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HomeMy WebLinkAbout4420DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84.11 -1 -25 BOX 33 6 r I - - -.1 1 I , qp ti K6. I r 1 9! 161 . - IL 04420 F ,Me, 777; 7�7,776— 777716�._,­ t�v , .,�;7�� _J PUTNAP COONW'DkP&RTMENWEEWKALTH,- "-,Rev. 3/0-41 Ellfik_n Of "VWiLl1i6fital Health 144r;&" M 1051 ' P JC!H D,Nirlfili RTIF ATE-OF CONSTRUCTION COMPLIANCY F09 SEWAGE I ISPOSAL T" fl�, Subdivision �,N 0;Mr/sPPhc­&nt:Naii6 fwl�A /V"e=�Z?orwerl Lst �PP Date ,P"If -Naffing issued Separste Sewerage System built by —Addiesi. Conals and, dn of--- Gaflon So#& Tank _g ;P0( Water Supplyt Public. SIVP , ly From - Address or: Private Supply y DdHed Address. .:R Building Has E ltro rosibfi"Coi Vb"- Completed? Nqmber of a Has' G"' e,.Gr1ider-1Wn lis taffedt GN Other Requirements ,I certify that the syetem(s) as ;iited, serving the above pr"'es, were constructed iis4nt.. atiCah he, plans of the completed work 1 copies of which are'attachid), and ir�.',accoraance. with the'itandards, rialeP idid-,'ie.16.1ations, in. c& i "t. -fled plan, and the permit issued by the Putnam C6unty Department Of Health. P.E. R.A. Address Cleanse No. Any person occupying .premises. served by the Ili/., shall promptly take -.c;�.ct 40,!*Cure the correction of any unsanitary conditions resulting from such u64G. J�ppib4ai I of the separate "all, i4c n as a pubt—, unitary sewer becomes bommi4islVand 4-;d .*hap_'a comes available. Such approvals are 0 tihen',� a, available and the 40pro4al, oi'. th�a�'k�.fyite'wal& supply: ., - — - P — I. ". u ment,o A_ Ification s enury. subject.to mo�iilcatio'p 4* chan-_-,.WheA, in the J'4" f' he, ommlisioner of. Health c or 'change I no 'go Date Title �4, r PUTNAM COUNN DEPARMERr OF HEALIR DS�'ISION. ' OF MTv'IR01NMENrAL.' HEAL, TH -" SERVICES:. _ ,,,.• _ . r of Purchaser of Building wilding Constructed by Location - Street Municipality Building TypOb -C_J /41 -• 13 r 3� Section Block Lot Subdivision Name `- Subdivision Lot # GUARANME 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 fora period of two years immediately_ following the date of approval of the ....VCL5ftIfioate--of "C ormtructi oh-Comp li6hce ".-f-or° the :sa�aage�d sposallsystan-, 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 thi day of r 1C-V1--419_Z7 Signature Title (Owner) - Signature Corporation Name (if Corp.) Address 0Y rev. 9/85 mk Corporation Name (if rpo Address U pps p � p _.. "IBREWSTER • BOMI Ic Box 224 - BREWSTER, N.Y. (914) 279 -4945 - WATER ANALYSIS REPORT - SAMPLE NO.' 715 7 SOURCE: Joseph Munson Lovers Lane Putnam Valley N.Y. COLLECTED: 12 - 2 - 8 8 BY: P.F. Beal & Sons BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method HOSE BIBB WELL This result indicates the source of the sample was. of satisfactory sanitary quality when the sample was collected. 12 -4 -88 om s Meyer Director 0 per 100 ml. 4 ��'IL OIi. TA1T TTTTATTT WELL LOCATION WrjLL 1AV11rLG11.V" LXrrVtXi Office Use Only DEPARTMENT OF HEALTH nl q"Ir -h Services._= - - onmeta >. ,v...,...,•• -= �.a ._ _.- ­1_7 .• " ;`(� - ... •v.:— w .�..,.. •: PUTNAM COUNTY DEPARTMENT OF HEALTH STREET ADDRESS: "WRIVICLIAG11CIFY TAX GRID NUMBER: hovers Lane Putnam Valley, NY Lot #12 WELL OWNER NAME: ADDRESS: Joseph Munson u a A e ❑PRIVATE O PUBLIC USE OF WELL 1 - primary 2 - secondary IIKRESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR/COND./HEAT PUMP ❑ ABANDONED • ❑ BUSINESS ❑ FARM 0 TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL .O INSTITUTIONAL 0 STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING .9] NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION O REPLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 345' ft. STATIC WATER LEVEL 3� ft. DATE MEASURED 10,/31/88 DRILLING EQUIPMENT 17 ROTARY ® COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑. CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. ® OPEN HOLE IN BEDROCK ❑ OTHER TOTAL LENGTH 7o ft- MATERIALS: 91 STEEL ❑ PLASTIC O OTHER CASING DETAILS LENGTH.BELOW GRADE. 