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Home My WebLink About2177DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30.18 -1 -16 BOX 19 02177 Lig IF ` r- 6 lit � or ' UL. .. 02177 PUTNAM COUNTY DEPARTMENT OF HEALTH.: Division of Environmental Health Services, Carmel, N. Y 10512 ' I TQtm poi' .Pig. - ant• •Va11<ey CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR. SEWAGE DISPOSAL" SYSTEM" Towri or Village,. Northerly side Lake Shore Drive about 90o ft 8. 1 Parce ;17 ;ast of West Rd, Roaring Brook Lake section Block ^ ; Located E'i, Richard Petrone Lot 'Job Owner R . D. 1, B6x 36 Putr. Va,11ey;; Separate Sewerage System built by A. Kastuk Son Address 6 Pits width trench �00 lineal Feet X c Consisting of — Gal. Septic Tank Other requirements t installed as re ulred ,. Water Supply: Public Supply From X Private Supply Drilled By B. F• Beal Brewster, N. Y. 10 09 Address Split Level No. of Bedrooms 3 Date.Permit issued Building Type e. Has Erosion Control Been Completed? no r 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, plans filed, and the permit issued by the Putnam County Department.;of;Wealth.° October , 1972 ` P,E RA: Date CeSti_f -fed bj 8 Burge s S' rQC $e C1i', 1 • • License No.9 Address p1^Ai t'° f a »mcl 1�T Any person occupying premises served by the above systems) 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 sanitary sewer becomes available and the approval of the private water supply shall become null and void when a publ• .,ter supply becomes available. Such approvals a� m Stoner of Health uch rev cation, modification or change is necessary. subject to modification or change when, in the judgment of the ^'Vr Title Date BY y PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, _Carmel, N. Y. 10512 Towel of .Putnam Valley CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Northerly side Lake Shore• Drive about 900 ft. p own or village Located at T Roaring � `) Block l Par.. ' :'1 7 - �a��a#- �'��s�— Rrtr"- -fir :9-oh. �a� section Evelyn Bleyer L Job 102 - t��6 Subdivision Lot " Owner Richard Petrone Address 932 Adee Ave Building Type Split . Level Lot Area Bronx, N . Y.' Number of Bedrooms 3 Total Habitable Space 1200 Square',:Feet Separate Sewerage System to consist of Gal. Septic Tank s e e b e 1 gKeal feet X width "trench To be constructed by Address Water Supply: Public. Supply From _ X Private 'Supply to be drilled by Address Other Requirements Install 6 Seepage Pits- 5 ft -0 in deep X , ft - 0 in wid 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 an regu a ons 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 .buiitler4iil 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 aove - will be located as shown on the approved plan and that said well will be installed in accordance with the standards, rules and regu a ons of the "Olt' nam County, Department of Health. y 1• a � --I * 'January 3� 1972 V•; �''Dafe gned p E. R Bur cress c: Behr, 711 enel Carmel, Y.A. Address License No. S` "P ROVED FOR CONSTRUCTION: This.approval expires one year from the date issued unless uc ion of. the building has been undertak is'. _ '.-o�cable for .cause or may be amended or modified when consi y the Commi oner of Any change or alteration of nstruction. `%',, ;res a new perfmit� Appr d for d' 1 of domestic sanitar rivet RICHARD P E T R 0 N E WELL, COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/11 Division of Environmental Health Services. COUNTY OFFICE BUILDING - CARMEL, NEW YORK 1'hls'rep6`ft`is "t6 Ge 6ompietei9 by'WbIt °chi'iflee iri - 'sutimltted "to'Courity- Ffiealth D-opbiUhent- t&pthir:Mth °haboratdrq °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 OWNER NAME ADDRESS PUTNAM VALLEY NU SHORE