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Home My WebLink About3437DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.18 -1 -6 BOX 27 03437 �_ 7171 �' 1 �' r -� - 1, 1710 ' 1 ' 1 03437 n 3, PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 .CERT- IFICATE'- OF•'CONSTRUCTION COMPLIANCE`'FOR SEWAGE DISPOSAL SYSTEM Wii, tl� fyT,�4p11J l/�t.6 GPs ` J/ I Town or Village Located at A�An rE�CS ��v ® ZV A.O � P `K7s -' SA» _( Block OwneroN4G (iaM✓� Lot ,a' Job Separate Sewerage System built by &CAIVArl^iG �AaG' Address�FCO/� � �'D � / - ,5— Consisting of 60 —Gal. Septic Tank /az lineal Feet X °� ' width trench Other requirements Water Supply: Public Supply From Private Supply Drilled By�� Address ��izi5, ETA Building Type �n�✓ �At- ✓ No, of Bedrooms Date Permit Issued Has Erosion Control Been Completed? 1 certify that the system(s), as listed serving the above premises were constructed essenti Yy as shown on the plans of the completed work (copies of which are attached), and in accordance with the standards, rules and regulations, plan rthe permi=sued the Putnam County Department of Health. +vtp rte"' Date° Certified by P.E. R.A. 40 01 Address A License No. 3 z! LV Any person occupying premises Served by the above systems) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public waters y ecomes available. Such approvals are subject to modification' or change when, in the Judgment of the Co oner of Health, such revo on, odification or change is necessary. Date ey Title itn Wtau ,slate- �t q; •V"j R ion, t ;i P.. ,' �'. i !''.,^ PEEKSKILL MEDICAIj•LABORATORY 1879 Crompond Rd. Barclay Plaza Bldg.-, A, Apt .. 1 Peekskill, .New York 110566 - , _ - �...� 'j ;,� E =47 -87.7 -DATE COLLECTED RESULTS OF EXAMINATION OF WATER OWNER. DATE RECEIVED CITY VILLAGE, TOWN & /UyRNAME OF SUPPLY DATE REPORTED "S'MPLING•POINT' ` - C R C(r s.pe:at 35 SACTERI PFD!: Agar lrtN.rount CO`.IF ; . .,.L porn z DETERGENTS,-,P' NIT ATES (as N) - ppm IRON, TOTAL- ppm PLOURIDE (F)_mg. /1:. -These results indicate that the water was i of a satisfactory sanitary, quality when the sample was collected. A. H. PADOVANI, M. T. (ASCP)' otJALD PQ..Uj Burl ing Constructed by 4 M E.%1 SD vA-D Location - Street ieS i De-Aj I-6A-L, Building Type Block T", 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- 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 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- _ _tertination::o.f:.t.he. Director_ of the Division of._ Environmental. Health. Ser- ... v3cas of " the' Putnam "County Departient "of Health as tb- whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this -r;16 day of c H 19-1- Signature Titlei°??�-4% If corporation,.give name and address) A29- - - - - --- - - - - - - - - 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 Owner or Purchaser o -Building Mun cipality otJALD PQ..Uj Burl ing Constructed by 4 M E.