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BOX 34
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6 IN 061
04535
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DETERGENTS-Ppm
NITRATES (a� N) PP
TOTAL
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awo Ar of op
Owner or Purchaser o Building Municipality Ar
/d /�%/rJ�✓ e�
Buildin% onstructed by Section
Location - Street Block
47 47
r ll
Building Type 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 immediately following the date of initial use of the sewage disposal
system, or any repairs :Wade 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-
ei -
''vices - ofrthe •- Putnam -- Ccur.ty- Department - of Health as =to- whether or--not t the
failure of the system to operate was caused by the willful or negligent
act of the occupant of the
��building utilizing the syste
Dated this 26 day of (/� k �.= �1975Signature �t
Title le,,l CAt<f r 4Vs" Ad.
If corporatio , 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, Putnam County Department of Health
NELL W',10FLE420N 71 EMDR7
4A %q.'.S'f4 T W
T'ivlr.�tll 0"fi� Sta-vicea
%Ca�kRmeL' ww' yewzlx
ThIs'vEpoll Is to be tol"pleted ty W03 w"'Vler sne
�0 Net""uh R-,rth� �--�Wh Y*N-,w' "=y raporI 01
i,3 t;-A' sat"Oacwj?
Lntttei 4� q.ualfty' v"fxe !+> Ii
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Owma Para,-on Homes
Rt 6 Mahopac, NY
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ry 01 w M11
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M 61MCUSSION
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CASINO
MARS 40 6 s. 19 U�.WADID wubww
UST 4AMD GLI pumpo comn.c.'-siD *.4.2 8
a2ASUR9 MOM I.A.V0 V4UA4ESATTff."
WATM
MVTL 40 total drawdown
71,a'l
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0 25 overburden
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25 600 1 gray granite
SO Qi;�o est 4M*?"I
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In 4--a kAlww Eq'Id avryam- 600
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DATE OF AERDAV We 011 Lo EIM,
VIE wil?. COMM T'
7/29/75:'n3w(b R. D. 5 - Rm:.;te 52
8/22/75 Carmel, N. Y.J""'512
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{ PUTNAM C011NTY, DEPARTMENT OF HEALyTH
1 _ Division of Environmental- Hea /tti ServicesCanel /V;. Y 1Q512 '
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM
Town or /7a
sT
sec � n
Subdivisio`n'." t . Lot - _.� Job
owner �'Q.n/AL d .JO H/V .S7'd' �J�Q ��^ } � :� Addressers /1�`!9 % /d r 1 �/►'�' {.�f! [r r W
Building Type %1 EaS/�L�'/✓%�iJ` Lot Area �7' .lO •SF /�! �° �d✓ ��7o'fy%si�1lG'/� I
—7 h
fVumber "of Bedrooms'' s Total,Habite6le Space: x Square Feet
Separate Sewerage "System to consist of Gal' S p Tank. �/ lmea'I feet X� +b y wi
_,.
x ? - h -tr
B�'o L>YpsciiirG - Address : E� :�a�� 5.�✓r tlir',U_ n
To, be- constructed'.by
Water Supply s b Public Supply From{ £
a
Pvate Supply, to_ be drilletl by Y� �i��AfftN
n �✓ %V LL. �
e F
Other :RegU1r8m8nts ✓.v: e v ;. K.t �_ g
Irepreserit -that I am wholly.rantl completely responS�ble for the design and location of ;the sproposed system(s)' 1) that'Vthe separate sewage disposal system
c abovel:de;cribed will, be constructed a; shown`on the approved amendment there 3o and�in accordance with the standards, -rules an regu a ions.o , e u nark
County Department of f=lea th, and that'on completion the of a - Ce "rUficate: of Construction Compliance' Satisfactory to he Commissioner of ",Healthwill
be; submitted to,th`e Department ,and a written guarantee will be,furnished_ the owner his °successor' %iasgfa� i9ns`rby the builder,•that said_ - Builder will' .
:place (A�gtod operating conddion. any :paet>'zdf saitl' sewage disposal system- .during "the period of ( y,�n, diately followm%,Mh late of the , issu -
ance ,of .the approval of, the Certificatexof.- ,Construction Coinpl�ance of the onginalsystem or Lt�gt- at the .drilled *'ell described above
Fi
will be locatedzas sfiown on the approved plan`and that; said well twill be installetl °in accortlan ';y' �s ••� _ _ $ntl 'reyu a i ona >: of ;tfie Putnam
County=Department >of Health '
�`� r:' � Qom: � � •
Date �2i 'x xI Sig ed ,� • . P.E ��R A
Address ��� 1 �' //!o • 1 I �'� r�ense No S/9 fi
APPROVED FOR CONSTRUCTIONe This _approvalexp�rer!one year,f,rom the date issued u_ �onstiuc of_the� IQmg,,has beeri;undertaken-and� is
revocable for wu3e :or may :6e amentletl or'modif�ad Nihon consideretl necessar b the 'Comrrii o" ea
y y i� ge or. alteraf,on of -,c
requires =a new perrntt Approved ;:for sposal oftitlomesticsam sew a ,and / �•
r- w
z itle
t-.
