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HomeMy WebLinkAbout2546DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 51.19 -1 -29 BOX 22 02546 jr } a 16t ■ _d i� � his J 19 I IL bir I Lo r I � . � �-� -, - 02546 T7 i PUTNAM COUNTY DEPARTMENT OF HEALTH o4 Division of 'Environmental Health Services, Carmel, N. Y. 10512 ? CONSTRUCTION PERMIT . FOR SEWAGE DISPOSAL SYSTEM _ Plw LocBfetl`at'' "-- Sikili£ `n6 hoed ..., :- _ -fax -.Mapz -.. 34 ..: , Block' �� ... .... i T4_ can e Subdivision Port Lake 0soawaria Acres Map No, 367B Lot 702 Job `f 20-- Vasbingttan -S ravit '= # Owner �' � � MC'9 • Ni Char BBiLV Address } Building Type 2 Story frame Lot Area 3- 002 Awes Peekskill, New York 10566 4 800 Gallons /day 1920 S, Number of Bedrooms Design Flow Total Habitable Space Square Feet Separate Sewerage System to consist of 1200 Gal. Septic Tank and 333 LF, of 24"l-Trenches To be constructed by Sheldon Gardner Address Stevenson Avenue „A Water Supply: Public Supply From Peekskill, N.Y. x ~Anderson Well Drillers Private Supply to be drilled by Address B.rger - Street Pa>bbmid Valley, N.Y. Other Requirements Domestic Use Onl I represent that 1 am wholly and completely responsible for the design and location of the proposed systg�= �pLfta[p Qp rate sewage disposal system. ' above described will be constructed as shown on the approved amendment there to and in accordance witlo pp..,., regu a ions o t e Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Comp1% i ttorry � d9mmissioner of Healthwill == be submitted to the Department, and a written guarantee will be furnished the owner, his successgr b ilder, that said builder will place in good operating condition any part of said sewage disposal system during the period of INV�2 i t y f Noting thedate of the issu- -' ance of the approval of the Certificate of Construction Compliance of the original system or an r ' s th t t ilted v ✓ell described above`, - will be located as shown on-the approved plan and that said well will be installed in accordance with � ndar d a ons of the Putnam =: , County Department of Health. e ° June 1, 1977 ,,�'" s x Date Signed P,E. R.A. Address 1 Northridge Road 6ekskill, N.Y. 1 �'�c,ns No. _ 0274,6 APPROVED FOR CONSTRUCTION: This approval ex p' son year fro ssue nless eonstrueti�l•Ofel�yAding has been undertaken and revocable lwcaufo� may be amended or modifietl w n co eyed ne ssary by the C mmis er of Health. Any cha or Iteration of construction require mit. Approved for disposal of d sanitary s w , and/or p vate ter supply only. r� 1 \ Date ° B Title Tits 17 CZ9 r 1' v� PUTNAM . GOUN1'Y: _ DEPART.MFN3 __ OF HEALTH , - ,; Division of Environmental Health Services, Carmel, N. Y. 10512 Putnam Valley (T) _. CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM .. Sunken Mne Road Located at Owner Richard . Bailey Separate Sewerage System built by' Richard Bailey I� Consisting of i200Gal. Septic Tank 347 Other requirements Water Supply: Public Supply From X Private Supply Drilled By Beal & Section 3 Lot Address _ 7.2 Town or Village Block 2 Job 526 Washington Stre lineal Feet X �11 width •;trenc Address 4 Putnam Ave Brewster ••• Frame residence •• • Building Type No. of Bedc�� � Date Permit Issued_ • cccVVVVVV��hlrCvvv"'111��� �!e Has Erosion Control Been Completed? YeS @� \� S. R o,r� •.: I certify that the system(s) as listed serving the above premises were constructed 1: Q' I1 s r�t Ags of the completed worts: (copies of which :are-'; attached), and in accordance with the standards, rules and regulations, plans 10 d t sue •the Putnam County Department of Health.;:: �v • June 12, 1978 : ` • x Date Certified by P.E. R A Address 1 Northridge Road• • License No, 027846: ////�� 11([iWll ty�,. i Any person .occupying premises served by the above system(s) shall promptly take su! Ctfo11�1 rt1°� ipR necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system•haall� @6•gfr*@'11%, and void as soon as a public sanitary sewer becomes': available and the approval of the private water supply shall become null and void when a public water ply becomes available. Such approvals are subject to modification or change ^when, in the judgment of the Corny ner of Health such revo do ,, rmodification or change is necessary 7•- l � �' � S� /' '� � -- mot./ ®[`ArH Y :iti . ., : , a f CONSTRUCTION PERMIT FOR SEWAG DISPOSAL. vaeC u �K 01 Town or Village,' 7A Located at �q Section . Block�� Subdivisi��onn ��" �nDfG_ �fR/ A/ �s �G I a Lot J / Job Owner /L (el-fgfto ell 3,41LEY w Address a s/7 R FIWL.E! ?TL: y�� >I r= Building Type A1–O f r�'Ed ' d/ / Lot Area g s ® "o! Number of Bedrooms Total Habitable Space r, Square Feet' Separate Sewerage: System to consist of —/l /!' �7Gal. Septic Tank �/���j/flliineal/ffeeee't.X width trench' To be constructed by 9 Eje T/ AJ �+ c ASST, `� oa/" , Address M We �/ • �+ �f / '� Water Supply: Public. Supply From Private Supply to be drilled by L+ o Address =0 IYO Other Requirements 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 and regulations of e Putnam' County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healtliwill: be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns.by the builder, that said bwlder;wifL place in good operating condition any part of said sewage . disposal system during the period of two (2) years immediately following thedate of the issu, ance of the approval of the Certificate of Construction Compliance of the original system or any airs thereto; 2)' that the drilled well described above: will be locate as sh non the approved plan and that said well will be in d in accorda a with h standards, r is and regulations of the utriam': County Depa ment f Health. Date Signed P.E. R.A. r— r Address- W (L Cl9 .S License No. APPROVED FOR CONSTRUCTION: This, approval expires one year from the da issued unless construction of the wilding has been undertaken and,<is revocable for cause or may tie amended or modified when considered necessary byte Commissioner of Health. Any change or alteration of construction' require s new permit. Approved for disposal of domestic nitary sews and /or riv to water wpply only. Date �`' B Y T it Ie/1 oc 3G PEEKSKILL MEDICAL LABORATORY 1879 Crompond Rd. Barclay Plaza Bldg. A, Apt. 1 Peekskill, New York 10.566. RESULTS OF EXAMINATION OF WATER ITY, VILLAGE, TOWN 6 /OR NAME +OF SUPPLY DATE REPORTED ^01..6 ^� ritshtn Sv-, P-e2 ;( AMPLING POINT A C'...,1/„_ H. - _ PE 7 -8777 ;ACTERIA PER ML. (Agar plate count at 350 Q. COLIFORM GROUP (Most probable 146,/100m1.) —HKRDNESS, TOTAL - ppm O r1 F 1ETERGENTS - ppm NITRATES (as N) - ppm IRON, TOTAL - ppm LOURIDE (F) - mg. /1. Chese results indicate that the water was \/ eS of a satisfactory sanitary quality when the sample was collected. A. H. PADOVANI, M. T. (ASCP) V*114510 spin 3,, i'1 '^.fi *•:''u." 