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Home My WebLink About4583DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.06 -1 -17 BOX 34 16 i # !Ir r r 16 '; i �L� 0 � I 04583 37 0 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 • ER7EIFI AT F CONSTRUCTION - COMPLIANCE FOR SEWAGE.-DISPOSAL..SYSTFM. -- - Town or Village 70wner_ cated at Dring Lane Tax Map 67 Block Ed , Kristoferson Lot. Job Separate Sewerage System built by Ed Kristoferson Address Dring Lane Putnam valley, NY 1000 430 LF of 2411 Trench Consisting of Gal. Septic Tank and Other requirements' ROB Gravel fill Placed. in Septic Area to level area Water Supply: Public Supply From 70 deep curtain drain installed Building Type X Private Supply Drilled By Anderson Well Drillers Address Barger Street Putnam Valley, N.Y. 10579 Modular No, of Bedrooms e— ate Permit Issued YespNAI .00. Has Has Erosion Control Been Completed? e , o e - ° QQ � S. i certify that the system(s) as listed serving the above premises were constructed essentially as n -t?. of f` f-a-completed work (copies of which are attached), and in accordance with the standards, rules and regulations, plans filed, and tRee r it i,ed gyti h ,'-fTUt(iam County ,Department of Health. Date March 23, 1987 Address Certified by 1 Northridge Mad i'e RE, �X` R•A. 566 27846 License No. Any person occupying premises served by the above system(s) shall promptly take such act(�rba y td9secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall becorfi@�r%�vOitl atsoon as a public sanitary sewer becomes available and the approval of the private water supply shall become null a vol d when a public Wsterosn)Dp°ly becomes available. Such approvals are subject to modification or change when, in the judgment of the C missi ner of Health, such revocation, modification or change is necessary. Date (,`� �°' L BY ("'dd6411 Title PUTNAM COUNTY DEPARTMENT OF HEALTH ENGINEER TO PROVIDE PERMIT # ON CERT((�� (j]FICAT OF C PLI CE. �f Division of Environmental Health Services, Carmel, N. Y. 10512 PERMIT # M��1JG- CONSTRU TI PERMIT FOR SEWAGE DISPOSAL SYSTEM ��li..,aTi' fa�.eyY Dring Lane 67 Tows or Village 2 Located at +� Tax Map Block lot Subdivision Glenbrook Subd. Lot # "All Renewal 13 Revision Edward Kristoferson Old Grompond R Peekskill Owner /Address Date Of Previous Approval o a e J Building Type Lot A�oo Pill Section Only ❑ yes Number of Bedrooms 3 Design Plow G/P,r,D P.C. H. D. )lp29cartgg ReT±re 41! Trench Separate Sewerage System to consist of 1 Gal. Septic Tank and j(I y LC V1 To be constructed by Edward Kristoferson Address Above Water Supply:_ Public Supply From Private Supply to be drilled by Anderson Well Drillers Address Barger Street Putnam VaLleys NY 10-579 Other Requirements 01 to 3.0 ft of ROB Fill _placed to level septic area 7 °.deep curtain drain required I represent that I am wholly and completely responsible for the desi n and location of the proposed system(s)I 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regulations o e u nam County Department of Health, and that on completion thereof a "Certificate of Construction CoVioIWht 4P *t"�isfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his sue& ' gns by the builder, that said builder will place in good operating condition any part of said sewage disposal system during the per,^ im ediately following thedate of the issu- ance of the approval of the Certificate of Construction Compliance of the original systeAR e$airR elo•1),that