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HomeMy WebLinkAbout2168DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30.18 -1 -5 BOX 19 PUTNAM COUNTY DEPARTMENT OF HEALTH V` 07 0 O Division of Environmental Health Services, Carmel, N. Y. 10512 Permit # CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM _f.i1hLptA /ALLey Town or Village �j f"►1 '- Locaied'et �:Y., , -.L. . - . Tait;.F ;.Block; Owner W. r • +2 E 6,2_02i A / Formerly � 1 Tax Map /Lot U Su-bsd. Lot s Separate Sewerage System built by .1owtk JW0C J4 a Addresspip #� 0 / '; ^� ��C�1`2s Consisting of L �r� Gal. Septic Tank and !^ E � J ��� " �%- J6`' Other requirements Water Supply: Public Supply From _ Private Supply Drilled By Building Type `• J EA M. P-8--45 • No. of Bedrooms Date Permit Issued Has Erosion Control Been Completed? I certify that the system(s) 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, in accordance with the filed plan, and the permit issued by the Putnam County Department of Health. Date /� /'�* /r✓.✓ Address P.E. R.A& License No. IIOS6 Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a public unitary sewer becomes available and the approval of the private water supply shall become null and void when a public water SAWPN becomes available. Such approvals are subject to modification or change when. In the judgment of thMCol er Health, such rev on, odification or change Is necessary. Date i-� e� By ' TNis Rev. 9 -B1 . PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR - SEWAGE DISPOSAL SYSTEM PUtnam­Va11ey _. Town or Village Located at west Road Tax Map 308G Block Subdivision Roa r i ng Brook Lake Lot A TM 8-1-5 Job Owner Theresa Longo Address Lake Shore Road, . West Building Type 1 - Fam i l y Res. Lot Area 23,400 s f Putnam Valley, New York 10579 Number of Bedrooms 3 Design Flow Total Habitable Space 1 Y500 Square Feet Separate Sewerage System to consist of 900 Gal. Septic Tank and 430 If x,210" width trench To be constructed by not selected Address Water Supply: Public Supply From Other Requirements Private Supply to be drilled by not selected Address I 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 of e Putnam 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 thedate 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. / A Address DUX '•t 1 / , Ind t.Ull APPROVED FOR CONSTRUCTION: This approval expires one year revocable for cause or may be amended or modified when consider requires a new /permit. App Lo for disposal of domestic itari Date ! v e-� By -L date K by the is36 License No? 1056 construction oft building has been undertaken and is er of Health. Any change or alteration of construction L u nly. Title — / d Division •onmental Health Services Carmel N. Y. 10512 CONNStRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valle Town J( = Located at 4aGi('XI COX .Wes.t. Road.._..._ F _ 308G 3081 x,,� �.. _.. _ ....__ . -. - Tax Map Subdivision Roaring Brook Lake Lot A. �wTM-..B._ T e �XraXc...... Owner frW)G I�X THERESA LONGO Address Lake Shore Road West Building Type One Fam i 1 y Res . Lot Area 23,400 S. F. Putnam Valley, N. Y. 10579 Number of Bedrooms 3 Design Flow- Total Habitable Space 1 500 Square Feet Separate Sewerage System to consist of f 00 Gal. Sep6i �pnk and 1 i nea 1 f eet x 21 -011 w i dth t rench To be constructed by not selected �} (J Address �� Vk Rc Water Supply: Public Supply From F� * Private Supply to be drilled by not selected Address Other Requirements i A I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that th ; above described will be constructed as shown on the approved amendment there to and in ac dance with the standards, rules County Department of Health, and that on completion thereof a "Certificate of Con do Compliance" satisfactory to Q be submitted to the Department, and a written guarantee