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HomeMy WebLinkAbout3694DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.17 -1 -26 BOX 29 1,111. NVINN, NN is IN 'r be T r is r- - IN 31 r - 1 , 03694 u JOHN D. LaSPALUTO - ARCHITECT 10 Morrissey Drive PUTNAM VALLEY, NEW YORK 10579 ,..:(914)e- 528 - 3717 TO C' OF 4-ERUG1 f � > WE ARE SENDING YOU ?(Attacfied ❑ Under separate cover via_ ❑ Shop drawings Prints ❑ Plans ❑ Copy of letter, ❑ Change order ❑ LIEUTER @[ U �(i'1]LJV �LIVLJ���CrU� ' DATE 1 � (i,. (j� C1 ..r JOB NO. n �� GSC,1 • -RE: ...�,. ❑ Approved as submitted ❑ Resubmit copies for approval Y For your use ❑ Approved as noted ❑ Samples the following items: ❑ Specifications THESE ARE- TRANSMITTED -as checked below: • For approval ❑ Approved as submitted ❑ Resubmit copies for approval • For your use ❑ Approved as noted ❑ Submit copies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO °7 , J SIGNED: PRODUCT 240.3 n E inc.. Dmmn, Mm. 01471. If enclosures are not as noted, kindly notify us at once. Mr. Ahmed Chibib 53 Partridgetene Putnam Valley', N.Y, 10579 Dear Mr. Chibib: March 18.1.974 ThIs , letter Is to inform,you of a sewage violation on your property lbcaiod'at 53.Partrldft, Lane, Patnaim Valley. On '!March .1 .7 4 sewage as sere d floolin g on the surface of tP ,grpupd i n your � back yard. ThIs is a violation Of �.., -Article III, III of the Putnam County Health Code* This violatlibn. is a serious health -hazard and must he. corrected without delay. At' 16 expect corrective that c ctive 1 me .1 as u pe. s be NO*n within two W'06ek'is oiot-,'r e ce1p t. Of this letter. If you h1av_e any questions stions relative to this matter, thi, 01Z-not S-ItAto to. dont-det ITIt- t -.;he' tb a .110 Very truly yours,' Robert A. Sager RAS/egs Public Health Sanitarian - .. PUTNAM�COUNTY DEPARTMENT _OF HEALTH Orvison of Environrrmenta/: Health Services Carmel N. • Y 10512 _ _ CERTIFICATE OF CONSRU�TIIJl� CAR4PLIAIVCE FaR 51 =VI6E Cf}SFSAL;SYSTEMfi�nm uy4 /�c° ... M^ .: v •. c, Town or Village _ Located at Section Block, fntsar�: /�G/� IC 5 5 owner 4 Lot b f Separate "Sewerage, - System :built by �% Adtlr'ess C orisistmg of,' �p Gal Septic Tank lineal` „Feet X '36 width- trench Other- requirements z ' r water, Supply P,ubhc Supply From R „: ..�_., n � r 3 Grn �ri / /E:� ✓ l� /P // Private.'SupplY _,Diilled 'ey' . . Building Type �' No Bedrooms Date' Permit Issued ,of Has Eroson..Control Been Completed? L certify that thesystem(s), as listed serving the above premises`were constructed essenUalty as shown on the plans'of the comptetedr work (copies ofwhich; are u ., 8ttached); and m accortlance witfi'.the standards rules and regulatwns plans "filetl and the permit lssued byj,the Putnam County Department of.Health. v : . - �'' DateU /�c Certified by P:E R.A. 20 7 D Address Any person occupying premises servetl by the above system(s). shall promptly-take such action as maybe necessary to secure the correctiony of any any _._. _ conditiohs'resulting from ouch, usage. Approval.of thenseparate'sewe age system shall become:null'and void',as, soon as,'a public •sanitary sewer becomes l. available :and the`'approval of the: priyate.water; supply shall become. null and void when' a;public water supply becdmes available Such approvals are subject.lto mod if caUonchange when -in the Judgment of the Commissioner of !jolthsuch revocation motlification or ;change �s necessary r .Pr. Date BY Tdle .w Q! MEDICAL LABORATORY n , �1TEEKSKILL _ _ d , 79 Crompond `Rd Nla:pI Terra "ce Bl A 4 ekskill New York: ' s= 4 t, 8777 xP : _ }PE�7 { k RESULTS OFfEXAMWATION� OF' WATER DATE COLLECTED _ 00t, 5 Ys E OWNER :' " DATE RECEIVED'` PITY VILLAGE TOWN & /OR ME SUPPLY - DATE REPORTED b !AMPLING POINT o�� -, 3ACTERIA PER =AML 'r ;gar plate count at 35° )?` _ _OLIFORM ROUP (Most :probable No /1 blf RESIDUAL CHLOEIfNE AS; RECORDED AT ' SAMPLING'POINT POIItT OF.TREAtMENT y HLORIDES (CSI) mg JI NITRATES' (as N) - mg /1 r rLOURIDE (F) mg /I I b "x.14 H£' N 4. ,,} ✓ `y. -� ,�,P F ' F f 4 ti `may .,. .3.. t p 3 . these: results mdicbte thct`the water wns of a satisfactory sanitary quality when the sample was collected t Z. .�+ f �` � x M! t' t�' :` x� "S a � ?•r".{� . �� -t' ".,€ - yµ'G' � �� 4 � ��r�'U.' `ti".� tc Q! WELLL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK .This, rep.0rt as�to be.completed_b uvell - driller and submitted.to Count ..H_ealth:D artment.to ether.: with laboratory. report of: analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION NAB ADDRESS OWNER ❑BUSINESS LOCATION ❑ OF WELL INDUSTRIAL ❑OTHER ©COMPRESSED AIR PERCUSSION PROPOSED WAS CASING GROUTED? DOMESTI USE OF ;.P.M. YIELD (G.P.M.) WELL ❑ PUBLIC Well in feet below' Land surface: SUPPLY DRILLING D EQUIPMENT ROTARY CASING LENGTH (t) DETAILS YIELD TEST ❑ BAILED WATER MEASURE FRO LEVEL SCREEN DETAILS DEPTH FROM LAND SURFA( FEET to FEET l I 3f- r HAMETER(inches) (WEIGHT PER . it . __ ❑ PUMPED J RFACE — STAT ❑ FARM ❑AIR CONDITIONING ❑CABLE PERCUSSION ❑ THREADED [:]WELDED HOURS % ® COMPRESSED AIR Icify feet)l DURING YIELD TEST (feet) i r ❑ WELL ❑BUSINESS ESTABLISHMENT ❑ (Specify) INDUSTRIAL ❑OTHER ©COMPRESSED AIR PERCUSSION HAMETER(inches) (WEIGHT PER . it . __ ❑ PUMPED J RFACE — STAT ❑ FARM ❑AIR CONDITIONING ❑CABLE PERCUSSION ❑ THREADED [:]WELDED HOURS % ® COMPRESSED AIR Icify feet)l DURING YIELD TEST (feet) i r ❑ WELL TEST ❑OTHER (Specify) ❑OTHER (Specify) DRIVE SHOE WAS CASING GROUTED? El YES ❑ NO YES IJ NO ;.P.M. YIELD (G.P.M.) Depth of Completed Well in feet below' Land surface: LENGTH OPEN TO AQUIFER DIAMETER (Inches) IF GRAVEL Diameter of well including " DILC (rncnes; rRVm noel; Iv PACKED: I gravel pack (inches): FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. If yield was tested at different depths during drilling, list below ry FEET I GALLONS PER MINUTE �I DATE WELL/ �7ED I DATE OF REPORT jWE-t",_/,PRILLER (�igpiatur ) PUTNAM COUNTY DEPARTMENT OF HEALTH "DI VI S ON - OF E RON Y TV I : AL.IaALTH f Date &CT', /� J 970 Re: _ Property of /mac - Located at Section ec,_j9 Block O6'9Q` /,!5 Lot .5& Gentlemen: 1� (,-- This letter is to authorize A/, �: P- �,��y,�,� /-✓��� �,�, a duly licensed professional engineer '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 system 'or syste ,s- inconformity with the-- provisions...o.f.