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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.54 -2 -48 BOX 11 1J1' him #T�- L T p i r . I j , . �. { ; . �j IN 0 01104 PUTNAM COUNTY DEPARTMENT OF HEALTH - -- DIVISION- OF-ENV. SERVICES - - CERTIFICATE OF CONSTRUCTIO OMPLIANCE a PCHD CONSTRUCTION PERMIT #'�� Located at �' �'� �! �'U� Town or V TMENT SYSTEM )2A 1-IF P_ �_ H Owner /Applicant Name 1�%�i1 iJ %4, Ld '`1LZ Tax Map %16/ Block E Lot Formerly Subdivision Name R1iHw LAS. Subd. Lot # 6"y to 9 41 b - 6qJ I) MAP 14q q Mailing Address R�rO '� AIPLIvM C,NU-HJ�'lA '5 1 Zip 10;.)0 Date Construction Permit Issued by PCHD Separate Sewerage System built by (►* "lA%%'Address �1 rN)z�► F-V, PAWL *kM Consisting of 11100 l it c� mi( Fa) i@ � t mom• Water containing more than 20 m?; /lr of sodium should not be used for drinking y people 011 Suveyvt I u s " `,d editini. diets. Water ontaining Other Requirements: fl� PM&e than 270_mg/L of sodium should not be used by people on moderately restricted sodium diets. Pul NAIM, • MPT. Water Supply: Public Supply From Address or: ' Private Supply Drilled by '^ i' Address �i��1CNlAlt�lkJ l-�i -3 tao� Has erosion-' control been completed? ... .. Number of Bedrooms Has garbage grinder been installed? N� I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations f the Putnam Co, unty D artment of Health. 1 P.E. R.A. Date: � �� % y � Certified by `� Address 10 1` X1,,r0h0t XCAP N 10101 License # *201'?_It Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocatio odificatio or change is necessary. By: Title: 414 Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 L PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: Randal & Garfield Town/Village: Patterson Tax Grid # Map U i'ABlock 'ti 'Lot(s) �At Well.Owner: Name: Address: Maureen Lobraico, C/O Action Assoc., RFD#3,. Barnum..Corners,.Brewster --.. Use of Well: 1- primary 2- secondary X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment _X__ Rotary Cable percussion _X_ Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total length 31 ft. Length below grade 30 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials: __X Steel —Plastic Other Joints: _ Welded -�X- Threaded — Other Seal: X Cement grout — Bentonite Other — — Drive shoe: X Yes No Liner: Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yes—No Hours Second Well Yield Test' _ Bailed X Pumped x Compressed Air Hours 6 Yield 60 gpm Depth Data Measure from land surface - static (specify ft) 30' During yield test(ft) 365, Depth of completed well in feet 405' Well Log If more detailed information descriptions or sieve analyses.. Are available,. please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface 15 DrillinQ in ove r den clay and boulders 15. Hit rock at 15' - —15 31 Drilling in rock set-casing, 4routed 31 405 Drilling in rock1granite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Capacity Depth Model Voltage HIP Tank Type Volume Date Well Completed 6/13/96 Putnam County Certification No. 002 Date of Report 8/14/98 Well Dri r a NOTE: Exact location of well witn aistances to at least two. permanent ianamarKs to oe pro�a on a separate sneeupian. Well Drillees Name P./Qlaomns, Inc. Address: 4 PI_jnm Ave. , Brewster, NY (TTA Signature: Date: 8/14/98 Perry al White copy: HID File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 NAL NORTHEAST LABORATORY OF DANBURY _ .._. -_. _.__... _ _.. CT Cert: PM404 39 -3 MILL PLAIN ROAD - DANBURY, CT 06811 NY Cert: 11471 LADS (203) 748 -7903 - FAX (203) 748 -0652 LABORATORY REPORT -- WATER SUPPLY TESTING REPORT TO: HAVILAND PLUMBING 509 MENWOOD ROAD PATTERSON, N.Y. 12563 DATE SAMPLE COLLECTED: 8/10/98 & 9/2/98. TIME COLLECTED: 10:00 A.M. COLLECTED BY: H. HAVILAND DATE RECEIVED @ LAB: 8/10/98 & 9/2/98 TESTED BY: LAB# 11471 REPORT DATE: 9/4/98 SANIPLE SITE: - LABRICO, RANDALL ROAD,,PATTERSON, N.Y. SAMPLING POINT: TANK SOURCE: WELL TREATMENT: NONE TEST PERFORMED BACTERIAL: 8/10 -Total Coliform (Bacteria) PHYSICALS: pH Turbidity CHEMISTRY: Nitrite N (preliminary)Nitrate N Alkalinity Hardness Iron Manganese Sodium Lead RESULT: 0 6.04 1.4 <0.01 .7.24 47.0 140.0 - 0.03 5. 0.246 70.8 ** <0.005 ml = milliliter mg/L = milligrams per Liter * *Notification Level ** *Action Level MAXEVIUM CONTAMINANT LEVEL per 100 ml 0 per 100 ml no designated limit NTUs 5 NTUs mg/L as N 1. mg/L as N mg/L as N 10 mg/L as N mg/L no designated limits mg/L no designated limits mg/L - 0.30 mg/L mg/L 0.30 mg/L [Note: Combined Limit for Iron plus Manganese = 0.50 mg/L] mg/L 20 mg/L ** mg/L 0.015 * ** ND = none detected NTU =Units RESULTS BASED ON SAMPLES SUBMITTED:9 /2/98 SAMPLE, AS TESTED ABOVE: MOTABLE or DOT POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) Laboratory Director *NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037* (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 9 OUTSIDE CT: 800 - 654 -1230 PUTNAM COUN'T'Y DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Owner.or Purchaser of Building Building Constructed by Building Type --,;� - C74 Section Block Lot Subdivision Name r q+�.i -C,g41 � (41,51 - Go 'I) ') Subdivision Lot # GUARANM OF SUBSURFACE SEWAGE DISPOSAL 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 successors, 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 approval of the "Certificate of Construction..Compliance" , for the . sewage disposal system,,..or. any . ' 'repaira'made-byme to-such -system,. except--where--the- failure--to- operate -properly is-- caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this day, of 19 7,F Signature —Title Jl/ I=. General Contractor (Owner) - Signature Corporation Name (if Corp.) Corporation Name (if Corp.) rev. 9/85 mk 37 C ra(M Rd � ess � n /1� Y �� y i {' •- - -.. 1 I .� t j 1 i ,0 PUTNAM COUNTY iARTMENr OF HEALTH DIVISION OF ENVIMPUNTAT. HEALTH SERVICES Owner or Purchaser of Building Section Block Lot Building Constructed by ;V 7 a 4 Location - Street/ :1� Subdivision Name Municipality Subdivision Lot # LI Building Type GUARANM OF SUBSURFACE SEWAGE DISPOSAL 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,'suGcessors, 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 approval of the ...., Certificate•of .Construction'.ComQliance" for 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 occupant of the building utilizing the system. The undersigned further agrees-to accept as conclusive the determination of the Director of the Division of Env'ir'onmental Health Services of the Putnam County Department of Health as to whether,., not the failure of the system to.operate was caused by the willful or negligent ac'0f the occupant of the building utilizing the system. Dated this day of ,lg:' d' Signature if Corp.) d nY- y ley NORTHEAST LABORATORY OF DANBURY V-4 I VIU; rn -u4u4 - _....._. . 39 -3 MILL PLAIN ROAD - DANBURY, CT 06811 NY Cert: 11471 (203) 748 -7903 - FAX (203) 748 -0652 LABORATORY REPORT -- WATER SUPPLY TESTING REPORT TO: HAVILAND PLUMBING. 509 MENWOOD ROAD PATTERSON, N.Y. 12563 SAMPLE SITE: SAMPLING POINT: SOURCE: TREATMENT: TEST PERFORMED DATE SAMPLE COLLECTED: 8/10/98 & 9/2/98 TIME COLLECTED: 10:00 A.M. COLLECTED BY: H. HAVILAND DATE: RECEIVED @ LAB: 8/10/98 & 9/2/98 TESTED BY: LAB# 11471 REPORT DATE: 9/4/98 LABRICO, RANDALL'ROAD, PATTERSON, N.Y. TANK WELL NONE BACTERIAL: 8/10 -Total Coliform (Bacteria) PHYSICALS: PH Turbidity CHEMISTRY: Nitrite N (preliminwy)Nitrate N Alkalinity Hardness _Iron . . Manganese Sodium Lead RESULT: MAXIMUM CONTAMINANT LEVEL 0 per 100 ml 0 per 100 ml 6.04 no designated limit 1.4 NTUs 5 NTUs <0.01 mg/L as N 1 mg/L as N 7.24 mg/L as N - 10 mg/L as N 47.0 mg/L no designated limits 140.0 mg/L . no designated limits 0:035 :..:.._ mg/L 0.30-mg/L.. 0.246 mg/L 0.30 mg/L [Note: Combined Limit for Iron plus Manganese = 0.50 mg/L] 70.8 ** mg/L 20 mg/L ** <0.005 rng/L 0.015 * ** ml = milliliter mg/L = milligrams per Liter ND = none detected. NTU =Units * *Notification Level ** *Action Level RESULTS BASED ON SAMPLES SUBMITTED:9 /2/98 . SAMPLE, AS TESTED ABOVE: MOTABLE or FE] POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) Laboratory Director •NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230 I � NORTHEAST LABORATORY OF DANBURY _ ._ .. _ _ _....._ ._. __.__......... _ ._.:_ _ ..... -.._. CT Cert: •PH -0404 _ .. _ ...._ 39 -3 MILL PLAIN ROAD - DANBURY, CT 06811 NY Cert: 11471 (203) 748 -7903 - FAX (203) 748 -0652 LABORATORY REPORT -- WATER SUPPLY TESTING REPORT TO: HAVILAND PLUMBING DATE SAMPLE COLLECTED: 8/10/98 509 MENWOOD ROAD TIME COLLECTED: 10:00 A.M. PATTERSON, N.Y. 12563 COLLECTED BY: H. HAVIL,AND DATE RECEIVED @ LAB: 8/10/98 DATE(S) TESTED: 8/10/98 TESTED BY: LAB# 11471 .REPORT DATE,: 8/12/98 SAMPLE SITE: LABRICO, RANDALL ROAD, PATTERSON, N.Y. SAMPLING POINT: NOT STATED SOURCE: WELL TREATMENT: NOT STATED TEST PERFORMED RESULT: RECOMMENDED LIMIT BACTERIAL: Total Coliform (Bacteria) 0 per 100 ml 0 per 100 ml CHEMISTRY: Chldrine Residual ND mg/L - - - -- ml = milliliter mg/L = milligrams per Liter ND = none detected RESULTS BASED ON SAMPLES SUBMITTED:8 /10/98 SAMPLE, AS TESTED ABOVE: MX OTABLE or AMNOTPOTABLE (PER STATE OF NEW YORK DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) Laboratory Director *NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230 Mr. Robert Morris, P.E. Putnam County Health Department 4 Geneva Road Brewster, NY 10509 RE: Individual SSDS Compliance . Maureen Lobraico Garfield Drive & Randall Road Csa P9��i'�o� Dear Mr. Morris, Enclosed are the following: 1. Five (5) prints of Drawing S -1 "As -Built Plan," dated 8/20/98. 2. "Certificate of Construction Compliance for Sewage Disposal System," dated 8/20/98. 3. "Guarantee of Subsurface Sewage Disposal System," dated 8/8/98. 4. Well Completion Report, dated 8/14/98.. 5. Laboratory Report, dated 8/14/98. 6. Application Fee in the amount of $200.00 payable to Putnam County Health Department. If there are any questions concerning the enclosed, please call. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. Harry W. Nic ols, Jr., P.E. 94084 jp .. \MILLBROOKE LAURENT ENGINEERING -ASSOCIATES, P.C'._. OFFICE CENTRE Route 22 6 Milltown Road . \ Brewster, New York 10509 HARRY W. NICHOLS JR., P.E. / \ (914)278 -6108 - (FAX) 278 -2658 CONSULTING SITE ENGINEERS August 21, 1998 Mr. Robert Morris, P.E. Putnam County Health Department 4 Geneva Road Brewster, NY 10509 RE: Individual SSDS Compliance . Maureen Lobraico Garfield Drive & Randall Road Csa P9��i'�o� Dear Mr. Morris, Enclosed are the following: 1. Five (5) prints of Drawing S -1 "As -Built Plan," dated 8/20/98. 