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HomeMy WebLinkAbout2256DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.06 -2 -28 BOX 20 02256 ., ir ■ ' y,'. a•, LLLr Z ` ��� ` -1 02256 i ,: Address � y A �'D/�. , Any person occupying premises served by the above systems) shalC1promp4ly take such action as maybe necesMr�e conditions resuttirig. from: uch usage ;Approval `of the separate,,sewera6Wsystem< shall become null and _void a : % available and the ;approval of the rrvate water supply shall, become null and void „when a :public water suppl , P 'subject; to modification or change when; In the .judgment' of the •Commis'r f Health; such' reVocatio, Date m Dense IyG�� - Fvficj!�)&brp hi;6 ;s necessary Title BACT8RI A PER- ML. (Agar plate count at 35' C). COLIFORM-GROUP (Most probable N6�,/l 00ml.) HARDNESS i TOTAL ppm rLoumuDu(F) ,mn.// These results indicate that the water was YM of 0 satisfactory sanitarY quality when the sample was collected. ' - M SULLIVAN-THIEDE CIVIL ENGINEERS - CONSTRUCTION CONSULTANTS -OLD­&ONL-- BUILDiNG7'­CLARK PLACE——- JOSEPH F. SULLIVAN P. O. BOX 308. MAHOPAC, N. Y. 10541 FRANCIS W. THIEDE B.C.E., P.E. 14..C.F MAHoPAc 8-8777 MAHOPAC 8-5361 August 7, 1973 Putnam County Dept. of Health County Office Building. Carmel, New tork. 10512 Attention: Mr. William Hodges Re: Proposed well for George Schnopf Roo v"i n -5 0 Gentlemen: To As discussed with your Office we requested a variance as to the location of Mr. Schnapf's well to 801 instead of 1001 from his proposed separate sewage disposal system. Tho reasen for this request was the existance of ledge reek which would h'ave had to be blasted out t® enable the well rig to place the well at the proposed location. Very truly yours-, Joseph F. Sullivan M:cd 1 1V _ SCHx/EPF ��#/ a�. ^ ~ . ^ IEoTsmo xvsmuit � — � ---- — '----'-k- '-- — '-'--' — ~-� -- ---'--- ---- Aa 1713 TOMA150 York ----' ~� Owner or urc seer of Bu: ding Municipality >J Building Constructed by % Location - Street BuildirX Type Section Block 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 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 de- termination of the Director of the Division of Environmental- Health Ser- vices.- of the-.Putnam County Department of. Health a�s -to .whether or not the. failure of the system 'to operate was causd'6" y the willful or negligent act of the occupant of the building utilizing the system. y� Dated this J day of _ 19 7 Signature —,,,� 7�R Title /-12-lt�Lsl k (If corporation, give name and address)- s4Mt' 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 Owner or Purchaser of Building Municipality Building Constructed by �� � .�'�ti✓� c- ��� -sir Location - Street Building Type e) 2- Block /-6 Lot GUARANTY OF SEPARATE SEIiAGE 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. Putria,,n .C.o.un_ty..Department of Health as to whether or not th e failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the.sy em. Dated this L'7 day of 197z Si g nature '-fe 7 Title If corporation, give name sn 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 WELL COMPLETION REPORT 3/71 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services COUNTY OFFICE BUILDING . CARMEL, NEW YORK s. gport a�.,t� e_.