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Home My WebLink About3253DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73. -1- 41.132 BOX 26 rW � '�~ ' CAN I� !rllj r IN 6f 1 ON N ., ' N! Lr� J LT ,, l IN f � N % , 03253 PUTNAM COUNTY DEPARTMENT OF HEALTH ':::.=;- ��i-::,; �; �rz�' �� .��''�''l:'_"�T- �►IT1#(�1,�T� /��+,;�j'.�'_AT. .�' - ,��•::�. �•. .�� v�' -.,- mot_ --.._ ".- - CERTIFICATE OF CONSTRUCTION COMPLIANCE F REATMENT SYSTEM PCHD CONSTRUCTION PERMIT # L-6 Located at PF10Zir5% 1-ItA✓E Town or Village 1011_fA119Ar Owner /Applicant Name b//j YIVA 10,4.e-Af U Tax Map ? 7 Block * Lot /,? Formerly Subdivision Name ZGVv %LG �G `✓' 4- -* Subd. Lot # IT Mailing Address IS'-- PE ZI-r-lif L 4AI�` 6G7d� Zip Date Construction Permit Issued by PCHD ZI-12AP If I Separate Sewerage System built by A,-`/! IPf C4ri'0"' GAddress 4L "W&Ik Consisting of 00 1) Gallon Septic Tank and c� ('1) 4_ OC Clj� � �'�� -% Other Requirements: Water Supp ly: Public Supply From Address Q or: Private Supply Drilled by P`b�� kowwbc,-.1 Address [ 1yY Number of Bedrooms .,) Has garbage grinder been installed? I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of *e Putnam Cqt epartment of Health. Date: aZ :? Certified by -24 Address P.E. jc_ R.A. License # �Ify l Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall .become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocation, modification or khagge is necessary. By. �_ Title: Date: Z White copy - HD File; Yellow copy - building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 ,WLIJL uVrIrliziium Ac.rVA1 Office Use Only DEPARTMENT OF HEALTH Y PUTNAM COUNTY DEPARTMENT OF HEALTH WELL LOCATION ST ET ADDRESS: VILLAMCIFY TAX GRIO NUMBER: WELL OWNER NAM ao0A SS °-� 7 P6IVATE ®j ❑PUBLIC USE OF WELL RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PU ABANDONED 1 - primary 0 BUSINESS ❑ FARM O TEST /OBSERVATION ❑ OTHER (specify) 2 - secondary ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑, STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm.1NO. PEOPLE SERVED EST. OF DAILY USAGE � gal. REASON FOR `NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION DRILLING ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH � ft. STATIC WATER LEVELS ft. DATE MEASURED DRILLING ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG EQUIPMENT ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. .OPEN HOLE IN BEDROCK ❑ OTHER TOTAL LENGTH .�_ / ft MATERIALS: j'STEEL O PLASTIC ❑ OTHER CASING LENGTH.BELOW GRADE fL JOINTS: ❑ WELDED -THREADED ❑ OTHER DETAILS DIAMETER in. SEAL: 19 CEMENT GROUT ❑ BENTONITE ❑ OTHER WEIGHT PER FOOT Ib.lft. DRIVE SHOE:19YES ❑ NO LINER: ❑ YES ZNO SCREEN DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVE)rOFED! FIRST_ I SECOND HOUAS GRAVEL PACK O YES GRAVEL DIAMETER TOP BOTTO,h1' -'. ❑ NO SIZE. OF PACK in. DEPTH tts .. DEPT It. WELL YIELD TEST If detailed pumping t lIY �L�• G It more detailed formation descriptions or sieve analyses are available. please attach. O PUMPED tests were done is in- formation DEPTH faoM1 +• Water wen r0: PRESSED AIR , attached? ; ❑ YES O NO SURFACE Bear- ing Di a' FORMATION DESCRIPTION rADE. OBAiLED O OTHER ft. It. ,peter EPTH DURATION DRAWOOWN YIELD land Surface t. hr. min. It. gFm. d WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? O YES ONO CI ANALYSIS ATTACHED? O YES O NO STORAGE TANK.: TYPE f __ CAPACITY .3 �— G L. PUMP I RMATION TYPE L� CAPACITY WELL DRILLER NAME DAT / MAKER Q ( I DEPTH Z b'� 5 Z-10 ADDRESS" 4!;r SIGRA7URE MODEL TAGE HP , r � r' er t t ..