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HomeMy WebLinkAbout2363DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.14 -1 -43 BOX 20 02363 , 0 IT IL al LL 11 r1�6 : 16' 02363 .....:. cr. R?. e�srTir _sl•�''�.YR�'•1�.."�r�r.'? >_ ,.. vim. ^I: ��.:x r •Yq"h...l T^m .5;:.y :,...?,_.n'3^ ,. fir: r r•�1 =+ ., . -4"'� +�M Lwii".rS:.M :l n�...cY pyl� 1 B -q7 .may...;... PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services Carmel N. Y. 10512 Water Supply: Public Supply From Private Supply Drilled BY p i�,� % —T� Address Building Type No, of Bedrooms Has Erosion Control Been Completed? I certify that the system(s) as listed serving attached), and in accordance with the sta / _ v Date f. Ad fs Any person occupying premises served by 4fd conditions resulting from such usage. Ap i available and the approval of the private wate subject to mo ification or change when, in th Date �.� ly as shown on the the permit issuetl, Date Permit Issued of the completed work (copies of which are the Putnam County Department of Health. P.E. 1--" � R.A. License No.�'r' i ro tly take such action as may be necessary to secure the correction of any unsanitary age system shall become null and void as soon as a public sanitary sewer becomes c II and void when a public water supply becomes available. Such approvals are E issioner of Health, such revocation, modification or change is necessary. BY �� ' ✓ Title " /' i CERTIFICATE OF, CONSTRUCTION, COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM 'p;g) e;;;-:- %��✓rti:�.,�� l+,- r• -t -- y� Town or Village p kL- Located at Sectb" `" Block 'F i �Cs� l . •� A- ,s >� i�f Owner — ot -4 Lot Job Separate Sewerage System built by f " S; I 4xo is / Address L+ l t- ~ r ¢L y h Consisting of 'n Gal. Septic Tank lineal Feet X width trench Other requirements '�-1 D�--k/s C. ;A— `%/•?'id 0S_:1-4 1 a1 0 Water Supply: Public Supply From Private Supply Drilled BY p i�,� % —T� Address Building Type No, of Bedrooms Has Erosion Control Been Completed? I certify that the system(s) as listed serving attached), and in accordance with the sta / _ v Date f. Ad fs Any person occupying premises served by 4fd conditions resulting from such usage. Ap i available and the approval of the private wate subject to mo ification or change when, in th Date �.� ly as shown on the the permit issuetl, Date Permit Issued of the completed work (copies of which are the Putnam County Department of Health. P.E. 1--" � R.A. License No.�'r' i ro tly take such action as may be necessary to secure the correction of any unsanitary age system shall become null and void as soon as a public sanitary sewer becomes c II and void when a public water supply becomes available. Such approvals are E issioner of Health, such revocation, modification or change is necessary. BY �� ' ✓ Title " /' BACTERIA PER ML.. (Agar plate count at 350C). COLIFORM GROUP (Most - probable N6: /100ml.) Aess, HARDNESS, TOTAL - ppm DETERGENTS - ppm " NITRATES (as N) - ppm;' IRON, - TOTAL: - MIA These resultsindicatethot the water was . fires of a satisfactory sanitary. quality when the sample was coils dd. 0 A. H. PADOVANI, M. T. (ASCP) WELL COMPLETION REPORT 3/71 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK This�rg. ppq;:isn tO,,be•,cofnplgied,..by. wP.1l_10l1c.r and:submitted.to. County Health-,Department together - with - laborator..report of 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 f% ¢ '' r ADDRESS LOCATION OF WELL (No. 6 Street) (Town) (lot Number) PROPOSED USE OF WELL DOMESTIC ❑ SUPP Y BUSINESS El ESTABLISHMENT ❑ INDUSTRIAL ❑ FARM ❑ CONDITIONING ❑TEST WELL OTHER DRILLING EQUIPMENT ❑ ROTARY. n COMPRESSED �J AIR PERCUSSION El PERCUSSION PERCUSSION E] OTHER (Specify) CASING DETAILS LENGTH (feet) / DIAMETER (inches) tf WEIGHT PER FOOT ® THREADED ❑ WELDED DRIVE SHOE EYES ❑ NO WA CASING CMG G�OjUTED7 LEI YES [JUTE NO YIELD TEST BAILED HOURS ❑ PUMPED © COMPRESSED AIR G.P.A. 1 YIELD (G/.P. .) WATER LEVEL MEASURE FROM LAND 1 SURFACE —STATIC (Speclfyfeet) feet) DURING YIELD TEST f !