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HomeMy WebLinkAbout4585DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.06 -1 -20 BOX 34 ir ��. go kk L .; . P V r . 6 4L OIL I IN R PUTNAM COUNTY DEPART ,• MENT OF HEALTH „ Division of Znvironmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR $EVVAGE DISPOSAL SYSTEM ��y ; �A.Fd� VA. L i E: �( Town or Village �Locett3d, at.,� as 0 R I-�` � '�NG Section �"�.' I Black `✓ - Subdivisio ��jj n Owner 1"A,1QuA.Lc FA.L_aowF_ C� Building' Type FR-A A ""w Ci 1 6 Lot Area 40 `5 8 2 5 F' Number of "Bedrooms 3 Separate Sewerage System to consist of Gal. Septic Tank To be" constructed by PA-S QUAi.E FA,,Lc— ot ke Water Supply: lPublic Supply From ,� V Private Supply to be drilled by Address Other Requirements Lot 3 Job AddressBAmGEie— Sr PtsTNA.M V&W.ci tllt( Total Habitable Space VV Square Feet 3 -715 lineal feet X width trench Address E7�QG� eft 5 Z.- fcJ(",/AL.LEy I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regulations a ions o e u nam County Department of Health, and that on completion thereof.a- "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be, submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following the date of the issu- ance of the approval of the Certificate of Construction Compliance of the iginaI system or any repairs thereto; 2) 'that the drilled well described above will be located as shown on the approved plan and that said well will be install accordance w,M the standards, rules and regulations of the Putnam County Department of Health. Date J u�l� (C If) -7 Z Cl Signed _ P.E. !!!!�'R,A, Address G f ,A= �� �( �(• -Ae� V`o.Lr -���L� 111�.�! I0S�r License No. 3 9 109 APPROVED FOR CONSTRUCTION; This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. • Any change or alteration of construction requires a new permit. Approved for disposal of domestic sanitary sewage, and /or private water supply only. t � Da /i i. BY ' P itle�✓ PUTNAM COUNTY DEPARTMENT OF HEALTH - �T• t Division of cnviron'inerita/ fKealth Services Carmel, N. Y..10512• CERTIFICATE• OF 'CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley N.Y. Town or Village.; Located at Dosoris Lane Section �OG7 Block Owner Pasquale Falcone Lot J Job Separate Sewerage System built by Pasquale Falcone Address Barger St P»t•name Val l eo N_ V. Consisting of 900 Gal. Septic Tank ( r75 lineal Feet x Three (?j) Feet width trench Other requirements Water Supply: Public Supply From * Private Supply Drilled BY .�nderson Well Drilling Barger St. Putnam Vai1 Y Address Building Type Frame Dwelling ng No, of Bedrooms 3 Date Permit Issued Has Erosion Control Been Completed? Yes 1 certify that the system(s) as listed serving the above premises were constructed es ally as shown on a plans of the completed work (copies of which are attached), and in accordance with the standards, rules and regulations, plans fi nd the permit 'sue by the Pyt aam County Department of Health. "•* Date 9/14/72 Certified b�• P,E. # R.A. Address 21 Halsey Place Valhalla N.Y License NC. 39109 Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shal become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgmef the Commissioner of Health, Such revocation, modification or change is necessary. Date _ c- "� Title 3ACTERIA PER ML. (Agar plate count at 350 C). 8 COLIFORM GROUP Mostr probable No. /100ml.) LESS. THAN 2�'. Z HARDNESS TAL ', TO - ppm DETERGENTS - ppm NITRATES (as N) -, ppm IRON, TOTAL - ppm 7LOURIDE (F) -.mg./l. These results "indicate`that the water was YES of a satisfactory sanitary quality when the sample was collected. H. PADOVANI, b 6 . �'.j "F ':.. �':. .. q'r+i.