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HomeMy WebLinkAbout0749DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 24. -1 -30 BOX 8 00749 t-6 �4 '` ,. I PLE ` .�, mm ? is 2 1 - kP 00749 caeaM Block L 9 O �c 0ry J 1 19re � Mrs,o John 91eakDey _, .: .° Owner Lot D Job' fI ahopac Santtatiron itennacut Hi.l l Rd, .Mahopac,'. N.Y: Separate Sewerage System built =by Address e 1 I1 Gonsisting,of 909 Gal; T Septic. `ank lineal Feet 'X 3 width trench Other- requirements•: water Supply Publlc ;Supply, From ` P e �e 'Bear Fr Scn s` Ina a Breafsaer . N OY e X Prwatej;_Supply. Drilled BY 9 F Address 4`Putnam 4vee.F Be, WSter, NvYe 10509 Res�dent�al' :' 3. Bwlding Type No of Bedrooms Date, Kermit A ssued 7 Has Erosion Control Been Comp(eted? Yes. i f,I certify that thesystem(s) as listed serving the above premises were constructed essent�allyas shown on the plans of the completed work (copies of which are _. 'attached), and in=accordarice with, the standards "rules and regulations plans filed, and the.permit• issued . by' the Putnam .County. Department of, Health. t2 F. 1970„ Y x P.E. R.A. . Date Certified by ± 6 Address �.34 GD�ene� da: Nveo:', Ca`rmei License lVo 38998 { ;Any person occupying premises served by the above systems) shall promptly take4such action as maybe necessary to"',secure the correction, of -any unsanitary conditions resultin 'from,. such usage, • Approval of he eparate. sewerage syste shall become null and-void as soon as a public sanitary sewer becomes 9 s ivailatile'and the approval of the- private water - supply shall become null. hen a :publir�wateT supply becomes available. Such approvals 'are. subject to modification or change when,` in the. judgment of o-the' Comm er;of Healt c evoca 'on,. modrfication,or, change, is necessary. ; r ",}Date BY Title. - .__ ........ .... _._. _... ._...._. -. _...._ Lck tV4 Mr, S Mrs. John Bleaktey Town of Owner or Purchaser of Building Municipality Mil col & Sons, Brewster9 N.Y. TM 15. Building Constructed by Section Farm 'to Market Rd.., :Pattersons Ni.Yo _4 Location- Street Block Residential 15 Building Type.. ..Lot. . GUARANTY 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 guaranty to the owner, hi.s suc'ces- sors,'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 occ.u- pant of the building utilizing the system. The undersigned further agrees to accept.as conclusive --the de- termination of the Director of the Division of Environmental Health Ser- vices 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 12 day of November 19 70. Signature w:�- �� --i.. Title If corporation, give name and. addre s s .) . THREE,(3) COPIES ARE REQUIRED. WITH THREE .(3) COPIES OF.FINAL PLANS: BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR -IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of. Environmental Health. .Services,. Putnam County Department of Health C oo diteription' of f©i- motiona penetrated'* u6b'ms •alit, send, gravel,clay, hordpQn,shale,t: €tack to�ze,g.rsuite,:too Tnciude Qo�o og atoria�lostructurle ppscl ;ed,c©rmenteupsof It, hardo ) 1)r•l•I l imp vi aTu6,m nlAAr, (� i aY and ..boulders) .t.a to.. .T�to Hit rock at ten feet. � MItagram showing ..location of well on pieimisos = l0rto. to 21rt© Drilling in solid- rock isetting casing - grou ing reverse- side' or ,,tliis form' 21M. , tall ,5F't ., Drilling in solid rock ranite) Ft" to Ft D&Ao all Was Completed b Nov l2 :kr1� .`'Da7le Ds" ti o RoportZ 1_(1 G(;1Rtx , .0 0.., irk nn. 5.t No. °eneaxf; r,rtA:� v ��c �:or:��.:�c::.e= iartnszf.,:r_:�� .tipo '<<,....� Cv.stid C.f,f ico of F-Al JldIll,;; !'tat er i_t' rah {3C citut, often Well Uwawr TQ Ac3d: : na, Farm to. Ma.�e odd»- ....��.. Brewster, York WelI D; ZAl „rP F BEAL SONS I1 C _ Address Brews ew N ,r r Locsticn. of: Well .,..._.__�..�.�?..� r. �.�.� Day Residential (A) Lots Has o Teat Fell { Fta m Depth of Well �1.K� ` 2 eof� woo .Well Disinfected?' Yes {K) No { ,. 6” seamless'-steel Length -of Casing . m n _ Kind of Casing tu� bind Diameter cce neat. grout, e tc o Drilling Method W 6a. Well Dena- mitod ? Yez( ) No be 1 Clear (X) Won waat as At End of Test Cloudy, ( ) Ste-tic 1.18ttr LOW01 Turbi(j { ) In Feet Below :.recta Pumping Levels _231 in Feet Yield, s810 POP mind m, 6� well Log C oo diteription' of f©i- motiona penetrated'* u6b'ms •alit, send, gravel,clay, hordpQn,shale,t: €tack to�ze,g.rsuite,:too Tnciude Qo�o og atoria�lostructurle ppscl ;ed,c©rmenteupsof It, hardo ) 1)r•l•I l imp vi aTu6,m nlAAr, (� i aY and ..boulders) .t.a to.. .T�to Hit rock at ten feet. � MItagram showing ..location of well on pieimisos = l0rto. to 21rt© Drilling in solid- rock isetting casing - grou ing reverse- side' or ,,tliis form' 21M. , tall ,5F't ., Drilling in solid rock ranite) Ft" to Ft D&Ao all Was Completed b Nov l2 :kr1� .