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i,, NOTE; Present Health Department regulations mandate thattIt:he
guarantee must be signed by the General Contractor and the ,
septic system subcontract=or)
Herbert Alexander Town of- 'Patterson
Owner or,- urc aser p Bui ding Municipality
Tax Map 1
Bitilding Cons ruc .`e. by aG Section
Route 292 2
Location - Street Block
1. family residence 2
Building Type Lot
GUARANTY "OP SEPARATE SEWAGE' SYSTEM
I represent that I am wholly and completely respon'sibl;e 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 :Wade 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 undersgned 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 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.
Dated this day of` 19 Signature;a ;� � �;, a !MA&
Title
t.tr corporation,: 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 NbTICE OF DATE OF FIRST USE OF SYSTEM.
Division of Environmental Health Services, Putnam County Department.of Health
s r
y- r
- 1
Herbert Alexandef own of att r
Owner or Purchaser 017 Building Municipality
Rei; ;er Homes for Ceneral Contractor Tax "i'r_ar 1
Building Constructed by i:er ert Alel�and�r Section
Route 292 P.
Location - Street Block
2
1
farnilv residence
Building Type Lot
GUARANTY OF SEPARATE SEWAGE SYSTEM
I represent that I am wholly and completely responsible for the
location, workmanship, material,.construction and drair_age 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 su_e.ces-
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 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
A r
Dated this 14 day of Novi 19= Signature
Title ox 22,23g, c , s;T. <T 256
If corporation, give name
and address)
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMP-TTETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. _ _ _ - _ � _ _ _ _ _ _ _ _ _ _ _ _
Division of Environmental Health Services, Putnat County Department of Health.
`.1ti0 r 1 { 19 f
ff
ARTHUR P. MC LAUGHLIN
PROFESSIONAL ENGINEER
MILLTOWN ROAD, RD NO. 5
BREWSTER, NEW YORK 10509
(914) 279 -6986"
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3 6 4; 25- ll' rAzz
Z' 3 c- ,ill /s r .
ion <��z 900 rA1_
2.
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729 131"
le CA/
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1
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ARTHUR P. MC LAUGHLIN
PROFESSIONAL ENGINEER
MILLTOWN ROAD, RD NO. S
BREWSTER, NEW YORK 10509
(914) 279.6986
November 12, 1973
Putnam. County Health Department
Countv Office Building
Carmel, New York 10512
ATTN: Cdr. Bruce Foley, EHT
Division of En.vivonmental Health.Services
Re: "As- Built' for Herbert Alexander-
Route 292, Tax IvIaD 1, Block 20
Lot 2, Town of Patterson
Dear MIr. Foley:
Attached herewith are the following informations. conc,erninq, the'
potential approval of the system for the above.referenced.project:
(1) four prints of the As -Built
(2) guaranty of separate sewage system (3 co_pie 's)
(3) form made out for the Certificate of Construction Compliance
(4) Yorktown �4edical Lab test report on water
(5) copy of well completion report
(6) As -Built computation sheet (by undersigned)
(7) 14emo from Herbert Alexander to undersigned concerning inability
to' obtain Tuaranty from Reiger on:,.system
Should.there be any questions 'concerning.,any of the transmittals',
please don't hesitate contacting me; I trust that the informations
will be satisfactory for the purpose intended.. Thank you for
your attention in this regard.
Very truly yours,
Y �
Arthur P. 141 augh in, P..F,
Copy to:
Herbert Alexander
ATE UULLEUELL)
RESULTS OF.- EXAMINATION OF WATER
,
OWNER DATE RECEIVED,
RBE T ALEXANDER 10/1V73,11''.
CITY,` °VIL'LAGE, TOWN; & %OR TV`Atvi OF :SUPPLY `. t OAT,.
E�REPORTED
n.Jnni
§AMYLINU FOIN 1
BACT8RIA P,ER ML� (Agar; ,plate cqunt at `35oQ).
COLIFORM GGRgOfJp_ (Mpstrprobable.No. /100ml.),
RDN S; TOTAL; ppm ".`.
r
..L�S�. 1,C1111Y G eG'•.
DETERGENTS pp m-"--'
NITRATES (as N) ppm
IRON; TOTAL ppm.
