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BOX 7
4
No } No �.� or
r IN
T
JIM J
a Nor
V , , No
00605
Located at Bullet Hole RD Tax Map Bi k .14)t 3 _
ciCk
1 Subdivion Nam'--G n. Subdv. Zot H 12
Owner /applicant Name R a i d Formerly�rd le. �_ at
Mailing Address East Branch Rd' ' Brewster Zip 105 09 Date permit Issues
Separate Sewerage System built by Roger Mayes S Address
Consisting of 1000 Gallon Septic Tank and 3 3 d L kn °ter y a s t ei f Abse—F p t i e n Trench
Water Supply: Public Supply From Address
or: 3L Private Supply Drilled by Address
Building Type Re c i d c n n o Has Erosion Control Been Completed?
Number of Bedrooms 3 Has Garbage Grinder Been Installed? Nn
Other Requirements
I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies
of which are attached), and in accordance with the standards, rules and regulations, in accordance wit he filed plan, and the permit issued by the
Putnam count,-,* Dep ttment Of Health
.AS certified on As -Bull a
Of Date
Certified by P.E. R.A.
Address P.0',. B License No. 51 A'sl
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 sewerage system shall become null and void as Won as a pub!% sanitary,lower 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 1.
subject to modification or change when; in the judgment of the 'Commissioner of Health, such revocation, modification or change Is necessary.
Oats
BREWSTER LABORATORIES
Box 224 - BREVISTER, N.Y.
(914) 225 -2072
- 0,
r_
SAMPLE NO. 6314
SOURCE: Purdy Construction (Reid) Well
McManus Rd.
Patterson,.NY
COLLECTED: Sept. 22, 1986
BY: Mill Drilling, Inc.
BACTERIOLOGICAL EXAMINATION
Coliform Count, MF Method Q per 100 ml.
This result indicates the source of the sample was
of satisfactory sanitary quality when the sample was collected.
Sept. 24, 1986
T.T V T T r+rNMD T V rr T r %1AT V V D n'0 rr
4* � *
WILL l l�Vl'll LL' 11V1`I LtLAl VLt
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
PUTNAM COUNTY DEPARTMENT OF HEALTH
Office Use Only'
WELL LOCATION
STREET AOURESS: wNlvll / ITY TAX GRID NUMBER:
McManus Road Patterson, NY
' WELL OWNER
NAME. ADDRESS:
Terrence Reid B e York
zr P8IVATE
O PUBLIC
USE OF WELL
1 - primary
2 - secondary
❑ RESIDENTIAL ❑ PUBLIC SUPPLY O AIR /COND. /HEAT PUMP ❑ ABANDONED
❑ BUSINESS ❑ FARM O TEST /OBSERVATION ❑ OTHER (specify)
❑ INDUSTRIAL O INSTITUTIONAL O STAND -BY ❑
MOUNT OF USE
YIELD SOUGHT 5 gpm. /N0. PEOPLE SERVED 4 EST. OF DAILY USAGE 450 gal.
REASON FOR
DRILLING
Idr NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST / OBSERVATION
O REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL
DEPTH DATA
WELL DEPTH 500 ft.
STATIC WATER LEVEL �_ft.
DATE MEASURED 8/29/86
DRILLING
EQUIPMENT
O ROTARY O COMPRESSED AIR PERCUSSION ❑ DUG
❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify):
WELL TYPE
❑ SCREENED O OPEN END CASING. 2f OPEN HOLE IN BEDROCK ❑ OTHER
TOTAL LENGTH tie ft
MATERIALS: ZSTEEL O PLASTIC ❑ OTHER
CASING
DETAILS
LENGTH .BELOW GRADE 61 ft.
JOINTS: ❑ WELDED VTHREADED O OTHER
DIAMETER 6 in.
SEAL: 0 CEMENT GROUT OBENTONITE C1 OTHER
WEIGHT
PER FOOT l�b. /ft.
DRIVE SHOE:,2fYES ONO
LINER: O YES ONO
SCREEN
- --- -DETAILS
DIAMETER (in)
'SLOT SIZE
LENGTH
(ft)
DEPTH TO SCREEN (ft)
DEVELOPED?
FIRST
O YES ONO
HOURS
SECOND
GRAVEL PACK
0 YES
❑ NO
GRAVEL
SIZE
DIAMETER
OF PACK fn.