2. "Certificate of Construction Compliance for Sewage Disposal System," dated 8/20/98. 3. "Guarantee of Subsurface Sewage Disposal System," dated 8/8/98. 4. Well Completion Report, dated 8/14/98.. 5. Laboratory Report, dated 8/14/98. 6. Application Fee in the amount of $200.00 payable to Putnam County Health Department. If there are any questions concerning the enclosed, please call. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. Harry W. Nic ols, Jr., P.E. 94084 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Street Location RAA17_)A2_L "PJ, Town A-rr '1aSo,U TM P, -410 Date: a Inspected by: o e Owner AAoweN V, L_0137 .Ale e7 Permit # F!— 40 •- 0 G � Subdivision Lot # 1. Sewage System Area a. STS area located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped ..................... I............................ d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands ........................ .... ............. II. Sewage System a. Septic t siz Ped 0 ... ....1, 250 .........other ................ b. Septic tank insta evel ................ ............................... c. 10' minimum from foundation .......... ............................... d. Distribtuion Bo A out ets at same elevation -water tested .............. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box &trenches Junction Box roperly set ............... ......... 1. Length required 333 Length installed 3 os 2. Distance to watercourse measured4- z o o Ft.......... 3. Installed according to plan ......... ............................... 4. Slope of trench acceptable 1/16 - 1/32" /foot ............. 5. 10 ft. from property line = 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100% .......................:. 8: 'Size of gravel 3/4 - 1' /z" diameter clean .................... 9.- Depth of gravel in trench 12" minimum ................... 1.0. Pipe ends capped .................................... .... g. Pump or Dosed Systems 1. ize o pump c am er ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual/ audio ................................ ................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled .......................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. HouseBuildin a. House located per approved plans . ........................:.....: . b. Number of bedrooms ................ . ................................... :. IV. Nell a. Well located as per approved plans . ............................... b. Distance from STS area measured ft........... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan:. f. Curtain drain outfall protected & dinto exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ......................... i. Erosion control provided ................. ............................... Rev. 1/97 �Y COMMENTS ,.,. © .. 1 0 ='''' Imm'�" Imo® IE� I.■ �a Ell i �Y PM C�G * * ®� BRUCE R. FOLEY Public Health Director Y .. _ W o _- DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York .10509 Tel. (914) 278 - 6130 Fax (914) 278 - 7921 June 16, 1998 Harry Nichols Laurent Associates Millbrook Office Centre Route 22 & Milltown Road Brewster NY 10509 Re: Lobraico Randall Road and Garfield Road (T) Patterson, TM# 25.54 -2 -48 Dear Mr. Nichols: A field inspection was conducted on June 8, 1998. Comments are offered as follows: 1) It appears the fill pad size is not adequate. The location of the expansion trenches are to be stake _. __ _....... 2 }_ .:._..._It:appears.the- fill.pad is not adequate in :.depth:insome area.: Test.:holes.are to.. be excavated to confirm depth of fill. Contact this office prior to the excavation of test holes so the locations can be determined. Very truly yours, Robert Morris, P.E. Public Health Engineer RM:tn Street:` PERSON IN CHARGE Signature and Title 'D V13 'D T 'D I .r'PT VTT TI TI V: x I acknowledge receipt of this report: 02/96 Dr,. SIGNATTAkEt Title; DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 APPLICATION -TO CONSTRUCT --A-WATER WELL-- - - - - - - PCHD PERMIT # WELL LOCATION Street A dress V la a City Tax-Grid Number WELL OWNER Name NOW ZAm/io Mailing Address UtPrivate MeNUO l j 2, O Public USE OF WELL 0- primary 2- secondary 11 RESIDENTIAL O BUSINESS 0 INDUSTRIAL P BLIC SUPPLY Q AIR /COND HEAT PUMP "'b ABANDONED O FARM O TEST /OBSERVATION 0 OTHER (specify O INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE talo Sal O REPLACE EXISTING SUPPLY 0 TEST /OBSERVATION 12. ADDITIONAL SUPPLY 0 NEW SUPPLY NEW DWELLING 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE ®DRILLED DRIVEN DDUG [3GRAVEL 0OTHER IS WELL SITE SUBJECT TO FLOODING? YES jZ 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 /VIL /CITY DISTANCE TO-PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED . 1t, ON SEPARATE SHEET (date) ignature) 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 Department attached to this permit. 3. Submit a Well Completion Report on a form requirements of the Putnam County Health provided by the Putnam County Health Department. During,all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. Date of Issue: 19 Date of Expiration 19 Permit is Non - Transferrable 3/89 Permit Issuing Official White copy: HD File Pink copy: Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller 415 it I Opp , Mb 4W "e,516 04 • '�o. f�5m'rG � CFA � `' � -,� v � ,��: .. .. .1W, 7, rl e 4. ol� 00 'r., "or from ,�) • LAURENT ENGINEERING , �`V'•.. .. "- -.. _ ._ .. -...__ ... __ -•- - -. � � � AS$OCIATES,_P.C. .. \� \ MILLBROOKE OFFICE CENTRE _._.._ ... ,. / \ Route 22 d. Milttown Road Brewster, New York 10509 RANDOLPH W. LAURENT, P.E. / (914)278- 6108 - (FAX) 278.2658 HARRY W. NICHOLS JR., P.E. CONSULTING SFTEE ENGINEERS Date: IA- ALI — 1 To: c re o4er, i n5D9 Aliention• Gentlemen: We enclose copies of: N B/W Prints O Reproducibles O Specifications O Memorandum Descriplion: Sent Via: *-Our Messenger O Blueprinler O Your Messenger O Hand Delivery Copy lo: Job NO.- .. n nQ O Reports O Tracings O,Copy of Letter O Revision/ Date. No. ►►Q I Q� �S- 9S O First Class Mail O Special Delivery . O Very truly.yours. LAURENT ENGINEERING ASSOCIATES,P.C. Per: , ) F317 rt- la►-ry � �•I�ch� s fit:, tom- �:- LAURENT ENGINEERING MILLBROOKE OFFICE CENTRE Route 22 & Milltown Road Brewster. Now York 10509 RANDOLPH W. LAURENT, P.E. (914)278-6108 - (FA)O 278-2658 HARRY W. NICHOLS JR., P.E. H CONSULTING SITE ENGINEERS LIST OF PROPERTY OWNERS ABUTTING & ADJACENT TO MAUREEN LOBRAICO RANDALL RD. & GARFIELD DR. PATTERSON, NEW YORK 25.54-2-43 Maravelas, Geoi & Eliz. 4 Randall Rd. Patterson, NY 12563 25.54-2-44 Descoteaux, Martin J. & Theresa 10006 Bluebird Laporte, TX 77571 25.54-2-46 O'Loughlin, Edward & Madeline RD 1 Box 540 Patterson, NY 12563 25.54-2-47 Chiarello, Pasquale, 10 W. Bayview Ave.. Englewood Cliffs, NJ 07632 25.54-2-50 Vocke, Richard & Myriam & Pascua Perla ... . ... Cattage- Ave. - - Purchase, NY 10577 25.55-2-9 Deitz, Charles & Susan 65 Rutland Dr. Patterson, NY 12563 �o��f FORMAT Da.t,e..-, NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT Deitz, Charles • Susan RE:. Department of Health Review of 65 Rutland Dr.' Proposed Sewage Disposal System Patterson, NY 12563 for property: Na . me: Maureen Lobraico Address: Randall Rd. & Garfield Rd. Town: Patterson, N.Y. Tax Map: De'ar Mr. & Mrs. Reitz: P . lease be advised that an application for a'Construction Permit r . elative to the construction of a sewage system and/or well proposed for the captioned property has been-made to the Putnam County Department of Health. Attached please find a- copy, of the .latest s.ite mplan.. If you have.any questions, concerns or information :which may. bear. on the Health D'epartment's review of this application, you may call Mr. Hedges or Mr. Morris of the Health Department at 27876130. -tr.uly._you.rs,... By T . itle A8 0t RECEIVED BY: Address: Tax Map: JK;cj - it NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT Vocke, Richard & Myriam:. &- Pascua Perla Cattage Ave. Purchase, NY 10577 -- Dat.e...__ ....1- .1.q -95. RE: Department of Health Review of Piroposed Sewage Disposal System for property: Name: Maureen Lobraico Address: Randall Rd. & Garfield Rd. Town: Patterson, N.Y. Tax Map: 25.54 -2 -48 Dear Mr. & Mrs. Vocke: °_lease be advised that an application for a Construction Permit relative to the construction of a sewage system and /or well proposed for the captioned property has been made to the Putnam County Department of Health. Attached please -find a copy, of the latest site plan. If you have any questions, concerns or informationwhich may bear. on the Health Department's review of this application, you may call Mr. Hedges or Mr. Morris of the Health Department at 278 -0130. Very truly yours, . By Title Ag t - RECEIVED BY: Address: Tax Map: JK;cj t .F.ORMAT _.__.... _ .. NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT O'Loughlin, Edward & Madeline RD 1 Box'540 Patter.son,.NY 12563 Date RE: Department of Health Review of Proposed Sewage Disposal System for property: Name: Maureen Lobraico Address: Randall. Rd.. & Garfield Rd. Town: Patterson,. N.Y. Tax Map : 25.54 -2 -48 Dear Mr. & Mrs. O'Loughlin: Please be advised that an application fo,r a Construction Permit relative to the construction of a sewage system and /or we-11 proposed for the captioned property has been made to. the Putnam County Department of Health. Attached please find a copy of'the •latest site -plan. If you :have any questions, concerns or information which may bear on the Health D'epartment's review of this application, you may call Mr. Hedges or Mr. Morris of the Health Department at 278 76130. Very ..truly-yours, . By Title Ag t RECEIVED BY: Address: Tax Map: JK;cj - . -.. - ..F.ORMAT NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT Descoteaux, Martin J. & Theresa 10006 Bluebird Laporte,.TY 77571 - Date RE: Department of Health Review of Proposed Sewage Disposal System for property: Name: Maureen Lobraico Address: Randall Rd. & Garfield Rd. Town: Patterson, N.Y. Tax Map: 25.54 -2 -48 Dear Mr. & Mrs.. Descoteaux: = Please be advised that an application for a Construction Permit relative to the* construction of a sewage system and /or well -proposed for the- captioned pro.party has been made to the Putnam. County Department of Health. Attached please find a copy of the .latest site plan. If you have any questions, concerns or information which may bear: on the Health Department's review of this application, you may call Mr. Hedges or Mr. Morris of the Health Department at 278 -6130. Very truly yours,.. BY Title Ag t RECEIVED BY: Address: Tax Map: JK;cj :.._ FORMAT... NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT Maravelas, Geo..