The URL can be used to link to this page

Home My WebLink About4404DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84.11 -1 -5 BOX 33 ' 6 4 1161 IN . ir � . r. ,, �, r i i ,a a Lim, AkfF PUTNAM COUNTkY DEPART ENT OF �HFALTH J. yN y lwWdn of Enwronmenta %His /ol► Setvfcea, Carmel 10b1? CKATE :OF •CONSTRUCTION' COMPLIANCE F.OR =SEWAGE ,DISPOSAL. SYSTEM Pu•tnarn• Ua:X -1, Town or Nllla a L'ocated`.at ��e�CS�C3,1H0�10W ROaCA Tax Map " 74 t Block`° 4 Sig f .n ] Ra' mm d P- ice ' Fore =1Y Tax I Ot subd rat, a, 3Y owner. V n r z tt Jhs C'cinstrttc -t l�n PPPk�k 11 'm v � Separate 'Sewerage System built by Address 1 T _1.Q AEl 1000 (3 );.. eep Rre.cast .Cone Leachinct Consisting ::of Dal SePtie _Tank, and' 8 ° ,Di am. x '8' 'D �. Othe► requirements r' � asns -Water Supply Public Supply From k-X v 4 Private Supply Drtlled BY Bold Artesian Well �:RD #5 rtn 1 * N � ,Atltlres8 r t 17 (1) :Fam 'Residence 3 ,4/13/84 ' Building Type Ndi of Bedrooms -� Date Pe►mit Istuad ,..,Has. Erosion Control Been. Completedt 'I certify that the syetem(a) as liated'serving - the above',premises were'conatructed esaentiall ^shown on tha;p a of the completed work (copies of which are- attached)'; and in eccordanda; with;the standards ~rules and regulations in acco a mith the fi . ;plan,. ;and the permit' iaeued, by the Putnam;County Department -Of dealth _ --- 12/6/84 XX Gate Ce►tified by E.' R.A r p 1 ' Addreu 1 License No ` ",+ 5G ti (. jry �`� 1 t Fj '� fe� � �; V'i '4'� -^ C r " e ,•'. 4 1 ,1� �i�, . • . Any person, occupying premises; servetl'by the aboveesystem( shall prompt! ;t a wCA a ion �s may,be neu�saiy to,ticuia tha eor►aetlon'ot : an y unsanitary conditions refultingstrom;wch },usage Approval'of the separate sewerage:, stem ih .become null and void as soon'as r publle sanitary .awai becomes available and tlie`.a ` m ' pproval.ot the;.private water Supply shal4become null and'.void` w n a :public wgtar. p' 'y' becomes _ evailabla. :Such, approvals are sublect-,tomodiflcation;`or ehange, wheh :'in the judgment of the C k. , r,..: .� 0 8Yate L-4- ' X Rev. 981 - - - - of Health, wch rev ` lion; otlifleatlon,or changa.ls auary. •.y •. ..r .. a.. . .. ... - r r .. � .. R ^. a -.. ....�, a a.^[Yy ar q•.�y,• �. •J .. •... .. +e..' . .. . .. . .. .... .... ..�.. p.•. m _.. .....e • .'^iV ha.t Owne or 15urc aser of` —Buitd g l _:i Building Constructed by k_ LL. 446 LA., 0 W . Location - Street r-Am. v�es. Building Type _- . r W -- - c�ru ALL Municipa it _ 74 Section 0" -N 1 �? 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 assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years im.mediat.ely.following the date of initial us -. of the sewage disposal system, or any repairs made by me to such sy steri, 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- vicas of the Futnam County Department of Health as to whether or not the failure-of the system:•,to._. operate" w.as caused ,:by: =the :. -w1l1ful b:r ,negligent act of the occup,�ant of the building utilizing the syste ® nep -ls Dated this S day of L: 19� w Signature Si�a�dtur� Rddr.�ss Phoale - THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMP,ETION WILL BE ISSUED. GUARPITTOR S REQUIRED TO FILE NOTICE, OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Heal- 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 -. -� -c. -c. a�aF�(sist ter Santple:iiyilic ti�pg ase3r iss6f sexisfactory baeteriarquality:befci�e caRificate of. oonlifir ct 6n oRr�118�"' .'IslsSuecL REPORT MUST BE SUBMITTED WITHIN 36 DAYS OF WELL COMPLETION OWNER NAME Raymond 'rice ADPeekskill Hollow Rd. PO 248 Put Valley, LOCATION (No. & Street) (Town) (Lot Number) OF WELL Peekskill Hollow Rd. Putnam Valley BUSINESS ❑ ❑ ❑ PROPOSED DOMESTIC ESTABLISHMENT FARM TEST WELL USE OF WELL a AIR ❑ .OTHER ❑ 1:1 SUPPLY INDUSTRIAL CONDITIONING (Specify) DRILLING MPRESSED CABLE OTHR [3 ROTARY ❑ A R PERCUSSION ® PERCUSSION ❑ EQUIPMENT • (specify) CASINO LENGTH (loot) DIAMETER (inches) 6 WEIGHT PER FOOT a ❑ dA31N DETAILS 79 19 THREADED WELDED YES NO YES NO YIELD jj�� [� HeUtal P.A. G. hr ® hFLI YIELD (G.P.M.) TEST LJ BAILED 1 . PUMPED4 COMPRESSED AIR �f hr 13 hrl 7 WATER MEASURE FROM LAND SURFACE —STATIC (Specify leeU DURING YIELD. TEST Ifeett Depth of Completed Well 8 5 LEVEL 4 total draw own in `het below land surface: MAKE LENGTH OPEN TO AQUIFER (toot) Bedrock 1.0' SCREEN DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL Diameter of well including GRA L SIZE (Inches) FROM feet TO (feet) 25 4 PACKED: gravel pack (Inyhos): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with diet enoes,'to at least two permanent I ndmsrks. 