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HomeMy WebLinkAbout2185DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30.18 -1 -43 BOX 19 l.m I ' 11 ILF T 02185 � �'�'.�".9^�'s• y ' "._5 ry '1rL. {t i i �'F S F R 5 y `C�1 . "­ - `A l �-x•r•n 'j l•,� " M�'�(�" t tit - '4i ` 7� ' Y x 3 , �.5 x Y A t . a ,...� i i- 4 :r,,� to 'tv f'zi JXJ.w ^t �.. t "k �{v.. TM N t I. ! t f ' 1 '� lla >f x {tai t ., )` c S U. ?r +,(y5 i J,I. 11 s t ' U f 7 t :. -;M its i. as �t, t.� �t tit.�.y14 `" 1.1 .s 1. PLTTNAM COUNTY DEPARTMIlV T OF HEALTH 11 4 x Y - - Y - yy s} t , srt3.yr+ , 1. ti DJVTSTON F �T'1RON:MENTAL HEALT I SLR'J TCLS �k' 4 ' 11, s t t' t 4 4 l �' tip. 1. , 't > ^ A. y } I 1 ;� 1 V s .1. !� ' , } A { 1r '. \. 4t }``Tt�lt�y„1. I. Date U -�� ;} . Lp. +. .f; r t '. t s '.' I �. .-.� t Re' P'rope'rty of / ��i,�.eo /4 <�/02 .` i�y' �Y �- ,o Located at �a�e .- /Ivr.G �p c� / °��t © / �diar� 6' � , v X� / k .' L 4 , Section Block I;ot� Y .:Gentlemen j s� t t t '.,L . Y i. f NIEY �o 'SANDER V This le.tt.er . -is to . °au,tYorize' ST'A ,. ' , a 'duly licensed :profe'sslonal engineer or registered - archzt'., s �' :.to ,apply fora Construction Perml;t for: a separate sewerage `system, to 1. e +... .'� } 7 ' ; } r. -- : i ,. 1: ' L \, l Y S Lei servethe above noted property ln:acco'rdance with the standards; rules , i ,.or regulations as.: promulgated -by the Commis: sorter of the Putnam +County t `;1 vi Department of Hea'1th -,a and, to sign :all necessary pagers on my behalt,'in . connection with this- matter and to, supervise the construction of.said .11 .. ... 4: . a 11 I 1. .t . system or systems i.n "conform ty wr.tri tike prowl slops of Article .-1 o-r `147- ,' i Educatio'n .a`w, ` the Public Health Law,;; and the Putnam County Sani <; 1. `a taro4 Code ✓ `. f r' F `. . . V ery truly rs, I 1. y ` °� i'` 1. . Siigne s 1 er o Property j .�« , J .,t F1 i ` � Y n `.ti „. 1. t \ - v.l� /� rW , , -'* ­"'--"*”, ''i . /. " � 2 , Count signed • ddr,. s j �'iqi -c %� !9 ��. ;P E %% qm� ,L' :�� 7z, " y,.r I 11 ( Seal) M t Telephone A '", . �oFE1 t i ,' � c p n. }� t t , f x ^F�s a 7 t-� LLL Telephoj�(n� "-%- w �i, wl�► do az'� r { �` s 1. - . _ . . x, r r PUTNAM COUNTY DEPARTMENT OF HEALTH yy�i 1 Division of Environmen' w Hea /th- Services, '.Carmel, -N. Y. 10512 Q i C 6 q3 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAG'SYSTEAIL" Town or Village Located at Section Block /SudjIVki6n­- _ Lot _ ,Job Owner ; -- ; Building Te } Lot Area - Address Number ot ai Habitable a Space Square F ee t Separav 9werage System to consist.'of. " 'Gal.'Sepfic Tank lineal feet X width trench To be6fstructed by �I Address z Water�upplY Public. Supply. From ?Private Supply to be drilled by Address Oth.equirements 1 reint that l am wholly and completel. sign and location of the proposed. _system(s); 