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HomeMy WebLinkAbout0424DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13.-3-88 BOX 5 Ffm :: . .` 4 I. `, I �r ' - - 'owl 00233 b BRUCE R. FOLEY Public Health Director August 29, 2001 LORETTA MOLINARI R.N., M.S.N Associate Public Health Director Director of Patient Services DEPARTMENT tj 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 (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Jeffrey J. Contelmo, PE Insite Engineering Route 22 Brewster, New York 10509 Re: Field Inspection - Astro Associates NYS Route 311/Vista Lane (T) Patterson Lot #1.8, TM #13 -3 -55.18 Dear Mr. Contelmo: 0 The above referenced separate sewage treatment system can be backfilled. The following comments must be corrected in the field: 1. Inspection of the house, septic tank, pump pit, distribution box and footing drain need to be performed upon completion and prior to backfilling. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. Very truly yours, Gene D. Reed Environmental Health Engineering Aide GDR:cj PUTNAM COUNTY DEPARTMENT OF HEALTH DMSION OF ENVIRONMEN rAL HEALTH SERVICES FINAL SITE MSPECTION Date: 8,19- Inspecte y: .5, �a Street Location & r:$ 2t, 3 i/ /vr s-r.►t I-A Owner 43-r -ro 4 -SoG , Town P Permit # r''- - S - 4 / TM 4- t3 - 3 - s51 t 8 Subdivision Lot # /,9 1. Sewage Svstetn Area a. STS area located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped .............. ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands ...... ................. ............... IISe��aQ.e�v -s.tem - e�p' o Esize - 1, 000 ......... 1,25 0.........other �.,�n.,.�nv ... Ta. ".k b. Septic tank installed level ................ ............................... c 10' minimum from foundation............ .. .. . dDi�s nbuton.$ox= �_ '1 out ets at same elevation way ^t tested 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box - properly set ........... ............................... f. renc es T. Length required a 3 3 Length installed 9 fwo 2. Distance to watercourse measured4 / oo Ft.......... 3. Installed according to plan ......... ............................... 4. Slope of trench acceptable 1/16 -1/32" /foot ............. 5. 10 ft. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface ........ :......... 7. Room allowed for expansion, 100% ......................... 8. Size of gravel 3/4 - 1%" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... 10 i e ends capped .................................. :.................... 2. Overflow tank ............................. ............................... 3. Alarm, visual/ audio .................... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled ........................................ ;: ......... ....... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. IV. a.--Well located as per approved plans . ............................... b. Distance from STS area measured loo ft ........... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ...................................... :... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. 'Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to_exist- watercour; h— Surface water protection adequate ..................................... i. Erosion control provided ........... : ............................... ...... NO COMMENTS . LL .9_1�3©X PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEAL'T'H SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM fro irss o� , ! 3 3 mss, r g Owner or Purchaser of Building Tax Map Block Lot Building Constructed by Town/Village Location - Street t,5 ( nc-� n ,t-(. Building Type A2�,'T72-O AS S o c Subdivision Name Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and 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 treatment 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 Public Health Director 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. Month 14 Day (6 Year ° Z Signature. Title: p2e3 General Contrac or (Owner - Signature Ad?T_" A-55 ac- Corporation Name (if corporation) Address: DWo-r &� /4YN2 State Ko V11 C5 N y Zip Gem c-H SST - ac-noJ Corporation Name (if corporation) Address: (7,5- ftytr-4-a(E State . Brcc -� szr�(, y Zip Form GS -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT Located at C \111 A LAN -own or Village F A-rT lCR Soo Owner /Applicant Name AS-ne o A;f o (-ogTC f Tax Map I— Block , 3 Lot _R Formerly Subdivision Name A S`J-X n A fXpe -.A T E� Subd. Lot # / $ Mailing Address q1 ° Sb 6t v EE,-lf .fin,, i L-vA ft R4CeO PAR,k n! y Zip iI 3-7 1 r Date Construction Permit Issued by PCHD 3- l-.