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J - A, " lie-above s such ­ i-, , - _SPQb�� :the I . _, �, I , , - - - vrriisiBi �.stdm(o)�,�6�ii.�r6;i6tf��t��,;� ",the �OrAction o An .1 - � kii6h' U -. - ---_� :'�;,,'- ' 1- .- -,-, , - �-�, �,-�� '� � � ,-;�L % � - '. j �xnky;b��r�ffftetsary to,seicbre - 1. ..� - - ,__.. � -, . � " ­,, V1. 1�` �_� *�,, � � ,�� ., , - .", ': �.:,�- --, "I, 1.1 , �­, � �� �, ,� _�, ,,,',-.Pi: �Z, Z,,,� -, t � z. %_S � " � , '. , .�1,111 - "_� �. - . � ,� � 'V:��_`�,, - _L.� <�= - " ­_ - , ­ atilig Such ,'_ippr,ciVals-.;are : h " - a k .g, , e f_ - jne_ - b ,,­ �_ . � -..- - 4..'�,_.4�.`.­.� I ,� . , it � . �'. - - I �' '7 7- '� *� - -- � : -` �, ­ �; .1,1 � " �.' �� , , , , _.� , I � , - ': !,,K WELL COMPLETION REPORT 3/71 1. , PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK ti -- -- This. report, is,to�be c6Mp1%ed,by,v ;ell dr !qr -.ard -sub m- e�Ith-DepastlTeel�t.tug:ther :with laboratory - epuri :Cf' ' ^ analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION NAME OWNER Robenat Buildin Contract [ADDRESS rs Oscawana Lake P.oad Putnam Valley, Ivy LOCATION (No. & Street) [ 1/ 1— (Town) (Lot Number) J GtLrtA OF WELL Oscawana Lake Road Putnarl Valle BUSINESS ❑ ❑ ❑ PROPOSED DOMESTIC ESTABLISHMENT FARM TEST WELL USE OF WELL OTHER ❑ ❑ SUPPLY INDUSTRIAL ❑ CONDITIONING ❑ ) DRILLING COMPRESSED CABLE ❑ ROTARY PERCUSSION ❑ F-1 EQUIPMENT AIR PERCUSSION (Specify) ) CASING LENGTH (feet) DIAMETER (inches) WEIGHT PER FOOT `Z ❑ E SHOE EYES NO VYES CASING T D7 NO DETAILS 35 ( 17 THREADED WELDED YIELD HOURS G.P.M. ❑ BAILED ❑PUMPED YIELD (G.P.M.) TEST COMPRESSED AIR a 25 25 WATER MEASURE FROM LAND SURFACE— STATIC(Specify feet) DURING YIELD TEST !feet) Depth of Completed Well LEVEL 50 200 in feet below Land surface: 200 MAKE LENGTH OPEN TO AQUIFER (feet) SCREEN DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL Diameter of well including GRAVEL SIZE (Inches) FROM (feet) TO (feet) PACKED: gravel pack (Inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET 0 S 3 200 Medium hard granite. y If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED -2 -73 DATE OF REPORT 12 -7 -76 WELL DRILLER "(Signature) q President Z,12 . -_. ,: -. ___. _ _ -. :y_-:$.': ,� � 3�. _ _ _�•'."rar —r.� =saw= .�... �-y, - - _ r .n �.- o.. --�v:. -c .c. F._ _.. ._ ^_Y'�. „r -oir mss. +_`s.... i .._�� . i-. BREWSTER LABORATORIES Box alto - BREWSTER, N.Y. WATER ANALYSIS REPORT SAMPLE NO. 4211 SOURCE: Robenat Contractors well Osquana Fake Rd. Putnam Valley, N . Y . COLLECTED: December 2, 1978 BY: Mill Drilling, Inc. BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method This rtarrlt indicates the souret of the sample was of satisfactory saxitary grsality whtx the sample was coUtcud. 0 per 100 ml. `J December 7,1978 Bickwit . E. Director _ `Ru�bzria van fact ors , °yl ric: .� ,.....',.. - P tnam °xarle .�~ Owner or Purchaser of Building Municipality Owner Building Constructed by Oscawana Lake Road Location - Street Walnut Knolls Subd. Section Filed Map #1649 Block Frame #5 Building ing 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 operate properly is .caused by the willful or negligent act of the occu- 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- vices of -. the -.- Putnam County Department _of 1- .. •whether., or::not:;:t.hr� =. 1. failure of the system to operate was caused by the w' ful or negligent act of the occupant of the building utilizing the s st m. Dated this 16th day of April . 19 79 Signat Title (� (If corporation, v give name and address) 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 OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health r. . .__ -. -... _ a... _ .�`-.K � v � .� � 7-V --'C. �. ^. � � r. -r ry .... •v � t.- ..