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Home My WebLink About3181DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 72. -1 -32 BOX 26 03181 ir L4 . F - IN r r 03181 $ Consisting or 1000 Dal s� other requirements D Water Supply Public :Supply Frbv X Pnvate +Supply Dril Address,. R D Buudmg Type —1� Story Brick Has Erosion Control Been Completed ' Address Any person occupying- premises served by the conditions- resulting from :such usage., Appr+ r ayaiiable; and the - approval -of the:pnvate wale subject to modification or .change w hen ,in pp r 1 Date 1. -a � ... _ _. _ ..,- . -...> • .... '` .......t:.,, . 1�usK tSr.son u Address tiU wlki49 l� Y Q`t ic.fank and 177•:`LFsof 24:1' trench mesaic ;Use .Only;, Y 1 By Boyd -Artesian We11 Co..- Rte+52 Carmel. N, Y. •10512 Re S No, .of, Bedrooms•�8ls��rmit Issued _ a rg ° �pHp1:EN6 /Np 4 ove; premises were construct ed,'essentially ' as' shoy°i rules and,reggu lot ions plans�f1 led and the perahl s �d '0 C ert1 Ind by r r d e Ro _d Peeksk� si love system(s) shall, promptly take such action as rnabYd it of the ,separate sewerage system'shall- become null supply shall become null and ,'void when a -public .water e judgment of the Commi toner of ' Health, such I gy,• Put.- aCmunty Department of Health t mvo • 6' .L- �cense No. 6 1' ctV4 the correction or any unsanitary fill QSAs a• pub lie'sanitary sewer becomes � I�•I�+comes e - Ilable. ..,Such: approvals are Ion, modification or change is necessary. " f S c, { I WELL COMPLETION REPORT 3/71 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Heelth. Services COUNTY OFFICE BUILDING • CARMEL, NEW YORK This report is to be completed by well driller and submitted to County Health Department together with laboratory report of (if w_lltAr_sample 1nd1c;t141a_w_tnr.la 6o - pr -1 %- -C :!`�% ='�.�' - REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER . NAME Rudolf Fabbri ADDRESS Box 494 Amawalk NY LOCATION OF WELL (o. a StrePf/ (Town) (Lot umber Canopus. Hollow Rd. Mtn" Valley 1 PROPOSED . USE OF WEII BUSINESS ® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL . ❑SUPPLY ❑INDUSTRIAL ❑ CONDITIONING E] (sp.�fy) DRILLING EQUIPMENT COMPRESSED CABLE ❑ ROTARY ❑ AIR PERCUSSION ❑ PERCUSSION ❑ Ope if ) CASING DETAILS LENGTH (lpet) 105 DIAMETER (inches) 6' WEIGHT PER FOOT t g I � THREADED ❑ WELDED YES. nNO1 X CA31H YES NO YIELD TEST (� (HOURS G.P.M. ❑ BAILED l9 PUMPED COMPRESSED AIR 20 jYIELD(G.p,M.) -- 20 WATER LEVEL MEASURE FROM LAND SURFACE- STATIC(Specify feetlto,tal 300 DURING YIELD TEST [feet) j drawdown Depth of Completed Well in feet below Land surface' 1851 SCREEN DETAILS MAKE �Fl) PEN TO AQUIFER (Nit) SLOT SIZE DIAMETER (Inches) iF GRAVEL PACKED Diameter of well including gravel pack (Inches): GRAVEL SIZE ( l TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact' local ion of well with distances, to at least two permanent landmarks. FEET to FEET 0 70 overburden "ECEIiiED a JUL 2 0 7982 PUTNAM COUNTY PVT, OF HEALTH 70 90 broken up ledge 90 185 ledge _ If yield was tested at different depths during drilling, list below w FEET GALLONS PER MINUTE DAIt WLLL COMPLETED 9/4/81 uA I ' u REPORT 12/k7�81 - i WELL DRILLER (Signature) YORKTOWN MEDICAL LABORATORY INC. P.O. Box 99 321 Kear Street LOCATIONS: Yorktown Heights, N.Y. 10598 ❑ 321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245 -3203 )22D1 BUTTONWOOD AVE., PEEKSKILL, N.Y. 10566 737 -8777 245'303._ 11, 495 MAINS ., M N . 10549 666-3335 - T T KISCO Y �n s: ,.»..- `a,...- - a,..•.,.- a.:. �-.. 3'-.,, .