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HomeMy WebLinkAbout4054DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.66-2-38 BOX 31 04054 --1 r r� 1 s � .1. � 116 - , '� '� I F - 4- F & - - �"L X 1 11 , rismAP 04054 T` PUTNAM ,COUNTY DEPARTMENT- OF HEALTH 4 Diwsion`,of Environments/ Health Services Carmel `N Y .f0512T` 1> CONSTRUCTION PERMIT fOR``SEWAGE- bISPOSAL SYSTEM k itnam -Vail n ey (T) a ulage' II Town or i _taeatod' -o _ Bt ?i t �c_ z1_1_'1_T�SL' � 8 _ Scction�M � � �.acu' —._. :2 Take PePksk31 95 —1 —SUbdivIsIon 1y —Sbd`. A Lot .Job r. ' owner Harm '.SldOli Address = Hewitt ST L9kE± PePkyki 1� Y„ }Building Type Raised Ranch tot Area 15, ObO+ SF Putnam Valley, N.Y: 4 Number'of Bedrooms ' Total Habitable Space 100 " Square Feet v r �� 1200 236: 36 c Separate Sewerage System to consist 0:411" Gal Septic Tank Iirieal feet X 11 width trench.'` e l A� i ".;To be;construcfed by Sh done °'Gardner Address Stevenson V @Huai:' , i'eekskill; :;NY' 10566 r - ..'�Water "Supply: � - PublirSupply.From � - �; ` _ X Private, Supply to be drilled eY 'Anderson Well -Drillers B k Address anger St.. _Putnam Valley.: NY e '664' Requirements �i� ®t g �jS'e —of} oA eA Re, �C� oafs l represent that I.am wholly and, completely responsible for the design and location of the .pFoposed systems) 1) t ® N posal system above described will be constructetl asshown on the approved amendment there to and in accordance -with Sne'standas e Putnam County - 'Department of Health ; antl that•on completion thereof a ,'Certrf�cate of= Construction �donipliance" -satisfi9 y h m of Health will be`submitted ao the Department and. a written'guarantee will be furnished the owner, 'liis'wcce sons, heirs.or. s s t tha wilder will ( ,place*. in good, operating`. condition any-par of` -said sewage disposal system duririg the period of• fwo (2) years a iate th dgbgit the Issu= `.I 11 lance f the approval of the Cehificate,of Construction..Compliance of_the original system•or any repairs them ) hatq el c}� ceibed above `will •be located as,shown on the.approvedyplan and,•that said,well will be installed rn accordance with` the standardse� r` I's an s 4.�°tl(b -Putnam.' yCounty Department of Health 'Date November 28 1974 o J,� 27an6 ��' 'x Signed .. aR A Address 1 Northridge Roa Peekskill NY 1e5b6 ° ; I e .21046 �as r APPROVE D,FOR CONSTRUCTION This approval expires one year from the date :'issued 'unless co uction of the building has, been undertaken and Is i "revocable for ;cause or.may be amended`oi modified when consige'a as by'16e.'C mmission' 1, ' th. "Any change or; alteration. of'construction, i •.regwres .a new per it Ap roved r fd posal. of domestic sana an ate wa ry l! ate Y M111111111WT, Title a] y• 5 1 Z. .x 4` r3s' tt 1 1)EPARTMEN T OF HE �, • 3 _ _ �ttTNAM COUNTY MTV B t,NIMTAL HEALTH SERVICES 4 K - F + h w _ November- `15,9,1 974 ^ -- . .