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HomeMy WebLinkAbout0693DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 23.12 -1 -2 BOX 8 ME 911 I 166 it - , IN L9 f Mr � `� I Is INN „- lic 00693 Rev: 3/86/ PUTNAM COUNTY DEPA \�_ 1 Division of Environmental Heath 1 'Located at Ownei /apOean ti e, t;r e i `" +t4.'^ t. i RTME OF HEALTH L 4 , Engineer IKdst Provide; ( r� f • P C H D Permit N � �' :' '�" � �l SWAGE DISPOSAL 'SYSTEM' „dll` t Name � Formerly . Separate Sewerage System bunt by Address 1000 Consisting of Gallon Septic Tank and , Water. Supply,: _ PubHc Supply From Addiese 'Ml� t�zi :l2.c tl cc. n dress.Qtli7�t or Private Snpply';Drilled by Banding Type Has Erosion Control Been Completed? i P Number of Bedrooms 3 Has Garbage Grinder Been Installed? Other Requirements O I certify that the syetem(s) as 3'isted serving the above pi constructed essentially as shown on ;the plans . of'the completed work C copies, of.which are attached), and in accordance with the standaida rules and r' lationa in accordance with a fi d'pl n, and the permit issued by the Putnam County Department .Of Health. ' Date �L' -(• ` Certifletl by P.E. R.A . "l .. O `. Address licenw NO. Any person occupying premises served by the above systems) shall promptly, tike such action as may be necessary to:sacure the correction of any unsanitary. conditions resulting ,from such usage. .Approval :of• the" separate sewerage system: shall tiecome null,and void is,soon as t pubt'. sanitary "Wei becomes available and • the:'aliproval:.of 'the 'private.weter supply ihatl, become "null and, vo{d' when 'a pubic we tar supply becomes available. Such approvals are subject to modification or. change when, in the' judgment .of •the Commissioner ot+- Health, . eh. ovation,' modifietion or change Is necessary, Dat By Title �--. in ti a .e WELL LOCATION WELL l:UMYLtT1UN ALrual Office Use Only DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH STREET ADDRESS: TOWNIVILUtCLICIN TAX GRID NUMBER: Bullet Hole Road Patterson a WELL OWNER NAME. ADDRESS: Classic Homes Rte 22, Brewster, NY MBIVATE ❑ PUBLIC USE OF WELL 1- primary 2 - secondary ® )CESIDENTIAL. ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION O' OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT 5 gpm. /N0. PEOPLE SERVED. 3 / EST. OF DAILY USAGE 350 gal, REASON FOR DRILLING .: OdEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST/ OBSERVATION , O .AEPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELD DEPTH 525 ft. f low STATIC WATER LEVEL TftDATE MEASURED 9 4 8 7 DRILLING EQUIPMENT ❑ ROTARY 3a COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE O SCREENED ❑ OPEN END CASING. 9k OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH 60 fit MATERIALS: AR STEEL ❑ PLASTIC ❑ OTHER LENGTH.BELOW GRADE 59 fL JOINTS: ❑ WELDED THREADED ❑ OTHER DIAMETER 6 in. SEAL: MEMENT GROUT O BENTONITE ❑ OTHER WEIGHT PER FOOT 19 Ib. /ft. DRIVE SHOE*,aYES ❑ NO LINER: ❑ YES ❑ NO DIAMETER (in) SLOT SIZE LENGTH (1t) DEPTH TO SCREEN (ft) DEVELOPED? SCREEN DETAILS FIRST O YES ONO HOURS SECOND GRAVEL PACK ❑ YES O NO GRAVEL SIZE; DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH' It. WELL