�±D.pth of Completed Well feet below Land surface: SCREEN MAKE LENGTH OPEN TO AQUIFER (feet) 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 permanent landmarks. FEET' ' o FEET ,t72� i BOYD ARTESIAN WELL I If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE ELL OMPLETED DATE F/REPORT WELL DRILLER (Signature) ROUT. 52 /Y �� 'O. C n F � /7 Owner r Purchaser of building. Building Cons .truc.ted.by Location - Street a Wn Zc � A Y - --- -.. ILI L Block Building Type 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 successors, 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 occupant of the building utilizing J The undersigned further agrees to accept as conclusive the determination of. the Director of the Division of Environmental. Health Services of the'Putnam County Department of Health as to whether or not the failure of the system to operate was ,c.aused. by. the.willful or negligent act of the occupant of the bu' ding utilizing the system. ^. Dated this day. of tl.L7— 193 Signature Title (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. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division, of Environmental Health Services, Putnam County Department of Health PUTNAM COUNTY DEPARTMENT OF HEALTH _.._ _....... _ DIVISION OF :ENVIRONMENTAL HEALTH SERVICESi COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. owner, FeAWeIS Nl`CAPVk�i Address �a'L �apG�EU.`o�sA AUE YO &a -c- -Qs Located at (Street) SAO =T 'T Sec. Block is Lot t C> n i.ca e nearest cross street) Municipalitye.?LT&JAM 1'ALLEK _Watershed &CCdl ! i'j6 r L, " L-'' t.J 6;?,Vo X_ SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH - APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Dep o Water Water ve No. Time From.Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches Pa 1 1x'. 14 . �:os' 2 ?.-Z 1 (a 19 '5 ..7.o 3 1 Ac z;02. ZZ. iCo 19 7, *3 4 5 f g:, 2 �; �� 1 4S 'It, 7-'5 i )9 7, 4. 5 1 � - 2 3 � . 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. 8 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION; OF'_._S_OILS ENCOUTV�f.= .F;RFD IN .TEST:- HOLES: -. DEPTH HOLE NO. "7+ HOLE NO. HOLE NO Dee tp Ezr- it to 11 611 C 12 P_RCE CLA' 1 Q +l 1811 2411 1/ 3011 36'1 q IU p 11 ,r 91 • c�Al� �F �lt -�►`P 1( - 1� +{ u Address THIS SPACE FOR USE BY HEALTH DE Soil,Rate Approved Sq. by. Date +{ 4211 $ "t �= = !1 _ 0 t 1 5411 60111{ +i 66" .� `y� - +i 7211 q i +'t 78" 841'' INDICATE LEVEL AT WHICH GROUND: WATER IS ENCOUNTERED 4;' INDICATE LEVEL TO'WHICH`WATER LEVEL RISES AFTER BEING ENCOUNTE . TESTS MADE BY a , .�. L- A kJ e P_ Date ,C_ DESIGN Soil Rate Used 10 Min/1 "Drop: S.D. Usable Area Provided Scoo �1" No. of Bedrooms FocJR— Septic Tank Capacity ' �oJ Gals Type MA�o0.3�y �; trenc Absorption Area width Pro ded By 2 <- L.F.x24" 3b� . /r Other u Address THIS SPACE FOR USE BY HEALTH DE Soil,Rate Approved Sq. by. Date 4 V STANLEY J. LANDER, P. E. CIVIL ENGINEER BOX 267 -1-COR. MAHOPACAVE * �&`WA TEITGNTE . 0 R AMAWALK, NEW YORK 10501 AREA CODE 914 24S-264S June 14, 1973 Mr. Francis IvIcCarvi ' ll 112 Ridgewood Avenue Yonkers, N-ew York 'Re: Septic System on Short Street, Town of.Tlutnam Valley.. POU-nam County, 1111-aw York Lot ot 103,Block 1, Tax '.Map 16) Dear Mx. McCarvill: I inspected the above refer raced septic system and have not accepted it for the following reasons: 1. The Contractor failed to Ulow the contours and consequently wound up with cover over the trenches up to 3 feet (specifica.tions allow a maxima um of 1511) . 2. Sinc.,e the fields are so low, it is my opinion that during wet weather th.e distance between the bottom of the ttlronch c-..nd the ground water ta. .1.e is less than the requir--ed;-tw-o Jfe t..'.' The percolation tests for which fields were designed for were taken to a depth of 2414. 'The soil in this area is very good.. At the depth that th-e fields no,.,,, ex-Ist the soil has little percolation. 4. The gravel used in the trenches is too small (speci-fications provide 31411 to 2 11211). -L -ain drain is not wdd.e enough. (The minimum, width is "he cur would recomme-irld thle following, procedures to correct t is system: 1. Install a new curtain drain to m eet at a higher elevation or,. the proper y. - 1 - Mr. Francis ',41cCarvill rage Two T une 141,1973 2. Abandon the existing, fields after, filling same with approved bank run gravel. 3. Install new fields as shown on the plans following the contours and keeping the correct range of cover over th-e fields. Use the correct size gravel in the trenches. Very tf ly your S.11 L: bl /Sta nley J� ad/der cc Tot Putnam Count� Dept. of Bealth Di-.rision of .18nvironmental eal't'h Services Count-y Office Building Carmel, New York, 10512 Att: "11,1r. 6j ames DeVito cc Tot B. cs T. 1 ynes Con-st.., Inc. Mahopac, New York.