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HomeMy WebLinkAbout4692DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 91.24 -1 -36 BOX 35 04692 -St : 1G •_,PUTNAM COUNTY DEPARTENT OF HEALTH ENGINEER MUST PROV -I D.E `l' Divisron of Environrrfenta/ Hera /d►' Sermciea, Carnisl, N Y. 10512 PERMIT # CERTIFICAT F CONSTRUCTION COMPLIANC E FOR SEWAGE.. DISPOSAL SYSTEM Ptktrial[1'- Va11eY T i�i,.iq-�:.. u & R a Town . or village.. UVIa1n "Nr e avenues Tax. Mar Block _ Located at owns ►` Patrick - Morin_. Jr.: / Fozmerly Scherb ..ta Taxap Lot: BUbfl L*t # 9- Separate sewerage. System built by Kenneth Travis'; Address Box 112 Dover Palins, 'N. Y. 1000 379LF of 24" Trench Consisting of " GLaV Sept a an _......__._.. _.�.�.___ ___..,3.2._ o��. gave in ace t)ther reCuirements ., - - p Water Supply: Public Supply From x Anderson Well - Drillers Private Supply DO ed BY urger ree , Putnam ,a ey, Address Building Type 1 Mry Fragile No. of Bedrooms 3 Date Permit Issued Ye"s. . No Has .Erosion Control. Been Completed? . Has .garbage grinder beer�'qjlLed? L m 0 Op . - °o e o I certify that the systems) as listed serving the above premises were constructed esaentt� lfT lans of the completed work (copies of which are attached) ,and in accordance with the standards rulea and regulations in Vic' th „ ,v $�an, and the peimit issued by the Putnam County'Departinegt "Of Health. _. 114areh 2.7 , 198,6" �< ,� P.E. X R.A. Date Certified by o., ...> . Addres$ l Northrld e: Road P, oek 284 Yv�ense No. 2786 Any person occupying premises served by the above systems) $hail promptly take such action �'1���A�'aOn secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage `stem shall become'Ir p� 1�1is a public anitary sewer becomes .available and the approval. of the private- vvater supplv . shall become.n II an void when a public_ DB�!o��omes available. Such approvals are subject :to modif ration hange when .in the judgment of the =C m "I' oner f ' ' Ith su h'r'av ca 18n, modlffcation or change Is necessary. 5S Date Title � J � By v ' Y Rev. 6/85 -.. _ . �V.. �., ...�\.0 ...w9.. mow.. w� aQ...�..... +c r q-. ..y�y._. .u. .wc.� -., a -.. ti.. �r \sue: L•i. �W .y��y, .... \.y _..P.. .. ...'.may g..1.�.....v . M,••yiy..., w...��... �. .. ti. r'\�... '.� . PUTNAM COUNTY DEPARTMENT OF HEALTH . ... DION. Off' k'fi?i7IRQ Bk3VCS. -. "'„'•" - "._"" ... e +�— ..r.- e.T-- ,-��.� _:,:r .. , s ' �!` i•`. � •= ice.., 6^.�- e••:� i. :i� •+ •.:t '-. � 14 rR)CK �myy Owner or Purchaser of Building Building Constructed by J Location - Street L A v- c ?c,. e Municipality Building Type J os �� S� -?s Section Block Lot sl Subdivision Name Subdivision Lot # GUARAN= OF SUBSURFACE SEWAGE DISPOSAL SYSTEK 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 guarantee 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 approval of the •m - >,.� -- -,Gecaec= Cosrt'ioomp�.i ane' f- .thy - -SE c1s..ss cam: ... -. 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 system. 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 by the willful or negligent act of the occupant of the building utilizing the system. �° A , Corporatio Name (if Corp,) c�g-�3 Address A/ rev. 9/85 mk Signature TitleS7. Corporation Name (if Corp.) Address WEk COMPLETION REPORT PUTNAM COUNTY'.pEPAR:TMENT OF HEALTH`:' 3/71 Qivlsion of . Environmantal Health Sa►vias k COUNTY OFFICE HULLOING • CARMEL. NEW YORK This report is to be completed by welf7• 1ler and submitted to County Health Department topather with laboratory report of analysis of water sample indicating water is of satisfactory, bacterial quality.before certificate of construction compliance is issued. MUST B $Miff T • E�St) IT ES3 = WIETHt! N' .' W,:• RA. YS: �OFi1PVlzCb.'JEOAI�R�,.