& Eliz. 4 Randall Rd. Patterson, IVY . 12563 - .Date_ _1- 19 -95_ .RE: Department of Health Review of Proposed Sewage_Disposal System for property: Name: Maureen Lobraico Address: Randall Rd. & Garfield Rd. Town: Patterson, N.Y. Tax Map: 25.54 -2 -48 Dear Mr. & Mrs. Maravelas: Please be advised that an application for a Construction Permit relative to the construction of a sewage system and /or well proposed .for the captioned proper -ty has bee.n made . to the Putnam County Department of Health. Attached please find a copy of the latest site -p.lan. If you have any questions, concerns or information which may;bear on -the Health Department's review of this application,. you may call Mr. Hedges or Mr. Morris of the Health Department at 278 76130. .. ..... .Ve-ry truly-. -yours,. ....._ _. _. ... ......_ B y rtTitle Ag RECEIVED BY: Address: Tax Map: JK;cj 0 - FORMAT NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT Chairello, Pasquale 10 W. Bayview Ave. Englewood Cliffs, NJ 07632 Dear Mr. Chairello: Date 1 =19 -95 - - RE: Department of Health Review of. Proposed Sewage Disposal System for property: Name: Maureen Lobraico Address: Randall Rd. &. Garfield Rd.. Town: Patterson, •N.Y. Tax Map: 25.54-2-48' Please be advised that an application for a Construction Permit relative to the construction of a sewage system and /or well proposed for the captioned property has been made to.the Putnam County Department of Health. Attached please find a copy of the latest site-plan. If you have any questions, concerns:or information which may bear on the Health Department's review of this application, you may call Mr. Hedges or Mr. Morris of the Health Department at 278 -6130. Very truly yours, By Title -Ag t RECEIVED BY: Address: Tax Map: JK;cj r'. _ ... _.... .: .- .. '. ..v omplete items 1 and /or 2 for y JC additional services. also wish to receive the ENDER: '+ m Complete items 3, and 4a & b. v, following Services (for an extra m V Complete items 1 and/or 2 for additional services. I also wish to receive the y • Print our name and address on the reverse of this form so y > return this card to you. thavwe can fee): Complete items 3, and 4a & b. following services (for an extra 0 4'i!. r" m • Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address A N Print your name and address on the reverse of this form so that we can fee): > �. does not permit. :um this card to you. Attach this form to the front of the mailpiece, or on the back if space 1. El Addressee's Address `m f� W + ¢ r Write "Return Receipt Requested" on the mailpiece below the article number. •+ • The Return Receipt will show to whom the article was delivered and the date 2. El Restricted Delivery � es not permit. Write "Return Receipt Requested" on the mailpiece below the article number. 2. ❑ Restricted Delivery . .. a,1 E;3 c o delivered. Consult postmaster for fee. o IV o 3. Article Addressed to: 4a. Article Number The Return Receipt will show to whom the article was delivered and the date livered. Consult postmaster for fee. 0 pr" _ . m MQraVet�S �0�0 ���Z -z XIS IR3 a85 3. Article Addressed, to: `- I �ICIYtrd rtclM 4a. Article Number z a -7S (� 3 `�'�� i l c -I 'j c. 1 1 C� E* �: >� QA(1�0.� 1��6 ' 4b. Service Type ❑ Registered ❑ Insured y Pascua- Rzr�Q 4b. Service Type El Registered ❑ Insured °' n fr •, ] .N . W PGZrn( N y as�3 . Certified El COD ❑Express Receipt for AR Mail ❑Return 02- , Certified ❑COD n �1� Merchandise o �� (� �S �� ❑ Express Mail E] Return Receipt for Mercha dise � kj t'' p 7. Date of Deliver w �I lrc I ` `ate) 7. Date of Delivery Et 5. Si (Add ee) 8. Addressee's r (Only f requested y q 'ee) ' t c and fee is paid) Signature (Addre of �%� /�� �y�� 8. Addressee's Address (Only if requested and fee is paid) .Y a I w oC 6. Signs. ur lragent) r h- JSig a )Kgent) > PS Form 3811, December 1991 GPO: 1993 -352 -714 DOMESTIC RETURN RECEIPT �*U.S. 3 Form;3811, December 1991 *U.S. GPO: 1993 -352 -714 DOMESTIC RETURN RECF:RT •� 3. Article Addressed to: 4a. Article Number CD Z ��s �q3 t' ,, j 3 o m 0 l7` 0 �, Lp� R��ti nl �i )C-68. 1 Hojekn'- 4b. Service Type °1 CL 0 _ _ " J cc . c o �^ ❑ Registered ❑ Insured 0) CO x 5�� _ _ m E 4 1-• . 4a I t .( Certified ❑ COD 5 ,. o r r 1 of 0n I Express Mail ❑ Return Receipt for 5 O 5 ; Merchandise 43 o ti w- .0 m d s.` D 7. Dat of Deliver `- ++ o u LL i d .s 5. Sign ture (Addre ee 8. A dres e's Address ( my if requested Y _ d and fee is paid) cc rR V i• � c o > t° c° Lr1 Cc L) z0N d ° Ho na m o o ° Cr 6. Signature (Agent) ~ FU -W, qQ m' p °m cc E M aye{ ° rQ to m w m E L c- a m E 7 m s 'u �� o m FLL in O N Z, PS Form 381 1, December 1.991 *U.S. GPO: 7993 -352 -714 DOMESTIC RETURN RECEIPT c N ao u !n ¢ ¢° Q D oa a �g N !£66l 4DJLIN 1008£ wJod Sd SENDER:: °- I also wish to receive the - - _ • y Complete items Land /or 2 for nal services. m • Complete items 3, and 4a & b. following services (for an extra . I • Print your name and address on the reverse of this form so that we can fee): i I. N return this card to you. v r . vg O O n` m m �Eo >C .0 L. U c .. Ill 4 r... o U N , N ♦+ rl a �ca� O d o o Lr3 cc z o N N N 84 'g. £66L 4DJUW '008£ WJO.d Sd m Attach this form to the front of the mailpiece, or on the back if space 1 1. U Addressee's Address N does not permit. N O C • The Return Receipt will show to whom the article was delivered and the date O ,J O V--) .4a. Article Number E 1 4 4b. Service.Type W r -Certified c c CA CA rC,r� f _ - El Expres e et Receipt for ` `. 7. Date tD liver (� z zs . N o '� - nature (Addr ee) 8 . ) E and fe is 4 y 'Q `� m I O j •'d % , m nD no m 0 o U m = m o a O m d v ¢ E c t ¢° 'O a m c a! OW c a° £66L 4DJUW '008£ WJO.d Sd m Attach this form to the front of the mailpiece, or on the back if space 1 1. U Addressee's Address N does not permit. N 2. ❑ Restricted Delivery C • The Return Receipt will show to whom the article was delivered and the date O Consult postmaster for fee. O 3. Article Addressed to: _ . .4a. Article Number E 1 4 4b. Service.Type W r -Certified c c CA CA rC,r� f _ - El Expres e et Receipt for ` `. 7. Date tD liver (� z zs . N o o nature (Addr ee) 8 . ) and fe is liJ 6 6 SI naL ( g ure c c T PS Form 38-1-1, ber 1,691 *UZAFrO:1993- 352-714 DOMESTIC RETURN RECEIPT M +� r-xg••.- -'.... ';".:_L' zM CL'c ^?:zr;T =•i, r.......- ••- .- .• - - *F —. m.•-•,+ - ^-�^-c-=-:°R- -,'•�"".- STn -^n-. .. _'r^ .:._'• °'_`� "_'.;' �. i�.. -r .. . , -. I .rl 4M W' All FM' New of Balsam 3 ` Deaip Flow, G P D G(%O P® Nad aadw Y Ravished W" Fm y i� 3i% /-.A As % >�� Sopeab Swego S7Mr le fleBi d, Ml m8u Uptl TaA "a rX, n M;otiabl�ad d� Asllhesr ' ;.; its r�4 ..r• wil" Sstpp�s iik Ssap* Ftelsi Asid<aa .Rt:. ✓ ' stivaft .air,.. r I reprMMt -that 1 am oua� �e.e.a wholly , � � R � � �' /j � • ' for the design and location of, the proposed. system(s); 1) that the a rate few dl "I s sttmY above described will; W construCtad of mown on the approved amepdment there to and in accordance with the standards. rules a regulations o n 1 County Ospartinent of Health; -and -thin o'n c'ompk+tkin thereof sa'•Ceitificate of Construction Compllenq'• satisfactory to the ComhnlsfbnN,Of HN�thwill . Y' be submitted to tea. Dedlertn int. and a" written,guarantes will be furni= the ownw; his fuccissots. heirs or assigns by the builder. that Old builOw -.will place. -q• 90".0 M-84110119 Conditgn any pert, of; Bald ,aavirage dlspofal systatm during the psikid of two (2) years immadiatoly followit* thadate of tM5sifil- anu • of the. ipproial of tea Cwtlfkate of, Construction Compliance of , t a Orlginaf system or any.! ` s tMietol 2) that tea drilled "I Is =111ed above WIN be locsted.as droarn on tea pp►owel Plan and that aaid wN1 wpYbe lost 1 in.. actor nce . h ,`lie a r s, rules and raga ns of tA% ' Putnam Cowlty oepertment o/ Heattn:'',. s. S P.E R:A. �_ _ ` lkense' No a. ad pAPPROVED +OR CONSTRUCT164 ThM apoval expires two years from.the site issued unless. Construct n of the building has been undertaken and is revocable for cause or may be amended ormodified when considered nary by tea Commission of Health. Any change or anerstion of Construction require a now permit., Approiad for disposal'•of domesticsanitary."we". and /or private water supply only. R6V 1688 oats By - . Title m r LAURENT ENGINEERING _ . .ASSOCIATES, P.C. MILLBROOKE OFFICE CENTRE Route 22 & Milltown Road Brewster, New York 10509 RANDOLPH W. LAURENT, P.E. (914)278 -6108 - (FAX) 278 -2658 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS January 19, 1995 Mr. William Hedges Putnam County Health Dept. 4 Geneva Road Brewster, NY 10509 RE: Individual SSDS Randall Rd. & Garfield Dr. Patterson, N.Y. Dear Bill: Enclosed are the following: 0 1. Four (4) prints of Drawing SS -1 "Proposed SSDS ", revised 1- 19 -95. 2. "Application For Approval of Plans For a Wastewater Disposal System 3. . "Construction Permit for Sewage Disposal System ", dated 1- 16 -95. 4. "Application to Construct a Water Well ", dated 11- 18 -94. .... _ _ . .5. . "Design Data Sheet".. _............ _.. 6. "Letter.of Authorization ", dated 11- 28 -94. 7. Two (2) copies of Residence Floor Plan(s), for "Bedroom Count Only ". 8. Check in the amount of $300.00, review fee. We would appreciate your review, approval and issuance of the Construction Permit at your earliest convenience. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. Harry W. Nichols, Jr., P.E. HWN:bd 94084 cc: Ms. M. Lobraico w /enc. APPLICATION FOR APPROVAL OF. PLANS FOR A WASTEWATER DISPOSAL.SYStEH Name and Address of Appl ici:nt: A101U Yelp h LyYirai�y 2. Name of Project: 4. 'Proj-ect Engineer: Iles ^o614 &Z 5. Address �/yvoAe Qj/ / e 4 A) A vL A, icy License Number: nL/ Phone:. 1f (/� ie,so 6.