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HomeMy WebLinkAbout3454DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.18 -1 -23 BOX 27 Ur LIE 1 r 69 T E T I ' %+ � J: ak L . AN 03454 PUTNAM COUNTY DEPARTMENT OF HEALTH ►_ VI_SIO�T OE ENVIRONMENTAL HEALTH SER.VICES.. '1 ..':. __.1, t -.' ..s.. a.. . -w<' -: s.+,....wv... .• ..w. • ..^fin'. i. sRl.. -.�.. t t .v ..�1•. ..-a. ...- w.r.......�.w-... .. CERTJCATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located at ' 6r,,1AW- rtt p&ue,� 4,ay✓( To r Village ��*--, VA Owner /Applicant Name a7 G`lZeM) 0-v" /zP Tax Map -7-3,10 Block ( Lot 717> Formerly Subdivision Name Subd. Lot # Mailing Address `7.7 71 p r 0 SS t Vc ., /V Date Construction Permit Issued by PCHD fe / ZZ Ig7 110 Zip le, Separate Sewerage System built by �°�"`� Address Consisting of �i Gallon Septic Tank ands Other Requirements: Water SupAy: Public Supply From Address r�vrs'✓ or: X' i Private Supply Drilled by .�F ��7�G r aL Address trI46A 5777,9C ✓ o s� `. ✓f i'7t'cCCfl -B�tsldirig T:�.�yzt� Hits erosion contrzal.been Ga�� _ . ':sT_, - _ Number of Bedrooms et-VI&IM D,Sr.✓ Has garbage grinder been installed? w � � I 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. Date: %Z ' g� Certified by P.E. — Address J N% rrr erv�i; JAI'-&21 ��✓ - r s P� License # Cv r 9 3 % 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 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 revoca 'on, modificatio ' or change is necessary. B y. Title: Date: ?�2i I White copy - HD Fi ; Yel w py - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 NORTHEAST LABORATORY of JDANBURY T Cert: PH -0404 39 -3 PIML Fl kW RAID 1iDAiBIJRY, dT ®68 �,11 NYCert:' 11471 LABS 1 (203) 748 -7903 - F� (203) 748 -0652 LABORATORY REPORT -- WATER SUPPLY TESTING R19PORT TO: P.F. BEAL & SONS 4 PUTNAM AVENUE BREWSTER, N.Y. 10509 SAMPLE SITE: SAMPLING POINT: SOURCE: TREATMENT: TEST PERFORMED BACTERIAL: Total Coliform (Bacteria) PHYSICALS: 12/7 -pH 12 /7- Turbidity CHEMISTRY: DATE SAMPLE COLLECTED: 11 /24/98 & 12/7/98 TIME COLLECTED: 9:00 A.M. & 4:00 P.M. COLLECTED BY: W. MAYERS DATE RECEIVED @ LAB: 11/24/98 & 12/7/98 _ TESTED BY: LAB #11471 & 11301 REPORT DATE: 12/11/98 V.S. CONSTRUCTION, LOT #16, WOODLAND EST., PUTNAM VALLEY, N.Y. HOSE BIB AT TANK WELL NONE Nitrite N 11301 - Nitrate N Alkalinity Hardness 12/7 -Iron- = Manganese Sodium 12/7 -Lead RESULT: 0 per 100 ml 6.30 0.28 NTUs <0.01 2.0 18.0 56.0 •0.059 '0.268 5.4 0.001 mg/L as N mg/L as N mg/L mg/L mg/L:..,,: mg/L, mg/L mg/L MAXIMUM CONTAMINANT LEVEL 0 per 100 ml no designated limit 5 NTUs 1 mg/L as N 10 mg/L as N no designated limits no designated limits 1.0.30 mg/L . [Note: Combined Limit for Iron plus Manganese = 0.50 mg/L] 20 mg/L ** 0.015 * ** ml = milliliter mg/L = milligrams per Liter ND none detected -NTU =Units * *Notification Level ** *Action Level RESULTS BASED ON SAMPLES SUBMITTED: 11/24/98 & 12/7%98 SAMPLE, AS TESTED ABOVE: MOTABLE or CINOT POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) Laboratory Director oNORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037o (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 o OUTSIDE CT: 800 - 654 -1230 4 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _. _ .r. , - .._s -- }r r r, . ..c K_ - r.,a'_. •_ - .. � v, w ... .......:._ a - .,....rw-' . ,: ...w . +.) ..7.p .... w. , I r... ':ry -. �.. ' - � -. .. m .. r . �, GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM 37CRore>N lc>A" RoA.0 God -0, 73, 1B 1 23 Owner or Purchaser of Building Tax Map Block Lot 37 ZizOTOIN, pAM RO/,D CoZLD PaT-N /1%M \/A Li- Cy Building Constructed by Town/Village BalAl2,9.1m-E «N,r 009ffyAl -Ir WAYNE 1VZ1vg:) LI/vC-a.P, ar Location - Street Subdivision Name Ag5; :1aENriA, L I � Building Type 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 _ ...sy gem. ...._ u_. ....... +✓.••....._ »h._.. _.. r.� - -- �...pe.3b ^ -_- ...T .- .. ..`fit- - .-.. ...... _.. .. . .... .-.. -" The undersigned further agrees to accept as conclusive the determin It ion , the PWit Health t� p Director of the P fnam ounty Department of Health as to whether or th .failure of P* ystem to operate vlas caused. he willful or negligent act of the occupant�of the �euil „8mg util' ing the s ste y i rl' a i J AV Dat M Day 5 Year ignatur6. Lug i Title: 'PRt=S flCNr- f x. General C n ctor wner) - Signature 37 ,G R R i> Corporation Name .