- a^y... .�.:�'��:qv �r�:�u:v�:i r�� „.ir ..�. ;c ..�.:.4;as; >:ti_. ',.�c.,, .�... =,sr:. .�?3 ion:- n.'xh�n'a��urcu� .r'+av� :. s.:L::.y.r�a+a'�:..y,a..e;x`�r: z.w��:.: .rv�..as:;.'v.� c >' �:;',•�.a.°a..�.:,.�. YML ENVIRONMENTAL_ SERVICES 321 Kear Street Yorktown �Heights, 2800. 10598 Albert H. Padovani, Director LAB #; 32.904.096 CLIENT" #: 10575 NON STAT PROC PAGE 1 PALMO, WAYNE AND LORI 15 PEACH LANE PUTNAM VALLEY, NY 10579 DATE /TIME TAKEN 07/17/99 08;50 DATE /TIME REC ' D = 07/17/99 09:30 REPORT DATE: 07/21/99 PHONE. (914)- 526 -0363 SAMPLING SITE: 15 PEACH LANE SAMPLE TYPE..: POTABLE PUTNAM VALLY NY PRESERVATIVES= NONE COL'D BY: WAYNE PALMO TEMPERATURE..: NOTES...: KIT TAP COLIFORM METH: N/A DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD 07/17/99 IRON (Fe) 0.166 MG /L 0-0.3 mg /l 2037 COMMENTS Fe /Mn If both iron and manganese are Present, their total value combined shall not exceed 0.5 mg /L. >UBMITTED BY: ;Albert H. Padovan.1 , M. i Director. ELAP9# 10323 � YML E�UI NTAL SER;ICES �2 l Kear Street � J I all��!�!�.��1��`��`�z��'�'�,'��-� (914) 245-2800 Albert H. Pa6ovani, Director LAB #: 32.902135 CLIENT #: 10575 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PALMO, WAYNE AND LORI 15 PEACH LANE PUTNAM VALLEY, NY 10579 NON STAT PROC PAGE 1 DATE/TIME TAKEN: 05/15/99 09:45 DATE/TIME REC'D: 05/15/99 10:10 REPORT DATE: 05/24/99 PHONE: (914)-526-0363 SAMPLING SITE: SAME SAMPLE TYPE..: POTABLE : PRESERVATIVES: NONE COL'D BY: WAYNF PALMO TEMPERATURE..: < 4C NOTES...: SLOP SINK ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ COLIFORM METH: MF DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 05/15/99 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 05/15/99 LEAD (IMS) 3.6 ppb 0-15 ppb 9101 05/15/99 NITRATE NITRO8 001 MG/L 0 - 10 9139 05/15/99 NITRITE NITROG <0.01 MG/L N/A 9146 05/15/99 IRON (Fe) 0.354 MG/L 0-0.3 mg/l 2037 05/15/99 MANGANESE (Mn) 0.092 MG/L 0-0.3 mg/1 2037 05/15/99 SODIUM (Na) 3.34 MG/L N/A 05/15/99 pH 6.9 UNITS 6.5-8.5 9043 05/15/99 HARDNESS,TOTAL 72.0 MG/L N/A 05/15/99 ALKALINITY (AS 56.0 MG/L N/A COMMENTS: FAX TO 212-672-2301 COMMENTS; BACT THESE RESULTS INDICATE THAT THE WA-!''E (WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDAO�:JHE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb/Cu LEAD limits for p EPA Lead & Copper than 10% of their than 15 ppb and a treatment most be potential. ablic schools are set at 15 ppb. Rule for Public Systems requires that no more distribution points have a LEAD value of more COPPER value of 1.3 mg/L, else water undertaken to reduce the waters corrosive Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. ^ ^ a \ � � ^ YML ENVIRONMENTAL SERVICES 321 Kear Street 30 h. X '-"7 Jv AM= ��' .� . 