° `f Harry Sidoli ` Re Property irocaLer aL Hewitt Street & William ST. - Putnam Valley Sectionp g5 Block 2 L.o.t. s 95 104 - gEntl erne 1 John S,.RomeoTh1s le tter' is to "autY orize .. a. duly ; lic.ensed professional engineer. . ` x' or ragi.s.tered: architect Indicate.) to rappTv for a' Constructi 'iz 'Permit :.for a separate sewerage system; to serve"','the- above noted property in accordance with the standards, `.rules ;.. or regulations tas3ptomulgated %y; the Co °mmissioner of the •Putinam County- ii ;Departrrent :of Healthy and to` sign all necessary papers on behalf �c ect'�nn c1�th. this maf,ter a :do supervise the constructian of said 55 . - Q systems in �ccn�'ormit�r wi.tti the ,provisions of Article ll�5 or X1+7, Education :Laws : °the: Publ3.c Health Law9 .and the Putnam County Sani.= ' tart' Coda r _. Very truly yours,. gne d ^. w Owner Property Hewitt Street' .y Lake Peekskill Putnam Valley G'�";�,� Countersigned° A dress < y r nj � 1 t. .J 2 e 2 2 ': - �, r r .L� 9 2i'-�Y'2'� y , `� L b 1.�.�e. YO�-n1.Q�X� CIQ�/(✓£ 000 , Te ep one S�,Ata �iFO lq t•— < '.1'+ i1,F p, '' iva�" ' a.. T . s''ii'y„ rryfir `hF , ,l• $ 3. N ... ` 11 'i7 , •C ` w . sga. �1 i .,.Af [�y�� r� t ° S, 27846 Q'.° Ir6rr olR p 0 - r .e. . li t _ a y pt(a M � ?�'s4i',,�+.as �s�Q' r� rte° ': ate^' %'.:." t?aM1. Kr S .{ '>t` fix. '"`"*'•' `� r•' 4. j�1+ " .v nt, 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 Harry Sidoli Address Hewitt Street g William Street Putnam Valley Located at (Street Hewitt ST & Wm. Stgec.MaP 155 Block 2 6dicate neares cross street) Lot 95 — 104 Municipality. Putnam Valley Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse 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 (1) 1 3 :23 3:41 18 18.0 21.0 3.o 6.00 2.3.41 _._4...01. z0 : 21.0 24.0 3.o _.. 6.67 3 4 5 (2) 1 3`:30 3:51 21 23.5 "26.5 3.0 7.00 2 3:51 4U4 23 26.5 29.5 3.O _ 7.67 3 4 3 4 5 Notes: 1) Tests to be repeated at same rates are obtained. gt,.each,percoja i:on fors review: '`...= 2) Depth measurements to be made depth until a pproximatelyy equal soil tes t. ho7.e...:Al,.data: to_ be .su�mitaeda . , from top of hole. 2 3 4 5 Notes: 1) Tests to be repeated at same rates are obtained. gt,.each,percoja i:on fors review: '`...= 2) Depth measurements to be made depth until a pproximatelyy equal soil tes t. ho7.e...:Al,.data: to_ be .su�mitaeda . , from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 1 HOLE NO. 2 G. L. Topsoil 6" 5" Topsoil 12" Sandy loam 18" 24" - 30" 36" Topsoil 5" Topsoil HOLE N0. 3 Tnj)s M I 6" Toposil sandy loam INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED None TESTS MADE BY John S. Romeo Date Mmy 23,- 1973 - Soil Rate Used DESIGN 8-10 Min;/1 "Drop: 'S.D. Usable r Area Provided 5000SF + No. of Bedrooms Septic Thank Capacity 1200 Gals. gyp ® asonry_ Absorption Area Provided By 3 L.F.x24, m o � a Name John S . Romeo,,, Signature { F 1 N rthridge R ad 3 L" °a• �r, ° Address. n SEAL g o Peekskill, NY 1,056 ®�1 27846 0 00000 4F NEI THIS SPACE FOR USE BY HEALTH DEPARTMK ONLY: 0,000 Soil Rate Approved Sq. R /Gala Checked by Date 1 •n 'r.,.h.�.,�:'. -i.. .. ..v+'•.:.,,.r:•�e- ..$ -..., :•; '•�_: ".w., .•..� iv:'aE'..:7• rwv�. Fr�.:i..i� .. „�:r. -r., n'.•d..i: ., .w. �.,r. ..•..