HomeMy WebLinkAbout0980DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
25.46 -1 -41
BOX 10
11•:1
.,
�_
I 1
�}`
1.
,
� '
; '.
- ��
A
O '
a
11•:1
Mr. Benny Quartone
822.,:East 218th Street
Bronx, New York 10467
JOB DATE: October 9th, 1986.
ARTESIAN WELL CONTRACTORS
Putnam Ave. Brewster, N.Y. 10509 [914] 279-5041
--------- - I . .......J-- ---- ... .Date -- ....
'--j0J3--81TE-: --B--Palisades Road, Putnam Lake, Patterson, New York.
Set Drill Rig Over Existing VdIl't-
and Run Tools to Bottan of WelL' -,,'o
Preparation for Redrilling.
Set Up Charge 400.00
Drill fran 260 ft. to 445 ft,.Depth
185 ft. Drilling @ $8.00 7,aineal ft. 1,480.00
'0
Well Measure vients
-
445,.,`,,',':.gt. Depth
wz" %Ou A. J. e-M Ey
L'awandlIll A Xekft ,
I IV pr4GOClateB
11�,11p (R� F_ngineena - Mannene - Coneuktante
)MAkwxi 1QixMDLe, Carmel, New York 10512
37 Fair Street
EXISTING WELL DATA
RE: ROUCCO /QUARTARONE
PALISADES RD., PATTERSON
Well Drilled
By: Sipperly
Danbury,
203-748 -
depth
casing
static
- 1959
Artesian Well Co.,
Conn.
2060
2751
221
water level 381
May 20, 1976
914 - 225 -8088
%� b PUTNAMfiY DE RTMENT OF HEALTH -
ti 4 Dfv�sron of .Environmental Hea /th Services, Carme% N Y �1Q512
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM P d>T IT
r Village
PQS.G_ I S a,rJ s K Section '52— Block 3-
(cated at' _
St(bdrvision r_�N 0� r* L►7t,lL c° Lot ��- S'�Z� _s G
li p,:2o
j_
pawner G 1J ivy : 4 A�� , : Address 1- Q-- -
Jo
Building. TYDe ��(tS� ►Nf2�` b i1 }D Lot Area 0141Z'b ' � � •_ .)C RV. `� \-b�j -(�
Number 'of ee
Brooms = Z Total, Habi tab'le Space 2 �O Square Feet.
Separate :Sewerage System:`to consist of 970 alb Septi ank.` lineal feet X width trench
To be constructed. by A
dress
Water Su_ pply: P.ubiic Supply From..
Privat_ a Supply to be drilled by $
*. §
address
a
i
-Other. Re4uire.ments S E N.'. ?>da P:\ . ^ A %�, �' `� a✓t=` b �A F `� b. S C... Aixv �I�,;
I.iepresent: that i am wholly4nd completely responsible for:the des�llh'and 6cation of ahe proposed system t _ the. parate 'sewage disposal system
:'.above described will be constructed as show'ri.on.the approved amendment there, to ,an d °in accordance with fhe tan s"rul an regulations a t e u nam
County `Department of `Health',' "'and that on completion thereof a Certificate of Construction Compliance" isfa to`r,' o the,COmmiss�oner -of ,Health will
be submitted` to `the DepSrtnient,• and a iwritten' guarantee w111 be` furnisFied the owner his successors heirs r g:. -'tiy the ;builtler, -that saigbuiJtler will `
:: y
place in good operating ;condition ^any "part of `said sewage disposal system during the- period of two•(2)' ye, a s I etliately following the date ofthe issu-
ince of'tne approval: of .;the Certificate ,of ,Construction Compliance of, the original =System. or anyAre air, ther ; 2)_thaf the- drilled °well -described above
will be located as shown on'the approved plan and that said well will be-,mstalle in accordance with th` s dard rules and regulationof-. the Putnam
County Department of Health
Date ".-�'': Signed 7 7 A . .
AddressLicense No 3
.APPROVED FOR CONSTRUCTION Th�s.approval' expires ;:o from -the date issued unless corigtruction of the budding °:has been undertaken and is
revocable. for ,cause or may be amended o-r rnodified when.co si dered ecessary ti o f Health AnY'2hange or alteration of construction
y-
regwres a ne permit Approved_ for disposal of dome c sa y� ewage,6 nd /or .prav a -;w to supply only.
s
Date _.V ^ L zgy ./Z� T:itle
r.
