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HomeMy WebLinkAbout3361DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.06 -1 -4 BOX 27 lirs ,. 81 1 .� mwm 03361 1. b ARTHUR P, Mc LAUGHLIN PROF SSIQi�I�;,� E ^•' �'PJE R • •LA.MDe_SU4l��YA, tv' R... ix6s <<= t'.::.- n-. r�:: :tir�:i: r.:. >.;.r °• :r�• «•ia;'.r .e:;::.�. :,e+.,,i ..:s MILLTOWN ROAD, RD NO. 8 BREWSTER. NEW YORK 10809 (914) 279 -8988 August 20, 1977 Mr. Bruce Foley, E.H,T, Putnam G ount.y • Healtth Department Division of Environmental. Health Services 'County Office .Building Carmel.. New York.10512 t VIA: Mr. Alexander Zywotchenko HANDCARRIZED Dear, Bruce: RE: Septic As. -Built for Lot # 3 -. Lake Road Estates,, (T) Putnam Valley TM 60 -BL 01 -p /o Lot 5' Attackied: herewith please find certain items appropriate to the securing'of a compliance certificate from your department., Since I have already been paid for my Work on the project, I . have no objection to your turning over the appropriate ibbms back to 14r, Z. otchenko directly. For your convenience, is phone number is (914526 -- 2599. As I know of.his anxiety. to close 'on the property as soon as possible, I am sure he would prefer picking up the paperwork rather than having it mailed to .him, so please call. _The following .are . the items._..of. my transmittal: (a) "Certificate.of Construction Compliance for Sewage Disposal System" 'form, original & 3 carbonle'ss copier, as filled in and'dated concurrently; (b) Three copies '-P 20 scale "Septic System As- Built" ' as most re'cently.dated concurrently; (c) Form. # 53042 fromthe. Peekskill Medical Laboratory entitled "Pesults of Examination of 'hater" (d) 2- copies each of.'Guarantee Forms as signed by owner /g.c., and also as signed by septic installer (note - l,copy of each is already in the hands of the building inspector) (e) 1 copy of survey showing house by Alex Bunney, L.S. (f ) 1' copy of well log (well completion report ) Your early action,in this matter will be appreciated. Very my yours, Arthu P. .c g , P.E.,L.S. Encls. Copy to: I:Tr. Zywotchenko (w /o encls ) Tanson Builders, Inc® owner or PurcE-aser of Building --In Tta;ns on-,�B- Ll d6-!,,s - I -c-. ffu-fng' Construotf-ci by Oscawand Lake Road Location - Street Single Family Residence BuildAng ype (T) Putnam Valley Municipal-ity 60 N4*4647ax Map 01 B1-0-c k-- 5003 TFF GUARANTY OF SEPARATE SEWAGE SYSTEM represent that I am wholly,and completely responsible for the location, workmanship) material, construction and drainage of the sewage disposal system.ser'ving 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 Dapair-tmen 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.taco years immediately follo,,►ing the date of initial use of the sewage diapo's 1 system, or any repairs ,Pade by me to such sirs.tan 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 da® termination of the Director of the Division of Environmental Health Ser- .Vices. of the Putn.ain County Department, of. Health