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HomeMy WebLinkAbout0903DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.39 -1 -12 BOX 10 00903 IN how .' - k0m, 1 IN I I me �. I or ' � I , , . . , - I , , 00903 - PUTNAM COUNTY D`PARTMENT OF HEALTH _ Service Carme/ N Y 10512 Divison of Evironmental Heath C ! ;: w = Patteraori Ptn LakE Tt.ERTIFICATE`0F GONSTRUCTION"C MPLIA. -CE FOR SEWAGE DISPOSAL SYSTEM 1 riangular; -block between- Sanborn, Newark .& Monroe _Roads:. -. To" ' or v. "age t LOCated';at SiX r] M nalll ` Lake., 5estiow �} l Q ,, Block 1 Lots 408.6 thru 4'115 ncliisis'�l9nond %?Ier�4�''' -1 - gab ;Owner - Separate SewerageySystem built by Fr- ederek Adams f Address Carmel -,= New York, :10512_' Consisting, of Gal: 5ept�c "Tank 18'% • 6 lmeah Feet X ?J..O t width trench i Other requirements 1)TP7±A -Y1 ,7 i Water suPPly: `Public supPlY' From Private supply .Drilled By 1 & Soy IriC • I'.F. Bea s ti �. ter eia °:York, 10509, Jiddress - V ! G Burldmg •Type €tffi 1�'+�S1d4 -pee Noy of Bedrooms f thre'B "bate •Permit. Issued 15 7++' Has Erosion control been` Completed Ye4� f'ille o'�'' ? 11g,:`aTid 58er3d -Tlg o b6 aGCOffi�Jlj.shed 11A71kt'i spring. - I - 11 certify that the °system(s).as listed serJing,the above; premises,, riiconstructed essentially as shown on4the. plan's of the completed work ,(copse of which are , '!attached); and in -accordance with the standards rules'vand'reguletlons, plans Bled, d th permit " ued -.by the Putnam ,C my Department of Health. i Date w I ` Certified by. w REAk R.A. 050 43`.952 } Address e� steicense IVo': f t Any person occupying premises served by -the above'systenm(s) shall •promptly take such actiori as may _t)e necessary to secure the correction of any unsanitary 1 'conditions resulting from such usage. ,Approval of the:, separate sewer e;system,sliall become null grid void -as soon as,' a- public -ianitary sewer becomes I r available and the approval' of the private -water supply shall become u a d'° void �wh -a `pub 1c water supply becomes .available Such approvals are sub)ect tto, modif' tron o► -change` when ",in the. = judgment" of th X;om issioner, ;o - a ch, cation modi ication,or; change,is necessary q. 1 bate �l ` . /� 3 a ' :/�i►r� I r � '' T�tI WELL COMPLETION RCPORT PUTNAM COUNTY DEPARTPSENT OF HEALTII 3171 Division of Environmental floaith ;:nrvices COUNTY OFFICE UUILDING - CAIIMIEL, NEW YORK Thit report is to be completed by wall driller and sttf•' -: ;tied :o County 14ealth Department toapther with laboratory report of analysis of water Sample indicatirig water is of Satisfactory bacterial quality before certificate of construction compliance Is issued. REPORT 1'.11JIST RE SUi3f.11TTED WITHIN 30 DAYS OF t:ELL COP.SPLETION OWNER Ray Mercier , 29 Oak Street, Brewster, NY LOCATION n (No. & street' (Town) (cot Numcer) OF WELL Slater Road, Putnam Lake BUSINESS ❑ ❑ ❑ PROPOSED DOMESTIC ESTABLISHMENT FARM TEST WELL USE OF WELL 1:1 SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING OTHER ) IDRItLING M ROTARY ❑ COMPRESSED PERCUSSION CABLE ❑ PERCUSSION � OPHE{y) CASING LENGTH (feet) DIAMETEF: (inches J YVEIGHT PER FOOT' ® ❑ D: VE SHOE..�"� ®YES - ❑NO (�'/ S5 CASING C'. Jl t Fx DETAILS 2 f 6. 