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HomeMy WebLinkAbout2619DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 52. -3 -7.3 BOX 22 J� �■ 1 1 I6 I ~ �I I 02619 Rev. 3 86 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N.Y. lOS12 Engineer Mast Provide P.C.H.D. Permit p CERTMC.ATli01F cONSTRUCr[ON COMPLMNCE FOR SEWAGE DISPOSAL SYSTEM _ _ Putnam` Valley _ at Wi ccoppee Road Tar � 19 .. TB oar vi[[�ge lAt 16.8 Owner /applicant Name G E TT I N G E R Formerly Subdivision Name W i c c p p e e G�v. Lot p 3 Mailing Address 8 Foxh j 11_ Rd., Peekskill, NY. 2Jp 10566 Date Permit Issued Separate Sewerage System built by Tompkins Landscaping Address Consisting of Gallon Septic Tank and 572 linear feet of 24" trench 7' deep or on ledge rock curtain drain around north and east sides. Water Supply: Public Supply From Address ei; XXX Private Supply Drilled by Norman Anderson, It��ess Barger St., Putnam Valley, NY Building Type 1 fami 1 y frame Has Erosion Control Been Completed? Yes. Number of Bedrooms 4 Has Garbage Grinder Been Installed? No. Other Requirements Curtain drain (see above) I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies of which are attached), and in accordance with the standards, rules and i s,(�{dan th a fry1e��T an th�I� /�s�r s'u'ed e Putnam County Department Of Health.• �• '1n t " ^ • ""� ° +�-L" , Oats Jan. 31, 1992 Certified by P.E. R.A. Address 1 Northridge Road, Peekskill, NY 10566 - License No. 061145 Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a pub—_ sanitary sever becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject /tom "modification or change when, in the judgment of the Commissioner of Health, such revocation, modification or change Is necessary. Date +' lrr Title n , _ CONSTRU I PERMIT FOR Located at on PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 SEWAGE DISPOSAL SYSTEM Putnam Val ley Town or illa/ ge Tax Map 19 Block 1 Lot 16.8 �..�....._ :__ hli rrnnPP Fct ,qtPS T T T Subd. Lot N 3 Renewal rl Revision ❑ Owner /Address NEAL C. GETT I NGE R Date Of Previous Approval Building Type I faro rPs _ Lot Area 6+ acres Fill Section Only ❑ Number of Bedrooms 4 Design Flow G /P /D 800 P.C. H. D. Notification Required Separate Sewerage System to consist of 1200 Gal. Septic Tank and 571 1 i near feet 24 inch wide trench To be constructed by T. B. Q. Address Water Supply: Public Supply From XXX Private Supply to be drilled by Norman Anderson, " Inc. Address Barger Street,..Putnam Valley, NY Other Requirements 1 Swale and Curtain drain 2 Road bed and large stones to be removed. _ I 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, rules an regulations o e u nam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill 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 will 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 repairs thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be installed in accordance with the standards, rules and regu a ons of the Putnam County Department of Health. Joh Rome P . Date July 31, 1991 signed b �" ;. I InbW,1; P.E. 