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Home My WebLink About1473DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -3 -2.2 BOX 14 INN% 0`I - A 1 ��'`�., c.r.,,4 .��,. ki w �` r. ` . . k . . NEW 01473 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE TREATMENT SYSTEM RE YES NO Internal Use Only PERMR #: =P;6° ►Z.,, i ❑ Repair Permit issued in last 5 years �❑ TN's; In Watershed ❑ El 'Repair within Boyd's Comers, W. Branch or Croton Falls Res. -M Delegated ❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland ❑ Joint Review SITE LOCATION 101 '7�0?01.7ny A- 44TOWN A71U -404 TM #T , °3 -2- z. OWNER'S NAME PHONE # MAILING ADDRESS .moo �,YaW1�ni A-., J/ Rd fr,.- rr,eil: Ay. 1r-,571✓ APPLICANT �-,n�nY' me & Relationship (i.e., owner, tenant, contractor) DATE FACILITY TYPE PCHD COMPLAINT # PROPOSED INSTALLER � � kr,4 .-�� PHONE # ADDRESS J?`7 !:K i�+t ,-n, �L ..� �,y i�L REGISTRATION /LICENSE # /)O`I Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the repair. I, as owner,agree t (hthe conditions stated on this form SIGNATURE TITLE DATE (owner) _ .V.. I, the septic- installer, agree to comply with the; conditions of this ermit forthe se tic s tem -repair P_ _ , _._ P_ _ . r _.. P� . _ P. _ SIGNATURE L TITLE `'" DATE (Installer) Pro I a o with the following conditions: 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, ,in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location'of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Approved Proposal Denied ❑ / c� Inspector's - Signature & Title Date Expiration Da Fe ,Repair proposal is in compliance with applicable codes Yes No ❑ COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 Putnam County Department of Health Division of Environmental Health Services SSTS Repair — Fin 1 Site Inspection Date: �' Inspected : (- , t Street Y,ocatton: 0 y" L, P, i Owner. e� c Town:'_ f Repair Permit TM # Additional Comments: RFSI Rev - 011312 1. ,Type of System: Conventional U Alternate U Comments: 2. tic Tank Yes No N/A Comments a septic tank s' ,000'_..1,250... other ..... b. Septic tank installed level ...................... c. 10, minimum from foundation .................. d RMbution Box i. All outlets at same elevation (water tested).. . ii. Protected below frost ............................. iii. Minimum 2 ft. Original soil between box & trenches e. Junction Box —. er set ............................. f. ranches i. Systeni s ompletely opened for invection ff. Length required Length installed iii. Pipe slope checked ....................... :.......... iv. Installed according to plan ..................... V. 10 & from property line — 20 ft — foundations ... vi. Size of gravel % -1 %s " diameter clean ......... _Depth of.gravel in.trench.12" minimum ------- viii: Ends capped . g. Pum r Dosed Systems 3. Sewage System Area a SSTS Area located as per approved pins b. Fill section — c. Distance from water course /wetlands 4. Overall Workmanship a Boxes properly grouted and installed correctly ........... b. All pipes flush with inside of box ......................... c. BadM material contains stones <4" diameter ......... d. Curtain drain & standpipes installed according to plan e. Curtain drain outfall protected & dir to exist watercourse f. Footing drains discharge away from SSTS area ......... g. Erosion control provided ............................ Additional Comments: RFSI Rev - 011312 ',;,anon County Depar nt tme of Health also sEPnc u;:vietun of mnvtrou:nental Health ServI00c, / 2 4t;? gut >e;3 an noLnd for %71 h 'sat_o s of the s i a0 to a2 TOP OF l RQB. Ru PAO ' , J, 009 ACRES+ DIMENSION TABLE 1 s- : Sir6 S- s- 2 71.5; 78.5 3 77 85 4 a1.5 91 Jr 86 96.5 B 1 92 1102.5 7 1 97 108.5 8 1116.51113.5 11 CONC MONUMENT 1 2 13 Putnam County Department of Health Division of Environmental Health Services i*7! noted for conformance W'th N 07m - 1. PARCEL SHOWN DESIGNATED HEREON AS LOT # 2 AS SHOWN ON A MAP ENTITLED"F1NAL SUBDIVISION PLAT PREPARED FOR NICHOLAS 8c MARIANNE TALLARICO" SITUATED IN THE TOWN OF PATTERSON, PUTNAM COUNTY, NEW YORK. " 2. TAX MAP DESIGNATION 34 -3 -2.2 3. SURVEY INFORMATION SHOWN HEREON BASED ON MAP PREPARED BY TERRY BERGENDORFF COLLINS. LS. ON SEPTEMBER 17, 1999. MAP REVISED ON JULY 26, 2000 Y i 59 5�6 i' 1 1" i j'. L -CRES+ N 82'48 1 CONC. MONUMENT 164.98' ORA 4EL 1250 CAL SEPTIC TANK / 2 I J 14' (nP) 7d 1 4 8 � g e (TyPj 11 12 I /J I TT1P or R.O.B. FlLL PAD / -_j ELEG E"STFNO I I i rt�0` N, T,�4ryl � ;1 A- 4234'52' ''GG�: R4222.00' i "0 L- 164.78' 'lei d ! li W�OUY NiRE3 (� � D HOUSE M I } J h Iw •t Y z , t 6o,Ar�1y , t i f NOTES;• 's i. i F �I 0 1? CONC. MONUMENT DIMENSION TABLE Putnam County Department of Health Division of Environmental Health Services Approved as noted for conformance with a Ru es and Regulations of the am C y Health Depar� ' � V -Date ure & Title LORETTA 'MOLINARI R.N., M.S.N. Acting Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 February 28, 2003 John Regan 200 Tammany Hall Rd. Carmel, NY 10512 Re: Addition - Regan, 200 Tammany Hall Rd. No Increases in Number of Bedrooms (T)Patterson, TM #34. -3 -2.2 Dear Mr. Regan: ROBERT 'J. BONDI County Executive I have received and reviewed the plans for the proposed addition to the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from this Department dated February 28, 2003 The addition is approved with the following conditions. 1. The total number of bedrooms must remain at three without prior approval by this department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Patterson. If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke ML :Im Public Health Technician cc:BI WADI main m w-, BRUCE R FOLEY .f� y Public Hack), DETAR. T MET`I 1 OF I-MALTH Division of Environmental Health Ser+iees 4 Genava Road Brewster, New York LOS09 Tel. (9114) 278.6130 Fax (914) 278-7921 - /- STREET W S �� TO NAME 1 FHOtiF. PCHr} tiAa -O ADDRE53 Qt�i? :/9if f f1� -nom�f fO,z DESCR21 TiON OF ADDITION NUMBER OF EMSTING BEDROOMS - (MOM CERT. OF OCCUPANK—e OR CERTIFICATION FROM &C;ILOLNG INSPECTOR) PROPOSED # OF BEDR00-1B 0 *Any addition v.