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HomeMy WebLinkAbout0031DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING &, MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 3. -1 -45 BOX 1 '� ml L ,, ' 6 �r. r N ,mil' T F.F � 00031 - � ! : 2 kkT F b \ o \a a Z \ \§ ` as rosion . ~? \&v that \ } vkk amk %w \ \ \� bJ6Ct \ \.off � - im i,, NOTE; Present Health Department regulations mandate thattIt:he guarantee must be signed by the General Contractor and the , septic system subcontract=or) Herbert Alexander Town of- 'Patterson Owner or,- urc aser p Bui ding Municipality Tax Map 1 Bitilding Cons ruc .`e. by aG Section Route 292 2 Location - Street Block 1. family residence 2 Building Type Lot GUARANTY "OP SEPARATE SEWAGE' SYSTEM I represent that I am wholly and completely respon'sibl;e 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 :Wade 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 undersgned 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 utilizing the system. Dated this day of` 19 Signature;a ;� � �;, a !MA& Title ­t.tr 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 IS REQUIRED TO FILE NbTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department.of Health s r y- r - 1 Herbert Alexandef own of att r Owner or Purchaser 017 Building Municipality Rei; ;er Homes for Ceneral Contractor Tax "i'r_ar 1 Building Constructed by i:er ert Alel�and�r Section Route 292 P. Location - Street Block 2 1 farnilv residence Building Type Lot GUARANTY OF SEPARATE SEWAGE SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material,.construction and drair_age 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 su_e.ces- 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 caused by the willful or negligent act of the occupant of the building utilizing the system A r Dated this 14 day of Novi 19= Signature Title ox 22,23g, c , s;T. <T 256 If corporation, give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMP-TTETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. _ _ _ - _ � _ _ _ _ _ _ _ _ _ _ _ _ Division of Environmental Health Services, Putnat County Department of Health. `.1ti0 r 1 { 19 f ff ARTHUR P. MC LAUGHLIN PROFESSIONAL ENGINEER MILLTOWN ROAD, RD NO. 5 BREWSTER, NEW YORK 10509 (914) 279 -6986" l J3 a� �t 2� IL Z5- r. 2S` .S� 3 6 4; 25- ll' rAzz Z' 3 c- ,ill /s r . ion <��z 900 rA1_ 2. a _ 'L J- /X'r -i A -,t-C 7Z7 729 131" le CA/ 6;5 F- 1 d � ARTHUR P. MC LAUGHLIN PROFESSIONAL ENGINEER MILLTOWN ROAD, RD NO. S BREWSTER, NEW YORK 10509 (914) 279.6986 November 12, 1973 Putnam. County Health Department Countv Office Building Carmel, New York 10512 ATTN: Cdr. Bruce Foley, EHT Division of En.vivonmental Health.Services Re: "As- Built' for Herbert Alexander- Route 292, Tax IvIaD 1, Block 20 Lot 2, Town of Patterson Dear MIr. Foley: Attached herewith are the following informations. conc,erninq, the' potential approval of the system for the above.referenced.project: (1) four prints of the As -Built (2) guaranty of separate sewage system (3 co_pie 's) (3) form made out for the Certificate of Construction Compliance (4) Yorktown �4edical Lab test report on water (5) copy of well completion report (6) As -Built computation sheet (by undersigned) (7) 14emo from Herbert Alexander to undersigned concerning inability to' obtain Tuaranty from Reiger on:,.system Should.there be any questions 'concerning.,any of the transmittals', please don't hesitate contacting me; I trust that the informations will be satisfactory for the purpose intended.. Thank you for your attention in this regard. Very truly yours, Y � Arthur P. 141 augh in, P..F, Copy to: Herbert Alexander ATE UULLEUELL) RESULTS OF.