'XXX WAC. Address 1 Northri de e Road e w N9,18491/1'. L. License No. 061145 APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any change or alteration of construction requiresf _ an-ew permit. Approved for disposal of domestic sanitary sewage and private water supply only. /� / Date. U �%i _. / Bv� — Title � / - ✓ ✓' /_1 QIRMUC _0r1. ---^ "," WLLL UUr1rLL,11UN r1r,rUlc1 DEPARTMENT OF HEALTH Division Of Environmental Health Services .::T ..... s.T- �.tiy.i'....»a....Y_rs:.ti. ,... .... r. _ - .. -s.- .- - -..r• �.'._.. -- •;••'. " -_._ ....- ... -_ _ C_...... G.. .- n..� PUTNAM COUNTY DEPARTMENT QF'HEA'LTH Office Use Only - yws.. _ .-. r -- J WELL LOCATION STREET ADURESS: TO NIVILLnucify TAX GRID NUMBER: l r,�- Lvi:�c o /f, WELL OWNER AME. j ADDRESS: �•h e r %v <� /l �� �PBIVATE ❑PUBLIC USE OF WELL 1 - primary 2 - secondary Q�RESIOENT'IAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED ❑ BUStNESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. 1N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING []REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION ❑ADDITIONAL SUPPLY ANEW SUPPLY (NEW DWELLING) ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 3 c v ft. STATIC WATER LEVEL ft. DATE MEASURED ��- DRILLING EQUIPMENT IROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED PEN END CASING ❑ OPEN HOLE IN BEDROCK ❑ OTHER TOTAL LENGTH 10 n it MATERIALS: CUEEL ❑ PLASTIC ❑ OTHER CASING DETAILS .LENGTH BELOW GRADE `� it. JOINTS: ❑ WELDED 0-THREADED ❑ OTHER DIAMETER in. SEAL: ❑ CEMENT GROUT ❑ BENTONITE UMER WEIGHT PER FOOT Ib. /ft_ I DRIVE SHOE O YES C No LINER: 0 YES O-NO SCREEN DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH To SCREEN (ft) DEVELOPED? FIRST ❑ YES ONO HOURS .SECOND... :...._... — GRAVEL PACK _ OO NO ...•.- ...A- s ........r -.. ......: r...-.- GRAVEL SIZE: w- .�..- ._.._.._.._.-- .... -..... �..... -. .... DIAMETER OF PACK in. - .rte..... —..��. �..w..- TOP DEPTH ft. � ....... -.P. BOTTOM + DEPTH It. WELL YIELD TEST ' If detailed pumping I METH: ❑ PUMPED 1 tests were done is in- OMPRESSED AIR , formation attached? ❑ BAILED ❑ OTHER ; ❑ YES ❑ NO 1�IELL LOG if more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE water Bear- ing well Dla- meter FORMATION DESCRIPTION cooE tt ft WELL DEPTH It, DURATION hr. min. DRAWOOWN It. YIELD gpm. Land C. ��,j , 300 WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES ONO STORAGE TANK • TYPE (.vz ((— k — 1^,J j er- SGf T`" CAPACITY GAL. PUMP INFORMATION TYPE S 5 • •` MAKER (AI {A. MOD EL CAPACITY 1 DEPTH °��� d VOLTAGE 21d NP � WELL DRILLER NAME �,,, DAT ADORESy�` -I" & A ' 'Ste`' 1 -K �= SIGinMRE ifs /y f r, fwd x JI' J/ bI) 3~ ` YML Environmental LAB NUMBER - 2.00114,E aw` S e ry i C e S DATE /TIME TAKEN 9191192 j?-gn Pm ...._ -`• "•`-•• r-. �7�ee$; IJF `-ICtvv-1't'i .i C�.r�li�'�;�iWTl 059iS:- "'.. -.. D _ ��D - - - - -- ELAP #10323 (914) 245 -2800 ATE 'TIME .: _ ...... DATE REPORTED I (914) 739 -4787 SAMPLING KITCHEN TAP: rcl 1-5 / SITE 118 WICOPEE ROAD For Lab Use Only Potable _ HNO3 _ pH LT 2 t <4C _ Nonpotable _ COL -D BY MR. GETTINGER _ STAT! NOTES � X ® ANALYTE 1 1 S.U. RESULT UNITS PHOSPHOROUS ALKALINITY mg/L SILVER AMMONIA mg/L SODIUM CALCIUM mg/L SULFATE CHLORIDE mg/L SULFIDE COLOR Units SULFITE CONDUCTIVITY umhos /an COPPER mg/L CORROSIVITY . DETERGENTS " mg/L FLUORIDE mg/L HARDNESS mg/L IRON mg/L LEAD mg/L MANGANESE rrg/L MERCURY rrg/L NITRATE mg/L NITRITE mg/L ODOR TON NaOH _ pH GT 9 _ HCl Na2SO3 H2SO4 ZnOAc IBM - --- MF _ <20 >4C >20C P/A X I ANALYTE I RESULT I UNITS I? ,..