—,..a,.,.. �..,...-. �. �:. ss�.. �. s£...=..., e.:. �-.- �---..,.,. Y�. �... ��:,. F�'` ��.' �m�tY/; �,,: y� 'y"' °,��.�.tC�'k,.•..:t'ii.i,3% `�.*�.. ...p.:� F l�f7vd ld� �/4 w n-dC. LAB # DATE TAKEN: r �aL.v�- . DATE RECEIVED: P LABORATORY REPORT mg /L ❑ ACIDITY ............................ ............................... ❑ ALKALINITY ............................ ................... ACTERIA, TOTAL /mL ....... .........1..................... ❑ BOD, 5 DAY ..........................:. .:............................. ❑ BROMIDE ............................ ............................... ❑ CARBON DIOXIDE, FREE ........ ............................... ❑ CHLORIDE ............................ ............................... ❑ CHLORINE ............................ ............................... ❑ COD ..................:................. ............................... ❑ COLOR ' .. ............................'.. ............................... ❑ CYANIDE ............................ ............................... ❑ DETERGENT, ANIONIC ............ ............................... ❑ FLUORIDE ............................ ............................... ❑ HARDNESS ..:......................... ............................... ❑ MPN COLIFORM COUNT% 100 ml ..... ...................... F_MFT COLI FORM COUNT/ 100 ml ..................... ❑ CONFIRMATORY TEST ............ ............................... ❑ NITROGEN, AMMONIA ............ ............................... DATE REPORTED: SAMPLE SOURCE: REFERRED BY1 COLLECTED BY: ❑ ALUMINUM .......... 0 ANTIMONY .......... ❑ ARSENIC .............. ❑ £ARI U"" ................. ❑ BERYLLIUM .......... ❑ BISMUTH .............. ❑ BORON ................ ... ❑ CADMIUM ............... ❑ CALCIUM .............., • CHROMIUM (tot.) ...... • CHROMIUM (hexavalent) ❑ COBALT ............... ❑ COPPER ............... ❑ GOLD ................... ❑ IRON ................... ❑ LEAD ................... ❑ LITHIUM ............... ❑•MAGNESIUM ........... ❑ NI fHtiGEi:, :;ELi 'Fi}tiL_ _ _. ❑ 7fA'dC:,?NES[ ❑ NITROGEN, NITRATE ....................... ............... ❑ MERCURY .............: .................................................. ❑ NITROGEN, ORGANIC ............................................... ❑.NICKEL ......... ............................... .......................... — -- -.. ❑ ODOR ...... : ............................................... .... ❑ PALLADIUM ❑ OIL & GREASE ........................ ............................... ❑ POTASSIUM ................................ ............................... ❑ PH .................................... ............................... ❑ RHODIUM .................................... ............................... ❑ PHENOL ................................ ............................... ❑ SELENIUM .................................... ............................... ❑ PHOSPHATE (ortho) J'- -SiLiCON ❑ PHOSPHATE (condensed) ............ ............................... ❑ SILVER ........................... . ................. ............................ ❑ PHOSPHATE (total) � ................ ................................ ❑ SODIUM .................. : ................................................ :... ❑ SOLIDS, SETTLEABLE, ml /L .:.. ............................... ❑ TIN ............................................ ............................... ❑ SOLIDS. SUSPENDED ............................................. ❑ ZINC .............. ............................... ............... ...... ❑ SOLIDS. DISSOLVED ............. ............................... ❑ ........ .......................... ............................... ❑ SOLIDS. TOTAL . ..................... ..............................1 ❑ ..:..........,............ .......:....................... �� ® ❑ SOLIDS. VOLATILE ................ ............................... ❑ REMARKS:........... ............................... ................I... ❑ SPECIFIC CONDUCTANCE ......... ......6........................ ❑ ..................................... ............................... ....... ❑ SULFATE ••.•• juL.2..0.111982 ❑ SULFIDE ............................................................ ❑ ... ...... .......:................................................................... .. ❑ SULFITE ............................ ............................... ❑ ....................... ............................... ..pUp4AU..CAJJNTY ❑SURFACTANTS ....... ...:: . ..:....: ..:..:...........:... 0............................................................ "AT�,.01- HEALTH .... ❑ TURBIDITY ......................... ................:.............. ❑ . �..............................:.......... ........Q...................... THESE RESULTS INDICATE THAT THE WATER WAS � F A SAT ISFACTO Y SANITARY UALITY WHEN `--THE SAMPLE WAS COLLECTED. ^.RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEMICAL QUALI-TY OF JRK STATE ADMINISTRATIVE RULES & REGULATIONS, DRIN !G TER STANDARDS (PART s THE PARAMETERS TESTED. ERT H. PADOVANI M.T. (ASCP), DIRE 1-- S. Romeo. MIS J+OWW S, :RO'ME.O+ R.C. F 'VN_-r�; y_ ... a_�._ ....- s..�,- .. a:.' �,�¢ -__a-��.y �. ._�.y.- •`-r £tom- :.:w+<:�i- :.:¢.� w-oc "•- >:..��.Yns��` ..Try,- +Mia+:w ►a.. +N:.s.x ,rr�'i.: vyin .z.+a.•re.•rw��i 111��J /�I�YV�+V /1 1 Norlhrldao Road Poakdkfll, Now York 10566 . Tnlorhonos: PE .7.1056 July 19, 1982 Putnam County . Dept of Health Division of Environmental Health County Office Building C Carmel,'N.Y. 10512 RE: Final'report ATTENTION Robert t- Tutoni Rudolph Fabbri Putnam Valley Dear Mr. Tutoni As requested previously, Lam submittingie following than inadvertantly was left. out of thefirial submission: 1. U5 check for Health Dept 20 .Well log 30. Water test. Previously, I submitted. thef.irA `, completion report with the copies of final as built plans, and `guarantee forms. Your early response would be` appreciated. Very truly your, John S. Romeo JSR: clr WELL COMPLETION 3/71 1 This report is to RT PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK be completed by well driller and submitted to County Health Department together with laboratory report of .ti i. .'�. i L' p•..1a: xi�..'^f i. a P1fi' '?t >' +• �• �. ,* w.'��" ¢ ... _ °��.. ��• �� °'-: <-s.....Y>,-.y`: -_ —_ - e..l.. .bi.-7: G.:: =4;, .2.� ...vi�i�tC ...m_f�, eI..C}?�G I•¢n,4S .�'f'LT:.fena_ Cv, Siivr.t_ v:�:w�....L.�sc.G i �u$F.t..1:ec: .� *ice K�.. -•-..• . �.•� _ REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME Rudolf Fabbri ADDRESS Box 1.94 Amawalk9 NY LOCATION OF WELL (No. 6 Street) (Town) (Lot Number) Canopus-Hollow Rd. Pfftinalm Valley PROPOSED USE OF WELL DOMESTIC ESTABLISHMENT FARM TEST WELL ® ❑BUSINESS E] ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ OTHER ❑ DRILLING EQUIPMENT ❑ COMPRESSED + ✓ (Spe ❑ ROTARY A R PERCUSSION ❑ PERCUSSION (Specify) CASING DETAILS LENGTH (feet) 105 DIAMETER (inches), 6 WEIGHT PER_FOOT. �:9 " "j, THREADED.:'., WELDED O X YES ❑ NO CASING _D X YES NO YIELD TEST j 'HOURS G.P.M. ❑ BAILED PUMPED ❑ COMPRESSED AIR 20 YIELD (O.P.M.) 20 WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) 309 eet) DURING YIELD TEST f : r j total �drawdown Depth of Completed Well in feet below Land surfacer 1850 SCREEN DETAILS MAKE LENGTH OPEN TO AQUIFER (feet) 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 70 overburden 70 90 broken up ledge 90 VE15. ledge If yield was tested at different depths during drilling, list below, FEET GALLONS PER MINUTE DATE WELL COMPLETED �� 9/. 