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HomeMy WebLinkAbout0857DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25. -1 -41 BOX 9 00857 'i �F. r 61 , ,} UL 00857 OF 16I�41_00 40 h MA DpoiWXT -­= CatiQIG►!E 0! m view, otloactory to thcc"po"I .0um"It"Wo $.,heii,or ~5 aly the- I butMer. "MR Stol -bfAiWw WIN 0 (2) vsiil ilnvisimboi�f foliswi4 the 4jjj6 �,jl t1li:w1ji�%, ajiOrs l%@rS6ii;_2jAkM_ thotdrilled, WON ~*Od 060M I I wl F - iii, .1 fft�,mfts a rie—AlmWe7so: -the Putnam PA.' Q.A. , L It uctlo mild 'is U0 ne.-A Q.y ,C!Wnp ation Of ionstructign iy TItN Mali .6 Ericlos6d' -Fiiigit" 161 .,LLJ F406"6i, ziiM64 Wm m b com4imid I P►Opo* 'oveem(i) that, the separate wrap divemil vstern view, otloactory to thcc"po"I .0um"It"Wo $.,heii,or ~5 aly the- I butMer. "MR Stol -bfAiWw WIN 0 (2) vsiil ilnvisimboi�f foliswi4 the 4jjj6 �,jl t1li:w1ji�%, ajiOrs l%@rS6ii;_2jAkM_ thotdrilled, WON ~*Od 060M I I wl F - iii, .1 fft�,mfts a rie—AlmWe7so: -the Putnam PA.' Q.A. , L It uctlo mild 'is U0 ne.-A Q.y ,C!Wnp ation Of ionstructign iy TItN a;v- ?0ntn.?-' -' c" .''i-_ S E F -7 _c .T Cr -� �°� j `�) r gs�_= ps_ 1_ct_cn Piar �r-•� ate? ?��vl'1t =C:1 r' fo zr:v!,zE7a Ell" .0 rc t s Le_ uc== i 4 OYZ S-/ / I - •r°' &.- well TE= Tom_' i �•i" VIE -i= ta Cii lg,19 -Vstam plan. s Ban camrr CE Z- C'�- Fir_. � 'a�.C- .v1 =C rte%• =_J Lti c:''_ =; : c-A=- Fei cams Frcc =7 2NI - T-= T,C^ CE loo, ` to tip. 1; 200' D. —C.D, 1 P- � 100' to - 13' Ei ^,Etc*_- jara- =i.=i-� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of Located at� -� (T) 60 Section Block 3 Lot Ir Subdivision of V �. 6 Subdv. Lot # Filed Map # Date Centlemeu: This letter is to authorize, 11/%}?i C f �/�: • a duly licensed professional engineer (Lndicate to apDiy for a Construction Permit. moo: a separate selwage system. to servo the above noted property in accordance with the � . �'O' arc3. , raI es or regulations as promulagated by the Commissiorsr of the Putnam County Depart=en.t of Health, and to siSn all necessary papers on my beha}_i in CO=eetion wit;z this natter and to super Vise 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 Sa .i- terry Cade. Couatersig~ned: P.E. , �.�. , # 0 93 Address_ Telephone Very truly yours, Signed V. Cwner £ Property Address Town 4- -7.1 (S - 0'? -) `7 Telephone TEST PIT DAM • M 1 •' 011 TO BE SUBMITZED WITH APPLICATION DESCR=,ION OF • t LS ENCOUNMMED IN TEST HOLES DEM HOLE NO. EOLE NO. ROLEM.. G.L. C t 2' 31 4' 5 r. 6' 71 8' 9r . 10' J-o S^N,oy Q RAV6-LLY Lro t}M 1.1.' 12' 131 . 14' INDICATE LEVEL* AT MICA GROUNDWA7M IS ENOOUNZ= tix,N E. INDICATE LEVEL, TO WHSCH WATER .LEVEL RISES AFTER BEING ENMUNTE ED loo N C DEEP HOLE OBSERVATIONS MADE BY: M. 8"dZi NsK1 cLARK :DATE: 11I 4) es DESIGN • Soil Rate Used ( 7 Min/1'1 Drop: S.D. Usable Area Provided 5 o 0 o -!