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HomeMy WebLinkAbout1193DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.62 -1 -60 BOX 12 01193 ,. ' T �I J ` 01193 1 PUTNAM COUNTY DEPARTMENT OF, HEALTI t DIVISION OF ENVIRONMENTAL HEALTH SERVICES f'` � WelliPerrriit #" ';c ,, WELL COMPLETION REPORT Well Location Street Address: 36 Sullivan Road Town /Village: s� Tax Map # 25.62 -1060 Map Block Lot(s) 1028'lln o , Well Owner: Name: Address: 36 Sullivan Road' Brewster, NY 10509 Use of Well: 1- PrimaryX 2- Secondary _Residential _Public Supply Air cond /heat pump _Irrigation Business Farm I Test /monitoring —Other(specify) Industrial Institutional Standby Drilling Equipment Rotary _Cable percussion X Compressed air percussion Other(specify) Well Type Screened _Open end casing z Open hole in bedrock Other Casing Details Total Length j ft. Length below grade ggft. Diameter _4_in. Weight per foot 1LIb /ft Materials: X . Steel Plastic Other Joints: Welded X Threaded Other Seal: _Cement grout X Bentonite _Other Drive shoe: Yes _ No Liner: _Yes No Screen Details Diameter (in) Slot Size Length (ft) Dept to Screen (ft) Developed? First _Yes No Hours Second Well Yield Test _Bailed _Pumped _X_ Compressed Air; Hours Yield 6 gpm Depth Date Measure from land surface-static (specify ft) g 110 During yield test (ft) 700 Dept o completed well to ft. Well Log If more detailed information _ _ ... descriptions or sieve analyses are available, please attach. Depth From Surface ''11Vater Bearing Well Diameter (in) Formation Description ft. ft. I and surface _ ..... _ . _. -wet tnpsnil R, hnnidderg 60 480 590 590 765 v If yield was tested at different depths during drilling list: Feet Gallons Per Minute Pump /Storage Tank Information 320 1 Pump Type submersible Capacity_5gM Depth 500 Model Goulds Voltage 230 HP 1hD Tank Type d_ia Volume 34 530 2 680 4 Date W ell Completed' 10/16 09 VVe I ruler PC Certificate # Mill N Y State #1 l Date of Report' nr,ll,n�a jllc . 7 :002 , ,10%29/09 Rum "I nstaller;PG,Certificate;# p NY State, # :I0071 ' < Welf Duller Name &Address ti k , ' ` Mill Dr,ll, �, Inc , 75 Ptit>m Ave. Brewster NY 105(9,' x x..T:3t, i ei si a ure rtr: Pump installer Name &Address � ; x y ss �g j 4 Mill Dulling, Inc 75 Putnam Ave' ?�rewster, NY 10509, � .. 41x �S �!. ..._': i•, fil .., r._.:i.�' < Y.,:. �:: IJ k :...s:' .1:1. ': .. .. .,:.... ..: .. {::. :.. ,: .. Y.. ir� '; k'�E u ns i r (signature) It trt i' l i '' �' .. T' � i 1 .. t. J!. x.. +' NOTE: Exact Location of well with distances to at least two permanent landmarks to be provided bifkrbeparate sheet/plan. White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 Rev. 3/06 r \ PUT NAM (CGUN7Y IDIEPAIRTMIEN7 GIF HIEAL7H IIDIIWSIIGN GIF IENVffIR(ONlV1IIEN7AIL H EAL'11 H 8IEIRVII(CIE - -...- ._..._ CERTIFICATE OF CONSTRUCTION ON C®MPLI[ANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located at % 4 'Jz4 J N`lyH 1=O A L? Town or Village PAI- .� E I_ 120 �j Owner /Applicant Name �' l 1C • CW, Tax Map Z- , 6E Block i Lot 60 Formerly Subdivision Name Subd. Lot # A 10Co -1064 ; A 10'1() - 1016- Mailing Address Pi 1' '�' f 4 �E Zip Date Construction Permit Issued by PCHD Separate Sewerage System built by JAtAO &AUI I A�-01 Address { AT'1'0 ��H' W, 1110) Consisting of Pwli 6 bpi Gallon Septic Tank and d-� =�-+G ► i �-;a' N r-4 Other Requirements: r�OF Water su>ro>rDR Public Supply From or: j< Private Supply Drilled by M 6 i L P k i,1 l H U, 1 riu, Address Addressl, PV'Nnff- M 3 &6M5iE It,") j Building Type as erosion control been completed? Number of Bedrooms 2- Has garbage grinder been installed? Ho I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulatgoris of the Putnam Count D�partgient of Health. Date: V ;24 i ' 11r i Certified by P.E. R.A. Address :^ , '�'� (D �%� r- Wwlob� gn Professional) F i-4. :y 4 �;� , nS License # ' Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocation, modificatio0,or change is necessary. White copy - HD Ole;- Y Title: copy - Building Inspector; Pink copy - Date: 12— Ir—O � Orange copy - Design Professional Form CC -97 P .. ­_ PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES o WeIIPermlt # '� ... rh i5 atii i� I.'I w *'�I WELL COMPLETION, REPORT Well Location Street Address: 36 Sullivan Road Town /Village: � � Tax Map # 25.62 -1060 Map Block Lot(s) GPS 1 °28'lln o + Well Owner: Name: Address: 36 Sullivan Road Brewster, NY 10509 Use of Well: 1- PrimaryX 2- Secondary ^x Residential _Public Supply Air cond /heat pump _Irrigation Business Farm Test/monitoring —Other(specify) Industrial Institutional Standby Drilling Equipment Rotary _Cable percussion X Compressed air percussion_Other(specify) Well Type Screened _Open end casing z Open hole in bedrock _Other Casing Details Total Length I ft. Length below grade cygft. Diameter -6_in. Weight per foot 1LIb /ft Materials: X Steel Plastic Other Joints: Welded X Threaded Other Seal: Cement grout X Bentonite Other Drive shoe: y es _ No Liner: _Yes No Screen Details Diameter (in) Slot Size Length ft Dept to Screen (ft) Develo ped? First _Yes _No lHours Second Well Yield Test _Bailed . Pumped _X_ Compressed Air Hours 6 Yield 6 gpm Depth Date easure from land surface - static (specify ft) 110 Dunng yield test (ft) 700 ueptn of-completed of-completed well in ft. Well Log If more detailed information_ descriptions o' r sieve analyses are available, please attach. De ,th From Surface Water Bearing Well Diameter in Formation Description ft. ft. Land Surface 20 6 60 • 480. 590 ffey 590 765 I If yield was tested at different depths during drilling list: Feet Gallons Per Minute Pump /Storage Tank Information 320 1 ; Pump Type submersible Capacity 5 &M_ Depth 500 Model Goulds Voltage 230 HP lhn Tank Type di.aphrap . Volume 34 530 2 680 4 Date Well CorTipleted 10/16/09 We I nller P -C Certificate #ll NY State # qr � Inc 10071 Pu'`mpinstaller?PC Ce cafe NY State #10071:;,w Date of Report' a � WeIIDrlller'Name;B Address , *� << r 4 z= `�f +c Mill _DrilJ�ng 1 . ,Inc 7 Putnam Ave , BrewsterFNY 0509 III r a (si ure)' �, Pump Installer Name &gAcldress , ry, „ %;Y oN� lh 71 Dr11 uzg rinc y u ns I r(signatureiXl s} M,,�S 1 NOTE: Exact Location of well with distances to at least two permanent landmarks to be provided b4e- eparate sheet/plan. White copy: HD File; Yellow copy - Building Inspector; Pink; copy - Owner; Orange copy - Well driller Form WC -97 Rev. 3/06 u _ PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: 0 Address: Located at (street): �� ii (ice dw60 TM # Section: _ Block _ Lot Municipality: '� ��"� Watershed: SOIL PERCOLATION TEST DATA Witnessed by: Date of Pre - soaking: Date of Percolation Test: 2 Role No. Run loo. Time Start — Stop Elapse Time (min.) Depth to water from ground surface (inches) Start - Stop Water level drop in inches Percolation Rate main /inch 12' o a :3 d2- 2 'D� 33 3 -7 J),'01 7 5 3 ; ) !32- Z, -L- cq- 2 : a . s ,3 0 r 1i � 3 4 5 1 2 3 4 5 1 2 3 4 5 Notes: 1. r r PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES .. INITIAL INDIVIDUAL /COMMERCIAL SITE•INSPECTION FORM SECTION A. GENERAL INFORMATION Name. of Project 0JM(+f1M4^ (V) County .Site Location ' "1/4� Building construction begun Extentl Is property within NYC Watershed ? ................. ©'Ye's No ;4 SECTION •B. TOPOGRAPHY (Please check all appropriate boxes) I. Hilly Rolling Steep slope F7Gentle slope Flat 2. F7 Evidence of wetlands 0 Low area subject to flooding Bodies of water Drainage ditches 0 Rock outcrops 3. Property lines or corners evident ........................... . ' ......................... [71 Yes [7 No 4. Do water courses exist on or adjoinheo:pp Yes No . 5. Will these affect the design of the `sewage system facilities ?..:......... Yes � No 6. Do watershed regulations apply in�this development ? ....................... Yes No 7 Will extensive grading be necessary? ......:........ ............. ............... Yes © No 8 W'11 t f 11 b f SSTS� x N i ex ensrve i e necessary or ..- . ,. ..... _ ._ es - o, 9. Do filled areas exist within the SSTS area? .....: f . :.............................. a Yes No If yes, what is the condition of the fill ?