The URL can be used to link to this page

Home My WebLink About2356DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.14 -1 -30 BOX 20 02356 7 IL LIN r �'� 02356 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Hea /M Services, Carmel, N. Y. 10512 permit # /t CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Town or village o..... _ , „�., „ Pudding =strut.. t:::...... TJ;ii� tap :.. , Located at 1¢ sock Owner W i l l i am Ruth / Formerly J Tax Map Lot # 13 Subd. sat # Separate Sewerage system built by William Ruth Address RD41 _ BOX 2 3 6A r PLt - V ;; 1 1 t-_V N - Y . Consisting of 1000 Gal. Septic Tank and.. )8ft. Diam„ x 8ft. deep Leaching pitta Other requirements Water Supply: Public Supply From X Private Supply Drilled By Boyd Address RD #5 pRoute 52, Carmel,N.Yo 10512 Building Type One Family REsidence No, of Bedrooms 3 Date Permit Issued 3/90/78 Has Erosion Control Been Completed? I certify that the system(s) as listed serving the above premises were constructed assent 1 y as shown on the plane of the completed work (copies of which are attached), and in accordance with the standards, rules and re ions, in a ce with the led plan, and the permit issued by the Putnam County Department Of Health. Date 9/24/84 Certified by - P.E. R.A. Address Lieense No. 1 1 () S 6 Any person occupying premises served by the above system(s) shall prompt) take ch coon as may be necessary to sa ure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage A I become null and void as soon s a public sanitary sewer becomes available and the approval of the private water supply shall become null and v d an a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the missioner Health, such r . Ification or change Is necessary. Date 8Y 4 _ - Tatty Rev. 9 -81 William Ruth Owner or Purchaser of Building William Ruth Building Constructed by Pudding Street Location — Street One Family Residence Building Type Town of Putnam Valle. Municipality 13 . Section 1 Block 13 Lot GUARANTY OF SEPARATE SEIIAGE 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- -.LL ... ...term1nata.on c .. :ahe:D.i.rec.tar.,.Af the. -D vision <of - •� n- viron enral Health Ser- vices of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this 14 day of September 19 Signature Title our"A'- If corporation, give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARAN'T'OR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health 1� (ORKTOWN MtAICAL LABORATORY INC. P.O. Box 99 321 Kear Street LOCATIONS: 321 KEAR ST., YORKTOWN HEIGHTS. N.Y. 10598 245.3203 Yorktown Heights, N.Y. 10598 ❑ 201 BUTTONWOOD AVE.,PEEKSKILL.N.Y. 10566 737.8777 s. �� 495 MAIN ST., MT. KISCO, N.Y. 10549 666 3335 2`45 -3203 T_.� . _.... _...:.:... . ❑ STONELEIGH AVE. (NEAR HOSPITAU, CARMEL. N.'Y, 10512 278.93 LAB 13583 DATE TAKEN: �— DATE RECEIVED: - DATE REPORTED: , RUTH WILLIAM SAMPLE SOURCE: wett- LOT 17 PUDDING C�ZJS�S/�D,c l _ P UTNAM VALLY ANY REFERRED BY: L COLLECTED BY: " 1 LABORATORY REPORT. mg /L ❑ ACIDITY ............................ . %% ............................... ❑ ALKALINITY ...... ..................!l....... .............. BACTERIA, TOTAL /mL .......... .. ........................ SOD, 5 DAY ............................ ............................... ❑ BROMIDE ............................ ............................... ❑ CARBON DIOXIDE, FREE ........ ............................... ❑ CHLORIDE .................:.......... ............................... ❑ CHLORINE ............................. ................. ............... ❑ COD ........................... .......... .......................:....... ❑ COLOR ..........:.....::.............. ........................... :... ❑ CYANIDE ............................................................ ❑ DETERGENT, ANIONIC ............ .......:....................... ❑ FLUORIDE ............................ ..............................: ❑ HARDNESS :........................... ............................... ❑ MPN COLIFORM COUNT/ 100 ml ............................... XMFT COLIFORM COUNT/ 100 ml ........................... ❑ CONFIRMATORY TEST ............ ............................... ❑ NITROGEN, AW1111`OfJ1A :..::.:.:..::...........:... . ❑ NITROGEN, KJELOAHL ........ ............................... 0 NITROGEN, NITRATE ............ ............................... ❑ NITROGEN, ORGANIC ............ ............................... ❑ ODOR .. ......................... ............................... ❑ OIL & GREASE ............................................ :........... ❑ PH ......................... ... .......................... ... ❑ PHENOL ................................ ............................... ❑ PHOSPHATE (ortho) ................ ........................ :...... ❑ PHOSPHATE (condensed) ............ ............................... ❑ PHOSPHATE (total) ................ ............................... D. SOLIDS, SETTLEABLE, ml /L .... ............................... ❑ SOLIDS, SUSPENDED .. ............................... ❑ SOLIDS, DISSOLVED . ....................................... :..... ❑ SOLIDS, TOTAL ..................... ............................... .❑ SOLIDS, VOLATILE ................. ..................... ........... ❑ SPECIFIC CONDUCTANCE ......... .....................4......... ❑ SULFATE ............................. ............................... ❑ SULFIDE ............................. ............................... ❑ SULFITE ............................. ............................... ❑ SURFACTANTS ❑ TURBI-DITY ......................... ............................... ❑ ALUMINUM ................................ ............................... ❑ ANTIMONY ' ................................ ............................... ❑ ARSENIC .................................... ............................... ❑ BARIUM ....................................... ............................... ❑ BERYLLIUM. ................................ ............................... ❑ BISMUTH .................................... ............................... ❑ BORON ....................................... ............................... ❑ CADMIUM ..................................... ............................... ❑ CALCIUM .................................... ............................... • CHROMIUM (tot.) ............................ ............................... • CHROMIUM (hexavalent) .................... ............................... ❑ COBALT .................................... ............................... ❑ COPPER ........ ❑ COLD ... .. .................. .................. ............................... ❑ IRON ........................................ ............................... ❑ LEAD ........................................ ............................... ❑ LITHIUM .................................... ............................... ❑- MAGNESIUM ........:..... s.....•........................ ,.... ,...... DMANGANESE ................................ ............................... ❑ MERCURY ............................. ............ .......................... ❑.NICKEL ........................................ ............................... ❑ PALLADIUM ................................ ............................... ❑ POTASSIUM ............................ ....................:.......... ❑ R HODIUM .................................... ............................... ❑ SELENIUM .................................... ............................... DSILICON .................................... ............................... ❑ SILVER ........................................ ............................... ❑ SODIUM ........................................ ............................... ❑ TIN ............................................ ............................... ❑ ZINC ............................................ ............................... ❑ .................................................... ............................... ❑ ................................................. ...........................r... ❑ REMARKS: ............................................ .................... D...................... ........................... ........`...................... ❑ ............................................. ............................... ..... ❑ ..................................................... ..................�............ ❑ ............. ............................... .... ............................... ❑ .................................................... ............................... ❑ .................................................... ............................... THESE RESULTS INDICATE THAT T17 WATER WAS OF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED; THESE INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEMICAL QUALITY OF RYPARAMETEAS ADMINISTRATIVE RULES & REGULATIONS, DRINKING WATER STANDARDS (PART 72), PUTNAM COUNTY DEPARTMENT OF HEALTH f� Division of Environmental HeWth Services, CaFme% N Y; .:10512 4 CONSTRUCTION PERMIT FORSEWAGE DISPOSAL SY$TEM` 'Tovun of.,. Putnam :Ua 1 l.ey AGIV TM' Town I _ . - -ar Pudd r ng Sfireet �(,X 13 1 13 Blpck located_ - Roarin;q 'Brook Lake" -�- -° Subdivision Loty Job Owner W i l l l am ` S Ruth - J r gtJdiess D_# 1 Box 23 6A 1` fam.i 1 res 16 Y `84 ' s f Building. Type y Lot Area ' 3 Ru tntiM Va 1'1 ey , °{N . Y . 