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HomeMy WebLinkAbout2369DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.14 -1 -56 BOX 20 Lo �,' Ir go ■ �. f ,.r q J6 02369 ance, of t of I Construction Co Oe ppp�,qvm- 1 "hied as showrf on tl�O�,Oppro*edlilah'and :,thi 9ca :'.county besiaArnik of f4eaIth.:',- OOF 'aAddr .,,,.A pp AOVED FOR CONSTRUCTION '.T" his approval expires c revocable jorIcause or. may t or mod if Ied when co' Date- - -Town ,lor: Village -.-:Bhjc ix/ z Space Square .Fe separate '-,sewage ' diipbs.Al systemt-" with the sta q Oult s6vleg"O"41 ulat-igns.oIf,.:,the,. P-jtqarn -§'f Healthwill �jolian I c� ;OMMij�i6ner , z: will ,So Ahe date.joIr the lssu,.: j; that illwrvirdll d6scribed:" above - ' the; .a r q etio of the � P.dtnarn nstruct een.undertaken and •i ev of --cti of'-'k66 Iteriti6n -c6n'siru on Title t - " PUNANF COUNTY DEPARTMENT* OF HEALTH} z _ 5 s ONlslon of; Environmental Health Se�wces Carrrjel N Y 10512 GONSTRUCTION,PERIVIIT FOR SEWAGE DISPOSAL SYSTEM,p,a y Town o Village ; Located at—�� z5ection �� Rln �_ a Paz Y cic �— Subdivision /i o9 /f�. o� Lot _ / Job _ e OWner ,Address° i KP FBUilding TYPe �s z�Csid �aGr Lot Area t Npmber of� Bedrooms � � Total Habitable Space ' � � � c'' Square Feet _ Separate .Sewerage. System to cotlsist of Gal Septic Tankd ' lmeai feet X ' 4 width trench r'o be co strutted by 3.. -"re Address E. iWater Supply ` Public Supply Fcom r 4... �. '> F xwate Supply to�be drilled by ` x a; � 1. }'�s',' � � 1rr.a::., . �r "r r z "-'"� Llddress' k r = `Other ReQuiYemeflts L� dk "•�'' �•-r a _Qa �. - nr us e' 44: 'h represent that I am whollytand completely.?responiiLile,for t_he design -and location, of ;the proposed sy'stem(s) "ljthat{ r�e disposal system ' -above described wall pe icon Strutted as §h6w•n on th8_dpproved''amend ment there to and��in aCCOftla nce with tfiestantlar� ` a o -the �`_��nam" 94 Y .� i, , 9�, Courity' Department of .Health, and that.on completwn thereof a . Certficate of Cgnstruction Compliance sati sjpct -� • (�p� pi �i�r of Healfliwill '.. 'Z66716 bmitted to,the{Department antl aw_'ritten guarantee will befurnish¢drthe, owner,,his''successors , heirsor= dSsig.he;'bli - place in gootl operating conddion an .- `art''of said sewage dis o'sal s ?stem durm the' _ _`� Y :P 9. P Y, Y v. 9'__ period of two (2) years atel '• o loifg.lhed e<of the' i'ssu- ance of theapproval of the Certificate of`Construction Compliance of the orlglnalaystem -wor any repairs hie tN- �Iled, i scribed above'. 2 _ will be located assliown`onthe a ' ` ` x pproved plan and ,that said Wellxw�ll be installed �n accordant ' Wdh the, s ndaras rW2s a; wnoo�'�he PUtriSm County Depa/r�tment of Health rte^ • f 20 0 Date • a " o ••' � Signed G'r Pa;R A 3 � �- • .!r` o f Address ?l`5 " /Cf7 mfr:' tea? rw ✓_; 2489 •� 6® e.r 7 7, E - 1�i77iisp+Nb.h'� try $APPROVED FOR,44;_ NS {TRUCTION This,approval °'expire ,one ye from t `y ate i_55ued unless constructions "of they l of le gundertaken and' i; r ►evocable fora us`e or aybe amended or modified „when o,hs�tle neces fy o �sioner -of Health Any cha of const�ucfiion.' requues a” ne permit 4pproved for disposal of.'dom stic itary se .9 and/ zfspr' water supply only vlpl 4.�`"�: $ � '� �`� w ,r ,^..t. ,`� `^ Az,sp; z` � � +�} r _,..�.� � r "k° rs:'r `� �, - fir.., µ .•� 5 '� -a. TI'J s VO Cotr�cr,c�n�,�c Prop ;r. ty a.ino_s or. _cQrnex':3 _ round.. - •Gt�l) Vill drivcz,zy n :cd cut 10 trees be r^roovc;d -note the Y Is (Icep hole reln °c:sentativc of entire ST)S area - ^dd:i_I;:ion.