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HomeMy WebLinkAbout3752DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.19 -2 -16 BOX 29 03752 'a ti SIT . , I ' t Li jJ' , 03752 � ', s PIUTNAM COUNT, . rV Dive , of Environment CONS RUCTION PERMIT FOR :SEWAGE.nDISPO.SAL_:S7 Located at Taurat P1 ace Subdivision-.— EPARTMENT OF HEALTH alth Services, Carmel N Y 10512 V M,Futram Va'11ey s Town or V�Ilage •— �,:��,. T,aX:,M'Tp 65_ � 2;6 m_... .t�10>i1. — .a.. n" Lot - yob 77 -123 owner h:ester,' Lee:;_ Address 5 .8:eechwood" Cou`rtf Bi;hdmg Tvpe 1-FamU 1. y.Res. _ L`ot A►ea. =_1 acre Massapequa' N.Y.:" 11.758. i Number of Bedrooms 3 `_ Design . Flow '6O gp:d Separate Sewerage System to consist of 1 OOO Gal. To' > be .constructed. by `nlJt Select °d Water. Supply: Public "Supply From * *` Private Supply to be Grilled by nOf SP d Adress r. . Other Requirements. I represent' that I "am wFioily and completely *o1sponsi 'le for the design anc 'described will be constructed as shown "on the approved amendment,. County,: Department of• !Health,-:an d thatbn completion thereof a Certi be,.submittetl fo .the Department 'and a Written guarantee will be furn "place ' ;good.operating condition --any port of said sewage;disposalssl ance of,'the approval,of',fhe Certificate of.. (onstructwn Compliance o will be located as shown on'the approved plan °wind that said well will be ins County .Departmeni of'Ne,'alth , Data .Jul/ 29, 1{977 Signed Address BoJ 1 Cato APPROVED FOR - CONSTRUCTION: This approvalexpires one yea _f o" revocable for cause or may; tie amended or- modified when consider c requires a new permit Approvetl .for dispo al of domestic sari ar s` x Defe in accordance. It s�3fai d� regu a ions o e Putnarn istrucUon`C Qj satisfactory t% omm�ssi' ner of HeaIthw ill" 3 ner his suc 'the -.heirs o , ns,6 -der, that said `builder will the -its6 'A period" p�(2p r , . iat wiri§ thedAti' f tem or ny repair atSD e. Iled well described above d ce "w <p at e': sia•. -an ', I tions : of the Putnam j APE' F2A�* �O`rk 011056 -Q NO 11 +1r056 sued un has been. undertaken and :is Com . ss� =of Hea change "or alteration of construction rp iv 'ter suooly only f Title /� PUTNAM COUNTY DEPARUMI T OF HEALTH DIVISIOi"; ERV'10ES Date May 20, 1977 Re e Property of - Chester B. Lee Located at Taurat Place TM 65 -1 -2 Section Block Lot Gentlemen: This letter is to'au�horizeJoel Lawrence Greenberg a duly licensed professional engineer or re gistered architect (Indicate) to apply for a-Construction Permit for a separate•sewerage system; to serve the above noted property in accordance with the standards$ rules or regulations.as promulgated 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 or systeias in conformity with the provisions of Article 145 or 147, Education L qR� blic Health Law, and the Putnam County Sani- tary Code. roc c��F Very truly yo:rs, Signed Owner of Property Counters igned° P.E., R.A., 11056 Box 417 (Seal) Address Katonah,New York 10536 g1.4 -232 -5033 Telephone 5 Beechwood Court Address Massapequa, New York 1.1758 Telephone. 516 - LI 1. -6477 O PUTNAM COUNTY DEPARTMENT OF HEALTH bIVISION OF ENVIRONMENTAL HEALTH SERVICES _. G�JTrTNTY - OF'�FFICi - s ILD N�7,`. ;OAf�t�I L, "N.: -: DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Chester Lee Address 5 Beechwood Road, Massapequa, N.Y. 11758 TM Located at (Street urat Place Sec. 65 -1 - 261ock Lot RTadicate nearest cross street) Municipality Putnam'V.alley Watershed Hudson SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Eiapse Depth to Water Water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 2 1 9:58 - 11:04 66 16 19 3 66/3 =22 2 11:05 -12:11 66 16 19 3 66/3 =22 3 12:12 -1:18 66 16 19 3 66/3 =22 2 1 10:00 -11:06 66 15 18 3 66/3 =22 2. ..1_.8, 3 _ ..66/3" =22 _._. 