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BOX 34
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04570
AM COUNTY DEPARTMENT OF HEALTH
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OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM
PCHD CONSTRUCTION PERMIT # V 19-q7
Located at -A IzD 1 N G_ r-- 6? `ZQ 4V Town or Village ' -Pak M /fit A V A LLF_
Owner /Applicant Name S -rlb A:A6S06- L)rPTax Map j Block ( Lot o(g
Formerly Subdivision Name �&jtllA S PJ l
Subd. Lot # a
Mailing Address . D . b )c (,J) `7 PAAIQAm \Jr. &I Zip
Date Construction Permit Issued by PCHD I 1 "7
Separate Sewerage System built by 6-_ `rHy AA5 A652r— L` - Diddress
Consisting of �_ Gallon Septic Tank and i4gQ 1-97 :2 w j o r ABSoP -P-nbn(
llcr4 04-
Other Requirements:
Water Supply: Public Supply From Address
I �2 '
or: Private Supply Drilled by �C� i� �- Address ( y - /ns=!�J
vie `� y�' �aissel:Heeii woh;lPtPd ?_.. ;,.._• .. ,....: -. . _
Number of Bedrooms Has garbage grinder been installed? /JV
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 wi the iss Construction Permit and approved
plans and the standards, rules and regal Co ty Departmen of Health.
Date: / Certified by _
Address i /7'--z Ct i -e." ,e+ rte. AV-e
P.E. 4 R.A.
License # 000-7 q 4(.o
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 n, modification or change is necessary.
/
By: Title: Date:
White copy - HD Fi e; Ye w c y -Building Inspector; Pink copy Iner; Orange copy -Design Professional
Form CC -97
P
. PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVI ES J
WELL COMPLETION REPORT.
e1.Lw9fon'`'
Sireet address:
r.,
�w p
Tax Grid # ap Block Lot(s)
Well Owner:
Na e:
G Address.
Use of Well:
1- primary.
2- secondary
>< Residential
Business
— Industrial
Public Supply Air cond/heat pump Irrigation
Farm Test/monitoring Other(specify)
Institutional Standby
Drilling Equipment
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 ✓ 12,ft.
Diameter r7( in.
Weight per foot &_lb /ft.
Materials: Steel _ Plastic Other
Joints: _ Welded >`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
Hours `
Yield gpm
Depth Data
Measure from land surface - static (specify ft)
During yield test(ft)
Depth of completed well in feet
Well Log
If more detailed
information
descriptions or
sieve anaysee`
are available,
please attach.
Depth From
Surface
Water
Bearing
Well
Diameter(in)
Formation
Description
ft.
ft.
Land Surface
�►
;2
If yield was tested
at different depths
during drilling,
list:
Feet
Gallons Per Minute
Pump /Storage Tank Information
Pump Type eAn_/,f Capacity 1/O
Depth _2_6� Model
Voltage a3 O HP Id reds _
Tank Type —--'1 Volume
Date Wel Comp eted
c
Putnam County Certification No.
Date o Report
r
Well Driller (signature)
NOTE: E j act location of well with distances to at least two permanfnt lanOinarks to be provided on a separate sheeVpl 1
Well Driller's Name 10_111 - Address:
Signature: Date:
White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller
Form WC -97
.. r
FROM : PUTNAM ENGINEERING PLUG PHOWE NO. 914 225 29y5 Rug I. 12 19-38 02:1WRI P
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTALjffEAI.,TH.- S�E. NJ—CEq
'r �.- .,�+.- - •,f.:;3'%.:.�,t.� `L`..,:._.•X°.?w"�+r -i :�.'o .'i7..::^^`•� ^„�d ig :c=as .�i:,�.i'v, a --c.�. "" .. _
GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM
Owner or Purchaser of Building Tax Map Block Lot
ST '7hoMAs A-_5 oc,. L7�J. �r� AX-i V-4L-1_FL�
Building Constructed by TowrvVillage
rej I nc-C r RoAb - 5T �)o,(y)aS 101GC c
Location - Street Subdivision Name
Building Type Subdivision Lot #
I represent that X am wholly and completely responsible for the location, workmanship, material,
construction and drainage of the sewage treater ent systerr� 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.
tsFgnc : further.:ab eeetit� a�cdpt -as onc1U51 e-the'deieifniina oin 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, 0 g Day Year
General Contractor (Owner) - Signature
Corporation Name (if corporation)
Address:T.0 - _E>o-X Fs"I a A�-ra4m V4L-�-C_Q
State N L) ` Zip lb6lcl _
Signature:
Title: 3L�!s Ct e ( j
5i . `1j,)om(1S As S"X 1~ 1b
Corporation Name (if corporation)
Address: ice.0. 80--1 PUTN-4M VAr-LE
State Zip 1 b ,5-9 j
Forin GS -97
PUTNAM ENGINEERING, PLLC LETTER OF TRANSMITTAL
102 Gleneida Avenue
Carmel, NY 10512 _ Date:
Fax:. 914 -225 -2955 RE: 'C, pm �
TO:
We are sending you attached under separate cover, the following items:
Shop drawings Prints
Specifications Copy of letter
Plans Other:
No. of Copies Description
These are t_ rans_ mitt_ed: _ For approval...- ._. _,.:...:. N.' Approved.-as subm-- tted
ror your use Approved as noted
- ` As requested — Returned for corrections
— q
_ For review /comment _ Resubmit copies for approval
_ Submit _ copies for distribution
REMARKS:
Copies to:
SIGNED: H("kq LeLp
If enclosures are not as noted, kindly notify this office.
