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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.07 -2 -20 BOX 35 1 .1. Ir 0 I in T f,- Lo 9111 r- i it , ��, � rl,� . i 1 .1. PUTNAM COUNTY uzrAa& -, ... (� Division o( Environmental Health Services. Carmel. N.Y. 10512 on CERTIFICATE OF COMPUANI;Z Permit. N C NSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM t/7-4 4 ✓�fGl ri fy ,�iit /11� �S'i/Pi�� T own or Village Located st C/f!P, !/ Sabd. Lot N ° Tax Map /-'G Block - LotS�s__ Svlitloai i'iams : .....� Owner /Appllcent Name vi -ng Sp, 4e /N0 6 % .........�:._ ;: -; .. Date of Previous Approval Mailing Address 1Q0 �� �r7� •i^`% -_ Town h�/%bY°'� A Zip y �t� Type /Q z hf G H Lot Area � ' � A /G: Fill Section Only Depth,3� s voitutte Number of Bedrooms Design Flow G P D u° d f PCHD NotiBmtlon is Required When Fill is completed Separate Sewerage System to consist of �d Gallon Septic Tank and_ �d 0 L,'; d r To be constructed byTd+910 p13'%�iG'A?�NI�® Address Water Supply; Pv&Uc Supply From Address ort�— Private Supply Drilled byL O;�r�Urfid'PAf�!N°�ddreae ta U l' �' other Rogairemenrr GAR ZAI'Y Aof0floY 1 represent that 1 am wholly and completely responsible for the assign and location of the proposed system(s), 1) that the separate sewage dl s tn rules an regu a one o am above described will be constructed as shown on the approved amendment there to and in accordance with the standards, isposae County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill 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 disposal system during the period of two (2) years immediately following thedate of the Ism- of of the approval of the Certificate of Construction Compliance of the origin stem or any repairs ereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be installed i ordancs wit the ds, rul antl regu a�T'i%ns of the Putnam County Ogpae Health. 5�9n ed P. E. --)A/- R.A. Date llJJS�/J 2 /9 license NO Address � � � � � � APPROVED FOR CONSTRUCTION:Tnis approval expires two years from the date Issued unless construction of the building has been undertaken and Is revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestic sanitary sewage, and /or .private water supply only. Raw BY Title 1/87 Oate - PUTNAM• COUNTY DEPAETMAM OF HEALTH Division of Envll"aamsental Health Services, Carmel, N.Y. 10513 ' / �1/ t d P.C.H.D. Permit N `, . �.....4.,. ,.. _., .� ... .. CATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM (f j /y Of of Did d7kfO RT Town or fibtge Owner /appacent Name U d %�/.�(�Gi%/Q{'GG/ Formeriy Tax Map _Block-_ D D � sabd,,l.loo Name ep r Mafiing Address Trip Subdv. Lot # Fee Enclosed Amount Date Permit Issued Septu74e Sewerage System befit by (�P �'� pL L r Address Conalsthrg of 1,64,0 Gafioe Septic Tank and r&.? 'lam Water Supply: PllWc Supply From Address --�4 — _Private Supply Drilled by4l._�rr �Addrem to �/�.h !/%%Tii,,�'•y BefiahagType_ (j� �NG /� Lot Size �Has Erosion�antrr,l Number of B drooms Has Garbage Grinder Been installed? AJ h Ot6ar Regelrements / Q r F/G 2,) , TfE,.� i certify that the system($) as listed serving the above premises were constructed essentially as shown on the plans o! the completed work f copies of which are attached),, and in accordance with the standards, rules and regulati n accordance vi Putnam Count nt O! Health. e ! plan. asid the permit issued by the Dab - Address Certifled by G I;� P.E. R.A. �GtL �� Liana No. Any person oulting np pn Such awed by the above system(y shalt promptly take such salon as may be necessary to sawn the correction of any unanttary available a d the from such usage Approval of the Separate sawera0e system gNtl become null and Vold as soon as a publ% Unitary atyar, bacons eva11ab1e and the approval of the private water supply shall become null and void when a public water supply baobfrlae ava(NbN. Such approval, era subject to modifkation or an" when, in the Judgment of the Comm nlloat'on, matlfl atio rgs��is rt a�c/Jea�Ury�./��f /� /yam PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services. Carmel, N.Y. 1051? Engineer to Provide Permit H on CERTIFICATE O LL9RICE CO TRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Permit Al �� - -� II�eeted pt_ T177" Town or_yiDage. - - _ '�4; 2� a -. Ia ray ._. m .. c. -. _ •'GY � +s� -.�.. i$at. - .. ..' _ -. .+: _ *.. �. b s.'q.• •r Subdivision lYam�%� /�= Snbd. Lac H T. Rgap�— Bloc!<�Lot Renewal— ❑ Revision ❑ Owner /Applicant Name—' � e4'e / / Date of Previous Approval Nalling Address ' 't/ -4d,0 Town ! Zip Building Type � G� Let Area Fill Section only Tj Depth /�volume "el Number of Bedrooms S Design Flow G P D ®� PCHD NNotlflcationn Is Required When FN Is completed Separate Sewerage System to consist of 404 Gabon Septic Tank and . z6 To be constructed by 11A1A',"V'4-'1%t Address Water Supply: Pdbllc Supply From Address or: OK ' Private Supply Drilled by &Ad#4t2/!!!'t'fj___Addres9 Other Reaubrements / 1 represent that I am wholly and completely responsible for the design and location of the proposed system(s); 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 and regulations of e Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance "' satisfactory to the Commissioner of Healthwill 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 disposal system during the period of two (2) yea I Immediately following the date of the issu- ance of the approval of the Certificate of Construction Compliance of the original sys or any repairs t reto; 2) that the drilled well described above will be located as shoavn on the approved plan and that said well will be installed in ac ce with rds, rules and regu Wo ns of the Putnam County Department of Het . Date (/� � Signed P.E. R.A. Address `��" �r gn License No��_ APPROVED FOR CONSTRUCTION: This approval expires two Year om the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considerdd by the Commissioner of Health. Any change or alteration of construction requires a new ,,r/e�rmi . Approved for disposal of domestic sanf y wage, and/ private water supply only. yam. � _�^ A n_cts Date " I r I c J By �/— ' v- - 0 • I'm F/ MW Title 1m- d� F �'Ul� Dom? ®II♦ IBIBI�H.117S Ina F?�mB>3e f 0 VALZ,F � ��Il� lLiGi¢cfrl y �-!1- IIca 0 �- TM � cf' ; % II 02 HIS! Bob ad hev6lizi Appovd 4i/13 d p s! , M /$Hyl"'P90 4/1" Z1l r` ( Foam ZIP Date Subdivision Auroved Fee Enclosed ® Amnttnt Rg� /�l l� �A/64 i L II� Aiwa P9� Sat�cl Oar � Y WMb= d MShC=3 .3 _-- FBan G PD PCHD RTC f Wb= Pal b weepiabd smwese sylem OD e dab 6 0 To ba O=Sbmska ray fi !