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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 23.12 -1 -25.2 . kc 46 L jr I 00703 Property Details - Image Mate Online Page 1 of 2 Putnam County AbG Image Mae Online Navigation �, GIS Map Tax Maps DTF Links t Assessment Info ' Help Log In Residential I .[ - ;d�rYap�ep F QWnerl,., albs ��titnueto, `�` Tax ID: vines Municipality of Patterson, Town of SWIS: 1 372400 Tax ID: 23.12 -1 -25.2 Tax Map ID / Property Data Status: Active Roll Section: I Taxable Address: 190 Rt 164 Property Class: 210-1 Family Res Site Property Class: 210 - 1 Family Res Ownership Code: Site: Res 1 In Ag. District: No Zoning Code: Residential Bldg. Style: Cape cod Neighborhood: 00200- School District: Carmel Legal Property Description: 01200000020060220000 12 -2 -6.22 Total Acreage /Size: 3.72 Equalization Rate:. 2014- 100.00% 2013- 100.00% Land Assessment: 2014 - $55,600 2013- $55,600 Total Assessment: 2014- $259,300 2013- $272,900 Full Market Value: 2014- $259,300 2013- $272,900 Deed Book: 1707 Deed Page: 473 Grid East: 735567 Grid North: 965587 Special Districts for 2014 Photographs No Photo Available View Tax Map Pin Property on GIS Map View in Google Maps View in Bing Maps Map Disclaimer http: / /putnam. sdgnys.comlpropdetail.aspx ?swis= 372400 &printkey = 02301200010250020... 10/23/2014 Property Details - Image Mate Online http://putnain.sdgnys.cc Description Units Percent Type Value FD008 -Fire #1 0 0% 0 PK002 -Park district 0 0% 0 RG003- Garbage dist 1 0% 0 Special Districts for 2013 Description Units Percent Type Value FD008 -Fire #1 0 0% 0 PK002 -Park district 0 0% 0 RG003- Garbage dist 1 0% 0 Land 'lopes Type Size Primary 3.72 acres Page 2 of 2 22 w PUTNAM.COUNTY;DEPAYTMENT OF HEALTH c J DlvWon of EbvhroomenW .Healt6Servloer, C�emel;`N.Y 1OS12' • Y P' D Penuk N ` CERIMCATE -OF CONSTRUCTION COMPLIANCE FOIt_SEWAGE DISPOSAL SYSTEM T. Patterson. .. _ .. Town of VmaEe Loaded �. Route '164: TM.p 23 12 > 1 25.2 James'•Montgomer - -.y, James Montgom��'y •Owtier( Meant Name Formerly SWAKidon Name Aadra.a Route Y3-01, 'Carmel, N. Y. 7 057 2 Subdue Lot 4 2 Mdllog ;, . ; ; P ee ,.Enclosed -Amount .$'200.00 ' Date Permit _Issued' S/1j92 of irhich are, attached); and le „accordance with the standards ,.rule''' ant Putnam County Oi rtment Of Health . Dace' 1: June =1992 .'~ certitvled'by N ” Address i69 4alr '$tre Any n thrabow sY4!*,)_snal ProenPl e available and Ahe apPrbval: of the Private: %rater sul subject to mod{fkatbn or •cha. ngs when, In the', Dates --� requlntione in.acrnzdance wiCh the filed plan, and the permit issued by the 10lLlU(�1'�J' P.E. X A.A. License No. 749()f; as may be'neoeWry to secure the correction of any ununitary ,Me null aid 'void. ea goon a$ a Pubt unitary rwa beconna ubltc %rote ' wPply beov iines avallable. Such amovats are such revocation. InOdiflCI tlon or :ehOW k neca eery. TRIG 'I/ 89 Cn 7, DEPARTMENT OF HEALTH Division.of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL _ _1 PCHD PERMIT # 10(! WELL LOCATION Street Address Route 164 Town/Village/City Tax Grid