The URL can be used to link to this page

Home My WebLink About1215DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.63-1-36 BOX 12 1 ru ' �iLr rg •� ' , �■ ,'V 4HLrri �; :- -r 01215 :- ter. 01215 k:. T1Ir. o & n,ss , John Rus cigno Owner or PurcFiaser of Building owner as general contractor (modular) Building Constructed by Southeast corner of intersection of BanRall Road & TSTr._one _Road Location - Street 3 bedroom su- o2lied thru CM Real Estate Building Type Town of Patterson - Putnam Lake Municipality 44 Section - Tad. lriap 1 Block 3 Lot Filed 1,4ap No, 149 -H, Lots A -419 thru GUARANTY OF SEPARATE SEWAGE-SYSTEM- A -423 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 trade 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 a.s conclusive the de- t.,rm1-nation• -of - the• -L•i.r:,- �,-t-e-rof -- the'- -DiV -Y S3 on - o-i'-�r'yhv�rom�ien�« Hea�trr-ve• ,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. G ti'E L QMRACTOR OI NER : Dated this y day of�1"` 192 Signature r Title 6 (If corporation, give name Si=natur - Sanitary Systen277ns a er and address) - Joseph - rcia, RD;�'2, New Fairfield., Conn. 06810 - - - - - - - - _ - --- THREE (3) COPIES ARE REQUIRED WITH THREE, (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE .O F 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 Vw6ww ROME 9 ol Tc;4 1 s• 17 LOT. -+I A (t9 TAx HAP .! •1 11 . , � 0.1974 - ++ SLo Lo T 3. APIR1,1' b. Axv T- TyU44T fNV" 0A UNII, ALT 0 ............ C-Te:D 7 3' IMIONAV.' 0 'Afi I �s (NVIRONMENTAL HEALTH ," ERVWX Evtsw DAM " :, OF F - 71� 13 P, —)w ST ur, '4 AWAT tost", GARc isrRi5UT DKG, p "i 1 3 4 Zo j .4 WELL -K Aft y S Avoy Tz. oe svls "K I I D '171.3 +.C' . 11Z Tt c -p 'an -a.' 1�,' ated on thi*d- 1 m: J,y 11.1 , . 1, . - L b yr Ms CK'Ve C ov 81 r s t 3""l "t, 0 tv m �l o—A A,, -B "M SEE#A(�.�E` Prr as *2 +.o 71� 13 P, —)w ST ur, '4 AWAT tost", GARc isrRi5UT DKG, p "i 1 3 4 Zo j .4 WELL -K Aft y S Avoy Tz. oe svls "K I I D '171.3 +.C' . 11Z Tt c -p 'an -a.' 1�,' ated on thi*d- 1 m: J,y 11.1 , . 1, . - L b yr Ms CK'Ve C ov 81 r s t 3""l "t, 0 tv m �l o—A WELL COMPLETION REPORT 3/7.1 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health. Services COUNTY OFFICE BUILDING CALM.E6, UEW YORK This report is to h.,-- ebmilieted by well driller and submitted to County Health Department together with laboratory report of _. an%?lysis of: water samr_!e. ndicating.water. is -of -satisfactory, bacterial qua! it-y- befcre-certificate of cc:istruct!on compliance is- issued:- I REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION -- OWNER NAME �/ 7.0/7w / Q asceG�%O ADDRESS LOCATION (N�o. & Street) (Town) (Lot Number) Of WELL - /� R"& o p�TT &SOA.) J-071A 1 A -q 19 l'Iw49 r� FJ El PROPOSE i7 l aJ DOMESTIC ESTABLISHMENT FARM LJ TEST WELL USE ,OF WELL (� , L_I SUPPLY INDUSTRIAL El El OP8 CONDITIONING (Specify) D.RIMING n�PCOMPRESSED rI CABLE OTHER ROTARY Ft AIR PERCUSSION 0 EQUIPMENT U iTRCUSSiQN (Specify) CASING LENGTH (feet) r�� DIAMETER (inches) WEIGHT PER FOOT (�/ j 0 jURI,{�E SHOE 10YES ❑ !��!S t=�G O�t� —' ONO DETAILS ', d•�� l�J THREADED WELDED NO L_J YES YIELD HOURS G.P.M. D YIEID (t3.P.M. _ TEST BAILED PUMPED COMPRESSED AIR ��% >c �+�J(%.r l WATER MEASURE FROM LAND SURFACE - STATIC(Spec /lyfeet) DURING YIELD TEST fleet) l — Depth of Completed Well LEVEL _ _ L - j G�li7 , %O �§ in feet below Land surfc,ce: !