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HomeMy WebLinkAbout4670DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.15 -2 -23 BOX 35 emo ej -i"T ry 7, PUT NAM .;COUP EPARTMENT'S.OF. HEALTH In ,W,, nviro . nmefifil,-Wtialth ---'—;,Ca'-I 61,1- M Y.- 051 Se 2, O.'C E?: f, 0, a :DrivE . asteny� si e- oniewoo Located a ts qujhweqterly of- Wood.Street 0; riir L Tq4gus Cons t,. Co o Separate. sewerige System bdilt by Tan ;Lis . 3i� tic`; Tank` of Gal. nk Other r6quirements none, 7 Water Supply:- Publi . d . Supply From,:, )t Private Supply Drilled :By Address Nit Building Type 2 s Has Ero s- lon Control Been Complet ed?. no .-I . C e t ifg' that thb-systen (s). as liit—dTeTviffg` � a bo— e pre—I ses were, attached), and in accordance -.with th the standards; rules and reg ul d a Date ' December - 5'i -11972 Cert Burk S., - Belk , Address T Any ,person,oc . cuoying,p"r6mis-es� served by the.a6ove syii6m'(s)'-shal conditions 'iesultlng'.'frorh' such . usage, Approval o . f the 'e "t r-"� i6: -p available and.. the approval. of, the private-Mater.�ppply beZom subject.,to ,,modification or change W Date /t7, Z, M Town or Villa e,,,, apipr -.,x.,, 8 —sbction,�*-- Block Job833 4 7 ot" 6 6 a Op4, Y ` Address 4.4 al Feet �;X-. width trench hobs 'A rm k'­ N . Y. No `of Bed rooms- Datq;-Pe.rmit Iss, th completed 0 h 1'� �qn r Lictjioqessent essentially -ii�;iftoik ri. o n the '--pla ns of e.-cqijipjb bik -(copies w ch are ... - on plans1filed" a P".d - "tpe 'O'eAmit :istued by the Putnam County. Department of Health. R.A. .10,512 Licenis No 9 845 = promptly take such action as "Y, beinecessary to secure the correction of any unsanitary ,se�"rp 1 9! : t. ty 'id as'„soon I as I a public: sanitary' sewer becomes bli 6, hull �a when 'pg.. ic.. water ,',,supply becomes, lava I lab le. Such appro.va,is are Commissioner " As�m�iiiioA*ir,�6f'�'Heaitff;.'�iUch;�,i!y�o�i��",i6batfic:atio��ri-,cp��i9'� necessary _ 276 YORWOWN MEDICAL LABORATORY INC. P.O. Box 99 321 Keay S$ree_4 .. ' Y�asl�ta�' n . He igl�ts,. N.-Y..-j0598-'- � h.. t.Y _ .�.iv. �. yf) .- Y. •fit .� ML.. .W _ .. v -. Y, s ..^..av :`^.� � 5, -� .t•P.., •.a'Y DATE COLLECTED RESULTS OF EXAMINATION OF WATER OWNER L/t11 L (lLl Ll V LL TANGUS CONSTRUCTIO14 CORP. 2/22/73 CITY, VILLAGE, TOWN &/OR NAME OF SUPPLY DATE REPORTED i.MIT T BACTERIA PER ML. (Agar plate count at '950 C). COLIFORM. GROUP (Most probable N6. /100ml.) THAN 2.2 HARDNESS, TOTAL -ppm DETERGENTS - ppm _USS NITRATES (as N) - ppm IRON, TOTAL - ppra ,LOURIDE (F) - mg. /1. These results -indicate that the water was YES of a satisfactory sanitary quality when the s &mple was colY�cted. r i A. H. P.ADOVANI, M. . (ASCP) a r, i ; G. ,A 'GG „i: .'- a• "•+.': �":'a..t'o'.. --.. .. ..: +i. •. .R:�':� �s .. :.Lai':.: -": �w...:Ce. �: - -'., :. •:�'7'v.t p {'.': .. ,',�•n:: �'�' +�.', ... �: w,.. :fl':S�B :r e�:::il�r+:': ili'!•�• T,ms: , s Constr. ctlon Corpe Glo-vjn of ..Putnmr +2 0; alloy Owner or Purchaser of Bui ding Municipa ity Tstigu:s Consta'uctioll COM, 123 Building Constructed by Section 11 on. 1; t ac)od 14,1.ife Location - Street Block Colonial 'JO t 6 1 Estat ee BuildIng Type 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 j said system constructed by me which.fails to operate fora period of two years immediately following the date of initial use of the sewage disposal system, or any repairs made by me to such system, except where the failu e �. to operate properly is caused by the willful or negligent act of the occ - 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- -vi co-s• -of -,-the , Fktnsi- a—Gouigty Department• of Health as to whether or iot 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 this 7th day of March 9 ?3 Signature Title PrEls, 134nt If corporation, give name and address) 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 i ' 7 Westchester County Department of Health Division of Environmental Sanitation WELL CCKPL19TICH REPORT !