-hicb is considered a bedroom tegt:ires formal approval of plans (Construction Permit) prepa:Pd by a = rf_s ;ioral Engineer or Registered Arc'n tect in accordance with aaplicab:e sections of tthe Pumarn County Sinus -y Code. Please sub =it this fcrr wid *he fo:lowing to P•a`ulam County Health Degt., 4 Geneva Rd., Br--W=-r, Ny 10509, Phone ?7s -6130. ! Certifled check or mor.:ey order for 5100.00 Stretches or existing floor plan {drawn to scale, all living area Including basement] " Non - professional sketc'n :s arc accept ='ble 3. Two sets of proposed floor plan (draw to scare, with name, street, and tar: r^ap T) . * iron- professionai sket(,hes are acceptable 4. Copy of survey showir:; well and septic location, to the best of yoz k- nowledoe. Include date of installation if kno --.an: Label all wells and septic systems with.Ln 200 feet of the proper L'ne. Contact this office wit any questions. 5. Copy of Cent. of Occupancy frcm Town or Certification from Building Dept. ,Kith 'legal_ bedroom court of dwe11L*:g. OFFK.'E UL C:omme 7s rib 93 DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva' Road, Brewster, New York 10509 (914) 278-6130 - - Putrtm Co'unty Dept. of Heaitlh 4 Cieneva Road Brewster, NY 105C9 BRUCE R..FOLFY. P ACtIng PUhlia Mealth Re: _Xoefw�, 101;4' Resid C. Tax Map \3�11 Town According to re-ords maintair.ed by the Towri, the above noted dvvellingr is ISIMOT in compjiari!.-e N}Ith To%%-, cod.- and tree total number oF bedrooms on record is This informationha3 been obtained from. 'C'ERTIFICATE OF OCCUPANCY: A23ESSORS RECORD: ui d1ric, MSCA?�r ax!ogt.. �F. i r tl::4 .:,. •,Yv"�a..'4H,,: r,x 1J. s." Y �r�7R';.$".,D"'";;. .. ^t.',}�'Qiy : R lair ;;:; ;,. i '�N'oFC•.R+ J1,' ..ice r' ;;sv� ' ar.. ,�z3,��:. �,,., ,..- ,r•+r.� «:a PUTNAM COUNTY-DEPARTMENT-OF HEALTH a Y•� I)I"SION ��F ` -ENV RO�TMENTAL HEALTH' S�;RVLC °E S CERTIFICATE OF CONSTRUCTION. COMPLIANCE, FOR :SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located at ��9 -T A}v(MAttr* F''p .t :Town or Village: ykrf':ma Owner/Applicant Name �Jew &K Tax Map Block -1.71:' Lot ►Z Formerly . (�(,, f ;ice Subdivision Name Subd: Lot # Mailing Address ( �I tSUI f(1 XL5'.. r. 64[Gt u,..1�,`� 2ip `1i�57 , Date Construction Permit Issued by P.CHD Separate Sewerage,:System ,built by 16{61 to Address Z90 V*CV5, 0 ,y6 .rti`T' �<< Consisting of 11 ?90�4409 Gallon Septic Tank and �, % '� T1 )TAEbXA .Other Requirements: i � .d. t /L. .Water Supply: Public Supply From Address Private Supply Drilled by �{ Address Building Type ' ��,. Has erosion control been completed? ... Number: of Bedrooms ,�.. Has garbage grinder, been installed? •::...I 'certify that the system(s), as listed, serving the abovepremises 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 if the .P to Co Department of Health. / Date: le?. -16—g ' Certified by P.E. ✓ R.A. esig .Profes ional Address ', LOLI License # � t 4-&e2 Any person.occupying premises served by'the ab ve system(s) shall promptly take such action as maybe 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 • becomee null and void when a public water supply becomes available. Such approvals are subject to modifieatio y t r 66-n .when, in the judgment of the Public Health .Director, such revocatio m dificatio ": ige'is: necessary. B : Title: Dater . Y White copy - HD File; Yellow copy- Building Inspector; Pink copy Owner; Orange copy -. Design Professional Form CC -97 FIRST FLOOR PLAN j; r. t. ii ii NEW ADDITION t ;7 ..•- •r�....- .,.;,...m . -... _ ..,... ..., ...,..r...•,..,,...,..,•. ;, ..e....a. � ... ... ......... ;n,r,:. !w.� �.s t,a+.:'",wa.l s� +ii :ss+ri ,L'r ry rn � s r+ / .. .... ! PUTNAM COUNTY DEPARTMENT OF HEALTH Dl-,:Dl-.-OF: ENVIRONMENTAL :.DEALT -H- :SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE F ATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located at ®O fU11✓i¢1'( 4-1.[�- ED Town or Village'I Owner /ApplicantName �� '� Tax Map -54' Block r--2 Lot Formerly L� , � c� Subdivision Name _-TA' zi �AeA &eQ Subd. Lot # & Mailing Address "t9ag dtj 60o Zip 17i1j Date Construction Permit Issued by PCHD Separate Sewerage System built by 'SK-a2 0g2'U."li Address PkUI,It�,, Consisting of l?,® Gallon Septic Tank and ' &, ) IMIXA OPP) Other Requirements: 1�2 4511 LIL- Water Supply: Public Supply From. or: X Private Supply Drilled by R %'ff Address 10 10 P-Tle 3 It Address ti - - HoiidingType---' �-[' �. _ Has erosion control been - completed? Number of Bedrooms 0. Has garbage grinder been installed? 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 kof the Pptna n Courgy Department of Health. Date: `(v °tz, Certified by Address Any person occupying premises served by the P.E. ✓ R.A. License # il� 14-foe> 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 m difrcatio r change is necessary. /,�By; Title: �� Date:., White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 ZARECKI , &, ASSOCIATES, L.L.C. Engineers • Surveyors • Planners 11 West Main Street PAWLING, NEW YORK 12564 377 b Fax (914) 855- {3772 TO Pt?TK)AAA LETTER imil iiiiiiii Ti MV 11T'T�4L WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: • Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications • Copy of letter ❑ Change order ❑ DESCRIPTION �-._ n, 1 _ _J11 / A I THESE ARE TRANSMITTED- as checked below: - ❑ For approval ❑ For your use ❑ As requested ❑ For review and comment ❑ FORBIDS DUE ❑ Approved as submitted ❑ Approved as noted ❑ Returned for corrections L • Resubmit copies for approval • Submit copies for distribution ❑ Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US r R 05 W_ - __ -I" IMMER, N COPY TO If enclosures are not as noted, kindly notify us at once. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMMPLETION REPORT Well"Location Street Address: /yp Town/Village: 4 : Q NO Tax Grid # Map Block Lot(s) Well Owner: Name: Address: Use of Well: 1- primary 2- secondary Residenti Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing V/ Open hole in bedrock Other Casing Details Total length 21 ft. Length below grade ad ft. Diameter _7 in. Weight per foot alb /ft. Materials: Steel _ Plastic _ Other Joints: Welded _ Threaded Other Seal: _ Cement grout _ Bentonite Other Drive shoe: Yes No _ Liner Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes—No Hours Second Well Yield Test Bailed Pumped _ Compressed Air Hours _ Yield ,2?S gpm Depth Data Measure from land surface- static (specify ft) 6t During yield test(ft) Depth of completed well in feet 3S 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 7 A ° 7 U5 v 647' If yield was tested at different depths during drilling, list: Feet Gallons Per Minute. Pump /Storage