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HomeMy WebLinkAbout1751DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35.-4 -90 BOX 16 .. Ll . IN! IN 1. NN NNIN IN J ' 6 ., No L ' EILI 96 L ` h ` ti 'z , . _11 01751 WMAMIDDUMID ZPAMMM . OFE iMiM: /�`�� r ` ' DtaYn it -2 MY; low ain a FOR WWA= DISPOW SYSTM TowM :of :-F Lot 8 - Ice Pond. ViL-w Est atnz�4Y716.--W - IF 7- Ice Pond Estes . , 1:7;AW, lilt-# 42-L o Croniset, construction' RawwW-..�—O .,0 14"m Daft d 9, Ryan D i,� Hopewell Jct, I -TY 12533 ram Addrena Town. ;P P Date Subdivision Aripr6ved Fee Enclosed'-E] Anj,,jjj ,,,R6sidential 1.837 T!M lw Am FM 011k Yahttas Design PCHO Nedbeadw Is RWMkM ilikelliill~ Flow G 4 D 600 4 W" Some" SOWWW Symbin to CMWW d.. 1.00� GaMois Sqpda To* and 500 11' OfS UWner as i above We U'be: by Ad&vn Wider SVIPjFVS' F-- &**'Flees Addrefa. rin --ft 11,l ft sq,* p," by To .Be Deter—Minadd. Odw Raqzkeniiiiift I represent',that I am wholly and cornple�tely responsible for the design and. location of the proposed system(s); 1) that .the mte saw disposal system above Am described will 64 Constructed as- shown on'the ajpprovei arnendment there to and in accordance with the standards. rules ns 0, wtMm Cou Y- Department - of Plailit, and'that an Corniiatioa.theriof a--Certifitaie of Construction Compsiincw' satisfactory! to.the Commissioner of'Healthwill be. submitted to the.bepaorlir' *6'11 :be furnished the "ner, his successors; heirs or assimns by the bulkier that said builder will fiieca nent. a written que4ritee in Void operating condition any, It sbid systifn during ,the Pori" Of two (2) yews Immediately 'following thedate of the Iseu- Sri$ of the, app►evol or'. the Car tificate":1 C0.`nikr-U-dl6n.CbM . plishce of the original system or any repairs -drllkd w4if described above Wereto; 2) that the. WiN be located as shce" on tM at proved. plan and that saldmeli'will be installed i dance with M_e sta ndard% rules aid rag- Eons of the Putnam County rt, IF 70*719 0 017 Sioned Date 9 1 3 P.E. X R.A. Addren . Day OsW4;d,-`854J route 52 Beacon, Tj j,sl 2OB 0.69646 - 5J nso No APPROVED FOR CONSTRUCTION. app► ovalaipiras tw;.,iars ;from .the data issued unless construction of the building has been und'artaken and is nIVOCIII)IS for Cause or maybe amended -oi modified when considered n ry'by !00 Commftsionir of Health. Any cha , nge or'alteratibn of construction 'Course Ismoved for disposal of domestic sans ivate only. Rev. ev Tit .LVI 00 35 _ � -10 a v r ��" j TELECOPY COVER SHEET DATE:, December 9, 1994 TO: Mr. Wardell FAX NUMBER: (914) 381-1038 FROM: Anne M. Bittner PAGES- 2 (INCLUDING COVER SHEET) MESSAGE: FAX NUINMER- (914) 278-6085 Attached is a tabulation of data from well logs on file in your neighborhood. If you have any furtfie'r questions, please call me at this office. Good luck! In the event of transmission/reception difficulties, please contact our office at (914) 278-6130 ext. 167. TABULATION - O 'wELL DEPTHS °AND -YIELDS IN THE-- VACINI OFD -- , -.. ANDREA PLACE, PATTERSON, NEW YORK LOT # 1 2 3 4 5 7 21 1 2 4 7 9 13 17... 18 31 ICE POND VIEW SUBDIVISION DEPTH (FT) DRAW DOWN (FT) YIELD(GP" 605 40 5 1000 5 1165 85 5 285 30 5 685 5 6 545 100 5 225 40 6.5 STEINBECK ESTATES SLBMISION 465 30 7 205 15 900 30 5 325 5 45 425 3-4 15 300 ?0 700 _....3�. __...::.:_.. 5. ..... _ ..- .'30....... 125 ,. 