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HomeMy WebLinkAbout3711DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.17 -1 -51 BOX 29 ' TT ,i ` *� �. r 116 .1-. ' 03711 ti i , , 03711 -nC OTr Cog% w Tic`'J1C../+nIU QtOl a � PUTNAM COUNTY DEPARTMENT ; OF HEALTH )f 4666 of `Environmental `Health Services, Came% M ` "ViAi 0512 AGE DI ON COMPLIANCE FOR',SEWS POSAL'C' Hain V Pu 11+ (T 1 Located at Barer Street;.: Tax Map Section 6:8 o`Wpe► James Campobasso L t Job Separate `Sewerage System'bwlt byY Hekla Constructlon Iilc address Buekshollow Rd. Mahopac NY G i r Consisting oi,Y GaI Septic Tank and '3'i%+ L.F. X 24" arendh Other requirements "Run -of -bank ;gravel fill placed 1 3 ft: deep 1 Water Supply Publw Supply From 3 X Private Supply gilled BY Anderson Well Drillers fa t Address BargerraPt Putnam >'Ugl l Pte, NY �� i Buildmg Type LOS Cahln No-.of Bedrooms Date PirQAt�.Lpfs° i , Has Erosion Controls Been Completed 1e$ : 4a• .. S IPO ,. I `certify that the systems) as fisted serving the above4prem�ses:were constructed; essentially as shown on the plant• I e• of which are .. .,,. r u attachid),:and waccordance with;the standards rules and,regulatiors plans -filed and the permit 9ssued bycat� utn Oe nt of Health �� % • c t Dato 25 June 1980 Certified by V I;R.A. R Address d • o. 0 Peeksk_ll.,; NY . Z 8�6 , :. 1. ��p -Any person occupying premises servetl Dy the above'system(s) shall promptly Sake such action as may be necessary,tdc r�r ip11 of any unsanitary :•. , r91 contlitions resulting from -.such usage' Approval of_ the separate sewerage system shall become nutl`and void 'as soon- �llfjlnitary sew #er becomes ws available and the,'approvaI of the prwate. water supply shalt become null and ';void when a ,'public wa becomes available Such,;spprovals. are G... subject,,to modification or' change Ywhin in the judgment : of the Com oner of. Health such r ovation ' odifieat!on or change;is necessary .Date I - BY M ` nty OUWTY-' TER. LaORATO ` nty Q! a. 3 James. _Campobasso : :" wrieir r'` ra aer "o uilding Municipality James Cambobaggo Buildin.g Constructed F?Y Barger Street ooa on , reQ Log Cabin M-11dirig. Typo 68 3 00 17 et 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, hiss succes- sops, heirs or assigns, to plane 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 failutre to operate properly is caused by the willful or negligent act of the oocu- pent of the building utilizing the system. The undersigi?ed further agrees to accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser- vices of the Putnam County Department of Health as to whe er or not the -failure- Df....thb:­ ystem .-to operate was caused -by the wi f or negligent act of the ocoupant of the building utilizing the sy m 0 Dated this 25 day of Jun2 19„,�g THREE (3) COPIES ARE REQgIRED WITH THM-E CERTIFICATE OF COMPLETION WILL SE ISSUED. Signatu Title ca orat on, g1#0 name and address) 014cft hot / 41'x! -------------- ' �- (3) COPIES OF F PL . R,Z GUARANTOR .� laBRUIRF410 4 ZILE ® OF R&TE OF FIRST USE OF SYSTE . Division of 1�nvi t 19p OF HEALTJ4 h W44 RT P"TN/AM COUNTY DEPAflThIlE iT Of 3/34 Division of Environrnontal HpIth Sarvieo® °. COUNTY OFFICq 81.11�01NQ • CAfIMEL, NEW YORK 'flTla eoptarti 1q.94 bq .Famplatd. by troll s�rlilar and suESmittec�.to CQunt� tth Repartmant xasthec- yvith���tr�rj,t tptr8 :tai -• z �ne1p` #±it�=ciple "ir�ifici}ting wati�r I'4f'stfaiactory bacteii`al quality before certificate of ConstrUCtion Cotri�n(j�rlcQ ig jry�, REPORT MUST BE SUBMITTED (WITHIN 30 DAYS OF WELL COMPLETION M�SS VI-V � r LOCATION of 11,199 . t►a ®t� . ofn (tpl N Pol P� ®POSC�4e; (J56 OR �F4� BUSINESS ( � TIC;aTAQf ISHM> NT I.