• :1.V 1 \Ll Vll 1-1-1V il:_. :... __ _ -. ZINC mg/L SPC per 1.0 mL j( TOTAL COLIFORM per'100 ml, FECAL COLIFORM per 100 mL E. COLI per 100 mL FECAL STREP. per 100 mL These results indicate that the water sample [WAS] [WAS NOT] [NA] of a satisfactory sanitary quality according to the New York State Sanitary Code, for the pa ters tested, at th a of sample collection. These results indicate that the water sample [WAS] [WAS NOT] [NA] )of a satisfactory chemical quality according to the New York State Sanitary Code, for the parameters tested, at he ti sample collection. NA = Not Applicable N = Not Present (Negati%e) SUBMITTED BY: ` � / ��� <� ? =t %�% 7-P = Present (Positive) SA = See Attachment(s) • = Also done because Total Coliform was present Albert H. Padovani, M.T. (ASCP) TNTC = Too Numerous To Count Director > = CT = Greater Than < = LT = Less Than pH S.U. PHOSPHOROUS mg/L SILVER mg/L SODIUM mg/L SULFATE mg/L SULFIDE mg/L SULFITE mg/L ,..• :1.V 1 \Ll Vll 1-1-1V il:_. :... __ _ -. ZINC mg/L SPC per 1.0 mL j( TOTAL COLIFORM per'100 ml, FECAL COLIFORM per 100 mL E. COLI per 100 mL FECAL STREP. per 100 mL These results indicate that the water sample [WAS] [WAS NOT] [NA] of a satisfactory sanitary quality according to the New York State Sanitary Code, for the pa ters tested, at th a of sample collection. These results indicate that the water sample [WAS] [WAS NOT] [NA] )of a satisfactory chemical quality according to the New York State Sanitary Code, for the parameters tested, at he ti sample collection. NA = Not Applicable N = Not Present (Negati%e) SUBMITTED BY: ` � / ��� <� ? =t %�% 7-P = Present (Positive) SA = See Attachment(s) • = Also done because Total Coliform was present Albert H. Padovani, M.T. (ASCP) TNTC = Too Numerous To Count Director > = CT = Greater Than < = LT = Less Than J PU rNPM 'C OL7NTY D:r PARIVIRU of F=1 ? DIVISION OF H'_P=P SD'VIC' . . ..,..._... t-- �- :..��.�:a:a •- •-.-� —. -- ,z., -v -s ...e- : -_ - -� -- .- �- ....,... .. _.:�.,.. . -- ; .. -._... y,. ..._...'_':_.: - --. +zz. -. ..�... .. 4- -ti -.<e.. .a_s «.. -� .•.�_..- �.....ne. ..-. e-- .... - .• NEAL C. GETTINGER Owner or Pa�:C aser o': Buil.dinq NEAL C. GETTINGER — Building Wnstructecl by Wiccoppee Road Loaation - Strut Town of Putnam Valley Municipality Two story frame Building Type 19 _ 1 1_6.8_ Section Block IQt Wiccoppee Estates Subdivision Name 3 _ Subdivision Lot GUA_TUvNME OF SUBSURFACE SEWAGE DISPOSAL SYSM4 I represent that I am wholly and completely responsible for the location, wcriananship, material, construction and drainage of the sewage disposal system sel'vir.g 'Lhe above described property, and that it has been constructed as shun on YL, n vc,1 .-,l ap—c —d amendment thereto and in accc,-- ance with- the t.aic i.��rvv.::... ...gun r `..t. .