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HomeMy WebLinkAbout0862DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25. -1 -46 BOX 10 11:. 01 J IN IN IN '' IN �', I'� ' IN ' IN ti 11:. PUTNAM COUNTY DEPARTMENT OF HEALTH = Rev. 3/86 Division of Environmental Health Services, Carmel, N.Y. 10512 Engineer Mast Provide ra P.C.H D Permit p -- Ap CE CATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM t��4rrZSa a o.. J __._:.. _• -_ _.__..� .: _ - - —. __ .._ Town.orN e - ,,�'� �g Located at Tax Map11� Bloek' 3 . Lot — Owner /app It Name U01fOR"JT LTD -- Formerly Subdivision Name Qlt_ ubdv. Lot NZ_ Mailing Address 2 STa wF Rb Zip Date Permit Issued I�r� cir,t� ley /oSZL Separate Sewerage System built by UNtcwo )V l nuCT1Q4GS L--M Address Z S741,1e PL, ,r sier IV -1 b su' Consisting of / ZSO Gallon Septic Tank and �Q L � OFF 2 "W f n Water Supply: V"' Public Supply Ftiom_i1 Address or/ Private. Supply Drilled by Address Building Type k /o07> iias Erosion Control Been Completed? Number of Bedrooms 4: Has Garbage Grinder Been Installed? Other Requirements i certify that the system(s) as listed serving the above premises were constructed essential1 as shown on the plans of the completed work ( copies of which are attached), and in 'accordance with the standards, rules and a o i co ante with the filed plan, and the permit issued by the Putnam County Departmennt� Of Health. Date JJ Certified by P.E. �Re.A.q Address l SST YAB uc7+o:,JnJ 1 T S LlcenY NO. ©_s73/ Any person occupying premises served by the above. systems) shall promptly take such action as may be necessary to secure the correction of any unYnitary conditions resulting from such. usage. Approval of the separate, sewerage' system s become null and void as soon as a pubV-. sanitary sewer becomes available and the approval of the private water supply shall become_ null and void he a publi 'ovate► • p'pllly becomes available. , Such approvals Qa subject to mode iGati nor change wh gQJin the judgment of the Comiriissione .o a r, �r 4.�� cation or change Is necessary Date - ! [/ !/ 13Y ✓ fi Title /0/�' 0 s ` -s. PUTNAM COUNTY DEPAR NUM OF HEALTH DIVISION OF - ENVIROiIJk TAL HEALTH SERVICES- - 3 a Owner or Purchaser of Building Section Block Lot Building Constructed by �LtNftND Location - Street �.4°fTFP a ON Municipality tic Ooh k--7Zt _=— Building Type QVAI L i?1,0 C., Name Subdivision Lot # GUARAN= OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, worlananship, 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. Dated this day of �� J, 19� Signature Lltl Title General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk ,). 54c l J Q /A Corporation Name (if Corp.) Address Nl� 1 s le be . . bl- Wf11R Sfi�T: v.aw. above described will be construati county Ddpartnleilt. of . manN M submitted to the DgPertarasR place, in .900111 opereti6g C nditi sore of the alpprovel-:01,the hat Ce them , w be located a s on t count aiioww rA iu ca y r IC i .sr q ��' DW0 Flow G P D �Tnk,ae�_ ^awe — — - - APPROVED FOR CONSTRUCTION: This approval. expires"two revocable for esuse or maybe a -is O' -or inodifl d wMn consl "QuNds is new permit. Approved for diopoeol'ol, dornidli .i Rev. 10/88 hairs