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HomeMy WebLinkAbout0038DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631 - 589 -8100 1 -1 -61 BOX 1 I No r IN Irm �. 1 I�, 1 7 6 'y i 6 NIP i j NJ lk i �� i J61 Il ;'I h6t. I +L, mi PUTNAM COUNTYDEPARTMENT OF" HEALTH. �. 3 3 z Div�sron of .Enwronmenial Healt b , h: Services, Ceimel NAY .405,1121'' .t% CONSTRUCTION 'PERMIT FOR SEWgGE DISPOSAL SYSTEM 3 1 own or-Tillage- Located at /��R✓ /� /�-`_ ��1�� Tax -MSp �' Block yt rot ltJ: I Y Subdivision SuUd Lotq Renewal Q x YRevisionx °' ANNA 'A ! :., ` Owner /Address � � Date Of Pievioua i Approval Building Type Lot Area ✓� es. Fill Section Only Bd' s f y 3 l NumbeClot Bedrooms Design Flow G /P /D '' ��� "' P C H.' D otifiCation H. r J Separate Sewerage System `.to consist of Ga epEic T antl To be 'constructed by Addre Water Supply Public Supply From 'Prwate'.SuPPIY to' be :drilled b y._ Address � R Other Requirements ©�•r�' ��-� �G /�O s r Q. s l iepresent•,that I am wholly and completely responsible for the design and location of'ahe proposed systems) 1) that the, separate sewage: disposal system' above described will' constructed: as shown on,the.a Ind : ' - e , Putnam pproJed_amendment thor6 to 'in. accordance= witN'the standartls,�►ules sn_ regu_a ions _o County. ,Departmeiit.'of ,Wealth; and .that on completion thereof a "'•Certificate, of Coi ructlon- Compliance .satisfactory to the Commissioner of Health will_. be wbmittetl. to the :Department,: and a 'written guarantee will be furnished the owner his successors ,heirs of, assigns by 04`b uilder that'said builder,vvill place m;;gootl .operating condition• -any part of "said sewage disposal system,,duringahe perioq of tw'o`(2) yeari`,immediately followliig the date`o.the iisu= "ance of =,the approval. ovilie Certilicate of.IConsteuction Compliince_ot the origmalsystem;orany4epiirs thereto 2j'tAat the'diilled' well described above will,be located a ;shawri on the approved plan and that said well will be installed '`in' aecordanee.'with the standards, rules::aed regu ations,, "Of thee` Putnam, . County Department of Hea)th� ? .• � - r� R f Signed y ^.• .. Address �� rt°Y� N ,'Z License n F APPROVED FOR'`CONSTRUCTIOfV'• Th�sxapproval expires `one year from the `date issued unless construction of the building' has been undertaken and ,is revocable for cause or,may be amended or> modified when eonsiderad neces ry by the;:Commi i ner;gC:Health.. -: Any, change or,alterat6iin 04 construction. £ requires a" new P �t pproved for disposal of domestic sa se age; privet at y " s Date fir° 7- y ' f C Title' t Rev. 4-11i - ' 0 21 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date June-28, 1983 Re: Property of Danna Dunning Located at Harmony Hill Road (T) Patterson Section 1 Block 2 Lot 10 Subdivision of Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize Peter J. Andros,P.E. 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 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed 1 Countersigned: ��,��'r�'Y Owner of Property P.E. , R.A. , # 48983 u� =Hill 8na� Address 12 Fair Street Address Patterson, New York 12563 Town Carmel, New York 10512 (914) 878 -9366 VTelephone (914) 225 -9353 �a..� E.- � ` Telephone `r 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. Owner 0,61^/4 ��/,�ltJ/ i Address /1/�^90AI4 N /GL ,0062 Located at (Street) A2011TE 242 Sec. Block Lot (Indicate nearest cross street) Municipality A TTE,PJ'O/✓ Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME aS PERCOLATION 4/0,'S0 - 10,'6/ PERCOLATION Run Eiapse Depth to Water Water ve No. Time From Ground `Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches �'' 9 2/0;�� -/0:33 3 /d: 33 - /0" 7 9 CO3 4 1 /0,V7, /0: (1f 3 /,0A /?- /0,'90 J aS A6 4/0,'S0 - 10,'6/ 5 2 3 Notes: 1) Teets to be repeated at same depth until approximatelyy 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. HOLE NO. a*' HOLE NO. G.L. 611 1211 1811 i0 9D 2411 3011 361 42" 4811 5411 6011 6611 5,0 7211 V 7811 8411 .Jr INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Date— d.3143 DESIGN Soil Rate Used -/O Min/1"Drop: S.D. Usable Area Provided ::7,0A7 No. of Bedrooms Septic Tank Capacity !?,9t? Gals. e 10161. pe_Ag ",foA Absorption Area Provided By g53 L.F.x24")e b" enC h. n 14 A A AddressA7 I-Azerr, THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft/Gal. Checked by 0� Ad OF PIDN '� Date r IF o a�f_..� 1 E A- .a i r G' Qa 10 L� a r R1 li z UN A ,o a° t^ ,/ a o o\ rp h, I nO r IF o a�f_..� 1 E A- .a i r G' Qa 10 L� a r R1 li z UN A ,o a° t^