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(.represent that I'am' wholly and:cor
:.above describ .ed„w ill, tie,construcfe_d, ;�
County - OeparfnienCot ,Ae4I'6: - or
be submitted to `the. - Department,
place .in' good operating. condition
once ;of "•the..approval of, the .Certit
will be located as'ahown or the apps
County 0epaitment Of Health
Date
f".
APPROVED FOR CONST
- 'revocable. }or 'taus or' ma)
.. roquires ,._new mit
Rev.
1/87 ;; Date
�TION This approval ;expire.
amended ;oi �rnoddied, when_
roved Ior - disposal'of dome
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UPPER LEVEL 703 SO. FT.'
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PUTNAM COUNTY DEPARTMENT OF HEALTH �
HOUSE PLANS APPROVED FOR
5-,,9 `apt , 1' !
BEDROOM COUNT ONLY;
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L BEDROOMS
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JOEL' LAWRENCE G EENBERG
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ARCHITECT - TOW1j :PLANNER `
Signature &Tit e
RR k 2 MUSCOOT NORTH O
MAHOPAC, NEW. YORK 10 41; +�d'
(914) 628 -4403aol-''---
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PUTNAM COUNTY DEPARTMENT OF- 'HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Re: Property of I ngeborg Stauder
Located at Arbutus Street
Section TM 16 Block
Gentlemen:
q
Date April 18, 1977
Lot 137
This letter is to authorize Joel Lawrence Greenberg 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
promulagated 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.systems in conformity with the pro -.
visions of Article 145 or 147, Education Law, the Public Health Law, and the
Putnam County Sanitary Code.
Countersigned:
P.E., R.A., #
Box. 417 \J
Address
Katonah, New York 10536
Very truly yours,
Signed
Own er of op rty
Arbutus Street, Roaring Brook Lake
Putnam Vallev, New York 15079
Address
528 -4676
Telephone
914- 232 -5033
Telephone
-.wr:�..s - �. �l �l��• �Ta. r,-. sra. a�l :.t...i.�..�.s.w'.:..— .4�a.�.a .'.w'e.t «�Sr.:�.�. v..c- .+tw.. ..�..: �:.. -.. .0 — - 1.lJ U :�.T:..S'.:ir�aF'.. ^:+. .av_ ��...G� a.Y� __-_
fl• f Its •-p)C111 ••
) "0. s FO
`Praj);rty :Lines or coy-ner:3 found • • � • _ � -- _ --- -M- -- - -,_�ti
Cron estivitc ho,-,.,;c location a
Vill drivovay need cut 0 0 0
Mw-,t trees be rclnove;d -note they e - - --
Is deep hole reT)1-c:sent�tive of. entire STNS a,r. ea
M)C ° jo
S111'.f.i.cient SDS a.rca ava:ila.blc co ;
s:i.deriI)� dri-veway cut, house location, scparation .
dlstancej, etc • a e • "o • • • • o •• s o o — —
DEEP ROLE, Mr'PA
I)cpth : �
dater elova.tion: 9 0�
o `
Elock elevation:
• So_i:ls descr:i r, t- on:
WqL SITE Il ?SP CTIOiT Insn. bv: .
louse located there shown on approved plan •
�Ta^ hocat��c %�t�h °re - a:ppro :red- ., .. • .: o 0 .. _...- _..- _........
