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HomeMy WebLinkAbout1275DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.70 -1 -48 BOX 12 p L- 1'`'i F• I L 1 �' '' 1 01275 -9 rrm 4 Jl ' ' ,l' l ■ ,�1 T_�1 p L- 1'`'i F• I L 1 �' '' 1 01275 s PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM 'z 07 *7 Owner P�?27z1. Address iLlfji —Zey Ko 4 D Located at (Street) ;TowT� Tax Mapag.7a Block �_ Lot !i8 (indicate nearest cross.street) Municipality Pwi- ERsnAi Watershed 0&5T SnaoNCN SOIL PERCOLATION TEST DATA ~Date of Pre - soaking G /2 7 /9 Date of Percolation Test e,,12910 2.tv" ti .NOTES: 1. Tests to be repeated at same depth until approximately rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 2 G t �.g�ivE a 5 -lo: 2 -,,:. o i 8- t 3 6,, 7 3 34 �- a r 8 - 2 l � (5,7 4 ._... ...... . - _ 5 ._.._,_... _. - _ , _._... 2 ... 3 4, 5 .NOTES: 1. Tests to be repeated at same depth until approximately rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 9 TEST PIT DATA 2 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES Indicate level at which groundwater is encountered Indicate_level at which mottling is observed .� Indicate level to which water level rises after being encountered Deep hole observations made by: c—.' t> 1-Y Date ZA s le i Design Professional Name: Address: Signature: Design Professional's Seal A T)T)R V IS S', Street Town State', Zip -PERSON'JN:CHARGE 4- ng r�jTFgyrPwP, Ne(in6, and btfe A, TYPE OF FACILITY FINDINGS:..'. Az /67 TOR: Signature :and Title --RFPOR RF�rF-TVRT),Rv,,�, acknowledge receipt of thi's GNkTUAE, .02 9'6 -PUTNAM COUNTY DEPARTMENT OF HEALTH Dmslo, N. Off' ENVIROn.IENT-A L- -. ;. AL g H SERVICES.. INITIAL INDIVIDUAL /COMMERCIAL SITE INSPECTION FORM SECTION A. GENERAL INFORMATION Name of Project iF,5& Z eR42rr,E7?s0,4_-1 County Rc1LV_, e!J Site Location IIIGTo Building construction begun Ale:> Extent Is property within NYC Watershed ? ................. Yes ❑ No SECTION -B. TOPOGRAPHY (Please heck all appropria boxes) 1. ❑ Hilly ❑ Rolling Steep slope e a Flat 429; 5 5 75 A/ZCN 2. ❑ Evidence of wetlands Low area subject to flooding ❑ Bodies of water ` ❑ Drainage ditches Rock outcrops 3. Property lines or comers evident ......................................................... .................. ..........:..:................. .... ❑ Yes lil No 4. Do water courses exist on or adjoin the property? .................. 5. Will these affect the design of the sewage system facilities ?............ 6. Do watershed regulations apply in this development ? ...................... 7 Will extensive grading be necessary? ..................... _ 8.=. Will extensive fill be-necessaiy or' SSA' S? ......... ............................... ❑ Yes ENo F-1 Y ENo Yes ❑ Yes Yes 9. Do filled areas exist within the SSTS area? ...... ............................... ❑ Yes rN o ❑ No dNo If yes, what is the condition of the fill? SECTION C. SOIL OBSERVATIONS _ 10. Appearance of soil: Sand Gravel. Loam ❑Clay ❑Hardpan E] mixture 11. Observed from: ❑ Borings ❑ Bank cut ❑ Backhoe excavations 12. Soil borings /excavations observed by �,7', 7C6gy -p c-,' a, g, on 6 0 _ 13. Depth to groundwater Al g" on, 14. Depth to mottling &a &e _ on 15. Are test holes representative of primary & reserve areas ... :................................. 