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HomeMy WebLinkAbout1877DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.05 -1 -1 BOX 17 1.3 . . ' i .. - `� 6 . ' 4 ,5 1� L .. 6;iL 01877 above described will be constructed,as shown. on the approved amendment there to and in a n ccordace with the stindards,.rules an regu a ions o e Putnam - County.: Department 'ot `Fiealfh, °:and that on completion thereof a !!:Gertifiea`te: of ' Construction Compliance" safisfaetoiy to tfie;Commissioner' of. Healthwili ;.. be submitted, to the _ Department,, and a written "guarantee; will be furn heck the owner, his successors; heirs or assigns' 'by the builder, that said builder will place in gooQ- operating contrition anq- part'of.said sewage disposal system 'during the period of two:(2) yearsIminediately' following thedate of the issu- ance.of : the .approval�'of•the-,Certificate of Construction -,Compliance ot,the;.original.systern or-any repairs thereto;:2 },that .the.drtlle0 well- described above Will tie_ located as shown on the approved plan and,that said well will "be lnstalied in, accordance .with; the _standprds, rules. and'regu a ons of,'.the .:Putnam' County'Departmerit of kealth at4 8 Noverm�ber 1983; Signed.- '`vim` P.E:x R:A . (arigina ' perm��t ?�a�e, I_lcen6e NO. 5 3] 83 Address RD 9 '. r St rmel N Y 1 512 `: ?APPROVED ROR- CONSTRUCTION _.,Thirapproval, expires one;yeai "from the Cate lasued• ,uri s co YucUOn :of thebwtding has been. untlerfaken and. Is ; revocable for cause or. maybe ameritletl or;modifietl when consi net nary bif the Com ssio.ner t, Health. Any'ehange :or alteration of construction Date ermit Approved or disposal of domestic dar wage,. a /or rivat water up only requires a new. p, n - , ' I •�.� 'i _ BY • . _ Title .Rev. 9 -91. . ._... .. ....... � ..._ ..ter._ __.._.....ter... - ....... _. .. .... .. ..-. .. ...- _ f. -a ..... _.. ... ......... .. .... __.._ ...._�.n.............. ... .....r .... . a ..r-.. in WELL COMPLETION REPORT 3/71 j PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW .YORK This report is to be completed by well driller and submitted to County Health Department together with laboratory report of ai3alyss of "Vaeter�saalple indtcating��rme .- %�of;sat+sfaciory bacterial. qualaty..before.certificate of construction compliance 3s issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME Patrick Martin ADDRESS ffl, Box 44i Patterson LOCATION OF WELL (No. & Street) (Town) (Lot Number) East Branch Rd. Patterson NY PROPOSED USE OF WELL BUSINESS D DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL El SUPP Y El INDUSTRIAL ❑ CONDITIONING El OPHER) DRILLING EQUIPMENT COMPRESSED CABLE � ROTARY ❑ AIR PERCUSSION El P PERCUSSION El ((SSpe ify) CASING DETAILS LENGTH (feet) 1 DIAMETER (inches) 611 WEIGHT PER FOOT 1 lbs ® THREADED ❑ WELDED E SHOE YES ❑NO CASIN YES NO YIELD TEST HOURS G.P.M. ❑ BAILED © PUMPED ❑ COMPRESSED AIR 1 6 . 5 YIELD (G.P.M.) ; %, J 5 ► 5 WATER LEVEL MEASURE FROM LAND SURF ACE —STATIC (Specify feet) 801 DURING YIELD TEST (feet) Depth of Completed Well in feet below land surface: 3451 SCREEN DETAILS MAKE LENGTH OPEN TO AQUIFER ( feet) SLOT SIZE DIAMETER (inches) IF GRAVEL PACKED: Diameter of well including gravel pack (inches): GRAVEL SIZE (inches) FROM (feet) TO (feet ) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION. Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET 6 75 Drilling in overburden clay and,:boulders Hit rock at 75 feet -75 =- 95 Drilling in rock,set casing grouted. 95 345 Drilling in rock granite. If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED l0 /19/83 DATE OF R PORT 10/3V83 WELL DRILLER (Si u JL1 Marcella .& Patrick Martin __ __ 68 Owner or Purchaser of Building Section 1 - - •Bu_1.1�din�g � C.on s,t,r.uc t e. �- Pb3r ..... ,,._....__ - �- - - -. -- - - �._ ;, Bl;o c k _ ._�: __�........ -. _ �...........� � ....�,�..__ ...w,.._... < - .< ... _.., -:. �...._ a Past Branch Road Location - Street Patterson Municipality 16 Lot Castrovind Subd. Subdivision Name Frame 1 Building Type 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- ation of the Director of the Division of Environmental Health Services - -of - the­-Putnam- County. Department .of. Health _ as ;_to _whe.th.er,..ox_. 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 sys d Dated this 18 day ofovember 19Jjj_ Signature Title Corporation Name if corp. 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 � r � Marcella .