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631- 589 -8100
83.72 -1 -10 & 83.72 -1 -12
BOX 31
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Lim
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04079
I { .
PUTNAM COUNTY DEPARTMENT OF HEALTH
Rev,;-' 3186.. Division of Environmental Health Services, Carmel, N.Y. 10512
a Engineer Must Provide
V P.C.H.D. Permit N - - -39
Located
Owner /applicant Name RIG1'FMH:L ! J. jC=MP sl E. Formerly Subdivision Name Subdv. Lot a
Melling Address 5 R IQGF4?-FST &AD ZIP_ /06 67 Date Permit Issued
"iK e ftFewsra LL. Y.
Separate Sewerage System built by [ZIC-AAPD J, ZAPP ,;? • Address
Consisting.of I ZGp Gallon Septic Tank and 33& L. f of 21 U IbP A5609 r J "T7ZEa1G-1
g9, 2 Town or VWrge ro 11 7- P.Y,
Tax MaPQ 5 A&A Block 1 Lot , 41
Water Supply: . Public Supply From Address
or: A Private Supply Drilled by Aft XWrJ Wes- Ci2q. w dress I SZ 6ARGF—R 41: FLr, VALLG -!
Building Type 51^6LE EMILY RE510Eh�E Hue Erosion Control Been Completed? r�S
Number of Bedrooms Has Garbage Grinder Been Installed?
Other Requlremente
I certify that the system(s) as listed serving the above
premises were constructed eeaenti 11 a shown on the,plana of the completed work (copies
of which are attached), and in accordance with the standards, rules and regulati a o ddnce with the filed plan, and the permit issued by the
Putnam County Department O He th.
Date Certified by P.E. R.A.
AddressCA5R+PJ ASSOiL, P•G.. KD�- kR ZZ- tBRP.sJSrffZ /►i_1. 112 5o9Llcense No. 6-744Co
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 sewerage system shall become null and void as soon as a publ': unitary sewer becomes
available and the approval of the private water supply shall become null a v id when a pub at :tion, pply becomes available. Such approvals are
suD)eet to mod teat on or change when, in the judgment of the Commi a oofHealth; a evo modification or Change Is necessary.
Date By �'V�^' Title �'•�_
PUITQM COUM Y DEPART OF HEALTH
DIVISION, Or F+LYti�D1JZ'1�`�rAii - .h "�ar,'1F1 '.JGt�`rll�ti. '• « .,.::.q...�. ;:...�..
?-%C*A1ZC> J. ZAPP J� -
owner or Purchaser of Building
IZT'( - COBS —.
Building Constructed by
Location - Street
F,14( er;m jr6&PT. VALLe� 1
Municipality
Building Type
10,tI
Section Block Lot
LR&W- Pr'EV-Sj-ILL Sec. F. L vm 41 -So
1C4P&TtPt0,jTA1.. dre.LA615 T01AP 0 L"T 82
Subdivision Nacre
Subdivision Lot # a
GUARA= OF SUBSURFACE SEWAGE DISPOSAL SYSTER
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 cwner, his successors, heirs or assigns, to place in good
operating condition any part of said system constructed by me which fails to
epez-ate for a `pericd of two years immediately following the date.,of approval of the
"Certificate of �on`sfruct on Compliance" 'for the swage dispo- systi�ri; 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 Environmental Health Services of the Putnam County
Department of Health as to whether or not the failure of the system to operate was
caused by the willful or negligent act of the occupant of the building utilizing
the system.
Dated this OZO day of ploy. 19 94 Signature
Title
General Contrac ,pf Signature
Corporation Name (if Corp.)
(-lQ' aC-2a-r F &AC5
Address
LAY-0
rev. 9/85
mk
Corporation Name (if Corp.)
