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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.13 -1 -4 BOX 29 03628 Big ij r, J6jj' . 03628 CONSTRUCTION PERMIT FOR Subdivision Owner 5iP, P,UTNAM COUNTY DEPARTMENT OF HEALTH Divk. on of Environmental Health Services, Carmel, N. Y. 10512 i L Building Type Zei3 40�il�� !� Lot Area `' o �'37�C- Number of Bedrooms 15 Design Flow 6a.",�. Separate Sewerage System to consist of %/ y iJ Gal. Septic Tank To be constructed by )': 5 -1:0X �/" �N'`r c Water Supply: P blic Supply From Private Supply to be drilled by — V Addres X06 ;7dA /a - QgV�t s/_ L Other Requirements ' 1 represent that I am wholly and completely responsible f >� above described will be constructed as shown on the appr County Department of Health, and that on completio be submitted to the Department, and a written guar 1! place 'in good operating condition any part of said di ante of the approval of the Certificate of Construc n omp will be located as shown on the approved plan and that II w County Department of Health. /-IZ° Z 1 Date Address A-112 OE Z 1/7MLeAM225M APPROVED FOR CONSTRUCTION: This approv I expires one ye revocable for cause or may be amended or modified when considered necessary requires a new permit. Approved for disposal of domestic sa e� �Date� By Q . y.�. Town or V illag . Tax -Map Lot e L Job Address i32-5 C� Ttc /7` /LG 4ew , AQA1X OV°-K- Total -`pi e'' - t /rt1�"} `' Square Feet and J�r -I : Addre cm►s: - . proposed system(s); 1) that the separate sewage disposal system :j accordance with the standards, rules and regulations of the Putnam Uction Compliance" satisfactory to the Commissioner of Healthwill :he his successors, heirs or assigns by the builder, that said builder will he of two (2) years immediately following thedate of the issu- aig' I s em or any repairs thereto; 2) that the drilled well described above pn a r nce with the standards rules and regulations of the Putnam ' - P.E, t R.A. License No.1_ date issued unless c uction of the building has been undertaken and is by the Commissigorg0006f Health. Any change or alteration of construction Title PUTNAM COUNTY DEPARTMENT OF HEALTH a Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION_ PERMIT..FOH .SEWAGE DISPOSAL _SYSTEM. Putnam Va11ise (y) Town or village Located at Barger Street Tax Map y Block Subdivision &M S SOUCi -- Lot Job Owner Building Type 1 & 2 Story Fr. Lot Area, -i 3 Acres Number of Bedrooms 4 Design Flow 800 mi/'cdgy Separate Sewerage System to consist of 1200' Gal. Septic Tank To be constructed by Don Heady Water Supply: Public Supply From Address 12 Aiod• M A ►aa RFD Peekskill, Ndi, 10566 Total Habitabbellee Space 2000 Square Feet � and 1 a 4 LF of Z4" Trench. Address Canopus 74611 ow Rd" Putnam Valley, N.Y. 10579 X Private Supply to be drilled by Anderscm Well drillers Address Baer Street_, Putnam Vale Other Requirements R(R. fill to be placed to bring up evade — between have a Sharp drive • • •�• • es• - I represent that I am wholly and completely responsible for the design and location of the proposed syste (•s t arate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance wit eregula ions of the u nom County Department of Health, and that on completion thereof a "Certificate of Construction Comp•.