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00991
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PUTNAM COUNT1l DEPARTMENT OF HEALTH . ENGINEER MUST
PROVIDE
w Division of ._EnvironinentslHaslthSsraoea, Carmel,, N ..Y 1Qb12 P 17 =84
. `PERM I T #
CERTIFICATE :OF ONSTRUCTION. COMPLIANCE, FOR; SEWAGE DISPOSAL :SYSTEM. T. Patterson
.:Town or'Vfllage
Located at Ma, n,- hesterr kLoad - -.Tax Map 53 _ - -_ Block 3
Gil &Lawrence M./ TX M
Owner z # .4 & 5 subd- Lot a 7289 -96
Separate. Sewerage .System :built by OwnOrS Address above
Consisting of 71000 pal. Septic Tank and 290' x 36" wide
Other requirements
Water Supply: Public Supply From
x Piivate Supply Drilled .By Mill Drilling Co. , Inc.
Putnam'AVenue, Brewster, . NY 10509
Address
Building Type Frame. No. of Bedrooms three Date Permit Issued 6/11/85
Has Erosion Control Been Completed? yes Has ,garbage grinder been installed? no
I certify that the system(s) as listed serving the above.premises were constructed essentially as shown on the plans of the completed work ( copies
of which are attached), and in accordance with the standards, rules and regulations, in accordance with the filed plan, and the permit issued by the
Putnam County Department Of Health. -
bate 10 September 1985 certified by
Address RD .9 -Fair. S.t.reel
P.E. x R.A.
2 License No. 29206
Any person occupying premises served by, the above system(s) shall promptly take suCn aI010h,85 may.ba necessary to secure the correction of any unsanitary
conditions resulting from such usage. Approval of "tie separate sewerage 'I, shall become null ind voirl,as soon s a public sanitary sewer becomes
available and the approval of the privite'watei supply shall becom and void when a public a► su becomes available. Such approvals are
subject to modification or change wnen,` in the judgment of the omm o rth, su revocation, Ifieation o►Nehange I ecesssrY.
Date " By Title
Rev. 6/65
Co DUTl' Gr-FICC DUILDINC - CAfiMEL, NEW YORK
This report is to bc'completed by well driller and submitted to County+iealth Department toncther with laboratory report of
snaly:i: of -_ater ;ample indicating water is of sati:faetory bacterial auSllty be(ore eertlfic:lti of eomtruetion eomplwnee is issued.
REPORT fl.UST PE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION
►SP( FIC,.A t&ND "AIA'.;I
FORMATION DESCR17TION
FEET ca FEET
sRaten *race lOea:lOn of well with Otitanees. 10 ar least
11 two penr:anant lan .1margs.
0
10"AL
Clay & loose boulders
ADDItLu
320
Hard grey & black granite
pWKEt
LARRY FRANZESE
163 -A Craft Rd,, Carmel, New
York 10512
LOCATION
(No. A Slrear)
Manchester Drive,
(iovn)
Patterson, New York
or WILL
(�
SLISINESS
❑
❑
❑ TEST WELL
rtCPDSEG
ice► DOMESTIC ESTIC
ESTALL SHMENT
FARM
USE OF
V1LIL
❑
�j
INDUSTPIAL
❑ CONDITIONING -
n
LJ �5 �.1
S PPLY
LJ
De1ltIFlG
i�
COMPRESSED
x
CABLE
PERCUSSION
�j OTHER
J�J
EQUIPMENT
;�,J ROTARY
AIR PERCUSSION
Iswcar)•
' uSIHG
Ia.GIn peel)
1
I
j:1Ar%EIERIIncnasl
` wbwMl PEI FOOT
-
X WELDED
❑ ❑
UvIVE SHOE
iX TES C NO'
:'t S CA' SS,,NG G_ )VIED'r 7
LXJ YES u NO
DETAILS
20/
6
. 19
THREADED
�
t1EtD
❑
� HOURS
❑ 4
G.P m.
20
7►LLD fG.P.M.1 _
20
TEST
LAILED
PUMPED r- I COMPRESSED
AIR
WMER
lKLASUR: FROM lANO SURFACE— SIA11C(Speulytact;
DURING 1'IFLO TEST f Jeer)
Depth of Completed
Well
t>VU
. 30
320 ; .
In teat below Lond svrioce: 320
AAXL
1:NGTM OPEPI 7U AGL;IF:i
='GREET!