�9mplQteli b1Cwl ,ell-- �JrillgrAnd; submitted, to. County. Health.DepartmentaOgether uvilh- labox"ry.•,report;.Df:,. 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 NA � ADDRESS LOCATION OF WELL PROPOSED USE OF WELL (No. d Stre (Town) (Lot Number) ,' � � /� �� /7 z 2.c -Y�" ?. 42 ✓4 BUSINESS DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL ❑ SUPPLY El INDUSTRIAL ❑AIR El CONDITIONING (Specify) DRILLING EQUIPMENT COMPRESSED CABLE R ❑ ROTARY AIR PERCUSSION El PERCUSSION El ((Specify) CASING DETAILS LENGTH (feet) i DIAMETER (inches) �/ WEIGHT PER FOOT �� © THREADED ❑ WELDED RI r SHOE YES ❑ NO YES NO YIELD TEST HOURS G.P.M. ❑BAILED ❑ PUMPED ❑ COMPRESSED AIR YIELD (G.P.M.) WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Spec /fy feet) DURING YIELD TEST (feet) Depth of Completed Well in feet below land surface: 30 J � 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) I 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 If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL CO PLET D? •� 3 tJ DATE OF REPORT WELL LER (Si at re) •.� >'� F, r 0 �0 ENE 3 f�c¢ lJ 20 OM 5 Q f- 4l77AI,i9 COUNTY• NEW.YORK 'DATE / ° 2/ -7,41 SCALE 9s JOB NO.. SULLIVAN - THIEDE,t CONSULTING ENGINEEk k Irioo o �,•x ,f� 111, '+�•. ' —. —__ _ _ __� 0 �p /�� qrp' LAX oq .zFaY�i y�g� e�yL>l,pl iGS�.Ip�.Uq•�^ . 7S'00 ' r ' M A "ION uF • - . ., .CNt � 'UtFf! �'c$JiCrT• S A19G5 Pg: . T�X/r�,S�F�iV °007 BLOG.�N ° °02: GOTH° /� AS CONSTRUCTED '. . C�sa• ..IC�JE'Pfr F,...JC/GG% l/-�/✓ i�E,N.. ,�;'L' C N -- °2¢69.5 GALLON SEPTIC Li X nEABS. TRENCH' _ f- 4l77AI,i9 COUNTY• NEW.YORK 'DATE / ° 2/ -7,41 SCALE 9s JOB NO.. SULLIVAN - THIEDE,t CONSULTING ENGINEEk k (h a; i� a 0 �p Q y .zFaY�i y�g� e�yL>l,pl iGS�.Ip�.Uq•�^ . i CUT M GOU Of lfwlI. ' M A "ION uF • - . ., .CNt � 'UtFf! �'c$JiCrT• T�X/r�,S�F�iV °007 BLOG.�N ° °02: GOTH° /� AS CONSTRUCTED '. SEPARATE SEWAGE DLSPOSAL.SYSTEM 4l77AI,i9 COUNTY• NEW.YORK 'DATE / ° 2/ -7,41 SCALE 9s JOB NO.. SULLIVAN - THIEDE,t CONSULTING ENGINEEk 7-77 77 ;PUTN� COLD AM �� '° G Division' of '�E)nwrorir CONSTRUCTION PERMIT FOR SEWAGE DISPOSAI 'scat d. "at Off' Subdivisiori =� Owner ��'e7 f Building Type G�� a Lot Area r Number' of Bedrooms s S,eparate.lSewerage'; SO Mt ,,,tto consist of r �0 ' Gal _ .t To be constructed by AOI %/ %✓d s✓ Water Supply `` Public Supply From s r Prroate Supply to- be drilled by ad ,` c sc s - Other Requirements �� O ���� f represent that I am wholly and completer above described wiil be constructed as shows County Departmentof< Health, aril that i be, submitted to the,- Department and ,a -� place in "'good ,operating condition , "any -pa arise of :the approval of',the Certificate 'o will be located asshown on the approved pie County Departmeri of H Ith d 3 Date Address ARPROrVEb FOR CONSTRUCTION This revocable for cause or maybe amended or rgguires a new ,permit Approved .for dis �. Date r c x , v s =will r Signed fJ'_ } TART 