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Home My WebLink About3007DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.18 -1 -1 BOX 25 I I rm oil@ ma Elm 09 loll .� 1 r 7 r 111111I I ; i mi '-_ to. . IN 03007 a Different location may require submittal of proposal fram licensed professional engineer or registered architect. Proposal approved s Sianature & Ti Proposal Disapproved T�cRr� Proposal approved 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 (e.g.,house corners). d. System description (e.g., 1230 gal. concrete septic tank, three precast 6' diem. x 6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 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 5 a' 1DATE PIES: V&te (PCD); Ye11aw (7bwn ffi); Pink (Applicant) Complete Site Development q� r 9� P.Q. Box 207 Putnam Valley New York 10579 (914) 528 -3482 RICHARD BECCARELLI as��i,!�y � TC) C- � 5 Date Project.. 000 P _ �� • 4 i r r� i 4 COMMENCE WORK 94 X11 P E R M IT Location of Premises Oscawana Lake Road - Txt #62.18 -1 -1 Wayne Gabari _ having heretofore filed an application for a C cepermit pursuant to • the Zoning Ordinance, Sanitary Code, wurm Building Code and the Laws in effect in the T vvn of Putnam Valley, Putnam County, New York, and having paid the required fee in the sum of N ,t appearing from the said application that the proposed improvement is intended to and will compl}� with th.- fequirements of.%he taw as aforementioned, a corrmence permit is hereby granted this 1 Lday of MaY _,1994 work. Additional information Replace Septic-Tank N01'Ec This permit expires one year from TOWN! O AM VALLEY, NEW date of issue. By _' w'�""' Building Type ..Has Erosion Control ,Been I certify that the systems) a •attached) and in accordant r`. Date �'• Any person occupying prem conditions resulting from s ;available and the approval o subJect.to mod ificat�on -.or 4 Date as i width .trench: i; { of Bedrooms Date ,Permit Lssued $ o9ep06C0800Hp0�o .. s I�sted serving the above premises were constructed essentially as shown on the'tlt�g�gdnpl$yvork (copies of which are e with the, standards, 'rules and regulations plans filedand 4 e perm , issue doo rtA$ �rQW�d�p::Department of Health QW- Certified by: P F" R A jj Ilk Address ' l '��ce0ise.V66 y uses served'by the above syatem(s) shall promptly take such action as may b& user to secure fh'e Ziion of :any unsanitary uch' +,usage,`; Approval of the, ::aeparate; sewerage system. shall become null an`8i$®oo �a °°sanitary !sewer becomes f�4he private water supply shall become null and void •.when, -a public,water °� p rSuch approval" are ; change when; in the Judgment of the Comm si of ealth such -.revowti �pv�ange is nece sary z S ;" it le UNTY DEPARTMENT OF REALM nenta/ Health, $ewices,, Carmel, -N ` Y'_ 10512'. �O SF _ 6E 01$,P0 A!-.,.- Section_ `Block Loth. Job d� �I 'Address :�b � G7 0�'Y:: `�� •. YC 4 liheal Feet X. i width .trench: i; { of Bedrooms Date ,Permit Lssued $ o9ep06C0800Hp0�o .. s I�sted serving the above premises were constructed essentially as shown on the'tlt�g�gdnpl$yvork (copies of which are e with the, standards, 'rules and regulations plans filedand 4 e perm , issue doo rtA$ �rQW�d�p::Department of Health QW- Certified by: P F" R A jj Ilk Address ' l '��ce0ise.V66 y uses served'by the above syatem(s) shall promptly take such action as may b& user to secure fh'e Ziion of :any unsanitary uch' +,usage,`; Approval of the, ::aeparate; sewerage system. shall become null an`8i$®oo �a °°sanitary !sewer becomes f�4he private water supply shall become null and void •.when, -a public,water °� p rSuch approval" are ; change when; in the Judgment of the Comm si of ealth such -.revowti �pv�ange is nece sary z S ;" it le PEEKSKILL MEDICAL LABORATORY..*.. 1879 Crompond Rd. Barclay Plaza Bldg. A. Ap: 1 Pneksk;ll. New :Yo> c •1-0566- ._ ._._ - - • • - ._... __.....__....... _ . _.. _ e._ ..... ,.. __ ..... 40322 _ .. ._ RESULTS OF EXAMINATION OF WATER 3/18/74 OWNER DATE RECEIVED Wayne Gabari CITY, VILLAGE, TOWN &/OR NAME OF SUPPLY DATE REPORTED BACTERIA PER ML. (Agar plate count at 350C). 