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HomeMy WebLinkAbout2790DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62. -2 -8 BOX 24 0 ir ME �r I I ML -Di ti 11 02790 ! in . . .�. F F. . .4 ML -Di ti 11 02790 02790 t PUTNAM COUNTY DEPARTMENT OF L � Div'sfon of Environmental Healfh Services Carmel,: 7 ,4 0512 b 1; 2 C0VT RUCTION PERMIT FOR SEWAGE,._DISPOSAL SYSTEMUTir%�rr� Q Town orVillage o I' n�atad at�+ --2!e AA 5s TAX MAP I represent thatd: am wholly, and'completely� sponsible for.the design antl location of- the proposed above described wilfbe- constructed as shown on-the approved amendment there to and in accordatee �ri�Etas y f1�`� ible Space Z2 0'C lineal feet X n(s).;, 1) that the ;sepa r County, ^Department of.: :H"'th, an thaton completwn thereof a '_'Certrf�cete of.Constrit`f n (�jo Cej satisfactory to the Commissioner of Health.will ' be .submitted''to the Departmenti' and `a'written guarantee will be`furnish'eii the'ownej� \.jp�u�cp9sup(sd.hrj nor assigns by the'builde[,`that said - builder, will _ place m "good- operating condif!on any ;part of -, sa_id..sewage disposal system during�lR er iQlgQ o 8� immediately following the date of; the issu ante of the 'approval p ) :of the Certificate of Construction, ;Com liance of •the orijin�syst r any lather o; 2 that the 'de.-well described ;above Will be located as shown, on the approvetl plan and that said well will.b'e3 stalled 'in a Qrd wi he st rds .rules and regulations of 'the -Putnam County Department of Health. Date G�' --3 l g 7 Signed; J V PE r' R A Atldress Ct^'A�' ' i License No Z 4�� s�tt ?° r fr '-the date''is p� `uryesstfut<tLiln�bf t:he bwldirig" has been undertaken and, �s - APPROVED FOR`CONST1RUCTION This, approval expnes;,one yea revocable for :cause:or. may be amended or modified when cons�dere essary by <the Ld;fi�r'' Ptoe�ltn Any.;.change, or alteration of construction ' -t. ,., edQuiris4. new- pe mit .Approved for disposal of.dohiesii' .,y sewa or' pr' y, at§ .) � Ri\v only. �rrrrr; ? Date •'' By. Title <i `7 C7. PUTNAM. COUNTY DEPARTMENT OF HEALTH.; DIVISION.OF ENVIRONMENTAL HEALTH SERVICES DESIGN - `DATA_ SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. PV T1J AM it ALt.E'l, Owner Ce t, enlllu . ci P. Address Svx ►moo, 'n'NEC=A4"3 AA I.—I U. R-c- l O ►J ©� � rn�c *.aP Located at Street �� ���t.� : �; L� �u,: ( ) P N R D ._ ��'; ' Block Lot Z t, 2 (Indicate nearest cross street) Municipality:. vAL.Le=,. Watershed`FEttc��.` SOIL PERCOLATION TEST_ DATA REQUIRED:TO'BE SUBMITTED WITH 'APPLICATI ON' ..:. Hole Number CLOCK TIME PERCOLATION :`PERCOLATION Elapse Depth to Wter Water Level` No. Tirnic: From Ground Surface' in. Inches " Soil Rate Start ..Stop Min.: Start Stop.,.' Drop in `Min/in. drop Inches:'.. Inches..... ,Inches 1. 1 ..x:30 8; 4Z SZ tq zz f 2. S: �&z $:'54 tZ �g ZZ 1 3. g: CS 4- Ct :oG 17— k9 ZZ . 