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�l v i S r vrl n PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Carmel, N. Y. 10512
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Patterson
Town or-Village
Located at Ba 1 dw 111 .Road section Block
Subdivision Mooney H I I I Hts, Lot 16 Job 50996
Owner Fred Koch Address 31 -64 Grand Concourse
Building* Type Frame Lot Area Approx. 2 Acres;, Bronx, NY-10458
Number of Bedrooms Three Total Habitable Space 1 12011[ on I11 Fl. Square Feet
Separate Sewerage System to consist of 1 000 Gal, Septic Tank 500 lineal feet x 36 inch width trench
To be constructed by —William Barrett Address Patterson, NY
Water Supply: Public Supply From
X Private 'Supply to be drilled by A I bert Hyatt
Address Patterson, NY
Other Requirements None
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 amendment there to 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 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.
REV i S I ON 11/7Z'73' P, E, X R.A. Date gne
Address RD 6, Pox 353, I . NY: 10512 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 co idered necessary by the Commissioner of Health. Any change or alteration of construction
requires a nevy permit Approved for disposal of dome nitary sew d or a water supply only.
Date / ��� B,, .�LGt.0
i Title (-�;� U7 °.
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Ca „cruel, N. Y. 10512
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Patterson
Town or Village
Located at Baldwin Road Section Block
Subdivision Mooney H.111 Hts. Lot 16 Job 50996
Owner Fred Koch Address 31 -64 Grand Concourse
Building Type Frame Lot Area Approx. 2 Acres Bronx. NY 10458.
Three Total Habitable Space 1 120' On 1 I' F I Square Feet
Number of Bedrooms C
Separate Sewerage System to consist of 1000 Gal. Septic Tank >00 lineal feet X 36 inch width trench
To be constructed by ? Address
Water Supply: Public 'Supply From
X Private Supply to be drilled by ?
Address
Other Requirements Re i nforced C I Pipe Over Drainage - F i l l Section 1121 L x 56' W x"51 Deep
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 an regulations o e Putnam
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 ards, rules and regulations of . the Putnam
County Department of Health.
Date 29173 Signed P.E. X R.A.
Address
R.D. 6 Box a rme 1 New Y'O • k 10512 License No 29206
APPROVED FOR CONSTRUCTION: This approval expires one rom the date issued unless construction of the building has been undertaken and is
revocable for cause or may be amended or modified when considers necessary by t om issioner of Health. Any change or alteration of construction
requires a new permit. Appro ed for disposal of domesti ry se n r priva I water supply only.
Date � -- BY L� Title
J
0
go
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
IJoor�e /49Y Aft.
Located at ( Street ) Sec . ock Lot /6
('Indicate nearest cross s re
Municipality Watershed 4fen165 As .
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME
PERCOLATION
PERCOLATION.
Run
apse
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 .
T
20?yL /OoL
34
�.
�---
VOL.
4
1
4
Notes: 1) Te'�ts. to,. be repeated at same
rates are obt4 ned,.-at.each percolation
for review. °.
2) Depth measurements to be made
depth until approximately equal soil
test hole. A11 data to be submitted
from top of hole.
DEPTH
G.L.
611
1211
1811
2411
30►►
36►►
42 ft
48►►
5411
6011
66"
7211
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRIPTION OF SOILS ENCOUNMVT WD IN TEST HOLFq
HOLE N0._�_ HOLE NO.
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTEREDAIM fto
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTE
TESTS MADE BY / / ®o ��� Duo i ✓.Tate /o,�i8 -x/72
1JP10 L UA
Soil Rate Used3 /' Min/1 "Drop: S.D. Usable Area Provided
No. of-Bedrooms Z"g septic Tank Capacity Idd 0 Ga Type r
Absorption Area Provided By 4" L.F.x24" width trench.
�A1 / Other
���MT7 ✓ «� C •
"^"•' VVlili !• 1 lLli YI JJf '.•.... w+�� + ++v.ni.v —
Address RA 6; ox 353 PRl A f�c
armel , M. Y. 10512 u o��,N:,,,,
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY:
Soil Rate Approved Sq. Ft /Gal. Che b '° Date
OF r#E f� Q
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date November 2, 1972
Re: Property of Fred Koch
Located at Baldwin Rd., Moonev Hill Hts T Patterson
Section Block Lot #16
Gentlemen:
This letter is to authorize John H. 'Dre"It-iss
a duly licensed professional engineer y or registered architect
(Indicate)
—
t o 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
Deparmant 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.
A
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