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HomeMy WebLinkAbout1409DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 33. -2 -31 BOX 13 1 r% 1. t L . 16 ` '.. �T r '•' JJ 'r 1r 1 71 .' 01409 m Rev / 6 PUTNAM`COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N:Y.10512 s Engineer Must Provide i %j P.C.H D. _ CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM �t Town or V e tad at Tat; MeP . 0 21 Bieck , Lot ' 0 , � Subdivision $ubdv. Lot leY S Milling Addresses ELI -1-[�. �� ZIP U Date Permit issued Separate Sewerage System built. by"i `�pl CA LL , I G S�(S� 5 AA /' Adams I" Iii 9—L PWAT? ��R 1EE W ST I:IZ Consisting of W%? Gallon Septic Tank and 6a a L—r S 711 Water Supply: Public Supply From Address or: Private Supply Drilled byTdQi;1 S A. SGit.I S Address VAFLe l' A42MON r= Building Type �j L Has Erosion'Control,Been Completed ?S Number of Bedrooms Has Garbage �Grinder Bee7n.InstalledY Lam! Other Requirements 25-15T' C� �T L�1 L1p�1`,�t; I M I certify that' the systems) as listed serving the above premises were constructed essentially as shown o he plans of the completed work t copies of which are attached), and in accordance with the standards, rules and req la ions, in a cord with P fil plan, and the permit issued by the Putnam County Department of Health. Oats ��� Certifiell by P ;E.L R.A. Address G YLignsa No. Any person occupying premises served by the above systems) shall promptly, t Ch action of may be necessary to.sacure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sawerage gmolll, become null and void is soon as a pubt;: sanitary sawer• becomes available and th aDProwl of the private water suDP1Y shall become' null an a pu *ater supply becomes ovailabN. Such approvals are wb }set to motl intio or ehsnge when, in the }udgment of the Commi ealth, r ogttan modification or change Irmcessary. Date tr 12 ��� By Title P(TTNi N-f COUNW DEPA'PMIIE T OF f- L_UlIR DIVISION .OF ENVIRONK"E- AL fiF.aLTH SERVICES O•aner or Purchaser of Building Section 2 ?�., Block Lot Building Constructed by _ } i VI W irocat_ion - Street Subdivision t,.*ti — eATT� f2 SO N 4-7 l5anici[xlity Subdivision Lot : — P Building 'Ivy GUu A_R_L_r_E CE S0- SSU?FAC Sa'tL_CE DISFO&AL SXS. 4 I represent that I am wholly and completely responsible for the location, wora,anshio, mati- r.ial, construction and drainage of the sewage disposal syste-m serving the above describes. property, apd. that it has •biz constructEd as shown on the approved •plan or approved amend.ment thereto,-..and': in accordance -with the standards, rules and regulations of the :putnah, County Department of - Health, and ,hereby caa Cntea to the crn-ner, his successors, heirs or assigns, to place in go&d operating condition* any part, of said system constructed by me which fails to operate for a period of ta:o years i=, e3i ately following the date of approval of {she "Certificate Of Construction Compliance" for the se`Nage_ disposal system? or any - re_Gz.""S :;L CE by` ?;% such syslail, e_ ceDt where the failure w opf=:Cai:e_ ploper l.y is caused: by. the willful or negligent act of the occupant .of the building utilizing t_he system The u_ndersigne-d further agrees to accept as conclusive the dete=L -inati on of the Director of the Division of rhviron'lental Health Services of the Putna:a County Department o� Health as to whether or not-the failure of the systan to operate was c used by the willful or negligent act of the occupant. of the building utilizing the sys te;l _ Dated this _- coy of i 190-7 G-..nexa._ -actor (Oe;:e_r) - S?Gnat: `e Co r co t on l N"" e :f Coro ) l�2 1 N�N1�fl'�E y� , ?P.ddress PPMP J ' C Wr.LL UUr1rLr,11U1V rx!rUA1 * * DEPARTMENT OF HEALTH _..,,A„ - � �ol �Di. vision.. -6f °E:ivi�dnW�e�:i:ai���earc;, W PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only WELL LOCATION W ET AOURESS: WNrvl TAx GRID NUMBER: I rJ WELL OWNER NAME' ADDRESS: p PRIVATE 1 ❑ PUBLIC USHE WELL 1 - prima - secondary ESIOENTIAL ❑ PUBLIC SUPPLY ❑ AIR /CONO. /HEAT PUMP O ABANDONED ❑ BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify) O INDUSTRIAL ❑INSTITUTIONAL ❑STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGc =-l" c gal. REASON FOR DRILLING .