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HomeMy WebLinkAbout1579DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -5 -22.1 BOX 15 96 ., ,. J',� LA. :, oil '} so .� i_, �. , ! 6 TH'. Sn �' i % 7' s Mh LL 01579 PDTNAM CODIM, DEFAME" OF MM"TH Dhlalae d Stivkmwwe l EWM Senbm Ca nwL N.Y. 10512 Bilawft to Pswvlde, Falk in CERMCATE OF CO ace N Pam FOR SEWAGIR DEPOSAL SYSIBM Pemlt �/ � Lots,ged ad A -r4 fT Toway�VMWe or a JA SST S v :.�:._. - lala� Name Lot !____ Block Owm/AppNoW Nave rA M S i-4 V" � B — ❑ Qevldea ❑ Q Date of Pwvloas Appovd Msftg Adeheoa l `� Town KakN5T)!2W1 N" 22. 6:5 ate Subdivision ARRr o ed 9 1 °1(0 Fee Enclosed ® Amniint, M'Wg Ty, 5t "JVrt.E anv�lt�l Lot Ana - . 2$ 2 Fm seedoe 0* LJ noptk V•btme Nmtlba of Bea400ma Dealgn Flow G P D D PC® NoOBcadw b Required When FM V completed' S"Wzafe Sewerage SYMM to 011111 t d �?s� Ga5oe Sep* Tall and 5 D4 Lf: V w r of A BSo (Pno' 'flmr-i c H To bo oaastriaeW by TD j3Fi F%ET . AAA — Water Sop*. Pea Sappy F, Addmae ort___���___.Felvate Sam DOW by TD M9, D'ET, --Addmw Other Regadremeets 1 represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate fewer s dls oral s Item above deMibed,will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regu a Sans o • u naln county Department of Health, and that on completion thereof a "Certificate of Construction Compliance" Satisfactory to the Commissioner of H•althwill be submitted to the Department, and a written guarantee will be furnished the owner, his successors. heirs or assigns by the bulkier, that said bulkier will Place in good operating condition any part of Saki sewage disposal system during the period of two (2) years Immediately following the date of the Inu- ance of the approval of the Certifkate of Construction Compliance of the original fystern or any regales thereto; 2) that the drifted well described above will be located a$ shown On the approved plan and that Said well will be installed i +fit n 7ith the standards, rules and raga anions of the Putnam county .Department of Health. r ��(� [/ Date signned� - -11 Address A e 'j � APPROVED FOR CONSTRUCTION: This approval expires two y s fro t date issw revocable for ul�se or sy be amended a /.modified when consid ed by the Id Rev. r•etulris a perm . proved for disposal of domestic tan tar , antl /or p/ 10/88 Dat• 1 Jf P.EY- R.A //.�� coon" less construction of the building has been undertaken and is issioner of Health. Any change OT Alteration of construction ter supply only. Title DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT`A- _WATER WELL PrRn PF.RMTT 6 Fit) N WELL LOCATION Street Address 6 A "& To Village City Tax Grid Number N L 34 "- 5 - 21L. - WELL OWNER Name S bailing Address b ft j Wrivate D tz> picj O Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ® BUSINESS ® INDUSTRIAL 0 PUBLIC SUPPLY 0 FARM 0 INSTITUTIONAL ❑ AIR /COND /HEAT PUMP 0 ABANDONED 0 TEST /OBSERVATION O OTHER (specify 0 STAND -BY AMOUNT OF USE YIELD SOUGHT PSI ( S gpm/ # PEOPLE SERVED /EST . OF DAILY USAGE_ ®a1 0 REPLACE EXISTING SUPPLY 0 TEST /OBSERVATION 13. ADDITIONAL SUPPLY NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE MDRILLED ®DRIVEN ®DUG ®GRAVEL. ®OTHER IS WELL SITE SUBJECT TO FLOODING? YES %( NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: `7 HAWf- Lot No. STATER WELL CONTRACTOR: Name'® ESS 12 Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES __J_NO NAME OF PUBLIC WATER SUPPLY: J�i�� TOWN /VIL /CITY DISTANCE .T.O..PROP.ERTY..FROM NEAREST