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HomeMy WebLinkAbout0316DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13. -2 -15 BOX 4 O. ir is 4 i r' �� jr UL rr AAA 00125 ..F. ' RENEWAL r PUTNAM COUNTY DEPARTMENT OF HEALTH J7- Vt Division of Environmental Health Services, Carmel, N. Y. 10512 3' CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Located at Route 311 x Patterson 11 Town or Village Tax Map # 1 0 Block 1 Subdivision Lot 1 - l 3 • 0 Job Owner McGlasson (formerly Arciola) L-KI4---► Address Gleneida Avenue Building Type High Ranch Lot Area 77,045 sq. ft. Carmel, N.Y. 10512 Number of Bedrooms — 3 Design Flow 6-7 m 1 n rate Total Habitable Space Square Feet Separate Sewerage System to consist of 900 Gal. Septic Tank and Soo,. 2 ' trench To be constructed by to be determined Address Water Supply: Public Supply From X Private Supply to be drilled by to be determined Address Other Requirements 2 112' fill section to provide for 750 l.f. x 24" trench 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 thedate of the issu- ance of the approval of the Certificate of Construction Compliance of the origin ystem 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 i rdance vyi W the standards, rules and regulations of the Putnam County Department of Health. Date 3/17/ 81 Signed P.E. X R.A. Address Route 5 ' Carmel License No. 043890 APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless oj( struction of the building has been undertaken and is revocable for cause or may be amended or modified when consi eces ry ommis ' e of Health. Any change or alteration of construction requires a new p rmit. Approved for disposal of domestic san)tar age, [a pd/ r NV eater s ply nly. Date BY Title t 1 renewal PUTNAM COUNTY DEPARTMENT OF HEALTH 9 Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Patterson Town or Village Located at _ Route 311- Tax Map # 10 Block 1 Subdivision Tax Map Lot #J-- 1 3 • V subd. # Owner Peter O'Hara Address Route 311 Hi -ranch 77,045 sq. Patterso Building Type ,. Lot Area Number of Bedrooms —3 Design Flow . 6-7 min . rate Total Habitable Square Feet Separate Sewerage. Syst {m to tconsist of+._.._ 900 __ Gal. Septic Tank and 500 ft. � nch / ( ) ( X eaching pits To be constructed by _�_.b_e.__d.e_t.e_rm_ine d Address __ Water Supply: �._ Public Supply From _ X Private Supply to be drilled by to be determined PU ?N Address _.. —...r_ 7 Other Requirements __2 IJ?I—fill secti9n to provide for 750 L F x24" trench* 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 the approved attachments hereto and in accordance with the standards, rules and regulations of the Putnam County Department Of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commission- er of Health will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the build- er, 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 issuance of the approval of the Certificate of Constructio Compliance of the original system or any repairs thereto; 2) that the dxil]ed well described above will be located as shown on the approved and that said well will be installed in accordance with the stan- dards, rules and regulations of the Putnam County Department Of Health. Date 6/29/79 Signed P.E.X R.A. Address Route 52-, Carmel N, Y_ 10512 License No. 043880 APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued less construction of the building has been undertaken and is revocable for cause or may be amended or modified when considered essary by the C issioner of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestic sa r ewa a /or p 'mate ___. '1-//— 79 R. Ti*ln 4 PUTNAM COUNTY DEPARTMENT OF •HEALTH " ?j 61 Division of. Environmental- Health Services rme% N.' Y 10512 CONST. UCTION PERMIT FOR, S t ' EWAGE DISPOSALgBM '�/� 4 Town or Village• Located at_� Tax .Map Block" U _ Lot l Job Subdivision Owner ` Address 3i 1 Building Type �' Lot' Area - 11 tv'+S ^• i •` •.. Number Of Bedrooms Deslgn Flow LD ''Mlw�. ` -� Total Habitable Space, Squ�areyFeet Separate Sew erage'System to .consist of �OQ Gal Septic Tank _ and 2A To be constructed by Address i Water Supply Public SuPPIy From v - Private Supply to,.be drilled by Address Other. Requirements 4' p t" /LL �S'L��TiU,c/' ono ✓i�E ito ;75� .