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HomeMy WebLinkAbout4758DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 91.26 -1 -56 BOX 36 9 ,. No IN IN .�, �` r I AVO ,1 Yom 04758 7/.A. N4 Fs "VA Onn, DAM N D.MSION OF. ENVIROMIENTAL HEALTH SERVICES t ,119ES1�' -DAT���.' "�`1+ ET =- SFJBSACE`SEW2��a;`1P 1El�T'S�STEInd Owner Giusepe Labianca Address 317 Lovell St, Mahopac, N.Y. 10541 Located at (Street) 14 Melnick Place Tax Map (Indicate nearest cross street) Municipality Putnam. Valley Drainage Basin Date of Pre - soaking 01/12/2004 SOIL PERCOLATION TEST DATA. 91.26 )Block 1 Lot 56 Date of Percolation Test 01/13/2004 Hole No. Run No. Time Start =.Stop 'El se Time •) Depth to Water From Ground Surface (inches) Start Stop Water bevel Dropp in inches Percolation Rate Min/Inch Rt; 1 1 10:45 —11:15 30 2091-2311 3" 10 2 11:16 —11:46 30 20" - 23" 2" 15 3 11:47 — .12:17 30 2099-2299 2. 15 4 12:17 —.12: 30 20" — 22 ". 2" `' 15 5 Pmt 1 3 4 5 P ®3 1 2 3 4 5 TOTES: 1. Tests to be reneated at same death until annroximate1v eaual percolation rates are ohtained at each nerrAatinn tPct 1, ( i.e. S 1 min for 1 -30 min/inch, S 2 min for 31 -60 min/inch) All data to be submitted for review.+ 2. Depth measurements to be made from .top of hole. . Form DD -97 i)le. - r•t TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN'TEST HOLES - .t�y w Wry �h+ a � ^ < .w .. :,.��•= {P �.tl.,• _.��y.. \-ta_A a.17p1 �:.� ...'/T'.1 �..b - DEPTH HOLE NO. 1 HOLE NO. 2. HOLE NO. G.L. 0 -8" TOP SOU, / CLAY LAYER 0.5' 0 -10" TOP SOII. W/ CLAY 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' M14It� 1 r BROWN SANDY LOAM 5.0' ' 5.5 NO WATER 6.0' NO WATER ROCK ®84" 6.5' NO ROCK 7.0' 7.5' s ,t 8.0' 8.5' 9.0' 10.0' Indicate level at which groundwater is encountered N/A Indicate level at which mottling is observed N/A Indicate level to which water level rises after being encountered N/A Deep hole observations made by: CMC, BEYER & ASSOCIATES; BILL HEDGES, PCDOH Date 117104 Design Professional Name: Beyer and Associates Address: 78 Secor Road, Bryant Pond Plaza, Suite 5 Signatu Design Professional's Seal PUTNAM COUNTY DEPARTMENT OF HEALTH DIVjSI0N QF7ENVIRON MENTAL HEALTH SERVICES 7 7- Kfg-jop gggirk htv- �jjgA WELL COMPLETION REPORT Well Location Street Address: Town/Village: ke Pet iS Tax Map # Map-` p a pq 114o� c k Lot(s) Well Owner: Name: Address: 10 qA 1/ dl- e- Use of Well: 'I- Primary 2-Secondary Residential Public Supply —Air cond/heat mp —1 rigati n �6 Business Farm Test/monitoring —Other(specify) Industrial Institutional Standby Drilling Equipment Ae/Rotary _Cable percussion _Compressed air percussion Other(specify) Well Type Screened IzOpen end casing Open hole in bedrock Other Casing Details Total Length I-S�ft. Length below grad l Olt. Diameter ip in. Weight per foot ji, �iblft Materials: teel Plastic . Other Joints: . ' Welded &-I Threaded Other Seal: VCement grout _Bentonite Other Drive shoe: Yes No Liner: —Yes No Screen Details Diameter in Slot Size Length (ft) Dept to Screen (ft) Developed? 'First —Yes No Hours Second Well Yield Test Bailed Pumped --,/–Compressed Air Hours 2_p Yield gpm Depth Date Measure from an surface-static (specify ft) Dunng yield test (ft) Dept Depth comp eted well in ft. Log If more detailed i n f c ma i i dn" descriptions or sieve analyses are available, ,please attach. Depth From Surface Water Bearing Well Diameter in Formation Description ft. ft. Land Suvi' A@ If yield was tested at different depths during drilling list: Feet Gallons Per Minute Pump/Storage Tank Information Pump Type Capacity__SZ' Depth _JL, Model .!r4 Voltage 'a-%') HP Tank Type 30 Volume gA,, r 3 -VJ)c e # R Plu ddr;e�s ­ 1fistArld"t ila' 47Z. 4Sl. AT ­ _ b E MU -ump, !j jgq e t ik NOTE: Exact Location of well with distances to fit least two permanent land 71d to 'be p�ovided on a separate sheet/plan. White copy: HD -File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller 4 4 Form WC-97 U f4r., P_, Rev. 3/06 apryavz,4 (31 77 PUTNAM COUNTY DEPARTMENT OF HEALTH _DIVISION OF ENVIRONMENTAL HEALTH SERVICES J •vyfT�� ! .. .. - 4 ' . - S ti . ".S:T a- a'.C.'J . C. . , v ♦ . - • ... -' , irM .. - L•' .. ;;]J a S`. r..R:� Gt..f? J �A C>e. -+. . WELL COMPLETION REPORT Well Location Street Address: �j c� 1 , Town/Village: / � jj�� // le, ! e e- KS'4- 11 Tax I Map d r� 6 G " � Map Block Lot(s) GUS ; '* '�� Well Owner: Name: Ad7dressL:�- (/DS107 Use of Well: 1- Primary 2- Secondary Residential is Supply Air cond /heat pump _Irrigation Business rm Test/monitoring _Other(specify) Industrial Standby 57Fastitutional Drilling Equipment _Rotary _Cable percus 'o Compressed air percussion Other(specify) Well Type _Screened _ en n sing _ Open hole in bedrock Other Casing Details Total Length Length belov grade4° ft. Diameter _1n. Weight per f of /_Ib /ft Mpterials: L--"Steel Plastic Other J ints: Welded✓ Threaded Other S al: JZCement grout Bentonite Other rive shoe: Yes —Not,-' Liner: _Yes _No Screen Details Di eter (ipK Slot Size Length ft Dept to Screen ft Develo ped? First _Yes No Hours Second Well Yield Test _Bailed _Pumped _ ompressed Air Hours t- Yield gpm Depth Date Measure rpm an su ace - static spec f< ) Dur l ng yield test ft ept o completed well In ft. Well Log If more detailed irYformatlon - descriptions or sieve analyses are available, please attach. Depth From Surface Water Bearing Well Diameter in Formation Description ft. ft. I.andSulface If yield was tested at different depths during drilling list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type S J(,&,„ „-((r Capacity Depth �ta Model �'rS. G Voltage Z3 o HP T$' Tank Type, . 3 a Volume DatexWell`Com Ylt ted`, i J A X } t •>>' l l':v � '�. .=:. r, •.J i � � � � f 4 ,ii � �- � • WeIlrDriller;PC Certificate =# o e i �. } +.* C lyFli° 4tCk K•R K k �'1.'. •,!��� -1 .�.�. :.�ni'tR ^l?S..e`?i.. 3'. t.l ...,��.�. �}•S .� ( ..:NS 1�. � 6:� C IBIS i ,{ � r„-,,. � S� i Pump Installer P.IC Certificate =# ;gyp �, t �.- � , � NYState #It». Dateto 'rticll�r'utw Y.�K•1;PX -I< y_F'�t ➢ "R.KrYk �.'i'Y�FiA r�lfkX: M. r� C A.�z cbiJ' 'l,�i� \ A'ii r?Y^', x'9 F, M.�/pc' ��N� �Y ��I L 1 ^I.� I .R 1(��.. �'I, �.; '��. Yi C ^� .YZ�• 1 t> K l X�W4 ��� *T �� � I i/ Y�� "L'/ 1' � � �Nl' Sfate #� , I�'p�b ��'� ��x � � . h y � I�+ µ I r �., a..R a • � R � "� � .: �.. X 1.: ; )) �M�^Yi4 Y'" -hie t R���. ��:x '?';TnJ C .Y, l.'��^ �"e ,�1rv4'i �^Y.^i K,y .: .�'���ygS...kJ �K�T�l�:3 \ N 1 .1 C I�� '4 4s:✓1 i' !.�'�'°ro',F:,r M%f�,,�!�`)y�''R• K oF.KJY K �y ,.F� i+ ,3 " 4 We� G� K 4 NY :� Vv1� ",v?iJ� •Y /( 1 'kA` �'N w^ J" Y k I �W..r,� 1 �'- W��FG� �N .:'Y�� ��M� �� � V'v }�� �� '�K� ��Kk w ...k {r� C. fl aj� k'KF... P Ak'KW::Y .: :i•�4 YAK. ... �R. x'�4`dx e. :xx 3 akiS�IVi,a�o 4 0 .i...pec:v.. We fDriller,(, nature)t�: ,.. ”: � � �k�Ki: .. IY N. (�! ��f1 II If,`�, Y•'e �l• la y��i� Xi PdN.4",zVI�•. L��,F` I1r�171�'ll�r (17�j 1'x"1:1 �,1 NW.I' ff. �Y r, vl>3iiU FBI. .Y, � �1h'�}i• `'� I� 4l�' j AXSI' � .Whp'M�II PSI _;. Pu... p�lnsta`Iler Name 8��A`ddress :, A 1`l J. .. ^�. T. Xl Gi kJ' Yl. T• P•F i ! TY..: K ;'.. f` i '-.: 'i R�kv 'R d d?" '4k.• 3 K C) \ AI ! $r �' &w Y K.i 'it 4 rt"i,•A,'�" .� " L Yi t i31� }> •+" ,�Yl6 i c fd, �i .� t��} J`y�1,� w•i - r //�'',)Q� !,t: s J...�:: ti!s: .� :::. « .. ;+.,'F as •, /xE"fgx `.az,. _, xr:?Xksl ._ ,!L,X... lx ;x- 'lr:,c 3.'e`€...z:a x #l.'..YS..!.R /a•ri,' Pumpins er slgnaturtte)� �asr�� l f>' 4:� .6 T). _ I:ikSf+y.. G ..J'l Y1��. I'v t \ .SIG M 'X 1, R�' !M� ,: fit, C S �:'''. I,�lr :A Yy' "��" try ,. et d,.3 "•> �hH g NOTE: Exact Location of well with distances to M least Mn permanent landm r s to be provided on a seoara a sheet/olan. White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 Rev. 3/06 REBECCA ®Vn 9NBERG, RN, BSN f '.: �.••Y;, ',.w .i•r'oi• PubllicHealth Director 'Adkiff Y61kK SE . ••li •-• •• -••i�. ...a Director ojEmironmeWd Health Geneva Road., Brewster, New York 10509 Phone # (845) 808-Il390 February 2, 2012 Fax # (845) 278 -7921 Phil and Mary Picard 3784 Briar Hill Street Mohegan Lake, NY 10547 Dear Mr. and Mrs. Picard: MARYELLEN ®DELL County &ecuttve Re: Well Permit Application for 14 Melnick Place (T) Putnam Valley, TM # 91.26 -1 -56 This Department has renewed the well permit for Well # W60 -03 for the above referenced site. Please be advised that if site conditions and/or site plans change and/or are revised, thereby compromising the approved separation distances, siting approval of the well must be re- approved by this Department. This letter shall serve as record of approval and by initiating construction of the well covered by this approval of plans, the applicant accepts and agrees to abide by and conform to the following: 1. The well location shall be survey located and staked prior to drilling. 2. The proposed well is approved 60 feet from on -site and/or adjacent subsurface sewage +a 4 ai�nt° JtVlll ^_L.re,*v. 3. The well shall be installed with a minimum of 80 feet of casing. 