DFTAtLS
SLvi 5:.
+ D1AwtEIER (Incnas)
!F GRAVEL
Diot*+ete► of well including
GRAVEL SIZE (incnesl�
FROM !!call Peat) )
I
PACKED:
I
grovel pock (in¢1tet1:
170
►SP( FIC,.A t&ND "AIA'.;I
FORMATION DESCR17TION
FEET ca FEET
sRaten *race lOea:lOn of well with Otitanees. 10 ar least
11 two penr:anant lan .1margs.
0
5 1
Clay & loose boulders
5
320
Hard grey & black granite
If yield .ref trstrd of Oinerenl depths dvri,,a dial :nq, 141 bolo -
FEEt GALLOFlS rER MINUTE
200 3 -1/4
300 7 -1/2
® a
320 20
0
'D
,Tt l�ti�bc �s.tD
0171.1c"T rtT 11ILWI 19 PPres, —MILL DRILLING, INC
BREWSTER - LABORATO- RIES_. _ _ _ -- __ _
Box 224 - BREWSTER, N.Y.
(914) 225 -2072
- WATER ANALYSIS REPORT -
SAMPLE NO. 5854
SOURCE: Larry Franzese Well
Manchester Road
Patterson, NY
COLLECTED: July 17t 1985
BY: Mill Drilling, Inc.
BACTERIOLOGICAL EXAMINATION
Coliform Count, MF Method
0 per 100 ml.
This result indicates the source of the sample was
of satisfactory sanitary quality when the sample was collected.
July 19, 1985
Gait & Lawrence Franzese
Owner or Purchaser of Building
Building Constructed by
Manchester Road
Location - Street
T. Patterson
Municipality
Frame
Building Type
TM 53
Section
Block
4 & 5
Lot
Subdivision Name
7289 -96
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 acc.ep_t as.. conclusive the determin -... -_
-- a -rorr oi" tlre"-D"irectz�r_ -o"f "'thy Division -of Env`i�oimeriia- H`ea3th Servic "es
of the Putnam County Department of Health as to whether or not t e fail-
ure of the system to operate was caused by the willful or n i ent act
of the occupant of the building utilizing the system.
Dated this 9 day of September 19 85 Signature
Title owYta-f/ installer -----'
r
v o
Corporate Nal (it corp.
163A Crafts Road, Carmel, NY 10512
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
PUTNAM COUNTY : DEPARTMENT OF HEALTH " `Permit a P 17 -S4
D/vlslOr! a Eii iMgOmenta/ _ Hea/th , Serwces f 6- rmel N , ;Y 10512 Y ,
CONSTRUCTION PERMIT F.OR SEWAGE .;DISPOSAL 3Y.STEM T Paterson , ?
S
�lanchest'e.r Roaa Tax Ma Eiock C
wn or ill
Located, 'at P
5 3`" 3
Subdivision Putnam Lake F s,�d ;igt a 729 �6 'I» ai ❑' Revieipn ps o 2143
Ga l E... Pasquale' &., Lawrence _1�1 - Franzese 163Apate of Preyloys A provai b/1:1/85 `(name: P Vary) .•
Owner /Address - P
Cra is Roam Carmel, P7Y;10512
Building TypeSSIIIP Lot Area f 1 5Afi(' eiII section only p
Number of Bedrooms three Design Fiov VOO P C ,H. D Notifacation ,Required
1000 "? 430'.' ic :24it wide
Separate' : Sewerage 'System to consist of ` Gal Septic Tan k- and
To be constructed by < Address -
a
Water Supply ' Public Supply From
= -
X `Pnvate SuPPIy to bi drrlletl by 4
a jAailress ^
none
Other Requirements 1
1 .represent that 1 am wholly and completely iesponsrble for the design :and location of the proposed systems) lj that the, .separate sewage disposal system: ;
above tleicnbed: will be; constructed as shown on the approvetl amendment thereao and m accoitlance.with' the standards ,rules an _ regulations o e nam;
County jOepartment of Health `antl that=oh completion thereof a :Certificate'` of Construction- Compliance satisfactory to'fhe Commissioner of,Healthwille,
be submitted to the. Department and a= wrdten 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 card, sewage; disposal. system - :during. the period ot;two,(2) years rmmegiately fol,lowing.thedate of the issu
ante -of the approval of_``tfie CertiLicate 'of Construction Compliance of the origiriai system, or any repairs thereto 2), that the - drilled wall described above ..,
- 'will, be located as'.shown on'the' approved plan and that said well will tie installed- in accordance with the standards ruler and raga a—T oil ns of the `Putnam j
County Department of Health 3 `
y
Date J]1 1'y $ 3 c'i5 - ` 5 igned P E R.A
_ a.. i
Address R �k9 Fa_r 4 Carrier NY 10'512
n License. No.
