Loading...
HomeMy WebLinkAbout1849DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35.06 -1 -36 BOX 17 I yti , Ir m, Jr, 16% I lor 4 w . PUTNAM COUNTY DEPARTMENT OF: HEALTH y ' Division - of?Environmental, Health r -,Garmel,:,N Y ;10512„` ai f ERTIFICATE OFaCON.STRUCTION. COMPLIANCE,;FOR .SEWAGE JIS SAL SYSTEM ' Patterson - J TOWn o'r Villa9 Meadow Ridge Road Located at - Section Block K ' owns► - P aul son BUlI: der s k Lot Job sl]hl n ? 6 Patrick Tyndall Brewster, N.Y. Separate Sewerage System built Address -° �nn� cone. �.-_ -. _ , r - Consisting',of 90Q Gal Septic Tank: 4. -`� lineal Feet X 3611 width trench Other requirements Water Supply. 4 Public Supply rFrom µ X. Pr�Jafe SuPPIy Drilled' BY P •F. :;Beal~ & Sons Address $rte Pr NPta -+ York Residence w �. Bwlrling Type No of Bedroo Date Perm�tl� ed Ft N^ Has ,Erosion I certify that the systems) as listed serving the above premises were`constriicted es a as o n e pl the completed work (copies of which are attached) antl,in aaccor,dance with 'the-st, ndards,' rules,arid regulations plans fi(' 8T he :;6 th Putnam 'County -Department of Health. 4 e _v k s... Date' Certified by P ER A e w Any person occupying premises served .by the above systems) shall promptly take Jsuc id►t �Pi�� ry to securetthe correction of any unsanitaryff condif ons.resultmg from wch usage ; Approva'I of the separate sewerage system shall -oid as S on-ii; a` public ;sanitary 'sewer`becOmeS available antl the approval of the private wate'r:supply.`Sh'all become null,and void when : a' p 0 a er` supply �beeomes available. � Such.: approvals: at . - Subject to modification Or Ghange''when, in, the '.Judgment 6i Jke Coinmissionei' of Healf h, -such ,.revoeafion 'mo* ieation or change is necessary`" Title i BREWSTER LABORATORIES Box 224 = BRE;WSTI:R; °W- Y.�-••-- -.-,,. WATER ANALYSIS REPORT SAMPLE No. 2911 } SOURCE: Roy Paulson -;hose Bibb - well supply Paulson BZdrs., Inc. Meadow Ridge Road Lakespring Meadow Lot 26 Town of Patterson, N.Y. COLLECTED: BY: Richard Lindquist BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method Q per 100 ml. This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. z March 313 1973 Roy Bickwit P. E. Director v. +. I : :f mz F ,. .. „� ':' , 1. Y t. d J ..., 1 .,,, ,:, ,Z -.: ,. e e9 1 , „ ." .. _ t v, � r k " .e " k - , .. o S .; aw: ,.� ;, ,,.. , ', � , ., . :q .1xP'. _;'Y n 1'^' e'2$ v ;, .,aka, -,''. ? " . 11 +y .... „ , ,, v, , ,. . ,. , f �' s rc , er 'r -4!'k ,, , �Y. , ,s�+ n ,: t�A r�'r ,i • e. .. ,,,,, n t �S, "', _y., Y: t4. t Fs< �;, 1. , . I LbT ,, 2 f" r u� X - , l mcw ¢op ` . i " 1. a, S -: e : " •�a r:' k +, I ...