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HomeMy WebLinkAbout3881DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.16 -1 -1 BOX 30 from Ly'L ■- ,VL all i 1 Mar. 08 04 12:07p BUILDING DEPT e ti 9145268806 MAR -8-2004 11:17 FROM:PUTtJAM'9 COMITY DEPART 845 -27B -7921 70:95268806 DIVISION OF ENVIRONMENTAL HEALTH SERVICES 110 0scawana Lake Road OMCLAL USR ONLY SITE LOCATION_ py,tnam Va11 PTS- N_Y 10 U TM# R1 _ i t; -1 -1 OWNER'S NAME a Doreen & Leonard A. Piacenta PHONE 84S-S98-1315 MAILING ADDRESS 110 Qscawal3a L ke gnad,...put-nam V_T_7 Le*, N v 05ig PERSON INTERVIEWED PCEID Complaint # 3 / 8 / 0 4 ame arsons �p i,e., a t, crc. DATE TYPE FACII, Y R P a i d Pn t i a 1 PROPOSER INSTALLER to be determined PHONE ADDRESS REGISTRATION# p.2 P:2 /2 Pr42cbW (include skehb locatin all adjtecentwelb)r NOTE: Repair must be in smne location and of same type as original sewage disposal system .Different location may require submittal of proposal from licensed professional engineer or registered architect. agree to the conditions stated on this form. 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Strect Name, Town and Tax Map aumber. e. Location of installed components tied to two fixed points (e.g.,house corners). d, System description (e g.,1250 gal. Concrete septic tank, throe precast G diem. X 6 deep e. Installers' name and number. 3. System repair to be performed in accor&ace with the above proposal, and conditions. Proposal approved Inspector's Signaun & Title 7DAX COPIES: whine (PCHD). Yellow (Town alp. Pick (apph=wt) PC -RP 99ML ID Mar-P8 04 12:07p BUILDING DEPT 9145268806 p.1 - TM # 83.16 -1 -1 (845)526 -2377 (WORK) (845)526- 8806(FAX) FACSIMILE TRANSMITTAL SHEET TO: FRO M BILL HEDGES DOREEN C. PIACENTE COMPANY: DATE: PUTNAM COUNTY HEALTH 3/8/04 DEPT. FAX NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: 278 -7921 2 PHONE NUMBER: SENDFR'S REFERENCE NUMBER: 278 -6130 EXT. 2168 RE: YOUR RF.FURENCE NUhMBE1L• SEPTIC REPAIR ❑ URGENT X FOR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE NOTES /COMMENTS: DEAR DILL: THANKS FOR YOUR HELP. ATTACHED PLEASE FIND THE PROPOSAL FOR THE SEPTIC TANK REPLACEMENT. I HAVE PLACED A FEW CALLS TO H. GRAGERT AND ROGER HEADY. THEY 'SWILL CONTACT ME. IF ANYTHING FURTHER IS REQUIRED, I WUL ADVISE. HOPE AIL IS WELT. I THANKS AGAIN. 110 OSCAWANA LAKE. ROAD PUTNAM VALLEY. N.Y. 10579 (845) 528 -1315 (HOME) Mar 18 04 11:08a BUILDING DEPT' `` 9146268806 p.3 Ilk - jc� Fe r ppi N&& LC IE L Q 15.6,, L3 1 'Mar 18 04 11:08a BUILDING DEPT 9145268806 p•2 T. Jlft M, 14- L6;1 0 RPPROURLS: QJ�e�9�:�?�r• < septic tanks meet the Wowing standards: (SA- Canadian Standards Association 666 - M -90 slate approvals: 91 ON, VT, 11, NN, Mr 11Y, VA, PA. Pemkng further approvals LI�HI: 2711A?_V weighs 10 to Is times less than a concrete septic tank with the some capadty, so there Is no need for expensive heavy equipment to transport it and sr: alloii-5 ire I11AI'lel id 6 iuL1 cC:fi!' V. . :Cl expensive equipment. WATERTUT: The rotational molding process used for r_�79,�:'•': agows the tank to be mode in one piece (monolithic). The absence of joints makes it watertight. RuGCED: �s PA-,o is mode from top quality resin which is resistant to uhmviolet rays. ft can withstand a load of wart snow up to 46 ".deep plus 79 "of soil cover....