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HomeMy WebLinkAbout1433DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -2 -19 BOX 13 01433 PUTNAM COUNTY DEPARTMENT OF HEALTH Divider of EnvkonmenNl Heath Services, Carmel, N.Y. 10512 Meet Proylde�a _� <P.C.H.D. Permk N �RTQ9CATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM p at Tax Map OZ, etaLot�_ 1 /applkant Name Formerly Subilhisba Name Maomg Address v� Subdv. Lot. # 1 Fee Enclosed u Amont lzv. Date Permit Issued Separate Seweeage Syatem built by Condstklg of �0 Gallon Septic Tank and Y' Water Supply: Public Supply From Address or: Pdvate Supply DriDed by�Y1. 1�rr"`� GHU Address 7. u. VW 71 �"2 4A Y, Ballflbg Type &Z21 Eff4 JAI, Lot Size p� as Erosion _CQntrn7 Roan (r,mn1 F+rPr19 � Number of s �j Hue Garbage G Been Installed? 0 Other Requkements '(�Lg_ : 112 LE- 2E}J i certify that the s stes(s as listed serving the above premises were constructed essentially as shoIth a plans of the completed work (copies of which are attached), and in accordance with the standards, rules and r ations, in cordanca wiiled 1 an d the permit issued by the Putnam County Department Of Realth. Date— M , 1A certified by ` P.E. A.A. Address License No.— Any parson occupying premises served by the asove.system(s) shall promptly take such action s may be necassary to sewn tM correction of any unsanitary conditions• resulting from such usage.. Approval of the separate seworaw syttem shalt become null and void as soon as a puW.-. sanitary sewer becomes available and the approval of the private water supply shall become null and vokl when a public water supply baronies avallable. Such approvals are ct mbl to modiflatkm or change when, in the judgment of the. Commissioner of Health, S-06 ►evocation, modification or change Is necessary. 3/89 T11114 �✓ /�S.r er�'' T11114 ..,—� YML ENVIRONMENTAL SERVICES ^ 321 Kear Street ' ~~ Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. 1P i,_Director_,r.��;,___�_ LAB #: 93.009645 CLIENT #: 26 NON STAT PROC PAGE 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DENNIS MALANCHUK DATE/TIME TAKEN: 09/06/94 08:00 PO BOX 313 DATE/TIME REC-D: 09/06/94 10:45 CROTON FALLS, NY 10519 REPORT DATE: 09/07/94 ' PHONE: (914)-277-3192 SAMPLING SITE: ZENITH [.DG KJTCHEN TAP SAMPLE TYPE..: POTABLE : LOT #14 PATTERSON, NY PRESERyATlVES: NONE ' COL-'D BY: DENNIS MALANCHUK TEMPERATURE.. { 4- NOTES...: C0LIFORM METH: MF � ~~~~~~~~~~~~~~~ PIP ~~~I'll ~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE RESULT NORMAL — RANGE 09/07/94 MF T. COLIFORM ABSENT /100 ML ABSENT ' COMMENTS: BACT THESE RESUiTS INDICATE THAT THE WATER AS NOT) OF A ' ' . � . SATISFACTORY SANITARY QUALITY ACCORD NEW YORK STATE . AND EPA FEDERAL DRINKING WATER STANDAR[ICS, FOR THE PARAMETERS � � TESTED, AT THE TIME OF C0LLECTION. i ' ' ' ' ' � / ` ' ° SUBMITTED BY: --- 0'[A�-; ______________ Albert H. Padovani, M.T.