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HomeMy WebLinkAbout4450DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84.15 -1 -6 BOX 34 04450 INN NIIA F, I rig IB- N! poll . �. NJ A .. l�ly II A& 6r7W 04450 t Acting Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 -,6648 une 27, 2003 Jac Zadrima 52 Lovers Lane Putnam Valley, NY 10579 Dear Mr. Zadrima: County Executive Re: Addition - Zadrima, Lovers Lane No Increase in Number of Bedrooms (T)Putnam Valley, TM #84.15 -1 -6 I have received and reviewed the plans for the proposed addition to the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from this Department dated June 27, 2003. The addition is approved with the following conditions. 1. The total number of bedrooms must remain at five without prior approval by this department. 2.:...: The area --of the existing scwagp Asp« a3 system, . ind. i s ,expa xeitri aria, must by ___._.....� -- . --- •• maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. 1 �t 1 Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. Fyou have any questions, please contact me at your convenience. NL:lm cc:BI Very truly yours, Michael Luke Public Health Technician 1g, l , 1 BRUCE R. FOLEY Public Health Director LORETTA MOLINARI R.N., M.S.N. A.tsociate Public Health Dirvctor- `' Director `oj Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 792 C Nursing Services (845) 278 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 ADDITION APPLICATION ' STREET � C1,-, 5 (RESIDENTIAL ONLY) TOWN Y'``rV 1,K 014tc y TX MAPi# NAME , ice- PHONE �i;3 -SS `I . � PCHD# 0 -o S/ C G /' e- 6 �c. ' N A C1 IG MA1LI\'G ADDRESS �, , ��- - S C -,� ✓ T DESCRIPTION OF ADDITION -2�cj If iA P,0-- Ni b-NMER OF EXISTING BEDROOMS .S PROPOSED # OF BEDROOMS. S (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *Any addition which is considered'a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following; to,Putnam County,Health De t.,,4 Geneya -i :Foai,.Brewster.-N.Y.. " _ ..._. �6 1. /Certified check or money order for $100.00. . 2. /'Sketches of existing floor plan (drawn to scale, all living area including basement) ' *Nan - professional sketches are acceptable. ` 3. /Two sets of proposed floor plan (drawn to scale, with name, street, and tax map 1r) *Non - professional sketches are acceptable. 4. (Copy of sue showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. /Copy of Cert. Of Ocancy from own or Certification from Building Dept: with legal bedroom count of dwelling. OFFICE USE Comments Feb98 BFhouseo idelines BRUCE R. FOLEY LORETrA MOLINARI R.N., M.S.N. Public, Health Director Associate Public Health Director Director_ _of- Patient- Sertqce$�, -DEPR�, I Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (945) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (945) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278-6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re: 2 /V�R I- m -A Residence Tax Map -54 15-- 1 - -- to Town +'1%.) r W :A:M::WL-k- it According to records maintained by the Town, the above noted dwelling, IS ✓ IS NOT in'Cbffpliance'with-Towvn"'code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD:- OTHER 3> Building Inspector BFhouseguidelines s�z cgs .� 40 +:` �'s- 501tl' l.t�GP�i10��5 lap ` 140 St n�l IrA � . �3, Rewc 1 l . o� Yv+a>!Y� °� �i f,yr►� 14.5 refIn&Takl� WO LAN9 � ; �nuE�ti . COSTA & FERREIRA. INC. g. INSTALLATION OF SEPTIC SYSTEA06 ® 66 ARGYLL AVE. NEW ROCHELLE, MY 10804 i\: 4 NOW Al. Be O. A //v 1Al,6 -X S rl'V 6 7CAC kVA_4 BY R47 c 04f,- Z/ OR FORM F-Ft LY �11 0 0 :t $0 GRAVU a I v 2i, ... t, 1 oDo 0-71, A6 . 4A 51501,w. ., / .4- -1 - Oxr.s0- 0? xi NOW OR FORMERLY JOSEPH AREA 2.752 AC. IV I 4VI A 41& v 1,7? 1- AS SH41WAI SHIP 0 /50. -S /W.9 /' N-01-r"• WALL ' STOVE A� 14, Di 15FIN E DETTO i. SURVEY OF PR OP E RT,-,.Y 51TUATE I N THE OF LL I 1), SUBDIVISION OF PROPEFZTr,;. PREPARED FOR ANTHONY PADd4%ANO "� I $r1l FT M%rr 9 141RA PUTNAM COUNF'�,iy N EW "YORK 'A O � W 2 .j lk inr W 0 -i SURVEYED PREPARED BY BUNNEY ASSOCIATES //v 1Al,6 -X S rl'V 6 7CAC kVA_4 BY R47 c 04f,- Z/ OR FORM F-Ft LY �11 0 0 :t $0 GRAVU a I v 2i, ... t, 1 oDo 0-71, A6 . 4A 51501,w. ., / .4- -1 - Oxr.s0- 0? xi NOW OR FORMERLY JOSEPH AREA 2.752 AC. IV I 4VI A 41& v 1,7? 