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HomeMy WebLinkAbout2806DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62. -2 -35 BOX 24 1 :1. L f r 1 F L Lm 42 1 :1. .�, HE ! PdJTNAM COUNTY DEPARTMENT QAL]CH I . €€7 ._� Division of ,,,. wnmeniai I4;iih S94i s Carmel N. `Y 10512 P fCONSTRUCT.ION PERMIT F,QR SIWAGE.'DISP.OSAL SYSTEM_,,,- utnam Valley.'`(t) Town or illage .asl Q. a�znz� F�aa _ yj2 af) ham (,^ a Crt E < = ti - Subdivision` " - - i ..: 64 ,- J Owner RpnnPth & - ['�A1. Fpy+1Pr Address T ialrn Osiii6 Tnn� AAo : s ; b } I Building Type to ng `family 9`i. Lot Area r 3 9'20 acres ; i J =` rt - t I Number of •Bedrooms 3 Design Flow Total;Hab�table3 Space OVe2' 150 Square Feet ti: f s 1200; I .F - of 24 .. :m id ' 'trench Separate Sewerage,.Systern consist of ;Gal Septic Tank =' and`'' i To, be constructed iby ('nata .� FPTYeira Address Water.Supply Pub Uc Supply From : X— Private Supply to be dulled by gg *1� I3 - Address Other Requirements bankrun. sand: rand gravel to be placed 0n-'_"d isposal area ' - I' represent that I am wholly•and completely :[espons6le 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 approveQamentlrtent thereto and +�8�t; with the standards rules an regu a ions o e u nam x., ounty; Departmeht of Health,'•and that on completion thereof a Certificate o'tx' rwtogicheo 'ance' satisfactory to tAe Commissioner ofpHealtK ,ills; ' t be :submitted to the Department and a' written ,guarantee -will be furnlshed h eirs or! iiiigns- ,by`the budder, that said bwlder will i place in good operating condd�o i, 8ny`part of said sewage, disposal- syste dy A e'pePio "years immediately following -the date of the -issu- ance of :the approval ,of ahe Certificate of,..tCOnst►uctwn Compliance. of A. bri 181' rt'P thereto 2)•that.the „'drilled well described above `;will be located as -shown on 4he approved plan:and that said well will be`insta d c P 1"�', Bards rules 'and ragula� ons.• of the Putnam County gepartment of ,Heaith , e & Date Signedw� PF: X R A. Address 24+ Ma le R1aCe ?� i nse No 38912 as APPROVED FOR:CONSTRUCTION: This approval expires ;one year;from tFidBt�e4uegt ?r� cqs eft on of the ti it i ”, has been `undertaken and 'is „- revocab�e for = cause: or maybe amended or rrmodi ied;whe re'd,nec ry" o �otte of, Heaith.` Any'cha r' alteration of construction sa f>Ss: requ new permit Approve or o 1 ofd estic_ Mary w te,arate supply only Date , a gy •,'::. a Title PEEKSKILL MEDICAL LABORATORY 1879 Crompond Rd. Barclay Plaza Bldg. As Apt: a RESULTS OF EXAMINATION OF WATER OWNER . DATE'RECEIVED CITY- TOWN VOR NAMP- OF SWPLY DATE REPORTED SAMPLING POINT BACTERIA P RML. (Agar plate count at 350 Q. COL ORM {GROUP (Most probable No. /100ml.) HARDNESS, TOTAL -ppm DETERGENTS - ppm NITRATES (as N) - ppm IRON, TOTAL - ppm FLOURIDE (F) -mg./I. These results indicate that the water was of a satisfactory sanitary quality when the sample was collected. s A. H. PADOVANI, M. T. (ASCP) 'Phone (914) 739 -4063 v PUCKEY WELL DRILLING, Inc. R.F. D. 3, PEEKSKILL, N. Y. 10566 � :.............. ............................... 19.'x.$.......... Kenneth Fowler ................................................................................................................................. ............................... To whom it may concerns Having drilled the well on the property of the former Mrs Linet, then.now property of Kenneth Fowler,.R.D.