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HomeMy WebLinkAbout4605DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.07 -2 -19 BOX 35 ills - IN go IN f- �: ; IN 04605 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services; Carmel, N. Y. 10512 r�NS�UC'fio'v:'e- (9'M.FL4afvcE =FOR,: SEViKGE;--DISRasai.: Svst �; ,".2,vT =: tR4tq'.: )4411 ®Yv Easterly side Wood Street south of Town or Village Located at Route 6N "' Section 120 Block 4 Owner SAt t; mo Mosaoni (Maple Valley Homes . Inc) L.TMPort ion Par - 5 Job 1007 -442 separate Sewerage System built by J. Mantovi Address Mahopac, N. Y. Consisting of 1200 Gala Septic Tank 252 lineal Feet X 36 inch width trench Other requirements one- on, B311 t Ott Water Supply: Public Supply From X Malanchuk Private Supply Drilled By Croton Falls, N. Y. Address Building Type Hi -Ranch No. of Bedrooms Date Permit Issued 7/19/71 Has Erosion Control Been Completed? no I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work (copies of which are attached), and in accordance with the standards, rules and regulations, plans filed, and the permit issued by the Putnam County Department of Health. Date July 13, 1972 r fed dy P E R A� urges & r, Y. X 28 Gleikeida Ave. Address 3, License No.98 • Yo Any person occupying premises served by the above system(s) shall promptly take such action as maybe 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 shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Commissioner of Health, such revocation, modification or change is necessary. Date �' LC BY let_ ek Title•- v PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. `Y. , 10512 CONSTRUCT'ION'- PERitiii•i -'FOR -SEW'*GE DIS OS -;a "YSTEM.._::.:: * Town or Village Located at V 1 III-e- o f Section 120 Block 4 Subdivision not part of a subdivision TM, rtion Parcel 5 Job 1007 -442 Owner Settimo Mosconti, -Maple Valley. Homes, Inc. Address R. F. D, 4.0Mahopac, N. Y,10�1 Building Type Hl —Rance Lot Area 1 acre 'I Number of Bedrooms Total Habitable Space 1340 + Square Feet Separate Sewerage System to consist of 1200 Gal. Septic Tank 320 lineal feet X 36 1' width trench To be constructed by Mantovi Address Mahopac, N. Y. Water Supply: Public Supply From X Private Supply to be drilled by Malanchuk Croton Fall's, N. Y. Address Other Requirements Run of Bank fill required 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 and regulations 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 original 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 installed in accordance with the standards, rules and regula i�4ons of the Putnam County Department of Health. Date July 16, 1971 ��CC Sign pd P.E. R.A. Add Bressr 9 srr'! e noT lAve • Carme l . N . Y. License No. 9845 APPROVED FOR CONSTRUCTION: This.approvai 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 new ermit. Approved for disposal of domestic sa itary sew e, and/ private water supply only.. Ray SURIPESS PROFESSIONAL ENGINEER LAND SURVEYOR ALVIN H. 13CHR LAND SURVEYOR • N. Y. j 41 845 a PROFESSIONAL ENGINEERING & LAND SURVEYIN13 N.Y. -` #37707 CONN #2509 CONN. - #5394 N.J. #2824 128 GLENEIDA AVENUE PA. #a454E MO. #3063 CARMEL, N. Y. LA. = #4522 CARMEL 5 -3312 (AREA 9 14) July 14, 1972 Putnam County Department of Health County Office Building Carmel, N. Y. 10512 Re: File No. 1007-442 Wood Street Parcel Maple Valley Homes, Inc. T. Putnam Valley - Gentlemen: We are enclosing four prints of the "As Built" system for the above; also certificate of compliance, contractor's guaranty, Mr. Mosconi advises us that theftmell report has been sent direct to you by the well driller, Mr. Malanchuk. truly.. yours BUR( SS & BEHR., P. By: enc: <:1 3 RREWSTER L.AB®RATORIES 4''m }Box 224 B V�9-r R; AP Y. �.�a: _ • � �;;;:�-� . `� ::"'� a.. - . - s;.o- - � 4r�'.�T'I:�' r� rd ,r SIS I�EF''OOFiT sAmPLE No. 2682 SOURCE: Sandy Mo s c o n i Wood Street Maho pac 9 N.Y. COLLECTED: May 309 1972 BY: L. Ma l anchuk &_ Son, Inc. BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method Q.. per 100 ml. ..o-s" .o v+. '.r^. ..