4 ,� FEET to FEET -• 0 10 clay overburden °- gtw-d °"`f°`" .._..� ... _ , . .,._...... _..� _.., 10 20 brown silt 20 50 boQlders,sad, silt. . 50 8,2., sand, fine 'to,r rse: —404, }op0rPVCC1os,"3 82 85 gravel, coarse sand 4:: Pvc C061np 5' tr1Pcf5c.reen 77 6offornof6'c.as,,,9 d. PVC SC l een i$6)p+ 85'end cap If yield was tested at diBernnt depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED 11 /13 /8 4 DATE O P R 11 /2` N 4T WELL DRILLER (Signature)' lM P.O. Box 99 321,, Kear .street Yorktown Heights, N.Y. 10598 245 °3203 l r LOCATIONS: ❑ 321 KEAR ST.. YORKTOWN HEIGHTS, N.Y. 10598 245.3203 201 BUTTONMOD AVE.. PEEKSKILL, N.Y. 10566 737.8777 O 495 MAIN ST..' MT. KISCO. N.Y. 10549 666.3335 ❑ STONELEIGH AVE. (NEAR HOSPITALI, CARMEL,.N. Y, 1051 ,. LAB # DATE TAKEN: _. DATE RECEIVED:, DATE REPORTED: SAMPLE SOURCE:. REFERRED BY: COLLECTED BY: `;�. LABORATORY REPORT ❑ ACIDITY .................. ............................... ❑ ALUMINUM ................................. .....:......................... ❑ ALKALINITY ................. ...... [I ANTIMONY ................................. ..............................• ` -BACTERIA, .... ..� .............. ❑ARSENIC .................................... ............................... ❑ BOD, 5 DAY ................... ............................... ❑ BARIUM ....................................... ............................... ❑ BROMIDE ................... ............................... ❑ BERYLLIUM ❑ CARBON DIOXIDE, FREE .... ❑ BISMUTH .....:..................... .... ............................... ❑ CHLORIDE ................... ............................... O BORON ......... ............................... ........................... ❑ CHLORINE ................... ............................... ❑ CADMIUM .................................... ............................... ❑ COD ........................... ............................... ❑ CALCIUM .................................... ............................... ❑ COLOR ...................... ............ .................... ❑ CHROMIUM (tot.) ............................ ............................... ❑ CYANIDE ................... ............................... ❑ CHROMIUM (hexavalent) ..................... ............................... ❑ DETERGENT, ANIONIC ... ............................... ❑ COBALT .................................... ............................... ❑ FLUORIDE .... ............................... O COPPER ........... ............................... ❑ HARDNESS ................................. :................ ❑ GOLD ................................................ .:..................... ❑ MPN COLIFORM COUNT/ 100 ml ❑ IRON .......... ............................... . ($,MFT COLIFORM COUNT/ 100 ml ............. ❑LEAD .:..................................... .............................:. .. ❑ CONFIRMATORY TEST ................................... ❑ LITHIUM ❑ NITROGEN, AMMONIA ... ............................... ❑ MAGNESIUM................................... ............................... ❑ NITROGEN, KJELDAHL ....... ❑ MANGANESE ,... - ❑'NITROGEN, NITRATE` ................................. s❑ MERCURY ................................. ............................... ❑ NITROGEN, ORGANIC ............................. ❑ NICKEL ......................................:: ............................... ❑ ODOR ................................................. ❑ PALLADIUM ................................ ............................... '❑ OIL & GREASE ............... ............................... O POTASSIUM ................................ ............................... ❑ pH ........................... ............................... ❑ RHODIUM .................................... ............................... ❑ PHENOL ....................... ............................... O SELENIUM .................................... ............................... ❑ PHOSPHATE (ortho) ....... ............................... ❑ SILICON .................................... ............................... ❑ PHOSPHATE (condensed) ... ............................... ❑ SILVER ........................................ ............................... ❑ PHOSPHATE (total) ....... ............................... ❑ SODIUM ........................................ ............................... O SOLIDS, SETTLEABLE, ml /L ❑ TIN ............................................ ............................... ❑ SOLIDS, SUSPENDED ... ............................... ❑ ZINC ....:....................................... ............................... ❑ SOLIDS, DISSOLVED ..... ❑ ....... ......................................... ...............1............... ❑ SOLIDS, TOTAL. ..... :..................................... O .................................................... ............................... ❑ SOLIDS, VOLATILE ....... ............................... O REMARKS:..................................... ............................... O SPECIFIC CONDUCTANCE ❑ .................................................... ............................... OSULFATE ................... ............................... ❑ ..............:....:................................ ............................... OSULFIDE .................... ............................... ❑ .................................................... ............................... ❑ SULFITE .................... ............................... ❑ .................................................... ............................... OSURFACTANTS ............ ............................... ❑ .......................................... ............................... ...... OTURBIDITY ................ ............................... ❑ ............. THESE RESULTS INDICATE THAT THE WATER WAS .�—SOF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED. THESE RESULTS INDICATE THAT THE WATER DID _ MEET THE S "ISFACTORY CHEMICAL QUALITY OF NEW YORK STATE ADMINISTRATIVE RULES & REGU -IO G ER STANDARDS (PAS 72) FOR THE PARAMETERS TESTED o ALBERT H. PADOVANI M.T (ASCP)a DIRECTOR �' ' x y �� PUTNA':. a Ofvisfon Hof NSTRU_ ON' PERMIT4iFOR OE "C .Subdivision Al =Ja�7 Cotta es' Co ;$ r .owner /Address a 86 1 lding Type 1 fa i eS 1 0l Number of Bedrooms — pe$ign Elba c /P /D Separate 'Sewerage_ System to consist of 12 r To De :constructed by S • KaS tuk xv r • %,Water= Supply ,Pub11c .Supply From 4 e> � �,� Pnvate Supply to be drJl r{ •. AdtlresS w' k Other Requirements y Uepa rT mOnT OT Health v c 1 ri C •. 04r:V2 84 A'r ° Address.>k IF HEALTH : Permit a, PV 1 `83 nel N Y 10512 r� � Putnam •Valley t -Tow or, Vi llage faP -"� T.9aOCk If Previou`$ Approval 0 7 0 / 8 3' yectaon Only ❑ I 777v. j I' D ott cation' aqua ed 3� re sl„ on � e eac'ing .a'sns ..' . x 8), . Deep 5: Peekskill Hollow Rd:,• Put "alley 7. ,t t rP.ut •�Valley Ik ° , c v ]4 - osed:syitem(-S);'l) thaE'th-e,- separate: sewage disposal.system iiice,witl:the,standards rules an regu a tons of, e u nam y.ComDliance satisfactory= to the °Commissioner of �Healthwill, cceSsors_ heirs orN assigns by the builder that said tiuilber will of two,(2) years immediately following &date of the issu- any�sepaus thereto 2) that tha drilled well described above th the standard rules "ands regu aTiTons oof the Putnam S x. 4 P E. R:A•aa.a -'� 7s y f NY 10 5 4 License No l '0'5 6' jssLconstruction of t =h Quilding(,has been undertaken and Iv (loner;of "Health < Any change' oration of construction Title i Date ey Rev y9 81 R - IF HEALTH : Permit a, PV 1 `83 nel N Y 10512 r� � Putnam •Valley t -Tow or, Vi llage faP -"� T.9aOCk If Previou`$ Approval 0 7 0 / 8 3' yectaon Only ❑ I 777v. j I' D ott cation' aqua ed 3� re sl„ on � e eac'ing .a'sns ..' . x 8), . Deep 5: Peekskill Hollow Rd:,• Put "alley 7. ,t