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HomeMy WebLinkAbout4572DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.05 -1 -68 BOX 34 sir r ra .. 1 '- 04572 ••• y t4 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES -W EL :GiDlb) LETION: RE, .1�O,LI�'. i;� .. ;1. r.:. Well Location Street Address: illage: '/• Tax Grid # Map Block Lot(s) Well Owner: N Address: Use of Well: 1- primary 2= secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) .Industrial Institutional Standby Drilling Equipment Rotuy Cable percussion Compressed air percussion Other (specify) Well Type Screened Open. end. casing Open hole in bedrock _ Other Casing Details Total length iq 5 ft. Length below grade A .%-ft. Diameter « in. Weight per foot /G lb /ft. Materials: X Steel _ Plastic _ Other Joints: _ Welded. X Threaded Other Seal: X Cement grout _ Bentonite Other Drive shoe: 'k' Yes No Liner _ _ Yes -.,CNo Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yes No Hours Second Well Yield Test . _ Bailed VL 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 siewe axial fses are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description A. ft. Land Surface AL fo r� Z 3G a ta- m. If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type gAviv, Capacity Depth —1 F�o Model 51D-tr— / 3 Voltage Z3 o BF /ume Tank Type WX 35p Vo - 3-O _L Date Well Completed /O Putnam County Certification No. Date of Report Well Driller (signature) , - -NOTE: xapt location of well with distances to at least two permanent arks to be provided on a separate sheet/plan.. \Well Drillees Name , ,-/ � Address: /iIV k ,�Z� / Signature: ��,rr�li.��,,. Date: ly Trite copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 YML ENV:•I RONME�NTAL ' SERVICES 321 `Kear Street YNd' lr.t:own :Ne`i'gh t5 4 N . Y .:..1,CJ598 . ( 9-14') ''245_'E:'666 Albert: H .. F'ad'ovanA a Director LA$'# 32.809908 CLIENT,# -8599 NON, ;STAT PROC' PAGE 1 N.NNNN+'vNNNNNPaPN N;NNMNP'NNNNfN fII,N IV'N -N NNN NN NN N,N NN ------------ N------ NN . , . .DATE/TIE TAKEN: 1/9 1,2:40P ST. THOMAS ASSOC./STEV 0 24 PEEKSF ILL HOLLOW. RD. :' DATE /TIME .,:REC' D: 12/fo /fVG '.Q .015F' Pd BOX b87 R' EPORT DATE 12!18/98 f'UTNAt`1' VALLEY p' 'NY 1 t779 F'HONE'e t 914) ,528 -448 SAMPLING SITE: 36•;GARDINEER RD g PUTNAM..VALLEY NY, 10579 SAMPLE. .. :.:•POTABLE. e ( i.e. lot. #:I cr ST . TGMAS PLACE. } F'RESERVAT I VES NODE; COL,'D BY: JOHN W LEARDI TEMPERATURE NOTES.. a XT COL I.FORM :; hIETH . MF , NNNNNNNNNNNNMNNNNNNNNNNNN -------------- ------------ -------- NPV.NN-- ---NN: NNNN • DATIE PROCEDURE RESULT NORMAL - RANGE :METHOD PUTNAM CNTY PROFILE 12./10./98 .,MF T.- COLI.FORM ABSENT /100 ML ABSENT. 100.8 12%10/98 LEAD. (IMP) 10.3, ppb 0-15-ppb 91UT 12/10/98 NITRATE NITROG. 3'. 5e, MG /L . 0 Zia `9:1'3q' :12/10/98 N I_TR I TE . N T TFtOG <0.01 MG /L N lA 9.146 12 /-1 r /98; IRON- : (Fe -) 0,296-- MG' /. L.. ' . 0 -.0., 3 ::- mg.l.1 2037 . - 12 /1 /98 MANGANESE. - (Mn..) 0. x]89 MG /L 0 -0.. 3 . mg / 1 2037 12%10!98 SODIUM (Na.) 13.9 MG %L NM, 12%10/98 pH. 1.1 -UNITS 6. 5 =8.5 9043 HARDNESS 114 N/A 12/10/98 . 12/10/98 ALKALINFTY (AS 98 .0 .-MR/L. N 12/10/9& n. TUkt- 1 -6I-TY tTUR 4.5. NTU: - 0-- 5' °NTU COMMENTSo` PACT. THESE..RESULTS INDICATE THAT THE-WATE tWAS ,(:WAS, NOT) OF A SRT.ISFACTORY. SANITARY .'GIUAL'ITY.. ACCORD THE NEW :YORE. STATE: ACID E' PA FEDERAL .DRINKING 'WATER STANDARDS, FOR THE PARAMETERS TESTEDa.AT.THE TIME.OF COLLECTION.' Pb /Cu LEAD limits public schools are set at 15 ppb. ..EPA.Lead Capper Rule fgr.Public Systems.i-equires that no more than'.10 %.of their distribu.tion'points have a LEAD value of more than A5 ppb and ' a COFFER. value "of 1 .3, mg /L a else water treatment Must be 'undertaken to reduce the waters corrosive potential. Fe /Mn If 'both iron and manganese are present- their total value combined 'shell not. exceed 0.5 mg /L. Na No Limits for Sodium are proscribed. Suggest•ed.guidel_ines..state that..;for people on a sodium:, restr,ict:ed':diet, the water should contain no more than 20 mg/L of Sodium. For those ,on .a moderatehy restricted d etq a maximum of 270 mg IL of Sodium. is suggested. YML ENVIRONMENTAL 'SEkVICES 321 Kear Stre'et -ar Ln"n. I.- qd ntd 86— (9`i 4:) 245: _806 Albe.rt'K.,,-P*adovan'l,, LAB .#:' 32,.-809908 CLIENT #: 8599 NON STAT,PROC 2 PAGE. -------------------- 7f --- ---- --------- I -------- ------- ST.'THOMAS. ASSOC.. /STEV DATE /TIME TAKEN : 12/10/98 12:40P 21-'PEEKSKTLL, HOLLdW - RD. 'EC 'D-.' - 05P'' DATE/TIME R 12/i-0/9,8 01. PO BOX "687, REPORT PUTNAM' :'QALLEY. NY- 10579 PH i ONE 9.14)-528-5448, SAMPLING',SI7E:-36,GARDINEER RD, PUTNAM VALLEY:. NY 10579-' '.SAMPLE' TYPE."