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Home My WebLink About3702DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.17 -1 -35 BOX 29 03702 1 HK J. !T I ti V �L `. I 1 • �. II ,■ L , 03702 PUTNAM COUNTY DEPARTMENT OF HEALTH D". 10N:.OFENVIRONMENTAL HEALTH - SERVICES =_ .. CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located at �1 t->C--J%QZ LA.tA EF Town or Village TK-) yt-- - y Owner /Applicant Name T _ eC ISioj-4 Tax Map -7+, I-1 Block I Lot 3 Formerly Subdivision Namel2Lrr� A` 44il1 e 5 ° C E5 Subd. Lot # Mailing Address �� °��1,� C�1�.. tit° Zip Date Construction Permit Issued by PCHD L42 -11! e b —1 Separate Sewerage System built by . V- , X :A 1 f Address I-E�' CAS' ea— r-AL Consisting of I'2JEff:U) Gallon Septic Tank and � L_Ir, Other , Water Super: Public Supply From Address or: Private Supply Drilled by Address PIMPAVA - ' Builain ` g. ...�' 3�p T Has erosion control been'p6hip end? :. Number of Bedrooms Has garbage grinder been installed? I certify that the system(s), as listed, serving the built plans (copies of which are attached), in ace plans and the standards, rules and regulations 6 Date: 1t~7 Certified by Address constructed essentially as shown on the as- 0 PCHEh Construction Permit and approved lbatnt of Health. License # R.A. Any person occupying premises served by thelabw7lbaEr mptly take such action as may be necessary to secure the correction of.any unsanitary con±�tic s 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. By: Title: Date: 7 2- 1-/ q8 White copy - HD Fil Yell py - Building Inspector; Pink copy - er; Or a copy - Design,Professional Form CC -97 PU NAM COUNTY DEPARTMENT-OF HEALIH DIVISION OF ENVIRONMENTAL EVALTH SERVICES Owner or Purchaser f Building S'e'ction Block Lot �r Y, a. Building Constructed by VD�MFA 1. Location - Street Municipality 022_5w rl Building Type 2uT� S C. Subdivision Name g�Subdivision # / GUARAI=.OF SUBSURFACE SEWAGE DISPOSAL SYSTEM -Z 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 - & - -period of _-two years' immediately:. fo1_lawing the. date. sof _approval "C'ertificate of Construction Compliance" for the sewage disposal 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 Director of the Division of Environinental 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 Gen a Co tracto er) - Signature _e�P. V P Ct Corporation Name (if Corp.) rev. 9/85 mk Corporation Name (if Corp.) Address YML ENVIRONMEN 321 F:.. ea Y ' ��/ [ Akbert H.,Padpvani, Director' ' ' LAB ^ � 76 ^ PRnC ' PAGE MAHOPAC, NY 10541 REPORT DA TE. 0'7/07/?8 SAMPLING SITE: 18PARTRIDGE N . SAMPLE TYPE.`-: :POTABLE ,DATE FLAB PROCEDURE- RESULT NORMAL RANGE METHOD c -y 9139 0"1/03/98 MANGANESE (Mn 0.016 MG/L 0-0.3 mg/l 20311 07/'03196 ' JT Y .� .. N��. COMMENTS: BACT THESE' RESULTS INDIr4T| A SATISFACTORY.SANI Y QUALITY ACC ' ' NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FORTHE PARAMETERS ` TESTED, AT THE TIME OF COLLECTION., Pb /Cu LFAD limits schools-.� Are set -at 15 .pb. ' EPA Lead '& Copper Rule for Public- Sys'tems requires that no more than 10%,-i . f.'the,"r distribution point' have a LEAD value of more than 15 oob and aCOPPER* value of 1.3 mg/L, else water ` ' treatment must be undertaken to reduce the waters corrosive potential. ' ' Fe/Mn If both i ro o� and mang 'an ese are present, their total Value combined shall not exceed 0.5, mg/L, ' Na No limits for Sodium are proscribed.. Suggested guidelinesi state that for people on sodium restric'ted diet,the water should con ain no more than 20 mg/L of Sodil/m. Forth' e on �a' moderately restricted diet,-a maximum of 270 mg /L of Sodium- is suggested. . ' ' PUTNAM COUNTY DEPARTMENT OF HEALTH H DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: `" _,-Al T " /Villa : Tax Grid # Map Block Lot(s) Well Owner: lNap)vAddress: Use of,Well:. 