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HomeMy WebLinkAbout4562DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.05 -1 -56 & 85.05 -1 -57 BOX 34 04562 !7%. ilIi :;:i. .' 04562 \` a a PUTNAM COUNTY DEPARTMENT OF HEALTH - - _,�_.Z.,.�rJ, . W� .,tt, (),T.: F _ENVIRO.N -M- EN_, T. .A� ._HE;A� �T�][ CERTIFICATE OF CONSTRUCTION CCO`MPLIANCE F REATMENT SYSTEM PCHD CONSTRUCTION PERMIT # t �� Located at S l.q--rF— e"55(067 Town or Village yhx�'T a1k.•A- G20 55 5-TTie'ST Owner /Applicant Name_ Tax Map 8' 5,a S Block Lot 5c,, Formerly I T i? (leA-L Tstam Mvyi-arko4 " Subdivision Name 44/,P 0, GLu,�-3t eWk- Subd. Lot # l �,u rb�� (R*cSL- Mailing Address 3 S "Tr-- Ik -67 , U�, V y Zip i O-s'q Date Construction Permit Issued by PCHD Z % 1 17 Separate Sewerage System built by QED W�G ,Lg& Address Z(o u 9&Zr� �f4 by Consisting of IT-r0 Gallon Septic Tank and j O U, F, oF ZJ4e4 WA PS Woxfn noA) jrz,- Z'• -'(d- Other Requirements: r—1 u-- I os-m U f Water Supply: Public Supply From Address or: Private Supply Drilled by d UniuA0 LV,"4fO, C�,u.. Address 1 1vS'7 Has egos _^ eorxol been completed`.> Number of Bedrooms Has garbage grinder been installed? M I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regula e C e ent of Health. Date: I Z- Certified by P.E. Y-,- R.A. (Design Professional) Address _ J y - 6Ue"rurm /ASV. (',�,f�2 kl�`� CK"'1Z" License # C, 7 Any person occupying premises served by the above system(s) shall promptly take such action as ;nay be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment 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 an d void when a public water supply becomes available. Such approvals are subject to modificati n or change when, in the judgment of the Public Health Director, such revocati , modifi do or ch ge ' ecessary. By: Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH r a' DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well- )Cdeation ` Sti-eef Add`r s: ' ' T wri/Villag" - Tax Arid 3 'S v" . Map Block 1 Lot(s)<6,n Well Owner: Na � � address: Use of Well: 1- primary 2- secondary .x Reside al Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial. Institutional Standby Drilling Equipment 74'- Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing � Open hole in bedrock Other Casing Details Total length ft. Length below grade . Diameter G ' in. Weight per foot lb /ft. Materials: Steel Plastic Other Joints: _ Welded K Threaded _ Other Seal:,,,/ Cement grout _ Bentonite Other Drive shoe: Yes No _ Liner Yes � No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _ Bailed _ Pumped Compressed Air Hou s Yield Q gpm Depth Data Measure from land surface - static specify ft) 1), 0 During yield test(ft) �--- -, Depth of completed well in feet 300! Well Log If more detailed information descriptions or sieve-analyses: are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface _.a� If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Y " apacity, Depth' Model Voltage HP -� Tank Type Volume r Date W 11 Completed 1, � /q � I Putnam County Certification No. . q Date of Report I ell Driller (si ature) P, NOTE: ltxact location of well with distances to at least two permanent lanftarks to be provided on a separate sheet/plan. Well Driller's Name C__10777(_�i7"i� Address/S� y � Signature: Date: Y *� > White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Owner or Purchaser of Building Z n � I 11 Z �er wilding Construe ed by rQ55- r`h Location - Street Bui ding Type TREATMENT SYSTEM Tax Ma//p Block Lot Liz f�d�ia� e Toww Village OL %3,oak Subdivision Name 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; .. • J�y Ntem:� .. - - . u ..- ...... c- ......_ er_• a _ . -p. ... ,.� ti.. . - y . .. � e4'' 4i: /... '.- ....... r .. ...1vi z1H . 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. fat d: Month ( Day Year �� Signature: Title: 0 ww e.lZ Contractor ( Owner) - Signature Corporation Name (if corporation) Address: d5e.<_ State Ali W1 ( Zip Corporation Name (if corporation) Address: rZ ) el � tr✓ , / P ✓ 2 )tie., State t If e 4 Zip Form GS -97 YML ENVIRONMENTAL SERVICES ' 321 Kear Street Yorktown Heights, N.Y. 10598 r�uu,a'/�, 2,��u/ LAB #: 93.904995 CLIENT #: 11511 NON STAT PROC PAGE 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ FREDERICK, DANNY R. 234 BUCK HOLLOW RD. MAHOPAC, NY 10541 - SAMPLING SITE: 3 SLATE CROSSING : PUTNAM VALLEY, NY COL'D BY: DANNY FREDERICK NOTES...: KIT TAP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 'DATE FLAG PROCEDURE DATE/TIME TAKEN: 11/17/99 07:30P DATE/TIME REC'D: 11/20/99 10:30A REPORT DATE: 12/01/99 ' PHONE: (914)-621-2208n SAMPLE TYPE.sy uz rn ."ESE.