t rP.ut •�Valley Ik ° , c v ]4 - osed:syitem(-S);'l) thaE'th-e,- separate: sewage disposal.system iiice,witl:the,standards rules an regu a tons of, e u nam y.ComDliance satisfactory= to the °Commissioner of �Healthwill, cceSsors_ heirs orN assigns by the builder that said tiuilber will of two,(2) years immediately following &date of the issu- any�sepaus thereto 2) that tha drilled well described above th the standard rules "ands regu aTiTons oof the Putnam S x. 4 P E. R:A•aa.a -'� 7s y f NY 10 5 4 License No l '0'5 6' jssLconstruction of t =h Quilding(,has been undertaken and Iv (loner;of "Health < Any change' oration of construction Title i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ��tK .. «�.`.c ,. wa'. ,r' �8ala.....n.��.ci �Kt ^:'�, �'�s�.:.i.r.`a �. -%:. �:. °.+�..�ww,a, Ra --. -na �.;re�i.•...id a•`..:,.wr+G��-i°'? ^a`h'a y� ��..�cs:x11:'!v:: r!i•�3•. %�:. _:�,,i.....: -•ea.. wa-. Date April 5, 1984 Re: Property of Ray Price Located at Peekskill Hollow Road (T) 74 -4 -17 Section Block Lot Subdivision of Al -Jay Cottages Subdvo Lot # 3 Filed Map # Date Gentlemen: This letter is to authorize Joel Lawrence Greenberg a duly licensed professional engineer or registered architect XX (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 connection with this matter and to supervise the construction of said system or sys ms te in conform wi e ity thxth provisions of Article 145 "or st 147, Educat tary Code. Countersign( P.E. , R.A. , #,`• 11056 Muscoot North, RFD##2, Bx 488 Address Mahopac, NY 10541 914 628 -6613 Telephone ealth Law, and the Putnam County Sani- Very truly yours, Signed --70 r, of Property P, 0. Box 248 Address Putnam Valley, NY 10579 Town 914 526 -0533 Telephone I �.':�aY .'..^trn -. .> f. ...�. :'+i.cr• `r rr i. a � ..• ��`.ee �J�'..'.' ` .. -�.,v� DAVID D: BRUEN County Executive /A 1. '.s. ..ay:; ��ci= .�� .p. ,. „ei . .� `- a .. .J.0 rm-. ,� i►C� P .�'t. �.ok :,+V �'. JOHN SIMMONS, M.D. Deputy Commissioner DEPARTMENT OF HEALTH Division Of Environmental Health Services Mr. Raymond Price 2025 Crompond Road Yorktown Heights, NY 10598 Re: Dear Mr. Price: May 1, 1986 Price Sewage Disposal System Peekskill Hollow. Rd.,PV,TM 79 -4 -17.3 Al Jay Cottage Co-Subdivision, Lot #3 Per your request, the Putnam County Health Department inspected the above referenced site serving a three bedroom single family residence for Compliance with Article-III of the Putnam County Sanitary Code. Subsequent inspection of Deparmental files indicates the well and sewage disposal system for this site were constructed in accordance with the standards, rules and regulations; the field plan; and the permit issued by the Putnam.County Health Department. The field.-inspection on 29 April 1986 indicated that the sewage disposal system was in compliance with Article III of-the Putnam County Sanitary 'Code.t The laboratory report on..file for wat_ ,er, colle.cted_:��J)e., eRiber 1984 indicated water was of a satisfactory sanitary quality on that date. If you have any questions, please call me at 225 -3838 or 225- 3833.extension 242. Very truly yours, ames S. Hodgens Assistant Public Health Engineer JSH./m cc: ✓ File JSH TWO. COUNTY CENTER - CARMEL, N.Y.. 10512 (914) 225 -3641 a h jig } F- / .:_/�� $�T��Q�7�� JT1� �17i `ii ®V1�V� H ®EP/'kR A io ENT �IC iIlJ A� Division of Environmenia/ Hea /th SereicessFCarme/ l� 'd hf n, s.- Z r 'Cdn.fa. cry n RX r !CORlSTffiUCYBON PERMITS FOR S�UVAGE ®iSPOSALSVSTERA �tocateat Tax Map Subdivision AI -Ja.h Cottages Coe Inc rAt ° Renewal Peekskill Hollow R`d " P'utValle `ANY Owner /Address Y y Date Of Previ `Bw :Tlding,Ype �� 'F' Yam a'Re$ u� 2 Lot Area " l O'4l6 `SAC Fill Secflion� ,�" / 1, 7� ,. Number oft8edrooms ° Design Flow G/P /D 600 P c R 3 !Separate, Sewerage System to consist of 1_ '200 { Gal Septie Tant<; and ea To be constructed by S KaStuk' -' 7 x Address Al Water Supply Public Supply From �W r Private Supply to be,drUled by Nm "Anderson n; C `Address iBarder 35to r Put V +Other ReQuirements 1 represent that J ,am wholly and completely responsible for the design and location of .the proposed ;t above describetl will be constructed`as