245-2800 ' Albert H. Padovani, Director LAB #: 32.902135 CLIENT #: 10575 NON STAT PROC PAGE 2 PALMO, WAYNE AND LORI DATE/TIME7AKEN: 05/15/99 09:45 15 PEACH LANE DATE/TIME REC'D: 05/15/99 10:10 PUTNAM VALLEY, NY 10579 REPORT DATE: 05/24/99 PHONE: (914)-526-0363 SAMPLING SITE: SAME COL'D BY: WAYNE PALMO NOTES...: SLOP SINK ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE METHOD Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg/L of Sodium. For those on a moderately restricted diet' a maximum of 270 mg/L of Sodium is suggested. pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BECORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS-6.5 TO 8.5. �- Hd �~ TOTAL IS'D�FINED AS�THE� SUM` ~~. -~~ ~.�.'-_--_'�- ~, .~^'-..^�'-_- ..''.'. -.`_-_.''~_._-_-__--_-�_`_.__. CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0-70 MG/L VERY HARD WATER: ABOVE 300 MG/L MODERATELY HARD WATER: 70-140 MG/L MG/L = MILLIGRAM PER LITER HARD WATER: 140-300 MG/L (1 grain/gallon = 17.2 MG/L) SUBMITTED BY: Albert H. Pa Director 5@1 ani, M.T.(ASCP) ELAP# 10323 05/25/1999 08:19 9142453170 YORKTOWN MEDICAL LAB PAGE 01 YML � E(� IRRNNMEN AL S R 'ICES _. _ ... t'aD -.__t v sC;m.r _.. st•%:::•= ;r_•`usm:..�.:w`a+s�i�..c..'. .:ice . a... -°iOf�'.�..�.,x.:< x.,vr.•ww�.- rs�a:rc, .< :..�.: ...r -y._ w:....!':«urv:'. . ..-.. - �= -:�' ";i�.ii«•:¢ti;+wo.'•. icxbwn Fieightsr N.Y. 10598 (914) 245 -2800 Albert H. Padovani, Director LAB #: 32.902135 CLIENT #: 10575 PALMO. WAYNE AND LORI 15 PEACH LANE PUTNAM VALLEY, NY 10579 SAMPLING SITE: SAME COL'D BY: WAYNE PALMO NOTES...: SLOP SINK DATE FLAG PROCEDURE NON STAT PROC PAGE 1 -------- N N ------------------ - — — — - — — — — - DATE /TIME TAKEN; 05/j5/99 09:45 DATE /TIME REC'D: 05/ 5/99 10:10 REPORT DATE: 05/ 4/99 PHONE: (914)- 526 -0364 SAMPLE TYPE.'; POTABLE PRESERVATIVE: NONE TEMPERATURE.'.' 4C COLIFORM MET4: MF N N - - - - - - - N - - - - - - N N -------- �• H � - N N N N N N N N N RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 05/15/99 MF T. COLIFORM ABSENT /10() ML ABSENT 1008 05/15/99 LEAD (IMS) 3.6 ppb 0 -15 ppb 9101 05/15/99 NITRATE NITROG 0.21 MG /L 0 - 10 9139 05/15/99 NITRITE NITROG 'O.01 MG /L N/A 9146 05/15/99 IRON (Fe) 0.354 MG /L 0 -0.3 mg /l I 2037 05/15/99 MANGANESE (Mn) 0.092 MG /L 0 -0.3 mg /l 2037 . 45/15/99 SODIUM (Na) 3,34 MG /L N/A 05/15/99 pH 6.9 UNITS 6.5 -8.5 i 9043 05/15/99 HARDNESS,TOTHL 72.t.) MG /L N/A i 05/15/99 ALKALINITY (AS 56.0 MG /L . . �..- .�� -... r�'.�.r,. /- !� /9N.. - _..._. i 1 I�.�r -S,� itT_i' v_-+1 .' [S _.rte_.. - ! ^'L..`±.,.,. �....w. :.. — �'v,•C. V i L.. 1 V1 U '_ .. �• ` ._.... _ 1. -_-- – .+.lc�_J �V 1 Vf ^. -.... �.� - �..._- .. -.... COMMENTS: FAX TO 212- 672 -2301 i COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATE (WAS) (WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDI THE NEW YORK STATE ' AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTEDp AT THE TIME OF COLLECTION. -b /Cu LEAD limits for p EPA Lead & Copper than 10% of their than 15 ppb and a treaf•men t• iiiust be potential. ublic schools are set at 15 ppb. Rule for Public Systems requires that no morv, distribution