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HomeMy WebLinkAbout4447DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84.14 -1 -20 BOX 34 4-ru Uj7l VIV golt, r r I. I �` ti I. 4.a. ' F , 04447 �.�;. PUTNAI� f DUNTY DEPARTMENT OF HEALTH ENGPNEER MUST nmentelHeisli?li` Sertnoea; Germ % „N Y 112 PROVIDE PERMiT # 1G .[A' Putnam Valle E ,FOR ,,SEWAGE DISPOSAL :SYSTEM Y T down or village /I ” „ ..• (i133d�1 o'S iiMe Tax Ma located at, P Subd I4 owne�Raymond Khoury Hamer ,Qa,y0aks Peekskill;. N �,p �t t `. Christopher T Irwin PO Box 132 ac Falls Separate Sewerage System built by Address Np Conslstin9" of l�O� 0a1 Septic Tank and. 429 LF of 24 ' ,Trench . -other 'requirements Curtalll Drain insta e Water Supply: Public. Supply From X Anderson :Well drillers Private Supply Drilletl B,Y, Address r-, ,er Street . Putnam - Valley. NY 105 ?9 1 story frame No. df eeir,pomsx'� 3 D ;te Permit Issu}a Building Type wk at e�irf Y.0 ®ITT Haf EfOSion COnt►OI Beep COmpletetl� e S Has garbage grinder be ®� inl ®� +•0 I certify that the systems) as listed serving the above,premases.ware cogstructed(eaeentiad§��e fbwr5 o; the completed work ( copies of which are attached) and in accordance with the standards rules and regulations In'a _ t` fi nand the permit issued by the e . . December 30, Date_ 1985 Certified by e PE. R.A. ' � 1 Northrid° � Road Pd�k' � ,.. 6 • 27846 g Atldress oLicensa No. = o Any person occupying premises served by the above systems) shall promptly take wch attlon as ma�be�f�„s t�iejdra thaicorrection of any unsanitary conditions resulting from ,'such usage Approval •.ot the separate sewerage system shill beeoins null;il� ®y�oidR'a a public anitay abler becomes available and the, approval of the .'private water = supply sha11'Decome null and;.void; when a public water wpply_ pge0mt ivailatila. Such ''pprovals are s ib)ecl � to modification or change when, in the ':judgrtient of the Commissioner of _Heal ,such revoEatbn; :modHltetton or Change is 'neeeiaary. Date y Title. Rev. 6/85.: .. - _ - Raymond Khoury Owner or Purchaser of RP,;ymond Khoury Building Constructed by Cihd,y9`s Ladle Location - Street Putnam .Valley (Tj Municipality 1 story frame Building,Type GDARANTEE OF SEPARATE SEWAGE 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,.th'at,it' has been constructed as .shown on the''approved, plan or approved�.ameiidment'thereto, and in accordance with the'standards,.rules.and regulations of,the Putnam County.Departrment of Health, and hereby guarantee to the_ o.wner;..his success= ors, heirs or assigns,.to place.in good operating c.ondition..any-.part..of; said system _constructed by me whi.ch.,fai.ls to operate for a period.of two years immediately following the date of initial use of the. sewage disposal system, 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 occu- pant of..the - building utilizing the system. The.undersigned further agrees to accept as conclusive the determin- ` -'ati on .o,f .tLi �3_3:rector� o : the D:ivisir�n o Environment I Iicaltti 'Se vgCes' :. of the Putnam County Department of Health as to whether or not the fail- ure 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 RzIl 19 FS Signature Title emln� Corporation Name if corp.) ' Address THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health Yorktown Medical Laboratory, Inc. LOCATIONS: ❑ 321 KEAR ST., YORKTOWN HEIGHTS, N.V. 10598 245 -3203 321 Kear Street fi*01 BUTTONWOOD AVE.. PEEKSKILL. N.Y. 10566 737 -8777. Yorktown Heights, N. Y. 10598 ❑ 495 MAIN ST., MT. KISCO. N.Y. 10549 666.3335 (914) 245 -3203 ❑ STONELEIGH IAV/E(NEAR HOSPITAL), CARMEL. N. Y. 10512 278 -9330 Director: Albert H. Padovani M. T. (ASCP) r DATE TAKEN:.