- A,rti:cle 14-5 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: P.E., R. A. # (Seu) Address Very truly yours, _ �� L Signed n� �4ha ► AM S -- Owner of Property Address gECv' \,40 s'(CI N, y - (Dot) Telephoners A t ji& Of Nciv } Telephone - \ ON 1249 \\ A( EN&INEEO E. •' fd/ y /'vf:� AerP,r A)c' rwn o Owner or Purc aser of Building Municipality Building Constructed by Section pal-11-1 e 'Ca. -`-'� - 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 't. disposal system serving the above described property,, and that it has been-` constructed as.shotirn on the approved plan or approved amendment thereto, and'in accordance with the standards, rules and regulations of the Putnam County .Departmenj 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 des' termination of the Director:of the Division of Environmental Health Ser- vices 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 26 day of t%/ 19 %Z Signatures , a ---�- -- ---- -- tea. Title . If co orat' , ive name and a dre 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,OFF' DATE OF FIRST USE OF SYSTEM. 111 \i i r! 1 ,m of (li,i1 it wi Oolmt,y 7�e;flt3.i'i.,3i z i.i ' of!''tea1 PU TNAM ,COUNTY. , D'£PARTMENT OF it LTH w DIUIS,ION QF„ ENVIRONMENTAL4 HEALTH :SERVICES.:. ti r DATA SHEET - SEPARATE SEWAGE-Dl: SPOSAL SYSTEMS FILE =N0 ,DESIGN =_Owner A _ •Located (Indicate nearest cross_ street) Munei alit P Y 6TN!/� !/cam .Watershed A: = SOIL. PERCOLATION TEST DATA= = REQUIRED T0�'BE° SUBMITTED WITH APPLICATION; Number CLOCK TIME 'PERCOLATION ' PERCOLATION ; Fin ., Elapse -,Depth toWa "ter Water`Level M Nor Time = From Ground:: Surface in 'Inches " Soil Rate Start Stop Min: Start Stop Drop in Min %iri, drop: -. ID'ches'',_ Inches Inches il/ /" G ..Rt %. ti 1 3 u i L 3G �_ V, . 1 Notes :l) Tests to be repeated at same ,de approximately equal soil rates are' ob t � tamed at each ' h` l data �to�beY_sI i. ted for rev ew ;pereolation3rtest ;2) Depth- „measur 'Oments to be "made`: fry �F hole (F j. fl TEST PIT DATA' -REQUIRED .'..,T- OBE. 'SUtMI-TTE-D WITH APPLICATION DESCRI PTION OP SOILS E-1-1COUNTFRED TEST-HOLES' DEPTH HOLE NO. HOLE NO.. HOLE. NO. 7 G.L. 70P 66 .67t X 18 "A 2 4" 3011 36" 42't 48 5 4?f 66TT 721T 0 h T1 IN . DICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH:WATER LEVEL;RISES AFTER BEING ENCOUNTERED - TESTS MADE BY 756,10- Co. Date OCT. /j. 1976 DESIGN Soil .Rate Used Min/1", Drop Usable Area. Provided, No. of Bedrooms 4t _Septic Tank CapacityZ"o Qals. Type Absorption. Area Provided By t;-?&/L.F.x24" 36'.'-- L—width trench. Other Al 'V. Name .6. Signature Address (n SEAL PUTNAM COUNTY DEPARTMENT OF HEALTH .Soil Rate Approved _Z.-Od Sq. Ft./Gal. .ed by_ 'co d04 u1c. PtE OF /0 12490 Date N T . •;; ,o�°'(" I : ': fix[ �tn� .CG' ; `✓�1'.T'c G: T�+� -- : t �.t::. � 1 �Z[7 , l� r�TE�"C _t�v � +. +� G_ cor��T� vc:Yi:c�► . ' It�tc1�t�%_.1 f�`+J:c11 it f°G`'1�1Ji Y11•cnam .CounTyy Department of liealta ►lvision of Env ronm = -lntal Health Serviceb tpproved as noted fo • 'conformance with 4pp:licable nudes ^: ,d Regulations of the ?utnam County Health, Department :, DoCte - , L 1 ... I r e �j + l [a AF . t0 V Xvw 70 rt t r4 i .:rz4 =jot - • ,- ,.��a�1.�+. t 1-7 • �7C1��'1'IhfyG t i ii . �'' � •, ° 1 cry`. F' F