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HomeMy WebLinkAbout2172DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30.18 -1 -11 BOX 19 11 or ol I y 1 �� �N No r; �` ti, ` .1 L� on 1 �L.�� T JA .or I 'I ' r 1 � 1,f roo !' E 02172 14 PUTNAM COUNTY DEPARTMENT OF HEALTH ENGINEER MUST Division. o.' Environmental Health Services, Caren 1, N. Y. 10512 PROVIDE 30 1 - i PERMIT \# CERTIFIC E OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEMLITwAM VALLe�!e yy �` j� { j Town or Village <.Locate+dr�,aat r"'t �`71 btu K�.CI TJ �Y T .,,.K..�.._,. .Tax Maprz lock �( yz�., ......... ,.,...,.�... .�.:c Owner °`+���✓T Ie.-�d pr / Formerly Tax Map Lot i �� � ubd. Lot N -TVf(, Separate Sewerage System built by r'— KAS_TU� d-SA&' S Address�E�'siz 14OLLOW Consisting of 1000 Gal. septic Tank and SO Z i~ F OF FOE LOS 'PUT14 A M L]A L.L1 =Y, N. Y Other requirements 2 I ` SANK_ ZU t4 FILL- Water Supply: Public Supply From Private Supply Drilled By No y-J ,A ki A W QE :a 5Q tJ Address �a G � y ST: ° L r ��LLE Y . N Y` 10 , 70 -� Building Type OI41✓ r„MiLV QeSIbSN Gl No. of Bedrooms - Date Permit Iswed IL - i Has Erosion Control Been Completed? Has garbage grinder been installed? N 0 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. 7� rate '25 esr-r- Certified by A 11 1 MINE Address lfu5coo-r i 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 nu tl v when a public wet wpply becomes available. Such approvals are subject to �modification or change when, in the Judgment of the C mi sic s. of th, such r at fktlion- or- ehangs_ts necessary, Date �`r BY �+ Tltls Rev. 6/85 i r z7,7 PUTNAM COUNTY DEPARTMENT OF HEALTH Division' of Environmental Health Services, Carmel, N. Y 10512 CONST.RUCTLO.N PERMIT -FOR SEWAGE 'DISPOSAL SYSTEM, t - Rutnam Val 1 ey - n Located at take .Shore Drive or Village Tax Map 8-1 -1 1 , 12 Town Subdivision 3rd Map. of Roaring. Brook Lake Lot Map & 407 Block Job Owner Robert RUopp Address Park - P 1 ace - Roaring Brook Lake Building Type 1-Family . Res. Lot Area 45,300 Putnam Val 1 ey, . New York 10579 Number of Bedrooms 3 Design Flow 600 GPD Total Habitable Space 2,000 Square Feet Separate Sewerage System to• - consist of 1,000 Gal. Septic Tank and 560 1f of 21 011 wide trench, To be constructed by Address Water Supply: Public Supply From ** Private Supply to be drilled by Norman Anderson Address Bar er ' St reet . Putnam Val 1 e . New Yo Other Requirements SFyED ,4 � 7� ppy.� kS c E G 'S I represent that I am wholly and completely responsible for the design and location of the propo �t8fit(s) atFt`ltef� ate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accorda t to a ds rul gu a ions o e Putnam County Department of Health, and that on completion thereof a •Certificate of Construction o Banc i1i1 y td� hq ommissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his rs, her 'e ?V'. ig by e b ilder, that said builder will place in good operating condition an 4 +•� P 9 t part of said sewage disposal system during the p 'o wo (2 Wig irtl� diatel fo owing the date of the issu- ance o the approval of the Certificate of Construction Compliance of the original sy em n reps sit er to I hat h� rilled well described above will be located as shown on. the approved plan and that said well will be installed in accord nc wi stand ��� s an la ons of the Putnam County Department of Health. Date 10/25/77 O Signed P.E. R.A. Address 11056 Licens I APPROVED FOR CONSTRUCTION: This approval expires one year Ussary the date issued unless construction of the building s been undertaken and is revocable for cause or may be amended or modified when conside by the Cc % ssioner of Health. Any change or Iteration of construction requires a new permit. Approved for disposal of domestic nita ,�_w_agee a'n r ri .tel' wwai_er.._supply only. Date Title . WELL COMPLETION REPORT, PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental •1-lealth Surviees COUNTY OFFICE BUILDING-- CARMEL, NEW YORK This report.is to be completed by well driller. and submitted.. to County Hea�th,l epartrnent. together -with'laboratory - rcporvof :. analysis of w`afer'sarnpie indicating water Is o #'satisfactory bacterial quality.before.certificate.of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION J. NAME- ADDRESS OWNER LOCATION (No. fi,Street) (Town) (Lot Number) .'OF WELL .l?d•/[ -c�lP. .�� .. 