4. An ultra- violet light disinfection unit shall be installed on the incoming well line to the dwelling. 5. A water sample shall be collected and analyzed for coliform bacteria after the well is drilled. The sample result is to be submitted to this Department along with the well completion report within 30 days of completion of the water well. 6. All necessary Town permits for the installation of the well are required to be issued prior to well construction. Should you have any questions, please contact this office. Respectfully, Joseph S. Paravati, P. E. Assistant Public Health Engineer JSP:cw YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245 -2800 Albert H. Padovani, Director- ** TEST REPORT ** LAB #: 1.201379 CLIENT #: 2500 NON STAT PROC PAGE: 1 of 1 ANDERSON WELL DRILLING DATE /TIME TAKEN: 04/18/12 10:00 152 BARGER ST DATE /TIME RECD: 04/18/12 10:30 ATTN: NORMAN, SARAH REPORT DATE: 04/20/12 PUTNAM VALLEY, NY 10579 PHONE: (845)- 528 -1491 SAMPLING SITE: 44-MENICK PLACE, LAKE PEEKSKILL, NY SAMPLE TYPE..: POTABLE : KITCHEN TAP PRESERVATIVES: NONE COL'.D BY: NORMAN TEMPERATURE..: < 4C NOTES...: COLIFORM METH: MF --------------------------------------------------------------------- ,--------------- ----- - - - - -- START DATE /TIME END DATE /TIME FLAG PROCEDURE RESULT NORMAL - RANGE METHOD 04/18/12 0400 04/19/12 0400 MF T. COLIFOR ABSENT /100 ML ABSENT SM 18 -20 9222B COMMENTS: MFTC a Coliform = This result indicates that the water (was). (was not) of a satisfactory sanitary quality according to ew York State and EPA federal drinking water standard for this parameter. This comment applies to the Total Coliform test only. I.�... .. r... -. _q .. a �. ... •�ry _.. . -w� o.. .+u. �-w .. •.� -�... ...r ..n. _ ..�.m_.C..�v .. _.. _,O _..�. �... .w r. yw ��. ...r ar �.r.. -�. - -.• .�...�. ..>...� ..w. •� THE ABOVE TEST PROCEDURES MEET ALL REQUIREMENTS OF NELAC,. AND RELATE ONLY,-,TO TZESE SAMPLES RECEIVED BY THE LAB SUBMITTED BY: %"-- IV Albe t Padovani, M.T.(ASCP Direct r) ELAP# 10323 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ^n% a ...,.. .. .• ... ._c .�. y`.. - - r, .c>;, ;.- ��::m ®.. -.='w •. a•.. 14 APPLICATION TO CONSTRUCT A WATER WELL please print or type PCH�D.Pe� m r�R� Well Location Street Address: Town/Village:.1053 Tax Map # 1 IF(-IV �nam A l (fq Map ) %Block Lot(s) Wlell Owner: Blame: Address: Phone #: . W'AP_ RILL 54 • ti lr� ll.v.n Lt t' .fit 1 ! A V = t N 1171 i %C Use of Well: 1 r - Residential. _Public Supply Air /coed /heat pump = Irrigation. I - Primary Business Farm Test/monitoring —Other(specify) 2- Secondary Industrial Institutional Standby Amount of Use Yield Sought 6 gpm # People Served Est. of Daily usage gal. 4zReplace Existing Supply Test/Observation Additional Supply Reason for Drillin New Supply (new dwelling) Deepen Existing Well Detailed Reason L4 - ,�17J/,,p for Drilling Cv�s�l4 Well T ype Drilled - Driven Gravel Other Is well site subject to flooding? ........................................................ ............................... Yes _ No Is well. located in a realty subdivision? ........................................... ............................... Yes 6i No Blame of subdivision %)ice. /P,1 ;(! Lot No. Water Well Contractor: 11 %7 glAn,., il_�,I�rc,,,� Address: ,K;2 Agraer C� - -•• dam- — ✓ -.�� Is Public Water - Supply, available on site? ....................................... ............................... Yes _ No Name of Public Water Supply: Al /A' Town/Village Al M- r Distance to property from nearest water main: Proposed well location & sources,of contamination to belproaided on separate sheet/plan. ; r ate :A,ppticantwi5nate�rc �- :... �. PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of.Part 5 of the New York State Sanitary Code and provided that within thirty (3l)) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health De.partmei take appropriate action to. assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue CQIJ // Permit Issuing Officiall•�/ 1 ___-, mot-✓ � ', ! -: Date of Expiration _ X61' /� Title: •rl-,C,4,;J -- 411,1; �� 4.aivy,e� �' Permit is Non - Transferable) v :x.� v . J. taY 8? V. tJ<1 a White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP-97 Rev. 3/06 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health :; LORET I h MOL IN,ARI; RPF, MSN Associate Commissioner of Health Giuseppe Labianca 317 Lovell St Mahopac, NY 10541 Dear Mr. Labianca: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: ROBERT J. BONDI County Executive ROBERT-MOItM S; PE - Director of Environmental Health March 15, 2007 Well Permit Application for 14 Melnick Place (T) Putnam Valley, TM # 91.26 -1 -56 This Department has renewed the well permit for Well # W60 -03 for the above referenced site. Please be advised that if site conditions and /or site plans change and /or are revised, thereby compromising the approved separation distances, siting approval of the well must be re- approved by this Department. This letter shall serve as record of approval and by initiating construction of the well covered by this approval of plans, the applicant accepts and agrees to abide by and conform to the following: 1. The well location shall be survey located and staked prior to drilling. 2. The proposed well is approved 60 feet from on -site and /or adjacent subsurface sewage treatment system areas. ..3.. The well shall be installed with a minimum of 80 feet of casing. __ . ._T , _4�__: rr gtia- v>Elct g v disinft tro�-r u � s ;ail fist ed•5 he-Ind rningwell dwelling. 5. A water sample shall be collected and analyzed for colifoim bacteria after the well is drilled. The sample result is to be submitted to this Department along with the well completion report within 30 days of completion of the water well. 6. All necessary Town permits for the installation of the well are required to be issued prior well construction. Should you have any questions, please contact this office. . MJB/kly Respectfully, (L)A Michael J. Director or Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool(845)278 -6014 Fax(845)278 -6648 L A - �� ? 7 ,3G d7o / PUTNAM COUNTY DEPARTMENT OF HEALTH - � DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type 11:91 Well Location Street Address: Town/Village: Tax Map # qJ A/ /1 FL All 0 1 .1 ,CJA� �IG,�t' -5 Map Blockii Lot(s) j --1$ Well Owner: Blame: Address: 3 17 Zot1rZZ 5r Phone #: Use of Well: Residential _Public Supply Air /cond /heat pump _Irrigation I- Primary Business Farm Test/monitoring —Other(specify) 2- Secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served Est. of Daily usage gal. Replace Existing Supply Test/Observation Additional Supply Reason for Drilling_ New Supply (new dwelling) Deepen Existing Well Detailed Reason )ri s-' J; for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ....................................................... ............................... Yes — N o Is well located in a realty subdivision? ........................................... ............................... Yes - No Name of subdivision Lot No. Water Well Contractor: 7) Address: Is Public Water Supply available on site? ....................................... ............................... Yes No_,--' Name of Public Water Supply: Az 1A Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. PERMIT TO CONSTRUCT A WATER WELL AJ This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that with irirty (30) days of the completion of water well construction, the applicant or their designated representative shall: Wump_, the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam Count r 4 =+ Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Drtment. take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any revision or aeration of the aped plan requires a new permit. Well to be constructed by a water well driller certified by Putnam ounty, pr v , � 41 Date of, Issue Permit Is, ing Offic al-­11 Date of Expiration Title: Permit is Non- Transferdble White copy - HD file; Yellow copy - Building Inspector; Pink copy - Ownyr; Orange copy - Well driller Form WP -97 Rev. 3/06 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health r* LORETTA MOLINARI, RN, MSN Associate Commissioner of Health January 24, 2005 ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Ms. Susan Prager 6348 Pinehurst Circle Tamarac, FL, 33321 Re: Well Permit Application for Prager Property — 14 Melnick Place (T) Putnam.Valley Dear Ms. Prager: This Department has approved the well permit for Well #W60 -03 at the above referenced site. Please be advised that if site conditions and/or site'plans change and/or are revised, thereby compromising the.approved separation distances, siting approval of the well must be re- approved by this Department. This letter shall serve as record of approval and by initiating construction of the well covered by this approval of plans, the applicant accepts and agrees to abide by and conform to the following: 1. The well location shall be survey located and staked prior to drilling. 