/,5 MAKE LENGTH OPEN TO AQUIFER (feet) SCREEN DETAILS SLOT SIZE DIAMETER (inches) IF GRAVEL Diameter of well including GRAVEL SIZE (inches) FROM (feet) TO (feet) ��! ly R PACKED: gravel pack (Inches):.' DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, la of least two permanent landmarks. FEET to FEET i CA ~ If yield was tested of different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED DATE OF REPORT WELL DRILLER (Signature) An /Q 11) 4 3+� NOTE -Tres :permit intended to super ' ]PUTT1,1AFfi[ ®�xa Division of rivironmof?d! CO14STRUCTOON PERR1i8,:FOR SEWIQ,GE : ®BS�QSAL SVS� - U tJ n di l & T. y npae Road Located at - Subdividion T,�lap- H of .`Putnam Lake owner Mr... John Rusczno. 3 bedroom: modular =' S lot Building Type, Lot Area Number of .Bedrooms three Separate ;Sewerage "System to consist of w To be .'constructed by t0 =b0 determlried. Water Supply:' Public= Sup piy,,From t Prrvate'Supply to be du lied .' "by_ t.0 `Other Requirements aS per orinaa 9 d_nd 1'� 1 represent that I am wh_ olly "arid complefely responsible forthe deif above .described will be constructed as shown on the approved'amend County - Department of Health; .and that on completion thereof a'( be submitted•to the Department- 5nd.:a written guarantee will bi place an good operating ,condition any part of said' sewage -dispc anc4 of -the approval . of` "the Certificate of Construction .Complia will be located as shoyvn,on the approved plan antl that said well will a County�Department of Health .= , a .oate 66tob`or 2�1 °s 1973 signe ;Address :,Milltown Road" .APPROVED FOR CONSTRUCTION: This approval expires one_.ye revocable for,cause or maybe. amended or modified when co er rind- a ne v per It `Approved for disposal of dome c sa a .,. r�Y Yt .mN <w• za �v x n . •. z. n. a •.+ . w .. , +� ..n"a"7< r.r x ...,.,,,y..m ^. .. . :"f_ 7:RY ... .ede one dated 11-20 72 under same name _ ? t��A.RTMENTI'QF -HEALTH, al th. Services, : i tir % N Y. 10512.. I Batt e rrs-on Put n.am Lak e n T w r :village . Map 1�s� rR° Section Block l I t_ot; A °-419 thr-u Am.:423 Jon I Address 872 Rosedale Avenue a23 Ad. Bronx NeW York j 1500 or l To , le S e S e Fe t{{ seepaoeFpsl a xe 9el Septic 'T;ank Address - "f - I location: of the proposed systerri(s) I) : that the separate sewage d' isposal' system . y here to and m accordance -with the standards,,rules an _ regulations o e' u nam I cats. of Construction Compliance" satisfactory to the Commissioner of :Healthwill ihed the owner his succeisors, heirs or assigns by the builder, :that.iaid builder will ter during the period 6ftwo�(2) yearsi'mmediately following the:date;of the issu- -the original system or any repairs thereto; 2) `that the drilled welFdescribed above . illed i accord ice with a standards les ;a r' ula ions of :,:the, ;Putnam,' a _ , _ RA. Breyvs :er e "YorkC,I0e5��. 4395.2 I_the date issued unless'construction of,tlie building has been undertaken and is sary by he Commissioner of Health Any change or of construction } age ter supply 'only Title NOTE: It is intended triat this design data sheet be used to'augment• data sheet previously submitted with original proposalill -72). PUTNAM COUNTY DEPARTMENT,OF HEALTH DIVISION "OYii TiTRONMENTAr: - --_ __:.__ ..._._.... __.__..._.__ ....... _..... w ___..__........