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HomeMy WebLinkAbout4631DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.11 -2 -2 BOX 35 rm L i ; :� .r ,; 04631 c , PUTNAM COUNTY DEPARTMENT .OF HEALTH �� t Division o ,Environmental Healih Services Carme% :N Y. 10512 0 CONSTRUCT,IO�N .PERMIT. FOR SEWAGE.DISPOSAL.SYSTEM Tow of Putnam Valley Town or Village JLocated a,one Wood Drive, off Woad, Streit_ ��9 ,�. t:; 1, <<• r . `" ' - �,,:.y:r- 45 ��•.. .;� —Z -.r i ��_c= .+', `•>.,- '[-. ---- •.,c-- •— �.'ri.'�' Y�Ilba,: .. 'BIOf.I(J : <, s - a � - 3 833 -409 � 4 ... Tonie GJood Estate I Subdivision Lot; Job owner :Tangus. Construction• Carp. Address 'One. LakeRoad, Building Type. Colonial Lot Area5G., r C5 S.F.: _ Mahopae_, N.: Y: 1054.1 � Number of Bedrooms Total 'Habitable space Square Feet —separate,. Sewerage System to 'consist` "of `12 "�0-` Gal. Septic Tank x{'00 lineal feet x �6 inch width trench To be constructed by TAngus Cons_tj uct,ion• Address One Lake Road • MahOpac,- NY Water Supply: Public, Supply From � _- Private Supply to be drilled by. TO OS: rlisch •:Br .. Address n, Armo N. 'Y, .. • ... � Other Requirements I: represent that I-am wholly and ,completely responsible for the design and location of, they proposed= system(s); 1) that the separate sewage disposal system above described will be constructed as shown on'the'approved amendment there to and m accordance with the standards, rules and-regulations ` o_ e, Putnam County Department off Health,�and that on_complet,on. thereof a ,Certrficate-Z•of Construction Compliance ""satisfactory.t`o the Commissloner of Health will _ ,.: b'e submitted to` L eh ,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' ,,o wo (2) years. immediately following' the date of the issu ance of the approval of the Certificate of Construction - Compliance of tli'e.original system-or any,re'pairs thereto;`2)'that the drilled well described above will be located:as shown on the apprond,plan and that said.welI will -be installed in. accordance .with the standards, rules and regula— 'off the Putnam County Department of; Health. Date October-28 1970 Signed P.E. R.A. AddressBurg66s , & ' Behr -128:; Glenea.da Ave`; armel, NYLicense No. 9845 APPROVED FOR CONSTRUCTION: This approval•expires one year om the date issued- unless construction of the building has been undertaken and is revocable for.cause or m' ay be amended ormodified when'consider ecessary by ttie Commrissioner of Health. Any change or'Alteration of construction `requires w p rmi _Approved for disposal of.domestic ry sew/ag� /e/. /a�djor- te'w supply only. ' Date OG' By "' Title :,n.. Cn or regulations as promulgated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in PUTNAM COUNTY DEPARTMENT OF HEALTH* .:- o�::: n. •,:,. _ ..,. <,Y •-r.;.- :�llI1%�SrGiati O ENVfRMMWrA �' _ � .::...'. ..� .. ':.�... • . 833-409 DESIGN.,DATA SHEET - SEPARATE.SEWAGE DISPOSAL SYSTEM FILE NO. Owneriangus ConstruetionCo.:.. Address `Lake Road, Mahopac, 'N. Y. 10541 off Woo S reet) Located at (Street) onie Wood Drive Sec. 13 . Block 1 Lot (Indicate nearest' cross street) Municipality Town of Putnam Valley Watershed 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 Min. Start Stop Drop in Min/in.drop Inches- Inches Inches (1) 2:20 2:38 18 18 Min. 1 2 :38 :. 