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Home My WebLink About3627DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.13 -1 -3 BOX 29 r yj yj Ir 03627 �V \� C :. CEI Located at OF Owner /applicant Name — Mulling Address �L Fee Enclosed Q' PUTNAM COUNTY DEPARTMENT OF HEALTH �4A t (� DMiden of Ftvbonmentd Raft Seevloes, Caumel, N.Y. 10512 �� _ 1, , Engineer Must Piovlde % 2 (> P.C.H.D. Peamft # - Amount Separate Sewerage System built by Cl-- bAi(,D'5f1 > Address Consisting of (2—S-0 Gallon Septic Took and Town or 71410 Ter: Mip__ �� 1 Block— Subdivision Name Subdn. Lot # f. Date Permit Issued r 01 Water SuPPIyc�Public Supply From Address - on Private Supply Drilled b °' Address �l.A iN Banding Type— R&AAt w — Lot Size 1,2.,;5 4-c"as Erosion Cnntrnl RPPn (rams l PtPr99 l�¢� Number of Bedrooms Has Garbage Gd adm Boer Installed! "10 Other Requirements I certify that the system(s) as listed serving the above promisee were structed sea tially as shown on the plans of tha of which are attached), and in accordance with the standards, rules and p completed work (copies Putnam County aep -tment Of Health, agulatione ecordance with the filed plan, and the permit issued by the Oats 6_ l I ��} by ` P.E. R.A. Address 2q Z 1� --+— i^S % Llanes No.373V Any person occupying premises saved 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 sawaaga system shall become null and void as soon as a pubt;: sanitary Sawa becomes available and the approval of the private water supply shall become nu void when a ublk; water supply becomes available. Such approvals are subject to modif tion -or change when, in the judgment of tM . m er, Ch revocation, modification or change Is moeesaary. Oats 44r '/89 � � By THIS v —.� a_ ENGINEER TO PROVIDE PERMIT # Q tJ PUTNAM COUNTY DEPARTMENT OF HEATH. ON CERTIFICATE -OF COMP I CE.. j ; /� Division- of ,Frivirur<<,)enta °fee +th- :Serricosr Car-mel, W,. v. �/ _ ��. CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM �A 24 Town or Wtqe Located at Tax Map G & c 1111.1k 42— rot Subdivision Subs. bot M Owner /Address � WK Building Type 'S� Lot Area Number of Bedrooms I Design Flow G /P /D Separate Sewerage System to consist of p Gal. Septic Tank To be constructed by h® " water Supply: Public Supply From V Private Supply to be drilled by Renewal _ ❑ Revision _ I] Date Of Previous Approval Fill Section Only P.C. H. D. Notification Required and 133 Z�q ui °tfilG�_ Address Address `h —' Other Requirements 6 1 `^� os I represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regulations o e u ream County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following the date of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be install accordance with the standards, rules and regulations of the Putnam County Depa Qm rat of Health. Date 7 Signed / P.E. R.A. Address Z Vj — License No.3�3� APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary It the .Commissioner of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domesticLsanitary sewage, lad /or%�rivate water supply only. �i c l / I' PUTNAN COUNTY.DEPAR NT OF HEALTH fceri. 