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BOX 24
02916
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Carmel, N. Y. 10512
REVISEL
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley
Town or, villa 9e
A.. 9 �R, F.�,. Secon ti
Cucai:ad'a[.. ,.. "_. _ _.., .,.... ... - .. __ _, 1 -.. ........._. Block
Wildwood Knolls
Subdivision Lot Job
Owner
Thomas Cutaia Address 4142 Wickham Avenue
Ranch 43,655 SF Bronx, New York 104
Building Type Lot Area
1200 SF +
Number of Bedrooms 3 Total Habitable S% ac/e/ / Sgy�arg Feet
9 3 Leach / 2ba4 Italy P1t8 • n3 x 1 OrolreD:h
Separate Sewerage System to consist of �� Gal. Septic Tank 1 f
To be constructed by Otto Righi Address 11 46 Oregon Road Peekskill
Water Supply: Public Supply From
X Puckey Well Drillers
Private Supply to be drilled by
Address Sprout Brook Road Peekskill, N.Y.
Other Requirements None
I represent that 1 am wholly and completely responsible 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 approved amendment there to and in accordance with the standards, rulqg%r�l jegula ions o the Putnam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfacLor�T0 ftwissioner of Healthwill
be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or a ;!that said builder will
place in good operating condition any part of said sewage disposal system during the period of two (2) year *i : "•ifiedate of the issu-
ance of the approval of the Certificate of Construction Compliance of the original system or any repairs th@ had t a described above
will be located as shown on the approved plan and that said well will be installed In accordance with the standards, Igul the Putnam
County Department e Health. . 971 • ,
jw
Date Signed • `� 6 R.A.
1 Northridge oi9d Peekskill) N.Y. ;
Address L �a�tspe N
APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction f t 11�uig -f( eendfndertaken and is
revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health.* n r atfon of construction
requires a new permit. Approved for disposal of domesti ie, and/ r rivate water supply only. 00
Date 4z By Title
4
- FU'pNAM C iu74fY'DEPARTMENT'OF' HEALTH
Division of Environmental Health Services, Carmel, N. Y. 10512
CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Rttma»I< galley (T)
4 Town or Village
W11 Read 41
Located at Section Block
Thomas & Vicelia Cutaia 1
Owner Lot Job
Otto Righi n 46 Oregon Read, Peekskill, NY
Separate Sewerage System built by Address
900 3 leaching pits 8.0 Dia x 6.1 ft deep
Consisting of Gal. Septic Tank lineal Feet X GVidth trench
Other requirements
Nolte
Water Supply: Public Supply From
X Nermam Anderson
Supply Drilled BY
Address Barger Street, Putt Valley) N.Y.
Ranch 3 ,,960.6
Building Type No, of Bedrooms ®o°a1'�NCI�F�s'.
Has Erosion Control Been Completed? Yes a rfU/
O �
I certify that the system(s) as listed serving the above premises were constructed essentially as shown on th I ns o late ork (copies of which are
attached), and in accordance with the standards, rules and regulations, plans filed, and the permit issou b th o _ Qepartment of Health.
Nevem1' 8 ®
1973. a.=; 4S .
Date Certified by ' ".. + P.E. x R.A.
Address
27846 27846 X X
.1 :rnnln Nn
we ` Ut Nsej W - .
Any person occupying premises served by the above system(s) shall promptly take such action as may be necesSraayto urg Vft correction of any unsanitary
conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as all a public sanitary sewer becomes
available and the approval of the private water supply shall become null and void when a public water su y becomes vailable. Such approvals are
subject to modification or change when, in the Judgment of the Corn Health, h revocat' n, odificati or change is necessary.
/ 1,
C.
_ - 1
YORKTOWN MEDICAL LABORATORY
P.O. Box 99, Crompond Road
Yorktown Heights, N.Y. 10598 2.45 -3203
DATE COLLECTED
RESULTS OF EXAMINATION OF WATER
VNEiZ DATE RECEIVED
t Y; VILLAGE, TOWN /OR A E OF SUPNQ DATE REPORTED I
�, �� 12-3-7 1
:�IPLING POINT I
I
:,TERIA PER ML. (Agar plate lunt at 35 6C.) COLIFORM OUP (Mcst robableNo. %100m1.) . RESIDUAL CHLORINE AS RECORDED AT j
t i' a o SAMPLING POINT 1 POINT OF TREATMENT
LORIDES (CI) • mg. /l. NITRATES (as N) • mg. /1.
)URIDE (F),., mg. /1.
i
i
i
sse results indicate that the water was.y of a satisfactory sanitary quality when the sample was i
A. H. PADOVA NI, M.J. (ASCP)--- _ _!
M3
Themas : &.Vicelia'.Cutaia Putnam Valley
Owner. or.Purchaser,of.Building . Municipality
t s, Themae Cutaia 41
,+
Building ons ruc a y. Sec on
,5 . i` a Mill Reid ? ,
to r ;ti 41'.