the drilled well described above will be located as shown on the approved plan and that said well will be installed in accordance �i�a 4 and regu a i ons of the Putnam County Department of Health. ° * O ` August 20, 1986 G o x Date Signed t P.E. R.A. 1 Northridge Ro Peelg 1 l = 0 27846 / Address ° ". l "^-° p License No. APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued'eunless on Y �iqn t the building has been undertaken and is revocable for cause or may be am niss ended or modified when considered necessary by the Comr��, r An change or alteration of construction , requires a new permit. Approved for disposal of domestic sanitary sewa te�y�(aZi{� d ° _ _ :. _ _ TOIN_ N= HALE•,. °,. M VALLEY, ` MARVIN O'OELL� - _ - - �•- T�_;,r= _ .. - — A N LLEY N.Y. Inspector as (914) 526 2377 TOWN OF. PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT December 3, 1985 Richard Cheslack 43 Lee Avenue Bethpage, N.Y. 11714 Re: Dangerous Condition Tax Map 467 -5 -2 Dear Sir: An inspection of your property pursuant to having received complaints of dangerous conditions, verified the following: Two (2) unprotected deep (6 - 7 feet) holes filled to surface with water adjacent to occupied.homes. Understaning the intended purpose of.said excavation was for soil testing, ..I must advise that a serious hazard does exist which must be corrected. Your prompt action towards correcting the above, either by filling or properly protecting is important , thereby preventing further necessary action by this office. Please advise this office when you have complied or have any questions regarding same. Thanking you in anticipation of your cooperation in this matter, I remain Very truly yours, MARVIN 0' ELL Building Inspector MO'D :es cc: Sallie Sypher, Supervisor John Karell, Putnam County Bd. of health,/ PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL MM SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS FIELD INSPECTION REPORT �4 rSL NCI- a i nJC� L'ti1 INSP. (Name of Owner) (Street Location) _ Wetlands on /or-- proxunate to property...:.... -- - Property lines or corners found ................... Can estimate house location:....... ............ Will driveway need cut ............................ Must trees be removed - note these................. Deep holes representative of entire SDS area...... Additional deep holes needed ...... ........ .... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells/ septics ............................ D.H..1 Lot Depth to G.W. Depth to rock Soil Description 0 ft. 3 ft. ft. � r- 12 ft. D.H. - Deep Hole 16'44'k�a' G.W.-Groundwater, D.H. 2 Lot D.H. 3 Lot Depth to G. W. 0( Depth to G. W. Depth to rock Depth to rock Soil Description 0 ft. 1 0 ft. 3 ft. 3 ft, 6 6 ft, n 9 ft. 9 ft 12 ft: 12 fi DATE: I FINAL SITE INSPECTION INSP.BY: YES NO CENTS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Room allowed for expansion trenches .............. Over 100 ft. from watercourse .................... Natural soil not stripped or SDS area unnecessarly graded.......... .... ........ 10 ft. maintained from property line and 20 ft. fran house .............................. Distance well to SSDS (ft.) ...................... Number of bedroans checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench.. ........... 15 ft. of peripheral soil horizontally fran trench ..... ............................... Boxes properly set ............................... Could surface runoff fran driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE .................. rl iv- \ PETER C. ALEXANDERSON JOHN SIMMONS, M.D. _-Count :.