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Home My WebLink About1913DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.22 -1 -50 BOX 17 01913 LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive 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 December 5, 2003 William Hopf 50 Batavia Rd. Patterson, NY 12563 Re: Addition — Hopf, Batavia Rd. (T)Patterson, TM 936.22 -1 -50 Dear Mr. Hopf: I have received and reviewed the plans for the proposed addition at the above mentioned residence. The plans indicate that the proposed addition will consist of the following: Increasing the size of the second floor. Based on the information submitted, the above - mentioned addition cannot be approved for the following reasons:. 1. A survey of the property showing house, well, and septic has not been submitted with the application. 2. A contact phone number was not provided with the application. If you have any questions, please contact me at your convenience. ML:Im Very truly yours, G� Michael Luke Public Health Sanitarian DEPT T NM I OF IMALTH Diviiion of Environ=nIal Health Services 6 Genava Road �KQ Brewstor, New York 10509 Tel. (914) 270.6130 Fax (914) :75 - 7421 BRIJCE K FoitY Public He,:!Zh 1]lreC:G: .. is _ _ M �► N, OWN i ' �.Ii/.I`�i'�•� DESCRIPTION OF A DITION 1-111111 d - az!::� NUMBER OF DUSTIN BE13R0 : LS PROP E # GF }3EDROO�LS� (MOM CERT. OF GC CUM- ANCY OR CERTIFICATION FROM BULOLNG INSPECTOR) Any addition which is cowlder;d a bedroom requires formal approval ofplars (Construction Permit) prepa:recl by a - rcfessioral Enineer or Registered Arc'rl tect in accordance with applicab:e sectons of the Purnan &-anty Sanitary Code. Please submit this fern: and the fp'lowing to Putnam Co=ty Health Dtpt., 4 Geneva Rd., Brew =.er, INY 10509, Phone 27S -FI30. 1. Certified check or mor_ey order for 5100.00 Sketches of existing floor plan (drawn to scale, all living area Including basement) Non - professional sketch --s are acceptable 3. Two sets of proposed floor plan (drawn to scale, ,Nish name, stree'., and ta;: rap Y) * Non- professional sketches are acceptable 4. Copy of slarvCy showing well and septic. location, to the best of your knowledge- Include date of installation if kno.vvn: Label all wets and septic systems within 200 feet of the p :ope:ty line. Contact this office wi-h any questions. 5. Copy of Cent. of Occupancy frcrn Town or Certification front! Building Dept. -'Kith legal bedroom court of dwe!lLng. OFEXI E U F. r-.b va DEPARTMENT OF HEALTH Division ; Of Environmental Health Services Geneva' Road, Brewster, New York 10509 (914) 278 -6130 Putre:^ Cuun y Dept. of Health 4 Geneva Road 3:cw5tcT, NY I45C9 C :enti mem BRUCE R JOIEY, A Aeting Puhifa Re: for Rc td V Tax Map Town ?ccotding to re:,ord- maintained by the Town, the above noted dv eking iS :s i`?OT in cornpiian!;. vAth To,,ti code and the total number cf'oedrooms cn record is This info-imation ;gas been obtained from: CERTIFICATE OF OCCUPANCY: A.:iSESSORS RECORD, 0 "CHF, R Building ins; ector A'146 'CUSTOM WORKS�LLC TEL/ FAX: 1 (203) 929-NATE A® %ust® ®s 1-1-0 Res. Design/ Build 1& Home Improvement Contracting 1. COVER SHEET ELEVATION5 2. FRONT EXISTING 3. FRONT NEW 4. SOUTH EXISTING 5. 5OUTH NEW 6. NORTH EXI5TING 7. NORTH NEW PLAN VIEW5 8. 15A5EMENT (1/8" 5CALE) 9. FIRST FLOOR (1/8" 5CALE) 10. 5ECOND FLOOR (3116" SCALE) 5ECTION5 11. WALL/ FLOOR/ ROOF SECTION 59 ORONOQUE TRAIL SHELTON, CT 06484-4950 HOPF RE5IDENCE �f 50 DATAVIA ROAD F'ATTER50N, NY 12563 Contractor: AHO CUSTOM WORKS LLC 59 ORONOQUE TRAIL 5 H E LTO N, CT 06484 E-MAIL: NATHANAHO @AOL.COM CELLULAR: 1 -(203) 954 -9370 �XIST)!J� U I �`�`� ., - - 1�-'`�� 7 15:?< 1 S-C 11,3 6 = -�_ S�� . �� )V Owl t`t' tL.C�! ,n 1 L t �-- i P�- moot 0 S I ' e� �I i IMI j' �HOPF RESIDENCE 50 BA T AVIA ROAD - - - PATTERSON, i'•,IY 12563 Contractor: AHO CUSTOM WORKS LLC 59 ORONOQUE TRAIL SHELTON, CT 06484 = Denotes NEW Walls/ Parts BASEMENT PLAN Scale: 118" = V -4" LIVING AREA 923 sq N 1.11 1 rZ M 0 U 1 N NY I /-Z)Q a Contractor: n AHO CUSTOM WORKS LLC -7. 59 ORONOQUE TRAIL FIRST FLOOR PLAN SHELTON, CT 06484 Scale: V8" = V-0111 mmm = Denotes NEW 923 sq ft = Denotes Changed ii NEW PORCH Covcrod in Front Only it 298 sq It li J: MODIFIED 47F Sq It 4- HOPF RESIDENCE "---j - , 50 BATAVIA ROAD 1.11 1 rZ M 0 U 1 N NY I /-Z)Q a Contractor: n AHO CUSTOM WORKS LLC -7. 59 ORONOQUE TRAIL FIRST FLOOR PLAN SHELTON, CT 06484 Scale: V8" = V-0111 mmm = Denotes NEW 923 sq ft = Denotes Changed ii NEW PORCH Covcrod in Front Only it 298 sq It li F- - - - -- -263 - - - - - -263 - - - - -2630- - - - - - -036- - - - - 7 I �'` I HOPF RESIDENCE 50 BATAVIA ROAD I , �I PATTERSON, NY 12563 WALK -IN MASTER BATH EXSTG EXISTING NI - CLOSET 83 sq ft BATH BEDROOM �I Contractor: 77 sq ft i 57 sq ft y 164 sq ft NI AHO CUSTOM WORKS LLC -- CM r> 59 ORONOQUE TRAIL G i, 1 2666 2666 2666 I S H E LTO N, CT 06484 HALL I 32 sq ft fi068 ' = Denotes NEW ------ - - - - -- - -- �I _-- - -- DN - ; CLOSET'_ _ = Denotes Changed %'- — — 20sgft co I I� HALF -WALL/ 13ALCONY" ,% FAILING TH15 51PE I 3 O �/ ---- - - - - -- - 1'----------- - - - - -I ,`y----- _-------- - - - - -- �I SECOND FLOOR �I Scale: 3/16" = 1® ' MASTER BDRM CLOSETS OFFICE 249 sq ft 24 sq ft 211 sq ft r s. I LIVING AREA i I / L 2636 2836 _2020- - - 2&36..