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Home My WebLink About3213DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 72.19 -1 -31 BOX 26 03213 T JL 03213 caner or Purchaser of Buil. ing Building Con.%triic "tea" by` , � 06-e 1_,-, 4- I?L" " . K (eS Loc Lion - Street P, -7 If-,,A &f"T o/, Section biecK Ll Lot Municipality Subdivision Name too- BuildVng Type Subdv. Lot # •O ��► 9 C GUARANTEE OF SEPARATE SEWAGE SYSTEM I � I represent that I am wholly and completely responsible for the i► location, workmanship, material,.construction and drainage of the sewagey 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- a -ion of . the . Di-- ec.ter- of.. the. Division of . Envi.ron.mental.. -I e.a.lth . Services . , of the`Putnam County Department` of HealtY -as to" whetrier -or iiot trie"iai ure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this-- _day of l- 19,�q, Signature Title C, Corporation /Name if corp.) Address C, 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 Bois 224 - BREWSTER, . N. Y. WATER ANALYSIS REPORT SAMPLE NO. 4738 SOURCE: Kevin Scully Sprout Brook Road Putnam Valley, New York COLLECTED: December 10, 1981 By: P. F. Beal & Sons, Inc'. BACTERIOLOGICAL EXAMINATION Conform Count, MF Method Hardness Iron pH Hose Bibb - Well 0 per 100 ml. 4 gPg 8 RECEIVI:v pUTNAM COUNTY pEPT QF I1VA Thu rtsult indirat,s tht spun, of tht sample was L H of satisfactory sanitary quality when tht sample was rolltrttd. December 16, 1981 Bickwit P. E. naMaa .....an... a.vvw s vt=rmn 1 Ivltty 1 Ut- tltfiL I M 3/71 Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK 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- O.E_WELL COMPLETION -, — = ash» -. OWNER K NAME A ADDRESS LOCATION ( (No. d Street) (Town) (Lot Number) PROPOSED D BUSINESS DRILLING C COMPRESSED CABLE E CASING L LENGTH (lest) D DIAMETER (inches) W WEIGHT PER FOOT S THREADED ❑WELDED L SHOE A A CASING GROUTED? TIEST ❑ HOURS G.P.A. Y YIELD (G.P.M.) WATER l MEASURE FROM LAND SURFACE —STATIC (Speclfyfeet) D DURING YIELD TEST feet) Oepth of Completed Well SCREEN DETAILS S MAKE L LENGTH OPEN TO AQUIFER (feet) SLOT SIZE D DIAMETER (Inches) I IF GRAVEL D Diameter of well including G GRAVEL SIZE (inches) FROM (feet) TO (lest) DEPTH FROM LAND SURFACE S FORMATION DESCRIPTION t Sketch exact location of well with distances, to at least FEET to FEET F O 7 7 D Drilling in overburden cla & & boulders RECEN Hit rock at 7 feet 0 D Drilling in rock set casilig g _30 . Dr- -i7 in ;n._6 .r. D INTY COUNTY BOARD OF HEALTH p RAYMCINO _S, JONEtS ...�__._' 1 utnai ..n. � -.. •- - 3 _+.a. Nf uc:a. - - -t:. +.•t ;'ASR ` .u_rLT ••yC•`� -non e+V `Preeideni '< S. DANIEL SELDIN, D.D.S. Vice President.,• PAUL CHANG. M.D. E F. GARCIA, Jr., MD. BEVERLY DEPARTMENT OF HEALTH BEVERLY TAYLOR `l GERALDINE A. ZAMOYSKI, M.D. County Office Building HON. DAVID D. BRUEN Carmel, New York . County Executive HON. JOHN MADIGAN 10512 County LegieZator April 23, 1982 Exchange Funding Corp P.O. Box 415 266 Main.Street Fishkill, New York 12524 914/225 -3641 - R. +vY'• _ ova �wJa aw:zL" Deputy Comrtiesioner . J. ROBERT FOLCHETTI. P.E. M.S Director Of EnvironmentaZ Rea4h Services ELAINE K. KRUEGER R.N. M.A. Director Of Patient Services Re: Kevin and Roxanne S lly Canopus Hollow Rd., Putnam Valley Dear Sirs: This letter is to certify that this division has completed its review of the Sewage Disposal .System of Kevin and Roxanne Scully, Canopus Hollow Rd., Putnam Valley. The system was approved.and a Certificate of _ ..rL'f ►'� �I u''`^ �lvil CoPi7N1:3nCe 7u5 3 SbtTcv .iii' °F 2''i �1a3`j 2 J �iZ: If I may be of further assistance please contact me at this division. Very truly yours, [ CV Robert J. Tutoni RJT:CJ Division of Environmental Services r _ _ .J .. .