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HomeMy WebLinkAbout1218DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.63 -1-47 BOX 12 01218 try ,,. -. , - rr rr ; L r �! J ,i r '�� , T :6 r ,, i' ,,� } 01218 PUTNAM COUNTY DEPARTNMNT OF HEALTH �; DWbilon of PwhoomenW HeaNb Servloer,:Caemel, N Y 1051] F.ngbeer Nlaut Peovlsle P26 8 4 � FC H D re=mit M } ! TX OF,CONSTRUCI70N COWUANCE.FOR SEWAGE;DISP-OSAL :SYSTEM T Patterson - Town or VMege Located at Adrian & Tyrone Roads T Map 25.,6 3 0&. 1 Bonnie &;.James :Daleo' Putnam Lake � Owed; /ippliciat Name � Formerly Sabdlylsloo'.Name Addees 1'21 Milton Drive, - ,Thorriwood,NY 10594... Subdv., Lot �� = A433-4 &460 -7 Incl. osed], Amount $200 00;, Permit `Issued. :8 /4/92' Fee Enc3 Date l Ken Travis Exca�at U Dover Plains; N, Y,: 12'522 Sepafate SeweriQe System balitby Addreaa 1000:' -1000 Gal. Puinp Pit' w %Pump, 342' x 4e ;Consls/bsR'ot GiMd, Septic Tack sad Late,rals,, in '0"1 .deep x' 4000 sq: :ft.. R —O =:B .fi11, section., - Wate Supply: i °PabUc Supply Feom Address Andrews Well DriYl'1 LaGrangeville ,N Y.. 12540 on PrlVate Supply DrWed by�teae 8 Y e Frame Lot'; Size 1.15Ac. Has' "Er.osion Cnntrnl, Roan Cnm„lpt Pd_? As Required Number oi'Hedroome'.Three . Has; Garbage';Grindee'Heea InetaUesiY No Otiose Requirements None;' 'I cartify,. that "tha sytem(s) -.ae listed'serving the above premises were.consiiucted. essentially: ad shown .on the,plans of the coaIplated roik ( copies of.,vhich, see attached), end iniaccordance:biih the standards;' rules `and.ieguiatione', in accordance with the filed plan, and the permit Yesued by the Putnam County ,Department Of Health: oai• * 'September 1.9.92 c..iifled ey P.E. X a.A. RD9 Fair St'reet,,.' 1)iel, N.Y 10512 29206 Address LIC•nas No; Any Person oeeupliirig +premifos s•rvq,py the above systsm(s) shall promptly take fuck etiori is ensy 64 mcessary to'sKm the correction 'of,any uhsanitary eoriditbns r•sultiny •frerti: such usage.. , A'pWoval, of the' f•i "'t- saweiiq• systim shall become null ind.vd)d as soon as a Pubt;: santtary sewo►.,b•comes avallipl• -irnd. the approval of ;thi Prirat4 wat r, suPPly shall b•coine null undid veld vrMii ;a pubilc vritor. supply beoonw aviilabW 5ui li approvals are subiect to modifkatbe or chan0• when, In'tM,- )udymeilt of ttii;- Commissfoew {eof: M•Nth; ,ach {•vontbh. n�odlfkatbn or change b naeafnry: 3/89 Cats,_�°,9 ��'ia ey �"_., Tnl. O°/ PUTNAM COUNTY DEPAR7.V"r OF REALM DIVISION OF EN UONMEWAL HEALTH SERVICES James & Bonnie Daleo 25.63 -1- 6/10/11/12/13 & 59 -7 Parts of Owner or Purchaser of Building Section Block Lot4.1 /4.2/` 49 &48 Owner Building Constructed by Adrian & Tyrone Road Location - Street T. Patterson Municipality Frame Building Type Putnam Lake Subdivision Name A433 -4 & A470 -7 Subdivision Lot # GUARANTEE OF SUBSURFACE SEWhGE 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 sys°trii;' exc2jst -where -the lurE -to operatea�coper?.w_is... __ caused by the willful or negligent act of the occupant of tie building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director'of the Division of Environmental Health Services o t e Putnam County Department of Health as to whether or not the failure of th t:O caused by the willful or negligent act of the occupant of din the systems Dated this day o /`fuEzUSf 19 Signature ;ritle 1r �ks VQ $xT General Contrac (Own - S' nature '#' C' /t STS C C/�r C j�p�nc S i vac— Corporation Name (if Corp°) �- Imo✓ S' ... . Corporation Name (if . � Ad& ess Address , �— 5 `( rev. 9/85 I MINE NORTH AMEMCAN LABO RATORE ES, 0 NC . _ 2 ANALYSIS DATA SHEET COUNTY: Putnam LOCATION: Castle Craft, Putnam Lake d%o 14 REPORT TO: Andrews Pump ADDRESS: o c F Wjj kZ Otz , U G. CITY, STATE, ZIP: `�t?Ew�T�cz '^+•� to5Oct DATE COLLECTED: 8 -26 -92 TIME COLLECTED: 2:31 COLLECTED BY:. REPORT DATE: SAMPLE: Andrews Pump 8 -27 -92 DW 7547 _ . SAMPLE SOURCE: DATE ANALYSIS RESULT UNITS METHOD ANALYZED Total Coliform Absent COLILERT 8 -26 -92 THIS SAMPLE AS RECEIVED AT THIS LABORATORY MET THE REQUIREMENTS OF NEW YORK STATE DRINKINGWATER STANDARDS. tory Director NEW YORK STATE ELAP CERTIFICATION NUMBER: 11218 618 CLOCK TOWER COMMONS, RTE 22, BREWSTER, NY 10509 / 914- 278 -7600 / FAX 914- 278 -7754 7 -77777 0�-' - LSD. 7�- 1�c�an� OakM ,H�T DEPARTS „T �j DIVISION . OF, ENVIROIIEIAL HEALTH` SERVICES John m o Sinponso M °D'; Deputy Commissioner of Health.T - FI_ELD ACTIVITY,, REPORT - Sheet of ' - INSPECTION- NAME / Orig. Routine. (� � Or Alai g° Cam n ADDRESS Q " 0� ,. Oiig. Request No Street: - Tawn ,: Noo Ccmpliance Camplaint Canp " .MAILIWG ADDRESS Final P 0 :Box Post Office Zip Code :2 Group Illness • n Construction TELEPHONE :., Renspeetion PERSQN IN CHARGE :Field, Sampling. Only 5 OR- INTERUIE TED: - Field Conference_ _ Nam and Title ` = . - r Other F DATE ; ... . TYPE; ,FACILITY TIME'•ARRIVED �.