• . . This report is to be completed by well driller and submitted to Health Department, together with laboratory report of analysis of water sample indicating water is of satisfactory bacterial quality, before certificate of construction compliance is issued.' Well construction to be in accordance with Bulletin SD-62 "RMM a REMIT ATTM RELATING TO INDIVIDUAL WATER SUPPLIES" LOCATICM i�ELL �%f�1 6:�() _J co Nam / WMI DRILL & /,—/-o �2/ "faNJ Name CAS NC DETAIIS Y= 7S t Bailed Length= /j _// Feet; L or SECTION BLOCK LM C ' ) iV /c G/ a o a © 2 rose City and Town r t G/ HourstStatict 9 Feet Make: G R/ /(- /1/, When Hailed ° 'Slot Diameter: InchestYield: � G,P.H,tor Pumped ��o Feett Length Ft,tSize o t Rindt /ems t t t Diameter Sn,' TOTAL DEPTH OF WELL (�° 6' FEET `� .,7- j4. 0`l ript - af-- fermtiona- •peratr eted, Neuch.,ast . peat; sll tw; - sand;., ave1; Ground Surface t elaj,.hardpan, shale, sandstone, granite, etc, Include size of gravel diameter, t and sand (fine, medium, coarse), color of material, structure (Loose, packed, t cemented, soft, hard). For example: 0 ft, to 27 ft, fine, packed, yellow sandf 1.27 ft. to LU ft, gray granite, b Ft.to 144E Ft. t �%/c'12 /iIVl /5a,//>en r s -ia t . r �-a(j G /L., 4r /C'. C_/c: Ro <JC iF'd C- X Ft.to Ft.' t Mto Ft.t Date Well Was Completed Date of Report v,--) /l/q/7 3 Well Driller Signature I .. I,, � 11 '; .1, HELL PIT AND PUMP EQUIPMENT DWAILS Vinished Vell:- Check Pit with lo—inch Gravity brEie to Gr do Pit with 4—inch Gravity Drain to Basement Fitless Adapter — Casing Kin, 12 Inches above grado Others Describe Raps maho ce uzf Type S"XAe12S/e1V--- Capacity 7- Siore-go Unks Ty�. Capacity Gal, (42 Gal, Min.) DIAGRAM SHOWNG IMATION OF WEIL ON PRMSES 1hdid6te7-'lodAtioh`of house., ire ll,and sewage disposal system with distances, k1so indicate direction of slopesb and direction with distances to all wells and sewage disposal systems �+ithift 250 feeto I certify that the individual water supply indicated above eras installed as per the Toloo and regulatiom of Bulletin SD.62 of the Westche er County Department of Health,, - I - . ! ,.; - . #4 - I i.,-,r -!��­'­,�­­­,k�'10��, ­11x�'. ' � " L,'Lt-. "r- '­1__,,- Id.." 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Yo drilled bV Address u other Requirements I115ta 1 Curti" n drellr t `t i4 T ibersubrtiitted.tocthe Departments and a written'tguarantee w' place- ingood operating` conditi_`on any. !part of •said sewage d ° ;,ante of;'the approval .of ,the Certificate..of Construction Com' +will be located as shcwn'on the approved plan and that saitl well a '?County l]epartment Date January 20, 1972 s N r Ws " s Bed AddressBur a S:SI & DEPARTMENT` OF 'HEALTH Health 5ewices °Carmel A Y. 10512 rTENi Town of `Putnam Valley, p`rox: 825_ f 'Town' or Village. S � J � p Lot Job!V 33 4b7 wxh',4� ;One Like Road �Addressr — 126 Nla 0j) , N:. sr` 1 a 1 3 i Tco alOHabifab "leSpace L' -- Square Feet gal Septic�Tank { lineal feet X width trench r OreLak� :Road �� Address TT°�q - deep; L24ft pride (w>'th ,stone -4� perforat.ed piper antl locatton`of the` pfoposed system(sj•;, 1)� that ,the eparate sewage .disposal System mt there p and i n accordance with the standards, ru!esand regu a ions,o the 'Putnam artificate ofpConstrucfion Compliance."Isati sfa`ctory to ,the�Coriimissloner of Heal4hwill urni'shed the owner,�hi; {successors heir.s(or assigns by,the builder „ "thatsaid. builder twill system during the period'of' two (2) "Vears;imrrlediately- following the:date.of the inu- a af,the ong,K system or- .any:xepairs•therefo,;'2)'that th'e drilled•Well described above Installed in accordance with. the standards rules and- regulaons, of; the Wutnarri! r r - �P: C lerlea da me P , E; • Ar License. No ;, fromthe dateissued unle nstr,;uction of�the bwldi'pg has been undertaken: and is essary by;_tfie Com si r:ptof Hea`Ith Any change or alteration _,construction, ' r er'supply: only ,� t ,Title ,. Sb . "- .r -_-.. �. ..