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HomeMy WebLinkAbout2447DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 51. -1 -7 BOX 21 1 !!k7%6 ' L ' I ♦ , r 'I�`i -, jj No 'N ti : - .Ly. , 1 ;� ' ; +� I, ' No Iq L I 02447 w r - - - - ; PUTNAM COUNTY ,DEPARTMENT ,OE - HEALTH Division of Environmental Health Services;= ;Carmel N- Y. 70512 a CERTIFICATE OF= CONSTRUCTION COMPLIANCE -FOR SEWAGE:DISPOSAL'SYSTEM toll. �i�/I : D1 iq,L.LE� ,�? ® Town or Village Located at !�J/ ��� ,�+ // D' f Section /� Block Owner V ty 5��1 . V / S 2 A �L Lot `i., A. 4 Job Separate Sewerage System built by Address a N J Consisting ofovGal. Septic Tank" ✓� lineal "Feet X. width trench Other. requirements y l 41� Water Supply: Public -Supply From ' Private SuPPIY Drilled BY �� �� �� Address Building Type. `► -� �'� /V —//q No. No, of Bedrooms �' -,,:.Date,, Permit Issued' Has Erosion .Control Been Completed? t ►r!!Hb>1lb�,�. of ., NEW �64 kill � 10 A I 'certify that the systems) as' listed serving the above premises were constructed essentially'as shown on the rssu�0 �4 I (copies of which are attached), and in accordance with the standards, rules and regulations, plans filed,-and the.per it issued ys" thE na partment, of Health. �—s i %� ^ rtified by E. Date R.A. y, ^ CeCe y 7�``'' Address Y w ice .i9 Any •vim • An person occupying premises' served by the above s hems s a I pro '0 ly to c action Kmmay be ne� �y�te c 1;ei tlbn of any unsanitary conditions resulting from such usage. Approval the.separate sewerage system Shelf becofne null and v Ar��� bb Sgnitary sewer becomes available and the approval of the private water supply shall become null and void when a public•watar sup 1a�Irl. Such approvals are subject to modification or change 'when, in the judgment of the. Com ' sooner of Health, such rev o son , 6tlp�%,�hange is necessary. Date BY Title .! I 1' i �� .. l'e N'e •u�'e, D Aw io r. PUTNA M COUNTY DEPARTMEN > OF ,HEALTH 2eu is o Division of Environmental_ Health Services, Carmel,, "N. Y. •10512 . CONSTRUCTIONPERM FOR SEWAGE DISPOSAL''SYSTEM„ '..�UT/e/i9/7 (/�9LL.IFy Town or village Located af. CL G7Lal..C�f/i�•_ Ci/9'/. > Section 2 � Block n Lot Subdivisio . A Job '," Job •%OS�!°� �//`.S8/9aL Eiddress.G /�.$�' G'� s� �.S» /� N.,, Owner w T Q i Building Type Lcs e'= i� /i�L Lot Area Number.of, Bedrooms' Total 'Habitable Space w p� Square Feet Separate Sewerage Syster to consist of 0 Gal, .Septic Tank lineal feet X width trench i To be constructed by Address ' Water Supply.. Public Supply From s Private Supply to be drilled by + Address Other Requirements j( I represent that 1 am holly and completely responsible for the design and location of the proposed systeyols!1f,t1,t.hll )tthe separate sewage disposal system I above described will bil constructed as shown on'the approved amendment there fo'and in accordance witA-f a �antlbrI$% iS and regulations of the Putnam County Department �of Health -and that on completion thereof a "Certificate of. Construction Conw�' �saNNaGLp 90 he Commissioner of Healthwill Place submitted to theIDepartment, and a written guarantee will be furnished the owner, -his succ__p�om, DIAMIb�lral$ig.