HomeMy WebLinkAbout2351DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
41.14 -1 -18
BOX 20
02351
u.
LN
. IL
'i.
A$
go
EL
1:m?
V1-6
166
'1
J6
%1
:1
a
L,
,
02351
PUTNAM COUNTY.DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date �2 /�lg2fl
Re : Property of VOhd ALD' C'l 4O P -SN-'1 Jul 40
Located at
(T) Section Block Lot
Subdivision of ���� /�� "Be-poV— LAk-a AAA ? - J P S- r=c-'_V
Subdv. Lot 40 Filed Map # Date Noll. �1�, /�•
.Gentlemen:
This letter is to authorize
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 promulaga,ted 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' "systeins'- in c' oiiformity with the provisions of Article 145 "or
147, Education Law,
BRED
tary Code. C��, �FLV -RCE
� ov
Co t rsi ed: SIX °' ,Ofep �o
/ op NE`4
P.E. , R.A. , #
Joel Greenberg - Architect
Musc t'North
Mghopac; NY 10541
is Health Law, and the Putnam County_Sani -.
Telephone
A'
Very truly yours,
Signed
Owner bf Property
LA14E Sung 4. \ %EST
Address
ld�C v
Town .
628 - '�6 7 B-
Telephone
0
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
dbTINTY- OFFICE BUILDING, CARMEL,
DESIGN'DATA SHEET- SEPARATE SEWAGE,DISPOSAL,SYSTEM FILE NO..
Owner, `�, h0e_C_N_rjW z1 p Address �. AIC �J CDR . c!%
Located at ( Street u.sa. 2-D- �� ''r' Sic . 3 4"i Block Lot 49
(70 1 ca e nearest c doss street)
Municipality 4� . (1TN L atershed dulklDt�l
SOIL PERCOLATION TEST DATA REQUIREb TO BE SUBMITTED WITH APPLICATIONS
Notes: 1) TO;�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.
Oe
Number
CLOCK TIME
PERCOLATION
PERCOLATION
No.
Start =Stop,
apse
Time
Min.
Depth to Water
From Ground
Start
Inches:,
Surface
Stop
Inches
Water Level
in.Inches Soil Rate
Drop in Min. /in drop
Inches
z
1; �. 2;. !.2
��
�_ a
V
Uo
29
5.
3:
5
Notes: 1) TO;�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.
84 1f
INDICATE LEVEL AT WHICH - GROUND. WATER IS ENCOUNTERED ® :
INDICATE..LEVEL
TD WHIICH WATER LEVEL", RISES AFTER
BEING ENCOUNT
TESTS MADE- BY Date D 9.n E - NDI�.t':7C
-
DESIGN
Soil ,Rate Used L_ � Min/l "Drop:` S.D'. Usable Area Provideds --
No'. of -Bedrooms '
'. __Septic Tank Capacity. 000 _Gals.;..__ . .TYpe. CJ45 h1C: a
Absorption Area Provided By L. F x24 - 5b width trenc �aED gQ
.Other c
FFti
O 6 ` 60 x(- t Cl %►
Name- Signatur e . ....
ti
Joel Greenberg - Architect
Addre s s -. Muscgot North _... SEAL
--� RFD IF2, Box 488
Mahopac, NY 10541
Al
�T C•
THIS SPACE FOR USE 'BY "HEALTH DEPARTPENT ONLY: - F
OF N:E`1.
Soil-Rate Approved Sq. Ft /Gala --Checked by Date