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02374
DEPARTMENT O Y�EALTIi;' Permit 81.
of "Environmenia 1. Health, S&VICIRS,
CONSTRUCTION DISPOSAL SYSTEM lal ley
CONSTRU
Town -or
-7 illagg
7,77,77.
-8r66ktfde Avenue & Sf�ort St. Z..'Tak Map.
ro
Roars 7,
'Subdlvlsiori ' 0 0
Gardner;)
11 J/ _O.Yer,
4�n`
�.'-`IstnerAacirgsgTerry U'd Approval iZ -
d
44,i
'Lot -Area 4iil, S6ctf&h` bnij
Z
.7
Ano �N� -!_.�ation: Y.PS
r _q a a
Num6e -.'di,B Bedrooms I rAO! D� i7.d
7: Pltced)
Sewerage System, to, consist-of-'_ Septic T" a- nk Kd
te 'eWera 'a
fri
'iepii�a 60 31
To be.eoi4ructeid by
a eras
77777 777777
Witir Sijpp!y: Public Supply -:*;om#,�
Private Supply dhileii.. by:j
7
k?,
0
; "1 F 0
t �1eqp_!p:ne�n t -4
s.
alarm. 'L 4)
heAes!g'Oandjqjqat1on.rof the -propps
+represent OM11 am and corhpletdlif,�re;so�hsibl6Lfi)'i-t" -- - that the separate a a Sre� � system
above descr ib6d will be constructed as shdw�n=on the approved amendernerei-thaiii tio'ind* in accordance I ,,�ith-,theitandard L s, ' rules a !egns of the Putham
the . I
County' DePaitment of �- Health,, - -and that on completion thereof a 1164tifi6i VtPnst.r'ect ion Compliance satisfactory to he Commissioner of Hea th we
Certificate i
4eWbrnitje�d�'to the DqpAirtrnent,- arid. i`v�ittiri',guarantee th owner, his iu�cc4ssdeii, h6ir�'or assigns by the .builder ,.-thit said builder will
in:, good operating condition any -par d t
t.:o siwaiipe 'disp sai -_du'rimp ;the Period of'tWo (2 years Immediately follpripg-the a a of the lssu-:
P!qcg -9 ih a PproVal of the ti'rtiiiciiti-4�f*�-C , s t6r6lio12j4hat'the drill6d,wel , 1,"described above
ance of 6�striic�iloh Compliance, 6601nai system any
st
will 64, located as.shown on •the eppro , vi;d'pla�ni-a-n-ii-ftiat said welt will be- installed'. in, accordance with - the --standa ds,..iules. and rec`PaTron; _-of the Putnam
m
Xounty, Department of 'Health.
Ej "0
ate'.
'9-2
RD #9
7
an
Fair S
r _7
0 V D-'F`O` :,is'
APO RUCTION Tn't Ake, i ction.;,ol, the s, _.undpr"�en,.a d,
,'."R R,CONST ' _.J building, hi -.biaerj
.. .... ifled W ih re tion -of,const ction.
:revo-�abie'�for. j6pu 'bi ii lth.e A y
e-amen6id— �b
Se or may,
hin, onsidered, n cessa th a
eq 4-."hew._,Permit. of zd mastic r id
/ol
r u ireii rove !A /ol ,.only. = BY Title
Rev ,.g
M
E
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date 28 October 1983
Re: Property of Terry A.& Michael Duggan
Located at Brookside Ave. & Short St.
(T) Putnam Valley section 16 Block
Subdivision of Roaring Brook
Subdv. Lot # 183
Gentlemen:
3
Lot 8
Filed Map # 308A Date
This letter is to authorize John H. Prentiss
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
connection with this matter and to supervise the construction of said
z system or systems in conformi.ty,with the provisions of Article 145 or
147, Education ]
tary Code.
ealth Law, and the Putnam County Sani-
RD 9 - Fair Street
Address
: offftlaylkka�
Telephone
truly yours
s
d Terry A.& Michael Now
Owner of Property
Street•
Address
(914) 69,9 -0866
Telephone
PUTNAM COUNTY DEPARTMENT OF HEALTH
C Division of Environmental Health Services, Carmel, N. Y. 10512 51982
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley
own or�village
Subdivision Roaring Brook, Lot #183 (Filed Map #308A) Lot 8 Job S01982
Owner Grover L. Gardner Address 25 -45 14th 'St.
