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HomeMy WebLinkAbout1981DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.31 -2 -6 BOX 18 01981 I,"6 I IN ON 1 8 6 Ir T J 1,6 I `�' ' I 1- ■ 6 AIL , 01981 - Town or Village - -- Located at Bet �aee n T Lake 5thorP . r cR' ;Mr) fsllIr Pry. sectigi T tn. 34 Block � -Yr. 14�Trs .,. An chop " Garabo =� t i net oC Job Philli- :�t'e r18.rtiri F>ddress ,� i } Separate Sewerage System built by1. Consisting, -of �o Gal` Sept�c:Tank 1 8`5y� ltr! a Feet X width'. trench Other. requirements` pax' - -t�3t? 'a�arOtred • plate z, � water Supply . " Public Supply From. ,.,: ry 36Zt - Artesian- °t��lel Prate,. Supply- 'grilled :By Addresst P a�l 09 '�YIP 7 - ThrP Be rjrt�(ltt1 i7t�Pl l l tt>, - No of Bedrooms m+y+�a Date Permit IssiiedPril 19'7 Building ..Type • - rszcc- Nas Eros�ori Control Been completed? fine :'gradzz g co pleted 0 await�n�: sat afaA6r stand of grass r I certify that .the system(!) as listed serving the above premises were constructed essentially as :.shown on-the-plans of the completed work (copies .of which are ,..attached) and in: accordance with the standards rules and' regulations plans filedd the ,per, ued ;by the Putnam =Go nt „Department ofy}jealth. F' Date September 99 -19 5 Certified by. i '`P.E.' 'X R. 9. Address �cense ,No �'52 �Any person- occupying: premises served by the above systems) shall- promptl ch action as_may be-hecessary to,secuto the correction of any unsanitary conditions resulting "from such 'usage :Approval.;of -,the separate sewe system: MI -bed ull and v as soon. as a .public sanitary'sewer ;becomes/ 3 avaitable.,and the approval bUthe private-- 'water'supply, shall become Il and void' heri ubl' pp ecomes available. Such approvals art suD)ectto modif.iwtioh or change when - -in the Judgment of f..` Commissi of H h;• s ev L dification o'r change, is' ` y: �\ate' Tit �. ,� � V7�7`rl ��---,-,���7.��-.7T--�-�------,..7-�.-*T" — .77_77___�,;_,_ �_, - —­7- ­ - —­ �­ ­,- - -, �11111111111111 -, , ­1 - , - �', � - --' . -,:,; , ,, ""­�,. .___�._;,�. ...- �; � ­,�. .t_­ 1 4�, 1�­�`­,_ ;--l- -,, %_ ,'�, - . -� !�,,��,. -1 , , AP;�_ - - - 1-1 , " ,�� �,�,',. .., -, - , , - , ,,'�` ,I- ' : _ _ , - - - - � 1�** , ..... .. . 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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 guaranty to the owner, his succe�- .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 immediately followir_g.the date of initial use of the sewage disposal system, or any repairs made by me to such system, except where the failu e to operate properly is caused by the willful or negligent act of the occ - 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 Environmental 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 act of the occupant of the building utilizing the sys em. Dated this day of 19 Signature Title-SA �; ' �n ��C - If cori5oration, gyve name / and address) xop_,�_l7 A) X,. �---- - - - - -- - - -_ 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 6Ad 1 ._ n- „,—. s.. ._ -... ._.vv . >... ._-rs, r. -... —r .. 2 a- g�i n fy tin ,.e -. -. -. .. r�.. u. .