� KA.ICIwq / wow s: C32 290vab vN /C/yc dwi� -A d&= oam 0 lie ep Cam✓ J)r ee r 1 roprownt'Ahot 1 am wholly and complotely rosponsiblo for the design and location of the propopd systom(s); 1) that the mporato s aaag0 di srrl s stow above dow1bod will ba constructed as shown on the approved amendment there to and in accordance with the standards, rules arm regu ns o nom (ounty Dope enant of Health. and that on completion thereof a "Certificato of Construction Compliance" satisfactory to the Commissione7 of Health will ea moffi ttos) to too Depaglinie lt, and a written guarantee will ®o furnished the owner, his euccessws. heirs or assigns by the builder, thot wN builder t:rllt o too in goad opwa" condition any part of salmi =W"() disposal system during the p091od of two (2) years Immediatoly follovsina the date of the imu- OM of tho opprotal of tho Conifkato of Construction Complianco .of the orleinal om or any rOp0t7 t4xaoto; 3) that the drilled well detiDrlb®d oEfozoo Wills be tocesod Os dwsma on too approved pion and that shad twoll twill be Installot in nf� with the rds. v 4 and re au a of li na of the Putnam Coo V Oc a w 3m a "with. Date Slancd P.E. _2(_ R.A. Addvoas /�" Y Licon o WO APPROVED FOR CONSTRUCTION: This approval 0196210 two r from the date issued unkiss construction of the building has boon undo rtokon and Is PGVCeab10 for eau or m y 00 amc;9ldezl Or modified whop eon p SL°)ry by th� missionov of t-0C1tth. Any chart};o or a1tC7atWn of construction acauiros a noM 7-mit. Approvcd for dispoml of domottk iLl y sseayoge, and/, water supply only. Rev f Nq DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Daniel J. Donahue, P. E. D'Aquino & Donahue 200 Breckenridge Road Mahopac, NY 10541 November 22, 1991 Re: Sewage disposal system Spaccarelli .hood Street (T) Putnam Valley Dear Mr. Donahue: JOHN KARELL Jr., P.E., M.S. Public Health Director I have received and reviewed the plans for the repair to the above mentioned sewage disposal system. The location of the proposed system.is adjacent to, and partially in a wetland. Soils in these areas are generally not acceptable for the construction of sewage disposal systems, and will not be considered by this Department if an alternative - :.site -_ ism available. .i The eurvey indicates that the west .portion of the lot Mood Street; may•)be more accep`ta�le. This Department would have no objection to the location of the proposed well adjacent to or within the wet area. Please explore the possibility of relocating both the proposed well and the sewage disposal system. If you have any questions please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH /jp Nq DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Daniel J. Donahue, P. E. D'Aquino & Donahue 200 Breckenridge Road Mahopac, NY 10541 November 22, 1991 Re: Sewage disposal system Spaccarelli .hood Street (T) Putnam Valley Dear Mr. Donahue: JOHN KARELL Jr., P.E., M.S. Public Health Director I have received and reviewed the plans for the repair to the above mentioned sewage disposal system. The location of the proposed system.is adjacent to, and partially in a wetland. Soils in these areas are generally not acceptable for the construction of sewage disposal systems, and will not be considered by this Department if an alternative - :.site -_ ism available. .i The eurvey indicates that the west .portion of the lot Mood Street; may•)be more accep`ta�le. This Department would have no objection to the location of the proposed well adjacent to or within the wet area. Please explore the possibility of relocating both the proposed well and the sewage disposal system. If you have any questions please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH /jp ����w��D� ��� '�om��u�.xx�umm ^�^x/.muu�� ' John V.D'Aquino.�E. Daniel l Donahue, P.EL 3l4Oaumvuou Lake Road 2OOBzeckcuridgoRoad Putnam Valley, TO? lO579 &8ubopmc, N.Y. 10541 914'5260039 914-628'7576 October 29, 1991 ' Putnam County Department of Health 110 Old Route 6 yT Carmel, N.Y. 10512 Att: William Hedges RE: Sewage Disposal System Repair Property of Spaccare}li Wood Street Putnam Valley (T) Dear Mr. Hedges: Enclosed, please find, three copies of a proposed plan for the repair of an existing sewage disposal system which serves the existing two bedroom concrete residence as shown on the plan. Inspections of the site, which is 1pcated approximately 1.5 miles- -South 'of the Antersection of Wood'Stree± -and Secor' _ - Road, indicate the existing sewage disposal system is in disrepair and requiring_an entirely new system. The property owner has requested the new system be located in approximately the same location as the existing system b ca s' f the fact that previous construction has taken e u e_ o ^ ' - - locations. Since the area of the existing system exhibits poor drainage, a fill section of a minimum of 4 feet in depth of run of bank fill will be required as well as a pump and | appertances. The new well will be located near Wood Street. Prior to proceeding with further design, we would appreciate your comments at this time. Sin rel y Daniel J. Donahue, P.E. cc: V. Spaccarelli Site 0 Sanitary 0 Environmental 7.:: / -� ~~ .. cn rp =- T/ ~� [ Fr! T_ -� WELL COMPLETION REPORT Office Use Only DEPARTMENT OF HEALTH qj _ni_viswion;.Of h: . I 7 _Sep ealt t'UTNAM �G'LX J COUN'T'Y DEPARTMENT OF HEALTH StREEI AOURESS: WN/vItAi. r 111 TAX GRID Nun+BEA: WELL LOCATION � (r , _ - S •t-- lc -f C ` L C.. K- �_ % 1Ci fh T WELL OWNER i) ! CJ ME: �aO, L ADDRESS. USE OF WELL 1 - primary 2 - secondary AOUNT OF US REASON FOR DRILLING DEPTH DATA DRILLING EQUIP61ENT WELL TYPE CASING DETAILS SCREEN DETAILS �I .c © RESIDENTIAL ❑ PUBLIC SUPPLY O AIR /COND. /HEAT PUMP 0 BUSINESS O FARM O TEST /OBSERVATION O INDUSTRIAL O INSTITUTIONAL O STAND -BY '-lam O P8IVATE O PUBLIC O ABANDONED O OTHER (specify) O YIELD SOUG11T '� gpm. /NO. PEOPLE SERVED / EST. OF DAILY USAGE gal. []REPLACE EXISTING SUPPLY OTEST /OBSERVATION ❑ADDITIONAL SUPPLY ff�EW SUPPLY (NEW DWELLING) Q DEEPEN EXISTING WELL WELL DEPTH i x_ ft. STATIC WATER LEVEL a ° ft. DATE MEASURED ''ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG O WELL POINT. ❑ CABLE PERCUSSION ❑ OTHER (specify): O SCREENED C9 -OPEN END CASING ❑ OPEN HOLE IN BEDROCK O OTHER TOTAL LENGTH !2.L fiL MATERIALS: ®STEEL O PLASTIC ❑OTHER —LENGTH BELOW GRADE ZS_ ft. JOINTS: O WELDED © THREADED 0 OTHER DIAMETER - - k in. SEAL: 0XEMENT GROUT O BENTONITE OOTHER WEIGHT PER FOOT Ib. /ft. DRIVE SHOE O YES [ NO - LINER: O YES P NO DIAMETER (in) 'SLOT SIZE LENGTH (It) DEPTH TO SCREEN (It) DEVELOPED? FIRST O YES O VO SECOND,: - "' .. - .,.• :, �.. _ - HQURS.- s GRAVEL PACK 1. O YES GRAVEL O NO SIZE: WELL YIELD TEST ; If detailed pumping METHOD: O PUMPED tests were done is in- COMPRESSED AIR ; formation attached? O BAILED O OTHER ; O YES O NO WELL DEMI DURATION DRAVIOOWN YIELD It, hr, min. It, gpm. a T WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES ONO PUMP INFORMATION TYPE 144`!l "�`''��' {��_ CAPACITY MAKER ('7' r -(A H c-1' co_s DEPTH MODEL VOLTAG 3C) HP DIAMETER TOP I BOTTOAI OF PACK In. DEPTH - -It. I DEPTH It. WELL�oE+ 11 more detailed formation descriptions or sieve analyses Y!I u are available, please attach. DEPTH FROM W well SURFACE, &x- Oia- FORMATION DESCRIPTION poE It. 11.. "9 Ine�er Lind Surface S �„ lU V e ✓ UU. rcQ �3.5 c h r.-E STORAGE TANK: TYPE CAPACITY GAk. WELL DRILLER NAME GATE , ADORES - SIGTDtTURE 14" sot PUTNAM COUNTY DEPARTMENT OF HEALTH . DIM t a. s:< _� Owner or Purchaser of Building < 1/ Building Constructed by Location - Street Municipality Building Type � c 7 t?'_ 12-6 Section Block Lot Subdivision Name Subdivision Lot # GUARANJEE 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 - "Carta: is t c� =`Ge:z :tructa %�.*�, Coinp?ri "�. ^ ".c?r'' .for the sewage .dis s� 71- y. -8' �.