3 12:14 -1:20 66 15 18 3 66/3 =22 4 5 1 2 3 4 5 Notes: 1) Tuts 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 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES - a. DEPTH HOLE NO. 1 HOLE NO. 2 HOLE NO. 3 ..Top.SO it - -- - -- o.ps - - s... _._.. - - - T o i l _- -Topso i ._ 611 Sand & Clay Sand & Clay Sand & Clay 12" 18" 24" 30" 36" 42" 48" 5411 6o tt 66611 7211 78 It 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED - None INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED 61-011 after 2 day! TESTS MADE BY Joel Greenberg Date .Jul y 7, 1977 .. _- DESIGN. So i"'Ra`ce Used 21= �OMin/l" Drop: S:b: "l�sa le''Area 0-0 s. f: 1000 � R "' E G� cy� No. of Bedrooms. 3 Septic Tank Capacit Ga P� %pe t concrete Absorption Area Pro ded By 538 L.F.x24" , � idW tr Address Box 417 Katonah, New York 10536 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. R /Gal. Checked by Date 1 44 2 )I- z ai OUT t1 �3 PUTNAM COUNTY . `. Dfvnsion ofa:Environmenoi /� CERTIFICATE OF CONSTRUCTIOM COMPLIANCE FOR- i �y 4. $°Locaied;atLT�� F1 he - " w Owner T Ware - Formerly C Lee Care ct Macaluso Separate Sewerage System Duilt by q Consisting of 10:.00 Oat ipit Tank and > 50 Other requirements .Water Supply ,Public Supply FiOm� XX t?►Wate Supply 'Gilled, BY, P . F o F Address, 9ui)d)ng Type One ::f amity residence ± Hes .Erosion Control Been Completed? 0 I1certify_ that the syetem(e) as listed sewing the above4premiaea,i ',of Aich are,attpehed) and in accordance ivfth the`atandards "ivle, s, �•� 3a �PutnamCOUntyDepartmentOf Date 8 /15 8 3 or,itu a MMU COO f 1V Address Mafiopac AnY Derson'biedti lying .D►linlises�served.by;ths.abovi systorn(sl.shallipd DEPARTMENT OF HEALTH He th', Serwcos Carm N.' Y 1 6 , Permit r SEWAGE DISPOSAL SYSTEM Putnam Val "le 1 2" Tax 65 6 ;Slack w P � -Sutid Lot B :� town w. Address .riOlme12531 of: fields; f Beal'° 10509 'N46. : of Bedrooms 3 Dbte Perm ft Issue4' 1-1-Z, 22/'82 � Y rere conatYncted':eaBentialiy as shown on_;the plans of the complefed work;^( copies and regulations in accordance';ith` the filed ^pl an, and the permit'-1ssued'by the C OX 11 z 11 i' � ti l.leense No 0 5 6 mptly take wch actlon as may.be.neceasary to to urs the eorreetlon ,of any tibsanita►y . Brags Ysyit`sm sh�0 baeom mull '^rid void a 'wo kat° a p lie ianttary` sewer: becomes - -aye ngq�o anu _use,. apprvva� .vr -ens p��raan;:wa, or ayppry ana n;uowmo -nun ana ;.vvw, wrnvn a ;pYDI acm., ppry,_ oewm�s ,-. sub)eet to modification or; change ,when,; in the judgment` of the-,,Co er of Health : " revo' ion - modifleat{or d ' Date _ By Title Rev. 9 -81 _ .: ¢' cis are Owner or Purchaser of Building Section Building Constructed by Bl.. ock. Location - Street ' / �6 c ep CF RTJ�l A �. [ALLP �' Municipality � Building Type Lot N An Subdi ision Name av /4 Subdv. Lot # GtiARANTEE 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- or's, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate fora 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- at'ion:'of .the 'Director- of -.the. Division of Environmental .Health Services of the Putnam County Department of Heaith as * to __ whether - -or `not the"faii= ... 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. w day of 19 U -Y Signature Title r- Corporation Name if.corp. i1;2Jug416 41177e5 V 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 9171 _ `• Division of Environmental Ilualth Servicos COUNTY OFFICC BUILDING - CARMEL, NEW YORK, 'This report is.to be completed by.well driller and submitted to County Health Department together with laboratory report of •naly;i; of water sample .indicating water is of factory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION NAME ADDRESS owrLER THOMAS WARE :Z 1344 Judy Road, Mohe'gan Lake, New York LOCATION (No. fi Sfrost) (Town) (Lot Number) OF WELL Taurat Place off Wood Street, Putnam Valley, NY BUSINESS nX O ❑ fRQPOSED DOMESTIC ESTABLISHMENT FARM LEST WELL USE OF WELL ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ if (OSpe ) DRILLING (� COMPRESSED ROTARY AIR PERCUSSION ❑ CABLE ❑ OTHER PERCUSSION EQUIPMENT U (Specify). CASING LENGTH peat) DIAME1ERlrnchesl W[tt,HT PER FOOT 17 ® ❑ U£IVE SHOE RYES ONO WAS CA iNG ROUTED? ❑ � DETAILS 225 6 THREADED WELDED YES NO YIELD HOURS G.P.M. ❑ Fx] ❑ YIELD (G.P.M.) TEST BAILED .. PUMIsED COMPRESSED AIR 4 l�4 .