__ .. -� . • r .'�' • _. ��� f �:-L -. ; -_ -, ,. _ ... -- _ .....__ . c°j -- .GATE RECD VEO: tN �',_,:�•- OQ.i�i4 - - - :`` ` -- +.. .. -..V. do DATE REPORTED: A , t/�. tx/ h� 0���/ SAMPLE SOURCE: ti� Lab # „ 1 REFERRED BY: _j Collector: " l 9�- 265- 3 8 3 LABORATORY REPORT ` --- - - - - -J ❑ ACIDITY ............................ ............................... ❑ ALUMINUM ............................ ❑ ALKAL)NITY v P= ........ A= ....................... ❑ ANTIMONY ................................ ............................... BACTERIA, TOTAL /mL ...... ......................... ❑ ARSENIC .... , ............................. ............................... ❑ BOD, 5 DAY ......................//...... ............................... ❑ BARIUM ....:.................................. ............................... ❑ BROMIDE ............................ ............................... ❑ BERYLLIUM ................................ ............................... ❑ CARBON DIOXIDE, FREE ........ ........................ .I...... ❑ BISMUTH ........... ............................... ❑ CHLORIDE ............................ ............................... ❑ BORON ...... ............................... ❑ CHLORINE ............................ ............................... ❑ CADMIUM ....... ............................... ❑ COD .. .......... ................ ............................... ❑ CALCIUM .................................... ............................... ❑ COLOR ( Units) ................. ............................... ❑ CHROMIUM ( tot.) ............................ ............................... ❑ CYANIDE ........................................................... ❑ CHROMIUM (hex ...................... .................... ............................... ❑ DETERGENT, ANIONIC ........................................... ❑ COBALT ❑ FLUORIDE ............................ ............................... ❑ COPPER .................................... ............................... ❑ HARDNESS ............................ ............................... ❑ COLD ........................................ ............................... ❑ MPN COLIFORM COUNT/ 100 ml .... ❑ IRON ........................................ ............................... e PMFT COLIFORM COUNT/ loom ...................... ❑ LEAD ........................................ ............................... •❑ CONFIRMATORY TEST ............ ............................... ❑ LITHIUM .................................... ............................... ❑NITROGEN, AMMONIA ............ ............................... ❑ MAGNESIUM ............................................................... ❑ NITROGEN, KJELDAHL ....... ............................... ❑ MANGANESE ................................ ............................... ❑ NITROGEN, NITRATE ............ ............................... ❑ MERCURY .................................... ............................... . ❑ NITROGEN, ORGANIC ............ ............................... ❑ NICKEL ........................................ ............................... ❑ 220n. -.� LYI1,I_ a.$.!_ ......... _,_, ..�.....�....,..... ,., L�.PALLADlUM .............. .......................... .......... . . ... ... .... .... ❑ OIL & GREASE ........................ ............................... ❑ POTASSIUM ............................................................... ❑ PH (units) ...................... ............................... ❑ RHODIUM []PHENOL ................................ ............................... ❑ SELENIUM ..... ...... . . ...................... C1 PHOSPHATE (ortho) ................ ............................... ❑SILICON ...... :.. 4'"......................... ❑ PHOSPHATE (condensed) ............ ............................... ❑ SILVER ................ : ....................... ............................... ❑ PHOSPHATE (total) ................. ............................... ❑ SODIUM ................ q.rr ............................... ❑ SOLIDS, SETTLEABLE. ml /L .... ............................... ❑TiN ..................�:. ..f SIU.. ............................... ❑ SOLIDS, SUSPENDED ............. ............................... ❑ ZINC PUTNAM .... ............... .I............... ❑ SOLIDS, DISSOLVED ............................................ ❑ .................... .�PT.—OF.COUN .Y........................... ❑ SOLIDS. TOTAL ......................... ........... ................. ❑ .......................................... El .. �H............................. ❑ SOLIDS. VOLATILE ................................................ ❑ REMARKS:..................................... ............................... ❑ SPECIFW CONDUCTANCE (uhmos /cm) ............... ❑ .................................................... ............................... ❑ SULFATE ............................. .............:................. ❑ SULFIDE TNTC = Too Numerous To Count . ............................... ❑SULFITE = less than (below detectable limits) .... ... " " " " " " ". "' RS Recommend Sterilization of Source ❑ SURFACTANTS .................. RS ` FSBT = Filtered Sample Before Testing ❑ TURBIDITY (NTU )........... .... ............................... THESE RESULTS INDICATE THAT THE .WATER WAS �F A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED. THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEM- ICAL QUALITY OF THE NEW YORK STATE ADMINISTRATIVE ReLES & REGULATIONS, INKING WATER A DARDS (PART 72) FOR THE PARAMETERS TESTED W TH &AMP E W S`C LECTED. N/A = not applicable Albert H. Padovani M.T. ASCP), Director RWF8 5 :: " WELL COMPd.ETION, REPORT, PUTNAM COUNTY :DEPARTMENT OF MEALTF 317.1 vivIsion of EPv`rovirmAtel Heeltll Service . COUNTY OFFICE BUILDING - CIIRMEL. NEW YORK ;= .Thi ePp rt :• srrba;c PF�tec btr'wel7 , tler an�9. submitted to County,'M� 4t1i. Etta irra®nt topat er�with aborsto_ry "nport of ar»lysis of water sample indicating'water is of satisfactory bacterial quality before certlfleate of construction complisnce`is Issued. : REPORT MUST BE SUBMITTED WITHIN 30 DAYS. OF WELL `COMPLETION . OWNER N.. ADDRESS . L<6cd'J t� el own) (tor Nvm"f) LOCATION OF WEII (� �. BUSINESS . D " TEST WELL PROPOSED DOMESTIC ESTABLISHMENT FARM - USE OF WILL " O Q AIR ` 0. 