Loading...
HomeMy WebLinkAbout3442DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.18 -1 -11 BOX 27 03442 . ' �0% ' IL L- I IL , ,, or J} J .' -, 03442 e' PUTNAM COUNTY DEPARTMENT OF HEALTH •. D SON OF ENVIRONMENTAL H�SERVICES.�..•�_;.: - rr r• -.__ .... -.. ....0 .mss ... •._.- _ I CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Py- 20 - q:1 3RlAv- btu k Located at (Fc>kmrrat,r 1'S,gct1 u++.c Ran so�:ru} T4gg�or Village 'PurNAt.n ✓.a LLrt ! Owner /Applicant Name 37 C,2oTow -D&m 2Q c —e Tax Map 73, /S Block I Lot I Formerly i Subdivision Name L,,v c,4 q 3 Subd. Lot # Mailing Address 37 eQonnb4. VA..m 2y c�ssw,iyc F �>✓ ,� Zip /os6? Date Construction Permit Issued by PCHD /U- 2 / — cr -7 Separate Sewerage System built by 37 C Rc roo PAr gy Capp Address Consisting of 125 Gallon Septic Tank and -loo` Lr e5r~ ^2< 1'RPNGi4 5 Other Requirements: Water Supply: Public Supply From Address � y ►�vz'rt A. M A.vc� . ' or: Private Supply Drilled by p� a s:��c T,vc . Address i3 we.) s-rmz 44 10s0 .� _.l�. s erosiori control been c Number of Bedrooms ct e-, I Has garbage grinder been installed? . I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are'attached), in accordance with the issued PCHD Construction Permit and approved plans', and the standards, rules and regulations of the Putnam County Department of Health. Dater 1 ' °o �`�� Certified by P. E. V\ 1. ' es Prof ssi nal) I Address 3'NS,r� sri9,t� R,�c, Sa v�y +eyy 4- � u,rr-t ,Rrr:e.License # 19 -31 Any person occupying premises served by the abbove 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 sewage treatment 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 Public Health Director, such revocatio , m dificatio change is necessary. 't ,BY:. i Title: Cf*— Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 EN01NEER1tV0,':SURVEY1NG4 LANDSC LETTER OF TRANSMITTAL APEARCHIrECTURE, P.C. ,R6u1k:0 '(914Y 27846br Brewster, New York 10509 (914)278-092 7 DeLaver9ne ' Avenue (914) 297-1742 Wappingers Falls, New York 12590 TO: ' Fr Ct H, po WE ARE SENDING YOU ❑ Shop Drawings ❑ Copy of Letter Date: I - i33' I` , Tio :r- b.No. T/tf7. of Attn: ca 6L/ d 4q Re: co;7-4- C- C- 917 4 Attached ❑ Under separate cover via ❑ Prints ❑ Change Order ❑ Plans El ❑ Samples the following items: ❑ Specifications COPIES DATE NO. DESCRIPTION A-5 — P KAw I tj (z C- C- 917 9 ......... C-'T7 ... . . ... . .. . ...................... ........ . . . . . .. .................... ............. . ............ ..................... ............. ......... . . . . .. . ............ . ..... .... . ........... . .......................................... . -- ............. ........ ..... ......... . ........... . ............................................ ........ ... ....... THESE ARE TRANSMITTED as checked below: F-_Q--.�pproved-assubmitted, �R§q�mit - for a I ti- orapproval -PPEoYa,--,.— ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return ❑ For review and comment ❑ REMARKS: k COPY TO: SIGNED: Or" IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE Lot98.dot corrected prints , r ' PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT 4 L WeifLoeati�n'i- greet= �tdtlr = WOOC9Iaricl` Es at;e Kramers Pond Road TdwnNil age,`­­­, Putnam Valley Ta� Grid Map 7s,tSBlock I Lot(s) it t Well Owner: Name: Address: V.S. Corporation, 37 Croton Dam Road, Ossining, NY 10562 Use of Well: 1- 'rrima 2- secondary X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment _x Rotary Cable percussion _X_ Compressed air percussion Other (specify) Well Type Screened. Open end casing X Open hole in bedrock Other Casing Details Total length 21 ft. Length below grade 20 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials: X Steel _ - Plastic Other Joints: Welded X Threaded Other Seal: X Cement grout , Bentonite Other Drive shoe: X Yes _ No Liner: Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test Bailed _ Pumped X Compressed Air Hours 6 Yield 8 gpm ' Depth Data Measure from land surface- static specify ft) 30' During yield test(ft) 540' Depth of completed well in feet i 685' Well Log If more detailed information descriptions or sieve-analyses— _ are ava>lable,� " please attach. De th From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface ror-, 1 _ -- H 21- Drillin - in ro_o ,- set- casni ;,* rd i;ed 21 685 Drilli I in roc granite l If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity 5 m Depth 560' Model5GS10412 Voltage 230 HP 1 Tank Type WX302 Volume 86 Date Well Comp leted 9/30/88 Putnam County Certification No. 002 Date of Report 12/2/98 Well Dril (s' NOTEI: Exact location of well with distances to at least two permanent landmarks to be providwon a separate sheevplan. 