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A - ­­- ---- 005 r or V raft ser or/1351171ns Municipality 100" 13 Q bull -c Iding 'Conatructe, Yby Nectlon -'V e rips L-0 Pat 195 ipMOOR 7,2_ at GUARANTY OP 'SEPARATE SEWAGE.,bYSTEM I represent that I am wholly and coinpletol'y''., responsible for tj�a location, worl�cmanship., that '&Palnage of the sewage .1, constructio a disposal Sy3tOM Serving the above described property, and that it has be'orx constructed as shown on the Approved plan,or ap d Amendment thereto, prove, and in Accordance with the standards, rules and regulations ` . I I I of the Putnam County Department of Health$ and hereby guarapty.to the owner, his succep- SoVS8 heirs or assigns, to pl4ce.in ood operati 9 ngc-Qnditibn any part of said system constructed by one which fails to :operate for a period of two years immediately fpllowin g the date ial o f I a A't 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 tp accept as conclusive. the do, tarminatjon,-o_f,-_-the Director- of the Divi,iion of -Environmental- ;- Rp-,a th .50.r.. Vk6_8_1_S__­-_-'df' t a utn6un County Department of 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 u.tIl-Azing the syste Dated this day of sign 19 nature a Title 11- corporatio%1j, , g1va And address) �Ar® - - - - - - - - - - - - - - T_ FLAN (3) CQPIE$ ARE REQUIRED WITH THREE (3) COPIES OF FINAL FLA. P*AMRE CERTIFICATE OF QQMPLE KION WILL BE ISSUED GUARANTOR IS RELUTHED TO FILE FOTICF OF DATE OF FIRST USE OF SYSTEM, Division of Environmental Health Services, Putnam County Department Of 9*41th A FIELD CJJECK LIST Mte: 'Insp.by: ae. e-..;, `fkTTAL SIUT, INSPECTION Yes No Comments Property lines or corners found Can estimate house location . . . . . . . . u ge- L4- Will driveway need cut -00021 Must trees be removed-note these* Is deep hole representative of entire SDS area Additional deep holes needed.. . . . . . . . . . Sufficient SDS area available considering driveway cut.,house location.,sep.aration . distances, etc . . .. . . . . . . . . . . . . DEEP HOLE DATA Depth: Water elevation. 01 Roc'k, elevation: C) Soils descri-otion -Pj 4 C Rate:.- 'FINAL SITE INSPECTION Insp. by House located where shown on approved plan 3D3 located where approved . . . . . Length of trench measured Width of trench average Slope of the line and trench acceptable Room allowed for expansion trenches . . . . . Over 50 ft. from svTamp, watercourse . . . Natural soil not stripped or MS are unne -sari-ly -ce,s . . . . . . . . . . 10 It. maintained from prop.line and 20 ft. from house . . . . . . . . . . . . .. Separation of trench from house, well etc. follows plan . . . . Number of bedrooms checks . . . . . . . . . . . Stones., brush., stumps., rubble., etc. greater than 15 ft. from nearest trench . . . . . . 