19 1'b$ THREADED WELDED YES (J t:O YIELD ❑ ❑ X HOURS C.P.M. JYIELD (G.P.M.) TEST CAILED PUMPED COMPRESSED AIR 6 15 15 WATER MEASURE FROM LAND SURFACE —STATIC (Specify fectJ DURING YIELD TEST Iteet) Depth of Completed Well LEVEL 10" in feet below land surface: 1401 MAKE ILENGTH OPEN TO AQUIFER SCREEN DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL Diameter of well including GRAVEL SIZE (inches) FROM (toot) TO (tees) ( I . PACKED:.. grovel pack (inches): PTH FROM LAND SURFACEI Skotch exact location of well with dist3nces, to at least. FORMATION DESCRIPTION two permanent landmarks. riEu i� 7�IT 1 7.0 8 Drilling in rock- earth Hit solid rock at 8 feet 8 32 Drilling in rock -set casin grouted___T 32 ` 140 1 Drilling in rock- granite If yield was tested of difieront depths during drilling, list below FEET GALLONS PER MINUTE Will COMPLETED. OATE OF RLPOnT WELL OnILLER (Slpnatura o 9/15/_75 11/10/75 :2� 4 r:i&9- m BREWSTER LABORATORIES Box 224 - BREWSTER, N. Y. WATER ANALYSIS REPORT SAMPLE NO. 3548 SOURCE: Ray Mercier- hose bibb - well supply Slater Road Putnam Lake Patterson, N.Y. COLLECTED: Novo 5, 1975 BY: P.F,Beal & Sons, Inc. BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method 0 per 100 ml. This result indicates the source 'of the , sample was of satisfactory sanitary quality when the sample was collected. Novo 8, 1975 ickwit P. E. Dlreaer panci o . ZrclI a.ser of ,uilding •r a Building .Constructed by. Location - Street Building Type I" nicipal'ty r Section /n Block Lot GUARANTY OF SEPARATE SEIkIAGE SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage -of the sewage disposal system. servin& 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 reQulations.of the Putnam County Department of Health, and hereby guaranty to the owner, Iris 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 tlo years immediately following the dare of initial use of the sewage disposal system, or. any repairs made...bv me to such system, except where the failure to operate properly is caused by the t- l.lful or negligent act of the occupant of the building..-utilizing the gt,ci -om The undersigned further. agrees to accept as conclusive the determination of the Director of the Division of Environmental Health Services of the Putnam County Dopartment 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 Dated this _ j^ day of 19 75—Signature Installers Title (if corporation, give name and address ------------------------------------------------------------ --------- ----- ----- --- -------- 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 v. Owner or(Yurc aser of Building Building C ,nstructed by Location - Street Run icipa1i P y Section Block Building-Type - Lot GUARANTY 'OF SEPARATE SE?-IAGE SYSTE -1.1 ;= .:I, represent that I;� am 'wholly and completely responsible for the location, workr:anship, 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 Depart -ment of wealth, and hereby guaranty to the owner, his succes- sors, heirs or.assigns, to place in good operating condition any part of said system constructed by me which fails to op.rate for a period of two years i.imediately following the date of initial use of the sewage disposal system, or any repairs made by me to such system. exceot 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 de- termination of the Director o*f the Division of a:�Ivirorriental. Health Ser . ___... i ,--tng....l -_i . t n ^-n ro,•;_nty DeNart:;:en t --cf -- Hle aitr -a-s --b o-- whetnel. _or -not- the -- f.ailure of the'system to operate,was caused by the willful or negligent act of. .the occupant_ of the building utilizing the system. Dated this jam_ day of.��,�7. 19T5 Signature Title If corporation, give name and address) Owner & General Contractor THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMP,ETION 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 I a v P. O. BOX 261 =-MT: Ki;co, N.