Loading...
HomeMy WebLinkAbout3908DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. vAmscanyourdocs.com 631- 589 -8100 83.16 -1 -56 BOX 30 1 09 NO I r ,� '��•. i i '�i NNIN ILL F - ' I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES . «:.�......,_ -.� 4�. __ . _- ._ . .. , _ _ �.:._.. _ . :�, �,•= ., . -. _ . .... -,�. _ _ - �..� Well �Peimit�#�`X ' 1��`r� =�4 � 4 .� ,., WELL COMPLETION REPORT Well Location Street Address:L / Town/Village: VA Tax Map # Map3•' G Block Lot(s) Well Owner: Name: Address: V,( Sat % %C.r -i 3) Cv -ofoh 10 a �.d D rtrot1h N Use of Well: 1- Primary 2- Secondary Vkesidential _Public Supply Air cond /heat pump _Irrigation Business Farm Test/monitoring —Other(specify) Industrial Institutional Standby Drilling Equipment IoKotary _Cable percussion Compressed air percussion Other(specify) Well Type _Screened `fpen end casing _ Open hole in bedrock _Other Casing Details Total Length aj,�Cft. Length below grade2o ft. Diameter 6 in. Weight per foot Ib/ft Materials: y6teel Plastic Other Joints: Welded ✓ Threaded Other Seal: ✓Cement grout Bentonite Other Drive shoe: Yes ✓ No Liner: _Yes -,No Screen Details Diameter (in) Slot Size Length (ft) Dept to Screen ft Developed? First I _Yes _No Hours Second Well Yield Test _Balled _Pumped ✓ompressed Air Hours 7 H Yield -7 gpm Depth Date Measure from land surface - static (specify ft) ,30dr" Vuring y1elo test (ft) 13—ep—tF77—completed well in ft. 46-6 Well Log If more detailed .infRCCn5$a-5 a ._._. `. _. descriptions or sieve analyses are available, please attach. Depth From Surface Water Bearing Well Diameter in Formation Description ft. ft. t �Dd SW6gf „-� .... W rt, �-- If yield was tested at different depths during drilling list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type S m wa -*,, Capacity Depth 4toa Model sr- r9 - -LZ,- Voltage 4-46 HP Tank Typew r c3 V � Volume f?(o Date Well Co plete ' 1lVel( Driller Pum PGrCertiflcate,# r� 04 /a NY S tate # V4, dG�� Y '*s-2. 2 Yi } L d .. 4 j`- ":-'• �' d1r . 'vx 'F r i g "b".,66 } :. S\ ., M i` l-0• . S : ... f .+•' , C. rtificate # > , .04 ]l ,N`frSfate ....._ r.... . Dade §f Re ort X. Z\ 4 . 41N? S i,y �E: �'Y 3 '41 �� r , Well Dr(IIer Name�4Address j' .. \ i { T Y.. yy 4 Y -xl r l f ?• l �} is p Installer Name &Address ¢a Pu 7 : r'. i t. 'r4+ N �x,��r� 4 ,} ;• -.. 14x� �. ��r; l` t�i5.: r,,:` t ;�.� a� i �- p nsfaller(" nature) .:.z2t.� irSh R 'k •ir�r' tit '^ ,� r^ ���':. jfbn�;�ir.. f�,A�, d* � $ � r'� tY , NOTE: Exact Location of well with distances to af least two.permanent landmarks to be provided on a separate sheet/plan. White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 Rev. 3/06 NR PUTNAM COUNTY' DEPARTMENT OF HEALTH . 10 -OF i�Y:ROIMEIT� HEAL'�'HER CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHHD CONSTRUCTION PERMIT # N -1Z - 08 Located at 41 AARSH HI L4 - RoAP To or Village 'P1TiJAM VALLEY Owner /Applicant Name V. S. CNA4S'[YZVCTi,7nl C°RP. Tax Map 83 +16 Block 2 Lot 56 Formerly Subdivision Name FMEMLP R11>6jF_ Subd. Lot # 5 Mailing Address 37 CROTON "PAM RoAD4 OSSiNIN(q I t4Fw )&RK Zip 10562 Date Construction Permit Issued by PCHD 5 -19 -aooia Separate Sewerage System built by VS- CONSTRUC -TION Co RP. Address OSStN114§ ,w y I °562- Consisting of i p50o Gallon Septic Tank and 448 4. r. OF q uW 'PeaFo A--rED ?VC TIPS 1N 2q 6"VEL TRENCR Other Requirements: NNE Water Supply: Public Supply From Address U2 1MR4F(t SiQEET or: X Private Supply Drilled by tVoRMmN AAlDER6cN4 Address FuT1elw V�LG�yT; Ny 1o3'99 Biuidmg"Iype rnlHw+��j lSiI< -` Has erosion�ontrol beenYcomplet.,d. _:,- F, Number of Bedrooms q Has garbage grind n15 _ /�o I certify that the system(s), as listed, serving the above built plans (copies of which are attached), in accordanQ plans and the standards, rules and regulations 4i, F i Date: AwavST 12,201.0 Certified by (Design Professional) Address Z JoI4N W40H 81-vD. , PFSK51K1U_,IV\) *ere cteci sei tially as shown on the as- issue Co tion Permit and approved nty EpWiAent of 194 alth. 62990 P.E. X R.A. J, ,0&X—__ icense # 0(02980 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 revocation, modification or change is necessary. By - Title: , / 4" Date: g?/?D/to ropy - HD File; Yellow copy - Building Inspector; Pink copy Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL_H_ E_ALTH SERVICES .. .��a. -'yPw [ ..._ Si. ., r .`r- W. .. � � v. .r•aa c1... .. n. ._ • _ -r .. ..- - ems►. -Orr -� ..r �.. ..+. \r ♦� .. r nw♦ ... .. .` + GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM V-5, C01ySTKU( -T1 and Cow, $ 3, 1(0 T SG Owner or Purchaser of Building Tax Map Block Lot V.G. CON6'n&yc;Tio4 Coap. Pu-NAM V/ LkE Building Constructed by To illage (01 MARSH H 11,L ROAP Location - Street S(AAtz- F-lqmlum 1Z"1Dr4VCF Building Type F,MEmw R1946 Subdivision Name 6 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 . .qC .v-... x+• .rr 1.y.item....r ro.w p -ry . }s.rs:eW .....- s- .v...... .+y.aF.,..., .« .�. m-.0 r..'.�... .. i+l r ..r. .- .�--. .....W t s .r.n •....-r.a.. .. ..,....... ... -...» -.-..� The undersigned further agrees to accept as conclusive the determinatio o the lic Health Director of the PutnAR County Department of Health as to whether or of a lu the system to operatp wfi cauy the willful or negligent act of the occupan f b ld utilizing the Day Year Signature: Title: General C(%itractor (Owner) - Signature V.S. Cori yXu (.0 CpR.Q. V. CONSTIZUGiIOtJ Core. Corporation Name (if corporation) Corporation Name (if corporation) Address: �J CQDTonl -DAM RD., 1) SjAhnlGa Address: A,,A . State N Zip 10562- State Zip Form GS -97 PUTNAM COUNTY DEPARTMENT OF HEALTH :.DIVISION OF_EMVIRONMENTAL.HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: Town/Village: pt,���.`� �. Mla Tax Map # Ma�O� 7 p "' Block Lot(s) GPS �.' Well Owner: Name: Address: VJ saK¢.,« 3) Crdfu&i OC41* kel ® cerst1, Use of Well: "esidential _Public Supply Air cond /heat pump `Irrigation 1- Primary Business Farm Test/monitoring —Other(specify) 2- Secondary Industrial Institutional Standby Drilling Equipment 4rotary _Cable percussion Compressed air percussion Other(specify) Well Type _Screened --!