%1 SD vA-D Location - Street ieS i De-Aj I-6A-L, Building Type Block T", 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- 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 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- _ _tertination::o.f:.t.he. Director_ of the Division of._ Environmental. Health. Ser- ... v3cas of " the' Putnam "County Departient "of Health as tb- whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this -r;16 day of c H 19-1- Signature Titlei°??�-4% If corporation,.give name and address) A29- - - - - --- - - - - - - - - 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 �,► y :�� ::cr�i- y.!„-.:y;� _-.:c. ::� &�tr� ".�r�"v .�:.+o:r:.�irre.:v�rx .... - �.. �. �:''_: �' �' aea; z...- `;��..:�%�c.�i:%'riets.. -. ._;- �wF'?' r�r�� :wri:: +:ii;ia•i�"':�.w.w-:� .. .-. a March 69 1975 To Whom it May Concerns I realize that the distance between the drilled well on my property on Kramers Pond Road, Town of Putnam Valley, Lot 13.59 Block 19 Tax Map 72 is approximately 82 feet from the-existing septic system on the Mandel property Lot #29 Section A9 Sunlit Acres. I accept this distance and hereby relieve the Engineer, Stanley J. Lander and the Putnam County Department of Health from any responsibility associated therewith. Ac cording ly_.,I .her-eby apply for the Varian.c_e..o.._ . _ PUTNAM COUNTY DEP!' MI., 'NT or FfE/lLTlf rELI.COMFLETION REPORT Division of Envifonrrievital Ilcstttt ;.arv�cus ' COUNTY OFFICE 1JUILDING • CARMEL. NEW YORK ^� hlc,rcpo.t is- to.bt ^- ,comytcytcipb driflpir �r>d�su', •F:itcd o;Co�inty HcalEh Dc �i trncnt to; thcr�w ti?:'I bo;atc?ry rrOOrt•ot:4- .,;;,,�. , enalysls ofwatcrsample indicating water is of satisfaetcry lFacicrial quality before certificate of construction compliance is issued. . . REPORT P.1UST RE SUGr.111'TED 1':ITHIr'! 30 DAYS Ot= t'.�LL COP.SPLETIOfJ C• NAME N Oil Ronald A Powe 1579 Rhinelander Avenue, Bronx, NY (No. 6 stroot) (town) :. (Lot h n:Lar) LOCATION oc,WELL. - Kramer. Pond Roadq Putnam. Valley,. Now York 1 _j eU51NESS D EJ PRO P.OSED" v I)ORIESTIC ESTAEIISHMENT FAR)A TEST WELL USE OF YJELL t' 4 D AIR a OTHER a "-SUPPLY INDUSTRIAL CONDITIONING (Specify) SUP DRILLING i ®, COMPRESSED a CABLE ❑ OTHER PERCUSSION EQUIPMENT-! g07ARY AIR PERCUSSION (Specify) CASING LENGTH (feel) DIAMETEk(inches) N -EIGHT PER FOOT THREADED ❑ WELDED D. ^IVE SHOE' ® ❑ �'rn5 CA-SING jG llTbf- LW DETAILS -t YES NO YES LI NO YIELD ,P' o HOURS G.P•M. X COMPRESSED AIR !," 30 a ❑ YIELD (G.P.M.) 30' GPM ZEST i. PALLED PUMPED . YlATEP } MEASUREfiROM LAND SURFACE— STATIC (Specify fect) DURING YIELD TEST (feed Depth of Comple!od Well IEVELt 1 ft• in feet below Land surfoce: 305=! •MAKE' LENGTH OPEN TO AQUIFER fleet) SCREEN DETAILS SLOT SIZE DIAMETER (inches) IF GRAVEL Diameter of well including GRAVEL SIZE (inches) FROM (loe) TO (too) PACKED: gravel pock (inches): I I TH KOM LAND SUCFACEI FORMATION DESCRIPTION skotoh Bract loca: :on of well wish aistsnces, to Of least two permanent lanamsrks. Fm ,f�. „`T j 0 :13. 'Drillingin overbruden (clay, and boulders) = groin- -- _- .._._._. =:. _._._ .__..._. _ _ . - -•- - and quartzite Hit solid rock at 13 fee ,13'. 20 Drilingin pocT�- se�casi 20 305 Drilling in rock-granite ;If *'old vyoi tested of different depths during drilling, list below FEET GALLONS PER MINUTE WELL DRILLER (Signature) f3c jy!IED DATE FO.." PoFrr BEAL & SONS.