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HomeMy WebLinkAbout1314DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.71 -2 -34 BOX 12 01314 ., I Ll }{ 1 �` ■ ' ` ; � �, ., T' T 36. LL , I kP 01314 1, PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRUMUAL HEALTH SERVICES 225- 3838/225- 3833/225 -3641 .. -- .__... _ PROPOSAL -FOR -SFAAGE: DISPOSAL_ SYST -III- -REPAIR OWNER'S NAME A6161 G 1 O G PHONE SITE LQCATION C 2 9 H AM LAW I> Alm • EAF T T�'R T1# 4s - `3 -- MAILING ADDRESS ADWAY 19 A FL P✓(N 1�'R� -f *Y i IP S PERSON INTERVIEWM PCEID Complaint # Name &Relationship (i.e, avner, tenant, 'etc..) DATE TYPE FACILITY�� PROPOSED INSTALLER' IR LL E- XCAVA°j (Z�7 PHONE ql� 61j5„ j17-7 Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal from licensed professional engineer or registered architect. "Mr> Ti lE ARE AU- C1 OGGe —P -n, iRoo ' ''i Ht� fib 6 NOT Ao.,I.oWWC7 AVY A156OP -WrioA AT AI-L 'TIM OF S't'Qf M 5-Mu-L- SEFp'1 C. -Tiwk -VJ tT�A . GLA-r Ti LE Amt 71DM MLJO 5ibTEM AFFROXIMXMaLy Morosso WPB 114C-oto i-tic- TAOW W" WrW r660 4::PrLJ-wJ CoNe- ,rzoi..ur ow TANdo . REPLAsCS oLr-> A feP>T0 9 7M C W 11-H 'ropo rov Proposal Disapproved A o 0�, . ....... Spector I s S-1,15q tufe & Titl S �,5 , N G LT toposal approved with the following conditions: �,✓-� � 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate shaving: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or reported agent of er agree to the above conditions. SIGNATURE TITLE PIES: Wiite (P HD); yeUcw (Tam HI); Pink (Appbcant) 101 ,.! R 7 0- w AYDIiV GUC ARCHITECT October 1, 1987 t ll 86 -15 Broadway- 16A 87- 3A6i6FAi�6P1H6 ELMHURST, NEW YORK, N. Y. 11373 � flQ+�v�*ssae Tele (2'12) 239 -3544 Mr. Bruce Foley RE: 229 Haviland Drive Environmental Health Services Putnam Lake Putnam County Department of Health Patterson, New York Dear Mr. Foley: Attached please find the following.documents -for. approval and issuance of a permit to replace a non - functioning Septic'System for an existing house: 1- Proposal for Sewage Disposal System Repair 2- 3 copies.of Drawing S -1: Sewage System Replacement Plan 3- 3 copies of Property Survey 4- Design Data Sheet. Our site inspection showed.that.the existing subsurface sewage system is approximately 40 years old. The existing steel tank is corroded, the existing open joint clay tiles.are totally clogged by hair thin roots, not allowing any flow of sewage to absorbtion field. Our replacement proposal is based on current design basis established by your department. Your prompt approval of this proposal will be appreciated, since the existing system is not functioning at this time. If you have any questions, please call me at (212) 239 -3544. Ver truly yours, Aydin Guc, .A. AG /dp PJIMM CXWY DEPAEMMU CF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN,J)ATA,,S==SUBSU15NCF, ..SEKAGE DISP-0S.A4,SYSTER.. Fl .JSXL 66 -115 W Ownerk,AJ3 (;::PLJ r- Address �E- mho 4 —7 Located at (Street) '229 Wrivilmd N\e- Sec. Block Tot (indicate th?M L nearest cross street) Ptj-4Atfe-, municipaiity n Watershed SOIL PERCOLATION TEST DATA RE)QU= TO BE SUBMITTED WITH APPLICATIONS Date of pre-Soaking '-I IeZ_c-; /R:j Date of Percolation Test NUMBER CLaM TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate Start-Stop Min. Start stop Drop In Min/In Drop Inches Inches Inches T27 2 T 16-11-14q_ 1,14 t2 2h 44-1o� 2 1 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately W Soil rates are obtained at each . percolation test hole. All data to* be submitted for review. rev. 9/85 2. Depth measurements. to be made frog top of hole. DIVISION OF ENVIRCNMENM HFALTH SERVIA # 'Z DESIGN: BATA SH= -SUB: UFAC - -.(3.1 AGE- �JiSP05='�h SYSTFPS FILE • owner Address Located at (Street) -- Sec - 412 > Block •` Lot (indicate ne�r cro es ss street) IP-a 3�tr�� l Municipality F6��or1 Watershed SOIL PERCOLATION MST DATA REQUIRED TO BE SUBA'MZ) WITH APPLICATIONS Date of Pre- Soakir'g Date of Percolation Test. i ur�r t+ rs N[I+4M '.' = TIME PMCOLAT CN PERCOLATION Run Elapse Depth to Water From hater Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Alin /In Drop Inches Inches Inches 1�5� 21�2 25;10 5 19 4 6', .eoz IPR- ,gyp ... 