2. The proposed well is approved 60 feet from on -site and/or adjacent subsurface sewage treatment system areas. 3. The well shall be installed with a minimum of 80 feet of casing. _4idr:vioaatligLlt.disitio:uniic steal' l2ilisl�l�z$l.Qth_E'Zin��vell line ,: to the dwelling. 5. A water sample shall be collected and analyzed for coliform bacteria after the well is drilled. The sample result is to be submitted to this Department along with the well completion report within 30 days of completion of the water well. 6. All necessary Town permits for the installation of the well are required to be issued prior to well construction. Should you have any questions, please contact this office. spectfully, Ala .Michael J. udz' s i, PE Director o Engi 'ng MJB:cw Cc: C. San tos, (T) Putnam Valley Mr. David .Prager Insite Engineering Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 . Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 IFU NAM cCOU1'll'ZY DEPARTMENT ENT O F HEALTH IIDII ISRON OF IENWRONM ENTAL HEALTH S ERWCIES _ . APP LRCATffON TO CONSTRUCT A WATER WELL - PCI ID 'Perinit # please print or type WeH Location: Street Address: Town/Vi llage�Puh7am'K /Tax Grid # q 1.26°- 4 "5Co f /�+ E> � 6n 1� U • ��.I kill Maps ^18c`0; 1 Lot(s)12.-/S WeRl Owner: Name: Pra%e i �6-e� ,mou s Address: 1 � i12+niCLc FlGtC�) Lgi�a. e8.ks� ail iUy \ Cary \ a 537 Use of WeRR: _Residential "` u is upply Air /Cond/Heat Pump Irrigation 1< rnmary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served 3 Est. of Daily Usage _gal. Reason for Replace Existing SupplyCf'�-- Test/Observation Additional Supply IlDriwmg New Supply (new dwelling) Deepen Existing Well IlDetafled Reason +4 d k :' +10U-M t v0z FL4- iS , ` for IlDrifling -PA' tint n Ck 4ue,r e u� U 6e V10 W0 &ntrcg., WeR Type ,% Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... . Yes No Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision Lot No. Water Well Contractor: Address: Is Public Water Supply available to site? .�!t..... ie. a ,i5......... ..Se , V Yes <— No Name of Public Water Supply: TTgwri o Pjnaw Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: 03 A plicant. Si nature: P EIIBMI[T TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 1 Q of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance nth the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. Ifi OR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue Permit Iss ng 0 ial: Date of Expiration -v Title: Permit is Non- TransfferrabRe White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owne f J Orange copy - Well driller Form WP -97 Y PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES 'P�*'Gq�iwor`Pasae��P �V•' y��•'l �i�r�i- C1. ii:'1....�,�''Sn>.w�.- _�. -...,. .:: ... ,. .: ��..�_._.... .. ... �1 .. ... .. PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPA'' OFFICIAL USE ONLY a -n SITE LOCATION 14 &WI Ck PV mM yNte M# y 1, Z6 OWNER'S NAME ����� PHONE ellf - 3 -(f?Z7 MAILING ADDRESS Jt-2 Lyy -etZ 57i2ftrj MirNoPAC /V.H, 10541 PERSON INTERVIEWED k,114 4RL�yiek PCHD Complaint # —Name a ations ip (i.e., owner, tenant, etc. DATE fehAvMZ� 2.0 2-4V+ TYPE FACILITY Ae6hwxxr, PROPOSED INSTALLER /T,b PHONE ADDRESS REGISTRATION# Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system .Different location may require submittal of proposal from licensed professional engineer or registered architect. or- Z5LL F. v W -% as o:':Me:�•ar•re�poee;'fi ^f �awac'A3P,?.t. 64�,1`:lfl 11 k„Stit u1� t�" ,� d;,.,�ioai.• ti ��irl4 � .l'orri� �, SIGNATURE TITLE Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name DATE- b. Site Street Name, Town and Tax Map number. 19 C. Location of installed components tied to two fixed points (e.g '.,house corners). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99M I, ri DATE PUTNAM COUNTY DEPARTMENT OF HEALTH .... _ ... f 'tea t ..ta. . -.. .w. M e • n9 Sv� LETTER OF AUTHORIZATION ON 1ZE: Property of 005 e_A kA8)MJCA Located at NMeWitk I L.,+ -e TMUTI,Ak VA L -elTax Map # Subdivision of Wk 0.2 -6 Block Lot 56 Subdivision Lot # N A Filed Map # Nll Date filed N/A Gentlemen: This letter is to authorize MICHAEL F. B EYER, F.E. a duly licensed Professional Engineer X or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director A the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or Yvater supply systems in conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public Health Law, and the Putnam County Sanitary Code. Countersigned: U., R.A., # 094597 '1f, F. BFYE R, P.E. ,Aailing Address Bryant Pond Plaza 78 Secor Road, Mahopac State: New York Zip: 10541 Telephone: (845) 621 -4756 -�r Mailing Address�`7 State': Zi v Telephone: Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIROMENTAL HEALTH SERVICES r .,.. �_ �..,; . • ,. S I`a ATE sIIEET �SUBSURE`ACE °'SEWAGL 1-Y2E $ °4- ..I�.S..... T _ �i i'I' "SY 'I'1�1VI' a �: Owner Giusepe Labianca Address 317 Lovell St, Mahopac, N.Y. 10541 Located at (Street) 14 Melnick Place Tax Map 91.26 Block 1 Lot 56 (Indicate nearest cross street) Municipality Putnam Valley Drainage Basin SOIL PERCOLATION TEST DATA Date of Pre - soaking 01/12/2004 Date of Percolation Test 01/13/2004 Hole No. Run No. Time Start =.Stop 'Elapse Time (Min•) Depth to Water From Ground Surface (inches) Start Stop Water Level Drop in Inches Percolation. Rate Min/Inch P:1 1 10:45-11:15 30 20" - 23" 3" 10 2 11:16 =11:46 30 20" - 23 ". 2" 15 3 11:47 — .12:17 30 20" _ 22" 2" 15 4 12:17 —.12: 30 20" — 225'. 2" 15 5 P -2 1 - •-- •.�:- ¢+:2-a.�- .�_�... -...� _ -...� -mom.• - .v"'�r «.... �- -:� ., .- 3 4 5 P -3 .1 2 3 . 4 5 NOTES: 1. Tests to be repeated at same death until annroximately eaual percolation rates are obtained at each nercolation test 1 ( i.e. 5 1 min for 1 -30 min/inch, S 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. pole. Form DD -97 TEST PIT DATA. DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES �.';G- ti.;`:§.:.'. :-7a� i..',;�Q}'.:'$ �c= .a= c*n:��- eG�c;.� »A;. -, -_' Q.: �3'• ��. i" �" E:..=. �• ^s_".:- ��._�:��°ri,�.a��,-�a%ti� t:.- •i��:.'$r ��v� •n�,a:rwcin.tiwa+¢`.'"'- .,`a:: � a- :,v?4�:�°t'4:.i••�►•��. DEPTH HOLE NO. 1 HOLE NO. 2 HOLE NO. G.L. 0 -8" TOP SOIL / CLAY LAYER 0.5 0 -10" TOP SOIL W/ CLAY 1.0' LIGHT BROWN SANDY LOAM W/ GRAVEL 1.5' 2.0' 2. S' DARK BROWN SANDY LOAM ^ BROWN SANDY LOAM W/ GRAVEL 3.5' 4.0' 4. S' DARK BROWN FINE SANDY LOAM W/ GRAVEL 5.05. 5.5 NO WATER 6.0' NO WATER ROCK c©84" 6.5' NO ROCK 7.0' 7.5' . 8.0' 8.5' 9.0' 10:0' Indicate level at which groundwater is encountered NIA Indicate level at Which mottling is observed NZA Indicate level to which water level rises after being encountered NIA Deep hole observations made bye CViC, BEYER & ASSOCIATES; BILL HEDGES, PCDOH Date 17104 Design professional Name: Beyer and Associates Addkesse 78 Secor Road, Bryant Pond Plaza, Suite S Signatu. Design Professional's Seal fry �� v j � !� „,�¢ey r�-✓ �J��' }, °ni .: -,,n. v..re:• ,t -, •"f; ^, r >,. - :: yt' .c.. r',-� w'.:.., w..i,= ..r•:o., •. .. •:r::: _, ... .':.$a' :.: ��: ;: .. ... Tel.(914) 621.4756 Bryant Pond Plaza, Suite 5 Fax. (914) 628 -1905 Mahopac, New York 10541 February 6, 2004 Mr. Bill Hedges Senior Public Health Engineer Putnam County Department of Health 4 Geneva Road Brewster, New York 10509 Re: Labianca — Rabi Jacob Goldberg and Sue Praeger Residence 14Me1nickPlace, Putnam Valley, NY Tax Map 91.26 Block I Lot 56 Dear Mr. Hedges, Our client, Giusepe Labianca, proposes to drill a new well upon the his property, 10 Melnick place, which is adjacent to the Goldberg/Praeger property, 14 Melnick Place. A letter of agreement is enclosed which is between the Goldberg/Prager property and the Labianca property. The existing SSTS upon the Goldberg /Praeger property is approximately 40f from the proposed well. To provide further separation, It is proposed to construct anew SSTS for the Goldberg /Praeger property in the rear of the property. The Goldberg/Praeger residence is currently a two bedroom, Two-family residence at the above address. The proposed SSTS is designed to current PCDOH regulations for a two bedroom residence, however due to the site constraints, we do not meet the current setback requirements from the house, property line or the proposed well, and only a 50% expansion area is available. We are hereby applying for a repair permit for the construction of the SSTS. Enclosed please find a copy of the following items for your review and approval: • Application for Proposal for a Sewage System Repair • Letter ofAuthorization. • Design Data Sheet • Plan and Profile- Separate Sewage Treatment System (3 copies) • Letter of agreement between the property owners I trust the above materials are adequate for your approval and complete the submission for the above project, however, if you have any questions concerning this project, please do not hesitate to call me @ 621 -4756 Chris Caralyus Project Manager IF T Y ^I� `' �,��ptvV.l�Y���.