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HomeMy WebLinkAbout2591DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 52. -2 -36 BOX 22 02591 ,. : = tAr , . :: f - ! ;,,- '� 'a tiro Ir r ' Qr ' ,, al --f ,. UL ti IN or cy- 02591 h f, 144M COUNTY DEPARTMENT HEALTH Division of- Environmenial Health Services Came/ N. Y,'. 62512 _Q TfFICATE, OF CONSTRUCTION COMPLIANCE FOR SEWAGE D"VW1 A':L SYSTEM Putnam Valle a.- .o .-., .�.� _ Town or Vmage- TM.. 4 } Lbcated'ac north .side, of Oscawana Heights Road�Pr _ 35 Edward -.`J. DgMa.tteis` &.,Rita: DeMatte s P •1`L�,3,; Owner Lot ' Job separate`:Sewerage system, built by Anti ong C @ssarrni V `a i ess 27'0 I PRLVett6 1 conscst�ng of -`ZOO GaI 5eptic'Tank 31C3.'S e' 3.0?. NeBPYor 10566 I al Feet -. X width trench Other requirements &town of Putnam"Ua11ey re? lations &general ru s OF, u n m o Y e' menu. r `,Water SupPIY Public SuPP1Y From 1. = 'Private Supply Drilled By And @r� i1 Vol DY'ill rig s' Address R.• 3 Putnam Vall@ New'York 10579 1 family resi`denc:e ` ' Buildin Type s Nor of Bedrooms fdur Date Permit Issued `5 r Has. Erosion, Control Been Completed ?, Ye g, fine ;` rad� ng' :;completed; lawn nl I certlf that the s stem s .,as listed serv�n the above premises were constructed essential as sho non the plans of the eom leted work copies of which are attached "'accordance wdh °the standards rules and:regulat�ons,planS:filed he' rt issuetl by =,the ,Putnam -C unty D'epartm.ent of, ,Health. : ( 1,.and m., = a January 22, 1'97.6 Date _ Certified by - P:E. R,A.- Mil town Road• RD #5• Br'wst' 0509 _43952 t Address > > } License No. Ah person .occu j y' eying premises served by the above;system(s) shalL'promptly'takesuch action, may'b'e necessary to secure the coreectioh of any unsanitary } conditions ,resulting from such usage ApproJal'of the separate sewerage systemsh511 become null. "and void,as sooh as a ,public sanitary sewer becomes S available and the" approval of theF!private J ter,supply "shall _become nulh_and void when a public vrater suppl comes' `available `Such' approvals are :. = t.., subject ao' modification' or change: when, m the .judgment' of theCommi - Health; such _reyocation';m ifi tion'or, change is necessary." 4 OP .Date .i _ 1J, k By Tale t - - r BACTERIA- PER ML: (Agar plate count at 350.Q. ' COLIFORM GROUP (Moat probable N6. /100m1) s Mae, HARDNESS, TOTAL -ppm DETERGENTS - ppm ,t;.. NITRATES (as N) -ppm IRON, TOTAL: - ppm FLOURIDE (F) - mg. /1. These results, indicate that the water was vez of a satisfactory sanitary quality when the sample was collected. � . �� %// ✓tom �m"tl t;. A. H. PADOVANI, M. T. (ASCP) .fr YELL COMPLETION REPORT' PUTNAM COUNTY DEPARTMENT OF . 4EALT11 V71 Diviiion of Environm.tnwl Flcalth ;.nrv+cef COUNTY OFFICE UUILDING • CARMEL. NEW YO.nK Thin rcoo;t is.to be eompletecf b.Y_w�II dnllcr and sly! .: ;.itcd.toCorinty..Hcalth Dcp.irtmcnt_tocsther _ w4h..l bo atory L..n4rt `an`a'lysis of`waC "c� sample ind sting water is of satisfactory bacterial quality before Certificate of Construction compliance is issued. REPORT MUST BE SUMMITTED VATHIN 30 DAYS OF V:ELL COM. LETION . - OWNER NA {'4E /3 - ADDRESS - - LOCATION OF WELL (I)o. 6 Srraot► _ W (Tc,rinl (Lot Yun:tsr) PROPOSED USE'OF WELL DO).1ESTIC 11 SUPPLY _..