& Patrick Martin 68 Owner or. urchaser of Building Section t - East Branch Road 16 Location - Street Lot I Patterson Castrnvinci Subd_ Municipality Subdivision Name j Frame 1 Building Type Subdv. Lot # GUARANTEE OF SEPARATE SEWAGE SYSTEM iX Y I represent that I am wholly and completely responsible for the f 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- of the Director of the Division of Environmental Health Services ' ... -_. - Putnam--Gour�ty�, -D- apartment of Health as to.-whether or -- not -- ±he fail- the system to operate was caused by the will or negli ant act o, a occupant of the building utilizing the sys em. Dated this 18 day ofNoyember 1983 Signatu e Title 1_LER Corporation Name if corp. 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 - - - BREWSTER LABORATORIES Box 224 - BREWSTER, N. Y. WATER ANALYSIS REPORT SAMPLE NO. 5262 SOURCE: Marcella Martin Faucet - Well East Branch Road Patterson, NY COLLECTED: November 9, 1983 BY: Patrick J. Martin BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method 0 per 100 ml. This result indicates the source of the sample was of satisfactery sanitary quality when the sample was collected. November 17, 1983 Bickwit P. E. Director Frame Building,... ype Lot. Area Number of �Bedrooms �ree�esign P1ow�G /P/Dii�600 Separate Sewerage System kto cohslst of To 16e constructed t Water Supply Public Supply From �( Private Supply to 'be drilled by: --- Address - other Requirements: _CUet` (TDrd•s "' .�a4 II. D tT I represent that I am'wholly•and completelyresponsiblefor -the' above, described will ;be constructed as shown on theapproved.an ou Cnty Department of Health, and'thaf oncomplefion therec be`sutimitted to the:` Department and :a, written guarantee =wi place' in, good operating condition any part „of said �sewage,'i ance of. the approval of the Certificate of? Construction Coir wiI., be located as shoovn on the approved plan and that said well County.:Departmentcof' Health f —Date May 31 1983 Address � M APPROVED FOR CONSTRUCTION ^This a_ proyaF,exp ires on revocablez for cause or: rn ay:be amended or'modifled when cdnsi, requires a 'new permit) Approved 'for disposal of domestl Rev. 9791-. 655 Acres ' F311 4p., 6n,,oh ly O :P C H -D Notification Required - Q 333'l 2411- ik Laterals SePVC res sf.� mr*. if Y . •�i In and locatlon of the proposed Sysiem(s); 1) - that -th0 separate sewage dISpOSal,�iyStBT •,. menu•there"to and ,in accordance with, the standards,-ruies an regu s ions o_ e _ .,u narn • . 'Certificate of :Construction Compliance" satisfactory.to the Commissioner of Healthwill 1 furnished; the owns `r,,his�successord,'heirsor: assigns y tfie builder that said builder will'': saf system- ,-during the period`of two.(2) years.immediat'ely following thedate of the issu nce:.`of =,the original system or any repairs thereto 2).Yhef the,d►illed';well described. above be installed` .in accordance with the .standards; ,rules ,and regu aTiions ;:of the 'Putnam-' f d PE R.A. rmel, NY 1051 29206 License No ar from the date Issued unless construction of "the building has been. undertaken 'and is I d necessary `Dy the;Co M scone► of Health -Any-Change or alteration'-. of construction { cry se age and /or vita ter supply only. fi Titlev' �y Pik r PUTNAM COUNTY DEPARTMENT OF HEALTH - -. - -. DIVISION..OF ENVIRONMENTAL HEALTH SERVICES' :.COUN'.I'Y..OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Modntp .g g ;% Address LM Located at (Street "ap 66 Block Lot 6 ,,, nod ca a neares cross s ree Municipality rd';�'Csa Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH,A.PPLICATIONS oe Number .CLOCK TIME PERCOLATION PERCOLATION RLM apse Depth to Water a er ve .No...:..._... ._ Time From.Ground Surface in .Inches Soil Rate Start -Stop Min. Start Stop Drop,in Min. /in drop Inches Inches Inches s� X v,`' ` 0 � Notes; 1) Te` is 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) Dapth measurements to be made from top of hole. ta:,U.ivar' . Soil Rate • Used � 9$ 6•Min/1 "Drop: S. D. Usable. Area : "�rovided N.o.° of -Bedrooms .' _Ik.'4 . Septic Tank Capacity �•:' •'Gals.` Type Absorp. on Area Wov e By 333 L.F.x24" -� width trench. .68" Gibe ".1'�0,'® �-° Other C;a. I�ra�oc7 /�scSS10X TIame _ a _ i Address.. 