1)',that the separate sewage disposal system abosscribed will be constr }ucted as sh ment there .to,and � ,`accordance with the standards, rules an regulations o e Putnam Cou�Depertment of - Health, and,t n ertificate of Construction Compliance" satisfactory to the Commissioner of Health will be �itted,'to -'the Department, an rnished the owner`, his successors, *heirs or assigns by the builder,.that said builder will plalI good. operating condition , a e system during,.fhe-period of'two (2) years immediately following the date of the issu- anc the approval of ahe_. Certif.i f .0 m,pl of, the�origlnal'system or any repairs thereto; 2) that the drilled well described above wilocated as shown-on the appr d an a wit a 'stalled in 'accordance with the standards, xules and„ regulations:- of . the Putnam CofDepartment of Health, D :4s..?.yMMOS:' ne P.E.• R.A. i4ddress �� C M' T s n r License No, {q ED FOR. CONSTRUCTION This d0ifl es ear from�the date issued, unless construction `of the building has been undertaken and is or cause or may'be,amended or:mo. �dered necessary by the Commissioner of Health, 'Any change or alteration of construction r a new ,permit. Approved for disposal of domestic sanitary sewage,_and /or private water supply only. Title BY ' al a PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION - OF.ENVIRONMENTAL HEALTH SERVICES.,. . .,w'A- v- v,arii...a.�...n.: e.�..:,aau,... tr,. -..� ... �ut�o-. ...�- .�- .•�.n.- .- a- .a.,�:..i:, :.an:� :re ,.'.r.aa ^♦ e .^, ..- .wee- >:`aH -�1 ut�, ✓ .rTe v...aw ...na ..l .r �.w w a.a _ i � . 4 .... � -r.a.. i.....u•• . a,I. .i ..,M .4rn.� .a a.,.. a.n, n DESIGN:;bATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE. N0. Owner A� / 0 4 �c� o c- 2 v Addres NAPPfIr2c,'c� R4) 2c C •�%4''(6�!/if % Located at (Street) ,C,g,�� �Jffn�tE iT SAD See. Block Lot (Indicate nearest cross street) 3 Municipality %Wtie 416: i/ Watershed _IV6 14,C6. SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATION i=ce Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water., Water Level No. Time:. From Ground Surface in Inches Soil Rate Start Stop Min. Start Stop Drop in Min/in.drop Inches Inches Inches 2 lo-; .33 1a.4¢ 1// - 16 - 19. 3 — 3. 4 5 2/x:35 n 5 1 ,,:• :a� 4 Notes 1) Tests to be repeated at same• tained at each percolation to 2) Depth measurements to be made ar l 'appro'imately equal soil rates are ob- " AlL." Aate to be submitted for review. ,,:• :a� 4 5 Notes 1) Tests to be repeated at same• tained at each percolation to 2) Depth measurements to be made ar l 'appro'imately equal soil rates are ob- " AlL." Aate to be submitted for review. I/ DEPTH G.L. 61T 121T. 2 4'T 3 0'T 36" 42'T 48'T 5411 6 0" •• 72" 841T TEST PIT DATA REQUIRED TO BE'SU.BMITTED WITH - APPLICATION DES_CRIP -TQN .,QF. SAILS ENCOUNTERED IN..,T.LST HQLES. HOLE NO. /1 / '` .:.HOLE NO.. P2- HOLE, NO. Al ry roIC.