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02724
PUT TY .DEPARTM N, . N AM• COUNT OF>HEALT
H .
Division of -Envk6riMiental Hea /ih Se vices, :Carmel, f N 'Y ''10512
!'ERTIFI A.l�rg Q1 ,:;O�JCT' f! Tp^ - M-41n! .R
_ R r, ,aaly er �� yF r� ti'�?f :5! yS:iCQ �.,.f'yL i� -'r `iii•, ..: �'♦JTrVI�1K VL ....
R _ Town
Located -at
' -V C� l.. - 1 �Q l_L.(l : '�+. Section �` ..� Blbck
�.tG`NAEL 511�4ti11. 3-
.:.- Owner Lot Job
Separate Sewerage System b-'ilt`by FRsn Abilims 1Q. ::IItC _ Address �►ct+ARoy L .Rdt CA +&/L'% IOS12
Gonsp stmg> of D GaI, Septic Tank.
Other requirements- F�c_c..
Water Supply: Public :Supply From
Pnvate.Supply- Drilled'`BY '- ` L1_ fZhl.r<.►N L.�
1' �,l1EiN(1C E
rAddress l� I I+i/0V!1 8rR 1!J'ST
,Building TY,' �L`'M1HIly WL-LLt,N4. No of Bedroc
as Erosion Control Been1Completed�=
4H L �.E
r
b� 6 R-
I certify that the:•system(s) as listed serving the above premises were "constructed es a Ualh
<atta'ched) and ;in accordance with the "standards; (rules and regulations, plans filed`< nd ,
Date Cerfif�ed by°
T p �1yt.
r 'Address �[7w �U.�ROPapyU 0. -
A :ny person :occupying ,premises-served by -the above system(s) shall ..prorhpily take sdch i
conditions fesulting from '.such .usage. Approval,of. the separate .sewerage ''system-ihitf
available and the approvaf'of the .private water supply ,shall become' null and -void When
subject to- modify cation: is change when, in the .judgment -of ffib'CJ issiciner;of He
Date By
W1
meal Feet,x width trench
IJ,.:Y .�► o.So9
Permit Lssuet+`
�s n the bians.of the completed work (copies of which are -
mit .;by .the Putna C unty' Department of Health.
I ✓ /
P. E. X R.A.
llG r, /Os License No.4687-4
Lion as may be necessary to secure the correction of any .unsanitary
ecome null and :void as soon as a public sanitary sewer becomes
a',public water supply';become5 available, Such approvals are
fh; such i4v66t on, modification or change, is necessary, ,
Title
z" .R -
1 '
WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH
3/71 Division of Environmental Health Services
COUNTY OFFICE- BUILDING • CARMEL. NEW YORK
This report is'to be completed by well 'driller and submitted to County Health Department together With laboratory report of
analysis of Water sample indicating Water is of satisfactory bacterial quality before certificate of construction compliance is issued.
REPORT MAST BE SUBMITTED WITHIN 30 DAYS OF WELL COflIIPLETION
NAME ADDRESS
OWNER r' i i
•;iI �'T:1, I'iichael j. P utna: {z Valley !Qew Pori{
LOCATION (No. & Street) (Town) (Lot Number)
OF WELL Bell Hollow Road-. Putnam Valle17 , et-V York
DRILLING
❑
INESS
❑
❑
❑
PROPOSED
DOMESTIC
EST BL SHMENT
FARM
TEST WELL
USE OF
In
DETAILS
WELL
11 SUPPLY
El
❑
❑
YES
INDUSTRIAL
CONDITIONING
((SSpe iffy)
DRILLING
COMPRESSED CABLE 'R�
11 ROTARY ®A R PERCUSSION El ❑
EQUIPMENT
((SSpe ify)
PERCUSSION
CASING
LENGTH (test)
31
DIAMETER(Inches)
WEIGHT PER FOOT
17
� El
12RIVE SHOE
°
❑
U'
In
DETAILS
THREADED WELDED
YES NO
YES
NO
YIELD
HOURS G.P.M.
1' BAILED ❑ ❑
YIELD (G.P.M.)
TEST
PUMPED COMPRESSED AIR 5 20
6.