� `'&0 TIME LEFT � � t9 � Explain f _ FINDINGS, . lU a = dam- , _ _ /��J n to y VL YYiYI _ _ - IR1SP R ° = ° ECTO: TELEPHONE ° - .. ° Signature and Title - PERSON IN CHARGE OR !NTERVIJ�ME •:I acknowledge this Field' Activity - Report° -SIG%T[JR:Ea t Y TITLEo PUTNAM COUNT. O f RCg2y2v�oQ NOVEMBER 15.1987 I �t�(AtiD��./ I 0 ' 1 126.60'' 'set O �y • C.:'. .+,• y' -..yt- 1. ltd:`- _ Q -�Y co N O !0 CO -tr0 "i.:�:.::£.i •.l �� -0 I. _� .Y s 41.'_3. ,•'i;{i..: _ _ _ 127.32' ', - ' ^� ' ? � -s ... I _ ; PUTNAM COUNT. O f RCg2y2v�oQ NOVEMBER 15.1987 I �t�(AtiD��./ I 0 ' 1 126.60'' 'set O Q N co N O 6 !0 CO -tr0 ser LOT A530 HASERSANG S84 °3p'E �� -0 I. _� P Z O 127.32' ', a' ;, = I I lip N/F 0) U_ y 1q a tv M 4 329 10 I LOT A492 °' I / MART /NEZ 4i N84 °3 o try OCU V. V' CO _ 4 528 1 M J Zp s� _ p- 0 �'{{/ LOT A 469 M 0 Q�J w !ry w� N !00• \�p' FA 447p - - mom_ 4491 - Set .589° r n m .1422' A490 AREA 4 6 3 - .'CV 1e.s6' !P Fq 4q7! IP ? Fd .•_- - ' .45277 W 97.96' IPsser 0.202 AC. - -_ aho I:�_ �-- ___�°, � N05 °30 n E 12.16' f 18.56 rry a I I 1Sa1S86 04957 °W J rr u 101.15 IP t/ " -_ N/F NOT 050 °W 1 LOT 4489 set I � pl vl - ' -- 13.46, 1p _ MART /Nf_'Z (V 12.16 14.20' 4.00. I \ �f ; a t _ = A473 AREA 1 16.00• �0 0 0 STANZ /ONE - -- 0.596 AC. o__ C A474 0 � LAST A 435 S81°OB'W • A475 Tip — —_ 1 d. A 434 - � Q ' to —__ _ -- -t' --- Q A476 = lip A 433 Set ,(� M� v� �� W^�ei Sv�Ve� ?set _ a a77 N82°IO'E 125.00' 0 N81 08'E a LOT A432 �. _ r ! ov ai� /1 -f �1- .,:'.'''. -- - 1 Q = A478 ?}�,'F a IP Set a. - ' Q 1P .: A479 E5474T�.: 77ti�. 0 3 N/F (" ''• Set `� IP O PATAKI4Y 582 °10'W 125.00' set _ N 480 AREA 2 N o SCALEtI ° =40' a ra 7.�3 .,48, 0.122 AC. - -- - Z SURVEY FOR/ TO SerS8So56,rE N N Iionn e 9,jq..,es D91e0 �EtQFIN,lvy 83351 43 s4 Q -- TOWN OF - PATTERSON f.M'__`' i - `5120 e 2sr o 04� �- PUTNAM COUNT. O f RCg2y2v�oQ NOVEMBER 15.1987 I �t�(AtiD��./ I 0 ' 1 126.60'' 'set O Q N co N O 6 !0 CO -tr0 t . . Z P Z O 127.32' ', 'Set •I jl i t. TH;S SURVEY IS 41.4;'1R.'Al:. AND:CORREC r :aY: uCZHLU `;L. L I MN 1 wn°o1NGSRS FALLS u N all in WO l r ' Qj bo I ' c3mo c: E=kw..9 win= coastrNCQ09.o9 'C,� =n,oa Yf7wo vo avm',m ucco►Gmncu C71Yn;,ma uxanwFalu, rum aPm mum,piton4 oY, -vno 'VWMJM (�cPQt,,_@�;_vQavw�Q ri�P OP~96dfa, oR�1;Q4aoQ oR c�1�QtaRQdec�ao4 a "Crr¢iQbsoQO oP Coc�PaieSiow tolc�ffocaso" C?QftiPOSQOVb Qo 4lto Go`evowlt�vtia'o4 fPp�ntpE.7i10 Ca > c�t]Re;7 Q® 8R�': vQW afl, oR®,'o t�PIQQaa f�oovow400 ivtll (�o PeePAi46 1 tPeo awn Af4 rn¢� $ aoG4 a� 04 shR6 ®b ,QAO f ]iC . 4oboQ Imo ®ojmci tan ov=`i��l ext�o �+rol 4ye3owi ®uat►q.¢Bao tx�►EL�I oP Be�QBg ycxg;EcR�9bRO0y P®ags�k�,eb�®o4b oP QWO 6eae- 00',Q wC ) "op 3ti1 ;(7P R4_- Q:c • mm-a 6 07 CDoc Vu9aIZ :gOaw 4 QL ^w7000. 8y"UROV mo CVGQ'I J r roQO ®OCLDf ]:o o c7a bo evzo �)s 64 occM.0m ORO qO ,(ono ow tumt ejes cio00 Y7f10 Wt44o1P w IICQ®PC7Raq a 6QA QAO' rttoc )acdq" vub4' oc� :Pc5e 4 'oP' QAo. �aQRaR -. .'`. r, RD9 -Fair :'Street C e1 =N- Y '" 10512 ~ 6.teo►o4o o `" fi1 29206. AC}?Gt ®bfFQ) ROW C�S4t91J4,0 ®q�4,ta84 e?DI oatagoa sctr PPOPdO Qpo @e4o i YenC�II4 Cow48vuCQEOR o4 Q410'(PIlflFlfliq Ao4' 0a»R ucelCaQOtiGi`OFiO 14 ,....PG,u :66tb'PW PAmp w47b, T1 W,I, 6aG , ®P 4'uSII.'°IOPN':I gi�ho6Y<CmR4t�C7C:1 Rf7L04�'9IPjJ (aY QPO „C ®PGIP�JiII9E ®nOP op,:: o-acicQCi...Any �s o ov �oo¢cPoQton.' o eona4ru"n i�ba4 �►Rla. A(�ns�l P6a- ,aEi:®P !s G'�Rt1Crb t0 oc�1/o?; gvMo4o rfaQca 4iag0y owly. .. . Rev. (aoQO L=, OC� YIQb ou ;or - •aoa M MM . MO rIM Cat . Oat QilSW 'V•O,3 Ar UrnAL is ii tni .. nt. taw ai fai atom . titiiloc airi to the CanmMOMM'of MooltbwUl o► onignsaby the buNOor; ISM YIN OuilOO► will oars Isno "Ist'"y followills tin "to of the Now Ilwatoi 2) that the Arumd wolf Nsa 4" above aiAy wla;iaO.rNTa ns�of tAO, 1rtMm -- - -.' 29206 APPROVED' FOit .CO POST 111JCT1ONi TAM N0►0ui1 exii+ a two year ; roira t dat ,_itww0.;unkirs conUructkie of the buigkN'NSa been undertaken and i1 MnocMM or cayn M nnoy N oiv n or modified when con y :11V the C rnlgioner, at Holtk, Any clrnN or.altoration of construction Uve rONO-ft a now m ANrorM /Or Mlibomil W dorMalk a /Q, /to- viiiw auoply only D Q 10/88 taaa 'f Av Tithe ,. u�vcl�yuty�iva _,rwu¢ r;,gm.w�uo oca�io CxsPiii eyi01 � Q7IDa+ G Ca' SNP aOQtro: P % C7C;7 b umac6 o6 'a7cc @S7 fiac:'�n4'®4 4w d6w, ... 