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HomeMy WebLinkAbout3432DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.17 -1 -46 BOX 27 03432 '' 'm �' T 6. T �. . , 03432 PUTNAM COUNTY DEPARTMENT OF HEALTH -1 Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM h / N� C� Q Town or Village Located at ,y ^ �t Section�� Block :.Sulsdi.uisloct, `�J� 63:= s![!ks)t: �.r:i4'Ti�3._- ..d;Lot�. ,,.,.: :�: :a . ,. c^ / Job Owner C;4-1904-d' A s ,1 Address 0e5!0.,8VX 8.. 1Z10TS.- ,- ",dj%1 4P.E. Of Building Type Lot Area �r �d 2 ' U.Q /r ;V WA/ 11 / S• i y % ` Number of Bedrooms 13 Total Habitable Space Square Feet r1 Separate Sewerage System to consist of ®� Gat. Septic Tank 2 45 - CD lineal feet X width trench To be constructed by �'OCA ®A%9 C cam z,71, Cal r . /MCI Address A' o B_ Leif 6? Md S'.t�'/1 41 .4446. Water Supply: I,�Public Supply From �d�2AMdwiA 0V%�S %l- ® Private Supply to be drilled by - �L� Jf ,- C44W( �114&1'e ° ��L�L� 4//0/(L. &4/4 Address C�CS i'csN �/��L S'• / Other Requirements I represent that I am wholly and completely responsible for the design and location of the d . systpm,(s) 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to an row th the standards; rules and regulations o e u nam County Department of Health, and that on completion thereof a "Certificate of �Rn ce" satisfactory to the Commissioner of Health will be submitted to the Department, and a written guarantee will be furnished th ti9v s All s or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal system d, ri a fgly year Immediately following thedate of the issu- ance of the approval of the Certificate of Construction Compliance of the a r s er to; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be installed r t to Oar rules and regu a iTi ons of the Putnam County Department of Health. _^ "t''' Date ✓7'(%6. co/ L0L / S' n d r y Q V: � p P.E. R.A. Address License No. APPROVED FOR CONSTRUCTION: Th . Oval's p 'iArets one"yerr_fro4n a ate i ruction of the building has been undertaken and is .evocable for .cause or may be amended or modified when considered necessary by the Co er •of Hlaalth. Any change or alteration of construction wires a new permit. Approved for disposal of domestic i ry ewa priva a .� —Z2 B y � Title C-11-1 r^ 3 St W�. PUTNAM COUNTY DEPARTMENT OF 'HEALTH i Division of Environmental Health Services, Carmel, N.,-Y. 10512 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM - Town or ape t icated at Tax Map Block � Tax' Mp Lot # S y subd. Owner r c,�..vry SAl�ItS' y Separate Sewerage System built by /� `�•� 9AISI.7 Ca. /WC` Address ? � .�'a.� � t/o�.>srywA✓ Consisting of ,L�Gal..Septic Tank and ��Z G'r�'- Z� 6/L�i�e° AB�� Tl +� r 'a:�(IC ✓� Other requirements - Water Supply: Public Supply From r Private Supply Drilled By �`� sew' t' i6 I- VA / I Address ..�"•�/� /Ir � �c C= - 8ulldinp Type Z 5 i .' No:, of Bedrooms• _, 1:? Date Permit Issued 47 Has Erosion Control Been Completed? ^•� �'`' I certify•that the system(s) as listed serving the above premises were constru `tiidy s wn o plans o e oleted work ( copied Hof which are attached), and in accordance with the standards, rules and regu i qrd�, w e iled pl , he• permit issued by the Putnam County Department of Health. cafe - Certified by r P.E. RA. ed�O. t Address C ✓,� .2 4H'iQid� -` Zc?' 4) SA`f//i7icL License No. W! _ 4 1.1 q!-. Any- occupying promises served by the above system(s) shall promptly take su � y necessary to secure thicorrection of any uns�"RWY eonditbns. resulting from such usage. Approval of the separate sewerage system sha 91W an tl void � won as a public sanitary nwer.bowr1Na ` THOMAS F. 6'ERNA, P.L. Engineering Services 2070Saw-MiII River Rd. �' a Box.a.74: .