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HomeMy WebLinkAbout1265DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.70 -1 -13 BOX 12 1 'Ir' � L 7 91 $. I , f - Hy 16 r or 01265 DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster New York 10509 (914' 278-6130 aAELL S PUCI.0 Hamm Z•VC-Cr IL C/ Re: Addition Zk5 16 Cz 00 -7 C> '0� Dear I have receives . a r. a . r eviav e d th e p I n S Z 7� . �e :::=CSe� . ar�A'+'Cn + mentioned reE--::e :ce. r,-,=ns have =een ap-prcved as per c-lanc '-- car--^c t—s '—artment.-= and d3t-d T'-=- survev that suf Z tz e.z=and cr re air Sevace c--spcsal systle-3, sh'duld it become necesse—; 4.r. ,-4 Therelcre, '-ase cn the informat--n Sjbmitted, the above menti--zc . adcl-.zcn :.-= approved . v 1 e following cond-t-ionS: -without prior approva- by this Depart-ment. ...... 2. The area o-' the existing sewage d-4spc-==' syEtem, and J-:� expansicn area, must be maintained. 3. All plumbing fixtures must be re,-Iace,4 or updated w-"'- water saving devic&E. i.e., low flush toilets, restric-tors for shover heSdS and :faucets, etc. Approval is -granted: for sewage disposal on!-;. Any other permits or variances required e there'Eponsibility of the applicant and the jurisdiction c--' the Town IZ; you have any questions, please contact me at- your ccnvenience- Very truly your Assistant 14 e a 1 h ---.n a i r F-;'!. ST A A 7� 0 T 7 - 'N . - -L i __ cq N ro (1N STALS:AT10 " 9'r R006RT NI Lt.) '• is 1 •io =csrt -that sew eY di'A Pa system cons.truct6-as icated ' this plan' 'a that the te;w s- inbpected me ' ore, i wd's "covered .ov r.. g�C system VAA constructs in P — ordance with the rules.& y ulations of the PCAD.n AM tTARY 3"S00SAL' . SYSTEM. `9 N S"rAt,LAT -160 BY ,01 CL t AM BTo -rTG E � ncludi n g necessary sari var >I�;c�s ,It r 11. �::• ranted. n} r ^:.�r f Y r•x"s ; �- ''�'�t �`..'i � ttf.. s•.t .•, �s b�=. '?L y ."GT To .'B U'SR.� �r P4L>T CAw 85e �° w N t N. h� Act ?Ro1J �D`C f D ,is*rA.��i�Tl A.1 N1= Q OCR — 1 � �' S r , �j y •, t`, ,} (Y, 5'x fi �, <. � M 1 ` 9 f rthur P Mss ug , HOUSE coRM sscklprioN EPTIC. TANK9.�'_ . _15-.6' 37 4• - :+ WGLE V. ;IuMP P/T.. f 39 6' ST o .. 5 rw4LE- C a6.4" = ::52:0' — 88• +srklevriom Bac _ SS.S" '.2o.4 39,5 a PUMP' { AR V { . r. A PRO O CT 24? 1173 Q e Dou9LE (TACKED P PUTNAM COUNTY DEPT. Of HEALER ai = s'rMGL E `E 5x'4 DIRECTOR, DIVISION Of 1 MVIRONMENTAL HEALTH SERVIOA PU MP per, 3�aiA S' SEE .z g NGr.E t h P ?R a>,ii.fT' �t JRi P`, MktAUGHLIN: rS - _ - :.l= -•. '�' '•� - - ,� ::r � . �.n9 �n�R+� �, r �#s-� � 'y �,�, , j �a S�- rye . Sfi Y y��� N •^4 /ny G2 CG'S �•-s' r •'SP:1: = vzr l; r . :Fz *''rt'Sty� -' Zt'3=.r h.�- r ' .•S' : ".' ?� - eop/O oi' !1�•a -r'fi „Y Ova � � A '?°raaii%Yr..:r:6,� _Le „^-e' 4��; ^•7? f'x.�61�+?yd "'% t 5 .C� IC: ` /✓CY /. . «� • '... t`���,�a�r i� -t-t"� r`` sk 1..^ �,4i1 k _ a � 00,�J a 4 A/ /0/7Sh ` A V`�t5 �. fh.s,map� a„d co °on are ✓�l. Cz A •/2 '¢ - � � /`• ! . ”- - N - a'•?= "�`��"sc'+.S�rhf. ., _ _ �'P!" ed v('CQ pf � Q ,, y1if ?c� ^ur ✓cyo. Area' p, 1 ,d.- /22/ 2 0�. 0�� °.n aPPeo rs f ereon. A %! cf 1 ` o run. c _ sh4 /! oi• /y fo rr.'r - ... . 0 /o rice I1 S f or` '- F�- ..,�.r .