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Home My WebLink About3044DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.18 -1 -78 BOX 25 lye. I' r V9 16 ' �' 'I :6 I r • '{ � r UL 03044 PUTNAM COUNTY DEPARTMENT OF HEALTH \\� Division of Environmental Health Services, Carmel, N. Y. 10512 permit o P V 45-83 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM P i nam Val 1 eW Town or V111896 Located atp>'uce p 5E ai.o:c-k Owner Bruce Ryan Formerly Tax Map Lot a 5 S. ubd. Lot N 5 Separate Sewerage System built by Dennis DeRonda Address PLltnam Val 1 e3Z, NY 1 Q1;79 Consisting of 1 f 00Nal. Septic Tank and 420 LF of Leaching Fields Other requirements Water Supply: Public Supply From XX Private Supply Drilled By Norman Anderson Address Barger Street_, Putnam Valley, NY 10579 _ Building Type One Family Residence No, of Bedrooms 3 Date Permit Issued Has Erosion Control Been Completed? I certify that the system(s) as 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 regulations, in accordance with the filed plan, and the permit issued by-the Putnam County Department Of Health. A Any person occupying premises served by the above system(s) shall promptly take kch Ion 0 may be necessary to sacur th correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system a be a null and void as soon as a ublic sanitary sewer becomes available and the approval of the private water supply shall become null and void when a ublic water supply becomes available. Such approvals are subject to modification or change when, in the Judgment of the Commis o�ner¢of Heal such revocet modification or change Is necessary. Date �y By N Title Rev. 9 -81 If yield was tested of different depths during drilling, list below FEET GALLONS PER MINUTE DATE WE L OMP TED DATE OF REPORT DRILLE gnatu. xy "° -`�'� ( ORKTOWN MEDICAL LABORATORY INC. P.O.,Roz 99. 321 Kear Street LOCATIONS: D 3 1 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245.3203 Yorktown Heights, N.Y.- 10598 ( p.1 BUTTONWOOD AVE.. PEEKSKILL, N.Y. 10566 737.8777 0 _495 MAIN.ST., MT. KISCO. N.Y. 10549 666.3335 �45�3203�- -_ :`❑ STONELE(GH AVE: INEAR HOSPITALI,'CA'RMEL', N.Y, 10512 LAB # Z.D r . may: 04-7� DATE TAKEN: —� DATE RECEIVED: 0 DATE REPORTED: 7t f f SAMPLE SOURCE: LABORATORY REPORT mg /L REFERRED BY: i COLLECTED BY: OACIDITY ............................. ................ ❑ ALUMINUM ................................ ............................... ❑ ALKALINITY ........................ .................. g(kACTERIA,TOTAL /mL Q.. .. 4� ❑ ANTIMONY ................................ ............................... ❑ARSENIC .................................... ............................... O800, 5 DAY ....................... �-71n�! .... .. O BARIUM ............ ..........................'. ............................... OBROMIDE ................... ............................... ❑ BERYLLIUM ......... ................... ............................... ❑ CARBON DIOXIDE, FREE .............................. ❑ BISMUTH .................................... ............................... ❑ CHLORIDE ................... ............................... ❑ BORON ........................................ ............................... OCHLORINE ................... ............................... ❑ CADMIUM .................................... ............................... ❑ COD .: ......................... ............................... ❑ CALCIUM .................................... ............................... OCOLOR ....................................................... ❑ CHROMIUM ( tot: 1,............................................................ ❑ CYANIDE ................... ............................... ❑ CHROMIUM (hexavalent) .................... ............................... • DETERGENT, ANIONIC ... ............................... ❑ COBALT .................................... ............................... • FLUORIDE ................... ............................... ❑ COPPER .................................... ............................... • HARDNESS ................. ............................... ❑ COLD ........................................ ............................... • MPN COLIFORM COUNT/ 100 ml ........ . .......... ''iFT ❑ IRON ........................................ ............................... , /l'^ COLIFORM COUNT/ 100 ml ... ..... ..... ❑ LEAD .. .................................. ............................... :_- .:O CONFIRMATORY -TEST ........................... ❑_ H1.41M _ LIT ❑ NITROGEN, AMMONIA .... '❑ NIAGNESIVUAA ............. •••• ❑ NITROGEN, KJELDAHL ... ............................... ❑ NITROGEN, NITRATE ... ............................... ❑ NITROGEN, ORGANIC ............................. a.... OODOR ............................................... i...... ❑ OIL & GREASE ............... ........................:...... OPH ........................... ............................... ❑ PHENOL ....................... ............................... ❑ PHOSPHATE (ortho) ....... ............................... ❑ PHOSPHATE (condensed) .................................. ❑ PHOSPHATE (total) ....... ............................... ❑ SOLIDS, SETTLEABLE,' mill- .......................... ❑ SOLIDS, SUSPENDED ... ............................... ❑ SOLIDS, DISSOLVED ... ............................... ❑ SOLIDS, TOTAL ........... ............................... ❑ SOLIDS, VOLATILE ....... ............................... O SPECIFIC CONDUCTANCE .............................. ❑ SULFATE .................................................. ❑ SULFI6E .................... ............................... ❑ SULFITE .................................................... ❑ SURFACTANTS ............ ............................... ❑ TURBIOIT`. ................ ............................... THESE RESULTS INDICATE THAT THE WATER THE SAMPLE WAS COLLECTED. , THESE RESULTS INDICATE THAT THE WATER NE14 YORK STATE ADMINISTRATIVE RULES & FOR THE PARAMETERS TESTED. ❑ MANGANESE ........:....................... ............................... 1 } ❑ MERCURY .................................... ............................... ,❑ NICKEL .............:......:................... ............................... ❑ PALLADIUM ................................ ............................... ❑ POTASSIUM ................................ ............................... ❑ RHODIUM .................................... ........... ..................... ❑ SELENIUM . .................................... ............................... ❑ SILICON ........:........................... ........:...................... ❑ SILVER ......................................... ............................... ❑ SODIUM ........................................ ............................... ❑ TIN ............................... ............................... ......... '❑ ZINC ............................................ ............................... ❑ .....................................................` .............. ....�............. fMA�KS:./:T.17G1'f ... �.�Z ! %•. ❑ ...... ............................... ............... v........................ ❑ ....................................................... _.. _._ _ ....... WAS t'�SOF A SATISFACTORY SANITARY QUALITY 1411EN DID 1• ET THE S ISFAC Y CHEMICAL QUALITY OF RECU K G WA ST ND�'1RDS (PAR 72�) Y/) nn Br.uce'-Ryan 52 Owner or Purchaser of Building Section . Bruce _.Ryan ... _ Block Building Constructed by Q Spruce Mountain Road Location _ Street Town of Putnam Valley Municipality 5 Lot Spruce Mountain Lake Estates Subdivision Name One Family Residence 5 Building Type Subdv< Lot # GUARANTEE 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 guarantee to the.owner, his success - ors,, 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 determin- ation of the Director of- the:. Division -;o f. Env.irorim' tal He al.thaServices. �> of the - Putnam County Department of Health as to whether or not the fail- ure of the system to operate was caused by the willful or negl" ent act of the occupant of the building utilizing the systemm. V Dated this 5th day of July i9 84 .Signature - Title Owner Corporation Name if cor:po. 140 Shawnee Road Address Putnam Valley NoY.10579 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 } A PUTNAM COUNTY DEPARTMENT OF HEALTH '! - ` sCmel N. Y. ,1051bi on Enironments%.,Healfh- Servic K �CONSTR'UCTION PERMIT° FOR SEWAGE °DISPOSAL SYSTEM : Putnam Valley Tow or, Vila „t,ocated =_� TSpruce Mnt ltd .: • o `_ ° a r sec ;ion 5 2 n Blockge 8 Subdivision a i t I`Lot as ,i s Job ry �?e �l_40, Shawnee Rld Owner ' • Address •'- One :F am :'Res 25,500 SF zPutriam.:_Vall'e NY 10579 rBu�Id�ng Type Lot .Area r; ;Number: of Bedrooms 3 t Total. Habitable S e 5001 Square .Feet 1000 420 2.FT; Separate Sewerage System:to consist 0, f Gal Septic Tank. lin` al feet k width trench To be .constructed by D. Heady: Address t aIR -,Va •e NY 10579 e S e ,Water Supply Public Supply ;From a s _ Private: Supply14t6 be' drilled .by N. n rs , , r m . � am tldress � 7,9 .. t Va � _ yk 'Other `Requirements Lrepresent that I ,am wholly and.completely: responsible for the de d to ti f• the p posed system(s),' 1) that the. - separate sewage disposal system above - described, will be.construcfed as shown. on the,approved.amendment ther= t an .in accordance with the Standards; rules an regula_�ons o. e u nam e County 'Department of :Health, and that on completion thereof a ' Certrficate of