Loading...
HomeMy WebLinkAbout4484DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84.19 -1 -15 BOX 34 Ll �vrl NO T' � NO 1 'NO � NO .� , . }: ' � � .. NO IN f ' _ `: ` ON IT r l.: PUTNAM COUNTY DEPARTMENT OF HEALTH 1 Division of Environmental Health Services, Carmel, N. Y. 10512 j CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM (T) Putnam Valley, 1•� °� =�. - Vona Vie Y s. r _ Y / r Town or village Located at l+bt� � °✓' �J 5(t`uC�S tES"9l037^.: a Ta Map � VX-,- �Y�lLrd <�i Subdivision —MILL PONDS SUBDIVISION (section 1) Lot 03 Job Owner Aphrodite Construction Co., Inc. Address c/o Mr. Joseph Marinelli, PresA;= Building Type 1 family residencet-ot Area 22$035 s..f . 3494 Overlook Avenue, Yorktown, N.1Y Three �£ Number of Bedrooms Design F 600 • p • d • over 1 500 F ' ` 9 g Total Habitable Space .� Square Feet � "` : • �0 min. 250 l.f. of 2.0' wide trench'. {� Separate Sewerage System to consist of Gal. Septic Tank and To be Constructed by to be .deter�lned Address Water Supply: X Public Supply From Mill Ponds Water Cog Inc. Private Supply to be drilled by i Address RFD #) Mill Street; Putnam Valley, New York 10579 I Other Requirements Per filed subdivision, integrated plot plan, plans & specifications „. for the lot & rules and regulations of the County, & State. I represent that 1 am wholly and completely responsible for the design and location of the p ) ) p `i P P Y g proposed systems ; 1 that the separate sewage disposal system 1 above described - w * ill be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regulations o e Putnam,., m County Departnt of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Health will;,'.^ be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following thedate of the issu -11. ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above is l will be located as shown on the approved plan and that said well will be Installed in accordance wi the standards, rules a ulaions f the Putnam - `j County Department of Health. 1 February 11 1978 Date Signed P.E. R.A. j{r! Address t 0 License No. 043952 F A APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is�•,' revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestic Hilary se age, and /or private water supply only. r:7 Date — LI 9h'� BY Title PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Envnm iroentai ►eaftf;veses,a;mf3l;�! .: L'S1x� = CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM (T) Putnam Valley ' Town or Village Lot 33 `Mill Pond Subdivision, /t Located at Pond V; ew. Tax Map 120, PLII Block 05 Owner Aphrodite Construction Co., Inc. Lot o3 Job Separate Sewerage System built by Owner Address RFD #3. Mill Street, Put-Val., 1 000 253.5 1. f . of O f Wide trench 10579 Consisting of . Gal. Septic Tank and Other requirements X Mill Ponds Water Co. - Water Supply: Public Supply From Private Supply Grilled By Address March 14 19 ?8. , Building Type single family residence No. of Bedrooms three Date Permit Issued 1 Yes fidp� & seeding to be accomplished this fall Has Erosion Control Been Co mpleted? ne rainL7 p :t or next spring. 1 certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work (copies of which are attached), and in accordance with the standards, rules and regulations, plans filed, and the rmit issue by tip Putnam Cou y apartment of Health. :i }! 