�._.._. HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE Owner Mr. John 'Ruscirno anga Located at (Street) T vrone nicaE SEWAGE DISPOSAL SYSTEM ,FILE NO. 872 Rosedale Avenue' Address Bronx New York 1— 1 e p - Roads Sec. Block. ;� .. i .Lots A -419 th.ru A -423 nearest cross street) Municipality Patterson - Putnam Lake Watershed Putnam Lake SOIL PERCOLATION TEST DATA REgUIRED TO -'BE SUBMITTED WITH•APPLICATIONS hole a'coRrsQ_ sand nature and of necessity, Number CLOCK TIME 3 PERCOLATION much PERCOLATION Elapse Depth to a er Water ve No.' Time From Ground Surface in'Inches Soil Rate Start -Stop' Min. Start Stop Drop in Min. /in drop Inches Inches Inches. 1 Per witnessing of deep hole, material in bottom of same was of 2. a'coRrsQ_ sand nature and of necessity, in my professional opinion, 3 havih, a much hetter percolation rate than that yielded by 4 r,P »!+(Hating the 302 ripen tost holds 'Th'Prefor tha s owar rate 5 near the surface, per design data sheet originally ,submitted on 2 3 5 Notes: 1) Te,gts to be repeated at same'depth until aroximately equal soil rates are -obtained.at each percolation test hole. A11 pp data to be submitted for review. 2) Depth measurements to be made from top of hole. '(Vo:��nbar - -J- 912.- -- -would `f� OtTfSi `i1..,. :... :a1Zd.._S�IU'CilC� s 2, design and calculation - purposes. Therefor use-6-7 minute rate. 2 3 5 Notes: 1) Te,gts to be repeated at same'depth until aroximately equal soil rates are -obtained.at each percolation test hole. A11 pp data to be submitted for review. 2) Depth measurements to be made from top of hole. * e TEST PIT DATA REQUIRED TO BE SUBMITTED. WITH APPLICATION DEPTH HOLE .NO. HOLE -NO. HOLE NO. 4811 CLZ s� 5A 1,Q MsTo ot. G.L. tau �lw:p V4'( 5411 VOPSOIL iosr tm flied • V '3>ky 6„ � � 90, 12" DAWGI:S Mo4 SA oJ: two 1811 sAMM Y Lo4w ma ur�ng une oriin was. ao2 ., 2411 P- _T _ - to verify the suitab.ilit.y .of _- installin 0 off, 3011 at SA WD f Ai PoC em +rat- t-;me by hoth the 1inderG fined' 8 „ )W R -�a 3611 EHT e )20" 'INDICATE LEVEL AT- WHICH GROUND WATER IS ENCOUNTERED- not encountered - dry 4811 5A 1,Q MsTo ot. 5411 • V '3>ky 6011 � � �1�D &3 Cr=- o� 6611 DAWGI:S Mo4 Note: -Deep Hole in addition to two ma ur�ng une oriin was. of 1973 7211 P- _T _ - to verify the suitab.ilit.y .of _- installin 781, COARSE S � pits. Said hole was witnessed at +rat- t-;me by hoth the 1inderG fined' 8 „ )W R -�a engineer & Mr. William Hedges, EHT e 'INDICATE LEVEL AT- WHICH GROUND WATER IS ENCOUNTERED- not encountered - dry INDICATE .:LML i'O WrLCCH WATER LEVEL RISES-AFTER BEING-- ENCOUNTERED m TESTS MADE BY De TTaln ba J. Garnia New Fairfield Date June 1973 ±Soil -7 • (Jesi-an used DE31GN Rate Used, 6-7 Min/1 "Drop: S. D. Usable Area Provided yes No. of Bedrooms 3 Septic Tank Capacity 900 Gals. Type Approved Absorption Area Prodded By xxxx xRaW- xxxxx��xxxxx� hx -�x m N_ 3 seepage pits - 6.54 diameter,�6_ft. dee) ,Jy &M or ^equal hesee eale ration ARTHUR P- MC LAUGHLI,N Address PROFESSIONAL ENGINEER S eP 'Pir JP 9G N. Y. a jlo THIS SPACE FOR USE BY HEALTH DEPARTMENT,ONLY: 2 LU N Soil Ra te Approved Sq• Ft /Gal• Checke \ z ate ARTHUR P. Md iAU, ''4LIN PROFESSIONAL ENGINEER MILLiroWN ROAD. IM NO. 5 (914) 279.6986 September 20,, 1973 FIELD.CHANGE, - Sanitary Disposal System for Mr. John Ruscigno Bangall & Tyrone Roads - Putnam Lake - Filed Map #D,1479H - Lots A-419 thru A-423 REASON FOR CHANGE-- Building inspector for town of Patterson rb r .qui . e I s driveway to service dwelling to enter off Bangall Road. 