or assigns by the builder. that said builder will [21 yews itnowdiately, following`.Uedat* of the lieu- slis thereto; 2) that the Milled well described above 1tanlMrds; ruler ind rpla ai'iTona, •ot the Olatnanl RA. - unless Construction of the* building has been undertaked and is fnissioner of Health. Any Change or alteration of construction tt eta► upply only. TitM ��r DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 August 6, 1991 Ronald Gabriele 2661 Springhouse Road Yorktown Heights, MY 10598 Re: SSDS Unicorn Industries LTD Danard lane Lot 07 TH #18 -2 -4 (old) Dear .Mr. Gabrielle: N JOHN KARELL Jr., P.E., M.S. Public Health Director An open.vork inspection vas conducted on the above captioned lot on August 5, 1991. The following was noted. The SSDS was not constructed according to approved plans. As -built plans are to be submitted shoving the location of trenches and the expansion area. It does not appear one foot of fill has been placed over the entire SSDS area. Test holes are to be witnessed by a representative of this Department to verify depth of fill. The southeast end of the last absorption trench has been constructed near a steep cut in grade. This is not acceptable. Ends of trenches are to be opened for inspection. If you have any questions please contact the writer at ext. 320. Ver ruly yours, Robert Norris Assistant Public Health Engineer RN /Jp PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services AFFIDAVIT _ CORPORATE -OWNER FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Commissioner of Health In the matter of application for: represent that I am an officer or employee of the corporation and am authorized to act for (Name of Corporation) having offices at "7 , - �.UL(�0 -Vie Whose officers are: President: Vice - President: Secretary: (Name and Address) (Name and Address) (.tame and Address) -._. _­ Treasurer: (Name and Address) and that I am and will be individually responsible for any and all acts of the corporation with respect to the approval requested and all subsequent acts relating thereto. Sworn to before me this IOC day Signed: of ���� 19� Title: pliCi 6%cs Not u lic CarDoratQ­Seal NOTARY Rag e l* Qualified, in Dutclmss d Commission Expires 1Vlereh 27, 8 /8u ' pujTMM COUNTY DEPAMM T OF BEALTH OF HEALTH • - _ _ - DzVISION SERVICES • DETAC.14GT> RE•SIDMA -�' •"IAI,. •s►"C,6q FAM%t:V � DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTER FILE NO. 9co mAi m -.T?-cer (s u arc D) Owner Ler:EQMaI.I Horc H Address _pSREWSTgK • /,7 %/ 10 02 HAVIt..AWD D21YE AW > - Lxated ',at (Street).. t3tZl- 1- I+STo�►sE : li 1e_� -_ RoAV._ _ Sec. • 18 Block- . 3 Lot Z (indicate nearest cross street) Municipality TAT TE Watershed C >z o To j�,3 SOIL PERCOIA ON TEST DATA RBQ[= TO SE SUBMITTED WITH APPLICATIONS , b Date of Pre - Soaking I f Z's 18 (o Date of Percolation Test i' _ Z S`% g G. T. NUM CLOC3C TIME PERCOLATION PERCOLATION . Run Elapse Depth to Water Fran Water Level No. Time - Grourid Surface. In Inches Soil Rate Start-Stop Min. Start Stop Drop In! - Min./In Drop Inches '. Inches Inches 2 II:3y - ))• Z 3 • s.3 3 w!gfc - iz,)3 17 �ZQ- Z'] 3 9,7 4 5 ' 1 lozo,- -.3c, i la Z 4 Z7 3 S.3 z. 2 )7 z4 2.7 3 S•7 ' t T= PIT'DATA MUMM TO BE S=rftED W2TH APPLICATION DESQUPTION OF • / ENOWNIEPM IN 7EST . • E► DEPTH HOLE I HOLE NO. G.L. 3' 4' 6' 7' 81 141 :INDICATE LEVEL AT WHICH GROUNDWATER IS FjNOWNTERED INDICATE LEVEL 'TO. WHICH WATER LEVEL RISES AFTER BEING ENOOUNTERED /-)o C DEEP HOLE OBSERVATIONS MADE BY: -M. B�3tal us1=i # i?