as to whether or not the failure oftho system to operate was caused by the willful or egl. ant aat of the occupant of the building utiliaing the A'8' S eta er dD�atad this day of. Signature ur ties G a I- q1 A Y7" otor �Qrporitloh' g Ve namo and address) THREE (3) COPIES ARE REQUIRED WITH THREEE (3) COPIES OF FINAL PLANS BMR9 CERTIFICATE OF COMPLETION WILL BE ISSUFRD. GUARANTOR IS RE LUMP TO FIL9 EOTICE U PA—TE OF FIRST USE OF SYSTEM. - - - - - - - - -- - - -- - - - - - - - - - - - - - - - - - Division of Environmental Health Services, Putnam County Department of Hoalth. -- _.;�T^��.on�'nler e7'a • '�5 n•�„o- 'i..�.'ii^� -;a ��uo`u.�+: ��-t:_ �' Owner or Purchaser of Building Tanson Builders Iric. Building Constructed by Oscawana Lake Road ocat on `- Street �.= .;r.'e,`_�i ":� `-.,:. ��+: at:: iu�' gdtic'::-.: e. ,;.ae�•n:�+%a.w�ic<r..iR'.�xis cip 60 N Tax Nap Ol Block Lingle Famiby Residence 50. ME ng.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 Soros, 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- .._vi.c.es..of t.he._Putnam._ro.�nt - �}ep rtrrznt fly' �Hea3th =- s Ya lii �e oi' -"the Sys "Y& V-o operate was — caused by the willful or negligent act of the occupant of the building utilizing the system. pps Ge eral, ntr e 1 Dated this day of 19 Signature � �. Not as_��pti Sy Installer Title laro� ,�Lf /LD' f' /it/�°. lil corporation, °give n.e And addres 4/ 1115qf - - - - - - - - - - - - - - - - - -- --- ��r©J11- THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFO 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 3 WELL COMPLETION REPORT 3171 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK - -_ - Thisy.re on is. to ! e� om. E?ted: v �l'�d�i!!�- krs� S ��ziTTFr� tz ^: �`Y' 31t par- trrersi to�ttiaea �v; h eb�r+at sy=i>;pott 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 /] C1% /% 'f7 '4 OWNER NAME ADDRESS yr, /j LOCATION OF WELL (No. Street)' (Town) (Lot Number) L PROPOSED USE OF WELL F] BUSINESS DOMESTIC ESTABLISHMENT ❑ FARM ❑ TEST WELL .' PUBLIC AIR OTHER r] SUPPLY INDUSTRIAL CONDITIONING (Specify)' EQUIPMENT CABLE OTHER ROTARY -� AIR PERCUSSION E PERCUSSION (Specify) . CASING DETAILS LENGTH (feet) .2 o1 DIAMETER (inches) �( WEIGHT PER FOOT / 7 �j �' THREADED ❑ WELDED I E S O YES NO CASING 7 YES LJ NO YIELD TEST HOURS G.P.M. BAILED El PUMPED COMPRESSED AIR Jlj YIELD.(G.P.M.)„ U WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) DURING YIELD TEST (feet) bDep of Completed Well J t bel ow land surface: j �p SCREEN MAKE LENGTH OPEN TO AQUIFER (feet) DETAILS SLOT SIZE DIAMETER (Inches) [IF GRAVEL CKED: Diameter of well including gravel pack (Inches): GRAVEL SIZE (inches) FROM (feet) TO(feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET 1 If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE W LLLLCOMPLETED DATE OF REPORT W EF�( igna re) L 7F ■ 119, wed= t Tmeirwtr 1A n 0 16h r 0 Couxatg -A b Of f J De M ni, NOW Yb- rk' 1, ®512; Sanitary System Design out h s di 10 NIO A'wa- L atnaML Valle titJI, Ear: an rr: i�yvu 4 77 7 t f 4 it t; 1. IT, 7-7 tot, OP 0 7 317/'7 loft D System o .2 1 S.