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BOX 22
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Mr. Mr s Walter Chomanczuk Town of.Putnam ;Valley
jjg,
Ovjnoll QP 1 UXIC- 01 1,W.l r
ab,oVe Tax Map 35.
-ICLEil
0scawana Heights Road
ion Street.
1 family residence 3 bedroom 4.2
Bui-i'ding 'Yyi
J.-il SEPARAT��." SE]�-,T.A 7 SYSz T E IL
GUARANTY 01
a t -i.r and co. cm.] otoly th-
represent th, v,,1.)114 T
and d-_,-aj.r,-:e of tlic ;,-,ow r
t, ne a c
-)os a -rvin,-- d propert- a nd that it been
_1_ systein sc bo ve d.� L
%7
constructcd as sh-own ol the appl-roved. plan o-f' _appro rd aviend.!,ent thereto.,
and in accordanCe .,;ith tho st-andards, rul.-s i.und re.,Aations of t- he P'u.1vi--,
of IT
County Deparl.-Ment Ilealt1h, a-i-id hcrcl)y !�7uaranijl-y to the o.,n�3-, his sucoes-
sors, 11.-irs or assigns, to place in good operating condition m-ly part of
said systepi constructed by viie •thich fail�, to oper'at--,--.. for a period of t.-.wo
Jowin(7 the date of initi-1 taco -th,- sev.rar,e
years ivmia ly
,.edte fo-11
C, y S 4 or. any re!7.airs made b- c, x c e when(,. t h -- f a, 2. 11 � i e
L; C)M, y me to such system,
to operate is caused by the ,villful or negligent act of tl.ie occu-
palit of the buiidi.nr, utilizno- tl-ie systerna.
WAAUX'S (711 e G. I UP1,110 i) ' I L 0 t as conclusive ulfte do--
5 J. accep
'? L
torminat-ion of the Director of 1) i v J.. S 10 1 1 01' Env`ron-men,. al Health S
as to -i1n.c-,t1i_.r or no' ?• I`
vioes of the Putna-m Count�7 Dopart,.,-,nt of Ilealtln
f ,;. i 11). 21, e. 02, th-C Systorn, to 'oT.)-rato •w-s cril—nd b-�r 1-1-jc i 1 fu, 1 o no
a -ie, buildin-g utilizing the S -3 1
..ct., of. the occuiDant of tl ter
Dated this day of 1,2-z41 197 Signature` ''
;0&
I. corpora-L;.-'.01-1, ve 10
and a.d.dre s s
IES OF ).'�INAL PLANS BEFC)l3Z
THREE (3) COPIES Al"E, REQU*1j_'C'1ED W"LT11 T'_i-iPZE11-1 (3) COP
CERTIFICATE OF COKP_! ETION WILL BE ISSUED.
GUARANTOR 1"S R':_.'IQUIRED TO FILE 'NOTICI!'4 01? DAT;',7,' OF US- 0 P SYS"1:;1•.
Division of D-avironmental Ileal.tl.i Servicos, Putt-ia,,zi County Dopart,-acnlu- of heal 't1-.
PUTNAM COL1110'Y DEPARTMENI OF HEALTI-
VVE11 C01yPr
Health Suvices
3171 Division_ of. ..r.r.vir.onmental
COUNTY OFFICE H;IJILDING - CAIUMFL, NEW YORK
-this ref -tort is to b-2 c')Imp!uted by.t-vqff d;h1cr and .ubmitted trl County Healtri vvi-Ni laboratory fEport of
analysis of water sampi,,i ii)dlcatinq is cf sa6ffxtory bacterial quality. before Certificate of x ruction compliance is issued.
F—IME
I.R
t4c
owWN
UME
IOCATION
(Toven), (Lot rJurrbor .
Cr Wr-LL
I'DOMESTIC -El'
ESTAbIISHMENI FAW
TEST' WELL
USE OF
WELL
PUBLIC AIR
11' SupftY El INDUSTRIAL CONDITIONING
OTHEP
Specify)
DRat i;-4c
r— COMPRESSED CABLE
Ll ROTARY'
OTHER
❑
EQUI ',,,IAENT
'CUSSIC14 PERCUSSION
AIR'PEF,
( Specify)
CASING
E TA; LS
LENGTH (riot) DIAMETEP(in"I as
2
W-;EIG-Hr. PER FOOT
THREA"m
I f.)RIVE f,[TC—E
I — r--
WCLD ED g] YES
El FS _j CdO
%'1�5 CASING ROUTED?
r
YES 0
F
0 BAILED COMPPESSED
PIOU P.m.
YIELL (G.P.M.)