280 35 60 j I WILL HAND DELIVER MYSELF PLEASE SUBMIT TO THE SPECIFIED DEPART: T FOR HE SIGNATURE TO: APPLICATION FOR PUBLIC ACCESS TO RECORDS REMD ACCESS OFFIC R DATE: y�, 4 N me.of Agency JOSEPH L. PELOSO, JR., ,PUBLIC Address I HEREBY APPLY TO INSPECT THE FOLLOWING RECORD: Sigfacure Rep r sentinj _ ... Mailing Address INFORMATION.OFFICER FOR AGENCY USE ONLY v Da t e 7Z41 PROVED D IED Record of which this agency is Legal Custodian cannot be found. • Record not maintained by this Agenc L Signature ' Title Date Y NOTICE: YOU HAVE A RIGHT TO APPEAL A DENIAL OF THIS APPLICATION TO THE PUTNA`i COUNTY EXECUTIVE. Name Business Address WHO MUST FULLY E.t?LAIN HIS RE.ASONS FOR SUCH DENIAL IN WRITING SEVEN DAYS OF RECEIPT OF AN APPEAL. I HEREBY APPEAL: Date . ._. .. �...� _ .1 r. �...:�. t .... . �. � . � � • _ _T - y • �- ......� �. .< � [r .�..•r _ t;. .a .... � w .. e.. • r - N.•4T_ .. •L. :-_. t .m.t..w• ♦� r_ v (/r •_ J fv / t I'LL � Ze COMPLETION REPORT RT Office Use Only -DEPARTMENT OF HEALTH Division Of invir6nmetital Healgh'gervice's PUTNAM COUNTY DEPARTMENT OF HEALTH __Irk 4r'.: z TAX GRID h"E&_­ WELL W R A Andrea 'FMce;­Patt0r8on Jr®� 91-- j WELL OWNER ' A 0 GRESS: Aser ❑ P91VATE 0 Cons't. C orp...9,Ryan Dr., .Ho" Jet., KY ,12533 n Fueuc.:= USE OF WELL D PUMP BANDONED 6 b O'd b L 16 SUPPLY OP L Y U _ 61CON EAT_ '0 A I -primary 'j3 BUSINESS ❑ FARM TEST /OBSERVATION 0 btHb (specify) 2 -secondary ❑ INDUSTRIAL b INSTITUTIONAL 0 _S"TAN 0-8 AMOUNT OF USE YIELD SOUGHT .-5 gprn.INO. PEOPLE' S­ERVED. T. 01 F'_ 6 A I L j 50 gail. YJUSAGE �. A_ REASON FOR El NEW SUPPLY ❑ PROVIDE ADDITIOhAl. SUPPLY :0 TEST/OBSERVATION DRILLING ❑ REPLACE b(JSt!NG SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 600 ft. STATIC WATER- LEVEL !L6_L'_i7DATE MEASURED 11/30/93 DRILLING ❑ ROTARY (2 COMPRESSED AIR PERCUSSION . ❑ DUG EQUIPMENT ❑ WELL 501NT ❑ CABLE PERCUSSION ❑ OTHER WELL TYPE ❑ SCREENEII ❑ OPEN END CASING r&I OPEN HOLE IN BEDROCK ❑ OTHER TOTAL LEUGTH 45 tL MATERIALS: -43 STEEL ❑ PLASTIC ❑ OTHER CASING LENGTH BELOW GRADE 44 tL JOINTS: 0 WELDED .13 THREADED 0 OT H EIR DIAMETER... 6 in. , SEAL: -0 CEMENT GROUT El ❑ BENTONITE OTHER DETMLS WEIGHT PER FOOT 17 lb./ft. I DRIVE SHOE. 0 YES ❑ N 0 ,L!Nlj:b YES 2 NO SCPk-EN .-DWAETS rin) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (it) :_'DEVELOPED?,.-- MST 0 .-YES- -0 No -. DETAILS SECOND HOURS GRAVEL PACK '3 YES GRAVEL TOP BOTTOM 10 NO . OF PACK in. OEM fL OEM IL WELL YIELD TEST if detailed pumping IWELL LOG 11 more detailed formition descriptions or sieve analyses are available please attach. METHOD: 0 PUMPED 19 COMFRESSEdAIR' it tests were done �s.h, f0fiiatiOn af6ic* hed7 -DEPTH FROM _SURFA wat�j Well Dia. O'BAIL0 0 OTHER' 0 YES ❑ N, gar. ing In DESCRIPTION FDRM Me 134. WELL DEPTH DURATION DRAWOMM �MELD Larkd suriace 34 _Overburden IL hr. mh fL qpm �34 600 j :6. Granite t' fiOO 5 WATER 0 CLEAR TEMP. QUALITY 0 CLOUDY HARDNESS 0 COLORED ANALYZE4 OYES C)No ANALYSIS ATTACHED? 0 YES ONO STORAGE TANK: TYPE WX-250 CAPACITY GAL. 44 PUMP INFORMATION TYPE Submersible CAFAM 5. WELLORILIJUINAME J. T. Eckerson, Inc. DATE . . 12/14/93 MAKER Goulds 5ES MEATH 580 I ADDRESS 1613 Route 9W _200MR . x Milton, NY 12547 MODEL —'VOLTASE_L30 Hp Vice President 4r'.: TABULATION OF WELL DEPTHS AND YIELDS IN THE VACIIYITY'OF ANDREA PLACE, PATTERSON, \TW YORK ICE POND VIEW SUBDIVISION LOT # DEPTH (FT) DRAW DOWN, (FT) YIELD(GPM) 1 605 40 5 2 1000 5 3 1165 85 5 4 285 30 5 5 685 5 6 7 545 100 5 21 225 40 6.5 STEINBECK ESTATES SUBM'ISION 1 465 ; 0 7 2 205 l; l: 4 900 30 5 7 325 5 45 9 425 15 13 300 25 20 17. _..700 �., - ... 