15 R%oc ee-Tz ST 1P6Acb
Address
fos5i
�
YML ENVIRONMENTAL SERVICES '
321 Keair Street
Yorktown Heights, N.Y. 10598
(914) 245-2800 '
Albert H.padovaniy Dirqctor,
ZAPP, RICHARD DATE/TIME TAKEN: 11/28/94 11:00
2495 BOUND BROOK LANE ' DATE/TIME REC'D: 11/28/94 11:45
Yuxx/uwm, NY. 10598 REPORT DATE:' 11/30/94�
PHONE: (914)-737-483 '
'
SAMPLING SITE: #5 RIDGECREST RD BATHROOM SINK SAMPLE TYPE..: POTABLE
:.LAKE PEEKSKILL, NY PRESERVATIVES: NONE
COL'D BY: RICHARD ZAPP TEMPERATURE..: { 4C
NOTES... COLIFORM METH: MF
DATE FLAG PROCEDURE RESULT NORMAL-- RANGE
11/30/94 MF T. COLIFORM ABSENT /100 ML ABSENT
COMMENTS: `
BACT THESE RESULTS INDICATE A
SATISFACTORY SANITARY QUALITY ACCORD THE NEW YORKSTATE
AND EPA FEDERAL DRINKING WATER�STANDARDS, FOR THE PARAMETERS
TESTED, AT THE TIME OF COLLECTION.
u
`
�
SUBMITTED BY:____ ` ------- ---------
� Albert-H' t /M.T.(ASCP)
Director
ELAP# 10323
WILL k�UIvIrLL11VIN E�..ZrUml Office Use Only
DEPARTMENT OF HEALTH
45i�it
PUTNAM COUNTY DEPARTMENT OF HEALTH
STREET RESS: WN1 I QXt 1 TAi GRID NUMBER:
WELL LOCATION 41
"t A 11-S
WELL OWNER
NAML rl ADDRESS:
4(e. C r- -e
BIVATE
0 PUBLIC
USE OF WELL
1- primary
2 - secondary
P-9'ESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR/COND./HEAT PUMP ❑ ABANDONED
❑ BUSINESS 0 FARM ❑ TEST/OBSERVATION 0 OTHER (specify)
C3 INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND-BY 0
AMOUNT OF.USE
YIELD SOUGHT gpm.1N0. PEOPLE SERVED _/ EST. OF DAILY USAGE gal.
REASON FOR
DRILLING
.[]REPLACE EXISTING SUPPLY - []TEST/OBSERVATION [JADDITIONA SUPPLY.
gNEW SUPPLY (NEW DWELLING) []DEEPEN EXISTING WELL
DEPTH DATA
WELL DEPTH. "00 _ft. 1
STATIC WATER LEVEL
DATE MEASURED* _SAV/94/-
GRILLING
EQUIPMENT
Q40TARY * ❑ COMPRESSED AIR PERCUSSION ❑ DUG
❑ WELL POINT. ❑ CABLE PERCUSSION ❑ OTHER (specify):
WELL TYPE
'O SCREENED Q/OPEN END CASING ❑ OPEN HOLE IN BEDROCK 0 OTHER
CASING
DETAILS
TOTAL LENGTH ft
MATERIALS: &SfEEL ❑ PLASTIC ❑ OTHER
LENGTH BELOW GRADE t 16' ft.
JOINTS: ❑ WELDED QkHREADED 0 OTHER
DIAMETER in.
SEAL: OtEMENT GROUT 0 BENTONITE ❑ OTHER
WEIGHT
PER FOOT Ib./ft.
'DRIVE SHOE 0 YES 0-110
LINER: 0 YES 2110,
SCREEN
..
DETAILS ...
DIAMETER (in)
'SLOT SIZE
LENGTH (ft)
DEPTH TO SCREEN (if)
DEVELOPED?
FIRST
: �
- - --- - ._
-
.. _... ,
HOUfiS
SEC ONO
GRAVEL PACK
❑ YES
0 NO
GRAVEL
SIZE.
DIAMETER
OF PACK in.
TOP ft.
BOTTOM
DEPTH - It.
WELL YIELD TEST If detailed pumping
MET)IOD: ❑ PUMPED tests were done is in-
1p/COMPRESSED AIR formation attached?
0 BAILED ❑ OTHER i 1:1 YES 0 NO
WELL LOG
if more detailed formation descriptions or sieve analyses
are available, please attach.
DEPTH FROM
SURFACE
water
Bear-
ing
well
Ola-
meter
In
FORMATION 'DESCRIPTION
CODE
It .
ft.
WELL DEPTH
ft.
DURATION
hr, min.
DRAWOOWN
ft.
YIELD
9Pm_
d
S Lanurlace
S
(0
QV-t4 IQ LA V_
0
0 r ci k, ft
,A 00
WATER 0 CLEAR TEMP.
