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HomeMy WebLinkAbout4489DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84.19 -1 -22 BOX 34 �ml Sol ' I,yL I I m , N �, In oil J � i� I T I.'I 16 ` 1 j . , 1 ti '� �L I PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OFFICC A`L USE ONLY SITE LOCATION �7 61 V 00, OWNER'S NAME 7149ifid — MAILING ADDRESS ? #Vvd 64,kt PERSON INTERVIEWED af l oyf4V . al ' (C41-74-) PCHD Complaint # Name & lelatfonstup ki.e.,Nowner, to t, etc. DATE 10 TYPE FACILITY PROPOSED INSTALLER At' ( '.(/,(i c gAJt1d , &qtf PHONE 4?IY- (F1J 4J7J' ADDRESS TRATION# Proposal (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. M as Avvxier, +r SIGNATURE to t4ie <r_dita�ons stated =on °this fo�in._ _ �.- -. %_�_ -_l - TIME ®� DATE v AL' Proposal approved 4dth 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 b. Site Street Name, Town and Tax Map number. 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 99ML • 1 -, �rzlr/1 _. 9 _r. -- (� ` ?� �' __• -- — }' 471 9e'_ - ,4 ;:. �L A � � : � –'� ��DQ r -.� - •fir col of �fw - --k.1' � --' •�, cefr wra ��a/, �;,m,o �o .�� groom G_� ��.s�i.tas % .jJ��.� /Aj ✓p`v r!'.vrr>•: / �tr�/Fy gig- i� , -.A .— ...,Building.,-Type: coms-T AUP-v ION ,--Water '.,Scjp'l p Y:. Other -, equirem lirepreient• that I above -described, Cou ntv:_ D epart rT V BRUCE R. FOLEY Luke Mignano 3 Blueberry Lane Putnam Valley, NY 10579 Dear Mr. Mignano: LORETTA MOLINARI R.N., M.S.N �. .. fiK; soei (�fubfit';Nezaltk..Directgr: Director of Patient Services DEPARTMENT OF 1 Geneva Road Brewster, New York HEALTH 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 February 24, 1999 Re: Addition -. Mignano- Blueberry Lane No Increases in Number of Bedrooms (T) Putnam Valley Tax 4 84.19 -1 -22 I have received.and reviewed the plans for the proposed addition to the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp form this Department dated February 24. 1999 The addition is approved with the following conditions. 1. The total number of bedrooms must remain at Five without prior approval by this depagmpnt "'2 T"rie area ofthe existliig "sewage alspos`aI' "system; and its expans'ioii'area, must b- e-- w- maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of PutnamVallev . If you have any questions, please contact me at your convenience. Very truly yo `- - -� - William Hedges WH:kg Senior Public Health Sanitarian cc:BI DEPARTMENT OF HEALTH Division of Environmental .Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278 - 6130 Fax (914) 278 - 7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) BRUCE R.. FOLEY STREET 3106heXeV TOWN • VAAA TX MAP # NANVIELu AA11Vle fj�/�9WWINE 25 VVCHD # o� 9 13.4_ _I_, • 1 W l- DESCRIPTION OF ADDITION_ -/ 13 e_0/900A) - S�r.e. �1 li ✓« f ���'' r NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING NSPECTOR) *Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Pleaa "se 'subrnlftlu's form and -thF following to Putnam County_flealtlf Dept.,74 Geneva Rd., Brewster, NY 10509, Phone 278 -6130. 1. Certified check or money order for $100.00 X 2. Sketches of existing floor plan (drawn to scale, all living area including basement) * Non - professional sketches are acceptable 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) * Non - professional sketches are acceptable 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments Feb 98 b 4P DEPARTM[NT OF HEALTH : .