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Home My WebLink About1151v-- .- �-.. —�S -"- "-s'r-r 7-''-' ^..'tom "."°.'?'^""" "^R?"`..., "_ Ste, ;t t '�.�"�'r_. A'. j. ��. • L . �Y .1. f ( i ,x �PUTNAM COUNTY' DEPARTMENT :OF HEALTHPerm� p "# i Gr i Division of`.Environmentsl; Hea /M Services, Caren% N :•Y 10512 t-0. 885 CERTIFICATE OF CONSTRUCTION -COMPLIANCE FOR 4i E DISPOSAL;:;SYSTEM T, - 1atterSOn l ±i ^, Town or Village Lacona &Marion Rds, Tax yap 4.8 Bloak `` 3 1 Located at 5 i owner f Patrick: �ot�all�No �ForroenlTLehroanT- ' Taxp got # 15 S,�d " LakE Separate. Sewerage:`Systemybuilt by ,hur D: Burdick AddreaaJoe's Hill Rd Brewster.;` Y Subd' Consisting of �Q00_paF Septle Tank and.�r�'X � YY1�p y 'a' Dpeb Ga136des W /Stone,- x0509. Other. requirements ` INone. Around .and .under ' Water Supply Public Supply From x private 'sugPl'y v►liled. By al:dnCh0k Well Dr l l i 11q. Address' '' Hardscrabbl a Road . Croton Fal 1 s , N Y _ Building Type Mndul a1" Frame (vo. of Bedrooms 74� Date Permit Issued B .. Has Erosion. Control Been Completed? YeS'..` I I certify that the system(s),as listedYserving the' above premises _ were -gonstructed essentially'"as shown on the plans of the completed work ( copies of which.are attached), and in accordance pith the standards, rules•and - regulaEions, in accordance with ;the filed plan, and the:permit issued by the Putriam County Department Of 8ealt1i: i Date 1-2�1O1y -198L, Certified b P.E _ R.A.. Address R D . Fai r St C me'1, -'N iicens0 No. 29206: Any person occupying premises nerved by the ab646;system(s) shall promptly takejauch action,as may tie necessary to, secure the'correction of any ununitary conditions resulting from such uabge App`roval•of, the separate sewerage system (hell t►ecome null and. id; as soon as s public ion itary. sower. becomes available and .the approval of the private,water.,suppiy shallr become null and void when a ,pubik water ply becomes availabh>. Such approvals are subject to modification or .change':,wAen,' in .the - )u'dgmenf- of the Conn stoner of Health; such rev ` f n,. modification or change Is necessary. 4. 4 - Date L 1V. ,J BYE Title`." of Q I W WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3171 Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK ;. ;This- report is to be completed by well driller and submitted to County Health Department together with laboratory report of �,`bfi lysls.of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. Y }'' REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NA 14r� ADDRESS J , 0-& LOCATION OF / (No. 8 Street) (Town) (Lot Number) 1-4c WELL e_01 LOS PROPOSED .. BUSINESS MESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL USE O WELL ❑ ❑ El CONDITIONING ❑ OPHER) SUPPLY INDUSTRIAL DRILLING COMPRESSED CABLE El ❑ PERCUSSION ❑ fy) EQUIPMENT TARY A R PERCUSSION ((Speci CASING LENGTH (feet) DIAMETER(lnches) WEIGHT PER FOOT ❑ OE ❑NO WA5 9A5ING YES QIQUTED? NO DETAILS THREADED WELDED YES HOURS G.P.M. YIELD (G.P.M.) YIELD TEST ❑ BAILED ❑ PUMPED 9 COMPRESSED AIR..-- - WATER MEASURE FROM LAND SURFACE —STATIC (Specify feet) DURING YIELD TEST (feet) Depth of Completed Well LEVEL �.� in feet below Land surface: MAKE LENGTH O ENTO AQUIFER (feet)' SCREEN DETAILS SLOT SI E ETE nches) IF GRAVEL Diameter of well including GRAVEL SIZE (inches), FROM (feet) TO (feet PACKED: gravel pack (inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET � I?,x• �rtp � .