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BOX 15
01612
(1A PUTNAM COUNTY D&RTMENTrOF HEALTH
Division of Environmental Health Services, Carmel, N. Y., 10512
ENGINEER TO PROVIDE PERMIT
ON CERTij�.FICATE OF COMPLIANCE,
PERMIT #
CONSTRUCTIO PERMIT FOR SEWAGE DISPOSAL SYSTEM , Patterson
Town or lag.
Loo t ted at - Farm o Market R `a d Tax Map 80 stock 2 t 26.1 on i.na.
oe g
S.t.ein'beck Hill 3 new
Subdivision -=� Subd toe 1' S aenwal _p Aevieion _❑
Owns. /,,,,,,Edward Emerson for Peter Adolph pate Of previous Approval
Building Type Frame Res-, Lot Ares 3.881 .acre Fill Section Only p
Number of Bedrooms 3 Design flow G/f/D 900 P.C.-H. D. Notification t:equired
Separatd sewerage System to consist of 1000 Gal. Septic Tank and
To be constructed by Address
Water Supply: Public Supply From
_ X Private Supply to be drilled by Owner ,
Address __Farm_ to Market Road, Patterson, NY
Other Requirements Curtain Drain -
1 represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system
above described will be constructed as shown on the approved amendment there to and In accordance with the standards, rules an regulations of t • Putnam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill
be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs of assigns by the builder, that said builder will
place In good operating condition any part of said sewage disposal system during the period of two (2) years Immediately following the date of the issue
ante of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above
will be located a$ shown on the approved plan and that said well will be Installed in accordance with the standards, rules and regular:— omens of the Putnam
County Department of Health.
oats 9 /7R /R7
Signed P.E. X R.A.
Address 13 Dove Cnurt a Croton-on—Hudson, NY 1 0 S2"nse No. 054 4 AR
APPROVED FOR CONSTRUCTION: This approval expires one year from the date Issued unless construction of the building has been undertaken and is
revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any change. of alteration of construction
requires ,s new permit. Approved for disposal of domestic sanitary sewage, and /or private wale► supply only.
Date By
Title
-._Rev: 6 /65
.....
PUTNAM COUNTY DEPARTMENT OF HEALTH ENGINEER MUST
PROVIDE
Division of Environmental Health Services, Carmel, N. Y. 105; PERMIT #
"CERTIVICATE"•OF CONSTRUCTION - COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM
Town or Village
Tax Map Block
Located at Subd. too a
/ fosserl Tax Map Lot 1
Owner
Separate Sewerage System built by
Address
Cons,-sting of Gal. Septic Tank and
other requirements
Water Supplys Public Supply From
Private Supply Drilled BY
Address
No, of Bedrooms Oats Permit Issued -
Building Type
Has Erosion Control Been Completed? Has garbage grinder been installed?
I certify that the systests) as listed serving the above Premises were constructed essentially as shorn on the plans of the completed work ( copies
of which are attached), and in accordance with the standards, lilies and regulations, in accordance with the tiled plan, and the permit issued by the
Putnam County pspartmmt. of Health.
Dais
License No.
Address
Any person occupying premises served by the above sYstsm(s) shall PromPtly take such action as may W necessary to "cum the correction
Sanit of any unsanitary comes
conditions resulting from such usage. Approval of the Separate sewerage system shall become null and void as soon as a DuDlle sanitary sewer becomes
available and the approval Of the private water supply shall become null and void when a public water supply becortt i avallaDls. Such approvals necessary.
are
sub)eet to modification or .hangs when, M the ]udgmant of the Commissioner of Hwlth, such rsvoestl0n. modification o► change Is neceswry.
P.E. R.A.
Certified by
Title
BY
Date e -
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PETER C. ALEXANDERSON
County Executive
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
April 15, 1988
Mr. Ralph Mastromonaco, P.E.
13 Dove Court
Croton -on- Hudson, NY 10520
Re: SSDS /WELL APPLICATION
Name: Emerson /Adolph
Street: Farm to Market Road
Lot #: 80 -2 -26.1 Lot 35
Town: Patterson
Dear S.i r :
JOHN SIMMONS, M.D.
Deputy Commissioner
JOHN KARELL, Jr., P.E.
Director
Review of my files indicates no activity on the above captioned project
for some time.
Please advise the writer as to the status of this project without delay.
Failure to receive a response by April-30, 1988 will result
in the file being returned to you, DISAPPROVED.
ry �,ruly� yours
7 ,
John Karell Jr., P.E.
Director, Environmental Health Services
JK: cj
cc: Owner
JK
File too/
pp �a((�� ��pp[[KATOpNAa
223 Katonah Avenue
KATONAH, NEW YORK 10536
LETTEa oF�aa��r
JOB NO.
ATTENTION r,
r_
Z' S� 1 n, f'>2Gi✓rZ_�,�C'Q �J �(r�i'K% S S' / G?i
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
❑ Shop drawings
❑ Copy of letter
❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Change order ❑
COPIES
DATE
NO.
