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HomeMy WebLinkAbout0206DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 4.15 -1 -8 BOX 3 00015 IN a 161 '. -, , ' - Is I i J -, IL 6 I. '� ' am ' all I 1■ I 00015 WELL COMPLETION REPORT Z /71 PUTNAM COUNTY DEPARTMENT OF HEALTH tliviainn. of Fnvirnn.nantal Maalth Sarviras " COUNTY OFFICE BUILDING - CARMEL, NEW YORk This report is to be completed by well driller and submitted to County Health Department together with laboratory report of anal Vsis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME en-'r L�,9N% ;' ADDRESS , �hAW L.ANE, isQd/ /N 1'G% ; Al. IOCATIO (No. 6 Street) (Town) (Lot Number) OF WELL BIR01 hl / L L P019 U PAT I BUSINESS ® ❑ ❑ ❑ PROPOSED DOMESTIC ESTABLISHMENT FARM TEST WELL USE OF WELL ❑ OTHER ❑ ❑ INDUSTRIAL ❑ SUPPLY CONDI,TIONING ) DRILLIN ROTARY R PERCUSSION ❑ El EQUIPM T PERCUSSION. (specify) CASING LENGTH ( lest) DIAMETER(Inchea) WEIGHT PER FOOT El ❑ WELDED ORIVE SHOE YES ❑ NO G D YES NO DETAIL THREADED YIELD HOURS G.P.M. ❑ BAILED PUMPED ❑ COMPRESSED AIR YIELD (G.P.M.) TEST WATER MEASURE FROM LAND SURFACE —STATIC (Specl/y feet) DURING YIELD TEST [feet) Depth of Completed Will �y LEVEL in feet below Land surface: MAKE LENGTH OPEN TO AQUIFER (feet) SCREE SLOT. SIZE DIAMETER (Inches) IF GRAVEL Diameter of well including GRAVEL SIZE (Inches) FROM (feet) TO (feet) DETAIL PACKED: gravel pack (Inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET o FEET r WELL 0 0� N 0 J� Qti O a n H +� 1P Ho 1G O<' tiO4 tiPio 0 If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE 0 DATE WELL OMPLETED fiE /�`% ;DATE-OF REPORT 3/i "7/x'9 WELL GRILLER (Signature) / fO� ) r1 PLTI'NAM COUN'T'Y DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DARLY A PAVLETiE JEANTY. S i 9 owner or Purchaser of Building Section Block Lot Rox STONY DEVELOPERS , tNc. Building Constructed by 81RCN NiLi- RoAD Location - Street PArrERSoM Municipality FRAM E 1 S' /N 4 C. E FAM/l. Y Building Type QUAKER RIDGE CSTATCS Subdivision Name i Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to'the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage disposal system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environmental 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 / - day of 19 �,?( Signature Own(r) ;- Signature Corp- ratibn Name (if Corp .) - :'mac -�,, Address -� _: rev. 9/85 mk Title `Corporation Name (if Corp._) Address I FTIPL Si1'E LIST- C?' =CV Cat_ a Ins t- by 1 � CNZIER # rm IL CR SutDI7ISIC�J L:lr ea I i IT v =- =a c. �� 2T C? rr- s as per ar- JroVeL D1 =nc b. Fill i si c- - Date _ of plac_%nt 2. Tr__r . w;1 E A��c_� 1 C a— _ t'atur °C'_: rci s ir= c_ S cne, >rr4s e c_, arEacar tan 15' f -cm e_ 140 ft_ f"r' c -'- - 1.000 c C_ 10' m_.n;* ---:, fcur�t_Cn c_ :50 °0° ) �= c?==rn_ut witi 17 f= cf rl cam °_c e. D5T?.-LT ti �s 1 Pte ' c _e a7' .wm � = e! °- =Tct_cn - Ha 2. f,_-St 1 jVfi n i- - 2 -- C.riC= ^.1 cv1 i >== =Ne = ^_ t• { d=Q i N rC' S. Rccn =CW&E =cr e=ns_cn, 5�7' -- Size cz c _ =rte 3/4 - 1•i" C. _ p i r fl_ t Ito CR LCS- S•_SS 2_ Dist—_ i Size C= 2. Gv er-Icw tazik I I - G_ci /cT?