CHAUTAUQUA COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES

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1 CHAUTAUQUA COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Hall R. Clothier Building 7 N.Erie St. Mayville, NY Phone: or Fax: VINCENT W. HORRIGAN, County Executive CHRISTINE SCHUYLER, BSN, MHA Director of Health & Human Services RE: Private Home Sewage Disposal System Dear Homeowner/Contractor, The Sanitary Code of the Chautauqua County Health District requires a permit for septic system corrections and installations. Also the Code requires that a new building lot be at least 40,000 square feet to keep water wells at least 50 feet from septic tanks, and 100 feet from other system components. Please find enclosed application for a sewer permit and a packet of forms to assist you in preparing a sewer design for your property. Also enclosed is a list of contractors working in Chautauqua County. It is also suggested that you hire a contractor to perform percolation tests, design a system for your property, obtain the permit and install the system according to the plan. These men are familiar with New York State Sewage regulations and requirements from this Department. Please complete the application, site plan, and percolation tests, record the information and return the entire form to the appropriate office for processing, accompanied by a check payable to the Chautauqua County Department of Finance. As of Jaunary 1, 2016 permit fees will be as follows: Correction or replacement on an existing home..$ Newly constructed home (new system) $ Septic tank replacement permit.$ Distribution box replacement $ Permit extension $ Please contact our office to make an appointment for you or your contractor to meet with an inspector from this Department at the site. This conference is an important part of our permit process. If you have any questions or comments regarding sewage disposal system permits, please feel free to contact our office at Sincerely, Environmental Health Services Chautauqua County Health Department

2 1 PROCEDURE FLOW CHART Rev. (1/1/2016) Responsibilities of Home Owner or Contractor 1. Requests information and application forms from appropriate district office. 2. Completes all information including: a. Application b. Site plan exact location of the site. c. Completes percolation tests and records on chart. d. Completes soil characteristic chart. 3. Meets at site with Chautauqua County Health Department representative. Requests 24 hour advance notice. 4. Contractor or home owner designs system on forms provided and returns completed application with the applicable fee to the office in Mayville 5. Construction begins only after plans have been reviewed and approved (permit issued, or verbal approval given.) 6. Contractor requests final inspection with 24 hour notice. All components of the system must be complete at time of requested inspection. 7. Contractor covers and grades system area. Responsibilities of CCDOH, Division of Environmental Health Services 1. Provides application information and necessary forms. 2. Meets at site with homeowner or their representative. 3. Chautauqua County Health Department reviews information/plans and issues permit; copies sent to appropriate Town Code Officer and contractor. 4. Chautauqua County Health Department makes final inspection and approves it or requires correction. 5. Sends out approval letter and plans (with precise dimensions and measurements of essential components) to homeowner with copies to Code Enforcement Officer and contractor

3 2 APPLICATION FOR SEWAGE DISPOSAL INSTALLATION AND OPERATION PERMIT In applying for this permit, I understand that the design of a sewer system is dependent on a number of factors including: 1. The size of my dwelling. 2. The topography, slope and drainage patterns of my property. 3. The soil characteristics of the top soils and subsurface soils and the water table elevation. 4. The size and shape of my lot, as well as its proximity to other developed property and water sources. GPS points will be taken during the site investigation which will indicate the location of my well, surrounding wells, and septic locations. This information may be used by the Health Department for future developments on surrounding properties. I understand that there are limitations on any private home sewage system and that the life expectancy of the system depends on how much it is used. The life of my system may be extended by water conservation measures such as no use of garbage disposal units or dishwasher and the efficient use of full loads of laundry. No groundwater, storm water, cooling water or surface water from streets, foundations roofs shall be admitted to the proposed sewage system. All septic tanks should be inspected for pumping every two years. Should my system fail, it is understood that I will promptly notify the Chautauqua County Health Department for a permit to make repairs to prevent the creation of any public health nuisance or hazard. It is also understood that when I sell my property, I will fully explain all the limitations of my property with respect to the sewage system to the subsequent owner. I have read, understood and agree to the above conditions under which my permit is to be issued. Under the provisions of Article IV, Section 4 of the Sanitary Code of the Chautauqua County Health District, Application is made by: Section: Block: Lot: OWNER: CONTRACTOR: NEW/CORRECTION SYSTEM (Circle one) NUMBER OF BEDROOMS: PROPERTY LOCATION: DIRECTIONS: TOWN (Village) OF: I agree to install and operate the sewage disposal system in accordance with regulations set forth in the Sanitary Code of the Chautauqua County Health Department. I understand that no construction may take place prior to the issuance of a PERMIT and that after installation the system shall not be put into service prior to inspection by the Chautauqua County Health Department. Signature of homeowner Address of homeowner Phone number Signature of contractor Address of contractor Phone number Dated: Permit number Fee: Receipt #: Date:

