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HomeMy WebLinkAbout2342DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.11 -1 -5 BOX 20 I f' I �L tit 02342 r .,� . - ...,e, .. �__... =••BfiUL`� °R.`�FDLEY. .R.S.' .. ,..,r_r__ __. Acting Public Health Director 'DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 March 3, 1997 Tom Smith 130 Pudding Street Putnam Valley, NY 10579 Re: Addition - Smith 130 Pudding Street No increase in number of bedrooms (T) Putnam Valley Dear Mr. Smith: I have received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the latest revision date of March 3, 1997 and this Department's approval stamp. Based on the information submitted, the above mentioned addition is approved with the following conditions: -... _.: 1. The total number of bedrooms must remain at three without prior approval by this Department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e.,new low flush toilets, restrictors for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. Wjp cc: BI (T) Putnam Valley Very truly yours, William Hedges Sr. Public Health Sanitarian — r 4r— SE � z • f I ` .� .. �l1tAflII ^OL T'•{, . ��C di1$' of $9HItY , • "I r AviesiiooA of 1 FI�aith ServioeF -proved with the - -� "' �!�_._.. _ �L L r off/ t • pliaatrleJ? : ?! : _ ^ar: ulatione oP the - 4 art x- ;-.am Count- ; , �meat.., - M. -.... '.gyp.. Js C.,-r tuts d. to z ' r f i`b J 's —� <�b!uGFC YEUEE;�r�r ccucRST� �{ s s a • e � 'f W._O 0' D. D E. 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X • L-4 a. 01 7 45 74 )o 777- .... . ......... 17 4 414Z1aWA1,C-Y Re Al y. ,5!C-- K✓A 64� AS AW4,r TAICAAS �, al> 0 lwcf x7A z-, er ,Au7,vA',V VA V) / 2 - C? ---7 A A 44 I.Z3' 3Z, 143 1151 1 5,3 175 I 4 414Z1aWA1,C-Y Re Al y. ,5!C-- K✓A 64� AS AW4,r TAICAAS �, al> 0 lwcf x7A z-, er ,Au7,vA',V VA V) / 2 - C? ---7 A A tLo i Separate �Sewe C �C Water Supplye. y Date ma :c< 17VAdJUUM ► s�vi1�J �••• v .�+ CITY, VILLAGE, TOWN VOR NAME OF SUPPLY DATE REPORTED aAMPLI.NG POINT elm~A 0 &sarmn ar*re e+, Tern .tt v__. IMA13M4 RY?t','M_L AIT MAM. -iPAS T ry W_ v _ NF'.� W RT.T. .. " ou BACTEMA PER ML.. (Agar plate count at 3 _ COLIFORM. GROUP (Most probable No, /looml.) RD NESS TOTAL =`ppm 10 LASS THAT ^ ®2 DETERGENTS - ppm NITRATES (as N) -.ppm IRON, TOTAL - ppm FLOURIUE (F) - mg./i. 'These results indicate that the water was YW_ of a satisfactory sanitary quality when the mp a was llected. f pIM: LK. CARM P . ( / A. H. P.ADOV M. T. (ASCP) m o a WELL COMPLETION REPORT PUTNAW COUNTY DEPARTMENT OF HEALTH 3)71 Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK This.r�epori.is to;beu completed.; .y. wgll:drilLer- atld. submitted..to..CQw, ty< HoWth.:D.epartment -Wgethe"jvith. laboratory- report -of - - =_ -- -z 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 NAME Montagna Builders ADDRESS Pudding St. Carmel, NY LOCATION OF WELL (No. 6 Street) (Town) (Lot Number) Pudding St Putnam Valley PROPOSED USE OF WELL INESS © DOMESTIC ❑ ESTABL SHMENT ❑ FARM ❑ TEST WELL }� 11 SUPPLY El INDUSTRIAL ❑ CONDITIONING ❑ OT eHER cify) DRILLING EQUIPMENT -F—vl COMPRESSED CABLE ❑ ROTARY AIR PERCUSSION ❑ PERCUSSION ti ❑ OTHER (Specify) CASING DETAILS LENGTH (feet) 2 DIAMETER (inches) 6 WE1UHT PER FOOT 1 9 j L J THREADED ❑ WELDED O YES ❑ NO -` SING 7 YES NO YIELD TEST ���jj ��jj HOtgs G.P.M. 50 ❑ BAILED L_J PUMPED L.I COMPRESSSED AIR YIELD (G. "!d V WATER LEVEL MEASURE 3FROM LAND SURFACE - STATIC(Speclty feet) ( ) DUQ1, a- IECiraSGTVCtIOWn L Depth of Completed Well 160 in feet below Land surface: 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 4 overburden Boyd Arteslan Well CO., Inc R. D. 5 -Route 52 Carmel, N. Y. 10512 4 160 ledge If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED 10/1/76 DATE OF REPORT 10/11/76 WEL DRIL ER (Signatu ) er or 1Lrehaser of building Munica.pa :ity : iilding Con:itructed by Section Y ocation