!. POTABLE i, . e . -lot #10 ST.-TOMAS PLACE' ;PRESERVATIVES: NONE CC3L.'D.BY:. JOHN W. LEARD I .TE-MPERATURE..:' KV, COL'I FOR m, kgTH::. MF- -------------- DATE FLAG PROCEDURE .'RESULT NORMAL-.." 'RANGE METHOD" pH. pH.SCALE IN-WATER RANGES FROM 1 =14. MEASUREMENT OF pH. IS ONE OF THE-IMPORTANT AND FREQUENTLY USED TESTS IN WATER.CHEMISTR'Y.., WATER- .'W I TH A' LOW. pH. MIGHT._BE CORROSIVE TO- METALPIPES -AND FI­XTURES. THE NORMAL RANGE.' OF pH.IS.6,.5.Tb 8.5. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM -& MAGNESIUM CONCENTRATION, BOTWEXPRESSEDAS CALCIUM CARBONATE, -IN MG/L. THE .HARDNESS MAY-RANGE FROKO TO . HUNDREDS' OF MG /L, . DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS.BEEWSUBjEtTED. SOFT WATER:- 0-70-'MG/L VERY HARD WA' ER:: ` ABOVE 300. MG /L= zm(g ZkA &Y _R.Lt TER 'HARD. WATER: 140-30() MG /L .(I g rain/ga,llon =-17.2 MG/L) SUBMITTED BY: Director ELAP# 10323 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES G UAPA�1` TEE OF SUB@VPUR �•C��',; ��'��G1�:�'JE�.�i1, �EN."T SYS�'EM r s Owner r PurchaseLof Building Tax Map Btock Lot S 77 1 h o rrm u s /)�S o G L-T-"D 26M2222 Ua ! /�c7 Y Building Constructed by Towrt/Vill -a-g�e a3CQ % a�-� ire e �r �'�- �S� i r t•U'Y�'�Gt�3 1'�IGC GG 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 ir 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 the 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.- property -is - caused - -by the- willftil-or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to �vheiher or not the g Gipgr uftbe_s ;.." * operate wav �,atrsttf lye` tfrie`wiYtfiii'oz negltgemt act of the occupant of the building utilizing the System. Dated: 'Mopatti, Day Z7r Year General Contractor (Owner) - Signature 'ST Corporation Name (if corporation) pp�� Address: :/� (���CS�.(�b i�Dw hu State ^ zip l!! . Signature: /-,i� Corporation Name (if corporation) Address: a / j�� S /C-e- State / zip. Form GS -97 TOWN TAX kW DATA- 88O ,Bl-c I% W 68 Sss 7,jo hE 1.051 Acres IN .0 x°9288 N78'� (Mac. Pvrnt. u.c.) 00-1, lw 105.00'. — 00 '10' ROAD L-1.011 P 90 Q a� s 72.86' 63.46' 2 Nnd., not.) 0 0• UP .0 x°9288 N78'� (Mac. Pvrnt. u.c.) 00-1, lw 105.00'. — 00 '10' ROAD L-1.011 n -0 PUTNAM COUNTY DEPARTMENT OF HEALTH .:: l� T IC ..O 1,�N R IE- La EAI E IM .:-.a ,. -�.. -.. •a.,. z . - w�_ _ _.. _ - - e.�o ., :.s..— -a+.. -..• ,. a-: �: E _ _. _ CL CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # �� r �— �V i a 1; C�, Located at (,A F D1r E4S Y2 (;I x� -J Town or Villag es ► A �91r- -rHPVV 4S Map $5' aS Block Lot Subdivision name(�o�� ��►'C6s Subd. Lot # t� Tax Ma Date Subdivision Approved F? Renewal Revision,--4 Owner /Applicant Name 5T, TI-1`vvv,45 A SSoL , l--r o Date of Previous Approval Mailing Address �D ?22X 6v8 7 PW rr1r--nn 04 Zip I o r5 Amount of Fee Enclosed Building Type Si t4 ;6 Lot Area I . 05 "No. of Bedrooms rJ Design Flow GPD 0O 0 Fill Section Only Depth Volume. PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 2) 125& t ,j'` on septic tank ind 7(g LF Other Requirements: D 1ST -1 byT l,o� To be constructed by Address Sun. -- :� P�ublie -Silly From:; Address or: X Private Supply Drilled by T19 Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatments stem 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 the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs the Signed: P.E. X R.A. Date 1 It 2 Address toe (D 5 7- License # QG'7 4,e-- APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system 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 p rmit. Approved for discharge of domestic sanitary sews only. / � / By: �� Title: e Date: ` White copy - HD File Yello c y - Building Inspector; Pink copy - O , Orange y - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENTF HEALTH V�,NYIJ�QNM NT lo CO STRUC ION PERMIT FOR SEWAGE TREATMENT SYSTEM PE # �� Located at F—OA:P ST. `�tiiDMe� Subdivision name 'M4.c . MYAT&S Subd. Lot # Q Date Subdivision Approved g12o Owner /Applicant Name ST M+OM 6 AGSt--. L-T o. Town or Village l y ft,16M VALL. Tax Map, 1)5 Block I Lot Avg Renewal Revision Date of Previous Approval Mailing Address R0 86)-� �8 % PUT N-14 M Amount of Fee Enclosed 300 Building Type 51 I4C -* FA-r%. Lot Area No" of Bedrooms Design Flow GPIJ:-S'� .Fill Section. Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Seuaratg Sewerage -System to consist of 12 �J� gallon septic tank and y4 t- pE <r2T1;oiJ -ii NC-- Other Requirements: To be constructed by :12 -21,= Address Water P*ablic Simply From o?L Private Supply Drilled by TV IE17, - "'C' . Address 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 the date of the • of the approval of the Certificate of Construction Compliance of the original system or any repair Signed: P.E. � R.A. Date 12t ° 2.l 1 % nAddress'FVrKs&M �e r ic0 FU r= (bZ G MEIQA Ay-s—, License # Gam- QXj l�s l2 APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system 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 p it. Approv d for ischarge of domestic sanitary sewage only. By: Title: Date: —3 c� \ White copy - HD File• ello ciy - Building Inspector; Pink copy - er; Or a copy - Design Professional Form CP -97 PUTN,,ARV COUNTY DEPARTMENT HEALTH DIVISION-3F ENVIRONMENTAL HEAL 'Al H SERVICES APPLICATION TO • .Please pn fog type r. . - . _ T U CT.A, ' PCHD Permit # Well Location: Street Address: ToownNillage, Tax Grid # / GARWINEEy- � I U- NigoM Vii Mapj�S,O<Block' I Lot(s) 108 Well Owner: Name: Address: fir- T+-bT--N&s I A666c. Lip o >o)� 667 Pv-r,.14m1%"-&4 NY 10-571 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 MIN S gpm # People Served inn Est. of Daily Usage OB al. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling JL New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type X Drilled Driven Gravel Other Is well site subject to flooding? ............. ............................... . ............................... Yes No Is well located in a realty subdivision? ............................... ....................................... Yes X No Name of subdivision G-r- THoKA_,S ft.AGF,:- 5_ST1-rr_-5 Lot No. 10 Water Well Contractor: ? PSS 'O' -r- Address: Is Public Water Supply available to site? ...:.............................. ............................... Yes No Name of Public - Water- Supply:.- Town/Village Distance to property from nearest water main: 'GEV, VmA, M l Proposed well location & sources of contamination t rovi I epipte sheet/pl Date:_ I? ? :- 7 ._ : .. Atapl cant SignO, ire 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 Permit Iss fficial: Date of Expiration —?.�c� Title: — Permit is Non - Transferrable I White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 DEPARTMENT HEALTH ' MAM COUNTY DEPARTMENT DIVISION OF ENVIRONA%=TAL HEALTH SERUCES ^ 7- Re: Property of 6-14 n- Z) Located at C--,� VfNisfsJql (T) FL4TTIA \/AL.L. LI Section 55-OC-7 Block Lot Subdivision of rHVHA.S PLAC.P--- g5rxT6-S Subdv. Lot Filed 'Map r- Gentlemen: This letter is to authorize PUT11`'( �e��.� ��� a duly licensed professional en'gineex- 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, rulei or regulations as promulagated by the Commissioner of the Putnam Count ..Department of Health, and to si connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Public Health Law, and the Putnam County Sani- of NEW O;g L _ Y tary Code. Very truly your Signed Owner of Property Countersigned: FE I L-LFr�- P.E.1, R.A # 0& 4 A AA Address 102 C-Lr--Nsi E),& A\IS Address O&o Telephone RAI�(\J 141.1 A . Town qlk- - 5�`s- 5qqg Telephone PUTNAM COUNTY DEPARTMEN OF HEALTH DIVISION O RONMENTAL TH SERVICES APPLICATION FOR APPROYA,OF PLANS M FOR-,, STET N` :AA T SY 1. Name'and address of applicant: LTA 2. Name of project�JC IHDI s rl/ze ��1. I,t r I o ; 3.:,. Location TN: - P- 0 4. Design Professional: ryrwM �6wELl�1► 6 1 e 5. Address:, (02 6. Drainage Basin: N►Q: N I 65 (2 7. Type ,of Protect: Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision . Other. (specify) 8. Is this prgject-subject to State Environinental Quality Review (SEQR)? „ Type Status check one).; YP (_ ..............:.. ........:...................... Type I Exempt, Type II Unlisted ' jy 9. Is a Draft'Environmental Impact Statement (DEIS ),required? ..........:.:.... ra0 _ . -- _ l 1 O. Has DE. IS b ,. ,nd found acceptabl e,by Lead Agency? y........ .. 11. Name of Lead Agency - N 12. Is this project in an area under the control of local planning, zonuig, or other -s = _ ___ •: Offc�41S. ordYn T1CeS� _ X..'.ra ...r • :.............•......... .............. 13. If so, have`plans'been submitt ed to such authonties? .................... ... .... . 14. Has..prelimmary approval been granted by such authorities? _.. Date ,granted ,, 15. T yp e of Sewage Treatment S y stem Discharge g e. .... .. surface water groundwater � ;d 16, a e 17. Waters index number (surface) . ............................... . supply . •• 18. Is project located near a public water s stem? ..;................. ( O 19. If yes, name of water `supply i�;d Distance to water supply 1. nA i 20. Is project site near a public sewage collection or treatment system ................. O 21. Name of sewa e..s stem., .. '; g y � {`•1 /%�. 