(DESCRIPTION /
V
THESE ARE TRANSMITTED as checked below:
REMARKS
❑ 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 ❑
❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US
COPY TO SIGNED: '
It enclosures are not as noted, kindly notify us at once. r `
RALPH GEORGE MASTROMONACO, P.E.
`Consolting Engineers
13 Dove Court, Croton -on- Hudson, New York 10520
.(944)274-4762/4763...
Mr. Michael Budzinski
Putnam Health Department
110 Old Route 6 Center
September 29, 1987
Carmel, NY 10512 r:
RE: "Steinbeck Hill" / Farm to Market Road Subdivision
Lot 35
Town of Patterson
Dear Sir:
Enclosed please find the following documents related to
the application for a construction permit.
1. Construction Permit Application,,-,,
2. Letter of Authorization for Engineer
3,. One (1) copy of Design Data Sheet.
.4. Three (3.) sets of plans
5. Two (2) sets of house plans
If you have'any questions please call me.
• _ Sincerely.' _ .. .
Ra h G Mastromonaco
rgm:jrl
cc: Mr. Martin Diano
enclosures
APPENDIX
PuTNAK CCUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL
I• /111 I' 1• Y91' I • • 1 : II' '1 /• :!! 1 • •. • Y�
.P.EVIEW. SHEET -. CONSTRUCTION - PERMIT
4-
DATE JlC�
(Nance of Owner) (Street Location) 3 s-
DOCUMENTS �d T
Permit Application
Corporate Resolution
Plans - Three sets -L�_
Engineers Authorization
Design Data Sheet (DDS)
Deep Hole Log
Consistent Perc Results
Perc Hole Depth
House Plans - Two sets
m/e Cc
S
s/s
SUBDIVISION
Perc
(3) Fill --
cd 7Ft'
1c L33
Well permit; PWS letter
Variance Request-
GENERAL
L oral. Subdivision
Subdivision Approval Check Ed
Ex- approval SSDS Adj. Lots Checked
Wetland (Town/DEC Permit R & D)
Data On DDS Plans & Permit Same
REQUIRED DETAILS ON PLANS
Sewage System Plan - (north arrow)
Sewage System. Hydraulic Profile - Gravity Flora
Fill Profile & Dimensions - Volume
D or J Box;Trench Gallery; Pump pit details
Septic Tank ize Detail
Well Detail, Service Line if over
Construction Notes ( grinder notes)
Design Data:•perc•and -deep results-
Two-Foot Contours Existing & Proposed
Driveway & Slopes Cut
Footing/Gutter,Curtai.n Drains (discharge OK)
Perc & Deep Holes Located
Representative of primary and expansion
Expansion Area; shown; gravity flow,suff. size
If Pmped Pit & D Box Shown & Detailed
House - No. of Bedrooms
Wells & SSDS's w /in 200 ft. of Proposed Systems
Property Metes & Bounds .
House Setback Necessary (Tight lot)
House Sewer - 1 /4" /ft. 4 "0; Type pipe
No Bends; Max. Bends 450 w /cleanout
SEP.�RATION DISTANCES SPECIFIED ON PLAN
Fields
10' to P.L., Driveway, Large Trees,Top of fil
20' to Foundation Walls
100' to Well; 200' in D.L.O.D, 150' pits
100' to Stream course, Lake (inc. expan
15' to Drain . tain, Leader, Footing
351to catch basin, ormdrain,pipc -d watercours
10' to Water Line (pits -201 )
50' intermittent drainaqe course
Septic Ranks
10' fram Foundation; 50' to wall
15' Well to PL
0
i = �;
i
CWTIM. "12
a ME
0�M
Minn
EN
OM
•• .flood elev.
.✓ ' FAM
House Plans - Two sets
m/e Cc
S
s/s
SUBDIVISION
Perc
(3) Fill --
cd 7Ft'
1c L33
Well permit; PWS letter
Variance Request-
GENERAL
L oral. Subdivision
Subdivision Approval Check Ed
Ex- approval SSDS Adj. Lots Checked
Wetland (Town/DEC Permit R & D)
Data On DDS Plans & Permit Same
REQUIRED DETAILS ON PLANS
Sewage System Plan - (north arrow)
Sewage System. Hydraulic Profile - Gravity Flora
Fill Profile & Dimensions - Volume
D or J Box;Trench Gallery; Pump pit details
Septic Tank ize Detail
Well Detail, Service Line if over
Construction Notes ( grinder notes)
Design Data:•perc•and -deep results-
Two-Foot Contours Existing & Proposed
Driveway & Slopes Cut
Footing/Gutter,Curtai.n Drains (discharge OK)
Perc & Deep Holes Located
Representative of primary and expansion
Expansion Area; shown; gravity flow,suff. size
If Pmped Pit & D Box Shown & Detailed
House - No. of Bedrooms
Wells & SSDS's w /in 200 ft. of Proposed Systems
Property Metes & Bounds .
