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Home My WebLink About1350DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.78 -1 -53 BOX 13 re ; ' . i 01350 Separate Sewerage Systeut bulltby ��U. ?�� 1N< Address_ Consisting of 1 SOD Gallon Septic Tank ":d L1. .. .i > fDiJ ' � � { Water Supply: Public Supply Flom Address on ✓ Private Supply Drilled,by � 1w _ !� W1 06C, 1 Oe-Address ma)AM Building Type Has Eiaelon Control Been Completed? Number of Bedrooms Hea Garbage :Gtlnde� Been InstalledY N,l) other Requirements -I certify that.tho systems) as,:llsted.seiving ;the aboke premises - were ct construed essentially as shown "cn,the, plans of the completed work ( copies of which are'.attached)', and in accordance with the atandarda,.niles and requl;,` iona,'in accordance with -the led plan;' and the permit issued by the ''Putnam county- Department,of Health ;Date —L11 �. .�'l. Certlflod by:. P.E.• ! R.A. R Address License No. Any person occupying premises served by =the above systems) shall 'pro mpt(y ialie'such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval, of the, separate sewerage system (hall bicoma, null and void es Loon as a pub; -. sanitary tavink *becomes available' and,the approval of the private;vvater supply shill .become. null and void .when a public water supply becomes available. Such approvals are subleet tom ification or change whon;'in t„e,ludyinent ,o/ the'Comrrrlssioner of Health ueh':revoeatbn, modification or change Is�nejeeiMry. ..Oats Title �i y ►� �; - Y0 WtSLL LU11rLL11UN r%ZrW%1 DEPARTMENT OF HEALTH Division-Of-Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only -- WELL LOCATION STREET ADDRESS: 7DWNIVILLACILICIN TAX GRID NUMSEA: Dresden Road Patterson,. NY Lot 3 WELL OWNER NAME: ADDRESS: DONALD MILL E o BRANCH RD o , PATTERSON, NY UPSIVATE ❑ PUBLIC USE -OF WELL 1 - primary 2 - secondary XKKRESIDENTIAL O PUBLIC SUPPLY O AIR /COND. /HEAT PUMP 0 ABANDONED ❑ BUSINESS ❑ FARM O TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL O INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT 5 gpm. /N0. PEOPLE SERVED 2. — 4 I EST. OF DAILY USAGE gal. REASON FOR DRILLING .[]REPLACE, EXISTING SUPPLY ®TEST /OBSERVATION []ADDITIONAL SUPPLY UMW SUPPLY (NEW DWELLING) ®DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 865 ft: STATIC WATER LEVEL 85 ft. DATE MEASURED 10/31/92 DRILLING EQUIPMENT ❑ ROTARY XXXOMPRESSED. AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING tKISPEN HOLE IN BEDROCK O OTHER CASING DETAILS TOTAL LENGTH. 3E: :ft MATERIALS: XXXSTEEL O PLASTIC O OTHER LENGTH BELOW GRADE 2 ft. JOINTS: O WELDED XWHREADED ❑ OTHER DIAMETER 6 in. SEAL: O CEMENT GROUT ❑ BENTONITE ❑ OTHER WEIGHT PER FOOT 19 1b./It. 1. DRIVE SHOE: WES 0407 LINER:OYES ❑ NO SCREEN .DETAILS...... _ DIAMETER (in) SL07 SIZE LENGTH (ft) DEPTH TO SCREEN (it) , DEVELOPED? FIRST o YES ONO _ SECOND_ .., .... ...........,. .._ _.... GRAVEL PACK ❑YES • NO GRAVEL SIZE: DIAMETER OF PACK in- TOP DEPTH ft. BOTTOM DEPTH It. WELL YIELD TEST If detailed pumping METHOD: ❑ PUMPED ; tests Were done is in- COMPRESSED AIR , formation attached? ❑ BAILED ❑ OTHER D YES D NO JELL LOG If more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water Bear- ing Well Oia- in FORMATION DESCRIPTION G7oE ft ft WELL DEPTH It. DURATION hr, min. DRAWOOWN It. YIELD 9Pm_ Lanace Su 8 Braun Sol 1 & cobUes. Medim to hard,grey & black granit . 350 2 - 350 1 500 3 - 500. 