° i4act ' ycommissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his successors, udder, that said builder will place in good operating condition any part of said sewage disposal system during the period of trily® i 'a el ing the of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or ang a s th t t sled well described above will be located as shown on the approved plan and that said well will be installed in accordance with 4h ndar _ d Wations of the Putnam County Department of Health. • $t. -c ' Date July 7, 1751 Signed ' ° • P.E. —X- R.A. Address 1 Northridge Roa eekskill, N.Y. 1 1W — _.- .,._%1T&tcAnse No. 0275 6 APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless c struciiorti 1f a Pill frog has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the Commi! of Health. Attiy change or alteration of construction requires a new permit. Approved for disposal of domestic ar vAe, #ado ^riv er ,�el- - a] 'ORKTOWN MEDICAL LABOHAIUHY INC. P.O. Box 99 321 Kear Street LOCATIONS: Yorktown He i hts, N.Y. 10598 321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245.3203 g 201 BUTTONWOOD AVE., PEEKSK ILL. N.Y. 10566 737.8777 245-3203 ❑ 495 MAIN ST., MT. KISCO, N.Y. 10549 666.3335 a/•e .1N E R; -HO &RIT A► a? 132:-27:t 1 , 8.9.33 LAB # t MA DATE TAKEN: (— /�6 DATE RECEIVED: n% ,I , •�7 n 0 . DATE REPORTED: 2_ ll�„//��C/j' /'� %� /` /� �/V SAMPLE SOURCE: - REFERRED BY: m / COLLECTED BY / 1/ �/ - y �Or LABORATORY REPORT Jt -' /a 3� mg/L ' ❑ ACIDITY .........:........ .:............................. ❑ ALKALINITY ..............: ....................... da; = @CTERIA, TOTAL/, L ... ......................... . ❑ BOD. 5 DAY ................... ............................... ❑ BROMIDE ................... ............................... ❑ CARBON DIOXIDE, FREE .............................. ❑ CHLORINE ................... ............................... ❑ CHLORINE ................... ............................... ❑ COD ......................C.................................... ❑ COLOR .................... ............................... ❑ CYANIDE ................... ............................... ❑ DETERGENT, ANIONIC ............................ T..... ❑ FLUORIDE ................... ............................... ❑ HARDNESS ................................. :................ ❑,MPN COLIFORM COUNT/ 100 ml ..��'''jj ................. MF COLIFORM COUNT/ 100 ml 0,,,,,,,,,,,,,,,,, ❑ CONFIRMATORY TEST ... ............................... ❑ ALUMINUM .......... ❑ ANTIMONY .......... ❑ ARSENIC ❑ BARIUM ................. ❑ BERYLLIUM .......... ❑ BISMUTH .............. ❑ BORON .................. ❑ CADMIUM .............. ❑ CALCIUM .............. CHROMIUM (tot.) ...... ❑ CHROMIUM (hezavalent) ❑ COBALT .............. ❑ COPPER ............... ❑ COLD ................... ❑ IRON ................... ❑ LEAD ................... ❑ LITHIUM .................................... ............................... .0-NITROGEN. AMMONIA .... ............................... ❑ MAGNESIUM ............... _ .. ❑ NI T R _ _ . OGEN, KJELUAHL .. ............................... ❑' MANGANESE ........................ .... ............................... ❑ NITROGEN. NITRATE ............................... ❑ MERCURY ................................................. ............... ❑ NITROGEN. ORGANIC ... ............................... ❑ NICKEL ................... ............................... �._.......... ❑ ODOR ....................... ............................... ❑ PALLADIUM ................. ...........................9.�e ❑ OIL 6 GREASE ............... ............................... ❑ POTASSIUM ...................... ............................... ❑ PH .......................... .......... ...................... ❑ RHODIUM .............. ............................... .#4 ........... �® ❑ PHENOL ................ ............................... ❑ SELENIUM ......... ............................... jj ❑ PHOSPHATE (ortho) ....... ............................... ❑ SILICON . L%�t:4. �.1�8 ❑ PHOSPHATE (condensed) ... ............................... ❑ SILVER .................... ..........................p2 ❑ PHOSPHATE (total) ....... ............................... ❑ SODIUM ........................ ................................. . 0 'Y r I ❑ SOLIDS, SETTLEABLE, mt /L .......................... ❑ TIN ❑ SOLIDS. SUSPENDED ... ............................... ❑❑ ZINC ..... ............................... ................................... ❑ SOLIDS. DISSOLVED ... ............................... ... .............: ......... . ............. Qi ......❑ SOLIDS. TOTAL ......... ............................... ❑ .................... ............................... ..... ❑ SOLIDS, VOLATILE ❑ REMARKS: ............. ...... ............................... ... ............................... ... ❑ SPECIFIC CONDUCTANCE ............................ . .............. ....................... • SULFATE ................... ............................... ❑ ....... ............................... .......... .1983. • SULFIDE . ................... ............................... ❑ ................... ...................p�r� +.f�,ryr .r. �.`................... ❑ SULFITE .................... ............................... ❑ ................ .........................T:..Qf Cy�. K�I� Y ........... ❑ SURFACTANTS ....... ............................... ❑ ................................ ...........................c'4t;r ............ ❑ TURBIDIT . ................ ............................... r.......... __. _.. _ »....... THESE RESULTS INDICATE THAT THE WATER WAS �S OF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS-COLLECTED. THESE RESULTS INDICATE THAT THE WATER DI MEET TIrE SATISF CTORY CHEMICAL QUALITY OF NEW YORK STATE ADMINISTRATIVE RULES & REGU r DRIN NGdAkER STANDARDS FOR THE PARAMETERS TESTED. ALBERT H. PADOVANI M.T (ASCP) . DIRECTOR: Armand9. .-C.oimbra - 6$:- Owner or Purc aser of Building Municipality Armando Coimbra 2 Building Constructed by Section Barger Street 1.1 Location - Street Block Colonial San Souci 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 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- .vitas of the,Putnam.County. Department of Health.-as to whether or not the failure c the system to- operate was caused by the wi 'ul or negl ent act of the occupant of the building utilizing the sy, t Dated this 9 day of May 19 83 Signatur Title I,f 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. Division of Environmental Health Services, Putnam County Depa R'nv ? 