HomeMy WebLinkAbout1661DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
34.17 -1 -7
BOX 15
01661
I'y~
�'�
���
T
�
',
1
k
J
i
`
.
01661
IV
r. lag
PVFN
Da
Address
je
Date By Title
't Mix Hab Block
'-Located. at
MY
if itdr 10509:
mitersup
=
NANCO. EN`TIRONMENTAL SERVICES, INCo
Po Oo Box .10. Hopewell Junction, New York 12533
Laboratory Unity St. 376 Hopewell Junction,.I. New, York 1253.3 Phone 914 -226 ®5155
Foiward" Report To IVa ratio Rai► Trott, /P say - Sample Noo 80 =580
Address: Received 3/11/80 10:45
Sampling Point & Address Fair Street, Carmelo NY Time Set j/11/80 /..�G
Owner /Buyer Names
Address° Tel. .Noo .
Treatments Chlorinated Softened Other
Sources Drinking dater System. - Other
Collected Bys Henry Dates 3/11/80 Times morn
BACTERIOLOGIC EXAMINATION OF WATER Examined 6 b— �
Total C olif o rm Count
Fecal Coliform Count
Fecal Strep Count
Total Coliform Count
Fecal Coliform Count
Sterile Blank
M.FoT.
Per 100 ML
M.F.T.
Per 100 ML
MoFoTo
Per,100 ML
MoPoNo
Per 100 ML
Mo PoNo
Per 100 ML
Per 100 ML
THESE RESULTS INDICATE THAT THE WATER SAMPLE
c,
Bacteri ogist
Date Reported /Mailed
MEET SATISFACTORY SANITARY QUALITY WHEN COLLECTEDo
The results of these tests represent a physical and chemical analysis of the sample as
delivered to this laboratoryo This laboratory assumes no responsibility for the identity
of the sample or for the sampling technique or storage procedures employed prior to
.the. receipt of these samples at this facility. . ..
ICAL AND PHYSICAL EXAMINATION OF WATER
Chemical Examination (Results in Milligrams Per Liter)
Ammonia Free asN
Arsenic
RECOMMENDATIONS , :
Nitrites asN
Barium
Nitrates asN
Cadmium
MBAS (Detergents)
Chromium
Sodium
Copper
Sulfates
Iron
- ='
Fluorides
Lead
Chlorides
Man anes
Physical Examination
I3ardnass, Total asCaCO
Mercury
Color. Units
Alkalinit y asCaCo
Selenium
Turbidity Units
Silve r
Odor Units
Zinc
Conductivity Units
The chemical parameters tested are (are not) within
the limitations of New York State drinking water
standards and the Maximum Contaminant Levels of
the EPA when the water was collected. The results
circled represent those in excess of the limitations,
Reported by
Date Reported
!`35 : F; tCP WU f, r,, V n ti R P 0 R T P14TNAM COWITY DEPA"WAENT Of. �19A�Iftj
Division of Envirpnmental Health fierVIC93
S COUNTY OFFIC9 OUILVINQ • CARMEL, NEW YQRK
nq;s_u.b1rrIttqj. ;o, County, th-PeppC-tmont together with lmhoraM report of —
I u
q.!pr sqrriplq indicating water Is of satisfactory bacterial quality before certificate of construction
REPORT FAUST BE SUBMITTED WITHIN 30 DAYS OF VVELL COMPLETION
�m
Raymond 'Tr'otta
ADDRESS
M 3'. 'ddle Bran+ch+Gardens Brewster NY 10509
EOCATIOPI
p IAnu 5"k
4 ;tw— lT4 n go NqM4911--
Fair,:,St. Carmel, .14. Y.