1 600 4 15 550 2 6 - WATER )WLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS ❑ COLORED ANALYZED? )Q YES ❑ NO ANALYSIS ATTACHED? & YES ❑ No STORAGE TANK: TYPE CAPACITY ZT GAL. WELL DRILLER NAME MILL DRILL E 92 ADDRESS Putncm Ave, . sl Brewster, NY 4110 residen PUMP INFORMATION TYPE CAPACITY MAKER DEPTH MODEL VOLTAGE HP 3/ 0 0 PUTNAM COUNTY DEPARTMF.N'r OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES bOIJAW E. MILL Owner or Purchaser of Building �.7'r' AMiG Buii1lding Constructed by go Reffe" Location - Streettt�� Aveiro r) , 14. Y. Municipality R,41.500 0%ft# - slnd� le Building Type Section Block Lot Subdivision Name Lor 3 (a) Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE 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 " - fore the _sewage,_disposal_ system, or any_ repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this 12 4 day of M!J_ 19 9 .1 ,y, aw r. )-� General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk j Signature, Title Corporation Name (if Corp.) Address ELLIS A. TARLTON LABORATORY -.'?& r • , DIVISION OF ELLIS A. TARLTON, ENGINEERS, INC. CHEMICAL 34 PLEASANT STREET DAI�BURY, CONN. 06813 -2328 WATER -WASTEWATER PHYSICAL METHODOLOGY BIOLOGICAL P.O. BOX 2328 203 - 748 -7903 APHA - EPA - ASTM .d s REPORT -OF BACTERIOLOGICAL AND CHEMICAL EXAMINATION OF WATER NAME AND ADDRESS OF PERSON TO RECEIVE REPORT F_ Mill'Drillin Putnam Ave Inc. Brewster, NY 10509 DATA 7 SOURCE Of SAMPLE Water Supply, Donald Mill Custom Builders Lot 3 Of 3 Dresden Road Patterson, NY DATE OF COLLECTION Oct. 30, 19 9 2 COLLECTED BY Mill Drilling Hydrogen Ion COLOR TURBIDITY ODOR CORROSION INDEX DISSOLVED SOLIDS Concentration LANGELIER (PM) I RYZNAR NTU Mg /L Alkalinity as CaCO3 Fluoride (F) Bicarbonate Nitrite Mg /L Mg /L Mg /L NITROGEN Alkalinity as CaCO 3 Chlorine Residual CONSTITUENTS AS Nitrate Mg /L Carbonate Mp /L .00 Mg /L NITROGEN (N) rdn Hardness Total Conductivity as C Ammonia Mg /L Mg /L Micromohos /cm Mg /L Iron as Fe Mg /L Mg /L Chlorides as CL Mg /L Manganese as Mn Mg /L Mg /L Detergent as MBAS Mg /L Sulfate as SO4 Mg /L Mg /L The arithmetic mean of all standard samples examined per month using the membrane filter technique shall not exceed MEMBRANE FILTER TEST one Colony per 100ml. Coliform colonies per standard sample shall not exceed 3/50ml, 4/100m1: 7/200m1, or 13/500ml Coliform Colonie3/100ML in: (a) Two consecutive samples; (b) More thann one standard sample when leis than 20 are examined per month; or (c) 0 More than live per cent of the samples when 20 or more are examined per month. AT THE TIME THE SAMPLE WAS SUBMITTED: ® 1. The results of the analysis of this sample were satisfactory and met requirements for a potable water. 2. The results of the analysis of this sample were satisfactory for a potable water but certain of the chemical or physical constituents were high. These are as follows: rt F-1, 3. This sample was not satisfactory since it did not meet the bacterial requirements for potable water. The presence of organisms of the coliform group in a sample of potable water is undersirable and, while not necessarily indicating the presence of any disease - producing organisms, does indicate that such contamination might survive to the same extent. The presence of organisms of the coliform group may also indicate that the treatment was not adequate at the time the sample was collected. s EJ4. This sample was unsatisfactory