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HomeMy WebLinkAbout3708DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.17 -1 -45 & 74.17 -1 -46 BOX 29 051 me .r ;i kmi 4 (mil IMA 101I 03708 EPA -,,HEALT1 OF nuez IMU A. Building TYr C) s4u t- al "Ha6ftiblit ,SpiCe Al her Requi­� la nffi fed on the ap said are in goo, will, be located.as sh -appro &V ivell wil.1.6iiihitafied-, - in-accordance with " ',the.,, sttndW. on 11 �he, P,btnarn'. ress- wi TA revo�a for-cause 6C-hrai� ione - f Health valteiifi Wof construction PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date October 22, 1982 Re: Property of Sally A. Miller r Located at Barger Street i (T) Putnam Val 1 etc Section 68 I Block 3 Lot 23 Subdivision of None Subdv, Lot # - Gentlemen: Filed Map # Date This.letter is to authorize John S. Romeo a duly licensed professional engineer X or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to i 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 connection with this matter and to supervise the construction of said system 'Zr systems in conformity crith" the' "provisoins of ~Article 1 `5 or- U 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed Countersigned: P. E. , IKkK, # 27840 r...�� . �.. .600000000 dZI, ow ©° ��p 6 /�y� ®, Town T 1ep one ° a�Y' -0, ! RIECOVEL; ©.. 278 of 1 Norhridge Road Address Peekskill, N..Y. 10566 737 - ..1056 Telephone PUT14AM !COUNTY i MPL ®F! HEALTH .a PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CAR MEL, N Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner. Sally A. Miller Address 78 Vaughn Avenue New Rochelle, N.Y. 1080 Located at,.(Street Barger Street, r Sec:,, -6.8I Block 3 Lot„ r 23 n ica e nearest cross s ree Municipality Putnam Valley (T)___ „,Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED..TO.BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Water Levei No. Time From Ground Surface in Inches Soil Rate Start -Stop, Min. Start Stop Drop in Min. /in drop Inches Inches Inches, (1_)1 900 9 :58. 8 21:00 24:00 3.00 2.67 ..; �..:.:..,.: 2:.: o z o4 - '10T15" 11 :. 20 :00 231 .0;0 'GO .: .... - 210 :00 10 :10 10 21:00 24 :00. 3.00 3.33 3 10.1' 10 :23 10 21:00 2400 3.00 3.33 4 (2)l 9s52 10: of, 9 200 00 23 :00 3.00 3.00 ..; �..:.:..,.: 2:.: o z o4 - '10T15" 11 :. 20 :00 231 .0;0 'GO .: .... 3 10 :19 10 :30 11 20:00 23 :00 3.00 3.67 4 5 2 - °•i ®V .12 3 1932 4 PUTNAM COUNTY Wt ... 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 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'. i . HOLE NO . HOLE NO .. 3.. _ .. G. L. Topsoil Topsoil Topsoil 6" 8" Topsoil 9" Topsoil 10: Topsoil brown sandy, ,g . _ 12" , y' gravelly brown, sandy, brown, 'sandy, gravelly 18" loam with gravelly loam �16a with some large 0)11 some large,. stones with some large stones 3011 36ft 42'1 48" 54 60" 66" 7211 78" . IM r� . d r. INDICATE LEVEL AT WHICH GROUND WATER :IS ENCOUNTERED None INDICATE',LEVEL -TO WHICH WATER LEVEL RISES. AFTVR BEING ENCOUNTERED None 'TESTS MADE' °BX',> - John' "S. Rdme'o ____ Date "Odtbber :2. 1982 DESIGN Soil Rate Used 0 -5 Min/1 "Drop: S. D. Usable Area Provided 5000 SF 4 .. op0 ®sip ®® No. of Bedrooms ' 3 ' Septic Tank Capacity 1000 Gals. ® ®o sonr Absorption Area Pro ded By L.F.x2411 37 6 LF oil 0�,0,�� �F q- 7 galleries �pr� ®`, �, ® , - . _- ._ . .. gna, O Name J11hr� S - Rome o Signature — o Address 1.Northridge Road SEAL 00 27$46 P-Bek-s�111, N.Y. X66 fW� THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil.Rate Approved' Sq. Ft /Gal Checked by Date t{V, A", F CERTIFICA• E OF• CONSTRUC' et` Banger ;iS Located " � Owner 'Separate $ewe rage "System -built by ° 'Conis`tln9.,of.- �-0�� "< Water Supply , «' Public Sdppiy Ftom X 'Private' SupPIY Dr�lled`t3y ' Address Building Type 2 sttory frame'° Has Erosion Control Been; Completed? ".I• certify that thesystem(s)£ps listed serving the above,prer attached) ;and in accordance with the standards rules�a: Date April— -30, aq- Q,i x Address .Any person occupying premises served -by the--,above - sy _st conditioni` -r' ulfing from `such usage Approval - of,'.th7 -'available and the approval of'the private"�wbter"suppiy- ;l subject-to modification.or' change when in the Judgm DSte 'L as ai eel , "" "U blll It v ai l t:y;, iv i. .kV-D F 7 No of Bedrooms a t�� 09Isuetl • -��. S R � � - i a eonstruetetl essentially as showrPo pl om d�nrork (copies of which are tior's plans filed and the perms b y r m c�qugty Department 6#,Aisalth g "P.E R A edge R' d Peekskils �� . 211 6 27$46 Bicense No fll promptly take such action as May ned! e the'eorreetion of any unsanitary e. sewerage system shall become nullbnd' void as soon as a public sahitary sewei ,becomes me null and'' old ;when a 'public 'upply becomes available "Such'_ approvals are C m loner of `He81th, s revoca n, modification or change Is necessary: x � r Tdle Sall -y Miller 68 (I) Owner or ur%,jiaser of Building Section I Morris Miller 3 Building Constructed by Block' Barger Street 23 Location — Street Lot Putnam Valley None Municipality Subdivision Name 2 story frame Building Type Subdv. Lot ,# GUARANTEE 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 guarantee to,the owner, his success - ors, 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 determin atibri.: of..the . Dir;ector_ -_of the Division of .:- Environmental Health Services. of the Putnam County Department of Health as to whether or not the fail- ure of the system to operate was caused by the willful-"or, negligent act of the occupant of the building utilizing the system. Dated this 0 day of April 19 Signature 3 y Ap � g _ Title e , Corporation Name if corp.) 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 i F_4_ MAX Al llPOio. 97 2�s. `89 a a 2 �F�• "d �0 � AREA _ ] �� 1 .` A£S /lt� DA7/1 .0 - 90 ' 7 -S- fir•. - . fi �,.Y�'�` f r'. . ""r'^'". '. ,�'°" " h!' 12.r 37 s 2� 405 < >s . st3 - to ZW ftoai :--a mumt dz amita . ` i � +,}� ,� � � aitrfpian d2 Sdvls�0al Heap 8�eleec w u? 1_ ae''mtsd toy cinw, ce �itb cc tLe rs s ! SEPTic SYSTEM 65;a 1•jpvi �4 �c, •. 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