\ SECTION C. SOIL OBSERVATIONS { 10. Appearance of soil: a Sand 0 Gravel Loam o Clay F_� Hardpan a M' ixture 11. Observed from: Borings B cut ackhoe excavations r 2. Soil borings /excavations observed by � s . � on 13. Depth to groundwater ! ( on 14..Depth to"m6ttling Are test holesrrepresentative of primary & reserve areas...' 16. Soil pkolation tests -made by 17., Soil percolation tests witnessed by SECTION D (on back) . 9� on Yes No on on Form ST -1 'I 2 SECTION D. DRAINAGE - 18. Will proposed grading materially alter the natural drainage in this or adjacent areas ?, Yes No_ . 19. Will groundwater or surface drainage require special consideration? ...................... Yes No 20. Will gullies, ditches, etc., be filled and watercourses be relocated? Yes r .... No �t• SECTION E. REN RKS <° 21. If a common water supply is proposed, has an inspection been made of th existing or proposed source and facilities ............. ..............................V).. ......... Yes a N'o3 .. Inspection data Ik- 22. Do adjacent wells and/or sewage systems exist? k =a: 23. Additional comments 24. Site observer /inspector and title 25. Date(s) of observation(s)inspection(s) J P, TEST PIT PROFILES ; Hole #. �iLot # Hole # Lot # Hole # Lot # Depth to water 17 V � Depth to water Depth to water i Depth to mottling Depth to mottling Depth to mottling --- Deptli'to rocMii p. Depth to rock/imp. Depth to rock/imp. G.L. G.L. G.L. i I 0.5 S . 0.5 0.5 1.0 1.0 I _ 1.0 2.0 2.0 2.0 3.0 3.0 3.0 4.0 Jr.7��t� 4.0 4.0 5.0 5.0 5.0 6.0 6.0 6.0 _ 7.0 7.0 7.0 8.0 8.0 8.0 - 9.0 9.0 9.0 10.0 10.0 10.0 Hill /,, rb J.- Q Cranberry Mtn. c z x T(T E R S 0 N; t' ,0 68 '0" C •dUyl� s� G� a U N m your � 9F Browns Mtn. PTT 04 ®� B z z f I A P�' 1 0 l Brimstone Mtn. r D � aQ. • o U y, STONE J (L I Gir i AD PD. PD. RD. E o +w re c� F n ? 0 p0• 0,9 00 � 9 ©Geographia Map Co. 31 91 � 9 z 1 MAINE RD. o oPe 2'DRESOAN RD. s 3 CORNWALL RD. HAZEL 3 W � £ � N 3 s 9p � 19 Continued On Map No. 8 04 ®� B z z f I A P�' 1 0 l Brimstone Mtn. r D � aQ. • o U y, STONE J (L I Gir i AD PD. PD. RD. E o +w re c� F n ? 0 p0• 0,9 00 � 9 ©Geographia Map Co. 31 91 PR PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES Internal Use On LI Lam' Repair Permit issued in last 5 years ❑ ❑ Repair within Boyd's Corners, W. Branch or Croton Falls Res. ❑ ❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland SITE LOCATION fioe;,d TOWN OWNER'S NAME Y� n� PERMIT # ❑ Not in Watershed ❑ Delegated ❑ Joint Review TM # 2 .+C - -2. —i PHONE # MAILING ADDRESS.-- ,,o��- c�^.�:;, APPLICANT'S �,1n Name & Relationship (i.e., owner, tenant, contractor) I DATE 11-7- ? FACILITY TYPE �e,5I �A �1v`f ii, PCHD COMPLAINT # PROPOSED INSTALLER - ,ICXoti:c S ug S4 `ie, ,J,Q PHONE # S 1.-4 -40 3 '-80 -� 1 ADDRESS C2ca�z. �t,h Prf� REGISTRATION /LICENSE # PG Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the r pair. ? �' - (4 f� I, as owner,agree t the condittnstated on this form SIGNATURE / !j �.�1v �,J TITLE DATE 7 (owner) I; the septic iristalle�, agree to comply witli the conditiorts'of this pe -rmit for the`sepf c sysfem repair SIGNATURE P�cLcjlvctrjo TITLE DATE (installer) Proposal approved with the following conditions: 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY P posal Approved Proposal Denied ❑ Inspector's Sign tur & T le Date Expiration Date Repair proposal is in compliance wAacable codes Yes 0 No COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 Harry W. Nichols Jr., P.E. T ! P.O. Box 252 Rrewster, NY' 10509 _ ' Tel (845) 855 -9275 Date: jz- 2.i- a To: Job No.: 1�nnC, E4 D r o -00 CP Project l d,005,J �Mjeary' 4� Ad 'i 50//Ikfni4 g0j i / I Attention: ,�1,4�1 J , �clzG�S -C� �4i��erKQC l , 9- �! 