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HomeMy WebLinkAbout0729DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 23.13 -1 -18 L RUN`. i NEI ar ' 'F -, 6 m6 h ` ' I aim ` I -1 - = 00729 I DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 14509 TeL (914) 278 6130 Fax (914) 278.7921 Site Design Consultant PO Box 423. 2070 Saw Mill River Road Yorketown Heights, NY 10598 Dear Mr. Riina:: 13RUCE R FOLEY Acting Public Health Dlntaor July 15, 1997 Re: Proposed SSDS: S,& S Properties Rt.. 311 & Fair Street (T) Patterson Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may. be subject to local wetlands regulations. You should contact local wetlands officials in this regard." - —" You are referred to Article 128.1 of the official compilation of Codes, Rules and Regulations of the State of New York, Title 10, . relative to the need for approval of individual sewage disposal systems by the City of New York. You should contact city Officials in this regard." 1. Well permit application has not been submitted. 2. Current engineers authoiization letter has notImu.subinitted. . 3. Location map is to be shown on all plans. 4. Erosion control measures for the house and the well is to be shown. and detailed on the plan. Futtherrriore, a note is to be added stating all erosion control measures are to be installed prior to the start of any construction. Upon receipt of a submission, revised to reflect the above, this application will be considered iurthcr. ' V truly yours, Robert Monis, P. E. DQ Pwoo blic Health Engineer Wip APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF,HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES" INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET for CONSTRUCTION PERMIT STREET LOCATION NAME OF OWNER BY B. HEDGES R.MORRIS OTHER DATE __J__/ TAX MAP# - DOCUMENTS. Y ,Y. C= PERMIT APPLICATION ERMIT PWS LETTER ERS.AUTHORIZATION DESIGN DATA SHEET(DDS) C= CORPORATE RESOLUTION C= PLANS THREE SETS =J HOY SE PLANS - TWO SETS = VAIANCE REQUEST g SUBDIVISION EGAL SUBDIVISION UBDMSION APPROVAL CHECKED ERC RATE ILL REQUIRED DEPTH URTAIN DRAIN REQUIRED =STANDPIPES T. AREA; SHOWN; GRAVITY FLOW, SUFF. SIZE PUMPED PIT & D BOX SHOWN & DETAILED USE - NO. OF BEDROOMS LLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM )PERTY METES & BOUNDS USE SETBACK NECESSARY (TIGHT LOT) . USE SEWER - 1 /4 "/FT.. 4 "0; TYPE PIPE BENDS; MAX. BENDS 45° W /CLEANOUT FILL SYSTEMS CLAYBARRIER 10 FT HORIZONTAL: SLOPE 3:1 TO GRADE FILL SPECS I17 FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES �LL.PROFILE & DIMENSIONS h.LFMRBI/ZBA GENERAL. IN EXPANSION AREA APPROVAL SSDS ADJ. LOTS TLAND ( TOWN/DEC PERMIT REQ ?) TRENCH A ON DDS PLANS & PERMIT SAME LF TRENCH PROVIDED =60 FT MAX 1969 - NEIGHBOR NOTIFIFICATION PARALLEL TO CONTOURS 100% EXPANSION PROVIDED 100 YR. FLOOD ELEVATION SEPARATION DISTANCES SPECIFIED ON PLAN REOUIRED DETAILS ON PLANS SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE = GRAVITY FLOW CONSTRUCTION NOTES (GRINDERNOTE) = DESIGN DATA: PERC AND DEEP RESULTS = TWO -FOOT CONTOURS EXISTING & PROPOSED AY & SLOPES CUT YGUTTERICURTAIN DRAINS EROSION CONTROL; HOUSE,WELL, SSDS EROSION CONTROL NOTE PE HOLES LOCATED PRESENTAT OF PRIMARY AND EXPANSION LOCATION MAP 0' TO P.L., DRIVEWAY,, LARGE TREES TOP OF FILL 0' TO FOUNDATION WALLS 15' WELL TO P.L 100 TO WELL, 200' IN D.L..O.D.,.150' PITS 100 TO STREAM WATERCOURSE LAKE (INC.EXPAN) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (PITS -20') 50' INTERMITTENT DRAINAGE COURSE 200 FT. RESERVOIR, ETC.