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HomeMy WebLinkAbout3945DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.56 -1 -26 BOX 30 03945 ' r - : = ' rh �. � ' % l v ., IF is 03945 PUTNAM COUNTY DEPARTMENT OF HEALTH V. 3//8,6 Division of Environmental Health Services, Carmel, N.Y. 10512 0 1 `t7 Engineer Mast Provide P.C.H.D. Permit H -- , Putnam - - - V - a - ey TE OF:CONSTRUC�QN_•GO LKNCr:F4RSE.WAfiE;DISPOSAI6 SYSV- . sc Town or V e ��� at Ridgecrest Road Tax � 87 Block Lot 22 Owner /applicant Name ►St @vRle�n xeOWer. . L grmedy Subdivision Name pee 5ubdv. Lot N 41-48 McWng Address Q �P Date Permit Issued Mahopaci N.Y. Separate Sewerage System built by C.E#M# Construction Ad&m RD 3 Lower Lake Rd., Mahopaca N: iV000 200 -LF of .. 2 " Trench Consisting of Gallon Septic Tank and Water Supply: Public Supply From Address - or: Private Supply Drilled byANDERSON 1NE DRAddross arger ree , Putnam valley, Build Type Modular Has Erosion Control Been CompletedY • . Yes Number of Bedrooms Has Garbage Grinder Been Installed Other Requirements ft or R.O.B. Gravel placed .. Area I certify that the system(s) as listed serving the above premises were construct 1 o�i tip plans of the completed 'work ( copies of which are attached), and in accordance with the standards, rules and regulatJb c th (�i ed plan, and the permit issued by the Putnam County AbPart el if Hal Q m 3 1 8 ° �e X Oats s Certified Dy B P.E. - R, 1 Northridg Roa a d k 105 27846 Address License No. Any person occupying premises served by the above system(s) shall promptly take such i1 q� 9 to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sew age system shall b r� eVa q*as soon as a. pub;': unitary sewer becomes , available and t e approval of the private water supply shall become n 1 and void when p 6*W yr twoipply becomes available. Such approvals are subject to mo ificatlo hangs when, in the Judgment of the C Issi or of t ch revocatio ,modification or change Isn c Date By TItIs PUT'NAM COUN'T'Y DEPARIMENT OF HEALTH D- MSI(X11 aF F NiTT.,.I2rhM, TT'AL ..HEAL'SIi. Ij Steven Heffler 87 2 22 Owner or Purchaser of Building Section Block Lot C.E.N. C- nstruction Building Constructed by Ridge Crest Road Location - Street Putnam Valley Municipality Modular Building Type Lake Peekskill Sec "F" Subdivision Name 4i -W Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE,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 ofytwo.years immediately following the date of approval of the . ficate rxf, Einstruction> Goinpiiance" for•:t)ie sewage disposalAsysten; or 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 23 day bf may 19 108 Signature Title General Contractor (Owner) - Signature Corporation Name (if Corp.) Corporation Name (if. Corp.) Wd ,L, — yl.�_ /a,) -r Address � Address rev. 9/85 mk ;ktown Medical Laboratory, Inc. LAB . _ _.. 321 Kear Street Date Taken: J ip Time �.� ........ ...V ©r -�''O ' �CF f;'1`d:'�= 1$s.�� -•s -...: y::. ; _ � _ :r..d , _: � . - - _. �.. _ .. Rc 'gam e.::.:. ;.� t�,►'iri: - _ (914) 245 -3203 Date Reported: 1 0 hr Director: Albert H. Padovani M. T. (ASCP) Collected B y: Referred By: Fmy-. 