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HomeMy WebLinkAbout3466DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.18 -1 -35 BOX 28 03466 I I I %§'L 1,14 0 a' to „II I 3 r ,'' ' loom T �1 Wl Is I 03466 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Htaalth Services, Carmel, N. ;s 1002 Permit s �- CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley (T) Town or Vii!mew Located at Kra_mers Pond Road ^(]: r� Qalock 1 Formerly Tax Map Lot f' 9 e 22 sum. Lot 2 • 1 Separate Sewerage System built byRoger Mayes Const Inc. POUquag, N.Y. Address Consisting of 1000 Gal. Septic Tank and 335 LF of 24" Trench Other requirements None Water Supply: Public Supply From X private Supply Drilled By Beal Well drillers Address Brewster, N, Yo Building Type 1 Story Frame No, of Bedrooms 3 ,_ Yes Otte Permit Issued .rte` Has Erosion Control Been Completed? W, I certify that the system(s) as listed serving he above g premises were constructed esaentiBDly�� OJiStie'°�$f the completed work (copies of which are attached), and in accordance with the standards, rules and regulations, in acdil itJ� t�f ed 49* >r:d the permit issued by the ``• Putnam County Department of Health. Date November 23, 198 Certified by �' e 1 d P, E.X R.A. Address Northridge Road Peep ? 0 46onse No. 2 86 ,`•t :' Any person occupying premises served by the above system(s) shall promptly take such action as may bd fib 4C& the correctlon of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall become null and Ri40lAn as a public sanitary "war becomes available and the approval of the private water supply shall become null and when a public wa pply becomes available. Such approvals are subject to modification or change when, in the judgment of the Com o of Health, such r or-,change Is necessary, Date 1 /�--�- BV_ TitI* Rev. 9 -81 PUTNAM COUNTY DEPARTMENT OF HEALTH Permit a �\ Division of Environmental Health Services, Carmel, N. .Y. 10512 F - ..Putnam Valley (T) ;. Cvn3 �iit: i ivly: HtFilil(1 f FOR SEWAGE DISPOSAL SYSTEM ownlor village 9 2 Krainers Pond Road ` Located at Tax Map clock Lot Subdivision' Hurray & D1Pa10 Subd. Tat a Renewal ❑ Revision __❑ `Owner /Address Mr. Mrs. Edward Hurra y Date Of Previous Approval $anch 1.35 Acres Fill Section Only 13 Building Type - Lot Ar�e00U . da$ Number of Bedrooms 3 Design Flow G /P /D P.C. H. Dap firjA> i,onOR ,vi 1000 /(! J,jr� i reffcn Separate Sewerage System to consist of Gal. Septic Tank antl To be constructed by Sheldon Gardner Address Stevenson Avenue Peekskill, NY 10566 Water Supply: Public Supply From X Private Supply to be drilled by Anderson Well Drillers Barger Street:Rztnam Valley, N.Y . Address Other Requirements Curtain drain required -- heavy runoff during storms Property be regraded behind house to dt water away from septic area 1 represent that I am wholly and completely responsible for the design and location of tfbae Or o 014v(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and Ai tandards, rules and regulations of e u nem . {' County Department of Health, and that on completion thereof a "Certificate of : #Vtisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the 6 c as assigns by the builder, that said builder will' place in good operating condition any part of said sewage disposal system du`l ritt� w IBS immediately following the date of the issu- ante of the approval of the Certificate of Construction Compliance of the origi Este or epai t rpto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be installed ins � danc - rs its i _ dt, rules and regu a ons of the Putnam County Department of Health, o s J. �' rw • X " Nov. 1, 1983 a Date Signed P.E. R.A. 1 Northrid Road I , NY 10 27846 6 Y Address �l�c nee No. APPROVED FOR CONSTRUCTION: This approval expires one year from the date isms ue�° ytlion of the building has been undertaken and Is revocable for cause or may be amended or modified when considered necessary by the Coo: V n /Health.. Any change or alteration of construction requires a new permit. Approved for disposal of domestic : age, or vats w su Date f �T ©� a� ev Title Rev. 9 -81 �-• Owner. or urciaser of B ilding Section UtUt't: �, _ : x. ,,..; %�«;. • ?