�9 �1N! ®NS�7'.: , .-. �.. � w.. .'.,m .... a-,� o�-. -:��' ..e =i ....�s. - A�. ;;. t�: Cr1'°b.:.:.%iV r: v�V►�s -_.v .... -..=v ^.rA :�.:;t- rte+ .•: � � ..1► ., � �.>. ��, -Q°. - pF, d Regarding the sale of: 10 Melnick Place, Lake Peekskill, New York 10537 Sellers: Paul and Helen Ackerman 10 Melnick Place, Lake Peekskill, New York 10537 & Mouners Aftercare Corp. % Rabbi Jacob Goldberg 10 Melnick Place, Lake Peekskill, New York 10537 Additional address: Mouners Aftercare Corp. % Rabbi Jacob Goldberg 620 Fort Washington Avenue Suite IC New York, New York 10040 -3429 Purchaser: Giusppe Labianca 317 Lovell Street, Mahopac, New York 10541 Other parties involved: Bill Hedges of Putnam County Board of Health Chris Caralyus of Beyer Associates Surveyor -TBD Details: For the sale to close. The buyer needs to obtain a well permit. For this to happen the foUowing.eeded to be»dc�ne. The homeowners of 14 Melnick Place, Lake Peekskill, New York 10537 whom also have applied for a well permit. Which has been denied. as the site and surrounding properties exist now. With the involvement of Bill Hedges and Chris Caralyus they found a solution. So both properties can receive the well permits. The solution is for the homeowners to place a new septic system oxi their property. Which will also allow them to receive a new. well. They agreed to have all necessary work completed that is reguired by the Putnam County Board of Health. Which would make it possible for 10 Melnick Place to receive a well permit. Owners of 14 Melnick Place, Lake Peekskill, New York 10537 Sue Prager 6348 Pinehurst Circle Tamarac, Florida 33321 & _ .. _ ..v_.. mar.:. P: �t '°�:.;:;�.- .,...:i•.z:��x,..;; ��i�.:;::''�u.M'r =:, x:;:,.::o- 'Vtoiers' 1ftercare `orp. %° Rabbi Jacob Goldberg 14 Melnick Place, Lake Peekskill, New York 10537 Additional address: 620 Fort Washington Avenue Suite 1 C New York, New York 10040 -3429. Everyone involved agrees on the following: The bill from: Beyer Assoc. & the surveyor are the responsibility of Giusppe Labianca. The bill for the septic system will be divided up in the following way. Paul and Helen Ackerman will pay one quarter of the bill for the new septic system. Which will be divided this way, half of his quarter to Sue Prager and half to the Mouners Aftercare Corp. in the form of a donation. The money will not come out of the sale of 10 Melnick Place. It will come from a private checking account. The Mouners Aftercare Corp. % Rabbi Jacob Goldberg will pay half the amount of the new septic system. He owns half of each house. Sue Prager will pay one quarter of the cost of the new septic system. The cost of the wells will be the responsibility of the homeowners. The purchaser of 10 Melnick Place has no responsibly to the owners of 14 Melnick Place for the cost of a new well or the new septic system. S-ae:- Prager Paul Ackerman Date: —9: '/13r— 0 5 Date: 9 —I ;Z-- ,0,3 Helen ckerman Date: Mouners Aftercare Corp. % Rabbi JacoGoldberg Date: a/ Giusppe Labianca U 04" Date: f xI SJetter yc: .1ext they names to show such. Attached letters from Putnam County Board of Health regarding the well permit applications. Kimberly Tyra Century 21- Mulvey LORETTA MOLINARI R.N., M.S.N. , Pziblic ifealih ' K ` • ' ' c'. ` ' .. , }:...... .m�: _ .. � .' a: p�' i•' �Fi�- 4ti0D�. 41:i�i��• ::3701v'Ll'��'e`"':'a, .'u .:n ••r County Execulive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 9 Praque/Goldberg 14A & B Mehick Place Lake Peekskill, NY 10537 August 22, 2003 Re: Application to Construct • A water well Prague /Goldberg 14 A & B Melrick Place (T) Putnam Valley TM #91.26 -1 -56 Dear Prague /Goldberg: The application to construct a water well on the above mentioned parcel has been received and reviewed by this Department. *The application as received cannot be approved for the following reasons: 1. The septic tank serving 14 A & B is located on the south side of the residence. The leaching area appears to,be behind-the residence,. less than 80 feet to: t}ie propiosed -W611. Department requires a minimum of 100 feet. 2. The septic system serving the parcel to the north is less than 80 feet to the proposed well. 100 feet minimum separation distance is required. Should you have any questions concerning the matter, please contact me at . (845) 278 -6130 ext. 2168. Sincerely, William Hedges Sr. Public Sanitarian WH/jp cc: BI (T) Putnam Valley t -uotic neatrn virecror DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New fork 10509 sc:�r.': tea. .. � �!� ?:.d:a �'�s- - •.= 1�. ._ ',.•_ ROBERT J..BONDI County Executive Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 iWIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 „ August •22, 2003 LaBianca/Ackerman 10 Mehick Place Lake Peekskill, NY 10537 Re: Application to construct a water well LaBianca/Ackerman 10 Melrick Place (T) Putnam Valley TM #91.26 -1 -57 Dear LaBianca/Ackerman: I have received and reviewed the application to construct a water well on the above- mentioned parcel. Based on a review of the application, existing records of adjacent parcels: and several field visits, the application cannot be approved for the following reasons. 1. The subsurface sewage treatment system located on 9 Mehick Place is approximately 60 feet from the proposed well.. A minimum.of 100 feet,is required. - This Department will consider and review application that meet a minimum separation of 8.0 feet to sources of possible contamination. However, distances of less than 80 feet cannot be considered at this time. Should you have any questions please. contact me at (845) 278 -6130 ext. 2168. Sincerely, William Hedges Sr. Public Sanitarian WH/jp cc: BI (T) Putnam Valley AUG 2 6 2003 pp ............ o------ ..-- Ir L v K it in in in A . . . . . . . . . . . 40'5;1� N .4 igg IL A NOTE Mesa sketches are based on New rook State H10 Resolution L E C E N D Approx. Location Existing Well 1,L Stat"W's Digital Ortholmagery Pror" (2000 Pilot — Present) and digital tax map InAwmation tram Putnam ounty these sketches ons, intended to show AL aporoxknote property Max 'dwoftlings. and septic systimns for use In assessing Subject Property Approx Location Proposed Well possible well locations only These sketches am not Intended for any other Approx. Location Direction Of Ground Slope SLOPE purpose and are not intended to be wo4d Prior to drilling my proposed Existing SS7S E�g Arrow Points Downhill well. the appropriate surreys, design; and permits must be obtained PIUMM or DAM 1-14-05 LAKE PEEKSKILL IN S / TE SCAM WATER SYSTEM SHUTDOWN ENGINEERING, SURVEYING & FROAcr 100, 04183.100 LANDSC4PEARCHITEC7URE, P.C. PLOT PLAN 3 Garrett Place - Carmel, Now York 10512 W KV0 Phone (845) 225-9690 6 Fax (843) 225-9717 91.26-1-56 14 MELNICK PL. w.W.Insito-ang.ccrn MIN. SETBACK FROM HOUSE To ssm 2OFT 1617T MIN. SETBACK FOOD SM TO PROPERTY UNE 1OFT VT MIN. SE-14BACK FROM SSTS TO WELL IOGFT 8O.5FT GEOTEXTILE MATERIAL OR EWIVAUNT 0MCMATIlva LIT TYPE A a C I D E F 24 6' TO 12' 13' NONTE 51 24* 12* 6' NOTES: SLOPE. I/jr-1/32* PER FT. 1. MAXIMUM LATERAL LENGTH (GRAVITY) 66 FT. 2. -MAXIMUM LATERAL LENGTH (DOSING) 100 FT;.. SPACING OF ABSORPTI& \-WASHED CRUSHED STONE OR 3. MAXIMUM SLOPE .( GRAVITY ) 0.5 % TRENCH 6' O.t MIN. WASHED - GRAVEL -3/e-TO-1-1/2',—. 4. MAXIMUM SLOPE (DOSING) = 0.3 % 5.—DISTANCE­---BOlT7OM_OF TRENCH TO: a y LONGITUDINAL VIEW a. GROUND WATER TABLE _=4.VFT._­-- b. LEDGE ROCK. zt 5.0 FT. 6. ALL UNCONNECTED LATERAL ENDS-MUST. BE CAPIPED. TRENCH N NOTE: 6' MIN. TO NEXT PRECAST STRUCTURES SHALL BE SIMILAR LATER AND OR EQUAL TO THOSE MANUFACTURED BY-THE FORT MILLER COMPANY INC.. ROTONDO & SONS INC. TOPSOIL FOR SETTLING AND OR EQUAL, . AND SHALL COMPLY WITH THE FOLLOWING DESIGN CRITERIA. CONCRETE TO TEST 4000PSI AT 28DAYS n EAR,tACKFILL STEEL REINFORCEMENT-6'x6"x10GA. S.W.M. r—GEOTE)M MATERIAL OR EQUI ALENT I- GEOTEXTILE MATERIAL OR tA Tn PLAN CEMENT AM ON ooxm & MIT V CIA. PVC SLOE 1/B°/_ OUTLET TO MW XT. BOX- eampmWITURE SLOPE 1/B'/FT. HIM. SECTION A—A MNCTION BOX. N.T.S. CONCRETE SEAL----J-,-.-,. TEMPORARY CASING MAY BE WITHDRAWN AS GROUT IS PLACED SUMCIENT CLEARANCE-"-, VENT. ORIGINAL FOR PLACING GROUT GROUND DRIVE SHOE CONCRETE SEAL CEMENT GROUT PITLESS ADAPTER kDAPTER UNCASED HOLE OR SANITARY GROUND- WATLR BEDROCK , SLOPE TRENCH BOTTOM 1/16' - 1/32' PER FT. TYPE WELL DRILLI CROSS SECTIONAL MEW TRENCH PROFILE WATERo-BEARIP .4 ABSORPTION TRENCH DETAIL y DRILLED WELL DETAILS NOT TO SCALE T. i' t� �S !s — `{i +20 -_ _ _ __ 0 +40 _ 0 +60 'S PROFILE THROUGH SSTS 'b SCALE VERT. 1' =5' lr HORIZ. 1" = 10' Y EXI NG 5' MIN. PLACE`. '! P OF G i; ;Q FILTER FABRIC AS PER MIRAFl t00x 'e OR EQUAL o (i3 FILL I fV CASTINP. PROP.. 6" BELOW RADE 3• TMP. 3' E CONTRACTOR SHALL RESTORE THE 12' FlLTER.FABRIC GROUND TO THE ORIGINAL CONDITION. ON EXIST. GROUND .r m EPTI c n loll N, O n 50% l PANSI( ' JUNCTION BOX •: 'Y, (TYP :q •.iP ' So rn . :i%o AD . — `{i +20 -_ _ _ __ 0 +40 _ 0 +60 'S PROFILE THROUGH SSTS 'b SCALE VERT. 1' =5' lr HORIZ. 