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HomeMy WebLinkAbout3006DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.17-3-75 BOX 25 03006 kk IN J61 No 03006 • • PUTNAM :COUNTY DEPARTMENT° OF HEALTH ! D vision of Environmental Health Serpices, Camel, •N Y t`f0512 3 $Put iri Valle CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Y_ Fc TEJX Pita�J Town or ill;tge t` :Located at suns et. Af l�brJU sx �7i = 91�G4 y i Subdivision filed Ya1ap" 32 Lot 1 rob n } wn Tuir Herr I�1 Gie sler. Address :R� :Denngto rn:' Road _M:L v; e � n . :2 kA Building Type. tf—T fit -�$9� lrlil Lot Area 4.241 acres ove��..15QQ, Number` o1 'Bedrooms Plan J• ''deS1 nt,jr_ your Total HaBitable Space Square .Feet �u• ;,* r 1• r ; i separate. Sewerage System to - consist, of: 1200 Gal Septic Tank b' lineal feet X • b ` f t • width trench h To be constructed by O ';J e 'de t errilne d Address U Water Supply Public; SuPPIy -.From f Y u ^ ddt ermi�ne:d 4 • Private Supply to be drilled by r , Address ` r ff °� y ` first distribution box. re -_ } Other 'Requirements IJ 13 Ile from, k].OLlS e. �tkirLl tank - rf� ma' nder 4 Install curtain,: drain as. necessaryn��' s t 1' represent that .1 'am wholly and completely responsible for the design and location' of_ the'^proposed _ • systemO l) that rthe separate sewage disposal system above described will, be constructed as shown on th'erapproved amendment, there.to.,and :,inaccordance with the standards, rules an regulations o e u nam .County Department .:oY Health, and th5t on completion thereof a'!�Certificate of - 'Construction Comphance"._satisfactory to,the Commissioner of Healthwill subrriitted..to the ,Department, and'.. -,a written guarantee will ;6e furnished the owner tiffs successors helrs,or assigns- by :the builder, that said builder Will ., place in good', _oper`ating: condition any',part o'('said sewage ,disposal system during the period of .two (2) years immediately following the date of •the issu- ance, of the approval of, the Certificate. of :Construction- Compliance ;of -,the or:i final sy "stem or an repairs thereto ;, 2) that'ahe tlrilled well, descrlb @d 'above g Y will be located as shown on:the a proved lan and'that said well will'be installed, im accordance =with a sta, rds,, ru sand _regu a ions of the.` Putnam p P f County Department of. _Health. G. Date-Februa.ry ,15,1975 Signed P. E. R. A. I�. X �93se'd March 27, 19 da ass 1�7i11ton `Road;iD5' rare s,t.er , ` 10509 u�ense NO: 45952, APPROVED FOR ;CONSTRUCTION: T'his.approvai.expires one year.1rom the date. issued unless nstruction of the 'building has been undertaken and is T revocable` for cause or may be amended, or modified when considered necessary by,: the Commissi of Health Any change or alteration of ruction ?requires a new per it. A proved f jpeSal of domestic LL , w e d /or r v e, Ply. a -Date �����,• r By: - 'Title ' PUTNAM COUNTY DEPARTMENT'OF HEALTH �3i Y• y TM Division `of Environmental Health Services, _Carmel, N Y 10512 �y -� .T ;CONSTRUCTION PERMIT, FOR SEWAGE DISPOSALtSYSTEM' t V alts T,m Towrnor�lagew 4 •Located. at $un36t