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BOX 13
01452
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01452
vV�!% WELL COMYLETIUN Khrur
Office Use Only
DEPARTMENT OF HEALTH
-
Divisj.on _Of Environmental Health Services
PM'NAM COUNTY DEPARTMENT OF HEALTH
STREET Aq RESS: wWlwl I 1 0 � Tax RIO NUh+8Ed:
��- /-
WELL LOCATION
WELL OWNER
NAME:. ADDRESS:
;. ) /'rld sC) . (0 O 96 «r c ,
PBIVATE
O PUBLIC
USE OF WELL
RESIDENTIjkL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED
1 - primary
❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify)
2 - secondary
O INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY. ❑
MOUNT OF USE
YIELD SOUGHT --"T— gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGEQQ gal.
REASON FOR
NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION
DRILLING
❑ REPLACE EXISTING SUPPLY. ❑ DEEPEN EXISTING, WELL
DEPTH DATA
WELL DEPTH ft.
STATIC WATER LEVEL ft.
DATE MEASURED �d
DRILLING
❑ROTARY eCOMPRESSED AIR PERCUSSION ❑ DUG
EQUIPMENT
❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify):
WELL TYPE
❑ SCREENED ❑ OPEN END CASING, fdOPEN HOLE IN BEDROCK ❑ OTHER
TOTAL LENG "H _!!�La ft.
MATERIALS: STEEL 0 PLASTIC ❑ OTHER
LENGTH .BELOW GRADE —j!Q ft
JOINTS: O WELDED 16THREADED ❑ OTHER
CASING
DIAMETER �— in.
SEAL: ❑ CEMENT GROUT IYBENTONITE ❑OTHEIt
DETAILS
WEIGHT PER FOOT lb./ft.
DRIVE SHOE: Y YES ❑ NO
LINER: ❑YES 60
DIAMETER (in)
'SLOT SIZE
LENGTH
(1t)
AETH TO SCREEN (it) DEVELOPED?
SCR EN
D ETAS
FI
0 YES 0 NO
E�oNo
__
_
_ .._ .. _ O URS
GRAVEL PACK
O YES
GHUIVEL
DIAMETER
B TTOAt
tTDOEPTH
O NO
SIZE
OF PACK
fL DEPTH It.
WELL YIELD TEST ; detailed pumping
WELL LOG
It more detailed ton descriptions or "sieve analyses
are available, please ale attach.
It
METHOD: O PUMPED 1 tests were done is in-
&'COMPRESSED AIR ; formation attached?
DEPTH FROM
SURFACE
Water
Bear.
lin
Well
meter
FORMATION DESCRIPTION
COOE.
O BAILED O OTHER i ❑ YI :S O' NO
lt,
it.
'n9
WELL DEPTH
DURATION
ORAWOOWN
YIELD �•
Surface
1 /CZ id
tt.
hr, min.
,it.
gpm. ,r
a
I
e , 3f-
,/
,/
67
L
O
WATER CLEAR TEMP.
,.
QUALITY O CLOUDY HARDNESS
O COLORED ANALYZED? OYES ONO
STORAGE TANK : TYPE trot O
ANALYSIS ATTACHED? O YES O NO
-,_�
`'qr'-`°
PUMP INFORMATION
CAPACITY -----
WELL DRILLER NAME DATE
ALBERT M. HYATT & SONS, INC. r
TYPE Sa - -Ifi d- CAPA';,1TY
MAKER DEPTH
MODEL 7 6LL/5.'�_4 VOLTAGEa -16HP
ADDRESS SIGtIXTURE -
Well Drilling
Rte. 311 RA. 2 . Box 171A
TTERSON, NEW YORK 1.2563
i
=.11A?', SITE R\IS=— =CN Dc J
by
Q9 Ole
- ... .1 MT
_
c,z�
a_ -S armrcved plans
b. >> c F> -n I
2:1 barrier . LCI'R W-=- P_VG _ DF ME 4-1
C- ra�sr.1 Sail nct s ` i
e_ S nne, cr= =t=- t-lan L' f_an SDS are=._
e_ 100 ft_ from wat =— cct:rze/wetlar2iss- I
DISPCCE;Lr, SL--TE -!
a. Se-:t-,Lc trek size - 1,00() , 250
b- Sentic tank i rs_ =1 isve1 I o-r"°°
C. 10' mi_ i --M f= Ml fcu_*--dati cn _
C.- �C °0' herd -s, C_ez- -,:cLL wiL.r2? II 10 f =_ cf 450 c
e. E,'rl; �r Tj-T_TC_i ECX
a e ea c - W-a- All cutlet -
I
2. Prctr� ce! cx f -cst
I �I�•
MlizruLm =Z 2 ft. cZicina1 sr i 7 he--ice-a-71 'GCX and t emc-h s I I
K.