- , ._ __ ._ standards, rules and regulations of the Putnam Countv Departmen~ of Health, and hereby guarantee -to tine owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a_.pe.riod of two years immediately following the date of approval of the "ri'ce�e of= Caiatr�eion= C-omp? ranee =' :f'a� Wig the�ar�e'_d�'9'poj - repairs made by 'rne to such system,, except where the failure to operate properly is caused by the willful o.r negligent act of the occupant of , "c b:�; ;� 1d ��t�l; �^ � _1 the system. The undersigned further agrees to accept as conclusive the Director o the Division of E:nvironirental Health Services c Department of Health as to whether or not the failure of the caused by the willful or negligent act of the occupant of the the syst&n. Dated this 31st day of fan. 1992 Signature Title General Contrac (Owner) - Signature NEAL C. GETTINGER Corporation Name (if Corp.) o:- c„ �, ; l 2 d. i . v' i 1, i Peekskill �N Y 10566 AdCir ems• s rev. 9/85 mk the determination of f the Putnam County s- L_ I to operate was c building utilizing Owner Tompkins Landsca ' (1 Corporation Nang_ (if Corp.) C DEPARTMENT OF HEALTH Division of Environmental Health Services 'WO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 Y APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT WELL LOCATION Street Address . Town V Tax Grid Number Wiccopee Road, Putnam Valley 19 -1 -16.8 WELL OWNER. Name Mailingg Address NEAL C. GETTINGER, 8 Foxhi11 Road, Peekskill, NY 10566 Mrivate D Public USE OF WELL 1 - primary 2 - secondary 0XRESIDENTIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP ® BUSINESS' O FARM O TEST /OBSERVATION 0 INDUSTRIAL ❑ INSTITUTIONAL O STAND -BY O ABANDONED []OTHER (specify AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 4 /EST. OF DAILY USAGE 800 gal REASON FOR DRILLING VNEW SUPPLY O PROVIDE ADDITIONAL SUPPLY O REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL O TEST /OBSERVATION DETAILED REASON FOR DRILLING WELL TYPE. XL( )DRILLED DRIVEN ®DUG O GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES XXX NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Wiccopee Estates III 2118E Lot No. 3 WATER WELL CONTRACTOR: Name Norman Anderson, Inc. Address: Barger St., Putnam Valley IS PUBLIC WATER .SUPPLY AVAILABLE TO SITE: -YES XXX NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION O ON REAR OF THIS APPLICATION July 31, 1991 (date) PROVIDED N SEPARATE SHEET s gn tul: atthew �A. Mvi- lo, P.E. PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. Date of Issue: Date of Expiration: lg ermit ssuing ffic Permit is Non - Transferrable White copy: H.D. File Yellow copy: Building Inspector Pink Copy: Owner 2/87 Chancre- rnriv• we-ii flri i i nr C= % C-4 -114 E,:-=. cz) cf I YES NO 3 4- - ---------- Sats C Cl —7C "J cn 7.47�-Ti� CNI D C CV: Z.L.- INC. w in 2on C= 2 F-z; x.20 20G' 13f Dra;n�--C=- Z:Z,* 10 to Rat=-- ---------------- f-z- Sats C Cl —7C "J cn 7.47�-Ti� CNI D C CV: Z.L.- INC. w in 2on C= 2 F-z; x.20 20G' 13f Dra;n�--C=- Z:Z,* 10 to Rat=-- p[ imm aXRUY DEPAKIMFM OF HEALTH DIVISION OF ERT.IRON:p }.: HifJ,Z'fi SERVICES DESIGN DATA SHkET SS TBSUFACE SEKTAGE DISPOSAL SYSTEM FILE NO. ,w..Oaner..:.:.fyEAL G -GET TIyGER.us address- 8 �=oxhi 11 Road Peekski l'1 NY1�566 Located at (Street) Wiccopee•Raod, Putnam Valley Sec. 2118E Block Lot 3 (indicate nearest cross street) Municipality Putnam Valley Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre- Soaking 7/29/91 Date of Percolation Test 7/29/91 HOLE NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min/In Drop Inches Inches Inches P1 1 9:53 -10:23 30 24 261 21 12 -- 2 10:23 -10:53 30 24 261 21 12 3 10:53 -11:23 30 24 261 21 12 4 -5 -P2 l 9:55 -10:13 18 24 27 3 6 :. : 2.: 10:J3-.10-:31. '.18___­-_'. .24 27..._.. 