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HomeMy WebLinkAbout3539DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74. -1 -14 BOX 28 �,�L �, ;: or i IN Ikc �{� IN 03539 PUTNAM COUNTY DEPARTMENT OF HEALTH ,^ "Div+ - on of . En vironments/ Health Services, Carmel N..Y. •' 1'0512 Y. GE�iTl,FICf TE::OF CONS1CkVbTibN, COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley (T _ -at+ i 3ae�r .L.w.n :.i _ 1•��i- -mow_° .. r e s' Town or Village {located at Boswell : Road _._ ; section 6`2 'Block 10' Vince Morelli 3 ww •=2 nt Owner - Lot` Job s d _ 8is Sprout Brook.. Road _Putnam Valle Donald eparate sewerage system built 'by Head y qd �A 1200 4 w { Consisting of GaL Septic Tank lineal -F.eet X width trench Other requirements Curt61 - Draihs tl31st7 led 'Water, Supply: ,. Public 'S'upply From `F <� _Private Supply. Drilled .By, Norman Anderson, Tne - - .Address Barger _Str'eet `Putnam . Valeyp, N. Y...10579 r Building Type 2 Stor fraMe No„ of Bedrooms Date `Permit.lssued Has Erosion Control Been Completed Yes =3 0 ..I; certify -that the ),,as, listed serving'th`e above premises we re' constructed essentially as shown :op:f s:81F t� +work ,(copies of which are attached),' and in, accordance :with the, standards, rules and regulatio`ns,' plahs" filed „and.thb permit "ilsu� .' t u fy Department of Health. y , � � O � r � • •�3 .1.,• o � Date' Majt 2% 1-9 2 Ca'r't 1 ` Northr is Address F s - Any•person occupying premises served by the above systems) shall _'i-Conditions resulting-from, such usage.- Approval',of the separate' available and the approval of theprrvate water' "supply shall becom subject =to difi .mocation ,or change when <`,in the; judgment of tfie Date BY X . R.A. - R d .Peekski7:, .' 6 027846 r L i—Ose No mpfly take such action is.mayi thesorrection, of any,unsanitary erage,systemshall become null °a blic sanitary, sewer becomes Wand'.­- I and void when a;- public' water >V pig m gs�wailable. Such approvals are rrimi'ss r of; Health;; such ,revo do CAI F tTon or• change pis ,necessary, Title 'ORKTOWN M ED ICAL LABORATO RY IN C. LOCATIONS: PA. Box 99 321 Kear Street f(VN I IC I( I I i J.Y. IO�!fl :•15.3:03 xTX 371 KI:All S T., Y(lK Yorktown Heights, N.Y..10598 1..) 201 BUTTONWOOD AVE.. PEEKSKILL. N.Y. 105GG•737.8777 245 -3203 .la 405 MAIN ST., MT. KISCO. N.Y. 105.10 6GG•3335 . I.I STONCLCICII AVC. (NEAft IIOSPITAL). CAfIMEL, N• Y. 10512 270• - -..LAB �� �HV #0822` .: ._.�- . =�•-, .. . DATE TAKEN: 4 P.M) DATE nECEIVED: 5/20/82 P.M. ) r DATE nEPOnTED: VINCENT MORELLI SAMPLE SOURCE: TAP: KITCHEN 20 BOSWELL ROAD REFERRED BY: _ CRCISSROADS PHARMACY PUTNAM VALLEY, NY 10579 L- _ J COLLECTED BY : V MORRELL.T LA130RATORI• REPORT .._ mtJ /L ❑ ACIDITY ......... I ......... ... .......................... CI 1LUMINUM .. ............................... ........ ❑ ALKALINITY ......................... ......................... Cl •1NTIMONY ......... ............................... ................... BACTERIA, TOTAL /mL ... .......j ......................... E.1 •,11SENIC ...:......................... .............................. CI !IAnIUM ....................................... ............................... ❑ 80D. 5 DAY .....................:....... . ❑ BROMIDE .......................... .... ............... _ ... CI !i nYLLIUM ......... ....... ............................... . ❑ CARBON DIOXIDE. FREE ........................ .............. CI BISMUTH .. ........... ............. ............................... ❑ CHLORINE ........................................................... CI IIOnON .... ............. ............................... ................. ....................... .............................. ;AOMIUM .................................... ............................... ❑ CHLORINE ..... ❑ COO ....................... ............................................... LI.(:ALCIUM ........................... ........ ............................... ❑ COLOR ...... ........ .. .........................+:.... ..... Cl c:linoMiL(M (tot.) ................... ................... ❑ :CYANIOE ......................... .............I................ Cl CIInOM1UM (hexavalent) .................... ............................... ❑ DETERGENT, ANIONIC ............ ............................... Cl I:OBALT .................................... ............................... ❑ FLUORIDE .......................:.... ............................... Cl COPPER .................................... ............................... ❑ HARDNESS ................. ........ CI COLD .................. .......... .... ............................... ❑ MPN COLIFORM COUNT / 100 ml ................ .......... Gl IRON ....................................... ............................... �PrFT CO LIFOR:'N COUNT/ id0 mi .... :.� ..................• ... Cl I.EAD .................................:...•.. ............................... CONFIRMATORY TEST CI I.ITI(IUM ❑ NITROGEN, AMMONIA ............ ............................... ❑ MAGNESIUM ................... -. ..❑. N'TRRPGEN.- KJELDAHL _ ................................. ❑ MANGANESE ........................... ...... ..... _, .... . ❑ NITROGEN, ORGANIC ............................................ Cl NICKEL ..... ............................... ............................... ❑ ODOR . ......................................... CI I`ALLAOIUM ....... ............................... .. ❑ OIL & GREASE .......... ............................... .. . .. CI 1`6TASSIUM ................................ ............................... ❑ PH .................................... ...........................:... Cl 11110DIUM .................................... ............................... ❑ PHENOL ....................................................... ......... 0 SELENIUM ...... ............................. ❑ PHOSPHATE (ortho) ............. ............................... 0 ';ILICON .............................. ... ............................... ❑ PHOSPHATE (condensed) ........ Cl ..ILVEn .......... .......................... ............................... ❑ PHOSPHATE (total) ................ ............................... CI :.ODIUM ........................................ ............................... ❑ SOLIDS, SETTLEABLE. ml /L .... ............................... CI fIN .. ............................... ...........:............ ❑ SOLIDS. SUSPENDED ............. ........:...................... Cl /INC ... . ❑ SOLIDS. DISSOLVED ............. ............................... CI ....................... ......................... ............................... ❑ SOLIDS. TOTAL ..................................... n ........... ... .. ............................... _ l ............ HEMARKS:....COY, TO „CROSSOA?S 1RI . ❑SOLIDS, VOLATILE ................................................. O SPECIFIC CONDUCTANCE ... .............................. LI .............................................. v' ❑ SU,LFATE ............................................................. (_l ............ ........................ .........................Q:.... ...... ❑ SULFIDE C.1 i ................................... ....i NO5❑ SULFITE ................................ I........................... ................................................. . ,. ❑ SURFACTANTS ............. ........ ............................... CI ...... .. . ❑ TURB101T.. ........................................................ Cl ............. ........................................ �.�.1:.: }i •;3 !r��r.•�I' THESE RESULTS INDICATE THAT THE 14ATER WAStj1,4 OF A SATISFACTORY SANITA KURW I THE SAHPLE WAS COLLECTED, THESE RESULTS INDICATE THAT THE WAtER DI _ MEET THE SATISFACTORY CIIETNICAL QUALITY OF NEW YORK STATE ADMINISTRATIVE RULES & REGU.I \TT.ONS, DRINKING WATER TANDARDS (PART 72) ALBERT 11. PADOVANI N. T (ASCP) , DIRECTOR: i TOWN OF PUTNAM VALLEY WELL DRILLERS IAG AND RI:I'ORT -• - -. _........._:: _. -_ WELL COMPLETION REPORT '; :� i ;�xcrrxt y � -�o ybe comp %� eel':: ��. �,:.,: wc�l: ��ira. 1• "-'xe�:�,and:- ;�.�ub�,i.:1:�cd �or�.. -= - . - .�. ... :_�c�. depaztcr:cnt, together with laboratory report of analysis of ,•:;,ter sa-rpl.e i-ndicating water is of satisfactory bacterial quality. Diameter �[^ '-G -AL DDPTr: OF 'ABLE �3a ' Feet ".% ?FLL LAG Death from _ e Give description of formations . penetrated, sl.4ch Ground Surtz.ce as; peat, silt, sand, gravel, clay, hardpan, shale, sandstone, granite, etc. Include size of - gacavel (diameter)-and zan .(fa.ne, medium, coar6Q ) color cr3. �a V" .StrriC^tur ;� (-I Se -Packi cemented, sort, hard). For example; O ft. to 27 ft. fine,. packed, yellow .s:u-id; 27 .Ct. to 13A ft. orav o anite �� �•�t t� Fc;: t Formatinn JUN P OF R AL7 irate: W(-11 CGmple 01 of Report Well Driller . Signat"re Tax Map Street.. Sec. B].. Lot Fame Mailing Address City or Town Tel. # ;•; c 11 Dr i 1 It r a y � �1�,� �U�,; �% y. ,�iV� Naire Mailing Oldress City or Town CASING DETAILS I YIELD TEST WATER LEVEL SCREEN DETAILS Bailed Measure -from surface Ft. or X Pumped Hrs.. Static: Ft. Make; °.7; Izcr _ &_ Inches Yield s- e GPM____ Men Bailed Pumped Ft j i .Slot Length Ft . Si z'Q Diameter �[^ '-G -AL DDPTr: OF 'ABLE �3a ' Feet ".% ?FLL LAG Death from _ e Give description of formations . penetrated, sl.4ch Ground Surtz.ce as; peat, silt, sand, gravel, clay, hardpan, shale, sandstone, granite, etc. Include size of - gacavel (diameter)-and zan .(fa.ne, medium, coar6Q ) color cr3. �a V" .StrriC^tur ;� (-I Se -Packi cemented, sort, hard). For example; O ft. to 27 ft. fine,. packed, yellow .s:u-id; 27 .Ct. to 13A ft. orav o anite �� �•�t t� Fc;: t Formatinn JUN P OF R AL7 irate: W(-11 CGmple 01 of Report Well Driller . Signat"re 4- PUTNA 2, M. VALLEY (T) ding Municipality Map 1238 Building Constructed b Section Iff44 /0 Eocation Street Block Building Type 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, hisl. succes.- Sors., heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate fora period of two years immediately.f . ollowing 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- the Director of the Divis,ion.,,of...Ma,v,,r t; .onmenal Health ,,Ser- vices"'of"the Putnam- -uo-unty7Departyrierzb",of,-H6a!-th-a�d--�to---whet-h6r*"-5fi"'ff6t"'th-6''-- 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 day of 19 F1 Signature _Agr,�" 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. grio Division of Environmental Health Services, Putnam County t v Sealth JUN - 2 1992 P! COUNIly D0_f- OF HEEA01-H r Vincent Morelli 62 Owner or Purchaser of Building Section Vincent Morelli 10 e, a•�t,i1`l {.