0STEfY1, SUPPLY INDUSTRIAL CONDITIONING COMPRESSED PERCUSSION CD OTHER EQUiPMEN T ROTARY A R PERCUSSION wdh CASINO DEW LENGTro (/� f) OIAMETEk( /ncAas) WEIGHT,►ER FOOT gm X. .t � h W NO; YES NO THREADE EKED yE5 +' HOURS G P.M YfalD ( ©? td 1 TEST- �r' II j � ❑'.�AIIED :.,. LJ PUMPED" COMPRESSED AIR i. WATER MEASURE FROM LAND SURFACE- STATIC(SP City #so#) DURING -YIELD TEST fteeq ' Well ' t>.pth of CanplNed :. In feet below Le 40 LEVEL MAKE. , LENGTH OPEN-TO AQUIFER (►eeU SCREEN DETAILS :.. SlC SIZE DIAMETEII'(Inches) IF GRAVEL l ( • teeU "" O fteetJ Diameter of w•11 inclvdleg PACKED: 'prevel pock (tnohes): ;' DE ►TN FROM LAND SURFACE Sketch mat.ft"voh of "it alth 41099011011. to el 10"t FORMATION DESCRIPTION two pennanfnf` /etliLna►Re. VV�. V-V • • .• "J• EC11 If yield was tented of different depths dwinp "drilling lid below 2 . . 986 FEET r GAllONS ►ER:,MINUTE P:03,1,77 CJ9%K L'1'S`r. Date: z .. ms INITIAL SITE, I?-)SPECTIO ?: � +��, R � Yes ~ No Comments ,Property lines or corners found . . . . . . . . Can estim, -ate, house location . . 0 f - Wial: driv-cwdy need cut .... 140 `- hunt trees be removed -hote these .Is deep hol.e _representative of entire SDS Brea. Additional deep holes needed. . Sufficient SDS area available considering driveway cut; house location, separation . distances, etc -- DEEP HOLE MA . . "- D�p'i;h Water elevation.: • 3 elevation: -. - ,Rock .So:iJ_s d.e:scr_i>>tion• 3(L- -r Date . PINfr L S-I.92 IINTS1 J1C`i 10D Insp. by House located where - shoi:7n on approved plan SDS, located where approved . :Innt th of trench meas-dred 43�0 Width of trench avc-rag -e 2 Slope of the line and trench. acceptable _ Room allowed for expansion trenches ..... _.•.- ...., ��J!3r 50 i� <�. •j'�'CZ Si:'�.m�i'� °'at'erCOlil•s'e ._ .:� . �� _.�. ;.� -_.�: Vatural soil not stripped or SDS area -. ..... .�n . - _.._..F, ...__...__._. _ ... -� luuiecessa.rily graded 10 I't . maintained ' from prop-line and 20 f t . from house Sep**ra.tion of trench from house, well -- etc. -- follows ; : -- ;- , : —:- - - - -- ---- - - - - -- - - - - -- Nuli)ber of bedrooms checks . . . . . . . . . . . °/ Stones, brush". stur.:ps, rubble, etc: greater than 15 ft. from nearest trench . . . . 15 Pt. of peripheral soil horizontally from �Junct:ion oxe"s" properly set 3ol�1,d��,facc rim off from . drivoway, roads, _ • ground surface, etc. chaimael near SDS area Does lot drain.-.ige a1 pOar O. K. in area of SDS _. FINAL GP&DING OF SITE ACCEPTAMT2, 11 .4 -8s - r ..,.... r. �......_..... ' 74 . .... .0 . :':s..�u'. r • n ..4 Q . • -. ^` i",5 =• � _ ci: �.�. -_ '7"�.;�Q,` - �v� ' � . � ...L. -�.. ...... `, r. CIO -10 �_ _ -� 4 DAVID D. BRUEN County-Executive Mr. John Romeo, P.E. 1 Northridge Road Peekskill, NY 10566 Dear Mr. Romeo: DEPARTMENT OF HEALTH Division Of Environmental Health Services January 28, 1986 JOHN,SIMMON�`.:�i 3c, v= Deputy Commissioner Re: Khoury SDS Const. Permit PV 11 -85 Cindy's lane, P.V., TM 119 -4 -6 Review of the Construction Compliance documents for the above referenced site received 24 January 1986 has been completed. The following items have not been addressed: 1. House location is not tied to property lines on as -built plan. 2. As stated in my letter to you dated 4 December 1985, the location of one trench less than ten feet from the property line. has - still: not -b.een.