- Division Of 111viml-almit.11 •calth Servicas 4 Geneva Road, Brewster, Ncw Ycgk 10509 270-6130 Putlialli Coullty Dept. of Health 4 Gertm Road Brewstcr, NY 16509 Y' RcsidelIGG Tax Mal) V. fawn 77. Gentlemen: UAVCE it. F014Y, R.S. Acting Pvbt►c linal►l► tjo,:16, According' to rccords mainliwwd Vy the Town, the above noted dwelling is in Cojllpjijjjcc with'rowli code and the total number of bedrooms on record "this iliforlmation hay been obtained from: uwrimcAn 01-* OCCUPANCY: ------ ASSESSORS RECORD: OTT IER TO ---1L3vd Ad -10 Nmo-L 0ETZ9ZGVT6 SE:60 6661 /TT/Z0 3 e Tron'r as -0o COUNTY DEPARTMENT OF HEALf-H HOUSE PLANS APPROVED FOR BEDf COUNT OviLY; S {gni FufFi & DO fi tii f{ APHROZTE ,CONSTRUCTION 'CO. , INC.; (T) Putnam Valley' . wrier �o.r u�rc 'user 'o u-- in Muni c 7 aay •owner,.k-s_ general Contractor and :Sanitar..t. System nstall�r Tax Map 120, P1. II „e - c., �..±. : � My. � � : - ..: ,,.+.: p -- , -ih o- b�.s a, .,• ,art : Sr.,. chi I� rig ons> r1:dtF-d by '6ot ion R ?11 Pond:'Road C lueberi'Y. Lane 5 oca on - Stt46t Bloc 1. family residential designed for four (4 bedrooms g ype GUARANTY .0F 3fJ1'AftATE Sr.'.lAGF; :XSTF;19 }' I represent. Liiat I air, wholly and eompl.etrly re ponsib]:e fo -r the location,' workmanship, r:H T rial , corlstr act 10 and drai:tage of. the sewage 6- 41* ,yst3m sry � *i r,, � diap aribt:d p:'jpe ty, and. that it has -been conStritted,as shown on Lire anr;''cved pia.I: ol- app,, :ved amendment thereto, ar1C iTi BCGOI'tjA -ice With 1:::c; s *�1n:it1T'';J:i, . . C5 a: ,'. ': E: !:Iationq of the Putn: &'m CE1', tty ep' &Z'tYTl�;ifi 'Ci' f {c %ClJ.,,. , Gil :,� <2` , G 7;1 i.'�l:? :' c_ ;iCt ciW:1Hl', his suc'eH ®- sors, hei:r.s or assign. -I Lo r..ace irn rgoot Vopzrat;::g condition ion any part of safd cyst ®m - corrstruct ;y ItiF,� '.', :ic?1 fE :l:J 1, Jt ;I`8 v? iOC' c1 p °.rind of' two years i',rhme diataIy foil nor t;a dac , of irti r:i a? ass or ' r sewage disposal 8y8 60n, Dior any rap, ?, ._ by t',, except where the failure t.o. o er,ete, properly "r n::-�g) igen P p t. act of the occu -- pent of 'tthe bu1.1dIr�g t' rINa t 1The 2 ders:g c.i 1 , ive the de- ter'mingat un cf `.he ;.� ;fie c tcoi of �:, ii v3 s i ,�:. c,,_ �... - ?n_:iien ;a.l Health Se'r V. of th:: P.ttr►al =i Coul:ty L�epar';.man of Hea th its ;� rait; +:y;a» or not 'the _fa lurO;, o =f the sy9te,m opera!:e was caused by the wi ±.i.iul or negligent &ct -oP the occupant of [;pie building utilizing 1-1,,e sv :ir m osep arinell?, Pres. for Aphrddit6 Cons action Co., Inc. gigned as both Sanitary System Installer Ti �i� � ll Street - R1i'D 3 arid. Gane'.ral Contractor= ! -o ^poraL ion, g vie name s r-, C1, a.ddre: s } Putnam Valley, 14aw Yor_l 10579 THFi � ( ;) : i✓OP I : 'A'iF s ?:,�!,. +;� U 7J i T i THRL� (_j ) C�;i %"'S OF FINAL PLANS BEFORE ER OF COMP ETI()N WILL, BE ISSUED. G,UARAI+J'gR. is i� :QUIR TU FILE RQT CFF QQF 2ATE J FiiiST USE OF SYSTEM. Division` of Ehvirorur:anL,.i. Health :,ervioes, ct..tl.enl Couni;y Department of Health ' F , y r A H." T E_ iC_'0N T RUr, T10 11.0. INC 0 �Ftir` Ge - C on . tr a: 1, dt'. or and -nstall&r.-. ;,' ' 6nafruc t E, d y R'a'd. e 0 !y'-'Lane residential desi3ned for drobms (T Piftnam Ala 11ey Mu .--..