-_or- any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The - undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental 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 building utilizing the system. Dated this _30 - day of 19& Signature Title General (Owner) - Signature o i 44 �e lIi Corporation Name (if Corp.) (� RO Address rev. 9/85 mk Corporation Name (if Corp.) Address DANIEL J. DONAHUE, P.E. CONSULTING ENGINEERS 120 Breckenridge Road Mahopac, N.Y 10541 91"28-7576 Putnam County Department of Health 6 Geneva Road Brewster, N.Y. 10509 Att: R. Morris, P.E. RE: Asbuilt SSDS Property of V. Spaccarelli Wood Street Putnam Valley Dear Mr, Morris: Enclosed please find: 1. Certification of Construction Compliance 2. Four copies of the asbuilt plan 3. Three copies of the guarantee 4. Fee of $200.00 5..:. Well log aa7cl'! results_ Your prompt attention to this matter would be appreciated. Sin �'ej,y, P. E . Daniel J Donahue P P Site • Sanitary • Environmental '0 YML ENVIRONMENTAL SERVICES 321 K*ar Street Yorktown HeiMhts, N.Y. 10598 ' (914) 245-2800 do LAB #: 32.401322 CLIENT ~=~~~~~~~~~~~~~~~~~~~~~~ ` SpACCARELLI, CONST, CO P.O. BOX 747 BALDWIN PLACE, NY 10505 #: 3433 STAT PRUC PAGE 1 ~~~~ ~~~~"""~~~~~~~~~~~~~~~~~"~~~~~~~~~~=~~~ DATE/TIME TAKEN: 09/01/94 14:35 DATE/TIME REC'D: 09/01/94 15:00 REPORT DATE: 1 09/02/94 PHONE: (914)-621-2003 SAMPLING SITE: 92 WOOD ST SAMPLE TYPE..: POTABLE : PRESERVATIVES: NONE COL'D BY: MICHAEL SPACCARELLI TEMPERATURE".: { 4C NOTES.' .: CO IFORM METH: MF "~"=""~~"~="===~~"~°^~~=~""=~~~~~ ~"===~~~~~~"~~~"~~~~=~~~~~°~~"~=~==="=` DATE FLAG PROCEDURE RESULT NORMAL - RANOE 09/02/94 MF T. COLIFORM ABSENT /100 ML ABSENT BACT THESE RESULTS INDICATE THAT THE WATER 1� Z WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORD E NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. ` � ! ` SUBMITTED BY: W -7- __-____-_---- A|bert'H. Padwvani, M.T.(ASCP) | Director , ELAP# 10823 Dan Donahue 200 Breckenridge Road Mahopac NY 10541 Dear Mr. Donahue: t DEPARTMENT OF HEALTH Division Of Environmental Health Services Geneva Road, Brewster, New York 10509 (914) 278 -6130 RE: Proposed SSDS Spaccarelli - Wood Street (T) Putnam Valley JOHN KARELL Jr., P.E., M.S. Public Health Director August 27, 1992 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: ' 1. All existing or proposed SSDS with 200' of the proposed well are to be shown on plan 41 4e7 •`v 1V&n1'R 1c112-4 IJtfT oXXAft4 V If existing, the location -of the SSDS -for the building labeled one- story residence is to be shown on plan. �sA#u- .-Z ""'S3. A letter from the Town of Putnam Valley Building Department is required stating the status of the building labeled one -story residence. 6,0dY I A •l ett'�r. f1'�m .:t.he_:TQwn. -of PutnaA] l�.K •i sdgii rid atati rrg t#iQ- Town'`s position in the construction of a SSDS near a wetland. Furthermore, if the Town declares th *area is a wetland, the wetland boundary is to be shown on plan. 106rg0 5. Title Block is illegible. Daap) 6. Wood Street is not shown on site plan. OVO ) 7. Trench design has not been submitted. 8. Fill notes are illegible. JAl 9. A pperc test is to be witnessed bb a Representative of this Department. (t`i6J Separation distances are measured from the toe of the fill.- Therefore, a 100 foot separation distance must be maintained from the toe of the fill section to all existing or proposed.•wells. I Upon receipt of a submission revised to reflect the above comments, this application will be considered further. Ver ruly yours o b,i- Robert Morris RM:mk Assistant Public Health Engineer N .0 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT #� WELL LOCATION Street Address Town/Village/City Tax Grid Numbe WELL OWNER Name Mailing Address !//e �Iq cal'I-6e d G /-i i'D o �fJO®'A S7" 174W� te P 1h] I ® Publfc WELL primary USOF 2 - secondary RESIDENTIAL ® PUBLIC SUPPLY AIR /COND /HEAT PUMP R O ® BUSINESS O FARM O TEST /OBSERVATION 0 INDUSTRIAL O INSTITUTIONAL O STAND -BY ® ABANDONED O OTHER (specify AMOUNT OF USE YIELD SOUGHT_ 0_�_ gpm /11 E /EST. OF DAILY USAGE �QUgal ® REPLACE EXISTING SUPPLY ® TEST/ OBSERVATION ADDITIONAL SUPPLY W SUPPLY NEW DWELLINGY 0 DEEPEN EXISTING WELL AV- 1�f - REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE BILLED ®DRIVEN ODUG OGRAVEL ® OTHER IS TELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. MATER WELL CONTRACTOR: Name �//iJ/S<d�G�Y Address: IS PUBLIC [CATER SUPPLY AVAILABLE TO SITE: YES NO HMO OF PUBLIC WATER SUPPLY: /J¢- TOWN /VIL /CITY - -DISTANCE- TO- PROPERTY FROM NEAREST WATER -MAIN: � LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED SeN SEPARATE SHEET (date) - (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or other ' e contaminate surface or groundwater. Date of Issue: (o 19 - Date of Expiration 19 l Per Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller p �. r.... ' o/'� f 0 I/ o I I'BATH i_i .;J.� ~'- KITCHEN X11 'K!TCFIEN I _ - Lp;h RAf'I 91 -1 DINING DED RM 11 ' f�I nt.w INNING is V.iil .. 91.'X,1 i f.111 l � 1.1 .91.11) �BATH`I � OI 'V HALL \' HALL BCD RM32 ' LIVING RM BED RMN2 ...•�',_ � LIVING RM BED RM�3 pDi1+ BED RM13 W. ru _T1 t e. il I LAKEWOOD 24x40' FERNWOOD 24x48' vi - -`\ " I. 1 . K TCHEN ;CT !JI DINING . - - 1 BED RM' 1 'iL_r, R1,01 ^ LIVING RM _ J_ 11002U ::9.119 •,l: 11 I IIt9d7 ' DINING / 99.99 HALL HALL LIVING RM - .. �•' '' _• - •`' _ . BED RM`2 BED RM02 i "" ov,,.v KITCHEN BED RM '3 9o.,1v BED RM 9 3 ;�- X KIRKWO 27x40' ENGLEWOOD 27'X48' �A > IN —LYON HOMES INC. "µ � - •s 1,O.Id frail Road, Selinsgrove Pa. 17870 Telephone (717) 743 -0111 -L l-,", - -. bo N =f °57� R, H T LO'r 2 ANA CL4 . .`� � '� ,�,.t fit..._, ��,'�c�,�� �� •.� �fJ' `�' I �,' . tY I Rrtir�r -!; Pt � Rr!'td s / ®Pe' j f� � ✓ Zf IV FROtZ WEST COUNTY ENV FAC BIU,Y CAOWDER Chair-Sn Brian Doyle Secretefy 4.30.1993 13:02 TOWN OF PUTNAM VALLEY Town Engineer PLANNING BOARD Jeffrey Contelmo 225 -6200 265 OSCAWANA LAKE ROAD PUTNAM VALLEY. NEW YORK 10579 April 12, .1993 SPACCARELLI, VICTOR TM#85.7 -2 -20 Wood street P. 1 1 Members Robert ..Canavan.. Pster'Caucci Kobert Chasnut Kenneth Kt rit0y, Sal Santaimorena Ad(m Assistent VITTORIA COLESANTI 19141 526 -3740 WHEREAS, Mr. Victor Spaccarelli proposes to construct a single - family residence, driveway and septic disposal system on an existing loft, and WHEREAS, the wetlands boundary is the stone wall which runs north -south through the center of the property and the entire septic disposal area is within the 100 foot buffer area of the wetlands, and WHEREAS, there is an existing concrete building on site which can only be used as an accessory building, but access to which can only at present be provided by crossing the wetlands, NOW, THEREFbRE, 8 -IM RESOLVED" THAT:.o ri. -matton -by Robert..Chesnut;= seconded:,''z`; by Brian Doyle and unanimously carried A WETLANDS PERMIT BE GRANTED subject to the: 1. Closing of the entrance to the accessory building presently on the east side and opening a new entrance on the west side; 2. Filling of the existing septic tanK, by hand, to avoid further 1' disturbance; -' 1 3. Creation of a seeded way to the accessory structure; a 4. Stabilization of the wetlands area with. vegetation (seeded and mulched) which should. then be allowed to revert to wetland vegetation. All four items must be completed prior to the sale of the property or the issuance of a building permit. ' U. "onXUc (,7j* OYv� S Fre�� 0 of proos: Phanc �.: �, : fw' •r.e.ROawrrr. rR •'• »..n— �.,.. �: r � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FROM WEST COUNTY ENV FRC 4.30. 