'Distance to sewage system 22. Date test holes observed .1 -1:3: 157 t.;.:. 23:.�-.Name of Health Inspector Mei, 24. Project design flow: (gallons per,day) : :..:.: ..:::::............... ............................... O 25. Is State.. Pollutant Discharge Elimination System (SPDES) Permit required ?... No 26. Has SPDES Application been submitted to local DEC office. tJ /Y� Fnrm Pr_o7 2 27. Is anyportion of this pit located within a designated Tovv State wetland? 1� 28. Wetlands ID Number ........................... �..,. 129. .I � icEl�r�ds Perk -re' d. ...........::....::.. Has application been made to Town or Local DEC office? . ............................... N 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/No� 32. Is,pioiect- .IocAted`w thiii ,1,,000 feet of existing or abandoned landfill, hazardous :waste site. salt stockpile, landfill, sludge, disposal site or any M. I other potentially known source of contamination? ............. DESCRIBE: :..:. 33 Is there a local master plan on file with the Town or Village? ..... ...... .:. ....... Q .. 34. Are community water an d/or sewer facilities planned to be developed within • . •. 15 years in or adjacent to project site ? .......................... _ 35. Are: any sewage treatment areas in excess of 15% slope? .................... 36. Tax.:Map ID Number ...::.:::.::......::...... .............:...........:: Map ;o5 B Lot b8 • lock � 37. A PP , rove_ d plans are to be returned to...... Applicant Design Profe, ss, Professional. NOT _ NOTE: All applications for review and approval of a nevi SSTS:to l located within the NYC,.Watemhed- shall �..;_ ...: z _ ::� --- 9e writ © -the Vepai�`rr &e , an d'need riot i e sent-irf duplicate to the DR 'al&ugh 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 6f a project, such as stormwater plans or the creation of impervious` surfaces, and the .project appli is ,should obtain the - appropriate forms for'such activities from DEP arid submit -those forms to'DEP for review and approval. If thek,a plrcation is _signed by a person other than the applicant shown in.Item Lithe application- must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with. this provision may be grgunds 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 Class A misdemeanor pursuant to Section 210:45 of the Penal Law. SIC1'TU• E- S & OFFICAL. TITLES. {4�Et-4 r�T �4XNACRS>Z Mailing Address: ................................... _FJ'C'ni�&m tr46t OLU C:_ 1A L::... (02 -�cet >A 4,,e CktMZ-i- N X051'2. r u i n Alvl CU U IN TY DEPARTMENT OF HEALTH - ° DIVISION OrTNVIRONMENTAL.HfILTH, SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE .TREATMENS Si'ST. I .r • �.; a Owner } cDl �T M S v� i� r Address FD 1�X, (� 7 1'c� V 1057<j Located at (Street) Can W1✓nL Q2 Tax Map�,OSBlock Lot G b (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 Ela se Time Min.) De th to Water > rom Ground Surface (Inches) . Start Stop Water Level Drop In Indies Percolation Rate Min/Inch . 1 2 3' 4 - - -- ..A77 - - --- M+ 1ts - -�S,_ .- -- --� 5 r-1A y/� .. . M1"' ;'.��• ',�....- �V ^. -.... q. -� -..mac 3 e)/00 qO 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 Indicate level at which groundwater is encountered + Indicate level at which mottling is observed Nl� Indicate level to which water level rises after being encountered Deep hole observations made by: 144 - P t= • � i''tl~ — P• cN . � • Date- Design Professional Name:_ fur � fENG(114L= aNG,R1LC OF NEW yo9 Address: (aZ Signature Design Professional's Seal c�t � 067446 \�FESSId��� TEST PIT DATA DESCRIPTJ OF SOILS ENCOUNTERED IN TEST HOLES _P:TI PF G.L. 0.5' -To P_,; r-> I t.-. ToFS4?. Y L, 1.0' oR r Tsgawr4 1.5' h'l e_0 I vr\111 . SA-N 0Lj t,o 6M 2.0' tzos 2.51 SRzWr4 3.0' SQ�QS Sc�,�o l;oA�u 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' -- 7 8.5' FAA 1"M�p 9.5' 10.0' Indicate level at which groundwater is encountered + Indicate level at which mottling is observed Nl� Indicate level to which water level rises after being encountered Deep hole observations made by: 144 - P t= • � i''tl~ — P• cN . � • Date- Design Professional Name:_ fur � fENG(114L= aNG,R1LC OF NEW yo9 Address: (aZ Signature Design Professional's Seal c�t � 067446 \�FESSId��� 1.- APPLICANT /SPONSOR 2. PROJECT NAME S�'. T+{oMAS Ass6c . L,? 