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Home My WebLink About0495DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 14.19 -1-4 BOX 6 00304 to al rI IN No No ' 1 I� {� f ` II J - �, 1 '{, rI ., ' T , ' , , I6 L f :4 ., r I IN 'R INNNIN No No �N or to ' L 1 00304 / PUTNAM COUNTY DEPARTMENT OF HEALTH v Division, of Environmental Health Services;- Came% .N. Y `10512 CERTIFICATE,'OF,CONSTRUCTIO,N. COMPLIANCE F OR E IN AGE,DISPOSAL- SYSTEM (� .:.. A . * Town or vfltagee , Located' tat w� •� Tax Map -� Block ` s IVV!` �Y1N� i t�I1771 V� ^ah Lot ` LQ Job Owner Separate: Sewerage System' built' by fi' Address Consisting of r Gal .Septic Tank and Other. requirements Water, Supply:. public ;Supply From • , .Private .Supply •balled By s Addr85 c: , w Bwldmg ;Type P—� �� No of Bedrooms Date Permit Issued n 3 :Has Eroion Control ;Been' Completed ('certify' "that the systeni(s) as listed serving ;he,aboye: premises were constructed essehtiaily as :show on. the plans of the completed work (copiei of which are r attached) ,.and in`accoo d ace wi th /e standards, rules regulations plartsfiled; and the. er -,issued 't;y the 'l? ty►- Bepartment of Health. Ub / J Date Certrfietl by R.A. Addres t: g License No V " Any Jp6r*ion occupying premises served by'the, above systein(s) shall promptly take such action as may 6e necessary to secure the ;correction of,any unsanitery 'conditions resulting from such- usage.. ,Approval, -'of the separate sewerage.'skem shall become null and void -as soon as a publlc. sanitary fewer becomes avallable:;and the approval of the ;private water. supply.shall become null void when .a: public water supply: becomes available Such approvals. are #ubject to modification of changeV when, in' the Judgment :of the Co missio r 'of Health;' such -reyo odification',or change is' necessary- . �1 i BY it , i :0 M N. Atli 'ZI APPROV., 0' �.L AUG M MVISI, '71"14M94TAt IHEALTIR, ... . ... . .... kiWtmq,**,m 42Zma �zp K v - V`4 �I= 3ACTP -RIA PER,ML. (Agar plate count at 35. C)- COLIFORM.'GROUP'(M6str probable N6.7100m1:) .ARDNESS; TOTAL - ppm ' NITRATES (as N) -:ppm COL08...8.. 0 DIM -- TURBIDITY: _ 0 YORKTOVW MEDICAL LABORATORY IRICr Yorktown Heights, N.Y. 10598 P.O. fox 99 321 K�r S��4 245 -3203 ; DATE CCLLECTE RESULTS OF EXAMINATION OF WATER DATE _. R1: CENKE) OTTO O): CITY, VILLAGE, TOWN &,/OR NAME OF SUPPLY DATE REPORTED j M LitvG a�l� ^., _. TAI- c ,� it.: ar plate count at 35 C). OL_i. O,�? i G'Rcr P (Most .probable *ia. IOOmI.) airs A? - PPm b LESS TIM-60K 2.2 200 m(ve , Hard) DETER.G£NTS - Pent t IRON, TOTAL - ppm Fri 6.2 FLCURIDE (F) - m9. ! These results indicate th;r the water was of a satisfactory sanitary quality when the le was toll ed. 111 / j �� ` `t• ft r.Arx,v r r - r YORKTOVW MEDICAL LABORATORY IRICr Yorktown Heights, N.Y. 10598 P.O. fox 99 321 K�r S��4 245 -3203 ; DATE CCLLECTE RESULTS OF EXAMINATION OF WATER DATE _. R1: CENKE) OTTO O): CITY, VILLAGE, TOWN &,/OR NAME OF SUPPLY DATE REPORTED j M LitvG a�l� ^., _. TAI- c ,� it.: ar plate count at 35 C). OL_i. O,�? i G'Rcr P (Most .probable *ia. IOOmI.) airs A? - PPm b LESS TIM-60K 2.2 200 m(ve , Hard) DETER.G£NTS - Pent t IRON, TOTAL - ppm Fri 6.2 FLCURIDE (F) - m9. ! These results indicate th;r the water was of a satisfactory sanitary quality when the le was toll ed. 111 / j �� ` `t• ft r.Arx,v r r - r Telephone Brewster 9 -3341 FRANK CARROLL WELL DRILLING, INC. R.F.D. 3, ROUTE 22 Brewster, New York Oct . 2 ,19 �4 Mr Otto Wolf Route 22 Patterson, N.Y. Dear sir, I checked the well on your property Route 22,Patterson N.Y. as you requested. To whom it may concern, Total depth of well is 293 feet. Well is cased to 25 feet with 191b. steelpipe. Well produces 6 G.P.M. /' ei "ijwwww w aw wwww / w wwwwwwwwrw w w w w w w ww w w w w w w ------ -w w w w w w w w w w w w w w w w PUTNAM COUNTY DEPARTMENT OF $EALTH • `,,:�:.. ., ._;, . Dfvision..of •Environmenfal- Hea /ih•:Sewices, CaKme% N. Y. 10512 CONSTRUCTION PERMIT FOR SEW ;DISPOSAL SYSTEM Aai-terGOn - Town or • ViI,lage Located at Old -Route 22 Section o16 Block 01 Subdivision Lot • 10 Job' - -- Mr 'Bc.Mr�. 0tb`Wolf• 'Address O1 Ro t owner 4 , 22 f , Residence '8c. officeL ' 1 5 acres Patterson N. Y.