1993 13 02 P. 2 - a)r .. •.t .e. -.PL. c - r — spaccarelli, Victor Subject also to compliance with the notes on the engineering drawing prepared by Dan Donahue, P.E. dated April 4, 1993. Please note that this permit is valid for one year from April 23, 1993 and { that, it needed, one (only) permit renewal for one.-year can be obtained j fromi- a Building Department. ` BY; Vittoria M. Colesanti Administrative Assistant DATED: April 23, 1993 I. . w • Y : ... _. - .- . ,..- -. ;.p. ��y.. _. ->. w- -_ ��—�- .•rte. .,.. � _.� � ..s.*r a .... ,e, a�,c� y..._E.s . .. y .-, y' .., �,�- �o... Caro a P, Hug, ies [/ Town Clerk i Town of Putnam Halley - _ a _.: P.:'4Y.'w Q. _ DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Dan Donohue 120 Brecke>idge Road Mahopac New York 10541 Dear Mr. Donohue: Review of plans and other relative to the above- captil are offered as follows: "The construction of this local wetlands regulations. officials in this regard." a 'r ;...JOHWXA.RELL .J,., .P..E., M.S. Public Health Director August 23, 1994 RE: Proposed SSDS Spaccarelli Wood Street (T) Putnam Valley supporting documents submitted at this time )ned project has been completed. Comrents sewage disposal system may be subject to You should contact local wetlands 1. All separation distances are measured from the toe of the fill section. Revise plans accordingly. 2. Fill is to be shown extending 10 feet past the edge of the trench and then sloping 3:1 to grade. Therefore, the minimum distance from the trench to a boundary condition is 19 feet. Revise plans accordingly. 3. Clay barrier is not shown in SSDS profile". Upon receipt of a submission revised to reflect the above comments, this application will be considered further. Very truly yours, Robert Morris, P.E. Public Health Engineer RM:mk r — , PUTNAM COURN DEPARnUM OF HEALTH DIVISION OF ENVIRONMENM HEALTH SERVICES DESIGN DATA SHEET-SUBSUFACE S3qAGE DISPOSAL SYSTEM FILE NO. Owner // &,c d• C J-7 Address Located at (Street) CoVffe,'�af-4,��l Sec. Block .2. Lot.7�� (indicate nearest cross street) Municipality Watershed SOIL PMM=CN TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre-Soaking Date of Percolation Test HOLE NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start-Stop Min. start stop Drop In Min/In Drop Inches Inches Inches ®a /1L � � J7 3 - 211 ('P/ap /If- - � y 3 ? ' J— — . 20 bt 4 5 j . 2.11 .j 0 a ry 3 9 a m NOTES: 1. Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to'be suhmitted for review. 2. Depth aeasurements, to be made from top of hole. t I APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS r . , REVIEW. SHEET for CONSTRUCTION PERMIT �,ME OF OWNER _ STREET LOCATION DOCUMENTS. N ❑ PER:wr APPLICATION PC -1 WELL PERMIT:= PWS LETTER ENGINEERS AUTHORIZATION DESIGN DATA SHEET(DDS) DEEP HOLE LOG _7 CONSISTENT PERC RESULTS (3) J PERC HOLE DEPTH 7 CORPORATE RESOLUTION DATE TAX MAP 0 DISCHARGE (OK) -PERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY ANA EXPANSION /EXP. AREA; SHOWN; GRAVITY FLOW, SI:FF'.SIZE IF PUMPED PIT & D BOX SHOWN & DETAILED E - NO. OF BEDROOMS WELLS & SSDS'S WMN 200 FT. OF PROPOSED SYSTE`f PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) J PLANS THREE SETS tN OUSE SEWER - 1 /4 "/FT. 4 "0; TYPE PIPE HOUSE PLANS - TR O SETS I BENS; MAX. BEN DS 45 W /CT.W.%:\OLT FILL SYSTEMS VARIANCE REQL:EST GENERAL fO YBARRIER LEGAL. SUBDIVISION T H ORLZOtiTAL: SLOPE 3:1 TO GR4DE J SLBDMSION APPROVAL C:-ECKED L SPECS PERC RATE GAUGES FILL REQUIRED •' LL PROFILE 3 DIMENSIONS CURTAIN DRAIN REQUIRED CDSTANDPIPES VOLUME EX- APPROVAL SSDS ADJ. LOTS TRENCH ZLF NVB'TLk,D (TOW.N /DEC PER-NUT R & D) TRENCH PROVIDED X DATA ON DDS PLANS & PERMIT SAME 60 FT MAX PARALLEL TO CONTOURS PRE- 1969 - NEIGHBOR NOTIFIFICATION ® 100% EXPANSION PROVIDED LETTER BI/ZBA SEPARATION DISTANCES SPECIFIED ON PLAN -100 -YR. FLOOD, ELEVATION.— . -- _�. FIELDS ,taITIRED DETAILS ON PLANS _ C�J 10' TO P.L., - DRIVEWAY, LARGE TREES, TOY OF FILL SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE m �20' TO FOUNDATION WALLS GRAVTTY FLOW BOX m m 100 TO WELL, 200' IN D.L.O,•D., 150' PITS / J TRENCH/GALLEY P- PIT DETAILS - 100 TO STRErVNf WATERCOURSE LAKE (LNC.EXP.kN) EPTIC TANK - SIZE, DETAIL 50' TO CATCH BASIN, 35' STORMDRAI . PIPED WATER YELL DETAIL, SERVICE LINE IF OVER 10' TO WATER LINE (PITS -20') NOTES (GRINDER R-kTE) 50' INTERMITTENT DRAINAGE COURSE FONSTR:CTION ESIGN DATA: PERC AND DEEP RESULTS 200 FT. RESERVOIR, ETC.m 150 FT. GALLEY SYSTEMS TTIVO-FOOT * CONTOURS EXISTING & PROPOSED SEPTIC TANKS AY & SLOPES CUT 3 FOOTLNG,GUTTER/CURTAIN DRAINS iMMENTS: E10' FRONf FOUNDATION; 50' TO `VELL WELLS dDl15' WELLTO P.L. JOHN KARELL Jr., P.E., M.S. Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 i`Ve�Ij 7j /all I. k P.r 066 PC) f jl A6-0 PPIC ��, l� ' q j Re: Proposed SSDS: woj)o —5vw (T) 2uIAII,1 VA-Li" year M Q /i OWL Revi &t4 of p i ans and other -upport = ng documents subili tted at this rime re i at i ve to ',)e above - Captioned project has `been completed. Comments are offered as fOiTOWS: "The construction of this sev4age d',sposal system may be s :jbiect t0 local wetlar:ds regulations. You snou E d contact local wetlands officials in this regard . -YO era r?ferred t0 �rtiCle 128 _ iCial COmpi ation Of COdes,uies and Regulation- ew YOrk�TL itle 1 0, re alive to the need for approval F -. lviduai se--xage dispose sCm `�i4@ Contact amity CifiCi3ls 1,1 t(liS rerd." �) lc(LL LS .fv ':BP- 5 � D� � ZJ +' P.&S A `o)W )AP-i C,-va-)9 +n'3 I%AP!5 ,4ee- crf- otp6C,J 3) 6 -A j BA -44-f- 15 U i Upon :Receipt of a suomission, revised to reflect the abo,./e comments, t�is application wile: be considered further. Very truly yours, sober t M?Orri s I P Z r :pub i i s ;-!ea i tl: Engi -)eer RV /gip Watershed SSDSPro'oosed c C � �t7 16 - as - - - �� .. .r. � �!'.,�.t�•�" lr.. B 11 DANIEL J. DONAHUE, P.E., CONSIJSJT-ING ENG NE: ER 120 Breckenridge Road Mahopac, MY 10541 July 19, ,1994 91"2-7$76 Putnam County Department of Health 6 Geneva Road Brewster N. Y. 10579 ATT: R. Morris RE: Permit to Construct Trench Design Spacerilli Wood Street, Putnam Valley Dear Mr. Morris: Enclosed, herewith, please find: 1. Application for a Permit to Construct a septic system 2. Design data sheet 3. Four copies of the construction plans The above is being submitted for approval. Your - prompt attention to this matter .would -be greatly appreciated.. Sincer , Daniel J. Do hue, P.E. Site 0 Sanitary ® Environmental DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 November 22, 1991 Daniel J. Donahue, P. E. D'Aquino & Donahue 200 Breckenridge Road Mahopac, KY 10541. Re: Sewage disposal system Spaccarelli Wood Street (T) Putnam Valley Dear Mr. Donahue: JOHN KARELL Jr., P.E., M.S. Public Health Director I have received and reviewed the plans for the repair to the above mentioned sewage disposal - system. The location of the proposed system is adjacent to, and partially in a wetland. Soils in these areas are generally not acceptable for the construction of sewage disposal systems, and will not be considered by this Department if an alternative ilable. Thy