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Home My WebLink About1179DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.62 -1 -24 BOX 12 INS Ir m fog I ml ,- .: gir 16 f , � :. 1 : .1 : 01179 PUTNAM . COUNTY DEPARTMENT; = OF HEALTH Division, of`Eriv/ronmen- a Health Se'cvrees, Carmel,_ N Y`.- 10512' CONSTRUCTION PERMIT FOR SEWAGE- DISPOSAL SYST IVI PatterS�n ° Town'. or Vill a � .Located ai - - � putnam-Lake Subd� vision. - Lot job S0139 1. . Owner Patra`cK &` 61 iiabeth `.Na6r -ata '- rAddress 43 Barnard Road r 14000 suudiny Type : Frame `Lcc Area Patterson, NY q Two 1000; Number of Bedrooms Total Habitable Space Square Feet 256 36.9nch Separate Sewerage System to cot►sist of Gals Septic Tank lineal feet. X width trench r t F1 o- :TO be constructed by '�` - •• °' v duress - - J 'i ,� , ;• is , _� 3� Water Supply; Public Supply .From y Prrvate',Supply to be dulled by j 7 Li Address ' uOther Requirements Noner i" " it represent that, Lam wholly and completely responsiblefor. the design and locatlon;of the proposed, systems) 1) `that the separate sewage disposal system a shown On the approved amendment there 'to'_and I'n- acc6rdance with. the- standards,•rules an regU a Ions o e Putnam above ` descr,ibed -will be constructed as . t j County . Department of r :Health,..;and' that on completion thereof a_',' �rtif,icate ;of . Onstructaon. Compliance'! satisfactory, to the commissioner of Heaithwill • be submitted,to the Depirtmeht and a;wntten,guarantee-will be furnished. the owner,`. hiv successors, heirs or assigns by the builder, that said builder will place " in good operating condition any, part of ,said sewage d�spgsal system during the,-period '-of two (2) 'years immediately following the date of the issu- ,ante of`. the' approval 'of ,the .Certificate • of Construction Corn lance of:,the »original, system or any repairs thereto;.2) `that the drilled well described above �' will ill.-as - shownon the•approved pi an and that said we11 will: be installed in accordance with` the Stan ards,a rules and regula !ons f the 'Putnam 4 P f 6" ounty Department of Health �{ t 4 rri ' �� t f % 18'.Ar� 1 1'974 g� Date h t S P E , r R:A:. Box 3�C e"1 ANY 10512 2906 a: Address s s s License No. APPROVED FOR CONSTRUCTLON This approval expir e r from the date �ssusd-'unless construction of, the building has been undertaken and is i :,revocable for ,cause or--..ma be an ende-dyor modified n``o 1dered neeefsar y the Come " ner of Health •'.Any change •or alteration of construction ti requues 'a ,ne permd ~Approved' for disposal o dom c sandary sew e n or prw a ter,'suppI only x. Date y _ a �Htle .� �, •'j �� _ � � -- � �. L Owner.or Purchaser of Building Munici.pa ity Caw NEl� BuiC ding Constructed y Section I N' rD tj i) P JTAI A Location - Street Block Building Type U V 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 ofd initial use of the sewage disposal system, or any repairs :Wade 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 syste . Dated this 14S" day of A"�,� 197,!`_ Signature Title (If corporation, 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. O i Division of Environmental Health Services, Putnam< County Department of Health �• I 1W PATRICK NACARATO Owner or PurcFiaser of Building owner Building Constructed by Town of Patterson Municipality TM 55 Section Canton Drive, Putnam Lake,, Patterson 4 Location - Street Block 1 family residence 2 and 3 (7668 - 7674) Building Type 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 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 :Wade 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 "6f Health as tb 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 o?.Y day of 19.E Signature�� J1 v Vhlg 0' ,O 'Q. v�ar�� t ; h6 Title P 'Y'10- W" 4- faliAe `n61Za OeA If corporation, give name �e 6O5l� �d G(6 fAS tvn�ta� � aie m.e.nt 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 Healtn BREWSTER LABORATORIES .Box 224 - BREWSTER, N. Y. WATER ANALYSIS 'REPORT SAMPLE NO. 3249 SOURCE: B e t, t y tt aC qra o .ho s e we t: L. supp t y 15 ierOne Drive . Br'ewpter, iv,. Y. COLLECTED: July 2 ?,. 