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Gentlemen:
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date 16 July 1973
Re: Property of Evelyn Grundel
Located at McManus Rd., T. Patterson
Section Block Lot
This letter is to authorize John H: Prentiss, PA.,,
a duly licensed professional engineer X or registered architect
(IndicaTe)-
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
Depart`,ent
'of nu -Lull, aiiCz to sign Ei11 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.
Countersigned:
P.E. R.A., # 29206
Maul Vnwlr I nr.t 9
Very truly yours,
Signed
Owner roperty
Orchard S eet
Patterson N.Y. 12563
Address
914 - 878 -6814
R
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
j
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE N0.
Owner ��/ Vy �rf -t.�„ e Address Ar Ajy,? 4,r AW.
Located at (Street) 3// Sec. Block Lot
( Indicatu nearest cross.s ree
Municipalit Watershed G
h
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number. CLOCK TIME PERCOLATION PERCOLATION
Run Elapse 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
�.•11•..•
4
1 AAW
r
5 \
Notes: 1) TpiRts to be repeated at same depth until approximatel equal soil
rates are obtained at each percolation test hole. A11 data to be submitted
for review.
2) Depthi'measurements to be made from top of
hole.
MERV `
e;
4
1 AAW
r
5 \
Notes: 1) TpiRts to be repeated at same depth until approximatel equal soil
rates are obtained at each percolation test hole. A11 data to be submitted
for review.
2) Depthi'measurements to be made from top of
hole.
-t
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.
611
1211
1811 Lo ate,
2411
30
3611
42"
2
4811 La am
54
6011
6611
7211
70" 8.
84
I" CA L AT WHICH GROUND WATER IS ENCOUNTERED Me, e
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED Ve're of?jrug,
TESTS MADE BY ' _.pate V .
&Lvj
DESIGN
Soil -Rate Used2 .6�?
g Min/l."Drop: S.D. Usable Area Provided 0,00
No. of Bedrooms Xre Septic Tank Capacity 16o6 Gals. Type Afqoei-v V
Absorption Area Provided Byj2X--L - F. x 2 4 width trench.
Other
Name, john`; PH6 n- t1s'R P.E.- Signature
Address R.D. 6,;,Box 353
Carmelo-`New Yor
THIS SPACE FOR USE-;vBY:,-_'n
Soil Rate Approved�'
ONLY:
Chec
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