� YORKTOWN HEIGHTS, NEW YORK 10598 = -LET U E R4- (914) 962.2689 Date ..... September-19 n .. 1979 ................. ....._. To Putnam County. Health Department Subject Site Plan Lot 19 of Seed. B County Office Building Country Estates (F.Mo #952A) Route .52 ........ .. ........................... ... _..... .. . ..... ........... Tax .Sec.. 7.3.9... Blko 13, Lot _19 .. Carmel9 Na Ye 10512 for Carole Sneddon ................. ..... ......... ..... ....... ... ..... __ .......... .......... .... . _ .._......... •vble from e Inc., Townsend, Mass. 01470 a A � L.{1. ��/ /. �V,GL � .r— ..�`��(IV V i �/ Yf �... .K �. «4: >•�F -� M i � '{ %�V Y'�' /V.�i V✓ . n-n�f / /�'R�'� IY � YY' nh ate. �.n Owner or Purchaser.of Building Munic per✓ ity C',4,erGt- 341e 47o0'\1 Bu ding Constructed by Z //VC 04 Al eO . Location Street i Building Type 73 Section i� Block 19 Lot GUARANTY OF SEPARATE SEWAGE-SYSTEM ,I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drair_age 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 1 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- sors, heirs or assigns, to plac.e 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- vices- f� _o rthe Putnam .Co..=.ty ;1) art�!ent of Health..a.q: to­w-heaher -:or• -hot -the failure of the system to operatu. was � caused by the '0 1 IT or.negligent, act of the occupant of the building utilizing the system. � J Dated this �;�" ?�f day of 1 10 U 191 Signature. c3o.& Title If corporation, give name and 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 WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental Health Services IL COUNTY OFFICE BUILDING - CARMEL, NEW YORK This report is to be completed by well driller and submitted to County Health Department together with laboratory report of analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. ftEP00i�>��iUiLlSfi~BE SUBIUIIT1fED UUIYFi N 30 'DAYS —OF WELL C0MPLEYI0N OWNER NAME Maxwell Sneddon ADDRESS General Delivery,.Yorktown Heights,NY 10 LOCATION OF WELL (No. & Street) (Town) (Lot Number) Lincoln Rd. , Putnam Valley, NY PROPOSED USE OF WELL INESS ® DOMESTIC ❑ ESTABI SHMENT ❑ FARM ❑ TEST WELL 11 SUPPLY El INDUSTRIAL El CONDITIONING ❑ ((SSpeciify) DRILLING EQUIPMENT COMPRESSED CABLE OTHER ® ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION ❑ (Specify) CASING DETAILS LENGTH (feet) 0 DIAMETER(Inches) 6. WHT PER FOOT 1 b s 0 © THREADED El WELDED E SHOE LJYES ❑NO X C r YES NO YIELD TEST ❑ BAILED PUMPED El COMPRESSED AIR HO 6 G.P IiA. 30 ® YIELD (O.f30 WATER LEVEL MEASURE FROM LAND SURFACE— STATIC(Spec /ty feet) 10 1 - DURING YIELD TEST [feet) Depth of Completed Well in feet below Land surface: 155' SCREEN MAKE _ LENGTH OPEN TO AQUIFER (feet) DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL PACKED: Diameter of well including gravgl pack (Inches): GRAVEL SIZE (Inches) FROM (feet) TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION , Sketch exact location of well with distances, to at feast two permanent landmarks. FEET to FEET Drilling in overburden clay & boulders i 1 Hit rock at 5 feet 5 30 Drilling in rock -set i routed 3Q t: =55:- ri]:l ing in.:rack `?gi.ariz� If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMP ETED 10/27/80 DATE OF REPORT i1 17 80 WELL DRILLER (Signature) � dil 11M J W .. .• ^�.`• r. a s'�.r . — ..rz : i'' , .. c <— .. .. . BREWSTER LABORATORIES Box 224 - BREWSTER, N.Y. WATER ANALYSES REPORT SAMPLE NO. 4588 SOURCE: Max Sneddon hose bibb - well Lincoln Rd. Putnam Valley, New York COLLECTED: November 13, 1980 BY: P.F. Beal & Sons BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method 0 per 100 ml. This result indieatts the souret of the sampit was of satisfactory sanitary quality when the sample was collected. 