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IPUTNAM COUNTY. ®EPA�B'II'1�iE1Q1°II'. ®]F II�A�.'II'lE�
Division of Environmental Health Services, Carme% N. Y. 90512F;
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM..-.' ' .
Town . or Village:
Os�!awana°Dike oad'a Paa$srna -®A�:� ' NoY° _. _ . P 60;--l-50; 5•,..
Located at Section Block
Subdivision Lot 5 Job
owner Robes$ F° : l rehe Address 190 Saratoga Avenue, Yonke� , 'N.Y*
Building Type SinS,ie Family Res. Lot Area gs�552 acPeCa3
Number of Bedrooms 4 Total Habitable Space = =pz 150n Square: Feet
Separate Sewerage System to consist of 1200 Gal. Septic Tank 252 lineal feet X 24" width;`.tr'ench
To be constructed by ���$ �� Address hak#I I pe d-mak- .
Water Supply: Public Supply From
—X Private Supply to be drilled by Ritek." up Ogille�ss
Address Sprout Brook Road fl Peekskill, New York
Other Requirements v
I represent that I am wholly and completely responsible for the design and location of the
above described will be constructed as shown on the approved amendment there to pg�
County Department of Health, and that on completion thereof a " Certificat •V( 4tr
be submitted to the Department, and a written guarantee will be furnis cr oG
place in good ;operating condition any part, of said sewage disposal sy ta�j the
ante of. the approval of the Certificate of "Construction Compliance o� th gi
will be located as shorn on the approved plan and that said well will be Ins Ile cl co
County Department of Health.
Date Signed i 1
Address 24 Maple Pla c y MAN
APPROVED FOR CONSTRUCTION: This approval expires one year fromtfhe d
revocable for cause or may be amended or modified when consid a essarvx�b
requires a new permit: A roved for disposal of domestic sa itar ewa
Date r By
system(s); 1) that the separate sewage disposal:: system
with the standards, rules and regulations of . the Putnam
pliance" satisfactory to the Commissioner of-'.,H ealthivill .
S. heirs or assigns by the builder, that said builder will
p(2) years immediately following thedate of the. issu-
airs thereto; 2) that the drilled well described above
ihe�ttanclarcls, rules and r ula i— off the Putnam
i✓ P.E.
`' 912
' r nn— No.
r
i�+struction
of the bui
.ing has been undertaken 'and is
Hof Health. Any change
pelt rati n of construction
supply only.
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PUTNAM COUNTY DEPARTMENT OF HEALTH AN I � .• `^�
i Division of Environmental Health Services, Carmel, N. Y. 10512
.CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Vally (t)
' lap 6 —1 -50.5 Tow I or village
t Os cawana Lake Road XXX
Located at Section Block
r Bob & Bill Lamarche .5 {
Owner— Lot Job
Sewrate sewerage System bunt by Val Car. Construction Adores, 30 Woodland Blvd._ Putnam Vall PV
kl consisting of 1250 Gal, Septic Tank 252 lineal Feet X 24/1 width trench
.;( other requirements f
Y r
water Supply: Public Supply From
Drilled er Norman Anderson, Inc.
X Private Supply Drilled '
Address _.$gig r St. s a P_ w York t
( single family res._ 6 -77
Building Type - No. of Bedrooms.--_—A— Date Permit IssueO
Mat Erosion Control Been Completed? YES "F t�Zl� p "
!p \�
1 certify that the system($) as listed serving the above premises were constructed �iteri 7afly 3ishown on Ae "•pl�ils of the eomDiet d work (copies or wraith are
attached), and in accordance with the standards, rules and regulations, plans I'led, n,t1fe Permit. lssuefd� bA; the Putnam C nty. Department Of Health.
Date / /s v Certifietl br �� ') y� '� •i �t P -E. X R.A.
24 Maple Place, Ositfju -r:, � 38912
• '" Address \ - �" censeNO.
- Any. Person occupying premises served by the above system(s) shall promptly tak?�$ucrldLtipil:�3lnay Q'eq�cbssary to secure a correction of any unsanitary
conditions resulting from sues usage. Approval of LAC separate sewerage syStenl,thali :6etOme•AbUI' arfd' void as soon as a public sanitary sewer becomes
available and the approval of the private water supply shall become null and void whlh.y- public -ve�scr suppW becomes available. Sueh approvals are
subject to modification or change when, in the judgment of'the Co m ner of Hai tlr•r�ucit ,evo atiorr;- fttdefiliration or change is necessary.
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PUTNAM COUNTY DEPARTMENT
OF II]!,LTH
DIVISION,OF ENVIROWMENTAL IMLTH SERVICES
<.r - ..- . ,.,,: �,:.... �...' C' Otil 'Q'1�'"r`bFFTC���"P1T:[1IIi1`I� 'CARN' �;I ' °N.• .,� a ,. 50�2� i- .......�..,,,�. ,.:•, �_ .. ,�.�;;�. ;;,`.
DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner Robert F. LaMarche Address 190 Saratoga Avenue, Yonkers, 'New York
Ma _
Locatedat (Street Oscawana Lake Rd. Sec. Block 'Lot 5
Wdicate nearest cross street)
Municipality Putnam Valley (t) Watershed Peekskill Hollow Brook
SOIL PERCOLATION TEST DATA REO,UIRED TO BE SUBMITTED WITH. APPLICATIONS
Notes: 1) Tests to be repeated at same depth•until approxima tely equal soil
rates are obtained at each percolation test hole. All data to be submitted
for review.
2) D-;pth moasurements to be made from top of hole.
c
Hole
Number'.' CLOCK TIME
PERCOLATION
PERCOLATION`'
Run apse
p .
to va -er
Water ve
No. Time
From Ground Surface
in Inches. Soil Rate
Start -Stop Min.
Start
Stop
Drop in Min. /in drop
Inches
Inches
Inches.
y
Notes: 1) Tests to be repeated at same depth•until approxima tely equal soil
rates are obtained at each percolation test hole. All data to be submitted
for review.
2) D-;pth moasurements to be made from top of hole.
2
Notes: 1) Tests to be repeated at same depth•until approxima tely equal soil
rates are obtained at each percolation test hole. All data to be submitted
for review.
2) D-;pth moasurements to be made from top of hole.
1
Bob & Bill LaMar the Putnam, Valley M
Owner or urc aser, o Building.- Mun .cipa ity
O�
"'Map' 60 -T 50'.5'
u ng Construct6d by 'ac ion
os c aaaria Lake Road
oca t on.. Street
single family res. 5
ffu-fmng Type Lp-t
GUARANTY D.F SEPARATE SEWAGE SYSTEM
I represent that I am wholly and completely responsible for the
location, workmanship, material,'constr,uction'and drainage of the sewage
disposal �system,.serving the above "descriti'ed property, and that it has been
constructed as shown on the.ap roved plan or approved amendment thereto,
and in accordance with the.standards, rules and regulations of the Putnam
County Department of Heal ?ri, and "horeby guaranty to the owner, his sucees
sore, heirs or assigns, to. p ad6in Rood .ogarating condition 'any part of
said system constructed by ilia urhich fai l.s _to operate for a period of two
years immediately following :the,_da.te- of. - Ani.tial use of the sewage disposal
system., or any. repairs ma -de by me.. to :such system', except where the failure
to operate properly, is caused by,the: willful or negligent.act of the occur
pant of the building utili z.i.ng Al e, systam..
The undersigned further.. g.reas to accept as conclusive the'de-
termination of. the .Director: of the Divi9i.on 'of Environmental Health Ser-
vices. of the Putnam. County Department <of .Health,.as to' whether or not the
failure of the. System to operate:.:was caused- ,by ..the willful or negligent.
act of the occupant of the bud� i the sy . -.
iln ut �i�
Dated this day of' ;74N,iA4.�a I SID Signat e
Ti t i Owner
f corporation, .g ve name
and address)
THREE (3) COPIES ARE RE4UIRED WITH THE E (3) COPIES OF FINAL PLAITS BM RE
CERTIFICATE OF COMPLETION WILL BE IS811ED.
GUARA\TTQR IS RE�uzRED TO FILB QT C QF R&j OF FIHST USE OF SYSTEM.
s
- - - - - - - - - - - - - - .. - - - - - - - - - - - - - - - -
Division of Environmental Health Seruiees, Putnam County Department of Health
:.'"�� +lt%.r ..+e�i+ s•S• i .. ,! 1. s..t.�x':. -` •jy�. e, ». •L M-::t `'�.4RA. I ytm,t': lea.•' -�= t r•. 5. - e..F+., a -, -..p; ......w- �.;:�..r a.. :+• sl '1 .:
Tu
.�.j /• VV__ •�-- °O'- _``r . R�.• fit.
cam: 4.
OFo ..,srr /�/j • Ir. "• 1 qa. �?" .n .....+. �. .•..........�.+oww�....e..r..s
C'77 °
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775 777 771-
PETER C. ALEXANDERSON
County Executive
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
June 6, 1987
Mr. Lamarache
Oscawana Lake Road
Putnam Valley, New York 10579
JOHN SIMMONS, M.D.
Deputy Commissioner
JOHN KARELL. Jr., P.E.
Director
RE: Proposed Addition to Existing
Residence 2M #60 -1 -505
Dear Mr. Lamarche:
I have received and reviewed the plans for the proposed residence on the above
mentioned property.
The proposed addition will require that a portion of the sewage disposal systEm
be moved. Your as -built plans indicate that you have 100% expansion area shown
on your "as- built" drawings.
Enclosed please find a repair permit, which must be filled out and returned to
this Department for approval. Please indicate which fields are to be removed
- -- - . w� te nd_the ; cry :' �et ne- . ;
including your awn, with 200 feet of the proposed trenches.
If you have any questions please feel free to contact me at this office.
Very truly. yours,
�
William Hedges, JR.
Sr. Enviornmental Health Technician
WH:mk
enc.
cc: M. O'Dell, BI, PV
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ald'gA°�`campl�te� by tl�al) rar'liiet and�sfabm'lttet$ ao��a4lnty'h)ealth �lepartina�'R,t�`>�r�
YP ( fia pI4 indic4tinQ Water is of sptisfactory bacterial quality 49dare certlfic;Iita o.,ca
JA 2' 5
IBS.