Lo`cat10 , Street Block
:
{ Raman 1y�
Buildin g Type . Lot
GUARANTY OF SEPARATE SEWAGE SYSTEM r\
I represent that' I am wholly and completely responsible for the
' wltixF
air location.,.worlunanship, 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.,n
County Department of Health, and hereby guaranty to the owner, his -succes
t`s sors, heirs or assigns, to place in good operating condition any part of
�r�af 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
Vat-111111&,u- c�ii ui Liid Director of '.the- Division^ o r viroruaentai health Se r. .
'tR .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 =ti =`
act of the occupant of . -the building ;`utilizing the sys em.
Dated thin. day of., 19 "Signature
t3
Title ti .
f 8orporration, ve name < `
�4 and address) f
- - - -
y.° THREE .(3) COPIES ARE REQUIRED WITH THREE (3) COPIES° OF FINAL PLANS BEFORE}'.
CERTIFICATE' OF COMPLETION ,WILL BE ISSUED
Ax ' <GUARANTOR IS RE UIRED TO FILE NOTICE OF r�ATE OF-.FIRST USE OF SYSTEM.
--- -- —
-
r '
Division of Environmental Health Services, Putnam .County Department of Health
%it1.•
Themas : &.Vicelia'.Cutaia Putnam Valley
Owner. or.Purchaser,of.Building . Municipality
t s, Themae Cutaia 41
,+
Building ons ruc a y. Sec on
,5 . i` a Mill Reid ? ,
to r ;ti 41'.
Lo`cat10 , Street Block
:
{ Raman 1y�
Buildin g Type . Lot
GUARANTY OF SEPARATE SEWAGE SYSTEM r\
I represent that' I am wholly and completely responsible for the
' wltixF
air location.,.worlunanship, 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.,n
County Department of Health, and hereby guaranty to the owner, his -succes
t`s sors, heirs or assigns, to place in good operating condition any part of
�r�af 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
Vat-111111&,u- c�ii ui Liid Director of '.the- Division^ o r viroruaentai health Se r. .
'tR .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 =ti =`
act of the occupant of . -the building ;`utilizing the sys em.
Dated thin. day of., 19 "Signature
t3
Title ti .
f 8orporration, ve name < `
�4 and address) f
- - - -
y.° THREE .(3) COPIES ARE REQUIRED WITH THREE (3) COPIES° OF FINAL PLANS BEFORE}'.
CERTIFICATE' OF COMPLETION ,WILL BE ISSUED
Ax ' <GUARANTOR IS RE UIRED TO FILE NOTICE OF r�ATE OF-.FIRST USE OF SYSTEM.
--- -- —
-
r '
Division of Environmental Health Services, Putnam .County Department of Health
ALL DRILLER'S LOG AND REPORT
Weil at.Allkl, 116Af) :.Irll j,��J'k4E4- CO=tY Of
Name of -Place City* Vill-age or ToVn
:Own R T4, i Ek P.O. Address EL) 4/,.4 U U4 1i
6r 4
Dept_ h of well_2_QLDianieti�rn Yield__Y, Was -well disinfected T All e)
ft. gpmi Y." or no
lAmt. ound
of casing above gr _Lg Below ground 2 6 Well seal 44 E hl
in. -f t cement gaxmt
Draw a well diagram in the space provided below and show the-depth of
casing, the well seali kind and thic I kness of formations penetrated, water
bearin� formations, diameter of drill hole-s-with dotted lines and
casings) with solid lines,
WELL DIAGRAM FORMATIONS PENETRATEb11 REMARKS
Depth Kind, thickness and Type or well L) R I LL e- L3
in ft.1 if water bearing. Drilling method fib `rA R,!
GRAD Was well dynamited? /y n
25
50
75
coyl
100
150 11)
200
....... ....
250
15T
1
C r,I,- r'T-
- - -
e #3:
-Static water
level, in ft.
,below e gja
�L____,_-__
PA4
Pumping rate
in
g•p•m•
-Pumping level in
ft. below grade
Duration of
test, in hrse
----------- -
I-'IATER' AT END OF, TEST
Clear Y Cloudy Turbid
Recommended depth of pump
in
well,' feet below grade,
WELLS IN SAND & GRAVEL:
Sand Eff. size mm
Unif. Coef.
