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Home My WebLink About3529DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74. -1 -9.13 BOX 28 03529 ._ rr Is . I Is Is 61. NN , 03529 w 4- Rev,. 3186. " I' 7 CERTIFICA1 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N.Y. 10512 Engineer Mast ProvldeP V — 9 — 96 P.C.H.D. Permit H=-- — )N,COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM . TOWN OF-PUTNAM _VALLEY .– .:c,,;i+i•:w�r .a �.r = .. .:d...3.. .:R i+. .�.. ..l.ia�k''_.',F -��, —'.– � —mac= ._:�- •.....- t•�%si•o`.d�r�i -� i�'.�`r t .:. -.. - v .$. t "r't �:. « �-, .. _ .` �:. ,.,-: r ..a.- ,�'iiYrn'.pr`.y�E4d'agt�:- •`:c:v.,_::__. . Loca t NORT-H M .ADOW LANE: Tax Map 74 Block _l Lot 9.13 Owner /applicant Name JAMES JUMPER Formerly Subdivision Name JUMPER Sabdv. Lot # 3 MaWng Address 291 R A R r FR STREET Zip 10579 Date Penmlf issued 5/23196 PTTTNAM VALLEY, FY r NFW YORK Separate Sewerage System built by JAMES JUMPER.. Address-293 "BAR.GER . ST . r PUTNAM VALLEY Consisting of 125.0 —Galion Septic Tank and 5 O O T.F OF LEACHING N.Y. 10579 FIELDS Water Supply: Public Supply From Address or: X Private Supply Drilled by P • F . BEAL Address 4 PUTNAM AVE . , BAEWSTER Bu11dIng TvDe ONE FAMILY RES IDENTtIas Erosion Control Been Completed? N.Y. 1 0 5 0 9 Number of Bedrooms 4 Has Garbage Grinder Been Installed? NbN Other Requirements NONE We I certify that the system(s) as listed serving the above premises were con k"I on tmpleted work ( copies of which are attached), and in accordance with the standards, rules and rethe permit issued by the Putnam County Department Of Health. • Date 4/25/97 certified by P.E. R.A. X Address 2 MUS COOT ROAD NO TH MAH AC NY 1 0 5 4 1 L no No. 1 1 0 5 6 Any person occupying premises served by the above systems) shall promptly to a slit action may be necessary to secure the orrection of any unsanitary conditions resulting from such usage. Approval of the separate Sewerage Sys ail Deco s null and void as soon as a pubis: sanitary sewer becomes available- and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Commissioner of Healt itlon, modification or change Is necessary. ,\ %Date By Title ... n- ..,. a_c .. ... r•.-.�. •w.4e.! -w4 �a..�.V _..+... .awb�•.n.c.�.... ...+n. .- a-...� ✓... .. ` p .. ... a.. ._..- .•_-•. ... r.•— ...a... •y.�...�• •_- v +Y. +•'r• +rwnsw r-.... .._M•.i.... _.. r... •..�.... Cpl WELL COMPLETION REPORT Office Use Only DEPARTMENT OF HEALTH visfon' Of' ri�i °YoiiLin�a'tie$ti;..:Ser' -::, PUTNAM COUNTY DEPARTMENT OF HEALTH /0 -- �IE� STREET ADDRESS: wNrVt TAX GRI NUMBER: WELL LOCATION N. Meadow Lane, Lot #3, Putnam Valley, NY t "'' ' = NAME: ADDRESS: PRIVATE WELL OWNER James Jumper 291 Barger Street, Putnam. Valley, NY 10579 (] �6'� O PUBLIC DEPTH DATA WELL DEPTH 345 ft. STATIC WATER LEVEL 0. F. ft. I DATE MEASURED 11/21/96_ DRILLING I@ ROTARY Q COMPRESSED AIR PERCUSSION ❑ DUG EQUIPMENT O WELL POINT O CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE O SCREENED ❑ OPEN END CASING W OPEN HOLE IN BEDROCK O OTHER CASING DETAILS SCREEN _ .. _QUAILS TOTAL LENGTH LENGTH BELOW GRADE DIAMETER WEIGHT PER FOOT DIAMETER (in) FIRST __92_— ft MATERIALS: El STEEL O PLASTIC O OTHER 91 ft. JOINTS: O WELDED ® THREADED O OTHER 6 in. SEAL: ® CEMENT GROUT O BENTONITE O OTHER DRIVE SHOE ® YES O NO LINER: O YES M NO 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? P YES o No . ".,4 :1 GRAVEL PACK I OYES I GRAVEL O NO SIZE: WELL YIELD TEST METHOD: O PUMPED %) COMPRESSED AIR O BAILED ❑ OTHER WELL DEPTH I DURATION It. hr. min. 345' 1 6 hr. If detailed pumping t tests were done is in- 'Ormation attached? ❑ YES ONO DRAWOOWN YIELD It. g6m. 260' 6+ WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? ❑ YES ONO ANALYSIS ATTACHED? O YES O NO PUMP INFORMATION TYPE cis r -gihla CAPACITY MAKER Goulds DEPTH 280' MODEL 7GS07412 VOLTAGE 230HP I DIAMETER TOP I BOTTOM l OF PACK in. DEPTH fL l DEPTH t4. It more detailed formation descriptions or Sieve analyses WELL LOG are available, please attach. DEPTH FROM Water Well SURFACE. sear- Dia- FORMATION DESCRIPTION cage tt. ft. i^4 meter Land Surface 60 Dr Ili in overburden cl ay & boulders 60 Hi# ro USE OF WELL ® RESIDENTIAL O PUBLIC SUPPLY O AIR /COND. /HEAT PUMP O ABANDONED 1- primary ❑ BUSINESS O FARM O TEST /OBSERVATION ❑ OTHER (specify) 2 - secondary ❑ INDUSTRIAL O INSTITUTIONAL O STAND -BY ❑ AMOUNT OF USE YIELD SOUGHT 5 gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR []REPLACE EXISTING SUPPLY TEST /OBSERVATION ®ADDITIONAL SUPPLY DRILLING MNEW SUPPLY (NEW DWELLING) ® DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 345 ft. STATIC WATER LEVEL 0. F. ft. I DATE MEASURED 11/21/96_ DRILLING I@ ROTARY Q COMPRESSED AIR PERCUSSION ❑ DUG EQUIPMENT O WELL POINT O CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE O SCREENED ❑ OPEN END CASING W OPEN HOLE IN BEDROCK O OTHER CASING DETAILS SCREEN _ .. _QUAILS TOTAL LENGTH LENGTH BELOW GRADE DIAMETER WEIGHT PER FOOT DIAMETER (in) FIRST __92_— ft MATERIALS: El STEEL O PLASTIC O OTHER 91 ft. JOINTS: O WELDED ® THREADED O OTHER 6 in. SEAL: ® CEMENT GROUT O BENTONITE O OTHER DRIVE SHOE ® YES O NO LINER: O YES M NO 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? P YES o No . ".,4 :1 GRAVEL PACK I OYES I GRAVEL O NO SIZE: WELL YIELD TEST METHOD: O PUMPED %) COMPRESSED AIR O BAILED ❑ OTHER WELL DEPTH I DURATION It. hr. min. 345' 1 6 hr. If detailed pumping t tests were done is in- 'Ormation attached? ❑ YES ONO DRAWOOWN YIELD It. g6m. 260' 6+ WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? ❑ YES ONO ANALYSIS ATTACHED? O YES O NO PUMP INFORMATION TYPE cis r -gihla CAPACITY MAKER Goulds DEPTH 280' MODEL 7GS07412 VOLTAGE 230HP I DIAMETER TOP I BOTTOM l OF PACK in. DEPTH fL l DEPTH t4. It more detailed formation descriptions or Sieve analyses WELL LOG are available, please attach. DEPTH FROM Water Well SURFACE. sear- Dia- FORMATION DESCRIPTION cage tt. ft. i^4 meter Land Surface 60 Dr Ili in overburden cl ay & boulders STORAGE TANK: TYPE CAPACITY GAY,. WELL DRILLER NAME P.F. Beal & Sons, Inc. DATE ADDRESS 4 Putnam Avenue SIGNATURE / Brewster, NY 10509 60 