69 ft. JOINTS: ❑ WELDED 19CTHREADED O OTHER DIAMETER 6 in. SEAL: aCEMENT GROUT ❑ BENTONITE ❑ OTHER WEIGHT PER FOOT 19 lb. /ft- DRIVE SHOE ® YES ONO I LINER:OYES ®NO SCREEN DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? DETAILS - . ~ R FIST - ❑ YE$ ❑ NQ HOURS � ` SECOND: ._ _ _ __.. _ .. _ . _. w...... _ ._ _.. �. _ . GRAVEL PACK ❑ YES ❑ NO GRAVEL SIZE: DIAMETER OF PACK in I TOP DEPTH ft. BOTTOM I OEM It. WELL YIELD TEST 11 if detailed pumping METHOD: ❑ PUMPED 1 tests were done is in- 1 j0 COMPRESSED AIR formation attached? ❑ BAILED ❑ OTHER ; ❑ YES O NO �iELL LOG If more detailed formation descriptions or sieve analyses are available. please attach. DEPTH FROM SURFACE Water Bear- ing Welt Dia- (meter FORMATION DESCRIPTION COOE. ft. ft- -WELL DEPTH ft. DURATION hr. min. DRAWOOWN ft. YIELD gpm. Land 5 it ing in overburden clay and bl rs i.t - ock at 50' 345 6 325 6 50 7C 1ri-I.ing i ock set casin route . 70 34'r Eril ing Tin rock granite, WATER O CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS., ❑ COLORED ANALYZED? 0 YES ❑ NO ANALYSIS ATTACHED? ❑ YES ❑ NO STORAGE TANK: TYPE Well Xtrol 302 CAPACITY 86 GAL. PUMP INFORMATION TYPE submersible CAPACITY MAKER 10141d. DEPTH -3n MODEL 5 f +- X07412 VOLTAGEZ.3.Q HP wELLORILLERNAME P.F. Beal & Sons, . AT /18/89 ADDRESS PO Box B SIGF*MRE Brewster,NY 10509 v ��� I FINAL SITE INSPECTION Date /er �• Inspect y �, ,� J. SMiFET IOC.ATION R, i t'V S L4 CWNF-R/ r--S--�L '"" Ui A� OR SUBDIVISION LOT # �°" 7 —/2 1 C nmaiTS I. Sr' WAGE DISPOSAL AREA a. SDS area located as aporoved plans b. Fill section - Date of placement 2:1 barrier_ LGTH WIDTH AVG.DPTH c. Natural soil not strivoed d. Stone, brush, etc., greater than 15' from SDS area: e. 100 ft. from water course wetlands. I II._ SEWAGE DISPOSAL SYSTEM a. Septic tank size - 1,250 I 'b. Septic tank installed level I c. 10' minimum from foundation _ I d. No 900 bends, cleanout within 10 ft. of 45° bend �) e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested �I 2. Protected below frost 3. Minimum 2 ft. original soil between box and trend -ies f. JUNCTION BOX - properly set I g, IFS 1. Length reau, red b Len ' h installed (S� b 2. Distance to watercourse measured : ' ft. 3. Installed according to plan 4. Distance center to center - 5. Sloce of trench acceptable 1/16 - 1/32 " /foot. I I 6. 10 feet from prope.- t line - 20 feet - foundations i 7. Depth of trench < 30 incises from surface 8. -Roan allowed for esransion, I 1 9. Size of gravel 3/4 - 11" diameter ( I 10. Depth of gravel in trench 12" minimum 11.-Pipe ends capped h. PUMP OR DOSE SYSTEMS . -. Size- -o pump. cha -r I (. 2. Overflow tank 3. Alarm, visual /audio I 4. Pump easily accessible manhole to grade 1 5. First box baffled I 6. Cycle witnessed by Health Depp-rtme.*it I I estimated flow per cycle I I I V. HOUSE a. House located per approved plans. b. Number of bedroans a. Well located as per approved plans S b. Distance from SDS area measured ft. c. Casing 18" above grad I CC -� d. Surface drainage around well acceptable. I - I I a. OVE XL WORKMASnIP a. Boxes properly grouted I b. All pipes Bally backfilled c. All pipes flush with inside of box d. Backfill material contains stones < 4" in diameter e. Curtain drain installed accordin to plan I f. Curtain drain outfall protected & dir.to ?xist.watercours ( I g. Footinq drains discharge away fran SDS area 1 h. Surface water rotection adequate i. Errosion control provided on slopes crreater than 15 %. 