---Tax Map 120 Pli II t nict o 5 oc r 'ot GUARANTY QP SEPARATE :Sl:'.IAGE "iySTEM I represent Liuit I ain wholly and c0,..mpJ.tjtrly resiponsibl:e fo•r the workmanship, ­S t e0i," I , cOns Li-lact loi ar!d dralliag.e of. the sewage P'.sy'stam servL.i,,&:- al_Jova describt.%d pi-operty, and that it has -been as * sho app,­�:!,,red amendment thereto, al on t,�ie approved plait corda:ica with stij n ,iarJzs, `. -ultjs a-.--,,') ?`E;�!ilations of tho Putnam D a . — I , , i. r . - owner, his suc­des-r -r.s, or assigns, to pia(,8 in gocj.,, - g rofidicion any part of ope i�a 1_1 S`t`em constructe..], ',;y m�i ../Mcli faij�j ii:) ifor a period of- two V_ .4 A- -I r -I i Y e. �Ina sewage disposal Boa I?, system, 6 r excent- where the failure any rape pe by Y�ie 1,10 q tic ill 3 y 0- opera -e properly I i:i i t -h e. 'of i 11 f 1 r-t-_ig-'Ligant: act of the occu- 'pant, b u 11 d i ri is ti, system. 'The uiiders'lgnu,i L A 11� R­VeO:, TIO a - , 8 can -ve the de-, tej-j4ijh)i,t'ior1 of `•he of r) Vi s i c,', Heal th 36,ro_. 'vi Q 6,, 1 ti, as or ;,A hte P a t, r i a t, i 0 o u,,-- f y Departmant of Health not, the -failu r e'-, f. the sy")tem ®r p e3 ra 1- e was caused by the wiliful or negligent `-e, occupant of -ip t,_, -f-, lyt h 0 builiding utilizing epla ar I Pres.- -1-ar _.014_-__N ave r Mber .3 for Aphrddit6 const!ruotion Co., Inc. gigried mill Street D t,, Tt, et - Ilui, 3 .-'j" both Sanitary System Inataller °T" corpora -, ion give name ana-,Gen_qrdl Contractor:. a. rj dir es S Putnam Valley, Raw Vork 10579 - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - co I, A 1� E R Tfff(E.. t 4 WAMI THREE (3) i,6F'ES OF' FINAL PLANS BEFORE IZ WILE, BE ISSUED. E OF COMP; ETION W U TQR.,, IS REQUIRED TU FILE RQT Cii OF DATE OF FiiiST USE OF' SY3TEM. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - D 1., 416 Health �c)e 'oun'y Department of Health ar i V. En v i roraya n Pul,11,411! r, dkE A'l 40 j 4 From'' door I di Vii 1 PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDRO GOLIIINIT 07,11LY; -1Z '5Z Signature & -111;:, Date r. att aE AQ, 06 is DEPARTMENT Of HEALTH : -- Division Of 111vimimmital Mcatth Sew * Icas 4 Genmi Nmad, Urcwstcr, Ncw York 10509 (91-1) 270-6-130 Putnam County Dept. of Health 4 Genm Road Brewstcr, NY 10509 GwIlemen- WIVCE it. FOLLY, Acting Public Ilaalot u.,•:j6, B R (k y LAN L- RC5idClICG Tax Mal) Of - I - Town According to rccord5 mainlaincd Ily the To►►m, the above noted dwelling is V In . 01,11,11,111cc witliTowli code and tlic, Cowl number of bed. rooms on fccord 'f ilis information has been obtained from: CC-Rj-jr-ICATL- Of-' OCCUPANCY: ASSESSORS RE-CORD OTHER Inspector TO BVd Ad -D NMOI 0ETZ9ZGVT6 GE:60 666T/TT/ZG n� . DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 BRUCE R.. FOLEY - ^Pubt c '�lziealfr'i " Director "' PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) STREET 1310611eZeV L ,O_ TOWN TX MAP # NAME LV - 9(.d AA1i41l /4,641, 4DNE .6 28..,fly 7.(PCHD # MAILING ADDRESS L,9AJe. 1,;54711. y DESCRIPTION OF ADDITION_ / 13 c°Gj19O4.41 - �S�,c.�, ,� �'��c.�: �i ✓�k S ��''' NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Pleaa "se 's'ubmit`this- foriii' and -th, following to liutriain Coun 146a1 Dept: 4 Geneva Rd., K -� Brewster, NY 10509, Phone 278 -6130. 