WATER LOCATION SKETC & SOURCES OF CONTAMINATION PROVIDED SEPARATE SHEET A-P en L 41) _4-� (date) (sir atur 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 dri n operations be contained on this property and in such manner as not to degrade or of er cont ate surface or groundwater. Date of Issue: j ,19 Date of Expiration 19 q -1 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller D` THE CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL PROTECTION M�111 P JOEL A. MIELE, SR., P.E. Commissioner P �NMENTALPQO� Deputy Commissioner PHONE (914) 742 -2001 FAX (914) 742 -2027 Ken Hurley Putnam Engineering 102 Gleneida Avenue Carmel, New York 10512 Re: Shawe Valley Estates - Lot 8 Patterson, Putnam County Log # 7019 East Branch Reservoir Dear Mr. Hurley, Bureau of Water. Supply, Quality and Protection June 3, 1997 The New York City .Department of Environmental Protection (NYCDEP) received the following materials on May 9, 1997: • Putnam County Department of Healths data sheets; . • Subsurface Sewage Disposal System, Drawing S -1, dated April 1997. While the separation distances to SSTS and wells on the subdivision lots are noted, please - - add the. deGation- of. SSTS and wells on adjacent properties. • If there area no SSTS or -wells within 200 feet of the property line then please note this on the plan. Assuming that the seepage pit shown on' the plan serves as a drywell, the horizontal separation distance from the dwelling should be 20 feet. There is a small area within the proposed expansion area that is greater than 20% slope. Please exclude this steep area from the expansion area. Inlet and outlet baffles shall extend a minimum of 16 inches and 18 inches, respectively, below the liquid level in tanks with a liquid depth greater than 40 inches. The detail shows the inlet baffle extending 13 inches below the liquid level. Please revise. It is difficult to determine whether the invert of the inlet is 2 inches above the invert of the outlet of the septic tank. Please revise the absorption trench detail to show 6 inches minimum of backfill above the geotextile filter fabric. 465 Columbus Avenue, Valhalla, New York 10595 -1336 Mr. Ken Hurley RE: Shawe Valley Estates - Lot 8 d Page 2 of 2 June 3, 1997 Y.: .., : T- hblS'STS pro ile-show� that approximately 6 in`ches`,of-backfill will be placed above,the n. junction boxes. However, given the maximum depth of the absorption trench of 24 inches only 4 inches could be placed above the junction box. Please clarify. Specify type of pipe and size to be used as effluent line from septic tank to distribution box. Include NYCDEP in Note 6, or provide a similar note regarding NYCDEP inspection of the SSTS. Your attention to the above mentioned is appreciated. If you have any questions, please contact the undersigned at (914) 742 -2068. Sincerely, Jannine M. McColgan Staff Engineer Engineering Design & Review xc: Putnam County Department of Health 465 Columbus Avenue, Valhalla, New York 10595 -1336 PUTNAM COUNTY DEPARTMENT OF HEALTH . DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Street Location --!51/A)A r _ 4VA 11; Y ZAN'- : To ,v�n Tiv1;= 3 -/1 — — .a -.2 . 1. Sewage System Area a. STS area located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lath. Width Ava.Dpth c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course/ wetlands ...... ............................... II. Sewage System a. 6eptic tank size - 1,000 ........1, SO........ other ................ b. Septic tank installed level ................ ............................... c. 10' minimum from foundation .......... ............................... d. Distribtuion Box 1. All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. 114inimum 2 ft.Original soil between box & trenches Junction Box - roperly set ...................................................... engtFi required 5700 Length installed 2. Distance to watercourse measured r 2 69OFt.......... 3. ge r acc i plan ......... ............................... 4 trenc a ceptable 1/16 - 1/32" /foot ............. 5. 10 4eo�f om prop i e J20 ft.- foundations.......... 6. f,>�r c from surface .................. 7. e r e pansion, 100 % ......................... 8. gravel 3/4 - 1' /�" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... 10. Pipe ends capped.......... ........... ............: ' .... ........ . .... _g. _P-ump or Dosed Systems --- - • ° ize of pump c am er ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual/audio .................... ............................... 4. Pump easily accessible, manhole to grade.: ............... 5. First box baffled .......................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. House/Buildin a. House located per approved plans ... ............................... b. Number of bedrooms ....................... ............................... IV. Well a. Well located as per approved plans . ............................... b. Distance from STS area measured , f N O ft ........... c. Casing 18" above grade .................. ......................:........ d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area .............. h. Surface water protection adequate .. ............................... i. Erosion control provided .................. ..............................1 Rev. 1/97 Date: 30 9� Inspected by: G • a �� Owner' ss%�ti:r ��.�ti:v _ � G� �� • Permit # 1P —10 — i 7 Subdivision Lot # 8 Skg we COMMENTS i icy IBM I�■ E VIEW= N ,O, APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEAL'T'H - DIVISION OF EPW MENTAL HEALTH SERVICES SURSURFACE- SE. :. ISPOSAL:..S RTEMS _ ...:._.:.;k...... ,:...; �.. EVI W SHEET for CONSTRUCTION P �RMIT STREET LOCATION NAME OF OWNER - 4IW BY B. HEDGES R.MORRIS OTHER DATE r/ � TAX MAP #- DOCUMENTS. Y l RMIT APPLICATION C -1 LL PERMIT PWS LETTER ENGINEERS AUTHORIZATION DESIGN DATA SHEET(DDS) m RPORATE RESOLUTION PLANS THREE SETS USE PLANS - TWO SETS ARIANCE REQUEST SUBDIVISION GAL SUBDMSION SUBDMSION APPROVAL CHECKED M PERC RATE &r LD�FIELREQUIRED DEPTH Ellevia-AIN DRAIN REQUIRED MSTANDPIPES GENERAL X- APPROVAL SODS AD.T. LOTS VETLAND ( TOWN/DEC PERMIT REQ ?) TRENCH DATA ON DDS PLANS & PERMIT SAME LF TRENCH PROVIDED E=160 FT MAX m PRE- 1969 - NEIGHBOR NOTIFIFICATION PARALLEL TO CONTOURS LETTER BI /ZBA_. ' - 400 %EXPANSION PROVIDED m 100 YR. FLOOD ELEVATION SEPARATION DISTANCES SPECIFIED ON PLAN REQUIRED DETAILS ON ]PLANS SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE m GRAVITY FLOW CONSTRUCTION NOTES (GRINDER NOTE) DESIGN DATA: PERC AND DEEP RESULTS Z TWO -FOOT CONTOURS EXISTING & PROPOSED EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE IF PUMPED PIT & D BOX SHOWN & DETAILED HOUSE - NO. OF BEDROOMS WELLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) . 