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02141
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4 F� H
t PUTNAM = COUNTY alp,
DEPARTNT OF HEALTH
- Division of Environmental Health Services, Carmel, N Y 10512 �V I
,i
&tFrF KATE- OF ,C.ONST_ RUCTION COMPLIANCE FOR $EWAGE':QISPQSAL SY &TEM Putnam Valley ;
Nor
therltY s1d:e Dickto m Rd,, ap Jr0' 2 ft east of Town or, Village
,
rT6L- .all Lane ' 1�
Located at, l Tax`Map Block 1' , Pa.T' 15.1
;. I�eriry Philip Enter- prises` <� x Ltd. 1 i- 1107 -58
, . - Lots}
Sep era e S stem built ti
Siniscaldi Masonry Inc. f �' '
orate Sew g_ Y y Address
Consisting '.9, f 1200 Gel.: Septic Tank and 250 1 •: f . 21� inch trenc „h t
other requirements
complied
A 1
Water SupP1Y Public Supply From
x n-erson
Priv ate 'SuPpIX- Drilled BY
Banger St . &et Pu nam ary
ddress. a
' Raric
10'
^Bullding'Type No. of Bedrooms Date Permit Issued ��
control Been Com letedt 'n0
Has Erosion p
1. certify that the�system(s)' as I!sted serving the above premises were constructed esseritiatly as shown on'the plans of the completed work: (copies of which'are I
attached), and in; accordance w�th':the standards;'rules and'regulatlons plans filed and the permit issued by` the Putnam County .Depart,mentbf Health.
}�ecember :12; `
Date i Cert-fi by ` P
x-
1.7
R A
Bur
ehr �'. - ,
Adareaa R n ” 'horse ound Road, Carmel, N.Y. qq
p License N..845',,
griy person occupying premises served by `f he above systems) shall promptly, take such action as maybe necessary to secure the correction of any unsanitary,
onditions resulting from::such'-'usage. Approval of the,: separate' ewerage,-system;ahall become null and void`s [as a:publlc sanitary sewer becomes i
r.
vallable and Me.approvefof the Prwate „water supply shall - become null and void when a public water sup D es available.
Such approvals are'
Ject to modification or change when,'in the „judgment. of the aCo �ssi of Health h revo odlfication or. change:is necessary
7.
1
ate 1`/ ��� y Title
Y
y
l�'4'
PEEKSKILL MEDICAL LABORATORY
1879 Crompond Rd. Barclay Plaza Bldg. A, Apt. 1
-PeqXjkLjj,.j�q�.,y0rk. 10566
PE 7.8777..
DATE COLLECTED
RESULTS OF EXAMINATION OF WATER
OWNER PATE RECEIVED
11e,,,)ey Lee) p- 74,D, l 20 72
CITY, VILLAGE, TOWN VORNAMS OF SUPIP.LY DATE, REPORTED
New
SAMPLING POINT
/-or iC;11"'
BACTERIA PER ML. (A ar plate count at 350 C).
COLIFORM GROUP (Most prd"le No. /100m1 -)
v 7
HA MESS, TOTAL - ppm
DETERGENTS - ppm
NITRATES (as - ppm
IRON, TOTAL - ppm
FLOURIDE (F) - mg./I.
These results indicate that the water was of a satisfactory sanitary quality when the sample was collected.
A. H. PADOVANI, M. T. (ASCP)
M
I
Town-of
_.fttn6m..Va1
weer "OP"Pur ------- M
.0happp of 13uilding mnicloglity
P V Tax Map 4
.4.