6 �� -1 Sample Location: k�ef lAIJ/s Phone fl Phone # I _j Repeat Test? LABORATORY REPORT ON THE QUALITY OF WATER INORGANIC NON- METALS (mg /L) MICROBIOLOGICAL (CFU /100mL) Acidity Alkalinity _ Chloride Detergents, MBAS Hardness, Total Nitrogen,.Ammonia Nitrogen, Nitrate Phosphate, Total Sulfate _ Sulfide Sulfite GENERAL BACTERIA C� _Standard Plate Count f (CFU /1.OmL) MEMBRANE FILTRATION TECHNIQUE ✓ Total Coliform 0 Fecal Coliform Fecal Streptococcus METALS (mg /L) MOST PROBABLE NUMBER TECHNIQUE Copper _ Iron _ ead_... ._. - _ ..... — Manganese _ Mercury Sodium KEY FOR TERMINOLOGY Zinc CFU = Colony Forming Units Total Coliform Index Fecal Coliform Index MISCELLANEOUS pH (units) _ Color (units) _ Odor (TON) Turbidity (NTU) N/A = Not Applicable LT = Less Than ( <) GT = Greater Than ( >) TNTC= Too Numerous To Count CON = Confluent ( =TNTC) NR = Non - reactive Sample Type: (check one) _Potable _ iIon- potable _ STP INF _ STP EFF Other: Sample Status: (check each) Outgoing _ HNO3 _ HC1 H2SO4 _ NaOH _ ZnOAc Na2S203 Other:. Incoming, t,"LE 4 °C GT 40C _ _ pH LE 2 — pH GE 9 — pH GE 12 _ Other: REMARKS /COMMENTS (For Lab Use) IELAP #10323 THESE RESULTS INDICATE THAT THE WATER SAMPLE (WAS) (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO TH YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTI THESE RESULTS INDICATE THAT THE WATER SAMPLE (DID) (DIDN'T) (N/A MEET THE SATISFACTORY CHEMICAL QUALITY STANDARDS OF THE NEW YORK STA NKTNG WATER CODES, FOR THE L PARAMETERS TESTED, AT THE TIME OF COLLECTION. . X/ /� f 2 /86(Rvsd7 /87)RWE Ilia"+ W_ PnAnveni_ M.T_ ASCP)_ Director Z­_t� M_..Loz, 4*c wzljLj LUrLrj ziivLl. A-MrVI" DEPARTMENT OF HEALTH ibbil:s-1 0 PUTNAM COUNTY DEPARTMENT OF HEALTH office Use Only WELL LOCATION STREET ADDRESS: 4DWN1V1EE1U1EIfY TAX GRID NUMBER: 2 — � 72— WELL OWNER 14AW 6 . ADD s: 9 PRIVATE 0 -PUBLIC USE OF WELL 1 - primary 2 - secondary E@ RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR/COND./HEAT PUMP 0 ABANDONED' ❑ BUSINESS 0 FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL 0 INSTITUTIONAL ❑ STAND-BY ❑ AMOUNT OF USE YIELD SOUGHT 'J gpm./NO. PEOPLE SERVED EST. OF DAILY USAGE _Le 'gai. REASON FOR DRILLING )4 NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST/OBSERVATION ❑ REPLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH ft I STATIC WATER LEVEL ft., DATE MEASURED DRILLING EQUIPMENT R ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑-SCREENED ❑ OPEN END CASING, ROPEN HOLE IN BEDROCK ❑ OTHER CASING TOTAL LENGTH ft. MATERIALS: � STEEL ❑ PLASTIC 0 OTHER LENGTH'BELOW GRADE ft. JOINTS: ❑ WELDED THREADED ❑ OTHER DETAILS DIAMETER in. SEAL: ❑ CEMENT GROUT ..O BENTONITE.MTHER. WEIGHT Ib PER FOOT A .1ft. DRIVE HOE. -AYES ONO I LINER: O YES RNO SCREEN _DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (11) DEPTH TO SCREEN (it) DEVELOPED? FIRST. 0 YES ❑ NO HOCK ttCO'N"d GRAVEL PACK 0 YES ❑ NO GRAVEL SIZE. DIAMETER OF PACK — in. TOP DEPTH ft BOTTOM- DEPTH It. WELL YIELD TEST If detailed pumping METHOD: 0 PUMPED tests were done is in- COMPRESSED RESSED AIR formation attached? 0 SAILED 0 OTHER 0 YES 0 NO WELL LOG It are available, more detailed formation descriptions or sieve analyses please attach. DEPTH FROM SURFACE watt( pear- ing Well Dia- mete In FORMATION oescRiFnON CUE I It. WELL DEPTH (I. DURATION hr. min. DRAWOOWN It, YIELD u".. Land Surt2ce '77 WATa 0 CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS 0 COLORED ANALYZED? ❑ YES ❑ No ANALYSIS ATTACHED? 