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HomeMy WebLinkAbout3407DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.17 -1 -5 BOX 27 03407 Ir< < �'` . J16 i w - 03407 /,A -pv �ej V " " I. - . CNIMMUCMIN !OD UWAIN I _. ,Q.=..- z.,- .s. _. —.. . COOFtd'� MINARKSO [Ql' OY d arm COMM N.Y. a1au Pwvus Pearl It r6mk Il X-1— //,4 — WOW at on r!/ i jefL ef'r,h �. /7 G J Sgbidtiem 11am Otfiner /A�tdmt +j W ! J ~ Taf Qnp_=ar A 1, �/ /� ✓ t�s �1 mss' � � ❑ �e�Wa.�� Dais d Prevk= •oU fs Tye :U�.�' i /' ca ry�� ' Let „f �-- a+a s.t+sa. o b 14■ba d Mies �G' Dodge Fbw G P D �` PCB N@d&x ae is Seadrwi Wb= M k ae�Nbii $w omb SdWOW a7Mo to eadow do a-mw Sepat Took ow / .• �i 7 j r%�i IJ To M' eestag shed by Afteea wow Sgt Pilsen Addeeea on tw G—J't A Omw >faelettes•wta ''► 1 low sem that 1 am when* and comomely nmonsible for the design and location of the protlosW "em(s); 1) that the Y at sass di YI stem above dewilled will be constructed as dawn on the approved amendment there to and in accordance with the standard; rules s raga ns o County pepartnnent of ►168h, and that on canplatbo.4Mno/ a " Certltfate of Construct m ce" satisfactory to the commissioner of Ileemhwlll he submwed to tee (2gditment. and a written guarantee win be furnished the owner, or afai�ns by the builder. that Yid builder will glace M good .dgwalas common my "I of am seerage diwal system during t e Immediately following tlredate of the mesa-, miss of tha alai,, of tee CertNlcate of Construction Compliance of the original 12) that the druled well dewclaw move ww N boated w shd ssa on the 800roved pore and that Yid won will be Instate ' rules and regu i onss t tee Putnam Ce1Mty Degmmam Of t48amh. r%I ►" b / Signed RE.— R.A.21 APPROVED FOR CONSTRtJCT10Ne T aw",eal excel" two 1s� s fr tee date t � f tee builOMg has been undertaken am Is feeotable for cause Or may be or modified when eon ��d fy Oy tee Any change or altNation of construction Iglrlree a crl ' - - - -- J - - --- •__ ___�. 7_11.�e . �... A �i Rev.. �f is /86 _- PUTNAM COUNTY DEPARTMENT `OF` ^HEALTH �Permitl�_����� ^��� Division of Environmental Health Services, Carmel, N. Y. 100512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM cT O l tai/ _ Town or village Located at � 6 Tax Map Block 1 Lot /Q II Subdivision ••�� Suhd _ Tom! 8 Building Type Renewal _[3 Revision Date Of Previous Approval Fill Section Only Number of Bedrooms .e3 Design Flow G /P /D dC2 P.C. N. D. Notification Required Separate Sewerage System to consist of /t7L! Gal. Septic Tank and �� � �✓ To be constructed by Address Water Supply: ' /Public Supply From v Private Supply to be drilled by Address Other Requirements I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage dis sal system above described will bey constructed as shown on the approved amendment there to and in accordance with the standaII ,,rules an regu a ons o e u nom County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" c� f"tojhe Commissioner of. Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his successors, ,%lor�si n rtiy� under. that said builder will place in good operating condition. any part of said sewage disposal system during the period of tw �}wyr�rS �aje4j(�ffl41lowirp the date of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any ifs,tht `2Ytjt0rXKe at illed well described above will be located as shown on the approved plan and that said well will be installed in ccordance with stF n ' k teg < ullFrons of the Putnam County Departm nt of Health. Date Signed P.E. R.A. i . Address-2 s z .7"- r Lic �!