4 Property Owner: Section Block Lot Site Address: 3 Septic System Design Check List Please provide a straight lined drawing using a template or straight edge showing the following information. All requested information that is applicable must be given in order to receive your permit. Failure to do so will result in the application being rejected and returned. A submitted application with payment is not a guarantee of a permit; no construction should start prior to a permit being issued. If there is any questions as to the status of the permit please contact this department prior to the start of construction. All critical components will be addressed in a detail box or labeled on the submitted plan. Dimensions and property lines Location of the dwelling Property layout including buildings, roads and driveways General slope of the lot. Locate any streams, ponds, lakes or gullies. Locate any water well or drinking water supply within 200 of the proposed Septic System Locate any other lines that may interfere with system construction (i.e. gas lines, water lines, underground electric cable, etc.) Locate any rights of way or easements on the property so we do not place the system on them. Proposed location of the sewage system including the location discharge will drain. North arrow Location of Clean outs Slope of all pipe components in the system, including line from house to tank, tank to d-box and all distribution lines and drains. Septic tank brand, size and type of outlet filter D-Box location and type ( Concrete or Plastic) Schedule 40 Pipe locations including Capped Vents, Capped Inspection Ports, House to Tank, Tank to D-box (min. 10 ft) Components Dimensions (i.e. Sand filter and final discharge, stone bed length and width) Designed By: Date: Office Use CCDOH Reviewer: Date: Comments: CCDOH Reviewer Actions:

5 4 CHAUTAUQUA COUNTY HEALTH DEPARTMENT OWNER S NAME DESIGNED BY LOCATION DATE TOWN / VILLAGE SECTION BLOCK LOT SYSTEM LAYOUT THIS IS A PERMANENT RECORD, PLEASE BE NEAT. PROVIDE ALL NECESSARY INFORMATION. INDICATE NORTH Deviation from the plan requires prior approval from SCH 40 House to tank 1/4"/ft dist. Health Department or permit may be voided. Tank to D box 1/8"/ft. dist. Sand Filter to final absorp. 1/16"/ft. dist. North arrow Slope of land System components to property line dist. System components to own well neighbor's well # of bedrooms size of system Septic tank brand Tank size Tank #1 Tank #2 Outlet filter type

6 5 PERCOLATION TEST INSTRUCTIONS Locating test area: 1. Locate the proposed tile field area and stake out the probable corners. Must be located more than 100' from any water well 2. Perform percolation tests in proposed tile field area, divide area into four quadrants and perform a test in each quadrant. Minimum four test holes. 3. Additional tests should be run downhill from proposed tile field. Two tests should be performed 10' to 20' below the bottom edge of the tile field. 4. Additional tests may be required under certain circumstances. 5. If dense clay, shale, or ground water is encountered, run tests at shallower depth and indicate depth on chart. PROCEDURES FOR MAKING SOIL PERCOLATION TESTS 1. Prepare hole as shown on chart to depth of approximately 30". This should be done in as minimum of four places 20' apart in the area designated area for the sewage system. 2. PRESOAK the holes the night before the test is run. Fill the holes with water. 3. To run the test, carefully pour 6" of water into the hole and mark the time on the attached sheet. When the level of the water has gone down 1", record the time on the chart. Add one more inch of water to the hole and repeat the 1" test. Continue this procedure until the time for the water to drop 1" is the same for two consecutive times. A minimum of five (5) times in each test hole is requested. This is the percolation rate. 4. After each test hole has been tested, consult the System Size Chart to determine the number of feet of trench recommended for the standard sewage disposal system. The slowest percolation rate observed should be used for this purpose. 5. Percolation tests must be run in topsoil if 30" depth cannot be reached or if the subsoil is obviously clay or dense material. Indicate actual depth of test. A reputable sewage system contractor should be contacted for assistance. Lists are available. 6. For safety please cover the percolation tests holes with boards. A representative from Chautauqua County Health Department will need to observe the holes in evaluating the design. Do not backfill the test holes. 7. This department does not design private sewage systems, however a field consultation with this department is essential. After completing the percolation tests and establishing the soil profile, send your application materials and the filing fee to your district health office. You will be contacted for a field appointment. PERCOLATION TEST INSTRUCTIONS Dig a hole 12 wide 24 to 30 deep. Scrape sides and remove loose soil from bottom. Place 2 of gravel or crushed stones on bottom. Presoak and saturate the test hole. Pour in water to a 6 level. Note the time it takes for the water level to drop from 6 to 5. Add 1 of water and repeat the 6 to 5 timing test. Record times on the chart provided.