�;; :.a ..,..,.. —,. w._,., _ «� .. _ . . 9.22 Location - Street Lot Di Palo & Hurray Municipality Subdivision Name 1 story frame 2 Building Type Subdv. 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 '.f�'-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 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 Z_ C) day of 2 19 Signaturr e Title u a; me (iffco • • ;a 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 i ^��iA)�/.� ^' LOC�T/0�� ' P'O' BOX 99 3^7' " 8a[ [] 221.KB\RST,YORKTOWwHE/G�iTS.w.r�[�S� Yorktown 4e'gh�t' N. l���� --�. OM _- D»VEPBuSKuL,N.Y.>0566 737-8)7? -_ []*B6]MA|N�T,MT %|SCO.N.Y.xO�9 6G62J35 8�������� ������'� LJ-�7�mEL8GHXVE.<w�A . . k-73" /b REFERRED ay: COLLECTED BY: LABORATORY REPORT %DATE TAKEN- hi-y DATE REPORTED: SAMPLE SOURCE: L []ACIDITY .... .`........................................... []ALUMINUM ~....,,....,..._,,,,.,^....,-'~^'^~'^^.^^^^~^^^'~' []ALsuumo�� '----- ~^-^'-~ []ANTIMONY -'------.--..---------.--'---_-- - � n/ `�mTAL/mL ---+^� //~.� ..................... . []ARSENIC -__-_-_-,----.---.-.--.----------- ' []ooc.s DAY ..... ............................................. ' 0uAn/um _______~___________~_.._-'------_----- []BROMIDE .................................................. ' []BERYLLIUM ............................................................... � []CAFIeOw DIOXIDE. FREE .............................. '� []BISMUTH .~'-~~---'----'--------------------- []CkIon/os ................................................... ' []BORON ................... --'--'-'--------'-^^--_-^^---- []�*LOn/mE --------'----'~.---.---,-.. � []CADMIUM ~~--~-'.''------_-_---'-~---...''.---. []COD .......................................................... []CALCIUM ......-.~'~~-~.-'^^.^,-.,'..-^'^-~^''^'-^~---^ [] COLOR '-------''----.-----.-..--..,.. . []o*nom/um�hnJ ...-..-.','.'.--.-------.------'--' � []CYANIDE ----_'_'.---------.---.-.~ � []C*RoM/mw(hexmnunt)................................................... O msTsnsswT,xm/Owu: .................................. . []COBALT -.--.,'-.~.--.'._----------''--------~' []FLUORIDE ........... ^..................................... .[]COPPER .'..--..'-.~'.---------------_-------'- -[] HARDNESS ................................... '................ []COLD -..'.---_'.,-'-'--'-'-.---------------.- | []mpmcmuponm COUNT/ 1onno .'-�^�-''.'~~, . []/now ~-.~'--.--'-^---.--'.--------------_--. � 109 ml ' '�.�'~-.'.�- � [] La«o '-....'---.'-.'~--.'....'.'---.-----'-..-.,---. --'---.-..-_ ..... --~-'....-~--..r-.....'....,._ ' � []NITROGEN. Awwow/A --.-'-~--..---'.~°~ [] MAcwss/wm ...................... ' ] NITROGEN, *ysLuu*L.................................. ] MANGANESE ............................................................... [] NITROGEN. NITRATE ................................... ' []MERCURY ,-.'.'.~_,_--.-^-'.-...'.-''----.--.---'-.. [] NITROGEN, ORGANIC ................................... []NICKEL ..................... * ................................................. []ODOR ................................................... []PALLADIUM -.'~.-._'.-.-~'.-'...'.--'..''--'--~' & GREASE ..'.-.-.----.----.~--,,--..-. �[]OIL poTAss/mw .-..'-..''...-----~-------',--------- []p* ................................................. ...'