Loading...
HomeMy WebLinkAbout2334DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.10 -2 -62 BOX 20 ., T r Le al r fi lox. � im i �` 1 02334 Owner..or PurcFiaser of Building Municipality Building Constructed by Arbut',is Street Location - Street Split Level Building Type 1. ;. 15 Section -`'arco l 10 Block j.,ot 18, "ec. rj Rocriilp', Brook Lake 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- -. , vGe:s: -,.of :-the, Putnam :County Department of Health. as to whether or not the 'ailizre of` the` system to' operate"'was ca:us'ed_ by the' wi`llful� or''riegligerit' act of the occupant of the building utilizing the system. Dated this 0 day of 6 C 19 Signature Septic C;ontra.ctor......, Title (If corporation, give name and address)_ THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMP-TTETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. - - - - - - - - - - - - - - - I - - - --- - - - - - - - - - - - - - - - - - Division of Environmental Health Services, Putnam County Department of Health .Building Contractor....... e ...... g __ l�Aidress /7 r� s oyIr�3t�WLU S / i. PEEKS! 1879 Crolnpond w+ nrn rms r�vn rU HARDNESS, TOTAL -ppm ;TERGENTS - ppm NITRATES (as N). -:ppm IRON, TOTAL - ppm W S; �L MEDICAL LABORATORY mt A.* Barclay Plaza Bldg. A, Apt 1 `' a .' . :.,, ,.s -. ,w•;.4• m .:.*.,.zy. -c- rs,e.:ae vsm.- aii�,w.. a. .a..:m ti w.�,.w r-�? .�.c. �,ZPW7 .+ ( w DATE COLLECTED. RESULTS.OF EXAMINATION OF.W 1 AT ER ' Q •:�� DATE RECEIVED /N ER" 7 TY;;.VILLAQE, TOWN 6 /UR•NAtv1 OF SUPPLY. DATE REPORTED -' .MPLING POINT. �CTERIA P/I� R ML:'(A4ar plate count�at 35 C):'COLIFORM GROUP (Most probable iVo. /lOOml.) HARDNESS, TOTAL -ppm ;TERGENTS - ppm NITRATES (as N). -:ppm IRON, TOTAL - ppm IE WELL COMPLETION REPORT PUTNAM COUNTY DEPART1,1.1ENT OF HEALTH 3171 Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK `(his repot is to be completed by well driller and Sut.';.;iitcd to County Health Department together with laboratory report of IT, Pip" ti t r d, t e : f �u .'EFurelLl l vi }rl: iII",ncc iS GI..� .-. . ._.,,•'r2iTia9'y513'�� ��' cif! o..= k,. y4W :l):I£2,iiST�.li!3�tt;r:3a�Q •� %!t!`rfiiC•, "i3f` -�:t7vi .rtal.:�4t71! `j..)n {QtrC CC'tif,Cat(: ..C�t ( �ISSti�,s.••• -:a.- . _ REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME szeran ADDRESS LOCATION OF WELL (No. 6 Stfear) (Town) (Lot Number) Arbutus St. ., Putnam Valley, Na Y. 10579 USE OF WELL BUSINESS ®PROPOSED DOMESTIC ESTABLISHMENT D FARM TEST WELL PUBLIC OTHER l D SUPPLY INDUSTRIAL (� <_J CONDITIONING (Specify) DRILLING EQUIPMENT THER ROTARY AICOMPRESSE CABLE R PERCUSSION PERCUSSION E] O(Specify) CASING DETAILS LENGTH (feet) I 22' DIAMETER (inches) 61, WEIGHT PER FOOT 15 E� THREADED ❑WELDED DRIVE SHOE OYES El V1AS.CASING GR UT G2 C YES. NO YIELD TEST HOURS G.P.M. D BAILED f PUMPED L3J COMPRESSED AIR 7¢ 12 YIELD (G.P.M.) 12 WATER LEVEL MEASURE FROM LAND SURFACE — STATIC (Specify legit) DURING YIELD TEST fleet) Depth of Completed Well in feet below Land surface: 170' SCREEN MAKE LENGTH OPEN TO AQUIFER (foeo 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 least two permsnont landmarks, FEcT io r%[i 1' 10' hardpan 10' 170' bedrock blue granite If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLEYED DATE OF REPORT WELL 61RI,LLER (S'Ignalur ) ,, PUTNAM COUNTY DEPARTMENT, OF HEALTIi _..