[]REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION ❑ADDITIONAL SUPPLY EW SUPPLY (NEW DWELLING) ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH ft. I STATIC WATER LEVEL o2 JDATE MEASURE DRILLING EQUIPMENT O ROTARY O COMPRESSED AIR PERCUSSION O DUG O WELL POINT O CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED O OPEN END CASING — -- ,,OPEN HOLE IN BEDROCK O OTHER CASING DETAILS TOTAL LENGTH (401—ft. MATERIALS: _ TEEL O PLASTIC O OTHER LENGTH BELOW GRADE & 0 ft. JOINTS: O WELDE—D--I�THREADED O OTHER DIAMETER in. SETt-&QEMENT GROUT O BENTONITE OOTHER WEIGHT PER FOOT 1b./It. I DRIVE SKOE-�QYES O NO I LINER: G YES O NO SCREEN DETAILS DIAMETER (in) SLOT SIZE LENGTH (It) DEPTH TO SCREEN (it) DEVELOPED? FIRST OYES ONO HOURS' SECOND GRAVEL SIZE: GRAVEL PACK O YES O NO DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH ft. WELL YIELD TEST It detailed pumping D METHOD. O PUMPED tests were done is in- OMPRESSED AIR , ! ormation attached? O BAILED O OTHER ; ❑ YES O NO WELL LOG It more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE water Pear- ing Well Dia- Deter FORMATION DESCRIPTION CODE tt ft WELL DEPTH DURATION hr, min. DRAWOOWN ft. YIELD. gpm. Land ce ft. 49 C491, , ehou WATEr— &CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED ?*--I!5<S O NO ANALYSIS ATTACHEtr -GJXES O NO STORAGE TANK: TYPEkIQ%tNkXT401., I - CAPACITY oL GAT,.. � 10 PUMP IHF RMATION TYPE ti MODE 1 CAPACITY 1 DE H �C� VOLTAGE HP e 1.� 1 dMAKER � StGNATu 4LD CIA E E ��� 3/89 D HARRY W. NICHOLS JR., P.E. July 28, 1997 Robert Morris, P.E. . Putnam County Health Department 4 Geneva Road Brewster, NY 10509 RE: Individual SSDS Compliance Windsor Oaks - Lot #47 Patterson, N.Y. Dear Robert: jLAURENT ENGINEERING OR ASSOCIATES, P.C_. MIL'LBRObKE bFFICE'CENTRE _ Route 22 & Milltown Road Brewster, New York 10509 \ (914)278- 6108 - (FAX) 278 -2658 CONSULTING SITE ENGINEERS Enclosed are the following: 1. Four (4) prints of Drawing S -47 "As -Built Plan ", dated 6- 10 -97. 2. "Certificate of Construction Compliance for Sewage Disposal System ", dated 6- 11 -97. 3. "Guarantee of Subsurface Sewage Disposal System ", dated 6- 11 -97. 4. Well Completion and Well Log Report, dated 7- 14 -97. 5. Water Analysis Report, dated 7- 15 -97. 6. Money order in the amount of $200.00 payable to Putnam County Health Department. If there are any questions concerning the enclosed, please call. Very truly yours, LAURE T ENGINEERING ASSOCIATES, P.C. i C� Harry W. Nichols, r., P.E. HWN:TR:bd 95082 C APPENDIX C F I NAL S 1 TE I NSPECT I ON LDATE : 9 // Inspecty: STREET LOCATION �� \W tL r ✓ 1 N EP - - PERM I T # "' °� S TM # OR SUBDIVISION LOT # " 3 ^ '- f I. SEWAGE DISPOSAL AREA a. SDS area located as Per approved b. Fill section - date of placement q.1 L..., - -- -- . C. Natural soil not st d. Stone.brush.etc. gr e. 100 ft. fran water 11 SEWAGE DISPOSAL SYSTEM a. Septic tank size - b. Septic tank install c. 10 minimum from i d. DISTRIBUTION BOX 1. All outlets at 2. Protected beloH 3. Minimum 2 ft. c e. .JUNCT ION BOX - Prc f. TRENCHES 1. Length reouirec 2. Distance to wat 3. Installed accor 4. Slope of trench 5 . 