1. Certified check or money order for $100.00 X 2. Sketches of existing floor plan (drawn to scale, all living area including basement) * Non - professional sketches are acceptable 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) :f * Non - professional sketches are acceptable 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments Feb 98 10- BRUCE R FOLEY \� � LORETTA MOLINARI R.N., M.S.N. .'; -i Fieaitia . D+, is�r. = .. °. e �,... �; . • �. :.4;socit�ribfis' _Nelalt h Dtrgctor . —.� 6 Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914)278-6130 Fax (914) 278-7921 Nursing Services (914)278-6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Luke Mignano 3 Blueberry Lane Putnam Valley, NY 10579 Dear Mr. Mignano: February 24, 1999 Re: Addition -. Mignano- Blueberry Lane No Increases in Number of Bedrooms (T) Putnam Valley Tax 4 84.19 -1 -22 I have received.and reviewed the plans for the proposed addition to the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp form this Department dated February 24, 1999 The addition is approved with the following conditions. 1. The total number of bedrooms must remain at Five without prior approval by this department._ 2. �.. — The area ofthe existing sewage a sposaI -- system; And-it9-exparsioa, area ; must.be maintained. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley . If you have any questions, please contact me at your convenience. Very truly yo _ ____- -- - - -- - William Hedges WH :kg Senior Public Health Sanitarian cc:BI A 114 aS AIRT bI Hi4i f Y M LAUD y, fA /R t ra'�i yp'�Y�y�[y' • . i' 3 - A �.r «i114101 v'Vw. _ {; � _ !� A��?a_ ii1� NAY% - 1 te114LiQ1K it It �IIGiNN R .3d1k4� ` /t �t �p }i �./ L' L IM" «, _4014 'Sll"ime ". t i i F.it' FS Ri •� F # - u3� +�,C � , liiJ +J •Jl •. F'3� lilS �,. Sf ' .R'+F�.43f Ji.T'F. U .[X 73f 00 i ". .� 3:X " . - , • #+ ''y - ..�,z. i y� tea -�y� 4.� a dri -A€� e sc i d. ,C n t3. «► ` B1ac 4; ' - Tot 0&1 7,.'i t} R►t stew York Ai Sy4t @l tt on 19tH r � ''„4 t3 3 rah •) C, �a�s, w i . I 2w e l.1 vns 're co ime :iii :. in a� L fpc t a f . �.. 0 �'t�ot ' foft w h k r' ms�Ci to tx:p + h o �r�.�.."` `8`bt. the p ;,'df3. a of th8` Sy el iri Sit cordaae� Mr3th 00 " a t i code, end ' z i rst� .e rtre+��tk�, �2�d ode a ,port :4f, thig 3 cifioation I�:,� 3 '.' t "; 'HF.� �`�.C8 +tit` . ti t o, p c0adurX'ga4t 'for 1 " �'� tip .•. � . ���i� �Y1f� , u'i.y.gswz� .the. work 't+� -:b+td C.+ 'lea, o, Iw #st#11041 wtt,h`Ahe:* rtbWk f "" � 1 ►lk j t 3t ► Ef 1► ..: t :� .v� s . i off` Fniirbn"atot e 'ith 5 r�it�e�, the Neem York 3tsto Dt. rtmeht' o- �� It ! Dlyis�.bnl -, te pt?k��r .', $yste , s "" nt�t 'b# .b�►ckt IIod, an, I�. la�tspect+�d `b� t X78 tea be cram i ed p 0:11 .0 :a ft i�'St �:� n ,��am �� �►nae 'Cer ics � :. ". �_ _ P " See n t4, C@tiu S .Dope a ' . + t `y � I,� t� _ 3 g �A' �Jt � rF �. 1.�'t G F C;' d' �5° ` °cs` ?L7,'Si.S'3.7r•Si�iFiLi "__ _,.. *'o' OxWe .}. "OT: Add,.i}. L _jr 'ty'pe�3+�t, e`�e�ene t[eA Et9rT1R' ND M4,161` 9ROL .. Stg .iJi . gs'pubt-i-sho0-- V •'. e F)e y S 6Y k * \_M' rta a t ,t3�`I�f ��► �s is ,w�.s n '� - S# - ,taz"y n ,pine rin r ' dnd r-in Inc `' f , U + ter :titer r vis�:t�tt thi rO` ar. Attsntton ls�;p�►r. .cu'1.4r'`LV' < WdCh nv t d td' t t i p re l sad ,. + e ii-► °dsta e 'first : Ater : " r t auc+ i .ct ols ro. the grfnt ig. af, the ' -x t ,� 1 A"iiso pi ipli �i � Ptu b .n , ?r i °fit aiafl + ter G4rmoc 3C}2i try: SB iti `�'$n _ VP 6 �`jr cal . Conc rtt�e ��tpL� iv, Tatrk tai $ °P.istilbutio toll Dotpil f i 19. 