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HomeMy WebLinkAbout4651DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.13 -1-41 BOX 35 y ' ' I IL _ 1.6 Its I ML . I .I I :�., .ITT;: IS dam � i 04651 PUTNAM COUNTY DEPARTMENT :OF .HEALTH c Dfvisfon of EnvfronmentaY Health' Services, Carmel, N Y 10512 ••�3it. i kvadse: + 3f STR'UC'ilC ! C fV l.Illd r0R SrdYtiGE liJFO SAL T, r A/ VA ­L,6 Town or V,nlal Located :at Ca r * Tax Map f 22ff 81ock} Owner • u Lot b SeParate`Sewerage SYSteuilt.tiY`UVi+= OIrJCv:Ca'P { Address!►04j7E hN° 4.KD'1� /F'.BW'1k�PRG -- _ in Consisting of t0: GaI. SepticTank 4ani! '�/= Other requirements �` 4 Water Supply-' 'Public supply Fr m / o I� , . e �Private,supplY` Drilled ,By S� L� 7 -1Jr' �L c. AddressP sr dff . Buildin9APe A06) M_, o: N of Bedrooms Date Pamp�(ti3e�Q� H LTH TY 1-1as Erbsion`Control Been Completed? WWI I.certifyy that the'system(s) as fisted serving t ises we ed assent( I es 'shown of attached); and in-accordance with the st -the permit is Date G.' +� wv� led .Y / Add Any person occupytng.premi ; es ierved bye gyp, m(s ly take such action as may conditions resulting from such.: usage A' pr, �7 g ge,system:shilPbecome nul . available and the approval of the pnvate: water �INLW` e I and hen a +public' M subject =to modification -or change when, in the'; ommis, ner ;H Ith 'such- I x r` BY a ®v 16��x�44 the pia of the completed work.(copies of which are d b .the Putnam' ,County •Department,•of Health. A. E. R.A. License be necessary to secure the co rection. of any unsanitary and void .as on_as a;•publie. sanitary sewfir•.Deeome>< ter: ppPI ;t ones available. Such approvals are rocafion, , ifs tion or change is necessary. 1 Title � .r✓.. .- ..... ... .. .. .r _♦f.. �;.. .r ate. -•.ql. ♦ . � -Y .. _ v +� ... r r ✓.. �� .•w• .. ... .. w. ..ice `.. .�W' +..r. ♦..y ... r...�.� V r.. Ca KiY YORKTOWN MEDICAL LABORATORY INC. P.O. Box 99 321 Kear Street — Yorktown _ .Yorktown Heights, N.Y. X0598 � :�;....; ; ;. ° . � �. , � � . y, ... } r -.. , 245 =3203 #11913 RESULTS OF EXAMINATION OF WATER OWNER DATE RECEIVED Ba &Vo Builders 12/4/78 CITY, VILLAGE, TOWN & /OR NAME OF SUPPLY DATE REPORTED RT. 6 N RFD#7 Mahopao9 N.Y. 12/6/78 SAMPLING POINT Well @ Barger Street9 Lot #12 BACTERIA PER ML. (Agar plate count at 35 C). 8 COLIFORM GROUP (Most probable No. /100m1.) 0 MFT HARDNESS, TOTAL - ppm DETERGENTS- WL NITRATES (as N) - Mg /L IRON, TOTAL - Mg /L AMF9vvla o &,Kzz t as N W mg /L These results indicate that the water was " ;,,° of a satisfactory sanitary qu ity when the sample was collected. i F T �� � 1�4� d H A. H. PADOVANI, M. T. ASCP) Vjg & M t9 .4TION PEPORT'l TNAM C9 VNTV MfflITURAT Of "$a kTH Division of rinvironmentAl Hoolih Opivko t CPUNTY OFFIC4 PUIL.DINQ • CAfl114, 10gW YORK th. Op amm ta9a!her.V Part- 11 t n ty.. H. e j� par�m - TWA �J@ E91* F-Q mglf Itt AIMWIPAPM. -01 f q#!hpre ihdjW1h1q�'^W At jg'�;f4iis& y iar"I �aierial quality t)e ore certificate o construction P9 Ong@ III IRM, REPORT MUST 13E SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION -7=0*77 "(Va. A LOCAICON (Torn) -7 !9 LJ FARM TOOT W9 FSTA11103"MIENT PIJUIC AIR OTHeR INDUSTRIAL. §UPP16Y r.PNDITIP"INQ COMPRESSED CAME OTHER ROTARY' AIR PERCUSSION PERCUSSION (Spoclf�) EQUIP V CASI I NO, !4MIT 11(inc.hoa) Miotff fee FOOT Rmg smg�-- XMI-11 _Y LA mo Y93 0 Sa'T"119ADIED Mom G.P.M. YIULD TaIll §AIM COMPRESSED AIR PLIMPE4 WATER *114§4411 IFROA AND 30 !ACE-511 PURINO YIELD TEST f!041) Depth of Conipletad Woll in foot Wow Land siW'rfq.C'Q:1.