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� { - DUTNAM '.COUNTY DEPARTMENT
i Division of Environmental Health Servrces, Carmel 'N Y - 10512:
[ ` ._CERTIFICATE OF .CO,NSTRUCTION _COMPLIANCE F::O_R SEWAGE:'DISPO_SAL SYSTEM
fxt = Located:. at�� Ll�.C� Section Blockwn
w` er PLO Lot ' ` Job 5,% .5�5 Zc
O n
Separate sewerage System built by Address
w consisting of —" Gal Septic Tank lineal Feet X t width trench
s C, eo 1 I� S 4c c-fJ
!� Other requirements
A Water Suppiy < ublic Supply From „
i
Private Supply Drilled By
5
' V
Address
v
Building Type �= No; of.Betlrooms .Date Permit Issuetl �L
Has Erosion Control •Been Completed?
.,,,A .,certify that the system(i) as listed serving the above premises were constructed essen ially,ae shown on the plans of the completed work (copies .of which.are
;attactied),_and i • accorda .ce with , the: standards;_ rules and regulations, plans filed, an the,permii issued. 'by i th ':Putnam.' ounty Department of ealth..
'Date J--' Certified P E. R.A. r.
Address , Lice'nse _q
;Any person occupymg'premises served by the above system(s) shall promptlyrtakesuch action as may be necessary to'secure the c' orrection of, any unsanitary ?
"`:condit'ions resulting from such :usage:.y Approval of the' separate sewerage system shall become null and void as soon as fa,,public 'sanita'ry "sewei becomes
available and' =the approval of the private water supply'shall- become nuil and void ' en, a; public water' supply becomes available. , Such - approvals are
sub)ect';.to modification.•or change when �n the Judgrri of the Comm'iss�oner of Health, such revocation modification or change is necessary.:
M
i
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BACTERIOL ®GVt PA(tASiT ®LOGY V @R ®LOGY e 4
i4NTIB10TIC USED
SOURCE 6F MATERIAL x❑
RECtUEST p'''
Blood:, _
❑SMEAR - CULTURE > COY'ni sh , Pharmacy
❑'Nose, : :..
- T. Water TE'St-- fOY.;'.
'❑
,T.roat `_ =
-
- ❑ ":Diphtheria -, :,: � ` .
LIJ -Spiiial.Fluid .
❑ Fungus --W. "_ Grohan;:,
L] Urine
❑` G C : = ° _ -Puddi =ng S
❑Feces
❑..
Putnam Valley,. Y" yl
Pus From
❑,. ,
oche
❑ ":'; _ :4/10% - :3
❑` UTNAM DIAGNOSTIC LABORATORIES
'❑,Ova and,Parasites :;
- ❑ Viral' Studies. 10`STO'NELEIGM AVENUE CQRMEL, N. Y.
O SENSITIVITY; >.
SEN S
M
RESIST
STAPHLOCOCCUS ❑ Aerobacter "
Chloiamphenicol
❑ 'Non- Hemo_. -Coag: 7To Follow ❑ Corynebacterium
Colistin Sulphate :
(]> HemolytTC= Coag. To' "Follow : =; ❑ :Escherichia:^ "
Declomycin' `°
❑ Coag;:Positive ": ❑ =Klebsiella
- Dihydrostrepfomycin
°:
, ,.r
. El Negative Q Paracolo: Baet.
:':" Erythromycin. •,. -,, "•; :''
.: _: °.
?:
"-STREPTOCOCCUS, 'HEMOLYTIC t ❑ Proteus
Neomycin _ .. ; . -
❑- Alpha -❑ • Beta ❑ Gamma . ❑ Pseudomonas" "
_- Nitrofurantoin
nterococcus' rPgns
.' Oxacillin
r =`
❑eum us 0-Found
Panalba' _
❑ 'Neisserie ❑ Not Found
Penicillin ', ' A
: = _ ,
..
❑' Hemophihs
Tetracycline? .
JUBERCULOSIS'SMEAR -- TUBERCULOSIS .CULTURE
. - Triacetyloleandomycin _ " ` _ "`
;;; _
[l Acid Fast, ='N;ot Found :c ❑,.Neg.`For Acid Fast,"
�Ampi6 in
_
❑' Acid- Fast - -Found° ❑ Pos.
p 5mears,,Routir a Neg. - -`❑ .Q& P Not Found
v"
u ;.
