HomeMy WebLinkAbout4671DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
85.15 -2 -24
BOX 35
04671
,.
.
16
-
r
.�
,
.,
.
IF
,
X0
`1
,i
T
.
.
.♦
.�
.
04671
-7
PU TNAM COUNTY
DEPARTMENT OF HEALTH
&Rr "' "Cawmek N. Y. 105-12
DiVisioh. -6,f Ffiv bhm V/,Ce;,-
kTE-4'F, dON-1 Va 1-
$T ;T4,QN C-ORM FAR 15FL.W.AriFEADMIR, A Law
CERTIFICATE. -.,FIUC,- LIANCE-PO T
tow oriiiage
6— : h!Fw b :r �near a p -end.Town' v
of same 123
Loested- at Se�ctioni :Block
is
VwdTan gis-CO, str�uctiob ,. Q
Q 1n Lot" o. 833 535 19
5eparate 'Sewerage System bdilt ;,byTp.n gpi.p- Cpn�s :,ti-pxi C 6nlewood Drive,
width r nc
nswirig f.-- x
other requirements
Water tuppy: ftb`l id 0,1 y From—
W -
X -C. X,:D, i ile
�,Privaie Sup'Oly DhIldc!"JEly r I
Nd,cj
1*i---s4.,.-., Rd ili- Armo'nk 'N • Y
y'p'e- ',N6.-df Aedrodn�s'. pa . te Pee.
Building T mit A ssued, 10411
Has Erosion Control 'Been :,CprppleiedF 0
-Jt,cerPfy that 4-lb�sy s _steo,�Pr�Cng-thejk bo
veDVe.riiises were 4constructed iessentially -,prshQwcon1t @,.p,Ianof the. work ,�cqpies p
wa
,
'k
he _c and n ,.:ac c-o,. ranc�el,j,- wk!l h with-the standards ancarc,j,
) ;ru
les. a-nd - ir'eg
. g1 r �lA' -
t
'
igsu
ea
-the 1 n 'c"ou
D ate — Ray 21, 1574 S 8e 6t j ie�by
-
* P�E
X
}urge �8 A d dress 12 License No9 5 y
n y pe rson occupying ;premises served by the iboyd sysidms)' ton may b q necessary to secute the,corre ction pf,a
ny
it, ons uresuIting' from 'such_ ,sage�Apirp al P r�iwgtepy�hall become s ' (sod n is a -Ublic< sa nItary sewer CO
available 'and he, ao p rcval of e priva ewa t or supply 1 y s ha iv b ecome null :a nd void when _,p u lic 5#1 becom es available. Such app ,
r
v
subj6ct. to mod if ication or change when, In the :Judgment OT the mmis r-df„ Health chi rev od If icatiop or change is necessary. a e
4-4
Title
TO RY
MEDI GAL�1.7i LAHO RA
TORKT 0 WN�
J -A �n: M T
P g
'Bor, ----
k4aO..' .95 ,32
,
�.T
—DATE COLLECTE
RESULTS OF, EXAMINATION "OF JWATER
W.
q7
`0
W
bus
a
'I CP
' Al"
:DWUM�1i' VATE-,)BE Mly
T V, ."MV.44
-
5AMPLINGPOINT
jom
Afty, lil., 7
'iff7iii v-
BACTERIA -PER :,ML'. (Agar plate i---dn A
. libbabld"'N6-ll.,
iCOLI;FORM:: GROUP ,,NO' I S f. : v /100m1)
N"
V'
DETERGENTS pptn
pIITRA'I'ES (as N) P
"'-"--
TOTAL Ppm
-''
4�.