� 6 * If yield was tested at different depths during drilling, list below •, FEET GALLONS PER MINUTE JUL +i Y E1RT(`, OF HEALT H i DATE WELL COMPLETED DA-T OF REPORT WELL DRILLER (Signature) _/ -�E+ / Cy e --r- 1 C) S> `7 Mq I q I've (I 'Dr 11, -iy NUIlk101 MILK LIIUUIIIIIUI(r 1R.'. P.0 B6x 99 321 Kear Street Yorktown Heights, N.Y. 10598 245 -3203 ❑ 321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245.3203 ❑ 201 BUTTONWOOD AVE., PEEKSKILL, N.Y. 10566 737.8777 495 MAIN ST., MT. KISCO, N.Y. 10549 666 -3335 _...., STONELEIGH AVE. (NEAR HOSPITAL), CARMEL, N. Y.•10512 278.9330 LAB .# udt 586 fl V i:� 1157 DATE TAKEN: 7/l/82 10 :00 am F DATE RECEIVED: aP 2 pm Classic Homes DATE REPORTED: =. Lacona Drive Ar P4 w 6.1 SAMPLE SOURCE: Faun P_t Putnam Lake, New York L REFERRED BY: Malanchuk CAW COLLECTED BY: Ma.l �1.nc�hnk LABORATORY REPORT a_. mg /L ❑ ACIDITY ............................ ............................... ❑ ALUMINUM ................................. ............................... ❑ ALKALINITY .... ❑ ANTIMONY ................................ ............................... .................... XX1 BACTERIA, TOTAL /mL ....� ... .............................:. ❑ ARSENIC ..................................... ............................... ❑ BOD, 5 DAY ........................................................... ❑ BARIUM ....................................... ............................... ❑ BROMIDE ..............6............ ............................ ❑ BERYLLIUM ............................................................... ❑ CARBON DIOXIDE, FREE ....................................... ❑ BISMUTH .................................... ............................... ❑ CHLORIDE ........... :................................................. ❑ BORON ........................................ ........... ..................... ❑ CHLORINE ............. ............................... ❑ CADMIUM ❑ COD .................................... ............................... ❑ CALCIUM .................................... ............................... ❑ COLOR ................................ ......................:........ ❑ CHROMIUM (tot.) ............................ ............................... ❑ CYANIDE ............................ ............................... ❑ CHROMIUM (hexavalent) .................... ............................... ❑ DETERGENT, ANIONIC ............ ............................... ❑ COBALT .................................... ............................... ❑ FLUORIDE ............................ ............................... ❑ COPPER .................................... ............................... ❑ HARDNESS ............................. ............................... ❑ COLD ......................................... ............................... ❑ MPN COLIFORM COUNT/ 100 ml ........... ❑ IRON ........................................ ............................... .............. XM MFT COLIFORM COUNT/ 100 ml ..................... ❑ LEAD ......................................... ............................... ❑ CONFIRMATORY TEST ❑ LITHIUM .................................... ............................... . ... ❑ NITROGEN, AMMONIA ............ ............................... ❑ MAGNESIUM .........:...................... ............................... ❑ NITROGEN, KJELDAHL ... ❑ MANGANESE ........:.....: ❑ NITROGEN, NITRATE ......... ............................... ❑MERCURY .................................... ............................... ❑ NITROGEN, ORGANIC ............ ............................... ❑.NICKEL .................................... . .................................. ... ❑ ODOR :.................:....... ............................... ❑ PALLADIUM ................................ ............................... ❑ OIL & GREASE ......................... ......................'........ ❑ POTASSIUM ................................ ............................... ❑ PH .................................... ............................... ❑ RHODIUM .................................... ............................... ❑ PHENOL . ............................... ........................... ❑ SELENIUM .................. ................................................. .... ❑ PHOSPHATE (ortho) ................ ............................... ❑ SILICON ..................................... ..................:............ ❑ PHOSPHATE (condensed) ....... ............................... ❑ SILVER ( .............................. ❑ PHOSPHATE (total) ..................... ❑ SODIUM .....................,.:�.i��j� � .......... .3 ❑ SOLIDS. SETTLEABLE, ml /L .................................... ❑ TIN .......................................... I...C�};.y.+r.............. ❑ SOLIDS, SUSPENDED ............. ............................... ❑ ZINC .. ............................... ...........'............... ❑ SOLIDS, DISSOLVED .......................... ❑ .... ..................................... ❑ SOLIDS, TOTAL ..................... ............................... ❑ .: ............................................ ❑ SOLIDS. VOLATILE ................. ............................... ❑ REMARKS,.................�Jp �V ��!Y�..;c:., 1... ❑ SPECIFIC CONDUCTANCE ❑ ............ ............................... ...j �n !� l j ................. ❑ SULFATE ............................. ............................... ❑ ..................................................... ........... °...............::.. ❑ SULFIDE ....: ....................:.......... ❑ .................................................... ............................... ❑ SULFITE ............................ ❑ .................. ..:............................ ............................... ❑ SURFACTANTS :— .:: : :. ... .................... ❑ ..... .................... ........ ............ ........................ .,.. .... .... ❑ TURBIDITY .................. ............................... ...... ❑ .................................................. ............................... THESE RESULTS INDICATE THAT THE WATER WAS COF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED, a THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISF CTORY CHEMICAL QUALITY OF NEW YORK STATE ADMINISTRATIVE RULES & REG TONS, DRIB NG`, T F,�t STANDARDS (PAR FOR THE PARAMETERS TESTED., {��4 ALBERT H. PADOVANI M.T, (ASCP), DIRECTOR: a Owner or Purctiaser or Building LLj}s-slc- Buiiding Constructed byf LtA,c-qr4A4- Location - Street 1O� I MR." Municipality ,a Se tion \ Block J Lot GUARANTY OF SEPARATE SEWAGE SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, 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 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 operate for a period of two years immediately following the date of initial use of 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 occu- pant of the building utilizing the system. The undersigned further agrees to accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser= vices 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 /Z day of .fir 1, 19 82 Signature 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 JUL. 1 5 19P7 DEPT, OF HEAL Till Own or Purchaser o'i 141ding ,Building Constructed— by Location.