--:Open end casing _ Open hole in bedrock _Other Total Length aLi ft. Materials: ✓S`teel Plastic Other Joints: Welded w" Threaded Other Casing Details Length below gradelo ft. Seal: dement grout Bentonite Other Diameter L in. Weight per foot lb /ft Drive shoe: Yes ✓ No Liner: _Yes _✓No Diameter in Slot Size Length ft Dept to Screen ft Developed? Screen Details First _Yes _No Hours Second Well Yield Test _Bailed _Pumped ✓Compressed Air Hours lYield 7 gpm Depth Date Measure from Ian surface-static specs ft Joe Dunng yle test ft) ept o complete well in ft. 4 r Well Log Depth From Surface Well Diameter ft. ft. If more detailed Water Bearing in Formation Description descriptions or sieve analyses are available, please attach. If yield was tested Feet Gallons Per Minute Pump /Storage Tank Information at different depths Pump Type 6 m.aa: *, Capacity during drilling Depth 4tod Models —L�6 list: Voltages X'hd HP Tank Type- W)r c� ya Volume '% Date Well Co plete T Well Drlller PC Certficate# 604 /a NYState #$`1 ���/ Y Pumpinstaller3PC Certificate "# t'10, ,IVY State# li!6+'fyY/ QateKQf Re ort " Well DrlIWNaWO ", Address g £n f � Well Drlller (st ature)= k } ,ovw... '` �cr;svr. �.~u .���'.�� °at,r err%' � _.:� ..c..�a!f►,...��.t� � ... ,� � .���` Pu p Installer Name � 8� >Adtlressyy ' s pinstaller( ature�$x , j:'9 W$i 3 S' S ✓k°' I : Y.: ryipYS .:i. k §: S'i k'iS u#'I.:" dF t y t✓T4 .tt ' 'X 'xt't`i^ 3 zaMi .�erx ;S NOTE: Exact Location of well with distances to af least two permanent landmarks to be provided on a separate sheet/plan. White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 Rev. 3/06 BRUCE R. FOLEY Public Health Director c ' LORETtA MOLWAM M4. ­M:9.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278.6085 Early Intervention /Preschool (845) 278.6014 Fax (845) 278 - 6648 E911 ADDRESS VERIFICATION FORM OWNERS NAME: , Y e 6 e Colve'Te, TAX MAP NUMBER: ° 12 E911 ADDRESS: 61 HAK06H H I t L i20A'D — TOWN: Ju i t\) Am VA AUTHORIZED TOWN OFFICIAL: DATE: The Putnam County Department of Health will not issue a Certificate of construction Compliance unless the above form is completed, i.e., a legal E911 address is assigned by an authorized town official. This form is to be submitted with the application for a Certificatc of Construction Compliance. (E911 vertrm) Sherlita Amler, MIS, MS, FAAP Commissioner of Health Director of Environmental Health August 20, 2010 Robert J. Bondi County Executive Department ®f Health 1 Geneva Road, Brewster, NY 10509 Office (845) 808 -1390 Fax (845) 808 -1937 Timothy Cronin, PE The Lindy Building, Ste 200 2 John Walsh Blvd. Peekskill, NY 10566 Re: Field Inspection ars -Hill Road­--- .. (T) Putnam Valley, TM # 83.16 -1 -56 Dear Mr. Cronin: the above rvtrehad scpapation sewage trea i er f -ystiE comments to be addressed at this time in reference to this Department's open work inspection. If you have any further questions, please contact me at (845) 808 -1390, ext. 43261. Sincerely, ..,� g. ��/ Gene D. Reed Sr. Environmental Health Engineering Aide GDR:kly PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: Vlv 410 Inspected by:,,j,']E Stmt cat 14 1411-,- Zan Town T -U TA 1, 0 M Permit # 7>v - I-) -,ol TM 4- < 3, 16 5-6 Subdivision Lot 1. Sewage System Area a. STS area located as er approved plans .......... p ................. 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 Svstem a' Septic tank size 1, 000 1, 25 0 ......... othe b. 'S eptic*tank installed level ........ ....................... c. 10' minimum from foundation ........................................... d. Distribution Box 1. All outlets at same elevation-watertested ............... 2-. Protected below frost ................................................. .3. .. Nfinimurn 2 ft. Original soil between box & trenches e. Junction Box properly set ......................................... 6. 1'renches 1. LTnjE required fl zli Length installed V-,1,6 2. Distance to watercourse measured o Ft.......... 3. Installed according to plan ........................................ 4. Slope of trench acceptable 1/16 - 1/32"/foot .............. 5. 10 ft. from property line - 20 ft.t. foundations.......... 6,, Depth of trench <30 inches from suffice ................. 7. -Room allowed for expansion, 100% .................... 8. Size of gravel 3/4 - Ilk" diameter clean ........ 9 Depth of gravel in�trench 12" minima,,,,,,;;,,,,, --'-Pipe en ­.cappeA .-..0.....-* g. Pump or Dose& Systems 1. Size of pump chamber ................................................. .2. Overflow tank ......................... * i -audio .................... ............................... 3 Alarm, visual/ 4. PUMP easily accessible, manhole to grade........ :...... ... 5. First box, baffled .......................... ............................... 6. Cycle witnessed by H.P.estimated flow /cycle........... ILL House/Buildiiiia a. House locatedper approved plan& ...... b. Number of bedrooms ............................ V 8-:�/Z-- IV. Well - Well located as per approved plans ................................. b, Distance from STS area measured le c:, ' - ft........... c. Casing. 18" above grade ................................... I ............ 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. BackEll material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ................ h. Surface water protection adequate ................ I .................... i. Erosion control ovided ................................................ Rev. E/02 '10 -08 -11 09:38 FROM- T-836 P0001/0001 F -772 I COUNTY DEPAR'T1YI PIUTNAkV ENT OF HEAT i DIVISION OF ENVIRONTYIENTA.L E ALTH SERVICES ATTENTION d ADAM RF.QT TEST FOR FINAL TNSPECTION All information must be fully completed prior to any inspections being made. A GENE For- Fill Trenches i{ PCTD Construction Permit #�� �9 0 _ On-LL-64 Located: 6-1 H ft:ILsm H 1 LL. 90AQ (b (V) PU N 4r" Owner /Applicant Name: I /p5. Q,yS- 'uGrtrdl�C���< T1VI 6 L Block Lot S Formerly: Subdivision Name: Ai(cx WD 91a# Subdivision Lot Is system fill completed? NA Date: N 4 Is system complete? .S Date: I o /2o 1,0 Is system constructed as per plans? 140 Is well drilled? _ R-5 S Date: 10 Is well located as per plans? S Are erosion control ineasures in place? I certify that the system(s), as listed, at the above and verified their completion in accordance approved plans and the Standards, Rules and Date: O 1d 0 Certified by: and I have inspected truction Permit and aunty Department of RA Address: 2 `� ° �_ `", Lic, # JcI Comments: �3 ��ry �1 L M oV5 D ti Form FIR-99 _ _ __ ,.,y %., mil. x jL ,..rL� r&.Exii mr n 1 Ur - ILA-L I 1i DIVISION OF ENVIRONMENTAL HEALTH SERVICES { DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Qwzjer 0 Address'37 &0!