= 150 FT. GALLEY SYSTEMS 15' MIN TO C.D. S= >5%,20'- 4 %,251- 3%,30' - 2%,35' -1 %,100' <1 % t 20' MIN TO C.D. DISHARGE /100' WITH 182 CONS DAY DIS. SEPTIC TANK =1'0' FROM FOUNDATION; 50' TO WELL COMMENTS: M Site Design Consultants Civil Engineers • Land Planners June 24, 1997 Mr. Robert Morris Putnam County Health Department 4 Geneva Road Route 312 Brewster, NY 10509 Re: Permit No. P 8- 9.1 S &S Properties Route 311 and Fair Street Town of Patterson Dear Robert: Enclosed please find the following items to renew the Construction Permit for Sewage Disposal System for the referenced project: - ,Construction Permit Application - One set of plans Site conditions on this project have not changed since its previous approval. A copy of the expired Permit is enclosed. Please call our office if you need additional information. Thank you. ON Yours ruly, a Joseph Ri' a, P.E. JCR/cm Enc. 251 -F Underhill Avenue Yorktown Heights. New York 10596 41 Waters Edge Way Ridgefield, Connecticut 06677 (9141 962 -4488 (203)431-9504 Fax (9 1 41 962 -7386 f� W� A Qi A WCpG DEPARTMENT OF HEALTH �� Division of Environmental.Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512(914) 225 =3641 APPLICATION TO CONSTRUCT A WATER.WELL. PCHD PERMIT # WELL LpCATION Street Address illage City Tax Grid Number. g... WELL,`OWNER Name Mailing Address 1 QPrivate 0 Public USE 'OF-WELL 1 - primary 2- secondary Q RESIDENTIAL O BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION O INSTITUTIONAL O STAND -BY [3 ABANDONED. O OTHER (specify, O AMOUNT OF USE ' YIELD SOUGHT_ _gpm /# PEOPLE SERVED 1 /EST. OF DAILY USAGE�� gal REASON FOR DRILLING. NEW SUPPLY OPROVIDE ADDITIONAL SUPPLY 0REPLACE EXISTING SUPPLY 0DEEPEN EXISTING WELL OTEST OBSERVATION .DETAILED REASON. FOR ''DRILLING adz WELL TYPE ®DRILLED []DRIVEN []DUG []GRAVEL � OTHER IS WELL SITE SUBJECT TO FLOODING? _YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name $19 _ Address: p0 IS.P.UBLIC WATER SUPPLY AVAILABLE TO SITE: YES bC NO NAME. OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED O ON REAR OF THIS APPLICATION. ON SEP �TESIHEET (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 apphicant shall: . ` 1,.,. ­;,Pump" the wel l 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 m County Health Departure t. Date of Issye: 1174 � 19�� Date of Expiration: 19� Permit Issuing Official Wh Permit is Non - Transferrable Mite copy: H. D. File Yellow copy: Building Inspector 2/87 Pik Copy: Owner Orange copy: Well Driller YUmNAM COUNT ��t , Division otivlionmeTatal ] } a �s•o- x k TRUCTIO FOH SEWAGE DISPOSAL 'SYSTEM Ssdtdlvlalon Mime — w- s- Snbd' L'ot�N� Owner %Appilcan� Name '� 4 j i "4 4 r,e v-','_� Address' nLiG►�+' °.�'� J iY, �4ase w �- Ka"i .�r� f7 _ Balidhtg' Typo '� �b1 22YLL_f::,'Q Ares`_ i Namtiei +of Bedrooms ps l l � � '` - Illesigm �Fltiw �G �P rD�� Septliiite Sewerage Sy.teml b�conelit of Gllon 1Sapfk Tanli�tu To tie constrictedlby Water, Sa�p1J ; ' Pablk' Snppiy Flom - ortT Prlvate:Sap Iy;Drllletby1+ J reDr4oi that!.Q am (wholly and (completely arespons'ibleYfor the des�gnla4 t above+tlsscribed' wUllbetonstructeiJias sf)own on�ltherapprovedamer(dmei County lR- Pmrtments rof' IHeaRh4 ahtllltf�`_at�on completion thereof a Cey c Abe' 'subefiitte0, (td the Depa►�tnte - sand ;a: r3 itfenj.i y pnteeu}'01111 lbs, "N 'pNce; -iirl good; operajggpeonel --' Many pa %t ofr�said1**Aye,adi!POklo once, ,of ,the rapprgjOa�ll (cd'y w(C—erUpole o ' Const ►uct�on�.