The URL can be used to link to this page

Home My WebLink About2702DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 61. -2 -11 BOX 23 I ro ,. , , tip; , ii `♦ ., J , Wo L 'r Ell . : .� ml 02702 PUTNAM: ,COUNTYDEPARTMENT OF HEALTI�J/ /.8'. f C Dflr'isron`of Environmental Health Services Camel, ;N.; Y 10512 f f' CONSTRUCTION PERMIT FOR •S' WAGE .DISPOSAL_.SYSTEW Putnam Valley (T) . Town or Village ocr ed at a_ ftoR i -0 _ Tax Gt'bdivision Map for` J.6, n Correll I_ot Sub #? job '' ! '.Subdivision I Michele Smith �� Owner •' 'a.i� r n Address RFD #$2 , Box % 6 , Putnam Valley, DTW., Sinctle Family Area, 3 :668 ,acres Builtlmg Type `Lot - 2300 Number of Bedrooms 3 Design Flow Total Habitable Space Square. Feet 1000 1 Separate Sewerage, system to consist of, '- Gal Septic Tank and ; •F011r. deep S.eepag:e_ pits ' ('8' PI' X tic S stems Inc: P 0 Box 141, Cross River, •:N Y.� To be constructed by- S A F Sep V r Address t Water Supply ; Public 5upply'F.rom Privite.SupplY -to be drilled by rl Ski Adtlress Armonk, :New York i Other Requirements none r I represent that L,am wholly antl completely, responsible for the design antl location syem(s) ' 1) that the separate sewage• disposal system aabove described will be :constructed as shown on ihe•approved. amendment they h the standards, rules an regu a ions o e Putnam - County: Department of': Health_,• and that on completion thereof a C, , W- • c9 gsE<Yilafign ce satisfacf ' to.the Commissioner of Healthwill. I p. builder,•that said, builder will t :be submitted to the De artment;; and a written',guarantee:;wlll be4furnis t n u rs eirsor assign`s'by trye "2 place 'in good :operating condition any part of: said sewage disposal''sy m • �' a iod., )years immetliately following the,date of the issu -ante of - the" approval of the Certificate of Construction' Compliarice,'o, a rlgi• aM a s, thereto, 2) that the +'drilled well described above $r p, r -will be; located, as shoWrr on,the approved =plan and,that said well will be in I in a dards, rules and 'regu a ons of the Putnam r � County ;Department of •Health 27 1982 `. Signed P.E R.A. V X . Aaa ►e : :.. 1 512 5'1 05 3 ': 2 Lice .s No APPROVED FOR _ CONSTRUCTION This approval expves one-y, . ear from the 1 �, I�s struction of the; building has been undertaken and is rrevocable for;cause or maybe amended or modified when consitlered necessary by of Health Any change 'or alteration of construction ,;requires 'a new'_permit: Ap roved for disposal.of domestic sin se ge, d or' a erauppl By Title I J Gentlemen: PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date May 25, 1982 Re: Property of Michele Smith Located at Canopus Hollow Road, Putnam Valley (T) Section Block Lot Sub. #2 This letter is to authorize $ailvatore V. Riina, P.E. 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 C: V1111C1: L1V11 wl. Lr1 Lli i5 ma c i_er an6 to. supervise the construe ciurl 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 Code. Very truly yours, 'r N EYr Signed N. � °.; C v. ner Proper >. Countersigned: Address P.E., R.A., # 5 2 1�.::y.,., 186 Katonah Aven �s0 o, s12� ��e� Telephone Address Katonah, New York 10536 RECEIVED 232 -7408 Telephone JUN 3 1982 PUTNAM COUNTY KEPI QFE HEALTH FUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUIIDING,'.CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM 'FILE N0.' Owner Michele Smith . Address -RFD- #2, Box 76,-- Putnam Valley, New York Located-at (Street) Canopus Hollow Rd ec Block tot Sub. #2 (indicate nearest cross street) Municipality. Putnam . Valley Watershed New York City SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS ALL TEST.HOLES WERE PRESOAKED PRIOR TO RUNNING TESTS ... -11ble Number CLOCK TIME ---R7xT— PERCOLATION PERCOLATION - Elapse Depth-to7ater- 'Water Level No. Time From Ground Surface in Inches Soil Rate Start-Stop Min. Start Stop Drop in 'Min./in drop Inches Inches Inches 1 9:12/9:42 30 41. 44 3 10. 2 9:43/10:12 29 40 43 3 10 31'0:13/10:43 30 42 45 3 .10 4 :57/9:-20 23 40. .43 .37 2 9.21/9.45 24 41 44 3 8 ... 9e46/10 e09 .23 '4 1 44 3 8 5 7 1 9-:20/9:51 -31 42 45 ".3 -- 2 9:52/10:21 29 40 .43- 3 .10 ...42 . 45 110 )i rz I; 1W - - - 5 A 11.) 3 19 DLIJ 1. U' Notes: /1 ) f a t s -'�Te i `4 i,tip bt repeated at same depth until a roximately equal soil rates-,Arb'6 iflod'4 each percolation test hole. Aff data to be submitted for review. 