HomeMy WebLinkAbout3676DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631 - 589 -8100
74.15 -2 -20
BOX 29
V '
'. � IT= r. L ,'
;� L
03676
ex. 3x,86
k
CANE OF
_ _-
Located at — ;
Owner /applicant Name _
Mailing Address,
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Carmel, N.Y. 1051E gineer Must Provide ^ ryryry
Engineer Permit N- -
d
Y del D
ICE FOR SEWAGE DISPOSAL SYSTEM
Z ef r "'
Town- o_�r_V`Wage'
Tic! ld1"ap' -0'2 - Bloe1[_,�. °_.:." '- ►:oi<' � '
Subdivision Name`��` Subdv. Lot # % t
Date Permit Issued
Separate Sewerage System built by % to=' l '� � G--%, Address -_ ��' �--5 G -y i` y"�'/ Al,
Consisting of , 40 Gallon Septic Tank and 6-60
Water Supply: Public Supply From Address
or: � Private Supply Drilled by i s Address
Building Type J� !!—�-$ y`c/ CW-C C' Has Erosion Control Been Completed?
Number of Bedrooms 3 Has Garbage Grinder Been Installed?
Other Requirements T''r
I certify that the system(s) as listed serving the above premises were constructed ease on the plans of the completed work (copies
�;
of which are attached), and in accordance with the standards, rules and regulations, �R he filed plan, and the permit issued by the
Putnam County Department Of Health. k 8
�
ertitled by P.E. R.A.
Date 1 *4' s lei' / -
0:7 -]
Address
4ny person occupying premises served by thefbove system(s) shall promptly take suc%nj
-litions resulting from such usage. Approval of the separate sewerage system ^le and the approval of the private water supply shall become null and voW whemodification o change when, in the judgment of the Commis r of H
P`C
r e r
Located ate_
Subdivision Name
License No.',-7 !�;7 >
secure the correction of any unsanitary
>n`ai a pub;': sanitary lower becomes
Ames available, Such approvals are
Ication or change Is necessary.
Title
PUTNAM COUNTY DEPARTMENT OF HEALTH
Dlvldm M Environmental Health Services. Carmel, N.Y. 10512 Enabler to ProvWe Pared Y
PERMIT TOR SEWAGE DISPOSAL SYSTEM
Ve
4
on CERTIFICATE OF COMPLIANCE
Permit N��i'
Town a
Lot Y 0 ` Tax Map , � Block .� I', -4
Owner /Applicant Name LIZ
Mailing Address wew �/�s dt'✓'j'�
Bing Type 0 X a J?4f19JsW e- C Lot Area 9 *1 -&'Ae'
Number of Bedrooms • 3 Design Flow G P D y G
Separate Sewerage System to consist of L!? !`.Galion Septic Tank and d �G
..-y
Water
To be constructed by Address
Supply From -
Supply Drilled
Renewat-- O Revision Q
Date of Previous Approval
Town �4�f rWQd /V � ZIP
Other Requirements �41V e3zte -.5j, y �f �0
FUI Section Only U Depth Volume I
PCHD Notdleation is Reaalred When Fill Is comnloted
1 represent that I am wholly and completely respo^ble for the design and location of the proposed
above described will be constructed as shown on the approved amendment there to and in ac
County Department o1 Health, and that on completion thereof s Certificate of Co opiC
be submitted t0 the Department, and a written guarantee will De furnished the �i
place in good operating condition any part of said sewage disposal system dunOjj',
once of the approval of the Certificate of Construction Compliance of the or, nal m ortan
will be located as shown on the approved plan and that said well will be Installed i ac " a
County Depa tment f Health, u
Date Sgned
Address
APPROVED FOR CONSTRUCTION: T os approval expires two years from'ihs da Tj
revocable for cause or may lea amend dd or modified when considered necessary by t
requires a new ermit. Approved for disposal of domestic sanitar wage, and /or
.i .