1- primary 2- secondary ResiWendalf Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment �. Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing >< Open hole in bedrock Other Casing Details Total length o Length below grade Diameter to in. Weight per foot 140 lb /ft. Materials: Steel _ Plastic _ Other Joints: _ Welded _ hreaded _ Other Seal: --_ Cement grout _ Bentonite Other Drive shoe: x Yes No Liner:_ Yes >CNo Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yes No Hours Second Well Yield Test _ Bailed _ Pumped %Compressed Air Hours 2 Yield 1 d gpm Depth Data Measure from land surface-static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions orp� sieve ahalyscs are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type SUS Capacity 5fiM Depth Rsc� Model e"' 4LD Voltage 2AQ HP 't.3 /A- Tank Type Vk4 Volume t RIK Date Well CoM eted Putnam County Certification No. Date of Report Driller (signature) iwi z7 t:xact tocanon of wets wttn atstances to at teast two permanent lar►atnazxs to be provtaea on a separate sneeypl an. A Well Drillees Name / �/ Address: y Q1..., �� Signature: Date: White copy: HD File; Yellow copy -Building Inspector; Pink copy - Owner; Orange copy -Well driller Form WC -97 1 C PUTNAM COUNTY DEPARTMENT OF HEALTH v A�11 IVISION OF ENVIRONMENTAL,IHEALTH -SERVICES _. ..,. _. ..:.T. - APPLICA'TION FOR ��P�'ROVA�, =�2F PLAr1S l�'O� >.. A WASTEWATER TREATMENT SYSTEM, 1. e" and address of applicant: ! �o Aely im Ft tM 2. Name of project: 3. Location T/V:u 4. Design Professional: jr, FZIT60► k (Lp 5. Address: I p `Z uc�)o v \f a--1 �-�- 6. Drainage Basin: 7. iyl2e of:Pro'ect: _ Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one )........ ........... Type I . .i� Type II 9. Is a Draft"Environmental Impact Statement (DEIS) required? ......................... `Y 10. Has;bbS been completed and found acceptable by Lead Agency? ................ 11. `Naive of Lead Agency 4 12 Is this � ro'ect in an area under the control f 1 1 1 th Exempt Unlisted C7 - P . o...:. 9ca, p annmg, zoning, or o . ex - offc�als; °brdiiiarices ?_ :.:: _ .... _ ......................... - . 13. If so, have "plans been submitted to such authorities?............ .............................. `G . S 14. Has: preliminary. approval been granted by such authorities? Date granted:: f10 b� 15. Type of Sewage Treatment System Discharge ::..............`. surface water groundwater 16. If surface water discharge; what is the stream class designation? .....:.........:.... 17. Waters index number (surface) ........................ 18. Is project located near a public water supply system? ....... ............................... . 19. If yes, name of water supply / Distance to water supply 20. Is project site near a public sewage collection or treatment system? ................ r. 21. Name of sewage system �. /°�, Distance to sewage system 22. Date test holes'observed a� , , 23.E Name of Health Inspector 24. Project design flow (gallons per:day) .. .... ...:.. .......... ............................... 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?... _b 26. Has SPDES Application . been submitted to local DEC office? ......................... Form PC -97 20 i 27. Is; any portion, of this project..located within a. designated Town or State wetland? t-ILD 28. Wetlands ID Number.. 29. Is Wetlands Permit required? ............................. --4c) Has application been made -.�q Town or Local DEC office? ......... ......... d 30. Does project require a DEC Stream Disturbance Permit? .. ............................:.. ` 31. Is or was project site,used for agricultural - activity involving application of pesticides to orchards 'or other crops, solid or hazardous waste dis'po`sal; r landf cling, :sludge application or industrial activity? ......:.: ... .........::. ' Yes/No b r 32. Is project`located Within. 