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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.18 -1 -8 BOX 27 1 ro L; #r M-1 5' IN i,yti h * ',1 qr 0 '� I �'�'i his J M 1 - ON �, A I I kmi N r =` in 0 1� ' Ir r NIL % ANN I W kP 03439 I i BRUCE R. FOLEY LORETTA MOLINARI RN., M S N Public Health Director _ Associate Public ffealth Director • ° �{I.; - 1(_ � �ir��t�`tor^ =v, f Patieiil °$ervFi�s �^^� °� DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 . WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 April 4, 2000 i Frank Cannas 52 Kremers Pond Rd. Putnam Valley NY Re: Addition- Cannas - 52 Kramers Pond Rd. No Inarease's in Number of Bedrooms (T) Putnam Valley Tax # 13 -1 -77 Dear Mr. Cannas: I have re:ieived and reviewed the plans for the proposed addition to the above - mentioned residen:te. The proposal for the. addition has been approved as per plans bearing the approval stamp form this Department dated April 4, 2000 .The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Three without prior approval by this department. --"°TheRarea -ot the existing sewage disposal- system, and its ekpansion-area, must be W. maintained. 3. All plumbing fixtures must be updated with water saving deviates, i.e., new low flush toilets, restri ;ttors for shower heads and fau ;lets, eta. Any other permits or variances required are the responsibility of the applicant and the jurisdi:ttion of the Town of Putnam Valley_ If you have any questions, please ;tonta:tt me at your :tonvenien:te. i Very truly yours William Hedges WH:kg Senior Publi;t Health Sanitarian cc:BI DEPARTNENT OF HEALTH Division of Environmental Health Services 4 Geneva R6ad Brewster, New York 10509 Tel. (914) 278 - 6130. Fa: (914) 278 - 7921 Public Health Director PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) STREET %% �� � 49 T ®��iti f t b1AP # L-17 NANffig "L &&1� -5 PH0NE,�26 -3ZVS__PCHD 1_- _ (l MAILLNG ADDRESS r DESCRIPTION OF ADDITION 10 6 2 6 r NUMBER OF EXISTING BEDROOlIS_s PROPOSED Jur OF BEDROOMS (FROM CERT. OF OCCUPANCY OR CERTIFICATION' FROM BUMDIiv'G NSPECTOR) *Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. r z = a Please submit this form and the following to Putnam County Health Dept.; 4 Geneva.Rd., Brewster, NY 10509, Phone 278 -6130. 1. Certified check or money order for $100.00 2. Sketches of existing floor plan (drawn to scale, all living area including basement) Non- professional sketches are acceptable , 3. Two sets of proposed, floor plan (drawn to scale, with name, street, and tax map i�. # Non - professional sketches are acceptable 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. e c r�fj OFFICE USE Comments Feb 98 PMAM COWNly DIEWATMENT OF iE, OR HOUSE PLANS APS"R01y,'ED - BEDROOM COUNT Of-4,1te; BEDROOMS a. i lip Signature& Title A H yti qr 11 TW YML ENVIRONMENTAL SERVICES 321 Kear Street tz w h;-' ;HL (914) 245-2800 Albert ,H. Padovani, Director LAB #: 32.80396,9 CLIENT 9040 NON STAT PROC PAGE 1 ---------- N N N N N ----------- N N N N N N ----------- CANNAS9 FRANK J. DATE/TIME TAKEN: 05/08/98 12:OOP 52 KRAMERS POND RD. DATE/TIME RECD: 05/0,8/98 12930P PUTNAM VALLEY., NY 10579 REPORT DATE: 10/13/98 PHONE: (914)-526-3245 SAMPLING SITE: 52 KRAMERS POND RD. SAMPLE TYPE..:. POTABLE., PUTNAM VALLEY., N.Y. PRESERVATIVES:-NONE COL'D BY: FRANK J. CANNAS TEMPERATURE..: < 4C NOTES. 