—J FARb! 1< €ST WEL; PIIELIC. rn ., {"" { AIR OTHER L; 1 aSUP6LY;:. 4-.J INRUSTRIAL EI CONDITIONiNO © (Cpecify) b+$ILLIN® EQUIPMENT Q COMPRESSED RSaTARY AIR PERCUSSION (" L.j T CABLE OTHER PERCUS51014 (5pocify) CCASlPlt3 AST 6� tL•1dt�i7H (1p¢() Diply ER(lnchsa) v�t:�GtiT PEtt OQi j� (�'� THREADED LJ WELDED O 9 YES DNo n4n .�•�• Ej YIELD" TE3T• j E I SAIM (' HOURS G.P.M. El PUMPRa 0- COMPRESSED A1R YIELD (Q.P,4,) t�ATlc(a (gyGE ffiEa"ui?.g FRg4A L¢taa SURFACE- STr}�!G(Spe4lfy taac) DURING. YIELD TEST feat) j Depth of Complated Wall r In foot I;alow Land $urfgc®, ECREERI PCTA)t4 14 li(4 OPF,N TQ 419 Ui6? ((401 St9l 1517.(3 pIAMETER ((ncAPa) IF GRAVEi, p.ACYEDs plgmottir of woll.inc(udlnQ grovel pack (Inches): BRAY ti zE (inggqgl Ei Qet ((col) 14 (tm0td DEPTH FF.OM LAND SURFACE FIi?Rg9ATiON DESCRIFT104f1 Sketch exact location of gall With d/atWOR, jo at /4941 ' two pormananr landmarks, rfEi to FEET 1,� , PUTNAM t,OUN �. DEFT, ®F HEALTH If yield waa tooted at dif€eront depth$ during drilling, lief below FEfiT GALLONS PER MINUTE yrg (VCaMILR AHT4 QF f19PART Vl ILLE'.R fqlehaN uro) a Aw, _ <. 2. ��..� PiJTNAM COUN'PY DEPARTMENT "OF HEALTH 4 Ofvfsron of Environmental- Health Services Carme/ N 'a Yf0512 f r T Putnam Valley (T�Y _ CONSTRUCTION PERMIT.=FOR SEWAGE DISPOSAL SYSTEM �. ,. . �,{, > Town o Vi b e r gar V 1r �Q� o s$ Located at, Tax Map Block A kV Subdivision . Lot1� c Ja aee TaCeai I' big Owner Address z it 2998 Meadatreet, Building Type z °�I'�� Lot Area 1 *%' a4ir ®8 Y ®r � ,�! aY'• 1059 Number of Bedrooms Qeslgn Flow Total ..H 2y n abitable S e= Square Feet -: lam 333 k of treneb. separate': Sewerage'system to cgnsist of Gal septic Tank _ .and Rey,. Valetit h i ®dland �1vd To be constructed b y Address 7�t Water - Supply. Public SuPPly.From PeQkSkill 1'ii� s r r +t� _ -. _, :? six � &..�- x And�rsn Tafe11 drllersu';i� -�!< Private Supply to be drilled by Address ` - Barger ,greet Ptittam V11ey N.Y: Other RequIremenfs 1° `` O RQT GZ'84Q1 31 se�t;�B ar ®8te xF: F t ,4 .. .0 UN 1 represent that I am wholly and, completely ;responsible for the.design and location of the proposed system(s)' rl ?` 1!' g tqt o . system above described, will be constructed;as showri`on the approved amendment thereto and'in accordance with the it _ �, nS16 a •u nam County Department of Health, and that on completion thereof a Certificate, Or,. Construction Compliance r i I, r of,.Healthwill be` submitted to the Department antl a written ,guarantee will be furnished the owner his successors, h�% n e - t 'at said builder will place ;in' good operating co _any part of said sewage; disposal system durmg'the' period of two (� r `iih olloedate,of the ssu _.. ante of_:the approval`of' the Certificate:of`:Construction Compliance of the;originbi system or ,any eto; I I.describetl ptiove will be located as shown on the approved plan,and' that said well will be installed, in accordance kh-the st$ _, r of._ the 'Putnam Count De artlneiit of Health Y P Data N�9veiRi�er 26, 1979 gne �' 6 � arc• .Si d � � �t E. � Address 1 1 ®rthr d� lead `P.eekskill, 'N Y APPROVED FOR CONSTRUCTION This approval 'expires one ye9r from the date issued unless construcUo of tl tyiViWQ has been undertaken 4nd is . revocable:for cause,o► maybe amended or: modified when consi d >neces r by the.,Commi"ssioner'of Any `change or or of construction c e�quves.a. new permit A rov f jr disposal of domestic nit rY' ewag ' -an irate'' I ont � 9 K. ).A, Gentlemen: - PUTNAM COUNTY DEPARTMENT OF HEALTH OF�.:.