�I 20 'Ia ..3 -mL c 61 la fte qiA t�ai 1 s:- •3/1 9/7E 2 of2 G e ri e r a 1 n 6 t e s' 8- s d6 i f 4 3/19/7E forift -Pm 't %or,-., ewa6,-,,his, -oosal` oil .,Pe, D.. 9 f :91':'1 Aut z' 9/7 hbr ation.,forpir",— P 1e Id -C -,� und6t Review check Sheet I �z g-f, Ti� i.,L ch T-4LAMM T-TtD 009M P—:p xx 0 A., U pon review':-c a-6 6rLal of Ji i S su b mis -sion 'leas return' rn' 'A 1. the appropriate':. -plans & pa p e r t this '1'�.S pf fil c e ;- K" Oopy tot File �p ne Nicholas, G, Ch. is 41 11 �A 4", W-Oway"d V QQ 1PIR 119, wed= t Tmeirwtr 1A n 0 16h r 0 Couxatg -A b Of f J De M ni, NOW Yb- rk' 1, ®512; Sanitary System Design out h s di 10 NIO A'wa- L atnaML Valle titJI, Ear: an rr: i�yvu 4 77 7 t f 4 it t; 1. IT, 7-7 tot, OP 0 7 317/'7 loft D System o .2 1 S.�I 20 'Ia ..3 -mL c 61 la fte qiA t�ai 1 s:- •3/1 9/7E 2 of2 G e ri e r a 1 n 6 t e s' 8- s d6 i f 4 3/19/7E forift -Pm 't %or,-., ewa6,-,,his, -oosal` oil .,Pe, D.. 9 f :91':'1 Aut z' 9/7 hbr ation.,forpir",— P 1e Id -C -,� und6t Review check Sheet I �z g-f, Ti� i.,L ch T-4LAMM T-TtD 009M P—:p xx 0 A., U pon review':-c a-6 6rLal of Ji i S su b mis -sion 'leas return' rn' 'A 1. the appropriate':. -plans & pa p e r t this '1'�.S pf fil c e ;- K" Oopy tot File �p ne Nicholas, G, Ch. is 41 11 �A 4", W-Oway"d 1PIR 119, wed= t Tmeirwtr 1A n 0 16h r 0 Couxatg -A b Of f J De M ni, NOW Yb- rk' 1, ®512; Sanitary System Design out h s di 10 NIO A'wa- L atnaML Valle titJI, Ear: an rr: i�yvu 4 77 7 t f 4 it t; 1. IT, 7-7 tot, OP 0 7 317/'7 loft D System o .2 1 S.�I 20 'Ia ..3 -mL c 61 la fte qiA t�ai 1 s:- •3/1 9/7E 2 of2 G e ri e r a 1 n 6 t e s' 8- s d6 i f 4 3/19/7E forift -Pm 't %or,-., ewa6,-,,his, -oosal` oil .,Pe, D.. 9 f :91':'1 Aut z' 9/7 hbr ation.,forpir",— P 1e Id -C -,� und6t Review check Sheet I �z g-f, Ti� i.,L ch T-4LAMM T-TtD 009M P—:p xx 0 A., U pon review':-c a-6 6rLal of Ji i S su b mis -sion 'leas return' rn' 'A 1. the appropriate':. -plans & pa p e r t this '1'�.S pf fil c e ;- K" Oopy tot File �p ne Nicholas, G, Ch. is 4 ! p ±� `✓ ,d"° f IIr nnn UUUk Ap+' yiv;, _ 5, £ &vF`3 ¢'}MryJ���, 4ibi+tt �+T, s S � '4i•. ��SSr'� �,4X1p�G'j4 , +:J x. � � - :rS�,�' e� _ � LaF ?�1A�' aw •�'� x'r�� •'3�.�...�J � � 5 r v�C+ !,4J�..� �(r�.r'7 a , 'b •F�. .r K..F+e.,. rx.,m�+,.,<.:..< �'wL= .e.verr .u4w�,u wc- `..err s s.�:mvc .ara?•.��.e i�h:'..e. -... ,,u . _ a ;;z x,,. .r ....�....s. cn.a .v.5.�n.sa.,v . .e - . .. ,. . - '���5: �r� ''..�;,c•"�,�..,..i�% ���, �.b+n�dt -� Y� ...t t�k�';�t�+,..xfi Kr s�'.� a'? „�"�.% rs, t"> i'a,.. ” n �ycrte�,u7.�,tt,, �.d+ara�''.�rh`,R�r.#�r .. �R't. ��+qh - �m�� Rr*"�;p :r,k L.sdW' `iii. �+ t'n' , `� a ,�' ak ra W e- �sy r x^�-` F_.,u ,�k'•s ..,.� +w*ac wee, -sr tic,R'uir «• s ..a KA 45ik�Y`F "'''i,3' Si''A�k -# e' �^`�t"+i.,n, ..Y``a4 rF.:.0 ec+ ,d,.'�i a� 4'�`'r F•�' )4 �.t h r. 5t, i.? 