- Street IJ A r/A,,,,, 1XIJ, lel, Building Type Municipality A�4 Section 3 Block Lot GUARANTY OF SEPARATE SEWAGE-SYSTEM .`'... I represent that I am wholly and completely responsible for the location,, workmanship, material, construction and..drair_age of the sewage disposal system serving the above described prop;zrty,.and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordanc.e.wit,h the standards, rules anti regulations of the Putnam County Departmen`t "�•;of .Health, 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 operate for a period of two years immediately following the.date of,initial use of•the sewage disposal system, or any repairs made by me to such system, except where the failure to operate properly •i:s caused by the willful or negligent act of the occu- pant of the building• :u:tilizing the system.: -- The undersigned further'2`ldgrees to accept as conclusive the de- termination of the Director of the ',Division of Environmental Health Ser- vices of •the•..Putnam..County - Department of Health as to whether or not the failure of the sy.sterri:.to • operate was caused by the wil ful or negligent act of the occupant of.,.the building utilizing the 4E� r p� Dated this `day of ii 19 Oy Signatur Title If corporation, give name and address) 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 . ItVE D JUL 15 9R. t�F.;I;,,F:,ti� L�. ✓:fib 1 r Q PUTNAM COUNTY DEPARTMENT OF HEALTH Permit ;a C� �Z r c O %V/slOA of Enwro menial Heelih Services, Carmel N °" Y 10512 $ 0 $$5 >D:��`� 2.1c _ Rev 'CONSTR 19 - ,PERMIT: FOR SEWAGE DISPOSAL SYSTEM Patterso e i s ,own or loge Lacon'a & Marron Rds - Tax rNla 't_ocated at p 4R ° °k 3 1 Ir Lot -- subdivi :ion PutnamxLake1 Lots 5675 8 i6rj �t Renewal Revision ..Owner /Address Patrick u'�flt � � A]^, • =` pate ::0 Previous Approval Bwld�ng Type Modu.ldr Frame L�ta'22 Brewster N•Y: Fill Section Only ❑ Number of Bedrooms Desi n Floy1 (��/(p� 0 F C.: •AN D Notification Required A. Separate. Sewerage System to consist of,': .Gal Septic Tank and To be constructed by Address ,. Water:5upplY _'. Pubhc`SuDDIY,From r., v K X PrNate'Supply to be drilled by_' i r 56''x4`X4' Galleries wgravel Surround E ;Other. Requirements — - 1 represent that I ,am wholly and completely responsible for -the design and location of the proposed system(s)';l) that .the separate sewage disposals stem above described win be,eonstructed as- shown on th'e'approl a 'amendMont therento and ;in accordance with the sfandards, !ules an, regu a ions o e Putnam CountyDapartment -of ,Hestth, and th5t,bn completion thereof a ',Certdicate `ot Construction Compliance satisfactory to'tlie:Commissioner of;Health.wll be wbrnitted ta,the Uepa►tment, and .ta's_written,:guarantee -will De furnished the owper, •hifsuccesso[s,.heiri or assigns by.the buikfer, that said builder will 9 r, Y w y _. sy .. ( Y. place m', g9 od operatin Condition an ,part of said sewage disposal stem during' the period of fwo 2) years lmmadiatel following the date.of the .issu ante of the approval, of ,;the ,Certificate of Construction Compliance of the original. system, or any'repairs thereto 2)ahat the,•drilled: well described ,above will be located's `shown'on ;the approved plan' and That said well will be installed in accordance ;with -the; standaras rules' and regu a ons i of the ,Putnam County Department of Health s r 4/16/82 - X Date �7 S�9ned" P E f! A a Andress R: a.'r...'St e 0 t_ieense No 4 329206: APPROVED FOR CONSTRUCTION This approval expires, one yearfromtne date issued u'nl struction'of the building ,has been undertaken and-rs•' revocable for cause or may be amended.'or;mod�f�ed. when considered necessary by the_ Co ., issionar,o . ealth. Any change or alteration of construction requires 'a anew permit Approgetl for disposal of; domestic i wa nd/ '' Driva a -. water s - Date .