(Gomglia�ce; will'Ue 11Wc#Od r ss�hawn6ns elapprov lfplsn sndtthat,(saidw % e111wilUbebi rCoUntY Department rdfr�ealth ¢, ' "� �: ,- " :1 a7P_1d'ilrass- - APPROVED FOR CONSTRUCTION aThisr_iipd?oval'vexpues twol rs revocable for u4se or °ma�sDemb)tdedior rnotlAled',whernco da dfi requir.s a n 72be/Ir��d %jrApproved for disposal of domest0 sa y FIFNE- , WF HEA M eivloes r(a`rmel N:Y� 1051? rEfig- m r tbjhho*W6 fermgt Y on(CERTTG�A+fE,OF,C NW CE- {- Penmiti. ;M ' 1a Town oY `'Village - �r ;Renewal'_ ❑1 1 Revision 1p - '`�' `�� �'`Dste of'Provloae>;Approval , t -� . F - *'��?H� ' FW' Section +On1Yb ' Dep � ths' !Volame, PCHDtiNoH6catlon Is Ralgaired "WhenFUids completed i 1 - Addresa F za - -- , ion ot,rlthe� E ^ s), �1 +) t" hat{ the. separate _sewage,,di'sposalssys4em� �+_� ��r � �o'and;,i n w, _M ndafls rules an regu a ions o, ew , u nam tr �a+, rL +, of C _ di " ceR saetory�ko t_hsnComrt�ssioraer of'IHeglthxw�ll °� J s s or iyns +!by tW lbullder4,, thOtl sold builder tq� rtq;it` iod;o,two�_ rid.,- mediaiely follow�ng�thelCafe of ths'issu r.0.. ^`�� ,, r i _. � e repii�t e►et " �l2) �thatilt�ff�e�d► 311etltwelUlile °ser,,ibed�'atiovei+ati ;�'�� �s',�7 nsce� rd 'starlda les rand�regu a ons6, of w'lthe ,P,ufnam�x� '' ?i r Cat YAU: u ss41 -0 u o thti�bu�ltlmg has`lie�en undertaken and isl by �- o A`ny change<or itte,ition of;rconstruction afar i/ ti n. PC-1 RECEIVED ♦ Y DEPARTMENT OF HEALTH APPL D&TAIN R- VA P PRO AL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name and'Addeess of Applicant: S 8� S Properties Box 361 Lincolndale, NY..10540 2. Name of'.Ptoject: 4.. Project Engineer: Joseph.C. Riina,P.E. .7, 3. Location-T/V/C: Patterson 5. Address: Route 311 & Fair Street. 2 63 1�atterson, NY., 1 _ _ 5 License'-Numbe'r- 64431 Phone: '962-4488.' 6.' Type of Project:, Ix Private Residential- Food Service Commercial Apartments Mob i 16 -Home, Park par ments Institutional Office Building Realty SubdiVision Other (specify) 7.. Is this project' subject to State Environmental.,QuAlity Review (SEQR)? TYDe, Statui `(Chec'k One,*) Type' I.. Exeq)t Type Ii. x Un! isted 8. Is'a DraftEnVironmental.Imoact:St'atement '(DEIS).rdquir6d? ........ ....... No .9. Has DEIS' been completed and found acceptable .by Lead Agency? N/A 10. Name of, Lead Agency N/k' 1.'A- Is this -06"ject In an area under the. control. of local p.lanning,..zoning, ., • or other `:61 ff i 6i it 1 s 'ordinances? ......... .......................... No 12. If so.- have :Olains 6666 submitted i*6' su7cfi'ju'jfio' r-ftie's? . ............ 13. Has preliminary'gp 'p roval. bddh�'. g ran idd by tuch: . tuthorit imes? D . ate. Granted: N/A S: 14. Type of wage Disposal System bi scharge. . __Surface .Water, �A�Ground Waters 74 -;z7-- . 71 F: 7 'tF ru 77`!� -, '--- ! Y7�m T 15. If surface water. d.ischarge,.what -is'. the:-.strear6 class designation ?. 16. Waters index--hUmber._(sU'rface) �T' near a blic r .`,wate supply 17. Is project systems Z k, 18. If yes, name.of water supply* N/A Dis'tance-to water supply, N/A " 19. Is prdject'-site -am -sewage iosI `system..:.: bistaficei­to sewage syste im N/A 20. Name of sewage system ?1.' Date obse rv*ed' .--Name 7 0 q ?4.m" Project design flow (ga'I Ions per day)... .. . . . . MI. 600 iz _ 2. r . 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?.. No 26. -Has SPDES Application been submitted to local DEC Office? ....••••- ••••.. N/A 27. Is any portion of this project located within a designated Town or State wetland? .................................. ............................... No 28. Wetland ID Number ........................ ............................... N/A 29. Is Wetland.Permit required? .............................. ... .... N/A Has application been made to Town or Local DEC Office? 30. Does project require a DEC Stream Disturbance Permit? .....'