Street - Block ZL gilding z pe GUARANTY OP SEPARATE Lot , S17.,IAGE SYSTEM ' I represent that I am wholly and completely responsible for the location, orkmanship, material, construction' and. drainage of the setage disposal system erving the above described property, and that it has been 'constructed as sho,. n on he approved plan or approved amendment thereto, and in accordance with the standards. ales and regulations of the Putnam County Department of Health, and hereby guaranty o the owner, his successors, heirs or assigns, to place in good oporating condition ny part of said system constructed by me iehich fails to operate for a period of t,•ro ears immediately following the date of initial use of the sewage disposal system, or ny.repairs made by me to such system, except where the failure to operate properly ti caubed •ijv the willful ur nek11�4uii t ac Li- of the o%. \L-Llj..a:i! � of �ii�: Lii.r--+..... -i.6 he The undersigned further agrees to-accept as conclusive the determination f the Director of the Division of Environmental Health Services of the Putnam Coun�y ,apartment of Health as to whether or not the failure of the system to operate was ... ._ _ _.... . aused by the- t�illful of negligent 'act •of" the occupant of the building utilizing the ystem. rated this _ day of 19 -� Signature Title (if corporation, give name and addres '11REE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS' BE17ORE CERTIFI.CATE IF COMPLETION WILL BE ISSUED, 11ARANTOR IS RF,OUI1.T:D 1'0• FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. )ivision of Environmental Health Services, Putnam. County Department of Health Gentlemen: a •g ° 7 PUTNAM COUNTY DEPARTMENT OF HEALTH Date Re: Property of Located-6t Section Block a Lot This letter is to authorize G,000r6E /114uab/xl s�y- a duly,_licensed professional engineer y 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 cvju,Cl:L.1U11 w1Lr1 Uils maeLev ailu to. supervise ine construction of said system or systems in conformity with the provisions of Article 145 or .i4; -Eduaatior, "Law; the Public -He&Ith, L-aw;' acid the Putnam -Cotinty San i -. Lary Code. Countersigne P .E ., RX., Route 52 Address Carmel, New York 10512 1914) 225 -9353 Telephone Very truly o rs, Signed Owner of Property 6/,g Address lam- �ZIF �_ - 77 Yv Telephone x. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES .. ix.un.a..:__:r,.— ...n- �- n....i1 wv. �, rti. aa.. �. e.-,:, a:: cr..,,.::.. .rn:a.:.�,;,...sc-«�...,....... arc,' �+- c�.: v�- rw..;_,........-... vu. v.• r.,. r.. �. N.. x-....- �,. n�:.:.: �r� :....�..r..�u.:.r�..c....,,..ar _a. e . .r..,,a.: M�...�_�i .a- ..v�..r., .u,.. COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO., Owner � Address Located at (Street Sec. Block Lot In ica eares cross str-e-FE7 �! Municipality Watershed., SOIL PERCOLATION TEST DA A REQUIRED TO BE SUBMITTED//WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION apse Depth to Water a er ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 5 1 3 4 / V lg 2,/ ' /� - / /;�dr �J' 02 �v /" 0°02 5 1 3 4 5 1 2 3 4 5 Notes: 1) Te' :ts 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. TEST PIT DATA REQUIRED TO BE°SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. % HOLE NO. HOLE NO. 611 1211 . 2411._ 3011 3611 4211 i 48" 5411 az f II 66. 7211 7811 INDICATE`LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO BIC WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY,;/,� Date .. _, _.,.. __. _._.:....... ; . :.._ DESIGN •-•-..... _.. -..._ .__.. _._........ ._ . ....�_ _ Soil Rate Use T /�d Mi 1 "Drop: S.D. Usable Area Provided�dao No. of Bedrooms V� Septic Tank Capacity S�0Q Cads S. pe- _ Absorption Area Prov ded L.F.x24f' �t _fff/vench. �f oz Name . �. igna ure Address �� m SEAL M: ti 1 Pp THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal. Checked by Date