23:' June`.15 Z 6MOb(EWVOR COIb$41 vcmwWO ¢od. comM 4w. m- Ov, . a�uLacxt n wxn 'P�000i¢_ _L l x 5.0' w...:x _ 30" D .:('Primary 380` + vds.) Expansion -R: O. B, at Poa,¢6►o ®oet3in oPF� iaeAeioPa oo ¢Pw pvoiyo 9 sy om(e)n ,1�, 4ew4 4A;o s Pti¢o..coc,ag6 ®Ii amE as/a¢om l n� t l r OVC� t)HIOY1mfi1Gro14 eawoCl e0' aoe9 •iN t)CC®Pfek11f00'Gi¢h e¢a 6¢OY161CIPa¢II, ►Y100 a 9)i , 8 y.; .. e ¢coovoo@ a •!Cco:¢i¢txo¢o o ?. CgASSivus@i ®ce Coe�liocam'•, e�¢iaPOS¢oPtj Bo eFio Cormw�isst�}sPe� 09 D9copAr�tu 1I1S t3 ta¢oo will' (Aq'' @uvPilsRO� ¢PO oeywcr;, Aio W¢o�L aid' woe7a oL3gao0 �y tioo ll�elCSa, ¢PoO¢ mu Omie�a t�110 at i on xEasl 09 @r {8D yeas tea )b¢oDb 4oT.f., tij @ Gb@o — ¢iao,p �'ar owy wpbs ¢r�o¢® 8y QRO@ eieo:®Palod i�mlD a�m� olio o'` GrBQPo `@AO'. �iac�lovGl6. vaepa .tiiaa@ aqd ws 04 @PO t?oi@pogn 10512 ; , ,, 29206; dieorrsa P40 unions eociarudWi o4 .tho Duicsing has bm6 vro i6 to<xcn uwd w miswciipP,. of Hc6illk ,any cMi*o of altua¢ton o@ condr etton to aroeoP 6601V owiy. I. represent 86640 disci County - De -be',iLtimitti in ,qc ance of thi wilFbe loca ed as shown on a apprpved,arnen irent there to�an ill 66:cofistruct 'd*ina,ccordan . ci with 6 , d , " " . , -, I - iti :of Construcii'cik,6om`plia nt of Health,:, and that on icimpleti6n theieof i --Ceii`ific' t "Department - *' � ' a,4vfitt'�h guarantee I I '-­ " ' a he,owner .' his'iuc; he. a will bl,,,4rniShe t ,i-jand -22 , ihi". -County Department of Healtr oats 20 8 APPROVED 60VE04 (5W*c(jN,ST U( revo f 91r.0.0e or �may.*be Jeciqires a new iiiermit:: App Rev. 1/87. Cerimiaiie 6f'Cbnitr6ction <'do6i6l4nie'ofIthe orig'in'al-l3gstiiii-bi;ariy.r,6F ,approved plan and that said w. oil wil ta , 1,14d ',n,* corclance with" the S ign. id Address— 9., '" d eet� MON This 16_ 6roval -exp0es two,ye ars issued unless coast amendld,cr modif i ed'wher-60 si a — ('necessary, -b' the ";Commissioner, of roved for disposa of 4 0 s i r' evi and/ riv 'Water ur ev . s);,'I) ; lhat-,the.sep . arate, . sawagildisposal. system -- j • and r"u lat ions. of r''M t ill satisfac-toiry toIhe'eci Immisslo.nar of Healthwill initial j!s:or.aksigns by the builder, that said builder WJIIL i. years 'Innniediati ly10 I IloWing thadat 6.0f llie„Issu- ins'tall s�thjrejb,`,2)Jhat thi*drilied w6l'l'.des&ibed`ib'0vi,, i nclaqLsirules and, r- d "m afro—ps'-of, 'the,'-Ptitnam ation. p. A.A. License No tidn of the bdilding has'beah undertaken and Is imlih. 'Any change or alteration of construction 1:,onhy. 'Title Engineer tbe, PC Provide n CERTIFICATE CE CATT. dF-iJ6 _ Piarziflt # P-26-84 NSTIttichoN PERMIT FOR SEWAGE DISPOSAL SYS:I`Ek�, ''Patterson 'Al , t Y honied at 'Adr> an &7 TyroiI6 Rds � ! S, A ­3 3-, A41'0' Inch)) 59 13-& 6 S�b�dm Name Cbd. L.t Map:- Block-Ioi . Renewal 461 MAVIS Min044po UN, Van 1Sktib 1 I-C'S' c/o -:.t-h -146k e-'l6,n.z',:, ks'q Date ofFreviou'A' 6, 2 „ Renewal Brewster, 10509 ,Rte 6 IkIIlft9 Addiiibai P=. jt - Frame .-” Iot -Ares - i Banding -O Three 4 Number Bedroom, DpSIgp ow --� Whey FM Is completed uIi of - - F 24" width, Separate Sewirag Csykj6� to'cki ht of ��GaUifi T V To1iiC'constructed by A:ddrm Wit" Ssipplyi",''. PdbilelSimpoij From oi: x:. Private J iS, 5 3 0':'. D (3.8b �dsj -�Exj�angion Other Reqitw i 11 4"ctidn' �7 R 0 B I. represent 86640 disci County - De -be',iLtimitti in ,qc ance of thi wilFbe loca ed as shown on a apprpved,arnen irent there to�an ill 66:cofistruct 'd*ina,ccordan . ci with 6 , d , " " . , -, I - iti :of Construcii'cik,6om`plia nt of Health,:, and that on icimpleti6n theieof i --Ceii`ific' t "Department - *' � ' a,4vfitt'�h guarantee I I '-­ " ' a he,owner .' his'iuc; he. a will bl,,,4rniShe t ,i-jand -22 , ihi". -County Department of Healtr oats 20 8 APPROVED 60VE04 (5W*c(jN,ST U( revo f 91r.0.0e or �may.*be Jeciqires a new iiiermit:: App Rev. 1/87. Cerimiaiie 6f'Cbnitr6ction <'do6i6l4nie'ofIthe orig'in'al-l3gstiiii-bi;ariy.r,6F ,approved plan and that said w. oil wil ta , 1,14d ',n,* corclance with" the S ign. id Address— 9., '" d eet� MON This 16_ 6roval -exp0es two,ye ars issued unless coast amendld,cr modif i ed'wher-60 si a — ('necessary, -b' the ";Commissioner, of roved for disposa of 4 0 s i r' evi and/ riv 'Water ur ev . s);,'I) ; lhat-,the.sep . arate, . sawagildisposal. system -- j • and r"u lat ions. of r''M t ill satisfac-toiry toIhe'eci Immisslo.nar of Healthwill initial j!s:or.aksigns by the builder, that said builder WJIIL i. years 'Innniediati ly10 I IloWing thadat 6.0f llie„Issu- ins'tall s�thjrejb,`,2)Jhat thi*drilied w6l'l'.des&ibed`ib'0vi,, i nclaqLsirules and, r- d "m afro—ps'-of, 'the,'-Ptitnam ation. p. A.A. License No tidn of the bdilding has'beah undertaken and Is imlih. 