HomeMy WebLinkAbout3719DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
74.17 -1 -76
BOX 29
I,,,
6t� L I
I resk E� I "I
'T
A
r
li 6j. r
.. ' .
03719
PUTNAM COUN'T'Y DEPARTMENT OF HEALTH
. .,DIVISION, OF .ENVIFtONIUv=AL HEALTH SERVICES -
Owner• r Purchaser of Building Section Block Lot
Building Constructed by
Location-'- Street f Subdivision Name
Municipality Subdivision Lot #
Building Type
GUARAN= 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
� �____ °Ce t f id t "_of ';.CoriG.tr�tct on ;.Compliance" for -the-.sewage dis sal system, -or any
repairs made by we to such system, except where the failure to operate properly 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 Environinental 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 day of 19 Signature If ( "'
Title b
General Contractor (Owner) - Signature
Corporation Name (if Corp.)
Corporation Name (if Corp.)
Address
Address
rev. 9/85
mk
KY
above described will be capnitruCted as shoWn,,
be submitted to the Dope . itment, , and'. a 1191
County Dftmrtw*M of. Imisilth.
Data
Address
10b., the desio rid — tion, of the pr posed system(s); 4) that.the operate iiawage Aisposel system
will
APPROVED FOR CONSiRU&IdN:' expires t*4
"S"Quible for cause or -may be a or iviodifled when coni
Rev.
I0/88
-- '--' --- -------------'-----'--
m
' date
latisfadory, to the' Commissioner of Health will
6 Immediately following the data of the IM-
0; 2) that the drilled wall do Wraw *be.@
I let and raliuUSTM-6611 . the Putnam.
he building has been undertaken and is
I F�A
Title
1 1
1
t O •
Al G '1 tit �7T IT'S Sy 'it rro� jY� qr ~
SrvDl a ,APT � �� �,� cry ��� =z.�f � �� ���
AV
• f ; -. , - , :. - _ �. - ._ E: is ,.. - ,..
t
1 ,
• y
:1
LD AD D i —r f o os � � + Tic � imp r►=, S �� � � �:�.5���'
LONG v tvu' Dri��
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIV1SI.ON:. OF- -E NVIR01N NTA.;k,. HYEAL H.-; .]RV GES;.:
Date J //
Re: Property of
Located at
(T)Z1C %/Z/r Section Block 17. Lot / 74!�
Subdivision of
Subdv. Lot # Filed Map # Date
Gentlemen:
This letter is to authorize
a duly licensed professional engineer N' 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
.
'kith m ter and- to.- .aup.eryise, the_ .c.onstruc,t on 'of_,sa:id -. .- c.onnec_t. o:ri ?�i_ _
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.
'-;!r j� V 'j,
Countersigned; , —„'
11. E. , R /�C.
27,9 7
3fC._
Address
Very truly yours,
Signed,
Owher of Property
Address
Town
/
2-,
Telephone
r LJ �1
Telephone
,eiiaf "
PERCOLATION TESTS FOR: MANCINI - FOGEL CONST...CORP....;
ON LOT CORNER_. OF, LAN�VI.F�W�$IV�. ANI s� ELIA�rTONE�R��D �` °;
fiOWN OF PUTNAM VALLEY, NEW YORK
Elapsed `
le Run Clock Time Time Depth to Water Difference Percolatioai-
1 No, Start Stop Min. Start Stop in Readings Rate
4 1 :19 1:21 4 23 2-
DEEP` HOLE TEST FINDINGS r ..
0°° _ 1211 Topsoil
1211 - 5° Sand Trace Clay
NO WATER
rests Made By: Stanley J. Lander,"P.E. Date: August 29, 1968
I• KOL06i z 0 wo 9 01• • 1Dl • • �•
- DESIGN DATA SHE�'T -!Ei 3; 1;'ACE SEWAGE DISPO�I, SYSTEM - FILE NO.
Cwner Address -2jK 4212 9-%CTd G C, rte' OI& �i' _
Located at (Street)�� i 4P�; �e Sec. 7!ol Block 17 Lot
Ur to nearest cross street)
[Municipality �yG��h% /�' Wa tershed
SOIL PE RCOLATICN TEST DATA REQUnM TO BE SUBMI= WITH APPLICATIONS
Date of Pre- Soaking _ �� Date of Percolation Test
HOLE
NUIM 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
(J 1 27-1
2
4
5
1 ..
2
3
4
5
1
2
3
4
5
NOTES: 1. Tests to ba repeated at same depth until approximately equal soil rates
are obtained at each percolation test hole. All data to' be suhmi.tted
for review.
2. Depth ne.- mirements 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�NQ -= - w OLE-
G.L.