4 Putnam Avenue Well Drillees Name P. 2a�0Vgns,7ITric . Address: Brewster, NY 10509 Signature: Date: 12/2/98 Perry L ' White copy: HD File; Yellow copy -Building Inspector; Pink copy - Owner; Orange copy- Well driller Form WC -97 ' t G .0 t 1 PUT'NAM COUNTY DEPARTMENT OF HEALTH D V JiSION OF ENVIRONMENTAL _ HEALTH SERVICES - GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM 37 c "010,1 pa.-4_ RJ cor P Owner or Purchaser of Building 37 GdO46&, {>awl 'Rd.cdd.A• Building Constructed by 9f I A.a W.11 14. (F er."%Wy 3,,,c4 U-f 1 Rd So,,+0 Location - Street T bps #VENr(AL Building Type 73. /8 t I Tax Map \Bl ock Lot 'i1'¢"" W P V l �6. L.L E le TownNillage L ne-AR Subdivision Name 4- Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is 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 treatment system, 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 Pub %► Health Director of the Putnam County Department of Health as to whether or of tl'e failure o;t e system too %ate was caused; the willful or negligent act of the occu ant? of th'e building utj izin the p�, p - ;s g g syste , Date nt1�1'` Day 5 Year �� Signature: Fit S; �Ji. Title: MKS f= (lT Gendal`CoAtra�or (0- wner) - Signature 37 C RoTom -DAM ?oAi] CoZj> Corporation Name (if corporation) Corporation Name (if corporation) Address: 37 e_ Rc)-F0 N 'DAM ?o%kD State O SS IN IN N !/ Zip I OS t, 2 Address: State Zip Form GS -97 A�A'I-QOT'4' BRUCE R: FOLEY Publ Hea irector DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278 - 6130 Fax- (914) 278 - 7921 FAX COVER SHEET Date: 1 Z 30 To: :rfo Fax##: 2 �� �'✓�- S tT No. Pages (Including cover sheet) From: 'Adam & Stiebeling. Z ForA . Public Health Engineer ' your information Please respond For your review Attached as requested As discussed NoteslMessages _ 13 s� Please call I l l. '(� � �Pr1•t LC- �� Sa'-c2 � �fL J � 2 � �j J{� 1 D G a�GtstSS� �, I L—L TTf In he event of transmission /reception difficulties, please contact this office at (914) 278 -6130 ext. 157. C —nog • -•- - - = `Street I;dc� Toirn PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FIN SITE INSPECTION TM 1—'I1 1. Sewage System Area a. STS area located as per approved plans .................. :........ b. Fill section-' date of placement 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands ...... ............................... II. Sewage System a. Septic tank size - 1,000 ... .....1,25 .....other ................ b. Septic tank installed level ................ ............................... c. 10' minimum from foundation .......... ............................... d. Distribtuion Box 1. All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches Junction Box - properly set ....................... ............................... engt�i required Length installed 2. Distance to watercourse measured Ft.......... 3. Installed according to plan ......... ............................... 4. Slope of trench acceptable 1/16 - 1/32" /foot ............. 5. 10 ft. _. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface.................. 7. Room allowed for expansion, 100 % ......................... 8. Size of gravel 3/4 - 1 %" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... - -_ ... g oilbosed Systems ............... ...................:........... 1 Size o pump c am er. 2. Overflow tank ....................................... t..................... 3. Alarm, visual / audio .................... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled .......................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. House/Buildin a. House located per approved plans ... ................................ b. Number of bedrooms ....................... ............................... IV. Well a. Well located as per approved plans ............+, ............... b. Distance from STS area measured t nfl ft ........... c. Casing 18" above grade ........................