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HomeMy WebLinkAbout4821DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 92.-l-3.2 BOX 36 04821 rT r 1 % ` L � 'r 2h. r ,L 04821 PUTNAM COUNTY DEPARTMENT . OF HEALTH OF E ^. ... �. ,. .. .� ..' "DIVISION•' NVIRONANTAL ICE LTH SERVICES Date` /- 7 Re: Property . of Z1 0 ° Located at (;c),t/ Vii✓�t lock Lot Gentlemen: This letter is to authorize STANl�. J. LAME 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 t w; cPubli 4Haltfi..= ` :`alid= �tlaa'4PuanlCotiit-:Sr�- x- .y _... «. _ ... ...... -.. c Law. 4.. GC� tary Code. Very truly yours, Signed Owner of--"Property �SC�Es� A7C{ �ig1�G Wo 190 Address A,'fiA,,4i A,,, pe,E.. -eels A - ear °, `��'4A', -71r � � � ..A 1.. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH_ SERVICES..... _' __ �t _ } - _ i Tt.-v. y: n u :.xv G?'�- ']:..^._ .. . .sJ- '.:G.� .. -r ^.a_'Cr. _'.ti =— G •o�_v COUNTY OFFICE BUILDING,�CARMEL, N. Y. 10512 i DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner 5A7t ta, tn�U) , &,. • .� t� . Addre s s ���� p�'� ZA144 4'--! f &I Alw //,4 4416 '( /lave AP TJ Located at (Street Block Lot 6_d1cate nearest s ree Municipality_40t'.'d,1 Z)/-' Watershed Ed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION apse Depth to Water Water Mvel. No. Time From Ground Surface.in Inches Soil Rate Start =Stop Min. Start Stop Drop in. Miri. /in drop Inches Inches Inches 2 `'. /v 613), j®. 4 5 5 2 3 5 Notes: .1) TdAts 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. 4 r , I� '..v�, t ' 4' .� =ac c- a.� -"-, - t -, -, .,. �- .. -. "� �.. _ .._ _ � _ ....: tit/ . �''_��:i'.:i, vaw- '�' =+�= � z'.� '+......a ,c-n - •v...� y-�.�., ',��" C < -_ .. .... �� ... ..I TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO . 19-1- G.L. 6" 122 11 �f p 181t N 24 30!1 "4W _�t LVA�f 47V J4 3611 4211 4811 5411 6011 6611 HOLE N0. Pe. fir, O> LI _ vi 7 , w w N A >a 7211 .. ... . -_ - .- - ._. .. -..< .. _... .. . . ..r, v - .ter• . c - •. 8411 N INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED "�+ %✓� INDICATE,LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Date - /2-27C DESIGN Soil Rate- Used Min/l "Drop: S.D. Usable Area Provided 2 -r No. of Bedrooms J Septic Tank Capacity e� Gals. Type �^� C -I , 6,j L.. Absorption Area 'Provided By L. F. x24" width trench. TANLEY I LANDER Other _ A Address AMAWA(_K,. N. Y. 10501 THIS SPACE FOR USE BY HEALTH Soil : Rate Approved Sq. Ft�y�oC�y Date