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00103
.PUTNAM COUNTY DEPARTMENT OF HEALTH ;,
Drvrs on of Ienvironinenia1 Health Services' Car e/ N Y 10512
�,, � .' ` _� .. <`' ' . ` -
'CONSTRUCTION PERMIT FOR .SEWAGE •DISPOSAL SYSTEM ;r pn
Patters
Town or Village
Located °Baldw'n Road. !
at Section Block
i 27 S0707 Subdivision; Moon Hi 1 1 Hjqh
Lot Job_
Mr. & :Mrs . Chas: wP F1 nn. 3037 SeddW Jff AvenLie
.Owner Address
Frame" 56700 Bronx New Yo.rk_1:0468
Building Type Lot Area
_Three :. 1'508'•:
Number of Bedrooms Total Habitable Space ' Square Feet
1000 500 ,> 36.'.f (�
Separate Sewerage System :to consist of Gal Septic Tank- lineal feet X Width trench:
To be constructed by Address
Water Supply: Public 'Supply From
_ V - 7 .
Pri vate Supply to be drilled by
Address
Other. Requirements Fi 11 .24': •peep (R ` o
I represent that I 'am wholly and completely responsible for the tlesio and location 'of propose system(s); 1) that separate - sewage- disposal - system
above described will be constructed as shown on the approved amendment there to and in accordance witF the standards,.rules an • regu a ions o .t e u nam-
County Department of .Health and that on completion thereof a .Certificate_ of Construction,Compliance satisfactory to the 'Commissioner ofrtiealthwill,
tie..submitted to 'the Department ;and a written guarantee +will be furnished, he owrier his, successops;,heirs or'assignsby the guilder that said tiuilder.will
place' in gootl operating `cgndiUon >any par# of said. sewage _disposal system during -the period 'of two (2)`years immetliateily- following thedate :of the issu
ance of the appro4al of 'the, 'Certificate'of Construction Compliance' of the or�gm`afaystam.or any; repairs thereto 2);;that the drilled well 'described :above,
will be located as shown on:the approved plan and that.* id, 'all will be, installed �n accordance .wdh the- qs rules an. regurations ' of ,.the. °Putnam
County Department. of `Health,
June 29 � 19 2, Date 7.. Signed Pf, 13 A
,:R D `'6 B.''35 C r el.New York 05,12 - 29206:
i4iidress License No
APPROVED FOR,CONSTRUCTION: This approval expires one y "- rom the date ;issued unless construction of the building. has been undertakew, and is
revocable for.cause'or may. be amended or motl�fied "en considered necessary by -the. Commissioner of Health" Any change or alteration of construction'' :,r.
requires a new.'perin /it. Approved :for disposal of domestic sanda[y aewage,'and/ir` private .water supply only
Date_ 1 �� By itle
L
S
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 Ao.. 4mez a ds,J%,a_Addre s s
Located at Street �.,�, „ Sec . Block Lot i
(
indicate-nearest cross s ree Mom i// �vb� Yisi
Municipality f4fer4 ®!3 Watershed Cja 6
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
RM Elapse Depth to Water Water Levei
No. Time From Ground Surface in Inches Soil Rate
Start -Stop Min. Start Stop Drop in Min. /in drop
Inches Inches Inches
7
4 \
5
Notes: 1) Tests 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 :M'easurements to be made from top of hole.
DEPTH
G.L.
611
12"
1811 t'
2411
30"
36"
4211
48"
5411
60"
•.
7211
:V,
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
HOLE NO. HOLE NO.
yi P w
INDICATE LEVJff'0AT'r-�G'RQTJND WATER IS ENCOUNTERED *Five OLY-
.INDICATE LEVEL TO WHICH WA.T ER LEVE RISES AFTER BEING ENCOUNTERED, 30Y4'/*•
TESTS MADE BY/� *,mj .(,jF Date A /yL
a DESIGN
Soil Rate Used�n/l "Drop: S.D. Usable Area Provided
No. of Bedrooms 7 noy Septic Tank Capacity 01b Gals. Type
Absorption Area Provided By L.F.x24 "_ b width trench.
Other
Name john ti. Prentiss, P.E. Slimat
Address RA 6, B. 353
Camel, New York: 10512
THIS SPACE FOR USE BY HEALTH DEPARTMENT
G
Soil Rate Approved Sq. Ft/Cal. z cle �o
'
Date
K ,
Gentlemen:
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date�u
Re: Property of -
Located at
Section Block Lot 2 Z
This letter is to authorize J0: " m
a duly licensed professional engineer '' or registered architect
(IndicaET-
to apply for a Construction Permit for a separate sewerage system; to
serve the above noted property in accordance with the standards, rules
or regulations as promulgated 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.
0 CY.
untersigne .
P.E., R.A., # 29206 --
6e
Carmel , New York 10512
914 - 878 -6170
. e ep one
Very truly ours,
Signed
Owner of Propert
13a -S7 s�a�W«h lie owe-
— Ad3res`s
No.' 292��
�oFTNE SI pit
��
as
315tione
�ntennaticrnaf 'Union oi Open'latinq Enciinuna
LOCAL UNION No. 30, 30 -A, 30 -B, 30 -C, 30 -D
Affiliated with the American Federation of Labor - C.1.0.
132 FOURTH AVENUE
(near 13th Street)
NEW YORK, N.Y. 10003
Dept. of Health
Carmel, N.Y.
285
6/1/72
Telephones
473 - 1700.01 - 02.03 -04
Dear Sir:
I am employed by Local 30, International Union of Operating
Engineers, as a Business Representative. Our main office is in New
York City at the above address, but our jurisdiction covers not on-
ly the city, but Long Island, seven Upstate counties, and the State
of Conne6tiatt. Therefore, much of my work will be done from my
home in Patterson, N.Y., thus requiring me to maintain office space
in my house. I intend, for this reason, to use the office and library
marked on the plans for business purposes. Thank you.
Yours truly,
�.
Charles P. Flynn
Business Representative
CPF /mkp
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