1. . BUSINESS PROPOSED �. DOMESTIC ESTABLISHMENT �. FARM ' ' D TEST WELL USE OF , E] PUBLIC AIR'. WELL SUPPLY E1 INDUSTRIAL. EJ CONDITIONING Q (Spe if ) DRILLING OMPRESSED CABLE (� OTHER EQUIPMENT []'ROTARY' l=1 AIR PERCUSSION C� PERCUSSION LC� (Specify) CASING LENGTH (lost), DIAMETER (inches) IWEIGHT PER FOOT D ,S O CASING. DETAILS i ' �' ' © THREADED ' [D WELDED / YES `;. L� NO YES NO YIELD. � . � PUMPED ' • � COMPRESSED Al � � HOURS GPM. • �: , . YIELD (p.P.M.) • , ;' TEST BAILED MEASURE .FR OM LAND. SURFACE- STATIC(Spoclly feet) DURING YIELD TEST (feet) WATER Depth, of Camplebd Well LEVEL in feet below land surface: rJ MAKE LENGTH OPEN TO AQUIFER (lest) SCREEN DETAILS SLOT SIZE DIAMETER (inches) GRAVEL SIZE (Inches) FROM (lest) TO (lest) IF GRAVEL Diometer of well Including PACKED: grovol pack (Inches), DEPTH FROM LAND SURFACE Sketch exact location of well with distance#, to of least FEET to FEET FORMATION DESCRIPTION two permanent landmarks...,: °Ajc) ass �j�'� `� " I DATE OF REPORT ILLER (SIstUFe)� . •" •s is - ._ _ ', i - a l'OWN:M YORK EDICAL LABORATORY INC. .P 0 Box 99 321 Kear Street ;LOCATIONS: El 321 KEAR ST., YORKTOWN,.HEIGHTS, N.Y: 10598 245 -3203 .- Yorktown Heights- N.Y. 10598 ❑ 201 BUTTONWOOD AVE., PEEKSKILL; N.Y. 10566 737$777 245'3203 C3 495 MAIN ST., MT. KISCO, N.Y. 10549 666.3335 1 #107280 STONELEIGH AVE. (NEAR HOSPITAL), CARMEL, N. Y. 10512 27 8-9330 DATE'aCOLLECTED RESULTS OF EXAMINATION OF WATER 7/580 OWNER DATE iRECEIVED ROBERT RUOPP. `7 7 . CITY, VILLAGE; TOWN.. & /OR NAME OF SUPPLY DATEtREPORTED LK SHORE _DRNE WEST, P(JTNAM VALLEY NY SAMPLING. POINT :" = WELL BACs ERIA PER ML. (Agar plate count at.35 C). 2 COLIFORM GROUP (Most probable No. /100ml.).. 0/ME Z; TAL, - ppm DETERGENTS - mg/L,. NITRATES (as N) - mg/L IRON, TOTAL - mg /L % AMMONIA, FREE (as N)-mg/.L pH= CHORIDES - (mg /L) These results indicate that the water was YES of a satisfactory sanitary quality when the "sample was collected. PER: CROSSROADS PHARMACY INC.: A. H. PADOVANI, M. T. (ASCP) U Per-anc J. n-nd M-rgBret M. " .9 ru 0304,` LAe Shore - Rt. I _ao�arin�Bro�okL��ke P�?m�V­1�1e, % 7 June 15 1377 County He--lth Engineers Department of Henith Putn-m County C,- rml-1, New York Dear Sir,-: 'We would awpreciete h­ving -:on re \infor.. --*tion regErding the ob--ervince of ttie he2.lth code r(%Iuiro-ments in the con-stru on of �- new hou--e on th lot ni.gt to ours in nog. ring Brook. It i:, being hAlt by RRo,ert W. Ruopn_ . Vi a ;:r- p,--rticul--;rly concerned ­bout the septic arx�-ngernents. Vv Gre concerned naturally =- bout the possibility of contamination in our drinking v -.-ter. ,%'h have not peen survey Gt,?kes on our border ) so we wondered how the.me--t-uremebt of the septic re,,uireme.-nts can be m.-:da without z leggy current c,-urvey. - FT-ve Mr. Ruopp I -t aeptic pl,-:,ns been ex1f mined by your department f-S to the pLrccment of the ::optic systern loo feet from our well? .Has this been done in the light of current legal survey? � e ^re relying on the County Health Department for z f-.'ir rpplicl­tion -of the h_-Ath code in wotection of our rights and drinking v -2ter.'This will have z distinct effect on the cve-_,itu-@l he-- ith oft our family. '% e would appreciate a letter in reply. Th.Tnk You Ferenc J. M_­rgaret MoAlbert T o'v­n­B'o*:�­r'd` Ro ring Brook L�Ae Property O.vner� .11.ssocirfion oc� PUTNAM COUNTY n1 PARTMi PVT OF I EALTH DIVISION. OF ENV HM1,1'II SERVICES OFFIC-Fi- -Bl1TLDI1`iG "CA'RM1 I:,;`N:�`Y': DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM. FILE NO. Owner' Robe rt Ruopp Address Park Place, Roaring Brook, Putnam Vahley, LAka: 51402.9. 8 -1 -11 1 � Located at (Street 4dicate 0 p wEST. Block Lot406, 407 nearest cross street) : Municipality Town•of Putnam Valley Watershed Hudson SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH'APPLICATIONS 4 2 18-:05 -9:08 63 16 19 3 ­63/3 a 21 63-IT ='2 -1 - 3'10:13 -11:15 63 16 19 3 63%3 = 21- 4 'S ' 1 2 4 � 5 Notes: 1) Tests to be repeated at same depth'until aP.proximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. N Hole Number CLOCK TIME PERCOLATION, PERCOLATION' Run No. Start -Stop M apse Time Min. Db-Pth. to -,a From Ground Start Inches er Surface Stop Inches Water ve in Inches Drop,in Inches Soil Rate Min. /in drop 1 1 8:00 -9:03 63 16 19 3 63/3 = 21' 2 9:04 -10 :07 63 16 19. 3 63/3 = 21 3 10:08 -11:10 63 16 19 3 63/3 = 1 4 2 18-:05 -9:08 63 16 19 3 ­63/3 a 21 63-IT ='2 -1 - 3'10:13 -11:15 63 16 19 3 63%3 = 21- 4 'S ' 1 2 4 � 5 Notes: 1) Tests to be repeated at same depth'until aP.proximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. 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