- - � - - -2636_ . , - - � 972 sq ft t4 Asphalt 25yr/ or Better Roofing Moisture Barrier 1/2" CDX Plywood Roof Sheathing 1x8 Facia Std. 5" K- Gutter 12" Vented Soffits 3 1/2" Frieze — 6" V- Siding to Match Exstg Moisture Barrier 1/2" CDX Plywood 2x6 D.F. Studs @ 16" O.C. 2x6 D.F. Plate 12 4 2x6 D.F. Std & Btr. Roof Rafters @ 16" O.C. R -30 Ceiling Insulation 2x8 D.F. Std & Btr. Ceiling Joists @ 16" O.0 1/2 Sheetrock 3 1/2" Crown Moulding 1/2" Sheetrock 2x6 D.F. Fire Blocks R -19 Wall Insulation 3/4" PTS T & G Plywood Subflooring Glues and Nailed 2x10 D.F. Std & Btr. Floor Joists @ 16" O.0 R -19 Floor Insulation for Sound Rev.— 3'yC6 PUTNAM COUNTY DEPARTMENT OF HEALTH ivleion of Environmental Health Services, Carmel, N.Y. 10512 Engineer Most Provide G P.C.H.D. Permit CER C TE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DIS. Located v Jai /_ Owner /applicant Name �� !y /G L ,�� Formerly P4 r..�__ -,>A/ or Village Tax Map 3K, 'Z2 Block ( Lot Y' 4Sv Subdivision Name % /GL Sabdv. Lot p MaWng Address .: �� %� gip, E,92 25c7 /V. ZIP- "0562 Date Permit Issued 14u1 paste Sewerage System Consisting of �irOd Gepon Septic Tank end �- �. /�,T72�iV� ir'�S Water Supply: Public Supply,From ' ' Address or: /� %C Private Supply Drilled by ALL- 12-i /LLiN 4ZV4. Address /p �lJ.i A -4✓G Building Type YC.2S /2, NT/ Has Erosion Control Been Completed? c Number of Bedrooms Has Garbage Grinder Been Installed? Other Requirements I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plagis of the completed work ( copies of which are attached), and in accordance with the standards rules and regu at ns, in accordance wiyh the fil .1 n¢^the permit issued by the Putnam County Department of Health. / / }� Date �— `9� Certified.by R.A, Address No. SV/v 5/ Any person occupying premises served by the above systems) .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 sewerage 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 Commissioner , ocatIon. modification or change Is necessary, Date —� ` �� Titles PCIT2� i 1 COJ`7rf DEPA I:M,�E ` OF Fes. >.L`i'ri Dxvxsx51 or xxo LaL fiE,pLTH SERVICES caner or Purchaser of Euildi.rg Section 'Block Lot, 5;00,6 Building Constructed by ,F.A�TA- VU 4ee Location - Street ..A --77Z Ohl 11L. UUciDality Building Subdivision Hama Subdivision Lot GfJaZk,�F CEP SU-3-SU?FA=,- SZ-�,=LGE DISPOS�.Ll SYS M i represent, that I am wholly and co..nDletely responsible for the lcca%_:cn, 4X�r }�rc'1?shZD, r te_rial, constrLlCtlon and drainage of the sewage disposal svSLe::c serving the above described property, and. that it has •bc-Lrl constxucted as sh(,-n on the approved Dlcri or ar)Drov_ed a�;end�aenL thereto,..and.zn accordance with the standards, rules and regulations of the :Putna.m County De_cart e-nt of Eealth, G�•d ,tzere�y ena� tee to the cn"ner, his successors, heirs or assigns, to place in goe•;, operating condition arty part, of said systen consL-ructed by me which fails to oQera.tte for a =)-cd of ye? s i rr:ed? ately following tine date of ap~provai of the "Certi. =Kate o- Constr)actlon CGT;Dliance" for the savage disc Dc6al syste-n� or am,,- rera_i_rs Tade by nn to such systei?, except where the failure to operate. properly i c cause --a' by the willful_ or negligent- act of the occupant.of the building the sti stEfli. The undersione -d further agrees to Gccept as conclusive the dete_r-ninatiol c:: the Director of to Division of health &2r-vices of the Putnam DeparL.r:ent of Bealth a-s to F �ett.e_- or not• the failure of the syste'1 to oD°.12te '•.. C—used byl-Lhe willful or nc- olicenL act o: the occupant of the building utilizi, the syst -i. Da tcd this �? I day of moo. ,r� 19� Sicri.ture� -- Title C- Enera -I Cont- actor 4� — S? or-a ti e C.orroratical i`=.,:_:,na ( i ._ Cor-'D. Coj- -Doralion ,R,- -F i._ Co ,D i es s - - 1'-daress DEPARTMENT OF HEALTH UW, WELL UUMYL61'1UN KtXUACt Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only WELL LOCATION STREET AOURESS: loWN191MA171cily TAX GRID NUMBER: Batavia Road Patterson, NY Lot #1 WELL OWNER NAME: ADDRESS: PONALb ,MILL East $ranch Road, Patterson, NY WBIVATE ❑ PUBLIC USE OF WELL - rlma y 2 - secondary, -a RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) 0 INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT 5 gpm. /N0. PEOPLE SERVED 3 / EST. OF DAILY USAGE gal. REASON FOR DRILLING []REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION ❑ADDITIONAL SUPPLY ENEW SUPPLY (NEW DWELLING) []DEEPEN EXISTING WELL _ DEPTH DATA WELL DEPTH 245 ft. I STATIC WATER LEVEL 6 ftj DATE MEASURED 4123196 DRILLING EQUIPMENT ❑ ROTARY ,dR COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING -10 OPEN HOLE IN BEDROCK O OTHER CASING DETAILS TOTAL LENGTH 32 --.ft MATERIALS: ,Q STEEL ❑ PLASTIC ❑ OTHER LENGTH BELOW GRADE _ ft. DIAMETER in. JOINTS: ❑ WELDED AD THREADED ❑ OTHER SEAL: CEMENT GROUT O BENTONITE ❑ OTHER WEIGHT PER FOOT 19 1b./ft. I DRIVE SHOEARYES ❑ NO I LINER: (DYES O NO SCREEN DETAILS DIAMETER (in) SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (It) DEVELOPED? FIRST O YES ONO HOURS SECOND GRAVEL PACK O YES O NO GRAVEL SIZE: DIAMETER OF PACK In. TOP DEPTH ft. BOTTOM DEPTH K. WELL YIELD TEST ' !t detailed pumping METHOD: ❑ PUMPED t tests were done is in- OMPRESSED AIR , `. ormation attached? O BAILED ❑ OTHER ; ❑ YES ❑ NO 11 more detailed formation descriptions or sieve analyses DELL LOG are available, please attach. DEPTH FROhi SURFACE Water Bear- ing Well Dia- meter FORMATION DESCRIPTION aoE It ft WELL DEPTH ft. DURATION hr. min. DRAWOOWN It. YIELD gpm. Surlace 15 . Silt., sand, gravel &cobbles 15. is Brown weathered bedrock 245 6 - 200 15 18 245 Hard. grey & black _granite WATER xOcCLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? x WES O NO ANALYSIS ATTACHED? AYES O NO STORAGE TANK: TYPE biaphragm CAPACITY 44 GAT,. 