. N /A. 31. Is or was project site used for agricultural activity involving application .of pest.cides`to orchards or other crops, solid or hazardous waste disposal,. landfilling, °sludge application or industrial activity? ........ YES or NO 1`To 32. Is project located within 1,000 feet of existence of abandoned landfill,.` hazardous waste site; salt stockpile, landfill, sludge disposal. site or any.other potential known source of contamination? ..............YES or NO .No DESCRIBE: _ 32. Is there a local master plan or file with the' Town or Village ?. .,.:::. : ::..' 34. Are community. water, - sewer- -facilities planned to -be developed within 15 years ?... 35. Are any sew .ge disposal areas i.n :excess• of 15 slope ?O> • - - Mp •71,816& 1. Lot . Tax Map I0 Number .. ... ... .. . 5 37, Approved Plans are to be returned to: Applicant Engineer If the application is signed by a person other than the applicant shown.in Item 1, the`_ °pplication :must be':'accompanied by'a Letter -of- Authoriatfon.` Failure to comply with `this )rovisi-an may be grounds .for the rejection of any submission.,- - _ Si[e'Design Consultants Mr. Bill Hedges Senior Public Health Sanitarian Putnam County Health Department 4 Geneva Road Route 312 Brewster; NY 10509,,. Re: S & S Properties Route 311& Fair Street Section 73 Block 1 Lot 5 Dear Bill: Civil Engineers • Land Planners March 1, 1995 Enclosed please find the following items for the referenced project which we are submitting for septic and well construction permit: - Construction Permit for Sewage Disposal System - Application to Construct a Water Well - Application for Approval of Plans for a Wastewater Disposal System - Design Data Sheet - Subsurface Se%A!age Disposal System - Engineers Authorization Form - Four (4) sets of plans Please review for approval. Call me if you have any concerns. Thank you. Enc. Yours Truly, J eph C. Ri' a, P.E. 1603 Commerce Street • Yorktown Heights, New York 10598 41 Waters Edge Way • Ridgefield, Connecticut 06877 (91 4) 962 -4468 (203).431-9504 Fax (91 4) 962 -7386 r:: � A=D] PC -1 PUTNAM COUNTY DEPARTMENT Off' HEALTH APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name`and Address of Applicant: 4 finer 2. Name o. f Project: s 5 �h�,�.r,�h 3. Location DV/C: 4. Project Engineer: �=��� � � _ 5. Address: 1Pb03 e.,p t� i�olyuAawrJ {- Q1�t75 • I M"� . � a Sa B. License Number: OMAN Phone: 6. Type of Project: _>e� PPrivate /Residential Food Service Commercial F Apartments' Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality'.Review (SEQR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? ............. ►�o Has DEIS.been completed and found acceptable by Lead Agency? ........... 10. Name of Lead Agency _Te. 11. Is this project in an area under the control of local planning,•zoning, or other- officials,•ordinances? ......... ................:.............. 12:_If�so,'.have, -plans been submitted to such authorities? .................. Llo 13. Has preliminary approval-been granted by such authorities? Date Granted 14.. Type of Sewage 'Disposal 'System Discharge...... Surface .Water ,l Ground Waters 15. If surface water discharge, what is the stream class designation ?........ 16. Waters index number (surface) .. ................... .. 17. Is project located near a public water supply system? IJ o 18. If yes, name of water supply Distance to water supply 19. Is project site* near a public sewage collection or disposal system ?..... t�r� 20. Name of sewage system *AAA Distance to sewage system _ 2.` Date observed: 23. Name of Health Inspector: FAWK 24. Project design flow (gallons per day) ...... ............................... 