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HomeMy WebLinkAbout2141DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30. -2 -21 BOX 19 7 1 1I' II�h, ■ rr 1 11 441 1 m 1 1 11 1 T 1 16 � 1 ,'L 1 , .` 02141 4 L y y r n :' 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 � ��. �„ _t' rz �- �: r. ,� F ca ,4 .I, i�, 7 ?'i -t - t -,•" �-, SPA T�r� I'• � _�; ,'� �� :.-i: � .='• OF � E .P(iTN,AM:.: COUIVT.Y_ DE HEA4. e • � : i.Y... . 1i 41 .(r•.�Y ..1 .: #a ..F Z } fi. - 'S'{, r�:::1, .^S . 4, M t'..(r` T . c � � . �.. , t �+�,. 3.. Y t l_ ,it � t �,. k <. F • - t., S. -W' ' "t Er fit,: . %�� ss r . ','. •.... ,, " ... . . .:... .. ..t :..... ,. ^, : r, - ia;: t§t„d.;�. ;•i` - .�ei'kt�i, h' �yd 1t.r'L•"' . g'}_:. :" i' "F'i .1 � `,u - �iY Tt. � F- � •- j fY'y, - �) �Vr?;� t: 2, <�' t '( { r•��. -y� s1.: S' : Y- i ' . 1 .31. :cix �i i.+'.S ? ^: iµµ � 1 iY •.'4 .l '�' J Y it .�2 _M N 1 �. - r -y. r{. �. �_ S "I. Jr °' .5'IT •�.: k. 7'0, ':TF'/ A YE. dF,4LVY.:NOTED ,�ELOW '.., e •r ?.,.y �. M/C"p Dt'. I' f 6�..o .csr - t +`a., rr X ' f c: 1 14f i cw ) : >/ �,, � •.:• -i ;fit r i s: 1a °j't =.P 'A, s: raj cr, FN o Giao.a�ep 6vtc}, N•ni:�rCD'. e r =£-1 I7' j,/ C NN s4-- 2g0•L t- I. > ;s Tri�NC h1 IN .R.0 -e l.. 4j r it F t Si i 't t. ry E�:.•>:•� S AIZ:'� - -Qb6p 1 2{ p _ A t. 4 f3.. d f ... G OF iS£WAC�E DX5P0SAAL. c _ T/E'?M,E' SUFd6A9ENT Z'oT•,. %� 1 4' t %OCi AT�oI� nt r �.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 a" 7 r 6i i is is I i it a' �i is S Aj 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