5u.j.Ld1ng7qnatru6t6 by, ec on
. North 0 D�RjjoWd 6pprox 425 ft -L Parcel .15*14 of tree 131 c 0 4
14 Forest Park
35115FOA, Typo - - t
GUARANTY OF SEPARATE SEWAGE-SYSTEM
I reppoaant'that I am wholly And completely responsible f
'p ,or the
lacatign,`worlmanship, material., construction and drainage of the sawaza
disposal system serving the 'above 46scribed--property,- and that It
has boor4
Constructed 44 shown on the approved plan or approved amendment thereto,
and.iq accordance with the standards, rules and regulations of the. Putnam
of County Department Health, and guaranty to the owner, his su.cce
sops,.' heirs or assigns,.. to place in good operating' :cori4i'tion any part of
said system constructed by Me whiph fails to operate for a period of two
years immediately oly following'the date of Initial use of the sewage diappoAl.
stem or any repai ra ra a
de by me to such system, except'where the failure
to operate properly is caused by the willful or negligent.act of the occu,
pgnt of the building utilizing the system..
The undersigned further agrees to Accept as conclusive:. the dp-
-t
ormiqa4tIgn or the Director of the Division of Env, ronmental Hoalth, Ser
v .the--,Putna -Co unty Department of H Ith aq-.tq:: hat r, o,r-. nat " the
'stem to operate was ca a-ad by the willful or negligent
act of the occupant of the building utilizing the system:
Dgtq4 this day of ure.
Septio Co tractor'
Title JAI- R-C2
Bui ld ing.,,Contrac t or (if corporat on, give 41
and address)
AL
TURKE (3) CQPIE:3 ARE REqUIRED WITH THREE (3) CQPIE5 OF FINAL PLANS. AWRE
CERTIFICATE QF QQNFLETIQN WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTIC4 OF DATE OF FIRST USE OF SYSTEMI
JDIviajoa. of Environmental Health $qrvioeso
Putnam County
Department off' Health
I.-TION RE .PQIRT
PUTNAM POUNTV WAOT
WWT OF NO
Divisign of Environmental Hapith sertflaw
COUNTY OFFICE BUILDING - CARM64, WPV V004K
'Mls foplan 4q 09 complatoO by w41I driller and sthbmit tQ_Co.4 wpartrg ftr-
,tn aMnq,w edfti, ry acteria qt
pa
mii—di ate Vat- tc- -- -b-ii— M1 - - -,i-
ri 9) llf� c ru icato. p conotrurnion opm
REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL compLivoom
W"99
LOCATIOU
(490
MAN
M—M, 4140.4 FROM
WAT
ognm
WITA110
K"N FrQtA LANQ QUIPAI
FEET to FEET
10
OUSINE33
INDUSTRIAL
COMPRESSED
AIR PERCU§SIQM
114M IR(Inchos) WAIG
Ir
❑ rumm
FARO
❑AIR
CPNDITIONIN.q
CABLE
IT PET. fQ0T
EJ
"qua$
COMPRESSED AIR •7--
4¢p1 NeRllaar
4f.
EOTHER
(ripocify?
k"99 Im WINg Wkw
loyli
V141) (G.P.04
Depth of Completed Wall
?
in (get b 6 s,
M1qw Land pyrfqps ,
IF GRAVEL Pigmator of wall ln;lvdlno
PACKEI)i gravel rqvol pack flochos):
*ATIQN DESCRIPTION $katch exact location of Wall WIt.0 012toogga, to of #9091
NOR. I
two pormanq0t /Winafka.
Of yield w6q t cated of 4:116 rent depths during oialim'.118t belpw*
FOOT GALLONS PER MINUTE
PATr;; OF WORT
ognm
WITA110
K"N FrQtA LANQ QUIPAI
FEET to FEET
10
OUSINE33
INDUSTRIAL
COMPRESSED
AIR PERCU§SIQM
114M IR(Inchos) WAIG
Ir
❑ rumm
FARO
❑AIR
CPNDITIONIN.q
CABLE
IT PET. fQ0T
EJ
"qua$
COMPRESSED AIR •7--
4¢p1 NeRllaar
4f.