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ... ............................... i. Erosion control provided ................. ............................... Rev. 1/97 Date: ��`�Irisfpected by. Owner C int G- Permit # y— Z€ — 9 . Form N NORTHEAST LABORATORY OF DANBURY i cT cerr , PH- 0404 b YYOAio" - I�AIHBLTRii, -CT' 068111` ", "''�;• "�`... "�• - 1VYCe`rt 1147`•1' •' (203) 748 -7903 - FAX (203) 748 -0652 LABORATORY REPORT -- WATER SUPPLY TESTING REPORT TO: P.F. BEAL & SONS DATE SAMPLE COLLECTED: 11/23/98 & 12/2/98 4 PUTNAM AVENUE TIME COLLECTED: 9:45 A.M. & 1:30 P.M. BREWSTER, N.Y. 10509 COLLECTED BY: W. MAYERS. . DATE RECEIVED @ LAB: 11/23/98 & 12/3/98 TESTED BY: LAB #11471 & 11301 i REPORT DATE: 12 /8/98 SAMPLE SITE: V.S. CONSTRUCTION, LOT #4, WOODLAND EST., PUTNAM VALLEY, N.Y. SAMPLING POINT: HOSE BIB SOURCE: WELL TREATMENT:' NONE TEST PERFORMED RESULT: MAXIMUM CONTAMINANT LEVEL BACTERIAL: t Total Coliform (Bacteria) 0 per 100 ml 0 per 100 ml :,PHYSICALS: pH 8.47 no designated limit Turbidity 4.19 NTUs 5 NTUs CHEMISTRY: Nitrite N 0.032 mg/L as N 1 mg/L as N 11301- Nitrate N 0.38 mg/L as N 10 mg/L as N Alkalinity 70.0 mg/L no designated limits Hardness 44.0 mg/L no designated limits 12/3 -Iron, <0.03 mg/L 0.30 mg/L. Manganese 0.021 mg/L -0.30 mwc - [Note: Combined Limit for Iron plus Manganese = 0.50 mg/L] 12/3- Sodium 3.4 mg/L 20 mg/L ** Lead <0.005 mg/L 0.015 * ** m1= milliliter mg/L = milligrams per Liter ND = none detected NTU =Units * *Notification Level ** *Action Level RESULTS BASED ON SAMPLES SUBMITTED: 11/23/98 & 12/3/98 I SAMPLE, AS TESTED ABOVE: ❑X OTABLE or OT POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) I: Laboratory Director I •NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230 -7— 111" QkrkZ CQ-� J Data 69 dv 7" jDa . tg Subdivision AD t6yed Pee Enclosed AmmiTit- . F0, 10 MZ� rlmin�z ca ma&== D30603118W.G P. 0 Id zGemmea S=cm'ce SYUO= go 4ey L-ir- of: 1"k-Ape' c-V-- ssawb Tomb -IL Iro Ib a d=23hczOS& or Oho nd location of In systornis). 4 tp.�i =:.QqO: disposa 0 02 conitiuo.cdos inciwri, mendn'mi tho►d t and in'00ccordanco with tho xwn�vard s. rules ono !QquIationvof.-,.thO 'Z�M,! '16kifii; 601 Co'nitrUCtl6n Cbrnoli6mo-!. Wtisfactory to tho dc )inrisis%04zr of; HealthtVill arid bo urnisPK Iva is 0i DOB rbb.tno iu�.Oqsct.'O� salo'buledw will di �st6rn duricii'tho Voriod of, 60 2 .61 iyi6rii . 1. . '11") 1 tho Imu- t, V=i1grimcgla of 'Consiruction C"pllanc0 . of tha oilbiiiial i2) 'itho driiks wolii,&giv6w 060VO or any roew.&Is tociato tho :cmc.qpo,*catcp do efK#m,,on:t;tb ppoovaa.,ii n 664 6,6t4oia moll ®01 ?r4 1— 1 - . I I 10'.� tho' Otbadardsruc3a and rca-UMMO-55of Ova Putnam Comn.V 01MItIL Data "':sIsnod PA. • Adaross -------- - A?r,PROVED FOP; COP4S'tPUCT�jON: fnl 1 6 fro th, 0 d !- - . M !iIei corist'ru"n of tho building has boon undortaften and is MwOimblo for causo or may tla Or"Iricawhon noc is onar, of Hcalt�. , Any chonso or alteration' co 0 _m"Ilica wrWan ion of iistruction ros a no It 'Approu at dis6ofal of ddrn y only. qcQu' tv �7 . ad f Rev. 10/88 00"0 TIM "� 51 PUTNAM COUNTY DEPARTMEW OF HEALTH I DIVISION OF ENVIRONMENTAL HEALTH SERVICES >rr`. - .:.�.,�.: l- .. b,,,+ r• .. �► •.i:,, <. _'.,,:oFet. ..G'.- ....... ..... ..- r .. �•x. o. rte` � - =-..c ,'c ,. i=. ....ci,,;�-�_.J.:.('al: . S":" :vim .�'•. �.. _ _r} Date \ 1 Re: Property of L-INGI NC. Located at J3t FZr,,4{ H I t_ L- '_OA -p 50cJ TR (T) TVrwAtA VAI-t_EY Section 7.3.16 Block I Lot Subdivision of 6UBDIVI1E_>1OVA Subdv. Lot # q-- Filed Map .1� 2933#• Date Gentlemen. i This letter is to authorize Insite EngineerinQ & si,rvPyinq, p. r a duly licensed professional engineer X 9ccxC1crx4c5�xcrxScxixtx�t�C (Indicate ;to apply for a Construction Permit for a separate sewage system,. to serve the above noted property in accordance with the standards, rules for regulations as promulagated by the Commissioner of the Putnam County ,Department of Health, and to sign all necessary papers on my behalf in :..:...,.:_= coxaLe..c_t�n�i ,k. f ath:is..,,.riaa t.er anal to :superwi .e the= construction of said system or systems in conformity with the provisions of Article 145 or .147, Education Lai,, the Public Health Law, and the Putnam County San - tary Code. i t