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HomeMy WebLinkAbout2557DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 51.19 -1 -44 BOX 22 Lim . ■� I �� Vr . ir . li-iP4 02557 PUTNAM COUNTY DEPARTMENT OF HEALTH tlL� Division of Environmental Health Services, Carmel, N. Y. 10512 :�ONSTRUCTION..PERMIT FOR SEWAGE DISPOSAL SYSTEM P(,,(+1-1 G _ Tow or village n 2 ] �� � %J •� � pp Loll` J/ VV�fsno WG?V fTax`iVlap^ •i= �.�.- +BIOGk; SLC1 Located at Subdivision Lot A� 1- Job /3 /(��/p Owner •.� G n —C�T �� 1' $ ©i'i 7L (1z Address_ /- j ,-r Oa? /aj &fe Mince f4,1�e f! Y IJ �' J "f o:�1/ �YGt l�? �° Lot Area ? 1.O 1 5 7`I . /O7�%3 Building Type .� �^ f Number of Bedrooms _L— Design Flow �0Q ` !2 /. Total Habitable Space �L60 / ) Square Feet,- Separate Sewerage System to consist of �a Gal. Septic Tank and 7' '� / r re LC, yk c^ • l'rTr�� z'� /n To be constructed by �% trio) ! e �/ �ef e r So n Address 7 5 B Al , " r em Tit `�t'1 e P/--,t C' e X /P 70 3 Water Supply: _ Public Supply From _ Private Supply Ae-4e• drilled by r Sp N yY P ! JJ 7-� h 1 l l / e c S Address Other Requirements 1 represent that 1 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, rulesT-nd regulations of t e u nam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwi(( 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.wili 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 I ssu- ante of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described',aboye will be located as shown on the approved plan and that said well will be installed in accordance with the standards, rules and regula i—f ons of the Putnam County Department of Health. zi Date V _ Signed P.E. X. R A Address f `'Gy` (y�l License No. APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is j revocable for cause or may be amended or modified when considered necessary by the Com s oner of Health. Any change or alteration of construction'_, requires a new I) mit, A//t��proved %for di posal of domestic any age or riv atr Date /d y f / / [' By Title i t T_,,...:+.,• .��- c�.r- rr-^"'- •---- "Y-, -- . =n»ra.. --.,^•a;a,--- .r- -r* -a-r - - -t. - - , PUTNAM COUNTY DEPARTMENT OF HEALTH Division of .Environmental Health "Services,. Carmel, N. Y. 10512 "CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam" Valley } Town or Village Located at WatGl?n YexxlK T.M.- 367A Block Subdivision T•akF? (iSr aW3Ila1 AnrPS' Lot Job Owner A. Kn fi.t1]IS F. Sons, Tn c . Address _Rt3x M D #1 Building Typel- farad V resi denC eLot Area 21,075 Af P114- am - Val 1 Py -NPW- York . TOt;7Ch`,,,' Number of Bedrooms 3 Design -.Plow 500Q /day--. �da Total Habitable Space 1 � -70n Square- ;.Feet Separate Sewerage System to consist of 1,.000. Gal.. Septic Tank 1 420 lineal feet X. 210.11. width trench To be constructed by — A K3Stllk & - Snns , Inc- Address — Ray. RD #1 Water Supply: _— Public Supply From PUtn . m� Valley, - New York. 105.7:9 �.;•' _ Private Supply to be drilled by Norman Anderson Address Barger Street, Putnam Valley, New York 10579 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 u nam-- ill County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of He . 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'wi(t 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 ny repairs thereto; 2) that the drilled well described_.above will be located as shown on the approved plan and that said well will be ins t d in accordance w h the standards rules and regulations of the Putrtiam. County Department of Health. Date Nja31L�2� 19 79 Signetl' P.E. R.A. Address RR #8 M1 G_ is -oott" N r+4 Mah N.Y. 1054 License No. 11056 " APPROVED FOR CONSTRUCTION: This approval expires one year Ves a date i ued unless co c 1 n of t building has been undertaken. 