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HomeMy WebLinkAbout4563DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.05 -1 -59 BOX 34 qFr :: IN v '� ' IN I IN go IN r �I J I ti` I I I ' 04563 PUTNAM COUNTY DEPARTMENT OF HEALTH ✓ DIVISION OF ENVOl�`=- EVCE -_ CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR PCHD CONSTRUCTION PERMIT # 12 V-1 -7 -,7 Located at c A-P -0V-Al ,570tP- ,0_OA-D Town or V Owner /Applicant Name jf T 022 433P4 Z/J. Tax Map Formerly Subdivision Subd. Lot # TMENT SYSTEM Block �_ Lot OJT %770/m"�5 , Mailing Address Q. Z?DJr 6/87 ti/(6 4m VA z-1-c / IW Zip /0.5-7 9 Date Construction Permit Issued by PCHD L f9 Separate Sewerage System built by Sc S ks�, Address VD toi, &1_7 �i1tN�nV,s� Consisting of 1;2 5-0 Gallon Septic Tank and 4112 Z_/'� c� / VV 1 D�5- Other Requirements: Water Supply: Public Supply From Address u Qr. V Private Supply Drilled by Address 1S2 fJi&1Z&e9_ g .,,y.P..V._ ;/` _ l as.erosia:i_control been complPte? " Buildin T e �nl /f _ Number of Bedrooms 9' Has garbage grinder been installed? I certify that the system(s), as listed, serving the above ises wer ted essentially as shown on the as- built plans (copies of which are attached), in an ssued PCHD onstruction Permit and approved plans and the standards, rules and reg do of ounty Dep ent of Health. Date: Certified by P.E.- R.A. (Design Profe sin Address Pa-fWann ;rNq�*5; e;A[Cr /0.2 / e . License # &,o T��4a 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 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 and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocati dificat' or change is necessary. By: Title: � �&' I'�- Date: ��O White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 . -- o PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL, HEALTH SERVICES WELL COMPLETION REPORT.. Wil1�►clio `` tie idc3Pes5 -�" °° "'aY'` T' illage: ,v � , / A . Tax Grid# Map Block Lot(s) Well Owner: NamW Address: Use of Well: 1- primary 27secondary <. Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing __X Open hole in bedrock Other Casing Details Screen Details Total length ft. Length below grade 4 . Diameter in. Weight per foot lb /ft. Diameter (in) Materials: 2-K, Steel _ Plastic _ Other Joints: _ Welded X Threaded. Other Seal: >e Cement grout , Bentonite Other Drive shoe: ;io-' Yes — No Liner Yes >CNo Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _ Bailed _ Pumped Compressed Air Hours 2A Yield 6- gpm Depth Data su e - static specify ft Measure from land ac During yield test(ft) Depth of completed well in feet /0' Well ]Log If more detailed information descriptions or sieve analyses are available, c please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface a f, �'� ig " ALZ If yield was tested at different depths . during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type 3,®r" Capacity 5� Depth Model SS'os /3 Voltage a 3D HP -X2! Tank Type Volume Date Well Completed elf F- Putnam County Certification No. q I Date of Report W/// Well Driller (signature) NOTE: Exact location otwell with distances to at least two permanenylandn)drxs to be provided on a separate sneevptan. Well Driller's Name , ��� e AddressA Signature: Date: White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 FROM : PUTNRM ENGINEERING PLLC PHONE N0:' : 914 225 2955 Jul. 07 1998 11:27RM P3 ]PUTNAM COUNTY DEPARTMENT OF HEALTH _ - _,i�][.V,�, SEA( ��at��i.',. E1�1" ����Ni' I�' �- A;����€�:�►L�`�i "S��i�I�ES-.. _ ...��� :<- GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchaser of Building Building Constructed by f5s1 05' I S41 Tax Map Block Lot Town/Village Location - Street Subdivision Name Building Type Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above- described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately -following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where. the failure to operate properly is caused by the willful or negligent act of the occupant of the building:, i f lining the system. ~` he�-uniiersi�;ried ' further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Month Da (A10 Year MaIr General Con actor (Owner) Signature / 1 r _7-i S __L7,` C_/OT (rTC� Corporation Name (if corporation) Address: State �i„�r�l�r)�� - -- • Zip Signature: t 62��_ `Title: 2,� Corporation Name (if corporation) Address: State Zip Form G5 -97 FROM PUTNRM ENGINEERING PLLC PHONE N0. : 914 225 2955 Jul. 07 1999 11:27RM P3 ]PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF aENVIRONMENTAL HEALTH SERVICES J GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchaser of Building Building Constructed by Location - Street Building Type 15S , oS' I S11 Tax Map Block Lot fv) Town/Village t->- r.