'K I TCHENi��",TAF!.,�%%: COL I FORM METH; ..MF 't - ------- ---- - !"~ - ------- --------- ow DATE FLAG PROCEDURE RESULT. NORMAL RANGE METHOD,. 05/00/98 MF T. COLIFORM ABSENT /100 ML ABSENT .1008 COMMENTSv. ENACT THESE RESULTSANDICATEI THAT THE WATEF (WAS NOT) OF 'A SATISFACTORY ;SANITARY:QUALITY:ACCORD Jo THE ' NEW YORK STATE AND -EPA.FEDERAL' DRINI'-I.NG-j4ATER.STANDARDS9-FOR THE PARAMETERS TESTED* AT:- THE T I ME: -'.OF' COLLECTION: SUBMITTED BY; Dar ctor , � -�.. q� • I !_i Si ` t ;'�f Y_ M � � ..` y�t �� �h:�y `�� �\ l �'' Ak 'i- '1•••(i, 3`. '� '.:.sue `y ti' sw jo st K ��• :- �.. /l 1, _ ~'�: 'W' �.A '� �• .� i III � aV) � � •.Q rti ti � ;.7 t.�1' � , ' Ire �t r ti s ,�: - ;X .;rte,► t ��� �.• Yr .: ` t"_:�t '�;{�CV', � �`'! �-•+s. E. 1 '� ''r �� �shi: . �t •.{+i ' v. - � /'. �.•rP �:. i y �Ji 1 �� r. E } y > '� r 4i y� j�("r` 4 ^1 - �' .�`. .{b,s. ... .. - • / , C. r iy:`.'. sf ..1.h c/ .tI 5 tat -.s. 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' o..:s%t :. �" r�,u ��„P�„�,,.E, _...,:�i. r�+'�.'�. � i5%?� .t-.. �, �� °' '���`�L�� r'- '.".r- .. ._ A Fr"r,•yt,,y: .�'""'z ---:;" .e,y'•wY".�.���.7.'� 3'°i''t {'�-_":'- q_`..« �rl � mss. t; r:^ ,C �, .d-- i- �.:.."tn..�� ""'r'r,. -•�.:- ss '`' l /G !— j^ " GARAGE CELLAR AREA up ALL DIMENSIONS ARE APPROXIMATE SCHOONMAKER., 140MES INC. lPlans int G�{�7ir1^ru i "!Fcj ♦z� Gix tr'T1ii, FS, ill' 4f �., /J� J';} l\ t,�j9 , y !' i"'l 1)tT � f E J ;! > 5y''•�j >>'i � � l` dt � �c JI �G >'���� ' �I� �4t 7i 'TS '3. t��t "'�' -� �.�4JjZ �'�r!lW��et4I ��RJ'n y�a+W +�.�{.�Pr RTwgMO.�V�rta.Y.+�•,a. w�?:I�PA�"yUO �l r• - �Yril'U` n.+1�j 't-% .�..�. rl ?.) X1:1 f /'•� P tip,. Q , r I f t Y §I pv 1 r I.ti 4 f�` ! J I ,t IN'I � I Y �u a•ti 1,.1 ,. �r ..:, � ,......:,,,.......,.Q - ' '� � � �t'R� i '\�s � 6.t: y�JY`f ahL t rl'� (si k ♦ t'�. ..,., , Ll tj +%+.r +• } ..,%.. +i+.,.: +�,.o vim.. -.�.- - �.......� -.« w -- •y�•r...�.. �.�.. ,:'..+e....'� -... -"'.n �.: o.`..-- .,...- .:.: -' - a (� �. l ' • � � `flO,yB O �% Q- p• o� OT ' 0 I n CERTIFICATE OF OCCUPANCY Certificate of Occupancy No...7699.2 .............Application No.75:72? %T(j ... )FamilY) Location of Premises ............................. ............................ of ..... F:qtnam Vall !�Z � !. ......................... having .......... . heretofore -filed an application for a building permit pursuant * to the Zoning Ordinance, Sanitary Code and the Laws in effect in the Town of Putnam Valley, Putnam County, New York, having paid. the required fee therefor.and the undersigned having by personal inspection ascertained that the applicant has subsequently proceeded with the erection or improvement of the proposed struc- ture in compliance with the requirements of the laws as aforementioned and that the said work and materials -met every requirement of the laws as aforementioned and that the premises have now been fully completed and are ready for occupancy pursuant to the provisions of law, Now, therefore, this certificate of occupancy is hereby issued under the seal of the Town of Putnam Valley this .... 