2- �iC�Z- 1 CeG Gentlemen: We enclose ( %copies of (/W Prints O Reproducibles O Specifications O Memorandum Description: O Reports i O Copy of letter 1)LTI0 O Tracings O Revision/Date No. jyc v, 12--20-08 epQcri . Sent Via: Our Messenger 0 Blueprinter 0 First Class Mail 0 Special Delivery O Your Messenger O Hand Delivery O Copy to Very truly yours, f� Harry W. i hobs Jr., P.E. SHER1LITA AI>' LER, MD, MS,1FAAP Commissioner of Health LORE•1<TA MOLINARI, RN, MSN Associate Commissioner of Health Harry Nichols, P.E. P.O. Box 252 Brewster, NY 10509 Dear Mr. Nichols: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 R®RERT .D. R ®NDI County Executive ROBERT MORRIS, PE Director of Environmental Health November 1.4, 2008 RE: Proposed SSTS Repair and Addition Applications for RIC Construction Corp. 36 Sullivan Road (T) Patterson, TM # 25.62 -1 -60 This Department has received and reviewed the submitted application and plans for the above men ioned project and the following comments are offered for your consideration. Y1. The Sewage Treatment System Repair Permit is being returned for completion of the 11items marked with an asterisk. (2. Note # 6 is to be deleted from the plan.. J3. The absorption trench detail is to be revised to specify the trench bottom and perforated J pipe being installed level for a dosed system. 4. Pump pit note # 7 is to be deleted. 5. An addition application is to be submitted for renovations to the interior of the house. Upon completion of the above, this Department will continue its review. Kindly advise us if there are any questions. MJB:kly Enc. Respectfully, Michael J. Director of Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 Harry W. Nichols Jr., P.E. .. _. P.O. Box 252.. 'Brewster, NY 10509 Tel (845) 855 -9275 Date: To: Job No.: P�/ -, M, n 08 - ao� is I c- Li r va Roo+ cJ( Project SST S 12e ,oa i t ! SU l I 1 y a v, /C O C d Attention: g r- f3ud zi . t 0'i L . Pct-tf.e rya 1h Al. 0l rector ©`e 9itj -4,-ev Gentlemen: We enclose (9) copies of [(B/W Prints O Reproducibles O Reports O Tracings O Specifications O Memorandum _ CI Copy of letter O Description: Revision/Date No. op :, nA JJ c o cr s T I?e pir cf'dl 11-7-0 �p j I y �•r. �n SG ( C' &n a �c r a •-+. h� r' J' z i tea, �cz /C� �a�� l l -7 -�& a a c r S e Corwin K curve - Cc kL-%J r V I it, LI-4 %tee-- 10-0t-kjCKP_j Sent Via: Our Messen er. O Blueprinter p Your Messenger D Hand Delivery Copy to 0 First Class Mail O �I O Special Delivery Very truly yours, Harry W. Ni s Jr., P.E. 'PUTNAM COUNTY. DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Address 7,f 0 ,�vi DIP f a Located at (Street) Tax M ap 2- 5: c.,2. B lo' ck I Lot e_to (indicate nearest cross street) Municipality ,CA 2n N Watershed SOIL PERCOLATION TEST DATA Date of Pre-soaking i0­2_0_68. Date of Percolation Test i C,-* NOTES: 1. Tests to be repeated at same depth until approximately equal Percolation rates are obtained at each percolation test hole. (i.e. :5 1 min for 1-30 min/inch, s 2 min for 31-60 min/inch) All data to be submitted for review. 2. Depth measurements to be•made, from top of hole. Form DD-97 2 2,� 3 2- 2-2— 10 2Y 3, .5 1,1 .32 1 2-1 2 2-L 4 • .5 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal Percolation rates are obtained at each percolation test hole. (i.e. :5 1 min for 1-30 min/inch, s 2 min for 31-60 min/inch) All data to be submitted for review. 2. Depth measurements to be•made, from top of hole. Form DD-97 I DEPTH G.L. -- 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5'. 8.0' 8.5' 9.0' 9.5' 10.0' lr.�l rAg vH.at�, DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES L HOLE NO'. I HOLE NO. _ HOLE NO. Indicate level--at which groundwater is encountered: Indicate level. at which mottling is observed _ W Indicate level to .which water level rises after being encountered 47'_�'' Deep hole observations made by: Ali �, ..9 L,, ; ,� c: ? bate 1`7 [� Design Professional Name: Address: ]Design Professional's .Seal OW 9:r /rr • r' A'� . '•�, �' � 1. gyp' . � . � E.•y o .. . Harry W. Nichols Jr., P.E P.O. Box 252 Brewster, NY 10509 Tel (845) 855 - 9275._ CONSULTING SITE ENGINEERS JOB No. SHEET No. OF COMPUTED BY L ,T DATE CHECKED BY DATE .......... . 