4/81 DA' AT O REPORT 2%781 WELL DRILLER (Signature) c• a, :. . �u •r.'.bi.:.�_. - -s�.a ss': _ ' -- ,.vr.+-�� _ �'s-F� �- a: --.it. r:.�.ry u r - ..` -�+.�. ..v �... .e _ n:�s :.<a . -.-.� ..,_ _. .,K.�o - 'y�•- ts.e�.= :.t.r`.a'v~�� +__.. _ , Rudolph ~& Lillian Fa►bhri Owner or Furcftaser of Building Municipa ity C. L. Bush & Son Map 1A6 Building —constructed by Section _ Cpn -p.' =a Honour €toad. - -4 Location - Street Block 1 1}. Story Brick f .'Ye Building Type Lot GUARANTY OF SEPARATE SEWAGE- 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 guaranty to the - owner, his succes- sors, 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 two 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 oper.ate.properly is caused by the willful or negligent act of the oeeu .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- L f __+,i -A. P � r a 1 "�t' n t and. r,,..Hc "t- c t_ P i^nn v t. }� V._. - - .�:a�.i ��i :Go.:� - �„•:.�1e� ar .m �. _ :� - a_ _r_ .a._ o � �;b...t �., ors io �. :t. _e� .failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system Dated this 15 day of Sept. 19 81 Signature Title (If ''cor oration, give name and � ddre s s oZ uSf� 16 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,,bF,'FIRST USE OF SYSTEM. - - - - - - - - - - - - - - - - - - - - - "- - - - -.- - - - - - - - Division of Environmental Health Services, Putnam County Department of Health P TTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley _ Town or Village ._ _ r 'a= :�° *= :ro.;:�i -` .:i":,ai:i - -F...- "- :.`�.'."'e.s"•.�::�a'+ -:a: a`=w% "' •w}4 :- +"►�� Block .� �� Ma� ca k- Located at vr� - 1 Krukowski &Harrow Lot Subdivision R udolph & Lillian Fabbri Box 194 Amawalk Owner ddressPO o u ar p N Y 10 O1 Building Type Rai-se (j Ranch Lot Area acres + 3 I 600 gallons per daQotal 1300 Square Feet Number of Bedrooms 'Design Flow bit ble Space 1000 17-70 of " Trench Separate Sewerage System to consist of Gal. Septic Tank and Sheldon Gardner - Address Stevenson Avenue To be constructed by Peekskill, NY 105 Water Supply: Public Supply From Rnderson Well drillers, urger Street, Putnam X Private Supply to be drilled by Valley, N.Y. Address Requirements Domestiv Use Only Other I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that tr I e sewage disposal system Putnam above described will be constructed as shown on the approved amendment there to and in accordance with the standar del F "Certificate Compliance" sellsf i95ioner ons o e of Healthwill County Department of Health, and that on completion thereof a of Construction ' hat said builder will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or as in good operating condition any part of said sewage disposal system during the period of two (2) y-A i te f 8-date of the issu- place ance of the approval of the Certificate of Construction Compliance of the original system or any repairs ther a rilir io described above the Putnam will be located as shown on the approved plan and that said well will be installed in accordance with the standA r les afo County Department of Health. e June 19, 1981 Jn Signed R.A. Date 0 Address