18 125 30 31 280 35 60 REGISTERED MAIL RETURN RECEIPT REQUESTED I Date 9/10/93 ----------------- Building Inspector Mr. Frank Blasi ----------------------- Town of Patterson Town Ball Route 164 & 311 Patterson, NY 12563 Re: Construction Permit for single family residence Applicant -- - Croniser Construction ---------=-------------- Street °lames---------- - -- Town Jtersoa----------- - - - - -- Th# --------------------- - - - - -- Dear --1'•Ir. -Blasi : ------------ - - - - -- This Firm (I am) submitting an application to construct a sewage disposal system serving a single family residence on the above captioned property, to the. Putnam County Department of Health. In order to process this application the Health Department requires that the following information be obtained from your office: 1. Prior to your issuance of a building permit A) Is Zoning Board approval required for any variances? Yes No -- - - - - -- --- - - - - -- B) Is any portion of the parcel located within a regulated vetland or its control area, and if so is a vetland permit required? Yes-- - - - - -- NO --- - - - - -- C) Is any other local permit or approval necessary? Yes - - - - -- - No -- - - - - -- If the answer to any of the questions above is yes, please contact the Health Department in vriting or by phone, 278 -6130 within 15 days of the date of this correspondence. If the answer is no, you need not respond to this correspondence. Name Mrj_Bi21-H2jzes___ Health Department Inspector JK /jp vetland bb Very truly yours, M k A. Day, PE Engineer,, REGISTERED MAIL RETURN RECEIPT REQUESTED Building Inspector Mr. Frank Blasi ----------------------- Town of Patterson Town Hall Route 164 & 311 - Patterson--NY _ 12563__ Dear r'ir. Blasi: --------------- - - - - -- Date 9/10/93 ----------- - - - - -- Re: Construction Permit for single family residence Applicant __-roniser Construction ------=----------- - - - - -- Street Ap�eea mil- ass------- - - - - -- Town - 7�Secsca---------- - - - - -- THt --------------------- - - - - -- This Firm (I am) submitting an application to construct a sewage disposal system serving a single family residence on the above captioned property, to the.Putnam County Department of Health. In order to process this application the Health Department requires that the following information be obtained from your office: 1. Prior to your issuance of a building permit A) Is Zoning Board approval required for any variances? Yes -- - - - - -- No --- - - - - -- B) Is any portion of the parcel located within a regulated wetland or its control area, and if so is a wetland permit required? Yes No -- - - - - -- --- - - - - -- C) Is any other local permit or approval necessary? Yes- - - - - -- - ., No -- - - - - -_ If the answer to any of the questions above is yes, please contact the Health Department in writing or by phone, 278 -6130 within 15 days of the date of this correspondence. If the answer is no, you need not respond to this correspondence. Name Health Department Department Inspector JH /jp wetland bb Very truly yours, Mark A. Day, PE Engineer,x '�� :0" DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NJ. s owner Cron -iser_Construction, Address 9•Ryan Drive, Hopewell Junction, NY 12533 Located at (Street) Andrea Place Sec. Block Lot 791 (indicate nearest cross street) ftm cipaiity Town of Patterson Watershed Date of Pre - Soaking 9/1/93 Date of Percolation Test 9/2/93 HOLE 33 24 27 NOMEOR C T TIME P RC O=CN 3 9:18 -10:23 PERCOLATION Run Elapse Depth to Water From Water Level 21.7 No. Time Ground Surface In Inches Soil Rate Start -Stop Min.. Start Stop Drop In Min /In Drop Inches Inches Inches 18:W-8:43 13 24 27 3 4.33 2 8:44 -9 :17 33 24 27 3 11 3 9:18 -10:23 65 24 27 3 21.7 4 10:23 -11:29 66 24. 