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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.23 -1 -24 BOX 17 �T .�... .ij, 01927 1d it PUTNAM COUNTY SEPTIC REPAIR PROGRAM DESIGN DATA SHEET — SUBSERVICE SEWAGE TREATMENT SYSTEM V.. ddiess:.:�ZS- ��. Town Tax ID SOIL PERCOLATION TEST DATA Date of Pre - soaking /! /� 3 %j Date of Percolation Test Hole No. Run No. Time Start-Stop Elapse Time (Min.) Depth to Water From Ground Surface (Inches) Start Stop Water Level Drop In Inches .Percolation Rate Min/Inch to Mir a , a 2 9 59 — 9.53 z t 2 y 3 �3 4 5 yD 1,7 LI J -I o 0o 7, r,.:. fa 1 6 3 it "00 -Ibz -d 8 r.iN to - f 4 1 2 3 4 .5 NOTES: 1.- Tests to "be'repeated at same depth"until � ap proaimately equ1l Percolation test hole. (i.e. S 1 min. for 1 -30 min/inch, S 2 min. for 31- 60 min /inch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. Design Data Sheet 11/09/05 11- 12 -'08 08:40 FROM -PC. Septic & Repair 845 - 278 -2318 T -412 P003/'004 F -28) 'LORETTA MOLJNARI, RK, MSN �tt`w YQ ROBERT MORRIS, `\ Associare Commissioner ofReolth Director o ` f Erry ;ronrreotQl Q 'P-A� RT-d�I ENT ; =�-;;z- -H — A LTH 1 Geneva Road, Brewster; New York; 10509 REOLUEST FOR F.iELID TESTING All information below most be ful% completed prior to al,y scheduling. DAiE: ENGINEER OR FIRM.- PRONE 4 7 PERSON TO CONTACT: O NEW CONSTRUCTION 006PAIR PROGRAM 13 ADDITIONTRACRAA4 REASON: DEEPS: 0 PERCS: C`' PUIV P TEST: Q TOWN: CC STMDr ISION: TAX MAP #; 3 6 LOT #: OWNER: L C�4 r� s NYCDE11 CRITERIA FOR JOINT REVIEW AND WITNESSZN'(y_OF SOI TE9TW YES 1V�0 . .. - • D Proposed SSTS'.within'the' drainage basin of.W. . st Dxanch or Boards Corner Croton Fails Reservoirs- q ': Fro posed SSTS within 500 feet of a rese oir,.resexvoi•>r steps orrcoritrol lake. Q Proposed SSTS within 200 feet of a-watercourse or a DEC wetland. 0 Proposed SSTS design flow greater than 1000 gallons /day or SPIES Permit required, 0 Proposed SSTS for a Comfuerdal Project. It is'the responsibility of the design professional to provide the above'information prior-to soil testing, The Department will detersnhie the NYCDEP project status (mint or Delegated) based o1a the response, If you a>aswered l's to. any of the qulesdons, NYCDEP must witness the soil tests. This Departmer>tt will coordinate ,% . mutually suitable time for field testing ivith the Design. F r6fessional and NYCDEP. •:.:.;.• Tf. a Project .has,wbeen �detez��gd-. to..,„ be.., �elg�at�d ,..based_.o^��_,�l,,e_�boyg ..���R����.�,�,�s3 �hen� .su[bs�gtlent..- .:_,•::•:.• information iudreates NYCDEI' is regrYired to w$tlnes8 the soil tests, it will be the sole responsibility of the design professional io schedule m- witriessing of the soil testing with NYCDEP. d�j C USE ONLY DATE: / J 0 x1M: CO1kCMENTS R&0: r6kFMLD YES0IC:Y,1,Y Snv►ronmental Health (845) 278 -6130 Fax (84S) 278 -7921 Water Sapply Section (845) 2255196 Fax (84S) 225,5118 Nursing Services (84S) 278 -6558 Fax (84S) 278 -6026 WIC (841) 278 -6678 Nursing ifome Care Fax (945)278-608$ Curly Intervention /Preschool (845) 278 -6014 Fax(845)278-6648 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: 6 ft h a t a V 1 Address: Located at (street): 1-514 v' -' .D TM # Section: Block ' -Lot A y Municipality: %}P %t f �� Watershed: (,4 4,r- P/ �" A `j SOIL PERCOLATION TEST DATA Witnessed by: L CA, J Date of Pre - soaking: Date of Percolation Test: Hole No. Run No. Time Start — Stop Elapse Time (min.) Depth to Water from ground surface (inches) Start - Stop Water level drop in inches Percolation Rate min /inch 1 2 .3 . . 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 Notes: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e., < 1 min for 1 -30 min /inch, < 2 min for 31 -60 min /inch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. • r .;hect , 0f_�_. PIJ'Y'NAM COUNTY DEPARTMENT OF.HEALTY1 D.IV SJON OF EN.VIRONM EIS.T- AL ;..II]EA.T— LT-I!SERVI.C-..:ES., -. FIELD ACTIVITY' REPORT N A MP: 14IV 40 Dj Tel: ATITIRFCC; v A:,:f i L � / Al D il. Street Town. State. Zip PERSON IN CHARGE 11G 6 Name and Title TYPE OF FACILITY: S"y FINDINGS: PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE TREATMENT SYSTEM REPAIR -interna!_Use...Onl ? RMfT_ = ❑ Repair Permit issued in last 5 years ❑ Not in Watershed ❑ ❑ Repair within Boyd's Corners, W, Branch or Croton Falls Res. ❑ Delegated ❑ ❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland ❑ Joint Review SITE LOCATION ISO TOWN j�u t 4..,�., TM #_2_L OWNER'S NAME t� PHONE # 2 9 /Y MAILING ADDRESS SG/L APPLICANT Name & Relationship (i.e., owner, tenant, contractor) DATE Z 6 FACILITY TYPE PCHD COMPLAINT # PROPOSED INSTALLER PHONE # ADDRESS REGISTRATION /LICENSE # Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the repair, , as owner,agree to the conditions stated on this form SIGNATURE 6l) TITLE DATE (owner) I, the- septic installer, agree to comply with the conditions of this. permit for the septic system repair SIGNATURE TITLE ^ DATE 12 D D (installer) Proposal approved with the following conditions. 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing_ : a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal, Concrete septic tank, etc.) d, Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Approved Inspector's Signatore Repair proposal Ls in compliance Proposal Denied ❑ Date codes Yes Expiration Date O No V / COPIES: PCHD; Owner; InstaIVr PC -RP 99ML Rev. 2107 4 Robert J. Bondi W Cris Dellaripa County xecutive tY Projects Coordinator a Edwrd Barnett,....: . _„�. ..... Y 4�._..