(if corporation) Corporation Name (if corporation) Address: ',_45-7 e_V_ 6 T-q 1tQ p/s M 2 o /-,, D Address: State �9SS tv ry q , �( Zip to,s z State Zip I r-- Form GS -97 :rE ENGINEERING; SURVEYING & 1. LANDSCAPEARCHITECTURE, P.C. Route 22 _ . ° ..._" "(914) 2784950 ,. Brewster, New York 10509 (914) 278 -6392 7 DeLavergne Avenue (914) 297 -1742 Wappingers Falls, New York 12590 TO: Q. C. H . n. WE ARE SENDING YOU [I Shop Drawings El Copy of Letter LETTER OF TRANSMITTAL ®ate: IZ rr• 72) 1 .gob No. x47. 1 r. Attn: STI r r5 EL/ ,JEI Re: /��.¢i -G 7!> 4o% I 5 S� COrc?PG/�tvC� AS- 13c,I-'r PRAWIPI M_ _. 4 Attached ❑ Under separate cover via ❑ Prints ❑ Plans ❑ Change Order ❑ ❑ Samples the following items: ❑ Specifications COPIES i DATE NO. DESCRIPTION fl- 17 —`%� f113—I AS- 13c,I-'r PRAWIPI M_ _. 'CC -97 60- ?S- r•rr-vc-7oJ corn"etf+CC . 98 G5 -97 G �rr,�t.✓T� w t z- I I- R 8 _. i c✓�z 'fZST Ctx'S v cTj �. rz- � -9>3 wG97 � W�� �rr�r7�✓ ��-�— �. 117- _.__. _ __._..... _ .....__ ...__._..._ ____ __.........._. '.....__......._._......... _ .....................................J .......................................................... ............ .............. ......... w_.___ ._..._.............._.._.._.._- ..._ _ _ ._._........................................................................ ............................................... _ ............ ........ _.._..... _ _.._.._ _ __ _.._....... _ ... _ ....................................... I .................... ...... THESE ARE TRANSMITTED as checked below: _..:- ( For approval ❑Approved as submitted Resubmit' - ❑ For your use ❑ Approved as noted ❑ Submit ❑ As requested ❑ Returned for corrections ❑ Return ❑ For review and comment ❑ REMARKS: COPY TO: Lot98.dot SIGNED: (3.,f° j IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE oo*Rtes;for approval. i . copies for distribution corrected prints PUTNAM COUNTY DEPARTMENT OF HEALTH, DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location j, 71. Woodland Estate iramers Pond Road 9�7Vall agd: Tax Grid SO4% Q, C-T A4 Map75,10 Block I Lot(s) Well Qwne Name: Address: ;V.S. Corporation, 37 Croton Dam Road, OssiniM, NY 10562 Use of Well: CA Z —a-r D� 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 I Screened Open end casing x Open hole in bedrock Other Casing Details Total length 33 ft. Length below grade 32 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 ILiner: 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 6 gpm Depth Data MeOure from and surface-static (specify ft) 30, During yield test(ft) 180, Depth of completed well in feet 245 Well Log, If more detailed information. descriptions or sieve ,:anaj_yses;.-, are available, please attach. be,pth From Surface Water Water Well Well Formation Description ft. ft. Land Surface 15 t burden clay and boulders 15 Hit roc Hit ro t 1 at 151 T9, ' 33' roc .get�:casinqizLqrouted 33 245 Dr' lli in roc granite If yield was tested at different depths during drilling, list: 'Feet Gallons Per Minute Pump/Storage Tank Information Pump Type sub Capacity 7qpm Depth 200' Model 7GS07412 Voltage 230 HP 3/4' Tank Type WX3,02 Vol 6 Date Well Completed 10/28/98 Putnam County Certification No. 002 t Date of Report 12/4/98 jn NUTE: Exact location of well w th ciWances to at least two permanent lanarnarKS to be proviaea on a separate sneettpian. 4 Putnam Avenue Well Drillees N A211 &(So Inc. Address: Brewster, NY 10509 Signature: Date: 12/4/98 — Mal lm T. Pear,—Jr. White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC-97 L. ": ! ^1i"1'. 4 ;..1 �•oi r1 vi- q q C'iT� {;Psr1 a; F MR 1 Tl8 m,. � ®, UM.ladaw m+f E�s.rt-avrs.ewt.1 .C,r.u�i,n 4ax +k•ea i►.. -�. `� 5' Ib; I: Fs..�,6i� -ry n Fir. k' -. �'n. -myM a. Qali 11l}l c 1 72 0 F (•ni tti.'i lM(M ® Pewmd: r ® �. e ►ia `i�:;�'tiS 11 l Tl;aO 4 P!L�1F. {iR F'vi: 4:1F. �ti 4 (,:1t' Ini'.E7Nir.t A I OUST S'k'd1,1 -- - • t e t 'c111330 Ss'nril +'riw ti ♦.,}xd I w� r . , at .y F',N:.,..\ I ■ u)�.w �y�lk.an tsar l i•. �1�1r.� ' •_ l� Dog. Oq h.. *i . 