-oe Separate Sewerage System built by AS-r'A o A 5 sAr S Address g2-,Ca &166 X f{0,1L4rVAQD Al�eo PARK ".Vy fa7H Consisting of 1 5-00 Gallon Septic Tank and g 3 �1 L r o i~ Z � w 1) E A 65oa o Al WevC4rx Other Requirements: Pv /n P, oo 1 T Water Suaaly: Public Supply From Address or: Private Supply Drilled by M i Ja Al 0A TT Address /0/8 g f, 3!! i0A.TT6ie.ru.,v vY Building Type q 15S1 'Vrn/ftA iL Has erosion control been completed? No Number of Bedrooms Has garbage grinder been installed? .N 0 I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of the Putnam County Department of Health. Date: (0-7-J • aZ' Certified by P.E. k'- *.4-_ �NS17E EN(rJ1Eie /!��> s'vaPvEY� sca ACeFl��7VeL Professio Address � Pc License # c C4RmrG1, MY e0Siz Any person occupyirfg premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approval subject to modification or change when, in the judgment of the Public Health Director, such revocati n dificatio or change is necessary. lJ By: ! Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 7 THANK YOU! r / { ❑ Cash M Check M O ❑Credit Card B /j&.1" ., J 19 FROM LOT 19 POSED *ELL ialth Services ,e with of the gn I AS-BUILT MEASUREMENTS NO. A camw or CA TW BMW B 00MM? OF MaLM C CGRAER OF DIMUM 1 0 COW N OF DCaLM REMARKS 1 137' — — 14-OAY WMWMW BOX 2 174�7'] 30, 130' 165' — — oM7 or nzs%fm 132' 160'. — — EM OF naNCH 4 4 135' 156' — — W OF malm 5 5 137' 151' 151' — — M OF MOW 6 6 [J 1 140' 147' 1 47' F142' EM OF TFMCH 7 143' DO �OF naDXW 8 146' 139, OW OF TROW 9 9 14 91 1 no OF MICR 10 56' 124 I'll 62' 118' 1 EW OF n?SVW 121 67' 113' SM OF TAENM 13 741 107' 00 OF naWW 14 80' 101' Do or nauzv 15 86' 95' am OF n*Nof 164 — 15' '40, WW rAW 1 7 20' 51' PLW PIT 0 NO. DATE REVISION ! F.e 1 ':k':r. .. Q F7 T E- ENGINEERING, SURVEYING & LANDSCAPE ARCHITECTURE, P C PROJECT SSTS FOR ASTRO A SSOCIA TES L 0 T 118 6 wsTA Lw& Tom oFoArr&9x Pum/m wuN7y ww mw DRA KING: AS -BUILT DRAWING PROJECT 98105.317 PROJECT NO. MANAGER DATE 10-29-02 DRAIM BY 0 BY 3 Garrett Place Carmel, NY 10512 (845) 225-9690 (845) 225-9717 fax www.insite—eng.com NEW)—,O�� J. M. W DRA WNG NO. SHEET S.M. ® 13 7 1 1 I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 1 WELL COMPLETION REPORT Well Location Street Address: Town/Village: P r D pN Tax Grid # Map ).3 Block .3 Lot(s) $ Well Owner: Name: Address: Acl Use of Well: 1= primary 2= secondary / Residential Public Supply Air cond /heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing Open hole in bedrock Other Casing Details Total length /^, (� ft. Length below grade ft. Diameter j in. Weight per foot t7- Materials: Steel _ Plastic _ Other Joints: _ Welded Threaded — Other Seal: X Cement grout _'Bentonite Other Drive shoe: _X Yes No Liner _ Yes No Screen Details' Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test Bailed _ Pumped _X Compressed Air Hours Yield, gpm Depth Data Measure from land surface- static (specify ft)) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or sieve,analyses are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface l I lb Cl j V, If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type SA Capacity f. _(2P 1 Depth,, > 1) Model 7656 7 Voltage �_0 HP T Tank Type �fQ l Volume Kg (IG, %h D�/�Co pleted 6 ©1 Putnam County Certification No. � °7 Date of ep�Z4 7 l Well Driller (signature) It NOTE: I✓xact location of well with distances to at least two permanent landmarks to be provided on a separate sneevpian. /�/ Well Driller's Name ; )'!l di1 /� Address: Rid, �S16A ' Signature: Date: White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 a /NS/TE _Ip?�7—sNGINEERING, SURVEYING & LANDSCA PEA RCH/TECTURE, P.C. 3 Garrett Place (845) 225 -9690 Carmel, New York 10512 Fax: (845) 225 -9717 TO: Putnam County Health Department 1 Geneva Road Brewster, NY 10509 LETTER OF TRANSMITTAL Date: 10 -29 -02 Job No. 98105.318 Attn: Robert Morris, P.E. Re: SSTS for Astro Associates Lot 18 6 Vista Lane, Town of Patterson TM# 13 -3 -88 WE ARE SENDING YOU ® Enclosed ❑ Under separate cover via the following items: ❑ Shop Drawings ® Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of Letter ❑ Change Order ❑ COPIES DATE NO. DESCRIPTION 5 110 -29 -02 AB -1 As -Built Drawing _.....__..._........._ ..............._._......._..._............._ ........ ............ ........__.....1..... ... .. -- _-. .......... ... .. 1..._..__....... ... ._ ...... --.._.._........._...__.._...._........ ._... ........................ _... .............. ... ..... ........ .... ..... - ....... _ ...................... .... .... .... ....... ... _.......... ........... ._ .......... . .............. .. ....... _..._.... 1 10 -29 -02 CC -97 Construction Compliance 3��- ._.