�yy .c .. -• -.. �a.�y_ .. ..... .v- -,��. +wm o•- �w.',mW� rw'rF`••.�, .v :. .0 ..... This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. June 2, 1972 Roy%8i6kwit P. E. Director WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 , ' Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK This. report .is to be completed by.well driUer,and su.bmitted..1o..County. Health Department together. with laboratory .report of -- '.• „f. -.. anafy6scbf4ki& §ample in(iicating'Water'IS`baf °satisfactory bacterlaf�tjuality before certificate of coris�`ruction compliande is`i'ssued.' REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME Ln Y'►'"� d. - ADDRESS &_ 1% A r �( V. ( I �-�1 r� M LOCATION OF WELL (No. 6 Street) (Town) (Lot Number) N A �1 L 'v L. PROPOSED USE OF WELL BUSINESS DOMESTIC ❑ ESTABLISHMENT, • . ❑ FARM ❑TEST WELL 11 SUPPLY F1 INDUSTRIAL ❑ CONDITIONING ❑ O(Specify) DRILLING EQUIPMENT M.—I, COMPRESSED CABLE OTHER LL F ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION ❑ CASING DETAILS LENGTH (teat) DIAMETER (Inches) WEIGHT PER FOOT 1 / , L11 © THREADED ❑ WELDED DD I E SHOE L rJ`.YES ❑ NO CMG 7 YES NO YIELD TEST HOURS G.P.M. ❑ BAILED :', PUMPED LEI COMPRESSED AIR �( YIELD (G.P.M.) WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) V DURING YIELD TEST [feet) Depth of Completed Well in feet below Land surface: SCREEN DETAILS MAKE \ /_ V \ NGTH OPEN TO AQUIFER (feet) SLOT SIZE DIAMETER (Inches) IF GRAVEL PACKED: Di eter of wall including gravq pack (inches): GRAVEL SIZ inches) FROM (feet) TO (teat) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET O U a °t .r a, r o r I If yield was tested at different depths during drilling, list below . FEET GALLONS PER MINUTE DATE WELL COMPLETED 30 DATE OF REPORT WELL DRILLER (Signature) I v i Y• PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF.ENVIRONMENTAL HEALTH SERVICES DESI%�1Jjm;IEf3sbARATE. SEWAGE DISPOSAL SYSTEM FILE N01.007m442 OwnerMaple :Valley Homes, Into Address :D R. F. .° 49 l�hopac fl N Y° is East dide of Wood St° about 10001 south of , Located at (Street) Proc�ost Place : - Sec. 120 Block 4 LotPortion 5 (Indicate nearest. cross street) Municipality Town of Putnam v,alleatershed N. Y° • City SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATION Hole Number CLOCK TIME PERCOLATION PERCOLATION .Run Elapse. Depth to Water Water Level No. Time;­. From Ground Surface in Inches Soil Rate Start Stop Mina Start Stop Drop in Min/in . drop Inches Inches Inches (1) 1 10°38 11°23 45 18`. 19 1 45 Min. 2 11025. 12010 45 18 19 1 _ 4.5 oQ 3 _. 4 T_- (2) 1 10 e 39 110 25. 46 18 19 .. l 46 nr 2 . 110 25 12: 11 46 - 18 19 1 46 3 4 5 (3) 1 10040 11024 44 18 ..19 1 _.44 ip 2 11°25 12053 88 18 20. 2 Qe - 3 4 S Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are ob- tained at each.percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from .top of hole. I TEST PIT. DATA REQUIRED .20 BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. ( 1.) _ ,..:_: °HOLE , NO. HOLE NO. r, • G.L. To soil 611 ' n 121.'.. . 18TM Sandy Loam 2 411 tt 3011 ' 3611 Sandy Clay' ... - - .. 4211 rt 4811 „ s 411 6 011 r� INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH.WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Burizess & Buhr Date July 9. 1971 Soil. Rate Used 11 Min/1" Drop:. S.D. ,Usable. Area Provided 59000 + SF No. of Bedrooms - Septic Tank Capacity. 1200 Gals. Precast Cone. Absorption Area Provided By 320 L.F.x24" 3611 X widt 5�frc :Run of Bank fill require PT a Name Roy Burgess' _ Signature $45 AddressBurgess & Behr, P.. C. SEAL 12$ Glene a ve., arm° . PUTNAM COUNTY DEPARTMENT OF HEALTH vA�O fss oNA� Soil Rate Approved Sq..Ft. /Gal. Checked. by Date T PLAN NOTF_ .. TNIS .15 TO CERTIFY TtJAT THE SEWAGE DISPOSAL f- Tp S-YSTEM WAS, CONSTRUCTED 45. INDICATED ON TN /S PLAN ; AND THAT THE SYSTEM WAS /NSPECTE.D ZY ME, BE FOR ;1T WAS CDV QED OVER TNE•.SYSTEM WAS CONSTPUCTP'�. - t` IN ,ACCO.LkDANCE Wl'TN ALL TNEIQULES AND RbGULAT /ONS 7. 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