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BRUCE R. FOLEY
Publ c Health Direc'for
Anthony Aquilino
25 Finnerty Place
Putnam Valley, NY 10579
Dear Mr. Aquilino:
LORETTA MOLINARI R.N., M.S.N.
-Associate,fsu6lic iYeafth �Direc" "tor = ��.e >'
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
March 22, 1999
Re: Addition- Aquilino- 25 Finnerty Place
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 85.5 -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 March 22, 1999 The addition is approved with the following
conditions.
1. -The total•number•of bedrooms- must.remain. at_ ree -without prior approval -by -•
this department.
2. The area of the existing sewage disposal system, and its expansion area, must be
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 Putnam Valley .
If you have any questions, please contact me at your convenience.
Very truly
William Hedges
WH:kg Senior Public Health Sanitarian
cc: BI
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s J BRUCE R. FOLEY
Dir6d6r�-
FW Y voi�
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4-? Geneva Road
Brewster, New York 10509
Tel. (914) 278-6130 Fax (914) 2228-7921
December 10, 1998 0
Anthony Aquilino
25 Finnerty Place
Putnam Valley NY 10579
Re: Addition - Aquilino, 25 Finnerty P e
Increase in Number of Bedroo
(T) Putnam Valley, TM# 85. -1 -22
Dear Mr. Aquilino:
I have received and reviewed the plans for the pr/per n to the above mentioned residence.
The proposal for the addition has been approvs bearing the latest revision date of
December 9, 1998 and this Department's appro
Based on the information submitted, the ab e mentioned addition is approved with the following
conditions:
_
1....:. - . The. total number of b
Department.
2. The area of the existi
maintained.
3. All plumbing fixtu
flush toilets, rest ctu
t e must remain at.three without pr-ior_apprpval bythis- disposal system, and its expansion area, must be
must be updated with water saving devices, i.e., new low
-es for shower heads and faucets, etc.
Any other permits o ariances required are the responsibility of the applicant and the jurisdiction
of the Town of Pu am Valley.
If you have questions, please contact meat your convenience.
Very truly yours,
William Hedges
Sr. Public Health Sanitarian
WH:tn
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PUTNAM CGUNT's'DEPARTMENT OF HEALTH
HOUSE PLANSAPPROVED FOR
BEDROOM COUNT ONLY;
BEDROOMS
Signature & T t —le Da
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PUTNAM CGUNT's'DEPARTMENT OF HEALTH
HOUSE PLANSAPPROVED FOR
BEDROOM COUNT ONLY;
BEDROOMS
Signature & T t —le Da
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DEPARTMENT OF HEALTH
Division of Environmental Health. Services
4 Geneva Road
Brewster, New York 10509
TeL (914) 278-6130 Fdx (914) 278-7921
BRUCE . R. `FOiE
Pu61ic Health Director
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
.
STREET /ttl 1 r TOWN TX MAP #
NAME JlVAIVW PHONE<21 -- W PCHD # —1
MAILING ADDRESS 25 /1116 7 !�
DESCRIPTION OF ADDITION
NUMBER OF EXISTING BEDROOMS 3
(FROM CERT. OF OCCUPANCY OR
C$RTIFICATION FROM BUILDING INSPECTOR)
PROPOSED # OF BEDROOMS. SA�l�
*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.
_ Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd.,
Brewster, NY 10509, Phone 278 -6130.
1. Certified check or money order for $100.00
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
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Carmel, N. Y. 10512 _
._.. •- -� �. <.::.... ` - ..�.:.:::�:a...�_.�.:• ;� �._._.�,: ,..: ,..., _.. -- -. --� ..;- -:: - -• - .��;�:- ___.;.�...�. _�._::. d:__ - Pu£r�am_._Valle
CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM y (T)
Town or village
Located at annerty Road NT•p 1319
Section Block
Owner r & N?rs Peter Ruyol o Lot 11 Job
Separate Sewerage System built by Roger wady Address Canopus Follow Road Putnam Valle
36
Consisting of 11000 Gal. Septic Tank 2 2 " lineal Feet X width trench
Other requirements None
Water Supply: Public Supply From
X Private Supply Drilled By Puckey Well drillers S -grout Brook Road Peekskill NY
Building Type
Address _
Raised Ranch
Has Erosion Control Been Completed?
Yes
No, of Bedrooms 3 ••eat' 0--it Issued
•••�pt1p1�EN6 /N�r� •,
a"/ S• llln��j �s
I certify that the system(s) as listed serving the above premises were constructed essentially as show
attached), and in accordance with the standards, rules and regulations, plans filed, and the permi
work (copies of which are
ity Department of Health.