`,A.^,Ey TEMPERATUREm� - COLIFORM MEl�6: �~~~~~~~~~~~~~~~~~~~~~~~~~~~��~ ~~~ ����� RESULT NORMAL - RANGE�� , .."D N �� '`~ Z, PUTNAM CNTY PROFILE 11/20/99 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 11/20/99 LEAD (IMS) <1 ppb 0-15 ppb 9101 11/20/99 NITRATE NITROG 1.74 MG/L 0 - 10 9139 11/20/99 NITRITE NITROG <0.01 MG/L N/A 9146 11/20/99 IRON (Fe) <0.060 MG/L 0-0.3 mg/l 2037 11/20/99 MANGANESE (Mn) <0.010 MG/L 0-0.3 mg/l 2037 11/20/99 SODIUM (Na) 21.8 MG/L N/A 11/20/99 pH 6.8 UNITS 6.5-8.5 9043 11/20/99 HARDNESS,TOTAL 238 MG/L N/A 11/20/99 ALKALINITY (AS 156 MG/L N/A 11/20/99 TURBIDITY (TUR <1 NTU 0-5 NTU --= MENTS: BACT THESE RESULTS INDICATE THAT THE WATER (WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDING TD THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR-THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. ~ Pb/Cu LEAD limits for public schools are set at 15 ppb. EPA Lead & Copper Rule for Public Systems requires that no more than 10% of their distribution points have a LEAD value of more than 15 ppb and a COPPER value of 1.3 mg/L, else water treatment must be undertaken to reduce the waters corrbsive potential. Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium is suggested. YML ENVIRONMENTAL SERVICES 521 Kear Street Yorktown Heights, N.Y. 10598 �. -- -- - LAB #: 93.904995 CLIENT #: 11511 NON STAT PROC PAGE 2 --------------------------------------- --------------------------------------- FREDERICK, DANNY R. 234 BUCK HOLLOW RD. MAHOPAC, NY 10541 SAMPLING SITE: 3 SLATE CROSSING : PUTNAM VALLEY, NY COL'D BY: DANNY FREDERICK NOTES...: KIT TAP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE/TIME TAKEN: 11/17/99 07:30P ' DATE/TIME REC'D: 11/20/99 10:30A REPORT DATE: 12/01/99 PHONE: (914)-621-2208 SAMPLE TYPE.�: POTABLE PRESERVATIVES: NONE TEMPERATURE..: ( 4C COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS CONCENTRATION, BOTH EXPRESSED HARDNESS MAY RANGE FROM 0 TO SOURCE AND TREATMENT TO WHICH SOFT WATER: 0-70 MG/L MODERATELY HARD WATER: 70-140 Q' M{�/L. SUBMITTED BY: Diremor 9�1- THE SUM OF THE CALCIUM & MAGNESIUM AS CALCIUM CARBONATE, IN MG/L. THE HUNDREDS OF MG/L, DEPENDS ON THE THE WATER HAS BEEN SUBJECTED. .VERY HARD WATER: ABOVE 300 MG/L MG/L MG/L = MILLIGRAM PER LITER, ELAP# 10323 PUTNAM ENGINEERING, PLLC LETTER OF TRANSMITTAL 102 Gleneida Avenue Phone: 914- 225 -3060 Fax: 914 - 225 -2955 RE:°R –� LLB We are sending you y-- attached 1 st Class Mail, Originals Prints Colored Print's Copies Date '-� S L &rho GCpGS 1r4C:::P FeAwAf--T P/E Job # under separate cover, the following items via Overnight, Hand Delivery, Pick Up: Reports Photographic Exhibit Other: Dwq. No. Description S -B t t-7- _ H D. CUhC5 r %a-i t v..t e0M1PU.-Vqc.F– VI A-L- t W ELL- Lv�f Pt-, oral These are transmitted: REMARKS: Copies to: Plans Specifications _ For approval _ Approved as submitted For your use _ Approved as noted _ As requested _ Returned for corrections _ For review /comment Resubmit copies for approval — Submit _ copies for distribution SIGNED: If enclosures are not as noted, kindly notify this office. (LtrTrjmmit.wps.2) PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRO \'liENTAL HEALTH SERVICES FINAL SITE I\'SPECTION ' :St LL . Tower T & I - _. Date: << °� Permit V — Z-3 — �l Subdivision Lot � t p % �( 1. Sestiage System Area a. STS area located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands ...... ............................... II. Sewage System a. Sep tic tan.. size - 1,000 ... 1,25 other ................ b. Septic tank installed level ................ ............................... c. 10' minimum from foundation .......... ............................... d. istribtuion Box 1. All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches Junction Box roperly set.......................................... 1. engt required y�?O Length installed 2. Boallowed waterco se measured Ft.......... 3. ccW<inches ........ ............................... 4. e1/16 - 1/32" /foot ............. 5. 20 ft.- foundations.......... 6. re from surface .................. 7. for expansion, 100% ......................... 8. Size of gravel 3/4 - 1 %z" diameter clean .................... 9. Depth o avel in trench 12" minimum ................... 10 -1- -ends c ed. PuDose yst ems Size pump chamber .................. ........... 