1974 BY: BACTERIOLOGICAL EXAMINATION Coliforsn Count, MF Method 2 per 100 ml. This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. I . i August t 4,, 1974 Bickwit P. E. Director WEL o COMPJ.ETION REPORT 3/71 PUTINAM COUNTY. DEPARTMENT OIL HEALTH Division of Environmental Health Services COUNTY OFFICE BUILDING : CARMEL, NEW YORK . - -• This- report.4s -to _be,completed -by well-driller and submitted= to County. Health Department - together with laboratory- report -of- analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME a ADDRESS CZ�w LOCATION OF WELL 0. B Street (To (Lot umber) PROPOSED USE OF WELL F DOMESTIC SUPPLY BUSINESS ❑ ESTABLISHMENT F1 INDUSTRIAL ❑ FARM ❑ TEST WELL ❑ CONDITIONING ❑ (spHEfy) DRIPME3 EQUIPMENT ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION ❑ ((Specify) CASING DETAILS LENGTH (feet) '� DIAMETER (inches) (rj % l . WEIGHT PER FOOT 7 L �) . THREADED ❑ WELDED SHOE YES ❑ NO LS CASING YES MUTJID? O YIELD TEST ❑ BAILED ❑ PUMPED COMPRESSED AIR HO` G.P.M. YIELD (G. .J WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specltyfeet) /� (/ F DURING YIELD TEST (feet) j 3 f-- Depth of Completed Well � in feet below Land surface: SCREEN MAKE LENOTH OPEN TO AQUIFER (feet) DETAILS SLOT SIZE . DIAMETER (Inches) IF GRAVEL PACKED: Diameter of well including gravel pack (Inches): GRAVEL SIZE (Inches) FROM (feet) TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, two permanent landmarks. to at least FEET to '/jn fto �f �FEET 6 � r r� 1" c -4. b h ' 7' r 1Vi i _E If yield was tested of different depths during drilling, list below.'; FEET GALLONS PER MINUTE , ;`:;, DATE WELL COMPLE�D E�F FtEPQRT WELL DRILLER (Signature) 14 Q � I • 3 January 31, 1974 Putnam County Health Dept. County Building Carmel, New York 10512 Attention:.Robert J. Caddell, P.E., Director Environmental Health SerV%i -ces Re: Parcel on Canton Drive, Putnam'Lake.Subd., T. Patterson Lots 7668 -74 Incl. Two Bedroom Dwelling & Well Location Gentlemen: The dwelling we propose to have built on the subject parcel is to,have only two bedrooms,,as is shown on the plans submitted. Further, on Dwg. I, S.O. 1391 (Sanitary Septic System) by John H. Prentiss, P.E. the distance of the well on• this parcel Is I,ess than one hundred feet'from our proposed d'ispos'al area. We request exceptions to the three,bedroom and one hundred foot separation"requirements of the current regulations. Very truly yours, 4o�lizabeth & Patrick Nacarato S l MUSTER LABORATOMES Box 224 - BRF- WS TGR, N. Y. WATER AMALYS96 REPORT SAMPLE NO. 3249 SOURCE: Betty Nacarato hose bibb. a well supply 15- Jerome Drive Brewster., N.Y. COLLECTED: July 279 1974 BY: BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method This result indicasts tht source of tht sample was of satisfactory sanitary quality when the samplt was collated. August 49 1974 I 2 per loo ml. Roy Bickwit P. E. - Director YP 0 1 . P!"-:P j 11 PTITNAMI COON --P.A J, -Vl*c N Or 11 CT,11 "CIES -7130' 1!EAT.,TJ[ 3.", W1. --UT T.I)- -�OAF62U, C OU WIT 010 T,'Tr, P: !o y �-— I - �O) I 2� DESIGN DATA LSIMET-SEPARATE SEV,AGE, DlSPOSAL. SYSTEM FILE 1•,10. Owner Patrick N6carato Address . Canton Drive, ,Putnam Lake, Patterson, NY VU . 