Au�us t 21, 1976 ,� • T ; x
Date Certified bu • ?i. o
Address 1 lbrthridg e Road Ideekskill, •Jew >?ork ' 10 6 " p„�g Na 027846
Any person occupying premises served by the above system(s) shall promptly take such action as mayeefsr�Jeylary�re fhe correction of any unsanitary
conditions resulting from such usage. Approval of the separate Sewerage system shall become null Advo o Is. a public sanitary sewer becomes
available and the approval of the private water supply shall become null and void when a public water st"Iy*Wdo%es available. Such approvals are
subject to modification or change when, in the judgment of the Con/ml- oner of Health, such ryv6M4p, modification or change is necessary.
Date By �� Title
I
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PU ft�l�11�11 COUi':! f'CCL -V i37�,�iEiV C OF HEALTH
n 2 � � HOUSE FL1�� i` .
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PUTNAIlv', COUNTY N—PARTMENT OF HEALTH
HOUSE PLANS Abr-P!--',OVED FOR
BEDROOM COUNT C,,NLY;
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PYrvtErJT OF HEALTH ,
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' ` -SE FERNS f.r RtO ED FOR
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PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INITIAL INDIVUDAL ADDITION/R.EPAIR FORM
SECTION A: GENERAL INFORIVIATION
01 (T)(V)_�_TM# Name ofPr S'�l� ✓ Y
Year of Construction Size of Parcel
SECTION B. TOPOGRAPHY (Please check all appropriate boxes)
1. L!�Hilly ❑Rolling ❑Steep Slope ❑Gentle Slope ❑Flat
2. ❑Evidence of wetland []Low area subject to flooding ❑Bodies of water
❑Drainage ditches ❑Rock outcrop
YES, NO
3. Property lines evident? L ❑
e 4:VateFours�es-exist on; oradjacent•to-parcel:
S. Existing individual wells within 200ft of the existing SSTS? L'J ❑
SECTION C. EXISTING SUBSURFACE SE`VAGE TREATMENT SYSTEM(SSTS)
1. Physical character of existing SSTS area.
A. ❑Level ❑Gentle Slope [9/Steep slope
B. []Well drained Moderately well drained
❑Somewhat poorly drained ❑Poorly drained
C. Area available for SSTS. (Primary & Reserve)
ClExtremely limited Cis mewhat limited ❑de uate — ft x — ft
... Y
D6NoINSPECTION Date I �'I �' Inspector
evidence of failure ®Evidence of failure ®Evidence of seasonal failure
---=- - - - - -- - - --------- -- - = -- -------------- = - - - -- ,1 ----------- _- -
5�
5
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------------------------------------------------------------------------ - - - - -- ---------- - - - - --
(1) Indicate location of SSTS
A. Size and type of septic tank gallons
Metal ElConcrete OPlastic
B. Type of absorption area
1. Fields ft. 2. Pits 3. Gallies ft.
(2): Indicate setbacks; >fron�- street; backyard,'and`side yard 'dimensions
(3) Show location of well
(4) Show location of driveway
(5) Note physical features (steep slopes, rock outcrops, streams/wetlands)
SECTION E. EXISTING WATER SUPPLY
OPWS 0Shared well Individual well
DDrilled 0Dug II/Casing above ground
n n.. t
COMMENTS
REPAIRS ONLY: Status:
A
As Built Inspection Required: As Built Submitted:
As Built Inspection Done: Inspector:
Anthony Aquilino
25 Finnerty Place
Putnam Valley NY
Dear Mr. Aquilino:
( 7
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BRUCE R. FOLEY
Public Health Director
DEPARTMENT OF HEALTH
Division of Environmental. Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278-6130 Fax (914) 278-7921
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(,VL "rcG, zz, (a9Ck
10579
Re: Addition - Aquilino; 25 Finnerty Place
Increase in Number of Bedrooms
(T) Putnam Valley, TM# 85.5 -1 -22
r 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 latest revision date of
Deeem rer'9; 1.9 8 and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with the following
conditions:
L. The total . number of bedrooms must remain- at.three without approval by. this..
- Department. �.., _ .. � : ._ . _�.. ,_..._..._ ,_ _ ._ ,_. .. . ._...... .
2. The area of the existing sewage disposal system, and its expansion area, must be
maintained.
