Loading...
HomeMy WebLinkAbout2815DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.06 -1 -8 BOX 24 �,tiL �- , ru L ;fir,' `�, 164 L. r - -1 1 f m , Log 02815 rf f p PUTNAM 'COUNTY °DEPARTMENT OF "_HEALTH - Diwsron of Envrronmen6l Health Services Carmel :N Y.- 10512 CERTI , FICATE OF,. CONSTRUCTION COMPLIANCE :F.OR SEWAGE A' L SYSTEM_ Located at `. '® Y/ Section Block ` Owner • v- . Y L'ot Job. Separate Sewerage System built by ®��� Addres�o: �' �~ _. ,` Ij consisting of © Gal. Septic Tank' Zy Q lineal Fe,et'X Width trench r ':.Other .requirements Water' Supply- Public Supply From rn�� y Private SuPPIy •Dnlletl Address Building Type No of Bedrooms / Date Permit Issued `Has Erosion Control Been Completed t'' r ,eaaaP�� pF Y +,r I certify•that .the.system(s) as l�stetl serving the above premises were constructed essentially as shown oja�thd PI? � ®[n eCBd work (copies of which are . attached), and in accordance with the-:sta�dards, r' lbs and regulations,• laps filed ;.end the,permi ��Rsue QY he'_Pu Co1),nty',Department of Health. i Date /v 0 Cefified tiYy s �' �' TP E kA,, Address a° e se No Any person occupying premises'serve, by,the above systems sha h c o y e sa orrecLion of an unsanitar '• conditions resulting from such usage, Approval .of the separate sewerage system s a bec II°i y 1dya�ns PIs• bl�c sanitary sewer becomes available and the approval 'of the private water supply "shall become' hd void when a - public .watelti9 available ? Such approvals are : s�tea• subject to - modif.ication,.,or change when;, �n the judgment of the o issio f Hea u revo cat i on or change, is n�1ec�essary. a. Data 0 / T�tle;� jllo �r'o vra ( on --ng�n ears ` na nS6�P -- s 1) LABORATORY ANALYSIS PLANT START-UPS STREAM POLLUTION WATER SUPPLY EDWARD R. GRICH, INC. 12 INDUSTRIAL ROAD PEQUANNOCK, NEW JERSEY 07440 AREA CODE 201 694.5677 September 28, 1977 LABORATORY INVESTIGATIONS LICENSED PLANT SUPERVISION TECHNICAL REPORTS RESEARCH AND DEVELOPMENT Mr. Jack Levkovitz 25 Mountain Drive West Orange, New Jersey 07052 Door Mr. Lovkovitz: Contained herein is the result of the bacteriological ex- amination performed on the water sample drawn on Sunday; September 25, 1977 and delivered on.Monday; September 26, 1977.. The sample was drawn from the.kitchen sink tap, after flamingg at West Share Drive in Putnam Valley,,.Niw York,at 5:00•.M. an Sun- day;.Sep.tember 25, 19770 All tubes yielded negativ�q_ kedults.in the presumptive teat. 1 ;3- V ^s '100 "-bls -'Presumpti V was zero* Bacteriologically, this.water sample is acceptable for potable use. ERG: jc Respectfully submitted; EDWARD R. GRICH, INC*• per 4;� EDWARD R. GRICH weer or Purchaser of ua ing ureic pa ity u ng ConstructEd by nn Sec on ocat on Street MEW- 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 sucki system, except where the . failure to operate properly is caused by the willful or negligent.act of the occu- pant of the building utilizing tfie system. The .undersigned fui -ther . agrees to accept as conclusive the do- 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 