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Home My WebLink About1544DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -4 -41 BOX 14 �,yti �. . l' oil is m i �. . . � . . • 01544 .._.�....z.�- • . . ,';Re k86 ,� _ CERTIFIC Located at B PUTNAM COUNTY DEPARTMENT OF:HEALTH Division of Envleonmentid Health Services, Carmel, N.Y.10512 „ "gineer Mdst Provide . '43' 8 5 j P.C.H D Permit!! OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL-SYSTEM T. , P;atter 'song. -Down or YWage Lt Hole Road ._ Taz map 79, B1ock 2 "Lot L _11 22.y Cheryl '& John Swam+ Subdivlalon'Name Stonehedgtay. Lot q' 2 Owner /applicant Name rmerty Mailing Address 325 Maple Ave. , -Mamaronech, NY zip 10543 Date Permit Issued :14 August 1985 Separate Sewerage System built by Kect. Construction Corp. Address . Box 37 , Somers., NY 10589 Consisting of 1000 Gallon Seppc Tank and 500' x 24" wide x 18 ".. de'ev laterals Water Supply: Public Supply From Address X P F. Beal & Son, gre P.O. Box B, Brewster,; NY 10509 or: Private Supply Drilled by _ Building Type:.. Frame Has Erosion Control Been Completed? As Required Number of Bedrooms :Three Has; Garbage Grinder Been Installed? NO Other Requirements R -0 -B Fill _Sec•tLon: 24" deep x 5300 sq. ft.' (336 Cu. Yds. ) i certify that the system(s) as. listed serving the above-premi §es 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 reg'lati na, in accordance wi filed plan, and the peimit.issued by the Putnam County Department Of Health. Oats 17 March 19,87. Certified by P.E. ' x R.A. RD .9 -'Fair St e , Carmel, NY 10512 29206 Address License No., Any person occupying p►emises'se.rved by -the above system(S) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resuitiny'. from sueh IAlli Approval of; the sspa►afe sewerage system shall become null and void as soon as a pubt'd unitary sewer becomes available ana the'appro'vai of, the private water supply shail.beconie null and :void When, a public water supply becomes available. Such approvals are subject, to modification or change when, in the Judgment of the Commissioner of -Wealth, suc evocation, modification or change is necessary. Date 7 By�� v Title WELL LUMYLh"11UA t,ZrUA1 Office Use Only DEPARTMENT OF HEALTH D Of Environmental• Health'Serv.iot = s visson PUTNAM COUNTY DEPARTMENT OF HEALTH STREET ADDRESS: WN lull / 1 Y TAX GRID NUMBER: WELL LOCATION Bullet Hole Rd of #2 WELL OWNER NAME: ADDRESS: John G. Swanko 6 Hillside Ave . Mamaroneck NY 10543 ❑ PBIVATE ❑PUBLIC USE OF WELL 1 - primary 2 - secondary ® RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP O ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT T- gpm. /N0. PEOPL'E SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING 0 NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION O REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 285 ft. STATIC WATER LEVEL ft. DATE MEASURED 11/19/86 DRILLING EQUIPMENT f ROTARY .)U COMPRESSED AIR PERCUSSION ❑ DUG O.WELL POINT ❑ CABLE PERCUSSION O OTHER (specify): WELL TYPE O SCREENED O OPEN END CASING. UOPEN HOLE IN BEDROCK O OTHER TOTAL LENGTH 21 fL MATERIALS: GSTEEL O PLASTIC ❑ OTHER CASING LENGTH .BELOW GRADE 20 ft. JOINTS: ❑ WELDED JaTHREADED ❑ OTHER DETAILS DIAMETER h in. SEALS CEMENT GROUT ❑ BENTONITE ❑ OTHER WEIGHT PER FOOT 19 lb./ft. I DRIVE SHOEM YES O NO LINER: ❑ YES :] NO SCREEN .DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? FIRST _ _. : _...__._ ..� _ _...