1- AS SH41WAI SHIP 0 /50. -S /W.9 /' N-01-r"• WALL ' STOVE A� 14, Di 15FIN E DETTO i. SURVEY OF PR OP E RT,-,.Y 51TUATE I N THE OF LL I 1), SUBDIVISION OF PROPEFZTr,;. PREPARED FOR ANTHONY PADd4%ANO "� I $r1l FT M%rr 9 141RA PUTNAM COUNF'�,iy N EW "YORK April 23, 2003 DANIEL J. DONAHUE, P.E. CONSULTING ENGINEERS 120 Biel enrius8'xZoa 6x rY Mahopac, N.Y. 10541 .845- 628 -7576 Putnam County Department of Health Geneva Road Brewster N.Y. 10579 Attn: William Hedges REVOCATION OF 52 Lovers Lane Putnam Valley Hedges: ANSION AREA Enclosed please find three copies of plans, which show a partial relocation of the expansion area for the sewage disposal system, located at 52 Lovers Lane. It is my understanding that the homeowner needs and approval from your agency in order to obtain a permit to construct the pool, which is also shown on the attached drawing. Your prompt attention would be appreciated. Sincerel 'el J. Donahue, P .E. cc: Mr. Zadrima ti 5 - LoverS Lanf- 2 pufnam.,7 Valley Tac ZDA COLL PUTNAM COUNTY DEPARTMENT OF HEALTH SE PLANS APPROVED FOR :BROOM COUNT ONLY, BEDROOMS MASTER EMROOM L;vinq Room on Firsi Fbor Copen un� I I"b 1-ftr) user O 61069t Ow tAuSler Bedroom open on 4, F InDr ` -_ Attie Liail 2qD Row - TO ----------- PUTNAM COUNTY DEPARTMENT OF HEALTH SE PLANS APPROVED FOR :BROOM COUNT ONLY, BEDROOMS O ol cu t" Room '3 i. P 5I LoverS Lam f5aihrmm 10) Sac 7-"rf M CA, P nom valley N I D.5 71 u- 0 z III beh-oom - I ... . ......... . .. z cr 1 =1 t,oawsb f-I'lrbor. a- w r CE z gaitwo.9 WSE PLANS APPROVED FOR ,EDROOM COUNT. ONLY., ei IAZ*�7612 7 �4 M M M r- lu In q- M W M -4 ENGINEER MUST x,... PUTNAM COUNTY DEPARTMENT OF HEALTH PROVIDE Division of Environmental Health Services, Germ% N. Y. 10512 PE M I T # . U CERTIFICA E OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM own or Village er.: ^�. P,•' .. __ 'J••,'f� Y'Z:.IP �•f' - "^ YR i -_ M. a..r�. � +. 'i3 i ...�'w ... r i� .. ..�� ':i� ..,�.. - `•S t.W' •.L V .`c �k 1 -� ♦.r�r. ._ �...,r � �._,,,,y Located a* Tax Map' JAI / / Block owner ormerly Tax Map Lot 0 3ubd. Lot Y Separate Sewerage System built by r�J a gr fit Address Consisting of (dal. Septic Tank and Other requirements Water Supply: Public Supply From Private Supply Drilled By A ,,7 e, V''7 Address Coll Building Type No. of Bedrooms Date mit issued f� Has Erosion Control Been Completed? Has l garbage on installed? nt aler.- 1 certify that the system(s) as listed serving the above premises were of which are attached), and in accordance with the standards, rules and Putnam County Department Of Health. Date Address Any person occupying premises served by the a ve system(s) conditions resulting from such usage. Appr at of the sepal available 'and the approval of the private water supply shall be subject to modification or change when. Jn the judgment of Date Rev. 6/85 on the plans of the completed work ( copies the filed plan, and the permit issued by the P.E. R.A. �` -I �y yz License No. scary to secure the correction of any unsanitary void as soon as a public sanitary sewer becomes supply becomes available. Such approvals are lion, modification or change 11- ne"pary. l , , n ;I: r lPiNi ., MPLE710N REPORT PUTNARA COUNTYEPAR7MENT' OF HEALTH ; 3171 „ Divlaion. of Enirlronmental Nplth . S�rwees COUNTY OFFICE BUILDING = CARMEL, NEW.YOiiK , s report is ,to. be, completed by well Iriller :and subrhitted to County, Health Department :together with laboratory report of a iy is of water s;,rnp(e -izt it at+ ig ,va. r `i5'ut sa't s #seto�y ac ;eclat quality efpCe ctirtRime of construction compliance Is ISSt ed... a _ REPORT MUST BE SUBMITTED WITHIN' 30 DAYS OF WELL' COMPLETION OW NAME ADDRESS . ; a� (Town) (Lot Numb•r). .' �: l.r Y/ l.0 5 . .. BUSINESS ` • CJ ❑ ❑ '. PRO. ED DOMESTIC ESTABLISHMENT FARM TEST WELL YI/ PUBLIC. AIR OTHER ❑ISUPPLY. ❑ IND65TRIAL ❑ CONDITIONING ❑ (SpP NO Dill G .''• ROTARY ❑ R PERCUSSION ❑I PERCUSSION ❑ EQtll ENT . A (OSvHE� 1 CA G, °, LENGTH (feet) ' DUMETER(IncheaJ VIEIGHT'PER FOOT' 1. C/T3TPf €� . +pR LAS ;,' ' f�"j�• 4. THREADED •. ❑W.EIDED YES ;' ❑ NO' YES O, , HOURS G,.„ ❑PUMPED Q �❑ BAItEDt COMPRESSED AIR W p } MEASURE FROM [ AND SURFACE .STATIC(Speeltyfeet) DURING'YlflD TEST feet) Depth of Completed Weft e L in feat below land :ysurfocb. IENEiiHiOPEN TQ AQUIFER ;(feet) " D ILS SECT 51Z DIAMETER (inches) : IF GRAVEL. Diameter of well including GRAVEL SIZE; flnahta) FROM (leery To (+•eU ` PACKEDa gravel pock''(lnehes); . OEITM M LAND SURFACE ketch ifect focetlon of wall With.084010s, to at least S e tc'i,.FEET FOR DESCRIPTION :' two.permanenl l�ndmukar x.e d ,r, c' '7 4 x• t0.:: + , „ 4 4If yield w 's rsst•d al differonf depths during drilling, list below. FEET" GALLONS PER MINUTE DA WELL MPLEi _ DATE OF,•REPORS' WE:L LEER ( qn lure) " � 1 Owner .or. urc aser. Building Section .�Jq Building Constructed by Block AZOW zr 1 Location - Street Lot Municipal-i y r Subdivision Name Building Type Subdv. Lot # GUARANTEE 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 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 success- ors, 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 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- -.ation of -the, D_-ir-:of -:of :.the. Division �o� Environmental Health_ SeY.:r� ;as_ :.. 1. _ .. __ . 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. 0 Dated this . Zvi ) day of 19 Signature Title 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.Y. 10598 245 -3203. 