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00036
division or cnvironmenrai r7ealrn, )erV1Ces,,.G'armel- N.< r_.
Robenat Contractors
Owner or Purc aser of Building
Owner
Building Constructed by
Panorama Drive
Location - Street
Frame
Building Type
t',
Patterson
Municipality
2
Section
Block
34
Lot
GUARANTY OF SEPARATE SEWAGE SYSTET-4
n
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 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 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 ether or not the
failure of the system to operate was caused by the wi l ul or neg
s 'g nt
act of the occupant of the building utilizing the y tam. �,�
Dated this 13th day of May 1974 Signatur
Title :J ��' -2-0
Robenat Contractors If corporation, give name
Oscawana Lake Rd, and address)
- - - - - - - - - - - - - - - - Putnam Valleys NY 10579 - - - - - - - - - - -
THREE (.3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF CO MPS _,ETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
Division of Environmental Health Services, Putnam County Department of Health
4
i
Robenat Contractors
Owner or Purcriaser of Building
Owner
Building Constructed by
Panorama Drive
Location - Street
Frame
Building Type
d
Patterson
Municipality
2
Section
Block
34
Lot
GUARANTY OF SEPARATE SEWAGE- SYSTET4
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 guarar_ty.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 made by me to such s _Nrstem, 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 sys em.
Dated this 13th day of May 1974 Signature
i" 44
Title
If corporation, give name
and address)
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMP.7,ETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
Division of Environmental Health Services, Putnam County Department of Health
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Carmel, N. Y. 10512
CONSTRUCTION. PERmft FOR SEWAGE DISPOSAL SYSTEM
Located at Panorama Drive
Subdivision Alpine Acres
Owner Alpine Acres, Inc.
Building Type Frame Lot Area 600001
Number of Bedrooms Three
Separate Sewerage System to consist of 1000 Gal. Septic Tank
7
Sectio
Lot
Address % E • A. Rader
Oscawana Lake Rd., Putnam Valley, NY 1057
Total Habitable Space 1200± Square Feet
240 lineal feet x 36 inch width trench
Patterson
2
Town or Village
n .Block ��_�
34 -
Job S0104u
To be constructed by Address
Water Supply: X Public Supply From Alpine Acres Water Corp .
Private Supply to be drilled by
Address
Other Requirements Effluent Pump & Receptor
** *Original Permit Was Issued 1111847,1
1 represent that I am wholly and completely responsible for he dsin and location of the proposed system(s); 1) that the separate sewage disposal system
above described will be constructed as shown on,the approved amendment there to and in accordance with the standards, rules an regulations o e u nam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill
be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will
place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following thedate of the issu-
ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above
will be located as shown on the approved plan and that said well will be Install d in accordance with t andards, rules and regulations of the Putnam
County Department of Health. j V
Date 13 July 1973 Signed � � � P.E. X R.A.
Address R.O. 6 Sox 35 rltte1 1 NY i Au License No. 29206
APPROVED FOR CONSTRUCTION: This approval 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 considered necessary by the Commissioner of Health. Any change or alteration of construction
requires a new permit. Approved for disposal of domestic sanitary sewage, and /or private water supply only.
Date/ ��� / %% B °.✓I ._��zi�— l.. __Tiger
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Carmel, N. Y. 1051'
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM
Located at Panorama Drive
Subdivision Alpine Acres
Owner Alpine Acres, Inc.
Building Type Frame Lot Area
Patterson
Town or Village
Section I I Block
Lot 3`t pp Job
Address % E. A. Rader, Fires.
Oscawana Lake Rd., Putnam Valley,NY 10579
Number of Bedrooms Total Habitable Space 1. Square Feet
Separate Sewerage System to consist of 1 000 Gal. Septic Tank 230 lineal feet x 36 i neh width trench
To be constructed by Owner Address Same as above
Water Supply: X Public Supply FromAl pi ne Acres Water Corp.
Private Supply to be drilled by
Address
Other Requirements None
I represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system
above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules and regulations o t e u nam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill
be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will
place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following the date of the issu-
ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above
will be located as shown on the approved plan and that said well will be installed in accordance with the standards, rules and regulations of the Putnam
County Department of Health.
Date
11/15/71 Signed ` P.E. X R.A.
Address R.D. 6, B. 3539 1, New ork 65512 License No. 29206
APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unles truction of the building has been undertaken and is
revocable for cause or may be amended or modified when considered neces ry by the Comm• sione of Health. Any change or alteration of construction
requires a new ermit. Approved for disposal of domestic iSactFtay se age, r rival r supply only.
Date I (' cam ' By y°-- � �' u Title �J
INITIAL SITE IIVTSPECTION
Property lines or corners found
Can estimate house location .