27 3 22 5 1 8 P 35� :'S3 18 24 27 3 6 2 8155 -9:49 54 24 27 3 18 3 9:49 -11:16 87 24 27 3 29 4 10:53 -12:26 93 24 27 3 31 3 4 5 NOTES: 1. Tests to be repeated' at 'same depth until appradz tely equal soil rates are cbtained.at each percolation test hole. All data to'be submitted for review. 2. Depth measurements to be made from top of hole. ray. 9 /RS TEST PIT DATA REQUIRED TO BE SUBMITTED WITH DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 1 HOLE NO. 2 HOLE NO. 0 -4" Topsoil ;..0 -4!1.-- Topsoil G.L. 1' Sandy Clay Loam Clay Loam 2' Clay Loam Clay Loam 3' Clay Loam Clay Loam 4' Clay-Loam Clay Loam 51 Clay Loam Clay Loam 61 Clay Loam Clay Loam Clay Loam Clay Loam 7' Clay Loam Clay Loam 8' 9' 10' 12' 13' 14' _........� - -. INDICATE :.LEVEL,_AT...WHICH- _GROUN0WA=. IS .ENCOU@i'I'ERED - -.-... D1one Encountered. INDICATE LEVEL TO WHICH WATER LEVEL N/A RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: lurk A. Day, PE Dom: 9/2/93 DESIGN Soil Rate Used 31 Min/1" Drop: S.D. Usable Area Provided 6000 s.f. No. of Be3roccrts 3 Septic Tank Capacity 1000 ga: = T�_ concrete 500 Absorp`ca r=--aa r c=ited B L.F. X 24w width trench Othe 7' Deep Curtain Drain Name Barger, Day & Oswald Sigrat=e Addr 894 -J Route 52, Beacon, NY 12503 X, A ess THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: ,q�oFss�p�lt*� Soil Rate Approved sq.ft /gal. - Checked by Date r P UTNAM COUNTY D E PARTMENT O F HEALTH APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name and Address of Applicant: Croniser Construction 9 Ryan Hrive Hopewell Junction, New York 12533 2. Name of Project: Ice Pond Estates — Lot 8 3. Location T/, Patterson 4. Project Engineer: Barger, Day & Oswald 5. Address: 894J Rte 52, Beacon, New York 1 2508 License Number: 069646 Phone: 914 - 838 -2020 6. Type of Project: Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park -Office Building Realty Subdivision Other (specify) 7. I.s this project subject to State Environmental Quality Review (SEQR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted X 8. Is a Draft Environmental Impact Statement (DEIS) required? No N/A 9. Has DEIS been completed and found acceptable by Lead Agency? ........... N/A 10. Name of Lead Agency 11. Is this project in an area under the control of local planning, zoning, Yes —Bldg. Dept. orother officials, ordinances? ........................................ 12. If so, have plans been submitted to such authorities? 13. Has preliminary approval been granted by such authorities? Date Granted: 14. Type of Sewage Disposal System Discharge...... Sub- Surface Water 6ti'lii 15. If surface water discharge, what is the stream class designation ?.... ..... N/A `t N/A . 6. Waters index number (surface) ............................................ 7. Is project located near a public water supply system? .................. N/A . N/A . 8. If yes, name of water supply Distance to water supply _ N/A '.. `. 9. Is project site near a public sewage collection or disposal system ?..... 0. Name of sewage system N/A Distance to sewage system N/A 1. Date observed: 23. Name of Health Inspector: 500 GPD ... .,... ........ 4. Project design flow (gallons per day) .................... 40. 11 04440 ruIIUI.GII I I, NIQI.I InI•yC C I I III 111al. I NII ur -2L.%m �%jrw%.%jj .c.. u.... .- 4........ 26. Has SPDES Application been submitted to local DEC Office? N/A 27. Is any portion of this project located within a designated Town or State No wetland? .................................. ............................... 