..... - ' -[] -A*ob/um ... .................................................................... []p*swmL----'.'--'~--.-'-----'.'i---~'-.. []SELENIUM .-_--_--'------.---'_----------,--- ' [] PHOSPHATE (o*txw) ...................................... . []SILICON ......... : .-------------.---_------_--. . []r*O�p*Arsu*°u°nsed/.................................. []SILVER .~-----.'--_--------_..------_-----_' [] PHOSPHATE (,ppo ........................................ |[l SODIUM ....................................................................... [] SOLIDS, SETTLEABLE. mvL -------_.,-,'-.. � []TIN -----'.---'^---_-^---------------------' � Souos Swspswmsp .------..-.''.-.'.'. / mmo ~.--.'------''^'-------.----------------- []• | [] SOLIDS. u/sSoLvso -_---_---'�---'--, :0 ------,.-'--------------------'------------ SOLIDS, TOTAL ---_--------------^^'^ ' [][] ~-----''r-~'----'-,'-'~-----~_-----'~-~-'^~--'' [] SOLIDS. VOLATILE _..--------..-----. � � [] � � nsm�n�s`--.-----.-'---.-'.',-,--------------.. � ' [] SPECIFIC CONDUCTANCE -.-.---.---.'.-'. [] -------.----'.--------.--____-_______.__. °°^.~. ^~ ~'� -------.---.-_--,--------. []� �-'---'.' --- [] -. -- -- .'.' - ' ' ---- ' ' ' ' ' ----.--' ' -- ----'---'--'---------' ' ' ' ' ' ----'--' ' [}�u�F/oE ................................................... {] .............................................. .................... ,............... [] suLp/Ts '�--------------------'�-'.- [] _-'-'--''-'-'-.----------------�------'.-----' ' � C) SURFACTANTS _.--.-_----..-'-----'. [] . _'______,._~._._-.-_____-________..____.____.. [] TURBID/T.. .................................................. � -___ .................................. __ _ ....... � THESE BCSDCIS INDICATE THAT' THE WATER WAS OF A SATISFACTORY SANITARY QUALITY WHEN � THE-SAMPLE 14AS COLl2CTCD, /---- THESE RESULTS INDICATE IBAI THE WATER DID MEET THE SATI CHEMICAL QUALITY OF ' NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS, DR I0C WATER STA14-DARDS (PART-72) ` '� n Boyd Artesian Well,'Co.', Inc. : Carmel, N . Y. 10512 (914) 225 -3196 September 27, Rieger Homes Inc. Box 3356 Freedom Plains Poughkeepsie, N.Y. 12603 WELL Ed Hurray - owner Kramers Pond Road Putnam Valley Depth% 405' Casing: 421 _..�.�.....,......_..,,..- .Drive shoe'._ -• -� .:_.....: .r.��:..=.�:.....:.�;.e.:� -�s.� :�.w............... ..:...��_ __. �_ ....�_,o...n ...�.:.:a.;;..;::::: •. Tests 4� gpm C HYC r!- a PUN noun I .......�,., .. _........._._ . ... . . 3/71 Division of Environmontel Hoolth Sorvicas 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. I 1 SPORT IyJUST ;BE SUBMITTED VuITM!N a9. DAYS OF WELL COMPLETION .. �- -•—. -- _....�,_-- ,....., -� :._.rte - - -� -� ..,__. .. ,__�w_w__o-:. ..:_..•- :-, �_�_ .,._.- :_,�.��:... ..,,. ,,... _,. .,. OWNER NAME Ed Hurray ADDRESS Kramers Pond Road, Putnam Valley. LOCATION OF WELL (No. b Street) (Town) (Lot NumDor) Kramer6 Pond Road Putnam Valley PROPOSED LIWEOF BUSINESS ® DOMESTIC D ESTABLISHMENT D FARM D TEST WELL D SUPPLY D INDUSTRIAL D CONDITIONING D OT (Specify) MENT EQUIPMENT CABLE J' D ROTARY t AIR PERCUSSION D PERCUSSION D (Specify) CASING DETAILS LENGTH (tool) 42 DIAMETER (inches) WEIGHT 6 PER FOOT 19 Ri THREADED D WELDED O X YES DNO CASING X YES QRgUTr5T_ NO YIELD TEST D BAILED D PUMPED R HOURS G.P.M. COMPRESSED AIR 1 YIELD (O.P.M.) 41,2 WATER MEASURE MEASURE FROM LAND SURFACE —STATIC (Specifyfeet) 4 �LML ( DURING YIELD TEST (feet) Total Drawdown Depth of Completed Woll in feat below Land surfoco: 405 SCREEN DETAILS MAKE LENGTH OPEN TO AQUIFER (tool) SLOT SIZE DIAMETER (inches) IF GRAVEL PACKED: Diameter of well including gravel pack (inches): GRAVEL SIZE (Inches) FROM (loot) TO (toot) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch oxocf location of doll trlih dlofencea, to of local two pe rmanont landmarks. FEET to FEET 0 15 Overburden __._ -_� .. - - r_ _ ..z .. .. .