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HomeMy WebLinkAbout1665DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34.17 -1 -11 BOX 15 91 r r ��..r Oil � I Ir 01665 a YUrRKT 0' P: ;... Yoi w RESULTS OF EXAMINATION rOF WATER 1 $ 7 79 .:. OWNER 1 ; DATE FiECEIUEE) VITO:'IANNACCHINO :` 8 7.9. :Z 'CITY, VILLAGE, TOWN. `` -6 /OR VNAME OF,}SUPPLY a DATE REPORTED =FAIR STREET CARMEL NEW YORK, . y s g�9 �F79 SAMPLING POINT BACTER4 A PER, ML (Agar plate count at 35 C) COLIF, ORM GROUP :(Most probable No /100m1) R L ppm „ •G rttr 9n `PER .-AKE ,,CARY U P A!y T N'i 0 F i L. C D rv't L ET I R FCC R T D This reporL i-; to I.- E: c D I np I b V well ulciller amd nlport C. alysis of vv, e,�� i kp) W. rl f I ip i cg.yl r i 0 �j t 1:00, 'OUST' BE F7, i Wr NAME Mr., &-, Mrs. Vito larmacchin Pj.-) 4 i rv� t C--,, v Lake C-arm &J, N Y . 10512 tOCATION' OF WELL FaJix 5treet, T/O lia'-'t t �r S011 !N- Lot. #r33 PRO.POSM, DOME TIE. 'ET V I " 4tl Pul,11, WELL LJ r)RILLI T.' , �i�o �: 0. 1 ,,IR EQUIP1 �w Its L 0 ii TX 35 ft 15 1 hs TEST [2, lwi!c',6 0 OL 1,%F-A_'WF FROM LAND acly A; tffVEi ;o liel bt:k:_ Lon• r.v,fo�,, 203 f t. MAKE. )GIN OPrN 10 .1,11 , "IFEr SCREEN TITT T, fE 0 po . 'I;). J.r, DEPTH FROM IAND 'URFAC U fI'MN 'PEET to HiT .011 12 6*60 4t c buid,eri :_j L2 203, Grant...e ------ ------- A A: If y1old 4CI5 Ful NT. 0 PO DAJV Wl it COi,)N i 10 1 i. — . . 14 Vlto::Zabnacchino• Owner or Purchaser of building Building Constructed by Fast side Fair Street Location - Street Tow.-,.-) of Patterson Municipality 0 Map RJRRk 78". :.... Section 1 - reel 16. Block o ?�.ised Ranch. �.�..,. Lot 33 Sunny Acres.. Building Type Lot o GUARANTY OF SEPARATE SEWAGE SYSTEM I represent that I am wholly and completely responsible for the location, workirna.r_ship 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 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 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 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 system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this day of 19 "?q Sigi-iatu.re Title , of c p rat' n, gi name and address -------- •-- - - - - -- --------------------------- - - - - -- -- -------------------------------- i THREE .(3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. s �,GUARANTOR IS REQUIRE TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. ..r..---- .--- -. - - -- - - -- --- --.-.- -� ------------------------------------------------------ )ivision of Environmental Health Services, Putnam County Department of Health a �} i .•� A AUG 0 wn 1 1:) U i'NANI COU .N•_fY pEPT. OF, HEALTH CT , 'PE MI U, 13 E_ astex 'si'deaF Located at .�Punh 'bUDGIvfs!on T owner V. o j .1 Ann ac R '.,Buhd Jng,-Typp, Numberof Bed roqnis ra'§e,- ys am tc To , be ;co-n$tr4cE-- Water Supply :_ P U I v h Ad "OM 1.6 *Other Requneme�nts I represent' that'I -am wholly -system -of the'Pufnpm zounty bepirti 'L :di�j- that- said •bxiilder• will 'j that, the drilledvwell daid"i AI '.re M J-� !ROVEQ FOR-CONSI ores ­a,, new; `:permit 4PI-I -1 — - ..0 T, PU. HEAL 'Y. - -105 12 vivision vi ron N 'T6wh` of-Patt Patterson P FOR SEWAGE :7- -or 