WATER
1
MEASURE FROM LAND SURFACE —STATIC (Specify feet)
DURING YIELD TEST [feet)
1
Depth of Completed Well
LEI
25
500
in feet below Land surface: 760
SCREEN
DETAILS
DEPTH FROM LAND SURFACE
FEET to FEET
0 5
5 0
.9 23
23 760
DIAMETER (Inches) IF GRAVEL Diameter of well including GRAVEL SIZE (Inches) FROM (feet) TO
PACKED: gravel pack (Inches):
FORMATION DESCRIPTION Sketch exact location of well with distances, to at least
two permanent landmarks.
'oft Sett & Cobbles
ledivai Hard EP,ractured Ledcj
lard w` r actu eta Ledge
?ard Grey Granite jV 9��L l�6AIo
If yield was tested at different depths during drilling, list below
FEET GALLONS PER MINUTE
400 1/3
600 1/2
700
3/4
706 0 L,_
DATE WELL COMPLETED DATE OF REPORT WELL DRILLER (Signature)
0 0 10 /17 ' ,0
.4 112r
PUTNAM COUrlI DEPARTMENT OF H1
COUNTY OFFICE BUILDING
CARMEL, NEW YORK 10518.,
TUL 17 1981
// If s /1 • . „ .. 'I a //
_
_ _ _
_ _ .,�.i .tl'.� �YC-.9. ...., :.Y.ca•..u_wr...l� l.» . <.+..r_Y _.N_ ...�An
6REW5VR':•1U1BOR RI'ES
Box 224 -
BREWSTER, N. Y.
WATER ANALYSIS REPORT
SAMPLE NO. 4652
SOURCE: Michael J. Smith
Bell Hollow Road
Putnam Valleys New York
COLLECTED: June 11, 1981
BY: Mill Drilling, Inc.
BACTERIOLOGICAL EXAMINATION
Coliform Count, MF Method
faucet - well
0 per 100 ml.
This rttult indicam tht tourct of the sample war
of tatitfactory taxitary quality whin tho tamplt war colltcttd.
June 13# 19$1 Bickwit P. E.
Director
PUTHAIN COUNTY DEPARTMENT OF HEALTI
'COUNTY OFFICE BUILDING
CARMEL, NEW YORK 10512
JUL 17 1991
Im
Owner or Purchaser of Building Municipality
P+-�- c.�a�\ � tom(- Cz- ►2cr�%
Building Constructed by
s'
Location - Street.
Building Type
Section
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 :Wade by me to such system, ekcept 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-
v��ct�,�.Y...fti.?'.. F r tme:it..of. H--alt h us to •..hc her_:::. r` r�o t 4-11& .
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 ,� a�-a.--
Title Afi 'ed 4_C�01015 e4-z 1�•c,
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
PUTNAM COUNTY DEPARTMENT OF HEALTH
COUNTY OFFICE BUILDING
CARMEL, NEW YORK 10512
JUL 17 1991
UTNAM COUNTY DEPARTMENT.`OF HEALTH
_;6ni9h'He;ihh ;Services,` C'arqe�, N. 105,12
Division-W Environmental
COM'T WCTION` PERMIT J FOR, SEWAd Ebj. SR0
DISPOSAL SYSTEM - M" U
TU K /A1 L 5 Y
Town or Vlllpgj6
'7 '47 vs
Subdlijision Job
T" yu
i C 14 AF_L IT% IS.
Owner,
StAding Type
• Number 'able
er of Bearocrjjs'� - SP C Square Feet
-�iie,� 4we consist of,
04 S
�-V
J. =To -be consiruct- ac, by . 'aA'&) APO MOV
4`�
7
wit&�_ Supply. 'Public Supply From
Prwate, supply _Hlied,by-
td��bb -d
A --) A
'cldress '5
`OtherRdquiremen
�
'4 4,epresent thatI am wholly'an'd comcompletely re,tp& hsibib for-thiVd4i
' bed , will•be constructed as shownZn-f6i i Spr6v-eq b . m;e. n
`d 'r
CO6nty Depart ment of k6alth, and that on,cornpletion thpr e9fa.
submitted to the Ddoartmbht, and a written 'g uaran e6 will
,O(aZe .in ':good operatirq°•cd ncition any part.,
ancg sew� agF dIsOb'
of the approval 5f_.the Cdrtificate of Cpnstruction &or*iiri! • 'Will.be i66itea as showri- the approved -plan aii'd't that sa - cl wall will
County.