(ASCP) Director ELAF'# 1-0323 � CO Q'' 1 WELL UUMYLL11UN MZrUN1 Office Use Only DEPARTMENT OF HEALTH Division Of Environmental Ilenit,► services Y� PUTNAM COUNTY DEPARTMENT OF HEALTHZ T STREET AOURESS: TOWN IVIL t I Y TAX GRID NUMBER: WELL LOCATION P£• 4e ,r � -, 2- WELL OWNER NAME: ADDRESS: 2ziA►+, e �,L��� ❑ PBIVATE ❑ PUBLIC USE OF WELL 1 - primary, 2 - secondary tIDENTIAL O PURL k SUPPLY ❑AIR /CONO. /HEAT PUMP O ABANDONED O BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify) 0 INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT S gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE ��� gal. REASON FOR DRILLING []REP CE EXISTING SUPPLY ❑TEST /OBSERVATION []ADDITIONAL SUPPLY � ( ❑ DEEPEN ..EXISTING WELL > DEPTH DATA /NEWS DWELLING) WELL DEPTH ! ,� 2— ft. STATIC WATER LEVEL ft. f)ATE MEASURED DRILLING EQUIPMENT ❑ ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG O WELL POINT 121—GABLE PERCUSSION ❑ OTHER (specify): , WELL TYPE O SCREENED PEN END CASING ❑ OPEN HOLE IN BEDROCK O OTHER CASING TOTAL LENGTH tL MATERIALS: EL O PLASTIC O OTHER LENGTH BELOW GRADE f c2— 'ft. — JOINTS: OWE D READED O OTHER DETAILS DIAMETER in. SEAL: ENT GW O BENTONITE OOTHER WEIGHT, PER FOOT / .? 1b./ft. DRIVE SHOE S O NO LIN ER: 0YES BW SCREEN DETAILS DIAMETER (in) SLD7 SIZE _ LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? F ST YES ONO _.�...�_.._._ ...._._..5 ramn_.n. .__. _._. _.. -.... ,.. _. F. PIS GRAVEL PACK O ES NO �P. V SIZ : DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH ft. WELL YIELD TEST' if detailed pumping METHOD: O PUMPED 1 tests were done is in- t O COMPRESSED AIR , ` ormation attached? BAILED O OTHER i ❑ YES O NO 1P1ELL LOG If more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water Bear- ing We 11 Dia- meter. FORISATION DESCAFTION code It. ft. .WELL DEPTH ft. DURATION hr, min. DRAWDOWN ft. YIELD gpm. surface O c,/ WATER )r et6IF1 TEMP. r% QUALITY ❑ CLOUDY HARDNESS ❑ COLORED ANALYZED? OYES ❑ NO ANALYSIS ATTACHED? O YES O NO ���^^,, STORAGE TANK: TYPF� �'/`✓,__ f CAPACITY �-` % GAL. PUMP INFORMATION r � TYPE C�' n ��`� r ✓ drAPACITY MAKER e r' f DEPTH n MOOEL VOLTAG@`� HP i WELL DRILLER NAME DATE ADDRESS i t SIG TU _ C 3/89 r •..j •.:tf •. .. R)Th, i CWM Y DEPAYM4a4T OF HEALTH - - - -- VICES - -. - T Z�• `� I`�-I ��tt I lei t` � I i� +� ... . . ZO i;er or Purchaser of Building Building Constructed by Lora tion - Street uprl.ity Building 2 Section Block Lot Subdivision Narrea Subdivision Lot GUAIR?=1 Or 5u .SC Fr.Cv SaZZ E DISPOSAL SYSTF -M X represent that X an wholly and corpletely responsible for the location, wor}aToaaship, 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 Depart -rent of - Fealthr and ,hereby guarantee to the oemer,. his successors, heirs or assigns, to place in goad operating condition any part of? said system.constructc -d by me which fails to operite for a period of ts,a years irmediatela> following the date of approval of the ."Cer_t.ificate of- _C-- ons-truction _rcmbl??nce for,the any re_cairs Trade by rw to such system, except where the failure to operate properly is caused: by they willful or negligent act of the occupant.of the.building irti7,izing the sNvstem. The undersigned further? agrees to accept as conclusive the detenm nation of the Director of the Division of - Envir 9 r',ental Health Services of the Putnam Coun ty - Depar , ent of Health as to �.htther or not• the failure of the jL� to o � � sys, perat�e was caused by the wilful or negligent act of -he occupant. of the building utilizin the system. Dated this day of 1 1914 Siona ` •J Title ;Gen I Co �rac'tor ( firex) - Sicrature Corporation tarn (if Corp.) Coxporation ire if Corp.) P ess' Mess rev. 9/gs n-Jk TENDIX C'- FINAL SITE INSPECTION DATE: Inspected by: i'REET -t�ri i � -.