Will driveway need cut . . . . . . . . . . . .
Must trees be removed -note these I . .
Is deep hole representative of entire SDS area
Additional deep holes needed. . . . . .
Su.r'ficient SDS area available considering
driveway cut,house location,separation .
distances, etc . . . . . . . . . . . . . .
DEEP HOLE D_!i TA
Depth: 7 i f
Water elevation: G �>
Rock elevation:°�'�
Soils description:
i)are :
FILIAL SITE INSPECTION Insp. by:'
Date:
Insp.by:
1 Ye s I No
House located where shown on approved plan .•.) �_
SDS located where approved ...,
Slope of the line and trench acceptable
Room allowed for exDa.nsion trenches . . . . .
Over 50 ft. from swamp, watercourse . . . . . _
Natural soil not stripped or SDS area
unnecessarily graded _
10 Ft maintained from prop.line and
20 ft. from house . . . . . . _
Separation of trench from house, well
etc. follows plan . . . . . . . . . . . . . _
Number of bedrooms checks .
Stones, brush, stumps, rubble, etc. greater
than 15 ft. from nearest trench . . . .
15 Ft. of peripheral soil horizontally from
trench. . . . . - . . . . . . . . . . . . .
Junction boxes properly set
Could surface run off from driveway, roads,
ground surface, etc. channel near SDS. .
area
Does lot drainage appear O.I. in area of SDS
FINAL, GRADING .OF SITE ACCEPTABLE
Comments
i
`. I
1! y
I
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 Address 6� 0 ,9 r-dwas gx prlx�
Locate at ( Street ,�, Sec. / bctc �wX
�d "-' 2. Block Sa6 Lot �
indicate e n ares cross street)
Municipality _,4qfe,*,M, Watershed 6b -6107
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
Run Elapse Depth to a er Water Level
No. Time From Ground Surface in Inches Soil Rate
Start -Stop Min. Start Stop Drop in Min. /in drop
Inches Inches Inches
� _ •
4
5 "
2
3
4
5
1
2
3
Notes: 1) Te'�ts to be .repeOed at same deptn until apppproximately equal' .so;�'x`
rates are obtained at each - percolation test hole. Al1,,'.data to be subm�.�Vsa*
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 HOT,FS .
DEPTH HOLE NO._�_
G.L.
6" � fi�yi► �Tii4�io
12" ► .� ioy
18" /ylAt. 144-48
24"
3011
361f
`t2"
48"
5411
60"
66"
72 if
78"
84"
INDICATE LEVEL AT WHICH GROUNDNATER IS ENCOUNTERED Ale o►Q
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED
TESTS MADE BY S„ /L;�/,o Date
DESIGN
Soil Rate Used Al- min/l "Drop: S.D. Usable Area Provided OrPi -Poo ' ►
No. of Bedrooms a,,eev Septic Tank Capacity 100C) Gals. Type
Absorption Area Provided By__),fV _L.F.x24 3b" width trench.--
A#I A w e OtherdQ19%4,A4;LC
. C I Q:i841 as -., 1- .A.,.
Address i, .4-3
nor Yurt 10512
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: 11,c
Soil Rate Approved Sq. Ft /Cal. Che
/N. PR.
r
s�F
,e I
v Date
�Nq 2926 �``3
Structure located from survey by surveyor -noted below0_-
. �
QQOTESSIONgi
ik. ppf F 'TCH
.. _ -_ _
Well located by: Surveyors survey.- _ _ p,
/
odd 'ss �p
Well drillers report -_ ❑ /N��'cSvPMjy
a4�a
EngT.neeis mesurements.0 -- -
f� VED
�� its ..
+�
,o
A 6 �E�
Tank, boxes, pitar ga Ilene a 9 later ols Joccts.d by-: Contractor:
En t aes r$
yl/
rHES °*
He a lthaQpt:
WAY 141974
Field inspection by: Health dept dote:.._
CccOrr�Wnpp.'..'
Engineer ® date:- ,SL�OL�� _
--
1RnNMENTI,V�` N
a1ry
NOTES:
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LO CAT ION"Street: 1='A_.p✓n ttac ^ia 1SS' °_�
Town: c�= r-r�r+3sn?a - County: ?.Z,��r�- _Stote: _Ne 4'or _
SU'BD.IVIS.I.ON:
6160.- — -- - _tOT Ns_ -? _ --
Hoo.00 �•'
Budder: — � �+ ao r- �o C- inc �-
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Surveyor: - _�. Ce-e
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Drown
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Scale: ,
2- ,3� -�'
Job kje-.
JOHN H PREN:.TISS .PE
r
CONSULTING ' ENGlNEE'R
RD 6 Box ,363 CARME,L NY I0B,12-09141 A78 -6170.