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00509
<I \ PiT'rNAIVi COUNTY YAEPAR'I'1VIEIVT OF HEALTH
DIVISION OF ElvTVI12ONMENTAi, HEAL'T'H SERVICES
TE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM
CTION PERMIT # P -37 -90
Located at Stage Coach Road Town or Village
Town of Patterson
Owner /Applicant Name .Joseph Panzarino Tax Map 8 Block 1 Lot 3
Formerly
Subdivision Name Stage Coach Prop. Inc.
Subd. Lot # 5
Mailing Address PO Box 352 Patterson, NY Zip 12563
Date Construction Permit Issued by PCHD 9/18/90, 9 / 2 8 / 9 2 , 10/18/94, 11/18/96
Separate Sewerage System built by Paul Lundelius Address PO Box 207 Patterson NY
2563
Consisting of 1000 Gallon Septic Tank and
Other Requirements:
Water Supply:
Public Supply From_
378 LF of 18 1lx24" absorption trenches
Address
or: x Private Supply Drilled by Mill Drilling Address Putnam Ave Brewster NY
0509
Building Type wood frame
Has erosion control been completed?
yes
Number of Bedrooms 3 Has garbage grinder been installed? no
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 Putn County Department of Health.
r
Date: 10/16/97 Certified by .4 P.E. x R.A.
( _ esi rofessional)
Address 11 West Main Street Pawling ISY 12564 License # 74088
Any person occupying 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
approvals are subject to modification or change when, in the judgment of the Public Health Director, such
revocation modification or change is necessary. 04A j By: � � Title: h /� L Date: Id-11 CP
White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional
Form CC -97
Engineers • Surveyors • Planners
11 West Main Street
PAWLING, NEW YORK 12564
(914) 855 -3771.
Fax (914) 855 - 3772;;
TO
Putnam Count)i Health f)ent
Brewster NY 10509
DATE
11/14/97
JOB NO.
900509
ATTENTION
ROBERT MORRIS
RE:
Pa za i o Lot #5
1
10/16/97
Certificate of Construction Compliance for Sewage Treatment System
3
WE ARE SENDING YOU 2 Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES
DATE
NO.
DESCRIPTION
1
10/16/97
Certificate of Construction Compliance for Sewage Treatment System
3
10/27/97
Guarantee of Subsurface T e t ent System
1
11/13/97
Water Analysis Results
1 410/14/97
Well Completion
3
10/17/97
Septic
1
10/27/97
$200 Check #195457
THESE ARE TRANSMITTED as checked below:
• For approval
• For your use
• As requested
❑ For review and comment
❑ FOR BIDS DUE
REMARKS
COPY TO file
❑ Approved as submitted ❑ Resubmit copies for approval
❑ Approved as noted ❑ Submit copies for distribution
❑ Returned for corrections ❑ Return corrected prints
® for issuance of certificate of construction compliance
19 ❑ PRINTS RETURNED AFTER LOAN TO US
SIGNED:
If enclosures are not as noted, kindly notify us at once. Ray Darling Jr PE
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM
Joseph Panzarino
Owner or Purchaser of Building
-DON MIU- %L1VT -9 —_i G-71/Ac?-
Building Constructed by
Stage Coach Road
Location - Street
wood frame
Building Type
8 =1 =3
Tax Map Block Lot
Town of Patterson
TownNillage
Stage Coach Properties, Inc.
Subdivision Name
Lot #5
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 /e) Day ,� Year i Signature. k
0-� w4 Title:
Gener ontractor 04 6- - Signature r
Corporation Name (if corporation) Corporation Name (if corporation)
Address:. PO Box 207 Patterson Address:
State NY Zip 12563 State Zip
Form GS -97
ti
EnviroTestl
Laboratories Inc.
ANALYTICAL REPORT
WSDOH 10142 NJOEP 73507 CMOHS PH4554 EPA NY049
315 Fullerton Avenue
Newburgh, NY 12550
(914) 562 -0890
FAX '(914)562 -0841
0
Federal Id: Collected by:
Inorganics Analysis Data Sheet
Form I - IN
Client Name: * FOWLER & ZARECKI Project Name: STANDARD
ETL Sample Number: 178492 -01
. Client I.D.: BASEMENT FAUCET PANZARIO RES. (6661)
Date Collected: 04- NOV -97 Matrix: 1 DrinkH2O
Date Received: 04- NOV -97
Comments:
Analysis
Result
Units
Method Analyzed
Remarks: ( *)Parameter fails NYSDOH drinking water standards
(@) Exceeds SDWA action level of 15 ug /l
EnviroTest L�
Laboratories Inc.
NYSDOH 10142 NJOEP 73507 CMOHS PH-M4 EPA NYD49
*
315 Fullerton Avenue
Newburgh, NV 12550
(914) 562 -0890
FAX(914)562.0841
b
DATA REPORTING QUALIFIERS
Data qualifiers are used in the analytical report for organics and inorganics.
EnviroTest
Laboratories Inc.
Organic Qualifiers
U - Indicates that the compound was analyzed for but not detected.
J - Indicates an estimated value. This compound meets the identification
criteria, but the result is less than the specified detection limit.
B - Indicates that the analyte was found in both the sample and its associated
laboratory blank.
D - Indicates all compounds identified in an analysis at a secondary dilution
factor.
Inorganic Qualifiers
U - Indicates that the analyte was analyzed for but not detected.
NY$O()1/ 10142 NJOF.P I3507 C. (OOHS .1. t\ f:PA NY04!1
315 funelwn Avellue
Newburgh. NY Q550
(9141562.0690
FAX (914) 562 094 1
.�t1A��Ga.
