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HomeMy WebLinkAbout4446DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84.14 -1 -19 BOX 34 11 r III m Rev PUTNAM COUNTY DEPARTMENT OFREALTIH 4F Division of Environmental Health Services, Caimeili N.Y 10512 Engineer Mdet Provide P 6 [� 8,3 P.C.H D Permit # j� Put Va� --'a RTIFi . x SDFz£O:tS5T iwG �f ?;,r0:�il'l�Yt YCE FOR:SEWAGE DiSP!OSAT SYST lYt r: - Town or Village Located at C1 ndys I,ane - TAX Map�loek�_Lot- ,� Owner /applicant Name JOB P: d la - Tml S k i Formerly H., C fp* �i -M r. Subdivision Name Y ' Sribdv:' Lot # 7 Maii6liAdd.- Cindy'a',��ne, .Put'',: :Valley::�p 10579 nateeermirissaea 919/86 Separate Sewerage System built by C 4 r n Yi 2 g a n, Address -2 Z- ':' Ali E �3 `� PA Coneletlug of Gallon Septic Tank ana 5 0 O L F :. o f 2 f t d f� T r P. is e h M R Water Supply: . < Public Supply From Address IM , n erne n u norfl­.:Vjlley 1 0579 or: - -' - Private Supply Drllled -by Address t. yes Building Type Oka Faml i-ly, Ed R . Has Erosion Control Been ConipletedY Number of Bedrooms q " Has Garbage Grinder Been Installed? No Other Regniremeate I certify.that the system(s) as listed serving the above.premiaes were atructed essenti lly as shown on the plan of the completed work ( copies of which are attached)—and in accordance with the standards, rules an `re lation9; in ac with the filed anOINt he permit.issu d by the Putnam Count/(y�1.Department Of Heal_th.. Oats W 14� CartifWd by, P.E. R.A.. T Address Muscoot- Nbr't M h' L use No..11056 Any person occupying premises served by. the above systiln(s) shall prom tly ti Pic ctfon ae may tie necessary to secure th correction of any unsanitary conditfo'ns 'resultiny''from such usage - Approval, ot: the separate siwern " em, all become null and void: as soon: as a ubi':. fanitary. pvwr becomes available and the approval . of the,private water supply shall Doeome.null and:vold den a public water fupply, awmaa a liable. Such approvals are subject t/ o�modlflcatlon 'or.chan9e'when,/ir�i',th /e )udprrlent of tha Cominisaloner of Health, such revocation; moglflcitlon or change Is necessary. Date) JOSEPH Owner or Purc PUTNAM COUNTY DEPARTMENT OF HEALIM DIVISION-OF EWIR0NMRq=.'HEALTR SERVICES & INGRID P6LEWASKI teaser of Building Section. CONTEMPRI HOMES(MODULAR) Building Constructed by 8 CINDY LANE Location - Street PUTNAM VALLEY 10579 Municipality FRAME Building Type Tax Map Numbpr Block Lot GEYERSBERG ESTATES Subdivision Nam Subdivision Lot # GUARAMM 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 of two years immediately following the date of approval of the "Certificate, of Construction Compliance" for the sewage disposal system, or any repairs made by me to such system, - except where the'. failure- ,to_ properly,is §i�Z WinfVf-.._0i.-.he41igent act -:of' ! the occupant of- Uie -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 day of 41M 19_& aatt& (Owner) - Signature 'Corporation Nam (if Corp.) C-0-fA1,04o" 1,,/WZ :111 rev. 9/85 mk Title Wrporation Name (if Corp.) ess PETER C. ALEXANDERSON County Executive _45 X DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 June 8, 1987 Mr. James Campabasso 23 A Albany Post Road Peekskill, New York 10566 RE: Sewage Disposal System Joe Polewaski — Cindys Lane (T) Putnam Valley Dear Mr. Campabasso: JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL, Jr., P.E. Director As you know, the sewage disposal system constructed by your company on the above mentioned lot is still not functioning properly. The site was inspected by myself and Joel Greenberg, on May 20,-1987. Enclosed is a copy of Mr. Greenberg's report. Please note that the trenches on the.west side of the junction boxes (toward the driveway) must be reconstructed. cessary- correct-lGrirs.-as ... . ... -f-i JI-b -PP. RJea:3e-.1rLa1Ke. -& -ra igeme rh s i. o - .. 1., 9.., " soon as possible. You can -contact me at 225-0310, when work is to begin or if you have any questions concerning this project. Thank you for your prompt attention to this matter. Very, truly yours, Z_ William Hedges, Jr. Sr. Environmental Health Technician WH: mk enc. cc: Joe Polewaski Joel Greenberg JOEL LAWRENCE GREENEIERG WQJSCOOT NORTH, Rfl) #2, FOX 489 WAHOPAC, VIEW YORK 10341 914-628-6613 JUNE 4, 1987 MR. JOE POLEWASK I CINDYS LANE PUTNAM VALLEY, NEW YC)Ri•�.' 1.0579 RE: SEPTIC,' SYSTEM AT ABOVE ADDREG$ TM 11. 