# 2 mscanawana lake road, Putnam Valley. My Records show the well to be.100 ft in depth and producing 5 gallon per minute. Chester Puckey Puckey Well Drilling /. INI_TTAL SITE INSPECTL071 es • NO Comments ,Property lines or cornF-rs found e . : e e • • C Can cstin,ate, house location Will drlvcway need . . . • e . e : e . cut e • • • e e • e o a o. o . -Mmst trees be removed -note these .- . Is deep hole represent -alive of entire SDS area T% Additional deep holes needed. ./ Sufficient SDS area available considerin driveway cut, house location, separation . distances, etc. • o • • e e • . • e • • DEEP HOLD DMA Depth Water elevation: (Z) , Rock elevation: k 6. - Soi_ls descr•:i.pt-i on: - � Q Date . FINAL SITE rNSPECTLOD Insp, by! House located where shove on approved plan SDS located where approved .. . Iongth of trench measured Width of trench average Slope of tile line-and trench acceptable _ _.'^ __. _ _ Room allowed for expansion trenches • - : .. Cover .50 ft- - frun,. :;try nr. 1•��i;R r �^,nurs? , . • . ., Natural soil not stripped or. SDS area �_ —_ M umnecFssarily graded 10 Ft. maintained from prop. line and 20 ft. from house - Sep:l1ration of 'trench from house, well etc. follows plan . . . Thumber of bedrooms checks • _, . , e ,..: • Stone, brush,, stur:ps, rubble, etc'. greater than 15 ft : from nearest trench . .. •. 15 Ft. of peripheral soil horizontally from trench*.-.-.. A ... . e. • •. Jiu-ietion boxes propOrly set ~. Could surface run off from drivewa.y, road, ground surface, etc. channel near SDS area ... e . _. Does l.ot. drainage appear O.K. in area of SDS FINAL GRADING OF SITE ACCEPTABLE IM�ets Std ...� eg Jo DOCLTI/171TS . Design data sheet i P�;res presoaked? Kin,. 30" pert test depth 'Const. , results for 3 runs s D. Hole log O.P. Corporate Affidavit for other than individual IA Authorization for engineer letter from Water Supply if' applicable r iI variance requested -such noted.on,plans & apps. Da-PAILS . if change is proposed,) Existing contours shown show new contours) , Slopes for driveway cuts, etc. shown Treater service line location i i -Footing drain, etc. location Top' slope, bottom slope of fill - ercolation tests and deep test pit location Settic tank size and conformance to std. 3 �.R. house minimum souse setback shown I Distribution box ftg. below frost ^40e �J All -water within 50 ft. of PL shown Plan and profile SDS A-11-other wells and SDS closer 20 shown or reference made_ _�--° ► ,+, FrpF.rt bo, r�;, suc�c cCl "1'U Ci[7urldsF arty SEPARATION DISTANCES SPECIFIED ON PLAN 101 to P.L. ?0!'-to Foundation walls -J' to Nearest well 30' to stream, march, lake, etc. k incl. expansion) � L5' to Curtain drain __ ! LO' to water line (pits -20' 15' to storm drain �01 •to large trees :0' from foundation to septic tank 5' to pipe f'rO1i1- ZEader__di�a_n & .foo inU . - { I 01 1< rks •Date Tr IIIIII �,.,�•.� 1 r• ••.•. - .. Y 103. b Re � /1. � A,� � j`? • Deal A review of the submitted application: to construct a sanitary sewage disposal :.. system for the proposed premises has been concluded by this department. The plans are being returned to you for the following reasons. REQUIRED INFORMATION MISSING (1) -Completed application .► .