��t�l.� t•::_ =�� _::�% ADDRESS OWNER ;<! LOCATION �%% o. SrrenJ (Town)�jJ �y"(lor NumOa) OF WELL .�< %� , � / PROPOSED DOMESTIC ESTABLISHMENT M FARM D TEST WELL USE OF WEII ,SUPP Y D INASTRIAL AIR OTHER CONDITIONING (Sp.'clfy) OTHER COMPRESSED CABLE EOuI►LMENi ROTARY a AIR PERCUSSION D PERCUSSION D (Specify) ffy) LENGiH. (Iqt) DIAMETER flntAes) WEIGHT PER FOOT j _ I 'CASINO 1. % / �% THREADED C7 WELDED YES NO Eyes No . DETAILS a� (�J / MELD oul� � a.r.M YIELD I(-.TEST D PUMPED ®COMRESSED AIR'. , MEASURE'FROM LAND SURFACE— STATIC(Speclty feet) DURING IIELD'TEST fleet) d Well WATER . Dapth of CannpbN W LEVEL", In fait Mlow land surface: Zy MAKE LENGTH OPEN TO AOUIFE0..0dol) SCREEN ' DETAILS SLOT SIZE DIAMETER (Inches) VIL Size I of Het) O (Iepf) IF GRAVEL Diameter of well including, j PACKED: grovel pock (Inches): 1 With F16M IAND'SURFACE Sketch exact loostlon at moll with dislanea, 108100481 �FEft to FEET FORMATION DESCRIPTION two permoli I FinO+tNNU';' OC�� «•. - <... - x ..� _ _ - a -• - •• -...cam ..c.. _'+ _.... u P c, l r�<,- •..t.. . , If yield was tested of different depths during drilling, list below FEET GALLONS PER MINUTE Yorktown Medical Laboratory, Inca LAB 257- 676 5 321 Kear Street Yorktown Heights. N. Y. 10598 Collection Station Used: Carmel. Peekskill _ (914) 245.3203 City Sec &or,:.� lbert -H; Pqd a A9., ,; W j' �Ci g �, Mt. co e °p Date Talon: Date Received: 3 P� Date Reported: o AA �,/ Collected By: A �. -� CZ /i%�' ®� °' "� � Referred By: �C�Z - Sic-/__ A/ J Sample Source: 9/0 LABORATORY REPORT ON BACTERIOLOGICAL.QUALITY OF WATER GENE AL BACTERIA . St- andaTd--- Plate._.Cou- n-t -pe.r 100 ml (Agar plate @ 35 °C) MEMB ANE FILTRATION TECHNIQUE (MFT) Total Coliform Der 100 ml Fecal Coliform Per 100 ml Fecal Streptococcus per 1.00. ml MOST PROBABLE ]NUMBER TECHNIQUE (MPN) end I Total Coliform: MPN Index per 100 ml _ .a-C. ,_.:.�„ m�.e. -ip �. . � •ti:..,- '..__..�.. t. _ �.-�. a:..n •� mom.. -+.,.. � ..�ww .. _ _ ..- .���p. �.. .. ^c.: -•,'' �_.- .�...... .. cw_ .:�. _ Fecal Coliform: MPN Index per 100 ml OTHER ANALYSES THESE RESULTS INDICATE THAT THE WATER SAMPLE OF A SATISFACTOR SANITARY QUALITY ACCORDING ER STAN ARDS9 FOR THE PARAMETERS TESTED, Albert H. Padoeani, M.T. (ASCP)9 ctor (WAS) (WAS ROT) (NOT APPLICABLE) TO TH NEW YORK STATE DRINKING T 3g TIME OF COLLECTION. LEGEND RDS = Recommend Disinfect ing Water Source < = less than THTC = Too Numerous Too Count _ d . 0 DAVID D. BRUEN =J'. `C�6nfY' E`xecutive'' DEPARTMENT OF HEALTH Division Of Environmental Health Services January 27, 1986 SIMMDNs. Deputy Commissioner Mr. John Romeo 1 Northridge Road Peekskill, NY 10566 Re: Morin SDS Construction Permit PV 42 -83 Walnut & Maple Roads, PV; TM 96 -3 -1 Dear Mr. Romeo:.. - Departmental field inspection of the sewage disposal system for the above - referenced site has been completed. Apparently the•sewage disposal system (SDS) was not installed as shown on the approved Health Department plan due to presence of ledgerock. Construction other than as shown on the approved plans or not in.accordance with the standards, rules and regulations of the State and .Putnam County Health Departments does not comply with the