91 11 A. DEAR MR. POLEWASF\--.Ij '87 J11:11 -5 P 1 A6 A SITE INSPFC'Tl('*)N WAS MADE BY MR. WILLIAM HEDGES OF THE PUTNAM COUNTY HEALTH DEPARTMENT AND MYSELF ON ll'lAY 20, 1.987 TO REVIEW WHAT CORRECTIVE MEASURES SHOULD BE TAKEN BY YOUR SEWAGE MADE DISPOSAL C(.NTRACTOR. THIS INSPECTION WAS I NECE-SIBARY DUE TO THE FACT THAT RECENT CORRECTIVE MEASURES WERE NOT SUFFICIENT. THE LEACHING FIELDS ON THE WEST SIDE Ab OF TIAF... -.-JlJ.NT,C1-QN--- BOXES --Ap -1 PTO STILLS JiA,, -l"ZX-ceSS! ENDS .DID NOT SOLVE THE PROBLEI-1. THEREFORE, THESE LEACKING FIELDS MUST BE RECONSTRUCTED WITH THE PROPER 'SLOPE UNbiER THE COMBINED SUPERVISION OF THE PUTNAM COUNTY HEALTH DEPARTMENT AND MYSEI-F. IF YOU 14AVE Al-,JY" QUESTIONS, ,,PLEASE Do NOT HESITATE TO CALL ME. I " . --1 - -L- I ,PIP s �2 "A -M. Ns Tz'yf HEALTH" L'T--,HUZE-P-� WIM ekif -4=Wl'L:L - -t HEP- E-,.S- RJURN N M TOWN PLANNER • PUTNAW WALtEV, NEW YORK e 914-526-3740 Yorktown _Medical Laboratory, Inc. LAB # _ 321 Kear Street Date .Taken : 4 Yorktown Heights, N. Y. 10598 ��' ��� Time :`.� .. B Date Rc d : � Time . ,(9a9):?d? -320 . . ,..r -.. , .. Ante Reported: APR. 2 7 1988 Director: Albert H. Padovani M.'1'. (AS P - ' b) T- -� Referred By: Sample Location: A'r T Cl Alb V Phone # Phone 11 Sample Type / Repeat Test? i I(check One) LABORATORY REPORT ON THE BACTERIOLOGICAL QUALITY OF WATER. GENERAL BACTERIA Standard Plate Count (CFU /1.OmL) (Agar Plate @ 35 °C) MEMBRANE FILTRATION TECHNIQUE (MFT) ZTotal Coliform (CFU /100mL) Fecal Coliform (CFU /100mL) Fecal Streptococcus (CFU /100mL) MOST PROBABLE NUMBER TECHNIQUE (MPN) Total Coliform: MPN Index per 100mL) ZPotable .Non - potable STP INF STP EFF Other Sample Status: (check each) Outgoing Na2S203 Incoming ,,-'LE 4 °C GT 4 °C e,ca:1.:,�C farm • M1? d•.�1�.de_x _( p.P.r. 100mL ) - - -_ OTHER ANALYSES Y KEY FOR RDS = Recommend Disinfec- tion of Source TNTC= Too Numerous To Coun _REMARKS (For Laboratory Use) CON Confluent ( =TNTC) LE = Less Than or Equal I. GT = Greater Than N/A = Not Applicable THESE RESULTS INDICATE THAT THE WATER SAMPLE (WAS) (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO THkNEVYORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT TIME OF COLLECTION. Albert H. Padovani, M.T. ASCP), Director For Lab Use Only: H/C to WZIJL UUr1rijziiU0 L%zrurl.L DEPARTMENT OF HEALTH vt': ntal Health Services.... PUTNAM COUNTY DEPARTMENT OF HEALTH office Use Only WELL LOCATION Si ET AOURESS: WNW VILLAUICIIY RE TAX GRID NUMBER: -7 WELL OWNER ME-. ADORES . 19 PRIVATE 0 PUBLIC USE OF WELL 1 - primary 2 - secondary RE1DENTIAL ❑ PUBLIC SUPPLY ❑ AIR/COND./HEAT PUMP ❑ ABANDONED �&OBUSiNESS ❑ FARM 0 TEST/ OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL 0 INSTITUTIONAL ❑ STAND-BY ❑ AMOUNT OF USE YIELD SOUGHT gpm./NO. PEOPLE SERVED 'GE EST. OF DAILY USA gal. REASON FOR DRILLING $a NEW SUPPLY '0 PROVIDE ADDITIONAL SUPPLY ❑ TEST/ OBSERVATION 0 REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH -3 ®B ft. STATIC WATER LEVEL i:Eft. DATE MEASURED I DRILLING EQUIPMENT )-ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. SkOPEN HOLE IN BEDROCK 0 OTHER TOTAL LENGTH 7 ft MATERIALS: -9 STEEL ❑ PLASTIC 0 OTHER CASING DETAILS LENGTH .BELOW GRADE :!' y ft. -7 JOINTS: ❑ WELDED OzTHREADED 0 OTHER . DIAMETER 6/ in. SEAL: ❑ CEMENT GROUT ❑ BENTON ITE -MTH ER WEIGHT PER FOOT lb./ft. I DRIVE SHOEj5nES ❑ NO LINER: 0 YES�NO SCREEN DIAMETER (in) SLOT SIZE LENGTH (it) DEPTH To SCREEN (ft) DEVELOPED? FIRST 0 YES ONO GRAVEL PACK 0 YES ❑ NO GRAVEL SIZE DIAMETER' OF PACK in. I TOP DEPTH ft. BOTTOM DEPTH — It. WELL YIELD TEST If detailed pumping METHOD: ❑ PUMPED tests were done is in- XCOMPRESSED AIR formation attached? ❑ BAIBAILED ❑ OTHER ❑ YES 0 NO WELL LOG It more detailed formation descriptions or sieve analysts are available, please attach. DEPTH FROM SURFACE 'Water Pear- Ing Well Dia- meter In FORMATION DESCRIPTION cace. ft. it WELL DEPTH It. DURATION hr. min. DRAWOOWN It. YIELD gpm- Land Surface f _F0 0 4— d WATb ❑ CLEAR TEMP. - QUALITY 0 CLOUDY HARDNESS ❑ COLORED ANALYZED? 