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HomeMy WebLinkAbout0238DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 4.19 -1 -22 BOX 3 as I , L4 A.L ., pij �� iMIN I 16 IN No JI . 0 FIELD CHECK LIST Date.: Insp.by: INITIAL SITE INSPECTION. Yes No ts Property lines or corners found ... __ _ Can estimate house location Will driveway need cut . . . . . . . . .. Must trees be removed -note these . . Is deep hole representative of entire SDS area Additional deep holes needed. . . . . . . Sufficient SDS area available considering .driveway cut,house location,separation distances, etc. ... . . . . . . . . . .. DEEP HOLE DATA Depth:. Water elevation: Rock elevation: Soils description: Date: '7— 7 FINAL SITE INSPECTION Ins p. by: -- House located where shown on approved plan SDS located where annroved . . . . 661 s i,li u �r el`ic ii riica 5 urea sr/.� Width of trench average Slope.of tile line and trench acceptable Room allowed for expansion trenches . . . . , Over 50 ft. from swamp, watercourse . . . . . v 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, surface, etc . channel near SDS . area o,�ground � ,� , •Q 5r n-41 - Does lot drain e appear O.K. in area of SDS FINAL GRADING OF SITE ACCEPTABLE ' � , ��,/ .Ii.:' � 5 � v •� � G G ;vim �J �e/G .� ��S � d � � _. A • Alpine Acres, .Inc. Owner or Purchaser of building Building Constructed by Birch Hill Road Location- Street Patterson Municipality .... ... ........ II p Section Block Frame 37 Buildi.no Type Lot GUARANTY OF SEPARATE SEWAGE SYSTEM 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 t}e \,standar"ds, rules and regulations of the Putnam County Department of Health, and hereby .'guaranty 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 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 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. Dated this day of 19 r�, Signatures Title (if 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 NOTICE OF DATE OF FIRST USE OF SYSTEM. ---------------------------------------------------------------7--------------------- Division of Environmental Health_Services, Putnam County Department of. Health ..A1pfne:Acres, Inc. _ Owner or Purchaser of building Building Constructed by Birch Hill Road Location - Street Patterson Municipality Section 1 Block Frame 37, Building Type Lot GUARANTY OF SEPARATE SEWAGE SYSTEM 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 t86standards, rules and regulations of the Putnam County Department of Health, and hereby' - guaranty 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 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 occupant of the building utilizing -thc system. J 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. ./� Dated this 22nd day of August 19 73 Signatu Title _ ,/ f11-2 3s) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRE TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health.Services, Putnam County Department of Health AlL pi ne Acres, Inc. Owner or Purchaser of building Building Constructed by LA rch 'Hi 11 Road Location - Street Frar.1e Building Type Patterson Municipality Section Block . 37 Lot GUARANTY OF SEPARATE SEWAGE SYSTEM 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 th6standards, rules and regulations of the Putnam County Department of Health, and hereby'guaranty 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 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 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. /) Dated this 22nd day of AT! "St 19 73 Signature Title (if corpora on give 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 NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health ... I nt i Sao Acr6s , inc.. Owner or Purchaser of building Building Constructed by Patterso Municipality Section " Area•. Vi i 3 Roam l. Location - Street Block Building Type Lot GUARANTY OF SEPARATE SEWAGE SYSTEM 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 t} e*�' zta.ndards, rules and regulations of the Putnam County Department of Health, and hereby guaranty 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 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 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. Dated this r day of :�u9ust 19 Signature L v Title (if corporation, •v name and address) Lat-A - - - -- �_- L__ 'L - �_'=^' - - -�-� _ �'1_� - -- - - - - -- THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRE TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. ------------------= .r---------------------------------------------------------- - - - - -- Division of Environmental Health Services, Putnam County Department of Health ib WIN .kid t11 2k d l s�- z � � t cc —3m-, •` ;� va- ---w.. aw..v.= '.w,.v ,... ..aw: -,°a .r �++,.,k..q»'i�.. rz- rT"'a T.