9epartment,of.- Health
-
47
S,igne(
Address
APPROVED FOR CONSTRUCTION: This approval.-ekpirei one yea
revocable for cause or -may be amended or-modified when conside
'Ap
6646ires a new permit-. Orqved, for disposal �o domestic tsi
J
S,
2 BO
width trench
— rz
sPWT Re �M,'A,VA
Address' IAKfrl[E hb*,
aOA(- '0
'z
location the ,propose - system(s) that - the separate sewage disposal system
with'thd iian'da�ds -rui�s and,reg atio h Putnam
there to and in 4`6c"or ande I ul
F,icate' of satisfactory to the Con,
Ithwill
ikhed.,t he iowner,",his"successors, .6eirs.c'?r asiigns by the I bui
,
r will
fstbrn,cluririj tti67,pe riod of two (2) yea rs.,irnmediately fo r,
eRcra I ssu-
ZCT:
t the ngnal qny r t we
epairs- hereto; 2) that the ri
I a ve
L I the 'it6ndird's. rules an 1. and r ns
M
/* 6;
-License
the'- dit�'�i�' d �iu-nAess jpQpstructlon 0
su'6' f ttie, building has nand is
11 . - - . .- - . � � - I ess
issa y' by the Cqrtmiisj of'Hea'lt'h.' Any Change,o or 61te.ralion,,.o construction
ar a ate er'supply
Title
�&W� 9 14TYi) iii t� ftk'
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date " ARO-14 O,
Re: Property of ICIAAE V_ SHIW.
Located at BELT, 9(5k1,0V0 2U-Ab
Section— 2 Block Lot
Gentlemen:
This letter is to authorize K) I Q_KOkAS
a duly licensed professional engineer X or registered architect
(IndicaT_eT_
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
T'N-r....4- :.,......1 _� If?- -1 1 I-
jau - u"lLLU G.L nc�a_Lull., 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
447 --r -the - e Hba:1-t1i`;
tary Code.
Very truly YTOU 0 s
�
'Signed
-7Owner of P-rbperty
Countersigned-
y
# 04-662
P.E., NEW 0
SCIINVI
Ot-0 C40"POOD 1�b co 41 Teiephone
Address
0
lqp,
0.04
1114- - 730/ IL7//
FESSI
Telepb-ne -
VIAR 0 1980
PUTNAM, COUNTY
DEPT. OF HEALTH
\I
.: � .:....,.,..__._.:..- ,_.,�_�..;� .r .•- p;:kT?!�A�� �Gf�$`�FT�•�' =: Dpi• �����N�` 3m::. �*•• FiE .+'�i"'P-I�= �..,;::...:._..�,� ...::� ..s -_ ..�::::._.•:�.a:....,.... .._ ._..
DIVISION OF Z'N-TRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N..Y. 10512
It
DESIGN DATA,SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner 01 014AIZL SMM4 Address 56 =3q ��S Sr:,- F(1-E51A F'&Ab0 -,S_, , 1) U
Located at (Street $e�� W o��ew �rro Sec. Z Block - Lot 3
Indicate neares cross..s reet
Municipality 1- UTNaA � V A %I, ay Watershed
SOIL PERCOLATION TEST DATA REQUIRE'D-TO BE SUBMITTED WITH APPLICATIONS
Hole
lot i's
44
3(
Number CLOCK TIME
PERCOLATION
G,3
PERCOLATION
Elapse
Depth to Water
a er ve
32
No. Time
From Ground Surface
in Inches
Soil Rate
Start -Stop Min.
Start Stop
Drop 'in.
Min. /in drop.
4, 3
Inches Inches
Inches
,
1 9:08 q: 3q 31 3 2 3S 3 10.3.
2 q',41 12 31 32 Is 3 1o.3
3
lot i's
44
3(
3 Z
35
G,3
10,3
4
10:45
3'7
32
32.
3,'
3
10,7
1 10:53
11: L 1
to
37
40
3
G,3
2 w.13
It: SL
Zq
3'7
40
3
q, )
3 11:54
12.23
M
37
40
3
4, 3
4 11'.24
I1:54
-- 30
37.