12 PUMP INFORMATION TYPE Sub. CAPACITY 7 Qal • MAKER Goulds DEPTH 160 MODEL 705054412 VOLTAGE HP ,1.,42. WELL DRILLER NAME Mill 11ri l l ing, I DATE 196 AooRESS Putnam �4venue sl Brewster, Mj n Robert M. Mill, Pres?d t .. W ! ! J t A AJM. M. A Divis. DANBUI BERLIN: gwm�wg: - MILL DRX LING, INC. FUMAM AVENUE BREWSTE)R, N.Y. 10509 SAMPLE SIT SA_W LING ,jP0r NT: SOMCM. * :: • TREATMENT: TEST EftMRM-k- D BACTEgUL_: Tot , al Cohfx)rm (B Off EMISTRY: Chlorine P qji'N InjINVARUNMENTAL LABO of Northeast Laboratories, inc. 39-3 MILL PLAIN ROAD - DA"uRy, CT 06811 ,29 MILL STREET - BERLIN, CT 06037 m DATE SAMPLE COLLECTED: TIME COLLECTED: COLLECTED BY: DATE RECEIVED @ LAB: DATE(S) TESTED: TESTED BY; REPORT DATE: ,TORY9 INC. CT Cert: PH-0404 and PH4606 NY Cert: 11471 9/13/96 12 :00 P.M. ROBERT MILL 9/13/96 9/13/!M LAB#1 1471 911"6 D.E. MELLo 33ATARIA, LOT 0, PATTEMON, N.Y. TOP OF WELL WELL-NEW NONE RESULT: R ECOMMEMED lZnT 0 per 100 ml 0 per 100 ml Na] m1= mitlilider. mg/L = mw� mw per Liter W ND = none.c6tected RESULTS BASED ON SA 1 LES SUBMrMD: 9/13/96 SAMPLE� Aj.TFSAD ABOVE: OTABLE or OT POTABLE Mk CIN (PER STATE 110# 'NEW YORK LEFT.1 OF MALTA SERVICES STANDARDS FOR POTABLE WATER) Laboratory Director CT; KPM �!U-J) 145--IYU3 - kAX (203) 748-0652 & CT:.MEWBRffAjN1HV TF0RD (203) Sig 9 ARF-4 - 797 - FAX;(203) 929-1050 TOLL fREE MaIM CT-- 900-026-0105 - OUTSIDE CT: 900-654-1230 LAURENT ENGINEERING ASSOCIATES, P.C. MILLBROOKE OFFICE CENTRE WMA Route 22 8 Milltown Road Brewster. New York 10509 RANDOLPH W. LAURENT. P.E. (914)278 6108 - (FAQ 278 -2658 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS September 18, 1996 Putnam County Health Department 4 Geneva Road Brewster, NY 10509 n ATT: Mr. William Hedges Re: Individual SSDS Compliance Batavia Road Patterson, N.Y. Dear Bill: Enclosed are the following: 1. Four (4) prints of Drawing S -1 "As -Built Plan ", dated 9- 18 -96. 2. "Certificate of Construction Complaince for Sewage Disposal System ", dated 9- 18 -96. 3. Three (3) copies of "Guarantee of Subsurface Sewage Disposal System ", dated 9- 17 -96. 4. Well Completion and Well Log Report, dated 8- 14 -96. 5. Water Analysis Report, dated 9- 16 -96. B 6. Money order in the amount of $200.00 payable to Putnam County Health Department. If there are any questions concerning the enclosed, please call. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. �nc i Harry W. ichols, Jr., P.E. HWN:DJ:bd 93077 cc: Mr. D. Mill r x-• x L�' ' s , ,.r ..M^ van, �� s t. 'i" . 4 - � ..n # _ } ,,,, .. *a � , „� ,��, �, .xny -,; s^i'r;,t .. t-n ar .•°+s PUMM c8i pit ®� Gds l aa 73 OF PUAM 0 P9 1 IPOB SWAM �2 I1 cy /f C Ls lc G> 7rc k cr�r/I YOUTO a$ �+ 2 2 Gab 0 Teaa 3iy r i _❑ ❑' jams - - _ Mil AUe ubdivision.A Fee Enclosed TYP sew 0* v a$'. — DWO Flow G F D-1-19 0 PCHD Nodlisdais lo Revdmd when FM b aompIsted SY0 sad of d l C30 0 r Tea ® bq�ewaftwftd by —,6 Adibeas WIROW an [% FrImbluiimb WOW by 1'repiesont that I am *holly and,complatNy responsiblefor the design and location of the' proposed system($); 1) that the separate saw s dis osal $ ttam abOVO dascribod will be Constructed as`$Howh on the approved amendment there to and in accordance with the standards. rules an reou ns O a nam COUMy Oe , mant ` of Health' and that on completion . thereof o. "Certificate of Construction Compliance" satisfactory to the.Commixbnar of MYrihwlll sae, submitted. to ilia OOpeftmint, alld a written 011arantee with N famishod tho- owner, his successors. Heirs or assigns, by the Guilder; that said bulkler will piste 'in good. operating condition i3ny, part of - said $swage ` disposol'ssrsteri -during the period of two (2) years Immediately following thedato Of the iau- afnta of the approval of, the I:irtificste of Construction Colnplianeo,of th original. System ' or any ropi►s that 0; 2 that the drilled well described above IF* be 10 —4 of shawn'on the alaprooiad plan and that'said wall will he inst I in accordance with the standar ru a ragu au ns at the Putnam County Oapartmok of ./"With. ,/ Date – ! 7 • / P.E. = R.A. AddreR license No APPROVED FOR CONSTRUCT10Pd: This approval expires two years from,the data issued unless construction of it building has been undertaken and is revocable for Louse Or may be anionded or modified whon.eonsldered n Gary pry Commissioner of Hearin. Any change or alteration of construction reeukes new permit.. Approved for disposal of domestic - sanitary supply only. Rev. 10/88 Date et– Title °" 6 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT 0 WELL LOCATION Street Address Town Village Ci y Tax Grid Number WELL OWNER Name I Mailing Address 0Private O Public USE OF WELL O- primary 2- secondary $X RESIDENTIAL O PUBLIC SUPPLY O BUSINESS O FARM 0 INDUSTRIAL b INSTITUTIONAL O AIR /C ND /HEAT PUMP O ABANDONED O TEST /OBSERVATION O OTHER (specify, O STAND -BY O AMOUNT OF USE YIELD SOUGHT gpm /46 PEOPLE SERVED �° �J /EST. OF DAILY USAGE 6 p gal REASON FOR DRILLING O REPLACE EXISTING SUPPLY O TEST /OBSERVATION 12-ADDITIONAL SUPPLY 'I NEW SUPPLY NEW DWELLING 13 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING r_> WELL TYPE DRILLED DRIVEN ODUG OGRAVEL OOTHER IS WELL SITE SUBJECT TO FLOODING? YES t/ NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name -ice Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: /A, LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED O ON SEPARATE SHEET (date) /(signature) 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 