1,0C _> f I FA �25. Is State Pollutant Discharge Elimination System (SPDES).Permit required ?.. On 26. Has SPOES Application been submitted to local DEC Office? _ /,6_ 27. Is any portion of this project .located. .within a designated Town or State wetland ? .............................. :: ............................... 28. Wetland ID Number ........' ................ ............................. �� 29. Is Wetland:Permit required? ...... .......... ........................... Has applj'cation been made to Town or Local DEC Office! .....:... 30. Does project'require a DEC Stream Disturbance Permit? .................... 31. Is or was project site used for agricultural' activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge. application or industrial activity? ......... YES or NO 32. Is.project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? ...............YES or NO DESCRIBE: 33. Is there" ,a-'focal master plan or file with the Town or Village? 34. Are community water, sewer facilities planned to be developed within 15 years? 35. Are any sewage disposal areas -in- excess of 15% slope? ......................... I b 36. Tax Map ID Number ..... ............................... vlpv l --LOTTO 37. Approved;Plans are to be returned to: Applicant K- Engineer If the application is signed by a person other than the applicant shown in Item 1, the application must be' accompanied by a Letter of Authorization. Failure to comply with this provision may be grounds for-the rejection of any submission. fP, I hereby, affirm, under.penalty of perjury, that information provided on this form is ;true to the best of my knowledge and belief. False statements made herein are punishable as a Class A Misdemeanor pursuant to Section 210.45 of the -Pena 1 Law. 1 SIGNATURES & OFFICIAL TITL Y i SAILING ADDRESS,- r •' 04 ►• •• 1'01' • 01411 Pi A • • • 10 MAM WORM PUPA IVW U12IN VA M WARN oil DESIGN DATA SHEET- SUBSUF'ACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Address] Located at (Street) - ;G Sec. _]3 Block 1_ Lot E) (indicate nearest cro s str e� t) Municipality . Watershed SOIL PERCQIATI TEST DATA RDQU7RED TO BE SUBMI= WITH APPLICATIONS Date of Pre- Soaking 4- •q Date of Percolation Test S' i's ' 1 A HOLE NUMBER C7AC:R TIME PERCOLATION PE ROOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start-Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 12:OrJ- -x:35 30 ZD 27�'Iv ���z i Z 2 2:x•0- 3 : � 0 30 2Z'I z 2 ��Z � 2' 3 3:15 - 3'. 45 3o ZD Z,2. 11y 7i �rTi �i I 4 5 2,0 -2205 2 7 �- 3:15 150 Z Z'!� Z. 7,3 14- 4 5 x NOTES: 1. Tests to be repeated at same depth until appradmately equal soil rates are obtained at each percolation test hole. All data to* be submitb2d 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. HOLE NO. Z. HOLE NO. 3 G.L. 2' 31 4' �,01'�1�• 5' 6' 7' 8' 9' 10' 12' 13' 14' i T _ i • a• M I= AT WHICH C• • • h YDI• is ENmuNTERED s INDICATE L01 • WHICH, WATER LEVEL RISES AFTER BFJVG E O E• E1 �� ! DEEP HOLE OBSRWMONS MADE 1• � DESIGN Soil Rate Used .�+ . Min/1- Drop: S.D. Usable Area Provided L -•• No. of Bedrooms 4= Septic Tank Capacity I ZSO of RLO Absorption Area Provided,By 5tip -L.F. x 24" width trench o Other I �� °/ Mx�,d J5 i n � - e.9 U)gnjr� (Z04WL.-rAATS I MAW T" Address P-0. . I / I . I �•1 �� • • P, ••I THIS SPACE FOR USE BY BEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES �em Re: Property of `jp�yej Lo c a t e d a t ,'f �p�112, 1!0 i X (T) Section *11 ( Lot Subdivision of Subdv. Lot # Gentlemen: Filed Map # Date This letter is to authorize a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in- -connect-ion.