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HomeMy WebLinkAbout4541DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.05 -1 -22 BOX 34 sa go i I ' IN In r a all r � la { ' ���t 9. 04541 L 4 BRUCE R. FOLEY Publ c Health Direc'for Anthony Aquilino 25 Finnerty Place Putnam Valley, NY 10579 Dear Mr. Aquilino: LORETTA MOLINARI R.N., M.S.N. -Associate,fsu6lic iYeafth �Direc" "tor = ��.e >' Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 . WIC (914) 278 - 6678 Fax (914) 278 - 6085 March 22, 1999 Re: Addition- Aquilino- 25 Finnerty Place No Increases in Number of Bedrooms (T) Putnam Valley Tax # 85.5 -1 -22 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 form this Department dated March 22, 1999 The addition is approved with the following conditions. 1. -The total•number•of bedrooms- must.remain. at_ ree -without prior approval -by -• this department. 2. The area of the existing sewage disposal system, and its expansion area, must be 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. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley . If you have any questions, please contact me at your convenience. Very truly William Hedges WH:kg Senior Public Health Sanitarian cc: BI y s J BRUCE R. FOLEY Dir6d6r�- FW Y voi� DEPARTMENT OF HEALTH Division of Environmental Health Services 4-? Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 2228-7921 December 10, 1998 0 Anthony Aquilino 25 Finnerty Place Putnam Valley NY 10579 Re: Addition - Aquilino, 25 Finnerty P e Increase in Number of Bedroo (T) Putnam Valley, TM# 85. -1 -22 Dear Mr. Aquilino: I have received and reviewed the plans for the pr/per n to the above mentioned residence. The proposal for the addition has been approvs bearing the latest revision date of December 9, 1998 and this Department's appro Based on the information submitted, the ab e mentioned addition is approved with the following conditions: _ 1....:. - . The. total number of b Department. 2. The area of the existi maintained. 3. All plumbing fixtu flush toilets, rest ctu t e must remain at.three without pr-ior_apprpval bythis- disposal system, and its expansion area, must be must be updated with water saving devices, i.e., new low -es for shower heads and faucets, etc. Any other permits o ariances required are the responsibility of the applicant and the jurisdiction of the Town of Pu am Valley. If you have questions, please contact meat your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH:tn cc: BI (T) j. 1 L mt"v T, - CF'4�- 0 c . PUTNAM CGUNT's'DEPARTMENT OF HEALTH HOUSE PLANSAPPROVED FOR BEDROOM COUNT ONLY; BEDROOMS Signature & T t —le Da Z -2— •O ' ri , 4 L "i - CF'4�- 0 c . PUTNAM CGUNT's'DEPARTMENT OF HEALTH HOUSE PLANSAPPROVED FOR BEDROOM COUNT ONLY; BEDROOMS Signature & T t —le Da Z -2— •O ' ri k u DEPARTMENT OF HEALTH Division of Environmental Health. Services 4 Geneva Road Brewster, New York 10509 TeL (914) 278-6130 Fdx (914) 278-7921 BRUCE . R. `FOiE Pu61ic Health Director PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) . STREET /ttl 1 r TOWN TX MAP # NAME JlVAIVW PHONE<21 -- W PCHD # —1 MAILING ADDRESS 25 /1116 7 !� DESCRIPTION OF ADDITION NUMBER OF EXISTING BEDROOMS 3 (FROM CERT. OF OCCUPANCY OR C$RTIFICATION FROM BUILDING INSPECTOR) PROPOSED # OF BEDROOMS. SA�l� *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 Dept., 4 Geneva Rd., Brewster, NY 10509, Phone 278 -6130. 