�)_ dc;en holes nccdod. .. A _ 3O1'f i.cie;nt SDS a.r. ca available c:ons:i.d-rit)�; . dr i_vew, y cut, house locat:i-on, separ. a Lion . distances, etc.. )r►rp FIOLr 12 1Tt1 •. Ilcpth Water elevation: d` . Elack elevation: / Soils descri T3ti On: -Date: - 'IRAL SITE PISP CPIOi'•1 Ins-D. by: . Ouse located where shown on approved plan _ IBS 1orated''tlI?ere a,ppro -d . . .. . -•. • . �� _ lop-a of ti le, li n.6 'and* trench acceptable _ L oom allowed for expansion trenches • • 4 ver 50 ft. fram svai>>u, t.;atercourse - ---__ atural soil not stripped or SDS area unnecessarily graded - - -- "P L' .. maintaiAned from prop.line and 20. l't from - souse.: ;paration.of trench from..house, well etc. follows, plan . imbc;r of bedroc-ms checks ... :ones, brush, stumps, rubble, etc. greater -" than 15 ft. from nearest: trench i Ft. of pheral soil horizontal `y. from trench . • . unction boxes properly set ►uld surface run off from drivev;ay, roads, . ground surface, etc. ch -annel near SDS area yes 16t dr. ainare anrca,r O.IC. in area of SDS 11 LL GRADING OF. SITE ACCEPTABLE ,.. r 4 RI�VIEtT.. CIIECK SHEET DOCIIMT ,PNTS House plans 0. K. Design data sheet { Peres presoaked? i Min. 30" pert test depth Const. results for 3 runs I D. Hole log O.K.'i Corporate Affidavit for other than individual Authorization for erigineer I Letter from Water Supply if applicable �6 If variance requested -such noted on plans & apps.t ets Std. DETAILS if charge is proposed.,) Existing contours shown kshow new contours) Slopes for driveway cuts, etc. .shown r Z•Tater service line location Footing.drain, etc. location I , Top slope., bottom slope of fill ► { Percolation tests and deep test pit location ; 1 Septic.tank size and conformance to std. i I 3 B. R. house minimum Ho -se setback sown Mat „. , , x11 .waLe.L' vit -D_ n. U1. C:L 611Vw11 -` Plan. and profile S.hS ,�,/ I ...........:..:.:: .:..;..:: _:..:.. _ ..:: All other wells and SDS closer 200' j shown or reference made Property boundaries (wetes and bounds- clearly shown SEPARATION DISTANCES SPECIFIED ON : PLATv' I 10' to P.L. 20' to Foundation. walls I 100' to Nearest well 50' to stream, march, lake, etc. inei.expansion 15' to Curtain drain 10' to waterline (pits -20' 15' to storm drain 10' to largge trees 0' 5' fo rom foundation to.septic tank pipe from leader drain & footing circ, �A . a - 6- J I I 1 I r.: PUTNAM COUNTY DEPARTMENT OF HEALTH - -OP tlWrR©1ftNTA — HEAT, -TH SERVICES_ _ Date SEPTEMBER 12, 1975 Re: Property of LORETTA_T ITAN IA SANS Located at goARING BROOK LAKE - PUTNAM VALLEY.N.Y. Section_ B B1oc1R.g.LK.MAP Lot 14 Gentlemen: % i�,l c% CiV This letter is to authorize a duly licensed professional engineer X 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 VVAJW=- -:LiU11 w-LLn bi_lb maLLev anL1 to. supervise the constiuc-ciun of Said system or systems in conformity with the provisions of Article 145 or -- - - -- - - 1 -47';- Education- Law;:- the Public Health Law; -and the'- - Putnam County Sani- Lary Code. ... yN.t. F G Countersigned: ����� of Nirw I,, P.E., R.A.,�. Address t �; Ile.��y��0�••��! 489 '� i ?�`�' f• - Telephone Very truly yours, Signed -') -" _Q�c.;=— Owner of Property Addr4ss YV lllaai 4� j� Tele ph onfe PUTNAM COUNTY DEPARTMENT OF HEALTH -... DI.II5ION .QF., .ENVIRONMENTAL . HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner,,� j Par %vr r ��o,� 5 Address �`�' J� ae Located at (Street ,A �•,;1-s `j�l Sec. / Block �- Lot inndica e nearest c oss street) Municipality. Ito /'�r7 a,7,7 Ile, SOIL PERCOLATION TEST DATA Watershed�s�.%i,v TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION apse Depth to Water Water Levei No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 24 2, 3 3 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. 44 kit ow y Ps a 0 A 2.40 t I 41-y 0� ea�e�, - ii /4 oq 13 -1-J I- v —f T� l t � [g� a =may s.' •" }� ..+--t- , -•:r`: s a z z Mmm Or Al AW 't 7 ff gi �r t- �`�t s ol.�� -� All 0oc r