1 0 ' �. _ .. � �, r'? °"ti ., a "a-.. ' .°u. r v x > ,«�' •'w�;�m�� '�i='�.•.`� . `=o�.. " _ _ r .. _' ..�. .��`.;� °." � ;.6•.' .'." _�-, '::r:ra �' ' :: a .w Ada s� . _. - �` :w. � �.::'. S � i � J � - -_._. �� _ � r i� � ?) � ! I I .� ' ,�.- -._ a +�/ ©� -� —_ .,t t. 4 � PUTNAM COUNTY ftJi' TMENT OF HEALTH Dlvlston of Environmental health Services: Carmel N -.Y 10512. L�gtneei to Provide:Permlt iY on CERTIFICATKOF COMPLIANCE r - Permit N [J CONSTRUCTIO ERMIT FOR; ,WAGE DISPOSAL SYSTEM A;)00020 G1 Subdivision Name LG r �i��// Sabd. Let fl w Tai Map Block 3� Lot ✓:` _�" ~ Y ^~ Renewal ❑ . Revision ❑ Owner /Applicant Name' It/Q3% // Date of Prevtoua Approval p MaUing •Address /' ��/ // ` /Y Town Zip Banding-Type ' Lot Area ' 23 Fw'seetion'.Only. Deptti Volume Number of Bedrooms Design_ Flow GLP/D Do�h PC$D:Notifeation Is Reggi ed When Fill is eompletW Separate.Sew,erage System to,clinstet of GaQon Septic Tank and � G i1 C' r� r� " G� To he contacted by . :: Address Water SaPPbllc Supply From Address or: � � Private Sapply�:I)rilled by' _Addresft� • Othei Requirements _ _ _ represent t a 1 am wholly and' completely. responsible for the design'antl location q, the propb'sed�ssystem(s) .1) .that the separete sewage - tlisposel system above described will be'constructetl,as shown on the approved amentlment thereat and�in accortlance� wdh the staritlartls, rules an regu a ions o e u nam County Department .'o, Health,,. and that. on completion thereof a "Certificate f CAgn kuotfon'sComphsnce isatisfactor.y to•tho Commissioner of Health will tie submitted to the. Department and s , wntten:guarantee,.will be .turn! she the gwnei� his `sucteisors =h"I s dr assigns by the builder that si id :builder will place on good ;operafing condition any _part of Said sewage disposal syste dui °the period ;oftwo`(2) yeari imme0iately'fotlowing the'date of the issu• does ot.the °approval of the,Cert�tic5te, of Construction Compliance oft ;or }nil'ri st m'or any repairs t "hereto 2) that'the tlkilled well tlesciibed above 1. a� will be located. as shownton the approved plan and,that said well will be` install ccord ncetw'It itandar s`'rules and re�qu aeons• of .'.t�. .Putnam County De .r., ent'of"Heaitn• ur d/ c . . Date• Signed P.E._ R9A'; Address License No APPROVED FOR CONSTRUCTION: This approval expires one y r.fro tie, day n u u 1' s cons ction the building' hai been undertaken and is revocable for' use or may be amended or motlifie0 when consider nee Yy by • g m ii n r' Hea_Ith. Any change' or alteration of. construction requires e' permi pp 'veG for' disposal of domestic sanit r 's age', and / r {i a .., 0 su pl , Date BY Title \� n DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL,.N.Y. 10512 (9.14) 225 -3641 CO�I.T.BUCT_�,A__H?ATE.��WE&_.: - - . - PCHD PERMIT WELL LOCATION Street Address T wn Village City Tax Grid Number. Y6Y� /,- / 1e � � g Ca rn % / // _ -3_�, � WELL OWNER' Name Address j �� a� Private Or% �i� p n/ /� ❑ Public USE OF . WELL RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP O ABANDONED 1 - primary ® BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify] 2 - secondary ® INDUSTRIAL O INSTITUTIONAL ❑ STAND -BYE 13 AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED_ /EST. OF DAILY USAGE Fd gal REASON FOR MEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ® TEST /OBSERVATION DRILLING ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING. WELL TYPE DRILLED DRIVEN ODUG ®GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES 0,-' NO IF WELL I°S� LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: e- 5 ) Lot No. WATER WELL CONTRACTOR: Name 0r2 �i7 �G�'j 012 Address : 3ri" -y-/- - IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES b' NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE rTO .;EROPERTY FROM N.EAREST.:.WATER MAIN;. LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ON REAR OF THIS APPLICATION BON SEPARATE SHEET (date) PERMIT TO CONSTRUCT A WATER WELL re This permit to construct one water well as set forth above is granted under 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 3. Submit a Wel Completion Health Depart nt Date of Issue: � 19 Date of Expiration: 19 Permit is Non - Transferrable 910. attached to this permit. Report on a form prqjVjded by �he Putnam.CoWity e mit Is uing Officilff PUTNAM CD= DEPARTMERr OF HEALTH DIVISION OF ENVIRONMENIAL'BEALTH SERVICES - DESIGN DATA SHEET- SUBSUFACE SEWAGE ..DISPOSAL Owner ,116S "// r' / HrI�G 17 Address �'J /�i�� /��G ev' ✓��� Located at (Street)— �G '° S 11-0 .*2 e Sec.,/./ Block Lot 12— (indic;Ate nearest cross street) Municipality Watershed SOIL PERCOLATION TEST DATA,RDQiJIF2ED TO BE SUBMITTED WITH APPLICATIONS Date of Pre - Soaking / Date of PerOolation Test 41- r ,-�,-Z HOLE 3 NUMBER CL= TIME PERCOLATION . .� PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches. Inches 19�. 2 3 4/ �,�Gsi z� 2-t, z3 3 y 4 5 G/ Z 2,10 3 3/a yc JrG y .z � � Z• �. .� 4 5 1 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 suhdtt�!d for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES. _ .DEPTH._ _:HOLE�jypJ _ / HOLE_ HC ??,E IV.,._ 4 G. L. �'j�� 7°e J',) 3' 4' _ 5' 6' 7' 8' 9' 10' 11° 12° 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: 0 /// �� J% DATE:. - DESIGN- Soil Rate Used la Min /1" Drop: S.D. Usable Area Provided j�Gc r✓ No. of Bedroans ,-/ Septic Tank Capacity gals. Type Absorption Area Provided By L. F. x 24" width trench Other 122 G -% i�/ iL �� �✓,� (_`- Name c e- gp4� Address J �l !> / _ �- P'% / } yfi THIS SPACE FOR USE BY HEALTH DEPARTMENT' ONLY: Soil Rate Approved pp sq.ft /galo Checked by Date a Y PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF... -EN.VIRONMENFTAL..'HE T :'SER,VIC. S,' a = ::.r .... •'':� is = -.:.; a. a -1 Re: Property of Date Jam' V j Located, at I�ZIV9 e w e-yi Sectionp /, /�/ 9 Block 3 Lot 12 Subdivision of Subdv. Lot # Filed Map # Gentlemen: Date This letter is to authorize 6s W J r a duly licensed professional engineer P 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 - po.nnec.ti.o.n--w th:•-this--matter -and-to' supervise the conatru islri .nf said. system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. f� Countersitt''gi , a' P. E. , R,AP �x. P-7 Address �r.U;•.. +�;. Telephone Very truly yours, Signed Address Town "��ey- � Telephone PE— ER C. AL- EXANDERS0 r County Executive MM ~ Deputy Commissioner DEPARTMENT OF HEALTH Division Of Environmental Health Services March 23, 1987 Mr. Frank Sullivan 2972 Ferncrest Drive Yorktown Heights, New York 10598 Re: Proposed SSDS Lovers Lane (T) Putnam Valley Tax Map 119 -3 -12 Dear Mr. Sullivan: Review of plans and other supporting documents submitted at this time relative to the above- captioned project has been completed. Comnents are offered as follows: 1. Fill notes are not provided. 2. The footing /gutter drain must be shown extending beyond the SSDS. 3. Since the fill appears to be provided for grading purposes, it is suggested that fill may be omitted with wider trench spacing, say ten .