claused by. the willful or ne rigen act of the occupant of the buildiRg 14tilizing the 3Y.3 °' m. -= _ _ ... Dated this day Q£. �..19% Sign ure Title 1Nt:/corporation, give and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLLETION.WILL BE ISSUED. GUARANTOR IS REQUIRED TO F-IL9 NOTIC9 QF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnarn County Department of Health T01%q -? OF YUTNAr"I VALLEY On, LL DRILLERS L00 AIM REPORT street section block log vjELL OWI�LR . . - me add�/r�ess city or town 'JELL llAIL 1� y. � do al, , ,�.�, �� n /d - name � —� address city or to Am S YIELD TES WATL' EVE SCREEN DETAILS y Bailed McG.sure i rom 1 d surface _ T JA feet Pampec�h e Static ft Make: Bari ad -- jn�_o lotter 6 '.�­h� Ye�c /o GPM ft Lethize Diameter x j'GT L ll TF G.r hiELZ ��. ® Fees �gtr c'�n ''y ' .�1� e de trip ion : of forma zion penetrated, such as:, peat,' Trou�d Surfac.c ` silt, :wand., gravel, clay, . hardpan, shale, sandstone, r� ��te ,: tc Include sip 3 of �ravel(diameter and send �s medium; course), color of material, structure ti (L 0'0 packed, cemented,; s :oft, : hard) . (Ex. Oft .to 2) ft: fi�ze Wicked; yellow said, 2? ft to 1 4 ft rah ran'te) rc.rmati:On Description Sketch exact location of well to .' at least two permenant Land arks �. _ i }} ,g`�� ..Irleted. ,5Jy 1?s� Date of Report- _ Wel Driller_ ✓i'°°. _ __ __ _� signature j t � ' PUTNAM COUNTY DEPARTMENT OF HEALTH. *--- k .. •- a I - Division of Enwronmenta% Health Se�wces Cermel; .N, Y 10512 i CONSTRUCTION PERMIT FOR- SEWAG'E'- DISPOSAL SYSTE M : �(/r�i/.5►.•_ Y'%!�%�+y l Town or village y�y.w 16C84etlat X, W.�T �AA101'S�( Subdrvision n ��� A9 dot Job I :JAG.rC LEl/�E)1/% TZ i Owner Address' Building Type! �Ei(/ "T7�' Lot Area, Number -of. Bedrooms -, Total Habitable Space; �-O Square Feet �l u •.` Separate 'Sewerage system .to cori ;ist of Septic Tank.. lmeah feet' X _ - width trench To be const(ucteda•by �� ��f%_w Address : Water Supply Public Supply From - - Prryate SuPPIy_ •to '.be • dnlletl by -2 • ��% %�II�O Et% a/ y._ Address Other Requirements �QQ.,PNG ��qS 3. ! I represent. -that 1 am wholly. and completely responsib;l esi i' �,�pGf a .proposed systems) ,°I) that the separate sewage d_ isposal. system above'deseribed will be condtructed.as shown,,on the-'a,p ve ani m. t er t® fed accortlance with the stan_dardi];4ules an regu a ions o the Putnam County Department of 'Health,• and that on compl`et t reof / o ruct�ort Compliance satisfactory to the Commis3ionerof Healthwill: be: submitted t6. the Department Nand .aa. written; gua -w�i iiT v, he r his successors; heirs or assigns;by the builder that said builder will place in„ good oper,,ating,• condition:.any, part of Sall -Wa e d ttsy dur g e period, of wo (2) "year irrimediately .following. the date of the issu- �. ante- of the approval oP the' Certificate of -- Construe o on mal' stem or any,repai to 2)` -that fhedr1lled' -well ge3cribed. above will be located a's'ihown -on the approved iibhand that k�yv I _ c- dance w' he a r ruI nd regulations . p. the