Loading...
HomeMy WebLinkAbout1821DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35. -5 -46.1 BOX 16 01821 �, La a or r r ,. f L �■ 1 , 01821 Rev. 3/86 PUTNAM COUNTY DEPARTMENT OF HEALTH J �� Division of Environmental Health Seivicee, Carmel, N.Y 10 r�� €r, .� Engineer It%Inet Provide ¢� N . �D �' ice{ P.C:H D Permit N '. f 1✓ Owner /applicant Name ]A I I .t.l ^Nr Malting AddressT�- FOR SEWAGE DISPOSAL SYSTEM rormeny Zip ,450 - Taa _Map_ Block Lot Snbdivlelon Name ° Subd Lot # v. Date Permit Issued .Separate Sewerage System bullt by Address Consisting of ha Gallon Septic Tank and 44A Water Supply: Public Supply From Address or: ✓ Private Supply Drilled by � �+, �! Address L 1b.1 A O 9, , 9,VST L l�ti , Building Type Ax 1 ' Has Erosion Control Been Completed? Number of Bedrooms Has Garbage Grinder Been InstalledY - Other Requirements I certify that the,system(s) as listed serving the above premises were `ponstructed essentially:as shown.o the .plans of the completed -work ( copies of which are attached), and in accordance with the standards,_ rules and -regal "ions, in acgordan with f plan, and the permit issued by the Putnam County Department Of Health. /�t.J� U P.E. R.A. Date J Certified by, ; .. �LIcanSe No. /ddress . I � : Any person occupying premises served by the above system( ;) Shall. such action as may bs neeesury.;to Secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage',systam shall become null and void as soon as a pui)V: sanitary Sewer becomes avallable and the approval of the private water supply shall become null and +4oid when a public water supply becomes evailaba: Such approvals are subject to modification or change when, in. the judgment of the: Corn '14dciner of Health, such revocation; modification or change Is necessary. Date �C �_:� BY i Title W ANALYSIS DATA SHEET TYPE: PW LOCATION: Elting REPORT TO: Mill Drilling ADDRESS: Putnam Avenue CITY, STATE, ZIP: Brewster, NY 10509 DATE COLLECTED: 09 -17 -93 TIME COLLECTED: 11:15 AM COLLECTED BY: Mill Drilling REPORT DATE: 09 -21 -93 LAB # : 93 -4648 SAMPLE- -SOURCE: . DATE ANALYSIS RESULT UNITS METHOD ANALYZED Total Coliform MF Absent SM17 (9215D) 09 -17 -93 THIS SAMPLE AS RECEIVED AT THIS LABORATORY MET THE REQUIREMENTS OF NEW YORK STATE DRINKINGWATER STANDARDS. tory Director NEW YORK STATE ELAP CERTIFICATION NUMBER: 11218 618 CLOCK TOWER COMMONS, RTE 22, BREWSTER, NY 10509 / 914 - 278 -7600 / FAX 914- 278 -7754 co J WPrLL VVL'lr LA11 VLY Llt!r VA1 DEPARTMENT OF HEALTH iuson Of- Environmental 'Heall`h=-S 4 �� Y0 PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only �tu _ WELL LOCATION STREET AOURESS: 75ON791EDIEZIC11Y TAX GRID NUMBER: $allyhack Road, $rewster, NYS, WELL OWNER NAME: ADDRESS: QLALZTY &LILT HONES, $allyhack Rd. $rewster, NIJ. P81VATE Q PUBLIC USE OF WELL 1 - primary 2 - secondary x9cRESIDENTIAL O PUBLIC SUPPLY ❑ AIR /CONO. /HEAT PUMP O ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT 5 gpm. /NO. PEOPLE SERVED 2 – 4 / EST. OF DAILY USAGE gal. REASON FOR DRILLING []REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION []ADDITIONAL SUPPLY QNEW SUPPLY (NEW DWELLING) []DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 200 ft. STATIC WATER LEVEL 35 ft. DATE MEASURED 911193 DRILLING EQUIPMENT ❑ ROTARY COMPRESSED AIR PERCUSSION ❑ DUG O WELL POINT ❑ CABLE PERCUSSION O OTHER (specify): WELL TYPE ❑ SCREENED O OPEN END CASING ,@x,OPEN HOLE IN BEDROCK O OTHER TOTAL LENGTH - k MATERIALS: ZMTEEL ❑ PLASTIC O OTHER CASING DETAILS LENGTH BELOW GRADE 29.5. ft JOINTS: O WELDED Q THREADED ❑ OTHER DIAMETER 6 in. SEAL.N4&CEMENT GROUT ❑ BENTONITE OOTHER WEIGHT PER FOOT Ib. /ft. DRIVE SHOE O YES O NO I LINER: G YES O NO SCREEN DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? FIRST O YES ONO HOURS OURS - -- SECOND - - GRAVEL PACK O❑ YES O GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM OEM ft. WELL YIELD TEST It detailed pumping METHOD: ❑ PUMPED t tests were done is in- o& eOMPRESSED AIR ;formation attached? t O BAILED O OTHER , ❑ YES O NO L LOG If more detailed formation descriptions or sieve analyses are available. please attach. acE�l NWE wat er Bear. ing Da I meter In FORMATION DESCRIPTION CODE ft WELL DEPTH It. DURATION hr. min. DRAWOOWN It. YIELD gpm. Land 5 . Soi l 5.200 Medium to hard _granite 200. 6 – 175. 7 WATER xg CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS O COLORED ANALYZED? O YES ONO ANALYSIS ATTACHEDPO YES O NO STORAGE TANK: TYPE 13U others. CAPACITY GA1r. PUMP INFORMATION TYPE s MAKER MODEL CAPACITY DEPTH VOLTAGE HP WELL DRILLER NAME MILL 1)ItI11. TE 10/1/93 ADDRESS Putnam Avenue � $rewster, IVtJ R 1 r W V7 PUR,IAM COUNTY DEPARMEW OF HEALTH DIVISION OF EWMONLYiENTAL HEALTH SERVICES 7 . 9n it 'Owner or Purchaser 6f Building Section Block Lot -b2,MLJ-T 4daWC-6 F INC - B -!�ilding nsEructea by- ui i I d i �nc r I,ocation Street Subdivision Name' 7TO-10- M /Zf f6�-e Fianicipblity Subdivision Lot #1 Building Type GUARAI= OF SUBSURFACE S& --GE DISPOSAL SYSTRM I.represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, y, apd. that it.has -been constructed as shown on the.:approved plan'-or 'approved amendment thereto and in acco.rdance-,with. the standards, rules and regulations of the Putnam County Depa±&,ent of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating conditioh 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 Construction. Compliance" for the sewage disposal system, or any to= -system, except wberq-t e-♦to operate properly is repair's. made ft�e - to- !,�h --be. -failur 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 Director of the Division of Environlrental. Health Services 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 this day of 19A,2_ Signature Title General Contractor (Owner) - Si e Corporation Nan-e (if Corp.) Address rev. 9/85 mk !426-4- Corporation Name (it Cor�-) Address f PUUfAM COUlf1T DEPA1111�'fl' aF 6eM.'l'9 f , \°�� r Dh�li� s[��iYs1��hl 8M1A 9edeN: Q�d. N.Y Is1S1? 