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Home My WebLink About0698DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 23.12 -1 -9 / 23.12 -1 -13 11.•: It ■ { • S� r . _; ■ 1 rim ., r 1' r ,rr J ;r , , , 11.•: 1ID PUTNAM COUNT1l EPARTMENT.'OF HEALTH :_ , 4, pe=mit,a P 35 -•84 Division of. Environments! H Si Y 10512 CERTIFICATE. OF. CONSTRUCTION COMPLIANCE z.FOR: SEWAGE :DISPOSAL: SYSTEM T.. Patterson _ • ••' Tovvn`or. Village Located at Dlount sin .View 'Road &Locust .'Way .. Taic'Ma(t ;186 Block. 3 -. Owner Eileen'& Michael Hala.tJy$brmerly Taxksa . of a 23/'24' &" Muw' .• Lot a Separate Sewerage system built ;by Diitche Homes Addr'e:><ox 73, Patterson', - NY 12563 Consisting of�]etst_ut�c�aL Septic Tank and 400 -Toi let & 275 Kitchen Lineal rFeet X 24 "; width ..trench other requirements None, Water supply: Public Supply From X Private •Supply Drilled By P:.. F . � Beal .,& Soiis', Ind., Address Route' 6, Brewster; Nt't 10509 Modular Three 10/19/84 Building Type - No, pf Bedrooms' Oete Permit Iswed Has Erosion Control Been Completed? Yes.. I certify that the syetem(10 as; listed serving the abbve premises were constructed essentially as shown on,the. plans of the completed work.'( copies of�which are attached), and• in'accordance• with the standards'` rules and regulations in accordance with the filed'plan, and the permit issued by the Putnam County.bepartment of Health. Date Ju1X 3 19,85 Certified by v.E R.A.- �: .Address -- , . 12 License No .29206.. Any person.oecupying promises served byahe above systems) shail promptlyiake such action as may by necessary to sicure.the eoiraction 'of eny :untanitary , conditions resulting,, from .such, usage. ,:Approval 'of the: °separste sewerage system shall become null and void ss'soon as a'publk . iinhary sower. becomes available and ,the approval `of the :private: water - supply ihall,'become null and• void when s' public water supply becomes willapN. : Such appiovali are. sublect•to inodifieatlon or 'change when; "{n,tlie:juilgmenf:of t "ommisilonei of'Nealth ,weh. lion, modl I�ation o► change Is neeasYiY.,. Date'. - ,.. By Tltla Rev: 9 -8l. .. Eileen & Michael Halat.n Owner or Purchaser of Building Dutcher Homes Building Constructed by Mountain View Road & Locust Way Location - Street Patterson Municipality 186 Section 3 Block 23/24 & 19 Lot Mountainview Estates Subdivision Name Modular B -4/5 & C5 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 the Putnam County Department of Health as to whether or not the fail- ure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this July day of 3 1985 Signature Title Rj Corporation Name if Corp. � �,., ✓,•,, Address PUT ;, A� HEALITH 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 Yorktown Medical Laboratory, Inc. 321 Kear Street Yorktown Heights, N. Y. 10598 (914) 245 -3203 Director: Albert H. Padovani M. T. (ASCP) r C/1,' LOCATIONS: ❑ 321. KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245 -3203 ❑ 201 BUTTONWOOD AVE., PEEKSKILL, N.Y. 10566 737 -8777 .11495 MAIN ST., MT. KISCO, N.Y. 10549 666.3335 STONELEIGH AVE. (NEAR HOSPITAL). CARMEL. N. Y. 10512 278.9330 DATE TAKEN: DATE RECEIVED: DATE REPORTED: SAMPLE SOURCE: Lab N——_ REFERRED BY: J Collector: LABORATORY REPORT ❑ ACIDITY .......:.................... ............................... ❑ ALKALINITY i P= ................ A= ....................... BACTERIA,TOTAL /mL ......... ......................... ❑ 80D, 5 DAY ............................................................. ❑ BROMIDE ............................ ............................... ❑ CARBON DIOXIDE, FREE ........ ............................... ❑ CHLORIDE .............:.............. ............................... ❑ CHLORINE ............................ ............................... ❑ COD .................................... ............................... ❑ COLOR (units ) ................. ............................... D. CYANIDE ............................ ............................... ❑ DETERGENT, ANIONIC ............ ............................... ❑ FLUORIDE .................... ............................... :.. 1111. ❑ HARDNESS ............................ ............................... ❑ MPN COLI FORM COUNT/ 100 ml ............%(.. 1!' T COLIFORM COUNT/ 100 mt •••••••L�• :........:..... ,`/--'� CONFIRMATORY TEST ............ ............................... ❑ NITROGEN, AMMONIA .................. ❑ NITROGEN, KJELDAHL ............ ............................... ❑ NITROGEN, NITRATE ............ ............................... ❑ NITROGEN, ORGANIC .......... ❑ODOR ( units ) ............................................... ❑ OIL &(Units) GREASE ........................ ...:........................... ❑ pH ...................... ............................... ❑ PHENOL ................................ ............................... ❑ PHOSPHATE (ortho) ................ ............................... ❑ PHOSPHATE (condensed) ............ ..........................:1111 ❑ PHOSPHATE (total) ........... ..... ..................:............ ❑ SOLIDS, SETTLEABLE, ml /L .... ............................... O SOLIDS, SUSPENDED ............. ............................... ❑ SOLIDS. DISSOLVED ............. ............................... ❑ SOLIDS, TOTAL ..................... ............................... ❑ SOLIDS. VOLATILE ................. ............................... ❑ SPECIFIC CONDUCTANCE (uhmo s / cm) ............... ❑ SULFATE .................. ............................... ❑ SULFIDE ............................. ............................... ❑ SULFITE ............................. ............................... ❑ SURFACTANTS ..................... ............................... ❑ TURBIDITY ( NTU)................................................ ❑ ALUMINUM ................................ ............................... ❑ ANTIMONY ................................ .....:......................... ❑ ARSENIC .................................... ............................... ❑ BARIUM ....................................... ............................... ❑ BERYLLIUM ................. .............................., ❑ BISMUTH .................................... .................:............, ❑ BORON .:........................ ❑ CADMIUM .................................... ............................... ❑ CALCIUM ......................... :......................................... ❑ CHROMIUM (tot.) ............................ ............................... ❑ CHROMIUM (hexavalent) .................... ............................... ❑ COBALT ..... ............:.................. ......................11..11.., ❑ COPPER .................................... ............................... ❑ GOLD ........................................ ............................... ❑ IRON ..... ............................... ............. ............... ❑ LEAD , . ...................................... ............................... ❑ LITHIUM ❑ MAGNESIUM ................................ ........... ..................... ❑ MANGANESE ................................ ............................... ❑ MERCURY ...............................:.... ............................... ❑ NICKEL .........::. . ....... ............................... ❑ PALLADIUM ................................ ............................... ❑ POTASSIUM .................. ............... ............................... ❑ RHODIUM .................................... ............................... ❑ SELENIUM .................................... ............................... ❑ SILICON .................................... ............................... ❑ SILVER ........:............................... ............................... ❑ SODIUM .............1111 ....................... ❑ TIN ......' �.'