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BOX 34
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ot
ILL I
2 70
Coi+MY Oapartlrlant of FINKh,' a00 t
M. submKted?fo the U-Nonrnehl and
place -in good -01" atine condition or
ame of the, apogiiai�-of tM.,Cirtiflo
*W,bi IocahA'as shoare on the approm
tAUMy DapartwNnt, 01�`,,Ftealth.
oa 11 -11 89
Address
APPROVED FOR CONSTRNCT.ION:T
revoCabN Ior.CaNM 0a''iiaY w:aei�wld�C
raeuNas, a new Permit,. Approemi foi
Rev. 41.
/��!•",'
10/88
CA OJrt�}'fOf1 thereO`IFay to ,;of Construction. Complia4c ..tufaao.y. to�tM Conimisiwner. ofr kealth will
t ill Of f r tM owM► his fucpsaas, l»NS or apiyns by tM 'builder' that s&d buiklw,will
pM[t Y , AWinp tM pMNd.:Ot two I2) ywra 11rntNdNtNy foltowkq,thidAil* the NOW
pbl o�►rii N, _ M •'o►12ina1 cysts of any npiks tharato 2) thif tM diilNd w011 41646i10W above
4 n0 tM ill ba ,in.;aeo - rdanee virHh tIN standard% rule; end raPU f ''this Putnam
R.A.
ue.n.r nu 53 14 8,
\ f,f f► �' Orn too„ ±data sisfued unNts construction of too buiming has boon. undertaken and is
FIIIOdif Mte�YCy__by tMTCOminisfioneiof.,lfea h. -Any change or- alteratloe.Of construction
�halOYl of; sanKary sarrap ind
pr i *'water supply only. .. - .
Title
0
0",
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVI SION QFJN VIRONMENTA -H
Date 11-11-89 *
Re: Property of.MR & MRS ARIS PARASHIS.
Located at MILL POND RD. PUTNAM VALLEY, NY
(T) Section 120 Block .5 Lot 51.2
Subdivision of
Subdv. Lot # Filed Map # Date
Gentlemen:
This letter is to authorize MR. ARNOLD J. CELENTANO, PE
a duly licensed professional engineer XX
(Indicate T_
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 -su:De-r-wise-
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.
truly yours,
Signed
a
Countersigned: Owner of Pr$perty
P.E., R.A., # 1 MR ARIS PARASHIS
Address
MILL POND RD.
MR. ARNOLD J. CELENTANO, PE. PUTNAM VALLEY, NY 10579
Address Town
P,.O. BOX 503
MAHOPAC, NY 10541. 528-0246
Telephone
628-3292
Telephone
PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
{; .' - n. r .,... , , it .. -•. .t- r - -, . - r_a'q:..... ,. � .- :. . -. ..• i .. „o.•..
PROP SAL FOR SEWAGE DISPOSAL SYSTEM REPAIR
OFFICL4L USE ONLY
SITE LOCATION
0 WNER' S NAME 0
MAILING ADDRESS
TM# 4 1 /—/-3
PHONE �••tS 5 Z-
mv�0
PERSON INTERVIEWED PCHD Complaint #
Name & Relationship i.e., owner, tenant, etc.
DATE TYPE FACILITY
PROPOSED INSTALLER PHONE
ADDRESS REGISTRATION#
ro os (include sketch locating all adjacent wells):
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 C
d, as.owmer. or reported agent.of- ow.ner;agree to the conditions stated on tlii form:
SIGNATURE U" _ , TITLE C) Ub Mr DATE 0
.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 Aq-LS prkv-4�tGX4 iS c�r`t PP 'i D'V\
b. Site Street Name, Town and Tax Map number. 5comQ-O' ot6c'v.e- -4- �RLi'
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_
Inspector's Signature & Title
COPIES: white (PCHD); Yellow (Town BI); Pink (applicant)
PC -RP 99AE
PUTNAM COUNTY DEPARTMENr OF EEUTH
DIVISION OF HEALTH SERVICES
DESIGN DATA SHEET-SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO.
filer MR & MRS TARTS PARARRT'.q' Address MILL POND RD. PUTNAM 'VALLEY, NY
Located at (Street) MILL POND RD Sec. 120 Block 5 Lot 51. 2
(indicate nearest cross street)
Municipality PUTNAM VALLEY
Watershed
P 10 4; ml Q?j miccumoguo
Date of Pre-Soaking 11 -11- 8 9 Date of Percolation Test 11 -12 - 8 9
HOLE
NOMBER
CI= TIME
PERCOLATION
PERCOLATION
Run
Elapse
Depth to Water From
Water Level
NO.
Time
'Ground Surface
In Inches
Soil Rate
Start-Stop Min.
Start stop
Drop In
Min/In Drop
Inches Inches
Inches
HOLE#T: 1
11:05---11:35 30
10 3/4
5 3/4
5.2
— 2
11:45-12:15 jo
6.0
— 3
12:15-12:45 30
12 17
5
.6 .0
A
HOLE#2 1 11:10-11:40 30 10 18 6
5.0
3 12:25 -12:55 30 10 17.3/4 53/4 5.2
4
5
2
3
4
5
NOTES:. 1. Tests to be repeated at same depth until apprcximately equal soil rates
are-obtained at each percolation test hole. All data to'be submitted
for review.
2. Depth measurements to be made fran top of hole.
rev. 9/85
TEST PIT DATA ENQUIRED TO.BE.'SUBMITTED WITH APPLICATION
DESCRIPTION OF SOILS INCOUNTERED IN TEST HOLES
DEPTH HOLE NO. 1 HOLE NO. HOLE NO.
+a SANDY LOAM
1'
2'
3' GRAVEL
4'
5'
6'
7'
81
9'
10'
11'
12'
13'
14'
INDI_-rATE- -IgME ATP WHICH GROUNUaT:T'ER. IS E:�MMTERED
INDICATE LEVEL TO WHICH WATER LEVEL RISES. AFTER BEING ENOOUNTE M
DEEP HOLE OBSERVATIONS MADE BY: MR. BILL HEDGES,;:';i DATE: 10 -31 -89
DESIGN
Soil Rate Used 6-7 Min/1" Drop: S.D. Usable Area Provided 5,000 sf
No. of Bedroans 2 Septic Tank Capacity 1250 gals. Type conc.
Absorption Area Provided By 200 L.F. x 24" width trench
Other
Name ARNOLD J. CELENTANO , PE Signature
Address P . 0 . BOX 503
MAHOPAC, NY. 10541
THIS SPACE FOR USE BY HEALTH DEPARDTM ONLY:
SEAL
'• O;iW - J
Soil Rate Approved sgeft /gal. Checked by Date