'and "•is revocable for cause or may be amended or modified when consi ered n y b missio of Ith, Any change or alteration of construction new hermit. Approved for disposal of domestic ni , n ! PU'TNAM COUNTY DEPARTMENT 01~ ` HEALTH - Division of - Environs meal Health- Servkes; -Carmel; N. =Y: 105112 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Town or village Located at Watson Way Tax Map 367A Block Subdivision Lake Oscawana Acres Lot 31 Job Owner A. Kastu*,.. & Sons, Inc. Address Box 36, . RD 1 Building Type 1-Family Res. Lot Area 21 ,075 sf Putnam Valley, NY 10579 Number of Bedrooms 3 Design Flow 600 9a 1 /day Total Habitable Space 1 ' 700 Square Feet Separate Sewerage System to consist of 1 00() Gal. Septic Tank and 420 1/f of 2'0" wide trenches To be constructed by A. Ka s t u k:: Son s, Inc, Address BOX 36, RD 1 Water Supply: Public Supply From Privat lyt tp ad by No R A Other Requirements I represent that I am who a above described will be c tt County Department of I be submitted to the Dep tQv place in good operating c di ante of the approval of th will be located as sherwm on th County Department of Health. Date 10/7/7T Putnam Valley, NY 10579 nderson o e_ sitf�e fd he design and location of the pr d system(s); 1) that the separate sewage disposal system i a n _ e app ov amendment there to and in ac orda ce with the standards, rules an regulations o e u nam an leti nt reof a "Certificate of Coin ctio Compliahce" tisfactory to the Commissioner of Health will gua an will be furnished the owner, h successors, heirs r assigns by the builder, that said builder will nM�,any part of sal sib ge disposal syste during t eriod ci two (2) y rs immediately following the date of the issu- 1 t� fjuCg Compliance of t . . s em or any repairs ereto; 2) t at the drilled well described above Nia id well will be installed in actor nce with the stan r rulesind rpgulat —`ons of the Putnam \OP N5- n ., Signed Address MrIX ri• l/ y r- d r APPROVED FOR CONSTRUCTION: This approval expires one revocable for cause or may be amended or modified when consid requires a new permit. Approved for disposal of domestic i Date -4o--- 7-,- By e 'k 'V-1 P.E. R.A. rk 10 11056 icense No. the date i ued unless of the buil ing has been undertaken and is ary by the 4iL h. Any cha ge or alteration of construction ige, a or pnly: Title PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRO VRUAL HEALTH SERVICES 2 PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR owNER' S NAME _ .� > %,�t Al L C �. 5 o PHONE �� a !n a3 (c SITE LOCATION�. MAILING ADDR&SS PERSON INTERVIEWED PCHD Complaint # Name & Relationship (i.e, owner,tenant, etc.) DATE TYPE FACILITY Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal from licensed professional engineer or registered architect. -- k1rP,4 /k- s�5 Ps ate- Proposal Inspector's yProposal Disapproved ture & Title All� to Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or reported a of owner agree to the above conditions. SIGN A7M TITLE DATE 7/ MIS: White Ml)); Yellow 030 BI); Pink (AfpUcsnt) Edward McSpedon P.E. 159 Montague Place Yonkers, New York 10703 November 10, 1980 Putnam County Health Department County Office Building Carmel, New York 10512 Dear Mr Tutoni; Submitted herewith for your review and approval are three (3) copies of a proposed residential sewage disposal system which I have prepared for Mr, Stanley Peterson, owner, lot 31, Watson way, Putnam Valley, New York. This proposed system will serve Mr. Peterson's, personal residence which is presently under construction. Please note that a proposed sewage disposal system for this site was previously submitted by Mr. Joel,Greenberg R.A. :, and was approved by your office in October 1977 (copy enclosed). This new submission represents a redesign of the sewage disposal system for this site; which was necessitated by several design modifications to the . residence as it is now -being - .constructed. a_s . compared to the assumptions made in Mr. Greenberg's original - =sewage d- isposal..system. The primary construction changes are °a:s -follow,s: 1) AS constructed,.the house now.has four bedrooms as opposed to the three bedroom house used in Mr. Greenberg's design, 2) As constructed, the house now has a front facing garage entrance