- _.__.__._____.�. 0 16 -02 GS-97 'Guarantee ............... ... ...... ..._......._..._ ....... _.- ............... .----.._..._..._-.._....--.-_ .... - ........ _.._._.........._....._.___ ..�_Egl ._.._._.__._..........______ _..._____..___..___.___......__-.._._.._..__..._.._.._..._.____........_------_..........---.. ...._...____._..._._......__.__ 1 --- - - - - -- --- - - - - -- 1 Address Verification 1 8 -16 -02 --- - - - - -- Water Test Results ............. ... .... ... ....... .... - _..._...... .._........._._..._ .. ...... __. ..... ............. .... ... ._...... _ _..........._...... _.__.._._.._ __ __.__... —._ _ _—__. _..._... ._.......__.._....- .._._..._... _.. ........ ......... ..... ._ ... _ ...... -- ...... ...._.............__ 1 7 -27 -01 WC -97 Well Completion Report 8 -30 -02 64209 $200.00 Fee 9443 1 l THESE ARE TRANSMITTED as checked below: ®For approval ❑Approved as submitted ❑ Resubmit ❑ For your use ❑ Approved as noted ❑ Submit ❑ As requested ❑Returned for corrections ❑ Return ❑ For review and comment ❑ REMARKS: COPY TO: lot2002.dot copies for approval copies for distribution corrected prints SIGNED: n M. Watson, P.E. OJOI P.E. 782019 P..04 OCT -25 -02 09:34 AM TOWN OF PATTERSON 9148 ' OCT- 22 -aNa 14135 MOM! IN:IiE ENGINEERING 6452E-59717 TQt8786343 Pt3 5 BRUCE A, FOLEY LORE'1'fA ,MOL,INARI� RN., kI,9.N, Awadua A6114 NtaUh Uretter Dtreeta of palrow ser free DEPAR'It ImAL'jn I Gonava Road 1 BrOWetst, Now York 10509 UVRILmtOW Nit.11h (914)116.6130 ?a (9.14) 378 - 7931 Muriln8 &tr(m (914) 3T8.653o WIC (9!4)37! . 6618 F4 (p14) 376.6V1j I Tnrly Inurvee!♦oo (414)19! -6011 1'e�chaal (914j316.60A2 Futpld)27A•6646 V 1 O'WMSNAM: Ac'rRo 4a6at &Trs � LeT t �d L ,.1 TAXXaNVMEjL. -I ge .1 1911 A,1DD tESS1 - VZ-T,i9 , .41 TOWN P-a JUI-AoAJ_ .1 AMMORIZED TOWN 0juic Ll. (Signature) DATE: /O ? fa 2- :tI The Putnam County 'Departmeut of Health will not issue a Ca rt&ate of � Con:ttmcdoon Compliance uideas the above form i9 completed,'i.e., a legal E911 address is assipe4 by an authoAzed flown officiaL This [ona is to be submitted with the appUes-tiun. for a Certificate of Constmetion Compliance. I # NE NORTHEAST LABORATORY of DANBURY �1�0 %N Acco,90Ay 39 MILL PLAIN ROAD - DANBURY, CT 06811 CT Cert: PA -0404 �� (203) 748 -7903 - FAX (203) 748 -0652 NY Cert: 11471 LABS www.NORTHEAST LABORATORIES.com a w -4 LABORATORY REPORT REPORT TO: HYATT PUMP SERVICE 229 SOUTH ROAD HOLMES, NY 12531 SAMPLE SITE: SAMPLE POINT: SOURCE: TREATMENT: TEST PERFORMED BACTERIAL: • Total Coliform (Bacteria) PHYSICALS: • Color (Apparent) • Odor. . • pH • Turbidity CHEMISTRY: • Nitrite Nitrogen • Nitrate Nitrogen • Alkalinity • Hardness • Iron • Manganese DATE SAMPLE COLLECTED: TIME COLLECTED: COLLECTED BY: DATE RECEIVED @ LAB: TESTED BY: LAB I.D. # REPORT DATE: ASTRO REALTY, ROUTE 311, LI PATTERSON, OUTSIDE TAP lr 18 WELL NONE RESULTS METHOD# 0 per 100 ml SM 9222B 0 - EPA 110.2 ND - - 7.10 - ASTM- D1293 -99 0.40 NTUs EPA 180.1 <0.005 mg/L as N EPA 354.1 1.3 mg/L as N EPA 353.3 266 mg/L SM 2320B 332 mg/L EPA 130.2 <0.03 mg/L EPA 236.1 <0.01 mg/L EPA 243.1 08/08/2002 10:45 AM M.H. 08/08/2002 LAB #11471 & 11301 HYATT-NY1087 08/16/2002 MAXIMUM CONTAMINANT LEVEL (MCL) OR STANDARD 0 per 100 ml 15 units 3 Units No designated limits 5 NTUs 1.0 mg/L 10 mg/L No designated limits No designated limits 0.30 2 mg/L 0.30 2 mg/L 2 Combined limit for Iron plus Manganese = 0.50 mg/L • Sodium 3.9 mg/L EPA 273.1 No designated limits 3 • Lead <0.001 mg/L EPA 239.2 0.015 mg/L * ** • Chlorine Residual <0.05 mg/L - ml= milliliter mg/L--milligrams per Liter ND =none detected MCL= Maximum Contaminant Level TNTC =Too Numerous To Count * *Notification Level ** *Action Level 3 —Water containing more than 20 mg/L of sodium should not be used for drinking by people on severely restricted sodium diets. Water containing n. than 270 mg/L of sodium should not be used for drinking by people on moderately restricted sodium diets. COMMENTS: - Sample, as received, complies with all State of New York regulatory guidelines. -All holding times (were) met. SAMPLE, AS TESTED ABOVE: MOTABLE or ONOT POTABLE (PER STATE OF NEW YORK DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) RESULTS BASED ON SAMPLES SUBMITTED: 08/08/2002 tJ -��� Quality Control Officer Laboratory Director *NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 060379 (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230 PUTNAM COUfVTY HEALT9; DEPTr x xr -j fi r t, x " y 0 I ­__ T PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES p CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # Located at y R Oy r �is 311 f Subdivision namg�Sl RG I�SS��i� T $ Subd. Lot # Date Subdivision Approved /0- - OCR AST& "�S-> ci i:5 Owner /Applicant Name _/2 toVA, AE A Wtf or Village P�rl�ShcV Tax Map 1'3 Block _ Lot IS Renewal .