7 4 Lot 2 (7668 thr6ugh ,c k, Locatud at.' (St COCanton Dv/Lakeport3m-.TM 55 BI o lnrlicute n--aT3—sT —cross Muni cipa lit'.., Town of'Patterson •ate'rshe'd N,Y.C. SOIL FRCTILATION 5.1-1-'ST RATIA, TO BE- SUF)'-TPTEQ L'ITIT APPLICATION.') hole Rurber: CL 0 C K TI 7 -,', PE-R(-'I'O!ATIOP,! PERCOLATION' Hm Elapse Dap Low: tei____ �a6 -r �eve I RO. Time Rrom Groui,,.d Surface in inches .,Soil Rate Start -Stop vIi.n. Start Stop . ..Drop in Min /in. drop Inches Ii -iches Inches 1 1 11 :15 11 :21, 6 20 23 3 6/3=2 2 11 :2S 11:32 7 20 23 3 7/3=2.3 311 :35 0:42 7 20, .23. 3 7/3=2.3 4 5 3 .1 1.1 :-05 11 48 72 75 3 48/3= 16 -2 11 : 55 12:58 63 72 75 3 -63/3=21 1:00 2:09 69 72 '75 3 69/3=*23 2,10— 3:19 69 72 75 3 69/3=23 5 Vot*,Os: 1.) T(;,stl to be 'win;o depth until approximately equa). --oil P"ItO3 r1l"o ('1.1tained each p,-�x•colatd-on te"e "d: bolo. All data to Le ,.AA)witt,,Cd for roview.' r) to be n;--tde from top of' bolo. `!'.LS'.l' PI`(' D11`IA I;RQI11:}i�,;rl `1'O I'.Tr, : Uft:'1'I'VED 1-17711 AI'l'L7'CA'I'7:(;)N /. ` I) }:3CItI1 111);1 OP (;t1F'.`i' ;, �[) l[•'. i }",I DEPTH 1-10m N0. 1 1I011", 1110. 2 1 Mix: 110.-_3 i r ' G.L. Bank Run Gravel Bank Run Gravel Bank Run Gravel 611 1 2" 11 ►I �I 3.81I 11 II II .•,�� II -. II II, II 7010 n 11 11 11 %J (" - 4211 `1IIII II `154 �, 1 60" Sand, Sma 1 1 Stamen C 1 ay 6611 U II 72 _- 78II II 8411 I II`;DICATE Lr EM AT 1r IITC11 GROUND MATER IS r} °COUNTERED None IPTDICATE :I.rl EEL TO W iTCII WAT -ER r VEL RISES AFTER I3ERIG EI1COITNTERED - - TESTS. PIAUE BY Theodore Laurence Strauss Date 24.March 1975 DESIGN -- Soi?` l a e Used 21 - 30DIfn/1"Drop: S.D. Usable Area Provided 4x400 of Teo. of Bedrooms 2 Septic Tank Ca)xacity 00 Ga 7',Ypc a Absorption Area Provided By 250 L. F. x21T" j idth encr . - hLl _ �� Name Theodore Laurence Strauss 11.3aE;r)at,ure Address Deer Park Plaza Katonah, New York _LQ536 ° y 711TIS SPACE I'OR UST: )3y I: Soil Rage Approved SCI. FL/Cal. Chocked by . - - N E ,,T At 7V PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMFNTAL T]hALTH SERVICES COUNTY.OFFICE BUILDING, CARMELI, N. Y. 10512 DESIGN DATA SHEET-SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Ownere/ ltdftress ;ek Located at (Street See,. 64�icate nearest cross's ree 79 /-;P# .Municipalit y AA. Watershed . Wre levAl SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Tole Number CLOCKTIME PERCOLATION PERCOLATION Run Elapse Depth to ater Water Level No. Time. From Ground Surface in Inches -Soil Rate Start -Stop Min. Start Stop Drop in Min./i - n drop Inches Inches Inches A :2 1119 ZIA 2. f 3/ 2 5 Notes: i) T6'1ts;':t-o be repeated at same depth until approximately equal soil rates are obts��Jrieo-'E�t_, Oach•tpercolation test hole. A data to be submitted for review. 2) Depth measurements to be made from top of hole. DBPTH G.L. 6" 0 Y. a � TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLF9 HOLE 'NO.- HOLE NO 1211 18" ° 0 24 O o 301, 3611 4211 0 48 �p 5411 � .60" off° 66" 7211 781,.._ WATER �o INDICA LEVEL AT WHICH GR INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Date DESIGN Soil Rate Used "Drop: S °D Usable Area Provided_ oW — - f No. of Bedrooms Septi Tank Capacity p ® ®C�7 Gals . Type Absorption Area Provided °.LaF °x24 �.5b" width trend Other. 4 Address R. D° 6, Box 353 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY:' V Soil Rate Approved Sq. R /Gal. Cho G$ by Date 0�. pPPE SYPt 77 I Lu _Nla A "_10 la It H H wv 9L 6 L is i7 C32AOMdcAV ---y c- IV QQ-0 wa-i ka=j-. Rcill") .117 N99vcl t.-Dej fvj�mn:� non / %'p 'tj Ag try -7 -1 44 i