1 Data September 21 , 1 978 Certified by RD #5 Milltown Road Br 1 License No 0 043952 Address wale . Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary j conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are `4 subject to modification or change when, in the Judgment of the Commissio a Health, such revocation, modification or change is necessary. ' —� Big+. Title Y 1 2 1 *1 s S r ,.► LP CAm I fee J� cfi .,r c �! 3 - A "Q GUARANTY OF SEPARATE SEWAGE SYSTEM I roproeent that I am wholly and completely respon4i.b�a fop th.4 jaggtion, wgr�cmantship, materi ai, construptio? A:id drainage of the sawagp dispoaA,I system serving the above described pr..aparty,. and that It has boon gQh0tructe4 As shown; on the approved plan or approved amendment thereto, and.in accprcanGe with the atand,ards, ruloa and regulations of tho Putnan Oounty, Dogartmant of .HdAlth; and hapeby guaranty to 'the owner, hip aupeop'. sots,. hairs or asst grin to pl�goo. in good operating condition.anS� part of said system constructed by me which faii.s to operate for a pgrio4 of tWo earn i.mmodiately. following the date of Initial use of the aewAge dispoaaj system, or .arty repairs :Wade by me to such system, except where the failure to raperoto properly �s caused. by the willful or negligent, act of the ocau� Pant of the building utilizing the system. The undersigned further agraps to aQoept as eonPlµs tar r} do of the Pirector of the Division of E4vironmental Health Sergi• vices -of the Futntn Cotty Department Qf Hoa.th as to rr►hether or not the. 'ai.3,uro =off'- the �s ate ,to :moo t ®r st0 '�aa ycau` 0A ..bV �jlfl 1-: br n sag i n� :.` t t?Q` o gu Ant of the building ut �..zing the system.. DatQd t?is day of S 14 2 3115 nature. Title corporation, 4 ih+a�a And address) R! R � � � T!11 !!, � !4 ♦ �! T ,7 n n *! !'.'.! },E '•!1 !: T o, R.9 .7 T wt !w !! 1� et A � �!} !!� � THNE OQFIk4 ARE RE(,UIREA WITH T ng (3 i COV1ES QF FIN, I,0 1 RE GEI IFI9ATF, OF, cQr L TION WILL HE ISSUP GUARANTOR IS REQUIRED TO FILE OTICE OF DATE OF FIRST USE OF SYSTEM, . .....: . .. '�'-�► .Rw-,� !±!!+� l�•� -n�w. !�w�+,�,..... T•�. �7�!�Tn�, ,n-„ „---Y ,R—l!� ..gip— �-- .�wrw --- •R *ni i,.. •� +.� ■e 'A n w n •+ .,. .� ., .. ,. in "! .• .... a+ -� n a t�! n! ee � R e!+ a �!+ t s+r A�• 9 Iv aion of ir4� ental HoAl,th Sarvigog, Rutn4m qpu -Mty Aopartment of 11#41 lvIELD C1•Th r,I: LIST 1 Date: & l P" X's, Insp.by: INITIAL SITE INSPECTION Yes • No Comments Property ],fines or corners found . . ._ Can estinvate house location . .. Will drivcviay need cut Must trees be removed =note these Is deep hole representative of entire SDS area Additional deep holes needed. ... . Sufficient SDS area available considering driveway cut,house location,separation.. distances, etc. DEEP HOLD DATA Depth:. Water elevation: .Rock elevation:. Soils description: - Dalte: FIIT41 ` SITE INSPECTIOi` Insp. by: House located where shown on approved plan SDS located where approved . a Length of trench measured Width of trench.average Slope of the -line and trench acceptable . Room allowed for expansion trenches. . . , . Over 50 ft. from st•.amp,.watercourse Natural soil. not... _stripped . or. SDS area mradea'. 