survey__ indicates # hat , tne. rest portion of -the lot- near - Wood Street, may be more acceptable. This Department would have no objection to the location of the proposed well adjacent to or within the wet area. Please explore the possibility of relocating both the proposed well and the sewage disposal system. If you have any questions please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH /jp DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER,.CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT # WELL LOCATION Street Address Town/Village/city Tax V 0.04) 4i P60 T O 1 � 1111-4.01 6 Grid Number WELL OWNER Name Mailing Address e lbY no Ge' 414l ail'O"m sr ,a- Alriw9 7 .XPrivate ® Public USE OF WELL (2- primary 2 - secondary RESIDENTIAL ® PUBLIC SUPPLY ® BUSINESS ® FARM 0 INDUSTRIAL O INSTITUTIONAL ® AIR /COND /HEAT PUMP O TEST /OBSERVATION ® STAND -BY ® ABANDONED 0 OTHER (specify AMOUNT OF USE R 014 YIELD SOUGHT� gpm /# SERVED_ /EST. OF DAILY USAGE i ® REPLACE EXISTING SUPPLY ® TEST /OBSERVATION ADDITIONAL SUPPLY NEW SUPPLY NEW DWELLING 0 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING o J"0a°ll _ N , & WELL TYPE LEDRILLED DRIVEN C]DUG O GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES X No WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION Lot No. MATER WELL CONTRACTOR: Nam€7,000DArAw ly VAPA Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES `Y NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TU PROPERTY FROM NEAREST WATER MAIN: �- LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED J�JON SEPARATE SHEET ( at ) (signature PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New.York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take'appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. Date of Issue: Date of Expiration Permit is Non - Transferrable 3/89 19 19 Permit Issuing Official White copy: HD File Pink copy: Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller F10 X.IfCHrN DINING HALL LIVING RM BED RM' 3 LAKEWOOD 24'x40' I i FE-1 law k ....... ...... ONING —111 FERNWOOD 24'x48' BATH1 a TTCHEN 0 177) �—z DINING 7_1—. BED RM' I t.. P, -ItA I LIVING RM 5 t .2 o[ F� "T I LE DINING HALL HALL LIVING RM ' T— BED RM2 BED RM2 T BED R03 9a. 131 71, KIRK WOOD.2 7'x40' 19 v.nc v BED RM 3 KITCHEN rL11- 2 J,*7 PENN LYON HOMES INC. Old Trail Road, Selinsgrove Pa. 17870 Telephone (717) 743-0111 L7x4. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of IiIGTOR SPA GG6J4FLG / Located at LG /D d a a�r I/�G� d AL O- - K - J i (T ) &T)y Section lock Lot. Subdivision of Akio! iC7G�/h9�Q� Subdve Lot # Filed Map # ate Gentlemen: This letter is to authorize DhA IEL a duly licensed professional engineer j( or registered architect (IndicatetA- 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 system or systems in conformity with the provisions of Article 145 or 147, Education Law, gthe Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed Countersigned: P.E., R.A., # P f Address Town lfnlollm ; N �" ?/T , �P- �7 2 r? Telephone Telephone 0 40 ril9TO II:N HALL OINING ql..�) LIVING RM E�� r) RM ' 2 BED RM fuT NINE; LAKEWOOD 24'x40' V �r TCHEN DINI �G r BED RM' I HALL LIVING RM BED RM'2 [1 FIA k*0 KIRKWOOD 27'x40' BPI' LI'L I p � BATH' .. U_tT.' KITCHEN (MING ut 131-t) Im, I BAT ATH 911 )HALL LIVING RM BED RM '2 BED RM'3 T FERNWOOD 24'x48' , j .11 HALL BED RIM'2 BED RM '3 AD LIVING RM --- 299.Ii0 ;- D99. P.NG 99 II I KITCHEN 7 N6---L-EWOQD-Y7-.-'X-4-8-YI PENN LYON HOMES INC.. Old Trail Road, Selinsgrove Pa. 17870 Telephone (717) 743-0111 4 p � BATH' .. U_tT.' KITCHEN (MING ut 131-t) Im, I BAT ATH 911 )HALL LIVING RM BED RM '2 BED RM'3 T FERNWOOD 24'x48' , j .11 HALL BED RIM'2 BED RM '3 AD LIVING RM --- 299.Ii0 ;- D99. P.NG 99 II I KITCHEN 7 N6---L-EWOQD-Y7-.-'X-4-8-YI PENN LYON HOMES INC.. Old Trail Road, Selinsgrove Pa. 17870 Telephone (717) 743-0111 MARVIN O'DELL Bldg. Inspector JOHN MAHONEY Deputy Zoning Inspector TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT September 14, 1992 Putnam County Dept. of Env. Health Geneva Road - Route 312 Brewster, N.Y. 10509 Att: Robert Morris Dear Mr. Morris: • TOWN HALT_ PUTNAM VALLEY, N.Y. (914) 526 2377 BETTE STOCKINGER Bldg. Dept. Clerk Re: Spaccarelli - Lot STatus TM #85.7 -2 -20 The above noted property is an approved lot within our Town and presently contains a one family status. The proposal by D °Aquino and Donohue consulting engineers dated September 9, 1992, is to convert the existing structure to an accessory building and construct a new one family residence. This proposal __ oud.. -be permitted -:w' thing o.u. _.Town mooning regulatio p n __ ov - - _ - -- - - - rided fhat e -_ _ - . 1. All county and state requirements for the water supply and sewage disposal system have been complied witho 20 All zoning regulations regarding lot coverage and setbacks are complied with. 3. All requirements of Town and State Wetland ordinances are complied with, 4. All other requirements necessary to construct a new residence are complied with. Very truly yours, o MARVIN 0 DELL Building & Zoning Inspector MO °Does cc: D'-Aquino & Donohue Evans Assoc. & Planning Board PUTT NAM APPENDIX 3 COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL _ REVIEW, SHEET ior..COr1ST2UCTION PERMIT A.ME OF OWNER Y N DOCUMENTS. PERMIT APPLICATION PC -1 WELL PERMIT ; PWS LETTER ENGINEERS AUTHORIZ4TICN DESIGN DATA SHEET'(DDS) DEEP HOLE LOG CONSISTENT PERC RESULTS (3) PERC HOLE DEPTH CORPORATE RESOLUTION PLANS THREE SETS HOUSE PLANS - TWO SETS VARIANCE REQUEST GENERAL LEGAL SUBDIVISION SUBDIVISION APPROVAL CHECKED STREET TCCAi.CN DATE TAX MAP T HEALTH SERVICES SYSTEMS DISCHARGE (OK) PERC & DEEP HOLES LOCATED RED.RESENTATIVE OF RUI MARY AND EXPA- SION D E.XP..AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE 0 IF PL .\fPED PIT & D BOX SHOWN! & DETAILED D HOUSE - NO. OF BEDROOMS WELLS & SSDS'S W/IN 200 FT. OF PROPOSED SYSTEM PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) HOUSE SEWER - 1 /4"/FT. 4 "0; TYPE-PIPE Q NO BE�DS; MAX. BENDS 45 W /CLE.NOL-T FILL SYSTEMS = CLAYB.ARRIER 10 FT HORIZONTAL: SLOPE 3:1 TO GRADE m FILL SPECS =DEPTH GAUGES j4U PERC RATE D FILL PROFILE & DIMENSIONS FILL REQUIRED Q D VOLUME CURTAIN DRAIN REQUIRED mSTANDPIPES TRENCH EX :APPROVAL SSDS ADJ. LOTS 0L' TRENCH PROVIDED WETLAND (TOWN/DEC PER.NIIT R & D) =60 FT NLAX DATA ON DDS PLANS & PERNHT SAME D PARALLEL TO CONTOURS PRE- 1969 - NEIGHBOR NOTIFIFICATION =I 00% E.\PANSION PROVIDED SEPARATZO.N DISTANCES. SPECIFIED ON PLAN, w 1'00"M FIOOD'ELEV�ATION° _. .... R&OUIRED DETAILS ON PLANS 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL SEWAGE SYSTEM PLAN - (NORTH ARROW) 20' TO FOUNDATION WALLS SSDS HYDRAULIC PROFILE m GRAVITY FLOW m 100 TO WELL, 200' IN D.L.O.D., 150' PITS D/ J BOX m TRENCH/GALLEY 0 P- PIT DETAILS m 100 TO STREAM WATERCOURSE LAKE (INC.EXPAN), CEI SEPTIC TANK - SIZE, DETAIL m 50' TO CATCH BASIN, 35' STORbIDRAIN, PIPED WATER m WELL DETAIL, SERVICE LINE IF OVER m 10' TO WATER LINE (PITS -20') M CONSTRUCTION NOTES (GRINDER RATE) m 50' L�TERIMITTEYT DRAINAGE COURSE m DESIGN DATA: PERC AND DEEP RESULTS m 200 FT. RESERVOIR, ETC m 150 FT, GALLEY SYSTEMS m TWO -FOOT CONTOURS EXISTING & PROPOSED SEPTIC TANKS DRIVEWAY & SLOPES CL' FOOTING /GUTTER/CLRTAI ;COMMENTS: T 010' FROM FOUNDATION; 50' TO WELL N DRAINS WELLS m 15' WELL TO P.L. APPENDUX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL MATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS h.. ... , . ,.