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HomeMy WebLinkAbout2327DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.10 -2 -46 BOX 20 &A Alle I m ri L . . �i ro k . f . . L ,�i r . .r r �., � - L - : JAN •. 02327 j ;PUTNAM COUNTY DEPARTMENT OF HEALTH � Drvisron .of Environmental Health Servic Carme% 105.,12 V +, CONSTRUCTION PERMIT FOR .SE • 7(( ll WAGE DISPOSAL STE ° TRX M A, 10, own o r Villagey A `R 8 v:T t� S S -r sz ET: I ..Located at _ � ... � Block . 1 , ,. SitbiJiV)sion' ��- L G+��?:� tti AP C?ira�r�.iZ�...v 8r✓e�.c Ltit`' Z 1: 3 .� Job Owner 1_A'G19 Address �Ox Zit IiR�3y C�� aa-fl Building type ids "��� t. "[' Lot Area i'U`3Z. /AGE'S Pv .A1�. 1 Tn "v >JV�1 11 Number of Bedrooms �-� Total_ Habitable Space isoo Square Feet j Separate .Sewerage System to consist of 9 ®`� _ "Gal Septw Tank Z`� lineal. feet 'X width. trench - ""3ewe+4sa Fac .:PRE$1 ► T Address . To be constructed by . - Water. Supply Public Supply Frbm f' Private SuPPIY to- be drilled by• 0 tJ _ Address Other Requirements ��' x, "C m F Z °- C5• ®F R i Fes' ,` R AMY "`t - a� . -�a' �� y.P Sot L cov i 'i'E'.PiS�Lfrc I represent that I am wholly and completely responsible,for' the design and location of: the proposed'system(s); 1) -• -that the separate •sewage' disposal system _ *above described will be constructetl as shown on.:th "e approved amendment there to'and'in accordance with thestandarils rules an regulations o the , u..nam County Department of, "Health - and that-ion completion thereof.a "Certificate •otav�gr►;44iction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department; and a written_ guarantee will lie *furnished�i a gFvn�rE�,�fi6 yccesso ►s, 'heirs or assigns by the builder, that said builder will place .in good operating _condition- any part of :said sewage disposal synz litir�,dg;.jae'j�er66,of two;(2) years immediately following the date of the issu- ance of the approval :of the Cert,)ficate.of Construction Compliance ot+ tb prLt � 4e�,` '1 _repai "rs thereto; 2I that the drilled well- described - .above ,. will tie located'as'shown oh.the approved. plan "and. that said well w44 be ujs`talled�n` acc_or a ith, Stan arils; rules ntl egulations of the .Putnam County Department of - Fiealt • - / - • + PE Date R.A. ;,. =.O °.,p ' 'S"Y o!.?;I �`:,V` e • ".�� p o.'13c7TC Q,��"..1� c _ • oP C _ Add ressG�Ao�ic i'a.AGTc e' • Q ` -. License No. Zvi $Grp' • -. ', APPROVED FOR CONSTRUCTION This•approval expires one;y g 'he Ante iss un% ionstruction,of the building has been .undertaken and is revocable for cause or.may,be,:amended,or modified when consi nec •eq b..h24 _•rp.•' er of"Health Any change -or 'alterat ion. 'of construction :€ requires, aw permit Approved for disposal bf' domestic ry sewaage !pr• ter supply, ;only. r Date T By ' Title PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN -DATA SHEET - . SEPARATE SEWAGE DISPOSAL SYSTEM FILE N06 X 29 1 :,k P_ Owner _Me. 4 M L_ 1:y A Address t- u :. ,� N M v A, L ty . . l.»w Cj T Located at (Street) (z le. c-- e--T s Block r Lot .