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BOX 27
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03319
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental .Health Services, Carmel, N. Y. ' 10512
CONSTRUCTION PERMIT FOR - SEWAGE DISPOSAL SYSTEM Putnam Valley (T)
Town or Village
79C _ SM`
. '�:: �i,:CG�. -- - - - -.-�^ —sae i.T='-. ,. ,., _.r- .;ma...:� t -- m.•ac ,M �.,. .k�`o_ +-�.
Subdivision Camp Lookout Lot 217,218,219 Job '
Owner Salvatore Colangelo Address 1737 Golden Avenue Bronx, N.Y,,,w.,: °,
Split Level 28, 000± SF
Building Type Lot Area `
Number of Bedrooms 3 Total Habitable Space ♦ G Square F, dei
Separate Sewerage System to consist of 900 Gal. Septic Tank 240 lineal feet X "3.6n width trench
OttoRighi 1146 Oregon Road Peekskill,
To be constructed by Address _
Water Supply: Public. Supply From
X Private Supply to be drilled by Anderson Well drillers, Barger ST. Putnam Valley
Address
Other Requirements Curtain Drain reguired between building and Septic ,:Tank
below bottom of fields.
I represent that I am wholly and completely responsible for the design and location of the proposed system(s) 1) thatetgABepegatf
above described will be constructed as shown on the approved amendment there to and in accordance with the stand ' 61,, r
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satiga iF
be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs the
place in good operating condition any part of said sewage disposal system during the period of two (2) year �et�ee4�r 19
ance of the approval of the Certificate of Construction Compliance of the original system or any repairs Flat:
t tr� Sri
will be located as shown on the approved plan and that said well will be installe in accordance with;-.the stancr ules
County Department of Health,
lW2 r
��, ax�tti �3 i;•
Date March 20, Signed
Address
1 Northridge Road Peekski , N.Y.
APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction
revocable for.cause or may be amended or modified when considered necessary by the Commissioner of Health. A9,16if
requires a new - permit. Approved for disposal of domestic sanitary *sew ge, and /or private water supply only. 4
Dated 1_q -72 By Title
minimum 2+'.,'' V`
sewage disposal ' system , "
d ions o e U nam
innissioner of Healthwill
ew that said builder; will"
r�y1he date of the issu
e Well adescribed ,above
10 5 'of: the Putnam
f N
t
�
undertaken'
"'i
r✓ b roWtbration of constiuctioj
>aT.! �.!4M T;O.rI�T� Di - _TTv�F(VT -Om 77EALTH
Division of Environmental Health Services; %Carmel, N. Y. 10512
CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley (T)
Town or Village
Located at West Avenue
Owner Salvatore Colangelo
Separate Sewerage System built by Sheldon Gardner
Consisting of 900 Gal. Septic Tank 254
Other requirements vu
Water Supply: Public Supply From
X _ Private Supply Drilled By
Section Map 79C Block
Lot 217 218 li 219 Job
Address Stevenson Avenue , Peekskill,",:N.Y
lineal Feet X 3611 width trench; "`
Anderson Well Drillers
Address Barger Street, 'Putnam Valley. N.Y.
Building Type Raised RAnnh No, of Bedrooms 3 Date Po rr S\lO�led
Has Erosion Control Been Completed? Yes a ®�QO�S S. Ra�CC�
I certify that the system(s), as listed serving the above premises were constructed essentially as shown on the plans Om t �c O which Sare,
attached), and in accordance with the standards, rules and regulations, plans filed, and the permit issued b the nam epa tlO of Health
July 10, 1973 J P. . R A
Date Certified by --o-
Address 1 Northridge Road Sekskill, N.Y. A 6
1056� � 7
f '�� •' .�,.v
Any person occupying premises served by the above system(s) shall promptly take such action as maybe necessary to secerf tog c yf of any unsani tary.'
conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as °d i"ie %%itary sewer 'becomes
available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvalslj:'Are
subject to modification or change when, in the judgment of the Commissioner of Health, such revocation, modification or change is necessary.'
11,4 7
/1�X/l Title - -_
--K 'L,� -B'0;)( T, RA RY,,�'
PEE K-9 P,-h ;WEDICA
1668`2- Rd abd B:i;
5�
Peekskill, New y ci 8 8 - P 5 1� 70V 7
—35 1
'T.