0 YES ONO ANALYSIS ATTACHED? ❑ YES ❑ NO STORAGE TANK: TYPE CAPACITY GAL. WELL 11181 LP NAME DATE )1 1 17 9*Y RE ADORE rx � PUMP INFORMATION TYPE 3 -zeL-4 CAPACITY --i;C MAKER DEPTH M VOLTAGEAk HP PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Camnissioner of Health - FIELD ACTIVITY REPORT - Sheet of NAME k -51' "1 INSPECTION. Orig. Routine Orig. Complain ADDRESS Orig. Request No. Street Town TM No. Campliance Canplaint Cmp MAILING ADDRESS Final P.O. Box Post Office Zip Code Group Illness Construction Reinspection PERSON IN CHARGE Field,, Sampling Only OR INTERVIEWED Field Conference Name and Title Other DAT TYPE FACILITY EapZ/1 TIME =0 Z .,��TIME LEFT Explain FINDINGS: 4? INSPECTOR: Signa6ire and Titl PERSON IN CHARGE OR I acknowledge this Field Ztivity Report. SIGNATURE: 6/86 TITLE: E� TELEPHONE: PUTNAM couN 'Y DEPARTmENr OF HEALTH - DIVISION OF ENviRommqmL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE.DISPOSAL SYSTEMS �• _� x : ?1�I]s�?.;SHEt;<' Cr r �DATEV REVIEWED: BY: nj (Name of Owner) COPTS 2 YES NO DOCUMENTS Permit Application _ Corporate Resolution Plans - Three sets 4--m Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results (3) 30" Perc Hole Other 1/ House Plans - Two sets If PWS - Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions.- Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data Two- -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage & Expansion Area ?'IO -k' .6 SA Z e If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Property Located Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees. 20' to Foundation Walls 100' to Well; 200' in D.L.O<D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains- Cartain,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' from Foundation 50' to Well 15' Well to PL GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town/DEC Permit R & D) Data On DDS Plans & Permit Same PUTNAM COUNTY. MALTH DEPARIMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Camnissioner of Health - FIELD ACTIVITY REPORT - NAME ADDRESS �- ".1 L 4 00";'y doe 40'.) T- No. Street Town TM No. MAILING ADDRESS P.O. Box Post Office zip code TELEPHONE PERSON IN CHARGE OR INTERVIEWED Name and Title Sheet 7Z-- of INSPECTION Orig. Routine Orig. Complain Orig. Request Compliance Complaint Comp Final Group Illness Construction Reinspection Field, Sampling Only Field Conference DATE& ' Sep TYPE FACILITY Other TIME ARRIVED 10 TIME LEFT Explain FINDINGS: 404o dw� V TELEPHONE: PERSON IN CHARGE OR INTERVIEWED: I acknowledge this Field Activity Report. SIGNATURE: 6/86 TITLE: ...._._.�..h oo ....ry_.p;Y°v•r. .. ._.. .. ,.tc r .k. P_.. .. .y ,... .- r.,.a. :,�,'�:.�'?Q -' wy:.- „',i'd•�.ir.'r, � r!��'.: °<: :pp�;.i.•}=- .�.....p:.ai �e= � °r°'i.. .. -.�Ys: y%;_” =: ARCHITECT - T®WN ..� PLINNER WUSCOOT NORTH, RFD #3, BOX 488 WAHOPAC, NEW VORK 10541 914 -638 -6613 JUNE 4, 1988 MR. JAMES CAMPABASSO C/O SOUTH PUTNAM CONSTRUCTION INC. 23A POST ROAD PEEKSKILL,, NEW YORK 10566 RE: POLEWASKI SEPTIC SYSTEM 8 CINDY LANE PUTNAM VALLEY,'N.Y. 10566 TAX MAP # 119 II -4 -7 DEAR MR. CAMPABASSO: AN INSPEC`.PION WAS -MADE AT THE ABOVE MENTIONED SITE ON. THE 1ST OF JUNE, 1988, AND.THE SEPTIC SYSTEM FIELDS ARE. LEACHING ONTO GRADE AT THE EASTERLY ENDS. THE OWNER HAS MADE SEVERAL EXPERIMENTS IN ORDER TO TRY AND LOCATE THE PROBLEM: PLEASE CALL ME IMMEDIATELY UPON RECEIPT OF THIS LETTER SO WE MAY SCHEDULE A MEETING AT THE SITE WITH THE OWNER AND THE HEALTH DEPARTMENT IN ORDER TO FINALLY RESOLVE THE PROBLEM. THANKING YOU IN ADVANCE FOR YOUR COOPERATION. I LOOK FORWARD TO YOUR TELEPHONE CALL. VERYI TRULY Y JOEL L. JLG:RE It apo 1, R I MI', j e? C-1s t TOWN PLANNER o PUTNAW ©'AtILEV, NEW VORK 0 914 - 326.3740 _ .... . �. ..., EiJ'1'NAN�O�•�►VI'X �ALTf.�;. DEPAR - -• - - -- - -• ..o _., .. _ _ : -•. __.. _.. _ .._: �i�c ;'>a`.:^.- ..,:w� =• ay'= n . ,is - .. r _ � �'°-- - -.. �vs. v-.s y,.. +�+.�.sw: .:=:+� i. _.. , =ti,� Tv�. ^.:nE' 4a a ... .: d`r•" -:,, ate:: �yx' aii..= -- r,� DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Commissioner of Health NAME ADDRESS c - FIELD ACTIVITY REPORT - s Town TM No. MAILING ADDRESS P.O. Box Post Office Zip Code _ _ Construction TELEPHONE Reinspection PERSON IN CHARGE ©/ Field, Sampling Only OR INTERVIEWED •Field Conference Name and Title a s Other DATE ��� TYPE FACILITY ® � 2S r16 TIME ARRIVED TIME LEFT Q Sheet of INSPECTION Orig. Routine _ Orig. Complain �� _ Orig. Request Canpl iance Canplaint Camp _ Final Group Illness C eVov (—' s Explain FINDINGS: �� ®� �� I� c9 c�c� coo - •� �a � • e ,�....- -- �._... .e. ..,s -•rr— a-m•� - �•..._. .,a.. ,. ...nom , �._.. .a ...a.. -, °-._ .. �.- =._ ..v ...w- �e*-vvv�_. ....- .._._.. -. —.. MFQAMNL-151!�A MAO. WE 0 INSPECTOR: Q�V-s ture and Title PERSON IN CHARGE OR INTERVIEWID: I acknowledge this Field Activity Report. SIGNATURE: 6/86 TITLE: �Z 7 EATTERN PRECX'-j"1` --1-v INC. R, 133 Commerce P.O. Sox 133 BNOOKRELD CENtER, C.