— Revision Date of Previous Approval Mailing Address IZ ° %0 QIWEWS.. 6QUEV/642 E 15 PAR K NS • Zip Ii 3 Amount of Fee Enclosed' Building Typeg ESi1 N "I A L Lot Area I,1 No. of Bedrooms Design Flow GPD 1600 Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage S ystem to consist of - -S, � gallon-septic tank and $3q iF Other Requirements: r0l P r 11 To be constructed by (iV & lle VA/ r, Water Supply: Public Supply From Address Address or: Private Supply Drilled by j//1/ K/OWi/ Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separ ate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Address iN P.E. C4-. itrffGfU,4c- , RC, R -A.. Date 1. -fZ3 -DI License # 67 1 `131 APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified wh onsidered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permi . proved discharge of domestic sanitary sewage only. By: Title: A,— Date: J v White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design rofessional Form CP -97 08/27/2001 10:30 645- 278 -6392 1N5ITE ENGINEERING PAGE 01 • PUTNAM COUNTY DEIPARTMENT OF HEALTH DMSION OF ENVIRONMENTAL H F.ALTH SERVICES ATTENTION ADA M XGENE REQUEST FOR FINAL rN PECM ON For: Fill All information must be fiilly completed prior to any Trenches inspections beins'made. PCHD Construction Permit 4 1 Located:_ V rf-rX 6AYU — Owner /A,pplicant Name: A5 "rxo As s o c cAgr T Formerly: Subdivision Dame; Subdivision Lot # _ Is system fill completed? IA Date: Is system complete? ' TRv1c9&5 o, Date: Is system constructed as per plans? K e'5 Is well drilled? K° Date: Is well located as per plans? "'f A Are erosion control measures in place? Kei 13 13lock 3 Lot ss i8 /Knt* A'SSo &cA-M5 /V/'r ' ' Aq - Z6- o / If— ' I certify that the system(s), as listed, at the above premises has been constructed and I have inspected and verified their, completion in accordance with the issued PCHD Construction Permit and approved plans and the Standards, Rules and Regulations of the Putnam Couaty Department of Health. Date: Certified by: PP✓ '� fir-- -� Insite Engineering, Surveying &D rofessi Landscape Architecture, P.C. Address: 1485 Route 22 Lie. Brewster, New York 105 Camnoents: T�""015� c. y — &✓ i.44., '4.j Form FIR-99 C PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # 0 Well Location: Street Address: � o illage Tax Grid # p�% Map Block 3 Lot(s) Well Owner: Name: AvTfo AiSSaci/jrCS Address: yJ -;o Qu6EfV5 600LE ✓A4P C/o tours frSCA-si) kao 11JkK N,Y, 1/3W e o Well: Residential Public Supply Air /Cond/Heat Pump Irrigation 1- lmary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served Est. of Daily Usage --*'--,CO gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason. for Drilling Well Type _Drilled Driven Gravel Other Is well site subject to flooding? .............................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes X No Name of subdivision , ASUO AS50C rf-S Lot No. IS Water Well Contractor: UllkMOWAF Address: Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: Q %} Town/Village Distance to property from nearest water inai n: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: . --Q1 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 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a wateLwffler cert' ed by Putnam County. Date of Issue j % Permit Issui facial: �y� Date of Expiration Title: Permit is Non-Tr ansferr le White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 THESCARSDALE If Second Floor �► c� •�C _1 I S 4 J s 1 F - E - RU TI- UI T-s u�i►,'f i'^ RTWNT IEj [:L}.AlTH • tU G Cy1`: FT v';1 A F' E" k.: 1� �iP Fi 1 IKI G 1 1 l i -ii ^l [ } s I.. p z %U -48' FEVISIONIALTERATIONS TO THEE X6019 27'8'. STANDARD SCARSDALE 11 FEATURES • 5- Spacious Bedrooms • Framingham Pediment on Front Door • 2%2 Baths ® Fireplace Options Available • Open Two- Story! Energy. Foyer ® 'Boxed -out" and "Angle Bay' Options • Formal Dining Room available • Formal Living Room • Consult an Authorized Westchester Builder a Spacious Country ru tcf ien With Breaktst for a Complete List o► Options P.00ni and Pantry ® Artisfs renderings and Floor Plan Dimensions are • "Coy cage- Style" 3056 Lower ! errel Windows conLZCC No 021 onditions Host be Wrfiten in d ie with Architraves on Front ••' '�4tt .� .i;r ?