FLOURIDE (F) mg: 'Yl. .. -
, y
t
These results indicdte that 4he water wasS ofd sa #isfactQry sanitary quality when the 'sa ~F le was c 1
PER • LAKE CARF'LEL PHARM,
=Ii PADOVANI', M T.(ASCP)
r.:
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In
YELL COMPLETION, REPORT PUTNAM COUNTY DEPARTMENT '_OF *HEALTH
171 Division of Environmental Health Services
OFFICE BUILDING --CARMEL, NEW YORK
This report is to be completed by well driller and s6bmitted to County.,+051th Department togethqr with laboratory report of
analysis of water sample indicating water is of satisfactory bacterial qualitV;,$ef ore certificate of construction compliance is issued.
sr
tV
REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION
0
NAM
ADDRESS
.,0 WNER ,
CATION
(No. 8 stfeet), (Town) (Lot Nuinbef)
OF WELL
R BUSINESS M TEST WELL
D M. E ST I C ESTABLISHMENT M
USE OF
WELL
PUBLIC AIR OTHER
SUPPLY INDUSTRIAL ;CONDITIONING (Specify)
r.
DRILLING
F
O' COMPRESSED CABLE OTHER
Cl El
EQUIPMENT
ROTARY AIR PERCUSSION PERCUSSION (Specify)
CASING
DETAILS
'LENGTH (feet) DIAMETER(/ R FOOT I
LA THREADED 0 WELDED
�DRIVE SHOE
9' YES ❑ NO
CASING.r!WUTED?
YES No
YIELD
HOURS eG.p
)A
.M.
YIELD (G.P.M.)
TEST
BAILED PUMPED' COMPRESSED, AIR
.
WATER
MEASURE FROM LAND SURFACE—STATIC
i
DURING YIELD TEST., at)
Depth of Completed Well
LEVEL
0
in feet below Land s�urfacet
MAKE 77
LENGTH OPEN TO AQUIFER (feet)
SCREEN
A
DETAILS
SLOT 51ZE
(inches)
IF GRAVEL
N
Diame te r of, well including
:R
TO (feet)
F
PACKED:
graval pack Ch as):
DEPTH FROM LAND SURFACE
FORMATION- DESCRIPTION
Sketch exact location of well with distances, to at least
t two permanent landmarks.
FEET to FEET
if yiold was I*stgd at diffotont doplli► durloU drilling, li►i holow
FEET GALLONS PKR MINUTE
DATE WE COMPLETED
�14 L C
_I _.
'ij— ;)
DATE OF REPORT
�' — I , —) --I - 'd
WELL DRILLER (Signature) // _1 / — -'. _e_1 LI
, - " 6 -1. El 1'e i'.) / 'V1 \_ / //, '/
0
niz i's - :co.: cer'Gii'y rne sewage uisposai
"steri co natr-Licted as indica. tod-. on this
Wh I an-&--. Vlftat the. s-, atein was -i-aspect O-d by rile
y ore fit; eras cove.red over-® The system. was
t rue:, i A accorance v
ith the rules and
t;iAn-161"biii of the Putnam County Departinnent
;Z.
miE
"ARTAHUR
M"La D .5
,.*AS- BUILT " PRE-PARS -3D P-M WLa'Wr
-re -A KOM I 5%.acK 2- LGI-'
.To LO,V4
--------- --
11-73
DRAWt4+
'At
REV IS-en
ILL E-D BY Q--T -44.
sw vrk4yr XIS PO S'*
U-MOAM, Rt_rT C lat
LL(S
ITEM
OFO:'SE.'rs TO ROUSE . ct---6R1 P4**
f4;!E
BO
IL 1.
GAL LEY
6
G A&LE Y
-x
(.2-3
C. 3 e.
+1
PiT
SEPTIC TANK
316---j
19.90
30'A..
WIELL
4-8.4.
W THIE6qgT(CAt- -VI5rAMCE---C'AN%-r S,E #4GAS+U'k.-;E--p.
'W—CAUSIE . OF
R E S U B M I T T A L
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
May 16, 1973
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
South Street - Box 223
Owner Herbert Alexander Address Patterson New York 12563
Located at
T ax a
(Street 47—ic—afe—nearest oute 292 Sec. 1 Block 2 Lot 2..
cross street)
Municipality Town of Patterson
Watershed The Great Swamp
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
apse Depth to Water a er ve
No. Time From Ground Surface in Inches Soil Rate
Start -Stop Min. Start Stop Drop in Min. /in drop
Inches Inches Inches .
1 A percolation hole was dug at an elevation approximately five
2 feet down from original ground within the most recently dug
3 �gP.phale. Af tar sat»rat-. nn _ suhleat hole was tested, and found
4 to have a percolation rate of 6/ minutes. This is significantly
5 bahhar then the results of thase, tests at ih P toe of the sloiDe
1 which had an 11 -15 minute rate.