- reso -lved, _ 7' 3. As -built plans are lacking the required certification. statement specified in the Putnam County Health Department Standards. Upon submission of revised plans and resolution of item 2, review can continue. If you have any questions pertaining to the above, please call me at 225 -3838 or 225 -3833. Very truly yours, 1 James S. Hodgens Assistant Public Health Engineer JHS : amm cc: Raymond Khoury, 12 Hampton Oaks, Apartment 189, Peekskill ,' File TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 DAVID D. BRUEN County Executive Mr. John Romeo,.P.E. 1 Northridge Road Peekskill, NY 10566 JOHN SIMMONS, M.D.' Deputy Commissioner DEPARTMENT OF HEALTH Division Of Environmental Health Services December 4, 1985 Re: Khoury SDS Final Inspection, Cindy's Lane, PV TM 119- 4- 6,-Permit #PV 11 -85 Dear Mr. Romeo: Inspection of the completed above referenced SDS was conducted by this Department on November 1, 1985. On November 4, 1985, I communicated via telephone that part of the system was apparently located less than ten feet from the property line. As of this date, this matter has not been resolved. Accordingly, a Certificate of Construction Compliance will not be issued until the matter is settled. Additionally, as the system was not installed in accordance with a pproved.plans,:it will be necessary to'show ii-opersed• expa-n -s- on- area - tlie -as _ i2i P --Plan.- Please address any correspondence in this matter to my attention. Very truly yours, James S. Hodgens Assistant Environmental Health Engineer JSH : amm cc: R. Khoury, 12 Hampton Oaks, Apts.189, Peekskill, 10566 JSH ✓File TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALVi.SERVICES: DESIGN,/DATA SHEET - SEPARATE. SEWAGE DISPOSAL. SYSTEM FILE. N0..07?'-558 . _ Owner Hein,z :Geyer,: Inco Address A3,0 1 ,:..Putnam .Valleyp No :Ya� 10579 C r P s ill Hollow Located a? M31ee nays Lane Rd., and :- 119 2'. Sec . - Block 6* Lot . (Indicate nearest .cross street) s : of. G'eyersb.erg -. Filed Map "].454-: Municipality Putnam Valley Watershed New Ybrk City SOIL PERCOLATION TEST DATA REQUIREDITO.BE SUBMITTED WITH APPLICATION j Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse. Depth to Water Water Level P No. Time:'' : From Ground .Surface in Inches" Soil Rate Start Stop Min. Start Stop - Drop in Min/in.drop ' Inches Inches Inches 3. ;1:5 .. 3:35 2.0 24 . 25 1 _ . 20 Min 2 3;35..:. _3:56 zo 24.: 25 1 20 « 3 3:58 4 ;17 19 : :: 24 :.: :25' 1 .19 �► 4 _ 5 3 �'35 ...:20 , 24 25 ,._ ..._ ._. .... 2 3;35'__,.3.:53 18 24 . 25 1.. 18 ' 2 . 3 :5 4 s i5 20 24 :` 2 3 4 5 Notes: 1) Pests 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. TEST PIT DATA REQUIRED 10 BE SUBMITTED-WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. (2) NO. HOLE NO. G.L. Topsoil. Topsoil 6" 1211 Sandy loam with traces of clay 18" 24"' 3 01' 36" 42" 48" 5 4'r Paeked sandy loam,- clay and small stones 6 01f 6611 7211 78.11 8 4" ,,,no" INDICATE' LEVEL AT WHICH GROUND WATER IS ENCOUNTERED ,,e at -96 INDICATE LEVEL _TO WHICH. WATE9 LEVEL RISES AFTER BEING ENCOUNTFffg2one a)1?611 TESTS MADE BY burgess- & Behr., P. C. Date 74.9 7 774 Soil Rate Used 20 Min/1". Drop': S.D. Usable Area Provided 5625 SF 4 1200, Pre-cast cone No. of Bedrooms Septic Tank Capacity. Gals. Type _AbsorgHo,%A ,Provide L.F.x2411 3611 width trench. Other Install Swale -Eea Provi,� =Vnding a on "!