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Home My WebLink About3757DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING& MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.19 -2 -21 BOX 29 =1 191 19 ,. 1 Ll' M '. F E r , oo as � #1. , r , f L � L ,J 71 zF ,� kP i 03757 P AM COUNTY DEPARTMENT OF HEALTH DiJisPoie? ofEnvironmenis/ H®slih Servic�ss, Carm% N. Y. 10512`, Fermat PV 25 -82 };x CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Val 1 P� Town or village - •-- •...,.,.,ra..- .. --•;.. ._, .. .-. ,....� -. :'. ,.•Ae -+. -- .;.-:- - vx.' -. :. --�.^ _. � c.sa.�... a..._ _ .. , e. -��e: Located at Off °Woad- '8'ti'ae e t " Tax MaP 6 5 "Block `7 Owner George Piazza i Formerly Tax Map Lot # 24.3 Subd. Lot s 3 Separate Sewerage System built flblyn Nnt-thri r1(iP_ SPs ti r- Tank Address Route 1180 Baldwin Place 5 Consisting of 1.000 Gal. Septic Tank and 481 L of 1 eadi_nq trenc -hPG Other requirements _ Water Supply: Public Supply From XX Private Supply Drilled By P. F. Beal and Sons Address Brewster NY 10509 Building Type One family re:ddence No, of Bedroom$ 3 Date Permit Issued 7116/82 Has Erosion Control Been Completed? I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies of which are attached), and in accordance with the standards, rules and regulations, in accoaance with the fi d plan, and the permit issued by the Putnam County Department Of Health. r Date 1/25/83 _ Certified by b/Jfoel G eenberg _ I P.E. R.Afu• AddressMu coot North 'Box 488 License No: 11056 Mahopac NY 0541 Any person occupying premises served by the above s stem(4 shall promptly take . such action as may be necessary to secure the correction of any unsanitary conditions resulting from, such usage. Approval of the separate sewerage system shall become null and void as soon as a public unitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Commissioner of Health, such rev ti n, modification or change Is necesury. Ce < Date �� x7- 0 _ BY 0 Title S Rev. 9 -81 JOEL LAWRENCE GREENBERG Architect a Town Planner Muscoot North o RFD #2, Box 488 MAHOPAC.- NEW YORK 10541 -:(914) 526-3740 n* Thaifti I a ey, KY. TO Mr. Robert Tutoni Putnam County Dept. of Health Carmel-, NY 10512 LIEUTEIM MF MUMMUL DATE JOB NO: 171 T RE: As built Georqe Piazza Off Wood Street TM 6S-1-24.3 — WE ARE SENDING YOU M) Aftached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Copy of letter X[9 Prints ❑ Plans ❑ Change order ❑ ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION THESE ARE TRANSMIITED"6s' checked 'be]6w-.'-_- XX For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return -corrected prints ❑ For review and comment ❑ ❑ FOR BIDS. DUE 19-0 PRINTS RETURNED AFTER LOAN TO US REMARKS Enclosed please find the above for issuance of the Certificate of Compliance.-- COPY AN 2? 'PUTNAM COUNTY Dropl: nc eirm Very truly yours, SIGNED: If enclosures are not as noted, kindly notify us at once. T _o1 `_Putnam 'Vairey . � T Owner or Purchaser o Building Municipality ' George Piazza ,, Building ConstructE by Off World Street Location - Street TM 65 -1 -24.3 Section Block One Family'Residence- Building Type Lot 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, his succes- sors, heirs or assiE,-ns, 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 de- termination of the Director of the Division of Environmental Health Ser- vices- 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 syst m. Dated this 25 day of January 19 8 Signature C E ztle If corporation, give name JAN 27 1081 and address) - - - - - - - - - [rjT1,sr"�E �C4 _Y - - - - - - - - - - - - - - - - ®EPT. OF HEALTH THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIREI) TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health WELL COMPLETION REPORT 3/71 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW, YORK This report is to be completed by well driller and submitted to County Health Department together with laboratory report of ana! ��s of Water � . !ar I r ' . ca _.- ;�rpP� .- '€�dLattng water_ 1$;of- �tisfactor bacterlalr ualify befn�e cerfificate of- rinsttuctiori com liance'is Issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME ADDRESSC(, cc� Q1/aq �. IkAL S Lf , o. Street) (Lot Number) t �. (� .9. — 'L e LOCAYION OF WELL PROPOSED USE OF WELL DOMESTIC ESTABLISHMENT ❑ FARM TEST WELL ❑ OTHER SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ (Specify) DRILLING EQUIPMENT EQUIPMENT ❑ COMPRESSED CABLE OTHER ROTARY L7 AIR PERCUSSION PERCUSSION (Specify) CASING DETAILS LENGTH (feet) DIAMETER (inches) WEIGHT PER FOOT 1W THREADED El WELDED R E O YES ❑ NO AC S F�Ij 7 YES L J NO YIELD TEST ❑ BAILED HOURS G.P.M. PUMPED I.::J COMPRESSED AIR 8- YIELD (G.P.M.) WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) DURING YIELD TEST (feet) Depth of Completed Well in feet below Land surfacer SCREEN MAKE LENGTH OPE QUIFER (feet)' DETAILS SLOT SIZE. DIAMETER (Inches) IF GRAVEL PACKED: Diameter of well including gravel pack (Inches): GRAVEL SIZE (Inches) FROM (feet) I TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET r JAN 2 7 1993 PUT 11JAIA COUNTY ®EPT, OF HEALTH f, Q clAy owerburden: 16d 43a le fte If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED DAT OF. REPORT WELL DRILLER (Signature) / - �L/ YORKTOWN MEDICAL LABORATORY INC. _f, !.P.O. Box 99 321 Kear Street LocArloNS: XX 321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245.3203 Yorktown Heights, N.Y. 105913 ❑ 201 BUTTONWOOD AVE., PEEKSKILL. N.Y. 10566 737.8777 245-3203 ❑ 495 MAIN ST., MT. KISCO, N.Y. 10549 666 -3335 _. ._. - V.E TAU CARMEt N 1 278.9 - STOS,�:ELEt><!i.A NEAR•H .