1" = 10' Y —"m m r "W fIlD T%L'Mr A TT Q .. 10" OF. EXIST. CLAY TO BE REMOVED AND REPLACE WITH ROB MATERIAL 1N AREA �9 'Qe ;t 1. ALL TREES WITHIN -10 FEET OF THE PROPOSED SUBSURFACE SEWAGE TREATMENT SYSTEM- (SSTS) SHALL BE REMOVED 2. SSTS TO BE INSPECTED BY THE LICENSED DESIGN PROFESSIONAL AND THE PUTNAM COUNTY HEALTH DEPARTMENT AFTER CONSTRUCTION AND PRIOR TO BAGKFILL 3. TTY SSTS AREA SHALL BE STAKED AND ROPED OFF SO THAT NO TRUCKS, MACHINERY, BUILDING MATERIALS, NOR EXCAVATED EARTH SHALL BE ALLOWED IN THE SS1S AREA. 4. ALL EROSION CONTROL MEASURES SHALL BE INSTALLED PRIOR TO THE START OF ANq CONSTRUCTION. 5. CQNSTRUCTION OF SSTS TO BE IN ACCORDANCE WITH THESE PLANS, ANY REVISIONS THERETO, AND THE RULES AND REGULATIONS OF THE PERMIT ISSUING GO{/ERMENT AGENCY. 6. TH& WELL IS TO BE A DRILLED WELL, CONSTRUCTED IN ACCORDANCE WITH NEW YORK STATE HEALTH DEPARTMENT BULLETIN, ENTITLED "RURAL WATER SUPPLY ", PUMP TESTED FOR A MINIMUM OF 6 HOURS AND HAVE A MINIMUM SAFE YIELD OF 5 GPM. Yj�S LESS THAN 5 GPM WILL BE IMMEDIATELY REPORTED TO THE PUTNAM COUNTY ,, -c A DRTMENT OF. HEALTH. 7. TH€€ SSTS DESIGN SHOWN HEREON DOES NOT PROVIDE - FOR THE INSTALLATION OF A GARBAGE GRINDER. SUCH INSTALLATION REQUIRES ADDITIONAL DESIGN AND THE APPROVAL OF THE PUTNAM COUNTY DEPARTMENT OF HEALTH, 8. PUTNAM COUNTY HEALTH DEPARTMENT APPROVAL IS BASED ON THE LOCATION OF THE SSTS, WELL, BUILDING, SETBACKS, AND DRIVEWAYS AS SHOWN ON THE APPROVED DRAWING. MODIFICATIONS ARE TO HAVE PRIOR PUTNAM COUNTY HEALTH DEPARTMENT APPROVAL UNAUTHORIZED MODIFICATIONS MADE TO THIS DRAWING AFTER THE DATE OF. THE PUTNAM COUNTY HEALTH DEPARTMENT APPROVAL VOIDS SAID APPROVAL 9. ALE- STONEWALLS -IN`AND'WTTHIN- 10`FEET --OF THE SSTS -AREA SHALL BE REMOVED TO; THEIR ENTIRE DEPTH AND THE RESULTING VOID REPLACED WITH SIMILAR ON SITE 10. CUT OR FILL IS NOT .PERMITTED IN THE SSTS AREA, EXCEPT IF SO SPECIFIED ON THIS PLAN. 11. AFTER BACKFILLING THE SYSTEM, THE SSTS AREA SHALL BE COVERED WITH A MINIMUM OF 6" TOPSOIL, SEEDED AND MULCHED. .f 12. OCCUPANCY OF THIS STRUCTURE WILL NOT BE PERMITTED UNTIL THE CONSTRUCTION COMPLIANCE APPLICATION HAS BEEN RECIEVED AND APPROVED BY THE PUTNAM COUNTY HEALTH DEPARTMENT AND FORWARDED TO THE BUILDING INSPECTOR OF THE RESPECTIVE MUNICIPALITY AS PART OF THE CERTIFICATE OF OCCUPANCY APPLICATION. 13. THIS PLAN IS APPROVED FOR SEWAGE TREATMENT AND /OR WATER SUPPLY ONLY, AND !ALL OTHER REQUIRED PERMITS AND /OR APPROVALS ARE THE RESPONSIBILITY OF THE I?ERMITTEE. 14. ;THE PUTNAM COUNTY.HEALTH DEPARTMENT APPROVAL EXPIRES TWO (2) YEARS FROM THE DATE ON THE APPROVAL STAMP AND IS REQUIRED TO BE RENEWED ON OR `••3tFORE THE EXPIRATION DATE. THE APPROVAL IS REVOCABLE FOR CAUSE OR MAY BE 'AMENDED OR MODIFIED WHEN CONSIDERED NECESSARY BY THE DEPARTMENT. �F 15. A' COPY OF THE HOUSE PLANS SUBMITTED TO THE BUILDING INSPECTOR OF THE MC vt AL MUNICIPALITY, WHEN FILING FOR A BUILDING PERMIT, MUST BE SUBMITTED TO ;T;IE PUTNAM COUNTY HEALTH DEPARTMENT TO VERIFY THE BEDROOM COUNT. YLYaMa TTnT.>R nFSCRTPTION: r POST O 7't C.C. i; ;Q FILTER FABRIC AS PER MIRAFl t00x 'e OR EQUAL o (i3 FILL I fV ii f0 NOTE;; 1' -6' UPON REMOVAL OF SILT E CONTRACTOR SHALL RESTORE THE 12' FlLTER.FABRIC GROUND TO THE ORIGINAL CONDITION. ON EXIST. GROUND —"m m r "W fIlD T%L'Mr A TT Q .. 10" OF. EXIST. CLAY TO BE REMOVED AND REPLACE WITH ROB MATERIAL 1N AREA �9 'Qe ;t 1. ALL TREES WITHIN -10 FEET OF THE PROPOSED SUBSURFACE SEWAGE TREATMENT SYSTEM- (SSTS) SHALL BE REMOVED 2. SSTS TO BE INSPECTED BY THE LICENSED DESIGN PROFESSIONAL AND THE PUTNAM COUNTY HEALTH DEPARTMENT AFTER CONSTRUCTION AND PRIOR TO BAGKFILL 3. TTY SSTS AREA SHALL BE STAKED AND ROPED OFF SO THAT NO TRUCKS, MACHINERY, BUILDING MATERIALS, NOR EXCAVATED EARTH SHALL BE ALLOWED IN THE SS1S AREA. 4. ALL EROSION CONTROL MEASURES SHALL BE INSTALLED PRIOR TO THE START OF ANq CONSTRUCTION. 5. CQNSTRUCTION OF SSTS TO BE IN ACCORDANCE WITH THESE PLANS, ANY REVISIONS THERETO, AND THE RULES AND REGULATIONS OF THE PERMIT ISSUING GO{/ERMENT AGENCY. 6. TH& WELL IS TO BE A DRILLED WELL, CONSTRUCTED IN ACCORDANCE WITH NEW YORK STATE HEALTH DEPARTMENT BULLETIN, ENTITLED "RURAL WATER SUPPLY ", PUMP TESTED FOR A MINIMUM OF 6 HOURS AND HAVE A MINIMUM SAFE YIELD OF 5 GPM. Yj�S LESS THAN 5 GPM WILL BE IMMEDIATELY REPORTED TO THE PUTNAM COUNTY ,, -c A DRTMENT OF. HEALTH. 7. TH€€ SSTS DESIGN SHOWN HEREON DOES NOT PROVIDE - FOR THE INSTALLATION OF A GARBAGE GRINDER. SUCH INSTALLATION REQUIRES ADDITIONAL DESIGN AND THE APPROVAL OF THE PUTNAM COUNTY DEPARTMENT OF HEALTH, 8. PUTNAM COUNTY HEALTH DEPARTMENT APPROVAL IS BASED ON THE LOCATION OF THE SSTS, WELL, BUILDING, SETBACKS, AND DRIVEWAYS AS SHOWN ON THE APPROVED DRAWING. MODIFICATIONS ARE TO HAVE PRIOR PUTNAM COUNTY HEALTH DEPARTMENT APPROVAL UNAUTHORIZED MODIFICATIONS MADE TO THIS DRAWING AFTER THE DATE OF. THE PUTNAM COUNTY HEALTH DEPARTMENT APPROVAL VOIDS SAID APPROVAL 9. ALE- STONEWALLS -IN`AND'WTTHIN- 10`FEET --OF THE SSTS -AREA SHALL BE REMOVED TO; THEIR ENTIRE DEPTH AND THE RESULTING VOID REPLACED WITH SIMILAR ON SITE 10. CUT OR FILL IS NOT .PERMITTED IN THE SSTS AREA, EXCEPT IF SO SPECIFIED ON THIS PLAN. 11. AFTER BACKFILLING THE SYSTEM, THE SSTS AREA SHALL BE COVERED WITH A MINIMUM OF 6" TOPSOIL, SEEDED AND MULCHED. .f 12. OCCUPANCY OF THIS STRUCTURE WILL NOT BE PERMITTED UNTIL THE CONSTRUCTION COMPLIANCE APPLICATION HAS BEEN RECIEVED AND APPROVED BY THE PUTNAM COUNTY HEALTH DEPARTMENT AND FORWARDED TO THE BUILDING INSPECTOR OF THE RESPECTIVE MUNICIPALITY AS PART OF THE CERTIFICATE OF OCCUPANCY APPLICATION. 13. THIS PLAN IS APPROVED FOR SEWAGE TREATMENT AND /OR WATER SUPPLY ONLY, AND !ALL OTHER REQUIRED PERMITS AND /OR APPROVALS ARE THE RESPONSIBILITY OF THE I?ERMITTEE. 14. ;THE PUTNAM COUNTY.HEALTH DEPARTMENT APPROVAL EXPIRES TWO (2) YEARS FROM THE DATE ON THE APPROVAL STAMP AND IS REQUIRED TO BE RENEWED ON OR `••3tFORE THE EXPIRATION DATE. THE APPROVAL IS REVOCABLE FOR CAUSE OR MAY BE 'AMENDED OR MODIFIED WHEN CONSIDERED NECESSARY BY THE DEPARTMENT. �F 15. A' COPY OF THE HOUSE PLANS SUBMITTED TO THE BUILDING INSPECTOR OF THE MC vt AL MUNICIPALITY, WHEN FILING FOR A BUILDING PERMIT, MUST BE SUBMITTED TO ;T;IE PUTNAM COUNTY HEALTH DEPARTMENT TO VERIFY THE BEDROOM COUNT. YLYaMa TTnT.>R nFSCRTPTION: NAM A�X` t` CONC. BLOCK 10537 -'WALL S07:5 ji rlo- 0 - — 74 1 if ioF- 1 7' B r: SITE A SITE LOCATION MAP SCALE: 1"= 2000" N o Q) i a K �rLr�.S Rol P cV �1G Gc/ �" rnl ° . a'. , fY 10" OF EXISTING CLAY TO BE REMOVED AND REPLACE WITH ROB RIAL 39, MAT 507 023'00,1 N 0 64 - 8 0 U IV D S 80.6 � 77 OLD TENNNIS NIS IURT NE 64 - -T OLES 4 ; E X PANSION 2 .. ACTION ............ U .......... .. ...... ..... ........ .............. it ............. .............. ......... ..... ... ............. ...... ......... ............. .. .. .... ...... ............. . .... .. ... :..,. ..... . . ......... •.3 .... ... ...... .... ..... .......... . ...... .... . .... . ..p ........... 7 ................... ............... .. .............. .... ....... ........... A. .,.V. - CE .22.7' 8 R i c K 'A 7 1 0� 3 0 L0 1250 L. SEPTIC 9;: ,ly a � 4- V � ybj./FT. >i,. 12.0' 53 W c Z- SD '4 :a •r h' j. �p I 10" OF EXISTING CLAY I I 95 TO BE REMOVED AND a EXISIING u' REPLACE WITH ROB MA RIAL 5' MIN. GRACE i;! ONE STORY PLACE TOP OF FRAME DWELLING PCASPNG 6" BELOW 3' TYP. 4�c 4 - - - - -- - -- E)3 )On 85 t i N O P H f``S /CAL SOUNDS I , 4" CIP 1/4" SEPTIC TANK W G o — — 8O 67, PER FT. SLOPE ":OLD NNIS URT NE S07 ..w t�l�T OLES 4' . — �0 1 . 80 — — _ _ 20.17' S75,3,'� EXPANSION x CTION_BOX� — - - y. yQ: k'D: •3 r� 00 r :M: m r o m Go 8'•'•TYPo • s, — I - ; .'.'.'.'.':.', 'r 1 f 0 +00 0 +20 0 +40 : — r Q a E " o o aWI PROFILE THROUGH f 1 ' ' o SCALE: VERT. 1' =5' p HORIZ. 1" 10' 1250 ... $ OI 7I �� SEPTIC 4" CIP 01Y4" 12.0' Y W U EXIST.. SSTS TO BE ABANDONED C PPKr) X .N FILTER FABRIC AS PER MIRAFI 10OX rw FWAI C). INSPECTIONS OF ALL CONTROL MLAJUKLb tlGFUt(L rUlltUAWILu AND AFTER PERIODS OF HEAVY OR PROLONGED RAIN. D) WEEKLY INSPECTIONS OF ON AND OFF -SITE AREAS DOWNSTREAM FROM CONSTRUCTION ACTIVITIES. J 2 THE INSPECTIONS SHALL BE CONDUCTED BY THE APPLICANT AND /OR II I ,S II I - It KNOCi UT INLETS 10 °x14° COV1R 3° q o �3 N. 6° SAND�gOR PEA it GRAVEL, ®a ®ARTA ►v K 11' st p ,' ► ]DESIGN CRIB ERM NOTE: DESIGN CRITERIA AND STANDARDS FOR THE CONSTRUCTION _ nr_e_crOADATr IZVWArr TRFATMFNT CYSTFM IC IN Ar(`nRnAW(:r 1 WITH THOSE SET FORTH BY THE PUTNAM COUNTY DEPARTMENT OF ► HEALTH'S BULLETIN ST -19 AND THE NEW YORK STATE DEPARTMENT OF HEALTH'S APPENDIX 75—A. UNAUTHORIZED ALTERATIONS AND ADDP.IbNS TO THIS DRAWING IS A VIOLATION. OF SECTIOG 7209 (2) OF THE NEW YORK STATE EDUCATION LAW. , L E '117 E. N D )PiITPdAm COI mff Dzpan=T Or 113=TR ---0 -- SEPTIC TANK HIS REPRESENTATIVE, I.E. THE SITE ENGINEER, OR THE CONTRACTOR, I TO DETERMINE THE FOLLOWING: �--�_ EXISTING GRADE dY A) THE CONDITIONS OF THE CONTROL MEASURES AND THE NEED `} ;.. FOR REPAIR OR REPLACEMENT. i6 B) THE NEED FOR MAINTENANCE, E.G. REMOVAL OF SEDIMENT FROM �t BARRIERS, TRAPS. AND BASINS. s SILT FENCE �1 C) THE NEED FOR ADDITIONAL CONTROL MEASURES. ' J �a D) THE NEED FOR REAPPLICATION OF SEEDING, NETTING AND /OR MULCHING. : E) THE OVERALL EFFECTIVENESS OF THE CONTROL PLAN.. 3.. ALL TEMPORARY AND PERMANENT CONTROL DEVICES MUST BE MAINTAI- :� NED AND REPAIRED AS NEEDED TO ASSURE CONTINUED PERFORMANCE OF THEIR INTENDED FUNCTION. ALL NECESSARY REPAIRS SHALL BE ITS SHALL BE ITS L r" PERFORMED IMMEDIATELY. 