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BOX 15
01601
�.
01601
PUTNAM COUNTt s
.Y DEPARTM
ENT 'OF HEALTH
Division of Environmental Health Services, Carme% • "N Y ,10512
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL'S W E M Patterson
_ Town or village,
Locafed 'at "Farm�to W*et, Road `_ x"1;6K Fi led Map #1217' ' Block
Hall.. Job
1
Subtlivision- Lot 2 01312
Owner
Mr; &:Mrs.. Robert Astrai.ks Address' :108:Franklin St. O
Building Type Frame got Area 40591 '. E . Rockawa ''"NY 11518
Number of Bedrooms Four al HabitabletSpace Square Feet
To 2298'
1000 240 36 inch._
Separate- Sewerage System to consist =of Gal Septic Tank lineal feet X width. trench
To be - donstructetl . by "" Address .
Water Supply:. Public Supply From
X.
Private _Supply to .be drilled by
.,iAddress
Other Requirements
71 r ..
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'constiucted:as-shown on the approved amendment there to and in accordance with thestandartls, rules an regu a ons o e u nam
County :Department of`. He6lfti, and that on`completton,tftereof a'.'Certificate of.;'Colistruction Compliance" satisfactory fo.the•Commissloner of Health will
.be submitted to. the Department; and.a written guiiantee will we furnished tfie' owner, his successors; hem 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 e' approval of,i 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
'I stall in 'accordance with a andards, rules and regu aTirns of "the .'Putnam
County, Department of Health
Date 1 % _ (�ugllSt l 973 Signoa P.E. X R.A.
D. C p.
Address -R N .'' °5 ' Bo 35' G _ e N 1'05 License °n1o: 292U6'
:APPROVED FOR CONSTRUCTION: This ;approval expires one yea :_ om the -date issued unless :construction of the building has been undertaken mind is
revocable for .cause o'r may be, amended or modified when' considered necessary, by the Commissioner, of, Health, ' ' Any- chinge or alteration of construction
required a new ermit. Appro a for disposal of domestic itary sew an or private water`wpply only.
'S
Title /�
'Date :. BY
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
r r COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
OwnerNf,, fif,,_c &*V caress 1you, -4b V
S5e c . A, �' ai� —Lot
Located at (Street /Q�e , /(� ec � Z
Indicate nearest cross s re
Municipality. Watershed
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
oe
Number CLOCK
TIME
PERCOLATION
PERCOLATION
Elapse
Depth to a er .
Water:7evel
No.
Time
From Ground Surface
in Inches
Soil Rate
Start -Stop
Min.
Start Stop
Drop in
Min. /in-drop
Inches. Inches
Inches
/ 1 0 lift
-a
2
3 Zfzm e4p
a
4
4
1
2
4
Notes: 1) TdAts to, be repeated at same depth until approximately equal soil
rates are obtained at each percolation test hole. A data to be submitted
for review. '
2) Depth measurements 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.
G.L. °
6" ®l>p G@
12"
18"
24"
30"
36"
42" -wait
4811
54"
60"
66"
72" ��--
78n
o.
84
WATER IS ENCOUNTERED 00m(?
EVEL RISES AFTER BEING ENCC
6
Date
L�J 11r1V 0
Soil-Rate Used 0-f® Min/l "Drop: S.D. Usable Area Provided
No. of Bedrooms Septic Tank Capacity 6 ®0 Gals. Type
Absorption Area Provided By L.F.x24" jb"� r9 width trench.
Other
Name . ''lnbn W. preritiIss. Pogo bigna
Address Re D. 6. Box 353
Carmel, Nom Ynrk 3A5'lq
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: -�x
Soil Rate Approved Sq. Ft /Gal. Chec `
Design A 1202 1,246 Sq. Ft. —First Floor/ 1,052 Sq. Ft— Second Floor /29,690 Cu. F
A5 5' 6IJ5 P / P'/ 5 ( 0 AJ
6- MqPeAW All.
- */Z P1111 WAY
l
Here is old New England with a de-
lightfully updated floor plan. The
symmetry of the windows, the de-
tail of the front door, the horizontal
wood siding, the massive chimney,
and the salt box roof ' set the char-
acter, The formal center entry hall
helps assure regulated traffic pat-
terns. Flexibility can be a byword.
This two -story may function as a
four or five bedroom home. The
family - kitchen will be the center of
many .informal activities. From this
area, as well as from the separate
dining room, access to the rear ter•
race is through sliding glass doors.
A dormer projecting from the rear,
long sloping roof permits the four
sizeable second floor bedrooms.
Study the master bedroom. Observe
these full baths, built -in vanities.
7
n�
60W
364' 22'- 4"
— TERRACE
_ HOBBIES-
OFFICE °
120,x I la
DINING RM." s. 'DYA BREAKFAST CURB
a 13°x13 ° r
4 L
Besign A 118114 1,471 Sq. Ft. —First Floor/ 1,052 Sq. Ft.— Second Floc
Another salt box with all of the age and the rear projecting hob -
usual endearing traditional exter- bies /office room complete an in-
ior features —the finely detailed teresting picture. The interior
centered front entrance, the de- tells the message of what up -to-
lightfully symmetrical window date floor planning can do inside
treatment, the massive center the charm of yesteryear's exter-
chimney, and the interesting roof ior. The center entrance hall
slopes. The attached two -car gar- routes traffic directly to all ma-
8
r/35,700 Cu. Ft.
jor areas. The work area can be
made to capture that cozy coun-
try- kitchen atmosphere. This
area is ideally located in relation
to formal dining room and all -
purpose family room. The two sets
of sliding glass doors lead to the
huge rear terrace.
10 x13°
YTCHE�E]
BED RM.
128 x 10°
"'
BED RM.