`/,FV LE iAlgtl MATE! (InchFa) Ism Ilin Mzz (Ipcoo TQ (IF IF GRAVEL Piametax of wall Including PACKEDs tiravql pack (Ino'h04): 01M FC014 LAND 6 MACE Sketch exact location of wall with 4latatim.. 00 fl wil ATIQN DESCRIPTION two pormanqnt landoorka, FEET 1FENT R R -e 7. If 0 lit 11 du If ifeld W0 1604'21 -die (a —00 409,41illing'. Iji, PERT GALLONS- '8 .1818' PER MINUTE PUTNAM Wi P J.:. Q. E - H V., Pool, QF( PEPQR7 WE L. Owner or Fur c aser o f Building Munici— pality V F-UJi -Dt0 (; CORP- Building Constructed by �aP, G 6 0= !4.66;r Location - Street R, F_51 P01-r-AJ —[ I A i Building Type l R I AZ MAP 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 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.oper.ate 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" ,0ta ;n9r __Cc)un±� . Zecal• .jl U rf Health -a.s -to TrihP.t;.izer or. '_got the failure of the system to operate was caused by the willful or negligent act of the occupant of.the building utilizing the system. Dated thi s _ day of c:_ 19 Signature jfG' Title ICE 7-If corporation give name and address) r 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 1 t.-. DE pC ; NA'6VI, GOWN I Y. VC -T, QF .HEALTH "All certifications hereon are valid for the map and copies thereof only if said map or conies bear the impressed seal of the surveyor whose signature appears hereon." L5 10iy1NZR h L ARLS cSBro'SS'QO "'E Z.37 /� sB9'OD"/O`� G /._34� TONE r1'AL `- i q 0 1 N dw24L ,t0 C 1 ^1 o-� Th' /S P.40PE.4TY .STAKED OUT / / D oa' z zor A2 43•.5 7,7 ` " 34./4• i 0 ti �f �t �j {ti i P.4E/}7 /SES SNOwiV f/ef?EO/v/ 294 /A/45' LOT /Z, AS ",H ,,,V/V O/V /Y/9P ENT /TL E! !�/°ROVE�y1�ivJ //V J //E ,ovT/VA/y1 CoU/vTY cLSR.�t<s ;� �� /CE o/�/ Q ,/ULY /% /970 dt� �r1 J\ ;r O a?f a:1 :i t ��RV�Y of /�.QO��RTy Yy QffFRAP*MEM a'v®FM <P O cSC�7L� SURVEYED & PREPARED BY ALEXANDER BUNNEY LAND SURVEYOR. P.C. 20 WOODSBRIDGE ROAD . ROUTE 117 KATONAH. NEW YORK 10536 �suRV�yEO �-oR /y/,q/V(JSL - VAZQUSZ c e I. . j. S ,,.S /70.-77'5 //V ya.. (O�F R07MMW /°C�TNAiY1 COUrVTy �� . NEB v yORK r n; 0.,77-5 = //7Fly 25, /976 ' B�POUGNT TO OATS` � OCT 4, /9 � ��,•` �� I � !t '; ,� 1` St [DEC �j PUTNAM COUNTY o EFT. OF. HEALTH "It is hereby certified that this survey was prepared rJ"� in accordance with the esistinq Code of Practice .r- a. ?ac � -i a; J. i?I' '°"� +�: •.. =-."' ,� .A ".��'.r -+` =��t�. •..�✓,T� .pS• - "y��- "ay.�, �-'t�"'7 ,.f. {' t. ��..K.yyS,, �;1�. t� ' �,,�,y > � P t r t ., { h �h i h' J '" - 'fX 'zy"YX"^tY"4J1�.`.' 3 4"� +" > •ttTr '^, 'P r {+'+'r� � f K� "^•r"' f% a -i+" � ,f,,''�`,i0xd ' -�"!�' �4���0 £'3� �y�I 'r '�t �b�t t l{ ,� • � is � � €µ� x„"'rx r�� •rr ^'�" ^'x1 S„'' r {`. r ax 'a:�t r1�yy�ii - f r ` � r "1 u�rs. §2 h. C,>x�- s• '`+S..c f y�,5 � -+•-n. ,t' - e N i U'``�.,,- 4''� p�„ C � fit'¢ � �'`Lf,�„A'� �y."'