•� ',`i,qt - "". ,q, f r`yy ,�` W ;YY`` e ' i , S �,, i V� �i r "C fbu�+fl) i 6P,4 2i v c , "Ill' VO: 4 t r; t y .'t, ,t.,a,r, , " ;4 +' a'. '� �i,,s �'I�OON� i s ys i s '. s t vrr a 7.. ., '! 1. e. v , u sir , "� s, t„ �;+, " .'v 11 h ..,:': t # i.. „1y 'n; °z r� •1 :.1'. 8, l,., a,� F.. �,y t�, ci ' '`�'y, ' r k, c., "i 11 ,. q� 1 �>J ?01� / 2r� �,� �`""'Q' 11 � ��4 I: �O o r ! NI s<1 9 b ;d 1;,, fi !W a as Q O 4 i '' V .. ` .," ..� �..`. �;` +,t' t �s cl ) ,fir J m p — 5:' k ,t V, ^i w, �y)� i, oh`� ! r, •'e. , , ., :„(� ,:a., ,'C F, x'.x; -. rQ F., ..^, y,.. 2 = �'�' /, pr.yr Ae V� a�• .4. :.�eL, q l y� v t °W ,`,. 19 11 F , V y z ..,. 9 „r n m. a �. T E 5 .„ to M1 -, { w,i: :; #$ ,,, N t,.�, M : k , z ,± a U :MAC? �, ` U Z I 1. -ca oss a tL I _1 V A; '' f,2 .,. $ .'� N,•r n ,.., �`. 6. '.' ... "'.I s 'CS} , t,_ ;' J.v �l •Ej,'r' 'k ' \�a 11. �l :; '.. ,.,, v_, 1.. , ,. ,',. '.+l d.:•, U,t. r a: .Y` „i .X."'J ' !'.'Y -, R'Yi+. 1. o-. I'. ` 5.l0'�/�, 4, I „ ff �"� ,.� ^ 7 ”: ,. ,. e. ,. Z.7 :. .F J •' .. /1 } , c t '. d t ^y,1s .. n±+1 , p �f ,+ ,'i ,,? ., rsr ,.,a.�.,q,,. .. '..]r ,. ..:P ., , ,,: :.,.., lJI` � ?t ,'en � „ .1, t .l , n'� , :.r s ,, b .Y F r i I " , t,', " .,, { :: - �, �, �S M �, , , , a i ,"' 'SC .. �. i' ., 1 � .� i - ,'I' � �! # :X • ° r d F �t �1�;'' M�4�P, N°• 872 ° �:.� ,.t , , " ." . , ". .1 . 1 t v� \V� Tpw►•�. of `FA'1`fiE�7.:SON Pu'> r+AM: cOc>NT .: iv : �CiVA — S 11 i ' , w. , © 4,, s�z x ,�., 1 ,, ...n',. ,.t ,.r.. �^.,:,.',..i ,. ..:,. ..,.r. z '' 'v Lt:�4` n a e :.Y� , ,, ,�5.. 3" ;"v .': ,`�, "."*�, <?' .,'SC' 1',Lir' ' sy e 'a,,.. + ..V - ., • , 'A S. +, a�!.a t ' " , , p • �' ,r,: �,, P . �. • k 1. :E� ,. r 2C f 1 . 0 a (1�' ,.. ,y,; - , - � -' t F AV., V r i . 1 \. .�;t � c + ^ ',yft 'fr s b � ;a; � + IRd d•. p ., ^'..., .,�'. q.' r v' Gr 3 f"+ 11 ,.k,,:.5,;r. h.`ta f _4 1 ,.f }1. /:v: 'h •.3'f u. ., k.^'; +� a.v: ^e ! .r u„ . {,,.r. i �'.,',' 1' 1. �, . ,:. ;. I." . , ,:. R. � *. '4 , ,r v wr "Y ,v r M F ;r ,R '4 ,.., 1 .. .. J . , ,r ,. rt , m h.:ir , us , ,r -' a, :'4,� , , a 1 .'1. (�h 1. a t �d; RQQ g y.,. r: r y �. If I 4 �. ,,�k , 11 , e :: fi a • �k .. , �,. -.S >, h,:.: " ,,: l lZ.e> 1�.% :'+ "., ` p , m:• . , ly t ,i: "t` : s ' t ; r y , 1- �d nn^,. .s'R' .. .,. !,..,t,. „ W .. a. A,: u,.. , a.,. t , .,.,e.. 11M iv., x 'i N. �','��'P+�' F� �1+ �Q� ��±� ��W: • ��y� •�. +� .. .r "l a, -,i ,. ._ +a.r J..,... ,, y+� ,,,.,, \A(�.✓,,'t1, 1. ,n., ¢e „t" 4,., f h'' \. . �.L:1 �1 i.,. rtibr W� ,Y��J �� *,. L'f >L, k.rc i,'C. f'!' ., .t .. 1, IZBC�,.: d' , \ : �. S' n - '.�' tC (:+ .. :... , � 11 11 t � 9 'FIhoIM aN dC �Sut� � vT ��° p�:�sQe�- M.E.A�t'�.o „ �i • �d e Co -� n i vw n Z a - ., .... • �... . , s _ '.' : ' .' ,�'a , - t ., 4 ,, ,1 A" 1 ; i' m x.' 3 ; ': e r d r a a� , t. , $',,a t ,nr r ;, , q. ;;, _ >•,,,,,. „ . pp .,r; '. { , :,. . n., fi , „” , 'e. ,ke -t. 1. >u,i a s c, ,.:w ` , ', [. "r� t f(. M. 