10 Ft. maintained from prop.line.and 20 ft. from house Separation of trench from house,: well , etc:. follows plan . .:. Number of bedrooms checks ..; . - Stones, brush, ' stUm,0s, : rubble; - etc o greater than 15 ft. from nearest trench 15 Ft. of peripheral soil horizontally from trench . . . . . o Junction boxes properly set Could surface run off from driveway, roads, ground surface, etc. channel near. SDS . . , area. . . . . . 6 . . . . . . . . . Does lot drainage appear O.K. in area of SDS FINAL GRADING OF SITE ACCEPTABLE. s►uy.liSw ��lLlSl�ri :�ILI;I�;J.' � � • C; 1.1 ,�,.► �W)!Ots Strl . Remark:, 4j lies NO �CIJI �. iTS . - - ... • 4 Design data sheet Peres presoakced? 1%i n. 30 ". pert test depth - � ✓ •Coast.. results for 3 runs. D. Hole log 0. K. Corporate Affidavit toroth - -o than individual Authorization for engineer letter from Water Supply if applicable If variance requested- such ..noted on plans & apps. ,)o .L .,. _ �-� s- -;e-.. = �'.::..Ib •�;, :. ;;. ; -sue �;.:,., M R �s. D7-L AILS if change is proposed,) Existing contours shoGm Ishow,new.contours) Slopes for driveway cuts, etc . shown a X ter service line location. •Footing drain, etc location To-o slope, bottom slope. of fill AV )F, ,v Percolation tests and deeD test pit location, , Ssttic tank size and conformance to std. 3 B.R. house mini : : ; House setback shotn3. E Distribution box ftg. below frost All -water within 50 ft. o,f PL shown Plan and profile SDS ::... �.. _ �... • •,• All - other wells and 'SDS "`- shawn xefzae?ce a- a»o = �Y Property boundaries (metes and bounds = clearly shoja)� i TARATION .DISmANCES .SPECIFIED ON. PLAN t to F. L. "to Foundation walls to Nearest well to stream'. march, lake, etc. Incl. to Curtain drain ! to .water line (pits -20 to storm drain 'to large trees from foundation to s��ptic.• tank to pipe f'rmn leader se & .fob Very. truly yours.;.' For Aphrbdite, Cons tru'6.tiofi.-;tomp*ny., Inc. Si'gne'd nor of I' rsigned: I/ "Address Von 1WW4 pROV-E,S8jONAL MALYOWN ROAD, R Nem 5 0;R 1'1421 -Teltpho'ne See "Affidavit Qorpor6tb-.,O wher Application", on file with the Putham Coii6ty Departaent,of Heal .ii- ARTi4uR fs. McLAuGHLJN PROFUSSION" W#GU4MR LAM-SUWWON low& �2. February f.08 LETTER OF TRANSMITTAL '0: mow The Putnam County Department.-, of Health ONiMr.,,Robert Tutoni, P. HZA.�� Division of Environmental He'alth IIMILL PONDS' SUBDIVISION (Sec. 1) Services, Coutny- Office Building Lot #3, Pond View, off Mill'St., Careel, New York 10512 5D5 gpproval.paperwor fdr', aphrodite const.... co* ,inc. GRWf LMMN It Tq1M orput.valley (PLAT NU 1 LO We aft .sending y6u)U Attached 0UrAep--.4WpiA-T.eW. Ar. TW the following items: form Feb-. 11 4 construction. Permit for 4ewag�q_ P §,p2sal41 stem ' I Grig Desi gn Date. Sheet form ti ropy' Authorization form (made from master &C upd-2ted) 3 1oft' Plan & Profile SANITARY SYSTEM DESI0 JF_ Specifications for . . . ,11/68 j6ofj House Plans, by R-udolRh A.. Mate Q,..,,4.144, 0 as modif'S , N Trom our k4) to Tnree.- ARE TRANSMITTED as ch-e eked below-: Approval )MFor reviow and eomept 11_rmft?