°,�t i1.�• L: CY.MONjl " ; . '4 ht'!1A lS.iO'S 4•E' +( �.� y w - ,_�' " "ryyr}y.`...",�>�ryt a y4y�a+,ss,}5.,`L.n a }jr'y x -4 t �orcpCf,n 4t��K ; TZL- 'i n . 4•r X.�e��c �{-r Jyt �1 !k'sr'W � ✓�"�'�.^,'7.���irt { z.. $x �'vaf� � �'Ti1N3i{Q _�� «t r .., ('.,� tY r~ hT"Eyc2 y #f •!'Y YaYK u� �y.? 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L a "Krr s� '�:..'. s "• + L,'ta, . 4,yw-a3xZ �� �^ y , 2v +a. � i r�rr K at r�re+,�•r ��tkj1 x x5?�y ��5 6 -tf . L 3C x tii�:j r Fi r }Y d v t r�'mfi, S,7S`' i5 z a r � si � � s�3 • '�, x > t f ,y� i L� S! r• .X ��1' I T ; o h F '{ �` ' ` �` x M PIJTNA'M °COJNTYk- DEPA "RTIIIENT�'OF HEALTH�� 4' �� . ; r w '> ` Ofv�sion of Enwronmental Health` Services Carmel N `Y 10512 �CONSTR,UCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM dr!^J � r -4 Lticatod at' chap / ' Block; Subdivision Loth 7 Job Owner v /�D /�1 CG Address L�pd F Building Type -� L Lo,t Area Number of Bedrooms o_� Design Flow `� O ° pp Total - Habitable Space,. Square Feet }, parate'Sewerage ;System'.to cohsist f _4 ��� eri ,' ,Gal Septic Tank antl OD J ar ` � tl±C, L- l /Of ToN be constructed `by _ir; a /�� /I�iLo �c�i%� Address'_ Water supply. Public Supply From v Private :Supply to be drilled by T Address 1 r Other Requirements t I represent'that I am wholly,, and completely,.res e�le tion R_ dhe proposed systems) 1) that the, separate sewage disposal system •above describetl will be constructed as shown.o to and in accordance with. the standards; rules an 'regu a ons o , e . Putnam County ;C+epartmen.t of Health, _a d that on, i Ce of` Construction_'Compliance" satisfactory.to the:CommlWoner,of'Healthwill. be ;submitted to "the Department, and a wr uar urni a owner his successors, heirsor'assigns' by the builtler; that said builder will place in'.good; operating- condition any part f id: sy unng the period of two.(2) yearsimmediately following the date of the issu- ance of the a royal of the `Certrficate :of ucti: of he i anal system ar4any repairs thereto.; 2 that the `drJled.:;well described ;above" PP 9 ),' ` w,Ul be- located -as shown on the approved plan' t' nst lard accordance .with the ngards, rules and: regu a ions 'of the. Putriam County Depe`rtme°nt of- �fH,rea /lth _ Oate P.E. R A. f ° Atldr @ss License No 3L7� APPROVED FOR CONSTRUCTION -, This approval expires: ear from t he. date issued unless. construction of .the _building has.;been undertaken and As vepocable'for cause -or may ?be amended:or•inodifie' when conside ed necessary: by the Com in ner of Health.' Any change .or alteration of-construction requves a `new ermit Approved :for disposal of'atlomestic`;sa ita wage, ;and/ °priv, t , water supplyionly: PDate By t i t , I FIELD CHElCK LIS`r. 7 7 �� . ..- .`�' -,. "- �r "�'v:.,.. C.: ../ '�•.. .'�v-l•.�� -•^.•` . ... ._ ..... �. .r?4i ~3.�Ga�'iT �i rC�.��� :mac'; .�•'af.�:7",l'� ti" Z�.� .. �/`:e .. ...... �- .:`�T:�: INITIAL SITE INSPECTION Yes • .No Comments ,Property line; or corners found . .