Number T. Patterson NEw23.12 -1 -25.2 WELL OWNER Name Mailing Address gpPrivate James T. Montgomery, Rte. 301, Carmel, N.Y. 10512 O Public USE OF' WELL 1 - primary 2- secondary fl.RESIDENTIAL 0 BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP 0 ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify M INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT Five gpm /# PEOPLE SERVED eight /EST. OF DAILY USAGE 8- 00 gal O REPLACE EXISTING SUPPLY 0 TEST/ OBSERVATION Q ADDITIONAL SUPPLY O NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING Domestic Supply WELL TYPE ®DRILLED - DRIVEN aDUG []GRAVEL 0 OTHER IS WELL SITE SUBJECT TO.FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Yes James T. Montgomery 42427 Lot No. 2 WATER WELL CONTRACTOR: Name ? Address: ? IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: Over one mile LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED See dwg. #1 (Job S.0.2556- 12- 16 -91), by ®ON SEPARATE SHEET ghn H. Prentiss, P.E. 2 January 1992 (date) (signature PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty. (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant any and all water or waste products from such well property and in suc a manner as not to degrade or Date of Issue: 19 �- Date of Ex ation 19 shall take appropriate action to assure that drilling operations be contained on this otherwise- - contaminate surface or groundwater. Permit Issuing Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller Frltirr� =LJr= _ ry Ca__ �v yc7 T- - ' __._• _ _ _rte � � .yr CR Su= —Dr. _SiG`4 LCT DISrr� a_ E-z T- y m – Da of piac= ' �: T Vii; `,- LG� Zv�Z •.c,� ���- DF'_�' C_ ZTCt1f! SC1_ P.C� St�CC .C==_ L e- 100 ft- f_=. 'MG �.L� C,. LT rte. �IrYC �' ar—as a. se--tic tank 5;._c - 1.000 C. C_ C Sao cl _=:Cu' L wi _rua, 10 f= C_ C= i E111 C'. -_==_ a, RVC el 2. DEC= = E_L_ C= V_ 5 += C. L _ r1C is" trace V_ _ Ct=_2.:L �hL1F.z c_-- c. C ., -I �T LCC f_I'c 1 wt_Z 1 Iss_C.° Cit LC\ 1!E SAC ^ES < -„ in CvT_- i __ ; - i -IC 1 1 ✓: cCC^rui _ ^_C tt-C C=_.. =C= C--]- .� � I I I away t=C[T'i _ ES c'_- C= ! C' V IC=_ CI] S i cc-S C.=_== t7 ^_ - C:' e-. C= - -cam �_-- c-�^i� 1J16 ` - 1/32 6. 10 �_ -_ _ CiC.: ° L i 1 -- '•- - 20 _ C--- �I 31 lv. Dec` C_ CZ=..el iM t`,Ch L" 1; Pig E= _ Pao CR DC-SE S c—.,iS L . Chi erffjc ri tan _ F'=.:c E____: Fi 6. C. e w _ -- -_ _ -- be E,.. _ E-1 E_L_ C= V_ 5 += C. L _ r1C is" trace V_ _ Ct=_2.:L �hL1F.z c_-- c. C ., -I �T LCC f_I'c 1 wt_Z 1 Iss_C.° Cit LC\ 1!E SAC ^ES < -„ in CvT_- i __ ; - i -IC 1 1 ✓: cCC^rui _ ^_C tt-C C=_.. =C= C--]- .� � I I I away t=C[T'i _ ES c'_- C= ! C' V IC=_ CI] S i cc-S C.