0 Harry W. Nichols Jr., P.E. P.O. Box 252 Brewster, NY 10509 Tel (845) 855-9275 CONSULTING SITE ENGINEERS JOB No. — SHEET No. 2— OF COMPUTED BY 1—T DATE -0'8 CHECKED BY i41A DATE 11 —7 "08 Os'/v 6i= -.5-ys-remLvu- me) 7- n - 0'07-- -- /+IR 6NF- 4— .7 —04 .. ..... n - 0'07-- -- Pedormance, Submersible Curves PUMPS METERS FEET 25 Q w Z 20 J O F- 15 10 5 0 METERS FE 35 30 25. 0 Z 20 15 10 5 0 MODEL 3885 SIZE 3/4° Solids GPM MODEL 3885 SIZE 3/4" Solids 0 10 20 3U 4U ou bu iu iw au 1uu i iu icu urM L L 0 10 20 30 MI/h CAPACITY 01985 Goulds Pumps, Inc. Effective July, 1985 I MODEL 3885 SIZE 3/4° Solids GPM MODEL 3885 SIZE 3/4" Solids 0 10 20 3U 4U ou bu iu iw au 1uu i iu icu urM L L 0 10 20 30 MI/h CAPACITY 01985 Goulds Pumps, Inc. Effective July, 1985 APPLICATIONS Specifically designed fo :r.-the' showing.;:* :H;omes o Far o Trailer Courts Motels Schools :•:. _....: _. o -Ho"spitals o In;dustry.. o Effluenf SP,E,CIIFICATIONS Pump Solids. Handling Capabilities: ..,aximurn harge Size: 2" NPT q gCa�pa'cities. Up to 114 GPM �fTotaf Heads Up to 123 Feet TDH o, Prhan ;i6ays6al• Cif 3( } ps o ME St o Q Moton .. . o..$ingle Phase. Y3 HP, 11,5 or 230 Volt.60Nz, 1750 RPM °7z`HP 115 V `60 Hz,'3606 RPM i, HP thru l' /Z HP 230. V, 60 Hz; 3500 RPM BUIIt `In .Overload with Automatic Reset, Class B -Insulation Thoree: Phase` 1 /2 -HP thou 11/2 HP- 208/230,.V 460 V,.6-0. Hz, . 3500 RPM' : Class :B Insulation, Overload. . Protection must Fie Provided,.in. Starter ,Unit o Shaft Threaded, 400;Series..:: . Stainless Steel . o hearings Bafl;Bearings Upper: and Lower o Power:Gord 15 Foot Standard: Length (Opfional Lengths Available); $in nd.' /i HP -16/3 SJTO wlafi three prong plug. 3/e thru 1; %z HP :14/3`STO with JOOS R Rotary Seat/Ceramic- Bare Leads inary t Three. Phase 1%2 thru 1'/2 HP -14/4 erie$�Stainless Steel Metal STO with Bare Leads I3iUNq Elastomers O.n CSA Listed Models 20' �erature 160 °P 71 °C Len 9 th SJTW .-and STW are . Standard ners 300 Sends, Stainless." Running ATl1RES ble of Icy Without ©1986 Goulds Puii*,.lnc. )onerits jmpeller ,C'ast ieon,..semi -open, non -clog with pump -out vanes for M,O,DEL mechanical seal.protection,.Bal -. anced for smooth operation., Bronze impeller available as amoptiom Casing: Cast,iron volute:type.for maximum.p. iciency 2`'-NPT dis- charge adaptable for slide, rail,. systems: M6chanical - 6al:.Ceramic vs. carbon sealing "faces Stainless:steel metal parts; BUNA N.elastgi-hers. - Shaft: Corrosion, resistant; stainless steel Threaded design: Locknut_on three phase models.to guard against component damage on aceidenta il bI se; rotation iViotor: f=ully submerged In high grade turbine oil for lub'rlcation:and efficient .heat transfer. Designed for Contrnuous .0- tl.on: Pump ratings are within the.. motor manufacturer's recommended working limits, can be operated> continuously without damage. • Bearings:.Upper and lower . heavy duty ball. bearing con- struction Power Cable Severe;duty rated; oil and water resistant Epoxy, seal on rnotor `end provides secondary moisture barrier in case,of outer Jacket damage aiid top event oil wicking. . Q Ring: Assures positive sealing . against contaminants and oil leakage. Effective July 1986 MODELS Series . E0311L WE6312C WE031.iM "WE031.2M' WEOSIIN ;N 'N 1 2 HP FEATURES 1. Impeller 2. Casing 3. Mechanical Amps. Seal 4. Shaft 5. Motor 6. Bearings - 236 Upper & 4.7 Lower 7. Power Cable 8. O -Ring MODELS Series . E0311L WE6312C WE031.iM "WE031.2M' WEOSIIN ;N 'N 1 2 HP Volts Phase Max. RPM WE051 I HH Amps. Series 115 WE0512H 9.4 WE1012H WE1512H 236 WEI512HH 4.7 1750 WE0311M WE0532H WE0132H 9.4 WE1532H WE0532HH WE1532HH AT ' WE0312M WE0534H 115 WE1034H 13:0 WE0534HH WE.1534HH 230.. " '/, .6.5 ' : 3/, .2081230 : ,3. ' 3.4.: P/: 12 460- 1750 1:7 35W 3500: 3500 3500 3.0 5.' 100 70 80 90 .106. 114 2087230 3. 3:3 80 65 76 87 1.7 ..Ill 55 '. ;230 -1 9.0 57 3/4 .:22081.230 -, ; 3. '. .5.4 3500 73 x460 .c '; . . ',. 2.7 65 78 94: .. 11'.6 77 1 :: 2081230 : 6.4 73 89 -'100 ,3'.. '. 68• 30 Solids Weight (Lbs.1 56 i 60 3/4" 70 3885 l PERFORMANCE'RATINGS In gallons'per minute. .143 WE15321,1 208/230 9.2. 