'Any change or alteration of construction 1:,onhy. 'Title \�t1y, 1 11D At L .,11 iAi�iT� s, `1tD - :TCAT .: 1C 1[.7f.T.0 A Tf .1 -SO 1896_i ��`' #•�Jp1 V� -,`J _ '�IC��1�!llvll `J..LLJ1V'll a ®1G1C���1vll1L'1VT1C 1Cll1Gt'il IL�ll7l - ` ' Division oif Environmental Hea /th Services Carmel N . Y 1-0­ 512­ i cogs RaicTioK E Mo� dE . osPos,�� $Y TE +_`; ,. 'Town or illage� n e 1j & Located at ���r,r `'TrorE i�da n` °rn lax Map j0 aleck E r or 7�, Subdivision Putnam Cake :(I nts A4�� #4 R Subd. `LOt A Renewal Q Revision _0 Ivan SkuUla��CS Date -.Of Previous Apr oyal Owner /Address - r ,,, P - _ Frame` Building: Type A;- ot Area,2�Q _} Fill Section only table. Space '960 s f t Number of Bedrooms�E'DeBiyn €tow c /P /n. 6Od Cr1� l asis o.eaoas To al: abi q. Separate. Sewerage System.ao consist of •`' �nQQ Gal Septic Tank and :333 ;L_ x 24 -" Width Trench VA To be 'constructed by ? rLn •Qr� Ne s o Address o P r, . utnam_ ,a- .Y. 1.0509 water Supp1Y , . Public- Supply`'From - ^ "Private `SuPPIy -.to be d_r:illetl bY..'' s -Address orner Requirements F1 1 1 SPCf inPl X �.i Y �n 1111 n cRri ma�r38^ Yds'a Expans i on R. 0. B ..:at initial installation I represent that I am wholly and completely responsible for the design and IocaLon of the proposed system(s);. 1) . that - the separate aewage- disposal system above described wlll tie coiiitructed;as shown on the approved amendment there to and'in accordance:vvith thastandards,•rules_an regu, a ions o e u nam County' Department `of Health, and that on completion thereof a 'Certificate of Construction Compliance' satisfactory to- the'Commiisione► of Hoaithwill be submitted to the ;Department, and a written- guarantee..wiil be-lurnMhed the owner hjs successors, heirs or. assigns by the'b,uilder, thaVsaid builder will _ place, ih good operating,,condition any;part of said sewage disposal system dunng -the period of tvvo (2) yees'immedi ate ly ; fo,llowing thedato:of 4he -,tssu x .,ance ;of` the 'approval .of,, the Certificate'.` of, Construction Compljance of the original system or any.reparrs rthereto, 2 }chat the - drilled wiell described °above will be loeated `asshobvn on the approved,plgn and :that 58�tl well wUlbe install - in accordance •with._th ail&ids rules' and regu a ions. of the ' Putnam County Department of Health Date 161 �� • 1 X84 Signed' :/ P.E. R.A. (QM QII,na- `Z, Nov_ emb,,��f8�s979) g License No n APPROVED FOR CONSTRUCTION This;appmvai expires` one year from tfie date `issued unless „construction'' of the: building has been undertaken --and is ►,evocable. for cause or:may be amended or'modified when con ere necessary by `the Com sioner of Health. Any .change o► tion: of construction ;equ�res.a new permit Approved f r disposal of:domesti ry Se ge, nd /or` watersuppi Only s •e �jl - • . to 9 -81` .. - Title u -SO1896 -,",Pt-JTNA,M,.'"-, COUNTY ,:',DEPARTMENT OF,, iWA�LT,.H'-,*....-,- Y 7 Services, �-:Carfhel, - M - Y;,� 10512 D tvision 'of, xi "... 66,NStRUttl(M 'PERMIT FOR SE Patterson ,OISPOSAL, SYSTEM, 77—Town, or village M an ­_Tkyth —n- 'Ad S 67-- R& Loicated at 'Tax Niap�' Block, 06t6ak L S01896 ubdMilbw t Job ' �Owner van ' S'k Y6_1 1. CS __ 81"Warren, Drive , Fr�ame PutnaWLak6�.'!AY 09 ,Building �Type Lot Area i : , Three NUmber:of,Bedroqms _ To al Habitab� le p Space '96"0' -'Square Feet 000( Y 333 L if i 'Width'. Trench :Separate Sysi eff'6 ,consist Sl-:Septc Tnk an To 66,.Fonkructed by 1 Address *6'm' Water .Private drilled i�llpply Ao, be by 7 ­3 d' L 5 n, W -�,3 Dthe�r Requirements Section; , fil 1- qu i represent that) am wholly and Icqmpletely r esponsip,!F,fqr the design and location,. Of,the proposed. system(s);. 1) that the sel I Z a I �- diSDOSM system above de scr6e;d will be,constructed-,as,shown on.the,approvedramendment there t _ p..p n,d .Iq . 1 .,a. , ,FF q rG ap,c ! j.w ! '� h , .;h.�.l�t�� c ,ar_ ds,rules a no.rpguiatUpS,OT+ tnu, rULT01 doun y.,C epari 4eni •oi'.4eilt6 and that qj conplei o ' thereof a ,Ctrtif6atp oft C" !Ft!uct i6n.Con PI ia fice'-sat i sfacto K" to the, 60mmissl6ner of Healthwill 'fii'submifted and- a_5Afritten'gdarahtee Wfl-he i6rnlihecflhe6wner, hissuccessors, eirs,or assl6nis by thelbuilder, that said builder will in good ,operating condition iany ;part of said sewage, i nr6fidtatply, following the date of the Issu- p two years. n ca -Consteutti I 6n, Co -thereto; that Ahd� drilled well describ :'06�,- -.'6f rnpliancw-o repairs i "the :approval Certlfi 1:6 ed'above ' � s s o- w n ol t, e '! .