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Home My WebLink About1006DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.47 -1 -31 BOX 10 ,� e . .. PUTNAM COUNTY DEPARTMENT. OF -, -TH. •. i Dvisron 'of Environmental Health Services, ,l^armel, .N Y:, ,10512 -' IL "CERTI'FICATE " "OF''CONPTRUCTIQN -COMPLIANCE FOR SEWAGE'-DISPOSAI . SYSTEM` htterson Town or. V�Ilage'' Located at L�VOnia Driye section Map, c 7th Owner Elaine & John A. Stei`:nfiard`t got. 5023 33 Incl. roe S0732 Separate Sewerage System built by Richard Johnson AddressQ 0 Box' 247; New"Fairfield, CT. 0681'01 1000 ` —� width trench Consisting of Gal. Septic Tank tmeal Feet Other - requirements ` TWO (2) $ Dal X 9'` Deep Seepage Pits Water Supply- Public Supply From X Mill Drilling, Tnc Privet i,Supply Drilled. By. 7. Address Brewster, tNY 10509 Building Type Frame N Date _Permit Issued o. of Bedrooms Three Has Erosion Control Been' Completed ?.. eS I certify that the system(s) as listed serving the.above premises were constru cted essentially. as'showhr on the plans of the completed work (copies'of which are attached), and in accordance with the standards,, rules and regulations, plans fil ,Wand the permit i;su the putnam Co unty�Department of: Health. Date 16 Dec 75. Certified P E R.A. Address R D..6, Box 3 Cannel , NY 1 l2 License No. 29206 . Any person'occupying .premises served by the, above systems) shall promptly take. such action as may be necessar'yao secure the correction of any .unsanitary, conditions resulting from such usage. ; Approvab of the separate sewerage system- shall become null and'void as soon as a public sanitary sewer becomes available and the approval of the - private water supply. shall and void. when a public water supply becomes, available. Such approvals are subject 't modifi °tion or change when,' in tfie judgment of he Co' missio r o uch_ revocation, modification: or change is necessary: b i le on Dat WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK: This report is to be completed by well driller and submitted to County Health Department together with laboratory report of analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION NAME ADDRESS OWNER JOHN STEINHAHT 1734 Bleeker Street, Brooklyn, N.Y. 112: LOCATION (No. 8 Street) (Town) (Lot Number) OF WELL Livonia Drive, Putnam Lake, Patterson, N.Y. NESS ❑ ❑ ❑ PROPOSED DOMESTIC ESTAB ISHMENT FARM TEST WELL USE OF WELL PUBLIC ❑ ❑ AIR ❑ CONDITIONING OTHER) SUPPLY INDUSTRIAL DRILLING COMPRESSED ROTARY CABLE PERCUSSION OTHER EQUIPMENT AIR PERCUSSION (specify) CASING LENGTH (feet) DIAMETER(inches) 719 HT PER FOOT �� ❑ ULVE SHOE ❑ S C D? Lj DETAILS 31 I x THREADED WELDED E13YES NO YES NO YIELD HOURS ❑'BAILED ❑ � G.P.M. YIELD (G.P.M.) TEST PUMPED COMPRESSED AIR 6 1. 0 10 WATER MEASURE FROM LAND SURFACE—STATIC (Specify feet) DURING YIELD TEST [feet) Depth of Completed Well LEVEL 340 , in feet below Land surface: 340 MAKE LENGTH OPEN TO AQUIFER (feet) SCREEN DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL Diameter of well including GRAVEL SIZE (Inches) FROM (test) TO (feet) PACKED: gravel pack (inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET 0 5 i ground. Filled d _..._u.. 5 25 Weathered ledge, __.. 2 340 _._... _- _.._._.... _._. -. -- . -- _ Medium hard granite, .. _._ ...... .......... `- ... .