`n } � 1 � � Ic � �'... -t,._ ice; ; • S¢icr Qr a /so i Pat- cef S �SQrf 9 / c.c.- c:ri6c r el Pura.,, e/C. Pr ire .70.1"i Cq .` 1 � � ? ¢�• -� �''' DffiCC. Division of ..Caries! 2cco.�ds Ji 6 Ma P . No. 133o. , 1 r a N 1 pr, 1 "' } = 112• /3' to �.. UP o n O ✓C �:, by. :.:.- ... .�.. -� "`•. .. ... ..�. � �"r "`. t' {•.}f; \pi..- ;;�:. "'�'.f'� - .� -Sy#•� lL'���Ard'+7 ss. ,h iis�4 „- ����' j i ;A,♦ �: ���,�'!4 ::irjd�''%�#?'x f eta rt- t � . oibe "s' -�-� ��•�.a�._'�:� �; _ � r-� -��,, f �_-.�t����;c"�' .Q /% - 6 �i %'. fro %"�a ptr �:• °''`ar, ��: . ....�.:. .,. �t _mow_ n � .,.`�,r�-*t��= �.L_�'_ -� >: a"' ai /a �Q; - � -e���S d�•��No %m . .. .�..:,.,_�. - —_ ., - :SLn ✓c >6rv� � rr. °.Pte ✓isca�,�'� i' 'I i' i j i - i� i� i t R, 1 k ' 3 J.7ctr w�y� led- <7 It i jp.N AV �N Deb 2ouV'N g•t,IN G 13�� Rnu� L FvLA- SAT Rain C h vv... Om 1�xpK 0- rl +wriw �2opbSb- �dvad 2 vow•, {� _ K 17�h�N 1 r3x i� L1vfµG Roo V^ �f eutnaw County liepartwen c of fire vision of Environmental IIealth Se roved as notp3 for conformance a plicable Vules and Regulations of utnam County �ea1 the �* - "tmont. " BOtta Address Brewster Ni ww York 0509 f Separate, Sewerage System built by iNTi1 , Consisting •of 900` Gal. Septic Tank& •S]X se.epae.: p1= �ovbles. and'' 2 ',Sinle, Other re4uirement`s !Zla✓rl� r� ni. o ' 3 f _p�rPrfl oth t� tvir� s nal'Pa ' Water Supply: Public Supply From X . Robert 'M 11, 1 Privates pPly Drilled By Address - Brewste'ri Mw York 10509 Building Type ModLl No., of Bedrooms 3 Date Permit Issued `5 2 �"� � - Has +Erosion Control :Been ,Completed. ean; presently .b completed I certify that the iystem(s).'as listed serving the above premises were constructed essentially as shown on the plans of the completed work (copies of which are attached) `and, in` accordance with the standards, rules and regulations,. plans filed;�.,00%the rm it ise by t e Putna�qol rtment of Health. including' variances `ra•nted t f Date 10-29-73 a GerUfied by �_ RA. ' Address' 1 It 0 Tl .R a 9-icense No. A Any person' occupying premises served by the above sysiem(s) shall promptly take•such action as may be necessary to secure the correction of any unsanitary conditions resulting from such 'usage. :Approval of 'ftie 'separate sewerage system shall become nulland` void as soon as a publicsariitar,y sewer 'becomes y available and.-the .approval of .,the`. private water: supply, shall become null and.. void when `a. public, water supply 'becomes available. Such approvals are sub)ect'to modification'4or cl`ange when, in the judgment of 't he CommI si"er'of Health such revocation, modification or change is necessary. i ++� i Title. Date' /'•.l! ./ By-,- l wner or rurenaser ng constrpte Location - Street A Z-Z 64, Building Type Municipality Sect Ion 3 Bloc 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 .: onstructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam Co;;.nty Department of Health, and hereby guaranty to the owner, his succes- 6o...