i7ri/ i
IV-411
system(s); 1) that the separate sewage disposal system
with the standards, rules and regulations of e Putnam
Cc" satisfactory to the Commissioner of Healthwill
irs or assigns by the builder, that said builder will
nha s immediately following thedate of the issu-
rsto; 2) that the drilled well described above
s, rules nd regu anions f the Putnam
P.E. R.A.
a License No
i n of the building has been undertaken and is
Ith. Any change or� alter a /t /iioo?n�,5o,,f construction
,!ly only. /,�/ /y) /y-%
® 1 � f"'
Title
0
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
William Pfister
Wood Street
Mahopac, New York 10541
Dear Mr. Pfister:
February 15, 1991
JOHN KARELL Jr., P.E., M.S.
Public Health Director
Re: Approval of Existing one Bedroom Apt.
Pfister, 1a3 Wood St.
(T) Putnam Valley }
I have received and reviewed the plans for the proposed addition to the above
mentioned residence.
The plans indicate that a one bedroom apartment was added to the existing
residence, for a total of four bedrooms. The apartment was constructed several
years ago and therefore is the jurisdiction of the Town of Putnam Valley.
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 conditions:
_ 1... The total number..of bedro -oms must _ remain..at. 4.. wit out prior approval _by..,__,. ,
.. � ..this 'Department:
E. 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.
Approval is granted for sewage disposal only.• 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.
WH /jP
cc: BI (T) Putnam Valley
Very truly yours,
William Hedges
Sr. Public Health Sanitarian
LAB # = 0i �-8696 -
Vork-town Medical .Laboratory Inc
321 Kear Street
Yorktown Heights, _N. Y. 10598
(-914) X45= 28b0_��
Director: Albert H. Padovani M. T. (ASCP
T_
Betty Pfister
7 La ino . Pl
Mahopac, NY 10541
L
, T.
IR
Date Taken:1 -2 -91 Mme. II
Date Rc'd: 1.-2-91 Time: 11:25AM
Date . Reporte - IAN-:. 0 99� -
Collected
PO /Client #
Referred By:
Sampling Site: Bathroom tap:
183 Wood St, Mahopac, NY
Phone ( ) 528 -0053
REPORT ON THE QUALITY OF WATER
INORGANICS (mg /L) MICROBIOLOGICAL
_ Alkalinity
Chloride
_ Copper
Detergents, MBAS
_ Hardness, Calcium
_ Hardness, Total
_ Iron
Lead.
_ Manganese
— Mercury
_ Nitrogen, Ammonia
Nitrogen, Nitrate
Nitrogen, Nitrite
Phosphate, Total
_ Silver
Sodium
_ Sulfite
Zinc
PHYSICAL MISCELLANEOUS
pH (S.U.)
_ Color (Units)
_ Conductance (uhms /c)
Odor (TON)
_ Turbidity (NTU)
Standard Plate Count
(CFU /1.0 mL)
Coliform & Related Organisms
Circle Method` MF MPN P/A
Total Coliform
Fecal Coliform
_ Fecal Streptococcus
E. Coli
KEY FOR
TERMINOLOGY
LT
NA =
Not Applicable
SA =
See Attachment(s)
TNTC =
Too Numerous To Count
P =
Present (Positive)
N =
Not Present (Negative)
=
Also done because To-
tal Coliform Positive
REMARKS COMMENTS Lab Use
(For Lab Use)
SAMPLE TYPE:
(Check One)
Potable
_ Non - potable
OUTGOING:
(Check Each)
HNO
_ HC13
H2SO4.
NaOH
ZnOAc
_ Na2S203
Other:
INCOMING:
(Check Each)
GT 4 /LE 200C
g/GT 200C
— pH LE 2
pH GE 12
_ Other:
NYS FLAP #10323
THESE RESULTS INDICATE THAT THE WATER SAMPLE WAS5 '(WAS NOT) (NA) OF A
SATISFACTORY.SANITARY QUALITY ACCORDING TO THE YORK STATE PUBLIC DRINKING
WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF SAMPLE CO CTION. a-
THESE RESULTS INDICATE THAT THE WATER SAMPLE (DID) (DID NOT) (NA) T THE
SATISFACTORY CHEMICAL_ IVY STANDARDS OF THE NEW YORK STATE LI DRINK-
ING WATER CODES, FOR TERS TESTED, AT THE TIME OF SAMP COLLECTION..