1. Certified check or money order for $100.00 2. Sketches of existing floor plan (drawn to scale, all living area including basement) * Non - professional sketches are acceptable 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) * Non - professional sketches are acceptable 4. Copy of survey 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 Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments Feb 98 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 _ ._.. •- -� �. <.::.... ` - ..�.:.:::�:a...�_.�.:• ;� �._._.�,: ,..: ,..., _.. -- -. --� ..;- -:: - -• - .��;�:- ___.;.�...�. _�._::. d:__ - Pu£r�am_._Valle CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM y (T) Town or village Located at annerty Road NT•p 1319 Section Block Owner r & N?rs Peter Ruyol o Lot 11 Job Separate Sewerage System built by Roger wady Address Canopus Follow Road Putnam Valle 36 Consisting of 11000 Gal. Septic Tank 2 2 " lineal Feet X width trench Other requirements None Water Supply: Public Supply From X Private Supply Drilled By Puckey Well drillers S -grout Brook Road Peekskill NY Building Type Address _ Raised Ranch Has Erosion Control Been Completed? Yes No, of Bedrooms 3 ••eat' 0--it Issued •••�pt1p1�EN6 /N�r� •, a"/ S• llln��j �s I certify that the system(s) as listed serving the above premises were constructed essentially as show attached), and in accordance with the standards, rules and regulations, plans filed, and the permi work (copies of which are ity Department of Health. Au�us t 21, 1976 ,� • T ; x Date Certified bu • ?i. o Address 1 lbrthridg e Road Ideekskill, •Jew >?ork ' 10 6 " p„�g Na 027846 Any person occupying premises served by the above system(s) shall promptly take such action as mayeefsr�Jeylary�re fhe correction of any unsanitary conditions resulting from such usage. Approval of the separate Sewerage system shall become null Advo o Is. a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water st"Iy*Wdo%es available. Such approvals are subject to modification or change when, in the judgment of the Con/ml- oner of Health, such ryv6M4p, modification or change is necessary. Date By �� Title I Y. y7 1 PU ft�l�11�11 COUi':! f'CCL -V i37�,�iEiV C OF HEALTH n 2 � � HOUSE FL1�� i` . ?1�� D vE7L r L GED iO0U`J Signature ex I"r_{e� Uate ��Q)l ,t` t it1 c r , Z Tc r- pi L 4 LA OR V1 7 -P.Pgpm",M- i IA PUTNAIlv', COUNTY N—PARTMENT OF HEALTH HOUSE PLANS Abr-P!--',OVED FOR BEDROOM COUNT C,,NLY; PV,4A)6r, caxo-r .I.,-.—,--- — a I 1 t D. PYrvtErJT OF HEALTH , 1/0 JJA .11 co Uo i. 1 ' ` -SE FERNS f.r RtO ED FOR r � Mi CJ i v , 1Y� o0Nl 8 Q.. V �.1 ,ignature Tille Dat _t i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDIVUDAL ADDITION/R.EPAIR FORM SECTION A: GENERAL INFORIVIATION 01 (T)(V)_�_TM# Name ofPr S'�l� ✓ Y Year of Construction Size of Parcel SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. L!