�1§.p%"t builder, that said builder will good operating condition any part of said sewage disposal, system during 'the period: two ) years im tely ollowing thedate of the issu- ance 'of the approval of the Certificate of Construction Compliance of the original system or b1 irs t to; 2)rCl� Jtth drilled well.described above _w.ill be located as shown on the approved plan and that said well will be installed in accordance"' 1 a r les, r ula ions of the Putnam County Dope tTent, f Health: - r !✓.7 'Date S' ned - p,E. R.A. Address • T�/0 Bg� •� ` ,xm /� 24 §§� ° , nse No. l APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued. Unless o if� Wslding has been undertaken and is revocable for cause or may be amended or modified when con aa* E.se ser of ikillo t�iiange or alteration of construction requires a new r supply on°Ii ss .permit. Approved f r disposal of domestic r ' l `. Title l jog ' 70 -I0Z. q, � PU'I NAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM bv� 42"g-C+JAM yAt_ L1='y Town or Village Located'at BELL i4 pt"t'o�,o RoND - -- Section Block Subdivision ^owner 1 Ro'BER'1- VAQV'--'K'.EEPER .Building Type �E`- 'iDEt.9Cc Lot Area Number of Bedrooms © b Lot Job Address C la -EC- B IR 43> ALP PV"T+.jA4/( .-V r-- t EVU Total Habitable Space 1J S O d Square Feet Separate Sewerage System to consist of I Gal. Septic Tank O lineal feet X 3 I-=H width trench To be constructed by VA, .07 V W P1 Address Water Supply: Public. Supply From Private Supply to be drilled by tid /y 6J bt/ V Address Other Requirements 1 represent that I am wholly and completely responsible for the design and location of the proposed sy01] above described will be constructed as shown on the approved amendment there to and in accordance aq 0 County Department of Health, and that on completion thereof a "Certificate of Construction CQ�';6 be submitted to the Department, and a written guarantee will be furnished the owner, his suQcr.�F�mF place in good operating. condition any part of said sewage disposal system during the pei of tV ante of the approval of the Certificate ,of Construction Compliance of the original system or ar�c�,epai will be located as shown on the approved plan and that said well will be, installed in accordance yvith,� e County Department of Health. Jo,6 E PO V9 Date . Signed Addressdt-� APPROVED FOR CONSTRUCTION: This approval expires one year f m the date issued unless Ps7f�F�Y revocable for cause or may be amended or modified when conside[e' cessary by the Commission ,69,r requires a new permit. Approved for disposal of domestic sa sewage, /o ate er suppl Date By < years a"( ,Wereto-,;� rulg Ae • the separate sewage aisposai system ules and regula ions of the Putnam sir�o the Commissioner of Healthwill l b�„the builder, that said builder will i. iiatejy following thedate of the issu -I 641:11he drilled well described above .and regulations of the Putnam e .. r� e P. E. R.A. �yLicense No, Building has been undertaken an change or alteration of eonstruc' j Title PEEKSKILL MIEDICAL LABORATORY 1879 Crompond Rd. Barclay Plaza Bldg. A, Apt. 1 Peekskill, New York 10566 , RESULTS OF EXAMINATION OF WATER DATE COLLECTED �R .