Tank Information Pump Type Capacity Depth Model Voltage HP Tank Type Volume Date Well Completed 3 090 Putnam County Certification No. 00� Date of Report 319114, Well Driller (signature) NOTE: Exact location of well with distances,to at least two permanent landifiarks to be provided on a separat eet/plan. Well Driller's Name Address: /d/g A 31 Signature: Date: p� White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 BRUCE R. FOLEY -`� "-. � "'. `Pu51ic Iiedltti =- liirecfor:-' • --. =s __- ....._ �. � _. - -.. _..... LORETTA MOLINARI M.S N,, _ -- - - �"' - �` ' `�"Associate 'Pu61ic Hea %th" Di'reclor Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 218 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 August 24, 2000 Zarecki & Associates, L.L.C. 11 West Main Street Pawling NY "' 12564 Re: John Regan 200 Tammany Hall Road, Lot #2 (T) Patterson, TM# 34 -3 -2.2 Dear Mr. Zarecki: The above regarded application is and cannot be processed. This means the project cannot be forwarded to .a Putnam County Department of Health reviewer for comments or approval until the following has been received: 1)- - ❑ Standard- E91-1-Address- form- 2) ❑Construction Permit Application. 3) []Certificate of Construction Compliance Application. 4) ZA certified check or money order in the amount of ❑ $300 for a Construction Permit. ❑ $300 for a renewal 'of a Construction Permit. ❑ $150 for a revision of an approved Construction Permit. Z $200 for a Certificate of Compliance. ❑ $100 for a Well Permit. ❑ Other If you have any question regarding this matter, please call me at (914) 278 -6130 ext. 2152. Very truly yours, Theresa Nemeth e cninr i�m.n� Public Ifoalth Dlimfor LORETTA MOLINARI R.N.. MS N. Dwoor of Pant SVWM DEPARTMENT OF HEALTH I Geneva Road Brewster, New ,York 1009 EuvironmenW He M (914j2784130 Ft%(914) 219.7921 Nunin SeMces (914) 278.058 WIC (914) 278.6678 • Pot (914) 278 - 6485 Early 1utgrvantWn(914)271-6014 PrachmI(914)III-082 FIX014j278-6W F911 ADDUSS YERIFICA33M FORM OWkERS -NAME.- TAX TVW NrABBIL E911 ADDRESS; To": .4 -J 3 2, a0 7A t-t mA ,J Y 9 -.4 4 4- ev4 4:0 g-J.4 7-rl,--.,e s , --.-y AUTHORIZED TOWN OFFICIAL: (Signature) DATE: 2 7/ 2 ala e) The Putnam County Department of Health will not issue a Cerdficate of Construction Compliance unless. the above form Is completed, i.e., a legal E911 address is assigried by an authorized town official. This form U to be submitted with the.application for .a Certificate of Construction Compliance. (E911VEUM PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM a O8v� er or Purchaser of Buildin 411Vt d- sl-11� Building Cons ructed by 4C Location - St eet Ar. A Building Type 3�- -3 Tax Map Block Lot TownNillage Subdivision Name 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, riles and regulations of the: Putnam County Department of I Iealth,' 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 Constriction 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 Dayzz Year 2A_ — Aw &4ex General Contracto Owner) - Signature Corporation Name (if corporation) Address: JAL tiilrl L Ll CID State [Q�v�L�i, i Zip Signature: Title: Corporation Name (if corporation) Address: AID 6�e6- State k OUK U,q Zip IM L41 1 Form GS -97 PUTNAM COUNTY DEPARTMENT OF HEALTH 7/ f 7(OQ DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION, Date: -5 ;2- 5-1/04D Street Location �� `� ��, Owner -k c-4,St 1V Town Permit # e—,6-3 —,C? 8 TM # Subdivision Lot # 1Z Ta It-,rice 1. Sewage System Area a. STS area located as per approved plans............ ............. b. F�11= sestiordatc aatac�ment - -_ c. Natural soil not strippe ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands ...... ............................... II. Sewage System a. Septic tank size ,000. ...... 1, 250 ......... other ................ b. Septic:tank instal el ................ ............................... ,. c. 10' minimum from foundation .......... ............................... 4,,,:- Distribution Box . All-out le at same elevation -water tested ................. 2. Protected below frost .................. ............................... _3.1 Minimum 2 ft.Original soil between box & trenches e. -Junction Box - properly set ..................: f. Trenches -3157- en required $m o Length installed �. 2. Distance to watercourse meas /od 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 _3 Aches from surface ................. 8. Size of gravel 3/4 1%" diameter clean .::..........` 9. Depth of gravel in trench -12" minimum ................... 10: Pipe ends . _. , _ . . ........................... g. PumR or Dosed Systems Size of pump chamber ...........:... s 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. House/Building a. House located per approved plans . ell located as per approved p an .............. b. Distance from STS area measured -t-- IQ 0 ft........... c. Casing. 19" 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 & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ... ............................... i. Erosion control provided ........:........ ............................... Rev. 6/97 .NO i COMMENTS r O � II 14, 1 -.?- 4 orm i 3 17' I ° o. 1 m r ti a s, � Cpl G Sm 401, .. BRUCE 'R: •?OLE6 - : r _ ..... - Public Health Director - " = LORETTA -_MOLINARI-:R:N: t „ r I \tit P� 1� /w I / \ •\ �tt:;1.:' . /� _ // r � � ,,m•�Yk _ . ,.,ti�. W� �- \•..� \ I �� '�h G /'P% e /jam y Qp IM OVA l � � �• \ \ \ t \ \ a \ \ � p� ��. Pk 2 / h � phi ii \ I2_0 10 ra I \ \ 05/23/2000 10:55 8553772 ZARECKI PAGE 02 = PlSTNAM COUNTY_DEPARTMENT'01 HEALT)li r`. DIVISION OF ENVIRONMENTAL HEALTH SERVICES ATTENTION 0 ADAM _. A GENE RFQUEST FOR FINAL INSPECTION For: Fill A All information must be fully completed prior to any Trenches aC. inspections being made. i PCFID Construction. Permit # Located. -_U&& oN. Lw M.— Owner /Applicant Name: M.er� W TM 5 Block Lot 2• Z- Formerly: T� l..Arlte d Subdivision Name: 'AA1&d1*6tu l Subdivision Lot # 2 Is system fill completed? Date: +-3�m Is system complete? Date: -Gb Is system constructed as per plats? Is well drilled? hitff2 Dater, Dwell located as per plans? (Ulkt 60 LA) r . Are erosion control measures in place? .y I certify that the system(s), as listed, at the above premises has been constructed and I have inspected and. verified their completion in accordance with the issued PCHD Construction Permit and approved plans and the Standards, Rules and Regulations of the Putnam County Department of Health. Certified by; ItM. IMI-j" RA 7 Comments. &rwJ V I - = i A AWL4er_ cto°a dp- c.