�.. _ L -✓-/ LcJ. -,,, _ .:12 -3;NI I T � , C -rM 0 OR SUED I V 1 S I ON LOT a. sus area 1Ocatieu a� = a++LA %+•� b. Fill 'section - date ofppl�acement. /r C. Natural so, i r)v%. 1NN=,.j d. Stone brush.etc.,greater e. 100 ft. f ran water course 1 SEWAGE DISPOSAL SYSTDI a. Septic tank size - 1,000 b. Septic tank installed lev c. 10' minimum from foundati d. DISTRIBUTION BOX 1. All outlets at same el 2. Protected below frost 3. Minimum 2 ft. original 0 e . JUNL; I 1 UV DUA - pr-ur.l=r i Y av ._ f. -TRENCHES 1.-Length re uired - L 2. Distance to waterccffirs6 measured 3. Installed according to plan 4. Slope of trench acceptable 1/16 - 1/32 5. 10 feet from property line - 20 feet - 6. Depth of trench < 30 inches from sur..f_a 7. Room allowed for expansion 100 8. Size of gravel 3/4 - 13" diameter clea 9. Depth of gravel in trench 12" minimum g, PUrP OR DOSE SYSTEMS 1. Size of pump chamber 2. 6 erf low tank 3. Alarm, visual /audio 4. Pump easily accessible manhole to grad 5. First box baffled 6. Cycle witnessed by Health Department 11. HOUSE a. House located me b. Number of bedroa v. WELL a. Well located as b. Distance fran SD c. Casing 18" above d. Surface drainage OVERALL WORKMWSH I P -a. Boxes properly g b. All pipes partia c. All pipes flush d. Backfill materia e. Curtain drain in f. Curtain drain ou 9. Footing drains d h. Surface water Pr i. Erosion control 1 m YES I NO I COMENTS r/i I 0W r ?— i' rR r Y rUMAM C00N T D1Oa/a11 �` DhYii at l4rv�as�edihHe E ✓ n 00 . . _ . N,1 !'O� �iYAf� D{SlOii•L SY�l I qiw O...r /AffM.* H..Zeh ems.. )TOFffi.+9LTN r,Caamel.N.Y 14512 &�ImaeirtoRelvldoleeslt %; ' OB U O 5 "M 1 repfeserq %that 1'am wnony.ane fompracary respgnaore Tor me ua.gn •au wT..a v. ...... W � — v • -- -••- ---W -•- abbw d.sCrib.d will bat flstructed as shown on the approi ed amendment there to and In accordance, with thsstandard ;rules a rayu . wns. am County Department o1 Health.' and the on-con+plaaori thereof a. ^Cartifkate .of Construction Cofnpliance' `satisfactory to the Commissioner of Mealthwill be suism*tad to the. Deoertmishtr ands written quaraekio' will. be' furnished the ownp, his successors, Heirs or,assigrls DY the buf1der. that said bulkier will place in, toad DPMatilp conditah, any past. or, saki »wager disposal aystein durifp the period of two (tj yeb►t.lihmoAlattNy tolk►wifj thedite of the NWA. ante of the app► r I of the Certifkate of Construction Coir►plNnu'of' the. C► inal system Oran its thereto; that hs filled will rreseribad a6ow Miss be located as 'shown on thi,appr" plan and that said wall will M Instal scoordence it the faards. s a rep s of the Putnam County Department of Health. ' pail 1,42 e RA. sn Adsire kl) tern N S� 2!' APPROVED FOR COfdSTRUCTION: This apps val eapkes two years from the data issued unless on ruction of the buikiina has been undertaken and is IeirOCab$a for cause Of maY.ba anHrMed or rnodifkidwhan considered necessary by - he. Commissioner of "Mahn. Any change or alteration of eonttrudion inquires a w t. pproved for disposal of domestic sanitary eevLege, / prbato wet np on _Rev. Title 10/88 'to---- ®y — WELL LOCATION WELL OWNER SE OF WELL 1 - primary - secondary AMOUNT OF USE DRILLING ETAILED REASON FOR DRILLING DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 ApPLIC�TIC.N', .— TO.-CON WELL PCHD PERMIT ......, r� i i flso city Tax Grid Numb Street Address Name ' Mailing 'Address O RESIDENTIAL O PUBLIC SUPPLY 0 AIR /I.OND /HEAT PUMP O BUSINESS 0 FARM 0 TEST /OBSERVATION O INDUSTRIAL O INSTITUTIONAL 0 STAND -BY GFPr i -4at e 0 Public O ABANDONED O OTHER (specify O YIELD SOUGHT gpm /# PEOPLE SERVED �/ /EST. OF DAILY USAGE. dal REPLACE EXISTING WELL TYPE I ®DRILLED IS WELL SITE SUBJECT TO FLOODING? ,Y 0 TEST/ OBSERVATION L- ADDITIONAL SUPPLY ODRIVEN DDUG 13 GRAVEL. YES r� NO ,z IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME Ur bUDL1VL0.LV 0 Lot O OTHER WATER WELL CONTRACTOR: Name Address: E IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO WAKE OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY :DISTANCE TO PROPERTY FROM.NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED (20N SEPARATE SHEET nature (date) PERMIT TO CONSTRUCT A WATER WELL forth above is granted under the provisions This permit to construct one water well as set of Subpart 5 -2 of Part 5 of the o ° waterawellaconstruction ,a the papplicanthshall: thirt -y (30) days of the completion 1, pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of Department attached to this permit. provided b the 1 ion Report on a form p y the Putnam County Health Putnam County Health Department. 3. Submit a Well Comp e '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 his ater. g property and in suc a manner as not to degrade or otherwise contaminate surface or Date of Issue: 19 — Permit Issuing 0 fici Date of Expir ion Pink copy: Owner Permit is Non - Transferrable White copy: HD File Well Driller 3/89 Yellow copy: Bldg. Insp. Orange copy: LAURENT ENGINEERING -A :7=7, SSeC � TES _:P. MILLBROOKE OFFICE CENTRE Route 22 & Milltown Road Brewster, Now York 10509 RANDOLPH W. LAURENT, P.E. (914)278-6108 - (FAX) 278-2658 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS December 23, 1993 Mr. William Hedges Putnam County Health Department 4 Geneva Road Brewster, NY 10509 RE: Individual SSDS Lot #it Fair Street Subdivision Highview Drive Town of Patterson, N.Y. Dear Bill: Enclosed are the following: 1. Two (2) prints of Drawing SS-11 "Proposed SSDS", dated 12-23- 2. Four (4) prints o4 Drawing SF-11 "Preliminary Design for Fill Placement Only'-', dated 12-23-93. 3. "Application For Approval of Plans For a Wastewater Disposal System". 4. "Construction Permit for Sewage Disposal System", dated 5. "Application to Construct a Water Well", dated 12-23-93. 6. "Design Date, Sheet". 