1 At r doll rot G eo • latest .pr rtnc,' -of tb *' publ .cvv :tons for revisiotj a:.tom Bsoi"a® d i, � �t err ±� �y a� y. f "tir`T 5 it c 'L ��,Ri` aL rP, '�i " u � i . 1w�i .v'tABy. F efereTice ' ble j( , R1_LE.S..dC1NS' �3�' AND., Ofi�SU�iiFr�' `. f 3� SYST #D " RrCo DATI NS OR THEIR PR'O R " KA TE*.l 0V ' blished by th, 0: Odtnat County I*portment of Rea -ith,, € iv' lisiab, 'of, 'k 3ykyt r Cq s stiff thy.° etXS�y+a ttg d s %y o th y3` yt� q,, �g �*# bate .:tea k tr Ut a •: , tL i said �i� L L�'�l� ions s�fi '� t'����i�..i�to R � MAL SpECUICATI0 W"09. ='FORt : ds - -'Lot : She ®t � . of h. ,` Wt,, cuts shop drawings, and /or other descriptive literature, p x' sa pe.:apAicable, are "to be Submitted for approval before: instal t3o system; fore cast iron and points, septic rank - ti h - e ,overfto 1�ox a d or�:d3str �a tignz � , i�Ya t°ed ipe�' Cru iced � pp s b-i :. edra'e l °, °etc. Also, if a curtain drain is to be '_instlled, Yt "s .coin dnent its i. e. stone: etc .are to haw.e a o r to fr W { informati:on supplied for approv .4e ^here are no. we1']s less than 204 feet away ` ",at a `loaner eevaion 1A 4"; aF the direct line .;of drarins►ge, nor :within 100 feet a,t a higher elevation, fro® the pcopose,d sanitary disposal syet ®isi location. - - r t r �4 J� Should • >unant cipated ledge rock, rind /o'r n -non- coaYorming grouad , eater tab Le occur during construction, .use filt,- and /or a curtain drain, to aiain'tain state standards. Note that the area reserved for the seae'age disposal. system can igace'�immo.date the tile: fselds and over 50% expansion to ,the. system still Mai the ` required setlaacks and separations. All minimums (as can ba' scal:ed' froia ' the plan') are :just that; •3n °ny:case moresp� ratio r is`.e'ncourage<:.: f *y 1. Roof sad. footing: drains are not to be discharged in the.:vicinity.. of the,- sewage dis:posal:systam; and are to be- digchargad .to grade. If:-a y Mr curtain- drain i.s $hov�n on the pla$, said drains can b' routed into `the: curtain- drain: however Maintaining the require °d offsets Troia the t. , t• _ ; r ^ v� }�- Sew:ag@ = sys.tem •. .. _ , - ... a �k� =m. Mouse is to be positioned 'high' enough' such Tthat waste can flgw , by gravity from the lowest house rsceptac16—to the. septic tAnk, and thence. the boxes) and ,.laterals,.n �%ccordance' with the. grades .,.in t:he Code; and ins conformance with: the invert elevations shdWn, or scaled from the 3L A 5i - � , plan ,and rofiLe.. ' � s �.. �r ACeIMM{JKr 1hAyE HEEa . 1, I .. ►driled in aocor ance with she applicable. rules Of :the.- k Town and County. Bacte.r:L test; pumping data, log, etc are ttr bvi--� a i Furnished the Health':Department. "wy►+ r = h Yo. t;riq.ewa'�acces t,o tkie dw�IldCri is—not ;to encroach upon, or intern fere with the Brea reserved' for the system. The .sewage di's'posal area. �{ i4.