3_ -- 5_ _...... a..... . '3 10:32 -10:52 20 24 271 31 6.2 4 5 1 2 3 ....... :4 . _ ,._:...,...._....,.. _ .. _ _ ... NOM: 1. Tests to be repeated at same depth until approximately equal soil rates .. ;,are .- obtained :at each -percolation test .hole. - --111 data to be submitted. for review. 2. Depth measurements to be made from top of hole. rev. 9/85 li r -ITZ WCONY WAR 1001V41".0 • LAMSION OF ENVIRONMENTAL REALTH . SEE7VICES =SIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NJ. Owner 'NEAL C. GFTT•INGER Address 8 Foxhill Road, Peekskill, NY 10566 Located at (Street)...Wiccopee Raod, Putnam Valley Sec. 2118E Block, lot 3 (indicate nearest cross street) Municipality Putnam Valley Watershed SOIL PEROQLATION TEST DATA REQUIRED TO BE SLMMr ID WITH APPLICATIONS Date of Pre- Soaking 7/29/91 Date of Percolation Test 7/29/91 SOLE K]ME ER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches P1 1' 9:53 -10:23 30• 24 261 21 12 2 10:23- 10:53 30 24 261 212- 12 3 10:53 -11:23 30 24 261 21 12 4 5 P2 1. 9:55 -10:13 18 24 27 3 6 ,...,... .._.___ ._.. .a__. =...a _.- ... ...._ .... •c...,_. ..._- •- ._- ...... ... .....-- .- _.,,sue ._:_.'.- _. ......._: ....._... .. .... ... .., 2 10:13 -10:31 18 24 27 ~ ....a- -°.... _ ... __ .... __.. _._ 3 ._.__... - .- ._ _. ., _. .. _. '6._ 3 10:32 -10:52 20 24 271 31 6.2 3 '4 :........, NOTES: 1. Tests 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. rev. 9/85 'DIWISION OF HEALTH SERVICES DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. __. -. - - - Owner NEAL C. GETTINGER • Address 8 foxhill Road, Peekskill, NY 10566 Located at (Street) Wiccopee Raod, Putnam Valley Sec. 2118E Block Lot 3 (indicate nearest cross street) Municipality Putnam Valley Watershed SOIL, PERCOLATION TEST DATA REQUIMD TO BE SUBMIMED WITH APPLICATIONS Date of Pre- Soaking 7/29/91 Date of Percolation Test 7/29/91 HOLE NC>NlSF..R CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min/In Drop Inches Inches I.:ches P1 1 9:53 -10:23 30 24 262- 22- 12 2. 10:23 -10:53 30 24 262- 22- 12 3 10:53 -11:23 30 24 262- 22- 12 _ 4 P2 1 9:55 -10:13 18 24 27 3 6 2 10:13 -10:31 18 24 27 3 '6 3 10:32 -10:52 20 24 272- 32- 6.2 4 5 1 2 3 NOTES: 1. Tests to be repeated at same depth until appradmately equal soil rates .are obtained at each percolation test hole., All data to'be submitted for review. 2. Depth measurements to be made fran top of hale. rev. 9/85 s -515 S $6 oo /il / ` t �i I i� S CURTAIN DRAIN 7' DEEP TO TO LEDGE ROCK . 01. i. 0 S C'j Q2� <o O O J '6' ro �9Z �c W ATER \ fo a,TO F� , LINE 0 � i GRAVEL DRIVEWAY alb y% CODA F • ? pg, � 4 &bk* pb 5 l DISTANCE TO C6kNER OF HOUSE SYSTEM QF'HOUSE COMPONENT A NORTH PROP, LINE TANK INLET 14' 12 2 .TANK OUTLET 19, JUNCTION BOX 1 75' 73' JUNCTION BOX 2 80, 73' JUNCTION BOX 3 85, 78'. JUNCTION BOX 4 92' 78' JUNCTION BOX 5 go. 78' &bk* pb 5 l