� � �-. . r-.. : - � Me•Pal�:no Watershed Inform Office Information Coordinator Manager PUTNAM COUNTY SEPTIC REPAIR PROGRAM 100 Rte. 312 Bldg. #4 Brewster, NY 10509 Date: Q PCDOH Attn: Michael Budzinski 1 Geneva Rd. Brewster, NY 10509 Dear Mr. Budzinski; We wish to report that the following job: Permit # ": % Name .e_ 'J_d-S Address 11rd 4..f, 0--1 L Town �c 41w- e- r�;,�' 4,f.\ Tax ID# has. been_ completed as per the approved drawings: As -Built Attached: Yes No !�•-3 � ' ! ems, iJ�i � (^�....- r %1 �) .. Signed CC: Dan Shedlo, P.E. Telephone: (845) 278 -8313 Fax: (845) 278 -2318 Revised: 6/23/08 0 AS BUILT 7/10/09 150 Haviland,Dr Patterson, NY Granados RFB# 130577 Proj# 040720096 A B. X 1 _ z - 3 \ . • 4' 1 5 A B 1 29 27' 6" septic tank clean out 2 32 31 septic tank filter 3 37 36 pump chamber .4 40 40 pump chamber 5 64: 44 peat modules - visible X electric control panel Installed by Mancini- Ciolo, Inc- e PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES j ¢INITIAL INDIVIDUAL /COMMERCIAL SITE INSPECTION FORM SECTION A. GENERAL INFORMATION P Name of Project_ ProJ j County ) ) t3' Site Location �/� „n,�•✓� , Building construction begun Y Extent t9+ ” Is property within NYC Watershed ? ................. ( \/I Yes F-1 No SECTION B. TOPOGRAPHY (Please check all appropriate boxes) I. a Hilly F7 Rolling [7 Steep slope • (Gentle slope a Flat 2. F-] Evidence of wetlands 0 Low area subject to flooding F--] Drainage ditches Rock outcrops 3. Property lines or corners evident ....................... ............................... 4. Do water courses'exist on or adjoin the property? ............................ 5. Will these affect the design of the sewage system facilities ?............ 6. Do watershed regulations apply in this development ? ....................... 7 Will extensive grading be necessary? ................. ............................... 8. Will extensive fill be necessary for SSTS? .......... .....:........:................ 9. Do filled areas exist within the SSTS area? ........ ............................... If yes, what is the condition of the fill? SECTION C. SOIL OBSERVATIONS / Bodies of water Ell/yes . F--J No dyes F7 No Yes No ErYes 0 No Yes � No F yes . dNo 0 Yes • �No 10. Appearance of soil: ( Sand r7 Gravel Loam F-� Clay a Hardpan F-] Mixture 11. Observed from: Borings Bank cut E:5a Backhoe excavations 12. Soil borings /excavations observed by on l® 13. Depth to groundwater on //j :f:zn,_ - 14. Depth to mottling_"-? on 15. Are test holes representative of primary & reserve areas ................. [� Yes a .................... `�'-' No 16. Soil percolation tests made.by 17. Soil percolation tests witnessed by SECTION D (on back) on on Form ST -1 4 2 SECTION D 'I)RAIl`AJGE 18. Will proposed grading materially alter the natural drainage in this or adjacent areas? F7 Yes ®No 19. Will groundwater or surface drainage require special consideration? ............... ....... Yes ffNo 20. Will gullies, ditches, etc., be filled and watercourses be relocated ? ............. ............. 0 Yes No SECTION E. REMARKS 21. If a common water supply is proposed, has an inspection be n made of the existing or proposed source and facilities ? .................. .... ............................... a Yes F7 No Inspection data 22. Do adjacent, wells and/or 23. Additional comments es 0 No 24. Site observer /inspector and title U1 A 25. Date(s) of observation(s)inspection(s) Q Jt TEST PIT PROFILES Hole # # Hole # Lot # Hole # Lot # -4-Lot Depth to water Depth to water Depth to water i Depth to mottling_ Depth to mottling Depth to mottling Depth -to r6ck/imp.` �`'` Depth to rockhmp. Depth to rock/imp. G.L. G.L. G.L. 4 I 0.5 0.5 0.5 1.0 1.0 1.0 �� ssll 2.0 lip. lJ" 2.0 2.0 3.0 3.0 3.0 4.0 f AA A 44 4.0 4.0 5.0 -A 5.0 5.0 6.0 A 6.0 6.0 7.0 7.0 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 10.0 10.0 uawx SHERLITA AMLER, MD, MS, FAAP ROBERTJ. BONDI commissioner of Health County Executive LORETTA MOLINARI, RN, MSN ROBERT MORRIS, PE Associate Commissioner ofHeolrh Director of Environmental Health DEPARTMENT OF HEALTH' 1 Geneva Road, Brewster, New York 10509 REQUEST FOR FIELD TESTING All information below must be fully completed prior to any scheduling. DATE: /� ENGINEER OR FIRM: eC , S PONE PERSON TO CONTACT-: C,► ❑ NEW CONSTRUCTION [3 PAIR PROGRAM ❑ ADDITION'PROGRAM REASON: DEEPS: �ERCS: ❑ PUMP TEST: ❑ . ROAD /S THE -Eq'.�W..Q.,:..�I..�,.r .�:..:.:.:�_.. - .. x.._..._.. w....__....._._,._........._.. m...,....__._.. a_. v.._......_..... ,...,..__v._....__.r_..,..,..,. TOWN: �� �s �-, TAX MAP #: SUBDIVISION: LOT #: OWNER: a Y-\ C 6 3 NYCDEP CRITERIA FOR JOINT REVIEW AND WITNESSING OF SOIL TESTING YES NO . O Q Proposed SSTS within'the drainage. basin of West Branch or Boyds Corner & . Croton Falls Reservoirs. O Proposed SSTS within 500 feet ofa reservoir; reservoir-stem or co>utrol-lake."" O Proposed SSTS within 200 feet of a watercourse or a DEC wetland. O Proposed SSTS design flow greater than 1000 gallons /day or SPDES Permit required. O Proposed SSTS for a Commercial Project. It is the responsibility of the design professional to provide the above•information prior•to soil testing. The Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If you answered Les to any of the questions, NYCDEP must witness the soil tests. This Department will coordinate a . mutually suitable time for field testing with the Desigii Professional and NYCDEP. If a_pro�ect has,.: been-determined tobe._Delegated basedonYtheaboye ergo. se^._aAd _ then_ s_ubsegaent..;_......: information indicates NYCDEP is required to witness the soil tests, it will be .the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYCDEP. FOR COUNTY USE ONLY DATE. TIME: COMMENTS REQ. fOAFfeLD TESTINO:KI.Y Environmental Health (845) 278.6130 Pax (845) 278 4921 Water Supply Section (845) 225 -5186 Fax (845) 225. -5418 Nursing Services (845) 278 -6558 Pax (845) 278 -6026 WIC (843) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax(845)278-6648 A 8060 5F :t- 0,185 �AC6�St 4�'. \1�. GGw. 51VII5 92r7O J IQ CIA 27. •February. 