1e Feww lbslt`I. ZB OF F., , °°tea 9a j I�I�t MR WWAOE DMOSAL US1IR8[ <j TOWN- OF.PATTERSON u, d ai BALLYHACK ROAD 'aiialflaa lire ' "iVl LLIAN . ELTI'NG"" f' 2" X OP =rM 90 p OwMrYAcat ltr 1N l LL I AN ELT I NG - Daps of YrevM�a 8/2/,90 . M S1aMft Alien R.D.-6, BALLYHACK ROAD Town BRENSTER, NEW YORK . Mp 10509 . n—#-- C..1 A4:ric-inn A.nnrnvcA 7H8 /9fl RY. PCM FAA FnnInRed 1 represent that 1 am wholly and eornplate* responsiblo fp` the dN above desvi0 ed ed will ba tunstruct as shown on tne:approv La' County O0oaftment_ of : MMRh, and that on eompietin threOf a M gft►fnRteO.te tM;_.ti-1 wit, an0 'a written "Id, g6oitilti�: win I t11a« UI �oea ep!at!M: teMtllsn any pert of :aawne <ai 4 anon of the ajpseval 'ef .the Cast"Mate of ; Comi uetiol CanPll will be located as haulm - 610 alia -i i A pion and that -iiid i `will COenty OepartwMnt Of NMlth .' Data AUMT 4, 1992..'-. sip lnrC'DU zeorcr l D r APPROVED FOR CONSTRUCT10442 This approval expires twe Ieveiab6 for ceute.er nwy e• elh«10a0 -or xnodifle0 whan,conW naquNea' a new ermftj Approved for disposal 'of domestic . LO /88 pate F my and kieation of'the propolad system(s). l) that the sepnate_sawage dispose) syaem mt than to and in- aeeordanee with the stanaards, rum a regu m5 Ti�1� rtificati of Construction Complianp' "sfmtory to the Commisaonw o1, Maalthwill urnisMA' the poser his uwxesro►s, heirs or-assigns by the builder, that said builder will 1 syataih du►irl/ tha pesfoA of two (2) .years Nnmetliateljr tolwprliq tneAate OtaM f th orlgieal a ` or any fapatre thereto: 21 that th• drNlod well' describes) above In led. YM ,with t . andarda, rulac and reauTa Ohms of the Putnam P.E. XX RA. 6 ALi AC URT MILINC 6112654 License No 61468 efh the ifs .unles construction of the building has been, undertaken and is Oc9slary min er of Maalth. Any thange or jKeration of construction and/ lira r -wet r fupphr only. ��� Title c t RUG 1 s eEC Joseph Zarecki, P.E. CONSULTING ENGINEERS .6 ALBERMAC-�-COURT' PA'WLING °NEW= tX�RW1 -2564' x.. __......... �... . (914) 855 -3771 FAX (914) 855 -3772 August 11 , 1992 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services 110 Old Route Six Center Carmel, New York 10512 ATTN: WILLIAM HEDGES, Public Health Sanitarian Re: Renewal of Construction Permit #P -32 -90 for Sanitary Disposal System Design for WILLIAM ELTING, Ballyhack Road, Town of Patterson, NY Dear Mr. Hedges: Enclosed is a copy of the Putnam County Department of Health approval for a sanitary disposal system for William Elting. The property is loca- ted along Ballyhack Road, Town of Patterson, NY. I have inspected the site and found that no changes have occured to the site since our original submittal and approval of the enclosed plans by your -- Department on August 2, 1990. _ It is hereby requested that the approval and construction permits for this lot be renewed in compliance with the regulations of the Putnam County Department of Health. Attached are the necessary documents for renewal of Permit #P- 32 -90. Should any additional information be required, please advise. te , P.E. Enclosures cc: Mr. William Elting AU _l s a REM PETER C. ALEXANDERSON _County