1,000 feet of existing or abandoned landfill, hazardous,waste site; salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? ............ Yes/No, ' DESCRIBE: 33. Is there, a local master plan on file with the Town or Village? ..... ....... ..,........... 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to,project site? :.............................. ............................... _ f� I 35. Are'any sewage treatment areas in excess of 15% slope? ...................... ..... � b . 36. Tax Map ID Number :......................:.. ................ ................ Map�� <��BIock_�_ Lot 37. Approved 'plans are to be returned to ..... Applicant Design Professional _ - NOTE-: A_ll apPlicatiQns' forxexia�V: and' 'oval. of a new SSTS t --bc located witthiir t6NYC Watershed shall be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval-of the SSTS prior to final approval by the Department. Trojects.,within.the watershed :may also require DEP review and approval of other aspects of-'a project, such as stormwaterylans or the creation of impervious surfaces, and the project applicant should'obtain the' appropriate forms for such activities from' ` DEP and'submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item l .,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision maybe grounds for the rejection of any submission. I hereby'affrrm, under penalty of perjury, that information provided on this form is true `i% tile.best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Pial Law. .W E�� 1 � • PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 1 -, DES -16i DA'T'A S7H[EE'I' - SU13SUREACE SEWAGE TREATMENT SYSTEM Owner 113'Ji' 61 BA d e m Address Located at (Street) cQ�('S Tax Map7lifl Block Lot indicat nea est cross street) Municipality Q Drainage Basin SOIL PERCOLATION TEST DATA Date of Pre- soaking Date of Percolation Test Hole No. Run No. Time Start.- Stop Ma se Time Min.) De th to Water : ?rom Ground Surface (Inches) Start Stop Water Level Dropp In IncLes Percolation Rate 1VIin/Inch /A 2 4 -. 5 o 3 . 2 (p , 4 5 2 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made -from top of hole. Form DD -97 Indicate level at which groundwater is encountered Indicate level at which mottling is observed Indicate level to which water level.,rises after being encountered i Deep hole observations made by: - � Date Design Professional Name: r- Address: Signature: f y Professionals Seal esi n PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: % _. .. Street Location ` ` spP Y �1. "�tt) fs,�C�.`. � .Owner Ht�ce c �o c Town Permit # TM # �2 q v 17 Subdivision Lot # 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 ....................... .............................. I Zength 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' /z" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... _...... - _.. -,10. g Pipeends- capped: ..:::. *. ............................................ . ....__...._. .: maze pumps ham o er ................ ............................... 2. Overflow tank ............................. ............................... 