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1119 /.Y 11 ,079 -.ffS6
October 21, 1980
To Whom It May Concern:
p This is to advise that certain property purchased
by Frank and Julie Covert in September 1979 on East Branch
Road in Patterson, New York, was improved by a well.
Very truly yours,
SAA /mv St6phen A. Abels
Owner or
uil ditig
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Location
uildx g
urc aser of Building
Coonnstr cte y
(
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Street
Type
Municipality
'dam
Section
a24&__
—
Block
Lot
GUARANTY OF SEPARATE SEWAGE-SYSTEM
\ )f represent that4f�atCwholly 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 Ii which fails to operate for period of two
years immediately following the date of initial use of the sewage disposal
system, or any repairs made by M to such system, except where the failure
to oper..ate 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 Environmental Health Ser-
vidas of- the'*'Patnam,- County Department of Health as to whether or not he
failure of the system to operate was caused by the willful o eg ige
act of the occupant of e b 'ld' _utilizing therste
Dated this day of ''19 Sign
Title a -(, ,oe�i
Ir - corporation, give -V
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
#C963 .YML# '
YORKTOWN MEDICAL LABORATORY INC.
P.O. Box 99 321_ Kear Street LOCAfibNS:
D 321 KEAR ST.; YORKTOWN HEIGHTS, N.Y 10598 245 -3203
York P .town.H4igW NA-.10.591811 : �1:1 201 BUTTONWOOD AVE., PEEI<SKILL , N.Y. 10566 737 -8777
245 -3203 0495 MAIN ST., MT. KISCO, N.Y. 105491666-31335'
STONELEIGH AVE . (NEAR HOSPITAL), CARMEL, N. Y. 10512 278.9330
DATE COC I ECTED
RESULTS OF EXAMINATION OF WATER 10./24/80
OWNER DATE RECEIVED
.Frank
10/24/80
CITY, VILLAGE, TOWN VOR NAME OF.SUPPLY DATE REPORTED
32 Cornwall Road, Patterson, New York 10/27/80
SAMPLING POINT
basement.tap
BACTERIA PER ML. (Agar plate count at 35 C).
7 /ML.
COLIFORM GROUP (Most probable No. 100m1.)
0 MFT
HARDNESS, TOTAL -.ppm
DETERGENTS_ - mg /L
NITRATES (as N) - mg/L
IRON, TOTAL - mg /L
AMMONIA, FREE (as N) -mg /L
PH=
CHORIDES - (mg /L)
These results indicate that the water was yes of a satisfactory sanitary quality when the sample was collected.
A. H. PADOVANI, M. T. (ASCP)
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11
" r PUTNAM COUNTY
DXPART E, T OF HEALTH
l
DIVISTON.OF ENVIRONMGNTAI, HI'11T,Tli SERVIC .
I ,.00tINI'Y OFFICE .BUITLDING,. +CARI�RFI, N -o� e. - - y�. •� :_..:..o �...... w�. .
��` SBEET— SEPARAT9 SLt,1AG:� DISPQBAL . OYSTLI N
ILt NO.
1A nbzb , E1ga6d t fL/ C��'` m
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.. cafe nearos�oss . reo
! P�P�� �'V� �4�: l l Y• ti s7 ( y'
�11� iJep shed
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SOIL TMCOI ATION TEST ]BATA RWIRM TO BE SUI IITTED WITH A# QWS
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PERCOLATION
1DIz4! Y N
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jp .. 4 73a er
Water V�
From Ground Surre ce
- in Inehoa 86:. to
f ' Start-stop �. ,1��,
Mart Stop
]DrOp in:',; 4hp /fin
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Iraeti�s� Inches
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Note - : Tests to bo repeated at swe depth' until. � . o3CAa�2 �o q 0&a�
are teeob ipn tpt[t h b
r�'oa"aa obtaAngd
p cc�1� a�
oatA a
for N0 Q1�•.:. .
be
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Depth nioasuremente
to mad®• rm top.
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TJJ1,ST j,,'m, r?; ;C).! u j If"') P, 0 , !'"TT.17) W1911 APPLICATION
lll I.; — ! !,: SM . .1 . .
'10TT 1'1,.' Tji"Yj, 11011 liZ
u 01jfTi
DEPTH HOIJT, 110. 4r I
G. Lj'611
12
an
�WIIFA
3011
36" 6 '
42"
j
HOLE NO. JIM!', NO.
4811
54 if
6011
66"
S�
7211
7811
84
INDICATE LEVEL AT =C11 GROUl"D WATER IS ENCOUT-ITI * � RE'. D
INDICATE LEVEL TO WHICH WATER.,�JLVEL RISES AFTER PLING ENCOUNTERED
TESTS MADE, By T 6- ha /'in' —Date -,-60-c 127
DESIGN •
Soil' Rate ITseci_ �� n/111 Drop: S.D. 'Usable Area Provided-3&66
No. of Bedrooms Septic Tank Capacit Gallf",
Absorption-Area Provided Byjj L.V x24
.. .... latt
gna-u-ure
Address LAYcVir-w
THIS SPACE FOR USE BY E'EAU.[Ji DEPARTMENT ONLY:
-Soil Rate Approved Sq. Ft/Gal. Checked by
Date
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20 110 -1 /00.00
TITLE NO.
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SURVEY OF PROPERTY
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