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HomeMy WebLinkAbout2842DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.10 -1 -32 BOX 24 61 how . . �r F f '.r i 02842 - ,- ,...- e. -x..M_ ,., :..*w�n�, ; , •�r,.,�- �— z._�.:+�.* -a-ad �,,...., - �x,«.. s.-±�.. �- � .- ^^'v^.•'.":�: z.�Y.°'s ---ai 7777777, DEPARTMENT PL!TNAM COUNTY; OF .HEALTH RSV . 3186 Division of Environmental Health Se vices, Carmel, N.Y 10512 ; Engineer Mast Provide'! /_6�j �bi�q P:C.H D Perm)t q D%;. q sT—FLTC—ON C(�mpt :lk- C'F .FOR SEWAGE :DISPOSAL SYSTEM • %��/ !i! !d'yJ �Q / -e w !it /YJ / c7�dr� / /lJ•C......�.� --�-� -� Sk 'iownor <t : Lora at Owner /applicant Name, Ave CQl in Formerly . Mailing Addrp..A& S -6,- '0 /I ✓ zip Block Lot Sbbdivision Namen/ _ Salifd�v :. Lot q Date Permit Igsaed /�� /��• Water Supply: . Publk Supply From Address or:. -Private Sgpply.Drilted by :Y 4T, f R `% Address Building Type eY I/ h g - _ Has Erosion Control Been Completed, Number of Bedrooms Garbage Grinder Been Installed? ` L Other Requirements I certify that the system(O is listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies of which are attached), and in accordance with, the standards, rules and isgulatio in accordanc ith the' filed plan, and the permit issued by the Putnam County epartme$yttf Of: Health. `- Oats 4 / '/ Certified by P.E. R.A. Address License No. Any person occupying premises,, served, by the above systems) shall promptly .take such action as may be necessary to sewn the correction of any unsanitary cond ons resulting from -wch usage. Approval'of the separate 'sewerspe•system shall become null and void. at soon as a pub(!-. unitary sewer becomes available and the approval of the private `water'supplyshall become null'antl void "an 'a public wotai supply becomes available. Such approvals are subject to modification or change when, In the judgment of the Commissioner of Health, such revpcatlon, modification or change Is necessary. Oats /� / t1 / 8's Title 0 h , - D'AQUINO and DONAHUE CONSULTING ENGINEERS ❑ John V. D'Aquino, P.E. Daniel J. Donahue, P.E. _ : - 314 Oscayrar a Lake Road __ •_ _, . 200 Rreckeraidee,Road.__ :.. _�_ j, 914 -526 -2039 / n /914- 628 -7576 TO 190 n 0 d►t R-EEMEM OF GATE JOB NO. ATTENTION�• DESCRIPTION RE: For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use cc, . • �. c � - err,► . ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections WE ARE SENDING YOU e Attached ❑ Under separate cover via the following items: ❑ Shop drawings VIf Prints ❑ Plans ❑ Samples ❑ Specifications ' ❑ Copy of letter ❑ Change order ❑ l COPIES DATE NO. DESCRIPTION For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use cc, . • �. c � - err,► . ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment �'r v Q Pf eJ'v ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US .._ _._ - g:. ... .. .T. -. - . -. ��. �....�. .�-.. .r -.,a.� _ � .... a .- ... .c- �-.- Q,._ .... �..- .-. -.- ...�.. ...m. -r•. .. .. .ter .P. .. —� -.r ... THESE ARE TRANSMITTED as checked below: For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS A � . ' o" t e. I ae 0 -- -e- ILJ—C-66 27! MehLr -� � 404()j 1 63 dc 100�_l /r t (n- A2 '00/ ( 96. 6A i4, • /- � /, e .74-. c cF, G cl f40W <e J, .O.d J J i COPY TO SIGNED: 014- i�__ . If enclosures are not as noted, kindly notify us at once. e . .. <.. .. •rim '/ � ♦ . (V) LVWI Z N '3100 z" L / WfrLL U` Gl� I VG' cj c, l J' r i �7 LNTC1 /((rl.Crn ns p4ic T4nk aff .c `t u N )T A B y S .T 48' 34e ism) '7o' S-9xt u /NE L 66 40 LINES rv' 94r LIN E q bo' /e2 ?, ?felt Is 7o cer'iiy 4444 4he sc -4jc d.SPara/ e' .4—j aedrfron f�ean onf/ir:P /a.r rs conr4r"ejeJ l'-Woo hand +Ar.f f4t a S/rn wnr rn,rpeeird byn,e be arc i� wPr coveted over.l,e_ sre /e,n ,s coeslrtic /e/d S.6sieo1i4 lly �n �!e[.erdsn�[ wrfb ol/ SfPndPrO�CSOnd I'eAe3lai`lon:r-- .