Executive.. - . DEPARTMENT OF HEALTH Division Of Environmental Health Services JOHN KARELL Jr., P.E. Director._ 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 C 0,0p� IMPORTANT NOTICES 1. SEWAGE SYSTEM CONSTRUCTION IN ACCORDANCE WITH APPROVED PLANS PROVISIONS OF ARTICLE III OF THE PUTNAM COUNTY SANITARY CODE REQUIRE THAT THE INDIVIDUAL SEWAGE DISPOSAL SYSTEM, AND WATER SUPPLY IF A WELL IS PROPOSED, FOR WHICH THE PERMIT TO CONSTRUCT HAS'BEEN ISSUED BE CON- STRUCTED IN ACCORDANCE WITH THE STANDARDS, RULES AND REGULATIONS OF THE STATE AND PUTNAM COUNTY HEALTH DEPARTMENT, AND THE TERMS AND CONDITIONS -OF THE PERMIT ISSUED OR APPROVED AMENDMENTS TO SUCH PERMIT. CONSTRUCTION OTHER THAN AS SHOWN ON THE APPROVED PLANS OR NOT IN ACCORDANCE WITH THE AFOREMENTIONED APPLICABLE STANDARDS DOES NOT COMPLY WITH THE ABOVE REQUIREMENTS AND MAY BE CAUSE FOR APPROPRIATE ENFORCEMENT ACTION AS PRO- VIDED BY LAW. ANY CHANGES IN THE LOCATION OF THE HOUSE, WELL OR SEWAGE DISPOSAL SYSTEM OR ANY OTHER CHANGES THAT MAY AFFECT THE WELL, SEWAGE DISPOSAL SYSTEM OR ITS EXPANSION AREA SHOULD BE DISCUSSED WITH THE DESIGNING ENGINEER OR ARCHITECT AND THE HEALTH DEPARTMENT BEFORE ANY CHANGES ARE MADE. H 2. USE OF SEWAGE SYSTEM (i.e. OCCUPANCY OF RESIDENCE) PROVISIONS OF ARTICLE III OF THE PUTNAM COUNTY SANITARY CODE REQUIRE THAT THE OWNER OF A PROPERTY FOR WHICH A PERMIT TO CONSTRUCT A SEWAGE SYSTEM HAS BEEN ISSUED SHALL NOT USE OR PERMIT USE OF THE SYSTEM UNITL A CERTIFI- CATE OF CONSTRUCTION COMPLIANCE IS ISSUED BY THE PUTNAM COUNTY DEPARTMENT OF HEALTH. THEREFORE, NO DWELLING MAY BE OCCUPIED UNTIL SUCH TIME AS THE DEPARTMENT ISSUES SUCH CERTIFICATE. YOUR ENGINEER SHOULD BE CONSULTED REGARDING SUBMISSION OF AN APPLICATION FOR A CERTIFICATE OF CONSTRUCTION'COMPLIANCE. ASK FIRST — AVOID PROBLEMS S -P '.r' "-"'.fir ,• ± � � i s • , p)Aj 3/86 DEPARTMENT OF HEALTH AUG 13 RECD Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 a ;AP:PLIC.AT.ION: �O.: CONSTRUCT,-.A.; WATER-­WELL::_.., ;�. . � ...;- ...�:�,a: PCHD PERMIT WELL LOCATION. Street Address BALLYHACK ROAD Town/Village/City Tax Grid Number TOWN OF PATTERSON 81 -1 -24.2 WELL OWNER Name WILLIAM ELTING Mailing Address R.D. 6, BALLYHACK ROAD, BREWSTER, NY 10509 Private O Public SE OF WELL ( - primary 2 - secondary U RESIDENTIAL ® BUSINESS ® INDUSTRIAL ® PUBLIC SUPPLY Q AIR /COND /HEAT PUMP O FARM p TEST /OBSERVATION U INSTITUTIONAL O STAND -BY 0 ABANDONED O OTHER (specify AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED /EST. OF DAILY USAGE gal REASON FOR DRILLING NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ REPLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL ® TEST /OBSERVATION DETAILED REASON FOR DRILLING POTABLE WATER SUPPLY FOP, INDIVIDUAL-RESIDENCE WELL TYPE 13DRILLED DRIVEN ®DUG ®GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES g NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: W111IAN ELTING Lot No. 2 WATER WELL CONTRACTOR: Name TO BE DETERMINED Address: IS PUBLIC.WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY N/A DISTANCE