> / y E z� k ti cp A A INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED W- 4igl`'' INDICATE LEVEL TO WHICH WATER-LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY ate• nrcfr� Date 26 /- 7 �=? DESIGN Min/1 "..Drop: $,D..Usable; Area. Provided>-<7:bn Soil Rate Use d_ - ,� No. of Bedrooms Septic Tank Capacity ( c, Goa -l-'s . Type ��� �, 7 - ��; c Absorption Area Provided By. L.F. x24" 36" ice° wid trench. Other IG��I�lI Yl�F1 �'.7�Ir Cath� 11�i7!��.Ji J) f�•f1 i PUTNAM COUNTY DEPARTMENT OF HEA�'�� 7.1 Soil Rate Approved Sq.. l� • 1. �• 1. 1"Pl ao o 10 Z_. .11.41' 0 F 5r R f A, Y of o LOT No. 350 THIRD 80-4 :n R01-1 R ING. &RX"A' L,41(E TO J'A' 0 1' PUTNAIAW COUNTY (,)I I ci!I-O'y thal this IfUli) IC(IS It"ClUo" a.11 1!?PML —7 - — --------------- — Z- A/,9 117 / t r. .�T' �i. � �. ti.. 9i' . i �'y`' 'ea ,7 YA+..S¢f�I 6f.�2 �"•t s -f•4 .� �Mj. r SFr �j,1 r��+�. ti / I f E S�r'� ;?' �. T . {! } L - r�^,;.�rr.�l'SCr'v ✓rxrt uy. rtrt t i` wt t .. v. y 1 + ' Y 3 r�O •¢'rr`rf� ' i Lt ':: q.,� 1•E S ' 7: r 1ltj�r rt•'Y 1 i H¢1x JFf y ,Y._'��M1r;.•.- •-- 3';'i, �fs� 4 - °'�S,• c„ r } (; _ r •w4'GI`,S. ,I� z' f,JJ tF � . �� .I Ys1 E r4° + rTt /i P 2y <Y)s /�✓ ' ' F 'r.2 ts'.J r 1 A31 Fequtreme>3t's 8n$ COar$tr[TCt1Drx : d @taf18, sttal2'meot ttents' of he on ofnwiroiaTiental San'it at, ior?,; D@pt • y : ,the Gaus�t� of Putbam. �,, ` Q. Aouss E :eTUSr shtl be 4" caste iron set on grade of ' Pooh.; rate -tight aad rant proof ,a 3 Tide,,4" approved >on - metallic pipe or- :equal "to ;jU ;.,w► �Fy , with;slopss as required 'to meet:dPield'aonditions 4 Aiisorpti9n fiel3s sba21 corae?Sst of;411 open joint Oz+ } +} x ^ inwar��^a ir4Fregnated i fiber pipe laid on a ;rada "irP'Zj F gr q @i or scr" e, »t'ane of ;niSOrrn eize',(.� /2;'! T11e : he11 'be laid' fr 1 !' of atone' $xT ytMat ; l- invert ;:s ti t a ; rt Prom. tie bA tom -vi a ,trench yL_ Gorer' over .'graval; ehal3 the miriam mr carer shall he u$ed..wheisv • � �' � 't � } ,� , ,.; � � n , ;. 5 .l?spo$al�' Yields. $heil be 36° �a pie and of •the• IenQtli . PIE. r6 i�orrd@tail$ af; septiq•ta k.$­,dietributio.n boxes snd.1 }Wse COtlhty Standards " gramsl shah bs .in place at Iea$t,thrae before inetalingtrfields;' flank' .'a $.oi �, r� - ( ,� + legs .than 2:S galan3 er $ uare foa't . } 7 P, per dar an, -fits "a•. -- �. r s tlie. borrow it , .Remove arl1 trees u�i.. D field ire °and within IQ! :thy k, i{ '� !4 y? F;�•' 9 During} any construction keep.: heaw.:Ioade• ofP field;a 10. Isadar and A.00t ing• :drains must; .discharge: airy fraia 1 7-- t I' • �k. :�r s �. � .,� t�1� a 't f°ti"`I3�� Y` a �k _; s y f� APPI'O` , 1 f � � . AUG2 7.19; c }_ t .1(� •k� t 'Yt h, i °ti! f'r, r 4 :i. PUtNh UN T. ! 1p}�. y,r t •' ECT6k IYiS101 ?,� , (fir„. " ' •, '� ENVIRONMENTAL HULTH t I K '4•T M%• ii lY4r�'�A .