`aw1=Ta fii 4e,' ec*aoS Vgk J I►Mt -r -fit 40* s Form FIR -99 41p, +49� 44416 Pty f "4 -r__4 uJ ':lvtG ljjr r W_ 05/23/2000 10:55 8553772 �&A {CKI AMOCI.A.TES, L.L.C. Consulting Engineers Land Surveyors Land Planners Joswo Zurecki, PE Je" Hecker, [S Curt Johnson, MP 11 west Moin St. P64ng, NY 12564 1914) 855 -3771 (91A) 8553772 Fox email; aareck377Ibool.com �r Phone: Fox: ZARECKI PAGE 01 WN Date:. 07•ZZ -s- Job No. No, of pages: .� From: dw*:r,:A� 2 Z % F ZAP oa "'41 SURVEYING ZARECKI & ASSOCIATES, L.L.C. Engineers e Surveyors e Planners 11 West Main Street PAWLING, NEW YORK 12564 Fax (914) 855-3772 TO WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via ❑ Shop drawings ❑ Prints ❑ Plans ❑ Copy of letter ❑ Change order ❑ M�V71F.n @1P UDUMMOTMIL DATE • ATTENTIQ,�L, ❑ Samples COPIES DATE NO. DESCRIPTION the following items: ❑ Specifications --:-,o-, THESE -ARE -T-RANSMIT-rED-as-chec'Ked-below:*" ---- ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit - copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED:&,tf,,- if enclosures are not as noted, kindly notify us at once. n ATTENTION PUTNAM*COUNTY DEPARTMENT "Oh''H1CA:LTll _ DIVISION OF ENVIRONMENTAL HEALTH SERVICES 0 ADAM All information must be fully completed prior to any inspections being made. X GENE For: Fill iG . Trenches PCFID Construction Permit # Located:AAA141N4-r A4'm ILI Owner /Applicant Name: -,lotAO PkgAW TM, •:5 4- Block 3 Lot 2, Z Formerly: T-A 1.1 AC�,1G0 Subdivision Name:6V"IftceJ RD 5e "ZAI.LAA 140 � Subdivision Lot # 2 Is system fill completed? ` Date: �-3 ~D� Is system complete? - ' lei Date:fJ-l�t DiD Is system constructed as per plans? Is well drilled? Date: Ise -well located as per plans? U 1 1W, � :'• Are erosion control measures in place? I certify that the system(s), as fisted, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Construction Permit and approved plans and the Standards, Rules and Regulations of the Putnam County Department of Health. Dater V✓ r Addres i PE AA Comments: f�T� E-Xaq5r_- pip ce T 'F_ j.DD 4. Form FIR -99 `ct"� AM COUNTY DEPARTMENT OF HEALTH ISION OF ENVIRONMENTAL HEALTH SERVICES ONSTRUCTION PERMITFOR-SE.. 4P TREATMENT SYSTEM PE T# - 6:3 -K , q. Located at _rA-t" M ,4 f,!7 Town or Village FAf'r�S a a Subdivision name _rA4 1"4'ce Subd. Lot # Tax Map 3 4f Block 3 Lot 2 , 2 Date Subdivision Approved Al A_7, /19 J` t� Owner /Applicant Name All G � , !dam' %KVI AW.V C Renewal Revision Date of Previous Approval Mailing Address _ RD C -A+M M1--y r I441 l_ n C-41VH't R A/"7 Zip I a S/ Z Amount of Fee Enclosed 3o y Building Type Wo o 9 Lot Area 7t o 0 9 No. of Bedrooms Design Flow GPD F—'D o Fill Section Only T Depth 2 Volume 3 7 d PCHD NOTIFICATION S REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of S° gallon septic tank and LF 7�_��' Other Requirements: To be constructed by / dl V SfE / V 6r Address _... _ .. - .Water Supply: Public Supply From Address or: _� Private Supply Drilled by i=T /K�►° Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) -and that the separate swage treatment Ustpm described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director 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 will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. P,E. R.A. Date / "A %y__ &64A 46Q- A6 l0_� � License # � APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified w considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new pef 't. pproved f ischarge of domestic sanitary se e only. B f Title: ✓�6G G� /��"�' Date: Y• White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEAL'T'H DIVISION OF ENVIRONMENTAL HEALTH SERVICES —_APPLICATION ., .,JO NIRI TC'I' A WATEit V6!ELL p C-43 lease print or type PCHD Permit # Well Location: Street Address: Town/Village Tax Grid # f ki tzn PAT7=S01' Map 3 Block 7 Lot(s)*-4 Z Well Owner: Name: Address: / o , 71 Use of Well: Residential Public Supply Air /Cond/Heat Pump Irrigation - rimary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought S gpm # People Served S Est. of Daily Usage r dal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type _ Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes ' No Name of subdivision au. "(om g D Lot No. 2 Water Well Contractor: C/.q K°+d w Address: Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: Town/Village �- Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Applicant- Sighatwe PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and 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 or their designated representative 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. 3) Submit a Well Completion Report on a form . provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and 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. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by Jwater driller certified by Putnam County. Date of Issue Permit Iss ' iciaDate of Expiration 2� 1�a Title: L Permit is Non- Transferra le White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 1. 14.16-4 (2/87) —Text 12 PROJECT I.D. NUMBER 617.21 SEAR ' _.... ... Appendix C . _ -- - _ ... �: _ . _ - - - .- -- - -• State`Eniiirtininen4al'OGefity Revisor '= - • - � - ' . - . , . . ' � . SHORT .ENVIRONMENTAL ASSESSMENT FORM For - UNUSTED'ACTIONS Only,`,' .: 3r: , PART 1= PROJECT INFORMATION (To be completed by Applicant or.Proiect sponsor)•.,K:•f lox 1. APPU ANT /SPONSOR -7 2. PROJEqT NAME, ; jy, U Z4-r IV CC... m r4.., m1' O a I �- 3 PROJECT LOCATION() '; ":Municipality'•5 ..., .. - „•.;. , ,e_., _. .. - 's• ,. ... _ tv,� v1 4. PRECISE LOCATION (Street address and road Intersections. prominent landmarks, etc., or provide map) M�h7 �D r� a ��.,, 3 5 IS PROPOSED ACTION New= 3 ❑Expansion ' ❑ M idi4;, ioNalt r ti"L " ` h` '? ' a . , 1 x << ., . < z: _... ",. a. _,.r,: ,_,.. ?•;:. e a on' 6. DESCRIBE PROJECT BRI FLY: - ' 7. AMOUNT OF LAND AFF ED: acs _ , .:7 , ac Initially acres Ultimatetyf res 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Nry.s []No . If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑ Industrial ❑ Commercial ❑ Agriculture C1 ParklForest/Open space ❑ Other Describe: , .... _ ... . _.... .. _..:. _ ... _... ,_ .....; ......, 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? •• •' -•� Q No =- -If yes, list agency(s) and permlUepp als ' CY bOESANY ASPECT OF THE ACTION HAVE A CURRENTLY•;VALID PERMIT OR APPROVAL? . ❑ Y9s ;!' No ,t if .yes..Ilat agency name and permlflapproval • . r 12.. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERWIAPPROVAL REQUIRE MODIFICATION? i ❑Yes NO ERTIFY THAT., E" INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicants sor na 'c� Date:_ d Signature: Lt If the action is in the Coastal Area, and you are a state agency,,' complete the Coastal Assessment Form before proceeding with' this assessment OVER 1 PART II— ENVIRONMENTAL ASSESSMENT jo be completed by Agency) A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR, PART 617.12? If yes, coordinate the review process and use the FULL EAF. ❑ Yes ❑ No B_. , WI.L L,. AGT. 10*RECCglVs- GgORDJt4AFEELREVIEW A6 :P.ROVIDED FOR UNLISTED -ACTiONS.IN•6 NYCRR,.PART- 617.6?_ -:-If-ft; a-negatlxatedaratlon.- may be superseded by another Involved agency. ❑ Yes ❑ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, . existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3: Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change In use or Intensity of use of land or other natural resources? Explain briefly C5. Growth, subsequent development, or related activities likely to be Induced -by the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not Identified In C1-05? Explain briefly. C7. Other Impacts (including changes In use of either quantity or type of energy)? Explain briefly. D. iS ?HERE, DR IS fHCFiE LIKELY TO'BE, CONTkOVERSY RELATED TO ~ POTENTIAL ADVERSE ENVIRONMEI$TAL IMPACTS? + ❑ Yes ❑ No If Yes, explain briefly PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above, determine whether It Is substantial, large, Important or otherwise significant. Eacheffect should be assessed In connection with Its (a) setting p.e. urban or rural);.(b) probability of occurring; (c) duration; (d) Irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials: Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been Identified and adequately addressed. ❑ Check this box If you have identified one or more potentially large or significant adverse Impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare appositive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result In any significant adverse environmental impacts AND provide on.`attachments as necessary, the reasons supporting this determination: Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Name of Lead Agency Date 2 Title of Responsible Officer Signature of Preparer (if different from responsible officer) PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of a Located at C-0 P1417�Wc),v T/V Tax Map # Block 3 Lot 2*4 Subdivision of 7X1Ae_,Cd Subdivision Lot # Z Gentlemen: This letter is to authorize /iar Filed Map # 27 Yp- Date Filed 6 k a.duly licensed Professional Engineer or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated .by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or water supply systems _in conformity with the provisions of Article 1.45 and/or -147. of the Education Law, the Public Health Law; and the Putnam County Sanitary Code. Countersi "♦'`� P.E., R.A. Mailing Address State Zip l0 S- % Telephone: `j/ 'Z-7g 7115' Very truly yours, Signed: A tco (Owner of Property) �r Mailing Address: State Zip Telephone: R 37_ Z0625 Form LA -97 a -,Julius I. Cesare, "6- 4- Blackberry` - `' - il _" Brewster, New York 10509 914-279-7115 June 8, 1998 Bruce Foley, Director 0 Putnam County Health Deptartment 4 Geneva Road Brewster, New York 10509 RE: Tallarico SSDS Lot 2 Dear Mr. Foley, Herewith transmitted are four (4) sets of drawings for the above noted individual SSDS Project. Also included as per your requirements are the following documents: 1. Construction Permit Application 2. Letter of Authorization 3. Application for Approval of plans for a wastewater treatment system. 4. Short Form EAF -Design Data Sheets 6. Application to construct a Water Well Thank you for your cooperation in this matter. Very truly yours, ulius Z NCesare, P.E. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS'FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: Nt" Lf 9" X+kf AN yE i 64-LZAE <c, 10 ; / 'I- 2. Name of prof ect: A-tl a r r 1 S-905 Lo`fi 2 3. Location TN: t �? S a w 4. Design Professiona a /u.J C�r-F 5. Address: �2��✓s��L tier 6. Tvne of Proiect: a/ Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subidvision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ....................... ............................... Type I Exempt Type II Unlisted k---- 8. Is a Draft Environmental Impact Statement (DEIS) required? ......................... /y 0, 9. Has DEIS been completed. and found acceptable by Lead Agency? ............... 10.: me of -Lead. Agency. _ ,T c r-i PA -i'j�-Po'z,' � iyfk t 11. i6his project ig an area under the control of local planning, zoning, or other officials, ordinances? ......................................................... ............................... —yes 12. If so, have plans been submitted to such authorities? ........ .............. .................. e-s /ni rn[ Wk- S o 9 per• P44-4 �hvP 13. Has preliminary approval been grante� by such authorities? Date granted: 14. Type of Sewage Treatment System Discharge ................. surface water `groundwater 15. If surface water discharge, what is the stream class designation? .................... 16. Waters index number (surface) ........................................... ............................... 17. Is project located near a public water supply system? ............. /r .18. If yes, name of water supply Distance to water supply 19. Is project site near a public sewage collection or treatment system? ................ ACS, 20. Name of sewage system Distance to sewage system 21. Date test holes observed 22. Name of Health Inspector Form PC -97 2 :._23._.P.roject_desigR.flow (gallons per day) ... : .................. 24. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... /(d 25. Has SPDES Application been submitted to local DEC office? ......................... 26. Is any portion of this project located within a designated Town or State wetland? /1(0 27. Wetlands ID Number ........................................................... ............................... 