'F6undati ' on in 'place'.,: and with installatioi of driveway, insufficient area is available for conventional the field system. ADDITIONAL DEEP HOLE was dug., and witnessed by Mr'O'Hedges, E.H.T. when'concept of seepage pits was proposed Percolation tests indicate t.4at'th6 original design rate of.6/7, minutes per inch is satisfactory. POSED REVISION TO PLAN Replace tile fields with three (3) seepage pits @ -,PI-6 11 diameter, and six feet deep'(M&M). Additional space is available for' installation of a fourth b,kpansion pit-when Warranted., although the system is overdesigned per state standards. CALCULATIONS FOR PITS: M.19a_1ZA.TF— 1570 SIP' ABSORFT'top Ptk . E +5o SF '6 Pirs C)9.6+c) (IkLt.Ow' VNO-rT0i" AREA 111'A 4-5 x SPITS 1. iz G Liz VEEP—jf( I ;K1 KJGS STACk!E-b WILL SokT/SpAC.;�t_ GXPAMSioN - RE 17 1,3Y 5 WASTE -M c- A-rm E71,j -r . H A, Vj:P (�i 0 0 K 1KM1\jia>VAL thous iFHOLI> 5YS. -rem S P I5 Ab M1W P V;I C44 \-D i-T 'A Po U 9- 1P rr-s I, GAL /S Pr/-r>A �- x 60% 0 U �fz 587 sp: To Whom it may Concern: ]. This is to certify that I fully realize that my well and:.septia are :not.. in full compliance with the Town Ordinances as to ahe distance between the two,. (The above note was as previously.supplied under signature of, May 20, 1973:) Further, I request that -.a variance' be granted, per the original intent, to permit me .to 'locate rry se,�tie. "system to within seventyfive feet, of my own :wsallv.° l hn Ruscigno i Rusc. i no _ _ 7 weer ' 3 H 7 A . � 4 x- a�7-,— �n i • ouse plans tQ be�submitt;Bd Buiiding. Type- Lot Area; _ i r a "„Number ' of Bedrooms 3 or- '-less •`Separate Sewerage' System to consist of -900 :( To be .constructed by to.� be .determined.. _ rWater +Supply Public Supply From Privets .Supply to be drrlletl .by Address: Other '.Requirements• - Pei' notes, on plan jl repre'sent that 11 am wholly and completely responsible„ for the design above ,described will be constructed as, shown on "the °appioved 'amenilm County .- Department ,of' ,Health, Arid •that.on_coin,pletion tfiereof be submitted to 'the �Qepartrrtie'rit', and. a written ,guarantee will'�be: t .place in good operating_ condition' any part of `,said -sewage dispdy5a orrice, of, the approval, of °the Cerfificate "of Construction ,;CompHanc -will be located at,showmon the approved plan and:tfiiLsaid well wrwpoi " County. Department of ;Health;: ;r Date No�r_ember` 13, 1972° s, ned ,Address ";APPROVED FOR CONSTRUCTI This approval expires one year, *revocable for ,cause or .may tie arriended •or'modified when consitlere8�r requires,a new - permit `Approved f^o�r disposal of domestic san !� 2 1Date IBY `�_ 1OLS ,"_t`U.,I+Z181EI1 LLiKF7 $I.Yj.Jt',.U�..•, v�t;"✓J KC:t't7� 1VVV V1 . T.otal Habitable: Space . _ Square Feet if .-Septic Tahk,n 1- , nea,: feet x. 3 �� width trench Address itl location of- the proposed:. °system(s),; }) that the separate sewage disposal system it- #here. to <and rn'accordarice'w,ith , tKestandards „rules,an regulations , e u nam tificate of Construction Corm iianc&, satisfactory to the Commissloner of Healthwill rnished the owner -i is successors, heirsor assigns by the builder, that said builder will system d M4 the_,period- of,two (2;j years Immediately following thedate of the issu of •the original system or.' any- repairs;thereto; 2)'that the'drill'ed wail described above rstalled' in ac- rdance7 w th the standards, ruler a d regulations of the Putnam r ; s a � P.E._ R.A. �.T. License. No. 4952 omthe date Usued - unless Construction of ,the•;bu lid ing., 'has 'been undertaken and -is cessary by the Corn ` ssigner' of Health, Any change' o.r'.alteration•'of construction age, and r �prr to ater $ppply only r ° ° YC �..