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HomeMy WebLinkAbout4533DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.05 -1 -12 BOX 34 04533 millumills 1 I,titi � I +' F-sl� , ' - INININ FIN 'r' No is 1'6 ,1 ' I IN is a 04533 e ror /t7'(/'it'!'.�-sv.�7f�}:y ��9lY�i .fJ�V J+O��Lt9J -..: fJ •.. dfi�•-=YJ °�- 1 �• �'�e�'r �'�:��. Owner or Purenaser or builaing P4,g,g,6 Ck 4/'7g-j- Zer-, Building Conttructed by Ealzelj Cg 4,9-w Location - Street Building Type -' : •n�T•= 70.17'' � ' . /if! .�. r ,% "l� i�-� ..,. .. - .... Municipality' 3 TA-2< M, Block 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 regulation's 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 immediately following the date of initial use of the sewage disposal system, or any repairs made by me,to such system, 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- ;- vic. es- of., the..Putnam..County.D_epartment of Health as to.::whether or not-the `• '" `�'ailufe "of't ie�"s'ystem 'tt3 operat'e'wa's" c "aus'ef��"y �t�ie "wiIlfizl 'orn�glgent "`" " "' act of the occupant of then building utilizing the system. Dated this `� day of 19J Signature V �' .° -_ a U Title ID Z If corporation, give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Put unty, Department PUTNAM COU,"a � t DEFT. OF HEALTtl of Health I.7'B i� L.,_.t aurwsr ; l-l: INVUbIKIAtr J '.. i. CONDITIONING t_J (Specify)-, gp COMPRESSED" '. Q ROTARY CABLE OTHE R• Q EA9g AIR PERCUSSION PERCUSSION (Spoafy) a LENGTH (foot) OIAAIETER(rnches) WEIGHT PER FOOT (` j:. (D'RIIVE SHOE'' (WA CASING R E f.._ "J THREADEL) C_J WELDr:L� LYECi O LJYEStdC - + HOURS G.P.M. CD 'AIR YIELD (0 PMI S ':❑ BAKED PUMPED" COMPRESSED .GoISu"Io , 3 s,, MEASURE FROM LAND SURFACE STATIC {Spectly feet) DURING. YIELD TEST lest) Depth of Comptetod,Well SOrJ® SO�t in feet below Ldnd, surface y a LENGTH OPEN TO AQU1fF.R (teaq S SLOT SIZE DIAMETER (inches) IF GRAVEL Diameter of well including GRAVEL SIZE (Inches) FROM (feet) . - TO (lee ) PACKED: gravel pack (Inches) LANDeSURFACf? FORMATION DESCRIPTION Sketch exact location of well with distances to et :: -two toFEEi a pormanont landmarks:',:` 3Q GIA,�EL ANi? SAND o :. r, WELL I S E ;;POSED 18" ABOVE GRADE a F y; : GRANITE' AND QUARTZ o ' ®5 GRANITE AND 'Q ARTZa r. ' tir i t u t a . i .. .. 5 l yield w,as 4estadF'at d +ffoee'nt depths during drilling, list.bolow'. a GALLONS PER MINUTE d. �7 c lq A`�.. OMPLETES? k, DATE:'CJF REPORT WELL DRILLER (Signature). // „__ ,. i_`.� ,;. +:'•<< PUTNAM COUNTY DEPART11FTW T OF HEALTH _,.DIVISION ..0 � U_:r3OT1M��. I CN T T9LIL'�t��'H Date ' 7 Re: Property of Located at L��.,i/`.c�L/�c,.� (4,MA-p' Block M Lot Gentlemen: This letter is .to authorize STA�L�r® ��DE r a duly licensed professional engineer -or registered ar- chitect (Indicate) - to apply fo.r a Construction Permit.for a separatd sewerage system; to serbe: the above noted property in accordance with the standards, rules or regulations as promulgated 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 -s in conformity. with the provisions of Article 11�5 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Cci itejsi ned P.E., • 9 STANLEY I LAN DER Address f- . AMAWAEK, N. Yo 10501 Telephone `r`� (Seal) truly yours, d/;tom'] .r� _ _ `� �`°7i.....