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HomeMy WebLinkAbout2193DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30.18 -1 -58 BOX 19 02193 17-2 1 I IL AI 6 ` rill . 71. IL '. 'Va 6W 02193 1�� 9 PUTNAM COUNTY DEPARTMENT OFiHEALTH Division of Environmental Health Services, Irmel;_ N. Y. 10512 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley - - pp - Town or Village Located at I alc Shoe Road - WE- t, Tax Mapo -3 -22 Block Owner Robert Ru'opp Lot 365 Job Separate Sewerage System built by Robert Ruopp Address Perk Place, Put Valley, NY Consisting of I , Q00 Gal. Septic Tank and ( 2 ) 81011 d i am X � 1 011 deep precast concrete Other requirements leaching basins Water Supply: Public Supply From Private Supply Drilled By Norman Anderson Address n F Y Q r- lT rf•'t'l , rW 1�[7n� vo ry _ Building Type 1 — fam i b/ residence- No. of Bedrooms? Has Erosion Control Been Completed? n 1a I certify that the system(s) as listed serving the above premises were constructed essentially as attached), and in accordance with the standards, rules and regulations, plans filed, and the Date 11/22/77 Certified by Address box 417, Kato nA New Date Permit Issued .5/22/77 the plans of 9e completed work (copies of wh,Ich are led by th{ IPutnam County Department of ;H",; P. E. R R..A r ., 6 Lice se No. 11056 Any person occupying premises served by the above systems) shall promptly akj such action as may be ngcessary to secure the c rrection of any unsanitary conditions resulting from such usage. Approval of the separate sewerage syN&ft shall become null and((4old as soon as a pubRc sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water pply becomes available. Such approvals are subject to modification or change when, in the Judgment of the Com or of Health, uch .rev Ion, modification or change Is necessary. � Z �.. Date By Title - 7-- PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM .,,. Located at 'Lake Shore Road West Subdivision 3 rd Mao of Roaring Brook Lake Owner ROBERT RUOPP Building Type 1 Fam i 1 Res i denCtot Area 23,800 SF Number of Bedrooms Design Flow 6-7 Separate Sewerage System to consist of 1 000 Gal. Septic Tank To be constructed by Not selected Water Supply: Public Supply From * Private Supply to 11 l Address �F e la ,4 �� �Rt: CE C Other Requirements I represent that I am wholly and co le 19 res f above described will be constructed wn on 8f County `Department of Health, a ton c Q ti be submitted to the Department, d wri i' place in good operating condition rt o once of the approval of the Certific e1pnstruction will be located as shown on the approve TT tw,W61 will County Department of Health. F Date 8 February 1977 Ofi NEV'1 Signed Address vvn z 1 1 , i\a cvI APPROVED FOR CONSTRUCTION: This approval expires one year revocable for cause or may be amended or modified when considered i requires aperinjt.`prdor disposal of domestic son Date � � [[J,°J.• <' By t lected Putnam Valle 8-3-22 810 Town &AVSHlid'e Tax Map ck — — — — — — Lot 365 Job - - - - -- Address Roaring Brook Lake Putnam Va 1 ey, New York Total Habitable Space Square Feet and (2) 81-011 t x 9'-011 deep ere -cast Address concrete leaching basins nd location of the proposed system(s); 1) that the separate sewage disposal system t there to and in accordance with the standards, rules an regu a ons o e u nom tificate of Construction Compliance" satisfactory to the Commissioner of Healthwill rnished the owner, his successors, heirs or assigns by the builder, that said builder will system during the iod of two (2) years immediately following thedate of the ISSu- 1 of the original sy a or any repairs teto; 2) that the drilled well described above Installed in accord a with the stand ds, rules and regu a iTf onr s of the Putnam P.E, R.A. New York 105311 LI a se No. 11056 the date issued unless e ruction of the builds g has been undertaken and Is sry by the Commis o Health. Any change or alteration of construction be, and rivate at oply. Title 4�V PEEKSKILL MEDICAL rLABORATORY 1879 Crompond Rd. Barclay Plaza'BTdg. A, Apt. 1 Peekskill, New York 10566 OWC119 -rc ^1C WWARDIPA AMMI^M Ac �lIIN 4l.T CITY, VIL 5`Tgc>y PE 7 -8777 BACTERIA PER ML. (Agar plate count at 35 C). COLIFORM GROUP (Most probable No. /100ml.) HARDNESS, TOTAL - ppm DETERGENTS - ppm NITRATES (as N) - ppm IRON, TOTAL - ppm FLUUHIUt (Y) - 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) p ell ewusowMY _aeA wALL, 49.Y�..6't•o9d :0�' • #. O. - EEiI'fT ' Lfc. i eax Y5 Ib° �000;�A pea +cm, ' � CAwIC'• I , t Tawst i Veep- Pee -CAST coke-.,* C6AGNING 'ei- �6i1(5' • 6Q'OY NO QEQ,{rNHT62 ' N /P•MLIN,IAIC - -' {i..geLOw {SG51N'!A:.. �' 'N . IO${ WELL IHS' r J S @GONG?. f.LOpQ, -o l • .Z nl•� .45'.� L A K� 1000 CAL. P.