15 Pt, of peripheral soil horizontally from trench. . . . . . . . . . . . . . . . . . . Jiu-iction boxes proporly set Could surface run off from driveway, roads, ground surface, etc. channel near SDS area. . # . . . . . . * 'in, 'of* Does lot drainage an.)>ear area SDS FINAL GRADING OF SITE ACCEPTABLE DU OUT GO,I ITS A .: ., y House plans O.K. D_-Si ."n d� ta sh. -et Peres Presoaked? Mdn. 30" pert test depth Const..r.:-,,sults for 3 runs D. Hole lob 0. K. Corporate Affidavit for other. than indIvidua Authorization for engin ;er Letter from ,slater Supply if' applicable If variance r guested- such.no�ed on plans & Mocts St(i . (. Re ilia, rl:s c::.► I NO I--- DTr;T1�ITn5 ' �.f charge is proposed,.) E:listin0 contours shown show neT•r . contours ) Slopes for drivei -my cuts, etc. shown I Ilater service line location FootirZt drain, etc. location I }_� S aw'-rl Top slope, bottom slope of .fill ► ! + Percolation tests and deep test pit location Septic tank size and conformance. to std. _ l 3 P.R. house minimum. I I. FIouse setback shown nd -q­;­! bolt rt }'ill..•.,! f�.� ; !iii v ater WIT nin "u i T, . o , FL shown Plan and profile SDS j All. other wells and SDS closer- 200' _:. _ � - .... _ -.. - (! _ .... . snot -!h or"refe�Once made I...- [ Q s� W�j, Property boundaries (metes and bounds - clearly shown; . ,EP:IRATION DISTANCE'S SPECIFIFED ON PLAN .0' to P. L. '0' to Foundation walls i 0' to Nearest well •0' to stream, march, lake, etc. incl ..expansion) 5' to Curtain drain !ski 0' to water lire (pits -20' ) i 5' to storm drain A 0' to lar(,e trees ! 0' from foundation to septic tank 1 5' to pipe from leader drain & foofin�-, drain s Iva I n JOHN S. ROMEO, P.E. & P.L.S. JAMES L. ROMANELLI. P.E. SALVATORE J. AMIGO. P.E. 1 NORTHRIDGE ROAD FOLEY ROAD ' RFD #1 RFD #30, BOX 375 PEEKSKILL. N.Y. 10566 BOX 239. KATANAH. N.Y. HOPEWELL JUNCTION. N.Y. 737 -1056 248 -5755 226 -7652 ROMEO, ROMANELLI, & AMICO, P.C. CONSULTING ENGINEERS & LAND SURVEYORS 1 NORTHRIDGE ROAD, PEEKSKILL..N.i. 10566 MEMBER OF NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS MEMBER WESTCHESTER PUTNAM ASSOCIATION OF PROFESSIONAL LAND SURVEYORS June 1, 1977 Putnam- County Department of Health Division of Environmental Health Services Coupty Office Building Carmel, New York 10512 RE: SSDS' & Well for Mr. do Mrs. Richard Bailey ATTENTION1, Mr. Robert Tutoni Putnam Valley, N.Y. Sanitary Engineer Dear Sirs Enclosed' find 4 prints of the SSDS and well location for the above parcel, located on Sunk Mine Road Putnam Valley. A previous permit was issued on July 20. 1971 for the same party, however the building inspector has requested.a new permit. New tests were'made. a a new system designed with the latest regukations being complied with. A rapid review and approval would be appreciated. Very truly yours, JSR: clr John S. Romeo .P.E. & P.L.S. 0•ao•oaoq�• ef 01 0 ff 27 •' �09;FOf �O a.000 7-1 Z ; •y es ) L.;.0 L 1 TG A - uas r.^T.'•::10,'} T.azugnj ^G-o . --a [.-� 1 k^ Loci C; LCi'1! 2I Y ` ;E'I uOiTCCiip KO S�, `. C `a+ i TK y C - u�. - _VK;.. �Va^ a. • a ^^ •...KO`ilal.v u• Si::a.^;S �S 'ao �i;:2ra rS .. T �T . �a `70 UC:Y uTSuC c T G : -Ja-CA c CY uG .:c "T w Sii:.T. T rr,:1 i lJT }`)cLiUO'J Lc GC _'L C S�:c =C _- �SS=�ci: ��- T.:-�S CT YJ.c `l�T -�c.c_ O _UGli : 'kta a(I 1^- .:Cy .u'�.7.2n J : ... S .. a. `i� T _.n t. C.T �...