Hill Road ` section 53 sl Ck _ Subdivision � (ar -Aa) ``i�s('e9wana T.F3liA Lot Job x :owner' Robert B. Strauss Atltlress 101 Nar9a ygr Building Type `1 famllg' re -sderie °fit Area 4:2 ac're4 Brarix New York •1047' r our IT. than ] 8Q Number of :Bedrooms Total Habitable Space ' are Feet Separate; Sewerage System to consist of 200 Gal Septic Tank 500 lineal feet X 3 • f t width trench to-06 deterined� , i To` Abe constructed by Address x t t 7 Water - ,Supply Public Supply From „Private,5upply to be drilled by to b6. detErmin6d ��j v•,- i ` s. Address :, • �+tg l+'a :.� • ' �"� Other' Requirements 6 inl? •fro Y►O 1 A:• �hi*i :.ank{ n- n. ire r7 j gi-r_i bZlt -'i nn�ti'nx • f`»rtsa i n1 drain if condrions at time' of :constru.ctiori'. war rant w ,, a represent 4that,i -am wholly and; completely responsible for:the design and location of sc "above deribed will be constructed as.sNown on'the approved am4h6ient there to and, County.'Department of "- sHiialthnti ' ;- a that on completion thereof a 'Certificate of'Cor be submitted to the Department, "and. - a .written - '.guarantee will pe furnished the `owi place in good operating 'condition any part of said sewage disposal system during ance oi the approval., of the" Certificate of Construction: Compliance of the original will be located'as shown on t tie- approved plan and that said well wilhbe installed ac < County Department of: Health.�t v -Date Al gust 28, 1972: ' signed Address MilTtawn. Raa(� F� R i APPROVED`FQR CONSTRUCTION: "This approyal expires one year fromahe date is revocable for ,cause 6r "may be 'amended or rrmodified when considered necessary by :'the requires a new per5it. Approved for dispose) of do- mestic sanitary�sewal' a it his successors, lieirsor 5ssigns by;ttie builder'; that ;said'bUilder fie period of two (2)'years Immediately .following-thedate of the ysterh or -'any_ repairs_therefo; 2) that the drilled well described al ce wit � e itaii rds, rules, and r I ions of the Put License No. 4z9�� red unless construction of •the Building has %been. undertaken `ar ommissiorfer of Health " "Any change' or alteration of construe rrivate water' u�p�pl�yr "oonnly� 11 itle i PEEKSKILL MEDICAL LABORATORY 1879 Crompond,Rd-,, Bai,.,elay Plaza Bldg A, Apt. 1 Peekskill, New York 10566 RESULTS OF EXAMINATION OF WATER VNER DATE -RECEIVED 3TY, VILLAGE, TOWN VOR NAME OF SUPPLY DATE REPORTED Sung -e+ � . AMPLING POINT PE 7-8777 3ACTERIA PER ML. (Agar plate count at 350 Q. COLIFORM GROUP (Most probable able No./I _00M1.) RD - ppm, Less J-j- )ETERGENTS - ppm NITRATES (as N) - pp'm IRON, TOTAL --ppra 7T nT TO IT'% rhese results Indicate that the water was of a satisfactory sanitary quality when the sample was collected. Water Supply 0. 