L2Yrf 8'�26 APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless nstruction o6� hafa�eegOundertaken and is revocable for cause or may be amended or modified when considered necessary by the Commiss' er of Health. my c n r grf)tion �® of construction requires a new Approved for disposal of domestic i y sew r privat ater su I onl ®a Jpermit. Title Date` V PUTNAM COUNTY DEPARTMIN T OF HEALTH DIVISIox. OF rENVIRO.NMENTAL. _ F�I2i._FRVZCES - - Gentlemen: Date June 15, 1981 Re: Property of` Rudolph Fabbri Located at Canpopus Hollow Road Map Section 1465 Block - Lot 1 This letter is to authorize John S. Romeo a duly licensed professional engineer x or registered architect (Indicate). to apply for a Construction Permit for a separate sewerage system; to serve the above noted property in accordance with the standards,'rules or regulations as promulgated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said a s t 3ru-, gr I?1 T'. VA � ,r;. y,, a ,r' r i - rite: 1 ti:; e• i -� _ I :r r.......� .,,,Js ...,. .y ...._ -. ._ ._...�� Q' 1._Z! ..�i!d..- ...y•1 -la,� �..O f'"- +�ri- �iZC7'i e' ^i G1'- 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed 03� Owne of Property Countersigned: l�• W "� Address - -� P .E., XRXKX, # 027846 �.•.•• �� - /0 % �rt wy� Telephone 1 Northridge Road (Seal)..* '' Ep • Address S. RoMF�� Peekskill., N.Y. 10566 • 8 3 • 737 _ 1056. . • ,.. f __... . _ y__ > ' m Telephone ; �,0. ,� COUNTY OFFICE BUILDING �•.� OF NE�1'10�� •• CARMEL • N. Y. 10512 . , i.: L• c. Y.dA�M':iil�'.�A�7G'iit�E:hz.L. .. ...A .G.: W.:i.•,a.. ....... - t "' f1r �i '� •t4 w.;)r�" St Led, COU •� � X SD I �y+ft tryt� { � r ,,:. ny,• )ryp�fl+ ICJ :floorplan ., '21 °.rh 4pt , •,.0 rgalra .. SY 1 reN�,f. 711ii-11', ' x, p Kitt I 1 iCO J, 1. jri• ' ..♦*� 4. rx iirt � 'i k •7) SSi1 ^�'�IL //IOOM f • All s. the ,front 'h$ �LltttiMACK floorplan ,,,.� F :�.r� r • �� ' r �•1. .� q�t{r, JJ ` _7 ' t � � � ii it .� . , . f, � •1 �it!i.. / .f��!!S �,. rA .,. /.'�;i.. .Jx 'G: �� ti'.'�.. , } eN11 °!N j�•M- �- ,�—�"„ ,Y.✓ f If•�' � • ,A '' r : , r J!.4" ' � r�'� '�� ;� : } �'� �'1... r �►.: :. o-.. a y �rSk? `!., If4♦a i .l . � {:.i,4•(>•',i'4li.�l�Mr+' +"mCt �• A. {{ 1'fq'•'r ns;' a*f, ee�`.. r•wle� iiIlli''1 �� _: =I '� +o-,yl:p: 1. g — �•.: �� 173tit' — 1 (� ' 'i !''•, � �r�ruo wee -- - -; ._ ,� , ° r � i. r •r:i'. mar. a �seu•� nLe'f le'• °• 1 ....._:�.�•- �•�• —,..._ .:_,,,�;;,�Y' � �' ' -,_.. �•. I .. � �r; s.�! the "CD ".front the CONCORD floorplan 24' x 36 i.1� - [LJ�_ n:o.'!�r` ?"`= ' - .�- -. oG��y1''• 'fit { �7i is 'k I' Of .,�� i��' �r-s �y r .:! • � F� 1 M-10! N Q f t o 11.11 ' t ' �••t y� S T u.+. >3 •Ie + ' _ 1!!_!11 i _ .. _ :'. .- _ ..1 ! ri�al��1f � ,�_ � � it _ _... .._ .... ... _.. _ �_ ..___ . �. -_, - �.: d. }:i•+++- °�`��. :. w''ti _ ._ a y,,,, •.6�1 �;7'�d -� ... R.O ' _ i�_ .+ �_ . _ -..r p3,.. �,: uYr,,• .. ::I;r fiir , /!0_ROOM1 ��- � — .elilY♦�Ilir.. , .,...,. _..R„�y :' •.• Jr l Homes also manufactures 1 continent mialtimfam�ly homes 4 custom , plant ON 241�� Contact the Nashua p 3� for further information** rT CLt_ x r, ,If7 , 7*- e; •�,s ...: to �nCe t to const.ruction p ; . 5.:...... -Kti no�rnlan •, H �24' x 50' the i'AIftRAN ` U[] r ,� p1N . if 11 . KI1CHtN •.li�. �" r �. i/I` 1 ,1.. RIMOOM 1 � '!� ib 11 IA-b. 11 -11 ,`..) t' , � •• � JI U. t 11V1ND Roots _ �..........�..... ,...., 111n10AM i wI 11 II - ► .11.11 •n( • • • �"'R °""°"'� � 11•..11.11 it li.'1 ,11•N' f7i'..I.+ !1; '', .. 1 ' x SO'� '��iS the ��,/ front the MERRIMACK flc>orplan 26 •�► ' w o P:.