(Indicate nearest.. cross "stree "t) Municipality. F— A- t-A V'A.t � y .. Watershed RoA�R'1Nb G c,2,i�Zoe->< L A,<iE SOIL. PERCOLATION TEST DATA REQUIRED ',TO BE SUBMITTED WITH APPLICATION. Hole 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 1 3: 16 3: 46 -2. rg Z Z 3 \Z 2 3: 46` 4 ='e- lq :3 4.Z.a -,4, 5e �6 s _ Z. l .. i 1 7-3.:� Z 2 -3 6v 4: Z q °9 4 1 .. 2 . 3 `Te s ," . (: A o E g Y.: �-- SULLIVAN - THIEDE 4 /� -5' - " r —L h — 7 o CLARK PLACE , .. . 5 MAHOPAC, BOX 308: NEW YORK 10541 Notes,. 1) Tests to. be repeated 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 cif hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION _1DESGR- PTION OF. S.QILS�.EN'C.CUNTERJ n::_I�I�s HOLES.: DEPTH HOLE NO. "` .HOLE NO. Z HOLE N0. . G.L. 6rt 12'! SA t� r- k%Z dy G bpi 18 tt L o A til p-i c t Ate/ 24" -TOa?C- 3 0T1 36tt 42 tt 5 4tt ° 6Ott 66.tt 72" 78 Ty 8 Ott INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WAJ� R LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY SULLIVAN TRIE E Date cD c.-v \G - O DESIGN Soil Rate Used 3 Min/l7 Drop: _ _ S. D.. Usable Area Provided S E, o No: of Bedrooms 3 Septic Tank Capacity. 9pc)Gals. Type !� ��y�► -� tZy Absorption Area Provided • By L3 I L. F.x24t1 36" / width trench. Other Alzl$ Grtz kjst— IT H40 Qt vzA r .Name 3 © 5 zP i-i v L L. i v A►.� P. E; Signature + Address SULLIVAN - THIEDE 3�aNCis CLARK PLACE.. z ° ��pp����ppEErr ��VV s PUTNAM GOUI7T�"'L PARMFOF HEALTH 2489 y A Soil Rate Approved Sq. _ Ft.. /Gal. Cheekec'1�;�n0 .), ESSioNPv 0, % Date PU.TNAM COUNTY DEPARTMENT OF .FALTH .DIVISION OF ENVIRONMENTAL HEALTH. SERVICES Late ac �o 'Bc�: Re .. Property of. ? -kviz . .i4 LAG, 0 A -5 � t•�. Located at NR Su 0S razCeT. .A Block Lot k SULLIVAN - THIEDE Gentlemen: CM PLACE n P. O BOX. 306 Th13 letter is, to authorize WRAP, rn„MURK 1 a duly licensed professional engineer or .registered architect --� (Indicate) -. to apply..for..a Construction Permit for a separate sewerage system;' to s.erve the above noted property in accordance with the standards, rules or regulations as promulgated'by the ,Commissioner of the �utnazn °County Department of'Health, and to sign all necessary. papers on m behalf in - :'conP:cta..ori .with this matter and.-to supervise the cc?Yis true tior_' of Jaid system or systems in conformity with the provisions of Article 1.45 or • 147, Education Law, the Public Health Law, and the Putnam County San.- . tary Code. Very truly yours,. Sig. Tie d O1A/ 1P" own e of Prop e ty W. Co tern a Address E. fill vs i .' Of Nf All Telephone SULLIVAN TNIEOE . >: w `All Ada PNC,S �., �� , �•Qt G� •• P. 0. BOX 306 AUD-PAP NEW MR11 W,4 a o — trs'rr— r�osstr�'r 'i� .606 E37 7 7 N0248 95 •��••` Telephone. %oP ° °••° °••��G��. a ,cEGENV: ESTABLISH ELEVATION OF H U/E TO - PR�VIDE DRAINAGE QF LOWEST FIXTURE TO SEPTIC TANK AND Fl r.. . . . AR A•RESERVED FOR SEWAGE DISPOSAL ev .. _. __ - _BX/SY/�✓G c��-rcri.0 .5 j \ Ill . SYSTEM 70 REMAIN UNDIS' UR$ED.ALL CONSTRUCTION TO CONFORM TO' STATE \ ---- P,eoPOSCO cn_.v7 -ou,e� I nth 'A AND LOCAL STANDARDS AND�;-REGULATIONS ......... t� \ I J 1 ^ T' �t,� \ 92. 