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HomeMy WebLinkAbout3388DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.08 -1 -32 BOX 27 ir 111%w: 111%w: I 512 'x V", Ty, Block -' L 0 �pias ��,Ha�llow'RoTad ,Put Valley.. -7 width trench -g- i" f which pie Q6 �'4(jcop qs 0 ' W hih a 1, -,-" t A Department,of Health. aLlceASe No S: jr r f any `-uriiiniiaty sanitary er:becomes r ,becomes ,available r Such approvals : ., are 0 1" necessary Title'~ t WELL DOCATIO WELL name WELL DRILLER i. name TOWrT OF PUTNAM VALLEY _ WELL DRILLERS LOG- AND RE20RT street section b o aaaress �laddress 1A-a city or city or town baiie(i tneasure from i a surface) Lengh: 7J feet or X PumpeO /T o Static eft Make: en Bailed lot Diameter: el :i Inches Yield: GPM Dr Pumped ft _Length Ft. size' Kind: Diameter In. ;TAE DEPTH OF WELL . - Fe-et Depth From... - 'Give.description _ of formation �ne.trate-. d.,.such as: -peat, Ground Surface °..silt`4 sand, gravel, c lay i`. h p_eardpan, shale.,' sandstone, granite, etc.- Include size f ..grave l.(diame ter ..and sand. - ' ( o U medium; course , color .of-mat,erial,.' structure - (Loose; packed9 cemented, soft, hard)o Exa Oft.-to 27 fta- ,: fino... aGke_d :yellow sand 2 .. ft. to 1 34-ft ra ... granite) !eetto eet ormatioin'.D6bbri: tion Ske ch: exact< location 'of -well -to at least two'. - ermenant.. Landmarks.. qk Date Well" Completed o2 & a 7U Date of Report -- 14611 Driller signature TEL. MAHOPAC 8 -3654 BROOKDALE RD., R.F.D. 4 .v..= �,:f�aZ�'�Sl'7. eL'� .'-, . _.- ,..e.....i�s:xi'� ^��x= �:K::, • .��.d_��i�- _;�„t�.i��:'.� -�'�«. X74°; T-. �::':�- :._c...e.i +::Gr:- ..'i�M MPta,ML>Y >e.t...Qy•fwf Nt. .T...I.. �'1C+y. `P`< PLUMBING LICENSED ELECTRICIANS o HEATING MAHOPAC, N. Y. Pear 15.. 75. 'Varner Construction Corp Tian Mafrte111 Job _.,, prout Brook Rd Jeanne Driy ,,..Lake Vincent - Piktnam.Valley NY. Putnam Valley To Whom It May Concern; This is to certify that I have pumped, the well on the property for a period of thwee .-hours at the rate of 6j gal pet minute. atattcjAyel at beginning of pumping cycle 52 ft from top.' 112 ft at the end of pumping. a 7 4 =K': or.. � tv.• sr ... -. � .rl .e , FO . f .-'f .. -h � i w w-•ar- �.......r. .. v .r'-. .- ti . u..... . a T- ... ✓ -� ... t . t D � ...ra �. � e.._ nn ...w�� -ter ... F G � 3v�9Ab Ws,F 'i I •° _4 a . p err r. 1L.rc)lclse)� of buildialb j1.iC•1[,tl iffy . Awn 334a 02) ° �i �.�' ,p.a -.',moo .t ��H��.. •- �r.� .r i:yiR,.n -r `R�a ts- `t a w %�° •rr n =:..rw1 �•w.s , •�, c- nr.,..�• %-i.� m� ..`r+.v+. -i .4v w.'.T _ :Idifl Cods truc te (1. by. Sectio:� a a° ca' • o ,moo' •. -ation - Srcct ° ck o a ° ldira�. Zype hot. •. ° ' GUAMNTY OP SEPjARATP ST,-v "M SYSTE`1 I represent that I. a m. wholly, and completely resDonsibhe for.; the Tccat on kmanship, ''material, construction and .drainar,c of the sewage .disposal sysfien vin the above described proper, and that. it has been construc.tcd :as sho;:,n ,oil approved -plan or approved an endment...thcreto, ` anc?, =in acc.orcance c;i'th the stan.dar.' :S.. �s and regulations of the Putnam .County' Der)trtment of Health, and aereby: guara.rto Che.