0 . �T• 1-1 oM ,&S PL,t,c a -EST :. Lc3 . *10 3 PROJECT LOCATION: Mu. nlcipa:lity ." l `l i TN. i`� Y i� 1-- County F11L.1 -r t J A M 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc.; or provide map) ,A tz-'Dt N GSt'L 5. IS PR POSED ACTION: New ED Expansion ❑ Modification/alteration 6. DESCRIBE PROJECT BRIEFLY:' F 1"Z r> rrtC. 7. AMOUNT OF LAND AFFECTED: Initially 5 I acres Ultimately ' ' .S acres '8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ❑ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ff Re sidential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Park/Forest/Open space ❑ Other ribe:.... 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL?? 13 Yes _ - 7No If yes, list agency(s) And permlttapprovals 11 <❑ Yes r: No If es, list agency name and° CURRENTLY VALID PERMIT OR APPROVAL? DOES ANY ASPECT OF:.Ty E ACTION HAVE A CUR permlUapproval , 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PEAMMIAPPROVAL REQUIRE MODIFICATION? Yes No I- CERTIFY THAT_THE INFORMATION PROVIDED ABOVE`IS,'TRUE TO THE BEST OF MY KNOWLEDGE p �1.ibM � `�, M 1 /IC J. _ ' . +kXL Aa4 Date: 12" Z P11 Applicant/sponsor name: �16- � _ Signature: 1Uthe action -is in -the .Coastal Area, and you are a state i'gency,' complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART 11— ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THI ill LD IN 6 NYCRR, PART w7.12? If yes, coordinate yrevlew process and use the, FULL:', EAF,: J' 0 Yes ❑ No a. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No. a negative declaration may be superseded by another involved agency., _ ❑'Yes':fYb" g T . r' Y a r. - ,r- q n s t .,<. c C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS. ASSOCIATED WITH THE- FOLLOWING: (Answers may be handwritten, if legible) Ct. Existing air quality, surface "or groundwater quality or quantity, noise levels, existing traffic pattems; solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly CZ. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or,neighborhood character? Explain briefly: J. C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species ?;Explain, briefly; 1 ad C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use.of land or other natural resources? Explain briefly, C5. Growth, subsequent development, or related'activities likely to be induced_by rthe proposed.actlon? Explaln'briefly. C6. Long term, short term, cumulative, or other effects not identified in C1•C5? ,Explain briefly. C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly. D FS . •T .TH_RE LIKELY TJ'BE^ONTR06EREY RE?EDO t�T {Ab Vi�p�gHE OR: O. Yes �❑ No If Yes, explain briefly PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether It is substantial, large,-Important or otherwise significant. Each effect should be assessed In connection with Its (a) setting (i.p, .Urb8ft.or,rural); (b) probability of occurring; (c) duration; (d) Irreversibility; (e) geographic scope;'and y (ry•rttagnitude -1t necessary,: add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show.that all relevant adverse Impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse Impacts which MAY occur. Then proceed directly to the FULL EAF arid/or prepare a positive' declaration,.,, ❑ ' Check ' this box if you have determined, based on ..the Information and analysis above, and any supporting documentation, that the proposed action WILL NOT result in any significant adverse-environmental Impacts AND provide on`attachmsnts as'nec-ssary, the reasons ,supportingthis:determination:` Name of Lead Agency Print or Type Name of Responsible ponsi e Officer ?:.,.,..,.. a .,., .... ,..w . Signature of Responsible Officer in Teo Agency, Signature of repa i e officer) Date 2 PUTNAM COUNTY DEPARTMENT OF HEALTH DI Q1:112(NMNTAL HEAL,'TH SitVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # P Located at �2Ak1] IQCS�� Town or Village urrl.." Owner /Applicant Name A s5 ,_-, L-ro Tax Map 85,05' Block I Lot 8 Formerly_ Subdivision Name Subd. Lot # Mailing Address TO 130>C Co S% t::j.4 -r. VA, Date Construction Permit Issued by PCHD A 3 krn Zip b5 Separate Sewerage System built by Gr.114ao-p s Assoc . U"'P> Address 21 Peow-st<<La- F6u "i, ko Consisting of Gallon Septic Tank and '72& L Water Sunnly: Public Supply From Address or: Private Supply Drilled by from Address 16Z 5maaa Sr _ Building r-ype ' r- r o ce la.�L.i�een pots ie ed - ; r Number of Bedrooms rJ Has garbage grinder been installed? 110 I certify that the system(s), as listed, serving the abovSpj;5quses were constructed essentially as shown on the as- built plans (copies of which are attar r the iss Construction Permit and approved plans and the standards, rules and re lions o e Ij4C ty Dep t of Health. Date: 2 5 Certified by 14 P.E. R.A. �.aT�M �.Yol X1 12-I �G (Design Pmfessi _i Address Lot <fA r-iai_ t4 U r o512 License # O G:2 ` : !:e 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 revocat' n, modification change is necessary. By:. Title: Date: White copy - HD Fil • Yellow copy - Building Inspector; Pink copy Owner; O ge copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION: Date. -7,/ 98 -Fr.