7. "Letter of Authorization", dated 6-3-93. S. "Corporate Affidavit", dated 6-3­9U. 9. Cut sheet 4or Hydromatic Pumps Model 5P-25. 10. Two (2) copies of Residence Floor Plan(--), for "Bedroom Count Or I V 11. A check in the amount of :V300.00 for Review Fee. Kindly reivew the enclosed items and contact us with your comments and/or approval at your earliest convenience. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. Harry W. ahols, Jr., P.E. HWN: tad 94 106 P�CJ T N A.L� CO CJNT'SZ" DL�,P,,R'�'MENT Olr' ....... -. -APP li-C I- l—DN-- :FOR,APP,ROVAL OF. PLANS- .FC.R- k Ef%--D-. Sr0SAJ 'STEM' 1. Name and Address of Applicant:u_� 2. Name of Project: r,q 3.._, Location,� y'%V /C: c ., 4. Project Engineer: W. IJIGNOJ �T_• 5. Address: N(., 1LL# y'mrg zywi0 � License Number:-- �1o12q' Phone: 2'1� �I•ol3 -,-- 6. Type of Pro ect:. .. ' �/ Private /Residential Food.Service ....Commercial , Apartments Institutional Hobile Home•Park' Office Building• Realty Subdivision Other (specify) 7. Is this project subject' to State Environmental - Quality Review (SEQR)? Type Status (Check One) Type I.. Exempt ✓ Type II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? ............. fJ U '9. H,as DEIS been completed and found acceptable -by.Lead Agency? ... �J /q 10. Flame of Lead Agency .1l....Is this project in. an area under the control of •lo.cal Tannin _ .. cficials;yordinainces? .... .. _...._. , ..- on .. ... �1d 12. If so, have plans been_submitted to such. author .sties?....................... n1�/A 13. Has preliminary approval been 'granted by such authorities? 0A Date Granted: 14. Type of Sewage Disposal` System' Discharge.. Surface Water Ground Waters 15. If surface water discharge, what is the stream class designation ?........ O/A :6. Waters index number (surface) .,....,,,,,, 17. Is project located near a public water supply system? N I S. If yes, name of water supply Q A Distance-& water supply , :9. Is project site near a public sewage collection or disposal system ?..... IJD .0. Name of sewage system Distance to sewage system A. Date observed: 23. Name of Health Inspector: 4. Project design flow (gallons per day)...' ................................... &72 r2. ^25. Ys State Pollutant Discharge Elimination.System (SPDES)) Permit required? p 4 26. Has SPDES Application been submitted to local DEC Office? /p. 27. Is any portion of this project located within a designated Town or State Wetland ? .................. ....... r.)Q 28. Wetland ID Number ................................................. 29. •Is Wetland Permit• required? ......................... ..................... Has' application been made to Town or Local DEC Office? .................. 30. Does project require a DEC Stream Disturbance Permit? ................... 00 31. Is or was project site used for agricultural activity involving application of pesticide$ to orchards or other crops, solid or hazardous waste disposal; landfilling,•sludge application or industrial activity? .:......:YES or NO r.ly 32. Is project-located-within 1.000•feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge.disposal site or any other potential known•source of contamination? .....