� R VJ�G Q d +lY'L:Y CY Chi C9C U t7 fi 9'CC e ry�.:. n -� a •�•: r.: P. O. Box 01 00 o Dover Plains, NY 12522 (914) 832 -%00 o (800 ) 832 -3888 BRUCE R. FOLEY Public Health Director ' LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services 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 February 26, 2001 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 Jeffrey Contelmo, PE Insite Engineering Route 22 Brewster, New York 10509 Re: Dear Mr. Contelmo: Astro Associates, Lot # 18 (T) Patterson, TM# 13 -3 -55.18 Reservoir Basin - East Branch The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on February 15, 2001 is complete. The Department will notify you by March 18,:2001 of its determination. ® 1. The Project has been delegated to the Putnam County Health Department for review pursuant to the guidelines set forth in the Watershed Agreement. ❑ Joint . review with the NYCDEP will commence pursuant to the guidelines set forth in the Watershed Agreement. . If the Department fails to notify you within the above referenced time frame, you may notify the Department of its failure by Certified Mail, Return Receipt Requested. The notice would be sent to my attention at the above address. This notice must include your name, the location of the project, the office with which you filed the application originally, and a statement that a decision is sought in accordance with Section 18 -23 (d) (6) of the New York City Department of Environmental Protection Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed complete, subject to standard terms and conditions as set forth in the regulations. Please be advised that projects within the NYC Watershed may also require Department of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should contact the Department of Environmental Protection regarding such activities to see if DEP review and approval is required. If you have any questions regarding this matter, please call me at (845) 278 -6130 ext. 2166. Very truly yours, Gene D. Reed Environmental Health Engineering Aide GDR:cj T0: .T�E1=�REY BRUCE R. FOLEY Public. Health Director DEPARTMENT OF' HEALTH Division of Environmental Health Services 4 Geneva -Road A-7 Brewster, New York 10509. Tel. (914) 278-6130 Far (914)'278-7921 DATE T 4 - i7Yo5oclrg5 RE: Lo7r0//6 Reservoir Basin Dear A5W!97 The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on A- / � l a / is complete. The Department will notify you by :3 / of its determination. The Protect has been delegated to the Putnam County Health Department for review pursuant to the guidelines set forth in the Watershed Agreement. ❑ Joint review with the NYCEP will .commence pusuant to the guidelines set forth in the Watershed Agreement. If the Department fails to notify you within the above referenced time frame, you may notify the Department of its failure by certified mail, return receipt requested. The notice should be sent to my attention at the above address. This notice must include your name, the location of the project, the office with which you filed the application originally, and a statement that a decision is sought in accordance with section 18-2' 3 (d) (6) of the \TYC Dept. of Environmental Protection Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed complete, subject to standard terms and conditions as set forth in the regulations. Please be advised that projects within the NYC Watershed may also require Dept. of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should contact the Dept. of Environmental Protection regarding such activities to see if Dept. of Environmental Protection review and approval is required. If you have any questions regarding this matter, please call me at (914) 278 -6130 ext. 166. Very truly yours, RM:tn a ngine ws2 2__ /NS/ TE .f.a ENGINEERING, SURVEYING & LANDSCA PEA RCHITECTURE, P.C. 1485 Route 22 (845) 278 -4990 Brewster, New York, 10509 Fax: (845) 278 -6392 TO: Putnam County Health Department 1 Geneva Road Brewster, New York 10509 LETTER OF TRANSMITTAL Date: 4:14-01 1 Job No. 98105.318 Attn: Robert Morris, P.E. Re: SSTS for Astro Associates - Lot 18 Longview Drive, Town of Patterson F_TM# 13 -3 -55.18 WE ARE SENDING YOU ® Enclosed ❑ Under separate cover via ❑ Shop Drawings ® Prints ❑ Plans ❑ Samples ❑ Copy of Letter ❑ Change Order ❑ the following items: ❑ Specifications COPIES DATE NO. DESCRIPTION 5 1 -h -01 CD -1 Construction Drawing 1 1 -23 -01 CP -97 Construction Permit 1 1 -23 -01 WP -97 Well Permit 1 ----=---------- - - - - -- LA -97 Letter of Authorization 1 12 -27 -00 CA -97 Corporate Affadavit 1 --------------- - - - - -- PC -97 Application for Approval of Plans 1 2 -12 -01 -- - - - - -- Short EAF 1 12 -29 -98 DD -97 Design Data Sheet (previously submitted with subdivision application) 2 `1� 1 1 - , -- - --- - - - - -- i —3 - o 1 -30 -01 1 -30 -01 -- - - - - -- Z1 S87 --- - - - - -- - - ------- Modular 5 Bedroom House Plans $300.00 Fee Pump Pit Calculation Pump Pit Specification Sheet THESE ARE TRANSMITTED as checked below: ® For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ REMARKS: ❑ Resubmit ❑ Submit ❑ Return copies for approval copies for distribution corrected prints COPY TO: SIGNED: John M. Watson, P.E. lot2000.dot /NS/TE ENGINEERING, SURVEYING & LANDSCA PEA RCH/TECTURE, P.C. 1485 Route 22 (845) 278 -4990 Brewster, New York 10509 Fax: (845) 278 -6392 T0: Putnam County Health Department 1 Geneva Road Brewster, New York 10509 LETTER OF TRANSMITTAL Date: 1 -14 -01 Job No. 98105.318 Attn: Robert Morris, P.E. Re: SSTS for Astro Associates - Lot 18 Longview Drive, Town of Patterson TM# 13 -3 -55.18 WE ARE SENDING YOU ® Enclosed ❑ Under separate cover via ❑ Shop Drawings ® Prints ❑ Plans ❑ Copy of Letter ❑ Change Order ❑ ❑ Samples the following items: ❑ Specifications COPIES DATE NO. DESCRIPTION 5 j 2 -28 -01 CD -1 Construction Drawing 1 3 -1 -01 CP -97 Construction Permit i i o THESE ARE TRANSMITTED as checked below: ® For approval ❑ Approved as submitted ❑ Resubmit ❑ For your use ❑ Approved as noted ❑ Submit ❑ As requested ❑ Returned for corrections ❑ Return ❑ For review and comment ❑ REMARKS: Rob the enclosed drawings have been revised per your comments. COPY TO: copies for approval copies for distribution corrected prints SIGNED: X? J444�- ohn M. Watson, P.E. IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE Iot2000.dot PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION; OF ENVIRONMENTAL, HEALTH SERVICES i APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM[ 1. Name and address of applicant: R -t� x'49 A/ ,v 113 2. Name of project: SS j S c (x � JgMB3. Locatio1Tr� Se Insite Engineering, Surveying s, Landscape 4. Design Professional: Jeffrey J. conte]mo, P.E. 5. Address: Architecture P.C. Route 22 6. Drainage Basin:IP�/� W,gr��'S -l�t'D rT 1ASga 7. Type of Project: , Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ....................... ............................... Type I Exempt Type II Unlisted K 9. ,Is a Draft Environmental Impact Statement (DEIS) required? ......................... A/0 10. Has DEIS been completed and found acceptable by Lead Agency? ............... 11. Name of Lead Agency /jjA 12. 'Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ......................................................... ............................... 13. If so, have plans been submitted to such authorities? ........................................ o 14. Has preliminary approval been granted by such authorities? Vo Date granted: 15. Type of Sewage Treatment System Discharge ................. surface water groundwater 16. If surface water discharge, what is the stream class designation? .................... 17. Waters index number (surface) .....................:..................... .................:............. 18. Is project located -near a public water supply system? ....... ............................... NO 19. If yes, name of water supply Distance to water supply 20. Is project site near a public sewage collection or treatment system? ................ ,R/0 21. Name of stem sewage System y I� %%� Distance to sewage system 22. Date test holes observed 23. Name of Health Inspector APAM STdAII IC 24. Project design flow (gallons per day) ................................. ............................... j000 25. Is State Pollutant Discharge Elimination. System ( SPDES) Permit required ?... V0 26. Has SPDES Application been submitted to local DEC office? ......................... N Form PC -97 PUTNNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM ; Owner Af fA o 1�- 65?7c . . c A ' Y 113 ?7 J Located at (Street) ,U YS Ai 311 h1frA, LAae-__ Tax Map 13 Block 3. Lot �S % (indicate nearest cross street) Municipality eG �l"rg5rv,cl Drainage Basin G,}5 8R//cj�- ArERSfl�/J SOIL PERCOLATION TEST DATA Date of Pre - soaking _2/%/?j . Date of Percolation Test X1011% Bole No. Run No. Time Start - Stop Ela se Time (Min.) De th to Water From Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch 2i` %z�� Z 3 2 22 / '- 2 4 5 2 ? 2v 4 4 5 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 DEPTH G.L. 0.5' 1.0' 1.5' 2.0' 2.51 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' 10.0' 2 :, E . ,.. , .:� • �,:;,. ;:: TST, PIT DATA . ' DESCRIP.T'ZON O. F,` SQI�S• .�NCQ�T�I'TERED.lN•.TEST..HOLES ._._.__... �..._ ..k....._._......,....