- TYDe Of Project: - Private /Residential~ Food .Ser.vice ....Cor..nercial , Apartments Institutional = Mobile Home Park Office Building Realty Subdivision:: Other (specify) 7. Ts this project subject'to State Environmental - Quality Review.(SEQR)? Tvoe Status (Check One) Type 1.. Exempt Type II. Unlisted. 8. Is, -a Draft Environmental Impact Statement (DEIS) re*uired? .....::....... �0 9. .Hcs DEIS been co;,npIbted and found acceptable by..Lead Agency? :.. ... i0. N. &T2 of Lead Agency !Jl� t i . -Ts1� this project in' an area gander the control of -local planning, zoning, r��l or other officials., o.rdinances? ...:.. - ........ ,2. If so, have plans been.sub~mi.tted to such : author A ties? ..................... �. -,C f3. H'as preliminary approval been granted by such authorities? �)1� Date Granted: `41'• Type of Sewage Disposal: System Discha•rge......^ Surface Water ✓ Ground Waters `5. If surf ace water discharge, what is the stream class designation ?........ �. Waters index number (surface) ............ ........... ........ ........ � �. _`s project located near.a public water supply system? .................. /rU yes, name of water supply Distance to water supply ' 4. Is project site near a public sewage collection or disposal system ?..... A/0 J. Nar'e of sewage system Ilic, Distance to sewage system t . Date observed: 14- 23. Name of Health Inspector: WVJ,' \_ 15 56--' :• Project design flow (gallons per day). .............. ` .00 X hereby affirm, under penalty of perjury;- that information provided on this form is true to the best of myy knoule ce and be 1 ief. Fa Ise statements made herein are punishable as a Class A Hisde;7eanor pursuant to Section 210.• 5 of the Pena 1 LEN. 37-GhATORES OFFICIAL TITLES: !AILING ADDRESS: V /OSO 57 1 • 2• 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?.._ hl� 26. His 'SPDES Appl icatton -been sub;iitted to.'local DEC- Office? ....... ...... _ � 27. Is any portion of this project located within a designated Town or State wetland?.. .............. . .. .......... ............................. 23. W'etland ID Number ....................................................... 29. -Is Wetland Permit. requi red? ................................................. Yo Has application been made to Tcwn or Local DEC Office? ................... to 30, Does project require a DEC Stream Disturbance Pe it? ...................... Ado 31: Is or was project site used for agricultural activity involving application of pesticides_ to orchards or ot'r,er crcps, solid or hazardous waste disposal', `` - l.�ndfiIling,. sludge application or industrial activity? ........ YES'or:h0 1J0 32. ;51 project located - within I;OGO - feet or' existence o abandoned landfill, hazardous waste.site, sail stockpile, landfill, sludge disposal site or any other potential known'source or- contamination? ..............YES or N /Va ' DESCRIBE: :. 33. Is there a 1dcal master plan or'; f i le with the Town or Village? .:.:........ 3;. Are c r unity water, sewer facilities planned to be developed within 15:yea'rs? v- �r,� ✓ =, 35. Are any sewage disposal areas in excess of 15-- sl -epe? .................... ., 36. Tax Nap ID 11miber . ............................... ... ...... .......... 37% Approved Plans are to��be returned to : ................ Applicant kytEngineer rf the application is signed by a person other than the .applicant shown in Item.1, the. °pplication must be accompanied by a Letter of Authorization: Failure to comply with this Drovision may be grounds for the rejection of any submission. X hereby affirm, under penalty of perjury;- that information provided on this form is true to the best of myy knoule ce and be 1 ief. Fa Ise statements made herein are punishable as a Class A Hisde;7eanor pursuant to Section 210.• 5 of the Pena 1 LEN. 37-GhATORES OFFICIAL TITLES: !AILING ADDRESS: V /OSO 57 V r C CO a DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Harry Nichols Laurent Associates Millbrook Office Ct. Rt 22 & Milltown Rd. Brewster, NY 10509 BRUCE R.. FOLEY R.S. Acting Public Health Director February 9, 1996 RE: Proposed SSDS: Lobraico Randall Rd & Garfield Rd. (T) Carmel Dear Mr.. Nichols: 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. Deep test hole #2 indicates ledge at 4 1/2 feet. Therefore, 2 1/2 feet of. ROB is required. 2. Fill sections over.two feet required. a) Plans show fill section only including dimension of the fill section, grade . stacks at such corner, setting periods of.si_x months.that include a . freeze thaw cycle,.etc. b) All restrictive distances must be from the tow of slope, i.e. 10' to property lines, 100' to existing and proposed wells etc. 3. Footing and gutter, drains should be connected to street drainage if possible. 4. The residence, including the existing well and SDS on parcel #25.62 -1 -37 is not shown on the proposed plans. Field inspections indicate that the well on this parcel is within the restrictive distances and maybe considered in direct line of drainage. Our file indicates that this parcel was not notified, as.required by the Department. 5. The indicated tax map number is 25.54 -2 -48. The metes and bounds description on the plans does not match the tax map. Upon receipt of .a.submission, revised to reflect the above comments, this application will be considered further. WH /jp cc: E.' Polese, DEP Very truly your __�—� _..,_• William Hedges Sr. Public Health Sanitarian LAURENT ENGINEERING ASSOCIATES, P.C. - -- - - - - - MILLBROOKE OFFICE CENTRE Route 22 8 Milltown Road Brewster, New York 10509 RANDOLPH W. LAURENT, P.E... (914)278-6108 - (FAX) 278-2658 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS June 8, 1994 Putnam County Health Department 4 Geneva Road Brewster, NY 10.509 ATT: Mr. William Hedges RE:_ Construction Permit #P -40 -86 Garfield & Randall Roads Town of Patterson, N.Y. Dear Bill: With reference to the aforementioned project, on behalf -of our.' client, we request.a renewal of the Construction Permit for the placement of fill. Enclosed are the following: 1. ''construction Permit'Application ",'dated 6 -8 -94. 2. Photocopies of the site and the signed plan, dated-July 11, 1986. 3. Photocopy of the approval letter dated 7- 11 -86. _ _.. - .4.._.. - Letter of Authorization, dated•- 6- •1--94 -. - - 5. "Application to Construct a Water Well ", dated 6 -8 -94. Kindly issue a renewal of the Permit for the placement of fill at your earliest convenience. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. Randolph W. Laurent, P.E. RWL:bd 92046 enc. cc: M. Lobraico . 1 • •.. 1WFO 9 } PUT: COUNTY . DEPARTMENT ,;OF ;..HEAH . DIVISION 'OF. ENVIRONMENTAL .-HEALTH.�SERVICES� f Date Re: Property � P Y of i V n \ (w Y' x.211 Located at \ l dR. d (T) R-#emo A Sectioh'9S. Block ?i . Lot . 1 Subdivision of /✓�j� Subdv... :;ot # Filed Map # Date Gentlemen: This lettbr is to authorize a duly licer_ -s•eu professional engineer or registered architect (Indicate) - to apply for a Construction Permit for a separate sewage systdm, to serve the above noted property in accordance with the.standgrds, rules -. or regulations as promulagated.by -the Commissioner. of the Putnam_;County: Department of'Heal.th -, and*to sign all necessary 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, Education Law, the Public-Hrealth..Law, and the Putnam _County Sani- tary Code. OF NF � o CO zo Countersigned: "0 ;. 9p P. E. �\ .:Very truly yours, Signed //Xz--eu Owner of Property Address �r (V Address Town Telephone 7� `6 Telephone of l 577.. z` :•_ •; :: IC ��._ -�� -�'gAi �',}gr' 1�•.. �:s: �� Nor ,i ,•` . ,�.w� •/ GU +-I l -kelr� �� _..__.. et . of the propo� SSD0.S shay. be reIT6ved. NO. OATE REVISIONS. by the desioh engineeY.'arch: :ect. and >tre :PLtna.-:' nt after com,5tc ti-r and fir.�.•r - backfi,.. ,, buildin.q materials, :ao. exc:dvated earth s`jal!. t' disposal Area. Cunst=•jc� —on •:,f SSDS. to oe in plsns any revi.Sions .:hereto, and the raes 'and lit issuing. governmencal c]Cer1(-V. _. -5 Scm is requirEd.' l+iz_As less' "-'an 5 gFr1 will a_ the Putnarr County oepat mer : c•, .iealth. 4i5 2 i� 2•o•FS r i�.L 2�0• G.v pS� :lei �+GE 1`�cE A SOIL c -•c Z•i:.:`, i % •'1 Ci:'' = c: - w � -�.cF tSoyL�2s ,o._ >ou� L Ft z- .iC� IGra. 1 �1 AC'GI j IC:'l� � L ��•.....'` ,.1• _ �. �: _ .�p�tst LIXt. •. FatG '. � O^'1o• �,o -, tpY6 '•�.L.`LL1 fcsz•�•�- •Es'Terk.G�. ftCtoR -to . �SctlTn�.� •�a�•se- w+.ae. �c�•i, ,LJi(aiTelbiE 1;1�xTgatet_ PNv t tzdL:..•�ot�..' •aGj•CiL� tl�E ��tJIQED �TF %, tr1 TP;r-- uc.i. ;a rin rh .z. HOWARD A. K% ALLY, JR., 37 FAIR STREET CARMEL, N.Y. 10512 PROJECT �T1v� A� IAT& - �A�DA�L �oA7 AQ ORAWING: F>fZC-LII•- k111Aty �ESt(�1.1 dot~ �. L SFL-r l o ►� �� �- 1 DATE JOB NO. 'DCt�K�E C le1e4Z•, S4AkA- )L a �?soss�lda;j Y == c cbF)LCJ7 . 0 OWN. ` F.� BY J 1 Ntnnm Count; Pcps'rt= nt of He:r,,t c� j)iyi; ,q.jon pf Fnvixp,nnentaI 1i °alth Se-rACe' s APPROVED TO PLAC► :FALL ONLY applicable 11ules ,ancl • "..in accordance with app. l r oQu t o s of the Fu t -.am County Health ' t- It ;a rin rh .z. HOWARD A. K% ALLY, JR., 37 FAIR STREET CARMEL, N.Y. 10512 PROJECT �T1v� A� IAT& - �A�DA�L �oA7 AQ ORAWING: F>fZC-LII•- k111Aty �ESt(�1.1 dot~ �. L SFL-r l o ►� �� �- 1 DATE JOB NO. �•Z�Q% PROD. ^ '`�'\< MGR ' l0� OWN. ` F.� BY J CHEKD. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of M" i e-eh z©6"^cZ.! (f1% D Located at Cq.,,r^9 Q, RQh do L/ (T) Pot 'e jp n Sectiono2S<<i Block 7/ Lot Subdivision of Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize tell a duly licensed professional engineer %C 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 connection with this matter and to supervise the construction of said system''or system`s -in conform iy'w th the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- 7 tary Code. OF Very truly yours, Signe Countersigned: 3Fa1 r )G&-1/al Dr[V e Address Pa I B S- -610P Telephone Owner of Property Address Town _..2Vr7 Telephone pp sl IV /�� � •� / Zvi �; • n �D DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster,.New.York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT- A'WATER WELT. - PCHD PERMIT $ _ WELL LOCATION Stre t A re Name s Mailing `Q own a Giiy Tax Grid ,: Address s Number 2 _ $(Private O Public WELL OWNER USE OF WELL (D- primary 2- secondary RESIDENTIAL BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION M INSTITUTIONAL O STAND -BY O.ABANDONED O OTHER (specify, O AMOUNT OF USE YIELD SOUGHTgpm /# PEOPLE SERVED /EST. OF DAILY USAGE /,0V Sal REASON FOR DRILLING O REPLACE EXISTING SUPPLY XNEW SUPPLY NEW DWELLING) O TEST /OBSERVATION 13. ADDITIONAL SUPPLY 13 DEEPEN EXISTING WELL DETAILED REASON.FOR DRILLING WELL TYPE DRILLED ODRIVEN ODUG GRAVEL. 