9�a QrIDt Ariwz- IP010 $ QDi�q �ty� VOMM K d m3ns= 4 DWASE Mvy c I D 8th C> 8CRD Wasamthm go 3 FM m &.M� SSyoo= 00 =� d D � S Irmh �,>7 (1 b L� O' � 2! � Its l � prtn �1 'T 2�Uc , kryeu�u 'Yaw 1 ropeo�nt'.tnat 1. om 'wholljr and eomplotely rosponsiolo fo1 tho design: and location of tho proposed syttom(s); 1) that tho soporato sma66 di sal atom . obono doocripod will; b6constructd os'shown,on the appiovod amendment there Wand in accordance with the Standards, rules a regu ns ;o nam County 1Topo!tmcnt Of P0giz ►, and that on eomploti6arthoro64 a "Cartifieato . of Construction Complioneo" .tatisfaetory to the Commisabnw of .Hoolthwill (co MbwnIjtod to th6 Dopovtivegot; and a written gua►antoo will bo furnished tho ouinw. his euccessars, heirs or aosigns t y the bul0dw, that said bulld€r will 1. 1 pinco in goad Op -atim eowddtion any pant ;of caid rsrs� ,, .— Wos31 system during the period of two t8) yotws immodiatoly fOlCOwiaq thodota Of 2910 lWu- onco of 4Ro opWC;66l of'tho Cortificato .Of' Conatructiimi Compliance ot'tho Original systorn or any ropairs thereto; 3) that tho drilled well &Webw a6OV0 tWo bo Caiotod'os tsemgrr on ilio'ii probed plan and ihot e�i®.woll vAll bo Installed in ateordonco with the standards, rui�os and rcau o� ones of tho Putnam County Dcgnrti4i* of mcalto Doto !ij' ( i' Z2- a &nao NO ,6 AddrO ` APPROVED FOR C0W3TMUCTI0W: *his 1 `p 1 0 r s two years from the date nstruction of the building has boon uridortolon and is rovocablo for couse or may bo omondcd or modified whan,considared noce.mr the Commissionor o tth. Any change or altcrz lon}oy, construction resauiros a now `it. . proercd 4ov i f domestic son or e, a riv or Rev. Date 2 `7 v ,.;. Title 10/88 a i DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 APPLICATION .TO .-,CONSTRUCT,;:'A�_WATER -WELL PCHD PERMIT WELL LOCATION Street Address Town Village City ' `t`" '� D Tax Grid Number ?3� - Z WELL OWNER Name Mailing Address L► P_ co, RX, U . MTy_<j-.. �_jj&E ►,jam l ((;43 Private EMg& O Public USE OF WELL primary 2- secondary RESIDENTIAL 0 PUBLIC SUPPLY O AIR /COND /HEAT PUMP 0 ABANDONED O;BUSINESS O FARM O TEST /OBSERVATION 0 OTHER (specify O INDUSTRIAL O INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED 4 /EST. OF DAILY USAGE apo gal 13 REPLACE EXISTING SUPPLY [3 TEST/ OBSERVATION G6 ADDITIONAL SUPPLY dNEW SUPPLY NEW DWELLING) 13DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE ' DRILLED DRIVEN []DUG O GRAVEL O OTHER ,IS WELL SITE SUBJECT TO FLOODING? YES _ NO i :IF WELL IS LOCATED INI A REALTY SUBDIVISION, NAME OF SUBDIVISION: t�t t�lcfig- ' Lot No. (4 ,WATER WELL CONTRACTOR': Name Lj j}VWgS Address ,IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: I/� TOWN /VIL /CITY .."DISTANCE, TO PROPERTY FROM NEAREST WATER MAIN:. 'LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED N SEPARATE SHEET (date) nat re) j 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 i5 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 attadhed to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a,manner as not to degrade or otherwise contami face or groundwater. 2 Z. Date of Issue: 19 I i j C- - -- Date of Expiration 19 / Permit Issuing Official Permit is Non- Transferrable —7` —White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller ,A FC,K" AH COUNTY DEPARTHENT OF HEALTH ur Division of Environmental Health Services J, AFFIDAVIT - CORPORATE OWNER APPLICATION •.zr .tw.� -- rAe., .... _., .r •_.q �,::.: Sa::t'.s.,•n.'"`t:�+•.�". .. .: . -. _ . a ..K,..yn•�v -g -r•_" .. FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Commissioner of Health In the matter of application for: ' L / n3 C-A r, yEVELo Pri eh7T �_ -!—NC- , rciloc-A(Z Sv g� i 0- (.m'TT 16 Ia VOrVAL-D Nctcl <,rL represent that I acs an officer or employee of the corporation and am authorized to ac_ for (Name of Corporation) baving offices at Z-5I Ll scl�_17-y S Whose of f icers are: President: Do,vstca I Z8 ci /miry 5�) uzr-L FE24Z/,A3y /76y3 (flame and Address) Vice- 'resident: (Name and Address) Secretary: Treasurer: (Name and Address) 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 subseq ent acts ling thereto. 2, !