° ^ '
`
`
YML ENVIRONMENTAL SERVICES
321 Kear,S'reet ' '
Yorktown Heights, N.Y. 10598
l914) 245W00'
Albert H. Padovani,.Director
LAB & 32.806959 CLIENT #: 8599 STAT PROC PAGE 1
ST. THOMAS ASSOC./STEV . DATE/TIME TAKEN: 08/10/9803:25P
�
21 PEEKSKILL HOLLOW RD ' '
. DATE/TIME REC'D: 08/10/98 03:45P
PUTNAM VALLEY, NY 10579 . REPORT DATE: 08/12/98
PHONE: (p14)-528-5448
SAMPLING SITEv 32 GARDINEER RD. (LOT#8) SAMPLE TYPE..: POTABLE
: ST. THOMAS PL., BEDFORD PRESERVATIVES: NONE
COL'D BY: JOHN W. LEARDI TEMPERATURE..:
NOTES ... : KITCHEN TAP '
� COLIFORM METH: MF
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~-~~~~~~~~~~~~~~~~~~~~~~~~~~
�
DATE FLAG PROCEDURE ' RESULT NORMAL'_ RANGE METHOD
08/10/98 MF T. COLIFORM, ABSENT /100 ML ABSENT ` 1008
COMMENTS:
Ak TO 528-1366
' COMMENTS:
BACT THESE RESULTS INDICATE THAT THE WATER ^ NOT) OF A
SATISFACTORY SANITARY QUALITY ACCORDIKTHE NEW YORK STATE
AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETER
TESTED, AT THE TIME-OF COLLECTION.
'
'
`
SUBMITTED BY:
Albert / ,
Director
n
ELAP# 10323
~ ~
` YML ENVIRONMENTAL SERVICES
3P1 Kear Street
.
' i h
Albert H� Padovani, Director
\
LAB #: 32.806605 CLIENT #: 8599 NON STAT`PRQC PAGE 1
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ �~~~�~~~~~~~~~~~~~~~~~'~~~~~~~~~~~~~~~~~
ST. THOMAS ASSOC./STEV
.21 PEEKSKILL HOLLOW RD.
PUTNAM-VALLEY, NY 10579
`
SAMPLING SITE: LOT #8, ST THOMAS PLACE
: RUFUS
QOL'DBY: JOHN LEARDI
NOTES...: HOSE
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
DATE FLAB PRO.CEDURE
DATE/TIME TAKEN: 07/29/98 11:10
DATE/TIME'REC'D: 0 /98 11:35
REPORT DATE: 1 OBY05/98-
PHONE: (914)-528-5448
SAMPLE TYPE..: POTABLE
PRESERVATIVES: NONE
TEMPERATURE..:
COLIFORM METH: MF
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
RESULT NORMAL - RANGE METHOD
PUTNAM CNTY
PROFILE
07/29/98
MF
PRESNT
/100 ML
ABSENT
1008
07/29/98
LEAD (IMS)
1.9
ppb
.0-15 ppb
12345
07/29/98
NTTRATENITROG
0.80
MG/L
0.- 10
9139
07/29/98
NITRITE NITROG
<0.010
MG/L.
N/A
9146
07/29/98
IRON (Fe)
0.517
MG/L
0-0.3 mg/1
2037
07/29/98
MANGANESE (Mn)
<0.01
MG/L
0-0.3 mg/l
2037
07/29/98
SODIUM (Na)
9.97
MG/L
N/A'
07/29/98
pH
7.6
UNITS
6.5-8.5'
9043
07/29/98
HARDNESS,TOTAL
104
MG/L
N/A '
07/29/98
ALKALINITY (AS
74.0
MG/L � `
N/A
07/29/98
TU13PIDITY (T
�
-` �
'�0�5 -N'[U"
`^^
07/29/98
MF FECAL �COLIF
ABSENT
100 ML
ABSENT
07�29/98
E. C8L% (CONFI
ABSENT1100/ML
ABSENT
COMMENTS:
'
�
BACT THESE RESULTS INDICATE THAT THE
WATER
(WAS
'A
SATISFACTORY SANITARY QUALITY
TO T
K STATE
.
AND EPA FEDERAL DRINKING WATER
STANDARDS, FOR THE
PARAMETERS
TESTED, AT
THE TIME OF COLLECTION.
'
Pb/Cu LEAD limits for p
EPA Lead & Copper
than 10% of their
than 15 ppb and a
treatment must be
potential. .
'
iblic schools are set at 15 ppb.-
Rule for Public Systems requires that no more
distribution points have a LEAD value of more
COPPER value of 1.3 mg/L, else water
undertaken to reduce the waters corrosive
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 e( sodium restricted diet,the water should
.l.
YML ENVIRONMENTAL SERVICES
.321 Kean- Street.
Yorktown Heights, N.Y 1{x598
" ( 9.14 ..* 72 5 C 00
Albert H. Padovani, Director,
LAB 32.807379 CLIENT #a 8599 STAT FROC PAGE. 1
ST. "FHOMAS ASSOC. /STEV DATE /TIME TAKEN,: 08/27/98 10:25
21 PEEKSKILL HOLLOW RD. DATE /TIME REC' D: 08/27/98 10:4: OA
PO BOX 687 REPORT DATE: Oe/28/98.
PUTNAM VALLEY, NY 10579 PHONE.- (914) -528 -5448
SAMPLING SITE:. LOT #8 ST. THOMAS PLACE SAMPLE TYPE . POTABLE
SARDINEER ROAD PUTNAM VALLEY PRESERVATIVES: NONE
-COL'V BY: JOHN W. LEARDI TEMPERATURE..:
NOTES... NEW YORt -"* -1 0579 CDL I FORM METH. . N/A
DATE FLAG
PROCEDURE
RESULT
NORMAL -
RANGE
METHOD,
08'/27/98
IRON (Fe)
0..077 MG /L
0 -0.3
mg/1
2037
COMMENTS:
FAX TO 528 -1366
e
COMMENTS:
Fe /Mn If ,both iron and manganese are present, their total value
combined shall not exceed 0.5 mg /L.
SUBM ITED BY.-
Albert H. Padovani, M.T.(ASCP)
Director
l �
-
®
v
ELAP# 1 i i323
r
FROM PUTNAM ENGINEERING PLLC PHONE NO. : 914 225 2555 Sep. 09 1998 11:51AM P2
YML ENVIRONMENTAL SERVICES
321 Kear Street
( 914) 245-29&3**'_ .