`s, rcirs or assigns, to place in good operating condition any part of sad system constructed by me which fails to operate for a period of two cars immediately following the date of initial use of the sewage disposal sV ster'.; or any repairs :Wade by me to such system, except where the failure Lj 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- terminati.on..cf the D- i_rec-tor.of- .the..Division of - Er:vi-ror_mencal- 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. Dat this day of 19 Signature���� /�yC Title 1 .� If corporlation, 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. SCREEN DETAILS I DEPTH FROM LAND SU FF.FT 1n FEET LENGTH OPEN TO AQUIFER (leaf) _..._.._ _.__ ,..I..._...,.__., I.., IF GRAVEL Diameter of well including ._..._, PACKED: gravel pack (Inches): �. FORMATION DESCRIPTION Sketch exact locatlon of well with distances, to at least two carrnenent landmarks. ibs,. clay. rot ?ld.ers. OI 10 S 2.3 F r a. c t,,,j .r 0 - ra.rd ,mr i is 0 ed. ledge .Y a.y. (j*ra.nite. e . _.._ ........... .. _ _ .. _ If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE ['D i.1 � A U fr UA[t WILL ILJMYLtItU 1DITE OF REPORT WELL DRILLER Signature I I .. <, 20/73 yI 2'! /73 .rte T,.'esid.e.n.t .� -.� � I iFeryyce � :Ald i� . a WELL. COMPLETION ./ REPORT ��Yl e S - FR1';'NAU41 COUNITY DEPARTMENT Cl- HEALTH 3/71 Division of Environmentnl Health Services ' COUNTY OFFICE BUILDING - CARMEL, NEW YORK �_.This_repnrt_.is to.be completed_by_ well driiler..ano,submitted to County_He -4lth Department together.with laboratory report.of.. analysis of water sample indicating water is of satisfactory bacterial quality before'cenificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION NAME ALDRc55_ OWNER r o� M REALTY, INN ROL1tP 22., ?rJSter, Ne?:r York 1050 .Bra LOCATION (No. 6 Street) (Torn) (Lot Number) OF WELL 9arnard Drive, Put. ?.k. Patterson, New York ^ BUSINESS a ❑ ❑ PROPOSED U•DOMESTIC ESTABLISHMENT FARM TEST WELL USE OF WELL ❑ SUPPLY ❑ INDUSTRIAL ❑ L_J CONDITIONING (Specify) DRIL[ING F� r CC11P! ESSED ❑CABLE r CnTHEP. EQUIPMENT L-J ROTARY �J AIR PERCUSS!OM PEtiC!!SS!ON L] (specify) . CASING LENGTH (fact) DIAMETER( Inches) WEIGHT PER FOOT �} l ❑ 1- I E SHOE (�'� FIND As_CA$IN! 1-7; f-- DETAILS .27 6 17 l='1 THREADED WELDED L'J YES 11J YES NO YIELD TEST jar ❑ SAILED 1:1 PUMPED -! `=COMPRESSED AIR HOURS 4 G.F.M. YIELD (O.P.M.) 12 .12 WATER - _ —�V MEASURE FROM LAND SU fleet) RFACE— STATIC(Specify feet) DURING YIELD TEST j — Depth of Completed Well LEVEL 3 0 ? 1n feet below land surface: 28.0 SCREEN DETAILS I DEPTH FROM LAND SU FF.FT 1n FEET LENGTH OPEN TO AQUIFER (leaf) _..._.._ _.__ ,..I..._...,.__., I.., IF GRAVEL Diameter of well including ._..._, PACKED: gravel pack (Inches): �. FORMATION DESCRIPTION Sketch exact locatlon of well with distances, to at least two carrnenent landmarks. ibs,. clay. rot ?ld.ers. OI 10 S 2.3 F r a. c t,,,j .r 0 - ra.rd ,mr i is 0 ed. ledge .Y a.y. (j*ra.nite. e . _.._ ........... .. _ _ .. _ If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE ['D i.1 � A U fr UA[t WILL ILJMYLtItU 1DITE OF REPORT WELL DRILLER Signature I I .. <, 20/73 yI 2'! /73 .rte T,.'esid.e.n.t .� -.