Length of screen ft.1
Diana. of screen 1n.1
Type of -screen
Screen openings - x
COMMENTS: i
Draw a sketch of the property
Ion the back of this sheet Drilling started ed
omplet
locating the well and sewage
Ole
;disposal systems. Well Driller I
Sl-gnature-
PUTNAM- COUNTY DEPARTMENT OF HEALTH
DIVISION. OF ENVIRONMENTAL HEALTH SERVICES
DESIGN`-DATA SHEET = SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner
Thomas Cutaia
Address 4142 Wickham lvenue, aromc,
New York 10,466
Located
at (Stree kill: Road t)
Sec`_t�� Block
Lot
(Indicate nearest cross strut)
Munki alit
p
Putnam Valley
y
Watershed Peekskill. N.Y.:.:
SOIL PERCOLATION.TEST DATA
REOUIRED TO BE SUBMITTED WITH APPLICATION
f
Hole
Number
CLOCK TIME
PERCOLATION'
PERCOLATION
Run
Elapse
Depth to Water Water Lbve1
No.
Time:
From Ground Surface. in Inches
Soil Rate
Start Stop Min.
Start Stop Drop in
Min/in.drop
Inches Inches` Inches
(1� 1
7:22 7:43 21
17.50 20.50 3.0
7,00
.2
7 :43 $:07 24
20.50 23.54 3.0
8.00.
3
4
5
-(2) 1
7 :27 7 :51 24
18.25 21/25 . - 3.0 - •
g900
2
7 01 8 :17 26
21.25 24.25 3.0
8.67
3,.
S
1
-
2
3
.4
- S
Notes:
1). Tests
to be repeated at same
depth until approximately equal soil rates
are ob=
twined
at each percolation test
hole. All.data to be submitted for
review.
2) Depth
measurements to be made
from top of hole.
rr 2 R
PliTNA�I COUNTY DEPART:�NT OF HEALTH
Soil Rate approved . Sq. Ft. /Gal. Checked b-: Date
° - .. •. .. .
... - 1L-r r:
ST, 111 -l� D 7 %
? r' l . '- 1U 1 T'!'. j •. _ .,, . -. .... .....e. -...
.n T•
i-r U_: _ _. • -.
DESCLIPTION OF SOILS E`:vCUNTE?ED I'.
TEST HOLES
DEPTH
HOLE NO. 1 .HOLE. N0. 2,
HOLE` NO.: 3
G.L.
Topsoil Topsoil
Topsoil
�!
6.1
-
151 Topsoil ]l.t° Topsoil
15" Topsoil
12';
sandy gravelly loam sandy .gravelly loam sa ndy. gravelly. loam
i8,f
with' large . with Urge
with largo
boulders boulders
b0i4ders
24`
3 01'
36"
42'
43 ,t
54 ?1
-
- --
6 0'
66"
78`
8 4"
INDICATE
LEVEL AT t,N" CH GROUND t4,ATER IS ENCOU\. TERSE
None
INDICATE
LEE 'VEL TO WHICH WATER LE1.CT, RISES AFTER BEING ENCOUNTERED
TESTS ^LADE BY John S. Romeo
Date May 26p 1971
So_.1 Ra tE, !_''SE'd_ 8®10 �Min/1", Drop. . S.D. Cs=1, e Are pl,:o.,i: = ? 5000 SF ¢
No. of serroo: -:s 3 Sep is Ta �': Cap�ci LSl /"�
Gals. Type Masonry
sorption Area . P?;ovide I By L. F.Y2 �' 36 "_
�41d't l.et®Lm��t Other
._..
3 Ioaching pits. 8.0 Dia x 5 05 . Deep
John Sim aLire
Name
P. Romeo
Address
1 Northridge Road r
- - -�
o
o
a .� r•
3�*ekskill9 New York
® g. o
rr 2 R
PliTNA�I COUNTY DEPART:�NT OF HEALTH
Soil Rate approved . Sq. Ft. /Gal. Checked b-: Date
PUTNAM COUNTY DEPARTNIN T OF HEALTH
D - - - -
:.. -. -.. TVTSIQ�I 'OF �r\rTRONMN —TAL FAQ =
N T.N. GF+,F2ST..T(`F�
Date June 5, 1971
Re: Property of Thomas Cutaia
Located '.at Mill Road
Section Block Lot /
Gentlemen:
This letter is to authorize John S, Romeo
a duly licensed professional engineer x or registered architect
(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
connection with this matter and to supervise the construction.of said
ds1S`GeiTl �i' S GEi uB 1.11 culifol•1111ty with , 1+5 trT°
141, Education Law, the Public Health Law, and the Putnam County Sani
tary Code.
Countersigned:
Very truly y urs,
Signed -
Owner of Property, 77 io n
4
Address /IA
P . E . , R.. A . , # 27846 X -X .. �x 6
1 Northridge Road ( Seal) .'5FF.pp• yep on
• S. No, � o
Address CFO ��
Peekskill, New York S
PE 7 - 1056
27803
Telephone,
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