16. Soil percolation tests made by on 17. Soil percolation tests witnessed by ziKgoe_p - on SECTION D (on back) 0 Form ST -1 I 2 SECTION D. DRAINAGE 18. Will proposed grading materially alter the natural drainage in this'or adjacent areas? ❑ Yes No r 19. Will groundwater or surface drainage require. special consideration? ...................... E] Yes ANo N 20. Will gullies, ditches, etc., be filled and watercourses be relocated ? ......................... E] Yes SECTION E. REMARKS 21. • If a common water supply is proposed, has an inspection been made of the existing or proposed source and facilities? ................................ ............................... Yes ZN o Inspection data 22. Do adjacent wells and/or sewage systems exist? ..................... .............. .........:........ Yes No 23. Additional comments .��ti�Tf G✓,�1� S 5 S �S -�` 24. Site observer /inspector and title CjrNc `D. Zggt� F i`�� c, -c:>, t-(- 25. Date(s) of observation(s)inspection(s) T1xig/ TEST PIT PROFILES Hole # Lot # Hole # Lot # Hole # Lot # Depth to water Depth to water Depth to water ' �_ .Depth to mottling _.__ ::,__- .- ........ w ..Depth to mottling._... i Depth to rock/imp. Depth to rock/imp. Depth to rock/imp. G.L. G.L. G.L.. a ; 0.5 0.5 0.5 1.0- 1.0 -.1.0 2.0 2.0. 2.0 'i 3.0 3.0 3.0 4.0 4.0 4.0 5.0 5.0 5.0 6.0 6.0 6.0 7.0 7.0 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 10.0 10.0 o� , clL�It7�a1. -� AA N S no, t <l i 05/18/01 09:46 PW SCOTT � 19142707921 NO.004 002 �A G !.. e BRUCE :;IL . FOLEY . _ _...... .._ ......_..... _ LORETfA M0L1NAR1 • R:N.;. ,v1:S:,1: — Public Health Director t+w �0�� Associate Public !Health Director Director o/ Patient Services DEPARTMENT OF HEALTH 1 Geneva Road -Brewster, New York 10509 BEQUEST FOR FIELD TF.SMG ATTENTION: o Al SAM STIEBELING At GENE REED All information below must 1 ee fury completed prior to any scheduling. DATE: 5 /Lo I ENGINEER OR FIRM: F-w. SCOTT 004.1 6&1A AC. PHONE 7Y AI 10 REASON: E EEPS: Pt PERCS: 10 PUMP TEST: o ROAD/STREET: d l C-' alert fZ-o TOWN: 'PA- Tt1zV.san3 TAX MAP #: S U - / -4(6 43-1 — SUBDIVISION: OT?": OWNER: Jo 5 NYCDEP CRiTERI.I FOR .10INT REV'iE`OV AND WaXESSiN . OF qnIL TESTING YES N9 0 r Proposed SS IS within the drainage basin of West Branch or Boyds Corner Reservoirs. ❑ d Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. ❑ _ [�/ Pr'oposed 53 TS within 200 feet of a watercourse or a DEC wetland. ❑ c / ' "" -" Proposed & i'l; S design flow greater than 1000 gallonslday or 'SPDES Pirmit required. o GY 'Proposed S:' )TS for a Commerical Project. It is the responsibility of th : design professional to provide the above information prior to sail testing. This Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If you unswerc,l,;gt to any of the questions, NYCDEP must witness the soil testing. This Department will ,coordinate a mutually suitable time for Geld testing with the PCDOH, the Design Professional and NYCDEP If a project has been determined to be Delegated based on the above response and then subsequent information indicates NYC DEP is required to witness the soil testing, it will be the sole responsibility of the design professional t ) schedule re- witnessing of the soil testing with NYCDEP. 4g, Az 7 FOR COUNTY USE ONLY DATE. 40 r ©O �ogtntc�7s: (MLDTEST) TINIE.- _/ze . ........... L Ts_ -rap'b -Mddnte C / w 7 ildliMMaheigemi 'ent 'g, Ve z 03 p ec- MoAtO" 22 aviland TN 1 Y-4 164 65 liaines Corners �j AN R, P publal Lake 6K RD R F67- T Lake -4EYY harles School ' 24M w� Ot 22 *0 CS i -QeF( vmt 00, ique Area 4 Mount Ebo Q rs Corporate 6 5 10�, 0 J 0 e > -CMI! . oq� RD 4� ITIONARY , as I 116 Corner Pond /0 V2-5.6-271- 5.6 51 1 I P/0 50 A•sio \ \ 43 \ `� � yon \ � . /•I!d � � \ \ \ 4d` • ci 175.601 ' � � � � =d /� \� /•e/t... ` ` ... � � _ \ \ \ AdJ! A•9J71 /•lydl /•9791A•AfOIA•Af/ •�• — A•BJ \ 28 \ A•9l!