3/86 Diviefon:pf EnvlronmentidBealth Services Carmel, N.Y. 10512 T 06- to Provide'Permit q � � PermiR a C TE � r g3NuTR1'""It)N uFT Fnv S�Ot LtSPn8.4L.SfC7LM A OF�CO Located at t7d�tA�t: S 11o�Ur`C ®t '� L : Town or .' V e Subdiviion s Name Snbd Lot q Ta: V Block 5r Lot a' ° p [ t Renewal p Revision Owner /Applicant Name �� - �Q V5 f►fJ ,1 —T Date of Peel S Approval Mailing Addreseel �Z j�1�,;d��6CGtL$ Town �tfA�C /"� zip t:d `i�7 1 x265. aGS�S' Bulti g Type �% iqt Area Fill Section OWY Depth Volnme Number of Bedrooms'= Design Flow. G/P /D, PCHD Notitkatlon Is Required When FYII b completed Yi Sepirate Sewerage, System to con'sisit of Cello tic Tank d Z A �! To be constructed by" AddreiHe, Water Snppl) Pdbllc Supply From Address Q or: Private Snpply Drilled by' Address ` Other,Regniremente ' MM(i f3A±f S 1 represent thaf.l -am wholly anocompletely',responsible for the design and IOCatiOn Of the proposed systems) 1) Ghat the'separate 'sewage "disposalsystem :. . above described Will be constructed as shown On the approvedra`menCment the[e t0 antl irraccordance with the standards; rules an regulations o e' u nam County. Department ot.rNeAlth, +antl that oh comglet�on thereof a Certificate ;of Construction Complwnce',' sat�dfactory to the Commissioner of Health will be sutiimtted ;to the Department';and a wntten guarantee wJl De turn shed ttie owner This wcce5sors heirs or assigns by the bu�ldor, that sald;,;builtler will y during the.period o} two (2C years immediately `following`thedate ; of.the. issu. } place m ood operating: condition an pact of saip; sewage �disposel system , e of the approval of.'the Certificate of: Construction Compliance :of xtne oiigmal "slam or any repevs thereto;2) t�at,the,drilled, wall described above 9 anc wilt be located, as shown on the approved plan and that said woll wJl be installed in ac r nce wit :, the sta ards as and regu a ions of 'ahe ' Putnam 1 County Depa tment of ,Health Datei.,: Signed :P;E R.A,� IJ,k '� 2 2 & a.o... dell :' 1t7$! ✓ I� #ddress s -: _ License No�� . 3 ?APPROVED FOR CONSTRUCTION This:,apptoval expires one year from the date issued unless construction of the building has been undertaken and is 't 'revocatile for cause or may be amended or modified w hen `consideied necessary 'by t e' Commissioner of. Realth. Any'change or alteration of construction �} 1�VUires a new ,permit.- .'Approved for disposal of domestfc'sa darysewageand r ivate water supply_ only: - - - .tae 7-21 �YJ py Title &� AE Yorkt town Medical Laboratory, Inc. 321 Kear Street Yorktown Heights, N. Y. 10598 (914) 245 -2800 Director: Albert H. Padovani M. T. (ASCP) F GIORGIO D'AGOSTINO 252 HILLSIDE TERRACE MAHOPAC,NY. 10541 L J REPORT ON THE QUALITY OF WATER LAB` Date Taken: 6 /8 /go Time: lam Date Rc ' d : yT�ime : Date Reported: Collected By: G.Dagostino PO /Client # Referred By: Sampling Site: Kitchen Tap Boger St. Putnam Valley,NY. Phone ( 914 ) 628 -7719 INORGANICS MICROBIOLOGICAL 100mL _ Alkalinity _ Standard Plate Count Chloride _ (CFU /1 mL) — Copper Detergents, MBAS Membrane Filtration Method Hardness, Calcium L _ Hardness, .Total Total Coliform — Iron Fecal Coliform Lead — . .............:.:..:..1Iangahese ecaa... Streptococcus_ _ Mercury — Nitrogen, Ammonia Most Probable Number Method — Nitrogen, Nitrate — Nitrogen, Nitrite Total Coliform _ Phosphate, Total _ Fecal Coliform Silver — Applicable _ Sodium - Fecal. Streptococcus Sulfate = Too Numerous To Count - Sulfide Presence /Absence (PA) Sulfite — Zinc Total Coliform PHYSICAL/MISCELLANEOUS — PH (S.U.) — Color (Units) Conducta ce O hms /c) — Odor (TON) _ Turbidity (NTU) KEY FOR TERMINOLOGY P A CFU = Colony Forming Units IT = <' = Less Than GT = > = Greater Than NA = Not Applicable SA = See Attached TNTC = Too Numerous To Count REMARKS COMMENTS For Lab Use (For Lab Use) SAMPLE TYPE: (Check One) Potable — Non- potable OUTGOING: (Check Each) HNO — HC13 NaOH ZnOAc _ Na2S203 INCOMING: (Check Each). LE 40C GT 4 /LE 200C — GT 200C pH LE 2 _ GE 12 _pH Other: THESE RESULTS INDICATE THAT THE WATER SAMPLE WAS) (WAS NOT) (NA) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO TH T YORK STATE PUBLIC DRINKING WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF SAMPLE CO CTION. TI3ESF:. RESiTLT �I`TD�TCr TF THAT , WT WA9?