�Hilly ❑Rolling ❑Steep Slope ❑Gentle Slope ❑Flat 2. ❑Evidence of wetland []Low area subject to flooding ❑Bodies of water ❑Drainage ditches ❑Rock outcrop YES, NO 3. Property lines evident? L ❑ e 4:VateFours�es-exist on; oradjacent•to-parcel: S. Existing individual wells within 200ft of the existing SSTS? L'J ❑ SECTION C. EXISTING SUBSURFACE SE`VAGE TREATMENT SYSTEM(SSTS) 1. Physical character of existing SSTS area. A. ❑Level ❑Gentle Slope [9/Steep slope B. []Well drained Moderately well drained ❑Somewhat poorly drained ❑Poorly drained C. Area available for SSTS. (Primary & Reserve) ClExtremely limited Cis mewhat limited ❑de uate — ft x — ft ... Y D6NoINSPECTION Date I �'I �' Inspector evidence of failure ®Evidence of failure ®Evidence of seasonal failure ---=- - - - - -- - - --------- -- - = -- -------------- = - - - -- ,1 ----------- _- - 5� 5 H til H ------------------------------------------------------------------------ - - - - -- ---------- - - - - -- (1) Indicate location of SSTS A. Size and type of septic tank gallons Metal ElConcrete OPlastic B. Type of absorption area 1. Fields ft. 2. Pits 3. Gallies ft. (2): Indicate setbacks; >fron�- street; backyard,'and`side yard 'dimensions (3) Show location of well (4) Show location of driveway (5) Note physical features (steep slopes, rock outcrops, streams/wetlands) SECTION E. EXISTING WATER SUPPLY OPWS 0Shared well Individual well DDrilled 0Dug II/Casing above ground n n.. t COMMENTS REPAIRS ONLY: Status: A As Built Inspection Required: As Built Submitted: As Built Inspection Done: Inspector: Anthony Aquilino 25 Finnerty Place Putnam Valley NY Dear Mr. Aquilino: ( 7 ® BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH Division of Environmental. Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 ,aC[l b , n (,VL "rcG, zz, (a9Ck 10579 Re: Addition - Aquilino; 25 Finnerty Place Increase in Number of Bedrooms (T) Putnam Valley, TM# 85.5 -1 -22 r 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 latest revision date of Deeem rer'9; 1.9 8 and this Department's approval stamp. Based on the information submitted, the above mentioned addition is approved with the following conditions: L. The total . number of bedrooms must remain- at.three without approval by. this.. - Department. �.., _ .. � : ._ . _�.. ,_..._..._ ,_ _ ._ ,_. .. . ._...... . 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restructures for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH:tn cc: BI (T) a • i; L� S' k 3 E i 7 i. Val,, B5.5 -1 -2� Vi L �6 ->. F-P'T A 60 9ff I OL too FluLL r �3p ��. �:: BA74 ow "o' 00 AJAM 11,14 / 0 t PU<TNAM COUNTY�DEPARTMENT, OF HEALT] • t ti 7 Drvsron ofEntiironmenta/ HealthServrces Carrie% N �Y 10 i�Efi�t €'f�`iE. °'Gi1lSr�I�IG?Ce! v��'�&.91 >F:2�. C��fN,�F [�IPOSR SYcT:FNI� Locateil`,atnnerty Road .- Sectionpl k Owner Separate,'$ewerage' Systerri built by R�� ®r� - Address Cak30pl Y o :- Consisting''of 10 Gal'•'Septic Tank - lineal Feet X -° w 1 Y Other regwrwnenti t Water Supply :Public Supply,'F,rom x = Puckey Wv11 drillers Shout rook. Road Peekskill 1�Y Private cSupply Drilled .By 'Address: Raised Ranch 3 :Build�n9'TYPe - - :. •: -- No. of rBedrooms p�tp•P��mrt Issued - Yes . i Has Erosion Control Been Completed? 