Albert H. Padovani. Director
LAB #s 32.807379 CLIENT #: 8599 STAT PROC . PAGE 1
aNNNNNN NNN NNNN wNNN ryM NNry NNNNNNLNNNN Mw NNN w.NNNNNwNNNNNNNNryNNNNVNNN N NNNNNNNNNw NNNN
ST. THOMAS ASSOC. /STEV DATE /TIME TAKEN& 08/27/913 10:225
21 PEEKSK I LL HOLLOW . RD . DATE /TIME RECD: 68/27/98 10:40A
PO BOX 687 REPORT DATE: oe/28/98
PUTNAM VALLEY 4 NY 10579 PHONE s (914)-52B-5448
SAMPLING SrTEA LOT #8 ST. THOMAS PLACE
s GARDINEER ROAD PUTNAM VAI
CClO'D BY s ` <TOHN W . - LeARD I '
NOTES _ : NEW YORK. 109, 79
1.NwNINNw KNN ryP• MNNN• -w
--------- --------
DATE FLAG PROCEDURE
SAMPLE TYPE..% POTABLE
LEY PRESERVATIVES; NONE
TEMPERATURE..:
COLIFORM METH: N/A
ww NNN.vw MNNN www NN MwNNNw Mww.vw Nw+NNN Mw wwNNK
RESULT NORMAL RANGE METHOD
08/27/98 IRON (Fe) 0.077 MG /L 0 -0.3 mg /1 2037
COMMENTSs
FAX TO 528 -1366
COMMENTS s
Fe /Mn 'If both iron and manganese are present, their total value
combined shall not exceed 0.5 mg /L.
. ... �� �.'•....... r. ...�.y.
7i
.4a,..q
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.. ... t1iR� w ..._ar
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..�....
.i
ay W..y. ..p..
• V .• P.. ..
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SUBMITTED PY3
Albert H. iPadovani, M.T. (ASCP)
Director FLAP# 10323
,
YML ENVIRONMENTAL SERVICES
- 321 Kear Street
Yorktown Heights, N.Y. 10598
Albert H. Padovani, Director '
LAB #: 32.806605 CLIENT #:,,8599
~~~~~~~~~~~~~~~~~~~~~~~~T~~~~~~~~~~~�~~
'
ST. THOMAS ASSOC./STEV
21 PEEKSKILL HOLLOW RD.
PUTNAM VALLEY, NY 10579 '
SAMPLING SITE:
:
COL'D BY: JOHN
NOTES...: HOSE
~~~~~~~~~~~~~~
DATE
LOT #8, ST THOMAS PLACE
RUFUS
LEARDI
------------��~����������
'
FLAG PROCEDURE
�
DATE/TIME TAKEN: 07Y29/98 11y10
DATE/TIME REC'%}: 07/29/98 11:35
REPORT DATE: 08/05/98
PHONE: (914)-528-5448
SAMPLE TYPE..: POTABLE
PRESERVATIVES: NONE
TEMPERATURE..:
COLIFORM METH: MF
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
RESULT NORMAL - RANGE METHOD
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.
pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pHIS 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 THE SUM OF THE CALCIUM & MAGNESIUM
CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE
HARDNESS.MAY RANGE FROM 0 TO HUNDREDS OF MG/L�L DEPENDS ON THE
-l�F��ul
������������ -----~--
SOFT WATER: 0-70 MG/L VERY HARD WATER: ABOVE 300 MG/L
MODERATELY HARD WATER: 70-140 MG/L . MG/L =MILLIGRAM PER LITER
HARD WATER: 140-300 MG/L (1 grain/gallon = 17.2 MG/L)
SUBMITTED BY:
Director
ELAP# 10323
3
A • 'b
17
if the water supply is from a drilled well:
a. Satisfactory results of a water analysis, for the parameters in Table I below,
conducted and reported by a NYSDOH approved laboratory under the
"Environmental Laboratory Approval Program (FLAP).
CONTAMINANT
MCL (1)(4)(5)
Coliform bacteria
Any positive result is unsatisfactory
Lead
0.015 mg/l (15 ug/1)
Nitrates
10 mg/l as N
Nitrites
1 mg/1 as N
Iron
0.3 mg/1
Manganese
0.3 mg/l
Iron plus manganese
0.5 mg/l
Sodium
No designated limit (2)
pH
1`�b ddsi �ait d�iinit . _.. _ . :;�
Hardness No designated limit
Alkalinity No designated limit
Turbidity 5 NTU (3)
NOTES: (1) Maximum contaminant level.
(2) Water containing more than 20 mg/l of sodium should not be used
for drinking by people on severely restricted sodium diets. Water
containing more than 270 mg/l of sodium should not be used by
people on moderately restricted sodium diets.
(3) NTU means Nephelometric Tur
PUTNAM COUNTY DEPARTMENT OF HEAL'
(4) mg/l means milligram per liter. J ? y DIVISION OF ENVIRONMENTAL HEALTH SERVICI
() a
� uQ 1 means microgram per liter.
yFW YO��
ADAM B. STIEBELING
ASST. PUBLIC HEALTH ENGINEER
4 GENEVA ROAD PHONE (914) 278 -8130 Ext. 1
BREWSTER, NEW YORK 10509 FAX (914) 278.79
R w PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
FINAL SITE INSPECTION '71-71 Q
Date:
ree Loc tior Owner i�� nspected by;
Town Permit # Y- (Y `7 7
TM # �6 • a.S - _ Subdivision Lot # 63
I. Sewage 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. Sewa e S stem
a. Septic c size - 1,000 ..... ..l 2 :...other ................
b. Septic tank installed level ..............
.. ...............................
c. 10' minimum from foundation .......... ...............................
d. Distribtuion Box
1. All outlets at same elevation -water tested .................
2. Protected below frost .................. ...............................
3. Minimum 2 ft.Original soil between box & trenches
Junction Box - properly set ....................... ...............................
Lend required Length installed
2. Distance to watercourse measured Ft...:......
3: Installed according to plan ......... ...............................
4. Slope of trench acceptable 1/16 - 1/32" /foot .............
5. 10 ft. from property line - 20 ft.- foundations..........
6. Depth of trench <30 inches from surface..................
7. Room allowed for expansion, 100 % .........................
8. Size of gravel 3/4 - 1 %" diameter clean ....................
9. Depth of gravel in trench 12" minimum ...................
.10. Pipe ends
capped ..........-...- ._.. �........... .._ ..- ..-......, .rt..... ....
.W .....„ ...<... .
g =: . - ::; -
_
...
:' . ; :' :
''P � tg� r psed °-S t iii s
ISizeot pump chamber ................ ...............................