10 YES ONO STORAGE TANK: TYPE CAPACITY 1X\ GAL. PUMP IXFORMATION TYPE MAKER MODEL **S CAPACITY DEPTH V AGE — HP V T WELL DRILLER NAME DATE, V >9- Y, pr/Aw FINAL SITE INSPECTION Date STREET ICOATION 91-o ..,PERMIT # �y 24 # OR SUBDIVISION LOT # II, IV. V. an OWNER . Inspected by /_1 62�..'z F'7 - a.—_ �_? 1 IF8 NC 777�� "AG 7_5T�N 31�. QISPOS-!U- a. SDS area located as per approved plans --.Date b. Fill section of placement 2:1 barrier- LGTH WIDTH AVG. DPTHj c. Natural soil not stripped d. Stone, brush, etc., greater than 151 fran SDS area. e. 100 ft. from water coj=s ands. SEWAGE DISPOSAL SYSTEM./r 'I- A. Septic tank size - ,00 b. Septic tank installe-d-level C. 10' minimun fran foundation d. No 90' bends, cleanout within 10 ft. of 450 bend e. DISiiEEj_7rION BC)x 1. All outlets at same elevation - water tested 2. Protected below frost 3. Minimum 2 ft. original soil between box and trenches f. JUNCTION BOX - properly set g. TRENCHES 1. Length required - 2-0 0 Length installed Z,6) 2. Distance to watercourse measured-. ft. 3. Installed according to plan 4. Distance center to center 5. Slope of trench acceptable 1/16 7 1/32 "/foot. 6. 10 feet fran Property line -- 20 feet - foundations 7. Depth of trench <.30 inches free surface r5z I 8. Rom allowed for expansion, 50% 9. Size of gravel 3/4 - li" diameter 10. Depth of qravel in trench 12" minimum 11. -Pi ends capped h. PLW OR DOSE SYSTEMS 1. Size of pump chamber 2. Overfl-a-ttank 3. Alarm, visual/audio 4. Pump easily accessible manhole to grade 5. First box baffled 6. Cycle-witnessed by Health Depar-tnent, estimated flow per cycle HOUSE a. House located per approved plans. b. Number of bedrooms WELL a. Well located as per approved plans b. Distance fran SDS area measured _/G ft. c. Casinq 18" above grade. d. Surface drainage around well acceptable. OVERALL WORIWOHIP 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 e. Curtain drain installed according to pL n a f. Curtain drain outfall protected & din to exist---watercourse 9. Footing drains discharge away from SDS area h. Surface water protection adequate i. Errosion control provided on slopes greater than 15%. 1 ,., �� �: t ^y��"'.R .. � .P �a �' •NC r e- .'.RT •�r� -�.. <s M._ r. E^- �K:� ..iu -- .V'V- 'GV' ^W' Ti•:� ... � .. �C'.P ��.:._i�4T:. .i` .. �fT.'^�v.'^I�:��.o-_ �_. }. ... T.:. ►� _ ENG I El 79- 0wner/Address_qt6iran_._*i 9W3461 Rd* Date of P�re'vious hpikaval 7/95Y85 Building Type 2 IRAdi4GE1 M7 6 Lot Area A-2;A00 SF+ Fill Section Onlylt6i Number of Bedrooms 2 Design Flow G/P/D P.C. H..D. Notification Required Yed Separate -Sewerage, -System to xonsist,.ot. 'Gal., Septic Tank no. 20ro LF 6f 24" -1 Water Supply: � ___- Public Supply From -X �� � ' .` ' A«4re" - Other Requirements, ' . I represent that I I am wholly and comolef6ly reip. - nliti 1. for.the design 4 a6ove- deschbed will 6i constructed as show 'R'* i ' a endm'i County Deiiariment of Health, :and that on cotpl!�j�qn t*epfa'."Cpe place in good operating condition any part of. said. sewage disposal will be located as shown on the approvi.id plah'and.that -said well will'b6,fi County Department of Health. APPROVED FOR CONSTRUCTION- This approvaie�pires'dne yiar�i' revocable fof-6use or may be am. -ended or modified whenlco�sidered'na Date AG' cation oj.tpe, Proposed system(s); 1) that the separate sawage disposal system gu Corrioli�nW.l satisfactory to h. ner of Healthwill C"$Sors.:hpirs or. assigns by the builder. that said builder will r ny repairs thereto; 2) that the or I described above C6 #*hstan�da�rruies and regulaT 01.1 !!o? the Putnam Xr ni constructlon of the building has been undertaken and is Itsioner of Health. Any change or alteration of construction `iii�Ae4at'ei supply only.' Re../6/85—��/..