-r4,kr. � pl'A.ewi Subdivision Name J Subdivisions 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 system. - -- - Tl?° .unders gn - d=`furtla r- gree5 too -accept as concTusi`v °e the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Month Dam ? (J Year / w 1k General Gon actor (Owner) - Signature Corporation Name (if corporation) Address: �" y , State c; r Zips Signature: Title: Corporation dame (if corporation) Address: State Zip Form GS -97 rRQM : PUTNRM ENGINEERING PLLC PHONE NO. : 914 225 2955 Jul. 07 1999 11:27RM P3 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Ci'��r'x..��5-. ...,..: sb�+.. ... GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM 13r, 1h&8662 ~ Owner or Purchaser of Building \► Building Constructed by Location - Street Building Type F)51 Cis- IS61 Tax Map Block Lot Towm'Village Subdivision Nance 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 system. The undersignedjurlher agrees to acs:ert as c6nclusive the,detecmiri 'atiun of the` Public` Health liirector of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Month Dav,.A.01(1 Year General Cone actor (Owner) - Signature _— L l j Corporation Name (if corporation) Address: PC Fk State �(\'; - Ci,�..; ��� Zip Signature: a Corporation dame (if corporation) Address: State lip Form GS -97 FROM : PUTNAM ENGINEERING PLLC PHONE N0. 914 225 2955 Jun. 18 1998 0$:44AM P1 . � d �- - ,-, �c y"-e rx..' � �:.= i�r- �•:�:.'':tk+: �Y,"•a..;.r v.:.ta`. °:w�'E ..- 4 °��vv�^ ='.t- "..��n�"°'�" � ., �,�Lr':> T.• -:=' $' .J�.� -,T. �' .. . -. r ..:.c4. ice'✓ .. _. ,:r s.r�?' -n•°= r..,; .. -z... : r' rr � � ` -4 � `jam MEMO FROM: PUTNAM IENGMERING, PLLC DATE: j RE: REQUEST' FOR SSDS AS BUILT INSPECTION PROJECT TITLE: STREET ADDRESS: GA KQ ! N eF-� TOWN: V-j'sv� (� -V� L�t,�NF TAX MAP #: PERMIT #: 1 t —1 —7 L�,T � PLEASE NOTIFY THIS FFIC �.AFTER 914j<2Z5- 3060,.IN - - - rYQI1,R INSPECTIO1�t AT ( :.: .. .. .... .,. .• f _ ..�., 5... -. .:' `' _ _ -.s .. .... y6r;....ym. • lKa* �- y..... .. �—... .. .. ... ..�.. .... .,o •GY+ � wga .. q•y ORDER FOR US TO NOTIFY THE CONTRACTORIOWNER THAT BACKFILLING THE SYSTEM MAY BEGIN. FilCM1022 CAIQ� )+75 I� . ,mL EvyIxumnEm/*L SERVICES . 321 -r Yor-ktZ wrr ght - I�5�EL=�, _ (914) 245-2B00 ' Albert H. Padovani, Director _ ^` LAB #: 32.805433~CLIENT #:~~8599~~~~~~ ---- ST. /STEV 21.PEEKSKIi-LHOLLOW RD. PUTNAM VALLEY, NY 10579 ' NON / AT PROr PAGE 1 ~~~~~ r bATE/TIy1E : 06119/98 12:15P DATE/TIM RC'I]: 12:35P REPO RT PATEi _^. � /98 PHQNE: (914)-528-5448 ^.SAMPLING SITE: :.POTABLE :-ST PLACE ' ' PREStkVATI'VES: NONE COL' L 7 � TEMPERATURE.'.:'<`4C. ,BYx'STEVE NOTES—:' KITCHEN '-^ tAP _~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ -- ----------------- COLIFORM�METH:,'MKF' DATE ' FLAG ' RESULT NORMAL "'RANGE ` ` 'METHOD ` r�uTvPROFILE �� PUTNAM _'.' ` 06/19/98 MF T. ��OLIFORM ABSENT /100MKL � =/�B�j±N�i^��j 1008 9 MS) <1 ppb 0-15ppb 12345 ~ / ` NITRATE V%TROG O�/19/98 1.45 MG/L /' ` '0 `"10' 9139 ` /i9 'R NITRITE NITR <0.01 MG/L N/A 9146 . 06/19/98 IRON (Fe) 0.128 MG/L ' 0�-0.3 mg/l 2037 06/19/98 MANGANESE (Mn) 0.019 MG/L 0-0.3 mg/l 2037 06/19/98 SODIUM (Na) 7.42 MG/L ' N/A 06/19/98' pH ` 7.3 UNIT8 6.5-8.5 9043 06/19/98 HARDNESS,TOTAL 112 MG/L N/A 06/19/98 ALKALINITY (AS 102 MG/L N/A . COMMENTS: FAX TO COMMENTS: ' BACT THESE RESULTS INDICATE THAT THE WATER OT) OF A ' SATISFACTORY'SANIT`RY QUALITY ACCORDIN�~��~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 thatno more than 10% of their distribution points have LEAD value of more than 15 ppb and a COPPER value of 1.3 mg/L, el.se water treatment' must be,under/t7sken--to-redoce'the waters corrosive Fe/M Fe/Mn If both iron and manganese are their total 'value combined shall not exceed'O.5 mg/L. � YML ENVIRONMENTAL SERVICES ' ` 321 Kear, -Street, 6.4��������`�'`', (91.