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HomeMy WebLinkAbout4549DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.05 -1 -30 BOX 34 04549 irm : IN F, , T ti �, ♦. ly . I r _ ;� 91,, '1 IN, I' 04549 47: TOWN OF PUTNAM VALLEY WELL DRILLERS LOG AND REPORT WELL WiAPLETION" REPORT _ This report is to be completed by well driller and submitted tof: Bldg: Department, together with laboratory report of analysis of, water sample indicating water is.of satisfactory bacterial quality. Well Location Tax Map Street Sec, Bl. Lot Well Owner Name Mailing ddress C or Toyv Well Drille Tel. # Name Mailing Actress City or TO-lik " DEPTH Ur WELL .� �fD r eet WELL LOG Depth from Give description of formatioms penetrated, such Ground Surface as: Peat, silt, sand, gravel, clay, hardpan, shale, sandstone, granite, etc, Include size of ::..,.. _•_....._graved. - (diameter) - .:Land sand_,,-::(fine, medium$ .coarse), _. color of ma teriai's_.siructure,- (Loose, packed, cement, soft, hard). For example: O ft. to 27 ft. fine, packed, yellow sandy 27 ft. to Well Dril ler A7 , Signature BZS 1 -77 CASING DETAILS YIELD TEST WATER LEVEL SCREEN DETAILS Length / Ft. Bailed or 77f- Pumped Hrs. Measure'from-land Static. Ft surface ..Make; Diameter: Inches 'eld: GPM When Bailed or Pumped Ft `Slot Length Ft. Size Kind: Diameter In. TO-lik " DEPTH Ur WELL .� �fD r eet WELL LOG Depth from Give description of formatioms penetrated, such Ground Surface as: Peat, silt, sand, gravel, clay, hardpan, shale, sandstone, granite, etc, Include size of ::..,.. _•_....._graved. - (diameter) - .:Land sand_,,-::(fine, medium$ .coarse), _. color of ma teriai's_.siructure,- (Loose, packed, cement, soft, hard). For example: O ft. to 27 ft. fine, packed, yellow sandy 27 ft. to Well Dril ler A7 , Signature BZS 1 -77 r ..J... Andrew Fiore Owner or Purchaser of .Building 6 d . Section Pedro Pascale 9 -,. y: �, i���3' k' 4• ��cri3�i�' � "ii':acl. ?.:'�,eCk:�'�+ ?�..ti�.. .. ..'�c::�qa.- ..R._,:v. p�ll.�'r fs e- ��":- .+- we,'.'w"'.a:�••,C�=�•- o,.. -n ..��:'o•.,� "� Gardineer Road - 3 Location - Street Lot Putnam Valley Dring Darm (Revised) Municipality Subdivision Name 2 story brick & Frame B Building Type Subdv. Lot # GUARANTEE 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 guarantee to the owner, his success- ors, 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 determin- ation of the Director of the Division of Environmental Health Services —of ';tYi'it�iain= .'o�iiaty Bpatnnent' of Health a`s `to wYietizeF c•'r "net brie fail -. ure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. �S.L qj Dated this 28 1 day of June 19 82 Signature �;1- Title Corporation Name if core. Address - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �C THREE. (3 -)- .C.OPIES.. ARE_ REQUIRED, WITH-. THREE- ( 3 ) C -OPIES OF' FINAL PLANS BE RE CERTIFICATE OF COMPLETION WILL BE ISSUED. N0 2 919 GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OpU$MM&ICOUNTY DEPT�HEALTH Division of Environmental Health Services, Putnam County Department of Health 1�• Gentlemen: PUTNAM COUNTY DEPARTNM T OF HEALTH .r T {- �T 1 ­ Z NAFf -Rbi Date October 9, 1979 Re: Property of Pedro Pascale Located at Garaineer ' Finnerty Roads Section Map 1319 w Block Lot 1 3 This letter is to authorize John S. Remee 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 sjrstbiii "or 'sy'stems in conformity with the provisions of Article 145, or 14�'°`Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, er y Countersigned: - -- - --- .. _...:__._ ... _Teh phon.e_..._ . 1 N ®rthridge R ®ad ( Seal) °. ®• ®a• Address • ®• °p EN6' /Nr'® Peekskill,N.Y. 1 0566 p s. Rn • 737 - 1056 s Telephone 0 27846 ss°s• PUTNAM COUNTY DEPARTMENT OF HEALTH t DIVISION OF ENVIRONMENTAL HEALTH SERVICES ..... 1• .. �•f• .'f IR7 p. .'l' 'x!. t•e- :� ,F a .it .. pv ..may �.. �.'V 't'.. j..'.�„,. Gr .. =1i i . �Ya ,aiu , -Ch vrpi4 '; .i:Q ::..:Teti? + ,. ~ COUNTY OFFICE - BUILDING, ^CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Peftp Pssoale Address Gallows Phil Rd. RFD Peekskill, N.Y. 10566 Located at (Street Gardiner & FlnnerVec!! 1319 Block 6dicate nearest cross street) Municipality. Mnam Valley (T) Watershed Lot 1 3 Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS o e Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse 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) . 10:12 1 0318 6 22.50 23.50 1.00 6.00 1 10921 10928 7 22.50. 23.50 1.00 7.00 2 10:30 10:37 7 22.50 23.50 1.00 7.00 3 5 .. - (2) 1 i0:15 10 :20 5 21.75 22.7.5 1.00 5.00 2 . 10:31$ - _.T:., 41.:75 22.75 i:00 3 10:34x10 :41, 7 21.75 21.75 1.00 7.00 2 3 w; 4 5 Notes: 1) Tests to'be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION"'; DESCRIPTION OF SOILSS ENCOUNTERED IN TEST HOLES 3 DEPTH HOLE NO: 1 HOLE NO. 2 HOLE NO. .•.+. ..trrn. . �e..J. 'r-n; r... -yt u,r,.. .: ..,_.*a z„... Yw• ,q'a•..rti:. -. .a i -x;5 y';. i•x •d -, "..• z.. .,.'0^= ..�yff, ..-i4; -•+er. tR�- = 'w�'tiri. .c ....*r: Yj� 675.•�t��:6 . �rz'Y:.�±a$�'vr i,:i�`-. Ru 1211 1811 2411 3011 3611 4211 x+811 5411 6o 11 6611 7211 7811 8Q+ 11 , INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED Note INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY John S. Romeo Date tlpot 99. . •DESIGN::.. _ .: :. :.�w....,r•� rk, ;_.a . « Soil Rate Used - 1 ®.IMin/111Drop. S.D. YUsable Area Provided `5 ¢y � v ftlie, GO No. of Bedrooms 3 • Septic Tank Capacity° 1 Gals. Absorptio n Area Pr ovided By L.F.x2411 At lvdmt� d ®lla .0.. nlumw1v igna ure wf �---_ ✓ e _ Address 1 301*thritdge Read SEAL ° M--w)ck Pee , " ®r °® O,, o Nkya ©o ® ®e. THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY:. 000..0® Soil Rate Approved Sq. Ft /Gal. Checked by Date - j I. >~ r J �+ __ ,�,�,, 0 . � , " � � . ­ - � �-�. . . I " , * ,�,_�,:,, ,,,ri�:��,,-:�� I - , , - 1 , : :�, � ,: " :- �, , , -�:-_ � _. z, , , �, -, � f .� , . I , , . . � , , ie', h x ,� � , � 7. N i'l , .. ,.$) t - t 4 :!a r- "`tea -� -4 - a - -. 7 1, .. . - 4 ? .r.. ,•. ,.` r' F q ro { A ! l ! 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