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BOX 23
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�rl lj
02770
f UTNAM GVUN i'Y
Division of Environmental;
.
7.
CERTIFICATE ,OF', CONSTRUCTION COMPLIANCE gOR. ;
'ART�41$NT LTH
r �ertnccs, Cam% N 35
GE DISPOSAL. SYSTEM T, H., df= ` U T NA N _V LLeY
Town or Vtllage
Located\at K • y L—�' Tax Map / Block
OWner u�a+�'tc�'6�i�/di9U TaX 61bP IA,gt N subd'..#
Separeti' Sewerage 'System built by L: 1 C'. lwl lC' L 1 A% // Addrei:
Consisting of ,l Gal. Septic Tank and505L ��E��� �oNOC �`J '•-s + ~1 �'� t�
Othei requirements 2 r_ O b�. �= �- r
r
Water Supply: Public Supply From
Private Supply Drilled BY /V 0" A -N A 0
V_ 6. iq
�upF Lr t , Vil At PAi 4 L L
Address
i�
!9
1 (t —E-5•. }
Building Type ,�`� � � ,. No: of .eedrooms' ;pate Permit Issued=-- L= 5 -F —Z�
Has Erosion. Control. Been Completed?
I certify that, the sy- stem('s) as listed,servirig the abova'p;emiaes' were constiucted essentially as shovin on tha plans of the completed work ( copies
of which are attached), and in accordance with•the standards; iules and iegulations,,in�accord$nce with the filed plan, and the permit issued by the
Putnam County Department Of Health..
Q
Date Certified by % P.E. R.A,�
Address . A- /license N6
�.
Any person_ occupying, premises served, by the above'systein(s) shall promptly take such action 'as may be necessary to secure the correction, of any unsanitary
conditions resulting from, such usage Approval, ot. the separate sewerage system shall befomo null and void -es soon as a, public sanitary sewer becomes
available and the.approvaf of the private water }supply shall`become`null a id' when a public water supply becomes available.: ,Such' approvals are
subject to .modification or' change when, in the Judgment of the' mission of ealt such-- ' tion, modificatidh' or change is necessary.
9 Data v Y Title �'
BACTERIA PER ML. (Agar plate count at 35 Q.
COLIFORM'GROUP'(Most probable No:/100m1.)
NIF'T-
-
RD ES , TOTAL -ppm
DETERGENTS'- mg /L
NITRATES,(as "N) ,mg /L
IRON,,TOTAL - .mg /L
AMMONIA, FREE (as N) -mg /L.
These results indicate that the water was j�!,',S of 6 satisfactory sanitary quality when the sample was. collected:
A. H.-PAD OVANI, M. T. (ASCP)
:
i
I
LnVVMr_114%.0 UKtt1Vt$tKU
i Architect • Planning Consultant
RR #8 • MUSCOOT NORTH o °
MAHOPAC, NEW YORK 10541
TO
(914) 628 -6613 • 628 -2851
Town- Planner .0.,Put_n.3m..Valley. -N.:Y- _
GENTLEMEN:
WE ARE SENDING YOU Attached ❑ Under separate cover via
• Shop drawings Prints ❑ Plans
• Copy of letter ❑ Change order ❑
L�,����W �� �WLrJRSON07ML�
DATE e+J
JOB NO.
RE: /n•
COPIES DATE NO. DESCRIPTION
❑ Samples
the following items:
❑ Specifications
'_...._'TI F f oA h�LE - EA NC,�, �l r ' - diac,na._u , below: ... �..�_ ..___.... .. ... _ -.
.. _ - ......._.. .. -.4.._ _
For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
❑ For review and comment ❑
❑ FOR BIDS DUE 19
• Resubmit copies for approval
• Submit copies for distribution
• Return corrected prints
n PRINTS RFTIIRNFr) AFTFR 10AN TO IIS
COPY TO I/
SIGNED: %ZL
FORM 240 -3 Available Irom Aree Townsend, Mass. 01469
If enclosures are not as noted, kindly notify us Vnce.
,
q Division of Rnyirpnmental Health SegA QQ
COUNTY OFFICA BUILDING - OAFIM14, W4b
3IOGa el�p(ao Iq Aq 01 romplgt ,O.by.walf dFit* and wbr.:Imq �� ('s!.l�tX a ?��6 *.!� F°_;.cir,�ci:a tL�i?lar pail rb iml msdry Tom of
el�apa�S +fie !►oT sarriplla`iriditi4 tinq water is of Satisfactory bacterial quality beftare Gertificatlj Rf cpnstruPtionpll�ld�aag �� �,
REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COIi P LETPON
�o TF ®B4
�f4$
-77
(.Vp. 4 V400 N TR0 .