^�ic Di St-2=n- C° C= - =rurc C__L °r �:_ °� C'r a C= �' cC: °_C� ^,L° 1�! O - i,�3L =CCL. rCr.. r•�c 6. 10 '.- t 1 c _ 2� T _- - fr-• ir�c I ". I I ' S. Rccn =CW&E =cr e=ns_cn, 5�7' Size cz c _ =rte 3/4 - 1•i" _ p i r fl_ t Ito CR LCS- S•_SS i Size C= 2. Gv er-Icw tazik I I - G_ci /cT?^�ic I to Cr GC,G �• L'�'11rJ Fi 6. C TC� e w ~' -y- ==' by ce:-7 t'1 De:_ Ent I I I es �� t_= �.: Cer C �e I E•:.USE - I I a_ E^'; _ e cCZirCGea TJ1GT 5 I I b. Z�I�Er C C� CCi • a--=r Chi e'= D a n c � )r_ CT =�nc =-_ cL a s= _� ft I I " le C_ C =inc a=-j'a cra a. 1--xes I r b. 1_' 1Le5 •�'� C. L �• i p� LCC t'r c �V,Zt+Z ]."1siGe o= Ecx I ccrains s�c'nes < -' in a�a=rcc_ I I C_ 1.• -ct:. nc. cLVGV r =cm S2` ar=_= I ✓� - I adEc. ' -a .. -.- .-. ...-. - rr�2n � -'+ nn c � !-•r-�C [*-n = ^ =r t`n � ^3 _ I I -_�� PUTNAM COUNTY DEPARTMENT OF HEALTH Rev. 3 8, 6 Division of Environmental Health Services. Carmel, N.Y. 10512 Enginecr.to Provide Permit q on CERTIFICATE`OF COMPLIANCE CONSTRUCTION PERMIT FOR AGE DISPOSAL SYSTEM Permit .N Located at JR I. R C H N) L L R 614 D Town or Village Subdivision- Name VA K E Q R I V.6 E 6!?ATESSubd. Lot q 1 Tax Map Block Lot Owner /Applicant, Name P A R C Y - P A V I, E T T E ,TEA M Ty Renewal_ ❑ Revision ❑ Date of Previous Approval, ,i ` 24 .ANf Melling Address`'. SHAW Town _ Zip 1RVINGToN . N..Y IOS33 . Banding Type GRAM E InAW F0#11.1 Lot . Area S. 3 8 t9 a c ES Fill Section Only Depth's _ V.lura- Number of Bedrooms Design Flow G /P /D goo PCHD Notification Is Required When Fill is cowpleted r. eP Separate Sewerage.Syetem to consist of �. 1! 1.5 Gallon Septic Took and 810 1 F11"b- To be constructed by M i k E 4 R A z I p N 0 v jAdress , Q Water Supply. ` Pdbllc Supply From Address or ✓ Private Supply Drilled by H ya T T address Ro utf 31( PA ? T �R S e N� I�•y ' Other Requirements represent hat J am wholly and completely responsible for the design and location of the proposed, system(s); 1) that the separate sewage disposal .system above - describetl, will be constructed as shown on the approved amendment there to and in accordance with the standards, rules and regulations of e Putrigm County Department of Health, and that 'on completion thereof a "Certificate of Construction Compliance" satisiactory'to the Commissioner of Health will be submitted ':to the Department, and a written 'guarantee will be furnished the owner; his successors, heirs or assigns by the builder, that said builder will 1 place in .goof operating condition any part of said sewage disposal system during the period of two (2) years Immediately following thedate of the itsu- ' c ancii of the :approval of, the Certificate. of .Construction Compliance of the original system or any repairs thereto; 2)*that the drilled well described above , y will be located as shown on the.approved plan and that said well will be installed in accord nce with th andards,. rules and regu,aons of the Putnam .Fi CountY Department of 'Health. - .. i Date , ,,g :. '67 Signed P. E. �.' R.A. T t Address Z'Z SIN /T I/ R1D1i6 RP;. so