4.ti System :built by' 1!ice:,SqbpIy -,FeoM ,a BY -e'—,P�Vek v-Well-br -1 -ng Brook 6k1110 Ne Address bk -yotok: 105,66- - , �­ 75 f afttl W 41 1ig Mont B edrooms 3 bat6 Permit Issued 4.1 , . oughg aa onpI et' ed -: ine ,gr. ading 'and be c 't b e Ha s:,E s I P e ted . , g. 6 -c h a -compl-l�ih 'I certify that the ,s9stems)._j above -pren premises ,were constructed essentially r as,shoWn on. t k e the completed work (cqpjpi s of which , ,are, attached) and in. and�ru latiops, plans fil issue by Pu h am y Depar tment o i;H December. Z' Certified.,b y_ E - P 5- 105 T TO nse NO.',: Address A`n'-per'son-.oc , cu , pyin g premises served by the abo' ve gyst ems) shall pr-­ om% .p, t1IV tq ak- e suc h ch. itf- ion64' sj y,a,ybe" nece1 s1. necessary to 4he . co kre ct, ion of la y conditions resulting from, usage. Apoiovil of the sep arate sewerage iysten shall 6 .'.1 1 W ull and vo d'as soon ' as A-public sanitary . sewer. b P"�q ' Mes available and the approval, of the priva t e water supply shall b eco me null an void wien a pubIic-water -5UPPiY. becomes available Such approvals are sub ject to mo if icat ion o r change when, in •the judgment of the mi ision6r 0 Ith, suc evocation, mo, i4ication or change ti. ce s ry d Da ,P 2 A. H. PADOVANI, M. T. (ASCP) j� 7 7 ,r,op`ina d ,unable t0 Y 'Z E P A R T I Wk. ttlt` t - 01 if t A L T J R �' V f 10512 1051 t i r- .-I, eVices I arff ' EWX L YSTEM tr 1 Tow n or Village- a .gin PUTNAM COUNTY HEALTH DEPARTMENT � p� � l DIVISION OF ENVIRONMENTAL HEALTH SERVICHS ' ���1 L( —3wSr OWNER'S NAME i i cA C _ �� �� `� PHCNE SITE LOCATION Q-7 1217 TM# MAILING ADDRESS �c _v , e S (� ��• U -� "':PERSON INTERVIEWED Pa D Camplaint # Name & Relationship (i.e, owner, tenant, etc.) DATE 7 1 i' 9 TYPE FACILITY 1� S PROPOSED INSTALLER uLo w �c .} � PHONE V - y6 l.--o Ey G' REGISTRATION # Pr (include sketch locating all adjacent wells): NOM: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal from licensed professional engineer or registered architect. / �r- /I 1 A/)%7 "e,A/ z. 120 ",5 /J el ,GL /�L/!wi �/"' I�� �'G /J. La. `�/� /t !'� /� ` yr 1 L_W : L C. s /li eel -5/Y_ 17 i-L IP If e : /i1 � ILI, Z?el .. I' — >�,. -r � �.. E�. S� Std.• -� .S'D S Proposal rev 's Sicmature & Title Proposal Disapproved 2k roDosal aooroved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed canponents tied to two fixed points d. System description (e.g., 1250 gal. concrete septic tank, drywells surrounded by one foot + gravel). e. Installer's name and number. DDate (e.g. house corners). three precast 6' diam. x 6' deep 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or reported agent of owner agree to the above conditions. SIGNATURE TITLE G / �/ DATE PIES: White MV; Yellow (Zt n ED; Pink (Applicant) PUTNAM COUNTY DEPARTMENT OF HEALTH ` - "l7iVTS1GN OF tNVI-RONMENTAL HEALTH SERVICES Gentlemen: Date January- 3 1975 Re: Property of Mr. Henry M. Ziegler Town of Putnam Valley- Located at Sunset Hill Road (south side of)- Tax Map q. .Section 53 Block 1 .Lot 1 This letter is to authorize ,tie. P -. McLaughli-a 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 vV1t11C1:L,1U11 w-LLn L416 maisgel' anti to. supervise ine construeriun of said system or systems in conformity with the provisions of Article 14S or -4-ion i35 Llle Pal I is ` Heal't" Law- 'and the Putnam C66ii y tary Code. Very truly yours, Signe d Qwner of Proper Mr. Henry M. Ziegler Countersigned: RD # 2, Denny town Road Address P°E., # 43952 Putnam Valley, New York 10579 ( 914) 5263815 Telephone Address A HUR P MC A PROFESSIONAL ENGI EER MILLTOWN ROAD, R. D. 5 SREWSTER, N . Y. 10 5 0 9 (914) 279-5986 Telephone ARTHUR Po KC LAUGHLIN H. Zie ler - Sunset Hi 1 Road PROFESSIONAL ENGINEER Town © Valle, MILJOWN ROAD, R. D. 5 Tax Map 53 - BL 1 BRwWSTER; ; N, Y 10509 Lot 1 a e 1�OCL? t�'TdT Ho e plans by Ri•eger H'o>?aes, Inca Plans. call for 3 B) ��:.::��..,.3� }y. .:.. .fit- a-w��.ld= i•:.