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'ce d s' V a s( lois- bodim- e i vell ir do . +;aa � :.ara+acra+cvc!✓+u+r,�awo-' �+�'W:+"C^S'MS°� .S, A (qo 4 .9':` c: b O • 7 - 0 6 All 4 M -2 •k• AmRWio@A{� _ � 'r�i .evr9nu� NN ti�%1�1It>r ��9q fo gy�y yB • Of � MOM SITZ R.+M- "'i'F�kt4� ` q"�3Cra �"�'JCI FIwaMY'fi91tl ®YWb/MH- i. r 4GViee�f�+. b�T�Ait.:YE1e, �* ,Md±• ,. r � r �^,' � ,r. -i.: „• ,s:: F .�:��.+�?r.. �l c Ix. �:.trw I .+.. i. <r ..r... Aa, a "h x - +»ia^ ern 2 �. �. , 8cx s ,yay ,.v-xe +:� .. wRS:n ya :x^tn ... ern :,W'. -.ate x .n t1 W.-,- of., ,a-I• •fit } +�SJrc•�'''�(; iq wl- .717, nf N lb "�tlmj� V Ox .1C ` 161 .1 Ao _U 'ot, n4. to QB dg- _S� 2, m:� m1mg ON 7,777-, • PUTNAtii COUNTY DEPARI' TENT OF HEALTH -1-C Date 3119/76 Re: Property of Contracting fomo Located at South Side of Oseaviama Lake Road Town o Putnam Valley Section_,G fil0c K Lot pin Gentlemen: This letter . is. to authorize • ji,.:. Y61;aughliil -4 duly licensed professional engineer KX or registered architect (Indicate) to apply for a.Construet.4on Permit for a separate sewage system; to serve the above noted property in a*ccordance.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 Pf said system or systems in conformity with the provisions of Article 145 or tion Law,- ti's,. FL.4�3am Sanj,� tary Code. Countersigned: P; &,R # 43952 eool Address 7--7 ARTHUR p. INS LAUGHLIN PROFESSIONAL ENGINEER MILLTOWN ROAD, R. 1). 0 914 0.279 - 69-96 Telephone Very truly yo rs, Signed -11 Own of Prropert91 Address Telephone ■ .'t' ii 441 a VfVMQWR5TML',t-,HFALTff ���Ma C,on plus ion I us a', 0 IN; X4 :ra V A.0 R, N Ilk A .0 f 05A L 9 ft p p4gvud A` "", 3'6: S Road , 0130 ta 3 k", "0. Tto cIL - 3 u o is v A 'AQ 0 :0 7777 c FERCOIA ON S TI PMOIATI M WE to ter vel YAl 'ZO From Ground- Surf 4n'.1ndlum SOU, Attort Ln Start op. -n N. Inches Inches 11"OU 11 an -1 rt 10" 4 17 4" 17 SOW r 4sL 49 17" 2011 C,on plus ion I us a', 0 5.mino d sign 0 :ra -2, 0 YAl 4 U PEEKSKILL MEDICAL LABORATORY 1879 Crompond Rd. Barclay Plaza Bldg. A, Apt. 1 Peekskill, New York 10566 PE-7 -8777 DATE COLLECTED RESULTS OF EXAMINATION OF: -WATER 7 `7 OWNER DATE RECEIVED Kb C1TY,.V1Lf AGE, TOWN & /OR NAME OF SUPPLY DATE REPORTED / 1 -� Gl /�� � 1, -�» SAMPLING POINT GJc_ LL BACTERIA PER ML. (Agar plate count at 350 Q. COLIFORM GROUP (Most probable.No, iooml.) HARDNESS, TOTAL - ppm DETERGENTS - ppm' NITRATES (as N).- ppm IRON, TOTAL -ppm FLOURIDE (F) - mg. /1. These results indicate that the water was 'es of a saiisfactory;san#ary quality when the sample was collected. / r`rr A. H. PADOVANI, 'M. T. (ASCP) m �—� `1 o PUTNAM `COUNTY DEPARTMENT OF HEALTH ' r Dwision of Enwronmenta/ sHealth Serv/ces, Carme /,N Y 10512 N"_ CQJSRUGTION PERMIT FOR SEWAGE' DISPOSAL SYSTEM' Toovn of'u -tnamLL Ualle� or. Village. dcat�d;'aTA'`t�1C�e ; aG�('vuS��9,'aT3a Lr"Lt�f' =R *A:3t�. Section ��dl �(l - +aBloci2 R(Lakeosd- atates•te� Lot :$ubdrvison J _ - i rt' s., °-Owner •° _ fires _ Y Pliahopac `euud�n9Type �- farritl� res3dene�ot Area 121` 711 s mf n 9 // 10341 `Number °of Bedrooms Total Habitable Space ©ver 150 Square Feet ��� r'�'s"'? x' GalSBpt�C Tank. K.4 � r [["�s Separate ^Sewerage System to cons�stof , �1� eet YX -width, trench R6Jo o Contraeti °na COTS Address T onayt�e - nr To be constructed by b 4 i 15 A J r ,� Mahop`a e 9 i� �Yo 9 Water Supply Public Supply From a - Private Supply tocbe drilled byr �A A cArrYq�i1� _h W v tt. ,gin A L F'�� ? 