2 Therefor, use the 6 -7 minute /inch rate as more chatacter-
3.., . istic of the material in place where the seepage-pits are to be
5
2
3
m
Notes: 1) Tuts 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.
DEPTH
G.L.
6"
12"
18"
2411
30"
36"
42'
i
t -E -S- U B 19 I T T A L
TEST PIT DATA REQUIRED 'TO- -BZJ+r SUBMITTED. WITH APPLICATION -'
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
HOLE NO. New. Deep HOLE N0. HOLE NO.
Tiole s . shown
on revised plan.
ton 311 poor topsoil to none
then -Crnm +.bnre clown to
tie 4t1h-a s even - '- e��els
material can be classified as a
Ilej,l i'Z* san(ly grat=.elll wj -Eh mi nnr
amounts of boulders and loam
54
60"
66"
72„
78«
8411 No evidence of 'ground
INDICATE LEVEL AT WHICH. GROUND WATER IS ENCOUNTERED - not encountered in this hole
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED- n/a
TESTS MADE BY deep holes previously done- observed Date May 12,- 1973
percolation test - APM & TZOR - PvTay 19y 107.E
DE I GN Usable, `
Soil Rate Used 6 -7 Min/1 "Drop: 450 S.FS.D. Usable Area Provided 4x3.14x6.5x5.58
No. of Bedrooms 3 Septic Tank Capacity 900 Gals_. Type Approved Concreti
Absorption Area Pro ded By L.F.x2411 36" width trench.
Other X - four (4)
61-6" i ter seepage its - six feet ate as. showri on n
Name -ANYHUH P.- RIC L AUGHL.IN
PROFESSIONAL EN131NEER �P
� PjFlli •C ,t o
Address MILLTOWN ROAD, R. D. 5
i Ni Y, 10569
THIS SPACE FOR USE BY HEALTH DEPARTMEN Y� lt /'
c/
Soil Rate Approved Sq. Ft /Cal. Date
fiE5510N�
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
South Street. - Box 2233
Owner Herbert Alexander
Address pattPrson No-ur Vork l 6
Located at
ax
(Street Route 292 Spec. Map
Block Lot �'Tnaicate neares cross.s ree
Municipality. Patterson Watershed The Great Swam
SOIL PERCOLATION TEST DATA REQUIRED TO.BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
Run apse Depth to Water water Levei
No. Time FYI= Ground Surface in Inches Soil Rate
Start -Stop Min. Start Stop Drop in Min. /in drop.
Inches Inches Inches
1 Both holes A. & M- consistently had a rate perced at 11 -15 minute
2 proposed for the-pits is-.better or equal than that found at the
toe of -the slope,
3 Should the Health Department consider the submission presented
as possibly aoceptable,,contingent on new deep tests and percolation
i s ct c (at nna half thapffecf l r. depth of t h -i t. i P
5 feet down'/ or minus),;,then new tests will be run.
1 code, but this is because:
g; s
2 present location per DOT personnel; (.c) presence of ledge to east
or proposea awelling;_(d) high ground water a oe 01 slope
3 probably due in part to the stream across the road from the
4 property.
5
1.
2
3
5
Notes: 1) Te'ts to be repeated at same depth until aroximately equal soil
rates are obtained at each percolation test hole. All pp 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 SOILS ENCOUNTERED IN TEST HOLES
DEPTH HOLE NO.- H HOLE NO. L HOLE NO.
G.L. 3" of -poor topsoil in both holes
6" friable loam with some sand & clay
1211
1811
2411
3011
3 6 if
42" sandy clay
4811 loam
5411
60"
'6611
Water
7211 Some evidence
7811 :of better granular
(no ledge in '.either hole)
84
9 1 to,water)-
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED- 9t in H; 31..in L
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED, -, remains at elev.
TESTS MADE BY ApM Date random dates to observe
7 7 water tahlp.
DESIGN
Soil Rate Used 11 l.a4Wl. "Drop: S. D. Usable Area Provided 690 S.F.
No-. of Bedrooms thh Septic Tank Capacity 900 Gals. Type Approved Concrete
Absorption Area Provided By L. F. x24 36" - width I-r-e-n-cE.
Other our (4)
61-611. di er.,seepgge zits feet deep. Locate as shown in plan.,
fiTa.me 7 7_ 91- "
Address
THIS SPACE FOR USE BY HEALTH
0 10Y.
".;, , .. ��4,!",. .
Soil Rate Approved. Sq. Ft/ Me kle Date
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