Countersigned- Jeffrey J. Contelmo P.E. , )fix, # 61931 Insite,Engineering & Surveying,.P.C. Address Route'22, Brewster, NY 10509 278 -4990 Telephone Very t Signed -P' d e'r t y _Z_ 8'I LIBERCh �T. � Address Town ..00 t - 70 0 Telephone r 1 ;�tQO RT r�13 fl�'WA� fl� / idol L l N Erg R PAVE Date 'Subdivision ADUO ed s• • 4IO�i z' Y .. - L roprosarit that I Dm' wholly end �compbtely,►o Dtiovo doscnbed wiltfbci cor►str'ucte9 Ds shown on County GoMrtmctait'•:04 tOeglth, and that 4i e ®o;laa®mitt®® 7t0� thGi`;Oopartrliaant ^` aied;'�a wvitt �IDQ:O i90 0006 OP�aQ -iPi� �49�itiOn Dnt1_'p8rt`;O F3; e® o4T ttW: DpOr �fz64, .t" CWtt4ie&to o9 Co tv001, 04, loeotod os �araw on tc�e appronoai;pwn an Cmdenty Dc tw,eiit o9xtlth; a"OVAD.FOR COWSTRUCTIOhI Yids Dppi< rovcccblq -for causo or,`moy'oo o,nce,®o8 0r mOei OCOUire6 D rqw mit pprcvoa for ;disposti DOQO _� r 10/88 K. ,I�'A)6� �H1F�f 1)� ., ®I� F.T`fld :�+ � • =',. - ' " M 1•oovlde Peed e t `: , ° . � i r ic$$ OF d 01 1�t8/�Cg iE } �r a c 's 1& a arm '7 3 a [� s � - �r�rtE€rr:�y n1J i7�� ..77 ee Enclosed LjfltA, dolaeme $tom G-•F,. � df :7.' !%ui� �eSoRPP'�-/J X7'[2 n8�olo 40� tho design and bcatiOn o4 tho zaparma,,eewage,t7isposal' s em a Dpprov®d DmenOm®rit Chop to end'in accordi3nce t Pith the starinords, rule$ a" ieguTaiwpf 0 i tlf® PU%Dm neo sptisYaetory.to the Commissioner o4 Nmel@hwill gtiarontee will 00 tnisfiad tho otr �ruiiia �accossmvu; holrsor'assipns ' t1y_th® Oufi9er ttw4 soul buiO4ex will `. uiEd�,sawape dispoial system During „Cho peri0o 04 two (8) yos►u immc i®toly 9oltpwirig thotlete 09 Cho leans -: tvuetbn 'COmplbrieo 04 4h® ortginDl system pc Dny ro&r,irs traogoto 3) titoY;tho'ji .ollos well >�osp�d.oE3pyo hDt 43ki w011 will ho InatDllsta In aeeorol8noo h Cho otandav6a, vubs DWd vcgu ont o4 Cho PutnDrn Siano6 P R l4 + KT , ` y p / x ' iceiso P00 . ! I ottpircWtwo yon -IF tot® date isSUCtd "unless construction „of tho building has peon ,iiWOrtakiNi• and i6 d wli®n eonsidy by they r issionar o4' tRh.. ,e4ny eo,on}IC, o►,altorotion oP eonstruetbn i4 domestle se it ared /o► etor tupply only,' � c a - I NSI TE.-.0 ENG VEINEYIERING& SURNG, PC. Route.2? ' 91. 4) -278-4990 '8rewster�, ew:yojtj9§ Q9 j 278-f192 ...,- 7 DeLavergne Avenue (914) 297-1742 Wappingers Falls, New York 12590 TO: P&klD LETTER OF TRANSMTTAL, ATE T JOB NO. -.7 WE ARE SENDING YOU Attached ❑ under separate cover via the following Items: ❑ Shop ArrEN'nON t > RE: S 5 Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy WE ARE SENDING YOU Attached ❑ under separate cover via the following Items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of Letter ❑ Change order ❑ THESE ARE TRANSMITTED ~as checked below: For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ [].FOR BIDS DUE 19-0 PRINTS RETURNED AFTER LOAN TO US REMARKS:- ... . .. .... ......... . .. ........ ........... ................. ............ ................. ................. . . . .. ...... ................. .............. ..................................... .............................................. I ......................................................................................................................... .................................................. ...................................................... -THESCARSDALE li Second Floor 27'8" X 48' ® 2656 Sq. Ft. 48' 27'8~ First Floor 00 - - -J o o - -� F j 0'0 KITCHEN 1 i BREAKFAST FAMILY ROOM F 12' -0 "x d -5" x IS-0" 20' -0 "x IS -0' 1 1 1 1 F i 27'8" DINING ROOM //g� LIVING ROOM'_ �.......... -. '.... -. � �t -1�,� :.�...13'..g x- t3�p'.,a-. •� "l�' F ••ry- .."'16'= s ����� X147 �� /�� .. .w ..•, +"".. at8 I � i .t.1, ,Y 48' STANDARD SCARSDALE 11 FEATURES m 4- Spacious Bedrooms © 2Y2 Baths © Open Two -Story Entry Foyer ® Formal Dining Room o Formal Living Room © Spacious Country Kitchen with Breakfast Room and Pantry o "Cottage- Style" 3056 Lower Level Windom with Architraves on Front M =° cn %0 cn o Framingham Pediment on Front Door o Fireplace Options Available o "Boxed -out" and 'Angle Bay" Options Available o Consult an Authorized Westchester Builder for a Complete List of Options o Artist's renderings and Floor Plan Dimensions are approximate. All specifications must be Written In the Contract. No oral conditions. ESTCHESTER MODULAR OMES, INC. ia P.O. Box 900 o Dover Plains, NY 12522 F 1914 832 -9400 a (800) 832 -3888 ON] -t 1.. �slib,Fta�vlsr Fwnit�i � ' e `. � , G18 OF 00_ r: �y� ,mrnfnt..