-ON NECTIcUT 06805 (203) 775-0,230 1'iq4 Oer' thorith Interest charge 4ftei 30 days. Uliliks Not Guaranteed To 96 Water tight All claims and returned goods MUST be accompanied by this bill. PRODUC 16 103. 4 Inc., Groton, Mom 0'.471. Nam_e-arid Title � �y� �- TYPE FACILITY ED a,�':s+ �irrxu'%�'�� � -.+�' i "`� °fi-„ c, iz�s. r `;..,�a .k ;�x�e ✓r.�.. >�t ��£'�r, ``�'�,�'h: sY.�.c- ��.�". :» �i7 �.3'- .- ,�.,,�.s�v -,s .,"�� � J+ia, =ter K.- .... _ ..,; ,� ,, , . '�`+' -e- .yam _ �c a"- �•w .. � r � � -+ -��7 ,tir. �t-ac �/' � .., '1"!/..t�a s ".-r � .r. - l� -� .wx3 �,�f�Y ✓ ��� - k �, �,.ev,�;d�.�l %` G'�'/ � ?"�?s� l / . �. a INSPECTOR;, �rJ Signature and Title PERSON `IN CHARGE OR IN`I�RVIEWED. ' f" I =kac sedge this Field fictivitY Report: SIGNATURE `�� 6/86_ TITLE• ,E ze --?� =. � •• `_.� tom, =. - - �`.�xyf PM OOM17TY H&AL'"I' e, RA, - DIVISION OF ENVIRONNIENPAL HALTH'SERVICES. John M Su►inons, M D: 2_ Deputy CccrmussiOner 'of Health fY _ ,`FIEGQi ACTIVITY., REPORT Sheet of - _ NAME -� ' IN SPDL'TION i f/ .lam 3' ... x� Org.rRQUtine i'' Org.:Ccmplain Org. Request, No Street Town TH No Ccnpliance t Ccnplai.nt Ccxnp `MAC -LING ADDRESS ' _ '' :Final PO. Baia Post -Of f ice Zip :Code Group Illness Construction` Nam_e-arid Title � �y� �- TYPE FACILITY ED a,�':s+ �irrxu'%�'�� � -.+�' i "`� °fi-„ c, iz�s. r `;..,�a .k ;�x�e ✓r.�.. >�t ��£'�r, ``�'�,�'h: sY.�.c- ��.�". :» �i7 �.3'- .- ,�.,,�.s�v -,s .,"�� � J+ia, =ter K.- .... _ ..,; ,� ,, , . '�`+' -e- .yam _ �c a"- �•w .. � r � � -+ -��7 ,tir. �t-ac �/' � .., '1"!/..t�a s ".-r � .r. - l� -� .wx3 �,�f�Y ✓ ��� - k �, �,.ev,�;d�.�l %` G'�'/ � ?"�?s� l / . �. a INSPECTOR;, �rJ Signature and Title PERSON `IN CHARGE OR IN`I�RVIEWED. ' f" I =kac sedge this Field fictivitY Report: SIGNATURE `�� 6/86_ TITLE• DOCUICTlTS ``�--�� • _ - '(� -r _ `b =eo 'v: wit o c!a♦ <- - - -.. _ �.. a1 i+c <_ . a:,;✓: o.s- -. _ Design data sheet Peres presoaked? iin. 30" pert test depth Const. results for 3 runs D. Hole log O.K. Corporate Affidavit. for oth o -than. individual - Authorization for engineer (Meets Std-1 Romarl(s �. -. IPtter from Water Supply if aDplicable If variance requested -such noted on plans & apps. A. D�-;I'AIIZ if change•is proposed,) �.Exist�ng contours shown show new contours) Slopes for driveway cuts, etc. shown o K T•ater service line location ✓ Footing drain, etc. location Top slope, bottom slope of fill •! i Percolation.tests and deep test pit location Seutic tank size and conformance to std. ✓ 3 13. R. house minimum House setback shown ✓ ! ! Distribution box ftg. below frost P, ! All water within 50 ft . of. TL shown 6 Plan and profile SDS �.. ✓. �...... All other wells and SDS closer 200' ! shown or reference made .�-P��ep'� } -ulues �i;iete5 disci boianas= clea'r1y s oW �'�(i�i Ih�(a q•P��GUgL REArrTy SvGDivisle� c1��25.�e G �". QETCh SEPARATION DISTANCES SPECIFIED ON PLAN '10' to P.L. 201� to Foundation valls ioO to Nearest well 100` to stream, march, lake, etc. 5' to Curtain drain 0' to water line (pits -20 5' to storm drain i0l' to larc -e trees 0' fro;u found:lt.ion to sePi.ic trill; 5' to pipe from leader drain &.1'o i Tn C -qT-u* esa s i N A)a :expansion I1�; i1I';11I1 .� i� ! i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ' - -^ f�:�w • -c'wa 's.: .. �{il:: e- ..:. - .=� '� .yi..... ..�,,• . ... .' ;j-' f• -<r: , �.r.M•�r�"�}� 1� p �.��� o '•'�.' >v`- s^;.ws �,; Date ,Property of D POLE (,tJs k ( is Located at 9i.)TNAM � r, (T) !I PL.A`r.. Block Lot j Subdivision of i 1 Subdve Lot # Filed Map # e ien : is letter is to authorizes, licensed professional engineer or registered architect (Indicate y for a Construction Permit for a. separate sewage system, to the above :noted property in accordance with the standards, rules julations as promulagated by the Commissioner of the Putnam County ment of Health, and to sign all necessary papers on my behalf in lion with this matter and to supervise the construction of said s3 s ms' "ilr :onPurwif y wish ;he "p vision`s of: ECrt cle 145" or iucation Law lic Health Law, and the Putnam County Sani- Ea a A'C% G> R6NCE G i `dee 0` �� RFF�i� -� Very truly ours, X i gn e d signed: CAF oo ll � � Owiter of 13roperty E PVON P-DAy °A. , #� Address Joel Greenberg- ,4rchitect — L e— �"/ Muscoof No. /RFD'N2 /Bx 488 Town Mahopac, NY 10541 h Telephone I REck PUTNAM COUNTY DEPARTMENT OF HEALTH fvn DIVISION OF ENVIRONMENTAL HEALTH.SERVICES :..:. _ iV 1-983 t,.