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HomeMy WebLinkAbout1423DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -2 -9 BOX 13 01423 ti �r r �' i r me,. al r 4L I 01423 �� PUTNAM COUNTY DEPARTMEN d , Division .of; fnvl�onmenta/ Health Servii"es,- l CERTIFICATE. OF,CO,NSTR'U.CTION COMPLIANCE ,FOR'EWAGE is s, 4► v� 4 r i 4 t wn of Patterson j Town or Village ast `side °tarest Gate Terrace E ' Tax 'Ma Block - Located" at Ela ene M; O.fRei11 ., Owner . "• Tax'Map Lot'•# r _ Subd R.ichard, Tompkins Matte >rson 5 , N. }Y. eparate Sewerage System b'fuilt by Ad , Consisting 'of y�oo OaL Septic Tank and' 1: ft, inch :trenc ly '01 Other ►egulrements Q e Water Supply Public Supply From X• - .Private Supply Drilled By Albert Hyatt ,.•. Address irn,t n'1�"G Clu1\ C7V Building Type Z • S.t� dWea.11il�. NO. of Bedrooms_ Date Pefmit Iswed, Inc PT �lE HE A LT Has Erosion Control Been Completed? n0 I!certify that the spstem(s),'as listed serving the above premises were constructed "essentially`as shown on the plans of the completed work ( copies; '. oaf which are $ttac�ed), and in accordance with the standards,.rules and regulations, in accordance with the.file esa issued 5p the ; PutnamCOUnty ..Departiaent•Of ,Health: Date July 2 1. '1979. er rfied • s der : Address . Hor.shpbun oad ' Carta 11 NY.: License No. 9845 Any person ofcupying premises served b,y the above systems) shall promptly take such action -as may be hecessary;to secure the correction of- any unsanitary ebndifions resulting from . such - usage. Approval of the •separate sewerage system -shell become null and void as soon -as .a 'public sanitary sower' becomes available and- the;approyal of the private water supply shall become -null and -void when a- public water•supp becomes available. Such `approvals are ubJect to modffieation' or change who in the Judgment of the.'Commis er of Health, such revocatio modification or change As necessary. . y Title "'- � -"'S^' •4. S -r- �...- ,�, u^'r -'.-�' '£,^'� "=sue 3 � t 4"' � •^^.-�� —7 ` t ; - •� a e PUTNAM ANALYTICAL LABORATORY a 10 :§i6 deio Avenue Collectlon'Depot ofwYORKTOWN MEDICAL LAB INC Carmel, N. Y10512 225 5563 1 478..: %.iyiL 12 O:z - -, . � . I.,AdTF (`(]T T, F("!'FL•'1 . ,. �, r , ._. . i CITY; VIII ,Vy"Oe ftwwtom I Owl p5rwF4 a, PLITNAM POUNTY PEPADMINT ap "@AILU Division of Rporgramenmi mecith fArv*4 COUNTY OFFIC9 pUJWINQ • CA411411., N9w yQ1116 Toil 19pon If s.9 bo p9mplow by W911 drilla pn4 submitteq to Co h .ynty "@Olt P.aportmen; 1:96ather With 1po GOV* 99t §amplo ind.icqVn qrqory r9par, of water 1p qf 6ptipfa ctqryboc;erialquolity44f9r6cqFtifir-atoofpgnqtruo:ti —Ir-7 ., on .'MUST �DE SUBMITTED WITHIN 30 DAY11 OF WELL C OMPLETIOAll Imp flAt± .,CPU • -per FAA! TFOT WN OUR" I"pupaig. All —fArU9a*0,0 Alit PIRCUS. Sign - C.ASLII OTHER PIPT11 41 141111111.4 (nap!) W419"T PER I'M (Wcify) � To" All 11S�uRS fa G.P. fMqA;A-5T4T 1q;popity root) DU41HO . . VlqW , ..... .. ... I. . .. - Opp* of Camplfftd Weil in fo9t 10,1qw Land -#M99pt k9 NOTH 9711 IF GRAV9l, 019mator of well ln;luolag X4 q# ?1, (t T 0 9m wo NQCid PACKM