OF AT
OF Z5�0 L
`
3
Colangelo
.
ChTY VILLAGE TOWN & %OR NAME OF SUPPLY h'A.
DATE -REPORTED
I-
Av I
en u u nm, alley,
-5
'SAMJMN. ,
-
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F-BACTERIA -PER -.�M-1 (Aqa&pd'te'-: count
S, RINE AS RECORDED AT
ess
WAPILA�oi, -qF'WAT KENTI
- NITRATES -Vs
�iMi6dt&tfi&f ih t s5,ti -factory :5& 11,5 w 68"
was sanitary; 'C
'Th6s6 Niiij 6�
results w cif&' ,jqc
Z,
IZI-
Y.- :v
A.", 44, PW55VANI-
M
Howard arapert
296 06caw4ns Rd.
putnam Valley. NY 1 a5T9
S
IR
SITE I=TION � /� =S Q- U f: 7
MAILING ADDRESS VvTr g s w V � fl t-(-e� 1&i27
PERSON INTERVIEWED PCHD Complaint #
Name & Relationship (i.e, owner,tenant, etc.)
DATE �'I51 _ TYPE FACILITY
a:-• !; L9-'P 1 1zF- WV "-D1;7
-%,,7,CoQc.4 13f' PHONE 6 2--6 -a SF�-
`Pr (include sketch locating all adjacent wells):
NOTE: 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.
I TO r i W(C' 9" x(3 � t IV& �CrE Lv,
S
G
Lo cAt-reo "y
Proposal approv Proposal Disapproved
// L
.i� ap, Inspectors Signature & Title Date
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., 1250 gal. concrete septic tank, three precast 6' diam. 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 ag t of owner agree to the above conditions.
SIGNATURE TITLE DATE
PBS: White (FW); YeUcw (fah ED; Pink (Applicant)
~ ^'���
V� EL L CG�P�ET|00 ..." REP0WT
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^ PUTNAN'C0UNITY DEPARTMENT OF *EALi|
Division of 5ovi'unm,nm| nea.1m Sr,;Cv '
n 4G
This npor1 is to be oomp|ated by well driUo/anU sxhmitmd to Count Health Department together with laboratory report of
cna{ysisufwater sample indicating water ir, ofmtisbn1ury bacterial qua!i . buhxocenifioatoc�oonxouution compliance is issued.
- ' ' -
`
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OWNEP
Dj
'OF WE LL
F-1 BUSINESS
;PROPOSE
TEST %NiELL
WELL
PUBLIC
11 Su PPLY-
AIR
0 INDUSTRIAL 0
OTHER
CONDITIONING
(Specify)
.DMIUNG
11 POTXPY
COMPRESSED CABLE
0
OTHER
AIR PERCUSSION
CASING
DETAILS
LENGTH (feat)
47,
DIAME ETFR(Inches) WEIGHT FER 1`00T DRIVE SHOE WAS CASING GPOUTED?
THREADED --YES -No F
YIELD
TEST
BAILED
HOURS G.PJA. YIELD*(G.P.M.)
PUMPED COMPRESSED AIR
VIAYEP
MEASURE FPOM LA I NI)
SURFACE — STA7 IC (Spe-cif
R!NG YIELD TEST fleet)
th of Complefed Well
LEVEL
in feet below Land surface'.
MAKE
AQUIFER flect)
SCPECN
DETAILS
StOT SIZE
IAMET9R ?Inches)
IF GRAVEL
GRAVEL SIZE (inches). FROM (feet) (foal)
Diom*eler of well includirIg
'TO
PACKED.
gravel pack (inches):
�7177,�11, LAND SURFX-E
FORMATION DESCIRIPTION
Sketch.exact
two permanent
location at well with distances. to ai least
landmarks.