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES C NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: WX Lot No. WATER WELL CONTRACTOR: Name Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _ C NO NAME OF PUBLIC WATER SUPPLY: N/9 TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH b SOURCES OF CONTAMINATION ON- ,SEPARATE SHEET (date) PRO D .EiL(J ( ignature) 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 applica any and all water or waste products from such we property and in suc a manner as not to degrade Date of Issue: 19 Date of Expira on 19 Permit is Non - Transferrable Whit 3/89 Yell nt shall take appropriate action to assure that 11 drilling operations be contained on this or otherwise conta tom-- surface or groundwater. Permit Issuing Official � e copy: HD File Pink copy: Owner ow copy: Bldg. Insp. Orange copy: Well Driller t, 1iS .1 ,��k1. ! F: �xi ^ 4 h 1 _ -7j'♦ ,.``� Ka . �"` �"-+� }agc':pl.cg�,rr'h•<S°���15 i...�#qC V' - d:Y•Fit�yk - Rtti_ rVyCI�' n ry'✓i d.:f ati �`}.. .. � - - Kai � „��• .,1 5 ' Q 4-1 �_ -hilt' ! • IL jA Y � N..,.. =:; !y•' "off / _.�,__,,,,, ` • _ _ .. ••;• .r •• � -,psi. .. . AY• •t' r� V from the desk of — JOHN KARELL JR., P.E. _ Director Of Environmental Health Services May 8, 1986 PERC TEST WITNESSED MAY 5; 1986 RESULTS SATISFACTORY �a of Yl�w�r;'°jw/ Oaf /....i 2 r b DAVID D. BRUEN County Executive .... __..._.._.__.__..__ _._....._.... �...•....... �.... r. enn. a.. mruwa: x:..•.-.' �.•^• ssm�s^.:.' z' tiYa.": wHU:: s. wul. 5vYS7: iH: st' i' �u113: 1` w�iis+ cii.`. �: iiilr +illLLJu'•i.�Aa:.w....�a.fuu6 DEPARTMENT OF HEALTH Division Of Environmental Health Services May 8, 1986 Howard Kelly, Jr.,P.E. Fair Street Carmel, New York 10512 JOHN SIMMONS, M.D. Deputy Commissioner Lobracio RE.; SSDS- Action Associates Garfield & Randall Rds. (T) Patterson Tax M.ap 56, B1. 5, Lot 5 Dear Mr. Kelly: 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. A corporate re.sol utio'n must be provided authorizing A4 Mrs. Lobracio'.s signature on behalf of Action Associates, Inc. 2. In accordance with Department procedures, three sets of plans showing the.fill only must be provided. 3. Two sets of house plans are not provided. 4. The hydraulic profile is not.to scale. 5. The fill profile must show: fill.10 feet each side of gal 1ies ✓� - 1:2 slope to grade - fill material description, A .e. ROB gravel — dimensions and volume 6. Details not provided or incomplete include:. - we 11 /rf#4 tea' &'j74 - septic tank (see items 2,5,6,7,11 ) 7. Construction notes and design data are not provided.�'� 8. Galley layout in the expansion area must be shown TWO. COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 2 Howard Kelly, Jr., P.E. May 8, 1986 9. Footing and gutter drain discharge locations are not shown. 10. House sewer slope of 1/4"/ft- is not shown ION 11. D-Boxes and gallies must be shown a minimum 10 feet from the property line. 12. A 'north arrow is not provided. 13. Adjacent wells and SSDS' across Garfield Road must be shown*. Inspection indicates two wells and one SSDS exist .(see marked'up plan). If the SSDS on this parcel is in the area ' shown,'it 'is within 100 feet of the proposed well. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Y, r v-e..riy - tr.0 -y J n Kar 11, Jr., P.E. Director, JK:pt Environmental Health Services c c : J K File . _ ........_......__... �.. �. �...._........ .............. v...... v.:.. inro+: �nrs. us+.maarn.Krr�-.r::u�.Y: >SU:iN. it iie.- .:ai.•ruY:.u+..w:•.�r. Sri...:_ �. tiC' roiv:. �C +ci�wi�i\Y� "L+�•:rvi'1.n.�:+.r: w".�.i.. ... -4. -. }�. i..y...:r .i1:.. 'v1.. . %rT'r':°_`,i Y ``h.�. fL 1' s•.J.�•vi ^. v.., - _�� Putnam County Department of Health Division of Environmental Sanitation AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT T0; Commissioner of Health - In the matter of application for I' -- — — — — — — — — — — — — — — — — — - - — — -- , represent that I am an officer or employee of the corporation and am authorized to act for — (name of corporation) — having offices at_____ _________ --- --- _— _ —_ —_— Whose officers are President _ _ _ _ _ - _ _ _ _ _ ' Name and Address) — — — — Vice - President ------ (Name and Address) — — — — Secretary and Address) Treasurer — ' (Name and Address) ' and that I am and will be individually responsible for,any or all acts of the corporation with respect to the approval requested and all sub- sequent acts relating thereto. Sworn to before me this day Signed of 19 Title Notary Public Corporate Seal i° PUTNAM ENV .COUNTY DEPARTMEW OF HEALTH - DIVISION OF IROMMAL HEALTH SERVICES :.d. SSDS/WS POJIE,W SHEET - DETAILS a. SEPIIIC TM »S 1. ; Oatic't 2" 1el inlet•' __ .. ?. Midi= 3" bed of pea gravel. 3. Ninimm dELJth of 1 igia- 4' ). length - m mnun twice width to mm= four times width. i. MmdTr m 12" oa.er. S. Irmticn stake. 7. Mimle - cxxxg - H&n n m 20" in sl t dinensim. 3. Paffle et end 20% of ligain cl th above lid, level 07-41, b=10 ", ). If leiith G.T. 9 feet - use 2' coijartrerts. ). Mi1'umm tank. capacity 1000 gaO beam-n; 1200 cgal/4 bEd=:134 cf/3 bclnn;161 cf/4 brim L. Aq,:haltic ecatiag far rairfdroEd ==ete'. 2. Inlet to /baffi e 16" below flaw line. 3. 0±22 -t tee/baffle 18" below flow line. 4 Inlet pipe slcp-- per foot min. (2%) . 5. Inlet pipe cast imr, 4'Ynin. 6. Qt -let pipe slcp? 1/8" per foot rvin. (A). 7. Qulked points for sanitary tees. 17M •1 y0 041019 YVA •3(Y: f , Inlet invert min. 2" above altlet inuert. All o-tl ets at score elevatirn. Oatlets 1" to 5" above tank bottrni. FiLnimm 12" bending clean sar>d car pea gel. Inlet kaffls. �. Mmdnlm 12" cover. FeTavahle oopr for ass. t. Sealed pipe .joints (asphaltic cx ewal) . ►. Slcpe cutlets at 1/8 irVft. (1%) .0. Frc6t p ntect-ian. :�• - +• Y • i•+9 • `Jib• ` •s+r � 1. Slrpe 1,/16 in. /ft- to 1/32 in. (0.5% to 0.25%). 2. 3/4" to lit' cn tr�'x33 star- cr w . washed 93Me 3. 4" minimin lateral. diareter. 4. 2" minfi= ate aer lateral. 5. 6" nnnimm aggregate u&r lateral. 6. Utreated building paper cr 2" of strew over ate. 7. 6" mk nun, 12" rraximm earth baddill-. 8. , Oxrfi_tl to allow fcr settling, 4" -6 ". 9. 21ndnirrun frcm trench bottm to v,ater- aft.crle L0. - 5' min -flan tn:nch battan to kTavicus 7 ft. grade. Ll. Mmicb --pacxng=in.6'O.G (24 "trerr) . L2. LYE lateral eds mast be plugged. 13. Eil.l - 2:1 slcpes min. 10' beyond trench. dq th:3f'nax.aRr ra:k +;2'nac.oves pater TirpenreabZLe baxr�s. M ECAMI ., . • jd:k- 5. Q±1et 41 balow O.G. 6.i Sardtiary ssals 3. eated WD&ng •p 6. Pipe inveft 6" off hftarL .- • _ • DEpth _3e • .. ti•. 1. Farovable bat oaar. 2. G=xD tm abet la" above lateral olt - ,3. Iaterals fly with bottan. . 4. Tirght joints pipes better baxes. A coD PUTNAM COUNTY = HEALTH. DEPARTMENT DIVISION OF -'ENVIRONMENTAL HEALTH_ "SERVICES John' M. Simmons, M.D. Deputy Commissioner of Hea th = FIELD ACTIVITY REPORT - Sheet of n t A INSPECTION NAME I r CR O -46744N /Yc���is� A° Orig. Routine - ADDRESS .UD° ROODidLL "A,6: Q, !, A �4� /�L � Orig. -Complain Orig. Request No.' `: Street '.= :: Municipality (T }(V }(C) - Compliance % Complaint Comp MAILING ADDRESS �?� . ._Zip Final P.O. ° -_'Box --Post Office• ,, Code Group Illness 'Construction TELEPHONE - 011 Reinspettion PERSON IN'- CHARGE° 4 Field,.Sampling Only OR INTERVI=EWED ; °jc- <lt� Field -Conference Name and -Title.-` Other DATE",, cS~ " :TYPE-- FACILITY - TIME, ARRIVED'' TIME LEFT a Explain FINDINGS: -, PUTNAM COUN'T'Y DEPARTMENT OF HEALTH -'DIVISION OF ENVIRONKWM HEALTH SERVICES INDIVIDUAL MTER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET - CONSTRUCTION PERMIT qJz (Name of Owner) (Street tion) COMMENTS YES oNO DOCUMUS _g.07") Permit Application Corporate. Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) UO Deep Hole Log Consistent Perc Results ✓ 30" Perc Hole Other House Plans - Two sets f PWS - Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan -1® (3) Sewage System c Prof' - Gravity Flow imension Vol Q eoe D or J Box;Trenc ery; 7tttn details AVr Z.: c Septic Tank - Size, Detail 7rve -- Well Detail, Service Line if over Construction Notes Design Data Two -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter Curtain Drains low Perc & Deep Holes Located mac, Representative of Sewage & Expansion Area Expansion Area;show'n;.gravity flow,suff. size:,.- . ................. _ If Paq:>ed Pit & D Box Shrxan ' &` Detailed ' House - No. of Bedrooms Wells & SSDS's Win 200 ft. of Property Located Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 "0;. Type pipe No Bends; Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN 'i D �1 ., to 1f Fields �K 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains- Curtain,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' fran Foundation 50' to Well Al 15' Well to PL GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town/DEC Permit R & D) Data On DDS Plans & Permit Same DAVID D. BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services March 21, 1986 JOHN SIMMONS. KID I Deputy Commissioner Howard Kelly, P.E. 37 Fair Street Carmel, New York 10512 Dear Mr. Kelly: Reference is made to aletter from*Robert Tutoni dated January 29, 1986 relative to the above parcels. In light of the recommendations contained therein, you should either, 1. Submit plans for one building lot per the recommendation. 2. Advise the Department that you wish to pursue two lots, in which case, we will review the plans in hand and provide you with a decision. I f you have any questions , p.lea ,ca1 1 me at Ext. 241.. V r tr y yo rs ohn Kare11, Jr., P.E. Director, JK :pt Environmental Health Services cc: Action Associates Sterling Place and Garfield Road Patterson, New York 12563 JK File (2) TWO COUNTY CENTER — CARMEL, N.Y. 10512 (914) 225-3641 t a DEPARTMENT OF HEALTH Division Of Environmental Health Services March 21, 1986 JOHN SIMMONS. KID I Deputy Commissioner Howard Kelly, P.E. 37 Fair Street Carmel, New York 10512 Dear Mr. Kelly: Reference is made to aletter from*Robert Tutoni dated January 29, 1986 relative to the above parcels. In light of the recommendations contained therein, you should either, 1. Submit plans for one building lot per the recommendation. 