Building Type Frame Lot Area 25000, ± Long Island City, NY 11102
Number of Bedrooms Three Design Flow 600 Gal. Total Habitable Space 1092 Square Feet
Separate Sewerage System to consist of 1000 Gal. Septic Tank and 333 L.F. x 24" Width Trench
To be constructed by ? Address
Water Supply: Public Supply From
X Private Supply to be drilled by
Address
Other Requirements 140 Yds. 3 R-0-B Fill Effluent Pump In. Pit
I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system
above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regulations o the Putnam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill
be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will
place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following the date.of the issu-
ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above
will be located as shown on the approved plan and that said well will be installed in accordance with the standards, rules and regulationsoof the Putnam
County Department of Health.
Date 20 October 1981 Signed P.E. X R.A.
Address R.D. 9 a tr S _ .6el. License No. 29206
APPROVED FOR CONSTRUCTION: This approval expires one year from the date issuedoqrMns, construction of the building has been undertaken and is
revocable for cause or may be amended or modified when considered necessary by the C mmissio er of Health. Any change or alteration of construction
requires a new permit. qproved for disposal of dome sanit sewa nd/ r pri ter upply Qnly.
Date _A"� 1 `� y By Title
�A
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date 15 June 1981
b�•
Re: Property of Grover Gardner
Located at Brookside & Short Sts., T. Putnam Valley
Y54M Ub`fK Tax Map 1A. Block 3 Lot 8 ='
Gentlemen: Roari ng Brook Subd. , Lot 183 Map It Se;.4
�(F; led4�# Y084)
This letter is to authorize. John H. Prentiss, P.E.
a duly licensed professional engineer XX 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
0.:1.l111jt!C LJLUtt w.i i.rl i.ltis ma L Lee' ailu to. supervise Lf1P_ CUI1StY'UC l 1 UI1 Ol SalQ
system or systems in conformity with the provisions of Article 145 or
147, Education Law, the Public Health Law, and the Putnam Cary i
r M
tary Code.
0 [;
tE,t� +�` ask
PUTNAM COUNTY DEPARTMENT OF HEALTH
�, -_•- _ __ _DIUISIOL?- _QE— ENYTRONMENTAL-.: .L -H $ERYJCE -. `?. 498 =:
.COUNTY.. OFFICE BUILDING, CARMEL, N. Y. 10512 r,
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE 110.
Owner _. bet .S=F.
Tah M '
Located at street L � &a. 6 Block 3 Lot 8
��� �Jj
ate. nearer cross street)
; (Zoarinq graak Sebe��j.aott183 Na/''1t S�c./4.
M�znidipal� t_ ... a WatershedeJF �, j) �r fed Kap 3a8Ai
•SOIL PERCOLATION TEST DATA REQtUIRED TO BE.SUBMITTED WITH,APPLICATIONS
5 _
Notes 1) Tests to be repeated at same depth until approximatelyy 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.
oe
Number :...,CLOCK..TIME
PERCOLATION
PERCOLATION
Run apse
Depth..
o.. 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..
5 _
Notes 1) Tests to be repeated at same depth until approximatelyy 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.
4
m;
y' ------- all fill to be
L- I _4 RO.6 grov
r, a x 34 CTS I d. n Pape, L__ __j �o grction
riot
min.
6"top !oil
to next
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�r'safpvloo Trenc-A P,P! 0,
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e i
to r rn 1. y -aupport,61 to below from line. Fooling tv, exteril to 36"
eroded
stop es'- 2 MUtle'rvi ofe-1 masonry or ,consists Lon,otructiron
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31
!VY A i- C U RT/,l U R AIN right Joint pope ;tc)ffl svr.,Iic 1�jvi' a ft'I b a I ow 0 a n T Yf 1 Fj T
4)l - rnty be roquireco.
dfwu to psbrb &4url riiii,
Ti4
S E C T I O� N lik
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