- ap p r p. yed _pl �apd�t said Wel+fkifl.be rgtail6d n'acE&dbnce`wth'the standards;. rules an :rg.li7ons of,,' the PUtnam ed Unty�De partmenV o Hdaltfi X­' oviambe' r ' Date 2 11 signed P.E. eet Str 0512 Lcense N 'dVILD, FO R -CONS This year frorn t t­.; -�:construction I of APPR TPUCTIP,N., e. date ess the building has been undertaken and is 10 r of Health. �Ai revocable' fo!.:cause or maybe amended or 'mod ifl'id'whinconsider' necessary t6m, m Fie iy*change ovalteration of construction requres a A roved n or, Me ft �r supply only. I Y. title ,Date By DEPARTMENT OF HEALTH Division of Environmental Health Services NEW OWNERSHIP 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT # P -26 -84 eLL LOCATION Street Address town/ villase/ �.11y aan vs a.. 4VW --� - Adrian & Tyrone Roads T. Patterson TM25.63. -1- 6/10/11/12/13 & 59 -7 WELL OWN ER Name Mailing Address JpPriva 2ar44s o Bonnie & James Daleo, RD3 -57 Allen.St., Brewster, N.Y. 1050 3Pub1i 48/491/ USE OF WELL 1 - primary 2- secondary 0 RESIDENTIAL 0 PUBLIC SUPPLY 0 AIR /COND /HEAT PUMP 0 ABANDONED 00 BUSINESS 0 FARM 0 TEST /OBSERVATION ® OTHER (specify 0 INDUSTRIAL O INSTITUTIONAL 0 STAND -BY 0 AMOUNT OF USE YIELD SOUGHT Fivegpm /# PEOPLE SERVED Eight /EST. OF DAILY USAGE 800 �ffig ® REPLACE EXISTING SUPPLY 0 TEST/ OBSERVATION G ADDITIONAL SUPPLY ® NEW SUPPLY NEW DWELLING D DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASONS FOR 'DRILLIN{G Residential SU 1 FWELL TYPE FPDRILLED DRIVEN ®DUG OGRAVEL 0OTHER IS TELL SITE SUBJECT TO FLOODING? YES x NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Putnam Lake Lot No.A433 -4 & A470 -7 Incl. PATER WELL CONTRACTOR: Name P•F. Beal & Sons. Address:P.O. Box "B", Brewster, NY i65W9 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO Nmz OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE--TO - PROPERTY-FROM NEAREST -- WATER--MAIN - -ove' "one' miie LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED (See our Dwg. #1, Job #SO 2550, BY John H. 13ON SEPARATE SHEET Prentiss, P.E.) 20 September 1991 (date) (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well dri g operations be contained on this property and in such a manner as not to degrade or o e w se contaminate surface or groundwater. Date of Issue: 19% Date of Expiration j- 19 4.3 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 October 9, 1991 John H. Prentiss, P. E. Consulting Engineers RD #9 Fair Street Carmel, MY 10512 Re: Proposed SSDS: Daleo Adrian & Tyrone Road (T) Patterson Dear Mr. Prentiss: �t JOHN KARELL Jr., P.E., M.S. Public Health Director Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: 1. Additional deep test holes and percolation tests are required. These are to be in the proposed SSDS area and are to be witnessed by a representative of this Department. 2. Fill notes are to include the following "fill suitable for sewage absorption __.._ �....� -. -• -- ..shotalrl.__c�+n #�i*►. . _i�.nre.._thAn_.S.X._and, nr fP.rab.l _no. r+�+re . than__ 2X__- ines._. by.-.. ....;...........y:.:....._._... weight. Fines are clay and silt particles that pass a 200 sieve and no more than 100% by weight, of the fill material should pass a 100% sieve. 3. SSDS trench plan has not been submitted. 4. Title block of fill plan should note "Fill section only.' 5. Septic tank and pump pit locations are to be shown on fill plan. 6. Cross out all details not relative to the fill plan. 7. A letter from the Town of Patterson is required stating their current position on the proposed driveway. 8. Plan as submitted are not acceptable, taped on overlays of the SSDS plan. Upon Receipt of a submission, revised to reflect the above comments, this application will be considered further. Ve truly yours, Robert Morris Assistant Public Health Engineer RM /jp DEPARTMENT OF HEALTH 0 Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 October 9, 1991 John H. Prentiss, P. E. Consulting Engineers RD 09 Fair Street Carmel, MY 10512 Res Proposed SSDS: Daleo Adrian & Tyrone Road (T) Patterson Dear lir. Prentiss: .-�C. JOHN KARELL Jr., P.E., M.S. Public Health Director Review of plans and other supporting documents submitted at this time relative to the above- captioned project has been completed. Comments are offered as follows: 1. Additional deep test holes and percolation tests are required. These are to be in the proposed SSDS area and are to be witnessed by a representative of this Department. 