� - +- a•`s 5�ty..,t... 4y#g z `. #sCi+.. y4.1° 3d9U Y -4,v, 1 ms' s. ,- n� - �` '`f " i' °'iM -l-±i` ' •r��, °mot, r ` - ~� , � ^.:..�' . »'`�"#3,z. a.�� ' Uri t f mk tar r r'; t ;2F. 4 s ;• C °F' t tl i � � • F'E t _ - 4 ei' e%.,:h`:4. f.�:. y4 " °''^',;;= -°ia ,�`• "y' P r v... . .r e a r� �., x r '.r- i .�" .' `° c-i'' '.��.s `�'.•.•?'r °t ♦ v,,,�`a"ax�"" ' uv;�.. t PIp G s;•a'N[ .,.� j y jrr P:e 1 ?- o �k�k�'f x. :"� �' nip '� Y ''t <.' � �Y.4? 4�:. 5 . t '4, •,J'•^`-" j qss tP'li ' ]` .,r . -��. r -'. �• s —t �^•• h. F ,�,�` z€. p ,��i-�` -5- •t Ff- y. � -r.- V't t. ":y <� c�.>~.�g•' r `t wil-`q at �'��f£ fi:�� � �° u � ,� , f}tA.t'Y; Y 3i .t LitkA y dFff t r - +. k i'f .r 9 ♦,yi �' x r �. �t °qt ,. .1� � Ct' f °4 x�� ���d� a f&W 020 C It te ��x =s� .'�r,lctrt� c„;:,r xx✓ to i t� t�j trd ..E Rfi.�-�b,t -r'aj9 fE - t a. ,`.� i-,[ ^.7>fJ' hC �'•3?p��jSS �' ` s ..r ��: {> �:aFfs.� ' _ Y'+3t •�+?y#.P -�.. ens tt 7-7- a. - i +f a° F" _ PUTNAM COUNTY DEPARTMENT ,OF HEALTH _ sion of .Environmenta/ Heath Sewces Camel N:, Y, ' "10512 . Y _s a CONSTRUCTION 'PERMIT_ F,OR SEWAGE DI$POSAL,SYST�EM _ -' Fdttel^SOn ' . " r Town or ,Nil'age Hi11 Road II E Located, at ' section Block - Alpine.Acres SUbdivisidn Lot J'ob T 3T. ow „er Alpine Acres ii ,thC Address �1 A Rader, Pres k it t � � �am "N Frame - scawana n Kahl ey, Y 1 Q579� Building. Type - Lot Area” Number of Bedrooms Total Habitable Space Sq,uare_Feet•. 1000 " 23d. 36-4 neh , Ii Separate Sewerage System to consist of Gal, , SapUc Tank lmea_1 feet x width `;trench TTo be cdnstructe'd by �N%ner- - Address Same as _above jj N/ater'Supply " X Publ;c Supply From Al pine'-- Acres'WatQl" Corp; # S Private Supply to be drilled by - Address° - - - - 4 Other Requ;rements None F7 - . r 7 ✓ �s I represent that I '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 th",Approved amendment there to.and,in accordance with thestandards ;rulesand,regulations'o t e `° u nam County Department 'of , HeaIthi,:and:.that on completion thereof a "Certificate of'','Construction Compliance satisfacto►y to the Commissioner - of •liealthwill sbe submitted do the'.Department and a written'guarantee will be_furnished the dwner, his'wccessors heirs'or assigns bysthe builder, that said builder will pl ace ' "in good operating condition any ,part of said sewage disposal system dunng; the period of. wo (2) years immetl;ately following thedatWbf the:issu' ance of the approval 'of „the Certificate of 'Con structwn :Compliance of ,the original system ?or any•repalrs thereto 2)`that the drilled, „well described above will be located asshawn on the approved plan and that said well wall 6e installed m accoidance! `wd`h the standards rules antl regula i�`ons of tfie r P.ut_nam County Departniilent of 'Health Date !- 1115/71 Signed P.E R A R D 6 B ;,353, a ,New Yor..k 1 l2 29206 '� = Address s - License No.` - APPRONED FOR CONST,RUCTLON Thisapproval expires °one year from the date issued unless c tiori of the bwltling has been undertaken and is ' t - i;revocatilefor`,,cause ` or,'may.bearriended oFmotlif.iedwhencorisidered: necessary bvsatieACoinmfssi ery Health ,Any_chenge or :alteration of construction requves -a neYV permit - Approved nfor d;sposal�of�-domesticrsagrt ” e da Date ate= � u ply only '� Title .T asup port support •tt"` srope. v, 1`11-1 •h r =• r I L fuit4 ot :mTe I C-/ I r leeper _. J . 'Remare o[o/ ury,n A/1 f1/1 to be water 4 0 ]rprsos of �,. p /oE /errh ^: rnnc b/ork i R.C.B. qrovel Rica wo /!s morlor, bocA! // paddled con[ -i T Y P! C A.L % l C L S f C T 1 0:'Nj inter` I c %y or. earth _ .- r._,... _.._ lm mopBrvol7 _ Lehgth ' o% SEPTIC TANK g r' vt' 4 cant 3 � g 3• 02055 SECT /ON y' r 42^ M I TI spacrn m rntN•, I NOT To SCALE I l' -- C] i Tile field z r v pA OCES ER IB. made /q lA ei DT'. b j— r'.'. -1_ (S[! sc 6'u" [` a M. } 7 I IYP/CAl Remove 61` of �� I8r roaooutF/ box 9 0' 'lQ d �NQboJ / /esAoel mno /r �, / w,e�h C$Et SCw[noce) - original ground •'/ j _-\ _ _ � ` -- _ _S C 0 p/ N �. pmca _ l�,c\— E 7YPIC SUBMER.S/8LE m P C0NNfCTIOM_ z B ll t)ll t o beJ tole _ P W f I L Nrn + J so 9d orm-'gebur p,pe E.D B rove/. - NACf PL ,AN cover on i i g � 9 --- ----- � L 2 overhang Walls butHo,rsiondord9 conaulc TYPICAL FILL SECTfON FOR SLOP /MG ,GROUND :,P( -A:N Of FILL SECTION vo /1 Nock': AUowoble subsi,luiest Poured , cancr�f, commer��o /sldC.S. 177 -T.7. _ PLAN Y ..'. 7 rseE c<udo.,f --F Colerois of cgrro.' i e^yih porolle/ / ��grove/ A A to cvotou s (_4G �� ..•,_ 1 `+ .-� S GO' mar. .._.�... .. �� ? 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' ,lob cover- in order that flow maybe odiuskd ! - Y�/�'�1S- CJ'se�?L17 to dose all lolero /seyaally rfinishedgrodo ,uftonBor Detods -� tv - / •Y v4��C'a .,' ' Pit0fILE .AL DETAILS Of TILE f I E L 0 S.5 Nor T o S c A t F - 24v (SEE sCN[oul r) I 1 Frnrshed grade AocR 'gam'+ - xr till �G t. i .Back f 11 t jjj---- m���oxr de47h • - r T ^ P _:_i I �,