°REVIEW SHEET for CONSTRUCTION PERMIT NAME OF OWNER BY DOCUMENTS. Y PERMIT APPLICATION RATE RESOLUTION THREE SETS BEERS AUTHORIZATION ,N DATA SHEET(DDS) HOLE LOG ISTENT PERC RESULTS (3) HOLE DEPTH Ld J HOUSE PLANS - T6V0�E' S,- Z WELL PERMIT; IMTPWS LETTER STREET LOCATION DATE EIZVARIANCE REQUEST y, GENERAL M LEGAL SUBDIVISION = SUBDIVISION APPROVAL CKED = ERC RATE FILL REQUIRED CURTAIN DRAIN REQUIRED = EX- APPROVAL SSDS ADJ. LOTS = WETLAND (TOWN/DEC PERMIT R & D) = DATA ON DDS PLANS & PERMIT SAME = PRE -1969 - NEIGHBOR NOTIFIFICATION C= 100 YR. FLOOD ELEVATION REQUIRED DETAILS ON PLANS SEWAGE SYSTE- ,M[TLAN - (NORTH, ARROW) ~ = SEWAGE SYSTEM HYDRAULIC PROFILE = GRAVITY FLOW = FILL PROFILE & DIMENSIONS = VOLUME = D/ J BOX;TRENCWGALLERY; PUMP PIT DETAILS = SEPTIC TANK - SIZE, DETAIL = WELL DETAIL, SERVICE LINE IF OVER = CONSTRUCTION NOTES (GRINDER RATE) = DESIGN DATA: PERC AND DEEP RESULTS TWO -FOOT CONTOURS EXISTING & PROPOSED DRIVEWAY & SLOPES CUT II FOOTING /GUTTER/CURTAIN DRAINS COMMENTS V.-9- = DISCHARGE (OK) = PERC & DEEP HOLES LOCATED = REPRESENTATIVE OF PRIMARY AND EXPANSION = EXP. AREA; SHOWN; GRAVITY FLOW, SUFF. SIZE = IF PUMPED PTf & D BOX SHOWN & DETAILED = HOUSE - NO. OF BEDROOMS = WELLS & SSDS'S W/IN 200 FT. OF PROPOSED SYSTEM = 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, TOP OF FILL = 20' TO FOUNDATION WALLS = 100 TO WELL, 200' IN D.L.O.D., 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 = 200 FT. RESERVOIR, ETC. = 150 FT. GALLEY SYSTEMS SEPTIC TANKS =10' FROM FROUDA.TION;' 50'-TO WELL WELLS =IY WELL TO PL TRENCH IF TRENCH PROVIDED =SEWAGE SYSTEM HYDRAULIC PROFILE - GRAVITY FLOW =60 FT MAX = PARALLEL TO COTOURS =100% EXPANSION PROVIDED FILL SYSTEMS =CLAYBARRIER C=10 FT HORIZONTAL: SLOPE 3:1 TO GRADE =NEW SPECS , =DEPTH GAUGES =STANDPIPES DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 February 13, 1992 Daniel Donahue D'Aquino & Donahue 200 Breckinridge Road Mahopac, NY 10541 Re: Proposed SSDS: Spaccarelli Wood Street (T) Putnam Valley Dear Mr. Donahue: JOHN KARELL Jr., P.E., M.S. Public Health Director 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 design submitted is essentially a new septic system and therefore must be based on existing soil-- conditions,-i.e., percolation and deep test hole data in addition to the requirements noted below. The placement on new absorption trench and fill material in a wetland or the 100 foot buffer zone cannot be approved unless a wetland permit is issued by the Town of - Putnam ,Valley.. Be.. advised that- even - with the issuance of a wetland permit Thiis Dena`rtiwht"0buTd'tleMatnend that' the-. - septic• system- is -relocated -.-the inbxe wum- - ...._.. distance from the wetland or provide data as to why the relocation is not feasible. The repair of the existing seepage pit in the same location would be approvable by this Department. Upon Receipt of a submission, revised to reflect the above comments, this application will be considered further. Ver truly yours, Robert Morris Assistant Public Health Engineer RM /jp cc: Vicky Calisanti Putnam Valley Town Hall Planning Department Oscawana Lake Road Putnam Valley, NY 10579 DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT �c�{ WELL LOCATION Street Address Ad d /?A?,::7 Town/Village/City Tax �010 r1_i47_;f Grid. Number WELL OWNER Name Mailing 11141;- s/p 'e'We4e Address rivrate Public SE OF WELL primary 2 - secondary ® RESIDENTIAL 0 PUBLIC SUPPLY Q AIR /COND /HEAT PUMP 0 BUSINESS 0 FARM O TEST /OBSERVATION ® INDUSTRIAL O INSTITUTIONAL 0 STAND -BY 0 ABANDONED 0 OTHER (specify 0 AMOUNT OF USE YIELD SOUGHT _ gpm /# REPLACE EXISTING SUPPLY %,NEW SUPPLY NEW DWELLING Re ®k GF :e ,f G P 99RVED /EST. OF DAILY USAGE al 0 TEST/ OBSERVATION 12-ADDITIONAL SUPPLY ® DEEPEN EXISTING WELL J';.?WAe_^1 41 REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE WDRILLED ® DRIVEN ®DUG ® GRAVEL. ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: 61 Lot No. WATER WELL CONTRACTOR: Name J:e Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: _ YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY 'DISTANCE TO PROPERTY -FROM -NEAREST •WATER �MATN:-, - LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED �UN SEPARATE SHEET QLO (da ) (signa re) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. Date of Issue: Date of Expiration Permit is Non - Transferrable 3/89 19 19 Permit Issuing Official White copy: HD File Pink copy:.Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller t DEPARTMENT OF HEALTH JOHN KARELL Jr., P.E., M.S. Public Health Director Division Of Environmental Health Services Geneva Road, Brewster, New 'York 10509 (914) 278 -6130 August 27, 1992 Dan Donahue 200 Breckenridge Road Mahopac NY 10541 RE: Proposed SSDS Spaccarelli - Wood Street (T) Putnam Valley Dear Mr. Donahue: 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: I 1. All existing or proposed SSDS with 200' of the proposed well are to be shown on plan. /VeTe ¢"Ilf e't"a If existing, the lo_cation_of. the . SSDS for.--the building labeled one- st ryy rendence is to be shown on plan. SVS1- is (r/}r/w� �✓a ��Try r7 0, gn714IVpD4PIA A letter from the Town of Putnam Valley Building Department is required stating the status of the building labeled one -story residence. ., A ]otter -from -the.. Town of- Putnam Valley: is. r6clulred_ -- Vptisi�i3n "in`�itie cori`sirruction of a SSDS near a wetland. Furthermore, if the Town declares the area i a wetland, the wetland boundary is to be shown on plan. PL9'4J //�F_ �gB.v 5. Title Block is illegible..U�'E 6. Wood Street is not shown on site plan. 4!�<A 7. Trench design has not been submitted. GK A-c J 8. Fill notes are illegible. OL.X- -1�►9. A perc test is to be witnessed by a Representative of this Department. Separation distances are measured from the toe of the fill. Therefore, �� JJ a 100 foot separation distance must be maintained from the toe of the fill section to all existing or proposed wells. ax. Upon receipt of a submission revised to reflect the above comments, this application will be considered further. Ver ruly; yours b Robert Morris RM:mk Assistant Public Health_Engineer DEPARTMENT OF HEALTH Division Of Environmental Health Services Geneva Road, Brewster, New York 10509 (914) 278 -6130 Dan Donahue 200 Breckenridge Road Mahopac NY 10541 RE: Proposed SSDS Spaccarelli - Wood Street (T) Putnam Valley Dear Mr. Donahue: JOHN KARELL Jr., P.E., M.S. Public Health Director August 27, 1992 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: 1. All existing or proposed SSDS with 200' of the proposed well are to be shown on plan. 2. If existing, the location of the SSDS for the building labeled one - story residence is to be shown on plan. 3. A letter from the Town of Putnam Valley Building Department is required stating the status of the building labeled one -story residence. _.:.._�,.._..M.. >.,.4� A ie t- 6r,"fr66 ttie T6wn- 6f 'Put n'am VAlTey "is"requi eed'— stating 'the position in the construction of a SSDS near a wetland. Furthermore, if the Town declares'the area is a wetland, the wetland boundary is to be shown on plan. 5. Title Block is illegible. 