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HomeMy WebLinkAbout1189DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.62 -1 -50 BOX 12 1 rm �Qr% NMI, IL I 0 01189 FF 1` \ PUTNAM COUNTY DEPARTMENT OF HEALTH _...__ DIVISIGNt OF ElIT�RONMENTAL -HEALTH - SERVICES..... - -- C ICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM V N PCHD O TRUCTION PERMIT # Q Located at S u L-L 11%A*1 Town or Village 9' Owner /Applicant Name MI64+Acr--L 1 AIZ LOKj Tax Map Block 1 Lot 4o)zo Formerly Subdivision Name Subd. Lot # Mailing Address 57 Og4NG 1-E Po,4 D . 1�/�- � X250 f�l %`� Zip Date Construction Permit Issued by PCHD 10- 1:7 t� Separate Sewerage S, sy tem built by �(�AeL MQLO 4 Address �►./� Consisting of ,0o6 Gallon Septic Tank and X50 Other Requirements: Water Supply: Public Supply From Address or: X Private Supply Drilled by i SIAM eL►, Address C j&Mt7_-j 'j l.`j 1O RR2 co 1 N G. "'Bui'ldrng Type j�� fi2�j��AL Has erosion control been -completed? Number of Bedrooms 2 Has garbage grinder been installed? t4D 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 of the Putnam County Department of Health. Date: 1 - 6 - 6 Certified by Address P.E. %, R.A. License # 9b 17 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 revoca ' modificat'o or change is necessary. By: MW Aw Title: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 1 P TI NAM COUNTY DEPARTMENT OF HEALTH DRVRS ION OF IENWRONMIENTAL_IHIIEAILT HI SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM' Owner or Purchaser of Building Tax Map Block Lot Building Constructed by Town/Village Location - Street Subdivision Name Building Type Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above- described property, and that is 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 treatment 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 Public Health. Director 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:. Month_ Day g Year _J! _ Signature: Al Zee"� % Title:. 0(% 147r General Contractor (Owner) - Signature Corporation Name (if corporation) Corporation Name (if corporation) Address: V jgR NcA 12o, fl . p,4TiE Address: SQ IIV State Zip I.�2_56, State Zip Form GS -97 M �o tuly r,rvt 4` '� Wt•:l,,l, (:Ur1rLt;r tc tc DEPARTMENT OF HEALTH - Health Services � Division Of Environmental ~Heal Yo� PUTNAM COUNTY DEPARTMENT OF, HEALTH Office Use Only WELL LOCATION STREET ADDRESS: TOWNIVIMAGLICHY TAX GRID NUMBER.' ��0 6— Q�sO/I 0 — I — � WELL OWNER NAME: ADDRESS: rn gr Pd (PIV PRIVATE 0 PUBLIC USE OF WELL 1 - primary 2 - secondary X RESIDENTIAL O PUBLIC SUPPLY ❑ AIR /CONO. /HEAT PUMP O ABANO NED O BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify) ❑ INDUSTRIAL O INSTITUTIONAL O STAND -BY ❑ MOUNT OF USE YIELD SOUGHT _;L— gpm. /NO. PEOPLE SERVED S / EST. OF DAILY USAGE Zoo gal. REASON FOR DRILLING []REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION ❑ADDITIONAL SUPPLY NEW SUPPLY (NEW DWELLING) ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH (9 0 S ft. STATIC WATER LEVEL :ft_ DATE MEASURED DRILLING EQUIPMENT O ROTARY C9 COMPRESSED AIR PERCUSSION ❑ DUG O WELL POINT ❑ CABLE PERCUSSION .' ❑ OTHER (specify): WELL TYPE O SCREENED O OPEN END CASING OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH _ fL MATERIALS: )4 STEEL ❑ PLASTIC ❑ OTHER LENGTH BELOW GRADE - ft. JOINTS: ❑ WELDED [XTHREADED ❑ OTHER DIAMETER (D in. SEAL: 19 CEMENT GROUT O BENTONITE OOTHER WEIGHT PER FOOT /9 Ib. /ft. I DRIVE SHOE 5'YES ONO I LINER: CJ YES 5YNO SCREEN DETAILS . ... ... DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (11) DEVELOPED? FIRST O YES ONO .HOURS,,. .SECOND...: ....._..._..... .. _ ,... ... .... _. �. .._ ....... ... GRAVEL PACK O YES O NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH tL BOTTOM DEPTH ft. WELL YIELD TEST ; If detailed pumping METHOD: O PUMPED tests were done is in- �A COMPRESSED AIR , formation attached? 1`� O BAILED O OTHER ; 0 YES O NO YY �LL LOG ' If more detailed formation descriptions or sieve analyses are available. please attach. DEPTH FROM SURFACE w�ccr Bea r• ing e11 Dia- Meier FORMATION DESCRIPTION coat It WELL DEPTH It. DURATION hr. min. DRAWDOWN It. YIELD gpm. Llril Q er S 0 its WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES O NO STORAGE TANK: TYPE CAPACITY GAS. PUMP INFORMATION TYPE MAKER MODEL CAPACITY DEPTH VOLTAGE HP WELL OAtIIER NAME 7 j4gI�S!&/ j,( 4j (�o 1�7r. OATEf �/ 9 ADDRESS p S7 P,T' 52— SIGNATURE C RRME L V i 0 51a &YA J/89 I -- - '50 So: Buckhout St,`IrVrVd6, -fl.Y: 1"0533 6 (914) "591 =9010 o Fax (914) 591' =9011 December 4, 1997 Katonah Pharmacy 294 Katonah Avenue Katonah, NY 10536 Re: Drinking Water Sample Lab Log In #7560 Mike Barlow East Branch Road Patterson, N.Y. Dear Sir: Following is the result of an analysis performed on a sample of drinking water received on November'25, 1997: Analyte Method Total Coliform 9222 -B* * = STANDARD METHODS NYS Drinking Result Water Standard Negative Negative For additional information, contaact . your-local Water.: Supplier or County Department of Health. (Westchester 914 593 -5192) Very truly yours, C solidated Technology, Inc. dwJ ohn P. MCCuire JPM:kv 9-[Z~ ` YML IRONMENTAL SERVICES ` ` 321 Kear Street yorkt!lyn Aeiqh VA. R.Y� MAN (914) 245-2800 Albert H. Padovaki, Directbr ! LAB #: 93.015235 CLIENT #: 8326 NON STAT PROC PAGE BARLOW, MICHAEL DATE/TIME TAKEN: 12/11/97 02:30 350 ADAM STREET ` DATE/TIME REC'D: 12/11/97 03^40 BEDFORD HILLS, NY 10507 REPORT DATE: 12/18/97 PHONE: (914)-278-7756 SAMPLING SITE: PUT MLAKE� PATTERSON SAMPLE TYPE..: POTABLE : CORNER {]F SULLIVAN & ROANOKE PRESERVATIVES: NONE COL'D BY: AME ' TEMPERATURE..: NOTES... : 'ITCHEN AP ` ' COLIFORM METH: MF DATE FLAG PROCEDURE RESULT NORMAL - RANGE, METHOD . PUTNAM CNTY PROFILE ' 12/11/97 MF T. COLIFORM. PRESNT /100 ML ABSENT _1008, 12/11/97 ' LEAD (IMS) -� 2.9 Opb 0-15 ppb 12345 12/11/97 NITRATE NITR8G 0,30 MG/L 0 - 10 � ' 12/11/97 NITRITE NITROG <0.01'MG/L N/A 12'11/97 ` IRON (Fe) ' 0,683 MG/L 0-0"3 mg/l . 