2. Advise the Department that you wish to pursue two lots, in which case, we will review the plans in hand and provide you with a decision. I f you have any questions , p.lea ,ca1 1 me at Ext. 241.. V r tr y yo rs ohn Kare11, Jr., P.E. Director, JK :pt Environmental Health Services cc: Action Associates Sterling Place and Garfield Road Patterson, New York 12563 JK File (2) TWO COUNTY CENTER — CARMEL, N.Y. 10512 (914) 225-3641 11 UTNAM COUNTYy r Dives n Cif. Enwronmenial I $ CONSTRUCTION PERMIT FOR SEINAG DISPOSAL SYS7 /�< > � L'oeated';at Subdivision :, r ✓%'i svba ..got Owner /Ad'dresa �°!� x TTaa��� :'F3WIdtn9nTYper :,try Alit.'-% /C�ul of Area ?' {; Number ;of Bedrooms 'w FDesign .Flow G /P /D" °�O "� rl ++Separate. Sewerage" System;, to consist of :c3a T.o be constructed by `T <j%� Water Supply ,PubhC Supply F;iom 'Prwate Supply to'De drilled Address Other +Requirements 6; ="� QJ A/.l..f I'.►epresent that I a`m wholly and ' completely •'responsible for, the sign ar above.doscribed will be constructedas shown on the approved endnien County, pepar`tment of Health; and that•pn completion th ° eof a. 'Carl be submitted tment,,.'and ,a� written gu wia lrbe �fw piece in 'good. , operating' conditioniany part -&-sal age disposal ante Hof the approval of. the Certificate bfrCoristru ton Compliance will be located as shown on}the approved plan and t t said weli will 641t 'County ,Department of Health � '�' � . >, ri , ^,� � ^Signed:' Address APPROVED FOR CONSTRUCTION This,approvdl`expues'one year tr revo`catile for cauieror may: be amended- or'niodified. when considered rte requires a new. permit „,Approvetl'fordisposal ot'domestici sanitary_ s Date L t' y il PARTMENT OF HEALTH, ENGI R TO PROVIDE PERMIT A ON' ERT FICATE OF•.C'0MPLIANCE. rlih` Ser RMITvic ' C Cir I own or Village i r ' O 1 Tax Map Block Lot.. . ; r Renewal r Revielon 4 vioua Approval � ' SF � Fill' ction .Only ❑ Noti'fication'Requiied a r epticzTankP and � Y 3 ice. ` ,� � •, 1,'.1 q ' .VI 1 1 octuctn�of- - the' prop osetl item(s);;.,1) that the:separate:.seWage disposal syitem ' tore to candrin accordance wit 'he standards; -rules and,regulations ,o a ;: u narn , - :ate of .Construction Compiian ''satisfactory to.the.'.Commissioner of. Health will lied. the owner his successors; heir, r;.assigns.by the buiider,.thit said builder will tern during "'.the,period of two "( 2) yea immediately followinq;thedte'of the issue the original system ii iny,re`pairs there 2) hit the',drilled well'descii above ileG to ,accordance with the ,stantlsrd r s';a uu aTfTons ; o; f • t 'Putnam a' P'E.I R.A. {z r } s License the date isiued',unlesssco ruction °of t6i - building -;has b n undertaken and is ary by tnetCommissioner .of Health: Any ,change or alters n of-,construction tige ;'and /or`. private :water supply only Title I Aawand A. 4W11, A&aclatca OR C. E,t4Guats - ftwuwaa - can,u nta P.O. .B}ox®®��1p2jp /�gg KELLY, 7, Route 202, ® Somers, New York 10589 37 FAIR STREET CARMEL., N.Y. 10512 April 16,1986 John Karell, Jr., P.E., Director Putnam County Environmental Health Two County Center Carmel, New York 10512 Dear Mr.. Karell: 914 - 225 -8088 Re: Randall & Garfield Rd. Property Town of Patterson I am in receipt of your letter of March 21, 1986 regarding the above mentioned property. I am requesting that Lots 6936 to 6941 on this property be processed. If you have any questions, please feel free to call me. _ _ _. .....- ... .._... __.... Very - truly.. yours.,.-..__..... _ .. e I i� - DAVID D: BRVEN County Executive DEPARTMENT OF. HEALTH Division Of Environmental Health Services Howard Kelly, P.E. . 37 Fair Street Carmel., New York 10512 January 29, 1986 I JDH SIMMONS-7 M.D" .' Deputy Commissioner RE: Applications for Action Associates (a) Sterling & Garfield Rd.,Lots 6929 -6635 (b) Garfield & Randall Rd., Lots 6936 -6941 (T) Patterson Dear Howard: Several plan reviews and on site inspections have been completed by this Division in regard to the above proposals. It is the opinion of this Division that the applications are, at best, - marginal for the development of sanitary facilities to support the two proposed residences and we would suggest that•you re- evaluate the submission._and' resubmit for.one building lot, which.we,feel' would °be reasonable. -: If you have any questions relative to this matter,.please call me at this office. Utmry y yours, .cvh� Robert J. Tu oni Division of Environmental Health Services RJT:mk f, TWO. COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 PUTNAM COUNTY DEPARTMENT OF HEALTH - DI��'V1SION` OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner A T 100 ,) Address Rlyt�a+ti C tar.�C2S � t1 _i CGS Located at (Street See. Block Lot �Indicate neares cross street) Municipality 'TIOWAS <U�' PMZ2. atershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED .WITH APPLICATIONS o e Number CLOCK TIME PERCOLATION PERCOLATION Run apse Depth to Water Water .vq ..,....: .... . . No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop . Drop in: Min./in drop Inches Inches Inches 41 .1 2 l coo 19 22- 3 20 4 /0A& Z/f Z.2 5 _ 2540--loa �►... _ . l- ,..:��.:j.�._ :.:... _..� _ ..._ . :.. ::" . 3 1 001.- /02Z 2-1 Z 7 4 IoZZ - !off 24- 1$ % Z-i Xe . . 5 1044 - l l l o Z_Z+ 41 Notes: 1) Tests to be repeated at same depth until a roximatelyy-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. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLECATIj9M.. DESCRIPTION OP' SOILS ENCOUNTERED IN TEST HOLES;; DEPTH HOLE NO. HOLE N0. HOLE N0 G. L. 6" 1211 1811 -77777. 24" 7011 k•.. 3611 6 ` 4211 d � 4 it 5 11 6011 7211 701► 8411 INDICATE LEVEL AT WHICH GROUND WATER -IS ENCOUNTERED A10Ae -: - INDICATE LEVEL TO WHICH WATER LEVEL -RISES AFTER. BBEING. ENCOLTNTER;ED. /IQ�C -'SY .... -.. _ - - TES'PS :MADE •�� Date ; 7.I , d'S . DESIGN Soil Rate Used 8-10 Min/1 "Drop: S.D. Usable Area, Pxovfid6d.. No. of Bedrooms �51 Septic Absorption Area Provide Tank Capacity. <n�.. Gals: T9pe MASovA - By L.F.x24 - :.width:.:; rem 2%ti fit" '1?ot3 Fn La— I -�)o Lt- -T21. C-4AL.C..I6 other ame — igna ure fss' Address SEAL THIS SPACE FOR USE BY HEALTH DEPARTM, T ONLY; Soil Rate Approved Sq. Ft /Cal. Checked by sF .38 F OR' N F1464 .4 0 i• P i [ PITNAM ALTH COUN17 DEPA3tTMENT {� , ' OF HE , eer to Provlde:Permit # Division of Ebvlroameatal 19 With Setvloes [Carmel N Y 10512 CE TE OF COMPLIANCE . QQ v, w CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM T v F TON'a or VlDago Sabdlvleioa Name li i l�r"�I�l VaK� Sabd Lot N �°' I' Ta: Map` Block Lot A��•,,,_� 9S� 5. on Owner /A llcetit Namet'°iT® , e,T�.T.�Zx...ItES` ;• } Rea ewal _ ❑ -', Revisi '❑ PP,. ? ' Appro Date of.Previoas val Melling Address' Town �� S �.: yjp saucing Type Fawt �� j s i ", bD ` �' Lot Area ^ n k Only Depth V,olame Fill Section Nambe'r at Beilroome t = Design Flow G1P /D ' D PCHD, NotiRe"nu le'Regtilred Wtien Fill is completed Separate Sewerage System to contilat of J���Don Septic Teolc and ���' 1�C� To'be constracted by Addmse Watei'smipp 3,:: �/ Pdb11c Supply From" ** ... . r� Addres`, Prlvste Sapply ,Drilled Ae14I Othei'Rogtilrements > c I represent that l am wholly and completely responsible for the design and location of the proporo systems) 1) that the separate sewage disposal , iystem above described wilfbe' constructed as shown on,the a roved'amentlrient thereto and ln,accordanee with the standards, iules,an ,regu a ons o e .0 nam PP County .Depagrment',of Health ,;'and that on completion thereof a 'CertiUcate of Construction ComD�ianee satisfactory .to the,Commissionei of •Health will be submdted;,to the :Department,-` and a':wntien' :guirintee'will be'.furnished'tt a owner; his wccessors; heirs or assigns by 'the builtle►, that said buildor will ,... place;; im,good 'operating condition ,any part •'of said, `sewage- disposal ,system during tie period of two (2), yeari`immediately following the date of the issu- Once,. of the: approval ,of: the Cortdicate ;01 Construction .Compllance,�of the „or inal system or any; repairs hereto; 2j that the; drilled well desertbed, above Will be located as shown'on the approved plan and that said well will be ;instill accordance with the'` to ards; les end regu aTiToos of. `the Putnam. County Oe artmenNof Health a ! P E v R.A. Date �7S 5ignetl $$ =, Address ' ” ! License' No• ` APPROV,ED.F,OR ONSTRUCTI.ON This approvalexppes,; e y from the• date issued unless co struction; of -the.-building , har Deen undertaken and Is re4 able for came or ma .b amended or modified .when con idere necessary, e'Co m si er' of Health. Any change or alte►stion ot.constXuction requires a ne emit 4od for disposal of pomestic' i y sewage > / iv e e er pply only Dste � �. , .'BY Title � DAVID D. BRUEN County Executive Action Associates Barnum Corners Brewster, New York Dear Sir: DEPARTMENT OF HEALTH Division .Of Environmental Health Services July 11, 1986 10509 CONSTRUCTION PERMIT # P -40 -36 Garfield & Randall Rds. Town of Patterson JOHN SIMMONS. M.D. I Deputy Commissioner The Department has this day approved the above - captioned construction permit. As is our policy, the approved materials have been forwarded to your engineer. YOU ARE HEREBY ADVISED, THAT THIS PERMIT AUTHORIZES ONLY THE PLACEMENT OF THE FILL IN THE SEWAGE AREA AND WELL CONSTRUCTION. The 'trenches, septic tank, and other sewage system appurtenances cannot be installed until such time as the fill is allowed sufficient '..time to settle, normally '60 -90 days AND plans are approved for the sewage system. Since you are. the permittee, your-attention is directed to the abo.ve... and to the-attached-'notice relative to constucHon of these facilities in accordance with the approved plans. A similar notice has been, forwarded to your engineer. If you have any questions, you may call Mssrs. Budzinski, Morris or Hodgens of this office. JK:mk V ry Itrul., s, 3 ohn Karell, Jr., P.E. irector Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 AV --ZAUD 114 7 o.�k- - C A - El, C> DATE REVISIONS [o6t of the propo_z�� SSDS'shal,. ix rerr6ved.' N O. ad-by the dpsiah engineer.'ar,_,hi-zect* and tre Pvtna.r -ent after arm dr..•.r t.) backfilli. -y,. building materials, e'xcc•iated earth 5%,co'i.. tr ge disposal area. . Cons on -:jf SSDS to oe in se .plans any revy.S�ons :hereto, and the niles and rmit issuing. (goverrveencal acenc-v. ot.5 qpm is requi-Exi. le—.3s "-Ian 5 gpi will b",! to -the Putnam County Oepctz. mar ". c•, .health. L 69TS 'Z T A'! -AA iA L4_ Ill t E. 