.40
3
►o.a
5 11'54.
"Q
30
3-7
112,31
12:Sq _
Zg
19
ZZ
3
2 1; 03 , -
j. �. 31
26
19
2-2
3
4, 3
3 1:33
Z•:a
i9
► 9.
Zt
3
q, 7
4 2:03
Z: 32
zq .19
22
3
q. I
57! 34
3.03
29
19
z2
3
q.7
Notes: 1) Tests to be repeated at same
rates are obtained 'at each percolation
for review.
2) Depth measurements to be made
depth until approximately
test hole. All data to
from top of hole.
equal soil
be submitted
..: ._. :..TEST- pT.T•,L�AT� REO?J ran „P RE_ csr13nTT `I'RT?.'�.�_T-T1i:2Ri^Am,I:Ork , -, -... �..•w_ -,
- -
DESCRIPTION OT' .SOILS 1�;",COUN�i' RFD IN''.'i'EST HOLESf
DEPTH HOLE 140. - HOLE NO. 2- HOLE NO. 3
,G. L. top Sat-
611 sit
1211 MEO. To ��eaa SAND:,
1$” Si r, GRAVa -, �azvc�
2411
30"
3611
`h2"
ToP SotiL To Sots„
8r �v
FfGO, +n FioaE SA4-M.
42'�
S1cT, &aAV6LJ 120LA.S_
Sic-, Gr"usL i RM
48
5411 ii�oiE : � LL N 0I eS. W r-Re P Ra-zeo w iila 1 Ro&j BAR
60" dVp 1,6 oti� �oCK WAS EV,) C OV 10 T*'#Z GIO ALSO 00
66"
w T&YL 1,vA s P 2a3GhjT AFT'EYZ 0 %5ERwipC. xoL-e3
72" FD fZ -r'g 2e O A Y 5 ,
78"
8411
VIDI:ATE IVEL'A'1'WI-1ICH GROUNDWATER TS ENCOUNTERED
INDICATE LEVEL ,T,O1 WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED Nor
TESTS N�ADE BY 1lJ1CFiO$ -AS. Sc�w�IGA(ZIEL�o Date Au+b
Soil Rate Used 10 Min/l " DESIGN Drop: S.D. Usable Area Provided SZiDn S'o. c-
No. of Bedrooms 3 Septic Tank Capacity 000 Gals. Type przE easr CN02C -- e.
Absorption Area Provided By 2.80' cP L. F. x2411 36 width trench.
gna-uure
Address Q u o C as M P o „0 Q-ea n SEAL
Tom' �'usKtu.�,e�,i. IaS66
THIS SPACE FOR USE BY HEALTH DEPARTMT ONLY:
Soil Rate Approved
Sq. Ft /Cal.
Checked by
Date
_io cert Py` r�at_r�f?e sewag `d" sal;.
�Y.f YF
_ J r
G�1I Fri �
t
•43 .tip f: ��. _
a f
r'O1NT PO_ INT - DIS ?ANC.
A.
P?t S
�t QIa1s
4t_3„
a, t c
{ �� {c?r ` s my :DeDartmeAt a± Hea h A N 0R'- o,'
O i-vil onhentsl` Hea.'_th 56_,
i x 101-4
t f yci J'L t:- r Ott_ •-bQL OIi;fG m n..8 `w'i'th' i- J
l ?3. an i Aegulatiunn of to =s K
,r nJm n
' ,
A .67 z 0"
LT De esttient
J. .r ' s r> k .. .c..�e -✓ .. Q I'W 1 -G
E 138' -'�
1.46' -0
-
�s '.144' -0
1Y I
PUS; COL' ENT OF HEALTH. K 1's 0,-
t
' r t .COUNTY. OFFICE: BUILDING P t 1161'-9"
CARMEL,. NEW .YORK 10512. LEE
*-•4�� � .; 3UL 17 1881 `
,BUILT. PLAN -. OF SEPTIC SYSTEM
nicipalt iG?w.ti3 ' OF PlJiv VAIN( Coun:y:
bdisly toi PUS �.IAM
ctlon f , 2 x Block: t. 3
•
pF NE .� 5 Nlch -olas Scainica�-iello-
-tg.. _ _
June 20,' 1980
56 -39 175th Street
Fresh Meadows, New York 11365
(212) 977 -9550
Mr. Robert Tutoni,
Division of Environmental Health
Glenida Avenue
•Pii•tnam.- County - Buyia•i. y. :.........._ . - .._:.. .