1 108 6j �3� 1�.,� COUNTY PT. OF HEALTH TOWN OF PUTNAM VALLEY,:.`:, ` o WELL DRILLERS LOG AND REPORT ,...__ .,....: 'WELL COMI PLETTON ' REPORT .. This repesrt.is to be completed by well driller and submitted to ?dg. department, together with laboratory report of analysis of water sample indicating water is of satisfactory bacterial quality. Well Location n,2�.! / Tax Map Str"6et Well Owner Sec. B1. Lot Name Mailing Address City or Town Tel. # Well Drille3z �'! Ut/,� f� ` �3 y � l�-� "- Name Maili Address City or To i o.c�j I CASING DETAILS YIELD TEST ' WATER LEVEL SCREEN DETAILS Bailed Measure from and surface) Length Ft. or 7`/- X pumped Hrs.�Static: Ft. Make. J When Bailed Slot Diameter:G Inches Yield: -% GPM lor Pum od Fta Length_ Ft.Size _Kind• 1 Diameter In. TOTAL. DEPTH OF WELL__' .2 yt0 ' Feet WELL LOG Depth from Give description of formations penetrated, such Ground Surface as: peat, silt, sand, gravel, clay, hardpan, . shale,_. sandstone.9:.- granite,,..etc. Include. ;size..of_ - .... co'Urs� gr�ve�"(dim d- fin 9 _... _ , color of material, structure, (Loose, packed, cemented, soft, hard). For example: 0 ft. to 27 ft. fine, packed, yellow sand; 27. ft. to 134 ft. gray granite _ Feet to Feet Formation Descrintinn MAY 21983 PUTNAM COUNTY _�.. LTH Date Well Completed /-/ f � Date of Report Well Driller/' Signature rNq A 3 BZS 1 -77 FAQ M OF C hgq Nry h PUTNAM COUNTY DEPARTMENT OF.HEALTH 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 L:W111CLL-LU11 wtL11 Lit-Lb waLLer anLi to. supe2'vise Lhe cunstrucClun or said system or systems in conformity with the provisions of Article 14S or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly urs, Signed Owner of Property Countersigned: �� � ,,�� Address P . E ., . , # 0278.6 . l f 1 Northridge Road Telephone - 00 Address o °'�p��E /�f �Q°� Peekskill, W.Y. 10566 0 �0 S. Ro�f9 0FUTNRM COUNTY DEPARTMENT DE a COUNTY OFFICE 13UI DI.VO • � 737 ° 1056 o J q ° CARMEL, NEW YORK 1.054. s Telephone oe �9l 27800 o • JUL 13 1981.. o° f pf NEB X00 ° a 0 4 ............ DIVISION OF ENVIRONMENTAL HEALTH SERVICES _- - - Date July 1, 1951 Re: Property of Armando Coimbra - Located a t Barge' Street Section Block Lot Gentlemen: This letter is to authorize 01M S. Raaeo a duly licensed - professional 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 L:W111CLL-LU11 wtL11 Lit-Lb waLLer anLi to. supe2'vise Lhe cunstrucClun or said system or systems in conformity with the provisions of Article 14S or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly urs, Signed Owner of Property Countersigned: �� � ,,�� Address P . E ., . , # 0278.6 . l f 1 Northridge Road Telephone - 00 Address o °'�p��E /�f �Q°� Peekskill, W.Y. 10566 0 �0 S. Ro�f9 0FUTNRM COUNTY DEPARTMENT DE a COUNTY OFFICE 13UI DI.VO • � 737 ° 1056 o J q ° CARMEL, NEW YORK 1.054. s Telephone oe �9l 27800 o • JUL 13 1981.. o° f pf NEB X00 ° a 0 :pm, County Department of Health 'bivision of Environmental Sanitation AFFIDAVIT CORPORATE OWNER .APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO Commissioner of Health In the matter of application for BON Approval /4X 2 /07-/ - - - - - - - - - - - - - - - - - - Warren Young — — — — — — - - reprepprt that I am an officer oremp employee of the corporation and am authorized to act for Yorkville-Equities, Inc. — — — (n—a—me—cT, jc7rp_jr_aJo_n)_ baying offices at 1325 Castle Hill Ave. — — — — — — — — — — — — — — — — — — — — — — Bronx, N.Y 10462 Whose officers gre President Name an S) ViQe-Pre,9ident7 .0./j6c/, .57re ?Nme a:nKdAddress) 'FZ. Secretary —(Nang and Address)* or (Name and Address) and that I am and will be individually responsible for any or all acts of the corporation with respect to the approval requested and all pub- sequent acts relating thereto. Swqrn to before me this 9th day Signed Oct 0 19 79 Title N�Otary Public (61 OCT PUTNAMi. 17 E DEEI_01_� Gentlemen: YUTNAM COUNTY DRPARTII.GV T OF HEALTH DIVISION OI�:_ENV- ZhONi�1FNTAL ..FiEAL'l'H - SEF.�.TCFS Date October 1, 1979 Re: Property of Yorkville Equities, Inc, Located at Pu nam- Va11y �n Block Lot l�1!'ri � P This letter is to authorize .� STANLEY �o �R��� 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 sys,tezn .o r.- .syst win s = -n .•confo- amity -•wi' h- tyre- provisions 'of- Article 145 or 14 7, Education Law, the Public Health Law, and the. Putnam County Sani- tary Code. Co,vftersigne P . E . # -2� 2 ,K. 2S7 k4G� a� A MAWALL K, Y. 10501 OCT 9 197 - 245-2A34 5 PUTNAM Ci. UIN E'Y, Telephone DE°� aE HEAD yours., elll- k4 �e�l1r` T /C — :r � //---C er oi- trope ess. ��y 1 e ! 1 ,,j • C ', '�' ._ . r :ply �,r;, _.. r •', ti %` v, :. ,/ �� -moo 9 ? a '^`,_ 5��+`:� __ , 4. t-- •�' BRUCE''R. `FOLEY" Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Newmerzhycky /Vukosa 221 Barger St. Putnam Valley, NY 10579 February 7, 2002 Re: Addition -221 Barger St. No Increases in Number of Bedrooms (T)Putnam Valley, TM #74.13 -1 -4 I have received and reviewed the plans for the proposed addition to the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from this Department dated February 6, 200 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at four without prior approval _ by.. this.departinerit- w 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. ML:Im. cc: BI(T)Putnam Valley Very truly yours, Michael Luke Public Health Technician 0 BRUCE R. FOLEY _Public- Health.'. -- Direct 34: .-.. .,; ....,1,ORETTA: MOLINARI '-RN:, M -.S.N. Associate Public Health Director Director of Patient Services DEPA-RTIVffiNT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 ADDITION APPLICATION (RESIDENTIAL ONLY) STREET &e-GCf-SA6-T--TOWN M U 4_(cyTX MAP# � qo / 3- _ "ewMCQZl �CXy/ n NAIE V PHONE(�USSI� o?/ G PCHD# MAILi\TG ADDRESS / 6ARGER S /�cCr, Put–Nau VAUE-v UY 0 �% %� DESCRIPTION OF ADDITION FAMicy "a-) IRAvool,4 NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *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. Please submit this form and the following to Putnam County Health Dept., 4 Geneva Road, 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 *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. OFFICE USE Comments Feb98 BFhouseguidelines BRUCE R. FOLEY Public Health Director ,,...; LORETI —MOLIN¢ RI ; I?..?�:, Associate Public Health Director Director of .Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (945)278-6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re: 0 1009'(ZZ { f e j: 1 vU �OS� Residence Tax Map "74.13 -1 Town i-6- 7 0 According to records maintained by the Town, the above noted dwelling IS V• in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER Building Inspector BFhouseguidelines t. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL,6N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM Owner 2 j3j3g ViLL Aou,,r1ES Zc. Address 925 Located at ( Street aEk- � A_A� , cMo- 68 idic e near cross street) FILE NO. Lot / F, Muni cipality�y y �;,,! m� Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run apse Depth to Water a er ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 4 1 40�5V7 10"12 %7i _ 3 fG'a2- /0%9 174- 4 2 _ 3 DEa T',: PX-1— 5 Notes: 1) Tests to be repeated at same depth until approximatelyy 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 SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES ' DEPTH HOLE NO.- HOLE NO. HOLE NO. j 7 s.4.i/ (..�" . ".. 1 - 4 •e 6" 1$" �1 t� y 24" 3011 '1 `F 2'' h 4811 ` bf 54 6o" 66" 72'1 78" y 84" INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED All INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Date DESIGN Soil" Rate U6ed_16 N1i/11116rop: S.D.- Usable Area Provided ,-S'� No. of Bedrooms Septic Tank Capacity Gals. TypePR,!LIZ., ' Absorption Area Prov ed By.13 6 L.F.x24" width trench. Other Address ,�? I./ THIS SPACE FOR USE BY HEALTH DEPARTMENT Soil Rate Approved Sq. R /Gal. C Date 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 Armando Coimbra; Address 12 Hood= Place, RFD Peekskill:, N.Y. 10566 Located at Street Wdicate.nearest ar er Stree't Sec. r `� Block Lot_ cross street) Municipality Putnam Valley (T) Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Rurl No. Start -Stop apse Time Min. Depth to Water a er. ve From Ground Surface in Inches Start Stop Drop in Inches Inches Inches Soil Rate Min. /in drop (1) 1 9:31.9:38 7 180 19.5 1.0 7.00 . 2 9:42 100 8 18.5 19.5 1.0 8.00 3 9:54110:0.2, 8 18.5 19.5 1.0 8.00 4 5 (2) 1. 9:35 9 :43 8 19025 20.25 100 8100 2 9 :48 19.25,.. 20.25 10-0 8.00 5. 2 3 D�ARTMENT Of = IN COUNTY OFFICE BUILDIN CARMEL, NEW YORK 1051X. JILL 13 1981 Notes: 1) Teets 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. 781 84" INDICATE LEVEL.AT WHICH.GROUND.WATER:IS ENCOUNTERED. None INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED; None TESTS MADE I3Y ' DF SIGN Soil Rate Used 8.10 MWl "Drop: S. D. Usable Area Provided 5000 SP + No. of Bedrooms 4 Septic'. Tank Capacity 1200 Gals. Ty Go0Mt Absorption Area .Provided. By2__L. F.x24" ��'�...... ®o Name John G__ RnmAn Signature o O v 7p 0. Address 1 Northridge- Road SEAL Peekskill .N.Y. 10566 ° �o ® 27846 : ° of All 0 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: ®° Soi1 Rate Approved Sq.;Ft /Cal Checked by Date TEST PIT DATA REQUIRED TO BE SUBMITTED,.WITH APPLICATION DESCRIPTION OF.SOILS.ENCOUNTERED:;IN TEST HQLES IIEPTH HOLE.::1�0.,......:.: ._ ._. ;.HgLF. J�TJ,.::; : •,,,..? G.L. Tom= soil - TepsoL Topsoil 6" 12" Topsoil ' Topsoil "Topsoil 18" 6�9grayeDy . , sffi2`.,d' 9 gra7elly sandy, gravelly 24" loam with large rocks loam with large rocks loam with large rocks 781 84" INDICATE LEVEL.AT WHICH.GROUND.WATER:IS ENCOUNTERED. None INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED; None TESTS MADE I3Y ' DF SIGN Soil Rate Used 8.10 MWl "Drop: S. D. Usable Area Provided 5000 SP + No. of Bedrooms 4 Septic'. Tank Capacity 1200 Gals. Ty Go0Mt Absorption Area .Provided. By2__L. F.x24" ��'�...... ®o Name