Hi# ro k at 60' 60 92 Dr Ili g in rock, set casing, grouted -H 92 345 Dr ilia in rock cfranite STORAGE TANK: TYPE CAPACITY GAY,. WELL DRILLER NAME P.F. Beal & Sons, Inc. DATE ADDRESS 4 Putnam Avenue SIGNATURE / Brewster, NY 10509 I I GREENBERG TWO MUSCOOT ROAD NORTH MAHOPAC, NEW YORK 10541 914 628 -6613 FAX 628 -2807 5/9/97 PUTNAM COUNTY DEPT. OF HEALTH IGE!NE"VAROAD BREWSTER, NEW YORK 10509 BILL HEDGES JAMES JUMPER 7MNHF7�L COMMENTS: ENCLOSED PLEASE FIND APPLICATION OF CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM. FROM JOEL (;RF=CNKRG. R.A. COPIES TO: PRINTS C❑ SPECIFICATIONS ❑ SHOP DWGS ❑ SAMPLES ❑ OTHER COMMENTS: ENCLOSED PLEASE FIND APPLICATION OF CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM. FROM JOEL (;RF=CNKRG. R.A. COPIES TO: PUTNAM COUNTY DEPARTMENT OF HEALTH 1 - �e,.:�lL :•Y��4L'1 �°s ': x"01[ 1 !• JAMES JUMPER Owner or Purchaser of Building OWNER Building Constructed by NORTH MEADOW,LANE Location - Street TOWN OF PUTNAM VALLEY Municipality ONE FAMILY RESIDENCE Building Type 74 9.13 Section Block Lot JUMPER PROPERTIES Subdivision Name 3 Subdivision Lot # GUARAFPM OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am-wholly and completely responsible for the location, worMnanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved. plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to-the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the t = ad -Acted Zomp, i ai d''- Cdr - : e -: g repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this 21 day of APRIL 19 97 General Contracto ( ) - Signature Corporation Name (if Corp.) Signature C"jk Title OWNER 291 BARGER STREET, PUTNAM VALLEY, N.Y. Address rev. 9/85 mk Corporation Name (if Corp.) 291 BARGER STREET, PUTNAM VALLEY, Address NORTH AMERICAN ...:. . �r � R:3A• vX T .. w0_, RJ'..Ew�. S - .. .VC. si ir_:_ �.ZS:. r. "....' k: "+.ri ,w.y,...:i•�' CERTIFICATE OF LABORATORY ANALYSIS LAB ID NUMBER: 97 -0088 CLIENT: P F Beal & Sons 4 Putnam Ave. Brewster NY 10509 SAMPLING LOCATION: COLLECTED BY: DATE COLLECTED: DATE RECEIVED: DATE OF REPORT: James Jumper, Lot #3, Putnam Valley MTB 01/07/97 TIME COLLECTED: 10:30 AM 01/07/97 01/09/97 ANALYTE RESULT* UNITS MAX CNTMT LEVEL'" METHOD ANALYZED Total Coliform Absent. Must be "Absent" SM18(9223) 01/07/97 E. Coli Absent Must be "Absent' SM18(9223) 01/07/97 This sample, as submitted to the laboratory, and as compared to the New York State limits for drinking water quality for e tests performed,-was:.. �__.� _.. AC:C EI'TKBLE "" __ Maryann Fasano, Assistant Laboratory Director NYS ELAP #11218 CT Lab Approval #PH -0171 * Underlined results are unacceptable according to health department and /or US EPA codes. ** Maximum Contaminant Level (maximum permissible concentration allowed by health department and /or US EPA codes). 