Carmel, New York 10512
Dear Mr. Tutoni:
In connection with an application for.a Construction Permit
for a separate sewerage system for the property located in the Town
of Putnam Valley on Bell Hollow Road, Section 2, Lot 3, enclosed are
two sets of floor plans of the proposed.building. The test sheet,
site survey and septic design will be forwarded to you by my engineer,
Mr. Nicholas Scinicariello.
.Since we are trying to start building in mid -July, I would
appreciate it if you.could process this application as quickly as
possible. Thank you-'fo'r your help.
Very truly yours,
Michael J: "Smith
Enclosures ��..
ccs Nicholas Scinicariello, P..E.
_. -. PUTNAM COUNTY,
DEPT. OF HEALTH
7 -I:,- - , - 7
—7
7
Ki
y
PUTNAM'COUNTY DEPARTMENT
��Division of Environmental H6.(Ith- Services, Car Y.: :10512
co N' sT 16N P eR -Mi T 0O;- SEWAGE DISPOSAL ..,S- STEM
Pu t
hal
Townro 0
jo% S61 W'
Subdivision Lot, b
Owner—
Building Type Frame Lot Area 3, 43: A.
Number of Bedrooms _:T*ee
Separate Sewerage System to consist of `OQB Gil. Septic Tank
To be constructed by
Water Supply: Public Supply From
x Private Supply to be drilled 'by
Address
Total -Habitable Space -Square Feet
375 illineal feet X 36 inch Width trench
Address
_36�1
-Dibm R-
j.otl B
Other Requirements o
I represent that I am wholly and completely resp . onsible for the deM§h and location of the, ,proposed system(s); 1) that the separate sewage disposal system
above.described will be constructed is shown on the approved arn6ndiniiint there to and ih accdrda'nce with the standards, rules and regulations of the Putnam
County 6 't ` of Health' aipid"th t f Construction "mplian''c'eill* satisfactory to the Commissioner. of Health will
epar ment, I . a on a` " ' 'Certi,icate o Co
be submitted to the , `Departmeht, and a -written -gu'iiiht" will'b I e'furnistied the'owiter, his successors, heirs or assigns by the builder, that said builder will
place' - - in good operating condition anyy part of, said.. sewage 6isposa . system during - t
he period -of two (2) years immediately following the date of the,issu-
ance of'-the approval of the deitiflcite'& Constructloh -Co'nipHince of the, origfnal-sy�stem or Any repairs thereto; 2) *that the drilled well described above
will be located as shown on the'approvid plan and that said well will be installs in ,accordance with the stWards, rules and regulafrons of the Putnaryi
County Department of Health.
Date 12 May 1976 , Signed • P.E. R.A.
Address i-.' 6 .� Box ' 61 1 1
N Y 0512k ddres' D
s License N o.29206
APPROVED FOR CONSTRUCTION: This approval exP!rp �ny r 6�m th ate i ued unlW ruction on of the building has been undertaken and is
. . – . _�w , �� Eruc 14
17
er
revocable for,cause or may be amended or modified r"; nsider neces e I ner f Health. Any change 0 ation of construction
oveo,for disposal, co
I supply 11, , gry .
requires a Perm Appi of: Kimesi sew' d/or I At we supply only.
Date— 7.4 Ti
ca
PUTNAM COUNTY DEPARTMENT OF HEALTH
.. _ - __ .- .._...._ .._. -...._ ._....._.... _. ... _ - M
Date 1 4..
Re: Property of Alm w �o! n r, e `ma.
Located at /.4� /��{e /few, A��� 77
��.�.,,�L/r�,
Block 2 Lot
Gentlemen:
This letter is to authorize__ John H. Prght li spl P.F -•
a duly licensed professional engineer Xx.. 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 tnls matter anct to supervise the construction of said
system or systems in conformity with the provisions of Article 145 or
1.47, ..Education_ ,Cato, __the Public Health Law,._.and . khe- .Putnam . Cou.nty._, Sani-
tary Code.