1VIENT OF HEALTH Ah Se vices Carme/ N` Y 1 Q512 r y - 4� ' /# y Section `� "� Ipjock '� Z 11, oFI 'R Total Hab+tatile Space � 7-5 Square Feet'.' S ept�c%Tank V' °lineal feet �X r�. width trench t Address / ➢ t y( •/ S ;� r 4 L i c� n �cauon of the proposed systems) '3) that sthe separate sewage.,disposal systems: } ere to ands n accordance with the stantlard' •rules an ,regu a,ions o e u Hain: ate' of +Cohstruct�on.Compliance satisfactory to the Commiss�0ner:o[ Health will ieG.the owner hissu�� SIM1,11fl9ij or assigns by L!jwbuilder; that said:b6ilderwill em: dur�n the a fQ�io a g , p ti n_ immetliatelyfollowmg.•the tlate of the, issu tZ`I' I s a led ;. . . r ' drified' well de m accor ula ions scribed above r of the Putnam Zr�s' w ` ' License No 7/ -" the date issusd�' less .con ruction:-' h�;buildmg: has been undertaken antl_is 3ry by the' C lt��dif®r ,�q Itb' ,y change or alteration of construction ge,'Tand /or,:pnv� ,- �►;rs�?h arp�`• I+I. .,D :'CM LIST �. .. Date.i Insp.by INITIAL SITE IM3 PECTIOIJ c.f2�rri 11� `lam/ _ Yes _ No Commentg Property lines or corners found Can estimate house location . o Will: driveway need out . , i Must trees be removed -note these . . ... Is deep hole representative of entire SDS area Additional deep holes needed. . . Sufficient SDS area available considering driveway cut,house location,separation . distances, etc. . . . . . DEEP HOLE DATA D--pth Water elevation:. Rock elevation: Soils description: . Date:- 12- -1 4-7-5 FINAL, SITE INSPECTION Insp. by: House located where shown on approved plane ... ✓...... A SAS l nnp.t.Pri t -Th -re ?`1�T)rQZTt�ri Width of trench average .Slope of the line and trench acceptable PZO wr .Room allowed for expansion :trenches , Over 50 ft. from swamp, watercourse ..Natural soil not stripped or SDS area unnecessarily graded, . . - i0 Ft. maintained from prop.line and 20 ft. from house . Separation of trench from house, well etc. follows plan . . . . . . o .... Number of bedrooms checks . . . . o . < Stones, brush, stumps, rubble, etc. greater than 15 ft. from nearest trench . . . . . . ✓ ga ?rcL)A!,- Mir feIJ7 vL7- -- . .15 Ft. of peripheral soil horizontally from ✓" i trench . . . . . . . . .. a . . . . Junction boxes grope_ -sly set ✓ _ Gould surface run . of'f. from driveway, roads., ✓ ground surface, etc. channel near SDS, , area . . . . . . . Does lot draina -,e appear O.K. in area of SDS FINAL GRADING OF SITE ACCEPTABLE DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date /.:p 2- Re: Property of e SGh h J� Located at 4 10 + 7 Section GB 7 Block 02- Lot / }� Gentlemen: This letter is to authorize OS:�eh �' p��o // ✓Q1 a duly. .licensed professional engineer or registered architect (Indica�- 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 71%-- r 1 t TV- _ 'l -I- 0j. t_ LG•�la.l tLllGlll' l t=:a -L II, and o 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 provisions of Article 145 or 147, Education Law,.the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, L � Signed v Owne of Property C ers giiedi,,,�,.