TOP
DEPTH ft.
BOTTOM
DEPTH ft.
WELL YIELD TEST If detailed pumping
METHOD: O PUMPED i tests were done is in-
O COMPRESSED AIR , formation attached?
O BAILED ❑ OTHER ; ❑ YES 0 NO
WELL LOO It more detailed formation descriptions or sieve analyses
are available, please attach.
DEPTH FROM
SURFACE
water
Bear-
ing
well
Dia-
Meter
FORMATION DESCRIPTION
CODE
ft.
ft.
WELL DEPTH
ft.
DURATION
hr. min.
DRAWOOWN
ft,
YIELD
gF m.
Land pe
5
Hard– packed clay &boulders
50
5001-E
Hard black & white granite
400
2
400.
6
500
6
400
8
WATER Ie CLEAR TEMP.
QUALITY ❑ CLOUDY HARDNESS
O COLORED ANALYZED? k"YES ❑ NO
ANALYSIS ATTACHED? J2rYES ❑ NO
STORAGE TANK: TYPE diaphragm
CAPACITY. 86 GAL. 26
PUMP INFORMATION
TYPE submersible CAPACITY ___ Z__
MAKER COULD S DEPTH 3 5 0 '
MODEL 7 E H 1 0 41 2 VOLTAGE 2 —O HP �_
WELL DRILLER NAME DRILLING, .INC. oarE
ADDRESS PU Ve
B
7927obert M. Mill, President
.a
' PUTNAM COMM DEPARTMENT OF HEALTH
DIVISION OF ENV UMWAL HEALTH SERVICES
Owner or Purchaser of Building Section Block Lot
L4 G ore
Building Constructed by
Location - .Street
2 o
Municipality.
Building Type
Subdivision Name
tZ
Subdivision Lot #
GUARANME 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'V Signature
eIL Title
Gen al Contractor (Owner) - Signature
0Lv�
Corpomtiea -44ame (if Corp.)
W-670
rev. 9/85
mk
Corporation Name (if Corp.)
Address
APPROVED FOR
revocable for caus,
requires a � newf pe
Date (j &'
T 3 License Nc
.unless construction of the building has been undeitat en and is
imissi ner of Hmlth. Any change Or alteration of construction
to w ter supply only:
d3i�+
O! i
PLTTNAM COUNTY DEPARTMENT OF.HEALTH ,
I
• .. -.. , .. „
RG'v: 3/8 Qj Divislon of Environmental Health Servlees Carmel N Y.10512 = Englneei to Provide Permit N
o , ICATE OF COMon CE PLIANCE . �,vv .c o
ON °UCT[ uj_ r �► , `
PERMIT ORSEWAGE DISPOSAL SYSTEM CONSTR
Located ats U a t F. i� F1A /'na Town or VlSage
Subdivision Name tit) P L�IGk•• C l t. w1 s Subd. Lot H Z Tax Map.3 Block
/1 Renewal_❑ eeyleion •O
Owner /AppBcant Name — C YA) I-M /A
b. Date of Previous Approval
:
N9H g. Address --,I_C- n hrM Il Town
E
Building TYP,e . —n - :Lot Area 61 Section Only Volume
IC t" t 1� r sts Gc i Depth
!,
Number of Bedrooms " Design Flow G /P /D D 0
PCHD Notification In Required When FIB Is oomph_
Separate Sewerage System to. consist of 1 v° v Galion Septic Tank and 9^ t. F {� L a °2 ►
To be.conetracted by: Address -
i
Water SapPb'"' Pabllc.Supply Flom Address.
i
_,.
or. Prlvate.Sdpply Drilled by ddresa
Other Requirements
epresen hat l,am wholly•and `completely responsible for yip des!gn and location of ,the, proposed system(s); 1) that the ,separate sewage disposeI system
'
abOVe'tleS ribgd'will_be constructed as'shown On the approVed:ainendment,there io and in accordance with the standards, rules ah regu a ions o - - e Putnam
' County Department of Health, :and that.on completion thereof a' eertrficate of Construction Compliance" satisfactory to the Commissioner of Healthwill
P�0
1
be submitted to the Departmeht ,. and a' written gua$ntee -will be'furnishep the owner, his successors, heirs or assigns by the builder, that ssid builder will
/{
place in good operating.' any part. of, said sewage dispose)'systern during the period of two (2) years immediately following !"date of,the issu-
+_
ance� of 'the approval- of:the Certificate -of Construction .Compliance 'of.-the original system or,any - repairs thereto; 2) that. the,drilled well described above.
will belocatedas shown on the approved plan and that said well. will beinsta llin accordance. with the' stn ards, :rules a regula�{on�f -:the ',Putnam'
.: .,. ..