•e Bo.BO ' <oo0 42 \ A•9JI — 46 i•ezz A•!!B \ \A•912 $� P9JV /�JIC 9k � ` °v _ �. — — / lJ9 ' ' / i \I.91i A'fJ1\ / \ � �_ /•Bl/ � �_� �� iii 9J0 \ \ \ \ ` 11101 /•B1J' A•!1e J � i � / / / �•(y /L lw 47- 41 _ _ (n A•BJO \ 55;I1 /-B!1 I /d<J I 155.86 \ J /•e�z� '� /•e» Ae/i \ 1 I _J / �•s/s/ A•6.r / A•lre m is 7:' / 'G 1 1 J / / / 75.8 e•/eiJ a � 48 _ \ \ B• /BUS ^ B• /eis •r0J _ \e• /eot � . . \ � � �. � �.. � ... _ —_ Aar! � - s• /eti.\ l \ B•/scs e• /aie . i `''�� w _ — \ B• /M i 99 A \ _ / B•rB /9 i \ \ A•u/ o / / B•/rns g B• /e10 � \ � — i / ' \iLe6 Jo \ \ \ \ \ \ A•A7r ' 80.00 A•!71 / B• /791 B• /e11 � is .. .m \ \ /•1 /B \A•SB9 \� - . _. _ ` / / m 58 B• /J� --' If-so/ OWN; 41 4! - -= _ A r •rrI A•J' JJ / / e•iJti/ e•/ez.� . �/ :av g 50.. A•ex9 e e — _ 64 / ~ B• /ezJ / l eye B• /!R7 P B• /eJS'� i /•A7J / w /•B!/ ALL + e / S y5/ B. �P� w B- / &^! i i /•A71 /A•e9% r O — A 647 ° /•!J2 — / / i • / 8 86,10 65/ / B• /o/ / ' / / /A•BSJ = —51 — ;A•!!J /•iJ/ B•/JB! B•IB29 ! / / . / / / 80.00 � J / / S• /1B1 B• /BJO / / � / / / — _ �• _ — 1 Sw7lF B•JeJ/ / / / / / / / 64/ 52 /•6668 /•i7B 39 ' lo, •am / / / / 0. /.7J B• /B.Y / / / / A•e9i • /•B6r / ?r R-/ B• /IJJ / / / j /QD / / / / / / / / / / / B•/�bi e•/er" / / 56 / / / D A!!7 8 A•/IT / Phl'v / / i i � B• /1x71 B• /BJI / / / / / — — — ♦.eT1 / / I ' B /eu _ J•eJl � �_ 05/18/01 09:46 PW SCOTT 19142787921 NO.004 lit Sots• 1 t. . ., \ \ '•, � pia .1 � .l1!•t; , 1. _- __.____ �'`.'•.«_fj';� ,; .' •, \` ;�\ '; ! � i ; ' .. t1``21 {�4, .`i .1;. l �1'.; 1, '`; •(' .1 ; �M�:�'. J1 t, � .�� -�� rrp ., � ; t ; t+'. t ' t t ; ,1. � 1 1 1 �1 , ' �', 1, \ �' 'r •', t •� �I r,+ -•'��_ �/� �� alb � `+ t +•'. 1 . ' ' i ! 1 ' � 1, ' � •'I _ •.w �� _ `` ,�, '.t .1• ,',t ;, ��,..:.. �. to A! .� ' ' ti' �' 1• ^1 I tit. + ` t i:t`±►'' . � w. / :]►� +met• IN It Siv + '� ,11t� %1,11 � ' r � ;•�;�', .; •, {�� �...•' �'�,,' �.� .:�,.t'..•.. ' • i 7 ! it if f • i i �;i•`1 1 ''�,."�'. »� ••,, ...__. - .� ./�• .\ •n•I "Pr 'r;7• a i r ;•CCU.. • f.1..a..., .I. r I , % •, .. •. •• ,t `ttti •,�' a / r .' Ik IX . r•_��- "�"•��� -• Y��.t"Iwt•��� .` :yam_ oytn � •�•a'' f..'iY,. Z % _ j yh.:. O: v =:s tr * 1i ', •.`air '�....'.. . .L, r J DAVID D. BRIMV- County Executive 2S'", `7 0 -- l - \4 r- _._ JOWVSIMMONS, M.D.- I Deputy Commissioner DEPARTMENT OF HEALTH Division Of Environmental Health Services February 28, 1986 Hon. Alfon'se D'Amato, U.S. Senator United States Senate Leo O'Brien Office Building Albany, NY1 12207 Re: Barone Property', Putnam Lake Patterson (T), Putnam County Dear Senator D'Amato: Reference is made to a letter from Mrs. Barone relative to a piece of property she owns in Putnam Lake, New York, which has been forwarded to my office for consideration, through the State Health Department. Please be advised that this office has researched this matter including telephone discussions with Mrs. Barone. Based upon such, research you should be aware of the following relative to this matter: 1. This Department has never received an application for _.._._.... _- ----.:. .:...,a-p- p- r•ova- 1•-of._.plan for__a- _s.ew&ge..._s- ystem- a.n:d..we..11. _t'o...s.,g.r_ve_. the property in question. .In fact, the person who handles such applications, who has been employed by this Department for over 10 years does not recall even an i n f o r m a l i n q u i r y r e g a r d i n g t h i s p r o p e r t y. 2. This Department, therefore, has never rejected any application for this property. 