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 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 & dinto exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ... ...:........................... i. Erosion control provided ................. ............................... Rev. 1/97 orm S - PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OE ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # \ l ! --2 l "" Located at Subdivision name - VV1 Subd. Lot # 38- Date Subdivision Approved ��012� 44�i � - T1: V Owner /Applicant Name - �G� i^ LES . Mailing Address Town or Village 10t Tax Map�� Block Lot Renewal Revision Date of Previous Approval Zip I Amount of Fee Enclosed Building Type Lot Area No. of Bedrooms Design Flow GPD_O Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLEX Separate Sewerage System to consist of �'%�('� gallon septic tank and Other Requirements: To be constructed by : 6E 8Ri_Pffl l l/1P Address Water Supply.; _Public_ Supply_ From Address Private Supply Drilled by V e (,Q Address -T, I represent that I am wholly and completely responsible for the design and location of the proposed system(') and that the Aeparate sewage treatment syg&m described. above will be constructed as shown on the approved amendment th ereto and in accordance. with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a writteh'.1ta ranUel.will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in g od operatirigcondrtion any part of said sewage treatment system during the period of two (2) years immediate) follovvTg ,.the, d# 0Xthe issuance o e approval of the Certificate of Construction Compliance of the original system or any repairs r. Signed: Address R.A. Date 12—A Ci License #' APPROVED FOR CONSw . M_ ION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires anew permit. Ap ve arge of domestic sanitary sewage only. By��J Title: �S �� Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design P ofessional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type ' PCHD Permit Well Location: Address: Town/Village Tax Grid # IZ- T LY \ $ Map Block 1 Lot(s) Well Owner: Name: V Address: paAyLlv, &A 1 oq�opnc- Use of Well: Residential Public Supply Air /Cond/Heat Pump rrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served Est. of Daily Usage gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes___,_ No Name of subdivision q LAn Lot No. Water Well Contractor: TQ 1` L%1pDAddress: Is Public Water Supply, available to site? .................................. ............................... Yes No Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contaminatioAtoe. pro vided on sep to sheet/plan. Date: .- . G, _ Applicant _Signature:: - - _ PERMIT TUCQ ,4RUCT A 4" WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and 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 or their designated representative 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. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED_FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. C_ Date of Issue - Permit Issuing Officia)�` --' Date of Expiratio - g Title: • Permit is Non- ransf rrabl - White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES: tnu .. .. .. � .. . _� - Lts. t . �. -,.. e.. f4 ,... R .l .. .c ..... ..� i. .: .L .. r an __ r ♦n.-9�: =a¢:s .t �. ♦ � •a 0.4.�..i•. RE: Property of LETTER OF AUTHORIZATION Located at�.n'Cki_t T/V Tax Map # Block Lot Subdivision of Subdivision Lot # L Filed Map # �!51 � Date Filed \A Gentlemen: This letter is to authorize Boifrb oAeh a duly licensed Professional Engineer ')( - or Registered Architect to apply for the required wastewater treatment and/or water supply ermit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or water supply systems in conformity a _proyisions of Article .145- and/or 147 of the Education Law the Public Health , Law; and ie County S i ary Code. K'A `. Col P.E I State Zip Telephone: Very truly Signed; (Owner of Property) Mailing Address: 17 S fI7, vff t� I)/?. State /V Telephone: L?j � / — Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE, SAVAGE TREATMENT SYSTEMS REVIEW SHEET FOR CONSTRUCTION PERiMIT / Q STREET LOCATION L' / �/ �G«'i,e_ NAME OF OWNER �R�/� -/N 464�j 4 REVIEWED BY' /�/�: DATE TAX MAP Y DOCUMENTS PERMIT APPLICATION PC4 WELL PERMIT _ PWS LETTER LETTER OF AUTHORIZATION DESIGN DATA SHEET (DDS) CORPORATE RESOLUTION i ` ",1adRT EAF�, P HREE SETS WOETS - -- ARIANCE REQUEST SUBDIVISION LEGAL SUBDIVISION pgSUBDIVISION APPROVAL CHECKED J-_ RATE Z_ FIL�QUIRED DEPTH CURTAIN DRAIN REQUIRED Fn�1 �6 W�►- 'FEItSI-IID��' � SUBMITTED TO DEP ATED. TO PCHD�/�� TTGVAL, IF REQ'D FAT HOLF 0BSERVED_ LSDS -A�DJ. LOTS' 9L=A=S(1_Q PERMIT REQ'D? DATA ON DDS PLANS & PERMIT SAME PRE 1969 NEIGHBOR NOTIFICATION LETTER BI/ZBA . 