%,r � Svora to before me this __/ / day of 19 � 5/ 11oc3:7 ]public ARLENE FAUSTINI lyoyA1 Y PUBLIC OF NEW JERSEY `H my Commissign ExpirEs June 24.1996 f E- Signed: Title: o 0 Corporate Seal ......... "'0 C-K 32L CZ17- ((=, LUT -1 COUNTY DEPARTHEh7 OF HEA-.'U DIVISION OF ENVIRONMENTAL HEALTH SERVICES ]Re: Froperty of ''Located .at ' -ro'J A wi VA UX1__Y I Subdivision of Subdv. Lo t ;V Cj CIE rz i a6l Section 7i5, (P, Block Lot Filed Map # Zy33A Date. Gentl,emen: This letter is to authorize 6A.) 6 A, C-er- a duly licensed professional engineer or registered architect (Indicate) to apply for a Construction Permit for a separate sewage system, to servei the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department o I f.]Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said X tiole, 4 r- gs.y-.0 gj-'�-kems-i-n_c,on- orm-i -w-it -';the 4 5- 147, Fducation Law, the Public Health Law, and 'the Putnam County Sani- tary Code. 'Very truly yours.,"-'"*' Signed Count6risi ned:' 9 Address . 24, C, C) Telephone -0wher of Property Address 4ir7Z_C fc-7eey 1 Iv- ,T 1-76 q3 Town Z-V t - q'YC' Y 70 C, Telephone Re: PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Property of �-i vi CC-\,- Located at y12 Q T) P&+-ykcw'. V;, I e ,/ Sect Subdivision of L; v\ cc>,,r Subdv. Lot # 1 (0 Gentlemen: Date C)ev e, 10 yyl eV, -t- CO. �, ion-'73. I � Block LO t 0 �q Filed Map'.# A Date This letter is to authorize—Insite Encrineering & SurypUina. a duly licensed professional engineer x ._qciRxICA�&k . r iAekR� FeAAWAOXAXR,4x (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 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 yours, Signed Countersigned- Jeffrey J. Conte PoEa q fixq # 6193 Address Insite,Engineering & Surveying, P.C. .9- v, v, All Address Town Route 22, Brewster, NY 10509 278-4990 Telephone 0 1 - t+-+O - pcf�, X300 . 17 .. . i r. >... r = 'BRUCE R. 00LEY,.. R`Sr L Acting Public Health Director', DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509. (9 14) 278 -6130 December 16, 1996 Jeff Contelmo Insite Engineering Route 22 : Brewster, NY,: 10509 Re: Proposed SSDS: Lincar Lot #16 Wayne Dr. (T) Putnam Valley Dear Mr. Contelmo: Review of plans and other supporting documents submitted at this time relative to the above- captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." - . - 1: Current engineers authorization letter is to be submitted. % 2:. ` Erosion eontrol measures for the House aiid the well• •is- to-'be shown on the plafi along with a note ;stating all erosion control measures are to be installed prior to the start of any construction. ' I Details for all erosion control measures are to be shown on the plan. Upon receipt of a submission, revised to reflect the above, this application will be considered n further . Very yon, kha* Robert Morris, P. E. `' Public Health Engineer u :t RKjp }:� �.'tJ`i•°c �""'^- �r'^.7:y: °"'x'�.'m•�..{> ✓,`'a" �•�"1 I.�.y�'y�'t.;ST' •�._..�i.' -S-•y^ i+.r.'s "r',�N(Fr T ( - ��'/ �/qp M �/ oqf °# E}j fifi ytr 1, ©d.. , c lr � !1 H�2AllQ "¢ i b iOi� • ' _ , Durom SUM / 4411441' _DEilEIoPrYf G]V, , .7CiJGq a JSeI LtB��zi s� �« Date Subdivision �Augroved � � Fl Y Fee Enclosed � Ainn+,nt � " oa..0 _ . Aim j.p voles mambou'd Flow G P D �® Wdla "P� ooi plo�ed Sybil ft Of-i saw Z�"a. ic,a "�tlsOt) � dF' Z.'t✓iA :Oc0,50Xr77iV) --/J C ?�ij I vepresent::that t am` arh011y and eompk+l ®Iy raPponsiblo for tno dosign and btation o9 tno piogofaB ay3tom( ( �I) that`ehlT sepCrite sew Ai f��. • atwn above deebri0eid will dit eonst►uctod of stioarn on tie apOr®d amengn,ent there to and, in accO►danto arftl,.tho standards, rules a regu ns o Caenty `9Ptn1e1,Q; of 60iellh, and tMt on compbtbn;t�oreoP e,4'Certi4kste 04 Conslructioa� Com0liance' tetisPaclory to tho ComfniNlofgr Of Maekhwill @o'. uArnitted to the `.t )Thant ono 'a wrlttM guarantee will N: furnish A 41w•owncv his sucassav Mirs orlggigns by the twiber tltet',faid bYildar will g 8 o0®Pbting eoil®Itbn any, -Dart of s,i� sewage dlspoial system during .tho Owk►O of two (�) yeess,_hdln,ediatoly. Pollowln� •t"o ditto; Of the Isew 0*., oPb @he `appPOmal o4 floe `,CePtiPiteto 04 :.Const►udkin` Complieirce of; tqe originel systone oe any rapal . @hirOtol 2) 1 tho drilled will dasw�d above wNl'be kiemts�l as rleaww on,tle®'appvOirod ' plen,and tho4 Qtikl arell iaill.be Insta11e0 in ac2ordonco ,iailh Tito: s@oadardo; vubs; and rep;1;1Mns oP the Ou@nem CoinBr ®6 Ptma of PP¢alth. Pa � 5 ;� signee P.E. R.A. i dress S22 S rTE Jo'4 ./ Jr�u 5'l�g '� Liconse Ad A flOVO 0X04@ C6Pe3TAl1CT10PIs4Ma appvovol ®ttOMaf,two y from t data,ki55u unkits conitvuc@ion`0 41ro.