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HomeMy WebLinkAbout4443DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84.14 -1 -16 BOX 34 Tm ifl L �L '•� ' '• 9 94.1 ti Y % inz Ge or, building' Heinz Gaver..Ince 119 :...,WWU4jn9 -Conatruote do ah 2 Qwwraberm bit-am U0.11, 4AP t ros 1, 2---story colonial 10, Geyeroberg Typo Lot wrlding GUARANTY OF SEPARATE SEWAGE- SYSTEM I repreaent that I' ax wholly and. completely responsible respon sible for tthey joc4t Ion, workmanohip, material,. construction and drainage o f the sewage system serving the ab i an described property,' - d that I.t has bean ove constructed as shown on the approved plan or approved amendment thereto, and, nd iA accordance with the. standards,' rules and regulations of the Putnam County Do &114 h6.reby*guaranty to the owner, his succoo- partment-o f Health, assigns, to n any part of pol heirs pj�ce, J4. good operating conditio a or asslig said system constructed by me vihich fails to operate for -a period of two _7ears immediately following ..the date.�of initial use of 'the sewage disposal system, any repairs - made, by me to -suck, sYste M., except where the failure' to operate properly is caused by the *willru , 1 or negligent. act of. this ocell- pgnt of the building utilizing the system. The undersigned further agrees to accept as. conclusive: the de, :termir, t f. of* the Division: of Environmental, Health.. ser� Ion p t.h Director ­- ':­­- the inI4 -D,e in P� -a t Z. -o L ZYE Ro" 41-083, r part. erit fAil.ure of the lsystem to operate.wao caused by the willful or negligent .(;up utilizing building u Itzing the syst Apt. of the o.c., ant of the Da t a day Of 0" nature akax -T thA q 4th e All, Tit lexkum2m President ho giVo name (if : corporAtiox Building 'Con 0 .9 and address Date 9/10/77 Heinz* Geyer - - - - - - - - - - hovers : hane, 4kanam Vajley gN.Y. THHE9 (3) COPIES ARE REQUIRED WITH THREE (3). COPIES OF FINAL FbANP AMME t PI CERTIFICATE OF COMPLETION MILL DE ISSUED. ?:,0VARANTOR, IS REQUIRED TO FILVATICE OF DATE OF FIRST USE OF SYSTEMI piv!004. of 41 al Health Services, Putparq County Department or g@al#x tient Ndme / �!� Pa Roselake Medical Laboratory r - u Old Stone Bldg; 21 Clark P,lece: Addressor= - Mahopac. N Y 10541 W n �:,a � -�: :gar: t, �:,.� •_ .. . _ „� T.o ,.a_ '� - 7 '�br- 3��a°+�- ^'�°�•"•- 5ye -...� ...s.+.n31... w... . �,�r'. : (71 MISCELLANEOUS,. Acgessioo # .. TEST REQUEST e .SPECIMEN— SOURCQ C. DATE ooNe TaCMNICIAN ml WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental Health Services COUNTY OFFICE BUILDING.= CARMEL, NEW YORK ;.. j we�3cirt. is't;; -b turrp eci y: �. it ;;:a14E: and sabnitted tc- County-Hea th D-apartmeni ogether With i"oratory report of - r analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAM f ADDRESS �® LOCATION OF WELL /(No. IrStra.0 (Town) (Lot Number) PROPOSED USE OF WELL BUSINESS DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑TEST WELL ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ OTHER DRILLING EQUIPMENT El ROTARY ®A COMPRESSED CABLE R PERCUSSION ❑ P RCUSSION ❑ (Specify) CASING DETAILS LENGTH (';at) �) DIAMETER (inches) WEoUHT PER FOOT ®THREADED WELDED E OE YES ❑ NO I G ? 