4. THESE PLANS INDICATE THE CONTROL MEASURES TO BE PUTIN PLACE. ADDITIONAL CONTROL MEASURES SHALL BE IMPLEMENTED AS SITE CON- DITIONS CHANGE AND UNFORESEEN PROBLEMS OCCUR. IMPLEMENTATION MEASURES SHALL BE AT Ib OF THE ADDITIONAL CONTROL THE DISCRETION OF THE CONTRACTOR, THE S17E ENGINEER OR THE TOWN. II I ,S II I - It KNOCi UT INLETS 10 °x14° COV1R 3° q o �3 N. 6° SAND�gOR PEA it GRAVEL, ®a ®ARTA ►v K 11' st p ,' ► ]DESIGN CRIB ERM NOTE: DESIGN CRITERIA AND STANDARDS FOR THE CONSTRUCTION _ nr_e_crOADATr IZVWArr TRFATMFNT CYSTFM IC IN Ar(`nRnAW(:r 1 WITH THOSE SET FORTH BY THE PUTNAM COUNTY DEPARTMENT OF ► HEALTH'S BULLETIN ST -19 AND THE NEW YORK STATE DEPARTMENT OF HEALTH'S APPENDIX 75—A. UNAUTHORIZED ALTERATIONS AND ADDP.IbNS TO THIS DRAWING IS A VIOLATION. OF SECTIOG 7209 (2) OF THE NEW YORK STATE EDUCATION LAW. , L E '117 E. N D )PiITPdAm COI mff Dzpan=T Or 113=TR ---0 -- SEPTIC TANK -�— JUNCTION BOX I �--�_ EXISTING GRADE kN PROPOSED GRADE `} i6 C OT -1 TEST HOLE } P -1 PERC TEST HOLE - s SILT FENCE . ® WELL J I� 0 CLIENT: GIUSEPE LABIANCA ADDRESS: 317 LOVELL ST.MAHOPAC . NY 10541 OWNER: RABI JAC08 GOLDBERG & SUE PRAEGER ADDRESS: 14 HELMICK PLACE. LAKE PEEKSKILL, NY 10537 TAR MAP NO.: TAX MAP NO. SECT 91.26 BLOCK 1 . LOT 56 SUBDIVISION: DESIGN PROFESSIONAL: BEYER AND ASSOCIATES .ADDRESS: 78 SECOP. ROAD, BRYANC -POND - PLAZA. -.SUI E._5_ MAHOPAC; NEW YORK PHONE: (845) '621 -4756 FAX: (645) 628- REMSIONS RIO. LOCATION DATE BY Pwom LABIANCA PROJECT GOLDBERG /PRAEGER RESIDENCE do N. 14 MELNKXC PLACE. LAKE PEEKSKILL NY i �r'rA PUTNAM COUNTY 1 k .. ' SM PuM MMISURli'A E SMAGE TRZATMZNT SWM WOO# F. DYER N.Y. STATE ua 0 00D CT as DATE SCALE DRAI716 as SHEET 08 -60 —OL —� AS }�aT)� SSTs — I I� 0 CLIENT: GIUSEPE LABIANCA ADDRESS: 317 LOVELL ST.MAHOPAC . NY 10541 OWNER: RABI JAC08 GOLDBERG & SUE PRAEGER ADDRESS: 14 HELMICK PLACE. LAKE PEEKSKILL, NY 10537 TAR MAP NO.: TAX MAP NO. SECT 91.26 BLOCK 1 . LOT 56 SUBDIVISION: DESIGN PROFESSIONAL: BEYER AND ASSOCIATES .ADDRESS: 78 SECOP. ROAD, BRYANC -POND - PLAZA. -.SUI E._5_ MAHOPAC; NEW YORK PHONE: (845) '621 -4756 FAX: (645) 628- REMSIONS RIO. LOCATION DATE BY Pwom LABIANCA PROJECT GOLDBERG /PRAEGER RESIDENCE do N. 14 MELNKXC PLACE. LAKE PEEKSKILL NY i �r'rA PUTNAM COUNTY 1 k .. ' SM PuM MMISURli'A E SMAGE TRZATMZNT SWM WOO# F. DYER N.Y. STATE ua 0 00D CT as DATE SCALE DRAI716 as SHEET 08 -60 —OL —� AS }�aT)� SSTs — I 12 ORIGINAL GROUND 't CRETE SEAL CEMENT GROUT LW L Imm mE Om PLAN OUTLET TO REM Y WADS —}-j— 'r mm+T ALL ON RILEIS R DIET $ DLL PVC. IOHT Lw_j I I - SLOPE I/d'/FT. MIK OUTLET TO NEXT JcT. m;X 4' OUL PVC. TIGHT UNE SLOPE I/r/m MR SECTION A —A JUNCTION BOX DETAIL N.T.S� PROTECTIVE CASING 20' MIN. STOP SOIL CONCRETE SEAL TEMPORARY CASIN MAYBE— VNTHDRAWN --.- AS GROUT IS PLACED SUFFICIENT CLEARANCE• - FOR PLACING GROUT DRIVE SHOE UNCASED HOLE ---��zl RI TYPE 2 WELL DRILLED IN WATER— BEARING ROCK DRILLED WELL DETAILS N.T.S. ALL CONSTRUCTION JOINTS SHALL BE SEALED WITH ASPHALT CEMENT OR EQUIVALENT. o L II 1 - �- II I I �(3) . 5. DIA... . 5' DIA. OUTLET KNOCKOUT INLETS PLAN VIEW a 779M-Min 10'x14' COVER 6' SAND OR I. SECTIO r GRAVEL .. �I . 1250 GAUON DUAL COMPARTMENT SEPTIC TANK NOT TO SCALE " TO DETERMINE THE FOLLOWING: A) THE CONDITIONS OF THE CCt,!TROL MEASURES ANI FOR REPAIR OR REPLACEMENT.; B) THE NEED FOR MAINTENANCE,_�G. REMOVAL OF SEDI BARRIERS, TRAPS, AND BASINS. C) THE NEED FOR ADDITIONAL CONTROL MEASURES. D) THE NEED FOR REAPPUCATICN OF SEEDING, NETnt MULCHING. -Ai E) THE OVERALL EFFECTIVENESS .C7 THE CONTROL PLAN 3.. ALL TEMPORARY AND PERMANENT CONTROL DEVICES MUST NED AND REPAIRED AS NEEDED TO'ASSURE CONTINUED PE OF THEIR INTENDED FUNCTION. ALL ' NECESSARY REPAIR PERFORMED IMMEDIATELY. L. 4. THESE PLANS INDICATE THE CONTROL MEASURES TO BE PI ADDITIONAL CONTROL MEASURES WALL BE IMPLEMENTED DITIONS CHANGE AND UNFORESEEN RROBLEMS OCCUR. IMP OF THE ADDITIONAL CONTROL MEASURES SHALL BE AT THI OF THE CONTRACTOR, THE SITE ENdNEER OR THE TOWN. A DESIGN U'ItITERIA NOTE: DESIGN CRITERIA AND SUNDARDS FOR THE CO OF A.SEPARATE SEWAGE TREATMENT SYSTEM IS IN I NTH THOSE SET FORTH BY THE•= PUTNAM COUNTY DEF HEALTH'S BULLETIN ST -19 AND JHE NEW YORK STATE OF HEALTH'S APPENDIX 75 -A. . . j.. L E G E N D --- — SEPTIC TANK — �— JUNCTION BOX EXISTING GRADE 88 PROPOSED GRADE C= DT -1 TEST HOLE P -1 PERC TEST HOLE --S-- SILT FENCE ® WELL. .UNAUTHORIZED ALI ,DRAWING IS A \ -THE NEW YORK STA :. PUTNAM. C01 I ,s i f, r PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL a �:,� �- ......._ d �� ... -... .. ,. �.: r��, takse 'p�ti��tci�igN��,•:�;2y:.:�r:�.: ,. :,-_,_... ...,., .. :��'1'�.��'1J'i'°�rPlll�' ����Jj/ �P�:r;,��:�r;�:, �:�„ -•.r Well Location: Street Town/Villagq PKhmm Xr /Tax Grid # ct. j . 2 6 -- —5Co ,tAddress::� I CGS P-2 • ea.Q.ks 41 Map e, , .floc "3( Lot(s)/2-/S Well Owner: Name: Prq Address: 'Ili A4-6 01e \n%CLc P60L, Lo,� PR_ak4,lt NY Use of Well: _L/Residential u is upply Air /Cond/Heat Pump Irrigation 1 rimary the Business Farm Test/Monitoring Or (specify) 2- se 2-secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served 3 Est. of Daily Usage _gal. Reason for V Replace Existing Supply ,„' j - Test/Observation . Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason 4-oLLm ( Wa ig for Drilling YW rlal + 4bexP uMl 69- no Wq &nt,VUL. Well Type / Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision Lot No. Water Well Contractor: Address: Is Public Water Supply available to site? .&..... 4c. W0.........1.5.. ? e �!ti►IV70A Yes F'-' No V ................ . Name of Public Water Supply: 'T61.on o � PR+n&m Val" Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: g 9.3.. Applicant Signature: PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article IQ-,pf the Putnam County Sanitary Code and Subpart 5-2 of Part 5 of the New York State Sanitary Code and'provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance i�th the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue Date of Expiration Permit is Non - Transferrable Permit Issuing Official: Title: White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 Sheet Od PUTNAM COUNTY DEPARTMENT OF HEALTH 'ON'r•. IF '? ()NM-E - Zz 4N.V1- -NTAj1-IW A, FIELD ACTIVITY REPORT NT A WAT7- Houi vi e�p S AT)DRESS. Iq fie(Vl-i'ck Rctice �V�AAvq Uot4M Street Town '4ate' Zip PERSON IN CHARGE n'D TAT rVV-%rrPXXrPn- T).qtp,. Nape and Title FINDINGS: N nVra�u t n mWt 61,21 to CPA 47-3 TET Signature and Title R,Fpn'RT RF.(`F.TVFT) BY,, I acknowledge receipt of this report: SIGNATURE: 02/96 Title: Rev. . Vtit,�A Sheet l of PUTNAM COUNTY DEPARTMENT OF HEALTH .,tea... I d:I 1111; F '?�'4'GR ', A: +I &L k,;,TI:;H S:E-RVICES FIELD ACTIVITY REPORT At A NAME: �Cc 1,qA ADDRESS. (V Mdua Street PERSON IN CHARGE NaRie and Title Town FINDINGS: FTV 4461A Otii°l Late I I bfevdw Njc.� ma Ca State 4 ou) -tj d � A Zip r �C, avnn�� _A 1 Signature and Title L RFPORT RFC'FTVFT) RV: AiC�Ur' I acknowledge receipt of this report: SIGNATURE: 02/96 Title: D - TFT • GO tll k _A 1 Signature and Title L RFPORT RFC'FTVFT) RV: AiC�Ur' I acknowledge receipt of this report: SIGNATURE: 02/96 Title: D - TFT • GO SITE LOCATION OWNER'S NAME PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL 51 PAIR OFFICIAL USE ONLY TM# y 1. z G - 1- 56 PHONE gif-g3q- 192;7 MAILING ADDRESS ;3,7 Loy-rt4 577c.egn Mkmo m_ Ail, lo-541— PERSON INTERVIEWED klMiWtL % k PCHD Complaint # ---N—am-e--& Relationslup I.e., owner, tenant, etc. DATE FtbRyAR� 2, Z4V+- TYPE FACILITY 9e4kk*Xr PROPOSED INSTALLER Tim PHONE ADDRESS REGISTRATION# Proposal (incflude sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system .Different location may require submittal of proposal from licensed professional engineer or registered architect. ew 2 w AIZE A i ; cif 5 ,.► e, _44/".0 J�� .�,;�d.�..o .6,,k /ZZ 1;35 ..... vr; 3r rerorte wbvii vi v�`Jner ag ce to `�.he 6O:.ditions stated Ol'i this foPm: SIGNATURE TITLE 67 -- DATE I4 /D4- Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6 deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML DATE PUTNAM COUNTY DEPARTMENT OF HEALTH LETTER OF AUTHORIZATION RE: Property of Cj05zf4e 4A8WJCA Located at If KeWltk r LA-I-e TN Qun.AA VAu. -eyTax Map # q%- z 6 Block I Lot cr7 Subdivision of N/A, Subdivision Lot # Filed Map # 1U1 & Date filed l� %k Gentlemen: This letter is to authorize MICHAEL F. BEYER, P.E. a duly licensed Professional Engineer X or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or water supply systems in conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public Health Law, and the Putnam County Sanitary Code. °`Very "�rulyyour's;� -`:� r ..