thirt3• (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 drilling operations be contained on this property and in su a manner as not to degrade or otherwise contaminate surface or groundw er. Date of Issue: �_- Date of Expiration,--""' xpiratio 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller PUIMM DOUN'I'Y DEPARMND� OF BF.ALTH L ° r a : DIVISION .OF HEALTH -SERVICES DESIGN DATA SEMI - RMUFACE SaMM- DISPOSAL SYSTEM FILE NO. ' Owner pa�� I�� Address YfU� L oCated at (Street) g v I Cl- C, Sec. 3 Block 1 Lot 9 Sip (indicate nearest cross street)' Fmi.cipality Watershed Son PEIZOQL, CN -•TEST DATA RDQU= TO BE .SUPMI= WITH APPLICATIONS Date of Pre - Soaking l l J `j i Date of Percolation Test .ROLE. NiI�iHER CLOCK TIME PERCaATION PERCOLATICN Run El.at4se Depth to Water kYcm Water Level No, Tim Ground Surface In Inches Soil. Rate .. Start Stop Mi.n: Start Shop Drop In Min/In Drag Inches Inches Inches 1 BiSS 13 3 T,31 1 5 i C1.1 j i 5 1 _ 3 4 MISS: L. Tests, to be repeate`7:. at same depth until approximately equal soil rates. are obtained at each percolation test male. All data to* be suhnittbd for review. 2.:. Depth neasurements. to be made• fran top of hole. TEST PIT DATA REQ RED TO BE SUBMI= W M APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES 6 DEPTH HOLE NO. HOLE NO. S HOLE NO..' �2 G. L. 1' 2' 3' .41 5' 6' 7' 3' 9' 10' 11' 12' Sf�N l) c✓� C /� .T 7u�°solt. I 14,c li_T �r 13' - - 1.41 INDICATE LEVEL AT WHicH GROUNIURATER IS ENCOUNTERED i{J INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCO[JN'IERED DEED HOLE OBSERVATIONS MADE I BY: DATE: DESIGN Soil Rate Used Min/1" Drop: S.D. Usable Area Provided . No : of Bedrocins 2- Septic Tank Capacity l 0,06 gals . Type ` Absorption Area-Provided By :240 L.P. x 24" width trench- Other Name %AXUJ.: . Soil Rate Approved sq. f t%ga 1. Checked by Date lu '. )� W No. 5S 124 ; Date LOT DIVISION -OF- ENVIRCR4EZ?M REALTH -SERVICES DESIGN DATA SHE T- SUBSUFACE SEWAGE- DISPOSAL SYSTEM FILE M. ' Ormer Address r Ibcated at (Street) ��,rq %`a�r� Sec.34e,z4 Block ! Lot 9,`t SOU (indicate nearest cross street)' Mu Municipality PQ i �f Q� /� Watershed CIA,, ,, SOIL PERCOLUION••TEST DATA RDQUME:D TO BE .SU& I= WITH APPLICATIONS Date of Pre - Soaking / `a Date of Percolation Test HOLE .¢;'. N msm CI= TIME PERCOLATION PERCC)LATION Run Elapse Depth to Water Vrcm Water Level No, Tim Ground Surface In Inches -Soil Rate .. Start Stop Min: Start Slop Drop In Min/In Drop Inches Inches Inches l 61,315- ' i y Z9 .0 C 2_3 24 /, `� °Ii_•3� 2 a! if .Z3�� q .. 5 l `x' 63 9„ 23 Lv 23`x? 2,5 Tc C1 .3 • � 9; SG to - ��,� �2& /' _L � - 5 5 2 3 4 5 NOTES: l... Tests, to be repeated at same depth until approximately equal soil rates. are obtained at each percolation test hole. All data to' be suimittl�d for.review. 2.. ; Depth measwrements. to be mane- fran top of hole. TEST PIT DATA RBQUIPM -TO BE Suamj= W= APPLICATION D,ESCPja>TjON OF SOILS EN)COUNYIERED IN TEST HOLES DEPTH HOLE No. HOLE NO. HOLF, NO.. G. L. 21 31 .41 151 6' 71 99 10, 121. 13 L--r Y -T 11-7- S-01-NO 7VAra h- 51 1 LIT -Y � A- N J) 14' =I= izvEL AT waICH GPCU99M= IS ENCDUNTERED INDICATE I= To MUCH WATER LEVEL RISES A= BEING RNCXN� DEEP HOLE OBSEF=ONS MADE iBY: A, �j J" DATE: DESIGN Soil Rate Used Min/1" Drop: S.D. Usable Area Provided No. of Bedro•ns 21- Septic Tank Capacity 10,06 gals. Type Absorption Area-Provided By Z40 L.F. x 24" width trench Other Name Signature Address SEAL; U-4 No. 56124 THIS SPACE -FOR USE BY EMALTH DUAR314EM• ONLY: Soil Rate Approved sq.ft/gal.' ''Checked by Date A4z Coom MAJ'RAL. BSOV-0-bgS i9c"ID 'ADZ) MAD WELL APPENDIk 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET for CONSTRUCTION PERMIT NAME OF OWNER BY DOCUMENTS. Y = PERMIT APPLICATION m PC -1 = WELL PERMIT; PWS LETTER CD ENGINEERS AUTHORIZATION CL7 DESIGN DATA SHEET(DDS) = DEEP HOLE LOG m CONSISTENT PERC RESULTS (3) = PERC HOLE DEPTH m CORPORATE RESOLUTION = PLANS THREE SETS = HOUSE PLANS - TWO SETS = VARIANCE REQUEST GENERAL m LEGAL SUBDIVISION SUBDIVISION APPROVAL CHECKED PERC STREET LOCATION DATE = FILL REQUIRED CD CURTAIN DRAIN REQUIRED =STANDPIPES = EX- APPROVAL SSDS ADJ. LOTS m WETLAND (TOWN/DEC PERMIT R & D) = DATA ON DDS PLANS & PERMIT SAME = PRE- 1969 - NEIGHBOR NOTIFIFICATION = LETTER BIIZBA = 100 YR. FLOOD ELEVATION `"SEWAGE SYSTEM PLAN - (NORTH OW) 'SSDS HYDRAULIC PROFILE GRAVITY FLOW 'b/ J BOX = TRENCH/GALLEY = P- PIT DETAILS SEPTIC TANK - SIZE, DETAIL WELL DETAIL, SERVICE LINE IF OVER CONSTRUCTION NOTES (GRINDER RATE) DESIGN DATA: PERC AND DEEP RESULTS TWO -FOOT CONTOURS EXISTING & PROPOSED TAX MAP # Z SCHARGE (OK) RC & DEEP HOLES LOCATED RESENTATIVE OF PRIMARY AND EXPANSION CD 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) = HOUSE SEWER - 1 /4 "/FT. 4"0; TYPE PIPE m NO BENDS; MAX. BENDS 45 W /CLEANOUT FILL SYSTEMS CLAYBARRIER 10 FT HORIZONTAL: SLOPE 3:1 TO GRADE FILL SPECS DEPTH GAUGES FILL PROFILE & DIMENSIONS VOLUME TRENCH LF TRENCH PROVIDED 0 FT MAX PARALLEL TO CO E100% EXPANSIO PROVIDED !'.TT ♦ Tf TTA1i TT[iT _ TTl1TTT .T Ali Ti ♦ 17 FIEkDS F 1010' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL 0' TO FOUNDATION WALLS 0 TO WELL, 200' IN D.L.O.D., 150' PITS D!?f00 TO STREAM WATERCOURSE LAKE (INC.EXPAN) 0' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 'TO WATER LINE (PITS -20') 0' INTERMITTENT DRAINAGE COURSE 00 FT. RESERVOIR, ETC.= 150 FT. GALLEY SYSTEMS SEPTIC TANKS DRIVEWAY & SLOPES CUT m 10' FROM FOUNDATION; 50' TO WELL. FOOTING /GUTTER/CURTAIN DRAINS COMMENTS: WELLS m 15' WELL TO P.L. 1j I 11111�11 y, 'Rot 0,/) IIA 0 rA 34. zz..