¢a Gchic, S&PTIC.. WICOMC'. $bL.. COL 4 1GGe5o COVI d PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 13 January 1977 Re: Property of . ROBERT RUOPP Located at Lakeshore Drive West Section TM Block Lot Gentlemen: This letter is to authorize JOEL L. GR E EN B ERG a .duly licensed professional engineer or registered architect (Indicate) to apply for a Construction Permit fora 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 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 pro- visions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam Cou-ity Sanitary Code. s _ R Very truly yours, C, �\�j��RgNCE c�Fc y�A Signed Owner of Property ! ' Counters ined :�4 'f P.E., R.A., # 0 Roarin g Brook Lake ° ot1o56 Address � OP NEB Telephone Box 417 1 ee r Pa�P 1 aza Address Ka tona h , York 1053 914 -232 `033 Telephone I 1 C WELL- COMPLETION REPORT d - . PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 - Division of Environmental Health Services COUNTY OFFICC BUILDING CARMEL, NEW YORK This report is to be completed by-well a iller and submitted to County Health Department 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 OWNER NAME ADDRESS LOCATION OF WELL (No. 8 cStreet)/ . - /1,�� t (Town) (Lot Number) PROPOSED USE OF WELL DOMESTIC SUPPLY BUSINESS FI E TAB ISHMENT D INDUSTRIAL D FARM D CONDITIONING TEST WELL OTHER (Specify) DRILLING EQUIPMENT ROTARY (� RAM �J AIR PERCUSSION ❑ CABLE PERCUSSION ❑ OTHER (Specify) CASING DETAILS LENGTH (feet)! DIAMETER (inches) L r� IWEIGHT PER FOOT CD THREADED ❑ WELDED jjD��R,,I�� E SHOE ,.L ES 0 NO WAS CASING YES UTED � NO YIELD TEST BAILED HOURS O PUMPED C7 COMPRESSED AIR G.P.M. YIELD (G.P.M.) WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) DURING YIELD TEST fleet) Depth of Completed Well in feet below land surface: // J 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 /east two permanent landmarks. FEET to FEET If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DA ;E ELL C MPLETED DATE OF REPORT ILLER (Si atu e) i / t6 t Ruopp yWNN'OF PUTNAM VALLEY . t' 'Iii ser o Building Municipality �:.. -tuopp _... _. . By Section make Shore Road West won tree 1- Family Residence vu-11alng Type Block Lot 365 GUARANTY OF SEPARATE SEWAGE SYSTEM I represent that I am wholly.and completely responsible for the location, worIcnanship, 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 success sore; 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 ma-de 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 syatat�. The undersigned f' r . or agrees to accept as conclusive the de- termination of the Director of the.:,Divisi.on of Environmental Health Ser- vices. of the Putnam'County Dep'artmant' of- Health as to whether"or not the failure of the system to., operist® was caused, by the willful or negl_i.gent . act of the occupant of the bi 1*104 g uttilgir�* the system.. Dated this 22 day of November .1977 3ign4ture Title OWNER.& CONTRACTOR corporation,` g ve nam® and address) THREE (3) COPIES ARE REQUIRED WITH THRk;E (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL ,.BE ISSUED . . GUARANTOR TS REQUIRI D TO FILE oTIC' AF D,,,EE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES " COUNTY OFFICE BUILDING, �CARMEL, N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner ROBERT RUOPP Address Roaring Brook Lake, Putnam Valley, N. Y. 10579 Located at (Street Md1cate ke Shore Rd.WestU� .TM•8�22glock - --- Lot 365 nearer cross street) Municipality Town of Putnam Valley Watershed Hudson River SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run No. Start -Stop Elapse Time Min. Depth to Vater From Ground'Surface Start Stop Inches Inches Water Levei in Inches Drop in Inches Soil Min. /in Rate drop (1) 1 10 :15 - 10:33 - 18 54 57 3 18/3 = 6 2 10:34 - 10 :52 - 18 .54 57 3 18/3 = 6 3 10:53 - 11:11 - 18 54 57 3 18/3 = 6 4 5 _(2) 1 `10:20 = 10 :38 - 18 54 57 3 18/3 = 6 r 2 1'0:39 - 1..0.,.57 _ ..1 -8' 5.4..... . _ ,57 ... .3 . 18/3`= 6-- ...... 3:10:58 11:16 - 18 54 57 3 18/3 = 6 4 5 1 • 2 3 4 5 Notes: 1) Tests to be repeated at same depth until aroximately equal soil rates are obtained a,t;each percolation test hole. A11 pp data to be submitted for review. 2) Depthmeasurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. I HOLE NO.. 2 HOLE NO. —3 & 4 G.L, :Top SoJ I ..;,;:jog SO i I 611 r. 1211 Sand & Stones Sand & Stones Sand & Stones 18..11 2411 3011 36 11 4211 11 48" 5411 6011 6611 7211 781f 84 if 108" INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE Date December 28, 1976 -DESIGN Soil Rate Used 6-7 Min/l"Drop: S.D. Usable Area Provided No. of Bedrooms 2 Septic Tank Capacity 1000 Gals. ca crete . , Type Area Provided By width tren VLS 4,1h j,. F. x24 Other C, , D .4 .,C�, (2) 81-011 0 x 9'-011 deep"71 pre-cast concrete le4chi bas i$s ,Vtf-NCE Na--me J 0 E L L. G Signature -A Address Box 417 Deer Park Plaza L Katonah, New York 10536 0 oil 0 ep to 0 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: OP N04 r. Soil Rate Approved Sq. Ft/Gal. Checked by LDate IN 1A fug F7 -, 1:711 PUTNAM COUNTY, DEPT. OF HEALTH!