C I
These s indicate thatj water sanitary .CU, rhin -the
sample 46"s -. collected A
I
N"
P ADC
I
A
i.•'y. Q,. . .���Z:is4Sli�'a�.X1.t`t'IJi.btla T`4ai0� i ..h `Y•.�. _ a— ~O. 1i(�%v.i6 ••-`1�,1F��,Tx'L'MY. _�. •T •O'•• ► r•V Tin p••
Owner or FurcHaser of Building Municipality
Tancus Construction Co 123
Building Constructed by Section
Bonie 1r,Tood Drive 1
Location.- Street Block
Lou 7 Boniewood Estates
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
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 made by me to such system; except where the failure
to operate 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 Putnam-County-Department of Health as to .whether or not-the
failure of the•system to operate was cau*seci by the willful or negligent
act of the occupant of the building utilizing the syste
Dated this 3� day of 19�)2 Signature �G
Title
(IT corpor tion, give name
and address)
Septic and Building.Contractor- Tangus Construction Cor
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.
t
Division of Environmental Health Services, Putnam County Department of Health
, -a - .._ +'. .ww•. ee�n. i T.ir:�:c _ <!�. '�3:. I -. ^;.mss, .:. ..: ^. a�� � � ". , -:. - .•. i� .. „ _.
I "it
NOTE: TN IS lS TO: "CERTIFY THAT THE SE't1!AGE OISPO .7A ,
SYSTEM WAS,, CONSTRUCTED AS ..1ND/CATED..ON -TN /S PL"AN.'
AND THAT THE SYSTEM: WAS 7N PECTED 6Y' ME BEFOR0,777
qq` WAS . COVEQE:D OVER,` THE SYSTEM `WAS CONSTRUCT 'O
i n 11 W
IN ACC DA _WITN• ALL THE RULES -AND 'REGULAT /,QNS:
y OF THE+ PUTNAM 'COUNT,Y DEPARTMENT OF NE.ALTq_
.' 4
w< 4 T.. `.y kt` T"�(�nEC31:, '.p,�rtYtK' A•�`+.,{�" :t -t Y - - - - _ ilk h�
P,W I
., t<,
r r'd7.�t " � F- '�+ ..f. f•„, a'.*.y_ � r�. j3lt�arf ��_ .:a '.t. ;� �-t� _ r.Ti:. Yl�'4 `�•
3 � "sr
V ..a(Y•y '�'�. } t �c a y .y � . .� . :i¢
?
Y�' t -.
'f -.. �, b iJ Y �'Gy . .£,` -'•^ R{ .F.: et'w :i. -1}i.. ,q . ) _
OF',SEWi4GEt D /SPO�AL .SY�'T M
r� ME uR � a
� �3 nrr �r
skYi- ' >- af9 +j `A' ,t•g LOCATlL3/V
T
.r, 3 1 Fz .Sk :' 7 t.c; x r '.3 _ rt. y .:.: �' t �.§�` «) i�:t �ti'•c�. �- 4> # r�„r q� I /4. �.i
15'd 435 •.
�K3 -__ �#"�1�.. � <� L�Vst sy�. • � � -r�a� .� �-:ti .: :;s I eta•- �.S�,S QYf � nOfCCi �.t _. .`a.t
A
'
I: f _011
� of �:?" a { f 4 i t '3a: d ^ a - t� c' � 3 r _ " +')'i19Jh�.. •,< :i �' ��:
r' ae , s. -_, . :ti3� h.. a Y a is -� i S� ,.�:�i f -� _J'"`�'3� . `±t;rN.60a �;� ry "' a Ct' - ~:e -- � •�5
c �", � ;:. .,�: .�f' Si' ': s .r., "'<4.,,. �- a; r �'° • ,a - +:aS,� �"'..+_ - � r > J UN� � -
a,'�c ��T� ...YP .•,*..`tea p� _� t. •,r- �4:..> 4r -�'3 �-. ,a. i�'C .,�- Y �''�-
-pp :,c,- - _,� �E _ .,'�_5,, ..?Er.��.' s�' -s-: tr`�. ,•r_• t= "�ze�' - �''�`' .�f � - - � 'Y`°,�r �'- �/'' p -G --
,3" .s,,. -{y �.. ✓. 4.:,.. -Z
I i•
+�wl - - �''•:.:t'`1 3,' •-L$ +c+ ..F:
:;+-,, a:'=`. �• ,i_rl . L ''s t- .:fzC. -:° f'•.T _ f: F- ,.3. '� . •a:�..i� _ •I:?! *v C..�ti�`.' s
Pao" esSoi�o/ En <.eecrnp Loud.' 3u�re !t �r'..