shown RINI, he approved amendment thereto and �n accordance w County,Depar ;menu ofs rHealh,� and that on completion thereof a� Certificate of Construction Comp be submitted �oithe De rtment sand a=wntten, guarantee- will�be- furnishedthe owner Sh�s su ssoi w place in;_:good operating conddiori any part of said sewage disposal system duringthe'peri t tv ante of 'the approval of #the Certificate o "f Construction Complbnc the'6rig1 nal4system ,or n' r will be¢locat, -as shown on the app ov@d, plan and thai said well wilFb Install in accordant. wi h County Department of Health w, r x r u�coo�t N x v 4 ox z_ ,1" r ° a t Addiess t o APPROVED FOR CONSTRUCTION This approvat;exp�res one yea. , }rem$ a dat i ;sued unless con ;revocable for cause or may. be amended of mod!fled`whensconsideredy ` eee ry b the Commi o er'= :requves a new p mt A oveq for disposal of dourest ar K ag nd /o pri er ,a Rev r as , g erg' Permit °PU_21 8 3 Putnam Ualle� gown or Village LII;Blo`ek ai�P snit Lotµ Revision , xo�8l 6/25/79 a ion Re u - x s 8 ° .'.Deep. OV Y Ij 4 ' v, 1) !thatl.the separate sewage ;disposal, system' tandkeds, ules an regu a ens o e nam satisfactoryato the�C, ommissloner of Health'vvill ` orassigns byathe 6u�lder Ghat said Duildei.vJlll sari imme8iately following thedate of thelsw i tiereto, );that the;diilled well descrJttetl above ards, send regu ai'ilons , of the' Putnam , D.F- SNV m',o4 t budding lies been undertaken a'nd'is th:, A change or alteratbn of construction >nly 7 5 J 'CON$TRUCTIQN PERMIT,f R SEWAGE, DIS' t Located;aat �� rr •:.�sr4 Subdivision ••IOwrter /Addres / ,t •/1�w11S '• 63 h6ing` TYpe r� "1 l`d�"� 1� � ` Lot 'P r M1 Number,of Bedrooms Design Flow c/pd /v. S Separate Sewerage System t 05;6, �ojnsiNst�of� -j,,� :TO constructed be constru b� . ,Water Supply PubUc Supply From Private Supply • to be drilled: Address Other Requirements wl, represent that 7 am wholly antl completeiy responsible w s Renewal Revi Date'Of Frevioua approval Fill Section Only ❑ f IIAL INY d system(sj 1) that ,fhe- separate `sews e. dis` tsal s' stem e with the atenda' !;4 .rules.an ;regu lat io ns o a ,, u nam impliance ,satisfactory to the Commissl'oner ot;Mealthwill issors; heirs or, assiyns`by the builder; -that" said builder wlil f two (2) yearslmmediately following thed-Me oTtheaStU ny repairs'tlieroto, 2),that the'dr1164I well described a6" thee; standards; rules and repua oiT ns; of the „k Putnam z � � PE' •RA�� i�� ` `'•� icense No [L construe Ion, of the. bull my has been de unrtaken rand •is ter of Health. Any;:chanye or .alteration o, construction sr supplyIonly Title . A�M� 777. 3 ' PUTNAM COUNTY DEPARTMENT OF HEALTH V Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Town or village Hol 1_ow� Subdivision Al -Jay Cottages Co. , Inc. Lot 3 Job 77 -133 Owner Al-Jay Cottages Co., Inc. Address Peekskill Hollow Road Building Type one family res. Lot Area 1 * -4.16 Putnam Valley, N. Y. _ 10579 Number of Bedrooms 4 Design Flow '' 800 Total Habitable Space 1 500 Square F e Separate Sewerage System to consist of 1200 Gal. Septic Tank and —4 precast concrete eaC I n M• To be constructed by Paul Kastuk Address Peekskill Hollow Road Water Supply: Public Supply From Putnam Valley, N . Y . 10579 * Norman Anderson Private Supply to be drilled by Address Barger Street Putnam Valley, N. Y ** 8'-011 diameter 8'-011 deep. Other Requirements I represent that I am wholly and completely responsible for the design and location of the propo (s); at th a sewage disposal system above described will be constructed as shown on the approved amendment there to and in accorda the s . ules u a ions o e Putnam County Department of Health, and that on completion thereof a "Certificate of Construction m Ii nce i5 v to C mmissioner of Health will be submitted to the Department, and a written guarantee will be furnished the owner, his su ¢t rs, hei -a i y th gu der, that said builder will place in good operating condition any part of said sewage disposal system during the period t o (2) tel $j ing the date of the issu- ance of the approval of the Certificate of Construction Compliance of the original