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HomeMy WebLinkAbout4652DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.13 -1 -42 BOX 35 04652 Barber Street Uocated.;,z Manuel .,asqups�,; Owner - Separate :Sewerage System built 'by 0 -VO ^Gal Sept] Other ::requ!e, ik s I Water gpp Y —Publ c Supply From Private "Supoly Drilled ti rpss $uildingx.Type Rafich, ' .°Has'Erosibn 'dointrol'.Been , Completed? —Lcert ify–t hat.t hib,syst.em(S)7a slisted serving the ab e March 1, 1 -7 Address y person ,,,occupying :premises served .by the 'abdVe:'syst4 Witi0 ns`-i 6t'Ih4 ir�r� - use - gi ppr,oval•'o i :Ihe liable and e approva "of Ahe :privatb vvafer s6ppiy st t,,to, modification' or'z6a'n9.!, Wh6n 'th ''j" -d jj@i!Of which are t9a d De alWent. of Health. 218 R, 'R.A: se 027846" O 0 0-0 lie to 6` r i�' &'c6rre&ion°6f any 'unsanitary s6o 6 'as a "public sanit ar y sew6r:becomes be0mes, available-.' Sluch' approvals are )q Ification -,Or - change ls,-necessairq':', BACTi RIA PER ML. (Agdr plate count at 050 Q. COLIFORM,GROUP (Most probable No, /100ml.) 1.e88 .';t.�18I1 HARDNESS, TOTAL -.ppm DETERGENTS- Ppm NITRATES: (66N)'� ppm :~ IRON, TOTAL' - ppin' . A. H. P.ADOVANI M. T. (ASCP) .LL COMPLETION REPORT PuTNAM COUNTY DEI'�RTfSC7JT UP IIEALTf4 IT Division (if Environn••-ntal Ilcelch ! vrvicus COUNTY OFFICE WILDING - CAFIAIEL, NEW YOnK . ; _Zr,I�:E: °u�ta:be comuf�t ciyl��r v r 11 �.rsl.laa. and. cat;; ''U. 'o.Co. �n Y. Q.ic�l ;h . Dc4�- rt. tnzcn4 _tors�Lltcr'�^',i�h,,labo_�a `�rY- ;�,rRr :�, a 3:.-a .. . <n e• �. .- P....:�;�-- .».... n� �F'S., e.a... ..,.�: � �. ._:_v`s. .T. -•ti:: a'c... -:•n •G_'Fi.� .. :. ... ^` �. � .1' �•.. +y.'�w ••.i.. _ analysis of water sample indicating water is of smisfactery bacterial quality before certificate of construction cornNliznce is issued. REPORT MUST BE SUX:11.11TTED V.1THIN 30 DAYS Or V:;.LL CONWI-I:TIO�J FI KOM tAND SURFACE I Si zT' i� i Li i 1 FORMATION DESCRIPTION ckotch exact locaf:on of well vii:!! cistances, to at least two pormanon( lanamorks. ... _... , � . tee. ... ........ ...... _.e .... .:.... ..: .\ ....'Y �., 0 c If Y(old wai tested at different depths during drilling, GU below FEET GALLONS PER MINUTE' NAME _„ -... .. - ri,r- -� AUDRESS — •-- .......r.,,� OWNER - �; n (t f .f lee,° Lair— �� IT. (r (t1 : 6 strool) � --f .. (TOwnJ (lot faun :Cur) OCATIOId OF WELL eusINESS C� - -- TOPOSE0 DOMESTIC ESTAELISHMENT FAR1A, TEST WELL USE OF 01JEll INDUSTRIAL CONDITIONING OTHER EY) SUPPLY (Spa DRILLING 11 COMPRESSED ® CABLE El Ope.;f QUIP ?NEWT ROTARY AIR PERCUSSION PERCUSSION ) CASING LENGTH (fear) DIAM TER(inches) 1WEIGHT PkR FOOT j''� EYES SMOG RSYELDEDTI,:_JYES ❑NO (�,��nj5 CA SIN (_OZ't�D — DETAILS / /COMPRESSED THREADED I�1YES l.__INO . L_1 CAILED CI PUMPED © AIR HOURS G.P.M. YIELD (G.Pytj . TEST VJATER MEASURE FROM LAND SUkFACE— STATIC(Speei /yfocl) DURING YIELD TEST load j Depth of Complrlad Well / AEVEI In fact below land surfacer q 34) MAKE LENGTH OPEN TO AQUIFER (feel) SCREEN' - DETAILS SLOT SIZE OIAhtETER (Inches) IF GRAVEL well including GRAVEL SIZE (inches)I FKOM (toot) float) ' PAC0.ED: grovel pr ck grovel pock (inches): ITO FI KOM tAND SURFACE I Si zT' i� i Li i 1 FORMATION DESCRIPTION ckotch exact locaf:on of well vii:!! cistances, to at least two pormanon( lanamorks. ... _... , � . tee. ... ........ ...... _.e .... .:.... ..: .