Putnam.' _. County Department of -Health ti ^� S., 2 0 . Date �Y 4 •7 �7 �. y0�d�r .. . P-E r R.A. Address License No ~� X802 I APPROVED FOR-CONSTRIJCTlOt4. This:approvaI expires one year-Arom the" date issued `unless construction, o, the buIIdmg has been undertaken and is - revocable for wuseor:may be amendetl or modifieq; when Cori idered necessary by the;CornmkMoner of Health.;a Any change or alteration of construction $ requires a -new` permit Approved gfor disposal of domestkc san ry.: sewage and /or, ;pnvate water supply only ^ TitleP�7 U w #�" ! i� y. F J� E � � x� x a �x� 7 7 1. � •,.. r.. ' 1 s5'';, t t.�.z t!; r`4f SE � �7:1 C. / •'C �1 It r V `}/ ��"Hr� tuh`G �k$. rah`` t f? j�,l 1 iL V / y 4 y as^3YS sr ri }'. >}y r i IPI • p'` t_ r 'vK 5,y t rR'i btu k r t i }� t kr rrr� C Y 4 f Ip r z �Yr e ` �� �r _ '� n snt ^t t i I t k Y 4y of ' it 1 1 •'1 t 9 'r'"r '� t!�'"x4 A ,fix y{r� r .r.X y r�z �}tiu>k} 4L1 t irr•w, '�. 2 � tilt. �,,, t r �...r sr t t t ,ty h r s, t T 3 er•rx' .� r<`'. n� w A", r {{ li wr►�' -r "� s y r. r r•'„. b flrV7, "N6 2 *53+ -�1r I��j•� S 4 '' .`S 5� � .,r ,� v O C +� tw:r i 1 J h. i, rh �, -� r -e fi a' I n Jh Y poi �✓ r Y � �` � � r`'Z �'tt � 3 �i� { al? � .FStt ;; K'.,,s �k } z � L t M, N c 3 t{ a -. Z. f, tifr r of t ` Yt urn +'�� f: t t 1 rti. M1 5 * F r k4iil �. gyp. i r R C� 1 C rr �k4f�f "n. e � { 'se E r d r �n'i � y j �. �� 7• iY � y P ri c, e ti y mrj V1 °" t f r rt Ye��'" �� if.` eft �tF,� �tr,✓ .� 'tt rt � r �� � � ip �4N .r / _. qD r �v t' gip§ §•f ) 4 ' �r^ r 7 •, r': to b a ) t7 ��, Y`` v Y q �pT� C S;,.w'��aG a�ifya s ti Yr�+.X7 JS k Ake z +'� I o9 3 'v� ��r� r fi rn r`• f y�lt Y.sl3 f � s ��`� '3• S t fi?. rs t* s y y�yt �7i } Y r N �Ir F ,,r,Y.�� '� is 5 nr ti it r ° *� K Ft '�' t r r�` 1• l y 5 h © Typ 5 } 1e �c�Jt3t . 'S r�bs�s"��'ir���'}� } '��. 7 ' �'W��4 37 3+�`�� •�k� t����irkp s `t '��M„`'�'�ji iaf,,.�`>.� 4Tc? , .uS _ t£ 1 t+,•7 "Ci..rr'a 8!„p •+'k.,.> . C- ra„i 'grit' rt 'St �'♦4 aY3`a °.',j M1 r 5 eY. }4�" r ' i � �,a � y £ �, t ` t y t `� � jt`i rj `L• -. t.r ty`�'� p 'a $ d � *' 7M . ,. ii i r F S � 4.- fr``'x�r�} .�r ti L� . rt ay4�„z .1 r J �, Lr1 ♦ ue tea a j 1 Y � t, '< •�' ! Ad" �' t M / �! 1H r � r9 rr . � 'J M1 y . 19 a I. y 1, '! r � 7Ed I •.� >�,w .. tarp; nr .r 1,.'. �.-. a ..,aAx. ,',. .. .fir apt }�.<.�'..u,...r I P Al PSItr yam; t• r•t• * �. > y F g ' F a 4 ✓A 91t b .• }r � $ � ""' ^' �`4�k �.,.._._,° ..may >,,:.s.•:Wy""'r !'• L0VAOV/ to RZ, MT CHECK .. CK S. 1. i,T ,VT- Meets Std.! Remarks es , No House plans O.K. :Design data sheet i Peres presoaked? it'lin. 30" perc test depth 1 Conk. results for 3 runs D. Hole log O.K. Corporate Affidavit for other than individualM i Authorization for engineer 1 Letter from Water Supply if applicable If variance requested -such noted on plans& apps.! ✓ ! �7�c 3V J jtoo 3d ". C.'U Lato DETAILS to P.L. -- if charge is proposed,) 20' Existing contours shown show new contours) Foundation walls i Slopes for driveway cuts, etc. shown 100' to Water service line location 50' to F'ooting.. drain, etc. Location 15' to Top slope, bottom slope of fill ! ✓ ! I _.