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631- 589 -8100
62. -2 -35
BOX 24
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PdJTNAM COUNTY DEPARTMENT QAL]CH I
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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
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- Subdivision` " - -
i ..: 64 ,- J
Owner RpnnPth & - ['�A1. Fpy+1Pr Address T ialrn Osiii6 Tnn� AAo
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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