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HomeMy WebLinkAbout1043DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.48 -1 -41 BOX 11 I I I r = . I .� LI Ir ;1 '!� r L r. . � r 7A16 01043 SITE LOCATION OWNER'S NAM MAILING ADDR PUTNAM COUNTY HEALTH DEPARTMENT _DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OFFICIAL USE ONLY Q� (K) PERSON INTERVIEWED. DATE i ( L � PROPOSED INSTALLER ADDRESS Q CAU t , owner, TM# d qbo -0 aS -- 014,?- 00 o l _ 0 y I - ou 0 PCHD Complaint # it, etc. TYPE FACILITY -STP i �07� REGISTRATION# R a (1, a: Q— Proposal (include sketch locating all adja nt wellsi: NOTE: Repair must be in same location and o Name type as original sewage disposal system .Different location may require submittal of proposal from licensed ofessional engineer or registered architect. I, as owner, or rep9 a age o owner agree to the conditions sta \d-( n tliis­f6iffi �" � 76 SIGNATURE TITLE � DATE I ` 6 Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 991ML DATE r i F well house 1 I 1 20 Cornwall ct �\ Patterson NY tax map #.5.Y..:1. ;:�� •� o n O Y N O x� A. B. a . 1.27 1,19' c 2.26' 2.16'6" 3, 26'6" 3.16' � z T. 16' T.7' Zn O �z o� co O do D t 53' Q 750 poly" septic tank c T wk-40 Whits Knight _ treetmenft unit --j 0 ledge outcrop ❑ 0 i 3. 12' 25` 25' F bin diffuser {chambers) 1 t 3 vlle� PUTNAM COUNTY HEALTH DEPA]kTNIENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISMAL 5XBM REPAIR 0MCM USE ONLY 0 SITE LOCATION. 40 Cnr-n IAJ a// Co a- r —Tm# OWNER'S NAME . Rv-+-pr J3 e-1 I PHONE MAILING ADDR Lake— Pa 4--hen's oil PERSON INTERVIEWED Pe-�'g- i, j3 P7 ev" PCHD Complaint k Name & lelationslup (Vie., owner, tenant, etc.— DATE 0 /-2.- 1 I I f PROPOSED INSTALLER E HIT Ta _5W TYPE"FACILITY PHONE 2,71—M-of REGISTRATIOM 23 ,Proposal (include. -- .sketch locating all adjacent wells): NOTE:'Repair must be in same location and of same type as original sewage disposal system .Different location may require submittal of proposal from licensed professional engineer or registered architect. -M.awperlor-reported agent of owner. agree to the conditions stated -on this form. SIGNATURE DATE Emposal approved oil, llgmdue conditions: I Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. 'Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System * descril lion (e.g., 1250 gal. Concrete septic tank, three precast 6' diem. X6.' deep e. Installers' name and number. 3. ,1 System repair to be performed in accordance with the above proposal and conditions. e Propogwl AA Ins0peto.r's Signature & Title COPIES:. White (PCHD); Yellow (Town BI); Pink (applicant) . PC-RP 99ML 7: DATE it SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH ROBERT J. BON] County Executive ROBERT MORRIS, PE Director of Environmental Health 1 Geneva Road. Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREEJO CC)(()WCA I I CI TOWN 2tSCrVAX MAP # NAME CA (5 ����'l 7 f PHONE VI/ /U6 (617 PCHD #� II.J MAILING 7�'f4'rsael ADDRESS�O ' Cof elw 1( C� PY laS_6'3 DESCRIPTION 0 ADDITION I t—' `f� d 7� _...._.NUMBER..OF EXISTING_BEDRO.OMS._._,Z __. PROPOSED . #_OF.BEDRO.OMS._- _._.._ __._...__ .._.. (FROM CERT. OF OCCUPANCY OR CL, RTIFICATION FROM BUILDING INSPECT( "Any addition which is considered a bedroom requires formal approval of plans' (Construction permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County �C+•✓ Sanitary Code. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Brewster, NY 10509, Phone: (845) 278 -6130. 1. 2. 