=Iff.Jot line narging max 370 to a c. assn an outta pipe e past e Name Roy B Signature. I 'R Address BURGESS', SEALY & BEHRx P.. C. k 0 D 8 Horspepound Rd,, Carmel,. No YO 4. PUTNAM COUNTY DEPARTMENT OF HEALTH Soil Rate Approved Sq.. Ft. /Gal. ' 1 Checked by Date *east iron pie to be installed. :uihae r.' d-irlii v6­a'y. See design plan for other requirements y PUTNAM COUNTY DEPART NUN T Or-HEALTH Ti`lil`KU1 M071RO -N s NIf,IV`fkL HLliT;T�'ST-'RVICDS September 10; 1975 Date Re: Property of Heinz Geyer, Inco Corner of Peekskill Hollow Rd and Cindys Lane Located at .Section 119 Block 2 Lot 6: Gentlemen: Lot-6 of 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 o'f Health, and to sign all necessary papers on my behalf in connection with this mater anct to supervise the construction ot' saict system or systems in conformity with the provisions of Article 145 or .�.- Fdiica.ti.an.,Law the -- Public - Health -- -Law; and- tie -R� tnam "" CGt.rnt ! ;Sani " - - -- - _ h. Lary Code. Very trul y rs, Signe d�- Owner of o rty --Heinz Geyer, Inc. Countersigned: R D 1 Putnam Valley, N. Y. 10579 Address _ P.E. R.A. , # 9845 '528 -21L�4 Burgess.& Behr, Po C. _R D 8 - Horsepound Road Addre s°4 Carmel, N. Yo 10512, �t 225 -3312 .1r I M71A, 1 {.yap J. Telephone F PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date March 5, 1985 Re: Property of .RayrAond Khoury. Located.at' Cindy °s Lane' (T) Putnam Valley Section Block Lot Subdivision of Geyersburg Subdv. Lot # 6 Filed Map # 1454 Date Gentlemen: This :Letter is to authorize John S. Romeo a.duly licensed professional engineer X or registered architect 1 (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said sy "stem�or' sy tein iii cbn -fbf- city with the provisloris of `Arti KEc EU 147, Education Law,. the Public Health Law, and the Putnam County Sani- tary Code. APP 2 398Z) Countersigned: P.E., AXAX4 # 27846 Very truly. yours, PUTNAM HEALTH DEPT. Signed C/tQ caner of Pro erty 0113% �' '/ - 1 d R Northridge Road g °p0 ©OOOOpo QO >L� l / �� Address 0 \0 ff��•.• Town . Peekskill, NY 105 0 ����� s• Ro�Fo ��� o y auk. a Telephone 737 - 1056 m , Telephone o �e z7B ° °o�'�f OF NE`s ���� °a 00000°00 0 PUTPUIM COUNTY DEPARTMMT OF 11r2 LTH DIVISION OF ENV UAL ILE,AL`.CIi SERVICES " `COUNTY OI'I ICE BTJII�1G, DESIGN DATA SHEET- SEPARATE •S011AGE DISPOSAL SYSTEM.. FILE N0. Owner Ra-,- n-.ond ,10-i .u:.ry Address 12 H4Lm.O on Oaks A1i'- _c, Locat d at (Street" Cindy's La!! e. Sec. Block- Lo.t 6dicate nearesE. cross street Municipality Putnam-Valley. -Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Ho e Number CLOCK TIi �. PERCOT,4TION PERC OLATION Hun Elapse DapEh to Water Water, ve No. Time From Ground Surface in Inches Soil. Rate Start -Stop Min. Start. Stop Drop in Min. /in strop Inches Inches Inches (1) 1. 10 :32 11:02 30 22.5 25.25 .2-7-5 , 1:00,91 ' 2 11:06 11 :36 30 22.50 25.00 2.50 12: Q0 11:10 12:10 30 22.50. z5.0o . .2.50. 