� � I BREWSTER IABORATORMS Box 224 - BRMSTER, N. Y. SAMPLE No. 29 79 SOURCE: C & K Realty, Inc, - new well Barnard Road r-YeZZ #2 Putnam Lake Town of Patterson, N.Y. COLLECTED: June 20, 1973 BY: KiZl DrilZing, Inc. BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method 1 1 0 per 100 ml. This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. June 23, 1973 2 CA TiotJ" 9Y C10.1STALLA - '. . Ro 66.RT N 1 Lt-)r '.� 1J o'!" TO 0 E 0sS jU N C? L AGE P QoV t iy:� D => 15 TR t $ V- A, t o t- - - rM�R � NEF L/ j This is 'to cent _ y that iie sewage- dispose system was constructed as icated On this plan and that. the ystem was inspected b .:are efore it ;was covered' ov r. _ �� N �,� >r�N� • he system was const ' cte in ccordancc. with the rules Pe I gula.tioAs- of the PCHD -.a. sAraiTARY: DISPOS qL . sYSrE z.HC NNT,�i LAN STAL��AZ -io►J BY .\90 .. WILL CAM! ROTrGE� . r; 9 including necessary var ".inn,. F �� , 'ter . ,� ' granted.- }.,. �c Arthur HOUSE C.o.R �ESCRIPTio�� 1 2 3 4 SEPTIC TANK x-9.1' X5._(0 37.4 � ARTHUR P. MCLAUGHLI DouSLE A 57.7' 19,7'. 33.4' _ APPRC� P```� EA1.t;fiUEER LL SURVEY RD # 5 MICLTOWk RU. REWSTER•, N.Y_.10509 ouBy LE a,,. 70. 7' 34. 3' 49.4 - B BRou«wT -'To - _MAT E SitNGLLE C 65.6 34;2 =- 54.6' S•�_S -' - -AS $v!i_T S trJGLE- �" 60. I' 29.°1 5L+, - PV HP Prt 8.6 51T. o D DouBLE . R OCT29i973. [] = <ssacucED) P�7 RS '��RRY'J I3.9 2,- 3 ?: 5x 4 n 6' MEEP. OAREa= ''i0 "A.Ap� -°'oT GLE- t b. ¢' 52.0 — 3 8' 9UTNAM COUNT* NT. Of HEAL s ..°,.°.� a onAwnil oar��IG�73 DrSTR�BuT,ou�ic 55.5` 20.2' 39.5_ • — �� _.'b- = °r.�UG�E x4 3 1 1 1@ -DIVISION Of 5 x cHe i� DATE 73 J .lNVIRONUMAL _HEALTH SERV(8B / s1 _ _ _ , }' V :711 lot 0 hot MY $ � t ad A Qu 3:';i„ � � ' Y�Y• .R3�3F -i�� � W*� �5.� ." ; i43��.- !kd�'� 1 VdQ (:9 ",. � �� i t° WAS WNW SAGS Ar L� S. Al , `hor 3 t t g�. MG 'MOOP W1 s3 � 4 -i°ax Fzs RRt >rC?�Sk4 j s a 1 Qo- MIT! Or fill" E g�. MG 'MOOP W1 s3 � 4 -i°ax Fzs RRt >rC?�Sk4 j s a 1 Qo- MIT! Or 339.S _ 2 a 74..E of 2) E P•TH r ki -R(IR ". C FGHLIF3 ;. PROFESSIONAL; EIVGItVEEpt .LAT.A SURVEYOR �� C aj -°-�%* :.12 .-_. _ _ -.- _ - - - .. -- -T,t1tC70WN .ROh ©'.;iiD�NDr•9-... ,.: "' �- ._ - r -" - L '1. .. A BREW9TFrR. NEW PARK 108Q9 ;`. (0.14) as =saes C . ' Calculation for Sizing of S oD pS. System, a6 installed for irlez, Parnal�d Road., Putnam takes A.6%oL9.'r, t Y• A►,� CUSS a1 f?2``j" A L U . C A i� � G" l.0 S � "i0 y O � O N Percolatiori Efate a -per design d6ta •$heat p 8/lt3 minute rate O -.re- .. T.�t°TG fl GAP,' 'Y �"�OUSE Vc-k f SEEPAGE o it (by wte.LIAO+ 1� 0 T GE) = 4 r- ' R W. Y -'s. T. 0; ME�t_r� 1 VJA STE 1 RE' ��,r z a a " : 'NA ti pi,�' 'vR 13?•.►`va.I>U,pLrw�.i -ta>:� ST i,y; l; p• 15 Fo R G, - t p, a' t'w t' ;A r E, RE Q u i A 6 S o m I u lit E . � 4 1 r ` 339.S _ 2 a 74..E of 2) E P•TH 2. :p6u to LE S �'. I �� C aj -°-�%* :.12 y' ; LAS St►.1Gt~E•S '� C . ' ' ..` DIES woT US'E•9. ONLESS A.6%oL9.'r, t Y• A►,� CUSS a1 f?2``j" A L U . C A i� � G" l.0 S � "i0 y O � O N O -.re- .. T.�t°TG fl GAP,' 'Y �"�OUSE Vc-k f S9�1'A +r 4 1 A: SMALL FA M, LY L ESS � Q.PLE W ILL' 0(� CUP`Y sA � F�� . t . 1 O.�• WALL., - C" � �} q'� � i TO ®E- rj Aj r N r-, L. AGE P RGOt) ► 7 i 2> 4 s; 71k 'rO . V65 - PLUG 9 } �Q i' v .�NaP.�C3' s,� .