Lures - ❑ O& 'Positive For
No Coliform
`Bacil=li IsS fated from"`'speciman submitted;
■
-AND PREP=
e-..L at 4?UOOIIV( u 7w unty of 1w 01 C3 P U TW Voi
a e of Place Vill
..age or own
15 -S Pu itvu L..,
DT� EeteF Pss
y -Al 'disinfected!
J-De,pth- Of W-0 II
77 Lald, VAs wb
f 't-.
yes or no
121m-t, of c a s ng above groun d Below rounds `.joll seal
c e m e, n lt-
f - t packer,
gro-O
Draw a diagram in the sp
ace r
povided-'below. and shuw - -Iie depth of
C; s ing 9 the well s.,.al, kind and thickness of forma-�ions -ed, wate-
4V enatrat
'b e a. ri n g forma� ions y -diameter of -hoi-ea w ith- -d 6't.t ed lirce-s --'end
T
with ,solid . lined
'AFP rJ . , ) S. i"' -' , `4 1 ID IN,
1)141,,1e U.e 7
Depth mind, IcImess'.. and
in ft., if w'at----r bearing
Gr�ade
25
75..
Type of w-e-IL-171
drilling ia1it•).c..d
Was well..dyn
I?
Pum"ING T'_-S:3 T S
s
Static -aater-t
level, in ft�
56low - --rade
jp,um
.ping, ra-tE
in gpm
Pumping level in
ftl. "below
Euration of
tc.st in h--s..,
'T
ylear loudy__..:__-!'urbid
-d
.LLecomrLhd E d epth of pupy! ID'
W.,,'.11,- f e et_b,.low ad 1) WL
TAT . ) .,
S'acrd 'Effo S`iz".; mill
unid. ex fef size
Length hHof screer.
'ft-
:
Diam.' screen
21530 Type of screen
Screen 0-i)eni
n, x
C CI
a ...-etch of the property
I)n b a c R.- of th-is sheet locatiog Drilling start,:d2
C.- mp 1. e t:: C'
WA: 1 Driller e.
j I i,-,natu-e
( ; �U Il 'IA�i COLTIVTY DE�,�ig'T1i�Ei�1T b 0 HEkLTH . .
Divi¢io; 6 Enwronmen'61 Hea /th Services Carmel N Y 10512
CONS RUCTIO,IV PERMIT F0 SEINAGE:,DISPOSAL SYSTEM`: , i
. � 4 ALL
Town or, Village
.P n
Located',at + `, !� C� Section
t B lock
l
t Subdivision v ' Lot = 1 Job a 4� —`] Cp
i�1LLl�dilZ G(ZOP.��V r a4 �.Swe�rLaO
r Owner Atldress
�1 ii 11 p
Building 7YPe4-a�Cl1 {Lot Ai a, -+alt
I F
Number of Bedrooms Total Habitable Space Square Feet I
�,s x—�`.
Separate Sewerage_ System to consist of Gal Septic Tank ' lineal feet .X width trench
I y ' . '.
( To be constructed by - Address i
l ' r
s Water Supply Pubiic,5upply From' t k ' i
I d Prwate Supply fo be drilled by
z �
2- Address'
Other Requirements
Iwepresent that L•am wholly -and completely responsible for the design and location of the proposed' §Ystem(s)K 1) that:the separate sewage disposal system
r. "a`bove descnbed'.will be_ constructed as shown on the approved amendment there to and' m accordance:With the standards ,rules,an_'regula eons o e Putnam
i> ;County, :Department of= Health, "and that <on compietwn thereofa7'Gertrficate of construction Compliance satisfactory to the.Commissioner of 'Heal thwill '
°be submitted to -'.the Department : =and a� ;wrdten `guarantee' will bq- 9u nkshed the owner his�successo s heir's-or, assigns` by W660
that sa d• builder will -
place in good,�operatmg`condation any ,Kart of said sewage disposal system dunng, the period of two (2) years immediaieiy following thedate•of the issu-
ance of the approval of the Certificate "of Co.nstruct�on lompliance of the orlgmal system;or any repairs thereto 2j that fhe.drilled;Well described above .
wUl be located as`shoanrn on the approved plan and that said well WiIGe installed' in accordance -:with the standards rules ,egula ions of ,the "Putnam
County Department Ofkliealth
Date ` P.E. R.A.