�C1'�' J1G ,� ". �' _, ". °- • DCJ�NTY- OFFICE -` FstT1`LDING,- CkR1�fE,Z,,. N':" �': 3'� DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. planer,J • FOC.E-: WAS k- i Address �()QN , 1`� Ptit:-14 541LL, Y� 10S3 Located at (Street )CWDYk L 4 E Sec.)19 X Block 4 Lot ` kindicafte nearest street) Municipality .,e! p Lr SOIL.PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS o e Number CLOCK TIME PERCOLATION PERCOLATION Run apse Depth to Water a er ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 2 1-2-'46 5 7•g- 2- �`'/ •� = IZ o .5 . . j �} y o LL ..cell _•.- >.. .. , :-. , . � °f' -'�,,. 4 5 l 2 3 5 Totes: 1) Tuts 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 G.L. —T;6> 4&o_ 611 s2aLD I LT it 0 k"A SAND S iLl I SOM: 12" iSLA �e OIL Iq y 1811 24" 3011 36" 42" 4811 5411 6011 6611 7211 7811 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED - N. ON E INDICATE LEVEL_ TO WHICj1j, WATER L,15TE4, RISES AFTER BEING ENCOUNTER—ED Soil RatUSed ld�in/l "Drop: DESIGN e' S.D.-Usable ovided 1 1-0 E A?0 er .1 No. of Bedrooms 4 -Septic Tank Capacit OG Q flw�ds-T Absorption Area Provided E& 452�_L-F.-xN. trench. Address, 0 15(o _( 0 THIS SPACE FOR USE BY HEALTH DEPARVENT ONLY: Soil Rate Approved Sq. k/Gal. Checked by Date 5 — Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are ob- tained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. ". i PUTNAM COUNTY DEPARTMENT OF HEALTH IITrTSIONO 10727559 DESIGN.6ATA SHEET - SEPARATE. SEWAGE DISPOSAL SYSTEM FILE NO. Owner •Heinz Geyer, Inc. Address R D 1 Putnam Valley, . N. Y. 10579 south side Cin� Is Lane 0 ft $ee , Lctgd at Street ast o . 1 1 0 1 .119 Bloc Block oa _ (Indicate nearest cross street) *Lot .7 Geyersberg Map 1454 Municipality Town of Putnam Valley Watershed New 'York .City ' SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATION � Hole �I Number CLOCK TIME PERCOLATION, PERCOLATION i Run Elapse. Depth to Water Water Level No. Time:,. From Ground Surface in Inches Soil Rate Start Stop Min. Start Stop.,, Drop in Min/in.drop Inches Inches Inches I' 1 3,15... 3:27 12 2 4 . 1 12 Min 3;27._3:39 12 24. 25 1 12 2 . . 3 :40 3 :52 12 24 25 1 _ 12 t� i' �I .. 3 4 5 I aL 1 .2 3:28 3:40 12 24 25 1, 3 3:41 .3:53 12_ 24 25 .1 - -. 12. ,o S 3 4 5 — Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are ob- tained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. T.n ryj -w {1�T41lr+(y »1+� •leS�C- '�:.__ 3*'a.i[. v: _f. !t> �F _3:s41'..R -��a't •'.- Ca..,'x.PSG WrFlf TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES ' DEPTH HOLE N0. "- `'.,., HOLE NO. (2) HOLE'-NO. ! f 11 �` : •r G. L.` _ Topsoil Topsoil 6►r ... - Loose se(ndy loam;with traces of clay 1811 r ►. ►r— - j ii 3 O't tr �► . 42" ►r �► . 481r it :. .►r . 5411 ►r _ n ! 601T Packed sandy loam with clay 6611 and small stones...... II 72'► - •••c:- s�c�Y"'_'% (y "T ►......c> �. _.. _ .. --ww -. .. s_ - rsc. -...'n `. "- .• -. -.• - ,. :_;.v;..r^�'.: ti.-. r•�,.._. �•.>-....��.._.e. .e..;��.:.:y�..... .. •.r.+ � x..1.3 �•: 8 4ft INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED none INDICATE LEVEL TO WHIC� WATER L VEL �tISE$ AFTER BEING ENCOUNTE D hone TESTS MADE BY urgess F Be nnrrfl o U0 Date 7 15/ ?49 7/19/74 Soil Rate Used 12 Min/111 _ Drop: S.D. Usable: Area Provided 5000 SF } No. of Bedrooms 3 Septic Tank Capacity. 900 Gals. Type Precast cone® Absorption Area Provided By. 240 L. F.x24" - 36' ►_X width trench. Other Name Burgess, & Be hr,, P® C o Signature Address R D Horsepound . Road SRO �Ew r Carmel, Na Yo 10512 PUTNAM COUNTY DEPARTMENT OF HEALTH Soil Rate Approved __,___Sq.. Ft. /Gal. Chec k�y No..9aA`' `' Date PUTNAM COUNTY DEPARTMENT OF HEALTH DIV; SIGN (?