- _Executive z: Qepu_ DEPARTMENT OF HEALTH JOHN KARELL, Jr., P.E. Division Of Environmental Health Services Director 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 June 18, 1987 Mr. John Romeo One Northridge Road Peekskill, New York 10566 RE: Proposed SSDS Kristoferson Dring Lane (T) Putnam Valley 69-86 TM 67-5-2 Dear Mr. Romeo: Review of plans and other supporting documents submitted at this time relative to the above-captioned project has been completed. Comments are offered as follows: The Certificate of Construction Compliance cannot be approved at this time for the above captioned SSDS. On June 11, 1987 1 sent ..to.your,.office ., t". required information and notes ncessary for aU'bUrTt'11piirM- meet with the requirements of this Department, i.e., title box stating "as built" plans and the distances necessary to locate the septic tank, junction boxes and.the ends of the trenches from 2 fixed points, preferable the corner of the building. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Ver truly yours, _1V Robert Morris Environmental Health Technician RM: pt cc: RM JK File PUI'NAM COUMN DEPARTMM OF HEALTH - ... DIVISION OF E WM01 MEDTrAL ,HEALTH. SERVICES ...... . _ - _.� •-- e� *�.�+;. a..:. ... -._,— ...l..n.-... .. - .«. z�. .. ..... .�, e._ �_.. .. :.- r� -+:+� .!. _�.y�._:.= tia._'- .- ..,c:. .'z.. .... .. _. .. .*:,:tea ..r �•'�^ -: ir- :5.d Kristoferson 67 _ -_ Owner or PurchaserofTBulding - -!� _ :Section - - -- Block Lot— -- Ed Kristoferson Building Constructed by :grin;; Lane Location - Street !�'atnam 'Valley Municipality Modular Building Type Subdivision Name Portion Parcel "A" Subdivision 'Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it 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 "Certi-ficate - of..Ct�nstruction: Com Banc -e" for the sews e dis�v, oral . systsn, or an repairs made by me to such system, except where the failure to 'operateJproperl7j is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environin:ntal Health Services 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 b ilding utilizing the system. 10 March 87 Dated this day of 19 General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 irk Signature' Title C7 - .Qorporation Name (if Corp.) `�- Address Yorktown Medical Laboratory, Inc LAB I „o {_,r:,._;,_,�; 321 Kear Street Yorktown Wights. N. Y. 10599 Collection Station Used: (914k245-1202 Carmel _ Peekskill Mt. Xisco Nev City rector: Albert H. Padova bL _Di (ASC:A) Albert --- - - '� Date Taken r _ -' Date Received - J_� l�2in/6- G9� Collected By Referred By. _ L ��✓ U�-i C,c�j !✓`1 /l�J -��. J . Sample Source: _/✓ Grp �-��i LABORATORY REPORT ON- BACTERIOLOGICAL QUALITY OF WATER GENE L BACTERIA `7 Q, Standard Plate Count per 1.0 ml (Agar plate @ 35 °C) MEMBRANE FILTRATION TECHNIQUE (MFT) Coliform Der 100 ml ,-Z/Total Fecal Coliform per 100 ml Fecal Streptococcus per 100 ml ` ?OST PROBABLE NUMBER. TECHNIQUE (MPN) � n Total Coliform: MPN Index ner 100 ml Fecal Coliform': �N'PN Iadeic per'1-0d" a,+1 c.:• W OTHER ANALYSES THESE RESULTS INDICATE THAT THE RATER SAMPLE.•(WAS (WAS 110T) (NOT APPLICABLE) OF A SATISFACT Y'SANITARY QUALITY ACCORDING Zj"ITIME NEW YORK STATE DRINKING WAT T STAN,DAR-DS) FOR THE PARAMETERS ;1ESTED, OF COLLECTION. Albert H. Padovani. M.T. �ASCP). Director LEGEND RDS = Recommend Disinfect- ing Water Source < ■ less than T1TC ■ Too Num-erous Too - Count ^� WELL - LOCATION WELL OWNER d WELL COMPLETION REPORT DEPARTMENT OF HEALTH = .