'P--U'_YE0 t —A! Ct,, iw HOWARD A. I(ELLY, JR., 37 FAIR STREET CARMEL, N.Y. 10512 FPROJECT: �0 ral rt rT3 r!"11 j<AQ1>AL.L_ jZo#o> A Q Ae- fr.1 El P_'A T::) - DRAWING N1 OAT E PRO J. MGR OWN. BY C H E K 0 C- .2- -A - E3(- JOB NO. lo( ; 44IT-�A45L-r-' 6e_-A%-6e r &T r- LIA-f e3A* 40 *rAr-- -FiLL aats�c !6kiaest, 54AA-4- ♦ VeOSC_ 4.6`it; rn C: 'o SQAZ ' c A*X'5-�' In In rri 0 -Putn�im County Depart=en t of Fe n- pf F piv P ,11vironmental -ices Health S e"r v APPROVED TO PLACE F IL ONLY In accordanoo with appitcable Rules and au t 3 of the Putnam County Health t HOWARD A. I(ELLY, JR., 37 FAIR STREET CARMEL, N.Y. 10512 FPROJECT: �0 ral rt rT3 r!"11 j<AQ1>AL.L_ jZo#o> A Q Ae- fr.1 El P_'A T::) - DRAWING N1 OAT E PRO J. MGR OWN. BY C H E K 0 C- .2- -A - E3(- JOB NO. lo( ; �'j ',_:• .. - h _ :� tom:-- -�'.- .'�..... - f- T,h-- -.:.. �:;.0 —r,' _ - >.,., �. , i. _ - i�'[' �Mt: .. �.�- .5= ��w ?f- '= : :!i.R S_,l r!n..arj:•'� ';�iS;;l ��. �.. f1� 'S: =`.' ... _ � �. [ i u 'J . PTNAM CUT- DEPART,MII E t OEHEI U PR2 V . 3%86 Division of Environmental Health ServicesCarm1 E.. Weer to rovide Pe l NY0512 .. t # f) on CERTIFICATE OF COMP erml t CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM C f� L (' -\�i "' 1'(:G+:h1; �" ': .' e:: Town Located at or Village Subdivision Name �% t ©`�'� 1' Sabd. Lat # C0 �:7�� �� Taz Map S Block Lot . • f�" v T& -- Renewal C�j' ❑ Revision ❑ �-ner/ Applicant Name _1 :Date of Prevlous Approval hiailirig A d d r e s s h` l � (' o Town �C WC !gyp 10 Building Type Lot Area Fill Section Only . Depth �'' _ VOlumer! 0 Cv Number of Bedrooms �' Design Flow G /P /D7 ? P� PCHD Notification is Required'4E'hen Fill Is completed Sepa]r1r Sewerage System to consist of Gallon Septic Tank an To be consrcted by - � Address Water SaPPIJ': Pulluc Supply From Address or: Private Supply Drilled by U G � E'_. address Other Requirements I represent that I am wholly and completely responsible for the design and location of the . proposed system(s); 1) that the separate sewage disposal system above described.will be constructed as shown on the approved amendment there to and in accordance with the standards, rules and regulations of the u nam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the -ommissioner of Health will be submitted to the Department, and a written guarantee will be furnished the owner, his successors. heirs or assigns by the builder, that said builder wi!! see in yuod operating conaition any part of said, sewage disposal system during the period of two. (2) years immediately following the date of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be installed in accordance with the..-standards. rules and regulations of the Putnam County Department of Health. Date t/ Signed C.. r r' P. E. R. A. Address ' l •`_f� License No APPROVED FOR CONSTRUCTION: This approval expires one-year from the date issued unless construction of the building has been undertaken and is. revocable for cause{or may be amended or modified when considered necessary + yd�r( Co r m'ssi nerl`df Health. Any change or alteration of construction requires a n`y� "mit.. App�ed for disposal of domestic .tf ry sewage. � riv to a er- Date vexA • dY Title. 71zlr . SE1 T• By, 1'23 -9� 10.49 ; y 9148326698;4, 1; 2 "RN FACSIMM 'TRANSMITTAL MALCOLM Plitt IE, INC 142 Corporate Park Urine Bole 751 White Plains, NY 106a TM (914) 694.2140 FAX: (914) 6412474 FAX No.: 0114 — 7--1 d5 4c� , RE: FROM: C.' �e t MARavOLAS4. DATE: ql�Z /gs TIME; JOB NUMBER NUMBER OF PAGESs (inciu Ung fttla rhra) RETURN ORIGINALS TO SM—DERs (elm* one) Yee NO �11:f55c�Gi1E: v F= �� cJ.( t {D � r �l t+► . �,t^'f'�'C�X , C oC-a-r f 0., f pr=' `s � D � Ci � � d"i` TC�' RI � �'r•:,re �'�'�?. _. .. �-r4. ,�l C S, ff you do not xcelw all pagm or if poniaw M ilkebk Qlaoe caU (914) 6#1-2881 for mtAwMill tNt t d I • r .d i . • • ;, �.p - -�, .ter- Ee _ � o `�., � • � , �1 �•-� yea - `,6.9 s Loca-rtOW i CONSULT YOUR LAWYER BEFORE $IGNING THIS INSTRUMMT —THIS INSTRUMENT SHOULD BE USED RY LAWYERS ONLY THIS INDENTURE, made the 10th day of July BETWEEN Maureen P. Iabraico Barnum Corners R,:-D.# 3 Brewster, New York 10509 party of the first part, and Catherine L. Stephens J Overlin Road Patterson, New York 12553 nineteen hundred aad eighty -six 1 party of the second, part, WITNESSEThf, that the. party of the. first part, in consideration of Ten Dollars and usher valuable consideration paid by the part}' of the second part, does hereby grant and release unto the party of the second part, the heirs nr Avcceisvry and assigns of the party of the second part forever, ALL th;it certain plot, [piece or parcel of land. with the. buildings and improvements thereon erected, situate. lying and being in the Town of Patterson, County of Putnam and State of New York. desianatea anu aelineated as Lots Ntlmbe:ed 5929 to 5931, inclusive me 1h. 29 lot', the ea3tai(;e and 9 t on the westside of lot 5935 on Wraps entitle(; 'tom hth Nap of Nutnam lAke, Town of Patterson, Putnam County, liew York ,''arid filed in the Putnam County Clerk's Office on March 20, 1531 as YAp Nrunber 149G, TOCKTHER with all right. title and interest, if Any. vl the party of the first part in and to an) ztreet:r and road, shutting the above described premises to the center lines thereof; TOGETHER with the appurtenarrres and all the estate and rights of the party of the first pan in and to said premises, TO HAVE AND TO HOLD the premises herein �rat:ted unto the party of the second part. the heirs or successors and &$signs of the part) of the second part forever. AND the party of thr. first part covenants that the party of the first part has not done or suffered anything wheteb% the raid prerni.:e�s have lxen encumbered in any was• whatever, except as aforesaid. 'AND the party of the first part, in compliance with 5ection 13 of the Lien Law, covenants that the party of the first hart will receive the consideration for this conveyance and will hold the right to receive such consideration ss a trust fund to he.. applied first for the purpose of yoyrng the. cost of the improvement and will apply the same first to the payment of the cost of the iwprovrment before using any part of the total of the same for say other purpose. The, word "party" yhxG be construed as if it read "parties" whenever the sense of this indenture so requires. iN WITNESS WHEREOF, the party of the first part has duly executed this deed the day and year first above- written. IN PRESENCE ov: / &/ preen V, Lobraico 'eorgA rker - Witness TOTAL P.L2 S ^ATE OF NEW YORK, COUNTY.OF ss: On the day of 19 before me personally tame t,, me known to be the individual dt- wrihed in and who ' fruited the -- foregoing instrument, and'aclu,uwledged that oxrculed the same. STATE OF NEW YORK, COUNTY OF %a: On the day of 19 before me perwnaily cam(, to me known, why, being b,v me duly sworn, did depose sad >ak that hr reside, at Nu. that he to the of the corporation described in and which executed the, foregoing instrument; that he knows the seal of said corporation; that the sea14% to said instrument is such corporate seal; that it affixed by order of the board of directors of said corpora- tion, and that he signed h name thereto by like order. xaraain aub Galt Mee b WITH COVENANT ACer><aT GRANTOles Aors 1STC.t No. Maureen V,-Lobraicu .. TO . - Catherine L. 6tsphen5 sYAtt OF N1W YORK, COUNTY OF so: On the day of 19 before me persvnally canie to me known t.o hr the inti,ividual described in. and who executed Alii foregoing instrument, and acknowledged that executed the same. STATE OF NEW YORK, COUNTY Of sat On the day of 19 before the personally came the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by the duly sworn; did depose and say drat lie resides at h'o. i that he knows to be the individual described in and who executed the, foregoing instrument; that he, said subscribing witness, was present and saw execute the same; and that he, said witness. at nc( . ••ame time subscribed h name as witness thereto. SECTION BLOCK LI)T COUNTY OR TOWN RETURN BY MAIL TO: Zip No. O , w 0 v • a 4 w • A w • a 100.00 —11V tie 4w /xi /ter' ZAV i 4, i•1 8 i { i' { � �I 1 : 1 .•1 =... 1 1 1 1 I•. - 1 1 1 110000 100 1 I 1 l i 1 2' 11 I s { l l l 'nO ll iJ/1a n/J YJli l niJ 1100.00 - i 1 10000 .Do Zw _— TP /0 25.62 -1 -31 .�,2 �tL!- �kr7•:'�', ",'• 2000 _ JW/ _ 1.� I Jtt77 ;,...r.: • "" •_ 1 1 Is.,'.: �1�u'; ., 'r: ,l .'1.1� — —35 s 0. pX`' M1 1 '., {:." 'l ....1 I! I ';� ` ".' %i'. }.','13T11� - '39� 3e l 1';1;1;11'.•1.. .r j?i. °•I'f.':I:k l 1 p,i pw ¢ '" ^ — i �; 1 . I .ja t..;.l • : '�F 1'r.. 1 1 1 2000 my Il,�n plp (�(/ Ito. My 00 — 40 1 44 — 8 — ^ -' -" pn l i1"piv law ari,j,,. .11,•.�.:.'f'• .1, 431 100.00 — 1''- 42 I Flii �I« ^ILA yj..,`1,.,:...1 138 I ,•.' � y I'� .,I''q ~.I l —� — g — _ — — ^ �' • 1 • 1 .:;.+I'' :,� l . 1'M'.F I�%i�s:.::.� 160. •"• — . —, I, ooao �<•s:�� i •i., ROAD tmoo i �Y 1'.t:.' , .,N,^ ....., �.. -• a 92 •�'�' 60.00 I !N/ _ 10000 !xr �' I 1. ,• } j I. 1.._. -. • . _ .I l !Jn �:1 Y� �•x.l . S's.. ' I . I 1 _ _ o — — LVJ �� 150'I pxJ —ai l :• 1 i na ow, 1'' I l rJvi' l a i . j avJ, l;• ,. i 1 I t _ 4e au c� • !.-m , 1.. .. ,.I°�.00 ay.Iauvl el4 "aff 6 v owj AV M. 8v4:1 .7 '11. I,. .' ,� •1:` /,;i.r21SS'.il' 71 >:r�i `` 0.00 - z546 _ P�R E L I M I MARY ............... WETLIUDt LIK AD 11104. L.�-.J .. .: ..•.�r '}: - .:-- •. ;;f- 1► 4 otvMOFOn l0i Nl11eED DimmloM J ID4� _ .7.. ,'Cm =25. PATTERSON 25:53 �� '�� - �- TOWN II[ . �, SCALED DIWOION ...: ; ' IR LtK, —'-=F' CA,Cl1.1TED Ax6 — rlwa wrTNOIO 1040 Lf1 A: CAL .'OF fA� - .�« : .... . 1 y� '. I•t1.:.:'..`... ,s •n'. 25.6 �. :25:62.. 25:63,- s�w�,. :PUTh11M' COUNTY.- NEW YORK CT uK _ .1110 — — — FARM KAedl h I, 6451 8_ 45—,,—, — — — — !XO - - - - -- -rte !X! ` !X, 46 rXI !/? 8 I ' 5,62-1 :3k ua JW ;. 