12.00 (2). l_ 1M. :40 :11:10 3U 20..7.5,-.'- .:: : 23 =:75 3._00" -10. 00 .,...:...." _ ..,�.. -2 ? tl Jul 4 .30 .... W, o_. 5.. .23.2 ,. y2`.5. J... �... 12.-00 '_ .. _ 3 11 : �.9 12 :19 30 20.75 23.00 2.25•. - _ . 13.33 x.12:24 12:54 30 20.75. 23.00 2.25 13.33 5 - 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 DATA 11EQPIR17,D 'J.'O BE' SUBMIT TIM WITH APPLICATION! 'DESCRIPTION OF 3011Z 2,11CCTYN'TERRM IN TEST }TOLES IZ ­ o�- �0 zb 2na Go L. Topsoil Topsoil' topsoil 6.11 Topsoil Topsoil Topsoil 321' sand y , blly, sandy, gravelly sandy, gravelly. loam, 'with some ;silt loam with some silt loam with some silt' 24 30" It MICATE I=L AT VTBICH GROUND. WATER. IS.ENCOUNTERED 4. 50 .f eet 110 1 CA T F� L TEL ,:* 2 0 1%q l C F- MA T E R"'L EVE rRISES A T TE n BEING G EN Cot TBREb -3 dO.— T ee t TESTS MADE '5f r'ch . .7 1` 985 --.----John S. Romeo Dat e Ma DESIGN OtSF Soil Rate Vsed 11_15mj rVi Drop: S.D. S Do bsable Area Provided 5 + No. of Bedrooms . 3-. -Septic Tank Capacity'1.060 Gals. Type�_ Masonry Absorption Area Provided By 375 L. F. x24 X,,3 viq�*419epch. - 6" 1�041%v"__ eel ame John S..7.7-homeo Signature W R 1 Northridge Road O C) a Address BEAL 0 Z 0=2 il - Peekskill, NY 10566 THIS SPACEFOR USE.BY BEALTH DE PARVENT. ONLY: K61. Poe i. Soil.. Rate Approved sq. R/C al. Chccked.by Date E. D -4' 65' E1 C'. VE ohi. APR 2 3 19 -Per, 0,T0 .85- PurNAM OUN-ry OF HEAV-�j DOCUT,T-TITS House plans O.K. REVIEW CIII;CK MERIT IMcets Std. Rom arks r-cs ' No ! llc�c\/1i� Design data, sheet - - - ✓ ! Peres presoaked? !-in. 30" pert test depth ✓ Const. results for 3 runs / D. Hole log O.K. � Corporate Affidavit for other than individual ! Authorization for engineer ✓ I Letter from Water Supply iT applicable w� i If variance requested -such noted on plans & apps.: NrA T. DETAILS . if change -is proposed,} Exist' �.ng contours shown show new contours) Slopes for driveway cuts, etc. shown Mater service line location Footing drain, etc. location !. Top slope, bottom slope of fill Percolation.tests and deed test pit location Seotic tarLk size and conformance to std. ! 3 B. R. house rn in ir,u m House setback shown iv Distribution box ftg. below frost n, ►� ! All water within 50 ft. of .PL shown -• ✓ Plan and profile SDS ....... ....... - ...... . All other wells and SDS closer 200' I shown .qw- reference' n'a*dz Property boundaries (metes and bounds - clearly own LEC�r+L 3uBDIV iS _J Lry _ -- - - - - -- - -- - - -- - - Y -. -- _..._ _.. '_11RATION DISTANCES SPECIFIED ON PL-U-4 10' to P.L. 201� to Foundation calls 00 to Nearest well Imo` to stream, march, lake, etc. incl : expansion V 5' to. Curtain drain 0' to water line (pits -20 5' to storm drain 0' ' to larCe trees 0' from foundation to sopt.ic tank 5' to pipe from leador drain &.foot;int!, e rain, 0. TO U}TC 4 6R S I N3 i tiCtE UA*E� weep, "� %c zco� �. CO !lice- i>ur FrIV P&fX_Q7D Pw+c ac '/� t 4 Z Reuses /a orp- ---ter, TO TO 'DRiV y F1�Qgq APPL. i ` . E_ I i ' f i, 5T Nkg i4rl lim, MR 7 Wgg�jl;�jj, . lz AvIf . 'R .� �,:. - . ". l;�:; 1. ­­­� , IN : - , N't UKA _q Jj W1, 1114*1 �4, 44, • Ke %,W t; t. vo, A i V., wol .. .... j itti PRO L 0i -V 4' 'IF ... tfz 7 P- j4_1 vlo,-W • mpe ! ,q �41 at C4 91, ik, kt. 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