� � I Delpa Yalltae i - �� egitiied' Whee•F� b gMpMbd,' r� tM;ppa►ato` 1s�w Ai No 'atom OmpllirlGp of'tM�;aykNLiyrtom o►�aey r�irt tMrfto Y� tNit'tM`Arilhd wNl Wspi0o0'a6ovo � NI will M k+ftilNO -in a�coo�ro�nq`' wftb�tMw�t�nOaM���ruNf and rMy _ „ of of �tM Putnam � <., }EtSIbMO,;. aym 4 a -' x �' ��+ a G • P E �tepA :7 " a�� t, raii _ / { LlcoNO iq °:U tM� d�to Itaisfd� unNSS constcuttbn of,',�tM twiklin� .Aaf QNn urWOrgk�n antl If _ �ry;by� tM misfiom►r�Of uNMtth. Any''ClMrgo Or 4arst`f011 Of OOMtfuctio� .' ��n(�//' nd /a xw�b► tuPOtY o`MY � =�y � � %3 ������'y_ \ 1kr' w�. � y ,� :UtIll..,..,.C: ^_: i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 1. d• T }ic.+.q .. ..r. ::Yq =il� ..- •L!•4Ye eR.•L• ..j. ..._. — __ _... s.t .- •1' :1}' . 4 .'YW��Od r�' —, ems. _ _rw: �.._ u Date Re: Property of UNCAR MVr-J o 1ERt CO. , IW-, Located at 51?K 1 HILL. (T) Nj�iAl^1 VALL�i( Section 13•� Block Lot. Subdivision of LIN 11L 5t.IML5UN Subdvo Lot ## �° Filed Map #_2452I& Date Gentlemen: This letter ,is to authorize Ahb ]E515t4 Pc. a duly licensed professional engineer or registered architect_ (Indicate ,to apply for 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. Very truly your Signed Countersigned• P*Ee , e , # 91I AND DT:56N! � Address 1 1 �� •Co CAma_, N•Y• IQ512 °ilk - - 225 -�2c� 0:01 IN Z- _ I�_�'_ [661 Telephone O ' ,r, f 7 a1A110; d 0 r.. Town 2bl -�4U -400 Telephone ig ENt T CO. , 1W— - MISICN.. OF r�`wC%L? `r `7I L h ALT;i Sr JICcS . :..: UWA9 IM w+ 4 .rrr._..a... _�...+ %�3',.;.y -a. ....- .cw•." --- �-'� .1. k. «5.. DESIGN DATA SHEET- SUBSUFACE SWJGE bisK AL'SYSTEI FILE �3. Omer Ut -4CAR M%JE.LOPM W CO.,iN4 Address OrrLv-c r- yr-kY.►aJ Located 'at (Street) 5iv-C H 1,4% -L lUnAt> So OTN Sec. -13.1b Block Lot 1 (indicate nearest Cross,streetl Municipality . �-ctaA ye.t_,�.EY �.__ .____�.. -_ Water' shed SOIL PERMIMCN TEST DATA RDQUIM TO BE SURUTM WI H'APPLICATIONS' . Date of Pre- Soaking N Ili Date`of Percolation Test" µ �A HOLE N1 mm C7AC1Z TIME PERCOLATION PE RCOLVICN Run Elapse Depth to Water From Water Level,,, No. Time Ground Surface In Inches Soil Rate 1 :..Start -Stop Min. Start Stop_ Drop Ip Min/In Drop Inches Inches Inches 1 2 A► DESIGN PE RCoLAT1oN ez. of 1-7 T.&Y EN FA01 -A THE F 1 L„ D M,dP . a ZCF 33 $. 3 4 i �5 1 2 ,ate. r-• w. 70 5 - 1. Tests to be repeated at same depth until approximately equal soil rates are cbtained.at each percolation test hole. All data to be submitted for review. 2. Depth measuraoents to be made fran top of hole. rev. 19/85 i 7° 80 9' 100 �o 12° 13° 140 aii�IC'ATE LESS —ATT . WHiCH GRCagI7WA?"EF'i IS ENCOUK11M. INDICATE LEVEL To wHICH WATER LEVEL RISES AFTER BEING ENMUNTER ED, N%A DEED HOLE OBSERVATIONS MADE BY: b6.>- t'1c11t4 4CxxwZNV-U%A& PG• DATE: 8 DESIGN - ��® S.F. Rate Used �_ Min/11H Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity 12 gals. Type.P C- Absorption Area Provided By ; L.F. x 24" width trench �E OF JNT`' w Other - Name IMS Lye ��.LG,�tJEEKaaLG A ®ESK�J, t.Signature Address 1 41 Rou,'TS lv SEAL GA.R.P'i�t 14`1 10s,11— ��. fiEsSt{i�tA THIS SPACE FOR USE BY HEALTH DEPARM1fEW ONLY: Soil Rate Approved sq.ft/gala Checked by I Date_. (Name of .Corporation)' 1 having offices at L1tt1� FEY aNJ M43 Whose officers are:, Presiient• Donald Nuckel 281 Liberty. Street Little Ferry, NJ 07643 • (Name and Address) Vice - President: (Name and Address) (;lame and Address) ... _..:.......:.� ... 'Treasurer: (Name and Address) ;and that I am and will be individually responsible for any and all 9L4s of the 'corporation with respect to the approval requested and all subse acts r�la ing thereto. Scorn to before me this day 19 93 Notar Public AALENE FAUSTINI NOTARY PUBLIC O` s Z My Commission. Expo F:'s= Signed: Ti tle : 4�11'.. Corporate Seal - APPENDIX. 