- Renewal Revision s. F�®sea D�ithael.al ©ney Kee 974 to evi Owner /Address s Approd or g° ° �Er ®. r Building Lot Area F113 Secti On Number of Bedrooms Design Flow G /P /D ©® C N tiff Lion Required Yes �,F Separate °Sewaiage:System to cohsist` of G ti an ��� ® i°emh C To be constructed by.' 4 Address ®s�s°aa�a e� ®aE� water SuPPIy: Public SuPPIy ,rom r - pp r , 1x' Private ;SuPPIy be rill by;: 1�lread� Jds �.b�e� a$�� �.� use Y( Exist. o awe Other. Requirements '�. L ✓ .y l ® ®c 000. 1 represent that I am wholly antl completely responsible for the design and location of,kt - , o e�l(s),:1) that the separate sewage disposal system above descnbed will be constructed as shown on the;approved arriaendment there to and h�estandards, rules an regu a ions o e :. u nam COUntvim+ .+ ' y.:Z?epartnient of l eatth, 'and that on completion thereofaa Certificate of C i tisiactory to the;Comm�ssfoner of Health will be sub Mittetl to the Department'`and a wrdten. guarantee 'will be `turnis'fied The o - 'of assigns by the tiu�lder that saitl builder will W. t place in'� go _d operating �;conddion 'any part of tsaid sewage disposal' system dui r {immediately following the date of the issu- er r -O. - an�e otthe - approval of•,the,Certificate of Construction Complianceotthe; or�i 31e: r pair `�t�►0to 2) that theGnlled "wvetl described above wUl be located as shown o the approved plan and that said well will be "installed ino anc sta �ql� rules'• and iepu a !ons of ftie Putnam County Department Of Health Jte a9`o 196 0 r o Gate Signed' { e P E R.A. n� o Address ®�i License No Z�C APPROVED FOR. CONSTRUCTION This approval, expnes -one yea from the date i sdF rll�s>�n lotion of the building hat been, undertaken and is revoiabie for,ca,use or may be amended or,'moddiedtiivhen conside►ed` necessary by the COr14�oi�geFafl Health. .Any.thange Or alteration pf, construction requires a new permit, `Appro4ed for disposaF 1 i16domestic sanitary sewage; and /or 'prrvate,`water supply ,only, Pate BY _ Title Rev. cw PUTNAM COUNTY,HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Commissioner of Health - FIELD ACTIVITY REPORT - NAME ADDRESS No. Street Municipality (T)(V)(C MAILING ADDRESS P.O. Box Post Office Zip Code TELEPHONE PERSON IN CHARGE OR INTERVIEWED Sheet of INSPECTION Orig. Routine' O•ig. Complain O•ig. Request Compliance Complaint Comp Final Group Illness Construction Reinspection Field, Sampling Only Field Conference Other DATE— TYPE FACILITY I D F k) t� TIME ARRIVED 3,00 TIME LEFT --- Explain FINDINGS:. INSPECTOR: PERSON IN CHARGE OR INTERVIEWED: I acknowledge receipt of a copy of this SIGNATURE: Field Activity Report .................. TITLE: TELEPHONE: lil Owner ]€ DA � F- " - cTF Sr FACE . .iAf zS S 9S sx YILE_.N�.._ Address Located at (Street) Sec. Block Lot (indicate nearest cross street) Municipality Watershed Date of Pre - Soaking Date of Percolation Test HOLE CLOCK TIME PEROQI�ATION PERCOLA ON Run Elapse Depth to Water From Water Level Noe Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min/In Drop Inches Inches Inches' 12'. IZ Z :qZ 3o 2�..5�_ _ ..�,7�' _ ....5� 0 4 5 z 3 5 01 2 k 58 I fl �2 . j 8 3 G n 4-51 1 P�dTESo 1. Tests to be. repeated at same depth until approximately equal soil rates are obtained .at each percolation test: hole. All data to' be svkmitted for review. 2. Depth measurements.to be made from top of hole. rev. 9/85 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY /SUBSURFACE SEWAGE DISPOSAL SYSTEMS FIELD. INSPECTION REPORT .. .. •T: ii .: rtwir Af.LOefe.aY':.!:a._^r ^. ^;,, =- - -•... _ \- - - _ .,:..�, ...� b�ATENa ;- ._:.o..:�.a-..�.•',c7 "-�-_ �'lASUILI 1/4 INSP. BY: �V C (Name of er) (Street Location) INITIAL SITE INSPECTION ZQ1t VJ YES NO I COMMENTS Wetlands on /or proximate to property .............. Cfl K Property lines or corners found ................... Up Can estimate house location........... .......... OP Will driveway need cut ............................ Must trees be removed - note these ................ Deep holes representative of entire SDS area...... Additional deep holes needed..... ... ... .... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells/septics .. .. . . ... ...... Access to ro sed well location fordrillin D.H. - Deep Hole G.W.