Loading...
HomeMy WebLinkAbout3643DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.13 -1 -21 BOX 29 � it I I 4i i i '■ IL I I r r �I I• ', ■� yi LIU. 03643 . a . \'Alts -• •. —r - _• °-- _.�.- s- �^'^- •�.-- "°- ---r•• ~} ,Division =of Ent!�ronmental Hea/ih Services Caimel N: Y `f0512 a. -11 .� . ` �• .: CERTIFICATE OF CONSTRUCTION `COMPLIANCE FOR "SEWAGE DISPOSAL SYSTEM 11 _. _ Town or: V ag'e' ° r, < ,, L _ R . Located at Section �v Block �` Lot' _ w Jo (�„ I.�?LNper _11 ,..�. w _ ems- - . Separate Sewerage System` built by Address 0 0 . 6 'r }x} Consistmg,�of, / Gal�^Sept�c:Tank -� ,lineal Feet X - width 'trench ., l.- _ - a Y`P _ g it t �yi x� �1`,.z ,+."3 �"'e ­L I i ` Other requirements = s Water Supply _Public Supply From € a g t ( Pnyate �SupPly ;Dr�11edBy '� 0, ddr�eie - Building Type s.- No3 of drooms� Date Per }mil Issued t f Has Erosion Control Been Completed_, ca • _ t� �� 'lalo", :; a. G, . ses ere c' I- ertif `that t. - stem s); as'listed =sery ng`'.the above premi w onstructed essential) shown on'the plans of the;complefed work ;(copies of which are Y; Y _attached); and,in accordance w�tfi,ahe standards ,'rules and' ^'regulations plan's_ filed a perm t iis' b - he Putnam'County. "Deepartment of Health v s /� } V/ Date CerLfied by P E R.A. A. n License No Address 4 , 1. p y " I. - Any,,person occupying premises served by `the above systems) shall: promptly take such action as may -be nec tsary to secure the_eo. lion of; any unsanitary I resulting from_- -such :usage "Approval'.?bf the Separate.yseweragesystem shall become nulf.and void as soots as a publ�c'sanitarysewer' becomes'. " "_ : ? available and, the approval of the- pnvafe,, ;avatar supply, s-'- all become null andvoid vJhen a public water supply becomes available Such ,approvals are, su, "" ',.to modification yor change when, =in the judgment of the Commiiii of Health, such kcevoca w' modrfication or change ,is necessary k 1. __ y € r z CiZ's�' Title .� Dete _ z '„t gBY s ?' ,.xe f i 2 w < e: , ' {'- ` c. Y f - : st .. .. �.. -_... n 1�= _ ..J a v.... si4.� v. n:F� '! /-,��,­ , � - ���77 . , ­_ - , ;y,Q' t -T .'-7— .+- . -" --• -a-7—._. - { - >�_-- �s 11 It, �. PUTNAM COUNTY DEPARTMENT �OF, HEALTH F *� ,yks R ) p . Diwsion " ' Environments/ Hea /th Services Carme% •N Y 10512 - . rEONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM, k .1.111. ' 111111.1177111. . e 1 oeatetl. at 4� < 4 ., g tr � _ ' 11 �' ` / wn Vil I f/ _.. To or la9e , 77 .11 /� w l Si�bdivi$ ion M �� ? 6 Section t Block 4 ,Owner % Lot J_ob _ I. R ,- 9 Ype`'`G��0 q } -1 Address , Q .0 I ,� Lot Area Number, of Bedrooms �: gSeparate"Sewerage System to consist of Y% Total'`Hatiitable Space - - 1 - �, Gai Septic Tank OQ ,• ,'Square Feet k- I 'TO be :constructed by /C3 '' fjQ��� ��, • - Ime- feet X W idth trench - Water Address SuPPIy Public SuPPIY -From t >. I Prwate - SuPPIY to be drilled by , d .• ,�Q 66 /%) //�Q� ( Address a —_ F , Other Requirements L i . :." - r, 1 11 .{ 1 - ij t �} ;''- f represent that, am ' w holly and.completely.iesponsible for the design and local j Y P4, [ ,_hove described will be constructed =as shown on theta ion of --Tthe Y 1. y 4 pproved'amendrrlent th'e'r`e „to ari' , Proposed_ system(s), . that, the se'parate'” County Department of Health,• antl that on completion thereof a and accordance with the'standards ``` be sub,m_itted to 'fhe Department ,<and .a.