��� _,. House. plans O.H. 'IDZonticello.Revers6� _^ X _. �r 4th..br in' basem' s ° lee -tr X = re er o on 3 na1 -19 Design dat.;a skims. u c, - see _ S Sus s file __.. � �,_______•�_ _ 1 72 Peres presoaked? � __� X� � -- Min. 30 test depth I X i Const. results for 3 mans �.� ix I D. Hole log ®. K. _ _ IX Corporate A.ffidav t'or ot�ier� tri in�11v7.dual� ' n a I . utborizati.on for eii�ineer ! X. Letter from Water Supply it applzcable If variance requested -such rioted on plans & apps. none Irequ sted — DEM 1'I.,S Exist '�i ng if. c; �angge is proposed, ma4o reg Existing contoiirs sho:lri � show now ccntoi)rs) sod. . ar Slopes for driveway cuts, . etc. shown Water service line location i x Footing. drain, etc. location — ' I x cove Top slops, bottom slop.- of f'i11 —_ ! n7 � Ian Percolation tests and deep test pit l.ocatioI not ss hdwn - ��ptic tank size anI conf orr ance to std. _. I x - ±more 3 B.E. house minipnun i x � de si House setback shown I x cove: '): ;,gt,1.:.�"='t t•.° ie";.t0� i x - tCOVe All Wai uv Wi i,hili 53 1 u. u l ' r u oicuwdt _.....'. x ;only nan and profile 51_f All other well. s and L� ca ._shown or r efer =jence r;.�,de 4� oia.n.dara_ e s � �e t e - and bounds-- clea.rl;�� ss ont ours shown - no ading to be done Jr a not near s .d. s.. e�� note 37 iln o. than a. Sequa a (3BR) ed by intermittent gpring Plan. shown,. -prof 3le X aEPAR,' TI:ON Sv- C_� 1.'Ir7 C , °Id v - covered �'y not or °may -i`l ng in. shown to sea sled dimensions, 101 to P.L. x ._..� !note .__._. _ __.�_...._._..... 20 to Foundation ;�all.s x 1001 t c Nearest well ---i x 50' to stream, icarrh, lake y etc . � :'!cl_ . expan lap : x 15' �..� to � Curtain drain x--- -- ±ot�ier 1.01 to n ;..�...— ..�...__ __...._____.___.._.._.._.; eater line (pit i_ �--- x � i-r- side of 15' to storm drain „. 101 to large trees e� � � ►R� �' _ .�_._.,,_.. 0 ° _ f'x^om foundation to 5 -ptic Lark ��° -5' to pipe, from leader dr�3xn � f'�ozir_ ; ��air!_� `�� house Ho die 1� ®r9 Sunset Hill Rd© -T; .. ,> r, , Town-.Or Putnam Valley., KEEL) ����C�` �.TS., LOT 1 TM 53� •,�� B`L , •1 " m As revised ,� p •r ti Date: March 27 „1975 No Chappis &i.1 «. . ......._.. -.. m ......_- ...... _. .. .. y __ _._�. .,r_.. �_,. s.. '.Y.i• . .._ .�...._... . ±1� 72Jn Uyyc ~hC �l �ih6 Ld1:n .�.�...e.. �.. IWITIAL SITE ± NSPE'C'TIOPu - was back in summer of Yes NCO _ _ �. 