2. Fill notes are to include the following °fill suitable for sewage absorption should contain no more than 5% and preferably no more than 2% fines by c14 igeit. F'ifies "are clay and silt particles .¢hat pens..a 20.0 si;�vP . ;nd no sore then 100X by weight, of the fill material should pass a 100% sieve. 3> SSDS trench plan has not been submitted. 4. Title block of fill plan should note QFill section only." 5. Septic tank and pump pit locations are to be shown on fill plan. 6. Cross out all details not relative to the fill plan. 7. A letter from the Town of Patterson is required stating their current position on the proposed driveway. B. Plan as submitted are not acceptable, taped on overlays of the SSDS plan. Upon Receipt of a submission, revised to reflect the above comments, this application will be considered further. de rely yours, Robert Norris Assistant Public Health Engineer RH /jp ROBERT A. SLAYTON, P.E., P.C. Consulting Engineers May 13, 1981 John Calbo,. Building Inspector Town of Patterson Routes 311 &.164 Patterson; NY:12563 RE: Skublics Warren Drive, Putnam Lake RA S. P r o j No ;,,y32 -$703 Dear John: 337 Fullerton Avenue P. 0. Box 3228 Newburgh, New York 12550* 'w r (914).562-3430... John Prentiss, Engineer for the. above applicant, recently- contacted our-office to determine the status of this matter. As you may be aware, the applicant was proposing to obtain access to .,a lot along a.paper street in Putnam Lake via a right=of-way from Warren Drive.-.* Based upon research conducted by.our office, we wish to offer the following comments. The applicant 'obtained a variance from the Zoning' Board of Appeals in January, 1985 for permission to cross the paper street in order to provide access. The: one technical concern to be addressed concerned the placement of a culvert beneath the drive, for the purpose. of draining a loi4 lying area traversed by the ...'driveway. Based upon the data presented on the latest site plan prepared by Prentiss, dated January 19, 1987 (Site Plan, Drawing' - '' ''b'` j "; ' "we find that this ------ Issue has n (ii�n resolved. As a result, since the ZBA action has no fixed expiration date, we believe that: the applicant licant may proceed with the project unless '."..'' your records suggest other matters also outstanding. We trust that this clarifies the current ilrrent status of this matter. If. you ha7ve, any questions, please don't hesitate to contact our. office. C6 .Very truly yours, ROBERT A. SLAW91�; P.E. P.C. . *RONALD / GAINER, P.E. Vice dPe;ident RJG:lcg cc: Zoning Board of Appeals Manning Board John Prentiss- .� DEPARTMENT OF HEALTH Division of Environmental Health Services 6wL- +�- �n/` 111 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 r' APPLICATION TO CONSTRUCT A WATER WELL_g N AA , it .,. .,.. ., PCHD PERMIT # PALL LOCATION e d ss 1 T 1 City Tax, Grid Nu b e (/l.. N r WELL OWNER Name Mail' ddress PNV�A10QA0 rivate Public USE OF WELL 1— primary 2 - secondary h, RESIDENTIAL 0 BUSINESS ® INDUSTRIAL ® PUBLIC SUPPLY 0 AIR /COND /HEAT PUMP 0 FARM O TEST /OBSERVATION 0 INSTITUTIONAL 0 STAND -BY D ABANDONED 0 OTHER (specify AMOUNT OF USE YIELD SOUGHT gpm /# ® REPLACE EXISTING SUPPLY RNEW SUPPLY NEW DWELLING PEOPLE SERVED_ /EST. OF DAILY USAG dal 0 TEST/ OBSERVATION M ADDITIONAL SUPPLY 0 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE VDRILLED ®DRIVEN ®DUG ®GRAVEL ®OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: M 14 q — , ►, �,�-� R 4—:S3 a (A 802,1 � gLLI )i 0,071 6 84 -72- 0.11U73, kof `' WATER WELL CONTRACTOR: Name,L" Re Mft IS PUBLIC MATER SUPPLY AVAILABLE TO SITE: I - .... - DISTAACE 9.O ' YROPEXff FROM* NEAiUST WA'T'ER MAIN: ON SKETCH & SOURCES OF CONTAMINATION � 1 n ,DON SEPARATE SHEET YES --_NO PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. Date of Issue: �/ _ 19 Date of Expir on 19!� Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller PUTNAM COUNTY DEPARTMENT10F HEALTH DIVISION OF ENVIRONMENTAL.HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner ,�//�+h th��i[ G f AddressI°)'�► T �rrc lql� owl Located at (Street)� Block j Lot /3 n near2st cross s ree a� Lgyt S®► • Lv�ar � l��3�f �'/� l6�D- 7..t -ri c/ Municipality. ?a er� .Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Number CLOCK TIME PERCOLATION PERCOLATION, Elapse Depth to-Vater Water level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop "Inches.. Inches Inches _ l � r2 f//OD. 2 #1010 3 //ht< 2 4 Notes: 1) Teets 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.SQILS.- EkCOUNTERED''IN TEST HOLES. ' _..