�'A. X 2�7,�ENIN I}iepresent that l am wholly and completely responsible fo► the design and location of. the proposed systems) 1) that -the separate sewage disposal system •above.described` will be constructed as shown;on the approvep.amendmentfhere,ao -and. in accordance with,the sfandards rules a -n •re gu a ions o the u nam County' - Department ;of', Health; and that ;on completion thereof a " Certificate' of Construction.Complience 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,'operatin9 condition -any part of said sewage'di ;posal 'system :�during..thti period,of two (2) years im_mediately following the date of the issu -- ance of the approval of the Certificate of Construction 'Compliance of the originat stem. or any repairsYhereto; 2) that, the drilled well described above will be located as shown on the.approvad. plan and that said well will be installed 'in dance .-with *the standards, rules and regula i—f ons of the Putnam County Department of Health JI ZQ P E:! R A Date Signed Address rJZ �12MCV ) �` License No . 044a6o APPROVED'FOW CONSTRUCTION: This approval, expires one year from the date. issued unlessw 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 ne permit Approved for disposal of'domas nitary sewage, and /or prnvate water supply only Date ,Titled '° REVIEW Citt ?CK Si r ; sT • (.�`�' "� � Iry �'� � i� DOrUI�IITS � �� ; . • . House plans O.K. Design data sheet Peres presoaked? I - in. 30" pert test depth Const. results for 3 runs D. Hole log 0. K. Corporate Affidavit for. othe than individ Authorization for engieer Letter from Water Supply if applicable If variance requested -such noted on plans < apps. Q is Std. i Remarks' . DETAILS - if change is proposed,) Existing contours shown show new contours)' Slopes for driveway cuts, etc. shown Mater service line location Footing drain, etc. location Top. slope, bottom slope of fill ! Percolation tests and deep test pit location i Septic tank size and conformance to std. j 3 B.R. house minimum House setback shown i I Distribution box ft-. below frost ! All water within 50 ft. of PL shown Plan and profile SDS ,All other wells and SDS closer 2001 i shown or reference made ' I i. Property boundaries (metes and bounds - clearly shown EPARATION DISTANCES SPECIFIED ON PLAN )' to P.L. )' to Foundation walls )' to Nearest well )' to stream, march, lake, etc. i' to Curtain drain to water line (pits -20 to storm drain i' ' to large trees _ ' frOil] ]'OLlrldation to septic tank ' to gips from leader drain & . I'd :expansion 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 'Ftz- cam' WA04\ Address TZj'oTr I Located at (Street Sec. Block Lot -1 6dicate neares cross street) Municipality Watershed K! "' . C. yip t4� SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION apse Depth to Water water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 1_ i2 - 3' n S ZCv 2-1 I S 2 .3' n 3. Z 1 ZCv Z'i i 3 '3'24 - 3 4, z1 i ca 4 ?,,_:�o e3 5(o (o Zl� ZI i Co 5 r 1 ill 45 - 13' SL-> Z-1 -1 3 2 3 4 5 Notes: 1) rates are for review 2) Tests to be repeated at same depth until apppproximatelyy equal soil obtained at each percolation test hole. All data to be submitted 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. HOLE NO. G.L. Of 12" 18" 2411 30" 36" 42" 48" 54 If 60" 66" 72 If FM L; INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY - J',�/. Date_ DESIGN Soil Rate Used(,---:'7 Min/1 "Drop: S.D. Usable Area Provided sc=© No. of Bedrooms Septic Tank Capacity 0100 Gals. Type A/Na Absorption Area Provided By L.F.x24" width trenc . Other Name E. Signature � Addresses THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal . Checked b Y=, A••' +.' PF nn�8 X14, � I Owner or Purchaset of Building Bu'ldi Constructed by .3111 Location - Y treet Municipal'ty �7(. Building Type n 714V A44P Block 1� if1 Lot Subdivision Name Subdv. Lot # GUARANTEE 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,the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his success- ors, 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 determin- ation of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the fail- ure 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_2 Signaturej�� Title /�� Corporation Name if corp. 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 RENEWAL PUTNAM COUNTY DEPARTMENT OF HEALTH ,-'7 i : : f Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM —TI r Located at 5ubdivisign — Route 311 Patterson Town or Village Tax Map # 10 Block Tax Map Lot: # 1-13.0 Subd. # . Owner (Ken Arciola) originally Peter 0 "Nara Address P.O. Box 12 Building Type Lot Area _ Hi =Ranch 77,045 sq.ft. Mahopac, N.Y, 10541 —.. 3 6 -7 mon. rate Number of Bedrooms­_ Design Flow —. Total Habitable Space __ — Square Feet, Separate Sewerage System. consist of -_.. 900 —Gal. Septic Tank and 500 ft. 21 trench / ( ) ( x )leaching .•. ,.� i - Pits To be construStetl by '____ to be deter ined _ �j Address _ III Water Supply: — _ Public Supply From —� { P.rivpte Supply to be drilled by to be determined Address Other Requirements _?_L42 fi 11 section to provide for 750 L.F. x 24" trench I. represent that I am wholly and completely respgnsiple 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 attachments hereto and in accordance with the standards, rules and regulations . of the Putnam County Department Of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissign -. er of HealthVill be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the build er that sai4 buf,lder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately' following tho.dat;o of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto;,2,) that the dxil] well described above will be located as shown on the approved plan and that said well will be installed in accordance with the star darde, rul s at;d.re uX&tione of the Pgtnam County Department Of Health. 7/1.2/79. Date Signed - P.E. X P.A., ' Address Route 52, Carmel N . Y License No. APPROVED FQIR CONSTRUCTION: This approval expires one y from the date issued unless construction of the building has been undertaken and is'' ! revocable for cause or may bq ;mended or moditied when co ered eces. b C n of Health. Any change or altJeratio�n, of construction require; a no A. permitJtt.. / poroved for disposal of domes • c san' ry sewage, nd/ privet w supply only. Date 7� %' By ^�- Title ° I PUTNAM COUNTY DEPARTMENT OF HEALTH i Division of Environmental Health Services, Carmel, N. Y. 10512 permit # CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Patterson Town or Village Located at Route 311 Tax Hap 10 Block 1 owner McGlasson BuilderBFormerly O' Hara Tax Map Lot # 13. 