YIELD TEST If detailed pumping METHOD: O PUMPED i tests were done is in- • COMPRESSED AIR ; formation attached? • BAILED O OTHER ❑ YES ❑ NO WALL It more detailed formation descriptions or sieve analyses LOG are available, please attach. DEPTH FROM SURFACE 8eat�- Well Dia- peter FORMATION DESCRIPTION CODE, ft. ft. ling WELL DEPTH It. DURATION hr. min. DRAWOOWN It. YIELD gFm. Land Surface 50 Hardpan i to hard anite 400 1 30 400 2 525 6 - 500 5 WATER I&CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS O COLORED ANALYZED? gRYES ONO ANALYSIS ATTACHED? )a YES ONO STORAGE TANK: TYPE diaphragm CAPACITY 50 GAL. 16 PUMP INFORMATION TYPE submersible CAPACITY 7 MAKER Qm ds DEPTH 160 .ft. MODEL 7EHO5412 VOLTAGE 230 Hp 1/2 WELL DRILLER NAME MET DRILLING C. 10/87 ADDRESS Putnam Ave. � Brewster, NY 1 Pr i Owner or Purchaser of Building .Building Constructed by 13t)dr - led ntc le'l Location - Street,r� Municipalit yc"-x Building Type -73 Section Block Lot Subdivision Name Subdv. Lot # GUARANTEE OF SEPARATE.SEWAGE 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 success- ors, 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 initial use of 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 occu- pant of the building utilizing the system. The undersigned further.agrees to accept as conclusive the determin- ation of the Director. of the.Division of Environmental Health Services of the Putnam County Department.of Health as to.whether or not the fail- ure of the - system to operate was caused by the willful or negligent act of the occupant =of the building utilizing the system. n Dated this_ day of (j, ` 19 Signature U J Title Corporation Name if Corp. Address THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. '31 GUARANTOR IS REQUIRED TO FILE NOTICE OF.DATE OF FIRST USE OF SYSTEM. - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - .Division of Environmental Health Services, Putnam County Department of Health:.,. - WATER ANALYSIS REPORT - SAMPLE NO. 6697 SOURCE: Classic Homes Bullet Hole Rd. Patterson, NY COLLECTED: September 8, 1987 BY: Mill Drilling, Inc. BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method well This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. I September 9, 1987 0 per 100 ml. m iIY r t: Roy Bickwit P.E... Director i �i PUTNAM COUN'T'Y DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Owner or Purchaser of Building Building Constructed by B (.,) l�e� #0 /z_ ej Locatio n ^- Street Municipality � _r_f L Building Type Section Block Lot Subdivision Name Subdivision Lot # GUARANM OF SUBSURFACE SEi&GE 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.` 1. . 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 Q c 19- 00 General Contractor (Owner) - Signature I �4L Corporation Name (if Corp.) Address rev. 9/85 mk Signature Title Corporation Name (if Corp.) Address APPENDIX C FINAL SITE INSPECTION Date 94 In- LOCATI0 OWNER 1 s } _ q�by G nl OR I �J SUEDIVISION LOT COMME�1'S �. SrTlyAGE DISPOSAL AREA a. SDS area located as per approved plans b. Fill section - Date of place-nent 2:1 barrier. LGTH WII7I'H AVG.DPTH �I c. Natural soil not