vs, the side facing garage entrance originally contemplated, 3) As constructed, the house is now somewhat closer to the front property line than was initially proposed. Due to the impending winter and the owner's desire to install the sewage disposal system before deep frost sets in, your most expeditious review of this proposed system will be greatly appreciated. Should you have any questions or wish to futher discuss any of the elements of this design please call me at ( 91'x) 965 ®1518, Sincerely, Edward McSpedon P.E. I Gentlemen: PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date l l 1 O Re: Property of Located at Section Block e -rer So Lot 31 This letter is to authorize 2G vV a f- CJ M CSD e C/O v► a duly licensed professional engineer bl� 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 uwr►,e� Diu„ w.i. i.ri i.11i5 uta i Lei• aiui to. supervise 'Lne curistruc 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 (:ode. Very truly yours, Signed Owner of Property Countersigned: ' 4 5,5 ��y Address 16703 OJTG /O� 9/4 /Y'/ / on fCa y� �' %�e c � TE Address i lotl Jlze,-5 / rem 0/42 %6S— /5/5 Telephone .o �O G G - 3 68o Gentlemen: 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-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 1 uc 'on Law, the Public Health Law, and the Putnam County Sani- R st10E row tsv o e.,ti 4V w a Very truly y s, Signed sic /'° 0„o5��0Q "Owner o operty OP NE. ,rte Countersigned: Address a P.E., R..A., 1056 / - �..�. '� .Z3 S, 6 - Te ep one Box .41 ( eal) A ress Katonah, New York 0536. 914- 232 -5033 Telephone Putnam County Department of Health Division of Environmental Sanitation AFFIDAVIT 'CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Commissioner of Health , In the matter of applicatio for. reprepert that I am an officer orem loype of. the corporation and am authorized p _77 to apt for 4/s, '— r- � -_.? — (n-a—Wo7f.corporation's baying q ffices at 2P — ,6 6 " Whose officers are e President Vice-PrIpsident N47.. 'and 7A`Jd—re'!qsT 4W 4 (Name and TdUdires_ prep. _N­aa�e_ and Td3r_es_s)_ and[ tbgt 1 am and will be individually responsible for any or All Acto of the corporation with respect to the approval requested and al ptib- sequent acts relating thereto. $WqIrP to before me this day Signed 119 _Z,7 Title _'5CC- —7feA: of ry w.oiic , L ANNA N. BURAIS NOTARY PUBLIC, STATE OF NEW YORK QUALIFIED IN PUTNAM COUNTY No. 4607700 Commission expires March 30, 19, P - w"�- ca- •�+.:.. _ >,� - -tir: � ?;rt-; .•*,.:.* fit re .+. •:.i' _ �,.:.:ry.. .- i "lt.: %::' -":c: - ..,�.,. ;�.:.;� �.f:.... - i - PtT)?NAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIPO HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS FIELD INSPECTION REPORT /�Z/ DATE: INSP. BY: (Name of Owner) (Street Location) INITIAL SITE INSPECTION YES NO COMMENTS Wetlands on /or proximate to property .............. Property lines or corners found ................... Can estimate house location........... ........... Willdriveway need cut ............................ Must trees be removed - note these................. Deep holes representative of entire SDS area...... Additional deep holes needed ...................... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacentwells/ septics ............................ �rrccc i-n nrnr,ngPa wt-11 location for drilling.... . D.H. 1 Lot Depth to G.W. Depth to rock Soil Descrintii 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. D.H. 2 Lot Depth to G.W. Depth to rock Soil Descril 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. D.H. - Deep Hole G.W.- Groundwater D.H. 3 Lot Depth to G.W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft... 12 ft. Soil Description FINAL SITE INSPECTION INSP. BY: " A:�ZES I NO COMMENTS House SSDS located per approved plan .. ....... Length of trench measured e-/ 1 O Width of trench average '-7, y Slope of tile line and trench acceptable..' ....... Roan allowed for expansion trenches .............. Over100 ft. from watercourse .................... Natural soil not stripped or SDS area unnecessarlygraded............................. 