--� �. .'•• By � � Title Rev., .9781 -4 i . PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES` .COUNTY.. OFFICE BUILDING, CARMEL, N. Y. 10512` 4. DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.� Owner ; e /(� ./ .�vZLa /��Addre s s Ayy •j ,* if Vc Located at .(Street) ��'Jny�.7 �8 Block .. Loti Tn icate.neares cross s ree T ' Munic.plitgC: Watershed :.,SOIL PERCOLATION TEST DATA REQUIRED..TO BE.SUBMITTED WITH,APPLICATIONS Number :.. CLOCK_ TIME PERCOLATION PERCOLATION Run apse DeptH to Water, Water, Level, No. ...::..,........; :_- Time From. Ground Surface in'. Inches ..:. ',...`Soil Rate Start -Stop Min. Start Stop Drop-in a. Min. /in drop Inches Inches. Inched �+ : - 'PUTt�AM COUNTY �. 1: Notes:' l) Te` is to be repeated at same depth until approximately equal soil rates are.obtained at each percolation test hole. All data'to be submitted , 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. Address_:- C"Afi- , t� -R. jN 914 SM9 G170 THIS SPACE "FOR, USE 'BY HEALTH DEPARTMENT ONLY Soil- 'Rate..,Approved ' Sq. Ft /Gal. Ch ly pE ec °�3 statE. Date 1211 i 24" 30,E 36�� 42 " , 54" wool 66" 72" INDICATE LEVEL WHIC GROUND A ER IS ENCOKTERET) INDICATE LEVEL-TO WHICH WATER LEVEL RISES AFT BEING ENCOUNTERED TESTS MADE BY Ak ✓y fff Date B �� Soil .Rate Used °8 Min/1!'Drop: DESIGN . , S. D. Usable Area � provided ;wDO_t No of•`Bedrooms, is nk pacity D A U Gals...... `Type ,T ro. r . Ca Absorption ;Area ov Ey e ►–.. L. F.x24� -`. width rent i w., ... ®H� �a ®1 �� i �9, oFESS�oIV -- .. Other . ar Q� P 6 .Ea Address_:- C"Afi- , t� -R. jN 914 SM9 G170 THIS SPACE "FOR, USE 'BY HEALTH DEPARTMENT ONLY Soil- 'Rate..,Approved ' Sq. Ft /Gal. Ch ly pE ec °�3 statE. Date 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 ddress L.ace.,e►,��Jd�- s °.;s. Located at � .(Street JZAi a � Block T Lot �2 , nca e. neares cross s ree . �:� Lake s,,6� :•.�a�s jalf = 8 /2id. Muni c.pslit9�C.fh Watershed L`PERCOLATION TEST DATA REQUIRED TO BE 'SUBMITTED WITH, APPLICATIONS :,Role Number .;..:..,CLOCK. TIME PERCOLATION PERCOLATION Ran Depth to Water water 16vel No..: Time -. From. Ground Surface.in Inches - .`.:'Soil Rate Start -Stop " Min'. Start Stop Drop in Mn./in drop Inches Inches Inches -T 2 '6. 2 4 ,r _ Plotes: 1) Te`ts to.be repeated'at same depth until a roximately 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. .. . _ . 1 . DEPTH G.L. f. r. ,TEST PIT DATA REQUIRED TO- BE SUBMITTED WITH APPLI&kION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES. HOLE NO..- -HOLE No. 2 HOLE NO. INDICATE L A Z Vo le hew-& LM'. Ve ffldft GROUND WATER ISo-ENCOUC/6 NTERED Wore INDICATE, LEVEL-TO-;WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED &1w 14- TESTS MADE BY&& t e., 6/m DESIGN soil S. D. Usable Area '2 r. No. of.. septic: Tank Capacity /eeto Gals Type, ' roo,ni's Absorption Area Provided By —L.F.x24" 3 width trennh. Other V or P WE.- H.-IMENTISS P,E.' I�Iame S gnat. All .1-W C Addre i pen 0- THIS SPACE" FOR , USE BY"'HEALTH DEPARTMENT ONLY- If NO q- Ft/Gal. 292C)'0 D�Lte Soil- Rate Approved � —S Chec 5! t e` e � . r� d , },_ . - .. S - .. - . a •Q a •�'--+�ya � A T`A " ! Structure 10cote4'trom= survey by "survdyor noted" peioaa 4 p. Well locatud bf.:_£urveycira surrey' �-•�_. _ WvIi drillers report -- t'� -- - °Epgrh,eers rneBU n re'rr ts;LJ_ _ TAntc, [ores, p14e;gatlorle's,� loterois incoted'oy:Coivtactnr. ! - Engineer :' t 'c. N meaithda.nt:- Field lhspectlon by Health depfvy dote : — Jr (JBl Engnneer - d'ate'.