Very truly your ,
e
gzagankcf,
Telephone
Qhjr er of Property
Address
I /¢ — 9 4,E — 9 f 9 4- �asl
Telephone
:11.1:3P °1 ;Y
0 0
1114:01TAL STJUs Coinmonl,n
Top
'0653-6:131" J-. Y -M-11 t" 6-6, i'; C location 9 0 0 0 0 0 0 .0
• klill drivoi.. lay need. cut o o. '0 0 a 0 0 a
M"U.'.t trees be romoved. note thos)e a 0 . 0 0 a
:Is (1cep liolc r.T)",-,eSent-ative of entire SM area
Riddl-tio,nal doc-T) holco rt_e_dcd. 0 a 0 0 a 0 0 a
3jjj*f.J.ciuiit- SDS area available. conside-riw,
d•i-vevay cut-, house locati.on scparation o
dista]jr-e- etc.
a 0 0 0 0 a 4. a 0 0
)EI
lbpth:
I-later elevatiotl.-�
I'Mck elevatiotl.
Sc;-Ll.-,, descrirtion:
Date
TNAL SITE ITISITECTIONT InSD° by:
ouse located t:-here shown on approved plan
Tr-) lo atr-d'where ap
proved
to
lope of tile ."ir-6'and* -'U-Ye ch accrUptable'
Dom allowe'd for expansion trenches . ..a 0 0
trer 50 "t. frcal s-watg).1 vw- e rc ours e . 0 0 0 a
_D
stri -
).tural. soil not a ed or SDS area
unnecessarily graded .0 0 a 0
Ft.- ira-intair.ed from
III -prop. line and
20 _Pt-'. - - - X" 1-1, �31 -11 - -i 13 U - S 0
Taration of trench from house, Well
etc.° follows plan . . o . 0 0 0 0 0. 0 a 0
uiiber of bedroc-ms checks . 0 0 0 a
;cnQs., brush., stumps, rubble., etc greater
tban 25 ft. from near-st trench 0 0 0
FL - of --_,-iDhcra1 soil hori Z. onztally fr. o m
--
trench o o.
notion boxes properly set
luld surface run off from driveway., roads
ground surface, etc, clnrinel near SDS
area .. o o 9 o o - *.. a - c 0 a 0 0 0 " 0 0 0 0 a 0
"',s 16t dr. a"nar— anrcar O.E'.° in area of SDS
11ML GRADING op. siTr,- ACCEPTABLE';
a
-OF 11EALT11
COTRITY Dry,
EALT11 3!i13VJCEr'
D.T V * 1'.3 10, 1 OY I '!:VT1_1'OPP-rEN'VAL I?
kZ-1- ..r CE
r').'j Jtim
DESIGN DATA SHEE T- SEPARATE CUM•1AGE DISPOSAL SYSTEM FILE Y110.
Mier Address A911 Alliom
Located at (Street A 4 r7 Block, 2- ').'C)t_.r_
Mnlicate- M-ayes - ross 1�tr6e'tT
Municipality- o-ft te Watershed. 4
SOIL PERCOLATTOC.T TEST D.•-t.'TA RF0 ul TRED TO BE SIM-1 "; TWED -1-11,T)J Arl"'JOAT'l 077"
Hole
Nupber
CLOCK TDIE
PERCMATIOIi
PER0.01ATi011'i
M—M
No.
- .
Start-Stop
Elapse
Titre
n.
DapEh to 1-i"FE—er
From Ground.
Start
Inches
Surface
Stop
Inches
.eater 77_e_�,_,c1_
in In'-lies
Drop in
Inches
Soil. Rate
Ylin./in drop
3
1.-
40
2
Notes: 1) Tests to be repeated at same depth'until aH roximately cqual. soil
rates are obtained at each p-rcolation tcst holo.. A data to be stibmijtcd
for voyiew.
1 2) D�pth mcasurcmonts to be made from top of holo.
............
Notes: 1) Tests to be repeated at same depth'until aH roximately cqual. soil
rates are obtained at each p-rcolation tcst holo.. A data to be stibmijtcd
for voyiew.
1 2) D�pth mcasurcmonts to be made from top of holo.