14 Subd Lot # Owner Separate Sewerage System built by Address Consisting of 9 n00 Gal. Septic Tank and 900 L. F. x 24-"Tile F i A l (lG Other requirements 3 foot fill section R.O.B. Water Supply: Public Supply From X Private Supply Drilled By Hyatt Address Building Type Ranch Has Erosion Control Been Completed? Yes No. of Bedrooms 3 Date Permit Issued I certify that the system(s) as listed serving the above premises were constructed essentially as of which are attached), and in accordance with the standards, rules and regulation in accordant. Putnam County Department Of Health. - 7\ 2 Date August 24,1982 Address Certified by_ wn on the plans of the completed work ( copies th th filed plan, and the permit issued by the P.E. X R.A. 3 License No. -489 8 Any person occupying premises served by the above system(s) shall promptly take sucii-Qtion as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public t supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Com er Of Health, such ev tion, modification or change Is necessary. Date BY G`' Title .LG Rev. 9 -81 NAN,CO`ENVIRONMENTALE SERVICES ZINC r O UNITY STREET AT ROUTE 376 P BOX,JO NC :ORK 12533 '�s HOPEWELL JUTION i N EW Y t (914)221 2485 �it'p t f b .,P x- 5 � t NAME P— 5 SA �t! � 4 k ADDRESS G. T C c l t �SAMPLIN,G POINTPtRJc�G�s2 }'� S'�iyt.r $ 3 TREAT M,ENTk C.;HLORINnATED p( PPM) SOFTENEDO OTHER ❑ _ DRINKING ATER`i� WASTEWATER EFFLUENT.❑ ER—' ' SOURCE: W- p� i � _ v t � 4 - t '+.. ' .ie - Y q "fir' •' f AM COLLECTED BY� kph,. TIM.E��.! ". PM DATE• - x ❑ +APARTMENT COMPLEX ❑ INSTITUTION ❑PRIVATE RESIDENCtE ❑SWIM POOL ? _ ❑;'BEACH ` ° ❑,MUNICIPAL ;.. O RESTAURANT E ❑TEMPORARY RESIDENCE 4+ ❑ ❑ yNURSING HOME r ❑SCHOOL ❑ TRAILER PARK �1CAMP ❑SEWAGE TREATMENT PLANT OTHER ❑FARM LABOR CAMP ❑ PRIVATE,COMPANY r _ E ❑'TOTAL COLIFORM COUNTM F T PER 100 M L ❑TOTAL COLIFORM COUNT M P. N PER 100M L { , 1 ❑kFECAL COLIFORM COUNT "M F T y PER 100 M L ❑FECAL COUFORM COUNT M.P. N PER 100 M L. •` { ❑ FROZEN``DESSE'RT, PLATECOUNT 1 o AGAR PLATE•COUNT £ PER 1 M L G- � . .4R• ' � -; ' a x.� ^"" R LABORATORY TECHNICIAN, ?p =DATE REPORTED' �� p IR C �R r M1 i Yp�pR• �q9 .3. PLITNAM CQUMTY DEPA(IT I ENT OV. tM44 1 �b Division of Envirpnmontal Hoaltit Gardlcva COUNTY OFFIC SUIL OIN4 - Ct1RMF.L., NEW YQRK This ropprli lq fq by complotedi by wall driller and submitted to County Hoalth Department together yvith liaboratory repor4 of �I1gjpj{ tali Wqq or §o!nple indicating water Is of satisfactory bacterial quality before certificate of construction cornpligncq.j9 i wed, Pti�3I.fST -BE SUBMITTED WITHIN 30 BAYS OF WELL CQMALM& PV4roF� . Pete O'Hara ADDRESS Rt. 311 Patterson _ EQC!iTEOt Ve -�, (fP, 4 . trget� .� ..- „_. --•.- (Qp (?gt idHrltb®{ Rt: 311 Patterson _ 4 ¢ oPtasEla ¢itEl {11 1 i Wit"PTI .i-4 4TOLISHM.NT 1--1 FARM �-+ � € § 1K T E `>i �T- PUBLIC [� ((��'j AIR �^^I OTHER 4UFFLT l,� l INRUSTRIAI, L-1 CONDITIONING U (SPocifr) I) Ett(lEdG1 G{�UEPf.1FhiY {"'1 _ 157"1 COMPRESSED j""1 I _j ROTARY [=J AIR PERCUSSION t__ CABLE OTHER I PERCUS51ON (4pocifY), GAStief3 ' 9PTAIt3 tEN�yTti 20. DtE./6ETER( /nchvaJ 6 Y+�EIUEiS PER FOOT 119 '� �.b.J TIWADED [:1 WELDED R S X YES NO YkS gE;l.D TC3�J 0 t1AK9P j�j n HOURS G.P. h1, E.1 ('UMPEO 0 coMPRESSED AID 2 5 YIELp(A.P,Qf,1 5. l�s�T) 1cve� 4iE1t$Lf'.� 1:8 t4 t4ND WRfACP- STIj7(1.4(Spoylly feet) t f [total DURINA YIELD TE6T [tact) drawdown - Depth of Comptoted` Wolf In foot 6olow Land surfacot 400 GCREE?9 ' t'rs'° _ .. LECfgTH QP )d TO w ly k (lies PJEY,�!!, 54GT fEX pEAfItETER (lrt9hPo) IF GRAVEI, PACKED' Dlamotor of woll including gravol pack (Inchon): URA�fcl, G1X� (lnchoal Fegat (fpRrJ yE1 ((o9U' C "sl'TH F "O.K LAND SURPACE FORMATION DESCRIPTION Sk4teA exact locetlon of wall Wltlt dlatancoa, to 6t lge�t fwo parmancnt landtnarko. FE[Y to FE CI 61 3 overburden srtc ^ *nvs�msKa eo • 77r, -_- - /" 3. 400 _ 11hmestone !$ ylrfd wos feet ®d at diPerant deplhs luting drilling, list baloW FEET GALLONS PER MINUTE R w 1'L CF Y 7/14/80 € G t V6PQ-RT 7/15/80 VYF.L4 PAL I-FLF4 (Slgnaturo) f KI 4YF y Q F. t 1. �� �♦ ` i l r r a �,� Zt r •,� r 1 -• } ; i + If % � Y 1 T F .4yyyi' + C "mod P Y `"(, •. r Ij,n � +�5,�• a �"ir, r r 5 Q, tv � � 0 y � t I f 4 - i r 3 I 29'.2 - 45'4011 4 542 07 .5 (� 4'. 55'. a I f 4 - i r