7 6 CHAUTAUQUA COUNTY HEALTH DEPARTMENT PERCOLATION TEST RESULTS Date Section Test by Block Weather Lot Comments Town/Village #1 Depth #2 Depth #3 Depth Inches Start Stop Minute Inches drop interval drop Start Stop Minute interval Start Stop Minute interval Inches drop #4 Depth #5 Depth #6 Depth Inches Start Stop Minute Inches drop interval drop Start Stop Minute interval Start Stop Minute interval Inches drop Test verified by Date Percolation rate SOIL CHARACTERISTICS - Instructions: Dig 5' test hole in area of proposed tile field, large enough so side walls can be clearly observed to full depth. Record on chart below any significant changes in soil characteristics and the depth at which they occur. Character-color/texture 6"-- TOPSOIL inches 12"-- 18"-- SUBSOIL inches 24"-- 30"-- WATER at inches 36"-- 42"-- Water seeped in at inches 48"-- 54"-- 60"-- 7

8 STANDARD SUBSURFACE TILE FIELD is used on lots with good drainage and gentle slopes. See MINIMUM SEPTIC TANK CAPACITIES Table next page for tank size requirements. Also required is an outlet filter on the septic tank and a distribution box. Tile lines are 24" wide trenches of equal length with perforated pipe in washed stone. The trench is dug level, and the pipe is laid at 1/32 inch/foot drop. Required Length of Absorption Trench for Corrections (see Note) Percolation Rate 2 Bedrooms 3 Bedrooms 4 Bedrooms 5 Bedrooms 6 Bedrooms Water Fixtures 1-5 Min./Inch Min./Inch Min./Inch Min./Inch Min./Inch Min./Inch Min./Inch Min./Inch * Dosing or alternate design required * Greater than 1,000ft of trench requires Alternate Dosing LEACHING STONE BEDS are used on lots with good percolating soils but are limited by topography or area. See MINIMUM SEPTIC TANK CAPACITIES Table next page for tank size requirements. Also required is an outlet filter on the septic tank; a distribution box and equal length perforated pipes laid level on 12" of washed stone and connected at the ends. New York State Health Department requires pressure dosing of a leaching stone bed system for new homes. New home construction requires pumping. 8 Required Square Footage of Stone Beds (see Notes) Percolation Rate 2 Bedrooms 3 Bedrooms 4 Bedrooms 5 Bedrooms 6 Bedrooms Water Fixtures 1-5 Min./Inch Min./Inch Min./Inch Min./Inch Min./Inch Pressure manifold required Pumping will be required

9 SAND FILTER SYSTEMS are used on lots with poor drainage with little topsoil and clay subsoil's. The lot should have at least 4' of slope throughout the system area. A two compartment 1500 gallon septic tank with outlet filter is required. See MINIMUM SEPTIC TANK CAPACITIES Table bottom of page for tank size requirements. Also required is an outlet filter on the septic tank; a distribution box. Sand Filter systems can have 2 tanks in series that meet the minimum capacity, but if two tanks are used in series 2/3 of the total tank volume must be in the first tank. i.e.-1,000 gallon then 500 gallon. SAND FILTER SIZE AND CONSTRUCTION SPECIFICATIONS STONE OVER SAND APPROVED SAND PEA-STONE UNDER SAND STONE on BOTTOM 3/4-1 1/2 " Washed Stone 8" over sand 24" Approved Grade A Sand 1/8-1/4 " Stone 3" minimum 3/4-1 1/2 " Washed Stone Length of 2 foot wide sq. feet Bedrooms Width (ft) Length (ft) Sq. Ft Area Top Lines Under Lines Absorption Trench (ft) Stone Bed two three four four five five six six MINIMUM SEPTIC TANK CAPACITIES Number of Bedrooms Subsurface Systems Sand Filters * 2, Gallons 1500 Gallons Gallons 1500 Gallons Gallons 1500 Gallons Gallons 2000 Gallons Note: Tank size requirements for more than six bedrooms shall be calculated by adding 250 gallons and seven square feet of surface area for each additional bedroom. A garbage grinder shall be considered equivalent to an additional bedroom for determining tank size. A hot tub/ spa should be considered equivalent to an additional bedroom for determining tank size. 9

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