Q " I I
r=-� - Lam_ =�, ins-ta i = -
GD1S =*1Ca tom. we f = I I
c_=_r tc carver I I
S' GCc C �C^ ° lllo 1 /�G " /iCGC_ = zb ( I
E. 10 f f= Dr C. `, `T 1Lne - 20 L=== - fcur•r• - - =cn5
7. DerCt -? Cl L_��c1 < 30 inches f--= S cam. I I I
E_ Rccn allca fcr 50- I l I
S Size ofc =,,F-1 3/4 - 1=" diameter ( I
10- D---lath e= cL=tie_ In t= e_ ^C1 12" m,nTmmn I I I
li pi Le - • I i
h_ F--,T OR DOSF. S sJ =--s
1 Size cf nom. c-la:.-Lcer
2.
{ P1a=, vis-= l /auci c I I
PtaiiD eas_lv acG_ = i Tle RT�n C1� to ands I I I
5 Fir_t beY r I I
fi. CTC? e w_ by
ri. MUSE
a- Ln =e last= rer a,-=rcver Pl,-,,s _ J A I
b_ fi r--- of hE: *-o=L I
4 z as �r accred pia*L
II
b. D Ctanc=_ fran SES ax_ 16' I 1
C. C scinQ 1$" 2-^cye crate- Imo° I I
d_ S`=ace dra? =ze arcur_c well- ac—table.
a_ a=ces prcperly a cut
b_ A_' p1r.25 �cr'�c! 1V baC�.Le^_
C- A— Pines f = u-sh wi t-1 inside of bes
d_ EE='; =i 1 mat_r ? cent =t*L stcnes < 4" in CiaMEt =r
e_ C::- -: n cza .n Inc T 1 — accora IIC to. Alan
f- dr to ccall rrct�ct� & dir_ to ev_st_w�t_Tccur =� �I
Q_ t ^�?I1Q TCrr`�nc Q:c� -F-rae aw -aV f =CCII C,C
h- S._--ac_ wa`_r GrCt =t?cII ac�TL'3t° I . I
Z- i =�SLCn C_'n�01 CrCV?c5�-' Cn S1CCes Qr -`ter t_Mlr_ 1G3. I • I
BREWSiTER LAB6FIAT®R"IES
Box 224 - BREWSTER, N.Y.
(914) 279 -4945
SAMPLE NO. 76� 'f0 TEST WELL
Fo.Ley Dev.
SOURCE: Windsor Oaks Lot#24
Fa:Lr St.
Cai .-mel, N.Y.
COLLECTED: 3-21-90
BY: P.F . Beal & Sons
BACTERIOLOGICAL, EXAMINATION
Coliform Count, MF Method .0 per 100 ml.
This result indicates the source of the sample was
of satisfactory sanitary quality when the sample was collected.
3- 2,3 -90
APPENDIX I
PUTNAM COUNTY. DEPARTMENT OF-HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Poughkeepsie Savings Bank
Owner or Purchaser of- Building
Colonial Ridge Associates
Building Constructed By
Highview Drive
Location - Street
Patterson, New York
Municipality
Building Type
-K- ( - 14.1 z4
Section Block Lot
2194
Tax Map Number
Rosewynd Pond
Subdivision Name
24 '
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 constructed
system constructed by me which fails to operate for a period of
years immediately fol_low.in -g a(ie. date.,, of _approval_. -of :_t_he__ "Certificate_.,., -.
of Construction Compliance" for 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
utilizing the system.
The undersigned further agrees to accept as conclusive the
determination of the Director of the Division of Environmental 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 utilizi�`g/the syss
Dated this day of 19 CIO
i
Gne 1 Contractor ,(Owner - Signature
PouahkeeDsie Savinas Bank
Corporation Name (if Corp.
21 Market Street, Poughkeepsie, NY
Address
Signature
Title
Poughkeepsie Savings Bank
Corporation Name if Corp.)