Xc .
C'
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P1'
PUTNAM COUNTY DEPARTMENT OF HEALTH
ENVIROIJMENTAL`' "HEAi;TH= SERVICES _ ~L''° `
Date / L `
Re: Property of�//�/���
Located at 12�01ee;/i/Cz
Section Block 7 Lot
Gentlemen:
This letter is to authorize .,JoserIc',ov ,X.- ffi-*Z-4 000 9A1
a duly licensed professional engineer el-000' 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
uv,i,iCv L_Lvj1 w.L i.n Liti5 ma L Lev anii to. supervise ine construc-ciun of said
system or systems in conformity with the provisions of Article 14S or
_ 14, . Educa'tiaii Law, -the Publ�.c Health'-Laca -- and = tYe=- Putriar County Saner==
tary Code.
Countersigned:
P.E %., �RR.AA.,
Address
/'% v,
Telephone
i
Z
Very truly yours
Signed
r of Property
n Address
p l �
p� le hone
d'j. U CL-Gl IV'�
A0 �0.
°�V e�
2489yoe
Z
Very truly yours
Signed
r of Property
n Address
p l �
p� le hone
d'j. U CL-Gl IV'�
�a
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
.4. ,..max.- .•'µr -v 7:'S' - �.R :.,. -..�.x . -..:i y.,-o:> > dr >��` -.cc rata.": .Y,- w:.- '�•^,c --�,' �u.: _-v L': s`'L Y."^�•. 'r��;w,rt,. �� '�
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
;?A1
Owner / 1�C1 /�/h'E.d 2oL y ..5-13 _rKddre s s �l� 's 1 /���. Zlo
Located. at (Street p�E//�/C,Ej'p. Sec. Block 7 Lot Z
Indicate nearest cross street)
Municipality. Vi9LL.�Y Watershed ��'E�iP 70 a
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
Elapse DepEh to Water a er Level
No. Time From Ground Surface in Inches Soil Rate
Start -Stop Min. Start Stop Drop in Min. /in drop
Inches Inches Inches
3
1 /• "S.S --
Z:06'
//
ZU 03
2
1-:s3 --
: 04-
// /_9 Z o 3
3
1 /• "S.S --
Z:06'
//
ZU 03
3
4
2
3
5
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 SUBMITTED WITH APPLICATION
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH HOLE NO. �_ HOLE NO. ,� HOLE NO
6"
12"
18 11 5WN�a0 � - 6;69V611
24"
3011
361f
42"
48"
54
72"
.191VD y
5 - /Z-`
r
v
5,91v,oy
5014
Boul-Gr,EtS 11 f3av1-v,tcZ- X
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED
TESTS MADE BY S Date rZ --9 - 70
Soil Rate Used �, MirVl "Drop: S. D. Usable Area Provided 5-CoQ
No. of Bedrooms Septic ' Tank Capacity 900 Gals.. Type
Absorption Area Provided By /SO L.F. x24" 36 ' trend—% —
..x.. n.-.. _ e.
e,
Address C: tcy )l pj &-., -r
V-
00000
THIS SPACE FOR USE BY HEALTH.DEPARTMENT ONLY:
Soil Rate Approved I Sq. Ft /Gal. Checked by
�. q�ffSS,IONP .•.
Date
Q
..............
Ir
"0
x)7-1,21v Yu vsc
7e4
z
OAP
27Z.57
Z-
/V X'5 L /c
(;�z91*6w rf-5
DE 50% 7?= 7 -15 -
SOIL PERCOLATION RATE ..... 6 .......... MIN/IN, 900 GALLON SEPTIC TANK
DEEP TEST A✓r) ZZ-Z)C7-'--
150
/va a'eocAI.0 LF Xz3 ABS. TRENCH,
ESTABLISH ELEVATION OF HOUSE TO PROVID9.DRAINAGE OF LOWE�T FIXTURE
TO SEPTIC TANK AND FIELDS ...... AREA RESERVED FOR;9EWAGE DISPOSAL
SYSTEM TO REMAIN UNDISTURSED.ALL CONSTRUCTION TO C kFORM iTO'STATIt
AND LOCAL STANDARDS AND REGULATIONS ........
A
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F�4-OVED
'c
S —r?� -
1 ' ji. ,
JAI NI 197,E
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UNIRONMENTAL HEALTH SERVICLI
T,41—F- A9el 1 FARM'
7,o9X IVAR —�_ Z3Z 06 f
PROPOSED
SEPARATE SEWAGE DISPOSAL .-y SYSTEM
Nely
15-0�9Z7
-2
TOWN OF lfl-17-IV19,fl VA9 z 45'.X
'4- 7 . 1-7 COUNTY. NEW. YORK
%
DATE 12 -4 SCALE 5110;�q Jok No. Y5
SULLIVAN - THIEDE.J.,".
CONSULTING ENGINEERS
CLARK PLACE MAI*AC NEW YORK
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