3. Certified check or money order for $100.00. Sketches of existing floor plan (drawn to scale, all living area.including basement, to be shown and• - dimensioned and use of each -room specified): - ( See - Section °3 -.c-of Bulletin HA -1) Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) * Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin HA -1) 4. Copy of survey, showing all well and septic locations on the subject property to the best of your knowledge. Include date. of .installation known. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling. OFFICE USE COMMENTS 5. Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 - Fax (845) 278 -6026 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 4 She`rlita Amler, MD, MS, FAAP Commissioner of Health - ,Robeft-Morria, PE -- Director of Environmental Health May 28, 2010 Curtis Maenza 20 Cornwall Court Patterson, NY 12563 Dear Mr. Maenza: Department of Health 1 Geneva Road, Brewster, NY 10509 Re: Addition- Approval — Maenza No Increase in Number of Bedrooms 20 Cornwall Court (T) Patterson, T.M. # 25.48 -1 -41 Robert J. Bondi County Executive I have received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from the Department date May 28, 2010. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at two without prior approval by this Department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. _ "4. _� Th6 approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Patterson. If you have any questions, please contact me at your convenience. espectfully, Joseph S. Paravati, Jr., PE Environmental Engineer JSP:kly cc: BI, (T) Patterson Environmental Health .(845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845).. 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing / Home Care Agency (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 MAY-24 -2010 08:49 FROM:OPENCATE 914 - 277 -3742 TO:18452787921 P.2/2 `�' vyy • -81� �� b� a �'�alc� j4v--/ • S� I �wl-j �S�y ,A \a H, o 1 O ivy' © zw A °H w M� •oq � Z5 INN �l�S. 4 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Town Legal Bedroom Count & Proposed Addition Status Re: C.) r � S MCA .112 (Owner's Name) Tax Map # 1 g-.0 at q Q � ICC L � L& } q/ Address: � 0 Co f n V.,/ t,- 1 I C, � Town: P -'rSc�� Year Built: According to records maintained by the Town, the above noted dwelling, is _ in, compliance with Town Code. Is not in compliance with Town Code. The Legal Bedroom Count is: This information has been obtained from: - Certificate of Occupancy: Other: e '! The plans for the proposed addition are considered: 1 New Construction Addition to existing house only 1 Teardown and /or re -build allowed under Town Regulations Building spect �KEtirZ� Date 6. Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 E Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 ,t 1 L2- iol-07 - CQeWw - ,& L L ._.:._...- ..20AIE> - .._..�.._..........�.._.._ .............. �.._...- l5PU 12VEY OP P12OPE.2T\,/ P92F— PA2EC) FOQ D0(20TNY E. COSTE.LLO 6Et UG \ ,,gyp h�tv°' h 6j2d °- d3- OOkJ�3Co.d8' h'' .3 I TOVtJU OF' PArTEQ50LJ. PUTk14m CO,1`].Y vJ �� 540-7 54 (0 dry" hati O. 5uevtV 'WAS P?@PAQEO ju . Acaoeo&,&cc vjrro , i ; to ;T�115 MAD IS A VIOLAT10ki OF 68_.71 T41E`FuISnuG CDOE OF pQPCT,CE FbR 1AUO.SU2/El^S 47;.000F TLIeUEK1'YOt210Ea- ATE.eMCAt10u . Al2-mo 5-/ iU4 LJZ. u `ot2ie 9TOTE A66ACIACrIOQ OF 'I. i. -: , LAW.IJUDEQG0)1,1D.STtaJC'TUQES, IF:WV, Pe0F6,56AoUAL- LAJ.10 WC2VriVb?5.54io EaTIFCA'S)ou3. '1 LLOT'kIU,A} l CE¢rlF1CAT1pt� WMIQ D1.I t r 5.53 Tr(1LE COMDAIJy, Awic> LF..►.toxk.1G wQ6-rm*0no J Q6TEp. 6EA4lug. "IMS7QES6ED .aFJU:OF 711E - �AE2EON. CE2 nGC&TIowS A2& War •rQf WSFE2 -K1 `x)2�E1"oe'W11�E ; sIGUP cu¢E ADOgA¢ T 351 • ��,�� ������ �' LJ.V.S..LtC- L.10 _c.u�s0-i " C tJ, $OQd d - :�: `` 8QE1tISTE1Z�.�1,1•Y. I 'i 'Ir r7A A('l ..0 i a hr Jo L� F� L2- iol-07 - CQeWw - ,& L L ._.:._...- ..20AIE> - .._..�.._..........�.._.._ .............. �.._...