DRMs ROARING BROOK LAKE LOCATION OF WELL (No. 8 Street) (Town) (Lot Number) --SHORE DR ROARING BROOK LAKE9 PUTNAM VALLEYs NEW YORK,• - PROPOSED USE OF WELL NESS DOMESTIC ❑ ESTABLI HMENT ❑ FARM ❑ TEST WELL 11 SUPPLY 1:1 INDUSTRIAL El CONDITIONING El (Specify) DRILLING EQUIPMENT COMPRESSED CABLE 91 ROTARY ❑ AIR PERCUSSION E] PERCUSSION ❑ (Spe Eft ) CASING DETAILS LENGTH (teat) 1 DIAMETER (inches) S 1X WEIGHT PER FOOT 1 lb. F THREADED ❑ WELDED D IC YES ❑ NO X YES — NO YIELD TESY HOURS G.P.M. ❑BAILED El PUMPED R] COMPRESSED AIR 0 YIELD (G.P.M.) 4 GPM WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specityteet) thir seven DURING YIELD TEST fleet) Depth of Completed Well in feet below Land surface: 190 ft'. _ SCREEN MAKE LENGTH OPEN TO AQUIFER, (feet) DETAILS SLOT SIZE DIAMETER (inches) IF GRAVEL PACKED: Diameter of well including gravel pack (Inches): GRAVEL SIZE (inches) FROM (feet) TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET 0 30 Drilling in overburden - .1a:V: and boulders Hit solid rock at 30 fto 30 41 ..Dr' lling.. in,, rock, se tin C asing routed _A.. 41 =190 Drilling in rock - granite and quartzite If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED /25/72 DATE OF REPORT 11/13/72 WELL DRILLER (Signature) ° ° f. g . l '4 [ t " - AS BUILT PLAN NOTE : TL1IS IS TO .CERTIFY TLIAT THE SEWAGE DISPOSAL NOTE : OuT4e -T ro. • :.( SYSTEM WAS CONSTRUCTED-AS INDICATED ON TH /S PLAN j �P.TS 4, s L E.Av r' pi AND THAT THE SYST, E'M WAS INSPECTED BY ME L3EFORE IT A. 5annE �I. B.Y j T(ya�o� ' YVAS CDVkLRED OVER_ THE SYSTEM WAS CONSTRUCTED ?•. 4: �' -TS z :''IN ACCORDANCE. WITH 'ALL THE RULES AND Q- rGULATIONS .. r 9F THE PUTNAM COUNTY - "DEPARTMENT OF -NEALThI_ ,rn f44 E� �,�... ~: �` UZ .� '7B2 �_� CO.I C.•i (LOV FfCS -/.N7 C. t. g�.tNOJr t�wlLa. 'r.�n.K � .. N•Oli°S _'�2AV:�EI. JfL.QGt1f.f 01 � orr*F EXCEPTIONS TO THE ABOVE /FANY NOTED BELOW rs_ AS BU/L_T PL:4/V rill E „MEASLIREMENr- F SEWAQE - 0 /-5POSAL SYSTEM, .a' a �oe,aronr L T. E. Suesv.�visfoiv..MJ� OF o" � .' �z.o 3�,% -t-aw►�•:_� t E�V•ELrYN. _ ,�L..EY�FZ ��f� 44•S r - YVIV OF. PuTn/AM VALI- Ey PUTNAM CQC/NTY/V.Y. Sc J =noA?d CJ� j, /� / 9 72 :Lcl 43'.3. P i T: �'s�� c of acw �oA • ; ' " Li c 3 (z•) 43.9 *; ...r. -.. e..... 2 IU w stFx c ew - ,�06 0, t' \ css °irygntir 8- i E$:5" f/. _B R n nv= vY •ov t.� ssiono./ En9.neerin9 F, Lo.,d Surrcyi n9 tovuea , vm. wr�,w 12 G/eneido' Avenue Came/, /V. Y. sd- x d�Y..t x...... . .... :.4 _ g4ri ", -...? � Y rr.xsG��.dtit�_.d �Y .. '. . , L �3..<,- :a�13r._4.t <t .. �is..�:_.� �� - -,.. •_ h .?? ._. �.. ,n-... .,... .. .< ,. .i .. , _> a .. ... - - � ...._ , �. BREWSTER LABORATORIES -_ . Box-,.22A.'_::.aREWSTF-R;, -, ...Y..::,. - ....._....b:::., _...: WATER ANALYSIS REPORT SAMPLE NO. 2826 SOURCE:. Petrone - hose b-ibb - well supply. Roaring Brook Putnam Valley, N.Y* COLLECTED: Nou. 10,, 1972 BY: P. F. Beal & Sons, Inc. BACTERIOLOGICAL EXANIINATION CoUform Count, MF Method .0 per 100 ml. This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. Nov. 119 1972 Roy Bickwit P. E. Director R; chard. Petr.one.. _.... - - .,.,,,,,Town_ _ . o•_,. -. ..� ,,.t :. _...._ .._ of Putnam Va ey Owner or PurcHaser of Building Municipality 8 Building Constructed by Section Northerly side Lake Shore Drive. l Parcel 17 Location - Street Block about 900 ft :east of West Road Roaring Brook Lake Lot E - Map of Evelyn Bleyer Building Type ... Split ve 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 succes- 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 following the date of initial use of the sewage disposal system, or any repairs :Wade 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 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 - f` allure - -ef the system- to operate was caused =by • tree wi-- llfizl or neglent . act of the occupant of the building utilizing the system. Dated this _� day of 19_;!.L Signature Title: If and ,,orporation, give name address) 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 1 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION - OF ENVIRONMENTAL;- HEALTHMSERVICES:: Date December 16,t 1971 , _. Re: �Fo�e ty of Richard Petrone • al�ni�i 'Pt _ _ f. o t f: a e ly S�rrt -i." Located atWest Road) at Roaring Brook Lake, Putnam Valley Section 8 Block l Lot 17 Gentlemen: This letter is to authorize. Roy A. Burgess, a duly licensed professional engineer or registered architect (Indicale�- - to apply for a Construction Permit for a separate sewerage system; to serve the above noted property in accordance with the standards, rules or regulations as promulgated by the Commissioner of the Putnam County Dapartu,el-It of Health, and to sign. all necessary papers on my behalf :.:... connection with this matter and.to supervise the construction of said :- system or systems in-conformity-with the provisions'of Article 145 or ::.:.147.,... Education. JAw,_, ..the •.Public Health Iaw;__ a;iia the- -Putnam -County - Sani =.: .tary Code. .Very truly. yours, Signed Owner of rope ty Countersigned: 932 gdee Avenue P.E., R.A., # Burgess & Behr; P. C,*' (c oaa Bronx, N. Y. 10b_69 Telephone. Address S�.1E OF N,Ew YO 128 Gleneida Ave, �p,.BUR Carmel, N . Y. lOKl2- Telephone' 225 -33,12 i �° cFS P NO•�ngAh �vw� 2 �M PUTNAM COUNTY DEPARTMENT OF HEALTH .• ; DILT:CSTON OF = ENi�'IRONtNTAL `riEALTF[ �. SERVICES { DESIGN.. /DATA SHEET - SEPARATE. SEWAGE DISPOSAL SYSTEM FILE NO.102 -466 Richard ' ' Owner Pet.rone�.. � Address 932.. Adee Ave, Rronx., N. Y.. 1Q -69 � Yori.ner y sz, e 7a -e Snore . ve s,hU L. t east .y r ; Located at -(Streetpfl West Road 8 1 t� See. Block Lot 17 (Indicate nearest cross street) Municipality Town of Putnam tiUley Watershed I`Teir York City SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATION ? �= . Hole Number CLOCK TIME PERCOLATION PERCOLATION i .Run Elapse. Depth to Water Water Level No. Time:'' :` From Gr nd Surfac e in Inches-, ou Soil Ra t o �M Start Stop Min. Start Stop - Drop in Min/in.drop ' Inches ' Inches Inches 9:22', 9:28 6 18. 19 7. 6 �4in a f ; 2 9:28. 9:34 . 6j l•8 19. 1 6 .r s 9:34 9.:LI.6 1� 18 20 • . 2 6 4 , 6 '6i._ -1.£3 19 i 5� r 2 9:'35 9:L> 1 61 18 19 1 6 " 19 6 Fit z ? 4 5 �. F Notes: It f Tests to be repeated at same depth until approximately equal soil rates are ob- tairied at each percolation test hole: All data to be submitted for review- f!. E-Y, 2) Depth measurements. to be made from 'top of hole. (. J � I :.._ ... : r.. ;DATA.. REQUIRED: ,0 BE - SUBMI�TEII3 WTTH °AFPhTCATItiN: DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. (1) ;•.;':,_ ,• ;.HOLE NO. � 2) E HOLE NO. • : La. }v,... G.L. _ Topsoil Topsoil Err 61r Err ... 12rr.. sandy, gravelly loam. sandy, gravelly loam • rr tt 1811 2411 3011 _ 1 42rr ri rr 48rr 5 Orr rx r 4 60rr 66rr rr rr 72rr tt F 78`r rT 8 41f INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH.WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Bur&ess & Behr, P. . Date Dec, 27, 1971 6' rr Soil Rate Used Min/1- Drop: 3, 000 S .F .. S. D..Usable.Area Provided No. of Bedrooms 3 Septic Tank p Ca acit. 900. Gals.' P Y Type Prpcast come. . Absorption Area Provided By. L.F.x2411 361r width trench. Other 6 Seepage pits 5 ft .wick. 5 ft_. eci e`p Name Roy A. BurrTess Signature Add essBurgess Behr, P.. C. 126 SEAL � lvtw. yop Gleneida Ave, Carmel., ..: Y1. P euRC eo ass , PUTNAM COUNTY DEPARTMENT OF HEALTH • ��ti Soil Rate Approved Sq.. Ft /Gal . Checked: by No•.99h' 11 ; W�N� • SURVc'�J�4� RV FESSIO�p� I