�. },�. .. .t .• .. J .. - :.L , -. -..tW�'e, .:.Q:... J .... L "q.� V'�� a.. .' . -.a _ ., .l. ...:1•.' .. PX5Q �A LE T7A (-, C 011L6 r Owner or Purchaser of Building Municipality Building ConstructeU by Section Location - Street FR2A,me Building Type 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 a period of two years immediately foll.owir_g 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 the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the sys A . Dated this ^ day of 197 Signatu e �� • ,.� Title r If corporation, give name Y /✓ �. ��� ✓� -/ - ��. -P,, -y -- and address) - - - - - - - - - - - - - - - - - - - - - - - - - - - - THME (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. �k Division of Environmental Health Services, Putnam County Department of Health WELL dOMPUTION REPORT PUTNAM COUNTY DEPARTME{VT OF 4EALTH 3171 Division of Environmental Health fServices°- CCllIN TY.':QEFS CCE'EJJ'libfNEi °- CRli7L;11= Yw —OR K. This..feport. i0gt .fa girnolked by" ,drili'er and's`Litimitted to County Health Department together with laboratory report 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 - -- -- - - - -- - 7-4."'77 rte 7 7«=, OWNER NAME ADDRESS LOCATION OF WELL i /�{� (NO. & Str� .,- (Town ) j/'�n',• /f ,z�'� //��" •, (Lot Number) o J r' PROPOSED USE OF WELL © DOMESTIC SUPPLY BUSINESS E] BUSINESS ❑ INDUSTRIAL ❑ FARM ❑ CONDITIONING ❑ TEST WELL ❑ (S(Specify) . DRILLING EQUIPMENT ROTARY ® COMPRESSED AIR PERCUSSION D CABLE PERCUSSION El (specify) (Specify) CASING DETAILS LENGTH (feet) (,i l• rIAMET�!Rji`fnches) WEIGHT PER FOOT r_111 ` THREADED ❑ WELDED DRIVE SHOE YES ❑ NO WAS CASING UTED? ❑ YES 0 NO YIEL TEST ❑ BAILED ' HOURS ❑ PUMPED © COMPRESSED AIR G.P.M. YIELD (G.P.M.) / WATER LEVEL MEASURE FROM LAND SURFACE— STATIC(Specffy feet) DURING YIELD TEST fleet) Depth of Completed Well r in feet below Land surface: CJ SCREEN MAKE LENGTH OPEN TO AQUIFER (feet) DETAILS SLOT SIZE DIAMETER (inches) IF GRAVEL PACKED: Diameter of well including gravel pack ( inches): GRAVEL SIZE (inches) FROM (feet) TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks., FEET- to -FEET "' r. fµ ' .4 ... ... F- . d' v'J "q • ..... R- vs sv- ..._. ... Fa If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE rE WELL CgMPLETE i DATE OF REPORT WELL DRIU615-R (Signature)/ r' J J , PUTNAM' COUNTY DEPAR NItk 'OF'' MAIM! DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date JUNE Re : Property of PA S q OALE 'FAL. Cc) N E Located at D o s o eas L A N G Section O 61 Block Gentlemen: 5 Lot 3 This letter is to authorize RUDOL -PW C. pk.Tr,uGG f_L L.T a duly licensed professional engineer d/ or registered architect_ ", (Indical-e-1-- to apply for a Construction Permit for a separate sewerage system; to serve the above noted property in accordance with the standards, rules or regulations as promulgated by the Commissioner of the Putnam County iepar t111el1t of Hea'ItLZ, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or ...147,. Education. Law, -the .;Public Hed1th Law; - •arid - the -Pu nam'Coun y.'Sani tary Code. Countersigned: P.E., ., # �°� O 21 H4k_-SeN( pi-kr-6 (Seal) Addres VAL- HALLA, N,'( 1 OS �bo_ W 8 -3C. z9 e en one i Very tru ours, Signe Owne-7 of Property � 3dr (?