- EXAMINATION OF WATER , OWNER DATE RECEIVED, RBE T ALEXANDER 10/1V73,11''. CITY,` °VIL'LAGE, TOWN; & %OR TV`Atvi OF :SUPPLY `. t OAT,. E�REPORTED n.Jnni §AMYLINU FOIN 1 BACT8RIA P,ER ML� (Agar; ,plate cqunt at `35oQ). COLIFORM GGRgOfJp_ (Mpstrprobable.No. /100ml.), RDN S; TOTAL; ppm ".`. r ..L�S�. 1,C1111Y G eG'•. DETERGENTS pp m-"--' NITRATES (as N) ppm IRON; TOTAL ppm. FLOURIDE (F) mg: 'Yl. .. - , y t These results indicdte that 4he water wasS ofd sa #isfactQry sanitary quality when the 'sa ~F le was c 1 PER • LAKE CARF'LEL PHARM, =Ii PADOVANI', M T.(ASCP) r.: •i' v� .. In YELL COMPLETION, REPORT PUTNAM COUNTY DEPARTMENT '_OF *HEALTH 171 Division of Environmental Health Services OFFICE BUILDING --CARMEL, NEW YORK This report is to be completed by well driller and s6bmitted to County.,+051th Department togethqr with laboratory report of analysis of water sample indicating water is of satisfactory bacterial qualitV;,$ef ore certificate of construction compliance is issued. sr tV REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION 0 NAM ADDRESS .,0 WNER , CATION (No. 8 stfeet), (Town) (Lot Nuinbef) OF WELL R BUSINESS M TEST WELL D M. E ST I C ESTABLISHMENT M USE OF WELL PUBLIC AIR OTHER SUPPLY INDUSTRIAL ;CONDITIONING (Specify) r. DRILLING F O' COMPRESSED CABLE OTHER Cl El EQUIPMENT ROTARY AIR PERCUSSION PERCUSSION (Specify) CASING DETAILS 'LENGTH (feet) DIAMETER(/ R FOOT I LA THREADED 0 WELDED �DRIVE SHOE 9' YES ❑ NO CASING.r!WUTED? YES No YIELD HOURS eG.p )A .M. YIELD (G.P.M.) TEST BAILED PUMPED' COMPRESSED, AIR . WATER MEASURE FROM LAND SURFACE—STATIC i DURING YIELD TEST., at) Depth of Completed Well LEVEL 0 in feet below Land s�urfacet MAKE 77 LENGTH OPEN TO AQUIFER (feet) SCREEN A DETAILS SLOT 51ZE (inches) IF GRAVEL N Diame te r of, well including :R TO (feet) F PACKED: graval pack Ch as): DEPTH FROM LAND SURFACE FORMATION- DESCRIPTION Sketch exact location of well with distances, to at least t two permanent landmarks. FEET to FEET if yiold was I*stgd at diffotont doplli► durloU drilling, li►i holow FEET GALLONS PKR MINUTE DATE WE COMPLETED �14 L C _I _. 'ij— ;) DATE OF REPORT �' — I , —) --I - 'd WELL DRILLER (Signature) // _1 / — -'. _e_1 LI , - " 6 -1. El 1'e i'.) / 'V1 \_ / //, '/ 0 niz i's - :co.: cer'Gii'y rne sewage uisposai "steri co natr-Licted as indica. tod-. on this Wh I an-&--. Vlftat the. s-, atein was -i-aspect O-d by rile y ore fit; eras cove.red over-® The system. was t rue:, i A accorance v ith the rules and t;iAn-161"biii of the Putnam County Departinnent ;Z. miE "ARTAHUR M"La D .5 ,.*AS- BUILT " PRE-PARS -3D P-M WLa'Wr -re -A KOM I 5%.acK 2- LGI-' .To LO,V4 --------- -- 11-73 DRAWt4+ 'At REV IS-en ILL E-D BY Q--T -44. sw vrk4yr XIS PO S'* U-MOAM, Rt_rT C lat LL(S ITEM OFO:'SE.'rs TO ROUSE . ct---6R1 P4** f4;!E BO IL 1. GAL LEY 6 G A&LE Y -x (.2-3 C. 3 e. +1 PiT SEPTIC TANK 316---j 19.90 30'A.. WIELL 4-8.4. W THIE6qgT(CAt- -VI5rAMCE---C'AN%-r S,E #4GAS+U'k.-;E--p. 'W—CAUSIE . OF R E S U B M I T T A L PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES May 16, 1973 COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. South Street - Box 223 Owner Herbert Alexander Address Patterson New York 12563 Located at T ax a (Street 47—ic—afe—nearest oute 292 Sec. 1 Block 2 Lot 2.. cross street) Municipality Town of Patterson Watershed The Great Swamp SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION apse Depth to Water a er ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches . 1 A percolation hole was dug at an elevation approximately five 2 feet down from original ground within the most recently dug 3 �gP.phale. Af tar sat»rat-. nn _ suhleat hole was tested, and found 4 to have a percolation rate of 6/ minutes. This is significantly 5 bahhar then the results of thase, tests at ih P toe of the sloiDe 1 which had an 11 -15 minute rate. 2 Therefor, use the 6 -7 minute /inch rate as more chatacter- 3.., . istic of the material in place where the seepage-pits are to be 5 2 3 m Notes: 1) Tuts to be repeated at same depth until approximately equal, soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. DEPTH G.L. 6" 12" 18" 2411 30" 36" 42' i t -E -S- U B 19 I T T A L TEST PIT DATA REQUIRED 'TO- -BZJ+r SUBMITTED. WITH APPLICATION -' DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. New. Deep HOLE N0. HOLE NO. Tiole s . shown on revised plan. ton 311 poor topsoil to none then -Crnm +.bnre clown to tie 4t1h-a s even - '- e��els material can be classified as a Ilej,l i'Z* san(ly grat=.elll wj -Eh mi nnr amounts of boulders and loam 54 60" 66" 72„ 78« 8411 No evidence of 'ground INDICATE LEVEL AT WHICH. GROUND WATER IS ENCOUNTERED - not encountered in this hole INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED- n/a TESTS MADE BY deep holes previously done- observed Date May 12,- 1973 percolation test - APM & TZOR - PvTay 19y 107.E DE I GN Usable, ` Soil Rate Used 6 -7 Min/1 "Drop: 450 S.FS.D. Usable Area Provided 4x3.14x6.5x5.58 No. of Bedrooms 3 Septic Tank Capacity 900 Gals_. Type Approved Concreti Absorption Area Pro ded By L.F.x2411 36" width trench. Other X - four (4) 61-6" i ter seepage its - six feet ate as. showri on n Name -ANYHUH P.- RIC L AUGHL.IN PROFESSIONAL EN131NEER �P � PjFlli •C ,t o Address MILLTOWN ROAD, R. D. 5 i Ni Y, 10569 THIS SPACE FOR USE BY HEALTH DEPARTMEN Y� lt /' c/ Soil Rate Approved Sq. Ft /Cal. Date fiE5510N� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. South Street. - Box 2233 Owner Herbert Alexander Address pattPrson No-ur Vork l 6 Located at ax (Street Route 292 Spec. Map Block Lot �'Tnaicate neares cross.s ree Municipality. Patterson Watershed The Great Swam SOIL PERCOLATION TEST DATA REQUIRED TO.BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run apse Depth to Water water Levei No. Time FYI= Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop. Inches Inches Inches 1 Both holes A. & M- consistently had a rate perced at 11 -15 minute 2 proposed for the-pits is-.better or equal than that found at the toe of -the slope, 3 Should the Health Department consider the submission presented as possibly aoceptable,,contingent on new deep tests and percolation i s ct c (at nna half thapffecf l r. depth of t h -i t. i P 5 feet down'/ or minus),;,then new tests will be run. 1 code, but this is because: g; s 2 present location per DOT personnel; (.c) presence of ledge to east or proposea awelling;_(d) high ground water a oe 01 slope 3 probably due in part to the stream across the road from the 4 property. 5 1. 2 3 5 Notes: 1) Te'ts to be repeated at same depth until aroximately equal soil rates are obtained at each percolation test hole. All pp 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.- H HOLE NO. L HOLE NO. G.L. 3" of -poor topsoil in both holes 6" friable loam with some sand & clay 1211 1811 2411 3011 3 6 if 42" sandy clay 4811 loam 5411 60" '6611 Water 7211 Some evidence 7811 :of better granular (no ledge in '.either hole) 84 9 1 to,water)- INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED- 9t in H; 31..in L INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED, -, remains at elev. TESTS MADE BY ApM Date random dates to observe 7 7 water tahlp. DESIGN Soil Rate Used 11­ l.a4Wl. "Drop: S. D. Usable Area Provided 690 S.F. No-. of Bedrooms thh Septic Tank Capacity 900 Gals. Type Approved Concrete Absorption Area Provided By L. F. x24 36" - width I-r-e-n-cE. Other our (4) 61-611. di er.,seepgge zits feet deep. Locate as shown in plan., fiTa.me 7 7_ 91- " Address THIS SPACE FOR USE BY HEALTH 0 10Y. ".;, , .. ��4,!",. . Soil Rate Approved. 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