618 Clock Tower Commons, Brewster, NY 10509 -9241 / 914 -278 -7600 / Fax 914 - 278 -7754 / E -mail: NoAmLab ®aol.com APPENDIX C PERMIT # FINAL SITE INSPECTION DATE: l Inspected by: TM OR SUBDIVISION LOT I. SEWAGE DISPOSAL AREA a. SDS area located as per approved b. Fill section - date of placement C. Natural soil not stripped d. Stone,brush,etc.,greater than 15' from SC e. 100 ft. from water course /wetlands II SEWAGE DISPOSAL SYSTEM a. Septic tank size - 1.0 0 b. Septic tank installed level c. 10' minimum from foundation d. DISTRIBUTION BOX 1. All outlets at same elevation - water 2. Protected below frost 3. Minimum 2 ft. original soil between bo e. ,RR CTION BOX - properly set f. TRENCHES 1. Length required - Z222 Lena 2. Distance to waterco se measured 3... installed according to plan 4. Slope of trench acceptable 1/16 - 1/32 5. 10 feet from property line - 20 feet - 6. Depth of trench < 30 inches from surfa W i YES I NO I COMMENTS 7. Room allowed for expansion, 100% 8. Size of gravel 3/4 - 11" diameter clean - 9. nth of gravel.in.trench 12" minimum g. PUMP OR DOSE SYSTEMS — 1. Size of PL= chamber 2. Overflow tank _ 3. Alarm visual audio _ 4. Pum easily accessible manhole to grade _ 5. First box baffled _ 6. Cycle witnessed by Health Department estimated flow per cycle _ 111. HOUSE a. House located per a roved plans _ b. Number of bedrooms _ IV. WELL a. Well located as per approved plans b. Distance from SDS area measured ft _ c. Casio 18" above grade _ d. Surface drainage around well acceptable 7� _ V. OVERALL WOR10'1APISH I P / a. Boxes properly grouted l _ b. All pipes partially backfilled — c. All pipes flush with inside of box _ d. Backfill material contains stones < 4" diameter _ e. Curtain drain installed according to plan _ f. Curtain drain outfall protected & dir to exist watercourse _ g. Footin drains discharge away from SDS area _ h. Surface water protection adequate------- _ i. Erosion control provided . .. +. •.. ""4'v..Ya -..+. ....tea �.�..v.. _..,� �s1�9 Purt(AM COUM DEPARINMW OF HEALTH Raft Servloer Curami.-XY., ISS12 all CERMCATZ OjWOMPL1A!fC1E SIKWAGZ DEPOSAL STSTM )K Pam PW 74 TOWN OFI.PUTNAM.VALLEY NORTH MEADOW LANE -P &FT 4 'T Ta. lkap. -- -- Blwk Let- ]�ZF- —1'8CQd Yi 0 RessewaL-0—Reviden—C] JAMES JUMPER Ownw/AppRaft Mum Daft Of PrCVWV�,l V V, fNY 291 BARGER STREET PUTN� ALLEY Mdbg Aftslas - — Town- ZIP Date Subdivision Approved Fee Enclosed Amnllnt $300 811121111112 TRW ONE FAM. RES. _Ldt Am 21.4741 FM Section Only LJ Depth —Vohme Nober of Be&* 4 De6k0f%wGpD_ 80 PC,RD Nod2calloss In Rewdred When M Is colispided =w S"Mob Sevellikee Syd= to Gomm at. 1250 GaGoas Sepdc Tank and 500 LF OF LEACHING FIELDS To. be easstmeted Isk DON PADEN Address KENNARD RD., MAIiOPAC, N.Y. 10541 Water sup* —PA& sq* hoos Addwea an x 57c _Mvab Sqqdy DAW h�,N. ANDERSON _4d&m BARGER ST. , PUTNAM VALLEY, N. Y. 10 Olbw R".mbeneaft represent. that I 'am wholly and completely responsible foi the design and location of the props above described will be constructed as shown on the approved amendment there to and in acco►da County Department of Health, and that,on completion thereof a "Certificate of Construction be submitted tthe Department, and a written quarent 0 owner, his su piece In good condition any part of aid long the peria ance of the approval of the Certificate of