100 YR,FLOOD ELEVATION ( / OTHER REQ'D PERMITS) REOUIRED DETAILS ON PLANS SEWgGE SYSTEM PLAN - (NORTH ARROW) BSDS HYDRAULIC PROFILE GRAVITY FLOW EONSTRUCTION NOTES l 9PIGN DATA: PERC & DEEP RESULTS -� T CONTOURS EXISTING & PROPOSED , DRIVEWAY & SLOPES, CUT FOOTING /GUTTER/CURTAIN DRAINS COMMENTS: EROSION CONTROL:HOUSE,WELL, SSDS PERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY & EXPANSION OCATION MAP ? V. E Xk. `AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE PUMPED, PIT & D BOX SHO ED- USE - NO.OF BEDROOMS WELLS & SSDS'S WAN 200' OF PR POSED SYS. ,a✓� PROPERTY METES & BOUNDS OUSE SETBACK NECESSARY (TIGHT LOT) �- T.ONOBENDS; USE SEWER - 1/4" FT. 4 "0; TYPE PIPE MAX.BENDS 45° W /CLEANOUT CLAY BARRIER 10- FT. HORIZONTAL; OPE 3:1 TO GRADE FILL SPECS FILL NOTES FILL CERTIFIC ON NOTE DEPTH GU S FILL PR ILE & DIMENSIONS NCHTROVIDED" `60`FT'MAX __ — -� PARALLEL TO CONTOURS --� 100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN - FROM SSTS r 10 PO L DRIVE_ LARG TR S: � y FILL 20' TO FOUNDATION WALLS 15'WELL TO PL 100' TO WELL, 200' IN DLOD, 150' PITS -I00' TO STREAM WATERCOURSE LAKE (inc. exp 0' TO CATCH BASIN, 35' STORMDRAIN, PIPED WA TO WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 0'/500' RESERVOIR, ETC. _ I50' GALLEY SYSTEMS 15'min to CDS= >5 %,10'- 4 %,25'- 3 %,30'- 2 %35' -1 %,100' -< o 20' in to CD discharge /I00'with 182 cons day discharg SEPTIC TANK 10' FROM FOUNDATION; 50' TO WELL R FORM ST-2 i ;i .r` ( Filed September 14, 7970 as ;�cp No. 815-8) _ LOT 47' ! i N 33002'10 " E ! radial)' 256.56' _ R = 400.00' N 3rado� to /a. G = 21029."10" °°s: op-se i L = 150.00 C �f • .r � PVC �CdPP�'L Y� aj stone we 48 �, 4'$ Area ; 54,300 Sq. Ft. we /+" /Fri (: 1.2465 Acres) i rough _ dirt and grovel driveway G� 2 6' l TYv) d 5" f• ar pole J&Ma CAn G l guy cable 1 AP ' • `sue °3� .l�..kro,.► ' . ' clJ e M Qcb 46� 6 D ce�6e� �� t �6 00 , S 7969 E ,S 3 °s V O Az °4 �o Q" !.-r. I V• s'I,iT.OBiu l:UUt,cy ueyst•wueu� ut tte�i.Lt�, F Division of Environmental Health s®rvloek o 1L t'c. i Sr, n C. approved as noted forlonformusr with %pplioable Holes and iftulatione ;at tie ?ut am County lth Department,. i , +1 SYSTEM COMPONENT DISTANCE TO INT, IN FEET "A" B. C. "D ". WELL 79' -0" 88' -0" 1260 GAL. CONC.SEPTIC TANK 29' -0" 38' -0" JUNCTION BOX NO. 1 80' -0" 64'•4" 2 80'4" 64'-8" 3 81' -0" 67' -0" 4 83' -0" 681•8" 6 86' -0" 63' -0" END OF ABSORPTION TRENCH, PT NO. a 44' -0" 20' -0" b 46' -0" 26' 4" c 48', 0" .30' 4" e 66' -0" 41' -0" If 124' -0" 96' -0" g 126' -0" 98' -0" h 126' -0" 99' -0" 1 127' -0" 100' -0" j 128' -0" 102' -0" t 1. THIS IS TO CERIFY THAT THE SSDS WAS CONSTRUCTED AS SHOWN ON THIS PLAN AND THAT THE SYSTEM WAS INSPECTED BY ME, JOSEPH C. BARBAGALLO, P.E., PRIOR TO BEING BACKFILLED. THE SSDS WAS INSTALLED IN ACCORDANCE ALL STANDARD RULES AND REGULATIONS OF THE PUTNAM COUNTY HEALTH DEPARTMENT AND THE NEW YORK STATE DEPARTMENT OF HEALTH. 2. SURVEY SHOWN WAS PREPARED BY BAXTER LAND SURVEYING, P.C. DATED DECEMBER 4,1887 AND UPDATED ON JULY 3,1888. R.P.K. PRECISION HOMES PARTRIDGE LANE, PUTNAM VALLEY, NY OF NEW PUTNAM ACRES, SECTION B - LOT 48 5 �� T.M. 74.17, BLOCK 1, LOT 48 SSDS AS -BUILT CERTIFICATION JCB PLANNING, DESIGN & DEVELOPMENT �D „ 102 WARREN ST, SOMERS NY 10589 JULY 10- 1998 e/,