Putnam County Sanitary Code and way-be cause for appropriate enforcement action as provided by law. In the future, any changes in the location of the house, well or sewage disposal system or any other changes that may affect the well, sewage disposal system or its expansion area should be discussed with the designing engineer or architect and the Health Department before any changes are.made..... �. - � ,The• SDS- inspected- by this- Departnea t- on• 17'L January 1986: is • acceptable; -however; A', the Certificate of Construction Compliance submitted :for. approval must show. a -:location for future expansion as the proposed expansion area has..-already been used:= Also at the field inspection of 17 January 1986, it was..-communicated to-Mr. Morin that relocation of the well at a point north of the driveway and 100.feet from the installed SDS and relocated expansion area, was.recconended and acceptable to this Department. This would assure maximum separation from the uphill SDS. Upon receipt of plans reflecting accurate as- built•.Iocations and other material as specified in the Putnam County Standards, a Certificate of Construction Compliance can be issued. If there are any questions pertaining to the above, please call- -me at 225 -3838 or 225 -3833. JSH7Fifle cc: n Travis, SDS Installer Very truly yours, James S. Hodgens Assistant Public Health Engineer TWO. COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 .�1°v�'•'�t'"" :Q.,.a.;y �. fyiY ". d - '�.� °'�`;'. '�, `" _ -b.': *d'.,::.���3 -" Vie.. ee� „_ '.... �►.iyf�:'q ':.�':.Z;:;o'.: ::...:...' �, �^ :� ". $'',e, -. /�Dj�-IXV3 �, ZZ�j uYV �V1vt. Ll '.1 �V4 it's* l I � 1 9• 4 N PUTNAM rCOUNT? ` ? Diliision brinvironment CONSTRUCTION. PEfiMIT-.1 F6R SEWAGE .DISPOSAL �a�aaa�l:at ,Wa ut. F,oa C_dc 'Jlep�.e >`ftt Lake 'Peekski1 -1 ,Section- A Subdivision •owner /Address�'� PatrlCk''Moin- .�,-eTr•223 NIeI Budding Type 1 Story Frame Lot Ar a' C' • T Nu mber of Bedrooms � tiesiyn Fl., ow )EPARTMENT ,OF, HEALTH =, ENGINEER To PROVIDE,.PERMrT , ON' CERTj.FICATE 'OF` CO P•LIANCE. , fealth Services, Camel N," Y 1.0512 -'PERMIT # _ If Putnam Valley ( E M rr Town or illage leX;,Nap 09475"' Aenewal Revision ❑. p fOn °�VB 'pg Previous Approval "lj�+ Qf�' : �e 4-1, Fill Section Only ❑ ,� a . P C H D NoJi,3 ation Regvared -'` Patrick, :Morin Jr and �Oove Septic Tank To be constructed by Address 1. Water• Supply "Public Supply From ^K > Private 'Supply to De drilled by Anderson Well Drillers Address Barger Street Putnam'.Valley, NY 10579' 7or ROB Grave,1771K7.-Tiade Other Requirements "' I represent that f ain wholly and completely, responsible for tfie design and location of the proposed system(s), 1) that fhe sepa to sewage disposal system above described will be constructed, as'shown on.the approved' amendment there to.and in accordance With the sta ards rules and regulations o . e u nn m County ybepartment of Health,.`and that.,on completion thereof a GerUf,cate of Construction: compliance a )fltigj e�Commissioner of Hear will be submitted to the Department; and -a written ,guarantee. will be ;furnished' the owner liis successors, he r der, it►b!-sait�uilder'will place in good operating .condition,any. part of said sewage - disposal' system dur�ng',the'period_of two;( ollovging fhedate of•the issu , ance',gi the approval of ",the Certificate ot; Construction ;Compliance }of the'or�ginal,;dystem br any re P off) riUed well described above Will be located as shown on the approved plan and that said well will be installed m accordance ith .th �3t ea ons ;.,of the,.. Putnam County Department o, Health October 19, X1985 ` ,/ Date Sgned a '�� °� E. RqA N Address !fl1�wd+ir; M Lrice eo 27(1. 