as a potable water because certain chemical or physical constituents were above acceptable limits. These are as follows: COMMENTS The bacterial analysis showed no organisms of the coliform group at the time the sample was collected which indicated the water potable. Certified............................................. ............................... ... be trbfgktad to the'D"Wieabt and a, ~-.in food oPawatimi ommiluin any .01 of" 'Of far the af0al 41, th zawtifWata' "C fwpl M Ncatad as shorrw'on thin- sow"osmd 10 County D�MwteNwt of MMlth, ` MAY 31 1991 APPROVED 1!00. , 'IarOCabN taw nYf wa0YlrM a' MM LOI-88 oats d two (2) yews k molliatoty tollorivinil the data of the 'Nau- Fry wipitbs itWOWs 2) that tile dr8N0 .will -11 OCI lbad above i tM'ttaMards, wYNS',aiitl;rquains of the Prbhm J P.E. X R.A. 564' (_icansa ,wo 61468 `constwuction 'of'the .building has been 'undsrtakpi and is Mw of ;Hftft i. 'Any chinos or iKMatiori of construction see su"h Only.. Title " _ DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT # WELL LOCATION Street Address DRESDEN ROAD Town Tax Grid Number T. OF PATTERSON 37240065 -3 -36 WELL OWNER Name. Mailing Address DONALD MILL BOX 304 EAST BRANCH MPrivate RD. PATTERSON NY 12563 O Public E OF WELL primary 2- secondary ® RESIDENTIAL O BUSINESS. El INDUSTRIAL O PUBLIC SUPPLY O FARM 0 INSTITUTIONAL Q AIR /COND /HEAT PUMP O ABANDONED 0 TEST /OBSERVATION p OTHER (specify, O STAND -BY O AMOUNT OF USE YIELD SOUGHT 5 ,gpm /# PEOPLE SERVED 3 -5 /EST. OF DAILY USAGE 600 gal REASON FOR DRILLING MNEWSUPPLY _ ❑PROVIDE ADDITIONAL SUPPLY OTEST /OBSERVATION O REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING NEW RESIDENCE WELL TYPE rvIDRILLED DRIVEN ®DUG ® GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: PUTNAM LAKE Lot No. 36 WATER WELL CONTRACTOR: Name MILL DRILLING, INC. Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: N/A LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED O ON REAR OF THIS APPLICATION X SEPARATE SHEET WITH .SUBMITTAL OF 5/89 (d te) (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 pro ed b the Putnam County. Health Depart ent. Date of Issue: �� 19 Date of Expiration: 19 rmit ssu�ng Official White Permit is Non- Transferr ble copy: H.D. File Yellow copy: Building Inspector /R7 Pink Copy: Owner __ 11 - 'T "O- +ae,a. v':�•u+-• .__ -^ ^c"L.:` -�-F •_'S- ..w= .r'a°'.`" �.' S*i^'k ,rt , r"wr ..«'�,,,s__'•�-�'^ ^I ' .: .'. I PUTNAM COUNTY DEPARTMENT OF HEALTH Divielon`of Envirottmen61 Health Servlcee Cprmel N Y 10512 ` Engineer to Provide Peemit p ;- °on CERTIFICATE QfL�OMPI�►NCE '". � •. r: .. Permit -:q � U O,NS ON PERMIT FOR SEWAGE DISPOSAL SYSTEM Town of Patterson :. ( a . Dresden, Road, Putnam -Lake -Town or ;Village' . i Putnam Lake Lot 4k3'6 37240065 3 36 �bd1 n Name Sabel. Lot q Ta: Map.. Block . Lot { Renewal_ p Revision p 'wnor /Applicant Name DONALD. E: MILL - Date of Previous Approval Box 304 East BranchRoad -; �filing'Address ' • Town Patterson, NY Zip 12563 Stick,.; Built Ranch 0.560 Acres nllding Type Lot Area FM Section Ody Depth Vohrme r ber of Bedrooms .3 Design Flow G P D 600. PCHD Notification Is Required When FIU Is eompleted pir(tte Sewerage System to,consist of 1000. Gallon Septic Tank end 376 L. F. of Fi611d i To' be tonet:nctea by to be determined Address liter SopPb': Ptibllit Sa 1 'From Address ' X Private Supply ;I)rWed by t0 or: be determined Address, • i . fepresent