PSI 09 +
0-04PIT1; t §TAOOSWNT j.. J FARIA WgL;
PUBLIC, j^j Alit OTHER
USTRIAL C
§UPFLV INP. QNDITIQNJN9
COMPRESSED
RPTAgY El AIR FERCQSSION
CABLE OTHER
PERCUS51OW ($pfcify)
CANNO
Pm
'rAu
77
42 Is
6
❑
U9 lbs. ke:j T"89ADED I Wil!-LDED,
1
MR S
YES No
00
('
Dj� DA;11,1�0
HOURS + G.P4�A'
COMPRESSED AID
eumm 6 +
YIELD (Q.P,A1,1
ICJ AYE a
(4p sQu FROM wo
301
P TEIST flaot)
Depth of Completed Well
in foot Wow Land surfqc0l 280 1
VEZAM$
LOW" OP&M TO 0VIM ((101)
!'K.91 41;Q PlAffiCT94 (14004)
IF GRAVEL,
PACKEDs
pipmatQr pi well I."I
Gravol pock (inches):
P;-PT14 F!:Ohi LM40 .401ACE
IFOWATION DESCRIPTION
Sketch exact location of irpli w10 Wat4p0on, to at lqi4f
two parmAnqnt landmarks,
FEET to KEY
0
31
Drilling n.overburden
cl ay & f 3-oulders
7
of
Hit: rock at 21 feet
jl
zf2 '
Drilling A'n,
casing g grouted
42
28o
Drill'ihg in rock - granite'
If yield war, totted at different depths- during drilling, list bolow
FEET
GALLONS PER MINUTE
0' 2+/80
�m
0 e
Ra mond fr-6 tta Patterson
Owner or Purchaser of Building Municipality
Tax.Map 78
Building CoRstructed by Section
Fair Street - Sunny Acres Subd. (Lot #37) 1
Location = Street Block
Frame 20
Building Type Lot
GUARANTY OF SEPARATE SEWAGE-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 guaranty to the owner, his succes-
sors, 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 initial use 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 occu-
pant of the building utilizing the system.
The undersigned further agrees to accept as conclusive the de-
termination of the Director of the Division of Environme tal Health Ser-
vices _ . of :the*,- Putnam County-'-Depar.tment _ of Health__ as -. to:: -w .ethe_r.. or 'not :t failure of the system to operate was caused by the will 1 or neglige
act of the occupant of the building utilizing the syste
Dated this 10th day of March 19 80 Signature
Title Owner
If corporation, give name
and address)
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMPLETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM,
Division of Environmental Health Services, Putnam County Department of Health
Na :,
Gam.
_ ;l'r:
UtHer or P rc aser of Building
Building ConstructEd by
7 Mnnyy Acres)
Location - Street
Building Type
Municipa i.ty
Tax Map 78
Section
Block
20 Csia��: Lot 1.371
Lot
i
i.
1�
GUARANTY OF SEPARATE SEWAGE-SYSTEM
I represent, that I am wend —e pl-& -ely 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 guaranty to the owner, his succes-
sors, 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 initial use 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 occu-
pant of the building utilizing the sstem.y�.P�'�?.fu,�'r2`� -�
�'� -m =�- �" Gi�2U��%� � � ,e�'c;- .�✓i- Lu�'im p �-�i
The undersigned further agrees to accept as conclusive the de-
termination of the Director of the Division of Environmental Health Ser-
.vices'of the..P_utnam.County Department of Health as to whether or not the
failure of tile' system to operate was caused 'by the willful or negligent
act of the occupant of the building utilizing the system` .
Dated thi day of 19_22- Signature
Title 4 `�
f corporation, give name
and dAress)
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMPLETION WILL BE ISSUED.
W
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
Division of Environmental Health Services, Putnam County Department of Health
--- -- ° -� -' S01881 1
PUTNAM COUNTY DEPARTMENT OF HEALTIR �
�r � Division °of :•Environrnenta/ Hea /ih :Services ' Ca mel, N Y.::1.0512.