12/11/97 MANGANESE (Mn) 0.078 MG/L 0-0.3 mg/l ' 12/11/97 'SODIUM (Na) 33 MG/L N/A . 12/11/97 pH 7 UNITS 6.5-8.5 12/11/97 HARDNESS,T[lTAL 328.MG/[ ` N/A 12/11/97 ALKALINITY (AS 14 �MG/L N/A ' . 12/11/97 � TURBIDITY (TUR � 4.p NTU 12/11797— ­MW 'FECAL 0OLI`F --ABSENT-00 YL '- - ABSENT' 12/1 r � 1/97 E. OLI (CONFI ABSENT 100/ML ABSENT ! ' ! COMMENTS: . � BACT THESE RESULTS INDICATE THAT THE WATER (WAS) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO THE -lNEW TYORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT VE TIME OF COLLECTION. ' ' Pb/Cu LEAD limits for public schools are set at 15 p`b. EPA Lead & Copper Rule for Public Systems requires that no more than 10% of their, distribution points have a LEAD value of more than 15 ppb and aCOPPER value of 1;i mg/L, else water treatment must be undertaken to reduce the waters corrosive potential. . | Fe/Mn If Qoth iron ind manganese are present, their total value ' combined shall not exceed 0.5 mg/L. | Na No limits for Sodium are proscribed.'Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg/L of Sodium. For those on a / o ,. ' YML ^ ` VIRONMENTAL SERVICES ' 321 Kear Street - wn-Heigh±s,_N.y. 10598-'--'-7---7---------� (914) 245-2800 | Albert H. Padovani, Director Y | . | LAB #: 93.015105 CLIENT #: 8326 NON STAT PROC PAGE 2 BARLOW, MICHAEL . DATE/TIME TAKEN: 12/11/97 02:30 350 ADAM STREET ` DATE/TIME REC'D: 12'/11/97 03:4` BEDFORD HILLS, NY 10507 REPORT DATE: 12/18/97 ' . PHONE: (914)-278-7756 SAMPLING SITE: PUTNAM LAKE, PATTERSON SAMPLE TYPE".: POTABLE : CORNER OF SULLIVAN & ROANOKE PRESERVATIVES: NONE COLT BY: SAME � � TEMPERATURE..: NOTES...: KITCHEN TAP COLIFORM METH: MF ~~~~~~~~~~~~~ ~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~�~~~~~ | DATE. FLAG PROCEDURE RESULT NORMAL - RANGE METHOD moderately restricted diet, a maximum of 270 mg/L of Sodium is suggested. ` ' SUBMITTED BY: Director ELAP# 10323 . . ' / YML ENVIRONMENTAL SERVICES Q 1"321 Aar Street Yorktown Heights,/N.Y. 105q8 ~----�-r ` --�-- 1qr4) 245=;800 - -- Albert H. Padovani, Director ` ! LAB #: 93.015390 CLIENT #: 8326 NON STAT PROC ' PAGE. 1 ~~~~~~~~~~~~~~- ~~~~~~~~~~~~~~~~~~~ =~~~~~~~~~~~~~~~ BARLOW ADAM MICHAEL DATE/TIME TAKEN: 01/03/98 11:00 | � 350 STREET . DATE/TIME REC!D: 01/03/98 11:15 BEDFORD' HILLS, NY 10507 ` REPORT ATE: 01/05/98 PHONE: (914)-27877756 ' � SAMPLING SITE: PUTNAM LAKE PATTERSON ' ` SAMPLE TYPE..: POTABLE : CORNER OF SULLIVAN& ROANOKE PRESERVATIVES: NONE COL'D BY: E , . � J . . _ `TjMPERATURE,,; ( 4C NOTES..": KITCHEN TAP | �COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~�~~~~~~~~~~~~~~~~~~~~ ~~=~~~~~~~~~~~~~~~~~~~~~�~~~~~~~~~~~~~~ 'ATE FLAG PROCEDURE. RESULT NORMAL — RANGE METHOD 01/03/98' : MF T. COLIFORM ABSENT /100 ML � ABSENT 1008 ` � ) . COMMENTS: BACT:vTHESE RESULTS-INDICATE THAT THE WATE (WA S) WAS NOT) OF A iSATISFACTORY 'SANITARY QUALITY ACCORD!, NE�~��THE NEW YORK STATE ' , AND EPA FEbERAL.DRINKING WATER—STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. � � � ` SUBMITTED BY: ' Director / ' ELAP#-10323 o66va Cociwocs will 66' consirtictcfl a0 pioaoh 0011 empev lb c ca acg.to too cc=0 m t=0 6DCi0tln` iiGkRftq� qqv. =01,W 6= of Mo C=Maf at 2R° I C4704WAo t-10 Co ftweco on o on m 06p®vGl mw64 AtJrr)ro APPROYED FOR CON,ST.MUC,TIO,W: Thla oubelrov rcumblo for ovco or mov b 0 orrecasC9 or m" M mmuiros 0 n=. nit.. Aqprotvi�9 for dicp�oml' 7 ZZ 00,0:�r Y17 1*8 n ng in beccii,6nco tAth'tl berilown"z OMP, at., - to' 1, 8 -r bli 2; c 1 43j old dillc� tioll eaez�mcb cu�o .0m.w oq�v t ubu,CV4 rcouemoas of t;40 'k-stoom P.A. Uc6nw Poo vC005,16,06n tfi&,gapto od- u'loWi6notruction of-tho buit4ift n boon,. ghfiortaftog!. wind -W cs Ono , Ith. Any charW or oltuntion of Constriiciibn ad Ic C?tv ppIV only. Of dom n it 6r, V 0 li I. 2 � PUT NAM�COUN HEALT k 44 " 4 i 4 DeneV� ,;M(914) P78"61H3pDEPT.a f' - B 10509: ,, t - £ { `►�� 6 Received i The , r � 0 Uf, Cash �<Chs ❑ K, _ M O ❑Credit, , � �. YO t DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New-York 10509 (914) 278 -6130s! �p APPLICATION TO CONSTRUCT A WATER WELh� PCHD PERMIT 0 �!v IIeL LOCATION Streeff jj Address Town i age City Tax , Grid Number �•vG'1WCV�i vlr.t/ cv WELL OWNER NTER Name Mailin Address 3 LouYf a Mur,a �q�oha l�S�t� oPrivate 0 Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL 00 BUSINESS 0 INDUSTRIAL 0 PUBLIC SUPPLY 0 FARM C31NSTITUTIONAL Q AIR /COND /HEAT PUMP 0 TEST /OBSERVATION 0 STAND -BY 0 ABANDONED 0 OTHER (specify AMOUNT OF USE YIELD SOUGHT ' gpm /# PEOPLE SERVED '3 /EST. OF DAILY USAGE 4 d el ® REPLACE EXISTING SUPPLY 0 TEST /OBSERVATION 13. ADDITIONAL SUPPLY ® NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING w wg e es TELL TYPE n DRILLED DRIVEN []DUG ®GRAVEL. 