_ _S- ��� ✓ L F-%(' r OF �P C. �Zc`�-78Z8 e ep one 't +'t`ir)0NQ Ji+l9E DMNIIEt.. -ROT hi ;EN cL-7i J. Lt;it' fi J'J:iEF'H P! i 'EILU, M'D. MFLNI� 1'LAVIN; •CER IFIED MAIL Pasc,si ale Pal-cone Barger Street Putnam Valley, . N.Y. 10579 Dear Mr. Falcone: CAs-tf>IEL, `aE','V YORK 10512 tii:ecSc: of ,n.iro;rner.t.i Health S.:rvices March 15,1973 Re: Failing sewage disposal system on Dosor.is Lane, Section 0 -67, Block S. Lot 3 On March 15,1973, . this department received notice that the sewage disposal system on the above,mer.tiororj lnt Was not funef-;nn.: P.nr nr {'t•ieniy .. - u L' - - A 'r -Lei:i inspee-uion eoniirmed zhai sewage was being discna.rgera ro - r.e suri.ace of the ground. This is a violation of Article TII, Section III of the. Pul tram County Sanitary Code and must be repaired without delay. Since this system = is still under ,tile... 1. r:azity :s sgned by .yo2�_,��`r:z e 'te�ribe'r 1.,11,9.7 ? -.I wfL.lI Te- .: ;....:_. quire that repairs be started within the next two weeks (by April 1;1.973). The entire sewage disposal area is extremely wet and a great. amount of sewage is on the surface of the ground. I would suggest a survey of the situation at the site by your engineer, Lt,. .Rudolph G. Petrucelli, the con - tractor, Mr. Pasquale Falcone, and myself at your earliest convenience. Please notify this department -a7ithin the next week so as repairs can be started as soon as possible. WH/es c.c. Rudolph C. Petruccelli 21 Halsey Place Valhalla., . N,:Y. 10595 lama Very truly yours, William Hedges Environmental Health Technician �-7 �,C�aJ/1011 5 G% Gv r f // ..5 `> �J /i`r r tee' ..- .r �� c'' �-" �/'z"E^.' =�✓`.� COUNTY ,. ..-. .- � .— ' � ^" � ..,. u .. ., a� .. �:. -� �. ...�...., +. �.y ... Q. . � .a r>y! riN,.P . f'., ........ .. . -� .:Y •. - . r �.. a.. .Nn� 'Yii+`�'. � s P.r DV41`l SL1 6i^i, D.D.S. JOH't S ; i`N 'i, M, , IJ , Vice Pro3ldsnt 't +'t`ir)0NQ Ji+l9E DMNIIEt.. -ROT hi ;EN cL-7i J. Lt;it' fi J'J:iEF'H P! i 'EILU, M'D. MFLNI� 1'LAVIN; •CER IFIED MAIL Pasc,si ale Pal-cone Barger Street Putnam Valley, . N.Y. 10579 Dear Mr. Falcone: CAs-tf>IEL, `aE','V YORK 10512 tii:ecSc: of ,n.iro;rner.t.i Health S.:rvices March 15,1973 Re: Failing sewage disposal system on Dosor.is Lane, Section 0 -67, Block S. Lot 3 On March 15,1973, . this department received notice that the sewage disposal system on the above,mer.tiororj lnt Was not funef-;nn.: P.nr nr {'t•ieniy .. - u L' - - A 'r -Lei:i inspee-uion eoniirmed zhai sewage was being discna.rgera ro - r.e suri.ace of the ground. This is a violation of Article TII, Section III of the. Pul tram County Sanitary Code and must be repaired without delay. Since this system = is still under ,tile... 1. r:azity :s sgned by .yo2�_,��`r:z e 'te�ribe'r 1.,11,9.7 ? -.I wfL.lI Te- .: ;....:_. quire that repairs be started within the next two weeks (by April 1;1.973). The entire sewage disposal area is extremely wet and a great. amount of sewage is on the surface of the ground. I would suggest a survey of the situation at the site by your engineer, Lt,. .Rudolph G. Petrucelli, the con - tractor, Mr. Pasquale Falcone, and myself at your earliest convenience. Please notify this department -a7ithin the next week so as repairs can be started as soon as possible. WH/es c.c. Rudolph C. Petruccelli 21 Halsey Place Valhalla., . N,:Y. 10595 lama Very truly yours, William Hedges Environmental Health Technician �-7 �,C�aJ/1011 5 G% Gv r f // ..5 `> �J /i`r r tee' ..- .r �� c'' �-" �/'z"E^.' =�✓`.� L. Pt-i G ,_'V95T R vcx: e L- L.? 6ignature Address 21 HALSp-y R-Ac.c Vag �a,�e.A} New Y02%e X05 is" THIS SPACE FOR USE BY HEALTH DEPARTYMT ONLY: Soil Rate Approved Sq. Ft /Cal. Checked by Date r S ? 