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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
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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
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S.S.D. SYSTEM'
Ory REVISIONS HDWARD A. KELLY, JRJR,
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NOTES:
SYSTEM WE- CONS Tf? UCTEDA CC N A 9RDANCE, WITH THE RULES AND
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