2), , Depth.,,,measurements to be made from top of hole. 72 78. 108 INDICATE LEVEL AT WHICH GROUND WATER..IS ENCOUNTERED NONE INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED NONE TESTS MADE BY-'_Salv4tore,V..: .. Riina, P.E. Date My 21, 1982 DESIGN Soil . Rate Used 8-10 DUrVi"Drop: S.D. Usable Area Provided 5,000 sq.ft.+ No. of Bedrooms 3 Septic'Tank Capacity 100 w y p Masonry Absorption ovided XRk V h Yr-e—n-c- pt on Area Pr By____2�xft Four (4) deep seepage pits (8'0 x 7' ae er . . I �. .. . I I... .. . , . w..- - *". I.- . t A. -7 Address 186 Katonah.Avenue Katonah, New York.10ts36 ne THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY. Soil Rate Approved Sq. lit/Cal. Checked by Date JUN 3 1982 PUTNAM COUNTY 29PS RE HEALTH TEST PIT DATA REQUIRED TO 13E SUBMITTED WITH APPLICATION DESCRIPTION OF,.S.OIlioo,.ENCOUNTERED.IN -TEST=HOLES _.....-DEPTH HOLE NO I _HOLE.:� N.Q,.q De-ap-:-Test G.L. Blk. organic Blk_ organic '81k, organic Blk. organic 611 topsoil topsoil topsoil topsoil sandy loam sandy loam, sandy loam sandy loam Ail subsoils subsoils subsoils subsoils 24" 30" 3611 42 4811: 54 -6011 66 72 78. 108 INDICATE LEVEL AT WHICH GROUND WATER..IS ENCOUNTERED NONE INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED NONE TESTS MADE BY-'_Salv4tore,V..: .. Riina, P.E. Date My 21, 1982 DESIGN Soil . Rate Used 8-10 DUrVi"Drop: S.D. Usable Area Provided 5,000 sq.ft.+ No. of Bedrooms 3 Septic'Tank Capacity 100 w y p Masonry Absorption ovided XRk V h Yr-e—n-c- pt on Area Pr By____2�xft Four (4) deep seepage pits (8'0 x 7' ae er . . I �. .. . I I... .. . , . w..- - *". I.- . t A. -7 Address 186 Katonah.Avenue Katonah, New York.10ts36 ne THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY. Soil Rate Approved Sq. lit/Cal. Checked by Date JUN 3 1982 PUTNAM COUNTY 29PS RE HEALTH #PV,- 14 '-82 . ,. PUTNAM COUNTY DEPARTMENT OF HEALTH ` Division of •Environmental` Health Services, 'Carmel, N..Y. 10312 CERTIFICArt. rAF.. CONSTRUCTION COMPLIANCE FOR; SEWAGE DISPOSAC.SYST.EM Putnam Valley, (T). t Town or bill age ,. Located -at C3noPUS H611ow Road Tax'Map 1 Block owner Mchehe ' Smith ax blap got a subs. a 2 ,� Peekskill N.Y. Separate.seweiage Sysiem`..Duilt by Blg D Sept1C Address 27 Wheeler,'•Dr ., ,. Consisting'of 8�_Oal. Septic Tank and FoUr deep' seepage .pits '.(8.' 0,'x deep) . Other .requirements "none V1later Supplyr . Public .Supply From. Private Supply Drilled -B y Anderson Well Drilling : Ada ►.es: Putnam Valley -New. York : Building Type, S1:ngle_ Family No :'of Bedrooms Dais Permit Issued Ju11'e, 24, 1982 3 Has E osion Control Been Completledt yes 0 NEW, YO ° R y t Y _ g.. p, , Artt1, 1 1t� plans of-the coaipleted,wo k ('copies i- ceitif that the sstem(s) as mated servin the above .�remisae'�were cons a lv' � own � the of which are attached), and in accordance with-the' standards rules and'Yequ i ri ahc filed plan, and the permit•issued by the `PUtnam'COUiity Departmentr Of Health. Mt' Date arch 29 .1.983.. . � . Certifietl by P.E X R.A. .; 51251 Ada ►ess 18 6 Katonah Ave e 3 License rile: o: 5 Y? Any, person occupying premises served by the.atiove systems) shall promptly take:su ��J b� sery to secure the correction of any ,unsanitary conditions -resulting from..Such_ usage: • Approval. of the :se par ate',sewe[age:system'sha b Did as soon is .a public 'sanitary '.iewer,becomes availatile.�and, the approval, of the, private ;water,supply ihall.become null and'void when a : err sup , becomes available. Such approvals • are.` ' 'subject •to modifieation or change ".when,': in the judgment .of. the`. Comma r. of Health, • -uch revocatI ` odiflcation or change 'is necessary. • °•' D F� BY Title r° a, 9" Michele. Smith Putnam Valley (T) Owner or Purdri7aserof Building Municipality Michele Smith Building Constructed by Section Canopus Hollow Road Location - Street Block Single- Family Sub. #2 Building Type 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 followl..ng 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.i.s. 