+) 245_2800 ` Albert H, Pad:vani, Director CLIENT #:` i ' NON�STATPROC � PAGE 2 LAB ��:� 32 [L ~~' ' PAGE... _ ~~~~~~~~~-~~~~~~~~~~~~~~~~~~~~~~~~_~~~~ ~~~~~~~~~~~~~~~~~~~~~~~=~~~~~~~~~~~~~~~ . T, THOMAS ASSOC./STEV DATE/TIME TAKEN: 06/19/98 12�15P ' 2 35P ' 21 PEEKSKILL HOLLOW RD. � `D: �1 : P. NAM VALLEY, �Y 10�79 ` REPORT DRl�: 06/26/98 ' - � PHONE: (914)-528_544E)� SAMPLING SITE: LOT #1 LOCASTRO SAMPLE TYPE—: PO ' . ' : ST.THOMASPLACE ^' . PRESERVATIVES: NONE COL'D BY: STEVE LEARDI . :< 4C NOTES..': KITCHEN TAP 'OLJ 'nRM METw; ` °~=~~~~~~~"*~~~~~~~~~~ �~ ~ �~~ + ~ .~~~~~-~~�~~~~~~~ ~~~~~~~ ~~~~~~~~~ ~~~~~~~~~�r~~~ ~ ~ .DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD Na No limits for Sodium are proscribed. Suggested guidelines-state that for.people on a sodium restricted diet,the water should � contain no more than20.mg/L of Sodium. For those on a ~moderate`-,, rest�i cted' diet`, a maXi0um of 270 mg/L of Sodium ` ' is suggested, SURNITTED BY: ' Director ^-�~ ELAP# 10323 1. PD1,?1AM CODNTY DSPAf:1iT OF EEALTH w at Bisidill Stievleaa. Caierd. N.Y. 14611 a Pttrvlde Peewit 1 dd CSQTR*ATl3 OF LL STU= Ptlslt / . f t7 777 .. logo" at t �. � 1{./1«► �r/7� .:: - t' ., i' -4�' `. �'"4 -c :� ._ t _9711se'� rt _ G,�. 3'tiG�` , r�ma G.M. Let i r Ter: Map 5 .15 Bloch tats ow.edA�Ycs1�tN. e STL '� .1L 1 eenewaL ^° ' Aevldels p , / Date d Preview Approval Zip Ad6,w p D %� Town ( D r-J 19 ate Subdivision ARbroved g IZ� 9 O Fee Enclosed a,,,r,,,,,f -- Tjpe St O& -,ltZi ft AA Let Mee 2� Fm secdoo oaf' Depth Valamie Norbw a[ Bediooma Q DWV Flow G P D PCHD NotMesdoo b IReahvd When Fm Is owed Seplleats SewaaAe Sri a olleelet aI ?O.L 5� _G�aa Septic Tack. � l2i 1N / � To be aeatAead byT�J� S"* Address Waiter Soppt1: p� g� Address an x . &era Ss** De®ad by Y QD ed itren 066 Retli mmenq I represent`ahat I am wholly and eomplately- rasponsible-for the design and location of the proposed system(s); 1) that the separate sew disposal system above described will be constructed as shown on.the approved amendment there to and in accordance with the standards. rules a regu ns o nam County Department of• HeeKh,: anq that on complotkiro. thereof a'•Cortiticate of Construction ompl sfactory to the Commissioner of Health will be wbmKted to ,the Oepartrrsant, and a written guarantee will'be, furnished tM owns, hi s, Miss or iglu by the bulkier, that laid builder will Wle in good operating condition any part of said ,sevyage disposal' system duri o two (2) Years I mediatory following thodate of the issu- aam of thjL approval of the Certificate of Construction Complia lnal y repairs therot ; 2) that the drilled well desaMed above will be loci ted as_shown en the approved plan and that Yid well will t» In a in a it the stands rules and rpu TMnf of the Putnam County Oepirtmant.of Haelth. ate 8I2$[4-1 7 fLrrNoM F fs n .., P.E. 2. R.A. Address License NoDG-74,V,,, APPROVED FOR CONSTRUCTION. This approval expires two years /rom the date issued unless construction of the building .Ms been undertaken and is revocable for cause or may. be amended or modified when considered necesaary by the Commissioner of Health. Any change or iteration of construction requires a how permit. Approved for dispossUcif domestic sanitary sewage, and /or tats_ ater supply only_ R_V. C/ •.nQ Date ��� /i /�� 8y��— Title ��� DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 _ APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT WELL LOCATION Street Address Town Villa a City Tax Grid Number �I F_& c 'PMN.Y� .