-to. .be thoroughly-.cleared and grubbed to remove all 'tree roots and. ,u`r`ge boulders as might interfere' with tiie installation_ of .tre system. ' Hovuever, no topsoil is .to be :unnecessarily removed' (stripped ), not 'is rthe, -- -area to receive 'any more regrad�in than is. necessary.. { p CuaranteA;s; required by the Health. De.pa'rtment s're to be signed; three 'copies each, by (S) the. g&n$re'1 contractor, and (.2) the :septic.. s stem installer. It is the res onsibilit' of the aneraL contractor. Y P y g: tb secure the necessary ,paperwork from the septic - inta.11er, , etc, and: see- �tbat same is furnished t'o the. engineer for 1 > < traAsmi tta.l to .the. Health Department' with° liis required informations. Note that the be�ner can, and sometimes does, act. as general contractor in his oWn behalf• . The f low scheme 'is as, follows: , A,11 flows,. including lauridar . wastes q ,. . g y - :l 3 "are --to pads through- the septic t*X where the solids Ott le " out.. From � ithere -, the" settled 'sewage flow passes into thee first box, :�vhere it is distributed into laterals, and- any •overflov� permitted -to flow into' sub eq_uent, laterals.,.. etc':. Provision—...for expansioLn ( future )- ii the l 'i ford .of additional la-terals:, i s as shown' on the. plan. For any ration distances that are. not known, or.: can't be. scaled "; from the plan, consult the design. engineer or the ..Healt1f." Department; Diligence is to be ,taken in setting all components of the system to flows' are be lan_ge'd - inverts, a r r -fate ;etc._ : s r - Txr - ` `�fi� a She Of � � a x tests to verify :same: AttemtiQn .s to be` paid: is 8ett3ng t'he septic to, ver.3fy ,that the plug `iU7­1 e iottoa of the tank ``rema'n `in gyros n. should lie: grouted:. Yn °t%efore 'the . ho,uee ',,c onaa:ction iA: t6da. ire "'s ka �, is tgoy b6.' inR orm® n� th�ges�q_}io�i tas of the cast iron, at n ca t�n scy -tia A v e.e r A'�vIV V V iL47'iP " ' Y"7 Y3'VG1 -1 I AL,r',"i x view of proximity to foundation (foot,ng) draaec, and;.curta>, n dram:`i ya =a a plidab 4 : The:: fo©tings of, all hoxe`s ere to -.be eet b lour the °, raet Enda' of a'wlt laterals are to be plugged =_ {s£ t. All c©mporxente� of ,the septic st stem are to `.be accurately_ tocaterd Eetakedj t�, . °prec=ud'e pccipy.ng spa °c nteaded :fc�r otheree.er -and to " iaAts-in re:cua.red oi°'fset ; <isnce's fr..am' foundation, pz�operty lines', spaee `batweext -era- le, etc. f u. In the event `ha'- tie house, dell;, Oar 5eptc system ®oad.siliif ica fly Sthe HeaL'th ,I?epa tmee:t ee ery s the right >to re:quire a new san Lary d�iposa_l design, 'togethe forations be. sulp .tte�d. , ;Before apY -:6, hange is cOW e�rgla}ted, deck with engineer and ; or health dep$rtm nt should the:num er of bedroo crease s be ded to LaseQ than brae 'f�, '.there w' %11 tie no further `dowrui�irig of the system perui5tted. , ­v. ­, Tapograpt4ic aformatiort� deep and p�ircla'ta�n mole loeatianss, etc fby t3�eodolite /tpe�ea`dia ttt�ethflds'. Cp2t engineer for bencrk 3n. ormati ©ns.8e filed :map �c Integra a plan,, 77 { w: JThe xpa�mum length of zany 3.ateral is 64: 1. f. untesa otherwis® appro� d.t r t x. Rio *'al rianoes of the Health Gade are requested or require. Loc ti4 of :the Feptc tam can be altered to . take'; ad�tantag! of the Pest gnsb�» is cdnnecton to tie 1-11 ng; howeu ®r:, the ,,roper oPf;set distances r are. ,t.o. be Maiatanet S y, Septic system' insta LLer . §�to to te,phone - 4m. engineer aA the, tmnt whey tfie total .:dispersal 'syst -em: i` ready far, ' inspection, :and;aft thete't zs_ Vritted Eif apptcabte). Befar any fieL inspection is :salted ft?r`, both items of work sboutc tie ac:comptis ed en solo i.. e. the entire saga tart' sytern s ho u t have been into t