QUALITY 0 CLOUDY HARDNESS
0 COLORED ANALYZED? 0 YES ❑ No
ANALYSIS ATTACHED? 0 YES 0 NO
STORAGE TANK: TYPE V)P_ I/
CA I PACITY GAL. Qd&
PUMP INFORMATION
TYPE S 2:N��
MAKE
MODEL
CAPACITY
DEPTH
VOLTAGE 232 tip
ELLORILL7ER AME DATE
ADDRESS SL&TURE
V(411'eLl
J/89
F Cl IIAI[001011'1'l:DOlARl1�[fIOFERAIM
p D W—, dmm baomm so"Swvbw& Qmm@ . N.Y. low � a hsfld
( 1lQ1CAIM OF C�
�.�
.�.:.,._91= Sa^.�,.: :..�,. auk— I
coi.,-fir,�era�o,l. �t.LAi�lr r�P� i'r LoT 82•
.0 wime/ !limp IZI C-IAA� 3, 2� JZ . Dateew.i� ❑ De.krba ❑
4M�
Des of PMvisfn Approved
1� Aditaa 2485 y6u y f-rcow L.Ame. Tow. 102KTn Wry T �. zip /0590
1dh1fitD TYP CWE FAMILY RG- I=-IDCJJCE IM Am ��27Co �.� F® Ssc1M
ab' Dept6 Vdaae
Nh�hag d eeieasea 3 Dadps Fkhw G P D 6OCR P® NtlOcadn Is Wqu4ed Whew Fm Is amoldald
S..waD. silt. to a�aYt d Icx�o Gaia� Sapdo Tuk fld 33 W IoE at3�ai =Pig c�..i T�.s�,. t u-!
WaMr wpb Fear Addisma
M X wl.. o 2 gob Dad IwTQ SE� L;�'f• Adireas
Olhae G.E!W -6s 50' M,.+, 6F'A4jrJ(% zr R,o.S. PILL- (z81e.Y�
1 fgWO M :that 1 am wholly ant ewrnpletely rOWnsible for the design and location of the proposed systern(s) l 11 that the separate awe • dif osal f Ram .
above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regu a one o u
Oonmty Daplrtnwnt of 1haRh. and that on completion, thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill
be tlrbrnittet to the Department, ant a written awantee will be furnished the ow11p. his suegsaors, hetrs or assigns by the bulkier. that aid buUar will
pia M good operettas conditfon.any part of said awage disposal ISV�AM during t Whthe rhedletely folawing the ate of the law aha W tM approval of tM CertNkate of Constructbn Compllenp tM.a i bs thereto (that tM drilled oral dataibet adova
wM N located as Mower On the app►ew0 oleo and that saki oral will be anda/ds. and /agY ns of the PutMm
County DapeR of ""NIL
Date a 1 (� . 1 SiMed \ P.E. � R A.._
Qyung zZ, V Liceme No
APPROVED FOR CONSTRUCTION: This approval expires two s 1►om the date issued unless construction of the building has been urkieltakan and If
revocable for cruse or may be amended at modified when coma necessary by the Commissioner of Health. Any change or alieatbn of construction
Mulm a new. mIL. Approved for disposal of domestic` ,ary sewage, and' prate water supply only.
10/88 Oats gJy, Title
" . -.
DEPARTMENT OF HEALTH,
Divi- -on of Environmental Health Sei_rces
4 Geneva Road, Brewster, New .York 10509
(914) 278 -6130
PCHD PERMIT #
WELL LOCATION
Street Address Town/Village/City Tax Grid �Number
� � ,� �A� fL" -�P,n VAt-LCIr J iNILIf FOjJtl '��� '` 1- f(�io1 '4 PL� .