4' `' 321 Kear Street ].4) ❑ 201 BUTTONWOOD AVE.,PEEKSKILL, N.Y. 10566' 737$777 9 24 Yorktown Heights, 4) 25 3203 N. Y. 10598 ❑ 495 MAIN ST.-. MT. KISCO. N.Y. 10549 666 -3335 f ( ❑ STONELEIGH AVE. (NEAR HOSPITAL), CARMEL, N. Y. 10512 278 -9330 Director Albert 11 Padovani M. T. S :.. r .ter v. r '.a/ .. .t.: y�� [!` __. F. vf-`.. %a•-.. r - _: %� 4 •'�:'. 'DATE7/�KEN: �'T�i7-v�r-���— .svT —, F DATE RECEIVED:' : KRUGER, N. DATE REPORTE04�6 SS WEST AVENUE SAMPLESOURCE: BASEMENT TANK Lab #Y18919 PUTNAM VALLEY, NY 10579 REFERRED BY: CROSSROADS.. PHARMACY L 526 -2378 1 Collector: Na KRUGER LABORATORY REPORT mg /L ❑ ACIDITY ............................ ............................... ❑ ALKALINITY ; P= ............... A- /BACTERIA, TOTAL /mL ......... r f� ....... .. .....::................ LJBOD, 5 DAY ............................ ............................... ❑ BROMIDE ............................ ....................:.......... ❑ CARBON DIOXIDE, FREE ........ ............................... ❑ CHLORIDE ............................ ............................... ❑ CHLORINE ............................ ............................... ❑ COD ..................................... ............................... ❑COLOR ( units) ................. ............................... ❑ CYANIDE ............................................................. ❑ DETERGENT, ANIONIC ............ ............................... ❑ FLUORIDE ........ ..................... ............................... ❑. HARDNESS ............................................................. 0 MPN COLIFORM COUNT/ 100 ml .............................. F `I' COLIFORM COUNT/ 100 ml •�•......•••••.......• �b CONFIRMATORY TEST ............ ............................... ❑ NITROGEN, AMMONIA ............ ............................... ❑ NITROGEN, KJELDAHL ............ ............................... ❑ NITROGEN, NITRATE ............ ............................... ❑ NITROGEN, ORGANIC ............ .....:...:..................... u ODOR r (U'ii 1 t S) ...: ......................... ........... ❑ OIL & GREASE ........................, ...........................,... ❑PH ( uilltS) ...................... ............................... ❑ PHENOL ................................ ............................ .... ❑ PHOSPHATE (ortho) ............................ ❑ PHOSPHATE (condensed) ............ ............................... ❑ PHOSPHATE (total) ....... ............................ :............ ❑ SOLIDS. SETTLEABLE, ml /L .... ............................... ❑ SOLIDS, SUSPENDED ............. ............................... ❑ SOLIDS, DISSOLVED ........... I .. ............................... ❑ SOLIDS, TOTAL ................ ....... ............................... ❑ SOLIDS, VOLATILE ................. ............................... ❑ SPECIFIC CONDUCTANCE (uhmos /cm) ............... ❑ SULFATE ............................................................. ❑ SULFIDE ............................................................. ❑ SULFITE ............................................................. ❑ SURFACTANTS ..................... ............................... ❑ TURBIDITY ( NTU)............................................... ❑ ALUMINUM ................................ ............................... ❑ ANTIMONY ❑ ARSENIC .: ............................... ... ............................... ❑ BARIUM ....................................... ............................... ❑ BERYLLIUM ................ ............................... ❑ BISMUTH .................................... ............................... ❑ BORON ........................................ ............................... ❑ CADMIUM . .................................... ............................... ❑ CALCIUM .................................... ............................... ❑ CHROMIUM ( tot.) ............................ ............................... ❑ CHROMIUM (hexavalent) .................... ............................... ❑ COBALT .................................... ............................... ❑ COPPER ......... ❑ COLD .. ....................................... ............................... ❑ IRON .................................. :........ I............................ ❑ LEAD ........... ❑ LITHIUM ....... ......................... ............................... ❑ MAGNESIUM ............... ❑ MANGANESE ..........................:..... ............................... ❑ MERCURY ...................:................ .........................:..... ❑NICKEL .. _.._. _ ❑ PALLADIUM ................................ ............................... ❑ POTASSIUM ................................ ............................... ❑ RHODIUM ............................... ............................... ❑ SELENIUM .................................... ............................... ❑ SILICON .................................... ............................... ❑ SILVER ........................................ ............................... ❑ SODIUM .................. ...................... ............................... CTIN ........................ ............... ............................... ❑ ZINC ........................... ................. ............................... ❑ .................................................... ............................... ❑ ............ .................................. ............................... ❑ REMARKS: ..................................................................... ❑ .................................................. ............................... ❑ . .... ............................... ............ ............................... ❑ .............. ................................. ............................... ❑ .......................... ............................... ...................... ❑ ......... ............................... ........ ............................... ❑ . ............................... ................ ............................... THESE RESULTS INDICATE THAT THE WATER QUALITY WHEN THE SAMPLE WAS COLLEC THESE RESULTS INDICATE THAT THE WATER ICAL QUALITY OF THE NEW YORK STATE DRINKING WATER STANDARDS (PART 72) WHEN THE SAMPLE AS CO TED. Albert H. Padovani M.T. WA S6 OF A SATISFACTORY. SANITARY TED D MEET THE SATISFACTORY CHEM- ADMINISTRATIVE. RULES & REGULATIONS, FOR THE PARAMETERS TESTED N/A = not applicable PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date ., 'e. r Re: Property of Located at G (T)j�i7�rY► Section Block Lot Z% Subdivision of Subdv. Lot # — Filed Map # Date Gentlemen: This letter is to authorize e__5 y -'rv,-V a duly licensed professional engineer v 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 this matter and to supervise the construction of said systems in - con formity :.rith...the urcvisi��ns of-Article 145 cr 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. �✓ �'�'�l� � . l Alit Countersigned:. P. E. , rR-.�. , # Address / Telephone Very truly y urs, Signe Owner of Prope y o Address v Town 2-S Telephone J''1ELD CJII�C1: h'CST. Date:. Insp.�Py. +_i•"'v%.X.:..,C�. - _.<•�•:.�.^ _ t .�::: ..C'{�- y'''2 A.. - -, �r ., _. - tom' = —.-, .F. ew "v % %%b fr +•_� -'<.. �.d...�_+ = .r...e e.".X '%.F�;�.vs- ..+ee."_ -. ,. - c. r_. ..e r INITTAL SITE INSPECTIO": Yes. No Comnicni.s ,Property lines or corners found ... .. '` - Can estimate house location.. . :. . Will, driveway need cut - Must trees be removed -hote these Is .deep hole representative of entire SDS area Additional deep hole's needed. Sufficient. SDS area available considering driveway cut, house location, separation .distances, etc. DEEP ITOLEs DATA Dep h Water elevation: Rock elevation: Of d Soils s d.e s cr:i. ��t i on -- Date: rlll" L Insp. by House located where - shot:,n on approved plan SDS located where approved . . . . . . . . _- :Innry-th of trench moasu:red Width of trench avers.ge Slope of the line and trench .acceptable . . . Room allowed for expansion trenches . . ... .Ove.r...�C� '11ati1ra1 soil not . stripped or--'SDS area iuuiecessarily graded . . _.. ,. 10 It. ma.intained from prop . line and 20 ft. from house Separation of. trench from house, wk! -plan . -.= -: - ,=; - -- ; - -: :-- .. -- - - -- — ----------------- 11TLUnUcr of Uedrooms checks . ` . . . . ' . Stone, brush, sturps, ruUUle, etc: greater t1mn 15 . ft. from nearest trench 15 Ft. of peripheral soil horizontally from. trench Junction boxes properly set Could surface, rim off fro!n driveway, roads, • ground surface, etc. chaiulel near SDS .. . . area. . . . . . . . . . . < . . . _ Doc; lot drainage arr ar 0. K. in area of SDS FIAT 1L GrZADING OP' SITE ACCEPT1lM 0 ?2 .7 DOCIRCENTS 1mv.Li'm U111d;R 61H,"J. "1' Bets Std[ es No i 2, . cmarks rouse''pl ris''i:'K.n Design data sheet Peres presoaked? i -in. 30" pert test depth Const. results for 3 runs D. Hole log O.K. Corporate Affidavit for oth 2 than individua Authorization for engineer ✓ Letter from Mater Supply if applicable If variance requested -such noted on plans & apps. gerciec- ✓ �r ;� i� D • / � PICA" nl A A- D,--TAILS. , if change,is proposed,) Existing contours shown show new contours) Slopes for driveway cuts, etc. shown �%eter service line location ( f Footing drain, etc. location Top slope, bottom slope of fill ! 1 NA- Percolation tests and dee-o test pit location ( f i rnofr Rcrs --� Seutie tank size and conformance to std. / 3 B.R. house t! in arum House setback shown Distribution box ftg. below frost All water within 50 ft. of. PL shown Plan and profile SDS �.. _ ...... All other wells and SDS closer 200' shown . or:. refeinxice .made W 1., ..;...: Property bouizdaries (metes and bounds- clearly _shown SERUTALTION DISTANCES SPECIFIF_D ON PLkN '10 to P.L. 1.20.1 to Foundation walls to Nearest well 1501 to stream, march, lake, etc. (incl.