�uikling has boon uredartakan and i4 vomOCeblo.4or W 8C1 or" y 00 emeride0 0► moai4fed when con ®►'•' ry by t inrniWc4ibi of kciltii. Any Change'or'_olteralion-of construction Peeuiros o Intl I_JW for dispos91 o4 dofn .:, ry all ®. and / a orator ai001y only. REV .. `/i7 t 88o ` ®y Yi400 ar) ^�i'w�.'L Sr: -•t,m ,�. s v -.f -w r - +�C. ��.. n�+. n .�•y � �. ....e wi •ter. .; t`r,�!• a�w- f��0' P!�+.'- �•.,w:TT� L' •O:-v .�.�.- �'51� + ^c.:r t v.. •. ..�.��..��.�....�M• - •'� Ii APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS EVIEjW NAME OF O StREET. A7 And- UA e BY DATE V Dd'C'-TMENTS. DISCHARGE (OK) PERMIT APPLICATION ERC_& DEEP HOLES LOCATED, C-1 REPRESENTATIVE OF PRIMARY AND EXPANSION 6UWELL PERMIT; M Pwg LETTER- -EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE GINEERS AUTHORIZATION I . IF PUMPED PIT & D BOX SHOWN & DETAILED DESIGN DATA SHEET(DDS) HOUSE - NO. OF BEDROOMS Dr -DEEP HOLE LOG_ WELLS & SSDS'S WAN 200 Fr. OF PROPOSED SYSTEM ONSISTENT PERC RESULTS (3) i PROPERTY METES & BOUNDS -PERC HOLE DEPTH HOUSE SETBACK NECESSARY (TIGHT LOT) CORPORATE RESOLUTION HOUSE SEWER - 1/4"/Fr. 4"0; TYPE PIPE LANS THREE SETS EM I BENDS; MAX. BENDS 45 W/CLEANOUT_ PERC PLANS - TWO SETS FILL SYSTEMS LIJ VARIANCE REQUEST. GENERAL CURTAIN DRAIN REQUIRED L-LJSTANDPIPES EX-APPROVAL SSDS ADJ. LOTS WETLAND (TOWN/DEC PERMIT R & D) DATA ON DDS PLANS & PERMIT SAME PRE -1969 - NEIGHBOR NOTIMCATION LETTER Bl/ZBA 100YR.-FLOODlEUVATION-L, LEI SEWAGE SYSTEM PLAN (NORTH ARROW) SSDS HYDRAULIC PROFILE M GRAVITY FLOW D/ J BOX M TRENCH/GALLEY M P- PIT DETAILS SEPTIC TANK - SIZE, DETAIL WELL DETAIL, SERVICE LINE IF OVER CONSTRUCTION NOTES (GRINDER RATE) DESIGN DATA: PERC AND DEEP RESULTS- TWO-FOOT CONTOURS EXISTING & PROPOSED DRIVEWAY k SLOPES CUT FOOTING/GUTTER/CURTAIN DRAINS LAYBARRIER 10 Fr HORIZONTAL: SLOPE 3:1 TO GRADE FILL SPECS IL DEPTH GAUGES FILL ILL PROFILE & DIMENSIONS VOLUME LUME TRENCH F60TRENCH PROVIDED 60 Fr MAX PARALLEL TO CONTOURS 100% EXPANSION PROVIDED- I SEPARATION DISTANCES SPECIFIED ON PLAN PARALLEL MUDS mt 120' 0' TO P.L., DRIVEWAY, LARGE TREES, TOP OF TO FOUNDATION WALLS 00 TO WELL, 200' IN D.L.O.D., 150' PITS 00 TO STREAM WATERCOURSE LAKE (INC.EXPAN) 0'TO CATCH BASIN, 35'STORMDRAIN, PIPED WATER 10' TO WATER LINE (PITS-20') 50' INTERMITTENT DRAINAGE COURSE 200 Fr. RESERVOIR, ETC.=] 150 Fr. GALLEY SYSTEMS SEPTIC TANKS 10' FROM FOUNDATION; 50' TO WELL WELLS 60 15' WELL TO P.L. u Re: L4,%) PUTNAM COUNTY DEPARTMEN7 OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date property of Located at (� -'� }� �� D lz f � QTD P rnJA vj VA U,'---Y Section 7 '�5 . 18 Block I Lot 'Z Subdivision of t�`�R sut��tv,slo� Subdvo Lot # � � Filed Asap # Z-`i 33A Date, -1 1 S) Gentlemen: This letter is to authorizeNS�T� (�.J(G�n1E�nl( `f Sc�v��/)aG. 1 rL• a duly licensed professional engineer or registered architect (Indicate to apply for a Construction permit fora 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 th %•s matter and to supervise the construction of said system or systems. in conformi4y wit. the provisions mf Article .T 45 or 147, Education Law, the Public health Law, and the Putnam County Sani- tary Code. Fiery truly your Signed Countersigned[: 7-JE 9 16; - 9 # f 4x;, rzLmV r t .iN� ATE Ei�brnlr�7Cv�l i 5,'rz LjeY1,V6, eaG - Address `jq- ZZS- CZCC) Telephone er 0 - rr erty Lip ��2 - �c -�.r, �f C[C3eTt r 5 TRC'�7' Address 4• rrc-C Town Zv ! - vvo - "Y 7C Telephone IM. .� � - .._ �::_� _ :�.,�,,,,, = gyp' = nna �� i;;w;�.w,;�`��N' �': SM CHESTER MODULAR KOMES, INC. k If Floor 27'8" X'48' 0 2656 Sq. Ft 48' First Floor 0 C OHO , 1 I - 0;0 KITCHEN i 1 BREAKFAST FAMiLy ROOM 1 12' -O "x 1°.LO" 11 V -5" t 13' -0" 20� -0 x 13� -0' i PUTNA ���,',jb y� .: RTMEN HOUSE PLP.1` APpRovLD FOR :xDr04i4f C ivx.:O�?,Y,, EI'41NG' ROOM i0 , . 