9YES NO YIEL TEST HOURS G.P.M. ❑BAILED ❑ PUMPED COMPRESSED AIR 74 7 YIELD (G.P.M.) WATER LEVEL MEASURE FROM LAND SURFACE — STATIC (Speclly feet) DURING YIELD TEST fleet) Depth of Completed Well OO in feet below Land surface: SCREEN MAKE LENGTH OPEN TO AQUIFER (feet) DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL PACKED: Diameter of well including gravel pack (Inches): GRAVEL SIZE (Inches) FROM (feet) TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET ... -. ... .... ,. .�. �. •. srT�`•. -. \+f —, �... ... �,.+. r.. _.. -� n (/o / , JKV—� s. ... ......v ..tom .a- I.r ... _ \y'_r.... ... e.,, a ..- ... -�.. w+ rsrr r.- T-7 If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WErZA, PILE ED 1 DATE OF REPORT W R gat ) AS 6UIL PLAN NOTE -il JS J5 ('O CEP TI V)' Tk;,4 7 5 1: A 6r J13 I- 3 YF -EAl 'PUCTCI,�' A,5 7 WA -i C ON57, ON :T N?, -A AND r,14AT T14E SYSTt';Nl WAS INSPECTED 5Y AI C Far r WAS COVLPLD OVEP- THF- 5YSTEAj PIM5 C0JV5TA,,i. IN ACC09DANCE W11-14 ALL T-",E AIULE5 AND REGULA O/Y_5 OF Tfif-. PUrIVAM COUNTY 0/-- iiP.-A E-XCEpT1()1V5 70 7-"E- A8L)VE, if- -'ANY NOrL.L) BELOW. TY) AS 8UILT PLAIV OFSiCK'AGE DISPOSAL SYirCM TIE Af EAS U M RCENrS GA ri o tv 4-6 47 OF PUTIVAM 'Y -1 I' 9 OC I C, Z- DIVISIO14 U so" 'j PUTNAM. COUNTY -DEPARTMENT OF HEALTH Division of Environmental Health' Services, :Ca rmel, N. -Y. 10512 CONSTRUCTION "PERMIT FOR'SEWAGE DispasAL SYSTEM Town- of, Putnam�Valley Town or Viage. La apprgx, 800 -f t ll S,out - herly side Cindy s, -Lane Subdivision Geyersberg Lot to Job 1072-5Pe Owner 'Heinz Geyer, -Ind R D. 1 7 Lovers Lahe., Address Building Type _2 s t y dwe 1. 1 ing. Lot Area 44,017 sq. ft. Putnam Valley., No Y. 10579 7. Number of Bedrooms 4 Design' Flow 11-15.-minutes Total Habitable Space 2375 —Square Feet e Sewerage System to consist of 1 500 1-.- f. 2LL- inch trench Separait' 200 Gal. Septic Tank and To be constructed by William Albert. Address Route,6.0 Mahopaci W* Yo Box Water Supply: — Public Supply From X Private Supply to be drilled by Anderson Well Drilling.,, Address -Barger Street, Putnam valleys NY Other Pequirement Install curtain drain and swale as shown. on plan..: Comply with a q requirements as outlined.on sulVilvision pt4t and trite6rated plmi I represent that i am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there t6 and in accordance with the standards, rules and r egg lations,77 Fe—PUT—nam County Department of Health, and-that on completion thereof,a-"Ce rtificate' , o f"Construction- Compliance- satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, -his successors, heirs or assigns, by the bu ilder, I that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following the date of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above will be located as shown on the appioved'plan and*that said well will be installed in accordance with the standards, rules and reg-u-100—ns-of the Putnam County Department of Health. Date June 22, 1977 .1 d k P.E. PE— R.A. .burg s$ P T) Hor'sopouna Road, 1, N. X. 19�V 9845 Address Carmel, Ile No. APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued . construction t, . of the building has been undertaken and is d r f revocable i6r cause or may be amended or modified when considered necessary 'by the Co mission h. Any change or Iteration Lfconstruction r requires a new permit. Approved for disposal of domestic ar s age, and /or 'i to W t supply only. tu Date— By Title M3 e4 PUTNAM COUNTY i. Wal al_�r��;;� DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. .10512 DESIGN TATA SMM-SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. 