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Home My WebLink About1552DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -4 -51 BOX 14 I,yS. . ■ i ,Iir OWN 2 I.` 6 ,, T .�: , � I' mi IN f 01552 f""-', nr-• ..«.r� g4*-v..,,r -�"�° -?:' -- +- . . -.-.�. ^.mw" }c"" "."'i'°'ax"j""�"""" ,.-,.— � ., 'z"r `." °may C. ,. PUTNAM COUNTY Dt0ART ENT OF HEALTH p ` g rust it Division 6 Environmental Health, Services, Carenel N vY 1051? E y 50� 92. CERTIFICATE, OF CONSTRUCTION: COMPLIANCE FOR: SEWAGE DISPOSAL :SYSTEM PdtterSOt1 w. Town or Village 6 he$ Road s 79 2 �Locate�",at,.- �.iro t .... , ., �,-+ •rt..:w, -n- -� Ta�c�i4ap .+ u.. OW"_ w, Owner. °M /M Ah i,& Jbhns.on Fozmerly. Tax nap tot x'11 2l 1 subs t 11 Tyndall: Septic Systerns Inc Iv Hi, -1 Rd Brewster : NY 1.0509 Separate Sewerbge System tiullt. by Address A Consisting of`Qal Septic Tank and 444 L X 24'' WZdth Trench Other requirements 1 Water' 'Su " PUDIic'SupplY"'Fom - � t9 �•T �Eckers'on Inc Private Supply 00lidd 'ey s Address Frame , of Bedrooms Date Permtt Iswed Building Type No , FOUr 10/8/81 Has,Erosion.Control -Resit ComDletBdl_ Yes Fi`7 7 Sects on; Permfit T °sued ''12/23/ 80 s.: S certify that the sysfem(s)" as listed serving the above `.premises- :were con'structe3 essentially as- _shown on the plans of .the completed work (copies „; . of which are attached), and in accordance:, th ;the staindards, rules and':regulaticns :in,accordance: with the filed plan,_aind_ the permit,- issued by the Patna. 6qo ty Department Off Het,alth 'Date 27 October, R.A. Certified R. D 9 air t o c rme1. 5 L�csn:e No. 292Q6. Address Any. parson occupying premises served by the above: system(s) shall promptly take such action ai may to secure the correction of any. unsanitary 'conditions .resulting from; such usage , ;Approval of the. seperate ,_sewerage system shall become null and"void as soon-as a publle sanitary sewer-becomes available and 'the approval of the privatarwater„ supply shall , become null and ,vok! = when „a .public wafer supply bieomet available. Such approvals are subject- ; to" modifitation or etiange when,; -in .the )udgmeit* of the- Commis of._;Health, such r modification or change: -Is, necessary: Date 8Y T_itte ' Rev. .9-81 s, 01 " E-'E ♦l 0 cliclol. ANDREW JOHNSON Loborr--Ai-ory Data lAbpc)l-t,- I-Ile Mo. 60-518 Mile Itecelvell 1 0-23-81 DRH 10-26-81 Atillmilti-A I I(IcIll Icallull IPatterson, TIU. TCOI I S P C Lot 11 Holmes.Road NY 10-23 39471- <1. 220. Allowable Level <1. 2000. j. RE Ef., 2 Z"" PUTN"E" m m MP OF HE LTij H 10-26-81 Atillmilti-A I Mr. & Mrs, Andrew Johnson Tax Map 79 Owner or Purchaser of Building Section Building Constructed by Block Holmes Road Location - Street Patterson Municipality Frame Building Type 11.211 Lot Stone Hedge Estates Subdivision Name 11.211 Subdv. Lot # GUARANTEE 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 guarantee to the owner, his success- ors, 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 determin- -- -� a-tion-of - the.- Director- of- the._ Divi.s. ion. of- Environmental __Ljpalth_Services _ of the Putnam County Department of Health as to whether or not the fail- ure of the system to operate was caused by.the willful or negligent act of the occupant of the building utilizing the syste . Dated this ZC3 day of �-� 19 8\ Signatur IV Title OWNER OCT 27 1981 Corporation Name if. core. /Zip Z,-,/, :5;4 PUTNAM COUNTY Address DEPT_ OF HEALTH — — — — — — — — — — — — — — G, ` ,/, � I/ � %�.� s f — THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. 