16 X '7 /87(Rvsd1 /90)RWE
A ,,a,. a nv _ ar, _ _ . erector
r914) 528-6638
William J. Pfister
BUILDER AND- GENERAL CONTRACTOR.
ALTERATIONS • CUSTOM HOMES
Wood Street, Mahopac, New York 10541
Mr. William Hedges
Put Co Board of Health
Carmel, New.York
Dear Sir:
�as9r
Feb. 6, 1991
As requexted by the Zoning Board of Appeals of Putnam Valley. I
am requesting from the County Board of Health that the house at 183
Wood Street, Mahopact N Y be changed to a two family. As per Local
Law 3-1988t section 66031 of the Town Code. The house is a three
bedroom ranch with finish basement. The Septic Systeem to the best
of my knowledge is a 1000 gal tank with 480 ft of fields in front
and a artisian well in back of the house as showen on property plan.
- the K,Welle .has bed teed -an
The Zoning Board needs your letter of approvel to finalize
this matter.
Thank You,
William J Pfister
'f
A7 -O
"1
_ (f.
C
A
i•'
3 � `'i(y' i
v
O
U
L t ✓. P-M •
r
h
We" 73 �25t• P'IAH bTEAG ��
PUTNAM COUN'T'Y DEPAIlTMENT OF HEALTH
..._.:... _ DIVISION OF ENVIR NMEN`I'AL HEALTH. SERVICES:
Owner or Purchaser of Building
/4 G
Building Construe by
, 6 -1
Location - Street
Municipality
5 /"' -) �c
Building Type
62-
Section Block Lot
Subdivision Name
Subdivision Lot #
GUARANM OF SUBSURFACE SEWAGE DISPOSAL 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 successors, 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 approval of the
"of *..r- dnstru-r} ion:' Compliance" nor .the- - _sewagef -dispo rl systan,ti ox any
repairs made by me to such system, except where the failure to operate property is
caused by the willful or negligent act of the occupant of the building utilizing
the system.
The undersigned further agrees to accept as conclusive the determination of
the Director of the Division of Environmental Health Services of the Putnam County
Department of Health as to whether or not the 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 �G� day of 19 ,�i Signature
Title
�AV� G
General Contractor (Owner) - Signature
Corporation Name (if Corp.)
Address
rev. 9/85
mk
Corporation Name (if Corp.)
We , �)d-
STR�E'T IC=ION CSNZ1IPR
P M?T a / r� M p OR SUE7IVISIC. LOT
YF.9 Ni] C..N
I SFYVAGa.. DISPOSAL _ AR.F-A
a_ SI?S area located as rer aoorovecl plans
b. Fill sec` ion - Date of placement
2 --1 barrier. Le'8 W-= AVG_DPTH
c. Natural soil not st-r-i=oe3
L. • Pipe ends c_,a-1
I I
d. Stone, brash, etc-, treat =r than 15' fran SDS arm_
e_ 100 ft_ from water co iwz_lancs_
I1 -C DISPOSAL SfS'IIM-
a. Seotic tank size - &M�� 1,250
b_ Se_otic tank inst- led level
c_ 10' minims -n from four ra`on
I I
I I
15�•I
I ( I
d.
e_
f.