Q '' WELL L:Ur1rL1111UI,v "XUAI
* ,� DEPARTMENT OF HEALTH
�� 4� Division Of Environmental Health Services
WW YD PUTNAM COUNTY DEPARTMENT OF HEALTH
Office Use Only
WELL LOCATION
STREET AOURESS: WNI I W GRID NUMBER:
Stagecoach Pass Patterson, NY (�
WELL OWNER
NAME: ADDRESS:
Joseph Panzarino, PO Box 352, Patterson, NY
0 P81VATE
❑ PUBLIC
USE OF WELL fWRESIDENTIAL
1 - primary
2 - secondary
❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED
❑ BUSINESS ❑ FARM ❑ TEST / OBSERVATION ❑ OTHER (specify)
❑ INDUSTRIAL ❑ INSTITUTIONAL O STAND -BY ❑
MOUNT OF USE
YIELD SOUGHT 5 gpm. /N0. PEOPLE SERVED 3 / EST. OF DAILY USAGE gal.
REASON FOR
DRILLING
[]REPLACE EXISTING SUPPLY []TEST /OBSERVATION ❑ADDITIONAL SUPPLY
)OVEW SUPPLY (NEW DWELLING) O DEEPEN EXISTING WELL
DEPTH DATA
265
WELL DEPTH ft.
overflow
STATIC WATER LEVEL ft.
5/16/97
DATE MEASURED
DRILLING
EQUIPMENT
❑ ROTARY UxCOMPRESSED AIR PERCUSSION ❑ DUG
❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify):
WELL TYPE
❑ SCREENED ❑ OPEN END CASING x)O OPEN HOLE IN REDROCK O OTHER
CASING
TOTAL LENGTH 41. ^ fL
MATERIALS: 43 STEEL ❑ PLASTIC O OTHER
LENGTH BELOW GRADE 0 ft.
JOINTS: O WELDED x0 THREADED O OTHER
DETAILS
DIAMETER 6 in.
SEALD(FLkCEMENT GROUT ❑ BENTONITE OOTHER
WEIGHT
PER FOOT lb./ft.
DRIVE SHOSt DYES ONO
LINER: G YES ONO
SCREEN
DETAILS
DIAMETER (in)
'SLOT SIZE
LENGTH (It)
DEPTH TU SCREEN (1t)
DEVELOPED?
FIRST
OYES ONO
HOURS
SECOND
GRAVEL PACK
❑ YES
❑ NO
GRAVEL
SIZE:
DIAMETER
OF PACK in.
TOP
DEPTH ft.
BOTTOM
DEPTH It.
-WELL YIELD TEST I If detailed pumping
METHOD: ❑PUMPED t tests were done is in-
t
XXCOMPRESSED AIR lormation attached?
O BAILED ❑ OTHER ; ❑ YES O NO
WELL LOG If more detailed formation descriptions or sieve analyses
are available, please attach.
DEPTH FROM "
SURFACE
Water
Bear-
intl
Well
Oia-
Deter
FORMATION DESCRIPTION
WOE
ft.
It.
WELL DEPTH
ft.
DURATION
hr. min.
DRAWOOWN
It.
YIELD
gpm.
Land
� D
TQ SO11
10
265
Hard granite
265
6 -
150
80
WATER XZ CLEAR TEMP.
QUALITY ❑ CLOUDY HARDNESS
❑ COLORED ANALYZED? )M YES ❑ NO
ANALYSIS ATTACHED ?AR .YES O NO
STORAGE TANK: TYPE di a'phragm
CAPACITY 62 GAT,. 17
PUMP INFORMATION
TYPE CAPACITY l0
Goulds
MAKER DEPTH _ 1 00
MODEL JOGS0541 2 VOLTAGE231I_HP_�.�,2
WELL DRILLER NAME INC, AE
MILL DRILLING, j.ff .1.4 97
ADDRESS Putnam Avenue. SIGNATURE
Brewster, NY 10509 Robert M. Mill, President
.31 Ov
T.
runum CODlfR DgAlil M OF KBALls
DhkM 11511 > /®Pawlda Praaa6t r ` ,
"MUBWATEOF C �
POIAQI'_FO>R F81YA� DIIRO�AL sQ�><!m!1 .
Pti�lt r .-
Town ,Of Patterson .
read ai
vie
:Coach Pro l Taz.Afsp R > rst 3
Oi�alr /A�re.t Ny a AI r I n S2 lil. pn n 7 a r i n n p•�etd p >f evld�e P 3 7= 9 0
Dde et Pwwis" App" Sept . 18,4990 §,28- 2 0 -� f
M.� Aai.a. _p ' (7 _ BOX, 3 5 2. Tows - Pee so- xl .. NY zip 1 2563 _
Date. Subdivision ADnroved Fee Enclosed Amnlinr' 150 .
i JALnnd°. Frame Let " 1 ii45 .. Fm Seetia.