't%'1v IVo 292 Q�D ��� Py. -_tF �E. Date 37 C-0-g PUTNAM COUNTY DEPARTMENT_ OF HEALTH _ _ iyision of Environmen al Health Serinces,' Carme/ %V Y . - (0512 CONSTRUCTION PERMt OR SEWAGE DISPOSAL 'SYSTEM (T) Patte7r'SOII L+., Located • at 8t 'side off' fast Branch Road s cax Ma 6.t3 ��-BIdCk e' 1 Town subdwisio �� �'� 1 -Ad ma T�s 516 &. -1428 - 1_or :owners= ItU.arne �C L1nda BLIP and Address ATJ1J113�iil Rout® -116 Buildm9;TYpe Lot.Area 1.6 acres 1 - -family resod w T�li°A(3 �3) Total Hab� fable Space Square Feet- Number of Bedrooms CyeY' l 5 ©� i Separate sewerage System to consist of 90O Gal Septic Tank �- r lineal feet X 3 �0 f �+ • width trench �n3. To be constructed by to :be e'ez'+ xne d Address i I . " Water SUPP19:• Public .Supply ,From. Private "supply to be ;d►illed bY•- t n '.7P dpir a rminPd - i Address 1 j Other Regwreinents as `p9r the a- proved plan -` - nclvdes in allation of : curtain, drain i v1/ rri� .,. de th o 5.' & rt n•, :s10 ea 0.5 a - Drain_ 4i) .1�Lin. Zn .1�1� ire arecl` trench I I representzthaf 1 am wholly and completely responsiblefor;the'desin and.locatioh. of the ,proposed:'system(s); 1) that the 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 Putnam County'_- Department of Health,_ and -that on: completion tt`ereof a: "CerLficate of Construction Compliance satisfactory to tfie Commissioner of Healthwill .j be submitted ,to the Oepartmeht, and _:a;- written guarahte .will be furnished the owner, his successors, heirs or assigns by the-builder; #hat said builder will I b place .in good `operating •condition any - ;part_ of said sewag disposal system .during the period of two years immediately following the date of the issu- ance } of ;;the approval .of the, certif�cate.;of Construction ,C i pliance of'the original system or any repairs thereto; 2) that :the, drilled well.'destribed above - will be located as shown on the approved plan and that said well ill tie installed, actor rice with a sta Bards rules and r ula If the . Putnam ttt County _Department of, Health n Date • ' Ja Hoar igned B E R A, Revs Bed 2 17�7C Atl ress License No° 0 0 4�iA52 R APPROVED FOR•CONSfRUCT10N , This, approval expires ono year from the date issued, unless construction of the building has been undertaken and is { revocable for -cause or may, be amended or modified'when considers ' ' es , by the Commissi e- -of- Health.,_ : Any change;_or._alteration of, construction } requires' Appr ed for disposal'of domestic sa ary ew ge, an rivate u ply .'only i{ Date - BY in 1i i; ARTHUR P. MCLAUGHL.IN PROFESSIONAL ENGINEER - LAND SURVEYOR -,'.. .... _MILLTOWN ROAD. RD NO. 33 .... r' DRHW£STER, NHW YORK 10009 DATE a (>a,4) 279-9904 DATA January_ 2, 1976 JOB s LETTER OF TRANSMITTAL TOO -alrie Putnam. Coun4y Health Departmen ATTEIM'ION: Mr. Robert Tutoni Si of Er_.viroy- Lmente,I Hfialth RE: Sanitary Disposal System Plan i 'aunty iif'S'YCERiilding East Branch Road (East side of) i s c Carmal, New YoricP 1.0612 GERrLE14EN s (Town of Patterson PTYrNAM COUNTY, NY We are sending you XX Attached ❑ Tinder Separa Cover VI'K. handearr°i-e—d the following items,: {COPIES DATE N-0. DESCRI F T'.T ON 41 && 120 scale plan "Sanitary System Design for o 0 o�� 1/2/76 12/2 w/ details. notes. etc. _ t t form x 50 ranch by Lole logs and R'E[ ;.Mf K S: This site was originally investigated, and deep holes and percolation tests made during the Spring of 1975. At that time, Mr. Tutoni was contacted, and inspected the site. Per the local town requirements, the deep holes were then baekfilled, and the owner took time to decide on number of bedrooms, house location etc. Your indulgence with respect to recall on the above facts will be apprciat d.! If there are any questions, please-don't hesitate contacting Mr. r Chapis or myself. 5,.�•ned : r ;0r to: file - r' ur^ o_ ,.1 .S. E� 1 3/28/7 ' Au#�horization form Catalog cut for a three bedroom 1 Architectural Specialties Inc._ Data Sheet wl Deep Form ® Design percolation tests, -etc-. 1 m 2 pg. No-r INCLU:DE-3) k T HESc A T7 ` 1;q fS jTTW' as decked below: I 21 Por ApprovaI X For review and comment �! ❑ Fn yo ur use ❑ [ or your records ❑ tis requested ❑ x 50 ranch by Lole logs and R'E[ ;.Mf K S: This site was originally investigated, and deep holes and percolation tests made during the Spring of 1975. At that time, Mr. Tutoni was contacted, and inspected the site. Per the local town requirements, the deep holes were then baekfilled, and the owner took time to decide on number of bedrooms, house location etc. Your indulgence with respect to recall on the above facts will be apprciat d.! If there are any questions, please-don't hesitate contacting Mr. r Chapis or myself. 5,.�•ned : r ;0r to: file - r' ur^ o_ ,.1 .S. E� .'P . MC LAUCHLM "55fONAL ENGINEER D�[y -r �v,C� �tp�rt WN'. ROAD, R D. 5 RM ilr�,l 4- BREW�TER;' N Q Y, l o 5 o 4 Burnrard -'-East Branch Road (T) Patterson - TAI 68 BL 1 ?4° LOTS 1 &2 :HC �Iqe p% 0. X B r _Niign data sheet - Peres - presoaked? Mink® 30 pare test depth Conet.e results for 3 runs D. Hole Io 0.K. Corpgrat® Aff Affidavit or other than individual Authorization for ewer I4tter f°a a Water Supply i app ca e If variance requested -such noted on plans apps. 1 DETAIW if change is proposed, ) . .Exists contours shown show new contours) Slope.8 for drivevay cuts, etc. shown .