- Percolation tests' acid deep test:, pit location �- ✓ i 1 15' to .Sept=ic tank, size and conformance to std. -- _ ' ✓ i 1 to 3 R.R.-house minim-Lm 0' X15' �c House .setback shown ✓ i 111.1 va: ut;v ai_i w.L. it 50 :U'. U1 .C1.1 skluW11 Plan and profile SDS All other wells and SDS closer 200 Property boundaries (metes and bounds - clearly show )l 1 SEPARATION DISTANCES SPECIFIED ON PLAN 10' to P.L. -- 20' to Foundation walls i 100' to Nearest well :wknc'.expansion)� —�� 50' to stream, march, lake, etc 15' to Curtain drain i i ►�,� �,�, 10' to water Line (pits -20' �- ✓ i 1 15' to storm drain _ i Ito 10' to Large trees 0' X15' from foundation to .septic to pipe from leader drain tank i &,fooTzng rain Property lines or corners found . . Can estimate house location . . : Will driveway need cut . Must trees be removed -note these . . ... Is deep hole representative of entire SDS area �< Additional deep holes needed. Sufficient SDS area available considering driveway cut,house location,separation . . . distances, etc. DEEP HOLE DATA ',t Depth: c; Water elevation: .,Rock elevation:­' Soils des cription:c LAW /M J'o711�` Date: r- FINAL SITE INSPECTION Ins b : House located where shown on approved plan- 0 i1S noa i;ed t?hnre Pi rp vAr'_ f.t''ttlSt.f! r•r..�t!r• .n�.e. >,!1T•�rT. }. t Width of trench average Slope of tale line and trench acceptable . . . _ Room allowed for expa.r_sion.-trenches Over.. 50 fit . ...from swamp, watercourse vct V lu''d 'S-oil iiz�t -cti°iv�a - -. _. �_ - . _.�..•. _" unnecessarily graded , .. i0 Ft. maintained from prop.line and 20 ft. from house . Separation of trench from house, well etc. follows plan . , Number of bedrooms checks . . . . ... . . . Stones, brush, stumps, rubble, etc. greater than 15 ft. from nearest trench . . . . . 15 Ft. of peripheral soil horizontally from trench a .. . . . . . . . . . . _ Junction boxes prope_ --ly set Could surface run off from driveway,, roads, ground surface, etc. channel near SDS , area. e . . . . . . . . _ Does lot drainage appear O.K. in area of SDS FINAL GRADING OF SITE ACCEPTABLE Jack Levkovitz x+-w +. x...... •�L J� 1'iC�I�LL V `C`i L�CI.„�L�f� V�... -. ... .� � .. �. •va.a+.s._....., -.,r. �.. -.... � ., -: ...- � - ..:..v. .._r.. - tom..... ,_.. - ...... .« �.. ..e. -...t West. Orange, New Jersey 07052 November 8, 1973 County .Board. of Health County Office Building Carmel., New York 10512 Re: Tax Map #46 Block #1 Lot #2' Lake Oscawana, Putnam Malley, N.Y. Gentlemen: I hereby respectfully request a hearing for a variance. to install a sewage disposal system on the above lot at a distance of 75 ft. from my neighbor's well. Due to the size of the lot there is no other way of installing the sewage system. ours trulft (;,Jack Levkovitz 3981 49th Street Long Island City, N.Y. I am the owner of the house and lot 40 on West Shore Drive, Lake Oscawana, and I do hereby consent to a septic system being installed on lot 41 at a distance of 75 feet from my well. is Paul Boccard State of New York , County of "'�'" s s On the 3' day of 19 73 , before me % ., 6 e, r� personally came to me known to be the individual described and who exe'duted the fore- going instrument, and acknowledged that !j.