2. Overflow tank ............................. ...............................
3. Alarm, visual / audio .................... ...............................
4. Pump easily accessible, manhole to grade .................
5. First box baffled .......................... ...............................
6. Cycle witnessed by H.D.estimated flow /cycle...........
III. House/Building
a. House located per approved plans ... ...............................
b. Number of bedrooms ....................... ...............................
IV. Well
a. Well located as per approved plans . ...............................
b. Distance from STS area measured ft...........
c. Casing 18" above grade .................. ...............................
d. Surface drainage around well acceptable .......................
V. Overall Workmanship
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 watercourse
g. Footing drains discharge away from STS area ...............
h. Surface water protection adequate.. .. ...............................
i. Erosion control provided ................. ...............................
Rev. 1/97
Form S -
S .e
TO: DA /y�J
FROM: PUTNAM ENGINEERING, PLLC
DATE: - /0-7 P, -
RE: REQUEST FOR SSDS AS BUILT INSPECTION
PItOJECT' TITLE: -r LI 0/-V-\A5 . pl-A
j- or �
STREET ADDRESS: CTAR D 1 Al ESP, R-OA D
TOWN: P LAXN A 68 )Za L• L E y
TAX MAP 9#:ia �� 1 (e Le
PERMIT ##,
. 16 IN
�T]FI III9:Q CE R Y0L P� � ..
ORDER FOR US TO NOTIFY THE CONTRACTOR/OWNER THAT BACKFILLING
THE SYSTEM MAY BEGIN.
Ftle4801022
PUTNAM COUNTY DEPARTMENT OF HEALTH �✓
c \. DIVISION OF ENVIRONMENTAL HEALTH SERVICES
CONSTCRUCCTION PERMIT FOR SEWAGE' TREATMENT SYSTEM
PERMI EL
Located at ��ZDI kx%.1 <O A47 Town or Village F0
Subdivision namecT11l`1A5 La 85*Fubd. Lot # S Tax Map bs Block �_ Lot eOG
Date Subdivision Approved $ I Zo / .9 o
Owner /Applicant Name ST. ft ft s ASqq:��IgeY i lTr)
Mailing Address
Amount of Fee Enclosed f -30d
Renewal Revision
Date of Previous Approval
Zip
Building Type cS1&V- --I.(-, FMM, Lot Area 1. I2 No. of Bedrooms —I— Design Flow GPDI�;?2
Fill Section Only Depth Volume
PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED
Separate Sewerage System to consist of
2I w(r.>-r,- d2Pn
Other Requirements:
250
C
gallon septic tank and
To be constructed by To '736- 2,)M . Address
Water Supply: Public Supply From Address _
:= : o. _.Private- Supply Drilled by. t = -- Address
Z .
1
I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the
separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in
accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion
thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the
Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said
builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years
immediately following m date f the iss a of the a proval of the Certificate of Construction Compliance of the original
system or any repairs ttaq
.Signed:
P.E. R.A.
Address 102 EtaVeA ,Art- C#w4i4nL EL14 105M -, License #
Date i ( /11/q'
®a -7 4-4;
' PPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the
.wage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or
odified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires
iew permit. �Approved fo discharge of domestic sanitary sewage only.
� Title: Date: 2
ite copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design rofe zonal
Form CP -97
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
APPLICATION TO CONSTRUCT A WATER WELL
__ - c •e . . - ''"'•'pAse�rinfoi type - -PCHD Permit
Well Location:
Street Address: Town/Village Tax Grid #
j2171 �}�- �p� Ma S,p!!!�Block Lot(s) (P
Well Owner:
Name:
Address:
ST. Ttt*%&6 Asso-c . LTp
I Ro bt) o V ± l0511
Use of Well:
- Residential Public Supply Air /Cond/Heat Pump Irrigation
1- primary
Business Farm Test/Monitoring Other (specify)
2- secondary
Industrial Institutional Standby
Amount of Use
Yield Sought J ftj s gpm # People Served Est. of Daily Usage 7200 gal.
Reason for
Replace Existing Supply Test/Observation Additional Supply
Drilling
New Supply (new dwelling) Deepen Existing Well
Detailed Reason
for Drilling
Well Type
Drilled Driven Gravel Other
Is well site subject to flooding? ................................................. ............................... Yes No
Is well located in a realty subdivision? ...................................... ............................... Yes- No
Name of subdivision ST•-it�P'1AS i�iee� �_S7�1S5 Lot No.
Water Well Contractor: TD Ef-: D57, Address:
Is Public Water Supply available to site? .................................. ............................... Yes No
Name of Public Water Supply: Town/Village
Distance to property from nearest water main: -er- -174&rJ
Proposed well location & sources of contamination t i on sepaza sheet/plan.
Date; �!.�q7 . Applicantiggture: _
..wy a6.-eY
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the
Putnam County Sanitary Code and 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 or their designated
representative 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. 3) Submit a Well Completion Report on a form
provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or
well driller shall take appropriate action to assure that any and all water and waste products from such
well drilling operations be contained on this property and in such a manner as not to degrade or otherwise
contaminate surface or groundwater.
APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless
construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be
amended or modified when considered necessary by the Public Health Director. Any revision or alteration
of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam
County.
Date of Issue c/�y
�r� � / ;�' 9'� Permit Issuing Official: - .�-� --�- -- -- ---- --
Date of Expiration 4
a 2 Title: —�
Permit is Non - Transferrable
White copy- HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller
Form WP -97
PUTNAM ENGINEERING, PLLC
102 Gleneida Avenue
Carmel, NY 10512
Fax: 914- 225 -2955
We are sending you attached
Shop drawings
Specifications
Plans
No. of Conies
LETTER OF TRANSMITTAL
Date:
RE: �6T J- �xAMs -PL� ESTATE
LaT g
GrAINJI N15fEV V-D, 'P V.
under separate cover, the following items:
Prints
Copy of letter
Other: __
rlccrrintinn
14--D 177- c_ ";Zo�
I O awl {�`i 2Nt
L
I W f5 1-L Lacy
Z u
These are transmitted: _ For approval — Approved as submitted
.Fc- , y::r: .Appruved-as- oted_. �;. ..,, -
As requested _ Returned for corrections
_ For review /comment _ Resubmit copies for approval
Submit _ copies for distribution
REMARKS:
Copies to:
SIGNED:
if enclosures are not as noted, kindly notify this office.