�2 JyJy jy_82; NOTES: a)S�{- ,e•`Tq nk -looa Gal P.�cost �MCVC . I') Crgll Tokcl`1a.,9 -N..} 4r4 5 dsfs I6 A' Rr.ri.woba.j • _.�a Dr- �'t-` WfrJt �u �r lJ• Gr°re( /$'L:ehe Una ,4 Around r _ Q' r 148' = 672�'tQ N{ >soraE �f /t r'4 W(o 6aC6o +, 5 m 0 ik :;Go.ao No °os. %o E- 2 eo r D 1 M E N SlgN ,. 569'0 7' 0.'E•.= 'GrIL.Oa' q A E !. B - h 1-0 Junc-b' °.i > q p -B F 8a'. ID o� 01 TFnh B'Ga // <a `. i .:A 7_6 A. - K - -_ B•K - - - JU�,. . o Dw SAIV(TAR SY S- ;EM D SIGN ~'SAS �U LT" aWNER L6 C`AT16N Str.ec► _..- o :. ( Town:_ P�'�n_ `county;�!� r SOODIViS1O,N:�rL6jY�s �t - LeE Map: ti fE86RM1[ f Block• QT Nq • - - Putnam•County Department oY Health _._ "��'.� �,,t�• fhn 'Dj� -Builder: Clns�.c_J7iae,ei /.:,Srrs -y o'" �o� r1 t Sue'.yor Division oY:Eavironmental Health - Services fgstc se noted .for conyormance with t 4 }'.. :Drawn: Rff F d Dote 7:1v /9�2 Scats ;S r Job NS- /B8 Appro : - ` . t r c• a 'F d `Hegulations Of the He th Department., - Z J U. H -N •. H__ : • yP R �• N T I -S 5' F. E-- Put1a unty ��9 0 2$2 _sdl .:PUTNA'M000N EPARTMENpT OF HEALTH �4i... f r � y '' 1 - � y. �'• L y",..:. .r t - a� z {' `Decision :ofnvirorner►ialHealih Serv►ces, Carmel N'Yf0512 �'� CONS RUCTJON PERMITOR SEWAGE ;DISPOSAL SYSTE dtt2rson i. t c ¢ 3 rfi X r "tisrk. Town ?r,, Il loge Luacona & eMari on ° Rds v� y tx t� a 48 81ook 3 Lrocatetl "at i w� P r Subdivision Putnam Lake 1 R'4 ` tr d Ta,� =yap �t 15 e " :3subd 5675 =81 Incl t B3lanche Lehman µ �} eat >`'`r sa ,� 252 53 'Leeds Rd �nOwner s s *'Addrtess ^A , BuildingwTYDe Frame` Lot Areaj 1`3053" f k `'` �L-ittle'.Nec,k NY ` 362r N- umber of Bedrooms.Yh et Design Flow 6OO "Gdl _ ° ' k I { Total Hab,,tablQ Space ��J6 Squa`re.Feet ...°ut '.F ^ �,- ;`;Separate Sewerage Systern o corlslst of <�OOO Gal dSapticrTrankh ands d333,gt 2 trenoh /.:t( )'`( 8`�r )'leaching .pits J }' kTo be constructed by _ — ` ui got Address s a ubllc Supply Fro mt a 1 - ,Y.? r'2,'" t 5 t' r r� 'r i t"' xt F;• e. ^�:, a r .t '� x ` a t { e _ rivals i upply to be drilled,I��,. ddress' L � 1 z i. Y.'� ` r � � • �� j �,� a!• u R s if i o [; �t , >' 'a ..,,^, 4 �- K' sr ,, k- � N no �f y x.,.Other Regwrements; Y i t S i ' Y ,, 3 `1 r 'f -F. wd ".r tr J. +I represent that I a>R wooly and` mm' plet 1 res bbl. or design an location!of the proposed systems) , 1) that the separate 'sewage disposal "s stem ;above; flescribed'wil be " struc`t d ash' on a pp .ved ettac ents. hereto and in abcordance,Swith ttie standarc}s rules and egul6tions Y-- t t#Ss Yt` „ P P ory to the' Commission' ': of the Putnam`iCo t;_Depar ent Health, d ,th t on, om let _n thereo > Certificate:of.ConstructionrCom fiance eatis£ act N k „ei of Health will be' "submit ed`'t the Depa nt, and ;a. writte `,' uarant ' ill be furnished the, owner; �k% s spcoessora, heirs or` aeaigna by the `build ; `that, said builder :will Yaoe° in good op a ' c'ondi ion . y„ rt :o aid 'sewage disposal system duffing the..period;gf two ".