HomeMy WebLinkAbout1475DOCUMENT CONVERSION SERVICES PROVIDED BY
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r CEO&�I KATE Of�.,C ®NS`T_RI �IO.I p MFB.IAeI CE FORS SEWAdtAi POSIAL SYSTEM; t -
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rLOCated" ,at zr a n c Section BIOCk
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i'64 I
" } 2McG�lasson J1Bu11der�, Inc I_ot'� .�
:
w YUwner 4 X93 Gl ene1da Ave ,x 2 ;
Separate %iSewerage ^System built l'iiyt d4 Address �� , Carmel d
r -; r '1:0� 0 k,' rh 'w,.�,S-d
6 hr + ,, _.. r f Y E ^, .�. ri51 7 K•,'�x.3i to v, n` rySi
rr. K F. S 1 r. i T r t` u n e^:,mao'7"-.,, SW dth�trench�;'
Consisting of Gal Septic .Tank lineal Feeti -X
w 'r _ ''� k• ztr.. .G ]r rk {i ' ,-r �. i` "r`i
}
Other requirements 1'h 5t Dla a $e ae �1�tS
Public From y
Water SuPPIY
SuPPIy p- v h,, Y� f
:Private SuPpIY Drilled - BY$p`Yd grtesaldn,Wl S } TM k k ti
t,.. rRoute� 52, °Carmel',` "NY 105112 >, "V M
i z Address
Frame ":. >..... i. '.`` ..J_ ~_ Tfiree� t `Date. Permit issued = 2 < %ZBJ %5
�rBuII in9: ;TY,Pe Y tNO + of Bedrooms 4 1 r�
h ^Has Erosion Control Been Completed2 1 +e 7 v
±c ? q
d s F (
1 cecttt ahat;the system(sj as IisLed serving3thetabovepremiseswere constructetl essentially aiAshown on the plans of the'compleLed work (copieszof which are ,{
j=attached) and ;iri accordancetwith the standards rules and reguWtions plans filed ' nd the permit _,issuetl ntiy Putnam C -ounty Department of Health <,
�
p k e
Y 3 2 -wf f
17 D'ecemer 1975; P E� yx R A
h
li Date 1. 1 CDDBrtl�fied yy� r I�T�n CC F r l
} ^i>ddress•'` ���051 a �Clcense tv0 G7„�OV 7. -;,
r An `arson occupying pemises served by =the above system(s)zshall - promptly take such action as may be necessary to secure the correction of any unsanitary+
y.,
f4
conditions -resulting._from such gsage Approvalof the sepaiate; seweiag system :shall become null and void as soon as .a public spnitary sewer becomes
s.
a are
i•availa le and fhe approval of $he private ;water }supply shall beconie null rand void when a,^publie water supply becomes available Such approy Is
r sub)ec�L to modification Tor change when =in the judgment- ,of-theyCommissio `�of Health, such rev tion, modrfieation :d► change is ,necessary
Date ` , o BYE O i Title. x
Y
F
K
LOLF-Ee
LIMNOLOGY INFORMATION AND FRESHWATER ECOLOGY INC.
PONDEROSA ROAD, CARMEL, NEW YORK 10SV2-
914 - 225-4070
ANALYTICAL
LABORATORY
12-18-75
NAW OIL PLANT
New Home.
MAUsING ADDRESS
Tainmary Acres Lot 3
Patterson NY
ATTENTION COPY to
Ed. McGlasson
PMM
COLLECTED by SAMPLING SITE COLLEx CTION TIMES) SAM?LE # if any
Grabx
E. McGlasson Kitchen Tap Colvosite tart
;inish
LABORATORY ACCESSION# DATE COLLECTED DATE RECEIVED /TIME DATE ANALYZED /TIME
753222 12-17-75 12-17-75/1000 12-17-75/1200
AU,MALyTICAL PROCEDURES CONFORM To FEDERAL GOVE14&W STANDARDS An ARE PERFORMED ACCORDING TO CRITERIA ESTABLISHED
BY STANDARD-METHODS, 13th ED.., 1971, AND E.P.A. METHOD -EPA-670/4-74-009 OR MORE RECENT. THE FOLLOWING RESULTS ARE
mipmsmm IN mg/L Muss OTHERWISE DESIGNATED.
Coli counts
0/ 1 00ml MF
THIS IS TO CERTIFY THAT THIS REPORT IS CORRECT AM COMPLETE TO THE BEST
L 17
E C , -23 1975
` . N H. PRENTISS, p.e
r
McGlasson Builders Inc. Patter2on
Owner or Purchaser or Building Municipality
Owner
Building Constructed by
Holmes Road
Location - Street
Tammany Acres Subd.
Section
Block
Frame 3
Building Type 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 :Wade 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 Divi.sion.of Environmental Health Ser
vices of -. the' Putnam- -County Department of.'.Health 'as to whethe -r "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 17th day of December 19 75 Signature
Title
(If corpora ion, give name
and address)
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMP1,ETION 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
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.
Owne Addressj
Located at '(Street' T ~� r ,$I n(,V -.t ��Lot I. OMcaze eares cross s•-ree
Municipality /vIA6"&*% Watershed .
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION. PERCOLATION
Run apse Depth-to a er Water Level'
No. Time From Ground Surface in .-Inches., Soil Rate
Start -Stop Min. Start Stop Drop in Min /in drop
Inches._.. Inches :. Inches
/ 1
2
3
'+
AA
5
i. 1./�►�
/ S
%
2 1pe
tim
p_.
. 1.
.
2
3
Af. '
Notes: -l)
rates are
Tuts to be- "repeated at same
obtained at each'p'ercolation
depth until aroximately'
test hole. All pppp data to be
equal soil
submitted
for review.
2)
Depth.measu e�ments to be made
from top of hole.
Address -R D. 6 b 353.
tarmel New York 10512.
fESS10
_.
THIS SPACE FOR USE BY`'HEALTH DEPARV ENT ONLY:
Soil Rate Approved. Sq. Ft /Cal. Chec by
If iNE 90T
i
Date
tIthL.WPO4"iMET0101Y REPO'
'd/'f'9 ,,�,; " . �, �,}�kc:cM O? ry�',r.•::s.-:xc��.a: .•sry�,., ��1r�:;t!b
N YORK
$IAN rep-xi h -to be CoAvleted',lbv . serf; dri1kr and s -, }a3' � ryo rtitim7 Miegnf9 t°ie stm��}e Q +age +It c s +,ass °? .o y:cr report
saafysis pit watw tSAr)fS:�t irttoicai }vr t r is r�9 �atrK.fgttt 3 bact'nLA q�0sl�t�r, i�fa0'aa �te�f9��ta st �t��n� +: �* t::c;: v3ta?;�flab�tR 6b -SUM d.
: il£P+ . i' •. 4619'R�S BE- #. 110 shI'i"M 30 PAY N, VF WELL COMPLETION`:
m�mr.' aoeR+.sws�ceaau�owv�cs�epr�tpmce: + wn. rrs.: u• a ..'mmaL'�smmm•nammrcw.ateyewaax - dew. vi>, q. vosnev�nrp- .�nyau;�tvsnsa�pwv >'
McGlasson Builders Carmel, NY OCA ��.
T:a3P$ t�Ra r p
OF WELL Old Bullet Hole Rd Patterson
+ s!(� DOMESTIC EVAMISlu?�tNT q....4
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