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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.14 -1 -26 BOX 20 02355 3 PUTNA-W. C0 UNTY.-DE PARTMENT } OF HIE ": to Division of inyirontnei iol Health- Services, Carmel, N -�,Y 10512 CERTIFICATE -'OF CONSTRUCTION = COMPLIANCE FOR. SEWAGE DISPOSAL-4 YSTEMni vT • �, fown or; Village k Located at ' V I/'0 )Ti2G�/ , ` Tax Map Blocks Ct Owner /..Y Lot Job e Separate Sewerage System built by - S U a ` 1%r Address :Consisting of 5 Gal. Septic Tank and Other requirements Water- Supply: Public Supply From Private Supply brilieedd By D OA / e. 'Address,,. T uTA1 �4f'9 r4C LELI �. �/, Building Type $,IO.,E No. of Bedrooms Date Permit Issued Has Erosion Control Been;Completed? I certify that the system(i) as listed serving the, apo ntiall s shown on the plans of the completed work (copiesof which are attached), and,in accordance with the standards s,' an a Permit Issu34 b _,t Putnam County Department of Health. Date /0-22---77 r s P.E. R.A. Address — Any person occupying premises sefyed bythe.abo sy a,i Conditions resulting from such usage Approval o ! available and the approval .of the :private .water'.supply_„ o _ vo subjeci�to modification -or :change when'', t- a UN- qn Data ^ BY �.I� • :. 1"0 50' License No. 32.77 -0 such action as may be necessary to secure the correction of any unsanitary r'shalI become null. and voidlas soon as a public unitary .sewer becomes owhen a public afar, supply becomes available. Such approvals are Healtli,.su' re ocation, modification or change is necessary, f Title BACTERIA PER ML: (Agar plate count at 35 . Cj. 4, r, COLIFORM GROUP.'(Most probable No. /100in1i) le.. ss the ARDNES , TOTAL -`ppm, DETERGENTS - mg NITTES N) - ng L IRON, TOTAL= -IpCJ L AMMONIA. FREE (as N W.mg /L These results indicate that the water was yW of a satisfactory' sanitary quality when the sample was. collected. M^ 1. A. H. PADOVANI, M. T:'(A(S .P) ♦. f,* ". .. .�. ....G." � ..: ...,_ .�... �... .. .. -. ...... .... . -.. .... �. ....ten -�..a .. .a....•, e.��6.. �. .. _ _ .. m Owner or Purchaser of Building'� Municipality Building Const ucted by Ve Lo- cation - Street Building Type Block Lot n TAX mA9 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- - vic -es of the e Putnam County.- Deparurrient of .Heal-th.. a.s-to wheth�r_.o.,r...no.t:. "_th'e�. -. fai ure -'of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the syste . Dated this _-2--l-day of C, 7- 19__7 Signature ��- Title 5)E5- . If corporation, give name - _ - and a dress _ �4; t s S4N S �LNC _ %�tiS�� /_LG G�,nG�� A� vT / it THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMP,ETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO.FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health STANLEY J. LANDER, P. E. CIVIL ENGINEER BOX 267 (COR.RMAHOPAC AVE. & WATERdi-FE AMAWALK, NEW YORK 10501 AREA CODE 914 245-2645 June 28, 1973 Mr. Robert J. Tutoni Environmental Health Services Division Putnam County Department of Health County Office Building Carmel, New York, 10512 Re: Proposed Sanitary Sewage Plan for William Maurin, Lot 3, Map #11 Roaring Brook Lake, Town of Pub Valley, New York _ Dear Mr. Tutoni: I have revised the above referenced plan in accordance with our visit to the site June 25th. The house has been reduced to one bedroom and two seepage pits have been shown in acceptable soil for same to provide for the minimum requirement of a proposed system plus 50% expansion area. Also a curtain drain is proposed to drain the depression _.-holding -water. Of course in order...-to. install..thi-s ..drain it will... -. be necessary ° o hdVb `the' *cooperation -of the'-Putnam Va ley- Eig way Department. No steps have yet been taken in this direction pending your tentative approval of the attached plans. After the curtain drain is installed it is intended to fill the area with run of bank gravel to grade same to street. As a matter of record, the Owner has contemplated building on this lot since December 231 1967, the date of purchase, and only until just recently felt financially able to go ahead. Although there are some shortcomings in the lot which do no meet present day standards, I feel that with due care a satisfactory system can be installed. Please do everything you can to act favorably on this application. Very Truly yours , �? SJL: bl / Stanley J Is nder Enc. cc To: Mr. William Maurin 810 Seneca Avenue Brooklyn, New York, 11227 � I -- � - .. -, � 1� ':�� -, l.- - , - T - - �' t,:'� , 1 - :. - �- - . -- ":� I-d - �e -1; ' .- , - " - � -'----"�i-."'- "._"�': -�-'- -� -"��'- "' , � - -� -,"N"- , , "-'- - " *--. -,-- � -- N, I 'l , � , , -� - f� ;�"'---�:- '-'-'-'!-"" -, '�) , , " - 4- � � - '�' 1, -'� J'�- � � I I - I ' 1. - A�--' I � I - '- - -7, ," - _" � - - P40z � -.� %7. '� " � - - - � - - '� N� - - , .- , �. I . - e . , -- � . - � )" " -- � I '; .' - -.' 