___._. __._. _. DT; IISTC f ~•Ei�IT�rI 'e i c 14Tks 41 AE * -­&z 1VzK -T-I Date July 30 s 1973 Re: Property of Michael Deszaran West side of Arbutis St approxo 555 ft sou .o n e. section Located at of Pudding Street •Section i5 Block 6 LotT Map Parcel 10 Gentlemen: Lot 128 Section B9 Map ly Roaring Brook Lake This letter is to authorize Roy A. Burgess- a duly licensed professional engineer x 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 connection With this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 1.47, -Education Law, the Public Health_ Law, and the Putnam County Sani- tary Code. Countersigned: P.E., R.A:, # 9845 Burgess & Behr, Pa Co 128 Gleneida Ave* 225 ®3312 Telephone Very truly yours, Signe d4 / l Own &r of Prope ty 141 East-Lake Blvd. Mahop ag dir s t. 10541 - 628 -8841 ,E� Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH DESIGN,DATA SHEET - SEPARATE.SEWAGE DISPOSAL SYSTEM FILE NO. '102 -529 Owner Michael Deszaran Ades 141 East Lake Blvd., Mahopac, N. Y. 4,j u West i ., 3g5 of Located at (Street)of Pudding Street Sec. �5 Block -6 Lot Parcel 10 (Indicate nearest cross street) Municipality T. Putnam Valley Watershed New York City' SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATION Hole Number CLOCK TIME PERCOLATION PERCOLATION .Run Elapse. Depth to Water Water Level No.- 'dime From Ground Surface in Inches Soil Rate Start Stop Min: Start Stop Drop in Min/in.drop Inches Inches Inches 110:34 -10:41 6 22 23 1 6 Min. 210:41 -100-48 7 22 23 1 7 310:48 -10!55 .7 22 23 1 7 4 S - I 110 :3 -10:40 7 . .21... G2. 1 „ 210:40 -10:47 7 21 22 1 .7 „. 310:47-10:54 ? 21 22 1 7 �r 410x54- 11:01 7 21 22 1 7 �f S 2 3 4 S 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 of hole. a ' I DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES - I DEPTH HOLE NO.1,.29 3.v HOLE NO. 4 HOLE NO. G.L. Topsoil Topsoil rr sands ton loam sandy, stony loam 12 y9 y trace of clay 1811 _ _ no bounders r tP tt • 20! JO It tt fP I 11 tt 14 4811 it 54 tt 9P 60" �► 72n i 78tt :INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED• INDICATE LEVEL TO WHICH WATER LEVEL RISES•AF.T7 ER BEING ENCOUNT TESTS MADE BY Burgess &Behr, Po Co Date T�/73 f DESIGN Soil Rate Used 7 Min/1 "Drop: S.D. Usable Area Provided5000 +- SF �+ p No. of Bedrooms 3 Septic Tank Capacity 900 Gals.. 'I'Ype Pre -cast concj® Absorption Area Provfi By 150 L x24 width c op(� lit o -b o cec� ov o n °topsoil; I. owtW �o setf le 66 days Mien a iT e o cod niggt render 7 min -or better ercolat on ro x 1 cu u re _Name Roy A. Burgess 6ignature ^. BU Address Burgess & Behre P. C. SEAL Gleneida • Ave . Carmel, N. Y.. 10512 .THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY:. Soil Rate. Approved Sq. Ft /Gal. Checked by FsRVEN °nom G e FIELD CBECK LIST Date: } •,•. Insp.by: INITIAL SITE INSPECTION Yes No Comments Property .lines or corners found . . . . . . Can estimate house location . ... . . . . . Will driveway need cut . . . . . . . . 