-,.PN.,�TIRON-MEU-TA-,L----.-H-E-- -IT AV-I ES Date November. 15.,. 1979 Re: Property of James T, Campobasso Located at Barger Street Section 68 Block 3 Lot 17 This letter is to authorize John S. Rome@ a duly licensed professional engineer x or registered architect' (Indicate). to apply fo.r.a Construction Permit for a separate sewerage system; to serve the above noted property in'accordance with the standards, rules t or -regulations as . promulgated by the Commissioner of the Putnam County �_PoVartment of Health, and to sign, all necessary papers on my behalf in 'connection with this matter and to supervise the construction of said o�•'-systerrL'rA,s­`_­ir*r conformity wtth` tYiA `' pro" vision "s'�of "'Ar id e145` or` 147., Education L . aw., the Public'Health Law, and the Putnam County Sani- bary Code. Very truly yours., Signed Owner o Pro rty "19 0 , p-) Cduntersigned. Address 74 027846 _ C� I WortbriOlge Road 0000.00QOO� Telephone k Se 000 !.,Address ,... .0 0 W 0 N.Y. 10566 0 0 737 1056 0 hon e 0 278AGO 0 0 00�0 0000000. Ij �xj OF 5 5 e Notes- 1) T Ats to be 'repeated at same depth until approximatel y 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.. 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 e James-.T �Camrobasse 2990 read St, Yorktown Hts , Iff 10598 Owner Address. ::.... Located ,Barger- .Street = 6 3 17 at (Street Sec. Block Lot n di ca e:,_neares cross s, ree Putnam .'Nails T 1 : : Municipality (.) Watershed Peekskzl, .._. ..... ,.:..r ,. .: ....SOIL PERCOLATION TEST.DATA REQUIRED TO BE SUBMITTED.WITH,.APPLICATIONS o e Number . .... ,.. CLOCK_..TIME PERCOLATION .:'PERCOLATION— Run. EIapse Depth to Water Water ve No... . Time _. From. Ground Surface in Inches_. ..:.Soil Rate Time Start -Stop Start Stop Drop in Min. /in drop Inches Inches Inches ,z3_ 7 . ... 2E.5 29.5 1 7.f3t3 .5p g 28,5 29,5 2s55 , .3sE�3 �. _ 28,5 29,5 1.00. x.00 5 z 3:5 2 29.75 30 .75 © x.00, 2. 43 1:'© .....- .- ...��.:� 2 .:... 2t5Z1:344001 ;7b 29.75 30.75 T.40..; 9.. :e5 3 9 3 t. 5 5 e Notes- 1) T Ats to be 'repeated at same depth until approximatel y 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.. i 9° °s me Jo . n : ,0 ame®- . . Address 1,Nerbr°ige. _R peekskdil4 Now Yrlc. ure U SEAL o ; O �o �m 0 NEI THIS SPACE FOR USE BX "°HEALTH DEPARTMT ONLY: ®® ®000 ®® Soil Rate Approved Sq. Ft/Gal. Checked by Date TEST PIT DATA REQUIRED TO-BE SUBMITTED WITH APPLICATION - DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH TOLE NO.­­­ .. T;F _.. .. _. H N0 .: G.L. Topsoil Topsoil Topsoil 611 12rr 6P seil 12 ". Topsoil- Z3 Tips ®il :. San Y., gravelly sandy gravelly sithdy9 gravelly., 18" lnam 1 66, rani 2 �+ SAme si is some Silt SAO worylsxgd Selii;. Zt 3011 0, ones stones, 3611 4 It me Jo . n : ,0 ame®- . . Address 1,Nerbr°ige. _R peekskdil4 Now Yrlc. ure U SEAL o ; O �o �m 0 NEI THIS SPACE FOR USE BX "°HEALTH DEPARTMT ONLY: ®® ®000 ®® Soil Rate Approved Sq. Ft/Gal. Checked by Date • r. w e ` 20 ' ` 2-4 1 TYPICAL SECTION SCALE: 758 S $ r u f M t, � , o- z ' �,•- �`.4_�. "� � � z lt" &sr - .+, s .4 a !; � - ' ty r � � r+ . t S `'• � t y _ -,r ��:q S r ".4 � ,.5; '.. � t`� r^2s" '�' �- a.�x 1 _ O . �"`",• ' w ~ e P, ,. y. 'i. .. � : � _ � •--- �.�;j.,yd •t.�'.Y'"^'.t fJ'„' Y' ® ff �..� ;% -. i ', ...�._ _..« _ .__^ rA t - y'_ -- } % S t t t� w ��. - s r et - A4 � _ ♦ +�''e* -'r. x,. : ,.z 6 � # i � ...