wtq rA I_ Aix NrY� License No 1332'1 j APPROVED FOR CONSTRUCTION: This approval.expires one.year. from thedate issued unless construction of the building has_been undertaken and is ?r revocable for'cause;oi may be amended or modified when considered necessary by the Commissioner. of Health. Any change or alteration of construction requires a new':p mrt. _;Approved fo! disposal ofdomestic'- samtarysewage an r. a water supply - only: �GO s' Date a69�� ;h_ •: • - r�• is v .ay is �- •��,. DESIGN DATA MM-SUBSUFACE S3qAGE DISPOSAL SYSTEM FIEE NO;.' Owner DAR1 -Y A 1PAuL61"t6 X ANTYAddress 24 SNAw LqNE, rRyjNGToN, N.Y. NORT# Of T ted at (Street) B/R.0 H H It [ RD. . MoRw/N4 siDE DR, Sec. .S Block. / • Lot 9 (indicate nearest cross street) Municipality. PA T T E R S c N. Watershed • ■ • �• �• •' Y?. / • Y• ' �• /• �! • � 1 Yes ; •/• • Date of Pre- Soaking 10 - J o - 8 G Date of Percolation Test / o - 1 - 9 C HoI.E NUMBER CL :K 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 l 9:09 - 9:39 30 24 24.4 19 2 9:40 - lo: 10 30 24 24.9 .9 310:11 - 10:41 3o 24 24.7 .7 4 /0:42 - /1 12 30 Z.4 24.7 • 7 43 5 Q2 1 gall - 9: 41 30 24 25. 2 5' 1.2 S 2 9 :42 - /0; 12 3o Z4 25 1 3 10:13 10; 43 30 24 ZS l 4 10:44- //;/4 30 24 25 1 30 5 9; 43 3o 24 2S 2 9 ;44 - /0,'/* 30 24 2 S I 3 10; If` /0 :45* 36 24-: ZS 1 410 :46 - 11:16 30 24 ZS I 30 5 NOM: 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 fran top of hole. rev. 9/85 DEPTH HOLE NO. / G:L. . ] � S /L 7 Y C44 Y COAM 2' 3' 41 . 5' 6' 7' 8' 9' 10' 11' 12 T, A02 :1 .'ioa= yr4+1+P el:J4rc &ark *ft*A!K6 i )ILS :ENC OUrTI PM IN TEST:::HOLES'' HOLE NO. HOLE NO. lNfoR►yar/oN Fkol►� APPROvED su8P'v)SI0*► MAP OF Q yAKER RIDGE ESTATES 13' 14' INDICATE ' LEVEL AT WHICH C,'f20TJNI7wl= as INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENOOUNTERID DEEP HOLE OBSERVATIONS MADE BY: -DATE: DESIGN Soil Rate Used 31- 45' Min/1" Drop: S. D. Usable Area Provided No. of Bedrooms S Septic Tank Capacity 1, 2 S0 gals . Type cave /At a -r e Absorption Area Provided By 840 L.F. x 24 width trench 2 Fr. OP Rum op QANK CiRAWEIL FILL 7`D 6E PcACED' IEIC ,4 ?E"A Other M o Q rb coN.f T R u c roow+ or D I f P OJ A� J' yf T6 M Name 4 N TH o n► Y L,0 S c R I Signature T r, Address 2 2 S nT ► T H ►t ► D 4 E *V. R R 2 SEAL SOV 7H rA cEM, pl.y, <o Sqo `p, X61332= 'r��CC+n i of THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date DEPARTMENT OF HEALTH Division of Environmental Health'Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT WELL LOCATION Street Address Town /Village /City Tax Grid Number B1RCH HILL ROAD PATTERSSoN WELL OWNER Name J'E'AN 7"Y 24 Mailing Address )WPrivate SHAW LANE, ZAV1N47'o1v, N.Y, 105'33. OPublic USE OF WELL ( - primary 2 - secondary XfRESIDENTIAL O BUSINESS ❑ INDUSTRIAL ❑ PUBLIC SUPPLY O AIR /COND /HEAT PUMP 0 ABANDONED ❑ FARM O TEST /OBSERVATION ❑ OTHER (specify b INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT ,s gpm /# PEOPLE SERVED 6 /EST. OF DAILY USAGE J, 000gal REASON FOR DRILLING XINEW SUPPLY O PROVIDE ADDITIONAL SUPPLY O TEST OBSERVATION OREPLACE EXISTING SUPPLY ❑DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING o r "PP&. y WA7C'M TO P ?OP osED A�gw HO L'S E WELL TYPE DRILLED DRIVEN E]DUG DGRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY S_ UBDIVISION, NAME OF SUBDIVISION: Q vA K gR R / DG E E sT AT ES Lot No. / WATER WELL CONTRACTOR: Name HYATT Address: RTE 311, PA7'TEeseN IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED O ON REAR OF THIS APPLICATION SON SEP TE S EETo. (date) (signatur 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. ���c�ial��� � i ! r ��� -te Date of Issue:���' 19..-� ermit Issuing Date of Expiration: 19� t White copy: H.D. File Permit is Non - Transferrable Yellow copy: Building Inspector Pink Copy: Owner 2J87 8 7 rr.-­ MTl f. 107 11 rN- 1 1- Anthony Loscri, P.E. 22 Smith Ridge Road RR 2 South Salem, New York 10590 September 1, 1987 Mr. Robert Morris Environmental Health Technician Putnam County Department of Health Division Of Environmental Health Services 110 Old Route Six Center Carmel, New York 10512 Re: Jeanty, Birch Hill Road (T) Patterson Dear Mr. Morris: I have revised the previous submission as per your letter dated July 28, 1987. Tax Map Number 5 -9 -1, Section - 5 Lot - 9 Block - 1 Above information from Patterson's Assessors Office. The closets in the study /den have been removed and the bedroom count has been raised to 5 (includes loft). The accompanying new sets of plans reflect all the changes needed. If you have any questions please call me during the day at 914 - 285 -251,? LiJ -. Thank you f`-k your'•assistance. Sincerely yours, Anthony Loscri, P.E. PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Mr. Anthony Loscri 22 Smith Ridge, RD RR22 South Salem, NY 10590 Dear Mr. Loscri: July 28, 1987 C) c JOHN SIMMONS, M.O. Deputy Commissioner JOHN KARELL, Jr., P.E. Director Re: Jeanty, Birch Hill Road (T) Patterson Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follow: 1. Tax map number not provided on permit application. 2. Well permit application not submitted. 3. Depth of curtain drain not noted. 4. Standard notes 1, 2, 3, 4 and 5 missing. 5. Design data, i.e., percolation rate and deep test hole log is not noted on plans. 6. SSDS is to be divided by means of a distribution box or a dosing system is to be designed, the prior alternative is preferred. 7. As per subdivision map and submitted design data sheet percolation rate is to be noted as 31 -45 minutes per inch, not 30 minutes per inch. 8. Signify junction boxes are to be used in the SSDS on plans. 9. Loft is to be considered in the bedroom count, increasing total design to 5 bedrooms. " N> -2- Loscri, Re: Jeanty, (T) Patterson 7/28/87 10. If study /den is not to be considered in bedroom count, closets are to be removed from house plans. 11. Sewage system hydralic profile not shown on plans. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, Robert Morris Environmental Health Techn. RM;amm Z PIV- V - - APPENDIX B PUrtAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL Va= SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS � �•x r i � ( o Owne C LF trench proviaea required — 60 ft. max. Y Parellel to �v 7 /J- v REVIEW SHEET - CONSTRUCTION PERMIT (Street Location) YES NO DOCUMEN'T'S Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results Perc Hole Depth 1 s/s SUBDIVISION Perc (3) Fill ca House Plans - Two sets Well a permit; PWS letter Variance Reauest GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS P.dj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DETAILS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flora contours Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail e11 Detail, Service Line if over Construction Notes Design Data: perc and deep results . Two -Foot Contours Existi.ng.& Proposed Driveway & Slopes Cut Footing /Gutter,Curtain Drains (discharge OK) Perc & Deep Holes Located Representative of primary and expansion Expansion Area; shown; gravity flow,suff. size If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Proposed System Property rtes & Bounds _House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 "0; Type pipe . No Bends; Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, large Trees,Top of fi' 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Take (inc. expa . 15' to Drains - Curtain, Leader, Footing 35'to catch basin,stormdrain,piped watercour. 10'. to Water Line (pits -201) 11V 1 50' intermittent drainage course Septic Tanks . 10' fran Foundation; 50' to well 15' Well to PL t�t/�11 �'zzI -,,II A i f PUINAM COUN'T'Y DEPARTMERT OF HEALTH DIVISION. OF _ HEALTH SERVICES DESIGN DATA SHEET - SUBSUFACE SEWAGE. DISPOSAL SYSTEM FILE NO. Owner 0AR LY PAW L ff TT E TEANTY Address Z4 SNAw LANE, IRVINGTON, N• y 105,3? n+oarm 69 Located at (Street) Q/R c H HILL RD. k7wi v 4 sib e' PR. Sec • Block . Lot (indicate nearest cross street) Municipality PA T T E R Soar Watershed Date of Pre- Soaking 10-10-86 Date of Percolation Test / 0 Oro HOLE 4:41.., 3o Z4 NU-1BER_ CLOCK TIME PERCOLATION PERCOLATION 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 10; 45' 30 Inches Inches Inches 1 q ; o9 - 9 ;39 30 24 24.9 • 9 2 9:40 - W 10 .30 24 24.8 • $ 3 10;11 - ►o:41 3o Z4 L4.7 117 4 10:4Z -I/.* 12 30 24- 2.4,7 .7 43 0 5 <3j .1 4:41.., 3o Z4 25.15 1,25 2 9:42 1o; 12 3o 24 2S 1 2 9144- 3 10;13 - 10;43 30 Z,4-. ZS 1 to; IS - 10; 45' 30 24 4 lo, 44.- 11; 14 30 44 ZS 1 30 5 <3j .1 9 :t3 • 9 #43 3o t4 L5 1 2 9144- 10 14 30 Z4 ZS 3 to; IS - 10; 45' 30 24 ZS' 1 4 /o; 46. - 11:16 3.o L4 . . ZS' l 30.. 5 1. Tests to be'repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to' be suhritter3 for review. 2.' Depth measurements to be made fran top of hole. rta. 9/85 G.L. it 2' 3' 4' 5' TEST PIT DATA REQUIRED TO BE DESCRIPTION OF SOILS EN HOLE NO. S /LtY CLAY I-6A M IN TEST HOLE NO. HOLE NO. IN PoRMAT/ 6N fI�OM'1 APPR6VED P OF QUAKER R/DevE ESTATES 6' 7' 8' 9' 10' 11' 12' 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED 46 �� f DEEP HOLE OBSERVATIONS MADE BY: DATE: DESIGN Soil Rate Used 30 Min /1" Drop: S. D. Usable Area Provided /5,000 s.f. No. of Bedrooms 4 Septic Tank Capacity I, 2 S0 gals. Type cowcaerf Absorption Area Provided