1., , , . , Ntust trees be removed -note these . . . . , Is deep hole representative of entire SDS area – ,_ Additional deep holes needed. . . . . . . . . . Suz"ficient SDS area available considering driveway cut, house location, separation . ' distances, etc. . . . . . .. DEEP HOLE a ATA Depth: 3 Water elevation: -- "+-a -, Rock elevation: Soils description: Date : . - FINAL SITE INSPECTION Ins]. by: House located where shown on approved plan C SI)S located- where a.pprojTed , ..... . Width of trench average :Slope of the line and trench acceptable . . -Room allowed for expansion trenches . . . . _ Over 50 ft. from swamp,water.course Natural .soil..not.,str!, Up�d:...or..SDS area # unnecessarily graded r 10 FL. maintained from prop.line and 20 ft. from house . . . _ Separation of trench from house, well !- �' ' etc. follows plan . �. p Number of bedrooms checks . . . '- Stones, brush, stumps, rubble, etc. greater — -- '4 than 15 ft. from nearest trench . . lF 15 Ft. of peripheral soil horizontally from Ytrench . . . . . . . .. . . . Junction boxes properly set Could surface run off from driveway, roads, } ground surface, etc. channel near SDS . . F< area . . . . . 1.,.,,. Does lot'draina e appear O.K. in area of SDS i- '` FINAL GRADING OF SITE ACCEPTABLE fly 2. , P Iii rz'z r7x T-r�'A;'�rfa ,if;; l T -r 1r.: +.� y a� +.S+I 1r a w - . -y 0 •f,. I. T, F - _..t. - "s Ft =1 C= Y.y ¢` - !-'mil. f '�7�' +• - t : "�, u yt°•+k ,, ALAN' i .s ` AS BUILT,,- f 7 r I a Rr. ER7TRYQTJ4,AT:ffTN r u s y t G cry*, F spa SX5T_r5"X jW_ AS C0�STROTH -4 SI'IND0Ij .'Yr •j( '2 a a'-'t .i!' f,. t. c •F 'l +r 'it? K a 1 'F ,pt F, '' �At'TMA%k`TMY� ElvM Yi�AS�tNSTED* yxsBOR ii z . � � i i� � � "�J.,, ' '§.'r�rt .¢ � X���. ,, +%•t a t: M„�:y: ;!W�� �'S i � 1,'�r c l'� r- �$1.,NQ�� ��w�j1+.5 d��! �n'u'� y tl� _ ,:R> W61s� CD,1�`��REQ o ✓EhR i�7N ' ,STEM W4A ?5 AC }ONS� T 1 'UC,T�.D. $� 3y nN x SdCR y S t e u 1 5 tY :Y 3 t l rt: iY 4 3f N� 3i IW, CCORQANCE WIT¢l° AiLLriNE�RU4�SgN ,'�R�GULAT /f(�NS CDU% VTY'DEPARTMENT;`pP'�,N�AL�'F`l= % { EXCEPT OHS-, TO THE A$OY,E�,/FANY NOTEO BELOW. pi i' l.6.T' ..L�vPT.-'l0 -13 B�oTC' "3!.) - A.�P... aAu, Q f., t�Raa. �t)Q1cO E (- 2 CI A CXOAC,G. a.• i.t- i ..� F•?L.aS "TIC- R Q@' -.. \.1. +. I f�1 <, ) 4" i•ryC- S t�Y �2 �' s. Cora -- _. ._ I + -; t_ 3 C ' T K r`- •.� ..t i ; f`V l AS 8U/LT KLAN TIE ME;�sUREM N.'r OF, SEWAdE ,D /SPOSAL SY:3TEM - A B LOCAn !J �: 13 MAP R_OA (i.IG-) 2aROGtc LAk. ,. 39. 4ii -4 � ' s3 r ; ;T N OF.. y'- PUTNA"M COONTYN.Y. - 'os MAY 31 ��C17q � tlU 4j L' JAS ,.. ;. 17!' 71 di n snag.. CCTV 5 4 _ PUTN li f ITN. � �...T �ti�Rr� LY._..... yy �u£,yDIVISION 0" 5 . SSi �R, pG; sro o/ En9tlnee� /n9 Lord Su ✓eying, u+vIRO EN1hCHEA014 SEQVIM „� �- � s �',�r�»;�' �w /,mac odo .9,►<ehue -2'a�m.e% /✓ -Y t ,tys r,,:. e :.. - ,._ .� .. - - ;• .: .. - ....:; '. '�_ .k- -F op••= :�r�` °��.yi'�`:�`'tr p.�^� t�. *��. -,•s. - a,:. '. 1.,..... ..... i ;.3R,- -_ 4. r n_ .....r � - .. � - _: a •. � ,. «.. ! ) i1 �`ry¢. 4r ;'.;5 j Y• �i'�d t Y u 3'' �'¢: x -�`� �a `..��. y�R.t °` Ny'�. J R.� t 1� .. G'_ ?� 'y?.t F .e S { fi .