11age'. north x ft B'd 1A r, I --:-H 'Block- # 3 -3 ­ 'R N Atldress pgj ,.ey d Carmel, 451 J. rhino 1/2 acre ,Ranch . , " + Lot Area Design F �§t rojtipie a� _7 Square ' Fast J, Oc 9 �hd n Tank` leaching.pits' 0, �15, ft. txi�n6hi 7 `V ik as ddCesf,*�,. J-JcIzL NY I ic 'Supply, From 7 Dri'; - d ate Supply to bet.drilled, by Bo ft N, y el, 'R l in U 6L' arm 5 2 -F - Iress we minimum spacing�as shown`on design - i+ `and 'completely ` responsible syitem -that *,the separate, sewage disposal 7 5 p-p'F'5�vqq�,attachmentsr eret th the standards ,'Lrules and, regulations )e-constructe -Abi4n-�on ��,ihe - & h 'in-accoi�dainbe'.'wi ­ - _4 _` '. j. , : ". 1-1 4 i ­th6 Commission-, �n�' Of .4e�it!h, lgd--`tj�at '�com�16�-_ - at di -ion",thdred :a , Certif C L 'L 'Construct.op qcpljl arice satis actory to, hl bsi�furnished 'the - c''r9r',' hist,gii'86�ors,' heirs 'or assigns by the build-L Dd to the 1)6paitm�nty 'an a'writtej�:g� -as Vi e.in" good !'operating condi sewage d sposal -iystem during ­the period of (2)."y6ars• immediate. ly L 4 Compliance . ­j: .1 '�F,',t the 6�igiip�.�. -system or any repairs thereto; 2) nuance of -o � , _­­ I _�-plaK, and that J i'will be­ installled,in,a6c torqa'p'c with'the"'*stan- �ea_a)�6�e.� h 4' " located L : - " - - , i� "I , approved ­ o .:,t e2APutnamCoqntyDepartment rOf Health . . .......... . . "Al.- X -7, °_-Pr `8 H rso bdun*d OR gCa[ rm Address fi, MON: ThI5,'approvajL.expires.'o'ne yeai from the d f jhe:'building�'has bien 'undirtaken and is con st ru ct i 0 apepdqd.,or r6dIii6d w6r.'considered n-eces co S 4Ueo1v only -A ny,,c h ange or- alteration •of constrqction v or di ni ater­ 74 BY ie L' v TUTI�A1bY C gJNTY ®EPARTIiZE1�1'II �F kt�.LTH Division of fnv menta_ Weqlth jS&#q es Carme% N `Y 10512 COf�STRBJCTUON ,PERiViOT E R .S�lNAGE ,DISPOSAL 'SYSTEflA < pa$$I _ Town or, Village Eaeter9 Rh, ,,�' :fir ►t ®x�.�R: ull�et ?R` 09 :ft - -' ti m a •SA clot.. P$$°C6 Subtl�vfsion �� �1Cre� . Lot 3 Contract ed ®e" ito Iannacchino R D Ding._.0 oa Owner Address Split lei ®1. 1/2 � CS TMLOIP • a Building Type t Area z bedooM� ? �minutee = Number of Bedrooms esign ow Total . H b t life Spac '- Square Feet Separate'Sewerage?System to;consis� of „�°� ®® Gal .:Septic Tank: and o 0 T o be constructed ,by . Steward ® Address Ia v De ®�rd.ew �'e Water SuPPIY: Public Supply From Brewt, y�Y° 9 0 0' µ Priote SuPPIy to be drilled by BQ e Driller o o , 11 ,:. _.,... .. Ott 60MVInu A., s Address y D F Obser�e;Tm3.n3mu spacingp as shown on .d ®s gn Other Requirements -- - - Dri�ewag to be cons ruched n> oca on_ s otan I represent that I am whollyand completely responiible.for'the design;and tocation of the proposed system(q, 1) than, the separate sewage +d isposal,'system - above Cescribed will be`constructedrasrsshown ' on the approved amendment there',to and =in accordance with the standards, rules an ,regula ions.o e = u nom County .Department of Health, and that on completion thereof a Certificate of Construction "Compl,ance:" satisfactory to the'.