• . .• n1' ... 1j1.11';II"�� 1 gib! .t.r,eOM•7 .. lry 1.10. I�..N� � .... _- .___.... .. 04 Ab Ito! °a!'!y '- - — -� -- t.•. /,. � .._�•• . the "CD" front the CONCORD floorplan 24' x 36" �,,�r,•� a.ILL �y f RAIN KIiCNIN r/.G�• „I, \ t :c'ti,. s,=�. }�`�+ '� `1 <' RED ROOM 1 r(n7 1! 1.11•It R 1 :'. r!` •ek. S}! 7!t !t L! -y iii a... wIP wy► ` ' DINING _ ,,.. .. r• tae � � iF' 1. ,1'i �. . � s� :•'•v?. Yy � � 4 •Y i, � 1•�. •.c�irAlr66.�1.' LC:, � I IF It W, LIVING ROOM M QED ROOM 2 ' ► ., i.Nw«� • wit lea.n.n Jw,:.,,.",....,.....�� ri.R .11.11 ' nt nental Homes .also manufactures Co homeso custom multi :f Contact the Nashua plant for further inforinatiom C% i'I'I I JUN COU 1711' ^'CF BUILDING 1 It PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISrO3AL.SYSTEM FILE NO. Owner Rudolph & Lillian FabbrlAddress PO Box 194 Amawalk, N.Y.- 10501 anopus Hollow:,Rd 1465 Block Located at (Str'(,-et9 Lot (Indicate nearest cross street) 1 Municipality.. Putnam Valley(T)' Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS 110 le 12:09 12:17, 8 19-25 20-25 1.00 8.00 Number CLOCK TIME PERCOLATION PERCOLATION- Eiapse 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) 1 11:56 12;01 5 18-50 19-50 1-00 5-00 2 12:05 12:11 6 18950. 19.50 1.00 6.-00 3 12:14 12:20 6 18-50 19-50 1.00 6.00 4 5 11:59 12:06 7 19.25 20:25 1.00 7.00 2 12:09 12:17, 8 19-25 20-25 1.00 8.00 19-125-- -2 _0 4 5 2 3 4 5 Notes: 1) Wsts to be repeated at same depth until approximatel� equal soil rates are obtained at each percolation test hole. All data to e submitted for review. 2) Depth measurements to be made from top of hole. A4 19 01 2 U T NA M r- � F", , 1 1t L. tk T -11� I T COUNTY OFFICE. BUILDING CARMEL, N. Y. 10512 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 1 HOLE NO'. 2 HOLE NO. 3 0 T 0 pq 6" 1211 141!' Topsoil 1211 Topsoil' 1311 Topsoil 1811 sandy gravelly loam dandy gravelly, sandy gravelly loam loam 2411 3011 3611 42" 4811 5411 60" 6611 7211 7811 8411 INDICATE LEVEL AT WHICH-GROUND WATER IS ENCOUNTERED None INDICATE LEVEL TO WHICH WATER 'LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY John S. Romeo Date May 31, 1981 0V oil Rate Used Mi P: S.D. Usable Area Provided No. of Bedrooms 3 Septic Tank Capacity. 1000 Gals. e Masonry Absorption Area ProvideE * x 3b" 60 T _L77 L-F-x24 9.4irgench. 4 - , Aui 0 91P 's. Rd; x Address 1 Northridge Road SEAN eeks , 2: Pk=L NY 10566 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: 00 OF N 0000000 Soil Rate Approved Sq. Ft/Gal. Checked by - Date- �• !, T��__ p yam' � ;' /.o�'Nr r 1 tj T 171 ✓ Citi;. is � r �.. o � 2 39 2 34,5 6_° s 3r3 'SF+toc ARF.fj? 47 3 42-r ✓ ` s•' i r .4 sc! Q sZ l ?-7 Fri- "I7-- -4/ s, o�.t z: cz Z ' 'j r. S q7. 6 i la f3 7S per, js / Putnam County Department of Health ervt RECEIVED r! '; Division of Environmontal Health 693'v4o®q K �� L Y Approved as noted for conformasoe With } applicable Hules ^nd.iiRgulatlons of that '•�B a Pu County H a h Department. o' PU;i°N, COUNTY � �1 ��DEPT, Of HEALTH 1 ? 'tore itle A�tA s SEP71C SYSTI N ..:r DB�IGNED 8s SUPERVISED Hl/ e.•' ~�" i, __ "BEtDROOM HOU9E � FOR :JQhr�AG S' RQM4Gt s:.?oy�� jai. SOi>>� R,AiE Fi^/O,.f l./D, F4. IJ LL CONS LTIN' EN i 1 ER8/• 4 vn �� GA< TANK � � ' U G hl / TObVN — O•F'P'V ✓� 1.� �.. .,l 1• NOR'TFiR'IDCdE'ROD z�eem:? : 1J7.'. L.. F. C2�OUNTY_ . . a; .,1 d ••esa�s . ' . NtEW YORK, PEEK3K_i4L; NY; ORIGINAL—JA PV E /4r 198 t � 1 - q t `SCAL. 1' / {lr are�E..n 0 FINAL NNO. t- SErr lt'. r9�1 i ' .. Y. 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