'c, (,- .. '.' rvi ,,. ,4.v :. ,. ,. ,.: .tt V,f, .. :, k ' ,, ::i 4 a,C..3 w+ri Vl� 4 z se z� r. 1 �l l �°7I A t �`I Y ` , 3, �e.e :d cl w , IA . 6, o a"t ;. c #: Q M 9% , 01' F lk ' .'+«. `� , p ',, ry { . eayrt , r. �� t 's o n. �a F '" `,Y„ t f ,r .vP `„#, , L w r r ,.a n„ „ >„ ., . _. .,, , -'a; ,... IF �. .n -p r ' a u�.,,:; x •v t <,:�. r a;,i.., �,., •'yin, 1 rr i.,. ':l:.T, I�,. _1,RO,u%1 �1C C _t� A .r ,i� "a:51 v^t• # r .,r ,t > o-j.. ,,. OWR:., +, ., r, 0�,,.. �,, ,.:. ,.2\ :a -,�. W . +f`.= rf;' a," ,z ,• y ,M., ,. i 4'ti, ,; i ., ( C, C y f{Wi t14t�ICi�101IS llolll :ai�V l� �• rv, �Q r 1\ . 't�'Tin am d cop - o� --- ; 11 { \.'R - „”' _ _... ". v ''! :.,N. ;',?.,. %Si. r m 4 ,t 1 A, N,r k 1 t{ ,m'4i•.ovm. $ t. z.: E• e. 3 4`: 1 ky t F.' ',� t' .# 4 , :. , .,, a 'r.•': x ..r ,. {. ,'•. .' ":F ';.', .!.,, s:',.µ s�1 "s" rti. d c`'z ,dd r\ t. 11 i ^h .,, s ..1.. 11. ui' „,7^ ,` k .. ^�,,�. I`••r +b• k,• 0 1 '1 w`t5 K �`4�V: "}y ,1.,. C: fig ,.e .. , H U'',:,1 ,.. k .A z >' 2. k',. f., a: i .r„ h' \Se1lGfyVN111 P, J "VCW >� "I J": '� . . _a t 4. t} I., 1 prafSG�: se>?!L es! +k,T �Sor.ej.j.� ��� ;.:r ., :� A- - .W.r '_ - Far,fodo''q"�� ,LICEO,;�S ti'N�1� Yt•' u' ?eft 11 t ,;�; •1`e a `o v" ,the ! x #`�!. 'k<Y4, _C �4 ar ,;dt x k!+t�F� K'� C�S t !!asl �y der T3Ud .. IJ���''+l�A1L!' ®� Dfi ' f. i � . /s 7Z °/2�0 .PAULS0N B:L,DR S WELL 'COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental Health Services COUNTY OFFICE BUILDING • CARMEL, NEW YORK :,::.-This-report_is;,to..be. completed .by- well-.drsUer and submitted to-County Health-Depactment together ..with.Jaboratory.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 ADDRESS P. 0. BOX 158, CARMEL NEW YORK LOCATION OF WELL (No. 6 Street) (Town) (Lot Number) SPRING MEADOWS3 LOT 26 BREWSTER NEW YORK PROPOSED USE OF WELL NESS DOMESTIC ❑ E TABLISHMENT ❑ FARM ❑ TEST WELL ❑ SUPPLY ❑ INDUSTRIAL AIR ❑ OTHER CONDITIONING (Specify) DRILLING EQUIPMENT COMPRESSED CABLE ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION (s Pe (specify) CASING DETAILS LENGTH Fii7 DIAMETER( Inches) WEIGHT PER FOOT ® THREADED El WELDED [B_IVE SHOE br J YES El NO YES H NO YIELD TEST HOURS G.P.M. ❑ BAILED ❑ PUMPED 12 COMPRESSED AIR YIELD (G.P.M.) W n f 1 e WATER LEVEL MEASURE FROM LAND SURFACE—STATIC (Specify feef) DURING YIELD TEST [feet) Depth of Completed Well in feet below Land surface: 2 0 0 ft. 