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HomeMy WebLinkAbout2063DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.48 -2 -1 BOX 18 III ,.y9 . 4' 0 ' In .I i lIir % I 1 9 ,� ` '. % a or I �� , _ .4 02063 ELLIS A.. TARLTON LABORATORY DIVISION OF ELLIS A. TARLTON, ENGINEERS, INC. CHEMICAL WATER - WASTEWATER PHYSICAL 34 PLEASANT STREET . DANBURY, CONN': 06813 -2328 METHODOLOGY BIOLOGICAL P.O. BOX 2328 203- 748 -7903 APHA - EPA - ASTM .RSPORT aP--BACT[-RIOLOGIC-AL AND CHEMICA °L -EXAMINATIONS -0- -WATEff NAME AND ADDRESS OF PERSON TO RECEIVE REPORT F Mill Drilling,, Inc. Putnam Ave Brewster, NY 10509 DATA SOURCE OF SAMPLE Water Supply, Bertrum Const. Co. Fairfield Drive Patterson,- NY DATE OF COLLECTION Sept. 19', 19 9 2 COLLECTED BY Mill Drilling Hydrogen Ion COLOR TURBIDITY ODOR CORROSION INDEX DISSOLVED SOLIDS Concentration LAN G EL I ER (PH) RYZNAR NTU • 61g!1 Alkalinity as CaCO3 Fluoride (F) Bicarbonate Nitrite Mg /L Mg /L Mg /L NITROGEN Alkalinity as CaCO3 Chlorine Residual CONSTITUENTS Carbonate O 0 AS Nitrate Mg /L Mg /L • Mg /L Total Hardness Conductivity NITROGEN (N) as CaCO3 Ammonia Mg / L Mg / L Mlcromohos /cm ' MO /L Iron as Fe Mg /L Mg /L Chlorides as CL Mg /L Manganese as Mn Mg /L Mg /L Detergent as MBAS Mg /L Sulfate as SO4 Mg /L Mg /L The arithmetic mean of all standard samples examined per month using the membrane filter technique shall not exceed one colony per 100ml. Collform colonies per standard sample shall not exceed 3/50m1, 4/100ml. 7/200m1, or 13/500m1 -in, (a) - Two-- consocutive - samples; - {b)- Moro- thane -one standard sample when leis than 20 are exarnined-per month-- or (c) More than five per cent of the samples when 20 or more are examined per Tmonth. ~ AT THE TIME THE SAMPLE WAS SUBMITTED: ® 1. The results of the analysis of this sample were satisfactory and met requirements for a potable water. MEMBRANE FILTER TEST Coliform Colonies /1DOML Lj 2. The results of the analysis of this sample were satisfactory for a potable water but certain of the chemical or physical constituents were high. These are as follows: C3. This sample was not satisfactory since it did not meet the bacterial requirements for potable water. The presence of organisms of the coliform group In a sample of potable water Is undersirable and, while not necessarily indicating the presence of any disease - producing organismsadoes indicate that such contamination might survive to the same extent. The presence of organisms of the coliform group may also indicate that the treatment was not adequate at the time the sample was collected. 4. This sample was unsatisfactory as a potable water because certain chemical or physical constituents were above 'acceptable limits. These are as follows: COMMENTS The bacterial analysis showed no organisms of the coliform group at the time the sample was collected which indicated the water potable. Certified ...... .. ... ........ ............. ... ... ... s' WD.Ula %JVrLr.UD1J_VL'4 LXMrVALI DEPARTMENT OF HEALTH D s7fdW"Of Vfedtfih&hfAr ' IVr ­E5 —Hdalth-SdnTE—e6— PUTNAM COUNTY DEPARTMENT OF HEALTH office Use Only WELL LOCATION STREET ADO ESS: W GRID NUM8ER: Fairfield Drive Patterson., New York WELL OWNER NAME. ADDRESS: BertrLm Construction Co... 100 Fairfield Dr, . Patterson., NY PRIVATE ro PUBLIC USE Or WELL 1 - primary secondary =(RESIDENTIAL 0 PUBLIC SUPPLY 0 AIR/COND * MEAT PUMP 0 ABANDONED ❑ BUSINESS 0 FARM 0 TEST/OBSERVATION 0 OTHER (specify) ❑ INDUSTRIAL 0 INSTITUTIONAL 0 STAND-BY 0 AMOUNT OF USE YIELD SOUGHT —5— gpm.!NO. PEOPLE SERVED 2 to 4 EST. OF DAILY USAGE gal. REASON FOR DRILLING []REPLACE EXISTING .SUPPLY EITIEST/OBSERVATION []ADDITIONAL SUPPLY, NEW SUPPLY (NEW DWELLING) DEEPEN EXISTING WELL ... .. )Ca_ DEPTH DATA WELL DEPTH 225 3 STATIC WATER LEVEL J7 ft. 9/15/92 DATE MEASURED DRILLING EQUIPMENT ❑ ROTARY A*COMPRESSED AIR PERCUSSION 0 DUG 0 WELL POINT 0 CABLE PERCUSSION ❑ OTHER ('specify): WELL TYPE 0 SCREENED 0 OPEN END CASING )(9)(OPEN HOLE IN BEDROCK 0 OTHER TOTAL LENGTH exiatiog ft MATERIALS: X)IR STEEL ❑ PLASTIC 0 OTHER CASING DETAILS LENGTH BELOW GRADE ft. JOINTS: ❑ WELDED 0 THREADED .O OTHER DIAMETER 6 in. SEAL: 0 CEMENT GROUT .0 BENTONITE .0 OTHER WEIGHT PER FOOT ig Ib./ft. tDRIVE SHOE OYES ONO ] LINER: J-YES ONO SCREEN DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (11) DEPTH TO SCREEN (It) DEVELOPED? FIRST _E 0- YES 0 NO HOURS GRAVEL PACK ❑ YES 0 NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM* DEPTH WELL YIELD TEST It If detailed pumping I METHOD: 0 PUMPED 1 tests were done is in- ftCOMPRESSED AIR formation attached? ❑ BAILED ❑ OTHER ❑ YES 0 NO VELL LOG more detailed formation descriptions or sieve analyses ft are available, please attach. DEPTH FROM SURFACE Water 8ear- ing Well Oia- mettr In FORMATION DESCRIPTION COOE ft. ft, WELL DEPTH It. DURATION hr. min. DRAWDOWN It. YIELD 9pm. 1.2nd , ce Sur, 95 ' I Existing qq 995 1 H6rd grey' black granite. 6 . - 180 30 WATER CLEAR QUALITY ❑ CLOUDY ❑ COLORED ANALYSIS ATTACHED? TEMP. HARDNESS -ANALYZED? )(RYES ONO XX YES 0 NO STORAGE TANK: TYPE Diaphw CAPACITY WELL DRILLER NAME MILL DRILLING; I ADDRESS Putnam Ave, SIG RE Brewster. W091 I: " n I "IP W t M. Mill; 11,40 4 R1 rt it' t PUMP INFORMATION 7YPEswWwsible CAPACITY 10 MAKER 130111 D,� DEPTH 150'. IOEJ05412 maDEL VOLTAGE 230 HPb/_2 -2 Mn ` A Ali ENT OF HEALTH Division of Environmental Health Services 106. ' COUNTY CENTER - .CARMEL, N. Y." 10512 (914)0225 -3641 -" APPLICATION 'TOCONSTRUCT A�WATERwWELL PCHD PERMIT. now .St t d r s Ralf- Town/Village/City Tax Grid Number;��`x ON eMrive Pattersop, NY .x . Name. 