that 1 am, wholly ano;comp,etely responsible for the design and location -of the proposed system(s).; 1) „that the separate sewage disposal system "� IOVe,Cestllbed will bl,cOnstrUCtetl as shOWh On the applOVea amendment iherB t_o and in accOrdarlce, with the stanCeros, rules an regu a ions o - e. u nam >unty' Department :of Health, and that `on completion' thereof a 'Certificate of Construction ComPliance''sauifactory ' to ,the Commissioner of Healthwill :i submitted to the Oepartment, and a written guarantee ,.will be °furnished 6e owner, his successors, heirs or issigns'by the builder. that said builder Will )•� - ca m good operating condition any :part'of'.said sewage'•disDOSaI•syst�m ;tlunng =fie. period;oHwo (2) yearslmmediately following thedate of the issu- �,: :ice of the• ipproval .of -the +Certificate% 1. Consfruction Compliance ..of the original'system dr,any repairs' thereto; 2) that the.drilleC wall' described above 111 be 10Cated as shown on the - :approved plan antl that said Weil will �De� Inns in -acco da a with a .riandaros, rules and regu a wnS of the Putnam ,,runty Department of Health. to -Signed P.E. x R.A. - March 17 >1989 Address :6': 'AIbermac•- Court, .Paw2in � ,'' ew ork. 12564 _ -License No 61468 VROVED_FOR CONSTRUCTION. This approval .expires two year from the to i etl - less” construction of the building has been undertaken and is .. ",dmcawo for Cause -0r may be- amended or mod ified:when'COnsidered. Recessary'- the: Corti ifsioner Of-Health. Any Change or alteration of construction r•.7u;res a new permit. ADproved for disposal. of domeri is sun dar.y sewage, and /o - -ivat wst u ply only. ueR to-J!AI!�jrf / •Y° / Title �// DEPARTMENT OF HEALTH Division of Environmental Health Services. 110 OLD ROUTE SIX CENTER; CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT # /�= 0J WELL LOCATION Street Addre s /Town/Village/City �y Tax Grid Number WELL OWNER Name -7 p %,/ Mailing Address ®Private �� °/l c,7- C ❑ Public USE OF WELL - primary 2 - secondary RESIDENTIAL ® BUSINESS 0 INDUSTRIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP ❑ ABANDONED ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify, O INSTITUTIONAL ❑ STAND -BY AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED 3 S IEST. OF DAILY USAGEgLGG gal ❑ REPLACE EXISTING SUPPLY ❑ TEST/ OBSERVATION GLADDITIONAL SUPPLY NEW SUPPLY NEW DWELLING1 ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING 10 _zz -e S e WELL TYPE DRILLED ®DRIVEN ®DUG ® GRAVEL. 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES >,�NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name r Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: /�� TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST —WATER MAIN:- rli j¢j" LOCATION SKETCH SOURCES OF CONTAMINATION 01 SEPARATE SHEET ate) PROVIDED l �J a-ot , 29we (signature) PERMIT TO CONSTRUCT A WATER WELL N This permit to construct one water well as set forth above is granted imder 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. Date of Issue: ,40 /'7 � 19 Date of Expiration: 19 ermit Tssu ing Tffici Mite Permit is Non - Transferrable Mite copy: Py� H.D. File' Yellow copy: Building Inspector Rev. 10/88 Pink Copy: Owner Orange copy: Well Driller JOSEPH ZARECKI, P.E. Consulting Engineers 6 Albermac Court.:: PAWLING, NEW YORK x1.2564',. -.: _.._..r 914 855 =3i`7i - _ __ =�i =- - - - -.. 