Rip ®I,T MUST BE SUBMITTED NIIITHIIN 30'DAY&5; ®�'WEB.4:'1CfiMPB.ETI ®6N
7 -77777
NM
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PUDIC ('"'I AIR
D D D COMDITIQNINO
OTHER
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;UPPLV INDUSTRIAL
IR,opcify)
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OMPRESSED
D 13AIR D
CABLE OTHER
D %pocify)
CAUIPI. ^,GI�Q
ROMPY PERCUSSIQN
49RCUSSIQN
6Af3IPd0
lEtTf�TN (IPeU
D11�ASETER( inches) W91Cr1'IT
"
PER FOOT
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(—'�
D
YES Q NO
b � raw
YES N�
09TAU
THREADED WAWRD
YtOLD
((--��
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NQURS G 1, .,
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TOR
HAILED LJ PUMPEq
AIR 02 0
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WATEp
ffiEA;04 PROM WHO SIIRPACE— ST044601y /oeU
DURIN¢ YIRI.D TEST J' t
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p Dm th of 6om p lofod Woll
6
In foot below land surfaces
MAKE
LENQT" 9PEN.10 AW4i1PE5 (tget)
—
6401 oizo
PIAMETER ( /nghes)
I1, GRAVEL
Diameter of wolf inciudin0
6909L bE 9.000)
f$pA1 1900
® (voU
prTAN
PACKEDi
grovel pack ( /nchos):
p,?TN PCOM LAND SUaPACE
f QRMATiON DESCRIPTION
Sketch exsct location of wall with dlataneos, to of #900t
landmark,,
PELT to FEET FEET
ZZ
.•..w r .. .... -..... en ..se a... - -1C.. � .. +.+ -r•. ..• T'. :.�. -a• ..1,^:...+v. ss ti. - �c-ne.
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If yield
woo fcsted of different depths during drilling/ list below
FEET
GALLONS PER MINUTE
1 'y
0411 WILL C a
DAT9 QF IaEPORT
ih(�l.l+ PRIL.L ER SlEinalwa)
NM
ROBERT F. LaMARCHE
RD 2 BOX 252
PUTNAM VALLEY, N.Y. 10579
March 21, 1980
Mr. Robert Folchetti
Department-of Health
County Office Building
Carmel,.N.Y. 10512
Dear Mr. Folchetti:
This letter is to inform you that Timothy L. Cronin, Jr. of 24'Maple
Place, Ossening, N.Y. 10562 no longer represents me n any matter concerning
your Department. . In lieu of this, I would appreciate it if you would send.to
my above address a copy of the compliance and /or Permit to Operate an Individ-
ual Sewage Disposal System.
Thank you.
RFL:ls
ry truly yours,
ROBERT F. L CHE
Subscribed and sworn to before me
this 2' day of March, 1980.
Notary Public
LYNN A. SCHNEPF =.
Notary Public Stain of New 'York
No. 304658158
Qualified in 9assau County
COM mission, Expices m&ch.30, 1979'
8! .
- §,. 1
PUTNNAM. COUNTY,
DEPT: OF HEALTH
r'
3�
ROBERT F. LaMARCHE
RD 2 BOX 252
PUTNAM VALLEY, N.Y. 10579
March 21, 1980
Mr. Robert Folchetti
Department-of Health
County Office Building
Carmel,.N.Y. 10512
Dear Mr. Folchetti:
This letter is to inform you that Timothy L. Cronin, Jr. of 24'Maple
Place, Ossening, N.Y. 10562 no longer represents me n any matter concerning
your Department. . In lieu of this, I would appreciate it if you would send.to
my above address a copy of the compliance and /or Permit to Operate an Individ-
ual Sewage Disposal System.
Thank you.
RFL:ls
ry truly yours,
ROBERT F. L CHE
Subscribed and sworn to before me
this 2' day of March, 1980.
Notary Public
LYNN A. SCHNEPF =.
Notary Public Stain of New 'York
No. 304658158
Qualified in 9assau County
COM mission, Expices m&ch.30, 1979'
8! .
- §,. 1
PUTNNAM. COUNTY,
DEPT: OF HEALTH
r'
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMFNTAL...IiEAI,TH-SERVICES
Date
Re: Property o f /Z
Located a t 0S c4om rJ-9 �4 /00 tW.VAI VA
Section Block Lot
This letter is to authorize
Timothy L. Crordn, Jr.
duly licensed professional engineer x or
(Indicate)
apply for a Construction PerirLit�for a separate sewerage system; to
rve the above noted property in accordance with the standards, rules
r regulations as promulgated by the Commissioner of the Putnam County
9bartment of Health,,and to sign all necessary papers on my behalf in
hnection with this matter and to supervise the construction of said
stem ..or.,...*sys-tems in.
Education Law, the Public Health Law, and the Putnam County.Sani-
ry, Code.
ess
P-1140,
miining, New ork 10562
Very truly ours,
Signed
ours,
Owner of Property
Address
M/- 910. X17q
Telephone
(Seal)
11