0 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES . - "t .., .',Qy . .. -..- �....C.7... rw. •�-snm '. 3i. 'Y 1sr ,'T'4+t . v_ , -. .-.. e± -. .��- A'T._...'�...w9 we '. SV:.'< n .. •+.. qh � }P ... DEPTH HOLE N0. ( HOLE NO.y HOLE NO. G.L. l'. K0 /L 12" 18" Y 24" S >'i -,-t o C- L.A y 30" Cv/}y 361 G� �y 42" 48" 5411 C 66" 72" 78" 84 i INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED EB dAF INL��.WLI - iBG`ONT-ERED .�T .1NDTISQ" MTAED= E Y ? 2A.r -� DESIGN Soil Rate Used-4--?0 M n,/1 "Drop: S.D. Usable Area Provided /�, d o o S- No. of Bedrooms 3 Septic Tank Capacity `�� N C lz�, -r I F Absorption Area Provi d By 3'�� L. F.x24" � �2c, .__ L. Pt-i G ,_'V95T R vcx: e L- L.? 6ignature Address 21 HALSp-y R-Ac.c Vag �a,�e.A} New Y02%e X05 is" THIS SPACE FOR USE BY HEALTH DEPARTYMT ONLY: Soil Rate Approved Sq. Ft /Cal. Checked by Date G p 0 i PUTNAM COUNTY DEPARTMENT OF HEALTH ,„ DIVISION `OP''�NiTIFtUlVN�ENTAZ; "HEAL�II'SEHVICES <�:: _�. .�,- ..:.. •: -• _ . -F COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner P&SQ_UALa FAtUCONE Address r3ARC F_Q ST PQ►;. YAri -LPE (. Located at ( Street d LA we Sec. 0 67 Block :5 Lot 3 Indicate nearest cross street) Municipality Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS 2 T'45 3o I 3/1 z- 2 Z `(y 13.,? r 3 -,5 4s 3� �ti,a ��� 2,/� 4 9 2c j�o tlL `�i 2v 5 Notes: 1) Tuts 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. Hole Number CLOCK TIME 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 1 T1 ? =47 s'° Z6. K ( Z -j-!t9 2 2 `7. q,) 3t is /y 20 `/Z Z 1/4 13, 3 3�Y, 6`41 l� 21 o 2 T'45 3o I 3/1 z- 2 Z `(y 13.,? r 3 -,5 4s 3� �ti,a ��� 2,/� 4 9 2c j�o tlL `�i 2v 5 Notes: 1) Tuts 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. lJuz /Uoi=14h 398 4ZE = 7 - rD,r5 7- aivcE' F"roM - ---t _ i ;i; 1s PO7V ' -, : �• .. �:�, �. , . z ". '�, ., ,; ,.,, .`�..5��- e � .� ' ny r- ?r -`w;_, .a-:: - 5 �` ��k _ ems, /.:�':,.�, '� t SY�'' ��x � \ t � o ... - v �. - 1 , o - - Gn ct'co� er 3.78 La,1 %s h- f3eo`r om _� 7 - S T 3 7. . -X R _._ - =� `�APP}� O..VEC . v , . °s •a .., ». sv •"'ic ". d• re -. . .. �. .- ..-_^•.i ,.. '.. � -.:y', .,: _ -T, i`'- L. s"' .:tP•3 -`,N - ,- -..' >, -. ..y �... .. -rt:•- g/...0 va'.. jf d °i '.F'� __'� `i `�i'�,- 'i ,i yam/ _r .F '': i :.. ... - .�.. r .. n ti.,x `t. a - .:y, .x. ... ..vs.,�. -s � 4 £3':$ �`,- .�, -�.I "'��. - _'°r. ;'kk ' / ..1 7i'; ii' /��+L � �• MC0l7NlY 0 190f NEALU r DMiECQR" �` :.._: ; 4_. -. ,> •� - WRENMENiAL-,NEAITN, S - w- o :c¢rf 'fhQ.f f/ae s:ewa ,e: L ` =%'J P LPa r - �T.h/sis o ,. _. - .... d/s _... ��✓ >:. .� .: ' . - ,. >,,� .. ,�. .,� r u •, A - c�, 'FOR .a+ .d,� r -, ._.• ; w nd /c4r.z`¢r/ on fh s x /�.n _d _ -. � ...� � � �,.- ._..: �� - -- �'� - s}em i+!as.in„Rec:t_d fj 1V ;� _ :ii. was,,cower�ed "overt ?he sysfLr»EwQs .; \ - _ _ - _- � r„ Peo�essa Ai c7 Ta`i1I•+, CJF Pu7' A a 4xw �� '' - a _ .d',� r t = y -. s - s{ 3:• �•�- v�fJi]'NrQM `�:OGIMTY_ N61Vi�f��k:- i P: T • r•Y 04, /97z -Fc SURVEYED & PREPARED BY ALEXANDER BUNNEY : LAND SURVEYOR. P.C. 20 WOODSBRIDGE ROAD KATONAH. NEW YORK 10536 N S. LIC. NO. 28694 SURVEYED AS IN POSSESSION 0 I tht-re"? only ;f r,;,N z.)"p nt FILE No. T-6-90 -3 01V BEING A -OR71,01V 611V ,Al2 aZl,---A6&R� -,C-// EO /,4/ A/ NO k' Ale, 195z, F7,3 1011119111;1 I've 4080. of Q: Qp //v 04, /97z -Fc SURVEYED & PREPARED BY ALEXANDER BUNNEY : LAND SURVEYOR. P.C. 20 WOODSBRIDGE ROAD KATONAH. NEW YORK 10536 N S. LIC. NO. 28694 SURVEYED AS IN POSSESSION 0 I tht-re"? only ;f r,;,N z.)"p nt FILE No. T-6-90 -3