4 z 1 Sri _`36 S:48 1z` Z 2 oo 5' 2 SULLIVAN - THIEDE ... C1A6K . PLACE 3 4 WHOM, NEW YORK 10541 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. 42'1 4811 5 41T 60t1% M. 7211 • INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE By SULLIVAN - THIEDE Date ► o -'5 - -t o-, Soil Rate Used Min/11.1 Drop: _. S.D. Usable .Area Provided5.. 0o0 No. of Bedrooms. Septic .Tank Capacity 1; Z E,a Gals. Type LA hsa9z 2Y„ Absorption Area Provided By Zoo L.F.x24" 3611 width trench. Other :� -Y• S P E. �►c, . too. -z4st 5 Name A r K vrR A>.5 c is suo -�-c vAQSi=ature Address Sp �t 0i NEW ,� CLARK PtACE ` • S .FRgNC1s J mNnurwi,, FILVV S UKA M141 z ; PUTNAM COUNTY' DEPARTMENT OF HEALTH Soil Rate Approved Sq. Ft./ Gal CheckW1, -0 24a9b -' * -* i ; Date -..... •=-= erg► ----- FESS I ON P� .�•� PUTNAM COUNTY.DEPoRTI�MT -OF HEALTH . __ _ jam' 1r Ttr Y'r.i T. TT A 4 TTT. �:__MVT • E^ 7 `L1V l.i l:/1V 'Vii EZ,4 V 11t�1v L 1� 1KJJ LiLAXj 1H uL ��V .11.. L'�L1J + Re:. Property` of �crio�✓ ctni� Located at �. �Lcs��it -� , mac- o.F: -C'AX 1 -.'OAP �v: rte,!\► -ti 2 .'Block ` Lot 'Z.l SULLIVW,7TffFr . CLARK PLACE .Gentlemen: _:.. P. 0. BOX 308 This letter is to authorize W U 5 L �c? a: duly licensed professional engineer _or registered. architect. ( Indi.c a t e ) to apply -for a. Construction Permit for a separate•sewerage system; to serve the above noted. property in accordance. with the standards', rules or regulation's: as promulgated 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, the Public Health Law, and the Putnam County Sani tary.Code. Very truly fours, Signed weer of Frbpbr,ty -�, ez ©:x ountersigne Address Jos IF_ :P ":. r-CA DC.N'S 1,vLL.tv.N !V�.,P, SULLIVAN - THIEDE Telephone ( Sea t,,,,,,,� Address ,��'� of rv�w P. 0. BOX 308 S,Q.FRANCrs e MANOR ®C urw m-1441 '14 <,e e Telephone j,F ee +0 2489 10 ��'��O FESS �oNP �. k-•.s Al - n PUTNAM COUNTY DEPARTMENT . OF HEALTH Division of:: Environmental Health Services; Carme% N: Y .10512 s ` f % CERTIFICATE OF CONSTRUCTION COMP-LI4N;CE FOR SEWAGE DISPOSAL SYSTEM j n G n-► � �` -'-. !.. ` Town or V.Ilag i. a L,°ocated a� ..�! ! d Section �'Z 81oc1i 3 J Owner Lot - Job _ C L• . . Separate Sewerage System bwlt by Address�A r Consisting of Gal: Septic Tank y lineal Feet X 3�- - width trench Other regwrements Water Supply: Public- SuPPIy From F ✓ YJ 1R/ii/ii% Prwate .Supply Drilled BY -' � 'Address { Building-TyPe `�dP��`� `~ No. of Bedrooms:_ Date ` Has Erosion' - Control Been Co'rrmpletetl. O��P� •o,eennQ.,�p �' iit ' I - certify that the system,(tf as listed setviny the above4premises were'constru&e'd essentially as shown on -the gIa°ris u# e .complete brk (t�3sopies of which are attached), and in accordance with 'the standartls rules and regulations plans filed d the per it tl ¢r'• �t� Couri kDlepartment of Health: a Date " Certified bye ° Ei R.A. r C r- Address r / •ere_pr` °Z y �9 i Any. person occupying premises served by the above system(s) shall ;promptly take such action as may -b� inecessiy t® �eRh rre ion of any unsanitary i conditions resulting frdm`,such psage, .Approval -of the ,separate sewerage system Shalt become nulL,at d voldte i.Sp �asJS��p pt "sanitary_ sewer becomes } available and the app rpval� of the private water'.supply'shall••becQme null nd, void when a public water suppi `j':beco�1e311lWalPable,• -- Such. approvals are �c _ 'subject to mod ification_ -or change when, in the .judgment ofkte:Comniis'skiiiWof Health,. such revocat ion , °niod'rfication or- chanbe' -is necessary. i� Date "" / Z �• 1BY Tale M Owne or -Purchaser or Bu ding g. Buil ing Constructed y Location - Street Municipa l Section Block $�u idin ype Ile' GAEL._ 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- ._ -n--I t of .. J.-h-, building _utilizing the, syste;r.. . j - _ 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_..s stem. &I Dated this _ day of _j 19 Signature Title lIf- corporation, give name and address) - - - - - - - - - - - - - - -- =L�1.1 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 r r i I , Ownet or FUrch9ser or-Building "7 .4 Buil ing Construct" y Location - Street Municipality Section 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 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 day of 10 19/3 Signature,: ��- 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 J ~\ V.., 1. ; - �I. YET ij' I Y i. I� ' 1 IF ' ' f rh 1.. 7 y. 't I u rt " l .: ! _�, ^. na.!1a- 4- ,{'� V ' ' ' '• �7 f P Y 1y' ... �+n.. t ' . -I. ._. . � ._..v �L... :':rss..- .::vn::' y � 1` W �`a 1 � Lr �\�� "�• -,•r! , ` 4 � �.. V �:.,,._� t f s A AN A✓ s if 'I C f g �Id� { o y - r f � II rf : gg d if' ji 01, , r iG / 1 { t It Au _... _ � 1 f � r r s -1( „r• A V : r 1 14'15 i : rr 1y _ -.. -. rr y 7 i •4 . � ... ....... ..tea_..:.. - c -- -- f ti , i .. ...�__.- ..._. _ _.- .._7-7 J P a d D tf 4 It US- dv ' � . , .c-� .x.� �. t � "^- .m^mm.+- cv,•axr ,� =•.vs+.mm,� -�- � � � !. �1• _. � ._ . 1 �ir, .Td 4f� ��. I Yt•,�f�` C-I li(."'%... 5/� `� � � 1` %� i l .i.':• ,, E i � , � fl l „110. �4.Y'�L.}�����.�_` -`�-`_ I r u 11 y PEEKSKILL MEDICAL LABORATORY 1879 Crompond Rd. Barclay Plaza Bldg. A, Apt. 1 _ -.-Peekskill, New York 1,0566..--. _ _ _ _ _ DATE COLLECTED RESULTS OF EXAMINATION OF WATER 6/28/73 OWNER DATE RECEIVED Ray Hosterman 6/28/73 CITY, VILLAGE, TOWN &/OR NAME OF SUPPLY DATE REPORTED Peekskill Hollow Rdo,Putnam Valley,NY 6/30/73 BACTERIA PER ML. (Agar plate count at 350C). 5 COLIFORM GROUP (Most probable N6. /100m1.) less than 2.2 HARDNESS, TOTAL -ppm DETERGENTS - ppm NITRATES (as N) - ppm IRON, TOTAL - ppm, I- LUUMAJt. (t) - mg. /1. These results indicate that the water was Yea of a satisfactory sanitary quality when the sample was collected. A. H. PADOVANI, M. T. (ASCP) SULLIVAN-THIEDE CIVIL ENGINEERS - CONS :rRl4QTION.,CoNSULTANTS CLARK JOSEPH F. SULLIVAN P. O. BOX 308, MAHOPAC, N. Y. 10541 PRANCI• W. THIEDE B.C.E., P.E. M.C.E., P.