construction ComplWar& of j W ns 45 will be located as show" on the approved plan and that mid well Will be a County Depart its of Health. Date 5/1/96 Signed. Address TWO MUSCOOT ROAD N MA. APPROVED FOR CONSTRUCTION' This approval OxPirOS two Oars from It date revocable for cause or may be amended or modified when considered naicesa)f P requires a now Permit. Approved for disposal of domestic sanitary 6*41�sndj,, ,eV. 10/88 Data am(%); 1) that the separate 22_dlWlFV,1;2 ui�, %.& the standardk r , q.,T T, niw, satisfacto ass r I to the Co m missioner of Heelthwill heirs or 10 ign b,, the bulkier, that said builder will (2) years Im Otely following the.date of the Issu. air$ thereto* that the drilled well described above andarft r d raq—uGffo—n�W the Putnam P.E.- R.A. X OA7C L 1'ense No 11056 construction of the build g has been unde►taiten and is wr of Health. Any this or alteration of construction Title V DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 - 6130. .r�PP.aCT?s,a.n PCHD PERMITy WELL LOCATION Street Address Town/Village/City Tax Grid Number NORTH MEADOW LANE TOWN OF PUTNAM VALLEY PART OF 740 -1 -9 WELL OWNER Name Mailing Address Private JAMES JUMPER 291 BARGER ST., PUTNAM VALLEY, N.Y.10570Public USE OF WELL ®- primary 2 - secondary ® RESIDENTIAL 0 PUBLIC SUPPLY 0 AIR /COND /HEAT PUMP 0 ABANDONED ® BUSINESS ® FARM 0 TEST /OBSERVATION 0 OTHER (specify ® INDUSTRIAL 0 INSTITUTIONAL 0 STAND -BY AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 4 /EST. OF DAILY USAGE 3 0 0 gffi1 ® REPLACE EXISTING SUPPLY 0 TEST /OBSERVATION G ADDITIONAL SUPPLY ® NEW SUPPLY NEW DWELLING 63 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING NEW RESIDENCE WELL TYPE ®DRILLED DRIVEN ®DUG ®GRAVEL. 0OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: JUMPER PROPERTIES Lot No. NORMAN ANDERSON BARGER ST., PUTNAM PATER WELL CONTRACTOR: Name Address: Y, -N.Y. 1-A 5.7g IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO MANE OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY DISTANCE TO PROPERTY FROM. NEAREST__.WATER_„M.AIN : sac'... -: ..... ..�:-- '�..�,..._....a . �.... ..r. .. ......._. ... ... .- wc•-s. - _— LOCATION SKETCH & SOURCES OF CONTAMINATION 5/1/96 [DON SEPARATE SHEET (date) PERMIT TO CONSTRUCT A WATER WELL r - - -- - This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. 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 conta dwater. Date of Issue: i�� / 19 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 PC-1 r PtJTNAM COUNTY DEPARTMENT OF HEALTH t"1 zr T A !1�._ .,Z r.. �wti_ ►y n M ,� .i ...= ..r ,.� =o•.ai�:e.::i.•s.. -. °iii •. :: Ar- LIGA T SON. r OR- ,-AF.. 0,6UL: 0E- 1 tiRN FOR 1. Name Ahd Address of Applicant: JAMES JUMPER 2. Name of Project: _ ARCHITECT 4. Project 4igiter: _ 291 BARGER,STREET PUTNAM VALLEY, N.Y. 10579 NEW RESIDENCE JOEL GREENBERG, R.A. 3. Location T /V /C: PUTNAM VALLEY 5. Address: TWO MUSCOOT ROAD NORTH MAHOPAC, NEW YORK 10541 License Number: 11056 Phone: 628 -6613 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 (SEAR)? .Tips Status (Check One) Type I.. Exempt Type II. Unlisted X 8. Is A Draft Environmental Impact Statement (DEIS) required? NO 9. Has DEIS been completed and found acceptable by Lead Agency? ........... N/A 10. Name of Lead Agency N/A 11. Is this_ pro ject_3.n..an. area. under .the control .