�4 Depth " 'Ye6�e ••,
NuaMr d DeieM:i_ 3 Deelpe :Flow G' P.6 ' 6 0 0 PC® Wbm Fm to emopleted
1 s -pulft .,,...�;sy,l,atoSam d.r'innn• �....g R7R I F -nf I�ataralc
T�Meetl�ee+atedb1 Pahl LunijPlitis Addeeae P.O: Box 207 Patterson: 'NY. 1`2563
*"W Solt: Pdit So Ftr Addteaa J *,,
an X --
ssao.de, Mill Dri'Iling.: .., Putnam:Ave: Brewster;: NY 1'0509
odw >••ed
aOre!�(!t,tnet l arm Wholly ' and, comOletaly iofpon4hh /o► tM dosgn aad loestion; of . the "F;6Md .iyftem(i) i 1) that-the a rato pw • di "l o stem
IaOOw Aypipe0 will be COnftrutted as ShOiun on the aoOMOved an i ldvnenh.hhMe td,atnd in kilt danerwith the Standards, rules ,a, .re/u ns o
=Y.=** o!t of HURN and Mt ore Compbhgn.thereof a !�Certi /ie b of eonstrugtioe Comppancei. phisfaetory.to tM ;Commlplona ot. Mealtitwill
64 Ocean n . end, a` written . juarsntee will .a furnishii the i irnar, his:wCteseas, MMs'oi.Snips by the buitdw, that ,Mid builder will
OI$e in.`pe0 .00eratini •Condition •any oat o/ p10 ,fN1Jale dlsPOYI yft m Ou►in� tM pab0 Of 'two (2 yeMf bhni"latNY folbwin)t tMdate Of the,G¢u-
anse of, the aaaowl�'of the..CartNkme of, Construstimi ComoliMMe of''tM Original Systern o►;en' r' i hbmtoi2)that the 'drillid`well ` d WRIeA i60uo
wfN N besthd es fhosys ow the aYpro�wd Olen and that Yid wNl wt11 M MitalNd ,in, " : np w rules ar r u d W n of the Putnam
CI"Rty- 0401ft nmt drtWlih
at. sMnd a.e. _ Z ft:n,
t25 4:
S
11::West.`Main,' P" whin (� Q
Addr� •• License
APPROVED POP .CONSTRUCT10Ni This aOpowl expires oe date, lssued , ton"voristruchion' of the building has Mon undertaken and is
ferOeable for Cause Or nay be olsswidM or modified whin tonsWared neciwry b inrnis ner' of HUM h. Any Chenre,or alteration of oonstruCtion
_ requires a OMIII .'Apposed /Or d1aaOM1 Of donieAk swnnary eewarje, y, -oMY•
.088 Owe a� ��i /��� by �— Title ���I
TO
FOWLER ... & ZARECKI
Engineers • Surveyors a Planners
11 West Main Street
PAWLING, NEW YORK 12564
WE ARE SENDING YOU L Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
THESE ARE TRANSMITTED as checked below:
❑
For approval
For your use
I
MO�� N-OW, .1Li,.
❑
WE ARE SENDING YOU L Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
THESE ARE TRANSMITTED as checked below:
❑
For approval
For your use
❑
As requested
❑
For review and comment
❑
FOR BIDS DUE
REMARKS
• Approved as submitted
• Approved as noted
❑. Returned for corrections
19
• Resubmit copies for approval
• Submit copies for distribution
• Return corrected prints
❑ PRINTS RETURNED AFTER LOAN TO US
COPY TO
SIGNED: I \� �r
If enclosures are not as noted, kindly notify us at
NONE
TO
FOWLER & ZARECKI
Engineers • Surveyors • Planners
11 West Main Street
PAWLING, NEW YORK 12564
MI Al ORM -2771
WE ARE SENDING YOU Attached ❑ Under separate cover via
❑ Shop drawings ❑ Prints ❑ Plans
❑ Copy of letter ❑ Change order ❑
❑ Samples
.. - jW
IPA
OR
the following items:
❑ Specifications
THESE ARE TR SMITTED as checked below:
For approval ❑ Approved as submitted ❑ Resubmit copies for approval
• For your use ❑ Approved as noted ❑ Submit copies for distribution
• As requested ❑ Returned for corrections ❑ Return corrected prints
• For review and comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED: / �, L
If enclosures are not as noted, kindly notdy us at
C�
i
1
❑ Samples
.. - jW
IPA
OR
the following items:
❑ Specifications
THESE ARE TR SMITTED as checked below:
For approval ❑ Approved as submitted ❑ Resubmit copies for approval
• For your use ❑ Approved as noted ❑ Submit copies for distribution
• As requested ❑ Returned for corrections ❑ Return corrected prints
• For review and comment ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED: / �, L
If enclosures are not as noted, kindly notdy us at
C�
Ij►n'
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS
REVIEW SHEET FOR CONSTRUCTION PERMIT Q
STREET LOCATION NAME OF OWNER --JaSe / a�V ��2 AJ p
REVIEWED BY _S DATE % TAX MAP # 3
Y ! DOCUMENTS 9EROSION PERMIT APPLICATION CONTROL:HOUSE,WELL, SSDS
MIT ` PWS LETTER
OF AUTHORIZATION
4 DATA SHEET (DDS)
RATE RESOLUTION
EAF
- THREE SETS
PLANS - TWO SETS
I I FEE
SUBDIVISION
LEGAL SUBDIVISION
SUBDIVISION APPRO
P ERC RATE
FILL REQUIRED
CURTAIN DRAIN NDPIPES
GENERAL
LOCATED IN NYC WATERSHED
PLANS SUBMITTED TO DEP
DELEGATED TO PCHD
DEP APPROVAL, IF REQ'D
DEEP TEST HOLES OBSERVED
PERCS_WITNESSED, IF REQ'D
EX- APPROVAL SSDS ADJ. LOTS
WETLANDS (TOWN/DEC PERMIT REQ'D ?)
DATA ON DDS PLANS & PERMIT SAME
PRE 1969 NEIGHBOR NOTIFICATION
LETTER BI/ZBA
100 YR. FLOOD ELEVATION
OTHER REQ'D PERMITS)
REQUIRED DETAILS ON PLANS
SEWAGE SYSTEM PLAN - (NORTH ARROW)
SSDS HYDRAULIC PROFILE -_ AVITY FLOW
CONSTRUCTION NOTES
DESIGN DATA: PERC & DEEP RESULTS
T CONTOURS EXISTING & PROPOSED
DRIVEWAY & SLOPES, CUT
FOOTING /GUTTER/CURTAIN DRAINS
COMMENTS:
& DEEP HOLES LOCATED
ATIVE OF PRIMARY & EXPANSION
TION MAP
:P. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE
PUMPED, PIT & D BOX SHOWN & DETAILED
- NO.OF BEDROOMS
WELLS & SSDS'S W/IN 200' OF PROPOSED SYS.
METES & BOUNDS
OUSE SETBACK NECESSARY (TIGHT LOT)
HOUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE
1"NO BENDS; MAX.BENDS 45° W /CLEANOUT
FILL SYSTEMS
CLAY BARRIER .
10- FT. HORIZONTAL;SLOPE 3:1 TO GRADE
FILL SPECS FILL NOTES
FILL CERTIFICATION NOTE
DEPTH GUAGES
FILL PROFILE & DIMENSIONS
VOLUME
FILL IN EXPANSION AREA
TRENCH
L . TRENCH PROVIDED -rJ t� 60 FT MAX.