*r, 16r, 7-MW use )CjF0'r 7oar reeolrds RMURKSt Reference- is hereby made to thr transmittal of•SDS infar6tio for Lot'-;t.11, dtd. Feb. 1, 1978, in which it was suggested thot'-your. inspectors might look both Lots at once.' Also as'stated in said*-.. transmittal of Feb. 1, the developer is anxious to obtain these ap]lrovsls to ti so as smoothly continue constru lof 11 ha nk g, o?d for yo we wffi.,l attention. Please call when and if said approval are is ue pick them up instead of having them mailed to us. Please also note that this house is to be three. bedrooms, not fourf and the building inspector is aware of this condition, and modificatio Very truly, purs, Zopy. tot Aphrodite Construction Co. Inc. File Shoot 1. of 5 - -- ARTHUR F. McLAUGHLIN PROFESSIONAL ENGINEER - LAND SURVEYOR ._ 1 ••t.:�_. o a BREWSTER. NEW YORK 10809 (` AP`CIP'IC1�`i'$li}1�4 Fi3_ �s�a� a�a -seas Date a F SANITARY DISPOSAL. SYSTE1 PREPARED FOR: A hrodite Co For Parcel @ Lot #3 of Mill Ponds Subd v s on9 ro I- L A-1 ction Co.,, .Itip.- As Described On filE with the Putnam County Department of Health, Tax Map 120 (Plat v oc o (T) na- m��jalJev (C) putuali (S) Nov York a.:system to consik5t of a q�__ogallon ( ®3n.) se�3c t�ins9 Ai�Lka . 0 gallons `rscoc� ',� �50 lineal f6et of 2oG fadt a h a i &uti ul Pitch ®f 1/1611 p ooto The profile o't tae. sy0tom to be in accordance with the Health Code, and the invo'rtii 6cx1 delinoated hereinafter on the $land . bo Included herevith, and Inds a port of this sy*cificatidn, is a 10 scale plain condurroantly dated. Each part, io�aafl, plan and :gyp *ciftd�::.. P 1 equally govern the work to be performed, e Co System to b? installed in mccordaace with the rules *ad ti of the Putnam County Dolnrtwnt of Health, Division of to it mat t ealth 'Servicae* and the Now York State Department of Health,. Div. i���� . of Sanitary Eng$ikeeringo d. Syptefit_ shall not be backfilled until inspected -by the :Deli Engineer ead the Health Departwent. Final grading to be compl-Gtadl afore the ,issuQnce of a "Construction Compliance Certgicate"- 6 ,; n ' ;I See Putnam County De Wrtment of Health MEMORANDDN, as dated' OA/760- doncernins T New Rules and Regulations P�rtsiaing to the D0,41gu seed nstallotion. o _ 1 ndiv_idual.. House ho.1d. S13va . _ i Foi� typcial details, reference the WASTE TREAT IT HAHDB ODIVIDUAL HOUSEHOLD SYSTEMS, ens published by the Now . York State pzrtwent of Health, Division of Sanitary Engiaoori D f duly 1977 ok, latar revision therefor,. Attention Is tJc lar vited to the follwing applicable figures which are ihaoludod fter as details (roduced Size c ®pies frog the first printing wt' l . blicaa,tion) e 3 1 Absorption Field $operation Requ remeAts 8 to House Plumbing, Drain and Sewer Connection to Septic � Y 12 6 Typicaal Coacrote Septic Tonle .f 15 8 Distribution Box Dotai1 ' 16 9 Sekial Distribution Detail 17 10 Drop a. a Dotail x 1.9 11 Aboorption French Detail ee latest printing of tho publications for revisions on Some sul.* o 4i 0 0 or San ®Pra9. s1pcikAcr�tl®ms on �wa� di ®@�I .3 RUIM REGM ATYt S roil Tn DISIGN AND COIN RU %0-ff OF ISPOSAL SV$TM ADD R=D=DATi0ZS FOR TIMI t l R.DYAY ' OR •bl.ished by the Putatia Coazty Dapsirtmeat of •H lti�, XV ` v *me bl Health .Sorvicos, a .d the r�P�r idtioaed to to filth D@partmopito Also eoo said pub .c6ilo, rai 20 • 'p Ott � - 1'" L L rUflUS SPECIFICATIONS FOR: 1 Sheet 2 of h. Catalog cuts shop drawings, and /or other descriptive literature ,or samples, as apps cable, are to be submitted for approval before ins Ll. ation of system for: cast iron and joints, septic tank, tight pipe, overflow box and /or distribution box, _ perforated . pipe,.: cr ohd_stone.; - - -. .V'S1sh©d•-.grave-l-; -mot`. = klsb,� if~ ` curiain' drain is to be installed, its component parts, i.e., pipe, stone, etc are to have appropriate information supplied for approval. i. There are no wells less than 200 feet away at a lower elevation in ifrom' I the direct line of drainage, nor within 100 feet at a higher elevation, the pooposed'sanitary disposal system location. 