(10.).._feet.. sin, centex..and _ depth._ of trench to assure two (2) foot depth -on low side. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. JK/jP jo -s v I truly, ;John Karell, Jr., P.E. yDirector Environmental Health Services 110 OLD ROUTE SIX CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 _ APPF=DC B PL�14 COUNTY DEP?3RTMU OF HEALTH - DIVISION OF ENVIRObAjR ZAL Hri.LTE SERVICE INDIVIDUAI, WMTER SUPPLY & SUBSURFACE SEW-AGE DISPOSAL SYSMAS 1 �nl• . >. . - •t . 4 {• � x � ,- ..�- ,ry.,�.- .�.... b.` ... �1 �y7� �+r�rT�yga JlitUt:l':LIJL`� "S`l U. - DATE REV=�- WED :. BY: .,L .. (Name of Owner) (Street Location) CCY sENII'S ' Y I NO I DOCUMENTS LF trench provided re ;uire3 60 ft. rra-x Pare lel to contour Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results Perc Hole Depth House Plans - 'rao sets car v s/s SUBDIVISION Perc t (3) Fill cd----� Well .mil permit; PWS letter Variance Request Legal Subdivision Subdivision Approval Check Ex- approval SSDS Adj. Lots Chlecked Wetland (Town /DEC Pen-nit R & D) Data On DDS Plans & Pemit Sarre REQUIRED DELATr S ON PLANS Seaage System Plan - (north arrow) Seaage Systc n Hydraulic Profile - Gravity Flora Fill Profile & Dimensions - Volume. D or J Box;Trench /Gallery; Purrp pit details- Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design D3ta4: pzr c anc1 -e �se_sults: Two-Foot Contours Ex_i:sting . & Proposed Driveway & Slopes Cut Footing /Gutter, Curtain Drains (discharge OK) Perc & Deep Holes Located Representative of prima--y and erransion Expansion Area; shown; gravity flow, suff. size If Pmrned Pit & D Box Shown & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft, of Proposed System Property Rtes & Bounds House Setback Necessary (Tight lot) House Suer - 1 /4 " /ft. 4 "0; Type pipe . No Bends; .Mzx. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED. ON PLAN Fields 10' to P.L., Driveway, Large Trees,Top of fi' 20' to Foundation Walls 100' to Well; 2001 in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. exza 15' to Drains - Curtain, Leader, Footing 35'to catch basin, stonrdrain, piped. watercour 101 ..to Water Line (pitts -201) 50' intermittent drainage course Septic Tanks . 10' from Foundation; 50' to will 15' Well to PL Qinco.of7the %W11 bi 166f APPROVED ,FOR ,-,C'ON�jTRU revocable for cause' or may., 4 ►equiies a nw pormit. A% pl Date. tent th'era to and jn &cc w n, Is!, and regu a ions of.-the.,Pu ham ;4ititi to n r n ad -10 the commi s4oner cr0.',A"tthvwi i ca :ory is 'I u ia' r"Ish idlitely followi WO thectatoo the-Issw *:OU"the IS st to;. i� that, the drill Well de"i"d etiove q , r . A-- 0 wnstallod,�i �- — — : approved an; arid thafi6id,Min d rsduTaTrons of'. the jn P Atltlress w 2-, -.Lice nse No MON: Thisa`pproval,explr6s-t��i is ?,"YPO years from s a building ha� �64'h undertaken amended or'rAod if i6d 4 when 9.eees ►'by the ny change or alteirqt,iom of Conitructlon loved for dispbsil of- domestic' 'i ry sewage, and r -pr' fop" t Title PUTNAM COUNTY DEPARTMM OF HEALTH DIVISION • ENVIRONMERIAL HEALTH SERVICES DESIGN DATA SHEET-SUBSUFACE SEWAGE DISPOSALSYSTEM. FILE- ND. 41/ Owner Address L,- Xl� f, Located at (Street) <z- Sec. Block Lot (indicate nearest cross street) Municipality >�Kzv- Watershed SOIL PERCOLATION TEST DATA REQU= TO BE SUBMITrM WITH APPLICATIONS st Date of Pre-Soaking /f Date of Percolation f Te HOLE NMM CLCiCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In lnclies Soil Rate Start -Stop Min. Start stop Drop In Min/In Drop Inches Inches Inches S 4 5 2 2V Z 4 .5 - 2 3 4 5 N=: 1 Tests -t6: be repeated at same depth until apprcxu'n'ately equal soil rates are obtainedat each percolation test hole. All data to'be subinitt0d for'review.' 