• ......... YES or NO k1Q DESCRIBE: 33. Is there a local master plan or file with 'the Town or Village? ......... 34. Are. community water, sewer facilities,planned to be developed. within 15 years? QW,_'QAQ .. 35 -: e.:: sex. e ,:dis - osaJ_.arQ�•.. - - - ._ ._ ._,. - :.......... - •�_ —��... -. 36. Tax Hap ID Number ............ ............................... .......... '. 37. Approved Plans are to­be returned to: ................ • Applicant Y_ Engineer If the application is signed by a person other than the applicant shown in Item.1, the. application must be-accompanied by -a Letter of Authorization. Failure to comply with this provision may grounds for the rejection of any submission. I hereby affirm, under penalty of perjury.- that information' provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A Hisd&neanor pursuant to Section 210.45 of the Pena 1 I n t-i SIGNATURES & OFFICIAL TITLES: "',AILING ADDRESS: • /• •� 010• '01 la 0 • • i• a r r �a v •�y MMITRWRON DESIGN. r * S., _4r�grTCh+�_ ,(,•F nr,SPOSAL SXSTEM FILE ND. Omer 1 I 1 P l N Er �'AdcitCess �1i,� �{ DfZ - .U� r I.1 A lG�t�l,l Located at (Street)--..IA( l��H \11 i� n� i�/'� Block Lot (incitcaTte nearest cross streetY Municipality Watershed a o SOIL, PF_,E200LA7`ION -•TEST DATA RDQ(T= TO BE.SUR -fr= W= APPLI=CNS Date of pre- Soaking [4- 1177 Date of Percolation Test 11 _ 24 HOLE ©LCCK T324E P.MMI- ATION PERCOLATION Run Elapse Depth to Water ]Frcm Water Level No. Tin» Ground Surface In Inches .Soil Rate: Start Stop Min: Start. Stop Drop In Min/In Drop inches Inches Inches ' DEPTH _. G. L. D (ou 1' 2r 3'. .4' 5' ' (1 7' 9' TEST PIT DAMA REQUIRED • BE SURMTED WITH APPLICATION DESCRIPTION OF • IIS E=XR=M IN MST HOLES HOLE NO. • i 14' _. - - - - - - - INDICATE LEVEL AT WHICH GROUNaWATER IS Eti100(1N'.�FtEa 2 - � INDICATE IMM T0. WHICH WAMR, LEVEL RISES AFTER BEING ENOWNTERED DEEP HOLE OBSERVATIONS.MADEiBY; DATE: DESIGN Soil Rate Used , Go Min/1" Drop: S.D. .*able Area Provided• No. of Bedroans Septic Tank Capacity gals. Type Absorption Area Frovidecd By L.F. x 24" width trench Other U i t� �i2�LtJ Name tZtzli NIU-1d_!�2 `T Signature' Ul Address j D EA. No. 56124 THIS` SPACE FUR USE BY HEALTH DEPARTME J'2 ONLY: -t .;::. =', his � Soil Rate Approved sqo f t,%gal� Checked by . Date j 14' _. - - - - - - - INDICATE LEVEL AT WHICH GROUNaWATER IS Eti100(1N'.�FtEa 2 - � INDICATE IMM T0. WHICH WAMR, LEVEL RISES AFTER BEING ENOWNTERED DEEP HOLE OBSERVATIONS.MADEiBY; DATE: DESIGN Soil Rate Used , Go Min/1" Drop: S.D. .*able Area Provided• No. of Bedroans Septic Tank Capacity gals. Type Absorption Area Frovidecd By L.F. x 24" width trench Other U i t� �i2�LtJ Name tZtzli NIU-1d_!�2 `T Signature' Ul Address j D EA. No. 56124 THIS` SPACE FUR USE BY HEALTH DEPARTME J'2 ONLY: -t .;::. =', his � Soil Rate Approved sqo f t,%gal� Checked by . Date PU•NA11 COUNTY DEPARTMENT OF -HEALTH HEALTH SERVICES Data ­7" Re Property 0 Located at (T) sec tiun: o 0.k Z Lot Subdivision O:C. COP Subdv. Lot FiJed Map Dixte Gentlenien! This letter is to outhorize duly licensed Proressional engineer. or reg4stered-archtteot. (111dica to to aPPIY -fur a Conntruction PerIIII.L r ri'sePax Age 'Wage. system, to sery abo vo noted ,:proper ty : in a&torda n.c with the .5tandard" a rules or regulations am promwigatect by the• Commissioner of the Putnam County Department of Healtil, to 11 all, Ileces T't -b.0 h a.