County DeDartment'of Health ".::.- . :; - -
Date' /i P /G Signori r/ P R.A. -
- ILLSD9
APPROVED FOR
revocable for caus,
requires a � newf pe
Date (j &'
T 3 License Nc
.unless construction of the building has been undeitat en and is
imissi ner of Hmlth. Any change Or alteration of construction
to w ter supply only:
d3i�+
O! i
PUTNAM COUN'T'Y DEPARZMff OF HEALTH - DIVISION OF ENVIROWIgTAL HEALTH SERVICES
INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS
r FIELD INSPECTION REPORT
�C
AcKc,"ILA L I
(Name of Owner) (Street Location)
INITIAL SITE INSPECTION YES NO
Wetlands on /or proximate to property ..............
Property lines or corners found ...................
Canestimate house location .......................
Will driveway need cut ............................
Must trees be removed - note these.. ............
Deep holes representative of entire SDS area......
Additional deep holes needed..... ....... ....
Sufficient SDS area available considering driveway
cut, house.location, separation distances,etc...
Adjacent wells/ septics ............................
D.H. 1 Lot D.H. 2 Lot
Depth to G. W. Depth to G. W.
Depth to rock Depth to rock
boll uescr
0 ft.
3 ft.
6 ft.
9 ft.
12 ft.
0 ft.
3 ft.
6 ft.
9 ft.
12 ft.
boll uescrl
DATE: 2
INSP. BY:
D.H. - Deep Hole
G.W.- Groundwater
D.H. 3 Lot
Depth to G. W.
Depth to rock
boll llescrl
0 ft. - 2�
3 ft.f
6 ft." 5 �'J
9ft.''3
12 ft.
DATE:
FINAL SITE INSPECTION INSP.BY:
YES
NO
CANTS
House SSDS located per approved plan.... .o......
Length of trench measured d
Width of trench average
Slope of tile line and trench acceptable.........
Room allowed for expansion trenches ..............
Over 100 ft. from watercourse ....................
Natural soil not stripped or SDS area
u nnecessarly graded.......... ..
............
10 ft. maintained from property line and
20 ft. from house... . ..... ................
Distance well to SSDS (ft.). ....... .. ..
Number of bedrooms checks ...../119....0 -4� ,5� ..
Stones, brush, stumps, rubble, etc., greater
than 15 ft. from nearest trench ................
15 ft. of peripheral soil horizontally
frcan trench ..... ...............................
Boxes properly set.. ...... .......... ........
Could surface runoff from driveway, roads,
ground surface, etc., channel near SDS area....
Does lot drainage appear OK in area of SDS.......
FINAL GRADNG OF SITE ACCEPTABLE..... ..
II
C �T �✓�
-k-
.�.
`
i
-} L
i 5
cj G—. cl
�.
V
2f
/� /"
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING.. CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM
_ FILE NO.
Owner C.� Addressee -y- 1Ze,4A/Cs -I 4vz=a1�4e
Tom'.90f-Wr6 7e -ie
Located at (Street) 1'1 0,4, Sec. 73 Block Lot-.-, (g
(Indicate nearest cross s ree
Municipality-PA-MC-1 n/ Watershed &, -nVA/
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
apse Depth to WAter Water Level
No. Time From Ground Surface in Inches Soil Rate"
Start -Stop Min. Start Stop Drop in Min. /in drop
3 X0:05
5
1�:L2
2
3
5
Notes: 1) Tests to be repeated at same depth until approximatelyy equal soil
rates are obtained at each percolation test hole. All data to be- submitted
for review.
2) Depth measurements to be made from top of hole.
i
t
-�,
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRIPTION OF.-SOTLS-ENCOUNTERED IN TEST HOLES
DEPTH HOLE NO. HOLE NO. HOLE NO.,
G.L.