stripped d. Stone, brush, etc., greater than 15' from SDS area. e. 100 ft. fran water course /wetlands. II. SFVn ,-, DISPOSAL SYST 4 a. Septic tank size - 1,000 1,250 b. Septic tank installed level c. 10' minimun fran foundation d. No 000 bends, cleanout within 10 ft. of 45" bend � e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested 2. Protected below frost ( �� 3. Minimum 2 ft. oriainal soil betTieen bcx and trenches f. JUNCTION BOX - properly set � g. TP L2� required - !fin L�nctn install 3� n 2 2. Distance to watercourse meas-,red. ft. 3. Installed according to plan 4. Distance center to center r C • F` 5. Sloce of trench acceptable 1/16 - 1/32 " /foot. / 6. 10 feet fran property line 20 feet - foundations tL 7. Depth of trench < 30 inches frm surface / 8. Roan allowed for epansion, 50% 9. Size of gravel 3/4 - 11" diameter 10. Depth of gravel in trench 12" mini= 11. Pine ends capped h . r' +P OR DOSE SYSTEMS 1. Size of puma chamber 2. Overflow tank 3. Ala -rn, visual /audio 4. Pump e. =silt' accessible manhole to trade 5. First box baffled b. Cycle witnessed by Hea ---. n DeD.,artment estimated flew per cycle IV. c. 'souse located per approve~ plans. _ . Nk=Lar of berrcars :tie!1 lcca-ted as c -r Gcp z ed plamz b. Distance fran SD- =_ -- measured =_ s ih JI C. Casing 18" above c-ade. d. Surface drainace around well I I VI. CVEP.PU WCPJW -SHIP a. Boxes rocerly arcutec 1 b. A11 pires partially led c. All pipes flush wit-i inside of box d. Backfill material ccnLins stones < 4" in diameter e. Curtain drain installed according to plan -� f. Curtain drain outfall protected & dir.to eYist.watercours g. Fcotin drains cU.scharge away frcn SDS area h. Surface water rct-cticn adeauate i. Erros.ion contro provided on slopes crreater than 15�. i , ".;. s ,. •, y:. .- crgc5.� c -`� 3� �r� y �a `� �. : r. y s•:r t t PUTNAM COUNft'tEPARTMENT OFHEALTH ; Dlvislon' of Envlronmontal Health Services Gomel N 7':1051 ?,y : > " gioI I ` Pio i`h ..., „• z ion CERTIF[C OF COMPLIANCE C ktiR rl PERMIT FOR SEWAGEa)ISPOSAL SYSTEM ` rml '' Pe t 11. y n S, Located at 6 �' .. • t� GIL7 Town e Sabtuvlslon Name Sabd Lot N Ta:' > Y Block © Lot " t Renewal - b Revtelon�� Owner /Applicant Nam tdSSLC��� ,� l ate of Previou�.sq Approval � ,? ddreli� � , Town �Ll It ►L�� S �' ZIP. ' t- a�♦{i� 1 S i . iI NYC" �y < e. /' lP� - Bttllding Typo Lot Area FW Sectlon Only ,Depth .Volume " 5 Number o[ Hedrbome Design, Flow G P D �o Z% PCHD Noti6catlou le Required When FW le completed Separate Sewerage System to conslst of G' on Septic Tank and To be constructed b Water SaPPU Pt[bllc.Sapply From _ ' ny ` '.Address.- '` t - � �'� or '. � Private SupplyDrWed by. ' ddreee' , • .j Other Requbemente, r- l above describetl Will be constructed 6s'shown on',the:a ts) ) ,hat the'separate' "se age disposal system DProved "amendment there.,t0 and "�nrbttOrdance w�th,the ftantlbrCs rules'an regu a ;Onf of ', e u nam`+ County 'Department of:° Health,c and that on Completion.thereot a Ceibfjcate " of Construction' Compliance satistactory to the Commissioner ot`Haalthwill Y e{rs,or assiyns'byAho builder, that said °builder vG{II "` be submitted, to• the