4, 2009 Michael Budzinski, P.E. Departonent of Putnam County Department of health Envi,ronrnental 1 Geneva Road Protectton Brewster, New York 10509 F , 465 Columbus-Avenue,, Re: Granados Residence- S STS-PCRP Valhalla New York ' iosss,sss' - 150 Haviland Drive, (T) Patterson TM # 36.23 -1 -24 East Branch Reservoir Drainage Basin DEP Log # 2008 -EB- 2454 -DJR.1 Steven W.-: L Uts'`` Acting ;Comm)issioner Dear Mr. Budzinski: TeL (718) 595 -6565 Fax (718) 595 -3557 This letter is to inform you that New York City Department of Environmental Protection (DEP) has no objection to the approval of the above- referenced regulated activity, subject to the following conditions: e The owner must maintain an effective septic tank pump -out schedule Bureau of Water Supply until the subject repair is completed. o The subject repair cannot be used as a system to provide sewage Paul t y p Rush, P.E. ut Dep treatment for new construction or expansion on site. - Fax(91'4) J41 0348 `,' 9114) 742 2001 This determination is based on the review of submitted documents including the Fax drawings titled "Subsurface .Sewage Treatment System Repair ", Granados _.. - " Residence, 150 Haviland Drive, TM # 36.23 -1 -24; Town of Patterson; Putnam County, New York, dated September 22, 2008,. If you have any questions regarding this matter, I may be reached at (914) 742 - 2055. Sincerely, Danny Shedlo, P.E. Civil Engineer III Wastewater Design Review xc: Roger Sokol, P.E., NYSDOH yon "MY °�T Michael Meyer, NYCDEP EOH Planning dapa o r°^ Edward Barnett, PCSRP Watershed Information Coordinator � Chris Dellaripa, PCSRP Inspector R�'VMENTAL PRA ww w.nyc.gor /d P (7 18) - ,DEP -HELP. SHERLITA AMLER, MD, MS, FAAP Commissioner of Health a LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster; New York 10.509 �J ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health February 4, 2009 Chris Dellaripa Putnam County Septic System Repair Program 100 Route 312; Building # 4 Brewster, NY 10509 Re:. Septic Repair Permit (WS- 294 -08) for .Granados at 150 Haviland Drive (T) Patterson, T.M. # 36.23 -1 -24 Dear Mr. Dellaripa: This Department, in conjunction with the NYCDEP, has received and reviewed the submitted repair permit, engineer's report and plans for the above referenced project. The. repair permit is hereby approved with the following conditions. 1. The owner must maintain an effective septic.pump -out schedule until the subject repair is completed. 2. The septic system repair shall be fully constructed and completed in compliance with the approved permit and engineering. plans: _:.... _. wr....._:. . 3. The Health Department shall be notified when constructions starts on the system and also notified prior to backfill of the system. 4. The subject repair cannot be used as a system to provide sewage treatment for new construction or expansions on the site. Should you have any questions concerning this matter, please feel free to contact this office. Respectfully, Michael J. Director of MJB:kly cc: D. Florance; RA D. Shedlo, DEP MAB Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Far (845)278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 ti Fax:914-773-0343 3 iialy -2009 dzinski, P.E. C . )untybepmtnent of health Feb 4 2009 10:04 . P.02 Jew York 10669 iados Residence-9STS-PO"' 4avi'land, ;D,ri*v'"C,'*-'('T',5Pat'ter''S'O""a �36.23-1-24 OTanch Reservoir Drainage Basin Log # 2008-tB-2:454-!)JR,. I 3udzindd: is to inl.ohxi you that New York Cit..y-*)Depaftmi' aviromell (pF�P) has no objectio'n to theap�iov':`al of &6 ;d ictivity,sAtjeci tot e following conditions. e. owner must maintain an effective septic UMP tank 1 -put'50aedu16 . . ! I 11 the subject repair- is, completed. t,- subject r . epair cannot be used as a system, to provide. sewage ;' ' ' !' : . I.,. . . . .., —. � fitment for new construction expansion on site. Minatioa.is based on the review of submitted docuni'ejt,h-1'614 din e -I'Subsurfice -Sewage -Trmtm .0p ........ itled i�4 §Yst-em, �J- �h ab 150 Haviland'I)Tive 1 4 #36.23-1-24- own o Patterson, ew York, dated Sepfemberll 2009.,. a 0 1144 74 .-.any questions regarding this mMtcr, I may be reac eat jv ;dlo, P.E. J Ji ,er 1H N Des' 1910L Review Sokol, P.E., NYSDO14 tel Meyer, NYCf)EP E0 Planning rd Barnett, PCSRP Watershed Information Coordiu� *or, Del.laripa, PCSRP Inspector . A' Z r q 4-p 9111..��11'1 AN 6� v J. 3udzindd: is to inl.ohxi you that New York Cit..y-*)Depaftmi' aviromell (pF�P) has no objectio'n to theap�iov':`al of &6 ;d ictivity,sAtjeci tot e following conditions. e. owner must maintain an effective septic UMP tank 1 -put'50aedu16 . . ! I 11 the subject repair- is, completed. t,- subject r . epair cannot be used as a system, to provide. sewage ;' ' ' !' : . I.,. . . . .., —. � fitment for new construction expansion on site. Minatioa.is based on the review of submitted docuni'ejt,h-1'614 din e -I'Subsurfice -Sewage -Trmtm .0p ........ itled i�4 §Yst-em, �J- �h ab 150 Haviland'I)Tive 1 4 #36.23-1-24- own o Patterson, ew York, dated Sepfemberll 2009.,. a 0 1144 74 .-.any questions regarding this mMtcr, I may be reac eat jv ;dlo, P.E. J Ji ,er 1H N Des' 1910L Review Sokol, P.E., NYSDO14 tel Meyer, NYCf)EP E0 Planning rd Barnett, PCSRP Watershed Information Coordiu� *or, Del.laripa, PCSRP Inspector . A' Z SHERLITA AMLER, MD, MS, FAAP Commissioner of Health. LORETTA MOLINARI, RN, MSN Associate'Commissioner of Health ROBERT J. BOND[ Court Executive ROBERT MORRIS, PE Direetor of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 TO: 'DEPARTMENT OF ENGINEERING AND DESIGN REVIEW PRIORITY - SEPTIC REPAIR DELEGATION STATUS - FOR SUBSURFACE SEWAGE. TREATMENT SYSTEM PROGRAM JOINT REVIEW PROJECT: - � Aj �Ci � � Lei TOWN: 7k�zso� SUB'D APP DATE 0 DATE: ❑ Within the drainage basins of West Branch, Boyds Corner Reservoirs or Croton Falls. ❑ Within 500 feet of a reservoir, reservoir stem or control lake. Within 200 feet of a watercourse or a DEC wetland and appearing on a subdivision map approved after December 3) 1, 1992. ❑ Design flow greater than 1000 gallons /day. ❑ Commercial SSTS. jtreviewrepalr Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (815) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITAAAMILER, MD, MS; FAAP Commissioner of Health.. LORETTA MIOLINARI, RN, MISN Associate Commissioner of Health January 5, 2009 Douglas Florance, RA MissionArts Design Group 2 Raymond Drive Carmel, NY 10512 Dear Mr. Florance: . DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ra ROBERT J. BONDI County Executive.._. _. ROBERT MORRIS, PE Director of Environmental Health Re: Proposed SSTS Repair for .Gra:nados at 150 Haviland Drive . (T) Patterson, TM # 36.23 -1 -24 This Department, in conjunction with the NYCDEP, has received and reviewed the submitted application and plans for the above referenced project and the following comments are offered for your consideration. The second sentence on page 4 of the engineer's report is incorrect. �'2. A design percolation rate of 30 minutes per inch is specified on page 2 of the Pump Calculations which is incorrect. A minimum separation distance of 50 feet is to be provided from the catch basin to the peat unit gravel pad. -4. Note # 10 on theYplanis to.be'revised since the top of the peat units are to be exposed -and . j . not backfilled. Please refer to the attached NYCDEP letter, dated December 29, 2008, for additional comments. Upon completion of the above, this Department will continue its review. Kindly advise us if there are any questions. Respectfully, Michael JIB z dins i, P. . Director ngineering MJB:kly cc: D. Alderisio, DEP Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section.(845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6685 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 R \I isslonArts "Architecture on a Finer Scalc" Desi . 2 RaX7 _ c , nrrc_ , Ca-in d, 105 f JAB inisL; - Mission Arts Design G roup . Inc. "Architecture on a Finer Scale" 2 Raymond Drive, Carmel, NY f 05 f 2 JMSit isi;u?Mi'ssionArtsDG.com ® No-= 845.228.2333 ® lax: 845.228.2594 Engineering Report f ®r Septic! Repair, t®: '" M \ JG�PS�v�Ft 0R9�L 11 The Granados Residence 150 Haviland Drive Town of Patterson New York Tax Map No.: 36.23, Block 1, Lot 24 Prepared for: Putnam County _ ....... _ .... Septic Repair Programs _ ...... _ . 100 Rte. 312 Building No. 4 Brewster, New York 10509 Prepared By: MissionArts Design Group, Inc. 2 Raymond Drive Carmel, New York 10512 Report Prepared on November 26, 2008 Rev 01 -09 -09 Engineering Report for Septic Repair to the Granados Res. Design Intent:.~. November 7, 2008 Rev 1.09.09 Page 2 Pursuant to your request and, as a result of the existing sewage disposal system failure for the above captioned project; please find the following Engineering Report for the Repair of the existing sewage system with an Alternative Sewage Treatment System as indicated in "Appendix 75 -A Wastewater Treatment Standards — Individual House Hold Systems" as contained in Chapter II of Title 10 (Health) of the Official Compilation of Codes, Rules and Regulations of the State of New York., . Proiect location: The project site for this repair to the existing SSTS is located at 150 Haviland Drive, Town of Patterson, Putnam County, New York. The project site is identified as Tax Map No. 36.23, Block 1, Lot 24. Project existing conditions and site constraints: • The subject parcel is zoned for a single family residence. • The structure is an existing ranch dwelling with Three (3) bedrooms. • The subject property is located within Putnam Lake Watershed. The finished first floor elevation is 102.3' the existing dwelling is approximately 96' away from water. • The corner lot grade slopes moderately down from the East property line toward the house , leveling out in the front yard before dropping off after the east property line at the road. • The building is supplied with water from an individual well located west side yard of the house.- _ .. _.. _.:_... • The subject lot currently has an existing SSTS that consists of a septic tank, and leaching field, located in front yard of the property. Effluent has been observed leaching out to the surface from the leaching field and resulting in system in failure. • One test hole was excavated and witnessed by representatives of the Putnam County Septic Repair Program 10. 