- i -a_y_ -------- - - - - - - - - - - - - - _ ss,I�� Dze�D _ �?� �KcSf sSrJ,s �_� /� __ - ------------- ---------------- .. .... ...... ------- CHAIRMAN Richard Williams Telephone (914) 878 -6319 Fax (914) 878 -6343 PLANNING BOARD Routes 164 & 311 Patterson, New York 1250 July 5, 1994 TO WHOM IT MAY CONCERN: 9 3o� -) IJ Donald R. Striffler Michael V. Montesan r Mark Benko Andrew A. Andretta Secretary Margaret T. D'Esposit i ) 'r F i RE: DONALD MILL, Batavia Road Patterson, New York Under date of June 23, 1994, at a Patterson Planning Board meeting, a motion was carried to grant a Wetlands/ Watercourse' Permit to %utai_d Mill of Batavia Road. If further information is required, please feel free to contact our office. Very truly yours ter Marg r t T. D'Esposito, Secretary and WETLANDS /WATERCOURSE PERMIT TOWN OF PATTERSON Routes 164 & 311 Patterson, New York 12563 Date: 6Z24Z 4 Permit # 2-g4 Permit is hereby issued to (Name) Donald E. Mill (Address) East Branch Road, Patterson, NY 12563 to conduct work as follows: (Summary of activity /construction) Construction of driveway and well in wetland buffer zone in a Town Controlled Wetland /Watercourse in accordance with the approved application form and plans dated 6/20/94 The property is owned by Donald Mill and located at (Address of project site) Batavia Road, Putnam Lake GENERAL CONDITIONS _ 1. NO ACTIVITY SHALL BE PERMITTED WITHIN CONTROLLED AREAS EXCEPT AS ' IDENTIFIED IN THE APPROVED APPLICATION AND PLANS. 2. ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH THE NEW YORK GUIDELINES FOR URBAN EROSION AND SEDIMENT CONTROL ADOPTED BY THE TOWN PLANNING BOARD. 3. THE PERMIT HOLDER SHALL.NOTIFY THE ENVIRONMENTAL CONSERVATION INSPECTOR (E.C.I.), IN WRITING, AT LEAST FIVE BUSINESS DAYS IN ADVANCE OF THE DATE ON WHICH PROJECT CONSTRUCTION IS TO BEGIN. 4. THE PERMIT SHALL BE PROMINENTLY DISPLAYED AT THE PROJECT SITE DURING THE UNDERTAKING OF THE ACTIVITIES AUTHORIZED BY THE PERMIT. 5. THE BOUNDARIES OF THE PROJECT SHALL BE CLEARLY STAKED OR MARKED. IN ADDITION, ANY WETLANDS CONTAINED WITHIN THE BOUNDARIES OF THE PROJECT SHALL ALSO BE STAKED OR MARKED. 6. THE ENVIRONMENTAL CONSERVATION COMMISSION (E:C.C.) AND /OR THE ENVIRONMENTAL CONSERVATION INSPECTOR (E.C.I.) SHALL HAVE THE RIGHT TO INSPECT THE PROJECT FROM TIME TO TIME. 7. THE PERMIT SHALL EXPIRE ON COMPLETION OF THE ACTS SPECIFIED AND UNLESS OTHERWISE INDICATED SHALL BE VALID FOR A PERIOD OF ONE YEAR. 8. AS A CONDITION OF THE ISSUANCE OF THIS PERMIT, THE APPLICANT HAS ACCEPTED EXPRESSLY BY THE EXECUTION OF THE APPLICATION, THE FULL LEGAL RESPONSIBILITY FOR ALL DAMAGES, DIRECT OR INDIRECT, OF WHATEVER NATURE, AND BY WHOMEVER SUFFERED ARISING OUT OF THE PROJECT DESCRIBED HEREIN AND HAS AGREED TO INDEMNIFY AND SAVE HARMLESS THE TOWN FROM SUITS, ACTIONS, DAMAGES, AND COSTS OF EVERY NAME AND DESCRIPTION RESULTING FROM THE SAID PROJECT. SPECIAL CONDITIONS NONE ;! -SEE ATTACHED ISSUED BY: ENVIRONMEeAL CONSERVATION INSPECTOR DATE : 6/24/94 SUPERVISOR Michael Griffin (914) 878 -6564 TOWN COUNSEL Curtiss, Leibell, & Shilling (914) 225 -5598 Fax 225 -5946 ROUTES 164 & 311 PATTERSON, NEW YORK 12563 SPECIAL CONDITIONS Wetlands /Watercourse Permit #2 -94 Issued To: Donald Mill - Date: 6/24/94 TOWN BOARD Joseph Dirks Ernest Kassay Raymond 0' Neill John Owen TOWN CLERK Rose Beers (914) 878— 6500 Fax (914) 878-6343 1. All erosion controls will be in place prior to any work. 2. No spoils or runoff from the well drilling will be allowed in the wetland. PT.l NLA COUNTY DEPARMA= OF FaMM - DIVISION OF EIIRONM MIAs HEALTH SMVIC=',S L- NDDTICUPL W&= SUPPLY SUESURFP_CE STNIZ- E DISPGSAM SYST Y-9 ( °L P FIELD INSPECTION REPORT �/� DATE: / 2 �x //*' i JOB/ �G �JiG 4) INSP. BY: (NaIC� of Owner) tre-t Lccaticn ) INITIAL SITE INSPECTION i YES MNO C� Wetlands en /or proximate to pro_p°rrty .............. Prcce_rLy lines or corners found ................... Canestimate hcusa lc. .�.ti.cn ....................... Will drive*aay ne=e cut ....... ...................... trees be• rercved - note thesz ............... . Deep holes represe:itrtive of entire SDS are...... P.daticral deep holes ne_ed ...................... Sufficient'SDS area available considering driveaav cut, house lc<--- tion, separation di sta _c�s, etc.. . Adjacentwells /septics ............................ P_cco =s to orccos-ed well location for arillinc..... i Depth to G.W. Deoez to rock ` Soil rk---criDticn 3 ft. 9 ,ft. 12 ft. FINAL SITE INSP=ION D. R. 2 Lot Trep th to G.W. reath to reek D.H. - Ga_p HoLe G.W.- {-,rcLL &4ate. D.H. 3 _ Lo Dent1 to G.W. Uectz to rcc'_t Sail De_crinticn y� / 0 ft. -f/ - 0 ft. _ 3 ft. 9 ft - 6 ✓-7' 12 ft. DPSE: _ INSP.EY: House SSDS located per approved plan ............. Length of trench �--=ed Width of tren(:h average Slope of the line and trench acceptable .......... goon allowed for enxpansion trenches .............. Over100 ft. fran Ovaterccurse .................... Natural soil not stripped or SDS area unnecessarly graded ............................ 10 ft. maintained fran property line and 20 ft. fran house ...............' ............ Distance well to SSDS (ft- ) ...................... Number of bedrooms alecks ........................ Stones, brush, stuccos, rubble, etc -, greater than 15 ft. fran ne=_rzst trench ................ 