• -r! i� - 10 x 1G" Wood Deck 1 DINING KITCHEN t BEDROOM N21 10,' 4:'x 12 =.4 " W G "x 12=0` OATH 14 =0 x 12=O" LIVING ROOM 9EDROOM 3 F3EDROOM N22 17 =2 "x 15=0" FOYER 9'4" x 9:4 " 11 =10'•x 10=4" . The WILAAAMSBURG - .:.V.ARaATB,0N:: -B' - 23'$ 46' 6B- LEVEL. T i cl PLAYROOM El UTILITY i� 20=2 "x 12=.6' ROOM 13,2 „x 9 -S” Schognmaker H 2 Charlile 6irle, Newburgh, New York 12550 �_�---- �-�_--�* T- �---- -�.- -- tom°^ -• � ,, tt } _ PUTNAM FOUNT Division of Environments t_o�ate6 at I� u►itt Street 1�nd �I311i`am'S Owner Ha7c'r�r Sidoli y Separate Sewerage System built .by. ^� & K 4 CB�ati011 N. - Consisting of IM Gal Septicjank 2lb z Pr�4 it; mast . Other' requirements p p Water Supply Public, Supply From c Prrvate,,Supp(yDrilled By r _ Earner Six Address X DEPART1i�EN`I ®F �IEAL'� I� _ l Heath Services, Caf me% N Y "10512 - outnam` Valley (T) u� at i' lanSCapl ress PO $ox 10 - ik Peekskil].9 NY lineal Feet :X width .trench s11ed. arr�3: emez° enc�_iover'lou► Building TYPe . Ralsed RanC�3 Has Erosion Control Been Completed Y08 �I certify that the systems) as I�sted serv- mg.the above premises were const attached) and 'in accordance with the sta'ndard_` -lei and regulations, August 25� 1975 x Date Certified 1 l�orthridge Address Any person occupying premises served by the above systems) shall, pro conditions resulting from such usage /pprovaL of the k5eiRlEate, tsewe available and.the, approval of the private water supply shall beconieL.n subject° tomodfication ;or hange wheq �n the ?Judgment of the- o i r7 is ti Date a Well Lhc°illars �,tg 1?utna� Valley9, NaY .,.,. al 3 000_0 i No of Bedrooms' o oo ®� P�ti�o sued aF ructed essentially as shown o$, a�s wok (cpies of hich apl e ' plans f�ted,.and the,perm�t_.�r� y ye,Department of Health. :p..aY , o I t q x r, PE RA Road Peekskill N o - :r 2is�� 02784 Y6 7.44 F //�� gg LicaAse No mp`tly take`such action as may be nL$�3arglL�uY�tg�'correcfion of any unsanitary ,J rage system shall become null and voi_0j)sg%nr © ,public sanitary sewer `becomes l � tl void :when a''; public water supply becomes available , Such approvals' are mm sinner of It nec scary x — o PEEKSKILL MEDICAL LABORATORY 1879 Crompond Rd. Barclay Plaza Bldg. A, Apt. 1 Peekskill, New York 10566 DATE COLLECTED RESULTS OF EXAMINATION OF WATER Q" 1 5 OWNER DATE RECEIVED g-1 S CITY, VILLAGE, TOWN• & /OR NAMIr OF SUPPLY DATE REPORTED 1 Ae.11 BACTERIA PER ML. (Agar plate count at 35 C). CO IFORM GROUP (Most probable N6. /l00m1.) Wzs ban e). a TOTAL - ppm DETERGENTS - ppm NITRATES (as N) - ppm IRON, TOTAL - ppm FLOURIDE (F) - mg. /1. These results indicate that the water was y4f of a satisfactory sanitary quality when the sample was collected. fi A. H. P DOVANI, M. T. (ASCP) e NELL, COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTI.f 1171• Division of Envitonm,!ntal licalttt ;.vrvicus COUNTY OFFICE BUILDING • CARAMEL. NCW YORK Thic.rep�ct.i� to be .com�l.ctcd.by..v;s_II d;i!! ^r_�nd.xtt! ;..:;lic.cf;'o County Heath De;-,artment,= to-ether with labbratory'rcr,ort -of sna(ysii of water sarnplc indici,ting water is of satisfactory bacterial quality before certificate of construction compliance Is issued. REPORT MUST BE SU.a,111'TED 1':ITHIN 30 DAYS OF V:ELL COmSI'l_ET10!J OWNER NAME MR. SIDOLI ADDRESS LOCATION OF WELL (No. 6 Street) (Town) (Lot l:mler) 19WITT & WILLIAM ST. LAKE PEEKSKILL, N. Y. 