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HomeMy WebLinkAbout0917DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.40 -1 -1 BOX 10 00917 �_.'0 PU`INAM COUNTY'DEPARTMENT' Of- HEALTH Division of Envfionmental Health Sewices, Camel .N Y 10512 tONSTRUCTIDN PERMIT FOR SEWAGE DISPOSAL-SYSTEM E�'S2� h= k0 own or village _ LocatecJ' at- ►�f -QI - Section _Block Subdivision �UT�Am La4'� Lot Job 5448 -943 Owner Am" _-.Lip 1: Addr'ess B!P!5i' 'DePtPA,U` �T `Building-.T EXL3 (I �tCs � � Lot Area, .'7i �0' s + �Q�G {� c'l•�_j .,- Number.of Bedrooms ` `� Total Habitable Space ��� Square Feet -_ C, Separate. Sewerage System `to consist of „r a� Gal. Septic Tank- lineal feet width trench _. 'r0 �6 c-� ELI ECM t (�wai] 1. To be .,,constructed by F Address `° Water- Supply Pubhc,5upply From f r- Private Supply to be, drilled by Address Other Requirements _- V e '0 g j I ' I represent that I -am wholly and 'completely responsible for the design and location of -the prop d em(s); O t the separate sewage. disposal_ system above described will be•construcied as shown on the approved amendrrient, there to and in accord Rh the staniiar- , rules an regula ions o e u -nam (, ;County. Depart rnent" of Healtq,.and that .on com ,pletiori.thereofa- llcertifi- t- of. -Co ructio C pliance' satisfactory •to`,the,Commissioner of Healthwill Abe submitted to'the Department, -and :a: written guarantee :will ,be'fuenished the J_ .n ,. c sots; heirs of assigns by the builder. that saidibuilder will place;in good operating - condition''any part.of.`:said' sewage disposal system duri t riod� two (2) years immetliatel following' the date "of ,the issu Y fance of the approval ",of the Certificate- of Construction3Zompliance of, the origi m or repairs thereto; 2)- 'that'the drilled well described above will be located as shown on the, approved plan and that said-well w:ill'be installed n ,a c rice .wi the..stAndards, rules and regulai'ons of the Putnam County Department of .Health 14 Date t9Z4 -. sign h ..edi P.E. R.A. Address - License 0 ,APPROVED FOR CONSTRUCTION: This:appro 84 expires one year.frbin t_he tlate`__issued unless construction of the building -has beer► undertaken -and is revocable for.cause,or may be amended or modified when considered;nece ;nary by the Commissioner of,_Health *Any change or alteration of construction requires a new 'permit: ;Approved for disposal of domestic sanitary sewage, and /or -- private water- supply ;only r Date " = BY Title i co August 27,1974 Mr. Howard Kelly. P.E. Glene-ida Ave. Carmel, N.Y. 10512 Re-. Anna Lipari application Lqr Construction Permit Dear Mr. Kelly: This application cannot be approved as the distances between the sewage disposal system and surrounding wells is less then required by the .Putnam County Sanitary Code. Very tiv, I N yours. Fred R. -Ernst FRE/egs Public Health Sanitarian 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. Zjd Owner AmmA I PQ aI Address LaWegg.Cr, T21 f6 Located at ( Street) L}Q tg. _Sec. " Block (,� Lot ( indicate nearest cross street) Municipality pa-i-w,za Watershed ceM- 0 SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS o e Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to a er a er Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop 1A 6 Inches Inches Inches �6 VL 2!h. loft 3%V 3'° 1141- 1 y 1 S 2c> 2. bll 41141 111 0%.