5 COLIFORM GROUP (Most probable No. 100ml.) less than 2.2 HARDNESS, TOTAL -ppm DETERGENTS-ppm NITRATES (as N) - ppm IRON, TOTAL - ppm FLOURIDE (F) - mg. /1. These results indicate that the water was Yes of o satisfactory sanitary quality when the sample was c011e ed. � � ,,.- is v ' 4• a !r .. .. 1 �T —' A. H. PADOVANI, M. T. (ASCP) WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK This re:.art is to be completed by well driIlar. and submitted to Co:mty - health-- nefiartnient- together --with laboratory repgrt 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 OWNER NAME W. Gabari ADDRESS UP,a; t.t. St.. Lake Peekskill. N.Y. 10537 LOCATION OF WELL PROPOSED ® DOMESTIC USE OF WELL PUBLIC El SUPPLY ❑BUSINESS ESTABLISHMENT ❑ INDUSTRIAL DRILLING 11 ® COMPRESSED EQUIPMENT ROTARY AIR "PERCUSSIO LENGTH (test) DIAMETER (inches) WEI CASING DETAILS 221 61, YIELD ❑ ❑ TEST BAILED PUMPED WATER MEASURE FROM LAND SURFACE —STATIC (Speclt LEVEL SCREEN DETAILS SLOT SIZE DEPTH FROM LAND SURFACE FEET to FEET 1 l (71 ❑ FARM ❑ TEST WELL ❑AIR OTHER CONDITIONING E] (specify) N Eli GHT PER FOOT 15 1#; C7 COMPRESSED A11 yteet) DURING YIELI !'4Z IF GRAVEL Di ` PACKED: gi 1 FORMATION DESCRIPTION t 4 Hardpan 1 bedrock- granite If yield was tested at different depths during drilling, list below 4 ' FEET GALLONS PER MINUTE ' DATE WELL COMPLETED DATE OF REPORT IWELLDRIL io i iY) .r IF GRAVEL Di ` PACKED: gi 1 FORMATION DESCRIPTION t 4 Hardpan 1 bedrock- granite If yield was tested at different depths during drilling, list below 4 ' FEET GALLONS PER MINUTE ' DATE WELL COMPLETED DATE OF REPORT IWELLDRIL io i iY) .r ._... �.. �.... �•N .rr ..j�� .a_.� . -�...r. tr n _-. �r r <. ..u_... .'.�. ... .. t: n.. �r.r .. .... ...... •:.._..,. ..ar Owner or Purchaser of Building Municipa ity Building Constructed by Section U i d4A- ,- Location - Street Block 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 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- termination of the Director of the Division of Environmental Health Ser- vices of .the .1?utna~7,- Chanty- D.apartment o.f. Health to. whether• - -o.r- not.:- .the_ failu'r'e of t. 6 system to operate was causedy ET llful or negligent` act of the occupant of the building utilizing the system. Dated this �s day of Signature Title 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 Zg Owner or Purchaser of Building Mfinicipality Building Constructed by Section Location - Street Block 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 :Wade 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- termination of the Director of the Division of Environmental Health Ser- vices of the Putnamm. County - D:ep.a- r.1-ment -of- :Health as to. whether or - no-t -tl-e - �' failure ofhe_.system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this �-� day of e 19� Signature 0 Title 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 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Enwronmen`ta/ Health SeeVices, Carme% N Yh X10512 � f CO- NSTRUCT.ION •PERMIT,?FOR SEWAGE DISPOSALaSYSTEM �� .-s LLi� L �_ .ter.= .�.....• =o�/ `..� .velerhy„ .'J�a� '810ck Subdivision A, Lot Job ,'Owner ! , Address �*3j(/ /T% ST: q Building Type Lot Area �/ 2 /V/iii1 �%�l.L�f✓ /V. �e Number of :Bedrooms Total �bi ble a e t , _ _ p c 'Square S X�S�� '.Fee Separate Sewerage System to'consistsof Gal. Septic Tank 7% lineal feet X 3� width trench To .be: constructed by Address Water Supply Public- Supply From Pnvate' Supply to, be drilled by Address { Other Requirements I ;represent that I am wholly and completely responsible for the design and location of the .proposed - s s♦ijHrf� F /j,�`thet the'separate 'sewage .disposal system above ;described will be.c_onstructed asahown on the a roved amendment, -there to and to eccordan`cq�b he af$� rulesan regulations o e u nam,`; pp County Department of; , Healfh,, and that on completion thereof a "Certificate of;Constructio�i �ce'I:� sfs✓ to'Yhe Commissioner,of`Healthwill'1 .. be submdted,to. the Department, and a writtenguarantee wit ;:be` furnished the owner,,hissift igr xxaas�i 9 the builder; that said, uilder'will" place in good` operating condition any :part of': said - sewage disposal system during the perLad o�.