L�.d, and;, the wal: dine to< the:: house 8: houtjo have been routed `..ta demAnstrate �. ({ there 10 Avi mutual interference ar encroa'.chment, with the'sa:niary # +ystem� Bohr theealth'i�epartntent snd the design" eng:seer wilt t. #t#mpt t ct theyster wii.hin, 1$ .hours "af telephoned natficati m. = e ' to .the "averit t%et a �tete,plzt�ae ea�lt is'_nat posebte; it,:s eggeeted that writte "i r�oiificat3 ©n he :f�zrnished ta:. the ;address df the engine -er E se'e' plan adjor: sheet ], "a f-`'thie� specif cation),' end to the Health nepartment (se,e cangtraction ".permit f:orpn for addre:ss). I :additional a .propriate notes on the fg1l ©� try doaumnnta "fib d a�it}a the Gouxity ` {1 ` at, the Cleri Js "Off:ice - puik, �Iap at the N", ' ilth Department `: 8 :two page;,pinteryated yiot,p °Pan.: f�proh e}f 1:3ts_are,.:to be fux°ni$h ®d @pith a c�+op%� Q4 tke a47ove t�WO 4�Eioumeritt� ` fi Tha dee:ign :.is predieated::an 'the home plan: fob a dour bedroom fi, dwell3:ng par p 25]. sheets thru 5,, of 5, bg` H0 lE Ft"AME S' ,!;q AS SEALS "'BY fichigan ah.tot Prepared by: Irding r ka'CC:. t P.. Mc ugh , P.E. , L. S. `� rk St;ats License No, 4'.13952 t � , - ., ... n �'', - ­ . _­ . � 1� IF, " I , - - I I,�. , , . . �'p 1, - ��,,� �.,� 'r­ ­ �` - . , . , - ".' *��.?' , , .1 - 4 W" ""M OM 'MW' - MPF, g."_j_R ""­ - "' avy �, .WQ,w �W ",�­."xvU �, $.�",-:, ;N 3? 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H,tr -{ :,M.'{,}'"- � ^`;� - g " f ,^, . �. x.7,_d, a : s k � n�� z r b �, �' r v� 4t ,rr �-Ye`, ..,,,r" bF. r:. .*` t� �'�= S�1"'; `t r ?n,t. <xF, �r r 7 s r t ,.-t . _ r ,, r r ,y ,� f' 1. ,'`.9„ 4 ..: re' - t^..�R lex. , v ; ;�'', p ,�# x s 7,, ald +. a• �.a f u,{j. 7 v ': } a'fi; rp '`p2,t- 1.. ? r c . F <, gg" y' *� r �.' '�i` i 11 pi- T. �,3 r ..T `aa . �tF"R' +' Wit. r ^„i x` t' k y.+ek. » *"s, rt i r bJS ,r. .. 0 5 f-.r�: r i : , t» R `.��, ` S E'^`c. ? S•rtj ;i C n .'r^� �. _S'y � rte; 4 :' .a' s' r z h w. .. 1 4 "` ' ' i a a C ,x - -i, Y"e q 6 a f9 A C'h A:{+ a ,Y - _ j �. PUTITAM COUNTY .DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ,..., _.... COUNTY OFFICE BUILDI G CARME ,.N, Y.. __10512- 4 _ _ w DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE• NO.�,.`�:- ....Aphrodite Construction Co. Inc. RFD # 3 e Mill Street Owner c/o ATr. Jospoh Masi nel 7 i Address_ Avtn am va l i Pv- NP, M'T y dn1�752�`�,�.. Blueber -ry . Lane T1't! 120 Located at (Street 8 Sec. -Block Lot �,_ ca a neared cross, pstree street) . MILL F ©h�DS Su3 IUiSI ON . - . Section I - Piled ]�;:ap '1625 Municipality (T,) Futna Valley.. Watershed .Overland ao..�bnd, "eventually into Shrub. Oak-Brook SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH`,APPLICATIONS hole Number.. CLOCK ...TIME' PERCOLATION PERCOLATION apse p o W& ter a er ve No..... Time From. Ground Surface in Inches - Soil Rate Start -Stop Min. Start Stop Drop-in Min. /in drop Inches Inches .Inches 1 -- 'See_ *rca].ation test results, and deep hold log6 -on file with the Realth Department.(ATTN: Mr. David.Benson, P.E,) in conjunction with' 2....: iv - i ,tion, Section I. From. said. form, ..on sheet 2 of 2, entitled !t Schedule. of Sewage Disposal Lot 5: - SDS -Area " S. , , ".Min : - 3,000) a'erc Rat.e.. (Min. /In.) 0 -5 2 ... .. 3WRequil^eci Absor° ion: Area Per Be�.room (S.F -.) 