ancow: Fogy to pool FORMATION P;;;RiPTIQ". tCh B"Ot 1*00f'On Of W411 With 090074:401 to a1 J"qf If 01a wQQ 100 4 4 mnj!, p,.o d al �ptha civring drilling, liet below GA&LOMS PER MINUTE R i gc- .7) 5 AUG 11979 PUTNAM COUNTY DEPT OF, HEALTH e Ce c-- /11 g&' -1I�1. Owner or Purchaser o Building Building Constructed by E -5 7- c4TE Td-1ekgCC, Location - Street 0 0 2AMr ' 0©1-ofttA4- Building Type Munic pa ity Section Block Lo 7 7 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 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 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 system. Dated this day of 197 Si gnat ur �,. 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 F ;: AUG _11979 PUTNAM. COUNTY. AS: !BUJ i. PLAN NOTE . riar.5 is ro c arlFY: ruAT_'rN SSE �t�saz SYSTEM WAS CDIJSTROCTEU AS. NDICATED 0;V,;7 "PLAN " "� AND THAT THE 8YSTEIVI WAS;. lNS'PECTED: BY ME !3 €Ff�RE /T �� '.. ./ WAS COt!ERF-D'OVER- T14 `SYSTEM ➢VAS COnISTRUCTED ACCORDANCE WITH ALL THE RULES• „4ND QEGUCAYIONS. ` EPAPTMEN OF N A.*L OE PUTNA,M COUNTY D.. THE - i ' . - - t o r EXCEPTIONS TO T4 A80vE; %FANYNOTED "BELOW. rr 2{F 1 %dy�X 1a4.. p:' J .. rl ?, F'.. f`f l�Vf_=Vf T. . -; +� r r.� - `�•t /D I�J'.� r '-"`", c�NG:,�L•i 4,5 - \ J ..`� a `� �,i rcj to vvtL APAR.0 - � � '� AUG 1`1979 AUTNf.M COUNTY VER1,0E HEALTH s T. I®L>4 s Tic M, o. $URIEM�NT LQ Q I TIE - `tvIEA .; 4? LOCAT'J`O N' ` rr PUTNA.fN COtlNTY N. y` c ea'r� ta rD.W FAiiE_R fed:. /4/�7 'PPvv t.... ; T ; + ��.� z + a f -AUG6 t Yill� - a ?4�'ESSiP.':�� 1'E55 ..ENl2, P G� ,it, - �' r .z r i. - m s,�+. i .,,•. �.. p1VIS10NG1�y ,� ,... . -'• -::. :. .r, ':. .- .�l��rr''. •-s.° �. ,tC'�.F .:-'' ,i” .s , . j/ 1. , E yL1yTJ1. «. , x . „ : ?•, ,t a :; r z n , , �, .... ,, ..,r � , .;c,,,, [: ,+ pro s95.onw/ , _ q. _.5- :)�'2.��. 'X _.,'... y ,n ..,,la. ,. ;.,.. : +,. :, ,.• _ mt' .x f. 'e•� Y:. A f�� t .� v h .,y,. 4°,q.. ,. ..p ,:_ s ,. •r.l - ,... j .x. .,:� n..w , s'xi 54 �k 5 permit 69u®d � s ' PUTNAM COUNTY DEPARTMENT OF HFALTI ll/29/78 9 s / t7 Division of :Enwronmen�al. Hea /ih Services . Carfhe N: Y 10512' r Vl5w 'CONSTRUCTION. PERMIT. FOR SEWAGE DISPOSAL SYSTEM APril -of. 17s 1979 Patterson a5 side of t ° rest 'Ter-raL`e 76 Town or .Village 1 - - Located _at .Gate -vam p Block Lands of Clara A. Pfeiffer. 2' Subdivision .x - Tax.. Map Lot # Sµbd #' ° Eugene Me 0 Re i 1Fly . 66 Wes. Lake Blvd Malio` ac'. Owner Address " P - -DIY t. Buildirig Type 2 sty : "dwellino 2 -acres �!-} _rte —.. Lot Area Number of Bedrooms _______ Design flow 8 -10 Mine Total Habitable Space —Square 'Feet 1200 21-trench ) leaching pits 'Separate Sewerage System to consist of Gal. Septic Tank and �- ft: / ( ) ;( x Richard Tompkins (subj to change Paterson N`o -To be constructed by - _T..__....___...