{ executed the same X�/ 4NGS RONA LD J. MM f New York .�.- _.. _ _ .... Qualified in putn`a . "Unty' Commission Expires March 30, 9974 J November 2, 1973 Mr. Jack Levkovitz 25 Mountain I}r vex West Orange,p'N J. Dear Mr. Levkovitk Thk application for Construction. Perbit for Sewage Disposal. System to serve your property on West Shore Drive., Tax 146p #46 Block # Lot #2, has been reviewed by this off 'e.e The appliea'ion is' rejected due to insufficient sep€�ration From your proposed septic location and your. neighbor's well .' Our._codes. -eall for -a- minimum separation distarice of 100 ft,* not 75 ft. as' shown on the plans Please contact iie if you wish.to discuss the above.. Very truly yours., David Benson Assistant PLiblic Health Engineer DB /ps PUTNAM COUNTY DEPARTMENT OF HEALTH �Tt� f1r , I ,TBL tM- T_T.1 ^77 ^c <<^ a Date_ Res Property of Located at p Block / LotY Gentlemen: f This letter is to authorize /��'�iifGrs �v, 7T�zEOv a duly licensed professional engineer V/----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 vumiCU 11u11 w1 Ln Ltii5 ma L per anu to. supeI'vise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Lu --• � b1ic Health Lai.:, and the Pa -nay;: County :�an�• . ®/ sTETOF A, tary Code. y /gym �✓ . /1 Very truly ours, FO O `h,a•x ti Q '090 2 3 a 2 �a� Si e d f' `. FF8810NAL Owner of Property ff Countersigned. .• o�<%" /a2s�Gra�/'<�..r 9,, , l,�r. t3��•�•� �' �:. , i ` Address (� P.E., 1M., # z 380 gip / 7,4 6 7 Telephone Address Cv2 ,6- 0777 Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES U 1E. DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner j� /C Z46✓.e0y"TZ Address 9.61 OuNTi�i,y OTC. Itf �i?��✓�a� �C/.`�, Located at ( Street 4ndicate fiE�T S/i,Gk�/ fee- � Block Lot nearest cross street) Municipality �yfiVi9Y� rL�r�/ Watershed SOIL PERCOLATION TEST DATA REQUIRED TO-BE SUBMITTED WITH APPLICATIONS Role Number CLOCK TIME PERCOLATION PERCOLATION Run apse Depth to Water a er ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches Q l Zr3•v �':oS 3S � �3 � 3� 2 3 3:40 4; /S AS eV 20 23 % 3 .. �••n 4f.. _ I ... . -__ . ..•... ... _. -... • - . _. ._ .4.. Jr- m 5 1 2 3 4 5 Notes: 1) Tests to be repeated at same depth until apppproximatelyy equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of.hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. .1 HOLE NO. Z HOLE NO. 49ell--1112 6" 12" _ 2411 30" 36" 42" 4811 5411 60" 66" 72" 78" INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED /(fD/Ve INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED.�� TESTS MADE BY Date_�p -/� -73 -DESIGN :A No. of Bedrooms Septic Tank Capacity pp Gals'. Ty `eA Absorption Area Provided By_g-.sv L.F.x24" s/ ' Address < SEAL AA THIS SPACE FOR USE BY HEALTH DEPART14NT ONLY: Soil Rate Approved Sq. Ft /Gal. Checked by I -1J. 238 \f881QNAL e �PPt 0V 197 titAll PIL Divisto tEAkT" '"'C