- 10 5 1 11' -Q 1023-- 4 _ 151 4- t 21tim f 311; 11�$ u 3 3 3 4 4 r��a 1�� to 5 [ 1 2 3 4 Notes: 1) Tests to be repeated at same depth until approximatelyy 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. 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. 12" 18" 24" 30" 36" Mlk 42" 4811 5411 60" 66" 721f 7811 84" INDICATE L.AT WHICH GROUND WATER IS EPCOUNTERED INDICATE LEVEL TESTS MADE BY TO WHICH WATER LEVEL RISE AFTER BEING ENCOUNTERED - Date DESIGN ' Soil Rate Used )�Min/l "Drop: S.D. Usable Area Provided . No. of Bedrooms Septic Tank Capacity�6D o E ' Ga �� e, - Absorption Area Provided By = L.F.x24 b" ch. 1 fh f c'F Name r, n J ,-• �� bilIgnat ure Address ,-, �� S THIS SPACE FOR USE BY .HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Cal. Checked by Date 0 �r 4 July 19, 1974 Putnam County Dept. of Health County Office Building Carmel, New York 10512 Gentlemen: The Engineering firm of Howard A. Kelly, Jr. Associates has submitted to you an application for a sewage disposal system and well to serve my existing cottage on property on Lawrence Road, Town of Patterson, (TM 49, Blk. 6, Lot 4). Because of the size of the property, the proposed sewage disposal system is less than 100 feet from-my-well. I realize that this is below the Putnam County Health Depart- ment minimum separation requirement. I am willing to assume all responsibility for any posal system. Very truly yours, , ir F 6,J % 2'� 4 . , 197 E�� Putnam .County t?ept. of Health County Of f i.c ing ?-,Catiiel,.. New Yolk 1Q512 Gen tl,emen r he engineefirm-:.Of `t firm ° Iioward A :.' F.elay, :Jr ' 1", �Assoc_i�ate's} h`as . subm °tted. Co �rou. ~an,.:� apt cat.�on fo d- : sewage dispdsal sys hem and ,well .-to serve my _ 4eign�or °` s ; .: g:e,fin, property dfi L=awrence, rtoa °cl, Town n, - .. :cott 49..,1k. Lot:.4'}. _ L.ecaus6 "of the Size of. t .e prb��erty, "their l�io �asea, et, gage a sposal system is- lcs8 than laa feet frortl Fmk well T .roaliz-e ,thA— this is� 'be_to,� the utn�r t Co irity fiealtr. il °eZaartnient rain muni eparatioh :rectui rcraent P. rY .:truly yours , r — f 3 ' _ r r s x .; 0 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 8--bf)4- Re: Property of Located at L AW &N C-6. Section. g Block Lot 4- Gentlemen: This letter is to authorize a duly licensed professional engineer,t o apply for a Construction Permit for a separate-sewerage system; to serve the above noted property in accordance with the,- standards, rules or regulations as promulgated by. the Commissioner of the Putnam County Department of Health, and to sign all necessary p'apers on my behalf in con- nection with this matter and to supervise to - construction offs "d- system or.systems in conformity onformity with the provisions of Article 1.45 or 147, Education Law, the Public Health-Law, and the Putnam County Sanitary 'Code . i .Countersigned: P .E . # 3 8 99-0 Howard A. Ke]ly-' 34 Gleneida Aven Carmel, New York 914-225-8088 SEAL - J -P je'; 10512 Very truly yours, Signed °°'��C Owner of AdareAs kkee Telephone I �Wll MAIM A , L 1 .�tCi1C?!+7 CAST lRpN SECTION 4 i. �� ; >`a.? • 1 �rilE�� i 1 Jut•i�Yre��t 'aax �aa� r«t:� $rc..T � va" eoj- T l td •' f TYPICAL CONC. , t f 20 : 2 41 L: L4e zt 1 R @,E S`w tT{�4t4 :uJa1N "�& { , J ._ � nKt cASr coluc. ' 1 �- 4 " • y J t ` IC '♦ RFi4tF 8':C 4 B /Y/ 3`�%._ � c�C.