23NA. day of ..June ............................ 19.26 Not valid unleft signed in ink by a duly authorized agent TOWN OF !AM VAL YORK t:���TN>r W Y! �1 of and under the seal of the Town of Putnam Valley. BY.... .. ... ............ D p � F. amen Located , 'a owner' Separate Sewerage Syste' "m' built et a Consisting of Other requirement ;,�'s Water 'SuPPIy. Public `5 eo tx Private '? e `_ �• Address:. Building Type` y Ra�4 Y ;Has Erosion Control Been Comply =1 certify, that the systems) as listed x ,• i S Sol, 1 'Any person occupymg,prem conditions resulting from s "available and the approval q ` „subjectsto� modification °oru rr r A � M Qj On x r JN,TY 556EPARTIiiENT rental Health Services, Carmel, /V Y f05f2 i Town or V�I!agJ Section �w d ' Biotk b � _ Lotor% Job e4 j �yati��: Ad'dressx PL?$�atn i1a11u;ty rN Y, r 18a I�nealFeetX at: 3 ©rot s r y sly trench` F ?ucke�r W ®1] drillei°s -parr, -{ R `� Brook Roe��RFD Pe`�kskill9• N'Y° ; ,:10'° ©dao ; � � `' _ Nb of Bedrooms:' 3jY o° 4 { ' y Nip ohp ° mstruMed essentially as -shown on the plans, _e i c _ k ies of whch are ns plans Bled and the permit issued bya ut ',, � td� kD rwent of Health . ied by r +t278�6 P E z� R A i promptly take -such action as maybe necessary to secure�the correction of any unsanitary,', ewera9e system shall become`null and void as soon as public sanitary`sewar .becomes' null and void :when a "public water supply becomes available Such ;approvals are' Commis of Health such revocat motlification or change is necessary Nil Wx 04 0�0 s .te .,.e-e•.l °. ^+sr.�•� ?.1. t -rr' «•^.mss -an y .r. .n <•ra .�Gr'rv�v°r. �"• "+.e:.n- C-�•:. r+ >�-- �..++r..aM^'P+snT' garter. g }.+�'m.+¢^- °•T.'+`.ne.:,n.�.. +� PaY- tavw�..�p.'�- ��.�.. w.�w.a• +VGw�pC�a••+rA+- ^.9�Fa�M��•a•wa+.6ssw�w ^v. Owrier-0r~Purc ser o Bui ding BuIding/ Cons2truicted by n Pau_4m Location - Street Building Type ci.pality 1 Z Section Block /3i Lot . GUARANTY OF SEPARATE SE6IAGE- SYSTEM ••�.r�ri liv v- .��.'I��RI�: N•r r..nJ�r :�.�K�.C3l 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 termination of the Director of.the Division of Environmental Health Ser vices of the Putnam County Department.of Health as, to whether or not the; fa.ilur.a cif -Et•he sys•t'G�M- te--•opera -te was. caused by the w =iI1- ful or negligent- ` act'of the occupant of the building utilizing the system. � Dated this day of e 19 Signature • /� 4 Title If corporation, give name and dd ess) 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 3/71 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK ''�:�; °'°" 'Tiii�"P� �i�t' �•' t�i�+ plE !Eed °- �Sprrnelf�Lfi�i�eF-ari� it�iri tfei its 5 i tip'` �t�l��r�Nea' it�ty: a' e�tc>? i�na�' t�etheT>+ w�wit# �; Iaboratory�sePor •�- of;�.;���;;,;�< analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME R71 1) Al (� {{- ADDRESS h Ali f-" I? 5 {� ! fi N v 0 la n LOCATION OF WELL j " Al R (No. 6 Street) `ld A,'D R C, A (Town) (Lot Number) PROPOSED USE OF WELL ( lL1 DOMESTIC ❑ SUPPLY ❑ ESTABLISHMENT D INDUSTRIAL ❑ FARM ❑ CONDITIONING ❑ TEST WELL ❑ OTHER (Specify) DRILLING EQUIPMENT ® ROTARY COMPRESSED ❑ AIR PERCUSSION CABLE ❑ PERCUSSION OTHER ❑ (Specify) CASING DETAILS LENGTH (feet) DIAMETER (inches) WEIGHT PER FOOT �� ® THREADED ❑WELDED (D(�RRI E SHOE L•1JYES ❑NO 5 CASING Cn 1 MYES !