- ], WATER MEASURE MEASURE FROM LAND SURFACE— $TATIC(Specilyleery DURING YIELD TEST feet) Depth of Completed Well ' LEVEL 110 400 In feet below Land surface: 700 MAKE LENGTH OPEN TO AQUIFER (leaf) SCREEN DETAILS SLOT Sii` DIAMETER Pinches) IF GRAVEL Diameter of well including GRAVEL SIZE (inches) FROM (fear) TO (toot) PACKED: gravel pock (inches): CEFTH FROM LAND S'URFACEj FORMATION DESCRIPTION Sketch Bract location of viell with distances, to at least two permanent landmarks. FEET to FEET ^ Hard packed hardpan & 0 160 boulders 160 190 Soft brown fault 700 Black & white granite 190 If yield was Itsird of dirierent deprh. during drill;ng, list below FEET GALLONS PER MINUTE 600 3/4 700 1 -1/4 OAIE� vtll CO.�Irtt1ID GATE OV RCPORI' 8/5/83 8/11/83 L' M O / Ff r was � ,President -MILL DRILLING P.O. Box 99 321 Kear � Street I + 321 KEAR ST., YORKTOWN HEIGHTS. N.Y. 10598 245.3203 Yorktown He i Heights, N.Y. 10598 ❑ 201 BUTTONWOOD AVE., PEEKSKILL, N.Y. 10566 737.8777 '245'3203. ❑ 495 MAIN ST., MT. KISCO, N.Y. 10549 666.3335 ❑ STONELEIGH AVE. (NEAR HOSPITAL), CARMEL, N. Y, 10512 278.9330 �...- rte•. - .0 �;- r:G�<c - ..`T'"Y �h -: c, -_. e -, :S3W Z.` -r � .... .... _ ._ z., LAB # �. L DATE TAKEN: DATE RECEIVE;: _1 2' DATE REPORTED, �� - 3` 3 Vo vlf SAMPLE SOURCE: L_ �vt� A, � V� L �, `i I J� REFERRED BY: V y/ COLLECTED BY: yf4f J I LABORATORY REPORT ,4 - 551 a24S 70 i2, mg /L ❑ ACIDITY ................... ..............�................ ❑ ALUMINUM ................................................................ ❑ LKALINITY ............................................ ❑ ANTIMONY ............................... ............................... BACTERIA;TOTAL /mL ............. „�+................. ❑ ARSENIC .................................... ............................... ❑ BOO, 5 DAY .................................................. ❑ BARIUM .................................. ............................... .. OBROMIDE ................... ............................... ❑ BERYLLIUM ............................................................... ❑ CARBON DIOXIDE, FREE .... ❑ BISMUTH .................................... ............................... CHLORIOE............. ............1.................. ❑ BORON ........................................ ............................... ❑ CHLORINE ............. ........................4...... ... ❑ CADMIUM .................................... ............................... ❑ COD ........................... ............................... ❑ CALCIUM .................................... ............................... ❑ COLOR ....................... ............................... ❑ CHROMIUM (tot.) ............................ ............................... ❑ CYANIDE ................... ................�.............. j ❑ CHROMIUM (hexavalent) .................... ............................... DETERGENT, ANIONIC ❑ COBALT ❑ LUORIDE ................... ............................... ❑COPPER ❑ HARDNESS .................... ............................... ❑ G LD ....... ../.....�..-^. ❑ h NCOLIFORM COUNT/ 100 ml IRON l r?.`..... T. ^..... ......G..... / .................. ffT COLIfORM COUNT/ 100 ml L� ❑LEAD ,.... ..................... ...... OCONFIRMATORY TEST ... ............................... ❑ LITHIUM .................................... ............................... ❑ NITROGEN, AMMONIA ... ............................... ❑ M GNESIUM _... _O`N 1`ROGET74KJEL0.41iL- MANGANESE /C S...... /�✓ ' vav .....4,:AJ ................... ..................... � ............:...f. :O ME NITROGEN, NITRATE ........ ..r......: »_......................... `. - ONITROGEN, ORGANIC ... ............................... ❑ NICKEL ........................................ ............................... ❑ DOOR ....................... ............................... ❑ PALLADIUM ................................ ............................... ❑ 0 & GREASE ................ ..... ❑ POTASSIUM .............................. .............................5. . pH...... ........................� ................. ❑ RHODIUM I................................... ............................... ❑ PHENOL ........................ ............................... ❑ SELENIUM ............................. ....... ............................... ❑ PHOSPHATE (ortho) ....... ............................... ❑ SILICON ........:................... ............................... ❑ PHOSPHATE (conder sed) ... ............................... ❑ SILVER ......................................... ............................... ❑ PHOSPHATE (total) ....... ............................... ❑ SODIUM ........................................ ............................... ❑ SOLIDS, SETTLEABLE, ml /L ❑ TIN ......... .................................................................... ❑ SOLIDS, SUSPENDED ... ............................... ❑ ZINC .......................... ❑ SOLIDS, DISSOLVED .................... ......i. ❑ .................................................... ............................... ❑ SOLIDS. TOTAL ......................................... 0 .,.,> ............................................... ...........................1.1. O SOLIDS, VOLATILE ....... ............................... ❑ REMARKS:............. ............................... ........................ ❑ SPECIFIC CONDUCTANCE .............................. ❑ ....................................:............... ............................... ❑ SULFATE ................... ............................... ❑ ............ ....................................................................... ❑ SULFIDE .................... ............................... ❑ .................................................... ..................:............ ❑ SULFITE .................... ................. ............... ❑ .................................................... ............................... ❑ SURFACTANTS ............. ............................... ❑ ......................:........................ ............................... ❑ TUR81D1T .. ................ ............................... ❑ .............. ............................................. _.. _._ ._....... THESE RESULTS INDICATE THAT THE WATER WAS�i� OF A SATISFACTORY SANITARY QUALITY IMEN THE SAMPLE 14AS COLLECTED. (//���� THESE RESULTS INDICATE THAT T11E'WATER DI1 1/2 MEET THE SATISFACTORY CHEMICAL QUALITY OF NEW YORK STATE ADMINISTRATIVE MULES,& REM .ATIONS, DRINKING WA STANDARDS (PART 72) FOR THE PARAMETERS TESTED. ALBERT 11. PADOVANI At. T (ASCP) , DIRECTOR . ......_. ..,,.. .�,,.>_._... ._...__._._. ......._.. _ _,..� _. _.cam,.,.,... .. v. .., ..r . -. TO �.#�a= ST>= 2 is PUTNAM COUNTY DEPARTMENT OF HEALTH Permit • Division of Environmental Health Services, Carmel, N. Y. 10512 p J 1'277 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM �(�;µ)A[<A LIALL,EY Town . _ -r a •','.'��' ,.��.� i��..,-�.� ....,-- j...._ .. - �,.. ax Map Located at ' /1 �L) Subdivision Nom—' f1,A �tT? .