__. BUSINESS - ESTAEIISHME T. F INDUSTRIAL • FARFA A D CONDITIONING LI TEST WELL (Spe ER ) DRILLING EGUIPME14T 1:1 ROTARY (raj COMPRESSED JbJ AIR PERCUSSION CABLE PERCUSSION a OTHER (Speafr) . —DETAILS--­ CASING LENGTH (feet) DIAMETER(inches) ...,.�yc WEIGHT PER FOOT " -' ( DR:V SHOE( ,� 1 THREADED E] WELDED YES LJ NO �'�n5 ASING Gr�l�- L% _I YES U NO TEST O'BAILED PUMPED COMPRESSED AIR HOURS G:P.M. YIELD (G.P,6l.) WATER. LEVEL MEASURE FROM LAND SURFACE - STATIC(SOectly feet) DURING YIELD TEST float) ±Depth of Completed Well ) et below Land svrface: 1 (l SCREEN _MAKE_ _ _ _ - - LENGTH OPEN TO AQUIFER (feet) DETAILS. ` SLOT SIZE. . DIAMETER (inches) IF GRAVEL PACKED: Diameter of well including gravel pack (Inches): GRAVEL SIZE (inches)I FROM fleet) �10 (loet) ITH FLOM LAND SU:FACEI j FORMATION DESCRIPTION Sketch exact loca;lon of Kell w•i:h aishnces, to at least two permanent landmarks. FELT w ;C LT 5 ' If yield was Nord of different depths during drilling, list below FEET GALLONS PER MINUTE ..a• vmra acv GATE OF Ttl:PORT 'WELL DRILLER (Signature) r s Location - Street 1:!AMl&jo'— RES1®ENCE Building Type I _V-rW AM Municipality 3� Section 0 Block 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 Z— day of lr., 19Z Signature = 2 � r Title? 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 4 6 - ♦n�.r. ,rsrn- .s -..-. . ..,•nrz ase. qs�:..�.e.:._ ��.v�.-c •-r..a- 'F t - nv<r.z .t.. n-. � —ter -ee �aP...:n�'_ r.•..�•�� -_' Edward rJ .Rita Del,Tat.teis �; Putnam Valley Owner or Purchaser of Building Municipality Edward J0 DeIJatteis Building Constructed by Oscav,-na -heights Road, Putnam Valley, NY Location— Street - 1 Family Residence Building,Type 35 . TZ4-ta -Gaa Tax flap 1 Block 4.1 Lot GUARANTY OF SEPARATE SE'IJ AGE SYSTEM I represent that I am wholly and completely respons "ibis for the location, worlm-anship, material, construction and drainage of the sewage disposal system servir_g the above described property, and that it has been constructed as shot. on the approved plan or approved amendment thereto, and in accorcance with the standards, rules aid 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 i.:imediatel;y following the date of initial use of the sewage disposal system, or any rapairs made by me to such syster-1, 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:. 'hz.yirector. -of .the Division of Envi ormen r al- .Health Ser -. vices° of "the - Putnam County Department of. 'Health` as " to Nether 'or not ' the failure of the system to operate was caused by the willful oar negligent act of the occupant of the building utilizing the system'.r�� -' f Dated this day of 5 l4 N 1976 Signature Ti t1-e - owner &; General 'tract•or.