-expansion to Curtain drain 0' to water line (pits-2013 + % �- 5' to storm drain / to larc,e trees ! Of from 1'011"Idation to so) ltic tank i ✓ 5' to. pipe i'vom leader di-ain & . i'ooLZIIC; 1',ala . i\49A_. f,::�7 trc. TKE� S r- DO'tlK -( ()kA c.0 Vj S�t3�cK ".e JOSEPH F...,SULLIVAN,. P. E, eonsu�lM9 YORKToWN HEIGHTS, N. Y. 10598 (914) 962-4248 lee, ? PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH.SERVICES - COUNT`? �'FICE 'DUILDING, CAP�Mr;L;- N. Y. 10712... DESIGN DATA SHEET- SEPARATE.SEWAGE DISPOSAL-SYSTEM FILE-NO. Address Located at •(Street 1--,,w e Sec. %/ Block 3 Lot 2J Indicate nearest cross street) Municipality Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS.... o e,_ Number CLOCK TIME PERCOLATION PERCOLATION No. Elapse Time Start -Stop Min. p o Water From Ground Surface Start Stop Inches Inches a er vel in Inches Drop.in Inches :. Soil Rate Min. /in drop' 5 5 1 , 2 3 . 5 . • a ..,,:. {,� Notes: 1) Tuts to be ? repeated at same rates are,?pbtaine,4,1 t each percolation for review: 2 Depth measurements to be made depth until approximatelyy equal soil test hole. All data to be submitted from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES' `' " F '•z' DEPTH HOLE .. NO. t \Y g 1 ) G.L. 6" . 12" c�E� � 18 it 24" 3011 36" 42" 48" 54. 60" 66".. ,721 i .7g,► 8411 INDICATE LEVEL AT WHICH GROUND -WATER IS ENCOUNTERED ..... N DI OA TI .:yEVEL _TO- WFUC WA�'ER'•'LEOTEL- ::RISES: AFTER BEING : ENQQ TN.TERMD.: TESTS MADE BY ,� 1) �� �r, " _, _ _ .. Date...` _,�`✓ ; , ".� DESIGN . Soil Rate Used Min/1 "Drop: S. D. .Usable Area Provided G' No.-of Bedrooms Septic Tank Capacity %2..sV Gals. Type��U �r Absorption Area Provided By L:F.x24" 36-1 width trench Other %� ��,`d ��;.'' Name Signatare Address �s�v i ✓Gv� L THIS SPAC FOR USE BY HEALTH DEPA TP= ONLY: Soil.Rate Approved Sq. Ft /Gal. Checked by Date PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date July 149 1984 Re: Property of Harold & Nobila Kruger Located at Lovers Lane (T) Putnam Valley (T56tion 19 Block 3 Lot 21-1 Subdivision of None Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize John S. Romeo 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 this matter and to supervise the construction of said ems 1 e ? a 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: P. E. , MZXX # 22846 Very truly yours, Signed -;� #0 w7niZe 'r 'o If . Rrope y "U) Address 1 Northridge. 'Road Address Town Peekskill, N. Y. 10566 C42 737 1056 Telephone Telephone • 0*0 QF NEW 000*00000 aS - Lam E &V� REVIEW CIIi:CK SI ;T II 1Moets Std. DOCLMT,- SITS House plans O.K. Dr -jsign data sheet Peres presoaked? I,Lin., 30" perc test depth Const. results for 3 runs D. Hole log 0. K. Corporate Affidavit for other than individual Authorization for engineer Letter from Water Supply.if applicable if variance requested -such noted on plans & apps.; ■ ■ ■ ■ DETAILS if change,is proposed,) Existing contours shown show new contours) _ Slopes for driveway cuts, etc. shown Rater service lire location Footing drain, etc. 'location Top slope, bottom slope of fill Percolation tests and deep test pit location Se -otic tank size and conformance to std. 3 B.R. house minimum House setback shown Distribution box ftg. below frost All water within 50 ft. of PL shown Pl.a.z and profz;le SDS e_ —All other wells and SDS closer 200' shown*or reference made Property boundaries (metes and bounds - clearly E ARATION DISTAI\?CES SPECIFIED ON PL4N 10' to P. L. ?0" t o Fozmdat i on walls )0' to Nearest well )0' to stream, march, lake, etc.' L5' to Curtain drain 'O' to water line: (pits -20 .5' to storm drain .0' ' to larp;o trc s 0' Iron i'otinclati.on to sc "'ptic tank to pipe. from leader drain &.1'o 1,11 r®o Irk' ®s GJ�e.0 4 IOA) i I Icl.expansion i -111)C drain NMI_ MM UY / s/ t p ,l x" V-gg FIE -ILD CI1T.r1; L'CST. . Pu:. t �,�..��.;' = ;'a Se' :o. °'' r .. .'i: i- .. :e.. ..$T. ° ' o -� r �. - < _ y'..9 �.i��y- t:^'�. -••�i f;,. �e,.rt eeL -.e" INI.TTAL SI`I E 11.1.�P];CTT.�� ?' Yes . Vo J Comments ,Property lines or corns found . . . . .. Can estin,a.te house: location . . . . . Will driveway need cut __ Ntust trees be removed -note these ® Tf o Is deep hole representative of entire SIDS area <,I - Additional deep holes needed. . . . . . . . . Sufiicien t SDS area available considering driveway cut, house location, separation distances, etc. . . . . . . . . . DEEP 1IOLlJ DATA : Aspth: -1atcr elevation: •I� Rock elet.aticn: k) 00 It Soils description: 0-/ ybpsoi(_. to - '`%i � � ��iW .LAY 440r OF . Date:' rz>\r ^,L S.T•T3 II',SP,;C` T(. Insp. by. House located where shown on approved plan '• . SDS :Located wh-Cre approv-ed . . . . •Innsth of tr nc'1 m- aasured' - Width of trench aver c-e Slope of tile line and trench. acceptable . . . ,. Room .alloy. d_ 'or e1 nansiQn trenches Over zt:"fi�orn s;:Tamp,l:atercourse Natural soil r_ot.stripped or SDS area _ iuu1ecessarily graded ... 