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMEVTAL HEALTH SaNNES
.. - � ^�-r. . -.... r. r.�} ' ^�'! r L T•"fYi �4 •, K.:KS �rV �`r`` r�. u ♦ .^ rl � ..:.. •. r..•• lJ f i.ja.r-Y'�.,
Re: Property of G 7-eya L.6-49,0.1-
Located at C-, F__Vll-II9S9
(T) FQT7N"d Section 85,0S Block Lot
Subdivision of TT- iyHA-S
Subdv. Lot , Filed Map -- 2462- Date !!l 17/9`
Gentlemen:
This letter is to authorize FLITt-4xH
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 Couz
Department of Health, and to sign all necessary papers on my behalf i
.. .r :mod^ + -� .> .... :r . . -. l ^. .. •. ....... w.V
connection with this matter and to supervise the construction of said
system or systems in conformity with the provisions of Article 145 or
147, Education Law Public Health Law, and the Putnam County San!
NEW Yp
tary Code. `3�P��,�GW�EI(�N9'f' \
�? Very truly your
S
0 7,44 Signed
Countersigned:
�pgOFESGI()g - Owner of Property
P.E. , R.A. , # (nG7-4 '& la MIULF- PZ .
Address
102 CL�el DA
Address
CAIZTI E L N Y 10
Telephone
Town
q* - Sc;20 - Sl`1uu//
g
Telephone
PUTNAM ENGINEERING, PLLC
102 GIeneida Avenue
Carmel, New York 10512 Date:
914 -225 -3060 -
_ _. .. • 4: .•.r :• - 'iii•:: T: -
Faa: 934 - 225 -2955 ` RE:
To: 'BI S
Letter, of Transmittal
11/1-7/"1 `l
WE ARE SENDING YOU' Attached _ Under separate cover via
the following items:
_ Shop drawings
_ Copy of letter
i� Prints _ Plans
Change order
Conies Date No.
_ Samples — Specifications
Dewrintinn #
" " °'i'1:5;` 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
REnzAxics:
COPY TO SIGNED:
If enclosures are not as noted kindly notify us at once.
W
Hs
e . c PR-V-Alrl,J �T" I
6"15-r. &Affirr WS.L Pxxm
11Jasr�wa'c'�rt., S
MR smw 6AF Dt:S(&J .'DATA
" " °'i'1:5;` 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
REnzAxics:
COPY TO SIGNED:
If enclosures are not as noted kindly notify us at once.
W
1 4 PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
APPLICATION FOR APPROVAL OF PLANS FOR',,- -
.:•.; T......r , . - -A VAS F;lv��i'I'TR`` A'T1V1 NT S'YST iVI`
1. Name and address of applicant: !25t• 7HDlu ,& -5 AGGc=�r wrE_=S , I-7 P
. �'trt�ru �i�u -DUI � hl�i 1t�7`i
2. Name of project: 3T, `THO-Us r�Aca lts-r 3. Location TN: ruTm&M
L-OT 19
4. Design Professional: PyT- aar1 E.Ns1m9m9664&5. Address: �joi &L6kXMh ' lscva
6. Drainage Basin:
7. Type of Project:
X ! Private/Residential Food Service Commercial
Apartments Institutional Mobile Home Park
Office Building Realty Subdivision Other (specify)
8. Is this project subject to State Environmental Quality Review (SEQR)?
Type Status (check one) ........:.............. ............................... Type I Exempt
Type II Unlisted
9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... tJ
10. Has DEIS.been completed and found acceptable by Lead Agency? ............... N /d►
11. Name of Lead Agency l JL
12. Is this project in an area under the control of local planning, zoning, or other
_..;official w ordinalcti� ....�..... _ �........:. ; :........::..:.. ...............:.:.:........::.
13. If so, have plans been submitted to such authorities? ........ ............................... /N.
14. Has preliminary approval been granted by such authorities? Date granted: NIA
15. Type of Sewage Treatment System Discharge ................. surface water A groundwater
16. If surface water discharge, what is the stream class designation? .................... .4
17. Waters index number (surface) ........................................... ...............................
18. Is project located near a public water supply system? ....... ............................... Nd
69C A THE, N
19. If yes, name of water supply Distance to water supply
20. Is project site near a public sewage collection or treatment system? ................ �O
21. Name of sewage system Tub
g y Distance to sewage system l M�►,�
22. Date test holes observed t 1 3(9 `? 23. Name of Health Inspector ME4.. Kam,
24. Project design flow (gallons per day) ................................. .......................... :....
25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?...
N
26. Has SPDES Application been submitted to local DEC office? .........................
Form PC -97
2
a
27. Is any portion of this project located within a designated Town or State wetland?
28. Wetlands ID Number ............................. ............................... NA
Is retlaridis PermiY ...........................................................................
Has application been made to Town or. Local DEC office? ...............................
30. Does project require a DEC Stream Disturbance Permit? .. ...............................
No
31. Is or was project site used for agricultural activity; involving application of
pesticides to orchards or other crops, solid or hazardous waste_ disposal,
landfllin , sludge a PP lication or industrial activity?`.*...'.'.. . ....... Y es/No
32: 'Is project located within 1,000 feet of existing or abandoned landfill,
hazardous waste'site, salt stockpile, landfill, sludge disposal site or any
other potentially known source of contamination. Yes/No.
I�
DESCRIBE:
33. Is there a local master plan on file with the Town or Village? .........................
34. Are community water and/or sewer facilities planned to be developed within
15 years in or adjacent to project site? ................................ ............................... fJ'�
35. Are any sewage treatment areas in excess of 15% slope? . ...............................
36. Tax Map ID Number .......................... ............................... Map %Block Lot G(P
37. Approved plans are to be returned to ..... Applicant Design Professional
NOTE: All applications forreview and approval of new.SSTS to be located rithin the NYC ` atersheri,shall
.. -�-
-- - ue sent't`o the Vpartmerit, 'd6d need 'not be sent in duplicate to the DEP; although the project may require DEP
approval of the SSTS prior to final approval by the Department. Projects within the watershed may also
require DEP review and approval of other aspects of a project, such as stormwater plans or the creation of
impervious surfaces, and the project applicant should obtain the appropriate forms for such activities'from
DEP and submit those forms to DEP for review and approval.