° If corporation, give name and address) THREE (3) COPIE'S ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE, CERTIFICATE OF C011P,ETION 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 I ARTFEUP Y. Mc LAUGHLIN PROFESSIONAL ENGINEER MILLTOWN ROAD, RD NO. S BREWSTER, NEW YORK 10309 .. _ .. . t974I 279.0968 February 4, 1974 Putnam County Department of Health Division of Environmental Health Services County Office wilding Carmel,. New York 10512 Re t SDS De-Agn prepared for E4*ard J. �c Rita DeMatteis @ north side of Oscawana Heights Road, Town of Putnam Valley, Tax P -Jap 35, Block 19 part of lot 4.1 Gentlemen: Forwarded herewith are the following informations applicable to the application for a construction permit on the above referenced s.d.s. projeet: (a)"Construction Permit Application as dated 1 -21 -74 (b) Design Data Sheet (c) Letter. of Authorization dated November 24, 1973 (d) one Set of reversed 'house plans, sheets 1 thru 6 of 6, G. Chirgotis, Architect - "Deer - field" (e) Field Check.List % sheets 1 and 2 (f) three prints of the s .d. s . design ( sheets 1 and 2 of 2 ) by William. Your attention with regard to the review of the attachments vrill be appreciated. Very tru y y�c /gds., Arthur P. Ends. Copy to: ' I Gentlemen: PUTNAM COUNTY DEPARTMENT OF HEALTH ..DIVISION, _OF.., ENVI RONNL EN.TAL HEALTH SERVICES _. Date November 24,1973 to be purchased bys Re: Property fix. Edward Dell akeis Located at north side of Oscawijana Heights Road Tax Map -- Section 35 Block 1 Lot p/o 4,1 This letter is to authorize A. P.., McLaughlin 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- system or systems in conformity with the provisions of Article 145 or 147, Education Law, tary Code. Countersigned: the Public Health Law, and the Putnam County Sani- P.E., R.A., # 43952 AddressAR UR o / GHU, PROFESSIONAL. ENGINEER MILLTOWN ROAD, R. D. 5 BREWSTER ` bl . X. 10509 ( 914) 279 -6986 _ Telephone �+ Very truly yours, Signed X Owner df op`rty North Lake Road Lake Oscawrana; Putnam Valley, NY 10579 Address (914) 526 -23c1 Telephone ARTHUR p. PAC LAUGH UN RE: Deiviattels - usca,.vana heignus rLoau PROFESSIONAL ENGINEER Putnam Valley TM 35 BL 1 MILLTOWN ROAb, R. D. 3 r/O.Lot 4.1 S BREWSTER, N'. Y. U t t X. b-O.-Fle ­PlAn:E� y--!,7-APC1fi ec-- Design data shect Peres presoaked? Min. 30" perc test depth cons't. results for 3 x x D. Hole log O.K. in my ol)inion CK. - log based on bl T =_ n individu 1 /a-Corporate, AffidavH for other tna a bac Authorization for eiir _! X. J Letter from Walter Supply IX applica'-le ri/�a If variance Y- equested -such ,noted on plans & apps. DETAILS I (if change is proposed, Existing contours 5hOW11 �silow new cc)ntours) Slopes for drive-way cuts, etc. shown driveway rembte fi Water service line location f X Footing-drain, etc. location X CC t or f ' -* U_i7r —ed Top slop., botL m slope o- f.L Percolation tests and deemc test pit location. "oerc-tec Septic tank size, an-i (-orifc)-_�--mancc; to - std. x 3 B.R. house minimuzm_- plans call for 4 bedroom X House setback shown x own to enforce Ny caVati-on-as there was avelilable"' no variances of HD reT--s required in s d.s. area,_n/a ere note holes shoym --see note - on ?glans x ap'61A"' b�,'ble cl well All Wz::k6V1.1• w 1dij 5C) I— no i C ift vi or ds Plan a-rid profile ... n nrollle pe-r­664-- All other wells and S'J)� clos,,:x, 207 shown or reference -1,-.a:,de none in area n a ... Tv?oparty' bou inda rJe k*'rletes n bo Part of minor subdivision x -- - -------- SEPARATION