. r . ............................... ❑ ZINC ........ �j ................. � .............. ............................... ❑ ................................... ..... ............................... o........... 1111. .... . .:,.. ^. 1..... ...... ............................... ❑ REMARKS: ................... ........,..r...... ... ............................... ❑ ............... C%A 41 ".IT .............................. O.. ................(Sl:�..::..i, > ?;3 -1 . ............................... ❑ ................ ............................... ............................... ❑ .................................................... ............................... ❑ ................................................ ............................... ❑ ... ..................... ............................... THESE RESULTS INDICATE THAT THE WATER WAS'p OF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED. THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEM- ICAL QUALITY OF THE NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS, DRINKING WATER STANDARDS (PART 72) FOR THE PARAMETERS TESTED W N THE SAMPLE WAS COLLECTED. N/A = not applicable Albert H. Padovani M.T. (ASCP). Director WELL COMPLETION REPORT r PUTNAM COUNTY DEPARTMENT OF HEALTH 3)71 Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK l This report is to be completed by well driller and submitted to County Health Department together with laboratory report of 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 OWNER NAME 4 I o- !� t f._�°? m {'"I 1 ., �v � D�Cv $' ADDRESS ,+r `.m Patter,s.on :. - NY LOCATION OF WELL (No. 6 Street) (Town) (Lot Number) Mt. View Road Patterson PROPOSED USE OF WELL BUSINESS ® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL ❑ SUPPLY El INDUSTRIAL ❑ CONDITIONING ❑ (spe if ) DRILLING EQUIPMENT COMPRESSED CABLE ❑ ROTARY AIR PERCUSSION ❑ PERCUSSION ❑ (Specify) (S CASING DETAILS LENGTH (lest) 31 DIAMETER (inches) 6 WEIGHT PER FOOT r 19 93 THREADED El WELDED PRIVE SHOT M YES ❑ NO X YES � NO YIELD TEST X HOURS G.P.M. ❑ BAILED 11 PUMPED ❑ COMPRESSED AIR YIELD (G.P.M.) 15 WATER LEVEL MEASURE FROM LAND SURFACE — STATIC (Specify ft) ee 35 DURING YIELD TEST fleet) Total Drawdown Depth of Completed Well ' in feet below Land surface: 185 SCREEN DETAILS MAKE LENGTH OPEN TO AQUIFER (feet) SLOT SIZE DIAMETER (Inches) IF GRAVEL PACKED: Diameter of well including gravel pack (Inches): GRAVEL SIZE (Inches) FROM (feet) TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION . Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET 0 20 clay overburden 20 185 shist, quartz vy3 tv or If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED 3-28-85 D TE F PORT - WELL DRILLER (Signature) / , Miphael Halat n Owner or Purchaser of Building �it l}1PY NnmPc Building Constructed by Mountain.View Road & Locust Way Location - Street Patterson Municipality mnditl ar Building Type 186 Section Block 23/24 & 19 Lot Mountainview Estates Subdivision Name B -4/5 & c5 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 the Putnam County Department of Health as to_ whether or not the fail- ure of the system to operate was caused by the willful.or negligent act of the occupant of the building utilizing the system. �y Dated this T „�F day of 3 19 85 Signature / Li`/ Title (O'tit� ” �A .� Corporation Name if orp. Address - - - - - - - - - - - - - - DrEPT. our -LIFi it -ii - - - - - - - - - - - - - - - - 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 �S h, rCONSTRUCTION PERMIT FOR SEWAGE DI Located J M rew 'Subdlvisl 11—maii, i F rame! poi �V_Number. of h. r -separke gwerage--Syste vto o -. e constructed- by' � _t' f Other Requirements � 56oVs dakrIbed4ill be-c6hSteud ed -afffiow K County Men r be --submitted to `the _-D_GPili y' :ap&. a -,Wf ante .