\ ....'Y �., 0 c If Y(old wai tested at different depths during drilling, GU below FEET GALLONS PER MINUTE' u Z z R.EP r ? ¢ Chrciar .or.l'iv ciu�oer' of Building Municipa,li.ty r: Building; .Constructed By Se ction Ward Location- . Stroet Block - 5ui.ldinz ^1y Lot GIi OF SFP E SE'AG13 SYSTL'M I ,represent that I am wholly and camplAtely resporrsible for the location, uJrlcmanshap. "rrt3rial� construction and drainage _ of '.the sewage disposal system servi ng tno abovo described property. and -that•-it has .been constructed as shown ' on the upproyed plan or appiovod arrendrpent thereto. and in accordance with the Stai:dards9 rules and rogul. Ltions of the >Westch©'stor County Department of Health, ana hereby guaranty to the. owrier, !u s 'successorsy heixs or assigns y to place in good &)) rating condition any. pax t of said '.system constructed by .me which fails to operste for a� per od of two. years iramed ately follovring the date of canplotion of the sp-wag disposai' system, o' any repairs' made by me 'to such system; except where the fail. to .o t, pr- operly is caused . by ahe wilful or negligent act of the occupant :of the building. utilizing the system. The undersii-;r-ted furthor. agrees to accept as conclusive. the determination .of the D �act of invironmental Sanitation of the; Vestchost;er County De- partnabrt of HeaIth as to whether or not the failure of the system to operato was cau3ed V / the wilfii:i or neg:ii et�t ac„ od try ocvupant of the :�uaIdirrg: utilizing, the SyStEAlo Dated t s /G day of �19 signature at Aa, Title / Place & State hf corporation, give Warne and adore s s ) - -- - -- — — — - IiVE (5) COPIES ARE RrQUIRF,D WIH FIVE (5) COPIES OF FIII, PLAI�LS &;FORE CM IFICA.TE OF "COiPLETION WILL BE ISSUED; GUAM . RF QUIRED TO ,L rIOTIC OF f1ATE OF FrtRST USA; OF SY ..8- ._,e ap _ w w w w P e Bivision.of Environmantal Sanitation., Westchester County Department of Health Form S.D. 50 Jana 1, 1960 (1966) . � PLJT�IAM Oi71�3T`I EPARTMENT OF HE�ALY ,H` -: Division of Environmental' Nealih Services, Carmel N -Y 10512 1 •CONSTRUCTION PERMIT.FOR SEWAGE `DISPOSAL SXSTEM s Ptltnam.Tlalley (T) ��� Town .. 9e �� •�,�:., . "'T'' - "" 4 c od at i�rxe.et r xe+r' �' 7Src Ma Block aL " "Rust3 c -Vale Pro roes P Subtltvision * Lot Job r' 1 owner M&t3ue1 Vasquez ': - Rte 6TJ RFD #"i Mahopac, N.Y. 10541 ' Address Raised Ranch 1 cre P ua Building TYPe Area e a — _ _ 2000+ � Number of.Bedrooms 4 Design ow 6-7 Nitaotal Habitable Space °Square Feet ` ': 120 1 400 Y of 24 'Trenches; Separate Sewerage System to consist of 51 an antl �1 ROger ' 11:ow. R,d I To be constructed ,by Aild►e' Cano us Ho Water Supply Public =Supply ,-',From tr9Ei va @ x - Andersi ��ell` lera' Private Supply to be drille y Address Barger Street i'utn lle 41 F 1 "N YD+LtQ�t1V,.•�89..0�. ­Other,., Requirements - I represent `.that I am, wholly :and completely _responsible for the tlesign' and location of the prop Se sX,tMdM sly 4 �t the separate sewage disposal system .above described will be constructed'.as shown on'the approved,amendment there to and m.accorda e�i %iles;an .regu a •ons o f the Putnam ` County,- Department of liealth,.'antl that completion thereof a Certificate' of Construction; y.'