14OUSE SEWER - 1 /4 "/FT. 4 "0; TYPE PIPE NO BENDS; MAX. BENDS 45° W /CLEANOUT FILL SYSTEMS /AYBARRIER 10 FT HORIZONTAL: SLOPE 3:1 TO GRADE FILL SPECS m FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES FILL PROFILE & DIMENSIONS VOLUME ILL IN EXPANSION AREA AY & SLOPES CUT AIN DRAINS 'EROSION CONTROL; HOUSE,WELL, SSDS EROSION CONTROL NOTE PERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY AND EXPANSION LOCATION MAP 10' TO P.L., DRIVEWAY, LARGE TREES TOP OF FILL 20' TO FOUNDATION WALLS DJ 15' WELL TO P.L 100 TO WELL, 200' IN D.L.O.D., 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 FT. RESERVOIR, ETC.m 150 FT. GALLEY SYSTEMS 15'MINTO C.D. S= >5 %,201- 4 %,251- 3 %,301- 2 %,35' -1 %,100' <l% ,20' MIN TO C.D. DISHARGE /100' WITH 182 CONS DAY DIS. 10' FROM FOUNDATION; 50' TO WELL COMMENTS: PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Gentlemen: This letter is to authorize a duly licensed professional engineer—' or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: P.E., R.A., # 102-6 Address 2 2S Telephone YNI Very truly yours, Signed 1e41Vk-\1 JLV,0� Owner of Property Address 1N �- NY 105c i Town Telephone Date .� � 2 1 Re: Property of Located a t e HAW tr-- (T) lib !-1 Section Block Lot 22 Subdivision of V id 1— L..t ='�I 66'ATe S Subdv. Lot # Filed Map # 2.-IO2 Date Gentlemen: This letter is to authorize a duly licensed professional engineer—' or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: P.E., R.A., # 102-6 Address 2 2S Telephone YNI Very truly yours, Signed 1e41Vk-\1 JLV,0� Owner of Property Address 1N �- NY 105c i Town Telephone r PC– — it APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name and Address of Applicant: t. Name of Project: V ,4L±Sy 3. Location T /V /C: PAi"Ct5f--SDr -d Project Engineer: �ITNA ► I G���L 1�C� 5. Address: ��� s � • DC�-1 � <n . 225 - 30�o GNp'lr�(.�- N`/ lad j°L License Number. _ Phone. S. Tyoe. of Project: Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park _ Office Building Realty Subdivision Other (specify) f. Is this project subject to State Environmental Quality Review (SEORI? Type Status (Check One) Type I.. Exempt Type II. Unlisted 3. Is a Draft Environmental Impact Statement (DEIS) required? ............. _.._Ha.a,.DEIS been completed and found acceptable by Lead Agency? 7. Name of lead Agency. �WA,T�_ _._....r. �_ _..__.._ .__..�........._.._ _......_ ....�_._......_...._...:._.._�_ :_.......�_ __..._ 1. Is this project in an area under the control of local planning, zoning, orother officials, ordinances? ......... ............................... 2. If so, have plans been submitted to such authorities? 3. Has preliminary approval been granted by such authorities? Date Granted: 4. Type of Sewage Disposal System Discharge...... Surface Water Ground Waters S. If surface water discharge, what is the stream class designation ?........ �J S. Waters index number (surface) ........... ............................... N14 T. Is project located near a public .water supply system? .................. S. If yes, name of water supply rAA Distance to water supply) ML4E 9. Is project site near a public sewage collection or disposal system ?..... t4o. 0. Name of sewage system NQ .rS6X P.a Distance to sewage system P� 1. Date observed: 9 I 2-o JcJ S 23. Name of Health Inspector: 8 M• --4Qra r�Aeion f]Qw (gallons per day) .......................... U0 a.e P' 2.. i ;-hs St--a- te,:- Pol! lutant :- D-ischarge,-E:1A:m. ..i_nation System (SPOES) Permit required ?, 6. Has SPOES Application been submitted to local DEC Office? ............... N /A T. Is any portion of this project located within a designated Town or State wetland? ......................... ............................... ....... 