=_== t7 ^_ YML Environmental Services 321 Kear Street, Yorktown Heights, NY 10598 FLAP #10323 (914) 245 -2800 lD�,t2 COL'D BY NOTES – l RESULTS OF WATER TESTING X ANALY FE RESULT UNITS p ALKALINITY mg/L AMMONIA mg/L ARSENIC mg/L CHLORIDE mg/L COLOR Units CONDUCTIVITY umhos /cm COPPER mg/L DETERGENTS mg/L FLUORIDE mg/L HARDNESS mg/L 11RON. mg/L LEAD- mg/L. MANGANESE mg/L MERCURY mg/L NITRATE mg/L per 100 mL NITRITE FECAL COLIFORM mg/L per 100 ml, ODOR. E. COLI TON per 100 mL pH FECAL ST REP. S.U. per 100 mL LAB NUMBER DATE /TIME TAKEN '5 ZZj 9 2– I Z woo DATE /TIME RC'D 5 Z Z DATE REPORTED SAMPLING R+ ..try SITE �} �!MOT3 ' 1i q W Air For Lab Use Only — Potable. HNO3 _ pH LT 2 _ <4C Nonpotable _ NaOH _ pH GT 9 %C <20 >4C HCI _ Na2SO3 >20C .STAT! H2SO4. ZnOAc MPN P/A RESULTS Of WATER TESTING X ANALYTE RESULT . UNITS p PHOSPHOROUS _ mg/L SILVER mg/L SODIUM. mg/L SULFATE mg/L SULFIDE mg/L SULFITE mg/L TURBIDITY NTU ZINC mg/L. SPC per 1.0 mL TOTAL COLIFORM per 100 mL FECAL COLIFORM per 100 ml, E. COLI per 100 mL FECAL ST REP. per 100 mL These results indicate that the water sampl [WAS] [WAS NOT] [NA] of a satisfactory sanitary quality according to the New York State Sanitary Code, for the p am ers tested, at the.time of sample collection. These results indicate that th Tar mple [WAS] [WAS NOT] [NA f a satisfactory chemical quality according to the New York State Sanitar the parameters tested, at he ti of sample collection., NA = Not Applicable N = Not Present (Negative) SUBMITTED BY: P = Present (Positive) SA = See Attachment(s) " = Also done because Total Coliform was present Albert H. adovani, M.T. (ASCP) TNTC = Too Numerous To Count Director > = CT = Greater Than < = LT = Less Than h>. P[TTNAM OOURN DEPARDERr OF HFALIII DIVISION OF ENVIROMWAL HEALTH SERVICES Owner or Purchaser of uild g Building Constructed by. Location — Street A) Munici lit ' T I� Y Building Vype Section Block Lot z eS.ubdivisiop Name Subdivision Lot # GUARANME OF SUBSURFACE SEWAGE-DISPOSAL SXSTEM 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 successors, heirs or assigns, to place in'good operating cond'ition'any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage disposal system, or any repairs,rade by me to such systi=,m, except where the failure to operate properly is caused. by the willful or negligent act Qf the occupant of toe building ut�lizipg the system. The undersigned further agrees to accept as conclusive the determination of the Director 'the Divisiop of Environmental Health Services of the Putnam 'County ' Department of Health as to whether or not the failure of the system t.o caused'by the willful or negligent act of the occupant of the b�ildiny the system.. Dated this _ day of 19 neral Contra r ( ) - Signature Corporation Name (if Corp.) ,Address rev. 9/85 Signature . Title Corporati, Name (f Corp. 1 �y� .. . PAdress 1 f -�- P== �I,LLi 3'v T1T:��'_ EE_ =!..= : _ roc r^.=�rn r ? ^_ Cc_�a_ _.��^•�T C7 E - D_'i��iof C= ' `' � � �r ^Qie -�r' == �urcr•1 a .�cr -_Zr= ,�s..••�t'r�' DLc= r.... -L icc E / !E - C. I I i I I • I I I I • `r _ r_C& jal='.1 I - I i I I i /I E_Z_! Lam=: _! - I I i I I • I I I I • `r _ r_C& jal='.1 I - I i I I i /I .c. _ -& Dx c_ E °e-=Tc =c_ FcT_cGC�= ECG- �c= EEwr�% ( -_C - lc'-I , Dr 20' to Walls -_ 1_00` to kl; 2UU' - - is D- r._D,Dr 150 p -- 100, to sttrsaml Water 13 ` Dra;nc= _�ir_��r r� FcCC 3,T� 0 r A� Cpl WELL COMPLETION REPORT Office Use Only a DEPARTMENT OF HEALTH 04 Division Of Environmental Health Services W' PUTNAM COUNTY DEPARTMENT OF HEALTH WELL LOCATION