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HomeMy WebLinkAbout4019DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.65 -1 -59 & 83.65 -1 -62 BOX 31 ME ., , !71 ' '�' rim , `� ■, r L e J • r'. low ' . rm lira `� , e • - -r-- 1 • PUTNAM •,COUNTY DEPARTMENT OF "H ALTH - E .Division of Environmental Health Sewices Carmel N Y J0512 1 FRTIFIC/ TF_. OF C.ONSTR.tiCTION X.OMPL,IANCE FAR ��Wl4C�F �;,ISF ^S4L' S 'ST�!9% Tvts pp BlockW � n or Vllla v , 6.:_ /LC ® .: `y Lot, • ,Separate_. Sewerage System, built by ' Address ura� �- h O iineaF Feet.X width trench Consisting, of ®�. Gal. SePtic.Tank / � - � Othei. r ' 6iments. A mac. -*Al tta � ;. Water Supply Public Supply -From "Privafe Supply D �Iled By 8 Address i Building Type / No of Bedrooms 'Date ;Permit Issued Has Erosion Control'Been COmpieted? r{`i f' certify, that the'systeni(s) as listed serving the above p c'onstr fly as shown.on the pia of the completed work, (copies'of :which are attachedj, and Iii accordance with'the standards rul n d the ` permi4 -i ued 'b the Putnam County, Department of Health. j Date I� -7``� o` ✓ P.E. RA. I 4 Address Licens .No y% person occupying, premises served by the,atiove.s a <$Ma Lpro e_ ch,action•as mey be necessary to secure the correction of any unsanitary ' •. roval of t frly✓ shall.6ecome null 'and void as soon as a conditions resulting from such `usage, App., public sanitary sewer becomes, ,available and the approval of, the ,private water supply''sh o n d when .a,.pu is w ei supply becomes available. Such approvals are ^subject to modification, or change when, in the:judgmentY�ner.'of Health,Health ch rev cation lfication= or:change.is necessary,,,. 1 Z�Date BY Tit r, e, J •: L PEEKSKILL MEDICAL. LABORATORY 1879 Crompond Rd. Barclay Plaza Bldg. A, Apt. 1 Peek lull,- New York 10566 _ _ ) PE -7-8777.- - t'.-, . i. ,V f -.. tl . ... � w �../':�'Ha A � .n.. .in ... 4 •'il G �W�I DATE COLLECTED RESULTS OF EXAMINAT60N OF WATER OWNER DATE RECEIVED �.�iA -0 2- 7V 'CITY, VILLAGE, TOjOWN. & /OR NJAAME: OF SSU,PPyLY � v DATE REPORTED l/ 111-1Z BACTPERIA PER ML. (Agar plate count at 350C). COLIF %RM GRO P (Most probable N6. /100ml.) R N S, TOTAL - ppm DETERGENTS-ppm NITRATES (as N) - ppm IRON, TOTAL - ppm FLOURIDE (F) - mg. /1. These results indicate that the water was IMS of a satisfactory sanitary quality when the sample was collect aVE'i,L 17 ILLS;: S LOG AND PS—'y!J � i•- egor rlace city, village or,(/own Owner P.O. Address _ s � Depth of we Le, i iameter 6 as well aisinfecteU? ``TTQQ� c ft. in. gpm yeisror no Amt. of casing above ground If Below ;:round Z., �Icll seal ' in ft packer, cement, grout ' r .draw a ,: ;11 diagram in the space 4 i g p provided below and show '::he depth of ; :c sing, the w::ll s,al, kind and thickness of forma; U.,:ner. or lUrcllase).� of building Mu>>icipal.:i ty < - - - � - _- _ - - - - -,. - -.:'7 . ,:: .: �'•. a .. �: � • ,''�F'. ..- jam:''' «. •.: ]suilcli�,b Con:�tructed f,y .�.