TO- PROPERTY FROM. NEAREST WATER MAIN: -.N/A - ; -- -- LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED []ON REAR OF THIS APPLICATION k;E E S August 4, 1992 4k (date) (s nat re PERMIT v �j 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 provid y the Putnam County Health Department. A/� Date of Issue: 19 �� Date of Expiration: � 19� ermit Issuing Official White copy: H.D. File Permit is Non - Transferrable yellmw Buildin Py= g Inspecto r 2/87 Pink Copy: Owner Orange copy: Well Driller rufftAm COOIfPi DSillil a[ Coil. N.Y IMP ` > sear w Fwdi•)<�falt I Cl�l�K)ATZ OF )lam l!O:>eIIAGN DmOFAL SYSlEUI, ,. , - pl TOWN OP�PATTERSON BALLYHACK_ROAD Pie Laelrtad alt , laiilrltiw Nro WILLIAM. ELT I NG , ,: Sid. Lit I 2: _ - :.. -- � �P "81 poet 1 r.. 24.2- ltmewal_ ❑ > O OwrdApMaa�t I'fi�i W LLL I AM •FETING , Date of ]how a Approvd . tldlb{Adkan R.D. 6,- BALLYHACK _ROAD To,, BREWSTER, NEW YORK "n 10509. Date Subdivision "w roved 1/18/90 BY PCHD Fee Enclosed 0 ,nt- WOOD FRAME: 2.5t ACRES DaiiD ijpa Lot .Arad Fib Se 'o* Volooe piaetIsoittlidta FOUR (4) . -Dail PMWG P D 800 GPD P ®Nedbadeb'Is> Wbim"m1aoaaplrtW So�aeate Seaeert;� Spdta to trrlat of 250 agm gq* Task and 448 L.F. x 24" WIDTH TRENCH ABSORPTION. FIELD ' To be -0 bj TO BE .DETERMINED sadtm WMW Sop*: Fine Stipp4 Frota A 1dtetla on. X fthka. Sgp* 644 by TO BE DETER Md NED Adis.. Otrtr )Raflilf�aite ' .. i represent that I am, wholly and completely responsible for the design and location. of the aopesW system($): 1) that the separate -d' !W' Rem above described will be constructed as shown on the approved amanAnnent there to and inya:orAenca with the standards, rums a - ►pu Ions o nam County Mpartnwtt Of IIMRA, an0 that Ogeompmtlon_fM►eof a ��Ceftifieiite- of Construction Compliance" satisfactory to the Corninwgbner at HWIthwill M.Sob -' kal to tM Oepntnient, and .a written 9liaralttoe win ba.,furei" the dean►, his aitaao►s,'MNSOr ssipts -by the buigei, that'sald buikmr will pleCa b good ooeraewn/ a OdItion'a"y 'part of Said seMpM` ditpoYl systam I I . tM pariod of two (2) Y•ar hnnnadlelely following the"te of the Iseu- anst of. tM`apoiaval 'of tM.;Cortlfk,ata of Construction Conlpience of th "_orpkull syatinl Or any repairs the►•tO.4) that the drilled wdl desar11 d allow Will be bKGted j"Lo W'ra 0In the 1 p00 PM"' and:thet aid well still bar_ 'instal n accordance w - the star >ti rums and rquiaifo s of iM Putnam County De""O,awtof. Mouth. .� Dam JULY.;9, 1.990 • P.E. X R. Ada►es - ".6 ALBERMAC.000RT. PAWL NE YO 1256 License No 61468 APPROVED FOR CONSTRUCTIONtThis approval the data; i less ruction of IoM .buigiM has bMn undertaken and is revocable for amts or may be arnafWed or modified wMri aooslder r bY. the m I f Health. Any change o► alte►atbn of construction reeuilN • MW pNm App/O1N0 for dispoeeliof dOmettk any and_ /o►a�r at yi. only. /F,(D Rev. Title / 7' 10/88 °see. Py DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT # / °3:2` ALL LOCATION Street Address BALLYHACK ROAD Town/Village/City Tax Grid Number TOWN OF PATTERSON 