3. All plumbing fixtures must be updated with water saving devices, i.e., new low
flush toilets, restructures 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 yours,
William Hedges
Sr. Public Health Sanitarian
WH:tn
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PU<TNAM COUNTY�DEPARTMENT, OF HEALT]
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7 Drvsron ofEntiironmenta/ HealthServrces Carrie% N �Y 10
i�Efi�t €'f�`iE. °'Gi1lSr�I�IG?Ce! v��'�&.91 >F:2�. C��fN,�F [�IPOSR SYcT:FNI�
Locateil`,atnnerty Road .- Sectionpl
k
Owner
Separate,'$ewerage' Systerri built by R�� ®r� - Address Cak30pl
Y o :-
Consisting''of 10 Gal'•'Septic Tank - lineal Feet X -°
w
1 Y
Other regwrwnenti
t
Water Supply :Public Supply,'F,rom
x = Puckey Wv11 drillers Shout rook. Road Peekskill 1�Y
Private cSupply Drilled .By
'Address:
Raised Ranch 3
:Build�n9'TYPe - - :. •: -- No. of rBedrooms p�tp•P��mrt Issued
- Yes . i
Has Erosion Control Been Completed? 1 DWI ENC/b%� •
\O �w
1 certify .that the,system(s) as fisted serv�ngCthe above'prem�ses were constructed essentially- as- Shown'onat tad'work,,(copies of which are., ;t
attached), and .in' :accordance with It he standards rules and'regulations plans; filed and the permic rt tna W%nty Department of Health
Must ; 21, 1976 `f' P E x• R A
Date Certified by
• ^'. r
Address Northride Road ekskill, =dew or 10 027846'
Lisense No.
• 1C Ilia a •:
Any person occupying premises served by.the above systems) shall promptly take such action as maye�rte r the correctwn of any unsanitary 1
r�Q
conditions resulting from= such usage ' Appproval. .6f,-the- separate sewerage:'system shall become null, $4 vo a (3Ylo a public sanitary sewer becomes :
:.;
available and the approval °of the :private water supply shall become null -and void; -when a public water s'Iayabeednes available Such':approJals are
sub)ect`.to nmodificaUon:'or, change when,' _in the.ajudgment of the Co m oner of "Health;auch r " n modification or, change ;is necessary _
-
'.�,,,
Date BY Title
BACTPER I PER ML. (Agar plate count at 35 C).
COL ORM G{{l�OUP (Most probable N6,1100ml.)
CSS tj an
HARDNESS,-TOTAL -ppm
DETERGENTS - ppm
NITRATES (as N) = ppm
IRON, TOTAL - ppm,
These results indicate that the .water was l %t°� of a satisfactory sanitary quality when the sa Is was coil ed.
A. H. PADOVANI, M. T: (ASCP)
�5
WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH
3/71 Division of Environmental Health Services
;'�.r.. �--,;, � :. � -q�k�' o..: �' � .,:.::'::. ' > «'w �i�' ....�;•;er y.;::.: s . "� :.. r . �"+�': -� <;*� = -; � :e t . - �CT$T`�` —� IL- "�'B1:J,t l�t7e� i"s'.:GvC3aRlVf�1•s'i.W L41F �Y bfi�ll"^':,..��:..
This report is to be completed by well driller and submitted to County Health Department together with laboratory report of
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
NAME ADDRESS
` "
FjF1Z A D i-1 r? R 1 i/d C4R1) /n,L >C n. D (2IitG Pt.iT A/i+Ibt
LOCATION
VKIV�
OF WELL
2b
❑BUSINESS
ESTABLISHMENT
PROPOSED
vaj DOMESTIC
USE OF,
WELL
PUBLIC
❑
IAJ
SUPPLY
DRILLING
EQUIPMENT
N ROTARY
CASING
LENGTH (feet)
DETAILS
YIELD
TEST
❑ BAILED
WATER
MEASURE FROM
LEVEL
MAKE
SCREEN
DETAILS 1 SLOT SIZE
DEPTH FROM LAND SURFACE
FEET to FEET
❑ PUMPED
❑ FARM
❑AIR
CONDITIONING
❑CABLE
PERCUSSION
f PER FOOT rvr
/ I LAJ - THREADED ❑ WELDED
HOURS.
COMPRESSED AIR
,etJ DURING YIELD TEST (feet)
❑ TEST WELL
OTHER
(Specify)
❑OTHER
(Specify)
DRIVE SHOE Wj�- �G��
❑YES .'�NO'-' -YES`°-`UNO
,.P.M. YIELD (G.P.M.)
/d
Depth of Completed Well
in feet below land surface: �LJ'
AQUIFER (feet)
DIAMETER (Inches) URAVEL SIZE (inches) FROM (reef) TO
IF GRAVEL Diameter of well including
PACKED: gravel pack (Inches):
FORMATION DESCRIPTION Sketch exact location of well with distances, to at least
two permanent landmarks.