2. Overflow tank..........,. 3. I vi a i ......... ............................... 4. mp it , manhole to grade ............ .. 5. Fi o b .................. ............................... .... 6. Cy -itnessed by H.D.estimated /cy c ......... III. HouseBuilding a. House ocated per approved plans ................... b. Number of bedrooms .................... ............................... IV. Well a: iVell located as per approved plans.. .......................... b. Distance from STS area measured ( ppft......� c. Casing 18" above grade ..... ............................... ...... d. Surface drainage around well accep_ table......../_._. V. Overall Workniaush a. Boxes properly grouted ................. ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ...................:........... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dinto exist watercour g. Footing drains discharge away from STS area ............... h. Surface water protection adequate .. ............................... i. Erosion control provided ................. ............................... Rev. 1/97 ....nom. �7 77 t .:. - +s+ -::. .....,r..'�-s7re•^^ -`r. �.' --�' - �-�-.e.- '�- -*.'."'"r:, �t ziP '�7'" ,,.: .°.'.�.- ,�`.'"5.".`""`i�, '�'�,Ta .� r�"�,'.�,°'. "�^ .c.. '•'"�.T^•,�'?..,Y . flflffiP'AIl ®1F ISII.7i58f r p" ±;".» ,� .• � +sr I1C8v� Q:'I i : R117 IlC3IlB ` � � 0a (PesvE� 7J :> - - ROMOZ& Cd S l A�2r C�oSC /� { era re rbM DOV. &fzvvp °°— > — ?✓ z3 - q phut: IlDrft of C� -�?`( p� (1�- I f�y� -Sw j3►2.�NZaZf 12- �17�i7 4oarm � ..: ate Subdivision - ApRroved Fee. Enclosed [ Amntint among ,� no,�.rran. �iGat ate, S, 4 a c a+� s e ,. �• °# t >i as P n CEM w- - . 7.F Wet- Sk, PAN. Aar ;6 1. reprotent that 1•,am gvhollY and eompk.�toly ros®ortsiblo fC► the design and,- beation -of; •the prepared systom(s); "1) than the sepurlit0s3wega� di sal st®m atlOtle dascri0od'will�tio pn/ , ruttCii OS Si101rJh on th© 11pprOVa® Om ®nttinOh4 thorn to anfi'ie aCCOrdUOCO with.;th0 st0ndard8, ►ules,p. rf'JBu ens o a Sam Cou ttY xOopevtm�alt. _oP 64cmlth, an® ti bt on i"'j Ion tharaoP a •'Covtificato oP Construction,COmplieiiiico' e�tisPactorq.to.tho Commisslonw of Hemithwill do "�abrr tc® to rho: OapagVroeaett are! .o wrlttoui;guarantco wi11,0o furnishow tho'oixnC his EUCCOOStora hairsor'ausi�ns Dy rho buihca, that tei6 ®uil®ov will place 'irl' �OOd O ?otmig CoeoiOitbn ally,; =port oP`.s7id s eleipp ttisDOlS91 sysstoiri duiing ;rho parl0tf of 4a4o (8), yeDrs immediately following thedato of the issu• O,iK© of tio®'app®oer00 -04 tho- Certificates 61. Constructi" ,Cornpllfinco, of'tho or st 'Ova - hereto; 3) that the d►ille> l wall described abot+o arH1.CO beau os atl�rn on the appromo® pen and that said wall will ®c co dr rho .eta r®s, rules and. rehuM na 0 Putnam County DopQrtwoamt.o9 D6glth, o± Wt® P t:.-70. A. - P.o. r3.bx 39 � ttvUt o's'�� !o�] 4 b adaro� license Poo APPROVED FOR COIVSYRUCYIOhI Yths approval eupaosawo Y ' v 4he da wleloodmZssionor " ss construction. of the building has' Coon. undertaken and is vevoea0lo 4or use "naY be amended or rviodifi� tvho ensid ry o4Ith: Any change' or altcaatbn o4 tonstruetbn roouirasa po► _ i Pvovae for 'disposal 04 dom®illc 58 r age 6iar supply only. Rev. 10/88 ,that© ®Y Tit10 ^4, F ALTH;, unum CQUIM, DIFARISUM 01 IM& Jr, OD N "MM 10kPMA93 DIS[OSAL STSTM ApSieat .. V 7— N� Do" at' pi-vd Add' Qxz KI, V.: 1570 13 ItyTH MX> k/,y Z I kP, memo vese tg buggivision-&DRrOvec -r-e-e,LncioseGJG-F- Amniint- DWMg I,p IM Area S. 4 AC. gotime. 04, ' Depth —Vaboosa_, Milder of 13 6 .4 Deskn.flow G P D OCUDKed8iiliabRiq�4pdWbm,FMkompkt" SrpeeW Sew w SYW= to 6whe S a* Too& , say -L:r- riL Tr M;ea.o4.cba ISQ y. —Addrese Wow MP*: P1111110 sllwik Plain. Address an wff Suppl* Ddled W 0diers --- fi- I rsor~t".that 1, desilin ehj;locition,:of, thf-pigposed System(S). 11 that.the' Saporito- 0"_di!gl system --Fr- 01 Pulnom above doliC►ibild Will b4'C0Altr­UCi6d 411-ill6wn . on­Jhe'iplivo4icl. arni6drn4ni thiere to and in accordance with the standorclk rules an equiallons County Pepialfnent of' Wealth. aniihit onc6r6osik liA-thiireoia -cik;ficaii� of Construction Compli once** satisfactory I I to the Commissioner of "ealthwill be Submitted to the da�iihiit, and -a whiiii j4i"t", wifi, be Ouiii the nW, hi$'Wo som% h4l►S:Sr Sullins by the bulkler, that said builder or will ~'in ,pod .oviorsting co"Oon'sinj Pon of"Ja years Im nedlately. following the date of the Isou- a6alis 'at,,: .21 1 t 0048 Of the oplamal of the Cortificale of Construction Coin�piiaici�,�;fl the st any repairs hot the drilled well agivalid above W 'be located as ilk '.in 4haisaidweli will n a r - - at 6 on approved n nii i a h the its 2. rules slid oguSfMns of. 