�s(�csatr l�cEn .'1's•'z�c... RE- SEPTIC TANK - _� L-r 0 O � p � 1 LrvrL EARTH 'jam `;�, r • t „h,'- !f •b NA(;Ki•IU Z JOINT ti W, 11 O: I 0., ;7i '. j0' i ULT14 PAPER f5h. 1lJt f .S .eta i f , rI' i° Pi'SF. R ik:a .rah •r ,.c.._ . �t $ f-' —_ P4'441 nm LAKEl �� e ke ~— 1 ,,.. Cf tA{/. GRAVEt I. F at ,r t tAk,a np 35_ r ._ TRENCH- At _'FIUti T ql$ . tax_ SYSTEM TO AE CONISi[«OCH—`.N `IN AC, ORII,`,,ANCE WITS THE RUL. 49 W 4 ,,� ' !i• ' , R rUL A.T1 -0Nt ', -F IHt V :..:_1.. 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A �r..,.��,+jx,�c t 4 CAST ,; .. . ~sECTtoN F. 1Juif to M- Cox {_ao� r*It'q $teT - "4 t ta,rr fosT l r:r►B. TYPICAL•'ON� ' PaE C+ 8r N EINFe @ ,6 C 2e:4 • ! N 3 &' ;` !_ /!` - i' °P .�s saL 'gceq-� -�a ese:'.,kt- SERI ICTA K ;WA41- .GRD LEVEL. - r EARYM ACKF11 2 dorat1f co VA PAPER TA c ec (�` PIPE PUTRA aq Fey OLea� 6aa't ^ ropLfJ YT — � CR:t5NC0 Sl 1 3 ABSORPTION TRENCM , N —• L°T q. _ o�1N E Jc �—�f- i : ( zt co ± ., .� NQT�S ,xi Le SY$TEM TO ft COUSTRUCTED, IN ACCORLAN(iE WITH THI . I RsGul.A'T10ftS.:OF THE j�U _t �jN�j (Gl}NTY Di: ++ "t 41 aF b I bYe 4L OF HEALTH i ' 2 EN G, .0T ESE' BACKFILL D' UNTIL 111vP CUO` L� 4' .� t, h 539 ® GINE N H LOCAL HEAL �N DEPARTM €t�7? IF:I - .F 63.46 --r _ ...... _ - D' ST C A 0 SAYS T Ff � I_ F FT. �ft��N C 4 LW ITH S%1 M, 1 T GH. OF I/I PE.R FGC,. SEFpa.Gt� ?"I 2a>o l' /fit /1► DFSPOSA1 SYSTBnA GRADES P.EFt RENCED, 1f1 Pd PT �'I FL�JOR:- ER.4VArIr�N . UNLESS 0TH1FpWt &F •NC1T, 1� y . S. S. �. 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ES: `t3M TO 61E tO'!ST„RUCT D; fN:' , AG RDANCE WtTl4-THE•RljLES AND REGu A- TiON'S op T-,k 0 'CO:UNTY:DUARTIVIEN`t OF H .A'[:7H: : h M` j.. r a is oo�osfr8 a9j rc ; ® 5Y5 SHALL NO'i BE SACKFILI -F JN7 ?!l. iNSP•ECYED BY DE°lGN :iNEER t{tNO THE LOCAL. tt :QCTH C�E`pA;RTNlirN7 I F ''14E4Ui4F' 3. 545d 'j SYS7E T EONSt37 O� A G'ALLOtd.SEpT`1C WANK M F R F W A AAAX M Coi �J f I PIVTCF4 `OF F%IF,RFc:ER FC,OT. SE P'!T(THZoo s.fMU DISP65: -*.L „ .5YS'rcro ^v17ADF.S 1RI FE RE IC$'i) TO r 1t:i l$NEJ F':i 7 O FLOOR ELEVA7 t.4�'N . uNi FSS Si'fHFR1NYS'E NOTED.- S.S.D. SYSTEM' Ory REVISIONS HDWARD A. KELLY, JRJR, A. kF< °< T M1 A &Sf)C t ATE i y < F u OR F. B C,ARMaL REV YORK _ SE.E.Dar;�N Tat:�� 2 � --r -- F f 7 u �.2,. �(1 +, v c 1 �- TAX MAP N `. 4.9 $ I;JC N'O Q. LOT T FT C yvlt t , S_ F— C,T 1.0 to J I.i ? -- 'i- TOWN OF -y :: �1 -' b ys rt ryrm n_�_ �.� _ A ° r ry 38998 N - �L,4;- Cq_1L:A- Il!t:hti:b: t�.. -� pe- �hk c East iet �w lip W . 1f �- �a— jJ!( is kD .7, -Y _T "Al RIPiZ 2, Aw__ 6j 7�. v iln 4. v n'} < '$ECTIOW T Li e.:. TYKCAL -CONC' v _A4 " — f.1, 2, ' ALL Lt, -r�I*4­ - .. - - Pan RE Ae4&�T. T. Z.� 17 r\ A Jo I Wr -8 IL COYER 0,11 . aL '96, PAPFfl v HAY PF�FiFIDRATED .4' Pu TAKI. Ull(f; As P40E v: - CIA. -GAAVC�'OR - 'HEP STONEr ABSORPTION. `ITR6tt-. NOTES: SYSTEM WE- CONS Tf? UCTEDA CC N A 9RDANCE, WITH THE RULES AND /ELL 'U. LAT�iON CF THE G? L) I COUNTY DEPARTMENT OF EA H. 5393 � 14 T I- N -SHALL NI)T, BE BACKFII-LED, UNTIL INSPECTED BY DE:1IGRJ IB I MiT 14' 'DEPARTMENT IF�REWRED ENIGINEIER'AND THE LOCAL HEACT 131 OF SYSTEM TO 'CONSl_ A -902 GALLON StPTIC TANK AND --i- FT q FT I'REN'CH WITH A MAXIMUM F — - I - PiTGTl OF VZM' PER FOOT. 5EF:p4GIV_ FIT 2 6`USP6 'Ai. s?.§TrEm. URM)F.'; RFFERQIGfl) TO FIN,I-SHEO F!R3r F3 0*oR-.'iLE;VATfOKl . U NLJE,SS OTHERWISE NOTED. S. S. D. SYSTEM FOR MSIAI'.__Ll' LK. 10 HOWARD t(i A, OfEsslo A, REVISIONS A Kr ASSO Kr < NC*. DATE Ay C' K P. 5u TMix r TAX M4P N BLK. NQ_ G LO T ND. T T-F- Z- TOWN CIF F_ I OTA - - IT "tilt C_ 899,