� $S��S - t - sel WELL OWNER Name Mailing Address cUT6It- t. rivate Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ® PUBLIC SUPPLY " O AIR /COND /HEAT PUMP ® BUSINESS O FARM O TEST /OBSERVATION ® INDUSTRIAL M INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify, AMOUNT OF USE YIELD SOUGHT ±4 N 5 gpm/ # PEOPLE SERVED I Vl!sNA /EST. OF DAILY USAGE g';n�O gal 0 JREPLACE EXISTING SUPPLY O TEST/ OBSERVATION LZ ADDITIONAL SUPPLY NEW SUPPLY NEW DWELLING)® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE t_ _ DRILLED O DRIVEN ODUG [:]GRAVEL O OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: C,�''['; -n+ 6'ar Lot No. WATER WELL CONTRACTOR: Name 1-15fl Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES y NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY jW/A - DISTANCE'TO'=PROARTf FROM NEAREST WATER MkIN: 7!. Y• �• " LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDE E] ON SEPARATE SHEET (date) (signa ur ) 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 thirty (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 Well Completion Report on a form provided by the Putnam County Heat 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 su,chh a manner as not to degrade or otherwise co iffa surface or groundwater. Date of Issue: /v G'U 2 19_zz Date of Expiration 19 Permit Issuing Official f Permit is Non - Transferrable White copy: HD File Pink copy: Owner 1/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller BRUCE R. FOLEY ^M Acting 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 Putnam Engineering October 3, 1997 102 Glenida Avenue Cannel, New York 10512 Attn: -Mr. Paul Lynch Re: Construction Permit for Individual Water Supply and Subsurface Sewage Treatment System (SSTS). Leardi - Gardineer Road (T)Putnam Valley 85.05 -1 -59 Lot 1 Dear Paul: I have received and reviewed the application to construct a single family residence on the above mentioned parcel. The following additional information and/or revisions are requested. �Floorns for the proposed residence are lacking. Please submit two (2) sets of House plans for review and total potential bedroom count. G, -BThe plans indicate that only one deep test hole was observed when the property was subdiv''ded. A minimum of two (2) deep test holes are required. One is to be located the expansion area and one in the primary area of the SSTS. (See enclosed map). C� i'lease.re�ise the standard notes in accordance with..the:revisedregolations: (Copy.. -- - _ - - _ _ _ _.. t men -- closed). _ - _. ... v •-�'D) The PVC pipe from the septic tank to the first junction box should be SDR 35 qual. E) Solid PVC pipe, from the septic tank to the first junction box, greater than 75 feet in length, must be provided with cleanouts spaced no further than 50 feet apart. Please indicate the location of cleanouts on the plans and provide a c etail. F) Please label the location of the well as noted on the enclosed plan. Once the above mentioned revisions are received, review of this department will continue. Should you have any questions regarding these revisions, please contact me at 278 -6130 ext. 168. Very truly yours, William Hedges Sr. Public Health Sanitarian NNH'mh rev,sts enc. PITTNAM ENGINEERING, PLLC 102 Gleneida Avenue Caravel, New York 10 12 Eazs 914®225.2955 To: E51 L-r'L- WROTE Lettter ®f Transmittal Dates < i / 17Lq-7 WE ARE SENDING YOU V Attached _ Under separate cover via the following items: ® Shop drawings _ Prints X Plans _ Copy of letter _ Change order Conies Date No.. Samples ® Specifications Descrintion # i1 1 y /97 S'GC)5;; A-r-1 2 -D v -5e �'sS THESE ARE TRANSMITTED as checked below: _ For approval ^ Approved as submitted _ Resubmit _ copies for approval _ For your use _ Approved as noted ^ Submit.,_ copies for distribution _ As requested ^ Returned for corrections _ Return _ corrected prints For review and comment _ Other _ FOR BIDS DUE , 19— PRINTS RETURNED AFTER LOAN TO US REMARKS: 51 LL- , COPY TO SIGNED: Lt ► H TP e..n1nc — ..mss -- ...e...—* -4 V;-,4U, ....". — _ .. Z 1 . .� �,.., v 1. . LL' rAA JL IV1LIN 1 rUli tMAL 1 n DIVISION OF ENVIRONMENTAL HEALTH SERVICES k DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM` ... 19.wn u -'ELI ~ N�jI (p y� Located at (Street) G,&j2D(mt5ti W 1'�DA-0 Tax Map'%.o5 Block I Lot _ (indicate nearest cross street) Municipality Drainage Basin SOIL PERCOLATION TEST DATA Date of Pre - soaking Date of Percolation Test Hole No. Run No. Time Start - Stop ElaiDse Time (Min.) De )th to Water rom Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch 1 2 3 4 5 1 3 4 5 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO aJ : HOLE NO. _ 0.5' To PSG TbPSo I L- 1.0 1.5' t- 3Rpw►., SdNoy w,�Nt 2.0' S'sN� Lit- -t 2.5' 3.0' L G 4T M oI S-r 3.5' 4v,&T-j o Ll L--ry Sant O 4.0' w s-rC>NJ..s 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 10.0' Indicate level at which groundwater is encountered Indicate level at which mottling is observed q-+' —o" 3 Indicate level to which water level rises after being encountered _ +-c " Deep hole observations made by: _ p'j — PG. I.D. Design Professional Name: Address Signatur Design Professional's Seal N/A. + 27 II /13 OF NEW�.