�. .... _. .... r•' Lr„.. -'v.:S ..Y ^�... .. ..- - "_�.. - < ... .� �...,' - _�. men ._..c .4_.'.:,q , ..-� � = P1'p T�� C��T,:�T`1n,Y: �L'F;9P'" T `T?? DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Jafivary 209 19 .2 - Re: Property of Tarigus Construction Co, Southeasterly'side Bonie Wood Drive,approx b25 fF, off Located 'atT,,rood Street in Town of Putnam Valley Section 123 Block Lot Gentlemen: This letter is to.authorize. ROY A BURGESS' a duly licensed professional engineer X or registered architect (IndicaTe f 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 -... Dalzart� ent of Health, and to sign all necessary papers on my behalf i n connection with this matter and.to supervise the construction of said system. or. systems -:in conformity.with the.�.promisi_ons of- ArtiGi- e -145 ' i - '- -• - -.- -s, .. c ...• .t . �. �..�. _4� ....p.. .. . .�...„ -� w•�, - � --,. .. � . � ._.,. .1,, ..F, o� --sr �.-. . -e-e -., c • .- :L- � -�-•- - 147, Education Law., the Public Health.:Law, and the Putnam County Sani -. tary Code..' Very truly. yours Signed Ow o Property Countersigned • TL S C OrTST o: CO , - ress P.E., R.A. ONE LAKE ROAD; P2AHOPAC, No Y; Burgess' Behr, C aEjv roe a ep one 628 3.705 e neida Ave. Ave , N. sufy, .. o . . -_.- C arme -1 -; N ;_.. y; ,10512.. _- 225- 3312f,r y et' Telephone Fo9� �G pRo tss.10W, � FUTNAY1 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. 833-467 Owner ddress r Tangus Construction Co. o One Lake Road., Mahopac.•N. Y. 10541 -rox 825 ft- SElig side k-nie -110 a6 P t e Block Lot reet�Wo?� 1,V 0 6 - ree 123 Loc d at 0 d Sec. Indicate nearest cross street Town of Putnam Valle y Watershed Y Y. city SOIL PERCOLATION TEST DATA RE TO BE SUBMITTED WITH APPLICATIONS bt ------- Number CLOCK TIME PERCOLATION PERCOLATION Run- .No. Start-Stop Klapse Time Min. Depth Eo Water From Ground Surface Start Stop. Inches Inches Water Level in Inches Drop in Inches Soil'Rate Min./in drop (1) 1 2:15 2:34 19 18 19 1 19 Min. 2:34- 3:14 40 20 - 2 20 3 3:15 3:35 20 18. :19 20 4 !7 1 2:21 2:39 18 1.9 1 18. 2 2:40 3:00 20 1 18 19 .1 20 3 3:00 3:20 20 19- 20 20 7-r 4 a. 2 3 4, 5 N6tes: 1)' 'Tests to be repeated-at same depth until awroximatel� equal soil rates are obtained at each percolation test hole; All data to, e submitted for review. 2). Depth measurements to be made from top of hole. rnr +4%��c�;7ci;- ��..:¢':�":"�Gfi.: r'— .'�ew.� ,� � ` Y�•G [�1`�Y'�f ��4' - _.. nip+ i��9 •e.�r'e�-,- �c.�_� ^:�.•:Y"'C�.' We•�•e1�.. "�•.:.�is�••:r sa 9.I 9.�t�.vm'c�"t9•. JAN 2 0197Z PUTNNIA COUNTY, 1) -. OF 1AEA s - . -TEST- -F.TT.. DATA -RE REX QUI DESCRIPTION OF SC TO :BF - LS ENC ,,'RED IN TEST HOLES DEPTH HOLE NO. (1) HOLE NO.-:_ (2) i.. HOLE NO. G.L. Topsoil- T. O'P's b.i I 611 12" Sand., stony loam with traces.bf'cl'ay. 18 24" 30". 3611 It. 421t It It it 4". 8 5411 it fi 6011 Sandy hard tan with clay ay 66" 72 7811 8 it INDICATE LEVEL AT 14IUCH GROUND WATER IS ENCOUNTERED .--.INDICATE'LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Burgess. & Behr; P.C. Date 4/17/71 & 1/18/72-,*' -"-c bee k DESIGN Soil Rate Used 20 DWl"brop: S.D. Usable Area Provided5000 s f- No. of Bedrooms 4 'Septic Tank Ca . pacitj 1250 Gals. Type Precast conc. -Absorption Area Provided-By 400 L.F.x2411 X' �a_:E r Install certain drain 1.1.1de6p 24" Ur lit wide',' 1J/st6ne4.,Q,- pe'rf e Name ' l Rov A. Burgess Signature Burgess 8-, Behr, P..; C.. Address SEAL 128 ulene.!Ca AVf:',, UU1'1110tj tf ;!f THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY:. OF SS1 .Soil Rate Approved Sq. Ft/Gal. ..Checked Date I. c- :' "%?c�iL>`: -•r . '- .°G'f. e� ^G.-� ;ate z ¢: :m.�.�`..r o o•° J.: -:`a c-� .�c. `fa .., . ;.';'6t,,,,iar` cam.. ...;.'LP.':G-�: vc °� ^�+ v: IN 1 `V` i� 2 01972 PUTNAM COUNTY, DEPT. OF HEALT_R. i ' 14 QI J LL 01 tA ul t v v 0.7 V Ay, 0Z A� RSP QL k4 P t Kati av, C e,, 1,;