-Watett- service line location opting drain, etc. location Top, '•;alo9 bottom slope of Percolation tests and deep test pIt oca on Se c, tani� size and conformance to std. 1 3 house minimum _mum Rouse ; B"Otback shown res All 1 ter witbin 50 ft. -of PL shy - profile SIB 1 A11; other wells and . c oser shoes.. or- - rei' ®xence­iamde-.. _:......._ . Prop®rty boundaries (=too and bounds - clearly s I''_SEPAMTION DISTANCES 3PECI= ON KAN I X10' Ito �. Po 1. 20' ,to on ,. 100 l' , `to Nearest well 50' to ' stream, mamb, La 10' to meter li,n pi l5' _tiro . orm d.x ain 10' -to large t rea s f tip a k �,jts Std. RaMMrk+ ea o notes I & T on X plan (sht 2 of 2 ) See Note X itmisting contours shown - not to be altered. per note Y - Drive grade approximate see noeR en situ materials � a X X X La X X Plan shown - per-note-C..- propos ;)erty profile -X- - Only one- lets boundaries p. ?M, LAUGHLIN PROFESSIgNAL EN RGIDNF-ER . , 5 Mit TOW N ROAD, 105.09 BizFWSTER, N • Y - '_ 8ur o ar&_- Eab7f':*B 0 1-97-6- - - - - - - - a. (T) Patterson--! TM 68 BL L.0 S' 1 &,2' 'b p.by: A'PM, NQ,2. etc SITEINSFECTION Froparty liras or corners found Can estimate house location Will driveway need cut . . . . . . . . . . . Mist trees be removed-note these Are lo deep holes representative of entire SM area "atioml deep holes needed. . . . . . . . . . &Ifftciant SIM arsa available considering drive-w-my cut houze location separation diotuxea'q atc . . . . . . 0 0 Uster elevation: ftek elevation: Soils descriution: Ye s I No Fli X EjUG near SoCL.Se X. I hovered - no-t-e-7- rovided integrated lot plan is followed See DESIGN DATA SHEET L Date: —1 PML SITE INS OR Insp. by: I 1 -1 Houzz located b-hara shwa on approved plan . - SM locatoad where mpp rove d • • . . . . . . . . led gth of L.L-vach uruasuxwd Hid th of trench average Sloya of tile- line and 'ROCim'iUoig7�d- for -6xparisi'on trenches 0 GFOP 50 ft. frcm ouampbstercourse . . . . . Rat ,l soil not Qtripyad or 3D8 area umacessarily graded . . . . . . . . . . . . 10 R. maintained from prop .line and 20 ft. frcm house . . a 0 0 . 0 0 0 0 0 . 0 0 ftp2s;ztion of trench from house, well Gtc . follcrdu plan o 0 . . . 0 Wtnbar of badroczo check@ o o . . . . . . . . . ftc2n09 by-u@ki, otu�§y@,, nibble,, etc. meter \E:00t tg;Z=Ra 0 0 0 0 0 0 t�m ft:ZZD R___ 15 R. of PQAqh9az31 ooil horizontally from tranch 0 0 - 0 0 0 0 0 0 0 . . . . . . . Junction boxes proparly @at 0M11d Surface run off frm driveway,, rcada,, amwd aurftca, etc. ctrl near 3D8. . . . . arasa 0 0 a 0 0 0 0 0 0 0 a . 0 1 0 0 o 0 0 Dazo lot drir ap gjapasr 0. K. in arm of BDS and a .deep . t&S hole Mi. at the :cent -er o-f deslgn � bcatio`n::of last drench. Health PJTNA_M COUNTY DEPARTMENT OF HEALTH Dept. to be notified Co Division of.`Enwronmental Health Services, Carmel N. Y 10512 that .'t`lme 't0 .determine! ' efectye' ae}I� of the _proposed .curtain drain. ;CONSTRUCTIOty PERMIT .FOR SEWAGE DISPOSAL SYSTEM.`RER A T� -P# • ' - Villa _LOCetSd at. r'.r�:d. -3.11P [1� Ft Branrld- -- T.e24. —GtU IocR9 W ... 0 or e - . SubdnrisloitS�: --F11 Pd' Inns 51 & T28 1_ot.s, owns, .Duane & -Linda_ Bur:gard (Contract Vendors)Ada ►ess Apple Hill Route 116 ri,3 l �. Lot Area y rk 1 f�S R i Building Type 1- €ate- r- esace. 1 :� aces Pt�s1�s: StatanT�Tew :Yn 7 +iNumber of Bedrooms`Th .Design Flow •2OO X -3 hOO gad Total Habitable space" to-: be Over S��Square Feet . = 900 Cmin Separate Sewerage System to consist of Gal Septic Tank and, ��/ 1• f Of.0 ft. wide trench ; To be constructed by to- _be determined Address ' Water SuPP)y: Public, Supply From '.. to be determined Private ;Supply to be drilled by Address , Other Requirements aster' a�Prov�sL a�c'�n 1� l t,1�3dP� lnS Ai.l'� on of curtalri drain w% tTiri, de'aqth `:of 5�j' & mzn. sZo e 0. vn Drnr4 "' min. in -: 18 "::wide prepared trench., I re sent that 1 5m wholly' and corns '0 responsi_e for the design and location' of the proposed systeni(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 . 