4'�` { "n i•% - - dtlre "ss� - b Other Requirements pe 1"' plan .be submitted 'to the DepatmenL, an -place in ;good` operating 'condition, at 'ranee of•t;the approval of ;,the Certific+ � °will be located as shown on the approv County Department of rHealth r � x ipate /1917 Addres -APPROV:ED F614 CONSTRUCTION: i revocable fors cause or m ybe amende �^ requrres •a new` permit %`�gpproved�fi :Date iq f h i 1 . CERTIFICATE ,UF CONSTRUIC South side ef: Located at4 Lot 3 Pi Lak ti Water �Supp � t tify,tha_ Date _, sisting of er areq u �rements> Pub�l c Sup Private SuF =�Addiess B trot Been Completes ., se'8dng' l pying premises served'6 tten' guarante'.e will` b,e ,fi of` :said sewage sp diosal onstruction _. qrnpliape en d.that�sa�d, well will 6e ' s- kqy a 55 Signed G ltown Rdo 9. �prov_al expires one year,�1 d�f�ied whenscons�dered;n sal of domest`�c y; r fie., a e - s�g't,.s., w r :' '7`3. C TNAM COUNTY of -- :Environmental` A )MPLIANCE�yFOR�SE wana Lake_. Rro� ad.- ;�statea ��.ChSY'CZ "S �1.0 Ic Tank and r' plans,, s7 o- ate of .Eonst�uction Compliance:''satisfaetory , to fhe Commisswner'of Health will lied the owner :his successors heirsror assigns by 66 builder, that said builder will. _ tem during the period of two (2,).years Immediately following thedate'of the issu- fhe orig`iraal system or any.- repairs fhereto'2) that fhe drilled well:,descObed above Il stadards ed in ;accordanc pp,`Teutio- �s of -the- -Putnam rul a ' Ov G 1 J _ _ 9 BreS er 9, 1 0 -9 43952_ License No: the date issued. runless construction ofFthe building has been undertaken and is ary by the Co'mmissionerof Health A`nyw change or alteratwn,of construction`' v - PARTMENT OF HEALTH h Servfles tCarrnel ,/y Y iX512 - GE DISPOSAL SYSTEMI' ;�.° pl, tri m ila l i Aye 1 f Town ors' V- illage: Tax Map 60 81ock' 1 l Q t%n Te•CZ -t -�Q —,`, rds EoctYn Lot 6 9 Fabr, Court ; Rt" 6N u o j opac NY I heal P rA i�3 rat>IAn� CA atC + 6 k Valley.,: New 'York s of Bedrooms�T4+raa ice, ate Permit Issued' 3/19/76 = comyy�� t lesecl ' Cont P! racting Corp , y ` o placable, ,bea.ra accompl zshed essentially as shown on tlia plans of the completed,fw r F (copies of:which' are fad, t permit �s by t e Putnam ,Qou apartment of Health i : r X RA License No aka suchtaction as :may be necessary to secure the correction` :of any unsanitary rstem shall become null ani void as soon as a public sanitary sewer; becomes void when ap'ubhc water supply becomes available 'Such approvals are g - Judgment- . , rev lion, ifiCat(on or $hangs is '- necessary. yr %of! a wnen �n .ine of the Co ner of Health s T