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. HATER WELL CONTRACTOR: Name T Se.., b 0 Address: IS PUBLIC STATER SUPPLY AVAILABLE TO SITE: YES NO NME OF PUBLIC MATER SUPPLY: /U //4- TOWN /VIL /CITY DISTANCE.TO PROPERTY FROM.NEAREST WATER MAIN: LOCATION SKETCH�&SOURCES OF CONTAMINATION PROVIDED tL� SEPARATE SHEET (date) 0 gnature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump.the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant 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 cont am rface or groundwater. Date of Issue: 19� Date of Expiration 19 !'F Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller 50 Z Nd 3- 5661 I IN n G A i --m 'LAURENT ENGINEERING ASSOC_ IATES, P.C. MILLBROOKE OFFICE CENTRE Route 22 & Milltown Road Brewster, New York 10509 RANDOLPH W. LAURENT, P.E. (914)27.8-6108 - (FAX) 278-2658 HARRY W. NICHOLS JR., P.E. 'CONSULTING SITE ENGINEERS LIST OF ADJACENT PROPERTY OWNERS, Edward Hage.nah Sullivan Drive Patterson,, N.Y. 25.62-1-47 Douglas, Charles B. & Mary Ellen 25.70-1-43 62 "Sycamore Rd. Patterson, NY 12563 25.62-1-48 Olivier; William & Theresa 68 Sycamore Rd. Patterson,�NY 12563 25.621-60 Kaplah,-MArk & Barbara 36 Sullivan Dr. Box 528 Pattersoh,,NY 12563 Terzian, John RR 1 Box 184 28 Sullivan Dr. Patterson,'NY 12563 25.62-1-53 Fisher, Robert J. 176-BroadwC' New York, NY 10038 25.70-1-42 Perri Builders, Inc. 1 Division St. Tarrytown,;NY 10591 25.70-1-44 Kopec, Richard & Antionette 33 Sullivan Dr. Patterson, NY 12563 50 Z Nd 3- 5661 I IN n G A i --m 1 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. a, CONSULTING SITE ENGINEERS LIST OF ADJACENT PROPERTY OWNERS Edward Hagemah Sullivan Drive Patterson., N.Y.. 25.62 -1 -47 25.70 -1 -43 25.62 -1 -48 25.62 -1 -60 25.62 -1 -52 .. 25.62 -1 -53 25.70 -1 -42 25.70 -1 -4.4 Douglas, Charles B. & Mary Ellen 62 Sycamore Rd. Patterson, NY 12563 Olivier, William & Theresa 68 Sycamore Rd.=' .Patterson, NY 12563 Kaplan, Mark & Barbara 36 Sullivan Dr. Box 528 • Patterson, NY 12563 Terzian,.John RR 1 Box 184 28.Sullivan Dr. Patterson, NY 12563 Fisher, Robert J. 176 Broadway New York,.-NY 10038 Perri Builders, Inc. 1 Division St.. Tarrytown, NY 10591 Kopec, Richard & Antionette 33 Sullivan Dr. Patterson, NY 12563 FORMAT Date 1 -19 -95 _:. NEIGHBOR NOTIFICATION - ! CONSTRUCTION PERMIT , Richard & Antionette Kopec 33 Sullivan Dr. Patterson, NY 12563 -RE: Department of Health Review of {';• —Proposed Sewage Disposal System foni property: flame: Edward Hagenah Address: Sullivan 'Drive Town: -Patterson, V.Y. Tax Map: 25.62 -1 -49 .& 50 Dear Mr. & Mrs. Kopec: 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 her,, on the Health Department's review of :this application, you may' call Mr. Hedges or Mr. Morris of the Health Department at 273 - 6130. . _ .. -Very truly..yours , By Title Age RECEIVED BY; Address: Tax Map: - -- JK;cj F ORMAT NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT Perri Builders., Inc. 1 Division St. Tarrytown,:NY 10591 Date RE: Department of Health .Review of Proposed Sewage Disposal System for property: Name: Edward Hagenah Address: Sullivan Drive Town: -Patterson, N.Y. Tax Map: 25.62 -1 -49 & 50 Dear Perri Builders, : Inc. 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 D'epartment's review of this application, you may call Mr. Hedges or Mr. Morris of the Health Department at 278 - 6130. Very truly yours, _ By 1_ Title Agee RECEIVED BY: Address: Tax Map: JK;cj E FORMAT - Date 1 -19 -95 _ NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT Robert J. Fisher 176 .Broadway New'Yor.k, NY 10035 RE: Department of Health Review of Proposed Sewage Disposal System for, property: flame: Edward Hagenah Address: Sullivan Drive T own: - Patterson, N.Y. Tax Map: 25.62 -1 -49 & 50 Dear Mr. Fisher: 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 whi=ch may bear on the Health Departbent s review of this application, you may call Mr. Hedges or Mr. Morris of the Health Department at 278- 6130. RECEIVED BY: Address: Tax Map: JK;cj FORMAT _ ... _ ..._ NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT John Terzian RR 1 Box 184 28 Sullivan Dr. Patterson, NY 12563 Date - - 1 -19 -95 RE: Department of Health Review .of Propo.sed Sewage Disposal System for property: Name: Edward Hagenah Address: Sullivan Drive Town: -Patterson, N.Y. Tax Map: 25.62 -1 -49 & 50 Dear Mr. Terzian: 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 273 -6130. Very truly yours, By Title Age4 RECEIVED BY: Address: Tax Map: JK;cj Date.._ FORMAT - _ Date_.. 1- 19 -95.. NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT Mark & Barbara Kaplan 36 Sullivan Dr. RE: Department of Health Review of Box. 528 Proposed Sewage Disposal System Patterson, NY 12563 for property: Name: Edward Hagenah Address: Sullivan Drive Town: -Patterson, N.Y. Tax Map: 25.62 -1-49 & 50 Mr. & Mrs. Kaplan: Dear Please be advised that an application for a Construction Permit relative to th.e 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 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. V.e.r• y.