-with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersign P.E., R.A. . • Very truly y %%airs , S i gne cIT� Owner of Property ii Telephone i=ce u �J M TI �' "I ✓ '� / iw,- >b Telephone h DEPAR I ML-N I Ur htAL- I h ,-,vision Of Environmental H%$lth Serv,. r TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225-3641 APPLICATION TO CONSTRUCT A WATER WELL ---3TA�Ej AUORESS. IMNiVILLAG 1( I Y 11" 6Riu NuMbER. WELL LOCATION -73J''5 WELL OWNER NAME. � � ,XRESIDENTIAL — ADDRESS: 6 PUAI­16 SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ PUBLIC UBLIC . ❑ ABANDONED USE OF WELL (p primary ❑ BUSINESS ❑ _FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) 2 -secondary ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY C7 MOUNT OF USE YIELD SOUGHT S # gpm. /N0. PEOPLE SERVED 3 / EST. OF DAILY USAGE gal. REASON FOR ;P*EW SUPPLY . ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION DRILLING ❑ fiEPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL WELL TYPE ,DRILLED DRIVEN 0 DUG GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF.SUBDIVISION: LOT NO.: WATER WELL CONTRACTOR: Name Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: _ YES. NO NAME OF PUBLIC -WATER SUPPLY: TOWN /V /C DISTANCE TO PROPERTY FROM- NEAREST WATER -MAIN •IJ /A LOCATION SKftCH & SOURCES OF CONTAMINATION. `(date) I ( ign &ture) 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 complet'ion'of water well construction, the applicant shall: 1. 2. 3. Date of Pump the well until the water is. clear. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. Submit a Well Completion Report o%atz—fOrm provided by the Putnam County Health Departm Is sue : q1 19�/�� Permit Issuing Official s Non— Non— Transfprrahle S & S PROPERTIES Box 361 Lincolndale, N.Y. 10540 914 248 5444 June 18, 1991 Putnam County Health Dept. Carmel, New York 10512 Dear Sirs: Please.be advised that S & S Properties is not a.corporation. It is a limited partnership. Yours truly, S &.S .• ZOP P 'SIES Fred R. Shaw Owner , Eugene Schiavone Owner . ...... NNOMMEM, MEW Kir TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNrERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. Z. HOLE NO. .-r-130 - G. L. TOPl:;'DII- 21 3' 41 51 : 71 81 91 10, lit 121 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH, WATER LEVEL RISES AFTER BEING ENCOUNTERED: DEEP HOLE OBSERVATIONS NAM BY-.SM DATE: DESIGN Soil Rate Used, Min/1- Drop: S.D. USable Area Provided No. of Bedrooms Septic Tank Capacity I ?..SO galS. Type cAX.6. Absorption Area Provided By 5pp L.F. x 24" width trench OF IEW)_" Other: lr-'x�clp. r--..:PA'J4..i..A CA Name'5rr& '0Mjgfj (Z04WLIWITS Signature *gagE�� Address F 0- &4c SEAL q 64431 • 1059p, FESS10% Soil Rate Approved sq.ft/gal. Checked by Date ri PUTNAM COUMY DEPARTMENT OF DIVISION OF ENVIRONMENTAL BEALTH STMCES rT a DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. = �, `2: r h.� _ - '- Owner =P- Af�rP_SS Located at (street) o * sec. `73 dock Indicate nearest cro s str t) tyunicipality Date of Pre - Soaking. 4• •q I n u: Watershed Date of Percolation Test S-IS 11 HOLE NUMBER CI,OCR TIME PERCOLATION PERCOLATION Run Elapse Depth'to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 12�o� -Z:35 30 2D 2Ti'Iv ti'bo I Z 3 3*. IS - 3:46 3o 7-,Q 4 6i l2 ►o- 2:4.0 �0 2 10, 3?2 :ZO -350 30 Z,�o 1.7./8 2Alt 14- - 4 5 2 2:4- 30 2.2 2218 Z % 14 33: �- 3�5F► zo Z2� ���. Iq- 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal soil rates are cbtained.at each percolation test hole. All data to'be suimitt�i for review. 