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET for CONSTRUCTION PERMIT NAME OF OWNER BY DATE NZq3 TAXMAPI --1'a DOCUMENTS. Y PERMIT APPLICATION PC -1 WELL PERMIT;M PWS LETTER ENGINEERS AUTHORIZATION DESIGN DATA SHEET(DDS) 9DEEP HOLE LOG CONSISTENT PERC RESULTS (3) PERCHOLEDEPTH CORPORATE RESOLUTION -PLANS THREE SETS E HOUSE PLANS - TWO SETS VARIANCE REQUEST DISCHARGE (OK) PERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY AND EXPANSION ED EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE E 11 IF PUMPED PIT & D BOX SHOWN & DETAILED HOUSE - NO. OF BEDROOMS WELLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) HOUSE SEWER - I /4"/FT. 4"0; TYPE PIPE NO BENDS; MAX. BENDS 45 W /CLEANOUT FILL SYSTEMS fffCLAYBARRIER F-6 GENERAL Ejai OFT HORIZONTAL: SLOPE 3:1 TO GRADE LEGAL SUBDIVISION LjJ FILL SPECS Q SUBDIVISION APPROVAL CHECKED DEPTH GAUGES PERC RATE � �� �� REQUIRED RIVLL PROFILE &DIMENSIONS CURTAIN DRAIN REQUIRED°ANbPIPES OLUME TREVCH PIWAETLAND X- APPROVAL SSDS ADJ. LOTS 20LF TRENCH PROVIDED (TOWN/DEC PERMIT R & D) 60 FT MAX DATA ON DDS PLANS & PERMIT SAME PARALLEL TO CONTOURS PRE -1969 -NEIGHBOR NOTIFIFICATION o 100 /o EXPANSION PROVIDED y 'LETTER BI/ZBA SEPARATION DISTANCES SPECIFIED ON PLAN IBD'YR±'FZOC�iDEILVATI01�__ = :_:. FIELDS-­ REQUIRED DETAILS ON PLANS - " °� ` `= - T0�I::.;DRIVEI3AY,1ARGE TREES, TOP OF _FILL SEWAGE SYSTEM PLAN - (NORTH ARROW) C7 20' TO FOUNDATION WALLS SDS HYDRAULIC PROFILE M GRAVTTY FLOW 100 TO WELL, 200' IN D.L.O.D.; 150' PITS W D/ J BOX ® TRENCH/GALLEY m P. PIT DETAILS U4 100 TO STREAM WATERCOURSE LAKE (INC.EXPAN) SEPTIC TANK - SIZE, DETAIL EU 50' TO CATCH BASIN, 35' STOR_MDRklN, PIPED WATER U,JWELL DETAIL, SERVICE LINE IF OVER I O' TO WATER LINE (PITS -20) ED CONSTRUCTION NOTES (GRINDER RATE) CZJ 50' INTERMPITENT DRAINAGE COURSE DESIGN DATA: PERC AND DEEP RESULTS W 200 FT. RESERVOIR, ETC.m 150 FT. GALLEY SYSTEMS ED TWO -FOOT CONTOURS EXISTING & PROPOSED SEPTIC TANKS E!. DRIVEWAY & SLOPES CUT 101 O' FROM FOUNDATION; 50' TO WELL E FOOT iNG /GUTTER!CURTAIN DRAINS �'' WELLS L2II5' WELL TO P.L. COMMENTS: Insite Engineering & Design, F"-n- 1849, Rt. 6 I06rmel, NY 10512 Rhar p_nj4L2 f#E.'-jgj4) 2.- 6438 . TO PotNAM comfy Dffi of I-I UH [LETTIER @)1F.c1r1NLZKSE0cTUL, DATE JOB NO. ATTENTI RE: WNW- X EUW VI` O)�,i i > WE ARE SENDING YOU x Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of - letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION NO CJ W ICA16N VEPIlt APPLicAtaA ❑ Approved as submitted 413 j c'3 ❑ LEtt&-?_ or- AtAi6F_1ZA1100 ❑ Approved as noted c= ❑ Submit copies for distribb-fion r-�i > ❑ As - requested ❑ Returned for corrections ❑ Return -corrected prints P-,) ❑ 01� 16 r.N DA tk ❑ C- *OF- ❑ FOR BIDS DUE M -oO (k) PRINTS RETURNED AFTER, LOAN T OP S C-1 C0W5t?bCtV_)K\ DF-AWING COPY :TO SIGNED: If nn► ne nntpff 4in,41w nnfifw r". of ..X I % L THESE ARE TRANSMITTED as checked -below: NO CJ W For approval ❑ Approved as submitted ❑ Resubmit copies for appeyal C- ❑ For your use ❑ Approved as noted c= ❑ Submit copies for distribb-fion r-�i > ❑ As - requested ❑ Returned for corrections ❑ Return -corrected prints P-,) ❑ For review and comment ❑ C- ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER, LOAN T OP S REMARKS- COPY :TO SIGNED: If nn► ne nntpff 4in,41w nnfifw r". of ..X I ELL )HPLETION REPORT � office tJ ®e Only DEPARTMNT 6F EEALTH IDieislon o f Z>tyiiro'amental .Realtb. services '',.• � '"�r�. OY•� _y ®� $VBM� Y/i+l' SIREET ADDRESS: & 6RI0 f»tt�BE� WELL LOCATION Kramer Pond Rd. a Putnam Valley, NY 16ot #4 . 01aME: ADDRESS. Hacksensatck,Nj O PBIVATE WELL OWNER Lincar Dev Oor , c o oll er 2 Anderson St. O PUBLIC USE OF WELL 0 RESIDENTIAL ® PUBLIC SUPPLY O AIL; /COND. /HEAT( PUMP 0 ABANDONED 9 - primary 0 BUSINESS ® FARM 0 TEST /OBSERVATION, O OTHER (specify) 2 - secondary 0 INDUSTRIAL 0 INSTITUTIONAL 0 STAND -BY HAUNT OF USE YIELD SOUGHT gpm./NO. PEOPLE SERVED p EST- OF DAILY USAGE _ gal, REASON fOR ® NEW SUPPLY O PROVIDE ADDITIONAL SUPPLY 0 TESTlOBSERVATION DRILLING 0 REPLACE EXISTING SUPPLY ® DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 685 ° ft. STATIC WATER 112 - 1 DATE MEASURED ­9/30/88 DRILLING ® ROTARY ® COMPRESSED AIR PERCUSSION O DUG EQUIPMENT 0 WELL POINT 0 CABLE PERCUSSION O OTHER (specify): WELL TYPE 0 SCREENED 0 OPEN ENO CASING, 0 OPEN HOLE ON BEDROCK O OTHER CASING DETAILS SCREEN DETAILS: TOTAL LENGTH LENGTH.BELOW GRADE DIAMETER WEIGHT PER FOOT DIAMETER On) GRAVEL PACK O YES I GRAVEL ® NO . SIZE: WELL YIELD TEST VAETHOD: 3MUMPEO O COMPRESSED AIR O QAILEO O OTHER WELL DEM DURATION L hr. min. 685 6 I It detailed pumping ° tests were done is in- formation attached? $ O YES ONO DRAWDOWN WELD It. Dim. 217 8 WATIM O CLEAR TEMP. QUA IM 93 CLOUDY HARDNESS D COLORED ANALYZED? DYES ONO ANALYSIS ATTACHED? O YES O NO PUMP 91FORMATION TYPE CAPACITY MAX ER DEPTH M00=t VOLTAGE HP 23,_ f L MATERIALS: - ® STEEL 0 PLASTIC O OTHER 20 fL JOINTS: 0 WELDED 0 THREADED O OTHER --G_ In. SEAL:fi CEMENT GROUT 0 BENTOWE OOTHER �.