10.08 (refer to soil testing data sheet). During the soils investigation at DT- 1 the area was found to have a layer of 6" of top soil, followed by a layer of Brown loam with Cobbles between 7 " -30" deep,. followed by a layer of sandy loam between 31 " -80" deep, no seepage or ledge was noted. Two perc tests were performed (11. 14.08 ) The resulting in a stabilized rate was 5 min/inch at PTl at a depth of 27 ", a stabilized rate was 7 min/inch as PT2 at a depth of 16" indicated on the test data sheet. • An area located to the front side of the house near DT -1 in a gently sloping area is the best location and most feasible area to design and install the best fit, alternative septic repair system. ■ 2 Raymond Drive, Cannel, NY, 105 I2 ■ Phone: 845.228.2333 ■ Fax: 845.228.2594 ■ MissionArtsDG .corn ■ Engineering Report for Septic Repair to the Granados Res. November 7, 2008 Rev 1.09.09 Page 3 -:"`'The existing gutter leaders at the west side of the h6use11141 Sdei drains connected to culvert. The existing gutter leaders at the east side of the house direct water away from the SSTS field and discharge down grade at the road. Remedial action taken: Utilizing the soil test data, and considering the aforementioned projects existing conditions and site constraints, a system installed with an absorption bed area coupled with the peat biofilter system by `Puraflo' of Born Na Mona Environmental Products was selected due to its ability to effectively treat. effluent in a confined area (its footprint refer to SSTS -1 for location). Since this system is a repair, an alternate technology was selected to treat the effluent prior to discharging it into the receiving native soils. The existing septic system is in failure and conventional means, methods, techniques and best design practice and standards of the systems repair in kind will not properly solve the problems associated with the failed system. A best fit alternative unit utilizing a pre - treatrnent system of the waste water is therefore recommended for this site. A properly sized absorption area will be the best way to obtain the filtration of the wastewater. The new alternative SSTS shall replace the entire existing system. Please note; refer to the SSTS plans for the layout of the sewage treatment system. The proposed system shall consist of the following components: ♦ Pump and remove the existing septic tank by a NYSDEC licensed contractor. ♦ Install a new 1000 gallon plastic septic tank with Effluent filter. _ , ♦ _ Install anew :1.000,gallon.pre -cast concrete pump chamber for the pump with a timed dose.. system. ♦ Install new peat biofilter system by `Puraflo' of Born Na Mona Environmental Products. ♦ Peat modules are required based on one module per bedroom, for three bedrooms a total of 3 modules are required. ♦ Install a Subsurface Gravel Discharge Bed sized based on the perc rate of 5 -9 min/inch. ♦ The units and the Subsurface Gravel Discharge Bed are to be sunk down into the existing soil layer 2.5' to only expose the top of the peat units. ♦ No new work is required for the existing gutter leaders and drains. The existing water discharge is away from the SSTS field. 0 2 Raymond Drive, Carmel, NY, 105 I2 ® Phone: 845.228.2333 ® Fax: 845.228.25'94 ® MissionArtsDG .com Engineering Report for Septic Repair to the Granados Res. November 7, 2008 Rev I.09.09 Page 4 Design Criteria: Manufacturer's data was used to size the required number of units, (one unit for each bedroom for a total of 3). Percolation tests were performed a rate of 7min per inch was observed. Based on a design perc rate of 5 -9 min per inch the size of the gravel discharge bed required is 10'x 17'( An extra 1$ was added to side to provide clearance for edge of the peat units). The Peat unit's location was selected to maximize the separation distance between existing well and property line location . Effluent shall be delivered to the units through a force main. The pump chamber shall deliver effluent in 36 gallon doses, 12 gallons per unit once per every 1.92 hours using a time dose control panel. The panel shall be mounted in the house with a visual -audio alarm. A minimum of one day storage capacity has been provided in the pump chamber if a failure occurs. Please review, comment and call me should you have any questions or comments. Given all the constraints of the site the aforementioned alternative septic repair system represents the best available solution to correct the current failure of the existing septic system. Please review, comment and call me should you have any questions or comments. Sincerely, MissionArts Design Group, Inc. By: Doug Florance, RA. A.I.A. ■ 2 Raymond Drive, Carmel, NY, I05I2 ■ Phone: 845.228.2333 ■ Fax- 845.228.2594 ■ MissionArtsDG .com ■ s Mission Arts coup Inc. 0 "Architecture on a Finer Scale" a 2 Raymond Drive, Carmcl, NY (05 Q. , issxoACeom ® i tsl) ® Pbone: 845.228.2333 ® lax: 845.228.2594 Effluent Pump Calculations: 11 The Granados Residence 150 Haviland Drive Town of Patterson New York Tag Map No.: 36.23, Block 1, Lot 24 Prepared for: Putnam County Se0tic Repair Program 100 Rte. 312 Building No. 4 Brewster, New York 10509 Prepared By: MissionArts flesign Group, Inc. 2 Raymond Drive Carmel, New York 10512 Report Prepared on November 26, 2008 Rev 01 -09 -09 Effluent pump calculation for Septic Repair to the