2 ® 'Strauss -_ __ _ 'rope ,,,ty lines or corners f ounrd . . . . ._x Can estimate house location set back from exist nnx VL11 driveway need coat . . .. . . . . . ... . s. �st trees be renoved -note these . . . . X Is deep hole repres inta,t ive of °ntir- ADS area Additional deep holes needed. Sufficient SDS area ay. ila:ble cons_L derl.ri-f drivewa y cut, house locati on, separation X distances, etc . . . . . . . . . . . . . . I- DEEEP HOLE DATA Depth Water elevation- Rock elevation: 4 Sods descra. tong.,._ FINAL SITE F_-T Si'ECT1kC)N ins-o., ezea HtUy�atse.l.ocated where shown on anprovred plan. . . _.....___ SPAS iol) ,a't,:e T -rhere !^..,'rll')r-ov , -3 La ._fd1,Uu U l;-.aA Width of trench average �. Slope of the 11ne an:.'.. trench acce���babin Room allowed c:.YT-a isi.Ton. trenches . . _ . . - fyY?orr�..s`i- -'-s Natural soil not stripped ed or SDS area unnecessarily graded 10 Ft. maintained from prop.11ne and 20 ft. from house . . . . . . . . . Separation of trench from house, well etc. fo1.1ows plan . . . . . . . . . . . . Number of bedrooms checks . . . . . Stones, briash, stumps, nibble, etc. greater than 15 ft.. from nearest trench b . . . . 15 gt.�ap'o�f peripheral. soil horizor_ta,lly from , trenchLl o . . o . o . . o . . . .. o . Junction boxes properly set � Could surface r zn off from drivew.,,,,v, roads, ground surface, etc. channel near SDS area. . . . . . . . . . . . . Does lot drainaEze aanear 0. K. in area of Sb ! FINA1, GRADING Or Sl7 E .A.CCEs TA= ARTHUR P. MC LAUGHLIN PROFESSIONAL ENGINEER MILLTOWN ROAD, R. D . 5 BR €WSTER, N. Y. 10509 Coant ent s F_corners in., Lent self _ tion not near c.overe,Z7 ifff esse X d Data She Msydosm 7 no es on De sign opined no problem as it is a large lot See Design Data Sheet for Mr. Robert Bo Strauss as submitted in 1972 : `THESE, AHV T- AN8MITTr D h66kod b6lld : F� ° gprv�e�l X Far reOie..w and Y For .yroiir eap,e X For tour reolor4s X Aa qu "st®d X a 'RE MAM< t Please return the approved forms, if acceptable,, to the undersigned engineer for distribution to client. " copy i a.t File N. WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3)71 Division of Environmental Health Services �� v :��:':......... -dr... �.,. =4 . - ._.e.-. <��:.::'. �.::s =--� -° - -� �, -, �.:�` p . --� Ur�rv_.C?FFJCF- Rlr �1eRMEL •MEw YORK- _ . ,.�.. .:>-<...�- ..� ¢.. �,.. _. ,<._.�...= H= ��.N��.• ..P i• - This report is to be completed by well driller and submitted to County Health Department together with laboratory report of .analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION DATE WELL COMPIET,ED + DATE OF REPORT WELL DRILLER (Signature) NAME ADDRESS OWNER i f2— (No. & Street) (Town) (lot Number) LOCATION OF WELL $ 1 BUSINESS ❑ i ❑ ❑TEST PROPOSED ICJ DOMESTIC ESTABLISHMENT FARM WELL USE OF WELL ❑ ❑ CONDITIONING OTHER ❑ (Specify) SUPPLY INDUSTRIAL DRILLING � COMPRESSED ❑ CABLE ❑ OTHER ❑ EQUIPMENT ROTARY AIR PERCUSSION PERCUSSION (Specify) CASING LENGTH (feet) DIAMETER (inches) WEIGHT PER FOOT FA El DRIVE SHOE, ❑ YES Cpl NO SItSG(—GYE1 YES NO DETAILS �` J THREADED WELDED L YIELD ❑ HOURS ❑ G.P.M. YIELD (G.P.M.) TEST BAILED PUMPED (CJ COMPRESSED AIR WATER MEASURE FROM LAND SURFACE —STATIC (Specify feet) DURING YIELD TEST (feet) Depth of Completed Well LEVEL / in feet below Land surface: f MAKE LENGTH OPEN TO AQUIFER (feet) SCREEN SLOT SIZE DIAMETER (Inches) IF GRAVEL