{ l( /� �/ �f /� /► Subdd.. /Wtt �A /gyp /�t Renewal Revision Owner /Address r ((•� t \�it/ ►'YnKe �1c13�' c.A\I �%�T7 K - AAAUEeaA 1 6r kai Date Of Previous Approval r Building Type 1 ) 'PA • ^+mss ' ` Lot Area (l q N 4 Fill Section Only ❑ Number of Bedrooms Design Flom G /P /1)420;� P.C. H. D. Notification Required Y Separate Sewerage System to consist of � C% Gal. Septic Tank and Soo LF or:: or:: Z Lou wing To be constructed by 1C4 /� Address OLL- ' Water Supply: Public Supply From �J AI — UA)'��'� Private Supply to be drilled by ND Address F� I Other Requirements I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1)' that the separate sewage dis oral System above described will be constructed as shown on the approved amendment there, to and in accordance with the standards, rules an regulations o e u nom 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 the date 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 a ons. of the Putnam County Pep %rtment of Health. �` Date A,719 1,g2 -r (� Signed P,E. R.A. W- 4) Jfr 4f.iJ.Ci ©® lM P 6 r• ^ o At Address 4. y License No. APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is'. revocable for rouse or may be amended or modified when consi ecessary by the C miss o of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestf nitar ewag and or ivate ply only. Date By �'"�'�- Title Rev. 9 -81 is '1" VR7 1VAM �i V ViV l�� it "`L i"'t'f l' 111 "i r,i�Til "• F ..r1.C,!"f`LTi "1 .< -.;F _ _caa .. •_ .. �. DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 10) OCT. !6j0,2. Re: Property of 'ro M `VA 21--- Located a//t TALClrT' 2l.ACC s Section C9J ` Block Lot Gentlemen: <: /' This letter is 'to authorize JO.L OON 5" a duly licensed professional engineer or registered architect (IndicaT to apply for a Construction Permit for a separate sewerage system; to serve the above noted property in accordance with the standards, rules or regulations as promulgatel. by the Commissioner of the Putnam County ic:Nai tri cent of 'n'Ua.itil.1 aild to sign all riece5sary papers on my behalf in connection with this matter and to supervise the construction of said system or systems inconformity with the provisions of Article 145 or tary Code. P.E., R.A., # Very truly yo rs; X Signed 2//, ,OCR Owner of Property 1341 IJDY 2D., Moog -GAN LAS Address 1 N 1—: lV /0, 4 (Seal) Joel Green rg - Architect Mu oot North RFDF2 Box 488 Mahopac, NY 10%1 f. 1 '914 - 6-72, 9- (6613 Telephone ,X � o e %py 2 2X982 coutiv j� �yy,, ((�� PLTTNAM COUNTY DEPARTMENT OF HEALTH « ' " }E ` ' D�:s•I , ? /O\ \��n��, •��� • ._ '___ ._•..r •.i 1, _.:x� _ .i+_— • vv... nom..•,. .!L`....I..m�I:. D�...i.la.Dnwnlf a'. . /�i )l county Department' of- :'Health -: :and that .on completion thereof a "Certificate .of Construction, C mpllance" satisfactory. to -the Commissioner of Health will be submitted "to' the Department; and a wrdten guarantee will tie furnished the owner, his c scars, heirs or assigns by the buhcer,rthat Bald builder will place, in good operating'. -,condition any part of said. sewage aizposal U, in the, pert d"_ two_(2► years immediately following the date of the issu- once of the approval of: the Certificate of l onstwct�on Compliance °of the original sy ;ta o`r: ny repairs there ; 2) thsLthe;drilled; well described. above will be; located sr shown on the approved plan end ttiat,saitl welt'will be ins in actor nce a, standard ; ,utes and regu aT17ons f. the °Putnam County. Depart ment Of,,Healtti;. ; Date , igned' :P E. R.A. k Adere USC.00T. NORTH RF # ?;BX =B' MAHOPPiC NY_; Oo NO 110.56 APPROVED FO CONSTRUCTION This' approval, one year fr_ m e date "ued unless construction, of th bwlding his been undertaken and is revocable for ca, use or,may be amend or.modifietl. when considered'nece ry by.'', ,e Commissioner of Flealth. An change or alteration of construction requires a new permit.