will be furnished the owner, hiss ccessors, heirs or assigns by the place in good operating condition any part of said sewage disposal system during th peri of two (2) years immediately fol ante of the approval of the. Certificate of Construction Compliance of the original sy to r any repairs ther o; 2) that the c will be located as shown on the approved plan and that said well will be installed in accord with the standL es an regi County Department of Health. Date 8/3/76 Signed Address Box 417 Kat a , Y rk 10536 APPROVED FOR CONSTRUCTION: This approval expires a fr t u Lp ess const ction of the bui revocable for taus or may be amended or modified when co sid ed es y y -the o rt�- sioner of Health. Any cha requires a new .p rmitt... p %pro ed for disposal of domest nitary sew a /or pri a water supply only. Date c� t ° By Tit, Alter will the issu- scribed above the Putnam P.E. R.A. ise No. 8129 has been undertaken and is or alteration of construction 1PUTNAM COUNTY DEPARTMENT OF HEALTH permit o PV -8 -go C. Division of Environmental Health., Services,, Carmel, N.: Y: = 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM ?U-T- LqM �s' IqC. LE-V R Town Located at WES-+' AID Tax Map Block tot Subdivision 2681ZIN6�j�3 "4� j/� (J7 Suhd. lot q 4� Renewal Revision _�I Owner /Address C /Ft aL V9 s c GRAZIA • li 41 fL LCP—E9= A! s Date — Previous Approval e 0 Jac) / � R Building Type i�AIVt. 4�+-5• LP// �KSVLJLi.�A .i0S6 Number of Bedrooms Design Flow G! /P /D 600 Separate Sewerage System to consist y ,o+ff - 400 Gal. Septic Tank To be constructed by X. E1 vac rmTe ems o Water Supply: Other Requirements Public Supply From Private Supply to be drilled by Address Fill section only ❑ P.C. H. D. Notification ` Required and O F -Q u IV I D E t6 E N CH E5 Address I» A � Smaizx5 FD. wr— u 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 regu one o e 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 thedate 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 abovo will -be located as shown on the approved plan and that said well will be installed in accordance with the standards, rules and regu aTrons 'of the Putnam ,.County Department of Health. Date /0/-z (a>�� Signed P.E. R.A r MUS CLOUT NO jr ' . Address � 0 ,- -s — 7. License Poo. , APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unlfss construction of the building has been undertaken and Is revocable for cause or may be amended or modified when con silderedLaecessary by the Co )fiisl;ioner of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestic ary swage, $n Wor priv �e Rt�■1■■►rr�:ti �.1��.���►� /,irk 10 -46 -g . PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM I TOAK VQLLr=y Map�1..."._ "Block .,.., . can o Subdivision O —A IZI NC TQ Q,9! W- Lot Job Owner M t Cry Ar- 1- P r GIZ i 2JA Address Building Building Type to) Lot Area Q% .9 F Number of Bedrooms °' Design Flow &00 � r � Total Habitable Space ��r ®O Square Feet Separate Sewerage System to consist rof..- 6000 Gal. Septic Tank and `T�� �' � ©F "�' 1%�n�y���� L��e�.T�L1�J#15 To be constructed by 1Z• F109=Ef 'rjtV,0 Address PUTNAM c-n �®�'r�yd✓'• wF Water Supply: Public Supply From s , n " UTNAM VA ki(A • - IVY. e ��q Private Supply to be drilled by y�. A wo �sos+ VW AM [. 