�s D fioPD r 5 Located at (Street) MAtt,54 tHU- ?GOAD. Tax Map 04 . Block 1 Lot S (indicate nearest cross street) Pt�R- ,'►dNf of . �� - 1 — 10.1 , (0.2� 10.3 Municipality a) PunuAm y Drainage Basin &-Sy_6 LL It U. -jo w 13t2�I� ��Date SOIL PERCOLATION TEST DATA of Pre - soaking - o 7 - cs -o4 Date of Percolation Test o7 •Qq --o ¢ Hole No. Rein No. Time Start-Stop Elapse Time (Min.) Depth to Water From Ground Surface (Inches) Start Stop Water Level Drop In Indies Percolation Rate NIirAnch C1 +% ur' 2 3 ?-At 7, g 4 5 2 2 ._2i. 4 Izs if s1 5 2 . .. ° F 4 5... nuih1): 1. ".1 ests.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 ` �\ TEST PIT DATA V/ DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE .NO- _ .177 HOLE NO. A� HOLE N0. G.L.. , ... is `�ryPT- tjL '� TDF 1501 `L- 0.5' 1.0' L'= ' Ub,tK 13POWN -QWA L. B�a5 L 4u r Saowu taA 1.5 .. � ... uGbK RoG.w . qND 2.0' 2.5' 3.0' 3.5' Z" 4.0 (pew ii 45 5.0' 5.5' tr 6.0' 90aA114 JANb4 Le, Ate►_ 6.5' w . Zo rye 7.0' 7.5' 8.0' b N 9.0' 9.5 - - - - 10.0' GO Indicate level at which groundwater is encountered U Indicate level at which mottling is observed are NC 011,k zvt-p Indicate level'to which water level rises after being encountered N JA 6.2 • �S Deep hole observations made by: C�NW a -,WGWf UM4 C-, J�C, % R[w Date � . .6 . o t31 15TAV 6f4,yL Z -10C PAA4yari Design Professional Name: M 1, 61z0014 , itEW Address: N W Lvj D �.` `' L c �YO��r• Signature: EAJ S 62980 Design Professional's Seal �� "�'OFESS��N�� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES -o:, o .: r'•a s -. .. 0+ � ... -..._ n r. '.,.? , � .. .. .. 'C w. - p; . ... . - a:ai r. R.; : my - . r• a. � _.. a e. . ... ... ae��.f �, 1 _- q .. .. o v P� ..... � -. AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for: Subsurface Sewage Treatment System Construction Permit (TM #:83./6 -1-5� ) I Val Santucci represent that I am an officer or employee of the corporation and am authorized to act for: Name of Corporation: y- S. Construction Corp. Having offices at: 37 Croton Dam Road, Ossining, New York 10562 Whose Officer §A> e: President - Name: Val Santucci Address: 37 Croton Dam Road, Ossining, New York 10562 Vice President - Name: Address: Secretary -Name: Treasurer - Name: Address: and that I am and will be individually responsible for any an If the corporation with respect to the approval requested and all subsequent acts relating t �rjo Signed: Title: Sworn to before me this ' � day of No 1' No: 4938872 Qualified in Out0less County Commission Expires December 16, 1 OP Corporate Seal Form CA -97 RE: PUTNAM COUNTY DEPARTMENT OF HEALTH F- ENTN'1RONMEN-'TAL`:HEALTHI=MR CE � . - ...:,.:.: LETTER OF AUTHORIZATION Property of V.s: Construction Corp. Located at Marsh Hill Road Putnam Valley - - Lot 56 FT�V Tax Map $ f o Block Subdivision of Emerald Ridge Subdivision Lot # 5 Filed Map # 3Z3.4 _1 Date Filed d608ER 19jZCo7 Gentlemen: This letter is to authorize Timothy L. Cronin III, P.E. a duly licensed Professional Engineer I ✓ I or Registered Architect to apply for the required wastewater treatment and/or water supply permit(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, of said wastewater tretment and /or water supply systems in conformity with the 1cl 45 and /or 147 of the Education Law, the Public Health TLaw; aiid "tlie Puo Sani� Counter Ked: P.E., R.A., # _ 062980 Mailing Address Cronin 2 John Walsh Boulevard, Peekskill State New York Telephone: (914) 736 -3664 Zip 6.29.80 ering P.E., P.C. 10566 �;.. Very Signe Mailing Address: V.S. Construction Corp. 37 Croton Dam Road, Ossining State New York Telephone: (914) 447 -4647 Zip, 10562 Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: V.S. Construction Corporation 2. 4. 6. 7. 37 Croton Dam Road Ossining, New York 10562 Name of Project: Emerald Ridge- Lot 8 3. Location: TN: Putnam Valley Design Professional: Timothy L. Cronin III 5. Address: 2 John Walsh Boulevard Drainage Basin: Peekskill Hollow Brook Tvve of Project: ✓ Private/Residential Food Service _ Apartments Institutional _ Office Building Realty Subdivision Peekskill, New York 10566 Commercial Mobile Home Park Other (specify) _ 8. Is this project subject to State Environmental Quality Review (SEQR) ? .............. Yes/No No Type Status (check one) ...................................... ............................... Type I Exempt Type II Unlisted ✓ 9. Is a Draft Environmental Impact Statement (DEIS) required ? .................... Yes/No No 10. Has DEIS been completed and found acceptable by Lead Agency ? ............. Yes/No N/A 11. Name of Lead Agency Not Applicable 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ............................................................. ............................... Yes/No Yes ..�. �_ �..._......__r..w._ -.......- .. ..._..... _Y..._.. 13. If so, have plans been submitted to such authorities? ............................... Yes/No 14. Has preliminary approval been granted by such authorities? N/A Date granted: N/A 15. Type of sewage treatment system discharge ........................ surface water ✓ groundwater 16. If surface water discharge, what is the stream class designation? .......................... N/A 17. Waters index number (surface) ............................................. ............................... N/A 18. 19. 20. 21. Is project located near a public water supply system? Yes/No None If yes, name of water supply Not Applicable Distance to water supply N/A Is project site near a public sewage collection or treatment system? .......... Yes/No None Name of sewage system Not Applicable Distance to sewage system N/A 22. Date test holes observed 24. 25. 26. 23. Name of Health Inspector Project design flow (gallons per day) 800 GPD Is State Pollutant Discharge Elimination system ( SPDES) Permit required? ... Yes/No No Has SPDES Application been submitted to local DEC office? ......................... Yes/No N/A Rev. 11/02 Form PC -97 Pg. 1 of 2 27. Is any portion of this project located within a designated Town or State wetland ?... Yes/No No 28. Wetlands ID number .................................................................. ............................... N/A 29. 