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HomeMy WebLinkAbout2257DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.06 -2 -29 BOX 20 ru 100. 1613;, :1� , �6 �, on S.1 ' f ' YJ ferj®r I , 02257 1. ' I,Ic Tom. D CPU DEPARTMENT OF HEALTIi f ` ! s Division of Environmental Hea!'th Services, Carmel N Y 10512 CONSTRUC'fiON PERMIT. FOR SEWAGE, DISPOSAL SYSTEM.:= # ¢ a Town or Village a #a ocK _ .....�•ocacrd�.aE_... .. .�:�<,.' '�` =...a ,- - , -�, „ -wt i� Y���_.._. - S�stiEa� ¢ _ :..��_- -- .�l2 iu. — - 'Subdivision f. Lot Job Owner ' ` . Address yr5an r s a 3, a �Building"•Type F z x Lot Areac �s i d =, e -H a 5 r. rte' 'F a; `Number`of Bedrooms Total Habitable Space ' Square Feet t. Separate. Sewerage System .to ,consist of: ui -' Gal,Septic4Tank kIirial feet X cif. _ width trench o;n T o be constructed by 4 a : c u Address xf 4 Water SuPPIY. Public SuPPIy'FromA u,: t t' sr Private Sup Ply to be d�ilied by'. Address x ar as a e r An Other. Requirements ! . zi , ` t { � -rae � 5- '�•'�^x"_- �'[�3?`?# A�5.x�`!"'i`i -t�.A - ;. ` a .. sr • I represent that'i am wholly coin responsible for the desi §n and location of, -the proposed system(s); l) that - the separate sewage" disposal system above described: will be constructe_d.as shown on the:approved amendment there to and in accordance with the .standards,; rules an regulations "o t e u pam' County ' Department' of Health, and��thatoncompigtion thereof a "Certificate of- Construction Compliance' °satisfactory to 'the Comrnissioner of.Health'will be submitted :to the'Department; and" a - written =guarantee w�lltbe •fur`Ishi d the-owner, his successors; heirs;or assigns by the builder, that said builder will 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- ante of .ahe' approval_ °of ;ttie• Certificate:'of Construction GOmptiance of, ='the original system Or ,an y; repairs thereto.; 2) that=the dr'lHed welVdesceibeci a6b" will be locatedas shown on the approved plan °and that said well- wilLpe. installed in; accordance W it h the standards,` ruaes an regulations •of the Putnam County. Department of Health A P- ''�^' h - 3x-'4 8 "' T't•"'.a Date _ - Signed - pjt may" R A Tt- LlCense No;.. - �P Y-_.,' 7iPPROVED FOR CONSTRUCTION Th)s,approv 1 expires one year from the date °iisued unless construction of the building has :been undertaken and 'is revocable for cause or may be amended or. modified when considered, necessary by .the Commissioner ,-of. Hearth.. - Any. change or- alterafion of construction requires a new ;permit. T" "Approved for,-disposal of.,domesfic sanitary sewage and /or; prnrate. water ;supply zDnly •:" .- 1 - - - - • Date 4 5 BY Title 4 x S • August 20, 1975 Mr. .John S. Romeo. P.E. I Northridge..R ' da-d- Peekskilli N.. Y- 10566 Re: FRANK GROLLI Lot 342, Lake Shore Dr. W. Roaring Brook Lake jT)_JPutnaT Valley- Dear Mr. Romeo: This Department has reviewed the application for a permit to con,st.tutt a sewage disposal system on the above noted lot. Our.revi-ew of the 'site and of information submitted indicates th i to 'ci'6ikiiions' hot to meet standards for the are -g,;. drp PP -6.04�-ly 9- th lot which i. -Pi'low a44 %ib.t has nod been shown to be acceptable upon which'to fill for a septic systeme Thus, the application form submitted is herewith re- turned as unapproved Very truly yours, Robert J. Caddell, .P*Eo U'redtor Environmental Health :Services RJC/ps Unc. •r 714:1 T.TAL SlTIP, Prop --r. ty :Lines or corners found . . . . . . . Can estimate hoiz,,c location . . . . , V ill drivei.,ray n::ed cu.i; . I:,u.st trees be removed -note these- :(s (1cep hole rcp,-osentative, of entire SDS area a'.c 0.1-t tonal Qe'l) hJle�' ncedl d. . . . :cicnt D5 area avaable cons:driT)g St i_ e dr.i_veway cut, house loca.t:i.on,.separation . distances, etc. . . . . . . . . . . . . .. Dr ►;i' I10i2, D.PVIA Ilat,er elevation: .17�• '^ 06&/" Soils de s cri nt i on: (j I'l-P-ce : . FINAL SITE ITISPECTIOT•l Insn. by! y House located -:here shown on approved plan SM l'ecated"where approved .. . Slope 'of the line ' and- trench ;acceptable Room allowed for expansion trenches . . . _ Over 50 ft. f. roni si•,amu, watercourse . . _ Natural soil not stripped or SDS area _ unn.- cossa.rily.:graded 10 1� L... T',;- aintai -_ed frot;� prop. and 20 ft. from liouse . . . . . _ Separation of trench from house, well etc. follovis plan . . . . ... . . . Number of bedrocros checks , Stmes, brush, stumps, rubble, etc. greater - than 15 ft. from.nearest trench 15 lit . of peripheral soil horiX, ua�-L from .trench, , "Junction boxes properly set Could surface run oaf from driveway, roads, ground surface, etc. channel near SDS . . area Doas 6t dr. aina.re anrear 0. K. in area of: SDS I'IIIL L GR11DING OF SITE ACCEPTABLE i i i 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. 