__...DEPTH. HOLF.NQ.. HOLE :NO.-- ..._._....- - .. G.L. 6" ®� agdeS 12'1 - 00 30" 061" 42" Q o ei'9 . 48" 5 7211 78" 84 INDICATE .LEVEL AT .WHICH. GROUND WATER IS..ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RIS S AFTER BEING: ENCOUNTERED G�/ QG> , d _ TESTS. MADE BY p pD to �D _ _ ��. ... ;...DE IG 400 �' Soil Rate Used �� Mir�/1 Drop:.. S.D. Usable -Area Provided �O,D , No. of Bedrooms Septic Tank Capacity 60D Gals. Type Zwol Absorption Area Prov e ByL.F.x2�+ ". width trench. np Other R.D. 9, Fair St.- Address Carmel, NY 3n5» 4 - THIS SPACE FOR USE BY HEALTH DEPARTMENT ON, G2 Soil Rare Approved `Sq. Ft /Gal. Che N0' 29 ,o Date •ter ®a. � r 1 T.T� r'�l�MDT l; TTl1TT DL'Dr1DT ✓ • LL VVL'Li LLil1VLY 1 \Ljl VL \1 DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only WELL LOCATION ST -T 0 ESS: NI D NUMBER: O WELL OWNER ADD t, l c 5 - BIVATE ❑ PUBLIC USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑ PUBLIC SUPPLY ❑AIR /COND. /HEAT PUMP D ABA DONEO '0 BUSINESS ❑ FARM '0 TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. /NO. PEOPL'EI SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA . � WELL DEPTH ft. STATIC WATER LEVEL Ze ft. - DATE MEASURED DRILLING EQUIPMENT ❑ ROTARY XCOMPRESSED AIR PERCUSSION ❑ DUG O WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE D SCREENED O OPEN END CASING OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH ft MATERIALS: TEEL ❑ PLASTIC ' O OTHER LENGTH.BELOW GRADE ft. JOINTS: WELDED ❑ THREADED ❑ OTHER DIAMETER in. SEAL: O CEMENT GROUT BENTONITE ❑ OTHER WEIGHT'PER FOOT 7—lb.,/ft. DRIVE SHOE YES ONO LINER: O YES ONO SCREEN DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) 0 0? FIRST 'Cl YES O NO SECOND :. . GRAVEL PACK O YES ❑ NO GRAVEL SIZE: D. IAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH It. WELL YIELD TEST If detailed pumping METHOD: ❑PUMPED tests were done is in- t O COMPRESSED AIR , formation attached? ❑ BAILED ❑ OTHER ; O YES O NO WELL LOG If more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water Bear- ing Well Dia- meter FORMATION DESCRIPTION rAOE• tt. fL WELL DEPTH It. DURATION hr. min. DRAWOOWN ft. YIELD gpm• Surface . b � — b v 1, �. (JV WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES O NO STORAGE TANK: TYPE CAPACITY GAL. PUMP INFORMATION TYPE CAPACITY LAK DEPTH VOLTAGE HP WE'LL gDy� W�I�RI��INA � DATE r ADDRESSSSII`) If R `1111 ���� 5IGtACiIIRE 1.40fep OV111e UJI540 i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION- OF ENVIRO.IMENTAL •-:IEALTH SERVICES Date 29 June 1991 Re: Property of Bonnie & James Daleo (N /F Newell, N/F Skublics) Located at Adrian & Tyrone Road, & Warren Drive Patterson 25.63 1 6/10/11/12/13 & 59 -7 Parts (T) Section Block Lot of 4.1/4.2/5.2/49/48 Subdivision of Putnam Lake Subdv. Lot # A470 -81 Incl.Filed Map # Date A433 -4, A528 -9 & A490 -1 As Easement - N/F Habersang) Gentlemen: This letter is to authorize John H. Prentiss a,,duly licensed professional engineer X or registered architect to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulgated by the Commissioner of the Putnam County Department. of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said _._..rstem•- or- -systems- -in - cunformi-cy with the, -firovi"sioris - "of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sanitary Code. RD9 -Fair St., Carmel, N.Y. 10512 Address 914 - 878 -6170 Telephone Very truly yours, Signed roper y Owner D3 - 57 Allen Street Address Brewster, N.Y. 10509 Town 914 - 279 -8436 Telephone. I _ p 1 n � sIv � ^� fJ•�� . . �� 4 i I s, � 1 I jD , ` \ i O O ---N7 Di 1DC 3 c �r cL?cu =�C= c^yt ?C 1 =S =r, Svc�;S -u . z & E-01' ca. -L -ion C )rpc,.a to -:Cn Three sat_-S Leso cOl e ---g c0nSiS_ _nt_ P=-rc RsS.''tS a__c Lola Ceot�Z -Ouse P'• ails - Two Sets S/s ?E-^ (�) Fes!_ c3 NE-11 Latta.= va-riarce c- __ z-L S --y-liv_Sion A7oroval 'Zh2c ci x- a3orc,v=1 SS:)S _-~••_'.Z;. 'LJtS Chectiai -1 and (T 7_/D= _ = 1i t R & D ) Data Oa DDS P1 =_-±S & _ =-Mit �U7RED DYE T . 0'j PT. SEFhS"° L_yi Profile & D or J SEOL?C ~`Lti - S_zer iZz over CQ �t '_'CtiC51 (: ~lnz r rate) _ =rc-a:" d- -ce2o !ham :voi_ cn =oi=S = '- =� -�� _ 0 v_:y i•:=' 1 s & SSDS' _ /in 200 ft. . o= P_ ox= S_ seers p.c =ty : etas & BO',_: F:i'Sa Se= C{ N-ecessa ri (!'1"::= lot) 1/1 "/_ t. _Tic Jay`, i`Ez . Bends " -_S' w /cleanoll t SPA = =­ ON PT_=`: Fie-1 ds 101 _o P.L. r Drl vew-av, azgza 1 r7t rees,T :; OZ ��ll 20' to r rr melon ►'..11s Ot1I? 100, to till; 200' ii D.L.O.D, 130' ?ia 100' to Steam, 1�' `..O ti=c_. ^.S-�`�T '35 to 16' to ester Line (pits -20') 50' 1P.L3`i['? tt =nt Cir _:'?