1'1 /A 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? ................... No N/A 0 31. Is or was project site used for agricultural activity involving application of pesticides to orchards'or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ........ YES or NO No 32. Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or No any other potential known source of contamination? ..............YES or NO DESCRIBE: 33. Is there a local master plan or file with the Town or Village? ....... No 34. Are community water, sewer facilities planned to be developed within 15 years? No 35. Are any sewage disposal areas in excess of 15% slope? .. No 36. Tax Map ID Number .......................................................... 791 37. Approved Plans are to be returned to: ................ Applicant x Engineer --if {.f hG ti{:Ip i i Cat i Ol' u 1-i'.,ant' Sh wn• n application must be accompanied by a Letter of Authorization. Failure to comply with this provision may be 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 Misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNATURES & OFFICIAL TITLES: MAILING ADDRESS: ting Engineers Barger, Day &Oswald 894J Rte 52, Beacon, New York 12508 V �9-o �'' C yM T. PUTNAM COUNTY DEPARTMENT OF HEALTH �-.._.. <.._, DIVISION OF ENvIRONMENTAI;-<`HEPLTH SERVICES Date 9/10/93 Re: Property of Croniser COnstruction Located at lot 8 - Ice Pond View Estates (T) 791 Section Subdivision of Ice Pond View Estates Block Lo t Subdv. Lot # 8 Filed Map # 2403 Datel /11/83 Gentlemen: This letter is to authorize Mark A. Day of Barger, Day & Oswald a duly licensed professional engineer X ) CXdC bf "M0Cx CiX=t= XXXXX (Indicate) to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection witli -this matter and to supe`rvise'tfie�const'ructiori -oI`�'said'" "'-' "" ° "' system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed Countersigned: Owner of Property 9 Ryan Drive P.E., R.A., # 069646 Address 014- .R3Q-2020 Telephone Hopewell Junction, New York 12533 Town 914- 221 -1802 Telephone DEPARTMENT OF HEALTH Division of Environmental Health Services �b 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A.WATER WELL PCHD PERMIT # WELL LOCATION Street Address Town/Village/City Tax Grid Number Andrea Place, Patterwon 791 WELL OWNER Name Croniser Const. Mailing Address Corp., 9 Ryan Dr., ®Private Hopewell Junction, NY 1253l}Public USE OF WELL 1 — primary 2 — secondary ® RESIDENTIAL ® BUSINESS ® INDUSTRIAL ® PUBLIC SUPPLY O FARM U INSTITUTIONAL O AIR /COND /HEAT PUMP ® ABANDONED.. O TEST /OBSERVATION O OTHER (specify O STAND -BY AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED /EST. OF DAILY USAGE gal REASON FOR DRILLING O REPLACE EXISTING SUPPLY. O TEST /OBSERVATION 13 ADDITIONAL SUPPLY ® NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING New Home WELL TYPE DRILLED ® DRIVEN ®DUG LJGRAVEL OOTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Ice Pond View Estates Lot No. 8 WATER WELL CONTRACTOR: Name J. T. Eckerson, Inc. Address: Mi ton, NY 12547 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY D•IST":NCE -TO PROPERTY FoOM- :E�'1P.EST.L ►AmEp.. * *,�,I.:.; .._.._.. _ _..,..._.,. _..._... .: - LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED File Map 2403 O ON SEPARATE SHEET 10/14/93 Vice President (date) (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 shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the Department attached to this permit. 3. Submit a Well Completion Report on a form requirements of the Putnam County Health provided by the Putnam County Health Department. 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 this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. Date of Issue: Date of Expiration 19 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 <.• APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT 4 7L� WELL LOCATION Street Address 1j,,UD2e�-`f, Town Village City Lot 8 - Ice Pond View Est Town of Patterson Tax Grid Number WELL OWNER Name, M3ilin Address IRPrivate Croniser Construction �3 Ryan Drive, Hopewell Jct., NY 12533 O public USE OF WELL 1 - primary 2- secondary (A RESIDENTIAL D PUBLIC SUPPLY Q AIR /COND /HEAT PUMP ❑ ABANDONED O BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify D INDUSTRIAL O INSTITUTIONAL O STAND -BY Q AMOUNT OF USE YIELD SOUGHT S gpm /# PEOPLE SERVED 6 /EST. O REPLACE EXISTING SUPPLY O TEST /OBSERVATION NEW SUPPLY NEW DWELLING 0 DEEPEN EXISTING WELL OF DAILY USAGE 450 gal 16 ADDITIONAL SUPPLY REASON FOR DRILLING DETAILED REASON FOR DRILLING In order to provide water for a new house. WELL TYPE ®DRILLED DRIVEN []DUG GRAVEL. 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Ira Pond Viavt FGtates Lot No. 8 WATER WELL CONTRACTOR: Name To Be Determined Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY N/,� ^T TO PROPERTY FRO'r1 t",A ^�ST *ATER i3AZ: �/A DISTE1 LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED 9/10/93 Q ON SEPARATE SHEET Q/ (date) (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 third, (30) days of the completion of water well construction, the applicant shall: 1. Pump the 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 a Well Completion Report on a form provided by the Putnam County Health Department. 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 this property and in such a anner as not to degrade or otherwts'e contamin to surface or groundwater. Date of Issue: 6'� �'a 19 Date of Expiration 19 C� Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller wt►1 4odifiea Ion or Monte when in tM;luegmsn4 "o1 the Commlubna of'lleel4h, fi+eh ►evoeetbn; �notlNlcetbn or ohen0e It rifteetpryr. 3/89 woe`s', T14» S Q!d ZOADDO-x. C Y�4 WELL GUMYLh*11ULV ZLrUAI DEPARTMENT OF HEALTH Division Of Environtiienta H�a1it�t3s' PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only �-� WELL LOCATION STREET AD HESS: WNIVII l Y, ,�/ TAX GRIO NUMBER: Andrea Place, Patterson _225 . —yQ 791 WELL OWNER ADDRESS: Croniser Const. Corp. 9 Ryan Dr., Hopewell Jct., NY 12533 ❑ PRIVATE ❑ PUBLIC USE OF WELL 1 - primary 2 - secondary El RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP O ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL 0 STAND -BY ❑ MOUNT OF USE YIELD SOUGHT 5 gpm. /N0. PEOPLE SERVED 6 / EST. OF DAILY USAGE 450 gal. REASON FOR DRILLING El NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA ` WELL DEPTH 600 ft. STATIC WATER LEVEL 51611 ft. DATE MEASURED 11/30/93, DRILLING EQUIPMENT O ROTARY CR COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE O SCREENED ❑ OPEN END CASING. ®OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH 45 ft MATERIALS: 4:1 STEEL ❑ PLASTIC ❑ OTHER LENGTH.BELOW GRADE 44 ft. JOINTS: O WELDED ® THREADED ❑ OTHER DIAMETER 6 in. SEAL: '0 CEMENT GROUT 0 BENTONITE ® OTHER WEIGHT PER FOOT 17 Ib_ /ft_ DRIVE SHOE: ® YES ONO LINER: O YES ®NO SCREEN Dc fr11t•J DIAMETER (in) SLOT SIZE LENGTH (it) DEPTH TO SCREEN (ft) DEVELOPED? FIRST:_ . -._ - ..... - HOURS SECOND GRAVEL PACK 0 YES ® NO GRAVEL SIZE DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH It. WELL YIELD TEST ; If detailed um in P 9 P METHOD: O PUMPED tests were done is in- ® COMPRESSED AIR , formation attached? ❑ BAILED 0 OTHER ; O YES O NO /ELL LOG It more detailed formation descriptions or sieve analyses are available, lease attach. .DEPTH FRO!