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 0 5 Drilling in overburden - - - I- IP IF La NPIPIP14 Hit solid rock at 5 Drilling in rock - settin 20 200 Drilling in rock - granit If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED 1/18/73 DATE OF REPORT 3/17/73 WELL DRILLER (Signature) t — A � r nor or �'ur. °chaser of ui ding M h c4a.lity Building Constructed by Section Loc t.ion - Street Building Type Blcck Lot - -. GUARANTY OF SEPARATE SEWAGE SYSTEM T represer;t_ that I am and C oy responsible for the loedtion, workmanship, material, construction and 4r age of the sewage disposal system .serving the above described property, and that it has been constructed as sl-.own 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 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 tA7o 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 occupant of the building utilizing' the 'c��ctom. - 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 ne, ligent act of the --eecupan_1= of�- -= tit (I.; UJIdi .a �.in ,. the . ng �t;a system. � _ Dated this day of `���L 19'7 Signature Title (if corporate i, give a (e an clress) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRE TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam .County Department of Health .... �//i1�%Z //� r h� $ ' � �CONSTR ' T. Subdi Buld �t No of width .k Water fn' r � OSaI i p.l nY . of on c oia factory man - ' =fa *` ` or ash 'c and = t 2 7 ,. of---the;= Date ssuedy by the req t OatE3 ., a-. PUTNAM COUNTY DEPARTMENT OF HEALTH Separate Sewerage , System �� � w_ Municipality ION PERMIT iA'h, R0o'k'V Si p6- fo,- � Section Block ion l,RKC kf t i a L= 917pjv5 Lot Job h�H?i� c �'H� r�'�a�rAddressv ir,�r� ��7,�Rts,v c�t�, yyLot Area F. Type Ii lf� �?X RCS/ ®C � Bidrooms� Y `dotal Habitable Space i°�CC� °^ sq.gt. C U �> Sewerage §Zstem to consist oflZOL7 dal. Septic TankR3(* lineal feet • V inch t zstructed by Address, .Ply Public Supply from z � Private Supply -to be drilled by Address Arements jnt that I .am. -wholl and. r,:.�m let:e.l responsible for the deal P P y y (p) y - P - - ° P .; _ ... _. _. .. _... g??� �. ,ion., of- the ro o-e�ed s stom "'s' ..o --1')" that _the se arate sewage dis- ;tem above described will be .constructed as shown on't a proved tpproved amendment theretj and in accordance with the standards,' L,`-'r eglations of the Putr_,vm County Department of Health, and that 3t6n thereof a "Certificate of Construction Compliance" satis- i �o.:the Commissioner of Health will be submitted to the Department, tten guarantee will be f.ltrnished the owner, his successors,.heirs is ".by the builder, that s;,.id builder will place in good operating any part of said sewage disposal system during the period of two =immediately following the date of the assurance of the approval rtificate of Construction Compliance of the original system or rs thereto; 2) that the drilled well .des".