10 feet from Pr 6. Depth of trench 7. Room allowed fc 8. Size of gravel 9. Depth of gravel 9. 9. PUMP OR DOSE SYSTE 1. Size of pum-ob 2. Overflow tank 3. Alarm, visual /a 4. Pura easilv ace 5. First affl sane eievazion frost •iginal soil bet )er 1 v set :rcourse measure ling to plan acceptable 1/16 )Perty line - 20 < 30 inches fro expansion. 100' 1/4 - 13'r" d i amet in trench 12" m " YES NO CENTS nd trenches f t. ►/ t/ 1/32 "/foot feet - foundations surface r clean T nimum 6, -:arc a witnessed by Health Department 111. HOUSE estimated flow a. House located pe b. Number of bedroo IV. WELL a. Well located as b. Distance from SD c. Casing 18" above d. Surface drainage V. OVERALL WORIQ AM I P a. Boxes properly q. b. All Pipes partia c. All pipes flush , d. Backfill materia e. Curtain drain in, f. Curtain drain ou- 9. Footing drains d h. Surface water pry i. Erosion control i •:i;dPG!'- t21J 4r" /i'bY`i i��^d c,S ._ 77 COUP fix IBM MUM -NtZ f Z., t Ifi Approved 7 k1 IP j W Vw, a a Q Sqpw Tw 0 j¢ p� bi, 64" ""'4""'deiiOlbW"Will'beiiWnstructed swihowei "Como W." NP will N4 'CO 0 IThlS!bPPnW4VOxP 011 tvvdYem 'Iii `l_r_006iw IJ, tv, no. "_ M_ I.:: I I .� I na i I no- tip ocans"s by,, build", lw chonge,or:, YX zgNA.111 VI ­­A T i"T Am.. 77' - 511 Fill. �L5 is to, C P. 0 : WNR 1 7 LOCATION . , ;Street= Addr'essT ".t 0.J-y { {Town V = " a Name'r <"" Mailiri a Address ` t G1Private v r J. WELL OWNER a 7f u ubi E OF�j WELL" r r' ( RESIDENTIAL O PUBLIC SUPPLY Q AIR /COND /HEAT ; ONED`, ;BUSINESS 0 FARM 0TEST�OBSERVATION r 2 secondary n r ,ysp O h'..'i: :!. �.:� v'.�•1....S...s .. ... t.). ;r . ... ..s.:..,.. ...._',.. .'.''r. :..._ -: .. T"ri i(, i.t a ,.1.:.. s -.. A �).'r,•t. __ AMOUNT OF USE V V YIELD SOUGHT '}� gpm /* PFOPLE SERVED /EST OF DAILY USAGE Q Q a REASON FOR T Tr E REPLACE EXISTING SUPPLY O TEST /OBSERVATION 4<: d ADDITIONAL SUPPLYr � DRILLING C C�NEW.SUPPLYN NEW DWELLING O DEEPEN EXISTING WELL `mow` s REASON FOR CIF WELL °IS; {LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION -'Lot e 10 5 `�J��Y' GU�t;�► 414 '�� ,7UNUT�oN oox (rrP) TRENCH CTl'P) � R8' � �g • �� ��%N ARVA se9 ' IN, \���, • la Putnam Cou 1xvision of Ez t 46% z �' _ Cou OZ 4 DIMENSION CHART (in f t.) No. ce / 33 2(0 2 35 53 .3 3!0 5e 4 37 G 3 5 ¢Z 74 7 5/ 945 8 57 99 /0 7 /00 I/ 73 /0(p IZ �fZ ,3l0 /3 -49 Z 17 loo 72 /8 90 /9 7& 9!0 ZO 79 .ylo Z/ B9 /0( 22 99 //8 23 /03 /2¢ Z¢ /09 /30 25 //8 /39 I / COUM D]WA> BPP.OF EMALTH Dk"M d n skesseantttl now* Seadoea. Csl" N.T. IGS12 FSN"dl i11 CA OFCO �.��. PREW iron WWAM D109SAL SYSTEM Pra It F C Towle or � ►-� 1 C� -1-�! I � t� t t�421 J � D - . TM Mep r- 81ocit 2 O..ar/AffilaaaRNa. ��'rL,�M)��NTt S Reve°wal --o Revidlim b" ttt.� Asliaaa � OLIN IUD o-Frs .2 2 Date of Pavlov Apipavind TbwnQ!I�� a f� ZIP G 5� Date Subdivision Aunroved Fee Enclosed Am �OD Od niint sea ft iyp 25 W n AL, Lot Are. 'V. '6'q t'o fi %StG Naasiar d Haie�o- % � Sectbs. �!' � &s.ZValooe dGG� Denim Flow G P D 00 FC® NodilestlN to ttevllfed Wb. Fm In cestplated Swera . Ss-My S7atr is Coif d _j G C) G" Soplc Tuk s. (aOfJ AO-SS N i� tt 7� lew, , teeetad by- Weiss Sam: Fab■i: SM* Fns Address I represent that i am wholly and completely responsible: for the design and location of the proposal _ separate above described will M constructed as shown on the approved amendment there to and in accordance with the standards. u16s a a reyuw aof ol'i tMY i m County Sa aced to the Deportment. Halth, . anfMt - completion thereof a i•Cortifieate of Construction Compliant.