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HomeMy WebLinkAbout2314DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.10 -2 -27 BOX 20 ME .. .. rj '� , 'A 1 a I� I Is llr i `. i . -� IL Is CC OL a 1111111 1141 1 02314 Notes: 1) Tests to be repeated at same depth until a proximately equal spil rates are obtained at each percolation test hole. A�1 data, to Ue submitted'` for review. 2) Depth moasurements to be made from top of hole. PUTNAM COUNTY DETARTMENT.' OF IUKALTH DIVISION. OF E1� RQ1\Mr,, AL HEALTH SERVICES -.:: ...,.,�. -- • �C® i�iV7�-= �I�'FTCk;- �PUTLDIP�G; - - CARI��I.,,.��T:: =.}�:: �l.QSI�,. .,- �:._.....�. {, -- .,_. M .. -n -. -. DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM, FILE NO. :Owner-J. ' D' Al 6ssandro Address 42.'Belmont 709 '.' TM 14-2 7, ,9 ; Located at '(Street ke Shore Dr. Sec. Block Lot Ndi.cate nearest c. ss street) Municipality. Town of Putnam Valley WatershedHudson..R.i Ver. SOIL PERCOLATION TEST DATA RE®UIRED TO BE SUBMITTED WITHAPPLICATIOPIS Hole Number CLOCK TIME PERCOLAATION PERCOLATION Yhm Elapse D6pth.to -,a er Water.Lbvel No. Time From Ground, Surface.in.Inches,... Soil Rate Start -Stop Min. Start Stop_ Drop in Min. /in drop Inches Inches Inches #1 1 8;40 9:10 30 16 3 30/3 = 10,, 2 9::1 1 9: -41 30 1.6 19 3 3.0/3. 10 r i 9:"42 10:12 3o _ 1.6 19 3 . 30./3 10. F .. 5 , #'1 1 1 8:45 9 , ,� : 30 16 19 3 `.... 30/3.. s _ - 2 9 1:6 _:... = �+b 30 :. _: j.6 - _. r .�.g 3 3" 9: '47 rn , :Z. 30 16 19 3 30/3. = 10 4. 5 - 4 Notes: 1) Tests to be repeated at same depth until a proximately equal spil rates are obtained at each percolation test hole. A�1 data, to Ue submitted'` for review. 2) Depth moasurements to be made from top of hole. , 1 TEST PIT DATA Fri +,�IJIRED TO BE. SUBMIT-11 D 1JTTIi APPI;ICATION - DESCRIPTIOIJ OF!' sbuz. a+, t, CQUI\'(.'T�P,'f',D,'21V''l'FST' IiOT�3t',SA i'1 r at i ti h" DEPTH. HOLE NO. 1 HOLE N0. . 2 {x 3 4 If k x : HOLE NO - T . ; .i " Clay, Stones' Sand C1a. Stones 6 Sand, Y� Sand, Clay, S:tones�d��. 1 f y l L j' ; F 241 ' L , � --�- -- 3611 y 4211 11 itF i s 6011 r s { 66'1 " _ e A 1 f III 72 L • 811 1`; a .. 1 1 S t„ *�j�{I >iv,'. ' yl 8�+; INDICATE LEV.��, AT i�CH GROUND WATER IS ENCOUNTERED { } INDICATE LEVFL `TQ w�CH .'ATER LEM RISES AFTER .PING 'ENO QUNT t 977: I TESTS:, MADE BYJoe Greenberg ,'' 'Pate ' g s r, ;. t ' So11 date Used8 10 IIAr+op;. " 5.•; Uea1a� v Area Provided `5 , 000 No, of B6drQpMs Septa G Tank Capacity ` 1 ;'�00 jj Gads . pre cast cone ret e' Absorption Area Prov a Hy 3 64 . F• x24" L E ne �. ,. oe !Greenberg _ . . p '. : Address' Box ' 417. SEAL 1 atona New o " li _ ... THIS SPACE FOR USE 13Y I�I'�ApT7 D}t'ARTPP111T ONLY: .. F F NE`f� a 1 rx t e Ixp S ©1 Rate Approved Sq. Ft/Cal , Chacicad .by i , Date a L It IT { !l n7 i •'i I S .t +, l'. t '• ,., , - ( { i, A)�k.'�� a, tl�i, Fr: �'f' ! t r, a d 4 + .. ..............Y.,..� .....� -., ,.. .,. r.. .ERG'..., ,... �� �, x� l JOEL LAWRENCE GREEN'6 . Architect • PlanC 0 Consultant n IEUTEM OF TRUZOM-DVM� RR #8 � MUSCOOT NORTH L� � W L MAHOYPAC, NEV YORK 10541 (914) 628.6613 • 628 -.2851 ���, �. n�: 3lio. v�ri�. ��• Planr: ex��' ( 9 1 4) 5 2 6 - 3 7 4 0 TO Robert Tutoni- Administrator GATE Au-- st .3 1979 =NO. "Al PEPMONx�...v,.ys.+r —e RE: . Permit Renewal J. D'Allesandro GENTLEMEN:- WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via • Shop drawings ❑ Prints ❑ 'Plans ❑ Samples • Copy of letter ❑ Change order ❑ the following items: ❑ Specifications THESE ARE TRANSMI ",TED "as checked below: ` ❑ For approval ❑ Approved as submitted ❑ For your use ❑ 'Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 • Resubmit copies for approval • Submit copies for distribution • Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS EnClO.Sed Please f ind =pl i cni--inn f nr renewal of the above u -• .