1fj. Should unanticipated ledge rock, and /or a non - conforming ground water table—occur during construction, use fill, and /or a curtain drain, to maintain state standards. ik. Note that the area reserved for the sewage disposal system can +accommodate the the fields and over 500% expansion to the system still maintaining the required setbacks and separations. All minimums (as can be scaled from the plan) are just that; in any case more separation is encouraged. 1. Roof and footing drains are not to be discharged in the vicinity of ,the sewage disposal system, and are to be discharged to grade. If a curtain drain is shown on the plan, said drains can be routed into the curtain drain, however maintaining the required offsets from the sewage system. Im. House is to be positioned high enough such that waste can flow by Igravity from the lowest house receptacle to the septic tank, and thence to the box(es) and Laterals, in accordance with the grades in the Code, and in conformance with the invert elevations shown or scaled from the plan and profile. n. Well is to be drilled in accordance with the applicable rules of the Ifurnished Town and County. Bacteria test, pumping data, log, etc are to be to the engineer for submission to the Health Department. 1.o. Driveway access . *o -.the dwe111n�g:. is not. to a croacn upoa, or__ inter i`fesre`- with the area reserved for the system. The sewage disposal area is to be thoroughly cleared and grubbed to remove all tree roots and large boulders as might interfere with the installation of the system. ,However, no topsoil is to be unnecessarily removed (stripped), not is the area to receive any more regrading than is .necessary. p. Guarantees required b the Health Department are to be signed, ,three copies each, by 0 the general contractor, and (2) the septic system installer. It is the responsibility of the general contractor to secure the necessary paperwork from the septic intaller, well drille water lab, etc, and see that same is furnished to the engineer for transmittal to the Health Department with his required "as- built" informations. Note that the owner can, and sometimes does, act as general contractor in his own behalf. q. The flow scheme is as follows: All flows, including laundary wAptes, are to pass through the septic tank where the solids attle out. From there the settled sewage flow passes into the first box, where it is distributed into laterals, and any overflow permitted to flow into subsequent laterals, etc. Provision for expansion ,(future) in the form of additional laterals, 'is as shown on the plan. r. For any sparation distances that are not known, or can't be scaled from the plan, consult the design engineer or the Health Department. s. Diligence is to be taken in setting all ,components of the system to se® that flows are balanced. inverts appropriate, etc. Use hydraulic SPECI.F'ICMI ®NS