Granados Res. November 7, 2008 Rev I.09.09 Page 2 Desigii InteaV. •�...... n ._. . _ -- .._ _ Pursuant to your request and, as a result of the existing sewage disposal system failure for the above captioned project; please find the following Engineering Report for the Repair of the existing sewage system with an Alternative Sewage Treatment System as indicated in "Appendix 75 -A Wastewater Treatment Standards — Individual House Hold Systems" as contained in Chapter II of Title 10 (Health) of the Official Compilation of Codes, Rules and Regulations of the State of New York. Proiect location: The project site for this repair to the existing SSTS is located at 150 Haviland Drive, Town of Patterson, Putnam County, New York. The project site is identified as Tax Map No. 36.23, Block 1, Lot 24 Proiect existing conditions: The building is an existing ranch dwelling with Three (3) bedrooms. The Dwelling is located within Putnam Lake Watershed. The building is supplied with water from an individual well. Design Flow 3 Bedroom x 150 gpd (Per PCHD design standards) = 450 end Septic Tank and Pump Tank Size For 3 Bedroom use: 1000 Gallon tank Treatment units: Design Perc Rate: 7 min/inch Design flow: 450gpd Treatment method: Puraflow Peat Fibre Units 1 Unit/bedroom x 3 Bedrooms = 3 units Dispersal Bed: Pad Bed dispersal was chosen Design Perc Rate: 7 Min/inch As per Table 1 in Puraflow Design Manual (6/26/06 ed.), the underlying soil is classified as Group H soil and is set at 3.31 gpd/sf. infiltration rate (5 -9 min/inch pad) 3 Bedroom x 150 gpd /3.31 gpd /sf. =136 sf. Make Bed 10' x17' (170sfl 8x17 (136sf) + 1ft clearance x2 sides ■ 2 Raymond Drive, Cannel, NY, I05I2 ■ Phone: 84S. 228.2333 ■ Fax: 845.228.2594 ■ MissionArrsDG .com ■ Effluent pump calculation for Septic Repair to the Granados Res. November 7, 2008 Rev I.09.09 Page 3 Dosing Volume.__ . _.,..__r., As per manf., the system shall be time dosed 12 gal/unit 3 units x 12 gal/unit = 36 gal dose 450 gpd / 36 gal dose = dosing every 1.92 hrs Effluent pump calculations: Pump Caculation: Daily Design flow: Dose volume: Friction Head: Pipe type /size: H -W Coefficient: Loss (@30GPM) 450 gpd 36 Gal. 2" PVC pipe, Length: 63 LF 120 Assumed Flow rate: 30 GPM 1.81A00'(per Goulds) Equivalent length of pipe: 2" pipe horz. pump dist.: 63 ft Fitting Loss (2 "dia.) (3)90° elbow: @5.5 n. 16.5 ft (1 )45° elbow: @2.5 ft 2.5 ft (1) diversion tee at 13 ft. 13 ft (1) disconnect at 2 ft. 2 ft (1) ball value at 55 ft. 55 ft (1) check valve: 13 13 ft total: equivalent length 165 ft. Total Dynamic Head (TDH): Total dynamic head = Static head + friction head Friction Head: Friction Head = Equivalent length x Head Loss /100 ft of pipe 165 ft. x 1.81 ft. head loss / 100 ft) = 2.98 ft head loss Static Head: Static Head = Elev. At Unit (or top of pipe out at pump tank) -Elev. At Pump 97.32 ft.(95.9 ft) — 91.9 ft. = 5.42 ft Total Dynamic Head TDH = 5.42 ft. + 2.98 ft: 8.4 ft. Added head for peat units (6 or less ) 7ft 8.4 ft + 7 ft = 15.4 ft Use: 16 ft. ® 2 Raymond Drive, Carmel, NY, IOSI2 ® Phone: 845.228.2333 a F= 845.228.25'94 n MissionArtsDG .com Effluent pump calculation for Septic Repair to the Granados Res. November 7, 2008 Rev I.09.09 Page 4 Pump- Selectio -M = - -- A Hydromatic Model OSP50M1 1/2 Hp 115V split Phase 9.5 amp Submersible Effluent Pump will deliver approximately 20 ft. head at 30 GPM. Refer to attached pump specifications and chart. An audio and visual alarm shall be located near the electrical control panel in the house to indicate pump failure. Cycle Time: Dose= 36 Gal./ Cycle Pump Rate =30 GPM* * Note: The pump will be calibrated in field to deliver 10 gal/ min by using a flow bypass (see Plan) Drawdown: Tank Capacity : 1000 g 8' X 4.33' = 34.64 SF 36 gal dose/ 7.48 gal per ft 3 = 4.81 ft3 4.81 ft 3 / 34.64 ft 2 = .139'or1.66" 8'X 4.33'X (4.25 - 2.0 [HI LEVEL] ) X 7.48 GAL/FT3 = 583 GAL Per design, the pump shall operate on a.timer designed to deliver approximately 36 gallon dose every 1.92 hours. There shall be a pump enable float set at 12" above chamber floor. The alarm float will be set at 24" above chamber floor. Emergency storage volume is 583 gallons. DETAILS OF CONSTRUCTION: - All other details of construction and notes are provided in the attached plans. These plans are to be considered an integral part of this report. Please review, comment and call me should you have any questions or continents. Sincerely, MissionArts Design Group, Inc. By: OwiX f5ouglis M. Florance, R.A. A.I.A. See attached graph chart for pump ■ 2 Raymond Drive, Cannel, NY, I05I2 ■ Phone: 845.228.2333 ■ Fax: 845.228.2594 . ■ MissionArtsDG .com ■ DETAILS Pump Characteristics Pump/Motor Unit Submersible Manual Models 0SP501YU OSP5OM2 Automatic Models OSP50AI WSW Horsepower 1/2 Full load Amps 9.5 5.5 Motor Type Split Phase R.P.M. 1750 Phase 0 1 Voltage 115 1 230 Hertz 60 Operation Continuous Duty Rated Temperature 140 °F Ambient NEMA Design B Insulation Class F Discharge Size 1.1 /2" NPT Solids Handling 5/8" Unit Weight 50 lbs. Power Cord 18/3, SJTW, 10' std. (20 opt.) 18/3, SJTW 20' std. Materials of Construction Handle Steel Lubrkafing Oil Dielectric Oil Motor Housing Cast Iron Pump Casing Cast Iron Shah Steel Mechanical Seal Faces: Carbon /Ceramic Shah Seal Seal Body: Brass Spring: Stainless Steel Bellows: Buna -N Impeller Composite Impeller (Bronze - Optional) Upper Bearing Single Row Ball Beare Lower Bearing Single Row Bag Beare Base Cast Iron Fasteners Stainless Steel Performance Data Dimensional Data 3-7/a G3/4 (171.4 (90.42) rr1 /8- ' (130.10) r' DISCIW(aB 4-1/4 G 1 -1/2 NPT (107.95 4 _ (30.1) 3-3/4 (95.25) '" 5 J 1 12 -1/8 13/4 (307.98) (298. 