at., -9�, 5-:9,. ...y....9-
S S
x��„ "ti f•....- ��``s.'�».any..:•;: `;, ..t! %� .'t., ,,. ya''s y8. , �! :!? �, "zz`.. r:' v�d^. ' � `y,; 4:�t - :,n,`ie 's- ,•.ifizr . ,,^.s r-'. -r: '� /'M i. E :. �SION'.1
=- a 7 _, :' ' -, •; ` »x.st v4 (y X20 /eneido 'Av4nue. a e /,.•N
9•' :�_.. %.- _;�_:.,t ->o- ,._�: s +.4w... c.a = :ta,. *' :ti:>?:i� �a�:s.;:.. ,,...FYS. r.: 5:- sx.. r'•: ..r -F � ��•? .4: E�° ro,?� .�' T �11 "t
'S �-,a s.. ..,• ..r, '_ - ';•7.- �'!<1N ✓•ky_ tF `f 3-}t- „• ,: -;4.'.
t'- -
'y,. ,,.?'.: 1:s.__•,vs ..�. r _ },;rt.s,. .u•a .3. _ a 45t t�.,
r_ - •�: � ;- f: '� t� •�.. �''t..;:..z -' »-.} '�
.• � %:?.'i?}[ -Y T9a �t_y'�`' - Cai.`� J.� -' :�`�s?)�r"a� ? ";,'' "z � ✓'_��� z 'i t � ��r iv�ar1 i. -,:
�kxiF� .s�'Y".,...•ta�ii�?,.:���` _:. *- ,� Y t$- -_3`�I °�s ��!���,ii� .. zt�2��.- A'. �.'' �, �i`�`"����i?:'ss;.si�:•d;-'s��_ <.�� �;?. .-- ,:< _.,..c. .us-« .,-.« .r.. ���.��_
_ var':�rxtdi:�r vs.F•- s+�.X,.,;:- �.- :rec4.?t�. i._,�r, •;. •s<, ,i- ..,5�+ -_. :•7z'a. , T:.><wx "_
' yrt
{
66
EXCEPT %ONS TO THE A8OVE� /FANY NOTED '84LOW..
.6��,
st „Y
D2C> j F- �.,.�.(�,` o �. BSc sC.)
�F
i���,� LLy '• C�tJ S,`� ♦2.uG.:r��
•� ,�r'�.�
T£,
}
k"�' -OW F.°.Y , {?• •,�' -P, nri7 '�F1 �:lV1 S "'l'�., XG M°.._{? TSO
�$ { �
\;=. i2t s�T'
��:GT
h
”. a
:.,L
`
���1��`!:A TIONS•1 !'`'n%:� F?'�E 'Pi�^:C. Fi.��.. t.�e�a D�
.�1 +'4..
r .:. 'fir .,.
a„ •T n , ra.''^"�"�
.b .t_;� . L
,
Y
i
c 'rj li•./ l.�'e +fi 4V C.0 r,t <<T R u. T"I�` r %TY °? �:jG'�
{ 1
�r...�': e...
r }
4Y
) � n�••�t(,}`�,
iA. (,., �i Q•et iqt
�^ f*�l i�A� � e T'�!1 '.: �''�' ";J4 ')T-�, (14, f-x-!'+. 14
•1
1 +<<'t'i
��..1 .d ,.1 1'C, 1`n.
h
@'� `i
`.(a1 NE
i '�
C ('-�
t.
;GO '�•ss .
:ia�
r�� ts1 s
i�
T' �•+'13A.
k .��' c'�
w< 4 T.. `.y kt` T"�(�nEC31:, '.p,�rtYtK' A•�`+.,{�" :t -t Y - - - - _ ilk h�
P,W I
., t<,
r r'd7.�t " � F- '�+ ..f. f•„, a'.*.y_ � r�. j3lt�arf ��_ .:a '.t. ;� �-t� _ r.Ti:. Yl�'4 `�•
3 � "sr
V ..a(Y•y '�'�. } t �c a y .y � . .� . :i¢
?