� 1b. /f4. DRIVE SHOE ® YES ONO I LINER OYES ®NO SLOT SIZE (LENGTH (It) [DEPTH TO SCREEN (It) DEVELOPED? O YES ONO DIAMETER NTOP BOTTOM OF PACK h IDM It. DEPTH ti. WELL LOG if more detailed formation descriptions or slednal s., are available, please attach. w �� DEPTH F�ao" Water Well t.. SURFACE Bear- M2- = T 11 UL ing meter (FORT ATION DESCRIPTION aunace iY.L n an overlpurclen clay bl.df- . ' .% 6 21 D ill pg in rock set casin utdR '. cn STORAGE TANK: TYPE CAPACITY GAL. WELLDPAMNAME P.Fo Beal & Sons,1 1 /88 AooRESS PO Box IB SIGiaW Brewster ° NY 10509 /'' `jwn Medical La ' _atory, Inc. LAB / ;- 321 KearStreet Date Taken; ,.: 10 1 a5 I W T imee.... � Yorktown He' k%N.Y.10S98 '`' �" Date Rc'.di" 7' x r.._,' r .Date- Repp�cted Di rector: Albert N.AodovaniM.T.(ASCP). ' Collected By: . Referred By: tv r . 71 $ample Location: & of .P.. F. DEAL SONS ' .. ( ' PO Box B 'Brewster, AY 10509 Phone / Phone / Sample Type ,j Repeat Test ?' (check one)' _ Copper _ Iron Lead Mercury _ Sodium Z i n•c MI SQELLA.:£OUS pH (units) _ Color ( un_ts) _ O,dor • (T'ON) Turbidity (NTU) Total Coliform Index _•-- �. F, ecal _..,C.sa3;�'1:o:r.:��In31�z� _ KEY FOR TERMINOLOGY N/A = Not Applicable LT = Less Than ( <) GT = Greater. Than ( >) T11TC= Too Numerous To Count CON = Confluent ( =THTC) NR = Non- reactive REMARKS /COMMENTS (For Lab Use)_ . Potable _ Non- potable STP INF _ STP EFF Other: Sample Status: (check each) Outgoing _ HN0 _ HC13 __..H2SO4 _ NaOH _ ZnOAc _ Na2S203 Other: 'In.c Arl:i.n.R .V LE L °C GT QUALITY OF •WATER LABORATORY REPORT ON' THE LE 2 ; INORGANIC NON- METALS•(mg /L) MICROBIOLOGICAL (CFU /IOOmL) — - pH Acidity GENERAL BACTERIA Alkalinity. Chloride Standard Plate Count Detergents, MBAS _ (CFU /l.OmL)_ Hardness, Total _ _ Nitrogen, Ammonia MEMBRANE FILTRATION TECHNIQUE _• Nitrogen, Nitrate _ Phosphate, Total Total Coliform Sulfate Sulfide- —.Fecal Coliform Sulfite . Fecal .Streptococcus METALS (ma /L) VnST PROBABLE NUMBER TECHNIQUE _ Copper _ Iron Lead Mercury _ Sodium Z i n•c MI SQELLA.:£OUS pH (units) _ Color ( un_ts) _ O,dor • (T'ON) Turbidity (NTU) Total Coliform Index _•-- �. F, ecal _..,C.sa3;�'1:o:r.:��In31�z� _ KEY FOR TERMINOLOGY N/A = Not Applicable LT = Less Than ( <) GT = Greater. Than ( >) T11TC= Too Numerous To Count CON = Confluent ( =THTC) NR = Non- reactive REMARKS /COMMENTS (For Lab Use)_ . Potable _ Non- potable STP INF _ STP EFF Other: Sample Status: (check each) Outgoing _ HN0 _ HC13 __..H2SO4 _ NaOH _ ZnOAc _ Na2S203 Other: 'In.c Arl:i.n.R .V LE L °C GT VC _ pY. LE 2 ; pH GE 9 — - pH GE. 12 _ -Other: , THESE RESULTS INDICATE'THAT THE WATER SAMPL (WA ) (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO E NE YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED 'AT THE OF COLLECTION. •THESE 'RESULTS .INDICATE THAT THE WATER SAMPLE (DID) (DIDN'T) MEET THE .SATISFACTORY CHEMICAL, QUALITY STANDARDS OF THE NEW YORK STA (9, KING WATER CODES, FO__THE r9AMETERS TESTED, AT THE TIME OF COLLECTION..: - !x/ Albert ed vtr,!, M.T. (ASCP), Directc•r 2 /86(Rvsd7 /67)RWE LWAt IIt Lot 4 PUTNAM COUNTY DEPARTMENT OF' HEALTH AIAT'CAfIDN FOR "`APPROVAC 6F ' PLANS ` FOR':— TEWMR- DISPOSAL' SYStN 1. Name and Address of Applicant: LINCA? DEVEW?MENI- CO., INC LIME N.d• INC" 2. Name of Project: 9505 FOR. UWAQ. C- YEI-OPMENt 3. Location T/V /C: R.IfiNA+M VALLEY CO• , .it�o.• 4. Project Engineer: INN AND DESIC•1rX, 5. Address: Iagq `lzi-•Co . CARa✓IEL,1�Y, Io512 License Number:_ 'VICI 1 Phone: Ck*-225 ldho� 6. T e of,Pro ect. Private /Residential Food Service Commercial i Apartments Institutional...• Mobile Home Park Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEAR) ?. 1 Tyoe.'Status (Check One) Type I.. Exempt Type II. Unlisted . f`b 8. hs a i0raft Environmental Impact Statement (DEIS) regui red? ....':......... - 9. Has DEIS been completed and found acceptable by Lead Agency? N/A 10. Name of Lead. Agency WA ; -- 1:� = -:Is `tq�s= �ra'jeotr:it�. an area;.'tiier l; tl' a :�control.of�lacal:.:pl:ennirrg- zonrng. or-other "officials, ordinances? . .....:...... .... .. 