- - .tr- -u_ l.y.. yours,.' By'' ' Title Ag t RECEIVED BY: Address: Tax Map: JK;cj A FO RMAT NEIGHBOR•NOTIFICATION CONSTRUCTION PERMIT William & Theresa Olivier 68 Sycamore Rd. Patterson, NY 12563 Dear - Mr. -& Mrs. Olivier: Date - " 1 -19 -95 RE: Department of Health Review of Proposed Sewage Disposal System for property: .Name: Edward Hagenah Address: Sullivan Drive Town: - Patterson, N.Y. Tax Map: 25.62 -1 -49 & 50 { 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 prdperty.has.been made to the Putnam County Department of Health. Attached please find a copy of the latest sate plan. If you have any questions, concerns or information which 'nay 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 Age t RECEIVED BY: Address: Tax Map: JK;cj . ._.FORMAT _. NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT Charles B. & Mary tllen Douglas 62 Sycamore Rd. Patterson, NY 12563 RE: Department of Health Review of Proposed-Sewage Disposal System for property: Name: Edward Hagenah Address: Sullivan Drive 7. Town:, . Patterson., N.Y. TaX Map..: 25.62 -1 -49 & 50 Dear Mr. Mrs. Douglas: Please be advised that an appli,cationi 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 ti County Department of Health. Attached please find a copy of the 5: 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 273 -600. ..Very truly yours, - B Y Title A t RECEIVED BT: Address: Tax Map: JK;cj' i i f , DER' I also wish to receive the I mplete items 1 and /or 2 for additional services. ' mplete items 3, and 4a & b. following services (for an extra 'nt your name and address on the reverse of this form so that we can this card to you. fee): ` ; ,tach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address N I'a`'i "` _ '` ••`; <'.'.. . not permit. trite "Return Receipt Requested" on the mailpiece' below the article number. 2. ❑ Restricted Delivery m �' e Return Receipt will show to whom the article was delivered and the date O ; Bred. Consult postmaster for fee: Cr Article Addressed to: 4a. Article Number fi Pl<Jln ( 1 l QV" `1 `c'"`r L.��a 4b. Service Type m '. I ❑ Registered ❑ Insured Sce� t 1 liQ(1 9•- Certified ❑ COD ChG 5a ❑ Express Mail ❑ Return Receipt for ^ / Merchandise' 0.1 1 r=�ri l T � c�s10 3 7. Date of Delivery 1 ° nature (Addressee) S. Addressee's Address (Only if requested J, and fee is paid) -; z `� r t Signature (Agent) Form 3811, December 1991 *U.S. GPO: 1993 -352 -714 DOMESTIC RETURN RECEIPT ) ; ,• ` TENDER. I also wish to receive the Complete items 1 and /or 2 for additional services. E ar Complete items 3,•and 4a & b, following ervices (for an extra ai `{ � SENDER: 9 V l rn a Complete items 1 and /or 2 for additional services. I also wish to receive the Print your name and address on the reverse of this form so that we can fee). y m ° Complete items 3, and 4a & b. following Services (for' an extra V turn this card to you. m 1 ..0 * Print your name and address on the reverse of this form so that we can Attach this form to the front of the mailpiece, or on the back if space 1. ❑Addressee's Address N N return this card to you: feel: '` Des not permit. a i Attach this form to the front of the mailpie e, on the back if space 1. ❑Addressee's Address Write "Return Receipt Requested" on the mailpiece below the article number. 2 ❑ Restricted Delivery •m m does not permit. The Return Receipt will show to whom the article was delivered and the date v t Write "Return Receipt Requested" on the mail iec' elow the article number. O elivered. Consult postmaster for fee. m a The Return Receipt will show to whom the article Was delivered and the date 2. El Delivery � 3. Article Addressed to: 4a. Article Number � c delivered. Consult postmaster for fee. y C @. 3. Article Addressed to: 4a. Article;Number 4b. Service Type _d p ( J C (9 �—� c ❑ Registered ❑ Insured a -F1 Sker fc)L --1+ � • J �3 9 1 4b. Service Type c �r. r E r Certified ❑COD ,� �. I� � � El Registered El Insured ran �1 Ias63 ❑ Express Mail ❑ Return Receipt for 3 to J "Certified ❑ COD c �+ JJJ Merchandise N y o w . pp q ❑ Express M ❑ Return eceipt for 3 7. Date of Delivery cc �� 1�l J 3C� �' ; Merch n •se ' c � ! 7. Dail . '0 DI iv y _ T i. S ature (Add see) 8. Addressee's Address (Only if requested Y s and fee is paid) 5. VSign ure re s e) % 8. Ac1dr se's Addres (Only if nested Y W cc and e s pid) i. Signature (Agent) H G�cc ur gent) FS- DC r-rm 3811. December 1991 *U.S. GPO: 1993- 352 -714 DOMESTIC RETURN RECEIPT � O >• IDS Form 3811, December 1991 *U.S. GPO: 1993-352-714 DOMESTIC RETURN RECEIPT DER: plate items 1 and/or 2 for additional services. I also Wish to receive the following services (for an extra g {` mfg( y • Complete items 1 and /or 2 for additional services. , m • Complete items 3, and 4a & b. plate items 3, and 4a & b. your name and address on the reverse of this form so that we can fee): v 1 > m f _ • Print our name and address on the reverse of this,-form so that we can y return this card to you. this card to you. ch -this form to the front of the mailpiece, or on the back if space t. Addressee's Address f rn +, , m Attach this form to the front of the mailpiece, or. on the back if space does not-permit. of permit. - "Return Receipt Requested" on the mailpiece below the article number. 2 ❑ Restricted Delivery C. .