Loading...
HomeMy WebLinkAbout4674DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.15 -2 -28 BOX 35 . 11 , N16 i 04674 Ta qn.s Separate Sewerage' System built'I.by of,-, Gal �S ptl�7Tan Tank _and; nbriev .7 -6ther, requirements ' Water Supply: �Pubft Supply From X, 'Private supply Drilled By Address Ranch - u-ild P ing , a f..'sI on ontrp.I . Pqen Completed h6' NS'AL"SYSTEM 'To.'.kn of Putmim 'Valle, Town or Village 23� T -Bldck� Lot 10 Job* 833' -557: -.�n- e k6'- Road La Mah a, NY Ad' 'dress O '�b I` 6iii.ii�t6C-iii�hiially,is�ih6W'n-"on.t'he,'Ol'ans I �ertO�. that ihe'system(s) as iistia.servihi.-the' If-t ho-coMpIpted-woik'(coOies-of'which.,ar6 Y.P PFikMr SkPeS�Y"�� I- kta_6�4�d­_` --' in oidince'WiCh-­_ 'o and acc _�.the standards rules i6d..'reguiationsi, plans filed and the P, ermit issued y -M-CUM y Department of jHealth. October 26 9-7 Date k '(:e. . . . . . �P.E. � R.A. r,tifie^d' A B gesa Be r,o ur Ao oun Carmel Ye 9845 1 drec 'R 'n ro Ad Ocqd License No Any pel9r! occupying preml"s served .,by' the '-abo'V"e"'s'y"ii'e'*m-(s)' shall .:,'promptly take 're'thie correction 6" 'It such action .as sec6 f any 6nditions rbiultinj,"from such usage. Apiprdva I of the .separate sewera a systerb , s all become nu • ll; and ;void a s So o n as' a .public sanitary sewru,'nbecn o maery , 4vaila.ble and the approval i ­ , all , b c --a, "h a Vol when -p' u bli c ' water l pply .becomes s ava ili b le. Such -appro vals are subJect'to modification or ciaftge,Ahen, ir A , f, m ss f Hea I r�, such�ri� cat modificat ion o r change Is-necessary. pate V 'Tit e CT I BACTERLA PER ML. (Agar plate count at 350 C). COLIFORM GROUP. (Most probable No. /100m1.) LESS TIM 2 :2 ARDNESS, TOTAL - ppm ,' DETERGENTS -: 11 g NITRATES (as, N)'- Mg /L ARON ; TOTAL.- ext1r, j as N W mg These results'indicate that the water was 'of a satisfactory sanitary quality when the sample was collected. A. H. PADOVANI, WT. (ASCP) 1 Westchester County Department of Health Division of Environmental Sanitatiou e.•y:. -e.�.L :'�i::'� ': =: „un; ':..FS: `°!'.ia': -�'�'- c-n^•aF -"; c'e^ -;'$ -^ mho.. 8::." a ...~,'.e�.�e'4w,':.�_..n�'..: -: �_ — _..!!,.fin, �, --i.e^ 'r.�'..� R'FC":: °:'.n':''Y. WELL CCKPLETICN 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. Nell construction to be in accordance with Bulletin SD-62 "RULES & REGUL.ATIONS RELATING TO INDIVIDUAL WATER SUPPLIES" LOCATION: MUNICIPALITY '1�'�c rM 1, i, C SEMON BLACK MELT OWNER: CO X AI /36lt�/V� e wo-j o P/e Nam Street Address City and Town s:- WELL DRILLF.Rs %t' /.��5 / © /c /i s � k fo d- t I Bailed '(measure from land surf&ce) Lent Feet' Lpum� tl,, Hours 'Static: r 9 Feet I Make: I tWhen Bailed ' 'Slot Diameter: to Inches Meld; C' G.P. I.' or Pumped :j-7-fi<r Feet t Lenxth Ft. tsize � e nw, . S% ' ' ' Diameter In.' TOTAL DEPTH OF WELL 3e-r FEET Depti' From'° - ' '' 'Givif description of formations peastrated, such ass peat, silt, sand, avel, Ground Surface ' clay, hardpan, shale, sandstone, granite, eta. Include size of gravel diameter ' and sand (fine, medium, coarse), color of material, structure (Loose, packed, ' cemented, soft, hard). For example: 0 ft. to 27 ft, fine, packed, yellow sand; '.27 ft. to LU ft. gray granite. / n.