- -v. H^ v - �,.��'F�'.' T_G' - =. ^fit- �, Owner or PurcHaser of Building Municipality Building Constructed by Location - Street Buil ing Type Section Block Lot GUARANTY OF SEPARATE SEWAGE-SYSTEM W represent that Wea0wholly 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 4& 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 0 to such system, except where the failure to operate properly is .caused by the willful or negligent act of the occu- 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 r- :__• _ ....vie s_.:of'. the PTa am..:Ccun y�. lepgrtxrent of ;:H k1th. �:s:.._to:_:wh'eth�,r.::n:r.:;no __ ;a failure of the system to operate was caused by the willful or egl' act of the occupant of the buil ing utilizing the syst� G� q ,e Dated this day of 1 Signature Title If corporation, give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMP+.,ETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health. v P[JTNAM COUNTY DEPARTNMNT OF HEALTH Date 19.September.1978 Re . Property of Robenat.Contractors, Inc. ' Located at Oscawana.Lake.,Rd., Walnut Knolls.Subd., T. Putnam Valley -KINA. FITed Mae. Block Lot 5 Gentlemen: y This letter is to authorize John Ri Prentiss, P.E. a duly licensed professional engineer X. or registered architect (Indicate) to apply for a Construction. Permit.for a separate sewage system; to serve.the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in c:onnectioii witn this matter anti to. supervise the construction of said system or systems in conformity with the provisions of Article 14S or q.47,, „Education:.Taw._ t? e, - Public Health_ Law,-,-and ;the. Putnam -Count �. ni - tary Code. Very trulp yq(irs, Signed r C ountersiE. R.A., ## ?.. Q�i �� R.D. 9, Fair St. Address E. A. ,Rader, Oscawana Lake Rd. Putnam Va�lel ey, NY 10579 914 -LA8 -7664 Carmel, NY 1051?. ID 14- 878 -6170 Telephone. , c � 0. 29206 �►`�� ��FTHE STNIL Telephone TEST PIT DATA 'J'0 P, : ". '2,TMM,'-T9T-D 1-..[TJ-T APPJ,-1-C:Ai, '!'jON "I I " , 0M.JMN 01 IN 1OLI;1 DEPTH HOLL11, NO. H011,11 NIO.- HOLE NO. '611 1211 ne 24.1.1 3011 36ff 4211 48 k. 5411 60 6611 7211 VOO, 7 8 ti 8411 INDICATE LEVEL AT WHICH GROU1,T) I•ATER IS EPIC OU11TER'-'D Nele- INDICATE LEVEL TO VHUCH WATER MVEL RISES AFTER EL-LTTIG ENCOUIMLRED one TESTS 14ADE BY Date --,O-il Rate Used I - min/l "Drop: S.D. Usable Area Provided dad No. of Bedrooms7j,,2e Septic Tank Capacity /000 Gals. Type AY*5-,w6,CM Absorption•Area Provided By L. V. x21" width trench. Other ill 41' jojESSIONq, A Ok 'AMQ A, A- - .1^1— U ff jwam�h� 00 Y Address R..D. 9, Fair Street - - - -- �/� ��" ' . _ , . v �' � MIMI, MY -10512 THIS SPACE FOR USE BY h-EALITI DEPARTMElIff ONtN IV 292.; Soil Rate Approved Sq. Ft/Gal. 0 S116 Vj Date 4 011V 77 Ylecl Tow rt:?,J cc;onty: tole lll4 i S J ON _j= IL Map' dpc LOT NR C or p yt,; r 71 n e: ,j g. 1.4 N H P F I\L T I S 5 A B,U I-,LT BA surveq b s s Orel be'lo,"'O We I I 1000IA. il Y 5tWve p? t t, Vp 0-1 IFil )�Tr% ep rs. .7. ilf 561 u 6OFT't i3O,1, Tai lotel 6i.& in-gqica.. t)Y* croft qqj�f: l K A ebz P;j, j ig Eng ti 0 Uh Ylecl Tow rt:?,J cc;onty: tole lll4 i S J ON _j= IL Map' dpc LOT NR C or p yt,; r 71 n e: ,j g. 1.4 N H P F I\L T I S 5 A B,U I-,LT BA surveq b s s Orel be'lo,"'O We I I 1000IA. il Y 5tWve p? t t, Vp . IFil )�Tr% ep rs. .7. ilf 561 u 6OFT't i3O,1, Tai lotel 6i.& in-gqica.. t)Y* croft qqj�f: l K A ebz P;j, j ig Eng ti 0 Uh Pio i a inspecti y ki 6 a I d I on b dept. 16. 11 rider J"L 7-� , 44�2,7,— NA T ES: `APPR OvEq Y UlN l duNA I or HE*m ' '4F ,DR. �7 -7 �jj,-DIRECTOR,.. X9 S. MEKa "IfuFf m"no F .—e"^ F -'A -7, A -7 sip-it cri SANITARY SYSTEM DESIGN.'AS I LT" 0 W N L R: Ylecl Tow rt:?,J cc;onty: tole lll4 i S J ON _j= IL Map' dpc LOT NR C or p yt,; r 71 n e: ,j g. 1.4 N H P F I\L T I S 5