�., >,,,+ Address P.E., R�^�A G - ( Seal) Teie pnone Qress g� 43 A m k r� Y 0 4 e ep one '��,�, :,lull "" PUTNAM COUNTY DE!? RTMENT OF HEALTH Y DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET SEPARATE SEWAGE DISPOSAL =SYSTEM FILE NO. Owner C-.7- e a vz G' E7 S Address v A yC Located at (Street) L. kke v-- E � jZZONXD SM._ _ Block Lot ? (Indicate nearest cross `street) Municipality P0_i +�R�A VALE Watershed i--o kRI+JG T,V_- CCD W_- LA, SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATION Hole Number CLOCK TIME PERCOLATION PERCOLATION Run. Elapse Depth.to Water Water Level No. Tinto: .. From Ground Surface in Inches Soil Rate Start Stop Min. Start Stop Drop in Min /in.drop Inches Inches Inches f 2 ► �0 1 �c� �e5 t8 zl 3 3 1 © -7 4 5 z 2 lz . �1 g l : 07 ► 8 �� zc� 3 2- 3 1 :07 4 SULLIVAN JHIEDE 2 -- ChARK PLAU .. 3 "MAHOPAC, NEW YORK d s 4-1 - 5 Notes: 1) Pests to be roe' a'=ted at same depth until approximately equal soil rates are ob- tained at each percolation test hole..All data to be submitted for review. 2) Depth measurements to be made from top of hole. 12" 72" MR INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL jf1L Or TER LEVEL RISES AFTER BEING ENCOUNTERED TESTS. MADE BY Date ', -70 G[AKK PEACE p.a, gox 3og MAHOPAC, NEW 0 , iosq► DESIGN Soil Rate Used 7 Min/1" Drop: S.D. Usable Area ProvidedS,000 -t No . 1of Bedrooms 3 Septic Tank Capacity, ct o Gals . Type ►�. Aso ,�� •yAbsorption Area Provided By s ® L. F.x241 36i�rcin A'•••• Other _' ,_�1.•_':�•._ rid,✓, z489S ..�. 7 Name -A o-s.e p H F a VZ c% S S 0 L L I V A+3 • Signature Address SULLIVAN- TNIEDE SEAL Z: -. CLARK PLACE 1B 01P ; MAflRPAC NEW YRRK . I v 'S AA '.moo'•. °• 24895 .• \�'-•. -.r PUTNAM COUNTY DEPARTMENT OF HEALTH •�'•q�;FSS�ONA� �;•'� Soil Rate Approved Sq. Ft. /Gal`: Checked by Date ESTABGISr ELEVATION OF HOUSE TO PROyytDE DRAINAGE;9F�} 52/° 22' 32" L✓ 7S•oo' TO SEPTIC TANWAND FIELDS. .... EAR FOE SYSTEM TO REMAIN UNDISTURBED.ALL CONSTRUCTION TO (ONFOftAA AND LOCAL STANDARDS AND REGULATIONS......... r :•l A. 3: 4. or No. 3t4 ¢ or �✓c. 343 p G oT moo. 3se2 II � o a ( a � 7.9.✓ f _4.' ". ?lam T .. 2;p' •i APP 9 2Ey ( b` $rSTEM ro Co,yFo.pM `' To Prr 7-N.9M �� y6— ._h_�kN/J8O may; \ >8 GOti/V TJ' �E�i9iP TM ENTR'a�f/E.PL 7.S! - .. ^CT3 0197 s, .� W /TM�. °�,... {• �E'6'G UL.9 T/O NS 1 °. , _ FUTNAM .. 74- — �\ ,PG /J ` I tj6 - /�.L /%/i/, BY T wn !� t d���G I' m 1 r :' of oN. ' '� � I `�_,. L /.. •��.. f �>5 f / � /" c.20� f,NVIRON4ENTAl HEAI.TN /i w,?r °22'32 "E 75.00• \ t; . �- --�-- - � PROPOSED ' SEPARATE SEWAGE DISPOSAL SYST' AX 414­-, J Gor .yo, .a"'f3 9S S//OG /-✓ O!rs ' /- i� Q % % /1 /V � , � � � J� S a E4tt11PJt ` 9. SECOn'/a Ml9i? of ,E'oA�F' /.VG B�POO,=t •', TOWN OF PUTiV/DM ✓CG L EY C3 / - ¢ O r �osEV v FP v vc /s 1 5;ut i ✓.pN, / E PUTi1//�M. ,, COUNTY N W N N• S. DATE $- A5 - 7o -SCALE 0 sE B NO 7oA SOIL PERCOLATION RATE ..... 7 ...... MIN/IN ?00 v ° SULUVAN - THIE DEEP TEST Ai6 L L<!J6� ,2C7Git - GALLON SEPTIC TANK _ wJFf, �� - CONSULTING ENGINEEF + CONSU . �/�7 2'Q,UrvC� X /.9TE� --' /'SO LF X?° °ABS. TRENCH •.�,..�.,•' Cldrk Place -�llol Mmc., do,