_J NO YIELD TEST ❑ BAILED HOURS ❑ PUMPED ® COMPRESSED AIR G.P.M. v� YIELD (G.P.M.) WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) 3 DURING YIELD TEST (feet) Depth of Completed Well in foot below land surface; _ 0 SCREEN DETAILS MAKE LENGTH OPENJO AQUIFER (lest) SLOT SIZE DIAMETER (Inches) IF GRAVEL PACKED: Diameter of well including gravel pack (Inches): GRAVEL SIZE (Inches) FROM (toot) TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET �06 - N a9, P PA N E e G Ic: p F ;r /4r 3 If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE f 0 1 ( P 1,7 DATE WELL COMPLETED D TE OF REPORT WELL DRILLER (Signature) /� y- I LS VAULISNLU' 1 `) ?J Associated Analgficcd Laboratories 2 0 3 , E A S T 3 7 T . H S T R E E T N E W Y O R K 16. N.Y. O X FX O R o 7 - 4 5 4 0, �. 1 •:swzcN'- m.= _.»Yl,., .tiTY'..vr .'r�iu �.: �u. e' iiw ::t•.ii•.t:na:- s..:�a:�a.�' ply 'du�ti.��+t�tiY: +••v,irVY+c""c` �N. _a•t.,i _�..,•. :TS ea uvi�; +an�a �... c:�%- �.i+'~�.�.c.:7F ".,� �r�.:. - I Lab. No. 4.0,38 April. 9tFit 1975 Frank Cannas 3804 Greystone Avenue Bronx, New York. 10463 WATER ANALYSIS REPORT American Public Health Association Method Source of water: drilled .well, 385�t' Date of collection: ' April 6th, .1975 Date received: April 7th, 1975 Bacteria count (24 hours, 377C.) 0 per ccm. ` Presumptive tests for coliform organisms: 24.hourt 48 hours Tut' Wo. of tuu pofitive doubtful negative Confirmed 3— 0.1 ccm. 0 0 3 3— 1.0 ccm. 0 0' 3 3 -10.0 ccm, 0 Most probable number of coliform. organisms per 100 ccm.: 0. Total Hardness (as CaCO3) 24.0 Ppm. (NYC water averages 20 -51 ppm Total Hardness) Commentc This appears to be a relatively "soft" water, of excellent sanitary quality. Dlmckw . 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I F- .1.1 ... .. . � I . . . . . . . . . . . ...... - . . . . . . . . . . . . ! . i. i ti 11 I I iji I 'I F 4i �. 1, , : � .1 " 1� '. .'Z. __ - .- ___ - - - - - - -- - - - -- ---- . - . I - -- .1 - - -, -_ - - - - -- - -- -_ - - � - - -1 -11 : - -- - -. - . I � i ,,I 1 1 Ito . V ; .1 , � . ! . I .! ii, ; ! 9 : . , . t � 'i, i;, . S6PTIc $Y$TEM, wowmKWAI FOR PROO q'� HOUSE 19 m SOILS RATE Ll�1A-Aj fiv i AL-: TANe -fOWN OF CCKJWTY '4RENCHF-S 'N YORK iI L . U �. y • Dw em'' Q 6W'nA 1 C 3 B jjO'(uoM3 w..a+; �M?sw-=RY�+o- ....rv^, e°t'x ": fim`ro�»'.'Y...�•'w, y a:.,r..,..a NV's` k 4 P it V '7r at l s • , „tat N 3 qt g ST, o ,Y,Cy iC?1�s�,. ' �. ,.`ri'�.lth'snG'd�+r?4�e.?`6,�` �e �.••i..+ -- !,•n'I',= +�'«"�'W �.1•„ti r a �rs'�.. �•.�5 �.:: {.�':i' sc. zY O I' -:{ I -ri i H Y 4 �,t ;.s^i ti l j Y }q,t •e.. a. .X tx {... -s 5 -� "LF;,.' .�•7 }'.� v.._.> -N• ,s' r H tr �L PUTNAM COUNTY ` DEPARTMENT OP` HEALTH L" P my 5fr- ',vp`, �i.^v to � Division of- EnvironmentaYa Health Services, ,Carmel �N k`Y ^ 105123 � CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM a Puts `Wiley, (T) a+.oa ... .a�Y•,�X- •..a.�' �p- .,,,.sryt }.+-�- �c�-•••pi � R...