'APPROVED FOR `CONSTRUCTION This approval expves one year.rom the =date issued unless'con�s�pf�yu_ct of 'Igi10 has been undertaken and is revocable for cause or may,;be`amended,ormodified when ' sfdered necessary -by th ommissionei =of •or�Afte►aflon of construction regwres a new` permit /4pproved` t �sposal of: dome is n air* wage :and/ r >' rivat " ater : wpp14T!l9{/ date4__ Of gy " x l -' •����IZitltaoe • J. S. T 6mw. PE. L$ t. :rr O S IN. M I-3 C. CbNSLTLTYNG L+�"NU�IN nms t V rAND suRvF, 0I2S'n 1 NORTFIRT1301V ROAD PEEKSKILL, NEW YORK 10566 914- 737 -1056 October 19, 1985 Putnam County. -D.epartment of Health Division of l.nvironmental Health Services County. Offce''Building Carmel, N. Y. Rea Revised & Renewed SSDS for Patrick Morin Jr. ATTENTION a 1V1r.o'. Robert .Tutoni Public. Health Engineer Dear Sirs. Enclo's'ed plese.find plans for a revised and renewed SSDS for Patrick Mot iri:Jra Pr' evio'usly, this SSDS was approved in 1983.for Harold.Scherb. Mrs. Scherb hadtae firat design a standard SSDS, and after he had begun construction of the hoses Requested a change to Tri- Galleries. This also was approved. Mr o Scheib had a series of heart attacks, after construction of house ryas well alonga He has now sold property 'to Mr. Morin Who requseted;thatn we go back to standard SSDS,-with 375 LF of 24 °' .TreAcho over 2 feet of ROB gravel have.already been placedo in SSDS area," alid 4ttis c "oriai ca ons "are nett "er "thri° tae pairs approval s-� _:, _� r� :-,� ._ Your early approval would be appreciated. very truly yoursy kohn S. Romeo P.E. & L.S. PU PM'COQNrY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WA'T'ER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS FIELD INSPECTION REPORT INSP ��U' ' 4 . BY: (Name of Owner) (Street Location) INITIAL SITE INSPECTION YES NO CX49MS Wetlands on /or proximate to property .............. Property lines or corners found.... ............... Can estimate house location ....................... Will driveway need cut ............................ Must trees be removed - note these................. Deep holes representative of entire SDS area...... Additional deep holes needed..... ... .... Sufficient SDS area available considering driveway cut, house location, separation,distances,etc... Adjacent wells /septics .......................... D.H. - Deep Hole G.W.- Groundwater D.H. 1 Lot D.H. 2 Lot D.H. 3 Lot Depth to G.W. Depth to G.W. Depth to G.W. Depth to rock Depth to rock Depth to rock Soil Descri tion 0 ft. 3 ft. 6 ft. 9 :ft. 12 ft Soli 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. N 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. Soil Descri DATE: (Z. - 2.-7 FINAL SITE INSPECTION INSP.BY: ` YES NO CGMENTS House SS D �ocated per approved plan .. .......... 3' Length of trench measured '27S Width of trench average Slope of tile line and trench acceptable......... ry Roam allowed for expansion trenches .............. Over 100 ft. from watercourse .................... Natural soil not stripped or.SDS area unnecessarly graded.... ...... ... ........ 10 ft. maintained from property line and 20 ft. from house .............................. Distance well to SSDS (ft.) ...................... T Number of bedrooms checks ........................ o neo m Stones, brush, stumps, rubble, etc., greater- than 15 ft. f ran nearest trench ................ °rah 15 ft, of peripheral soil horizontally fran trench ..... ............................... Boxes properly set......... ................... Could surface runoff from driveway, roads, ground surface, etc., channel near SDS area.... J 7 NO 1,1l Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE...... .. I YO WPB S '• �� I v � f fff 7^ _ .�_;. '. •,� �.: ,... ....... ... �. a t - _�:: -. �. -.R �'. = � .. � -.;.. �..�:- :...'a ":_ -. R_ .....: �," ...,. -.- ,�- -may ...�:�`.. a -._ :�. ;, t r�x a jam. J PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISIdk OF ENVIRONMENTAL HEALTH SERVICES May 159 1983 Date Re: Property of Harold Scherb Located at Walnut Rd & Maple Road Putnam valley (T) Putnam ValleYSection Block Subdivision of Lake Peekskill - Section D Subdv. Lot #_39 thru 75 Filed Map # 185C Gentlemen: Lot Date 1929 This,letter is to authorize John S. Romeo X a duly licensed professional engineer 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 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed Countersigned: Owner of Property P.E., XXXXX # 27846 Add Address U 1 ®� a�� Northridge Road 't Address Town Peekskill, NY 10566 1 x 4/ it Telephone 737 - 1056 0 0 ^ A. 0 one .000 0 PUTNAM COUNT., DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES BUILDING;` DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO: Owner Harold Scherb Address RD #10 Ellen Avenue Mahopac,' NY 10541 p map 185C Located at Street Mdicate lnut & Maple RdSec . Block 49 Lot 39 -75 nearest,cFoss street) Municipality Putnam Valley Watershed Peekskill ..i SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS 3 11:39 12:09 30 1 20.25 22.75 2.50 . 12.'00 4 12:12 12:42 30 20.25 22.75 2.50 12..00 5 (2) �1� 10 i40 11110 30 19.75 22.50 '2.75 10. ,91 2 11 :15 .,llgs45 _.._ 30 M :19.75 22.25 ze.5o , �.zo00:... 3 11:51 12:21 30 19.75 22.00 2.25 13.33 4 12 s 25 . 1205 55 30 19.75 22.00 2.25 13.33 5 3 4 5 Notes: 1) Teets to be repeated at same.depth until approximately equal soil rates are obtained 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 Elapse Depth to Water Water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches (1) 1 10 :32 11 02 30 20425 23.25 3.00 10.00 2 11:05 ' 11 :35 30 20.25 2 .00 2.75 .10.91 3 11:39 12:09 30 1 20.25 22.75 2.50 . 12.'00 4 12:12 12:42 30 20.25 22.75 2.50 12..00 5 (2) �1� 10 i40 11110 30 19.75 22.50 '2.75 10. ,91 2 11 :15 .,llgs45 _.._ 30 M :19.75 22.25 ze.5o , �.zo00:... 3 11:51 12:21 30 19.75 22.00 2.25 13.33 4 12 s 25 . 1205 55 30 19.75 22.00 2.25 13.33 5 3 4 5 Notes: 1) Teets to be repeated at same.depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. l HOLE NO. 2 " HOLE N0. 3 _ - r , a..::.. - � as r . �: E�,' � Q.'� ,V°^•: - , -+ v» ; Y. ]�°' 6" sandy, silty sandy. silty sandy., silty, gravelly gravelly loam gravelly loam loam 12" 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 - - June 11 0 1983 DESIGN Soil Rate. Used i1 -191E Dr-6p: -'S.D. Usable Area Provided 5000 " -SF No. of Bedrooms 3 -'Septic ank Capacit 1000 Gals. ,hype Masonry Absorption ArQa,Provided,* 37 L.F.x2?� ", jam , width trenc E. Name jonn S. Romeo Signature s• 1 North&dge Road Address SEAL o N Peekskill, NY 10566 a © P 27 &16 as THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: o ' Soil Rate Approved Sq. Ft /Cal. Checked by ° ® ®moo��� Date