•'-_..._. 0 cr of Property Address < 1.1'.. e. R J14 Z- /&,fp 0 ? LJ� w'/4- , Telephone 2 ,C K S.r�' REVIEW CED Meets YES d.. Remarks Ilk - �3�iy � C �`�= �'�`-- �°a`„z:...'tL�'L -- _ 'y -v. .- .a:j�s�, :.Nj. -•a .. r,.�'r. a.� :'q . House plans 0.K. . Dosign data sheet Peres presoaked? Min., 30" perc test depth Cont. results for 3 runs D. Hole log O.Y. Corporate.Affidavit for other than indivi Authorization for erigiaeer - Letter from Water Supply if applicable If variance requested -such noted on _plans !ual . of DETAILS I if change is proposed,) E:tiisting contours shown .kshow new contours) Slopes for driveway cuts, etc. shown I �/ Water service line location Footing drain, etc. location ! IV Top slope, bottom slope of fill ! w jj Percolation tests and deep test pit location Septic tank size and conformance-to std. 3 B.R. house minimum House setback shown All water wiLnin "u i G . o.i, r1, shown I� Plan and profile SDS All - .other _wells- and- SDS...closo _ .200.! - ......11. shoi -M -or�'re�ferenae�--made :. Property boundaries (metes and bounds- clearly show SEPARATION DISTANCES SPECIFIED ONT PLAN 10' to P. L. 20' to Foundation walls i 00' to.Nearest well 50' to stream, inarch, lake, etc. incl.expansion 15' to Curtain drain ! 10' to water lire (pits -20' ) ! 15' to storm drain i 10' to large trees ! 10' from foundation to septic tank s 5' to pipe from leader drain & foo in3 drain .._ 200 rd a Pw4a (jk ti rz �.LD C11E, CI: LIST Date: 61("b_q C. a .''�. ?s +z%'.::'�: .`.`. -.t„i ` � �x.Lt r•c ^. ( -.�-T' • �.:v, ^':'eTi. �..'".c�, :'r S•�{..av ��e...:: _ e .'r• - - INITIAL SITE INSP.ECTIOI`1 j 'Yes -I No Comments Property lines or corners found.. . Can estimate house location'. Will driveway nized cut Ntust trees be removed -note these . .. Is deep hole repres °ntative of entire. SDS area Additional deep holes needed. Sufficient SDS area available considering driveway cut,house location,separation distances, etc. . . . . . . . . DEEP HOLE RATA Depth: Water elevation: �> Rock elevation: Soils. description: FILTU SITE INSPECTION Insp . 'by: House located where shown on approved plan SDS located where approved Length of trench measured Width of trench average Slope of tile line and trench acceptable . Room allowed for expansion trenches. Over 50 ft, f..rom .sv� amp, watercourse �.......: -. . 1T tura1---soil- --not- stripped.. or ' SDS° "arrea ` unnecessarily graded 10 Ft. maintained from prop:line and 20 ft. from house Separation of trench from house,.-well etc. follows plan . Number of bedrooms checks ... . Stones, brush, stumps, rubble :.etc-: greater than 15 ft. from nearest trench 15 Ft. of peripheral soil horizontally from trench Junction boles properly set Could surface run off from driveway, roads, ground surface, etc. channel near SDS area. . . . . . . . . . Does, lot draInage appear 0. K. in area of SDS FINAL GRADING OF .SITE ACCEPTABLE r PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONPMTAL HEALTH SERVICES COUNTY OFFICE BUT LDING, CARMEL. N. Y. 10512 DESIGN DATA-SHEET-,SEPARATE SEWAGE DISPOSAL, SYSTEM FILE NO.. " OwneA&V zro �•3-D -z9la'•� /V -V TNxH y Located at (Street) ! , F/✓CE 47410 Rft. Block _�_Lot ,k: -ndica e near-s cross s ree Municipalityl-_' i✓ 0,e 17a>y,,4 4 eV Watershed? SOIL 'PERCOLATION TEST DATA REQUIRED TO -BE SUBMITTED WITH APPLICATIONS o e Number CLOCK MCE PERCOLATION PERCOLATION Run Elapse Depth to Water Water ve No. Time From Ground Surface in.Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches rte/ 1.9 -s/ 10' ,04 ��' �8 2 i /o. 2-1 =- C�� ...i9.•. >".. /d:� /. -. -._. 3 12- /ZR 224 5 1 -- 2 %GG �.sri Z,4 GEC /j✓ Ae W"r 3 4 Notes: 1) Tests to be repeated at same depth until approximately equal soil. rates are obtained at each percolation test hole. All data to be submitted for review. 2), Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SU11MITTPPM WITH APPLICATION DESCRIPTIOR Or' SOILS T'YC0TjV_'1'ERRD IN TEST HOLES DEPTH HOLE. NO.. / HOLE NO. P ;�- HOLE NO GoL<svrc� 1opsv /��os4r� —�--- 6" rr, / 1211 a J�Iy . hq t��N SOLr L�,¢�,.7 \ ���DAyvl• - 18" 4 2411 G 30„ y 3611 42" 48 5411 0 y 9 . 1 ; .-+... :-.<%- ,a... .. _.. .. -�-- -..... � -- .._.. ..... _.a.._....:- a,......_�._. ,a.... a _.._ _.. ... .7-'- - - ........ `.�, _ 6.6" 72" ��.. 84" INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED. /0 014/`x' :INDICATE LEVEL TO WHIC�T WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Date f/- 7 DESIGN Soil Rate Used Min/1 "Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity/2Z Gals. Type �iz ��sr C /vc- Absorption Ares, Provided By qo L.F.x24" 5_ width trench. RTANI FY I • i atinrD Other BOX 267 Address THIS SPACE FOR USE BY BEALTH DEPARTMM,* RMW Soil Rate Approved Sq. R/Cal. Date `3,'Wt-- - 'Pr- he-c4_ 00, > 19, 4 238'76,:. �'69 0, 915. or, )k4 'W raft, 1 300.00 , d The-End, -af •al -Raft S. TITLE No.! -7 40) Sg ? ro ;Curve -.at Barger Street as Shown on Filed Acp No. 1319. 'PARCEL SHOWN HEREON-KNOWN AS LOT No. 29 ON. SUBDIVISION MAP. ENTITLED'THE DRING FARM" FILED IN COUNTY CLERK'S OFFICE AS MAP No. 1319. AS MAP'No. SUBJECT TO ELECTRIC ANDIOR TELEPHONE CO. IF ANY, FOR OVERHEAD -ANDIOR -EASEMENTS, UNDERGROUND SERVICE. CERTIFICATIONS INDICATED HEREON SIGNIFY THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISTING CODE SURVEYED AS IN POSSESSION, jNo Lines of Possession OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW Other Than Indicated). YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. —SUBSTRUCTURES–ANDIOW" THEIR'ENCRCFAC-HMENTS'---.----------.-._----,_-- BELOW GRADE, IF ANY, NOT SHOWN. 'Y b F PROPERTY HOUSE OFFSETS TAKEN TO FOUNDATION LINE. PREPARED FOR PROPERTY CORNERS STAKED FOR BLDG. CONSTRUCTION PURPOSES ONLY. NUNZIO 0. LIPARI and GLORIA A. BERSITO CERTIFIED ONLY TO: LOCATED IN 1. NUNZIO 0. LIPARI and GLORIA A. BERSITO 2. THE CHICAGO TITLE INSURANCE CO. 3. TOWN OF PUTNAM VALLEY J. HENRY CARPENTER & CO. PUTNAM COUNTY N.Y. CIVIL ENGINEERING & LAND SURVEYING YORKTOWN HEIGHTS, N. Y. \We. J. Henry C-11—t., & Co. Do Hereby Certify That on Sept. 14.1578-.; All Certifications Hereon are Valid for This Map and Copies Thereof Only if Said Map or Copies Star The impressed Sea[ of The Surveyor Survey of The Premises Shown Hereon Was Made end That This; Map �Made inlcordance Whose Signature Appear$ Hereon. With Th Fl �ees o �aurvf Alterations of This Map Other Then try a Licensed Land Surveyor is illegal. SCALE: 1"= 50' DATE: I.Sepi.14,1978 �A_ E �SH. S E �AB 0 L D P.L.S. -N0. T 4 9 �28 6 2. 3.