No 90' bends, cl eanotit W? -Shin 10 ft. of 45' bend
DIS=- Tj -TICN BOX
1. All Cut-lets at sae'° e? evation - water ist- I
2_ Protects bel cw frest
3 . Min_= 2 f =- Cr_c? n1 co-ill be:riasTl box arna tr =n(zh s
JUNCTION BOX - rrorr---7=v s -T
1. Lent Tt ,, r r - o Ie^cr`*1 ins_ =� 1 a '�9
2. Disyt-anc=_ to wat=rc--L_ =e io :i ,ft_
3. 1 1 cn�' Zc__ --„rd nq to ul n
()
I
I
I I I
ICI
5. Fi -s t baC baffled
I I
I I
6. Cycle w. -.=c_aa be
est &ate flcw rer c c-1 e
4. Distance can r to C—I=n'car
5. Slone of t_e_nc� acc_nt hle 1/16 - 1/32 " /fcct_
6. 10 f==t fran rrc —"r line - 20 f - four.:at: crs
I
iQ
I I
i
Nirnb —r of bed--=-s
I I
7_ De th of t_=nch < 30 inches fraa s-=:ace
8. Roan al1 cw -aa for on, SO /ate`:,
9. Size of cr-ave? 3/4 - li" diameter
{
I
b.
Q
I I J
IV.
V.
VI.
f _ Cixtain drain cut -all vrctact--3 & di r. to F'Ci st_wate_T -C Jurs� 1
S _ Footinq drains e i s.::*>� ce awav frcm SDS area
h_ S=-Face water crot_e,-ticn adez ate
i . E csj-cn c--n=o rroc iced cn s1cces cre=s=t' than 13%
10- D°JLl of crr-vel L'1 trench 12" mim'mTn
Imo ( I
L. • Pipe ends c_,a-1
h_
RMUT OR DOSE SYS=- IS //
.1. Size or ez� coa:lr ^�r� D �)
3 P 1 arm, vi sr l /aura- 4 o
I i
4 Ptm= easily a_-`=sible a-an sole to c :=ce
5. Fi -s t baC baffled
6. Cycle w. -.=c_aa be
est &ate flcw rer c c-1 e
ECUSC^
a. Ezz a loc tea rer a:r-mrc as Dl ans _
b.
Nirnb —r of bed--=-s
I I
a_ Well 1=t--,-; as r2- a=ro4"-=E DZ-'�--r5
b.
Distance from SDS are mr- s-�r -:�a dOtk f`_ I
I I J
C.
Cas? *lq 18" above crat=e_ I
( I
E.
Surface CLr=i.:�Ce arcu_*'= weU accenta1°. I
I
ME -RAI, tiN RFM SHIP
a_ Eoxes yroec -r y c--Cut
(
I
b_
A11 pines rr -`ia_1 1 V haC-� it led I�
C.
All pines fl ue`l with L^side of bc�c I
I I
d.
Backfill material contains stones < 4" in diamater I
I I
e _
0-1 -ta? n drain ims all according to plan
f _ Cixtain drain cut -all vrctact--3 & di r. to F'Ci st_wate_T -C Jurs� 1
S _ Footinq drains e i s.::*>� ce awav frcm SDS area
h_ S=-Face water crot_e,-ticn adez ate
i . E csj-cn c--n=o rroc iced cn s1cces cre=s=t' than 13%
■
e
■
PUTNAM COUNTY DEPARTMENT OF HEALTH
EtvVTRONMENTAL ..HFALTH.,SERVICES.. .. _
Date
Re: Property of 370 If &J Al p Al � ! L 1� D
Located at*/ (jJr)01) 5 1-. I ?L`c7- �I'uT /✓Aai1 l/�GLEy'
(T) '4Ao a G Section 9 ,IRBlock Lot
Subdivision of `^
Subdv. Lot # Filed Map # Date
Gentlemen:
This letter is to authorize = Wj �� /�i ✓d�
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
nnecti ith this =-mat °ter and to °su>pervis:e.- the:- ,cons-truction_ -of_ said_ ...-
system or systems in conformity with the provisions of Article 145 or
147, Education Law, the Public Health Law, and the Putnam County Sani-
tary Code.
OF NEW
�Iccl_o_un ersigned < <�,
P.E. , PT " -' L
ab
-Address AofESSioNIV
Z 'Z�
Telephone
Very truly yours,
I �
. • • . -
Address
V
Mfg N b /' i9 c A) Y /G-f-tl
Town
Telephone
, /V v TE 17R 0 P I.Fe .1 y i 5 -, ti "'L/ d.ms
'11114 r y, ,lo Si as"<�c c_ /5
1.