��.. � ' al 2 e—Ikl � /\\ Q « :\ s �� yg w ' \ R:? 3 ����/ t� • PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES a..P.:.b. v - �.:.cr.<...v.,�.•...q. _. .. -- ':,•- erq. -.r Ser •i•.. ter. y, +.. -: may,;: �r,i' -vi�.f := :Y- �a.::.: s- .i:o�f:�+ -mow ^::►- .a. :�::�'_. ��+r �.�:.i� —r.. e � �. Date May 28, 1985 Re: Property of Steven & Barbara Heffler Located at Ridgecrest Road - Lake Peekskill, NY (T) Putnam Valley Section 87 Block 2 Lot 22 Subdivision of Lake Peekskill - Section F Subdv. Lot # 41 -48 Filed Map # a Gentlemen: 185E Date May 28, 1929 This letter is to authorize John S. Romeo a duly licensed professional engineer X or registered architect_ (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system 'or` systems "'in. conformity with�tfie p`rovisaons of `Ar£icYe' 14� or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed Countersigned: //- weer of r per P.E. , - A-f-A # 27846 259 Tanglewyde Road Address 1 Northridge Road Lake Peekskill, N.Y. 10537 Address Peekskill, N.Y. 10566 737 - to ' Telephone #6660969"0' Town 9��pNAI EN6 /Nff� .. F 528 — 2449'' S. • o�F0 stw V o� Telephone o � ° �'rf 27846 4�j. ¢l ^ y � O�� • 4F � • NE�1 •seooas . oe RE I11r1 CJR -:CK SIEET 'DATi✓ - . Imeets Std.[ Romarlcs . es No DOCUIr`?TITS P, "�b'c:i�y5�o0 � � -.... , . _ - :2 �(� . •.:tea' � <-- -�` • rou3e plans 0. K.` D --sign data sheet ✓ Peres presoaked? !,in. 30" pert test depth Const. results for 3 runs T, �► �; D. Hole log O.K. To Corporate Affidavit for othep than individual P__ Lr:l5 � % r2Z ! Authorization for engineer ! ( letter from Water Supply if applicable ° Nk ! If variance requested -such noted on plans & apps.: l umr O D�ETAIIZ . FILL DE'FiH MCA' SRo�( Existing contours shown (show new contours) Slopes for driveway cuts, etc. shown i•later service line location Footing drain, etc. location Top slope, bottom slope of fill ! ✓ • F% AA3 I_ 1_,s�ow oc ?CIS_• SCPr,c1 r ! +tou.�- ck- �( 1 Percolation . tests and deep test pit location S °otic tank size and conformance to std. ,/ j i cJFFY SD sEEgw ! 3 B.R. house minimum House setback shown 0 f /1 5 �mj Distribution box ftg. below frost All water within 50 ft . of TL shown -- WGLI_ -CASING 12" i)QavE C7kADC ✓ ! su�cJ Ij- � Plan and profile SDS All other wells. and.._SDS .closer ._200' - ; Aj N j ' sho«TA or reference mefle - Property boundaries (metes and bounds - clearly w'" 1 RE�LT`{ SVRDI�;ISfc�l� �� � S QETLA &) t� F n1 rd !SEPARMON DISTANCES SPECIFIED ON PL4N 10' to P.Z. 201* to Fo-andati.on valls too to Nearest well 100` to strez.m, march, lake, etc. incl : expansion 5' to Curtain drain 0' to water line (pits -20 5' to storm drain �0' ' to lart -o trees ✓ 0' i'r�cll J'O .1tioll t0 sc: ptic tank 5' to p.ipr from le"idor drain .1'00L1I1t:' i 1'alll 125 Tn C'r TG} @,Fi s 1 N3 151 WELL T-C, ✓� ' . `= EPiIC_ Z'Rnjk� rG - '�-=Et L_ 1 4— VwU nJ' v r Tnrp.by: _ n - «i?: .c= -'<u: <m.