De`partmenl ands written guarantee will De °turnishetl t�ha owner, hs successort h place in good . operat{ifg condition any part of said sewage C�sDOSeh system aunnq,the penotl of two (2) years,Immediately following the Cate of the" issu. arice'bf the 'apDrovat.of the Certificaie, "of Construction - ,Compliance of ,ths, original system or -any repairs thereto; 2) that the'dr{lled'well describeditiove will be located as shown',on the approved plan and that said well will be:installed rain accordancey wi_ : the: a ardr ",;rules 'antl..`requ a ons of, ,the Putnam County Depirtment'of ",Health Sign a PE` RA. L' Address ` °License No APPROVED'FOR CONSTRUCTION This approval expires two years from the; date,isiued unloss "sconitruction of.,th buildin as. ben udertak9 en an s rovotsble for cause or m'ayfbe amended or moCiLed, when considereC necessary +by the "Commissioher of Health `Any chgnge, or plteration,of conftrucfiOn re0u {res i 'new permit •`. Approvetl for "disposal of. "domestic samtar age;and /or ate water supply only. Row.. 2 1/87 Date' " "�T {tied a tV 11YlY'1 1..\JV1�11 P•' ^••laa a�aarraa�aavua•i DIVISION OF ENVIRONMENPAL HEALTH SERVICES John M. Simmons, M.D. Deputy Camni.ssioner of .Health . - FIEGD.. ACTIVITY ,REPORT - Sheet of NAM ��.�. � -� � _- - �;� � r �� � -_ -� Orig. Routine Orig. Camplain Orig. Request No.- Street = Town TM .No., Canpliance � Canplaint Carp ... Final MAILING ADDS P.00- Bcv.. Post Office -- Zip Code Group Illness Con truct'on s i TELEPHONE Reinspection PERSON IN CHARGE Field, Sampling Only OR. INTERVIEWED Field Conference - Name and Title . l ' Other DATE X// TYPE FACrLITY TIME ARRIVED TIME LEFT -�° Explain FINDINGS: = �"� It''ti I .A .7C.w� : /wit �-.��'8� w..-_�• ,°�t' _ 1°. ` Gtr= n"'g� -;d' f'..`:n ,' F �d1� 1/ VI COUNTY VUTKk !to TY' IVISI& of Efivrd en6l _7 ':CONSTRUCTION 'PERMIT 'FOR -SEWAGE- DISPOSAL 'S,61 1_06iteiv at "Subdivision Subd Wt ,Owner /Address L . o't —. 7 a, —Building -T ype, 1 Number. of Bedrooms ..'Design Flow G/P ZOM System t., i'st of Gs -sewerage tystern 6 ' tons eparate 0 be constructed, by 14 ig 7- (''water supp Iy ": Ru bli c .Su p iiY"Froi m 7. c -Private :4upply Ao be drilled by ' Address 1 }Other ,Requirements 75 C �-1 represent that I am- wholly .and 'co - mg:iletitly rosOcinioble for thii.clesigfi,ali above d"scriti * dil Will bi-corist ' ructed as shown on itheioproved ir�r dme - r ' lie r6 W hd (hit on�cor,41�flcin_,the ­ Ui�'-6� C - ounty' Pa ment 0 Health, a- reo r Department;; ,and e t submitted � o the place in good operating' condition -'any :' t of fe a 'dlspdial' ,par ­,,ante :of.,the Il ap. provral , o' fr -the ,Certificate of Construction ctibr qii- a nce' willielocate asshoOmonthe approved, -' and that id well will 6e'I i County Depaitme n t of Health. , Date 19 Address i approvi expires one year -'.