� PuM Leo, C�3 ARTHIT P AlsL UGHLI`� ,.:ENGINEER -$- 'U,..V��a ' F2D d! `+ tdtG C70ilN:- 'N ". SREWST:E.R Y '.iO50 p :DAY As• DOCf6L@ .P 1'f'' �41 �arB%t679 ss . a S t.uG L E 5 x 4' x moo ui� /1•¢x!79 a. e - r . .. `P t - , - r - r" - lo-Q, tCSii,i:'^ ,41 E. (a) t P NAM �O16 bRPARTMENT' OF HEALTH .r V i f Environmen#al Health Services, .Carmel,'•'N Y. J0512.. (Re' ubmission on, ex ;s� 4' CONSTRUCTION `PERMIT FOR SEWAGE' °DISPOSAL.SYSTEM Pat erson_ ( Putnam Lake) K ,,Town or illage , "$arnard & Cant on Roads Tax Map 61 ..Loadted at ° a - y section Block ,SGbtlivislon 114a'p A ' of ,Putnam Lake filed .as l49 fHot p/o existing n #.'6ob Owner 'r Mrs : ,Jerry. Sarles _ , -(a) P3 ne s , aide.. Road Address :-Modular =Residenc•e ti Building�Type Lot Area 0.275 acres Mount` isco New ,York (914)M06 -55 Three :(Model. MACH 1 `Continental rit including :,basement Nurnbei—of Bedrooms - - o I aboitable,Space Square Feet a. Separate Sewerage System to .consist. of 900 - Gal. Septic'Tank` 1 78 lineal feef X, 3 ft. width trench To,be�,' nstructed by °. ��, ^b e.; determined Address Water Supply: Public. Supply. From: , X to' be {.determined = ° Private Supply. to be drilled by _ - Address Other. Requirements Qs per plan;: reason for revised plan alteration _of house 'locatio ecause ..of ,ledge'. Requires enc.roachin� to within ninety "feet `of own well,�6 I represent ,that 4 am wholly and= completely responsible for the design and. ocation 'of the_ ,proposed- `system(s); 1) that the 'separate sewage tlUms's rh - -above • e' scribed will be;construcied as sl own- on'.the approved ame idmentthere to''and in accordance with the standards, rules an regulations o e Putnam :County :Department 'of •Health, and that on completion thereof a'- 1Certificate of Construction compliance "'satisfactory to; the Commissioner of Health will .be, submitted to the. Department,, and: - -a written guarantee will be furnished the, owner;' hIs successors - ,heirs or, assigns by the builder, that said builder will place in, good operating- condition any .part of said sewage disposal; system;during the period of two (2j years immediately following the date of the issu -' ante of. the approvaf=of the Certificate of. Construction'.Compliance of`the origina . stem or-any:repairsthereto;;2)`that the drilled well described above„ will,be located'asviown on the'approved plan'an-d :that said` well W 4; a installed in _accordance withthe standards, rules'.and regula ons of the 'Putnam 'County 'Department of Health: : ` Date March 29 29,73. signed ' P.E. R.A. Address. -4 P, �t °n r Iinar� _�rewster�t�w �s- -.LicenseNo.. 43952 APPROVED FOR',, CONSTRUCTION ,T.his approval expires one` year from;the date issued, unless construction of •the building• has .been undertaken and is' revocable for cause or-maY 6.4mended or mod ified,when.consideretl necessary by._.the Commie' er of "Health.. Any, change or alteration of construction requires;# new Permit.;. A roved for disposal o m f doestic wage ,an dlor privy wa supply only �� [%171 Date"" ry-.