(. i.:i..: a.��.`yC£'Ye .. .. r .p.:.ti; a.•'i r.•- .w''+ . Inspected by: Street Location ��,� Ov, er a 6 7 D Toitin l�vzN.�►M Y�I GLE�r Permit # _ tt'- 'V '- 5- = 9 8 TM r _ ��, dS — / — 14 g Subdivision Lot #,(,o Is; r "oi�.►s r�L �- 1. 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. Sewage System ..1" 250... a. eptrc t c size - 1,000 ... ....other .............. , b. Septic tank installed level .............. ............................... c. 10' minimum from foundation...... ............................ d. istri t ion Box 1. All outlets at same elevation -water tested ............... 2. Protected below frost ............:... ............................... 3. Minimum 2 ft.Original soil between box & trencht Junctio B - properly set. ......:............. ...::.......................... . engtFi required 8 o Length installed . 5 2. Distance to watercourse measured -t'd- oc>Ft........ 3. Installed according . to - plan. .............................. ...::::. -4.-Slope- f trench acceptable. 1116 - 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 - .1M27.:diameter clean..;: =.... �_:..: Z f ° Depi, ogravel n- renei 2minimum................. 10. Pipe ends capped ...................... ............................... g. Bump or Dosed Systems L Size of 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.' ouseBuildin a.. House located per approved plans : ...................:.......... b. Number of bedrooms ..............�%...s!P.. !:, .......... IV. Well / room do"bi a. Well located as per approved plans ............................. b. Distance from STS area measured 4- 162 49 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 pla f. Curtain drain outfall protected & dir.to exist waterco g. Footing drains discharge away from STS area........... h. Surface water protection adequate ............................:. PU.TNAM ENGINEERING,. PLLC LETTER Of TRANSMITTAL 102.Gleneida Avenue CahbeIre*N-Y'-1V5-'12"-- z 914-225-3660 - Fax: 914-225-2955 RE: c,) TO: A5:2AT-"1 'S" -[ We are sending you attached under separate, cover, the following items:, Shop drawings Prints Specifications Copy of letter Plans Other: These. are, transmitted... r your use- ..._,. se pprove -AgUo-to-d- I -- pC d As requested Returned for corrections For review/comment Resubmit copies for approval Submit — copies for distribution Copies to: — SIGNED: Kej �a if enclosures are not as noted, kindly notify this office. - 1) 6, .-e, a PUTNAM ENGINEERING, PLLC LETTER OF TRANSMITTAL 102 Gleneida Avenue r , __ Wate: `l 914 -225 -3060 Fax: 914 - 225 -2955 RE: n:^-.- t-,N.a� hr I_L�> o -r H 5.7 We are sending you .,C attached under separate cover, the following items: Shop drawings_ Prints Specifications Copy of letter Plans Other: No. of Copies Description 1Z�/ SSt,�s These. are- trapsmit #ed._:, =f r, pp va1:.�....., . _,-approve d 'a.'subautt'a For your use _ Approved as noted _. As requested _. Returned for corrections For review /comment _ Resubmit copies for approval Submit _ copies for distribution REMARKS: Copies to: SIGNED: Kej If enclosures are not as noted, kindly notify this office. PUTNAM ENGINEERING, PLK. RECL:-jVEQ 'LETTER OF TRANSMITTAL , 102 Gleneida Avenue PUTOAN COUNTY,- EUV ", I r -.Z:. f -r - 4 C 914-225-3060 DEC" 23 PH tea RE: I (D Fax: 914-225-2955 TO: We are sending you attached � under e arate cover, the following items: Shop drawings X Prints Specifications Copy of letter Plans Other: No. of Copies Description ..,These are trans mitt go-,., . _Approved Appro -n-subinit For 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 th 330 86 SOA83 1'11­!'V'3H AN3 A-[Nn0j,;"JVN1nd G3A 133.38 L'A PUTNAM ENGINEERING, PLLC LETTER OF. TRANSMITTAL 102 Glenelda Avenue - 914- 225 -3060 ,p Fax: 914 - 225 -2955 RE:� -We are sending you ( attached under separate cover, the following items: Shop drawings Prints Specifications Copy of letter _ Plans Other: hese.:are_trares .itited, ppr:.oved.as_submitted. . yy. �,.. - .. a• - - ... - - ors .itt __.... yaw... -_. «� .. .. ewe .. .. .. asa. ry f .. . c 5 r-+ ... . -.. �r - -. w- mew-- ;..�... �� «... .. ..- .:min• . _ For your use _`proved�as noted _ As requested _ Returned for corrections For review /comment _ Resubmit copies for approval Submit _ copies for distribution REMARKS: Copies to: SIGNED: \ P_" 4�A if enclosures are not as noted, kindly notify this office. PUTNAM ENGINEERING, PL.LC RECEIVED LETTER. OF TRANSMITTAL ,/102 Gleneida Avenue t',tUTtlAM COUNTY _= Caa��:..