81 -1 -24.2 WELL OWNER Name WILLIAM ELTING Mailing Address ®Private R.D.6 BALLYHACK ROAD BREWSTER NY 10509 0 Public USE OF WELL Q1 - primary Z - secondary ® RESIDENTIAL ® BUSINESS ® INDUSTRIAL ® PUBLIC SUPPLY O AIR /COND /HEAT PUMP O ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify D INSTITUTIONAL O STAND -BY AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED /EST. OF DAILY USAGE__gal ® REPLACE EXISTING SUPPLY O TEST /OBSERVATION GIADDITIONAL SUPPLY E3NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING POTABLE WATER SUPPLY FOR INDIVIDUAL RESIDENCE WELL TYPE 13DRILLED O DRIVEN ODUG O GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: WILLIAM ELTING Lot No. 2 WATER WELL CONTRACTOR: Name TO BE DETERMINED Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY N/A DISTANCE TO PROPERTY FROM NEAREST WATER MAIAT: N/A LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED [DON SEPARATE SHEET Q 7/26/90 f (date) sign ure) PERMIT TO CONSTRUCT A VATER 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 any and all water or waste products from such well dri property and in such manner as not to degrade or o er, Date of Issue: 19 49L-) Date of Expiration 19_ P Permit is Non - Transferrable White copy: 3/89 Yellow copy take appropriate action to assure that operations be contained on this e contami a e surface or groundwater. Issuing Official HD File Pink copy: Owner Bldg. Insp. Orange copy: Well Driller 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 July 19, 1990 Joseph Zarecki #6 Albermac Court East Main Street Pewling, New York 12563 Re: Proposed addition: Elting Balley hack Road (T) Patterson TM #81 -1 -24.2 Dear Mr. Zarecki: JOHN KARELL Jr., P.E., M.S. Public Health Director Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: 1. Septic system hydraulic profile not provided. Typical profile is not acceptable. 2. Standard notes 1, 2, 3, 4 and 5 are not provided on plans (enclosed). 3. Well permit not submitted. - ..Upon. receipt- -of- .a submission, revised to reflect the above .comments,. this appreciation will be considered further. RM /jp Vzzt;;;01/110 uly Robert Morris Assistant Public Health Engineer ILL 3 109 t� i • TNAM CrXJN= DEPARTMENT OF HEALTH DIVISION • ENVIPDNKEVM HEALTH SERVICES DESIGN DATA SHEET-SUBSUFACE S&qAGE DISPOSAL SYSTEM FILE NO. Owner "WILLIAM ELfINd Address R.D. 6, Ba11yhai::k-R62id-, Brewster, 'r 'New;"Yo-rk Located at (Street) BALLYHACK ROAD Sec. 81 Block 1 Lot 24.2 (indicate nearest cross street) Municipality, TOWN OF PATTERSON Watershed WOTI d N ULD 00; Date of Pre-Soaking 7/19/89 Date of Percolation Test 7/19/89 HOLE NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate Start-Stop Min. Start stop Drop In Min/In Drop Inches Inches Inches HOLE 41 1 10:32-10:56 24 MIN, 27" 2411 3" 8 MIN/IN 2 10:56-11:26 30 MIN, 2711 - 2411 311 10 MIN/IN 3 11:26-11:56 30 MIN, 27" .24" 10 MIN/IN 4 5 HOLE #2 1 10:33-10:42 9 MIN. 27" 2411 311 3 MIN/IN 2 10:42-10:54 311 4-MTN/IN-:—*: 3 10:54-11:06 12 MIN. 2711 2411 311 4 MIN/IN 4 5 2 3 4 5 N=S: 1 )ests- to--156- repeated are obtained at each for review. 