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HomeMy WebLinkAbout1654DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34.13 -1 -74 BOX 15 01654 . .. 1 16 ,, ' r - .1 L� . ' 01654 . .. ' ,, ' - - 'Li L� . ' oil IN r +.df TLLh 01654 BREWSTER' LABORATORIES Box 224 - UPWS T ESC, N. Y. WATER ANALYSIS `REPORT SAMPLE NO. i % J,LLet HoLg M COLLECTED: i L ig 6j BY: Al C4�Lod!�SVA1 .11 LTA S;i IN BACTERIOLOGICAL EXAMNA71ON Coliform Count, MF Method Per I00 ml. This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. IL i� U 6 1 Roy Bickwit P. E. Director 1973 �, jo N H. c r ' 6 . BREWSTER' LABORATORIES Box 224 - UPWS T ESC, N. Y. WATER ANALYSIS `REPORT SAMPLE NO. i % J,LLet HoLg M COLLECTED: i L ig 6j BY: Al C4�Lod!�SVA1 .11 LTA S;i IN BACTERIOLOGICAL EXAMNA71ON Coliform Count, MF Method Per I00 ml. This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. IL i� U 6 1 Roy Bickwit P. E. Director 1973 �, jo N H. c WELL COMPLETION REPORT PUTNAM COUNTY. DEPARTMENT OF HEALTH 1/71 Division of Environrfienia1 i , Health Services COUNTY OFFICE BUILDING; CARMEL, NEW YORK 1 , - • - This• report. is to bewcomPjeted -_by ., ell driller. and submitted.to County,.Health .Departaneot togQthe—with-laboratory report of analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME McGlasson Builders ADDRESS Carmel N.Y. LOCATION OF WELL; (No. 8 Street) (Town) lLqot Number) Bullet Hole Rd. Patterson PROPOSED USE OF WELL BUSINESS DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ OTHER EQUIPMENT CABLE ❑ ROTARY � A R PERCUSSION ❑PERCUSSION ❑ OPeE Y) CASING DETAILS LENGTH (feet) 55 DIAMETER(inches) 7. WEIGHT PER FOOT 26 a THREADED ❑ WELDED nDRIVE SHOE FLI YES ❑ NO W WAS CAN D4 NO YIELD TEST HOURS G.P.M. ❑ BAILED F] PUMPED © COMPRESSED AIR 1 ZOO YIELD (G.P.M.) 100 WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) overflow DURING YIELD TEST fleet) total drawdown Depth of Completed Well in feet below Land surface: 135 SCREEN MAKE LENGTH OPEN TO AQUIFER (feet) DETAILS SLOT SIZE DIAMETER (inches) IF GRAVEL PACKED: Diameter of well including gravel pack (inches): GRAVEL SIZE (Inches) FROM (feet) TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET Boyd Artesian Well Co., In(,- R. D. 5 • Route 52 Carmel N.Y. 1,0512 ' If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WjL C U ( /ISD DATE q Er? WELL DRILLER (S'gn ture) 9, . L&/ I- " 'McG1asson Builders, Inc, owner or, 'Purchaser of b.zlding - Owner. Building Constructed. by Bullet Hole Road Location - Street Frame Building .Type Section .Block 11 Lot GUAIRANTY OF SUARATE Shl.4C ; SYSTEM I represent. that I am wholly and completely responsible for'the location, workmanship, material, construction and drainage of the sewage disposal cyst "em serving the above described property, and that it has been con..structed as shown'on the approved plan or approved amendment thereto, and in accordance +,itch .the standards, rules and regulations of the Putnam County apartment cf Health, a.- d hereby guaranty to the owner, his successors, heirs or assigns, to place i.n good operating condition any part of said system constricted by me wish fails to operate for a period .of- two years ;immediately following the date of initial. u::-,e of 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 undersigned further agrees to accept as conclusive the d.etermi_nat.Icn of the Director of the Division of Environmentali Heal-th Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was --a sed .by- _tilF'._.[Aii.1..3.�1� �Y'.T�eQ� 107a�t 20-+ rf t(le o-e- ,'�pZT ?` of ' i ° �?1- lll.f;17 a i }t_c�.7.7 .T1!� t1,c ... ... ____ - - system.. Dated this 8th day of June 19 73­ Si-gnatur Title ( orat on, o71i'e name and address, --------------------------------- -------------------------- - - - - -- -- ---- -( -', �; - - -- � TYREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILT, BE �SSUED. GUAtRANTOR. iS REOIRED TO PILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health 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. Owner i� �d�a� r_ Address Afy al9 Located at (Street Sec C. c�4° Lot 6dicate nearest cross streeET Municipality Watershed, SOIL PERCOLATION TEST DATA REQUIRED TO.BE SUBMITTED,WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Elapse Depth to*Va-ter . a er Level. No. Time From Ground Surface in Inches- ,*;Soil Rate Start -Stop Min. Start Stop Drop in ._.. Min. /in drop... Inches Inches Inches 3 /007 4 5 4_ Notes. 1) Tets'Yto be repeated at same depth until approximately equal.soil rates are obtained at each percolation test hole. All data to be submitted for review., 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES D2PTH HOLE NO. I HOLE' NO. - HOLE NO. G.-L. sod 12 18 46 2411 3011 36I f 4 it Ali, 2 4811 50 1 CAM 6011 6611 7211 7811 INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL--TO- WHICH WATER 'LEVEL RISES AFTER BEING ENCOUNT 4",ii TESTS MADE BY C �y,ate_ DESIUN Soil. Rate �Us;fp, to a Mi !.'Drop: S.'D. Usable Area Pro'vided' No. of, Bedrooms Septic: Tank Capacity /40 Gals. Type ftr Absorption Area ProvicTed By_L3ZL.F. x24" .5b width trench. Other A- Avivto td .016070 )wvz 0-/ a 04=2 Address-R.-D. 6-, Box 353' SEAL .Came]. New York 10512 P R THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Japff Soil.Rate Approved Sq. Ft/Gal. Checked b 610 JU1Y 19 s 1972 . „ John Prentiss R-Do 6.. �53� Garmel, - N ¢ Y b x.4512 Rea Mores �E chard J e6on t in 4nd :vd 4 `fir l r a 're, Miss: I have reeoived' and reviewed the s. g6 atposal: plans for the above: Went �:ot 4 , � f01 oV1. ng corrections. mint be m�.de for theme.: ®.pproed e The Drell. laoation o_q­th6 lot across Kia Om,. 1 dulevard is too close. se t4 the' proposed s to ,s acted :ors e Ply a '' s probe ®xn :.t ve o ;- beF- V ke dUt a a e e 3 � .rho s the a veer- on the adr _ _ _. _ . w ° The sepa tlon between the v611 on Peter Mbb1a lot.. d the ew $e dlspo l Sys w � ��3.esorz4 s lob could bo wal;t ed de eh system sa Sher 4w4y. 4.� the pher ¢ , If �evera ,: 1 acid yourself 'tee' : to ori..A feas1ble re- -Y t .on �'c�r °� s�ste ., '� � department gill �be forced to 4ithhold per.ts -d.omp iace on e&h l.ot if YOU bone A' . questi °cant coz�cer .xkg this matter, please feel, free to cctao me is o'f ice ver7 �t y yours, vironwatil: t'h �'ee c n WPC Zy1'.; W1.� + a�. -�' -. qtr -1z r -yr*y r,:JC,F,l, t, cal - ..Ay.- ."•'r" a`4 yy'd!�.+ .tr i. x.:.xt T iyF,,sj - ,.,.' d. 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