- l5PU 12VEY OP P12OPE.2T\,/ P92F— PA2EC) FOQ D0(20TNY E. COSTE.LLO 6Et UG - J-OTS 5405 - 5408. AS 6wowu ow •6P -v£uTN MAP OF.. ttrfUAAA A A/ E "; FIL-40 MAP 0 IA09 FILED MAm:4-1 20, 1931 S rrugTE i L.A I TOVtJU OF' PArTEQ50LJ. PUTk14m CO,1`].Y OCTObl:::� V, 13,1.978 CE¢TIFICAT�OIJS IUDICAT2p 4:F�OU S!GU/t"Y TLI4T 1 • t2+Z8D ' tiF� -�� A4'TGJ2AT101J OQ •ADD.1'TIO!.3 5uevtV 'WAS P?@PAQEO ju . Acaoeo&,&cc vjrro , i ; to ;T�115 MAD IS A VIOLAT10ki OF 68_.71 T41E`FuISnuG CDOE OF pQPCT,CE FbR 1AUO.SU2/El^S 47;.000F TLIeUEK1'YOt210Ea- ATE.eMCAt10u . Al2-mo 5-/ iU4 LJZ. u `ot2ie 9TOTE A66ACIACrIOQ OF 'I. i. -: , LAW.IJUDEQG0)1,1D.STtaJC'TUQES, IF:WV, Pe0F6,56AoUAL- LAJ.10 WC2VriVb?5.54io EaTIFCA'S)ou3. '1 LLOT'kIU,A} l CE¢rlF1CAT1pt� WMIQ D1.I 5.I4LL CUu OJUI, TO'TL1E D6F6OU R7Q V.II.10M 74ai., A2E vA1- 1o;FOe;T�1?S 0 A+.>0 OOt71ES � V IS VQEPA¢t a A+.IO Ou L1rS PENAL -F TD 711E is lagj2,EOF pji.>,/.'1F: 64t0 MAD 012 cool R5 Tr(1LE COMDAIJy, Awic> LF..►.toxk.1G wQ6-rm*0no J Q6TEp. 6EA4lug. "IMS7QES6ED .aFJU:OF 711E - �AE2EON. CE2 nGC&TIowS A2& War •rQf WSFE2 -K1 `x)2�E1"oe'W11�E ; sIGUP cu¢E ADOgA¢ A>6MOQAL.:iUS-nT..u-TIoW. 02 �06Ef.6E►.ct O.u►JEQS� LJ.V.S..LtC- L.10 _c.u�s0-i " C tJ, $OQd d - :�: `` 8QE1tISTE1Z�.�1,1•Y. I 'i 'Ir r7A A('l ..0 i a 9 Feb 02 05 04t53p Pat Tyndall ... ...... ... Lao - T NVALL SAIWO SYSTMMM& Febradry 2, 2005 Mr. Kevin Lannon 20 COIWA:Ct, . Paftrwo, BY 12%3 pil T 20 Ivy Hill Rd., Brewster, N.X. 10509 (845) 279-0809 DAITDATE. 2 SIGNW _ Patrick Tyn Tyndall We Systems, lnc. El � J 20 SITE LOCATION OWNER'S NAME MAILING ADDRESS' PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL_HEALTH SERVICES OMCIAL USE ONLY TM #, o� VC PERSON INTERVIEWED �c�{�ir ��, Z iv n e-r' PCHD Complaint # Name & 11celationstup .e., owner, tenant, etc.- DATE PROPOSED INSTALLER ADDRESS TYPE FACILITY PHONE 2,71 - MO 9 REGISTRATION# 9 3 Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and.of same type as original sewage disposal system .Different location may require submittal of proposal from licensed professional engineer or registered architect. I, as owner, or reported agent of owner agree to the conditions stated on this form. SIGNATURE TITLE -troposm Approvea 1. Procurement of any Town permit, if applicable.. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. DATE I� Proposal ap r ve /w Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML )-hi lar i n # 5 Cornwall ct property line Brewster 6 - 8 chambers / w gravel s less than 60' Nayadic M-8A 0 600 gal per day ATU f i Adjacent well less than 900' shared well house 750 gal trash tank {optional] 0 0 single family 2- bedroom residence The Nayadk Selvage Tr. eatment Plant operates simply''a W I efficiently It ts. a r - ro er , 71h a �h design chosen specccallyfor any F buddlog site or land structure; Nayauicis" �,guaranteedyto meet ; all; your_requtr6 ; m'ents and, further M ore, provuie ` satisfaction by continuing to operate at peok . s °e, f ficcen'cy Of Why Are Residential and Commercial Consumers Buying Nayadic Wastewater Treatment Systems? • No Internal Moving Parts to Maintain or Replace • Durable, Lightweight Fiberglass Construction • Minimal Space Requirements for Installation • Several Plant sizes Available: 500, 600, 800, 1000, 1500 gpd • Quiet, Odorfree Operation • Better than 95% Removal of Sewage contaminants • Discharges Clear, Odorless Effluent • Tested and Certified under ANSI/ NSF Standard' 40 as a Class I System NAYADIC is an efficient Wastewater Treatment Plant that has served the needs of residential and commercial customers all around the world. Specifically engineered to provide the highest degree of treatment with only minimum maintenance requirements, NAYADIC is your first choice to handle your waste- water treatment needs. With'over 30 years experience, NAYADIC is one of the oldest names in the wastewater industry. As such, NAYADIC continues to provide our customers with quality products backed by quality people. 