= t e of Construction Cornpliance - ,satisfactory ule sewage disposal system Ce►tif, cat s an regula ions o e _u nam . _place .in good, operatin w written ;guarantee wUl be fuenlshed_ the owner his.,;uccessor 11. 9.condrtion.an ,rice of the a ,Y. Part of said sewage, disposal ;system tl pproval of 'the urin "» , ',. s heirs or assigns by the bu /der,14hat �iof- t will be Jocated asshbw Certificate of; Construction ;Compliance 9 the period of two (2) ;yea► ,. , n o__ _ approvetl` la'' of thep►iglnal`s ste s'imrnediately.followtn '- th ,. ,County "Department of Y Vr , or an re P ,n and that said well will beiinstalletl' i Health 4` , 'ti `, Y „Pairs thereto 2 #hat --- the `drilled well tlescrlbe habov�l with he. standards rules and reg�'s o _ e cordance j 1 Date < % f 'the Putnam .- �.� la ions: o J S�gneil'' � y Ir I Address " ��/�� %�� _ P.E. ��`R A APPROVED FOR CONSTRUCTION: this. '�''' regl , - -e'for cause or may Pp ►gyal expires one Yearfrom the date; issued unless construction •of the requires •a eyy Y. be amended or modified when consitlered necessar ui di rig Ira Nbeer permit Approved for disposal_of,- 'domes������� y by the0omisiay'channdk is . , 11 De 9e o "r alteration of ►construction - . By - Title I 1:._� . P AM' COUNTY "DEPARTMENT ,*7 0FktIffi. HEALTH D' J,,:-� Wsion7 of -a CONSTRUCTION PERMIT FOR -SEWAGE DISPOSAL -SYSTEM 0 Located at VL-/ ..Town or liege Subdivisior, . c7m section -'Bldck, Owner Lot Job Building Type Address Lot Are Number Of Ij ed ro oMS separate Sewerage System to consist of Total Habitable Space To be 'co'nstructed by Square .i Gal- Septic Tank ackn� lineal feet X Water Supply: Idth t Address Public Supply From Private s UP01Y to •be drilled by C) Address, Other u Re irern nts q e represent that ab am wholly and completely responsible for the'desig .c6ove described will. n And location of the . ­ l,becoqstructeq:asshdwnonth' unt y Department 'of Health, e. approved Amendment there to and, system(s); 1) t t A I7holly an co Ith, and that on 6 nd, in accordance with the standards, rule a e. sewage disposal syjje submitted to I that the separ P stl0h.thereof a "Ceitificate 'Place the Department, and a writte-r of c9ristruction s An regu a written will be Compliance" satisfactory '1� 'iOns 0 in. good operating condition any part of C t e ance-6f the approval furnished the owner, his to the u n ' a said - sewage dijp�jsil ..Successors, heirs or ass! mmissiorier of Hea VAI Of the Certificate Of Constructi System cluiring'thd gns by-,th4:builder th Itliw will be located as shown "on the 6p on Compliance Of the on period Of two (2) Years immediately f6ll At said IbUilcler )w 'roved Plan and tha 9 I.System or any ty.-Pppartm I f t Saidwell' 11 r owing the date Of ihe:ijj 0 repairs thereto; 2)thii the drilled well described abo6i Oalth. W.1 I be Installed 7ccordanc6 with the st bat anda S. rules and-reg—U-10,3hso e. ZW 0 the Puinai Signed Addr ass P. E. APPROVED FOR CONSTRUCTIbry'-. V revocable f' - This approval expires one Year from the date' License No. or,causeor may be amended 0 issued unless co _;K squires a. new per it. ,amended . r modified when considered necessary by the nstruction Of the building has been Pproved for disposal of domestic COmrhlssioner Of Health n undertaken a I nd,,. i , )ate saltary sewage, apd/�r P . r�ya!e w I .. Any change or alteration of co B y / ter supply only, construction e z --------- Title -9275-1- 1ABORATORYINC.-­- ------ NORKIFOWNI-EDICAL P.O. Box 99 321. Kear Street Yorktown Heights, N.