points have a LEAD value of morel COPPER value of 1.3 mg /L, else water Undertaken tO reduce the waters corrosive -e /Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg /L. 05/25/1999 08:19 9142453170 YORKTOWN MEDICAL LAB PAGE 02 a. b YML ENVIRONMENTAL SERVICES r^ own Heights, N.Y. 10598 (914)' 245 -2800 Albert H. Padovani. Director LAB #: 32.902135. CLIENT #: 10575 NON STAT PROC : PAGE 2 PALMO. WAYNE AND LORI DATE /TIME TAKEN: 05/35/99 09 :45 15 PEACH LANE DA /TIME RECD: 05/4'5/99 10:10 PUTNAM VALLEY, NY 10579 REPORT DATE: 05/$4/99 PHONE: (914) -5rE:,-0363 SAMPLING SITE: SAME COLD BY: WAYNE PALMO NOTES...: SLOP SINK DATE FLAG PROCEDURE SAMPLE TYPE..,: POTABLE FRESERVATIVE�: NONE TEMPERATURE . ; : < 4C COLTFORM MET ": MF RESULT NORMAL - RANGE METHOD Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet.t•he water should contain no more than 20 mg /L of Sodium. For those on a moderately restricted diet, a ma.aimi,un of 270 mg /L of Sodium , is suggested. pH pH SCALE IN WATER RANGES FROM 1 -14: MEASUREMENT' OF pH IS ONE qF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER, WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 6.5. '.J� i• J:TA9 IC, r,., rN-r✓ . 1. T` G _ L. i :. t u "' 5 I'HuIvC .:: :i 1 lJi'► , CONCENTRATION, BOTH EXPRESSED AS .CALCIUM CARBONATE, IN MG /L. THIE HARDNESS MAY FLANGE FROM 0 TO HUNDREDS OF MG /L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0 -70 MG /L VERY HARD WATER: ABOVE 300 MG /L MODERATELY HARD WATER: 70 -140 MG /L MG /L = MILLIGRAM PER LITER HARD WATER: 140 -300 MG /L (1 grain /gallon = 17.2 MG /L) `!FM I TTED BY: Albert H. PadtAvan i, M.T.(ASCP) Director FLAP# 10323 . ��O %11 .Y n1.mT T,mTnXT nT:nnnnm a� a ae ` GV X104 WELL I,VPir LP�11VlY i \J:1i Vl \1 DEPARTMENT OF HEALTH - T)iv4; ; _err -! . Fri ir_ ormental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only WELL LOCATION 5T ET ADDRESS: IVIL r I Y TAX GRID NUMBER: yc- WELL OWNER NAM ADDRESS � �J- - PRIVATE O PUBLIC USE OF WELL 1 - primary 2 - secondary ARliiSIOENTIAL n PUBLIC SUPPLY ❑ AIR /COND. /,HEAT PLO Cl ABANDONED 0 BUSINESS ❑ FARM ❑ TEST /OBSERVATION 0 OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED :: / EST. OF DAILY USAGE �� gal. REASON FOR DRILLING ONEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION 0 REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 3 /2 U ft. STATIC WATER LEVEL �O ft. DATE MEASURED 7 DRILLING EQUIPMENT ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE 0 SCREENED ❑ OPEN END CASING XOPEN HOLE IN BEDROCK ❑ OTHER CASING TOTAL LENGTH ft- MATERIALS: J'STEEL ❑ PLASTIC ❑ OTHER LENGTH.BELOW GRADE ft. JOINTS: ❑ WELDED Jig-THREADED ❑ OTHER DETAILS DIAMETER in- SEAL: 0 CEMENT GROUT ❑ BENTONITE ❑ OTHER WEIGHT PER FOOT_ lb./ft L DRIVE SHOE:aYES ❑ NO LINER: OYESZNO SCREEN I, DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (1t) DEVELOPED? FIRST SECOND 0 YES 0 V n Hiiuls -'- GRAVEL PACK ❑ YES ❑ NO GRAVEL SIZE DIAMETER OF PACK in. TOP DEPTH ft- BOTTOM DEPTH It. WELL YIELD TEST It detailed pumping P P 9 ET 0: ❑ PUMPED tests were done is in- COMPRESSED AIR , formation attached? O BAILED O OTHER '0 YES 0 NO It