Diameter of well including GRAVEL SIZE (inches) FROM (feet) TO (feet) DETAILS PACKED: gravel pack (Inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET 6 % SAS - -LOO -- � l 9-S-1 S vh D 13 FE GlL 6'd4lll R o C. (WV %I4, C X E?" o✓ A T/ D f Ho U t If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE EST( 5 D 3 6, /.2 )"yJ1 z c DATE WELL COMPIET,ED + DATE OF REPORT WELL DRILLER (Signature) — ..... Henry Me Ziegler Putnam Un i e Owner or Purchaser. of building Municipality. _R1 ®deraan€3 .....e. ... �.�. .w ...Wq' itituwe.:...r r. ...- K't.'� -M 1�._�.t/ f �... _... a. ... ... -.. .�a'x— ..• yc] :•4.>v�...r."r... Building Constructed by Section . a©utj t side/ BMW t, El I Road" Location - Street 1 family dwelling " ontia6lln►1 Building. Type Block Lot GUARANTY OF SEPARATE. SE14AGE 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 successors, 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 such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building 'utilizing The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was cause.d:. by_;-:the.' will ul_ or ..negligent act. of- the... occupant of 'the, building utilizing the .... - system." ._ -. ...�..: .._ Dated this day of c. _ 19 7 S Signature _ Title One. & (gene 1- Con'traetcr (if corporation,,-give name and address) THREE- (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL-BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM'. Division of Environmental Health Services, Putnam County Department of Health. Henry M. Zieglar Putnam Malley Owner or Purchaser of building Municipality - Rieaer..Home_s Incp _ ^'exs. -. - re:' -a.:, �..:;.:ew�+tu .._— '�..o :'.r :, ea= 7e.'' �:., 4�,: 1v'+ f. �C^_...'.;-' ROS:% or�n <lia.,:.�rr.<- <'ev`c�.,v.;' - -�:_:., Q.• e' _-. .,�. Building Constructed by Section - south.side/ Sunset Hill Road Location - Street h family , dwelling 11-Monti6e110.0 Building Type 1' Block _ 1 Lot G1U1An Nm %. r O.r SEPARATE SEt'JAC CYC r! ` FM 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 successors, 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 such system,. except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the.failure of the system to operate was it== act.o� �,�e�occa� ant of fit? n::bui?.d ng,ut liz�xig _the ••-.> v .._. -. .vim..% -e-. _...� -. _ ..-. system. - Dated this day of CG°., 19 i� Signature Title Installe (if corporation, give name and address- --------------=-=---------------------- - - - - -- �- --. ------------------------------ - THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. ------------------------------------------------------------------------------------ Division of Environmental Health Services, Putnam County Department. of Health Gentlemen: V . k. PUTNAM- � COUNTY �DEPARTMENT OF - HEALTH.... DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date August 28, 1972, Re : Property of i,ir . Robert Strauss 0 Located at Sunset Hill Road, Putnam Valley TAX TMAP PARCEL Section 53 Block 1 Lot 1 This letter is to authorize ARTHUR F. MCLAUGHLIN 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 �Cl C