� m ' • -Write "Return Receipt F L pt Requested "on the mailpiece below the article number " • e Return Receipt will show to whom the article was delivered end the date Consult postmaster for fee. m The Return Receipt will show to whom the article was delivered and the date delivered. Article Addressed to: on S� Car OS`) 4a. Article Number C 0 3. Article Addressed to: 4a. Art 1. ❑ Addressee's Address- : E' IQ"5) Cf lQ( IE IU g L� �2h b. 4b. Service Type D Sei ❑ Registered C1 Insured ❑ COD 4 m o ( 6a S��ec�l�rie ❑ Re i �c Certified Mail ❑ Return Ree�pt 3 y n W ' n / C'1 e rt ❑ Ex ms p/ �e��n$Ise 9 _ _ � ��0 (- oC � 1 , p ( �Q�� �5�n / V � of �fo� ❑ Ex pr p 7. ate of Delivery 7. Date ISII-oature (Agent► 'S Form 3811, December 1991 *U.S.GP0 :1993 -352 -714 p 6 - a �-� - - 0 Q Addressee's Add ass (onl . I requested _v : 5. Signature (Add ee) 8. Addl and fee is paid) m �, 5 and' a s i E-• ' U ~ rc 6. Signature (Agent) -- - - _.i.o- 3811 - . .i I , also wish to' receive the following services,(for an extra (D fee): 1. ❑ Addressee's Address- to omplete items 3, and 4a &. b. 2. ❑- Restricted- Delivery a . Consult postmaster for fee. 4 m le Number IL 1. ❑ Addressee's Address ` y 3 r ce Type ered ❑ Insured • The Return Receipt will show to whom the article was delivered and the date o delivered. ed ❑ COD c ' ;s Mail ❑ Return Receipt for he Return Receipt will show to whom the article was delivered Merchandise If Delivery 0 ssee's Address (Only if requested Y e is paid) Article Addressed to: 4a. Article Number L1 L (;vi•e f H DOMESTIC RETURN RECEIPT I. v, S Form , December 1991 •RU.S. GPO: 1993 -352 -714 DOMESTIC RETURN RECEIPT NDER: -1-111 omplete items 1 and /or 2 for additional services. I also wish to 'receive the omplete items 3, and 4a &. b. following services (for an extra' C rint your name and address on the reverse of this form so that we can fee): L rn this card to you. ttach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address ` y not permit. 2. El Restricted': Delivery M S ' •d • The Return Receipt will show to whom the article was delivered and the date o delivered. /rite "Return Receipt Requested" on the mailpiece below the article number. 2. Restricted ivery Del fl. l he Return Receipt will show to whom the article was delivered and the date Z rered. b. dice Consult postmaster for fee. D t Article Addressed to: 4a. Article Number L1 B (;vi•e f .' Certified El 4b. Service Type ❑ Registered ❑ Insured m cc O 5��1 1 i Jaen fir, Certified ❑COD I C- 4 ^ + 0 (1 ❑ Express Mail Return Receipt for Merchandise 5 Merchandise 7. Date of Delivery / %'� w 7. Date of Delivery ° �i 0 ,I� �, = Signature (Addressee) 8. Addressee's dress (Only if requested Y and fee is. . 8. Addressee's Address (Only if requested .x "fd) c Signature (Agent) ' and fee is paid) Form Jt311,.December 1991 *US.GPa1993- 352 -714 DOMESTIC RETURN RECEIPT i r- SENDER: -1-111 y Complete items 1 and /or 2 for additional services. I also wish to ,receive the m • Complete items 3, and 4a & b. following services (for an extra rb 0 i • Print your name and address on the reverse of this form so that we can fee): ' return this card to you. m • Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address i m to does not permit. I t • Write "Return Receipt Requested" on the mailpiece below the article number. 2. El Restricted': Delivery M S ' •d • The Return Receipt will show to whom the article was delivered and the date o delivered. Consult postmaster for fee. -o 3. Article Addressed tom: -4a. Article Number b. dice a �erZict_n =�I �o E I E0' 1�: �� 'Q , j Q O -T 4b. Service Type ❑ Registered ❑ Insured cc N .' Certified El E- W I ' O 5��1 1 i Jaen fir, ❑ Express Mail ❑Return Receipt for W as r ( "r ( - � te Merchandise 7. Date of Delivery / %'� w ,I� �, = 5. Sign ure . 8. Addressee's Address (Only if requested .x M Vdressee) and fee is paid) W L F- f cc 3' PS Form 3811, December 1991 *U.S. GPO: 1993 -352 -714 DOMESTIC RETURN RECEIPT LAURENT ENGINEERING ASSOCIATES, P.C. MILLBROOKE OFFICE CENTRE Ro}Ra 22 8 Milllavn Road ' Brewster. New York IDS09 _ .. (914)27e- 8106 - (FAx):27a.2RSa ..... CONSULTING SITE ENGINEERS Date: $- %- Job No.: v a � ud, �✓ � of �i��i q� / /�' Project: _ 'F/ AW �c,�ofeleSS f Attention: Gentlemen: We enclose ( ) copies of:. B/W Prints O Reproducibles O Reports O Tracings O Specifications O Memorandum O Copy of Letter O Description: Revision /Date No. Sent Via: O Our Messenger O Blueprinler O First Class Mail O Your Messenger O Hard!Delivery O Copy to: O Special Delivery I Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. Per: ✓�.MSOQ7 __ __ LAURENT ENGINEERING' j 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 February 14, 1995 Mr. Edwin Polese, P.E. East of Hudson Staff Engineer NYCDEP Bureau of Water Supply & Wastewater Collection 465 Columbus Avenue i Valhalla, N,.Y.. 10595 -1336 RE: Proposed SSDS Sullivan Drive Patterson, N.Y. T.M. 25.62 -1 -49 & 50 Dear Mr. Polese: Enclosed are the following: 1.: "Application to Construct a Sewage Treatment System on N.Y.C. Watershed ", dated 2- 10 -95. 2.. "Construction. Permit ", dated 1 -12 -95 (PCHD).- 3. Four (4) prints of Drawing SS -1 "Proposed SSDS ", dated 1- 11 -9.5. 4. One (1) copy of "Design Data Sheet ". 5. Three (3) copies of Floor Pladilfor the proposed 2- bedroom residence. 6. One' (1) copy of "Short Environmental Assessment Form ", dated 2- 10 -95. Kindly process the enclosed and provide us with the required. approval. Any questions you might have or should additional information be required, please contact us. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. Harr W. N' ols,.Jr., P.E. HWN:bd 94119 enc.' cc: Mr. E. Hagenah w /enc. Mr. W. Hedges eel d � v �_ ao 0000�o f LAURENT ENGINEERING ASSOCIATES, P.C:..