914) 855.3772 TO PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services 110 Old Route Six Center Carmel, New York 10512 ILFECTUMQ @F CTRUSEDT "QU DATE April 20 1989 JOB NO. ATTENTION - WILLIAM HEDGES, Public Health Sanitarian RE: Sanitary Disposal System Design for' DONALD MILL LOT 2 Dresden Road Town of Patterson NY 1 of.1 Sanitary Disposal System Design for DONALD MILL LOT 2 Dresden Approved as noted WE ARE SENDING YOU U Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints Cn Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 3 3/13/89 1 of.1 Sanitary Disposal System Design for DONALD MILL LOT 2 Dresden Approved as noted ❑ Submit copies for distribution M Road Town of Patterson NY; revisions dated 4/20/89 ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US THESE ARE TRANSMITTED as checked- beloW: KI For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution M As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS Dear Mr. Hedges: As per your review comments, we have added the design calculations, footing_ and gutter discharge, and dimensions of the fill section to the Plan. Special Note #4 has been replaced with your note stating "Design herein does not allow for installation of a garbage grinder." In Special Note #11, the period of "one year" has been replaced with a period of "two years ". Should you have any further questions or comments, please feel free to con- tact our office. Sincerely, COPY TO File jes SIGNED: If enclosures are not as noted, kindly notify us at once. JO ph brecki , P . E . .7 -CF Z�E= (-,F ---N --HCNAIF .E —i � - I'<- -, � nn r ck (T-ic"It ict) 4"0; T- Ec,—,-e No Ee SER;F,�MCN Plr--;�N Fi= a-zs,Tcc Cr 20' to Walls loo , to 2111C D. r•_ ^. D, 1 =0 100, to S,:raa!n, L FZct-::Ic LC water=:: 3 E It f CC, .L V f-z- f Z- A C7- 7D 4;- P, mc: ar-- Lcc CZ ans w Varlancz 7 LA zr=n S�;-s tam 60 D tic CIE if;Ve-!-.L CAE-- - "-= L ct=s -:`-der rate) ceslgn Cata: perc ar d de —C r==:7! ur & �t Drivaiav & S" CCES C.27- F c 0 t Ora ns CH, 7 Reprasantat.Lve cz F_:,c�rsica Area; sHc:wn,;zravi-:7.r io f & D Bax SC,.Cwl & ce_ il nct-e-s Ecu_-e - bTr,. af: E-1-ams—.3 I= EGG WEal C-E Rrcccsiaf Me� s prccert� . - a ck (T-ic"It ict) 4"0; T- Ec,—,-e No Ee SER;F,�MCN Plr--;�N Fi= a-zs,Tcc Cr 20' to Walls loo , to 2111C D. r•_ ^. D, 1 =0 100, to S,:raa!n, L FZct-::Ic LC water=:: 3 E It f CC, .L V f-z- f ck (T-ic"It ict) 4"0; T- Ec,—,-e No Ee SER;F,�MCN Plr--;�N Fi= a-zs,Tcc Cr 20' to Walls loo , to 2111C D. r•_ ^. D, 1 =0 100, to S,:raa!n, L FZct-::Ic LC water=:: 3 E a JOSEPH ZARECKI, P.E. Consulting Engineers 6 Albermac Court PAWLING, NEW YORK 12564 (914) 855.3772 TO PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services Carmel, New York 10512 LAC UTEM (OF UMMOO MURL DATE ..March...31 .1.9.89.--- __..._ JOB NO. ATTENTION WILLIAM HEDGES Public Health Sanitarian RE: Sanitary Disposal System Design for DONALD MILL Lot 2 Dresden Road Town of Patterson New York 3 3/13/89 1 WE ARE SENDING YOU 09 Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints Q Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 3 3/13/89 1 of 1 Sanitary Disposal System Design for DONALD MILL, Lot 2, Dresden Road, Town of Patterson, NY 2 3/26/81 1 of 1 Main Floor Plan of 3- bedroom dwelling by Cashin Associates, for bedroom count only 1 - .3/17/89 1 of 1 Authorization-Letter, signed by Owner and Engineer 1 3/17/89 1 of 1 Design Data Sheet -- Subsurface Sewage Disposal System 1 3/17/89 