__... ._. .... v _.._ . . 15 30 soft green & brown rock .30 41 hard green granite ._....- �1.. !. _ . l 7.(1 Jr• L:+Y `f Y'a_Cr ��. r',�. L.,;�F�_ __.. _ 20 122 white quartz 22 180 green, gray granite 80 280 same 280 310 soft green granite & quiLrtz 310 405 hard geen & gray granite If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED 9 -27 -84 DATE OF REPORT 110-19-84 WELL DRILLER (Signature) f� `/ 4 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES �a2'y`wit.:;.e`�ryni T"�bap•%•['•_c*..r.! ^`i`w. ..re+� ^w!:s�.,...,iai -c.. yi..'-N+.- e- �.'f••'.-i•.y�.:n _ .. �v.- v..�::.�M�- 4ati K�'a �`�'.; i,r't^�.i',��+ y ^y'C� ^r. F `Jv'?.+"F�%`- �•.i`.`r`S]•ry .w�l.•'- wr*+Mjw�w . Date u�e�ifier""l, �'gg`j "" Re: Property of Mr. Mrs. Edwanff Hurray Located at Kramers Pomd Road (, Putnam Palley Section 72 Block 1 Lot 9..2 Subdivision of Hurray &'Dipalo Subdv. Lot # 2 Filed Map # 1912 Date April 22, 19$3 Gentlemen �g� John S. Romeo This letter � -a** 1orize X a duly lic,enl�jQjD•rgfessional 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 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 -in.-- q- onformity�.w _th- the- _pr-ovislons of 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed t .0 .. L�,c✓�K. Countersigned: ./� ' o.•...o,.m Owner of Property P . E . i�XXX ## 0v 2784. ������� EN6 /yFt�� .,• '' R �J�� y "��C;, ,A.� -- � �s � �� �-C ' ' o o• Address 1 Nortr idge Road o `� 6L L L . , Address Peekskill, NY 10566 e Town 737 - 1056 ®© NE o•° ° ®•°odoo Telephone Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES r DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Mr.. & Mrs. Edward Hurrggdress RD 2 Sprout Brook Rd Peekskill, NY 10566 Located-at (Street Kramers Pond:-Rd Sec.. 72 Block. 1 - Lot 9.2' z �Indicate near8sttro8s street) Putnam Valley Watershed- Peekskill SQI COL TION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS .A Hole 3 Nuuihpl'A CLOCK TIME PERCOLATION PERCOLATION EIapse Dep Water Water T vei Time From Ground Surface in Inches Soil Rate 'StArt-StoP' Min. Start Stop Drop in 'Min./in drop Inches Inches Inches -1 3SOO 3s27 27 20-50 2 3-00 9.00 2 304 4t44 30 20-50 23-50 3-00 10.00 3 4106 4136 30 20.50 23.25 2-75 10.91 4 460 5120 30 20-50 23.25 2.75 10.91 (2) 1 3:,14 3:43 29 25.50 28-50 3-00 9-67: &inn 4L :30 qh 4. k" V 47 03 5s03 30 28.00 2.50 12.00- 2 3 Notes: 1) Tests to be repeated at same depth until a roximately equal soil rates are obtained at each percolation test hole. Aff data to be submitted for review. 2) Depth measurements to be made from top of hole. 1A bkP-TH' - G.L. TEST PIT DATA'REQUIRED TO-BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES ho Topsoil Topsoil Topsoil 611 1211 Topsoil Topsoil sandy, gravelly loam sandy 1811 ,grav&ly loam 2411 3011 3611 4211 4811 5411 6011 66" 6 7211 7811 Topsoil sandy, gravelly loam 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None INDjq&9T. LEVEL ..TO-WHICH WATER LEVEL RISES AFTER BgITiqT,,WQUNT-FRBD' mz. rr. 1, ZT DESIGN 11 ' .Soil 5000 -SF .Soil Rate Used op: S.D. Usable Area Provided No. of Bedrooms 3' Septic Tank Capacity 1000 Gals. Type Masonry Absorption Area Prodded By�75 L.F.x2411 x 36" oaf T11t9ho&rench.. Ale q- 3- op, Dame-, John S.. Rom eo bigna-cure 0 Address 1 Northridge Road SEA� FeeksKIII, v NY 10566. 0 0 0 THIS SPACE FOR USE BY HEALTH DEPARTD ENT ONLY: 000" 0 ° °® 00000000 0 Soil Rate Approved Sq. Ft/Gal. Checked by Date 017 I G � 0 T .0 > V, r m 0 0 Z tj Ole - x o -4 -1z 0 6' r. co . a 16 O It zi t 0 T .0 > V, r m 0 0 Z tj Ole - x o -4 -1z 0 6' C� co . a 0 T .0 > V, r m 0 0 Z tj Ole - x o . a 16 O It zi t