cDeU llu Of Haitil, 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 i4'(, Education 'Law, the Public - Health Law, and the Putnam County Sani- tary Code. W1.1 r � r Countersi g �` � w P.E., Address \RoF` (Seal) ARTHUR P. MC LAUGHLIN PROFESSIONAL ENGINEER MILLTOWN ROAD, . BREWSTER, N. Y. 10509 Telephone (914) 279 -6986 Very truly yours, :Signed Owner of7Property 1013 Harding Park Address Bronx New York 10473 .Telephone (212) 991 -9233 M T'fJTIYA_M C(1TTNTv Dgpn pmnrNm r;F DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE'DISPOSAL SYSTEM FILE NO. ` Owner Mr. Robert B. Strauss Address 1013 H %rd.in Park,* Bronx,,4 NY 10473 IT Located at (Street 6dicate Sunset Hill Rd. Feax c. E3 Block 1 Lot 1 nearest cross ree Municipality. Putnam Valley Watershed Canopus Creek (opined) SOIL PERCOLATION TEST DATA REQUIRED,.TO BE SUBMITTED WITH APPLICATIONS Tests conducted Thursdav August 24. 1972 for Dercolation: no.ie Number CLOCK TIME PERCOLATION PERCOLATION apse Depth to Water Water Levei 2 No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop 5A— kh`Tez-3) i N t,+jp RW,�IE[\j G- Inches Inches 2 1; Z '- Z9 6 l 2 3 -- vs, 67 Z i —730 N i tj I t S 3 4 5 Notes: 1) Te'�ts to be repeated at same depth until approximatelyy 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. 2 3 4 5 Notes: 1) Te'�ts to be repeated at same depth until approximatelyy 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. MJ d' P �► �9 `it V AreP- i34- 8 tt nM �t �� RAM ot= \ Wiri U1LiU11 WTis'li-` ivvU'PviL nr...: .t'�nC'r j! c - - INDICATE LEVEL TO WHICH -WATER LEVEL RISES AFTER BEING ENCOUNTERED ° very slow seepag. TESTS MADE BY AP1.1i NC ,9. & NT Date Tgonday, Auk st 21 1972 DESIGN• Soil Rate Used 21 -30 Min/l "Drop: S.D. Usable Area Provided 1500 s o f o No. of Bedrooms 4 Septic Tank Capacity 1200 Gals. Type Approved- Concret Abso t 1 oa Area Provided By500 L.F.x24" NP, width trench. �:sP� PSRICK M yop Other �f Address Milltown 'e-• it PrAwater. New York 10,509 THIS SPACE FOR USE BY HEALTH DEPARTMENT Soil Rate Approved Sq. Ft /Gal. A10. 4?e5� l 'QOpESsloll Check Date' TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION._ . 1� aU tlr'1'IUiy Ui +` JoiLEi iSiV=CJRTERED'iN lEST HOLES " DEPTH HOLE NO. A HOLE NO. B HOLE NO. G.L. 61 C t_ 6, Y i+v Tma 01 1 11 ""' C, p , �3k 1 " . 4SA N, Ci-AY 1 2 �� t..T Br,,t3 0 II +1 4311 5 " 4.1_A '- 5 AW-P /* _ A7 aP ' 64 6011 ty 50 E S i LT (00 Ulf (06 T)11 s 1,1 t d WATEIZ .. 1 2,, �► �9 `it V AreP- i34- 8 tt nM �t �� RAM ot= \ Wiri U1LiU11 WTis'li-` ivvU'PviL nr...: .t'�nC'r j! c - - INDICATE LEVEL TO WHICH -WATER LEVEL RISES AFTER BEING ENCOUNTERED ° very slow seepag. TESTS MADE BY AP1.1i NC ,9. & NT Date Tgonday, Auk st 21 1972 DESIGN• Soil Rate Used 21 -30 Min/l "Drop: S.D. Usable Area Provided 1500 s o f o No. of Bedrooms 4 Septic Tank Capacity 1200 Gals. Type Approved- Concret Abso t 1 oa Area Provided By500 L.F.x24" NP, width trench. �:sP� PSRICK M yop Other �f Address Milltown 'e-• it PrAwater. New York 10,509 THIS SPACE FOR USE BY HEALTH DEPARTMENT Soil Rate Approved Sq. Ft /Gal. A10. 4?e5� l 'QOpESsloll Check Date'