John G__ RnmAn Signature o O v 7p 0. Address 1 Northridge- Road SEAL Peekskill .N.Y. 10566 ° �o ® 27846 : ° of All 0 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: ®° Soi1 Rate Approved Sq.;Ft /Cal Checked by Date LaJ �0C', 0 V _o„ :w: A L J `1 AIN V(k- hiDSA�iJthJi -I ZkYCK�{ 221 13AP--GE< , ( T ANA -A-A V im, 1! +O S 7 9 L: F . PUTNIMA COUNTY DEPAf;RAENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; 7 BEDROOMS Signature Title Date ep F L: t t c R�� c C Lv s L,-' ( cos ci- I < t-- c t 7 PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR _ BEDROOM COUNT ONLY; �BEOAOOrviS ��C ©N� �� � ' � r P 2-AMv 6 ('a . F", 9�"Klla V�KosA jNCw4Eezkycr- o?a I B 4i2GLw- S-s ear n, III. I , ie, !r ,5 ( �, Aq " _ I, o Survey of Lot 1 s shown on a certain map entitled, Sans Soud ..." situated in the own of Putnam Valley utnam County, New York Said 'Map "filed as map no. 1814 in the Putnam County Clerk's Office, Division of Land Records on June 15, 1981. Refer to: q.5 NIK MILES \\1 O a � y� , 3 -o - o LOT I °J AREA= 3.01 MISS '1 aAt'. /8 14rf 3� SogTN b q.5 NIK MILES \\1 O to 1 A 1 1 N 1 t yr 1 7 1 O 1 t � Q Z > w Z V 1 1 1 1 _ 1 _ 1 1 121 l aAt'. /8 14rf 3� SogTN b q.5 NIK MILES \\1 O 1 , N CTONE -- WAW yr JAWIAW -3 i pfit�6t►Kr, 26T°IK ctu+� , � "� — CR,MpEY ii221 � MPCADR'�^ � ' - - -- a RaoF ROT 1'W►1fAIM cflul¢� AL,L- N;-- IGML4jr S 8, , 1 d SUPC SYSTLWS Ali G 4L(- 1 % j „ r I�. SCE= I �O' cacti W< l t PI&AS 9RVE , p 10 s.1.o m N E aljp . 'V-STOWWAU [�j -�'Ea S4-14 W ; 44.00' s¢I`- 12V /it20. -APKA NAAU0 ASICMR F11�DTHWNo. tm4. PUtNAM No(E: LARGER STPEET UUA64 TO LOCATE PRof05EP MoaOMEPTS sttOWa ON FILED Mar. Unauthorized alteration or addition to a survey map bearing a licensed land surveyor seal is a violation of section 7209, sub - division 2, of the MYS Education Law. Only surveys bearing the makers embossed seal should be relied upon as genuine true copies of the surveyor's original work and opinion. All other copies shall be assumed to be an unauthorized copy and not valid. Reproduction or copying of this document without permission of the author and or copyright holder may be a violation of Copyright Law. Certifications are limited to the person for whom this boundary survey was prepared, to the title company, to the governmental agency, and to the lending institution fisted on this map. These certifications are not transferable. s mA'mnays 1A, a cx Msl y FX /sr Dm- Z4" Of Encroachments below grade and or subgrade.features not shown or located hereon. MONpM�A/iRr /DA/, Copyright c 1998, Rob laropoli, LS, All rights reserved. Certified to: Eugenia Newmerzhycky & Elvis Vukosa 017198 FLEE.T A-OX76'HGE CORA. ... i . . (_: -_, ...... _ Chicago_.11de Irtsuranc'e Corttpany- ..._ . ._.Ale. ; �' A 'Statewide Abstract Corp. (SA- 56349 -PX) _ Rob laropoll, LS Aev = Cl i o/9 rimes not bearing an 143 Park Avenue seal are,mauurorhed' Mount Vernon, N.Y. 10550 (914)- 664 -2917 NYS 1.S uc. No. 050126 /= /C/ 60-014 Z/",D 5 y SogTN ® q q.5 NIK MILES VEL"AU& N So ' aljp . 