2 2
I
APPROVED FOR `CONSTRUCTION Thrs:approval' expires one yearf►orn"'t date issued unless construehon:of the tiudding has been undertaken antl'is
revocablefor cause oi`•niay be amended or °modified when: "c ere , necessay by a Com iori`er` or Heattti.Ahy - than a or:alteraEion of :construct ion' '.
1 requires a new permit Approv for disposal 6f..' dourest sa d ry. age •;a /or private ter supply only.
n
y
Date � 6 i Title -
Rev. 9.-81 - .. ¢ i.
'PUTN AM CC
t
°Drvrsfon of Enviro
Air
CONSTRUCTION PERMIT FOR SEWAGE DISPOS
Located at
Subdivision PutnaM A.Ke
Owner /Address MrS °'t9 -eanne
� w�guilding Type Frame ` L$ot' Area
Number of BedroomsT�ree •Design Flow G /P /D ��O '
Qeparite.;5ewersge SYStemr to consist of k
To De constructed by r
r
� a v
x
Water Supply Public Supply From L
VF -
Private Supply to tr drilled by
r ti
Y C
Other Requirements
none f
.l_ represent that'1 am wholly and completely responsible fora
above;descnbed will be, ton structed_as 4i'-on the approved
County -Department I of .',Health, -and that on completwn the
are submitted to ,the Department and a :wntten yuarontee
'place im good operating 'conditior any, ipart, o, .say d sewag
ance off the approval of •the Certificate of Constructon C
will be located asahown on'.the approved plan and thatiseid w
n + �
a 7
DEPARTA4ENT OF��IEALTTH 4 ?Permit q;
x
Health Services Carmel /V Y 10512 }
TEM T Patterson V.
•A+ Town or G�/illage '
•. z
Tax. Map
63.h slocx j3 Ei i
t 289 96 Tn�el<awal - Revision (]
fir, New "any® bftprevious Approval
�1500�.' Sq �ts Fz�l Section Only ❑ � } r �
s no i
P C N. D Notification`` R ir
equed -
ial Septie Tank. antl 4`30' SX-
Address `Y
_ v
i p Y
and - location of: the proposed, system(s); 11 that -the separate sewage:di'spOSal "syste`m'
mt there to and ,in accordance.with the standards; rules
an ,,regu lations o e u nam
kiticate of Cohstruction CompUance satisfactory�to the Commissioner of Healthwi.11„
urnn shed,the owner his successorsheirsor.assign's.?Dy the builder that saidtiuilderw(11
systerti=dunng ;the period of two (2) yeari immediately following tFedate of the lssu
f of the:ongmal "system or3any repairs thereto 2),tfist the drilied.weli described above
installed' in" accordance' wdh the? ndards rules and regu.a ons -ot `tne $Putnam;
County. O,epartment of Health
r r
a23 May ' 98,4 s r {
Date a. >^ �r Signed R A
Adtlress S Carmel. N Y: 10512 License Nd 29206
APPROVED, FOR "CONSTRUCTI,ON' This;approval` expires one year :from the date .issued unless construction -of the building has beeniundertaken and is
revocable for cause ortmay,be amended or modified when consi e-d cessary by the -Co issaner of Health.; Any change or `alteration of construction
requires a new permit U Approved' for disposal of domestic nit r sews a and /or pn a water wpply only
Date t `gY Title
Rev '441'-'
-
l F
r k
}
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DES,TGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. "`:
Owner Ph t d iry Address agj„r-�ed r IU
T � _
Located (St eet Jg114�d .�. p Block 3 L
e. ot '
�ind'iea to neares cross s rye
Municipality Pal:i7ersola Watershed Cm4mm
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
oe
Number CLOCK TIME PERCOLATION PERCOLATION
Run 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
2 147, /471 33
2
-Pso
Notes: 1) Tests to be repoated at same depth until approximatelyy 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.