128.100
COUNTER
12°x13
BRA+. MIPRY
y
cL.
-
$
GARAGE
CL. CL. CL.
CL.
_ . _ _...
'
_.._ ._.
c�. RMR...
b � .. P..
��'
Zia %2I° y ° \
� LWEN
DN. „ BATH
r
.�N
18ATH
RM.
ENTRY UP FAMILY RM + - ,�
MASTERLIVING
BED RM.
BED RM.
13 °z 20°
"ALL 12ax 20° 5
13 °x IB°
. 12ax 12°
G V
P
Besign A 118114 1,471 Sq. Ft. —First Floor/ 1,052 Sq. Ft.— Second Floc
Another salt box with all of the age and the rear projecting hob -
usual endearing traditional exter- bies /office room complete an in-
ior features —the finely detailed teresting picture. The interior
centered front entrance, the de- tells the message of what up -to-
lightfully symmetrical window date floor planning can do inside
treatment, the massive center the charm of yesteryear's exter-
chimney, and the interesting roof ior. The center entrance hall
slopes. The attached two -car gar- routes traffic directly to all ma-
8
r/35,700 Cu. Ft.
jor areas. The work area can be
made to capture that cozy coun-
try- kitchen atmosphere. This
area is ideally located in relation
to formal dining room and all -
purpose family room. The two sets
of sliding glass doors lead to the
huge rear terrace.
r
Design A 1202 1,246 Sq. Ft. -- -First Floor/ 1,052 Sq. Ft-- Second Floor/ 29,690 Cu. 1
FIZ
-
f' 1 A I
F�r,►,u, - -1Ea - /Nei► /�{ �.
'xp o GARAge "
9 ...4
SAN ING RM.
., KII...
ld"l I"
l
1
_ 1
0
LAUND
In
J. i,
LIVING RM.
134 x 200 ENTRY
1; 124 x 1130
' 11
I� ,1
I
1'°1
ii II
II
STUDY
129 x 134 + r
! Q 1
rV, L/ W
1/
rr BED RM.
13" x 10°
j 1 0
L
4- )/Z.
'
h
�r1• -✓ .'lam _�
Hen, 1, Od New I-:urland with a de- hell►s assure regulated tr; ffie I►ui-
lightfully updated floor plan. The tern~. Flexibility can be a) byword.
symmetry of the windows, the de- This two -story may funelion as a
tail of the front door, the horizontal four or five hed room � home. The
wood siding, the massive ehimnev, family- kitchen will he of
and 11111' salt box roof set the char - many informal activitieti. From this
aeter. The formal center entry hall area, as well as from thc�;eparatc
MASTER
BED RM.
134 x 18°
clinirlg, rcyum, ac('( 's to thc• re;jr o.r•
raec is through sliding ;;I;e;- rinnr,.
A dormer projeeling from Ili- rear,
long slopiog roof permit., Ihr- four
sizeable second floor bedroom,.
tiUrt'i the ma,wr bc- drno►o. Olv,ervv
these full baths, built -in vanitie-
E
IJ
a
r
PUTNAM COUNTY DEPARTMENT OF HEALTH
_:..:.,:.- ,..�.:..:.,...._..u; ». �.._, m_ PI, VI: S- I. Oi�- w0r,,. FNUIt�(• 1NN�` IaT. ��L:= I- t;€ AI ;TH,_,SERVCD,S.:..;- '- •.� =:=e• -
Date' ®'���
Re: Property of. ef '�.
° Located at
Celle%de Molt
Section Block Lot.
Gentlemen: /
This letter is to authorize_ ✓ ®�� �, /���� -�c�
a duly licensed professional engineer 0'.." or registered.architect
(Ind-icate)
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 nece$sary 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 145 or
1.47 .. Education, Law,, . the Public Health Law, and-the Putnam County Sani-
tary Code.
R.D. 6, Box 353
Address
to NY 10512
914 -878 -6170
Very truly yours,
Signe d
Owner o Property -9 5e-eO
Q�p E��Wirpl
� N PRftiri C /y\
Z�. o
NO
oprHE. STASH
Awl, 99 CJL o
Address
l
Telephone
~INITIAL SITE INSPECTION
Property lines or corners found . . . . .
Can estimate house location . . .. , . , ,
Will driveway need cut . . . . . . . . . . .
Must trees be removed -note these . . .
Is deep hole representative of entire SDS area
Additional deep holes needed. . . . .
Sufficient SDS area available considering
driveway cut,house location,separation
distances, etc. . . . '. . .. . . .
Date:
z
Insp , by :
Yes No Comments
DEEP HOLE DATA
.Z� -�4
Depth:
Water elevation:
Rock elevation:
Soils description:
Date:
FIMAI, SITE TNSPECTIOP? Ins p. by:
House located where shown on approved plan.. _
SDS located, where 'approved
.__._.
ii .Ur V,vi 4,0v
Slope of tile line and trench. acceptable
Room - allowed for expansion trenches
Over 50 ft. from swamp, watercourse . . . . . -- --` -- _ - -- -- _..
Natural soil not stripped or SDS area
.'.unnecessarily graded . • .... , ... -
10 Ft—maintained-from, prop-1 ine and
20 ft. from house . . . _
Separation of trench from house, well - --
etc . follows plan . . . . . . . . . . . . .
Number of bedrooms checks _.
Stones, brush, stumps, rubble, etc. greater
than 15 ft. from nearest trench . . . . . . _
15 Ft. of peripheral soil horizontally .from -
trench. . . . .... . . . ... . . . . . . . . _
Junction boxes properly set — -
Could surface run off from driveway, road,
ground surface, etc. channel near SDS
area .. _
Does lot drainage appear O.K. in area of SDS
FINAL GRADING OF SITE ACCEPTABLE ,
...
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