-- t -
... or t
Fl o;
s i 1��: li re and' trenc:� wccept?ble
loos, allow ed for expansion trenches . • •
►ver 50 ft. ` frcm swariu, N.;aterc ours e . •
natural soil not stritOued or SIB .area
unnecessarily graded- . • . •
0 ��L.•. L�.aintai:ed frc „� prop line and
20 ft. froiii 1-louse . . . . . . . ... . •
eparation of trench from house, well
etc. follows plan . . . . • . • • 0 • , •
weber of bedrocros checks . • 'a 0 • • • •
tens, brush, stumps, rubble, etc. greater
than 15 ft. from near.- st: trench . . . • •
5 Ft. of peripheral soil horizontal .1;�- from
trench . ' . . • . • . . . . o . 0
auction box.s properly set
Auld surface run off from driveway., roads,
ground surface, etc. cli.rlinel near SDS
area • • • • s e •,. • • • e �• e o �• o o • 0 0
)es 16t drainzCe anrcar 0.IC. in area of SDS
11NM.L GRADING OF. SITE ACCEI?Z Bmi °
'__' F__O
RE, VIE'4ti CIT'CK S.=, T
4 Meets Std.( Remarks
es No
DOCUMENTS
House plans'O.K.
Design data sheet I
Peres presoaked?
Min. 30" perc test depth
Const . results for 3 runs I n
D. Hole log O.K. t> 4, P
Corporate Affidavit for other than :individual i AJ1,4 I
Authorization for engineer !
.Letter. from Water Supply if applicable
If variance requested -such noted on plans & apps.;
I
DETAILS
if change is proposed,)
Existing contours shown show new contours)
Slopes for driveway cats, etc., shown I
Water service line location
Footing, drain, etc. location I
Top slope, bottom slope of fill
Percolati.on._test.s and deep .test. pit location._
Septic tarik'size and conformance to std. _
3 B.R. house minimum I
House setback shown I
Dis.t.ri -at-I 1�0'_ f'f rr bel o,.T f rost_ (N
iii water wit.iun Du rL . of rig snotiari
Plan and profile SDS
All other. WAPAimm@oad SDS closer. 200'
shown or reference made y
Property boundaries (metes and bounds - clearly shorn,
SEPARATION DISTANCES SPECIFIED ON PIAN
10' to P.L.
20' to Foundation walls i
100' to Nearest well
50' to stream, march, lake, etc. incl.expansion JI I
15' to Curtain drain
10' to water line (pits -20' ) !
15' to storm drain
10' to large trees I 1
10' from foundation to septic tank I
5' to pipe from leader drain & footing drain _
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner Ingeborg Stauder Address PutnamsValley, NewaYorfc 10579 Lake
Located at (Street )Arbutus Street 999. TM16 Block 6 Lot 137
(Indicate neares cross street)
Municipality. Town of Putnam Valley WatershedHudson River
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
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
18:00 -8:33 = 33 15 18 3 33/3-# 11
28:34 -9:07 = 33 15 18 3 3313 = 11
39_x8 -9.41 = 33 1s 18 3 33/3 = 11
4
5
18 :05 -8:38 = 33 15 18 3 33/3 = 11
28:39- 9:12 # 33 15 18. 3. 33/3 = 17
39:13 -9:46 = 33 15 18 3 33/3 = 11
4
5
1
2
3.
4
5
Notes: 1) Tuts 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. 1 HOLE NO. 2 HOLE NO. 3
G L. Topso,.i 1 ..; ....... _Topsd_1_
Tops6 kib
6„
12" Sand & some clay Sand & some clay Sand and some clay
18"
24"
. 30 11
36"
42"
48"
54
60"
66"
7211
78't
84"
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED --none
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED N/A
TESTS MADE BY Joel Lawrence Greenberg Date December 28, 1976
M.. ....._
F. D�SIGN
Soil Rate Usedl1 -15 Min,/1 "Drop: S.D. Usable Area Provided 5000 sf
a
No. of Bedrooms 3 Septic Tank Capacity 1000 �- o q� e pre -cast concrete
Absorption Area Provided By 375 L.F.x2411 ' ♦ �RE��� trench.
4v �' ��� r
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NdmeJoeT rence reen erg lgna
Address Box 417 *X i I
_K_atonah, New York 1053 �0 6
01105 �O
NE
THIS SPACE FOR USE BY HEAIII'H DEPARTMENT ONLY:
Soil Rate Approved Sq. Ft /Gal. Checked by Date
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