21 Market Street, Poghkepsie, NY
Address
APPENDIX I
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Poughkeepsie Savings Bank
Owner or Purchaser of Building
Colonial Ridge Associates
Building Constructed By
Highview Drive
Location - Street
Patterson, New York
Municipality
Building Type:
Section Block Lot
2194
Tax Map Number
Rosewynd Pond
Subdivision Name
24
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 ameridment- 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 constructed
- sys -tem- construcwed - -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 system, except where the failure to operate
properly is caused by the willful or negligent act of the occupant
utilizing they system.
The undersigned further agrees. to accept as conclusive the
determination of the Director of the Division of Environmental Health
Services of the Putnam County Department of Health as to whether
or not the failure of the system to operate was caused by e willful
or negligent act of the occupant of the building utiliz9�gjh sUMW
Dated this day of 19 90
G n e 1 Cont victor Owner - Signature
r 9L-31
Poughkeepsie Savings Bank
Corporation Name (if Corp.
21 Market Street, Poughkeepsie, NY
Address
Signature
Title - X�
Poughkeepsie Savings Bank
Corporation Name if Corp.
21 Market Street, Poghkepsie, NY
Address
„i$MAM'COUNTY,DEPARTMNT OF,HEALTB*;
'n � •` a� ,�' i � � f Division of Envkosmeritd Health Seivloea. Caemd. N if 1QS1? "`. Englneee to Provhie Permit N i
FlI
Z,
—onCERTIF[CATEOFCOMP AN
Permit
CO SEWAGE
IrAwAtrA At
Subdivision Name
_4
IAt
RefievraL_Q
;70q-
�bste of Previous A I
:..,q J.
-7-7 7-
.9
M-dift Town
Add”,
7 ,777
A: io
6WY
BU0,68 Type Lot-4 sft-liioi Vol
ume
m
Niumber Des Flow RCEED'Notiffestion Is Re4iilred Is completed. ,,
of ]I"oo- B, P M
T!
;ttA
Sewers VOCO Gallou'Septic Tank selsm" go System to cofishit and
q
To,lbeiiiiiiilftudelf by-,. —Address
W4te*4uPPb: PoW S40b, From -Address
7,
on
Private 4%P#Iy_ A
Other Requirements
of., 'ihe' Wthat the separite'iewijit'di'sposs
represent thit-Cwh woolly and ,completely i'i6le i8�4'he.--i6iijW41n4 iocaiiph
l I, .. i. ., _ -
_,.above described, constructed a!jh0,wp oq'th� approved aTtndfr"�; !o.�and in accordance with tive'st�ndar4s. iulei and.re ylitm
will tia qu,15119n! or- �ne, m. m Compliance Jajjsiacjofy,�td the-CommigNonai..c)rf,.Aialt�,i�ilI
County Department of -keilth�.'and that on cornpletiio.q�thereof aIICjkr if, of
i-te Construction,
tt ,written guarantee oriasiilli
be, •ss�bmi ed to, thapepar !nen!, and -a,i K
Imm a he
place �n':good operating' condition any
part ,said SeWage�- diSisp I "two (i) years i
", sy �em �9 .. 4
,ance,of,the approval.of 'dirtiii �6,f,�:oi�itrur-tiorl-.CoMOliaiic46,�o r' ors th r
the' Cate f.th�,oii4!npl syst m 0 any re then to; t well desaibed ablivi
touted as sh*winbn the 4_6;iroved plan and ,that 'said i�eki_,� ida- .with me stand and pUtnar L " '
will be ca
Count
Date Signed,
P.E. 'R .A.
-A- ense N
APPROVED FOR CONSTRUCTION -.-T h is'ap pro'vi 11 eip ires'tW6' -date issued, unless' construction of the ing'has eon' undertaken, and 4 is
,years from the uild
revocable for cause or maybe amiAde�''or�mo'difiid�wheii-6on'iidirid necessary b1t_ the ,; . q0tinissione'r of ke'llith. An thin a or" alteration 64,iconiirti6tkin
iaQ.0 f I I-. ' IL ' 1. . I
ov-disposal 'of *d'omestic'san-itary d/
Oa By
Itio _rI;WI
Town zor
BID&
...... .. . .....