^ 4�BY "_•"' —� -Title tr �. . Hugo gt--� _ NASSAU 516 22 6771 QUEENIS 212 835 2444 sunoix PUTNAM 914 BR' 9 6191 11? Bellmore Ave 79- 03.Jamaica Ave 100 Sunrise Hywy Route # 22 No. Bellmore Woodh1aeen Oakdale Brewster Putoom (county, 0031th -Departmat Ue are aware that tae tell and septic systea odue to changing. of of ,the foundation-164atica Sri net.100 feet agan as per Health Department reguiati -eas4 Va''.84sept the gevieed Plan as per Our in yea laYOUVO �hesl y� f ®T pose$ Cc p ®teet�aa i® this Gatteva _- I a:) t_o b e- ;.purchased by PUTNAM COUNTY DEPART -MENT OF HEALTH g Division oaf; Enviionmen[al Health Services Carmel; N Y 1U512 { CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM CPutna A). + Tax Town:.or' illagV e_ ' F I "nryted,.,.at BJMLI ri=d raTlt'OI1 ,�nc`l.�S 'Sac �1• g eiock. J Subdlv.ision a o f t riarn Lake s : f hl ed . a s : 14 9. Hoot 6' Job. owns; ' Mr .: & ' Mrs ..:Jerry Sarle Address' Pines $ridge Road 8uIding' T ype XOdular Residence gat Area: 0.275' acr`e's Mount, $isco. N.Y.`(914) M 6- 5`590, bid Three. (Model MACH 11 Continent`a 11 O Number, of Betlrooms dtalSpaceu S me Square Feet � a 'e n 4h a Separate u Sewerage system to consist of 900 ,Gal Septic,Tank 178 lineal feet,,'X 3.0 f t a width ;trench u- to;. be determinl3d To be construcfed by ^ Atldress ' '' Water Supply Public VSupply From rx X ;Private Supply to be drilletl by to be determined t7 Z l Address a j other Requirements as' per p1'an ( :.being lots fA- 122lthriz` A- :1224'; and portions of: the cillowing lots -' A 1225;.. All. an A- ru on i e: map }- 14epresent that.) am ;wholly anh completely responsiblefor+fhedesign and location of 'the proposed system(s), "1) thaY'.the separate 'sewage' .disposal - system •.-above described -will be constructed as shown on the approved amen'drnent there to and 4m accordance with the standards; rules an regulations o , e u nam k ' ?County bepartment of. Health, ;arid that on completion: thereof a! +Certificate of..Construction Compliance'.' satisfactory to the Conimissioner.of Health will lie submitted to. the Departm•ent;' and a written! guarantee will be' furnisl ed the owner, >his suece ;sore heirs or "assigns: by .the builder., thaY:said builder.rkill "place ,in good operating Condition "any 'part of 'said sewage disposal system .during 'the period' of two (2) years immediately following thedate of the lisu- 7 ance of .•the approval -of. 'the; Certificate of Construction - Compliance of tKe oriyinai• system: or any ,repairs thereto ;2)'that the drilled well described, above Will be. located as shown;onthe apor6ved•plan antl That said well will +be Installed in accordance with the standards rules and; regu a ons _of', the 'Putnam• Gounty'Department of Health a _ ' Date, F.eb.ruary _ 13, 1973 _ X . Srgned Milltown Road RD #5 3rew st er NY 1050-9 43952 Address License No., APPROVED FOR CONSTRUCTLC!Nr This, approval,expires. one yearfromthe da -, suedeunless `structlop of the building has been undertaken'and is °revocable'tor ,cause or maySbe "amended.