'the Putnam County Dee o Health. Date P.E..)� R.A. TC= Sign &143� Ziz A o -��Vr— CT, 'C& MAL- Q'I RLIZI icense lo ( 1) 49 C APPROVED FOR CONSTRUCTIONiyh"*ip"y al "picas rs m the date -Issued unless construction of the building has been undertaken and is fee =ni! iii(mer of Hearth. Any chan go or alteration of construction Y: It. tA'- �0. do age, a requires a now per .and/ Golv=elwitir supply only. lev. P. f LO/88 Data By = Title In DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278- 6130 APPLICATION TO CONSTRUCT A WATER WELL ( /v_ -9 PCHD PERMIT # �/zv IS WELL SITE SUBJECT TO FLOODING? YES � O IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name o T.-;- Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES9 NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE-TO PROPERTY -FROM NEAREST WATER tiAIN: LOCATI N SKETCH SOURCES OF CONTAMINATION PROV ON SEPARATE SHEET (date) (signatu e) .PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirt3, (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Repoit'on a form provided by the 'Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a anner as not to degrade or other 'se cont inate surface or groundwater. Date of Issue: a 1 19 Date of Expiration l0 13 - 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller Street Address Town Tax Grid Number WELL LOCATION Cceo 5 S vayzer pig 5"T-r-_ ozof w . 1? V, WELL OWNER Name P'-T. 4�. Mailing Address,* _ ffj,,'L �a g J rivate O Public U OF WELL vv'Zr 04nESIDE�NTIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O ABANDONED primary 0 O BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify, 2 - secondary ® INDUSTRIAL b INSTITUTIONAL O STAND -BY 0 AMOUNT OF USE YIELD SOUGHT S gpm /# PEOPLE SERVED /EST. OF DAILY USAGE gal O PLACE - EXISTING SUPPLY O TEST /OBSERVATION GI ADDITIONAL SUPPLY REASON FOR DRILLING SUPPLY NEW DWELLING)- ® DEEPEN EXISTING WELL DETAILED REASON FOR _ DRILLING WELL TYPE 1 LLED O DRIVEN ®DUG O GRAVEL O OTHER IS WELL SITE SUBJECT TO FLOODING? YES � O IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name o T.-;- Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES9 NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE-TO PROPERTY -FROM NEAREST WATER tiAIN: LOCATI N SKETCH SOURCES OF CONTAMINATION PROV ON SEPARATE SHEET (date) (signatu e) .PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirt3, (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Repoit'on a form provided by the 'Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a anner as not to degrade or other 'se cont inate surface or groundwater. Date of Issue: a 1 19 Date of Expiration l0 13 - 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller PC -1 . __ •.,e%.� .'-,.- ... .'�. r :. ..r. ....� ?.6."..a'7.:ci �;�r, �'e.ti•t .: K C.� ,ze - . -n,:�„ APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name and Address of Applicant: ?Ac:_ F.-T.P. ' (7C-,AL T*X p el"fF,� C�z.�vr• • `mow G t- k-i.,� uACz iJ �• ... 2. Name of Project: ?,TLP 2 f Dr���cu+� -r` 3. Location T /V /C: ViSZ{W 4. Project Engineer: 7 5. Address: 101 F4R- S'_ Cw -44rr-,L- License Number: &944 Phone: 6. Tyoe of Project: Private/Residential Food Service Commercial Apartments' Institutional Mobile Home.Park Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEAR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted < 8. Is a Draft Environmental Impact Statement (DEIS) required? ............. 0Z 9. Has DEIS been completed and foun Q, -Name :.of .,L.ead...Agency 1. Is this project in an area under or other officials, ordinances? d acceptable by Lead Agency? ............ the control of local planning, zoning, ......... ............................... 2. If so, have plans been submitted to such authorities? .................. 00 3. Has preliminary approval been granted by such authorities? LJ_& Date Granted: 4. Type of Sewage Disposal System Discharge...... Surface Water _Ground Waters 5. If surface water discharge, what is the stream class designation ?........ 6. Waters index number (surface) ..... ................... . ............. 0Z T. Is project located near a public water supply system? C7 8. If yes, name of water supply __ _Distance.to'water supply 9. Is project site near a public sewage collection or disposal system ?..... 