1'
2' dGi
3'
4'
5'
6'
7'
8'
9'
10'
11'
12'
13'
14'
INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED irrGdl�T
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED
DEEP HOLE OBSERVATIONS MADE BY: J�l�/ % �1040�1 DATE:
DESIGN
Soil Rate Used 7 Min /1" Drop: S.D. Usable Area Provided GC>a
No.,of Bedrooms % Septic Tank Capacity %tea gals. Type
Absorption Area Provid" y CJ L.F. x 24" width trench
Other
Name at,-
Address Z-Y72--
e/4 4a"
FOR USE BY HEALTH
Soil Rate Approved
Signature
,NT ONLY: f tP
^
sq.ft /gal. Checked by` °"``'�= !Date
�. •� T ride I ✓9 R6P.L99�6/
-.. .._ _... ..tea _ .. ,.. _ .... .. •�- •- �= r•- •- ----^- __.. _... .. - �. _. _. ,...
0
Oe
�x o
W V
Area = 43, 6s0 S�, f.
/.00.t, r9cres '
L /her 6 c o i a9t 34 p�.
6
0
e
a
It
ivok
_ b
O.P.
p•8g
�.Sro,PY MQ�•ds
B�ei��e- f Frvirc- d��yC �
4I.e9 _
H
56
404
so ,
south poe4
e44r DN
PRE PAP-ED FOR
SITUATE IN
TOW
$, tear re i'i�emeiits OY� �tf ` y
ir• ,
r ado• G r���ea; fr _�, addition the- ourrentf speoi
TM llept�- .'Q'f;Hea]��p o� the stet`
E.... t
tl .made fl art of
„\ Y ya s�sec one.. f
�� � ia�tit.�`7,�'t ^�� � �� >rYV`ti '.S 1 � f � .J.+i �..i._.,. ,i•'- gpU9 @': SE1f @I+:'$h�l.'ll��@ �'!� 'i
on A gr de1 of 1'/4
}' �. !!{{ 'fi {��'F"r t'Y :. •(S C fan ,. roat•..proof
:rlb'4,�'t•, cJ �"'�.'i,i 'hk •4 + � T .. , �� a � 't •' � �f� p" rov�AQ noi1+
J provSde 4 app
y ,k *v : F . " : ti w, ULtot�O� •bOXAS. I➢�'t
k+K.'�a �, t"r. '� o .;� "? � n W . ' ' w s required -•to meet...fi:r�ld ool�d
•i.\Z�� "fields
40 f ,.��,� L .� a'� ' ^ open' joint dr bivaii�ibua s1�
T s� s:•`~ pip@ lard, on: gTBdg kb
a .if r .
f Mashed; . ravel+ or ores i�
wa� y$ 'i aW r'.
i �1t to iJ:'1
e .G y t
�'' ' '^i i _, y T o ' k .y} v } yy' ;> .• .r, 13 "ol �. t'Yli @lai��: ti [l8t ItE
,; ; '�„ ? ; f�; `� *• y '�', ,1 t r' S;
6-0 from the' bottn�t 4f the.. i
cveT_•gra''ve1 shall _ti'e�.- rT.`,'.
,/ �.y ' •�° ' 0 �baxi'bjami. T$e' minlmuel covs�
. *'Ya�yr 5 \'yr ',: C `mil A -� t.{ t 'let
i k� <, h whd'rever possiD 6 - .
`I'q�jr ha7. b+
t "^,,• ,Y`' a K'. i, x e 't'.,;y,e lyy
h6,-je gth sligwr r- .y thm� p i
Q' 6'.....P'cr detai�;8 of'
Y°�f W ands junctlon..bQ0s '-see
.' ,,,��•- z -4�irx « • ,,, :� .� `. �'J.' Violas,.. desSgtled -oil
L witCi.a percolatioia;:rate�of
t' K' � y "' '� �� gQ
:-inch. and '200 . a1�.h p ®r: bed
p .r ,,., �" .. '
' -
$. Deep 1 to
a hoe s � Qved,
water no t :clo'se .etiou�h
'Remove a1.I', trees within
y $ t 3 ) vithip;10'.;'th ®
red f..,
10.. During any cpn$t #uotio
�,���� ! , ry 'a;•,;1,y„y, .r.' •.�! ., - . _. � V '�;a ' mss:
A 00.
,� �`��+, �zr^ =', •off- � ..;.;►>, EC�6 -iI �o:;.- . , '� ,q , , .