611
1211
18"
2411
3011
36"
6
4211
4811
541.1
6011
6611
7211
78
8411
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED
TESTS MADE BY Date
DE=N
jr
,Soil Rate Used-E:-�Min/l "Drop: S.D. Usable Area Provided-
7r No. of Bedrooms Cj Septic Tank Capacity /06V Gals. Type e
Absorption Area Provided By_J,3_3 L.F.x24" If I width 'Erench.
Name T &f3ve-eAe Sigmture
Address n
25Z?fL"6 re-7gj- /--/Y
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY:
Soil Rate Approved Sq. Ft/Gal. Checked by
A-0 �
,. PUTNAM.COUNTY DEPARTMENT OF HEALTH
` DIVISION OF,ENVIRONMENTAL HEALTH SERVICES.
COUNTY. OFFICE BUILDING, CARMEL,
N. Y: 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL
SYSTEM FILE.NO`.:..
Owner 1�1 'T�1ptS �Fi^SE 'Address
640 P L:N4rdl,
Located .at {Street MArt JCNESeZ 4 C�L" Ste c'
SZ Block
)Indicate nearest cross s ree
Yrunici_pality ��"� ' ►�, Watershed
SOIL-PERCOLATION TEST • DATA REQUIRED TO
BE •SUBMIT`PED WITH APPLICATIONS
Mole
Number; CLOCK TIME PERCOLATION
ZPERO.OIATION
Run Elapse • Depth o
water Water Level
No. Time, from Ground Surface in Inches
Soil Rate
Start -Stop Min. �F: Start
Stop Drop' in
Min: /in :dro.p..
Inches.
Inches inches
1��•'a.f `� •'Its `� g
2 7 "2-
2.9:n:9.71 (0
4 9•:41- 9.59 �� ;� �L-3
2.l
G/�
y
3.9 ; -7 —16•.08
:t
5./4?
Z
s
1 }n
`i
'
3. tAl
MCA-
1 f ..
[.�
]Votes: l) Tests to be repeated at same
depth until. approximately. :.equal soil
rates are obtained at each percolation
test hole.. All data
.t.o .bbegiibmi.tted: :
for review.
2') Depth measurements to be made from top of hole.
DEPTH
G.L.
61I
1211
18"
�^II
J
3611
4211
jf8l!
5411
J �vl
6611
7
2"
7.81
8411
INDICATE LEVEL AT - VfHICH GROUND WATER IS ENCOUNTERED,
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED
TESTS MADE BY Date ....::, <....5::.0
--
DESIGN
Soil Rate ?Used 6-7 MiiVl "Drop: S.D. Usable Ar e Provided
-Wo.. of Bedrooms. 3 Septic Tank Capacit b� . Gals
Absorption Area Provided By,_ L. F. x24" ' a.
44 :'Othe'r's`
x.
I'dame �tarc�— ��2.C,, igna ure
s� 1
Address l SEAL
— �acW, t -A . OSI� \ �� moo. 26
THIS SPACE FOR..USE BY HEALTH DEPARTMENT ONLY:
Soil Rate 'A
pproved Sq. Ft /Gal. CYiecked by
$' , �„�4�5►1+ww;v amw•.., gar.., ,.
Pi�TNAM COUNTY DEPARTMENT OF HEALTH
DIVISTON-OF- ENU?RONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING,.CAIMEL, N. Y. 10512
DESIGN DATA :SIM..T.- SEPARATE .SWAGE DISPOSAL SYSTEM
FILE N0.
Own6Y+„ ( ✓t �.4N ` ��r� Y' s ]� t ..�� ,;� aware s s �r1t~
Goca�ted at ( Street' 6.V l'L LIT "G <.e , ' mM ,,Sec . Block Lot
. ica' a nearest cross s ree
cipality;Tow j nr ,4-rr zcnn�' Watershed
r-Tcr ow
SOIL'PERCCOLATION TEST 'DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
/ Z.
Number CLOCK .TIME PERCOLATION
PERCOLATION
777 �, apse p. o a er
Wa er Level
;N4. Time From Ground Surface
in Inches Soil Rate.
Star Start Stop
Drop in Min. /in drop
,Inches
Inches
Inches
�4l14 hf RS` L - %.51Y.' •{}h ! -
...
x I
•
,
Fr
.�• �u��
Pia-, I��M Ft� .'vi�e
yy$yy'N
Notes::. be repeated at same depth until
=:rates: are• :.obtained at each
approximatelyy equal soi •
percolation test hole.
To review.