� 2) PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS REVIEW SHEET FOR CONSTRUCTION PERMIT STREET LOCATION v O�< <�J -� T°'C NAME OF OWNER REVIEWED BY DATE /�J TAX MAP # Y N DOCUMENT Y N / APPLICATION PERMIT_ PWS LETTER R OF AUTHORIZATION iV DATA SHEET (DDS) )RATE RESOLUTION .- EAF - TWO SETS SUBDIVISION LEGAL SUBDIVISION SUBDIVISION APPROVAL CHECKED PERC RATE ° ``-7 FILL REQUIRED DEPTH CURTAIN DRAIN REQUIRED STANDPIPES GENERAL LOCATED IN NYC WATERSHED PLANS SUBMITTED TO DEP DELEGATED TO PCHD DEP APPROVAL, IF REQ'D DEEP TEST HOLES OBSERVED PERCS INITNESSED, IF REQ'D EX- APPROVAL SSDS ADJ. LOTS WETLANDS (TOWN/DEC PERMIT REQ'D ?) DATA ON DDS PLANS & PERMIT SAME PRE 1969 NEIGHBOR NOTIFICATION LETTER BUZBA 100 YR. FLOOD ELEVATION OTHER REQ'D PERMITS) REQUIRED DETAILS ON PLANS SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE -GRAVITY FLOW CONSTRUCTION NOTES DESIGN DATA: PERC & DEEP RESULTS T CONTOURS EXISTING & PROPOSED DRIVEWAY & SLOPES, CUT AIN DRAINS COMMENTS: Z-- G1/*'- / .OSION CONTROL:HOUSE,WELL, SSDS RC & DEEP HOLES LOCATED ;PRESENTATIVE OF PRIMARY & EXPANSION (CATION MAP ;P. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE PUMPED, PIT & D BOX SHOWN & DETAILED )USE - NO.OF BEDROOMS ILLS & SSDS'S W/IN 200' OF PROPOSED SYS. .OPERTY METES & BOUNDS )USE SETBACK NECESSARY (TIGHT LOT) )USE SEWER - 1/4" FT. 4 "0; TYPE PIPE BENDS; MAX.BENDS 45° W /CLEANOUT FILL SYSTEMS 10- FT. HO ONTAL;SLOPE 3:1 TO GRADE FILL SPE FILL NOTES FIL RTIFICATION NOTE PTH GUAGES I ,VOLUME I ImIFILL IN EXPANSION AREA TRENCH LF TRENCH PROVIDED _ 60 FT MAX. �. PARALL- EL--TO CONTOURS 100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED P.L., DRIVEWAY, LARGE TREES, TOP OF 100' TO WELL, 200' IN DLOD, 15071 F 100' TO STREAM WATERCOURSE LAKE (inc. expan) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 200'/500' RESERVOIR, ETC. _150' GALLEY SYSTEMS 15'min to CDS= >5 %,10'- 4 %,25'- 3 %,30'- 2 %,35' -I %,100' - <I% 20'min to CD discharge /100'with 182 cons day discharge SEPTIC TANK W 10' FROM FOUNDATION; 50' TO WELL FORM ST -2 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMEZtTAL HEALTH SERYI.CES - i _ � . � � _ •6:: •Y.'Ys �"..�i' 4_•.M:� bl � `.Ka �.i.: �; �}�.n\ : 1 - -" +W ._ � .. e. - .. .> .'.2 �c �•., Date CJL4L`/ 1 15-7 Re: Property of GJTa_V EE Lr__AxZ) I Located at C-,F r>f Niss{p, &LA—r-D (T) PuTNAM J,su t/ Section 55.0c_,-� Block 1 Lot .S Subdivision of sr• rI"iaMA�s ptAcr_-- Subdv. Lot ,•# ` Filed N5p 1# 4 Z Date $l 17 /qC Gentlemen: This letter is to authorize 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, rule: or regulations as promulagated by the Commissioner of the Putnam Coun- Department of Health, and to sign all necessary papers on my__:behalf:..ir.. =cEMAection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education �FN1 ublic Health Law, and the Putnam County San! - 5� J��,�CNAEC(yO'�• tary Code. Q� , ` e Very truly your F'10, ES' 7.4ti 4SO Signed P Countersigned: Owner of Property P.E. , R.A. , }` OCa% -4 �02 AM L Lsff Address 102 C ^�_..Njsi D.d. A\l a Address c F, L NY 10s �" Telephone LT Town �t q1Y - Sc;2O ­ S`f� Telephone ru l NAM ENGINEERING, PLLC 102 Gleneida Avenue Carmel, New York 10512 914 -225 -3060 Fax: 914- 225 -2955 To:1 WE ARE SENDING YOU _V Attached the following items: _ Shop drawings — Prints '.R Plans Copy of letter _ Change order Conies Date No. 6. setter of Transmittal Date: 1 a� 1 6 RE:: �' 7�sn�S p1:�r✓ �T C--✓� R�1 N �"YZ- t2-t� _ Under separate cover via _ Samples _ Specifications Descrintion # 4 ( mac 09� St4 el5r 1 -7 1 1(4 `7 124NnAw.) THESE ARE TRANSMITTED as checked below: `I~or approval _ Approved as submitted ,_,,. Resubmit _ copies for approval _ For your use _ Approved as noted — Submit _ copies for distribution As requested _ Returned for corrections — Return corrected prints For review and comment _ Other — FOR BIDS DUE 119— PRINTS RETURNED AFTER LOAN TO US REMARKS: COPY TO SIGNED: - If enclosures are not as noted, kindly notify us at once. Low � DES =C�i L1�'?"