-- »pr�•.'.:nt' , "�� ,.a .2 �q� r i -• ors �� �y^^�: T9w0 'q!'„ iia7�- - / ' ....:. S j t fi u ¢t i 11L �lera lV iW a u , w 1 v 58CiiOntl a9 4._ , an �� s BIOCk Locat ed ,a t h {a'�' ri r • �+ z .f '4+; -9' `Ye' la,,, w Subd{T on ta } k a tnt kA .:T n's e r } „iP 7" � - t�•c ^ ° � � S a tp yS, t obz. b i 4 r . „ do �� • ! u 8 Owner E �'atI�L �`+8Y =t1 &8 Adtlress� Gr tone venue Ranch a s , A q .Building 'TYPe - - t Lot }Area �•I'.2'e �.,. .� �OY17CS N•Y • .1Q463 .f� l� i+h'�' liar a .,5. ' X. �a ', "fie y: 4 d• 'PF«'?: :-.: Y Y }7,,,.., �5h k t '+, .#. ' 2 f 1 3 L mot =r i h Vi r a TOtel SHabitable paces{ `SquaYe Feet l' N y Number. of Bedrooms•2 e ' a a rs c at-. • •v i L i:` :�'. Separate:Sevre ► age System to cohsist of a s" Gal Septic Tank Zg� n ,lineal feet X 3'v width drench, contructed by ueT s s y* Add essa�� c ¢ r a z-c - a:. rr �'"� 4�rY.ft 5t3 e"3•Sr -. ,t )c h� if ' a '*Water Supply a' :Public Supply Fr ' 1.ay ,�+- s'.y.,va 1 a,� �3 a.' n .a E a- wan ,19`s._. Y.��A s,.'� \.0 x, :;) L - `}MT:�r 7 ,;3; sa A,.• xj i �' 4 a nk � • i. t �' +' �+ c a y -:,v x , e .+ q '4t�ly r"' :yi a �, Yt1 S w .' R i � x � $1X ��'�Private'Supply,to be drilled by � x �g'uokeyFWelT:Driiling 7 �, zo at j k'?•° c a 4}_v z r, , a,.y °�' -.3,� i Y F Address. Out IE�Ak other Requirements >S ,r -',�, x..° w xk . >, :•_a_h ,.�;`:y.;. t,. r,.� >�'t ,r .LEAa, {„ ,.r� 'mr's.�,+ie.!i�,`.',..;. ,...._ ^140 �'' ` ...�:�, qas I;gepresent that; :I am- whwolly and completely: responsiblefor1hedesignand� location ofrthe� proposed system(s)'; ":Ba >° �k�� �age,'disposal. system h above - described will be constructed'as shown on theFapproved; amendment there to ands n accorda i s o ',th e , u nam s : County Department of Health, - antl,that+�on completion thereofra ' Certifica4e of�C6nstru6t16mCom01iance y ner of Health will "'bey submitted to';the Department ,�antl a ,written iguaranteeV" "will be ,furnished the owner, his�wccessors, het i e' I said builder. will ik> place m .gootl operating cond�t�oir any past of said sewage disposal system `dur�ngetheper�iod of two (2)oys mm low ldate of the issu -' k ..,arice of the'a 'w _ t pprovalAof theCertificate of Construction &Compliance ofAthe original system.,or anyrepair9 ter to w ill' Ndescribed above b - w 11 be,located'asishownxon -the approved pi and that said welltwiil"be lr0lietl ` A3,,w cordancer with the sta�d> ru, as f the Wutnam Count De artment of Health f y P .,-s a '?;� ''t.a -''�"- a z•' ,' k • ,,,r `x. fy f a .. �• 7 q.n , -��+ _ -�zz/� e� r 0`. + Date r my • Signed "� t t i P• ][ R A 1973 6 a x d s ". v s r at y • } its r , F�.,Add'ress 1 wOrttu'frla@ RQ&w�e� 73 �j�j� $ _` F�• 27. . 6 '"•i h.,• *. try 1 `�: .. } f..a.. .t '7 ^-k•.o a r•;.. ,a A' o`a }.x -.••.a �v, - • • }i;:_ .yt* .' i 7 _ ?.APPROVED FOR;�CONST, RUCTION r ,This;'approVal expires?.one, year from ahes date: rissued�,.unless ;construction; of the lklliSg has. been�,unde[ taken and is, , 7:t ;.?5cr,. <g +..... .: •x.n °.:3«... �, v: ;. GY,".:'.