't the Putnam County :Department of > Heelfh; -and that =on comple4ion.thereof a "Certificate: of Construction Compliance' -sat isfactory to the Commissioner of Health will be submitted to;,fhe Department and ;a 'written guarantee will be furnishedahe owner' his successors, heirs %assignsby the.builder;.that said builder will ' x, xL.... place in good ,operating ,condition any ,;part of 'saiG sewage_ disposal system =`during`Ahe, period of two (2) years immediately following the date of the_issu 1. _ . ante' of the ,approval :of the Certificate of Construction`Comptiance of the original system . or any repairs thereto; 2);that the :drilled welldescribed above will'be located as'shorvn on the approved plan and that said well will-be insta l d�.ln c ordan a �N• ith ,th andards rules" -and regulaions of .. the Putnam County Department of Health LaLl Ar Date ar 1,47 r. OCtQb 1r -r�;L Signed R.A. Address t ' n Dad R.D. Brewst 10' No 043.952 - PELS - icense APPROVED FOR CONSTRUCTION This approval e3 pires_one..year from the date.Issued unless: constructiori'of the - building ;,has been undertaken, and is revocable for cause or may be amended or modified when considered necessary, by the <C missioner 'of Health. Any ;change or. alteration 'of' construction requires a. -new permit,' gApproved: for disposal of domestic- i sewa'ge; and /or) ate, water s^ niy- ---- -_ Date .0 L 79• BY Title '4 i ` x a TUTAM T RTMENT' OF H ALT11 �g E A Division,'of Environmental Hea %th Sewices, Cacme% IV Y '10512 ` - PERMIT FOR SEWAGE DISPOSAL SYSTEf1A (2' ^� pattAY'8ori Town or,.Village fast `side df East $�i'vanch Road see Tax Map �68' r 1 - Located +at - Scts Blo Filed :maps :516. & . otsonl 2 obc 1428 Subdw�sion L & k owner Dune '& :Linda Bur ar�31 Addr ApUle Hill; Route :116 Bu „d,n9'.Type1: faml�r residences 1e6 acres Purdys Station, New York 10578' Lo Area t ti $ -Three (3r)` ovekr 150SOs x Number of Bedrooms Total Habitable Space Square :Feet ” „g Separate 'Sewer`age 'SYSterri to consist of ;.. 900 Gal Septic Tank �-77 lineal feet :X 3 0� width trench a To be constructed by O b A t rrilinPd' Address Water BuPPIY '', Public SupplY.From S< X Pnvate - Supply to 3be drilled by to be,,.determined v,:•, it t - c other Requirements a der apro�ed Tan includes: �nstall�tiori of :curtain =drain wAmin.; r depth =` of_ 59 ,& min; slope0a5. drain4!�min® 'in 1�8' „prepared t:reneh.� represent that'I: "am wholly and,completety responsi6lefor the design and location ,of the'poposed. system(s)'; 1) that the separate "sewage,�disposal system r� above descry bed .will be constructed as shown on t6e,approved amend rent there to and �n accordance with the'standards; rules an regu a ions o ; e Putnam-",,, ,County .`Department of Health, and that (on compleUon : thereof a , Certrficate of Construct on Corripliance )saUsfactory to�the Commissioner of HeaI hwill,�` Abe subMitted to. the Department; and a written „guarantee will be furnished the owner h�stisuccessors, heirror assigns by .the, builder that said builder will :., place m'� good operat�ngcondition any�part of said sewage disposal system during the `Period of two (2) years imined ately, following thedate of the �issu `ante bf N app,iiAW of;ahe CeYtiflcate "of Constructibn:'Compliance ofsthe onginbl 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 i accord nce, with 'the ndard rules and regu a n of the Putnam County Department iof Health Signed P P E R A ' 4 i Address ° & License No i 'AOVED FOR CONST UC RTION 'This approval expire PPR s one year from ttie date :`issued unl s construction of ,the building has tieen undertaken and is r firevocat le for _cause or may be,,amended.,or-mc- i sit 'when consid � ecessa`y by „trie Com' s ner�of .Health' ''Any change.'or .alteration ioi construction, ” -requires a new-per mit Approved for disposal of domestic star ew a o pr We nj Date � � ey - Tale ?rlor to .start of : site work tkie required slirtaln drain shill be nst lLe grid d� test Bole dugt t e ,�n� e 1st trench. The IIealth; •:ITtA,UPTR�1IAtI.% gar tme'nt , sha 11 be Division 6f Health Services, Carmel, N. Y 1051 ta time tE �fzed qkt.. 1 tl NAL OF: determine the ;.ef.fe tivez ess; sof the pr osed curtain •drain. ';JNSTRUCTION PERMIT FOR SEWAGE. _DISPOSAL SXSTEM villa e Patterson ..,.� ..La-st• :suede -��� =��5 -�&r�. s Filed Flaps :516 & ,14z8 s, 1.. q� 2 Boa .• "SubdlVlsion • _ _. Lot - owner S -•' Duane -�& Linda. Burgard iContr2ct :U�ndQr.s�dd►ess 4,710331 e uJ 11 FoL�te 116 euutliny i yp8 1 fam i - y res I dence�oi Area 1 arms Purdys Ste Building York 1.n�7n Number of Bedrooms. `'T,hree Design Flow 3�0 E'2 '- �nn ate Total Habitable Space t7 ��P rSf�Y' �7nquare Feet Separate Sewerage `System to consist of _ Gal Septic Tank: and L77 -��• (i?_3 n - ft.