0. Name of sewage system -' Distance to sewage system 1. Date observed: tl 4 23. Name of Health Inspector: �5 ( (.L i�G►z� 4. Project design flow (gallons per day) ....... . .............................. g5 oo 2. �ZS. Is tat -d -Po 1 � t ,Iii char: 1- ire,3; ,ta.o:nL,�yst D eq�ai_rEd;z- �._ .z- 26. Has Has SPDES Application been submitted to local DEC Office? ............... Ly 6 27. Is any portion of this project located within a designated Town or State wetland ?.....:..... .......................... 1w 28. Wetland ID Number ......................... ..............................0 29. Is Wetland Permit required? .............................................. Has application been made to Town -or Local DEC Office? 30. Does project require a DEC Stream Disturbance Permit? ................... 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, 1andfilling, sludge application or industrial activity? ........ YES or NO 32. Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? .. .............YES or NO DESCRIBE: 33. Is there a local master plan or file with the Town or Village? :.......... 34. Are community water, sewer facilities planned to be developed within 15 years? 35. - -Are any selvage d i sposal Marea "s^ i n "e5icss of"! 5 %' s i ®pe ?� ...............:...:r: ::; ,_:::.: , 36. Tax Map ID Number ....................:�� 37. Approved Plans are to be returned to: Applicant Engineer If the application is signed by a person other than the applicant shown in Item 1, the application must be accompanied by a Letter -of Authorization. Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this -form. is true to the best of my knowledge and elief. False statements made herein are pun ishab ]e as a C 1 ash A, Hisd r urs to Section 210.45 of .. the Pena 1 Law. SIGNATURES & OFFICIAL TITLES: MAILING ADDRESS: *t- PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 4 � �i�►zs -f ��, j cjj Cf Re: Property of J�¢�v �uz�t- - ��.`�(, P iZtz/�l. 10STAgp_ p i�n�� CAtQJZj� Located at C -41OS5 5-PC e01_ ,&.W-A. 5L.CA--rte CXV510P (T) �, V/ALt -mY Section � Block 1 Lot S C� Subdivision of Subdv. Lot ## Filed Map ## Date Gentlemen: This letter is to authorize P," L+_. a duly licensed professional engineer 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 �Isystscm or ­8­Y's1T_e­m--s iri conformity with the provisions of Article 145* or 147, Education L w the Public Health Law, and the Putnam County Sani- �E OF f tary Code. S�P��p�GNtiC��4 �¢ #Y Very truly yours, Signed ak Countersig,�A Owner of Pr rty of =ass► N !!,, RE- ( W;0 W-0 -MIE95 -D Address y3 nr� ST FU)6ffQUA& (�Y Address Town (Cx5-k2 _ 9'14 -724- 3160 Telephone C) Telephone . . -. ' & �� �� [ J ` OLAIENa q! ' ' ^ ` -/ ' -� ....... ' ... _- � ------''--�---�---------------------^^---~'+~-^�'-'=�="=---r`=^-------------'`---'---------------'-------- .^� --------- � � 4 `__.... ____ ...... ...... �-_-_---'-_---_�-_-_. --�_- ° J - ay OF Ce NWOID G. IN. DKWC zlZol J ' ' jAm F-9 - -- - --------- .......... ...... .......... ... QU Ny ----------- Cry OP rul -AiZ--A4* -P. joorj K WAIPF TAVNIC 6 1%, A A .P 841 959 240 P 841 959 2.41 1 P 841 959 242 Receipt for Certified Mail No Insurance Coverage Provided _ �t o ninn •;•,Go 0 use.for.:_intern;,tat�al..M ii - ..... . _. _ j...;...tA< . r �fiPA iiAVArCA�� *� . -use _cw .:• Receipt for Certified Mail No Insurance Coverage Provided ' Da not_'us2 , €t?r.;l a± rnaz6nal MaiP : -; F i§de Reverse) I ,r - � 7,� ' Receipt for Certified Mail No Insurance Coverage Provided r'o:tot_u €or,ttitetnaf)oitai: ^wail '" (See Reverse) rn W Z O O Go M ILL U) Sentto - -- - -_ —W A4NJ V6AGN - and No. comic Street and No. 4615 hILL AVE P.O., State and ZIP Cqd N Postage Postage $ Certified Fee 1 . O D Special Delivery Fee Restricted Delivery Fee Restricted Delivery Fee Return Receipt Showing Return Receipt Showing 1 ii to whom Gai9 �16eraQ� 1 o RetUrlr 0 k; TOTAL ° —001100k TOTA170stage S $ 7 & Fe ;y / Po s Y v 4r 3 W Z O O cc M tL rn d rn W Z O co M E o` a Gib 'T" � ZS Street and No. comic Posta ge P.O State and DP N s Postage Postage Certifted Fee 0� Special Delivery Fee Special Delivery Fee Restricted Delivery Fee ( r O Return Receipt Showing °��.. to Whom & Date Delivered v Retum Receipt Showing to Whom, Date. an d�ddr�eer.