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00524
w ,�I►.��� F, PUTN AM ;COUNT'
Dfvisfon of Environment
DEPARTMENT OF HEALTH permit d 8�^ i
s
yealih Services Carmel N Y 10512 J
'CONSTRUCTION:PERMIT,FOR SEWAGE.�DISPOSAL.SY$T.,F s T' .Pat,ter30t1
e
1 own or ' lag „
Located a t Brimstone Hl`11 :Road y ' 18 eiok 2 mot` 1.36
ri stone States -.. Tax Map
Subdivision Subd 16i ;V Renewal _(] :a xeviaion _b
..Owner /Address Carl en�e & W�:11- �'amRoma'no ,- Brewsaer , N Y Date of previous. Approval •-� ' _
.. t 'Log, - - ,
Building, Type Lot Area pill Section only (] Nl) $ecti`on'. Com eted & 'R j
:Number of Bedrooms three Resign Fl 600 n p c H NoEification:Requi ;ed ange
No
p p ate' ch
'Separate Sewerage System` to. consist. of, iGaL' ep c ank and` - `f4't" x '24: ". Trenches
To 6e'-c'onstructsd",by% Addr V
VYater Supply Public'Supply 'From
Prwate SuPPIY to be-.drilled by
Address`:' •
.,R44' j Section eep x,- ,sq ftj -
Other Requirements e
e
I represent that ,l am wholly anq cRmpletely responsible for 'the design_ and location of the proposed system(s); lj that ;theseparote sewage, disposal system
'.above described will be. constructed as shown on the a regulations
pproved amendment there,•to and in accordance with the atangbrds, rules an o e Putnam
County "DoparfinenY• of. ,Health,: and that on conipletion'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.issigni'by' the builder, that'sakl builder will
place 7n good' operating "condition 'any of said `sewage . dispossal system during the period of-.two ,(2) years immediateiy' following the date of.thelssu-
ance of the approval of ..the Certificate =of, Construction `Compliance of the original systerii,cpr any repairs thereto,- 2j♦that'the_ drilled well described above
will;be. located as ahoivnori the approved plan and that said Wei will be Install in accordance with their ds; rules and regu on U" of the Putnam
County Department-of Health,' r'
pc'
Date 11 NA�%2m�@1^ c�sb Signed • P E. X R`.A.
' RD c 9 Fa r' St me ' N Y ..1:0512 " 29206
Address — License No.
APPROVED FOR ;CON57•RVCTION Thisapproval. :expires one y rrrom the °dale issued unloss construct I' f tfie building lies been untlertsken and.is
revocable for c5use or maywbe.ame' ded or modified when'coniidered niece ry y the.00mmissioner ealth... Any'chenge or- alteration of construction
regw►es a new permit
- Approved; for disposal or domestic'sanIt ag or' e, wale
ply only.
� „ -BfY � Title
0
-1.
JOHN H. PRENTISS, P.E.
CONSULTING ENGINEER
R.D. 9, FAIR STREET
CARMEL, N. Y. 10512
(914) 878 -8170
Environmental Health Services
Putnam County Health Department
Carmel, N.Y. 10512
Att: R. Tuton& EHT
Re: Permit P -6 -82 - Romano
Brinstone Hollow Rd., T. Patterson (18 -2 -1.36)
Repercolation in fill material - Rate: 11 -15 Mtn.
Fill material sample screened: Excellent quality.
Very truly yours,
John H. Prentiss, P.E.
�:�:� } :'
:n r a. .
0
Dp THE WN"
19 November 1982
f' i
NOV 19 1982
DEPT. OF HEA? TI'
J
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'DEPARTMENT
PUTNAM COUNTY OF HEALTH" t
Permit r V }
R S 0 2011
Division, Enwronmental.Healtti Services Carmel N Y
;. 1 of
• .:10512
- CONSTRUCTION PERMIT FOR SEWAGE 'DISPOSAL SYSTEM
' T "PattPrg�n
;Brimstone :H� 11: Road
! Towhl or
1 Blockt
lags 7
Cdcated at
Tax Map ;
?
`
s.h. ubdt r b
subCiv.Islen _Brimstone Estates 8
Renewal _ ttevision p
❑
'.Owner Carlene & :W�1l�am Romano Brewster. � N.Y.
/Addreae• - I
Type L�a Lot Area '`
Date Of Previous Approval -_
Pill 'section 6n10 6:
Building
three -Flow 600
'of
P C H D Notification Required
• Number Bedrooms _Deiign G /P /D
1000 -
�-:.
