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03121
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03121
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Number o! Hedi
I ceiti[y_;thati 1
.o! iihich'ue,atcl
Pumas County. Di
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water; supply shall; bsconis
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Owne a' ipuciit Name
Se+bdivisbn Name
y
Mallh�Ad�e a
Zip' /AS I
S69dv Lot
Fee `Enclosed ` Amount •� 0®
Date Permit ':Issued
G dl�F?' ? f AJii�'�t
Sepliei�te SeweaQe System bant_by a►' �lA�
/� 2 d�eas- �(�'t'1i✓. Aa
�i CondetlnS of jOOy
Gabon Septic Tank end ��/
X�l�[1'�.iQ�E'�Y� 741JQ�1/rt3 S
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Number o! Hedi
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PUTNAM COUNTY DEPAJUIVM OF HEALTH
- 1J.iv:lSivi� Ui' L:dYVi.t�vi�4�i�ivir`ali 'ric�ru�iti 'S ' vl' ``
_ ..
Owner or Purchaser of Building Section Block Lot
Building Constructed by
A�,ae%r &A/
Location - Street
Municipality
/C e�',(�r OTi r� L
Building Type
Al yfi L.4f /3 drs�r d,91 /P LPeAoA16ALe W
Subdivision Name
3
Subdivision Lot #
GUARANI= OF SUBSURFACE SLfAMGE 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
:.:...oP, e� z. Ivor, a period ^f t..o - year; .:= -,-- lately fo? lowin_g the date of approva; .. of the ..
"Certificate of Construction Compliance "" for flie' 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 system.
The undersigned further agrees to accept as conclusive the determination of
the Director of the Division of Environinental Health Services of the Putnam County
Department of Health as to whether or not the failure of the systemIto operate was
caused by the willful or negligent act of the occupant of thebuilding utilizing
the system.
Dated this 7'.� day of 19_11f-
1 Contractor (Owner)"- Signature
Corporation Name (if Corp.)
°r ®r% i`�j
Address
rev. 9/85
mk
Signature/\ �zv
Title
Corporation Name (if Corp.)
2""gl A'LqOAC'
Address
�t
DEPARTMENT OF HEALTH
PUTNAM COUNTY DEPARTMENT OF HEALTH
WELL LOCATION
Wc),,d
WELL OWNER
NAME: ADDRESS-.
F&OIPUBLIC
USE OF WELL
1 - primary
2 - secondary
B-4ESIDENTIAL 0 PUBLIC SUPPLY' 0 AIR/CONO./HEAT PUMP 0 ABANDONED
0 BUSINESS 0 FARM 0 TEST/OBSERVATION 0 OTHER (specify)
0 INDUSTRIAL 0 INSTITUTIONAL 0 STAND-BY 0
AMOUNT OF USE
YIELD SOUGHT S7 gpm./NO. PEOPLE S . ERVED EST. OF DAILY USAGE - gal.
REASON FOR
DRILLING
.[]REPLACE EXISTING SUPPLY []TEST/OBSERVATION []ADDITIONAL SUPPLY
BNEW SUPPLY (NEW DWELLING) ODEEPEN EXISTING WELL
DEPTH DATA
WELL DEPTH ft. I
STATIC WATER LEVEL ft.
I DATE MEASURED.
DRILLING
EQUIPMENT
&WARY 0 COMPRESSED AIR PERCUSSION 11 DUG
0 WELL POINT 0 CABLE PERCUSSION 0 OTHER (specify):
WELL TYPE
0 SCREENED LL4WENR END CASING 0 OPEN HOLE IN BEDROCK 0 OTHER .
CASING
DETAILS
TOTAL LENGTH ft
MATERIALS: CLSIEEL - 0 PLASTIC 0 OTHER
LENGTH BELOW GRADE ft.
JOINTS: 0 WELDED 01IIAREADED 0 OTHER
DIAMETER in.
SEAL: 0 CEMENT GROUT 0 SENTONITE 34WR
WEIGHT PER FOOT Ib./ft.
I DRIVE SHOE. 0 YES -
LINER:OYES 8-140
SCREEN
DIAMETER (in)
SIZE
LENGTH (ft)
DEPTH TO SCREEN (it)
DEVELOPED?
FIRST
GRAVEL PACK
0 YES
rGRA:EL
DIAMETER
TOP
BOTTOM
WELL YIELD TEST It detailed pumping
METHOD: 0 PUMPED tests were done is in-
0,MPRESSED AIR formation attached?
0 BAILED 0 OTHER 0 YES 0 No
If more detailed formation descriptions or sieve analyses
VELL LOG are available. please attach.
DEPT FROM
SURFACE
'Water
gear-
ing
Well
Dia-
mete
In ri
FORMATION DESCRIPTION
cooe
ft.
ft.
WELL DEPTH
DURATION
DRAWDOWN
YIELD
Land
I—
WATER 0 CLEAR TEMP.