2. Depth measurements to rev. 9/85 at same depth until approdmately equal soil rates percolation test hole. All data to' be submitted be made fran top of hole. 9 r TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 1 HOLE NO. 2 HOLE NO. G. L. 6" TOPSOIL 6" TOPSOIL 1' 6" - 7': SANDY LOAM 6" - 616 ": SANDY 2' WITH TRACE GRAVEL LOAM WITH TRACE GRAVEL 3' 4' 5' 6' 7' 8' 9' 10' 11' 12' 13' 14' INDICATE - LEVEL_ AT WHICH GROUNDWATER IS ENCOUNTT -= - ­NONE- -- INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED - - - -- DEEP HOLE OBSERVATIONS MADE BY: MARY ANN BURDICK DATE: 7/18/89 DESIGN Soil Rate Used 10 Min /1" Drop: S.D. Usable Area Provided 6000± S.F. No. of BedroCMS FOUR (4) Septic Tank Capacity 1250 gals. Type PRE -CAST CONC. Absorption Area Provided By 448 L.F. x 24" width trench Other �KJ Name JOSEPH ZARECKI. P.E. Signature ,�.T Address 6 Alberma c Court SEAL Pawlin,,,,Newt'Yok 's12564` 03 THIS SPACE FOR USE, -, IIS L 'Fi ebw, ' ONLY: Soil Rate Approved `I 3 r sq.ft /gal. Checked by Date ' � f f,1VH(rl ll./ULV 11 L.urntu•ua y yr DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHED- SUBSUFACE SEWAGE DISPOSAL SYSTEM. FILE NO. = :... -•w ."ILLIAM; EL.TING..._,,., , ,;., � Address. R.D. #6,. ,Ballyhack Road, Brewster, NY 10509 Located at (Street) Ballyhack Road & N.Y.S. Rte 22 Sec, 81 Block 1 Lot 24.2 (indicate nearest cross street) Municipality TOWN OF PATTERSON Watershed SOLD PERCOLATION TEST DATA REQUIRED TO BE SUBMI= WITH APPLICATIONS Date of Pre- Soaking 7/18/89. Date of Percolation Test 7/19/89 HOLE Nii%= CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches P1 : 1 10:32 -10:56 24 MIN. 24 27 3 8 MIN. /IN. 2 10:56 -11:26 30 MIN. 24 27 3 10 MIN. /IN. 3 11:26 -11:56 30 MIN. 24 27 3 10 MIN. /IN. 4 5 P2 1 10:33 -10:54 21 MIN. 24 27 3 7 MIN. /IN. - - .2.. 10,5.4 -.1.- 1:2.1. 27 MIN. 24 27 3 9 MIN. /IN. 3 11:21 -11:48 27 MIN. 24 ;4 27 •__ 3_._.._. -- - -`9 MIN. /IN. 4 9 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 TEST PIT DATA REQUIRED TO BE .� DESCRIPTION OF SOILS ENCC DEPTH ZD HOLE NO. 1 6" TOPSOIL 611-to 7' SANDY LOAM WITH TRACE GRAVEL PO T' c� 4' 5' 6' 7' 8' 9' 10' 11' 12' 13' 14' INDICATE. LEVEL- AT - WHICH ..GROUNDWATER- IS ENCOUNTERED NONE .._ _. INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED N/A DEEP HOLD OBSERVATIONS MADE BY: MARY ANN BURDICK DATE: 7/18/89 DESIGN Soil Rate Used 10 Min/1" Drop: S.D. Usable Area Provided 6,000 ft.t No. of.Bedrooms FOUR (4) Septic Tank Capacity 1250 gals. Type Precast Concrete Absorption Area Provided By 448 L.F. x 24" width trench Other OF NElN 'L ..PK ZAR Name JOSEPH ZARECKI, P.E. Signature Address 6 Albermac Court �3 V S SEAL ' IV ° ° 6146 Pawling, New York •-12564 �p�• THIS SPACE FOR USE BY HEALTH DEPARTMFM ONLY °' f° WITH APPLICATION IN TEST HOLES HOLE NO. 2 6" TOPSOIL " to 71 SANDY LOAM WITH TRACE GRAVEL HOLE NO., Soil Rate Approved sq.ft /gal. Checked by Date John M. Simmons, M.D. PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES Deputy Commissioner