- z,aza. e_.,cc _e.s .a .a✓. -.. w. +r, Lc ' _ 1 _.,..a•�rc v.a -,. :tea_ - _. .... r... - -+e. s. ern ­.ne. , , �� /i r � _ c olo 0 . Owner or Purcliaser or/Building Municipality U g 11 ilk 24 Buildi g Constructed by Section i ' _ . ' U n r Location - Street Block 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 the standards, rules and regulations of the Putnam County Department of Health, and hereby guaranty to the owner, his succe�- .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 immediately followir_g.the date of initial use of the sewage disposal system, or any repairs made by me to such system, except where the failu e to operate properly is caused by the willful or negligent act of the occ - 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 Environmental 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 act of the occupant of the building utilizing the sys em. Dated this day of 19 Signature Title-SA �; ' �n ��C - If cori5oration, gyve name / and address) xop_,�_l7 A) X,. �---- - - - - -- - - -_ 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 D/V%SN i CONSTRUCTION PERMIT -'fOR. SEW K �LosaYad at za2���'10Y'>'?3 V.t3 Subdivision, ' 10:25 `tru'' Owner Sli1'e 4 1 ax11'T' :.i'eS3_�:c .:Building Type I Number 'of, Bedrooms TYlY'ee : Z r Jeparaie: pewerage ,:,W 6vni15[ UT u81 JepliG 18nK Ilneals Teel X wl�Tn Trencr i To be constructeC by `t7 iJe, drat errs =e Address Water Supply Public Supply From ` Primate :Supply, to be drilled by to' be deterWlzn�d t -Address ! Other Requirements c`1S -a r' 7J1 aft 6�C X'e rUa 8 1 -.. rep'resent that am wholly antl completely. responsible for' the dedign; and location • of •the proposed system(sl:' 1) that. -,the, separate• sewage' disposal system 8bove de ;cubed' will be constructetl as shown on therapproved' amendment there to and -in accordance with the standards ,rules-an regu a ions o t e' u nam .• County Department of 'Health, .'and thet;on completion thereof a 'Certificate of Construction- Compliance satisfactory to,tlie Commissione►'of` Healthwill - be submitted :.to.: the, Department,' and. a :written guarantee,will bp: furnished the owner his, - successors heirs or assigns:by,the'bwlder, fhat said builder will - i L -place in;good operating conddion any'part of _said sewage disposal .system during the period of two (2). years immediately. following thedate.of the issu i, ance? of�the approval of; Slie-Certificate of ConstructionICompliance of the original sy"stem:or any repairs thereto;2)'that the drilled. well- described above iproved plan and'.that Laid. well wi Sig W: This By b� !be installed -+in act nce - -wit fie, standards "rules and tions of 'the "Putnam . a„ ed' s � P E RA 5 , `Rx'e�rs Le T'�e�ra lk License No 3�J52 3ar`from th'e date issued unless construction of the':buildind:has been undertaken and is idJ necessary by the Commissioner of Health Any change or alteration of construction a►y sewa d /or p ate 'water .supply. only ARTHUR G' MC LAUGHLa d : FI F, LIB CI C T,1 Ste' ' PROFESSIONAL . PENGINEER' R, ~ -�µ :MILLTtiQWN ROAD, R. D 5 rite : QiY-F 1 �'7¢ . __• _ __ BREWSTER, BN . -Y . 10509' .; �ry IIMIT IrAL Sl; .rE l tiSPEC`•`s'! O] . _._ ��lvl1�� � �"i14�.. � +77-�- U'Tie2it:3 ��}y i .L a'iiti)F Y`��/ lines o)2 cO ?ner`q I`o' nd w . a . o . • CdtT v 3 y.w... _.. .�. w r� ��SP�L+ ra �i�Ic Can esti!kate hlocation . . a . . „ . . . Will driveway need clat . a . . . . .. . . . •,� - MI'dst, trues be removed-note these iA Ds deep hole representative of entu -'Lr-8 �M; ',,rea Adda.t -io.nal deep b.oles _ Ei,e ted. . . . . l.X N�yc Z (4 cLr=S Scrla snr+ ��- — Si.;.ff:L!