All data to be submitted
?) Depth measurements to•be made from top
of hole.
.HOLE' 'NO.—
"Cwvy _
�a0
� k-C.. (\ days' -J -
:NDICATE LEVEL ,T�0 nfl CCH WATER. LEVEL RISES AFTER BEING ENCOUNTERED
-MADE BY Date � a
THISSPACE :FOR ' USE ; BY BEA.LTH DEPARTMENT ONLY: .� °mss 1
Soil E Ra Approved Sq. Ft/Gal. Checked by Gus— �
Rr
cr
Mp f. of- VIEALT��
w
T PIT ]aATl�': REQUIRED TO BE SUBMITTED WITH J
DESORIPTTON OF'
sO*ln• EIJCOUNlP.MD IN .TES!
PTH''
HOLE NO .
HOLE p.
l�str r "�A.vJ
1A,w
1r'
S; \�rV1, '1.aTu�s�'
3n
Q,
f;poi:
f;3j}1i
.iNDIC TE'..I{E'UF,I�%AT WHICH :GROUND WATER IS ENCOUNTERED
.HOLE' 'NO.—
"Cwvy _
�a0
� k-C.. (\ days' -J -
:NDICATE LEVEL ,T�0 nfl CCH WATER. LEVEL RISES AFTER BEING ENCOUNTERED
-MADE BY Date � a
THISSPACE :FOR ' USE ; BY BEA.LTH DEPARTMENT ONLY: .� °mss 1
Soil E Ra Approved Sq. Ft/Gal. Checked by Gus— �
Rr
cr
Mp f. of- VIEALT��
ALVINIH. BEHR
LAND SURVEYOR
BURGESS & BEHR
PROFESSIONAL LAND SURVEYING
R.O. B - HORSEPOUND ROAD
CARMEL, N. Y.
CARMEL 5-3312 (AREA 914)
June 16, 1986
Mt. Michaet Budz.inz k i
Putnam County Dept of Heatth
County 0jj ice Building a
Ca&met, N. Y. 10512
Re: Amended Lot Line
Lot 12 of F.ited Map
BuAd.ick Gten # 21 1 1
Dears M &. Budz.inz k is
We ate enctoz ing he&e.in, three pt.ints and the ot.ig.inat
t&acing 4o& the .Lot above, being an amendment in the 4&ont
.Lot tine to p&ov.ide the &equ.ited toad 4tontage and to con -
4otm to the minimum .standatds o5 the Twn o4 Pattetzon.
We have atz o enctoz ed a photocopy o j the .Lot ass it appeat4
on the j.ited map, bot compah.i/son.
We would app&ec.iate you& .s.ignatu&e on this plat as .soon
as pozzibte, Aso that we may detive& it to the Town
Ptann-ing Boatd 6o& the.i& ptom,ized endo &zement. We ate
most anx� ours to jite th.iz - map, z ince the .Lot hays been
aotd and the new ownets w.itt be appt y.ing Got the necezzarcy
petm.itz to conzt&uct a home. Pteaze catt when &eady.
Thank you.
vety t &y.4.y you&,
BURGES'S 9 BEHR, P. L. S.
By.
enc:
cc: J. Robett Fotchetti A44oc. (one pt.int)
N. Y. #37707
CONN.#5394
1�-e) F� -2, &jp- 4( cl'(_� 5i�
.PUT'NAM COUNTY DEPAR'IlMEar OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS
�e;j
(Name of Owner)
REVIEW SHEET - CONSTRUCTION PERMIT
(Street Location)
DATE REVIEWED: 71V
BY: \d"—
DOCUMENTS
Permit Application
MEN
`3 3 /lJ
Plans - Three sets
Engineers Authorization
3t, PT
MEN
J
Deep Hole Log
MEN
NMI
NE
EN
ININE
E
EN
MEN
MEN
M®
INEMEN
ME -ME_
a M-FUR IS
MEN
MEN
NP
/
MENN
®EN
®®
MEN
mom
DATE REVIEWED: 71V
BY: \d"—
DOCUMENTS
Permit Application
Corporate Resolution
`3 3 /lJ
Plans - Three sets
Engineers Authorization
3t, PT
Design Data Sheet (DDS)
J
Deep Hole Log
Consistent Perc Results (3)
30" Perc Hole
Other
House Plans - Two sets
If PWS - Letter
Variance Request
REQUIRED DETAILS ON PLANS
Sewage System Plan
Sewage System Hydraulic Profile - Gravity Flow
Fill Profile & Dimensions.- Volume
D or J Box ;Trench /Gallery; Pump pit details
Septic Tank - Size, Detail
Well Detail, Service Line if over
Construction Notes
Design Data
Two -Foot Contours Existing & Proposed
Driveway & Slopes Cut
Footing /Gutter Curtain Drains
Perc & Deep Holes Located
Representative of Sewage & Expansion Area
Expansion Area; shown ;gravity.flow,suff..._size...
