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HomeMy WebLinkAbout4079DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.72 -1 -10 & 83.72 -1 -12 BOX 31 I ro I I I I r r Lim ru Is " ru N�' "m :L .' + r.� . 1 r a 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 Soil Rate Approved sq.ft/gal. Checked by Date 11 \s / I. I5 AC. CAL. r AC. CAL. CL 1• l s� i --- ----- - --- - --------- - i! I1 1.55 AC. CAL . �o �p a O a t�T D6 n , �a h V4 00 e s ii _r � f�wrt..wa ` `` i�y mnlwa wKfan •rrp ` � �' � yn�y `1n1f1 \�t W - - . tllyj nl rlD I I I I `x v 5 HILLAIR e� wu �s 6a • D b ` M ` `69 n 6 i` `r � I �1G�-FF��o J ZaPP �R• R-A RaEGj2.E ST 20 h O Q�T. Vo�i.eY,� P1},�,QSrowrl Tf-s°63.14 -1 -41 Lc� ��i o1.1 •;i"1 AP op ME ^ ';;� ro r-� ' M t�•a r Y f l a �, �E c �k a�«' �•�,. �,�y} �� � �`iQ,t•' a.. E{y � %C � .h ,�yL �{• '3i'f i4'��'X'�t71, t�ti x t ,� �� r '�,� �A�`g���L� �� v rr ,�' ? ; A c,�z"�'�✓'�t�fC SZs. �tya'{� ti .� }7�r /�'�. A �t } ' i t't.:• b�. .pia �Sr�p�1 r��'� S��?�� �' .+ > ? 3 �lwrp r+ �..- %!c..�� V al.'s' r�, `,1 kh l� � ^t kt�f ,` t •k �a� 4 { '�, ti' I't ➢y " 1� � {,�.,�C 7"f � •+ p, r t °n'�' � E 'NA �, ,S. FV a,.a xa„ ti,C��.�• •! ',�'"r- 62 :T • dy[.yi.,l .�. 't 4l)�M �:1 � ••'} I).;,,K'. • � y?. � TP r ,i a .•n;r {� t tv t i :l t t` V, is f G.n ` r t Y IAt✓• 4P i µ 4.. 47. .......... . t�f. » ?r•sd�{�.TS`(�,5a.r IN N y . �� • � `q . ��C � ,b !�—. F r �' �pppa1 _ • � Jfa��, +��y J r y i�Cw3�� H t r N, v� -r.'. V. > T� l,'L,pf 1 �ir�rt�lk��•t$ �t":a ! 4 fit. t 4 . 8>Cl Ie'�k F jt1'* _p• ,���\n -�v `t,� \" ., mFf„ \��irL1ii %Ztr'W �• .� \ ,t t 0 �/ � of 1. 3 t Nk 711• , fW h'' vuan �,�1�5�1 l �, -�t�. LT F F tr 1 L � o OF ' ➢ _✓� ,� s ! / ' � r':�C'�0 � � ��a /• . ^/ '� ' s -moo wd �� /. ' 6\ 6 r �p f 5 S i G r o rl , _ y �s', _'r c, �•q,. rY- rYt:��`•.' w*�'}. t .t�', 1 t . t ,i� '.;i.t '' 4 F 41 ..Y.Q,.',Y.. L,eu ?. �, ti, .r .i..'C��� .fur, .t..Xi'��.�•1..:bf -' \. .i. i. .. .. �; i• 1 :7. f, t� r OE�K 3BR. N 7 C> � •io• U w t leC�� 4`0 G.I• PiPa mho GAi -Lofl SEPf1c T'Av4k 4" 4 FVC Pi PC (x2 -35) (-Ir) 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.� 1 i /'��- �IJILT I`1E�.SUfZ�I I�t -ITS o® ®Q® ®moo j 8 / MM®® Box ®®o®® lc)"4 DISTCZZUTiaO M s r o ®®®® ®®®®®®®MM'' -OM-.®®.. f�&i ,0RPTior� Tpok CM (TTP.) � 4 "% ---M®-M 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.� 1 i /'��- �IJILT I`1E�.SUfZ�I I�t -ITS o® ®Q® ®moo MM®® ®®o®® M s r o ®®®® ®®®®®®®MM'' -OM-.®®.. ---M®-M t 7 9 T! fi ....... ... 4 IR Z, T �L n JO V :rrs 0571:4; rtt'LT 14 all 77- st b lldv*4 to" 9: nt and tel I of bank ofill . I 'shall iil . 1: be Do: 09,i Ik rines'. r.-� OtAer, UZI ` -',' . 1'11....,.. I.­­.. place #drcolat I '6*,ra t a !", ftq6rx ict..,�. " r /ar*h shaft, i fill after tJ lerviou%. bar: 1-,. little" or� no, 841;;447 a 1 suitable for eera�e ab Y, viii4- t, of 'the' fill I 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: S �°� b�: s Gig _ .Je lr '�- 3`t� -�1 cral 2 - d�—�d �- s,.6 ac r vs-c A)b PC 0*!. LS Aox"{ss oawa b d•;LOa oc o�• 8 Vie, GA7NER/Ma ROOM JOINING AO / sw. d 1yCSS:.1 1 •�--y . t � � '. A/i a 7 . 1 :. 1 ` .... .., to .• . a _ a (5) 2X 1'2'6 05. I G`f � 0 ,I L• � �. � _ : J Its q 6' r• _.. yM;h r<4 lYOO�tD /bi;Td ,�(j)2x1p''S� 1v (��2K12'S — J .F N 3"4 3rb Vft FLOWEA COLUCT COLUMN (5)U12b N .2x6 A-00A ✓CVsrs C. ov I P 2AP O. , .. - �1[XaL�G Lc I Fc) GA�C.IGG i'- Trs \%A LA YAFt �t �'sTOhn1