WELL OWNER
Name
ZAPP
Mailing Address Private
s415 CBeoo1F 1..&.. Y&g*Tb dj Nrb . i6sm 9 O Public
USE OF WELL
1 - primary
2 - secondary
' RESIDENTIAL
® BUSINESS
O INDUSTRIAL
O PUBLIC SUPPLY O AIR /COND /HEAT PUMP ® ABANDONED
O FARM O TEST /OBSERVATION O OTHER (specify
0 INSTITUTIONAL O STAND -BY
AMOUNT OF USE
YIELD SOUGHT S gpm /# PEOPLE SERVED 1 fA,m. /EST. OF DAILY USAGE�S6 gal
® REPLACE EXISTING SUPPLY O TEST /OBSERVATION 12-ADDITIONAL SUPPLY
NEW SUPPLY NEW DWELLING1 ® DEEPEN EXISTING WELL
REASON FOR
DRILLING
DETAILED
REASON FOR
DRILLING
WELL TYPE
DRILLED
® DRIVEN
®DUG ® GRAVEL 0 OTHER
IS WELL SITE SUBJECT TO FLOODING? YES _ � NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:
r•,l a� P 1-� ,� Lot No. 192-
WATER WELL CONTRACTOR: Name 'ra Address:
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES __>< NO
NAME OF PUBLIC WATER. SUPPLY: _ ���5 TOWN /VIL /CITY
- MkIDISTA:CE -I PIP°PTY FROM NEAREST WATER' N :
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIE7
ON SEPARATE SHEET \
iolu-113 — - \' I fi��
(date) s
PERMIT TO CONSTRUCT A WATER s
74
This permit to construct one water well as set forth above is grant nder the provisions
of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within
thirty (30) days of the completion of water well construction, the applicant shall:
1. Pump the well until the water is clear.
2. Disinfect the well in accordance with the requirements of the Putnam County Health
Department attached to this permit.
3. Submit a Well Completion Report on a form provided by the Putnam County Health Department.
During all well drilling operations, the applicant
any and all water or waste products from such well
property and in such a manner as not to degrade o
Date of Issue: l /�% 19413
r
Date of Expiration 1 19
Permit is Non - Transferrable
3/89
shall take appropriate action to assure that
drilling operations be contained on this
r other - ise contaminate surface or groundwater.
Permit Issuing Official
White copy: HD File Pink copy: Owner
Yellow copy: Bldg. Insp. Orange copy: Well Driller
' REGISTERED ?TAIL
!! RETURN RECEIPT REOUESTi
Date
..._ Building_Insoector.
�.
To►.�i•� of PHw P�'eu.+rl `' `� ; .. � . "• � :l
Re: Construction Permit for single family
residence
Applicant _R� crisp ZI•PP J �?
Street _[zI e zg!Qla���7
Town Q!tlM!-f�
.' 93• ig -1 — 41
Dear
This Firm' Q as) submitting.an application to construct a sewage disposal system.
serving a single family residence on the above captioned property, to the Putnam
County Department of Health. In order to process this application the Health
Department requires that the following information be obtained from your office:
1. Prior to your issuance of a building permit
A)• Is Zoning Hoard approval required for any variances?
Yes no
B) Is any portion of the parcel located within a regulated wetland or its
control area, and if so is a wetland permit required?
•
you -___ No
C) Is any other local permit or approval necessary?
• Yeses so
X1-the- answer. Ao- any" ' -a - .tJh&., quest cas above. lz yose please. ,contact the, Health,
Department in vriting or by phone, 278 -6130 within 15 days of the date of this
correspondence.. If the answer is no, you need not respond to this
correspondence.
Name
Health Department Inspector
JK /jp
wetland bh
Q-' Uf,�- ✓any /"' _ ",
Very truly yours,
2a P
Engineer, Archi eat Owner
V �Y
Z+ti,5 hocJrlfl 1�TZ�K- t-P- .
�OiZVcTpyJ/�- ATS.
0
.j
P
a
4 �
'�6.
Fold at line over • •
right of the retL ril
.. r
P 887 203 26 �` ;t
let
Ow W"
1
n�2- . ier-\ F0 ►J
°w � �v ► � � �� I rJ `� t�ELTb�
1
.
i
1
�
u
6E :Zl f �J 6Z tiON E661
SOAR HilliVIH 'AN],
A! Nnoo Hvi\!-Lnd
• I�1
Cashin Associates, P.C.
Engineers and Architects _
Hauppauge, NY • Brewster, NY a Verona, NJ
November 11, 1993
Mr. Bill Hedges
Department of Health
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Re: Construction Permit for
Richard J. Zapp, Jr.
Ridgecrest Road
Philipstown /Putnam Valley
Dear Mr. Hedges:
I am in receipt of your comments dated November 3, 1993 regarding the above
referenced construction permit application. Please note the following revision
which have been made in response to your comments:
1) The fill notes have been updated.