.ff`.•ti�7 '•��� ,r Fir' ?_ .:. � '�... ,. '., -- - �E�S� '� - 't:,
�.. "� �4.�/F�iarp Nisi/ a' , • . 9� ?�'i
WK
A
,.� 9 'y172 t r'✓"- \N t. 5 '• ti; •.LrQf /�i
,7
� �* mti�' ` ,r�► ."y„p• sue, r ,: ,, ;.� sv t�lr�- GCif rrr�Y' 1 �:::'
�' ".! " ': �� �t,��R;y ��/er .�':r��i0� _ „h :f�r;�rrv7! ..�'�C�/1 J,•�✓�, ,.� r;,'
,
r
,�.�dfi�Y l � -'�•� 0.L ,��,+•,�e j� 1 t'
:, :,�'�
�,�'� . 1n s.��4 F+j1, � qtr ': �J}�•J.�S%'�.. _+ ��'�'r''..��''�'.�F'[4;r�.
L"r- �r".,. ._r .:�t� _S.i..i aS.wiM�SE.'�::!.21P �If•.,.....
$, tear re i'i�emeiits OY� �tf ` y
ir• ,
r ado• G r���ea; fr _�, addition the- ourrentf speoi
TM llept�- .'Q'f;Hea]��p o� the stet`
E.... t
tl .made fl art of
„\ Y ya s�sec one.. f
�� � ia�tit.�`7,�'t ^�� � �� >rYV`ti '.S 1 � f � .J.+i �..i._.,. ,i•'- gpU9 @': SE1f @I+:'$h�l.'ll��@ �'!� 'i
on A gr de1 of 1'/4
}' �. !!{{ 'fi {��'F"r t'Y :. •(S C fan ,. roat•..proof
:rlb'4,�'t•, cJ �"'�.'i,i 'hk •4 + � T .. , �� a � 't •' � �f� p" rov�AQ noi1+
J provSde 4 app
y ,k *v : F . " : ti w, ULtot�O� •bOXAS. I➢�'t
k+K.'�a �, t"r. '� o .;� "? � n W . ' ' w s required -•to meet...fi:r�ld ool�d
•i.\Z�� "fields
40 f ,.��,� L .� a'� ' ^ open' joint dr bivaii�ibua s1�
T s� s:•`~ pip@ lard, on: gTBdg kb
a .if r .
f Mashed; . ravel+ or ores i�
wa� y$ 'i aW r'.
i �1t to iJ:'1
e .G y t
�'' ' '^i i _, y T o ' k .y} v } yy' ;> .• .r, 13 "ol �. t'Yli @lai��: ti [l8t ItE
,; ; '�„ ? ; f�; `� *• y '�', ,1 t r' S;
6-0 from the' bottn�t 4f the.. i
cveT_•gra''ve1 shall _ti'e�.- rT.`,'.
,/ �.y ' •�° ' 0 �baxi'bjami. T$e' minlmuel covs�
. *'Ya�yr 5 \'yr ',: C `mil A -� t.{ t 'let
i k� <, h whd'rever possiD 6 - .
`I'q�jr ha7. b+
t "^,,• ,Y`' a K'. i, x e 't'.,;y,e lyy
h6,-je gth sligwr r- .y thm� p i
Q' 6'.....P'cr detai�;8 of'
Y°�f W ands junctlon..bQ0s '-see
.' ,,,��•- z -4�irx « • ,,, :� .� `. �'J.' Violas,.. desSgtled -oil
L witCi.a percolatioia;:rate�of
t' K' � y "' '� �� gQ
:-inch. and '200 . a1�.h p ®r: bed
p .r ,,., �" .. '
' -
$. Deep 1 to
a hoe s � Qved,
water no t :clo'se .etiou�h
'Remove a1.I', trees within
y $ t 3 ) vithip;10'.;'th ®
red f..,
10.. During any cpn$t #uotio
�,���� ! , ry 'a;•,;1,y„y, .r.' •.�! ., - . _. � V '�;a ' mss:
A 00.
,� �`��+, �zr^ =', •off- � ..;.;►>, EC�6 -iI �o:;.- . , '� ,q , , .
.ff`.•ti�7 '•��� ,r Fir' ?_ .:. � '�... ,. '., -- - �E�S� '� - 't:,
�.. "� �4.�/F�iarp Nisi/ a' , • . 9� ?�'i
WK
A
,.� 9 'y172 t r'✓"- \N t. 5 '• ti; •.LrQf /�i
,7
� �* mti�' ` ,r�► ."y„p• sue, r ,: ,, ;.� sv t�lr�- GCif rrr�Y' 1 �:::'
�' ".! " ': �� �t,��R;y ��/er .�':r��i0� _ „h :f�r;�rrv7! ..�'�C�/1 J,•�✓�, ,.� r;,'
,
r
/M
r
47 e
r
f�
v tills
SEEN
.f'�wrf 6�
- t
r ciC�r
fn
�
7
� t
WUK
1
I won
TM
:t
/M
r
47 e
f�
v tills
SEEN
.f'�wrf 6�
f
r ciC�r
/M
r
47 e
f�
v tills
.f'�wrf 6�
f
r ciC�r
TM