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 4
WELL LOCATION
Street Address
. Town/Village/City Tax
Grid Naber
WELL OWNER
Name
0-K6IDENTIAL
®.BUSINESS
® INDUSTRIAL
Maili g Address
❑ PUBLIC SUPPLY Q AIR /COND /HEAT PUMP
❑ FARM ❑ TEST /OBSERVATION
O INSTITUTIONAL ❑ STAND -BY
rivate i
O Public
O ABANDONED
❑ OTHER (specify
USE OF' WELL
1 - primary
.2 - secondary
AMOUNT OF.USE
YIELD SOUGHT.
gpm /# PEOPLE SERVED G /EST. OF
DAILY USAGE gal
REASON .FOR
DRILLING
Caatw ; "UPPLY OPROVIDE. ADDITIONAL SUPPLY
❑REPL.kCE EXISTING SUPPLY. ®DEEPEN EXISTING WELL
®TEST /OBSERVATION
DETAILED
REASON FOR
DRILLING
Naud 140
t-je�
WELL TYPE
LC-PRILLED
❑DRIVEN ®DUG ®GRAVEL ®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: Tame Address:
IS PUBLIC WATER SUPPLY A`''AILABLE TO SITE: YES 4---'NO
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
DISTANCE TO PROPERTY FROM NEAREST WATER MAIN:
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
OON REAR OF THIS APPLICATION EKN =PA S EET
(date)
(da-- t�— (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 s.he.1 l
1. Pump thf! 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 it Well Completion Report on a form provided by�the Putnam County.
Health Depa tment.
Date of Issue: 19�
�ermit Issuing fficia _
Date of Exp' i lm • 19�
White copy: H.D. File
Permit is Non- Traisferrable Yellow copy. Building Inspector
Pink Copy: Owner
2/87 Ornncrp mnv: Well Driller
APP—r-NIDIX B
PUTTINAM CC-TJ Y DEPAMENT OF HEALTH - DIVISION OF ENVIRO 'nL HEALTH SZRVICES
IMIVIDUAL WATER SuppLY & SJBSU�?CE .Sr M- DISPCEAL, SYSTRAS
REV?_ETry SIDE= CONSTR=ION P- -IT .. _._
_ 0 DATE REVT :vim
C% XG.y. ® f r � S 5 r7 �} "•° BY : _I ,
(:1arle of Cwrer) (Street Location)
C. rL`�SNI S
YF_S I
NO
�I
xl
I •l.
I�•,i
I
I I
I
I I
I" 'I
LF tre nci prwlder f
max. v
1�rtours
100%-
I
I
I i"LI
I Y
I I
I
I ..
i
ML SYSTEYS
1avcarrier 1
4 ft. 1
fiU notes
ne,%T� soec .
de,z c uses
1001 . flodd elev.
200 ft. reservoir, etc.
150 ft. tricall /call.
DCCU%om
Perr-ait APpli.caticn
Corporate Resolution
Plans - Three sets
Engineers P_utiorizaticn
Design Data Sheet (DCS)
Den Role Log
Ccnsisteflt Perc Res: t-S
Perc Hole Depth
s/s
SuEDI'VISICN
(3)
C.4 _
He =A-Plans - Tivo se_z:
We`1 Perm -.`_;
ariance Request
C-
'yrA_L
Legal Subdivisicn.