__.� ...............__._.._._.. - _. 1 e s AF f v a 'i f If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE 180 pp5 atk � v . _ J LM 240 fa r DATE WELL COMPLETED 3/2;/7 DATE OF REPORT t� /L4/73 WELL DRILLER (Signature) , President BREWSTER LABORATORIES N. Y. WATER ANALYSIS REPORT SAMPLE NO. 2910 SOURCE: John St e inhar t --new well Li.v ionia Drive Putnam Lake Patterson, N.Y. COLLECTED: March 29, 1973 BY: Mill Lrilling, Inc. BACTERIOLOGICAL EXAMMATION Coliform Count, MF Method 0 per loo ml. This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. March 31,'1973 hbf X3 Bickwit P. E. Director 3 ., y� t us' �- F �' � h k 14 G2 F �\lJV�2.P} ,.o��w�,l'1� tl�\LI,�R�.�vJG�.�J r 'r aS•� \ S '''[ W o �� try O r�: 4r5'e �, � '� k ��2�v:�� ,; .. r s \\ � �. � t i- �G 7 r ' i«-, 1 y iy 3 'a T _ � h i ` � � :� h ..t _� • F 1:. " BREWSTER LABORATORIES "Box 114'- - BREWSTER, . N. Y WATER ANALYSIS REPORT SAMPLE NO. 3 790 SOURCE: John -A. Steinhardt - faucet - well supply Livonia Drive Lots 5022 to 5033 Pat t erson, ' New York COLLECTED: Dec. 7, 1976 BY: 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. Dec. 8, 1976 Roy Bickwt P. E. Director WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71. . Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK This rep ort. is,to,be,�c rppletedby..well driller. and submitted -to- County - Health Department together with laboratory report of -°" analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION MEI NAME ADDRESS OWNER �TOTi \T STF TNII�,i T 1731-1• P�_eelkr-�r Street, Fro -)vlyn, �-d.Y. 112 LOCATION (No. & Street) (Town) (Lot Number), OF WELL Tivo'' i,a Dri_ve,. Putnam Pattprso,n, N.Y. .La.kP, BUSINESS ❑ ❑ ❑ PROPOSED DOMESTIC ESTABLISHMENT FARM TEST WELL USE OF WELL ❑ ❑ AIR OTHER ❑ SUPPLY INDUSTRIAL CONDITIONING (Specify) DRILLING COMPRESSED ❑ CABLE ER ❑ EQUIPMENT ROTARY lJ AIR PERCUSSION El PERCUSSION OPO cif y) CASING LENGTH (feet) DIAMETER (inches) WEIGHT PER FOOT `F` ❑ jDtRII SHOE ❑ jTW�j CASING j DETAILS !. C� 19 _ . THREADED WELDED LJ YES NO tJ YES L_! NO HOURS G.P.M. � ❑ ❑ YIELD (G.P.M.) TEST BAILED PUMPED COMPRESSED AIR 3.0 6 10 MEASURE FROM LAND SURFACE—ST ATIC(Spec /fyfeet) DURING YIELD TEST [feel) Depth of Completed DEL 1' Q 3 -1 f e urface: �4 0 MAKE LENGTH OPEN TO AQUIFER (feet) SCREEN DETAILS SLOT SIZE DIAMETER ( Inches) IF GRAVEL Diameter of well including GRAVEL SIZE (inches) FROM (toot) TO (loot) PACKED: I gravel pack (Inches): ,DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact locatlon of well with distances, to at least two permanent landmarks. FEET to, FEET (1 K P.10.1P..d. ground. K 2i5 Irienthered_ ledge. �+ .7 2 K 140 .n� ed i u� .h ard granite r a A �ry4 � �. Yom► If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE ;l on 3 ' 1Y. �7Vf3P^ L32 '- Y`YtCC,1:�1- "1T!f'F..�¢'! �D'h. ! S+>. R�. a-'T.' �iS^ Yf' t1T.' �,'.^^ �•", nl' 4�1R`% t• / /! � 1Yr .f•�-- .TT'Ye4^i.'C- 35.,�.AS'.`r : 240_ 5 I�1/0tvt Pe, DATE WELL COMPLETED � •: , DATE OF REPORT L. /:.x/73 WELL DRILLER (Signature) � Pres i.dent 3:' f"; .,,� , MEI Lid ,,, le Building Constructed by Awiy� Location - Street Building Type Section Block Lot GUARANTY 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 guaranty to the owner, his'succes- sors, 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 accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser- vices 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 .!A..