Loading...
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