10:5:79 - -` =-. 1'::500. Number of Bedrooms Total Habitable Space - a e Feet 9 6 l l 9 x� v Separate, Sewerage Systerrr`;to consist of 1 000 Gal Septic Tank -lineal feet -X X To be constructed by ilOt �s`e1 ected gddress M1 x - Water Supply P_ blic Supply Frrom -' Prwate Supply to be drilled not selected' RED q \GJ �RENCE Address '•. A .(� Other :Requirements I represent that lam wholly and completely- es n We fort' gn and location of 'the pro syst the- } ate; sewage disposal system above described will be constr,ucted•as shown the:appr v endment there to and.:�n accor nc with' rule >>b regulations o the, u nam County. <Department of Wealth, and that pn ompletio 4-t� e f a 'Gert�ficate of Constructio_ pli_ ry f Commissioner 'of .Health will be submitted'. to the Department,':and a' wri en ,guar. ' T'.will be- furnished the owner his: [s heirs assigns builder; that said - builder will 9 i p e of the issu- place W good condition any pert f said sewage disposal system during -•,the • eriod 0) ear ! 'following the , '.'ance of the. approval 'of'. the Certificate-A' of Gonstrucbon Compliance 'of 4fie onginel: system or a r�p the °'drilled well described above will be located -as shown on -the approved plari acid .that said well will'be instalied in.-ac cordanc with: {s�Vilu nd regula i� ons -of the Putnam County Department of Health. Date ;Jan. 1 1 _�`97v r gned__ $.E. R.A. S. r 4. R License No. 1105 .6 ,•- .Address R #8 Muscoot 'N r.. 'h Mao � '4 APPROVED FOR CONSTRUCTION Shis; approval expires . one year•fro t e date f, -sued ,unless Construction, of the, building- has been uridertaken and -is revocable foi-cause or maybe- amerided"or modified when..consid - " ees _ y by. the °Corrimi Doer;.. f Health Any change or alteration of construction :requires A . new permit. Approved for disposal of domestic sdinitaY wage o iv to ater I only T T ?Date 6Y Title . S s�. n PUTNA�i'COLi. - D_ � iIV_P'NT OF I EEkLTH ._„,..1 -� ,..,..r.. .. _, . �.... �.. n:, DIVISIOrr:_ OF�: rr. VIR�.. r': �' 1�iTAZ; ��i• I% �I�TF��S• ER��i��S.. ,�.,n..�._�..�:�.,_�::_.�.�_._� z . .�:,,�,�.�... �_> r.,:= COUNTY OFFICE BUILDIr.' -, CARA_??L, N. Y. �0512 DESIGN DATA SHEET- SEFARATE SEWAUE, DISPOSAL SYSTEM FILE NO. Owner William S, Ruth Jr. A(Irlress RD #1 Box 236A Putnam Valley, N.Y. 10579 T 13 -1 -13 Located at (Street �pudding Street kRx. Block Lot Indi cate neares Gros "s street) Municipality Town of Putnam Valley Watershed Hudson River SOIL PERCOLATION TEST DATA RF.OUIRED TO BE SUFMITTED WITH APPLICATIONS Note: All holes re- soaked Hole Number CLOCK TIME PERCOLATION PERCOLATION" Run apse Depth to Water water 7evel No. .Time From Ground Surface in Inches Soil Rate Holes Start -Stop Min. Start Stop Drop in Min. /in drop 30 "deep Inches Inches , Inches pp #Ia'H' 1 8:00 -8:33 33 15 18 3 33/3 =11 2 - -8:34 -9:07 33 15 18 3 33/3 =11 P.T.H. #2a —L R-05 -Role 33 16 19 3 33/3 =11 9_. :R- 3A_A -1 V1 16 19 3 33/3-11 P.T.H. #3a _1 .3:10- 8:46 36 16 19 3 36/3 =12 �__._: 2..� 8 .47_Q •23. 3.6• _. :1.6 :.:___' :_1.9. 3 X36/3 =12 _ ......'�._.. Holes 54 "dPPn ' P.T.H. #1B-- I `A- 15 -R-4R 33 27 30 3 33/3 =11 _2 ' A:49 -9: 2.5 33 27 30 3 33/3 =11 P.T.H. 02B —i .8 20 -8 :53 33 27 30 3 33/3 =11. 2R -S4 -9:30 33 27 30 3 33/3 =11 P.T.H. �3B 1 8.25 -9-01 3(; 28 31 3 36/3 =12 Notes: 1) Tests 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 t�� be made from top of hole. TEST PIT DATA REQ'[:,IR=!j TO BE WITH APPLICATION DESCRIPTION OF' SOTL` ) ;COL IE T11 TEST HOLES' - '-F P.T.H. deep P.T.H. precolation P--- T .-H�.<e-percolAtio'n i DEPTH HOLE NO•test hole HOLE NO -test holes-lA, 2A HOLE NO-�IeLt'holes-lB .2B i .7 B i�ij xn f f Top Soil Top aSoil 611 sand Stones.Clay Sand,Stones,ClaV 1211 2411 If 30" 36 4211 4 if 8 54 If 60" If. 6611 7211 78 8411 12011 if INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED N/A ii TESTS MADE By Joel Green erg Date 11/9/77 DESIGN Soil Rate Usedil-15 Min/1"Drop: S.D. Usable Area Provided No. of Bedrooms 3 Septic Tank Capacity 1 000 Type Type Pre-cast conc. Absorption Area Provided By y6 L. F. x:R�" =�k erPre-cast conc. I pys - 41 x4l Name Joel Greenberg 6igna a '4n0_e_A- . kt.�JIL&v Mahopac., New York 10-541 SA Address RR:08 Muscoot North L IV_ INN THIS SPACE FOR USE BY HEAUPH DEPARTMENT ONLY:, LOP NF-j�/ Soil Rate Approved sq. Ft/Gaj. Checked by Date h b `2 O $/O 500 �� 500 uj d , a J J �6 a y � 4 1 v A X96 i E lO.�O d Rlsin.��ilr" A V o f.A �0 u 4 51, m� �mm• W = ♦ ° Ee o- W Q $ O p W10 u't.s,m'` a �.N r ut a O R o-a Rp az QW ►� Q O O w WooC. 'm Oopa• 0 '+Ca7 i iz .0 73 -� l �bz t� o t" 0 S 2 o U v, w�T S a Z � z 4 J�O �TQ