- Building Type - ot Area ; Number of ,Bedrooms t - Total _Habitable Space -1 2 30 Square Feet 1000 160:' 3.� Separate Sewerage System. to co »sisf, of y A3a1. - Septic Tank ' linea`I ,feet X width trench ',TO be. constructed by = Address -Water Supply: Public Supply From -Private:,Supply to be drilled, by g 8 " wal l Address;: Other 'Requirements See drawings, ;-notes and details' l4epresent that I`am wholly and completely responsible for ;thedesign and ` location -of the proposed systems) i), that the separate :sewage disposal system above described will be constructed =as shown on the approved amendmentthere to and in accordance . with -the standards, rules and regulations o t e, u_ nam °County Department of Health,-and: that o,n completion thereof a - 'Certificate of sconstruction Compliance" satisfactory to the Commissioner of Health will s. be submitted to t_he De,partment`- and a• written.;guaranfee will be furbished the owner hissuccessors heirs or assigns, by the.:builder, that'said builder will. place bm goo . operating;`condition; any part of said sewage disposal system during the period of -two (2) years 4mmetliately.following'thedate . of the• issu- ance of the approval,of the Certificate; of. Construction Compliance' of 'fhe original system `or any`repairs'thereto; 2j that the drilled well described above M ,be located as shown on the pproved plan and Ahat said well willibe insta ed', in accordance, ith:the siandards;':r:ules and regulations of. the Putnam County.Department of a It Date - Signed ` P E R A:_ o Address Route ` lOQ , BOX 29:2 , -S z's , NY 10589 License No 6 3�+9. - APPRQ,VED FO `CONSTRUCTION This approval „expires one year from the date. issued unless'-construction of the building has been undertakan-and •is revocable for cause or- may `be amended 'or or when considerednecessary 'b, , he commissioner of Health: • =Any change'or alteration •of construction requves a. new permit. Approved for disposal of` domestic, sancta age, and /or private water supply only. Date Z2 Title IN ,1 l 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., OwnerMr. & Mrs. Otto Wolf Address Old Route 22, Patterson, N. Y. Located at (Street Haviland Hollow R (gEc. 016 Block 01 Lot �Indicate neares cross street) Municipality. Town of Patterson Watershed 10 SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number `CLOCK TIME PERCOLATION PERCOLATION Elapse p o a er water Level No. Time From Ground Surface in Inches Soil Rate .Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches #2 1 2.20 2.34 14 20" 23 3 4.66 2 2-50 3eO� 15 20 5. 3 3:20 3 :36 16 19" 22 3 5.33 '+ 3•x.5 4!OR 1`i 19a 22 2; 5.2 5 l 1 2.50 3:03 13 18 .21 3 4.)3 2 3:15 3 :2':o 14 152 222 4.66 3,3:43 3 :47+ 14+ 19.1 2 22-1 3 4.75 4 5 ....�_. #3 1 2:55 3:12 17 19 22 3 4, 66 2 3,_253 ! 54 12 18 21 3 . 6.33 3 4:10 4:28 18 192 222 3 6.25 4 5 Notes: 1) Teets to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. iName ,, PTA= Lent, R.A. , AAA bignature IVY Q Address Route 100 Box 292 SEAL Somers, N. Y. 10589 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: mop No. • Ot Soil Rate Approved Sq. Ft /Gal. Checked by �e _ b TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. I & 2 HOLE NO. 3 =d HOLE N0. Deep Hole G.L. 'Grass Grass Grass Err Top Soil Top Soil Top Soil 12" Fundy Loam Sandy Loam Sandy Loam 18" it n " ►r n 2411 n 11 n " it rr 30" " " Small Stones 36" 42" ►► r► 48" ►► �► 5411 " rr 60" broken sand stone & micaceous stones 66" 72" n n . 78" denser of same 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED no water INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BYLeRoy F. van Lent, R.A., AIA Date 9/14/74 & 9/17/74 DESIGN Soil Rate Used 7 Min/1 "Drop: S.D. Usable Area Provided 13,1500 No. of Bedrooms 3 Septic Tank Capacity 1000 Gals. TypePrecasb-- concrete Absorption Area Provided By 160 L. F. xi�V" 5b" x width trench. iName ,, PTA= Lent, R.A. , AAA bignature IVY Q Address Route 100 Box 292 SEAL Somers, N. Y. 10589 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: mop No. • Ot Soil Rate Approved Sq. Ft /Gal. Checked by �e _ dA- 70 2-J, SKI' Wl O IP5 es m4y �rn�- Co: '040 Gcoi; L -,-L "'YX A -*T qrraa 7fLE F, eLz- CF� LL Poe SWW.-, !i, Lg,&o i2ta 11m.d Q$ll tP 4? j9,