- Approved for S isposal of domestic samtar sewage ate. water supply only. Date /! �o ' '� BY. -•'Pin' Title APPENDIX B pUTNAm COUNTY DEPARTMM OF HEALTH DIVISION OF ENVIRCNMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS 12. - 7 REVIEW SHEET - CONSTRUCTION PERMIT GI k BY: (Name of Owner) (Street Location) DOCUMENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results Perc Hole Depth S/S SUBDIVISION Perc (3) Fill. cd House Plans Two sets Well pex-Mit; PWS letter Variance Request GENERAL Legal Subdivision Subdivision Approval Checked Ex-approval SSDS Adj. Lots Checked Wetland (Tcwn/DEC Permit R & D) Data On DDS Plans & PezMit Same REQUIRED DETAILS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench/Gallery;. Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes -Design Data:. perc.. and depp..results Two-Foot -C&Hf:6 Exittkng. &-7ruposed' Driveway & Slopes Cut Footing/Gutter,Curtain Drains (discharge OK) Perc & Deep Holes Located Representative of primary and expansion Expansion Area;shown;gravity flow,suff. size If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells & SSDS's Win 200 ft. of Proposed System Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1/4"/ft. 4"0; Type pipe No Bends; Max. Bends 450 w/cleanout SEPARATION DISTANCES SPECIFIED'ON PLAN Fields 101 to P.L., Driveway, Large Trees,Top of fi* 201 to Foundation Walls 1001 to Well; 2001 in D.L.O.D, 150' pits 1001 to Stream, Watercourse, lake (inc. expa 151 to Drains-Curtain, Leader, Footing 35'to catch basin, storadrain,piped watercour. 101. to Water Line (pits -20') - ' - 50' intezmittent drainage course Septic Tanks 10' from Foundation; 501 to %;--ll 15' Well to PL wo- I I P - IL 11y, I � A 10P lic'14TI0.0 BRUCE R. FOLEY . Public Health Director LORETTA MOLINARI R.N.-, M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845)278-6130 Fax (845) 278 - 7921 Nursing Servic :s (845) 278 - 6558 WIC (845) 27A - 6678 Fax (845) 278 - 6085 Early Intervention (845)278-6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Date 33 lot MGM MUMNIM04 Renewal 0 Yes No STREET 1Z �0. urc; TOWN 1 y TX MAP # -7 �4, / g — 2 NAME J S L /-a ��t l � � PHONE 5Z 6- 3�3F PCHD 0 / MAILING ADDRESS 2 7r,� r=4�� �� . y►-1 a �o pc�c ./�Y MAILING ADDRESS OF APARTMENT NUMBER OF BEDROOMIS IN MAIN HOUSE ` - " -NT 1NMER OF BEDROO MS N APARTMENT Please submit this form and the requirements on page two to the Putnam County Health Dept., 4 Geneva Rd., Brewster, NY 10509, Phone 278 -6130. Approval is effective for a three year period. The applicant must reapply at the end of each period to renew the legal status of the apartment., nn Approved Date ? G to 2 o f By Title ft OFFICE USE Comments tibl'1'J'1 IN /11 AKlll 12 :Taurat Place � .y .... .,. •-- . -. -....� .....•�..•.. - >�_. _- .�_� -...,� ..::. � - .. .'>::.. __ -" .1 - .-- _ Y ^> - -ter -, .. .- .. . . .71 `�... `. to 4 y 1 ed s t e- A) `CD �� d �AJ /3,0 olilpd -� .... . ' . Putnam County .. Division of ty D-'partment of Healti~t EnVlrO!1?YtP.ntaI Health Sen. /ice Z ?prcwed as noted fora. Pule,, ��,.��:,.,... N,t,1 �r�r' the `nam Count / 5 _ --__ —'Z "�6 _ Signature & Title . Da BLITSTEINIMAMI .12 Taurat Place rnt+w Floor -7- 4, a.,,, 7' Putnam County Department of Hes-140ri Division of.EnvironTit?rit,-ii Health Servicc d note ni,, n w;th as noed U 1 os C-i the roll a Signature & 7 W9 at COUNTY :•OF PUTNAM ' ::`'TOWN LIS ' TOWN OF PUTNAAI VALLEY # *k PROPERTY:DESCRIPTION REPORT * #+� THIS. REPORT IS FOR YOUR INFORMATION. IT SHOWS IMPORTANT HAS BEEN COLLECTED FOR YOUR PROPERTY. r , DATA:: WHICH IF THE INFORMATION IS CORRECT: KEEP THIS REPORT. IF CORRECTIONS ARE' REQUIRED 9ECAUSE OFANCOARECT.OR MISSING DATA® PLEASE .MAKE:THE APPROPRIATE CORRECTIONS & RETURN.THE- REPORT WITHIN:S DAYS OF RECEIPT. 372800 74.19 -2 -16 BLITSTEIN:ALLE.0 CHRISTINE 12 TAURAT PLAC:G MAHOPAC NY:10541. *#*##*# IF# d'##*#1 k�rkt# i# �k## �5r* �i* �44iAr# ik�iFAr* t4rkit#** iF# itl rlF## 4# s4# tlFtk # #itiF * #fk�t * * #tt *�rftsiYt: # *it ## PROPERTY'DATA ** .PROPERTY.ID•. 