(2j years irlmYediate1y, % '7followng the` date of,,fhe i uari a oP the iap rova of th" Mica a ,o Conatsuction Compliance; of the,:origina3, system or any repairs; thereto%, r2) that the` dxii) ' 'well _flescr ed hove `will § loc ted as shown `on the is r pproved; plan and that said well will be installed, in a000zdance with the`'.stan,; , y ,^y b`dards •rul s aiid� regulations of: @Putnam Co ty Department'~�Of Health � � 1 F t Y },j 1 ' ( A ry+ V� ' � Y ,;• 5 V' 3i of v. .: l ' 5 Sept. + 9�_ X, 1 u3 i Date s t Signed P.E R A �Fa'r�St r4 al `NY4 S 510512 t 2 2 6 . dress ! W. Y .ti �.iCenie NO O �•. •::;.APPRbVEO FOR CONSTRUG ,ION ;This approval`exp�res pne "year from the `tlate;.issued unless, construction oi'the- bwlding has been undertaken .and is i , 3revocabTle for•cause or may be am`endetl or:.mod1.1 -, when considered necessary by 'the Commissioner of Healfh Any change ?,or alteration of,'constructfon . requires a new permlt Approved for d�sposai of domestic saq�fary sewage and /or prwate water ` ;upPly,'only f�'9�w„r"b`.'"lf"�. ^�"' :`°"' 2 .? - �i.+`%'",� ` -'t-"� r,.�.. -.. ;.....a,.4�.,:+s � 4 r � '` .r,r- "n-- h..- .•,...,... � _ T n It INIT711 SIT TP'SPF;OIIIO'T , .. )'es No Coirt�:c:r�t. r- -- Property lines or corner3 found ... Can estimate, houso lovati or. : . / �✓ -- Will driveway ne-ed cut Must trees be repo c-a -ncte these Is deep hole representat1ve of entire SDS area Additional d,-;,Di) holes r:oeded. Sufficient SD3 area aiailcble considering driveway cut, house location separation distances, etc. .. : .. _- __ - -• DEEP I OLE DAM . I dater elevation: r Rock elevaticn::•, Soils dec,cr -;Y)t• on; i ate T11 -.yL SITE Insp. bV: House located vher.•e she .n on approved plan. _ SDS l_o„a. p„d where a,.pr o : eu Length of tr °nc11 d . �. Width of tre.nc � average. , . Slope of the line and each acceptable . Room allowed for exP,ansfen trencrcU . _ .... Over 50 ft . - f. roa., swamp', -�_ tQrcoursc .....� _..... ..: ,..:. _ Ratur al soil- not strirred or SDS area unnecess=arily graded . . . . . . . 10 MG. maintained from prop-line and 20 ft. from house . . Separation of trench house, well etc. follo;rs plan . . . . _ ViLr }Jer of bedrooms c1.-.c'•:s .< Stones, brush, Stumps, 1rubble, etc. greater than 15 ft. from near•: st trench . . . . . . 15 1-,'. of peripheral soil horizontally from trench . . . . . . . . Junction boxes proporly set Could surface r,.m off f 1,cm driveway, roads, • grownd suri'ace, etc.. chal nel near SDS .: a.rca Doos l:ot. dr.ainnr;c -,nnonr 0.K. :in ZIPUI of STD FINAL GrADING OF SITE ACCE1' TABLE s, PUTNAM COUNTY DEPARTMFN T OF HEALTH - - DIVISION-OF'ENVIRONMENTAL HEALTH SERVICES Gentlemen: Date 26.. July. 1979 Res Property of Blanche Lehman Located at Lacona & Marion Rds. , T. Patterson O(%UZ Tax Map 48 Block 3 Lot 15 Putnam Lake Subd. Lots #5675 -81 Incl. This letter is to authorize John H: Prentiss, P:C: a duly licensed professional engineer X or registered architect (.Indicate) to apply for a Construction Permit fora 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:..papers on my behalf in connection with this matter and to supervise the c.ont:t,ruction of said, system or systems in conformity with the provisions of Article 145 or 1147, Education Law, ry Code. the Public Health Law, and the Putnam.;- County Sani- 1/ -C un ersig e #__L9296 Q Address 'Carmel ;'NY 105t2. 014-'808-61,70 e ephone Very truly yours, Signed' d106 o . Propert F Telephone. Y 4; 0. THE SiPj�O PUTNAM COIJNTY , •DEPARTMENT- OF HEALTH h Division. of Environmeptat Health Services, Carmel, N. Y. 10512 CONS'T`RUCTION PERMIT FOR SEWAGE - DISPOSAL 'SYSTEM Town or village. Located at T _x __ _ Tait Map II Bloc$ Subdivision Tax Map -Lot # &ubd: # Owner _ _ Ad "dress Building Type _ _ - - Lot .Area , Number of ¢edrooms Design Flgw Total Habitable Space Square Feet Separate Sewerage SyAe,m to consist -of x ._ al. Septic Tank and ft. 2` trench ( ) ( / )leaching pits To be constructed by : -- . _..,: - -- _ PT' Address _ Water Supply: -- 'Public .Supply 'From T -- Prwate,'SUpPIy, to