9 6' V U t Z GKA ✓E,t_ F /.c_L W/ \ N 16 VI 4 ? ✓v vc� /a v Box 4 1 - -- z .1i9✓.r. �' �'..o • \ \ I� 0 j•: V i �1`Cy\ 0 a1} � 30 " "''' ,� 9 'j {p-'{ �� TOP C\o /L Co ✓G'Q I�, ♦ III I � T � --'-'• ^ cB O I - p Uq -_- _ 6062 ry i\,• ` M e ,,.f�f!.,,+� -- \ TNN'36 ✓uNC 4'ioh', BsM'r",, � r�o., ! --. `• —' � Q p � ;j �nI,, t�(.a�yLy �C�yl�V1�yYF-1L1,U � 5•HALL BE E39 u /.oBO kNr Th fB_ „\ BHFFLE'S, qt»�:: ,a - _' -_ — 14 o b J N 2 9197 - 4° r /s/rr PIPE rt� PUTNAM Ty DEPT. F HEALTH _ _ - �B \ - _ •� k DI ECT R, DIVISION OF ENVIRONM TAL HEALTH SERVICE _- Bo- S68g BB, %p• � -_ _ vB_ -ran a ` �% •y "c.var /.EoiY f%i'E —=' 9 - 90/ 94 -- - - -- _ - r - - / 0 6 LAG P.9..E'T ld'�' d/•% //Ei9iC Y.Y' �EGU,t..9T /o�VS, OE'CK •3(y WFLC /DO- - --- -- °'Pa /��.E -H PESE.EaYEG F"oe 56r✓.9 Gam" P /.Si°o 5.9/., + �" /O'z .. -.---- _ __ �•��"� / � - i2 SY4 YE'.H S'H�.LiC. .BB GGE -.flR CD O/s B.L IiSN ���^/ � _ Bfa ' 1' l i 1 1C/ vPEP u/? /°C /p!@ i o u[ s c /NG o c v oo i rio Y V"' ,yo, S / B.C. AX /L,AT /Y"d /6 ji 6. /oe -. __ - - -- - -- -- -_ .v f•a" � ,ryv" a ✓G o,c- i 2'- o •- .e, a. a G•�/v✓esl rr/ s-if PROPOSED , / /o -- - -- g�,/ x!18 ?��•�"o /�- CoyfE.@ 5'aAL� BE �+G AC EP /nom Y-NE- SEPARATE SEWAGE DISPOSAL j SYSTEM _ - "- 0' � A.EE9 .�°d'S E-.9 ✓E/� .Q O,C TNC } � . D //,2- - -- � - - �- -� !) '��I;L SEN/.9GE Oi �'PO SID.e. SYS're'N/ .t. •' , M.E/. MA S'. L. CA.d. fi 6/� 116 cQ _ -Y &l ; .._,,..�.,� ; �/ 's'� SECO.Yo M.4/o o/= /E'm/➢`4 /NPm�. .1 +iY.�� h [/LL /✓9/� i, E, 1. }t� TOWN OF Pu T/✓i9�9 ✓�•�- '�-B'y . <- /" = 30' 7z0 JJ s9.4 °` s'f, N.iY.3', ,fl.�'. �. /c(..✓o. .24B9S'jt*`} ;.g'j' - .d�/�'y✓.s+M COY, Y NSW TQRItS " 9�8�7(fs DATE 6-ZB - >/ SCALE93'.✓0 -4-Z JOEI NO';�'►'p !r/ f SULLIVAN - THIEDt SOIL PERCOLATION RATE ! ?. MIN/IN Sop 'DEEP TEST /✓c G,eouN.Q yr9>-�-'!2 GALLON SEPTIC TANK ? �`l+�f`la CONSULTING' . ENGINERS 231 LF t�:ABS. TRENCH I ,� , CLARK PLACE _ a' 1' b, b• 1... 1i s P1 ESTABLISH ELEVATION OF HOUSE TO PROVIDE DRAINAGE OF LOWEST FIXTURE To SEPTIC TANK AND FIELDS ...... AREA RESERVED FOR SEWAGE DISPOSAL Qt t SYSTEM TO REMAIN UNDISTURBED.ALL CONSTRUCTION TO CONFORM TO STATE A AND LOCAL STANDARDS AND REGULATIONS ......... W1 7,lV 30 it m K l4prpov a. �Q ye0 NO 0 1970 1 y;A ON T. H H A PUT P.F -TOR N OF S� RO WI CTOR N OF 70 CEW; ------ PUT HEALTH SERVIM -y 0 �,s 84 -1 k 4 -57 S 41 It" PROPOSED --.c s SEPARATE SEWAGE DISPOSAL SYSTEM fJBB r/ Y<1S S7.4 -' 7 TOWN OF COUNTY.NEW.YORK DATE SCALE 9,5- /./OTE,O JOB NO. SULLIVAN • THIEDE CONSULTING ENGINEERS CLARK PLACE (AA"OPAC, RELY YORK IL 59.4 SOIL PERcbLATION RATE ... MIN/ IN 90o DEEP TEST A/- r 19 F GALLON SEPTIC TANK , , LF X'ABS. TRENCH PROPOSED SEPARATE SEWAGE DISPOSAL SYSTEM fJBB r/ Y<1S S7.4 -' 7 TOWN OF COUNTY.NEW.YORK DATE SCALE 9,5- /./OTE,O JOB NO. SULLIVAN • THIEDE CONSULTING ENGINEERS CLARK PLACE (AA"OPAC, RELY YORK