syjWT or pair at a lied well described above will be located as shown on the approved plan and that said well will be Installed in accor an wit ta clard , rules an la ons of the Putnam County Department of Health, qT O. t OS Date August 15, 1977 Signed P.E. R.A. Address Box 417, Kat n h, New ork. 10536 Licens`e. ¢, 11056 APPROVED FOR CONSTRUCTION: This approval expires one y f om t e date issued unless n ruction of the building as been undertaken and is revocable for cause or may be amended or modified when consider n ces by the ommissi r of Health. Any change or alteration of construction requires a new pe mit. Approved fpr disposal of domestic sanit r e, ivat pply 'onty- Date l�Z By �L, /x5 Title /� PUTNAM COUNTY nrPART r � T OF H ALTH DIVISION. OF r gR0ygAT,NTAL ITEA ,TU SERVICES a. ;c+; :rv:` -�:.W, �::: �`,:'n- ,..-_;�." _x -••� ,-.,r . ,;.-... ..,, .--_�- , t:.:- ,..;- .,.�::° �; a`•o_•'v3 ati �. o;�,%*�z: -e COUNTY OFFICE BUTLDIPIG,�CARM1'U." N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM. FILE NO Owner Al -Jay Cottages Co .,Inc.Address`Peekskill_Hollow Rd., Putnam Valley,.,N.Y. Located at (Street Peekskill Hollow FWgm Block Lot 3 �Indicate neares cross street) Municipality Town of Putnam Valley Watershed Hudson, SOIL PERCOLATION TEST DATA REQ UIRED- TO BE SUBMITTED WITH' APPLICATIONS 4 2 1 ` 8 05 - 8:_2 3 18 36 319 18/3 =6 2 8 24 - 8.30 18 36 39- 3~ 18/3 =6u 3 8:31 - 8 :49 18 36 39 3 18/3 =6 4 . Notes: 1) Tests to be repeated at same depth until a Proximatel equal soil rates are obtained at each percolation test hole. Ayl data to be submitted for review. 2) Depth moa,surements to be made from top of hole. Hole Number CLOCK TIME PFRCOIATTON PERCOLATTON a apse Depth'. to Via Val t e T ve No. Time From Ground Surface in Inches Soil Rate.. Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 1 1 8.00 - 8.18 18 36 39 3 18/3=6_ 2 8:19 - 8:25 18 3 6 39 3 18/3 =6 3 8.26 - 8.44 18 36 9 3 18/3 =6 4 2 1 ` 8 05 - 8:_2 3 18 36 319 18/3 =6 2 8 24 - 8.30 18 36 39- 3~ 18/3 =6u 3 8:31 - 8 :49 18 36 39 3 18/3 =6 4 . Notes: 1) Tests to be repeated at same depth until a Proximatel equal soil rates are obtained at each percolation test hole. Ayl data to be submitted for review. 2) Depth moa,surements to be made from top of hole. 12" 18" 24" . 3011 36" 42" 4811 54•' 60" 66" 72... 78". 84" I1TDICATE L1;VE1 AT WHTCH. GROUPID WATER IS ENCOUNTERED - None 120" INDICATE LEVEL TO WITCH WATER LEVEL RISES AFTER BEING .ENCOUNTERED - VA TESTS MADE BY Joel Greenberg Date August 8, 1977. DESIGN Soil Rate Used 6_ 7 Min/l "Drop; S.D. Usable Area Provided - 5000 s . f. No. of Bedrooms 4 Septic Tank Capacity 1200 Gals. Type pr ete Absorption Area Provided . By L.F. x2411 width t \r3 \w N E cR ti� (4).8'-0" diameter x 8' -0" deep precast concre e.l a i 0th ng Ot 0 Name Joel Greenberg igna Lure Address Rox 417 -- Katonah, New York 1053 THIS TEST` PIT DATA 1'� Q(JIRED TO DE SU13TII:TTED 1.119'11 APPLICATION ONLY: DrSCRIP7'IOIU -OI' SOI'LS 1-:11C0111Q'1T ED 'IN `.'i'I:ST 1101-ES Checked by DEPTH HOLE . NO. 1 HOLJ,; N0. 2 HOLE NO. 3 - G.L. �:.."f op'so i-9'.:° _ �_ `iop =so:i - Topsoil 6" Sand & Stones' Sand &.Stones Sand & Stones 12" 18" 24" . 3011 36" 42" 4811 54•' 60" 66" 72... 78". 84" I1TDICATE L1;VE1 AT WHTCH. GROUPID WATER IS ENCOUNTERED - None 120" INDICATE LEVEL TO WITCH WATER LEVEL RISES AFTER BEING .ENCOUNTERED - VA TESTS MADE BY Joel Greenberg Date August 8, 1977. DESIGN Soil Rate Used 6_ 7 Min/l "Drop; S.D. Usable Area Provided - 5000 s . f. No. of Bedrooms 4 Septic Tank Capacity 1200 Gals. Type pr ete Absorption Area Provided . By L.F. x2411 width t \r3 \w N E cR ti� (4).8'-0" diameter x 8' -0" deep precast concre e.l a i 0th ng Ot 0 Name Joel Greenberg igna Lure Address Rox 417 -- Katonah, New York 1053 THIS SPACE FOR USE BY IHI�'.,ALTH DEPAIITI' -1EAT ONLY: Soil Rate Approved Sq. Ft /Cal. Checked by Date Op NE`I� U PUTNAM, COU'NTY� tDEPARTNJ T OF HEALTH DIVISION :OF ,F,!VUIRON T ,I,:HEAT - -SiZR Date August 1 1 ._ 1977.. Fie: Property of : Al -Jay Cottages Co:, Inc. . Located at 2 P'eeksk i 1 1 Hot l ow' Road TM 7 - 4, 1. _Section Block Lot Gentlemen: Th!s letter is to authorize JOEL LAWRENCE GREENBERG : 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 Dopartrnent.'