8. Wetland ID Number ........................ ............................... N /Q 9. Is Wetland Permit required? .............. ............................... N Has application been made tc Town.or Local DEC Office? Does project require a DEC Stream Disturbance Permit? 1. 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 or NO 2. Is project located within 1,000 feet of existence of abandoned hazardous waste site, salt stockpile, landfill, sludge disposal any other potential known source of contamination? ............ DESCRIBE: landfill, site or ..YES or NO 3. Is there a local master plan or file with the Tcan or Village? ........... 4. Are community water, sewer facilities planned to be developed within 15 years? 5. Are any sewage disposal areas in excess of 15M slope? 1�© 6. Tax Map ID Number ............................ ..............................� 7. Approved Plans are to be returned to: ................ Applicant X Engineer f 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 rovision 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 o f my knowledge and belief. False statements made herein are punishable as a Class A Hildpmeanor pursuant to Section 210.45 of the Penal Law. TITLES. �A M J 11L� -V V �UTnL�N►E�I N>l n�� IDS 6-t.&►JfJ0A ,GVI—e- — IGNATURES & OFFICIAL AILING ADDRESS: a: �`� r. •�� i��- • •� ` �a: ,`.' it tn!: liz � � �. , �i o , . �- � • �� v . �y r: eta r DFSMI DAM S=- 55BST3F: Sz- .;Y DISPOSAL S TEX No. Owner S}- +Awr-- ��.t- a��l-• �sT. Address �� � , (`ty I�So� • Block S 7ot Lo,--.tea at (street) (ind� date nearest. cross street) milli cima ity iaatershel G9107b F-J oIL P., MACICN ZEST MAMA R== TO HE 5 'W= APPLICACICNS Date of Pre- Scaking • 5 j l I Date of Percolation Test- BOLE TIE.Mc'"-R 'r = TZM� - - — - -- PyRCaL TON P==, -1 CN Run Elapse I7eot-h to dater From water Level No. Tine Ground Su face In ThcZes Soil Rate Star,: -StL'D Min. Str?x -t Stgp Droo In 141:.n/ln Drop Inches Inc les iznG.es 1 jZc 5� (.a.� 30 2'14 2 1:Z1 31.'91 4 , _ 2 (: I Z I ZF I SA 4 4 5 l 2 t A AA' : 1e -Tests to be reoeate3 at same depth until aporaximately soil rates are obtained .at each percolation test hole. All.data too' be suhmitted for review. 2. Depth neasurerents to be rrade from top of hole. TEST PIT DATA RE QU= TO BE SUEMI'TIED WITS APPLICATION DESCR=0N OF SOILS Eb=UNMM IN TEST EOLES DEP'Ii3 fiOLE N0: _ _...., .. �_ EC��.:N6:G- - - °... �,..._ ... �...,._HOLE••N0�': .. ..... �....,..,....., G.L. 2' 3 5' 6' 71 8' 9' 10' T 121 13' INTO c-TE LEVEL Ps 'WE I al GRC U-M?. IS =rj -N=M '-7 + n- -Dj 'T'r LSST TO WH I Cfi LEVEL RISES A= BEPIG M=UNM== NIA DEEP EOLE, OB.Sa;NA'T'ICNS -P-60E BY: G,AT-G.A f ML — Nyr-ne.P. 13I4- P414PDP —M: 9 .Za 15 DESIG Soil Rate Used Min/I" Drco: S.D. Usable Area Provided G 5J= No. of Bedroans 4- Septic Tank Carzcity gals. Tyre GANG Absorption Area Provided By Std L. F. x'24.11 width trench Other NameUT ,-' �(a�l[�� I �G Si Q, Lgrature F.ddress (o COL, � 94 DA SF r. 't C � , NY jcpS(2 THIS SPACE FOR USE BY F ALTH DEPAMEM" 0NMY: Soil Rate Approved sq. f t /gal . Cheakeed by Date vvvvyv vv A VA LOT. #B,Y�,,\ \ 2.2,52 /fit PKc /> / _^ / / \` \\ FF 53r,,� p+F 527• o � -- — — ._ � \ � ��� \ \\ \ S \\ \\ ti R K / -711 _ / X 524.3 IN '...."- -523:7 / N o73 =�`� / =3- 5,cv', v,6,L.LF -,' LANE III 1= 30' yp %� i; MIRAFI 140 FABRIO 2X2' G PRE- 5TIGHED TO HARDWOOD PO_ INDUSTRIAL NETTING (POST LENGTH 4 AND PRE- STAPLED TO . �i PRE- IMEATHERED OAK 1} 1? ((1O POSTS / 100' ROLL) Fil