-INC ilni1 r C• Z ( PUTNAM b&lSlon ;of En 1CONSTRUCTI:O_N PERMIT F_OR 'SEWAGE `DIS Located at Od O d r : subilrv�sion Owner d Ay "A n s s � x J 09 'T,"' 1OL / G a`%Lot P t > Number of Bedrooms Separate ";Sewerage System to consist of To be constructed{ Water Supply UblwzSupply From - �Private'Supply to be drilled i Other Requirements w ` �y c � z �. :APPROVED FOR CONSTR,U } 's, enevocable for cause or may bi requires a ,new•} Ckerme t Apj Date r! dS+�iYh 1 a r COUNT X DEPARTMENT - OF DEAL' TH vicohk Mb/ Hea%ih Sewices, Came% N Y 10512 POS'AL SYSTEM, Town or Vi pie . b ,r.An1� Address yq �i7 f Area, �.:G i�d� '.t��:��a 4t{L•L �7 /_(�s': / Total Hatr�table Space u v Square ;Feet' Gal Septic Tank i hAeal feet;;X � � � width trench i 6(s+S i t E Address e " 4Y�a."�..JF96:S 7 �r ` t a �s^ .L.• - b 1 fi S; fi a << 8 w z � cation of the proposed 3ystem(s) 1) that the (separate sewage disposal system' 5 to and$jn accordance with the standards; rules an regu a ions o the u nam. 46^ i' I of, construction Compliance :�satisfacfory to;fhe Commisswner of Health will e owner his successors heirs.or assigns�by the builder; that said builder will e al s ring the period of two 2)3yea, mediately following the date of the issu ( im o µt ihalYSy tem or anyMrepays' thereto '2) that the- dr�lle "well' Idescribed'above . i tall- accordance: with the st n'dards rules and ,regularions of'-,-U4, Putnam r A ; �ifigi N This apor disposal of By, m KASTO y PUTNAM COUNTY.. DEPARTMENT .flF HEi;,. - -.: _. , >. ;- �• DIVISION OF ENVIRONMENTAL HEALTH SERVICES. Rei Property c Located at Gentlemen: Date ��v� /� 2 ( 177-3 77Z� Block ' % Lot zt;4Z ; 0, This letter is to authorize. di ILZ STANLEY I LANDER a duly licensed professional engineer or registered architect (Indicate— to apply for a Construction Permit for a separate sewerage system; to serve the above noted property in accordance with the standards, rules or regulations as promulgate. by the Commissioner of the Putnam County tTiepai t iTi�iit vi TT c I 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 conformity with the provisions of Article 145 or r l?+7z .Educat .on La . the .Public Health Law:; and -the Putnam_ Loran y.. rani= tary Code. ounters . P.E., , # JZ�-Zo STANLEY I LANDER (seal) Addr SOX 267 AN Very truly /)ours, Signedc ��-- Owner o P operty 1,5N Telephone r REVIEW CHECK SEEK House plans O.K. Design data sheet Peres presoaked? Min. 30" perc test depth Cons't*e results for 3 runs D. Hole log O.K. Corporate Affidavit for other than individual Authorization for engineer Letter from Water Supply if applicable If variance requested-such noted on plans & apps. &J8 eets Std.1 Remarks es o DETAILS if change is proposed,) Existing contours shown kshow new contours) Slopes for driveway cuts,.etc< shown Water service line location Footing drain, etc. location Top slope., bottom slope of fill Percolation tests and deep test pit location* I Septic tank size and conformance to std. V'11 B.R. house minimum I V.1 House setback shown J 'J--'L s'-U-r. ibu'u io�i b.ox t g e ow.... r . 