�' ''Ao. ,; APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued undss conjeal; gi t i4¢I i as been undertaken and is g f: PJ g NA11� C(DUN'iY JDPLA�t'�YE D1M h�lEt�L.I �i�i G Dwfs on of Efi ronment 1, Wea/tH Servrces Carine/ Nr'Y 105:12 �< CONSTFiUCTIOfI PERiV�IT FOR SWAGE DISPOSAL SYSTEM % �. 3> Town ` Located at L. •`' Tax.,. Map Lot. S.updgvision• Owner�;�2/i id Bugldmg Types Lot Area —r-- /�r�9 ✓fi �; ��j� f i Number .of Bedrooms _._ .pes�gn "Flow - -- _ Totai Habitable 5Pace.? Saua.Fe Fee J.�'d r+ _ ; Separate Sewerage', System QO COrgag it of _ Gal Septic Tank and ft 2 trench )leaching pit s jI z �•. To be cortstructed, by 1.ii� _ : �" Address 111 Water Supply Publgc SuPDIy " Prgvate SuDPIy to be tlrglled by Address ✓' G? �: �e Other Requirements �9 v L • I',- represent that I`acq wholly and completely responsible for the assign and location of the proposed systeg(s) 1). that the`separatesewage';disposa system above described will be construct shown on the`,approvei attachments hereto and in acCordande',,v�jy�haEhvat dard8 rule`s and regulations of'the'PUtnam Comity Depa=,tment Of:Healih and that on..completion' thereof a Cexti'ficate.of Constructicu��omQ�iaitc�7f s tl factory °to the.Commissic er.of Health will. be submitted to;the Department an d a written guarantee`aill be furnished the;owne dt}`s s cesapX� - 4ieeiv or'a"ssigns by'ahe bui er:, that said builder will place in good operating' "condition any part of.sa }d sewage disposal systeo°j _ t�ipd, oft (2)'years immediate) following the dapa'of the issue ce pf the "approval,`of the Certificate of Construction Compliance ? thea ig�nal sy °pr';;any repairs thereto;:.2j (� that the;'diil]ed :well described aYiove will'be' located as'shown on`£he approved plan and that saidawell�°1Si 1 be ipetal ed accordance W. the st dards, rules and "gulati6na of the Putnam'County-DepaTtment Of Aealth h ° .' t ire t O a b Q� fr ) P E it %A. , p .; Oats �� Sggned t� K M ddr Ss7 4�e iLSr c ce C 6' %APPROVE FOR CONSTRUCTION Thgs,apprgval .ekpgres. one yea► from the date gssue' uriles c rOb r4n ofat�he bu glding has been undertaken 'and `IevoWble'for cause,or,,may;be amended or modgfged when constdere ssary.'by the, ommissio of,Heik4�h�'d° � Ittanrje orfi.alteratgon of cgnstructicI � requves a new pergnit Ap roved. for disposal of domestgc ar age- r at"" w''" Date �� . `^ Title w: D PUTNAM COUNTY DEPARTMENT OF HEALTH. DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of CA( -5- 1- C/ Located 'at J, '-0 ection 174 Block Lot Subdivision of Subdv. Lot # Filed Map # Date Gentlemen:, This letter is to authorize i�l �` V a duly licensed professional *engineer", or regist4red 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 necessary papers on my behalf in connection with this matter and to supervise the construction of said system or *'s s em in coiff or. With the provksioii.--' 'of- Art -isle '- 14 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigne P.E., R A ,4ddress NVVVW�.�J' Telephone Very truly'yours, ��i Signed Owner of Property /f� MCI C X-70 Address A7 a-m V Town S21 3 Telephone d v JOSEPH F. SULLIVAN, P.E. consurting &9 -Zz.x 7.- 2972'r :RI`4CRt§Y YORKTOWN HEIGHTS, N. Y. 10598 (914) 962-4248 %i fji s � ji /'eeal !Z�`l/ �% �% �J3. ��. �G1io�i,JC'� au d Y rl bs y Y rl bs Owner or Purchaser of Building rj utding..C..onst.ruc.t?ri,.hy _ Location - Street f Municipality Building Type Section Lot Subdivision Name Subdve Lot # GUARANTEE 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 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- ation of the Director of the Division of Environmental Health Services the--- Putnam--County. Department of Health as_ to, whether .or not the fail - 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 4,erj 199 3 Signatur Title Corporation Name if corps) Address 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 TOWN OF: 'PUTNAM VALLEY "` WELL-- DRII:LERS ''LOG AND: UEPORT WELUCOMPLETION'IREPORT , This report is to be completed byr_well driller °and submitted::tdO'. Ipttgether- cuhbc3ai�x -septet of::xiay5�of.: water sample indicating water ,is of ,satisfactor'y bacterial :quality. Well Location iJ�G Tax Map .._Street ;Sec: . t'Lai� Well °Owner,�;nl��n h Name M lin Address City:orfroffn _. Tel. # Well Drillery 4Q1A , :Name` MaiTirig dress ° Cay ;or, Towri CASING DETAILS YIELD TEST WATER LEVEL.