- VNAffUM BY (HIMI(AL PROOV(TS: ff13 IX,,s k made from polyethylene, a resin which can withstand a wide range of chemical products such as ands, alkalies, backwoshwater from softeners, the gases given off by anaerobic digestion, etc. This feature gives (Qp��t :.... tanks a dear advontage over concrete or steel tanks. E(ONOMI(AL An ffffad3n "-"Y tank is economical for the following reasons: Quick site delivery -no need to wait iur L, special truck. Easy to install and level. 0 Gaaraateed for 25 years - fie quality /price ratio greatly exceeds that for steel or concrete. An 2,7rgtgo! T' tank ran easily be converted into a holding tank (sealed) or used as on underground pump chamber. Rf(OmmENDRTfONS: w All septic systems must be emptied (pumped every 2 to S years according to the (oral standards]. •2• Never drive a vehicle over the septic tank or the septic -tank disposal system. ?• -,Pumping should always be dine from both 20" manholes. 4• Never remove or compact snow in winter as it serves as an insulating cover. SRfE: fmPORTANT: The two 10" accesses are solely fastened to the tank, as We suggest that you obtain and consult a ropy of the local well, inside the two covers there is an 8" screwed . regulations for on site eisposal systems before installing inspection port for pumping. your polyethylene 20-21A D " . tank. 11 21111 1!11 r i y) . rtR F M,7- NOR Mar 1�8 04 11:08a BUILDING DEPT 9145268806 p.1 DORE.E.NN C. P,IA.CENTE _... - .t -.. .. �.. •. �� .� _�. � ._.. .,� ..,t+ • ... Y. ....c.- .�ta,pG q� T^1C. _�•4.,,. a - ,� .. • ... mow_ . -.. ♦ M.... �.. .. V• gran .w-`I�- �....,,d ^.'4:.: FACSIMILE TRANSMI'1 "17AL SHEET TO: FROM: BILL HEDGES DOREEN PIACENTE COMPANY: DATE: PUTNAM COUNTY HEALTH 3/18/04 DEPT FAX'NUMBRR: - TOTAL NO. OF PACES INO.UDING COVER: 278 -7921 3 PNONE.NUMBER: SENDER'S REFERENCE NUMBER RR YOUR REFERENCE NUMBER TVi #83.16 -1 -1 ❑ URGENT X COR REVIEW ❑ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE. RECYCLE NOTES /COMMENTS: RE: 110 OSCAWANA LAKE ROAD BILL.• THIS IS THE SKETCH OF THE TANKS THAT WERE INSTALLED IN PLACE OF THE SEPTIC TANK UNDER PCHD #3044 AT MY RF TDFNCE. HOWARD r..:_....._ . __ ._...� .":;GRAGERT WAS- :UNABLa._TO REPLACE TAN ,_iN.._SAtvIF .SPCiT (TJNDER. DELI AND HTI' ROCK LEDGE RIGHT NEXT TO THE EXISTING TANK (IIIAT°S PUTNAM VALLEY), SO THE NEW TANK (1,000. GALLONS) WAS INSI'ALLF.D TO THE LEFT OF MY HOUSE, IF YOU MAVE ANY QUESTIONS, CALL ME (845) 526 -2377. THANKS AGAIN FOR ALL YOUR HELP. DOREEN U 110 OSCAWANA"LAKE ROAD PUTNAM VALLEY, N.Y. 10519 SITE LOCATION_ OWNER'S NAME PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES OFFICIAL USE ONLY 4, 30--cv MAILING ADDRESS Silyki PERSON INTERVIEWED_ bo fe,&, C _ P& e j n ii _ o � 1 f ' PCHD Complaint # DATE nsiup ki.e., owner, tenant, etc. TYPE FACILITY %e S. PROPOSED INSTALLER ADDRESS -t- V. N PHONE Salt-.-25 - REGISTRATION# Proposal (include sketch locating all adjacent �vells)e NOTE: Repair must be in same location and of same type as original sewage disposal system .Different location may require submittal of proposal from licensed professional engineer or registered architect. 1 /- "O;2 I as,owner, "'reported -age owner agree io the con`ditioris stated op t us form.- c� SIGNATURE TITLE J�!T'7I DATE / 7 A-41 Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved � G Inspector's Signature & Title ATE COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99NE