&.F. . No. of Bedrooms - 3 Septic Tank Capacity i o 0 0 gals. Type ` Absorption Area Provided By 3 oo L.F. x. 24" width trench Other Name A►J fl o L. p l-� Address -73, H A i R2 G t R L r-'> I7 i21 V e �PA ?'Tr- ; V-.!!y I Z THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: ../1f SEAL Z t12, d Sr Soil Rate Approved sq.ft/gal. Checked by Date SS /�j_ 41204L_ A/0 * ! . PUTNAM COUDn Y DEPT OF HEALTH �r j� . G � > / Z DIVISION OF ENVIRCNMENM HEALTH SERVICE'S DESIGN DATA SMT- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner UA460 Address Located at (street)�/✓j�- Sec. Block 3 Lot y (indicate nearest cross street) Municipality Watershed /v � SOIL PERGOLA ON TEST DATA REQUIRED M BE SUBMI= WITH APPLICATIONS Date of Pre- Soaking - Date of Percolation Test HOLE NUMBER C= TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 1 2 3 4 5' 1 Q/(J�� ✓l�"L 2 5`O' /L S 3 / 4 1 2 NOTES: 1. Tests'to.be repeated are obtained at each for review. 2 Depth measurements tc rev. 9/85 at same depth until approximately equal soil rates percolation test hole. All data to'be submitted be made from top of hole. ?F, TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. HOLE NO. G.L. 1' 2' 3' 4' 5' 61 1 M�� 8' 10' 11' 12, 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: DATE: _ DESIGN Soil Rate Used 7 Min /1" Drop: S.D. Usable Area Provided�Ot�T No. of Bedroams 4 —_ Septic Tank Capacity ZL �j y _ gals. Type 661VC- . Absorption Area Provided By L.F. x 24" width trench Other Name- �j�Ci�i� �'A?3i� %�GLs , pg . Signature Address Lidgll SEAL Y0447SwA) DTs A x THIS SPACE FOR USE BY-HEALTH DEPARZMENNI' ONLY: 4( 9 051 a i Soil Rate Approved sq.ft /gal. Checked by Date FIA pultm axmy DEPARRiENT OF HEALTH • DIVISION OF RTMaZ01ML HEALTH SERVICES DESIGN DATA S1=-S(JBSUMCE SERM, DISPOSAL SYSTEX FILE NO. re 9 MAI u le-T7,GET Owner LcmcmmAw 4- t+oxc_H Address pr_r=L,,5- HAyiLAmT> 1=PZjVG AW11> Located at (Street)*- P,;z i m-!5,ToAaC F+ %I-L. TZOAP Sec. 18 Block 3. Lot (indicate nearest cross street) Municipality TAT TE Watershed C:jzoTo� som PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre- Soaking I zis-/ a Date of Percolation" Test i z t7 13 IrRCIlJCg TIME PERCOLATION PEizco=CN Run -Elapse uepzn LO vydLer C.LCXU waxer i-eve ' _L NO. Time Ground Surface In Inches. Soil Rate start-Stop Min. Start stop Drop In: Min/In Drop Inches Inches Inches rl.9,,zS -Cp," ) 9 1 *1 1 29A5 - jo'06 Zo Z4 ?_ 3 io,,o & - )o'� Zo Z4. z 4 5 r 19,. zA 4. Z4 Z7 2 9,.45 I o,.crse- n Z-7 -2 3 )oo(a c 3 P-1. 6-0 4 5 .L Tests to be repeated at same depth unt.D. appradmately equal soil rates are'obtained at each percolation test hole. All data to* be submitt?3d for review. 2. Depth measurements to be made from top of hole. I certify thst the systan(s) -ai of.which' are attached)\ and in: .Putnam County DeperLnent:Of He Date re.' premises ,aeie constructed essentially'as shore on the plans'of the completed work.( copies idarda rules and' ons in ac co ce.w e;.filed,.plan, and the. permit issued by the Certif ied by 'd AL iR F t2.A. AdtliesS _�d lsss►f u►e the eorrbctlon: of -any unsanitary >ld is as a pubt'- s+nlUry sewer. becomes pplY es 'awllable "Such 'approvals are n, tlon or.chinye ls'necarssa►y._ Tit i O �' i3� N'OVS -� IZSOpy.CeNG. SBOrnc •raNK /NST•4 -GL� S�zo t-� �w.e�D yza �F �— =A �M°5i9o.4 4,7.o�. 