House Setback Necessary (Tight lot)
House Sewer - 1 /4" /ft. 4 "0; Type pipe
No Bends; Max. Bends 450 w /cleanout
SEP.�RATION DISTANCES SPECIFIED ON PLAN
Fields
10' to P.L., Driveway, Large Trees,Top of fil
20' to Foundation Walls
100' to Well; 200' in D.L.O.D, 150' pits
100' to Stream course, Lake (inc. expan
15' to Drain . tain, Leader, Footing
351to catch basin, ormdrain,pipc -d watercours
10' to Water Line (pits -201 )
50' intermittent drainaqe course
Septic Ranks
10' fram Foundation; 50' to wall
15' Well to PL
0
Punm ax NN DEPARn -UM OF HEALTH.
DIVISION OF ENV 1CNMEZML HEALTH SERVICES
APPENDIX I
DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner Edward- Emerson for Aedo�nh Address Farm to Market Road
Located at ( Street) Farm to Market R o a d Sec. 80 Block 2 r oO e w Lot
(indicate nearest cross street)
Municipality _Patterson
Watershed '
Croton River
SOIL PERCOLATION TEST DATA RDQUIRED TO BE SUBmII= WITH APPLICATIONS
Date of Pre- Soaking D e c .
8 19 8 5 Date of Percolation Test
Dec. 8, 1985
HOLE
N[A1BER 5 3 CLOCK Z
PERCOLATION
PERCOLATION
Run Elapse
Depth to Water FYcm
Water Level_
No. Time
Ground Surface
In. Inches
Soil Mate
Start -Stop Min.
Start Stop
Drop In
Min/In Drop.
Inches Inches
Inches
Al 10: 57 -11 c'00' 3 1 0 1 3 3 1-0
2 11:01 -11:04 3 11 14 3 .1 .0
3 11:05 -11:10 5 10 13' 3 1 hh
4
B 1 11: 07 -11 : 10 3 1 1 14- 3 1 n
2 11 :12 -11:16 4 11 14 3 1 +.33
3 11:18 -11:23 5 11 14 3 1 fih
4
5
1
2 Field soil rate = 1.66 min /w
3 Use 10.0 min /in.
4
5 ....
NOTES: 1.. Tests to be repeated at same depth until*apprcximately 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
TEST PIT DATA REQUIRED TO BE SUBMITS WITH APPLICATION
DESCRIPTION OF SOILS E NCOUNMM IN TEST BOLES
DEPTH BOLE NO. 53 HOLE NO. BOLE NO.
G.L. J
1° Humus
21 Sandy Loam
3°
4°
5°
6°
7°
8°
9°
10°
12
13°
14°
INDICATE LEVEL* AT WHIC* H' GROUNDWATER IS ENC, INTERF..D S e e be l ow s
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING EN00UNTERE D 3. 5 '
DEEP BOLE OBSERVATIONS MADE BY: Ralph G. Mastromonaco DATE: Dec. 8, 85
DESIGN
Soil Rate Used 10.0 Min/1" Drop: S.D. Usable Area Provided 5000 SF
No. of Bedrocsns 3 Septic Tank Capacity 1000 gals. Type pLecast
Absorption Area Provided By 333 L.F. x 24" width trench
Other Trenches 6' o.c. /curtain drain of NEW
Name Ralph G. Mastromona_ co, R.E. Signature .;•:,
Address 13 Dove Court SEAL
Croton-on-Hudson, NY 10520
\.RO�'essioca�i
THIS SPACE MR USE BY HEALTH DEMMMFNT ONLY:
Soil Rate Approved sq.ft /gal, Checked by Date
1 \ << : c<O
IILT 4. 61 -A
l� I -�' %s.� F `� 3/4" — 1
CLEAN GR
OR STONE
<J
81 Lyr s
ry � �N p
N es. eo \ MIN. 4" PERF.
Q: LOT 2
To BE OEOICA TED 70 M1S �' \ / \
PUTNAM CO. 1 ` O. � \
-po \\ \\
450 vim\\
, fs. SSDS \\
oFDOp�INNtpEPM 1 ia. \ .:
\ \\ \� `v
zD I 1 water '-
�(� ,' / // 4 �ri� \�\ I 1 / •i 449.9
4 SSDS
p I
/Ilk
N/F EMERSON
/ , \ I I �pp•/ EX. 3
,' \ � � / tea•
o/ / 450
ROOTING INS M,
5
tk
P
ROOF AND
FOO T.'
FF\5a DRA -f
GP POND
`moo_
S
-- -L- \
142.7g''
PLAN DETAIL
SCALE: 1 " = 20'
h
FIRST FLOOR
EL. 462.0
460-
,BASEMENT 455'-
445
440
i
7.
n