15 ft. of peripheral soil horizontally fromtre*icn .................................... Foxes properly set ............................... Cculd surface runoff free driveway, rcaa_=, ground surface, etc., channel no=r SDS area.... Dees lot d_—air-age acce-r OK-,in area of SDS.:..... . TT„:,�r OF S]:'rE ... ni NO1 i 3 f t_ 6 f t. 9 ft. 12 ft. Sail De_cricticn i11 V 1.711AV Vl rtv V 11<lAVI.1t1Y I M I • ^ rti � 1l1 J.GLI V 11.J.'►7 DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE ICU. Owner Als2 ►�� w Address� 1�-7D_ Located at (Street) r�V(A Sec. ?�G.2Z Block �_ Lot jLf t7 Undi6ate n est cross street) Municipaiity Watershed�-o� SOIL, PE RCO=CN TEST DATA REQUIRED TO BE SUEMITI'ID W APPLICATICNS Date of Pre- Soaking i p Date of Percolation Test. 10 HOLE NL14BM C= TIME PERCO=CN 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 2 � � 3 252_ 1•. o I� 2 Z 6.0 4 _... 5 2 .2, 3 _ 2- I Z 12 - 3 4 6i s 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 sutmi.tte3 for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 WN-URNMEMEMMMr.02 G.L. 1' 2' 3' 4' 5' 6' 7' 8' 9' DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. HOLE NO. INDICkTE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED M /,q INDICATE LEVEL TO. WHICH MATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY:. DATE: DESIGN Soil Rate Used _'7 Min /1" Drop: S.D. Usable Area Provided No. of Bedrocros hj Septic Tank Capacity gals. Type evrJG Absorption Area Provided By L.F. x 24" width trench Other Name H7kr4� 1J� . N 1644Q1 S . �T i? - - - - Signature Address U 11u v rzev k.6 SEAL . "Lo OZZU -0 tVm UJco JJi ^rte �1R LL'GL]itil'11+LY1 _ VLYLi Soil Rate Approved a %p l� by. Date G3A130 M FA- �iU'z'NA.L`� C0'C7�TT�Z" bLP,A..�LTM)ErT'T Off' �E.A.X.'�')Fi APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name and Address of Applicant: 2. Name of Project: i��'UPD��r� �GJC75 3.•_• Location /C :�� .4. Project Engineer: 'J pLn � W. �I GN0��7�_. 5. Address: M1"tV1Dr:9 Oyle_o G NP License Number: Phone: 6 6. Type of Pro ect: Private /Residential Food _Service ....Commercial Apartments Institutional Mobile Home'Park Office Building ; t; Realty Subdivision Other (specify) 7. Is this project subject' to State Environmental•Quality Review (SEQR)? Type Status (Check One) Type I.-. Exempt ✓ Type II. Unl fisted. 8. Is a Draft Environmental Impact Statement (DEIS) reQu.ired? t�1U 9.,.Has DEIS been completed and found acceptable by Lead Agency? rJ /A 10:., Name of Lead Agency 11..,Is this project in. an area under the control of-local planning, zoning, or other officials, ordinances? ........ ...........•................... 12. If so, have plans been_'submii:ted to such, author .sties ? ....................... _ rJ /A 13. Has Preliminary approval been granted by such authorities? ��l� Date Granted: 14. Type of Sewage Disposal: System Discharge...... Surface Water y Ground Waters 15. If surface water discharge, what is the stream class designation ?........ _ O/A :6. Waters index number (surface) ........... ............................... ;7. Is project located near a public water supply system? ti '8. If yes, name of water supply Distance• tdwater supply , :9. Is project site near a public sewage collect ion or disposal system ?...... Uo .0. Name of sewage system QZA Distance to sewage system 1. Date observed: 23. Name of Health Inspector: •f. Project design flow (gallons per day) ................'..... lo�� 2 a. 25. is State Pollutant Discharge Elimination'System ( SPDES) Permit required ?.. QD 26. Has SPDES Application been submitted to local DEC Office? LVA 27. Is any portion of this project located within a designated Town or State wetland? ................................... ............................... 1,)l) 28. Wetland ID Number ... .. .................:........... oL4 29. -Is Wetland Permit - required?. .............. ............................... Has application been made to Town or Local DEC Office? .................. Nl� 30. Does project require a DEC Stream Disturbance Permit? ................... D 31. Is or was project site used for agricultural activity involving application of pesticide$ to orchards or other crops, solid or hazardous waste disposal;'' landfilling,'sludge application or industrial activity? .........YES or NO ' r.)0 32. Is project located-within 1;000-feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known•source of contamination? ..............YES or No K)d DESCRIBE: 33,. Is there: ,a local master plan. or fi le: with" the Town or Village ?. ............ 34. Are community water, sewer facilities planned to be developed within 15 years? UN KNA00 35. Are any sewage disposal areas in excess of 15% slope? ........................ _ 90 36. Tax Map ID Number .......................................................... rte' 37. Approved Plans are to**be: returned to: App-licant y"' _ Engineer If the application is signed by a person other than the applicant shown in Item.1, the. application must be -accompanied by y-a Letter of Authorization: Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury-- that information proyided on this form is true to the best of my know7edge and belief. False statements made herein are punishable as. a Class A Nisdem-eanor pursuant . to Section 210.45 of the Penal Law. SIGNATURES & OFFICIAL TITLES: "AILING ADDRESS:'%j{� -�WST. TV ill A LAURENT ENGINEERING ASSOCIATES, P.C. MILLBROOKE OFFICE CENTRE Route 22 & Milltown Road Brewster, New York 10509 R AM RANDOLPH W. LAURENT, P.E. 101A%278-6108 - (FAX) 278-2658 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS December 1, 1993 Mr. Wi 11 iarv. Hedges Putnam County Health Department 4 Geneva Road Brewster., NY 10509 RE: Individual SSDS Batavia Road Patterson, N.Y. Dear Bill: Enclosed are the +o1lowing: 1. Four (4) prints of Drawing SS--2 "Proposed SSDS11, dated 11-23-93. L. "Application For Approval of Plans For A Wastewater Disposal System". 