Y�' t -.
'f -.. �, b iJ Y �'Gy . .£,` -'•^ R{ .F.: et'w :i. -1}i.. ,q . ) _
OF',SEWi4GEt D /SPO�AL .SY�'T M
r� ME uR � a
� �3 nrr �r
skYi- ' >- af9 +j `A' ,t•g LOCATlL3/V
T
.r, 3 1 Fz .Sk :' 7 t.c; x r '.3 _ rt. y .:.: �' t �.§�` «) i�:t �ti'•c�. �- 4> # r�„r q� I /4. �.i
15'd 435 •.
�K3 -__ �#"�1�.. � <� L�Vst sy�. • � � -r�a� .� �-:ti .: :;s I eta•- �.S�,S QYf � nOfCCi �.t _. .`a.t
A
'
I: f _011
� of �:?" a { f 4 i t '3a: d ^ a - t� c' � 3 r _ " +')'i19Jh�.. •,< :i �' ��:
r' ae , s. -_, . :ti3� h.. a Y a is -� i S� ,.�:�i f -� _J'"`�'3� . `±t;rN.60a �;� ry "' a Ct' - ~:e -- � •�5
c �", � ;:. .,�: .�f' Si' ': s .r., "'<4.,,. �- a; r �'° • ,a - +:aS,� �"'..+_ - � r > J UN� � -
a,'�c ��T� ...YP .•,*..`tea p� _� t. •,r- �4:..> 4r -�'3 �-. ,a. i�'C .,�- Y �''�-
-pp :,c,- - _,� �E _ .,'�_5,, ..?Er.��.' s�' -s-: tr`�. ,•r_• t= "�ze�' - �''�`' .�f � - - � 'Y`°,�r �'- �/'' p -G --
,3" .s,,. -{y �.. ✓. 4.:,.. -Z
I i•
+�wl - - �''•:.:t'`1 3,' •-L$ +c+ ..F:
:;+-,, a:'=`. �• ,i_rl . L ''s t- .:fzC. -:° f'•.T _ f: F- ,.3. '� . •a:�..i� _ •I:?! *v C..�ti�`.' s
Pao" esSoi�o/ En <.eecrnp Loud.' 3u�re !t �r'..
at., -9�, 5-:9,. ...y....9-
S S
x��„ "ti f•....- ��``s.'�».any..:•;: `;, ..t! %� .'t., ,,. ya''s y8. , �! :!? �, "zz`.. r:' v�d^. ' � `y,; 4:�t - :,n,`ie 's- ,•.ifizr . ,,^.s r-'. -r: '� /'M i. E :. �SION'.1
=- a 7 _, :' ' -, •; ` »x.st v4 (y X20 /eneido 'Av4nue. a e /,.•N
9•' :�_.. %.- _;�_:.,t ->o- ,._�: s +.4w... c.a = :ta,. *' :ti:>?:i� �a�:s.;:.. ,,...FYS. r.: 5:- sx.. r'•: ..r -F � ��•? .4: E�° ro,?� .�' T �11 "t
'S �-,a s.. ..,• ..r, '_ - ';•7.- �'!<1N ✓•ky_ tF `f 3-}t- „• ,: -;4.'.