�' F'N:�TRON% NrAT., .H TH _ a .s AL Date September 24, 1975 Re: Property of . Heinz Geyer, Inc. Located at South side Cindy's Lane off. Peekskill Hollow Road Section 119 Block 2 Lot 7 Gentlemen: -Lot 7 Geyersberg - Town of Putnam Valley This letter is to authorize Roy A. Burgess 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 tnis matter and to supervise the construction of said system or systems in conformity with the provisions of Article 14S or 147, Education Law, the Public Health Law, and the Putnam County Sani- Lary Code. r, Very trul o >rs, Sign e d t� .... R . D . Igut rMur Vatk'ley, N. Y. Countersigned: Address P.E., R.A., # 9845 a <:: Burgess & Behr, P. C • 40-1E OF nE xlc Telephone dress R D 8 Horsepound Road. Carmel, N. Y,-10512 22510.3312 Telephone of ss;` N��yv John M. i Deputy NAME PLT1% -HEALTHDEP M CXUN'Yf '--* Lj.Lv.L0LUN VE rANIvj-MvLNV1M1141tU-j rirltuLn 0r'nv.0-rW;1 immons, M. D. umissioner of Health FIELD ACTIVITY REPORT - Sheet of ADDRESS Q'- , j .1( s L/b, Y l - k. No. 0tr t Town Im No. MAILING ADDRESS , 'P�.O.'Box Post Office Zip Code TELEPHONE PERSON IN CHARGE Lj OR INTERVIEWED I Name and Title 'T 122 DATE TYPE FACILITY,,, TIME ARRIVED TIME LEFT 7-77 INSPECTION Orig. Routine Orig. Complain Orig. Request Campliance Canplaint Camp Final Group Illness Construction Reinspection Field, Sampling Only Field Conference Other Explain a tl ' 00 /,P\/ h-\ C�- P- 1, F / t1 I 0 INSPECTOR: j vs - P OR 1- I acknowledge this Fi kj I-) cz!) ? / i tle r:, I.* city ReperlL-. SIGNATIL12EE: TELEPHONE: wl� , '? " •" :""TTY 'EAT,79 DFP RW_PW. _ DIVISION OF ENVIRONMENTAL HEALTH SERVICES M. Simmons, M.D. v Canmissioner of Health —FIELD ACTIVITY REPORT - ADDRESS No. Street Town qM No. MAILING ADDRESS P.O. Box Post Office Zip Code TELEPHONE PERSON IN CHARGE OR INTERVIEWED Name and Title DATE TYPE FACILITY TIME ARRIVED TIME LEFT FINDINGS: Sheet of INSPEC'T'ION _ Orig. Routine _ Orig. Complain Orig. Request Canpliance _ Complaint Can> _ Final _ Group Illness Construction _ Reinspection _ Field, Sampling Only Field Conference Other s t .. 9 r t r. INSPECTOR: Signature and Title PERSON IN CHARGE OR INTERVIEWED: I acknowledge this Field Activity Report. SIGNATURE: 6/86 TITLE: M TELEPHONE: i� .1 WWI ` .JOEL ��N������� �� ���N��������� u���������'/-"�~�� ����u���/`n���-m��� eK irl:ID Wit, IBOX 488, ' WAHNNPAC, NEW VOIRK 10541 JUNE 49 1187 ' MR. JOE PVL--ASKI CINDYS LANE PUTNAM VALLEY, NEW YORK 10579 RE: SEPTIC SYSTEM AT ABOVE ADDRESS TM 119 Il — 4 - 7 E DEAR MR. P0LEWASKI, A SITE INSPECTION WAS MADE BY MR. WILLIAM HEDGES OF THE .PUTNAM � COUNTY HEALTH DEPARTMENT AND MYSELF ON MAY 2O, 1987 70 REVIEW WHAT CORRECTIVE MEASURES SHOULD BE TAKEN BY YOUR SEWAGE DISPOSAL CONTRACTOR. THIS INSPECTION WASM MADE NECESSARY DUE TO THE FACT THAT RECENT CORRECTIVE MEASURES WERE NOT SUFFICIENT. THE LEACHING FIELDS ON THE WEST SIDE OF THE JUNCTION BOXES APPEAR TO P. ZOO!, --~- - -- THEREFORE, THESE LEACHING FIELDS MUST BE RECONSTRUCTED-WITH THE PROPER SLOPE UNDER THE- COMBINED SUPERVISION OF THE PUTNAM COUNTY HEALTH DEPARTMENT AND MYSELF. IF YOU HAVE ANY QUESTIONS, PLEASE D0 NOT HESITATE T0 CALL ' , VERY TRULY YOURS, JOEL L. GREEN8ER6 JLG:AC CC: WILLIAM HEDGES, PUTNAM COUNTY HEALTH DEPARTMENT . TOWN FIANNEUK°PUTNAW VALLFV, NEW VOIRk° �ti �: n�13.^.��`o.... �y%f�w..=.:a. >= s'.e- :�na�_ -•.-w �••�4'�^���i'2� -: PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental. Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 June 8, 1987 Mr. James Campabasso 23 A Albany Post Road Peekskill, New York 10566 RE: Sewage Disposal System Joe Polewaski - Cindys Lane (T) Putnam Valley Dear Mr. Campabasso: JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL. Jr., P.E. Director As you know, the sewage disposal system constructed by your company on the above mentioned lot is still not functioning properly. The site was inspected by myself and Joel Greenberg, on May 20, 1987. Enclosed is a copy of Mr. Greenberg's report. Please note that the trenches on the west side of the junction boxes (toward the driveway) must be reconstructed. - -- f lease "make ar ang7i2 ents� o° ffaCk -tn�"ff Ls "ces -� -a-fT-C a rrez:t'rtsns-'"aJ soon as possible. You can contact me at 225 -0310, when work is to begin or if you have any questions concerning this project. Thank you for your prompt attention to this matter. Very truly yours, William Hedges, Jr. Sr. Environmental Health Technician WH:mk enc. cc: Joe Polewaski Joel Greenberg PUTNAM COUNTY DEPARTMENT OF HEALTH r No., COMPLAINT OR SERVICE REQUEST RECORD -tnam Vallev DATE REFERRED 4N ea .5/t?/87 To TAKEN BY J? TELEPHONE CALL IN PERSON LETTER CONFIDENTIAL REQUEST FROM ;r�j TELEPHONE ADDRESS C - n.d,,, -'Lane.Put-, am Ualle-v ENVIRONMENTAL HEALTH: Home Sewage-,-' Rodents Refuse Public Water Food Service Migrant Camp Other COMPLAINT OR REQUEST j h17 j ,�bassc, Sc)ij-Lnj 7,3-,ri j.0n !an v Road. oad. ,.� ,ate clx- -, P-lizase call before minu out- ACTION TAKEN BY FINDINGS 5- S DATE -'/' 5 1 , C , Em '�i - , --up iNs"FitcTp!