3. In discussing this matter with a representative of this office Mrs. Barone. indicates she "remembered" -that a real estate agent, Ms. Lobracio of Action Associates, t6ld her that the Health Department would not approve the property. Ms. Lobracio indicated that an individual who was interested in purchasing the lot haired an engineer who told that customer that the Health Department would not approve the property. - continued- TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 -2- Hon. D'Ama'to Re: Barone, Putnam Lake, 2/28/86 4. The property in question is very small, approximately 10,000 square feet, one quarter of an acre,.located in an area where public water and public sewers do not exist. It should be noted that development of this size lot with individual sewage and well water supplies is difficult, if not impossible, utilizing todays standards and requirements. If Mrs. Barone wishes to develop this property she must hire a professional engineer to submit plans to the Department for approval. These plans would be reviewed for conformance with the latest standards, regulations and policies for construction of sewage,disposal and water supply systems of the State and Putnam County Health Departments. If you have any questions, please contact me at 225 -3838 or 225 -3833. V.er.yl.,tru.ly —yo vr..s.,.,._.. .. .. John Karell, Jr., P.E. Director Environmental Health Services JK:amm cc: Mary Barone Patriclia M. Lanphear, NYS HD, Albany France's Tarlton, NYS HD, Albany David Bruen, Putnam County Executive JK File gr STATE OF NEW YORK DEPARTMENT OF HEALTH ..CORN ING_TOWER, _* .THE GOVERNOR NELSON A. ROCKEFFI_L_ER EMPIRE STAT.E AI- AZA,e. .ALBANY, N- .Y..12.23?• DAVIO AXELROD, M.D. Commissioner February 6, 1986 Hon. Alfonse D'Amato United States Senator United States Senate Leo O'Brien Office Bldg. Room 420 Albany, NY 12207 Dear Senator D'Amato: This is in response to your letter of January 16 and the enclosed correspondence from Mary Barone. I am forwarding the material to John Karell, Director of Environmental Health at the Putnam County Health Department, who will contact Mary to determine the exact location of the property in question, _ As.soon as'Mr. Karell Is.. review is completed, we will be. pleased to provide you with duplicate copies of his findings. Sincerely, Patricia M. Lanphear Executive Assistant to the Commissioner CC: J. Kare11 V D'ALFONSE M. D'AMATO LEO O'BRIEN OFFICE BUILDING NEW YORK ROOM 420 ALBANY. NY 12207 (518) 483 -2244 WASHINGTON, DC 20510 . :A January 16, 1986 e Mrs. Frances Tarlton N.Y. State Department of Health Empire State Plaza Tower Building Room 1456 Albany, New York 12237 Dear Mrs. Tarlton: Because of the desire of this office to be responsive to all inquiries and communications, your consideration of the attached is requested. PLEASE TRY TO RESPOND WITHIN 4 WEEKS OF YOUR RECEIPT OF THIS REQUEST. YOUR FINDINGS AND VIEWS, IN DUPLICATE, ALONG WITH RETURN OF THIS MEMO PLUS ENCLOSURE, WILL BE APPRECIATED. Many thanks. Sincerely, Alfonse D'Amato United States Senator AD:ain Enclosure a ' I I • __..�.._..._.._... .....Q�26 -uJ 1,7 C� aLl t - z ---Z, 014 � 7 . L G C� �i'.f /.. �L��. . �iti . v � . ' l.%� �iG'�•� ' L.���2'�/�� � y I 1 n _ ........_..;.. ��.� _; .�, �1.