`A4,RCIVED FOR coNSTAU&ldii- Thl fi I jev- ocab lb f_or cau.se.or may,be-im e;4ed'oi nodi iiQ when consi'pre ne eQu!rpsanNpernit -Appro ved or is oosal -of-Adm' It i Dete s_ Rev. 9-81 DEPARTMENT OP.,T HEALTH. ; Periiij,il 4ifth Servrces, Carmel A -X`40512 . M Wri -or Village, 7 Tax An Block, I't w Renewal Reiiisjon, ate Of Prey pus ApPrRV406 rs L IC P iio 'Reqt�ii'd C ',H ft�_Ifiqai Reqt4i � I Septic Tank and Ad dress ez? 7) 0' M vhi(L I L the-'pr6poiiid syitem(s)". "1) 'i hit, the separate, sewag disposal system 3 -TF7--Ir — n4 ��i with, the,standards rules -an requiations-or e GTR Ram pqqrda . . .. I i stru�;tiop Compliance " -satisfactory 1:6,the.Corrimlsilohor of,Healthwill rir :,fiiS,succVsii6rs; heli ' i`oi.asslgns by the builder, that.s6id builder will t,he* pi'4_(! Icid. o-i't'wo ('2)'ye*a'rijmm_ediatelyL foilowi'ng"thedite of the Issu. si0e, f,repairslhereto; 2) .that ,the drilled,'viiill described 'above _d' raga lations F)f' 'the -Outnam r, ance �w". the standard' ales �fe s WL GO )CR.A. 2—' License No." 77 sued thii:building kas'b'O'Gri undertaken and is' 'Per"Sho of Health.�,:Any ;ha,ngq oir,alterAtioq of construction !!er Iiii _1 1, iy"- Aiy.., • fiviii'�, a supp 0 r I a - :Title DIVISION OF ENVIRONMENTAL HEALTH SERVICES RECORD OF TELEPHONE CONVERSATION PROGRAM: ��� FILE: DATE: °' TOWN OF CALLER'S NAME:_ J7 _p " ADDRESS TELEPHONE: MAIN CONVERSATION POINTS: C #I l4p u 5"40 e Will MM SUMMARY OF TELECON: , !�Xliilwxoll e � � SIGNED: i e 1 . ■ Putnam County Department of Health Division of Environmental Sanitation AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT- APPLICATION SUBMITTED TO - PUTNAM COUNTY. HEALTH DEPARTMENT• Tb: Commissioner of Health - In the matter of application for -- � '.�.S -1 c:.— �.1'►'��'- S'--- -2-- - --- — — — — — — — — --- I' represent that I am an officer or employee of the corporation and arrt authoriied to act for — — — G .� s'�� /—(G �A� eS % �G. _ — — — — — (name o corporation) _ f having offices at _ : s/'12C- e_ 2 kfIZ — ?'2_Z` L __________ --- --- Whose• officers are President (Name and Address)— _ — — --- — — — Vice - President (Name and Address) ej Secretary _ - - - - -- __ ---•----------•- (Name and Address) Treasurer ---- - - - - -- — -- - - - - -- • (Name. and Address) _ and that I am and will be individually responsible for any or all, acts of the corporation with•res.pect to the approval requested and all -sub- sequent acts relating •tliereto. Sworn to before me this ( day Signed of Title _ ,.:.•-mac. Notary Public ANNE B. COhRi.OAre Notary public, State 0 New York Pulnatr Couniv MYConr*slon r,�lres • Reif. = ;flAll',�3• . • �'��8.7g3� - Corporate. Seal PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES o�dol 16.a 4 it 5 COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SIBET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Wcl Address G9 -7 8 FSZ S+. —-- Located at (Street 4 04 i (94 Sec. Block 04. Lot (Indicate nearest cross street) Muni cipalityTwn. Sf P0 S00 Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole 2 Number CLOCK TIME 5 PERCOLATION PERCOLATION ....Elapse Depth to Wate7r water ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop - Inches Inches Inches 1 1243= 12'.52 9 ?A Z? 3 3 2 I2 '. 52- I '.o I 9 24 27 3 3 i 3 1'. 01' 1 27 4 1 .30 '24 -27 3 10 2 I :17 -1:41 30 -- 24 27 3 o - - -- 3 1 * ,41 --L- i ] 3a 24- Z7 4 • A .. . . Notes: 1) Tests to be repeated ;.t same depth until a roximatelyr.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. 