Address °' License No
APPROVED FOR CONSTRUCTION This approval exprres one year from the date :issued unless construction of the` building. hascbee undert eh and is
4 ,•`revocable for cause or may be amended or modified when considered "necessary the Co issioner of Health' Any" change ror= alteration ofns t_ ration'.
y(regwres " new, ermit Approved for disposal of.tdomestic s notary sewag a d /or` rni to ater;{supply-,on ly
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PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE .DISPOSAL SYSTEM FILE N0.
Owner tk)ilL,,,Ayv., (j- ZotUAV 'Address:45 L46LU000n
Located at (Street PUooiNC1 S,7� Sec. S Block 1 Lot 11 3
�inndicate nea estccTross streeET p
Municipality 9UT N Am VALLi: V Watershed C(Zo1 dlV
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME
PERCOLATION
PERCOLATION
RIM
apse
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
1 lo:l> W.$0
S
Vz
( 1
2 Ic'.?x� 10 ='3i
5
s
Sidi,
y--
toll
3 10'A., io. 40
4 (a'4o w.4i
(01l
(0
3
5
Notes: 1) Teqts to be repeated at same depth until approximately equal soil
rates are obtained at each percolation test hole. All data to be submitted
for review.
2) Depth measurements to be made from top of hole.
�. i
DEPTH
G.L.
6"
12"
18"
24.11
34"
36"
42"
48"
5411
60"
66"
7211
78'1
8411
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
. DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
HOLE NO.
HOLE NO. HOLE NO.
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED
INDICATE LEVEL TO WHIP, WATER LEVEL RISES AFTER BEING ENCOUNTERED
'PESTS MADE BY A . i 2g i S c 4 Date
DESIGN
Soil Rate Used -1 i Min/1 "Drop : S. D. lea Provided S-0
No. of Bedrooms Septic Tank Capa t, y- U�Ga, Type
Absorption Area Provided By ,;240 L...x24' ;. 36" width trench.
Other
?-)na - Q.01k To COL16C '4-).SP0SAL. A! 300'_c
Address 3 etc�� '1
rLl �� S7ATE
THIS SPACE FOR USE BY HEALf2H DEPARTMENT ONLY:
Soil Rate Approved Sq. Ft /Cal. Checked by Date
I. ... MANHOLC COv
t
4:1 LE VfiL
MIN. 12' _1d llw_ yplhr_._?w
4'M N
SECTION
,TYPICAL C.ONC.
SEPTIC TANK*
5' OF 5AkIK ZUNTO'
rowy e P. DkSpotAu :Aq_E►
EARTH,
80�CI(fril-L. JOINT
. 1 &%;5". 1 ..
CI-Aq Cb'V'FR
OLM PAPER T.
OR HAY
-TfD
900 qAt— > PCHFORA
PIPE
'S E F.� - TAMIC,
Tic ........... .:611AV4L . OR
MI 4
C�
0. ,.,.,ABSORPTION TREN(
S E:C
N
-SYSTEM-TO BE CON$ Tr� -ES AND
UCTFD IN ACCO�DANCE'WITH THE RUL
"RU
0o
:RFbU I. AT I QN 1 -or THE COU I aTY DEPART I MENT.
APP OV
OF HE+ALT 4..
-IL INSPECTED BY'..DESfGN
T �SHAI_t NOT dE BACKFILIXI) UNT
EN IN Re AND THE LOCAL HEAUH. L)t.rARTmF-NT IF REQIfIR(._D,_.
1,4 G4'- is oo? E.
CON: OF A 900 , GALLON SEPTIC TANK
24 38 SYST-EM TOI.CON, _ft
8 N CG
AND T 14 :WITH A MAXIMUM
"ij L 72
PITCH Of,. 1/16� PCR FOOT.
-41- o E
W.14
01" 1-
P. E
S.S.D... SYST�M
9(),� 55�,Ze,c DIRECTOR, DIVISION 01
eo 9-- AL HEALTH SEW"'-
ENVIRONMENT
2.8-44' FOOL: W.
�4' ON AU
_LY
HOW
ARB A--ka, R
ASSOCIATES
DAfE - -17 By
CARM&L, NEWY6RK.
Bill
P ELL.
I TAX •tAAP NO. 81-K- NO LOT NO.
TOWW ll`uTt"m
PL LAN I
OT
-I' :-Chl"I =-' :j[ Ole.501,kkj U` Drawing lNa:
SU 5-6W
5
CAST IRON
3 A NITARY TEE
PRE-CAST CUNC.
tFiNF,Ia"C.C. O/W.