�•S. CLARK DATE: 1, 4) 8-IV' ; DESIGN Soil Rate Used 6-7 Min/1" Drop: S.D. Usable Area Provided 5 oo O S . F. No. of Bedroans • 3 Septic .Tank Capacity 1000' gals. Type Absorption Area._ Provided By 30o L.P. -x.'24" width trench Other LL- Narm Si Z MAW rNMArti, � •.. t tiL • Soil Rate Approved sq.ft/gal. Checked by Date O� .7 MAPS#: /0 34 - 3 --A APPLc' IDLY B PUIDUI -M CCUNTY DEPPRUAENTr OF HEALTH - DIVISICI OF RWMOMEI HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFAC✓ EcOVAGE DISPC EEL SYSTEMS L Rim - R.Zn7 Sr-= - CCNSTR[ICT?ON Pr'RN1IT 503--U74A 07- -OU DATE REVIEW-ME. 10 17 Aib. LTD. DANAup LANE, Rb BY: _lrl, _ (Name of Cwne_r) (Street Location) CCirS YES I NO I x dq I I ( i LF `endh provided reii red (, 60 ft. Max. Parallel to contoGr�-- X SD5 m I x -- I X I I x I I FILL SYSTEMS I cl aviR-rrier-- - I x f 10 f t. f.il1 notes �� I new spec. = % 61c ' f dean gauges.--- 100 vr. i I . >-. 200 ft. reservyq3_; etc. 150 f<-:- trigall /gal 1 . i x DOCr. —fL'S Pernu.it Application Coroorat- Resoluticn Plans - Three sets Engineers Author:zaticn Design Data Sheet (DOS) Deep Hole Log Consiste_zt Perc Results Perrc Hole Depth House Plans - Two sets s/s Sum- 17TISICN V (3) F_�! /,� any cd well Fe_ru t; ib7 letter variance Re -nest �--�i Le--a-1 S'u div_slcn Subdi r lion P ;,roval Crneckc d - aoor-val SSDS M i. Lots Checked Wat and (Tcw:z/DEC Ps--nit R & D) Data C DDS Pans & Psrn, it S=- -.a R QUETRED DEr:= 7 c ON PTA ?S Swage System Plan. - (:nor -h arrow) Sewage System Hydraulic Profile - Gravi -y r cw Fill Profile & DiLpensicns - Vol =me D or J Box;Trench /C 1=ry; P=Lp pit- de=w;is Septic Tank - Size, Derail Well Detail, Service Line iL over Const_ructicn Notes (grinder rate) Design Data: Perc and deep results Two -root Contours Existing & Proncs--A Drivedav & Slooes Cut Foot? n /Qitte_ -, Cur'-Y i n Drains (di s dharge OK) Perc & Deep Holes L^cat Repres2atative of primary and e-,c ansicn Expansion A.re--;shctiwr_;gravity flow,suf =. size If Puq:>�- Pit & D Box 5hown & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 f t. of Prcpcse� Systa m Prcoe.* ty I�Iete-�= & Bounds House Setback Necess:--ry (Tight lot) House Sewer - 1/4 " /ft. 4"0; T�pe pipe No Bends; Yax. Bends 450 w /cleanout SEMAMON DISTR.,N ES SPECIFIED CN PT•?N Fields 10' to P.L., Driveday, Large Tre°.s,Top of fi 201 to Foundation Walls 100' to Well; 2001 in D.L.O.D, 150' pits 100' to Straamr, Watercourse, Lake ( inc. exr. ar 15' to Drains- C=tain, Leader, Footing 351to catch hasin,stormarain,pined watercour-s 10' to Water Line (pits -20 ") 50' int`rmit tent drainage course Septic Tanks 10' from Foundation; 50' to well 15' Well to PL 9 PUTNAM COUNTY DEPARTMENT OF HEALTH _- __.....