'c November 15, 1980 l� " Bickwit P. E. Director r' 6 MITN "M Crr•NTV �r :FMI1'�F\ �r rtr'r1r,T1[ -- DTVTI;' n "'f ,r. \T:1f, itr:: \T,T!► Si'Pki[CF S Date a C/ -. 3/, AP79 Re: Property of e440419!�_ sP Z -O &1`� Located at��'��� ® Section -73 Block ___L Lot j 9 Gentlemen: This letter is to authorize 2!:, .V S' a"duly licensed professional engineer ^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 or regulations as prorn lagated by the Commissioner of the Putnam County ..-Department of Health, and to sign all necessary papers on my behalf in f connection with this matter and to supervise the construction. of said system or systems in conformity with the provisions <.of Article • 1 15, #; °education Laiv, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, g 1, pS F. PF OP,� Signed O 'Q Owner of Property Counters Telephone Address a 96 � '4:71e Telephone �- !� J ' rt ^, _..CE HEALT PUTNAM COUNTY DEPARTMENT OF HEALTH >` r DIVISION OF ENVIRONMENTAL HEALTH SERVICES �_ _ .. COUNTY OFFICE "BUILDING, CARMELs N . Y. 10512 r DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO..: " ! Owner rA1,60 ®6n1 Address Located at (Street /1NC0f-1V 2D. Sec. 73 Block Lot /9 6dicate nearest cross street) �i Municipalit rA1A>M sVA46AP Watersheds /e.e- SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Ho e :. ' Number CLOCK TIME PERCOLATION PERCOLATION „ aps p t o a er a er vel No. Time From Ground Surface in Inches Soil Rate y; Start Stop Min. Start Stop Drop in. Min. /i drop Inches' Inches 'Inches E 1 20 �.'�2 / c 3. s 3 J 4 K , t ':i •i t 3 - - '' i gay 4 :Tests t'o be repeated at same depth until app.,roximately equal, soih` Y ".rates are obtained at each percolation test hole. All data to bYe submitted;`,'::, for review. 2) Depth measurements to be made from to P. Al v- _ } TEST PIT DATA REQUIRED-1-0 BE- SUBMITTED WITH APPLICATION . DESCRIPTiON.OF.:SOIi.S F.hCOLa'Pui2t:D IN ­rle°.ST i-Oi.FS �. 'a .��p�'•.. --, . .:5 t': " ,- ,"fir... ..; ;e t: .. v.. .. .. ,_ ,�,. a, -.._. ,,,, .ate -"�.- . v. .... r,_,:: ._ D �:ULE, .- ".'.�we-•.. DEPTH i1OLE No. hiog.E I��e :� k�O. HoI� ro. 7 D64A MS7° G.L. 600 1200 5'd�vt/� y> ®s$ 9:�V/ 7w 18DD // 6�: • �/ 2400 �� y .. 3600 • • - e� ' 4200 0/ 48' 0 5400 . 6000 , t' Cz 4 1900a7 6600 s 7200 4 7600 � -s. �.. 8449 eq INDICATE LEVEL AT WHICH GROUND WAITR IS ENCOUNTERED LEVEL FOR iIC: W INDICATL TER LEVEL RISES AFTER BEI14G ENCOUNT..RED TESTS MADE BY_'z/� /���i�.�' DATE l/ /�"9 DESIGN Soil Rate; Used Min /1°A Drops .: S.D. Usable Area .Provided_ A$ ®® 3 "S No. of Bedroom..'se tic Tank Capacity _j/000 Gals.... Haso W__ Metal of N Absorption.Area Provided By �� ®II..F.x2400 3600 Sri e Name :5. Signature Address_ S .4011#®44 eL/ ✓,64 40° SEAL J..-go(mty Health .Department Soil Rate Approved Sq.Ft. /Gal. checked by Date= I — Ai' F 1 LANDS NOW OR C - c FORMERLY OF WAGRE R Iv N-27 °37 '00 "E 68.39' 363 N 32 933 00 E f co I T. -,lz � � EsP.or✓aic.J � ''.� , T °' \• '_ — �/G -III c rt 5z WELL AS ,NGyyN O.S•SS,X t \ i �• F�GEO M.:,J a;4S2 A. IIO /' i Z sr• �• vrYc• y0 z. I�� n� � ,q BEO.POOM• / � .� � o. c ...vice.c <1,.•, r, I � io 't. .... Z ( �L- 23.5'y /d-- 8,23-50.-.0.-W_._.....E w. s 1.26.46- ..._Rz:j7.� LI RN" C\QLN OAD Qs✓E.F 200 ro 4r/sTr.NG 3'• S.D•S. ,qr EtE✓ /N OneECT L �r,'E vF AG[ • 0 LOT NO. 19 ON SUBDIVISION MAP Section_B _ Country_Estates (F Ied.Map No952A) TOWN TAX MAP DESIGNATIONS. SECTION-,..- _T3... - C zn ":._F;, E BLOCK LOT 19 f %/� 7' DEEP TES'