U
-w-
7
I. ... MANHOLC COv
t
4:1 LE VfiL
MIN. 12' _1d llw_ yplhr_._?w
4'M N
SECTION
,TYPICAL C.ONC.
SEPTIC TANK*
5' OF 5AkIK ZUNTO'
rowy e P. DkSpotAu :Aq_E►
EARTH,
80�CI(fril-L. JOINT
. 1 &%;5". 1 ..
CI-Aq Cb'V'FR
OLM PAPER T.
OR HAY
-TfD
900 qAt— > PCHFORA
PIPE
'S E F.� - TAMIC,
Tic ........... .:611AV4L . OR
MI 4
C�
0. ,.,.,ABSORPTION TREN(
S E:C
N
-SYSTEM-TO BE CON$ Tr� -ES AND
UCTFD IN ACCO�DANCE'WITH THE RUL
"RU
0o
:RFbU I. AT I QN 1 -or THE COU I aTY DEPART I MENT.
APP OV
OF HE+ALT 4..
-IL INSPECTED BY'..DESfGN
T �SHAI_t NOT dE BACKFILIXI) UNT
EN IN Re AND THE LOCAL HEAUH. L)t.rARTmF-NT IF REQIfIR(._D,_.
1,4 G4'- is oo? E.
CON: OF A 900 , GALLON SEPTIC TANK
24 38 SYST-EM TOI.CON, _ft
8 N CG
AND T 14 :WITH A MAXIMUM
"ij L 72
PITCH Of,. 1/16� PCR FOOT.
-41- o E
W.14
01" 1-
P. E
S.S.D... SYST�M
9(),� 55�,Ze,c DIRECTOR, DIVISION 01
eo 9-- AL HEALTH SEW"'-
ENVIRONMENT
2.8-44' FOOL: W.
�4' ON AU
_LY
HOW
ARB A--ka, R
ASSOCIATES
DAfE - -17 By
CARM&L, NEWY6RK.
Bill
P ELL.
I TAX •tAAP NO. 81-K- NO LOT NO.
TOWW ll`uTt"m
PL LAN I
OT
-I' :-Chl"I =-' :j[ Ole.501,kkj U` Drawing lNa:
SU 5-6W
5
CAST IRON
3 A NITARY TEE
PRE-CAST CUNC.
tFiNF,Ia"C.C. O/W.
U
-w-
0
C)r
Al
9!
co
ao
0,
Il 0,
36
900 (5IAL
T c- T uv_
124.1 .7
I. ... MANHOLC COv
t
4:1 LE VfiL
MIN. 12' _1d llw_ yplhr_._?w
4'M N
SECTION
,TYPICAL C.ONC.
SEPTIC TANK*
5' OF 5AkIK ZUNTO'
rowy e P. DkSpotAu :Aq_E►
EARTH,
80�CI(fril-L. JOINT
. 1 &%;5". 1 ..
CI-Aq Cb'V'FR
OLM PAPER T.
OR HAY
-TfD
900 qAt— > PCHFORA
PIPE
'S E F.� - TAMIC,
Tic ........... .:611AV4L . OR
MI 4
C�
0. ,.,.,ABSORPTION TREN(
S E:C
N
-SYSTEM-TO BE CON$ Tr� -ES AND
UCTFD IN ACCO�DANCE'WITH THE RUL
"RU
0o
:RFbU I. AT I QN 1 -or THE COU I aTY DEPART I MENT.
APP OV
OF HE+ALT 4..
-IL INSPECTED BY'..DESfGN
T �SHAI_t NOT dE BACKFILIXI) UNT
EN IN Re AND THE LOCAL HEAUH. L)t.rARTmF-NT IF REQIfIR(._D,_.
1,4 G4'- is oo? E.
CON: OF A 900 , GALLON SEPTIC TANK
24 38 SYST-EM TOI.CON, _ft
8 N CG
AND T 14 :WITH A MAXIMUM
"ij L 72
PITCH Of,. 1/16� PCR FOOT.
-41- o E
W.14
01" 1-
P. E
S.S.D... SYST�M
9(),� 55�,Ze,c DIRECTOR, DIVISION 01
eo 9-- AL HEALTH SEW"'-
ENVIRONMENT
2.8-44' FOOL: W.
�4' ON AU
_LY
HOW
ARB A--ka, R
ASSOCIATES
DAfE - -17 By
CARM&L, NEWY6RK.