� DATE FINDINGS JZ.Z U 1T-20,4 -.A DATE FINDINGS PROBLEM ABATED,, DATE PERSON NOTIFIED 6 ESTIMATED TOTAL MAN HOURS SPENT 77 �p .. r - L1mif �Amw � oil • s x "',7777 rk s s; y Reinspection ?N'CHARGE ,p / tVIEWED F 0 . �/ �VOS /"!i S ��� Field, Sampling Only Field Conference . Name and Title �,f.' � ^/�' PtFI'N_ANS_- C7��i'I'1. -r-. #iE�;�TI� <DE�t�Fs'I�►'II�Tf . _ �'-�- - =--• _ .. TYPE FACILITY v DIVISION OF ENVIROWWAL HEALTH"SERVICES RIVEDt O J �/� TIME LEFT Explain John M Simran's, M.D. { Deputy ;Ca�ussioner of Health - FIELD ACTIVITY REPORT - Sheet of INSPECTION + Orig. Routine — ✓ G�-� Orig. Complain AIDRES.Sr G00,'n - orig. Request _ No Street Town `Ill No. Cakpliance JOP I'101196/!0�0461,A Canpla_int Ccmp ING ADDRESS Final - P.O. Boat Post Office Zip Code Group Illness tom'` Construction ot 17 1 ✓' • G . • . SI?�CIJpRv ' TELEPHONE: r , ,`Signature and Title p'e `owledge this Field Activity Report. SIGNATURE: TITLE: Reinspection ?N'CHARGE ,p / tVIEWED F 0 . �/ �VOS /"!i S ��� Field, Sampling Only Field Conference . Name and Title Ap d Other jGL TYPE FACILITY v � ♦ r-� RIVEDt O J �/� TIME LEFT Explain N 3 EC 1' /-0 3 LN J Z A g'V -V.0 'ttle JOP I'101196/!0�0461,A :.. ' �x ., �.. ! .v- ••.; r. r»' ., .. .. .....mot,.. t: 7. ✓�+c !s �� rs.ti� 4 / ^ter ot 17 1 ✓' • G . • . SI?�CIJpRv ' TELEPHONE: r , ,`Signature and Title p'e `owledge this Field Activity Report. SIGNATURE: TITLE: ec I for Al, A.4 �� 7 ( 4z r o C-, Lute, � Alv� .1, A ec I for Al, A.4 �� 7 ( . -I; !y�r t•, -•�(— :. �, .e -,. . �.•r.-�;'.r >s�-.. , \re :e .. ._ _ _.. • , __ ::t .•a _ w .,a'i= •M -a-s q;r..n�c -.., -, __ a ;�,,. .+ :a .. t lip;. tF.t� "I:2 tq rK Y ABM L • Putnam County Department of Heal Division of En�r� enta�Heal h Sep Approved assnno ed for conformance vi applicable Rules and Regulations of 55 �5 Putnam County Health Department. ', r L `s ai 5, At- 9_ry. �\/� L A Y t� U T � it , gnature & Ti i�?a1 0 L41 I JL - --- ------ [I. V. I. APPENDIX C FINAL SITE INSPECT-ION.---- Date CWN_�. 1) O M�ected by M jCU_)C ,, ' TM # OR SUBDIVISION LOT 1.1-07. 10 1 I'll 19; 9FWAGE DISPOSAL AREA a. SDS area located as per approved plan b. Fill section - Date of placement 2:1 barrier- L= W3= AVG.DPTH c.. Natural soil not stripped d. Stone, brush, etc., a_-eater than 151 free SDS area. e. 100 ft. fran water course/wetlands`-. SEWAGE DISPOSAL SYSTEM. . a. Septic tank size - 1,000 1,25 b Septic tank installed level c 10' minim=, fran foundation A- d. No 900 be.;, clear-cut within 10 ft. of 450 bend A OL A- e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested (-- 14-1 2. Protect--I below frost 3. Minimum 2 ft. oricrinal soil between box and trenches f. JUNCHON BOX = properly set 'TRENCHES 4) g. &0 ' . Length .1. Length rEnuired - installlelfoo 2. Distance to watexcourse measure ft. 3. Insta.11-e-C'i according to plan 4. Distance center to center 5. Slope of trench acceptable 1/16 - 1/32 "/foot. 6. 10 feet I:rcm prcperty line - 20 feet - foundations 7. Deoth cf- trench < 30 inches fran surface 8. Roan al1cw-ed for expansion, 50% 9. Size of gravel 3/4 - 11" diwr�ter 10. Depth of gravel in trench 12" minimum 11.- Pipe erx I s canned h. PUMP OR DOSE .SYST&MIS 3. Alarm, visual./audio 4. Runp easily accessible manhole to grade 5. First box baffled 6. Cycle witnessed by Health Department estimated flow p,--- cycle HOUSE a. House located per approved plans.' b. 'Number of bedrocnis WELL a. Well located as per amroved plans I �1 % . /� p r _ b. 'Distance from SDS area measured ft. c. Casing 18" above grade. d. Surface drainage around well acceptable. OVERALL WOPnGLT= a. Boxes properly outed b. All pipes 2a.rtially backf illed c. All pipes flush with inside of box d. Backfill material contains stones < 4" in diaimter e. Curtain drain installed according to plan f. Cbrtain drain outfall ro ected & dir-to exist.water- s g. Footing drains dischar ge away fran SDS area h. Surface water prote-c-tion adequate i. MFr-osion control provided on slopes greater than 15%. 10 1 I'll 19; Division Of Environmental HipA Services TWO COUNTY CENTER — CARMEL, N.Y. 10512 (914) 225-3641 VELL LOCATION 31*n Wl Avunraj. .., Loo, / / 1AX UAW NUMBE& WELL OWNER ES 'PSIVATE P1 [^-%I Ir USE OF WELL .RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR/ AIR/ ONO./HEAT PUMP -0 ABANOd ED 1 - primary ❑ BUSINESS ❑ FARM - ❑ TEST/OBSERVATION ❑ OTHER (specify) 2 -secondary ❑ jNOUSTRIAL 0 INSTITUTIONAL ❑ STAND-BY ❑ MOUNT OF-USE YIELD SOUGHT gpmAO. PEOPLE SERVED _4_/ EST. OF DAILY USAGE oaf. REASON FOR '!