9'"/ 7--?S' Owner FedAIK 600e,4" Address LodeC 54bee j�kg c , Located at (Street) Sec. Block Lot (Indicate neares cross street) Municipality Ay4. 1/,4uxy Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION apse Depth to Water Water ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches. Inches 2 k, IN v 1 -, =AE 7.1 a, if Notes: 1) Tests to be repeated at same depth until approximately 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. \l 9 -y ' S 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. 9'"/ 7--?S' Owner FedAIK 600e,4" Address LodeC 54bee j�kg c , Located at (Street) Sec. Block Lot (Indicate neares cross street) Municipality Ay4. 1/,4uxy Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION apse Depth to Water Water ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches. Inches 2 k, IN v 1 -, =AE 7.1 a, if Notes: 1) Tests to be repeated at same depth until approximately 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. \l PUTNAM COUNTY DEPA.RTi+tL'NT OI'' PITyALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE PUILDID-KI, CARAU_RL; N. Y. 10512 DESIGN DATA.. SIIEET- SEPARATE SEWAGE DISPOSAL 5YS`I'EP7 FILE NO.: Owner Frank Grelli ..:.Address ;.Lake Shor4,t.,Drive Putnam Vall ®, AlY Located at ' (S; "reef Lake Shore Dr West Se�'p 308 E Block — Lot 342 �liidica e nearest cross street Mu icil- .ality Patnam Valley Watershed Pedkakill SOIL PERCOLA T ION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water' a er Leve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches (1) 1 0:58 10 :07 19 1400 17.0 3.00 6.33 2 1008 10:28 20 14.5 17.5 3.00 6.67 7) 10:28 10:48. 20 15.0 .1810 3.00 6,67 4 5 (2) 1 9451 ­10:06 15 16.0 19.0 3 :00 5.33 21007 10 :24 17 16.5 19.5 3.00 5.67 10:41— IS- 16:25_ _... 5- 00'i 0 Notes: 1) Tests to be repeated at slime depth until a > roximately equal soil rates are obtained e,t each percolation test hole. A�� data to be submitted for review. 2) Depth mGa surclllents to be made from top of . hole . \1 N, TEST PIT FXITA Fd,,'QUIMM TO BE S1,11bl.."ITT"I'EM 1dT7'T.T APPLICATION Di tCF�TI`.C• T. IC I ':')O]'T,,", i7 jj� IJOT,',' •A DEPTH HOLE -No. 1 HOLE, NO. 2 HOLE NO. 3 G. L. Topgoil__ Topmoil, TaW 1 6 1-211 100 Topsoil 12" Topsojl: ate Topsoil 1811 SkAy iiravellj: -sandy gra"lly lom 22111 7011 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None 3611 INDICATE LEVEL TO WHICH 1,,IATER LEVEL RISES AFTER BEING ENCOUNTERED 4211 TESTS MADE 4811 5411 6011 4rT Min/_l ".Drop:.. 66" 6 3 7211 78 L sy?r Tank Capacity G 'lilt, F gravel ly loam,, S:L:Lght** tr a -But-- 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None INDICATE LEVEL TO WHICH 1,,IATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE te, D 2"97-5— 4rT Min/_l ".Drop:.. B...D.- Provid '-4000 SF + 3 1000 WY No. of Bedrooms Septig L sy?r Tank Capacity G 'lilt, Y Absorption Area Provided L.F.x24" 3b" rich. Name, Nfi—n- K Rome Signature-- V Address I Nortbridge R,ad SEAN F"%Skmp MY, IM66 % 12P,� 27784W 0 THIS SPACE FOR USE BY I.IEADTH DEPARPLEINIT ONLY: Soil Rate AT.-)proved Sq. Ft/C�V. Checked by Date 'N L"J 1 1975 Ki NAVv'I y DEPT. OIF �iEALTH ,, Gentlemen: PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES_......_ _. ..__._ ...__ .. _.. Date MY 31, 1975 Re:* Property of Frank Grclli Located at Lake Shore Drive (West) Section MP 308 A Block Lot 342 This letter is to authorize John S. Romeo a duly licensed professional engineer $ or registered architect (Indicate) to apply for a Construction Permit for a 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 CU1111CL L1u11 W.I. Lfl i.lu.s nla l i.et' ailLi to. supeI'vise i he construe t:lufl of said system or systems in conformity with the provisions of Article 145 or 147, Eduoation. Law,.-the, Fublic Health Law, and the Putnam_.County:_Sani.- .._.__..' tary Code Very truly yours, �i' Signed - -3✓� Owner of Property Countersigned: ✓° Lake Shore Drive, Roaring Brook Putnam Valley Address P °E ., I # 027846 .. 528 — 8450 1 Northridge Road «° . «pl EN6/ «°°� Oo Q� Nffy Telephone °° Address a aQ , Ro,�F �l? Peekskill, N.Y. 10566 737 — 1056 278 Aro ©�� Telephone g, NEW °° } h.< £ sk CX' �.1} �� f'i'y �s µ`Vi .. $0. ' 1 L'� °d> r,,,, y _ ^.�s.5` -*sue l ep ., m 6 4 Kfis 3 k -� +�szx, ,� si s. r� ,,: $ p-t�( �y ,} q1��,�1'� j�. L{ r"` / _ X- , 9 / y _ yi' rl-. n-b'.'.' +�.u'^ ` ? °_cam.•. . _� ._ c _ 5 T �' ,� ��. 6L� d r _ _ 1. Od' q'IYI �` ^7= ... +.e 9 .. ... 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