PARALLEL TO CONTOURS
100% EXPANSION PROVIDED
SEPARATION DISTANCES SPECIFIED
meta -vie
10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL
20' TO FOUNDATION WALLS _15'WELL TO PL
100' TO WELL, 200' IN DLOD, 150' PITS
100' TO STREAM WATERCOURSE LAKE (inc. expan)
50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER
10' TO WATERLINE (pits -20')
50' INTERMITTENT DRAINAGE COURSE
200' /500' RESERVOIR, ETC. _150' GALLEY SYSTEMS
15'min to CDS= >5 %,10'- 4 1/o,25'- 3 %,30'- 2 0/o,35'- 1%,100' - <I%
20'min to CD discharge /100'with 182 cons day discharge
SEPTIC TANK
m 10' FROM FOUNDATION; 50' TO WELL
FORM ST-2
i
1'repree"t that 1 im wholly and toinpNtely ntpoosib16 for.tM ftesMn and location 'Of the propofed system(s); 11. that th0 se rate few di fal s stem
avow desc►f0ad will tM C011struded of dawn on tM app/ovod amenrJTent'there to afW.'in atcwdanu with tM standarfis, rules a rpu ns o m
Doubly Dppartiiiwft of IlMttlfr and that On eofnpNtion'tM►eof i.••Certifitrte of Co
be 'wsmitt"d to :•00� Deoi"M d. and 1 writtae'.yuarMtN awip,'O ;.furnisheq tM ,
.M1
place in good opwatinj oowdttiin :any Dart of `past ;frwiee difpool yfasin durlmfj
anca of tM approval -.of ttmM-CertNkate 'of Co�strudion: ComnPIW of UN aginat
or* be.Iweai0i as fhwre on tM.approvvdpian'and that`4w wNl wi(fbi Installed I' _
o a 9%3/9.6 slp
Add a:- 11 - West ::=Main: S.
APPROVED 0!.OR•CONSYSIUCTlOt4=Timh. approval oulokei two years from the da
revocable for cause er !nrY N anfwmdae'iYlrridM160 when consWarW necewry. 0
faduMN a, mew pwmll. Ape owsij�'for disposal Of fIWMAk'aNlNwy u •
22\7. MY` -
l0 /88
nstructfon ComplNnca" litastoddry to the Commissioner of Moalthwill
owner,.his fucaiawl. heirs or ai*s,by the builder, thot wid.0uitdw will
tM'pMbO of two (2) years Immediately follOwiflp the date of the hsu-
sgfHnl,or any npaMS.tM►Oto;2) that the *111611 will dQlIVM d'afSovo
n` `waft.. the andarfit; eu166 and rog%kaiio s of• tfe Putnam
�.
P.E. X R.A.
License No 61468
hued; unless ,construetlon'of the Ouiklinp .MS POM undertaker) and is
Comm 'b r of MNlth, Any change' or aftwatlon .ofonft►uctbn
r OPIy °only.
f
Tit
Consulting Engineers
Land Surveyors
Land Planners
Frank G. Fowler, III, PE, LS
Joseph Zarecki, PE
Licensed in NY & CT
1 1 West Main St.
Pawling, NY 12564
(914) 855 -3771
(914) 855 -3772 Fax
31 Bailey Ave.
Ridgefield, CT 06877
(203) 438 -7094
(203) 438 -7157 Fax
Civil, Sanitary
Site Design, Wetlands
Environmental
Planning
Construction Management
Feasibility Studies
Permit Acquisition
Title & Mortgage Surveys
Boundary, Topographic
Subdivisions
Construction Layout
September 4, 1996
Attn: Mr. William Hedges
Putnam County Health Department
Geneva Road, Route 312
Brewster, NY 10509
RE: Renewal of Construction Permit #P37 -90
for Sanitary Disposal System
Dear Mr. Hedges:
This letter shall serve as a request for renewal of a sanitary disposal system
for Joseph F. Panzarino which expires October 18, 1996. The property,
Lot #5, is located on Stage Coach Road in the Town of Patterson, New
York.
I have inspected the site and found that no changes have occurred to the
site since our original submittal and approval of the enclosed plan by your
department on September 18, 1990.
Attached please find one completed construction permit and three copies
of the original plan submittal for your use. Should any additional
information be required, please contact our office.
CC: Mr. Joseph F. Panzarino
8j:i1�11 9-d3S96
SOAKS H QV31.1 ANN
,AJ.mno knind
03AI303U
lame
abooe,"Witled will tier.c"structed ai s"o on,tha �Pp►oWtl an»namantrt�aro •to and in,accora
County' Depiftment. of monk and that on Compietion.thereot i'!l:ert ticab of Conaruetioi
be 'subrttltted to .we popaitrriarrt, ana ,a .wrlttien guarantia will be furnislod tM. owiNr, his a
af«e.In Onovioati4'eondltnn.any PM oilmli sewage dlspgs il� iti(n,durlp the k
ance ,of t" app►oral of the Certificate;, of; Construction .Conipliaix of.Jh ginal,fy
win be located as slm"'" thi`ipo►orid ol-and thit's ki wi11 0646 instilled acoor of ,�
CeuMy Wpirtiie t-et NMlth. ,
Data 10 =5 -94
_y._.. 11 Wrest; Main .St Pawl . g Y .
APPROVED FOR -CONSTRIJCTIONiThis approvel.e;PU
INOfabI* for cause or nay be dotwtdad of - modified will$
feouires a now per it. Approved for' 41110001 Of don
Jev.