FOR: suhdiuision�_ _ _S�tion`_I Sheet 3 of tests to verify same. Attention is to be paid in setting the septic tank to verify that the plug in the bottom of the tank remins in plao and it should be grouted in before the house connection is made. Cara is to be pfti.d in forming the joints of the cast iron and iffi connectin : "-wo x. tie t3 ei � t` D o�i a 7 t i4 `N�at�3rti� `' Lnte Y^$ 'a " C � I3r '$ j .. : view of proximity to foundation (footing) drains, and curtain drain, i :japplicablG. The footings of all boxes are to be set below the frost ;;line. Ends of all laterals are to be plugged. to All components of the septic system are to be accurately located (staked) to preclude occupying space intended for other uses - and to maintain required offset distances from foundaition, _ property lines, space between laterals, etc. ua In the event that the house, well, or septic system is moved signif icantly, the health Department @ ®serves the right to require a new sanitary disposal design, together with new test informations, be subsittedo Before any chaW, is contemplated, check with engineer sand or health departmento Should the number of bedrooms be decreased to lose than three (3), there will be no further downsizing of the system permitted. vo Topographic informations, deep and percolat.:,on hole locations, etc i by thaodolte /tape /stedia, methods. Consult engineer for benchmrk imto8°ma►tio8a ®o wa The maximm length of any lateral is 60 lafo unless otherwise appro��do xo No variances of the Health =Code are requested or required. Locatio of the septic tank can be altered to take advantage of the best pluob- ire comoction to the duelling; however, the proper offset distances - aro t-o be maintained. yo Septic system installer is to telephone both the design engineer-a the Health Department when the total disposal system is ready for inspection, and after the well is grilled (if applicable). Befor any field inspection is called for, both items of work should be accom.plis ed,, on toto, ioea, the entire sanitary- system -should have. been, install ®pl,_ as��cal.ied -.for -iii £he plan;:: iirEliad-tng° the cast °iron "house` connectiohn and the waterline to the house should have been routed to demonstrate there is no mutual interference'or encroachment with the sanitary system. Both the Health Department and the design engineer will attempt to- inspect the system within 48 hours of telephoned notificati o In the event that a telephone call is not possible, it is suggested that written notification be furnished to the address of the engineer (see plan' and /or sheet 1 of this specification), and to the Health ,Department (see construction permit fork for address). zo House plans for a three bedroom dwelling, design f#1047, by Rudolph A. Matern, A.I.A., Architect, sheets 1 fFru 6 of 6 as furnished by Aphrodite$ & revised by client to make a three bedroom plan. ea. Water system (community), vice individual well as noted herein - before, is to be from the Community Plater System of the Mill Ponds Water Company. bb. Any plumbing fixtures instalLe in basement could require the use o d by° an ejector system -said system plan C° should be submitted for approval before installation of system Arthur Po McLaugl begins, if applicable. , 4r.