If yield was tested at different depths during drilling, list below
FEET I GALLONS PER MINUTE
9
E WELL COMPLETED I DATE OF REPORT I WELL DRILLER (Signature) D �
err �• ���� G
VKIV�
❑BUSINESS
ESTABLISHMENT
❑
INDUSTRIAL
COMPRESSED
IAJ
AIR PERCUSSION
❑ PUMPED
❑ FARM
❑AIR
CONDITIONING
❑CABLE
PERCUSSION
f PER FOOT rvr
/ I LAJ - THREADED ❑ WELDED
HOURS.
COMPRESSED AIR
,etJ DURING YIELD TEST (feet)
❑ TEST WELL
OTHER
(Specify)
❑OTHER
(Specify)
DRIVE SHOE Wj�- �G��
❑YES .'�NO'-' -YES`°-`UNO
,.P.M. YIELD (G.P.M.)
/d
Depth of Completed Well
in feet below land surface: �LJ'
AQUIFER (feet)
DIAMETER (Inches) URAVEL SIZE (inches) FROM (reef) TO
IF GRAVEL Diameter of well including
PACKED: gravel pack (Inches):
FORMATION DESCRIPTION Sketch exact location of well with distances, to at least
two permanent landmarks.
If yield was tested at different depths during drilling, list below
FEET I GALLONS PER MINUTE
9
E WELL COMPLETED I DATE OF REPORT I WELL DRILLER (Signature) D �
err �• ���� G
/ Owner or Purchaser of Building /
C 1
Building Constr ctE by
%Location - Street
Building Type
/ Municipality
Map 1319
Section
" " 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 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 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-
: -.-= vices.: -of- tre ;:P to m.:CO.zr_ty Department of Health?as -to' - whether or not t o
failure of the system to operate was caused by the willful or negligent
act of the occupant of the.building utilizing the system.
Dated this 19 day of August 19 76 Signature s'� -e& J J "
Title
If corp ration,. give
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.
-'` /-t ■/.- Wit. -" a Buz^. "' } ,`� 4 " q :x'.. h
PUTNAM COUNTY DEPARTMENT :OF HEALTH
Dwision:of EriWrgnmei67 Hea /fh Services,- CaKmel,_N: Y 1Q512
_ - Ptitr3
CONSTR :UCTION PER¢MI- T,T!FOR_ (SEWAGE DISFO J
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t o
,c. , +t:-�. ar �/ ,� 'fi ..:�5"�' . �•o -'�". a x. .� fi'S .r � �t•n � .`iv..i °78C�
i L'oca%� ;at
{ Subdivision �h'�t� F'i3rlil LOU 11
F Casperi
Owner Peter j RuVOIO Address
}„ Building Type Raised RiiC�l %j��pp R'D Peeks
Lot Area
3 n f Total Ha stable Space
Number of Bedrooms ,
S:eparate,' 'Sewerage: System to consist of � * Gal �Sept�c Tank lineal fee
;2a R0i er dead:; �� v aao as
To be 'constructed] bya-- Address
put'— V
.Water Supply Public Supply'From
x �taderson W�sll Drillers `N
Private - Supply to be _drilled by _-
'Address ;r9 ,reet, ?Utid ',..�allaY*
r
Other 'Ftequ�rements Well -arid septies" to b® lristallcd in area. show>a:.to :Illi3iAt
from a-11 - existing and - �roposad systems,
I represent that f'am wholly arid'cornpletely, responsible for t e design and location of: the proposed syst_ t
above described,w.ill be constructetl"as shown on the approved, .amendment there to and`m accordance •with _
County Department of Health "and that':on completion "thereof a - 'Certificate of.;Cdnstruction Compl` sib&
l be submitted `to 'the Department;,*and a` written ,guarantee wUl be :furnished the owner his success*o�i s
place in gootl operating condition any part of said sewage disposal system during.jhe period of UFi
ance of the approval of the Certificate of Construction ;Compliance of the original system -or enj°r i SAN
will be located as shown omthe approved iplan and.that said well will be ristalleds �n accordance: with: ri t ntlar
County , D`epartment of Health r •
• n C
Date December 30., 1975 ` - p
:5` Address ..