372300. t4e19 -2 -16 RR. PROP ERTY:LOCA.T-I,ON.: 12..TAURAV PLACE: PROPERTY ".DIMENSIONS 221.03`X 197.00 SCHOOL DISTRICT., 3720011 PLEASE VERIFY' SALE': INFORMATI)N�: IF', YOURf' PROPERTY HAS SOLD SINCE SALE.-DATE. SALE PRICE SITE NO. 01' TYPE OF ENTRY' PROPERTY TYPE 21.0 1, FAMILY` RES ZONING AVAILABLE UTILITIES EL `,ECT.RIC: 4ATER SUPPLY.' PRIVATE TYPE OF SEWER PRIVATE ** R.ES; DENCg DATA., * #* 3UILDING. STYLE ' RAISED. RANCH YEAR BUILT EXTERIOR . WALL ALUF41VINrL SQ. • FT. LIVING AREA BASEMENT :TYPE FULL.;: RIO.. BATHROOMS T..YPE,':.OF ". -HEAT . ,EL:ECTRIC: X OO' ~ BEDROOMS 4: TYP.£,,`OF FUEL-.,, .aELE,C;TR.iC'. NO. FIREPLACES D'',:' CENTRAL, AIR IMPROVEMENTS'" DIMENSIONS BUILT. QUANTITY IG4 GARp1.0` °DE.T:. 576. 1983 1 _l.S1 POOL.ST /VNYL 16 X. 32 1983 1 [F::.THE'TYPE':OF EN RX'`.'SH,;0WN A30VE:IS::AN',ESTIMATE OR, A :RE.FUSALIO Y:OU HAVE THE `OPTION OF AN AiNSPE,CT °IO,N.� TO`.- EXERCISE-.T.HIS OPTION INDICATE '•B1� :NECKING 'THE. BOX' LAS. .FLED "%N.SPECTIONl:BELOW. BE SURE TO- INDICATE A;' )AYTIME' PHONE, WE :: WILL.. CONr.'AZT:.`YOU. SE AWARE THAT THERE MAlf.BE OTHER IATa;ITEMS TRA: .`:HAVE;:`B,EEN ;COLTECTED'FOR YOUR'' PROPERTY :WHICH`ARE,NOT.' [NCLUDED ON c „THI -S.`' REPORT. ` IF CORRECTIONS HAVE BEEN MADE& PLEA.% E `SIGN lND DATE BELO,Wi. ` AND MAIL: THISk DOC;UMENT.TO THE FOLLOWING ADDRESS° COLE —LAYER .TRUM,BLE,-..CO' s' SIGNATURE 121 MAIN..f-STR:EET.: BREWSTER® NY'::1t7509 PHONE Jf _-- ®mm ® —_o ®o— [A ] INSPECTION - ...N0T. DATE NECESSARY: FOR CONDOS °---------- < ®- -- °�—— �®°��'° ®® ...,. LooVW (914) 245 Albert H. Padovani, Director ^ ' LAB #: 32.100235 CLIENT #: 13029 NON STAT `- ~~~~...~..............�...~............ . ..��~.,.�.�~°~w~~.~��.��~~~.~.~...~~ - - IL ARDI�.�JAMES'��/�-~�^`~ DATE/TIME TAKEN: ()1/15/01 10:15( ' 12 TAURAT PLACE DATE/TIME REC'D: 01/15/01 11:20f MAHOPAC, NY 10541 REPORT DATE: 01/19/01 PHONE: (845)-526-3438 SAMPLING SITE: 12 TAURAT PLACE SAMPLE TYPE..: POTABLE : MAHOPAC, NY PRESERVATIVES: NONE COL`D BY: JAMES ILARDI TEMPERATURE..: < 4C NOTES...: KIT TAP COLIFORM METH: MF ������������������������--------------- ~ ------ ~ ------------------------------- DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD 01/15/01 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATER G NOT) OF A SATISFACTORY SANITARY QUALITY ACC8RDIN� THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. UBMITTED BY: Albert H. Padlovan4-�. �Cp) Director ELAP# 10323 IRV SEVELOWITZ Bldg. Inspector JOHN MAHONEY Deputy Zoning Inspector r PUTNAM VALLEY, N.Y. (914) 526 -2377 BETTE STOCKINGER TOWN OF PUTNAM VALLEY Bldg. Dept. Clerk BUILDING, ZONING, AND SANITARY DEPARTMENT 1 z� zoo xx4o MAH03PMgC$A Cox° JOSEPH A. MANTOVI e� JOSEPH A. MANTOVI JR. Clh CE 1945.. MAHOPAC SEPTIC INC. January 23, 2001 Mr. & Mrs. Allen Blitstein 12 Taurat Place Mahopac, New York 10541 To Whom It May Concern: On December 20'', 2000 this company Mahopac Septic, Inc., cleaned a 1000 gallon precast concrete septic tank for the ` Blitstein family" at the above named address. At the time of the cleaning, the concrete tank appeared to be in good condition. If you have any further questions or concerns feel free to contact us at our office (628 -4526) and we will be happy to help you. Yours, ,,-4 �: X111,7 G' A. Mantovi, Sr., Pres. JM/pm 485 KENNICUT HILL ROAD • MAHOPAC, NEW YORK 10541 • TEL (914)628 -4526 • FAX (914)628 -1985 �: .,.,, . F RESIDENTIAL BUILDING SECTION SWIS /SBL /CO 8 BUILDING STYLE 3 MAP a 01 RANCH 07 MANSION 13 BUNGALOW y- 02 RAISED RANCH 08 OLD STYLE 14 OTHER STRUCTURE CODES 03 SPLIT LEVEL 09 COTTAGE 15 TOWN HOUSE 04 CAPE COD 10 ROW 5 t GARAGES 05 COLONIAL 11 LOG CABIN 06 CONTEMPORARY 12 DUPLEX RGI ATT 1 STORY RG2 ATT 1'h STORY STORY HEIGHT ATT 2 STORY RG4 BET I STORY _ • EXTERIOR WALL MATERIAL 01 WOOD 05 CONCRETE RG5 BET 1'h STORY 02 BRICK 06 STUCCO RG6 BET 2 STORY " 03 ALUMINUM/VINYL 07 STONE _ - -- - -• - -. -...._ -.