+ L..... �^..0 l� .rte. .i CuO TV L.v .:K K'O 77 .�•- V' `:'14 .. `C r.� :.; � ra C.� C - ,.� 4.V .. • Cv ....�- ... 1.. -_.c • -- �K."-.. G`4 CT c C:: cC.' C :.t �: 11awC S C� ... ���� S .._ =�. c. _C� ._�... ...CC c: C'- r ..yC� .,:C T.�. !.... �:,: l.. y' .. a1 l.i` ���Ca�CJ 0a • .,,`. T���'i avaG �cr... -..0 ^cam. .�O 1 \ a..c- ..c `X µCCCcuCa..... a ..St..c7— L S-Tnpe —f� `.::r vv ^^r S; aTf-L SiL�y . G?::a [Tup oq L9 L.►� " -b� x;d 1. ��. p `� , S � ' �7` " b' can V Aij c^ •a(.l . �0 1 \O! SlhIQ' 'A �. =off �-, c ac. C-T TED III aZoy ;S87 UQT toy :&c U. :z -co a S&al:�a --,os nE�7=&rali G�7 on s cl s a Jp +19 - JTOQ 1769 r �Vq I i ;Z-6 7Z -6 "Dui cots - =TS C'= T li O)l 00.-L'I 0: u -r LI ON a • LO]4 T -,z C2 '.1 . - rT io- C. :7 T b ay Y-M) 07) -1 1) s -;tq pa- s a pz.l U, ­7 TT? �T Z. 3 F7- -7 '3 0 Oaf 14 a -.-2 C vac DOrl. p V Iry ZO " VI:1117*1: INSISIRI L Az) ....... ... TEST PIT DATA ?EQCL J =0 T T'lED ::ITH _1PPLICATIO\ DESCRTP T I N" SOIL LS = 0 TER:,n I`" -ST : -[OLES F. 0 ., Q DEPTH HOLE 'NO. I .HOL \0;: HOLE N .0. G.. L . , cR9 c9 e S 6 r r 12'' 18rrfLC9 c�p� 2 4" 30r N1 36'. T�. C L- A 42 .49?* 5 8 4" d n c (�.. INDICA,L, �E-c.L AT t':HIC1' GIR OUND ';'_2.TE_ TS 3— QU`TER✓ INDICATE L='I TO 'OHI .�[ r,7 -AT LEVEL R -- iPTER .BEING E ?.CQ`v'�'7'ER r,ES � � � � � �'� � r' Date \ r It.Jl�, �LaD =' J t � jji.� Soil- Ratc !�'sc _ _�I? /1 D, -vim S.D. Ls -b? e `= ee 0, 0., 0 O?lam �� ��TT r� _ r� _ /,J n r 1�O. QL i:C- ����':1 :� .J Ste'. -7 L?c 1C::t:� C^J �� -_lye � ®� Gals. 1yP�V��C. 1�.+� Absorptio, area Provided By'200 L.F.Y2': _ 35 "°''d��� -gyp ch. Otnc.,_ Nmu qtr; PL. Address BALDWIN ROAD YORKTOWN NIEICHTS, -Ib yt - - -- PU TNAM COUNTY DE PARi``L;,\;T OF HEAL T t C,�l Lt.i -n /P• \s . 0 • rt- i a 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 & Mxs. Riolvwd Bailey Address 520 w�s�3n� ton St Peekskill, New York 10566 Located at (Street Sunk Kne Rd Seal+ Block2 Lot 7.2 Indicate neares cross s ree Municipality Putnam Valley Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS 2 7:14 7:25 11 25.00 28.00 3.00 3.67 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. Hole Number CLOCK TIME PERCOLATION PERCOLATION Run apse Depth to Water a er ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop - Inches Inches Inches (1) 1 7 :02 7:12 10 25.50 28.50 3.00 3.33; 2 7:14 7:25 11 25.00 28.00 3.00 3.67 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. <: w TEST PIT DATA REQUIRED TO BE SUBMITTED WITH - APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOVE . NO. 1 HOLE N0. 2 HOLE NO:: 3 e; G.-L..,:_ - 6" i 1211 12" Topsoil .13 ". Topsoil 141! Topsoil „ beney ... ssedy gavel .bo�aey.._gandy gavel bon,,ey sandy gravel 8 .: 24" 3011 3611 42" 48" 54'• r 6o" 6611. .. . 8411. INDICATE LEVEL AT WHICH GROUND WATER IS- ENCOUNTERED None INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY John S, Romeo Date 146v 96A 1977 _ .... - DESIGN Soil Rate -Used 0®5 Mi 1 "Dro 5000. SF + n/ p: �, •.. S.D,.. Usable Area Provided No. of Bedrooms 4 Septic Tank Capacity 1200 Gals. Type Masonry Absorption Area Pro ded By '333 L. F: x24" 2 6" wicq�k��ott�tt Address 1.. Northridge Road Peekskill, New York THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal. C f all Necked by Date