•• satisfactory to the Commissioner, of Haaithwill now a wl in god to tM DaOMtmMt, and" a written guarantee will be furnished the owner, his sucoasso►s, heirs or assigns by the builder, that said builder will plate >w' flood owating cwwltion any .part of said "'Wage disposal system durkp the period of two (2) years knme lately following thodate Of tIN isau ante of the approval of the Certificate of Construction Compliance of the original system or any repairs t o; 2) that the drilled will daoriise0 .bow wile W kitatad as:howl on, the approvbA plan and that ssW wolf will be krit in actor.. p w tM tta County Department Of Health. s, ru a ►pu a ns �Of�[ the Putnam Date IO Z Sinned R.A. - Ada.g�_t_� L,GS�.6aKi� o c � r - license No�� IT APPROVED FOR CONSTRUCTION: This approval expires two years from the date I unless Construction o1 the building has been undertaken and is evocable for cause or may be amended or modifled when considered necessary by t less c st HMlth. An change ►estuires a new permit. Approved for difposat of domestic sanitary sewage, d /o. afr wa su y or alteration of construction ReV. _ pply only. LO/88 D.e. /� sy -�- T1tle IS WELL SITE SUBJECT TO FLOODING? YES �_NU IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIV151DN: —',tN WATER WELL CONTRACTOR: Name 'jj17 Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: j�4��c TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN:. LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ON SEPARATE SHEET _2 _ =' (date) sign ture) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. R t n a form provided by the Putnam County Health Department. Submit a Well Completion epor o shall take appropriate action to assure that drilling operations be contained on this otherwise contaminate surface or groundwater. ermit Issuing Official During all well drilling operations, the applicant any and all water or waste products from such well property and in �such a manner as not to degrade or Date of Issue: Date of Expiration 19 Permit is Non - Transferrable 3/89 White copy: HD File Yellow copy: Bldg. Insp. Pink copy: Owner Orange copy: Well Driller Purim cxTmy DEPARTm= of HEALTH DIVISION .OF . ERmicammL HEALTH 'SERVICES SYSTEM Address _14041JOV owner' , :S� Located at (Street) \J'1 Sec. Block 2 Lot (indicate nearest cross str eet)' Wmcipaiity Watershed. SOIL PERCOLMCM-TIEST DATA PMU= TO BE.SURdr= WITH APPLICATIONS Date of Pre- soaking : Date of Percolation Test .HOLE- C1= TIME PERcb=cN PERCOLATION Run Elapse Depth to Water ]Fran Water Level NO. Ti Ground Surface In Inches Soil Rate lu'pr Statt-Stop Mint. Start stop Drop In Min/In Drop Inches Inches Inches o, 2 .3. J'I �j - 201 14 4 .5 Tom .3 .1 qty- 17. 1 4 5 2 30 21 `2 -2- 1 '7, 3 4 5 N=:... 1,'....:,Tests . to be repeated. at same depth amtil apprmimately equal soil rates. are obtained at each percolation test hole. All data -to* be submittta . for review. 2.:..:. Depth neasuremnts -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. 2 HOLE M. G. L. - lJ ��0�,1, DYE I l� • - 1' 2 3' .41 _ 5' _ 6' 7' i 9' 10' 11' 12'. 13' 14' INDICATE I.&- VEf.,- .AT WHICH GROUP IS _ _ __ ....: - ► �, . - . _...... _ -. -- - -.�:- - •- .- - -- FN00UNTERED • INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERM DEEP HOLE OBSERVATIONS MADEi'BY; Dom: DESIGN ' Soil Rate Used J� I . +0 Min/1" Drop: Q, r p S.D. II- able Area Provided. No. of Bedrooms J� Septic Tank Capacity I 0 0 Q gays, Type C G Absorption Area - Provided By O� L.F. x 24" width trench Other TA- i i I N 2, Jr 0 •. =LfY� Name -� A Iii° VI , I r;0-6 L-.S J� �• Signature w Address bALL K rl ct- 42:�1T12553 SEAL N o. 561 24 , V4 T;�FrZ € R NPR 0.FESSI0 THIS SPACE FOR USE BY HEALTH DEPA ONLY: .. Soil Rate Approved sq.ft%g L -Checked by Date 7E'iC7'TNAN� COiJNT'SZ" T�EPA.R'TN�ENT Off' 4 EAL.'z' AFF =L C/ Tim i r�R— +PrnO ' { -JF PLANS rOR, A NASTEV,ATE y 0ISP00--A1i;.:S`S 1 . Name and Address of Applicant: ` 9o1LAU 2�1� S w 2. Name of Project: M6 17 �SDS 3.