6 GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST.USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health t A . & Mrs. Andrew Johnson Owner..or Purchaser of Building Tax Map 79 Section Building Constructed by Block Hn1mAC Rnad Location - Street Patterson Municipality Frame Building Type 11.211 Lot Stone Hedge Estates Subdivision Name 11.211 Subdv. Lot # GUARANTEE OF SEPARATE SEWAGE SYSTEM I represent that I am w}5o:11 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 success- ors, 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. ,,,% � C�uCt�Cly�: he undersigned further agrees to accept as condlusive the determin- ation o the -Director of -i he -Divis-ion-af 'Environmenta`1 `Hfeai'th "S6rVices- of the Putnam County Department of Health as to whether or not the fail- ure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this �� hJ. day of 19IL Signature RECEIVED Title OCT 2 7 1981 Urporatfoa Name if corp') �e 4J PUTNAM COUNTY Addr ss vEPT. OF HEALTH 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 LS6o1f.ew-.,,: // "�N t e 6fr °ter N I and s , , °f 6 re °f C°onc rk Inc. 823 a 7h� i� d s 10 n °f d et 1 e i Bi��in95713(�12 h � Y° 7j6 o w Lt b e r 520 ""63 lot no. (2.4733 acres) kA Op O Om 6 — O � O — Q •-^ O � � O V. y � � � y _ \ W \ D N p 0 m N Legend. N3 °- 43'E ® no physical bounds 6.62 ®_.. stee. /piper pipes found • steel pins set 9'04 SURVEY MAP OF THE LANDS OF H. O M. Associates z w \ o — o � O_ Q o O — \ N � O N S. e � N a' 58` of 11 Z RECEIVED OCT 2 71981 _w.. PUTNANLCfJUN.T.y -. DEPT bF HEALTH parcel shown designote d as lotno.1/ as shown on a mop entitled, STONE HEDGE ESTA TES, fit e d mop no 1786 Scole / _ /00' dole: January 3, /981- HpuseLocation tY UST20,1981 Location OCTOBER21,1981 RAYMOND J. ti'WLMIRE, L. S. o . ! LS 49249 Raymond ✓. ✓Cihimire L. S. 49249 (,��,:Swveyors Notes: ' ft: arveyed fromrecorded description, from monumentotion found B /or osin possession. Raymond J. Kihlmire, L.S. 49249 �V?�Wertifications shelf runon /yto the persons) for whom thissurvey is prepared B is not stransferable to any additional title companies, banks, mortgage companies, governmental Lyndon Rood agencies 9 /or subsequent awner(s). Fishkill, New York 12524 "Certifications are valid for #)is survey map onlyif said mop bears Ale seal of thesurveyer phone (914) 896-9113 whose signature appears hereon. Uhized alterations additional to this mop is o vidation of Section 1-209(2) of r noutor x job no. (80 -437 ) the New York State Education Low. hr CONVEYED Certified lo: Andrew Johnson, /TAO �l %eW ®I�f��Ois Andrew Melanie Johnson, the Title /�lseV V -`r. Guarantee Company Q the Bonk in i� Putnam Savings �j �! �p /� n Johnson Melia II ®e V ®"/s S® // accordance with the minimum Situoled in the o p standards for title surveys of Ij town Of POtterson ` �`� ' !'� the New Yor*Stote Association County gf Putnam New York = - of Professional Land Surveyors. Scole / _ /00' dole: January 3, /981- HpuseLocation tY UST20,1981 Location OCTOBER21,1981 RAYMOND J. ti'WLMIRE, L. S. o . ! LS 49249 Raymond ✓. ✓Cihimire L. S. 49249 (,��,:Swveyors Notes: ' ft: arveyed fromrecorded description, from monumentotion found B /or osin possession. Raymond J. Kihlmire, L.S. 49249 �V?