2 5 • A .. . . Notes: 1) Tests to be repeated ;.t same depth until a roximatelyr.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. TEST PIT DATA REQUIRED TO BE SUBMITTPb -7 4TH" APPLICA - DESCRIPTION OF' SOIL`; ENCOUNTERED IN TEST HOLES DEPTH HOM NO. _ HOLE NO. 2-*4 HOLE NO.____ _L^ G. L. 611 12" _._:.......... _ _ 18" r 2411 30" .36 42" 48" 5411 60" 66" 7211 78" 8411 :A7 INDICATE 'LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL 'N WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED - ?' TESTS MADE BY 1-40g; .plc C.,cMa c RAr, i (�� . Date DESIGN Soil Rate Used j: 10 MirVl "Drop: S.D. Usable Area Provided_ rjoc>o Ste" No. of Bedrooms 3 Septic Tank Capacity 10'00 Gals.,. Type Absorption Area Prov de syr 333L.F.xN" 36"" width rent . Ut lie r r A - _ (� r, Address 1"C°�. ��� SEAL n .J� THIS SPACE FOR USE BY HPALTH DEPARTMT ONLY: Soil Raise Approved Sq. Ft/Gal. Checked by Late r `� e -(1►IS IS '(o CELTtFY -V"A'C -f41E -bGWAGE OISPo".�At_ SysT6r -1 WA's CDI.ISY�JJC1ED AS 1 h1D \c1a-fEtJ of i -r Nts P>L f A"D YHAT TtAC SVS'CEM WA.s ItisPECTED 0Y t-tE 'E.cr C; K WAS (Z.DV6Q6D OW=SL. -rl-1E �Y5t'E" WAS Co>JStYUC'rED MJ ACCoZMLAxk. WrflA A(-L _ S'ft�t�lDA�yD eIJCES AV,10 OG TI ►E Purl. A t-t CADLll tf`/ oEPAeT t 16 1 T of A11D "'HE UEW V,7e.IC STA-fE DE- �l ol= 14EALTI.1_. 'X S6 t p a Putnam I;C'Mily liul :':u uI ll—lLa Division of Rnvironmental floalth Servi000 approved as r:o't:,d for conformance with applicable L'uies a,(i K19kilations of the Putnam County N!3-a7.th 13�artment.. PROJECT: S5'DS GEC- �iF)C1s�tio�1 PsT- a'E��o�1., t.JE1J vcx� CLIENT CL45S I C POHE5 11..10. _ % 03E-AL-rY INIC. PAWL -i"C, SAkvj"&S St.NIC t5�-D'6. 8tC£WSTL5t . tCar— ZZ t lEW Yom fllr- tEtilslot.J GH1.rCT RANDOLPH W. LAURENT ASSOCIATES, P.C. 73 FAIRFIELD DRIVE PATTERSON, NEW YORK 12563 914.278.6108 At 3-►A A9 M.5' 66 se.S' AZ $0.6' Am 46.0' 60 330' A3 5S6d All 144.0' 6-r L9A' 44 s9.5' 81 Z5.0' 68 93.0' A5 85.0, 13Z 390' HA 445' Ar0 805' 63 ,Z5' 9,0 4x0.6' A-! TiS' e" 4ro.5� Ci 1 1545' A15 41.5' -(1►IS IS '(o CELTtFY -V"A'C -f41E -bGWAGE OISPo".�At_ SysT6r -1 WA's CDI.ISY�JJC1ED AS 1 h1D \c1a-fEtJ of i -r Nts P>L f A"D YHAT TtAC SVS'CEM WA.s ItisPECTED 0Y t-tE 'E.cr C; K WAS (Z.DV6Q6D OW=SL. -rl-1E �Y5t'E" WAS Co>JStYUC'rED MJ ACCoZMLAxk. WrflA A(-L _ S'ft�t�lDA�yD eIJCES AV,10 OG TI ►E Purl. A t-t CADLll tf`/ oEPAeT t 16 1 T of A11D "'HE UEW V,7e.IC STA-fE DE- �l ol= 14EALTI.1_. 'X S6 t p a Putnam I;C'Mily liul :':u uI ll—lLa Division of Rnvironmental floalth Servi000 approved as r:o't:,d for conformance with applicable L'uies a,(i K19kilations of the Putnam County N!3-a7.th 13�artment.. PROJECT: S5'DS GEC- �iF)C1s�tio�1 PsT- a'E��o�1., t.JE1J vcx� CLIENT CL45S I C POHE5 11..10. _ % 03E-AL-rY INIC. PAWL -i"C, SAkvj"&S St.NIC t5�-D'6. 8tC£WSTL5t . tCar— ZZ t lEW Yom SCALE 1 1" = 50' RANDOLPH W. LAURENT ASSOCIATES, P.C. 73 FAIRFIELD DRIVE PATTERSON, NEW YORK 12563 914.278.6108 10 /'5 i6-7 DRAWN BY : CONSULTING SITE ENGINEERS CHECKED BY: DRAWING TITLE JOB No. : $-76-4. bE�. --15U I Li PL-&Q SCALE 1 1" = 50' (� DATE : 'V 10 /'5 i6-7 DRAWN BY : cc -W CHECKED BY: ZWL- JOB No. : $-76-4. DRAWING No 5-1