- ed above. will be Fs _shown on the approved p an and t sa1,c w l` "- aii, be installed .. ante with the standards, rules and regustlons;, =df N, he Putnam County of Health. , Signe v=, CONSTRUCTION. This approval ex .4 'es ,o' PP �?� '" y9ea'�'` i�rom the date ' less construction of the building has he�hw, �r�cpren and is re- or cause. or may be amend:;d .or modified,.a, o eci sYdered necessary rrnissioner of Health. Any change oralterat'on of construction :,,anermit.. Approved for dispo/s,XP2of domestic sanitary sewage. By 7 1 r "" COU1vTY OF WFSTCHESTER DEPARTMENT OF HEALTH_Division of Environmental Sanitation DESIGN DATA SHEET .. SEPARATE SEWAGE SYSTEM FILE NO. E Ower 51 CAMj& L FS &QFAL.%YQeatdx3dress E-V dhA0 Vt &p N ` Located At (Street) V ® L Sec. Bleck_Lot , Indicate nearest.cross,street) _ k Municipality �� ' li/ Watershed SAX VV Yd J? f- SOIL PERCOLATION TEST,.DATA REQUIRED TO BE SUBMITTED WITH APPLICATION Hole . 1 1 ,.. Number'._. CLOCK TIME t PERCOLATION 'PERCOLATION,. "Run tElaprse tDepth to Water Water Level' tNo.t.. ' Time Ground Surface in Inches .'Soil Rate . r ' Start Stop t Min. tStart Stop Drop in tMin /in.drop t 1 t 'Inches In hgs Inches ' 1 t : i t J.2 , t 1 t r 211des t � 17 1 ff 1 :2 11 2 t 9, 1 t ' S� d It t t ail ! _ t : ; �cP { t < t za t tt t t 46 1 L 1 t t t t 1 r - r 1 5 1 1 I 1 I 1 t 1 !t t I�eZ: t 1 1 t 1,4 :21 41 2eg I t e r 1 HAZ r 3_3 ' , ' fit a 7 1 5 1 t t 1 ► f t t t 2, 1 t � � �► t .... :. f 1 t r.3 r 1 r t 1 t t 1 4" f 1 t r t 1 1 -t t -I t t 1 1 1 5 t r 1 t r 1 1 1 t Notes: 1 1) Tests to be rcpeated 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. GULDENS BRIE)GE, M. IGN Soil Rate Used 1" Drop: S.D, Usable Area Provided® No, of Bedrooms—_r __Septic Tank Capacity ' ® Gals. Masonry M Name BIBBO ASSOCIATES Signa CUNSULTING, -ENGINE t J Address GOLDENS BRIDGE, M Y. SEAL _ Westchester County Health Department Soil Rate Approved Sq. Ft.�Gal Checked by Dat4 S.D. 27.6 (Rev..5- 24 -66) a, y R tI' S wl f ,� BEO Roo �1 �i�t-'. .SE Pitt TPNK ,.c r• -x...,. wl, (0O --- - - ^— — — _ fib' Sa °Iry fdt TON so -/ 1; .. t'J,, ' 11 CFP56T OtM6NS.e ♦ ' POwT A I g N r 7►.,+,� 20' 34'St _.NOT E.7 AL.�. 17�MEN <.,, 4;r �f tg eoa TAKEN A�.ONG SCO PF 90x '14' APPROVED �s •dui APR9 1973```' ' �,p1pf${OR-91VISi N Of �? (NVIRONMFNTAI NFAITN gFWtr.�9 1, r AS BUILT SEWAGE DISPOSAL SYSTEM'. PA-,,U_ �. L'�l_)1 L_ LOCATFn CCnE ROlaO ' SHEET .. .......... ...... ....... _.CLO4v. . ..... .;.......... ........ . LOT .........12.fa.....:�, FIELDS REQUIRGD -: I 1-1 F? • •,3c., IN. WIDE TRENCH FIELDS INSTALLS D= I'TR 3c. IN. WIDE TRENCH SYSTEM INSTALLED BY: DATE: SCALE: 11-20'