�Wertifications shelf runon /yto the persons) for whom thissurvey is prepared B is not stransferable to any additional title companies, banks, mortgage companies, governmental Lyndon Rood agencies 9 /or subsequent awner(s). Fishkill, New York 12524 "Certifications are valid for #)is survey map onlyif said mop bears Ale seal of thesurveyer phone (914) 896-9113 whose signature appears hereon. Uhized alterations additional to this mop is o vidation of Section 1-209(2) of r noutor x job no. (80 -437 ) the New York State Education Low. i a• /f ,ar, 4 j \ t 7d' o s,o s ,: ; ?9 az' > 4•'d 1 Y' `11 - 4'0 s Gdfp�r - 6 ,14 -11 \� �jLiro on - °�t9y 2.'1.1... es Lof Ale,. /7 b _ i s i 1 g i I t Putnam County Department of Health Division of Environmental Health, Sery oee i Approved as noted for conformance With ^ca 1I Vules SIFA,Regulatione of th? Putnam C tty Hea th Vepartment. y . y i I � 2 N * rn 1 ! spy �' " -rNC cTSSE� "AS BUILT_ AIA� Structure located trom'survey by surveyor noted below®- Well located by: Surveyors survey_ _- ❑- - - -- - Well 4rillers report __ J]- - - - - - -- mesurements.�- - Ocuncrs Ton k, boxes, pi46, galleries 9 laterals tocoted by:Contractor• Engineer: L He dith da pt: Field inspection by: Health dept ( dot e:."3;�1i "! Engineer dote = NOTES: fgr1t- Plan, -; 4 p� %r T-an(G -l:.�L Ua7e Y,se<,ck Coaere-Ze. •_ �' t� Lq {rrgls- 10 x 44'Le.,, M SANITARY SYSTEM DESIGN AS UIL' OWNER:- ireuL l�e�w� ��ii✓zSciat - -.- -..- LOCATION Streat:_ 1.;:n(u, -.:i- R..QaaL - - - - -- -- - - -_ Town:- `�L�Adit?t^ -- Coun1Y:,�7,ssiix�.- Stately _ _.. - SDBDIVISION "'7- EaLWS— ,= _#1L1e,�1>M k -- M a p lya_x) - BI'ock•. - - Z_ - - ,__._ - LOT NQ 1 L-?.Li -_ _- Builder:_/ e H9&,&_ --- - - -- - - - -- Surveyor - -- Drawn: �, ✓E, Date: to /v� 81 Scale: fir, X40 Job N�S'0' gSZ W s J O H N H P R E N T I S S _ RE. ; CONSULTING ENGINEER "� DIMENSIONS A A - C = - -Z9 - --B - C --- 1� =_-- A E - - -- B E - - 1D� -, - - -- ; A - F °- - -B F- -� - . A - K --B- K =-- 1� % - --- A - L =-- -10J' 11 4 - - -6 - L OCT27 PUTNAM C DEPT. OF t M SANITARY SYSTEM DESIGN AS UIL' OWNER:- ireuL l�e�w� ��ii✓zSciat - -.- -..- LOCATION Streat:_ 1.;:n(u, -.:i- R..QaaL - - - - -- -- - - -_ Town:- `�L�Adit?t^ -- Coun1Y:,�7,ssiix�.- Stately _ _.. - SDBDIVISION "'7- EaLWS— ,= _#1L1e,�1>M k -- M a p lya_x) - BI'ock•. - - Z_ - - ,__._ - LOT NQ 1 L-?.Li -_ _- Builder:_/ e H9&,&_ --- - - -- - - - -- Surveyor - -- Drawn: �, ✓E, Date: to /v� 81 Scale: fir, X40 Job N�S'0' gSZ W s J O H N H P R E N T I S S _ RE. ; CONSULTING ENGINEER "� �b PERMIT #P 16'80 z PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y, 10512. $01952 CONSTRUCTION .PERMIT FOR SEWAGE DISPOSAL SYSTEM Patterscin u f .1 'Town or village – Holmes .Rgad — ...... _,..Tax "Map •..79. - . Block. 2 –Located 'at Subdivision :Stone Hedge .Estates, Lot #11 Lot 11 . Address 211 Job S01952 owner M/M Andrew Johnson 125 Lake St., Apt; 11,L -N Building Type Frame Lot Area 2.47 A. White Plains, • NY 10604 Number of Bedrooms Four Design Flow ' 800 Gal. Total Habitable Space 2321 Square Feet Separate Sewerage System to consist of 1250 Gal. Septic Tank and 444 L.F. x 24" Width Trench To be constructed by i Address Water Supply: V Public Supply From X Private Supply to be drilled by Address Other Requirements R— "D Fill Section —.64,'L. x 741,W 'x 24 "D =4736 `r] (351 Yds.!) .l represent that 1 am wholly and completely responsible for the design' and location of the proposed. system(s) 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules and regulations of e lautnam ,County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be- furnished the owner, his successors, heirs or assigns by the builder, 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 thedate of the issu- ance 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 standards, rule d regulations of the Putnam County Department of Health. FILL, SECTION :PERMIT .ISSUED :12/23/80 , .Date 29 S. @pt.. 1981' Signed: P. E. x R:A. Address R.D..9: fair Street.