TEST
1 X-1 AIR
.7
WATER
MEASURE FRO;;! LANt) 5URFACE�STATiC,(SI. ily 'IN if.. D ET
feet) DURING
Depth of Completed Well
LEVEL
i^ f6c, below Land surface:
MAKE
LENGTH &PEN TO AQbiF—ER—(1*o&l)
S C I,. ICE f `1
r.
DEMLS
SLOT SIZE =—DIA-!�, T
ITI (inches)
SIZE flac-�csjl FROM (tool)
G RA VE T" 019oO
IF GPAVEL Diameter of well in,fvd;n,,
Grayrl pack. (hches);
!•EPTH FPCM LAND 'SURFA(
Fr
E7 a 1EET
t
FORMATION D'SCRIPTION
fyield was teite'd at difleren, depths during drilling, !ist below
FEET GALLONS PER MINUTE
OATP F. q
75, p I i I E P
31to h,
DATE OF REPORT VICI-1, D ;LL.t-Rpi
t �Vy_
tkatch exact.l.) cation ot wal•' with diVances, to a! Maw
two permanent !arlmarks.
"Thies is to certify that:_.the sewage .,Misr) al
t., t
sys ezt �raa cons rueted as 11dic3ated: on L. IS OF . All
[)Ian. and that. the system was inspected by me yf.
before it was covered over.. The system was ;� ti` K
,ons.trueted in accordance with tYe vials and r�
regulations. of the Putnam County epartvient
Df Health."
Z A4
OFFSETS
MEASURENENT OF EACH
0
FROM
RUIZ FROM BOX TO END
HOUSE
OF TREP,C? (31 or -
m
. CORNER
vide wl orange burg )
� r
re, zll� LO
AM C00 TY DENT. ()f HIAI.
{
SIRECTOR, DIVISION OF
—
fiVIR NENTIL HEALTH SERVI
r1W
NE
8W
LEFT
R I GPI'
{
A
2 0.7
44.1
-
9
36.5.
$5,5
B
24.7
51.4
-
8.5
40
4S.5
C
20.7
59.5
47.5
12
42
54-
D
38.7
67.9
149*5
16
44.5
s .5
E
31.
76
53
1615
38,
Sk.s
F
39
84.5
158.5
15
23
3�
?TIC
25
38
-
-
77
224
3 0 I
TOTAL LENGTH OF TRENCHES - 301 L.F .
Tat.erials used - M & M Tank & Boxes,
Orangeburg 4" tight
& perforated pipe.
* SCALET FROM OVERHANG
T
y
No USE CW,*jeCTto- TO Sk
ACGOMPLISHET by LICENSE-D
1 PLuMatQ .
At higher elevation, & not
In the direct line of drainage
ti WELL - Driller: Norman Anderson & Son.
Barger Street,
Putnam Valley, NY
>anitary Installer: A. Kastuk & Sons, Inc. T1oy w/ TRANSIT -rAFLr
Box 36, RD # 1, Putnam Valley, NY 10579 $tADLA,
ARTHUR P. MQLAUGHLIN
ENGINEER 8t SURVEYOR
RD # 5 MILL-TOWN RD
BREwSTER, µ Y 1050-3
"As:- Built ";prepared
or Yff. X MRS..Walte
Chomanezuk:;@ Oseawar
Heights R&Ld; Town . o
Putnam;Vall.ey: Patna
r �A
Me <K���ll�Af �,:.5•to -7 roe Ho
W
A►Pt' Oil
nj
N
mp 7 °
AM C00 TY DENT. ()f HIAI.
{
SIRECTOR, DIVISION OF
—
fiVIR NENTIL HEALTH SERVI
* SCALET FROM OVERHANG
T
y
No USE CW,*jeCTto- TO Sk
ACGOMPLISHET by LICENSE-D
1 PLuMatQ .
At higher elevation, & not
In the direct line of drainage
ti WELL - Driller: Norman Anderson & Son.
Barger Street,
Putnam Valley, NY
>anitary Installer: A. Kastuk & Sons, Inc. T1oy w/ TRANSIT -rAFLr
Box 36, RD # 1, Putnam Valley, NY 10579 $tADLA,
ARTHUR P. MQLAUGHLIN
ENGINEER 8t SURVEYOR
RD # 5 MILL-TOWN RD
BREwSTER, µ Y 1050-3
"As:- Built ";prepared
or Yff. X MRS..Walte
Chomanezuk:;@ Oseawar
Heights R&Ld; Town . o
Putnam;Vall.ey: Patna
r �A
Me <K���ll�Af �,:.5•to -7 roe Ho
Gentlemen:
PUTNAM "COUNTY DEPARTMENT -OF HEALTH _
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date August .3,09 1972
Re : Property of Iblr m & —firs,, Walter Chom,anczuk
Located at Oseaviana Heights Road Putnam Valley
T ax Ilia p
Section 35 Block 1 Lot 402
This letter is to authorize Arthur P,, McLaughlin
a duly licensed professional engineer X or registered architect
(IndicaTey-
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
ucNai "uicllt vt I1GCLll,i1, ahld VV sign all riecessary 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 haw; the Public - Health haw, -and- the Putnam County- Sani --
tary Code.
Countersigned:
P.E. :, ,# 43 52
.7
Seal)
AdarMTHUR 6. MOO
P,ROFE951ONAL ENGINEER
MILLTOWN ROAD, R. D. 5
I,.
Very truly
all
Signed(�J
Owner rope y
/
Address
�5 6 °riz.
�1 e ep one
BREMTER, N.
( 914) 279 -6986
Telephone
m A
Q
�FFSfi 10SS P�'
Q
4
FU TNAM . C OU N TY
DE -D R`,ENT OF F'z!LTH.
T I VIS I'6'N -.-OF-E NVTRO-N r"';TIA U- H-8A, L-T.H.L.-T -S:E RG MI. CE S
DESIGN DATA SHEET SEPARATE- SEr,.AGE
10
D.IC-0 L SYSTE FILE
ChomanczulAddress A Y,
Owner lrx 0 &-.J�Jrss'lffalter P.O. P. 0. Box 4 6- Putnam', Valley, NY 10579
Tax Map
Located at (Street). Oscawana Heights Road Sec. Block Lot 4*2
(Indicate nearest
cross street)
Municipality Putnam Valley
1,1ater'shed Psea.w ana Lake (opined)
SOIL PERCOLATION TEST DATA REQUIRED :TO BE SUE', T W I. ON ITH, APPLICAT
Hole
vai r-,b e r CLOCK MIE
I PERCOLATION' PERCOLATION
Run Elapse
D e o t- to Crater. 1.,;ater Level
No. Time
From. Ground Sur -- =ace in Inches Soil Rate
Start Stop Min.
Star Stop Droo in Min/in.drop
14 0
Inches Inc S Inches
104 %\.j
Z. 17 Lrn7 4-0
3
9 13 Cr 1)
.4
Z.
2
-3
4
.5
Notes
Tests to be repza-ed at s a me depth until appr
oxi--=
telv eaual soil rates are e ob-
tained at each pe zcolati0n'' test hole. All data to be submitted for review.
try bp -rradp from too of hole.
Date !.
TEST PIT Da TA aEOL'IF.Eu O 2� S'JL�IITTED : -IT aPPI;LCATIOti
DESCRIPTION OF SOILS E`" CC TE:�ED "
I': T ST. HOLE`S
DEPTH
A .HOLD
HOLE NO : ... .
\0 .
G:L.
6rr .
PLO
T
a'jQ It-
2
18"
Lokt- i vv�
24 "i;.�
�b�ioi�iu'
30'r
i
ar- ii
36t1
.42'.
-
48 "i
54"
_�o Ai1
66"
72
:E`�A�
_8.r
1
w.A -Tap . AW
8 W
�0Le ,.70 Z'o
INDICATE LEVEL
WHICH, GROUND �i�TER IS EtiCO�' \.TE�_D ®. not encountered
INDICATE - LEVEL-
-T ,
TO WHICH WATER. TLEVEL RIS_S n%a
TEST, �tIDE:..$..Y::...
AP1�r R� ATC.
Date August..249 "19'72
. Soil Rate
Used 1.6 ®20 �Ii? %11t. Drop : S: D.
Lis'al.e2 Area �T 0-. 1d 900 S eF
—
Approved
NO. of Bedroo:-a
3 tic Tack Ca i 900
Sep 2 =c }
Gals. Type Concrete
Absorption
��rea Pro��ided Ey 300 L.F.x2': 35"
X'. caidtri trench. Other'
Name Artrur P in ,, ..P..E o Sig a tur
9
Address P, "ilTta��n Road RD 5 -
Br
r 10509
.vast W?�le* ^YorU
Date !.
I
-
-
f'
W
W } i
o w 1.1 \ G,?
ui
U-
0
cy
La 60 U
m 6: \ \`\
'o s
2 Z� < \ a
W 4w
r
W F\ \
z m z
t,
�. O t
Lij (n T
CL
CY LL
�s \ a 0.
iL
�.
LL,
4.
,., 'IN J<
J �F
r
- J
1
J
90
CMGgN t +N�
FAC �F STONE WAL
5 84 °- 60'- Cc