3. "Construction Permit for Sewage Disposal System", dated 11-23-93. 4. "Application to Construct a. Water Well", dated 11-23-W-:,. W. "Design Data Sheet". 3 6. "Letter of Authorization", dated 11-23-913. 7. Two (2) copies o+ Residence Floor Plan(s), for "Bedr-000 Count Only". S. Check in the amount of $300.00, review fee. We would appreciate your review, approval and issuance o•f the Construction Permit at your earliest convenience. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. Ha /r jr., P.E. HtAq - b d 9:3077-1 enc. CC., Mr. D. Mill w/enc.. - APPENDIX 3 ?UTNAIM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET for CONSTRUCTION PERMIT dA.ME CF OWNER W -17 it l ' STREET ;AC.VT?C� lY 'G %, 9��- -�. -- --. __.... DATE TALC MAP N AUTHORIZATICN DATA SHEET(DDS) LOG CONSISTENT PERC RESULTS (;) PERC HOLE DEPTH E&RPORATE RESOLLMON AL FILL REQUIRED ^'= IJR Il'� IJIRFD F ARGE (OK) LAC & DEEP HOLES LOCATED -� Z05 Q- REPRESENTATIVE OF PRIMARY ACID- - -- � -ON �EV REA; SHOWN; GRAVITY FLOW, SUFF�SIZ1; •..C—T-iW- P&-MPED PIT & D BOX SHOWN & DETAILED . F - NO. OF BEDROOMS ." LLS & SSDS'S WMN 200 FT. OF PROPOSED SYSTEM PRnpt4ES SETBACK NECESSARY PIPE NO BEDS; MAX. BENDS 45 W /CLEANOU FILL SYSTEMS ' TB-ARRIER of " 10 FT HORIZONTAL: SLOPE 3:1 TO GRADE FILL P VOLL C DRAIN REQ STA''tDPIPES PROVAL SSDS ADJ. LOTS TRENCH TRENCH PROVIDID � WETLAND (TOWN/DEC PER-NET R & D) "�L -uY i- TA ON DDS PLANS & PERMIT SAME_ PR- #LLEL TO CONTOURS ..1969 - NEIGHBOR NOTIFIFICATION 4i E-1-1 1009', E\TAINSIONPROVIDED L.E:[TER BI/ZBA A" SEPARATION DISTANCES SPECIFIED ON PLAN L00 YR FLOOD ELEVATION //` UIRED_DETAILS ON PLANS �FIELDS X�,42—TO ' TO�.L., DRIVEWAY, LARGE TREES, TOP OF FILL VE SYSTEM PLAN - (NORTH ARROW) PROFILE � FOUNDATION WALLS ` ' ,,r,-.,DRAULIC GRAVITY FLOW - 1'6D'°I°�'tiVELL, 200' IN D.L.O.D., 150' PITS BOXm TREN CH/GALLEY M P- PIT DETAILS °TANK 0 STREAM WATERCOURSE LAKE (INC.EXPAN), - SIZE, DETAIL CATCH BASIN, 35' STOR-NfDRAIN, PIPED WATER AIL, SERVICE LINE IF OVER NSTRUCTION NOTES (GRINDER RATE) 40 WATER LINE (PITS -20') 55- 0- -L�+TERMITTEtiT DRAINAGE COURSE 1E.3ituN DATA: PERC AND DEEP RESULTS `°� � . - • .. � e CD 20D� Fi. RESERVO`I'R; ESC -.m .1.50 F,,,��:�GALLEY SYSTEZIS `F'bOT CONTOURS EXISTING & PROPOSED SEPTIC TANKS t Z_YAY & SLOPES CUT M'10' FROM FOUNDATION; 50' TO WELL N DRAIN PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 2� , Re: Property of / ► ' �/ MIA- Loc.ated at (T) - d Section W. �/,, Block ( Lot 41 A *el Subdivision of Subdv. Lot # Gentlemen: Filed Map # Date This letter is to authorize }-AeF :� W �� Gj� 11E a duly licensed professional engineer L' 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, rulea or regulations as promulagated by the Commissioner of the Putnam County Department of Health,' and to sign all necessary papersi 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. Countersi P.E., R.A., Pao. 55 124 �FE�91L1Ve� Address,` 2`Z- Telephone Very truly yours, WIddress Town Telephone ---- I LAURENT ENGINEERING ASSOCIATES, P.C. MILLBROOKE OFFICE CENTRE Route 22 & Milltown Road Brewster, Now York 10509 RANDOLPH W. LAURENT, P.E. (914)278-6108 - (FAX) 278-2658 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS ADJACENT PROPERTY OWNERS TO DONALD E. MILL EAST BRANCH ROAD PATTERSON, NY 36.22-1-42 Oberman & Klein 101 W. 31st Street New York, NY 10001 36.22-1-43 Schulze, Robert & Carole Empire Drive Patterson, NY 12563 36.22-1-44 Pappas, Katherine & Calliope 124 Bermonds Road `.New Cityll NY'. 10956 36.22-1-31 DiPrinzio, Bernie 22 Veterans Road Patterson, NY 12563 :36.30-1-5 Dal o, Frank & Petrina Fairfield Drive Patterson, NY 12563 J FORMAT Date 1 -12 -94 NEIGHBOR NOTIFICATION - CONSTRUCTION PERMIT RE: Department of He halt Review of Dalo, .Frank & Petrina . Proposed Sewage Disposal System '= Fairfield Drive for property: Patterson, NY 12563 Name:. Mr. Donald-E. Mill` Address: East Branch Road - Town: Patterson, N.Y. 12563 ...Tax Map: 36.22 -1 -49 & 50 `= Mr: &Mrs.'Dalo: Dear Please be..advised-. that an application' -for a Construction Permit relative:,.to the;;,c,ons.tructien.:of.. a;.,se'wage. system and /or well proposed: for... ttie ..::'captoned:'propertyFehas been :made to the. Putnam. >W :.• Courity,:. Depar•tme:nt`: -: of: Health . Attached _::please'.. f ind : a :copy of '.la. test` site /p`lan. If you have: any: questions ,= .coneerris:or.information which may bear on the 'Health Departmen£'s."review .of :this application, 'you may call Mr. .Hedges or Mr. Morris of the.Health Department at 27$;'6130':_;: Very• truly yours, By Title Ag t R RECEIVED BY:: Address: Tax Map: . JK; c j �::;` FORMAT.: Date 1 -12 -94 'NEIGHBOR NOTIFICATION ,S CONSTRUCTION PERMIT DiPrinzio, Bernie RE: Department of Health Review of 22 Veterans Road Proposed Sewage Disposal System Patterson, NY 12563 for property: . =. Name : Mr. Donald . E. Mill Address:'. East' Branch` Road =: Town': Patterson,' N.Y. 12563 =" Tax Map: 36.22 -1 -49 & 50 Dear Mr. DiPrinzio: Please be advised that an application for a Construction. Permit relatti.we:; to the 'constructi.on of a.:_sewage..system and/or-...well proposed -for:,' the::. captioned:: property- has 'been.:' made .to. the..Putnam. County - Department of Health`. Attached lease find a co } P P py of the:. i Tat.est