�d@ldtesa W TOTAL ° $ I / / �and Pos or Date' "b a 4" N? Pbimuuk or Date 4r ti D. I r- W Z i O I � M I � LL o. Sent to b c u Street and No. !;I- u R-O/ D (• P. UT daP N 1 10571 Posta ge $ • y Certified Fee Postage Special Delivery Fee Certified Fee Restricted Delivery Fee Special Delivery Fee Return Receipt Showing ( r O to Whom & 0 Bred °��.. Retum Re om m Re Whom ,a nd a dress? Date, _ .44 W &F °e� ' $ 2'7s �and Pos 0 P 841 959 237 P 841 959 238 Receipt for Receipt for Certified Mail Certified Mail. �. No Insurance Coverage Provided No Insurance Coverage Provided n UNnEOIGTE5 Do not use for International Mail roITA< :EAVCE UNMOSTATH Do not use for International Mail (See Reverse) rOSM SERACE (See Reverse) Sent to A -yA f I; RC- Street and No. Ire 6—ARPINKLI9 $ e -75 P. ., ate d ZIP d9 Q Certifted Fee Postage $ , 75 Certified Fee Special Delivery Fee Restricted Delivery Fee Restricted Delivery Fee °��.. 1.00 m Re Whom ,a nd a dress? �a W �/ $2. /S �. . low P.O., State and ZIP Code 7 lZ G Postage $ e -75 Certifted Fee Special Delivery Fee Restricted Delivery Fee R owing ered R ,to Whom, �a W Z ; Date, �and Pbimuuk or Date E ti D. tF) W Z _ O O O CO) E tt W CL W Z O OOD M LL CD P 841 959 2.46 Receipt for Certified Mail. No Insurance Coverage Provided Do not use for International Mail )See Reverse) P 841 959 2243 Receipt for Certified Mail n No Insurance Coverage Provided roit2s 0 Do not use for International Mail /See Reverse) Sent t V I `I1 J bOT5 and N Str�e a 1 L E, P. S d ZIP Cod a �f Dc 7� Postage $ + - Certified Fee Certified Fee Special Delivery Fee I I O Restricted Delivery Fee Special Delivery Fee Rehm Receipt jShowhq -- . to Whom &10�1* Restricted Delivery Fee Return iNhedb Date, Return Receipt <. «s: TOTAL ge!Y' ", s & Fees $ Postmark or D d to Whom 60 v C. i h; . TOTAL PAW P 841 959 2243 Receipt for Certified Mail n No Insurance Coverage Provided roit2s 0 Do not use for International Mail /See Reverse) Sent t V I `I1 J bOT5 Street and No. E, M1 S ee and C Postage $ �.: Certified Fee $ -7 e2- I I O Special Delivery Fee Special Delivery Fee 1 009 Restricted Delivery Fee Return Receipt $t� WhV'V- om Date, and Addr¢�stt' ;Atldress . Return Receipt <. «s: Return Receipt to whom & : Postmark or D d to Whom 60 v Postmark 0 ' Returt).R lrWho TOTAL PAW $ Date/ .. Postmark or a. go $ 2 5 Return Receipt Showing POs Da /� to Whom & Date Delivered I I (� Q, rn W Z O O O MC C LE a W P 841 959 2,47 Receipt for Certified Mail �T. No Insurance Coverage Provided UNITED S77, Do not use for International Mail WETµ SERVI ! (See Reverse) to W Z _ 0 O W M lL CO P 841 959 244 Receipt for Certified Mail TM No Insurance Coverage Provided UNITe~ Do not use for International Mail Zri, SEA (See Reverse) Z M►) N E, M1 S ee and C Postage P �d M ZIP e �.: Postage $ -7 e2- Certified Fee I t Od Special Delivery Fee 1 009 Restricted Delivery Fee Return Receipt $t� WhV'V- om Date, and Addr¢�stt' ;Atldress . Return Receipt <. «s: I 0 C to whom & : Postmark or D d Return Race 1 VVhol z Postmark 0 ' Date, TOTAL PAW $ & Fees Postmark or a. Restricted Delivery Fee to W Z _ 0 O W M lL CO P 841 959 244 Receipt for Certified Mail TM No Insurance Coverage Provided UNITe~ Do not use for International Mail Zri, SEA (See Reverse) i 1 (Z i in W Z _ O M M E IL co n W Z O O 00 M It CO a P 841 9.59 248 Receipt for Certified Mail TM No Insurance Coverage Provided „KITE °� Do not use for International Mail WSTµ SEANCE (Sea- P,evorse) mto p.G R FANL Z M►) N Street and No. P. .. $IP e Mfl M jj Z l o f Postage .. �.: P. .,'State and ZIP Code ; Special Delivery Fee Restricted Delivery Fee 1 009 Postage Return Receipt $t� WhV'V- om Date, and Addr¢�stt' ;Atldress . $ TOTAL Post. ' & Fees Certified Fee Postmark or D d Postmark 0 ' tCC Special Delivery Fee Restricted Delivery Fee Return Receipt Showing /� to Whom & Date Delivered I I (� Return Receipt Showing Date, and Addreo;e9 . • TOTAL Posta +�pJ" ' � � 1, n n .L Fees . Postmark or D e ' i 1 (Z i in W Z _ O M M E IL co n W Z O O 00 M It CO a P 841 9.59 248 Receipt for Certified Mail TM No Insurance Coverage Provided „KITE °� Do not use for International Mail WSTµ SEANCE (Sea- P,evorse) mto p.G R FANL Z M►) Street and o.s P.O., S d Z1P trod ,; l v (� I P. .. $IP e Mfl M jj Z l o f Postage $ ' ^� / Certified Fee „Ob Special Delivery Fee Restricted Delivery Fee I , C) Q Return Receipt Showing to Whom & Date Delivered '�:' 1 V Return Receipt $t� WhV'V- om Date, and Addr¢�stt' ;Atldress . TOTAL Post. ' & Fees ' ,r $ Postmark or D d Postmark 0 ' P 841 959 2,45 Receipt for Certified Mail ® No Insurance Coverage Provided UNT'o STATES Do not use for Intemational Maii W STµ st"ce (See Reverse) Se t Sgeet and P.O., S d Z1P trod ,; l v (� I Postage $ ' Certified Fee I < Oo Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered I , C) Q Return Receip to cm D ate, and s TOTAL &Fees IV Postmark 0 ' REGISTERED MAIL. RETURN RECEIPT REQUESTED Date _ -_ -- -. - :Y'.