$R ..S.AMPI}E.,..CD_'D).__ .(.?�ZD_._NQT .�( .. MEET:. THE. .:... SATISF'ACTORY_CHEMICAL QUA ANDA.RDS OF THE NEW YORK-STATE PUBL DRINK- ING WATER CODES, FOR TH P ERS TESTED, AT THE TIME OF SAM COLLECTION. x 7 /87(Rvsdl /90)RWE Albert H. adovar_i, .T. AS , Director b WELL COMPLETION REPORT office Use Only DEPARTMENT OF HEALTH Division Of Environmental Health'Services PUTNAM COUNTY DEPARTMENT OF HEALTH STREET ADDRESS: wNlvlL J I Y TAX GRID NUMSEr1: WELL LOCATION Barger St Putnam Valley NAME: ADDRESS: a PRIVATE WELL OWNER George D'Agostino ❑ PUBLIC USE OF WELL 0 RESIDENTIAL ❑;PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED 1 - primary ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) 2 - secondary ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD. SOUGHT 6 gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR. .[]REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION []ADDITIONAL SUPPLY DRILLING ` ®NEW SUPPLY (NEW DWELLING) ]DEEPEN EXISTING WELL hr. min. 1 DEPTH DATA . WELL DEPTH 185 —ft. STATIC WATER LEVEL 30 ft. DATE MEASURED 3/30/87 DRILLING ❑ ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG EQUIPMENT ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED Q OPEN END CASING ❑ OPEN HOLE IN BEDROCK ❑ •OTHER TOTAL LENGTH 21 --ft. . MATERIALS: 12 STEEL ❑ PLASTIC ❑ OTHER CASING LENGTH BELOW GRADE ft. JOINTS: .0 WELDED THREADED ❑ OTHER DETAILS DIAMETER h in. SEAL: ❑ CEMENT GROUT ❑ BENTONITE ❑ OTHER WEIGHT PER FOOT lb./ft. I DRIVE SHOE. O YES ❑ NV LINER: ❑ YES MO SCREEN . DIAMETER (in) SL07 SIZE LENGTH (It) DEPTH TO SCREEN (It) DEVELOPED? . ,FIRST. C'TES NO �— SECOND _ _ HOURS S GRAVEL PACK ❑ ' WATER ❑ CLEAR GRAVEL I ❑ NO O COLORED SIZE: WELL YIELD TEST It detailed pumping METHOD: D PUMPED tests were done is in- Vr,DMPRESSEO AIR ; formation attached? O BAILED ❑ OTHER ; ❑ YES ❑ NO WELL DEPTH DURATION DRAVIDOWN YIELD It. hr. min. 1 It. gpm. 185 XX 6+ 6 DIAMETER TOP BOTTOM OF PACK in. DEPTH ft. DEPTH It. WELLtA/��! �OG -it more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM Waller Well SURFACE. Bear- Oia- FORMATION DESCRIPTION CODE lf. (t ing meter .and iurtace 11 Fill 11 185 Schist I r t t 1 o _ STORAGE TANK: TYPE CAPACITY GAT,. WELL DRILLER NAME NORMAN ANDERSON INC oATE 6/7/90 ADDRESS BARGER ST PUTNAM V®IErntruRE , NY, 10579 .. • ' / 't _ `(- `�� (,�:. WATER ❑ CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ❑ NO ANALYSIS_ATTACHED? O YES ONO PUMP INFORMATION TYPE CAPACITY MAKER DEPTH MODEL VOLTAGE HP DIAMETER TOP BOTTOM OF PACK in. DEPTH ft. DEPTH It. WELLtA/��! �OG -it more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM Waller Well SURFACE. Bear- Oia- FORMATION DESCRIPTION CODE lf. (t ing meter .and iurtace 11 Fill 11 185 Schist I r t t 1 o _ STORAGE TANK: TYPE CAPACITY GAT,. WELL DRILLER NAME NORMAN ANDERSON INC oATE 6/7/90 ADDRESS BARGER ST PUTNAM V®IErntruRE , NY, 10579 .. • ' / 't _ `(- `�� (,�:. PUTNAM COUN'T'Y DEPARTMENT OF HEALTH ` DIVISION OF ENVIRO I'AL HEALTH SERVICES. Owncr or Purchascr of Building Building Constructed by Location - Street Municipality ReS - ��c -t- Building Type G.