`Commissioner of`Healtti'wilF• be submitted to -the Department `andh a wrdten .guarantee will be furnished_ the owner his successors; neirs or assiqns`by the budder that saidzbuilder` w ill ', r -place in .good operating "conddiom `any `part of said sewage` disposal system dunng -the perwd of; twq.(2j years immediately :followmg`thedate`of''the issu- , arice of>'tlie a pproval =of.the Certificate of,Const�uction Compliance of the'driginal °systerfi or any repairs. thereto ,- 2j•that' the drillediwell described 'above will be located asshoyvn _onthe a rsx 4 _ pproved plan and that said well will be'installed- m accordance with the' standar s .rules. and regulations_ of the Putnam County.-Department--To : Heal h dune �9 ig7e- t� u.Date'� P.E. $ R A �VED FOR;`CONSTRUCTI life`for,cause 'of may, be arr as a new permit ApproJ HorI:pound Roo ®�.9 t icense'No9845 This`approyaf_exptres'one yearfromthe' :date :issued :unless construction of. the budding has been` undertaken and is I or' modified whemco'n_ sidered- .rfecessery,• by the;.Commissioner °,of Health.. Any change,:or alteration lof construction, rr dis f domesti sandary, se age - and /or _priv te'water su ply only. By Title �' R M M, CiIi?.cx IMeets s DOCLIt 11T House plans O.K. .D°sign data sheet Peres presoaked? Ei n. 30" pert test depth Const. results for 3 runs D. Hole log 0. K. Corporate Affidavit for othep than indiva' Authorization for engineer Letter from Water Supply if applicable If variance requested -such noted on plans D�TAIT�S if change-is proposed,) Existing contours shown show new contours) Slopes for driveway cuts, etc. shown lja.ter service line location Footing drain, etc. location Top slope, bottom slope of fill Percolation tests and deep test pit location Septic` tank_ size and conformance to std. 3 B.R. house minimum House setback shown distribution box ftg. below frost Ohl water within 50 ft . -of PL shown Plan and profile SDS All other wells and SDS c.l.oser- 200' - shown or "rer erence made Property boundaries .(metes and bounds - clearly show aPARATION DISTANCES SPECIFIED ON PLO I t r t to P. L.. to Foundation walls to Nearest well to stream, march, lake, etc. to Curtain drain to water line (pits -20 to storm drain to lar,;ti trees from foun(iatiotl to septic tar to pipe f'r'om leader drain &.1 WA 1 K. .expansion ) c 1 A � .v ��N�;�q -ems I acv -- Z_ Ste] . I. Remarks, 1 IV I A F113LD CTMrK_L'*1ST I Date: INIT.TAL SITE 1143PECTIO'11 yes, NO Comments ,Property lines or cornrl,rs found . . . . . . . . Can estiii,,ate house. location 0 0 0 0 0 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. 0 0 0 0 0 .0 0 0 0 0 V ... . ....... DEEP HOLE DATA D:-)pth: .14ater elevation: Rock elevation: Soils descri-,)tion: to f .17. FINAL S 19 LE INT Pj 1: C T.T 0 D1 Insp. by: House located wher.-I shoi•;n On 'approved plan SDS located -villiere approved o 1ong-L';h of trench measared W i dt- h of trench average - `- - - - - -- Slope of the line and - trench. acceptable . . . Room allowe'd for expansion trenches .(_)xrej?­50 ft. from swanip,watercours-e. Natural soil not - stripped or SDS area iuuieces,sarily graded 10 FL. main-tained'from prop.line and 20 ft. from house Separation of trench from house., well --etc, follows plan .. 