LO/88 Date giv,
b iystem(s)..1) that the' M irate sewer • dis oral.,• stem
walk the stinwrtls, ruNS an ,rpu a one o : �!utnim
oniolianw, satisfactory to tiro Coinnriailoner of Health will
iaas.- hoksor assigns by tno builder, that said bulkier, will
>f two 12) ova immediately fo110wirlp tMdate of the 9sGU•
Iny lope Mrotoi 2) tlrot tM drilled wNl desgibed atlovo
A tM it ►d rules intl,rggi�TilOni of the pYtnam
'564 61468
Lk: onse , No ,
,construction of the building has been undertaken and la
rrer Of Health.. Any Change o► alteration of construction
ter suppty only. _
TR
Consulting Engineers
Land Surveyors
Land Planners
October 5, 1994
Frank G. Fowler, III, PE, LS
Joseph Zarecki, PE PUTNAM COUNTY HEALTH DEPARTMENT
Licensed in NY & CT Geneva Road, Route 312
Brewster, NY 10509
1 1 west Main St.
ATTN: William Hedges
Pawling, NY 12564
the site since our original submittal and approval of the enclosed plan
(914) 855 -3771
RE: Renewal of Construction Permit #P -37 -90 for Sanitary
(914) 855 -3772 Fax
Disposal System.Design of JOSEPH F. PANZARINO, Lot #5
31 Bailey Ave.
Stage Coach Road, Town of Patterson, New York
Ridgefield, CT 06877
in compliance with the regulations of the Putnam County Health
(203) 438 -7094
Dear Mr. Hedges:
(203) 438 -7157 Fax
Permit #P- 37 -90.
Enclosed are application forms of the Putnam County Health
Civil, Sanitary
Department for renewal of a sanitary disposal system for Joseph F.
Site Design, wetlands
Panzarino. The property is located on Stage Coach Road in the Town
Environmental
of Patterson.
Planning
I have inspected the site and found that no changes have occurred to
Construction Management
the site since our original submittal and approval of the enclosed plan
Feasibility Studies
Permit Acquisition
by your Department on September. 18, 1990.
Title & Mortgage Surveys
It is hereby requested that the approval and construction permits for
Boundary, Topographic
this lot, which unfortunately expired September 30, 1994, be renewed
Subdivisions
in compliance with the regulations of the Putnam County Health
Construction Layout
Department. Attached are the necessary documents for renewal of
Permit #P- 37 -90.
a�
:i
t�
.p
t,
Should any additional information be required, please advise.
Panzarino
i
i
i
i
i
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
APPLICATION TO CONSTRUCT A WATER WELL
PCHD PERMIT #
WELL LOCATION
Street.Address Town/Village/City Tax Grid Number
Stage Coach Road T / Patterson 8 -1 -3
WELL OWNER
Name Mailing Address
Joseph F. Panzarino Box 352 Patterson NY 12563
(XPrivate
0Public
USE OF WELL
1 - primary
2- secondary
(XRESIDENTIAL
0 BUSINESS
0 INDUSTRIAL
OPUBLIC SUPPLY QAIR /COND /HEAT PUMP
O FARM O TEST /OBSERVATION
d INSTITUTIONAL O STAND -BY
0ABANDONED
O OTHER (specify,
O
AMOUNT OF USE
YIELD SOUGHT 5 gpm /# PEOPLE SERVED /EST. OF DAILY USAGE gal
0 REPLACE EXISTING SUPPLY O TEST/ OBSERVATION GE ADDITIONAL SUPPLY
12NEW SUPPLY NEW DWELLING (0 DEEPEN EXISTING WELL
REASON FOR
.DRILLING
DETAILED
REASON FOR
DRILLING
WELL TYPE
ODRILLED
DRIVEN DDUG
OGRAVEL
0
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES X NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Stage Coach Properties
Lot No.
WATER WELL CONTRACTOR: Name to be determined Address:
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO
NAME OF PUBLIC WATER SUPPLY: n/a TOWN /VIL /CITY
DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: n/a
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
DON SEPARATE SHEET
10 -5 -94
(date)
PERMIT TO CONSTRUCT A WAT
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
thirt3, (30) days of the completion of water well construction, the applicant shall:
1. Pump the well until the water is clear.
2. Disinfect the well in accordance with the requirements of the Putnam County Health
Department attached to this permit.
3. Submit a Well Completion Report on a form provided by the Putnam County Health Department.
During all well drilling operations, the applicant shall take appropriate action to assure that
any and all water or waste products from such well drilling operations be contained on this
property and in such a man n r as not to degrade or otherw' contaminate -s rface or groundwater.
�- - ``�
Date of Issue: 19__1 _.
Date of Expiration 19 -�--- Permit Issuing Official
Permit is Non - Transferrable White copy: HD File Pink copy: Owner
3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller
'DEPANTPAM OF BEAM
Comm 'NINON=. IN P" PWOR4
all" saliblue. Cla"My. 16512
Gm CHIMICATZ OF 001RUARM
till!lgft
PON= M GMAGN ]P
DEVOSAL STUCK
..TOWN OF PATTERSON-'
OACH.ROAb ar VsImqg
li.STAGE COACH PROP.• I NC. -5
In law 8 ■at 3
PHMLl
P-37-90
JOSEPH F. PANZAR I NO
Dab of Pmwkw Appmved .9/18/90
BOX 352 PATTERSON, NY Zjj 12563
refs Subdivi§4:p-'Oproved Fee Enclosed [3 Athniint-
WOOD: FRAME ,',` - Let. A,,M .1.845± AC.
