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HomeMy WebLinkAbout0957DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.41 -1 -14 BOX 10 00957 Ir OIL 00957 PUTNA'M F GUTTY DEPART1kIENT {OF HEALTH - ,Divisfon�{of_Envi in ntal,Health Services Carmel fN.�Y 1O,5r12 v.; CONSTRiUCTION ,P�ER;MIT FOR �SEINAGE DISPOsSA SYSTEM LL �tix --� - ,+- ♦ a " s } Fs ,� aTOWn Or `V 11198 _ - Located at h L.liflQi�. -��i�t `•��i�� ' F r h ,Section o��-� F r3�ocK - .: y r,' 'E-'�d �' .AZT" "`.33,..•r" .3 s 4 .y# ,: F }'�` f _, - Subdnr�sion 4 ..t�. owner ; �Q('i�0�rEM6S ©miles ,AddressL�Q�CAit1,0 Buildin T e ��ii111O j s Lot - lS? ` fJLmber of Bedrooms Total Habitable Spaee quire Feet r w :' )(.l.C'f 1 ,:,Fs' n i feetX et « . yw:�dth trench Separate':Sewegage System; to co»'s�st of b Gam Segt�caTtank hne,a �� To be constructed by �b �iE = OET�� i1r1 l tilt Address 'n�M _ i � i- �, m e.� aL -$�. ? S t c;. � ♦ r t �.- � �F � v ,�,v. r F � K �a ;-. �' s k � "' t`. }- Water Supply kL PriVile- pply to be�drLlled bye -` �� q K ress Y p Other Regwrements ` e 1 ° ' { ryyi 4 .'4; Y^ uu S.:ti a"H.d+5e3 c. ._� S "" �.9 A+ "V.,;. a.- ; I represent that;`I: am ;wholly and completely respont1blefor hedeslgn ,and- locatjon of,the proposed; system( ;) :,1) thafyFthe separate sewage' -d, posal system.., uabove desbnbeG will bes"eonstructed` =as shown on the,'approved amendment there to and an accordance with thestandards�, rules an regula ,ions o e .,' u nam a t and that on'com" letion, thereof a " CerUfica`te Hof Construction Compliant @' satisfactory to tFie Commissioner: of Health wil!, %, nty :Department ofr `iHeal submptted to',,fhe. Qepartment; and a written' guaranteewwill�be` furnished the owner his successors heirs?or assigns by'theabuilder, thatasaa'd_builder ,will place ,in good ;oparatin §;condition any part of _avid sewage disposal system dur4mg =the period of two (2) years �mmediatelylollowing'thed`ate of the issu -': <<<3:ance ofr ithe _approval of the Certificateyof yConstruction �Gomplranee of `the�origanal system`aor any repairsthereto `2) that the dulled ;well described:a6;ove L { will be located as hoWn on the approved plan and that said.we113wi1I? tie installed am accordance ;wdh the standards ule "s and regu as i-'I� on3r of 'them Putnam �COUnty Department Of`Fiealth ; a y a r 2 r R u t OBte t Y 1 �Ci/il r w r F 5 ned _ e P E R A �..,, Y�� 3 n s ah cerise No Address w, s . I rr;APPROVED FOR CONSTRUCTION Th�s;approva, expiresone year from�the date issued unless eonstructi n of 44+bwlding ha ;r been untlertaken piJd is ;_,revocable. for: cause' or nl'a : be'amended�or mod�fred whemiconsidered necessary�by the�COmmiss�orfer,of F(ealth Any'achange or alteration ofncori; ruction . ?requires 'k- !Approv /ed for disposalof domestic sin ary sewa an r. prwate water supply only r_ y F..