APPROVED FORcCONSTRUCTION This- ippr0491°ex0ires one year from the date ;is "sued unless constructia f•,
revocable for cause or may be amended or,,modifiad when cdnsidered %necessary by the Commissioner'` ealth A
requires, a• new .permit Approved for disposal of domestic n�ta ` sew e` at
{ Date 7`. By r X
am :Ualle� (T}
Town or 'Village
=Job
Road
k�11, N.Y. 10566-
" Square - Feef'
t X� width trench
.
x�
air pr0per di.sta) ►c�s.
a rate,sewage_tiisposal system
-
n regula ions o. the Putnam
t �'pmmiss�oner" of Health,' ill '
er, that said builder will
t o ing the:date of the i'ssu-
t,f iRed -well deschbed above ..
d ns. of the 'Putnam
l x
.r tl PrE - R A
e� iNo._ M78
has`'been undertakers and is
hange`!or alteration cf, construction
r5,T;itle -
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PUTNAM COUNTY DEPARTMENT OF HEALTH
�. � �'- �::v: ..�`J•':`x'.:� : ;id- .•:. ";.+'�L1Vlt7`.V[V"VC �'LLVVI - NTAt`HEA1T'[ -'Jl, -its a::,'..r., . -.. -.. r�:.<.._.'� �•i
Date December 309 1975
Re: Property of Peter J. Ruvolo
Located at Finnerty Road., Putnam Valley
Section %p 1319 Block m Lot 11
Gentlemen:
This letter is to authorize John S. Romeo
a duly licensed professional engineer x 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
L.1UJ.J w.L girl L11i5 ma a LLIV a;1ii to. Supervise ine cons -ciuc c.Lun of said
system or systems in conformity with the provisions of Article 145 or
...._.. - a- 147-.,_ duaatr cn.:- av, _ _ =the; -- Public , And. the Pu.tn m.> �C aurt] ' Sent* -_- .. . ..
. ..
tary Code.
Very truly yours,
d�
Signed
Owner f Property
Cis
Countersigned: �'�� � '��"''~� (/
Address
P .E ., , ## 027846
1 Northridge Road Telephone
Address
Peekskill N.Y. 10566 ®� `�l E�J(7/frf,�,���,
A
737 _ 1056 " = ~°
� Nj y�i R
Telephone 27846
°
Om 9°p4WQ
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
I
r , :OOUNTY ' OFFICE' 'BUILDING, CAT"," N : `�0'S12 ,., - . IN
F r r F
DESIGN DATA SHEET-:SEPARATE SEWAGE DISPOSAL,SYiSTEM FILE NO.
Owner Peter J. Ruvolo Address` 5 Casperian Road RFD.. - Peekskill,- N.Y. 10566
Located at ( Street Finnerty Road Sec ?1ap 1319 Block '" Lot
�Indicate neares cross street)
Municipality Putnam Valley (T) Watershed Peekskill
11
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
apse Depth to Water Water Level
No. Time From Ground Surface.in Inches Soil Rate
Start -Stop Min. Start Stop Drop in Min. /in drop
Inches Inches Inches
(1) 1 4:15 4 :4 29 20.50 23.50 3.00 9.67
2 4:48 5:18 30 21.00 23.75 2.75 10.90
4
5
(2) ^1` 1:20 ' 4 :47 27 20.25 23.25 3.00 9.00
Y 4;51.5 21- a30:... 20.00.- 23.00:.
Notes: 1) Tests to be repeated at same depth until aroximately equal soil
rates are obtained at each percolation test hole. A11 pp 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. 2 HOLE NO. 3
T R'(3j3S0� c: is
TO WA-1
- - -
._ +.. ,c. -. ua?_c- d�,^,- :4:�.. ry„ +..... . -. ... c .... i'.:._�- :. -.'. e- `n....+.. =1': � pv�� ea -:. �='G.T.�.:p�,.. _.� ;�(j� 4��•�..:` �� - r i+< "- =w =.:.. .,�.•.
611 1011 Topsoil 11" Topsoil 9" Topsoil
12" brown, sandy gravelly brown, sandy gravelly brown, sandy gravelly
8ii
2411
30"
loam c loam loam
i- r r
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED
TESTS MADE BY John S. Romeo 7e De`ce4mb ®r 302 19,7
;. - ;: -• �; . DESTGN.. ,.. .. .. , :� , : .''QUO` :�S.F'�,�,o_ .... _ .
Soil Rate Used 11 =1 `Minjl "Drops ' S. D. Usable Area - Provided 5
No. of Bedrooms 3 Septic Tank Capacity 1000 Gals. ,gyp Masonry
Absorption Area Provided By 240 L.F.x2411 3b'— x �I
Mp
Name Tnbn S. Rnmpo Signature
1 Northridge Road 0'
Address SEAL
ee s
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY:
Soil Rate Approved. Sq. A /Cal.
Checked by
Date
� j it �
TYPICAL SECTION
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