`a . C U Y . v Can estimate house location . . ... . o o . _ Will driveway need cut [L' -- Must trees be removed-note these Is deep hole representative of entire SDS area Additional deep holes needed. . . . . . > . Sufficient SDS area available considering driveway cut,house location, separation . distances etc. . o . . DEEP HOLE DATA Depth: i �Y Water elevation: .Rock elevation: Soils descri.,ption: cy l5- e. FINAL SITE INSPECT10�N Insp. by House located where 'shovn on approved plan SDS located where approved Longth of trench measured Width of trench average Slope of the line and trench. acceptable Room allowed for expansion trenches :. — Over-50. ft. from-, sT,aamp,- wat e rc ours e . _ . a. ..y.'• IVatiiral � soil not - stripped or SDS�area iuuiecessarily graded 10 Ft. maintained from prop.line and 20 ft. from house Sep"Irati.on of trench from house, well etc. follows plan . hrumber of bedrooms checks . . . < < . . . Stones, brush.' stumps, rubble, etc: greater than 15 ft. from nearest trench . . . . . . _ 15 Ft. of peripheral soil horizontally from trench Junction boxes properly set Cou-Id surface run off from driveway, roads, ground surface, etc. channel near SDS area . . . . C . . . . . _. Does lot drainage appelar 0. K. in area of SDS FINAL GRADING OF SITE ACCEPTABLE } REVIEW C1I(:'CK- SI- ET IMe ets Std . Remarks es No DOCUITENTS ` _ :.z�; .�. - .C.. .. .. - r ... as • -%.v. ^ ". ,mow'' eat': ^a 9R a. -� � : ni <.� , .... n .. . . -. house plans 0. K. Design data sheet + Peres presoaked? 1;--in. 30" ' perc test depth_ Const. results for 3 runs D. Hole log 0. K. Corporate Affidavit for other than individual �. Authorization for engineer Witter from Water Supply if, applicable if variance requested -such noted.on plans &apps.: DETAILS if change is proposed,) fshow Existing contours shown new contours) Slopes for driveway cuts, etc: shown 1Zater service line location Footing drain, etc. location ToIj slope, bottom slope of fill Percolation tests and deep test pit location ✓ ' Seutic tank size and conformance to std. B.R. house minimum souse setback shown j Distribution box ftg. below frost, Lt .All water water within 50 ft. - of PL shown . Plan and profile SDS All other wells and SDS closer 200' i I shown-or,-.reference -.made,. 2'roper'ty' boundaries (metes and bounds - clearly show SEPARATION DISTANCES SPECIFIED ON PLAN 4 I 10 to P.L. ' t f / t 201* to Foundation walls r -00' to Nearest well 00' to stream, march, lake, etc. incl . expansion ; r . 15' to Curtain drain 10' to water line (pits-201) 15' to storm drain � t� 10' • to large trees 10' from foundation to septic tank 5' to pipe frow leader drain & .foo -tng Erain ✓ • PUTNAM COUNTY DEPARTMENT DIVISION OF VIRON�IENTAL..H: OF IiEALTH. _'AL If SEIWIC�:.a..