1 / -9 Address I3A �EP— �%. , J L d�4� AM M ACLEY Other Requirements I 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 o e u ham 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 thedate of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2j that the drilled well described above will be located as shown on the approved plan and that said well will be Installed in accordance ith the standards, rules and regu aT ons of the Putnam County Department of Health. Date 0//9/8/ Signed P.E. .A.. Addre o7- - 4 "Vqjcense No. fi0 APPROVED FOR CONSTRUCTION: This approval expires one year fr m the date issued unless construe ion of the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the Comm r of Health. Any change or alteration of construction requires a new permit Approved for disposal of domestic san �ga va w r supply only. Date By L /Vy Title 1; PUTNAM COUNTY- DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 FZ��� CONSTRUCTION PERMIT FOR- 'SEWAGE DISPOSAL SYSTEM Putnam Vall ev Town, o illage Located at WPRt Rna6 Subdivision Roaring Brook Owner M Chae3 n.LGr:aZia Building Typel fami 1 V reSldenCe Lot Area 23 400 s. f . Number of Bedrooms Design Flow Separate Sewerage System to consist of 1 000 Gal. Septic Tank To be constructed by not gq' _l -r t'P_Ei Water Supply: Public Supply From Other Requirements Tax Map SZS, -5 Block. Lot A Job Address4 Hi 11 rr .0 _ r_ Peekskill N.Y Total Habitable Space 1 r 500 Square Feet and 430 lineal feet''2x 2'0" width trenc Address * Private Supply to be drilled by _ Not selected Address I 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 o e 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 thedate of the issu- ance of the approval of the Certificate of Construction Compliance of the original "em 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 Inn in acc da ce the standards, rules and regulations of the Putnam County Department of Health. A ,y Date 6/2/80 Signed Address t(Kjf_. , niU 'n UT- iNg'j -T iia! inuiiu }gnu APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued un revocable for cause or may be amended or modified when consi necessary by the Commi requires a w permi Appr dor disposal of domestic niter s , age, t Date P.E. R.A. License No. 11056 ru ion of a building has been undertaken and is of H Ith. Any change or alteration of construction y only. Owner or Purchaser of Building ing Constructe ��?1� Location - .Street l 7'exVN 224-ALA, A Municipality > Shy Build ng Type Section S Lot Subdivision Name 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* wfiether' or -not "the` fail- ure of the system to operate was caused by the willful or negligent act of-the occupant of the buildinsc utilizing the system. Dated this 1,3 day of jga r_ 19 J�3 7 �'r e ; C3 Signature GTO(Z Title ,,e � Corporation Name i f Corp. e /��L KN 3� 4 7J c L i Address _ / ca�1 A/_ y �Z565 " 116 y. �'L,�,/"�25------- ---- - - - - -- 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 KAI UhN MtUII tAL LhDU11MIu1,, P.O. A • 99 321 Keay Street Yorktown Heights, N.Y. 10598 245.3203 I • d - LOCATIONS: ❑ 321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245.3203 P--201 BUTTONWOOD AVE.. PEEKSKILL, N.Y. 10566 737.8777 ❑ 495 MAIN ST., MT. KISCO, N.Y. 10549 666.3335 ❑ STONELEIGH AVE. (NEAR HOSPITAL), CARMEL. N. Y. 10512 278.9330 LAB DATE TAKEN: 0 DATE RECEIVED: DATE REPORTED: SAMPLE SOURCE: �/ REFERRED BY: - L Jl COLLECTED BY: -A ��- LABORATORY REPORT mg /L; ❑ ACIDITY ❑ ALUMINUM �. ❑ ALKALINITY O ANTIMONY ................................ ............................... BACTERIA. TOTAL /mL .......... .. ❑ ARSENIC .................................... ............................... ❑ SOD. 5 DAY ................................................... ❑ BARIUM ....................................... ............................... ❑ BROMIDE ....... ....................i.......... ❑ BERYLLIUM ................................ ............................... ❑ CARBON DIOXIDE, FREE ........... ❑ BISMUTH ........................................ ........ .................. DCHLORIDE ................... ............................... Q BORON .....:........... ............................... .................. ❑ CHLORINE'—.* ...................... .................. D CADMIUM .................................... ............................... OCOD ...:....................... ...............I............... ❑ CALCIUM :................................... .......................:....... ❑ COLOR ....... ................ ............................... ❑ CHROMIUM (tot.) ...........:................ ............................... ❑ CYANIDE-: ............... ..:............................ D CHROMIUM (hexavalent) .................... ............................... DDETERGENT. ANIONIC ... ............................... ❑ COBALT .................................... ............................... ❑ FLUORIDE ................... .................. .............. D COPPER .................................... ............................... ❑ HARDNESS ................... ..............:...:............ '0 COLD ..........................:............. ............................... ❑�vIPN COLI FORM COUNT/ 100 ml � ............... ❑ IRON ........................................ ............................... ��NFT COLIFORM COUNT/ 100 ml . . l ................ •❑ LEAD D CONFIRMATORY TEST ... ............................... ❑.LITHIUM • .................................... ............................... _O NITROGEN, AMMONIA .... .................. ... ... .❑ MAGNESIUM ..... ................... ................... .......... D NITROGEN, KJELOAHL ... ............................... ❑ MAfdGANE .....::::.-.:: ...................... .:..:....................:... ❑ NITROGEN, NITRATE ... ............................... .:❑ MERCURY .........:............................ ............................._� ❑ NITROGEN, ORGANIC .................................. ❑ NICKEL ........................................ ............................... V1,_1 DODOR ....................... ............................... '❑ PALLADIUM ................................ ............................... C7S DOf L & GREASE ................................................ ,❑ POTASSIUM .......................... ............................... . ❑ pH ........................... ............................... ❑ RHODIUM .................................... ............................... ❑ PHENOL ...................................................... ' D SELENIUM .:.................................. ............................... ❑ PHOSPHATE (ortho) ....... ............................... D SILICON .................................... ............................... ❑ PHOSPHATE (condensed) ................................... ❑ SILVER ........................................ ............................... ❑ PHOSPHATE (total) :. ..... Q SODIUM ... .. ........................... ............................... D SOLIDS, SETTLEABLE, mt /L ...................... ❑ TIN' ....... I........ ..............................: ....................... ❑ SOLIDS, SUSPENDED ................... ❑ ZINC ............................................ ............................... ❑ SOLIDS. DISSOLVED ... .........................:..... D .....:..................................... ............................... ... i .. ❑ SOLIDS. TOTAL .. .......................................... D .................................................... ............................... ❑ SOLIDS. VOLATILE ..... ❑ REMARKS: ..... ................ ......... ............................... ❑ SPECIFIC CONDUCTANCE ❑ ................ ............. ......... ............................... ..... OSULFATE ..................... ........................ ........ D .................................................... ............................... ❑ SULFIDE ............. ............... ........................................ ............................... ........ ❑ SULFITE ................................................... ❑ .. ............................... ............... ............................... OSURFACTANTS ............ ............................. ... ❑ ...............:................................ ............................... ❑ TURBIDIT.. ................ ............................... .......... .......... .............................._ .�. _....... THESE RESULTS INDICATE THAT THE WATER WAS,D OF k'SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED. THESE RESULTS INDICATE THAT: THE WATER DI ET THE S TISF ORY CHEMICAL QUA 3TY QF NEW YORK STATE ADMINISTRATIVE RULES & REGU TI O D TN NG -7 ER STANDARDS T'72) FOR THE PARAMETERS TESTED. - ;� ALBERT 11. PADOVANI M. T (ASCP) , DIRECTOR: ! �•�- ✓ WELL VO`A& .TION REP RT 3/71 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 Depaftment together with laboratory report 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 I OWNER ME ^ J/( /1 //J ADDRESS LOCATION OF WELL (N , Street) � wn) ^ (Lot Number) e U /!J PROPOSED USE OF WELL BUSINESS r � DOMESTIC F—] ESTAB ISHMENT ❑ FARM ❑ TEST WELL ' ❑ SUPPLY ❑INDUSTRIAL ❑ CONDITIONING OPeHER ) DRILLING MENT EQUIPMENT ROTARY ❑ OTHER A R PERCUSSION ❑ PERCUSSION ❑ (Spe CASING DETAILS LENGTH (leaf) r oZ � DIAMETER(Inches) /� WEIGHT PER FOOT / �� ® THREADED ❑ WELDED S O YES ❑ NO &5 CASING YES QMUTED? NO YIELD TEST j HOURS G.P.M. ❑ BAILED ❑ PUMPED COMPRESSED AIR f(i ;r4— YIELD (G.P.M.) WATER LEVEL MEASURE FROM LAND SURFACE— STATIC(SpecllyleetJ DURING YIELD TEST fleet) Depth of Completed Well In feet below Land surface: 2-00 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 (lest) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to 'FEET r � If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL CO P 1��?8 D DATE OF REPORT W thaw r, t. 1 � �' _ �a . > • ... - ., .; , .' ,t i'liT \,`��1 Cr`[ ";'I'1' DI:1':\I'T','T. \T nr }(f.AulI r Ml- ,..N \I, - liF::li� '.rl.� •F:F:' {�F ,. �.. 1 , c System or: systems in conformity '.'with the provisions -.of Article 1115 `or. }` r :.€ ,.duly. licensed profes `or re-is e re A arclia.t:ect::�� 3117,`. :1,clileraL'ion f,ciw," t.lcc. l'trl�l �e Health' Law, and t}iG F'utiiciiir Ccuitly Sari- (Indicate) to apply for a. ConstrlrC t i011 Permit , :for a separate. sewage' system, to y' ' 4'` � Date 7 0ct'ober..19'7.6' � -:' sc�rvc the above. � noted property in accordance with the - :standards, -rules ,' REN'CE G or rcf;ulati,ons fi R" Property of TWER.ESA t: �' w�,.a► s,; :.nc��,artmen.t West Roa d and to sign all necessary papers' on my' behalf `in r: Lakeshore :Road I,oca te�d a t �ccZ��xkV , ;P'utnam: Val .ley,: `'NeW •.`York. " , this matter andto supervise the construction of said . 'Address . >; Section Block' t,ot TM $' =1 5 ;,. 4: 4 TO1.c Jlronc f authorize JOEL L. GR.EENBERC This 'latter is to .. . c System or: systems in conformity '.'with the provisions -.of Article 1115 `or. }` r :.€ ,.duly. licensed profes `or re-is e re A arclia.t:ect::�� 3117,`. :1,clileraL'ion f,ciw," t.lcc. l'trl�l �e Health' Law, and t}iG F'utiiciiir Ccuitly Sari- (Indicate) to apply for a. ConstrlrC t i011 Permit , :for a separate. sewage' system, to y' ' 4'` � .. i 1.. �,�• .' .. ... � � -:' sc�rvc the above. � noted property in accordance with the - :standards, -rules ,' REN'CE G or rcf;ulati,ons as promula -ated by the `Corr;missioner of',tlle• Ntnam..Goun Zy .. o a Very trLrly yours, " V Signed �... \ w�,.a► s,; :.nc��,artmen.t of llcalth, and to sign all necessary papers' on my' behalf `in .01 y6. o�. Lakeshore :Road Cc�ui,Y� °r ' nerd; FoF,NEV� connection with this matter andto supervise the construction of said c System or: systems in conformity '.'with the provisions -.of Article 1115 `or. 3117,`. :1,clileraL'ion f,ciw," t.lcc. l'trl�l �e Health' Law, and t}iG F'utiiciiir Ccuitly Sari- b iary Code"' .4 R REN'CE G M k o a Very trLrly yours, " V Signed �... \ w�,.a► s,; A >; (�unez� of Pro crty Mesa .01 y6. o�. Lakeshore :Road Cc�ui,Y� °r ' nerd; FoF,NEV� Putnam .. Val le 'New. 