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HomeMy WebLinkAbout1612DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -5 -85 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 - �7.n1 "w� RwIML• »lrAl flML "nUlMI!PL�l lTl!NI wl .ni wl nl":M M M >•I,nl" 1 rl IILr�I.1�1 1>•L n7�,l�nin.,lti,1 "nV`:nl .,I si".i�I,'nl ^s1J�1 :. +1 ",nI wl. rlMJ�l +Alfl Ifni";." ` ® - I. I nlUl " ^�.l•JIL•fV.,l•nl ^r "� AWN �r�7JrIYalYi1✓rl✓+Ir Tr7Y 'r7J +7 ✓.ilYr:Yi1Y +lYi1 ✓ +TYrI Y +� IV+ IJr1Y' +7✓r7Yi7 ✓ " +IYiTYr1Y+7Yi:r IW7Y "r1Y'r1V sir r7V +7V +IV +7YY7Y+iY41Y ✓IV il✓YIY'rl✓rlV:ilr IY'r1V"+IY lY'al_� V +lw+ V +7Y' +IV +lY +I 1 +lY.'rIV'+lYYlr IY +IYr7V. +lip 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