30. 31. 32. Is Wetlands Permit required? ...................................... ............................... Yes/No No Has application been made to Town or Local DEC ........................... Yes/No N/A Does project require a DEC Stream Disturbance Permit? .... .........................Yes/No No Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge . application or industrial activity? .......................................... .........................Yes/No No 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 No DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ........................:Yes/No Yes 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ......................... ............................... 35. Are any sewage treatment areas in excess of 15% slope? ........................... 36. Tax Map ID Number .............. ............................... Map 83.16 Block 1 Yes/No No Yes/No No _ Lot 56 37. Approved plans are to be returned to ................ Applicant W Design Professional NOTE: All applications for review and approval of a new SSTS to be located within the NYC 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. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater plans 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 applicanth_. 1, the application must be accompanied by. a Letter of Authorization (Form LA -97). F ir�ze`'t� Zvi his provision may be grounds for the rejection of any submission.``�,r� I hereby affirm, under penalty of perjury, that irr t'6n rdi?ire�l on is rm is true to the best of my knowledge and belief. False statements mad' e in ar #h"able faj lass A misdemeanor pursuant to Section 210.45 of the Penal Law% , SIGNATURES & OFFICIAL TITLES: Timothy L. Cron i '-P�Ek'': Mailing Address Cronin Engineering 2 John Walsh Boulevard, Peekskill, NY Form PC -97 617.20 Appendix C State Environmental Quality Review .,;.SHORT ENVIRONMENTAL-ASSESSMENT- FORK For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by Anolicant or Prniert gnongnrl 1. APPLICANT /SPONSOR 2. PROJECT NAME V.S. Construction Corporation Construction of Single Family Residence 3. PROJECT LOCATION: Municipality Town of Putnam Valley County Putnam County 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) West side of Marsh Hill Road, 2650 ft. north of intersection of Marsh Hill Road and Peekskill Hollow Road 5. PROPOSED ACTION IS: R] New [:] Expansion Modification /alteration 6. DESCRIBE PROJECT BRIEFLY: Construction of a new single family residence, SSTS and Private Well Supply. 7. AMOUNT OF LAND AFFECTED: Initially 2.397 acres Ultimately 2.397 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? 0 Residential 1:1 Industrial Commercial Agriculture Park/ForesUOpen Space ❑ Other Describe: Surrounding lands are zoned R -2 (Single Family Residential) 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? Yes EJ No If Yes, list agency(s) name and permit/approvals: Town of Putnam Valley- Building Permit 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes No If Yes, list agency(s) name and permittapprovals: Town of Putnam Valley- Site Development Approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? ❑ Yes Z No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanUsponsor name: ngtn ng, P.E. P.C./ James W. Teed, Jr. Date: ZQi g Signature: —" \ If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 I PART II - IMPACT ASSESSMENT (To be completed by Lead Adenrvl A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. Yes No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. E] Yes 1:1 No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1 -05? Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? E] Yes 11 No If Yes, explain briefly: E. IS THERE, R IN�t?.E LIKEhY T.p BE jo VERSY RELATED TO POTENTIAL ADVERSE ENVIROIN'MEtiTAL iMP:;0TS ❑ Yes M No if Yes, explain briefly: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part 11 was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. ElCheck this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the EAF and /or prepare a positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determir Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Date Title of Responsible Officer Signature of Preparer (If different from responsible officer) RONIN ENGINEERING, PE, PC The Lindy Building, Suite 200, 2 John Walsh Boulevard, Peekskill, New York 10566 March 4, 2008 Mr. Joseph Paravati Assistant Public Health Engineer Putnam County Health Department 1 Geneva Road Brewster, New York 10509 Re. V.S. Construction Corp.. Emerald Ridge SSTS Construction Permit Marsh Hill Road- Lot 5 Town of Putnam Valley, New York Section: 8316, Block. 1, Lot- 56 Dear Mr. Paravati, Please find enclosed the following regarding an application for a Subsurface Sewage Treatment Construction Permit Renewal at the above referenced lot: 1. One (1) Affidavit of Corporate Ownership authorizing Val Santucci to represent V.S. Construction Corporation. 2. One (1) Letter of Authorization authorizing Cronin Engineering P.E., P.C. to apply for a construction permit at the above referenced lot. 3. One (1) Certified check for $500 ade payable to the Putnam County Health Department on behalf of the above referen application A.. . Four. (4) Subsurface Sewage Treatment System Construction Permit Plans forthe above- -referencedlot---- 5. Four (4) Subsurface Sewage Treatment System Construction Permit Applications for the above referenced lot. 6. Four (4) Applications to Construct a Water Well at the above referenced lot. 7. One (1) Application for Approval of Plans for a Wastewater Treatment System 8. One (1) NYSDEC SEAR Short Environmental Assessment Form. 9. One (1) Design Data Sheet 10. Three (3) Sets of proposed House Plans at the above referenced lot. Should you have any questions or require additional information, please do not hesitate in contacting me at the number above. Respectfully Submitted, es W. Teed, Jr. Project Engineer cc: Owner- Val Santucci (V.S. Construction Corp.) File- Paravati-PCDH-Santucci-Emerald-Lbt 5-Transit-20080304.doc PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERV-Iw�,,l CONSTRUCTION PERMIT OR SEWAGE TREATMENT SYSTEM 0—o i Located at MARSH H # LL RoAp To or Village AM VAUZ YY < Subdivision name NOKALO 'Rama Subd. Lot # �_ Tax:Map @Ob Block 1 Lot % Date Subdivision Approved AVEMSER 19, 2 0r�.,, Owner /Applicant Name V.5. coigmuc iom (::r Renewal' Revision Date of Previous Approval Mailing Address 37 CRGrWJ *DMM F40% ®S61#0 NSW VoRN Zip Amount of Fee Enclosed Building Type 5jNdjLEFM jW Lot Areal. Fill Section Only No. of Bedrooms 14 Design Flow GPD 800 Depth Volume Separate Sewerage —System to consist of 1j 500 gallon septic tank and 1/80 L•F. OF WO PER A RP PVC WE IN Z Other Requirements: F- To be constructed by To 8. V, Address Water Supply: Public Supply From Address or:. ... - w Private Supply- Drilled.by.. , 6•.