��....... HOLE INTO. ig A HOLE NO. HOLE N0. Indicate level at which groundwater is encountered i e ,a - Indicate level at which mottling is observed 1-j6s, Indicate level to which water level rises after being encountered iPA _ 41_;," , , 61 =, Deep hole observations made by: �„�, t,,, ,,,,U Date Design Professional Name: Jeffrey J. Contelmo, P.E. Nt MC Address: Insite Engineering, blrveying & Lmx1scape Architecture, P. 1485 =Route 22,' ' +� Brewster,' New York 10509 Signature:ti;. Design Professional's Seal 2 27. m `Is any portion of this project located within a designated l oti u or State wetland ?_ .28. Wetlands ID Number ........................................................... ............................... 29. Is Wetlands Permit required? ...................................... :....... ............................... A/a Has application been made to Town or Local DEC office? . ............................... !U 30. Does project require a DEC Stream Disturbance Permit? .. ............................... KO 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ............................ Yes1 o� NO 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? ............................... YesQ 11X) DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ......................... (&L, A) c;rlf 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ................................. ............................... w1wowd 35. Are any sewage treatment areas in excess of 15% slope? . ............................... h/O 36. Tax Map ID Number ........................ ............................... Map Block ',3 Lot 18 37. Approved plans are to be returned to ..... Applicant Design Professional NOTE: All applications for review and approval of a new SSTS to be located within the NYC Watershed shall be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater, plans or the creation of impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item l .,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNATURES & OFFICIAL TITLES: Mailing Address: ................................... insite Engineering, Sul veying Landscape Architecture, PC. ou e Brewster, Neonr Fork 10509 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of LW A S.S0C IA'r9(; Located at NY5 OV 3I i Z t/ s rA l&V PAXTE SO Tax Map # 3 Block 3 Lot 5 Subdivision of AST90 A55oc1ATES r f Subdivision Lot # �� Filed Map #`r<10 Date Filed t $ (° ° Gentlemen: This letter is to authorize incite p2!3 j erinq, surveying &Landscape Architecture, P. C. (Jeffrey J. conte]sro a duly licensed Professional Engineer x_ oxReVst=di0xExxxxxto 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 truly yours Countersigned: = Signed: P.E.,1K.A., # 6 1.9 3` (Owner of Property) AWO ASSc IA-rO5 Mailing Address unite neerina,� s6rveyzm Mailing Address: 010 Lou►S PEsc6fo4E & Iandsca}'De'*Architectut6 P. c. Route 22 State crew Yank Telephone: Zip 10509 (914) -278 -4990 State jVEV `OAK Zip 1 i3 %q Telephone: 1 -.718 - �28 2600 Form LA -97 PUTNAM :COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for: ASIRo ASSOC 1A115 — kf' I, L,OV15 ��SCA I'OP�E.. represent that I am an officer or employee of the corporation and am authorized to act for: Name of Corporation: AS90 AIS5061AMS Having offices at: 9Z- 50 QUEE S 8OULEVAKe a UP 6 Whose Officers Are: President - Name: tQU)5 QESCA'1'OPE Address: S,q► T Vice President - Name: Address: Secretary -Name: Address: Treasurer -Name: Address: and that I am and will be individually responsible for any and all acts of the corporation with respect to.the approval requested and all subsequent acts relating thereto. Sworn to before me this day of /month) _-jj�jvo0 (year) Notary Public CARL M. CESARANO Noiory PtJb No "r *sootl of New York Qonl;fied in at,!e(Is County s Der:ember 29,,?& f Form CA -97 Signed: Title: Corporate Seal 14 -16-4 (2/87) —Text 12 PROJECT I.D. NUMBER 617.21 SEAR Appendix C State Environmental Quality Review SHO_ RT .ENVIRONMENTAL ASSESSMENT. FORM. . For UNLISTED ACTIONS Only' PART I— PROJECT INFORMATION (To be completed by Applicant-or Project sponsor) 1. APPLICANT !SPONSOR J CSI 2. PROJECT NAME, 1 SS. -rS -b a L 3. PRO ECT LOCATION: _ A / F Municipality QiV County f1 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) SC. L oC6T� chl C oAj s.r'v�.Tio W .. g iwi wc_ . 