STREET ADDRESS. MWNIVILLAUM11Y TAX GRIO NUMBER: R4 a so 11 WELL OWNER NAME: ADDRESS: � PRIVATE CL1,14-✓ fit- ,1-11 = oI (esf�,- 0 PUBLIC USE OF WELL IX RESIDENTIAL O PUBLIC SUPPL ❑ AIR /COND. /HEAT PUMP O ABANDONED 1 - primary ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION O OTHER (specify) 2 - secondary O INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY O MOUNT OF USE YIELD SOUGHT gpm. /NO. PEOPLE SERVED _ / EST. OF DAILY.USAGE SaD gal. REASON FOR _ []REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION ❑ADDITIONAL SUPPLY DRILLING. ®NEW SUPPLY (NEW DWELLING) []DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH ft. STATIC WATER LEVEL a 2' ft. DATE MEASURED DRILLING O ROTARY Mr COMPRESSED AIR PERCUSSION ❑ DUG EQUIPMENT O WELL POINT O CABLE PERCUSSION O OTHER (specify): WELL TYPE _ O SCREENED O OPEN END CASING la OPEN HOLE IN BEDROCK O OTHER TOTAL LENGTH_ ft. MATERIALS: 9LSTEEL ❑ PLASTIC O OTHER CASING LENGTH BELOW GRADE � fL JOINTS: O WELDED 9 THREADED O OTHER DETAILS DIAMETER _ in. SEAL: I�CEMENT GROUT O BENTONITE OOTHER WEIGHT PER FOOT Ib./it. ORIVE.SHOE. CO YES ONO I LINER:OYES ONO SCREEN DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? DETAILS FIRST O YES ONO SECOND HOURS GRAVEL PACK O YES GRAVEL- DIAMETER TOP BOTTOM O NO SIZE: OF PACK In. DEPTH ft. DEPTH It. WELL YIELD TEST If detailed pumping Yy �L� LOG tf more detailed formation descriptions or sieve analyses METHOD: ❑PUMPED t tests were done is in- are available. please attach., R COMPRESSED AIR , formation attached? DEPTH FROM SURFACE Water Bear• Well Oia• O BAILED O OTHER ; O YES O NO }t. It. 1n9 meter FORMATION DESCRIPTION p0E WELL DEPTH DURATION DRAWOOWN YIELD Land l: It. hr. min. It. 99m. 15' � M Ce. WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? O YES O NO ANALYSIS ATTACHED? O YES ONO STORAGE TANK: TYPE PUMP INFORMATION CAPACITY GAS. TYPE CAPACITY WELL DRILLER NAME — ' � d � �}I --F-.� �.�i L�J 2e.� C© fir. DATE MAKER DEPTH ADDRESS le 1� S 3}Ga1 MRE a�►. MODEL VOLTAGE HP /VV I �� HJ t7Vtlt V. �ttrltfloa at pppa hauirw •. ' Structure IDcated twin survey by surveyor gnote,d baIOwz- ental Anal Serglo4,. , oll located by6 Surveyors survey 6/0 °�DDroved ee noted for oonp a ,ritb 4Urs1.l dflll6.G5 fOpOfi 30'i . - �' 1 linable gins, ead 1teQUlatYo i _ QC' W �•o •�• F) LL ^h6G(i o I' � � °�tY Eealth oStthe -En. ne'er° rnesurementg.n_ ._ -- _ -- 8300� I I STtiLLG�J O a t'?t • g an k, pox.pa, pfjd,;O#yorles & lotsro't5-i6"cg1e4 kY ::.6 tlaCtor Mrk'f Gf�IAL . hl of: 3' - y I _ r Maattt:,dc:pt , D Ftotd lnaper lon -bY ; Hedith dept do t e { date 5-+ fM,`j rr? t it b+ - - • (l'� Tutu b to caret Ea @fr{rC,.''t1,E a+yk,•�ct. €,tf15f 04F11 a} C4M V &3 conatrurr , A3 �'L,.. �/ —a- 4- so 1.I I? �I � b c� ( \\ NOTIE�.- indmrateil vn Khs plan zn1� that. Eh F' og0' t 'veten ina ner ecru+ k e— y. liW 7 @. p S .aeo 6prnro -,Lt; 5aJ vas oove481 aver: Ttzr .piat�/» z:is F A' - constrrict'ed im aceordan�c ztLctt3 �T7 ' - �� E -�-� -- . 0'` - ��$tnizdarcl t•u I,e;s' and rc.guI.at_i.rzrteL-pr I. 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