` iL ::EE 72 CITY, VILLAGE TOWN & /OR NE :�' `� REPORTEV' �` BACI'ERIA.PER ML. (Agar plate count at 35 C). COLIFORM GROUP ((Most probable No. /100 )ETERGENTS - pp NITRATES (as ^N) - ppm IRON, TOTAL - ppm, LOURIDE (F)--- F) - - ppm PE 7 -8777 These results indicate that the water was` -- "' of a satisfactory sanitary qual�it when the sample ra`s colt Zip.�� A. H. PADOVANI, M• T. (ASCP) ,�x g a he /,ce, P� t7 j F.o j 307 fiA a I. a i TA A' .AMP.. ? BLoclk . " LOT AS CONSTRUCTED 7 PL O T !'""LAN .RPI '' j SEPARATE' SEWAGE'DISPOSALSYSTEM SflS ,• V / �/05e V SB.9 L . sue;•. BELL . H01-Low ROAD Al!G 91g Qr ',;o` �... YOWN OF 'P(/T./1/AM kA 44,--> '� l • ' (<TNAA4 'COUNTY, N W.YORK Z� `UTN �. , ; rw..aw :�, �? � - DIRE T DIVISION aF may• �� DATE ZS­ 7:5 CALEoA5 SHOW.q.JOB'NO.E74 -6.7 �:�`^p •.�a. 24895., - . I ,HYPO GALLON SEPTIC TANK i"'^"^NM n1 eiwtfu ccRvMi f Ci - h, .o''. ; ..•• ��•••• SULLIVAN - THIEDE - / ✓` y LF % ,3g ' ABS. TRENCH �- h��.Ki�`'��•• CONSULTING ENGINEERS. CLARK PLACE. MANOPAC. NEW YORK f 9 Jll Z-, ESTABLISH ELEVATION OF HOUSE TO PROVIDE DRAINAGE OF LOWEST FIXIURF TO SEPTIC TANK AND FIELDS . , . . . AREA RESERVED FOR SEWAGE DISPOSAL SYSTEM TO REMAIN UNDISTURBED.ALL CONSTRUCTION TO CONFORM TO STATE AND LOCAL STANDARDS AND REGULATIONS ......... 1-07- AA'I-A 11613 A CA11- > F-77777 -771�7r1 TOWN OF I-e. Y-1*9 4 A' C7- J-' 7-All) /w COUNTY. NE W. YORK 5 2 -d DATro SCALE ,/ /;7, +j 1 74 - C, z 501E PERCOLATION RATE ......... ... MIN/IN GALLON SEPTIC TANK SULLIVAN THIEDE 7 EEP'TEST A10 A L! CONSULTING ENGINEERS 9 Jll Z-, ESTABLISH ELEVATION OF HOUSE TO PROVIDE DRAINAGE OF LOWEST FIXIURF TO SEPTIC TANK AND FIELDS . , . . . AREA RESERVED FOR SEWAGE DISPOSAL SYSTEM TO REMAIN UNDISTURBED.ALL CONSTRUCTION TO CONFORM TO STATE AND LOCAL STANDARDS AND REGULATIONS ......... A APPROVS Z- r 77<' /•,I AA 0 CT F19-1994 PROPOSED SEPARATE SEWAGE DISPOSAL SYSTEM TOWN OF I-e. Y-1*9 4 A' C7- J-' 7-All) /w COUNTY. NE W. YORK 5 2 -d DATro SCALE ,/ /;7, +j 1 74 - C, z 501E PERCOLATION RATE ......... ... MIN/IN GALLON SEPTIC TANK SULLIVAN THIEDE EEP'TEST A10 A L! CONSULTING ENGINEERS -ABS.TRENCH • CLARK PLACE NAODPAC, NEW YORK Z, A APPROVS Z- r 77<' /•,I AA 0 CT F19-1994 PROPOSED SEPARATE SEWAGE DISPOSAL SYSTEM TOWN OF I-e. Y-1*9 4 7-All) /w COUNTY. NE W. YORK 5 2 -d DATro SCALE ,/ /;7, +j 1 74 - C, z 501E PERCOLATION RATE ......... ... MIN/IN GALLON SEPTIC TANK SULLIVAN THIEDE EEP'TEST A10 A CONSULTING ENGINEERS -ABS.TRENCH • CLARK PLACE NAODPAC, NEW YORK Rj Owner or Purchaser of Building. Building Constructed by Location - Street Municipality �2 Section z 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 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- termination of the Director of the Division of Environmental 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 day of 1.�1 %1�r 41 -.:� -- 19 _� Signature �. 9�.:';U� b)&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. 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 SERVICES Date -9 Re: Property of ..J4s-Pll Located at /' ©'-91' Section Zz Block Z Lot Gentlemen: This letter is to authorize SUZY• /11/9A/ a duly licensed professional engineer 1-1� 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 MU1111t!Q 1.1.u1i wt Lfl 1.1115 Ilia L i.ut• WiL.i to. supervise the construc ciun of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. .- _�yY:.3.3grertCf. �;.