If the application is signed by a person other than the applicant shown in Item l .,the application must
be accompanied by a Letter of Authorization (Form LA -97). 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
tothe best of my knowledge and belief. False statements made herein are punishable as
a Class A misdemeanor pursuant to Section 210.45 of the Penal Law.
SIGIlATURES & OFFIC AL TITLES:
Mailing Address: ...................................
x(6-(1
jj rAK 11V1L1r 1
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM
...
Address 08 7~c�-n�a�..�: - X057 .
Located at (Street) C��O / M 4E YL 9D
Tax Map $S,cCBlock I Lot �q<
(indicate ne rest cross street)
Municipality Drainage Basin
SOIL PERCOLATION TEST DATA
Date of Pre - soaking Date of Percolation Test
Hole No.
Run No.
Time
Start - Stop
Ela se Time
(PMin.)
De th to Water
rom Ground
Surface (Inches)
Start Stop
Water
Level
Drop In
Inches
Percolation
Rate
Min/Inch
1
2
3
i�J
�ll� ilk
�S P
4
5
4z� 2
2
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 I 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
G
TEST PIT DATA
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
.. : �Dl✓ ' i=
�� I, TvG�~� �' .: , ...., _
ii ;l✓ Tt7: i ry ; 14WE
G.L.
0.5'�t
1.0
Mis . AW-II&W
1.5'
(mil M C)l U"
So�.ct'h Lars M
2.0'
115—&- os
Lk—.
2.5'
T,4r1 SA�rr�
3.0'
11 1'
3.5'
4.0'
4.51'
5.0'
5.5'
6.0'
6.5'
7.0'
7.5'
8.0'
8.5'
9.5'
10.0'
Indicate level at which groundwater is encountered WA
Indicate level at which mottling is observed N /A
Indicate level to which water level rises after being encountered NI/.K
Deep hole observations made by: (Z) r44- C MK — Pc-H D Date 1 03 /17
Design Professional Name: PIS
OF NEW
Address: l c Z
Q
Signature:
087,9 46
Design Professional's Seal
I
3' MAIN VEI
2' FUTURE
OMIT 1st BAY OF GYPSUM
FOR LIRE DROP
PUT21A1'I COT;P?'PY D PAtii',C -F, ?T
HOGS PT " - "i5 LPP':Coi %1:D Pili{
BEDR00:1 Cu`rl'L' G ! i;
FiLDROG''
u
HIGH MALLS
8'- 2 1/4' 7'- 7 In' 9'- 1 1/2' 4'- 5' . 2'- 10' t5'- 3 3/4'
• 1.1/2' MATELINE
PLYWOD OMISSION+
s
48' 0'
7'- 3 3/4' 121- 0 1/4' 13'- 6 1/4' 13'- 2 314•
- 0 1/2 1
10 - 2 1
13'
0 1/4
ppE- NULLED 13'
13/4
1 7 - 1 1/2
FROM A SYSTEM SET OF FUN PLANS PREVIOUSLY APPROVED BY NY. D.O.S.,
4. 7 /12-MM ROOF 1 16'O.C.
.
ELEC.
O
WHICH HAS NOT BEEN MODIFIED IN ANY NNId•:iE.
i .t
t1 ''
- ------------ - - - - -- --
1 3/4• LARGER THAN FLOOR JOISTS.
R.O. 59 3 1 W
010
SEE AN. 11A OF SUB -SET.
V e
7. 24' O.C. INTERIOR WALLS.
(ENERGY CODE) AND IS IN FULL COMPLIANCE WITH THE ENERGY WOE.
B. NASCOR FLOOR JOISTS.
ow l
1 37 1/4' H, am 42
BATH 3/4'
=
IOR:S- fro SPF R
]d]0
1 1&161 +67D C
�tb
WR;: 2,0 SPf n
#3 FILL
e,a
exs
w az.
PRE- IOLEED
]• RADON R.O. 67 3/4'W 1 51 1/4'H
- -
KITCHEN- &
H
)•
-- -�
-
—
R`
I BREAKFAST
_
ffiE
^I
I)I__MITGYP
PLueIHG
m
+
OVIT�6YP�
P —
c
— J NOOK
'
ws
`
3 B.
°�
- - -�OR
DINING
°
O
2FILLLL•
ROOM
111 I I
I EI I I
213 ELEC
MALL
1 1/2' FILL
4'- 6' '
n�1 UTILITY
�
15'- 101/4' --
I 1 LzJ I
8, 9 3/4'
1
_ _ 1
OMIT 1 -6' I
R FER
a
TT a- 6Y�N
_ _
OMIT 46' GYPSUM
_ _ _ _ _ _ _ _ _ _
.ti
I
I
I
PANTRY
_
FLR: (6) 1.5' x 9.251.L.
FUG: (6) 1.5' 1
.n
(3) SUPPORT
� _ _ _ _ _ _ _
I ° _ I
1
_(4) SUPPORT STUDS PER MILE _ _ — _ — _
5
STIRS PER MODULE
1
15' 3 3/4'
1 _
(2161 FLR. SUPPORT)
� SU
� .
(J) SUPPORT SUDS PER IIWIIUE
5r- 4 111 (3) SUPPORT
.
IL
STUDS PER NOWLE
(2ND FUR. SUPPORT)
RICTED
LIVING
'1
UY
FAMILY
T
PLB
I I
01ASE
ROOM
ROOM
II o
-
UP
ENTRY II
-
1 :9t -•
o. 4O•W .
41 3 /1'H
_ 15'- 3 3/4'
1 La
I I'
13' J'
I I
I7'- 8 1/4'
'.
NOTES:
1. 216 EXTERIOR WALLS 124* 0. C.
'TO THE BEST OF MY KNO LEDCE,BELIEF AND PROFESSIONAL JUDGUM
2. 8' -0'CEILINGS.
1. THIS FACTORY MNIIFACTUEFD HOME (FNH) PLAN HAS BEEN APPROVED
3. ANOEHSEN 111001S.
FROM A SYSTEM SET OF FUN PLANS PREVIOUSLY APPROVED BY NY. D.O.S.,
4. 7 /12-MM ROOF 1 16'O.C.
