The URL can be used to link to this page

Home My WebLink About3583DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.09 -1 -4 BOX 28 03583 I,y%. �, . 0 vi .., .1 ' T 1 1 ir �� E' a • �, �, , lee ,�L r I ' g 1' I, 1 r' 7 Net 03583 SITE R TO MAILING ADDRESS A w7 E PERSON IN'T'ERVIEWED pit h Rffia&V c1 PM CagAaint # Name & Relationship (i.e,, m ,tenant, etc.) DATE TYPE FACILITY CN PROPOSED INSTALLER. Vd22,16J0 blo d• C40 , PHONEME Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of-proposal from licensed professional engineer or registered architect. P 5i GLATO /e6'5,59 -011) . Proposal appr Proposal Disapproved 014e Z :4. f3 Inspector's Signature & Title Date Proposal amroved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed camponents tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, o rted agent of owner agree to the above conditions. SIGNATURE TITLE �(I•A DATE 6414 PIES: V&te MV; ; YeUc w (Tam HO; Pink (Applicant) w- y-or-k.'40940 (914) 343 -5900 ofcc L/-�) y"d Cf, S® X's Y�17 ati 7�) cj m cV pct�� 4,�,n C)/,� � �-e.v � L ta✓ 7�! � s , (ql�J3Y3 -5 fo o 1 _ JOHN KAHELL Jr.. P.E. M.S ...'.. ...... . _ , .. __ '.:.•', . _.:,::=. PUhIi` ;Heatt- 1,,L!irrseso��..., DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 July 1, 1993 Michael & Marie Bess Box 253 Barger Street Putnam Valley, NY 10579 Re: Addition - Bess Barger Street (T) Putnam Valley Dear Mr. & Mrs. Bess: I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans have been approved as per plans bearing this Departments stamp and dated June 30, 1993. The survey indicates that sufficient area exists to expand or repair the sewage disposal system, should it become necessary in the future. Therefore, based on the...information submitted, the above mentioned addition is approved with the following condit.i'ohs: - 1. The total number of bedrooms must remain at four without prior approval by this Department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be replaced or updated with water saving devices, i.e., low flush toilets, restrictors for shower heads and faucets, etc. 4. 200 linear feet of absorption trench is to be added to the existing septic system. Approval is granted for sewage disposal only. Any other permits or variances required are tLV responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. Very ruly yours, Robert Morris =;;.. Assistant Public Health Engineer hµ cc: BI (T) Putnam 11a11ey r r ctz NO `. as rar et lvc centic tank '000 fm he_t;Ea:i Cc CE me C- Lcc Wall h- ALI to V- IL ta � - -' - . �•��' i . sa:. �. � e K. n'^; r �.b-� �ti .. �.�.. ��.. .»..�M _� ,... .w � `.'. J M.':. u +<n �.. ...�. ..,. . :n1r , ,. r -4e ct a�5 3 's,56o-e-t J:74- (t7 Pk rct 's 6-1)1-� le, oo�7 • :, ��I,vc�l�e� i n� y�� S GtJ O IQ-� i �S �j`P -ert �d y1 L= . a/0, A me (j, +l 0 RAZZANQ CONSTRUCTION CO. 7 Maple Ave. NUddlgtown, NY 109.40 c'�/46 :3 4(3-.x"00 cee��rtl=, Located a Owner L separaze- Sew N_ • . Water SuPPIY�, : _ a. - /•:cuunc. Privatea r <_ Addresi 8uildin9'TyPe Has Erosion Control Been Comp I,3certifg that the systems) as: "of which are attached);, and in'I Putnam County Department Of , Bea: } Date ~� A ` a Any person occupying premises st conditions resu it, ing from such u available :and the •approval °of the ubJee4.'t`o`` "inodifiwtion oraeheng Rev : 9 -81' F Town ar Villagej c- Tax "Map ;Block � "� Tax Map Lot A Bubd a y 11, 11.1 „r� k. Address r r $?