12. If so, have :plans been submitted to such authorities ?, ... .. .. 13. Has p,relimi.nary approval been granted by such authorities? WA Date Granted:`J�-- . 14. Type of Sewage Disposal System Discharge. Surface Water X Ground �ate�d 15. If surface water.discharge, what is the stream class designation ?......... 16. Waters index number (surface) 17. Is -pro ject .lo- ted.. near _a „public _water supply system? .... ... 1�ID 18. If yes, name ,of water supply N /A Distance to water supply N 19. Ls project site near a ;publ:ic sewage - ,col,lection or. disposal system ?...... Nd 20. Name of sewage aystem. ” 1 A Distance to sewage system 1AJA 21. Date observed: iIINKNbww 23. Name of Health Inspector: LN ( _ i 24. Project design flow (gallons per day) ...... ............................... &D 6pp i 2. 2&-. Is State Pollutant Discharge Elimination System (SPDES) Permit required?.. 26. Has SPDES Application been submitted to local DEC Office? ................ 27. Is any portion of this project located within a designated Town or State wetland?... . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . 0 28. Wetland ID Number ............. D o a o.......... ...... ..................... 29. Is Wetland Permit required? ........................................... o. Has application been made to Town or Local DEC Office? ............. d/A 30. Does .project require a DEC Stream Disturbance Permit? ................ NO 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, No landfilling, sludge application or industrial activity? ........ YES or NO_ 32. Is project located within 1,000 feet of existence of abandoned landfill, hazardous Waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? ..............YES or NO ND DESCRIBE: 33. Is there a local master plan or file with the Town or Village? ........... 34. Are community water, sewer facilities planned to be developed within 15 years? NO 35. Are.--any,. sewage, di sposal_ areas. ln...excess of .15 slope? ........................ ND 36. Tax Map ID'Number ........................................................ "13•& 1 37. Approved Plans are to be returned to: .... * ............. - Applicant Engineer If the ' application is signed by 'a person other than the applicant shown in Item 1, the application must be accompanied by a Letter of Authorization. Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of -perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A Misdemeanor pursuant to Section 210.45 of the Pena7 Law. SIGNATURES OFFICIAL TITLES: MAILING ADDRESS: I N/F LAMANDO N/F L ONGHI 91.68' N 12'4634 E�t e8.47'� N W LOT 4 $ sj n _ y � • I EVS1NG W7S • y /�p 5� nW e 5 a r � oo_ ' t p 50 1t'P t z t 5 7 \ • I , I LOT.3 6' 1 j I I - DWELLING I z - r+... -.. - .�..... ... -.e... -- .......• : r - ... �a.:3.e .-a, .-� _ -.-..� z_.�- , o. �-- v— •.._`y -..�i - . -..... _ .. � .v. _ ..... �. : e•- ^ - .�.._ . .- ,r��pa..�.- � f- r..:.,� -. � C I g " I V, Q 1 W h-� tl `I � 3 WELL I p 0 L 14 0.76' Ro225- H I L L ROA p 2'32 p0' '" pp. p 9.30 R�rr\ Hili Poad South) gBirch . , i �rerly i I I I AL TERA DON OF TIIS DOCUMENT. UNLESS UNDER THE DIRECDON OF A' LICENSED PROFES5IONA1 ENGINEER, 15 A WOLADON OF - SECDON 7209 OF-;ARTICLE 145 OF THE EDUCADON LAW - • I I I i AS —BUILT MEASUREMENTS NO. A B REMARKS 1 49' S7' 1250 GALLON SEPTIC TANK 2 62' E9' 10 WA r DISTRIBUnON BOX 3 — 71' 113' END OF TRENCH 4 76' 116' END OF TRENCH 5 81, 1 19' END OF TRENCH 6 87' 122' END OF TRENCH 7 92' 49' END OF TRENCH 8 r9 10 96' 100' 105' 55' _ 61 ' 67' _END END END OF OF OF TRENCH TRENCH TRENCH �i RECORD OWNER.• 37 CROTON DAM 37 CROTON DAM OSSINING; NEW Yc SITE LOCATION.• TOWN OF PUTNAti PUTNAM COUNTY, TAX MAP NO. 73. i i NO TES: ' 1. THIS IS TO CERTIFY THAT THE SEWAGE TRE, WAS CONSTRUCTED AS INDICATEd ON THIS i THE SYSTEM WAS OBSERVED BY I NSI TE ENG, SURVEYING AND LANDSCAPE ARCHITECTURE, WAS COVERED OVER, THE SYSTEM WAS CON GENERAL ACCORDANCE 417-H ALL STANDARD RECULARONS OF THE PUTNAM COUNTY DEP, OF HEAL TH AND THE NEW YORK STA TE DEP HEAL 1H. 2. ALL FACILITIES EXIS7ING, UNL£SS'NOTED OT) 3. PROPERTY LINE, HOUSE LOCATION, AND W -1_�� FROM FIELDWORK BI INS) TE ENGINEERING, S, LANDSCAPE ARCHI TECTURE, P. C., COMPLETE i I 1