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 Aat- nam• -Co,, r�ty Aepartment of Health as to whether or. rot 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 �`� day of 19• Signature Title owner (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, PutnamUCAWrDent of. Health APR - 8 1983 PUTNAM COUNTY DRPL OF HEALTH P.G. Box 99 321 Kear Street YzAtown Heights, N.Y. 10598 .245-3203 .,... ,........... _. . r � y A-)J -2f LOCATIONS: 0 321 KEAk ST., YORKTOWN HEIGHTS, N.Y. 10598 245.3203 201 BUTTONWOOD AVE.. PEEKSKILL. N.Y. 10566 737.8777 ❑ 495 MAIN ST., MT. KISCO, N.Y. 10549 666 -3335 -u STONELciGH AVE. IINEAR HOSPITAL). CARREL. N. Y- .ICS12 •270;9370 --'-7 LABORATORY REPORT mg /L LAD # W' DATE TAKEN: J DATE RECEIVED: DATE REPORTED: SAMPLE SOURCE: REFERRED BY: COLLECTED.BY• ❑ ACIDITY .................. ............................... ❑ ALUMINUM ................................ ............................... ❑ ALKALINITY .......... ......................... ❑ ANTIMONY ................................ ............................... ,BACTERIA, TOTAL /ml- .. .............................. ❑ ARSENIC .................................... ............................... ❑ BOD. 5 DAY .................... ............................... ❑ BARIUM ....................................... .................:............. ❑ BROMIDE ................... ............................... ❑ BERYLLIUM ................................ ............................... ❑ CARBON DIOXIDE, FREE .............................. ❑ BISMUTH .................................... ............................... ❑ CHLORIDE ................... ............................... ❑ BORON ........................................ ............................... ❑ CHLORINE ................... ............................... ❑ CADMIUM .................................... ............................... ❑ COD .......................... ............................... ❑ CALCIUM .................................... ............................... ❑ COLOR ....................... ............................... ❑ CHROMIUM (tot.) ............................ ............................... ❑ CYANIDE . ................... ............................... ❑ CHROMIUM (hexavalent) .................... ............................... ❑ DETERGENT, ANIONIC ... ............................... ❑ COBALT .................................... ............................... ❑ FLUORIDE ................... ............................... ❑ COPPER .................................... ............................... ❑ HARDNESS ................... ............................... ❑ COLD ........................................ ............................... ❑ MPN COLIFORM COUNT/ 100 ml ... .............. ❑ IRON AQf l.l T COLIFORM COUNT/ 100 ml ❑ LEAD ........................................ ............................... ❑ CONFIRMATORY TEST ... ............................... ❑ LITHIUM .................................... ............................... ❑ NITROGEN, AMMONIA _. — - .._... ❑MAGNESIUM ......... ..I ...........................' ........... .. .... ❑ NITROGEN, KJELDAHL ... ............................... ❑ MANGANESE ................................. ............................... ❑ NITROGEN, NITRATE ... ............................... ❑ MERCURY .................................... ............................... ❑ NITROGEN, ORGANIC ... ............................... ❑ NICKEL .....................:.................. ............................... ❑ DOOR ....................... ............................... ❑ PALLADIUM ................................ ............................... ❑ OIL & GREASE ............... ............................... ❑ POTASSIUM ................................ ............................... ❑ PH ........................... ............................... ❑ RHODIUM .................................... ............................... ❑ PHENOL ....................... ............................... ❑ SELENIUM .................................... ............................... ❑ PHOSPHATE (orthol ........ ............................... ❑ SILICON ... .....:......................... .... ❑ PHOSPHATE (condensed) .................. ❑ SILVER ....... ............................... RECE-fVt D ❑ PHOSPHATE (total) ....... ............................... ❑ SODIUM ........................................ ............................... ❑ SOLIDS, SETTLEABLE, mt /L .......................... ❑ TIN ............... ............................... ....................... ❑ SOLIDS. SUSPENDED ... ............................... ❑ ZINC ... ............................... ...........ASR.. - .x..188....... ❑ SOLIDS, DISSOLVED ... ............................... . ❑ ... :............................................. P U ....c . ......i . �...�r .. . ❑ SOLIDS. TOTAL ........ ............................... ❑ .................. ............................... NAM:ccrEp ... ❑ SOLIDS. VOLATILE ....... ❑ REMARKS: ................. ........................'...0. ❑ SPECIFIC CONDUCTANCE .............................. ❑ .............................................. ............................L.. ❑ SULFATE ................... ............................... ❑ .................................................... ............................... ❑ SULFIDE .................... ................:.............. ❑ .................................................... ............................... ❑ SULFITE .................... ............................... ❑ .. ............................... . ............................... ❑ SURFACTANTS ............ ............................... ❑ .................................................... .�............................. ❑ TURBIDIT . ................ ............................... ❑ ............ .................. ............................ ... ......... THESE RESULTS INDICATE THAT THE WATER W OF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE 14AS COLLECTED. THESE RESULTS INDICATE THAT THE WATER DID: IET THE SATISFA RY CHEMICAL QUA T' NEW YORK STATE ADMINISTRATIVE RULES & RECU S, RIN ? C 14 STANDARDS (PAR ) FOR THE PARAMETERS TESTED. Y ..__. - 1 l.f T.__LAi`L'S11 Ili I? 1`!`T/ii) _.. _ TOWN OF PUTNAM VALLEY WELL DRILLERS LAG AND REPORT WELL COMPLETION REPORT This report is to be completed by well driller and submitted tdf Bldga Department, together with laboratory report of analysis of water sample indicating water is of satisfactory bacterial quality. Well Location Tax Map Street Sec, Bl, Lot Well Owner sC uc Name Mailing Add ess City :or Town / Tel. # Well Driller Name Mailing Addre,9AJ City or Town -7-7- c� lU" IAJ.`, 1Jr1t 1M Ur YdGl'i, r eeti WELL LAG Depth from Give description of formatioms penetrated, such Ground Surface ass Peat, silt, sand, gravel, clay, hardpan, shale, sandstone, granite, etc. Include size of gravel (diameter) and sand (fine, medium, coarse), structure,., Laos ::color of material, e, pack ed•, cement, soft, hard). For examples O ft. to 27 ft, fine, packed, yellow_ sand; 27 ft. to 134 ft, grav granite. Fee- t to Feet 'I Formation__Des ition Date Well BZS 1 -77 ,Irs r ' Date of Report Well Driller Signature DEPT, OF HEALTH CASING DETAILS YIELD TEST WATER LEVEL SCREEN DETAILS Length Ft, Bailed or Pumped -22 " Hrs, Measure from `•' . a Statics Ft land surface • Makes /�� Diameter: Inches 'eld:1 GPM When Bailed or Pumped Ft Slot Length Ft. Size Kinds Diameter In. lU" IAJ.`, 1Jr1t 1M Ur YdGl'i, r eeti WELL LAG Depth from Give description of formatioms penetrated, such Ground Surface ass Peat, silt, sand, gravel, clay, hardpan, shale, sandstone, granite, etc. Include size of gravel (diameter) and sand (fine, medium, coarse), structure,., Laos ::color of material, e, pack ed•, cement, soft, hard). For examples O ft. to 27 ft, fine, packed, yellow_ sand; 27 ft. to 134 ft, grav granite. Fee- t to Feet 'I Formation__Des ition Date Well BZS 1 -77 ,Irs r ' Date of Report Well Driller Signature DEPT, OF HEALTH `z SCAL S - y� � 1 � D h � r MY 4xrf'� ti'E- V0-6070m P15 - r - AT N TEST RESULT J "DROIj fN' =y : MI NElTES 2f? F7, SEEP TESr F4 R :L K OR, WATER MA °fN..T"4,fN A C, A J ca a •rc 3 'n :?z S AF` f? xx 7 777777 Putnam County Department of Healt1i .,Division of Environmental Health Services ATTProvod-g noted. f• -r conformance with -1 , ,-; n.,; 1. -lations of the applicable 51 �E--- ?u,tnam_,G6'ur.tt Heai4 epartment. - -k, - t, gnatufe,& If\tle L -F F: "I Ei-0, -"EPX ,'� A T1 ON/ F /0 FT- FR- r/- -'EFL AA11D WA TEP E--[,F V1 -�.'E A f? E EA1 I c-, Z. 0 r ED '7-N E T & 41 ;',5 " Fe<--,A4 A RP Flr,\l 06. /-7 T(-j RF 0 it I APR - 81993 PUI ; NAM COUNTY DEPT. OF HEALTH 7-e TEST L E 7-O BF 11V -5 7A L Z. E - I-)-- F7. DA 7-F- OF FIL L IIV,5,7-AL.1- A T-/ (-)1V /A/ r^X,-'1,51- E,-,7-F-,V0 .1,5 F'r- AA;?EA :),V 3