� Z 2 Section Block Lot Subdivision Name Subdivision Lot # GUARANTEE OF SUBSURFACE S&QAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that. it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in, good operating condition any part of said system constructed by me .which fails to, operate for a period of two years mmediately following the date of approval of the "Certificate.,.of. Construction. Compliance" for the- sewage system, .or. any I. repairs- made by -irie to -stich *system; ekcept 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 day of 19 Signature Title era Contractor ( er) - Signature Corporation Name (if (iif Corp. ) Address Ma Ian e+c rev. 9/85 mk �N� - Mt_w"W 7W, A '2'5- 2 r-/� �lS, Corporation '' tion Nam y (if Corp.) %SI ,e(c , N-'tl " %�S!%� Address PUTNAM COUNTY DEPARTMENr OF HEALTH - DIVISION OF ENVIRONMERM HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVTE SHEET - RxJj (Name of Owner) (Stree COKgENTS I YES Z ra PERMIT_ -. DATE REVIEWED•, - BY. DOCUMENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results (3) 30" Perc Hole Other House Plans - Two sets If PWS - Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flow Fill Profile.& Dimensions - Volume / / D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data Two -Foot Conto sting & Proposed Driveway & Propes Footing /Gut fain Drains Perc & Deep Holes Located Representative of Sewage & Expansion Area ,Expansion Area; showncrraYty�f],_�w,auff..szze _...- If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Property Located Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (i.nc. expan) 15' to Drains- Curtain,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' from Foundation 50' to Well 15' Well to PL. GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same n PUTNAM COUN'T'Y DEPARMT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS _ FT -D INSPECTION- .. REPORT: - w... .. DATE: _ ... �'�'/ ✓�c:..5 "- .mac --, INSP. BY: (Name of Owner) (Street tion) INITIAL SITE INSPECTION Z i,)2 V YES NO Wetlands on /or proximate to property .............. Property lines or corners found ................... Can estimate house location ....................... �. Willdriveway need cut ............................ Must trees be removed - note these ................ Deep holes representative of entire SDS area ...... Additional deep holes needed....................... �v Sufficient SDS area available considering driveway cut, house location, separation distances,etc... _ Adjacent wells/ septics ............................ ; X D.H. 1 Lot Depth to G.W. -- -- Depth to rock Soil Descri tion Soil Descri tio; 0 ft. A3__ ft:. r z 6 ft. 6 ft. w�CnJ� c 9 ft• D.H. 2 Lot Depth to G.W. - -- Depth to rock YES Soil Descri tion 0 ft. House SSDS located per approved plan ............. ft:. - - -- z 6 ft. _.�.. /___.._........_. -. D.H. - Deep Hole G.W.- Groundwater D.H. 3 Lot Depth to G.W. Depth to rock 0 ft 3 ft 6 ft 9 ft 12 ft:' 1:..:'° - 1 - _ . :. _. 12`_f .. 2 ft. ;.. .. .. DATE: FINAL SITE INSPECTION INSP.BY: YES NO COMMENTS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Roan allowed for expansion trenches .............. Over 100 ft. fran watercourse .................... Natural soil not stripped or SDS area unnecessarly graded.......... ... ........ 10 ft. maintained fran property line and 20 ft. from house... ......................... Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench... ........... L5 ft. of peripheral soil horizontally fran trench ..... ............................... Boxes properly set.. .... .......... ......... :ould surface runoff from driveway, roads, ground surface, etc., channel near SDS area.... )oes lot drainage appear OK in area of SDS....... ?INAL GRADNG OF SITE ACCEPTABLE.. ... •' t► • o• t►; to v •t r• ��• ��. DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE IAA. Owner P Fm 5 Address i8 Vrore _ a,.t)�c t ..N�' :'. .Located at (street) - Qajer 4 @ 5"tA IDOtc Sec. Block 2 Lot 2 (i d cate nearest cross street) Municipality Watershed l441sev. SOIL PEROOLAT•ON MST DATA REQUIRED TO HE SUM= WITH APPLICATIONS Date of Pre - Soaking `) Date of Percolation Test / f;6 HOLE NL14BM CQ= TIME PERC MAMON PEROOLATIM 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 9,3 3 1% 2q 21 3 4 Si 2b 'Z j Zi 3 75 5 a t 2l 4 <19�6 3 PLITNAM CQUNM r� DEPT HEALTH _♦ l S { NOTES: ,�`:'..�''�•.�.. T @Sts. .� 2 Depth,'measu _..rt_v.._ 9/85 ._.._..v_...._..._.. DEPTH ~ G.L. 1' 2' 3' 4' 5' 61. C7:�:) 8' 9' 10' TEST PIT DATA ' n /' 01/ TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOIES HOLE NO. HOLE NO. H 12' _ t 14' ... ^�_ _IIv'FIFA3 J317i/'EL`Ali`VY VROiJL�•i.J1�Y2'ThEI \ IS i.:dM ia'V 11+�'VLD INDICATE LEVEL TO WHICH DATER LEVEL -.RISES AFTER BEING ENOOUNTERED D DEEP HOLE: OBSERVATIONS MADE BY: DATE: ?Azo,k DESIGN 2 Soil Rate Used ° i0 .Min/1" Drop: -.S.D.. Usable Area. Provided.. - ..470170 --No.. of Bedrooms 3 - Septic Tank Capacity-. 1.t1QO ......:...:.... als.._.:. o,n ..Absorption Area:.Provided. By.. :• '.: -3.-33 - . L.F. x 24". width .#sench_._. _.... _ _. -..._ ....__..._........_....._. •.._.- .._..... other , ... G - .:, b0,es Name FR�o� I ��C ZE1V`Z Signature Address ZI 2 Ma.a- SEAL r' ' Nil S v t11� A)Y x516 , e THIS 'SPACE FOR 'USE `BY HEALTH• DEPARUMM ONLY -s ia:s: t -L pROFESS��N�� £,' Soil Rate Approved "sgoft / gal. (decked by Date PUTNAM COUNTY DEPARZiKM OF HE ALIH DIVISION OF ENVIRUMMI, HEALTH SERVICES DESIGN DAT-A- SHEETS- SUBSUFACE SEWAGE. DISPOSAL SYSTEM FILE N0: ' Owner C--o Le- D ' Rg c541 o Address 2-5-1 <; i l5 ; a c fie- cw,e K�LC pxc 04 Located at (Street) 65-&u L 444Ksc44 DP_ Sec. Block _Z Lot 2- (indicate nearest cross street) Municipality Watershed Date of Pre- Soaking �6l Date of Percolation Test � ?tid HOLE NOMBER CLOCK TIME PERCOLATION PERODLATION Run No. Start -Stop Elapse Depth.to Water Frcm Time Ground Surface Min. Start Stop Inches Inches Water Level In Inches Drop In Inches Soil Rate Min/In Drop f 1 231 �•2 2 2 ?..�'. 2y 27 q,3 3 27 2�. 2 27 5 5. ,;16r. Xl 2.--Depth- rev.. 9/85 repeated at sane depth until -'tely equal soil rates at each peroolatioai; testicle, "dataltro.-be su}mitt�d to be made _ fray top of hole. _ .. . . Z 2 2�.: S 2� Z? 1 4 5. 1 2 3 r,,,• ate. / �,7P1 w � s _ . i,: ,;16r. Xl 2.--Depth- rev.. 9/85 repeated at sane depth until -'tely equal soil rates at each peroolatioai; testicle, "dataltro.-be su}mitt�d to be made _ fray top of hole. _ .. . . � � M' t' •' • • t . � •• NCI' �• 1 Y� : • �. DEPTH HOLE No. ° 4 ° --.. m�; � +-- .��.�r�;•.p..,yr- y,�,.n •+..�ywry.,; �, T��- nAA"tpyY'e�f�'iM,fy� iuy S7 ;'S ACE .FM USE �B ESiU it iJGL6]LW'JL�6tlS � a � M... . -. .rA91_�� ®��A�:�M \YMwww' .v '_.�':.' "__�Si']YwIY: �•Ii LL��y'r�e�/5��? 1' 2' - 3' dA 5' 6' 7' 8' 9' 10' 12' 13' .. - _.... 14'. YdCIGA2 'VEL Ai �,ii3 CH' G G<, 3Di ;r"�R IS E[v:�Ct3f � INDICATE LEVEL To WHICH WATER LEVEL RISES AFTER BEING ENOOUNTERED DEEP HOLE OBSERVATIONS MADE BY: -Z DATE: DESIGN �� "Drop: - S.D. Usable -Area Provided_,, . .. . _ -... -Soil: Rate ,..Used.- Min/]- M. _ Septic ,Tank C�para. -No.- of •-Bedroans _ •._ - -Absorption Area.