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HomeMy WebLinkAbout1848DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35.06 -1 -35 BOX 17 NI 9 L6 ��, ,�. , r Permit originally issued in the ffia.me of 1' ,.. Furst 3� w ` kti PUTNAM COUNTY DEPARTMENT OF HEALTH . . . Division of Environmental Health Svivices, Carmel, N. Y. 10512 "CERTIFICATE: Of CONSTRUCTION'COMPLrANCE FOR SEWAGE DISPOSAL SYSTEM Patterson Subdivision_— nm 14 ea oars - o ! Town Village Located a l!eadow Ridge Road (east side of) Tax Map 70 3 Section Block VIl iam .us a a Yorres er i Cis 10 Owner ' Lot Job Separate Sewerage System built by Sid's Cionstruction Address_Rt_ e 22- Rrewpter F =jnl_�inr�{` Consisting of 900 Gal. Septic Tank 310'3 lineal Feet.X 3.0 foot width,�tre�ch �- Other requirements aS per plan Water Supply: Public Supply From y �4�es; an ure I -1-0 Ampa6 n33 —R t� E2 � .. Private Supply Drilled By ' Address Carmel, New York 1051 - Building Type l family residence No. of Bedrooms 3 Date Permit Issued'lo— l9 -?-2 , ' presen ly Has Erosion Control Been Completed? 1 certify that the system(s). as listed serving the above premises were constructed essentially as shown on the plans of the comp ted work (copies of which, are attached), and in accordance with the standards, rules and regulations, plans filed tl the rmit issued y the, Putna unty Departmenti:ot.:Health.': e i Date Jules. -2b3, -127, Certified by � � P.E X R A Address Milltown Road, Brewster, .Y.1 9' License No. .- Any person occupying premises served by the above system(s) shall promptly take such aetion'as may be necessary to secure the correction of any urisanitarye conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a `` public sanitary sewer becomes available and the approval of the private water supply shall become 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 Health, sue revocation, modification or change is necessary. , S T • Date /,j` &3 By Title LOT F OR RE ALE PUTNAM COUNTY DEPARTMENT OF HEALTH = Division of. Ent!ironmenta/ Health ,Services; .Carme% N.- .1!:..10512, ` - - CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Patterson Tax , p Town or Village Located -at' :. 3 Y;Ieadow Ride Road (east side) secron Block .. 70 1 Subdivision Lakesprirl Meadows - Lot No'. 27 Lot 10 (on Tax "rapJL Owner T . Furst - submitted for sale of lot Address Duke Building Building Type assume 3 bedroom Lot Area 0.627 Acres Thornwood. lNT.Y. Number of eetlrooms }lariS t0 be submitted b"y pureha ', Habitable Space to be determineguare Feet.' Separate Sewerage System to consist of 900 Gal. Septic Tank 300 lineal feet X 3.0 width trench +,'.,jj To be constructed by to be determined Address 1 °.3 Water Supply: Public. Supply From :4 X Private Supply to be drilled by to be determined - t Address Other Requirements ?ur ose of submission is to verif�r the buildability of the lot as regards sanitary disposal system. Actual house plans• -to e sU mz e y purchase I represent that I am wholly and completely responsible for the design and location of the proposed systerri(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 an regu a ions o e u nam -_•- County Department of Health, and that on completion thereof a "Certificate of Construction Compliance's satisfactory to the Commissioner of Heaithwili, "_ 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 contlition any part of said sewage disposal system during the period of two (2) years immediately following the date of the issu -< - ante 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 Saitl well wilt be installed Jn actor ante th the standards, rules a d egula :— ff the PUtnSm ; County Department of Health. Date October 6 f 1972 Signed P,E $ . R.A. Addressli"7 l l t nrTn -Road _ RD #5; Brewster TT.Y, 10509License No. 43952 - 1 APPROVED FOR CONSTRUCTION This approval expires one year from the date issued unless construction of. the building has been undertaken and is evocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any change or alteration of construction _,squires a new permit. Appr ved for disposal of domestic Sanit s age, a or pri water supply only. 1. 2 3 5 i u F 2 . 4 5 Notes 1) Tests to be ' repeated at same depth u7. ail approximately eoual soil rates are ob- tained at each percolation test hole. all data to be submitted for review. 2) Depth measv.rements to be made from too of hole. PUTN.a�I COUNTY DE? �?T:`T OF HnELTH �.VIO L4 DIVSSION OF E \ E?ZCES DESIGN DATA . SHEET - SEPARATE SE "`:_AGE. DISP L SYSTEM: FILE NO Owner T. Furst (for resale) Address Duke Iuilding , Thorn_vrood, N.Y. Lakespriq Tax ,ap Located at (Street). Meadow Ridge Road off 70 3 10 ( ) � � Sec. Block _Lot (Indicate nearest cross scree L) Eventually -into Ice. Pond, then Municipality. Patterson ;.at' rshed Into NYC reservoir system ' SUFDIVISI T :. Lal espring lr eadow - Lot No 27 :SOIL PERCOLATION TEST DATA TA REQUIRED TO BE SUE'•:I'1 TED WITH APPLICATION Hole Numb.er CLOCK TI`IE PERCOLATION PERCOLATION Run Elaose. Dept' to t -later Water Level No . Time From �'' Ground Surface in Inches Soil Rate Start Stop �1in. Start Stop Drop in Min/in.drop Inches Inches Inc:: ^.es 2 O - fro �- f9s. 3 © �� y b2 Z. 2. C 4 ..:.. �. a L�- 1. 