+ SURFACE Water Bear- ing Well 0'a- ,peter FORMATION DESCRIPTION CODE. ft, ft. WELL DEPTH It. DURATION hr. min. DRAWOOWN It, YIELD gpm. Surface 34 Overburden 34 600 x 6 Granite 600 .5# WATEP 0 CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES O NO STORAGE TANK: TYPE WX -250 CAPACITY GAL. 44 PUMP INFORMATION Submersible 5 TYPE CAPACITY MAKER Goulds DEPTH 580 MODEL 5ES VOLTAGE 230 HP 1 � WELLORILLERNAME J. T. Eckerson Inc. DA12/14/93 AOORESS 1613 Route 9W SIGU;XMRE Milton, NY 12547 ✓!�"7��, Vice President _ P, 02 i; 'AMO LABORATORIES, POUGHKEEPSIE, NEW YORK 12601 )DOH #70310 Tel. (914) 473.9200 ,t Cert.: PH -0593 Fax (914) 473-1902 BACTERIOLOGICAL EXAMINATION OF WATER Mail To: _ f!P`( J e, op Bottle No. !`" Date Colyd _Time f✓ Time Submitted — Ml. sample SPC Job No. CAMO Log No. 4cility Type _ _ Bacteria Count Tests Requested �t u, t- 1. w` 1'i L e. Refrigerated? ML Sample Membrane Collform Count! Coll'd by: _ t —.Agency Coll'd for Fecal Count _ �. l j .1 } f' �-^� � � Time Time Identification of Source: t I f R i $elephone #: � °'�•G• Setup I� Read _ r,�.... — Date .hpling Point: se: y� _ Sample Reported by: Supply Chlorinated When Sampled: YesX No ❑ Free Comb, pH _ RESULA0 0-F-ExAMiNATi'0N- 7i= WATER ;_ .. MPN /100 ml. MEMBRANE FILTER METHOD /100 ml. MEMBRANE FILTER METHOD /100 ml. Col iform Group Total Collform: Not Present Fecal Collform Total Coliform: Present' ( ) Fecal Collform _ STANDARD PLATE COUNT Fecal Coliform Indicated: Yes ( ) No ( ) Bacteria per ml. These results indicate sample was,' . as not) of satisfactory sanitary quality. Date Reported: Amount Paid: _ r Reported By: �a' _:% rfi erx f,�••._,, Amount Due: Client Notified: Check Number: { — COMMENTS: PUTNAM COUN'T'Y DEPARTMENT OF HEALTH ,. __ ....:: . ... ..rr ..- ..... -�.:. .:n r..-. HEAL Ll V 1.�lULV � Ul � rlV V l.L�lJiVi 1L',LV 1 tl���in Croniser Construction Owner or Purchaser of Building. Croniser Construction Building Constructed by Location - S t .2` New York _ Municipality 2 Story Colonial Building Type 3 Section Block Lot 791 Ice Pond View Estates Subdivision Name Lot #8 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.system constructed by me which fails to operate for a p riod cf two years i=edi.ately following the date of approval o_ f the "Certificate of Construction- Compliance" for the setaage 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 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 tilizin the system. /j / '/ Dated this 15 t h dqv of F, Croniser Construction Corporation Name (if Corp.) 1994 - Signature 9 Ryan Drive, Hopewell Junciton, NY Address rev. 9/85 ink Signature Title Croniser Construction Corporation Name (if Corp.) 9 Ryan Drive Address 12533 Hopewell Junciton, NY 12533 JOMARDAV CORP., �. 602 604 606 \8 • 600 598 R 58 588 590 .592 594 E / .4 : S6 94.51' / •47'38 606 17 6.27 S58'04'0 0 "E �� =- S�7'28,a� 26 .7 604 1 00 GALLON SEPTIC T.x - -; \ STREAM / \ STONE. '4„ 0 PVC 15' (MIN.) OF WALL \ 604 4" 0 CAST IRON PIPE ® 2% SLOPc �� 100% EXPA SION �/� PIPE P ® 1% �W' O AREA i \� 06 i i FOOTING DRAINS i TO DRAIN.AWAY FROM SSDA. LOT NO. 9 PsEM 606 ICE POND VIEW ESI ATES °; FILED MAP N0. 403 /Q6 E P v� 'IS T. BOX h / = 1 837 ACRES-+ \--, � D6 X-1 r. 598 = 325.00' L =2 600 NDREA PLAICE 604 {{' SEPTIC TANK 606 / ,,, ' h X608 HOUSE I, / � /�, ,�''� � / "610 � ;, � •� N85'57'59"V`l�j 608 �-�_`• 14.00' THERE ARE NO SSDA's EITHER EXISTING OR 15' MIP,I. 4" DIA. C.I.P. PROPOSED WITHIN THE SITE PLAN 1 DIRECT LINE OF DRAINAGE FOR THE PROPOSED WELL. 1' = 40';. r. i2 .I 4} 'I is I. 1;