DEPTH
G.L.
6"
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
HOLE NO. HOLE NO_
7211
7 I it �� Le� eat
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED
INDICATE LEVEL TO W.JCCH WATER LEVEL RISES AFTER JBEI
TESTS MADE BY (J.OJ.�%1 41 -Am4J (Iu
ENCOUNTERED 1�6,qia
Date /,1&
LLV iul�
Soil Rate Used 6— � Niir�/1 "Drop: S.D. Usable Area Provided ' ±
No. of Bedroom,s_ Septic Tank Capacity. 1-000 T' Gals. Type
Absorption Area Provided By_a L.F.x24" width trench.
Other
r�
Name
Address R'D- 9, FAIL: 841_
NY —.
THIS SPACE FOR USE ` 7A TMENT lQ
Soil Rate Approved Sq. Ft /Gal. i
IN
�No. 292OV`°.
OF ,..
V .
Date
PLAY 2 5 1994
PUTNAM COUNTY
DEPT. OF HEALTH
PETER C. ALEXANDERSON
County Executive
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
Mr. & Mrs. Lawrence Franzese
16 Manchester Road
Patterson, New York 12563
Dear Mr. & Mrs. Franzese:
JOHN KARELL Jr., P.E., M.S.
Public Health Director
September 21, 1990
RE:.Addition - Franzese (T) Patterson
I have received and reviewed the plans for the proposed addition
to the above- mentioned residence.
The plans indicate that a second story is to be constructed that
consists of a master bedroom, bedroom, study and two baths.
Existing two bedrooms on the first floor will be converted into a
family room.
The survey indicates that sufficient area exists to expand or
repair the sewage disposal system, should it become necessary in
the future. Therefore, based on the information submitted, the
above- mentioned addition is approved with.the f.ol1ow.an.d conditions:-
1. The total number of bedrooms must remain at three (3) without
prior approval by this Department.
2. The area of the existing sewage disposal system, and its
expansion area, must be maintained.
3. All plumbing fixtures must be replaced or updated with water -
saving devices, i.e., low -flush toilets, restrictors for
shower heads and faucets, etc.
Approval is granted for sewage disposal only. Any other permits or
variances required are the responsibility of the applicant and the
jurisdiction of the Town of Patterson.
If you have any questions, please contact me at your convenience.
Ver, ruly yours,
Robert Morris
Assistant Public Health Engineer
RM:mk
cc: J.. Cal bo, BI (T) Patterson
hL
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"AS BUILT" .QATA.
Structure located from survey by surveyor noted bolota�__
Well located by: Surveyors survey.- _- ®_
Wail deollors report
Engineers mosuromonta -0-- -
j Tank, boxes, pits, galleries 9 lo.terals located. by: Contractor:
Engtncor: I]
i
Healthdgpt:�
Field' inspection by: Health dept 21 do a:- -3L _,...;
pj Enginoor ® date:- .84t,4e -
en ,. $ NOTES:
� G x _ - - I� .-rprn L- LSil,-, -r�l- a f t,&Tearz.b L;s
l I b:I ME, N.SION.S
26 -pit
lyy
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--�- — �. A - 6 . ° .l T �T _8 - G °- �' __ agyyre��, Pgetir�rBJy��
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A -J °_T'91T_ ®-J ° 2piQ =fir- »
04
Es +E
Ift. �rP 5ANITARY 5YSTEM UI
owrN : �A, L.6 1 Utz 2
Q4''- 5o,r•TS 76 .00�
LOCATION Sireei:l�/yl a�� gp,4p
i `tea county: �� � LLB! --
f✓I,cll'�Gf�G�TG�fZ IZ- a,Ci'�, Yean:,�i.�G�•— f� ,�t!TdIj Stater�` --
sueDlvlstd�: 1���?j L.A14G tLor�hzs9���_Lr��. - --
Map: X LAb
810 ck;- _ _- - „- LOT 'N[I _
Bud der•_QW��G-z --
ih omam.Count t, Departmenfl of H-Ith Serve y or e C! ( � P_I� � '.' '_' - - - - - - -- -
Oii of Environmental Hesith Servlaee
Drawn: p,D4, Dote:o= 1D -8r�: scola: li _ �Q {. JoD "N
td, as n d for a arid► JOHN H P R E N 1' I S S P E. ' wg CONSULTING ENGINEER f
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