— day of 19 :71- Signature Title If corporation, give name and 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 � 3 1 s =,/Y ),4/V Owner or Purchaser of Building Municipality Lid ,,, le Building Constructed by Awiy� Location - Street Building Type Section Block Lot GUARANTY 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 guaranty to the owner, his'succes- sors, 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 accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser- vices 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 .!A..— day of 19 :71- Signature Title If corporation, give name and 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 - Steinhardt--- Patterson owner or, urc aser of Building Muni cipAlity Owner Building Constructed by Livonfa:Drive Lo. aa:ti:on - treet Frame BuIlding Type Putnam.Lake Subd: ecoon Block. 5023 -33 Incl . GUARANTY 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 guaranty to the owner, his succes- sons, 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 :Wade 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 accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser- vices of the Putnam County Department ,..of..He.alth::,as..to whet-ner -OT -not- the failure oT- the system to operate was caused by the willful' or negligent act of the occupant of the building utilizing the syst Dated this T6th day of December 19 76 Signature Title Owner 'If corporation, ° give name and 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 F. _ ,. i �`. .. ♦' � �" elZ... _ ' ApPROVED \ � � 0.11-4 ^^ ' '7 i ' '�[----'- - — ------------------'----- --'~-- . -.-_- - | � ' ^ . q �� , ,\ � -- pp . . ` \ \ / ' r*ru"*,° .""w°* from "ur.", by "",."v", "m^« Well mmmo u,. s""e,",^ survey.- _ _ ---- -- - - Well d,.o"," ,°p,, t (I'L( 2-(,- Tank, boxes, vA^,9-Mfe"*-9�/�i,".".^/""",°o ` s"g /1 *"v/*oo *. .[] Field inspection by: Health dept [] do / " ` � ,^w^, §3 uv,°�_'��/T�'---_-- ' wurss. � p'Dcar m�� LOCATION Street: JO H N H, PRENTISS RE, To. jDwg,.. CONSULTING ENGINEER RD 6 Box 353 CARMEL NY 10512—(9141878-61 2 ^ ' e ^- �m' - — « x . ^-_��-'B ' c A - o ._-��_-e ' o ^ c ^-_d o ' s ^-F ~��___o' p ^ a 'u - n A x o-* u x ~o - j ~__ _ A n ,__-_--'o'x ^---��-_ m�� LOCATION Street: JO H N H, PRENTISS RE, To. jDwg,.. CONSULTING ENGINEER RD 6 Box 353 CARMEL NY 10512—(9141878-61 2 4 - 5 2 41i' .;4 No •.cJ . 1) ,Tes -L�Ns to 'be reo.e at” Auis tai-, le a.t E?-- L_ 0 c,d1ii _a s ^O d °J'= 1 u _pp_"0 _ -._'?� .' equa sC'! :die- a -2 Off- I _ion yes: hole. A.il d -La to j e�submiyyeu .poi^ revie... � PUTNaNI COi�;Ty OE -':? "'y`:T' Or DE' SIGN..DATA S E"E" - SIE ARATF 'Er, AG 1) !S =, -;ZAL .S �"ST'�.. FILE . N0 . P. .fie,:aaarA� Li ✓o��a► Loca ea a� (J�r:2t � _ S!C .. 'B1oCc: 7. Lo-L�y� _ry (Ind.i.ca e n -_. s c o s s Free _) hiunicipali�y po soh t'a��rs�ea .SOIL DERGOLa T IO` TEST DATA PE.0Ui ` D TO BE SLR I` -? �D' :r'IT'I ?.p�LIC�TTO\ . Hole N1IiT ^`=,. GLCC 1 i'I °`: ' P :CO �-',T' 0` PEt.COL :\ , 0' . 2�n Elapse D °o.= .o I..- ce „—` t._ `er- Le;:e; No Time Fro- Ground 'S =__ - .i-: - Irc':es' Soil Fate . Stag `toy 7MI- Story. Sto? Dro? i �I ri/i�i ..a_ o0 -- ? 3 4 - 5 2 41i' .;4 No •.cJ . 