3,. DIMENSIONS : WE1539H , 4:6: 1-1:/2 80 "'WE1512HH 230': 1 `+ 133 WE1532HH 208!230 g (All dimensions in inches) 3 x (Do not use for construction purposes.) Fs 'WE153¢HH' 460' 4:6 t • 5V4 A FFLUENT EJECTOR SYSTEM -:';• ROTATION Package Includes: >, Di Effluent ejector system offers Submersible Effluent Pump, �� �t t 2" NPT ease ofi ordering and, lnstalla- WE0311 L,12L or WE0311 M, 12M, 81/2" tion A single ordering number WE0511HH,12HH specifies a complete. system Mercury Level Control Switch designed for most residential A2 -5 (115 V), A2 -6 (230 V) l a.nd commerolal sump aril Basin A7 -1801S effluent.pump applications Basin Cover A8 -1822 Check Valve.A9 =2P' . KICK -BACK Oder No; SWE0311L $WE0312L, SWE0311M SWEO312M; D' Y,,'h,' /..and 1 HP = 15" except for model WE0712H & WE1012H =18 SWE0511HH SW,E0612HH. 1'/Z.HP.= 1'8" . Available Certifications: S P °Canadian Standards Assoclalion Pennsylvania Bureau of Mines for non -face applications, = B9TE.91: ^•: �� �:�� coce,.icireTiniac eaE SUBJECT TO CHANGE WITHOUT. NOTICE. PRINTED IN U.S.A. ®1 WE0511 H WE051 I HH Series WE0512H WE0712H WE1012H WE1512H WED512HH WEI512HH No. WE0311L WE0311M WE0532H WE0132H WE1032H WE1532H WE0532HH WE1532HH WE0312L WE0312M WE0534H WE0734H WE1034H WE1534H WE0534HH WE.1534HH HP '/, , : 3/, 1 1' /: 1/2 P/: RPM., 1750 1750 3500 35W 3500: 3500 3500 3500 5.' 100 70 80 90 .106. 114 60 • - 10; 80 65 76 87 102 ..Ill 55 '. 83 15, 60 57 71 83 98 108 52. 73 20i 36 45 65 78 94: 104 48 77 25 26 59 73 89 -'100 :.'42.. ': '. 68• 30 50, . 6T .' ' • 84'. .,:96• ,,: : ' 39' .. -.`72'. 35' 40 61 79 9.1 31 ;i 61;'. 3 40 26 52 72 86' .. 30 66. 0 45 10 43 6.4 . 79 23 56 50' 30 54 •72 18 60 - I. 55, . ..1T 42• ..: ,:63. 12. 52 60 6 .28 :. ".53. .. 3 .. 54.: x'.65 •16 =40 ..45. x-'10 5 ., :. i 47 . 801 4. . ' .. 40 ', 90 100 110 , , • ...:", . .•;15:. . 120 4. .143 WE15321,1 208/230 9.2. 3,. DIMENSIONS : WE1539H , 4:6: 1-1:/2 80 "'WE1512HH 230': 1 `+ 133 WE1532HH 208!230 g (All dimensions in inches) 3 x (Do not use for construction purposes.) Fs 'WE153¢HH' 460' 4:6 t • 5V4 A FFLUENT EJECTOR SYSTEM -:';• ROTATION Package Includes: >, Di Effluent ejector system offers Submersible Effluent Pump, �� �t t 2" NPT ease ofi ordering and, lnstalla- WE0311 L,12L or WE0311 M, 12M, 81/2" tion A single ordering number WE0511HH,12HH specifies a complete. system Mercury Level Control Switch designed for most residential A2 -5 (115 V), A2 -6 (230 V) l a.nd commerolal sump aril Basin A7 -1801S effluent.pump applications Basin Cover A8 -1822 Check Valve.A9 =2P' . KICK -BACK Oder No; SWE0311L $WE0312L, SWE0311M SWEO312M; D' Y,,'h,' /..and 1 HP = 15" except for model WE0712H & WE1012H =18 SWE0511HH SW,E0612HH. 1'/Z.HP.= 1'8" . Available Certifications: S P °Canadian Standards Assoclalion Pennsylvania Bureau of Mines for non -face applications, = B9TE.91: ^•: �� �:�� coce,.icireTiniac eaE SUBJECT TO CHANGE WITHOUT. NOTICE. PRINTED IN U.S.A. ®1 Harry W. Nichols Jr., P.E. R.O. Box 252 Brewster, NY 10509 Tel (845) 855 -9275 Date: j I - ► 3 - 0 �' To: 1 Job No.: OB -OU(p 1 C Proiect Attention: Ac_ a r_ j cT 1 .& 'e (5 i p J Gentlemen: We enclose copies of XB/W Prints O Reproducibles O Specifications O Memorandum _ Description: F', 0 C_ • Reports • Copy of letter Sent Via: �ur Messenger 0 Your Messenger Copy to sc pG r-1 ) rr) O Blueprinter O First Class Mail O Hand Delivery O O Tracings O Revision/Date No. 0 Special Delivery Very ly yours, Harry W. Ni is Jr., P.E. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION. S.&6et Location 36 Town TM 1. Sewage Svstem Area a. STS area located as per approved plans ......................:.... b.. Fill section = date of placement 3:1 barrier Lgth. Width . Avg.Dpth c. Natural soil not stripped...::. . d: Stone, brush, etc., greater than 15' from STS area:.....;... e. 100' from water course / wetlands ...... ............................... . II. Sewage System a. Septic tank size 1,0.00 ....... 1,250 ......... other..* .............. b. 'Septic'tank inst l.......... .............:................. c. 10' minimum from foundation .... Distribution'Box 1. All outlets at same elevation -water tested....' .........:... 