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83.16 -1 -1
BOX 30
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Mar. 08 04 12:07p BUILDING DEPT
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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
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'Mar 18 04 11:08a BUILDING DEPT 9145268806 p•2
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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