1 1 of 1 application for Construction Permit for Sewage Disposal System 1 3/31/89 1 1 of 1 Pawling Savings Bank Certified Check #4106 for $100 Application Fe THESE ARE TRANSMITTED as checked below: XX For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ REMARKS • Resubmit copies for approval • Submit copies for distribution • Return corrected prints ❑ FOR BIDS DUE 19 0 PRINTS RETURNED AFTER LOAN TO US COPY TO File *""\� %Ia� jes SIGNED: Of am not ac nntwA_ kindiv nntifv us at ranee. _ _ I_ I _ , I .; n I- �1 1 COPY TO File *""\� %Ia� jes SIGNED: Of am not ac nntwA_ kindiv nntifv us at ranee. _ _ I_ I _ , I .; n I- PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date March 17, 1989 Re: Property of DONALD E. MILL Located at Dresden Road, Putnam Lake (T) Patterson Section Block 3_ Lot 36 Subdivision of Putnam Lake Subdv. Lot # 36 Filed. Map # 65 Date 6/22/64 Gentlemen: This letter is to authorize JOSEPH ZARECKI, P.E. a duly licensed professional engineer X or registered architect (Indicate 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 promulagated 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 system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam'County. Sani- tary Code. Countersigned P.E. , R.A. , h Very truly yours,. 6 Albermac Court Address Pawling, New York 12564 855 -3771 Telephone igned Owner of Property. Box .304, East Branch Road. Address { Patterson, New York 12563 Town 279 -2476 Telephone punmm COUNry DEPAR'TMF2TT OF HEALTH - DIVISION OF EN HF.AI,TH': SERVICES LOT #2 DESIGN MT9 SHE=- SUBSUFACE SURAGE DISPOSAL SYSTEM FILE N0. Owner DOMIALD MILL Address Box 304, East Branch Road, Patterson, NY Located at (Street) Dresden Road Sec. Block 3 Lot 36 TIndi,cate-nearest cross street) Municipality Town of Patterson Watershed - - - -- (zOII+ PgZrX)T.ATION TEST DATA pmun ED TO BE SUBMI= WITH APPLICATIONS Date of Pr e- Soaki-nq 3/12/89. Date of Percolation Test 3/13/89 MNEWAJWVI i � Elapse Depth to water e in Inches Soil Rate No. Time Ground Surface �/� Drop Start -Stop Min. Start Stop Drop � .. Inches Inches Inches _OT 2 1 1 . 24 3 15.0 45 27 - . 15.0 2 45 27 '' 24 3 3 45 -; 15.0 27 24 3 4 5 .. 27 2 1 13 24 3 4.3 --.3., _. ... 4.3 2 13 3 13 27 24 3 4.3 4 F 5 1 2 1 1 3 �1 4 ` 5 • 1 COTES - 1. Tests to be repeated at same depth until apprcvdniatelY equal soil rates colation test hole.. All data. to be sukznittBi are obtained at each per for review. to be made from top of hole. 2. Depth measurements V- g'85 LOT #2 DEPTH G.L. 1' 2' 3' 4' 5' 6' 7' 8' 9' 10' 11' 12' 13' TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. 1 ROCK.AT 5' HOLE NO. 2 ROCK AT 5' ea.;W4� Q)11 E,_ HOLE NO. 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED NONE INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED n/a DEEP HOLE-OBSERVATIONS MADE BY: Joseph Zarecki, P.E. DATE: 1/30/89 DESIGN Soil Rate Used 15 Min/l" Drop: S.D. Usable Area Provided 5,000 S.F. MIN. No. of.Bedrooms three Septic Tank Capacity 1000 gals, Type Lowboy- Precast Concrete Absorption Area Provided By 375 L.F. x 24" width trench Other Name JOSEPH ZARECKI, P.E. Signature r> Address 6 Albermac Court SEAL Pawling, New York 12564 to N. THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date / 0. 87883 / ti / / i /d Direct L 1 y S D of z , / / I : o I� Q v eye epee I I 9 asses j I m go e18,0 i I oy 3 to 1 `� I o° I eyes 1 \ i I / v I eyes ?1 vry1 ru 00, , � � I T9i � °> m D. rn