�,c�i�i �;�x /ice • ° ° L 6 Location - Street 0 a ... S 1U�d..1{ 1 ✓ #� ' Building Type - Block Lot a .t GUARANTY OF SEPARATE SEWAGE SYSTEM 1 ; I represent that I am wholly and completely responsible for. the lccation, oorkmanship, material, construction and.drainage of the sec -.age disposal syst=em Serving the above described property, and that it has been 'constructed as sho4n on L-he approved plan or approved amendment thereto, and in accordance with the standards. .ules and regulations of the Putnam County Department of Health, and hereby guaranty to the owner, his successors, heirs or assigns, to place in good operating condition my part of said system constructed by me tahich fails to operate for a period of tc'ro tears immediately following the date of initial use of the sewage disposal system, or iny.repairs made by me to such system, except where the failure to operate properly _ n ��_ r .l t •� mil... i.!1 t Lti LiiUbLCi •LV clie willful ui, 11e1�11,JE 111 acL c, the Ul \ Lij.uilc Vi �tii uiai�...��� ►+� : y..�. b The undersigned further agrees to accept as conclusive the determination ►f the Director of the Division of Environmental Health Services of the Putnam County = ) epartment of. Health ;as to whether or nUt the,,failure:.of the system -_to _ operate was ., !aused by the' caillful or negligent act of the occupant of the building' utilizirCD the ;ystem< C7' )at 'd his j day of 19 Signature , . 77�- �` �i� .%pf•� �. s��f /tr Title 1L.) we-4-- (if corporation, give name and address -.'; -:._"� e ------------------ .,_ d..'_...�°°:.�_,. --------- ---___ VREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS' BErORE CERTIFICATE IF COMPLETION' WILL BE ISSUED° .' UAR NITOR IS RF.OUIPTM TO. FILE NOTICE OF DATE OF TIRST USE OF -SYSTELM. ----------------------------------- ;------------------------------------------------ li.vision of Environmental Health Services, Putnam. County Department of Health S Water Supply Publ,c;:Supply. From Private !supply '-to be d lied by.- ::, t Address uT UM 'Other Requirements / p� ;i, represent that l ^am wholly and-compleite-ly resporiMble. "above described will be.constructetl a-s shown oh'. the app Countyc ;.'Department':of._Health .'and that on completi be submitted to :the.`Oepartment; and, a 'written :_gu` ft* place in good operating condition any ;part of said w e ante of the approval; of. the Certificate ,of ,Construe 2 wiI l be ;located as -shown on the approved'.planand that id;_ County'Department of. Health , i 97L a Address �i b - AP.PROVED,FOR 'CONSTRUCTION , Tl Ii approval expires i ` `revocable for cause, or'_•inay be amended or modified when cor requires, a -new .permit. Approved'for disposal.:of domestic 'Date h the proposed system(s), 1) that the separate sewage disposal system ie accordance•,with the.standards, rules an , regu a ons o e u nam ruction Compliance "' saf�sfactory<to. the. Commissioner of Healthwill ' he'- , -,his successors, .heirs or assigns by th'e; builder`, that said builder will uri period of two (2)'years lmmediately''•following thedate of the issu- I rig' ;al` stem or any repairs- thereto; 2)tthat the drilled well described above in• ante wifw.the sta Ards, rules and regua�ons of the. Putnam i l ".' P.E. License No: ' ie d te;rssu unless construction of ,the building has• been..undertaken and"Is __ Y . by• the Commissioner of Health, Any 'change or alteration of construction e and /or private water supply only Tide' f,— /', a PUTNAM COUNTY DEPARTMENT: OF HEALTH Division of Enviroifinenta/ Health Services,. Carmel ,N Y. rt 10512 `DISPOSAL ;CONSTRUCTION PERMIT FOR SEWAGE SYSTEM �u ��?AN�'- �--Wy r ,r (1"" Town or : V it l$ r `ilbedte`3i':dt t::a~nt.