4� F °'` PUTNAM COUNTY DEPARTMENT OF HEALTH V
- ,•
Division of'7Enwronmenta/ Health Ser,Vrces- Camel
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM
Zr-
®� x
k t 4 �Q �•
,Located ��rQ �Q 3� B IOCk °a
t at sue. a .r.q _a -� "°3 Sefton •- _ ? ^�-:g �,,�.^c./ `
i �..�., ... Yi"C�l f.;. �-�'-..�.. _ r �-,':'..H.._` -912 may,
Subdivision �� �'; z 3 - Lot Job
i
Owners ®� �� Address �=
� P
Bu11dmg T1
e• Kl
'Number�of Bedrooms a `2 w 'jam _ �sTOtalHab,table Space �Z� x Square Feet
�rhe- � �. � . '.- � -,. - 4-r '� „�:.. s ,;c t '�`'`� � '5 � m `''� : "�` ii •s i f , - e
Separate Sewerage° Systems io consist of s= real Sepfic2Tankt ti 5 meat f Pt wi -Qth trerieh e'
'cz`
Tobe cgristructed °by r Y -` Address
s ,
Water Supply bhc Supply From 3 _
a Private S'uppty to 5be drilled by -
s ; Address r r
`Other Requirements '� 1 N � � � Q � bi` _ i.�
LM- •.:
l I epreserli that,I_am wholly and co:mpletely-i; s- sable' for the das,gn`;and location of'the proposed. S it am(s) 1) that the separate sewage `di "sposal. system ''
b :above described: will be constructed as shown'on theCapproyed!amendrrient there to:an, In accordance with ttie standards ulesan regu atiohs o e _ u nam =_
' A4County Qepartment of Health, and that on�completlon thereof a ` Certficate of• Construction Compliance 'satisfactory to.the,:Comiri'ssloner of Healthwitl
be Submitted
,to the Department; ..and a written guerantee'w�ll berfurnished. the owner h1s uccessors heirs or -assigns �the'builderthat said: builder will' - :,
a
place in -,good, ,operating cgndltion any part of said sewage disposal syste►- during the period of ,two (2).years immediately :.following! thq.date :of• the ;issu-
ance of the. approval of the 'Certificate of Construction - Compliance of the original. Systemaor any "repairs thereto 2)'that ttie:dr111ed well described above =
will be located =as %shown or%' he approved plari and that said well will be- Installed !accordance ,w1th ttie standards rulyScand regulations° of , ;the Putnam:
County Department' of H Ith ' <Y fy
s �� � }�. �rt� �' s � � � e s g'y .T — ��.ax �' u � F;f:�,.r ..✓'.n,•+� °C�'.i`.y' � � .;,� 1 �'� ' 1.
�8t0 s �,. G#' `'. �'� `,'`y Zd`✓5 5i. - 5� .z? '
4 -I VI
' Address r License No "
;APPROVED FOR CONSTRUCTION This approval explres•one year_from�fhe;date�is'sued- chess xonstr cUon: of the bulldln9 has been undertaken and: Is •'�
reyocablej;for: use'or maybe amentletl orarrlodBiedwhen- Chrisidered . riecessary Liyahe Commissioner =;of Health. Ahy,;charige'or alteration of' construction
requires a' new permit Approved for disposal of domestic sanitary s age' and /or rlvate water ly only ,
t
_- �� �... r ,,�� .o'"r b�'y`.r x ,+�k ht s. #x 'u- c r _ � ➢ - ^'. « z
•
' N i •
ul ",
Dat
, n5/�
• a
I,��.TalT -AL Sllr^ IN,`PI.CTIOid
Yes
1\o
Ccm�rent:�
Prop ,-rty liana or corner-c'? f ^J,;.nd •�
Can estimate house loc- :;ion. .
JIM. driveway need cue . • . .
Dust ,trees be re,^oved -note these '.
. �,.
.Is deep hole r.cpresenta,tive of entire SDS area
deer) 'r cle_- needed. . .