QUALITY 0 CLOUDY HARDNESS
0 COLORED ANALYZED? OYES ONO
ANALYSIS ATTACHED? OES ONO
STORAGE TANK TYPE41A Pn4"-tr
CAPACITY S—.0 QL GAI�._
PUMP INFORMATION
TYPE. 9 q 13 - —CAPACITY
MAKER DEPTH
MODEL VOLTAGE �2_0 HP
WELL DRILLER NAME ATE
ADDRESS SIGftftRE
3/U8
/ /
-
4'y YMIL
:..:
..321 Kear
ELAP #10323
Environmental LAB NUMBER 03.0063341
Services
DATE /TIME TAKEN _
street; Yorktown He�gl ts. NY 10598---- _.
c ir- ..:•�: .... .:i• -= .as.�.. .. .. ' °LJf91 Y:% 111V1L'.i\C�o"
(914) 245 -2800
DATE REPORTED
SAMPLING Kitchen Tap: Albert Lane Lot #3
SITE Putnam Valley, New Yorkl0579
3 41 For Lab Use Only
105
Potable — HNO3 _ pH LT 2 _<4C
— Nonpotable _ NaOH _ pH GT 9 <20 >4C
_ HCl _ Na2SO3 _ >20C
— STAT( _ H2SO4 _-ZnOAc
COL'D BY Annunziata (914) 628 -6080
NOTES Will Pick up @ CA
X
RE ULTS OF
ANALYTE
1
RESULT UNITS
pH
ALKALINITY
S.U.
mg/L
PHOSPHOROUS
AMMONIA
mg/L
mg/L
SILVER
CALCIUM
mg/L
mg/L
SODIUM
CHLORIDE
mg/L
mg/L
SULFATE
COLOR
mg/L
Units
SULFIDE
CONDUCTIVITY
mg/L
umhos /crn
SULFITE
COPPER
mg/L
mg/L
TURBIDITY
CORROSIVITY
NTU
LSI
LINO
.rL
..
FLUORIDE
mg/L
HARDNESS
mg/L
IRON
mg/L
LEAD
mg/L
,
SPC
MANGANESE
per 1.0 mL
mg/L
TOTAL COLIFORM
MERCURY
per'100.mL
mg/L
FECAL COLIFORM
NITRATE
per 100 mL
mg/L
INITRITE
per 100 mL
mg/L
FECAL STREP.
ODOR
per 100 mL
TON
�OLtF(�piNA iTC7D US)< 1
. ..... .....
...................._
X
RESULTS OF
ANALYTE RESULT UNITS
p
pH
S.U.
PHOSPHOROUS
mg/L
SILVER
mg/L
SODIUM
mg/L
SULFATE
mg/L
SULFIDE
mg/L
SULFITE
mg/L
TURBIDITY
NTU
LINO
,
SPC
per 1.0 mL
TOTAL COLIFORM
N
per'100.mL
FECAL COLIFORM
per 100 mL
E. COLI
per 100 mL
FECAL STREP.
per 100 mL
These results indicate that the water.sampl WAS , `[WAS NOT] [NA] of a satisfactory sanitary quality according to
the New York State Sanitary Code, for the parameters tested, at the time of sample collection.
These results indicate that the water sample [WAS] [WAS NOT] NA f a satisfactory chemical quality according to
the New York State Sanitary Code, for the p r eters tested, at theme of sample collection.
/ 7 NA = Not Applicable N = Not Present (Negative) 17 SUBMITTED BY: <% P = Present (Positive) SA = See Attachment(s)
= Also done because Total Coliform was present
Albert H. Padovani, M.T. (ASCP) TNTC = Too Numerous To Count
Director > = CT = Greater Than < = LT = Less Than
_19 Albert .Lane
iu +J. nom. .�!..t.,. �.- _M:a.N +.QY 4.vyr. R�,wr :eiwh� aa�.: picF .`n - �.lJ�iw• ... ".�C`�Y= �_'-^: AZ�Y.aJ•i ... ? Q-'- I�:'M��:.�9rr.6i >.'+�/L,.N�x - n•� +.`
fdiilPai, "f�lew`9c ok'iY»41 r'v"
May 5, 1994
Project Manager - New Home Warranties
Ivy Hill Associates
C/o Foley Development Group Inc.
83 South Bedford Road
Mount Kisco, New York 10549
Dear Sir /Madam:
This is a WARRANTY NOTICE pursuant to a contract of sale signed by Ettore Annunziata (the
seller of the home) and Carmine and Debra I. Merola (purchasers of the home) dated August 26,
1991. According to the contract, the plumbing system (among other items) is covered under the
"New Home Warranty" of above said contract for a period of two years from and after the warranty
dafe. The warranty date, in this case, is June 9, 1992.
We have had continuous problems with our septic fields being saturated and emanating a foul odor
since June of 1993, at which time we notified Mr. Annunziata. Mr. Annunziata assessed the prob-
lem and determined that the septic area required more fill. He tried to rectify the situation by
dumping more soil on the area. Unfortunately, this did not correct the defect. We would like Mr.
Annunziata to resolve the problem of the defective septic system, since this is an unsanitary, un-
healthy situation for our family, our neighbors, and the environment.
We expect this problem to be resolved completely and efficiently in a timely manner, to our satis-
faction as the homeowners, as well as to the satisfaction of the Putnam Valley Building Inspector
and the Putnam County Environmental Health Department. Further, we expect any damage done
to our yard and landscaping in the course of the septic reparations to be repaired and restored to the
original conditions prior to the initiation of_such_ reparations_.
ti T Thank you for your prompt attention in this matter.
Sincerely,
armine Merola
Debra I. Merola
cc: Mr. Ettore Annunziata
Mr. Brian A. Eisen, Esquire
Mr. Robert Morris, Public Health Engineer, Putnam County Env. Health Dept.
Mr. Marvin O'Dell, Building Inspector, Town of Putnam Valley
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