•_, Location T/V /C: `PP(T�>✓I�G�� 4. Project Engineer: I,�ARQi V4, N)C 4-7)LS JQ X49• r--- • 5. Address: Vilw } gag 6�rFIC_p Ge1.lT,C License Number: 5012 Phone: alb -(oI 6. Type of Project: Private /Residential• Food.Serv•ice ...-Commercial , Apartments Institutional Mobile Home Park Office Building: :y Realty Subdivision Other (specify) 7. Is this project subject to State Environmental-Quality Review (SEQR)? hi0 Type Status (Check.One) Type I.. Exempt Type II. Unlisted._ 8.'I8. a Draft Environmental Impact Statement O EIS) required? ............. N G 9. Has DEIS been completed and found acceptable by Lead Agency? ............. 10. Name of Lead Agency 11.• Is. this-project in an area under the control of -local planning, zoning, _ _.. .or" other 'official's, 'ordinances? ............ ......................... 12. If so, have' plans been .submitted to such. author .sties ?..................... 13. Has preliminary approval been granted by such authorities? lA Date Granted: 14. Type of Sewage Disposal- System Discharge..... Surface water Ground Waters 15. If surface water discharge, what is the stream class designation ?........ :6. Waters index number (surface) ........... ............................... NJ A �. Is project located near a public water supply system? .................. I�IG s. If yes, name of water supply Distance to water supply ` 9. Is project site near a public sewage. collection or disposal system ?..... go -0. Name of sewage system i� �% Distance'to sewage system r t. Date observed: 23. Name of Health Inspector: 4. Project design flow (gallons per day) ..................................... �oDG 2. 25. Is State Pollutant Discharge Elimination "System (SPDES) Permit required ?.. 26. Has SPDES Application been submitted to local DEC Office? ...._... ..... N�/kT 27. Is any portion of this project located within a designated Town or State wetland ? .................... ............. ............................... — - -- 28. wetland ID Number .. ..................... ............................... i _- 29. -is wetland Permit. - required ?................................................ G Has application been made to Town or Local DEC Office? 6 ..............'... 30. Does project require a DEC Stream Disturbance Permit? y 31. Is or was project site used for agricultural activity involving application of pesticide$_ to orchards or other crops, solid or hazardous waste disposal;``` =" landfilling, sludge application or industrial activity? ........ YES or NO 1l C ' 32. is project located within 1,,000-feet of-existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known - source of contamination? .....'.........YES or NO DESCRIBE: 33..Is..there a local master plan or file -with the Town or Village? 34. .Are community water, sewer facilities planned to be developed within 15 years? 35. Are any sewage disposal areas in excess of 15%. slope ?. ........................ 1 (' 36. Tax Map ID Number .......... 37. Approved Plans are to''be: returned to: ................. ' Applicant _�: Engineer If the application is signed by a person other than the applicant shown in Item.1, the: spplication must be-accompanied by•a Letter of Authorization: Failure to comply with this provision may be grounds for the rejection of any submission. I hereby.affirm, under penalty of perjury,,-- that information provided on this form is true to the best of -my knowledge and belief. Fa Ise statements made herein are punishable as a Cla s A Nisde%�eanor pursue t to Section 210.45 of the. Pena 1 Law. /� ► � 7 >IGNATURES & OFFICIAL TITLES: 'JAILING ADDRESS:t�iJCl���K�f no c Greenwood Series' P. O. BOX 323 BERWICK, PENNSYLVANIA 18603 (717) 752.5914 (t�2 F� C 0' • R O • 1. - • ucu. a sME BEDROOM 2 BEDROOM 3 12' -0 "x13'-3" 10' -3 'x13' -3" 1 KITCHEN FORMAL DINING 1 1' -6 'x 13' -3" 10 " -9 "x 13 " -3' LIVING ROOM uA 19' -3 'x13' -3" SUGGESTEO LOWER LEVEL ool. Oao� ool. ..