- ry F' f P.YLh' To be constructed by. t0 be determined Address water Supply:. Public SuPPIy From , i- Private SuppI to be drilled by �D h� dei-Prjj YiP Address Other .Requirements as. der. abbtoved plan ] YiC LllE 1 depth off' S:' ' Min. slope 0..5 6 I represent that L'am wholly and completely responsible for the design'antl locit above described will be constructed as shown on the approved. amendment there, County Department of Health; and that on ,corn plot ion thereof a "Certificate; be submitted to the: Department, and a.'wntten, guarantee will be_ furnishea` Place' ,in, good' operating condition' any ,part of _said sewage ^disposal' system ance of the approval of the Certificate. of .Construction, Compliance of the will be located as'shown on the approved plan and that, said well will be'instailed County Department of Heaillth Dataa� signed Address Nl1 "L LL "OUdnOad� D. APPROVED FOR CONSTRUCTION This approval expires one year 'from the revocable for' cause or maybe amended or;modified;whenconsidered necessary_ `requires a' new- _permit. Approved for disposal of.'domesf nd y se aged �- 17 A es . instal -Laton ,.Of . curtain ..drain w% min: ' 1 mz'n. in -1:81' wide prepar -ed trench. on of the proposed system(s); 1) that the.'separate sewage disposal system' o and. in accordance with the standards,'rules an regu a ions o e Putnam of'_ Construction. Compliance" satisfactory to ahe Commissionerof Healthwill he owner, his successors, heirs or, assign the , builder, Ithat said builder will iuring._the period of two (2) years immediately following thedato of the issur original'sy stem ,_or:any repairs thereto; 2) that the drilled well described above :accor 'ii w the'standards'rules and r ula ions_. of: the ,Putnam F.E.- - R A. S : "Breltii tel:_ -�' �icense No. f1L1?i�<i? P,F.T,s,:,' date issued unless construction; of, „the .building has been undertaken and "is by the missioner of HealtFi. Any change- orr''alteration of construction. 9ntl /a pri a e `w r supply only ARTHUR P. McLAUGHLIN PROFESSIONAL ENGINEER - LAND SURVEYOR INILLTa1NP1 ROAD, 46 i40­-_j- BREWSTER. NEW YORK 10509 (914) 279-6986 May 25, 1978 Mr. Robert Tutoni, Public Health Administrator Putnam County Department of Health Division of Environmental Health Services County Office Building 0 Carmel, New York 10512 RE: Renewal of Construction Permit for Duane & Linda Burgard r9 E Side of East Branch Road (T) Patterson (C) Putnam TM 68 BL 01 Lots 1 & 2 Dear Mr. Tutoni: Reference is made to my prior transmittal of February 17, 1978, and your letter of reply February 27, 1978, with our subsequent meeting on March 17th to discuss the project. This letter will confirm, in writing, what was discussed at said meeting, and in reply to the points brought up in your letter.- Point # 1 - this letter confirms, based upon a field inspection, that there are no changes in the matter of the wells and septic systems in the immediate area of the parcel, and as such there are no design Changes mandated therefor. Point # 2 - It is not possible to design a system based on two foot spacing, as compared with three, which will yield a more optimum percola- tion area, and it is therefor suggested that the three foot spacing be maintained. It should be noted that the geometry of the absorption area causes this phenomena to occur- Further,, any such redesign -would radica-1.1y-_ alt,er-the expansion area available, mandating a pumped.sy-stem to a more remote area of the lot, and I respectfully suggest that this isnot warranted at this time. Point # 3 - The requested note has been added to the attached construction permit -form at the top by asterik. It is presently my understanding that the Burgard's have received a binder on the property from Mr. Dennis Courier, who intends to purchase it, and he is concurrently being made aware of the ccrdition specified,in Point # 3 of your letter. Trusting that the above informations are to your satisfaction, and that a M. renewal of the construction permit can now be issued, I remain Very truly Y_ urs, Arthur P. Mc au P.E.,L.S. Encl.: Revised Construction Permit Renewal Form conaurrently dated P.S.: Rather than mailing the form back to us in the interest of the client in wishing to pursue a closing on the property, we would appreciate a telcon, & would be happy to pick the form up from your office. Copy to: Mr. & Mrs. Duane Burgard (wl encl) MIr. Courier (VIA: Mrs. Peragine of Scout Realty) ARTHUR P. MC LAUGHL -M IMOFESSIQIV - __ a _ MILLTOWN ROAD. RD NO..S', DREWSTER._NEW YORK 10808 (e14) ass= seeG.. Mir 252 1978 I1.1 ENGI%�;ER1S %'�' 0; .: An the muter of the Parcel .loca•ted -.0 v _arac ` c Sara 'ivies ift Putnam I,-ke -M-3 1100, .LQts C27>g thru.. 02743 a TM 0- BL C2 -a Igts. 1 & 2 - (T) — FAttarsan (.0 putnam On ApriL 29tb ltwo deep holes .vrere Aug on the site. :d.ftn to seven (7) feet, vi th no evidence, i of ground water, end, the possibility -of ledge rocl�c n the bottom of one, of the holes. The soil appeared sati etor. for sewage disposal purposes.. `Liao follo7 ing week, the pate eras . inspect . -d by; TM tp:. Robert TUton�D PT A of the Putnam County Health Department, and _�� , N'i.cbol� s a. Chapis of this office. Concern w s expressed ab"g4t_ fli.e pr -Oximity to ;sf a4ding 11:ater around the Zap{ part ",af .the lot near the ? c ' "sing tgiga.r-e, the. lako. In keeping with prosent. heath s and s' a 1:00 f'oot Offs-ei; distance Je�u1c have "der_ bet into ne from.the c :osas`t P ©i: at Of the se -ptic system to. sub-joot'a�et area:: If this bond' it on .triad to" be" full awed to the letter, it is opined that th4' tercel will not. be buildable for the reason that the 'area left �;ft . ge;i .