-E. MAHoPAc 8-8777 MAHOPAC 8 -5361 % i� 1717 /I L X�e Ile t4/ Ar'0,7 ��� /ems �, �- e -Ajcl 3) 7)-e alK 1Y• 1Y PHONE ( 914) 737 -2437 Construction Managers & Consultants 1852 EAST MAIN STREET — BEACH SHOPPING CENTER PEEKSKILL, NEW YORK 10566 August 10, 1973 Putnam County Health Department Carmel, New York Attn: Robert Cadell RE: Ray Hosterman & Assoc..Property Well .Dear Sir: This is to certify that if any problems develop with the well we will assume full responsibility. Very truly yours, RAY HOSTEP.r1nN & ASSv -AT EC, Ray Hos, erman President RH /bv It, v. kie K °i Sy z' - x 7 4 SOIL PERCOLATION RATE .......... .... MIN�IN /94?0 GALLON SEPTIC TANK DEFP TEST -</O. y ,e 0,-lV0 W -.97-z6,1EF "/0. 4'c-4p C�; — �cnc — I rPP LF X-&—" ABS. TRENC14 jj ESTABLISH ELEVATION OF HOUSE TO PROVIDE DRA14A6E',(:)F LOWEST FIXTURE TO, SEPTIC TANK AND FIELDS ...... AREA RESERVED FG11 SEWAGE DISPOSAL SYSTEM TO REMAIN UNDISTURBED.ALL CONSTRUCTION TO't0NFORM TO STATE AND LOCAL STANDARDS AND REGULATIONS ......... .. NT/1• HEALTH SERVICES 7- 7-"q /PS' --o, A'cv, z a'. PROPOSED /Zoo SEPARATE SEWAGE DISPOSAL SYSTEM TOWN OF 4 COUNTY. NEW. YORK 9' '! -�)N 0 DATE 0 SCALE 70- SULLIVAN THIED1. CONSULTING ENGINECAS CLARK PLACE k.A#WAC. NEW YORK ROVED Ql-- FEB11 1971 PUTN COLIN-11 T. 9P'IFEALTH ;zd= ffIRECTOF;;.-VIVIWN OF ENVIRON- NT/1• HEALTH SERVICES 7- 7-"q /PS' --o, A'cv, z a'. PROPOSED SEPARATE SEWAGE DISPOSAL SYSTEM TOWN OF 4 COUNTY. NEW. YORK U-6 '! -�)N 0 DATE 0 SCALE 70- SULLIVAN THIED1. CONSULTING ENGINECAS CLARK PLACE k.A#WAC. NEW YORK ESTABLISH ELEVATION. OF HOUSE TO PROVIDE DRAINAGE C P., TO SEPTIC TANK AND FIELDS ...... AREA RESERVED,FOF ,.: SYSTEM TO REMAIN UNDISTURBED.ALL CONSTRUCTION TO AND LOCAL STANDARDS AND REGULATIONS ......... - j t ,x Kjz V r ;ate � G N N S I l i" o. etL OCT9 1970 qs WNAM COUNTY DEFT OF H.P�LEN DIRECTOR, DIVISION OF'^ EpYTRONMFNTAI HEALTH SERVICES tfr�ser "� 94• �4' Bc*o•eo tir6 SY67 "Eti9 rOS," cn- V�'c?�!� 7'o f U7iY.9^^l x Gr.?U/i7-Y ��%�r9.eTME / ✓•r oF- /fFi�G Ti! r .eEGU.G/J TiQ ✓.s. 1 3'00 ✓% .� SU I 'C � r.4x ry vP .vo. 6Z, B.t..oc.K rVO / Yigx 4G1T '� zf t vo PROPOSED N - i SEPARATE SEWAGE DISPOSAL .'.SYSTEM i _ i . , • .�U r. -v,4ih ✓A.c L ,E'Y co�vS7.2ri 6 ��a. 1 71 97 /O�! • . Rpy • PE"E.e S.0 /L G .y dG L c �.•s/ r�'OrD.G%- " I TOWN OF .. - ,/osE-F`•v F. su «i. ✓a.✓, /°6. ` �(/T /�!,•�/:�7 COUNT:Y.,NEW YI�AK w- Vy.s, o.�. tic. ✓o. 2¢e9 -sr DATE !O' 7 -70 SCALE a3 s/�JU�/ JOB NO _ f SOIL PERCOLATION RATE . ...... .... MIN IN /'100 fie.., ; 1 GALLON SEPTIC TANK Hor al SULLIdAW - THIEDE. II DEEP TESL, ti� C,� Ou.� -�� 1� /F7TE.E� t '+sOS� CONSULTING ENGINEERS '? .Y� G;�UGr.•� ,�OG',C' GOO LI, 7c 3� ABS. TRENCH i ,R :u