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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
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1A AVENUE, CARMEL, NE.W YORK - 10512 G
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