2:56 18 18. 19 1 18 " 2 3 .2:56. 3 :14 • 18 18. 19 1 18 '► 4 5 ?:20 = .2 =.!0 .::2j _� :`1.8_�_:_d..:_._:r�:.__ _ ._. "-. •_ .20..:.f� _ 2 2.:40 . 3-:00' 20 . 18 19 1 20 " 3 4 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. :j 2) Depth measurements to be made from top of hole. INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHI,CH.WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Burgess & Behr Date 10/26/70 DESIGN Soil Rate Used 16 -20 Min/l ".. Drop. : _ S.D. Usable. Area Provided 79000 SF + No. of Bedrooms 4 Septic Tank Capacity 1250 Gals. Type Pre ®Cast Cone. Absorption Area Provided By 400 L. F.x24" 36tt width trench. Other EZ Well Name R oy A o Burge s s, Signature 9845 Address Burgess & Behr SEAL Gleneida Ave0 Carmel 9 No 'Y, 10512.... PUTNAM COUNTY DEPARTMENT OF HEALTH Soil Rate Approved Sq Ft. /Gal,...Checked:by Date hf PCJTNAM C ' 6 Lil' n n en r, B :.Located- at angu s­-d, 'd ns f,'- Co. f,. V,',' !Owner - rat6­Sew a r S ' Y�stem built b Y. Ta "off Wood Stj bus t DEPARTMENT ,`.OF., HEALTH -I!,- Wh6 Seivi-c'es.-,". diim61, N. Y; 10512 f ;V 1.q7, Town or v.mage t 36t ' ectl n Block i; 8 qtot - roe 0-13 =409 Address a Lake Rd, „Mah6Daq,,: N Ye Meal— e-t- L- -.71i' Fi� A5 Width Arench - ”. ., - ' ' -`1_ ' .1 ;. ia ' ' I i .,: . , 1 7 ., . , . - . - , -.' I , �,­ - 't ' ' ' , A�,-: a4d 11 �buf f e 8 ft 6�.­,�.�ifora,,, e -Piib'e,.Ao� .b6,. removed to �.zr.'O­Vd' Othqr-raqM!rem0*, —, . . - ­-,'%, -1d 'and d1rt drain "77 ,,;end �,,UIG �!qeh water 'SUpply: Public 'Supply From. • x Private Supply Drilled BY ,"Addreis " I Building Type 0. 'of -Bedrooms. Mate Perm t ss ad Has'Erosion Control Been Conbleted? -no �COM 1 e d Aqit W13/,72 ` r, -itertify-thai7the-systihifs)-is'liitidserving the above- premises were constru cted esserittally -as ihoWri'on the ` ' ' -plari­i�of" the,comp' leted,work:(coplei,of 'which are attached) and in -accordance With the stanaards,�,�ulesand regdIafldn4;-pI"s i Iled, and the perml f issued byfha Putnam County. Departfient of Health. , — . . Date i197 Certified by P.E. PF� R.A. M dA. -Ave.'. Address Licefise •No.., Burge' SSr to c correction' occupying prpm!ses served 6y'inte"ab'b*Ve'"s*ysteni(s).-'itiiill'.prompti� t4ikisuch action as maybe . necessary ­ secure the 6 rr tion of any unsanitary Any _person ng rom �--s , u werag : a . sqsierii...sh rne..n6ii an -'-,o soon is a public *,saniti,ry sewer becomes ti �.,condlt Ions, result h age. Approval �o -,the, s�par�a q.,sp such` si f ` available, ii6d the 4 f water ' up ly shall dkorh&h' I... a 6 d, void eh'..a',, ublic. a su ply becomes 'available. , Such',approvals -are approval .the` w s P subject:� to mod if lcation'�r,'cha nge when, In the-judgm ant ;of ., . tthe ss on f.H ealth ch r o odificatiori or change'ls, necessary. ��r 7 Data T q lu 'ITY, VILLAGE ,yTO &.OR NAME OF SUPPIrY DATE REPORTED__ its: ;AMPLIN -P(DIUr :. SACTIrRIA PER .M (Agar plate count at,350C). CO QGROUP (Mbstr probable No. /100m1.) HARDNESS, TOTAL ppm DETERGENTS .ppm NITRATES (as N) ppm IRON, TOTAL ppm I , '4 Westchester County. Department of Health Division of Environmental Sanitation .. .. WELL COMPLETION. REPORT This report -is to be completed by well driller and submitted to Health Departments together with laboratory