--- Very._..truly- yours '0" �E OF Ncyv , �C tr 44, 4Q u •, igne dX b Countersigned: P +E +, R.A ., of Property ' > ° Address r. u —�` '. : ` +o^:'✓a_ X0,6 .7 1 'Z Telephone ��8'iJ1.:.77PAAtErr Address SI:(�!!avP:jd': P. ®. Mtn 1Z� r i7 . t S t oiit 1 L'« . 0 7 7 7 Telephone IM/'14 PUTNAM COUNTY DEPARTMFN T OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date A,v c, o-s % ; % 9'i C" Re: Property of J, it c, 16 woL>5'<ZsFe M Located at %--ck*V> , %,k)`.oJAM. 4N%_. clf i kiN,- \. Section Block Lot Gentlemen: This letter is to authorize ..le,saeK 4= �a.,��,s Sup- ��vA�•; P,e, a duly licensed professional engineer _% or registered architect (Indicate) to apply for a Construction Permit for a separate sewerage system; to serve the above noted property in accordance with the standards, rules or regulations as promulgated 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 provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. +���1t1r)try�r N Countersign e. P.E., Seal) Ad ress CLARE^ 1 loc�` MAHOPAC, NEW YORK , t 0s, 9k4-6 a g - 8`7T7 Telephone Very truly yours, S f—'6BC—a —. Vkov. '('6C, Signed z�. wndr o P o�ert G Oac t-t 1zca4G v � ►.� A M :t AL �. �'� � 1V C � Y �� K: Address Rk4- S?-S- Zq?:�F3 Telephone j � �.y PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTA1,1SERVICES r DESIGN.:�ATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner J. Rc g3gz - -Address r, OA> PU•Tjz!SNN 'g E L L 1A d L. L cO w A"P Located at (Street)_,, VZ,Nv Sec ._ — Block Lot Indicate nearest cross street) Municipality Tow Q o Pv ; m.A►-k Watershed Fjgc Aw A1. A 1.... K1<E VkLLS l SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATION Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse 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 Q, 1: So A le z l 3 'S 1 2 2Z50 4,o4- 14- Z_ 1 3 4; o4 41 1 g IQ.- 4 5 Z 1 ?:37 3:s1 14 +8 z1 3 Z 21,:Si 4:05 14- 'Z1 `3 S z 3 4•.CS - 4:19 14 .16 Z1 3 4 5 Pe2caLAt.o� - c-ES-s� ,�r.y� SY SULLIVAN- THIEDE �- m. u eiArr 2 MAHOPAC, NEW YORK, 10 s r 3 ygTE wens, g-5 -�o 4 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are ob- tained at each percolation test hole. All data to be submitted for-review. 2) Depth measurements to be made from top of hole. d TEST PIT 'DATA REQUIRED :,TO BE SUBMITTED. WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES oca ep TEST PET- GO%-A, 0Q) '-VEST _ %cam `70 DEPTH HOLE N0. i_ `` HOLENO. 2 HOLE NO. G. L. 1A 0r%VI }1vs.►vS 6T1 1 2 T1 18 T1 2 411 a 0 K-1-t 1. o Lti-kn 3 0t1 36" 4211 4811 S 411 6 011 6611 7211 id v •r15 nPo�L. rs i I f r 8411 INDICATE .LEVEL AT WHICH GROUND WATER IS ENCOUNTERED V, INDICATE LEVEL Q WJ [CATER LEVEL RISES AFTER BEING ENCOUNTERED 1'O Lc fl �E o �� TESTS MADE BYuLL0dNI� �EDE Date S— 1 1 - K PLACE P. o, 010 `c 3 0 g IRAHOPAC, NEW YORK, ° s 4-1 DESIGN Soil Rate Used rco . Min /ltl Drop: S.D. Usable Area Provided �, 000 No. of Bedrooms 3 Septic Tank Capacity 1 c o Gals. Type MI�saU�Y Absorption Area Provided By __1 '-O L. F.x2411 3611 -% width trench. Other �-kG, moo. Z4fdq'S Name bs EaH AU cis -► �► . e, Signatu�o►P Address SULLIVAN- THIEDE ad4°�Q�� a°bag�j1p�'oy Y CLARK PLACE p, . e:ox 3oe O .06 ` j%Nri ° MAHOPAC NEW YORK o s 4-1 e' a PUTNAM COUNTY DEPARTMENT OF HEALTH °Qr rfyo ° 4/ *0" + 0 ° Date Soil Rate Approved Sq. Ft. /Gal. °.e t �r�oypVfEWq�� ,ll