__"__.. "COUTJT'Y -DEPAR NIIVT - - -OF ZTH� DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, . N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Mr Tohn Rt�sci_gno Address 872._Rosedale ' Ave ,', ` Bronx, N.Y. Located at (Street enal& Tyrone RdSecF :, aBlock Lot A. °419 thru A-423 imdicate nearest cross s ree Municipality Town of `Patterson Watershed Putnam Lake SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole {� -- I E- �-5� 9 �.? S 2 2 Z J Number CLOCK TIME PERCOLATION 11-)m_3 PERCOLATION LS Elapse Depth to Water 5. Water Level No. Time From Ground Surface in Inches Soil Rate 5,70 2-1 Start -Stop Min. Start 's"FS -r$ Inches Stop Inches Drop in Inches Min. /in drop le- 5775 Std°• Ve.ATE7 e6 0zC: Z4 3 3 VA E5T1 0° 5M -30� 530 2 Z3 1 15.50. 2 e I' �- 07 i� .9 2 22 2S 24- G. 0 9- 3 {� -- I E- �-5� 9 �.? S 2 2 Z J 4 0 11-)m_3 ��, 05 2.Z LS 5. EA sr 1 0- 5"- 42 S 5,70 2-1 22- I 5.70 2 0 le- 5775 i zi Z4 3 3 0 14"- -1 s 1 C5. &$ ZI 24. 4 0 14 � ET55 24- 3 (a.63 5 o- Zee M- os Ws00 .i �+ 2 3 in 5 Notes: 1) Te'skts to be repeated at same depth 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 - ENCOUN` ERED-.IN`TEST HOLES- DEPTH HOLE N0. )A)F-ST HOLE NO.. f qA G-r .. HOLE NO. G.L. UacL1SA,%e D LOT 6" Ric" 'T'a so I L_ 12'! oe"�5aei 1811 L ° A - 36 Lo a'" 42" LOAM 48 I� aAti, 60" CoA C-5 AI . 6611 S TRA" Q E 78 A/ Vl.// %Zl� IV Nl:-. /;.1 // \\// \�// \\ 8411 tip l Lg—VG. L .. �Y �a o� 'INDICATE. L AT, WHICH,., GROUND WATER., ,IS. ENC,OTINTERED ..° INDICATE LEVEL TO WHICH WATER LEVEL RISES :AFTER BEING ENCOUNTERED ��'�� u °"• $ aT °2M ,TESTS MADE BY SEEP SOLE -- . wa-c ..-t'( 1, V ALL.. Date t40'v_+,.157Z -rIou TESTS - *a1a4v -A'st- P?I A- ` AUGt t.lQ tJou It) 7Z DESIGN Soil_ Rate Used 6-7 Min/1 "Drop: S.D. Usable -Area Provided 4-50 SF No. of Bedrooms -6 Septic Tank Ca ity X00 Gals. Type co,ac•p.eTM Absorption Area Pr— o By %s 0 > '— .. ✓ ..width,trench. t yo /Other QpTRICr( h1L", . I .� name - ;Y 1 c T, e G Milltown Road � 0: ..: r Address - ¢ w EAI tiAk z in tom. ,rn, v � THIS SPACE FOR USE BY HEALTH DE ` ..� EYE. Soil..Rate Approved Sq. Ft /Ca Checked by Date May 30, 1973 To Whom it may Concerns This is to state that I fully realize that my well and.septic are not in full compliance with the Town Ordinances as to the distance between the two. U X4�-, o - 1-36 I SINCE GROUND SLOPt E XrEEDS ,.v, AREA AaSAC£NT rO PRoPOSED DRAINS ROOF GOT T` BE DIRECT E9 Aw AV' FROM SAN 7' ._.; F'•. e ACCESS rO DWELLIN eNCROACA INTO TANIK OR DISpO ;:, .: ,. PARTICULAR CART:' 15 T'o RE- . .. _ ..... _..TO. AVo tD Etoc ROACHING ON .. WELL AS .Du1E LUNG , R. NOOSE L.00ATION To BE IN C REGULATIONS - PER OWNER 'ro Tv2o�JE PERmtSSA3LEl aROAD. - ROAJ c (j01 Ln FA `` r NSrvN\ � /.�1 `OO .. TANk r. __ t AS � �Q•b - r i� ?� ui j Pp CL' f, c. M Jt 'I rN 1 f M - pN ~E 4 MOD ENIx• C3) I o 3 (�OV� D C�. 84' $EDROOI, p 24 ; w �._ 1- j �� sZ k� Vrtt� �4 ; ` µ+N. Sl:DI�FNS10 ` -�2A H'M�S (,r�'rC�• I 1 `- - LLJ D 9y Il �< « o� °Vv 6 LU ? y 1, s r PART I,E.VkL -A Cr$ R E IS TO 8E PA 1'D' ' TO ?6 0 'TkE .CASlniG. FO M, T T DR VL1_E'D WELL < 3! u PR Ec►.uw� _��. E NT'R AN C� pf �vnr t;.GRay.N� :WALE f3 Tb ' WE'LL . Y r