t'- -
'y,. ,,.?'.: 1:s.__•,vs ..�. r _ },;rt.s,. .u•a .3. _ a 45t t�.,
r_ - •�: � ;- f: '� t� •�.. �''t..;:..z -' »-.} '�
.• � %:?.'i?}[ -Y T9a �t_y'�`' - Cai.`� J.� -' :�`�s?)�r"a� ? ";,'' "z � ✓'_��� z 'i t � ��r iv�ar1 i. -,:
�kxiF� .s�'Y".,...•ta�ii�?,.:���` _:. *- ,� Y t$- -_3`�I °�s ��!���,ii� .. zt�2��.- A'. �.'' �, �i`�`"����i?:'ss;.si�:•d;-'s��_ <.�� �;?. .-- ,:< _.,..c. .us-« .,-.« .r.. ���.��_
_ var':�rxtdi:�r vs.F•- s+�.X,.,;:- �.- :rec4.?t�. i._,�r, •;. •s<, ,i- ..,5�+ -_. :•7z'a. , T:.><wx "_
' yrt
G 3
r
:• ,. ' I K :PUTNAM COI
r }' 1` Division of Environs
CONSTRUCTION `.PERMIT ,FOR .SEWAGE DISPIM
Sout, eas `= si a oniewoo r1Ve 1t
! = Lotateo det ois
Subdivision :Bonlewood• Estates
7 Taegu Coi u
_strction. C,0
{r ` .Owner
t Rand got Area
i wBuiltling Type
�,.
L Number, of, Bedrooms
Separate: Sewerage System to- consist -of
Tan�gus Constr,U-
i
To be constructed by '
i Water Supply, 1 L Public Supply From.. -
a ° Private Supply 'drilled by ,
Construct cyst
drish
fNTY DEPARTMENT OF :HEALTHY
rie'nta/ Health Ser`Vkes, Carmel N. Y. :10512,;
�E _EM, Town : of'Putriam Valley
e &r e ad 12 'Town or '`1
c h Lots ? Job 833 535
s
Address 9' $QriieWOod Dr,ive
M opac, No Yo J-054 I
1-� acres ; v
r x Total }Habitable Space Square Feet
Gal Septic Tank lineal .:feet X width trench
Adtlress .
9 Bopiewood Driuej Mahopac
a -
�r Torlsch V
.. A'r�AP� -c e e' t 1 ON"
t Other;
Req4iromqnts.AqL -q
I ship. away atop oil
I represent that;l•ai . wholly and - completely responsible'for the design and i6cati6
6 :above described, will be constructed as shown.on the approved a"' .6nt there to
!� Y County;,Department :of'E Health, and- thaton completion thereof a Certificate o
j be'submitted�to the,Departmerit,: and a written .gua"ran oe wilht%e furnished th
6 place in good 'operating condition any part of said. sewage disposal system d
1 ;ante of the approval -of the .Certificate of, Construction ,Compliance of ;the or
i f ;,will be "located as shown on the approved plan and that said +well willFbe installed tiln
�r .County Department of Health. "
Date Septem$er.:19. 1973 Sig d
t "Bure.ss &. Behr, :P.y.;•
� %t- r1•ore�
Ad ress�Ei— crrvr:v =tx A -C-'
APPROVED FOR CONSTRUCTION: 'This •approval expires one -year from_the d
irevoc ible for cause or'.m$y be,ainended or modified when' con#"_ ed n cessary b
re u)res •.a new,, p ermrt' ', •A r ved for dis osal`of d'omesti ry ewage a
q ,p pp _
Date /— By -
-t
n Sof the proposed `system(s) 1) that the separate sewage ,disposal system'
and m:accordarice with, the standards,, rules an regulations o e u nam
frCOnstructiomComplionce ": satisfactory -to the Commissioner,of Healthwill
e 'owner,, his successors; heirs o, assigns by. th'e.builder, that said builder. will
wring; fhe period of,two (2) years i"rnmedlately following - thedate' of the issu-
iginal system.or any.repairs thereto 'that the drilled well described above
accordance with the standards, ,ru r of the Putnam
P E. R.A.
®ZIT• 1�–r� i ,' >" .`License.NO.
77, ate issued unless construction of the building has been undertaken and is
y the Com f Health Any change or alteration of construction
or, pri ;e wa er pplY- only,
Title
PUTNAM COUNTY DEPARTMENT OF HEALTH
tI ��L tf vER l'�E `¢:its,-1O�l �
Date September 199 1973
Re: Property of Tangus Construction Corpo
,Located at Lot 7 Boniewood Estates Southeast.side Bonie-
,wood Drive
Section 123 Block 1 Lot (Tax* Map Lot 19),
Gentlemen,:
This letter is to authorize Roy A. Burgess!
a duly licensed professional engineer 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 necessary papers on my behalf in
connection with this matter and to supervise the construction of said
system or systems.in conformity with the provisions of Article 14S or
1.47 Education Law the.. Publi,c...Health:.Lar�� ai1d, the nutnam Court
Lary Code.