2. Protected below frost ................... :.............................. 3. Minimum 2 ft. Original soil between box & trenches e.. Junction Box - properly set .......... : ........... ............. ..!... 6. rent es 1..Length required Length installed 2. Distance to watercourse measured Ft........... . 3. Installed according to plan ........................ 4. -Slope of trench acceptable 1/16 -1/32" /foot............... 5. 10 ft. from property line - 20 ft.- foundations........:. 6. Depth of trench K30 inches from surface..... .............. 7. Room allowed for expansion, 100% ......... : .......... ..... 8. Size of gravel 3/4 - Ilk" diameter clean ..... : ............. : 9. Depth of gravel in trench 12" minimum....:..: ............. 10. Pipe ends capped:......:..:...::-::::.:::::.:::`:...:::':::..::....- P D ed S t Owner _ Permit # Subdivision Lot # -a• g, uann or os ys 1. Size of pump chamber ............... 2. Overflow tank ............................: ...........................:... 3. Alarm, visual/audio ....:...:........... ............................ :.. 4. Pump easily accessible, manhole to grade................. . 5. First box baffled .............'............. ........................... .I... 6. Cycle witnessed'by H.D.estimated flow /cycle............ v III. House uilding a. House located per approved plans..... b. Number of bedrooms .......... . ................ :............................ IV. Well V Well located as per approved plans... .............. b. Distance from STS 'area measured ft........... c. Casing. 18" above grade ...4............ d. Surface drainage around well acceptable ....................... V. Overall Workmanship_ a.. Boxes properly grouted ................. ............................... b. All pipes partially backfil led ............. ......................... .... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan..' f .Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ..............: h. Surface water protection adequate.. ..... .. ......................... i. Erosion control provided ................. ............................... Rev. 12/02 Date: // z Y o Inspected by: r9� NO I COMMENTS 7 ci; I_ .. - _ 1 /' l_ 1 G1 —0 557-:5 NOV -24 -2009 01:22 PM HARRY W NICHOLS 914 279 4567 P.01 PUT NAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEAlLT E[ SERN ES REQ1 TFS1 MR EIN.e.L INSPECTION For: Fill Date: _ 9 d .. Trenches PCHD Construction Permit # Located: 14 �yi�ifl��4� �GC9 (V) PA'T� �A Owner /Applicant Name: , ' 1'G' G�� ' • TM 91 $lock . ..1 Lot &D Formerly: Subdivision Name: P+r kP H L Subdivisions Lot # A 1060- 10" f Is system fill completed? Date: I's systern complete? Date: Is system constructed as per plans? Is well drilled? Date: ' Is well located as per plans? Are erosion control measures in place? 1w I certify that the system(s), as listed, at the above premises has been constructed and I have inspected and .verified their completion in accordance with the.' q4Z CFID Construction Permit and approved plans and the Standards, Rules and Regu . ate am County Department of Health. .S PIANO �T NEW . ga 0"6 Address ....� dt-t ' c. #.. 4'y a' Conirnents: FOIE: ❑ ADAM AGENT; (NAME) Form FM -99 Harry W. Nichols Jr., P.E.. P.O. Box 252 Brewster, NY 10509 Li _ ....... Tel. (845) 2794727 Fax (845) 279 -4728 December 11, 2009 Michael J. Budzinski, P.E. Putnam County Health Department 1 Geneva Road Brewster, New York 10509 RE: Individual SSTS Compliance - (Repair) -R- 277 -08 R.I.C. Construction Corp. 36 Sullivan Road Town of Patterson T. M. # 25.62 -1 -60 Dear Mr. Budzinski: Enclosed are the following: 1. Five (5) prints of Drawing S -1, "As -Built SSTS dated 12/10/09. 2. "Certificate of Construction Compliance for Sewage Treatment System ", dated 12/10/09. 3. Laboratory Report, dated 12/03/09 4. • Well Completion Report'% dated 10/29/09 5. Results of pump test, dated 12/07/09. 