-:.�iviSi�'+ =flies' Env: r<•aeiat�+i :tiF;lt~Ir,:.SE , r1'%3: =ti >:. r - PUTNAM COUNTY DEPARTMENT OF HEALTH ST _-_ ADDRESS wtuvit, .r...e. ADD ESS• . . OffiCe Use Only N:�"PBIVATE I L1 PUBLIC USE OF WELL 1- primary 2 - secondary )XRESIDn4TIAL ❑ BUSINESS ❑ INDUSTRIAL ❑ PUBLIC SUPPLY ❑ AIR/COND./HEAT PUMP ❑ ABANDONED ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INSTITUTIONAL ❑ STAND -BY ❑ GRAVEL MOUNT OF USE YIELD SOUGHT gpmJNO. PEOPLE SERVED / EST. OF DAILY USAGE I. BOTTOM REASON FOR DRILLING NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY p TEST /OBSERVATION ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 0 U ft. STATIC WATER LEVEL �_ f MEASURED WELL YIELD TEST DRILLING EQUIPMENT ;t ROTARY ❑ WELL POINT ❑ COMPRESSED AIR PERCUSSION ❑ DUG ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING >(OPEN HOLE IN BEDROCK ❑ OTHER i tests were done is in- formation DEPTH FROM TOTAL LENGTH d fL MATERIALS: XSTEEL O PLASTIC p OTHER CASING LENGTH.BELOW GRADE . fL JOINTS: O WELDED M%rHREADED. ❑ OTHER Bear- DETAILS DIAMETER. " in. SEAL: ❑ CEMENT GROUT O BENTONITE OTHER ; ❑ YES ❑ NO WEIGHT PER FOOT. 7 Ib.lft. DRIVE SHOE'YES ❑ NO LINEA:OYES JVO SCREEN WELL DEPTH DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (it) DEVELOPED? FIRST It. hr. min. It. 9f%m SECOND - HOURS - 7 4- GRAVEL PACK ❑ YES GRAVEL DIAMETER, TOP BOTTOM ❑ NO SIZE . OF PACK in: DEPTH ft: DEPTH ft. WELL YIELD TEST ff detailed pumping If LOG If more detailed formation descriptions or sieve analyses are available, please attach. METHOD: O PUMPED i tests were done is in- formation DEPTH FROM water Well • COMPRESSED AIR , attached? SURFACE. Bear- Dia- FORMATION DESCRIPTION CODE. • BAILEQ ❑ OTHER ; ❑ YES ❑ NO ft. (L ing meter WELL DEPTH DURATION DRAWOOWN YIELD Is Land 3 It. hr. min. It. 9f%m g v! Q - 7 4- Is " / WATER ❑ CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES O NO PUMP INFORMATION TYPE CAPACITY MAKER DEPTH Q MODEL VOLTAGE�3L' HP STORAGE TANK: TYPE CAPACITY GAL. WELL ORILLUNNA�ME /�+' � AOORESS " � 4% >'o SIGFrk7URE - I DA Z ®,3 ..-�-PETER ,C.-,-ALEXANDERSON.---.---. rr r / r ty Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110* Old Route Six Center, Carmel, New York 10512 (914) 225-0310 June 11, 1987 John Romeo, P.E. One Northridge Road Peekskill, New York 10566 RE: Proposed SSDS Kristoferson Dring Lane (T)PV 69-86 67-5-2 JOHN KARELL, Jr., P.E. Director Dear Mr. Romeo: Review of plans and other supporting documents submitted at this time relative to the above-captioned project has been completed. Comments are offered as follows: ubm -d e fica:te�-af Can5tructiory-CompHafic-e s &tte approved at this time.. Enclosed is a list of the required information to be shown on "as boil-elplans. Please refer to note 4 and revised plans accordingly. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Ve-y)�ruly yours, Robert Morris RM:pt Environmental Health Technician -M.D. ty Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110* Old Route Six Center, Carmel, New York 10512 (914) 225-0310 June 11, 1987 John Romeo, P.E. One Northridge Road Peekskill, New York 10566 RE: Proposed SSDS Kristoferson Dring Lane (T)PV 69-86 67-5-2 JOHN KARELL, Jr., P.E. Director Dear Mr. Romeo: Review of plans and other supporting documents submitted at this time relative to the above-captioned project has been completed. Comments are offered as follows: ubm -d e fica:te�-af Can5tructiory-CompHafic-e s &tte approved at this time.. Enclosed is a list of the required information to be shown on "as boil-elplans. Please refer to note 4 and revised plans accordingly. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Ve-y)�ruly yours, Robert Morris RM:pt Environmental Health Technician PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFAC t # ,. j TELD. INSPECTIO: _.( -of er) - -- __ -( trS �t- -Locat - -- - = `INITIAL —SITE- INSPECTION Wetlands on/or proximate to property.............. Property lines or corners found ................... Can estimate house location ....................... Will driveway need cut ....... ............. ..... Must trees be removed - note these ................ Deep holes representative of entire SDS area...... Additional deep holes needed...... .... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells/ septics ............................ D. H. 1 Lot Depth to G. W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. 12 ft boil vescrlDLlon D. H. 2 Lot Depth to G. W. Depth to rock 0 ft 3 ft 6 ft 9 ft - - 12.. ft boil vescri J% / DATE e (! V/r INSP. BY. NO COK4ENTS ��—le�z D. H. - Deep Hole G.W.- Groundwater D. H. 3 Lot Depth to G. W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. House SSDS located per approved plan ............. Soil I_ DATE: FINAL SITE INSPECTION INSP. BY: YES NO CCMMENTS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Roan allowed for expansion trenches.............. Over 100 ft. from watercourse .................... Natural soil not stripped or SDS area unnecessarly graded.......... .............. 10 ft. maintained fran property line and 20 ft. from house... ......................... Distance well to SSDS (ft.) ...................... Number of bedroans checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench.. ............ 15 ft. of peripheral soil horizontally fran trench ..... ............................... Boxes properly set.. . ..... ... ................ could surface runoff .fran driveway, roads, ground surface, etc., channel near SDS area..... j Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE.. y ._.r � 3t.�... .y 1 +w y ;, .4 ^�6•. 5._� .. �.r9 tt1 1..:."t rh'- •�tY .i't. 15'� ^ yT �Y� V �• •k�., ..a.. 1P i .r,.i- i I��`C y r DEPARTMENT OF HEALTH Division Of Environmental Hit I Services TWO COUNTY CENTER - CARMEL, N.Y.. 10512 (914) 225 -3641 . .. -..e . .o-....ti.`:..'LO, —:sY 'xr - '? ' _. ^, a�. .:.� -. _.. . -. �.�... ._— � ,' .. . : _ .... . —, _ _,_ ..... rm.. �`-�. �'-:wV '�a fY i'.� "' .�.. c ...—.� _.. ... .. ti......_. ... .. . .•'fe+.'. APPLICATION TO CONSTRUCT A WATER WELL _ -1 y� WELL LOCATION c A S Dring Lane 1 IUWN�41lLAG / Y f [AX (;Rio NUMBER. Putnam Valley 67 -5 -2 WELL OWNER NAME. Edward Kristoferson Old Crompond Road Peekskill, NY10 BEIVATC - ❑ PuKIC USE OF WELL ® RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED 1 - primary ❑ BUSINESS ❑ _FARM ❑ TEST /OBSERVATION ❑OTHER (specify) 2 - secondary ❑ jNOUSTRIAL ❑INSTITUTIONAL ❑STAND -BY ❑ AMOUNT OF USE YIELD SOUGHT gpm. /NO. PEOPLE SERVED 4 / EST. OF DAILY USAGE '600 g21 REASON FOR L NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION DRILLING ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL WELL TYPE I Xl DRILLED F_� DRIVEN . Fj DUG M GRAVEL M OTHER 15 WELL Sl'lTh SUBJt:UT TU YLUUUING? � YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: LOT NO -- WATER WELL CONTRACTOR: Name Anderson Well DroAddress: ar y new rark ±0579 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: '_ YES .2L_ NO NAME OF PUBLIC-WATER SUPPLY: - TOW11 /V /C, - -'D "iS'rANCE_Y0 "VRO`'E1eiY F-RROM` -NE REST'''WP,2'ER.I�iATN -- IV'o _mains; available' LOCATION SKETCH & SOURCES OF CONTAMINATION August 20; 1986 (date) (signature) _ _Y PERNT 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 2. Disinfect the of the Putnam permit. 