- Date -2' -� Re: Property of B V Rav-0106 Located at err 'iA : Block Lot j Gentlemen: This letter is to authorize_ STANLEY I LANDER a duly licensed professional engineer or registered architect (Indicate)' 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 Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said . slcns of hrticlI� or -system .or systems-..in- conf ormity wi;th; -the 14 7, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. P.E., °9 #--_-3-z22- STANLEY:1. LA DE Addres ,' 7 AMA ALL, N. Y. 10501 .245-2.645 ephone ( Seal truly yours, PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner0 V by►LDjjj & C__0 PP. Address Ro O-I-E ( (J. RFp w-7 EA+4,o PXc . A 1A �/. Located at ( Street &g6 E%L. ���° � 2 Block `2 Lot n Ica e nearest cross s ree Municipality ' OLLW OF PTt►Ah Watershed��e_cr_si. it,', fb LL o 6-J SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number' CLOCK TIME PERCOLATION PERCOLATION apse 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 PI l 9:1 -21 i 174 ��4 3 4 -3 2 9= 3o X1:44 14- 2i 73 4 5 FZ/ 1 1- ... -o._. �. _....,... ay ._ ... � .. .... . � s .,c ,.f- .t.�.�__..:... � .eel •. .. --,. .._ .....e..,.,... ..,,j ....P - -. r .. .. e ...s � `�� 4 5 3 4 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. "_. ,,.,(�l_i.'i�t,t•.I) .]'fail ;I IC�I,.�,, 1Jr.'l'7'II lIOLi h0. f POLL 1\0. I1O1,1, fJO. v E.L. oso�G %'175�Lops�l f 1ph 211 i� J/ �✓ d 1a1� 30-11 J'" _ 6011 66" 72„ - -- A INDICATE T 1 C L AT l,TETC 1 G inl.' 1, 1,,., EI . is Tn " T,TD IV 47 Tills 1"2,.DE, BY ` TIE -T ii T,•r .-,. T.� -`_E -�. � 1',�, r rte• '�T,1 /}nT'•1.•il' - -. • /G /frG,�s II�DI.L�` �� L 'J; L i 0 tllCii ,�r '� 1 it _� v� S 1' T i,_Pj r> rp �L 'R_�S�. �: �I,_ tau L,,,...�. Da Dis3IGfl -- Soil Rath sc j.,..A 1t?Jy.,d:b .; ; . Tay mri'Cli No. of Eyodroo»:s Septa c T nl: Capacity Gals. TyJ�oi� .Absorption Area Provided £�,�' G L. F'. x2�; " :/ ju'-. Width tren—h.. -- - Otber Address lopl THIS SPACE I'OF USL BY I1� �L.PI1 DPI Alrl Jji.•, o.sa'�2�`� 80i1 Fate Approved Sq. r't. /Cal. Date a w All certifications hereon are valid for the map and copies thereof only if said map or copies bear the impressed seal of the sury yor whose signature appears hereon." Q� Al f i7 /_ ° 5' S" A /7' G ,:Pa'7 /T' sB9 °OO " /o "E r i 22 JULY /7 /970 AS /J'/H!� .N.° //88• i i� wOT TN /S PROPERTY sTAKE-O ? ' LSUR V� O/ /RO��RT/ OUT 1: //V ,Uvlit���l coUivly ' ;• NEW yDRK •'i OgJ E= /NFY 25, /97G Q7OR E-M SURVEYED & PREPARED BY �Ja ALEXANDER. BUNNEY LAND SURVEYOR. P.C. l , 20 WOODSBRIDGE ROAD ROUTE 117 KATONAH. NEW YORK 10536 �. �SU�4 ✓EYED Fe�F7. /NANVE� 1�iq�.QL%E Z "It is hereby certified that this survey was prepared ff in accordance with the existing Code of Practice {� n `t' FL�Rt, /•. /T //1 %� BAG c /F?O�/ for Land Surveys adopted by the New York State + S a; ie, lr f' -� AS SNOiV/V ON iN9P ENT /TG EI> /i; ✓PRO✓E� /� r ✓T vi. �LANPF?EPAREO �'OFZ RUS%" /C .VASE //✓ Tf /E (� c� .oUTiVF/iy/ CoUNTy fGERf�S oP /CE on✓ JULY /7 /970 AS /J'/H!� .N.° //88• i i� wOT TN /S PROPERTY sTAKE-O ? ' LSUR V� O/ /RO��RT/ OUT 1: //V ,Uvlit���l coUivly ' ;• NEW yDRK •'i OgJ E= /NFY 25, /97G Q7OR E-M SURVEYED & PREPARED BY �Ja ALEXANDER. BUNNEY LAND SURVEYOR. P.C. l , 20 WOODSBRIDGE ROAD ROUTE 117 KATONAH. NEW YORK 10536 �. �SU�4 ✓EYED Fe�F7. /NANVE� 1�iq�.QL%E Z "It is hereby certified that this survey was prepared ff in accordance with the existing Code of Practice {� n `t' FL�Rt, /•. /T //1 %� BAG c /F?O�/ for Land Surveys adopted by the New York State + S a; ie, lr f'