.o.f health, and, to 'sign all necessary papers on my behalf In connection with this: matter and.to, supervise 'the ,c"onstruction of said system or, systems In —conformity• =w, th;�he' pro :1slons of Article lt}5 or 147, Education La H �i1*c .Health Law, and the Putnam County Sani- tary Code: Very truly Yvcva rs, tr kFr "� Signed .7�, „o o 'Owner of opertg S C. T �-1 Peekskill Hotl.ow Road Countersignedte� ,�,'� ?:_! ✓"� Address PutnafTl Val1"ey, New York 10579 P.E., R.A.; # 11056 914- 528 -2380 Box 417 Telephone (Seal) Address. ' Katonah, New York 914-232-5033 Te ep, ono ,Putnam County Department of Health Division of Envir'onmen'tal Sanitation AFFIDAVIT CORPORATE -OWNER..APPLICATION. FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH. DEPARTMENT TO CPmm1Pqio1ner of 'Health In the matter of application for C6 re pr. ep sin t that I am an Officer or. em ployee of the corporation and am authorized .All to act for r-- a a � c , —Cnp7me pf.corppra haying .pf(ices at )66' Whose officer. gre P *5 Name an� Address) r 4. '9 7"Z7 W rqi7"A, Vice-President &me and A`d(rre`FsT 19Y Secret4ry 7f �-57 T-e- K _(Name - and Wdris" S) ,.. .• .. _ Trea�ure.�-- - L.:�� % cc, �� - , .. ...._ ...� _ 4 vim,. and thqt 1 am and will be individually responsible for any pr all P.Cto of the corporation with respect to the approval requested and all ppb, epquent acts relating thereto, Sworn t Signed p before -me this .16 day . 4 . I of c7W_,e 19Z7 Title j' N ANNA N. BURi!\11; NOTARY PUBLIC, STATE OF NEW YORK QUALIFIED IN PUTNAM COUNTY No. 4607700 Commission expires Marcl, 30, 19.7� PUTN AM COUNTY DEPARTMENT OF KEA I.'IITH Permit 0 1 Division of Environmental Health Services, Carmel, 1W. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley _ Town _ or.• .illage• -- -.. 0.Loiated at e el�cY l o fl ow' RU ad` _•�., _ � .... r _ ...°-Tax7 Ma P 7� = � ;'.. elock ` riot .- SubdivisionAl —Jay Cottages Co. , Incosubd. Lot a 3 Renewal Revision_❑ Owner /Address Ray Price PO Bx 248, Putnam Valley Date Of Prevdaue: APProval 07- 07 -83. Building Type 1 -fam res Lot Area 1.416 Fill Section truly d Number of Bedrooms 3 Design Flow G /P /D 600 P.C. H `Nm lficatio Required Lc in -�ggst. on s Separate Sewerage System to consist of 1,200 Gal. Septic Tank and d g tiaslnS �SDx�' Deep ' To be constructed by Se Kastuk Address PeeJcskill Hollow Rd, Put Valley Water Supply: Public Supply From XX Private Supply to be drilled by N. Anderson Address Barger Street, Put 'Valley Other Requirements I represent that I am wholly and completely responsible for the design and location of the proposed Systelrm(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance w-ath tthre standards, rules and regulations of e u nam County Department of Health, and that on completion thereof a "Certificate of Construction ComP-liamce" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his ccessons, theirs or assigns by the builder, that said builder will. place in good operating condition any part of said sewage disposal system during the pe r d of two (;2J years immediately following thedate of the issu ance of the approval of the Certificate of Construction Compliance of the original syst or any aepa3ias ther to; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be irlsfaRad in accorda w th,e sttmndary rules and iegu a� i onr of the Putnam County Department of Health. ( A. 7j late 04-27-84 Signed dW1M4WZdW5AFFA4-F0Fd' VIVArm"IdIF Address 11ubl:uu t- ivy e F APPROVED FOR CONSTRUCTION: This approval expires one revocable for cause or may be amended or modified when consid requires a permit. Appro for disposal of domestiDate ^ By G Rev. 9 -81 8 M o ac NY 1054 license No. '11056 the da issued unless corastrwction of t e building has been und,�(teketriand is ary the CommissI of i►fieaith. A y change or alteration of on §truetion 1 e nd /oy+ private v supply only. } Title y ,+,,.: - - c ""T'- '.- ..