'New :York :,1 -0579 . 'Address P l .;' It A' 1°1056 528 -8450 =:R Box 417 Deer Pa rh P 1 aza TO1.c Jlronc Katonah, New.,,York 10536 914- 232 =5033 F PUTNA l Cf'{'`:TY nr ((1'ATMf f DTVTgTnN nr ',r. \T:\t. I(F`: \T,�'(( Sr.r,�Ifcr.s f Date September�20,`1976 Re: Property of 'THERESA LONGO P y Located at Lakeshore Road West, ''Putnam Valle N. Y'. }0579 � Section Block Lot TM { Gentlemen This letter _ is to authorize JOEL L. GR E ENB ERG a duly licensed professional engineer or rebistered architect :.: (Indicate) to a 1: for-.a Construction Permit for a separate sewage system;' to { P P y.' .. P serve the above noted property. in accordance with the standards, rules. ';:, rF" or. rem ilations as promulaoated by the Commissioner of the Putnam County, w;ra Dclpartmen`t of Health, and' to sign all necessary papers on 'my behalf. in; connection with this matter and to supervise the construction-of said :Syntem or sys..terns...in,- c.onfarmity. 1 with. the provisions of. X17, I:c}uca.tion Lace, the 'Public Health Law, and the Putnam County Saiii -¢ h tary Code . ��aEO 4R 3,4 RgNCE 10 A Very truly yours, ` ;• ;. ti Signed oil. P Owner of Pro T •. Counter ig 1ed: Ce --'c. u Address P.I:., 1105 p- Box 417.: beer' Park Plaza Katonah, New York 10536 ' Ry �_ 914-232-5033 _ ��: +• _ rte: Tel e1))1oI10 _._ PU11'11AM C011I1 '1 DINTSION OF Ri,'1'TIlO„T T' `i`I'�1I, III'AL'I'l l ST i 110 COt1q'l'Y 01 OFT C?; JIT.ITPin, CAFJ I� H. Y.. 10512 DESIGN- % —YR LLOV&.RATE DISPOSAL SYSTEM FILE TdO._ 011!ner %f'AbkXMAAxx Address Lake Shore Road West, Putnam Valley, N.Y. West Maps 0 Located at (Street Mfim kX Road ffi99. 30 I block Lot , A --� -�— lnc,acai;e nearest cross street J•.,vl:icira.i.it,T Town of Putnam Valley Watershed Hudson SOIL TURC OI_;T10; -: 51 ST DATA REQO JIPED TO. TE SUr . I`lTI' 10 LITTIT APPLTCATIoNS Hole Nu►r.•ber CLOCK TIi PFRCO1A'P10''' PERCOLATIC- T�w1 ! apse J�p t1 0. ,a -er �a1;er. evc Igo. Tim From Ground Surface in Inches Soil Face Start -Stop Ndn. Start Stop . Drop in Alin. /in dre::) Inches Inches Inches #1 1 8:50 -9;38 25 28 3 48/3 =16 2 9:39 -10:47 25 28 3 48/3 =16 10:48 -11:36 25 28 3 48/3 =16 4 5 ` #2 1 8:52 -9:40, 25 28 3 48/3 =16 2 9:41 -10:49 25 28 3 _ 48./._3 =.16. . 1.0_50 _�I_�.::.3:$. 2 _ - ..........2 -8 3 -. _.... - 48/3 =16 _ . M 5 1 - 2 3 J1 5 Tept's to be repro - @- ed .at :if111iC depth 111M.1 am)roxi.liately egi:al. coIi.l rites :arc) Obtained t:rt eac1'l p �r•cOlation to-A hale. A1:1. data to be �ubwi.t Ccil fOr 2) I.Y.;pth mca.::ul- ornent:s to be r;idc from top of 11010. `TESS91' PIT DATA RT.' 1110 PT I MIM 1;I7'11 AP11TCATION DX1:1(11R7 IT]. Q14 OP 10jilll i-q!"6 n! 11012,:5 DEPTH H01;H' NO. I 11OLE NO. 2 l 11012 NO. 3 G. L. " "'..;Top So i I Top So 1 top So I 61' Sq - Pt/Cal Chocked by_ IP11 Sand & Clay Sand & Clay Sand & Clay 3611 II II II 4211 W1 5411 60". 7211 78 8411 11"MICATE =L AT W11TC-11 GROUINTD- V 4TER IS EINCOUNITERERD None 111MIC " A 'TE =­,* M TO UHLCh WATER rtTTI'M RISES AFTER BEING ENCOVI'TER'-F.T) - - TESTS 14AM BY Joel Greenberg Date__,LUl)j 28, 197(; DES I Gil Rate­Uaed 4 Dr: op: - S.D. Usable e, ;000 -di8met-er 5 GRE C, No. of Badrooms 3 Septic Tank Capacity .90 TA C� E Precast concrete, Absorption Area Provic .ed BY 430 L.F.x2411 lame Ineogore Laurence btrauss .13ignatu Associates, P. C. Addre-s Box 417 Degr Park Elaza ro 0 Katonah, New York 105 36 C)i� N THIS SPACE FOR USE BY 1.12AIMI DEPABTJ-�vT,1T 01,02,: Soil Rate Approved Sq - Pt/Cal Chocked by_ Date P-1 i drawing title THEODORE a r c i t e c i. t i 3 s. t. s -:f ;_;ar.r's. ?X+S� -� .r = >>-� s. ,'r'. -.� :r,<:'F.4��r.`+�+r.mn-^•�'�.x° ru .s•�;i 'S2 r^.� ,<,"'s°r`TM'-_ , T. vy - �f z• . a f d i F' t t Ae S . _ •^ - _ n� Nssac.a Ot • >= r� s:+a� to � -ri'.� �: -„`�� - r - - - �.,� �i�vl` '' AN, . /"' _ �. - ,.rte-- f2.fi?°' 4.'��•:3.ila W. , f s t`( flu - �� .� i