6. Application Fee in the amount of $300.00 payable to Putnam County Health Dept. If there are, any questions concerning the enclosed, please call. Very truly yours, Harry W. Nicho s Jr., P.E. HWN:jdm 08.006 CC: J. Petrillo Envtr m ntal Sera e , I= �' NJUOU 4YATER, SOIL AND AIR ANALYSIS 41 Kenosla Avenue I Danbury, Connecticut 06610 I Telephone 203 -798 -2229 Mailing Information: Name: Mill Drilling Co.. Address: 75 Putnam Ave City: Brewster State: NY Telephone: ISample's Information: Site: hose bib Preservative: N/A Temperature: <4C Date Analyzed 12/3/09 15:18 12/3/09 15:18 Sample's information: Client: John Petrillo Zip: 10509 Fax: 845 - 279 -5075 Collector's Information: Name: Russ Mill Address of site: 36 Sullivan Rd Brewster State: NY Zip: Telephone: Date Collected: 12/3/09 Date Received: 12/3/09 Time Collected: 14:00 Time Received: 14:40 Lab No.: J0909259 Test Name Result MCL Method Total Coliform Absent Absent Colitag E.Coli Absent Absent Colitag Site: hose bib Date Collected: 11/17/09 Date Received: 11/17/09 Preservative: HNO3 Time Collected: 13:00 Time Received: 13:32 Temperature: <4C Turbidity 0.47 NTU 5 NTU Lab No.: J0908924 Date-Analyzed Test Name Result MCL Method 11/17/09 Odor ND 3 TONS SMWW 2150 B 11/20/09 _ 0.153 mg /L, 0.3 mg/L. _ - _ 200.7 Re v.4.4 11%20/09 wManganese Sodium 38.9 mg/L, N/A 4.4 200.7 Rev ..4 11/18/09 Chloride 142 mg /L 250 mg /L SMWW 4110B 11/17/09 Hardness 298 mg /L N/A SMWW 2340C 11/18/09 Nitrate 0.366 mg /L 10 mg /L SMWW 4110B 11/18/09 Nitrite <0.05 mg /L 1.0 mg /L SMWW 4110B 11/17/09 pH 7.60 S. U. 6.5 -8.5 S.U. SMWW 4500 H B 11/18/09 Sulfate 25.6 mg /L 250 mg /L SMWW 4110B Sample's Information: Site: hose bib Date Collected: 12/7/09 Date Received: 12/7/09 Preservative: HNO3 Time Collected: 13:30 Time Received: 15:00 Temperature: <4C Lab No.: J0909338 12/9/09 Iron <0.05 mg /L 0.3 mg /L EPA 200.7 12/7/09 Color ND 15 Units SMWW 21208 12/7/09 Turbidity 0.47 NTU 5 NTU SMWW 2130B At the time of analysis the sample was acceptable for total coliform CONNECTICUT. NEW YORK AND NELAC CERTIFIED Toll Free 866 -JMS -5097 I Corporate Fax 203 - 798 -2408 1 Lab Fax 203 - 798 -2107 1 wvvw.jmsenvironmental.com I JJV1S invtronmentit Services, Inc. } � r WATER, Solt AND AIR ANALYSIS ! 41 Kenosla Avenue I Danbury, Connectlout 06810 I Telephone 203 - 798 -2229 N/A = Not Applicable S.U.= Standard Unit MCL- Max. Contaminant Level ug /L- micrograms per Liter Signature: Michael.Lapman President mg /L- milligrams per Liter ND- None Detected NTU- Nephelometric Turbidity Unit TON- Threshold Odor Number At I Reviewed by:: , Sharon Houlahan, Director State #: PH -0218 ELAP #: 11715 CONNECTICUT, NEW YORK AND NELAC CERTIFIED Toll Free 866 -JMS -5097 I Corporate Fax 203- 798 -2408 1 Lab Fax 203 - 798 -2107 I www.Jmserwironmental.com Harry VV. Nichols Jr., P.E. JOB No. P.O, Box 252 SHEET No.' OF 1 Brewster, NY 10.509 Tel. (845) 279-4727 COMPUTED BY _DATE CONSULTING SITE ENGINEERS CHECKED BY DATE jI_ i _. - - 1— - - - - -._ - - - - - -- - -- t—; — r- - - -� z —j T r °�•^'\ i �I A C�1 I ' � -4 ,•(II jF, .. -- - !-a -li ��_i!I_.�''- �IQ-- L= 'iF� - -"�! 4A–T.•D- '1�'- -- 1- - , ?! - ,,, --� iz"•"� _el._ —± -� � —� -- -- _7 T�.. - a„ s�- • --'«`` J F I. _T +pp '�R. i i ! 1 . I 1 i I I V • t i � I— I I 1 _ f ' r , • 1 i I I I -- - ' -j -- - i I 1 � I I 741 T, . i `�� : : 1 r— i.. ' I i i , ! fl i s i ,1 I �b� i ! i I I 1 f i Iry 99`Nl: __ - _• • F F I I I I up.PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF! ENVIRONMENTAL IIEATLII-SERVICES FIELD ACTIVITY REPORT Street Town State Zip T PERSON IN CHARGE UMP TEST 0. DOSE TEST REQUIRED GALLONS �W o T Signatur and it e DVD0Dq-i�cn- =TlMr% v. I acknowledge receipt of this report: SIGNATURE: 02 /96 Title- jeq/ N i IOD.00� O—JER5HIP 6F 20'x•loo' _.__...__.._.__., _.. .... STRIP �i •._.._ .... .. E ANSFER4W 7o AbUT Top, i I i . .r r i • r I l y -._ , mgr fax :5 _ 40 L F 3 n X11 som R. NGi 1 i, o Q 30 ,Ex 4- ,. I s� $ N 11 ro ui tP „`ej _0 _ ICI ENSIO �� CHARS'- (in feet) .. Number p G D P S4 �3 44 43 G; 4& 40 7 22 27 50 • 50 12 54 5L� t y 1'j ! e? Ali L W O 0 k I