__.... e JAe Pckp•.,j we-Hp. V� N�fc; Sysfrn rear fo ao'o(�flon only f r: Z- c� J 14 L ?J ,n v � -e N 9 F•��al Plano f SDs 19ddr�lan Corcn R�d�d�,�t we-cf. ��o�e Orl✓C pa.,. vG l e%y ;0 '49 o a.� tl N a + 42 O tl tp �' q F a a �. y m C�rtl N � 3 � M dl N m a ��'r' �� `0 o AE mmp9 fi Q m O U F•��al Plano f SDs 19ddr�lan Corcn R�d�d�,�t we-cf. ��o�e Orl✓C pa.,. vG l e%y D'AQUINO and DONAHUE CONSULTING ENGINEERS 1,J ❑ John V. D'Aquino, P.E. Daniel J. Donahue, P.E. 314 Oscawana Lake Road— .200 Breckenridge Road "�""� ° „” . �'� ° " °' ri�"�ain"�al�ey ";1V. i�: ;,U5i9r. `• �'=1vi`a'tibpac;°l`i'Y: 1'0'541 ' . •°.`.'.,` 914 -526 -2039 ! 914- 628 -75766 LIEUMIM ®1F UDURSU UL DATE � JOB NO A TTENTI N ~� C e„ Au 4 Ile WE ARE SENDING YOU Attached ❑ Under separate cover via the following items: • Shop drawings Prints ❑ Plans ❑ Samples ❑ Specifications • Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIP(T�ION�I ❑ .t ❑ / 4 4l ?4i ix / J 0fT ❑ FOR BIDS DUE ee" (c o eewi fi''�r c-h THESE ARE TRANSMITTED as checked below: w REMARKS ❑ Approved as submitted ❑ Approved as noted ❑ Returned for corrections 19 — • Resubmit copies for approval • Submit copies for distribution • Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US COPY TO SIGNED: %` c For approval ❑ For your use ❑ As requested ❑ For review and comment ❑ FOR BIDS DUE REMARKS ❑ Approved as submitted ❑ Approved as noted ❑ Returned for corrections 19 — • Resubmit copies for approval • Submit copies for distribution • Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US COPY TO SIGNED: %` c + Oniisfon of Environmental. Health Services Carmel N >Y 10512 >' " £� s st s CONSTRU L LQN PERMIT.;F.OR�$W/�GE :DISPOSAL. SVST.ERA..;,' xz r .H (jj�?!i!s�,G��s; , . TO - :lx'°r .i'L^•>�]� �����$ ��L�l.,�~ -. �����8':.� _...s_ M �-s � -�+ �_�_" .�Z�a+Gi:�-t� r�?E�F �A�ark ; /� � } I'+T4� � t�Wf�•C'i+fil�riir a..v w�: a r Subdivision ' � 5' �' a Owner /Address.f Bu Id�ng :Type �X�fr n t Lot Area { / `� Pall- Sectaon Only ❑ Number.'of Bedrooms � ,DesagR Flow G /P /D� i- f P C H D Notif�a cfation' Requared % �/' c { Separate- -Sewerage; System to consist of -�� ,Gal Septic Tank To be constructed by � �^- "�' r %%►+Lit �-- -` f Address a '- 4 ;.water Supply Public Supply From Priv ate Supply to be drilled Other Requirements � � ° � f � � ' tl f 3 1 represent that 1 am wholly and completely'respons�ble for the design and locat�onr of the proposed systems) ij 4that , the ,J,separate,sewage:zd�sposal'- !system ;above described will berconsti ct uad as�,shovvn on the.approveC :amentlmentthere to and,tm accordance with the sta�dartls rules an ;regu a ions o e u nam r. •:' `e. r;, a•:- s - l, : h".4i:e `Healtwll , County ,De e ;;H 7t en ,s.N.,.,,..•t�, ra.::! t.. ,c.rh -.ar ,t;:e?, :' be submitted to -the Department,; and a ,written' guaranteeswill x�e furnished; the owner his successor, heirs or' assigns;by the,bu�lder that said budder will place m :good ;operating condat�oh any part Hof ,said sewage disposal system'rtdunng {the period of two'(2) yeas immediately following, tAedate of the Issu- ;pnce of7thelapproval ofthe ,Ce►tif�cate'- oi,ConstrucUon Compllance�of the ongmal system or any re "pairsFtheceto 2) that the ,drilled well described above , Will bertocated as shawnson the app►oved' plan and-fhat saidwell will be installeC' in '_ cordarice "with the; standards `rules °sand r "egu amens . ;'ofrthe' Putnam County Depart nt fgHealth Adtlress ' -` tali'' t© �f y APPROVED FOR`CONSTRUCTIOfV Th�rapproval expires one yea► from the date `issuetl unless construction ,of the building liar been :undertaken and is a revocatNe -for causte or may_ be amended or_modA�ed:when considered necessa y by the iz sooner of Health: Any`change or alte[ation of construction requires a new permit pproved for disposal of� domestic sanitary sewage', and /or'.pnv a water supply only Date Rev 9 -81 •f. - - __ .. .. - ..e... .._ - ... e- _. • ., .... � {. .. �- .,e,...vc .. ... � _ oa..... ..