&2:�L 2- Ft.' Ft.to Ft.' Ft-to Ft,t e Ft.to Ft.' e Ft.to Ft.' f Date Well Was Completed ��� /% Date of Report ✓- / Well Driller % !�Z 7I certily that the individual grater supply indicated above was installed as per the ralee and regulations of Bulletin SDo62 of the Westchester County Department of Health, WELL PIT AND PUMP EQUIPMW MAILS �r-�,�:;. �..:- 4:,.z.:�:��..."...a .:�- �e_ _..,,����..= :R_� -• =:s.- - :�;,�,-�.os0. :'-,:r ;:: �:..=�;�- .:;- '.,r:or. ...e_ _ �. oti�.�Ft"' =�':;:�:�:.:++;. -:;s -.`:: Fitrniohed Ve &la Check Pit with 4 —inch Gravity Drain to Grade. Pit with 4—inch Gravity Drain to Basement Pitless Adapter = Casing Kin, 12 inches above grade Other: Describe IPoLRP2 mak a Type Capacity G, P,M, �r Stprage ` ankg Typs Capacitor Gad. ®(42 Gal, Kin. DIAGRAM SHOWING LOCATION OF WEIL ON PRIMSES Indicate'. location of house, well and sewage disposal system with distances, Also indicate direction of slopesb and �. direction with distances to all wells and sewage disposal systems within 250 foot, j 7I certily that the individual grater supply indicated above was installed as per the ralee and regulations of Bulletin SDo62 of the Westchester County Department of Health, t caner or Purchaser* of u1 ing Muni.cipa ity Wl y'r•, :o+e a �wY - .. i -w t...T� .•�..r Building Constructi6-d by Sectl5n oca�tree Block C'fl Building Type o t GUARANTY OF SEPARATE 301AGE 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 vrhich 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 caused by the willful or negligent act of the occupant of the building utillsir2g .the cyst© .Dated thi sr day of' 19Z ' `Signature �� Title � corporation, g ve name and address) THREE (3) COPIES ARE REQUIRED-WITH THREE (3) COPIES UF.FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE QT C'� QF RATE, OF M15T USE OF SYSTEM. — — - - — — — — — — — — — — - — — — — — — — — — — — — — _— — — - — - ir w Division of Environmental Health Services, Putnam County Department of Health PUTNAM COUNTY DEPARTMENT _OF WEALTH t' r 1. DNisfon of Enwronmenia/ Healih Services, ­Car :N Y 1`0512 Town of Putnam Valle' CONSTRU.CT,ION '.PERMIT FOR. SEuWAGE_' SSPOSAL_ SYSTEM >G�'.t!�a" FQ� .9.sQc "1�?'�3�F3�t ®I'�.�L �� Town Zr V�Ilage LocaTel a * � Section subdivision $oniewAAd Fatftt�s F;;x x rh z ' Lot - �,� Joby33--!5 57 Tail us Corte ruction Corp. do ta, e o Owner v Y < f Ranch r e c fl Rea . {{ Address 1 Nlahop�a :=Building` TYPe ;Lot Area. ` P FS Number of Bedrooms r - _ Total Habitable Space square Feet separate Sewerage •System to consist of .`' Gal 'SepticTank T 00 I eal fee X width ,trench aM To be 'constructed by �}�i,}�- (y°�1n�t1(!t C1t1 A40n Address ® a8 ab0V0 } r + .Water Supply Public Supply From ` m - Prrvate'Supply,YO be drilled by; Jam 1Qrl� $C s rmo ; . o Address -Other "RequirementsAouse foundatlfln dma3n t.o BR�end to existln� drainage 1 c , aS _8 0 on �lanS Y r d l represent that l;am wholly and completely responsible for'fhe design and location ot`the proposed systems) 1) ,that` the separate - sewage disposal system above described 'will be cinstructed as shown on the'approyed amendrnent thereto,arid in accordance with the standards; -rules an ,regu a ions "o e, .,Putnam. '. l . County, ;Department of'.MHealth,''_and that'on completion'thereof a ',Certificate of Construction Compliance '`satesfactory to .he Coinmisslo'ner of'Healthwill b" e submitted to: the Department a and a `written guarantee, will be•- furnished the owner his.$ucces-sors heirs or assigns by the bwld @r,:that, said builder will v place in.:good operaUn9 .condition, any part oi,said sewage dispos"_al system during; the period of two (2) years imrriediately follow.in'g thedate•ofthe: ;is §u ( ahce :of -`fhe approval of the'Certif�cate =of Construction` Compliance of- .•Erie orugmal system, or anY ;repairsahereto 2) that°'the dr,illed_.well,described above . will be locafed'as shown oh the approved plan and that saidwell will 6e installed m accordance. with the standards rules and :r. ulations :of the Putnam t County ;Department of Health k r a Date 1(1UgLl3 259 .977 k . a A Urge,' 9 �G ` efll' s�• y P ., B p P Address [� p RO Carmel r; ®`s1 Y 1451�,cehse No. - °, 7t1i� 5 APPROVED ,FOR- CONS'T- RUCTION This,approdal expires one .year froi.nthe date issued unless construction of the building has been undertaken -arid pis { xevocable 'for cause o► may be amended or�inod�fiedwhencons�dereii.ne essary by the Commis ner of Health _ Any_ changegr alEekation of structiOn requires ra new permit Approved f r rsposal of. domestic q!-ii!- n r`y wage a o ` rry r-s ,only ' Title I 1 i .tea �•. .. i PUTNAM COUNTY DEPARTMENT OF HEALTH _:h`i:.:fi"?.a.- ';�: .:.L,'�'..E - }'v � �r.:��. : ew - �'%%i. r�i:'t:"_`^: .'r: . .oe+�:::ir c. -... •.�G...- � :�- r_.- - •.w ... .. _'. ~ DIVISION OF1ENVIRONMENTAL HEALTAI,SERVICES, _ DESIGN/DATA SHEET - SEPARATE.. SEWAGE DISPOSAL. SYSTEM FILE NO.833 -557 Owner Tangus ConstruationCor.p. Address Norther y side of oniewoo ive an Located at (Street)westerly of .Wood Stree&c. 123 Block Lot 10 (Indicate nearest cross street) *Lot 10 Boniewood....Estates Municipality Town of Putnam Valley Watershed New York City SOIL PERCOLATION TEST DATA REQUIRED-TO BE SUBMITTED WITH APPLICATION 5 3 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. 2) Depth measurements to be made from top of•hole. Hole Number CLOCK TIME PERCOLATION PERCOLATION .Run No. .Start Stop Elapse. Time:'.. Min. Depth to Water "From Ground Surface Start Stop Inches Inches Water Level- in Inches Drop in Inches Soil Rate Min/in.drop 1 9:15., 9 :33 18 24 25. 1 18 Min 2 9:34 9:52 18 .2-4 25. 1 18 r� 3 9:58 10:16 • . .8 21 25 1 : 18 4 5 3 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. 2) Depth measurements to be made from top of•hole. I Q 4 'fit DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. il) r,L. Tops.oil Err vv HOLE NO.' a HOLE NO. ! 1711 Sandy loamfl clay stones r 18 " 2411 3011 ►P 9 _ I 1 36tt t. ! 4211 5 II _ E > 6011 tp { 11 -66 It _.. 7211 I i ►v - 7 tt 84 j INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED 69 0" '{ INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED 5 ° °O99 ! 75. i TESTS MADE BY Burgess & Behr9 Po Co Date 9/17/739 -8/21/ ,. Soil Rate Used 20 Mln/111 Drops AI:JLJ_LUlV S.D. Usable Area Provided 6000 SF+ No. of - Bedrooms Septic ank Capacity 1200 Gaal hype Pre =cast Ic Absorption Area Provided By 40 L.F.x24 " width trench. i foundation drain to extend 'to existing ditifiaga ditch as shoAh@ House .Name . MAY xo burgess L I gna .11rP Address Burgess & Behr, P. Co qP SEAL cilenelda Aveo 9 0 �� Carme THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: {� Soil Rate. Approved Sq. Ft /Gal. Checked by , N4i I1 I , PDTNAM COUNTY DEPARTMENT OF HEALTH- MV .1- WNMEN�I -.L= I�EAI�aIfi> aSERVIC� Ss "':�; � = = -� '.:::•T . z .- R- —> Date August �5.,. 1975 Re: Property of Tangus Construction Corp. .Located atNortherly side Boniewood Drive; westerly 'of Wood Streat Section 123 Block Lot 10if Gentlemen: *Lot 10 Boniewood.Estates This letter is to authorize. Roy 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 145 or 1.47 Education , haw, ..the. Public Health,.Law, . and the L. Pu.tnam..County-. -San•i Lary Code. Very truly yours, Signed Tangus Construction Corp. y, Owe of Pr e rty Countersigned:' ��n One Lake oa Address P.E., R.A., # 9845 Mahopac N. Y. 10541 28 -9379 Roy Burgess yon lephone ress Burgess & Behr, P.. C... R D 8 - Horsepound Road Carmel, N. Y. 10512 225 - 3312:,; Telephone Proporty. lines or corner's found Can est.l.ii'r!t-, hou:;e location . Vil: drivoway need cut . . e . . . . . . , . P uSt trees b re,oved -note the' . . Is deep hole representative of entire SDS area C.ud:i tiona.l dee_n holes nce�ded. . o "-Of.':%i ' ient SDS area available cons:i.derit�g driveway cut, house location. separation anion . distance, etc. I-later elevation: Rock elevation: % a �-1 � Soils descri ption: LA 't ( D Date FINAL SITE PTSPECTIOi,i Ins Y).. bv: Tnsp. by • House located ►.here shown on approved plan SJ�> loc:a,ted''wh.ere approved .. , 1 Slop ' s 'of t I n6 'and' t r - e n - .1 a,ccept?ble Floor, allowed for expansion trenches Over 50 ft. f.roan swarm.). watercourse O O . Natural soil not stripped or SDA area unn.ecassarily . f•ra.ded 1U l-'L... w.-a ntai7:ea from prop line and 20 ft. from louse Separation of trench. from house, well etc. follovas plan . . , . . 0 - 0 0 Rwliber of bedroc„is checks a . . . 0 0 0 0 Stcnes, brush, stumps, rubble, etc. greater than 15 ft. from . nea,re-st trench 15 FLT. of peripheral soil horizontally from trench . . • o . . . . o . 0 0 O O 0 0 0 Tunction boxes properly set .,ould surface run off from driveway, roads, ground surface, etc. channel near SDS . .area . . o 0 . . •... . - . . . 0 . 0 0 , . 0 0 * 0 O )oes 16t dr. aina.re abrcar O.K.. in area of: SDS 1111A , GRADING OF SITE ACCEPTA= 0 b e a I n", PLAN - 'T - P, J t-A ,SEWAGE. D5 F" N At N TtM-, WAS.,- AAE8tE' -6y .- b-4 '�"fNA,f i*"��E -S-YS ?N D OVER THE "SYSTEM WAS. CONSTRUGaTEO c OF THE PUT%VA/v1 `COUNTY 6 FtPA;.?TMEN77 "OF HEALTH s 7 EXCEPTIONS -70 T4F. IFAN' Y N07�0*-AGL0.v , suerm rANk N7 jt q ­7 a7 t al Otl' Y Lf= FLE AS. au-11- ALAN r/ E /w -t- EASUREMEAMS OF SEWAGE : DISPOSAL '.S YJ TCM 4'OT, 1\12 /0 A TA TE �5 UN7Y,-Y. AqLj rNA M 'VA L, 4 4E %Y� POTNA.m C" N. OC-7, 16, TG 54' 37 44T 52.7 (.so 7L J A N41 197 F6 45'51(,-1. 'AM COW45-'VLai. F .51 BU �7'0— —C S 14A2, P.C. .... .. ...... SS 10f0jeSSI"0170/ E,17_91' '7 ei?f/'117Y I$ L0170f 15(.Ir YCY /'/�_q DIRECTON DIVISWrl of /2,6f Caeln e Y VNIPONMENTAL HEALTH 5UN117- Y. wo-c"; SF `;��ZE Q_