��....... ddres :A . �, I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment s sy tem described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules—and c&ltitons of the Putnam County Department of Health, and that on completion thereof a "Certificate of Co t�uctiogarx}�llxric satisfactory to the Public Health Director will be submitted to the Department, and a written Inteb�will be fiii'nisad the owner, his successors, heirs or assigns by the builder, that said builder will place in ptthg condition anyparf�pf said sewage treatment system during the period of two (2) years immediately foil o 'ng th ate of the; issuaneea of the ap�roval of the Certificate of Construction Compliance of the original system or any Signed: �= Address 2. qJ P.E. . R.A. Date 03— 0 — 2.DtaS License # 4X29 g® APPROVED FOR CONSTRUCTION: 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 a new permit. Approved fAdischarge of domestic sanitary sewage only. hit copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION-TO CONSTRUCT A WATER SELL _ . ._ please print or type PCHD Permit # Well Location: Street Address: To illage ' Tax Grid # RH -L goAt17 AMK VALLEV MapS3.0 Block J– Lots) �(d Well Owner: Name: Address: V,5tCbN5TRLCMot4W- 137%bTtw 6551618 N 105(n2. Use of Well: V Residential Public Supply Air /Co d/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought S gpm # People Served Est. of Daily Usage 800 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 — Is well located in a realty subdivision? ...................................... ............................... . Yes No Name of subdivision _ FMf. AQ) R1D4E Lot No. _ Water Well Contractor: 7; $,D. Address: — Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: 14 T illage AJ/A Distance to property from nearest water main: NIA Proposed well location & sources of contamination to i separate sheet/plan. D_ at_ e, .�..��._.° 4 .. , A R plicant Si ra t ares PERMIT TO CONSTRUCT A WATER 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. Date of Issue o ? Permit Issuing Offici Date of Expiration S 1,q t o Title: Permit is Non -Tr insf rra le White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 James W. Teed, Jr. Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, NY 10566 Dear Mr. Teed: ROBERT.I. BONDI ...County.Ezecutive ROBERT MORRIS, PE Director of Environmental Health March 19, 2008 Re: Proposed SSTS — VS Construction Corp. Marsh Hill Road (T) Putnam Valley, TM# 84 -1 -69 This office has received and reviewed the most recent set of plans for the above - mentioned project. We would like to offer the following comments for your review and consideration. 1. The pipe from septic tank to SSTS needs to be SDR -35, please correct this on the plan and profile. iei �ioris' f<om; the proposed well •need_tocbe.shown at ,tAni6 -irid i'vid a- ] ,property lines. 3. The absorption trench detail needs to note "Clean dust free crushed stone or washed gravel ". 4. Please show a separation of 20 ft. minimum from house to SSTS. 5. In the subsurface sewage treatment system box please.change certified septic system contractor to Licensed Septic System Contractor. 6. The tax map number on the plans and documents appears incorrect. 7. The subdivision lot # was not provided on the plans. This office will continue its review upon consideration of the above - mentioned comments. Please feel free to contact me at est. 2157 if any questions arise. Very truly yours, ( s eph S. Paravati, Jr. Assistant Public Health Engineer JSP /kly Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 RONIN ENGINEERING, PE, PC The Lindy, Building, Suite.200, 2 John Walsh Boulevard, Peekskill, New York 10506-• -7136-'3664'e- &L�: 914-736-3693 May 5, 2008 Mr. Joseph Paravati Assistant Public Health Engineer Putnam County Health Department 1 Geneva Road Brewster, New York 10509 Re.- V.S. Construction Corp. - Emerald Ridge SSTS Construction Permit Marsh Hill Road- Lot 5 Town of Putnam Valley, New York Section: 8316, Block. 1, Lot 56 Dear Mr. Paravati, In reference to your comment letter dated March 19, 2008, please find enclosed the following regarding an application for a Subsurface Sewage Treatment Construction Permit Renewal at the above referenced lot: 1. Four (4) Revised Subsurface Sewage Treatment System Construction Permit Plans for the above referenced lot. Should you have any questions or require additional information, please do not hesitate in contacting me at the number above. RespectfuUmaubmitted, i Teed, Jr. 44oject Engineer 0c: Owner- Val Santucci (V.S. Construction Corp.) File- Paravati-PCDH-Santucci -Emerald -Lot 5-Trans-ft-20080505.doc PUTNA.K COUNTY DEPARTMENT OF HEALTH f- L V 4 • ..DIVISION OF ENi'g2O NTAL fiEA� SEW A _ =r:_. • '� ll�tY ?TVTDYTtiL'�0"Af23VPLI'`:di SUSCIRF TMENT SYSTEMS REVIEW SHEET FOR CONSTRUCTION PERMIT N4IVM OF OWNER: j, 4c. Gv^j-,T, r -0-9 -' STREET LOCATION: MA-p,,514 i.Ei -Z2AD R.EVIEWED.BY: RM, (g Jam', SRDATE: 3 t78 f TAX MAP#: (CONFIRMED) 63" !f l `� Y / N DOCUMENTS Yom; "N (REOUMFD DETAILS ON PLANS CONT'D)• ✓ UPERMIT APPLICATION C �/ UHOUSE SEWER -1/7 RT. 4 "0'; TYPE PIPE.CAST IRON " WELL PERMiT ORPWS LETTER U(�NO BENDS; MAXBENDS 45' W /CLEANOUT P G -97 # RENEWALS LETTER OF AUTHORIZATION SITE NOTE (NO CHANGE) DESIGN DATA SHEET (DDS) FILL SYSTEMS ZUCORPORATE RESOLUTION 10' HORIZONTAL; PAST TRENCH SLOPES 3:1 TO GRADE /J( )SHORT EAF : (_ } FILL SPECS/ FILL NOTES 1 -5 PLANS -THREE SETS FILL PROFILE & DID ENSIONS -7—PLAN PLANS -TWO SETS ' �1C' ZL_)FILLINtkPANSIONilt &A, )(VARIANCE REQUEST FILL GREATER THAN2.FEET 4/73) SUBDIVISION CLAY BARRIER LEGAL SUBDIVISIONF7LL'CERTIFICATION NOTE SUBDIVISION APPROVAL CHECKED 21, DEPTH GAUGES C RATE.. • D �V . DEPTH VOL. ON PLAN FOR R.O.B., TJNCLASSOD & IND?ERVIOUS � L REQUME . SEPARATION DISTANCE FROM•TOE OF SLOPE )(CURTAIN DRAIN REQUIRED TRENCH* ; GENERAL ( LF TRENCH PROVIDED Y ;l g 60FT MAX. �GATED.IN NYC FYATERSHED �-JPA.RALLEL 'TO CONTOURS a PLANS SUBlYII.TTED TO DEP C /)0100% EXPANSION PROVIDED - ELEGATED TO PCHD (� I7ETArH7DUST�FREE"CRU'�D'STONE OR WASHED GRAVEL _X ) EP APPROVAL; IF REQ'D GEOTEXTILP, COVER ,) SEEP TEST HOLES OBSERVED SEPARATION DISTANCES ON PLAN = FR(YM'SSTS _ ) /PERCS TO BE WITNESSED (U10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL . " �U :4PPROVAL SSDS ADJ, LOTS U ZO? T,0 FO.