DR5 16-011tij M 57LTa—Lr9",-rLJ,,1--Z7UV3M M (out ,
DESIGN DATA SHEET- SUBSUFACE. SEWAGE DISPOSAL SYSTEM FILE ICU.
•,. ..,,
Owner O y, �'o z:
Located at (Street) ' v0(i calGel� Sec, Block LotZ_
(indicate nearest cross street)
_
Municipaiity Aa�v Watershed
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBNIITTED WITH APPLICATIONS
Date of Pre- Soaking ? �7— Date of Percolation Test
HOLE
N[BCM CLOCK TIME PERCOLATION
PERCOLATION
Run Elapse Depth to Water Fran Water Level
No. Time Ground Surface In Inches
Soil Rate
Start -Stop Min. Start Stop Drop In
Min /In Drop
Inches Inches Inches
Z
310 Cy7 z/
4
5
22= Y, -:ji: 4a.
J
4
61
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 m6aasurements to be made from top of hole.
rev. 9/85
I s N
I
a TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION.
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH HOLE NO. ` HOLE NO. HOLE NO.
1' r
2'
3'
4'
5'
6'
7'
8'
9'
10'
11'
12'
13'
14'
i1NDIm1kTE - L0JEL AT tA,tSICH ' IS EtvMt3N - ED'
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER / BEING ENCOUNTERED O /�
DEEP HOLE OBSERVATIONS MADE BY: T m 1m Alx� DATE: U .1a/
DESIGN
Soil Rate Used Min /1" Drop: S.D. Usable Area Provided
No. of Bedrocans Septic Tank Capacity gals. Type
Absorption Area Provided By L.F. x 24" width trench
Other �C,G l �°� �!Jp ? Oz/ A ,,
Name Signature aancr '�
Address 97'
� a
THIS SPAeE FOR USE BY HEALTH DEPARDIEft ONLY: iQpF
ESA.®`
Soil Rate Approved sq.ft /gal. Checked by Date
- � IS _ a `,7U � - `a ... •m a _sza r"5, p'
�Aµn
off.
GerM.Mr,u�
�` w�.iX1G:.[� -'�, t':t ' :;.• .:,: J ... � Sib •.��z...� � � _ #•?Yr,�� +e?f
I FA
SAt
aAf�'� ' g0000 S°•^'.. lam' ,- r- � —._,. � a
? OD o p.
o N �1
3 ari pu�<L 12.0 `
h r a'aEUaa _$ AGE
M.
dv
f 3:
W
�1
i7
WOOD s-re_* kZ tz I
MAP o� s�2J Ey
POf2Tlono 4 P20PEfz-T Y -
P2E Pfts�� �ofZ
JOSE P-H�• P451 ST&rz Y.
.. To"Ao mF PuT.�sLI VAL4:_=�._...._ ... _�f, y� ^Mn^!.c�V.I: i,ZY>_�. Y. ,:;'.• f .�i t
SUAt•s 1 X40• ,AEC5MB6TL`8� 19-r -j _
1+ ' t G2f-}'1•�yy { 'Ghls Md !.'k1S H1k19dE
�,nCicACYlMenlS e!
es—wr S ��W fom JJt1 d-C SvN �ci o-�• �ry'I °��I PX�'y
gra r� an� no� -�' n Viem-p co��� on Pone "e�12Q� 19'72 J
• � ce.���wns .i)s�'e�t are as�la � "
o n � 11" Sxo� rnd� '�t �let�,e, ; L Fl1J D �5�72JEYo�t.
Irn�riassed csaQ, 0�-1+1e•dsoNe�or y % � �. I.IC�rJSG �►�° � S�J4i ., .`'� � V `;
t4- PVlo4 -38- 72099 ?ft o chasessr c�rea�ausaherrm ' "Icoca,siwj:, �,e+4JE, WCEcarah
'2