5. IS PROPOSED ACTION: New ❑ Expansion ❑ Modification /alteration 6. DESCRIBE PROJECT BRIEFLY: �j�Y, AP4 Vuk- 1761vAOCCS::1 7. AMOUNT OF LAND AFFECTED: 1.28 Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? s L.J No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential Industrial ❑ Commercial ❑ Agriculture ❑ Park/Forest/Open space ❑ Other Describe: 10. DOES ACTION INVOLVE.A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE.OR LOCAL) ?. _ 01yes ❑ No If yes, list agency(s) and permitlapprovals G'rl►�c'✓:'�Y fG��il�- �'CJvt/il% �r• FRt�G�sc,� SSSS�wFa� Pv�/J�tri ��;,':vr� JIE�t;ri p,: Pi• E x 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes "–"L , If yes, list agency name and permitiapproval 12. AS A RESULT 0� F PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes oft I. CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE TNs f•i•F j5wl yE`vKC/ J�TVEYIWj t 4tJ iCC AV,rr-rw� P c, Applicant/sponsor name: 1644 m.' VJATScw PC. Date: _ Signature: If the action is in the Coastal Area, and you are a state agency, complete' the Coastal Assessment Form before proceeding with this assessment OVER 1 PUTNAM COUNTY DEPARTMENT OF HEALTH DMSION OF ENVIRONMENTAL HEALTH INDMDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS REVIEW SHEET FOR CONSTRUCTION PERMIT NAME OF OWNER: % Zatva5 ?,x5 e- �4TaZ9 STREET LOCATION: V. 'I, S. iZ f, i 1 4ANgtS REVIEWED BY: RM, GR, AS, SRDATE: a TAX MAP #: (CONFIItMED) Y IN DQCUMENTS PERMIT APPLICATION L)( =)WELL PERMIT OR PWS LETTER C -97 ETTER OF AUTHORIZATION ESIGN DATA SHEET (DDS) ORPORATE RESOLUTION �" SHORT EAF .)PLANS -THREE SETS (� MOUSE PLANS - TWO SETS VARIANCE REQUEST SUBDIVISION LEGAL SUBDIVISION ( LJSUBDIVISION APPROVAL CHECKED PERC RATE 3 �� UIRED GENERAL (�✓ LOCATED IN NYC WATERSHED P%�rNS SUBMITTED TO DEP UDELEGATED TO PCHD (.-- '--)DEP APPROVAL, IF REQ'D (ZCJDEEP TEST HOLES OBSERVED '% –C_J PERCS TO BE WITNESSED U EX- APPROVAL SSDS ADJ, LOTS ( /WETLANDS (TOWN/DEC PERMIT REQ'D ?) �ATA ON DDS PLANS & PERMIT SAME (�PRE 1969 NEIGHBOR NOTIFICATION (__)(___)LETTER BI/ZBA .-. =—) 100 YR. FLOOD ELEVATION W/I 200' {BOIL TESTING LOTS >10 YEARS OLD REQUIRED DETAILS ON PLANS �,lCJSEWAGE SYSTEM PLAN - (NORTH ARROW) U / SSDS HYDRAULIC PROFILE GRAVITY FLOW ,/)CONSTRUCTION NOTES 1 -15 �--� DESIGN DATA: PERC & DEEP RESULTS (�C_ )2' CONTOURS EXISTING & PROPOSED (DRIVEWAY & SLOPES, CUT FOOTING /GUTTER/CURTAIN DRAINS (__)USDA SOIL TYPE BOUNDARIES C_6C _)TITLE BLOCK; OWNERS NAME ADDRESS TM#, PE/RA; NAME, ADDRESS, PHONE# ( ,J )DATE OF DRAWING/REVISION ' ((L,DATiIlY1 REFERENCE -)LOCATION OF WATERCOURSES, PONDS LAKES,WETLANDS WITHIN 200' OF P.L. )(__,)PROPOSED FINISH FLOOR AND r''" BASEMENT ELEVATIONS () WELLS & SSDS'S W/IN 200' OF SSTS PROPERTY METES & BOUNDS �UEROSION CONTROL FOR HOUSE, WELL & SSTS, EROSION CONTROL NOTE Y .'N (REQUIRED DETAILS ON PLANS CONT'D) HOUSE SEWER - / FT: 4 "00; TYPE PIPE CAST IRON U(___)NO BENDS; MAX BENDS 450 W /CLEANOUT RENEWALS •L--:3t:�)SITE NOTE (NO CHANGE) FILL SYSTEMS ' HORIZONTAL; PAST TRENCH SLOP S F&GRADE (_JC�FILL SPECsh 1= C�CJFII�IA PROF &DIME C ILL IN EXPANSION AREA FILL GREATER THAN2 FEET (__)(FILL CE OTE (_)UDEPTH GAUGES C_)(_)VOL. ON PL , UNCLASSIFIE IMPXRVIOUS (Y S ION DISTANCE FROM TOE OF SLOPE TRENCH`1 �LF TRENCH PROVIDED .� 60FT MAX. PARALLEL TO CONTOURS (_)(__)100% EXPANSION PROVIDED ! '± .])DETAlLlDtJ­ST­fR19E. CRUSHED STONE OR WASHED .GRAVEL GEOTEXTILE COVER f' SEPARATION DISTANCES ON PLAN - FROM SSTS - ( (__)10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL RN CC5100'TO ATION_. WALLS, WELL, 200' IN DLOD,150' TO PITS 100' TO STREAM, WATERCOURSE, LAKE (inc. espan) %j50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER �(__)10' TO WATER LINE (pits - 20') 'INTERMITTENT DRAINAGE COURSE .J,=�n- 200'/500' RESERVOIR, ETC. _ 150' GALLEY SYSTEMS 10' MIN TO LEDGE OUTCROP SEPTIC TANK LO/L10'FROM FOUNDATION; 50' TO WELL WELL (I DIMENSIONS TO PROPERTY LINES LOCATION OF SERVICE CONNECTION MIN 15' TO`PROPERTY�LIN SLOPE YLSLOPE IN SSTS AREA (520%). . REGRADED TO 15 %, IF REQUIRED DOSE/PUMP SYSTEMS (� ,kLJPUMP NOTES DOSE 75% OF PIPE VOLUME/DOSE VOLUME NOTED , C�DETAIL FOR FORCE MAIN, (PIPE TYPE, ETC.). X )PIT AND D -BOX SHOWN & DETAILED C�(__)1 DAY STORAGE ABOVE ALARM CURTAIN DRAIN �PIPES, 5' BOTH SIDES, DETAIL UU15' MIN to C – '-4 °/ - °, 0 %-<1% (__)C_j20' MIN to CD D GE /10 ` ' 2 cons day discharge � )(�LfLA� o ON- PERFORATED PIPE COMMINTS: _ ��;se •Tereg h c1,e4njj Tcv nerd dust,zree n4- r.✓r�.�bdd „r�syet. Apr�pas�� itEVSIiEET)o9 /Ol /00 7'4�e Ale // d1Me9nSlvgs 't/bm I-he pred n,vsfi ;n41;cam PROPOSED -PROPOSID ROOF AND FUMING ORAI _.CF. 1500 GALLON SEP77C TANK PUMP P IT \1 V-j -PROPOSED WA W 7v? SERWCE CC NEC�770N 'c N PRCP0-MV SS 7S L Or-4 PON PER FXW MAP 8846 v f)kPANW0)V ABSORP77ON E TRCH, S (TYP.) EN GYP 0 114 -/FT. 54' -SLOPE 0 2'0,PVC SVR 2V y 77ON MDVCHE7S'(TVP.) jFORCE MAIN 6' A 9 120 60 gI3 e o.c. 'C 0 F-1 A - PROPOSED ST FEME ()ja 'sr 60 qja� 5r FM • 14 WA Y-'� SS7S 5 FM- od7 (SEr munck -�SMMWA77C) 100; TOWWREGIUATED WETLAND CONTROL. ZONE, PR SSTS LOr4WN PER FM ILA N 1 FROM LOT pq PROPOSED WELL A Oul