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HomeMy WebLinkAbout1664DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34.17 -1 -10 BOX 15 No iyti oil i , 0 ;,i IN if I Me L7IN T i�` jl, , 1 IN IN 01664 .. ,z 1 M, - PUTN.AM COUNTY DEPARTMENT OF HEALTH Division of Enwronmentel Health Services Carmel N Y 10512 CERTIFICATE OF CONSTRUCTION COMPLIANCE. FOR SEWAGE.- DISPOSAL SYSTEM Patterson Village SF Located,:at f6 r Street` bd Fi 1 ed Map , #828 Acres Su K:oh l'er Bros B,ua 1 dears ' #34� '64' -4 . Owner Lot Owner L9— LI.Carmel ; New; York 105] 2 Separate Sewerage System bwit •by Address 10'00 272 -' 3.6 inch Con' ist" ..of Gat Septic Tank lineal Feet ,X trench Other requirements None Water Supply:. Pubhc.Supply'From X P >F Beal &Sons Inc Private ,Supplyi Drilled By i B rews4te r.: New York ?;10509 . A d dress 'f=rame; :: Three: ° 9/29/70: i Building -Type,, No. of Bedrooms Date: Permit Issuetl • .. Not Req�d Has Erosion Control' °Been Completed? . • 1 'certify .that the system(s), as listeq serving the above premises were constructed, - essentially as shown : on,the -plans o he completed work _(copies of which are , attached), in accordance with the standards .'r'ules.and.regulations; plans fil r `.and tl%e permit is ued. t Putnam County ;Department of Health Date Certified P E R.A. + RD 6; B 35 rmeNl; NewE: Yor 10572 29206 Add ress e ° License No Any person occupying premises served by;the above systems) shall_'oromptly take such action as may _be necessary to secure the correction of any unsanitary . conditions resulting; from': such .usage Approval ;of the�separate sewerage systerwiiall,k,;6me'nuil aqd v,oid.a ;'soon as a public sanitary sewer becomes available. and the• - approval of the private water •supply shall, bec"'P null and void, when a public Water' supply becomes available. Such approvals are subject to modification.or change when, ;jn the judgment of the'Commiss'oner.' f.Health,.such revocio odf ion o. change is'necessary. t bR Date BY �� Title ep ' ORMSTER LABORAT®RIGS uox 2-24 - BRPX3 T CK, iv. Y. WATER ANALYSES REPORT SAMPLE NO. 2587 SOURCE: Koehler Bros® m hose Bibb m well supply Fair Street Carmel, N.Y. COLLECTED: Jan, 26, 1972 BY: Po T. Beal & Sons, Inc, BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method This result indicates the source of the sample was Of satisfactory sanitary quality when the sample was collected. Jan, 299 1972 0 0 per 100 ml. Roy 'Bickwit P. E. Director Koe.�nle __ os,. Qom, d ��[PtSr1n Owner ar Purctiaser of Buiding Munici.p.ality Iu Building Constructed by Location Street Building Type =5-1V ­AA Sec 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 describ>d 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 irLmediately 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 aPivironrriental 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 ac .Rf. .the -occupant of the - system-• - Dated this '� }� day of 19� Signatunc� .� 'Ti'tle A0.4, If corporation, give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF C0MFTT ETION WILL BE ISSUED. IGUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health: Services, Putnam County Department of Health 7- 7 N v"! JaN .�-MF;CO.151NT-Y-,,;D�E,PART E, T -jMA­TW-,`Z- NN ALocated at z" Subdivision Owner A A p: ress J4 Build mg Type L-L""a""',-.4 `;`,Lot Are Al, -Number zo f Bedrooms — Square Feet J $ Separate ,:,5ewerage,, System-: .9 con f Gal 'Tank lineal et fwidth trench' 'To be constructed -:Address onstiuded 7,3 Water Supply m Public S U rom . ..... -nvate Supply .,t be drilled Other Requirements dell ('represent that Ir am wholly ) fesponsible, orj the loca d systens);'I) that'the�separg e9 WWagq' ISPpsp l :sisipm above_. ,escrib6&'Willb,ie`constructed as shown l there e _ ,t ?, , p rd, 'Ftinc4 d , r 42 s,a regulations th_e-- ` u qpy - Department of Health, ajqjpp completion thereof f j t j46j C t Healthwill e submit ed to the_Departpeqi written 46 a rs A xi e" w u n sh 6dt herowner -hjsjU6cespprs,-fieirs or'assignSLby hebuilder that -said,buil er will l, p ace,­,n., good part of se c­ sewage _dis56i6Vsyit6 Q119WI, �Ihecate of the I s'su, -'. of -_ , -;Ctifcat x ConstructoIC 7 Ce 'i J r6i, �ep;�). that th O.w � eW g e"PutnamW i I I Fbe, ldca tod �a i "sh q# r� d Will'qi,n le and 7" County �ftL of 'ilth' f f RA. J Lice 4 ress en, and I gPPROVED FOW'CONSTI�'Pq -L I�is­ "rpy construction tpe: il in L ,�gpp Co construction t b M MI one revocable -'for cause or — ; - I - I'll .'Any j f i S Tw, ;.take reqyires-,a �new,�perm A "-t pr rover -te it 16 r9 Date 5' Notes:­* 1) Tests to be repeated at same. .depth until approximately equal soil rates are.'ob- tained at each percolation test hole: All data to be submitted for review. 2) Depth measurements to be made from.top of hole PUTNAM COUNTY DEPARTMENT'OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH: SERVICES DESIGN . -DATA SHEET = SEPARATE SEWAGE DISPOSAL .SYSTEM FILE NO. Owner �r o'as. ` �Na �®-s Address , . S� Locate d. =at, (Street) �y %// o N:'sioA See- -S Y,ot . Indicate nearest ross stre t- Municipality P. tY /dq ��ersv.h . �: Watershed SOIL PERCOLATION'.TES'T DATA REQUIRED TO BE SUBMITTED WITH APPLICATfON' ..Hole Number: .. CLOCK TIME PERCOLATION '`` PERCOLATION Run : -- Elapse Depth to Water.: .Water .Level. No:, Time From Ground Surface. in Snches Soil Rater Start Stop. Min. Start. Stop ..,Drop: in Min/in- drop Inches Inches - Inches l Dt� 01'95' 3 OpS -h,� .1000 -� 5' Notes:­* 1) Tests to be repeated at same. .depth until approximately equal soil rates are.'ob- tained 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'0 BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST.HOLES 6 0'f Sow_ 661r �S 1727- 78"' 8 4" c L lv. ... INDICATE LEVEL AT I H Oe- GROUND �- WATER IS ENCOUNTERED Al"7 e INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY /� �/¢�i� 99�3�'A Q�r, /✓.,yc.P� Date 9 9/rt��o DESIGN Soil Rate Used /O Min/1" Drop: S le Area Provided FtS5lorog4 No'. of Bedrooms _3 Tank Capaci e Type_lasohry Absorption Area Provided By L.F.x24 �_ �`�3 trench. Other Name Sign to e Address e3 cG 5...... 0 31, . 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