•o:-7ner, his successors, heirs or assigns, : to place in`.cod o.peretinp conciitio:i part .oz sai ; system constructed by me. o'hich fails to operate fora period ol: 0.:0 ^s 'imomiediately follo: ;ino the date of initial use• -of. the: sec.:age disposal s;- st.bm.` or .repairs made by me to such system; except a:here.the failure to operate properiV . !HU.1> 3C1 .liV - 'Ctle Will U1 UI' di: : U.L i lie Ot -!%.; pail t... ui cA,c i-e%ml _ The 'undersiT ned further .aCrccS' . - accept as conclusive the. dotermin ;:ition - :}le- --�1I= �'��� ©�', -Oa- th'� �l��iS1£?il• of --,Env r -lan>a e�:a :._- },1eal�}r -cezv ces'=O " iie �iltKlc �i I�.GU'ii �•'..: trtment of 'Neal`th as to whether or not. the failure of the s" Stem, to oper.�ttc' :.tas ;ed by the It' il�ful or .ne�lioent act : of `the occupant of the -building utilizi. :em: !d this d. ay of ].97�� Signatzlre .. '' Title •. • (if coi porat on, dive name 'ancl adcre,s: O%I ifs,. • :1 • • � - - ---- -- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — - ----- — :E.. (3) �OUIES ARE RECUT RE D 1 ITH THREE (3) COPIES OF FIMi L PLANS.' BEFORE CERTIFICATL. 6101PLL1' M 1TILL BE . ISSUEll i ANI OR TF011h Mr D TO. FTLi .NOTICE OF DATE OF •FIRST USF. OF SYSTEM. -. . ® -- ----------------- - ------------ -- _ - - -- -- -- - -- - - - - -- -- sion o`:f Environcilcntal Health Services, Plit�iam. County Department of lie�zlth lu ,.— i�.P's�. ".Y` -�.a"u •w+�,.""t�+,+. ,81OCk��^ �''a1k'i•s.+ •„-,,, k,.. �t v�:: .x. a �7 1 e - .-Job s Z, 'Space + Square Feet is lin'aQ feet X bit` width trench gout_ Brook,;R`d .._ . w.. utnam Valley = N.Y,j F S�Y1�� ia�ilY ti h• r.k � t C i U S eYa�NY ff :: ergencygoverflow � � 1 leach` pit Dia x b 0 ftTdee m(s);;1) thabifQ;±�' tersewage�isposal systerri ' he stand�Mtl °s' a ions o e u nam ce s45f' C r4ilsswner.of Health will ieir 0r ;t it 'that said builder,woll . ee ite of the; lssu .. irset e I :wel l desccrit ed ,above,fi ta�d a rul late f 'ahe Putnam' in Iction ®Wp�n°�l n undertaken and is Health Aqy 1Eha eration of..constructI n a �t ®O ` FUTNIAM COUNTY DEPARTMENT OT HEALTH DIVISION -.fir FKVI'RO j 'Ir, _tiFI�LTI:1 - SERVICES Hate November 5, 1974 Re: .. Property of Robert Turner ° Located at Jeanne Drive & Boswell Rd Putnam. Valley Section Map 1238 Block Lot 14 Gentlemen: �. This letter is to authorize John S, Romeo a duly licensed professional engineer x or registered architect . (Indic'ate) to apply for a Construction Permit for a separate sewage system; to serve the above note d. 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 ..(!flriIlF+(''i'.iCir., i1)'I Ytt 'I -h:j :G j!lA 't'f?7- .ar.0 rn �4Tingrjri CP 'F-hn a+nnCi"rnlri-i nn nt Cai n , system or systems in conformity with the provisions of Article 145 or I L17;;. Education Law; the Public lIealth Law. ,-and the Putnam ;County;Sarii- _ tary. Code . • Very. truly yours, Signed Owner of Property . .Countersigned: 0 Address .%� 17 y P.E.9 ., # 27846 � O 1.N rthridg. Road. Telephone Address Pdekskill, N.Y, •10566 0��� ©'AN /�► ,��'� 737 — 105.E a �� O R ..Telephone �° , • 000 ®o. ®eo . PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _ ..-r =•w�.q. Y.;� } -: _ .:tv ..!1�- i'.;+- .�:�C:. i+.�� =-- - }r,_.:.:�. °.:�: �.L{: r-- :r%.�:wi,+in.: .:r iwiK: a`r "�� '_� _� � ° �` _�irr'e'aA•��-'�ds COUNTY OFFICE` BUILDING, CARMEL,�N.I�Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Robert Turner Address Sprout Brook Road Putnam Valley N.Y. 10579 Located at (Street Jeanne Dr & Boswel RAeC Map 1238B1ock - Lot �Indicate neares cross street) 14 Municipality Putnam Valley (T) r �latershed Peekskill SOIL PERCOLATION TEST DATA:`REQUIRED -TO BE.SUBMITTED WITH APPLICATIONS 2 Hole Number_ CLOCK TIME PERCOLATION PERCOLATION -, Run Elapse Depth 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 (1) 1 10:09 10:14 5' '34,00 34.75 0.75 6.67 2 10:19 10:23 4 33.75 34.50 0.75 5.33, 10:26 3 34.50 35.00 •0.50 6.00 3 .10:23 a ,,5 (2) 1` 10:13 10:15 2 46.50 47`.50 1.00 2000 - 2 rlcfv.! = - .1-9­­-4L­'- x: �� -47r: J [; -:JC, P �OoSQ�� __� _. 800 3 .10 :20 10 :24 4 46.25. 47.00 0.75 7 5.33 4 ` 10 :24 10:27 3 47.00 47.50 0.50 6.00 5 ^ 2 . 3 4 5 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 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. 1 HOLE NO. 2 HOLE NO. 3 G.L. Rod Bo.�_ ` 'il��. -� R.O.B. Fill R.O.B. Filly .. �. 61t 1811 12" cno 18" . 24" 12" Topsoil- - 30" 3611 silty loam with 42" trace of clay 48" m 54'1 60" 66" 72 °00000000 78" 84" 3011 R.O.B. Fill 12" Topsoil of clay 54" R.O.B. Fill 19" Topsoil sandy.loam ° INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED 7 °09 INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED 7 °0 ft TESTS MADE BY John S. Romeo Date November-2, 1974 8 ZO DESIGN, - Soil Rate Used Min/1 "Drop: S'.D. Usable Area Provided 5000 SF No. of Bedrooms. 3 Sept' Tank Capacity 1000 Gals. e Masonry Absorption Area Provided By i90u L.F. x24" �- x �a\4 MINI c . 4 ` gna Address 1 Northridge Foad pPPkskillq 10566 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq . It/Cal. Checked by °g cno ° m 0. °00000000 Date < Y. W W -INV, , . - " ` 1, -1- ­ . ­ _ , I ­1�9� �- ,, �- Mr AW X­- IMA, MV ,7_ X A4 W" C, % j� 17 �A' zx m WA SON, Moy MK� an Any! Rv� 4V Q� • re 00 qn, Y =--j QQ WAY "Amp nowo- - - _QW. 1 -Q,-, W, WS �Ws W - W.- •-. 4W -0 1 S:te Y!j 1 7 1 - —A MW 017 4 -_go A . ',.z � I - _t,' - - - - 'i . - , -A ­nUM—W _,_�_'M, � �J, "0 ­ - s M, ­4 A AN 'N in P-4 -1 rz,­_','_-�,',,�L­� . . . . . . . . . Q k-1.4 _;7 ry w-; 1�t. _ _., - .�M­ -, Z�, -510 1 14��_ ­ - ­ _)�r hhf� - - "t c - ? " 1 1 A, I Q. � r t �­_Mj, ­ _ Q., - 1 � 1. 1:.,%1, - ... �.4 •W J�z An" _,�pz — , I I X, W on On, "Uq Now M- "M Q!, AZ W, W, at- T 5- - - -A� 5 I -Y SO t kkl, K h. - 4vl; ­.'i Wool 1 M ­__Ml 'AM _4 �7 -.3 MUM TV 4 N AUAC� N- _x > WHO NO" -R� )AM; rt if semi Ilk �4_11 0501*11 WW W. WAR T A z�,r 4A MRS !""A ACV - ji R5 Q_ if -2 4, AM X zf_ J-- Olz on- - , - _ - �� I T', ��, - A R _4 Ma 41? gamy, c� - --o A W­,4 - - NO aM N�w 0 N. W. no y % W —Twvym, SO W Q w— J, six. -Ajr, 4 "'DgASIGNED-i Np J, - Z M a, �ffg� F. 5 weir AW SM Rod 84- .-oz� M, K"r .4* pp- Y- WIN M, 15K ^h nsav-0 PIZ SAME in mss!? :.3 S_q A Q. ARL,� %MMT , --,j -Z S SM ARM im- y q i. .... . . . . . . . tit