28. Is Wetlands Permit. required? .............................................. ............................... ea Has application been made to Town of Local DEC office? ........................:...... 29. Does project require a DEC Stream Disturbance Permit? .. ............................... 30. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ............................ Yes/No 31. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, -salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? ... ............................... Yes/No DESCRIBE: /6 32. Is there a -local master plan on file with the Town or Village? .........................,� , 33. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to.- project site ?::....:. .... .. .. 44UC*--J- 34. . Are any sewage treatment areas in excess of 15% slope? . ......................... ....... a 35. Tax Map ID Number MapTy Block T Lot '2 Z- 36. Approved plans are to be returned to ..... Applicant Design Professional If the application is signed by a person other than the applicant shown in Item l .,the application must be accompanied by a Letter of Authorization (Form LA -97). 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 my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNATURES & OFFICIAL TITLES Mailing Address: ................................... BRUCE R. FOLEY :_ _ .._. - .�.__. _ : -. � r.-.....-� Public-��Health> �Dir "ector�- -•' -�° ° DEPARTMENT OF HEALTH Division of Environmental Health Services 4 : Geneva Road Brewster, New: York 10509 Tel. (914) 278 - 6130 Fax (914) 278 - 7921 October 30, 1998 Julius Cesare, PE RD #7, Blackberry Hill Brewster NY 10509 Re: Proposed SSTS: Tallarico Tammany Hall Road, Lot #2 (T) Patterson, TM# 34 -3 -2.2 Dear Mr. Cesare: Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this,regard. __.. _...._ If, percolation tests_ were not witnessed by a representative of the New York- City -Department Environmental on this lot, percolation tests must be witnessed by a representative of this Department. Upol cons. 7TSMI Very y yours, Ro &to s, .E . Public Health Engineer Aj)" will be e I Julius Cesare, PE RD #7, Blackberry Hill Brewster NY 10509 Dear Mr. Cesare: DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 October 1, 1998 Re: Proposed SSTS: Tallarico Holmes Road, Lot #2 (T) Patterson, TM# 34 -3 -2.2 BRUCE R; FOLEY Public ' Health Director Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: The construction of this sewage disposal system may be subject to local wetlands regulations. You . should contact local wetlands officials in this regard. 9 If ercola p -. tlon_ tests . were_ ngt:.witnessed by a . representative ,o:�the_New. York -City Department of - - Environmental or the Putnam County Department of Health on this lot, percolation test must be witnessed by a representative of this Department. 1) Engineers authorization has not been completed tax map number, filed map number, and date filed has not been provided (enclosed). 2) Design Data Sheet has not been completed. Address, tax map number, watershed, soil rate used, S.D. usable area provided, number of bedrooms, septic tank capacity, absorption area provided by, engineers name address has not been provided. (Enclosed). 3) Title block notes municipality as Carmel. 4) The minimum of two percolation test results most be submitted. The minimum of one percolation test in each the expansion and primary area must be provided. 5) North arrow has not been shown. 6) Wetland boundary must be noted as a town or state boundary. 7) The minimum of two feet of fill must be provided over the entire primary and expansion area. Furthermore, fill is to extend 10 feet past the edge of the trench and then slope 3:1 to grade. a •w ' ' c _ .. Letter to:_Julius .Cesare -... October - 1,1998:: -__ 8) Footing/gutter drains are to be clearly labeled. Furthermore, footing drain (� discharge point to daylight is to be shown. 9) Title block is to provide engineer's address and phone ber. 1.0) Silt fence or hay bale detail is to be provided. 11) Dimensions from the well to the property lines are to be noted. 12) Service connection from the well to the house is to be shown. 13) Title block is to note the property address and municipality. Upon receipt of a submission, revised to reflect that above comments, this application will be considered further. RM:tn enc. Vom truly yours, AXVA%4° Robert Morris, P.E. Public Health Engineer 1 PU11W4 COUNTY DITAMialr OF BEALM DIVISION OF Mr1RCnfla? 1L IMALTfi SUIVICES DESIGN '11i� SEiEET-SUBSUFACE- SE NWE DISPOSAL SYS TH w_.'FILE NO: - Located at (Street) Sec. Block Lot (indicate nearest cross street) Municipality P�' af1 Watershed - SOIL PERCCUMON TEST DATA REQUIRED TO BE SUBMITTED WI'I1i APPLICATIONS Date of Pre-Soaking la Date of Percolation Test (; BOLE NUMER CLOCK T IE PERCOLATION PERCOLATION Run Elapse Depth to Water Rrcm Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches inches OL 2 .3 Y A /1, �2 � 4 It 4'W- ll,f-7 9. T 1 1KYrES: 1. Tests to be repeated'at same depth until approximately equal soil rates are obtained .at each percolation test hole. All data to' be submi.ttbd for review. 2. Depth. measurements to be made from top of hale. rev. 9/85 — a 4 5 OL 2 .3 Y A /1, �2 � 4 It 4'W- ll,f-7 9. T 1 1KYrES: 1. Tests to be repeated'at same depth until approximately equal soil rates are obtained .at each percolation test hole. All data to' be submi.ttbd for review. 2. Depth. measurements to be made from top of hale. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST EOLES . HOLE .NC)... -..,�Z •:;� . _ -HOLE- NO G.L. 'C-s / 2' V F-Lld w �2- �,e-ry e t s i�✓L �Jg �,h =?�" �1E.. Ji'ea,.� 5' 0 /I V'F $h �i9+vv ,� r� �. -.�'i ®E� JA,,y° �"�� D� FG c(.� 61 76m" 7' 8' 9' 10' 11' 12' 13' 14' INDICATE LEVEL AT WHICH GROUNDRATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: O,) h1 C DATE: DESIGN Soil Rate Used Min /1" Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity gals. Type Absorption Area Provided By L.F. x 24" width trench Other Name Signature Address SEAL d z m ,` r• THIS SPACE FOR USE BY HEALTH DEPARTIKM ONLY: 5510N9-�. Soil Rate Approved sq.ft /gal. Checked by Date PUINAM OakU Y DEPARTYIERr OF HEALTH DIVISION OF ENVIPZtZ2= HEALTH SERVICES - .