EOTHER
(ripocify?
k"99 Im WINg Wkw
loyli
V141) (G.P.04
Depth of Completed Wall
?
in (get b 6 s,
M1qw Land pyrfqps ,
IF GRAVEL Pigmator of wall ln;lvdlno
PACKEI)i gravel rqvol pack flochos):
*ATIQN DESCRIPTION $katch exact location of Wall WIt.0 012toogga, to of #9091
NOR. I
two pormanq0t /Winafka.
Of yield w6q t cated of 4:116 rent depths during oialim'.118t belpw*
FOOT GALLONS PER MINUTE
PATr;; OF WORT
GL .
? >• ^i TN'1 1 .'T C T FY.T.fIAT "'TNE'SEWAG,E Dl POSAL. ; 7
:NCJTE . S S O ER .,l _ .. 5., ..
,t ;- `_ ". :• _ .. :' • s -.• , , ,��; >>'n :.;4S: /ND /CAT�D .ON�`TN1S•�•f�LAhl=
�`. - . ,,, <. a t' SYSTEM. "1NAS CONSTRUCTED. _ •
`n4
r i - x, .r 'r s. >AT T� •T �:M;i'WAS�- fNS.PE`CTED` B -Y M E
AND, 7"H
f+•: •r4
'.1.. h• - N'.
� •V N %�YSTEJVJ:'W C'�%iISTRUC�TED =-
f a• s..T:,,,. �- "WAS:CD�aERED,„¢
a_t i,
AT /O S
_ •�W ,A L NE':RU LES ANDrr:R GUL N.
A "CCOX2LDANCE. ITN•:, L U �
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�.Y I ' ,•// u S o ; La�T BoX "• TD.W bF f�[ ITNA iV!' VA'L Ly - -:: PC/F%VAM :COUNT_Y, N Y.:
DEG, 12 197e
QQ
{ ... .. . t Z� Y M� 98 9 r`2bi' •: ':. -G� ��.. � '2Y i:'- - I
.y F BURGESS; BE R, PG ,
�'O . /''` 58. ' '`Pro sSiono /- En ineeiin Lonol Sur.Y ie n Atvl ior+oF
r-6 478 fl /29 G /eneido Avenue Corme /, /% � ' v
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PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Carmel, N. Y.. 10512
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Town of Putnam Valley
Northdtly side Dicktown kid, approx It east Of n or village
- :Z..', - - - -
.._
ax._M R — - -
- - - - T a 4 1107-589 _
Subdivision ,�.— r}f –�A� —� ��� Lot ,1141 – Job
owner uranry Philip Enterprises, Ltd. AddressCroft Corners
Building Type Lot Area 2.323 acres Putnam Valley, N. Y. 10579
Number of Bedrooms I— Design Flow 3 minutes Total Habitable 'space Square Feet
Separate Sewerage System to consist of 1200 , Gal. Septic Tank and 333 1. f. 24 inch trench
To be constructed by t]ndAcided at present Address
Water Supply: Public Supply From
X Private Supply to be drilled by Anderson Norman, Inc.
Barger Streets Putnam Valleys
ddress
Construct sys`em n r -o- cu. yds)�attow to settle fur 66-96 da7s
Other Requirements
1 represent that I am wholly and completely responsible for the design and location of the proposed system(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 and regulations oT u nam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill
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 condition any part of said sewage disposal system during the period of two (2) years immediately following the date of the Issu-
ance 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 said well will be installed in accordance with the standards, rules and regulations of the Putnam
County Department of Health.
Date October 149 1977_ ess��� R.A.
Address
• 10 12Llcense No. 9845
APPROVED FOR CONSTRUCTION: This approval expires one 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 considered necessary by the Co � ssioner of Health. Any change or alteration of construction
requires a new permit. Approved for disposal of domestic it y wa a an or pr' at water supply only.