Construction Compliancesatisfactory _ to the Commissioner of Fiea;lthwill tie submitted o' the. Department, -and 'a written guarantee.:wUl be`.furnishedTthe owner his successors heirs pr assigns by the:builtler,; -'that said builder will place iri ,good ;operating condition any -part of said sewage disposal system4tlunng' the period of two (2) yyears1rrt mediately'pfollowing `the•date of the ''is su arice of,the' approval- of rthe Certificate ;of Construction- Compliance of the origu%al "system'•or any repairs hereto 2j that`the drilled, :wefl� described above ; will,be located':as shown on-the approved plan and that said well will be•installed` m� accordance with ;the st ards rules an 'r.egula ions of • the •IWutham - 1 t L,tr County Department of Health r 8/15/83 XX Date Ssgggd ` P;E R,A. u cco_ of N t Address. Mai_ `. '. aC0 _ Lice a No.' zA .RROVED FOR'•CONSTRUCTION This approval, ex ' es one year from the dat• ess nstruction; of the ,buildin has been undertaken and 9s , + < r t + revocable for cause or maybe amended•-or,irmodified.,wn nti' d,neeessary b e Com s� ei' of laleatth Any change. or alteration •of construction. ( requires a new ermi Ap ea for disposal of do sti " nrtar sewage,�a d /or a upp y only Date B -� Title 1 ✓ ti 5 Y f PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date August 5, 1983 Re: Property of B. Ryan Located at Spruce Mountain Rd, (T) 52' Section Block 8 Lot 5 Subdivision of Subdv. Lot # Gentlemen: Filed Map # This letter is to authorize Joel Greenberg Date a duly licensed professional engineer or registered architect XX (Indicate to apply fora 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 :sys.teEiis�an:..ca nl �tED 147, Education La ,y"� �N tary Code. Countersigned: P.E., R.A., 0 tQN.Health Law, and the Putnam County Sani- Muscoot North, RFD #2, Bx 488 Address Mahopac, NY 10541 914 628 -6613 Telephone *1I Very truly yours, -6;vnerP 17roperty 40 Shawnee Address Putnam Valley, NY 10579 Town 914 526 -2952 Telephone FUTNAM COUNTY DEPARTMENT OF�HEALTH DIVIS:T.ON OF ENVIRONMENTAL - HEALTH..SERVICES . :.; .COUNTY.. OFFICE BUILDING, CARMEL, N. Y. 10512 - DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner B. .-Ryan ~.: Address 140 Shawnee Rd., Put Valley, NY 10579 TM. Located at (Street S ruce Mnt. Drive€, Block S • Lot` ^,5 r ca e. neare� `scross street) Municipality To..wn of Putnam .Valley Watershed Hudson 'River. SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH�APPLICATIONS Notes: 1) Tests 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. Hole Number,-.-.. .-,.CLOCK._TIME PERCOLATION PERCOLATION Run No•..:; ..- ....,..:.,,._.:..,'.::::. St. art -Stop .... apse Time Min. D-eptH to Water From. Ground Surface Start Stop Inches . . Inches a er ve . in . Inches Drop in Inches. ... ,- :Soil Rate "Mln. /in drop PTH #1.1:::.8.00:.- 8•,:.3`3 33 16 19 3 •;. - .:_3%343=11 33/3 =11 :..3.9.:0,7.. 2_.8:4. - 33 16 . 19. 3 33/3 =11. 3.. .... 9..:.Q:B:- .9:41: . 33 .16 19 3:... 33/3 =11 4. 9'• 4,2- 10_:15: 33..- 16 19 . 3 ..:. :.:...::.:..33 /3 =11 PITH #2 1::- 8':05 8 3`84 =33 - °- 1.6 19 _ 3 33/3 =11 -„ 8:39 = 9:12._.. 33 3 33/3 =11 3..:.:9.:13 -9:46 33 - .16 19 3' 33/3 =11 .33 16 19. 3 5. 2 Notes: 1) Tests 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. 84 INDICATE LEVEL AT,WHICH GROUND WATER IS ENCOUNTERED None INDICATE LEVEL TG WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED None TESTS. MADE BY Joel Greenberg Date August. 5 L: 1983 _ DESIGN _. Soil Rate- Zsed-ll =15 Min/1 "Drops S. D. Usable .Area -Provided . 5 e 000 SF Noe of tedrooms� ° -�� *,• -3 Septic Tank Capacity 1 000, Gals: wr" cast conc. Absorption Area Prov e By 400 L. F.x24" v OR me Joe .. °Greenbera gnature Address: Muscoot North, RFD #2, Box '488 Maho•,pac, NY 10541 THIS SPACE,FOR "USt BY HEALTH DEPARTMiNT ONLY: Soil`Rate. Approved Sq. Ft /Gal. Checked by -LIL Ofi NE�. D,,tt e T A ww h h PW t1r! MM%nm� septic system will be installed;under r tee, t`SA06r%PiA.1idn-of the architect and in accordance th approved plan and the -rules and with regul!A�ions of bheau County Department *of Health. work to be Inspected prior to being backfilled.' No trucks machinery building materials nor ex- _j, , tecl earth shall be allowed in the sewage. disposal C" 01 Wn hdse any revision's thereto ': and the 'regulations of the permit:issueing Governmental JA _qv�_ eta A�690N -CRITERIA use 1,000 gallon precast concrete Septic-tank required. A st NORTH wow M-r mt'rz 2 Soil min/in. a- � na - y f ow: 200 gallon per bedroom 200x3 -600 GPD 4'9 7:; 70 400 72(0' 41" 445° 150 7 9170 A st NORTH wow M-r mt'rz 2 Soil min/in. a- � na - y f ow: 200 gallon per bedroom 200x3 -600 GPD If of-21 wide leaching fields required 0. C. tO Wr=LL 7 ' (i) � V 4U jav 4VI P R 0 F-1 L E A st NORTH wow M-r mt'rz