�e•�L?•�'er� .V a. �zau -^�- � 43 U4. LA F ee:e;s�LL �cf _y�ry J�CT /OI✓ ` �t'i� �.r1 Loo 7 Job :'subtlivlsion . �l �,�. EO'` ' , ' �, +.±� y A:v 1gl irre cA,MS Owner•�� sBuild,ng "Type j address 4 Lot Area � ? '0'l� Feet Number .of� Bedrooms% "Sewerage `� Total Habitable Space a Square' feet'X 'width trench Separate r5ystem to cotl5ist of'' .Gal Septic Tank lineal To' be constructed by. - Z. --- --. , S Water Supply Publ,c;:Supply. From Private !supply '-to be d lied by.- ::, t Address uT UM 'Other Requirements / p� ;i, represent that l ^am wholly and-compleite-ly resporiMble. "above described will be.constructetl a-s shown oh'. the app Countyc ;.'Department':of._Health .'and that on completi be submitted to :the.`Oepartment; and, a 'written :_gu` ft* place in good operating condition any ;part of said w e ante of the approval; of. the Certificate ,of ,Construe 2 wiI l be ;located as -shown on the approved'.planand that id;_ County'Department of. Health , i 97L a Address �i b - AP.PROVED,FOR 'CONSTRUCTION , Tl Ii approval expires i ` `revocable for cause, or'_•inay be amended or modified when cor requires, a -new .permit. Approved'for disposal.:of domestic 'Date h the proposed system(s), 1) that the separate sewage disposal system ie accordance•,with the.standards, rules an , regu a ons o e u nam ruction Compliance "' saf�sfactory<to. the. Commissioner of Healthwill ' he'- , -,his successors, .heirs or assigns by th'e; builder`, that said builder will uri period of two (2)'years lmmediately''•following thedate of the issu- I rig' ;al` stem or any repairs- thereto; 2)tthat the drilled well described above in• ante wifw.the sta Ards, rules and regua�ons of the. Putnam i l ".' P.E. License No: ' ie d te;rssu unless construction of ,the building has• been..undertaken and"Is __ Y . by• the Commissioner of Health, Any 'change or alteration of construction e and /or private water supply only Tide' f,— /', ! PUTNAM COUNTY DEPARTMENT OF HEALTH HK T _... FT .. l'I� h-LT- V1yi�,.i�iylAL". Re: Property of Date Loc ed. at ZAm e vY„Yr� ✓��� %G�' F Block Lot_ Gentlemen: STANLEY Da. WDER This letter is to authorize a duly licensed professional engineer or registered 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 T " .�.1. F Tt. -... 1 t �,., d .L- .. '• l 1- .� .. r. ear r. r.'i— O� r n min mtr �� 1 i LG�1CL1 1�111G11lr V 1 11GCL1 V h, anu V V g lgll a1 L 11G V Ci J JO l ,y ps pV _ J an ,j j b cna11 . L T'i connection with this matter and to supervise..the construction of said. s, stem.. or s- stems . i -n conformist with the rov3,81ons -. of Article. .145,--or 1475 Education Law, the Public'Health Law, and the Putnam County Sani tart' Code -4 7�/ . Count signed : P.E., ., # 27 STANLEY' I. SANDER Very truly yours, Signed_ /KO.7� 'I Owner of Property � �'V Address 2 7 S .245-2645 Telephone a HERS.H & HERSH, P. C. a•.. ATTORNEYS AND.- COUNSELLORS AT LAW __..._._.. .�_.�..7 °J::;r.�... _ .- .u'.'•w- :�a:�r.:cs ".. .:..r.^":.. -.. _,o. v .. n.',.._�:. ":�.' :- ..- .i::..:_�.:..�: :...�: •v, -. - .:.«;e� ::7ti.:r.:c•� ::,:� ..._. _. .