-Y. T0549 - (914) 241 -0493 August 8, 1975 To: Mr. T. J. Mearsheimer Clients Penn Central Transportation Co.. Penn Central Corp. 466 Lexington Avenue 466 Lexington Avenue New York, N. Y. 10017 New York-,'N. Y. 10017 ; Results of Laboratory Analyses Location: Brewster Yard, Penn Central Sample Site: Discharge to Tonetta Brook Type:-. Grab_­­­. - _ Sample.Material: Wastewater Month of July, 1975 Date Oil /Grease. ppm 3 1.0 7 3.7 10 5.4 14 6.3 17 7.5 21 4.1 24 4.1 31 3.1 Mean 4.5 Date Suspended Solids ppm 7 12.5 JPM:gdr cc: Messers: R. J. R. C. T. W. Jo Total PO4 ppm 2.6 Gualtieri Dedyo Caddellr, r" Manfredi Quinn Bruce Henrikus Total Chromium ppm 40.05 Hexavalant Chromium ppm < 0.05 Very truly yours, solidatedvel Techno ogy, Inc. c u ) , ohn P. McGuire, P. E. COUNTY `DEPARTMENT wOF HEALTH j r`,. c Dtvuion :of Environmental Healih Services, Carmel >j/V Y �i , 60NSTRUCT'ION PERMIT` :F..OR ,SEWAGE;. DISPOSAL,;SYSTEM. PattArgOh ('P) PtBtgg�•.,FkA oiamgular- Ock � e -Ween� an • ozx ewE ,. Town', or Village. .`.Located •atOL22'�@ ROad9 xt}1 ap ofl Putnamake� TM 19 9' action Block t, ©t 4 ©6.lir :4115 inclusive JI v Subdivision Lot Job George piaki�soz� Owner, Adtlress C role €est _ Y 1 hir�a C i .1 famil residAri Building Type �. CL�t Area 19� aCrea Carme].i NeVY York 1.051 . Number of Bedr "ooms ym ?°B.A �i, �ACZ 1s0�1�tS �n S a F�q Total Habitable Space@jr 1 ©f� Square Feet Separate., Sewerage System to consist of 900 Gal Septic Tank 1- / 7 lineal feet X �O t- width trench j To be :constructed by O jJA dAAr)}ii13Ad Address Water .SuPPIY Public .`Supply >.From' ^ x Private Supply to be tlr�lled by. to .bA determined • ., , Address . ;.. i �� 1 f ®et ®f` su3able fill & :: foot ©f tossoilTNS�EJ�I Hto 'be iatalled Other Requirements 2 r3 Sewagge .`diSaosal' area. a l represent that 1-am, wholly and,compietely rasp aible for.the design antl location of the proposetl system(s); 1) that the separate sewage, °disposal system ..above; described +ill be constructed as shown on the approved amendment there to and li accordance with the standards; rules:an - regu a ioni'o a u nam �. r..: ::County •Department of`wHealth;' and if at on'completion thereof a "Certrficate of Construction Compliance ^- ,'satisfacfory to the Commissioner of Healthwill - ,be. submitted to -tha Department, and.'a- written 'guarantee will',be,fuvnishetl' the owner, his successo_rs-aheirsoi= assigns by the builder, buiider.vMl { place :in .good operating :condition any. part of said sewage disposal sysl ante - =of, the :approval of "the Certificate of Constr,'uct, n ?Compliance `of {�'will-be' located as shown on the approved plan and #hat said wall wilibe instal County' Department of Health Date Atagust 1�° 19'75 Signed 4 Address '&Eillt`own < Ro> d s RI? APPROVED.FOR CONSTRUCTION This approval expires one year from revocable for ,cause or may be amended o: modified when cons�deced necess ern during the ,0616 of,tv+o (2).years immediately.following the date of thelissu . the original system or any repairs thereto;.2j that the drilled'-wel1'ddescribed •above led m.accor ante with "ahe sta Bards, rules ayd'ulatioRs�' .of tlie:. Putnam 7. R.A. 5 .6iii License No. 4395E h` 7 - the date issued unlesi•' :construction of the building has been undertaken and is ary by the Commssoner'of Health Any change`,or alteration of:coristruetion, 1 i DOCU� ,VIT5 House plans 0. K. De- sj -g data sheet jvie;ets ltd °., Peres presoaked.