__- _.. -.... DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of VM662A) �Il,�,(�(l /�/� S Located at % i�" /�/�t' /�•' // �/�I(,/� / %2 //% �/� rt'M I �- (T) rA7Zir /-ZSUIJ . Section Block Lot Subdivision of A- I D Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize 4�,�:�'L- p C%T��� L fix a duly licensed professional engineer V or M -= -' re ='-_t=e- (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in - - -- -connec-tio-n with- tbi -s -- mat-t-er and to supervise 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 Sani- tary Code. Very truly yours, Signed 1,14, Countersigned. C Own r of Property g XAddress Address YL 42-L l\J tj /v I elepho e q1 5-LI� Town Telephone PUrNAM COUNTY DEPARTMENT OF HEALTH SUB - LO T 4� DIVISION OF ENVIRONMENTAL HEALTH S&MCES �7 - DESIGN_. DATA SHEET-SUB.SUFACE SEWAGE - DISPOSAL, SYSTEM- -. - _.._ _FILE NO.— Owner V/V lCor__1V1T 0 U. 1� _ I-Address 7 ca p Located at (Street) !AA -1� . �M k Lot (indicate 2iit TU t A Municipality P4 r7y�,��d �7'� Watershed Y-91 Wel F .1311 Date of Pre - Soaking Date of Percolation Test HOLE NUMBER CL= TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Fran No. Time Ground Surface Start -Stop Min. Start Stop Inches Inches Water Level In Inches Soil Rate Drop In Min /In Drop Inches 1 4 2 3 5 S 4� Sci� l� • ��� ��,� �- 1 5 ,�M1 1 —711 //t/ 1-t-A 2 3 4 5 S 1 ,�M1 2 3 4 5 NOTES: 1. Tests to be repeated'at same depth until apprcximately equal soil rates are obtained.at each percolation test hole. All data t:o'be submitted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES - .DEPTH - .HOLE. NO. - G.L. 1' 2' 3' 6' 7' 8' 9' 10' 11' 12' 13' 14' INDICATE LEVEL AT WHICH GROUNMTER IS ENCOUNTERED /V D INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: Si &D ► DATE: - DESIGN - Soil Rate Used Min/1" Drop: S.D. Usable Area Provided 06) O No. of Bedrooms — Septic Tank Capacity 1,Z60 a s. Type CAA G 1 Q,0 NEW ),o Absorption Area Provided By L.F. x 24" width tr 0 P.C4 Other A�_57. 90,8 /L. L_ P`' . '�• Name /l% �l�l� Signature L6�' 4 Address �G, �� S/ %�[ti6Z-A"� / 17 )4V SEAL P 7- ---T �i 3q THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gar. Checked by Date i -- - i HE p �E WITHOU7.WRITTEN pQtIRiiliON ROM NORTHERN. HOMES, INC. IS PROWaITEO. .510 piNiNG {ZCIC W 0 v m ---� 4 °r-.O. - L�viNU 2001'A 30510 30510 :50-ly- . F 30-5(- - -- �I • O A3 PF- g. I! IaR.E�.I�FAST L� 3044o �4b y 1 i I s: la _O„ PUTNAN COrlti r trs,;fdA t,ous> PLft,IiB arYrtovrD POR )o /v, /��� c •�Sv /3 BGDROUM COUNT ONLY. C, I ul ' ilr�l I I Ip, it �I 3044- 24't)2 a�T� 2432 d 6�d2caoM O laps 21 O .:, c QED M �EDfZG2�M - I I' 10 "x 12'-O° - .- 13'-9 °• 3' - (,/a" L� 3044o �4b y 1 i I s: la _O„ PUTNAN COrlti r trs,;fdA t,ous> PLft,IiB arYrtovrD POR )o /v, /��� c •�Sv /3 BGDROUM COUNT ONLY. C, I ul ' ilr�l I I Ip, it �I f.. _I-_i I I W 0 0 i N � �o ?moo 7 0 a N au. � I N � Y 0 • I Q tt' 7:17 �Q;� of- t 7 0 a N au. � I N � Y 0 efi� i � L :f: 12d" ' `� r SCC../IL`N.T aST�p.,,« .. ` �. lam. �. ili.f �9�, 1 i l g0 - Imo—' fry- lnib_� h �,z, (o ©O �o i 044 0 ds �d ALTERATION OF THIS C•Sgpp�\• NEW YORK STATE PRO T,q,yk IeLa' ✓ IS PROHIBITED. v'�c�PZa�N : � t +';p;�.�1 /1;N (p �G� %'f F:; za)��r•J 2We rbA! eo , At a X10;: k. � THIS PROJECT SERVE �t NG� d�,��/AJ �.. •- ^L,, LOT AREA 0:1$6 ACRES ® U� SOIL ..... SANDY GRI 99 ' � NO GROUNDWATER ROCK AT (o FEET QUAIL RI-DGE'REALT BY THE PUTNAM COU FEBRUARY S, 1986-