0 s --i . . . All water within '50 ft ,of PL - shown Plan and profile SD9'' All.other.wells and SDS closer 2001 Ohewjy--m -reference- made- ___.__ . _ _ _.L_�: Property boundaries (metes and bounds-cle.arly shown hown) SEPARATION DISTANCES SPECIFIED ON PLAN 101 to 201 to Foundation walls 1001 to Nearest well .50' to stream., march, 15' to Curtain drain 101 to water line (pi 15' to storm drain 101 to large trees 101 ,from foundation t 5' to pipe fr om lead s. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ..COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET-SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. .'Addres'sj3'j, A 9 j4�ylAlel_ Located at (Street)gw/ /0//.0 Block Lot (indicate nearest cross stl�eet) Municipality &_) of- %ridgy, ,Rcc6y Watershed 14'9.fk,5-e SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Elapse Depth to Water WaTe_r—fFv_e1 No. Time From Ground Surface in Inches Soil Rate Start-Stop Min. Start Stop Drop in Min./in drop Inches Inches Inches i -9, 1464- 4- 2 9 3 9:31 9140 -9 4 2, 3 k 3 5 A i- - AbI C 61 ?5 1 2 C 4 5 Notes: 1) Te'�ts to be repeated at same deptn until approximatel� equal soil ,rates are obtained at each percolation test hole. All data to e 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 - ..TEST-. HOLES DEPTH HOLE NO.- 1-21 HOLE NO . j' l- HOLE NO. 19941;' :- G.L. 6" 12 11 Tll,.fr'c�C 18" 24" 3011 f�J 361 42" u r4yo �1 48" sl 54 9 60" 66" 72" 781f �✓� 8411 LEVEL AT WHICH GROUND:: WATER - IS .ENCOUN�'FRED. -.._. F -" INDICATEr -T=-TO W CH WATER LEVEL-RISES AFTER BEING ENCOUNTERED *.TESTS MADE BY � � �a/fJ��.: Date � DESIGN , jI Soil Rate Used�Min/l "Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity ao Gals . Type ,& -C� r Absorption Area Provided By 44 r width rent . - -1� Other /> Address THIS SPACE FOR USE BY HEALTH DE Soil Rate Approved Sq. j. ate 1fi11d3H �0 °ld3(l AINROO INVNind U61 c a Nnr ti -- 2 i3. 2�iv. 2 DO Os L OfL 'o -t�2 2458 A`C. f0 OR j A MA P � "2 C6k- V� pti t t po 0V . �-A �. " ?11 ctrilfkxtiotte hc:rnn ire valid ',u thr, tnap and �7�Erir�; . .1 V•. f F- thr_riof only tf aid mar, r cJf :eN ivar till n 1 .. l'd 22� f0.. e54719, ieai A the s ,'cepor 6O~3• 579, 6690, �0 lid SURVEY OF PROPERTY /f IPA Aof, i PREPARED FOR ERs" : L R 01VA L ® A. PO S /TUATE /A/ {LILEY T TOWN OF UrI a I. , SURVEYED -& PREPARED,BY. PUTNAN7 'COUIVTY :; NEW :Yopl_C AL- EXANDER 'BUNNEY LAND SURVEYOR P.C: " �tonv 'atrraartfi'�lthuttir:e4urr'oy, .- - - i . 20" WOODSBRID6E ROAD p�tru to 6ecotoancr •itn thm ® C e .0- 5 DATE . A!/GUST .•," - &xtshne Cade of .Practica for Land JC�LL� -..:�. ✓0.� KATONAH.,-' NEW YORK 10896 Surveys OU00.0 by thu r+aw vort< Sta {a 1 . - HuxidtiOn of Professional land Surve9omj- __... _:Lf- ' -,.• -[ j.._ .� �.... -.:.. -.. . � - - - - -' ��• r o�.. r X70_ AG �,e pow QN� b cerf that 'se�age g*m wa C."Mded mg wome, iiy'm� mvorr� M systmm v;.,,.s mnlsftut� cm*me all 'uh miles W u. to= of the pulrum [Guril, 02% SO P, 4 1!.4' 42-e 2 7-?' '7 109 7 ' E -R fS'O uTti HLALIt,: sy 7 R DIVISION I SION OF NTAI HFALT" SFRVI*F 43(--e-