^_- C L'ZS2 S= -:)tic Tanks 10' fr=, Focncrtion; 50' to Well ISO, well to ?r 9 I _ _ YES ( NO I � ( ' I i I I I i I _ 1 PC - 1 I I (u. SPEC M r Mo II 1 I I• Pre -1969 I Neighbor notification I I ;I F ire. -ic 7 orov1Qed 60 =t. ray. 1 J C' ex-D. (n-* I I I I I I J� t r �d A.c. • 1 I I I I I F T.T. S,YS, =. I I cl ^ N ic= r- nr -a©f pv /✓D� k�CG 10 ft. I I f ill rots I I c=_c` S I � � LI 5 100 v r. flood elev. I I • I I 200 ft.. rese vo'_?'r et-c. U I I 130 =t. z_ =11 /-=11 1 1 1I I ( I E-01' ca. -L -ion C )rpc,.a to -:Cn Three sat_-S Leso cOl e ---g c0nSiS_ _nt_ P=-rc RsS.''tS a__c Lola Ceot�Z -Ouse P'• ails - Two Sets S/s ?E-^ (�) Fes!_ c3 NE-11 Latta.= va-riarce c- __ z-L S --y-liv_Sion A7oroval 'Zh2c ci x- a3orc,v=1 SS:)S _-~••_'.Z;. 'LJtS Chectiai -1 and (T 7_/D= _ = 1i t R & D ) Data Oa DDS P1 =_-±S & _ =-Mit �U7RED DYE T . 0'j PT. SEFhS"° L_yi Profile & D or J SEOL?C ~`Lti - S_zer iZz over CQ �t '_'CtiC51 (: ~lnz r rate) _ =rc-a:" d- -ce2o !ham :voi_ cn =oi=S = '- =� -�� _ 0 v_:y i•:=' 1 s & SSDS' _ /in 200 ft. . o= P_ ox= S_ seers p.c =ty : etas & BO',_: F:i'Sa Se= C{ N-ecessa ri (!'1"::= lot) 1/1 "/_ t. _Tic Jay`, i`Ez . Bends " -_S' w /cleanoll t SPA = =­ ON PT_=`: Fie-1 ds 101 _o P.L. r Drl vew-av, azgza 1 r7t rees,T :; OZ ��ll 20' to r rr melon ►'..11s Ot1I? 100, to till; 200' ii D.L.O.D, 130' ?ia 100' to Steam, 1�' `..O ti=c_. ^.S-�`�T '35 to 16' to ester Line (pits -20') 50' 1P.L3`i['? tt =nt Cir _:'?^_- C L'ZS2 S= -:)tic Tanks 10' fr=, Focncrtion; 50' to Well ISO, well to ?r 9 I _ _ 0O. i � Z Q !� 3 D 0 Of p#olroameatal Healtb Servioe•.�/ ,pproved as noted for -o ,eith :Deli b]z Hines and $egmlet4ene! of-tbb- �tmty Health DeD� �� / /O /Jy /• 441 c � 3o "Der x4000Ft "AS BUILT" DATA, structure located from survey by surveyor noted below -_ loll located by: Surveyors survey.- _- 0- -- - -.- Well,drillers report -- SL - -- - -. Engineers mesurements.l -- - -- - - _ I 'an k, boxes, pits, galleries 6 laterals located twy:Contractor: Englaeers Health dept: geld Inspictton by: Health dept® dote: -��� -_ Engeneer ® date :_ eL72 -. This to to certify-that the sewage disposal aystem was donstructed.as Indicated on tiia plan and that Eh system vas inspected by* me-beFbre was covered over: The eyated vas conatiucted in accbrdance filth alt dtandard rules and regulatione'oi the P.C.H.D: b the N.Y.S.D.H. AA i, Xrj —'B 6 JI ;6Y - -- A_ K -B _ K •- _ f %i _ _. A - t A -1 1ti - B,1 °123 A - z ._ tt < e" 2:1;2. I� LOCATION Town: ('(G QnI -- county: ?U1rlb�1 SUBDIVIS ON1%J�pll.e�j� - - - -_— _ . 4c- Map :%SAX��E�� ��- / -o/ lfz i3� 59 '7 91 Block; _ �— — - - - -_ LOT Na�RYS o�1Lt.-2L.; Surveyor :S�9�D�r,�FiB�il!�4P.� - - - -- Drawn: N Date: g/8 92 Swle: 1,:f JoI�N= zCJ JOHN H, PRENTISS P.E. g CONSULTING ENGINEER Rp.9 FAIR ST., CARMEL NY 10612 =(9141 e78 -6170. eycuam •wut►ty yoy�tmens ut s+iusr. �ivieloa _01MENSIONS(Et.) t t1 �e . A - 8 � �_ `}.517— -.+ A C - - '-- - - - - -' -_ C A - E ' ' - - - -- 6 " E ' ' - - -3- - -- ' A - F ` ` - -5� -- -a F ■ ■ 64 -- - A G ' '-- i2 - - -B - G . ._- 6E: I� LOCATION Town: ('(G QnI -- county: ?U1rlb�1 SUBDIVIS ON1%J�pll.e�j� - - - -_— _ . 4c- Map :%SAX��E�� ��- / -o/ lfz i3� 59 '7 91 Block; _ �— — - - - -_ LOT Na�RYS o�1Lt.-2L.; Surveyor :S�9�D�r,�FiB�il!�4P.� - - - -- Drawn: N Date: g/8 92 Swle: 1,:f JoI�N= zCJ JOHN H, PRENTISS P.E. g CONSULTING ENGINEER Rp.9 FAIR ST., CARMEL NY 10612 =(9141 e78 -6170. eycuam •wut►ty yoy�tmens ut s+iusr. �ivieloa s DALEO MORTGAGE CONIRANY,'INC. its successors and /or assigns EE SUR) JAMES V. a I TOWN OF PATTERSON SCALE: 111 =40 ;r o• n/f 3 STANZIONE ; a ^ N 05- 30 -OOE 2.77�N 1 c /• N,07-50-'00W 12.16 -i AREA =0.�02AC�REt a, O ut f , o c m i (�I a) co O - - - - - -- -- a ,: __ RII�445. �X! L?48' ADRIAN ROAD „41 pole -- N07 -50 -00 W 164 24t'" R_ 65 � .a { i tt., � J„ N05 I6s I i 0p N..045.8 4¢.5j' I wi . 1ell 2 STORY FRAME , •. , t � driveatdeck "/�f ; m AREA =0.718 ACRES p D . 1h , i ' • septic pump rI tank pit tile field tGY 768 area . . ip n : E._ Z MA i .•i 1 ao 1 I a j `� r S07 -50 -D OE c v g07_5O_OOE '. ,. J00 53.46 W ` n/f n/f PATAKAY MARTINEZ 3 0 W 0 t Q A.' CO a I m Z riLy'' -- -- S08 -52 -00E x - 40.001 TYRONE ROAD $: . LNAUTNORISED ALTERATION OR ADDITION TO A SURVEY M/P BEARING A LICENSED ,F�•: .. LAND SURVEYORS EMBOSSED SEAL IS A VIOLATION OF SECTION 7209 SUBDIVISION LAOF THE NEW YORK srarE EDUCATION (FILE :D;' "MAP. No 149N MAP OF PUTNAM LAKE) s DALEO MORTGAGE CONIRANY,'INC. its successors and /or assigns EE SUR) JAMES V. a I TOWN OF PATTERSON SCALE: 111 =40