__.._.. DESIGN "3ATA "`SHEET= SUBSUFACE_S90M DISPOSAL SYSllm " Owner Address Located at (Street) t7"Dt' e s `�?og Sec. Block Lot (indicate nearest cross street) mmicipal.ity -TO-,,Jry 6�F 7 TT-,5250 Watershed SOIL - PERCOLATION TEST DATA RBQ=M TO BE SUBMIITI'ED WITH APPLICATIONS Date of Pre- Soaking 112 Date of Percolation Test 62 Q HOLE NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse M Depth to Water Flan Water Level No. Time c)9 Ground Surface In Inches Soil Rate Start -Stop Min. ��aus Start Stop Drop In Min /In Drop 30 Inches Inches. Inches .« 3 2( fv - � s"� g C>20 If 11 ";:: 4 ` 9 3 4 5 NOTES: 1. Tests to be repeated: at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to'be submitted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH. SERVICES,.:,., 4 . : . LETTER OF AUTHORIZATION RE: Property of Located at - I.AmtiAc� I T/V Tax Ma r # Subdivision of 41/*t" C-0 Block Lot Subdivision Lot # �" Filed Map # Date Filed Gentlemen: This letter is to authorize 1 z a.duly licensed Professional Engineer or Registered Architect to apply for the required wastewater treatment and/or waters' lypefinit(s) to serve the above - rioted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or water supply systems - in conformity with the provisions of Article 145 and /or.147.of.the. Education.Law,..the Public Health - �- Law, and the Putnam County Sanitary Code. Very truly yours, Countersi Signed:lLtcco d-e P.E., R.A. (owner of Property) Mailing Address State Zip Mailing Address: C4_ _10S67 State Zip / 6)1_ Telephone: �}/ 27 � 7/15' Telephone: 2 R "5 Form LA -97 BRUCE R..'. FOLEX dos Public Health Director ilU DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 , Fax (914) 278-7921 September 30, 1998 Julius .Cesare 64 Blackberry Drive Brewster NY 10509 RE: Application to Construct a Subsurface Sewage Treatment System at Tallarico Tammany Hall Road, Lot #2 (T) Patterson, TM# 34 -3 -2.2 Dear Mr. Cesare: The Putnam County Department of Health (Department) has determined that the above referenced application, received by the Department on September 18, 1998 is incomplete. Please be advised that the following information is required before the Department may commence its review. • House plans have not been submitted. The review of your application will commence once the Department receives the requested �..... _ i formation and .'detdmiines..that the application,is complete. The Department vdll notify you within 10 days of its receipt of the requested information as to the completeness of your application. Please be advised that failure to submit information to the Department or to follow procedures is sufficient grounds to deny approval, pursuant to the New York City Department of Environmental Protection Watershed Regulations and Putnam County Dept. Of Health regulations. Should you have any questions or care to discuss this matter, please contact me at (914) 278 -6130 ext. 166. Very truly yours, Robert Morris, P. E. RM/tn Public Health Engineer 1 Julius I. Cesare, P.E. Brewster, New York 10509 914-279-7115 Bruce Foley, Director Putnam County Health Department ATT: Robert Morris 4.Geneva Road Brewster, New York 10509 Dear Mr. Foley, October 26, 1998 RE: Tallarico SSDS Herewith transmitted are f V U copies of the revised plan sheet for the above noted project which reflect comments comtained in your letter of Oct. 20, 1998. Very truly yours, Julius I. Cesare, P.E. - - . -.- .-....- i.-- .- -•-z7u _iu I- Cesare, P 64 Blackberry Drive Brewster, New York 10509 914- 279 -7115 Bruce Foley, Director Putnam County Health Department ATT: Robert Morris 4 Geneva Road Brewster, -New York 10509 Dear Mr. Foley, November 6, 1998 RE: Tallarico SSDS He transmitted four copies of the revised plan sheet for the above noted p oject, which reflects comments comtained in your recent comment letter. Very truly yours, Julius I. Cesare, P.E. p� BRUCE R. _ FOLEY : -.r •:.. , _.Public.. Health :Director. -. DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road - 'Brewster, New York 10509 Tel. (914) 278 - 6130 Fax (914) 278 - 7921 October 20, 1998 Julius Cesare, PE RD #7, Blackberry Hill Brewster NY 10509 Re: Proposed SSTS: Tallarico Tammany Hall Road, Lot #2 (T) Patterson, TM# 34 -3 -2.2 Dear Mr. Cesare: Review, of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. If percolation tests were not witnessed by a representative of the New York City Department Environmental "on this lot; 'percolation tests' musrbe witnessed 'by 'a "representative "of this Department. �37 as c .a• HTTi •MON • • .,- Upon receipt of a submission, revised to reflect that above comments, this application will be considered further. V ry ly your Robert Morris, P.E. RM:tn Public Health Engineer M:. DESI-GN- ...DA /�k.. --SHEET--SUBSUFAC-E SEWAGE- DISPJSU -- SYST�1 a,merr /lG�. /�i - �¢ um!G� Adc3reSS A k,&/�W %� i /►r+s�'b'�-�► PJp- - /r� W Located at (Street) 46L VnES T_)04-t, Sec. Block-3 Lot 21- (indicate nearest cross street) f�=icipaiity -TO-wo ()F' 74�TT-Ue go' Watershed SOIL PERCOLATION TEST DATA RDQUIREI) TO BE SUBMITTED WITH APPLICATIONS Date of Pre- Soaking a Date of Percolation Test g HOLE NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse _Dvv-rkA Depth to Water Fran Water Level No. Time or Ground Surface In Inches Soil Rate Start -Stop Min. �+aus, Start Stop Drop In Min /In Drop 3U Inches Inches Inches 2 5V r� 05 [ I Zvi 4 5 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately 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. rev. 9/85 e • PU11W4 COMY DEPARDiMr OF RFrL111 DIVISION OF iiF1lLxIi SIIZVICES r . VESIGN. DA1' SI F"E- SCT-Rq-UFACE- SEWArE DISPOSAL-SYS.L .. > °rILE.'.Pu=. - Gem Address /41e; C ) ! ��✓ ;��.,, ,you. � ��e. rn�•- �.c,a� , .. LoBlock cated at (Street) _T�,.�a,� .�.►. Sec. . Undi to nearest cross street) Municipality Op7wit /f Watershed %n j6A&c SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBNLITTED Wn' APPLICATIONS Date of-Pre-Soaking-.' 3 0 Date of Percolation Test G HOLE NU-mm C1i0CR TIME PEROCUMON PERCOLATION .Run Elapse Depth to Water From Water Level No. Time Ground Surface In Indies Soil Rate Start -Stop Min.. Start Stop Drop In Min /In Drop Inches Inches Inches.. _ 2 /l '71 //,"ff � Z jr 2 [� Z-7 1A s 1 - 2- 3 4 IMES: 1. Tests to be repeated at same depth until approximately 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. rev. 9/85 4a TEST PIT DATA'REQUIRED TO BE SUBMITTED_*ITH-APPLICR DESCRIPTION OF SOIIS.EN000NIERED:IN TEST HOLES HOLE_ NO._ _ _____ HOLE NO HOLE NO. �.. .DEPTH.. : - - -� - - Ts Pq nn D " aLl I 'k �a�b pFG Pcl, 7�N 13' 14' . . INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENMUNTERED / DEEP HOLE OBSERVATIONS MADE BY: OJ M C DATE: 371 (i� DESIGN Soil Rate Used Min /1" Drop: S.D. Usable Area Provided o No. of Bedrocros _ Septic Tank Capacity 2576 gals. -Type Ca ovQ. Absorption Area Provided By o o L.F. x:24" width trench �iC RA=- Name PAW.Vol-pySignature � 9 Address /I��Loi67' �)o SEAL z w :� of THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: . !