1 DWI ENC/b%� • \O �w 1 certify .that the,system(s) as fisted serv�ngCthe above'prem�ses were constructed essentially- as- Shown'onat tad'work,,(copies of which are., ;t attached), and .in' :accordance with It he standards rules and'regulations plans; filed and the permic rt tna W%nty Department of Health Must ; 21, 1976 `f' P E x• R A Date Certified by • ^'. r Address Northride Road ekskill, =dew or 10 027846' Lisense No. • 1C Ilia a •: Any person occupying premises served by.the above systems) shall promptly take such action as maye�rte r the correctwn of any unsanitary 1 r�Q conditions resulting from= such usage ' Appproval. .6f,-the- separate sewerage:'system shall become null, $4 vo a (3Ylo a public sanitary sewer becomes : :.; available and the approval °of the :private water supply shall become null -and void; -when a public water s'Iayabeednes available Such':approJals are sub)ect`.to nmodificaUon:'or, change when,' _in the.ajudgment of the Co m oner of "Health;auch r " n modification or, change ;is necessary _ - '.�,,, Date BY Title BACTPER I PER ML. (Agar plate count at 35 C). COL ORM G{{l�OUP (Most probable N6,1100ml.) CSS tj an HARDNESS,-TOTAL -ppm DETERGENTS - ppm NITRATES (as N) = ppm IRON, TOTAL - ppm, These results indicate that the .water was l %t°� of a satisfactory sanitary quality when the sa Is was coil ed. A. H. PADOVANI, M. T: (ASCP) �5 WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental Health Services ;'�.r.. �--,;, � :. � -q�k�' o..: �' � .,:.::'::. ' > «'w �i�' ....�;•;er y.;::.: s . "� :.. r . �"+�': -� <;*� = -; � :e t . - �CT$T`�` —� IL- "�'B1:J,t l�t7e� i"s'.:GvC3aRlVf�1•s'i.W L41F �Y bfi�ll"^':,..��:.. This report is to be completed by well driller and submitted to County Health Department together with laboratory report of analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME ADDRESS ` " FjF1Z A D i-1 r? R 1 i/d C4R1) /n,L >C n. D (2IitG Pt.iT A/i+Ibt LOCATION VKIV� OF WELL 2b ❑BUSINESS ESTABLISHMENT PROPOSED vaj DOMESTIC USE OF, WELL PUBLIC ❑ IAJ SUPPLY DRILLING EQUIPMENT N ROTARY CASING LENGTH (feet) DETAILS YIELD TEST ❑ BAILED WATER MEASURE FROM LEVEL MAKE SCREEN DETAILS 1 SLOT SIZE DEPTH FROM LAND SURFACE FEET to FEET ❑ PUMPED ❑ FARM ❑AIR CONDITIONING ❑CABLE PERCUSSION f PER FOOT rvr / I LAJ - THREADED ❑ WELDED HOURS. COMPRESSED AIR ,etJ DURING YIELD TEST (feet) ❑ TEST WELL OTHER (Specify) ❑OTHER (Specify) DRIVE SHOE Wj�- �G�� ❑YES .'�NO'-' -YES`°-`UNO ,.P.M. YIELD (G.P.M.) /d Depth of Completed Well in feet below land surface: �LJ' AQUIFER (feet) DIAMETER (Inches) URAVEL SIZE (inches) FROM (reef) TO IF GRAVEL Diameter of well including PACKED: gravel pack (Inches): FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. If yield was tested at different depths during drilling, list below FEET I GALLONS PER MINUTE 9 E WELL COMPLETED I DATE OF REPORT I WELL DRILLER (Signature) D � err �• ���� G VKIV� ❑BUSINESS ESTABLISHMENT ❑ INDUSTRIAL COMPRESSED IAJ AIR PERCUSSION ❑ PUMPED ❑ FARM ❑AIR CONDITIONING ❑CABLE PERCUSSION f PER FOOT rvr / I LAJ - THREADED ❑ WELDED HOURS. COMPRESSED AIR ,etJ DURING YIELD TEST (feet) ❑ TEST WELL OTHER (Specify) ❑OTHER (Specify) DRIVE SHOE Wj�- �G�� ❑YES .'