� •::i:r'.:..a «. PARK CIRCLE BUILDING 2 SOUTH DIVISION STREET PEEKSKILL. NEW YORK 10566 19141 737.0270 BENJAMIN B. HERSH ERIC H. HERSH I August 7, 1984 County of Putnam Health Department Gleneida Avenue Carmel, New York 10512 re: Fodelmesi with Wyatt Gentlemen: ROBERT HERSH Please be advised that this office represented Mr. & Mrs. Fodelmesi formerly of 254 Tanglewylde Road, Lake Peekskill, New York in conjunction with the sale of property located at that address to Mr. & Mrs. Bradley Wyatt. The closing took place on June 28, 1984. An escrow situation arose as a result of questions.regarding the installation of a septic tank to the premises, which the Fodelmesi's complied with and received a Certificate of Occupancy from the Town of Putnam Valley Building, Zoning and Sanitary Department (Marvin Odell). On July 3, 1984, a Building Permit was issued by Mr. Odell and was followed up with a July 7, 1984 Certificate of Occupancy. The purchasers have now requested that we get clearance from the County Health Department. We would appreciate your seeing that an inspector is sent. directly to the premises at your earliest convenience so that we may have an inspection —and :a repor h ereof - e premises as I indicate are located at 254-.Tanglewylde'Road,'Lake Peekskill, New York, and are also known for identification purposes on the Tax Map of the Town of Putnam Valley as �TMJ8 1 =4 The money held in escrow is very desperately needed by the Fodelmesis' to close on their new home and.we/ oou d,[appreciate your prompt response to this matter. / / EH :AS Very t HERSH ERIC H. HERSH PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH* S2RVIC'- s, ._ '. COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET-SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. /'J Owner F� �►'J /C.G,EO Address 7.1 I#e A 4C-Y 4er 6t/ /r- Located at ( Street 4ndicate RW LC-GJY'L� 2D Sec. 460 Block O2, Lot o:5 f 04— nearest cross street) Municipality '?U -rtJAjA q&LLeJ . Watershed ?&&K51eIL - "obj _tBP-DoE. SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to a er Water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches ZZ- 8 job - - 73 3 73 4 3 % 4 5 2 3 4 Notes: 1) TeAts to be repeated at same depth until approximatelyy equal soil rates are obtained at each percolation test hole. All data to be submitted for, �':'2) Depth measurements to be made from top of hole. i TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION _ T T P, F Is 0 1 DEPTH HOLE NO.- HOLE NO. 11� HOLE NO. D C-P ICE:, G.L. �� 611 1/ t'' / Qp d d� 12" 5AA,1d-`%�4egr of di y ,".57ayE 'dr9.uy /,c�/!c°to�l�,g��nr€ �TD�✓��i9M0 %�ACF �d,9y smw 57,omc- . W. fi r+ �+ 18 24" " di if I 3011 `, 3611 if 42" 48 If x 54 � 5 3.;_i 7,r i.l� irLa.f flci �DG'C- 1 66" 72 c fa 811 7-`� - -.. 84" if INDICATE- LEVEL AT- WFIICH GROUIV'D WATER -IS-: ENCOUNTERED : " = -: INDICATE LEVEL TO WHCCH WATER LEVEL RISES AFTER BEING ENCOUNTERED^ .,.. .TESTS MADE BY Date Soil Rate Used /O : Min,/1 "Drop: No. of Bedrooms 2- Septica Absorption Area Pr— oTd Bye Addres THIS SPACE FOR USE BY HEAINH Soil Rate Approved DD�1G1V T., D f S.D. Psable Area Provided nk Capacity, - Ca Type /yS.PWR - L.F.x24" [1 width trenc OMPM 05 Nt 0 P§_7 -K8 4'. d, 0. me before tww TbB jqm': ol mi� oil lawf d. do gee 4 eeeov, /U 4n OW17 `�S 21�4.s & .145 No. 3% 7� G•L