-E. L-So New York State License No. 043952 SOCti= I Afl 0(:P I jU,% 1 1" F) I ION RLI14 IRL Nit '4r 5 ( 1 ) Sheet 4. of I- septic tank A _4 i 616th �Ow,;W �Id , 'Dislnllitdof lateral laid level Invert at Wit 4- lower man Germ or d,tCh invert of septic tank outlet to divert Ell surface *afef To& Tight lliorits Undiltwtied earth between trenches A loo 4' minimum BIZ" minimum SERIAL DISTRIBUTION DETAIL (9) L Open i` T TV 71, L 4 15 Plan r2l der,,:.,, 1•m• Sector on 7 1Z "I"* err.,.,, 0 m 0 Ri)9 M A%Mll, i Ut I AM (10) P MA V L Ponds Subdivision- SPECIFICATIONS FOR: Section 1, iot Sheet 7, r ftALL tl':C ­ NF0" SECTION. v I F. 'A IC DO"S PLAN VIEW TYPICAL CONCRI-TE SEPTIC TANK OUTLET. T pl A'N \ I rK .NOTL5 N RE.11 VABLE h COVER u. INLET OUTLET. �9, T �7 —i TO CLEAN SAND or MIN PEA GRAVEL Cp()SS.I.FrTIONAi VIEW DISTRIBtlION RM MlAlt 1 8) YpFFi 30 T I L. s T_ HOUSE PLUMBINC• DRAIN AND SfWEft CONNECTION TO Sf;lll(. TANK PUTNAM COUNTY DEPARTMENT; OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES r_.. CQMTY`OFPICE�BUILDING, CARMEL,�N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE.DISPOSAL SYSTEM FILE NO. . Aphrodite Construction c/o Mr. Joseph Marinelli, PrOs -; 3494 Overlook Owner Company , Inc. Address Avenue; Yorktown. NY 10598 Pond View Tax Map Located at (street4dicate Sec. Block 0�_Lot 03 nearest cross s jae I Municipalit (T) Putnam ffalley� Watershed ��erland to pond, eventually Y $A S%ula n�lr_Rrnol� MILL '1C�►' WITH APPLICATIONS Hole Number CLOCK TIME` PERCOLATION PERCOLATION Run Elapse Depth to Water Wate_r__Leve No. Time From Ground Surface in Inches 'Soil Rate Start-Stop. Start Stop Drop in Min. /in drop Inches Inches Inches 1See percolation test results and deep hole logs on file with the Health Department ATTN:,Mr. David Benson, P.E.) in conjunction witxg 2 th - filing_ of thP�? r gP Tntp- gratar3 Plot Plan fnr Mill Pnnc3�-, Sub--. 3 division, Section 1. 4 From said form, on sheet 2 of 2, entitled "Schedule of Sewage Disposal in the. limb-ter of Lot . 5 i in. - , Pexc..... Rate .. , in.. in.:..:..p�;3 ... • - _ .T; . � ..._ .. _:.._.. .... .__.. . _ -._.. ___.._ .. . 3 Required Length of Absorption Trench per Bedroom (L.F.) - A.T. - 83. �F 5 1 2 3 4 5 Notes: 1) Tots to be repeated at same depth until apppproximatelyy 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 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS .ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. HOLE NO. . .:C.L. � ; -• Se� �o't =her` si:d�� for" aR�1.ic'�bla nota•i�ne .: ,:;•.- �,:�::.:_,��::c°:�� : - -�_. _•� -�-. 6" 12" 18" . 24" 30" 36" 42" 48" 5411 60" 6611 72n 7811... 8411 _.... INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED m Is not encountered INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED n/a TESTS MADE BY Deep Holes by General Contractor .. Dates ® Miscellaneous* Percolation tests by en i.neer & his assitants '� file w H °D D c° I. __ — _.. . DL�IGN _ _ _ _ 5� Soil Rate Used 0 -5 Mir /l "Drop: 7 T S. D. Usable Area Provided over 3, 000 s °lf. °I 9W M* in & M Approved No. of Bedroom st-hree® 3 Septic Tank Capacity Gals. Conrammt- e Absorption Area Provided By ?5, L.F.x24" X—�° Address ure SEAL I Feb. 11, 1 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: sssioN Soil Rate Approved Sq. Ft /Gal. Checked by Date j 0. -4 - - - - - - - - - - - - - - �tc "d Ig, Ap, I-J t id 1�1 "0 e. -tv �'y 71. NK 'p "Al tz 1 l 'ip 41 Ne A.; . A MAN i f to ( l s_.