40-9 .. A. MAP 25.54 SCALES ` 50� ' 01n Q WIK bin n Ily..:.a•It ! FIT MT 7TeiE RY['C0401YTn AIE mm IM r �1 i w I repreaeet. t 1 am wholly and completely responsible for the design and location. of the., proposed fystom(f); 1) that the sa rata pw di sal slam above Oaacribpd will be Constructed as shoiiin.on the approved amendment th*ri to end in accordance with the standards, runs a rpu ns o Ing County Department Of MMKh, and that on completion,thereoia'•Cortificsto of: Construction Compliance" satisfactory to the Commissioner Of MNKhwill be'submitted' to the DOPartiihm, and a. written`, guarantee will', be furnished the ownw,'his succeaonc hairs or asfigns,by the builder; that YW builder will place in good operating coldition,any part of aid - II disposal_ system during thi.pwkm,Of two (2), yews Immediately following thedato of the Issu- Once of the approval of the Certificate of Construction Com he original system or any, ow %P o; 2) that the drilled well A sci MW above wo be Io Am as dmarn on the approves plan and that old we11 �vl be Insta nee with the $to s, runs and oral no�f _the' Putnam County Department of t4aelth.r, V/ rDate / / - -/ S P.E,. - R.A. _. Address, -� Fn((SriE�C� fQ `� Licema No APPROVED FOR CONSTRUCTIOM This' ip*oval aspires two Yens front the"dato ,issued, unless construction of the building has been undertaken and Is revocable for cause or may be anwmsld or modified when considered necessary by the Commissioner Of MeaKh. Any change or alteration of construction res)uiras a 1!!. Agwtnid for disposal of domestic santtary.sewpe, and Wate water supply only. 10 88 Date Title 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 PCHD PERMIT #P qD P6 WELL LOCATION Stre t Addres Town Vil ' r � da 1P �S ge ity Tax Grid Number �o SS -2 - 9W WELL OWNER Name 1 Mailin Address IN�Q�C Pik L !Ca cxr oven Aev- -c Q w tVI Private OPublic �SE OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑PUBLIC SUPPLY 0 BUSINESS O FARM ® INDUSTRIAL M INSTITUTIONAL ❑AIR /COND /HEAT PUMP O TEST /OBSERVATION O STAND -BY OABANDONED O OTHER (specify, O AMOUNT OF USE YIELD SOUGHT 15 gpm /# PEOPLE SERVED q -4 /EST. OF DAILY USAGE , O gal ❑ REPLACE EXISTING SUPPLY ❑ TEST/ OBSERVATION Q ADDITIONAL SUPPLY kNEW SUPPLY NEW DWELLING D DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED. REASON FOR DRILLING -u— 22iZl�n e WELL TYPE MDRILLED ® DRIVEN ®DUG ®GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES _XNO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name T,�� A . Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES >C NO NAME OF PUBLIC WATER SUPPLY: NIA TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER,MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION P ON SEPARATE SHEET Lt a 1-y l `ice (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 Department attached to this permit. 3. Submit a Well Completion Report on a form During all well drilling operations, the applic any and all water or waste products from such w property and in suoh a manner as not tood,degrade Date of Issue: 19 / 1;?' Date of Ex 'ration 19 Permit is Non - Transferrable Wh 3/89 Ye requirements of the Putnam County Health provided by the'Putnam County Health Department. ant shall take appropriate action to assure that ell drilling operations be contained on this or otherwise contaminate surface or groundwater. Permit Issuing Offic^±—al -- ite copy: HD File Pink copy: Owner llow copy: Bldg. Insp. Orange copy: Well Driller LAURENT ENGINEERING' ASSOCIATES, PC. 73 FAIRFIELD DRIVE ~- - -- ° •• -• • - •• -' ' " -` 'PATTERSON, NEW YORK-12563 ' RANDOLPH W. LAURENT, PE. (914) 278'6108 - (FAX) 278 -2658 HARRY W.NICHOLS, JR., PE. CONSULTING SITE ENGINEERS June 17, 1992 Putnam County Health Department Route 312 Geneva Road Brewster, NY 10509 Att: William Hedges Re: Construction Permit #P- 40 -86- Garfield & Randall Roads Town of Patterson Dear Bill: With reference to the aforementioned project, on behalf of our client, we request a renewal of the Construction Permit for the placement of fill. Enclosed are the following: 1. "Construction Permit Application ", dated 6- 17 -92. 2. .Photocopies of the site and the signed plan, dated July 11, 1986. 3. Photocopy of the approval letter dated 7- 11 -86. Kindly issue a renewal of the Permit for the placement of fill at your earliest convenience. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. andolph W Laurent, P.E. RWL:bd 92046 enc . cc: Maureen Lobraico r� � .. _- Town of Patterson �- Highway Qe.Partment - P.O. Bcx 445 a Paiwrson, New York 12563 -044S a (914) 878.4341 (914) 878- 61300 Fax: (914) 878 -6130 =M�-= ..ter =�. _ Highway Superintendent: William H. Burdick ...............• .,................... /�J TO: HARRY W. NICHOLS Jr., P.E. LAURENT ENGINEERING ASSOC. P.C. FROM: WILLIAM BURDICK RE: LOBRAICO PROPERTY REQUEST DATE: MARCH 19, 1996 In regards to your letter of February 22, 1996 concerning the property of Ms. Lobraico - Property #.25.62- 1- 83 -85 -86 and 13 the Patterson Highway Department has no problem with your request of crossing Lakeport Drive as lone as the pipe is placed in a sleeve at the point it crosses the road, the blacktop saw cut, backfilled with Item 4 and tampered at 6" -interva-l-s - and a - minimum of 511. of- blackt.. ip.' _ to. b.e ..i.nspected_by . the Highway, superintendent when work is to be completed I would also request that your office contact the Trans- atlantic Underground Cable company to be sure that it is not a problem with them and that they can be assured that this pipe service won't harm or interfere with the cable. WHB :j CC: Putnam County Health Dept. Gainer Wilbur- Town Eng. ' LAURENT ENGINEERING �j ASSOCIATES, P.C. MILCBROOKE OFFICE CENTRE' - / Route 22 6 Milltown Road Brewster, New York 10509 RANDOLPH W. LAURENT; P.E. (914)278 -6108 - (FAX) 278 -2658 HARRY W. NICHOLS JR., P.E. \ CONSULTING SITE ENGINEERS Date:_ To: Pu-�n� rYl C,D U n� &ney"It- �!Wj Attention: r- Wk l Liam -e *S Gentlemen: We enclose( ) copies of: • B/W Prints ❑ Reproducibles • Specifications ❑ Memorandum . Description: �nur [4) Job No.: 1��5 Project: Rroa=sed . SSbS_. Lobra'ca Canon br;le a P-X. noe rci pd.- • Reports • Copy of Letter ,rep Sent Via: • Our Messenger • Your Messenger Copy to: 5uDe r 3 ❑ Tracings u Revision/ Date. No.. ❑ Blueprinter ❑ First Class Mail ❑ Special Delivery land Delivery ❑ Very truly yours. LAURENT ENGINEERING ASSOCIATES, P.C. Per' r PF -29 (i 1166) • Bargain and Sale Dead. with Covenant agahat aranWs Ada - Individual or Caryoration (SbVie S" CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT THIS INSTRUMENT SHOULD BE USED BY LAWYM ONLY. - This-Indenture, made the.•- ,_. - day of March nineteen hundred °end' ninety -sik Between MAUREEN LOBRAICO, individually and as sole heir and child of GEORGE BARKER, deceased, residing at RD #3 Barnum Corners, Brewster, New York 10509 party of the first pan, and MAUREEN LOBRAICO, residing at RD# 3 Barnum Corners, Brewster, New York 10509 party of the second part, wltnessath, that the party of the first part, in consideration of Ten Dollars and othervaluable consideration paid by the party of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, All that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the To�,rn of Pat, r on, CC unty of Putnam and State of New York mor particularly descrti�ed5 as fololows. Lots Number 7744, 7745: 7746, 7747 and 7748 as designated and delineated on a map entitled "Eighth Map of Putnam Lake, Putnam County, New York and Fairfield County, Connecticut ", and filed in the Putnam County Clerk's Office on the 20th day of March, 1931, File No. 149E and Lot Nos. A1246, A1247, A1248, A1249. A1250, A1190, A1191, A1192, A1193, A1194, A1195, A1196, A1197, A1198, and A1199 on the map entitled "Map A. Putnam Lake, Town of Patterson, Putnam County, New York ". and filed in the Putnam County Clerk's Office on March 20, 1931 as Map 149H. This conveyance is made and accepted subject to the following restrictive covenants which shall run with the land.and shall bind the Grantee and their heirs, successors and assigns of the Grantee: 1. That said real property shall forever remain as one parcel of real property and no part of which shall be sold separately; and 2. That Lot Nos. 7744, 7745, 7746, 7747 and 7748 on Filed Map No. 149G (Tax Map 25.62 -1 -13) shall remain vacant and unimproved with the exception of a well and related pumps and piping Together with all right, title and interest, if any, of the party of the first part in and to any streets and radda abutting the above described premises to the center lines thereof; Together with the appurtenances and all the estate and rights of the party of the first part in and to said premises; To Nave And To Hold the premises herein granted untothe party of the second part, the heirs or successors and assigns of the party of the second part forever. And the party of the first part covenants that the party of the fi rat part has not done orsuffered anything wherebythe said premises have been encumbered in any way whatever, except as aforesaid. And the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first tothe payment of the cost of the Improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. In Witness Whorsof, the party of the first part has duly executed this deed the day and year first above written. IN PRESENCE CF: MAURM , n v sole heir and child of'GEORGEy BARKER s 'v `I t i r nra I SECTION = �—�- -n --n •�i! -• °�"`�, � -'� _ -� n.z, •-; F I � — - s,, . TYPICAL CONC. S EP T F C - -- — _�• `` 1--,r I, ' I - { 1 _ .� ��q! a ;ROUND LEVEL - :� �'tR•t..1 ES CST Ate TY(*1) ` 4 \ -' .� �q •ruE.- \ � -/ G IL: _ f -: x. 31`! g aC E-A k F• LL 75J p is -14.4 • ` F ! t ° - r y r1VC. ( P 1y n n 1� BLOC. PAPER. OR HAY -!. - i.W i - °s -•air' PERFORATED Pt P E .77_ _•.. _ c ESAl"f _M: N /24' t _ `4 CRUSHED STC •,F v_. _ " ABSORPT 'TREK JUNCTd•ON BOX OTING SET B .z S ARATION DI EE— S.S.D: 15F . 1NI'MUM. GE TREES WITHl , f EA 0 BE REMOVED. ti Z 9 w. \ 67Gf. T TO BE CO �p IN AC TH GUL�Tjl5�E3F COUNT DEPART EA f TEM SHALL T BE KFILLED ' t y D THE'IOCAL _- � + ga,oc ! -..,. ° ' T��ye3 � aa� ,r' `.. •,� � �.;;� - �. � , - MEWT IF. -EQUfR SYSTEM T;0 CONSIST OF AND A scoc� GA _'FT ,Q.F • - `'" l a — �.�� :DI:$POSAL.S.YSTEPA �.R'ADES..REFERENC F.1RST. FLOOR, ELEVATI'OR UNLESS. O . <. S.S.D. -SYSTEM FOR REVISIONS Dai.E BY, CARMEL. TAX MAP NQ. 548LK: uo kJ i j:. 38998 2 • ..- . TOWN OF 1 ^.It -P. a • a. r.ka .. t� Oy 60 . �26 i -r' •.:i - Wpb% ..., . ���. y ti\,\ ring � ilO�l i.; SSOS H i i • h ' \orL• , / Y btu / VO g I� to •• "120 . � k:V' \ :\ / � ;• K 'Y • .. � d�. _ .y t V. � : tit ..- . .y. c 1 A•. 3 •$ED Roots RE��pEN�.� • � � .. `" • ti.Rq•vE VF. r NI, WALL, r RA/vDA AL R �A itaj s