APPROVAL NO. ND 381- 96-010, EXPIRATION DATE 03 -19-99
5. HOT WATER BASEBOARD FEAT.
WHICH HAS NOT BEEN MODIFIED IN ANY NNId•:iE.
0. FLOOR MATING JOISTS WILL BE
- ------------ - - - - -- --
1 3/4• LARGER THAN FLOOR JOISTS.
2. THE EFER6Y PORTION OF THIS FUN PUN HAS BEEN PREPARED USING PART
SEE AN. 11A OF SUB -SET.
5 OF THE NEW YORK STATE ENERGY CONSERVATION CC STRUCTION CODE
7. 24' O.C. INTERIOR WALLS.
(ENERGY CODE) AND IS IN FULL COMPLIANCE WITH THE ENERGY WOE.
B. NASCOR FLOOR JOISTS.
(
ll i� J to- 6. ,x UO, G. 4 g. G.
6' 2' 6' 2' 3. 1' 8' 1 112' 8' 1 1/2' I GIRDER
SUPPORT
COLLUG
i
El!'MrA A TBUILDER: LEARONE
&D 1sd1L Vas V CLIENT: SPEC. PROJ NO: 97 -097
ii (o I — -- DRAWN BY: BLS DATE: 05-14-97 ` +; DISK NO: 1214
FffG1�AlES CORP®II2RItI�I c = j�-1 URE REVISED BY: GATE: _ is STATE: NY.
BOX 27, AIRPORT F), SEiEEES�IOYE, PA 17870 BUILDERS MODEL: REVERSED WILLIAMSBURG v_ SCALE: 3/16'=1' -
In 374 -4004 1 :0- 781 -4718 � DRAWING: FIRST STORY FLOOR PLAN LEVEL: 1,2
''•1 V
t 1,
y+ 1.
15'- 4 3/4' —I f
r-3 1/2' 11,- 4•
6. I r — — — —'1. '. —'I
7C. -----------------------------r'----
- 48 D.
1'- 2 3 4'
2'- 8' 10- 8 3/4' V- 2' 4' - -2'
-- - ---1 T -- -r-T1' -51/4'
ATTACHED
97 -097
DRAWN BY: BLS
— — — —
DISK NO:
4'
REVISED BY: ol lz JDATE:
j.
u
STATE:
A",
MODEL: REVERSED WILLIAMSBURC
SCALE: 3/16'=1' —
DRAWING: SECOND STORY FLOOR PLAN
LEVEL:
63
.pA
.Al
NOTES: o
I. 2r6' ICR WALLS 1 24' O.C.
tY
-
1;
WIRE
I!
1. THIS FACTORY BNNFACTtE�D HONE (FMH) PLAN HAS BEEN APPROVED ... c
FROM OF FM!
DROP
A SYSTEM SET PLANS PREVIOUSLY APPROVED BY NY. O.O.S.,
APPROVAL NO. NO 361 - 96-010, EXPIRATION DATE 03 -I9-99
WHICH HAS NOT BEEN MODIFIED IN ANY NktfR.
�
Lr
CONFIRMATION OF. ORDER
8. FL_ NAIINC JOISTS WILL �
o
1 3 %Ad LARGER THAN FLOOR JOISTS.
2. THE ENERGY PORTION OF THIS FMH PLAN HAS BEEN PREPARED USING PMT
�N
�� ®N
'e.
5 OF THE NEW HMO( STATE ENERGY CONSERVATION CONSTRICTION CODE
(ENERGY CODE) AND IS IN FULL COMPLIANCE WITH THE ENERGY CODE.
RATE
®S ��
���$
._
SIGNATURE
NASCtj FLOOR JOISTS.
PO BOAR 27, AIRPORT ID, SELINSGROVE, PA 17870
sirs
BUILDERS
j'
717 371 -400t !-800- 786 -475{
�r
ig
1�A
BEDROOM
1'- 2 3 4'
2'- 8' 10- 8 3/4' V- 2' 4' - -2'
-- - ---1 T -- -r-T1' -51/4'
BUILDER: LEAROME
CLIENT: SPEC.
ATTACHED
97 -097
DRAWN BY: BLS
— — — —
DISK NO:
B' WALLS
REVISED BY: ol lz JDATE:
j.
u
STATE:
NY.
MODEL: REVERSED WILLIAMSBURC
SCALE: 3/16'=1' —
DRAWING: SECOND STORY FLOOR PLAN
LEVEL:
63
NOTES: o
I. 2r6' ICR WALLS 1 24' O.C.
TO THE BEST OF MY IN KEDGE AND PROFESSICNAL AWEVENT
-
x,.�
.x
2. 8'.-0My.�I'LINCS.
3. AND;sorn WINDOWS.
1. THIS FACTORY BNNFACTtE�D HONE (FMH) PLAN HAS BEEN APPROVED ... c
FROM OF FM!
4. 7 /II2IRUSS ROOF F 16'0.C.
5. IHIT'QATEA BASEBOARD HEAT.
A SYSTEM SET PLANS PREVIOUSLY APPROVED BY NY. O.O.S.,
APPROVAL NO. NO 361 - 96-010, EXPIRATION DATE 03 -I9-99
WHICH HAS NOT BEEN MODIFIED IN ANY NktfR.
�
Lr
CONFIRMATION OF. ORDER
8. FL_ NAIINC JOISTS WILL �
5
1 3 %Ad LARGER THAN FLOOR JOISTS.
2. THE ENERGY PORTION OF THIS FMH PLAN HAS BEEN PREPARED USING PMT
�N
�� ®N
SEE SIT. IIA OF SUB -SET.
7. 21 :. %,p INTERIOR WALLS.
B:
5 OF THE NEW HMO( STATE ENERGY CONSERVATION CONSTRICTION CODE
(ENERGY CODE) AND IS IN FULL COMPLIANCE WITH THE ENERGY CODE.
RATE
®S ��
���$
._
SIGNATURE
NASCtj FLOOR JOISTS.
