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HomeMy WebLinkAbout3666DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.15 -2 -3 BOX 29 03666 Imp IN 0 T IN '` '• NJ 1• 1016 N� f IN 03666 A PUTN -AM" dUNT-.'�,-�-..1),EPARTM,ENT'-.OF.-�HE-AL--TH-�,,-�"-", , I Health Services ; Division �` E .,-, W -W- CONSTRUCT, I b N- R IT: "I Town. at?%mwk, 7 'Cocated` Rr; VT ax map, Block Subdivision Shop owner Ah Address r Efh­ b' ew.- 61- IpAt: 6 a iy- Buildino Type 8. -at. - - . . A rea',"­: 0-01 .2-�` re's I f �ri4.,,J., h s Design Flow Square Total 'Habita.t�le _.Space .Feet 0. a 'AA ierwIll- eia _ 46 ..SAterh._,,j 4 0, 1 F Separate . W2, "t d trenches ot' selected _x To Abe . constructed by n a -A vater-.Sdoply: .: Public. ,Supply, . From * Private Supply cis- e lecte -be, drilled oa Address, 4* . 0 t 14 ner equ remen ts dornplet6lyf f asig n-,p ion osid t6 t6�L: Sew al", I represent that I am-,wholly and responsible i-f�r-fhe diii sew sp.. to and �:Wiccoeda standards rules_ above dqscrij1bpd,,,wiI! be constructed ions. of -�D' ' 't-ment of Health, an -thatz�,on-,�cpmpi��i,on:,�p,�r.gqf. 4 "'Per e,'L,$ r County epjr! .1 s act Certificate' d- 11iiiiiihed :the heirs or,as 6� u A61-the L Dep�� signs ten egu,ar4nteg:,wiII,:64 e _men, place 'in �good,oper-aiini-,'��dnditioln any_ part -'of said iWi4e 'disposaf'.system. during ,th ri imm cliately.fol e, issu of the - -6�itificAt6,df--Constru�:ti6ri-,',to' drill ::anc4 ipproval of .the Certificate Tpliprice o - .�that the scribed above _ijne . ­ _ .- ­ , I 'sta nda <ru!eI - ' �L�Putna Will be located as shdiiin on the appr',6'veid-p6 will be InstalledAn. acc da ;ce", ith s _and rec ulatioRs.-- V"lhe" j M nty yep September 2 &t, 1976 F d , R • 'A" A 'PE '%j Box 41 °7 D 0 S_ t (5 6�a ft r --- Lite se No s Apo RPYEPFCRL -CONSTRUCTION: T a e xpqes _qne y- e ' r 0_­_ ` iSi-- ziid -m Ugj�S$.C% 0 construction the u ildin nde'rt'ak 6n ,and is revocable for,cause or may be modified W he n considered re i�n c eijarV - by, Ah the -Co";' 'H I h Py" h er n of co rist ruct i6 n - it disposal :of, dome ic! r ires a new; perms' '!,Approved, 0!, or- nrivatp' Date 8 .? �.q A Me -1 y 4 p". PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 4 .­ - 'CWNrfY OFFICE '13UIQhT6, -CA L-9 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Mr. & Mrs. Hans StaegerAddress 2 Sunrise Drive, RD #4, Mahopac, N.Y Located at (Street Shopis Drive Sec. Block Lot 6dicate nearest cross street) Municipality. Town of Putnam Val 1 ey Watershed Croton TM65 -1 -22 SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse DepEh.to Water Wate—FIEWel No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 1. 1 8:30 -9:06 23 26 3 36/3 =12 2 9:07 -9:42 23 26 3 36/3 =12 3 9:43 -10:19 23 26 3 36/3 =12 4 5 2. i 8:35 -9:11 24 27 3 36/3 =12 .24 . _._ ..27 __ 3... _..._ .. -36% 3 =1.2 _ :...:..._ . ,. 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 SOILS ENCOUNTERED IN TEST HOLES b DEPTH HOLE NO. 1 HOLE NO. 2 HOLE NO. 3 G.L. p To Soil Top $oil_ Top - Soi r 6" Sand & Clay Sand & Clay Sand & Clay 12" If 3611 It 11 " 42" 48" 5 4 It 6o 6611 If 7211 781 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED none encountered INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED not applicable TESTS MADE BY Joel Greenberg Date September 23, 1976 DESIGN - Soil Rate Used i 1- 151,1in/1 "Drop: S'. D. Usable Area Provided . 500 S. F. No. of Bedrooms 3 Septic Tank Capacity. 1000 Gals. Type Pre -Cast Concrete Absorption Area Provided By 400 L.F.x2V X '-. . width tre ch. Other Name Joel Lawrence Greenberg Signature., Address Box 417 S \ �?�.ENCE ti Deer Park-Plaza ov Katonah, New York THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. It/Cal. Checked b �0. 0110,60 of NS44 Li vqvj 6'\- :3" C+ -,1 14 IN �SVXGE, 6.KP.btA,'L, -s*sttmli�-No ri—b —ittla 'A: 5+3 c., iij arr 'quVred., 2 375 f:ir60 d s required, 15T. o6uVr- CA&T A PprtR 6 proi.sal: Ne\w. *4-s e ate T: A. Er Cwf=-!P' �r:> Q31,17 KA drowi Ju Owl C) fifowing lifle stall