2 3 5 i u F 2 . 4 5 Notes 1) Tests to be ' repeated at same depth u7. ail approximately eoual soil rates are ob- tained at each percolation test hole. all data to be submitted for review. 2) Depth measv.rements to be made from too of hole. 36` .42 48" 60' =. Brown Gray 6V Sand 804" ry AbIe - no Ie ge INDICATE'' LEVEI,. AT NKCH GROUND WATER IS ENCOUNTER.ED not encountered INDICATE IEVL TO WHICH MATER LEVEL RILES AFTER BEI NG ENCOUNTERED n/a TESTS BLADE BY Dan Schutz &..AN - Deep Hole Date 'Sat, Sep 9. 1972 M O +.B 8c AM a Percolation Sun., 9 .19 2 , As urp 3 3y b@ ', orl _ loin fp e,s le liL _ 3'75y3 of Rage l.se'�_�,5�'lin �rop:, 3 beds. S-D. t`sable area ?ro-.-i^ed 1125 sf No:...of BedYoo-ns 3%: _Septic Tank Cap aci'ty 900 Gals Type Approved Concr. Absorption Area Provided By 300 L. F.x 2? L `-36 X width trench.' Oth er E OF NEb►.. leg oe (RICK .� s NameArthur - P.. McLauLghlin, P.E. r� it o Address Milltown Road, R,D:. 1` .5 �� ir Brewster New: Yorh 1050 �O. 42052 C PLTwA�i COUNTY DEPART��NT OF HEALTH AReFFSSioNP�., Soil Pate approved Sq. Ft. /Gal. Checked bV __ .Date 6, y AfTR AUG 151973 jrfi - A -� — z evj �diPT HEALIr AUr 11P.l 101 1 Hli-S I DRIM.M. DIVISION Of PROFEV NNAil IMMMMMUL - HEALTH SERVICE' oj g6 S i L iG A' Offsets. f Pom N Offsets from (North) Corner Item (South) Corn. 7odse to Description o i �!� e - 2505 feet Septic M.14 36.5 feet.- 27o2 D. Box 11 A" 51 ®4 2986 B" 6005 35.5 C 59*4 4302 "DI" 6787 5185 feet D. Box IIE!" 7506 feet k� Location by transit /tape /stadia .method "This is to,:certify that the sewage disposal system was constructed as plan and '.t . hat the system vv as Inspected by me before It was covered ov was oons.ft m-ct.ed in accordance with the rules and regulations - of the P Departme..Fbf Health. Tax Map - 70 Block 3 Lot- 10 original ermit issued in the name o. rn L., Furst ': tn�m 0 s ARTHUR. P. MiLAUGHLIN ENGINEER a SURVEYOR RD # 5 M!LLTOWN RD SPEWSTER N.Y i0509 "As-Built" preparec for Forrester BldrE La�ke Spring Mdws� Lot # 27 ® TcLTeadow Ridge Rd; Patterson 171le-ii, Pec,%� s ARTHUR. P. MiLAUGHLIN ENGINEER a SURVEYOR RD # 5 M!LLTOWN RD SPEWSTER N.Y i0509 "As-Built" preparec for Forrester BldrE La�ke Spring Mdws� Lot # 27 ® TcLTeadow Ridge Rd; Patterson 171le-ii, Pec,%� If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE & t i a WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF.. HEALTPf 3/71 �' Division. of Environmental Health Seivlces,. COUNTY OFFICE BUILDING CARL, EL, NEW. YORK. �11 - — This= report- is- t6=be.7completed ~by well "driller and �submltted`to County "Pfiealth" Department togethtsr Witl .labo�ii6tV rt port-of° analysis of water sample indicating water is of satisfactory bacterial quality before-certificate of construction compliance is issued. ` REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL' COMPLETION NAME ADDRESS OWNER :. Forrester Bidrs Sne Mooney .Hill Rd ':Patt'erson LOCATION (No. 6 Sueetl (Town) a (Lot Number OF WELL Pqttbrc yi. BUSINESS STIC ESTABLISHMENT ❑FARM`. ❑TEST PROPOSED �=XDom WELL USE OF WELL AIR ❑ SUPPLY ❑ INDUSTRIAL ❑ ❑ , . CONDITIONING (OSpeciffy) ' DRILLING �jCOMPRESSED CABLE OTHER ' ® ROTARY i -r,AIR ❑. ❑ EQUIPMENT PERCUSSION PERCUSSION .' (Specify) CASING' LENGTH (feet) '. DIAMETER (inches) 6 WEIGHT PER FOOT � ❑ SHOED CASING DETAILS 1 � . . ' " THREADED WELDED YES ' NO YES • ` '• L_1 NO YIELD HOURS G.P.M. ❑ ❑ YIELD (G.P.M ) TEST BAILED PUMPED COMPRESSED AIR WATER MEASURE FROM LAND SURFACE— STATIC(Specify feet) DURING Y ElD TEST lest) l Depth of Completed Well LEVEL 0 in feet below Land surface MAKE LENGTH OPEN TO AQUIFER (feet)., SCREEN DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEI Diameter of well including RAVFL SIZE (Inches) FROM (lest) TO (feet) . PACKED) gravel pack (Inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION • - -- - Sketch exact location of well with distances, to at least :. two permanent landmarks. FEET to FEET 0 2. . s foam cover.. Granite 2 350 type .le.dge _ '1 /-7�, % - O/ ... `M III .. .. .. 1 If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE Vorr Bldrs, Inc Patterson, X. Y. tsner cr Purchaser of building Municipality Building :Constructed by Section Xeadow Ridge Rd. Location Street Block Sirlg1 P ducal l ing .27 Building Type 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 described property, and that it has been constructed as..,shown on the approved plan or approved amendment thereto, and in accordance with t}ee, 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 s s terra . 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 will-fu-1 or negligent act of the occupannt of e building Utilizing_ the _ system. Dated this 13 day of. Aug 19 73 Signature Title PrXe ('f corporation, g name and address). 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