- _ LAB # 0136 DATE TAKEN ' 30 f- DATE RECEIVED: DATE REPORTED: GEORGE PIAZZA SAMPLE SOURCE: _j' ITCHENTAP SCOTT ROAD OD ST- M_ MA NGRA r, y REFERRED BY: L MAHOPAC , NY 10541 -J LABORATORY REPORT mg /L COLLECTED BY :MR . PIAZZA ❑ ACIDITY ............................ ............................... ❑ ALUMINUM ................................ ............................... ❑ ALKALINITY ....................... ............................... C3 ANTIMONY ................................ ............................... BACTERIA, TOTAL /mL ............. ........................ ❑ ARSENIC .................................... ............................... • BOO, 5 DAY ........................................................... ❑ BARIUM ....................................... ............................... • BROMIDE ........................................................... ❑ BERYLLIUM ................................. ............................... • CARBON DIOXIDE, FREE ........................................ ❑ BISMUTH ..................................... ............................... ❑ CHLORIDE ............................................................. ❑ BORON .......................... .......... ............................... • CHLORINE ........................... ............................... ❑ CADMIUM .................................... ............................... • COD ...................................... ............................... ❑ CALCIUM .................................... ............................... • COLOR ................................ ............................... ❑ CHROMIUM (tot.) ............................ ............................... ❑ CYANIDE ............................ ............................... ❑ CHROMIUM (hexavalent) .................... ............................... ❑ DETERGENT, ANIONIC ............ ............................... ❑ COBALT ................................... ............................. ❑ FLUORIDE ............................ ............................... ❑ COPPER .................................... ............................... ❑ HARDNESS ......:..................... ............................... ❑ GOLD ........................................ ............................... ❑ MPN COLIFORM COUNT/ 100 ml ............................... //11 ❑ IRON ........................................ ............................... ,YMFT COLIFORM COUNT/ 100 ml 4/' ........................ O LEAD .............................. ............................... ...... ❑ CONFIRMATORY TEST ............ ............................... ❑ LITHIUM .................................... .............:................. ❑ NITROGEN, AMMONIA ............ ............................... ❑ MAGNESIUM ................................ ............................... ❑ NITROG�N;•KJ' LDAHL ❑MANGANESE ....................... ............... ....... ... ..... • NITROGEN, NITRATE ............ ............................... ❑ MERCURY .......... ....................................................... • NITROGEN, ORGANIC ............ ............................... ❑.NICKEL ........................................ ............................... - .. ❑ ODOR ................................ ............................... ❑ PALLADIUM ................................ ............................... ❑ OIL & GREASE ........................ ............................... ❑ POTASSIUM ................................ ............................... ❑ PH .................................... ............................... ❑ RHODIUM .................................... ............................... ❑ PHENOL ... :............ : ...... ❑ SELENIUM ......... ............................... .................................... ............................... ❑ PHOSPHATE (ortho) ................ ............................... ❑ SILICON .................................... ............................... ❑ PHOSPHATE (condensed) ............ ............................... ❑ SILVER ........................................ ............................... ❑ PHOSPHATE (total) ................ ............................... ❑ SODIUM ........................................ ............................... ❑ SOLIDS, SETTLEA8LE,. ml/ L .. ................�.............. ❑ TIN ............................................ ............................... ❑ SOLIDS, SUSPENDED ........... ... ;'.. ❑ ZINC ............................................ ............................... Q. SOLIDS, DISSOLVED ....................... .j=: ❑ .................................................... ............................... ❑ SOLIDS, TOTAL ..................................................... r/� . ❑ .......................... a ....................... ........................... y... ❑ SOLIDS. VOLATILE ..................... �lliflt..r6l..�Q... ❑ REMARKS:..................................... ............................... • SPECIFIC CONDUCTANCE ........ ............................... ❑ .................. ............................... ............................... ❑ SULFATE PUT - A>�Ji'..�` {�L ❑ ................. ............................... �•'�.f� .......................4.... N..... TY • SULFIDE ........................... DEPTT' "OF- ❑ .................................................... ............................... ❑ SULFITE .................... .........................��... ❑ ................................................. :................................. ❑ SURFACTANTS .................... :.................................. ❑ .................................................... ............................... ❑ TURBIDITY ......................... ............................... ❑ .................................................... ............................... THESE RESULTS INDICATE THAT THE WATER WAS OF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED' THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEMICAL QUALITY OF NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS, DRINKING WATER STANDARDS (PART 72). ALBERT H. PADOVANI M, T , (ASCP) , DIRECTOR :' ��/ 7, 2 H 40 CORISTRUCTION PERI►�IT :F,OR SEU11�0GE DISPOSAL SYS.TERA µ ; £ , M x x Q.— LGCatc* 4 77-77 Owner /Address e.G- -T. Building Type • 4-Fill iSect on Only ❑ t�P--C ii. -d - -7- 1 cation �Uj6i!�L Number -T r"A 7 dr, aqe-t-it� -consist Separate "'S System: ' To be co'nst ucted W 'Ail Water -SUpply. OM. 31 SAW V it Other. :R6clilire'riierits V 'I rip-resent that IAa 'r 3" 61 I�. irid `idiploj�l- 1 -tii�esign a hd- I dciti6n of ebjj� at-t he r ks a bove deSq49 ponstru Lqordqnct 4ih "tKe standards rules regu l!! j Department County ,� ' -..a `�fC Wit 04cabe"ofi.,to nsthict l6n iirc 31�.Iafliii6is lonjer Q eilt- be 'submitted toytlie:Department;:and a. written ;guarantee: ijbi;,iUiKriik ij J� ass! _s the U. L i " , AM C ,b u 7. � 55 d " w " . . .. .. W , -ii ,61, cd'of ry6ar iatei ;Ahe4ato a W" 3 h Issu ;ante of fherapproval of the Certitiicate�of ;.Construet�on7t:ompliance of rQh& etc, 2) that f 6; drilled well d eSCj bov w111 be locatedLLassnoyvn on the approved plan and that said well IW6611iiii1lod ln i&oida4ii wiiviiW'siah- rc1,:ru!eA and 'reg a I f j Putnam. County Department of Health � Data 41 K ~AdCiess 16D License -N APPROVED FOf2 ;CONSTRUCTION T his:approval expires one year f on t issued n I s r een n aorta d I evocable for cause or 4iiiiiiii6W 61"�c6nstruction.. ',tii-Sine6dia -6r,; Wfieh-66nildired` m6difled n r pile t requires, a new :pqrvnit.-, Approved for disposal of domestic am rysewag .an per wpply only: `. _ 7-� Re ti v.• 9- 81 • � 4.5 1 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH., SERVICES - .T . l Date Re: Property of Ca r--v ecaS ? A Z Z A Located at //nl� \V[�tai7iP- Sec Section. X 4 45 Block I Lot f Gentlemen: This letter is to authorize Q F_-L 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 UwlilCl: L.iw, w.L Irl Lit-Lb Ma L per and . to. supervise the construe ciun• oz said system or systems in conformity with the provisions of Article -145 or 147, Eduoation Law, the Public Health Law, and. the Putnam County Sani- tary Code. NDeq AC'S, /� G o � Very truly ours j Ir Sidbled. S. ....' -Ownerl of Prope r Countersi n d: �` °• oT,0 `'6� �, tie) k �(a pig: °F NEB Address P .E ., R.A ., # 62- o7 ?T Telephone Address -Joel Greenberg = MchTteef M T' North R IUD 92 Box 488 Mahopac, NY 10541 (02� -�6 Telephone AU6 18 1982 ply t -iJ 1. 1� UPT. OF HEALTH 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. Owner Address SX 5:s-17 , M44 -'_Q AC =,: /VV, P Located at (Street OF✓= W00 7 • Sec. Block 0 Lot car cross s ree Municipality .... .C.cJ bq �'�WatershedN ; SOIL PERCOLATION rUEST DATA REgUIRED TO BE SUBMITTED WITH,APPLICATIONS :,Role, Plumber CLOCK ..TIME PERCOLATION . PERCOLATION Elapse DeptFi to Water Water ve Time From. Ground Surface . in Inches Soil Rate Start-Stop Min„ Start Stop Drop'in Min. /in drop Inches Inches Inches 2..._,1.2•.4°7.. 1 % � :/� � � l ' J _.S, 3' AU G I R 1992 DEPT. OF HEALTH Notes: 1) Tdsts to b,e repeated at same depth until approximately equal soil rates are ob- 64ined at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. & CV 3 /to( ) 0 IaQL.. p�caasT TA N k 0) :FA N ILY _ d '-as I PD., 4$c F q5 PSr�t�T I ZOP 260 4a° s 3 32" 4" 4, 39° 470 t A! om ° goo ` - W ° isjv� Z& l L7 a i Z j�ALE : ! ".40,00' A IOA �d 6AL