(JYjj
22
@(�OPOg�(Fl
PUSIN
1.3 I*W§Tlc 11 EATA _ . ISt4M9NT 0 FARO WPA
f"1 PLItILIG AIR 07"Wt
INPUSTRIAI Q OpN91TlO�fIPlc3 (l3PaclPol
r�CfBL4FNQl
b:q'18giP6 „9�Rai1
COMPRESSED [''j CABLE OTHER
�A�� 4J AIR PERCUSSION L--J PERCUSSION (t;padfy)
®pT�iILQ
I� 1f,�TR9 (lpPfJ
OIQASETER Inchon)
W910"I PER FOOT
Tl 0DED
;S
NO
WAS 041NO Al
sJ
1.
'FBQL@
TOO
"OuRB G.P.py,
('"j y
. 04..0 El PUMPER COMP8E55EQ AIR
VIFLI) (6f -0,1
4JAT�p
. 6ty @.s FRDt:9 IlAidla SIIQPACR— STATIC(Spaclly tent)
pURIN4 yIt LP PEST �lat#U
Depth of Camploted Well [s
In (RQS lsalgw Lord Aurlpsxti
=--10-0090 WWI; rill
likol pin
PIAMETER ltn4htn)
IF GW I,
PACKED,
pfamater of well ipcludla
gravel pock ( inch oaj:
GfIAy d If (IRO(. ,,,'�.�.,
pg"H FC01A LAMP OURFAC6
FCRIIIATION DESCRIPTION
¢ketch exact location of well Will dlatonRen, to at IMI
two pormanent langmnrkn.
FEET to F @ET
10 yield was Footed of di#( rens dppt6 during drilling, list bgl;w
FEET
GAILONS PER MINUTE
REPOAT
�IL4 pRIL ER (Sign. . feJ
H
Owner or Purchaser or Building Municipality
Leaf. nlr Ma:LAcka— RL/ill Im 36-1-/,/
Building Constructed by Section
6sc,4 w 14 LA -- P —A
Location - Street Block
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 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 .Col_nty.Department of Health as to wheth__er or not q t he
ilure of. th6 systein'_to operate °was caused by'the "willful or- "negli ..t
act of the occupant of the building utilizing the syst
Dated this day of �� 196 Signature asp
T i t 1 edvv�,.., l Q & x4Z
If corporation, give name
and address)
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMP+.,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 rp F .r ti, I F F
A QY �DEPARTMN o� Pu AIL'HIR
D V Y. Cinco a a 12iwsi _
CONSTRUCTION PEFiiwtx �Fo SEWAGE D9SPOSAt SYSTEM Town of Putnam Val 1?�
Town lage
... ..i_ciCdldu ai' �!.t -s: .�m7,•,rT3ar i:�� fv.�� ^''.rt r r aP v � •r � - 9<ui:k" - ...
._ . ".•. .: ,... •c:, yak
Subdivision Lubbers .and- _- .McLdughll "n dot lob: 79
pwner Lawrence :McLduOhlin Address 14_: Landscape Avenue '
Building Typel famnt I YP81df'nCet_ot Ar6.4— 7�; ad, 4, ' 'nkAra . Ta � Vey 705
4 .8`0`0 >GPD 2 _000
Number of'_Bedrooms Design Flow Total'Hab� table Space, Square Feet
- �... .. �h �.
Separate.Sewerage System to cons 3t of a r 200 Gal Septic Tank.,. and -500 LF of .leaching trenches
c
To be constructed' by Tl� d Address
Water Supply*. Public Supply From
* not ,selected.:
Private.SupPly;to, be drilled by.
Address
-..Other <Requ•itbments, a
9 �RENCE
I 'represent that I am wholly ;and -completely'iesponsible for the design and location C@Yoposed< that the separate sewagedisposal system
above described will -be constructed'as shown''on the approved amendment there to' ce rdS ith;t ids rules an r.egu a ions o a e Putnam
County'_.Department of Heaalth, "arid that on' completion thereof a Gertrficate <o ,�ruc p nce ctory to the'Conimissionerof Health will
be :submitted 'to .•the .Department ,,and.-a written guarantee wlll be furnished -th o : -er; hi eii4 r a ions tiy the builder, that said builder will'
Lplace in -good operating condition 'any part_ -of said; •sewage d�sposaf °aystem d i>j ahe p d 2) y r mediately following .thedate of the lssu- i
a'nce of ;the approval of, the Certificate of Construction Compliance, ^oft or na syste irs t, a 2)`that the drilled weif-de scribed above
:will be located as shomvn on.ttie approved plan and that,sa'I well will be insta ed ".in n an d r s anti regula,i�`ons' •of� the,; Putnam
County Department'�of Health •`� ` � � ` i
v tee— M %5 9__ w
Address" License No..