FEET io FEET
93o'
4�3VIac,14_1�0
If yield was tested at diffeent
FEET
depifis clu, ing cl-illing, list below
GAUUNS PEP. MINUTE
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it
PUTNAM COUNTY DEPARTMM T OF HEALTH
'DIVIwSION OF' ENV R0NX&V L HEM t,i'ri
' Datel
Re: Property o f Salvatore Colangelo
Located at West Avenue
Section Yap 79C Block - Lot 2179218,219
Gentlemen:
This letter is to authorize- Rome- Romaraelli 9c Armco
..a duly licensed professional engineer 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
,_, "..,D.epartment'._of,. Health, and to sign all necessary papers on my behalf' in
0o nrW c_t.on..witk�__ths .matter and to supervise the construction of said
-system or systems :in conformity with the provisions of Article 145 or
IV., Education Law, the Public Health Law, and the Putnam County Sani-
tary Code.
Very tru1 our
k Signed _,�,
/ Owner of Property ;
1737 Colden.Avenue, Bronx, NY
Address
rof ten' •mew
WIN, 1 Northridge Road • S� 4 "t. Telephone
S.
Addr9ss
Peekskllr N.Y.
\PE '� 1056
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1 a- `. • - -
a one . •
Altai
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IoW ®m��
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF :F7Vr!'RO1_09..NT4
COUNTY OFFICE BUILDING,_CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
.Owner Salvatore Colangelo Address 1737 Colden Avenue Bronx, - N,Y.
West Avenue Map
Located at (street Sec . 79C Block Lot 217,215,219
�:Indicate nearest cross street)
Municipality Putnam Valley Watershed Peekskill Hollowbrook
SOIL PERCOLATION TEST DATA REQUIRED TO-BE SUBMITTED WITH APPLICATIONS
-_Number CLOCK TIME PERCOLATION PERCOLATION
Run Elapse pt4 to Water Water Level
No. Time From Ground Surface in Inches Soil Rate`
Start-Stop Min. Start Stop Drop in
Mtn. /in drop
Inches Inches Inches
(1) 1 2 :30 3:00 30 17.5 20.5 3.o 1010
3 :00 3:30 30 20.5 23.0 2.5. _ 12.00
3
4 - - -
(2) 1
2:42,
3:12
30
15.25
22.00
2.75
10.91
2
3 :12
3 :42
30
21.00
23.00
2,00
15.00
3
5
5 E
Notes: 1) Tests 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 meaLurements to be made from top of hole.'
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION }'
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
.`LEr'
A012wy •'1V V e:.;.�i. ,. ,� o n _
RULE". 96'.
HOLE NO o
G.L.
Topsoil
Topsoil
Topsoil
611
3" Topsoil
5" Topsoil
411 Topsoil
1211
fine sandy loam
fine sandy loam
.fine sandy loam
some stones
some stones
some stones
1811
2411
30n
-36" .
42 If ,,+y
x+81' _
541'
60 11
6611 F.UTNAM COW
9E g. oF, HEAL`C�i
72" (r'.
7811
:INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED 305 down Ct�.S� �� e
_INDICATE LEVEL TO . WHICH WATER .LEVEE,- RISES AFTER BEING ENCOUNTERED 105 fd ®t .dog
.TESTS MADE BY John S*. Romeo Date I'kjrch 189 1972
11—I5 DESIGN
.Soil Rate Used Min/11fDrop < S. Da Usable Area Provided 5000 .SF
No of Bedrooms 3 Septic Tank Capacity 900 Gals. oo & Masonry
Absorption Area Provided By �O L.Fo x2411 Xx i , rencho
0
Q
l Northridge Road ° F ,
c . .
Address SEAL
Be-ekskilIg 0 0j,;� -.
0 f
THIS. SPACE FOR USE BY HEALTH..DEPARTMENT ONLY:
Soil Rate Approved . Sq. A /Gale
n
Checked by Date
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A'= 34
81: Z5'
As,'.
A3- 371
au 431
A4- 45.5'
P,ya Sod
A ts• 03'
aG. 58'
A.G. 45'
B6. 9 t'
Al> 54.s'
a 3G•6'
A8= 81'
43.5'
A9- 8'T'
94= Se.'
A I -. rrG
B%o- G 1.5'
DESIGNED & SUPERVISED BY
ROMEO- ROMANELLI -AMIGO
NOVI3197,
�.• •{ _ �,F ' 57 NTNAM CUUNTV DEPT. Of
•f �7e
h t
DIR CTOR, DIVISION
MVIRONMENTAE HEALTH S
d tt
k SEPTIC SYST4
,i
T 3 FOR _BEDROOM HOUSE S1
SOIIwo. RATE
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