covered -o r no e s 0 plan l 101 to P. L. 20 v -to Founda—tion X 1001 to Nearest well x I 50' to stream, Ion) n/a i 15' to Curtain draLn 101 :;o water line (P t S 0 j 15' to storm drain x 101 to larSe trees x 1,01 from foundation to se.natic tank .L 5' to pipe from leader drain & Etc. ARTHUR P. MC,LAUGHLIN PROFESSIONAL ENOINEER MILLTOWN. ROIX15" R. D,'5 BREWSTER, Y,: :.r 1;03<0 9 F -rF .L, RE: Del T'J'atteis Road, Putnam p/o'-LOT INITIAL SIM INSPIECTION C1,1-jC1`_* LIST Oscal.vana IT-1-ht- Valle 1`c bate: January 21, ^1974 y TM 35 Propepty lines ca., corners ' f o-Lund . . . . Can estimate house locatiol . . . W.1-11 driveway need cut . . . . . . . . M,,ust tre-'s be removed-noik-le these . . . . . . . Is deep hole representative of entiz;le ISD3 area AdditiorAtl d--ep 11,,Oles needed. . . . S aifficient SM area avail le cosderiPZ driveway cut.,. house location, sena.ration distances., etc. DEEP Yes [ No CoLn-ments concrete Monuments set From excavation in not in s.d.s. area Backhoe unavailable. reDresentative Upsized one rate as X a, factor of safety Defirth: per design data 1,164-ar c-:" - evat- i on,., sheet Rock elevation: Soils descriDtion: FIML Sjl=- J?j3PE1-1mTCj'q. Ins by: house. 'located where. shown on ap i�,oved plan r p SM lo,�,qted vhere Ba -p n. _,vetft Width of trench average Slope. of the line and, ti;,-n_c _cace'��_�U,al.bl- Roam &Uoved exnansion tr enches . . . . . Oyer 50 fto from. sriamp�watercourse d '6 d kjr.biir� S-611 -not stripped err SD (- i r ea ' ,annecessarily graded . . . . . . . . 10 Ft. maintained frorri prop -1-itie and, 20 ft. from house . . . . . . . . . Separation of t--(-,e--,ach from house, well etc. follows plan . . 0 . . . . . . . Nimber of 'b-.d-.o,,-).,,ls checks . . . . . . . Stones, brusbrush, stumps, rubble, etc. greater than 15 ft, from nearest tren-,I-L . . . a � . 1.5 Ft, - of periphet'a-2. soil hor.Lzontally from tench. . . . . . . . . 4 . . . . . . . . . . Junction boxes properly set Could surface run off from driveway, roads, ground. surface. etc. cl.-,annel ne,,ar SOS , . , area. . . . . . . . . . . . nag rea of SDS Does lot drai, e a I ppiE�qx 0 K. in a FIW..L GRkDING OF SIT, ACCEPTAILE PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES - : "COUtTIY 'OFFICE•-.BUILDIN:G; ..CARMEI;, ".N:. Y .., ...1.0512. DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Edward J. Oscawana Lake Road (alza Worth Lake Road) Owner%l.r. &: Mrs. DeT,natteis Address RFD #_ 3s Lake c gnaivans P „firta„i zal ey nor z s ide oI New Your 1079 Located at (Street 40-dicate sca•,•yana 11 ^zts Rd Sec. ,,T $loc Lot p/o 4.1 nearest cross street) REP': a -e Osca,vana Quad Sheet Flow. overland into INiccopee Municipality Putna m Valley Watershed TT,(robe then kki ni n Ra�??r�lr; 17 SOIL P�RQOLATION TEST DATA QUIRED TO BE SUBA9411 �rWl��'I APPLICATIONS All perun l„ n ' e u fl e o minimum aeT7th. All percolation holes presoaked prior to te_stinc._ Hole 7_,eFS 7— COA1.A1C T�_'D 1, 1973 , - - 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 pal Inches Inches Inches 1 1 2-13 2-,22 y -a 4L 2 2,244 2'34 le 2# 27 3 3-3 4 5 Ilez,5- 3 a S 2 l` 2 Z .:3Z 7 IL Z7 a 2.33 2 2 2=60 -402 