'V-STOWWAU [�j -�'Ea S4-14 W ; 44.00' s¢I`- 12V /it20. -APKA NAAU0 ASICMR F11�DTHWNo. tm4. PUtNAM No(E: LARGER STPEET UUA64 TO LOCATE PRof05EP MoaOMEPTS sttOWa ON FILED Mar. Unauthorized alteration or addition to a survey map bearing a licensed land surveyor seal is a violation of section 7209, sub - division 2, of the MYS Education Law. Only surveys bearing the makers embossed seal should be relied upon as genuine true copies of the surveyor's original work and opinion. All other copies shall be assumed to be an unauthorized copy and not valid. Reproduction or copying of this document without permission of the author and or copyright holder may be a violation of Copyright Law. Certifications are limited to the person for whom this boundary survey was prepared, to the title company, to the governmental agency, and to the lending institution fisted on this map. These certifications are not transferable. s mA'mnays 1A, a cx Msl y FX /sr Dm- Z4" Of Encroachments below grade and or subgrade.features not shown or located hereon. MONpM�A/iRr /DA/, Copyright c 1998, Rob laropoli, LS, All rights reserved. Certified to: Eugenia Newmerzhycky & Elvis Vukosa 017198 FLEE.T A-OX76'HGE CORA. ... i . . (_: -_, ...... _ Chicago_.11de Irtsuranc'e Corttpany- ..._ . ._.Ale. ; �' A 'Statewide Abstract Corp. (SA- 56349 -PX) _ Rob laropoll, LS Aev = Cl i o/9 rimes not bearing an 143 Park Avenue seal are,mauurorhed' Mount Vernon, N.Y. 10550 (914)- 664 -2917 NYS 1.S uc. No. 050126 /= /C/ 60-014 Z/",D 5 y 010 I 4appe(z t6 v4". 11 11 0 -6 .IC 1/4"') rj' )A 1 .1 r!dp LA AA':� V L," 0 jums g1t5r, 4�41AI�Wff -y 11"o lStW 7000 VCLT• Ir P,,�%,W000 FP rrIAWL S"g A 49 VV 'g t Slat. ipLe*- WOOD 40& !104YMAIR410 OA:�Iklglg 14 s 48 DooQ "ve -L f X- V(FM) 7,WSLIL tA 5_4 it s ff cs rr ff Alfe ot 116 L -,r -' A 6 e; 74' s Se !45vj Vidal> Drtzlg STY. FLOAAAE Dws 1,161014 AAAC. DRIVE fill to tp 0140M OF N .di z23ZcZ 9. %q IY 2 C4 1-U %A Ol0 -m ti 3 IA 7 rn to X tL -1 if- t 475 FP rrIAWL S"g Slat. ipLe*- 40& !104YMAIR410 OA:�Iklglg fgL1D&,9MC To to w au D V-1 Ip p -,r -' A 6 e; 74' s Se !45vj Vidal> Drtzlg STY. FLOAAAE Dws 1,161014 AAAC. DRIVE fill to tp 0140M OF N .di z23ZcZ 9. %q IY 2 C4 1-U %A Ol0 -m ti 3 IA 7 rn to X tL A, 6,L, X4 F9 Lo a I t 61 rj P- L 6 >.A p vi Part, IL S.4 -lit S- -2 W . 10 z ,Porte I - —4- 5A S E- M 5 f-I T-,! Ap \10, WI-I Z. come —SuA 0; NvIlm vA r" r- C PUTNAM COUNTY DEPARTMENTM HEALTH ts-4 I HOUSE PLANS APPROVED FOR 2 BEDROOM COUNT ONEe; le 3 ti 4 BEDROOMS I ( ' 0 'A 0 , :! 7 Z-- —1,1r, L vt 1 4 wl V)� ra 0 4 6 6 4 rs A W. L r:17". 0.4 fz 5 h' / off i. c ij t i rze L-Y! 15400if T YILL.9 plimli E p #519. to 09 (6V 0 I", AA r, 049 t eve. .. � ��, � .� :i � , � 9 wP r Se - I - . 46. -46 L ij 0 C rz saAlma. 7F� f., F, �,t, w ( P,& tz 40 iX J- 1 -4 I. H e W -- / 1. - I BOARD lZ 4'(P' BOAMCP WA6L.S A bj c, a Ll I L- i "4- 51S P Lf WOOD U P 0 6 = L.A-YAAr. r-190 erric. Irl L.9! F(.00= vjt .4 t' WOOD BAS Ls !11 v Doorls, PA-IZW WALL AWD 01.0ar- TO MA-rew PUTNAM COUNTY DEPARTMENT OF REAM Ira H=!E FL4M ATIPM,ED MR wahm-t-I c 0 t 1 P4-, ONLY: H FRE RR 11) #A 'A >< ,j- , m %A 4z -2 014903 OP OF NCO r L -4 S O U? 1=, 5- f V /.� i! O 1j - situ's C-o„ 17ID4 e V e Nt VA' x q" Hp1+OGA L, 5/4'c o' SV5MAIL 2 Q. / [ . Z. (4, O. C. 1 / iran 1, Ill Al ad &Uhi fill HILlill ,. -s• 4....v a IZ ... PA =4 e• P 1 e as Teco ►osT 4NCHORf ,��� at w v 9, -G W- K Q w A C> o I -Y t j. i ql 014913 �OF iqT • Qo t Q NEW N CO Pf' e F PLOSNI:+G d1 E. ►boor. a .T FCC IL i? tf1 �I G K.t fT Ha. 0 .01 w� r�q ' pj!14 a ' qua _ r ! , .; Su oW .44 w ; 3 CD 1 1: