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HomeMy WebLinkAbout4682DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 91.08 -1 -17 BOX 35 I ME ess r low INN No #, w IN No J No or 1 . �Q� or 1 , jou, 1 .T i , a or ' L ., I■., ', I f - �, 0 No ' u�. : Is IN P� Been Completed ?; EAL'TH T- -own or.-'- V illage, :Block -7- X36 "ate -:- -t width trench.: - �•Y t Date �Permi� ail ice- to he plan (l$o�pigs of which are ed ,by t�eD UiM �. p4W -r±ent of Hea,ith " 027 6 • nse << e necessary (to�/Ja ctior• of any unsanitary•' nd void as sdiio Sf b wI ary sewer becorhes - Dr. supply beco f� wariNtM� 4; ;,Such. r8pproval5 are. - x i abon;inodrfication orchange;iis necessary. �,a Anthony Gesarini Owner or Purchaser of . building Putnam VAley' (T) Municipality tithord Z-6& taT'in1 T . ... ,. r 1 1c '° .Building Constructed by Section Old Peekskill Hollow Road Location - Street Punch Building Type 7 .. Block 18 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 successors, 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 occupant of the building utilizing The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not.the failure of the system to operate was caused bythe willfu -or .negli.rerit act of -the: oecu�pant of the bui- l��xrg utilizing the system.... - _ _ = -, Dated this 14 day of Dec 19 Signature Title (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 TS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. ------------------------------------------------- .------------------------------------ .Division of Environmental Health Services, Putnam County Department of Health r 'VVELL COMPLEY10N REPORT % PUINAM COUNtY OF IFILALTI Division of Environmental INO!'di Scr vices COUNTY OFFICE MILMNG - CARMEL, NEW 17111 Thfs report is to be covnp:t--.-ted by v✓e!f driller and subrnitwd to Countv Health nopartment together with laboratory rciaort of analysis Of w . ater samplo indicaflno water is of satirfactofy.bacterial quzility before certificate of construction compliance is issued, OATS OF REOLIRT —T Till,. -sS OWNER AC)CA M OF (&,a. a StIcet" (Town) (Lot Nu —•"— ;11POPOSED r7 BUSINESS 4, DOMESTIC 157,4BLISHMENT FARM WELL U TEST I USE OF WELL r PUBLIC AIP 'S'U'pply. INDUSTRIAL COND1110MING OTHER El (Specify) MILLING T E COMPRESSED CABLE —1 ROTARY TAPY All! PERCUSSION' PERCUSSION OTHER 11 (Specffy) CASING MAILS LENGTH TF-JYETEP(hch---) WEIGHT PZK FOOT THREADED -�-VE 17 NO A7 NG Li YE NO YlEtt) HOURS F-1 DAILM t i PL;iA?F0 i/—'T- COMPRES5Ei; Alit G.P.A. Y I ELD (Gtp.hfj -WAIER I A MEASURE FROM I-At\'DSURFACL—STATICfSpecil�,it?cIFPU�'-14�r, 'ELDTEST'leel) Depth of Compleled Well LEVEL in feet below land �2 7Q SCREEN N TO AQUIFER (taut) DZTAILS SuOT SIZE DIAMETEP.fcnhes) 1 AV E L Diameter of well including PACKED: gravel pack (;rches): GR AVEL SIZE (inches) s) F ROY. (lue) TO (tent) DEPTH'FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well vlm distances, to of loas" FEET io FEET Iwo Pertca�)orr landmaiks, & If yield was tested at different depths during drilling, list below FEET GALLONS PER Y.IN0TE OATS OF REOLIRT k S r - '' y' •r ) j ' Y 1'` w.,. r -_ 's• , 4'..,".'ta,` f ' , ; .PUT1�I .ICI COUI�ITY DEP�RTIiREI�IT ®F HEALTI� '.� � - Division of Environments/ Hea /th Services Carme% 'IV Y �f0512 � � _ '. CONSTRUCTIOWPEFiAflBT. FOR SEWAGE DISPOSAL,,,SYSTEMf r r t ,y r i4 m u i Y'. _ , < e��id.:I r�Gil:si3�.�a ° "Yta)tFii" N To ill Located at Section U Block Subd�visi6n�® r� Lot r x Job J. owner, ArithOa Cesgti Address 21d ,i�fi'>AVetts4genu® Ssolit Level 1 ACr� ¢ Feeksldll N °Yo Building Type r Lot Area 9 �..L +� F "> "'7• "', ',� rtr �"'a �t +ai15OC` +� Number of Bedrooms 3 Total Habitable Space Square F.,eet ro Separate bewerage System to consist of 9� Gal Septic Tank 1 x lineal feet X width trench # bath ®tsv Cesl�°�ai m Abso�e f To be constructed by -tir Address i Water. Supply Public Supply From , Private Supply to be drilled byC� ®11 ill Y Atldres`s ". :►��'P11�irBroak Ro�cl' �'e ®kski11:9 AI °Y h -, •_ C - ; .:y v t:: Y„ i :.. r -i � z .:.- t.r ��.�4 1 T �- ot her Requirements Domestic Use Only A� nimum 50 f't'offi �"o0ics with ` title represent that Iram wholly and completelq responsi ` o Q® ` t y, ble for the design and location of rthe proposed ystem(s); ,rvl') ©4h w9 e, tlsposal; system above described will be construeted`as'sliow,n r! th_e approved,.ameridment there to and ;in accordance,with the standa r n ns)o e u nam. C , ( x County .Department of .Health, ,and that on completion thereof a 'Certificate of Construction Compliance s�,Ps Ito _ RWr- of.. Healthwill I ;be submitted to .the Qepartmen� •'antl a written guarantee' will be.,furnished the owner, hi; successors, heirs or , I�rt mid builder,; will place m good operating condition an rt of said sews a disposal system tlurin .the eliod of two 2 aS ed n in issu y pa g g' p ( ) y to of the' ance of the app oval of „the Certificate `of;. Construction Gomplience of the or�ginel system or any: repairs t est "2) •t scribed above will be locat'" show n'on the approved plan and that said well w�ll`be installed accordance :with the stand;rt y' lase tion f ®, the Putnam - County Department of Health r e �. ` m ° � O r Y I4/ Febrlaar� i2, Date ry+ + n Signed,? A f ^,,"' ofd •! L R p "EO R A e -2,7 .. 1►� Q ° " x Address _ ieA�18tN�r�j6 ' - ?.i APPROVED FOR ,CONSTRUCTION This approval' expires one year -from tFie +da ss construction of thie b,p WI", been undertaken arid is , revocable for cause or may. be amended or modified; when considered `necessary the Commis ner of Health , Any change or alterat n of construction Y - v r'egwres a: new perms Approve for disposal 'of dome sa tar ew a wa e.'wat9r 'supply only J ` <f �- . ,Date ' -° BY Title 1 ♦, 1 F1 %r:�-::~.« .< -. ..,:3n e < �':.•.4:°��•�::,;�.�:�:;:�:� -- - PUT'IV - -.: - -- ..._ ,..�_ � _....r .._.,.-��'H :,s��wa e�+i/i: 7iwi:+v �t�c��.�% .. _Y�. L.:,_ .•;. AID LTN' DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date February 12, 1973 Re: Property of Anthony Ceserini Located at Old Peekskill Hollow Road Section //& Gentlemen:. Block 7 Lot This letter is to authorize John S. Romeo ra 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 iepartm,ent Gf HeaitLI, 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 = 14IT;- Edacati�on 'Ls,w, •the Public Health Law; and tYie Putnam County Sani- tary Code. Countersigned: Very truly yours, , a Signed 77'51 I �- Own Property 210 Iafayette Avenue, Peekskill, NY 7846 Address P.E., '; # PE 7 - 0600 1 Nortbrid'ge Road (Seas e ep one Address ®00 0" Et 0° °o Peekskill, N.Y. 10566 Sao ��`�Sy� PE- 7 - 1056 ,off c Tele one e —' r 27846 0 %� 81a�a�� °o ®Q 00 600 I s PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, .-CARMEL, N. Y. 10512 r r, ..DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NQ.. , Owner Anthog Cesariiii Address 2I0 Lafayette Avenue- Peekskill,,..NJ..10566 . ._Located at (Street Old Peekskill Hollow Rd,Sec. /48 Block % Lot /8 (Indicate - neares - cross street) Municipality Putnam Valley (T) Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS W Hole .Number CLOCK TIME PERCOLATION PERCOLATION Run 'apse Depth-to Water Water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start .,__.__, _. .. - rou -in _ • - • :. .. Min. /in `drop........: .P- Inches" (1) 1 4:52 5 :10 18 17.50 20.50 3,0 b 6.00' 2 5 :10 5:30 20 20.50 23.50 3.0 6.67 3 4 5 (2) 1 4:59 5:19 20 18,25 21.25 3.0 6.67 2,.549.. 5!42 23 21.25 24925 7.67 3 1. III ., 'otes: 1) Tests to be repeated at same depth until aroximatelyy equal soil ,f rates are obtained at each percolation test hole. All pp data to be submittedi for review. r. . . fly 2) Depth measurements to be made from top of hole. DEPTH 411 0 'If oll 311 91 t TEST PIT DATA REQUIRED TO BE SUBMITTED. WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. l HOLE No. 2 HOLE NO. 3 ToiDsoil 8" Topsoil sandy, -. gravelly loam Topsoil 9" Topsoil sandy gravelly loam 1 .3 if Topsoil 121I.Topsoil sandy .gravelly 10'am 411 ,DICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None ICATE LEVEL TO WHICH WATER LEVEL RISES AFTER,, BEING ENCOUNTERED,, None .. 7STS MADE BY. - John S. Romeo Date February 8,, 1973 DESIGN oil -Rate Used 8-10 Mdn/l "Drop: S.D. Usable Area Provided 5000 SF o. of Bedrooms 3 Septic Tank Capacity 900 • Gals. e Masonry bsorption Area Provided By _180 L.F.x24" 367- x c m e Jnbn S Rnwipa idress 1 lbrtbridge Road. Feekskillf, NoY. 10566 R ure 01 SEAL 'r, 27846 a� 0 0.4 Lft [ij11 'Jul. 0 0 -!IS SPACE FOR USE BY HEALTH DE-PARTPENT ONLY: 000000000 _)JLl Rate Approved Sqo Ft/Gal. Checked by Date (O.z "'-:,TY'PICA L 'sCAM,-' -AF� -A Z4 'A St ----, t.T, f-- (:�-,evm' vr 4 J. 4 9 AP P R"O V El- ...... i 5 r, JAW Di 0 qTP SEPTIC: SYSTEM A 7 lk (O.z "'-:,TY'PICA L 'sCAM,-' -AF� -A Z4 'A St ----, t.T, f-- (:�-,evm' vr 4 J. 4 9 AP P R"O V El- ...... i 5 r, JAW Di 0 qTP SEPTIC: SYSTEM