.Additional
Sufficient SDS wr�:a available corsideri:_,
driveway cut, house location prati on ,
•distances, etc. 0 . .. . . . .. . . . .
_
DEEP HM, TA . _ • , :.
' Dapth:
Water elevation 0
Rock elevation: ° ••
- Soils descri -ction:
Date:
FINAL SITE 'r-TION Insn. by:
,
'
•House located where shown on approved plan.... .
wyw ._i.r .•-Lr ....e . • ,•. . • vv�+'• ..f Y -•tiY . • • • . • _ • • • • — � • _.. • _. _
Width of trenc�� a.vera_e -
Slope of t; le line and trench acceptable _
fioo:n a1.1.ocrea or exy ars_o._ t� • c _ s
L n x -� - -
...O�Ter- ��- •- i'.� -. -- �r•c ;..._s•.a:r�o;- ,�;t�i e-o^�r s:, .. _.
Natural soil not st -i �_ned or SDS area
unnecessa-?-i 1 srade'1
i0 xft. rrainta.i ned from _nroo.line and "
2Q ft. from house .. .
Separation o--:% trench fror�i house, well
etc. follows plan ..
NU.T"bEir of Pedro ms checks
Stones; brute n, stun.es, rubble, eu_. greater ;kk
t1?S1'? 15 ft. from nearest trench 1
15 a-. of peripheral soil horizor:tally from
trench •. '
Iunction boxes prcne_�ly set
u
o ld surface. run off. from drive<<-ay, roads,
- gro•Luld sur_,7ace, etc,. cY nnel near SDS
area . . . . . . . . .
)oes lot drainarze ann ar 0. K. in area of SDS
?1NAL GRALDILING Or SITE ACCEPTABI.]E,
• i
R 1"VIE C.t i TK SI:. � T
[ouse p]_ans 0. K.
)esign data sheet
'eres presoaked?
[in. 30" pert test depth
`on9t . results for 3 runs
�. Hole log 0. K._
!orporate Affidavit for other
.uthorization for engineer
etter from S•Tater Supply if a
f variance requested -such no"
vidual
.cable
on plans
apps..:
I
+1, v GG,9
beets Std.
! Retnark s
!
i
4 _
i
i
j
I
I
�rE AILS
Rhow f charge is proposed.,)
xisting contours shown new contour -s) " L_ /
lopes for driveway cuts, etc. shown !
ater service _line location !
'ooting. drain, etc. location , s r r�
'op slope, bottom slope of fill !- !
ercolation tests and deep test pit location ✓ i
ept:ic tank size and conformance to std.
B.-R. house minimum
ouse setback shown .,r
'1 Se:i',1.,r}l- jf".i_C_,i7i i1i_i'- !i�;t =. +'�.i 7vJ � V_:J��i.• _i — - -- - -- '
✓�
11 wS.i,ei•. WJ.1.[llll �yj Ii,.- AJI r.i, ailtJwii
I
Plan and profile SDS
well__ and_.- SDa_:c1..oe.r_..- .20Q.! :___..., �_.�_..:_.: �._----- ..._-- -.___T :_-------------- ____�.__
shown or' reference rage
Property boundaries (metes and bounds - clearly shown) --i-
P,PARATION DISTANCE'S SPECIFIED ON PIA -
)' to . P.Z.
)' to Foundation wa
)' to Nearest well
)' to stream, march
5' -to Curtain drain
)' to water line (r
-
t to storm drain
)' to large trees ! i
)' from foundation to septic tank
to pipe from leader drain & fooTing drain
1
• 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. ' "' - � G 9
Owner �ioY%► o� S �Occ_c_c> Address 74E UoAo S ., &es,r1VLd- AJ
Located at ( Street � ?q LI-S ark e'i RD. Sec. rj'�?- Block _Lot
indicate nearest cross street)
Municipality PPj:j 1 tpe S Watershed C. CD 0 �^
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
1
Number CLOCK TIME
PERCOLATION
PERCOLATION
Run
Elapse
Depth to
Water
a er ve
No.
Time
From Ground Surface
in Inches
Soil Rate
Start -Stop
Min.