�; , .�:- .;.;.._ . = ..,._- �;,.. ;.. . ,• =�. r ...�� >�: •:�':. 914- 225 -3060 QD DEC 23 Pik 4- .' 6 Loft 0 Fax: 914 - 225 -2955 RE: ST THp �e �s rES TO: ­ /O. W,/a& X47` We are sending you . attached --, under separate cover, the following items: Shop'drawings Specifications Plans _ Prints -..Copy of letter Other: r FA FAAIVA MUM L These are.transmitted :..:r.. -..-.,-. For•.approval- Approved:_as_suh.mitted :: -:� For your use ^Approved as noted 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 th tIZ 330 D6 SOMS AN] xiNnop kjvNind 01A123M DEPARTMENT .OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 TeL (914) 278 - 6130 Fax (914) 278 - 7921 FAX COVER SHEET Date: I z"I 6l 98 To: N FL Fax #: No. Pages (Including cover sheet)' Adam B. Stiebeling Asst. Public Health Engineer ion Please respond —,.Yor your information Tor your review Attached as requested --f�As discussed Please call Notes/Messages C -T- BRUCE R. FOLEY AAU, M.aIfh .Director I &U- % -- lO Y414 rl- (rc- A-,�:,IL M09-n 1?-'� E, Jjj-AW fVo— tf4 5ffC.T 704 In the event of transmission /reception difficulties, please contact this office at (914) 278-6130 ext. 157. Paul M. Lynch, P.E. Putnam Engineering 102 Gleneida Avenue Carmel NY 10512 Dear Mr. Lynch: DEPARTMENT . OF HEALTH Division of Environmental Health Services 4 ;Geneva .Road Brewster, New York 10509 TeL (914) 278-6130 Fax (914) 178-7921 March 23, 1998 Re: St. Thomas Place Estates - SD Lot #10 TN1# 85.05 -1 -68 (T) Putnam Valley rt i.:,f- {g;,,; ,BRUCF&-, _R fOL-EY Public Health Director ry This- office- has. receiwd-.and -reviewed.-the-most- recent- set--of.plans .-for- the above mentioned project:- - - We would like to offer the following comments for your consideration. A. Use of the area to northeast of primary as expansion area would create trench lengths that exceeds the maximum allowable length of 60'. Please provide alternative means of development of an expansion area. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact us if any questions arise. Very truly yours, a� . . )LL4 Adam B. Stiebeling Asst. Public Health Engineer ABS:tn file PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL. WATER SUPPLY & SUBSURFAI;E •SEWA Gq] 7Tg A:TK .. T.SV FijV ;: r; •_; • Tt - ; : d: """ ` } ` •" '°"� v'`' •Rk�VI0 SHEET r R CONSTRUCTION PERMIT STREET LOCATION rR'Q b Im NAME OF OWNER a0m0-5. I's-0c , Ll j-- REVIEWED BY L&K DATE Of D7 l S TAX i`IAP # &!5- 05- 1 6 gj ��ERMITAPPLICATION DOCUMENTS PC -I ?C-q-2 WELL PERMIT _ PWS LETTER LETTER OF AUTHORIZATION DATA SHEET (DDS) ATE RESOLUTION SHORT EAF PLANS - THREE SETS ?H USE PLANS - TWO SE IS VARIANCE REQUEST - FFF SUBDIVISION LEGAL SUBDIVISION APPROVAL CHECKED PI—RATE �kL REQUIRED DEPTH A ,-URTAIN DRAIN REQUIRED S ANDPIPES . j GENERAL V rt ATED IN NYC WATERSHED Ix S SUBMITTED TO DEP GATED TO PCHD DEP APPROVAL, IF REQ'D EFL#' Tl UfR0LES 011-38ERVED — FRCS WITNESSED, IF REQ'D �PPROVAL SSDS ADJ. LOTS 'LANDS (TOWN/DEC PERMIT REQ'D ?) ol A ON DDS PLANS & PERMIT SAME 1969 NEIGHBOR NOTIFICATION DER B1/ZBA YR. FLOOD ELEVATION OTHER REQ'D PERMIT(S) REQUIRED DETAILS ON PLANS SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE_ GRAVITY FLOW CONSTRUCTION NOTES :SIGN DATA: PERC & DEEP RESULTS CONTOURS EXISTING & PROPOSED UVEWAY & SLOPES, CUT COMMENTS: TAW DRAINS c ..> Y N [ON CONTROL:HOUSE,WELL, SSDS & DEEP.HOLES LOCATED IEATION MAP . AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE PUMPED, PIT & D BOX SHOWN & DETAILED )USE - NO.OF BEDROOMS ELLS & SSDS'S W/IN 200' OF PROPOSED SYS. METES & BOUNDS JSE SETBACK NECESSARY (TIGHT LOT) JSE SEWER - 1/4" FT. 4 "0; TYPE PIPE NO BENDS; MAX.BENDS 45° W /CLEANOUT FILL SYSTEMS CLAY BARRIER 10- FT. HORIZONTAL;Sle9 3:1 TO GRADE FILL SPECS _ FILL NOTES FILL _CER _F __ ATION NOTE. - DEPTH G AGES FILL PROFILE & DIMENSIONS IN EXPANSION AREA r a r • .� , • • CONTOURS C'���"'::�:r��z.k \�. AUTA i•: .°r1 °�jQAYIi �l°J1liI ; -A �.. 14 w.:'ro1 - �' • - - - ?fL ' Ra -5,.A ,w N QN PLAN - FROM SSTS 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL 0' TO FOUNDATION WALLS ' 15'WELL TO PL 100' TO WELL, 200' 1N DLOD, 150' PITS 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 T1 200'/500' RESERVOIR, ETC. x150' GALLEYS STEMS 44 15'min to CDS= >5 %,10'- 4 %,25'- 3 %,30'- 2 %,35' -1 %,100' -<1% 20'min to CD discharge /100'with 182 cons day discharge SEPTIC TANK (� 10' FROM FOUNDATION; 50' TO WELL . ©r= FORM ST-2 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH W.I� L L--WATERS SUPPLjG . N .ate'• -.