ndmft T�p S�Mtiiaa 0* Dqp& Yoffie
momibw d'Bodroo�a FOUR (4),' NOW Flow G P 6 AOO PCHD Nedleadoss Is Requit" When FM IN Completed
S I@ Sysi . = IN . ebaddet,.1250 --gsANgS60kTgNkid .580 L. F. OF LATERALS
Sapaeata TO BE.DETERMINED'-:
TO be gaganigad IW Addresis
wow S"An, 'r8appy Iiiiiii Add
T LD
O-BE,DETERMIN,
X
0, represent that Iim.Wh011y
n disscroAd will$ be constructed as .shown on If
Con con
111ad-to the Ospptinwit. .a a wiktiv
place in .tom -.004ratiftl condition any port :of`
arms of too apilkwal. or tee te"IfIrMe , of con
WA*W 44 If is' on the alaore"rell P"'imi,
.Cowdy Oftu"
Date September 1.1, -1,992
6, ALE
said "I will be ltista#4
A0114110VIED
►evocable for cause or or I&Mlified when 0
"I'llviies. a new, permit. Appraised for disposal Of dorsal
Rev. A
10/88
the
ion of the. proposed system("; 11 that the Mf&tQ U -- disposal system
to and in accordance With the•stilim."fas. rules and. regulations-of ins
of ConstnictloA•CornpliancW' tatisfactofV't* the Commission-
ulld' id
the, owndr. his suceamirl,-h I airs or assigns by the W. that IN builder will
juring.the-pairioid of two (2).yeers Immediately following thedate of the lsk#-.
ciri . 9 We 1.sy , 5 " to L M or a . any , r , "Mirs thereto; 2) that the drilled well desirilsed ACNI
in - accords t , it ndards. rum am regulations of the Putnam
-UM111 No 61468
istruction of the building hasboon undartaka. and is
of Mealth. •Any . change or afteration of nructon
upply, only.
Title
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 #_PI -51 U
WELL LOCATION
Street Address Town/Village/City Tax
STAGE COACH ROAD T/PATTERSON
Grid Number
WELL OWNER
Name Mailing Address
Joseph F. Panzarino Box 352, Patterson, New York 12563
dPrivate
0 Public
USE OF WELL
1 - primary
2- secondary
0 RESIDENTIAL
0 BUSINESS
0 INDUSTRIAL
❑ PUBLIC SUPPLY O AIR /COND/HEAT PUMP
O FARM 0 TEST /OBSERVATION
0 INSTITUTIONAL 0 STAND -BY
0 ABANDONED
❑ OTHER (specify,
E
AMOUNT OF USE
YIELD SOUGHT
5 gpm /# PEOPLE SERVED /EST. OF DAILY USAGE gal
REASON FOR
DRILLING
MNEW SUPPLY O PROVIDE ADDITIONAL SUPPLY
❑REPLACE EXISTING SUPPLY ❑DEEPEN EXISTING WELL
❑ TEST OBSERVATION
DETAILED
REASON FOR
DRILLING
Potable water supply for new residence
WELL TYPE
DRILLED
DRIVEN
DDUG
E]
GRAVEL
OTHER
IS WELL,SITE SUBJECT TO FLOODING? YES X NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Stage Coach Properties
Lot No. 5
WATER WELL CONTRACTOR: Name To be determined Address:
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE:
YES X NO
NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY
DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: N/A
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
O ON REAR OF THIS APPLICATION ® ON $EPA E HEET
September 11, 1992
(date) (Nig#qaturER
PERMIT V
TO CONSTRUCT A WATER WELL
This permit to construct one water well as..s.et 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.
Date of Issue:._ r -"'9-0 19
Date of Expiration: 19`� ermit ssuin �ffici
White copy: H. D. File
Permit is Non - Transferrable
Yell B 'ldin In for
2/87
aw Dopy. ui g spec
Pink Copy: Owner
JOSEPH ZARECKO, P.E.
Consulting Engineers
6 Albermac Court ,
PAWLING, NEW YORK 12564 Se tember 11 1992
DATE_..__.._.......__...._.... P......_..__....__ .._._.__._..._.._•_.__.______.� __...
(914) 855 -3771
TO FAX (914) 855 -3772
P U T N A M COUNTY HEALTH .,_._D E P A R T M E N_ T____._...,__._.___.,,
Geneva Road..,.... Route___ 3..... �.__ ............... _ ...... _ ......... ......_. _ . _._. __ ._.____.
Brewster. New York 10509
ATTN: ROBERT MORRIS Public Health Sanitarian
> Dear Mr. Morris:
sua✓EcT....... Putnam,,.,_, County_,,., Hea,Ith,_Depar,t,_ -_,-
me n t forms
_ Enlsed _p_lease find our letter requesting renewal of sanitary disposal system con-
. _
_ ,structi_on „perm.it,__ #P- 37_ -90 (for Mr,. _Joseph_ F. Panzarino) , _along_ with the duly com-
leted forms
Inasmuch as we _have__now finished our _supply _of these forms, _wo_ul,d you__.kindly _ _ _
have at _least twelve _0 2_) __of__each ("Construction Permit for Sewage Di posal System "_
and "Application to Construct a Water Well ") forwarded to our office for future use?
Thank you for your assistance in this matter..
jes
Enclosures
_......._....._..._..._F ~PLEASE REPLY
Sincerel,
_...........__.._....._._.....__....._..__...,..._....._......................._.._,. . ..................._._._...... SIGNED
❑ NO REPLY NECESSARY • Jane E. Schneider, Secretary
PRODUCT 184 ,.'....,. { Inc., Groton, Mess. 01471. To Order PHONE TOLL FREE 1- 800.2254380
Joseph Zarecki, P.E.
CONSULTING ENGINEERS
6 ALBERMAC COURT PAWLING, NEW YORK 12564
(914) 855 -3771
FAX (914) 855 -3772
September 11 , 1992
PUTNAM COUNTY HEALTH DEPARTMENT
Geneva Road, Route 312.
Brewster, New York 10509
ATTN: , ROBERT MORRIS, Public Health Sanitarian
Re: Renewal of Construction Permit #P- 37 -90, for Sanitary Disposal
System Design for JOSEPH F. PANZARINO, Lot #5, Stage Coach
Road, Town of Patterson, NY
Dear Mr. Morris:
Enclosed is a copy of the Putnam County Health Department approval
for a sanitary disposal system for Joseph F. Panzarino. The property
is located on Stage Coach Road in the Town of Patterson.
I have inspected the site and found that no changes have occured to
the site since our original submittal and approval of the enclosed plan
by your Department on September 18, 1990.