- SCREEN DETAILS Bailed Measure from land surface Length ,` 1 Ft or..__ �T Pumped Hrs. Static:., Ft .:,Make:: /,,.. When' Bailed'. .. .'Slot. Diameter: G Inches. 'eld:�'' _GPM or Pumped Ft Length Ft..'Si�ze Kind; Diameter In: TOTAL ..DEPTH OF ' WELL aj,,7 ; ' . Fee t VJELL :LOG . Depth from Give description' of .formatioms ..penetrated, "such Ground Surface:. asr Peaat; silt, 'sand,- gravel ' .clay.; , hardpan; shale sandstone ranite , , .g , ,etc. Include site of" raver diameter and sand " fine'°"`medium .. coarse) color :of material, structure",.. (Loose, packed; _. cement, ` soft.;• hard) . For "example; 0 ft' to 7 :- f .� f� ne> aok' ' d el low _.sa'nd `2 i `t`.. tci,: _ .. .. _... Mew.. . p -Y 9 w'1,34 ­ft. . QraV. Qralllte. 'Feet" to Feet ", Formation Descri tion ,. Date• Well Completed ' . / c�, •:Date of Report :. :...... ,,. W01.1 Si nature BZS: 1 -77 < :.:...........,._,.., ....: YUKAI UWN. MtUIUAL LAD URM IUItI Ile v. P.O. Box 99' 321 Kear Street LOCATIONS: 321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245.320; Yorktown Heights, N.Y. 10598 ❑ 201 BUTTONWOOD AVE., PEEKSKILL, N.Y. 10566 731.8777 Z45 °3203 ❑ 495 MAIN ST., MT. KISCO, N.Y. 10549 666.3335 y�...-; .,y �_ -Y -_ __ _•___� -�-_ ,. �; _ ❑ STONELEIGH AVE (NEAR HOSPITAL) CARMEL, N Y 10512 278•9" - - - LAB # . 48-03 DATE TAKEN: 4.11 F, A 4 (0-30 -A-M.) �- - DATE RECEIVECh /1 7L$4 (? R M ° DATE REPORTE14:13 O /Rh PATRICK SCALZA SAMPLE SOURCE: K_19+PHEN mrAp KRAMERS.POND ROAD CROST:-ROADS PHARMACY PUTNAM VALLEY, NY REFERRED BY) L_ J COLLECTED BY: P. SCALZA LABORATORY REPORT 526 -3642 mg /L ❑ ACIDITY ................... ............................... ❑ ALUMINUM ................................ ............................... .........H:................ ❑ ALKALINITY ........ .. .. ❑ ANTIMONY ................................ ............................... BACTERIA, TOTAL /mL ....... ................... ❑ ARSENIC .................................... ............................... ❑ SOD, 5 DAY ................... ............................... ❑ BARIUM ....................................... ............................... ❑ BROMIDE .................................................. ❑ BERYLLIUM ................................ ............................... ❑ CARBON DIOXIDE. FREE .............................. ❑ BISMUTH .................................... ............................... ❑ CHLORIDE .................................................. ❑ BORON ........................................ ............................... ❑ CHLORINE ................... ............................... ❑ CADMIUM .................................... ............................... ❑ COD .: ......................... ............................... ❑ CALCIUM .................................... ............................... ❑ COLOR ....................................................... ❑ CHROMIUM (tot.) ............................ ............................... ❑ CYANIDE . ................... ............................... ❑ CHROMIUM (hexavalent) .................... ............................... ❑ DETERGENT, ANIONIC ❑ COBALT ❑ FLUORIDE ................... ............................... ❑ COPPER .................................... ............................... ❑ HARDNESS ................... ............................... ❑ COLD ........................................ ............................... •❑ MPN COLIFORM COUNT/ 100 ml .... ❑ IRON ........................................ ............................... JDMFT COLIFORM COUNT/ 100 ml 4,/ .............. ❑ LEAD ........................................ ............................... ❑ -CONFIRMATORYTEST ... ............................... ❑ LITHIUM .... ............................... _ ............................ ❑.NITAO.GEN,,AMMONIA._•' .. _ ❑ MAGNESIUM ............................................................... ROGEN, KJEL XRZ' . ::.::.......................... fl'ivANGAIvESE .......::...r.r.:a : -: ..:;....".....:.....,,......... _.. ❑ NITROGEN, NITRATE ... ............................... ❑ MERCURY .................................... ............................... ❑ NITROGEN, ORGANIC ... ............................... ❑ NICKEL .....................:.................. ............................... ❑ DOOR ....................... ............................... 0 PALLADIUM ................................ ............................... ❑ OIL & GREASE ............... ............................... ❑ POTASSIUM ............................................................... ❑ pH ........................... ............................... ❑ RHODIUM ....................... ............................... ......... ❑ PHENOL ....................... ............................... ❑ SELENIUM .................................... ............................... ❑ PHOSPHATE (oriho) ....... ............................... ❑ SILICON .................................... ............................... ❑ PHOSPHATE (condensed) ................................... ❑ SILVER ............ ............................... ❑ PHOSPHATE (total) ....... ...................... .......... ❑ SODIUM ........................................ ............................... ❑ SOLIDS, SETTLEABLE. mt /L .............:............ ❑ TIN ............................................ ............................... ❑ SOLIDS, SUSPENDED .................................. ❑ ZINC ............................................ ............................... ❑ SOLIDS. DISSOLVED ... ............................... ❑ ..................... ............................... . ........................... ❑ SOLIDS. TOTAL ........... ............................... ❑ .................................................... ............................... ❑ SOLIDS. VOLATILE ....... ............................... ❑ REMARKS:..................................... ............................... ❑ SPECIFIC CONDUCTANCE .............................. ❑ .................................................... ............................... ❑ SULFATE ................... ............................... ❑ ........................................ ............................... ........ ❑ SULFIDE .................... ............................... ❑ ...... ............................... ........... ............................... ❑ SULFITE .................... ............................... ❑ ............................................................... ❑ SURFACTANTS ............ ............................... ❑ .................................................... ............................... ❑ TURBIDIT ..................... ❑ .............. THESE RESULTS INDICATE THAT TIIE WATER WAS 4dOOF A SATISFACTORY SANITARY QUALITY I,RIEN THE SAMPLE WAS COLLECTED. THESE RESULTS INDICATE THAT THE WATER DI _ DIEET THE SATISFACTORY CIIEAIICAL QUALITY OF NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS, DRINKING WATE STAND DS (PART 12) FOR THE PARAMETERS TESTED. ALBERT II. PADOVANI M,T (ASCP), DIRECTOR: n /mil PUTNAM COUNTY DEPARTMENT OF HEALTH I DIVISION OF ENVIRONMENTAL HEALTH SERVICES Re: Property of 74'jeal( Located at "%'7 (T) /174"/ Section _Z Block Lot Subdivision of Subdv. Lot Filed Map # Date Gentlemen: This letter is to authorize 6cj_ a duly licensed professional engineer C1 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 o . r . 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 of said system-. or. ..systems in c.onf ormity.,with..the -pr.ovisions. of Articie.,44,5.. or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: P.E., R.A., # Address lephone of NEW 1. Very truly yours, Signed - Owner of' Property �_) Address* v Town RECEIV'rp-W one JUL 12 1982 PUTNAM -COUNTY DEPT. OF HEALTH DEPARTMENT OF HEALTH Division of Environmental Health.Services TWO COUNTY CENTER - CARMEL, N.Y..:_.1,0512 (914) 225 -3641 APPLICATION .. TO_ .CONSTRUCT A__WATE.R..-XN L, PCHD PERMIT # __ WELL LOCATION Street Address Town Vi lage City Tax Grid Number WELL OWNER Name Mailing Address ED�rivate O Public USE OF WELL 1 - primary ✓ - 2 - secondary &xE IDENTIAL ® BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY [ AI'R /COND /HEAT PUMP 0 FARM [ TEST /OBSERVATION b INSTITUTIONAL ❑ STAND -BY ® ABANDONED 0 OTHER (specify AMOUNT OF USE YIELD SOUGHT _ gpm /# PEOPLE SERVED /EST. OF DAILY USAGE o o gal REASON FOR DRILLING EW SUPPLY ❑PROVIDE ADDITIONAL SUPPLY t [REPLACE EXISTING SUPPLY ®DEEPEN EXISTING WELL OTEST /OBSERVATION DETAILED REASON FOR DRILLING WELL TYPE. DRILLED ® DRIVEN ®DUG ® GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Nam e��y �, �, a At, rJ�e:.��. Address : r & S-441 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: NAME OF PUBLIC WATER SUPPLY: ;; =DI TANG YES V NO TOWN /VIL /CITY -TO_ FROM - NEAREST WATER MAIN:--' .... _..a,� .. LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON REAR OF THIS APPLICATION []ON SEPARATE SHEET (date) PERMIT (signature) TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form pro ed by the Putnam County Health Depa tment. Date of Issue. _ Date of Expiration: 19 e/j, Permit Issue g Official White copy: H.D. File Permit is Non - Transferrable �_ Yellow copy: Building Inspector Pink Copy: Owner 287 Orange copy: Well Driller i SEP -22 -94 THU 16529 LAW OFFICE 473 FIFTH AVE 2127794732 P•02 AU4•+16 -94 TUC 44400 P,02 t!: .•:r• �,A6 e !y.�!�'_ .. »;: r:•;.J vn =:m' i•`- ;s< =ti.. , � ,'st�ei, - �•- I e... '• �. ,,'��., ?�4: 1. , tee' A 00 .��;;,r • rD .d . „ '1 e I u 146 �. ISO 4�1}�r+ ,IA� .. � • . AUG—L6-04 TUR 14996 P.83 T q ep d5 A d5 ALL 5 X70 4d.0 t?,Fr to t - "ago, I- of 1040 lie amp, "I tit 4. 4ZI2 dzl� %ap AS CONSTRUCrag) V18 400A., 0 Jul 11 91 SEPARAT9 59WA69 DISPOSAL SYMM Apo a fs. 0.1 A0 W"A DATMO bv?e�t 39tid NIWGU GN1d7—=%-tf-` TO:LT t-61 ZE SEP. 22 '94 1---: 50 LAKELAND ;i:p!,7N PAGE 1 I ell MT 0 6). L'I xsy a&!y ooLT-;Pz 3AU33H SOX 0(111" 11 71 rri 1111 a I :aIva :n *ThTMVI symmu u0*1111 v MIAUJ WAA& sari dMLI25mo 911EIVIT 01 xvil -------- --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ...— a .. .-- --- `9 1 J r d r 111 P4 Y G 6 b 6 1 1 7 ^9 f 0 4. V- . WA rETER A. RoccHio SARI = 6• ®N��!J:.;/4l:ytii%A:•b.,'t�,. 475 FIF°Y H A1/ENUE NEW YORK, NEW YORK 10017 (212) 6844790 We ara tel000pyring pagew (Including Bhlo covori 4®: WAMG: - - FROM. -. COMMENTS. Q 0 g49tl40o0n R®Ciplen` a Fgw Number: Dated: IF V ih®a 1 Our Tolec®pler Numb ®P Is (212) 779 -4732 If you d® not receive all ';4 pages please call mq aB (219) 084 -6780 2 291id N I WQH Qhdh-13`iN-1 Z©: -T t-6, 7C 'd33 LAKELAND CENTRAL SCHOOL DISTRICT Administration Building, 1088 East Main Street, Shrub Oak, New York 10588 (914) 245 -1700 FAX (914) 245 -4391 ='-fro � . ''`�" '. i. � ..,>.