�•��' - � �` �t --.ems .�� � �1-t� :- �- -{-�•� � _ . i LtlZ .. � �° ' ^ U | -'- - -' Or xdU� -1 L .41 -L, 7L ! ^ | | | � . / -_---��'---_-_---_-'- -_--__�__'-- | ' '--- ------' -�---'------------- -- -- P. STATE OF !,NEW YORK DEPARTMENT OF HEALTH CORNING.TQWFR a THE GOVERNOR NELSON. A. RCCKEFELLER EMPIRE STATE PLAZA ,o ALBANY, N.Y. 12237 DAVID AXELROD, M.D. Commissioner February 6, 1986 Hon. Alfonse D'Amato United States Senator United States Senate Leo O' Brien, Office Bldg. Room 420 Albany, NY '12207 Dear Senator D'Amato: This is in response to your letter of January 16 and the enclosed correspondence from Mary Barone. I am forwarding the material-to John Karell, Director of Environmental.Health at the Putnam County Health Department, who will contact Mary to determine the exact location of the property in question;, p • .:. _ -..,.As - soon as .Mr. Karel-'.' wie w � r�•.. - - s completed ; we -will be pleased to provide•y;ou.with duplicate copies of his findings. Sincerely, i Patricia M. Lanphear Executive Assistant to the Commissioner CC: J. Karell V M. D'AMATO NEW YORK F LED O'BRIEN OFFICE BUILDING Room 420 ALBANY, NY 12207 (518) 463 -2244 WASHINGTON, DC 20510 January 16, 1986 Mrs. Frances Tarlton 1 N.Y. State Department of Health Empire State Plaza Tower Building Room 1456 Albany, New York 12237 Dear Mrs. Tarlton: Because of the desire of this office to be responsive to all inquiries and communications, your consideration of the attached is requested. PLEASE TRY TO RESPOND WITHIN 4 WEEKS OF YOUR RECEIPT OF THIS REQUEST. YOUR FINDINGS AND VIEWS, IN DUPLICATE, ALONG WITH RETURN OF THIS MEMO PLUS ENCLOSURE, WILL BE APPRECIATED. Many thanks. °- •- '° Sincerely, ' Alfonse D'Amato United States Senator AD:ain Enclosure -7 19- j_ -------- -- ../7. _._� __ •-- ---- ' -L��C� - - - -- `ter- t_J -.. .. - -. -/ - " - ._...... ...... .._.._...—._-_.._-- 00 p �n *04 STATE OF! NEW YORK DEPARTMENT OF HEALTH CORN,ING.TOWER THE-GOVERNOR NELSON-A. ROCKEFELLER EMPIRE STATE'PLAZA S' 'ALQANY, N.Y. 12237 e. DAVID AXELROD, M.D. Commissioner February 6, 1986 Hon. Alfonse D'Amato United States Senator United States Senate Leo O'Brien Office Bldg. Room 420 Albany, NY ;12207 Dear Senator D'Amato: This is in response to your letter of January 16 and the enclosed correspondence from Mary Barone. I am forwarding the material to John Karell, Director of Environmental.Health at the Putnam County Health Department, who will contact Mary to determine the exact location of the property in question.; _ ...: _.._...._.... _ ... As soon as Mr. - Karell's review -is °completed, -we will- be".tyleased to provide you. with duplicate copies of his findings. Sincerely, Patricia M tLariphear L _ Exectitive'Assstant to the Commissioner CC: J. Karell V M. D'AMATO - LEO O'BAIEN OFFICE BUILDING b NEW YORK ROOM 420 ALBANY, NY 12207 (518) 463 -2244 WASHINGTON, DC 20510 l January 16, 1986 Mrs FrancesiTarl_tjon 'N Y> `State Department bf Health Empire State Plaza Tower Building Room 1456 Albany, New York 12237 Dear Mrs. Tarlton: Because of the desire of this office to be responsive to all inquiries and communications, your consideration of the attached is requested. PLEASE TRY TO RESPOND 14ITHIN 4 WEEKS OF YOUR RECEIPT OF THIS REQUEST. YOUR FINDINGS AND VIEWS, IN DUPLICATE, ALONG WITH RETURN OF THIS MEMO PLUS ENCLOSURE, WILL BE APPRECIATED. Many thanks. Sincerely, 010 Alfonse D -Amato United States Senator AD:ain Enclosure O' n - �14 I I ' n In& u,C.. 1. rt� t or, K