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HomeMy WebLinkAbout1187DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.62 -1 -46 BOX 12 01187 oil I his omi �� J ,ML ,, PIC I I'm t �: .� 01187 ° t r c s & A : PUTNAM CO Dfvisfon `" o nwi onm TERTI'FICATE`WO 1CONSTRUCTION COMPUAW, F Located at Owner �5eparate ,Sewerage System b iit by Consisting of- Gal - Se c nk 'a Other requirements;, t 4 . Water Supply Public Supply From _ r ;Private SuPP1Y Drilled BY building TYPe r ��alias Erosion Control Been Completedt " I: certify that th'e systern(s) as listed serving:the above premises wer attached), and in accordance with,,jthe standardd, rules�antl regul a . Date t `) Address Any person occupying premises served by -ahe above system,(s) ;h conditions resulting from - such usage (Approval of the separa : available; and the. approval of the private water supply shall' beci x UNTY DEPA ental Healtih .S OA ' SEWAGE a / subject to mode Iwtion or c ange w en n e ju gm n . Date No, of nstructed es ns j plans file R Z ptly tal Address Bedrooms ;Date Permit .Issued + ��n 'ally as show_ n, on the plan S,04 Ahe compieted work .(copies of which are nd the per Issuad,'by, the . .utnam _ *County Department of Health. ?� ` P E R.A.-f License No SUCK actlOn 8s mdy•be necessary o0 secure the correction of any unsanitary, j n:.shall lbecome hull and void is soon as : i public sariltary sewer becomes. I when a public, water supply . becomes available .,Such approvals, are I, Health such ,revo n modification o "r' change Is necessary Title 11 I BACTERIA'PER ML.'.,( Agar plate count at, -35 . C): COLIFORM,GROUp. (Most- probabl6No. /100ml.) HARDNESS; TOTAL.- ppm DETERGENTS. - 1IcJ NITRATES (as N) - IAC� l,, . IRON,, TOTAL =. mg 7L IA P U`/!!!!i� 169 ire Yhle report. lo to bo c (Di by =U &I. OF-:, S ,b W Health Doyar"t:9 together V th r lab atoay row oY a i® of wato ©atigf c t® qu�tyD or cert4ftadto of cOM, t'mM eo�� Won; c tx icm $o- ba In ace 0 exit um 3 e� ULATY T TO - : UAL tlATM SUPPLM ati ti • ! vie' MMUPAuff BI= ' S.4 Gds G as 49 o t! -T AI ctl.M ': RC e Stroot Addy de City IRU DRUJAOT .S �6 SorJS Str@Qt &d&tGW City 1411, Dri ' 000 3 / OZPmpzd Hourm QStca$iog I Foot Q Nak , ^ yyy /__AA ® ® J" A / I V .�G©V Q .:�a' a �{, { '.• 8L�111 .. o � o. t Ds;th Fr "G ®o description O'fokmaticno pehetrated, ouch a9s padtliAvb RS$��B€ 0$130 C .C.�'a�xrA.i (di and 'a Pin ®D i=, coarae)D color of wt®rie�AD atPx 09 �m ; V&eked A�, a QOftgq� ° )® �or ploy . 0. . to 27 . P$%lOa �` C�'13C�� . 47� said - �@G��:�gntok ,g 9. 2 a cce m cos+ vsaYaYbAtC1 '�RiWw� y�y M �, 'p `, ii'G AD�C� 1411, Dri WELL PIT AND PUMP WYIPPMW DETAILS Richard Nestor Putnam Lake weer or Purchaser or Building Municipality Rieger Homes.Inc. Nuilding Constructed by erection Sullivan Drive'- j Location - Street Block A- 589,A- 590,A- 591,A -592,A -593 Raised Ranch 594.A -595.A -596 and A -597 Building Type Lot GUARANTY OF SEPARATE SEWAGE-SYSTEM »� I represent that I am whollyland 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 const'ructed 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 ur dersi,gned further agree's to accept as conclusive the de- termination of the. Director of the* Division of Environmental Health Ser- vi ces of.the Putnam County,Department of Health -as.to whether or not the failure of the,sys ti em to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this 1 day of 19 )) 'Signature -2 `J . 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 i r PUTNAM COUNTN hDIVISfon` of Env <ronmenta t ? CONSTRUCTp.I�ON APERM�I /T`FOyR \SEWAGE ;DISPOSAL 'SYSTEM ',,Located !at v L, / t✓ IIA ��' 4~ } 3 SubdiviSiOn r 44 :�lp� � . f'•n � �1,�'�It> ��' Lo . „. �'� \,✓tJ ""i� ��i � x't �r A e .E!r/.TE•� Owner ddr ss :Build,n9.' TYPQ_ . fc= � f i t Area. ° K �X A l 00` lt/ % K Number .of `Bedrooms �� Total IHab�tabte Space /`a d t� Square Feet Separate Sewerage System to cot55?st of 70� T - Gal ,Septic Tanks ®� lineal feet ,X width french To'. Ybe .constructed by TD Address , { Water Supply;'.'' Public Supply From by i ;Private •,Supply Ito be drilled �, Address] q ,,,.