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Home My WebLink About3735DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631 - 589 -8100 74.18 -1 -23 BOX 29 IN . r r I6 1 Xt. r f ,.r 03735 vs Owner or Purchaser of Building Building Constructed by uja-i 2L A Location - Street W " Of5 FLITNAAWALLEY Municipality 0) -F=A M, . Building Type Section Block Lot 1p � .._..- . _ _._.�..�. Subdivision Name 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 -- .� 'atlurr- Ul`'� - t'fi� Direc-to-r -o£-- ,G - Jivisior�- f Environ�..e tal , - Te-alth- Ser- ices - - - 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 syste a"s Dated this day of 19 Y Signature a"' f Title �= C _ Coiho4tio r�, Name (if corp.) Address THREE {3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLX1%TS 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 Hea1t11 WEAL .COMPLETION REPORT "� PUTNAM COUN#!ir DEPARTMENT OF HEALTH 3/71 DiVW06 Qf`"ronnwneal Health Services COUNTY OFFICE 9 U1LOtNG_ - CA RMEL. NEW YORK This' report is to be completed by well driller and submitted to County Health Department top .tit r 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 , A4 h OWNER, ADDRESS LOCATION (No. b Street) ore:V _ Lot Nun►Oer1 OF wat . 11USINE33 . PROPOSED DOMESTIC, ESTABLISHMENT _ ❑ FARM., I TEST USE Of WILL SUPP.L . ❑ INDUSTRIAL': ❑ CONDITIONING ❑ (t�welfrl COMPRESSEID DRIWNO , CABLE:- ��JJ EQUIPMENT EJROTART ❑ AIR PERCUSSION ❑ PERCUSSION " ` ° :❑ CTSV«M CASINO LENGTH (teeq :. .� DIAME4ER(inches) WEIGHT PER FOOT . /r U� THREADED . ❑ WELDED Es, NO TEi. NO DETAIL: O C.+ / HOURS O.PA. view TI ST, .. ❑ DUMPED COMPRESSED AIR :, . TEST - . RAILED WATU -. MEASURE FROM LAND SURFACE— STA.TIC(Speetryr feet) DURING YIELD TEST (het) Depth of•Complew WON LEM In feet below Lond Gur$ocil ,3�. 0 MAKE,_ LENCITH.OPEN TO AQUIFER (Net) SCREEN DETAItf SLOT SIZE, DIAMETER (Inch") RAV L (f .. teat O (mot) IF GRAVEL Diameter of well including PACKED: gavel pack (rnehp): m__ _ - - -- - - — — - -- - - -- PUTNAM COUNTY DEPARTMENT OF HEALTH Permit a PV 6 -.82 C . Division of Environmental Health Services, Carmel N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Town or Village Located 'at Tauret P1'ace 4 - Tax• Map ock Lot Subdivision N, A Subd. Lot H Renewal bX Revision _0 Owner /Address 4 1 low Road, MahoAac, NY 10541 Date Of Previous Approval 5f 28 82 Building Type ( 1 ) Fam Res --Lot Area 0.0726 Acres Pill Section Only ❑ Number of Bedrooms 3 Design Flow G /P /D 60.0 P.C. H. D. Notification Required Separate Sewerage system to consist of _ 1000 Gal. Septic Tank and -500 LF of 21 wide leaching trench To be constructed by Jeff Reaclan Address Mahopac, NY 10541 Water Supply: Public Supply From XX Private Supply to De drilled by Norman Anderson Address __ Barger Street, Putnam Valley, NY Other Requirements 1 represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules and regulations of e Putnam County Department of .Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will Place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following thedate of the issu- ance of the approval of the Certificate of (: onstruction Compliance of the original system or any repairs thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will 4 installed in accorda�Ce with the standards, rules and reg-Ma7i � of the Putnam County Department of Health. `\ ?/ 7/ Date S• a " --- — V t. __V_ v uscoot NJ ,fox i Address —_m ilinp;;L 1 1,0221 APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued u ss construction revocable for cause or may be amended or modified when co ere neces the Co —loner of Health. requires a new permit. ApproC�5 disposal of dome c i ry wage, d /or to water su Date gy Rev. 9 -81 P.E. R.A. XX _ License No. 11056 building has been undertaken and is change or alteration of construction Title `g CONSTRUCTION P Located at It U TNAM COUN T'Y DEPARTMENT OF HEALTH Permit # Division of Environmental Health Services, Carmel, N, Y. 10512 IMIT FOR SEWAGE DI S bd' isi0 OSAL SYSTEM -FOt cJN 6' UTW AM LL6, Tax Map A/ 14 subs. lot # Renewal Revision _ Owner /Address`-'Amu&'. N& &EtgTT Q40DeA7NE Q)D- QSEIN/A/, /� Building Type,, Lot Area ii�.F Number of Bedrooms 5 2 Design FlowG /P /D 660 ) Separate Sewerage System to consist of _/ fl0tl Gal. Septic Tank To be constructed by A�,—J4 p U Water Supply: Public St`nniv Frnrm Private S Address Other Requirements Date Of Previous,Approval Fill Section Only ❑ P.C. H. D. Notification Required and 6-04 L��pp1✓ Ol✓ 2 'VIDE— IiLgACl,(l�l47` )C A -5 Address t'/YN -O P(l S Ale) .LOLd �� )9 M LALL ✓Y, „/.y. Ids? 1 represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regulations .7 e u nam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following thedate of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be installed in .accordance with the standards, rules and regu aZ o�T ns of. the Putnam County Department of Health. Date Tf / a Signed P.E. - R.A. Address. License No. APPROVED FOR CONSTRUCTION: This approval expires one year fr the date issued il�enstructlon o4 the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the Com o4 Health. Any change or alteration of construction requires a��ne —,w— permit. Approv�Qfor disposal of domestic Sa y wag antl /or priva -M °nty_______._ . Date c -> �kk— By C7:� V Title JV Zf Rev. 9 -81 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 1011519i Re: Property od'Vk' Igm '* ALID19 N'U4ENT' Located at TPQZr- -T 'PL (T) 0, ° Section Block Lot Subdivision of Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize J Dot. 4a gie J(ir. a duly licensed professional engineer 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 connection with this matter and to supervise the construction of said ..�... P 1' - with 147, Education Law tary Code. Co P.E., R.A., # Joel Greenberg - Architect Musc of North ! RFD f2, Box 488 Mohopac, NY 10541 Telephone is Health Law, and the Putnam County Sani- Very truly yours, Signed LA 6 � 4 Owner of Property Rochambeau Road Apt. 5A Address 914 - 962 -5825 Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH it DIVISION OF ENVIRONMENTAL HEALTH SERVICES r _.. _. Date Re: Property of Mr. & Mrs. Paul Hart Located at Tauret Place (T) 65-1- 2.8 Section Subdivision of N/A Block Lot Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize Joel L. Greenberg a duly licensed professional engineer or registered architect XX (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 c ornection with this matter and to supervise the construction of said _ syz teirr `-or- sys- t-eins-in,c'oiiformity with the. provis`ia is�-of -Art; cf °e 145 or 1 41, Education Law, the Public Health Law, and the Putnam County Sani- taly Code. C c uontersignf P a re , R.A. , Mscoot Nr Adrress Very truly yours, lvihopac, NY 10541 S¢4 628 -6613 �rephone i t i l S i g n e ce Owner of Property 214 Willow Road Address Mahopac, NY 10541 Town 914 628 -1916 Telephone PUTNAN[ COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ^ -.. COUNTY..OPFI:CE BUILDING, CARMEL., N. Y. 10512 DESIGN DATA STMT- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. ZOC kkAMBEAU P—D, Apr.. SA. Owner C -�N'T Address y�c7►? �To c //J1.1 %�.. . [w- �`B SecA1ock Lot Located at (Street �L. 041cate.nearest cross street) .. .. , Munk . i pa y M [t-t Ivi Watershed Ct7yj.4.a1l C/�I� 1it SOIL.PERCOLATION TEST DATA.REQUI D TO BE SUBMITTED WITH�.APPLICATIONS 4 5 Notes: l) Te`ts to. be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for.review.. 2) Depth measurements, to be made from top of hole. Hole Number ........CLOCK....TIME PERCOLATION PERCOLATION Run Mapse Time Start -Stop Min.. Depth to Water From. Ground Start Inches Surface Stop Inches Water Level. in Inches Drop in .Inches -..Soil Rate Min. /in drop 2.. ;.4.�.�..;.37 46 5 4 5 Notes: l) Te`ts to. be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 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 - DES'CRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. I. -HOLE NO HOLE NO._.: <<......_:.: ._ G.L. d P.�1.LT ,..�-- �- - ---- -- 6" HIV 7 , SAN® tL S"j M5L ..`-A SA N)) 5( ST15lei �S 12" . _ ........ ..... 24" _..:..... . 30" 36" 42" 48" 54„ 66" 72" 78 ft 84" INDICATE INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED LEVEL - TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY j p c. 6Qi=rx)Rr- E4 Date /0)/4- /SL.._.. y= . Soil Rate DESIGN -Used /6-- SOYin/l "Drop: S. D. Usable Area provided` No. of Bedrooms ' Septic Tank Capacity 1,006 Gals pe Absorption Area Pr� ov ded Byaoo L. F. x24 fi'� Ear renc . \y f A Hain@ Joel Greenberg: Architect Signature_ Muscgot North Address RFD 112, Box 488 i � Mahopac, NY 10541 . , g1-e., THIS SPACE FOR USE' BY'"REALTH DEPARTMENT ONLY: rA� OF NEB �o Soil Rate Approved-' Sq. Ft /Cal. Checked by Date 0 .z q(I 16V na oup Xe ez) ;o was 9 co ; 11 X1 of r� J It4V o V�ratl -4�IN o 70 I�F ti