-- •nc'ur C� SLSVt� DLSr SYSTr" -+ NO .. . -. ' .P • f ._.. .... ,,-�, }y0� �G.t..� Z` �St.c_L) V�•��� t�tcJ/� f� $�C. S���S Block � T+C� p (indicate n— ast. =css si =aet) So= =A= m; R=rj--.-z J To Ev- .� __� w THE PP?r_.. "_TCriS I>-t-- Pe==l cn Test I>-t-- f C CC.c D2�_ CL r ECIZ- y _. l e Be nth _ �.r th to T1 NO. T•: G �-�c SL_ace Start St= Soy? R:. t. - 1 wj 3 � a 5 I z 3 4 F(�T� Tests to � r� at death until ar a_ rcci*:p tely_I. soil re at ac-- Qiation test hole. All dam try' saw =e for review. 2_ re! t: c��c�,_ ^_�.s to oe ra_^= frcrn t^o o= hai _. . .-= Di.- SCR=CN OF SOILS IN TAT E= D ECrE NO. BME No. H= No. G.L. " :a 21 1V1bi U M 31 A �irJO VV 51 61 S�rJ 71 st ,O1, 1 ?t 12' 131 1A TO I C LEE-, =. A _ We =CC _ Gs C{:L �'r� -a.._ P`s—zS P_�„�.? �. =G D= SOLE CBSZ:Z7rA=CDiS VI,OE BY: DESZG4 Sail Pay_ Gsea �_ Miii-^_/1" Drop: S. D. G ^le A::a=- PriCviaed. 50CXD No. OL F= CCI:S" S2Dt�C lZ ^_�C C rcC =t_T P.bseratior ; -Ar =.: Prov c . By 4-00 L.F. x 2c" width trench NG►-� PL f-�r� 4,� ', IlsL� l� , P(.LC- Signature F.cdress (�2- `Cl ,a-t/ SEr: , 25�A'�ROF� THIS SPP. FOR USE BY EMA.LTS DE- PARMM`T CN7-ay: Soil Ra t-e Aparc;ve, s ;. f c /ga? . - (MieCkad by P UTNAM COUNTY DEPARTMENT OF HEALTH APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM ' C ' �;:,` vs.-; .1:-: - ., <^- -o.' `mot _ - r ... rye i ...ra _::�' +•' �•o� - ., -c. i,. -. t .• + -. .. 1. Name and Address of Applicant: STL/'E L fLt>1 2. Name of Project: 5'r• lHOMAS PI-Acr-- 5-9r. LOT' l 4. Project Engineer: �UTN.�t --1 En��►.t�zl2tr�, PLLG 3. Location T /V /C: -NAIM 5. Address: 102 CU,*Jt;,10& AV1S License Number: 06-7444P Phone :22 -S -3c�o i. Type of Project: X Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) . Is this project subject to State Environmental Quality Review (SEOR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted X Is a Draft Environmental Impact Statement (DEIS) required? N� Has DEIS been completed and found acceptable by Lead Agency? NIA Name of Lead Agency N A& Jc:;t:hj� prJojecl'---in. -.an area - Under "tfl'e co n trol- -of• i-ocal p1anfiing, zoning;` or other officials, ordinances? .... ND If so, have plans been submitted to such authorities? .................. N�1 Has preliminary approval been granted by such authorities? Date Granted: Type of Sewage Disposal System Discharge...... Surface Water _Ground Waters If surface water discharge, what is the stream class designation ?........ N //S Watersindex number (surface) ........... ............................... W41. Is project located near a public water supply system? .................. NO ��•t�xz_ TWm, -1 If yes, name of water supply Distance to water supply I MILS Is project site near a public sewage collection or disposal system ?..... C,aeM,T0ri qj &" Jame of sewage system �a Distance to sewage system I M'U )ate observed: 1'(Lr- -D MQP 812oL-0 23. Name of Health Inspector: 'roject design flow (gallons per day) ....... .............................. '80c) 2. 25. -Is State Pollutant Discharge Elimination System (SPDES) Permit required?.. .26. Has SPOES Application been submitted to local DEC Office? ........... 27. Is any portion of this project located within a designated Town or State wetland?..... .............................. ............................... IUD 28. Wetland ID Number ........................................................ 29. Is Wetland Permit required? .............................................. Has application been made tcr 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,, landfilling, 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: 3 . 3. Is there a local master plan or file with the Town or Village? ........... IQ 0 14. Are community water, sewer facilities planned to be developed within 15 years? 1,40 5. Are any sewage disposal areas in excess of 15% slor) 6. Tax Map ID Number ......................................................... .,)s - 7. Approved Plans are to be returned to: ................ Applicant Engineer f the application is signed by a person other than the applicant shown in Item 1, the Dplication must be accompanied by a Letter of Authorization. Failure to comply with this -ovision 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 belief. False statements made herein are punishable as a C7a$s A H7zdemeanor pursuant to Sect 10,4 A of the Pena 7 Law. GNATURES & OFFICIAL TITLES: [LING ADDRESS: I UL (ILEKIM4rX AV6-- 6ka.1\AM_ )LS JD5a (F /LED MAP No. 1319) i\22 ; , �. Stone Wo // OPEN SPACE PARCEL —LOT 12 up- -N63'49'20 "W 229.01 ' ao • fr '- lV 1.292 Acres (56,279 S. F.) ; J� Deck 2 St.Fr. Cj7 oh g \ I ( 12 ) U - eL a. I I Wwell I..._ -D .h 7 W a. O I 61 I I O I_ I Cnd pf c o 7h° E 30 - 3 I 1 o I •� ros �w vt ace Rod /u9 �/y IL I > 610O'+n o 9°,- Sty I o 1 � ° No. n `I /° °0 7'3� ~E i U i �i 24gz . d i 5 78 �6, 45 H..& � H. W. N 1N GE o o� �•4 �� or' i Zo Sr I QI R�!NEE� - -R0� Y GA D PARCEL SHOWN HEREON KNOWN AS LOT No. I CERTIFICATIONS INDICATED HEREON SIGNIFY THIS SURVEY ON SUBDIVISION MAP ENTITLED 'ST. THOMAS WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE PLACE ESTATES", FILED IN THE COUNTY CLERK'S OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW a . 7'- 3 3/4' 121- 0'1/(' '- 0 1/2' 10'- 2' IJ' EC. O DROP BATH 3/4' = �:v-.2n ePF 4 13 FILL oNlrjsm� BREAKFAST OR PL _ c 3• MAIN VENT nI I 111 I ) 2' FUTURE �c— T - - - -� lo' O, ' n II UTILITY 1s'- 10 I { —� [t71E 'n• OMIT 1st BAY OF GYPSUM I E FOR MIRE DROP – – 6' 9 3/4' I o py1T 4'-6, GYPSUM y I 7'- S 1/2• (3)SIPPORY` -- - --- 7FUTD!Aid CQi) "! STIRS PER UWE 1; -_ ,..: ; CF H 11,,ii 0. (IND FLR. SIMIITODUSR PLAPh, r,T I,,E . FAMILY 'iiiJ.:UiiS ROOM UP .0. {0'W x 41 3 /4 -H Signature & Title at , 1 e' G. NIGH WALLP 0' 4'- 0 1/4' 8'- J 3/{•6' 2' NOTES: 1. 2.6 EXTERIOR WALLS 1 24. O.C. 'TO Tiff BEST OF MY N110REDGE,BELIEF AND PMESSIOUL JUDGEIIEIO 2. B' -0'CEILINCS. 1. THIS FACTORY YANUFACRPED HOME (FNH) PLAN HAS BEEN APPROVFD 3. ANDERSEN rI... FROM A SYSTEM SET OF FWH PLANS PREVIOUSLY APPROVED BY NY. D.O.S.. 4. 7/12 TRUSS RDDF 1 16.O.C. APPROVAL NO. NO 361- 96 -010, EXPIRATION DATE 03 -19-99 6. NOT LITER BASEBOARD HEAT. MICR HAS NOT BEEN MODIFIED IN ANY -ANRR. ��� 6. FLOOR MAr[nG Jolsrs raL BE -------------- -------- -- _- ---1 3/4• LARGER THAN FLOOR JOISTS. 2. THE ENERGY PORTION OF THIS FIRE PUN HAS BEEN PREPARED USING PART SEE SHT. I IA OF SIB -SET. 5 OF THE NEW YOIX STATE ENERGY CONSERVATION CO STRUCTION CODE 7. 24. O.C. INTERIOR WALLS. (ENERGY OWE) AND IS IN FULL CM IANCE 11 TH THE EmEmy CODE. ®Pew$ `+��� B. NASCOR FLOOR JOISTS. PO B0X 27, AAPOIUf RD• SELIRSCED 717 374 -4004 1 -E 4'- 5' 2'- l0• 15'- S 3/4• --------------- - - -PLYWOOD OMISSION 46, 0' 13'- 6 1/4' U'- 2 3/4' 0 1/4' PRE - NULLED 15' 7 3/4' 7'- 1 1/2' R.O. 59 3 4 W A V e 37 1/4' �I• .0�0 t BUILDER: 1e.10 C1 TOO:]- 2M SPr /2 ete exA W >� sS nl r + BLS PRE - TILLED A.O. 87 S //'6 v 57 1 /4'H DISK NO: 1214 SA t /4' uB a RIq JDATE: - Vw SPACE MODEL: REVERSED WILLIAMSBURG C - --1 LEVEL: 1,2 KITCHEN] & 1, . (6nrGYP � PLUBING 916 (fib k' DINING 2 1/2' 2.3 ELEC ROOM FILL WALL FILL 4,- 6' �DWTr�e'sYP911 0111 46• GYPSUM – – – --- - - - - -- tnno PANTRY FIR: 6) 1.5' r 9.25'9.L. CL6: �6) 1.5' v 11.25'N.L. it WWI STUDS PER W OULE i 1 –(4) 15' – – S 3 /4r – – – – (3) SUPPORT STUDS PER WOOULE - 4 1/2' (3) SUPPORT IL STUDS PER NODULE (2ND FUN. SUPPORT) n TED LIVING BY 4U+ II CHASE ROOM . ENTRY 11 II 3• / o 17'- B 1/4• 1 Qe 10' G. I — B• G. Imo-' S• 0- 6' 2• 3, V B' 1 1/2' B' 1 1/2• GIADFR sIPTORr (DUNS - l� . &RETURN Al. �I• `�— BSI- CONFIRMAT BUILDER: LEAROME CLIENT: SPEC. I PkOJ NO: 97 -097 DRAWN BY: BLS DATE: 05 -14 -97 DISK NO: 1214 REVISED BY: RIq JDATE: - STATE: NY. BUILDERS SIGNATURE DATE: -- ---'"" MODEL: REVERSED WILLIAMSBURG SCALE: 3/16•=1' - DRAWING: FIRST STORY FLOOR PLAN LEVEL: 1,2 . hA E [7 . - D'. (fib k' 6. 5 I/2' IS'- 4 3/4• - I �-3 1/2' 13'- 4' .. I ' - 8'� 2'- 8' 1'- 8 3/4• 4'_ 2. 4,_ 2. ---------------^4------- n 4B• o' ATTACHED 4 B' WALLS NOTES: 'e I. 2r XTERIOR CALLS 0 24. O.C. 'TO THE BEST OF NY W ILEDGE,BELIEF Ate Fl10FESSIONAL JIACEYFNT 2. 8' -0'CEILINOS. 1. THIS FACTORY NANMFACFfn HONE (FNH) RAN HAS BEEN APPROVED 3. AtCE IINDOWS. FROM A SYSTEM SET OF FNH PLANS PREVIMY APPROVED BY NY. D.O.S. 4. 7 /IZ♦TRUSS ROOF 0 18'0.6. APPROVAL N0. Aq 361 - EDIFIED IN ANY DATE 03 -19 -99 ® PENN jj HOT 5. 