-,Other- Requirements ; /ti'U� I' represent thatl am wholly and, completely} responsible fo► -the design and location of the��!%b t 1''ij#9m(S); 1).- -that the separate 'sewage ,disposal system }(�/, :above described will be constructed as shown on the;approved amehilment there to and i� �r cbi-�ir {IMA.standards; rules,an , regulations ;o :. � rHeelth,_ and thaton completion thereof a "Certificate of, CQr�S�ty ��sat�sfactory to the Commissioher „of Health will County`,,Depart`ment of, , p r ' g ;. ..\ Baas 59.. 9 said 'builder will ' "'place bin igoodtoperating conditionaanyapart'tofnsaitl rsewageWdlsposal system dur2n er4 �p ��j2j� � aimmedi tely fo lowengtthedate of the' issu- ance of the approval' of: the Certrficate, of.. Con 'st” -t '-n ;Compliance of .4he,or''� S e. re�ir eto;'2)'thaf the drilled well described above .i will be located'as shown' on the approved plan and that said well will be installed fdanc f e s4a) f85,, r sand _regu a iTf ons of the P' utnam I County Department of Health i F:: i ^•-�''' t ✓` j ri ` aP r, Date V' U� / �,1 �/ -7�' Signed P E. R A. Address License Nq. APPROVED FOR CONSTRUCTION This rodal expires one year from the date 4ue6 Aj {{I, ryl��U,Olon of the building has been undertaken., and is 1 revocable for ,cause or may be amended or'Modified when considered neces Yy by tfiez Com Iss�dnor ealth > Any chahge or alteration, of coristructl6h . ., +r. quiresC,a new permit i'Approv`ed for disposal of domestic s a antl /o'r private w my era. Date Ay Title S 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. Located at (Street) �Y(1A41VAA1 ba Sec. Block Lot (Indicate nearest cross street) Municipality A0 7- rEA$AA Watershed AZ . - SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS 2 pse /S--?Q �9 �•tJ /�i<17c 2 3 m 5 Notes: 1) Tests 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. Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water WaEer LFvel No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop 5 ef . tea® Inches Inches Inches 2 pse /S--?Q �9 �•tJ /�i<17c 2 3 m 5 Notes: 1) Tests 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. 5 ef . tea® 1 . 2 pse /S--?Q �9 �•tJ /�i<17c 2 3 m 5 Notes: 1) Tests 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 DESCRIFTTON OF SOILS ENCOUN�1'ERED IN TEST HOLES-- DEPTH HOLE NO. (1) HOLE NO. HOLE NO. G.L. 6" 12,. 18" 24" 30" 36.. 42" 640OW p w-4TeR 48" 54 60" 66" 72" a 7811 ; 84 It ED,Ga I :. IV TDICATE IEVEL AT ,WRTCH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO'WHICH WATER EL RISES AFTER BEING ENCOUNTERED/ TESTS MADE BY Cv',11A veW" Date 7-z DESIGN Soil Rate Used ,S o Min/1 "Drop: SID. Usable Area Provided No. of Bedrooms, "3 Septic Tank Capacity 900 Gals. Type Absorption Area Provided By3 x2411 , width trench. `_;,• lii: ^, "�r'. Other ame vg `�' igna t ure Address D ;Ci'7 ,r/ Ala "' ,::' t' {, 'L SEAL THIS SPACE FOR USE BY H.�ALTH'r�E-PARTPENT:ONLY: Soil Rate Approved Sq. Ft /Cal. 'Checked by Date 1 b Lu} e n rz �.. ..0 _ CL J Z �► .. a •; IA t' - „�nal a Aa- - ;�r� `�4.. �},,, Yi:•+.' ' � t ��'1. -'�F ��� �� ! s i !� f � Q v. . cu, / . Z6 z' v V• 'o C QI° xt �. V ` • ` -. O O S t ty v1 P N 1 b Lu} e n rz �.. ..0 _ CL J Z �► .. a •; IA t' - „�nal a Aa- - ;�r� `�4.. �},,, Yi:•+.' ' � t ��'1. -'�F ��� �� ! s i !� f � Q v. . cu, / . Z6 Ix . � ��09� 3y #off o, '• s Nllr OH CIVI ,ry Y �, - 'sue X ��U• � �„� �e� I�� I`x 1�, o a7:771 i 1T I I I 1 1 r I I a T 0 y