� 10(? feed._f rom the wet arcs isnoit su:ff'i.ciont to support a' st bsu faC'e' seviage dio'posal There is a possibility tha-t ,-the area could b$ oiled in w itt the drainag,e pipe. (tight). extent d to the :othet s#id�r- oaf° the 1o:t� .,but this couldnot be done wi_tbout 8-=ng the gpr ai.bsi:on, of appropriat•� toi",r*n elffici.a'le, and Zdjacent1, pt rty of tor* s. After disscuss_i_rig the :s tua4ion with .the Buil�in� I peetor, it' "al"As -.. ascert,ainod" -ghat the Pianning. Board nos jur Adi. tion' over twor_k dons. withi * ►h t it cphszc ered� txpt.Itand's'r9.. aiz.d t -Ueax -, 3pOrd- ..*6u6 ,d, -have .t0.. e addressed with any ptt€� :d 3tprdve�et Z't is su;gsted that pin sub�atteci to the P ning Board ��c�t�.7:d hava -t.o haV! 0 alsq the.. e doraemett of- "toe Town% 0 Conservation ..omen ssiol and even then might, be tur e,.d' dawns :bccausa of` i����tLve 3:i� pact, Both the contract vendor, lad the tontvadt von 'doe! should be- aworo that the lot yin its aaresent cd - tt.iQn should n.ot b'b coA8 dosed buildable, and only with certain i t - :be doomed buildaicle. '.. Any submission to the HO.alt.h. D6partMent.* 11vi,thzut: the -in6'lu$ivn ©t .the,. tliinprovem.ent81' wou14 be: cause for a denia -1 a�rrt t hoz e ' r :9 any 00improvetents" ould no:ces8arily hav-4 to be one with` the '�uthoritiatio of file property ovmer..` ` Should further informatioriibe required. in this r,4', t .r. it is sugge,stbd! that.-t.'4 s office 49 con:l ac.te_d first 9 rathEar th . preaching. e1t0k County of Town of ficig(W t r: . Re ;pea' " 1 y 1. d Arthur P. 14c L B`•. Copy to Mr. D. I lav salts N .. R, .T ton.i'. g. L 6 a e•$�.P Mr.. R. Orctm, Bldg. %isw t -:or PUTNAM.COUNTY DEPARTMENT OF HEALTH ENVIRONMENTAL HEALTH SERVICES Date.-- 1, -_,,c j X13' 1Cl 75_" Re: Property of Located Sectioq'Z (;W' Block 61 Lots z- Gentlemen: This letter is to authorize Arthur Po McLaughlin a duly licensed professional engineer X or registered architect (Indicate) to apply for a Construction Permit fora 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 necessary papers on my behalf in �:W111CLLiV11 w1LI1 Llilb utaLLev anti to. supervise the construcCiun of said system or systems in conformity with the provisions of Article 145 or 147, - Education Law; -- the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, 11 Signed Owner" of/ Property ' Countersigned: Address P.E.S. 14X, # 43952 Addres����� 1 >2 -76 PROFESSIONAL ENGINEER MILLTOWN ROAD, R. D. 5 ERE'WSTER, N. Y. 10509 ( 914) 279 -6936 Telephone g) 1_9 77- 4/'T2_% Z. Telephone THREE BEDROOM i Ranch vy .x� d Available in 1150 — 1200 — 1250 — 1300 Sq. Ft OPTIONAL "L" KITCHEN 00 Kitchen Dining c. -.itr• i-.'if 01.1.[ Kikh.o O O O f Dining Kitchen 0.2. _0& 0 oU 6 Z M B.droo G7u B.d f r..m d -. H- Living Ko.m . ��V'ti✓� . G(, Y,_JQ/'.Se M BATH OPTIONAL �J A9HAS A WIDE SELECTION OF HOMES IN SIZES TO MEET YOUR NEEDS AND BUDGET. Ranches • Raised. Ranches -Cape Cods • Split Levels-Two-Stories FOR ADDITIONAL'I.NFORMATION MAIL COUPON BELOW r.= — = =•. — — -- — — ---- - - - --� I`am interested in your model. IName Address I City State Zip Phone • I Own a lot F]Yes F No Illustrations and floor plans are HOMES BY artist's conceptions of typical h omes and do not necessarily represent final plans, designs IN ARCHITECTURAL SPECIALTIES INC. and elevations. (Garage package optional). 5911 LOOMIS ROAD, VICTOR,. N.Y. 14564, Tel. (716) 924 -7151 K-01 N ROCHESTER HOMES Y NYS THRUWAY Executive Offices and I If Manufacturing Facilities: Exit 44 5911 Loomis Road Victor, N.Y. 14564 W Loomis Rd. E Tel. (716) 924 -7151 VICTOR " ASS M M ar R t 96 S CANANDAIGUA HOMES by ASI are built from the finest materials available and include many added features at no extra cost:' • Double -hung wood frame removable windows (aluminum storms • Full insulation in ceilings and walls with choice of floor insulation or _... _ basement-heaters.