Very truly yours; %
Signed
Ow�a of Prop rty
Countersigned: be
Address �?r
P.E., R.A., #_ 9845
Telephone
Address.. a e�R
Burgess; &.' Behr9 o Co - or �F _
128 616nei'da. Ave,
Carmel, N.,-.Y6 10.512 z_
225 °3312
TelephGnie iOR0 F uRVEY 4��G`�
ESSP..
&-) ;ve : klaad GStir 1 FIELD CIlECK LIST
i .
Date.: �. ZS - 7,
Ins p.by,:�,
i.`u'= -.:: i - - F � . •. ` •anT .. Y '' n:• .•.i.�;+� .v � +': l:>',' :'r. > i�.. ,�.. i+.S:'.,�.,,.... r.
INITIAL SITE INSPECTIONd Yes No Comments
Property lines or.• . corners found . . . . ._..
Can estimate house location
Will driveway need cut : ►� - ~ - --
N�ust trees be removed -note these . . ✓ �-
Is deep hole representative of entire SDS area J.
Additional deep holes needed.
Sufficient SDS area available considering
driveway cut, house location, separation .. ,
distances. etc . . . .
DEEP HOLE DATA
Depth :.
Water elevation.
Rock - elevation:
°
Soils. description: 5 TS. 5" 4
FINAL SITE INSPECTION
Date:
InsD . by :
House located where shown on approved plan.
- -._ ....... _..........
Width of trench average 3 1,- -
Slope of the line and trench acceptable ✓ _ ____ _
Room allowed for expansion trenches _
Over '50 ft . from swamp, watercourse . ,
_....Nat -m-.a' s01- not stripped_ or:::Sr S
unnecessarily graded . . ... .
�
10 Ft. maintained from prop.line•and
20 ft. from house . . . . . .
Separation of trench from house, well
etc. Follows plan . . . . .
Number . of . bedrooms checks . .
Stones; brush, stumps, rubble, etc . greater
-
`-
-
th-a.n 15 ft. from nearest trench ... . . .
15 Ft. of peripheral.soil horizontally from
trend. . . . . . . ..
Junctiol boxes prope--ly set
Could s-zrface run of from driveway, roads,
gro"arA surface, etc. channel near SDS ,
area
✓
I�
Does 10 drainage appear 0 . K. in area of SDS
FINAL 0ADINC OF SITE ACCEPTAME
136��e
Lot
�/OOG/ rs �,,Aes
REVIEW CHECK SHEET
Meets
Yes
House plans O.K.
Design data sheet ?
Peres presoaked? i
Min. 30'' pert, test depth
Cons . - results for 3 runs
D. Hole log O.K. 1
Corporate Affidavit for other than individual
Authorization for en*gln-eer !
Letter from Water Supply if applicable I �-
If variance requested -such noted on plans & apps.;. aytr
!
Std.1
Remarks
I
?
. _._........
No
DETAILS
if change is proposed,)
Existing contours shown,�show new contours)
Slopes for driveway cuts, etc. shown
Water service line location
Footing drain, etc. location
Top slope, bottom slope of fill
Percolation tests and deep test pit location
Septic tank size and conformance to std.
3 B. R. house minimum
House setback shown
Di S_ ox
All dater within 50 ft . - -of �-.PL-� shown _
Planand profile SW . . ............ • ...................... _. ......
.PLI_]_. other . weal <s._and. SDS.. closer. 2001.
shown o* r 'reference made
Property boundaries (metes and bounds- clearly shown
/
✓
I
i
I
✓ ?
i ✓
j
I
L : 47
�....:.............
)'I
SEPARATION DISTANCES SPECIFIED ON PLAN
10' to P. L.