�._ _ OYES ONO HOURS SECOND GRAVEL PACK 0 YES ❑ NO GRAVEL SIZE.. DIAMETER OF PACK in. inrPTM TOP fL BOTTOM DEPTH ft. WELL YIELD TEST ' If detailed pumping METHOD: ® PUMPED 1 tests were done is in- ❑ COMPRESSED AIR r formation attached? O BAILED ❑ OTHER ; ❑ YES O NO If more detailed formation descriptions or sieve analyses 'WELL LOG are available, lease attach. DEPTH FROM SURFACE Water Bear. ing Well Oia- Deter FORMATION DESCRIPTION CODE. ft. I it. WELL DEPTH ft. DURATION hr. min. DRAWOOWN ft. YIELD 9Dm. Land Surlace r ingin o rs . tt at 7 feet 285 6 265 10 21 Brillingin rock,.set casing,gro ted, in rock granite. WATEII ❑ CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES O NO STORAGE TANK : TYPE Well Xtrol 250 CAPACITY 44 GAL. 13.6 PUMP INFORMATION TYPE submersible CAPACITY 79 Gould ' MAKER DEPTH zoo MOOEL7FI4Q5412 VOLTAGe__3D_HP.1 2 WELL DRILLER NAME P.F. Beal & Sons , Inc . ATE 8 ADDRESS PO Box B slcrixTUaE Brewster,NY 10509 _ .. _:BREWSTER LABORATORIES. _ Box 224 - BREWSTER, N.Y. (914) 225 -2072 - WATER ANALYSIS REPORT - SAMPLE NO. 6488 SOURCE: Swanko faucet - well Bullet Hole Rd. Carmel, NY COLLECTED: March 5, 1987 BY: P.F.BeAl & Sons, Inc. BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method 0 per 100 ml. This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. March 11, 1987 J / /j� f J215 T Roy Bickwit P.E. Director PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIROWi WAL HEALTH SERVICES J Iv F4 C) Building Constructed by - �� Location - Street Subdivision Municipality f Subdivision Lot # M I uyl Building Type 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 Construction Compliance" for the sewage disposal system, or any -iegaars 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 Environmental Health Services of the Putnam County 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 -- _-,C day of 19� ode neral Contractor (Owner) - Signature Corporation Name (if Corp.) '�d,5 Maple Address rev. 9/85 irk system to operate was building utilizing Owner or Purchaser of building Section Block Lot J Iv F4 C) Building Constructed by - �� Location - Street Subdivision Municipality f Subdivision Lot # M I uyl Building Type 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 Construction Compliance" for the sewage disposal system, or any -iegaars 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 Environmental Health Services of the Putnam County 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 -- _-,C day of 19� ode neral Contractor (Owner) - Signature Corporation Name (if Corp.) '�d,5 Maple Address rev. 9/85 irk system to operate was building utilizing APPENDIX C FLNAI ITE INSPECTION Date 1 2' a. nspect by } .;ATION 1 I make- f '5vv, OWNER # II ) (? IM 4 OR SUBDIVISION LOT # 10 COMMENTS .&WAGE DISPOSAL AREA a. SDS area located as per approved plans b. Fill section - Date of placement 2:1 barrier. LGTH ? WIDTH,? AVG.DPTH c. Natural soil not stripped d. Stone, brush, etc., greater than 15' fran SDS area. e.. 100 ft. fran water course /wetlands. SEWAGE DISPOSAL SYSTEM a. Septic tank size - 1,000 1,250 b. Septic tank installed level c. 10' minimum fram foundation d. No 90" bends, cleanout within 10 ft. of 450 bend e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested 2. Protected below frost /` 3. Minimum 2 ft. original soil between. box and trenches ,� f. JUNCTION BOX - ro 1 set g • T`M's _ 1. Len required -b Len installed � ' 2. Distance to watercourse measured_ ft. 3. Installed according to plan k` 4. Distance center to center 5. Slo of trench acceptable 1/16 - 1/32 " /foot. 6. 10 feet fran property line - 20 feet - foundations 7. De th of trench < 30 inches from surface 8. Roan allowed for Sion, 50% 9. Size of gravel 3/4 - 11" diameter 10. Depth of gravel in trench 12" minimum Y 11: Pi ends capped 1. PUMP OR DOSE SYSTEMS 1. Size of 211M chamber 2. Overflow tank ; 3. Alain, visual /audio' 4. Pump easily accessible manhole to grade 5. First box baffled 6. Cycle witnessed by Health Department i estimated flow per cycle :OUSE . House located per approved plans. . Number of bedroans 3' ELL Well located as r approved plans Distance from SDS area measured ft. Casing 18" above grade. Surface drainage around well acceptable. nMALL WORKMASHIP Boxes properly grouted ' All pipes partially backfilled All pipes flush with inside of box Backfill material contains stones < 4" in diameter Curtain drain installed accordiLi2 to plan _-- Curtain drain outfall protected & dir.to exist.watercours —'" Footing drains discharge away fran SDS area Surface water protection adequate rosion controi.provided on slopes greater than 15 %. 