__ _ r Address _ ! Y Water .Supply: Public Supply . Frorri R Private .Supply to be drilled by Albert Hyatt, " Address Patterson, N, Yo 'other 'Requirements E�.l]s_l�a���en measured and tested and found-to conform to 'note #10 S:'steiri to be conetticted, in accordance to plan dated April 17, 1979 I represent that am wholly and .completely responsible for the design and location of the proposed system(s); 1) thatthe. separate sewage disposal 'system above described will be constructed as shown on the approved attachments hereto and in accordance with the standards, rules and regulations of the pytnam.County.Department Of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commission- er of Health will be submitted to the Department, and a written guarantee will be furnished the owner,:his successors, 'heirs. or ,assigns by the build- er, that'said builder will place in good_ operating condition any -part of said sewage disposal. system during the period of two (2) years immediately following the date of the issuance of -the- approval of the Certificate of Construction Compliance of the original system or, any repairs thereto; 2) that the drilled' well described above will be' located as shown on the approved 'plan and that said well will be installed in accordance with the stan- dards, rules'and regulations of the Putnam•County Department Of,Health. , April 17,. 197,9 R Date Signed P,. . Burkebs' & B hr, P, C., 9845 Address APPROVED FOR CONSTRUCTION This i approval revocable for. cause.or may be amended'or,.modified N requires a no* perrgit. 'Approved ford sposal of 'a Date ^s License No. pir one year h he date is d unless construction of the building has been undertaken and is e 'consid Oise missioner of Health. Any change or alteration of construction n a. se' e, yd /or ri to Water supply Only. Title�0 DEPARTMENT install fill P Health H f - 11 r_ Town b ST tM I dAL'.'O PERMIT -FOR . :.rpwn. ovymape., 7 T"_ k Lo Med.. a Lands of Clara k:. fe `�Lkb 'i-B! 11 11L.9g:ene i n 2 'acre's ;J y "dw-'e"I"I", 7 Square `' ,F�e`eklll" -SPO.' T6tav Hatiftibli. m 1, ­­­ Number of Bedrooms 779:� 4� k and a e: pal. Septa an ft. 2%treiich • )leaching pits Richerd Separ t si"raoe ,System consist -t_6 ".'ChAi-I tijat-t,er,6 oil T )Address T, , constructed by W P PT atqf,,. SqRp y:: - ub�ljc�.: ­-di�j I le�i ..Hyatt .7 _uP, !Y." tt X 7 Patterson, ­ Y Tess .: —q --- --------- t ------------ Fled area WI goo qua 0 -7 iS, , �Ta f t, 0' 7a s, a p U I - - W S. C U. `b her Requirement ft $ PRi� or-9- e- 't any .,,c o n s, 'jaj�"(j) 3.) e �lu --tion of �.tl c r,6 t:e io se ate .'sew le-, for the des _gn-,arid,j�o&ation,.qf the proposed .;sYs, keprep"j: th�!j .1 .-ain 1,�hoi )�qsp�nsib tfachnibnti heFi�t�. and in *��ordance with til' afid-' rfidiilati6rii _'bs, C�5�st�C�04­�S -�hown (?n 'the a&i6,ve& a 5 item. above. 49#Xib9d w?.11, . ' - �th;`-, Commission � ' - &"' li'6ertificatia,-Of CO!IqtP�16�iiin -Cc;*liahce" 'sit T, .1 V, 1. . . I the kxtriiiii Coun�ty Dej�aitizteht -of--. ge�aiilth " and that on a 'his --Oi : ' i s. by thd uil i ai�q In iia� ' will be fm�*fii��hed-, owner, ln�a6diately b to.*fi�-,DeVqrtmteqt,. and di6p6i;a1'-,syIitqm during :. the 1��rjbd of two er.of SI_ - I . 6,.,.- "o`pe�rdjirig-� condition jh�.'