It is hereby requested that the approval and construction permits for
this lot, which are due to expire September 18, 1992, be renewed in
compliance with the regulations of the Putnam County Health Depart-
ment. Attached are the necessary documents for renewal of Permit
#P- 32 -90.
Should any additional information be required, please advise.
Sincerely,
Jo p Za cki, P.E.
JZ /j
Enclo res
cc: Mr. Joseph F. Panzarino ,
Ty" WOOD FRAME Lon As, 1:845± AC. Fm Secflem 0aly Depth Yalaete
Ntaalrae d De/htiaaa FOUR (4) p _Flo* G P D 800 PCHD NedIcatlas Is Batulred When Fm to cempleW
SWMft %,Ng a.Syaat.lo, NMM d 1250 nWjW SOP& Tatil< MW 580 L.F. OF LATERALS .
To be pgew clad TO 'BE DETERMINED Arlt4rna
Wabr S4Pb'L " FtMie Sltp* Ftasa _
AAdrees
art X to lc, S"* Ddw by TO BE DETERM I NED Aar
Olbr b
1 represent that 1 am wholly and completely responsiiie for the,desion and ,location of the proposid tystem(tt; 1) that the separetil sew di YI fystam
above described wal be constructed is shown ion the approved amendment there to and ln accordance with the standards, rubs andrpu ns o aTi�iir�ifr�
County OsipertfrAnt -of ►IMRIi, and that On coeipNtioh.lMreof a "Ceitificats of-Construction Compliance" utigadory to the Commissioner of HMlthwill
be submitted to the Dioritmint and 'a. written. guarantee will be furnished the oiwnr,'fik successors. heirs at suiyns'.by the builder, that said builder will
pan in good.:operetklg eowditioe. shy' part_ of "sail .esnage dispoal sy em durkw'ihi period of two 12)'years immediately following thedsts of the Maw
anus of the apprevat of the CartifWits. of . Construction CoApuar � o I e or4Ak 'stem or any repairs thereto; 2) that the drilled well d-10 above
will be located as'tteewn on the "approved plan sill that laid will will be'ins'a in ' with t standards, rules and re2u a ns of the Putnam
County Q!Oertm wt of Flew h.
_ a August 8, 1990, sane �; v.ta. X R.A.
6 ALBERMAC COURT PAWLING 1 564 License No 61468
APPROVED FOR CONSTRUCTION, This approval expires two,yw► 4M the a 1 un construction of the building has been undertaken and is
revocable for cause or may be amwmed. or modified when co e ' ry_ b the mmi one► of Health. Any Change or alteration of eonstructbn
nOuires a new /�er 8. pprow0 for dispIuo of domeslk it a water supply only.
Rev. Date - /���� sr Title
10/88 ��'
N7 DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO C NTY CENTER - CARMEL, N.Y. 10512 (914) 225-3641
APPLICATION TO CONSTRUCT A WATER WELL
PCHD PERMIT
WELL LOCATION
Street Address
STAGE COACH ROAD
Town/Village/City Tax Grid Number
T. OF PATTERSON
WELL OWNER
Name Mailing Address
JOSEPH F. PANZARINO SEVEN LAKES BOX 918, WEST END C 27376
®Private
O Public
FUSE OF WELL
'l - primary
2 - secondary
® RESIDENTIAL
0 BUSINESS
0 INDUSTRIAL
❑PUBLIC SUPPLY ❑AIR /COND /HEAT PUMP
0 FARM 0 TEST /OBSERVATION
U INSTITUTIONAL ❑ STAND -BY
OABANDONED
❑ OTHER (specify
O
AMOUNT OF USE
YIELD SOUGHT
5 gpm /# PEOPLE SERVED /EST. OF DAILY USAGE gal
REASON FOR
DRILLING
NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY
OREPLACE EXISTING SUPPLY 0DEEPEN EXISTING WELL
❑ TEST OBSERVATION
'DETAILED
.REASON FOR
DRILLING
POTABLE WATER
SUPPLY FOR-NEW RESIDENCE
'WELL-TYPE
®DRILLED
DRIVEN
ODUG
D
GRAVEL
D OTHER
IS WELL SITE SUBJECT TO FLOODING? YES X NO•
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: STAGE COACH PROPERTIES
Lot No. 5
WATER WELL CONTRACTOR: Name TO BE DETERMINED Address:
.IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO
NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY
DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: N/A
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
ON REAR OF THIS APPLICATION X� SEP HEET ,
U"r�t8/31/90
(date) sig ture
PERMIT ''j v
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 permi .
3. Submit a Well Completion Report on a form pr it by t�hie P am County
Health Department.
Date of Issue: 19
Date of Expiration: 19 2,. Permit Issuing Official
Permit is Non - Transfer able White copy: H.D. File
Yellow copy: Building Inspector
Pink Copy: Owner
287 Orange copy: Well Driller
H
Re.
• PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date August 2, 1990
Property of JOSEPH F'� PANZARINO
Located at STAGE COACH ROAD
(T) PATTERSON Section Block Lot
Subdivision of STAGE COACH PROPERTIES. INC.. PHASE 1
Subdv. Lot #-5
Gentlemen:
Filed Map h 2425 Date Filed 7/28/89
This letter is to authorize JOSEPH ZARECKI, P.E.
a duly licensed professional engineer X or registered architect
(Indicate)
to apply for a Construction Permit for a separate sewage system, to
serve the above noted property in accordance with the standards, rules
or regulations as promulagated by the Commissioner of the Putnam County
Department of Health, and to sign all necessary papers on my behalf in
connection with.this matter and to supervise the construction of said
system or systems in conformity with the provisions of Article-145 -or
147, Education -Law,. the .Public Health Law, and,the Putnam County .Sani-
tary Code.