be drilled,b bAddress Other Requirements 2 represent that, am wholly and comp7etelg respons}ble for the degn_.agd atiol o e proposed system(s); 1).that a se par e s ra edis qa sal system: above described will be constructed a5 shown`on the apprdved- •attachment o' ,din accordance with ,the star aids, rules d' gulations of the Putnam County Department Of Health, _and "that•on,completion thereof a "Cert }ficat of- Construction Compliance "_s tisfactory to th ommission er of Health will be submitted to the Department -and' a.' written.-quarantee will be:furn ed,;the owner, -w br s '$ cegsors, heirs or assi b the build- er, that. said builder will place in good operating condition any part of said sewage d sposil system ng th peri gf two (2) year inm .Lately follown4 the date of the issuange of the approval of, the Certificate ofaCdnstrueton vmpliance,of a origins sysE or any repairs ere 2) that 'the dzi17 well described'abpve will;lie located'as` "shown on the approved plan an that said we 1; ill be stal -d in accord no ith th stan- dards, rul sand regulations of the Putnam County Department Of,Heal -h. w , Date - --T Signed - Y1 , P.E. R.A. n i. Address _ 5 �- # _ r t o x? _ ; a = ') Lic nse No.' APPROVED t= OR= CONSTRWCTt N. T. is approval expires, one year from tfie date issued :unless yonsfruefion o he• ufldi g Mas been u dertaken and is revocable for cause or- maybe arpended or modified when considered necessary by the Commissioner 'of Health. Any change or alteratio of construction requires -,a ne-W parmit „: Approved forldisposal ;of - domestic sanitary, sewage; and /.or (�rivat0 water. supply .only: odte:: B y x TCit�e m 9 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES.. COUNTY. OFFICE BUILDING, CARMEL, N. Y. .10512 DESIGN DATA SBE'ET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE N0. . Owner ,D/ Le� &A2 Address Afgwr,ioft Located at .(Street Block Lot ...1� S Ica e,ineares Toss; s ree R,E,,o«r 7.�t 'r:''S `•rf: 4fs.+� f3lf a/ 4P, soh•. .,Watershed +e% SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WTTH:APPLTGATTONS Number CLOCK;...TTME PERCOLATION PERCOLATION dun luapse Depth to Water --Water Love ... .:..:.... -:- Time From. Ground Surface in .Inches- ,: t:•Soil Rate Start -Sto _ p Min. Start Stop. Droplin 'Min. /in drop <.. Inches Inches Inches; x. THIS SPACE FOR USE BY HEALTH DEPARTPMT ONLY �c Soil: Rate Approved Sq. Ft /Gal. Ch NO. 2g2O F ?F'THE STAT�1 a Mte I .COUNTY BOARD QF HEALTH i.; 914/225 -36.41 -: " JOSEPH P . COR I ZZO Putnam County JOHN SIMMONS M . D . -.President `` Deputy; Cgmissioner -DANIEL SELDIN D.D.S. J. ROBERT FOLCHETTI P.E: M.S. Vice President. Director Of Environmental EeaZth Services' . GERALDINE.A..ZAM.OYSKI M-.D. D.EPARTMENT. OF HEALTH ELAINE KRUEGER R.N., M..A. „ 'ALFREDO F. GARC I A ; Jr . M.D. County' Office Building Director Of ' Patient Services PAUL CHANG M. D.' THOMAS BERGIN Carmel, New , York HON.. DEAN BARRETT lOS1Z October 2,1 1979 . Mr. John .Prentiss, P.E. . R.D. 9,,Fair Street Carmel, N. Y. 10512.. Re: Lehman Lacona &.Marion Rd. (T) Patterson Dear Mr. Prentiss: A review of the layout plans.:for.:the sanitary sewage disposal system on the above.mentioned lot has been completed by this department. I am sorry to inform you that. an approval.for..this proposed sewage dis posal system cannot be granted for the following reason: 1):Proposed sewage disposal system is.not 100 ft. to proposed well. _ If you have any questions concerning this matter, please contact me at this office. ery ly. s . r Bruce.R..Foley Public Health Sanitaria BRF /ps ./ I