•or modified when cons rdere''n aces sary athe Commi`ssw of rHealth Any: change or alteration of construction ,. requires a' new permit' Approved for disposal of,doniestic y s , n w ter supply only C :Date F ',�r a 8y ills au PUTNAM COUNTY DEPARTMENT. OF HEALTH I - DIVISION OF ENVIRONMENTAL HEALTH. •SERVICES. _ . _ . _ _.......... _ .._ .. _. COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 '•: to be purchased by DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. K appe s -� Owner lb? & Plus.. Clifford G. /Address 18 Winchester Avenue; Yonkers, NY. Barnard oad t a 1 istinE Located at (Street Canton Drive ­..... Sec - :61 Block 3 Lot` 6, n ica e nearest cross s ree. '� Town of Patterson To outlet stream, from Little Municipality (Putnam Lake) Watershed Pond! • ref': Brewster quad 'sheet SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH�:APPLICATIONS Vii.. .. � ,. .. .. . Hole Number CLOCK TIME PERCOLATION PERCOLATION apse p o a er Water ve No. Time :From Ground Surface i.n. : Inches Sod l Rate Start -St:o . , p Min. Start Stop Drop, in . Minn drop Inches Llnches Inches l ,,Two pert' holes at .surface ,,as 'dug in the vicini ty of the proposed a.. 2 ' house location butA after:: er °colating (6 -7 min rate), it..was 3 "found-Ptha.t adjacent" w6l].:6af neighbor- encroached:;-:` =•so. -system would. ` -,.have t;o' be shifted t:o l ogat3:on shown on the', °g.an,;.: It` was _ 5 determined that seepag.e : flits , would be . used ,, .ao : an. additional 1 percolation hole ..was .,dug into. a ,portion of the deep hole (about. 2 4 feet, below •the- 'surface') '' The -.results; ,;6'f "this test are presented 3 h6reinafter• 4 1 0 1 V4 - 5 12.00 z0 02,- 2 -0 - 13' -- 05 1 3 .C? 4 0 e 1.3H 'm 4.,S 5 C3,,7 20 Z3 3. 4.68 5 a o APPI�o�cHit�G. 5 MIQ. -- US .E 5 .:. i.Q ITS I6,0 R A`rE- Notes: 1) Te'4ts 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. _ ._.__.._... -%1:7- - - - - - -- -- - - - _. d! TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES VL DEPTH HOLE NO. N ° HOLE NO. HOLE NO. r_ T. IV 4a 6" 12" 18" 2`t" 30" 36" 42" '4811 5411 60" . 66" Poa�t 1' SA Z 'Y 1' L®J4,m P+NIR SA*-> 2 w�CLWf L.o t%A- , ,4. N SAN3)Y PR %wo Vii. " - .9. io 0 An L_ � 4 7 9 � Lo • a LL L rp A. Aft x .� V 6 Sal .IO () ..� •o 2" , - . 7 sDM� ���ES 2 v � . a4 781 -,ft 16 A A 19 M'A 84" .*—DRY Or- (CL. A, IKOLE 7 F PEEP INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Deep Hole - -Bottge Date 2 -8 -73 Percolation Te 'sts M. O1Bo & A.P.M. 2 -3 -73 & - DESIGN . Soil Rate Used 6 -7 Min/l "Drop: ' sf S.D. Usable Area Provided see calculation above No. of Bedrooms 3 L Septic Tank Capacity 900' Gals. Type Approved Precast Absorption Area Provided By: .::fix s 'xxxxxxx xxxxxxx Five seepage pits - 4P41t dia x 64 deep., M & M or equalo Other See lan ame ture PRFESSIONAL ENOINEE� Address e L THIS SPACE FOR USE BY HEALTH 1 TAM: Y: F � Soil Rate Approved Sq. a. 430" ed by Date °FessloN �' PUTNAM COUNTY DEPARTMENT. OF HEALTH DIVISION OF FNVTRONMFNTAT. HFAUPT4 SFRVTCFS COUNTY OFFICE BUILDING, CARMEL,'N. Y. 10512 a„ to be purchased by DESIGN DATA. SHEET-SEPARATE SEWAGE .DISPOSAL SYSTEM FILE. NO.. OwnerMr,OPI s. l Jerry Sarles Address Pines Bridge Fd..'Mt..Kisco, N.Y. - Tax ap Located. at Street "� � won Drive Sec. 61,, Block 3 Lot 6..: existing �lnd c3- ateneare— s�ross, s ree To outle ream . rom 11attle Town of Patterson Putnam � Pond" -ref:--Brewster quad sheet Municipality. . Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED`WITH APPLICATIONS Hole _. Number CLOCK TIME PERCOLATION PERCOLATION. Elapse p o a er Water_ ;, Level No. Time From Ground Surface `in Inches' .-Soil Rate Start -Stops Min. Start ",Stop Drop. in. Min. /in drop t -Inches . Inches t-, Inches Al' i ®. Q . 'iEST S _ - Zo�.: 5►� 5 _ f VA i iJ Lt aJ s I . 1. .1 � -•� ....' '.� . . 2 .... n A" Notes: 1) T6'Rts to be repeated at same depth until aroximately equal soil rates are obtained at each percolation test hole. A11 pp 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 D8PTH HOLE NO. `° HOLE NO. HOLE NO. n P G.L. 6'r 1 � - PbM T- OPSo I L TI ° ° �'Qc� ► - P ®O -roes® I g L 18" 24" SAa' -aY LOAM Spa mb` CLAY 30" 36rr y PMVerS oT 21 5 ,403)y CLAI 42" SAND Smove LOAM uv -B®VL3)EP w W 48" Lb�a�+ �' _ c �A,o� 4anat�w7r-Stl 1- 601: w .. 66 SAWD 72" eN Bou OE RS w I-r N 78rr wa k AMO V yT.S. .. . 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED 7 FG P !:o Q INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY $oT -r&E Date 'FE B DESIGN Soil Rate Used 8 =10 Min/l "Drop: S. D. Usable Area Provided MPpRav E150 No. of Bedrooms Septic Tank Capacity. 9 00 _Gals. Type co w G � rE Absorption Area Pro ded By I�_L.F.x24" j '— Xwidth trench. Other name 1 nature ARTHUR P. MC LAUGHLON OF NE�y Address PROFESSIONAL ENGINEE R � MILLTOWN ROAD, R. D. b 5 PQpIRICKM�`9 •�� BREWSTER Y. 1 05 0 9 J G � 2 THIS SPACE FOR USE BY HEALTH DEPA n Soil Rate Approved Sq. Ft \4A tiQ. 42852 �P- SSIoVAP Date ji I •� =• F6' CS I C System In consi =; of a 900 gal N � n Q ? > trench with a naximum piich of I� rrr �s31y �. D For typical details. reference !I I ' _ (Institutional and Commercial Seq Department of Environmental Cons >. 1.•. X02 .�. .. - - ^� .- - ... . -.. ._, /L.._. ti I- } \\ - - - Figure 1'1 Typical Trench 4 Bet -, M E Foi geneiat speciIicaIioits on se "Rules and Regulations 'or the D !< 3 yto N Disposal Systems and Recommendat r } I rrf�!I -� ✓-'" -1ky tO�P. 1 - - Op of the. Hulnam ComDepartment rly Depa IJ I / a J a6S' (8� _, •- ° Health Services A. F Catalog cuts shop drawings and litera!ure to he sultmilled lot a �' � ^__� _ .. _..___ 'y _ N s^"°- �• -•_- �N for y Sap:,,: Fanl J sF;,outrov c It ti Q� G. STgDtA ELEvQ 20�A V - - - -._. - -.. •� 1 ? r, ' k -� f A." PSa.FO. - -- -- -'. O� ASgv,sfD -X BE LOCATE. S r i OF A �I" _.. - - -- ARE + — S F 0 � ° +a —' pv245 CFtES a� P a' r CON CO AP . - � �b9/ I ,�; - /i `�. } � Ind. - T o �, .Y`° -a• . - -- Q- Si' : � _ ..� S CL6 —' .� >;.,__ ' ,.... ..+:.. y._.,, � �= e� ,... w-7 >r.. -}-. '�`� .,.-r . ,;• �s o ..�•A.•,OU .v; }3,� :� ` ..�. HOLE Q I — � + 01 -5 �Q.A�csAG r 1 r � � J ZD RgIM TO BE ' FROM GISLis : 4 T6 G&A•DE, Pik 0VISt• D -ENILL TO TPIMER-1 rA• pAFlK -RuN GRgVCL To Be PR.OV IDES t ;- _ _ i -•+ wMEQg ANA AS REQQ+Rte SvCH THAI" 82 THE sIFVERENCE HETwg EN LEDGE '1 ! Rocic * FINISHEV ORADE IS 7/pr, MW 60.•� PRpF07�L1e1`J ` DOrr H!01AE�i� t-- TAt- �o2g \ o 8 4 10 law S rA• pAFlK -RuN GRgVCL To Be PR.OV IDES t ;- _ _ i -•+ wMEQg ANA AS REQQ+Rte SvCH THAI" 82 THE sIFVERENCE HETwg EN LEDGE '1 ! Rocic * FINISHEV ORADE IS 7/pr, MW