>to_ the Commissioner�of,Healthwill —:be' -sub mMe' to the Department .and;a wrttten'guarantee' will be furnished the owner his suet el%-o y'the,pu'ilder'thit said builder will . h place In good operating condition any par of said' sewage_`disposal, system.during'the perigL - i ely following;thedate of the Issu ance.of. the approval of the-Certificate 'of Construction -, Compliance .of,the:origmalsystempr A s• ;2) i�e. drilled -well described above will be located as shown on,the approved plan and that �satd well will be' installed, in accordance:iw he _ les , I sregu a ions •of. c the . Putnam Coty .Department; of. H ealt un L 2976 Date Signed• P.E. 021$46 f 1 lrthrcl @ Road shill Address - y1 r� jiice e' No !J` APPROVED FOR CONSTRUCTION This approval expires" ne year from the' ssu d r i building has been °:undertaken and is reJocable' for cau a or hi be amended or modified when nsider necessar ;by t l`Co mi' o r Oret�e • �pAy�Ict hange` ration, of construction requires a 'ne Ym�t., Appr ved "for disposal of go me ,ic,= Itary7sewa a or -pi at er =supply °only. 1 Date BY e' QI a 11JTNAM CO1iN7'Y 04 :, . 1i i'i li:;lY'1' OF 1IL/11,'11t DIVISION OF ENVIRONMF;N`l'11L iIF..11r,T }'[ SERVICES. 'Date June 19y 19'7b Re. Property of Manuel Vasquez. ® Located at Barger Street Putnam Valley Section Map Il$8 Block. hot I1 Gentlemen • o This letter is to authorize John S.-Romeo a duly licensed professional enfiineer x or registered architect (Indicate) to apply for a.. Construction Permit for a separate sewage system; to `. serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to 'sign all nece$sary papers on my behalf in PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES,., - - .., .. -.... _�- a„R: ti ':::•n. ..9�:: •a.;�F_�_��::'.`,�- r—� -�;,5. :.r .. .a;�a v, ^a °,.. :a�.��e'. .. ..d,.. >.'i� . °.4 =.... +'Z*: �. m... • ,. -:,w'. COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM Owner Manuel Vasquez Address Rte 6N FILE NO. RFD #7, Mahopac, Located at (Street ) Barger Street We Map 1188 Block (Indicate neares cross s ree Municipality Putnam Valley Watershed N.Y. 10541 Lot X� Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK'TIME PERCOLATION PERCOLATION apse Depth to a er a er ve . No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 1 4 :56 5:09 13 30.0 33.0 3.00 4.33 2 5:15 5:30 15 29.25 32.25 3.00 5.00 3 4 5 , 1 5:10 5:24 14 28.75 31.75 3.00 4.67­..'... ...._.._ _• _. _ 2" '5:4$ 20 ,29.75 32.75. 3.00 6.67 3 .5:50. 6:08 18 28.50 31.50 3.00` 6.00 4 5 1 . 2 3 4 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. 8 it Brown Sandy Gravelly TEST ,PIT DATA REQUIRED TO BE SUBMITTED;WITHAPPLICATION 1 DESCRIPTION UP, SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. 2 HOLE NO. 3 P06 boulders boulders 36 611 4811 10" Topsoil 1011 Topso it 1111 Topsoil 12'r 6011 8 it Brown Sandy Gravelly Brown sandy Gravelly Brown. sandy gravelly 1 2411 loam with.some large loam with some large_- loam.with some large 301' boulders boulders boulders 36 4211 4811 5411 6011 .6611 7211 78 8411 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 Date ji 12 12 .1976 DESIGN SoiL Rate Used 6-7 Mi 4/1 "Drop: S'.D. Usable Area Provided 5000 SF + No. of Bedrooms 4 Septic Tank Capacity. 1200 Gals. Ty e Masonry "Y Absorption Area Pro -- v ded By 400 L-F-x2411 x 36" Yh, C W o nam, 'i onn 00 nomeo z5ignazure Address 071. life 1 N rthridge Road 0 SEAL 0 -001 ;4 0 MerM1111, N.Y. .0 o o 0 0 :-...r. 0 000 TH13 SPACE FOR USE BY HEALTH DEPARTMENT ONLY: 0 0-000 0 So-ti! Rate Approved Sq. Ft/Gal. 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