•' -.{o: ..:; .. J'..._� .:: lam :..' = .l.:itx'. [C:C, c3:. g :`�F% -. _, ti . � � r -n r __ ,. C, _ . _fwd.. `:::1�.,'y: =.._: '�C"aft�'•ia. � � , Building Inspector -- //- �,--- ---- ---- --- - - - - -- -----------1-1-//---------- I��tTu��— Dear cif') i " U >e ck --___ ------------ - - - - -- Construction Permit for single family residence Applicant ►�•T, P, _ j�/s.i_r.L_rE Dcir, Gv1? - - - - - -- - - -- Street - -- C iZt: f S ----------------- Town - --v2 -- - - - - -- Th �'? s-- `f{ - - -�-= s ---- - - - - -- This Firm (I am) submitting an application to construct a sewage disposal system serving a single family residence on the above captioned property, to the Putnam County Department of Health. In order to process this application the Health Department requires that the following information be obtained from your office: 1. Prior to your issuance of a building permit A) Is Zoning Board approval required for any variances? Yes -- - - - - -- No --- - - - - -- B) Is any portion of the parcel located within a regulated wetland or its control area, and if so is a vetland permit required? Yes-- - - - - -- No --------- C) Is any other local permit or approval necessary? Yes- - - - - -- No -- - - - - -- r If the answer to any of Department in writing o correspondence. If the correspondence. the questions above is yes „.please contact the Health r by phone, 278 -6130 within 15 days of the date of this answer is no, you need not respond to this Name _2v13 G- IQ_v_ruziS Health Department Inspector JK /jp wetland bh Very truly urs, Engineer, ” �' * n..___ fL.. +. .. ,- � - . ";ii:;'!•+. %w__�!�.a.i'' +'a .. r'".... ;e,.- "�` �� -J1{ ..-.. - � .- :.. ::. :i.�:':",'i +'- °.i3:.«a`".t:; ..^..� ia: -:ck- Y' '�i' P 841 -959 564 Receipt for Certified Mail No Insurance Coverage Provided 4 ��ratta Do not use for international Mail POSUI SEgN � (See Reverse) a 9 rn w Z O co m E 0 LL a. a Sent to Street and No. P,, r. 1-11 y V lat tom¢ -1 CZ t. ti�il Z P.O., State and ZIP Code Postage Certified Fee )i W Special Delivery Fee Restricted Delivery Fee Return Be to WI —m- ' Retu w celpt S "n Data d Add TO &F iZ' ate 6 • Paul Lynch 103 Fair Street Carmel, NY 10512 Dear Mr. Lynch: DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 April 28, 1994 Re: Proposed SSDS: Garritt Cross Street (T) Putnam Valley ..JOHN KARELI,:= Jr,_.-P.E­ •J_W:&. . Public Health Director Review of plans and other supporting documents submitted at this time relative to the above- captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." 1. Contours of the property have not been shown on plan. Five foot contours in any area not in the proposed SSDS location is acceptable. _ „Vpon..Recei.pt..:o -..a._submission, r_gvi.sed..to..re- f;lect the above ::commettts,::_'t-hi_s__.:: _. application wiYl be "cons'idered further. Very truly yours, /)� 1V Robert Morris . Public Health Engineer RM /jp !132 P.1 COR, &*):a Z. hho a "TCKV I U-N VA f 2; 1 a', -A*A LHOOM WMAUL61 DESIGN DATA SF LI UFAZE 1SEWAGE DISPOSAL SYSTEM FILE IAA. Owner r>UP t'ZCR4L FS� DGfx' &gMi" Address IZP- %&Xro' B� Iocated at (Street)CIZoSS SMM` fZe; -L. Sec. 05- Block T-at (indicate nearest.cross street) ninicipa-Lity Watershed Date of Pre- Soaking 0 1 (3 1'1 3 Date of Percolation Test it ROLE NUABER CI= TDIE PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start-Stop Min. Start stop Drop In Min/In..Drop Inches Inches Inches 1 3 °34r 3o -9L4 -2Q Z- 2 1:3< Z14 1/4 'Z-& 3 4w( , 30 Z4 z (I tT' 4 4,35 47 " Oz 3o z 2G IT 5 2 31 3V 41 cl' Z4 Z-6 3 4' io -qu 30 2A Z& z is' 4 41143 5 K ;J, to be repeated' are obtained at each for review. 2. Depth measurements to rev. 9/85 at same depth until approx=etely equal soil, rates percolation test hole. AU.data to'be submitted be made fran top of hole. . G.L. HOLE ..NO- -r. 57, o ;A 5VAALam_-AT 91 10, lit 121 131 14' INDICATE LEVEL AT WHICH GROUNU9= IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEE RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY:— DATE:. 