Start
Stop
Drop in
Min. /in drop
Inches
Inches
Inches
fR 0 �'. i3
1 1z
►"
i
all
3 A'.S & A: 04
13
55:
2 io Q a-o Sb
3 1 o-: S6 t1'. o 4
4( I o 4- I ( '. I
4.
1.�
.j
9,
5
1
2
3
4
Notes: 1) TeAts to be repeated at same deptn 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.
TEST PIT DATA REQUIRED TO BE SUBMITTED -WITH APPLICATION.
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH" HOLE NO. E HOLE NO. HOLE NO.
G.L.
6
1211
1811
2411
.3011
3611
4211
481.1.
5411 G.
6011
6611
7211
7811
8411
TD
AT - W M C H Gl, -Z, DUN - -`WA.LE-R — 1 S E N C 0- -UNTER
VDIC
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED
TESTS MADE BY e-e-:1 s c, H Date
DESIGN
Soil Rate Used_k I L) Min/l "Drop: S.D. Usable Area Provided
No. of Bedrooms ?— Septic Tank Capacity 9-0.0 Gals. Type
Absorption Area Provided BY—L.F.x24" g�- v-,3 width trench.
Other
Name_
L
Address- -3 1,&,*
C- C',
4'
THIS SPACE FOR USE BY HEALTH DEPARTI ENT
O
Y
Soil Rate Approved Sq. Ft/Cal. Ch,&cked by Date
+` r ,PUTNAM COUNTY DEPARTMENT :OF HEALTH :4 Z&
skt viro
of=: Ennmental_ Hea /th; Serwoea, Caren% N. ` °Y 10612 x eesmte �:
E.'OF :.CONSTRUCTION .COMPLIANCE FOR. SEWAGE DISPOSAL §YSTEM
lu
Yorktown Medical Laboratory, Inc.
321 Kear Street
Yorktown Heights, N_ Y. 10598
(914) 245 -3203
Director: Albert H. Padovani M. T. (ASCP)
L,�,
J
CA.005932.�
LAB #
Date Taken: Time:
Date Rc °d: tips 7- Time:
Date Reported: . U 3 9987
Collected By: L( Ail AI F-Z
Referred By: _
Sample Location: a "A 1 _
Kl ' d
Phone
Phone # Sample Type:
Repeat Test? 1(check one)
LABORATORY REPORT ON THE BACTERIOLOGICAL QUALITY OF WATER
GENERAL BACTERIA
OTHER ANALYSES
REMARKS (Fo_r. Laboratory Use)
Potable
Non- po,t.able
STP INF
STP EFF
Other.
Sample Status.:.
(check each)
Outgoing
_ Na2S203
.incoming
LE 4 °C
G T 4 ° C
KEY FOR TERMINOLOGY
RDS = Recommend Disinfec-
tion of Source
TNTC= Too Numerous To Count
CON .Confluent ( =TNTC)
LE = Less Than or Equal to
GT = Greater Than
N/A = Not Applicable
THESE RESULTS INDICATE THAT THE WATER SAMPLE WAS) (WASN'T) (N /A) OF A
SATISFACTORY SANITARY QUALITY ACCORDING TO THE EW ORK STATE DRINKING
WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION.
For Lab Use Only:
H/C to
/X/ v(�
Albert H. Padovani, M.T. (ASCP), Director
Standard Plate
Count (CFU /1.OmL)
(Agar Plate
@ 35 °C)
MEMBRANE FILTRATION
TECHNIQUE (MFT)
Total Col.iform
(CFU /100mL)
0
-
Fecal Coliform
(CFU /100mL)
Fecal Streptococcus
(CFU /lOOmL)
MOST
PROBABLE NUMBER
TECHNIRUE (MPN)
_
Total Coliform:
MPN Index (per 1OOmL)
_
Fecal Coliform:
MPN Index (per 100mL)
OTHER ANALYSES
REMARKS (Fo_r. Laboratory Use)
Potable
Non- po,t.able
STP INF
STP EFF
Other.
Sample Status.:.