- min. 30" pert test depth I Const. results for 3 runs I U. Hole log O. K. Corporate Affidavit for other than individual Authorization for engineer i :Utter from Water Supply if applicable If variance requested -such noted on plans & apps.l DETAILS if change is proposed, ) Existing contours shown show new contours) Slopes for driveway cuts, etc. shown � Water service line location Footing.drain, etc. location I i Top slope; bottom slope of fill xv -jyL Percolation tests and deep test pit location I Septic tank size and conformance to std. 3 B.R. house minimLun i House setback shown .l�.S�i•! I,y�afi..� (J'1 �)V�`> J. lt�. 1!7_L.t7A. 1 L' \Jilu i _ 1 H11 - wa Ger W.l.l,f1J..t1 ;�V .� 1, e 'U1 rL �1.1U1N11 . j i � Plan and profile SDS :✓` All other wells and SDS closer 200' f shown or reference made Property boundaries (metes and bounds - clearly shown)' i ',EPARATION DISTANCES SPECIFIED ON PIAiv 0' to P.L. '0' to Foundation walls 0' to Nearest well •0' to stream, march, la 5' to Curtain drain 0' to water line (pits - 5' to storm drain 0' to large trees 0' from foundatior. 5' to pipe from le etc. Incl. on q k.. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL. HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA. SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner George Dickinson Address China. Ciz4.e West; Carmel, NY 10512 an orn.0 a ark & Located at (Street )Monroe Rds. Sec. TM 19 Block 7 Lot 1 n ica e neaTest7FFoss s ree Putnam Lake Overland to a small stream, whi Municipality Town of Patterson s�opined eventually fin i• ds Watershed it i3�t SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMI'T'TED WITH A MC`ATIUNS Tests conducted July 21, 1975 by S. Wright* (Saturated mef,or testigg) 3011 dp Hole Number CLOCK TIME PERCOLATION PERCOLATION HUM Elapse Depth to Water water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches # 1 1 16 z 9 10 :+G 17 ZZ 2 11 _- 12 74 Z2 3 13,0 3 2S 8 3� 4 11 = +3 ►2:15 3b ZL 25 t0. D 1 if 'Z.n y 7-7 3 2 11 :4..0 12_06 ?.6 Z� 3 12 : 12.37 Z4 Z% 3 3 5 1 2 3 Ego a design rate of a to 10 minutes gor ink 5 Notes: 1) Te'Rts to be repeated at same depth until approximately 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. i h 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. :3� i5� 6,,. Eck Y ��� to 4G LOAM 12�� S tvl) Y - G��?' -� z� Pte! - 18„ LOA M 30„ 36„ 4211 48" 5411 60" 6611 72„ Cg. EYIsH ��l F60 u LV—:--- fZ e~9 AV E, SA Cm, !'2e Y A t-3 art' rZ 781.I Rx2X. x IX 2 ._ - 8411 rG� J. INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED O `r INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED ® Nerr A P P 1. fcA Ci Lt TESTS MADE BY 'D €E P 14O L S -- t5u c u--,r -BA, ;?- P- =— 7-T- Date -Tu t-Y 17 } 1917,5 Soil Rate Used 8-1D Min/1 „ DESIGN Drop: S.D. Usable Area Provided 5, c)00 Sr- AVAIL k No. of Bedrooms T� NSeptic Tank Capacity ` i Gals. ,, Type ? dE� C0 wc- Absorption Area Provided By ft trenc . �A pF ame -- BUR P. MCI AlIGH, o igna ure Q �. PROFESSIONAL. ENGINEER Address AA woyT N RbAp . k. D. 5 SEAL r. gar: RREWSTER. N. Y. 10509 ` a THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: ^�o. aae52 Soil Rate Approved Sq. Ft /Gal. Checked by 90fiESS�0 NF� te_ RRTHUr,"" LAUGHLIN For: George Dickinson PRGIFI;' ENGINEER Putnam Lake MILLTOWN - ROAD, R.'D. 5 TM. '19'BL 7 LOT 1 BREWSTER, W., 10509 w l. Patterson Ton o DOCUMETITS House plans 0. K. Desiern da.ta shlel-"I'L percs presoaked Kin. 3b 19 pere test depth _ Cons't. resu1.ts for 3 runs— D. Hole log O.K. Corporate Affida7vTE_T_o_F_oC Authorization for efiSilie_er. fetter fron, Water Supply i If variance vequested-such N V app.-4i :Lcat.-,_Le__ abed on plans CHECjKLIST Sheet. 