`'Da7le Ds" ti o RoportZ PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF.ENVIRONMENTAL-HEALTH SERVICES DESIGN. ---�ATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE'NO. Owner J 60 4 R, 4 %LoR.e.s ' BLEgkLEY Address ToNF_.tLq l.►�KE. r2, 7. , .3REw5TEii. Located' ?at Street F6 ( ) _,M To Mar�c��- Kn• Sec. 15' Block_ Lot l 5 (Indicate nearest cross street)— Municipality PA T_ T I` RSo_( Watershed Cz,o z o �( IRED TO BE SUBMI D WITH APPLICATION Hole Number ! : CLOCK TIME PERCOLATION PERCOLATION Ruh Elapse Dept to Water Water Level _ No. Tine: From Ground Surface in Inches Soil Rate Start Stop Min. Start Stop - Drop in- Min/in.drop .; Inches Inches Inches 1 io ; oZ ► `i`� 4 -7. :L QZ z i 2 o a. 20– 3 4 5 • Notes ' 1) Tests to be repeated at same depth until approximately equal soil rates are ob- tained at each percolation test hole. All data to, be submitted'for - review. 2) Depth measurements to be made from top of-hole. .,2 ' 4 + 3 4 5 • Notes ' 1) Tests to be repeated at same depth until approximately equal soil rates are ob- tained at each percolation test hole. All data to, be submitted'for - review. 2) Depth measurements to be made from top of-hole. JEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH, HOLE N0. HOLE NO. Z HOLE NO. G.L. 611 To-f- Tod Soil 18" C.L.A ( LoA M C AYEY. LoA _ 30r1 . _... .... .:.. 36" C L A SILT „ 42" 48" C -K AV F- L 54TM `... 66" . W AT EZ 72" . 78t' y - 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED - INDICATE LEVEL TO WHICH.WATER LEVEL RISES AFTER BEING ENCOUNTERED — TESTS MADE BY Date 7- 7- 70 DESIGN Soil Rate Used 16, Min/1" Drop:.. S.D. Usable Area Provided 3 No. of Bedrooms_ :5 Septic Tank Capacity 'Gals:.; :; Type_ c o� c Absorption Area Provided By 3onL.F.x24'r �?' dti.\trench. Other _ • : � .`- �,; ,'fit Name_ w 1Z 7' IQ , k E L J Signatur Address -3j G Le-9F.-,lu A�_ EAfi> C AR.MG L, �I, �• I O 5 t Z .......... -. s�T �S��io PUTNAM COUNTY DEPARTMENT OF HEALTH ' Soil Rate Approved. Sq. Ft. /Gal. Checked b Date ?� PUTNAM COUNTY DEPARTMENT OF HEALTH Separate Sewerage System CONSTRUCTION PERMIT Locates !at FAKNd �- Tc - ARKrT ZD, PAT Tv- +zso� Municipality TA x MAP Sett -ien 5 Block �} Subdiv�` ion Lot 15 Job -70-7— L77 ToNETTA i-Ai <e Ti A. Owner Address r31z EWs rF R Lot Area p, 5 A c1. 5 Building Type 12 S, a No. of Bedrooms 3 Total Habitable Space sq.ft. Separate.Sewerage System to consist of_9 00 Gal. Septic Tank 3 oo lineal feet width, trench To be c`; nstructed by 'Address leee «-% !�• �� �`� Water Supply Public Supply from ✓ Private Supply to be.drilled by Address Other Requirements 3 I reprepent that I am wholly and completely responsible for the design - and.•lo.c.ation of the proposed system(s): l)-that-the separate sewage dis- posal system above described will be.constructed as shown on'the approved por approved amendment thereto and in accordance with the standards, rules'gnd regulations of the Putnam County Department of Health, and that_ on completion thereof a "Certificate of Construction Compliance" satis- factory to the Commissioner of Health will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following the date of the insurance 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 be located as shown on the approved plan and tKat said well will be installed in accordance with the standards,'rules and regulations of the Putnam County Department of Health. C` Date Signed 2Z=2=1 APPROVED .FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is re- vocable f.or cause::or.may be amended:.or.modified when considered necessary by the Commissioner of Health. Any change or alteration of construction requires a new permit. Approved for disposa of domestic sarLitAry sewage._ Date T7 T 44 i4 _N "AK, gn v at" T, -CAST-, Roo, PE14"A 4, -riw- fT 045,00; okc 6p/ V7- 4Y 16 i.A ZA x -10 b; Ai43 U kT ST ''M 4�3, n MAU"", ;?,P!�* 'IR': - , , :! j., Tr L - •3f+'; -.0 4* C'iJ i 4m NVDT:Of,� T-W Fi.­t 0 v L, ­244 04 - - - - - - - - - - X ceu r -pwa:T-� ­'w In : ./rt� ..C. .: V• F%.:_,...,.•�'._ h , f /€y.. .: �--•x �d.. F cY ri �"r 3r A. - 'D Tr 3A P . .... iF7- —4— 177, ,k2 !W5, Ull ww�_Nx !"KA -UT, 40,-SSA T, N,_ 14; JIQWARR�, -1 X, A LLLE�:lt, im* ?Nlll ;Ae Z70: 7