•. REVIEW SHEET FOR CONSTRUCTION PERMIT STREET LOCATION �W QP�1 NAME OF OWNER S T T/S�h'IAS S L T� REVIEWED B7-5--/ 1d- DT, �°� air 9 TAX MAP # 3r Of— Y DOCUMENTS Y ERMIT APPLICATION PC LL PERMIT _ PWS LETTER TTER OF AUTHORIZATION DE ATA SHEET (DDS) CORPORATE RESOLUTION SHORT EAF PLANS - THREE SETS HOUSE PLANS - TWO SETS VARIANCE REQUEST FEE SUBDIVISION led SUBDIVISION gEGAL UBDIVISION APPROVAL CHECKED QUIRED DEPTH URTAIN DRAIN STANDPIPES GENERAL LOCATED IN NYC WATERSHED PLANS SUBMITTED TO DEP ' DELEGATED TO PCHD QFP DEEP TEST'HOLES -OBSERVED - PERCS.WITNESSED, 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 BI/ZBA 100 YR FLOOD ELEVATION OTHER REQ'D PERMITS) REQUIRED DETAILS ON PLANS SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE GRAVITY FLOW CONSTRUCTION NOTES ESIGN DATA: PERC & DEEP RESULTS !'CONTOURS EXISTING & PROPOSED DRIVEWAY & SLOPES, CUT FOOTING /GUTTER/CURTAIN DRAINS COMMENTS: EROSION CONTROL:HOUSE,WELL, SSDS PERC & DEEP HOLES LOCATED R,E.,MSENTATIVE OF .PRIMARY & MANSION LOCATION MAP EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE IF PUMPED, PIT & D BOX SHOWN & DETAILED HOUSE :- NO.OF BEDROOMS . WELLS & SSDS'S W/IN 200' OF PROPOSED SYS. PROPERTY METES & BOUNDS E OUSE SETBACK NECESSARY (TIGHT LOT) HOUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE NO BENDS; MAX.BENDS 45° W /CLEANOUT FILL SYSTEMS CLAY BARRIER 10- FT. HORIZONTAL;SLOPE 3:1 TO GRADE FILL SPECS FILL NOTES FILL CERTIFICATION NOTE DEPTH GUAGES FILL PROFILE & DIMENSIONS u ]FILL IN EXPANSION AREA . ,: -- :•.,. ••,.:- .. .,TRENCH..:_ ;: _ _ . s ....: LF TRENCH PROVIDED-68t) 60 F-F MAX. PARALLEL TO CONTOURS 1 o'EXP PROVIDED SEPARATION DISTANCES SPEC�IEDDISTANCES SPEC�IED ON PLAN FROM SSTS IV TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL 20' TO FOUNDATION WALLS 15'WELL TO PL 100' TO WELL, 200' IN DLOD, 150' PITS 100' TO STREAM WATERCOURSE LAKE (inc. expan) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER k0' TO WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 2007500' RESERVOIR, ETC. _150' GALLEY SYSTEMS 15'min to CDS= >5 %,10'- 4 %,25'- 3 %,30'- 2 %,35' -1 %,100' - <I% 20'min to CD discharge /100'with 182 cons day discharge SEPTIC TANK 10' FROM FOUNDATION; 50' TO WELL FORM ST-2 " FROM : PUTNAM ENGINEERING PLLC PHONE NO. : 914 225 2955 Dec. 07 1998 11:32AM Pl MEMO TO: FROM: DATE: 'PUTNAM ENMEERING, PLLC RE: REQUEST FOR SSDS AS BURT INSPECTION PROJECT TITLE:'- STREET ADDRESS: TOWN: TAX MAP #. '" +`off-- �`'► �� 1.57V G� k -PLEASE 1' iOT*Y-7IMS-WV-3 a-AFTERY0lTk ikgkE�,16N- - A-1 (414)-2255,3004N- ORDER FOR US TO NOTIFY THE CONTRACTOR/OWNER THAT BACKFILLING THE SYSTEM MAY BEGIN. Pliamlon PUTNAM ENGINEERING, PLLC letter of Transmittal 102 Gleneida. Avenue • CA11i14eY�.' YSV l' k7,?• ®J2�-'�i:++s,•s�.+�`''u�'S` 914- 225 -3060 Fax: 914- 225 -2955 RE: S'IHI!531�AS G&T 10 T ��A�2�D 1 N �'� ,tecj-,� TO VTNAr�,n VAL Gam-( nu-r 1 WE ARE SENDING YOU Attached Under separate cover via the following items: Shop drawings Prints Plans Samples.. Specifications .., — Copy of letter i Change order _ Copies Date No. Description # . _a THESEARE'T NNSM -I TTED as checkediselov✓: r_. 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: COPY TO: SIGNED: If enclosures are not as noted, kindly notify us at once. I PUTNAM ENGINEERING.) PLLC 102 Gleneida, Avenue Carmel, New Y6rk 10512 914 - 275 -30!0 Fax: 914-225-2955 Letter of Trans Date: , 12 /��-7 7hiW A S ) )13-. 1 I � To: I L-4, WE ARE SENDING YOU Attached Under separate cover via the following items: Shop drawings _Prints: Plans Samples Specifications Copy of letter Change order Copies Date No. Description T 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 — Retum corrected prints For review and comment Other FOR BIDS DUE '19— PRINTS RETURNED AFTER LOAN TO US REMARKS: COPY TO SIGNED: ELL5 OR SEETIGS N 200' UNLE55 RWISE NOTED. a t Fn.6 MAP x a �ryQP � } LAY I .. �'2 WIDE >Ag`JORTf� `O � � � • 007 � � h .. ;L� _ • -.. e.F•• � v -- . — - _..__ --�- _... .:—,� , .s''�„c -'� 5- =tco ;z-.. •,�a:� �S�D � �•��;;:,r- � ffr:. ,.��.. , nW 4. y�gq'OV, I , 1 SGALE E Y i oyr :b .., •. 6'601 a pq .L5 AL5 / / / • Fp�Iy -- -I ".YES °, / .•t•.,�Y .T. ,. \\ / f./ �6L13i,�L`, v i4 �� '1 :.�o� _- ;I. .�[v+a-r „,_ '�.,: _. -. , \ / i ©ZL / 1 v ziYW d Gf\-1 j. q ar T< s www 7 (Y :DQ o� m I' a I✓ 3 Z F QQw 4 I -� If) ttl Q t11 � � WK_� �N ZZKO s- z;.„ 3.[.c L b,,, x,,) 5 4:1 Fj(KT`WE� -L N /Vq.ELL I y 1 115 PLAN 50ALE: 1" = 501 f. wcL :REMENTS (IN FEET 5 10 11 12 15 14- 15: 16 1-7 1e5• 1� 20 2.1 .2223 -7 to -7 5,'S p5-1:41-5. 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