„ , � .� . 3; , ... .. : r.; "i'�y- ^.+C,.;a � ir- ..v • =-i ... �_ . � _ � n :!,;, _ . _ . Rr>• rA FAX TO NUMBER: 6 . NUMBER OF PAGES (INC L ING TTIIS COVZR SHEET): Y_ PLEASE DELIVER TO: ell r FROM d h^ a Ale RE: ��a P r DATE: y TIME ,' -7 w.ru■■rr ■ n -- ...�.�: -Q.,. . -...�� .. ,K .. . :..., :r.. ...1. .-- .e.., -�e� -- :moo+........ y'..w- T.a►.�-- �v....�.. .._ +.. ., -... ...... .... b� 'XOU DO NOT RECEIVE ALL PAGES, PLEASE CALL (914) 24S -1700 AND ASK FOR THE SENDER. %� (�p t) T 390d ly) FAX NO. (914)245 -4391 j " U #,.0 drti� wcri���y Up C� NI:���J iIPIy�3:it�"1 T�7 �T :°6, Zc'd�S �l (9 q; u V4 ok �q X V 0 4LI oa Cana. dkv. - a= .. w5j /7,6.,s7,3 - m A e. UNASUREMmrao um sr Ao MIMIMPANEX: ar. Pxdw ;t ck, 0 MILD= fiffwmwp� POUNO MCGR.Yff p ?ZVAEEMCHNSM UUMMORMW ALYNBiAnm CRAMxn=Togksuwvp 21AP BEARNM It A LUMMED. UMD OMY COPOR FR= VM Mntg. Mft ar TM =NrMV BUNKED WgrN &A OMGMAL CW THE GUARAMIEES VfMMTM "US= MOU RUN CwLV To THE PEFAMW FOR VFHM TH PMM3%ANDCN,,,,,,,, Es'uRv'ETIBPRE- lawcom 'OV-44m� 7r7w Law wv AVM PoKawRomwiam miploome:mMommew MMWEVO" MAL 19 A MUS- Two cw sscmpa,== 02wmm 2. cw TV-9 D-AM sUMVEWOWS EMS09ND SML SMALL W coMMEREV L13TED HER AND LEIMXM AND To THR OF THE ZZ SLATE MCATIM LaM 4=— GRANTEES AiRE pW TR&pM*,ER^BLE yo aaa& A e. UNASUREMmrao um sr Ao MIMIMPANEX: ar. Pxdw WANK Im R in MILD= fiffwmwp� POUNO MCGR.Yff p ?ZVAEEMCHNSM UUMMORMW ALYNBiAnm CRAMxn=Togksuwvp 21AP BEARNM It A LUMMED. UMD OMY COPOR FR= VM Mntg. Mft ar TM =NrMV BUNKED WgrN &A OMGMAL CW THE GUARAMIEES VfMMTM "US= MOU RUN CwLV To THE PEFAMW FOR VFHM TH PMM3%ANDCN,,,,,,,, Es'uRv'ETIBPRE- lawcom 'OV-44m� 7r7w Law wv AVM PoKawRomwiam miploome:mMommew MMWEVO" MAL 19 A MUS- Two cw sscmpa,== 02wmm 2. cw TV-9 D-AM sUMVEWOWS EMS09ND SML SMALL W coMMEREV L13TED HER AND LEIMXM AND To THR OF THE fA SLATE MCATIM LaM IDBEVMMTMMCGFML GRANTEES AiRE pW TR&pM*,ER^BLE yo aaa& PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFF ICE BUILDING :CA 1 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. 7 Owner e,.rh'I %✓Y� Address% y �� , �/ %OGL 0/ Located at ( Street ,� , :r;�y fa�,c,! C!J� Sec. Block -3 Lot Indicate nearest Cross street Municipality, eWatershed CATION TEST DATA REE TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run apse Depth to Water a er ve . No. Time From Ground. Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 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. .23 _ -2; / 4 5 5 1 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. DEPTH GL, . 6" 12" 1811. 24" 30" 36" 42" 48" 54" 60" 66" 7211 7811 8411 INDICATE INDICATE TESTS MAD TEST PIT DATA REQUIRED TO-BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES f HOLE NO. _ HOLE NO. `�- HOLE NO. j -_- DESIGN., Soil Rate tJsed� 0 -_j Min/1 "Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity�� Gals. Type �/a��i�/ Absorption Area Proceed By L.F.x24" width trench. -7 -ell � � 7 � ��� —�-� -, Other Address vi ►� �7 ---- -- �f "trw Y x THIS 6ACE FOR USE BY HEALTH DEP PAENT ONLY: Soil Rate Approved Sq. Ft /Gal. Checked by Date APR 29't�w PUTNAM. COUNTY REP-L, OF HF -ALTJJ T 14 Zo • L Ah, S" 7 7 �9 —9w l j 4 14 Zo • L All" /-z co 2 7 30' — ^— Y— Putnam County Department of Health Division of Environmontal Health Services Approved as notod for conformance with lions of the j-, ar ent. /00. A. Itl AS CONSTRUCTED SEPARATE SEWAGE DISPOSAL SYSTEM G A, 9 Ri .4 /-7'7 r7,- �P4> 7 TOWNOF .k&: YORK O-Z .66 S" 7 7 �9 —9w All" /-z co 2 7 30' — ^— Y— Putnam County Department of Health Division of Environmontal Health Services Approved as notod for conformance with lions of the j-, ar ent. /00. A. Itl AS CONSTRUCTED SEPARATE SEWAGE DISPOSAL SYSTEM G A, 9 Ri .4 /-7'7 r7,- �P4> 7 TOWNOF .k&: YORK O-Z .66 S . Division of Environmentah.Health Services Carmel, N Y 10512 s .4 CERTIFICATE OF CONSTRUCTION,. O& LANCE FOR SEWAGE DISPOSAL SYSTEM u5 _�•�� `!