20' to Foundation walls
100' to Nearest well
50' to stream, march, lake, .etc.
15' to Curtain drain
10' to water line (pits -20'
15' to storm drain
10' to large trees.
0' from foundation to septic tank
5' to pipe from leader drain .& fd
.expans
Jj, i`,f: MS N.•.. Ln."4'I _T•'.-ZU....'n• -„ ...L.V�14i'.il•- j' -'.V'V ilIT�iJ�1i1d'�N1' ^:'��; ai�:,4j;� '.TCti. ':ry; .,'w..: •{.:L.:C .... 1• ..1- -.
�. ^. DIVISION OF ENVIRONMENTAL HEALTH SERVICES �
' COUNTY OFFICE BUILDING, CARMEL, N. -Y. 10512 j
..DESIGN DATA SIIMT- SEPARATE SEWAGE DISPOSAL SYSTEM FILE No.833;-�535
Owner Tangus ConstructionCo. Address 9'Boniewood Drive., Mahojac, N. Y.
SouthM u slue Buntswoud Bl near dead I
Located at (Street nd of same Sec. 123 Block 1 Lot 19 (tax Map).
(indicate neares cross street) Lot' 7 Bo.ni,e,wood Es.tatesi
Municipality. Town of Putnam Valley Watershed .New York City
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
- oi�e
Number
CLOCK TIME
nuu tuapse
No. Time
Start -Stop Min..
PERCOLATION PERCOL
Depth o Water Water Level
From Ground Surface in Inches Soil
Start Stop Drop in Min. /in
Tnrhac Tnnhaa Inches
12:35 -2:47.
12
24.
25
1
12 Min
22:50-3:04.-
?-4
2L�-
25
.1
�
3:05 -3:20
15
24. ,
.25
-1 .
15
X3:20 -3:35.
15. 24::
25
5
12:39 -3:09
30
'20
22'
2..
15 tt
23t10-3:40 .
. � 30
20 '- : _.. '.
.2.2'
.2.
15 tr
1
5
...Notes: 1)* Tests to be repeated-at same depth until apppproximately
rates are obtained at each percolation.test hole: A11 data to,.be
for review.
0) DP -1) r,Aa gvrPmP.nts to be made from toU of hole.
equal sail
submit
ed
{
p
G...t - _`,�.. «w.•: ` oc4 r %cw •.: %Oz3`c:�,,v�wt'
M_IT`I'ED'WITH APPLICATION
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH HOLE NO. (1) HOLE NO.- HOLE NO.
_ G.L. Topsoil
12" tP
18" Sandy clay
2ji.ai packed - some
stones
4P
7611
48tt ►r
--
5�tr
- l
6011
6 it
I
7211 it ,
7811 r► .. ..
841i r►-
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED6 ft o
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED
TESTS MADE BY Burgess & Behr., P. C o Date Sept 174 1973
DESIGN
Soil Rate Used 15 Min/1 "Drop: S.D. Usable Area Provided 80000 SF
No. of Bedrooms 4 Septic Tank Capacity 1200 Gals. Type Precast cone.
'Absorption Area Provided By 320 L.Fo " X' width trench. i
Fill with r -o -b gravel (.400 cu y s ) a 1 0- days, th3themetest
to verify percolation prior to constr 1, oo Wm�
DO -NOT USE DROP or
AddressBurgess &Behr9 P. Co
125 Gleneida Ave.
Carmel, N. Yo 10512
THIS SPACE FOR USE'BY- HEALTH
Soil Rate.Approv.ed Sq. Ft /Ga
uft
fESSIONP
pecked b y
Date
' S
I
{
f
"L A I
Fri
tj. ,r J. \
6 c^,
1g
4ID.
IL
zz
tLiC .y«' e. ,�! T �. °.4. N v — e ..w .... . M.T^' \ tee. ... w+.� :•�. -.
vtl
20
®®o AV)
40 IV.
FIELD/4:` �,,.• ` ��, _.....1'r'a'. .yam, : �� 'r � � ....,,.,�...: w � .. `
I