10 Fb , maintained from prop. line and 20 ft. from house Separation of trench from house, well - -etc. follows plan . -. -: - -; - , - -..- ;- -;- .- : : -- -; -� - - -- --- - - - - -- - - -.. —. :Number of bedrooi�is chccks . . Stones, brush,,' stuimps, rubble, etc: greater than 15 ft. from nearest trench ._ 15 Ft , of peripheral soil horizontally from _ trench ... Junction boxes properly set Could surface run off from driveway, roads, • ground surface, etc. chamiel near SIDS area. . . . . . . . ... . . . . . . .. . Does lot dr. a.in.,i ,a anndiar 0. K. :i.n area of SDS -- r: NAL- GRADING OF SITE ACCEPTABLE .Enpo- Cornell Pump Company ®,' ��,�� ®'• A DIVISION OF' Roper Industries, Inc. (Ohio) 420 EAST THIRD STREET, PIQUA, OHIO 45356 Sid He �'i tie ff: d, -1 DESCRIPTION A 11/2" discharge high performance submersible sump pump designed to operate at the high head range shown in the capacity chart. (NOTE: Operation at heads lower than those specified should be avoided.) The Model 151 Pump will pump to a height of 105 feet, and will pump liquids at temperatures up to 150 °F. High temperature units are available for opera- tion in liquids up to 200 °F. This rugged, hard - working pump can be used as a sump for subterranean basements or other high head cycling sump applications. SPECIFICATIONS MOTOR 3/4 and 1 hp units available in 115 V /60 cy /1 ph; 3/4, 1, 11/2 hp units available in 208 V or 230 V /60 cy /1 ph. 3/4, 1, 11/2 hp units available in 208 V, 230 V, or 460 V /60 cy /3 ph. Built -in thermal overload protection on 1 -phase units only. (NOTE: Remote - mounted starting relay and capacitor required on 1 -phase units; magnetic starter with overload 'protection required on 3 -phase units. See "Control Panels" in Section 5000.) MATERIAL Motor and volute are cast iron. Impeller is bronze. Motor shaft is stainless, steel. OTHER Power cord is 10 feet. Pump intake is,wreened. WARRANTY Guaranteed for one year against defective workmanship-Apd/ or materials. WEIGHT 3/4 hp unit is 83 lbs. 1 hp unit is 86 lbs. 11/2 hp unit is 90 lbs. Pump Capacity l�n 4 z N.P.T. :HARGE � n 8 569 4000 -7 G.P.M. T.O.H. 44 NP Model 151 -5 1 HP Model 151.3 1% HP Model 151-0 1% HP Model 151.1 1% HP Model 151.2 1W HP Model 1513 59 166 - -- 18 58 65 83 20 57 64 82 22 56 63 81 24 55 62 80 26 54 61 79 28 53 60 78 30 52 59 77 32 50 58 76 34 49 57 75 36 48 56 74 38 46 55 73 40' 45 54 72 42 43 52 71 44 41 51 70 46 39 49 69 48 37 48 68 70 50 34 46 67 69 52 32 65 68 54 30 64 66 56 62 65 58 61 63 60 V29 59 62 62 58 61 64 56 60 66 55 58 68 53 56 60 70 51 55 59 72 50 53 56 74 48 52 1 54 76 50 53 78 49 52 80 47 50 82 45 49 84 44 47 86 45 88 44 90 42 92 40 94 37 44 96 42 Be 40 100 38 102 36 104 33 106 29 l�n 4 z N.P.T. :HARGE � n 8 569 4000 -7 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL- HEALTH SERVICES °= 10522 Fr �.t 1�1 OFFICE BUILDING, CARMEL !N'. - y: DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Harold & Nobila Kruger Address_ .West Avenue Putnam,_ Valley, NY 10579 Located at (Street Loves Lane Sec. 19 Block 3 Lot 2101 .- , ..r._. n ica e nearest .. cros's . $ .ree „ • >: Municipality. Putnam Valley (T) Watershed Peekskill,. SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION ;PERCOLATION Run Elapse Deptft to ater Water Level 3.00 No. Time From Ground Surface in Inches I Soil Rate Start =Stop Min. Start ' Stop Drop in Min. /in drop Inches Inches Inches (1) 1 11:25 11:46 21 20.25 23.25 3,00 '. 7,00 2 11:50 12:12 22 20.25 23.25 3.00 7033 3 12115 12137 22 20025 23.25 3.00 :7.33 5 (2) 1 ll s 30 ll 153 23.... 19.75 22.75 .3.00 7.67 ..:.._ 3 12123 12147 24 19.75 22.75 3.00 8.00 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 REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES Dt TH' -3 -lid NY G.L. Topsoil 1211 Pops Oil 1811 sandy"tgravelly 2411 -t" 'Loam 3011 3611 42" 48" 5411 60" 6611 7211 78ft 841f Topsoil Topsoil sandyv I gravellyt loam Topsoil Topsoil sandyt .gravelly,' loam Norie' INDICATE LEVEL AT WHICH GROUND WATER' IS ENCOUNTERED ry INDICATE.. ­ R ISES, A FT ER. BE I NG, z7NPQiJNTERED- TESTS MADE- Big — `DESIGN + Soil Rate Used 8­10 Dftn/l"Drop: S.D. Usable Area Provided 5000 SF No. of Bedrooms 3 Septic Tank Capacity 1000 Gals. Type Masonry Absorption Area ProvE By. L.F.x24" x 37 width trench. Other Name John S. Romeo Signature V-*t-- 1 Northridge Road "T 0 - R a Address SEAL. ----15'e--eks kill,- NY 10566 10 1 THIS SPACE FOR USE BY 1=2H DEPARTMENT ONLY: Soil Rate Approved . Sq. Ft/Cal. Checked by ®b, �"- - to I of No llr,il 11 ECEIVE-b" b K AUG 211984- PUTNAM COUNTY DEPT. OF HEALTH ba I .. .. FUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 051 DESIGN DATA SHEET-SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Harold & Nobilia KrugerAddre'ss West Avenue Putnam Valley, N.Y. 10579 Located at (Street) Lovers Lane Sec' ._19 Block 3 Lot 21o1 (Indicate nearest cross 'street) Municipality Putnam Valey (T) Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED-TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME 4 PERCOLATION PERCOLATION Mapse .,Depth to Water— Water EFv­e1_ - No. Time From Ground Surface in Inches Soil Rate Min. Start 'Stop Drop in Min./in drop Inches Inches Inches (4 )1 300 3s18 18 15-75. 