Loading...
HomeMy WebLinkAbout1742DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35. -4 -80 BOX 16 01742 N &idk kRiMif- FOR ,ENGINEER' -.PR6v-fijE PERMIT # lbtOAO�"T HEALTH POTNAM COUNTY I CATF OF COMP IANCE.� f En enr - Health 10512 ,ERM n wronm 4. SEWAGE DISPOSAL tys-tOW Pa'tt-eYs'bn,'_,- Town,.or. ymage Subdivision Apple Hill subd.� 'Lot '#",.'�" 17 Renewal Revision ADDle Hill DeV. Corp.- 10 Galloway .sits owner/Address T.T_' t X 1 AQ9&_ Date Of Previous Apirbiihl -L Building type, Sirkgie Fimiy Res. . Lot Area 1133048.- Fill.S.ecti6n only ❑ Number of - -86 droof"ns 3 Design F . low G/P/D 60.0 P.C. H. D. Notifi cation Required . Separate Sewerage 1,000' System. to consist of Gal. Septic Tank anC 500 Lin. Ft. disposal trench N. Peragine �D fl..wingdale, N.Y. To be constructed by Addres Water Supply: PUblic Supply From Private Supply to be drilled by P. F.' Beal & Sons Address 4 Putnam Ave. Brewster, , N. Y. Other Rei3uirements I represent that I am wholly' and, completely reiporisible for the design and location of the. proposed system(s); 1) that the separate sewage�d disposal system above deicribed.will be constructed as shown on'thie approve-d'amendriiiint thereto and in accordance With the standa.rd,s, rules an regulations . Aurn On -Health will County Department of- 'Health', 'and that'o'n completion t�ereof.-a' i�Ce-rtifjc�atj of Construction Compliance" satisfactory to the.Commissionir of be submitted to the Depart r ment, I and a written guarantee. will lie4urnisfied t.he owner, his successors, heirs or,assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal sal system during the period of two (2) years Immediately following the date of the issu- ance of the approval of t . he -Certificate of, Construction Compliance of the original system em or any repairy , thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will: be installed in accordance with the standards, rules and re9uT0Tr9qs of the Putnam County Department -of Health.. Data Signed P.E.V. A.A. Address 10 Galloway H ightS earwick, N.Y. 1099 . 0 License No. APPROVED FOR CONSTRUCTION: This ipOroval eicpires-on6 year from rom the da I 's construction of the building has been undertaken and is P_ 'e issue stoner of Health. Any change o rev6ca i4 for cause or, may be amended dr.rh modified wheii-to'nsidello*dlffgc.iss,ary by the -=-ssi r alteration of construction Permit.. Approve"r disposal water supply o requir i-new- I Of domestic ni By Title -7 Rev. 6/85 Water Supply Public ' Supply rci'hi' Fr {vats Supply Dialled 6y Vy A2 Building Type-- .'His s-kr6sion "C*ontrol 'Soon, 'Cdrn'Olet-od?--'-,!L as, a, I certify that -6s- a. lfq`f6d serving end labb".,p;� ses were construe of which; ',': - -tittagii an n accor 9�pq -?�4106 and ! Putnam Date Address A ,person ACCYRY-";pfT am sl shall ..L. .1— Ii.1— ti� the 1. " i V promptly iihditl"i resulting from ii rn available•ind the P prc r�f el, '4pply,jhall. -betomp: --- qI q Me',po fission iubja t. to, m f 4;at 6: In 4or h hqnj a Date 6/85- 93 neeeasary'to sewre the wrraction of any unsanitary dwold of soon at a public sanitary sswer�becomet ;jsuPply'bsCOmos, available. Such approvals rare ation mod IfI60tibri, or --'thinii IiiiiCiiiiii"' Title ' WELL COMPLETION REPORT 3/71 PUTNAM COUNTY DEPARTMENT OF HEALTH. Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK This report is to be completed by well driller-and submitted to County Health Department together with laboratory report of " " "" " ° "'analysfb'vYat�� sanpPe` 5n�ii ;aing'iivater'is`of'sat3facto�y 6ae�ial quaiitytiefo�e "ceriiYlcata of constructiisn compliance is issued.'"--' REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION NAME ADDRESS OWNER J & P Development Corp. 10 Galloway Hts Warwick NY 1_QA LOCATION (No. 6 Street) (Town) (Lot umber) OF WELL #17 Apple Hill Sub. Patterson NY 9 - � ' Co.. �Lot j ❑ ❑FARM ❑TEST PROPOSED � -r DOMESTIC ESTABLISHMENT WELL USE OF WELL El AIR CONDITIONING ❑ OTHER PUBLIC ❑ El SUPPLY INDUSTRIAL DRILLING COMPRESSED CABLE n R ❑ El EQUIPMENT ROTARY AIR PERCUSSION PERCUSSION (SpeHE y) CASING LENGTH (feet) DIAMETER (inches) 11 WEIGHT PER FOOT ® ❑ O ❑ NO YES NO DETAILS 31 6 19 lb s . THREADED WELDED YES YIELD HOURS 6 G.P.M. lJ BAILED © PUMPED ❑ COMPRESSED AIR YIELD (G.P.&I (� TEST WATER MEASURE FROM LAND SURFACE —STATIC (Specify feet) DURING YIELD TEST (feet) Depth of Completed Well LEVEL 301 265, in feet below Land surface: 2851 MAKE LENGTH OPEN TO AQUIFER (teat) SCREEN DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL Diameter of well including GRAVEL SIZE (Inches) FROM (feet) TO (feet) PACKED: gravel pack (Inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET Drilling in overburden O 1.5 clay and boulders Hit rock at 151 Drilling in rock, set - casirmss� , prouted 31 285 Drilling in rock granite. If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE ~ L it- s a;. DATE WELL COMPLETED DATE OF REPORT WELL DRILLER (Signature) 4/15/86 14 86 1 ��L PUTNAM COUN'T'Y DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Apple Hill Development Corp. Owner or Purchaser of Building J. & P. Development Building Constructed by Old Route 22 Location - Street Patterson Municipality Single Family Residence Building Type 69 4 6.4 Section Block Lot Apple Hill Subdivision Name 17 Subdivision Lot # GUARANIEE OF SUBSURFACE SEDQAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, worknanship, 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 im ediately following the date of approval of the "Certificate of Construction Compliance", for the sewage disposal system, or any repairs mad "e" by ine'to` such 'sy "stern; -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 10 day of July 19 86 Signature Title r Gen Contractor (Owner) - Signature Apple Hill Dev. Corp.. Corporation Name (if Corp.) 10 Galloway Heights, Warwick, N. Y. 10990 Address rev. 9/85 mk Secretary Annla Hill Navelnnmcnt Cora Corporation Name (if Corp.) (Y "yv� !ghts, Warwick, N. Y Address ' ' Oco1'. arc •ve Vor .ov"` , edical Laboratory, Inc. LAB ?�w 321 Kear Street V Yorktown Heights. N. Y. 10598 Collection Station Used: (914)245 -3203 _ Y Carmel Peekskill Director: Albert N. PadovaniM. T.(ASCPJ ..... �_ _.. •. _. ... �gl�., .K =1 °e �r °_/ °;3few• -•Ci ��. -_._ . .._.._.. .