0, IT 9 9 O N aP ' (L "9 The unique design of the NAYADIC system enables it to provide an exceptionally high degree of treatment with only minimal maintenance requirements. The single tank concept requires no internal moving parts. The compressor, which supplies air to the plant, can be located either inside an adjacent building (i.e. basement, garage, etc.) or provided with a protective housing if it is to be installed outside. ;C3 The NAYADIC Wastewater Treatment System utilizes a design that is engineered to greatly exceed most nationally accepted standards. For example, the clarifier design provides more than 25 times the minimum surface settling area as required by the Great Lakes / Upper Mississippi River Board of State Sanitary Engineers: Recommended Standards for Sewage Works (10 States Standards). The NAYADIC system also incorporates a circular, perimeter clarifier that provides not only a large surface settling area, but also a 360 degree effluent weir., This critical aspect of the NAYADIC system further enhances the settling capabilities of the plant by reducing the hydraulic velocity through the clarifier, thereby dampening the effects of hydraulic surges. This feature which is unique to the NAYADIC system, helps insure continuous high performance with only minimal, easy to perform maintenance requirements. Because of its highly efficient design, the NAYADIC system is capable of producing a high quality effluent without the need of additional filtration equipment. The NAYADIC has been tested .and certified under ANSI/NSF Standard 40 as -a Class I System demonstrating a- treatment - efficiency of more than 95% removal of sewage contaminants. 0 The NAYADIC system consists of two treatment chambers in a single tank. The center aeration chamber is a circular tank with a sloped, open bottom which empties into the bottom of the outer clarifier chamber. Located in the center of the aeration chamber is an eight inch diameter draft EFFLUENT WEIR tube which extends to four inches from the bottom of the clarifier. Air is released at the bottom of ACCESS LID AERATION the draft tube through a disc plate diffuser. As the diffused air rises in the draft tube, it causes an AIR CHAMBER SUPPLY upward flow of process fluid. This draws the settled solids from the bottom of the clarifier up LINE w through the draft tube where they are discharged at the surface of the aeration chamber. The W J I I design of the draft tube insures continuous and complete mixing of oxygen with the sewage. Z DRAFT 1 w This allows for the growth of various aerobic organisms that biologically degrade the wastewater TUBE } I 1 / contaminants. SCUM } Gravity causes the aerated solids to settle back to the bottom of the tank where they are again BAFFLE I r drawn back up through the draft tube. As raw sewage enters the aeration chamber, it displaces `} CLARIFIER biological solids from the aeration compartment to the clarifier. Quiescent conditions in the clarifier allow the digested solids to settle to the bottom of the clarifier where they are returned DIFFUSER back to the aeration compartment. The clarified (treated) effluent flows slowly up through the clarifier and over a weir which extends around the periphery of the tank. The effluent collects in an outer trough where it discharges through a four inch pipe. A scum baffle located inside the overflow weir prevents floating solids from passing over the weir. 0 NSF