1) ,Tes -L�Ns to 'be reo.e at” Auis tai-, le a.t E?-- L_ 0 c,d1ii _a s ^O d °J'= 1 u _pp_"0 _ -._'?� .' equa sC'! :die- a -2 Off- I _ion yes: hole. A.il d -La to j e�submiyyeu .poi^ revie... � TEST PIT DATA REQUIRED. TO - - IMITTED , =T { iPPr!C_ATIO` DESCRIPTION 0F 3 1 S " . N lr`E. D ..- OLr S DEPTH HOLE NO'.' :HOL \0.. HOLE: NO, ._ 6 1.2 10 TT. - 24T. SaNw .4 30` t r 36' VY 427 43 2; /S. 84.. ® &!�tp evc-A IN TCa 1 LFk EL AT t ,HICK. GPOu�D c;AT� I3 E \COL ?: T� F Nome ILnICATE 'LE'VEE-T, TO ,i'-(IC'r[ ;;ATE LEVEL RI-?5 "IN 'T nE A/ AFTL� B�. � E CGU`� rr' oat Ai4ew *4 _lie. �I�•I�% S� /6 'L Date - L jlffl% T'ST3 ��An _� i� iX- IJt : Soil. 'Rate ''se Dro?. S.D. t1sa�Ic Area P„ o.u. 00° s S` is Tank Ca :)=C-. �y '}6'Qp Gals. ZtjPe arsm� ry '. A1b S02''?'� a t'O'1Cl?� B }' L. F.:e�.�: _ 5" �° 4:1 r.3 ter! zrenc`n. Oti1el' Kam. John H, Prebti'.st- p:E S s B . 353 S AL . P AddA.-D, r- ess 6. . _ Carmel Mew York 10512 PUT`AM COU \TY DEPAR: �U; T OF nL`�LTH S-�i 1 pp 111") 1,p.? �'^r F'- /r,l i "k or, 1 -orb ? :, Dew. .c0� no +-,n /, A ;LT 3PUTNAM COUNTY DEPARTMENT OF HE H Dnrlslon of Environmental.Hea/th Services, Carme! 'IV. Y�f0512 CONSTRUCTION PERMIT'. _FOR .SEWAGE •DISPOSAL,SYSTEM _. Patterson Located at tyonid. Drive _ section ob1Ee 7th Mdp Town Eutnam Lake Subd 5023 33 Incl S0732 Subdivision P ,. Jobs 5 laine.;& John A Ste'n ardt`= 1734_. owner h B1 eecker Street 0 Address 1 B Frame A'prox. -1/3 A. Brooklyn, New York 11237 wilding' Type. Lot Area — a Three. 1816+ Number of Bedrooms Total Habitable Space Square ,.Feet Separate Sewerage - System. to consist of 1 -00D Gal Septic Tank -' -- 1 -meal feet.X width trench To be constructed by,' Address . ; Water Supply i, _` Puti : lic;SupplyF.rom - _' ^ Private Supply •to be- drilled by / ? Address Other Requirements TWO (2) . 8' . Dl a . ?X 91:.Deep seepage Pi is " I, represent that l am wholly and, completely.responsible. for the design and location of the proposed system(s), -,l 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 'yregu,ations o :the ,u nom County `Depart ment , of .Health • -'and that on completion'theieof . a "Certificate of Construction Compliance :satisfactory to the'Comm�ssioner of:Healthwill be, submitted to the Department, and a - written_ guarantee will`., be furnished the :owner, his successors heirs-or assigrtis °by;.tfie liwlder,`that said builder will lace 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 approvai. of the Certificate. of_- Construction Compliance of °the original system or any repaysthereto "2)'that ttie'.drilled well described above Will be located as shown on ;the approved plan and that said well will be, installed in accordance with the lards rules and reguia ons f . the Putnam i County "Department 9 iHealth. . :i Date 9/5/72. Resubmitted Signed R.A. �. Address = R D 6 Box 3 3. a'rmel Ne Yor 10512 ��ca�se No 29206 APPROVED'FOR CONSTRUCTION This 'approvafexp�res„ one year.frointhe date' issued unless .con #ruction of the building has -been undertaken ands revocable for_ .cause or may ar ieniled or= modified when considered necessary by. the Cornmissioner of Health. Any, change or alteration of construction requires a ne permit Approved for disposal of .domestic sanitary se ge, d /or private water Supply only. YJ Date s / �I-!' By Title- Qf