Sa-icc i Sri Sion A-pgrova-
Et -=z_ rcval SSDS Ad 4i. Lots C`le k---
We i al:d (Tc- -M /DEC Pe^li t R & D)
Data Cn DDS Plans &
REQU= DETA � � c CN PT aVS
Ecvcc7e CJs an P' -an - (nor =z arrow)
.c =.voce Sy 5-.a Tl TCraul c P- fiI = - Gr= •i_ t_T F�
.0
ll Profile & Di_�lensiens - Voll -e
D eEox;Tr= *�cz /C�lle, -�; P' pi
Septic Tanis - Size, Devil
Well Detail, Service Line if over
Ccnstructicn Notes (grincer rte)
Desicn Data: per;.. and - -deep
Ttic--Foot Contours Existing & P_c_resw
Dr` ive:agv & Slopes Cut
OOL1l1Q�- utter,Ctrtcin Drains (discharge OK)
Pert°.°& •Deep Holes L�^c tee
Repras�--ritative of priff y and excansicn
Expansion Asea; shown; gravity flaw, suff . size
If Pm-pe3 Pit & D Box Shcan & Detailed
House - No. of Bedrooms
Wells. & SSMS's Win 200 ft. of Proposed Sys t;
PrcL�ELr ij7 Metes & Bounds
Hou-se Setback Necessary (Tight lot)
House Suer 1 /4 " /f4l---. 4 "0; Type pipe
No Beads; Max. Bends 45° w /clez=nout
SF.PARA.TION DISTANCES S?ECIFIED CN PLAN
Fields
10' to P.L., Driveway, Large Trees,Too of f
20' to Foundation Walls
100' to Well; 200' in D.L.O.D, 150' Pits
100' to Stream, Watercourse, Ia' (inc. e-,c--
.15' to Dra i ns-C-urtr i n, L,-der, Footing
35'to catch hasin,storndrain , pir Ovate -=u
10' to Water Line (pits -201)
50' into itte_nt drainage ccur_e
Senti c Tonics
10' from Foundation; 50' to we-1
15' well to PL 9
?UTNAM COUNTY DEPARTMENT OF HEALTH
Division of 'Environmental- Healt-h�Servi'cO's
AFFIDAVIT - CORPORATE OWNER APPLICATION
FOR PERMIT APPLICATION SUBMITTED TO
PUTNAM'COUNTY HEALTH DEPARTMENT
TO: Commissioner of Health
In the matter of application1 for:
CaJ &LL
represent that I am ar, officer or employee of the corporation and am authorized
to act for Cad' Q K"' 4 t, k-1 0 C_ (.t� ,r,,L C_
(Name f Corporation)
having offices At
A--,r rJ S
I/ A` i A i'7 I Li
Whose.of.ficers are:
President: ICI
Vice - President:
;r It's Kit
Name and Address) f
n '
Ra
I Address)' - - - ._.
Secretary:
(Name and Address)
Treasurer:
(Name and Address)
and that I am and. will be individually responsible for any and all acts of the
corporation with respect to the approval requested and all subsequent acts relating
thereto.
Sworn to before me this day Signed:
of 15Z 0 Title.•
�' ,; 21%
THOMAS Y. ANTONECCHIA
NOTARY PUBLIC, STATE C,F NEW YORK
NO. 60-5089425
CERTIFICATE FILE IN WEISTCHESTER COU TY
COMMISSION EXPIRES AUGUST 31, 19.-
8184
Corporate deal
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY'OFFICE BUILDING,.CARMEL, N. Y. 10512
DESIGN-DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
OwnerCLa�a /li���Xr�iC,Addressn��97
Located at ( Street J des, '7(Q Block Lot ee�,
indicate nearest cross street)
Municipality 9- Watershed
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME
PERCOLATION
PERCOLATION
Run Mapse
Depth
to water Water Level
No. Time
From Ground Surface in Inches
Soil Rate
"Start -Stop Min.
Start
Stop Drop in
Min. /in drop
C Do
Inches
Inches Inches
2 , l Li� 1
3 - w 3 t g
' r
C) Ile
so
1 5 19 _0 1'lip I-
Notes: 1) Tests to be repeated at same depth until approximately equal soil
rates are obtained at each percolation test hole. A11 data to be submitted
for review.
2) Depth measurements to be made from top of hole.
'�- 5 0
fit
l C'�
C Do
Notes: 1) Tests to be repeated at same depth until approximately equal soil
rates are obtained at each percolation test hole. A11 data to be submitted
for review.
2) Depth measurements to be made from top of hole.
Address
SEAL
�r P
THIS SPACE FOR UBE By HEALTH DEPARTMENT ONLY:
Soil Rate Approved Sq. Ft /Cal. Checked by Date
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRIPTION OF SOILS ^ NCOUNTERED IN. TEST
HOLES
DEPTH
HOLE NO . _ .... HOLE NO..
HOLE. NO.'
G.L.
6"
12"
18"
24"
3011
36,.
of
42"
o
48"
5411
�►
60"
66 ".
..._ --
72"
t r
78.11
8411
it
��` k
INDICATE LEVEL A.[` WHICH. GROUND WATER IS ENCOUNTERED ..