If Pumped Pit & D Box Shown & Detailed
iHouse - No. of Bedrooms
Wells & SSDS's w /in 200 ft, of Property Located
Property Metes & Bounds
House Setback Necessary (Tight lot)
House Sewer - 1 /4 " /ft. 4 "0; Type pipe
No Bends; Max. Bends 45° w /cleanout
SEPARATION DISTANCES SPECIFIED ON PLAN
Fields
10' to P.L., Driveway, Large Trees
20' to Foundation Walls
100' to Well; 200' in D.L.O.D, 150' pits
100' to Stream, Watercourse, Lake (inc. expan)
15' to Drains- Curtain,Storm,Leader,Footing
25' to Catch Basin
10' to Water Line (pits -201)
Septic Tanks
10' fran Foundation
50' to Well
15' Well to PL
COAL
Legal Subdivision
Subdivision Approval Checked
Ex- approval SSDS Adj. Lots Checked
Wetland (Town /DEC Permit R & D)
Data On DDS Plans & Permit Same
SCHEDULE OF DISTANCES
A to C = 72'
3"
p to C = 48'
3"
A to D = 53'
10"
B to D = 34'
9"
A to E = 54'
_
4"
B to E = 28'
11"
A to F = 56'
B to F = 22'
11"
_
A to G = 57'
11"
B to G = 16'
11"
A to H = 96'
7"
B to H = 51'
4"
A to I = 96'
'B to I = 51'
11"
A to J = 95'
B -- J = 53'
—
_
A to K = 94'
B to K = 56'
3"
A to L = 93'
8"
B to L =...59'
6"
_
A to M = 94'
2"
B to M = 63'
4"
_
A to N = 133'
2"
B to N = 94'
7"
A to O - 133'
4'
B to 0 = 92'
7"
A to P = 134'
4"
B to P = 91'
4"
A to 0 = 132'
_
8"
B to Q = 87'
8"
TRENCH LENGTHS
C to M = 21' 10" L to N = 39' 4" -
P to K = 39' 7" J to D =391 4"
P r T 19 1" I to O= 36' 11"
j-tiOL \St
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F =_
sGA E : N. T 5.
rucuam t;ountiy LepartimenL ei
171sion of Environmental Healt
9proved as noted for conforman
dplloaDle Holes and Hegulationi
Putnam County Health Department.
't.anature rltip ' 1
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rt v I k UP14, "A n'I�L
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j-tiOL \St
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C
F =_
sGA E : N. T 5.
rucuam t;ountiy LepartimenL ei
171sion of Environmental Healt
9proved as noted for conforman
dplloaDle Holes and Hegulationi
Putnam County Health Department.
't.anature rltip ' 1
Kk.
�iST�Rf$+JTtDn� _
�8o1C F7>
FE6DE:Z - .f 'tc i
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SEPT�cs WAru,r4
\
I . Construction specifications required 48 hour notice be given to engineer before
back fill No such notice was given here.
2. Construction, design called for 339' of absorption trench. System, as built, has
approximatO.y.334'.
3. Trench designated as "C to M" was added to system to compensate for shortening of
other trenches.
4. Pump system was implemented to remedy error in elevation of foundation.
5. Gravel used in trenches had fines and was of an insufficient diameter.
6. Clay envelope has width of 6'- 1'.
r,p \,vLO u -5 oi. SE°11CL
'9
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1 /� �•l' /rQO h
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`1
SCA � E
Within the limitations noted on this plan, this is to certify that: 1. the
sewage disposal system was constructed as indicated on this plan; 2. the system was
inspected by J. Robert Folchetti & Associates after it was substantially covered
over, and; 3. that the system was constructed in accordance with all the rules and
regulations of the Putnam County Department W6alth.
Vt
7JA Try/ Spa R
0810,1
i butt, N O