__ _ -__. MILLBROOKE OFFICE CENTRE Route 22 & Milltown Road Brewster, New York 10509 RANDOLPH W. LAURENT, P.E. (914)278 -6108 - (FA)O 278-2658 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS January 12, 1995. Mr. William'Hedges Putnam County Health Department 4 Geneva Road Brewster, NY 10509 RE: Individual SSDS - Haganah Sullivan Drive Patterson, N.Y. Dear Bills' Enclosed are the following: 1. Four (4), prints of Drawing SS -50 "Proposed SSDS - Lots 47 & 5011, dated 1- 11 -95. 2. "Application For Approval of Plans For a Wastewater Disposal System ". 3. "Construction Permit for Sewage Disposal System ", dated 1- 12 -95. 4. "Application to Construct a Water Well ", dated 1- 12 -95. _... ..... _ -..5 :._ -"Design Data - Sheet n .:.: _......_. _.._..� _... -- - 6. "Letter of Authorization ", dated 1- 12 -95. 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 94119 enc. cc: Mr. E. Haganah w /enc. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONTMENTAL HEALTH SERVICES Re: Property of_ a� Date i f Located at ,Sv /�iVtiH �ri ✓P ; (T) PVkr -90,, Section 9S.70 Block f Lots y% t $0 Subdivision of Subdv. Lod ; r iled 'lap Date Gentlemen: This letter is to .authorize Newry a duly licensed professional engineer -X or registered architect 0. (Indicate) to- apply for a Construction Permit for a separate -sewage system, to serve the above noted property in accordance igith the standards -, rules. or. regulations..as pr.omulagated by the commissioner of the Putnam County Department- of Health', and to' sign, all necessary papers on 'my :behalf.-in. connection Taith this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Lair, the-Publ;ic Health Lair, and the Putnam County Sani- tary Code ;z1 Very truly yours, , U) ' .I Countersig' d N .5612 P.E., R.A., Millbrooke Office Centre Address Brewster, NY 10509 914- 278 -6108 Telephone ; Signed Ot,ner of Pro erty Address /as3 6- T o z,m. 9/y - ; YP - '?K6-" Telephone At-ler,NA-TO SOON R,001� PLAN o At- -Mr -MA10 oeCK LOGAMN1 I I I I I i t FI IZST' FLOOD . ft,A t��GK 12'•0', lo'•a„ 3G:0" I 3 'Ni J 2G x '792 V Q O 30, 2 t3A TH nI ieKNAT r►� �I - r3v ga7IC LOGA ?ION u - - -� bEN u; KITCHEN �� a I G" I G' '.4" 0 12'• 2" �.-t Q II J perp- I,1 o Ou i FYi J 2G4b 2468 ti � V ; C t - r�z �b -�•' 12•.0 - I�ININO f�00M G' I LIVINO KROM G• C 'm r I - 6 ° 1 I 3G'•O � 1 114 J5.p. �n 9' -2" 1 5�•8. I G.•'. I �.•2.. I 5�.0. i FI IZST' FLOOD . ft,A SE-�GON u FLOOD PLAN SCAl,2: 1 /k" I,_o" 30, 2 t3A TH i3�101eGl�M 4 l _ 4L _ o Ou i FYi J 2G4b 2468 ti � V ; C t I d• G' 12'. aj' ¢•'1 2'. D' 4.0'.O "p 2' -O' ,/4" 14• -O" G• 'm r I 3G'•O � SE-�GON u FLOOD PLAN SCAl,2: 1 /k" I,_o" ° ]E' TJ Ir N A. t_:( C O TJ N'r -se- APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEH 1 . Name and Address of Applicant: 3y Ir,I" . /Vy - I- OS31�' 2. Name of Project: 8_010015e) 6S.yS 3.._, Location CVD/V&— ,� Pa��ersoh 4. Project Engineer: vey �/ / ✓��s 3� 5. Address: Millbrooke Office Centc Brewster,. 14Y 10509 License Number: S6 i Phone: 0914) 278 -6103 6. Toe of,Pro ect: _ ✓ Private /Residential Food .Service ....Cor�,nercial , Apartments Institutional :X6bi le Nome Park Office -Bui Ming Realty Subdivision :. Other (specify) 7. Is this 'project subject: to'-State Environmental•Quality.Review (SEQR) ?- Tyoe Status (Check One) Type I.. Exempt Type II. Unlisted. 8.'Is a Draft Environmental Impact' Statement­ (DEIS) required? 9. Has DEIS been completed and.found` acceptable by Lead Agency? ... .... 10. Hame of Lead Agency 11. Is this project in an.area under the control of local planning, zoning, or other officials, ordinances? ........................................... No 12.. if so, have plans been. .5ubmitted to such : author A ties? ...................... 13. Has preliminary approval been granted by such authorities? Date Granted: I,. Type of Sewage Disposal'System Discharge....;.. Surface Water Ground Waters 15. .If surface water discharge, what is the stream class designation ?......... I I :6. Waters index number (surface)..... .............. ' ....................... •� - �. Is project located near 'a public water supply system? ....... `........... N d °. If yes, name of water supply Distance to water supply 9. Is project site near a public sewage collection or disposal system ?..... ' ho �• Name of sewage system /1��,� Distance* to sewage, system Date observed: / _S - 23. ` Name of Health Inspector: 1✓,' Project design flow (gallons per day) ....... /GU 2. 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?.._ h/o 26. Has SPDES Application been submitted to local DEC Office ?. ............... A 27. Is•any portion of this project located within a designated Town.or State wetland ?............ ...: —No 23. Wetland ID Number %y 29. -Is Wetland Pernit• required ?'................................................ Has applica'tion been. made '.to Town or Local .DEC Office ?. .............:.,`... �i`-`�- 30. Does project. require d'-DEC Stream Disturbance -Perm, it? ................... M 31. Is or was project site used for agricultural activity involving application of pesticide* to orchards,or other crops, solid or hazardous waste. disposal, landfilling, sludge application or industrial activity? ...... YES'or NO Igo 32. Is project located - within 1;000 feet of existence of... abandoned landfill, ha- zardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? :.............YES or hO NO DESCRIBE: 33. ,Is there.•a local. master plan or file with the Town. or Village? 34. Are com.- muni.ty water, sewer .facilities planned to be developed within 15 years? 