13'- 9" x 13 "- 0• Y—BEDRO )ms up i tlVlfdG�: ROOM.':. •� ;_ 278° i Sign atures Title 48 � STANDARD SCARSDALE If FEATURES o 4- Spacious Bedrooms o Framingham Pediment on Front Door o _2Y2 Baths © Fireplace Options Available o Open Two -Story Entry Foyer o "Boxed -out" and "Angle Bay' Options o Formal Dining Room Available I Formal Living Room o Consult an Authorized Westchester Builder • Spacious Country Kitchen with Breakfast for a Complete List of Options Room and Pantry o Artists renderings and Floor Plan Dimensions are • "Cottage- Style" 3056 Lower Level Wjndovvs ��ct N oral specifications must be Written in the with Architraves on Front 4ESTCRESTER 0DOLAR OMES, INC. �, , - '�\� �\ P.O. Box 900 ©;Dover Plains, NY 12522 (9141837 -9400 0 18001 2317 -3,9RF L f n9 c /i-¢K _T_" � ( l (fl PUTNAM ;COUNTY DEPARTMENT OF HEALTH APPLICAT6N FOR APPROVAL OF PLANS TUR A 1iAST5 ATER' - DISPOSXU -SMEM . „ (. I �Gl Ft ' O CVEt.oP �►s E wT 1. Name -and ,Address of Applicant: Go ) Lirr4' Fezfz y , N.S. / 7 6 ,YS 2'. Name of Project :.SSDS fi,c 60eAc D�-�tzoa�►o�r- 3. Location I/V /C: Ru rwAm Vau.'y 4. Project Engineer: :*KPTE 67y6/NEpC /,✓6 # � we E. c,5. Address: f< ZZ ass,, may. License Number: 4/13f Phone: 4�y-z�8, 4to 6. .Type of Pro ect: X _ Private /Residential Food Service Commercial -- Apartments Institutional Mobile Home Park Office Building. Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEOR)? Type Status (Check; One) Type I.. Exempt .. Type II. Unlisted X 8. Is a Draft Environmental Statement (DEIS) required? ............. N� 9'. Has DEIS been completed and found acceptable by Lead Agency? A 10'. Name of Lead Agency, N�A is ,prey- n an `a`ea =user �tho-- ss$'° a= a := sa..platihing:;�anii9f;�;4cG! T or other officials,.,ordinances? ........... :............................�� 6cv6.�+r 12.. If so, have plans been submitted to such authorities? .................. 140 13'. Has preliminary approval been granted by such authorities? 1A Date Granted: 14'. Type of Sewage Disposal System Discharge...... Surface Water X Ground Waters 15. If surface water discharge, what is the stream class designation ?........ NIA 16. Waters index number'(surface) ........... ........6........... ...._.... w/A t7 Is project, located n • p j year a public water supply system? ...................... A10. 18. If yes, name of water .supply N1A Distance to water .supply 19. Is project site .near a'public sewage. collection :or disposal system ?..... /VO 20. Name of sewage system. N/A Distance to sewage system N�A 21. Date observed: UNK0004 23. Name of Health Inspector: KNKa °W A) 24. Project design flow ;(gallons per day) ...... .............................. �© .2o 250. Is State Pollutant Discharge Elimination System (SPDES) Permit required?.. *0 r. "gym': -... .. �- �� .p .- _..'°�.. s�-� 7 ..moo.. �^ .'.. _. . v'/ -G i A �._J,IT T: �.- V•�+'.w.s's ._.. �•.�v: -V _. � �. •..'_ •. 6 . � .� 26. Has SPDES Application been submitted to local DEC Office? .....0000...o.o 27. Is any portion of this project located within a designated Town or State wetland? o 0 0,0 0 0 o s e o e o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0.0 o. o 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 p�Vy o 28. Wetland ID Number 000000 e000e0000a0000e0000000a00000... 0 A 0 0 0 0 0 0 o a o 0 0 0 0 0 0 29. Is Wetland Permit required? ..... ....o o. oo.o..o...oac .................. No Has application been made to Town or Local DEC Office. .........., >...... 30. Does project require a DEC.Stream Disturbance Permit? .................o. NO 31. Is or was project site used for agricultural activity involving application of pesticides.to orchards or other crops, solid or hazardous caste disposal, landfilling, sludge application or industrial activity? ........ YES or NO �a 32. Is project located within 1,00.0 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 A10 DESCRIBE: f 33. Is there a local master plan or file with the Town or Village? >.......... I(ES 34. Are community water, sewer facilities planned to be developed within 15 years? Alp 435: Are any:- sewage - d- sposal - areas in. excess of. 15X -lope? ..< . 36. Tax Map ID Number o...o. o..o .... ............................o.. 31. Approved Plans are to be returned to: .................. Applicant X 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. % hereby affirm, under penalty of perjury, that information provided on this form 4s 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 Penal Law. SIGNATURES .& OFFICIAL TITLES MAILING ADDRESS: PUTNAH COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services AFFIDAVIT. - CORPORATE OWNER APPLICATION ...v,i < �sac.ir..