2) Depth measurements to be made from top of hole. 2 in excavating, for 51, -3 4 ,,. .5 l7`©l c - 3 ®r�, -�Av s 3 1 z' -30 2 date was extremely IL Z7 a 3,5 2 2 2=60 -402 2) Depth measurements to be made from top of hole. 2 in excavating, for 51, -3 3 3^ ®© 3,: 2® 24- 27 3 P 7 4 3.,2f 3 =4-6 24 24 27 5 3:¢ 8 ¢_: fV 22 21C 27 3 '7..t3 Note - a fourth. hole :r� s dug (16” deep} in the el cavated foundation to test feasilDi.litrT of utilizing seepage pits. Said date was extremely sll w t� dense silt sandstone. Notes: -due be o repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. Tones Entire area had been disturbed by the use of a bulldozer in excavating, for buildin,:�: foundation. It is opined that the above rates are faster thax. ti li area is unciistubbed. Therefor as a factor of safetir, use a des?i3•n rat o pn 11 -13 ariinutes ner inch. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH ROLE NO. HOLE NO. HOLE NO.. — .Gt.�L.-111 . -;- - - Q a... �baclk-h-e e- t;,e, -that, it ssible'.to-- OVE P-Bu to dig a deep hole in the site for fields 6 MAT-ep-iAL holiiever, since the building had already been excavated down to the proposed foundation trin 1)1111-rjoZer it =,qq c)pin,-.d the area of the nroT)osed fields is equivalent 181 CAM I fU bu bhotb of t1he elxcavatian'5.9 etnel'as a ' tte4.i-., the 2411 deer, hole lof:, was prepared from observation PL 0 .r.1 ol -Gne rjul-L-117o- L excavation. 30 11 3611 LOAM 4211 4811 5411 S C-- Arc 6011 6611 '-T>a-NSE Sklri- LOAM RhAj5 7211 7811 8 4 11 G 1 &M-DST-01,j r- - . - . I - NO G'1 V3:0 ts- N 6 E* o P-- L E> c- e- Ok- Gaou05—WA�Z INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED - not encountered INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING . ENCOUNTERED - n/a TESTS MADE st BY rernolatio]a tp s - PF & it OIB Date Deceriber 1 1973 -Deep hole excavation under di'.-action of G.C. prior to DESIGN over 7.bedroo "' i80l Rate . Used 11-15Min/l"Drop: S.D. Usable Area I- Provided - over 920 sf exnansion No. of Bedrooms 4 Septic Tank Capacity 120%� Gals Type Appi�oved Absorption Area Provided By 373 L.F.xR�f (2 R� Q't h —tr —en—c (sheets 1 &- 2 of 2.) for additional- details 4 1�,� Name Signatu ARTHUR P. MCLAUGHLRM, Address PROFESSIONAL ENGINEER MILLTOWN ROAD, R. (). 5 10509 BREWSTER, N Y. THIS SPACE FOR USE BY HEALTH DEPARTPE-NT ONLY: 4 Z 0'- 551019 Soil Rate Approved Sq. Ft/Gal. Checked z Date I y Ir Lu 1 i� wi l9 v IAL QO IIT 0 "14 5 'a u / � O i 4. 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B3 . �" fix''- - - .i` _ . 1 n 0 K S t t +� �. ° °.'. ^v.., - °` ,. . " -_ 5 _ ''+rh+x %-. E �. - .. s;.ew. .-, kr a £ _,.. -`" �' ,r. ss. — .:. -y..� . ,.:.,',1 �r .y., -y_.;. ..u,.,. 3. atz-- =: § -. r' •.5y4SE .u„ ,ry x� f .; -..,� .` �'K k-y..s�`$5` }*'' -.ry i _ Q,F 1.F ,3 F'- u.- _ '3 - I,s + Y '�.'tP =••: M�'P t _ . „cs. £l �y= iYh.,. Locations 'by traneit; tape- and stadia methodo. 3.0 WIDE `ABLE OF OFFSETS'. TO HOU ' COR.i :3 a (Tape d.ist�nces in feet level ). .ITEM DIMRIPTIOV NE 5E- MS sw Sept e'TAnk M.E. _71 _ ' 14 32.7f Rine t .on Box #1 190 at 31,20 0.1. Y . - 44-o:01 32 06 50,01. 36,61 77.41 Well ; .5 f, 86 , 0 `t ' 51 ,8 - } i ti