�- _n PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date �%aN� 7 Re: Property of �i% ci !gyp C" Located at. 2L:q�l,Q Section oil Block Lot Gentlemen: This letter is to authorize- Z--2Z`� a duly licensed professional engineer,to apply for a Construction Permit for a "separate sewerage system; to serve the above noted property.in accordance with the rstandards, rules or regulations as promulgated by the Commissioner of the Putnam County Department. of Health, and to sign all necessary papers on my behalf in con- riection .with this matter and to supervise the construction - -of 's a-id-- " .system or systems in conformity with the provisions of Article 145 or 147, Education Laic, the Public Health Law, and the Putnam County Sanitary Code. �oFESSIoA Q ' A•' �2 Countersigne w ITI P.E. # 38998 Howard A. Kel X819 34 Gleneida Ave qT of Carmel, New York 1 2 .914- 225 -8088 SEAL F Very t S ignec IL 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.�QpT (o g(o� Owner ►Ae �JeS E]flG7&bA�$ Address (5 2� , M.� . Located at (Street -Sec.._ Block Lot 1 Indicate nea es cross st—r-e—eTT Municipality pn)TT,�Oo Watershed U63 ar,) SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run apse Depth to Water Water ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 1 n:1-6 1,2"11 4. 4al . 41 2 112.24 7 4-111 48'l 3 12' 24 12' Zg 481 01 49,E �Z^ - 1of 1 _I _ - - - - -- - 2''L9 12' to 4 9 "« t Co 5 `, Notes: 1) Teets 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. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS .ENCOUNTERED IN TEST HOLES DEPTH HOLEi NO._ HOLE NO. HOLE NO. 6" , 12" 18" G 24" 3011 (►r11_ 361f 42" 48" 54 rr 60" 66" 7211 7811 8 it _._ . INDICATE LEV6 AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TESTS MADE BY TO WHICH WATER LEV L RISES AFTER BEING ENCOUNTERED ` Date Soil Rate Used « Min/1 "Drop: S.D. Usable Area Provided No.. of Bedrooms Tank Capacity &ST)MG Gals.. Type _Septic — Absorption. Area Provided By 7= '0qq r- E-w h,trend . A . N } new &waGe r Address THIS SPACE FOR USE BY H=1 TH— DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal. Checked by N T �F NEB Date k ti�Jli �. rx s7 t PL Y. }I, � .E ;x' n n) Y yROV�io �oaAce. 4 1 fi a'N ¢ r �r ✓6�0 Jl L� uG^. + 4P� CA$AN x� �i �~� 'V N$�� .2 r ' iq kc- R'orj5 SANITR.1tY TF.E. Ga i tA/f7 Y CAL' CI ,F _ SAT CONC Ai 4: �/ /' t °: l.. �` pp vu.s .aottix.. ba .a • e' �' Deb `o SSA C `Ti4l�lfi+ One R OTC 6 8fwa a4 +° --lot� .11, ��. J t t2�J -i �G4AR5��C�JiVLI. J 1 Q]i i it SE.PA E.. `P1 V�fl� i I I t F�X[.S fN ._'.S6 @PfiC7E "�S t $O" a�stica..aapeR COYeR . ;OR •,MAX Z.. ♦ ` i P RFOR71TE'D $" >e I . >.:AW_e G. ' ; /' . I s , _I \ ' jORO,d'O «E.O .VEN/ .. �: 20 °tdFi1 CLP.AN ORAWEL. OR- . CRUSNfiO STbNE p AE#S¢Rf 'TRE V H i f F : I x ROVED NOTFS f A/6 W'. ✓4 c , c .Bo r `�� SY T $A 0 $E t .RTRC1Ci D IM;AGCflROAW WITH YN "R!?t£S A fdD Gti�` IT's Op t14E - ' UY'nt66& COUNTY DEP,ART'MENT. S 3 N(3i ¢E BACKkII:��,',�L7 :l{fdT9b'iAiS? CTE;D BY DESIGN JUN1$1974 ENOIt�E' �3ME'.c.00AL HEAROWDEPARTMENT Ii� REGtt11'RED. W Y Uf HEALF)I SRr&TIi4. TO C6 SCST Of A EXIS W 9 T �BAI SEPTIC' G TANK AN 1 I /• f .. R.. _ / �s .�r (atY t� tGQfA .F7 EAICH WITH A MA -XIMUM PT 1 I' +'n" `b /Niel MF�11N SE�VItt�• QIJ i t + (° M 't3F1L1i? kt 114(iEE� TD' :F X -ISHED FIRST T ! 7. �.►�;T4it{d , U MISS HERYU13E MO7ED. —� tzQtsi EL —�_ �. �". �.; � FOR 1: _ X_R Z j4 r r' � _ • �af� ASS :A P0 A , � li`i4 TAkx IYI�IP D:2i $LK'.NQ 2 upx NQ. Y , a Fnv4 4A >d5 : ep ia* 0 I k-4'Iato °"OFaala' No ,{ Q h7QCOd V i i