3. Submit a Well the Putnam Coi until the water is clear. well in accordance with the requirements County Health Department attached to this Completion Report on a form provided by inty Health Department. . Date of Issue: 19 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDI11DUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS of O*1E -- C;S- - - - - -- 0s- r T,T CONSTRUCTION PERMIT -7� / DATE RE.V .: . t. . Q J; r • .. t_- Location) DOCUMENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results (3) 30" Perc Hole Other House Plans - Two sets If PWS - Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions.- Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data Two -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage & Expansion Area Expand .0n''A ; sk!owrY: gr xv ty J1, w s f f,.: size. _ If Pumped Pit & D Box Shown & Detailed House - No. of Bedrocans Wells & SSDS's w /in 200 ft. of Property Located Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake Unc. expan) 15' to Drains- Curtain,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' from Foundation 50' to Well 15' Well to PL GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland ( Town /DEC Permit R & D) Data On DDS Plans & Permit Same PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date July 25, 1986 _ - - -� —` Re: Property of — – Edward Kristoferson -_____ Located at Dring Lane (T) Putnam Valley Section 6'7 Block S Lot 2 Subdivision of Glenbrook. Subdv. Lot #Pa.rcel A Filed Map # 680 Date Nov 149 1952 Gentlemen: This letter is to authorize John. S. Romeo a duly licensed professional engineer X or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of.the Putnam County Department of Health, and. to sign all necessary.papers on my behalf in connection with this matter and to supervise the.construction of said ...ti -� .� >y.�. -. -r. M. ...�Y.y�... ++�. : .- � t r. �.. w :. �' .. - S _ . � i . F r '..4:s • . � M... ".T. � -_. ....Y �. ... w .. c � , w .. �'v . � .i.4 f. 4 system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public.Health Law, and the. Putnam County Sani- tary Code. Very truly yours, Signed Countersigned: // Owner. ofProperty P.E. 2 846 # Address 1 Northridge Road Address �° ��S$ ��f� Town Peekskill, N.Y. 10566 7 Telephone 737 -1056 Telephone , r •• • �• • r i� • DESIGN DATA. - -SUBT -SMSUFACE SEWAGE DISPOSAL SYSTIM FILE NO.. . Owner Edward Kristoferson Address 3950 Old Crompond Road Peekskill, NY Located at (Street) .�Dring Lane -- Sec. Block :Y - (indicate nearest cross street) : Municipality Putnam Valley (T) Watershed Hudson River. SOIL PERCOLATION TEST DATA RBXIRED TO BE SUBMITTED WITH APPLICATIONS Date of pre - Soaking Aug 15, 1986 Date of Percolation Test August 16, 1986 HOLE NUMBER CL= TIME PERCO ATION PERCOLATION Run Elapse Depth to Water Frog Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min/In .Drop Inches Inches Inches 9:32 10 :02 30 22.50 25.00 2.50 12.00 1004 1004 30 22.50 24.75 2.25 13.33 2 10:37 11 :07 30 22.50 24.63 2.13 14.08 3 411 :10 11:40 30 22050 24.63 2.13 14.o8 5 1 9:36. lo:o6 30 20.75 23.50 2.75 10.91 y - 2...1G :...20.75 23e00 z.5, .._., 1333 310:45 • 31:15 30 20.75 '23.00 2.25 13.33 4 5 1 - 2 3 5 NOTES: 1. Tests to be repeated at same depth until apprcximately equal soil rates are obtained at'each percolation -test hole. All data to'.be suimittpd for review. 