�TNDATION WA L?S - - 5k.t./ it P �a. ✓t WETLANDS {TOWN/DEC PERMTT REQ'D ?) .' 100' TO WELL, ZOO' IN'DLOD,150' TQ InTS ' U 4TA ON-DDS- PLANS & PERMTT SAME.- __.. •.,. '.._ _. .., ._.. ... _. _..... _... ,._...(�_j1.d0.')'.O: SIRE. �.1Y1;WATERC(ZIIF.SE,:.]..,A�'. iaa•e= sei. ;1969 RE GHBOR NOTIFICATION -'� (�✓ ��" 50' TO CATCH BASIN, 351. STORMDRAIN, PIP}JD WATER S ETTER.$I1ZBA 200 c �(4' )10' TO WATERLINE (pits - 20'1) ccccc�����/////( X00 yg; FLOOD ELEVATION WTI (�1 U50 • DRAINAGE COURSE, SOIL TESTING LOTS>10 YEARS OLD (�U_ _200 '/S00 ' RESERVOII2, ETC. 150' GALLEY SYSTEMS UDETL N N 10' KM TO LEDGE OUTCROP EWAGE SYSTEM PLAN- (NORTH ARROW) DSHYDRAULIC PROFILE (4(J10' FROM FOUNDAT ON -,50 TO WELL 4_/'lRAVTrY FLOW �f UmT.T_ CONSTRUCTION NOTES 1 -]?S 17 (-D(_)H- IIVIENSIONSITO PROPERTI ZIIlES DESIGN DATA: PERC & •DEEP RESULTS (__D ,(LOCATION OF SERVICE CONNECTION )�)2' CONTOURS EXISTING & PROPOSED (�i (��J 15' TO'PROPERTY LINE /DRIVEWAY &SLOPES, CUT P' •' 'SLOPE FOOTING /GUTTER/CURTAINDRAINS � /U$LOPE IN SSTS AREA 57 �(SZO %) 4vUSDA SOIL TYPE BOUNDARIES (�(- ✓REGRADED TO 15 %, IF REQUII0%) �(�TTTLE BLOCK; OWNERS NAME ADDRESS DOSE/PUMP SYSTEMS TM#, PEMA; NAME, ADDRESS, PHONE# OF DRAWING/REVISION (__,�PUMp NOTES . � )DATE DATUM REFERENCE U DOSE 75% OF PIPE VOLUME /DOSE VOLUME NOTED , (__)LOCATION OF WATERCOURSES, PONDS U ETAIL FOR FORCE-MAIN, (PIPE TYPE, ETC.) pTT AND D_BOX //' LAKES,WETLANDS WITHIN 200' OF P.L. //L_)PROPOSED SHOWN &DETAILED (%( ,)I DAY STORAGE ABOVE ALARM FINISH FLOOR AND BASEMENT ELEVATIONS CURTAIN DRAIN STANDPIPES BOTH T SIDES, DETAIL WELLS & SSDS'S W/IN 200' OF SSTS 15' MIN to CDS =>5 %, ZO' -4 %, 25' -3 %, 35' -1 " / °, 100 % -<1% PROPERTY METES & BOUNDS - (X_2EROSION CONTROL FOR - .HOUSE, WELL & 20' MIN to CD DISCHA'RGRA00' with 182 cons day discharge .: SSTS, EROSION CONTROL NOTE 10' MIN to NON - PERFORATED PIPE MMENTc S Vie"i5 � Ok - \ /. - 24c liz' % 1 elr '�sC'�"'�PC.�'GGjif'iCViS�'Nb �7- 'Ed9C+ll Or�2•i r(�US� (2e%/ - V.S. CONSTRUCT[ON :n 1 Sl L- -a 4{ 6,_6, VOTES I. 2x6 EXT WALLS B L6' 0.C./2x4 KARR WALLS ' 2. 9 0' CLG HT. 3. 2x,0 SPF82 FLOOR JOISTS B 16' O.C. / JOIST WINGERS 4. KV BRICK KO,L➢ DBL HUNG VINDOVS <TVBDH ML242LOM. R2.2842M, 03M• 5. CLG 6 CLO GIRDER OVER DRTI R TUBE 2-1 I /2' X11 1 /4(xI4'�I01 ML L<6.1.91 H.L. <6 7. FLR GIRDER UNDER UNITS A' /'B' TO DE- 4-1 1/2'x9 1 /4'x58' -0' Nl. 9. t LAYER 3/8' TYPE 'X' GYP. BOTX SIDES <ONE SIDE -MARK. VALU OVER 2' 561EATH0'O GYP.f1(T, WALL B 16' O.C., ATTACH /6d CENENT COATED NAII 9. t LAYER 5 /8' TYPE 'X' GYP. APPLIED VERTEC?LLY ON ONE SIDE OVER 2x1 R 16' O.C.. ATTACH /6d CENENT COATED NAILS (! -7/8' LONG /1/4' DIA. 10.2x10 SPF82 CEILING JOISTS OVER GARAGE. BASE LAYER S /8• TYPE 'X' GY ANGLES TO CLG AISTS. ATTACH /1 1/4' TYPE S' DV SCREWS AT 24. 0. TYPE X' GYP APPLIED AT RIGHT ANGLES TO CLG JOISTS. ATTACH / 1 71 DW SCREWS AT 12' QC. SE7 BACK SCREWS 2' AT END JOINTS AND STAGGE 2' -0' EACH LAYER. 7/l6' OSB OVER AISTS PERPEN. x /Btl NAILS <RC260U IL CEILING DRYVALL VIOL BE OMITTED FOR ALL ON -SITE PLUMBING CONNECT] 1&A- DENOTES CENTRAL VAC OUTLET l3. BI INSTALLED HEATING SYSTEM TO COVER A 99,000 BTU LOSS L4.MIN R -L9 FLOOR INSULATION REQUIRED PER NY,S.E,C.C. LS. BASED ON LOU MPH WIND LOAD 6 EXPOSURE B' ,6.SITE LACATD3N PUTNAM VALLEY, NYI PUTNAM COUNTYI 45 PSF SNOW LOAD — 91 1® FOYER 137'-9- !12852X, #U.- STUDS (VP. (I.C. OIVP3603) Lo-r ' SN- /QN- 5034LMY r zr 10• - `. . EvRt sm y 20'-10 1/4' lu av en 2}E-•IL4L 4' -x_ 318' S 1 10n a -2a9 IxK a z p: H1 I ' 29­7 L z � 1 I w.;ESr¢ rwL'It4� �.I U. 4 .IC12 I U. a•.14 31• �I �In I wnl[. �iln�.em s Ir ua.ml NOOK I B avE)1 AIAE maa m rc I� lua raE�a! Ig F� T ^ sI LILT U r Piavq I 1 }Oa Llw! 6l0 LJ9 —T M v I b f3{ VIXf II])T ± Y V 1 I �' iin Lvliii � o `o x. CLO. }M ra 4E, rl L/r.01 i IL' -6 7 /D' F. row v{�x�amaEi. -e-e z s1P1 as FL 45'-5 718' 42' -L 112' 34' -I L /4' 43 YT4 t /2' x.W11L. L LUtlalNa w-smns.6{y6• NJAix irvaa¢ RK vwi 12 WE NK 2♦ % W., �T ® t2La'A61I lzsc vBKr Provo >+ a.rsE y • ,.E Y• m.. A6 � KITCHEN a• z j 124 a2{ 12 ON U I 4' -8 LS /16' 13-11 R G/. a6'Ia�a 1� j 16• owo LO OB' -2' ¢ a ]I r2' -3' 1 rz.Tvr4 ua wl T :� Latr mt• ® 4 .I I . Im'/ e . Sl L- -a 4{ 6,_6, VOTES I. 2x6 EXT WALLS B L6' 0.C./2x4 KARR WALLS ' 2. 9 0' CLG HT. 3. 2x,0 SPF82 FLOOR JOISTS B 16' O.C. / JOIST WINGERS 4. KV BRICK KO,L➢ DBL HUNG VINDOVS <TVBDH ML242LOM. R2.2842M, 03M• 5. CLG 6 CLO GIRDER OVER DRTI R TUBE 2-1 I /2' X11 1 /4(xI4'�I01 ML L<6.1.91 H.L. <6 7. FLR GIRDER UNDER UNITS A' /'B' TO DE- 4-1 1/2'x9 1 /4'x58' -0' Nl. 9. t LAYER 3/8' TYPE 'X' GYP. BOTX SIDES <ONE SIDE -MARK. VALU OVER 2' 561EATH0'O GYP.f1(T, WALL B 16' O.C., ATTACH /6d CENENT COATED NAII 9. t LAYER 5 /8' TYPE 'X' GYP. APPLIED VERTEC?LLY ON ONE SIDE OVER 2x1 R 16' O.C.. ATTACH /6d CENENT COATED NAILS (! -7/8' LONG /1/4' DIA. 10.2x10 SPF82 CEILING JOISTS OVER GARAGE. BASE LAYER S /8• TYPE 'X' GY ANGLES TO CLG AISTS. ATTACH /1 1/4' TYPE S' DV SCREWS AT 24. 0. TYPE X' GYP APPLIED AT RIGHT ANGLES TO CLG JOISTS. ATTACH / 1 71 DW SCREWS AT 12' QC. SE7 BACK SCREWS 2' AT END JOINTS AND STAGGE 2' -0' EACH LAYER. 7/l6' OSB OVER AISTS PERPEN. x /Btl NAILS <RC260U IL CEILING DRYVALL VIOL BE OMITTED FOR ALL ON -SITE PLUMBING CONNECT] 1&A- DENOTES CENTRAL VAC OUTLET l3. BI INSTALLED HEATING SYSTEM TO COVER A 99,000 BTU LOSS L4.MIN R -L9 FLOOR INSULATION REQUIRED PER NY,S.E,C.C. LS. BASED ON LOU MPH WIND LOAD 6 EXPOSURE B' ,6.SITE LACATD3N PUTNAM VALLEY, NYI PUTNAM COUNTYI 45 PSF SNOW LOAD — 91 1® FOYER 137'-9- !12852X, #U.