0,,,, lrH0F1v ;-7 35. Are any' sewage. disposal areas in excess -of 15% slope? ......................... NO 35...Tax:Hap ID dumber ......................... ............................... 37. Approved Plans are to"be: returned to: sApp�licant Engineer ? 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: provision may be grounds for the rejection of any submission. I hereby affirm, under ,penalty of perjury-- that information provided on this � form is true to the best of cry knoxled,e and belief. Fa Ise stata-,�ents made herein are punishable as a Class A Hisdamie-anor pursuant to Section 2.10.45 of the Penal Law. >IG,NATURES OFFICIAL TITLES:. Millbro e Office Centre J 4 LIhG ADDRESS: Brewster; NY 10509 10509 , 0 l iti SOMIS New York City Department. of ��PEnvironmental Protection_._._ .._ SUBSURFACE SEWAGE TREATMENT SYSTEM DETERMINATION Pursuant to the authority granted under: Section; I 100 of the Public Health Law; Section 18 -03 of 15 RCNY; and Section 128.1 of 10 NYCRR; and in' accordance with the standards of 10 NYCRR Appendix 75 -A Wastewatertreatment Standards - Individual Household Systems; NYSDEC Design Standards for Wastewater Treatment Works; and NYCDEP Procedures and Practices for the Approval of Septic Systems and Wastew Treatment Plants. the New York City Department of Environmental Protection makes the following determinations with respect to the sewage disposal system(s) plan described below: Name of Project: aka: Location: Owner: .Address: Drainage Basin: Ed Hagenah Proposed SSDS Sullivan Road, Putnam Lake, Town of Patterson, County of Putnam Edwin J. Hagenah 39 Cortlandt Manor Road' Katonah, New York East Branch Reservoir Type of Sewage Treatment System and General Description: Shallow absorption trench on -site sewage treatment system. The system consists of a 1000 gallon septic tank and 251 lineal feet of leaching trenches to be installed in accordance with the Proposed SSTS drawing number SS -1 dated January 11, 19951Last revised May 1, 1995. A reserve sewage treatment area has been designated on the drawing iri .accordance with New York State Health Code. A seven foot deep curtain drain is located eighteen feet up -slope of the system. This system is for a two bedroom house. Dates of Site Inspections and Soils Test: Percolation and Deep Hole Tests April 20, 1995 V New York City Department of Environmental Protection Bureau of Water Supply & Wastewater Collection r� Mr. Harry Nichols, P.E. Laurent Engineering Associates, P.C. Millbrooke Office Centre Route 22 and Milltown Road Brewster, New York 10509 Dear Mr. Nichols: June 30, 1995 RE: Ed HagenahProposed SSDS, Town of Patterson, County of Putnam East Branch Reservoir; Project Log 2883 Sources Division Enclosed please find the New York City Department of Environmental Protection's (914) 742-2002 PEP) SUBSURFACE SEWAGE TREATMENT SMEMDETERMINATION for the above referenced property located on Sullivan Road in Patterson, New York. Please contact Margaret Lloyd at 742 -2033 at least 2 days prior to the start of 465 Columbus Ave. construction of the subsurface sewage treatment system so that we may inspect and monitor the Valhalla, Nevi York 10595- 1336 installation. A copy of this determination must be available. at the project site during construction. MARILYN GELBER Commissioner ROBERT P: LEMIEUX':' First Dspttty cmrnmissior r Acting Director . Printed on recycled paper One set of plans bearing our conditioned stamp of approval is enclosed. Very truly yours, s'W. Roberts, P.E. Program Engineer Encl:plans XC: Director of Environmental Health w /encl. Putnam County Department of Health 4 Geneva Road Brewster, New York 10509 DETERMINATION - ( - Approved ( ) -- Disapproved - ( ) Conditionally Disapproved ( XXX) Accepted design .1.. Generally the installation of a curtain drain requires demonstration of its ability to adequately intercept groundwater. However in this case staff has determined that the cu. am drain is a safety feature and not a direct functional requirement of the system. A swale must be included to divert surface runoff away from the system. CADATANISCHAOENAH.DET Z I Cou dAfions of Acceptance: ace: Prior to the commencement of any construction requiring a building permit, the applicant must provide at least 48 hours actual notice to the NYCDEP engineer or his representative making this determination. 2. The facility shall be constructed and completed in accordance with the. engineering report, plans submitted, specifications provided, which form the basis of this acceptance, and in accordance with the conditions of this determination. 3. The project construction must be commenced within two (2) years of the date of the determination. 4. The applicant will provide "as built" plans to NYCDEP, certified by the engineer, where required or requested. When installed the system must be operated and maintained in accordance with NYCDEP Regulations and all other applicable regulations and/or standards. 6.. In the event that the material submitted is inaccurate or misleading, or the owners of the project do not have the legal right to develop or use the property where and as showri on the material submitted to this office, this acceptance is withdrawn. 