2. Depth measurements to be made from top of hole. rev. 9/85 TEST PIT DATA REOUIRED 'TO BE SUBMITTED WITH APPLICATION 41 51 6' 71 9 .10, '12' 13' 14' INDICATF�LEVEL AT +WHICH GROUNDWATER IS ttCJTNfi1D 0 5 INDICATF. LEVEL To WHICH WATER LEVEL RISES, AFTER; ]BEING ENCOUNTERED. 5. 0 f eet- below DEEP HOLE OBSERVATIONS MADE BY: John S. Romeo DATE: Aug 159 1986 DESIGN Soil Rate Used 16-2-0 Min/1" Drop: S.D.. Usable Area Provided 5000 SF No. of Bedrocw .3 Septic Tank Capacity 1000 gals. -Type Masonry Absorption Area Provided By 430 L.F. x 24" width trend, Other, a 0 as 00000, 0 .vaukk FAlz John S. Romeo Name Signature U I Northridge Road j"T Address SEAL Peekskill, NY 10566 % r 27846 0 THIS '!SPACE FOR USE BY HEALTH DEPARIMM ONLY6. Soil . Rate Approved sq.ft/gal. Checked by Date DESCRIPTION OF sons ammmm IN TEST HOLES Pere Yerc ..Deep Deep Hol, DEPTH HOLE HOLE No. 2 HOLE No. 3 4 Topsoil' ' " "Tdpsolil.. Top G.L. 77 Z sandy,silty sandygsiltyt sandyisilty sandy silty, 21 1 0.2-M 31 41 51 6' 71 9 .10, '12' 13' 14' INDICATF�LEVEL AT +WHICH GROUNDWATER IS ttCJTNfi1D 0 5 INDICATF. LEVEL To WHICH WATER LEVEL RISES, AFTER; ]BEING ENCOUNTERED. 5. 0 f eet- below DEEP HOLE OBSERVATIONS MADE BY: John S. Romeo DATE: Aug 159 1986 DESIGN Soil Rate Used 16-2-0 Min/1" Drop: S.D.. Usable Area Provided 5000 SF No. of Bedrocw .3 Septic Tank Capacity 1000 gals. -Type Masonry Absorption Area Provided By 430 L.F. x 24" width trend, Other, a 0 as 00000, 0 .vaukk FAlz John S. Romeo Name Signature U I Northridge Road j"T Address SEAL Peekskill, NY 10566 % r 27846 0 THIS '!SPACE FOR USE BY HEALTH DEPARIMM ONLY6. Soil . Rate Approved sq.ft/gal. Checked by Date %3 \Ye IL .7nnR.AfP.1E7 'S:iCPOS7.[T[-- 1_ J :�j.�:..V� ��'d 1� Li1jiL Q +- FiN /5f15✓ (i ZI1bC CROSS SECT.. TYPICAL: 5ECTION A _ IN �_ ? -�: fz" � ` OUT rS' CALE1" =10' LEVEL I _ i qtr -_s ra3l�` �'Vi m _� 3 �t.`.:Ja7c:"+- (goo ✓/Ss - -- 7. .cF Z i 1 BAFFLE - LccAr4c° Qi M by \\ I i : i Cam, yr; « =rY ! ` i +.•.,, ` iii �G a ' ��r' � � .. -'.io/ �'�.,� lop F f .' l (. �!i. � ! ✓ Ali _ -. 4 S✓ .` ` 7' ' •c �� _ tai t5 ., ^ � to .h,�, . - -.BEDROOM HOW ANf DESIGNED & SUpERVISEIZ) BY < ' SGiILS'R?.7E JOHN �j;� ROMEO PC- Aw .s CONSULTING ENGINEERS t +4' � ° ;r -GAI_: TANK 1 NOIFti iHRIDGE ROAD `£ ..ORIGINX IaEEKSI<ILL, N. Y. _ CC J: t47a'. La m S JUNCTION 3q BOY _ L.i_.__ 4 ab ✓VLSL 1Q y — Q— %3 \Ye IL .7nnR.AfP.1E7 'S:iCPOS7.[T[-- 1_ J :�j.�:..V� ��'d 1� Li1jiL Q +- FiN /5f15✓ (i ZI1bC CROSS SECT.. TYPICAL: 5ECTION A _ IN �_ ? -�: fz" � ` OUT rS' CALE1" =10' LEVEL I _ i qtr -_s ra3l�` �'Vi m _� 3 �t.`.:Ja7c:"+- (goo ✓/Ss - -- 7. .cF Z i 1 BAFFLE - LccAr4c° Qi M by \\ I i : i Cam, yr; « =rY ! ` i +.•.,, ` iii �G a ' ��r' � � .. -'.io/ �'�.,� lop F f .' l (. �!i. � ! ✓ Ali _ -. 4 S✓ .` ` 7' ' •c �� _ tai t5 ., ^ � to .h,�, . - -.BEDROOM HOW ANf DESIGNED & SUpERVISEIZ) BY < ' SGiILS'R?.7E JOHN �j;� ROMEO PC- Aw .s CONSULTING ENGINEERS t +4' � ° ;r -GAI_: TANK 1 NOIFti iHRIDGE ROAD `£ ..ORIGINX IaEEKSI<ILL, N. Y. _ 120 I k-v 13 \ - \q 3 WN -OF. PU 'PUTNAM A", ty . . . . . . ..... 0 FOR TAX P uRposEs ONLY:.' REVISIONS SPECIALDIST�Cr INFORMATION LEGEND PRE 3E' I INARY L WN -OF. PU 'PUTNAM