1`1. TER NCJOISTS HEAT. BIIOR HAS NOT BEEN MODIFIED IN ANT' YANER. JIS1�lLil".�d111S\�\IJI JIIS\ \VII 8. FL &iINC JOISTS WILL BE ------ ------------_-�--_'----_ LYON 1 3 �L - T- FLOOR JOISTS. 2. THE ENERGY PORTION OF THIS FIB PLAN HIS BEEN PREPARED USING PART \L�( SEE1 I. OF SIB -SET. 5 OF THE NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION MOE 7. 24't' C. INTERIOR MALLS. (ENERGY CODE) AND IS IN FULL COMPLIANCE WITH TIE ENERGY CODE. HOMES �����$ 8. NASKec F100R JOISTS. PO BOX 27, AIRPORT RD, SELINSGROVE, PA 17070 717) 374 -4004 1- 800 - 788 -4751 f: 't OOI!FiR":ATI014 OF OR[ ;a O:iiL bc'RE : IG�:ATURE v t, • f i r L I8 :I °I BUILDER: LEARONE CLIENT: SPEC. PROJ NO: 97 -097 DRAWN BY: BLS DATE: 05 -14 -97 DISK NO: 1214 REVISED BY: DATE: - STATE: NY. f10DEL: REVERSED N[LLIANSBURG SCALE: 3/16'=1' - DRAWINC: SECOND STORY FLOOR PLAN LEVEL: 6,7 I� WIRE (} DROP 4 WH1111s 1. a ATTACHED 4 B' WALLS NOTES: 'e I. 2r XTERIOR CALLS 0 24. O.C. 'TO THE BEST OF NY W ILEDGE,BELIEF Ate Fl10FESSIONAL JIACEYFNT 2. 8' -0'CEILINOS. 1. THIS FACTORY NANMFACFfn HONE (FNH) RAN HAS BEEN APPROVED 3. AtCE IINDOWS. FROM A SYSTEM SET OF FNH PLANS PREVIMY APPROVED BY NY. D.O.S. 4. 7 /IZ♦TRUSS ROOF 0 18'0.6. APPROVAL N0. Aq 361 - EDIFIED IN ANY DATE 03 -19 -99 ® PENN jj HOT 5. 1`1. TER NCJOISTS HEAT. BIIOR HAS NOT BEEN MODIFIED IN ANT' YANER. JIS1�lLil".�d111S\�\IJI JIIS\ \VII 8. FL &iINC JOISTS WILL BE ------ ------------_-�--_'----_ LYON 1 3 �L - T- FLOOR JOISTS. 2. THE ENERGY PORTION OF THIS FIB PLAN HIS BEEN PREPARED USING PART \L�( SEE1 I. OF SIB -SET. 5 OF THE NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION MOE 7. 24't' C. INTERIOR MALLS. (ENERGY CODE) AND IS IN FULL COMPLIANCE WITH TIE ENERGY CODE. HOMES �����$ 8. NASKec F100R JOISTS. PO BOX 27, AIRPORT RD, SELINSGROVE, PA 17070 717) 374 -4004 1- 800 - 788 -4751 f: 't OOI!FiR":ATI014 OF OR[ ;a O:iiL bc'RE : IG�:ATURE v t, • f i r L I8 :I °I BUILDER: LEARONE CLIENT: SPEC. PROJ NO: 97 -097 DRAWN BY: BLS DATE: 05 -14 -97 DISK NO: 1214 REVISED BY: DATE: - STATE: NY. f10DEL: REVERSED N[LLIANSBURG SCALE: 3/16'=1' - DRAWINC: SECOND STORY FLOOR PLAN LEVEL: 6,7 WH1111s BEDROOM o �IIII� 'lull ON] 46 GYPSUM PER WASTER BEDROOM (2) SUPMT STUDS PER WOCI ATTACHED 4 B' WALLS NOTES: 'e I. 2r XTERIOR CALLS 0 24. O.C. 'TO THE BEST OF NY W ILEDGE,BELIEF Ate Fl10FESSIONAL JIACEYFNT 2. 8' -0'CEILINOS. 1. THIS FACTORY NANMFACFfn HONE (FNH) RAN HAS BEEN APPROVED 3. AtCE IINDOWS. FROM A SYSTEM SET OF FNH PLANS PREVIMY APPROVED BY NY. D.O.S. 4. 7 /IZ♦TRUSS ROOF 0 18'0.6. APPROVAL N0. Aq 361 - EDIFIED IN ANY DATE 03 -19 -99 ® PENN jj HOT 5. 1`1. TER NCJOISTS HEAT. BIIOR HAS NOT BEEN MODIFIED IN ANT' YANER. JIS1�lLil".�d111S\�\IJI JIIS\ \VII 8. FL &iINC JOISTS WILL BE ------ ------------_-�--_'----_ LYON 1 3 �L - T- FLOOR JOISTS. 2. THE ENERGY PORTION OF THIS FIB PLAN HIS BEEN PREPARED USING PART \L�( SEE1 I. OF SIB -SET. 5 OF THE NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION MOE 7. 24't' C. INTERIOR MALLS. (ENERGY CODE) AND IS IN FULL COMPLIANCE WITH TIE ENERGY CODE. HOMES �����$ 8. NASKec F100R JOISTS. PO BOX 27, AIRPORT RD, SELINSGROVE, PA 17070 717) 374 -4004 1- 800 - 788 -4751 f: 't OOI!FiR":ATI014 OF OR[ ;a O:iiL bc'RE : IG�:ATURE v t, • f i r L I8 :I °I BUILDER: LEARONE CLIENT: SPEC. PROJ NO: 97 -097 DRAWN BY: BLS DATE: 05 -14 -97 DISK NO: 1214 REVISED BY: DATE: - STATE: NY. f10DEL: REVERSED N[LLIANSBURG SCALE: 3/16'=1' - DRAWINC: SECOND STORY FLOOR PLAN LEVEL: 6,7 Z. O 4 04 >� i 10 A� m rr �u e rf -r y;> . a 3�NTt�n1 !^� i3 ti3fw: t TV) tq, ' it 6 �- a' � G }� z g DR1v ;' ,AS-BU I LT MEASUREMENTS ( I N FEET ) �s REVISIONS 55D5 A5 -BUILT PREP/ NO. DATE - DESCRIPTION - '� ST. TH01 .NNEER�S. PLANNERS f 1A AVENUE, CARMEL, NE.W YORK - 10512 G 4. 25 =3060 . FAX, (94'14.):1225-2955 .TAX MAP 1 OSBLOGk y Y 2 'E3 4 5-. ;.6 7 8 Q 10 11 12 13 14 15 16 1-7 A �5 -7gyz�7l% -70/2 -7bY� �d -71 23� /ZSYz IZ. Izo erg: If7 iii i�Z�iz irZ 9 ga y S`iyg 92Y q7 y� rcoy9 ro�YZ i r i . s `say y3y i3� i3 ~ �s REVISIONS 55D5 A5 -BUILT PREP/ NO. DATE - DESCRIPTION - '� ST. TH01 .NNEER�S. PLANNERS f 1A AVENUE, CARMEL, NE.W YORK - 10512 G 4. 25 =3060 . FAX, (94'14.):1225-2955 .TAX MAP 1 OSBLOGk y