1 10'6
APPROVED; FOR COQ -- '
y <
`reVOCable;;fo. rt cause or i
requiresa new `,permit
,Date `r eta
M
- ,T.r -�i- °- ^a -- ��cr , -^•-n i-.T; r,-• -fr Tr"i_- /'T�' °7 � I'D T
..:. -, .. _.:�.•..,.-- .�......._..,_. � ,� �. -.. 1Li�r5tii�r� <,:,�.uY'•�.L•r��i�1�F�.;1V� �•��' ,.l�.i]rI1 ::.:_ ,., �. ,r ...:._,r. _..,.,.a.r....: •,.._,-
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date May 23� 1979
Re: Property of Lawrence McLaughlin
Located at Oscawana Lake Road
T.M.
j ]kXX 3L=1 -1-1 Block Lot
Gentlemen:
This letter is to authorize Joel Greenberg
a duly licensed professional engineer or registered architect.*
(Indicate—
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 promulgatel. by the Commissioner of the Putnam.County
J
T.-: �. ,..,..L w.....•J- :: i, TT.-. 1 1 1- l 1 1 't
1JC.par1 r,-1ent of n1leal ,l1, and to sign all necessary - papers on my behalf in °
connection with this matter and to supervise the construction of said
" system or'system ormity with the provisions of Article 145 or
tary Code .
H off/
Countersigned;
P.E., R -A.,
- t{ �: �.. i, i; �i_ �.- 1- a�w ;'..a�?�1 :::.t;hF_:F�atn�_m.: C :oiint:c,..r,�.r.i ".�', ::.. :..:..- � - •� =1
RR48, Musroiot North (seal"
AcIctress
• 5
Teiephone
Very truW yours
Signed
�-O�wgher'Jof-'Froperty
AERress
Tieiep one
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY.`D P'ICE `DUILDIVG, G�ARMEL, N. 3'': 051
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM
FILE NO.
Owner�.awrP P Mr_r.a„gh1 in, Address 05
Located at (Street 0scawana Lk. Rd. Ie &.36- 1- 1$lock Lot In
ca-e.neares c r oss.street)
Municipality Tni�rf, p��;tnui ua.l:l.- Watershed;�:Gn,,:.'R•;`yPr
._.SOIL PERCOLATION TEST DATA.RE�UIRED TO BE SUBMITTED WITH :APPLICATIONS
Hole
Number ...:........CLOCK .._TIME PERCOLATION PERCOLATION
Run Elapse Depth to W&ter Water Level.
No ..::. ......:. . ....::... ;:..'. Time From. Ground Surface .in Inches• . -•. Soil Rate
Start -Stop Min. Start Stop Drop in Min. /ih drop
Inches Inches Inches
ia..lg..:00- 8.45.. : - 45 ] 6 19 45 3.; 15
28.-!'.A6 . . .r 16 19 3 .45Z3 = 15
3.9:32 - 10:1.7.. 45 16 19 3 _ 45/3 15
##x.1.8:.'45- 8•:5(x: :..`.45,:• 16 19. 3 .4`523'._ 15
3A ~•" 7 .�2 4S
.16 19 -4 ^' . 45(3 1.5
Notes: 1) TeiAts to.be•repeated at same depth until a roximately equal soil
rates are obtained at each percolation test hole. A11 data to 1L submitted
for ;review.°.
'2) Depth measurements. to be made from top of hole.
TEST PIT DATA REQUIRED TO-BE SUBMITTED ialTH APPLICATION
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH HOLE NO. L ..HOLE NO. 2 HOLE NO.
Top Sga�i.ls,- ��- -,.: ...,,.�;Tn= c .Sni -1 ..__�.. R.. .`.Tnp 4ni 1'
Err ,iand & small stones wand & small
tones
1211
Address 'RR #8, 'Muscoot- North'
Mahonac, New York 10541
THIS
SPACE 'FOR' 'USE
BY' "HEALTH DEPARTMT
ONLY:
Soil
Rate% Approved
" ° Sqo. Ft /Cal.
Checked by
9 -2
Dane