1072-582 o R D 1- Lovers .Lane., PutnaffiValley,-:NY ', i ., Heinz Geyer Inc. Address Cindyts Lane Sec. 119 Block 2 Lot 10 Micate nearest cross street Town of .Putnam Municipality. Valley New York Watershed City A SOIL PERCOLATION TEST DATA REQUIRED To BE SUBMITTED WITH APPLICATIONS Role Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to water Water ve i No. Time From Ground Surface in Inches Soil Rate Start-St6p Min. Start Stop Drop in Min./in drop Inches Inches Inches 1 10.10 10:21 11 24 25 .1 11 Minutes 210.- 23 -34 10. 11 .24 25 1. 10:35 1-0'.45 10 24- 25 1 10 4 1 10:15 10:25 10 24 25 1 10 2 10:27 10:48 21 2l. 25 3 10:50 11:01 11 24 25 1 11 4 2 3 4, 5. Notes: 1)' Tests to,be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole; A data to e submitted for review. 2Depth measurements to be made from top of hole. i ►�T�+ T L1R T�� ..... ..Ci�'. .sC' -'• -,.a W,- hd- 7fdra.T:t4dClmi-A'- .rtiiL'aLi;T }a�:l:f:Ei ,.a.`J11A" 111„ 1/ t�•.¢ �L�rl'vlals'L`91'YmlVi°,- a- c'i;T. -.... ... "-r'.* i 9 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 1 HOLE NO.- 2 HOLE NO. G. L. 6" Loose sandy loam .Loose sandy loam 1211 " rr r 18" 11 it 24" ,1 „ 30t1 3611 n Ir I 4211 if - if 4811 Sandy Loam with clay and small stones - 11 _ 54 11 rr i IT 6011 " 6611 IT 7211 811 11 " INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS Burgess & Be P. C. 7/15/74,•7/19/74 MADE BY , Date Soil Rate DESIGN Used 11- 15Min/i "Drop: S.D. Usable Area Provided 5, 000 SF+ No. of Bedrooms 4 Septa Tank Capacity 1200 Gal Precast cone. O °FW Absorption Area Provided By L. F. x24 �� t � end . ,the .Name Roy a. burgess brgnature � ._ t Burgess & Behr P. C. '= },• Address � ' SEAL a Forsepoun Road Carmel, tis < 4.9 ��• THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal. Checked by Date 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 systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code'. Very truly, o sf Signed G' ei'e�re° c. Countersigned:. 9845 bane AA dregs P.E., R.A., # Put$a valley9 N. Y.. LAA �4 Burgess & Be hr. P. , C . Telephone Address D 8 - Horsepound Road of :� Carmel, N. Y. 10512 s���� � �5 ®3312 Telephone y "� v.-„ r-�. x .n,'!+. ;m%v a�.,,,� . ra. :�";.- ":�e•'S.� �47�,_�� V' vr. s ....r .c + �¢�T> . - -«wn. 7e _ '� Wr�^4�-a- .�'C r.^'.: s.._ l - •o- t-.. "CAM^- r..•;nac'� =' �4+ cn PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _. 'June' 14s 1977' .... ... Date Re: Property of Heinz Geyer, Inc. Located at Southerly l s ide Cindy l s Lane �. ° U.' lvisloT o Section 119 Block Lot 10` -Gentlemen: This letter is to authorize ? Roy A. Burgess X a duly licensed professional engineer or registered architect (Indicate) to apply for a Construction Permit for a separate sewage system; to `I serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code'. Very truly, o sf Signed G' ei'e�re° c. Countersigned:. 9845 bane AA dregs P.E., R.A., # Put$a valley9 N. Y.. LAA �4 Burgess & Be hr. P. , C . Telephone Address D 8 - Horsepound Road of :� Carmel, N. Y. 10512 s���� � �5 ®3312 Telephone