PO BOAR 27, AIRPORT ID, SELINSGROVE, PA 17870
sirs
BUILDERS
j'
717 371 -400t !-800- 786 -475{
JUL 0 3 1997
BEDROOM
I,
A
;1
13
13
e,
°
-
r►���
OMIT 46* GYPSUM
(2) .1 STUDS PER MODULE
-
BUILDER: LEAROME
CLIENT: SPEC.
ATTACHED
97 -097
DRAWN BY: BLS
— — — —
DISK NO:
B' WALLS
REVISED BY: ol lz JDATE:
j.
u
STATE:
NY.
MODEL: REVERSED WILLIAMSBURC
SCALE: 3/16'=1' —
DRAWING: SECOND STORY FLOOR PLAN
LEVEL:
63
NOTES: o
I. 2r6' ICR WALLS 1 24' O.C.
TO THE BEST OF MY IN KEDGE AND PROFESSICNAL AWEVENT
-
x,.�
..
2. 8'.-0My.�I'LINCS.
3. AND;sorn WINDOWS.
1. THIS FACTORY BNNFACTtE�D HONE (FMH) PLAN HAS BEEN APPROVED ... c
FROM OF FM!
4. 7 /II2IRUSS ROOF F 16'0.C.
5. IHIT'QATEA BASEBOARD HEAT.
A SYSTEM SET PLANS PREVIOUSLY APPROVED BY NY. O.O.S.,
APPROVAL NO. NO 361 - 96-010, EXPIRATION DATE 03 -I9-99
WHICH HAS NOT BEEN MODIFIED IN ANY NktfR.
�
Lr
CONFIRMATION OF. ORDER
8. FL_ NAIINC JOISTS WILL �
� -- -- — -- — ___
1 3 %Ad LARGER THAN FLOOR JOISTS.
2. THE ENERGY PORTION OF THIS FMH PLAN HAS BEEN PREPARED USING PMT
�N
�� ®N
SEE SIT. IIA OF SUB -SET.
7. 21 :. %,p INTERIOR WALLS.
B:
5 OF THE NEW HMO( STATE ENERGY CONSERVATION CONSTRICTION CODE
(ENERGY CODE) AND IS IN FULL COMPLIANCE WITH THE ENERGY CODE.
RATE
®S ��
���$
._
SIGNATURE
NASCtj FLOOR JOISTS.
PO BOAR 27, AIRPORT ID, SELINSGROVE, PA 17870
sirs
BUILDERS
j'
717 371 -400t !-800- 786 -475{
JUL 0 3 1997
I,
A
;1
e,
BUILDER: LEAROME
CLIENT: SPEC.
PROJ NO:
97 -097
DRAWN BY: BLS
DATE: 05 -14 -97
DISK NO:
1214
REVISED BY: ol lz JDATE:
_
STATE:
NY.
MODEL: REVERSED WILLIAMSBURC
SCALE: 3/16'=1' —
DRAWING: SECOND STORY FLOOR PLAN
LEVEL:
63
a.5
� 4
.TOWN TAX MAP DATA:
SeaMon 85.05. Bloch 1. Lot 66
N/F GUGLIEMETTE and DeSISTO
OPEN SPACE PARCEL —LOT 11
S65'57'00 E 136.00'
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erly End Of o 30' Q
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PARCEL SHOWN HEREON KNOWN AS LOT No. 8
ON SUBDIVISION MAP ENTITLED 'ST. THOMAS
PLACE ESTATES'. FILED IN THE COUNTY CLERK'S
OFFICE ON AUG. 17, 1990 AS MAP No. 2482.
SUBJECT TO ELECTRIC AND /OR TELEPHONE CO.
EASEMENTS, IF ANY, FOR OVERHEAD AND /OR
UNDERGROUND SERVICE.
SURVEYED AS IN POSSESSION, (No Urns of Possession
Other Then Indicated).
SUBSTRUCTURES AND /OR THEIR ENCROACHMENTS
BELOW GRADE, IF ANY, NOT SHOWN.
HOUSE OFFSETS TAKEN TO FOUNDATION.
PROPERTY CORNERS STAKED FOR BLDG. CONSTRUCTION
PURPOSES ONLY.
CERTIFICATIONS INDICATED HEREON SIGNIFY THIS SURVEY
WAS.PREPARED IN ACCORDANCE WITH THE EXISTING CODE
OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW
YORK STATE ASSOCIATION OF PROFESSIONAL LAND
SURVEYORS, SAID CERTIFICATIONS SHALL RUN ONLY TO
THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND
ON HIS BEHALF TO THE TITLE COMPANY, GOVERNMENTAL
AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO
THE ASSIGNEES OF THE LENDING INSTITUTION, CERTIFICATIONS
ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR
SUBSEQUENT OWNERS.
SURVEY OF PROPERTY
PREPARED FOR
ST. . THOMAS ASSOCIATES, LTD.
D.
THIS SURVEY IS HEREBY CERTIFIED ONLY TO: LOCATED IN
1. ST. THOMAS ASSOCIATES, LTD.
a: TOWN. OF PUTNAM VALLEY
PUTNAM COUNTY. N.Y.
J. HENRY CARPENTER & CO. An C.rtfflean.n. N.non an vane for Tht. rap aM Copt.. Thom+
LAND SURVEYING & MAPPING 0n4 If sold rap .. C.plo. boar The WlWn..d Sias of The Sarnw
Who.. Slsnvhna App— Homo.
YORKTOWN HEIGHTS. N.Y. All—%a of Tht. Map elh.r 7%— by . U..w d L..d s.,..r.. I. m.y.I.
r. J. N••fY. Carp.nf.r A Co. 0. tl.r br C." TW .n Nor. 24, 1997
Th. ►nmlw. Sh.. Na— Was Mad. aM Thal lhl. M. C..pp��l1sht 4 tsea J. tt.n�Y - Corps..r a Cs: O�a}'r Jame. •N:- }.aioti'l!i:9 ��
p.,M.M ,Moerd.nov M111�TA9 ikll _M /M dti;sMdiSv A,. ,F_• a _A:,:titEAlti'llaiHed. Inc!adlne'`RiFf ._.1 R.f.•.v kft
_ SCALE: 1 "c 50' DATE: 1. JAN, 29, 1998
0, 49285 UP -DATE 2. JUNE 22, 1998
SURVEY No.: 15586 -8, FILE: 15586/12452
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