% ,(2) .year9' edt ely - following• the.date of,the issu -. ante of the` approval''of the Ce_rtifiCate of Construction Compliance of the original.syste r_arty�,re herett3'yt,)'th the drilled well - described above ,- will be located as shown-on the a _ pproved plan,and that said well wilFbe in tailed m clan wi 'ja s,� r regu aTfrs of the Putnam , County Depart ment of Health. w Signed r 'Address " License No., APPROVED FOR CONSTRUCTION This approval expires one year fromihe date' is sued..unlesfrdc` ' i�iCCiO "t� t�hgr�b'uilding has been -undertaken and is ,.,revocable for•,cause or may be -amended or modified when considered necessary by -the' Commission f ' +e y Aliy change or alteration of const,ructlon' requires a ne permit. _ Approved for disposal. of domestic sans ` ewa and ate Wit rify. i Date �L ey Title l 7. 19- I VIM PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Property of Located at Date , �Q 440.-- ; Section ,S Z Block ,J Lot ol� , Gentlemen: This letter is to authorize a duly licensed professional engineer or registered architect (Indicate) to apply fqr 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 LCtJQ,l lllGlll.i of t1CtL1V11, and to $1gr1 all rlece�3sary 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, EducationI,aw, the Public Health Law, and the Putnam County- Sarii= terry Code. of � : PeE., R.V'r�. i 'N -• I r 0 11 —(Seal) oa- 4 .2,-j j -4.4 epnone,,4,, rF sIO%p i Very truly yours, g� A � Signed F WX4_ _� Owner Property Address Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF.. ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING CARMEL, N.. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.. Owner Addresszpon, r J Wr5hV�3 Lam• ea. - Located at ( Street r. 59 Block Lot : Z -f, % .(Indicate nearest cross 'street Municipality ,4e17 Nj11* g J/AV,L,�,r Watershed G75e/�cc� /t SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION- Run Elapse IYepth 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 2a z 2 lo; 0� //,'/B Z¢ 00 3 //.'/8 /4 ¢2 5 2 x/,'0 9 11 &6 3 11-'S5 //,'. 7 Z t� 4 Notes: 1) Te'-�ts to be repeated at same depth until approximately 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. 1: TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DLPTH HOLE NO. G:L. 6" 1211 18" 24 30" 36.. 42" •48" 5'+ II 60" 66" 7211 7811 HOLE NO. HOLE NO. DAP "I It 84 it INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED AlOAle INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED ---� --� TESTS MADE BY Date % DESIGN Soil Rate Used KWl "Drop: S.D. Usable Area Provided 6-000 No.-of Bedrooms & Septic Tank Capacity. jP00 Gal�,gt of Absorption Area Prided By Z2 L.F. " ;•w•i �nc . 1r a • e AN �+°a, • iy Address/ �/ LL�iI ✓�i�_. L. � THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal. Checked by Date n . Y e SEAL : . '0 0' 0 a, I 8 ; n� O h -;' / _ _ - - - - -- -- - o ' / � E06 E � `!`_� - -�_� —� �� _ _ � l � 9� .S� 1 _ -- --t ~ /� % Qom'% � � _-•v /� �c o ESTABLISH ELEVATION OF HOUSE TO PROVIDE DRAINAGWS OVi'L6WEST--FIXTURE. TO SEPTIC TANK AND FIELDS ...... AREA RESERVED I'OR SEWAGE DISPOSAL• SYSTEM TO REMAIN UNDISTURSED.ALL CONSTRUCTION T.t, CONFORM 'TO STATE ' AND LOCAL STANDARDS AND REGULATIONS ......... - i ` / 91ii7�j.4C.,SEOT /G 7vN'C" - /uvc3�o,v 6a�r, L- XP�J✓✓..i /O.�/ �9.a96t9 SM'J j 1973. aUf Udii JF gtAUh SE - ��Iyislon :op. �E4YISDIiM19niF•1. �fAl,Ty $fjtVlCEs PROPOSED SEPARATE SEWAGE DISPOSAL ' SYSTEM �v 1v,9.v 1</.q yvE �:.�✓s- �,9,e�� . �yB�gei _ 9 LASE 21W�I � I I ''Pl`..J'• „,,,.i'” OSC'f- 7L ✓,A�/.� G.CJ,L�C .Z',�0�9.0 `c1 ? SOIL PERCOLATION RATE .... B MIN/IN r/00 . "?F'• �"•- 2at`r,• DEEP TEST ..ic/O 4�COOA/O N ,,9rZ GALLON SEPTIC TANK onN \` NO GEOGc ooc,e 177 LF X-16 ABS. TRENCH' TOWN OF j�UT / ✓H✓r� I/HLLEY M COU iTY NEW.-YORK DATE& -277.3 1 SCALE A3.Shbw•v I JdB NO 73 -7 SULLIVAN -- THIEDEj CONSULTING ENGINEE 2S CLARK PLACE tlt4WAC "EW- ' v. OF 1 40 0 11 1 GALLON SEPTIC TANK LF X ABS. TRENCH I PPROVED 2. '1 9 -1-2 j.�ncl'On BOY L YL 43 IV -Y PU kNA 0 HEALTH ' 7 0 0 F WIRONMENTAL WIEALF14 SE&TC0 AS CONSTRUCTED SEPARATE SEWAGE DISPOSAL SYSTEM "r2 Z TOWN OF COUNTY. NEW YORK 0. DATE 3.2S' -;' SCALE 4�) 11 SULLIVAN THIEDE CONSULTING ENGINEERS CLARK PLACE MAWWAC, NEW YORK