•.A. 0 C.-. 3 ,a / UTw,TY © . -'- - -- TWO GAR GARAGE 'A.'LY ROON l ------------------ - - - - -- -------------- - - - - -' I I - l Elevations are artist renderings and may vary to actual construction. Floor plans and room sizes are approximate. Appliances shown are optional. Plans, Specifications and Prices are subject to change without notice. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES-...'. Date Ia' 27=.5 Re: Property. ofST�j��1�t�. Located at (T) T Section �� Block .2 ` Lot Subdivision of,� Subdv. Lot # Filed Map Date Gentlemen: This letter is to authorize t"�L' ILi ILI, a duly licensed -professional engineer Y-- -or registered architect (Indicate) to apply for a Construction Permit for a separate sewage•system, to serve the above noted property in accordance with the standards, rules _or regulations as promulaga.ted 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 construction of said system or systems in conformity with the provisions of Article 14$ or 147, Educatio J�•�'T -the Public Health Law, and the Putnam County Sani- F NEW Lary Code. ,�P '�.NICN� f %r sC � ► CC Very truly yours, Signed Counters* e ROF 0 r of Property P.E , 1�-, #JIOI %�" Address -M i L na�l c.FNT L M Old. Address Town Tele hone Telep ne Mr. William Hedges Putnam County Department of Health 4 Geneva Road Brewster, NY 10509 RE: Proposed SSDS Windsor Oaks Lot #47 Highview Drive Patterson, N.Y. Dear Bill: Enclosed are the following: 1. One (1) print of Drawing SS -47 "Proposed SSDS ", dated 10- 27 -95. 2. Three (3) prints of Drawing SF -47 "Preliminary Plan For Fill Placement Only ", dated 10- 27 -95. 3. "Construction Permit for Sewage Disposal System ", dated 10- 27 -95. 4. "Application to Construct a,WAte'r Well_., dated -*lQ 27 =.95. _ 5. "Design Data Sheet ". 6. "Letter of Authorization ", dated 10- 27 -95. 7. Two (2) copies of Residence Floor Plans, for "Bedroom Count Only ". 8. Money order in the amount of $300.00, review fee. Please review the - .enclosures and issue the construction permit at your earliest convenience. Very truly yours,,,. LAURENT ENGINEERING ASSOCIATES, P.C. Harry W. Nichol Jr., P.E. HWN:bd 95082 enc. cc: Mr. S. DeLaurentis w /enc. LAURENT ENGINEERING ASSOCIATES. P.C.- .. , .. • __ _._ _...__ _ __ 4_ _ - - MILLBROOKE OFFICE CENTRE Route 22 & Milltown Road am Brewster, New York 10509 RANDOLPH W. LAURENT, P.E. (914)278- 6108 - (FAX) 278 -2658 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS October 30, 1995 Mr. William Hedges Putnam County Department of Health 4 Geneva Road Brewster, NY 10509 RE: Proposed SSDS Windsor Oaks Lot #47 Highview Drive Patterson, N.Y. Dear Bill: Enclosed are the following: 1. One (1) print of Drawing SS -47 "Proposed SSDS ", dated 10- 27 -95. 2. Three (3) prints of Drawing SF -47 "Preliminary Plan For Fill Placement Only ", dated 10- 27 -95. 3. "Construction Permit for Sewage Disposal System ", dated 10- 27 -95. 4. "Application to Construct a,WAte'r Well_., dated -*lQ 27 =.95. _ 5. "Design Data Sheet ". 6. "Letter of Authorization ", dated 10- 27 -95. 7. Two (2) copies of Residence Floor Plans, for "Bedroom Count Only ". 8. Money order in the amount of $300.00, review fee. Please review the - .enclosures and issue the construction permit at your earliest convenience. Very truly yours,,,. LAURENT ENGINEERING ASSOCIATES, P.C. Harry W. Nichol Jr., P.E. HWN:bd 95082 enc. cc: Mr. S. DeLaurentis w /enc.