� �,� , -YS , .- -, ye• ° -�� s ^"ux�' T�OWn,O► Pillage \ u j at / �� 11�'/ f"l f✓.� iv. C, Tax Map,: Located at `� .. G' /1 : • �t% "L�/'/ .��� . _ Tax Ma Lot # % Subd # .. x , v Owner P j Separate Sewerage . System, built by b r , Address Consisting of':� Gal. Septic TanW and•!'°f' Other requirements ` ' f y ch Water; supply 0,661 c SuPPty `From x Pnvafe Supply. Drilled Address Bwlding .Type `rte^ No.' Jof Bedrooms Date Permit Issued Has Erosion Confrol Been •Completedt I certify that th'e systems) as listed serving the above, premises `otere constructed' esa 1}�as fife ,a the, plans of the completed work ( copies of whichlare atfached), axid in accordanoe with the standards', rules and regulations o12ijim!]q� e,� ' sled plan, and the permit issued by; the Putnam County 1)epartment'.Of Realth �.'' • ���m& Q r x 7 1 Date P.E R.A. ert� etl b � License No;✓if�+7:s�.v; '� e to }�3 a}: ..h t •a lr .Any person occupying premises served by fire above °system(s) shall promptly take such acti�'on'ao !y h- „n�`be s8 secure the correction of any unsanitary Conditions resulting from such usage Approval of: the separate sewerage system shall tiecomeia��l,an�q,vdd�i�&on as a public sanitary,sevver bscomei available and the approval of the private'w`ater supply shall'becomesnuli and ,void when s Ptib4k veeter� p��q, beeomes available Such approvals brs subject .to, modNiestion `or; change ;when, iri the }u�dgment of the C' issi'` er of Health, such revo`catio ifieation or,:ehange is nece>itary Date: .., ,. F3Y [ .. Title I .......�-- .-.T -� �._��...r� � 4r�w�c� �h.. y� �I PUTN] COUNTY DEPARTMENT OF HEALTH` i S . Division of Environmentah.Health Services Carmel, N Y 10512 s .4 CERTIFICATE OF CONSTRUCTION,. O& LANCE FOR SEWAGE DISPOSAL SYSTEM u5 _�•�� `!� �,� , -YS , .- -, ye• ° -�� s ^"ux�' T�OWn,O► Pillage \ u j at / �� 11�'/ f"l f✓.� iv. C, Tax Map,: Located at `� .. G' /1 : • �t% "L�/'/ .��� . _ Tax Ma Lot # % Subd # .. x , v Owner P j Separate Sewerage . System, built by b r , Address Consisting of':� Gal. Septic TanW and•!'°f' Other requirements ` ' f y ch Water; supply 0,661 c SuPPty `From x Pnvafe Supply. Drilled Address Bwlding .Type `rte^ No.' Jof Bedrooms Date Permit Issued Has Erosion Confrol Been •Completedt I certify that th'e systems) as listed serving the above, premises `otere constructed' esa 1}�as fife ,a the, plans of the completed work ( copies of whichlare atfached), axid in accordanoe with the standards', rules and regulations o12ijim!]q� e,� ' sled plan, and the permit issued by; the Putnam County 1)epartment'.Of Realth �.'' • ���m& Q r x 7 1 Date P.E R.A. ert� etl b � License No;✓if�+7:s�.v; '� e to }�3 a}: ..h t •a lr .Any person occupying premises served by fire above °system(s) shall promptly take such acti�'on'ao !y h- „n�`be s8 secure the correction of any unsanitary Conditions resulting from such usage Approval of: the separate sewerage system shall tiecomeia��l,an�q,vdd�i�&on as a public sanitary,sevver bscomei available and the approval of the private'w`ater supply shall'becomesnuli and ,void when s Ptib4k veeter� p��q, beeomes available Such approvals brs subject .to, modNiestion `or; change ;when, iri the }u�dgment of the C' issi'` er of Health, such revo`catio ifieation or,:ehange is nece>itary Date: .., ,. F3Y [ .. Title I SEP -22 -94 THU 16:29 uAW OFFXCE 4TO FYFYH AVE 2127794 32 PETERA.. Rommel NAME: FROM., COMMENTS; P.01 475 FIFTH AVENUE NEW YORK, NEW YORK 10017 (212) 684.5790 fC E COPIER MyEs We are telocapying page(s) (including this 0060 ta: rra.er.