6. Wood Street is not shown on site plan. 7. Trench design has not been submitted. 8. Fill notes are illegible. 9. A perc test is to be witnessed by a Representative of this Department. 10. Separation distances are measured from the toe of the fill. Therefore, a 100 foot separation distance must be maintained from the toe of the fill section to all existing or proposed wells. Upon receipt of a submission revised to reflect the above comments, this application will be considered further. RM:mk Ver ruly your Robert Morris Assistant Public Health Engineer PC -1 PUTNAM COUNTS DEPARTMENT OF HEALTH APPLICATION. FOR.:A_PER_QVAL OF_ ;PICA S.FOR AMA &�EWATER-DISPOSkL SYSTEM 1. _ Name t`and 4Address of Applicant: V /GTUR LUG I" s/' ,#GG de ezz / PO W0` 0D S7IFFo'-r M04 Ito V- 2. Name of Project:IQe ffaC- S,�PPC f 7;k 3.. Location T /V /C: /"J TA) m y%�LEf 4. Project Engineer: f A1V 1EZ- c� slid V -' ' aX ' ••5.: Address: License Number: Phone: &' 7r 6. Type of Pro.iect: Y Food Service.- 'Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision, Other (specify.) 7e Is this project subject to State Environmental Quality Review (SEQR)? Type Status.(Check One) Type I.. Exempt Type II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS).required? ............. Has DEIS been completed and .found acceptable.by Lead'Agency? ..•......... 10. -Name of Lead Agency %•¢ 11. Is this project in an area under. the; control ofAocal'planning, zoning, or other officials, ordinances? . e c• a ..'. u'e a -r c -. •r. e a e' e' a 'O'. i': i i . i e i i ee • e ��i•e 12. If so, have plans been submittgd to such authorities? –�' 13. Has pfe}im4.4 � approval been granted 'by such authorities? Date Granted:;lq�i 4. Type of Sewage' -' Disposal System bischarge .. Surface'Wa'ter _ l� Ground Waters 5. If. 'surface water discharge, what is the - stream class designation ?........ N109- 6. Waters index number. (surface) ...................:.. .:...:.'. :....`...... Al 1A 7. Is project located near 'a public water supply system? .'.: ...:......... 8. If yes, name of water supply _ Al /A Distance to water supply 9. Is project site near a public sewage collection or disposal system ?..... 0. Name of sewage system Distance to sewage system Date observed: 23: Name of Health Inspector: i. Project design flow (gal Ions per day)..... 2e 15. Is State Pollutant Discharge Elimination S,ystem..(SPDES) Permit required ?.e >!0_ '_6. Has SPDES Application been submitted to local DEC Office? oeeee?eeeeeeaee iK 0 !7. Is any portion of this project located within a designated Town or State wetland? ...eeeoe.......ee. eeeoe.ee eeeeoee eeeo,eoeeeeeeeeeeeeee.eee.eeeee At D '.8. wetland ID Number eeee..e eeo eoo..eeee°ee _eeeeee.eeeeeeeeee.eeoeee...eee - ,J O. 9 Is wetland Permit required? eases oeeeeo. eeeouneoedeooeeueoeeeeeoeeeeeeoa Has application been made to .Town,,or Local DEC Office? e-e o e o o e o 0 0 0 0 0 0 0 30, Does project require a DEC Stream Disturbance Permit? eeeceee'eeeeoeeeae... At D' :1. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid oe hazardous.w,aste'disposal; landf i l l ing, sludge .appi ication or industrial activity? e e e e n'a nla YES .or -NO �D Is project 'located within 1,000 ,1feet of existence of abandoned handfill, hazardous waste site, salt stockpile, landfill,. sludge disposal.s.te or any other potential 'known source •of contamination? o v e e a ......... YES or NO AJD DESCRIBE: . Is there .a local master plan or, file ,,with the Town or Village? eeeeeee'e... �. Are community water, sewer facilities.pl.anned to be-developed within 15 years? No 5 e Are any sewage disposal '.'areas i n ,excess of 15X _slope? :. a o e e' a p: d Tax MaD m : e e o 0 o 5. p I Number -l} 0 e o 0 0 0 0.0 0 0 0o e o 0 7. Approved Plans are to' 'be returned to: ..eo.eee.e,eoevo a Applicant Engineer the'appl'icafion is signed by a person other than the, applicant'shown . in Item 1, the pplication must be accompanied by a Letter. of•Authorizatione Failure to comply Oth this rovision may -be -grounds'�for the rejection of .any submissions I hereby affirm, under penalty of per-jury, that, information provided on this form .is true to the best of my knowledge and be iefe . ,.Fa Ise statements made herein are punishable as a Class A :Misdemeanor puf. auantI to Section 210.45 of the Penal Law. _GNATURES & OFFICIAC tITLES: irk /n "�,F TILING ADDRESS: 13¢LEG�6�Rid ai ad aZ�r�i/�yrL /Y 7 ,.t;. A PuTmm;Coum DEPARTMENT OF Y• DIVISION • I• r la v •1 a- ��. -. .IZF_ SIGN;. DATA:_ SiiE�' �' ?= S( 3E�UE` ACESEWd ;.�-- }?IS?US��SYSTEM•:; c�;.;., :F`IGE�-I�1J. - - .: °r = i.= T' -.,_ .. , , -. Owner //G76R SfR G e Of4f ' I ' 1j sf fQ A_4 iV IP" Located at (Street) MW J_ r5 X71' . Sec. .-A)0 Block _� Lot,r/a•. - (indicate nearest cross street) ranicipality Q U 1 A/9M Watershed SOIL PF.RGOLATION TEST DATA REQUIRED TO BE SMUTM) WIM APPLICATIONS Date of 'Pre- xaking % Z- Date of Percolation Test 1'-Z NLM.HER Cr= TIME PERC OLUICEN.. _ _.__ PERCOLATION Run - _Elapse' Depth to Water From Water Level No. Time Ground Surface - In.Inches. Soil Rate Start -Stop Min. Start_. Stop Drop In Min /In Drop Inches Inches Inches- 30 . 4 5 .. j/416, 41 2 - UsT Q %l! /u.. f /A! rP �TF 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal'soil.rates are obtained at each percolation test hole. All data to* be submitted for `review: 2. Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TOE BE SU13MITTED WITH APPLICATION DESCRIPTION z0F SOILS ENCOUNrERED IN TEST MOLES IS ..yS�JAx,,%1V'Ve / 'd10LCi••l'0.!0 $. "•..`_ ( ��1T. i�-:,A�. o . _ __.._ G.L. t 2'' 9' 10' _ 12 13` _ ..- -t►- -- - -f' INDICATE ` LEVEL AT WHICH GROUND WTR IS ENCOUNTERED IWICATE LEVEL TO WHICH HATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: ,�/�,U /F L J _ d 4AM OA1 A, �.. DATE: DESIGN Soil Rate, Used D Min/1" Drop: - ' S A Usable Area Provided bo 6 No. of Bedrooms Se p tic Tank Capacity DU g also P�c �r t Absorption Area Pxovided.By- DV -L.P. x 24" width trench Other r^UoP�W-1.y AVA/m.. U /^ ��G L Name PRAT /G J _ .�oa!/t /�yF Signature Address er .4 SEAL THIS SPACE FUR USE BY HEALTH DEPARIENr ONLY: Soil Rate Approved sq.ft /gale Checked by __ Date PUTNAM COUNTY D EPARTMENT O F H EAL TH APPLICATION FOR APPROVAL OF PLANS FOR A .IVASTEWATER . D SPOSAL SYSTEM, ::.......:.: ; 1. Name and Address of Applicant: Vle-fo 4- L UG Y SP46c 4,f FGG RDA¢ WOOD S7it'E�.t 2. Name of Project: /PFd'',Q9rY f /4e S40PC .Tys%f -i r- 3. Location. T /V /C: %TNT y�LEj- G • 4. Project Engineer: -I)AV 5. Address: t4a9,o, �?.h��� <, iY 7 License Number: 4-48/ Phone:., 6. Type of Project: Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS).required? ............. Has DEIS been completed and found acceptable by lead Agency ?............ 1 10 Name of Lead Agency 11. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ......... . :.-...... �� w� 12. If so, have plans been submittgd to such authorities? _ 13. Has approval been granted by such authorities? Date Granted: ,4. Type of Sewage Disposal System Discharge...... Surface Water _,Ground Waters, 5. If surface water discharge, what is the stream class designation ?........ ;6. Waters index number (surface) ........... ............................... 7. Is project located near a public water supply system? .................. /V D 8. If yes, name of water supply /� //.j- Distance to water supply 9. Is project site near a public sewage collection or disposal system ?..... /V 0 0. Name of sewage system _ /1�/ q- Distance to sewage system /Y Date observed: 23. Name of Health Inspector: i. Project design flow (gallons per day).......... ....................... GQ �� 2e :Is::S.ta *e. Pallutant:.pi,$cha E1 imiation,_,$y_�em (SPIES) Permit, requ- ired?%, /VO ti.l.. ••�. aN r ,,. r. -. ., i e H. .p. -T .. •tq •B° �:. '4. .. .!)'- e. tiw.. .. i.. ♦ • .. a .r''•q '.6. Has SPOES Application been submitted to local DEC Office? ......ee.eoeeee iT(D 17. Is any portion of this project located within a designated Town or State wretland?.v eeu ceeeeeaeeeeeeeeeeeeeeeoeeee.. .ee.eeee........ee.....eeeee At O '.8. Wetland ID Number . ee............ eve. ....ee.ee.ee..eeeee......ee.eeo A% O 9. Is Wetland Permit required? .....eeee..ee e e..eee.eeee.e...e....oe...ee..i 141 4rrQ.167 Has application been made to Town or Local DEC Office? ........eeee.eeeee T 30e Does project require a DEC Stream Disturbance Permit? ..eeeee.ove.eeeeeoao At 0 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? eeee..ee YES or N0 0 2. Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? eeeevaeeeeee..YES or NO AJ 6 DESCRIBE: 3. Is there a local master plan or file with the Town or Village? ..eeeeee... �. Are community water, sewer facilities planned to be developed within 15 years? No 5. Are -any sewage -disp ®sal- - areas in excess of 15X- slop., 6. Tax Map ID Number `.eeeeeeee eeee eve 0 0 o e e e a o.s a e o o e o o a eeeee o 0 7. Approved Plans are to be returned to:.........eeee.... Applicant -__Z Engineer the application is signed by a person other than the. applicant shown in Item 1, the pplication must be accompanied by a Letter of Authorization. Failure to comply with this rovision may be grounds for the rejection of any submission. I Hereby affirm, under penalty of perjury, that information, provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A Misdemeanor pursuant to Section 210.45 of the Penal Law. TGNATURES & OFFICIAL TITLES: 'ILING ADDRESS: /• •• �1• '�Y I� • Y. DESIGN, N_ DATA.•SHM SUBSUFACE :SBaP�G" .DIS?OSAI,. SYSi'F 1,:,: FILE ..NOo Owner V/ G76R SP j G C IsfrLL Address �11'� -¢ DOA) s`T;, /% eh' Located at (Street) &O O sar,45! f Sec. 410 Block _ Lot -r7 /Z (indicate nearest cross street). Municipality P U j AldtM i/4GL 5' Watershed�`if� Date of Pre- Soaking f2- Date of Percolation Test V/ -2. mpz HOLE Q.'r 1 J o `f 1� 06 N,Lw..HER C_= TIME PERCOLPMON PERCOLATICN Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. .Start Stop Drop In Min/In Drop Inches Inches Inches 30 6 f .2 r / �o 20 4 5 5 1 n 2- -- - (4S E 3 4 5 Y NO'TFSt: 1.. , Tests to ,ire repeated' at sane depth un+il approximately equal.' soil rates are obtained at each percolation test hole. All data to* be submitted for review.' 2. Depth measurements to be made fran top of hole. 440.:1.x- Q.'r 1 J o `f 1� 06 5 1 n 2- -- - (4S E 3 4 5 Y NO'TFSt: 1.. , Tests to ,ire repeated' at sane depth un+il approximately equal.' soil rates are obtained at each percolation test hole. All data to* be submitted for review.' 2. Depth measurements to be made fran top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. G.L. 21 41 51 61., 71 81 91 10, 12 13' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING M=UNTERED 0 Irr"C DEEP HOLE OBSERVATIONS MADE BY 0.0AM116,e, DATE: DESIGN Soil Rate Used Min/1" Drop: S.D. Usable Area Provided 'rpdo No. of Bedrooms Septic Tank Capacity 1&oo gals. Type ,&eeAli- Absorption Area Provided By roe) L.F. x 24" width trench Other Name Signature Address /Jo &?of Fe-k P,.,jee SEAL THIS SPACE FOR USE BY HEALTH ONLY: Soil Rate Approved . sq.ft/gal. Checks --9 b Ot Date e ,., .:•• 35.'l0' 35.33' f , ' T��a•'N h's ger� i�r' " _ _ . •n_��e nr• �• PV'''VA 4 � .•�... ti �8 � v 4/ 1•� qy � .. Lvr i o; 37. e72';'I.. n Qe rood rr'•Om ha�_:sn ri '2'�• � 3D.2 � +.► .. - c..�. :,, 55.00' _ � 30.0 �' i eo.+o.°Lr /•I_ �." ��� t.w:rL.a. G ,'. 'V7'24 0"W .. _•s. iaa. � � 58,a� rM. ! + i - A ... .576.24'OO"V✓ fO.2B' m osa --Z11 N7.36'/:5 0 "Iti' 56'15 ' N1 *57 -4 C., J. 50- 3f,ca,res. WG7On ' /14;..QV• COT C rte` Cll -3510 AREA 69,8/0.08 kFT. °r 1, 603 -ACS. Py .... m ' ' - h �_ N ,., .:•• 35.'l0' 35.33' f , . •n_��e � �o i nil `✓' %. lOE? .31' cp7r ^< n �8 Lvr i 37. e72';'I.. n Qe rood rr'•Om ha�_:sn '2'�• � 3D.2 � +.► .. - c..�. :,, 55.00' _ � 30.0 �' i eo.+o.°Lr /•I_ �." ��� t.w:rL.a. G ,'. 'V7'24 0"W .. _•s. iaa. � � 58,a� rM. ! + i - A ... .576.24'OO"V✓ fO.2B' m osa --Z11 N7.36'/:5 0 "Iti' 56'15 ' •°a .Nw'j'F- 50- 3f,ca,res. WG7On THIS 15 TO CERTIFY THAT THE SEWAGE DISPOSAL SYSTEM WAS CONSTRUCTED SUBSTANTIALLY AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS INSPECTED BY ME BEFORE IT WAS COVERED OVER. THE SYSTEM WAS CONSTRUCTED SUBSTANTIALLY IN ACCORDANCE WITH ALL STANDARD RULES AND REGULATIONS OF THE PUTNAM COUNTY DEPARTMENT OF HEALTH AND THE NEW YORK STATEMENT OF HEALTH. AS BUILT SSOS PROPERTY OF VICTOR SPACCARELLI WOOD STREET PUTNAM VALLEY DANIEL J. DONAHUE, P.E: CONSULTING ENGINEERS MAHOPAC, N.Y. SCALE I' = 40 ' DATE: AUGUST 30, 1994 1 SEWAGE DISPOSAL TIE -INS (BY TAPE) UNIT A B SEPTIC TANK 20 35 J.B. 11 38 51.5 12 43 56.5 13 48,5 61 14 545 65.5 #5 60 71 16 66 76 17 72.5 82 END OF TRENCHIB 87.5 70 #9 82.5 64.5 • #10 7815 59 #11 73 53 rntivam County Department of t(ealx, #12 6B 47.5 ,ivision of Environmental Health Servict 113 65 41 #1460 35 approved as noted for oonformanoe With Its 37 70 118 59 93 pp' icable Rules and Regulations of the 119 65 91.5 vtnam County lth De artment. #20 11 102 121 71 10 yanatwrp Tit 1 C, Lv, 74A, a. L Q r a AREA Of 1.603A ca u. L '26.0c). ILE "40 JS95: -74 F 7z . I/ srocke 0 IN Pii-oD rule IF csyfrem TO 3...'; 4, W) � e� ew� OPOS15 W/9 Q). " 1V7 4' W F.M. ' t. 40 Moog: --v % -fo 7-36,13" 0' !�VV6 #3 58.35' cc-lf',T- V L) PRE, r-jh V/c rcl�; G' U PR6ADFFD SD4 RVP-t,R S/rt/A Tri I'v TOWN L?/�-- ! 1 p, , . VA WOOD 'S—JRe'67 PUTNAM COUNTY NEW YORK .r4.jm SCALE i in. ft. NOTES. I. All ceiulycaoonj a.-f! valid fur in-3i; qnd priatuie appears Wet lale'ym 3ccomalce m„- :he Aiterati(m of Phis d,)cun1ep!. exi.v;. f !.!v "i Surveyor. is illegal 3. 77his map an thejp Lana Sj/��ws I ()( a, oamed own(?i 2/? o MiMed hefecm. and to lhu,,.,: 4. 1. fl"eftf 4-- f'$" _41 b- \1 L Q r L! AREA • 69,810.108 so.FT of t 603 ACS. S'ro4k6 D \ n1450 fey/ L 0 7, N4 C,,. . . 'C', C, - U) At I *TF 1-0, ,-r /*It I _O. OF Ell" iF csys,rF-m TO 6p- U) PROPOSED N7-241-40"W 5&44' F -M SUR Vj-. j ppd,poreo SD& 02SP418 vIc rol� ,i Pla oto P.9r T D F S P,9 e c 4,ee4j SITUATE' IN Woo cpefo-r TOWN Ok'- PITAI.I,% C?) PUTNAM COUNTY NEW YORK r?Y 'DJ- D—A- SCALE I in. = +D ft. t9 BB "del; e NOTES. I. Ali cell , :tncat,ons d-f! alld f(;r it!!:• Irl.1, ")A only'! the sa,"! mal, v, NO K j;; s Het. solvevor Whose jviatuie 1--ey nor. tern 010011'ed In Itco,danc. wnh (hy 2. Aitefa lion W this d.:)C1J77,ev. &X;:vo c Surveyor. is Illegal 3. This mat) a7),-.j cop,,.,; merroi 3!,,, e P,: named owner a,7(, the ride tL111011,1S) flijf7led h(pfR)f?, and to rhou!! 4.