_,,I ant SIX. air,, ea Iva - 1aI)I _f dr. ee, y cut. y use 'livvl7 oly Csei1n"1ac .i:i o Cj}oli^ o L distances, ei� - . • . . . . . . . . . . . . a MET HOLE DATA Water p ale Ja ; -I on: Rock elevation TINA"L SITE a V�JLL,IiriZ�� tTc�%ticRM�ur�lrla�i. ,�� // ✓ � _ _.._� ��� @@ � _ _ __ .��.- ilo sl e. located sl!owin on a pmio eU Lan 'Widtb. of trench average � 4 Slope o-IL: the line and t -ranch cacce— ,ntablc, Over 50 f • f °car s r mp, ,rate nc aur. - Natural soil 'no' "t stripped or SDS area --c essarj..1y- graded a • . . • • a • _ -!� 10 t. maintained from and 20 ft. from house . . . . • Sepa rat'.on of t e_nch from house, > wr'13. etc. folloVi's va . . • • • • o • . • a . e o d � � ��_�,_ Dumber of bedrooms checks . . • • a . � �-� -- - - -____ _._..w. _ _..___ Stone's, b.r ush, stumps, rZ.lbble, etc. greater tbaan 1.5 ft • from nearest trench . . • • • _ _ _ __ ___ __._ ___. _ . 15 {.Ft > of peripheral. sbil horizontally from l�l en�i +ll a e a a o 0 0 o e o a . a o a a o o f,� •,,,4_,., ,-„•_ __ _ __ __ Junction boxes properly set Could sur�ace r,,m. off driv , roadsm, ground tiwrface, etc. channel : e-ar SI)S , s area• . . . . . . • . . Does_ lot draimge a-ppear Q.K. in area of -SDS, FINAL GRALTINIG OF ANCEPTABLE � . ARTHUR P. MC LAUGHLIN PROFESSIONAL LNGINEER P MILLTOWN ROAD, R. D. 5 (/.�] C (C 1p�g � ( / � s � I .. �___� -_ _..'':'It1�,_I','� BREWSTER;: N , , Y, , 105 0 9 . .� )t✓ 11,._,1•• {a, ,.J P flu Pere;� presoaked`' pp d'!.S.I�+ . 30" per /�i,-Y�9 ?? lti.�:...e... [ Cons v . 1 e.i.::'i`i_'�L1 is _cab _s 1�l.i i.�wi _�,_.._.__....._........ _ 1 Carpora,t^ A.f'f-`Ic�av t, f6r . F -1 . CEE Ef� ..Gn17.i.s�ra_dLT_ . _ Authori-ation for ;tt er fm Water yap;= ...ca.' if vn?.j?ia.ncE' noted on p 1_ans etpps . � f if char z.. ? S �'G 'OSe a; ' vi Slopes for drive-way cuts, etc. shm -7n Writer service line location � 3- - Footirig, c`ira_i n, etc. �'_octi't i on _ _.�._ _�.. J_ _ 076 Tod., slope, bat t,am sIo�}_ of f'�11 Perco:i..a -d -an test-ct enci deep test pi_'c loc.a -iol-I Sep �Ao tank size c rr! �Y;is, :ii:1_'ti..!•;- i - i is ,,t ^W � i �i.�c_. _ s f t _; mar 6 ki'Ll WdIon:P W.4.tA4_.,i1 ?J> J U. U Xis :idivs-:li ., 18 � and �_ o file. SID "n 1 4�ier 1ti}e"'Llt c`.i.iS;V.i �`J .�„' 1. %� 4 }::�`..:.i� 2001 - ........_-- ._._- ..•_.._.�___ j .. ...e... ice. . shown c� Lry 1�`'1�e r'CiT =lrv'Y J:�.IJ.v propert n�fJU,11 a,2' +_� s ��.,,._I.e_._.v..i,,..: bUunds -C.'. _ 1 i - -��,,_ _ -,- - t. -b f. S PA? ! OT D 1:'1 �i �::,::� � '',F, t`; - .r �; , 'DT ; ',"`i' 201 to Fow-dation -via! it s 1001 to Nearest ve-1-1 w �fi '.L %j0 LOSE ,V! LB 7Ux68ip el,Co 3,5' to Curtain _. 10' to �r3 ter ? K�_y�e i p? .t � ' 10' to large trees �a' f x om f ouTldat:ior-'L tic tangy 1.51 t Pipe -fro r - er t PUTNAM COUNTY DEPARTMBN? OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512- DESIGN DATA SHEET-SEPARATE SEWAGE. . DISPOSAL SYSTEM FILE NO. (f4ATKh?)0 Address ILI 4-6 7 Located at (Street) i ObftPOLK, fzD - -Sec. 54- Block 3 Lot. 7 P�,-rt,JA%A LNk-<E'-, �Jlndicate nearest cross street) 0 —'G — - -5-1, — 10 1 S ( & �02 :; Municipality cr- N-'�'i' ,sco watershed OvFR"-A� 1FVT-1,j A" L-AV e SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS.",, M j Cc{ AE L 0' R t ZO Ce-r 20, 7 Hole- Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Water Levei No. Time From Ground Surface in Inches Soil Rate Start-Stop Min. Start Stop Drop in Min./in drop Zb�PrH- Inches Inches Inches 6a z Sz 2 Z 3 G 7— 4 to - i o -7- 7 5- 5 2 j 2-5. - 5 3 S, 4 P�Rc E Al- 2 T,.