�NEW SUPPLY I El PROVIDE ADDITIONAL SUPPLY 0 TEST /OBSERVATION DRILLING 0 gEPLACE EXISTING. SUPPLY 0 DEEPEN EXISTING WELL WELL TYPE DRILLED DRIVEN . DUG E E] GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME.OF SUBDIVISION: LOT NO_,�-, U 7 WATER. WELL CONTRACTOR:.Name Address IS PUBLIC WATER SUPPLY AVAILABLE TO SITE:. YES NO NAME OF PUBLIC•WATER SUPPLY: TOWNZ/V/C DISTANCE TO PROPERTY FROM NEAREST WATER-.MAIN:. jj- -LOCATION SKETCH & SOURCES OF CONTAMINATION, PERM IT TO CONSTRUCT A WATER WELL This permit to construct one water well asset 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: I. 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. Date of Issue: OA 01A A e it Issuing 9f icial ng • Permit.- is -Non-Transferrable -, O 0 i l Z O � Q° v n, P C� M o� h Q •4D0 —� o cuRirO0' LOT 1. :) IE; Ar- `u)a 'a�vCRETE_ — dirt — driveway _ MON °4 /t/, 23 *4-'7'00 ', t / L O;T iIS IS TO CERTIFY THAT THE SEWAGE DISPOSAL .'STEM WAS CONSTRUCTED AS- INDICATED ON THIS' ,AN.AND THAT THE SYSTEM WAS INSPECTED BY ME :FORE IT WAS COVERED OVER:. THE SYSTEM WAS )NSTRUCTED IN ACCORDANCE WITH ALL STANDARD lLES AND REGULATIONS OF THE PUTNAM COUNTY iPARTMENT OF HEALTH AND THE NEW YORK STATE :PARTMENT OF HEALTH. op /es from the oripinot of this survey marked with on original of the rand V s inked seat or his embossed seal short be considered to be voted 7pies. FRT E. BAXTER 8 ASSOC rssionol Lond Surveying Box 298 poc , N. Y. 10541 628 - 2800 e4 y0� aM'rt,��l' o � 4 LANG on A ,4 ! FIdN� 1 ' LOT T: AREA = A 03B +u ?:ORE rRD,V PnN - CONCRETE' (G / Y 2P rw THE PREMISES SNO rV.V Alx!:`R.E01t/ I—o7- ry AS PEiP iw4,,- ENT /TLEO : SUB. - .D /l! /S /ON PLAT OF GEYERSBEiPx�� 4- �ShrEET / OF 2, ; 54 /0 'h+74,-- F/L /,IV TftE PvT.Ugir! OO,C/.VTY CLEP�Y:SJFf /G'E ON ✓UL Y /, 1.975" As Certified ao/y to " JOSEPH 8 tNGR /D POLEWASKI WESTCHESTER ABSTRACT CORPORAT /ON SARATOGA SIERRA CORPORATION /, v IQ/ Ili �IU 5 2P rw THE PREMISES SNO rV.V Alx!:`R.E01t/ I—o7- ry AS PEiP iw4,,- ENT /TLEO : SUB. - .D /l! /S /ON PLAT OF GEYERSBEiPx�� 4- �ShrEET / OF 2, ; 54 /0 'h+74,-- F/L /,IV TftE PvT.Ugir! OO,C/.VTY CLEP�Y:SJFf /G'E ON ✓UL Y /, 1.975" As Certified ao/y to " JOSEPH 8 tNGR /D POLEWASKI WESTCHESTER ABSTRACT CORPORAT /ON SARATOGA SIERRA CORPORATION Certifications herey; signify fhol this si;vv was prepared in qco do ce with the existing Code of Prxhce for Lod Surveys :abpted by the Ne,, York State Assoc- iation of Pmhssimof Land Swveytirs Said ceih'hcolions shall iuo on /y to the Arson for wA" the survey is prepared , and on ht; behalf /o Ile Idle company , go nmental agony and Moding institution 41sted hereon, and lc me ossignees of t/e /ending msWuhon. Certifications ore rot t onsferob/e to oagr.,vrol astituhans or to subse ubw ow sns . UnauMavired dMrolian or adYilmn M a swv%y;,map bearing a tensed lard Surveyor's seal is o vioblibn of Section 7109, Sub- G'w's(nn 2, of Me A+ York Stare Ed"- tan Low L,ndergrcu /rd easements, structures andlar 4Gj'K' ,. hments . •l 4-., 'ol shown Irergv. N„ SURVEY OF PROPERTY - PREPARED FOR - r1 - SITUATE IN THE - L' TOjWIV 011` PL1r1V,41W �,4LGEY PUMAM COUNTY , NEW:. YORK, SCALE 1"=,40 DATE :4z./G, B, /DS .: UPDATED FEBRUARY /2, /�.B7 iI -f Sfi:'.- p.o i2.. BOX eee ore, ;';; is Nd ' aJ (i rr L O..0 A - -- / 5 7 -8 19 110 1 II I it 113 114 1 /s 1 /G 4 jig 1-9 ft 5'1 (,,z 160 173 78 15± 24` 316 38` 4�` 53� Go gS± 58` Certifications herey; signify fhol this si;vv was prepared in qco do ce with the existing Code of Prxhce for Lod Surveys :abpted by the Ne,, York State Assoc- iation of Pmhssimof Land Swveytirs Said ceih'hcolions shall iuo on /y to the Arson for wA" the survey is prepared , and on ht; behalf /o Ile Idle company , go nmental agony and Moding institution 41sted hereon, and lc me ossignees of t/e /ending msWuhon. Certifications ore rot t onsferob/e to oagr.,vrol astituhans or to subse ubw ow sns . UnauMavired dMrolian or adYilmn M a swv%y;,map bearing a tensed lard Surveyor's seal is o vioblibn of Section 7109, Sub- G'w's(nn 2, of Me A+ York Stare Ed"- tan Low L,ndergrcu /rd easements, structures andlar 4Gj'K' ,. hments . •l 4-., 'ol shown Irergv. N„ SURVEY OF PROPERTY - PREPARED FOR - r1 - SITUATE IN THE - L' TOjWIV 011` PL1r1V,41W �,4LGEY PUMAM COUNTY , NEW:. YORK, SCALE 1"=,40 DATE :4z./G, B, /DS .: UPDATED FEBRUARY /2, /�.B7 iI -f Sfi:'.- p.o i2.. BOX eee ore, ;';; is Nd ' aJ (i