- Groundwater D.H. 1 Lot D.H. 2 Lot D.H. 3 Lot' Depth to G.W. Depth to G.W. Depth to G.W. Depth to rock Depth to rock Depth to rock Soil Descri tion Soil Descri tion Soil Descri tion 0 ft. 0 ft. 0 ft. 3 ft. 3 ft. 3 ft. 6 ft. 6 ft. 6 ft. 9 ft. 9 ft. 9 ft. 12: ft.. -__.• . - - DATE: FINAL SITE INSPECTION INSP.BY: YES NO COMMENTS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of the line and trench acceptable......... nel near SDS area.... Roan allowed for expansion trenches .............. Does lot drainage appear OK in area of SDS....... Over 100 ft. from watercourse .................... Natural soil .not stripped or SDS area FINAL GRADNG OF SITE ACCEPTABLE.. ... unnecessarly graded........... .............. 10 ft. maintained from property line and 20 ft. from house .............................. Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench ................ ' 15 ft. of peripheral soil horizontally from trench ..... ............................... Boxes properly set ............................... Could surface runoff from driveway, roads, ground surface, etc., chan nel near SDS area.... Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE.. ... Pt MAM COLR rY DEPARZMENr OF HEALTH -1 c+.�-ce!4' - �. •k- f..'rin. .�s. gl,77F.7eA 1.r•. .c .. .t - .t._ ."�� ".It!SP ZJ.'VLY 7;, W-h .: z;e DATE: INSP. E ( Name of Owner) ( Street Location) �a-h �loy-zv INITIAL SITE INSPECTION YES NO CC*ENM Wetlands on/or_ proximate to property.......... Property lines or corners found....... .> .. e-1 Can estimate house location...........` �A Will driveway need cut ...........f;.o .............o • ,..� ,.�_ Must trees be removed - note these ........ A.... f� ` Deep holes representative of entire SDS area....... ,K. Additional deep holes needed ...................... =: Sufficient SDS area available considering driveway r cut, house location, separation distances,etc... Adjacent wells/ septics ................. . ... I ... .... D.H. 1 Lot Depth to G. W. Depth to rock 0 ft 3 ft 6 ft 9 ft 12 f Ore., D.H. 2 Lot Depth to•'G.W. Depth to rock Soil Descri tia 0 ft. [— '51111 3 ft. 6 ft. i 9 ft. '12 ft.--'I D.H. - Deep Hole G.W.- Groundwater D.H. 3 Lot Depth to G.W. Depth to rock Soil Descri tion 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. I DATE: FINAL SITE INSPECTION INSP.BY: YES NO COMMENTS 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. from watercourse ....... f,............ Natural soil not stripped or SDS area unnecessarly graded ............................ 10 ft. maintained from property line and 20 ft. from house .............................. Distance well to SSDS (ft.) ...................... Number of bedrooms checks..... .................... Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench.... 000000000coo 15 ft. of peripheral soil horizontally fram trench ..... ............................... Boxes properly set ............................... Could surface runoff from driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE.. ....... .... .. [ Very truly yours, J n S. Romeo r �pNp1 EN6 //y�rc9 •, o t 0 27846 � O K •',f1 ki o cos L fr n ., 116 OT 10 has i zd., La gh 000 A Ocz I /000 Sep 1/' YV as 014 r, /7 20 ro a A . Ho C I cd e VE1 'r 0'r P1 e rs 06 }.fi, ,.. ,, ,, ,; -I' I' N, K C*T ' 2 819 74 � ; : � 1.�: , ., ,.,,,,tip! }, , �} . ,` ,.. ..:' ;: •�� ° . ° � IT18 ��` 5T, ()IN ul� ft'. DIVISION OF IN P CVVfDnMlJCMTAl MC-AITU OCOVIrMn t•: MANHOLE CQV R � I. i ..PLAN I' + jv - 4�1 ° /C4. C� 41)NCTIQN Bt)X'_- Mifs f2u'IB A •.. ;`�� R �ytoe atc.� ,.� +° s 1 eairs. uic x` '~`'�\ 3 C ST IRON. i. 4 .. . `• -,:lb D _ :�;,t `'•, '.�,~".!Q2a` r �. I � - �. :,ANi 7:AR'iTE.G "! ,. `�,` ''.'- T s� e�' nix}tkirau�oN fapaitsior+ "�a�,C.TIOM , 48'1 EtFl.o d j TYPICAL CO C. _,,y \ �� \i �_R.y_ � •i ��_ -{mod- - .. '•1. hFmF.'B °Cfi °r 9EA,T TA j �ti ``��E:O_- _ - - -- - "^:•.}' � .:210 �. .. „ - r, - '\,,�Ijpf51 GRO. LEVEL . -.. - i r p v vSii 8��.. �_. - BAGNFILL - J01NT - 5., i5^ , rI G A . �(J'(i .. �: r _ .ITS ".•30 -� .SICK. PA.PEF i �"GOVER 't.'. �•�DRAl . "I `` �..- - ( y 6R HAY 2.. 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