� s Soil Rate Approved sq.ft /gal. Checked by Date PUTNAM COUNTY DEPARTMENT OF HEALTH SUBDIVISION APPROVAL CHECKED PERC RATE f# -' FILL REQUIRED _!10 DEPTH CURTAIN DRAIN REQUIRED STANDPIPES GENERAL OCATED IN NYC WATERSHED LANS SUBMITTED TO DEP ►ELEGATED TO PCHD IEP APPROVAL, IF REQ'D ►EEP TEST HOLES OBSERVED ERCS TO BE WITNESSED AL SSDS ADJ. LOTS .TLANDS (TOWN/DEC PERMIT REQ'D ?) TA ON DDS PLANS -& PERMIT SAME E 1969 NEIGHAOR NOTIFICATION LETTER BI/ZBA 100 YR. FLOOD ELEVATION OTHER REQ'D PERMIT(S) REgINECUMAILS ON PLANS SETAkg&fij0Wff PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE GRAVITY FLOW CONSTRUCTION NOTES DESIGN DATA: PERC & DEEP RESULTS T CONTOURS EXISTING & PROPOSED DRIVEWAY & SLOPES, CUT ING /GUTTER/CURTAIN DRAINS TYPE BOUNDARIES AY BARRIER 0- FT. HORIZONTAL;SLOPE 3:1 TO GRADE ILL SPECS FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES FILL PROFILE & DIMENSIONS VOLUME FILL IN EXPANSION AREA -TRENCH LF TRENCH PROVIDED 60 FT MAX. PARALLEL TO CONTOURS 100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN - FROM SSTS 10' TO P.L.,;DRIVEWAY,.LARGE- ,TREES, TOP-OF-FILL 20' TO FOUNDATION WALLS _15'WELL TO PL 100' TO WELL, 200' IN DLOD, 150' PITS 100' TO STREAM WATERCOURSE LAKE (inc. expan) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO)WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 200' /500' RESERVOIR, ETC. _150' GALLEY SYSTEMS 15'MIN to CDS= >5 0/o,10'- 4 %,251- 3 %,30'- 2 0/o,35'- 1%,100' - <I% 20 'MIN to CD discharge /I00'with 182 cons day discharge SEPTIC TANK 10' FROM FOUNDATION; 50' TO WELL WELL DIMENSIONS TO PROPERTY LINE TITLE BLOCK; OWNERS NAME,ADDRESS = LOCATION OF SERVICE CONNECTION TM #,PE/RA; NAME,ADDRESS,PHONE# ATE OF DRAWING/REVISION ATUM REFERENCE LOCATION OF WATERCOURSES, PONDS 56LAKES AND WETLANDS WITHIN 200 FEET PROPOSED FINISH FLOOR AND BASEMENT EL. COMMENTS: DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY &.SUBSURFACE SEWAGE TREATMENT SYSTEMS . ., . • • - :.,: ... : • ; - • -. ::-. _:.. - OR CONSTRUCTION PERMIT REVIE S E F ....... _ STREET LOCATION NAME OF OWN R REVIEWED BY , MB, BH TAX MAP # � �r 3 -2 ,2 Y PERMIT APPLICATION OSION CONTROL:HOUSE,WELL, SSDS PC -1 RC & DEEP HOLES LOCATED WELL PERMIT S LETT PRESENTATIVE OF PRIMARY &EXPANSION LETTER OF AL THORI CATION MAP DESIGN DATA SHEET (DDS) P. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE CORPORATE RESOLUTION UMPED, PIT & D BOX SHOWN & DETAILED INOBENDS; SHO USE -NO.OF BEDROOMS S - THREE SETS LLS & SSDS'S WAN 200' OF PROPOSED SYS. S - T S OPERTY METES & BOUNDS QUEST USE SETBACK NECESSARY (TIGHT LOT) FEE USE SEWER - 1/4" FT. 4 "0; TYPE PIPE SUBDIVISION MAX.BENDS 45° W /CLEANOUT LEGAL SUBDIVISION FILL SYSTEMS SUBDIVISION APPROVAL CHECKED PERC RATE f# -' FILL REQUIRED _!10 DEPTH CURTAIN DRAIN REQUIRED STANDPIPES GENERAL OCATED IN NYC WATERSHED LANS SUBMITTED TO DEP ►ELEGATED TO PCHD IEP APPROVAL, IF REQ'D ►EEP TEST HOLES OBSERVED ERCS TO BE WITNESSED AL SSDS ADJ. LOTS .TLANDS (TOWN/DEC PERMIT REQ'D ?) TA ON DDS PLANS -& PERMIT SAME E 1969 NEIGHAOR NOTIFICATION LETTER BI/ZBA 100 YR. FLOOD ELEVATION OTHER REQ'D PERMIT(S) REgINECUMAILS ON PLANS SETAkg&fij0Wff PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE GRAVITY FLOW CONSTRUCTION NOTES DESIGN DATA: PERC & DEEP RESULTS T CONTOURS EXISTING & PROPOSED DRIVEWAY & SLOPES, CUT ING /GUTTER/CURTAIN DRAINS TYPE BOUNDARIES AY BARRIER 0- FT. HORIZONTAL;SLOPE 3:1 TO GRADE ILL SPECS FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES FILL PROFILE & DIMENSIONS VOLUME FILL IN EXPANSION AREA -TRENCH LF TRENCH PROVIDED 60 FT MAX. PARALLEL TO CONTOURS 100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN - FROM SSTS 10' TO P.L.,;DRIVEWAY,.LARGE- ,TREES, TOP-OF-FILL 20' TO FOUNDATION WALLS _15'WELL TO PL 100' TO WELL, 200' IN DLOD, 150' PITS 100' TO STREAM WATERCOURSE LAKE (inc. expan) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO)WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 200' /500' RESERVOIR, ETC. _150' GALLEY SYSTEMS 15'MIN to CDS= >5 0/o,10'- 4 %,251- 3 %,30'- 2 0/o,35'- 1%,100' - <I% 20 'MIN to CD discharge /I00'with 182 cons day discharge SEPTIC TANK 10' FROM FOUNDATION; 50' TO WELL WELL DIMENSIONS TO PROPERTY LINE TITLE BLOCK; OWNERS NAME,ADDRESS = LOCATION OF SERVICE CONNECTION TM #,PE/RA; NAME,ADDRESS,PHONE# ATE OF DRAWING/REVISION ATUM REFERENCE LOCATION OF WATERCOURSES, PONDS 56LAKES AND WETLANDS WITHIN 200 FEET PROPOSED FINISH FLOOR AND BASEMENT EL. COMMENTS: Julius I. Cesare, P.E. 64 B1'ackberry. b`rive `` . - _,..... Brewster, New York 10509 914 - 279 -7115 Bruce Foley, Director Putnam County Health Department Att: Robert Morris 4 Geneva Road Brewster, New York 10509 RE: Tallarico SSTS Dear Mr. Foley, Oct. 13, 1998 Herewith transmitted are four (4) sets of revised plans of the above noted project. These plans have been revised to address your comments in your review letters of Sept. 30, 1998 and Oct. 1, 1998. With specific reference to some of those comments, please be advised of the following: 1. Please note the we have indeed provided at least one deep hole and one perc test in both the system area and the expansion area. Some of this testing was undertaken during the design of the original Laurent Subdivision on this site. Additional field investigation as requested by Mr. Budzinski and /or the New York..City -DEP was undertaken during the design of the - recently approved"- Tall-arico- Subdiv siori: • - The - same' "data' has*... been provided to you for this project. 2. As specific house plans have not been designed, we are at this time requesting approval for a four (4) bedroom house, and have added a note to the plan directing the applicant to file plans with your department at the time of filing with the Building Inspector in the Town. Thank you for your cooperation in this matter. Very truly yours, Julius I. Cesare, P.E.