(2) Design data sheet (3). House plans (2 sets) -(4), Authorization for engineer ° (5) Layout plans (SDS) (a) House location , (b) Plan and profile 'of SDS (c) Location of'driveway . (.d) Location.of well or public water main (e) Contours of property ' Location of any water courses,. o ds..or lakes p. property: or .within 100 feet. of property nCn'?G rE fq ( ) Location of deep test "holes and percolation est IT61es r' �,ocation of all wells and sewaQ_ dis :o _3:1 sy ±penis _wi,t:zi n - -200 feet oaf .p_oper -ty 1 is °:[.y- n(J/ AD eoS �' House setback {j) Footing.and leader drain location . 10 feet to property line (1) 20 feet to foundation walls (m) 100 feet to nearest well (n) 15 feet to curtain drain i (o) 10 feet to water line (pits 20 feet) (p) 15 feet to storm drain (q) 10 feet to large trees (r) 10 feet from foundation to septic tank (s) 15 feet t pipet from leader drain and footing drain ( ) Othe . r / 6 + Sf. on ��i5�"ir� (�✓�� PUMLO -C • �. We,I 11r 5, e, UeA / If you have any questioTs concerning this matter, please feel free to contact me at this office. ��s� re u. r iec1 .or PUTNAM COUNTY DEPARTTr'IT OF HEALTH -510L 00;; 'MU. - 01.1 =1 - I`inL "�iE7�Z;'i' S 1tV CES Date d, ,j `q 77 ee Re: Property of a Located at 104 OJCee, ,oV� & 64UIk yj IV Section GB Block Lot ti Gentlemen: This letter is to authorize Timothy L. Cronin, Jr. a duly licensed professional engineer X or %Wx x&v4M% MX (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 promulgated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in 4� connection with. this matter and to� supervise the construction of saidrw_�._.,__...K,.:. -_ ; sy e. -M_ or gyst:_ex s. {n=- cones�fDuicy `wi n Brie - provisions of Article 145 or f 14 w I 147, Education Law, the Public Health Law, and the Putnam County Sani= " tary Code. Very truly yours, Signed 'cli•�• `j,. Owner o f Property i .7 ; P.E. � c ' " 3 � , #' ,�,891�2 Ossining, New York ..Telephone x. Address Te ep one - j MEMO: TO: MR. FOLEY FROM: TIM CRONIN, JR. Timothy L. Cronin, Jr. 24 Maple Place P.O. Box 64 ® Ossining, New York 10562 (914) 941.5421 July 6, 1978 Enclosed please find three (3) copies of Separate Sewer System for Kenneth & Carol Fowler, with changes you requested. y jU 1 "78 PUT NAM COUNTY DEPT. OF HEALTH, PUTNAM . COUNTY DEPARTMENT OF I EIALTH DIVISION, OF ENVIROnMEI`ITAL II .LTII SERVICES ..> _ � � • . .- ,� <,. �..�C:nt:I�l��i- �.QFFID �,`F��-- .4�I�II��;: _C!'�R�'�:,, -���. �.�, �3- 0�?��..:,�::;.,::,��t,=.: - - - - �•�-�_ d..�.�- DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.' OwnerKenneth & Carol Fowler Address Lake Oscawana Road Located at (Street Lake oscawana Rd. Sec.6C Block 1 �Indicate neares • cross street) Lot 64 Municipality Putnam Valley W Watershed Peekskill Hollow Brook SOIL PERCOLATION TEST DATA RFOUIRED TO BE SUBMITTED WITH;:,APPLICATIONS . 5S6 1 j@ I Z 1 - .. 3 5 ID, Notes: 1) Tests to be repeated at same depth•until approximate je ua},r,� i. rates are obtained at each percolation test hole. All data to a ubill►����tt c for review. PUTNAM COUNTY, 2) Depth moa,surements to be made from top of hole. DEPIT. OF HEAI,T Hole RTumber CLOCK TIME - ' PERCOLATION PERCOLATION .' Elapse No. Time Start -Stop Min. DeptF. to -,,a er Water Levei ; ,3 . ,) From Ground Surface in Inches Start Stop Drop in Inches i Inches Inches Soil Rate Min. /in drop 1 � r IL 5S6 1 j@ I Z 1 - .. 3 5 ID, Notes: 1) Tests to be repeated at same depth•until approximate je ua},r,� i. rates are obtained at each percolation test hole. All data to a ubill►����tt c for review. PUTNAM COUNTY, 2) Depth moa,surements to be made from top of hole. DEPIT. OF HEAI,T