-Y..10598 245 °3203 DATE COLLECTED RESULTS OF EXAMINATION OF WATER 1213=75 DATE RECEIVED — OWNER 7 PATRICK DM _1 CITY, VILLAGE, TOWN 6 /OR NAME: OF SUPPLY DATE REPORTED RD 18-75 SH CK DR. PU NAM VAIIEY. N.Y. A­MPLING POINT PER ML. (Agar plate count at 350 C).1 COLIFORM.GROUP (Most probable No./100ml.) I HARDNESS I TOTAL - pprn PPM NITRATES (as N) - ppm IRON, TOTAL - ppm. E (F) - mg./1- 9 These results indicate that the water was YES Of a satisfactory sanitary qudi'ty when the - / d er Own or Purc aser o t:�B­u"i-1 ding Municipality Section Block 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- vices_.pf the_-natnam,.Cou ty,Departme�a :_g �I .elth.� '_to: whether. ��- failure of the system to operate was caused by the willful negligent act of the occupant of the building utilizing the sys A . Dated this Xc day of 19)2� Signat e > Title -~ lz- 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 Department of Health Bailed Measure from 1 d surface . Lengh: feet or umped'HI S Stati j_taft Make / When Bailed Olout _' T�Iasneceir: l! Inches Yield: flGPM r Pump e G'ft Length Ft4size` . WA' z co;4 L Z Q 7� : co k T�T To: From: Subject: PUTNAM COUNTY DEPARTMENT OF HEALTH MEMO NUM 9/l/78 FILE Robert J. Tutoni SCHUMACHER SHAMROCK DRIVE (T) PUTNAM VALLEY It was reported to me by Ronald Stauffer, E.H.T. trainee that he was refused.entry to the Schumacher residence for the purpose of conducting a dye test. I called .Mrs. Schumacher on the 16th of.August and ex- plained the reason why the additional dye test was necessary. She apologized for the previous refusal and told me they were leaving for a vacation on the morning of the 17th and would be available to this division to continue our investigation e.a:r r,es.idence the firs -t wee' of September. RJT /ps r' i='UT'NAM COUNTY DE 3 RTNEN T OF HEA -r' DI�'1 iJO,? OF ENL'IROPvrILNTAT, Hr.Pt�:T'H .S1'Ri.1IrEg Date q7 Re: Property o Located at Seer.lon Bloc Lor Gentlemen: This letter is to authorize a duly licensed professional engineer ✓� or registe._ed architect (Indicate) to apply..for a Construction Permit for a separate sewage system; tc serve the above noted property in accordance with the standards, rules or regulations as promulaolated by the Commissioner of the Ritnam County Department of Health, and to sign all necessary papers on my behalf in c.orinecrion with. this matter and ro supervise the construction of said system or systems in conformity with the provisions of 7!rt.i,,]_e ILLS or 1.47, Education Law, the Public Health Law, and the Putnam Count37 San- - Lary_ Co'de,. Countersi cne 1, �q MM., Very truly yours, J Signed .ncr of Prcrc „ty Address Telephone - Address ,UFfSS.O.... 4AVIN 1W Telephone._...__ a PU NAM COUNTY DEPAPTMPF'.*C OF 1-f}.FtLTH ENVTBC:iN11FNT -A!—., .J- [EALTH- SERtiLUS Re: Property o Located at Section y Date Gentlemen: This letter is to authorize a duly licensed professional engineer a/ or regiseer 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 oil my behalf in 6 connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 1L15 or 1.47, Education Law,. the _Public Health Law,, and the . Putnam,. Count Saai -_ tary Code. Very truly yours Signed - ►Z� l _ qrcr of Property Countersigned: xa E/;, � f ��� Address . _ _ = Telephone Address Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF EIr vti' OWSMkL" M� ILTR 'SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. D Owner Address G.C�t11101, Located