- of.- local::pl.arn -ing zo �i-rg- �.._ ..ai -- ..`.__.- ._ _�__._ __...fir other` ofricia�'s, nrd�nances ............. °.............`......... 12. If so, have plans been submitted to such authorities. NO 113. Has preliminary approval been granted by such authorities? Date Granted: 14. Type of Sewage Disposal System Discharge...... Surface Water X Ground Waters 115. If surface water discharge, what is the stream class designation ?........ _N/A 16. Waters index number (surface) .......................................... N/A 17. Is project located near a public water supply system? .................. 118. If yes, name of water supply N/A NO Distance to water supply N/A 19. Is Project site near a public sewage collection or disposal system ?..... '.0: Name of §swage system I A; Date observed: NO N/A Distance to sewage system N/A 23. Name of-Health Inspector: MICHAEL BUDZINSKI, P.E. ,4: Project design flow (gallons per day) ....... ............................... 800 PUTNAM COUNTI'Y'• DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES - -i:R�J l :v 'e•w�.ir .i o.. ..f4: 'Ra--: ¢'; :..':.:y'..;:��- ,- r+cevM:�_• ^�C :'•.`i.•;: :_. !`. ,- aax`.'3J- ot�n:y -i: a�.+ n..e.. „ ..yJ:,:� -� �n.:..'h'r.Il,',�.n<v�aez...`�j '�; 1.. -4 v,�� .. Date 5/1/96 Re6 Property of— JAMES JUMPER — -- Located at NORTH MEADOW LANE - -- PART OF - -_ - -- — — (T)_ PUTNAM VALLEY Section- 74 Block 1 -_Lot 9 _ -- Subdivision of JUMPER PROPERTIES Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize JOEL GREENBERG a duly licensed professional engineer or registered architect- X (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 ' coinnCc- ti'G;1. :- w.i'tl't ° °t111's'-!i a�tter`'anyd` LO 'z LUpe -tVr s@ : t'rieco�lstructlon o� Said ` system or systems in con- formity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tart' �EaED qR \g ��sNC e GR cy� Coun P. E. /R IA. TWO MUSCOOT ROAD—NORTH Address ------ - -w -- - - - -r- MAHOPAC, NEW YORK 10541 (914) 628 -6613 Telephone - -- - - - - -- Very truly yours, S igne - - - - -- Owner roperty 291 BARGER STREET Address PUTNAM VALLEY, N.Y. 10579 Town (914) 526 -2854 Telephone — -PUIM�M.0 UNII Dh?AK1MkNK LW HEAUIH DIVISION OF EWIRCUKUTIAL HEALTH SERVICES. 128104 DATA. SHEET-SUBSUFACE SEVWE DISPOSAL SYSTEM FILE NO. JAMES,JUMPER.._ '29 BARGER STREET, PUTNAM VALEY, N.Y.,: *� :.19�9 4no-tv, located at (Street) BARGER STREET Sec, 74. Block 1 Lot - 9 (indicate nearest cross street) hbicilpaiitty TOWN OF PUTNAM VALLEY Wate"rshed HUDSON RIVER SOIL PERCOLATION TEST DATA REQUIRED. TO BE SUBKI'1TED WITH APPLICATIONS bato of Pre-Soaking 1/7/93 Date of Percolation Test 1/8/93. HOLE Kmm Ci= TIME PERCOLATION PERCOLATION RUH Elapse Depth to Water Fran Water Level Nod The Ground Surface In Inches Soil'Rate 1!49-2:14"30 adkt -SEOP Min. Start stop Drop In Min/In Drop 2.5.. 