•,:�.._::3t_�'�:` � - ....rr,�- '�%- +t, : ^`•�v R,. ^'- Y—�+r �'.. woke :-• ..--- ��ai::i- �...:.`; a:,�: w`:.m �.: L�.�s� -- ;°KT':...- :`.•iwr��ry,'. +,-_ '�- . -y-:�r a. -.. "ov t INITTAL SITE 111SPEM10 ?: t `T 77- � Y Yes N No C Comments ,Property lines or corners found . . . . . . ' ' - Can estima.tc house _ location . . . . . . . . : . . - `^ Is deep hole representative of (;ntire SAS area ` rU Additional deep holes needed. . . . . . r EPA rc 5 l!— &o-- 0) -L .Ma��\JAL - UI�1S,T ' LO L1 . Conventional trench or bed designs should not be used for rapidly perme- able soils with percolation rates faster than 1 min /in. (0.4 min /cm) (11). The rapidly permeable soils may not provide the necessary treat- ment to protect the groundwater quality. This problem may be overcome by replacing the native soil with a suitably thick (greater than 2 feet) layer of loamy sand or sand textured soil. With the liner in place, the design of the system can follow the design of conventional trenches and beds using an assumed percolation rate of 6 to 15 min /in. (2.4 to 5.9 min /cm) . Conventional trench or bed designs should also be avoided in soils with percolation rates slower than 60 min /in. (24 min /cm). These soils can be easily smeared and compacted during construction, reducing the soil's infiltration rate to as little as half the expected rate (12). Trench systems may be used in soils with percolation rates as slow as 120 min /in (41 min /cm), but only if great care is exercised during construc- tion. Construction should proceed only when the soil is sufficiently dry to resist compaction and smearing during excavation. This point is reached when it crumbles when trying to roll a sample into a wire be- tween the palms of the hands. Trenches should be installed so that con- struction machinery need not drive over the infiltrative surface. A 4- to 6 -in. (10- to 15 -cm) sand liner in the bottom of the trench may be used to protect the soil from compaction during placement of the aggre- gate and to expose infiltrative surface that would otherwise be covered by the aggregate (11)(13). b. Geometry of the Infiltrative Surface Sidewalls as Infiltrative Surfaces: Both the horizontal bottom area and t e vertical si dewal Is. .o -trenc s -and•. beds call act " s- trifiltrative sur -. - - �:faces: - When a• gravity--fed is first put into service, the bottom area is the only infiltrative surface. However, after a period of wastewater application, the bottom can become sufficiently clogged to pond liquid above it, at which time the sidewalls become infiltrative surfaces as well. Because the hydraulic gradients and resistances of the clogging mats on the bottom and sidewalls are not likely to be the same, the infiltration rates may be different. The objective in design is to maximize the area of the surface expected to have the highest infiltration rate while assuring adequate treatment of wastewater and protection of the groundwater. Because the sidewall is a vertical surface, clogging may not be as se- vere as that which occurs at the bottom surface, due to several fac- tors: (1) suspended solids in the wastewater may not be a significant factor in sidewall clogging; (2) the rising and falling liquid levels in the system allow alternative wetting and drying of the sidewall while the bottom may remain continuously inundated; and (3) the clogging mat 215 ± PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUN'T'Y". OFFICE ,BUIii�bING,- `CARMEL, N. _Y'T "10512" „ "t'_DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Steven & Barbara.HefflerAddress 259 Tanglewyde Road bake Peekskill, NY Located at (Street Ridgecrest Road Sec Block Block 2 Lot 22 �Indicate nearest cross street) Municipality. Putnam Valley Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run apse `No. Time -Start -Stop Min. Depth to Water From Ground Surface Start Stop Inches Inches Water Level in Inches Drop in- Inches Soil Rate Min. /in drop (1) 1 10:22 10:25 3 8.00 120'00 4.00 0.75 2 10:30 10:34 4 7.00 10.00 3.00 1.33 3 10 :37 10:41 4 7.00 10.00 .3.00 1.33 4 j (2) 1 10 :42 10 :4.3 1 8.00 11.50 3.50 0.26 �...8 �.... -::. 7.50 11 -0,00 ....__... ., _ 10. ::47�- -10:48 1� _ ....: _.. _ 2..,..Q. -3Q50- _ _.__o.r26.. 3 10:55 10 :56 1 8.00 11.00 3.00 0.33 4... 11:•00 11:01 1 8.00 11.00 3.00 0033 5 l I& b {1 DEPT Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES 2 DEPTH HOLE NO. HOLE NO. HOLE NO. 4- G.L. sandy gravel saddy gravel sandy,gravel sandy -gravel 611 1211 1811 2411 3011 3611 4211 Rack Rock 4811 5411 60" 66 7211 78 8411 INDICATE LEVEL AT WHICH�GROUND WATER IS ENCOUNTERED None, INDICATE LEVEL --TO WHICH----WATER LEVEL RISES::AFTER - BEING ENCOUNZERE -None,....._ Date . _ dy- 1 9,8 -;, ­158-5- DESIGN Soil Rate Used 0-5 b1ixVl"Drop: S.D. Usable Area Provided 4200 SF No. of Bedrooms 2 Septic Tank Capacity 1000 Gals. .9-Typ&,Masonry Absorption Area Provided By 200 L. F.x24" X 3b" Name John S. Romeo Signature Address 1 Northridge Road SEA 1?eeksk'131 N Y, 1_0�66 27.94b THIS SPACE FOR USE BY HEAINH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft/Gal. Checked by Date J. S. EOMEO, PE, 3S QHN .S. ROMEO, _P.C. CONSULTING ENGINEERS &LAND SIJRVY6RS "" r.' 1 NORTHRIDGE ROAD PEEKSKILL, NEW YORK 10588 914757 -1056 July 23, 1986 Ptitnacn County Health Dept. 2 County Center Carmel, N.Y. 14512 To Whom it May Concern: The party involved is requesting a renewal of their health permit #Fy- ,31 -85• Due to Economic reasons along with the arrival of a near baby, the Hefflers were unable to build this year. No changes in the original design or house plans have been made. V o,oA.orA °p.e. An bye , PtE. #L.S. ,3R: r jr L. 1k r t YP�F. F tt_L 4-1 OVTSIOt�_ OG FILL, CNO3j�/ f' w653'SSOJ:) J I V Ok3tivMt�A ' L. lY•t �)F_.0 I�r' n/;vv/.^ CrirY1 PJ= h . 7) pd.: l;,a Wn ° p 4v j tIoJS I i DLZ)631 D.''rn E;,n, i •, N�t: {'�( �, �c o - r I ��L_ OVt,.r�, { A " I . /. a u s ,— r - 1 -- 1 � �1 r1 L_.; � O • Q � t -> ,. r' , .4ev . �.�o. W .._.... .... ._,s ,•...� �:.�.�: ..1 5,(p ' 4 ;��"� s _'•.t.,..,_,&., . .� _ S J f , L , Ll r t' ei eo t = _ _ y' �1 n Lit, i -- --t,—�j, Ft• t t b is •5 ?� Q _}� 1� y. t A � N2Pi° pro 160 .'o._ J. SEPTIC SYSTEM- DESIGNED & SUPERVISED HY � � hr.�{ H✓^ "�a�IV/E �►p C •`�!� "{ny°Rra ry+ �. SQ11 5..RATE CONSULTING ENGINEERS t-e;' �a ,z. _ I,00' GAL•. TANIGj.. • e 3 � TC9W hC',E7� ° �t.t �n� d., h.,'t V A � e fi. • ,f r, t NORTHRIDGE ROAD`S ?AU_ FRE HES pLJt tx tit G� . I* FQo r UroTY r PEEKSKILLi N. Y.' bR►1I AL - I✓lA a �r I y81' R ft_ •;.. Juw t ! 116�1 i( YORK Y r 1 A • tir. scA WT Elle(AL: Al, .. �- NYn}t MIC NO. �:?7�it'.th.,'7f. .., x• ., { .. ...w�,. t. :.� - - .t• .. t i .. ... .... .. ::. ...