(check each)
Outgoing
_ Na2S203
.incoming
LE 4 °C
G T 4 ° C
KEY FOR TERMINOLOGY
RDS = Recommend Disinfec-
tion of Source
TNTC= Too Numerous To Count
CON .Confluent ( =TNTC)
LE = Less Than or Equal to
GT = Greater Than
N/A = Not Applicable
THESE RESULTS INDICATE THAT THE WATER SAMPLE WAS) (WASN'T) (N /A) OF A
SATISFACTORY SANITARY QUALITY ACCORDING TO THE EW ORK STATE DRINKING
WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION.
For Lab Use Only:
H/C to
/X/ v(�
Albert H. Padovani, M.T. (ASCP), Director
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMEDTrAL HEALTH SERVICES
15 e-4,6ZL 2 y A Ii T A /Z ra zv e
Owner or Purchaser of Building
,C3 1-f iy,�-i /-- a / ��,r ��o /Y i=
Building Constructed by
Location - Street
Municipality
I? A
Building Type
.� 3 / y
Section Block Lot
Subdivision Name
Subdivision Lot #
GUARANM OF SUBSURFACE SEWAGE DISPOSAL 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 successors, 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 approval of the
"Certificate of Construction Compliance" for 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 occupant of the building utilizing
the system.
The undersigned further agrees to accept as conclusive the determination of
the Director of the Division of Environinental Health Services of the Putnam County
Department of Health as to whether or not the failure of the system to operate was
caused by the willful or negligent act of the occupant of the building utilizing
the system.
Dated this f,5
day
19q
Signature
Title
(Owner) - Signature
Corporation Name (if Corp.)
Address
Corporation Name (if Corp.)
Address
rev. 9/85
mk
O
Corporation Name (if Corp.)
Address
rev. 9/85
mk
�T`
'i At . . . . . . . . . .......
MANHOLE c
In -7 e. f
IF-7 -
W-
__j
N117- 27-
4'
GIRL)
JUNG -4:0W BOX
MIN 121 A
2o. MIN
4 111
J
-m IN
4 ic CAST IRON.
SANJI'ARY TEh
SECTION qa
41�
7 CONC. TYPICAL
NK
0c) GjAl" SEPTIC TA
tc-s mg':
&
N
ARTH
A
AqE, L HACK I'll.
PAI-R
16'•50,
-ACIV
OR tW
41W
VI 'C)I, A.', Xse' De,-'-p
A �3 7f
J,
T)
9.4 MIN
Rt4lIjLQ- 3� P)IIF
-7- Lr
AST ,' T"
SA N j, A10 T'
7 M4'�
S 6A.l TION P�
L N' ARSORP I -'N(>I
p .
No VE S:
/J �-Xis'
'THE R 1) L C�l A NO
-PANTMENT
x —g VED IN ACCORDANCE WITH
7FTwEM� TO BE -ONSTRUC
OF, HEALTH I
T, I () N
A '- - r
1� YV -\AJ L LL i RFC ;UL A S Or THL D WT 9 A, GOUNTY Of
Al
D INSP -I
M SMALL NOT Ef BACKFIUA IjlqTjI- E ( I'd D Si' 1) 1.'. S 113 N
T IF REQUIn(il)
0
14 S*STF-
I I ENGINErR ANO Tfir LUC AL HE A, tH L)LPARTMEN
7
S T FIM TO CONSIST Of-- A S Kr IC T,% N K
-ANU. — ..-�Fj', 9F TRENCH WITH A TA AX 1,14 UNI
�7E �,Q E, -IT5
-0. A PITCH OF 1/16 k FOOT. `ki z Z E-�- P -
SY, (;ALL L LON
RA L,l, S A D a' rjI'k'(C; IDLE, H �Qy` ID, 0�1 C�
TM
S.S D !;YC'�l
Appp'o 4[): Y QUAI,
FOR: 51:7�,tK
0. T
VISION. HOWAkU A KELLY, jR.
HE VISIONS . ..... 5� 4UL AFSOCIATL
j4U. DATL I)y CARW L.
/MAY344w
W,
HEALTH 611RIIIIIIIIIIIII 4:XlSi
TAX MAr NO 52 b LK. N' Q: 1 N U.,
"I A -T r-, 4, '-o) - -
ft) W I') r 1 C
'M-
-'8998