DEPTH
UIVI-i'l 'PO 1 '] T1 I - A I'll..'MM `1*. ON
DIII.:30IR1,11111.1,011 'OF 11:.01'1111 i,:, i , 1,2 il., D 1H 1101.1!-:1111
11011111 1\10. 11OLE NO.
navo; e
121f
1811
2� 11
3011
4211
4811 XIM e J
5411 &X
a,
6C)"
6611
72"
7811
8411
INDICATE LENE''L AT OR'011-1111,11D 1.,'j111T_71",R IS 1,Q_
INDICATE LEVEL TO 1,1111011 LATE IZVEL RISES AIJI'ER L:,'�J_,JrNTG EIT"COD",11111 _0_ . D
'PEI STS.M.ADE By- M.'Oe Da 1j, A a L I
j A- . (31 f1l h r10 A ffff
DESIGN-__
- :.1i1_ ', Q. 6d
No. of Dedrooin Septic Tank Capacity /090 Gals. Type Ha's 0 j�r
I
.Absorpt*on Area Provided B F. x24" 36 Width h
trenc.- y
Other
04
VamO- John "rentiss. P.E.
Address R.D. 69 Box 353
Carmel, NY 10512
d
THIS SPACE FOR USE BY HEAUP11 DFPARTKE.!dT
Soil Rate Approved Sq. FL/Cal. 14 te
9
REVIEV Cii K S - x
Meets Std..
Ye s o
DOC ]NTS
House plans O.K.
Design data sheet I
Peres presoaked? i
Kin. 30" perc test depth
Const. results for 3 runs I
' D. Hole log O.K.
Corporate Affidavit for, other than individual
Authorization for engineer I
Letter from Water Supply if applicable i
If variance requested -such noted on plans & apps.&I
DETAILS
if . charge is proposed,)
Existing contours shown show new.contours)
Slopes for driveway cuts, etc.. shown ]
Water service line location
Footing.drain, etc. location I
Top slope, bottom slope of fill
Percolation tests and deep test pit.location
Septic tank size and conformance to std. - !
3 B. R. house minimum I /
House setback shown !
L 1 •� .l L ow
Li11 WaLe.C' wi-61- dl1 50 I—L. o [:l, Al1VYY11 i
Plan and: profile. SD
All er wells and SDS closer 200' !
shown or, reference made _ I
Pror.erty boundaries (metes and bounds- clearly shoi
SEPARATION DISZ'ANCES SPECIFIED ON PIXi
10' to P. L.
20' to Foundation walls
L00' to Nearest well
50' to stream, march, lake, etc. incl
15' to Curtain drain
10' to water line (pi7ts -20'
.15' to storm drain
10' to large trees
101 f" om foundation to septic tank
5' to pipe from leader drain .& fc o Ga n.
I I
.expansion);
I 1
i
I
I I
.expansion);
I 1
i
71
i
j
----- - - - - --
Jh .
:f
ii
IIi ,
„I
•
ji
�4
'I
i
I
i
I�
jI
Mr. Kenneth Rehberger
Shrub Oak
New York
Gentlemen:
T. M. Quartuccio, P. E.
h.Lounsbury Rd.
Qroton- on•Hudsoa, N. Y.4".
1. February 11, 1971
D
Re: Property located at Bell Hollow Rd.
Town of Putnam Valley, N., Y.
As of this date the open excavations for future septic fields have not
been backfilled.
These trenches have.been left open since early November, 1970
against my advice and under protest from the Board of Health.
There is .more than a reasonable doubt that the soil percolation
ability has been damaged or changed. If so, then the previous septic
site plan will have be to .changed accordingly. The only way the
potential problem can be resolved is through further percolation tests
to prove the present soil rate does not vary from the original test.
Since we advised you at the start that trenches must be backfilled if
they were not going to be used promptly, any additional costs are
definitely your responsibility.
Yours very truly,
F<
T. M. Quartuccio, P. E.
cc: Putnam County Board of Health
AM. Mr. Jim DeVito
t
PUTNAM'COUNTY DEPARTMENT OF HEALTH
Separate "Sewerage System
Municipality
CON STRUC gIGM R ERMIT
Located aiUJ,itJ
Subdivision e
OwnerX"IvAv , .'PIf,►eyjA Address
Building Type
Section 0 �� Block %y
Lot: Job
Lot Area
No. of Bedrooms 13 Total Habitable Space 1,74q sq.ft.