� .- ,.... �.,• 'q;:...� Countersigned: �- P.E., R.A., # 74597 wne r erty rusET F RFYFR, RK Mailing Address Bryant Pond Plaza Mailing Address �5`7 /67,04<_ SF_ 78 Secor Road, Mahopac &A YO 10 ile State: New York Zip: 10541 tate: % Zip:�y Telephone: (845) 621 -4756 Telephone: FY !� eW Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIROMENTAL HEALTH SERVICES „- s: �, �.:- �� .:.,.;'y::.��;;,,.;:DE�is1�N?I? ATE: �S�EET- aSIJI3SLTR�' �4CE` S; E�VfL< GE�TA.-T�1�El�T�S'�'�'S- TElVI <` .`,.' ���,.,�•;�.::�c�..�;�: Owner Giusepe LaWanca Address 317 Lovell St, Mahopac, N.Y. 10541 Located at (Street) 14 Melnick Place Tax Map 91.26 Block 1 Lot 56 (Indicate nearest cross street) Municipality Putnam Valley Drainage Basin Date of Pre - soaking 01/12/2004 SOIL PERCOLATION TEST DATA Date of Percolation Test 01/13/2004 Hole No. Run No. Time Start —.Stop ElaQQse.. Time (II�•) Depth to Water From Ground Surface (inches) Start Stop Water Level Dropp in Inches Percolation. Rate Min/Inch P" 1 1 10:45 —11:15 30 20" -23)5 3" 10 2 11:16 —11:46 30' 20" - 2355. 15 3 11:47 — .12:17 30 20" — 22" 2" 15 4 12:17 —.12: 30 20" _ 22 ". 2" 15 5 P -2 1 .... .. — . `• 2.• a r— c' . ..r ._ I 'N ` — 4 ..w —, �... _.. •r: ^.3:. ... —. .a. ..- nY'v. .... iCKaa^•, 3 4 5 P -3 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. ( i.e. 5 1 min for 1 -30 min/inch, 5 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 TEST PIT DATA. DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES :r ... -d��' -. �`}.. -'v`a n- .4I+^!".. <r.. w6; :�:..Q c. -. -•4`, e'�•r. .. .- .">.tA.sa _ _.r w';a:"" :i,•��i. -• alr: �-,:. »�, .:w: r..�..;sa.ic'g'�Y =eV- 'yyC• "=C. �.,, . � 'L�': '.+r ••�.r ... DEPTH . HOLE NO. 1 HOLE NO. 2 HOLE NO. G.L. 0 -8" TOP SOIL / CLAY LAYER 0.5 - 0 -10" TOP SOIL W/ CLAY 1.01 LIGHT BROWN SANDY LOAM W/ GRAVEL 1.5' 2.0' 2.5 DARK BROWN SANDY LOAM n BROWN SANDY LOAM W /GRAVEL 3.0' 3.5' 4.0' DAR 4. S' ' K BROWN FINE SANDY - LOAM W/ GRAVEL 5.0' 5.5' NO WATER 6.0' NO WATER ROCK Q84" 6.5' NO ROCK 7.0' 7.5' . 8.0' 8.5' 10.0, Indicate level at which groundwater is encountered N/A Indicate level at Which mottling is observed N/A Indicate level to which water level Vises after being encountered N/A Deep hole observations made by: CiIC, BEYER & ASSOCUTES, BILL HEDGES, PCDOII Date 117104 Design Professional Name: Beyer and Associates Address: 78 Secor Road, Bryant Pond Plaza, Suite 5 Signatu Design Pr'ofessional's Seal '1'^S .. � _ r _ � '�... •�,? ..a IAA � ♦ f'• 1.f � •- T.Ie.� �hw:. +IS 1� �•,'U'<i� [v,. - .. y ...n ' r . ... ..... y: 1 w. I.h: •mow � Y� RS~ V Bryant Pond Plaza, Suite 5 Fax. (914) 628 -1905 Mahopae, New York 10541 February 6, 2004 Mr. Bill Hedges Senior Public Health Engineer Putnam County Department of Health 4 Geneva Road Brewster, New York 10509 Re: Labianca – Rabi Jacob Goldberg and Sue Praeger Residence 14Me1nickPlace, Putnam Valley, NY Tax Map 91.26 Block 1 Lot 56 Dear Mr. Hedges, Our client, Giusepe Labianca, proposes to drill a new well upon the his property, 10 Melnick place, which is adjacent to the Goldberg/Praeger property, 14 Melnick Place. A letter of agreement is enclosed which is between the Goldberg /Prager property and the Labianca property. The existing SSTS upon the Goldberg/Praeger property is approximately 40ft from the proposed well. To provide further separation, It is proposed to construct anew SSTS for the Goldberg/Praeger property in the rear of the property. The Goldberg/Praeger residence is currently a two bedroom, Two-family residence at the above address. The , proposed SSTS is designed to current P. CDOH regulations for a two bedroom residence, however due to the site constraints, we do not meet the current setback requirements from the house, property line or the proposed well, and only a 50% expansion area is available. We are hereby applying for a repair permit for the construction of the SSTS. Enclosed please find a copy of the following items for your review and approval: • Application for Proposal for a Sewage System Repair • Letter of Authorization. • Design Data Sheet • Plan and Profile- Separate Sewage Treatment System (3 copies) • Letter of agreement between the property owners I trust the above materials are adequate for your approval and complete the submission for the above project, however, if you have any questions concerning this project, please do not hesitate to call me @ 621 -4756 Ve7' trul yours, ,'IX— Chris Caralyus Project Manager Regarding the sale of: 10 Melnick Place, Lake Peekskill, New York 10537 Sellers: Paul and Helen Ackerman 10 Melnick Place, Lake Peekskill, New York 10537 & Mouners Aftercare Corp. % Rabbi Jacob Goldberg 10 Melnick Place, Lake Peekskill, New York 10537 Additional address: Mouners Aftercare Corp. % Rabbi Jacob Goldberg 620 Fort Washington Avenue Suite l C New York, New York 10040 -3429 Purchaser: Giusppe Labianca 317 Lovell Street, Mahopac, New York 10541 Other parties involved: Bill Hedges of Putnam County Board of Health Chris Caralyus of Beyer Associates Surveyor -TBD Details: For the sale to close. The buyer needs to obtain a well permit. For this to happen the following needed to be done.. _ The homeowners of 14 Melnick Place, Lake Peekskill, New York 10537 whom also have applied for a well permit. Which has been denied. as the site and surrounding properties exist now. With the involvement of Bill Hedges and Chris Caralyus . they found a solution. So both properties can receive the well permits. The solution is for the homeowners to place a new septic system oD their property. Which will also allow them to receive a new. well. They agreed to have all necessary work completed that is reguired by the Putnam County Board of Health. Which would make it possible for 10 Melnick Place to receive a well permit. Owners of 14 Melnick Place, Lake Peekskill, New York 10537 Sue Prager 6348 Pinehurst Circle Tamarac, Florida 33321 . ..•�',,,`uw, ^� .: x.C.'� Y. •..3�� .�..t_ :..mat.••. "`.. +y • =.:.al ri.��. _9...:'.ii` "v`nw•�i�.w. ri"°t4r•'l:w.iw n "Cl�i.�,::ti "Moiliiers' Aftercare Comp. z °l Rabbi Jacob Goldberg 14 Melnick Place, Lake Peekskill, New York 10537 Additional address: 620 Fort Washington Avenue Suite 1 C New York, New York 10040 -3429. Everyone involved agrees on the following: The bill from: Beyer Assoc. & the surveyor are the responsibility of Giusppe Labianca. The bill for the septic system will be divided up in the following way. Paul and Helen Ackerman will pay, one quarter of the bill for the new septic system. Which will be divided this way, half of his quarter to. Sue Prager and half to the Mouners Aftercare Corp. in the form of a donation. The money will not come out of the sale of 10 Melnick Place. It will come from a private checking account. The Mouners Aftercare Corp. % Rabbi Jacob Goldberg will. pay half the amount of the new septic system. He owns half of each house. Sue Prager will pay one quarter of the cost of the new septic system. The cost of the wells will be the responsibility of the homeowners. The purchaser of 10 Melnick Place has no responsibly to the owners of 14 Melnick Place for the cost of a new well or the new septic system. ... =Sae..., _ -, . .. _ ' • � ... .. - � . .. .. Prager Date:r�J�-� Paul Ackerman ate: Helen ckerman Date: Mouners Aftercare Corp. % Rabbi Jacob Goldberg Date: Giusppe Labianca , 4M��Date: ��" 'AR {3G�.S.E�,I�S..!, �•+�.' •d.�e•+L �[.y]y:�5t�.�+. i "ti�7t -� �' �4�•cn�"c,S.t�,t i [r yy /. (,, ,�,,. (. - ^.r•P.ti/i,n as .=J,. .': �TV-:.'! - .rij 3lv L�va,'A � r� gn 1tNx they names to shove such. Attached letters from Putnam County Board of Health regarding the well permit applications. Kimberly Tyra. Century 21- Mulvey LORE-17A MOLINARI R.N., M.S_.N. .:- .?..' °e.. , � .,..;:�= „P,r�.a�Kpulth” €iraefir - , .. . - .,. � -• : z'° `'. -. ROBERT. J.. BONDI. �� ..a8-:..•o::�•::a:.::::}:, -t;, .: 'Counfy`Execsilive n�.` ..tr',.:�.; 1 DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Praque /Goldberg 14A & B Melrick Place Lake Peekskill, NY 10537 Dear Prague/Goldberg: A August 22, 2003 Re: I Application to Construct • A water well Prague /Goldberg 14 A & B Melrick Place (T) Putnam Valley TM #91,26 -1 -56 The application to construct a water well on the above mentioned parcel has been received and reviewed by this Department. 'The application as received cannot be approved for the following reasons: 1. The septic tank serving 14 A & B is located on the south side of the residence. The leaching area,�ppears. to be..be.bmcd the..residence,,Less than 80.feet to.the,,proposed 'well. This Department requires a minimum of 160 feet. 2. The septic system serving the parcel to the north is less than 80 feet to the proposed well. 100 feet minimum separation distance is required. Should you have any questions concerning the matter, please contact me at (845) 278 -6130 ext. 2168. Sincerely, William Hedges Sr. Public Sanitarian WIMP cc: BI (T) Putnam Valley r LC3fT1'ti 40 iv., iVf's:It . Public Health Director .. ... '.