'Add ssPr,ivatey`' Eertrtn Fairfield Dr., Patterson OPubi,lic��, LL XWWSIDENTIAL OPUBLIC SUPPLY. QAIR /COND /HEAT PUMP [?ABANDONED O BUSINESS O FARM O TEST /OBSERVATION O OTHER(specif PUS ary O INDUSTRIAL U INSTITUTIONAL O STAND -BY M1„ � D '} FUSE �- YIELD SOUGHT 5 gpm /# PEOPLE SERVED /'EST. OF DAILY'USAGE / a5�1 ASCU 4 NEW SUPPLY OPROVIDE ADDITIONAVSLTPPLY ❑TEST OBSERVAT�QN; RILG EPLACE"E'XI5TIN6 SUPPLY XXDEEPEN,EXISTING WELLt i"' '°`A 0'pp+ OR cw We'd l DRILLED DRIVEN DUG a GRAVEL.. a OTHER I E''SUBJECT TO FLOODING? YES NO E :LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDiV161UN: 1VU V.: :;.LOCATED .. Lot No. ATE �iLL'CONT$ACTOR• Name MILL DRILLING, INC • Address: TER SUPPLY AVAILABLE TO SITE:, r YES )(X NO I,IC . WATER SUPPLY: n/d TOWN /VIL /CITY OFPROPERTY FROM NEAREST'WATER-MAIN: n/6 .... S ETCH & SOURCES OF CONTAMINATION PROVIDED - OON REAR OF THIS APPLICATION `; OBI.SEP V E SHEET d M. fall ;at ert PERMIT - !'':.; TO CONSTRUCT A WATER WELL A: 'permit to construct one water.well as s.et' forth abpve is granted under the cisiops'of.Subpart 5 -2 of Part 5 of the New York State Sanitary Code, andY z Hded that within thirty (30) days of the compl eti oh of water well constructio applicant shall: 1. Pump the well until the water is clear. "ssr2. Disinfect the well in accordance with the requirements of the Putnam:.°::` County Health Department attached to th.ys permit. Submit a Well Completion Report on a fo r provided by 'the Putnam County Health Department. -of Issue : 19 </ .,'of Expiration: 19 _ Permit Issuing Official oit is Non - Transferrable �t DEPARTMENT OF HEALTH Division of Environmental Health Services 0 TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICAtIONL TO CONST�tUT TER C A �WP,- WE r� LL =R A f PCHD PERMIT #� WELL LOCATION St et d airfield re s , Drive Town/Village/City Tax Patterson, NY Grid Number WELL OWNER Na a John Bertrw Address Fairfield Dr,,., Patterson XXPrivate ❑ Public USE OF WELL 1 - primary 2 - secondary XMCRESIDENTIAL ❑ PUBLIC SUPPLY Q AIR /COND /HEAT PUMP ® BUSINESS 0 FARM ❑ TEST /OBSERVATION ® INDUSTRIAL O INSTITUTIONAL ❑ STAND -BY ❑ ABANDONED ❑ OTHER (specify, 0 AMOUNT OF USE YIELD SOUGHT 5 gpm /1 PEOPLE SERVED /EST. OF DAILY USAGE gal REASON. FOR DRILLING ❑NEW SUPPLY EPLACE EXISTING OPROVIDE ADDITIONAL„ SUPPLY SUPPLY PXEDEEPN EXISTING WELL 0 TEST/ OBSERVATION DETAILED REASON FOR DRILLING aw Weld WELL TYPE DRILLED 11 DRIVEN ®DUG []GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name MILL DRILLING, INC.' Address: Putn Ave, _n, _ - - - — - - DI CWJ LCl , IV 1 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES XX NO NAME OF PUBLIC WATER SUPPLY: n/a TOWN /VIL /CITY DISTANCE­TO PROPERTY FROM NEAREST WATER MAIN: h1n LOCATION SKETCH & SOURCES OF CONTAMINATION ®ON REAR OF THIS APPLICATION 9/4/92 (date) PERMIT ident 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 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. -- Date of Issue:] -�� 19--; �' Date of Expiration: 19. Permit Issuing Official Permit is Non - Transferrable ' J 0 0. Oa b -hN. �?