10 Three 600 Nnmbe; of Bedrooms Design Flow G /P /D ' PCHD Notification is Regalred Wben Fill is completed parate Sewerage system to consist of ck 10,00 Won Septic Ta ana 500. Se ' x .24" Wide laterals CT Construction.,., o Somers NY 105;89 -To be conettticted by _ Address Water Stipply: ` PabHc'Supply From Address _ ern. X Private Supply Drilled b- 0. :P E Real & S�raiaa...�e Inc Rrewat Pr.� NY ' 1 :0509 OtberRegttlre>nents R -0 B >11 Section (See above) I repiesent that I, am wholly and completely•.respons�ble forthe design. and location .'of `the proposed systems) .1) .1. hat ttie separate sewage: •didposal. system .. :., - above,described Will be constructed as shown,on the approved amendment there toµand in accordance with the standards, rules an. regq a -ions o o : .0 nam - - t t th C mm "ssioner if Healthwill Place .in' ance ,.'of, , County, 0 tment f Heal °Y �ecembt:r `J 986 Date . ; Signed RD 9 Fair Stre' , Address ..... ... APPROVED FOR CONSTRUCTION ThiS'approval`expues one year from the' revocable for cause or may be ,am`,'enpep oi`modifiedwhen considered necessely: repuire�� aew permit.. 'Approved fof disposal .0 omest ic�� sanitary`•sewage Ictlon Compliance. sags actory 0_ e o hii'wccessors heirs or assigns by.the buildeF. that,saitl builder will period; 'of two.(2)'years.irrimedutely+ "f6llowing the Gate of the issu- tem'or any repairs the►eto; 2) that the drilled well describecl above rice -with, the- ndards '.rules, and regulations of .' the: Putnam •' P.E. _X' R.A. - NY 29206;. License No f unless -'construction of the building his been undertaken and is mmissioner of, Heaith. -Any change�or. alteration of construction iaie►aPater'�pD1YSIY• O.ate .q Titl ✓/� PUT NAM COUNTY, - DEPARTMENT OF HEALTH j ENGINEER TO PROVIDE PERMIT # ' ON CERT FICATE F OMPL'IANCE.' i, • Division of: 'Environmental Health :Services Carmel N..Y 10512 PERMIT'~ CON$TRUCThON PERMIT FOR SWAGE DISPOSAL .SYSTEM T Patterson - Town or. Village - Bullet Mole 'Rd LOCated °ac _ . - Tax WR Stonehed a Estates File �k178 2 _�T" `Lot ii _ Renewal 'Revision ga. ob �k§ 0 2271 Subdivision _ �'' Owner /AddressCheY'yl��'& John Swanko . - - - . - -,.- D ate Of Previous - Approval ' Modular 1 7Of: acres Building Type Lot••Area' Fiil'Section'Only Number of Bedrooms Th.Tee "•De91gn Flow P.C. . D Notification Required• yes ;1000 P 500. wil3e 'latera s Separate Sewerage'System,_to consist of Gal Septic Tank', and To be constructed by - Address 7 >`. F water Supply Public °SuPP1Y. From $ Private, 3uPPly to. be drilled by j - .. - i Address' d ress - Other Revw ►en,enis R-0 B' fill section ' 5282 sq ft.- x ,24" deep (336 cii yds ) & 115" x 5' dee t urta tt. �dtain I.represedt that l,am wholly and completely responsible for the design and Iocaition of the proposed sy4tem(s)1 ,lp that the separate sewage disposal. system, above described will be constructed'�as shown on the approved amendment there `to and m;accordance wifh the stantlsrtls rules an regu• a ions o e u nam County Department of.:Health, antJ that on comptefion thereof Ii :CertAicate of Con sfruetion,Compliince satisfactory t`o'the Commissioner of 'Healthwill, be submitted to. the Department :and a written guarantee;,w�ll be :f,urnished the owner his wCCessors,'hei►s or assigns Gy the builder; that.said :builderwill_ place in good operating copdition "any part[ of said" sewage disposal system,`dunng the period- ,of'iwo,(2) years'immecliately followingthadate':of; the issu ance of ahe approval of ,ttie Certificate of Const►uct�on Compliance ,of the ong�nal,system'^or'any repaors thereto 2) that the `drilled :well