- Fro�vided .._�k x 24" w�rdtta emc�i :�-. ;By_ .,I,oF. _ r ' .: vu+r�ir « -. _.Itf _nw 'o�a��__ -�• __ _. .. { 1wo tiw•w - � .vLy" � �f . .& � � � - ` } i. *y,� +•i � ��i1^�[{ -yM- � �' � f � 'FF -'� X71 IrL�i(ly�i � kv,.. -... �.:. - './,f# ... •.:. _. .. r. -. .,.:- •..: ., .. .. �... _::• ^.. �_ ..•e ~?�1'iA. •l.��jr{''R§LR` {X,Ye�Sr ...M �:� � :::' � � �qy�:'��• �"'� b<zJ,c :14 � •. -- vr� n�i•�V� �M�'' --.. m�; � +-- .��.�r�;•.p..,yr- y,�,.n •+..�ywry.,; �, T��- nAA"tpyY'e�f�'iM,fy� iuy S7 ;'S ACE .FM USE �B ESiU it iJGL6]LW'JL�6tlS � a � M... . -. .rA91_�� ®��A�:�M \YMwww' .v '_.�':.' "__�Si']YwIY: �•Ii LL��y'r�e�/5��? II. IV. V. a. FINAL SITE INSPECTION Date 11 ,( Inspec b ;CATION �` OWNER .(? �l tij C TM # OR SUBDIVISION LOT # r a. SDS area located as per approved plans b. Fill section - Date of placement 2:1 barrier_ LGTH WIDTH AVG.DPTH c. Natural soil not stripped d. Stone, brush, etc., greater than 15' from SDS area. e. 100 ft. fram water course /wetlands. SEFQGE DISPOSAL SYSTEM a. Septic tank size - 1,000 1,250" , ANA b. Septic tank installed level - c. 10' minimum fran foundation -rfUk4T *v d. No 90° bends, cleanout within 10 ft, of 45° bend x 6 & e. DISTRIBUTION BOX 1. All outlets at same elevation - water sted 2. Protected below frost 3. Minimum 2 ft. original soil be d trenches \-2 f. JUNCTION BOX = properly set g. TRENCHES 1. Length required - Length installed 7 "0 2. Distance to watercourse measured_ ft. 3. Installed according to plan ou 4. Distance center to center " 5. Slope of trench acceptable 1/16 - 1/32 " /foot. 6. 10 feet from property line - 20 feet - foundations 7. Depth of trench < 30 inches from surface 8. Roan allowed for sion, 50% 9. Size of gravel 3/4 - 11" diameter r 10. Depth of gravel in trench 12" minimum 11: Kipe ends capped h. PUMP E SYSTEMS 1. Size o chamber - - - 2..- .- Chi -er• €law - � _ _ .... 3. Alarm, visual/ io 4. Pmip easily acces le manhole to grade 5. First box baffl 6. Cycle witness9d by H Departnent estimated fl6w per cycle- HOUSE a. House located per approved plans.... b. Nunber of bedrooms WE LI a. Well located as approved plans, r �o b. Distance fram SDS area measured ft. C. Casin 1$" above grade. d. Surface drainage around well acceptable. OVERALL WOPJQAASHIP a. Boxes properly grouted ,� b. All pipes partially backfilled c. All pipes flush with inside of box d: Backfill material. contains stones < 4" in diameter LA e: Curtain drain installed according to plan Id j E. Curtain drain outfall peotectea & dir.to exist.watercours ..r/ g. Footing drains disEh-arge-away from SDS area h. Surface water p rotection ad to i. Errosion control provided on slopes greater than 15 %. 10 16 1;. iii v4 61 L-t 57- ly L7 1. 57- ly 1. 57- ly 1� i SQ �� 1 v, + enz \ 10516 B a rrThis is toy certify that the sewage disposal systtem was constructe,a as indicated on this plan and that the system Was inspected by me before it was cover- ed over. The system was constructed in accordance with all the rules and regulations of the Putnam Coun- ty . Department of Health." i r / I cJ I AS- QUILT CURVEY DY OUNNEY ASSOC. L.S. SEPARATION DISTANCES IN FEET P AS —BUILT SEPTIC PLAN prepared for G. D'AGOSTINO BARGER ST. SCALE: 1" = 30 TOWN OF PUTNAM VALLEY JUNE It, 199( PUTNAM COUNTY, N.Y. M 68 B 2- L r a s • e e � e a rp n rz v n m re n ro 33 H se s9 Sa 63 67 73 Sq S3 97 9i 35 Zq 46 q3 10 D 22 28 3p 38 ;% Jb 6 62 i'3 67 eZ S) 3 k9 73 6y 0 3V I c P AS —BUILT SEPTIC PLAN prepared for G. D'AGOSTINO BARGER ST. SCALE: 1" = 30 TOWN OF PUTNAM VALLEY JUNE It, 199( PUTNAM COUNTY, N.Y. M 68 B 2- L