2. Depth measurements to be made from top of hole. rev. 9/85 TEST PIT DATA MQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES -,jDEPTH..-,- HOLE NO HOLE;,; NO. 21 31 4- 51 61 71 81 91 10, ill ` 121 13' 14'. INDICATE LEVEL AT WHICH GROUNMTER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RIS AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY DATE: DESIGN Soil Rate Used Min/1" Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity gals. Type Absorption '5-ZC Absorption Area Provided By 1 L.F. x 24" width trench Other Iskiluls sv ,r Name Signa Address X0.2459 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY L Soil Rate Approved sq.ft/gal. Checked by Date JOSEPH F. SULLIVAN, P.E. eonstai�tiny �n9fncet 2972 FERNCREST DRIVE. =,��; ». i.,•.:u' v� " . =id'. r•:� t� - '•i=L:I - w.:r.' err �+ = * "" YOf K OWN HEIGHTS, N. Y. 1OS98 (914) 962 -4248 ell- PETER C. ALEXANDERSON County Executive Public Health Director JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL Jr., P.E. DEPARTMENT OF HEALTH Director Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 September 7, 1988 Joseph F. Sullivan 2972 Ferncrest Drive Yorktown Heights, New York 10598 RE: Proposed Revision SSDS: Munson Lovers Lane (T) Putnam Valley TM# 119 -3 -12 Permit # PV -15 -87 Dear Mr. Sullivan: Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: 1) System is in new location, therefore it is necessary to dig new, deep test holes and run new peres. 2) Expansion area is shown to be in an area with slopes greater than 25 %. 3) Lenghts of trenches shown are not to scale. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, Lawrence C. Werper� Assistant Public Health Engineer LCW:jz -PETER C.'AIEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Mr. Joseph F. Sullivan 2972 Ferncrest Dr. Yorktown Hts., NY 10598 Dear Mr. Sullivan: August 16, 1988 L(,J ENID L. CARRUTH, M.P.H. Public Health Director JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL Jr., P.E. Director Re: Proposed Revision SSDS— Munson Lovers Lane (T) Putnam Valley TM #119 -3 -12 Permit #PV =15 -87 Review of plans and other supporting documents submitted at this time relative to the above — captioned project has been completed. .Comments are offered as. follows: ..1)...A- losing,Ior alternate design is necessary with over 500 linear feet of fields. 2) Show SSDS's within 200 feet of new proposed well location and wells within 100 feet east of proposed SSDS. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. LCW /kv Very truly yours, Lawrence C. Werper Assistant Public Health Engineer ic-erz V rdc i O 0'� e�. 750. d v' _ i � M ?I - 1 a - rr ' &-V a. . ov' 0 SGI i 4b a V �- .5 C.d h � Q 4 ® C v j .G� Jim• Putnam County Department ui Healtd ffidislon of Environmental Raalth Servlcea Approved as noted for co- -_ormance with applicable Rules and Reg lations of the Putnam County Realth Department. R �N �1 AS- BUILT SEWAGE DISPOSAL SYSTEM- /0 d.sc� yj //N/J�on Loye•r9 Lark �rJ�prr7 ya� /Gf SUB—DIV. La /c _✓i' �o/ /2 T. M.., N0. / /s_ 3 -/a DATE JOSEPH F. SULLIVAN P.E. YORKTOWN HEIGHTS, NEW YORK 3 y 9s _. i4 Ja3 __...._.. 12G~ 12S y 6S 6G is 64 67 Putnam County Department ui Healtd ffidislon of Environmental Raalth Servlcea Approved as noted for co- -_ormance with applicable Rules and Reg lations of the Putnam County Realth Department. R �N �1 AS- BUILT SEWAGE DISPOSAL SYSTEM- /0 d.sc� yj //N/J�on Loye•r9 Lark �rJ�prr7 ya� /Gf SUB—DIV. La /c _✓i' �o/ /2 T. M.., N0. / /s_ 3 -/a DATE JOSEPH F. SULLIVAN P.E. YORKTOWN HEIGHTS, NEW YORK