described above will be located as'shown'on` the a " pproved plan antl thaCsaid well will"be'lnstalled `in accordance with the standards, rules: "antl rogu aeons,• f the 'c.Putnam County Oepartment of Health Date 4 A rgLSt 1985 Signed P.E.X. R.A i Fair St . , C 1 • NY 10512 29206 Address License' No. " APPROVED FOR..CONSTRUCTION! This :appioval`expires-one yearfromthe date issued unless :construction of the building.has.been'undertaken and W revocable for, cause - or.:may:be amended or_modifieAwhen considered neeessary;by the Commissioner�of •Health. Any'change'or alteration of construction repuires.a ;new`perm ++i^pt. p tl for tlisposal of dome nd y. se age a d /or rva a water supply only: ' It Date. �v 9y: Title Rev 6/85, PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of ,_.. Located at _ AwlljeT_4/aAp eW 7-01k Afqo (T) ;' q Block Lot Subdivision of- �o,P�� Subdv. Lot # Z Filed Map Date Gentlemen: This letter is to authorize Jo�,n ��•$S a duly licensed professional engineer h 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 promulagated 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. - system -s - in, conformity with the provisions. of - Article. 145 or - - 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Address RD9 FAIR ST 914 -878 -6170 CARMEL. NEW YORK 10512 Telephone Very truly S, -14 Signed Owne of Property Address Town Telephone 1 PUT NAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SELVAGE DISPOSAL SYSTEM FILE NO. Owner (�eev Jo� Swa ,,ko Address 6(e Located at ( Street � TA Mu av Qd, Sec. ( Block Z. Lot ca nea t ross res c_ spree —t j�e�ed Municipality, a vso Watershed u SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TI14 PERCOLATION PERCOLATION Run apse. Depth to water Water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches l �c Er— fog {Ce c� -� 2 \ Notes: 1) Tests to be repeated at same depth until appproximatelyy 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. R_O.g TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION, DESCRIPTION OF SOILS ENCOUNTERED -IN TEST HOLES DEPTH HOLE NO. HOLE NO. HOLE NO. 6" 1211 1811 2411 3011 36 4211 4811 54 60'1 66„ �2 78 841 INDICATE LEVEL'AT.WBICH GROUNDWATER IS'ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED - TESTS MADE BY Peck. CJ. N. ?6) Date DESIGN .Soil Rate Used )4-36Min/l"Dropi S.D. Usable'-Area Provided No. of Bedrooms T�re Septic` Tank 'C Gals. Type Absor tion Area -Provid-ed Capacity 000 -width trench. 'p F.. 36" Other THIS.SPACE FOR USE BY HEALTH DI Soil Rate Approved —Sq. d by Date 00 L-11A Ln a:) '<4; CD M.AlCs M_� i :iU3.Zl' 140+6,1� ripe ' IeIG.G.L o .�- 7� V rl � s.a►� ,n V �11r��'Cro -( P►u�, f" ' i� .. - " 5 BUILT'` DATA. 'l true }pre located from survey by surveyor noted below.0 —__ i oll located by , Suroe yors survey -_. _ —• tc� _ -_ _ _ -- _ Well -drillers report Engineers mesurements ❑ -- __ - _ W Topic, Do %es, pits, gollories d laterals located by:Cootroclor! Engineer., iI� Nealihd¢pC: �--1 Feld inspection by: Health depilKKG�AAI doto:..._L,_ES_ Enganaer bo( date n7 t• . 1:; ii) t. t-t': II�Y A'hst ! {1l' ' dtspos..l sc5tem wae. at; NOTES• ndis trd nn .Iii.., pl:, +, aI!A (hat the • IMS w:is , C,iV ,1 ,{ f Va 1 . Thf: C %bt'rm wal, Putnam County Department of H altII S la ... !ald 1 , { to I 4x i �K {toll 1%1 Divis ion of, Entlironmental Health Services till! r' I . u . t, t 1 Approved as noted for conformance with applicable Rulesand,Regulationa f the p I Putnam County Health Department. /- tc 1 u' 8lgnature & Title D =A_ 2 ,- 7- n B - D A _ F r (O7F B - F `2 P -- T, �f { A A it - H �_��_ B - H v�_YG �__ A K -- - - -B - K (' SA ITA Y TEM IG:. A� UIL LOCATION Street: -4 / J Town:�/�/}T�Y�.z�1a/�CounfyZ/1!i1 v SUBDIVISION:�._t/CNG-�_G_� —. °- M a,p : T1 Za Block.. —. _ —� — _ -- LOT Ns _ Builder:_��/ /�C�ZT_� -0 i Drawn: bate' Dw,9- J0 KIN. . H, P R E N T S ,P E. `t*NS'ULTING 'ENGINEER I