10 ft. maintained fran property line and 20 ft. fran house.. ........ Distance well to SSDS�(ft.).....� :................ Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft..fran nearest trench ................ 15 ft. of peripheral soil horizontally fromtrench ..... ............................... Boxes properly set ............................... Could surface runoff from driveway, roads, ground surface, etc., channel near SDS area.. Does lot drainage appear OK in area of SDS.....: r al- 6911 PUTNAM COUNTY DEPARTMENT 'OF Ifl!,ALTH DIVISION. OF RNVTRONr-4T,l`1TAL HEALTII SERVICES CO`J]VTY OFFICE -EUTLDTDTG • CA*! -L,, N:.:Y•. DESIGN :.DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner "A. Kastuk & Sons, Inc. Addre.ssBox.36, RD1 Putnam Valley, NY 10579 Located at (Street) Watson Way XNWZ 367A Block Lot 31 ( Indicate nearest cross street) Muni cipality.Town of Putnam .Valley Watershed Hudson. SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS 5 #2 1 8:05 —8:38 16 .3 2 8 39_ - 9 - 12* _ 33 - -16 __ -- –, ..�.:- . .. _ .. . 3 33:13 9-46 33 16 2 3 4: 9:47 - 10.20 33 16k. _ 5 l 2 e. 4 .--__ 5�_ Notes: 1) Tests to be repeated at same depth'until a roximatelyy 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. c: off— Number CLQCK TIME PERCOLATION PERCOLATION �i nn Eiapse No. Time Start -Stop Min. p : to %Ta From Ground Start Inches er Surface Stop Tnchos Water ve in Inches Drop in Inches Soil Rate Min. /in drop #1 1 8:oo - 8:33 33 16 19 3 33/31. = j1 .2 g.34 — Q.n7 33 16 19 3 1 33L21 t� 9:08 - 9:41 33 1ti 19 2 3313, 49:42 _ 33 16 lg °31 5 #2 1 8:05 —8:38 16 .3 2 8 39_ - 9 - 12* _ 33 - -16 __ -- –, ..�.:- . .. _ .. . 3 33:13 9-46 33 16 2 3 4: 9:47 - 10.20 33 16k. _ 5 l 2 e. 4 .--__ 5�_ Notes: 1) Tests to be repeated at same depth'until a roximatelyy 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 MQUIRED TO ILL SU11MITTIM WITH APPLICATION.' DESCRIPTTOI4 OI? 'SOILS eT'J'COU1\'.11ERED IN TEST If "?8S : 4 DEPTH HOLE. NO. 1 HOLE NO.,. 2 ` i 3 , TOLE N0. , G.L. ;_i p�s6 i i Tops-i 1 T ©pxi:l 611 Sand, Clay, Stones Sand, C1ay,Stones -San.d,Clay,'Stones'1" fi r . 12 1811 24 , Jj 211 48" k' 5.4 11 60" 7211 8411 ;; INDICATE LEVEL AT WFL[CH GROUND WATER IS ENCOUNTERED none : INDICATE LEVEL'TO WHICH WATER LEVEL, RISES AFTER PFING' ENCOUNTERED n/a „ :.TESTS MADE BY': Joel Lawrence Greenberg Date 9/16/77 Sail Date Used I-i Min/ "Drop: S.D. Usably r Area Provided 5, 000 sf No. of 'Bedrooms Septic Tank Capaci 1 000 Gals. pePre Cast Concrete` Absorption Area Iarov de . By 420. L. F. x2 4 '� E D. W th : ,ren P�ReNCE Gy Other. ' Checkod hy:. Date fi r i I � qO 3o - T-- Na.:�4oa -5.�. \ I ry m . ,N o u'S E .. FAMAL Y v+rep t� a� S: 5. °- lo'.lo "E _ ` 'nVra. 243a4 aJ / 325 , 330 42o.L.F,.oF TILE le�� r315. L o. -T no -44au 5 e 1` z­-E- `u A G. T- : tD I. 'S. a e -A L L .A Y 'O a T GONC:..$E�i1L TD NIL 9— cf;). L H W 4 I -'T -C- R i -L L pzoPosEO,. I. Ca Tlire �Sep'tlll,e_ S =I I be instal fi4l_, VP ald dC'j V s;l on of • the,.ai'ch in,8, Vn .86��an t, e sdpe�� dilith �'i 6e�-_aporrbve� plan ',pn_d"t*e'7r'u'l.e-s, - a: �#- " . I 1 1. - ­ . ., I . '" ,and ftequ'l atJ4 -tM!' Alzfi�* County -AP41 t:h t Depaft4nef) .24. AITT Work ,go be -4nsp-,e,c,t-ed,.p-,r-io r to bean bacvf T - t rueks,, ma,dhi " l earth sba H be i3,Hp"d'-'.Th the sewage dl' .. ... f 'i �_, I .. �Ulo con's t ructlPii 6 . the, s.��stpn' to be 4n-'a&6 O'nee with these '.p. an.s; any re ons t he reilo afhdll�l &-_f-es and rd§V1.5"R-ons of -:jh G, '71 .,e permit...,issumg overp� Deli C.0-ter4a.- V, usi -1 00,4. -re concrete ll!.on p:cast . SePtac. tank reiquir-edll Soil: . 1 � 11 -15 m 14 1 . 1. n.'_ ga f/9 a'fl y flow' q*al I o. r b d� '700 3 FL o 4,Dw 21DO e room. x 'bidtooms 110 ..81, f" , of A .�O 600. gal 1 f, =..750, I�e,a ch i.n:g az - re6 equi. e I,t, q 't 420 '1 "­.V miA '61 s I of e tl d -,requl_red',af 011o c, n W'. 4". 'AiUg1:00T WMTN MA NO PACE wy, ........ . . .; Oz_ A.