-I f cOnnection with Matto and f0 supervise the conatruc-tion of said system Or xyp5tems. ill corLE()"llity 11 tile Provisions or Article 14 or 147, -Education Law, tile Public Heal,j, Lai,? and the County tart' code. OF, 1, • ,�Q-zs�P ohs 0 Vary s truly yours y. u Ft:::> -q 0 Ft::: > Signed 110'anter Owner f No. 561 er of Property R.A.f P DIE Add re as' dre Town. 1,7 LL Telephone .elephone • County De . Par"tmpnl: of 1jealth D'v1sSon Of Cnvi "Oilmen to I sarz$tarlon AFFIDAWT - CORPORATE MNER APPLIC'ATION PERMZ T MICAT-10Iq SUBMITTED' TO PUT NAM COUNTY )IF-WEff DEPARTMENT TO: C0=11661onez, of Health' _Tt) matter of appxicatlon f'or' that .T pepresellt. am an officer , OX- empYoyee of the COrPor-Atlon and au th orl ie d t 0 ZLC t for _ (name of F07,P.0ra•I07T) • havlrig Offdces a' )4671 kc�x. r-4 "ft J0 G e fi ` Preelden Y jr e ana, d See i2F01 S Mx, e a s4carer' -'7 .(Name and and mat T'Ajn-tM.d 411 be individually responsible 9r. the- corpor. 4 f0t) any 01 tION I itb respect ,a P tp seque,lit a6ts'a to the dPVr'0va1 re -relat��g -thereto. sub- SWO7 M ay rni to e *e Signed 71 ti Vi g—A, J_ No t7a.r NATALIE M. COLLETTA NOTARY PUBLIC. State of New York No. 499300B*: Qualified in Ulster C Commission expiresaf� i9 NO 4ti�r 1�b 1) • Corpar4te Seal X 2MI !MI(R/ ` / . •..XV11 J 1Y .. Bulletin 110.2 SP25 Submersible Pump for Residential and Industrial Sump. ...and Effluent Service Outstanding Features: 1. Oil- filled ball bearing motor provides life -long quiet. operation. Motor is Ya HP single phase, .1750. rpm with b.uilt -in automatic reset overload _ -- -- - prot't%i foiii s -• -- 2: Exclusive single rotor and shaft are'supported by one long bronze sleeve bearing, lubricated for life with oil in motor. 3. Non-clog cast iron impeller, threaded to steel shaft, allows all ordinary sump deposits, include ing washing machine lint, to be pumped without binding. No suction screens to clean. .4. Mechanical shaft seal, carbon and ceramic faced, super lapped for perfect'sealing. Buna,N rubber, brass and stainless steel used in seal parts. 5. Choice of cast iron or bronze construction. 6. Designed for field serviceability. Motor stator winding, mechanical seal, or level control switch can be replaced quickly without the use of spe- cial tools. 7. Each unit given a complete operating test before shipment to assure exacting specifications will be'met. Applications •Septic tank effluent *Flood control units *Air conditioning condensate -Industrial circulators *Transfer tanks •Basement sumps *Elevator pits *Water coolers'...:,, a'� a Specifications Capsc� ties To beads To "Solids '* ` Handling - - NPT Discharge Motor ' HP Controls Construction 45 gpm 21 feet 5/8 -inch 1.1/4 -inch 1/4 Auto or Man Cast iron or Bronze- 'Pump case, motor cap, support foot and baffle are cast bronze 85 -5 -5.5 metal on bronze pumps. Shaft is stainless steel_ Lifting handle and outside assembly screws 18 -8 stainless steel on both cast iron and bronze models. Trouble -free Dimensions Diaphragm Switch 6 Diaphragm type pressure op- , erated level switch sealed into watertight housing. Switch diaphragm is isolated by oil retained by a second dia- phragm. Solids cannot affect switch operation, and switch . will continue to operate even if exposed diaphragm is punc- tured—an exclusive HYDROMATtC feature. Standard switch setting is .8 inches•but can be furnished special for levels to 30 inches. Power Cord: Automatic model (SP25A) furnished with vented power cable with molded plug in 10 -foot length as standard. Other lengths available. Manual models 7 V2 furnished withou,t.plugs.. 4 O 144 STO. PIPE 0 2 W 1 LU LL 2 W 12 2 Q F � .8 4 0 1 MEN no FULL AD .1 NIPS T 115V. 0 ONE MEMO 0 10 20 30 40 50 U.S. GALLONS PER MINUTE Bulletin 110.2 New 4/84; Supersedes 210.1 LITHO IN U.S.A. 60 m —6% ' NOTE: 0 E CASTING DIM. MAY VARY t 18 " 1 MARLEY THE MARLEY PUMP COMPANY I� HYDROMATIC PUMPS Box 327• Ashland, Ohio 44805 (419) 269.3042 In Canada — Wylain Canada Ltd. Ltee.; 126 East Or Brampton. Ontario L6T 1C2 nternational Sales — Ashland, Ohio Tele; 987432 .11A.YDROMATIC PUMPS F I LA SECTION 100 PERFORMANCE DATA & DIMENSIONAL DRAWING .:..MGDEL,SR25.7S.USNERSI.BLE, S-.U:MP-:PUMP.:.----l?ti-AX-. SPHERE:--. 1750.-RPM-_., Z. mMmMllMMMMMMmMMMMmMMmMMM MEME MMmMMMmMmMMmMMmMM MEN so m N M�ii�i� E M MENUM - a�� U M M 16M EMMIMME M119. MEN MEMMEM19. �eieu�e�euuu� MEM MMMMMMMMMMM SON MENEM M M ME MOMEMMM MEMMENMEMEMEM solloomimis MEN MpB 0 liumm Ngm�l�,9�� mommmmb.gm 0 EMEii N mommomms ME mimmoolillis NE EMEMMEEM so IN NONE 11 ME NIMMMEMANNEEMEM 1 0 NNOMMONOMMEMEM SMOMMEMMEMSEEM MODEL: SP25A 71/2 NOTE: CASTING DIMS. MAY VARY ± '/a X., :: i. ; {.�;i�. • {.�•. : is : \.; •.�•.�;. : i� : : is >: - - : ♦.t 48` - a BATH 4 '. 1 BEDROOM t .J ; DRESSING. 1 9••8 . x 12.4" ' WALK BEDROOM 3. IN "�•! - CLOSET i'OT1Vl��� MASTER BEDROOM PEN �ryCOUJ' T ^� 17--0 - 16" B.. BEDROOM 2 - OU•r r. OF rn r7��y 13' O h 15'-8**' i — a T• r_ � ,� `• ��. : ,l V1 Al.N,,t LTR 1 STUDY -- uz A ".- 4828 = -1344S F. SECOND FLOOR Dta 48 a � • mot— •J T(�. r• -• 1 1. ���- •• KITCHEN -� Cj MORNING ROOM i DINING HOOM �. 13' 0' >< 12'•0' .1 r _1 - OPEN ' 1• ABOVE i FAMILY MOO" LIVING nOOM ' �'' ' ! FOYER �- 482.8 IRST FLOOR r BATK • ` O �► 1 j BEDROOM A \J� � ORESSING• 1 9••8•• x 12'-0 ' ' WALK' BEDROOM 3. I - IN 13'-0• x 10'-0. CLOSET L MASTER SEOROOM BEDROOM 2 OPEN 13 O S7UOY 4828. - 13445 F SECOND FL0'0R - _ • _ 48, •` KITCHEN MORNING ROOM i DINING HOOM - 13' O• x 12••0• r , -1 - OFEN ' • J • A30VE i FAMILY ROOM LIVING ROOM w . ' FOYER �• ... 4828 1:�4dC F FIRST FLOOR y 0 � d1 t k . D u n o� o° U N 0 k . D u n o� o° U z`hkYr sr s _; 3. .. :, : _ . �, ,.. ,.; ,.>,:'.:i,.- >.:�.,.� ., : ' s,•C _ '+;,°. r . '�' .4. . �. . _ . �.. � ; t r' i �.`i F ti � t21 91 e9 . GHIA�fl (1w r-T.) 1lo -D 4)l .0 Z �Zlo.0 X1.5 a 31.0 I1.2 1 x11.0 X8.0 12 q•5.O �� I� Al.a X8.0 10 4.z.0 . �� a . it 1¢4-0 glo.o 11 4 *.e �A.o I 41.0 1°I .00 -10 21 11.0 X455 � 1 �!•3.� 1'�il�.rj 21 9�2D 1�i 149 9-0 3a 1el 1At 1.0 de �3RS, d 4