• -. .. •• permit., - inspect-ion indfcates that- fhArA COPY TO \—A Dena 4„e11ni„ e.nm 1AW—W-0 T —n—nA_ Maa 01469 SIGNED: If enclosures are not as noted, kindly notify us Very truly yours, I - JOHN-- -a to L •TsSAfiFDRO -TOW -N =OF 'Pi3TNAM,;-VALLE� Owner or FurcHaser or u ing icpa ity GEORGE BENNETT TM 14 -2 -7,8,9 Building.Constructed by .. Section LAKE.'SHORE RD. EAST Location - Street lock Qjjg I .Y Rgarn NICE- Iding Type Lot F GUAR TY OF SEPARATE SEWAGE- SYSTEM. .. _ . I represent that I;amr wholly and completely, resp;onsibie for the location, workmanship, materl' l'l construction and ;drainage, of the sew,age P Y . g .. P P Y�:..and that it :has been .. dis -osal s stem s.ervin the 'abode .de'scriled ro ert constructed as ' shown on the _approved ;plan, or approved amendment thereto,: .and in accordance with the ;stan 4rds; rules and regulataoris of;:,the Putnam County Department 'of Health, andheroby guaranty to the .owner; hi's ` suaces sors, he_lrs or assigns, to. p ace in - good operating- condition any part o said system. coristructe:d . by me which fails to operate for- a pert, dd ,o. f 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,.. - ---- --- t,o- oper..ate -- properly - -is- caused by .the willful or --ne-gl gent- a:c-t- -of -the o-ccu pant of the building utilizing th- system: The undersigned tui rther - agrees to accept As conclusive the de_ termination of . the Director of "t& ;Division .of. Environmental Health. Sear -. vices. of -- the._Putnam` County Department of :Health =as- to. whether. or-, not the,: f-aiZure of- the ,system -to op�erater `was caused _by the:' �s llful or :r%egligent act of the..,occup:ant. of the .building utilizing thef`syste Dated this_ day of MAY , �^ 19 Signature 5 OWNER -, corporation; give'.name (/and address) CONTRACTOR THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED GUARANTOR -IS REQUIRED T0. FILE' NOTICE OF D_AT OF FIRST.' USE OF SYSTEM., - - - - - - - - - - - - - - - Division of Environmental Health Services-, Putnam County Department of Health SEP 4 I PU' NAM C NiY � DEPT. OF HEALTH f 1 WELL COMPLETION REPORT 3/71 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services . COUNTY OFFICE BUILDING - CARMEL, NEW YORK This report is to be completed by well driller 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. �O�"i�V�LLOIViPLETION OWNER NAME Matthew Gornlak ADDRESS Lake Shore Dr., East, Putnam Valley,NY LOCATION OF WELL (No. 6 Street) (Town) (Lot Number) SAME PROPOSED USE OF WELL, BUSINESS a DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL SUPPLY 11 INDUSTRIAL El CONDITIONING (Spe (Specify) . EQUIPLMENT COMPRESSED CABLE © ROTARY El A R PERCUSSION ❑ PERCUSSION (S(Specify) CASING DETAILS LENGTH (feet) 3T f DIAMETER(lnches) 611 WEIGHT PER FOOT 19 �„ b s c � THREADED ❑ WELDED SHOE YES ❑ NO YES � NO YIELD TEST ❑ ® COMPRESSED AIR HOURS G.P.M. ❑ BAILED PUMPED 6 ' 30 YIELD (G.P.M.) 30 WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) 201 DURING YIELD TEST (feet) Depth of Completed Well in feet below Land surface: 2O0 t 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) 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 5 Drilling in ovetiburden clay & boulders i ECIVED SEP r+) 1981 J t" 1 PUTNAM COUNTY DEPT, OF HEALTH Hit rock at 5 feet 5 30 Drilling 1n rock se`t, cas3-ng grouted. ­30' __.. 200" If yield was tested of different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED 3/4/81 DATE FREP RT WELL DRILLER (Signature) p uw.wae+c� -�r fiw�.n. +. �sx>, x* ar', �tts' m"•,. r..y+t',awuh'Y'"C�'r*a."a"^"i�w y'r`, +vwk • °`J e i n 1 J A � a1M1 +� i3, �'q t!� ♦ 1 4 3 F J' {,A� �',A aKg 3 Y l,�� 6 ,.ari y '0. %,!A tii � T •;.ry ��� ::5 � °r u,; '� r3�i�wx 'F,x��ll ra�R.:� 1P � �l" � -! a u4rA?gj "EtL N�P +1AM5LLQGE2. N,F Lle (3EZMAn! ' No W0U Sa NO it O%J2117h No W uo. ~ �O,00 c 42 ~A' '�/ .c4 840 LAYOUT 8'25 Boa` 'T \� , `- DEBp i wim 2'- o °TktcK-- - - N�µY4r` 4RPV @L 7E21MBTE O � N d 411 ` V_ 7q: 48' yo "w. . 27u.00' v _ - _ °--- L G.K 8 ZOA,17 E A57 , 5 LJ O 2. LAYOUT