2) The footing and leader drain has been shown.
3) Referenced to a garbage disposal unit has been removed from the
floor plans.
4) A .clean -out detai 1 has been added.
5) The P.U.C. pipe running between the septic tank and distribution box
has been specified as SDR -35.
6) A minimum separation of 50' has been shown between the proposed well
and septic tank.
7) A 2' minimum solid pipe has been shown between the distribution box
and the beginning of the perforated leaching field pipe.
8) A 10' separation has been shown to the driveway.
9) A detail of the leaching fields has been shown at a scale of 1 " -20'.
Please note:
The adjoining property to the south, in Putnam Valley, with frontage on
Elinor Place is a summer home only, with water service from the Lake
Peekskill seasonal water distribution system. This property has no well.
Enclosed for your review and approval are five copies of the revised
S.S.D.S. plans, two copies of the revised floor plans, and a completed
Form PC -1.
BO Pompton Avenue c Verona, NJ 07044 a 12011 239 -1400 a Fax: (201) 239 -9262
...Mr. .:Bi11.1_�Hedges
Page 2
November 11, 1993
Please be advised, the Continental Village Subdivision, Map 17, is
designated as filed Map #372Q and was filed with Putnam County on July 9,
1956. Also the Lake Peekskill subdivision, Section F, is designated as
Filed Map #185F and was filed with Putnam County on May 28, 1929.
If you should have any questions, please do not hesitate to call me at (914)278-
2500 or (201)239 -1400.
Sincerely,
CASHIN ASSOCIATES, P.C.
Richard
RJZ /jg
Gen12
Enclosure
Cashin Associates, P. C. • Engineers and Architects
RECEIVED
PUTNAM COUNTY
ENV. HEALTH SRVCS
.iI993 POV 15 FI-I 2-, 51
N
PC
P UT NAM C O UN TY n E PART M EN T O F H EA L TH
APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM.'
1. Name and Address of Applicant: Zp�pP jR .
2495 dui a-D Zizc oy- L-A.
ADS FkSPAtze:-Z::, Fot`
2. Name of Project: ZAPP JR.
' Pli ► �.� PSTO W n� /
3. Location(DV /C:
4. Project Engineer: C-Abk4ir1 A`.f SATES P. L• 5. Address: P.1] 6 2T. 2Z
�Le a.l�j'E►Z N�. I O So°1
License Number: (o—M 4 Phone: Z *r3- Z600
6. Type of Project:
_ Private /Residential Food Service Commercial
Apartments Institutional. Mobile Home Park
Office Building Realty Subdivision Other (specify)
7. Is this project subject to State Environmental Quality Review (SEAR)? 90
Type Status (Check One) Type,I.. Exempt
Type II. Unlisted
8. Is a Draft Environmental Impact Statement (DEIS) required?
9. Has DEIS been completed and found acceptable by Lead Agency? ........... f�
10. Name of Lead Agency tJ1�
'11 I5'tfl'15 project' in an area under the control of` local planning, zoning,
or other officials, ordinances? ......... ............................... YES
12. If so, have plans been submitted to such authorities? .................. tic
13. Has preliminary approval been granted by such authorities? ►�� Date Granted:
14. Type'of Sewage Disposal System Discharge...... Surface Water _,Ground Waters
15. If surface water discharge, what is the stream class designation ?........ IJ
16. Waters index number (surface) ..... .... .............................
17. Is project located near a public water supply system? .................. 1-40
18. If yes, name of water supply a• Distance to water supply t� A
I :1.
r
Is project site near a public sewage colle'ct'ion or disposal system ?..... t�O
Name of sewage system N �A Distance to sewage system , 1�
Date observed: ,4, 23. Name of Health Inspector: 1�
1'4. Project design flow (gallons per day) ....... ............................. ( 00 G Pp
2•,
25. Is State Pollutant Discharge Elimination System (SPOES) Permit required ?.. 11A0
26. Has SPDES Application been submitted to local,DEC Office? h Ll
27. Is any portion of this project located within a designated Town or State _I_
wetland ? ..................... ...................... .................
28. Wetland ID Number .........................................................
29. Is Wetland Permit required? ............... ................ O
Has application been made to Town or Local DEC Office? r4 Ca .