__. T_ /� (� 1 Date Taken: (� p! / W' Date Received: Date Reported: �.JdJJL Collected By: Referred By: LP J Sample Source: (a J7 LABORATORY REPORT ON BACTERIOLOGICAL QUALITY OF WATER GENERAL BACTERIA Standard Plate (Agar plate MEMBRANE FILTRATION Total Coliform Fecal Coliform Count per 1.0 ml_ e 35 °C) TECHNIQUE (MFT) oer 100 ml _ per .100 ml Fecal Streptococcus per 100 ml MOST PROBABLE NUMBER TECHNIQUE (MPN)_ Total Colifo -rm: -MPN Index ner 100 ml - _ Fecal Coliform: MPN Index per 100 ml OTHER ANALYSES t ^r L•`��• .„l, � '• -•. ,. �; `,,'moo Fyh. '.V THESE RESULTS INDICATE THAT THE WATER SAMPLE. (WAS NOT) (NOT APPLICABLE) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO HE NEW YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. y Albert H. Padovani, M.T. ASCP), Director LEGEND RDS = Recommend Disinfect - ing Water Source < = less than TNTC = Too Numerous Too Count PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 6- _ COUNTY OFFICE' BUILDING,..CARMEL, DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner aPPtE HA L)E(J• Ca 2P. Address 0L.,n 2T 2 ':2. Located at (Street SPgi1v Lqk<g Sec. 6q Block 44 (n. [� indicate nearest cross street) Municipality PAT`r E 2Snn1 Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Lr)-r # ho-Le Number 1-7 CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches I -7 A 1 1. 04-1:3 3a 213s -a:cLS o23 /y ay %a I/V 3a:O(,-,.2,A6 3,0 a3 Y4. a43 /y 1 40 -1a" ToPSAI L. lay:.�q� C-(—Ay "'4/SILT e, orP_AwEL; 5 1-7 A 1 1 : 66 - 1:3G .30 ay 3 cQ :08 -139 3o a1-4 /k 2 w 1 -3/4 17 5 5 PUTN,AM COUNry MY __ TH Notes: 1) Te *ts 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 DATA REQUIRED TO BE SUBMITTED WITH APPLICATION rrrr;,i nmTrrr +, - n nr,,,^ T T, r i , -, -,�, - v^ ..,T. (1 Ty1 aNn T" m Rm L �T .. LJ.:,,✓iJt iii:.a.:i. Vv i � .7 -v ,u,. v v'v+r L.:i�✓ .ti: :.t�.: J.'� ... — IMTh :l_CATF 1JETV J AT `WTITCH (7TRO.TM._ WATER IS ENCOUNTER _ < . INDICATE.LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Q. nF m A 0 cS-r X_ .1. r_ #c N m' 12'm Date i -2-) 1 DESIGN Soil Rate Used 3p - MirV.1':Drop: S.D. Usable Area , Provided $i opp No. of � Bedrooms Septic Tank Capacity Gals. Type Gore, Absorption Area Prov ded L.F.x24" th trench. �E W Y %Ee r a� Name 1^Lj jo i M w m at,]. o r . ijzna ure a i m r THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Cal. Checked by A\ Q. CCO 0 Date 1. -. P>T-vr N 5 00 IN U M r-T-/-Wr=MCtA VRO\J tVSV-'SC)o No I.-CrT, I-T J \ \\ \ \`` \\ 1 1 \ \ \1 \\ \Ili` \, \\1\ \\\ \ \V N, 01\ \'N\ )N 60 A V N Ni \IN' 1111 Ill! li�l III{ 1111 111i I Ww. Ir ILI t"'Aae tue 6, 4 'q \0� to, UP THIS IS i0 CFJ�TIFYy TNTr SYSTEM 'T �EW�'- WAS 0 lli\� 0 ON THIS` 'I AN AND THAT (vio ,SYSTEM oiL LO OVER 6;'-24!CLX< LOAM CONSTRUCT® IN ­A_ .WITH, A ?W-%0-Z-rA44 C-L,'b'--'( V-11I51ILT k GRAN-Jel- AND REGULATIONS HE `PUTNAM CO ONTY.DEPARTMENT :OF HE ti P>T-vr N 5 00 IN U M r-T-/-Wr=MCtA VRO\J tVSV-'SC)o No I.-CrT, I-T J \ \\ \ \`` \\ 1 1 \ \ \1 \\ \Ili` \, \\1\ \\\ \ \V N, 01\ \'N\ )N 60 A V N Ni \IN' 1111 Ill! li�l III{ 1111 111i I Ww. Ir ILI t"'Aae tue 6, 4 'q \0� to, UP .-J REV APPLE R %C>GA,LL-oWAZ-< 1-keV="-T-S -1 C•"o. 05CP&25f*5 lli\� 0 (vio % I FTIQ LCQA • A 2 SC-HsvuLp- a JUMCT% 0 m 150Y TO 5 CAMR A 40 1 2 44' Ae' 3 4 sz, 44 5 rl" . m 1A Ju toM '50SS I tt e. C. .-J REV APPLE R %C>GA,LL-oWAZ-< 1-keV="-T-S -1 C•"o. 05CP&25f*5