Countersigned
P.E. , R.A. , #
Very truly yours,
6 ALBERMAC COURT
Address
(914)'855-3771
Telephone
Signed . i -7"- ✓
�,Ownft of Prop ty
SEVEN LAKES, BOX 918
Address
WEST END, NORTH CAROLINA
Town
(919) 673 -0188
Telephone
moor-
yj .,•. �:
�,� \ \ \ \!!!`sss�i:�1• ': rl''t'•:7s:.': S _,cJy��"4;'•` � �--5 �" t'1' � �_ ✓�! ��; ?� +?1J- °T�j,3
_��- c s.' -- ..'��^l'Xp'� -r_` `�1 •/ �> r�`�•✓ �jt. .�,:y S ~'rye I I i 1 _
MASTER . Q BED RM. KITCHEN
BED RM. 84 x 11 Z{ FAMILY RM
100 x 12° z i 170 x 136,
BATH
Cu
or am
�N
CL CL.
I I wt
W.Y., 7179E T]
` • .—
1 CL.
,ate AA:SE,
BED RM. BED R "vl. a LIVING RM.
10o x I Op I c x loo I 18~ x 135
HOUSE PLANS FOR BEDROOM COUNT ONLY
FOR JOSEPH PANZARINO
LOT 5, STAGE COACH ROAD,
TOWN OF.PATTERSON, NY
NOT TO SCALE
PLmm COUN1.'Y DEPARM,1EN T OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
LOT 5
DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner JOSEPH F. PANZARINO Address Seven Lakes, Box 918, West End, N.C. 27376
Located at (Street) STAGE COACH ROAD Sec. 8 Block Lot
(indicate nearest cross street)
Municipality TOWN OF PATTERSON Watershed
All jig
Lute of Pre - Soaking Date of Percolation Test
HOLE
NUMBER CI= TIME PERCOLATION
PERCOLATION
Ran 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
. 1 PERCOLATION DATA OF 16 MIN. /IN. AS TAKEN FROM APPROVED SUBDIVISION PLAN, FILED MAP #2425.
2
3
4
5
1 '
2
97
4
rev. 9/85
at same depth until approximately equal soil rates
percolation test hole.. All data to'be submitted
be made fran top of hole.
NOTES: 1:',`, `Tuts..
to be. -, eepeated
are obtirie;:a`t each
...
fdr•�revzew
2.
Depth measurements to
rev. 9/85
at same depth until approximately equal soil rates
percolation test hole.. All data to'be submitted
be made fran top of hole.
LOT 5
DEPTH
TEST PIT DATA REQUIRED TO BE SUBMITEED WITH APPLICATION
DESCRIPTION OF SOILS ENCOUNTMED IN TEST HOLES
HOLE NO. A ** HOLE NO. 1
G. L..
0" -8" TOPSOIL 0 " -8" TOPSOIL
8" ' SILTY " - ' S LTY
t: SANDY LOAM WITH SANDY LOAM.WITH
...t GRAVEL GRAVEL
4�_
51
6'
7'
DE
9'
10'
11'
12'
13'
14'
HOLE NO. 2
0 " -8" TOPSOIL
8" - 9.5' SILTY
SANDY LOAM WITH
GRAVEL
INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED NONE
INDICATE.LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED N/A
DEEP HOLE OBSERVATIONS MADE BY:HOLES #1 & #2 BY JOSEPH ZARECKI P.E PATE: 7/24/90
* *DATA FOR DEEP TEST HOLE 'A' AS TAKEN FROM APPROVED SUBDIVISION PLAN, FILED MAP #2425
DESIGN
Soil Rate Used 16 Min /1" Drop: S.D. Usable Area Provided 5000+ S.F.
No. of Bedrooms FOUR (4) Septic Tank Capacity 1250 gals. Type PRECAST CONCRETE
Absorption Area Provided By 580 L.F. x 24" width trench
Other
Name JOSEPH ZARECKI P E Signature y'���,p•�
Address 6 Albermac Court SEAL
Pawling, w Ne York 12564
THIS,SPACE FOR USE BY HEALTH DEPARMMENr ONLY:
Soil Rate Approved sq.ft /gal. Checked by i Date
co
Q)
co
b
v
N
tIRON PIN
t (FOUND)
POLE
& GUY cOOppOC
N
N
IRON PIN
(FOUND)
S 31'37'56" W
22.66'
/ N A \ s.
a9 OS . u Aj s�
g
9
/ 54
N 31'37'56" E
28.57' F` \
EXISTING WELL
(GRNO ELE 1020.6)
(FUTURE 10X 14
WOOD DECK)
CONC. BLOCK
STAIRWELL
1 _ �' `4
J �/2 sro
/ . BEp RY
R
<u�o S�pE�iC M/
riEC R CONS/
62.7'±
J
J
3
2
O
01
X11' G
J.
1000 GAL.
SEPTIC TANK
DISTRIBU
BOX
0109.6 '.* _71 e /
PR E�
� '00%Rp'�S P /
O
FW4L4
N 09 °50'37" E ~
61. 33'
1 _ V
G7
A
D
rn
r
0
v
0
N
IRON PIN
(FOUND)
a
n
it
1
i
s.
i
�O
O
01
DIMENSION "ABLE
A -F
28'
HOUSE
CORNER
TO
SEPTIC TANK
B -F
18'
HOUSE
CORNER
TO
SEPTIC TANK
'B-!G
31 '
HOUSE
CORNER
TO
DI S T. BOX
B —H
30'
HOUSE
CORNER
TO
FIRST LA TERAL
B -I
54'
HOUSE
CORNER
TO
FIRST LA TERAL
B -J
83'
HOUSE
CORNER
TO
LAST LATERAL
B -I{
66'
HOUSE
CORNER
TO
LAST LATERAL
C —G
56'
HOUSE
CORNER
TO
DIST. BOX
C —H
53'
HOUSE
CORNER
TO
FIRST LATERAL
C -I
19'
HOUSE
CORNER
TO
FIRST LATERAL
C —.J
61'
HOUSE
CORNER
- TO
LAST. LA TERAL
C-j{ 1
77'
HOUSE
CORNER
TO
LAST LATERAL
D—L
85'
HOUSE
CORNER
TO
WELL
E —L
63'
HOUSE
CORNER
TO
WELL