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 disposal,
landfilling, sludge application or industrial activity? ........ YES or NO
32. Is project located within 1,000 feet of existence of abandoned landfill,
hazardous waste site, salt stockpile, landfill,. sludge disposal site or
any other potential known source of contamination? ..............YES or NO f`�O
DESCRIBE:
33. Is there a local master plan or file with the Town or Village? :.......... 1_...
34. Are community water, sewer facilities planned to be developed within 15 years ?_
.35. Are_any sewage . disposa.l.areas in..excess of 15m*-* slope? ...
...
U. Tax Map ID Number ............ : ............. ..................3,14. -,l..t ,....
37. Approved Plans are to be returned to: ................ Applicant Engineer
If the apAlication is signed by a person.other than the applicant shown in Item 1, the
app i*t n a.st be accompanied by a Letter .of Authorization. Failure to comply with this
pr --*on maw be grounds for the rejection of any submission.
U"
#er6by affirm, under penalty of perjury, that information provided on this
em Ps true to the best of my knowledge and belief. False statements made
ereiare punishable as a Class A Misdemeanor pursuant to' Section 210.45 of
�-e f a 1 Law.
SIGNATURES & OFFICIAL TITLES:
MAILING'ADDRESS:
s y1
PuM M COUNTY DEPARTME T OF HFALZu +l'
DIVISION OF. ENVIRONMENM HEALTH SERVICES
DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM
FILE NO.
Owner Rrc �P �fl J. 2kf::�p jf-• Address -�q'�5 fev�
Located at .(Street) F-i LYmeG2t✓ - PraAfl Sec. 83, i 2 Block j LO
(indicate nearest cross street)
Municipality I�(117�IAM VALE Y � R4 I Watershed
SOIL PERCOLAT•.ION TEST DATA PIWIRED TO BE SUBMITTED WITH APPLICATIONS
Date of Pre- Soaking 118 9 3 Date of Percolation Test �{ 9 9 3
HOLE
30
2�
21
3
NUMBER CLOCK
TIME
PERCOLATION
PERCOLATION
Run
Elapse
Depth to Water From
Water Level
No.
Time
Ground Surface
In Inches
Soil Rate
Start -Stop
Min.
Start Stop
Drop In
Min/In Drop
Inches Inches
Inches
1 i :!5q
-7
233 2-7
2 Co Xt
2 1:41 - ► :sue
1 3: I�'I - 3: icv
21
2 3
s Z:
31� 7- Z %
�i
2� '14
42: a4- 2�s5
Zq
zZAD
5 2-:55.3: 2S
30
2�
21
3
10
Z 2 Z :,2 -Z*Zl
15
3 Z: 25- 2 : 35
-j
2914
21 /
4 -0-540-
5 2 :51- 3' 1 2.
2 -1
2�J
2 Co Xt
1 3: I�'I - 3: icv
21
2 3
2
3
4
5
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 J'; 1A REQUIRED TO BE
DESCRIPTION OF SOILS EN
DFPM HOLE. NO HOLE. NO. HOLE M.
G.L.
ToPSdi iri> P601 0
1 10
21
31
41
59
61
71
91
10,
121 :<
m rn
131 r, >,n
r--
141
INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED
Uj
INDICATE LEVEL To WHICH WATER LEVEL RISES AFTER BEING MKOUNTERED fJ
DEEP HOLE OBSERVATIONS MADE BY (208eX7- Mc42P-5 DATEc -4/a/95
DESIGN
Soil Rate used 6 I Min/1 Drop: S.D. Usable Area Provided -SCOO -,-F,
No. of Bedroans J peptic Tank Capacity IC)6)0 gals'. Type A5a-'??'
Absorption Area Provided By 333 L.F. x 24" width trench
Other ctr--pfs - nLT-$ CE ScS 2.0. 15. cze>i
Name Signature
6a, UA, L-7-10c4A
Address
SEAL
'0�,,4x,
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: pp 6 714 OFES31
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AS- BUILT-
1. This is to certify that the sewage disposal system wa!
constructed as indicated{ on this plan and that the sys
inspected by Cashin Associates, P.C. before it was coves
The system was constructed in accordance with all sta
rules and regulations ofl_the Putnam County Department
Health and the New York, State Department of Health.