>O� �p_ A, m tQ U-r& -AS A, ;=� C70 rL- 3 or- a A t = Erl-I osE 6 -'7 2P F--; F--; 5 j G Q 0--k- r t- 4 Notes: 1) Tests to be repeated at same depth until agroximately 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. ,.� N 781f 84" %lz -VEEP INDICATE LEVEL AT •WHICH GROUND WATER IS,, ENCOUNTERED, INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED �s TESTS. MADE BY �? >~ Q �t d t. .. — ��r v t�v I � Date �c , °�3 xc 1 W S A- .. DESIGN Soil Rate Used - 7 Min/1 "Dr6p: S.D. Usable Area Provided x L, ; 3 = ? SF No. of Bedrooms Septic Tank Capacity Gals. Type AP Povax, C0K31-"AzrE' Absorption Area :Provided By - tS7 L.F.x -" yo (z,5`) width trench. % - .P, A� 's t o tj t_ Other O ARTHUR P. Mu �� , r. SICK Address PROFESS ENGINEER t `, JE'� c�9G dijR�� 1`!t 3 i '% cc THIS SPACE FOR USE BY HEALTH DEPARTMENT ' C O Soil Rate Approved Sq. Ft /Cal. G� °z �� Date �FEssloN v{ , TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. A) HOLE NO. HOLE NO. 5 k M;_5 {_O GS 6" t - 1211 L�� rry 18 11 n�= 24" 30•• 36" V v 42" i 48" F i►�+= �'� �t�;� 5411 60" AmC'u►�"rS ©r 781f 84" %lz -VEEP INDICATE LEVEL AT •WHICH GROUND WATER IS,, ENCOUNTERED, INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED �s TESTS. MADE BY �? >~ Q �t d t. .. — ��r v t�v I � Date �c , °�3 xc 1 W S A- .. DESIGN Soil Rate Used - 7 Min/1 "Dr6p: S.D. Usable Area Provided x L, ; 3 = ? SF No. of Bedrooms Septic Tank Capacity Gals. Type AP Povax, C0K31-"AzrE' Absorption Area :Provided By - tS7 L.F.x -" yo (z,5`) width trench. % - .P, A� 's t o tj t_ Other O ARTHUR P. Mu �� , r. SICK Address PROFESS ENGINEER t `, JE'� c�9G dijR�� 1`!t 3 i '% cc THIS SPACE FOR USE BY HEALTH DEPARTMENT ' C O Soil Rate Approved Sq. Ft /Cal. G� °z �� Date �FEssloN ;TEM-.DESCRIPTIO& R RE S SE W W S SSW _ �Seiytict S Sl.A3 5 -,} J. _ ,iiinc on' BOX - _ ------ - ®`4- }� 7a t �� 0. 0'. t u, x_4 • r m O a r; �• m `2 t (p ftj c C D �'-"i. - . 4 4 _ Z..a f. . TQBf,6: CF' OFFSETS FROM HOUSE CORKERS: (Ta'pe distances in-,Pest - Tsaei) ;TEM-.DESCRIPTIO& R RE S SE W W S SSW _ �Seiytict S Sl.A3 5 58.5 _ _ ,iiinc on' BOX - _ ------ - Locations by transit, tape:, and stadia method APPRPVEC • S P '91975 - x or n Id m fision. IROIRAENTILL"NW, r°'Pksisx to certify that the''sew -go diapesssl -sys was conetiucted as iffiiaated on this pis sad 't" th$„ sgstesa wee inspected by me .before tit -?has' covered -over. :The system wad !a a4cu6ridaace; with- "all' the - «mules and regu}.atio»s oP 'the Putnam. Cdunty,' T�parti t of Heslth'. ' 1dTERRFt0i4 Or IFiI� 00 Uhf F EX( OFtiE4j BY a t(cEras €�.E�srarrr�� nr �. P... AAUGft1W PRQFE'SSIGNAL Eks'"ElfR F ,, Np � MULTbWN DAD R D .'S !q0 P`i BREWSTER No.Y 1 0509 FESSiU� pQ 9 9s :traotos.s "Jo , tbrsepound Road, "BgPTTC SYSTEffi ►Bt3ZI !s Yor vp & r ' Carmel` New York 10512 { ffi1' &• Anthoay f38rrtro Igke Shage Dr'.� s I9 �fb c� �Syatesa �t►ate�lIsi. Ph311ip St, Vf rtin, I Norfolk Rd' RAE : BL' 3 Ldts,.�9 &" r z, - Bullet Hole Rd'.,Patterson, Put. Lake o3` Fattersan,= Pnt.^ °,Co NY "' "1256 .. Wg11 F?silless Boyd 'Atesiaa'IFell ,Coo, Rte. 52, ° C&'.3{.2&e!l, VT- 10512. REVISED SYiEET ' RKVI6ED ;� 'DATE