of Health - FIELD ACTIVITY REPORT - Sheet of INSPECTION NAME Orig. Routine Orig. Canplain ADDRESS Orig. Request No. Street Town TM No. Compliance Complaint Comp MAILING ADDRESS Final P.O. Box Post Office Zip Code _ Group Illness Construction WD I A m MITI Reinspection PERSON IN CHARGE Field, Sampling Only OR INTERVIEWED Field Conference Name and Title Other DATE TYPE FACILITY TIME ARRIVED TIME LEFT Explain FINDINGS: i INSPECTOR: TMPHONE: PERSON IN CHARGE OR INTERVIEWED: I acknowledge this Field Activity Report. SIGNATURE: 6/86 TITLE: 66.83 ---- \L01 B / All Guy \ \ Y ED ` it, IF I I I ^ .. � :. . ( ' � ~ � ` � ' i ` 83-76 '(—SZT80M ~. ` woll found gene ` � '. ` 9.71 Ov S 7-16 040'OS'W 13.4Y , ��,� k pPnEIIIDL{ B PCIr? ^_ G:LTI": OF ED 1,1 ? - D1�7I5IG�1 QF '��iG i�Ci�T��I, sr Lyn Ste- ��! C'=5 L0?,j7 Z�� WAT'j Su;P °LY & SuESu FY, --L StFvm,= DISi -r�yL SiSL�"'S RE-=-,,q S^=' - COINS=' MN PEFrl' - - �ci01 BY: ('.1 --ne df Owr. =r) Lcc rrcn) Ce 1tS I YFS I NO I I I I I I I ' I I I I I I I I I I NO 0 PZAil S I �I ✓ kb I I _Wkw I I I ✓I I - --..c^ prcv iced' r ea C 4 _ Co ft. - ^iC_i. u o cr�t' z is= 100°• I' I 1 I i I I �Oas ucrcjA I I I I� ],Gof I F= SYS=. il_-- I I clavcarr_=- I ( I 10 ft. I I =; notes= I dent 1 ca ces I ✓I I I I '0 yr f , ccc elev- I I '7110 ft. reservoir, etc. L 1 i =J f`. t_ call/ a1 -1. I X I I ✓ I `I I i � I DCC Y_MS Pe_nut R of i caticn Ccr-..crate Resolut=c:i Plans - 9firee Set- - E'"icinears A_uticr?,7="* A Desicn DcL+ Shemet MCS ) Deep ac-. _ Lca • . Cc:.sisten t Perc RE s; P=rc sole Dect1 S_r�rr_s_c� cr"• (<) C: E--,—,Ca Plans - 1'NV . ►_- well l - -_- Varlance Rp--ueSt C_ ORAL L 1 S'at v i s.icn S�- " •r sic ^� ��pr��z_ C.`c:�f eve and (Tc — /DEC R & D) Data ca ME pians & RR= QuTRcED DE I:--'- 1 c CN \S Sustem F11rF.of =1e & D cr v ccx; T_ Inc:': /�= 1_ ° -Tr % P'-�^ pit cs t=- Sertic Tain-x - Size, DE t=i l S=_ vice Li e i= cve_ Ccnst_zucticn Notes (c-_nc r rte) T c-Fcct Coat-curs I- =_t1 nc & Driveway & Sloces Cet FCat_P.C%C- `It?rf�`�r =_n Dr='_ ^.5 �.� Perc & Deeo Holes T.-C. t Representative or prim. and cr"- ansic:' ac=aT1sica n���; Sileni:; :rcvlt_7 f r--w I5'dT;. s I= Pt�.3 Pit & D Ecx Sawn & Detail-- Hcuse -Iwo. of Be r. =s We'-is & SSDS' s w/i 200 -Lc--. cf r ox PTcce_rLy :_T, es & Ecuncy Hcu-=e Sa ck Necessary (TiC_Zt lc t) Scu<e Se er - 1/4"/ft. 4"0; T:JTe pi_ a No Ez 5s; Max. Ee 43° w/ cl- Sa cut SE_DkRIC`N DISTA -N=-r Sr =.r'L^T� CN. PT...%j CK ) 1_..e Fi =lcs 10' to P.L. DrivcvcTT, L�r�- Z`_"`TCC Cr i 20' to Fci:n(;;Rticn Wails 100' to Well; 200' in D.L.O.D, 150' Pi 100' to ;cat_rcour_e, Lakn (;Vic. Eti_ 1 _5' to Dra ns -., LL: ail, L =L.�r, F ct_nC - -Tcot 351tc =tC_'1 =ii1,5�CL_C�a?i1rC1C� 10, to to Water Line (pit_. -20' ) 50' int=_mu t ert drai = -ce cc,=—se C`ntic Tank= 10' seen Founcet -cn; 50' to sue_ c 1E, iVZ1 to pr, n I� 12- t3 IA 15 « 1B IA v SBo�90 • o � 2h o • Y I A G, W H. OX, Wr-6d. C�1 M VGN5101J '�"GH��'( LIN i�> °- A f 1 'J1.0 101.0 1a t� b.T. , I-7 q�.p tDq.O 1 S tU1.� 1 dG.D 1 7S°? !2 Putm 4ivieion ipproved -ipplioab] 'utnam Cc