:CONSTRUCT,ION PERMIT fOR SEWAGE;,DISPOSAL SYSTEM PatteY'SOn
Fa7r Street --,- --
yTo wn or ; ;Ilage
Located at _._T _ - - 5 c
{3 4 h
Subdivision, -Sunn�Acres Fi 1 ed Map #828) Tax Map Lot # 20 subd. k 37
T T =Midd
le `Brancfi.Apts C =19, =
01d Rte. t
owner R 7rotta Address'
- Frame - 21200' Brewster, NY_ ,10509
Building Type T Lot Area; �� s
Three 600 "Gal .. 160$
Number of Bedrooms _ pes�gn Flov� x` Total Hab;table Space Square Feet
Separate _Sewerage System to Gpns�st of _ 10Vo :Gai, $optic Tank and 3 ft 2 tiepch )leachin
4.pi
m tS
To be cprtstrutted by ,_�� �:.;.. Adpr'ess
Water Supply: Public SupPIY From
X Private' Supply to be drilled by'
Addre ;�.
c
Other, Requirements fNone
c� LLy
5 t'
I represent that I am wholly, and Completely responsible fpr the`des }gn'and location of the' pioposed.systeq;(s); 1) that the separate; sewage "disposal
system'i ve'descriped.w 11 Be;construbEed as shown on the approved attaahmentg'hereTro and }n accordan6e with the standards, rules'and`regulations
of the Putnam. County Department Of Health and tfiaf on,bompietion the eof a "Certificate of.Construction Compliance ". "satisfactory to i e,Commission-
er of;Fieilth - will be submitted,to the bepartmerj.; :.and a writteq guaran£ee' will be furnished the owner, his_ - successors; heirs or assigns'by the build
er that said builder, will place.in good`operatin"co ndition ariy,_part "of.said eeIwage disposal system dieing the period'of two (2) years, immediately
e approval ofi the Certificate of'.Constr ction Compliance'of.the . onginah.agetem or any repairs ;thereto; 2)
tMt.,the dr date of the issuance of will be +located as shown ;on the ;approved, plan and`..that'said viell 1 be riatalled in accordance with the'stan
4
that the? i17ed:'well described above wi
ards, rules and, "regulations of.the Putnam County Department Of:fiealth
,
5 Septa 197:`9 s x
bate. Signed P.E. R.A.
Address ':; r 1, NY 10512 License No. 292066 '
_ APPROVED FOR CO N TRUCTION. thls apProv al ex Tres one year f �toe da t issu ed: u nless e nstru t)on of the building has bee n .under aken and is
6666 _
revocaDle,for::cause or may bg dmended :ormod;f;edwhen:conside�e `necessary tiy. the Commission Health. Arjy change or alteration of construction 1.
7equ;res;a new ;perm;t Approved for disposal of domestic sani r. sew nq( pnv its w er ply only.
Date `. By Title
m
M
160e?', ez /i7
?-/ ),Zro 10 �7
PU nAM 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 /lPav Address too -r.
Located at , ( Street / � 78 Block / Lot � a
� nd3cale neare's �ree
Municipality I5 °�„ Watershed �r►e:r�: �`T'�)
:.Soil PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH,APPLIC.ATIONS
2
Notes:-,l) Te#s 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. '�
Number ...CLOCK.
TIME
PERCOLATION
PERCOLATION
iZun
No. ..:::....
Start -Stop
Elapse
Time
Min.
Depth E–o-WEE—er
From Ground Surface
Start Stop
Inches Inches
a er ve
in Inches
Drop in
Inches
Soil Rate
Min. /in drop
2-
3 /YOo I M
5
21
YE
rz
2
Notes:-,l) Te#s 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 TATA REQUIRED TO- BE SUBMITTED WITH APPIJCATIONI
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH HOLE NO. HOLE N0.
6"
12 eme
. .
24"
3 if
36"
48
5``'. ®av
50"
6 If
7211
�rf
84 q{
IMDIC-P TE LIT TEL AT WHIUH GR WATER IS ENCOUNTERED
11\01, C1 TT .I..EVEM TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTE e -
ESTS MODE BY -0 V 3'
DESIGN
Soil Rate Used ,in. 1 "Drop:.. S.D. Usable Area provided
Noe of Bedrooms` _ .. Septic Tank Capacity Gals Type
Absorption Area Prov de By _L.F.x241' width trench.