1( Z3 -r3 DESIGN Soil Rate Used blin/1". Drop: S.D. Usable Area Provided No. of Bedrooms 4 septic Tank Capacity gals. Type -Cove­ Absorption Area Provided By '5cu L.F.. x 24" width trenc.;h• Other ZggS nFN fl_ Name "RA-vi- Signature**"* Address l T—A I IL S f SEAL 6 - WbOU., CA rz 1001- - #01 067446 ::: THIS SPACE FOR USE BY HEALTH. DEPAMEM ONLY: Soil Rate Approved sq.ft/gal. Checked by Date 21 3' 41 ►51 x 6' 71 8' HOLE ..NO- -r. 57, o ;A 5VAALam_-AT 91 10, lit 121 131 14' INDICATE LEVEL AT WHICH GROUNU9= IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEE RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY:— DATE:. 1( Z3 -r3 DESIGN Soil Rate Used blin/1". Drop: S.D. Usable Area Provided No. of Bedrooms 4 septic Tank Capacity gals. Type -Cove­ Absorption Area Provided By '5cu L.F.. x 24" width trenc.;h• Other ZggS nFN fl_ Name "RA-vi- Signature**"* Address l T—A I IL S f SEAL 6 - WbOU., CA rz 1001- - #01 067446 ::: THIS SPACE FOR USE BY HEALTH. DEPAMEM ONLY: Soil Rate Approved sq.ft/gal. Checked by Date C-- OR CE Fig .EQI;Ey; ,R.S Acting Public Health Director DEPARTMENT OF HEALTH' Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Paul Lynch 103 Fair Street Carmel, New York 10512 Dear Mr. Lynch: June 13, 1996 Re: Proposed SSDS: Garrett Cross Street (T) Putnam Valley Review of plans and other supporting documents submitted at this time relative to the above captioned project has been completed. Comments are offered as follows: 1. Erosion control measures for the.well is to be shown on plan. 2. Plan is to note all erosion control measures are to be installed prior to the start of any Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, 66W No� Robert Morris, P. E. Public Health Engineer RM/Jp APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET for CONSTRUCTION .PERMIT NAME OF• OWNER SIRE LACA S R V (( fit= DATE ��ON �71 TAX MAP # DOCUMENTS. ,MIT APPLICATION LL PERMIT;w PWS LETTER UNEERS AUTHORIZATION_ ;IGN DATA SHEET(DDS) r EEP HOLE LOG CONSISTENT PERC RESULTS (3) PERC HOLE DEPTH CORPORATE RESOLUTION ,PWS THREE SETS MOUSE PLANS - TWO SETS TARIANCE REQUEST GENERAL LEGAL SUBDIVISION SUBDIVISION APPROVAL CHECKED PERC RATE FILL REQUIRED CURTAIN DRAIN REQUIRED mSTANDPIPES MUVX-APPROVAL SSDS ADJ. LOTS WEILAND (TOWN/DEC PERMIT R & D) m DATA ON DDS PLANS & PERMIT SAME f 17 PRE- 1969 - NEIGHBOR NOTIFIFICATION LETTER BI/ZBA 100 YR. FLOOD ELEVATION ;.R UJRE S-• SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE m GRAVITY FLOW D/ J BOX m TRENCH/GALLEY m P- PTT DETAILS UJ EPTIC TANK - SIZE, DETAIL WELL DETAIL, SERVICE LINE IF OVER CONSTRUCTION NOTES (GRINDER RATE) DATA: PERC AND DEEP RESULTS OT CONTOURS EXISTING & PROPOSED AY & SLOPES CUT FOOTING /GUTTER/CURTAIN DRAINS :OMMENTS: 05DISCHARGE (OK) PERC & DEEP HOLES LOCATED ®® REPRESENTATIVE OF PRIMARY AND EXPANSION EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE C3 IF PUMPED PIT & D BOX SHOWN & DETAILED FOUSE - NO. OF BEDROOMS ELLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM ROPERTY METES & BOUNDS OUSE SETBACK NECESSARY (TIGHT LOT) OUSE SEWER - 1 /4"/FT. 4 "0; TYPE PIPE O BENDS; MAX. BENDS 45 W /CLEANOUT FILL SYSTEMS CLAYBARRIER 10 FT HORIZONTAL: SLOPE 3:1 TO GRADE FILL SPECS DEPTH GAUGES FILL PROFILE & DIMENSIONS VOLUME TRENCH .jLF TRENCH PROVIDED ®60 FT MAX PARALLEL TO CONTOURS EZ 100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN FIELDS F20VTO ' TO'P:L.; DRIVEWAY, LAR%:TREES; SOP OF FILT FOUNDATION WALLS 0 TO WELL, 200' IN D.L.O.D., 150' PITS 0 TO STREAM WATERCOURSE LAKE ONC.EXPAN) TO CATCH BASIN, 35'.STORMDRAIN, PIPED WATER I V TO WATER LINE (PITS -20') 50' INTERMITTENT DRAINAGE COURSE 200 FT. RESERVOIR, ETCH 150 FT. GALLEY SYSTEMS SEPTIC TANKS 10' FROM FOUNDATION; 50' TO WELL WELLS lh 15' WELL TO P.L. 65 1. 411 At 43 .98 Ac. 0 14 TO AG OPEN SPACE 28 27 t 1.03 AC. 1.04 Al 26 7 1.07 AG mm •1.00 Al. 24 1.00 Al. 1.00 Al. SIATL ca"PIG ,1l Al. 45 44 • 1.00 AC, 1.00 Al. I AC.:. Im >m X •IM Al. 50 46 38 1.00 AC. 1.00 AC. I AC. Al 30 17 Al. 32 TACONIC GATE 5 4 4 Al. I A 0' 7. a I F 151m IMm 1.0 AC. 0 43 A •AC. I AC 1.00 . 42 53 I AC. I AC. AC 5.4 AC. CAL 4 1 1 I I AC. 52 I AC C 40 . Al. 51 1.00 Al. I AC.:. Im >m X •IM Al. 50 46 38 1.00 AC. 1.00 AC. I AC. Al 30 17 Al. 32 TACONIC GATE 5 4 4 Al. I A 0' 7. a I F WEB L OL • _ ' !' is Pri Sc ` 1' `JZ•, ,5 L> �i .�f I, V ,i1 7 I . PLAN SCALE. I" = 6 0' AS-5U LT MEASURD-1ENTS (IN FEET) REVISIONS SSDS PREPARED FOR: 5 SLATE CR0551 N& 1p. id RIP WELL vz- 0 =±T=A-XMAP # 05.05 1 56,51,32 TOWN OF PUTNAM VALLEY 1 2 E3 4 5 e? -7 5 q 10 11 12 15 � 14 15 IC A Z.G. Cot C6 (,9 -7q lb 36,5 14-3,9: , sc) �,5 6.01 /05 10-15 110 113 H9 zo ;?(p (,-4 Z- Iq k z 3z 3L, ilt3 11 1Z0 12-2 124 REVISIONS SSDS PREPARED FOR: 5 SLATE CR0551 N& 1p. id RIP WELL vz- 0 =±T=A-XMAP # 05.05 1 56,51,32 TOWN OF PUTNAM VALLEY