1 2 3 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 submittlad for review- - 2- Depth measurements to be made from top of hole. rev. 9/85 _. . Q. �3 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEP'T'H HOLE NO. HOLE NO. HOLE NO. G.L. 3' 4' 5' 6' 7' 8' 9' 10' 11' 12' 13' 14' INDICATE KIEL AT WHICH GROUNDWATER IS E140OULUEREiD 'INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUN'T'ERED DEEP HOLE OBSERVATIONS MADE BY: DATE: M DESIGN Soil Rate Used % Min/1" Drop: S.D. Usable Area'Provided ' wc,:2 No. of Bedrooms `� Septic Tank Capacity JpOW gals. Type G . Absorption Area Provided By. Obi L.F. x 24" width trench Other E RED Name AUdio ll__ Signature Address m kur� K4 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. f SEAL • S'�, 33095 ,� Checked by - Date r,•rrP N•Q' P.FC. 3699 P I A 16"17 19. /7➢QZZOCa7" iPcd /�7i //s ,eo a d Sc/rvayed as in Possession TQ,r /�7aP Q3 . N•!'.Sf'ote Grc• Sc�/•✓ec/ror N °•¢SBB7 .B /ock 3 Lof 7 o i P.C. r�•. �_......�._ . ...... .. .. .... . .... N . _..... .. _ L A /93 0 ° 0 A /89 0 0 0 0 s B2 °- 44 0 "E /00- 00, Al B2°- 44- OS "/.�/ `p - ' - n Al d -9 c r.o'= se. G A 194- L C N F zz T Z – A /90 A/ 0 Pramisos hcr'con bci17� Lots .' A /90 Ah— r9 /97 as Shown on a e.t7• • m C /er•ks of01ice on March 2o,/93/ Qs SURVEY OF PROPERTY Map n/-Q- /49 H• a Guaranfccd fo P.F.C. rgdstrac/ Coro: PRE 'T L> FOR e "rr r, t / c r* M"V A YDI N !n V a Y o M uJiY'h the /Y/iniM�M sra�dar -ds �r Tii`/e _ servoy.s of fh� ryaur C�or/c S�'ate Land ;.•. . � U C C�nrnyc ' o `T PUTNAM Co., NEW YORK Sco /c: / "= 2.0'N_ovarn.facr 2B, /98� O A /9L • I A 16"17 19. /7➢QZZOCa7" iPcd /�7i //s ,eo a d Sc/rvayed as in Possession TQ,r /�7aP Q3 . N•!'.Sf'ote Grc• Sc�/•✓ec/ror N °•¢SBB7 .B /ock 3 Lof 7 o i r�•. B•oo ° >3.00' L A /93 0 0 0 0 n Al B2°- 44- OS "/.�/ `p - ' n G A 194- L C N F T A/ 0 Pramisos hcr'con bci17� Lots .' A /90 Ah— r9 /97 as Shown on a e.t7• • m C /er•ks of01ice on March 2o,/93/ Qs SURVEY OF PROPERTY Map n/-Q- /49 H• a Guaranfccd fo P.F.C. rgdstrac/ Coro: PRE 'T L> FOR e "rr r, t / c r* M"V A YDI N fnn k a c/cnsrid�ance CIOA P2/71y of o i'n a Y o M uJiY'h the /Y/iniM�M sra�dar -ds �r Tii`/e _ servoy.s of fh� ryaur C�or/c S�'ate Land ;.•. . � U C C�nrnyc ' o I A 16"17 19. /7➢QZZOCa7" iPcd /�7i //s ,eo a d Sc/rvayed as in Possession TQ,r /�7aP Q3 . N•!'.Sf'ote Grc• Sc�/•✓ec/ror N °•¢SBB7 .B /ock 3 Lof 7 o i 0 0 0 0 Al B2°- 44- OS "/.�/ - ' A/ Pramisos hcr'con bci17� Lots .' A /90 Ah— r9 /97 as Shown on a ina�o e•17tif /cdr "/ylap . >y..of Pw`nai.7 - • Lgke�'7�i /ed in the Put17ar.7 Counf�j C /er•ks of01ice on March 2o,/93/ Qs SURVEY OF PROPERTY Map n/-Q- /49 H• Guaranfccd fo P.F.C. rgdstrac/ Coro: PRE 'T L> FOR e "rr r, t / c r* M"V A YDI N fnn k a c/cnsrid�ance CIOA P2/71y of o i'n uJiY'h the /Y/iniM�M sra�dar -ds �r Tii`/e _ servoy.s of fh� ryaur C�or/c S�'ate Land ;.•. . � U C Ti't /e ii ss o c i n 7`i o n. TOWN OF PA TTERSOoV PUTNAM Co., NEW YORK Sco /c: / "= 2.0'N_ovarn.facr 2B, /98� I A 16"17 19. /7➢QZZOCa7" iPcd /�7i //s ,eo a d Sc/rvayed as in Possession TQ,r /�7aP Q3 . N•!'.Sf'ote Grc• Sc�/•✓ec/ror N °•¢SBB7 .B /ock 3 Lof 7 o i 1 � . i 1i •., . RYD 1 N 6UC, ARCHITECT 86 -15 Broadway 16R Elmhurst, NY 11373 Tel. (718) 271 -7546 April 28,1988 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES 110 OLD RT. 6 CTR- BLDG 3 CARMEL , NY 10512 RE: Subsurface Sewage Disposal System Repair 229 Haviland Drive, Putnam Lake Patterson NY 12563 Tag Map No. 43 -3 -7 Gentlemen: Enclosed please find three copies of the following documents for the above mentioned installation: 1- As Built Drawing. 2- Contractor's Guarantee for the Installation. The replacement of the entire subsurface sewage system has been completed on March 23,1988 by "All Seasons Construction ". Very truly yours Aydin Guc, R.A. m i `;2ED :ARCS ��D lN`, 6��1f TR COIF- Q a �t� C1/C DUILT DRAWIW& V ., i�t1 `f'IJA M L 1� DATE coMPlE a ; to Ac a z31 I R lty jj L T34 U _ •..