0 . . * 0 0 Vvaiiber of bedrooms 3 checks . . . . . . . . . . . Stone.... brush, ' stumps, rubble, etb*. greater. than 15 ft. from nearest trench . . . . . . 15 Ft. of peripheral soil horizontally from trench. ... . . . . . . . . . . . . 0 Junction boxes properly set Could surface rim off from driveway., roads, .ground surface., etc. channel near SDS area Does lot drainrige anpdax, 0. K. in area of D.� FINAL GRADING OF SITE ACCEPTABLE, x 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 135J -610 OwnerVito Iannaccbin2(C2ntr.actAddressR D 4, Dingley Rd, Carmel, N. Y. 10512 East side Fair St. Located at (Street�Indicate Sec. 78 Block 1 Lot 33* north of Bullet Hole Road nearer cross street *Lot 33 Sunny Acres s' y Toian:: oi'_ Patterson Municipality - Watershed New York - City. ' SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole . Number CLOCK TIME PERCOLATION PERCOLATION Elapse p o 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 1 3:00-3:03 3 2� 25 1 3 Min 2 3 : ©4 -3:08 4 2.4 �5 1 3 3:09 73:12 3 24 25 1 3 " 4 3:12-3:15 3 24 25 1 3" R: �.a.16. -3 :19 25 __.... -.. s .. _,�,..::. .. - - 3 ± ►. U_ 1- . _ 1 2 :59 -3 :03 4. 24 �5 1 4» 2 3:04 -3:08 4 24 �5 1 4 1� ' 3 3:09 -3:12 3 24 .25 l 3 �► 4 3:14 -3:18 4 24 25 1 4 �► 5 1 2 3 I 4, 5 j. Notes: 1)' Tests 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 REQUIREI-T BE S-L' j_ED WITH APPLICAZTQX__ .7 DEPTH HOLE NO..:. I HOLE NO. HOLE NO G.L. Topsoil 611 1211 Sandy loam loose i1811 9V 2411 3011 Sandy loam, clay and small stones QQ 3611 4811 54 11 Pf 6611 of 7211 7811 .8411 --INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED none INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Burgess & Behr,, P. Co Date 6/23/78. SI Soil Rate Used 0-5 'Mino/l"Drop: DE GN S.D. Usable Area Provided 1300.-sf No. of Bedrooms 4 Septic Tank Capacity 1200 Gals. Type Precast cone Absorption Area Provided By 333 L.F.x2411- A. 361,- width trench. All spacings shown on plan to be adhered to . Other Address Burgess & Behr,, P. Co SEAL N D 8 -Horsepounq_#oad carmeiq Do Yo Lu'.)Le THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved _Sq. Ft/Gal. Checked b,, � ZC6N S - A- S BU.LLT ,PLAN _ .. CERTIFY..TlJAT "TNE •'S'EWYAGE- Q/S'POSAL- SYST£M WASO,/VarTRUCTED:AS JND /GATED ON TN /S PLAN ! A AT TND TH M' ED 'BY ME DEl -ORE /T jc,s j. ;'WAS 'COV�3L2p OVER .TFIE SYST :NI WAS CONSTRG�E/D ' tr DwGi. �� k IN ACCORD2l,NC�WITN ALL'TNE�RULES QND�GULiT ONS; a! / +,% it s,QF Tf1E PEI _N UG'PARTMEN,T. °OF NEALTtiI_ r rti a _ nnx r o �, y .`t F .EXCEPTIQN S� TO;TNE,ABOVE1 /F:AMY �VOT O; k3EL,0YV. 9 SxB:S cerlC. X� iJ0/JgE;C© vtM'Lrt.(F1.; A/>P;ZOVAjt_ + - s E 'T' ­AUG 2 0 1919 r , h 5 z E •\ _�,� ,. • � iP - r -. ' ..f ' '-c tf .� 1 7 i�.: ; k � f r G PUTNAM COUNTY. t 2 Fi Et Ev 5` .Ci p c D DEPT. OF, HEALTH .4S 8u14T PLA1V T T/E Ai1EA'S'URL�MEN;TS: Ems" OF SEtNAGE D /SPOSAL .�Y3T , :. A' Et, LOCAT /O:N 1 �f?<7nn rrrl7s c.� P Te Z s 0 33. S P4.TT:ERSOnI PUTNAM C`Ol/NTY/V.Y. cJ � TD F s P tea , It 519 , kp UgV[y P4� -- -- ttl. +M •i'- N MEMrii a.U.Q 'S 'ES j J J. Cp 1 - •' - __ -_ ProfesStonof En9ineerin9 � Z4nb' Suweyin9 q�q�ry� g � /26 G/eneido :Avenue Corme /,,IV Y 0