- STUDS (VP. (I.C. OIVP3603) Lo-r ' SN- /QN- 5034LMY r zr 10• - `. . EvRt sm y 20'-10 1/4' lu av en 2}E-•IL4L 4' -x_ 318' S 1 10n a -2a9 IxK a z p: H1 I ' 29­7 L z � 1 I w.;ESr¢ rwL'It4� �.I U. 4 .IC12 I U. a•.14 31• �I �In I wnl[. �iln�.em s Ir ua.ml NOOK I B avE)1 AIAE maa m rc I� lua raE�a! Ig F� T ^ sI LILT U r Piavq I 1 }Oa Llw! 6l0 LJ9 —T M v I b f3{ VIXf II])T ± Y V 1 I �' iin Lvliii � o `o x. CLO. }M ra 4E, rl L/r.01 i IL' -6 7 /D' F. row v{�x�amaEi. -e-e z s1P1 as FL gpEEl). at�E - A8 11.16 1/4' x.W11L. L LUtlalNa w-smns.6{y6• NJAix a -slrc n laa(Ea LIVING Raw man sa cr lam 099 % W., �T ® t2La'A61I lzsc vBKr Provo Sl L- -a 4{ 6,_6, VOTES I. 2x6 EXT WALLS B L6' 0.C./2x4 KARR WALLS ' 2. 9 0' CLG HT. 3. 2x,0 SPF82 FLOOR JOISTS B 16' O.C. / JOIST WINGERS 4. KV BRICK KO,L➢ DBL HUNG VINDOVS <TVBDH ML242LOM. R2.2842M, 03M• 5. CLG 6 CLO GIRDER OVER DRTI R TUBE 2-1 I /2' X11 1 /4(xI4'�I01 ML L<6.1.91 H.L. <6 7. FLR GIRDER UNDER UNITS A' /'B' TO DE- 4-1 1/2'x9 1 /4'x58' -0' Nl. 9. t LAYER 3/8' TYPE 'X' GYP. BOTX SIDES <ONE SIDE -MARK. VALU OVER 2' 561EATH0'O GYP.f1(T, WALL B 16' O.C., ATTACH /6d CENENT COATED NAII 9. t LAYER 5 /8' TYPE 'X' GYP. APPLIED VERTEC?LLY ON ONE SIDE OVER 2x1 R 16' O.C.. ATTACH /6d CENENT COATED NAILS (! -7/8' LONG /1/4' DIA. 10.2x10 SPF82 CEILING JOISTS OVER GARAGE. BASE LAYER S /8• TYPE 'X' GY ANGLES TO CLG AISTS. ATTACH /1 1/4' TYPE S' DV SCREWS AT 24. 0. TYPE X' GYP APPLIED AT RIGHT ANGLES TO CLG JOISTS. ATTACH / 1 71 DW SCREWS AT 12' QC. SE7 BACK SCREWS 2' AT END JOINTS AND STAGGE 2' -0' EACH LAYER. 7/l6' OSB OVER AISTS PERPEN. x /Btl NAILS <RC260U IL CEILING DRYVALL VIOL BE OMITTED FOR ALL ON -SITE PLUMBING CONNECT] 1&A- DENOTES CENTRAL VAC OUTLET l3. BI INSTALLED HEATING SYSTEM TO COVER A 99,000 BTU LOSS L4.MIN R -L9 FLOOR INSULATION REQUIRED PER NY,S.E,C.C. LS. BASED ON LOU MPH WIND LOAD 6 EXPOSURE B' ,6.SITE LACATD3N PUTNAM VALLEY, NYI PUTNAM COUNTYI 45 PSF SNOW LOAD — 91 1® FOYER 137'-9- !12852X, #U.- STUDS (VP. (I.C. OIVP3603) Lo-r ' SN- /QN- 5034LMY r zr 10• - `. . EvRt sm y 20'-10 1/4' lu av en 2}E-•IL4L 4' -x_ 318' S 1 10n a -2a9 IxK a z p: H1 I ' 29­7 L z � 1 I w.;ESr¢ rwL'It4� �.I U. 4 .IC12 I U. a•.14 31• �I �In I wnl[. �iln�.em s Ir ua.ml NOOK I B avE)1 AIAE maa m rc I� lua raE�a! Ig F� T ^ sI LILT U r Piavq I 1 }Oa Llw! 6l0 LJ9 —T M v I b f3{ VIXf II])T ± Y V 1 I �' iin Lvliii � o `o x. CLO. }M ra 4E, rl L/r.01 i IL' -6 7 /D' F. row v{�x�amaEi. -e-e - I z i I 2' -2'�. >+ y • ,.E Y• m.. A6 � z i U w 4' -8 LS /16' 13-11 3/46' -9 7/8' m j Y LO I I N ¢ a E q ® . O U y la• l6' i i a2' q aa U16[" Nsf IC�3 c/a I SLI ' o am udTrr� n ,,��}}} v}• tmc •s• », O p a °a 3 /B' vEM In 8 9' •i—ll g Na _ U. >: = O •� E. i¢ z laic a 19' -LL 1/4' .. /• 0.' I I m U H q q 0 N 7 i > G U N II C n• cm. �larC a 2- LAYERS 5/8' TYPE 'X' 'A') E S c� da4 is C m ° „ W GYP ON GARAGE CLG CHIT SEE NOTE BLO 1 O n V I 1100 '-u --m--- ------ m ---- ---- L OO ) •1 a O O W srla rw v1 Ir a6a - 1 j GARAGE I I > u i �' I I CQ 0 . e •-�-': , k "� Y] OIL n• l LAILx sIV —E ar.11 —A . r o�i�mc w PANELIZED GARAGE WALLS i 1 11 W -SRE STEEL HEADER DESIGNED, PROVIDED, AND NSTALLE [.+;/� V ' i LN -SITE BY BUD.LIER ` aw. 1 I $ ro �O f+ rcic n• .oat Lair -3 3/4' (� LL ,7, L+r [s: 1 :�s E: O 19' 95 LO' -3' I2al(p La'_3, 20' -6' M o P" �: i j ]VAL # M 0497 -02 -073 A.B./8 BOX 683 6 3l 58 JEFFE7RSQN W/20 ll GARAGE '12 BUMPOUT L(7LAP00b, PA I F046 2 A O) �„ z 71 a �J !ST STORY U H to G r (717) I44-9986 ou m oltRra 1 Y. a4rr 17 G4 PAX (717) 444 -7577 CAP 11/20/2007 - Oa4 M9 10 - : -12 24AY I /✓mil' -0' U- c,i • m a IFNI.BXC6LYOYJIS.COY %L16717 Q [>•;:. :J rn F+ wm //7 1!29 a (jl,; 0. z i' S: o. a:. V.S. CONSTRUCTION CORP Li U W EJ U LL) 10:1� 1-j FT pill cc-, All o ism. Mism I w w Y U 0 w L 391-7 1/2' !0' -3 1/2' 35'-7 L/2' 31'-1'1/2 40'-4 1/2' ivir Q - - - - - - - - -- - II J, L------ -------------------- M. W- w R -- ------- - --- ADVIII 7i J, L 4p� A n-- ----- 1. #-18/2 VIBE e 62' AFT FOR ON-317MM TERCOM SYSTEM APPROVAL # NAM" VIRES IN Z' CONDUIT X 3 20611 (6) 012 GAUGE L(t3:'RP004 PA (e) GE 41� ImMlow qw M.: (717) 444-330 "UGC r 1 - LG" MH DANCE PROTECTED ALL EoLj.A1�ffN .0.,T OUTLETS . BEDR.— ME V TE. FAr (717) 444-7577 CAP CA .,jp /SEC BY AN ARC -FAULT T T.RUPT: THIN 2I0J2, 2002 NEC as a FROM THE INSIDE OUT SN- /QN-5034L/NYI cut M90 YI T3A XL16747 E 0 E 0 0 O. O III O .7 n CL O L) co O L) LL 0 (L V.S. CONSTRUCTIQN CORP. /GEpRGE SN- /QN- 5034L/ 57' -3 q51'- (rlvq 46'-0 3/4' ( ) 43' 148' -4' 29' -2' xv w ra- )rte.l. 17' -I 5/0' 42' -1 1/2' r-3-7-' -5 L /2' xv sx r![ -wxc ' 26' -3 5 /B• xps a-z.! 4z 39 IO lmo a-aa srr4z. 3'1' 24 1/2'x18' WL. FLAT IS' -0' 16' -7' ------'--------------------- E � BEDROOM 44 n e.IB Till1 AL°•0 BI,4 �0 rM3 1 61 LaTM Rf00 � I OPTH 10 eFLp/ °' Z� 2t1 no BALCONY v4TpV NWTwMFGs 4 CLD N �.e BEDf#fl . yr Tn.e a4ctsx o)se Y•, vv ! a /1• L • . W -9' 1 31-1 1/2' I 4' -3 2 ( 3'-3'� l d 133.0' TAIr! un tr tURen) AN MRIMB_< taar5 v Owl vs• as- xw oxw° R.16 xcr aYxA• I 1 att I wexa el. Ir IJxau HALL I 1 , a/1 AA�ILT _ b �,Ig 1 �'GFM� YR Mp �/aa'11° vsel veal W -J LsaKlinez 7 /,r 777 `" -0' ( RAISE ucx wlr IT W a-aa srra, rul rvus w ne aNR 'Cf • -0 l2' S /D' aB• as t vGYP 91-0' sa [ ee 3'- 1' -' 14' -33 ' 2 � CLO ,p 3'-lL' - L • 2'l 13 /Ifi' �0' 12 Is[ 11b rxA! 0a, v -av wrme4a Xaf S - � �� B BATH re T 96Ae m ins vMTT xmO°t m oav Y Plxa MR .alerlmlle U4 Uwr nlw•t 12' -3 l /2' usz vart amv0 o IB-4' R F 3 _0. IO-3 1/2' ��! 1 I A AOOar AOrr Va y 1• -a aC )me ! e7 K• - - ru a0tetrpl TO X. lH 12'.9 vs_x{. srAl'° RYm,O 5�2' -6 3/4' 45'-0 3/1' Wm a/4 37•_ -3• a.a6 srr4a�ty� 9-a�! iN - 1/2' � cm! onuo wm 1 Y -0' 7' -6' B' -9• ' -BR i , x AB411Re IlR 1 ry I 2' -0' 1 15'-6' 9'-5' v4u s wu weTS I fR A10 SFL111x u E 3�a-0 4L b-6 § 1 LL 0' -ll 4/4' q l9'iB 1/2 xw I-q.a w ex " D $� WALK-IN � � b CLOSET I AI AAAI g ni4•.0 ve9,a. .fJaial! I 6' -3 1/2• 6' -3 I /2' 832x' 10' -3' 10-3' 20'-6' 12,_7• 6 NOTE S, SYSTEM APPROVAL it M 0497 -02 -073 R.R./9 BOX 693 "X Ob' PA 31158 JEFFERSON 6 .120'11 GARAGE &127BUMPOUT 2ND STORY 2 B 1.2x6 EXT WALLS B 16' 6C./2x4 NARR WALLS 2.B' -0' CLG HT, 3.2x10 SPF12 FLOOR JOISTS a l6. OC. e/ JOIST HANGERS 4.Rd1F SYSTEM TO BE 15' OC. `aM BRICK NOl1LD DHL HUNG WINDOWS RVBOW t1= 24210W M2= 2B12N, M3M= 3046M; B�2B52M, BO.pB56EN) (7/7) 141 -9396 96 pv, T!