-- "o� :iij -_ `^•i�t .. j -+^y� C+wt'.+w±''-wr+�- iroriw'.. «�. .. <i . • - .a►`.a...i..vw..r. .ss . rwr` a«..: a:. ri»-+ o..` r.+."+ nri ..- n..i:; :�iP.+'— .M::% -�r- •: .... ...... .... ... •.e�..C'. :•. FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Commissioner of Health In the matter of application for: LI10CAr%_ A-VELOPMO.1h0i � -1 T-NC. ,4%Z S�Et,10, Gm'T i6� I I D .A L_ represent that I am an officer.or employee of the corporation and am authorized to act, for eZaP✓77 enN7"j- (Name of Corporation) having offices at ! L� rTLC Farr /();::F I -7 (_ V3 {Whose ;officers are: President: I Z..B Uj3E7ZT�/ �5'rj C.itr'c� FE"2rZ /DNS �76y3 ((ame and Address) Vice - President: (Name and'Address) Sec:e :arx. (Nam.p .an Treasurer: (Name and Address) and that I am and will be individually responsible for any and al cor ?oration with! respect to the approval requested and all sub se thereto. _1 , S;orz to before me this 1 I day of v 19 %V NO'tar :;Public - ARLENE FAUS11NI NoTAAY PUBLIC OF 14EW JERSEt My CommiWon Expires June 24. 1996 F S. Signed: Title: is o: the Corporate Sea �j .,; 'T iv. PUnM COLNTY DEPARTMW OF BEALTH DIVISION OF HEZLTH SERVICES DESIGN ZS f I- / ES C-X7/y -57Mr ' Owner 1-/AVff DCPewpq&v-r 69-)--voc Address Z-/7r4,C rC-7Pr-L Al ,-3-. 1-76'V3 .Located at (Street) 1j,4YA)4E I Dfr- I vim- Sec. Block i Lot (indicate nearest cross street)- Municipality PV-r1U4-A1 VAL4ZY Watershed Date of Pre- Soaking IV 1A Date of Percolation Test HOLE NUMBER CLOCK TDJE PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start-Stop Min. Start stop Drop In Min/In Drop Inches Inches Inches 2 4 P,516iu P,516 RCMC L,+77&^J 1-5 3 F"/ C-461--D 1-7714P 0 V/334--t, 4 .5 H 2 3 4 5 N=S: 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 fran'top of hole. DEPTH 1' 2' 3' 4' 5' 6' 71 81 9' 10' 11' 12' 13' TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. ! HOLE NO. %% Z HOLE NO. .. ,a'f ''i:: �•". �T'Y" �\ : d'.'N'I+:•^'t+m..-rr•l�`i ;wf: �...... .ntz�p+.+� 7/}..J.•V•M•i. 4i. V'l- �ua�,tfi ^w6C .T':-�•Ttl•"A T'•V .Y.:I .MYSrna]'!l•F.w w.rl. l j� n 14' - I�]I3rIC :• "M!"'AT MMIC f- l tOt71`IIk INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER . BEING ENCOUNTERED DEEP ROLE OBSERVATIONS MADE BY: Br\G flcJr,J F Cosa ELJ vs C, DATE: /87 DESIGN Soil Rate Used Min /1" Drop:. S.D. Usable Area Provided 0,00 5F No. ofd Bedrooms Septic Tank Capacity gals. Type G©AY Absorption ArealProvided By e L.F. x 24" width trench Other Lc,J 'SE IrFRf)/ 5. E C.fr� E Pty j G'R� Name urycy/ -A PC, Signature b • ° r Address 1?-V L tr ZZ SEAL �JZE�J$ Gtr 11US SPACE FOR USE BY HEALTH DEPARZME;NT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date A W A)r_AK J3L L r 16 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New.York 10509 (914) 278 -6130 ..,, ,.. _.RPRL; CP, .LONE =_G,0NS4RU( PCHD PERMIT !# ��✓ WELL LOCATION Street Address Town/Village/City Tax Grid Number WELL OWNER Name Mailing Address Wrivate L14rAR L® =NC. Z81 f-186MY SW urrLe- NJ' /76N D Public ffE OF WELL primary 2 - secondary F,S.IDENTIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP ® ABANDONED ® BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify, ® INDUSTRIAL 0 INSTITUTIONAL O STAND -BY AMOUNT OF USE YIELD SOUGHT S gpm /# PEOPLE SERVED /EST. OF DAILY USAGE 3 Q O gal ® REPLACE EXISTING SUPPLY O TEST /OBSERVATION 12 ADDITIONAL SUPPLY ONEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE RDRILLED ®DRIVEN ®DUG ®GRAVED OTHER IS WELL SITE SUBJECT TO FLOODING? YES __X_NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: t�e� C-eaR Lot No. 162 WATER WELL CONTRACTOR: Name U 41ISMOZ%%0J Address: CIA., KnIft-JoJ IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES __XNO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY /1J A DISTANCE .TO PROPERTY FROM NEAREST WATER MAIN.. LOCATION SKETCH,& SOURCES OF CONTAMINATION PROVIDED 09N-SEPARATE SHEET ii (dolt e) ( �\.r ig atur ) 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 thirt7 (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. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drillin operations be contained on this property and in such a manner as not to degrade or other i e contaminate surface or groundwater. Date of Issue: �-� 19 J ✓ �% 1. Date of Expiration 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller N ISITE�O ENGINEERING & 7 SUR VE YING, P. C. 1849, Ro w 6 (914) 225-62oo Carmel, New York 10512 Faz (914) 225.6438 Wappingers falls, New York 12590 (914) 297-1742 To 0 77VA1 6VV"V7-V Dev, , CF H, > WE ARE SENDING YOU )Attached Ej Under separate cover via— Shop drawin I gs ❑ Prints 0 Plans Ci Copy of letter ❑ Change order ❑ LIEcTUIEM OF UM ROOM OTTRL DATE q4, l6. RE: -55P,5 the following items: ❑ Samples ❑ Specifications COPIES 7 DATE NO. DESCRIPTION Pc - 2 15 Co A3s -rr— v CTLO-r-) PV2f,1t1r AP F- u cA-n o r—�I, A) i6Je(_L_ Rc-7z&io- 4PPLicA-n0A) 3 vv o O FES PAXr OF 3 01 (14 60Q-STXUc.T70rJ �RAWVG- A "TRESE AR't_ TRAtISM'11-TEO'zi6"c'h&&6d" below: ' • 0+w approval ❑ Approved as s . ubmitted ❑ Resubmit copies for approval O F6'r'.your use ❑ Approved as noted ❑ Submit copies for distribution ❑ AS.,requested ❑ Returned for corrections ❑ Return —corrected prints 0 For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO_�11_e SIGNED: It enclosures are not as noted. kindly notify us at on ,V -- - - - - - N- 2611_'00�-E - — - N 3842' a� °ia'W oHOCie czwslAVCnov i� • 45V000 " .1Y + 2 42.45' - - 1485 Route 22 S T Brewster. NY 10509 - _ A It ENGINEERING, SURVEYING & (914) 278 -4990 (914) 278 -6392 !ox - o www.inslte- eng.com O „ _ o 0 0 '; -LOT 16 -- - -- -- -- ril... _- _.. - - - - - -- - - - - - - - -- - - - -- -- - - -- -- '. _ AREA. - - - - - -- - - -- - 1:349 ACRES t + DRA WING - PROJECT NO. Vv to p B _•f" 100 LAIN 1.7 DATE 11117198. BY MAP SCALE 1 " =30' CHECKED 18 BY 2( 380.00' 89.99 t - CROTON DAM ROAD CORP. CROTON DAM ROAD 51N1NG, NEW YORK 10562 AJAI nc OIITAIAA/ VAl I FY t NOT S: F 1. THIS IS TO CERTIFY THAT THE SEW, '- WAS CONSTRUCTED AS INDICATEC THE SYSTEM WAS OBSERVED F S SURVEYING AND LANDSCAPE WAS COVERED OVER. THE:', - _ I ; GENERAL ACCORDANCE' I , n "i �a) 9i; 7J/ 4 .'i S351. S BY i 1485 Route 22 S T Brewster. NY 10509 / It ENGINEERING, SURVEYING & (914) 278 -4990 (914) 278 -6392 !ox / LANDSCAPEARCHITECTURE, P.C. www.inslte- eng.com PROJECT.- OF NEVjy CROTON DAM CORP. pit ��V J. C4iT ��f J. uw A� L/NCAR J SUBOINSIQV, LOT 16 Pl11NAM VALLEY, NY DRA WING - ~ PROJECT NO. g 1147 316 PROJECT J JC MANAGER DRAWING `NO.. /1 _ / j SHEET 1 1 DATE 11117198. BY MAP SCALE 1 " =30' CHECKED BY Q� y lZ ncjG.S'.. t }i �1. i ,1 CF O i. hae O Ct) D�PELLIN6 sw o RIDGE (formerly Woyr,e Drive) O i j'- 0 AS;BUILT MEASUREME; TS-- -- _ NOTES:. 1. THIS IS TO CER77FY THAT THE SEWAGE TREATMENT SYSTEM WAS CON57RUCTED AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS OBSERVED BY INSITE ENGINEERING, SURVEYING AND LANDSCAPE ARCHITECTURE, P.C. BEFORE IT WAS COVERED OVER. THE SYSTEM WAS CONSTRUCTED IN GENERAL ACCORDANCE WITH ALL STANDARD RULES AND REGULA 77ONS. OF THE PUTNAM COUNTY DEPARTMENT OF HEALTH AND THE NEW YORK STATE DEPARTMENT OF HEALTH. 2. ALL .FACILITIES EXISTING, UNLESS N07ED OTHERWISE. J. PROPERTY-LINE, HOUSE LOCA770N, AND WELL LOCA77ON TAKEN FROM FIELDWORK BY INSITE ENGINEERING, SURVEYING & LANDSCAPE ARCHITECTURE, P.C., COMPLETED 11116198. -- NO. - A B R ARKS 1 31 ' S2' 1246-GALLON SET TANK 2 75' 98' CC ANOUT 3 168' 175' DR7P' BOX 4 174' 179' DR "RP t" BOX 5 180' 184' DRPP BOX 6 185' a l 189' DR _ P BOX 7 191' � "194' DR 5P BOX-' 8 197' 199' DRP% BOX g 203' '• 204' DROP`. ROX. 10 .193' `: ? 207' END ' F TRENCH 4 LOT 17 - -- a„ - - -- �.�.- n L ayy�rov� 21 . ' -12- — 203' - -- - 21-5'. -END -OF -- TRENCH- _ 13 N0: DATE 219' END OF TRENCH. 14 -Y. 0' END OF TRENCH . • 15 11 198' 21 . ' -12- — 203' - -- - 21-5'. -END -OF -- TRENCH- _ 13 208' 219' END OF TRENCH. 14 213' 223' END OF TRENCH 15 219' 227' END OF TRENCH 16 223' 23T' END OF TRENCH 17 152' 148' END OF . TRENCH 18 158' 154' END OF TRENCH 19 161'. 158' END OF TRENCH •20 171' 165' END OF TRENCH 21 1 -77' 170'. END OF TRENCH 22 186' .181.' END OF TRENCH vF . C F :•a'. .'t 5- PL f. V � 3 , .,.1.,m...Y.; ....�... 'k:I,,.. rt.., l.F.�,I. ,.�i:_:.,�t -: ,:r?�,w.t+..asx- n�.a�,. a,,.:�• �: �..X ,,,Y:;�`�5?_ �, .., ;.'r.. t. ,a3F'•s .::,�c •t .,.<ir..;u�" ..,.. ., r,.,. .�... c.. °� .. s1 ..- k..e'..e. �•... 2 •a n t 7� t� 'f :.l • ,.b � t• 1: PROJEC T,• 3 -7 C LINCAR 3 DRA WING: PROJECT 91 NO. ' ' DATE 11