9/
Separate Sewerage. System to consist of�Gal. Septic Tank %lineal ,feet
width trench
f
To be constructed by� Address C,eo%v_a,v._�
Water Supply = yJ�,r�� �,�� Public Supply from
Private Supply to be drilled by
Address
Other Requirements
I »e?arA4ert that I am.. wholly and completely resr_cnsible forr - the . �;esign
and location of °the proposed system(s): 1) that the separate sewage dis-
op sal.system'. above described will be constructed as shown on'the approved
p awn or approved amendment thereto and in accordance with the standards;'
rules and regulations of the Putnam County Department of Health, and that
on completion thereof a "Certificate of Construction Compliance" satis-
factory to the Commissioner of Health will 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 the date of the assurance 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 i at �b� nsta],].,ed
in. r� ^° •T; +'^ +�.� �� �„a-� , s; r es�and_ne.gu- 1- a.-tion,s_af— the -P.,. r m- County
i i.a vcn.ii�.tu
�me,� _ _ � TT ,. � L� �. rr,GG G9� ,li - ��t,.. � �- . �✓.�'���'' �d IJ�L� d� �•�tt�`
Date 17 Signed ,
APPROVED FOR CONSTRUCTION: This approval expires one year from the date
issued unless construction of the building has been undertaken and is re-
vocable f.or..caus.e.:or.:may be amended:.or modified.when.considered necessary
by the Commissioner of Health. Any change or alteration of construction
requires a new permit. Approved for disposal of domestic sanitary sewage.'
Date By.
( 1 ,
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTHI!SERVICES
DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner / /J�il.c�/j /� eh �Y e�' Address �,v
Located at (Street) 81 p1 /ow Pico Sec.bMOZ3 Block _ Lot
(Indicate nearest cross street)
Municipality , ���� Watershed A/OtiG- -
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
5
2 // �
/z�� �`.
17
a�
02�
02
io
3 /Z 45--
Hole
Number CLOCK TIME
PERCOLATION
.PERCOLATION
Run
No.
Start
Stop
Elapse
Time:
Min.
Depth to Water ..Water
From Ground Surface
Start Stop
Inches Inches
Level
in Inches
Drop in
Inches
Soil Rate
Min/in.drop
A
5 /Z= sf ..
/ S3
S
/,7 z
/
S
1
,-�
/�
i
Af
5
2 // �
/z�� �`.
17
a�
02�
02
io
3 /Z 45--
1,033..
4 /Z 33
5 /Z= sf ..
/ S3
S
1
,-�
/�
i
Af
3 7
4 121'3y. /z 3.r
5.12 J7 / 5�3 9/ / /.. / z 3f,
Notes:
1) Tests to be repeated at same depth until approximately equal soil rates are ob-
tained at each percolation test hole. All data to be- submitted for review.
2) Depth measurements to be made from top of.hole.
i
If
F/
TEST PIT DATA REQUIRED TRO BE -,SUBMITTED, WITH APPLICATION
-TAPIST, ;1410LE S
... . .....
DEPTH HOLE NO. . NO. Z HOLE NO.
6".
121t
18 rr
2 47
3 Of'
3 6't
421,;
4811
5 4?t
vd 2 -IAAI
8 4"
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED
INDICATE I LEVEL TO_ W13ICH. WATER 'LEVEL RISES AFTER BEING. ENCOUNTERED
TESTS MADE BY 7,%& ,Okr eV&,jXr&CC io' � Date 7
DESIGN
Soil Rate Used..?/ -20 Min/17 Drop: ..S. D. Usable,.Area.Provided
No. of Bedrooms 3 Septic Tank Capacity _.Z!2 Gals. Type AlerAr7_
Absorption Area Provided By..�L.F.xN" 361T .width t Other
PROFESslo,.kN,
Name. -7, &/, —oo- r 1,21, 6/j/ ,erl�lm- Signature
Addr6 s SEAL
4/
/V. Y
PUTNAM COUNTY DEPARTMENT OF HEALTH
Soil Rate Approved - Sq. Ft./Gal..
..........
Checked, by
a
Date