�Z 1 B6 �,l S 5ROAOWAY, _LM44 ultsi N Til I37 - .__r Fxfs T� I STORY A�1 c� t , t . LN 1ST - !t S. STORY t'71 CT FRAM E , AS IRON • ! i S SOuse W , _t Q i 1000:4 is AERE AR: Io' a° ILL - '300 L.� �� r cr pia. � • 15 301; f i 2 S,1 0 z ZN r 4 -r.r + E s. ctzif?Tf ca N ' ' I ... ' . S P.SU t LT iZA W lJ �•f"rlC_ S`�'�"i t✓j i���'At12 f4UL'S :lp V E :, I f?J TNA 1�1 LAk.E . j (: DATE OMf LE'�7 : MARCO 23 ? I g 88 t T. - `RhO1:� ; filY r u ► . ONTO le ALL 'SEASONS coNST At CKAMS RtP. �N 114" G TURT 1tL.: (�t14) 62.8-49q4 -: Ayb/W CHUG PUTNAM COUNTY DEPARTMENT OF HEALTH - - DIVISION OF ENVIRONMENTAL HEALTH SERVICES "~ - -- - AYP Luc 4-. Tug i7 V c Owner or Purchaser of Building �,XISTIJJ� Building Constructed by PuTJN RAVILAWD t�i�1�1E Location Street PAT jWSo; j J Municipality © �J& 15AM I LN( Building Type 43 3 -7 Section Block Lot Subdivision Name Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM n� t 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 guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to oper4te..for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for 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 occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services 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. I/ Dated this 3 day of ;&A4j 19d0,9' Signature Corporation Name (if Corp.) fj! 2 C ��. ess Title General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk -- -- -. -_.- PUTNAM COUMfY DEPARTMENT OF HEALTH - DIVISION OF ENVIROWi NTAL HEALTH SERVICES Owner or Purchaser of Building Section Block Lot Building Constructed by 22-q HAVIURI -) V �>RPVF Pu i WAWI L-M<E Location - Street pxrrt-:,�so 1� Municipality 0Nf� IL`r Building Type Subdivision Name A 19 0 ��>:v � 197 WO n Subdivision Lot # GUARA -%1TEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, wor)ananship, 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 guarantee to the owner, his successors, 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 approval of the "Certificate of Construction Compliance" for 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 occupant of the building utilizing the system. The undersigned further agrees to accept as conclusiv e the Director of the Division of Environinental Health Services Department of Health as to whether or not the failure of the caused by the willful or negligent act of the occupant of th e the system. Dated this 3 day of/AA 19 Signature Ti General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk the determination of of the Putnam County system to operate was building utilizing � V_ Corporation Name (if Corp.) Address PUTNAM CODUfY DEPARTMENT OF HEALTH DIWSIG OF EN GIRO AL - HEALTH. SERVICES . . R AYDI N & t1 G � Tu PwnE r- evU c Owner or Purchaser of Building fE�x1S -m1 Building Constructed by PuMv�AKS pr�IVt Location Street PAT i IW5p;-) , }.1� Municipality ati& 1-7*11 Ly Building Type 43 3 Sectipn Block Lot Subdivision Name A 1K -Fpa) A) q7 MA -P ' A " Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL 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 guarantee to the owner, his successors, 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 approval of the "Certificate' of ConstfiictIdn "Compliance for the sewage disposal - systanj 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 occupant of the building utilizing. the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services 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 3 day of,&A4j 19 Y f General Contractor (Owner) - Signature Corporation Name (if Corp.) VVET- rev. 9/85 mk Signature dV I' Corporation Title - /�. lei .. - / 1. :j li GTIO.N. NbTI -G hHAlt. PS6 COI�S7ftUG1t'?J W" WITH TNT LTION40 tND 126GWLATION� . Y PUTNAM C:oUNT:Y_ H "' SHAW C-ONFOC?M `Td.TH ' �t`....T'H Fi � HEA vf:. n>pr,T • ... +. . 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