18.75 3000 6.00 2 3s.21 3:41 20 15475' .18-75 31-00 6.67 3:42 4,00 18 15e75' 18-75 3-00 6.00 5 1 2 3 Notes: 1) Tests to be repeated at same depth until il 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. 4 2 3 Notes: 1) Tests to be repeated at same depth until il 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. e, e TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES ,y- „..,r ._ ..; :t'-. .. �.. - ,fit;... f ..:.�yi`- -c• `y,�: "o »= >..-- .. . :" -.: �- ;,;G,- '�`;,,�.:r' "...e��. _a. :G::.u- � °.',.`¢ .,. . :: DEPTH HOLE NO. HOLE NO,. HOLE NO. G.L. Topsoil Topsoil 611 Topsoil , Topsoil - - - r. , 12" sandy,gravelly sandy gravelly 1811 24” 30" 36" 42" 48" 5411 6011 6611 7211 7811 S loam loam INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None ..._...I.NDICA.TE.LEVF�L, TO W�CII,_WATER .LEVEL -.RISES- AFTL'R BEING ENCOUNTERED -° EST -3 _10ADE _ _,.. g , --Romeo. _..._._ -�_..� aate Sep en�e� 2'S, 'lq�34 8 -10 DESIGN Soil Rate Used MirVl "Drop: S.D. Usable Area Provided 5 000 SF+ No. of Bedrooms 3 Septic Tank Capacity 1000 Gels. '�I� °' ®onry Absorption Area Pr— ova By L.F.x24 " °� r 84- LF x 4•x4- Galleries ° 4 1 tvame John So Romeo signature $ ,=,o Address 1 Northridge Road SEAL ®� O D Peeks 1 , J, 278 6 o ®° THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. R /Gal. C� COUN r Checked by Date PUTNAM COUNT DEPARTMENT OF HEAL TH DIVISION OF ENVIRONMENTAL HEALTH SERVICES -�. t ^W:t: F -.. - ,i.._.. , ..... .. , � -.'2: 1 .. a .: � ' .t . i. .. -..e. - t .. - .r.. w . �k.. .. .. _. ` 3✓ s f .. l w . r 4 \ • . CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # El S ?�>~ RA Located at Subdivision name Date Subdivision Approved Subd'. Lot # Owner /Applicant Name 15 R uayag,, Mailing Address Amount of Fee Enclosed 'i /n 0, D a Town or Village �i7t-t -S.n JPs1.�� Tax Map_ Block _ Lot_b:�4 Renewal Revision Date of Previous Approval Li Zip I O -S-1 Building Type Lot Areal,IA,01 No. of Bedrooms Design Flow GPD10� Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED. Separate Sewerage System to consist of &t!s ' / 2,6y gallon septic tank and 6N 112 1 OF ��✓V� `t l� bTl-fi �..5� DF � a la�l� ors -r ��p,�,tuZSe:�.l Other Requirements: �vMt'1 Nl� (Z.EC7G�yXS1pN To be constructed by Pj v--- (L- Address Water Suunly: Public Supply From _ or: Private Supply Drilled'by Address Address - I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guar a furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good op c I y part of said sewage treatment system during the period of two (2) years immediately following the to 4 e approval of the Certificate of Construction Compliance of the original system or any repairs the to. Signed: P.E. R.A. Date P lqp, 1 V!V4 t F.: 1P. - "M Knff, �J -.- APPROVED FOR CONS is approval expires two years from the date issued unless construction of the sewage treatment system has n completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered ne essary b the Public Health Director. Any revision or alteration of the approved plan requires anew permit. Approv f dome ..sewage only. By; Title:�� / /-- Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy, - Desi rofess' nal Form CP -97 t� PUTNA-M COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM 21.1 Owner or Purchaser of Building Tax Map Block Lot IJJfJ Building Constructed by Town/Village Location Street Subdivision Name Building Type Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above- described property, and that is 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 treatment 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 occupant of the building utilizing the The undersigned further agrees to accept as conclusive the determination of the Public Health Director 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: Month Day Year Signature: Title: General Contractor (Owner) - Signature Corporation Name (if corporation) Corporation Name (if corporation) Address: Address: J2 ZOMO" State Zip State l'i� Lha ZY G Form. GS-97. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION Property ...i / 6QtW' Located at Lpoe(LS L-ev-3 ta TN Tax Map # �� Block Lot �1 Subdivision of Subdivision Lot # . Filed Map # Date Filed Gentlemen: This letter is to authorize a duly licensed Professional Engineer _� or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or water supply systems in conformity with the provisions of Article 145 and/or 147 of the Education1aw, the:.Public.Health -.Law arZd•the -K -utnam C �� tart' Code. Countersigned: P.E., R.A., # Mailing Address ti Very.truly yo Signed: AOwnerof 64431 State --_— W �:j Zip 11 059 Telephone: _& -!?