Bill
P ELL.
I TAX •tAAP NO. 81-K- NO LOT NO.
TOWW ll`uTt"m
PL LAN I
OT
-I' :-Chl"I =-' :j[ Ole.501,kkj U` Drawing lNa:
SU 5-6W
5
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3 A NITARY TEE
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2
EOUNTY BOARD OF HEALTH
RAYMOND S. JONES
President
S. DANIEL SELOIN, D.D.S.
Vice President
PAUL CHANG, M.D.
ALFREDO F. GARCIA, Jr., M.D.
BEVERLY TAYLOR
GERALDINE A. ZAMOYSKI, M.D.
HON. DAVID D. BRUEN
County Executive
HON. JOHN MADIGAN
County Legislator
Putnam
County
DEPARTMENT OF HEALTH
County Office Building
Carmel, New York
10512
June 24, 1982
914/225 -3641
JOHN SIMMONS, M.D.
Deputy Commissioner
J. ROBERT FOLCHETTI, P.E. M.S
Director Of Environmental
Health Services
ELAINE K. KRUEGER R.N. M.A.
Director Of Patient Services
0
Mrs. Patti McCormack Smith
Route 9
Garrison, New York 10524 .�
Re: Gronau, Pudding St., (T) Putnam Valley
Dear Mrs. Smith:
. In answer to your inquiry regarding the required
separation distance between a sanitary sewage disposal
system and any stream, lake, marsh etc., relative to an
approval issued by this department in 1972 for the above
named, please be advised that the required distance in
question was fifty feet. This required separation distance
also included the fifty percent expansion area so that the
sanitary disposal system and the fifty percent expansion
had a buffer area from any wet areas of fifty feet.
If you have any queystions relative to this matter,
please contact me at this division.
Very truly yours,
Robert J. Tutoni
RJT:cj Division of Environmental Health
Services
t
COUNTY BOARD OF HEALTH
RAYMOND S. JONES
President
S. DANIEL SELDIN, D.D.S.
Vice President
PAUL CHANG, M.D.
ALFREDO F. GARCIA, Jr., M.D.
BEVERLY TAYLOR
GERALDINE A. ZAMOYSKI, M.D.
HON. DAVID D. BRUEN
County Executive
HON. JOHN MADIGAN
County LegisZator
Putnam
County
DEPARTMENT OF HEAD l
County Office Building
Carmel, New fork
.10512 .
Mr. William O'Dell, Building Inspector
Town of Putnam Valley
Town Hall
Oscawana Lake Road
Putnam.Valley, New York 10579
Dear Mr. O'Dell:
October 8,1982
RE:. Gronau, Pudding Street
M. Putnam Valley
914/225 -3641
JOHN SIMMONS, M.D.
Deputy Commissioner
J. ROBERT FOLCHETTI, P.E. M.S.
Director Of Environmental
Health Services
ELAINE K. KRUEGER R.N. M.A.
Director Of Patient Services
The attached correspondence from Patti McCormack Smith, P.E., states that
the Town of Putnam Valley is requiring information as spelled out in Mrs..Smith's
letter.
In reply, this Division has reviewed her report, and does agree with her
recommendation that the 50 foot separation between the septic system (including
expansion) and the pond be maintained, for.this.Division requires this separation
at the time of issuing the permit, and construction_ compliance.
To further agree.with Mrs.. Smith's last coment,. that.no health hazard will
be created, .would be.purely speculation, for the drainage from adjoining lands
and the.road has been directed to the pond .in.question, subsequently results of
water sampling at the site would.tend to fluctuate.
In summation, this Division will require that steps be taken to eliminate this
situation and comply with the applicable rules and regulations as set forth by
the Department.
Please 'contact this Division when the work has been completed so that we may
be able to make a site inspection.
Ve truly yo s,
Robert J. toni
Division of Environmental Health
RJT:mt
cc: Patti McCormack Smith, P.E.
McCORMACK SMITH
consuming-: �nyc seers
WILLIAM E. SMITH, P.E.
PATTI McCORMACK SMITH, P. E.
Mr. Robert Tutoni
Putnam County Department of Health
County Office Building
Carmel, N. Y. 10512
Dear Mr. Tutoni:
ROUTE 9, GARRISON, N. Y. 10524
(914) 424 -3848
August 3, .1982
Enclosed is a report on the William Gronau property in Putnam Va11ey,N.' Y.