�.�:.v '�. �.. ... _ �.... .-+. < .. �n .�- .. -��.. � .�. vv .�,. �....C,ax u- r.... >..mV +e -.nn �..... r.. _ � �+. .- • wV .�tu�. 'ry �.ax..�+ -..ri .a.c•e..��_.. .w4aAf ...s �..m�..w. -. �.�. v. — �¢— ry�e.�- PROFESS ?o LICENSED LAND SURVEYOR 17 Bri.arwood Ave. Monroe, N.Y. 10950 (9.14) 782-7976 me. -V&-P7-, OF &jyvleou A,,ls-:AJM. Z- Z-r/-/ '52--p -T-1c P,5r5/G1V OP 5"eA-� �J L mil M-A coomy Bum". ENT WITH C UNTY'OFFICE BUILDING' P) ,WMELl' N.EW yGRIN LU- W*& i u .VV -,- '^I .PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONKNTAL..HEALTH SERVICES Date Re: Property of Located- at Section Block Lot Gentlemen: This letter is to authorize Za #-I a duly licensed professional engineer t/ 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 nece$sary papers on my behalf in V VJ111C1: 11VJ1 w-. Ln LILL5 nta a i.ev anti to. supervise -one consrruc ciur! of sain 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 PUTNAM COUNTY DEPARTMENT Of HEALTH COUNTY OFFICE BUILDING NMN YORK 10:12 Very truly yours, _ M JUN ? 2 1981 Signed Countersigned: P.E., ., # Address z1 Telephone r o 0/4) " Address v / /Y. p %a3 % 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. Address Located at (Street Sec. Block Lot 6dicate neares cross streeUT Municipality Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS 5 1 2 PUTNAM CL 1r s TP OFFICE BUILDING fwAKIVetL, NEW YORK 10512 5 JUG 1989 1 Notes: 1) Tests to be repeated at same depth until apppproximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. 'Hole Number / CLOCK TIME PERCOLATION PERCOLATION Run Elapse Dep to Water Water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches ' Inches Inches L 5 1 2 PUTNAM CL 1r s TP OFFICE BUILDING fwAKIVetL, NEW YORK 10512 5 JUG 1989 1 Notes: 1) Tests to be repeated at same depth until apppproximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. % HOLE NO. HOLE NO.- G.L. 6" 12" —L d P 18" Sar 24 1t l+aiDi 3011 361 42" 48" 1 54 ii 60" 66'1. 78„ 84" INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY fir= �/� %'s ��a•dr e�; ✓�,� . Date -57- 6 - -g Soil Rate Provid6d �'�f ' Used 14- Min/1 "Drop: S.D. Usable Area No. of Bedrooms Septic Tank Capacity /�Q Gels: Type .Absorption Area Prodded By yr'L. F. x24 width IT—en--EHT �. '-� -rat. r.-F. �a Other A , ure V Address t7 SEAL THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal. Checked by Date ° ° ° ° ° ° o QROFESS /Oyq� Zito ca e �.® c z o e < � o I� ° �, FSiAiEd�v ° °° • 1_ MAP MAP Lrrr, ik!o . �LoT 0: 34 92 L07 _-. a • •.. .- _ -- - ae7_m w, .c>- _� r '`�.�,+1 ice. ✓ -- ; - --�� ' . _ - ...... _ ... _ _ . - --•--� $ $ `"' � S L /rtes � .T�` .x'75 � YsiE r n -- - ---z -c P r. � Deep. / T�4�a 5EPTiC c _ 90 } SYS TAN, al 3: 2a �r I ift �000Ga�c In9a.s N 6 o 14 AQ 0 Alf i PRo7" ,B aoRoO ' f Q ptCfl% • �As - B u/L r' - - = �A^�'- �'�-��t'L`�- �-�'� +- Gr%,'� ;`.J "t", '`rj,}y'.i'A.err•T� L � :' >.s?�''F,+ 7`?ry PH %LI P9'1"O'yi/N"v7 NAM" Y<1LLE % ,°U.TNAM CO(JNTY� /JEYl 3 72 - K . •, vets - �. i,��.e.. X9.1, t'G ,54 3