- `r'"�' ; „--- �"^-�-•t�T�, "� ”" 4 i .:..' . i. '. Lr rim �� - . � lOff1YIOODIf!!Dl�YZ�[IlO�� '. ;� _ Dllillt� riw��whl 9ul� MdeN. aoa�tl lI.T IM1? M per" r awlt 0017bl1 frti EUTwM VALLEY. `. PEEKSKILL HOLLOW` -"R s7�1Y' CQ'TE 3 _ 74 CO , I'NC 4 Ow�r /AAiea�t[Ialia RAY PRICE br.. V <r4/1;3/84: "' • c; Da1e'aI Ptealwa r. 0 BOX . 214 8 , ;PUTNAMVALLEY ,N �Y 10579 3 p� Datp Siibdvision: Approved Fee Enclosed'K� ATnnnnf " �s lyM 1 FAM .416 [Isite d`t�i 5 ;x S�G'O Daa1p Plnf G P D 1.0'0'0: ' PCB: Is �figi�M WYE PPS o�.�l.b +' u tit�� TT /' TT'CT Tf O_:i V -O 1 TTT'1T . M�a1a lnrw� S7wta �! etil r JO Sa�lla 11vk 1:rL- irrC�-I�-r�rza-.z-Pro- r .� : . HN ;LANDI PEEKSKILL;:;'NEW YORK 105.66 . li M f�laf�;b Adis... , waft Prr. n XX t SIC. Attitss / r ra�ra1W "I"t I,anl wtagy afta ton�pMtaly IN0011a1ON io► etw t.. nand location ,Of tIN prOpo am(pi.'1) ehat tt» . ii t - a 'a }�po� jt_' " attow dsKiitlN wiN M oai104d 0'i gown tM ipponi0'im fw""nt`tuwa to mitt in actoiga Of mw it tM shnslMatl, -ru ratlu on o pwA W/attttwnt N _t MNvN"' tlwt on eafttpl�tloftananota, i of Constructbft ofnpl nca'{ tatlafadorya the Commlaloftar o/ MMRllwlll tia s12�saNtasf b MA oaMHilm"..ansl a wr' fluaraiKaa w1U fumblNtl he oWM1 liis Italrs o% aslaws Is tM't►6 . tluit ialtl tm~ ww . (ltaira M ,pap MMattM i6M i n' Mty part taw fMraN d 1 syatan ut.MM tM pir of• (!1 YMn Nnfltati sNy filbwW4 tMAate of .the how •Of 11ta W .tttfJ at1MpN1 0l tow A hIftem of cook Ctbn C Wit of tM 1 syitafn• afry r Ms tM!atoi lY. ttN tMNNd wsdl slsae:ttllN aio� MII M loeab/ N, /tnww swi tlii a10 !10 tiMn a ttat wiO wW wI11;t1a M w ru «u t ai onai� —Of tM ; h¢4t1' 6.` 2 95 s - o t• s+p:e ..E';;MA.XX .:.:... 2 MUSCOO.T ROA NOR H' MAH A N.Y% 105Q Ns `11056 APPROVED FOR {ONSTIttJCT Ibis SW*al s pins two ywn t lat. i nNts •construction 6f tM twi10 fias' tn�ai unda►takM and is ,O"s wrPubis {or raysa er ntay N iiigintifasl e._ n1edNM0 wtnn conMda►aA tiY,.;tlia r1llpiglM "of FlrttR ,,Any dia or' altaratgn of .eongruetbfi NNiMaa a` M►mlt. ' A/poilar '10► s111p0,� 1 of sloniatk sanitary an0 /oi ate w I"M onH _ .. , �,. ;� pQQ Sir. IO /VV oats TNM PUTNAM COUNTY`:'DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re` Property of Located at .0. 2 48 Pin 1_ y (T)�(�j� �L�� _ Section_ -7� — Block' --Lot-1 Subdivision of -A .�/.�/• }}// Subdv. Lot # _ Filed Map # ____Date Gentlemen: This letter is to authorize_— or-(, -, F 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 coririb on .with "this matte "r. and to supervise --' e construction of' said system or systems in con- formity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam C iuty Sani- tary Code. Very truly yours, Signed Counters gne M23%, R. // - - - -- -- Address Telephone ( ._�Nd i Owner of Property ao Address Town - -� ��- s-3 l! Telephone DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Mr. Price Peekskill Hollow Rd. Putnae Valley, NY 10516 Re: Proposed Addition Dear Mr. Price: Acting Public Health Director May 17, 1995 A plan is to be submitted,.which may be drawn by the property owner, showing the existing and proposed floor plan. This sketch is to include all levels of the house and each room is to be dimensioned and labeled, e.g., dining room (15' x 20'), etc. At this time no professional services, plans from an architect or engineer, are required.' Professional plans are not required for all addition approvals. If further documents are required you will be notified by this office. --hf-�thel4- are -"arly questions-on 'the-above comments,, =do not hesitate to contact me., at Ext. 166. Ve4truly yours, 4WOn4,0 Robert Morris, P. E. Public Health Engineer RM/ j p w qt II 1. to i. it y. -94! - p c-Lose 0 T- L.A-- 0 %%-1- -A- -4 11R. Remavc- Wimvow 9 4, No TO---NEW 1AAL L wr 7 M-0 -14A ------------- ----- -- L WA -CL 23 �- �� MAP Off' S U/VN/NG i7 AL HOMES I ,/Cs i4N� T 4 F /c�0 YO)-- 19, MAP n'- �o ,C.OT 28 I GOT 29 TONE - .O^ POLO 00 UI N ° u vOER O JTa 4 JPygG J ORi ✓� -- Q� DR/ V-- Op " Both suR�.Er aF-� p�oo,E,4 Tr ,� SiT�!ATE /N �.o v rniAM covrvrr ��`- N�YV YO/�,t• Alt Di?A�mTS Go INS r. sr 'x, l rOl` w 7, "k W— vi, , 5 TAlk J.W tiTY 2 AYO(j Cal 4" v" f 1Z 4% I'll, 43 It �a 751 ?�° r , rt E:O , I,i 1 f l.Y TP. 11"'r . . . . . . . . . . . . . t: X V i A;y J PROVE 1 A 'EP2; A F' NtAlp R, Divisi Tit 9EAiT J