The.town has requested that your department review this report and send a
letter to the Putnam Valley Town Board stating.that.your department has
reviewed the report, agrees with the reccommendation of the report and if
the reccommendation are followed no health hazards will be created.
Please call if you have any questions. The board requires the.letter on
or before Aug. 11,1982 for the August meeting or that we notify'them that
this information.will.not be available on that date. Thank you.
Very truly yours,
Patti McCormack Smith, P.:E.
'yx
CF. 7
DLPT. OF
�fA
EVALUATION REPORT
of the
SEWAGE DISPOSAL SYSTEM
for the residence of
WILLIAM GRONAU
RD #1 PUDDING STREET
PUTNAM VALLEY, NEW YORK
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MCCORMACK SMITH
Consulting Engineers
Route 9
Garrison, New York 10524
.J.
INTRODUCTION
The purpose of this report is to address the proximity.of a
pond on the William_ Gronau property Putnam Valley, Tax Map 5, Block 1,
Lot 11.3.
..This report addresses the existing situations. and presents a
proposed method for bringing the existing system in compliance with
the 1972 Putnam County Department of Health requirements.
EXISTING CONDITIONS
The Gronau property is located on Pudding Street, Putnam Valley.
There is a 12 inch and a 24 inch culvert under Pudding Street and a
paved swale.discharging on the Gronau property. See Figure 1. The
.runoff from this culvert has eroded channels in the Gronau property.
According to Mr. Gronau, the town gave Mr. Gronau.several sections
of used culvert to. help Mr.. Gronau reroute 'the runoff from his front
lawn, it. appears that in the process of correcting the-runoff Mr. Gronau
increased the area of,the existing pond. A site inspection will reveal
that the landscape work of Mr. Gronau has improved the aesthetics of the
property as viewed from Pudding Street rather than the 8° channels
created by the runoff. However, it has been brought to the attention
of -the town that the septic system does not meet the minimum separation
distance from the pond as required by the Putnam County Department of
Health.
The owner had the pond water tested by the Yorktown Medical labora-
tory Inc. The sample was taken by G. Paladini of the Yorktown Medical
Laboratory. The report ip included as Figure 3.
This engineer checked the records for the Gronau property filed
with the Putnam County Department of Health and these are included in
this report figures 1, 2 and 4.
The 1972 requirements for this system were 50° water course to
septic area.separation and 240° of 3 foot trench. The as -built drawings
signed and ,stamped by Howard A. Kelley, Jr. , P.E. show 253' of .3 foot.
trench installed and location of .tank, juction boxes and.ends of pipe
measured from two corners of the house. The.pond was 50' from the
septic area in 1972, but a combination of erosion and landscaping
have changed the separation. This engineer made two site inspections
'March 14, 1982 and May 23, 1982. On May 23, 1982 the as -built location.
of the septic was.determined using the as -built drawing and physically
locating these points.: The minimum separation.of 'the septic. area to the.
pond'was measured 421.
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.R KT OWN •,MEDICAL LABORATORY INC.
P.O. Box 99 321 Kear Street
Yorktown Heights, N.Y. 10598
245-3203
LOCATIONS:
❑ 321 KEAR ST.; YOriKTOWN HEIGHTS, N.Y. 10598 245.3203'
❑ 201 BUTTONWOOD AVE., PEEKSKILL, N.Y. 10566 73.7.8777
❑ 495 MAIN ST., MT. KISCO. N.Y. 10549 666.3335
STONELEIGH AVE. (NEAR HOSPITAL), CARMEL. N. Y. 10512 278.9330
LAB #
DATE TAKEN:
DATE RECEIVED: Z-20 f,2 /-'/m
DATE REPORTED: — 2
SAMPLE SOURCE:
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v ;' ! �1tc�,U vr� REFERRED BY:
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C1�61U. Yid � i,
L J COLLECTED BY: A /
LABORATORY REPORT
mg /L
❑ ACIDITY ............................ ............................... ❑ ALUMINUM ................................ ...............................
❑ ALKALINITY ..................../.. 1l.. ............................... ❑ ANTIMONY ................................ ...............................
BACTERIA, TOTAL /mL ..... 6U . ............................... ❑ ARSENIC .................................... ...............................
❑ BOO, 5 DAY ......................:.... ❑BARIUM
.. ....................................... ...............................