__ ....__�_..- :_. -__. -_ __........._ + - 04 COMPOSITION 177-1-1— POOLS - ...... _. -. J LSI STEEL VINYL LS2 FIBERGLASS S1Z i< YEAR BUILT I LS3 POURED CONCRETE L$4 GUNITE LS5 ABOVE GROUND LSI 3 24S. Z Z C 5� Z4 Z4 NUMBER Of KITCHENS NUMBER OF BATHS 1_ 0 BARNS FBI 1 STORY DAIRY FB2 1'/: STORY DAIRY FB3 2 STORY DAIRY FB4 I STORY GEN FB5 1'h STORY GEN FB6 2 STORY GEN NUMBER OF BEDROOMS !� • Q_ FIREPLACE HEAT TYPE 1 NO CENTR4 2 HOT AIR 3 HOT WATER /STEAM 4 ELECTRIC F117 POLE FBS HORSE : FUEL TYPE 1 NONE 2 GAS 3 ELECTRIC 4 OIL MISCELLANEOUS ` RC1 CARPORT GH2 GREENHOUSE TC1 TENNIS COURT 5 WOOD 6 SOLAR 7 COAL -- - - -� - -- -- �' CENTRAL AIR BLANK jN9 I = YES BASEMENT TYPE 1 PIER /SLAB 2 CRAWL CANOPIES CP5 ROOF ONLY 3 PARTIAL 4 FULL BASEMENT GARAGE CAPACITY CP6 WITH SLAB CP7 SLAB /SCREEN CONDITION 1 POOR 2 FAIR 3 NORMAL 4 26 _ 4 GOOD 5 EXCELLENT SHEDS FCI MACHINE FC2 ALUMINUM ... .... -. __. ... -.. _..... -- - - - GRADE A EXCELLENT B GOOD C AVERAGE D ECONOMY E MINIMUM 1 C FC3 GALVANIZED FC4 BAKED ENAMEL .._._..._...._.. _,._._...... . GRADE ADJUSTMENT -._. _ __.�_ -_�.�_ _..._.__ 4 _.�....._ _ 1' - MOBILE HOME RM5 MOBILE HOME MHI MOBILE HOME BASEMEN? MH2 MOBILE HOME ROOF MOBILE HOME 7X12 ROOM MH7 MOBILE HOME 7X24 ROOM •" `L..." , s; � ATTACHED GARAGE CAPACITY - PORCH TYPE AREA MH8 MOBILE HOME TIP -OUT RM MH9 MOBILE HOME WOOD AOUON ^' RESIDENTIAL BUILDING AREA SECTION FIRST STORY AREA _ j ' I PORCH TYPES RP l OPEN — -.... SECOND STORY AREA RP2 COVERED RP3 SCREENED RP4 ENCLOSED i< ADDITIONAL STORY AREA RP5 UPPER OPEN RP6 UPPER COVERED ' HALF STORY AREA IMPROVEMENT SECTION RP7 UPPER SCREENED RPB UPPER ENCLOSED THREE QUARTER STORY AREA STRUC CO MC DIMENSION 1 DIMENSION 2 QUANTITY OR CD YEAR BUILT - FINISHED AREA OVER GARAGE IMPROVEMENT CODES P , 3 2 ,[} 4 .{,' �j• !� FINISHED ATTIC AREA MEASURE CODE G 4 5,7 4. 3- 1 QUANTITY 3 SQUARE FEET 2 DIMENSIONS 4 DOLLARS ,6 I y FINISHED BASEMENT AREA I L}, ' UNFINISHED HALF STORY FLOOR AREA [GRADE A EXCELLENT D ECONOMY B GOOD E MINIMUM ' UNFINISHED THREE QUARTER STORY AREA �+ C AVERAGE UNFINISHED FULL FLOOR AREA i CONDITION 1 POOR 4 GOOD SQUARE FOOT OF LIVING AREA 21 5 D' I — 2 FAIR 5 EXCELLENT 3 NORMAL -, FINISHED RECREATION ROOM AREA ,.t _ A'S - bd I LT 406 514 479 4 5 46 (1910 �7 -7 f �_ Z04 � �,I 1 A- 44-- 1000 GALLON �-O- TAN I' I A FV A Mc-- WOU12t 1� 170 1� I "V .il t, TV 16U SEWAGE DISPOSAL --SYSTEM LAYOUT 0 Drawing Title: 7 e Project: k,&kff; to I tift i T Dl \\ \\ �00LF of 2FTWIOE 5 b F LEA4ING TRENCUSs 2 U SL p'r PLACra AS 8U 1 L `r raC ALP- s I ":40,00, NORTH. w w Z 9 IN9 �1�►► SEWAGE DISPO AL SYSTEM NOTES 1. This-entire septic system .will be installed under the supervision of the architect and in accordance with the pproved plan and the rules and regulations of the County Department of Health. 2. All wo k o be inspected prior to being backfilled. 3. No trucks, machinery, building.materials nor ex- cavated earth shall be allowed in-the-sewage disposal area. Construction of the system is to be in accord- ance with these plans; any revisions thereto and the rules and regulations of the permit issueing Governmental Agency. DESIGN CRITERIA 1. 3 bedro-3-m-To—use 1,000.gallon precast concrete septic. tank required, aLv L/ 2. Soil i ZI -%0 min /in. a. Daily flow: 200-gal -lon per bedroom 200x3-600 GPD b.AZV .lf of 2' wide leaching fields required at 71.01! o.c. I � NbC j� AMer AREA MA - E P tioo L,��Z' -d' Wig - 71,W o1,�A'r ° °y 4> e w� 0 °c4 P R O F I L E e� �atNCle -Q 44 y� A � cFii` ° 9 �O ,1nc of Pk¢, &eTeR Lee . vT Sutt2o..�..c ,110# .3 ARe JOEL LAWRENCE GREENBERG Date: j5 X NN _ A R G I-�-E.G,- ,r lwn It 111AUSC0OT *ORTH RFD *2., BOX 488 lc.k -ed :By:' ::: ;...MAHOPAC , NEW YORK 10541. 19 '1:4) 18