By 84 0 L.F. x 24" width trench Other Z Fr- of Rum of 8gNK Qn2 *vEL F /GL To SE P «CCD D .490-A P /Z"R TO ccrsTRuct/*N ei D/lPolAl sysr roNd s Name 4 M TN oN Y L O S C R I Signature Address ZZ SM I rN R /v4 F RP- R R 2 SEAL r S'ovTH f AtEM � /v,y /OS90 y �� `CFO �61332•Z G� THIS SPACE FOR USE BY HEALTH DEPAMlENT ONLY: ��FESSIONP� Soil Rate Approved sq.ft /gal. Checked by Date \ V \ 35 �O J TOTAL LENGTH OF FIELDS a 840 L.F SEPTIC FIELD PLAN SCALE S' - 20' 34 F` J ti LOCATION TABLE POINT No., DISTANCES CORNER A CORNER 8 1 37' -4' 65' -0' 2 46' -0° 75' -0" 3 50' -5° 80' -0' 4 67' -4" 105' -2" 5 93' -0° 133' -5" 6 97' -6' 137' -3" 7 101' -9' 141' -0' 8 i 145' -4' 9 113' -0' 150' -8° 10 .119' -8' 156' -3" 11 124'-3" 159' -B" 12 71' -2' 10B' -4" 13 76' -10" 113' -0' 14 82' -0' .117' -2° 15 88' -2' 122' -5" !6 95' -5' 128' -6° 17 103' -0° 135' -0" 18 109' -0" 19 54' -0' 64' -4" 20 58'-6"_.-* 69' -5° 21 65' -0'- i 22 71' -3 ", 82' -0" 23 78' -6" 89' -2' 24 85' -8" 96' -3" -_ - -?r _- -92 102' -6" 26 99' -0' 109._0" 27 74' -0" 66' -3' 28 79' -3" 73' -0' i 84' -6' 79' -4" 30 90' =91 86' -10' 31 97' -0' 94' -2" 32 102' -10" 100-B" ti LOCATION TABLE POINT No., DISTANCES CORNER A CORNER 8 1 37' -4' 65' -0' 2 46' -0° 75' -0" 3 50' -5° 80' -0' 4 67' -4" 105' -2" 5 93' -0° 133' -5" 6 97' -6' 137' -3" 7 101' -9' 141' -0' 8 107' -0' 145' -4' 9 113' -0' 150' -8° 10 .119' -8' 156' -3" 11 124'-3" 159' -B" 12 71' -2' 10B' -4" 13 76' -10" 113' -0' 14 82' -0' .117' -2° 15 88' -2' 122' -5" !6 95' -5' 128' -6° 17 103' -0° 135' -0" 18 109' -0" 19 54' -0' 64' -4" 20 58'-6"_.-* 69' -5° 21 65' -0'- 75' -9" 22 71' -3 ", 82' -0" 23 78' -6" 89' -2' 24 85' -8" 96' -3" -_ - -?r _- -92 102' -6" 26 99' -0' 109._0" 27 74' -0" 66' -3' 28 79' -3" 73' -0' 29 84' -6' 79' -4" 30 90' =91 86' -10' 31 97' -0' 94' -2" 32 102' -10" 100-B" 33 109' -6" 107' -7° 34 143' -3° 136' -0" 35 173' -9" 208' -8" rucnam counsy Ueparcmen' oZ n"n-L" ' iivision of Environmental Health servicb. kpproved as noted for conformance with a;r,'_icable Hules and Regulations of the ?utnam County Health Department. n, :1 ¢nwfnrn L Tt ' AS BUILT SEWAGE DISPOSAL SY 'THIS IS TO CERTIFY THAT THE DISPOSAL SYSTEM WAS FOR CONSTRUCTED AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS INSPECTED BEFORE IT WAS COVERED OVER. P A U L E T T E D A R L Y J E A N T Y THE SYSTEM WAS CONSTRUCTED IN ACCORDANCE WITH ALL STANDARD RULES AND REGULATIONS OF THE PUTNAM COUNTY DEPARTMENT OF HEALTH AND THE NEW YORK STATE DEPARTMENT OF HEALTH.- BIRCH HILL ROAD TnWM nP CATTFRRnN /f00TING,g 1 0) .GRAIN �T�ER / / .. / '� +• i- /;' Ay s �.. A/ /,. / , ,. , 1 / / / � f f f r / f 'f 0 °f �-r F / �1 "./ i.e . / •/. 7 f / : i ' • . a Of 111 I / / / / i /. re �-- ---------------- -- -' —�— '— =Z= - - -- — — — — — - — — — - � .a Wtnam County Department of Heslt& BTvleion of EavironaMtal Health serum SEPTIC' FIELD PLAN,- &pproved as noted for oonformance with applicable Hines and HevAatlQM Ot the SCALE i" 20+ LEGEND PERCOLATION TESTS EXISTING WELL EXISTING CONTOURS PROPOSED CONTOURS PROPQSED N1 FOR BIRCH HIL 1 0 :" PUTNAWCOUNTY