10537 PROPOSED USE OF YIEII --- -- BUSINESS - _... ..._. ...._. _ �_ __.. _ .._.. C DOMESTIC ESTABLISHMENT D FAR /A D TEST YELL SUPPLY INDUSTRIAL CONDITIONING OTHER r) DRILLIN EOUI C7 CUSSSION PERCUSSION OTHER ROTARY AIR PERCUSSION R l CASING ��ETAllS LENGTH (feel) DIAMETcR(inches) WEIGHT PER FOOT 1.7 -- . , ® THREADED ' ❑ WELDED RIVE SHOE ® YES ❑ NO :'r AS. FA —S1nV �•• �T€df�'"— ® YES NO TEST L1 BAILED El PUMPED LM COMPRESSED AIR HOUR G.P M. 7 YIEL 7 G.F.Af.) WATER IEYEI MEASURE FROM LAND SURFACE— STATIC(Spectly feet) DURING YIELD TEST float) Depth of Comple'ad Well in feet below land s6rfacei 230' SCREEN ' LENGTH OPEN TO /.QUIFER (teat) DETAILS Slot SIZE DIAMETER (Inches} IF GRAVEL PACKED: Diometer of well including gravel pack (inches): GRAVEL SIZE (inches) FROM (feet) TO (fool) { I I iH Kom LAND SUEFACEf 1 FORMATION DESCRIPTION hardpan bedrock granite Sketch exact loca;lon of Nell whh distances, to at least two permanent landmarks. 1— 351. .35 230' If yield was rested at different depths dv.ing drilUng, liar below FEET GALLONS PER MINUTE YELL LOM flit DA1'E OF FILPOFIT I WELL. DAILL.EA (SIgnatwol � � l% .� .a/�1?h...✓1��.� ---• /C/j. 7 :ner or 1LrcJaa::cv .oL�J;uild,].JJ�,' MuJJ.ici�,�►lity Iildilig Constructed by Section o. ,cation - .Street Block ildirg Type Lot, GUARANTY OF. SEPARaTF, SL'.�:Gr . S�'STE 1 I represent that I am Wholly and completely responsible for the lccati,on, rkmans'hip, material, construction and .draina e' of the sec,aage disposal sysfeim' rvino the above described property.,, and that it.has. been constructed as shoa:n.oil e 'approve.d plan or approved amendment thereto, and in accorc ance, t.,ith the " standar.c':s. les and regulations of the Putnam `County Department of 'Health and hereby guaranty'' the -owner, his '.successors, heirs or assigns, to .place in -good opercting condition y part of said ,system constructed .bv me which. fails to operate for � a period of t-,.ro . ars inimediately follosing the date of initial.-use-of the seuage � discosal system, or y'.repai -,s made by me to such system, except r.--here the. failure to operate properly CiiU3(?lI .UV 'Mlle' W1111U1 UL' JJ�k 11 111 L dl L G1 'lle UL LUF1Gl1I L Ul Llll�' LL1114.�1b, The undersigned Further agrees to .*accept as conclusive the det'ermi,riation the Director ' of.._the Division of .Environmental Health Servicas...of .t1;e Patnain Coup i:.' ' )artrr,erit• of ATica th`as to ,.he the r or not the failure of the"•syste�ll to' operate was ised by the willful or negligent act of the occupant of the buildinj utilir_iro the . item. . • :ed this �� day of '19� Signature ',• .i�-r kilo Title • (ai corpo l -ion, give n� nee and address ME (3) COPIES ARE RE0UIP.ED WITH THREE (3) COPIES OF FINAL PLANS 13EFORE CERTIFICATE CO`1PLETION WILL DE ISSUED. Rj� NT0R TS RF.OUI TD TO. FILE NOTICE OF DATE OF FIRST 1i SF Or - SYSTE*1. __--------------- -- -- -- - -- _ _-_- _- ___-- _- _- _- __-- _- _.._-- __ - - -_ - _--- -__ - -- 'ision of Environmental health Services, Putnam. County . Department of health s A;4p l R } X IT. `x- J,y�(^� -�.� -z =tom i i. t � F "yam S%}Tit s f Mj OuNT-Y <x �` NEVy 'YURKf � E S' i' 1� 5�'