2. The SSDS consists of the, following 12�ogallon precast
concrete septic tank, 1� l.f. of 24' wide absorption
trench additional requirements �3�• c�ea. %o �Tb , 2' R.o.�
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AS- BUILT-
1. This is to certify that the sewage disposal system wa!
constructed as indicated{ on this plan and that the sys
inspected by Cashin Associates, P.C. before it was coves
The system was constructed in accordance with all sta
rules and regulations ofl_the Putnam County Department
Health and the New York, State Department of Health.
2. The SSDS consists of the, following 12�ogallon precast
concrete septic tank, 1� l.f. of 24' wide absorption
trench additional requirements �3�• c�ea. %o �Tb , 2' R.o.�
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APPENDIX 3
PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS
REVIEW SHEET- for. C.ONSTR IqN PERMIT �
,.
J OWNER �EI LOCATION
3Y - DATE ®/ 3 �� TAX MAP #
DOEUMEAaS.
P�MNIlT APPLICATION
. PEi;Lwr;L - J PWS LETTER
VEERS AUTHORIZATION
JN DATA SHEET(DDS)
HOLE LOG
ISTENT PERC RESULTS (3)
ISCHARGE (OK)
PERC & DEEP HOLES LOCATED
�RESENT'ATIVE OF PRIMARY AND EXPANSION
M EXP. AREA; SHOW`i; GRAVITY FLOW, SUFF.SIZE
ED PUMPED PIT & D BOX SHOWN & DETAILED
OUSE - NO.OF BEDROOMS
�O
LLS & SSDS'S NVAN 200 FT. OF PROPOSED SYSTEM
PERTY METES & BOUNDS
PERC HOLE DEPTH. ® 0 SE SETBACKINECESSARY (TIGHT LOT)
�RPORATE RESOLLTION i► � USE SEWER - I!41"/FT. 4 "0; TYPE PIPE
S THREE SETS 9HP
OUSE PLANS - ?WO SETS NO BEADS; MAX. BENDS 45 W /CLEA\OLT
13 VARIANCE REQUEST r A- FILL SYSTEVfS
GENERAL YBARRIER
LEGAL SLBDMSIOiti FT HORIZONTAL: SLOPE 3:1 TO GRADE
SI�EHI�7iSION'�P�V�L'iFIECT�3� '=' FILL SPECS
ERC RATE DEPTH GAUGES 004
�L REQUIRED 'FILL PROFILE & DL�fENSIONS
p CURTAIN DRAIN REQUIRED mSTANDPIPES VOLUME
TRENCH
n EX- APPROVAL SSDS ADJ. LOTS TRENCH PROVIDED
LF
D WETLAND (TOWN/DEC PERtifIT R & D) 0 FT MAX
PD TA ON DDS PLANS & PER�IIT SAME �2i9691i1;ICI3BORIUOATION ARALLEL TO CONTOURS
LETTER BI/ZBA 100 °�o EXPANSION PROVIDED
u 100 YR. FL0OB ELEV— A Twr�.
SEPARATION DISTANCES SPECIFIED ON PLAN
E UIRED DETAILS ON (PLANS 0' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL
SEWAGE SYSTEM PLAN - (NORTH ARROW) F50'TO 0' TO FOUNDATION WALLS
SSDS HYDMULIC PROFILE m GRAVITY FLOW 0 TO WELL, 200' LEI D.L.O.D., 150' PITS
D/ J BOX W TRENCH/GALLEY M P- PR DETAILS 0 TO STREAM WATERCOURSE LAIC (INC.EXPAN)
SEPTIC-TANK -SIZE, DETAIL CATCH BASIN, 35' STOR3,fDRAIN, PIPED WATER
VELLDETAIL, SERVICE LINE IF OVER ' TO WATER LINE (PITS -20')_
CONSTRUCTION NOTES (GRINDER RATE) INTERMITTENT DRAINAGE COURSE
DESIGN DATA: PERC AND DEEP RESULTS 200 FT. RESERVOIR, ETC.m 150 FT. GALLEY SYSTEMS
TWO -FOOT CONTOURS EXISTING & PROPOSED SEPTIC TANKS
�t,D.,RIIVEWAY & SLOPES CUT 10' FROM FOUNDATION; 50' TO WELL
= fet,�lyMGiGUIZ:ERfCiIRTA°I \DRAINS `YELLS
ETJ15' WELL TO P.L.
)MMENTS:
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