❑ BROMIDE ............................ ............................... ❑ BERYLLIUM .,.............................. ...............................
❑ CARBON DIOXIDE, FREE ........ ............................... ❑ BISMUTH ..............:..................... ...............................
❑ CHLORIDE .................................................... ...... 0 BORON ......................................... ..............................
❑ CHLORINE .... ❑ CADMIUM .................................... ...............................
❑ COD .................................... ............................... ❑ CALCIUM .................................... ...............................
❑ COLOR ................................ ............................... ❑ CHROMIUM (tot.) ............................ ...............................
❑ CYANIDE .... ............................... ❑ CHROMIUM (hexavalent) .................... ...............................
❑ DETERGENT, ANIONIC ............ ............................... ❑ COBALT .................................... ...............................
❑ FLUORIDE ............................ ............................... ❑ COPPER_ ..................................... ...............................
❑ HARDNESS ...................::....... ............................... ❑ COLD .................'....................... ...............................
❑ MPN COLIFORM COUNT/ 100 ml ................... ❑ IRON ....... ................... .............................................
'
rfFT COLIFORM COUNT/ 100 ml ....:D ....................... ❑ LEAD ................:....................... ...............................
CONFIRMATORYTEST ............ ............................... ❑LITHIUM .................................. :................................
❑ NITROGEN, AMMONIA ............ ............................... ❑ MAGNESIUM ................................ ...............................
❑ NITROGEN. KJELDAHL ............ ............................... ❑ MANGANESE ................................ ...............................
❑ NITROGEN, NITRATE ............ ............................... ❑ MERCURY .................................... ...............................
❑ NITROGEN, ORGANIC ............ ............................... ❑ NICKEL ........................................ ...............................
❑ ODOR ................................ ............................... ❑ PALLADIUM ................................ ...............................
❑ OIL & GREASE ........................ ............................... ❑ POTASSIUM ................................ ...............................
❑ PH .................................... ............................... ❑:RHODIUM .................................... ...............................
❑ PHENOL ................................ ............................... ❑ SELENIUM .................................... ...............................
❑ PHOSPHATE (ortho) ................ ............................... ❑ SILICON .................................... ...............................
❑ PHOSPHATE (condensed) . ............ ............................... ❑ SILVER ......................................... ...............................
❑ PHOSPHATE (total) ................ ............................... ❑ SODIUM ........................................ ...............................
❑ SOLIDS. SETTLEABLE. ml /L .... ............................... ❑ TIN ............................................ ...............................
❑ SOLIDS. SUSPENDED . ............................................ .❑ ZINC ...:........................................ ...............................
❑ SOLIDS. DISSOLVED ............. ............................... ❑ ...........................-........................ ...............................
❑ SOLIDS. TOTAL .................................................... ❑ .................................................... ...............................
❑ SOLIDS. VOLATILE ................. ............................... ❑ REMARKS:..................................... ...............................
❑ SPECIFIC CONDUCTANCE ......... ............................... ❑ .................................................... ...............................
❑ SULFATE ............................. ............................... ❑ .................................................... ...............................
❑ SULFIDE ............................. ............................... ❑ .................................................... ..........:....................
❑ SULFITE ............................. ............................... ❑ .............................. ............................... .................. -
❑ SURFACTANTS ..................... ............................... . ❑ .................................................... ......................:........
❑ TURBIDITY ......................... ............................... ❑ ............. ..........:....... ..:......................_..... _._ .........
THESE RESULTS INDICATE THAT THE WATER WAS W OF A SATISFACTORY SANITARY QUALITY WHEN
THE SAMPLE WAS COLLECTED for drinking or b thing.
THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEMICAL QUALITY OF
NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS, DRINKING WATER STANDARDS (PART 72)
n
ALBERT 11, PADOVANI M.T (ASCP), DIRECTOR-: l�F1 i %( N ' I C�,2� }u
PROPOSED WORK
It.is proposed that the owner, Mr. Gronau, backfill.along the
pond and fill in an area sufficient to provide a minimum distance
of 50 °.between the pond.and the septic area. This would bring the
system in compliance with the Putnam County Department of Health
requirements.
l `
CONCLUSIONS
The Yorktown Medical Laboratory report.:states the water sampled
from the pond is. of satisfactory sanitary quality.for drinking and
bathing, therefore a health problem is not present. If the proposed
work is performed the system will be in compliance.with the Putnam'
County Department of Health 1972 regulations -.
I