�111�� tI V�J. r7�t.l a.l��Gl.l ...ryy.. f�..r. >a. �s .. �.. .. 4 '. • e.. ...� a.��VRV �r.�•... w— W' /� wh, •�:Y .. �� .•1" l• al• ... ..• .. .t. Boswell Road RJ 2 Location - Street Lot Putnam Valley (T) Municipality 2 story frame Building.Type Boswell-Estates-Sec A Subdivision Name 20 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. 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 fora 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. of"the T1uth:Ahf- "County ' Department `of-of 'as"`cei ivh tiretr ter "ho: the - ail-: ure of the system to operate wa_s caused by the willful or negligent act of.the: occupant of the building utilizing the system. Dated AAL / f Dated this 27 day of. May 1982 Signature , Title Corporation Name if core. _Y Address - - - - - - - - - - - -P� i WAf�ti � - - - - - - - - - - - - - - - - - - DE�� 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 'T .#Ev� 'CONSTRUMr-li Located A Subdivision WLT I!UTNAM.� 0 NT,`0F_zHEA TH-, an o '" - Division of.. Environmental sHealth "Services,. 'Carmel _ N'. Y. jo5,12 Putnam Town aor swell Road 1'223 r Sbrd.dg,� kq Ad ress SF 00 ,- D 10 WUY + 1650' Total :Hat nnnn —7777=� Separite'Sewera4e.Sy "Stir� to 'd" Septic Tank -and-­­ Tr ei Ed Btishe�r glbany ,Post :Road" 7 T-, p,.' constructed :rby "Address Water ,4Supply Public r nCroton ­on H-6d o x 0 r 4:.i .,;P iv e Supply to b,e',. drilled :-by�,l-, S Minimum 7 -."Other iRe4ui L.represenf that I am wholly and completely responsible above d'Will be constructed js shown -drl the Appr - ,County '-,pqpartnjent­of Health, and that on completwl be submitted to the :iiid -V written guars _place , iq,,q said s( ante of tK,, approvaIY 'i ;the 6it'i cats of si�, Pon,rq!: tc , ate.,, 1 X02 e Square -Feet osai.systlim Ee,u rem i,:*ke-,a It h , wi I L' of'.06, istu ribed above Address e 'No.- f r 11.1 – T� APPROVED , FOR ;CONSTRUCTION i"- �unless 64:S!"fru lkL7? 'jdi.ng.has . b- p'i6' :u'i6diitaken,and is revocable' -for r cause or maybe -amended necessary C 6m L %an§e t alteration of lop - requires% new permit - v4d for disposal of domestic sanjW& Date —_ Teti Subdivlslon owner BuilQing ,Type NUMbdr 6U06dr'6`6 ,U T AM-C D;vj 1on ,Of.. Environm swell.Ro"lad- orpy, dame Lot Area .80,0. Y. i ei s u pp I P� ublic -Supply From 7=__ X� Prhite -Supply. to be, drill9q. ii Ad Other Requirements &A ': s require. 1, represent that I arri- wholly . ana.cVmpieiely r.ip.n,&6 des' above . destribe,d '%h!i_l_ ,. b b constructed .. i i, n`­ ic e as ' s ho­w n ' on the 'approved a. m enc County -bepartTentof, Hpal and that on completion ihiii6f.a, ,be i6briited t6: the Department; and a written' guaraq, e'v 'kill b, place 19, 'goo d 'dpi6tini'conia-6 on ar�y 'part, of said sewage k . lia will be located as shown on'the approved plan and that said well will'. 4 DEPARTMENT -,",'OF HEALTH yealih Services ', j Carmel ff 05 EM 7n Putnam Valley Town Lot 20 'Job:' .15 g d ge Road 1 "Address; Bronx, New York Total !Habitable S 46, so uq r'e .•Fe,6i. I Septic 2 k beet Putnam water , a "k id-location . .;of.the �pro�oied, s�ii em(g)e 41% 4jhe-1,s6iiarate sewage. ,disposal systern _d r - . 6 1 �fl" and regulations of the Putnam t't here to and Wat�oid�bte wit A e Commissioner, of Health will rsa ss 4f I pyi der. that W , 6 builder wilU j YNPW,,the period ofofyti9erfollowing thel ,dat6 of the issu• of the e ai Iled 4 a il described abov e is a cd ,I c t 49W. Ioff' ns the ."Putnam R 7� n* 7 E P�A e No is ,APPROVED FORi:CONSTRUCTION This approval ekpkes o�ne,Ve?r from the :date 'issued Vin has been undertaken and IS dor modl led w �pn or. - ' f'. ' consider Id ry ssi ei 0- f alteration of construction ,r= or�!:ayse,?