1 of 2 1;o MIM X X appS, - DKA I I if change: is proposed, ) I % i Existing contours sho-17ri slow new ccontours) x Slopes for driveniay cuts, etc. shown x Water service line local ion _x Footing.. drain, etc. locat"iCE—_ I X: Top slop.-, bott-arr. slope Of x Percolation tests and deep test --pit —location Septic tank size an,I corij,"ormiance to s1"--d.__ i 3 B. R. house minim-Lim I 1 - - . - - - y see note aD *011 ca 01 a appj_icaDie Note covers dmft ht of- 'fi11"-to be-_-'plac( not In sds area s House set-back shoim ^j- - .,- n 'btbd'' oh'dEitdil f 'Djt.9"�-!r 1? -hut All 5 in §,4s- yLeinity Plan shorn, �rofil -Plan and pr6file sr's IX C All other ve-11s and clos'�'p 2001 hp or -de X. sw4 ­ Property boundaries (- metes, and bounds-clearly SEPA1'-1,A.T.10N DISTANCES SPF!,CTTY_r=,1 C;-_ "1Xk_ L 101 to P.L. 201 to Four!daUon yalls 3-001 to Nearest vel., 50' to strean, march, lake, 3.5' t 3- uamain drain 101 to -later line (PJ' 15' to storm drain 101 t- o large trees 1.01 from foundation o septic '5? to pipe from, lr;' ader di_-ain & fb X IX furnished El.expansion) X- x ;_riot' at�plabo I see —note Inote cover !as shown George Dickinson BY: ARTHUR P. HCnA.UG PROFESSIONAL ENGINN Put ha m Lak e ' 4 E E FIELD LIST MILLTOWN ROAD, R. D. 5 TM B :19.-L-.7 tCT- 1 BREWSTER 'N Y. 10509 Tdwrf C-Of Patterson P Date - July 1`77 . 1915 INITIU. 317E 1INSPECTION InQp,'1,)y.-AoP0 McLaughlin, P.E., Ye-31 L110—L—comments `attached I X Property 'lines or corners found s0.6 at, . . . Can estii-trate hartse location Will dr"L-veway need clat- . . . . . . . . . . . X 14pust '.11-.rees be!, removed-note these X -itati, e of en�- �'-,D" zi rea Is deep ho " ;. represei I If Additiona deep holes -eaded. Sufficient Sa,`3 area, availaible con,-,,.-Ldor1.f"!Fp Ix drivel.laj C-1ft.,house 1oca,iota, s-caration distances., el-,.c . . . . . . . . . . . . . . . 'r EEP HOLE DAJA - see sheet entitled "Design Da* Sh( Depth: Water el6vall.-ion: Rock elevation: Soils des!g2jpt,.L.2ji: U17; 7 Future FITUU SITE 7JTC�)FEVr'T1011,T Ins p, by: Houge. located where shown on approved plan SIM lo^,qted vhere ;a?� -Prove,3 1.0116UU Ul i .L'UiWh N1t:Je,;:5LLVt;U' Width of trench average Slope of tie lane an.,--1 tr�,En—rF Room alloved -['Cr ey-i--ansion trer-1--has . . . . . Over -50-ft. from- Natural soil not stripped or SDS area unnecessarily graded 10 r4 b. maintained from pro-jo.line and 20 ft. from Itouse . . . . . . . .. Separation of trench from house, well etc . follows Plan . . . . . o . . . . Number of bedrooms checks Stones., brush., stumps., rq:,.bble, etc. greater tbzn 15 ft. from nearest- tr.-ncl,-,. 15 Ft. of peripher€ l. soil horizontally from. trench. . . . . . . . . 0 Set . . . . . ® . . . . .. Junction boxes properly Could surface run off from drive-.,fay, roads, ground surface., etc. channel ne--ar StS area Does lot drainage appear O.K. in area of SNE) FL NU GRADING OF B! TIE ACC"EFTABLE Monuments recovered On kn611 -see note's For three -() bra' dwellift,g, only - for 4 i would be margi .1. nal et9.1 1(back side thereof) e q \ r O '9 / TNAEfi R c Roo All A o � �9•y / p j / @eaei�el Coutractort Odrnsr `0'% SePtie 8jst4* Instal dir: Frederick Adsmsy. Bali 8c Trucking Carmel, New[ York 10512 QWFi T 44ilLor's P.Pp. Beal &, Sons Ine. 4. Pt to m Ave. Brrstisr, Nam Yo+k, 1509 Lo tUW-8 by transit:, taps, and stadia moth6de. z r - �_- � �LQIIS&_CSlRHSRS;s_: � eaa 3a L8 . el� _ ='. i, it 00 s s S fq LF /87.6 2.F taevrsea GATE, Sony Tv -77 77 a T f $ All nQpga-4 t: �. 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