167 'A .T. - 03 l.f. x 21w 5 2 3 Notes: 1) Te`ts io.be repeated at same depth until approximatelyy equal soil rates are obtained at each percolation test hole. All data to be submitted for, review_' , :i 2) Depth measurements. to be made from top of hole. !� TEST PIT DATA REQUIRED TO-BE SUBMITTED idITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES Name AKrHm p,. MC, p;Pga Bid Signature vo PR.13FEBOIDNAL ENGINEER Address MILLTOWN ROAD, A. 'D. 5 BREWSTER, N.,Y. 10509. Laoel PUTNAIM COUNTY DEPARTMENT OF HEALTH citA 0 fn ally .-BEDROOPA BEDROWV13 kj Li's --- "Culaa4tt; RC)o 77 III II Jill mh011= 77 vV T -1-1 o cs Ifllll Illlllll(!ll(((l((((q liflllit A- V I Vite PLINCE 0 ........... HEALTH HOUSE PLNNIS) APRR'DVEC, BEP FOli 77 N i jr IVI yq. Iq - 1 --2 -2_ HO APUTNAM COUNTY DPARTMIENT OF HEALTH E PLANw"tW7 ICL9-r BEDROOM COUNT O."IEY; 2, _.W M, ,p 10 �. i ' _ ..l'' .' �� .r ..,dew, .. • \_ .r � 4 • �. ... ..- �,,,+ _ N-, O h�� LOT N.° Q p 0� AREA= 22 8108 S4 FT y'Pe4 `, '. , • .D J �� b Rod 1, C01A ` ca NC. 1 P Sly PA ?10 � py O I S7DWEL [MCI 14 "DI NE .ONLINE pone o --J Z140 & +� c 0 0 Q�U ? :0 to. 00' L:57.,e, LUEBEDDY LANE SURVEY of PROPEDRY PREPARED APUDODITE CONSTQUCTION CO. LOT NO. 8 ALSO APPEARS ON A LLED ONE, 14LLL PONDS" I PII.I:D IN TI-JE PU'1'NAN COIIN'i'1' CLI'.RK'S OPNICK AS t1AP NO. 1628. SITUA7E IN Towiv oF:PUTNAMVALLEY COUNTY OF: PUTNAM, N.Y. SCALE: 1 " =30' aATc. JUNE 20,1979 Nov. 21, 1979. L. .:A ;O 'I'C!'1.1? !NSLUANCE t:0. Their policy no. Certifications indicated hereon signify this 1 M 7i1U -121. ti survey was prepared in accordance with the \9'LLAi:b: :iACi: ?'; ;" BANK existing code of practice for land surveys adopted by the N.Y.S. assoc. of professional Unauthorized alLerati.on or addition to this .land surveyors. survey iS a violation of N.Y.S. educ. law s(!rtinn no. 7209. Said certifications shall run only to the person for whom this survey was prepared 6 Underground :structures, if any, not shown. . on his behalf to the title co. & lending institution listed hereon. Al.). ce.rtifications hereon are valid. for thiia map copies thereof only if said map or Certifications are not transferable to add- copies bear the impressed seal of the survey ?r itional institutions or subsequent owners. whose signature appears hereon. .DONALD J. DONNELLY, Y.L.S. 1929 COMMERCE STREET DON�DON NEII Y YORKTOWN HELCHTS, NEW YORK l N•Y.S. UC. N° 49000. (914) 962 -2215 2499-8 jN .'.SEPTIC SYSTE. "This is to certify that the sewage disposal �� -- - �,; ;. "AS- BUILT" @ Ptt of "'ew -YO system was constructed as indicated on this `. ?2796986 5� ta�a10KM�� 9fi plan and that the system was inspected by me 10509. ;.U. if 1628:.: t rip +a2 before it was covered over. The system was rodite Construction Co ¢ constructed in accordance with all the rules '3D & BLUEBERRY LANE',TM 120 ` _ ¢ and regulations of the Putnam County Depa t- t Lot 08 (T) Putnam Valle 2. i went of Health.' e. New York O �o..�s62 vac/ • TN P' M _c�'.E 11 -14- SCALE ln� 01 '�ssioN% TABLE OF OFFSETS FROM Y.OUSE CORNERS: tape distances - ;. —i P -Field o ^rE ,oe Ho. (distances to nearest tprt SHEET ATION OF THIS DOCUNMT EXCEPT BY ENSED PROFESSIONAL ENGfNEER AND/OR ITEM DESCRIPTION Se c a Manhole 17'4 3 9 66 9 Over ow ox 1 7 6 It it _ n n n n 3 37 3 69.2 4 (D ) 514 2. 73.3 MCT IS ILLEGAL. 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