�.n..e r -.i.a ve -_... ae-e.. _ .e.. w..- .. -.�.� .� »...� - ++t _ e...w ..tee. -�. +e �. ... s +...+.w..� W PD1*TgA 'S CCtTN Y DEtP.AIMIOA' OF EEALT$ Y, DIVISION OF HEUM SE"MICES APPENDIX I - -D -PC // Owne= �7 e ij c. Ce ., e,4 Address hnici lity )7 d,177 ' Ile i Wate_Tshed l Located at (S t--e--t) Sec. Block Lot (indicate nearest c_oss street) hnici lity )7 d,177 ' Ile i Wate_Tshed l n 1 &')M P- vR==CN TEST DATA PB:U ED M HE Ste= W-M APPLICAI<'IWS Date of Pre- Scak.;ng g Date of Percolation Test HOLS . NL = —Z Cr= TD-iE PERCMAMM P9- -(M=CN Run Elapse Depth to Water From Water II-ml No. Tine— Ground Surface In Inches Soil Rate Start -Stop Min. St --t Stop Drop In bin/I.n Drcp Inches- Inches Indies 23 2 4 5 CPL. W 21 3 3 i Y 4 5 1 2 3 4 5 bx=: 1 _ Tests to be re,—Bated' at same de_oth until apprcximtel y equal soil rates are obtained at each pe:r+laticn test hole. All data to' be ssimitted for review. 2. Ce- th measur nts to be IP.'_ae fr= top of hale. TEST PIT DATA REQUIRED TO BE SUEMITTED WTTH APPLICATION DESCRIPTION OF SOILS ENC DUNTERED IN TEST HOLES DEPTH BOLE NO. BOLE NO. BOLE NO. G.L. 1' 2' 3' '?�1'�PA L "'?•slit: 6., 5' 7' 8' 9' 11' 12' 13' 14' INDMATE LEUM AT WHICH GROUNDGA'� IS =UNTIEEED INDICATE LEVEL TO WHICH kaT::R LE" M RISES A_F'T M BEING MT_7_17 D DEEP BOLE OBSERVATIONS MADE BY: DATE: DESM4 Soil Rate Used ldy "° Min/1° Drop: S.D. Usable Area Provided exa-1,4 No. of Bedroms Septic Tank Capacity /,;1 f-2) gals . • Type CGAC/-{ Absorption Area Provided By L.F. x 24" width trench Other Name Dw4 i.c / J, DQ A G XZ -e- Signature c� `D Address D i cGl t., r i a/9-c Rd SEAL 494 0" THIS SPACE FOR USE, BY BF-UM DEPARL NT OILY: A Soil Rate Ap P raved s3. ft /gal. Checked by Date PUTNAM COUNTY DEPARTMENT OF HEALTH APPENDIX K DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date June 21, 19.88 Re: Property of Steven and Lana Coren Located at 182 Westshbre Drive, Putnam Valley, New York 10579 (T) Subdivision of Subdv. Lot # Gentlemen: Section 47 Block 4 Lot 17 ( &18.11 Filed Map # Date This letter is to authorize Daniel J. Donahue, P.E. of D'Aquino & Donahue a duly licensed professional engineer x 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 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 t Signed Countersigned:. R . A . , #_ Address r 0,/z Y- e7 a rye . �-2 Telephone Steven M. Loren 182 Westshore Drive Address Putnam Valley, NY 10579 Town (914) 526 -2552 Telephone PUTNAM COUNTY (DEPARTMENT OF HEALTH (DIVISION OF ENVIRONMENTAL HEALTH SERVICES 3 <-UAPPL ICATI ®N TO C .ONSTRCT A_W- A— TEPR C YE pleaseprintortype HPermit _v ... Well Location: Stgeet Address: illage Tax Grid #D �y �� O✓. Map Block i Lot(s) Well Owner: N e: C Address: d Use of Well: Residential . Public Supply Air /Cond/Heat Pump Inigdtion , 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served ----i: of Daily Usage 0_0 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well ov AIA).ialv4 Detailed Reason for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision. Yes No Name of subdivision Lot No. Water Well Contractor: Address: Is Public Water Supply available to site? .............................. ............................... Yes No Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date:. PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a w ter well driller certified by Putnam County. Date of Issue ' " �2 Permit IAsuing Official:: Date of Expiration ► —,W —0 4- Title: Permit is Non- Trahsferrable ' a - ` U\'J White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 a.-_;. - - ALI A ........... PEI o s i 0 E IYC 91 A k,6 Igo to c t J6 0 Rift 7 all YVN., ,wv VAN WTI If .t -40- Sam