30/2.5=15 Inches Inches Inches )ECTs! 23.5 25.5 2.5 LOT. 12!47-1:17 30 23.5 25.75 2.25 30/2.25=13.33 PTH i "' .1.!18-1:48 30 23.5 25.75 2.25 30/2..25=13.33 1!49-2:14"30 23.5 25.5 2.5.. 30/2.5=15 . 2. ! 2 0 - 2 : 5.0 30 23.5 25.5 2.5 30/2,.5=15 'TH 2'. j,. 12:52- 1 :2.2; .3 0 24 25.75 2.25 36/2.25=13.33 4.-AD 2 :13.:33 - - . .. ....... z23.!J.-_5 _M — - - �� - - ..; 2.55w--75t-:,,-. - .!!t _3..,'. — :54-2:24 30 24 25.75 2.25 30/2.25 =13.33 4..2.,25-2:55 30 .24 25.75 2:25 30/2.2,5=13.33 POTES., 1. .-TesE§Ao be repeated'at same depth until approximately equal soil rates are obULified at each percolation test hole. All data to' be submitted for I review. 2. Depth measurements to be made fran top of hole. revs 9/85 TkbT PIT 1.1A1'A MUIRW 'IV JJB . SUbM 1TZU W-Un tint, L�titivLv DFscRIPrION - OF SOILS ENCO(JrTI.SRED IN TEST HOLES a bEi�` 8 HOLE NO. DTH 1 BOLE N0. DTH 2 HOLE N0. C�a�a TOP SOIL TOP SOIL . • •! S.CLw- Mt ^3 ^e f u JnSJA .!: O.n r• .' ., a i' j.- i;�.... -. � a 1_ : sK,..j -i_�. ^ . �•ol hviF:•: tls u•SJ A' ..l.f J•1 ..i. 4"::4 ". .•c if b' SILTY LOAM WITH ..,.: SILTY FOAM WITH —,- ,1 FINE GRAVEL FINE GRAVEL 4 is 'rrs•.J{c•4y�] . `• AT GROfTND�TEQ IG -- ENOUNT�� NONE ^ = _ . .. � .. _..... _ �_•.- .._ LEVEL; TO WHICH - WATER LEVEL' RISES AFTER BEING ENCOUNTERED NONE r.. MOLE OBSERVATIONS MADE BY: JOEL GREENBERG, RSA, DATE: 2/8/93 . ;; `•.i't DESIGN �!;;• <: 9012ate Used 11 -15 14in /1" Drop: S.D. Usable Area Provided 5,000 S.F. 3 1000. .j,Wa bt Bedrocns 4 Septic Tank Capacity 1250 gals. CONCRETE Type 375 Absorption Area `Provided By 125 L.F. x 24 ". width 'trench Acog JOEL .GREENBERGL R <Ao Signature ��r.NrE 1 TWO MUSCOOT ROAD NORTH SEAL � MAHOPAC, Na., `YORK 10541 0. "err -c N_E`/ ' THIS SPACE FOR USE BY HE LTH . DEPARIIMENT ONLY: Soil Rate Approved sq.ft /gal. Checked Date i )L o;, 90 t10 N N0 Z �T 5.r.�w>E:c....\:�`wa_y.n.�'^ /Fy 9� .erg O^ l A qa•\�. O; • 969. • o i! a° Pg' 0 -p N O 1 0 " "I � m: % SEPTIC T�jNK C, \'I' •,...., 0 50011 L eacu� u e A ....G..,5 FIEc� .,o. ly 6 e �warna i ,4 ,5 q 10' ,e / 30 ►9 0• 0� Sses e 0 r ■ A-5 LOCAT, 2 21° 35° 3 4 210 24° 30° 27° 51° 22° 7 35° 20° 8 40° no q 4,5° 25° 10 50° 27° 11 �2 14- 15. j'79 16 1-7 18 �.1 .�V�I -. t.. .T �.,1La t •••wb4POi lftl ,rr T O G O` 67 7 .li Py 1L ' Of ° I "= 50.00' rucnam County Department O2 Health -,ivision of Environmental Health ServiC, owoved as noted for conformance wit ". pplicable Rules and P.agulatione of the 'utnam County He ' h Department. ,ig'nsture ✓k Title THIS IS TO CERTIFY THAT THE SEWAGE DISPOSAL SYSTEM WAS CONSTRUCTED AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS INSPECTED BY-ME.BEFORE IT WAS COVERED OVER, THE SYST& WAS CONSTRUCTED IN ACCORDANC$ WITH, ALL STANDARD-RULES AND REGULATIONS OF TH£ ^puTrvANM COUNTY DEPARTMENT OF HEALTH ^PU,T N./� fti v�Lt,EY�.N.Y. Io51' cr!ae_•TN+a Arscnrter.: 15-(726-040) DATE 4.� r8 /-?7 J OEL LAWRENCE GREENBEJZG Sr.' c. . TWO MUSCOOT ROAD NORTH AS .N°Terl. IYlAHOPAC, NEW YORK 10541 °RAWNCXECKFD'BY: (914) 628 -6613 FAX (914) 628 =2807 oi o0 NE