- .i ---d "i `S: .. ['.. ��`.,, r-r- 'qw:.. ":i2n �'`ar. _•. sr - ..�'S.�e1.:. �. ROBERT J..BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental health (845)278-6130 Fax(845)278-7921 . Nursing Services (845)278-'6558 WIC (845)278-6678 Fax(845)278-6085 Early Intervention/Preschool (845)278-6014 Fax(845)278-6648 August .22, 2003 LaBianca/Ackerman 10 Mehick Place Lake Peekskill, NY 10537 Re: Application to construct a water well LaBianca/Ackerman 10 Mehick Place (T) Putnam. Valley TM #91.26 -1 -57 Dear LaBianca/Ackerman: I have received and reviewed the application to construct a water well on the above - mentioned parcel. Based on a review of the application, existing records of adjacent parcels: and several field visits, the application cannot be approved for the following reasons. 1. The subsurface sewage treatment system located on 9 Mehick Place is approximately 60 feet from the proposed well. A minimum of 100 .feet is required. This Department will consider and review application that meet a minimum separation of 80 feet to sources of possible contamination. However, distances of less than 80 feet cannot be considered at this time. Should you have any questions please. contact me at (845) 278 -6130 ext. 2168. Sincerely, - William Hedges Sr. Public Sanitarian WH/jp cc: BI (T) Putnam Valley AUG 2 G 2003 p p-- p------- - ----- w ----- LORETTA MOLINARI R.N., M.S.N. Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 LaBianca/Ackerman 10 Melrick Place Lake Peekskill, NY 10537 Dear LaBianca/Ackerman: ROBERT J. BONDI County Executive August 22, 2003 Re: Application to construct a water well LaBianca/Ackerman 10 Melrick Place (T) Putnam Valley TM #91.26 -1 -57 I have received and reviewed the application to construct a water well on the above - mentioned parcel. Based on a review of the application, existing records of adjacent parcels and several field visits, the. application cannot be approved for the following reasons. 1. The subsurface sewage treatment system located on 9 Mehick Place is approximately '60 feet-from the.proposed weE A mh)imum of 100 fed is required:` This Department will consider and review application that meet a minimum separation of 80 feet to sources of possible contamination. However, distances of less than 80 feet cannot be considered at this time. Should you have any questions please contact me at (845) 278 -6130 ext. 2168. Sincerely, William Hedges Sr. Public Sanitarian WivjP cc: BI (T) Putnam Valley LORETTA MOLINARI R.N., M.S.N. Public Health Director .. - .u"'S7lax ..4 ....ey•t..�.w> w.Q. r: .rK`..: -; 'F''t..� ai :ti.; .L' ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental )Health (845)278-6130 Fax(845)278-7921 Nursing Services (845)278-6558 WIC (845)278-6678 Fax(845)278-6085 . Early Intervention/Preschool (845)278-6014 Fax(845)278-6648 August 22, 2003 Praque /Goldberg 14A & B Mehick Place Lake Peekskill, NY 10537 Re: Application to Construct A water well Prague /Goldberg 14 A & B Melrick Place (T) Putnam Valley TM #91.26 -1 -56 Dear Prague /Goldberg: The application to construct a water well on the above mentioned parcel has been received and reviewed by this Department. The application as received cannot be approved for the following reasons: The septic tank senrixig 1.4 A $ is locsted'on the south side of the residence-. The. leaching area appears to be behind the residence, less than 80 feet to the proposed well. This Department requires a minimum of 100 feet. 2. The septic system serving the parcel to the north is less than 80 feet to the proposed well. 100 feet minimum separation distance is required. Should you have any questions concerning the matter, please contact me at (845) 278 -6130 ext. 2168. Sincerely, William Hedges Sr. Public Sanitarian WH/.1P cc: BI (T) Putnam Valley r 1 1 I is 00- or 1 +•♦ d� r,4, +� r9? of tt CZ 9Z i COM ej ��yy)+ t9 ���' __ •- _-_- t-- ..__.. of ... _ ..___. �.. is Z 3M _____ ______ ------------- --------------- ftov�l set of it - - - - -. �- c- - - -- - - - - � °- - ` - - - ------------------ - ------- � a - k ( : 00,09 oc ------------ ----------- ---- ___.__ 00,00, ---- - - - - -- ------- - - - - - ' 99 0 la -- -- • - - - - -- ^ -- - - r fog fc is it �r4v� ---------------- - - - - -- --°- __-- r----r---_r_• - -� _-; - 1Ti oL -------------- r------------- 98' i ,.• rtp. r.�'3. �—.N 1�i. .E�... r. �±.rK}..�.i ..s#f.�Y.V/. Y.�R•N �.i-. t.t. 'M- I Rt•.f. �. Y'°•.�_i �� .:y •fJ,..� U.w..> T.4`^J'� {i- �..�w�...L -+tn C.��. jt .. . Ct�� PUTNAM COUNTY HEALTH DEPT. 1 Geneva Road (845) 278 -6130 Brewster, NY 10509 Received of The Sum Of 025627 Date 1,1/0-3 Dollars $ /0 •o 0 Fors'�oo��n. Y� 7y'Y ITY/ THANK YOU! ❑ Cash [] Check M.O. 0 Credit Card By LORE'ITA MOLINARI R.N., M.S.N. Public Health Director i„ ..+ S s.. c. _s. �i.�O..•,i'n- .bi•-.p�1'�. r'.;n..w.t.. ..r �)�Srr".. 3. -. .�. ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845)278-6130 Fax(845)278-7921 Nursing Services (845)278-6558 WIC (845)278-6678 Fax(845)278-6085 Early Intervention/Preschool (845)278-6014 Fax(845)278-6648 August 22, 2003 LaBianca/Ackerman 10 Melrick Place Lake Peekskill, NY 10537 Re: Application to construct a water well LaBianca/Ackerman 10 Melrick Place (T) Putnam Valley TM #91.26 -1 -57 Dear LaBianca/Ackerman: I have received and reviewed the application to construct a water well on the above- mentioned parcel. Based on a review of the application, existing records of adjacent parcels and several field visits, the application cannot be approved for the following reasons. 1. The subsurface sewage treatment system located on 9. Mehick Place is approximately "...60 feet from. the proposed,well. - A minim -um -of 100r fOet'is-f -d;4i iTed. This Department will consider and review application that meet a minimum separation of 80 feet to sources of possible contamination. However, distances of less than 80 feet cannot be considered at this time. Should you have any questions please contact me at (845) 278 -6130 ext. 2168. Sincerely, William Hedges Sr. Public Sanitarian WH/jP cc: BI (T) Putnam Valley �LORETTA �MOLINARI R.N., M.S.N. Puhlic Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ]Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Praque /Goldberg 14A & B Melrick Place Lake Peekskill, NY 10537 Dear Prague /Goldberg: ROBERT J. BONDI County Executive August 22, 2003 Re: Application to Construct A water well Prague /Goldberg 14 A & B Mehick Place (T) Putnam Valley TM #91.26 -1 -56 The application to construct a water well on the above mentioned parcel has been received and reviewed by this Department. 'The application as received cannot be approved for the following reasons: 1 Th _ e: septic .tank serving ld-A B.islocated orb thc.s tkae T'ffe -i leaching area appears to be behind the residence, less than 80 feet to the proposed well. This Department requires a minimum of 100 feet. 2. The septic system serving the parcel to the north is less than 80 feet to the proposed well. 100 feet minimum separation distance is required. Should you have any questions concerning the matter, please contact me at (845) 278 -6130 ext. 2168. Sincerely, William Hedges Sr. Public Sanitarian WH/Jp cc: BI (T) Putnam Valley --------------------- 70 ------------------- 71 66 67 -------------------- - --- 46 - g-- -- -- ----- --- -- - - - - ----------- 36 37 82 0 $a. ,.. ;ap«�E'.; .�., .. .�... 'o�. _ _�<- .. •'v ..e -�'d �.. 4, t. -K ;y�«'�l:• � _ — .� m. ...... .. _ ... `� .:C;' �. '�X• - 11 0 O 32 O3 30' 9 c 32' 5 4 0 8 p 9 !i 030 �i. 25. 1 r AN tog 0 O !� 2 �,� 1 i 2Zr EA,S -./ SSTS 0 BE ABANXNED f k N070 00,E ! 4 ?{ k k ,' 60.67' MELN /C " .. K pL'q CE . ... .y ul m m m m m m m n�� +i SWING TIES TABLE (FT.) L.e - be -S' =" ;�.. r +: oG S6'+i"'cti•. :e a-- .eO i; �•:.r- ro, 1 77.8 49.4 2 74.8 43.7 3 . 71.3 3 8.2 4. 3 8.2 32.9 5 3505 27.7 3 60.5 21.2 7 57.5 49.6 ® 52.6 4306 .9 4900 3705 10 37.3 39.0 . 11 40.1 26.8 12 3 8.1 2005 13 53.2 43.3 14 47.4 43.4 15 41.2 39.5 13 48.9 59.2 - g7 . 43.0 351 1® 37.2 62.7 1� 30.5 40.5 20 21.9 0 21. 52 . ... .y ul m m m m m m m n�� +i ITEMS SEPTIC TANK SIZE (GAL) PRIMARY SSTS (LF) EXPANSION SSTS (LF) DOSING /PUMP CHAMBER (GAL) OVERFLOW TANK (GAL) p_p.1A_ P-PAP-d rpm!lm - -• 1 -19 1250 GAL 1250 GAL 287 LF 287 LF N/A N/A N/A N/A N/A N/A i REVISIONS rNO. LOCATION I DATE BY CKD. OWNER: GIUSEPE LABIANCA ADDRESS: 317 LOVELL STREET, MAHOPAC NY 10541 TAX MAP NO.: SECT91.26 BLOCK 1 LOT 56 S i,DriISI02T DESIGN PROFESSIONAL: BEYER AND ASSOCIATES ADDRESS: 78 SECOR ROAD, BRYANT POND PLAZA, SUITE 5 MAHOPAC, NY 10541 PHONE: (845) 621 -4756 FAX: (845) 628 -1905 LINTY PROJECT: HEALTH L.ABIANCA RESIDENCE 14 MELNICK PLACE LAKE TOWN OF PEEKSKILL PUTNAM COUNTY DRAWING: to FMAM CONSTRUCTION � COMPLIANCE AS -BUILT PLAN MICHAEL F. BEYER, P.E. N.Y. STATE LIC. 0 074597 PROJECT N06 DATE SCALE DRAW40 NO. sml 03 -50 11/11/04 AS NOTED AB -1 1 OF 1 RCVGR Jt A-R-Rtlr_.lATF.R_