- 0 arinel NY 10512 License No. 29206 APPROVED FOR CONSTRUCTION: This approval expires one year from the date i ued unless construction of the building has been undertaken and is revocable for; cause or maybe amended or modified when considered necessary. the Co issioner of Health. Any change or alteration of construction �-' requires a new permit. Approved for disposal of domes ' se /or p _pWate water Title^ – Date By `t 7 . Pu'TIVAIVI .0 ®LJN'TX ®EPt itTA1ENT OF I r . 512 Division 'of' Environmental:,Health 'Services,, Carmel /V Y 10 TAN QN`( } COMSTRUCiIOIV, PERNA9T. F. :SEWAGE DISPOSAL SYSTEftfl pa eY'Son - ti Town or Village Cocated'at fi0lmeS Road x "Map Block SubcJivislori Stone °Hedge €states, >Lot . 11.,. •�1�l:ed Map: #1:786.' :: 11.211 yob? S01,952 r Owner M/M Andrew nson CM. Oles, Agent) Address R'D 6;;, Route 22 Building Type fFrame' Cot Area 2.47 A - Brewster, NY` 10509 ,. 32 Number of Bedrooms Four Design Flow '8no c8� - Total Habitable Space 42 1 Square Feet Separate Sewerage. System to consist of 1 250 Gala Septic Tank and - 444' L . f • 24 Width ren-cL. To be constructed by r Add ess , Water. Supply: V• Public Supply From X Private Supply to be drilled -by Address other . Requirements R o�B '11 Sect�anr64t x 74rW x '24" D = 4736'1' (351 Tds. i'. 2. 1 represent that I, am wholly and completely responsible for'the design and location of the proposed ,system(s); 1) that .the separate sewage -disposal system above described will be-.constructed as shown on m the approved amendment there to and in accordance with the'standards, rules and <regu ations of t e u nom County Department of Health, Nand that on completion thereof a ?'Certificate of.( Construction Compliance'-satisfactory to . the - 'Commissioner of Healthwill be submitted to the Department,; and a written .guarantee '.will, be furnished the.owner, his successors, heirs or, assigns by the builder, 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 issu- ance. :of the approval - of .the, Certificate 'of Construction .Compliance of the original system or any repairs,the're.to; 2) that the drilled weil.de'scribed above will be located as shown on -the approved.plan and that said. well will be, installed in accordance with –the standards, °.rules. and regula ions, of the Putnam County Department of Health. q Date 1.7 December 1980. Signed P.E. R.A. F►dd►ess R:D.. 9.: 7=a1r .;, :. arxrie1:Ny 12 t ceh�e No. 29206 APPROVED.FOR CONSTRUCTION• This--approval expires one from the date :issued unless construction of the building has been undertaken and is revocable for, cause or may be-amended or modified when consitleredfiecessary by the 'COMM" issio Health. Any change or. alteration of construction requires a new permit. Approved for disposal of domestic ar ge, -and private ; supply only. Date �� ^'- ey Title PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _._T"... CO, b 1Vrn: OFFICE - BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner /fir. id /1%y, 4* 0irw ✓vk*,rs n Address / -0/ ex Vie% Located at (Street ff _ j ,Q„! &a. Block Z,. Lot jj, 3.JJ 4dicate.neares cross s ree x&,*e4e Municipality Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS' �. Hole N Number CLOCK TIME PERCOLATION PERCOLATION Elapse Depth to Water =: . Water Leve No. Time From Ground Surface '. in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 3 AW 5 ' o 4- 5 Notes: 1) Te 'sts to be repeated at same depth until approximately 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. TEST PIT DATA REQUIRED TO $E SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS EXC.OUIVTERED .IN .TEST .HOLES DEPTH ,. _ -.:HOLE . NOS . HOLE NO. _ . _..::. ,HOLE: N0. G.L. 6" 12" 18" *.' 3 6 If 42" ++ I MJ .tva,uJU Address r / IV . V 8" /L_ ac THIS SPACE FOR USE BY HEALTH DEPARTMENT `ONL a® Soil Rate Approved Sq. Waal. C N2 Date