9.00.5- o ti so% E'reP. A-,eeq s�xtrri� /9j 6 fH W �f S l / c � AREA = D. AC- L6 .30- 7- O 0 \JI V� -I Asphc/r c.. e3 4z87,9 QA NA /VD "This is to certify that the sewage disposal system was constructed as indicated on this plan and that the system was inspected by me before it was covered over. The system was constructed in accordance with all standard rules and regulations of the Putnam County De_a=.r.tment of Health and the N2ca York 1 State Cup_rbTant of Health_" Putnam County Department of Health Division of Environmental Health Serviee8 `D Approved as noted for conformance with ' applicable Rules and Regulations of th PutnAM Co ty alth Depar,. ent. 0y 6 ,4 1gnature & Title Date - S`PtEof �Iro? 9 05'1 A-s — LT ss D 5 tip �C�C� �'I��S�t� fAM-) y0� /oYw PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH. -SERVICES. jP Owner or Purchaser of Building Section Block Lot SAP--I- Building Constructed by . N o-, -k ,%- D �A Location - Street P.PFW Hunicipality Building Type Subdivision Name 2 Subdivision Lot # GUARANTM 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 Environinental 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. c p Dated this t day of 191 Signature Y `�► Title V t C.Q_ �C►`�S C�.s -� V u 1 Cc.../L0-) "VM" L� S General Contractor (Owner) - Signature ak" P� rporation Nam (if Corp.) Address rev. 9/85 mk tj gkACWC. -► 71,ucG4 fzc,. -s LA Corporation Name (if Corp.) 7 Cc¢, .Q(Z �,C PeJ4 k-( C L Adores d (Ovo�. : LL�rIYVJr1 V . Y •9 FILL SITE INSPECTION Date OY /1�20 /_ 9' �� Zh1V6 - _- = ; . Inspected by _° STR= IC'CAT_TQN CWNI FUR /V�N� Mw /CM10 7 I'- PERMIT ? � ` �� SUBDIVISICN LOT cn^m I. SE' WAGE DISPOSAL AREA a. SDS area located as per aonroved plans ✓I I / a b. Fill section - Date of placemnt 2:1 barrier. " LGTH W-= - VG.DPIH I lir Al c. Natural soil not stripped d_ Stone, brash, etc., greater than 15' fran SDS are-a. e. 100 ft. fran wat°_r ccursz/wetlands, r-) ' II. SrSLZA = DISPC✓AL SYSTEM ` a. Septic tank size - 1,000 b. Septic tank installed level I I c. 10' minimuza fran fourdaticn d. No 900 bE ^_as, tee=*scut within 10 fu. of 45° by -nd I I e. DISTRIBUTIC -N BOX 1. All. outlets at same elevation -'water tasted 2. Proteclted belcw frost 3 . Minirli-n 2 f _ original soil- be =w�� box and tr`-!c:-:es I i = f. JL=!CN BOX - properly set I I - g,�""- { . l.. Le- *:ctt-h reared - L- -ncch instaL� 2. Distance to watercourse ..ar lnea . 3. Installed ac-c-ording to plan - 4. Distance c`nte_r to c°'lte_r I 5. Sloce or t-` ^_Ch acceptable 1f16 - 1/32 "/ =COt. 6. 10 fat frcn prcoerty line - 20 feet - fcundat; ors 7. Dep-Eh of t=ench < 30 inches fran surface ' 8. Room aLl cm-a3 for eYrznsicea. 9. Size of cra�-el..3 /._4 - 1" teeter 10. DeDt.*7 of c2avel in t:re ch 12" m]nim►nn 11. - Piree ends erred h. PUP OR DOSE SYSMM.S 1. Size of v c2hamber 2. Ovierflcw tank 3. Alann, vi.-j a I /audio I 4. Pumn easi? v accessible manhole to grade i I 5. First bcx baffled 6. Cycle witnessed by Health Dermot rient estimated flew per cvcl-e I IV. HOUSE a. House 1pmted ver awroved b. Number. of bedroans V.. WELL . a. Well looted as per amroved pians I b. Distance fran SDS area meeTarmd ft. c. Casing 18" above grade. d.' Surface drainace around well stable. VI. OVERAII, WOPRAA= a. Bones properly grouted b. All pipes partially backfilled 75 z7 c. All ipes flush with inside vE bcx d. Backfill material contains stases < 4" in diameter I e. Certain drain installed ac to plan 9LI: �- f. Curtain drain cutfall protectei & dir. to exist.watercoursd g. Footing drains dischar a awn ftm SDS area I h_ Surface water,- nrotr -tion adeonte