site. lan.. :.... If you.have..any. questions, concerns or= information. which Ymay. bear f 1' on the Health Department's review of :this.: applicatiori;:'you' may >•f. call Mr: .Hedges or Mr. Morris of the Health Department at '278b130' Very truly yours, By T•it le Agent RECEIVED BY: Address: Tax Map: JK;cj ..j :4 j.. ..j :4 Pappas, Katherine & Calliope: 124 Germonds Road RE: Department of Health Review of New City, NY 10956 Proposed Sewage Disposal System for property: Name: Mr. Donald E. Mill Address:' East Branch Road Town: Patterson, N.Y. 12563 ..Tax Map: 36.22 -1 -49 & 50: Dear Mr. & Mrs.. Pappas: Please be advised that an .application for a Construction Permit relat'ive.to the..con.struction::of _a sewage system and /or well proposed for ;the. cap tioned- property.. has . been made to the Putnam County, Depar ment_.:of.. Health:. Attached please .fAnd. a copy, of latest site plan; If you have any. quest ions,''concerns-:or: information' which may bear on the Health'D,epartment's. review of this application, you may call Mr. .Hedges or Mr. Morris of the Health Department at -27$= 6iM.;� Very truly yours, By Title Agent RECEIVED BY: Address: Tax Map: JK;ej FORMAT. Date 1 -12 -94 •NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT Oberman & Klein RE: Department of Health • Review of 101 W 31st Street Proposed Sewage Disiposal System New York, NY 100D1 for property: Name: Mr. Donald E. Mill y ti Address:* East Branch Road Town: Patterson, N.Y. '12563 Tax Map: 36.22 -1 -49 & 50 Dear Oberman & Klein: ' Please be advised that.an application for a Construction Permit relati.ve..to the construction. of.a'.'sewage.. system .and/or well s- proposed: for.: the. : cap tioned .property.:: has been . made 't6. the, Putnam `= County: Department of; Health Attached please: find.: a latest'. site plan If :you have. any. questions', concerns. :or; information. which may bear x on :. the Health Department I s.'- review, of . this application, you may 145 call Mr. Hedges or Mr. Morris of the .Health Department at -274`= 6130 -; =` Very truly yours," By L, Title Agent F- RECEIVED BY: i.- Address: r =: Tax Map: =: JK; c j �: IVI�WAY 41�GiIPR N -T.`'2. ki l ti10T� ND �U� -TNFr IuTr�tI,IDN t3Y QjUII.f�IW�{ I�1Pf DV�M�Ni°�r OTNC�- THaN 'rQNO°iGAi'll -Ilq hNAl -t- {��E 61?r�e: t�I "fN� (GDW'(rvL Arr-A . D � 3 2 / Z 13� r/ /%L. IS, >l t% sly s� SSG: i Y fi� f �o y �- �rirlJr/� /`'i9 d0,+ r D G Ex.17T. N OL - 0�2 stir r^v I. V �_ EXISTING �VILDING �� PIZOP05ED t3UILDING EXISTING, GRADE PROPOSED raRADE. +szo.so rFZ.OP. SPOT GRADE rzo. d Fo ROOF DRAIN 4 FOOTING DK.AIN $ PT. PEKC. TEST LOCATION IIIi T.P TEST PIT LOCATION FWFIOSEt' WtrLL rXI5TIW6T WEI-L tiXl�i- ;Ihlc� X175 )� t'R�Pvs>✓r7 ga175 j- YIS, -WAU.- Rev. 5-26 -" PEV..4 _ 19 -14 \ � Kr V. 3- II -1.1 Izt5v.l,lD,g4 PROJECT PROPOSED SSDS OA -TAVIA (zOAt7 PATT>% CLIENT DOWAIX) r, MIt-t- ti. Ofvmj e N j2DAV WY LAURENT ENGINEERING ASSOCIATES, P.C. /&PPIloA. ev("1. . / pow t I S� �p CHECKED By Route 3 Milltown y� 1 509 Brews;cr, New York 10509 fcws r, (914)278-6108 - (FAX) 278-2658 CONSULTING SITE ENGINEER: AU,4 l7 iP�.G Q < — 64, 4°O hou p P.v. fi� f �o y �- �rirlJr/� /`'i9 d0,+ r D G Ex.17T. N OL - 0�2 stir r^v I. V �_ EXISTING �VILDING �� PIZOP05ED t3UILDING EXISTING, GRADE PROPOSED raRADE. +szo.so rFZ.OP. SPOT GRADE rzo. d Fo ROOF DRAIN 4 FOOTING DK.AIN $ PT. PEKC. TEST LOCATION IIIi T.P TEST PIT LOCATION FWFIOSEt' WtrLL rXI5TIW6T WEI-L tiXl�i- ;Ihlc� X175 )� t'R�Pvs>✓r7 ga175 j- YIS, -WAU.- Rev. 5-26 -" PEV..4 _ 19 -14 \ � Kr V. 3- II -1.1 Izt5v.l,lD,g4 PROJECT PROPOSED SSDS OA -TAVIA (zOAt7 PATT>% CLIENT DOWAIX) r, MIt-t- ti. Ofvmj e N j2DAV WY DRAW.•iG - ^,E PROPOSED SSDS SCALE, LAURENT ENGINEERING ASSOCIATES, P.C. DATE pF NF MILLBROOKE OFFICE CENTRE K� S� �p CHECKED By Route 3 Milltown y� 1 509 Brews;cr, New York 10509 fcws r, (914)278-6108 - (FAX) 278-2658 CONSULTING SITE ENGINEER: DRAW.•iG - ^,E PROPOSED SSDS SCALE, - ,______.1^ry DATE pF NF WI DRAWN BY K� S� �p CHECKED By HWW y� `c/ e'Ool `'", - Lam. /%.7— ' 5zooW i GIO.L yp fJ 47' — — 48'. — -- —_— - - -- — —,, It"s 5�p'(IG A1GKd¢Y Iq � • � � � it �i 1 � � � \\ 3 �8'tNca!o¢Y 0 6\ ;1 O . J O` m' 1\ It° 4 Q FRZ PAW' TAX SJ DES 2E5 501 L APPL AB: Ri PI TE� HOLE H01,� A HGLC � 3I /00 °EXP lb 6 9 0 . h 7 -9gS THE iTYF 7 3 4 fHES 48' = q Sq Ro01.3 0, ;!7 R: 208 //e "�W v $TONE WALL ANS /ON AREA 5p�'�pr U CAR EX /STING B PORT RESIDENCE gco)n /000 GAL. 35 • SEPTIC TANK A �RJ � R3� W Vhf AS -BU147 D144EAISION CAIAR7' (/N FT.) THIS IS TO CERTIFY THAT THE SEWA4 E D/SP05AL SYSTEM WA5 CON5rRUCTEO AS INDICATED ON TH /S PLAN AND THAT THE SYSTEM W,45' INSPECTED BY ME BEFORE Ir w.4s COl1ERED OVER . THE SYSTEM WAS CONSTRZICTE0 IN ,9CCOfZOANCE W 1r11 ALL STANDARD . RULES AND REGULATIONS OF THE PUTNAM COl/IVTY,DEPARTMENr OF HEAL 7H ,IND THE NEW YORK STATE OEPARTMENT OFHEALTH. IVOTE: 1-/OUSE G OCA TION BASED ON •• SUA'v Oz ,FOPZkF7 P4EPAk'ED BY TERRY BERGE/VD0,4FF COZZINS DATED 9-//-96 A 2 5.o' 32.o 2 73.0 X8.0 3 75.o. 6 7.5 4 7G. 5 (�8•. o 5 29.0 21.5 33.o 20.0 7. 120.0 115.5 8 /2/.0 Hco,o 88.0 ' 79.0 THIS IS TO CERTIFY THAT THE SEWA4 E D/SP05AL SYSTEM WA5 CON5rRUCTEO AS INDICATED ON TH /S PLAN AND THAT THE SYSTEM W,45' INSPECTED BY ME BEFORE Ir w.4s COl1ERED OVER . THE SYSTEM WAS CONSTRZICTE0 IN ,9CCOfZOANCE W 1r11 ALL STANDARD . RULES AND REGULATIONS OF THE PUTNAM COl/IVTY,DEPARTMENr OF HEAL 7H ,IND THE NEW YORK STATE OEPARTMENT OFHEALTH. IVOTE: 1-/OUSE G OCA TION BASED ON •• SUA'v Oz ,FOPZkF7 P4EPAk'ED BY TERRY BERGE/VD0,4FF COZZINS DATED 9-//-96