Separate Sewerage System,to.consist of - Qal $eptic•Tank
and ` -" 444' Xw2l�" Trenches
r ,
To,, be •.,constructed, by
Address E
Water. "SuPPlye Public Supply From
is
Prwate. Supply to be drilled by
-Address
- ,
other Requi►emencs Fffl Section 24" Deen X.
tcl ft +
1 .t 4r
;,.above :aesCr7DeGL w11Vbe constructed as shown On the approved amendmenttner!
- County .Department of. Health;,, and that on: completion thereof a' Certificate
be `submitted to the .Department„ and..a'written;!guarantee`.will be 'furnishes
place. -(n good_ operatingconditiom any part -of, -said sewage disposal system
ance--of the'approvbl of .the Certificate of, Coh0e,uetion- ,Compliance of•'the
-wih be located as shown on the approved, plan and that said well -will ;be installec
County` Depart merit Of- Health.
Date May 1982 S�gnetl ?:°
Address" D
APPROVED,FOR CONSTRUCTION:. This approval expires one'year, from th
:-j' evocab 8 for!cause or may be amended or modified when consider -ed necessary
requiresa new permit Approved for disposal of'domestic wag
. ,Date �•�' ;�� 6� . • - BY -
re•
Rev..'9 -81
13
K.
o,ana in accordance witntne stanaaras; roves ana•reguiations;or the .rutnam
of, Construction dornpliancill _satisfactory to.the Commissioner of Healthwlll
he_owner his: successors, heir's or assigns by, the buildei, that said builder will
luring .the - period of, .two (2) years immediately following the date of the'lssu-
iriginal system of any-repairs•ihereto;`2)- thaf'the drilled well described above
n.accdrdance; with the standards,-•rule's and raguaTfTons- of' the Putnam
—z 29206
ne l N Y . 10'512 license No.
date Issued unl ss construction.oi the building has been undertaken'and Is
sy "the Com loner of Health: Any 'Change 'or. alteration of construction
i tl /or L priv
0 01
Title
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
FIN I u. •.
Re:' Property of Carlene & `Wi l l i am`'Romano"
Located at Brimstone Hi 11 ' Rh
(T) 18. Section Block Lot 1 ,jr,
Subdivision of Rrimctnnp - Fctatwo,
Subdv. Lot # 6 Filed Map # 1R39 Date 1()/Al
Gentlemen:
This letter is to authorize Jnhn H_ Pranticc
a duly licensed professional engineer or registered architect
(Indicate
to apply for a Construction Permit for a separate sewage system,. to
serve the above noted property in accordance with the standards, rules
or regulations as promulagated 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.
/v/•
C untersigne
P.E., R.A.,
# 29206
RD 9 - Fair St.
Address
Carmel, N.Y. 10.512
(914- 878 -6170)
Telephone
N. FRE,yTi y��r
a
S
truly yours,
?j Owner of Property
402 Village Drive
Address
914- 279 -7393
Telephone
�•
7
FLOOR PLAN. lym P ian 11.2652 S . Ft. Including Deck
2 8, -00"
28 -0"
ROOM
BED ROOM 1106 -06 "X 10 -00' W
12'-00 "X 14'-06" /' BED ROOM
14' X 14% 9" .
STORAGE STORAGE
O
CLOSET CLO. O O
O O CLOSET
0 F 0
L
N KITCHEN O O R
.� U
gREA + 0
W O�N
CLO. O
i.: WOOD CLOSET
DECK
LIVING - DINING' AREA
S X 20. BED ROOM
27' Oe X 14 -00"
STORAGE 14' X 11- �" STORAGE
WOOD DECK U BALCONY U
B X 3
36'-00" X 8'-00"
It 1980 tinvoin togs Md.
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.
Ownercarle���� "�Ui�Ii o0%40ress we
-1wh m
Located at (Street 4dicatel ; �. Block ho
t
t nearest cross s rea Lof ` Fi ied M4 #' l8 9 " ° $1
Municipality Idir -b .e -Sdin Watershed ee.-�, ,,� " me s
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Mole
Number CLOCK TIME PERCOLATION PERCOLATION
Elapse Depth to Water Water v_e "
No. Time From Ground Surface in Inches Soil. Rate.
Start -Stop Min. Start, Stop Drop in- Min. /in.drop
Inches Inches Inches
1
2 _ �►G �
4 yS
s
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 measurements to be made from top of hole.
THIS SPACE FOR USE BY BEAIIPH DEPARTMENT 0 � No za2o6 �`��
Soil Rare Approved Sq. Ft /Gal . C Late
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