report of analysis of water sampie'indicating water is of satisfactory bacterial quality, before certificate of construction dompliance.is.iss.usd. Well construction to be in accordance with, Bulletin $D-62 *RULES & REGULATIONS - RELATING TO INDIVIDUAL WATER SUPPLIES". LOCATION:­MUN I A= WM-T OWNER: //Y* �(Uj Nam WELL DRILLER: b/ / 0 '1'1�4/3 / "J, Q"vj SECTION ..BLOCK la. Street Address City and Town Name Street Address- City an WATER MET, Sc DETAIW T EST . Bailed '(measure from land surf ice) Feet' or Hours'Static: '/m Pumped 4i Feet9 Nake: . I cWhen Bailed I Islet Diameters In c he s 1Y i e _14: G. P.& for Pumped Feett Length n. tsize KjWt Diameter TOTAL DEPTH OF WELL 0 FEET M_11W4Fr_k_1F11 -Depth From t Give description of formations penetrated., such ass peat,, silt'. sand, avels Ground Surface t clays hardpan,* shale,, sandstone,, granite, ate. Include size of gravel diameter) and sand (fines medium, coarse)p color of material,, structure (Iaosep packed, camentedp soft, hard). For example: 0 ft. to 27 ft, fines packed# yellow sand; 27 ft. to M ft, gray granite.. t n. t. //_� n //J Ft. I Mto Ipt, I FtAo, Ft. Ftsto Ft. Date Well Was Completed Date of Report Well Driller Signature v ' r q� p^ WELL PIT AND PUMP WJIPMENT D�`TA %%S , lI' -✓ Y9 ®� Wf�JI.JL:+. -`'� e';�'.. �c ...;i= �"•�t4}•. -. � .a .. .. .:w � _ .,s-.. _. ,- _.:.;., .. .. ;:.�- iL'ai� i� ° a � e c 1'1X i`�h'-F --fri c'� G•rav�� "i�i��i�a �c��Pe :�;'° �- -� , =:»�:� - �ti:=. �:.:.::�' -, � : t.::.; rte k Pit with 4 -inch Gravity Drain to Basemen% Pitless Adaptej A Casing Kin,, 12 inches above grad® Dthers�Describe- Pumpa . F4akp TypeCapacity G. P.P[a Storego Tank.- Type Capacity Gal. (1,s2 Gaga Xin DIAGRAM SHOWING LOCATION OF WEIL ON PREMISES Indicate location of house., well and sewage disposal system with distances. Also indicate direction of slopes, and direction with distances to all cello and sewage disposal systems within 250 foot. I cortif�, that the individual eater supply indicated above was installed as per the m1pe and rogulatiom of Bulletin SD.62 of the Westchester County Department of Health. 3- a AS GUILT_ PLAN 6. Vvr r P v ,p ,•�4P� Ai /A� _ fir/ J� 5 �, ' a• .n �y.�3 `P% \?1i�� Io' r k m a^ �• ° � a s ° , I 855— 4o°J i NOTE :. THIS. /S TO CEClTiFY TI-/A7" THE SF_ lh'ACiE D1SNidbSAL SYSTEM WAS CONSTRUCTED AS PV01CATED ON TPiS,ttpL.AP! AND THAT TWE SYSTEM WAS INSPECTED BY ME 0Ef" ,<'7E /T WAS COVERED OVER. T<IE 5YSTF_M WAS C01V,5TRU�7 E D ! IN ACCORDANCE WITI -1 ALL TPE :2ULES AND aLGU 4i17'IONS j OF THE PUTNAM COUNTY DEPARTMENT Of" )IEALTI-! I EXCEPTIONS TO T{-IE ABOVE, ✓FANY NOTED BELOW_ 'T'r2c nlc. -i J. _ �F pe RpGQAr CD �IPE TO C',E w.E nn 0'1 (AS SH OwnI I _ P <ov +oC J{S >p +11b�jPl: $UFF Ems l3 eTweE,.1 Ent0 OF �I. Cowwp. { eD �v{T�1• �a III117" I AS 'SUILT PLAN T/E MEASUREME/VTS OF SEWAGE DISPOSAL SYSTEM, :! A B LOCAT/O•N L-o-r 13 SON I WCOC) D -'STAT E. 41 L_.: wi T_' T PUTNAM COUNTY N.Y. TOWN OF PUrMAM VALLEY , Scales os no.ec> ,AUG /3, APPIP 6b•6 91• j . - .UoK .. ._ i`� -- JA' 1672 C�b.0 I oo.0 I.iO Y �•r.t~ - ✓\ �--� '"'— YUTN 1 i!}+i... ._. EALTN _ _.. _ _ _. �a ;' .•v•: RGESS �i MENU �,. r , �'.s4r ,t t "• O y r , $VISION OF , __ _ i /' ._ ✓ _r% WMRONM TAL HEALTH SMIMS f :2B C�IPn�ico .4�e.�ciB Ci�i•rnE,� !e: .�' I n. �h