� x .=k 2 �`4`S' l _ Ty p �.y 1, N c r -1 �' } a " t ,x' -r . P a y •r r'r - 7 �, z £,. a b Y r `�` a _V t &, s: ,. my v N a" Now - c;:.•^ -..ter "�..,, . �: r, ..` x°# .�%` "x'�' 1 r ° .`' u s � s � `VAM z SPIN �`S+ SC 4i j ! ltlt� r tt .i �' a k`,'�' a.: ri,r, -ia a' -r i y.€ -i'`,,T,v'"r" a ` mat .- K ` 3 3;b'a stem In to Ior ;A hr.,od t^ Gozxs ruat arie Go na f - =, �8 t'4FFTtS FROM i4U.3; CbSt`(te distance_`in S:eet lov$1) a1i x'Y�:Sy I ;fi 11 4. f°1, Ya -Yley Yb`.r� V'$n$ral tiOntr &O't01' �al0.ui4 n { � 'dote: The � t11 Pond' �`[�biiKIM tlis �serv$d bg e '111 � vQ ° t." fiG12iffi!Li %2'�.j�'..W6 �$t" o �` �, , �•ax` 'l Y LnaatYona by -tho odolit$A tabs atiia .&�tltods. VMS kdvl ' e 't sa _b_ f z� '^sY- ?.y ,f t nwnx S. ` c 3 <l1Ulow- G2 7 t yz� A i €i obi !?DOE r s 'iALF�GlSiti€�R'd ' ' 4 arr rlt vn hi `� x ,,his .!a is CertiiyNi2frxt the �3otago dapoarl ` t a �, :ti- `',,.+e" X'1XC@(i, aS•`- .G B.tOd ,4 - r "F ?" 4� t '�2iiiPtill� Cl151iGiiLiA1� ��„a '' -msystem4�aaaonaG _, s', ^. �, �. � _-, -- � *• t� =„e3'"a�toml�r+�a = �,n��ects� <�ry tie.. - -s• Piais�skmaFEn`•r�,ia y r,� rrdStetvne ar 1 i ,w.. _- bsPozm i es,cWered aver. A?h x ��t , -'eras ,* 6f t t aVlitllxmi-Rd,:R 934 279¢ S$� 3 .00n stiulit ed_ in aci rdsnoo. mit3t °sll tho"xru our _ � _ , <; F " "YOB�t %•1� a� ' a Y ounty Leis '87111' :T'BtjlilA�S:0A0 Of_�tllri Yutri m.%.. r- t."49rit�,l. Ys a x� � >� wen Q�eX A:���Tz w �.o'�r _ _ .y-ti. 8`OL.#t? 3 Will Ncmds 'SubdSVisY`an {� A �. _ �i±' � _ }� \ t e� /� . do♦ y by � � q D,,i� , s .. rti w3: ....S .,f .F. �' S �..� n '4C. -;' .y,, vk ,c+ . F 7 2"l.'X .a� "3 -C):.l • � `i "G'. �J,, �.0 /.- iii �4 ��fii�ev '"::EV.': .i11�4AtMl iJV.p --�' x .;,."` '.'� , � - da ti �_=. . ;� •�6u [ � .,tom. .,-t .,y_.., ,�, ?.sr 7• � "f �`�s��+ �� ""°' �*�' "F ,Y'��.�.'� - . �3..w.......,- r...;..�z. - __��� L-- 4. f°1, Ya -Yley Yb`.r� V'$n$ral tiOntr &O't01' �al0.ui4 n { � 'dote: The � t11 Pond' �`[�biiKIM tlis �serv$d bg e '111 � vQ ° t." fiG12iffi!Li %2'�.j�'..W6 �$t" o �` �, , �•ax` 'l Y LnaatYona by -tho odolit$A tabs atiia .&�tltods. VMS kdvl ' e 't sa _b_ f z� '^sY- ?.y ,f t nwnx S. ` c 3 <l1Ulow- G2 7 t yz� A i €i obi !?DOE r s 'iALF�GlSiti€�R'd ' ' 4 arr rlt vn hi `� x ,,his .!a is CertiiyNi2frxt the �3otago dapoarl ` t a �, :ti- `',,.+e" X'1XC@(i, aS•`- .G B.tOd ,4 - r "F ?" 4� t '�2iiiPtill� Cl151iGiiLiA1� ��„a '' -msystem4�aaaonaG _, s', ^. �, �. � _-, -- � *• t� =„e3'"a�toml�r+�a = �,n��ects� <�ry tie.. - -s• Piais�skmaFEn`•r�,ia y r,� rrdStetvne ar 1 i ,w.. _- bsPozm i es,cWered aver. A?h x ��t , -'eras ,* 6f t t aVlitllxmi-Rd,:R 934 279¢ S$� 3 .00n stiulit ed_ in aci rdsnoo. mit3t °sll tho"xru our _ � _ , <; F " "YOB�t %•1� a� ' a Y ounty Leis '87111' :T'BtjlilA�S:0A0 Of_�tllri Yutri m.%.. r- t."49rit�,l. Ys a x� � >� wen Q�eX A:���Tz w �.o'�r _ _ .y-ti. 8`OL.#t? 3 Will Ncmds 'SubdSVisY`an {� A �. _ �i±' � _ }� \ t e� /� . do♦ y by � � q D,,i� , s .. rti w3: ....S .,f .F. �' S �..� n '4C. -;' .y,, vk ,c+ . F 7 2"l.'X .a� "3 -C):.l • � `i "G'. �J,, �.0 /.- iii �4 ��fii�ev '"::EV.': .i11�4AtMl iJV.p --�' x .;,."` '.'� , � - da ti �_=. . ;� •�6u [ � .,tom. .,-t .,y_.., ,�, ?.sr 7• � "f �`�s��+ �� ""°' �*�' "F ,Y'��.�.'� - . �3..w.......,- r...;..�z. - __���