� Tay".e.amende n e disposal of d 6 mest Ic �aijnjt�ry, va a new p,erT!t. :Approved -foi'61s . n ell Date Title' • A. . j a PUTNAM COUNTY DEPARTMM T OP HEALTH I.,.. :- .,.... '��jZTS.IP —D !T�t�0Tv r ?1 T; •1E-Ar�2i= cr�t ,: ,��•. -... -.. Date December 19 1977 Re: Property of James & Millie Morelli Located at Boswell Road SectionMaP 1238 w Block Lot 20 Gentlemen: This letter is to authorize John S. Romeo a duly licensed professional engineer x 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 promulgated 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 - 'Systc3n cr• -.sy:s gems in conformity' with the "pr`ovision's of` Article 145 or 1479 Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed Owner of Property Countersigned° lei, res,s P . E . , =X 9 # 027816 1 Northridge Road Seal Tel ep one ( Address Peekskill., N.Y. 10566 0 0 . s ° 2 ��..k 737 - 1056 Telephone �..�f 279 4s OF hi 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. Owner Located at Zames & Millie Morel]kdress 3150 Kingsbridge Road Bronx, N.Y. Boswell Road Map 1238 - 20 (Street Sec. Block Lot 6dicate neares cross s ree Municipality. Putnam Valley (T) Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Role Number CLOCK TIME 1 PERCOLATION PERCOLATION RM apse p o Water- Water ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop 'Drop in Min. /in drop Inches '.Inches Inches (1) 1 4:03 4 :24 21 17.50 20e50 3.00 7.00 2 4.:29,4:51 22 18.25 21.25 3.00 7.33 3 5 C2) 1 4 :12 4:35 23 16.75 19075 3.00 7.67 _. _2 _.4`41:. 5s66 - 25 : -.. 16- '77: 19:50 _ _3,00. _ 8.33 ., .._.__._..__.......... 3 5 :08 5:321 24 -17.00 20.00 31.,00 8.00 4 3 4 5 Notes: 1) Tests to be repeated at same depth until approximately 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. 1 2 3 4 5 Notes: 1) Tests to be repeated at same depth until approximately 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. TEST PIT DATA, REQUIRED TO BE S'UBi%�ITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 1 HOLE NO. 2 HOLE NO. 3 rev 12" silty.gravelly loam silty gravelly loam silty gravelly loam 18" 24" _ 30" 3611 42" 48" 54 60" 66" . 7211 ' 78 ►1 8411 . INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED` INDICATE LEVEL TO -WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY John S. Romeo Date .December 159 1977 5000 SF Soil.Rate Used Mi 1 Drop: S.D. Usab e Area Provided No. of Bedrooms 4 Septic Tank Capacitv r 1200 Gals. 80@Y19@0,- Masonry Absorption Area Pro dad By � L. F. x24" name J oAn 6, Romeo' bignature 1 NortYxidge Road r Y. Address SEAL Peekskill, N. Y ° 10566 27846 Je THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal'. Checked by Date_ R P 1'� V_ Kv % T qf �­M t, NI-3; i h. DI T 444• Z--f 4' tYi SECTION 'n ? 5 1 44 10 sc AL 1 _1 0 2. t S JZ- 43 "q� 4 rd r 4 14 w -4 4-r st f 4 -j- Z Y A ..... ......... . -elf. 71� vp- i4 xl� Y", yyy s EPTIC'SYSTEM 5 , bvj� ur i4 xl� Y", yyy s EPTIC'SYSTEM 5 "HO[jSE FOR so ILS RATE. 1.5 r_'�s 5 11 C.EV"lz. 9q Tl �. -T WN'.OF L 6, A", .COUNTY. , bvj� ur i4 xl� Y", yyy s EPTIC'SYSTEM 5 "HO[jSE Y", s EPTIC'SYSTEM 5 "HO[jSE FOR so ILS RATE. 1.5 r_'�s 5 11 C.EV"lz. 9q Tl �. -T WN'.OF L ED A", .COUNTY. s EPTIC'SYSTEM 5 "HO[jSE FOR so ILS RATE. 1.5 r_'�s 5 11 C.EV"lz. 9q Tl �. -T WN'.OF L ED A", .COUNTY.