2. Depth measurements to be made from top of hole. PUINAM CXXJNIY DEPARTMENT OF HEALTH DIVISION • RATIRUMNIAL HEALTH SERVICES DESIGN DATA SHEET-SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner 3 ro) C::- Address _F>0j<Cp MADLY 1%� Located at (Street) r-O :23H**&IR,,!!!�� Sec: 73 Block Lot rJ idat-1:7-nearest 7 crods str&t) AdFr Municipality y 0jW*► -jW - - 00 RS0 NE LE ' Watershed Date of Pre-Soaking 4 -91 Date of Percolation Test HOLE NC�93ER �C= TIME PERCOLATION PEROOLATION Run Elapse Depth.to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start-Stop Min. Start Stop Drop In Min/In Drop Inches Inches Inches 30 210 2207, 2 0 Z- 3 *3. IS 3:45 So ZQ &2- 7z, 4 P� 11: ;90 2,0 170.5 4- 22A45 810 Z, Ve 14- 3 3:W-550 So 4 2,0 2-A 14- 10 Z:06 LVE). 14 3$:Ar3*99 30 4 5 NOTES: l.' Tests to be repeated at same depth until appradmately. equal soil rates are obtained at, each percolation. test hole. .All data to* be submitb?d for review. 2. Depth measurements to be made fran top of hole. 4' RE 7' IUTRED TO BE SUBMITTED WITH APPLICATION _ OF SOILS ENCOUNTERED IN TEST HOLES `' fC7ixs7D1(` c_ - � � l.st�_ l.A.l�► i/i ol/ ILSr AR V// o- 8' 9' 10' 11' 12' 13' 14' INDICATE LEVEL AT WHICH GROUNDRATER IS ENCOUNTERED j CJI-0 INDICATE LEVEL TO WHICH, WATER LEVEL RISES AFTER BEING ENOOUN'I�RED: iJDa I S DEEP HOLE OBSERVATIONS MADE BY: ��.�Gs.�. �OIJ�L2��� DATE: DESIGN Soil Rate Used _j( Min/1" Drop: S.D. Usable Area Provided LCXXF &f 4 No. df Bedrooms _ Septic Tank Capacity 17.--50 ' gals., Type. c ". Absorption Area Provided-, By E5 _ -L.F. x 24" width trench OF Et1 'S ° A Other '' .J o5eAzu G TZ. I ItI Name'Srr& VM�MJ C04WLTAJT'S Signature Fri Address P o. bcA SEAL No. 6 1 YC' • 1 • �J ROfESS10NA�F�� THIS SPACE FOR USE BY HEIMH DEPARMARU ONLY: Soil Rate Approved sq.ft /gal. Checked by Date A DEPARTMENT OF HEALTH. Division Of Environmental Health Services 110 Old Route Six Center, Carmel, . New York 10512 (914) 225-0310 Michael Doebbler Site Design Consultants PO Box 423 2070 Saw Mill River Road Yorktown Heights, NY 10598 June 12, 1991 Re: S & S Properties Route 311 & Fair.Street (T) Patterson TM 73 -1 -5 Dear Mr. Doebbler: Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: 1. PC -1 form has not been submitted (enclosed). 2. A corporate resolution has not been submitted. 3. Well permit has not been signed by owner (en- closed). 4. House plans have not been submitted. 5. Length of trenches are to be noted on SSDS plan. 6. Drop boxes are to be shown at 50' intervals between the proposed septic tank and the proposed SSDS. Upon receipt of a submission revised to reflect the above comments, this application will be considered further. V y truly yours, Robert Morris Assistant Public Health Engineer RM:mk JOHN KARELL Jr., P.E., M.S. Public Health Director Site Design Consultants Mr. Robert Morris Assistant Public Health Engineer Putnam County Health Department 110 Old Route Six Center Carmel, NY 10512 Civil Engineers ^ Land Planners June 26, 1991 Re: 'S & S Properties, Route 311 & Fair Street Town of Patterson TM 73 -1 -5 Dear Robert: Enclosed please find the following items regarding S & S Properties: - Completed PC -1 form — Letter stating S & S is a partnership and not a corporation Well permit signed by owner - Three sets of house plans - Four sets of the latest plan showing changes to SSDS Items 4 & 5 stated in your letter of June 12 have been addressed and added to the plan. Please continue your review on this project based on the enclosed information. Call me if you have any questions. Thank you. Yours truly, Gre Dooney /cm Enc. P.O. Box 423 ^ 2070 Saw Mill River Road • Yorktown Heights, New York 10596 (914] 962 -4466 �'I'J �_ -- In , Sire Design Consultants Mr. John Karell Jr., P.E. Public