more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM, SURFACE water Sear- ing well Dia- meter In FORMATION DESCRIPTION CoE. tt. ft. WELL DEPTH It. DURATION hr. min. DRAWOOWN ft. YIELD 9Cm. Lana Surface / / w Id WATEP ❑ CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS ❑ COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES O NO STORAGE TANK:' TYPE CAPACITY G L. Q WELL ORILLER NAME ��a� DAT AOORE SiGfTATURE PUMP INFORMATION TYPE CAPACITY MAKER DEPTH MODEL. V TAGS HP U f " PUTNAM C01UNTY DEPARTMENT OF HEALTH � =° 1 % F.c r. j!Nt, ? �i1 T��1 _;�`� ► "AJ lJ� 1i►!' -;.i:. i ::.o-::: v �... GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Womnc-p Lori �cdyy) o Omeeor Purchaser of Building �Ome� COrn n BuildiiYg Constructed by in -Pf a clk- a Location - Street Lo.q flome, Building-Type Tax Map Block Lot `Pu4h a a.l Town/Village M i c In s to Subdivision Name Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is 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 operate fora period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment 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 Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. ay a Year Signature: Tide: d w j Pte' . Civnnhire corporation) Corporation Name (if corporation) Address: S Address: state �1�g ip State Zip Form GS-97 Public Health Director Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914)278-6130 Fax (914) 278-7921 URT Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 July 14, 1999 Mr. Dan Donahue, PE 120 Breckenridge Road Mahopac, New York 10541 Re: Palmo, 15 Peach Lane TM# 73- 1- 41.132, (T) PV Dear Mr. Donahue: This office has received and reviewed the most recent set of plans for the above mentioned project. We would like to offer the following comments for your consideration. • Original well water quality report required. • Well Completion_Report „re.qul1es completion__ . This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 2157 if any questions arise. Very truly yours, aL �• Adam B. Stiebeling Assistant Public Health Engineer R: % 7 _ I �o 0 �pFESSIOryq� m _ �•-� ..i s�qT o. 4848 {pr OF NE`N T SEWAGE TREATMENT SYSTEM LOT # 3B Lot 3 Michael's Way R-S. PUTNAM VAi.i EYM SSTS ti ins Measured by Tape PAS 7i A S A rF- 114,4 y �sE S�rTS 1 DANIEL J. DONAflUE, P.E. UNIT A B C CONSULTING ENGINEERS SEPTIC TANK 30 52 628-7576 ]B MAHOPAC, N.Y. 10541 1 47 64 DATE; May 24,1999 2 54 71 SCALE V= 30' 3 60 78 i SURVEYBYDONDONNELLy.LS. 4 01 . 113 5 86 117 6 90 121 7 91 84 1 97 78 9 84 72 do ILA IS TO CERTIFY THAT THE SEWAGE DISPOSAL SYSTEM WAS CONSTRUCTED SUBSTANTIAI.1_Y AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS INSPECTED BY ME BEFORE TT WAS COVERED OVER THE SYSTEM WAS CONSTRUCTED DEPARTMENT OF HEALTH AND THE NEW YORK TSTATE DEPARTMENT OF HEALTH.NSOF'IHEPUTNAM COL•QJTS r\ (JO ; z / 60"IlS ?� / � I� Q I _ \ 510�3� %0„ 136 86�enter/ine stone an+�0n^d�.: .: _'�. �, _'e'",�� e9.e.: •_ _`•� __ _�.. .~.:?..wc�•��:T n�- �'i` 1•w�i- �4.ww. �..+�a•.m�_cCl. • G��N, 5g 901- Lot 3,4 al Health Jer4ioet %J Plioable R UISSd for confori. with Pco and De�ulatio Cf ro WO // Aprrt S08o6-8 ,00 „#' 65 •33