-.6f 'the approval! of the Certificate o twill be'.located as shown on the approvod plan ' County Department of Health r 24 oats M YC "�A� OU F. -.IAPP,ii6VkD'F�OR'dONST,RucTioN Thii-•,a zr '-Oarnilt.' ..'Appro f requires a new "X_ U Gal �nh._ and 4 T 7 7- LI F1 9; 105 r own or age -v 4' 86 1CC A, 19. Only ❑ % %10 I'l e V 7 66 -T , fti, 'Ar en Laqh 6, V: sops crate, so Oe.dis6oul,witen, ly r nce wJth the st darda, rules an regoatigns oft -the utnarn COMPHAPOIi 4654cto4, i6 J6 fttAlsiloh6r of l4aithW1117 - - � ". 96 __� F4;eW%-'_h Ii I 'liWghS,b9 the builder, ii�!i Uid'bulider will !, of two (2) yeas Immediately ,!following ;'tPO,OatI of�the lisu- 'fjj'fhe'iefo;*2) that the `drilled .well .described 466v6" ith the standards, rules - `and , nam ulatlops,_., -:zOf. - '4h i• Put' P E, Re- 20 b undertak", "ti of the bullcift'ha's n-,, construction' I c4n-ge- or,- anon .'of confttulqtlolj-, 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., O4rner f ik�,d L Hoc.la gpJI�e� �djAddress j t,.& i j4ew gA. I. L c ies'k Way Located at (Street Block -1--Lot 1 j n ica e nearest cross s reef Mo ij&Mlr,VFgw Co W.) LAr 04/re Cr Municipality P�sa� Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Ole Number CLOCK TIME PERCOLATION' PERCOLATION Run apse. p o Water Wa t e ve ` 'No. Time From Ground Surface in Inches ' Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches-:.,',,. Inches ' Inches> 1 I o 0o I i 11 81 2 11 4 jq6 jil it. 1� Y l i oos..= t iLaS �7 0)4 3 2 4 5 Notes: 1) Tests to be repeated at same depth until appproximatelyy equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. \. 2) Depthimeasurements 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. HOLE NO. I.- G.L. 1 6 ® dh 12" 18" La ow 24" 30�� . 36" c l d v e u Loa 11'' - -a `t 2 " .�.° 4811 S ®v►,e �eJ�_� 54" Srn,1t 1 I mks 60" 7. a 7811.. . 84" Q c k No e e "cF- INDICATE LEVEL AT WHHICH GROUND WATER IS EN001MERED No-it. INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED•Mohe' TESTS MADE BY p eAs(t}.FT; /J.K•P.) a_uj "!- Perss.(wKr. -j.u,Pj.. Date_A ILII84. DESIGN Soil Rate Used , -fib Min/1 "Drop:f S.D. Usable Area Provided 5Tl IE6 No . ' of Bedrooms ee Septic Tank Capacityt'wo- 60 d Gals . Type_ Absorption Area Provided Byfnbo L. F. x24" `b"- width trench. fate K�leheh Lett "d� SS�O pFE Nq .Name r�, �.� P��RtY'1 C� lgna �'e VR . Address 9. EL I R ST, SEL/ THIS .SPACE FOR USE`BY'HEALTH A Tr iT ONLY: 6 ° psi N�• 2920 /.,F. .Soil Rate Approved Sq. Ft /Gal. Checked by '�oF 4 M Staip I J r(oo IPA (7 f? I C7 e LA. i3,c�n' P7G—D 2' 1 — 149, VA 5 -A" F LJ -rLJ L J did Tlcz e;.ip:x r Ir 4r g in 41 ^Q \�O. V U0 . /\ �p 00 qti ryb� �\ \ 0V SD gh° A. KI-t6f-�Gi� 4-14 ho LI D (P,�r�� -i rbl tic � n D � a _ E D \ oz i- ,V :u roo 1, ,aN � I I 0 I �o O LAT�2AL.r� lo - o'�o,G, d j- �c,rGl7, l�l1G t'i�•3Z. z ham co mt Division of s tieatti .... •. . . Health.BesOtaes ' ' ;pp ed as not r oonf ' Witti ipp able7Hule tions of the t'u C ty t •. y= ¢natarr F. .l a`O . (Structure located from survey by surveyor noted below q ell located b y: Surve yors surve y. _ _ , ®_ — Well driilers report -- Engineers mesuremonts [f_ — —_— Tank, boxes, pi4s, gollorles 8 laterals locoted by:Contractor: Engtnoers Health da,pt: "C Field inspection by: Health dept ® do t e:� _]_ l7 -&1r2. �. Enganeer data: —Ci�� /r PoADTITS: � Ie �o Tai- ,Lr=i �,TI! oF" Tot L•� .LA•Y��AI�a ec,�,.�fv 4vv -ol' , A A - C . C = a ? &7= . 1A - E -7- 7,0LL E a 2 4 (0 A- F a zi, ,r ' T 1 tl F A 6 °�q 69.4 --"s G a3 G'- 01 JaQ! �, " o H. a e,vr,�v'4 A - H H 0 -- ri A K ?6 6 B K =fit �c'JOu LocAT1oN sr `ree+;Mc�tJ►T_-rlall- r_Via-vc/ fZ�owAP— 4v_G� 1 Wes_ Tow na�AT 1�GP.hvt County: SUBDIVISION;�ioLlt�Tfio VIG�: / +C��TATi;�J�l�afh.P�_�ra�GTS�- Map:�A.X, (8 a0. — — / Block•. — — -- - .LOT his 9udder: -- — — — — - - -- Surveyor: JA 1"1Fi� Ora «n:p pte� Date: 7_3-85 9eote: Ill.:: 3oI Job "40 7-172 JOHN H, PR ENTISS PE, Dwg. CONSULTING ENGINEER RD 9, , CAR MEL NY I0512-- (9141878 -6170. ih