7. This determination constitutes acceptance only of the physical design of the septic system for proposed installation and operation on a watershed of the New York city plater Supply. An acceptance of the septic system design does not effect any existing property rights, title, or interest, including without limitation, any public or private restrictions upon the use of the land. Therefore this determination shall not be considered to be a grant or waiver of any property right. 8. _ The sewage disposal, system shall be constructed in conformity. with the data and plans .as approved or commented upon. Any significant change in the system must be approved in advance of construction by the Department of Health and this Department. 9. The system shall receive only the domestic sewage from the structures shown on the plans. The nature and quantity of flow from the structures shall not be changed without prior acceptance of this Department and the Department of Health. - 10. All parts of this system are to be operated and maintained properly. In no case is sewage or sludge to be exposed or any other unsanitary or unsafe condition to be created because of the use of this system. Guidance on standards is found in the Waste Treatment Handbook issued by the New York State Department of Health under New York State Code of Rules and Regulations (10 NYCRR 75). CMATANISCWAGENARDET • 11. Whenever sludge and scum shall so accumulate in any septic tank so as to occupy together at any point more than one- fourth of the distance between the bottom and the flow line, the tank shall be cleaned. i 2: = Whenever sludge and-scum are removed from any septic or settling tank or any part'of the system it shall be done in such a manner as to cause no nuisance, and the material shall be disposed of in accordance with applicable regulations. 13. This acceptance shall not be construed to invalidate any rule or regulation enforceable by local authority having jurisdiction. 14. All duly enacted rules and regulations for the protection of the water supply shall be complied with (Administrative Rules and Regulations for the Protection from. contamination to the Public Water Supply of the City of New York adopted under the authority of Section 70, 71 and 73 of the New York State Public Health Law). 15. This system shall be abandoned and a connection made. to a public sewer if and when a public sewer is built that is available to this project: 16. Whenever' it is determined by this agency that additional replacement or improved sewage treatment facilities are necessary such facilities shall be professionally designed at the expense of the owner or owners of this project. Plans are to be submitted to this agency and the Health department for review and approval, and facilities shall be constructed and maintained at the expense of the owner or owners of this. project. . 17. All material removed from the area of the failing subsurface treatment system shall be hauled and disposed of in accordance with all local, state, and federal laws or regulations, including those of this Department, pertinent thereto, Determination ma Date: June 30, 1995 s W. Roberts, P. E. Program Engineer Environmental Programs New York.City Department of Environmental Protection CADATANISCHAGENAH.DET 4 for Acceptance: Engineer Iental Programs i. , i l JA o IQ 00 l / i crisr. 6= G� r � ' SITE_ LOCATION_ -PLAN_ SG A.L. E : I °=1000 PROPERTY SHOWN ON TOWN OF TAX .MAP ?h. G2 - 1 --4'1 ,�j0 SSDS DESIGN DATA DESIGN FLOW — RESIDENTIAL 2 6EDROOMS ® 200 G.PD. = 6400 G.p,G SOIL RATE USED: / /- /5' MIN. //" DROP APPLICATION RATE: .BO ABSORPTION TRENCH REQUIRED: 250 PROVIDES 25/ TEST PIT DESCRIPTIONS HOLE i/ / 0 6 TOPSO /L 8!7-0••9/LTY SANDY LOAM HOLE S2 : O- 6'TOPSO /L 6t 7-'051L TY SANoy, z a4M HOLE E° 3 � O-6�TOPSO /L 6�B= 0'51LTYSA1/OY LOAM W/ROGK W,9 rER 6 %B, _ _ 1 G:/ -fir 1,e9`�`... 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I.- -, � . ..41. . . �_. . . .� " _�.� . .:, . 4 .%! 87�10% � * ." I �....... . .. � .t .. . . I . . , .. '. I I % ... . .. - 1. . . . . � - . .... I .... I. .% , . I . . . I � .11 ". . . .: _� . ... .., I - - ­ . .. . . . � . I It., I - .. I . . . . I . .. :1 "'. .:.. .1 �_ "'. . . ... I I I ­ . I I . . M TA1595-6-T - A. - - �1. ..- , I 111-1. z_ , l I. ENINL Mr. Harry Nichols, P.E. Laurent Engineering Associates, P.C. Millbrooke Office Centre New York city Route 22 and Milltown Road Department of Environmental Brewster, New York 10509 Protection RE: Bureau of Water Supply & Wastewater Collection Sources Division (914) 742 -2002 465 Columbus Ave. Valhalla, New'York 10595- 1336 MARILYN GELBER Commissioner ROBERT P. LEMIEUX First Deputy Commissioner Acting Director Printed m recycled paper June 30, 1995 i Ed,HagenahProposed SSDS, Town of Patterson, County of Putnam East Branch Reservoir; Project Log 2883 Dear Mr. Nichols: Enclosed please find the New York City Department of Environmental Protection's (DEP) SUBSURFACE SEWAGE TREATMENT SYSTEM DETERMINA TION for the above ' referenced property located on Sullivan Road in Patterson, New York. Please contact Margaret Lloyd at 742 -2033 at least 2 days prior to the start of construction of the subsurface sewage treatment system so that we may inspect and monitor the installation. A copy of this determination must be available at the project site during construction. One set of plans bearing our conditioned stamp of approval is enclosed. Very truly yours, AQ W. Roberts, P.E. .m Engineer Encl:plans I XC: Director of Environmental Health w /encl. Putnam County Department of Health 4 Geneva Road Brewster, New York 10509 f