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DEPART - M=-= OF- HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owne r %j//44.64 M AU 11,1 AJ Address Blo UpElVeC14 1d4e 1411c Located at (Street /3 Block ��/ Lot ca e nearer cross street) Municipality o u;-,� Watershed�,.rj�ic SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run apse 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 2 /'gin /10 `z4 14 a f 3 -�•3 310 1,144 A � 1 � i 3 � '3 4 2 Ao ZZ 4 3 Notes: 1) Tests to be repeated at same depth until aroximatelyy equal soil rates are obtained at each percolation test hole. All pp data to be submitted .for review. 2) Depth measurements to be made from top of hole. JEST PIT DATA REQUIRED TO BE SUBMITTED WITH.APPLICATION.- _._.__. . 1 -TR8V- HOLES _ ". `'DESCRIPTION' OF 80IW.`ENC0MTRREb N" DEPTH HOLE NO. G.L. 611 2 tL_074 f YA!, 1811 2411 3011 3611 42" 4811 5411 6o 6611 72" HOLE NO. ;,Oy HOLE NO.,044-i° -1 It 78 8411 ---- MICATE =L-AT WHICH GROUND WATER-IS-ENCOUNTERED INDICATE LEVEL TO WHICH WATE� LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY LAu1oj,,-4-- Date %f- 7 .1 Soil Rate UsedMin/l "Drop: DESIGN S.D. Usable Area Provided No. of Bedrooms Sep4 ti *_Tank . Capacity 7V Gals. Type 1L Absorption Area Provided- L. F. x24 36" width trench. er STA14LEY J. LA 11 71 I 1,3i on _q F F Address Y. iv G, 1501 THIS SPACE FOR USE BY HEALTH DEPARTMI!g Y_' fi Soil Rate Approved Cla Sq. Ft/ "6 e Date �. G '.;PUTN Division of CONSTRUCTION. PERMIT FOR=.SEWAGE _ Located .a o✓c' �T N Subdivision d►v °� Owner Building Type> :Number of Bedrooms Separate Sewerage System to consist of ' To be constructed by'' s " Water Supplyublic Supply Fr m { Prwate,S'upply to a dri QQAodress . 1t Other Requirements - .[,represent that I nam wholly and completely respo s above described will be constructed; as shown on the" County Department of. Health and t6af'on corn "` be submitted to,-the Department and a_- 'wntte place in good. operating condition any ,part ance of the approval of the Certificate, . of" C Will be located ad shawn'on the approved plan county Department of 'Health Add_r`ess APPROVED FOR CONSTRUCTION This appro revocable for cause or may be amended or.modified ",requires a new permit. Approved for disposal of: Date _f [ :COUNTY DEPART T F .HEALTH` . e e% N 12nvironmna ; SPOSAL SYST dX �'t�sf Town or- 'Village Block O% r . -Lot _ ddress g ' �y� ?(f coo G A� `��° T al Habitable+5pice Square Feet a Septic Tan 15 . lineal f X 3 • 'Width trench, ' - °:Address A_:l./1� { of construction Cort pl�1; satisfactory t-_ the Commissionei,of•Healthwill. r wrtl , the owner tiffs successors heas'or assigns by thelbuiltler,:;that said =builder will uring;ahe_ period of two (2) yearsimmediately.. following the date of the 'issu- o l n lgnnal_ systerri`:or: ny, repairs the 2) that the_ drilled well described above accord nce h the standards, rules and regula iorfs f -the Putnam r ' � f � . �e0"3 a date -"issued• -"unless- construction of 'the .building has been undertaken and , is c si ry by .the Commissioner,of. Nealth.. Any .change or alteration of. construction i sewage and /or private water supply only .'T,'eitle� t' March 285 1973 Mr. Stanley Lander, .,P.E. Box 267 Am vttlk N.. Y. 10501 Re: Proposed S-9D.S. fo.r W. Maurin Lot 3, Map #1, Section "D" (T) Putnam Valley . Dear Mr. land6r:. Thsubmitted plans to construct a sanitary se-wage disposal., system for the , above has been revieved by this depdrti6ent. Wi' are. rejecting this appli6ation Tor.. the• following reasons,: I 0 cannot meet the required disfh�,l e between neighbors proposed seiag well and system.. e disposal-.. Test holP-' "n rep not resentative of proposed area of sewage disf)osg.-,,l sy's _3) A�6& designated for sewage disposal system has ledge 't..cr-.Q.pp Age and the main p6rtion of this s6m�_ area is in ef- ct, 'd bd -A which also has w,erg at the surface indicating poor ii., characteristics i establ'i of water tabl,�, shi ` 0 ng: V6 '-finalize the proposek't"..a ,b'6e ,age disposal, system does not eet the Putnam Counter requirements:: rea;,rement W or instal-16t1bn of small se* cAspo'sdl �sy;,stems�iand i6U!arl��71n' thi cage, doos not seem part s f6asible at -61.1. 'urth6r assistance, 6e Jf 1.1m6y be of f P1 ,'do not hesitate to Call me at this of -f ice: Very: truly yours R6be;rt J'. Tutonl Environmental flealth'Services Divis' ,RJT/ps I, Anton B�b�ick , owner of Lot #4, Section D, Roaring Brook Lake do herby state that I have no objection to my neighbor, William Maurin owner of Lot #3, Section D, placing his septic system less than the required one hundred feet from my w ell. It is my understanding that due to the shape and j dimensions of his property Mr. Maurin cannot comply with the one hundred feet requirement between well and septie system, In order that my neighbor may construct a home on his property I urge that, in this f instance, a variance be granted. Si ned to g W itne s s Date �0 %P'T PI':-" _'a o; New York ' No. 41 -191&8 - Queens County Torm Exp.ir. March 30,19-7.5 r �xyf r �. �. � �,