- • Insulated front and rear doors, magnetically weatherst ripped. * Electric heat with individual thermostats. • Fiberglass shutters -front. * 52 gal. electric hot water heater. • Front and rear exterior lights. • 200 amp service with panel and breakers. • Prefinished hardboard siding in choice of colors. • Ground fault interrupter, bath & exterior. • Self - sealing roof shingles. * 7' x 4" studs 16" O.C. • Wall to wall carpeting in living room, dining area, hall and bedrooms. * Front and rear door chimes. • Drywall construction throughout * Interior light fixtures. • Painted interior and exterior. * Ducted range hood. DETAILED SPECIFICATION SHEETS FURNISHED ON REQUEST. K-01 N ROCHESTER HOMES Y NYS THRUWAY Executive Offices and I If Manufacturing Facilities: Exit 44 5911 Loomis Road Victor, N.Y. 14564 W Loomis Rd. E Tel. (716) 924 -7151 VICTOR " ASS M M ar R t 96 S CANANDAIGUA 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. Owner Duane & Linda Burgard Address— Apple Hill; Route 116, aS s f nr ys St:At:i can _ NAw Ynrl3. 10578 Located at ( Street EAST BRANCH ROAD Sec . TM 68 Block 1 Lots 1 & 2 Indicate neares cross street) 07erlu W. to a stream n); & then downstreain t o the east branch Municipality (T) Patterson Watershed of the Croton River, SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Holes 3011 deep minimum and saturated before testing (4/25/75: DHJ (5/15/75 PH) o e Number' CLOCK TIME PERCOLATION PERCOLATION Run apse Depth to Water a er ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches N 1 Z- 39 Z: S(o 17 2 Z Z5 3 5,, 67 2 2 =S'7 3� 2Z. 25' zZ 25 3 3-22 3 :4 z6 5 S- 1 Z= 35 2 :53 1S 2 2 : 54- 3 ;1 3 3z20 3 =4.6 2-6 �. 7-7 3 8 67 4 5 2 �aN c �.uSi� ►U �� �'ltN lr,, , �oy�S 3 4 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. �l.•.(iP ,,,)a,r., � „. ;c.;i_,,�_•�.;i•'t� T1��I: ,1 IIr.I,, ., I)1,1 r, DE, JIM-11 NO. N 1107.11 NO. I O._ - G.L. RI C14 nP -GA•N I _.... 1?_ n - - - - -- __f _ 1811 �r 4A T 21111 LOAM 2611 -� A irk - - - -- - -- - -- - -- 48'1 A r 6611 _ 7811 - - y� �, - - -• 411 1= - — 111'•D_'.Cfil E IrEV_IL AT 1,:11CI1 0:•,0,,M IS r;'. D F INDICATE' LE` EM i0 v`iITCli v,'A1IJ T?"EM SLS �:y:. "?'i'Fi TES -'TS 1.21DE BY W 2iG}}'t" - SRC `��iS Date E ODESIG;v� _ a:! Rate Used Yli 1111_ro S:D. Usable �Ai;c:- Pi�aviu��;i`Su►i�eLE- � Ec.ESS�PT No. of B- 2droou;s 3 Sept�c Tank Capacity 900 lbsorption Area Provided Icy 177 L. P. x24 ” Corr ff/ Q �A fYkLYk ARTHUR P.- MC LAUGHLIN Address P.RoFEssIoNA, Ec:Qrp4r=�� MILLTOWN ROAD , R ..b . BREWSTER . N- V_ i n r, n o s ,; c 1,•. biz'? U ure_ f AL, o ..ass TII:[S SPACE FOR USE LAY 11 AINII DE,17I317,11 -,24T 01 -ILY: . >.... Soil Fate Approved Sq. Ft/Gal. Cheched by_ P Date It � f Q Ir�Te-P., I,AI�P 7 P,EA L GvF"? , 314.71' 9 TYPnAt, LA- r�PIA�h -� 22 D.pp1 5djrf &'A6 --rfo� `, I A \ i e v W c -emu tJ`7 U• -GIIP+'rAltJ DPIQII �{♦IG wet l' - to "v✓ III 2.4 4 f-�Bro °-52 - q8" v✓ ' 29c}.o11 t 3e•0,5' J4''4� ho L 1 v PI Pa-� eG� Tv✓G� - 1 -rAr1K Arly �XF� I ripe •2'00 •oo'' • � QgOfESSION,ft r FU i:;;.!ia .. .1. •. .,,: ,• :1'l. J; .Laltt, g�� �� H. art, ilivision o� _.:.._rc_;_�,;•,.:CZ.: - .:adt;: Ser ✓ices S> � C�_7r' 9 'c conf orman.ce with ?� a pica t : 1: ns of the 0 Putr .r t,u -::C, .�; ✓ �h 1'�tmont. `� _ A FSiptE T i Qratura f.- ;;1'Ic. to W011 1 ^:. tG if Uy: 5UI✓P,11L Sl. r JP DIMcNSION -- bv21. jrm,rs Iefoti __- �- — -- - — - - {! Er.)lneers -.usuiemerts ❑_ ._ _ - — _ _ jT71, K, CG0.t s, ip.l, joilerw; Ef IUfel•71S In;_nfi:i7 Ly:Co4ifrdifnr: A - E En Q:-new ❑ ne{111h tlr<pt: r--�1 L.11 Flaid Inspection by: nEallh a-pr tnglnarr N Z PY' 3 - _ 521- -O'!_ p atc 1T - - -- NOTES: II Q.. S�TIG -rArll� - IPcx� GiAL, PP7GGA�( Goi•••G p16'r6 e:• I.A'(EPIpL.S - 351' x z4" W X Ib" ocuP�vs. 333' l�16o,ulp,co) G. GtJ p7TAl IJ DF1AIIJ - 170' L.ol''-j X 16"'A/ X,49," PaC- P Avt= W A r_y . .1 SANITARYy_S_YYSTE_M_ DESIGN "A5BU -ILT"- OW_NER r%1A�i_cGLLA e fA-T cV,. _L&�'fl LOCATION Sfreet EAST PoRA[�Gt Town: County t?�}'��AStatei; .�Y - SU9Div1S1ON: ft00K OH /c��t+Tc�_'��LevMai!142 (z /ao /7�,L�r 1 B1ocM•,_1 _ _ _ LOT N° — .Builder : Tt ✓t 12w(C -11i - — - T - Surveyor: F1.7pft C Drawn p p''A Dote II 17 S3 Swle: 111_ ' Job h J 0 H N -Hs -PR FNTISS P, E, ONe. CONSULTING ENGINEER CA,,MEL NY 1 ^512 -- (914) 878 -6170. DIMcNSION A - a =_ f _. A - E ��'_8_ d - [ _ _ _ 1V� �- 411 -- u A - N -_ 8 5 1- 3u 6 - H = - _ 521- -O'!_ p J - - -- A K .1 SANITARYy_S_YYSTE_M_ DESIGN "A5BU -ILT"- OW_NER r%1A�i_cGLLA e fA-T cV,. _L&�'fl LOCATION Sfreet EAST PoRA[�Gt Town: County t?�}'��AStatei; .�Y - SU9Div1S1ON: ft00K OH /c��t+Tc�_'��LevMai!142 (z /ao /7�,L�r 1 B1ocM•,_1 _ _ _ LOT N° — .Builder : Tt ✓t 12w(C -11i - — - T - Surveyor: F1.7pft C Drawn p p''A Dote II 17 S3 Swle: 111_ ' Job h J 0 H N -Hs -PR FNTISS P, E, ONe. CONSULTING ENGINEER CA,,MEL NY 1 ^512 -- (914) 878 -6170.