�e? .,v' ,. - �- -.... .. r..r.. _.4 _ ►evocable ,for :cause or may. be amended ormodified: when considered °necessary by the Commissioner of Health An change;'or alteration of construction yrequvessa new ;permit Approved for disposal of domestic nitary�sewa and /ors private water supply only a }; _ n r + Q t t ' y r ' � I i I , , 1 NT P TNAM - GOD ALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ° Date `_r /(o l 173 Re: Property Located at Section 17_ Block Gentlemen: This letter is to authorize �� Ro� a duly licensed professional engineer or registered architect (IndicaT_e_T_- 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 promulgated by the Commissioner of the Putnam County i epartment- of HCaitii, and to sign all nece8:3ary 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 Educatidn._I;aw;.. -the. Public Health I.&w; arid:tlie �utnarn Courity;Sani tary Code. Countersigned: P.E., R.A., # 27846 1 Northridge Road (Seal) A Arl ss Very truly ours, Signed Owner o P perty oct Address 7 9- -(�O U 77 .4` —'1 e ep one re .Q °tln�® Peekskill, NaY. 10566 ®S0�pLEN6 /�Ff9 0 00 FE 7 - 1056 m °�yQ4�0S Telephone ® 0° NEYa i l/ PUTNAM COUNTY DEPARTMENT OF HEALTH ..r .�..: .V�� -fin.". .u. _..:- �u�:C'�j4+'Ii_: t�.•. �. .: � ..: ..`.�-�j,.� � ... .. Y e-r .:- � .__ fi; �._ s J- +nxaw•rf�.••.•.•�v'���' `:�h\vi.+..:+r-'"J�eSR«v�v .X "K- .�'••Sir�r+ -. r`rt.. -. DI�TIS`IO`1V�OF "ENVIRO�TN�NTAI, NTH` S��2Vi0ES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA.SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM .FILE NO. Owner Dank Cannas . Address 3804 Greystone Ave, N.Y. 1 ()41;3_ Located at ( Street )'Kramers Pond Road Sec. 7 Z Block i Lot 13 •' (Indicate neares cross s ree Municipality Putnam Valley WatQrshed Peekskill,'N.T. SOIh ?PERCOLATION TEST DATA REQUIRED'TO BE SUBMITTED WITH.,APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION, i— r stun; 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 i 1 10:3210:50 18 24-.50 27:50 3.00 6000 2 -10:50 11 :10' 20 27.50 30.50 3.00 6;67 4 ,10:41' 'I1s02;; = - . 1 50 `22:5'0.•`;; 3- 00 _..• -7.33" 2 11:02 11 :27 25 22050 25.50 3.00 8.33 ,3,., 5 2 4 Notes: 1) Te'E�ts to be repeated at same depth until aroximately equal soil rates.are obtained at each percolation test hole. A11 pppp data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT IITA REQUIRED.TO BE SUBMITTED WITH APPLICATION ;.SCRIP DE 'T'ION OF SOILS�JC.�?L'�df'�' DEPTH HOLE NO. 1 HOLE NO. .2 HOLE NO. 3 G.L. Topsoil Topsoil 611 1811 2411 3011 3611 4211 4811 5411. 6011 6611 7211 7811 8411 Topsoil Topsoil Fide 'You ,-soffie fine loam ,- some small" stones small s_. nes Topsoil Topsoil fine loam with large rocks disi- Aterg°ated rock - NDICA'FE i,E�TEL ^AT rIHICH _GROUND WATER. IS: ENCOUi�TERED INDICATE I VES T� WHrCH WA�!'EA-LL RL- 5In5.. -KFnR EE7NG' ENCOUN`T'ERED : -:, (PESTS MADE BY John S. Romeo Date A 12fl 1973 DESIGN Soil Rate Used 8 -10 Min/1"Drop: S.D. Usable Area Provided 5000 SF + ° o° °, No. of Bedrooms 3 Septic Tank Capacity 900. Gals,: Type Absorption Area Pr— ov d By 180 L.F.x2411 36" x widtlio .RO OtUIN Name ° Sohn S¢ Romeo Signature ` ° Address l Northridge Road SEA Peekskill, NY 10566 ® ® ®� P78A6 BFNa 1IS SPACE,FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved &I—Ft/dal. Checked by Date 193 I . . ..iY Dk:. 'T• uF HEALTH