at (Street c. Block Lot 3/ n ica e nearer cross street) Municipality] Watershed _ SOIL PERCOLATION TEST KTA REQUIRED TO BE SUBMITT WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse No. Time Depth to Water From Ground Surface Water ve in Inches Soil Rate Start -Stop Min. _Start Stop Drop in Inches Min. /in drop Inches Inches 1 - 6, ,� �, �5� 1215 2 4 5 2 3 5 Notes: 1) Te's�ts 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. r J TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION ,.. _DESCRIPTION _ OF SOILS ETdCOUNT'ER.ED.. IN TEST HOLES.—.:—: DEPTH HOLE NO. HOLE NO. HOLE NO. G.L. 3011 36" 42'► 48" 5411 +� 60'1 66" 72" 78 it - 84" INDICATE LEVEL AT WHI CH . GROUND WATER IS .ENCOUNTERED .,:30 �� :• - -.. TNDICArE'LEVEL`TQWHICH WATER "LEVEL 'RISES "AFTER °' TESTS MADE BY }._ ./r7� Date r DESIGN Soil Rate Used�Min/l "Drop: S. D. Usable Area Provided No. of Bedrooms�-Septic Tank Capacity /70 Gals. Type �, sy�'— Absorption Area rP ovided cro L.F.x2�+" width trenc . ✓ her Name Signa ure ,.. Addre s SEAL i ' '�i A pE THIS SPACE FOR USA, BY . �H DEPARTPM1 T ONLY: ,� ,p �. �. Soil Rate Approved Sq. Ft /Gal. Checked by �''� «�„���►► ►`�� Date I 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 Address /5r5� Located W (Street Sec. Block Lot &1;2- Indicate nearest cross s ree Municipality Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTICWITH 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 2 /O.' /� - /v.. 2� /�� /S% / s� S 17A, l� IZL 49 61-S 2 3 4. 5 1 2 3 4 5 Notes: 1) Te'�ts 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 GILS-:ENCOUNTERED IN'TEST'HOLES= DEPTH HOLE NO. HOLE NO. HOLE NO. G.L. 611 12" 18ff /17 2411 30" 30 It 4211 48tf 54.11 6011 6611 7211 7811 8411 IHHRTND...WATER, IS_ENCOLWE RFD -INDICATE-LEVEL'--AT.--t-. T INDICATE LEVEL TQ_WHICH WATER LEVEL RISES AFTER BEING Eicoiiiii TESTS MADE BY Date DESIGN, Soil Rate Used/��O Dftn/l "Drop: S. DI Usable Area Provided ._�00 No. of Bedrooms r Septic Tank Capacity /cZ_0 Gals Type Absorption Area Provided ByZi L-F-x2411 36 \,I"- width trench. 6� Address THIS SPACE FOR USE BY HEALTH DEPARTPENT ONLY: Soil Rate Approved Sq. Ft/Gal. SEAL Checked by LLJ Qj PC SS 10 e 7z:-t, .•aI'mo �.p�. ?-:�;, f`= -tom,• Cff F�IG'3`' F.. t t' L �+. ' -- -"- ".•- 7•- t:.".ds "� . � � r" ' � � `� - ` .. j.. _ 34,n . _�•-( �� �r'.cylaG''Er .= r;�•'�+lG c. •: D / `jt' • ° ' _..+•i S /YC J?iNO Pri°aC' � � F r�.ecEl.✓c q r j - _ „ <1<, lac; zs c..> y ..lss, X�;.'E '�►Y ��.- -� ' - •�-�. �� i-� .�^a ,:•emu �-�r j- l ""'•a ""� - +,`_ y u'+F_-C7' -rC+h� .L> /'1.15"i�1!.G+4'�:1 �nr` -ry^'•.o�g1`_! i� 1 tk,�. ' .�iJ-, Pfz per.+/ ,f�EfrCi ?F.'., - ,� ,+Fta�t- ,•r^ p y v .SL's. ,%1•, C� r, fu!_-? fiZG. TSEr.:nvsF:. - Wy I M COU COUnrr ut I. OF HEALTH - - 1. 7 CDIRECTOR, DIVISION OF �� •- I fjp,, �'�Ul MVIRONMENTAL HEALTH SERVICU - - _ , ``fr�c:,. i y fl �.�r /1.,.'s"_ °.rt- ,v,.Caf�7/J; �c`.'�.,�`.•:' rr., e�eee0f'IYEI'r ��t✓i3G�� /'��:i,:`F9� � :k - -l. ,� ,. .. : , .. ri .. � 7 � '\e �'✓ :,: L ` ��juiiiun h✓'yp °' !r•.'T'Vri Y -i +�Ii�Gf'�/>3fGi7 goia PE 0138,;' - `, �FfSSIONP�� \. \` 7'-h c..^ /]. �,.4[113Y.tff- .•'_. - -�.ii I1I1IIe Ileeee\ .- ,.........,..,..Y,...... ..........,._. �.,._....«.,.-.--,........_...«_.-.--.« .............._....-._....- .,..,..._•- ..........._..._._�h .�...P._�._ .._. _..._._...._._.,..,,...._ �....... ._- .._.....r,._........- ...._.. - �C•".�F2 .�.� O.fa?- .y+%��7'.ariJ•f.... 4 r L 7 e . tih I .'