�NO'-' -YES`°-`UNO ,.P.M. YIELD (G.P.M.) /d Depth of Completed Well in feet below land surface: �LJ' AQUIFER (feet) DIAMETER (Inches) URAVEL SIZE (inches) FROM (reef) TO IF GRAVEL Diameter of well including PACKED: gravel pack (Inches): FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. If yield was tested at different depths during drilling, list below FEET I GALLONS PER MINUTE 9 E WELL COMPLETED I DATE OF REPORT I WELL DRILLER (Signature) D � err �• ���� G / Owner or Purchaser of Building / C 1 Building Constr ctE by %Location - Street Building Type / Municipality Map 1319 Section " " Block Lot GUARANTY 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 guaranty to the owner, his succes- sors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for 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 de- termination of the Director of the Division of Environmental Health Ser- : -.-= vices.: -of- tre ;:P to m.:CO.zr_ty Department of Health?as -to' - whether or not t o failure of the system to operate was caused by the willful or negligent act of the occupant of the.building utilizing the system. Dated this 19 day of August 19 76 Signature s'� -e& J J " Title If corp ration,. give and 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. -'` /-t ■/.- Wit. -" a Buz^. "' } ,`� 4 " q :x'.. h PUTNAM COUNTY DEPARTMENT :OF HEALTH Dwision:of EriWrgnmei67 Hea /fh Services,- CaKmel,_N: Y 1Q512 _ - Ptitr3 CONSTR :UCTION PER¢MI- T,T!FOR_ (SEWAGE DISFO J a t o ,c. , +t:-�. ar �/ ,� 'fi ..:�5"�' . �•o -'�". a x. .� fi'S .r � �t•n � .`iv..i °78C� i L'oca%� ;at { Subdivision �h'�t� F'i3rlil LOU 11 F Casperi Owner Peter j RuVOIO Address }„ Building Type Raised RiiC�l %j��pp R'D Peeks Lot Area 3 n f Total Ha stable Space Number of Bedrooms , S:eparate,' 'Sewerage: System to consist of � * Gal �Sept�c Tank lineal fee ;2a R0i er dead:; �� v aao as To be 'constructed] bya-- Address put'— V .Water Supply Public Supply'From x �taderson W�sll Drillers `N Private - Supply to be _drilled by _- 'Address ;r9 ,reet, ?Utid ',..�allaY* r Other 'Ftequ�rements Well -arid septies" to b® lristallcd in area. show>a:.to :Illi3iAt from a-11 - existing and - �roposad systems, I represent that f'am wholly arid'cornpletely, responsible for t e design and location of: the proposed syst_ t above described,w.ill be constructetl"as shown on the approved, .amendment there to and`m accordance •with _ County Department of Health "and that':on completion "thereof a - 'Certificate of.;Cdnstruction Compl` sib& l be submitted `to 'the Department;,*and a` written ,guarantee wUl be :furnished the owner his success*o�i s place in gootl operating condition any part of said sewage disposal system during.jhe period of UFi ance of the approval of the Certificate of Construction ;Compliance of the original system -or enj°r i SAN will be located as shown omthe approved iplan and.that said well will be ristalleds �n accordance: with: ri t ntlar County , D`epartment of Health r • • n C Date December 30., 1975 ` - p :5` Address .. APPROVED FORcCONSTRUCTION This- ippr0491°ex0ires one year from the date ;is "sued unless constructia f•, revocable for cause or may be amended or,,modifiad when cdnsidered %necessary by the Commissioner'` ealth A requires, a• new .permit Approved for disposal of domestic n�ta ` sew e` at { Date 7`. By r X am :Ualle� (T} Town or 'Village =Job Road k�11, N.Y. 10566- " Square - Feef' t X� width trench . x� air pr0per di.sta) ►c�s. a rate,sewage_tiisposal system - n regula ions o. the Putnam t �'pmmiss�oner" of Health,' ill ' er, that said builder will t o ing the:date of the i'ssu- t,f iRed -well deschbed above .. d ns. of the 'Putnam l x .r tl PrE - R A e� iNo._ M78 has`'been undertakers and is hange`!or alteration cf, construction r5,T;itle - .. � ,. -- .`. _ Z ... �-.... v `t.'. N, pfa .+ io• v � Nr- �•u..` � "V *! a •. •u:�' --5.: PUTNAM COUNTY DEPARTMENT OF HEALTH �. � �'- �::v: ..�`J•':`x'.:� : ;id- .•:. ";.+'�L1Vlt7`.V[V"VC �'LLVVI - NTAt`HEA1T'[ -'Jl, -its a::,'..r., . -.. -.. r�:.<.._.'� �•i Date December 309 1975 Re: Property of Peter J. Ruvolo Located at Finnerty Road., Putnam Valley Section %p 1319 Block m Lot 11 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 L.1UJ.J w.L girl L11i5 ma a LLIV a;1ii to. Supervise ine cons -ciuc c.Lun of said system or systems in conformity with the provisions of Article 145 or ...._.. - a- 147-.,_ duaatr cn.:- av, _ _ =the; -- Public , And. the Pu.tn m.> �C aurt] ' Sent* -_- .. . .. . .. tary Code. Very truly yours, d� Signed Owner f Property Cis Countersigned: �'�� � '��"''~� (/ Address P .E ., , ## 027846 1 Northridge Road Telephone Address Peekskill N.Y. 10566 ®� `�l E�J(7/frf,�,���, A 737 _ 1056 " = ~° � Nj y�i R Telephone 27846 ° Om 9°p4WQ PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES I r , :OOUNTY ' OFFICE' 'BUILDING, CAT"," N : `�0'S12 ,., - . IN F r r F DESIGN DATA SHEET-:SEPARATE SEWAGE DISPOSAL,SYiSTEM FILE NO. Owner Peter J. Ruvolo Address` 5 Casperian Road RFD.. - Peekskill,- N.Y. 10566 Located at ( Street Finnerty Road Sec ?1ap 1319 Block '" Lot �Indicate neares cross street) Municipality Putnam Valley (T) Watershed Peekskill 11 SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION apse Depth to Water Water Level No. Time From Ground Surface.in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches (1) 1 4:15 4 :4 29 20.50 23.50 3.00 9.67 2 4:48 5:18 30 21.00 23.75 2.75 10.90 4 5 (2) ^1` 1:20 ' 4 :47 27 20.25 23.25 3.00 9.00 Y 4;51.5 21- a30:... 20.00.- 23.00:. Notes: 1) Tests to be repeated at same depth until aroximately equal soil rates are obtained at each percolation test hole. A11 pp 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 DEPTH HOLE NO. �- HOLE NO. 2 HOLE NO. 3 T R'(3j3S0� c: is TO WA-1 - - - ._ +.. ,c. -. ua?_c- d�,^,- :4:�.. ry„ +..... . -. ... c .... i'.:._�- :. -.'. e- `n....+.. =1': � pv�� ea -:. �='G.T.�.:p�,.. _.� ;�(j� 4��•�..:` �� - r i+< "- =w =.:.. .,�.•. 611 1011 Topsoil 11" Topsoil 9" Topsoil 12" brown, sandy gravelly brown, sandy gravelly brown, sandy gravelly 8ii 2411 30" loam c loam loam i- r r INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY John S. Romeo 7e De`ce4mb ®r 302 19,7 ;. - ;: -• �; . DESTGN.. ,.. .. .. , :� , : .''QUO` :�S.F'�,�,o_ .... _ . Soil Rate Used 11 =1 `Minjl "Drops ' S. D. Usable Area - Provided 5 No. of Bedrooms 3 Septic Tank Capacity 1000 Gals. ,gyp Masonry Absorption Area Provided By 240 L.F.x2411 3b'— x �I Mp Name Tnbn S. Rnmpo Signature 1 Northridge Road 0' Address SEAL ee s THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved. Sq. A /Cal. Checked by Date � j it � TYPICAL SECTION SCALE: I=1 O' N Ze "- -5 ci I —,d, W > t. 1,21 -;7 -7 — Aw v 'IF kN AI,GU 1% NIT 01 UlViRnNk!jNFAj HEALTH SERVIM ti -4 SEPTIC SYSTEM J, i. 4 A!= -2 s 13i- 2 3 l4f- '71 711 '71 37 6L gr I(. 9m 2q 1c. > t. 1,21 -;7 -7 — Aw v 'IF kN AI,GU 1% NIT 01 UlViRnNk!jNFAj HEALTH SERVIM ti -4 SEPTIC SYSTEM J, i. 4