^+.
s By Title /"
Date 0
-. ..I w.. •:.: .. .: i..e... n.....rc.. -r.r. xa. -. n_..r . -vxa,. .:. _.. _f.. .•MR'r• e, .. ..x. .w ..x .. _....r. .xT._ ir+._.. c., w. rri... ae e... n.
I ,
PUTNAM COUNTY DEPARTMENT OF HEALTH
II DIVISION OF ENVIR MC� N -'�
0 TAL HEALTH SERVICES
e '
' Date October '14' 1971..
Res Property of Henry Phil ip Enterprises, Ltd.
.Located at_Dicktown Road, Putnam Valley, No 'To
r
' Section 4 13 k Lot 14 ",
j
-Gentlemen: Lot 14 of Forest Park
. This letter is to .authorize Y Roy Burgess
j a duly licensed professional engineer 1 XX or registered architect
I ; (Indicate)
to apply for a Construction Permit for a 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
' I
Department of.Health, and to sign all necessary papers on my behalf in
connection with this matter and to supervise the construction of said
system or systems in conformity with the provisions of Article 145 or-
:._.. _ _.._ 14�,.— Education Lawn the Public'--Health-'1a';`- and-- thevRatnam*County Sar i='
tary Code'. E
i Very truly yours,
Signed
Hen nMvfifY VYIprises, Lt-.d
Croft . Corners
Countersigned: 9845
Address i
P.E., R.A., # w 'Putnam Valley, No Y-,10579
Burgess. Behr, Po C.
r of ffEkl , Telephone j
' AdRdr s - Horsepoun oa °'��r; 2.8 -3833
Carmel, N. Y 105 0� P• �u�� <s
'W;'T N
225-3312
Telephone
�`�R� _ u, RVCK ?����\
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM
FILE NO.1107 -589
OW110111enry, Philip Enterprises IUtlress Croft Corners, Putnam Valley, N. Y.
Located at (Street 4dicate ' ktown Road . Sec.. Block Lot 14
neares . cross street)
Municipality Town. of Putnam Valley Watershed
New York City
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
apse Depth to Wa Water Levei
No. Time From Ground Surface in Inches Soil Rate
Start -Stop Min. Start Stop Drop in Min. /in drop
Inches Inches Inches
11:50
1:53
3
24
25
1
- 3 Min.
21:53
_...
1:56
3
.24'
25
1
3 ►�
31:56
1:58
2
24-
25
1
.3 ►'
.5
12:10 =
2:11
1
24
25
1
1 "
22:11
.2:12
1
24
25
1
1 „
= 32 :12
2:13
1
24
25.
1
1 tr
4
5
2
'
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.
0 Depth measurements to be made from top of hole.
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH HOLE NO. 1
HOLE NOe 2 HOLE NO.
G.L. Topsoil
Topsoil
611 PP
Sandy loam w/ stones
Sandy loam w /stones .
fP
eP•
r7f� 11 IP -
fe
3011 ee
Ie
3611 ff
1P.
water
211 It
4811 It
1t
II
54 It
it
60t1 It
'►
66" rock
fe
7211
It
78f1
If
8411
It
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED 2'- ft°
depth
INDICATE LEVEL TO WHICH WATER LEVEL
RISES AFTER BEING ENCOUNTEREDsame
TESTS MADE BY Burgess & Behr,,
P.. C. Date5/29/76
Soil Rate Used 3 Min/1 "Dropo
DE SI N S.D. Usable Area Provided 5000 sf +
No. of Bedrooms 4 Septic Tank Capacity1200 Gals. Type Precast conco
Absorption Area Provided By 333
L.Fo x2411 width trench.
Construct system in -r -o -b fill (230 cu. yds) Settle ,,6 - -----
npiom to
Mme oy ° urgess
Signature
Address Burgess & Behr, P. CO
S o� `'' "ur�w�s
Horsepound hoaa
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY:
Soil Rate. Approved Sq o
�AR'Ur� Sur�v�'1����v
Ft /Gala Checked b Ro S'. NPR. Date