�Lj* iiis-theketd; 2 t,bf,said'sewage in, riginal systeM:.6,- g tif C iidii8e of the 0 iaini rej�a a- irdan6e er, e'�k�pj6v 1--of,-t e-Cer, , i4�e."Of 60iist*RC40,� -w t '6 f t 0 hl . - ­ qg*. - alled �, ' � ` ' F f6ll6yiirig:ihe -'4ats- of the'.issuaride, h :J.st ccc the, stan7 the approved plan and that be located -Igwnz on qcatgd.ass dards,,'-titles , rogulatioga, of the q 6. ou ron `Patterson Lot Area 10 nut e License "d _6 -W B6 'We Department Of Health November; 2U , 1978 71 :Date SS"'r Tua T) oph, Ok'h undertaken _Abdiiiss n is. unless ;sj�ij�jj'bn'cif the buijdin4j­'as�� This ap "pj!PS Ct. �APP-RQVF,D,FOfk'CqF��T'R,VCT,I.ON�:- jh one ,y :Ane�*date issued era n "ith. Any cfia'nge- r'ev id When �qoqnside ne s �-by the Com is f ocio -64ise OVrnalyz I e_�amenidt"_�qr.�MOCIA !,e, _s ivat er 4 A roved ,�fof,4isposal cjf,�'dom6st ic Sa r4i a stew pRr:!p.1 Tsui B Date C' ! PUTNAM COUN'1Y DE.: AT OF HEALTH DIVISION OF ENVIRONV ''i'AL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. 939 -618 !I Owner Eugene M. O'Reilly Address Located at (Street West Gate Terrac6ec. 76 Block 1 Lot 23.7 nearer cross s ree Lot 7 Clara A. Pfeiffer Municipality Town of Patterson Watershed New York City SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS - Hole ?Number CLOCK TIME PERCOLATION PERCOLATION Run apse MpUh Eo Water Water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Mina , Start Stop Drop in Min. /in drop Inches Inches Inches 11:32 -1:41 • 9 24 25 1 9 Min 21:41 -1:50 9 24 25 1 9 it 31:50 -1:59 9 24 25 l 9 '► • -- 42 : 00 -2 x:08 8. 24 25 1 Tr 8 .. 11:33 -1:40 7 24 25 1 71r 21:40 -1:47 7 �4 �5 1 7 rr _ 31.47 -1 :54 7 24 25 1 7 'r 41:54-2:01 7 24' �5 1 7 rr 1 ' 2 3 a - 4 5 suratNo Tests e erooteshoe l pppp yda a yy e es are tain d at repeated percolation depth Allto bbmitted for review. Depth measurements to be made from top of hole. o.. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 1 HOLE NO.� 2 HOLE NO. Topsoil Topsoil G.L. _.. FF Ir 611 1211 Sandy Loam Sandy Loam : with small stones- Ir 1811 11 rF r2`h l� II It t1 3011 it it 611 3 _ 42f1 t1 Ir 4811 Rock 1 +,. -- rr 5411 60f1 „ 6611 ++ 7211 +r 78„ Rock 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED Dec. 28, •1972 TESTS MADE BY Burgess 8r. Behr; P. C. Date ~ 8 -10 „ DESIGN Soil Rate Used Min/1 Drop: S.D. Usable 6 000 SF+ Area Provided 9 No. of Bedrooms 4 Septic Tank Capacity 1200 Gals. TypePrecast conc. Absorption Area Provided 3y444 L.F.x2411 x -ell ° width trench. Good r -o -b fill to be installlQ are - too an to se" le t eas 2eMther quality graded proper proportions Name Hoy A. urgess gna ure _ Burgess 8:. Behr, P. C. SEA Address R .. h 1) 8-riorsepotmd �P �wBU "`,s x THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal. Checked `�' "° 0 to `< ` 60 days, re- tested and plan completed 'prior to any FpANO SUR ,� atxta� n of fields rq r 1-3 L w / j2o 1,-qT � � o L S seas � 'pct, G,�, All Tao SLL_ LoT 4 U:Vc 7/0 Iii (V I. T,� F, p -.\ A )� E TANk / J •3% % , / � 'C'O F dc,. EC y n r ArB,G FuTLJrz� y 10 J u�f o✓� p r ' `L' � (�n 0 _ Tao f4SD1. Au FEEUS L __.. 7Io T' TO LA C S �(wwti iF ST Box r5 C, .. - - � 00 PICAL � 2OO �Q �.L_ 7 <5, r t r ti WEUS N zod .- p THE �ROF°fa 7)4EMz a-Re NO F_YIST►N6 = + rl iCO 4Go�a � �r � r_� elf TW