Other
Alp -m
Eame MR.R. . Mntlss, P.E. igna ure
Address
Ca n912
�g�O N PRFNT �C %L
THIS SPnCE FOR USE BY HEALTH DEPARTNENT ONLY:
Soil Rate Approved Sq. Ft/Gal. Ch _ o T� te__
Y 29206 E
0FTHE vN,i
trueture located 7rom survey by survoyor noted belowig-_-
Vye1i located bp: Surveyorssurvoy•-
i Wail drtilors report
Engineers mesurementsD
Tank, bouos, PIU, gallonas & laterals located dy: contractor-
i
Engsnc;arr.-
*, Heaith dept:
LoE Field inepe.ction by: Health dept
c Eng�:neer W6ta : _ 201—_ _
N
t D�irerury ^� NOTES: e1�,00c G- I.CohcrxEx SebtcTuMlc
24 "wide. X•240 t 30 "w;dr 3?93` =375 r a:valawL
�, J
C r F ` F t-r� • S Q
h ^FR2419a0.
A - 0 T6 6 . q.:,,�tn i :,u r Y:oi�fet
r �, y
C 1.. .1re 8 �
;' k •• Ly S - E
�n {, :a . �1!6n Ci DIVISION {is
Bav%tiam
PAVAPI At
-qy-. `'�!irGLwF.ersvfr, p: l) d' HI - 'F)�, � -
36 - ., . I iOrr �. \ • 4� .1 .° kt'i° ' 1n.''\ •a;,�,;,L� �® _ J
MO-1
,
< PUTNAM COUP
ty
Al
°o
MH
l w, i
TEM
RY
SANITA {
°- OW TI N ~tr' et:
77r, m L-4 l8 ,.
. _ Faw:n:_ ��,CS1d��9antr-�P�•�51!�t ...d1..�
��
/4 %tier. �12a���� a «� �- `•
S1lTY ®y or,irq/o�s�L��e+ .-•*- -` -r -"'
-- -
Oraarn
, �
H :E : N T f tea" 5 ie :Esc
s °f rNp st�tc O U iL 1 N . 'E N 01 NIVE R
C
a
4 / At
Ra::,W,.F,R Sr,,:- ;•POA'4. N.v' 1p5►2�.f9>at;e�'4*�1�O.
t.
i
,
z•
s �1
`3
t �.
a
3
L 26
�Ow
DI p0
je
dRMERLY
Pi
jren n• Found
TQyNSON,''
v
y
3 OD :E
Q
O '
• Y•
Y . 9Ry
p
,. i Q
O
..
Lor 37.
K
34 73
_ a �
_
�i Yi OtlfiRMAN6
�
'. J
.Y�W�L "S�IW0 Wf3'FN
8A8?�'�ERIT�
Iron Pin 5t
/
a
22.OZ• a ewE
/ RMAtIG9
0
Lim ♦ N T
1 Y to
-
�
,t• ,� � A @ . � '
ARkA _ o -403
z
Y
3 0
O °
H
i
•
1 �; 10
J
1 /
I
tG • Iran Pe.'$e{ ` i
.•z
'� ••
x a: , �, � •'
�
�
t ��
�'�
rY�t++ QIn Jk � �
F ,
Poal
S
'
Foxed;
S # y3 .o�
ood': wire Fe y Tren
Pm
83 50" S3 23 00 E
Conereie,Mon Found U,r bed rr
(0. ®MeviD or eswlpAS,1�i
}�
PATTERSQJtI'"f6.
.
�j
TO
y/,
STREET C
C.R. 9o®. 'CARMEL
RONALD W. KOBBE
LAND SURVEYOR.
P9 BOX 462 cR
`.:
". P
CARMEI °NE,YgR /05/2. •uk „ •'.
o,,. •, ..� f