� Recipient's Pax Number: Dated: �.. Time: Our Telecapler Number is (212) 778 -4732 If vau do not iscelva all tha pages please cell ms at (21 a) 684 -6760 • rl:'k N 1 WGd GNd-13AU-1 20 :21T V6, 7-Z '63-S SEP.22 '94 17:02 LAKELAND ADM IN PAGE 4 tmo ORQ a t4 oi �9 d� • a ���t'�•a r•• 1ait�0.r p.. 0 ��1 t .� tdK� ' �..� ---�1, ; -h , � .If • C-:%. .:." s.' : 1.. �S�I-•IY'�w�.�r' . __ of ..i -. v... �ilti �+:�J • w �. r b' o i , �Yv�Jdet. 1, ti �i•;Lr ['`°4v d,9, ,�.o�.t ✓ +. �•. ,r. ,'�p�r��r• �. Vie_ � 43�r! 6rS* 3�1� °'r�. ".,.iw�•41��9r•'v';'��E ••Ir'` � �',L - 'p,�r s ae d �f3ep9 snA is -qv .!tints f1H1 4.6- � ZEIVS44EYE 3�:d HIAIA G4V 301--d.-JO MVI SZ:91 �'�u38 .. .. ... , ... -. •, '. ,. .,..,, .. , -.� -,• ^V r- ;;.1.i. G.t n.; � - `'\ ,5 _,.. ._ "_ •..• }ri ...y ,y iw f ,.. z+q +avl°4'TH,.h�•��g� 1.'..., .. i .., 9 SEP- 2'2• -4_, THU 16.29 LAW OFFICE X75 FIFTM' AVE 2'12TT947 2 P. 03, AUC. -i6-94 TV% 14054 P.0a 7_ 4 +.d,t,'A ��I lyl ~�~*,1•�OL ey ., .z. ,.. a'.. 9.. "'" y .._..� ..�� r +1•i�,. ,.��w'�"A�. 41 f t•'�,,• '�. diet 4 • 4 ,ll u. �r r l' ;:rD n y1t ve�l�m. f , a , 00 POO I j.00 AS MNSTRUcrel) SEPARATL 39WAGC DonSAL Mem Ao TOWN of � `"`� ��. °foss +a�''';, +� °� ,,�,, •• • �'1 ,yam►/ — ,�•T •,'�'w, '�, rd� +tllS: ;l i3 , I �^J V'•`11 taF��rE '�• +�I�i� QATR o p J'..;.iiA ,goo. Z 39h6 N I WGH, (TAU-13 >ikl1 T O : L T t5 , ZE ' d3S LAKELAND CENTRAL SCHOOL M ter/ TMC7 I Administration Building, 1086 East Main Street, Shrub Oak, Now York '0588 (9 14ti 245 7011 A y FAX TO INILWIER: NUISIBER, OF FAG E-S (INCL THIS CO SHUT)., nEASE DELATA TOS, FROM, 1p\ AIA &.1 f L) 0 /00-- DATE: TINIE: IF YOU DO NOT CE XLL PAGES9 PLEASE CALL (914) 245-1700 AND ASK FOR THE SEN-D&R. 10 I I of) 's (L FAX NO. (910245-4391 4VL T 'c . 7-- 1'. ' .�. �; PUTNAM COUNTY DEPARTMENT OF HEALTHv Division of Environmental Health Services, Carmel, N. Y. 10512 CERTIFICATE OF ,CONSTRUCTION _COMPLIANCE. FOR.: _SEUJAGE- >DOSPQSAI:- SYSTEM: • °_,/" �:y'L�i� �;�y � •' / ' ' . - ` � � Town or Village 11 J7s 1) °s Located at ���`�►'#') �/ J C`• �� si I +� 't E° Tax Map 74 Block �� Owner ' fe-- Tax Pap Lot Ita / , subd. # Separate Sewerage System built by `'� » l Address Consisting of lGtr E? Gal. Septic Tank and i /r iV" A`� Other requirements Water Supply: Public Supply From Private Supply Drilled By Address��`�� Building Type % • No. of Bedrooms Date Permit Issued Has Erosion Control Been Completed? i I certify that the system(s) as listed serving the above premises were constructed ess t i iris tan ° the plans of the completed work ( copies of which are attached) , and in accordance with the standards, rules and regulations „ darfc@ 'thy` iled plan, and the permit issued by the Putnam County Department Of Health.�+"yw'b,ye s P Pe rr•i sv� 4 0 � {�j ,' �� Date Certified bye "�'� / r P. E. R.A. Address�� fi' y�ii fs`' License NO. X11 ) Any person occupying premises served by the above system(s) shall promptly take such action as aSay bS:�nj) a si[y tg secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall i ecome� -nu I and d�as ion as a public sanitary sewer becomes ..NG. available and the approval of the private water supply shall become null and void when a public; ;water;,;npply° becomes available. Such approvals are subject to modification or change when, in the judgment of the C issi per of Health, such .ri 4i6 io ^ ation or Ific change Is necessary, Z, . Date � gy Title