� �A aXV r` z ?Wo 'ot Bedrooms Date Pormif IsEUed 'were constructed'eaeenfially as -shown on'the plena of the completed work' ( copies is and regulations, in acoordanc@ with :the filed.” an, and the peimit issued'by; the tl by r P E. -�' RA iceriso Pdo ,}. $ k ' vw a 1 c ".'t _ "• i As.;�Y t omp4ly =oak® such'actbn,as may bo``neeee _,y 4o secure the corroetIon of any ummnitary- verage,aystem shall becom® null end vooid es sown ®u a: putilie mni4ery �w ®r becornos, ull and?f6ii when a putilir wa4erE supp ®eom®c available. Sueh app ovals ,V'are FIea14h, sOch.ievocDtf odI4leDtlon;or cPiange Is flecoswry... „i Ti4b t WEi4'`COMP4ET10N REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 ' Division of Environmental Health Services 7 COUNTY OFFICE BUILDING - CARMEL, NEW YORK ' el.' This report is to be completed by well driller and submitted to County Health Department together with laboratory report of - arvalysispf'.water sample indicating �afater.is of satisfactor.Y barte�ial,guali *Y,l�sfore certifi��te :of.rc+nstructian comAliant:e. is issuers:-._ .p LL^ s . w w:y ....., .o na. , .•p •dica ye't s o 6t isfac . . :f uo- t. - . . •.. . rr - .... .q.w1 — ..... V..TA. u'. n.... • .. . REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NA ADDRESS LOCATION OF WELL (� o. 3 Street) �� (Town) (Lot Number) PROPOSED USE OF WELL DOMESTIC ❑ SUPPLY BUSINESS ❑ ESTABLISHMENT ❑ INDUSTRIAL eo,6 ❑ FARM ❑ CONDITIONING f� ❑ TEST WELL OVER) DRILLING EQUIPMENT 2 ROTARY ❑ A COMPRESSED R PERCUSSION ❑ PERBCUSSION ❑ ((Speci fy) CASING DETAILS LENGTH (feet) '. % _�. DIAMETER(Inchea) WEIGHT PER•FOOT THREADED ❑ WELDED S YES NO � C'T31A YES El NO YIELD TEST ❑ BAILED ❑ PUMPED HOURS 5a COMPRESSED AIR G.P.A. YIELD. (G.P.M.) ' • • ' WATER LEVEL MEASURE FROM LAND SURFACE — STATIC(Specify feet) DURING YIELD TEST i feet) Depth of Completed Edell � �� in feet below Land surface: SCREEN MAKE LENGTH OPEN TO AQUIFER (feet) DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL PACKED :' Diameter of well including gravel pack (inches): GRAVEL SIZE (Inches) FROM (teat)' TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well, with distances, to at feast two permanent landmana: . FEET to FEET . ' .. r If,yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELCCO P ED DATE OF REPORT IWELLDRUJeRIS ign:t e DRKf OWN MEDICAL LABORATORY INC. P.O. Box 99 321 Kear Street LOCATIONS: 321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245.3203 Yorktown, Heights, N.Y. 10598 201 BUTTONWOOD AVE.. PEEKSKILL, N.Y. 1056G 737.8777 0 495 MAIN ST., MT. KISCO, N.Y. 10549. 666.3335 _ U STONE'L'EIbW0E-IN`EAR' H0SPII'A' L) CARWE'L N:"Y,1 051 -2 77 8• lff LAB # 0590 F L MICHAEL BESS RD3, BOX 317A, BARGER STREET PUTANM VALLEY, NY 10579 528 -7425 DATETAKEN: 2/22/84 0 P.M. ) -� DATERECEIVED:2 /22/84 3:40 P.M.) DATE REPORTE D:2 / 2 5 / 8 SAMPLE SOURCE: WELL REFEAAED @Y: YI. J LABORATORY REPORT mg/ L ❑ CIDITY ................................................... ALKALINITY..................... ............... BACTERIA; TOTAL /mL ........ .................. ❑ SOD, 5 DAY ................... ............................... ❑ BROMIDE ................... ............................... ❑ CARBON DIOXIDE. FREE .............................. ❑ CHLORIDE ................... ............................... ❑ CHLORINE ................... ............................... OCOD ................................ :......................... ❑ COLOR ....................... ............................... ❑ CYANIDE ...............:... .I............. .................. ❑ DETERGENT, ANIONIC ... ............................... ❑ FLUORIDE :.................. ............................... ❑ HARDNESS ................................. :................ ❑.Ir1PN COLIFORM COUNT/ 100 ml ...................... WT COLIFORM COUNT/ 100 ml 0,,,.,,,.. /O GONFIRMATORY TEST .... ............................... O NITROGEN, AMMONIA ❑ NITROGEN. KJELOAHL ... ............................... ❑ NITROGEN, NITRATE ... ............................... ❑ NITROGEN. ORGANIC ...............; ..............I... ❑ ODOR ....................... ............................... ❑ OIL & GREASE ............... ............................... ❑ PH ........................... ............................... OPHENOL ....................... ............................... OPHOSPHATE (ortho) ....... ............................... ❑ PHOSPHATE (condensed) ... ............................... O PHOSPHATE (total) ....... ............................... O SOLIDS, SETTLEABLE, mt /L .......................... ❑ SOLIDS, SUSPENDED .. ........:...................... ❑ SOLIDS, DISSOLVED ... .................. .............. ❑ SOLIDS. TOTAL ........... ............................... ❑ SOLIDS. VOLATILE ❑ SPECIFIC CONDUCTANCE................................... .............................. OSULFATE', ." `6': rt ...................... ❑ SULFIDE' ........... ......................................... ❑ SULFITE ............................. ❑ SURFACTA!,4 S .......... .. ............................... ❑' TURSIOIT .. ............................................ ..... COLLECTED BY: M. B, S ❑ ALUMINUM ................................ ............................... ❑ ANTIMONY ................................ .... ............................ ❑ ARSENIC .........:.......................... ........I...................... ❑ BARIUM .............:......................... ............................... ❑ BERYLLIUM ................................ ............................... ❑ BISMUTH .................................... ............................... ❑ BORON ........................................ ............................... ❑ CADMIUM .................................... ............................... ❑ CALCIUM .................................... ............................... ❑ CHROMIUM (tot.) ............................ ............................... ❑ CHROMIUM (heuavalent) .................... ............................... ❑ COBALT .................................... ............................... ❑ COPPER . .................................... ............................... ❑ COLD ........................................ ............................... ❑ IRON ............................:.:......... ............................... OLEAD ........................................ ............................... ❑ LITHIUM .......................................................... IJ MAGNESIUM ......:...: ..................... ............................... ❑ MANGANE5E ................................ ............................... ❑ MERCURY .................................... .................:............. ❑ NICKEL ........................................ ............................... OPALLADIUM ................................ ............................... ❑ POTASSIUM ................................ ............................... ❑ RHODIUM .................................... ............................... ❑ SELENIUM .................................... ............................... ❑ SILICON .:.................................. ............................... ❑ SILVER ........................................ ............................... ❑ SODIUM ........................................ ............................... ❑ TIN' ............:....:.......................... ............................... ❑ ZINC ........................................... ............................... ❑........................................... . ........................................ . ❑ .................................................... ............................... ' ❑ REMARKS:................................. ............................... .... ❑ .................................................... ........................... ❑ ........... .................... ............................... ..... ❑ .. ............................... ......... ............................... .. ❑ ...... ............................... ............ ............................... O ............. .......... ............................... ... ... _....... THESE RESULTS,I,N-DICATE THAT THE WATER WAS . OF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED, 'THESE RESULTS INDICATE THAT THE WATER DI MEET THE SATISFACTORY CHEMICAL QUALITY OF NEW YORK STATE ADMINISTRATIVE RULES & REGULA�TII�ONSSJ,, D%R�6INKIVER,STWDARDS (PART 72') FOR' THE PARAMETERS -r AC PN niarrTOR • /.� / /'�Lr� -2' ''�I " ...y:. :�V :Q •,�.� .. rl. .! -r .. c „•sa :.- tlzr vt."�M V`:c:.a A:�ii/e>� �. .�:IiVj`IoJi •: ,. ��.. e.� .i �,,iat•. Owner or Purchaser of Building Municipa ity plylr 5 Building Constructed by Section 499& e-A s Location - 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, 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 :Wade 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- .vic.e.s. of :the ..P.atnam. County .Department of Health,.as... to- whe.ther:..:.or..:no.t. the 'f&:nUVe o'f” 'the sys`te'm to operate'° wa's caused' by`'the willful egligent' act of the occupant of the building utilizing the syste�ri.� n�� Dated this day of 19 Signature Title Iri/coll)oration, give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. q GUARANTOR -.18 REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health ivision- bauuA AM ' tt rf Water ply: S.Upp Im. above diseritied will'be,consti' !p Vag, aMendmeniii4�iiO 6;��;ln iccor-dince with:the standards, rules 'anregulations of ,tne AA it ;Place 90grAtirig. co _ n Mon any_-parfdf ."id s6wa'4e',dii�ls� e&�dur[4 the-.Ori6d�-ofl-twb (2) years imm tely following thedate of the'issu- will bib l6cated as shown o p epartmppt nse No Rev. 9-81 .. � M! 4. PUTNAM COUNTY'DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES cs Date Re: Property of L�C��i ��g✓il Located at (T ),rjdAA1*fiVA Z Section Block Lot 17 1 Subdivision o Subdv. Lot # Gentlemen: Filed Map # Date This letter is to authorize Al a duly licensed professional engineer ✓ or r gistered 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 system or systems inconformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- Very truly yours, JUN 61aS3 Pi,! f tt i-A&4 CON)TTY g d Owner of Property P.E., R.A., # Address C� Addr ss ZZI 412 Telephone Telephone PUTNAM -,'COUNTY DEPARTMENT OF, HEALTH ..'..,-i,..�,%.:' DIVISION OF ENVIRONMENTAL', HEALTH SERVICES' .. ... ..... • "COUNTY- OFFICE BUILDING;7CARMEL,...N..Y- DESIGN �ATA S' Owner SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.' Address Located at (street ti, Block Lot cWe"nearest cross s reet) Municipality__ Watershed 'SOIL-'PERCOLATION TEST -DA 4A -REQUIRED -TO BE ' SUBMITTED WITH APPLICATIONS ..... ....... . ...... Hole'.. CLOCK TIME PERCOLATION PERCOLATION MUM Eiapse. .: Depth toWater aterEve N 0 Time om Groun d S r f ace in "I nc h6s"l " " .... .""'Soil Rate Start -Stop '..'Min. Start Stop Drop in Min./in dr6p,.: .... Iiidh6b . ...... A eA z !V 1 t TY PUTNAIA JN1 DfF�T., QE HEALL'' Notes: 1) T6sts to be repeated at same depth until a roximatel� 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. 121f J (al Soil Rate ,Used Min;/l "Drop,._ , �S._D< _USable�Area_Proyided .v No... of',. Bedrooms Sept ' � Tank _Capacity riusorption Area P— odd BP L. F.x24 .36". " width trench . _..._. ...�.. e e i -' -.3ignat. , � L---:-j L-- 0 In IS v 2-3 S6 o . �T ITIC4 0 DA AFTI, ',-'MIDMLETOWN'� Sd 1 /D �I�O i' �: i �� ,. i i ' -. 1 �-� �yoscT p� . Z 0 iv R Uj to I o .�rd• w m 1 •ia:.ii iu' d o OD h C rrir �,, + , fir:: !Y .t •t .1itik T.{ t