Health Director Putnam County Department of Health 110 Old Route Six Center Carmel, NY 10512 Re: S &S Properties Application Dear John: Civil Engineers " Land Planners May 21, 1991 Enclosed please find the following items we are submitting for a construction permit: - Three prints of the plan - Construction Permit for Sewage Disposal System - Authorization form - Design Data Sheet - Application to construct a Water Well - Certified check # 4779 - Application fee of $150 Please review this application for your approval. Thank you. Michael T. Doebbler /cm Enc. P.O. Box 423 ° 2070 Saw Mill River Road ^ Yorktown Heights, New York 10598 (914) 962 -4488 f� APP-='VDIX 3 CrUNJ Uy CZ A:r.r�-\T CF F-EALT? - Dr%,cICN CF L?�Iy SDI_ -L itt_` SUPPLY & 5i tSL ACv SFt ?C D_S T, S'S=S ( _�c._me cl (Street LO.:_atic.^. ) r sired _ 60 ft. ra x. 100 ex-p. _ sD;" U" E— `. I'S Pa' -mit r,-01? C3t'_cn Corporate Resolution Plans - 1 :ree sets EnaLn ors Zs_hcri zat_cn rasign Data Shzzt (D:S) `Deep Hole Log s/s Cons? stelt _ e rC cicS':'_ tS (3 ) Parc col_ Ceo`'1 Plans - 1wo L ` d t; Sets Pz S =ON 7cr` Fit_ Cd -LI.Ct Variance Remues 1. Leal Sabdi vision Siladlv'_Sion Pooroval C %CC'e Ex- acorc,al SSDS Pali. Lots Che --ked i'Tetland (T . /1FC e-zmi t R & D) Data On DDS Plans & _ a =i t Safi e R-QULR:-:D- D=- , A S ON PLI�-\S Sewage Systzn Plan (north arrow) S—e age S., Sze^.? P-oril e - l:ra -_Y FlcY Fill P=oi11° & t7='_._ LC?S - 1,701, =me D or J Box; Trench /Caller, ?.yt-p pit SeptiC 1^a n'{ - S_ze, -: =;1 well Detail, Service Line if over Constriction =Notes (grin-der rate) Design rrc and aeeo r -su _s �, V Fool.. Contou-rs E�ri-sting & Proposes Driv�aay & Sloo-s Cut Foo-' inc/GsL-l.er,C �r �_n �rl3- -- ?erc & D_eo , =c =es r-r-c c-ed �: i Repres °:i� wve of pr_!i.azy and c.4_.cr-S:0. ^. Evansion �yea;s ^oh- �;g_szl?ty flcw,stf=. Size Ii PL-- Pit & D Box Shcw -n & Data i l d House - No. of Baroc Wells & SSDS' S w /in 200 i of P_cc�ee=ty :_motes & Bounas Propcs-,� S-yste -s House Se-]�a-c{ Necessary (T?g::o lot) House Sewer - 1/4"/iL.j4"0; iy -e p_r No Ba7 s; May. 3-amis 43 w /Cler..^out SLP R,rTION DISTL\.- S SP K=, ON PL '-'\ Fields 10' t0 P.L., Dr? ;7ewav, Tr =es,`''..p Of fill 20' to r o'�n�� t1Cn ;•;alts 100' to W=-11; 200' in D.L.O. D, 1301 pi is 100' to Stream, Lake (.:,c. ex--an) 13' to Dr=_ -�iT"�_', r►Cer, t�l_ J7' L-o C= LC_ 1 L'cS?:l, S_O__: a_n, LlOw -wazarcoarSe 10 to Water Line (o is -20') 50' irate -iPi ttent Cia_ ?.^ co,—,-se Se_7tic Tanks 101 ir.Zii Fou- ndaticn; 50' to Well 15' Well to Pr 9 O TO: .f '_Putriam . County Department of Health Bureau of Environmental Quality Control 110 Old Route 6 Center Cbtrmel, NY 10512' Date: 4- -17 -91 Re: Property of s' & s Properties Located at NYS Rte 311 /Fair St. .9806i= Block 1 Lot 5 Tax Map 73 G entl emen: This letter is to authorize Joseph C. Riin&, P.E. a duly licensed professional engineer -c � s - eked - eh-iteet to apply for ' a Construction Permit. for a: sewerage system; private water supply; to serve the above -noted property in accordance with the'stan- dards, rules, or regulations as promulgated by the Commissioner of the -Putnam. — County Department of Health, and to sign all'ne'cessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems'in conformity with the provisions of Article 145 or 147 of the State Education Law, :the Public Health Law, and the Putnam- .County Sanitary Code. OF �� Very truly y s , c ~r t o 6'� 0 Saw .Raver Road TO_r=Dvm Heig ts,= NY el ephone) 914 =962 -4488 Si Owner of Property-) / . OE Fred Shaw: . . 431,;x:``'' Seal ). ess Box .0 Maple Avenue Lincolndale, NY 10540 ' :_" a ep one 248 -5444