&I- :, i, ;,`S Mailing Address: &p, State 4b zip 7. Telephone: c� Form LA-97 MAR -17 -98 TUE 3:14 PM PUMAM CTY ENV HEALTH FAX CIO. 19142787921 P. 8 PUTPIAM COUNTY DSPARTINOI ' OF FVALTH -D YV$-10 O r�laiW Y�/.T• d�T�7 �Tp�(p T- '.'T'3AT I"1 .Q$7�q g �{ �i ti•. � n �i;i�: .,,.. �ti_:� — ,� _. ,.. _ _ .w. .. _. .•.�ec - ^ +-. s "S f:.,.:_'�,w.. vy.:" n ..ln r l© .: �.. _�1:�-J.i"•a�31.117�'� "•1J.Ci:I Y'�17Eic7.i•.• � � +..�..� -. COUNTY OPPICE BUILDING, CAM3L, N, Y. 10512 DESIGN DATA SHEET- SEPARATE SEVACr DISPOSAL SYSTEM FILE NO. Owner Harold & Nobili,a KrugerAddress West Avenue Putnam, Valley, N.Y. 10579 Located at (Street Lovers Lane Sec. 19 B1ock__.L�Lot 21.1 �Inalcdte nearest cross s ree Municipality. Putnam Valey (T) Watershed Peekskill SOIL. PERCOLATION TEST DATA RE 1 1RED TO BE SUBPdITTED WITH APPLICATIONS 00 Ni=,ber CLOCK TINE' PERCOLATION PERCOLATION apse pth to e ex a er ve No. Time From GMc)and Surface in Irtches Soil Rate Start -Stop Min.. Start stop Drop in Min. /in drop Inches Inches Inches (4)l 3, 00 3;18 18 15.75 18.75 3.00 6900 2 3121 341 20 15,73 18.75 3.00 6.67 3 3j42 4,00 '18 15475 18,75 3.00 6,00. 4 i . ..... .... ..... ._ 4 1 2 -- 5-- Notes: 1) Tests to be repeated at same depth until appproximate)y equal 561 rates are obtained at each percolation test hole. Apl data to be submitted for review. 2) Depth measurements to be trade from top of hole. MAR -17 -98 TUE 3:15 PM PUKAM CTY ERV HEALTH FAX P10, 19142787921 D. 10 PUTNAM COI 7i Y DEPARTMKTT OF HEALTH ,' DhiI:i Uw- GF 'sV7RGi�it i�'PAZ Ti'.AiiH SERVICES �. �. COUN'T'Y OFFICE BUILDIN,J. CARREL, N. Y. 10512 DESIGN DATA UEET- SEPARATE SidAGE DISPOSAL SYSTEM FI12 NO, Owner Harold & Nobila Kruger -Address,.West Avenue Putnam Valley, NY 10579 Located at (Street Loves Lane Sec. 19 Block _,_Lot 21.1 �Xhdicate nearer cross s ree i+:uniclpality Putnam Valley (T) Watershed Peekskill SOIL PLFCOLAT10 PEST DATA RE9UIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOOK TIICH PERCOLATION PERCOLATION ,rn Eiapse Depth fo water Water Level No. _ Time From Ground Surface in IrIches Soil Pate Start -estop Mn, Start Stop Drop in Min. /in drop Inches Inches Inohee (1) 1 ll s25 11,46 21 20.25' — 23.25 3.00 7,00 2 1100 12612 22 20.25 23.25 3.00 7-33 3 12 X5 1207 22 20.25 23.25 3.00 7-33 5 (2) 1 11:,0 1103 23 19-75 22.75 2.00 7.67 - 2 11: 56.12 1.20 24.7 ...x9.75 .22.75 3"00 8400 -- - - -3 12123 12147 24! 19-75 22-75 3.00 8.00 4 1 0 3 4 5 Norates are Tests ined at repeated testhhole. Allydatagto DDees bmittee for review. 2) Depth measurements to be trade from top of hole, MAR -17 -98 TUE 3:14 PM PUNAM CTY ENV HEALTH FAX N0, 19142787921 a P. 9 TzsT PIT BATA REQUIRED. TO BE SUBP+11T9.F�. i�?TH.APPLICATION - :.;_...K.. -` . .° - ;: >_._:`: ;;�:�w -> IsESGR%P='?" ON -Or 80 iv--p i "�' -�. ;.. DE?'TH iiO.L, No. 4 HOLE N.O.. ..HOLE NO. J.L. Topsoil Topsoil o" Topsoil ..Topsoil 321, sandy gravelly sandypgravelly 1811 loam loam - 24" 36 I '4211 Y8" } 5411 6011 r b6" 781' 84" INDICATE LEVEL AT IMCH GROUND WATER IS ENCOUNTERED. Norte INDICATE WrEL TO W1UCH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY John .S,..�Romu_ : - ._....... _..__.Dete.- September -,2� 8 -10 DE IO Soil. Rate Used MirVI "Drop: S.D. Usable Area Provided 5000 SF+ No. of Bedrooms 3 Septic Tank Capaeity 1000 Gals. .Absorption Area rov a B,r L. F• x24" 84 LF x 4x4 Galleries 0 - )i,..; Address 1 NorthrridgeRoad gam, ee s z Y. 10366 • of THIS SPACE FOR USE BY HEALTH DEPARTMENT. ONLY: 00009000 6 Soil Rate Approved _Sq. Ft /Gal it 1 1 L 't3� OF Checked by Date MAR -17 -98 TUE 3:16 PM PUR0 CTY ENV HEALTH FAX ldu, 19142787921 P, 11 TEST PIT DATA REQUIRED TO B2 STZMI'ITED Z-IITH. AFFLICATIOP: ::r:'.. -;��: ,..:=` .:. ;: , . D�SGRIP '1'?�I:i_.G'-�'_.Sv.'1.,.� ,.:C�i.�`iFE+`3�-k'f:� r�F� rE•S?'' � Lu9 •:T , .- .. ..�_..,, .___ . .. DEBT HOB tio. HOLE NO. 2 HOLE No, 3 J.L. 6H 12" 18" 2411 J' 36" 42" T 54 if 6011 56" 78" 8411 Topsoil Tops oil, sandylgravel.ly, loam Topsoil Topsoil sandyDgravelly, loam 4 I I i y Topsoil Topsoil sandyegravell.y, loam 1 i I i INDICATE IZVEL AT WHICH GROUND WATER IS ENCOUNTEM Nona INDICATE LEV-,L TO =H WATER LEVEL RISES AFTER. BE11,110 Ei`�COUNT'ERED ~ TESTS MADE BY John S. Romeo _ Date. . 'Rate Used 8 lO�Mi. 1 "l7r,o f ^�. _m1^ S.D. Usable Area � -_ -5000 $F + Soi 1 - �/ p : Provided No. of Bedrooms 3 Septic Tank Capacity 1000 Gals. Type Masonry Absorption. Area rov a By 333 L.F.x24" X3b" width french. Other Address 1 Northridge Road Pe-ekarcill, NY - THIS SPACE FOR USE BY H r! LTii DEPARTMENT ONLY: Soil Rate Approved Sq. F`t /Cal. F11. Oheckod RECEIVE AUG 211984 PUTNAM coUHrY ` DEPT, OF HEALTH �� F f zo 21 - .. .y •: t t.. -DISTANCES ( IN FEET ASBUILT .REFERENCE TIE DESCRIPTION q g C p 3, 3�'. 5 Amt zo 21