• •4 X .)C 1 vp �A,/r� _N �, F� .Fti�J , ; � '� C1 ,ytt: 317 �`- •..: ., 4 r 41�I`/.^ C�'� r.�+, .•,:., r+4' ; :,�sil� ✓ ; / r'r rs!4; ai• 1� t Z'' a ,,-r d' -'f>, �'ti �r3 n r" �;f r Ky + � �.._.I•+ ,�'7Y`�C r .:%: rr, .• L. 1,- t � r • I" r p . ] J '� r' r� 'r':.y� lr�! t�� r ys. �/ i _ r 'rY -wy:ri 7!'. ur'y � i r_�.1'�.'+.Fos'ht�+l+a' • � � G <e" � �aJ r'�1sY � /. rT:�, .ti 3'1G 117 / t r. .�T' �i. � �. ti.. 9i' . i �'y`' 'ea ,7 YA+..S¢f�I 6f.�2 �"•t s -f•4 .� �Mj. r SFr �j,1 r��+�. ti / I f E S�r'� ;?' �. T . {! } L - r�^,;.�rr.�l'SCr'v ✓rxrt uy. rtrt t i` wt t .. v. y 1 + ' Y 3 r�O •¢'rr`rf� ' i Lt ':: q.,� 1•E S ' 7: r 1ltj�r rt•'Y 1 i H¢1x JFf y ,Y._'��M1r;.•.- •-- 3';'i, �fs� 4 - °'�S,• c„ r } (; _ r •w4'GI`,S. ,I� z' f,JJ tF � . �� .I Ys1 E r4° + rTt /i P 2y <Y)s /�✓ ' ' F 'r.2 ts'.J r 1 A31 Fequtreme>3t's 8n$ COar$tr[TCt1Drx : d @taf18, sttal2'meot ttents' of he on ofnwiroiaTiental San'it at, ior?,; D@pt • y : ,the Gaus�t� of Putbam. �,, ` Q. Aouss E :eTUSr shtl be 4" caste iron set on grade of ' Pooh.; rate -tight aad rant proof ,a 3 Tide,,4" approved >on - metallic pipe or- :equal "to ;jU ;.,w► �Fy , with;slopss as required 'to meet:dPield'aonditions 4 Aiisorpti9n fiel3s sba21 corae?Sst of;411 open joint Oz+ } +} x ^ inwar��^a ir4Fregnated i fiber pipe laid on a ;rada "irP'Zj F gr q @i or scr" e, »t'ane of ;niSOrrn eize',(.� /2;'! T11e : he11 'be laid' fr 1 !' of atone' $xT ytMat ; l- invert ;:s ti t a ; rt Prom. tie bA tom -vi a ,trench yL_ Gorer' over .'graval; ehal3 the miriam mr carer shall he u$ed..wheisv • � �' � 't � } ,� , ,.; � � n , ;. 5 .l?spo$al�' Yields. $heil be 36° �a pie and of •the• IenQtli . PIE. r6 i�orrd@tail$ af; septiq•ta k.$­,dietributio.n boxes snd.1 }Wse COtlhty Standards " gramsl shah bs .in place at Iea$t,thrae before inetalingtrfields;' flank' .'a $.oi �, r� - ( ,� + legs .than 2:S galan3 er $ uare foa't . } 7 P, per dar an, -fits "a•. -- �. r s tlie. borrow it , .Remove arl1 trees u�i.. D field ire °and within IQ! :thy k, i{ '� !4 y? F;�•' 9 During} any construction keep.: heaw.:Ioade• ofP field;a 10. Isadar and A.00t ing• :drains must; .discharge: airy fraia 1 7-- t I' • �k. :�r s �. � .,� t�1� a 't f°ti"`I3�� Y` a �k _; s y f� APPI'O` , 1 f � � . AUG2 7.19; c }_ t .1(� •k� t 'Yt h, i °ti! f'r, r 4 :i. PUtNh UN T. ! 1p}�. y,r t •' ECT6k IYiS101 ?,� , (fir„. " ' •, '� ENVIRONMENTAL HULTH t I K '4•T M%• ii lY4r�'�A .• •4 X .)C 1 vp �A,/r� _N �, F� .Fti�J , ; � '� C1 ,ytt: 317 �`- •..: ., 4 r 41�I`/.^ C�'� r.�+, .•,:., r+4' ; :,�sil� ✓ ; / r'r rs!4; ai• 1� t Z'' a ,,-r d' -'f>, �'ti �r3 n r" �;f r Ky + � �.._.I•+ ,�'7Y`�C r .:%: rr, .• L. 1,- t � r • I" r p . ] J '� r' r� 'r':.y� lr�! t�� r ys. �/ i _ r 'rY -wy:ri 7!'. ur'y � i r_�.1'�.'+.Fos'ht�+l+a' • � � G <e" � �aJ r'�1sY � /. rT:�, .ti