Tested and Certified Class 1 System Tested by NSF under the standard 40 protocol, NAYADIC has been certified as a Class I aerobic system. This is the highest perfor- mance standard established by NSF. Five (5) Plant Sizes Available To insure proper sizing of each plant, NAYADIC provides five individual treatment plant capacities: 500, 600, 800, 1000, 1500 gpd (gallons per day) Low Installation Cost The lightweight, fiberglass construction eliminates the need for expensive equipment to transport and install the NAYADIC. Also, the single -tank design eliminates the need for pre- treatment tanks or secondary filter tanks. Highly Treated Effluent Based upon the ANSI/NSF Standard 40 test results achieved in 1991, the NAYADIC demonstrated a treatment efficiency of 96% removal of Biochemical Oxygen Demand (BOD) and Total Suspended Solids (TSS). Throughout the entire testing period (no results discarded), the mean effluent BOD was 6 mg/l, and the mean effluent TSS was 7 mg/l. Minimal Space Requirements The NAYADIC can be installed in a very small area (approx. T diameter). In addition, the sloped, "hopper - bottom" design of the outer basin requires an even smaller area at the bottom of the exca- vation. This is especially advanta- geous when digging in rocky soils or in areas with a high water table. Two (2) Year Warranty NAYADIC, Inc. warrants each treatment plant to be free of defects in workmanship for a period of two years from the date of installation. Quiet, Odorfree Operation -The NAYADIC utilizes a-totally. "aerobic" process which eliminates the offensive "rotten egg" odors frequently observed with septic tanks. Easy Access for Service All necessary inspections and maintenance can be performed by simply removing the access cover of the NAYADIC plant: The NAYADIC does not have any moving parts or electrical components located within the tank. The compressor is located externally to allow for quick and easy access. Low Maintenance Cost Other than routine inspection and periodic pumping of excess solids, the NAYADIC requires very little mainte- nance. In many instances, repair of the compressor can be performed in the field, by an authorized NAYADIC service representative. b• Model M -6A Model M -8A Specifications Wastewater Treatment Test Results (ANSI /NSF Standard 40 Test Evaluation) Test Results Influent Mean mgl Effluent Mean mgl Reduction BOD.15. days). 150 sS 195 7 95% System Components and Materials Wastewater Tank Dome and Cover: Fiberglass Reinforced Plastic External Compressor: 1725 rpm, 115 Volts 60 cycle Alarm System: Low voltage (12 Volt DC) Sensors Signal to the Control Box. Audio / Visual Signals Alert the Owner to loss of Air Supply or High Water Level in the Tank. UNIT SPECIFICATIONS N N Model M -1200A ITEM M -6A M -8A M -1050A M -1200A M -2000A Treatment GaVDay 500 600 800 1000 1500 Volume Gal 600 800 1050 1200 2000 Shipping Weight 265 350 450 525 900 Organic loading lb. BOD /day 0.6-1.5 1.0-2.0 1.7-2.4 1.7-2.5 2.4-4.2 Aeration Rate cfAb. BOD /day 3000 2950 2900 2300 2710 Rated capacity CFM @ 8 psig 2-3.7 3-4 3-4 3-4 6-7 Diameter 73" 82" 82" 94" 124" x 98" Total Height (includind lid) 93 1/2" 106" 114 1/2" 126 1/2" 135" Grade to inlet invert 201/2" 26" 261/2" 30" 37" Grade to outlet invert 241/2" 30" 30 1/2" 33" 381/2" 1/03 Model M -1050A Model M -2000A Excavation Depth 86" 98 1/2" 107' 1191/2" 1271/2" inlet invert' 65 1/2" 72 1/2" 80 1/2" 89" 98" outlet invert' 61 1/2" 681/2" 761/2" 86" 961/2" From Bottom Excavation - See Drawing 1501 COMMERCE CENTER DRIVE NSF FRANKLIN, OH 45005 937 746 -2727 • Fax 937 - 746 -1446 Certified to ANSIINSF Standard 40 A Division of Consolidated Treatment Systems, Inc. www.noyadic.com Class