INDICATE- LEVEL TO WHICH WATER LEVEL RISES AFTER BEING
l`�� c" -�` ja._
ENCOUNTERED
----Date
' -TESTS
MADE "BY
Soil
D SIGN
Rate Used 91- g5_Mir/l "Drop: S.D. Usable Area Provided `T :q
No. of Bedrooms a' Septic Tank Capacity ov0 Gals. �
ded By_ GAL. F..x24 ✓ "-
Absorption
Are
er <+
AV
� �Qy
Address
SEAL
�r P
THIS SPACE FOR UBE By HEALTH DEPARTMENT ONLY:
Soil Rate Approved Sq. Ft /Cal. Checked by Date
i'
!h�
ti
h�O
88.00'„
CONTROL POINT
g 8.06'46 W �—
SEPTIC TANK
45.6'."
25.0'
L07'24
2
. 48.1'
AREA = 1012 Act
JUNCTION BOX 1
44070 SFt M
32.6'
ro
N
52.4'
�o
JUNCTION BOX 3
WELL
46.2'
N •�
`
53.4'
JUNCTION BOX 5
cK
f
25 3/
71.1'
L 67.2'
Z
2 STY.
FRAME B 27.eo
i
A
- --
1250 GAL. SEPTIC TANK
/ —
D /S71718UT /ON 90X
/ so•
I Ba so•
7
�, B -2 ,so•
✓B-
i
0, .lB -5 y,
50,
50'
7
b
Qt
01
k,V
N /5'0609" E 220.00'
JENNIFER L A NE.
THIS IS TO CERTIFY THAT A REPRESENTATIVE OF
STEVEN J. HYMAN ASSOCIATES CONSULTING ENGINEERS,
RONKONKOMA, N.Y.. WAS PRESENT AT THE SITE ON
MARCH 16, 1990 TO MEASURE THE SEWAGE DISPOSAL
SYSTEM INFORMATION REQUIRED BY THE PCHD FOR THI'S
"AS- BUILT ".
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GENERAL NOTES
ALL SURVEY INFORMATION TAKEN FROM SURVEY PREPARED BY ROBERT H.
BERGENDORFF, L.S., BREWSTER, N.Y.
"AS— BUILT" MEASUREMENTS WERE TAKEN 3/16/90 BY STEVEN J. HYMAN
ASSOCIATES CONSULTING ENGINEERS, RONKONKOMA, N.Y.
LATERAL ENDS WERE LOCATED BY LOCATING THE JUNCTION BOXES FROM
THE FRONT HOUSE CORNERS AND THEN SNAKING EACE LATERAL AND
MEASURING THE LENGTH.-
DESIGN INFORMATION
(FROM FILED MAP)
3 BEDROOM HOUSE
PERC RATE= 40 MIN. /INCH
LATERAL LENGTH= 600 LF
Putnam County Department of Health
Division'of Environmental Health Servic:-;'
Approved as noted for conformance with
applicable Rules and Regulations of the
utnam County Health Departure t.
Signature 8 Title Date
(TI
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_ F ILED MAP +a 2194, F ILED /2/2/66
oF w ra FAIR STREET SUED / VISION
aosrpN �� LOT 24
A. � TOWN OF PATTERSON . NEW Y0 6K
3 �n CmAn epneers )w (516)737.3378
ansukirp enpmeers I
3505 Veterans MMWW Hwy., Suite M l Ronkonkoma, N.V. 11778
'AS— BU /LT" SSOS 8 WELL
/P'/
CONTROL POINT
STRUCTURE
SEPTIC TANK
45.6'."
25.0'
DISTRIBUTION BOX
. 48.1'
29.1'
JUNCTION BOX 1
49.1'
32.6'
JUNCTION BOX 2
52.4'
39.4'
JUNCTION BOX 3
56.3'
46.2'
JUNCTION BOX 4
60.0'
53.4'
JUNCTION BOX 5
65.6'
60.5'
JUNCTION BOX 6
71.1'
L 67.2'
Putnam County Department of Health
Division'of Environmental Health Servic:-;'
Approved as noted for conformance with
applicable Rules and Regulations of the
utnam County Health Departure t.
Signature 8 Title Date
(TI
--n
-'
n Z
.. .Cl .1
_ F ILED MAP +a 2194, F ILED /2/2/66
oF w ra FAIR STREET SUED / VISION
aosrpN �� LOT 24
A. � TOWN OF PATTERSON . NEW Y0 6K
3 �n CmAn epneers )w (516)737.3378
ansukirp enpmeers I
3505 Veterans MMWW Hwy., Suite M l Ronkonkoma, N.V. 11778
'AS— BU /LT" SSOS 8 WELL
/P'/