• CAP 11/20/2007 1 /4' -V -0' 6.FLR GIRDER UNDER HALL TO BE, 2 -1 1 /2'x9 1 /4'x13' -4' NJ- <6.1.4) 7. FlR GUUXiR UNOER V.LC. TO BE, 6-2x10x17 -11' SYPB2 ! L) FAX (7/7J III -7577 acs Ae mp _ ,IS- zo/4T Xu6711 D. FFLR GO2DER UNDER BATHBI /BRB2 TO BE, 2 -1 1/2'x9 1/4'x11' -0' MA.. (61.9) BEAM ELE6&,l 2'46•xu)' -0• H.L. (74D ' FROM THE INSIDE OUT IIA.XXCGLlFOYX3.COY I9.A - TES CENTRAL LTO •i li I !: C O U O •A7 C O a) TO 0 a. O U m w a _O f6 Q) U U_ d , W i» yOC� ,U' U a; to i:1 C4 J F l I. i 1' i i' S�. { F E 0 U O U� (IS 3 C O CL O U O Q L O cu N U U- 0 Cl. s O r a C=7 E-F 7 a O v .y z, F+ a a 0 h Y � G 1 � O rb LO M Qo LO H \J O O a r, a 5 c� C k t� C H Z C F+ 4H p O' [-1 C II.ONIN ENGINEERING, PE, PC The Lindy Building, Suite 200, 2 John Walsh Boulevard, Peekskill, New York 10566 Tel.: 914 - 736 -3664 Y Fax: 914 - 736 -3693 Mr. Joseph Paravati Assistant Public Health Engineer Putnam County Health Department 1 Geneva Road Brewster, New York 10509 Re: V.S. Construction Corp. Certificate of Construction Compliance 4 Bedroom Residence 61 Marsh Hill Road Town of Putnam Valley, New York 10579 Section: 83.16, Block. 1, Lot: 56 Subdivision Lot 5 of "Emerald Ridge" 0 Dear Mr. Paravati, August 24,2010 Enclosed for your review and approval please find the following items regarding the application for a Certificate of Construction Compliance at the above referenced project: 1. One (1) Certified Check in the amount of $300 made payable to the Putnam County Health Department. 2. Four (4) Copies of a two (2) year guarantee signed by the Owner & the Installer 3.. Four ,(4) Well Completion Reports_signed by Norman Andersen (The.Well Driller) 4. One (1) Copy of Satisfactory Results of a Water Analysis by a Yorktown Medical Laboratories, a NYSDOH Approved Laboratory. 5. One (1) E911 Address Verification Form verified by the Town of Putnam Valley. 6. Four (4) Certificates of Construction Compliance 7. Four (4) Sets of "As- Built' Plans signed and sealed by Timothy L. Cronin III, the Design Professional. 8. One (1) Copy of As -Built Foundation Survey by Donnelley Land Surveying. Please review the above items at your earliest convenience and should you have any questions or require additional information, please do not hesitate in contacting me at the number above. Respe bmitted, James W. Teed Project Engineer cc: Val Santucci - owner File- Paravati-PCDH- Santucci -Marsh Hill Road -Lot 5-SSTS As- Built- Trans- JT- 20100824.doc YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 _..... (9.14.), 245 72.800 - _.. Albert` ".H: -; Pa( OVanf ,.::Director LAB #: 1.003211 CLIENT #: 2500 NON STAT PROC PAGE: 1 of 2 ANDERSON WELL DRILLING DATE /TIME TAKEN: 07/29/10 04:00 152 BARGER ST DATE /TIME RECD: 07/29/10 04:35 ATTN: NORMAN, SARAH REPORT DATE: 08/05/10 PUTNAM VALLEY, NY 10579 PHONE: (845)- 528 -1491 SAMPLING SITE: 61 MARSH HILL, PUTNAM VALLEY, NY SAMPLE TYPE..: POTABLE : VAL SANTUCCI PRESERVATIVES: NONE COL'D BY: VAL SANTUCCI TEMPERATURE..: < 4C NOTES...: KITCHEN TAP COLIFORM METH: MF DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 07/29/10 MF T. COLIFORM ABSENT /100 ML ABSENT SM 18 -20 9222B 08/03/10 LEAD (IMS) 1.1 ppb 0 -15 ppb SM 18 -19 .3113B 07/30/10 NITRATE NITROG 1.10 MG /L 0 - 10 SM18- 204500NO3 07/30/10 NITRITE NITROG <0.01 MG /L 1.0 MG /L SM18- 204500NO2 08/04/10 IRON (Fe) <0.060 MG /L 0 -0.3 mg /l SM 18 -20 3111B 07/30/10 MANGANESE (Mn) 0.124 MG /L 0 -0.3 mg /1 SM 18 -20 3111B 07/30/10 SODIUM (Na) 16.5 MG /L N/A SM 18 -20 3111B 07/29/10 pH 6.5 UNITS 6.5 -8.5 SM18 -20 4500HB 08/02/10 HARDNESS,TOTAL 162 MG /L N/A SM 18-20 2340C 08/02/10 ALKALINITY (AS 94.0 MG /L N/A SM 18 -20 2320B 07/30/10 TURBIDITY (TUR 0.4 NTU 0 -5 NTU SM 18 (2130B) CTNew*(York MFTC liform = This result indicates that the water was not) of a satisfactory sanitary quality according to State and EPA federal drinking water standard for this parameter. This comment applies to the Total Coliform test only. Fe /Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg /L. Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg /L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg /L of Sodium is suggested. pH pH SCALE IN WATER RANGES FROM 1 -14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245 -2800 Albert. H. Padovaizi .- Dir�.ctor- LAB #: 1.003211 CLIENT #: 2500 NON STAT PROC PAGE: 2 of 2 ANDERSON WELL DRILLING 152 BARGER ST ATTN: NORMAN, SARAH PUTNAM VALLEY, NY 10579 DATE /TIME TAKEN: 07/29/10 04:00 DATE /TIME REC'.D: 07/29/10 04:35 REPORT DATE: 08/05/10 PHONE: (845)- 528 -1491 SAMPLING SITE: 61 MARSH HILL, PUTNAM VALLEY, NY SAMPLE TYPE..: POTABLE : VAL SANTUCCI PRESERVATIVES: NONE COLD BY: VAL SANTUCCI TEMPERATURE..: < 4C NOTES...: KITCHEN TAP COLIFORM METH: MF DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG /L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG /L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0 -70 MG /L VERY HARD WATER: ABOVE 300 MG /L MODERATELY HARD WATER: 70 -140 MG /L MG /L = MILLIGRAM PER LITER HARD WATER: 140 -300 MG /L (1 grain /gallon = 17.2 MG /L) THE ABOVE ?PRO EDURES MEET ALL REQUIREMENTS OF NELAC, AND REL THESA SAMPLES RECEIVED BY THE LAB SUBMITTED BY: Al Padovani, M.T.(ASCP) Director ELAP# 10323 a ABSORPTION TI Qj�'�� � ,,� (TYPICAL INSTALL AS -BUILT yY` JUNCTION BOX p (TYPICAL INSTALLATION) ( } I 1 i 1 1 1 1 X o 1 � Ropy Set S 100 %EXPANSION AREA � of � I< j As -Bull '•• /� Well l .0S / Rpeq C��/ 116 L.F. OF 4 "0 SDR35 PVC 22° BEND � \� ALL TRENCH EN S ARE CAPPED ! wl AS BUILT SEPTIC TA \ (1500 GALLON CONS 5 r� D �Z 112.5 L.F. OF 4 °0 CAST IRON PIPE LOT 6 \ \ I I 9S I &ff'oo1\ I I LOT 5 Area =>09, 392 Sq. I = 2.3965 Acres 4 °0 PVC ROOF LEADER & 4'0 HOPE FOOTING DRAIN DISCHARGE AWAY FROM SSTS C - -___ . _ r �. � ._...- .f e.. .a .. r.. t'd^. c -.Y ^. n � _ _ r.. ". .. � -r � .. �.. :. �.r. -1 .1 .� i .t .: �6•:: �- _.. a. . )F 8 TO 10 MINUTES pER .LY LAND SURVEYING JGUST 8, 2008 WITH SUBDIVISION AND SITE TNAM COUNTY CLERKS AS -BUILT S.S.T.S. LOCATION DISTANCES DESCRIPTION A B D SEPTIC TANK CENTER 17.8' 60.3' JUNCTION BOX 1 (1) 36.5' 77.0' JUNCTION BOX 2 (2). 41.7' 82.7' JUNCTION BOX 3 (3) 47.0' 88.5' JUNCTION BOX 4 (4) 52.3' 94.0' TRENCH 1 END NORTH (5) 84.2' 82.2' TRENCH 2 END NORTH (6) 86.6' 87.6' TRENCH 3 END NORTH (7) 89.2' 93.0' TRENCH 4 END NORTH (8) 92.2' 98.4• TRENCH 1 END SOUTH (9) 50.7' 56.7' TRENCH 2 END SOUTH (10) ro54.6'� 62.4' s. TRENCH 3 END SOUTH (11) 59.1' 68.2' TRENCH 4 END SOUTH (12) 63.4' 73.8' AS -BUILT WELL LOCATION DISTANCE DESCRIPTION B C WELL 80.0' 103.0' AS -i