1 -6 5) 11 -114 (231.95 PUMP 0 ON 2.714 3 • (9.855 � .2] PUMP OFF All dimensions in inches. Metric for international use. Component dimensions may vary t 1/8 Inch. Dimensional data not for construction purpose unless certified. Dimensions and weights are approximate. OnlOff level adjustable. We reserve the right to make revisions to our product and their specifications without notice. SSPMA Pentair Water USA 740 East 9th Street Ashland, Ohio 44805 Tel: 419- 289 -3042 Fax: 419 -281 -4087 www. Your Authorized local Distributor — CANADA 269 Trillium Drive Kitchener, Ontario, Canada N2G 4W5 ic.com Tel: 519-896-2163 Fax: 519-896-6337 0 2005 Hydromatic' Ashland, Ohio. All Rights Reserved. Item #: W -02 -6220 12/05 Deeember-29. -2008 .. .. -.t- �,. - _.......:,... T.I. (718) 555-6565 ` : Michael Budzinski, P.E. Department of.,';, Putnam County Department of Health Environmental 1 Geneva Road Protection'::.'-, Brewster, New York 10509 465 Columbus Menue :.. Valhalla, New York ., Re: Granados Residence- S STS-PCRP 10598 -1336 150 Haviland Drive, (T) Patterson East Branch Reservoir Drainage Basin Paul V. Rush, P.E. Deputy Commissioner DEP Log # 2008 -EB- 2454 -DJR.1 Steven W. Lawitts: Performance Data. The Engineers Report shows a total dynamic head of 9 'Acting Corrimissioner . Dear Mr. Budzinski: T.I. (718) 555-6565 ` : The New York City Department of Environmental Protection (DEP) has Fax (718)S95-3557' " determined that the above - referenced application received by the DEP on December 11, 2008, is incomplete. The following information is required before the DEP may commence its review: • Revise the Treatment Pad Detail note to show three Peat Modular Units. Bureau of Water Supply • Given that the total dynamic head of 9 feet is used, a smaller effluent pump should be used. Paul V. Rush, P.E. Deputy Commissioner • Please clarify using the total dynamic head of 20 feet as shown on the Tel (914) 742 -2001 Performance Data. The Engineers Report shows a total dynamic head of 9 Fax (914) 741-0348' feet. If you have any questions -regarding this matter, please contact -the °undersigned at (914) 742 -2010. Sincerely, David Alderisio Associate Project Manager Wastewater Design Review xc: Roger Sokol, P.E., NYSDOH CRY DE r, z DP R�'VMENTAL vROt� . www.ny c.gov /dey� (718) DEP - HELP a� ~. x� MissionArts Group November 26, 2008 Mr. Michael J. Budzinski, PE Director of Engineer Putnam County Health Dept. 1 Geneva Road Brewster, New York 10509 RE: The Granados Residence 150 Haviland Drive Town of Patterson New York Tax Map No. 36.23, Block 1, Lot 24 Dear Mir. Budzinski, "Arcbr`itecture on a Finer Scale" ❑ 2 Raymond Drive, Carmel, NY IO5I2 P JMSinisi @MissionArtsDG.com ❑ Phone: 845.228.2333 ❑ Fax: 845.228.2594 Enclosed please find the following for the above captioned project: o Two (2) copy of the Proposed SSTS Repair Plan, Details and notes SSTS -1, dated 11.26.08 o Two (2) copies of the Engineering Report, dated 11:26.08: o Two (2) copies of the Design Data sheet o Two (2) copies of the Effluent Pump Calculations, dated 11.26.08 This repair represents the best, available solution to the failure, given the constraints of the site..._.. Please review, comment and call me should you have any questions or comments. Sincerely, NTissionArts Design Group, Inc. by Z162� Douglas A. Florance, R.A. A.I.A. Enclosures Cc. Cris Dellaripa SHERLITA AMLER, MD, MS, FAAP Commissioner. of Health _...._........ LORETTA MOLINARI, RN, MSN. Associate Commissioner of Health DEPARTMENT. OF HEALTH I Geneva Road, Brewster, New York 10509 ROBERT J. BONDI _Counts Executive . ,.._:..... _:..... ROBERT MORRIS, PE Director of Environmental Health TO: DEPARTMENT OF ENGINEERING AND DESIGN REVIEW PRIORITY - SEPTIC REPAIR DELEGATION STATUS FOR SUBSURFACE SEWAGE TREATMENT SYSTEM PROGRAM PROJECT: JOINT REVIEW 0 �ry 3CP. z3 -1 -z¢ TOWN: �I��/ _ SUB']) APP DATE NOTICE OF COMPLETE APPLICATION: DATE: Z ❑ Within the drainage basins of West Branch, Boyds Corner Reservoirs or Croton Falls. ❑ Within 500 feet of a reservoir, reservoir stem or control lake. Within 200 feet of a watercourse or a DEC wetland and appearing on a subdivision map approved after December 31, 1992. Design flow greater than 1000 gallons /day. ❑ Commercial SSTS. jtreviewrepair Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early lnte*rvention /Preschool (845) 278 -6014 Fax (845) 278 -6648 Sept. 19, 1997 Steven D'Ottavio 5 Progress St. Brewster, N.Y. DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 �FOLEY - Acting Public Health Director 3�.a:.3 -. i - act Re: Addition - D'Ottavio No increase in number of bedrooms Haviland Dr. Town- Patterson Tax # 40 -3 -4 Dear Mr. D'Ottavio: I have received and reviewed the plans for the proposed addition to the• above mentioned residence. The proposal for the addition has been approved as per plans bearing the latest revision date of Sept. 19, 1997 and this Department's approval stamp. Based on the information submitted, the above mentioned addition is approved with the following conditions: 1. The total number of bedrooms must remain at Two without prior approval by this Department. 2. The area of the existing sewage disposal system, and its expansion area, ...must be maintained. - - -- 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Approval is granted for sewage disposal only. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Patterson. If you have any questions, please contact me at your convenience. WH /kg cc:BI (Patterson) addition Very truly yours, William edges Sr. Public Health Sanitarian BRUCE R. FOLEY, R.S. Acting Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 PROPOSED ADDITION APPLICATION - (RESIDENTIAL ONLY STREET: Li i lov) TOWN PA4`5-0 n TX MAP # �y S- NAME: Si"Pvel) �0t�_40 PHONE %y °�0 �O PCHD PERMIT MAILING ADDRESS _ `Pry �'S S -S� 3( ?w S 4e-1 IbS-Z-77 Description of Addition OR 1�2X l.) Cori,,, O,, Number of existing bedrooms .2 'Proposed number of bedrooms from Certificate of Occupancy or Certification from Building Inspector Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to PUTNAM COUNTY HEALTH DEPARTMENT, 4 GENEVA ROAD, BREWSTER, NY 10509, Phone 278 -6130 with the following information. 1 .. Cert i f i ed Check for--S1-00:,00-.---- _.. -_ -.._ ... . 2. Sketch of existing floor plan (all living area including basement, if any) Non - professional drawing is acceptable. 3. Sketch of proposed floor plan. Non professional drawing is acceptable. 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known.. Include all wells and septic systems within 200 feet of property line. Any questions please contact this office. 5. Copy of Certificate of Occupancy from Town or Certification from Building Department of legal bedroom count of dwelling. OFFICE USE Comments and /or conditions appl i cation August 1995 July 1996 (Revised) DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914): 278 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: D 1, Residence Tax Map -/D - 3 - Toren /©a4r/ �, Gentlemen: BRUCE R. FOLEY, R.S. Acting Public Health Director According to records maintained by the ToNm, the above noted dwelling IS IS NOT in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTffER A we 0C/ i1 ing Inspector 0,185 A�1�5t WA lz �- C0109F -TE ►w6 r TYPICAL WALL _ NOT TO 5CAL E` -__ . b N :E 5rO4Zy A DD i t o1 ,( POP: ;->-MVF D'O'T-rA'l10 CORNisR; RAViL-ANP DI;, and -5HAF:ON 99. LOTS. B 2171 - 13 21 15 or 003 am . �:FPr (q? i - New wA� i-5 ONr- sr0 Ry ADDITION FLOoFC O'oisTS: - rt 2x10'r- I(orC7,G, ' i �x1571N6 RP R-3o_INSuLA-rict�l yx6 c�ii►N� soisrs` iZ Z PUTNAM COUNTY DEPARTMENT OF HEALTH R9u�Prlori HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; EDROOMS 2 X I 0 F.J. R-I 9 'p.1sULATi oN GIRflE� Signature S�Titl� Da�9 6x6 PosT- �- C0109F -TE ►w6 r TYPICAL WALL _ NOT TO 5CAL E` -__ . b N :E 5rO4Zy A DD i t o1 ,( POP: ;->-MVF D'O'T-rA'l10 CORNisR; RAViL-ANP DI;, and -5HAF:ON 99. LOTS. B 2171 - 13 21 15 or 003 am . �:FPr (q? i HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; ---D3EDROOMS Fx I ST' •► '- .' 5HAfZON QD Arlo H AViL --,N - ,gars B :21-:21-71 B �r - <►�5 Signature & Titles- Da �� �o Ti+? Coro BRUCE R. FOLEY. R.S. Acting Public .Health Director DEPARTMENT' OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 o (914) 278 -6130 Re: Addition No increase in number of p bedroommss� Dear d ( d ®,� / r' JL/`�-Sv T/41 610 3 - I have received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the latest revision date of and this Department's approval stamp. Based on the information submitted, the above mentioned addition is approved with the following conditions: 1. The total number of bedrooms must remain at :::7-,- without prior approval by this Department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new l.ow flush toilets, restrictors for.shower heads and faucets, etc. Approval is granted for sewage disposal only'• Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of /O If you have any questions, please contact me at your convenience. Very truly yours, BRF /jp cc: BI (T) addition a 11 - ....,. BRUCE 'R.- ::.FOLEY •_ _ a....,....:..... , ;.. , Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA -- _h4(iL1NAR1 R.N.,-M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 February 21, 2002 Hildreth Preschool (845) 228 - 5912 Fax (845) 228 - 6113 150 Haviland Dr. Patterson, NY 12563 Re: Addition- Hildreth, Haviland Dr. No Increases in Number of Bedrooms (T)Patterson, TM #36.23 -1 -24 Dear Mr. Hildreth: I have received and reviewed the plans for the proposed addition to the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from this Department dated _February 20, 2002. The addition is approved with the . following conditions: 1. The total number of bedrooms must remain at two without prior approval by this department: 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Patterson. If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke ML:Im Public Health Technician cc: BI(T)Patterson DIPIPAR-I-NENT OF HEALTH Dlvblon of Ensimnment& Health Se"ices 6 Genava Road Brewster, New York 10509 T :t. (9:4) 278-6130 Fax (914) 278-7921 .. . .. • 9 BRUCE R. FOXY Public NZCith "Die ?cccr �1 TO6v'IE9� -;j TX MAP NAME � PHONE 1 PCIii� O o , . _ 111 r� INLAMD1(a ADDRESS DESCRIPTION OF ADDITION NUNMER OF EMSTING BEDROONLS o4, , PROPOSED 4 OF BEDROUNLS G (MM CERT. OF CDC CUPA,NCY OR CERTIFICATIO`i FROM S LD NG INSPECTOR) *.Aav addition «hich is corn dared a bedroom regL ices formal' approval ofpIas (Coo -tiuction Permit) prepared by a rcftsssional Engir -eer or Registered .rlrclLtect in accordance with applicable sections of the Pumarn Coxity Sarita-*y Code. Please Submit this fcrm z;.d the to Putnam Cot:n*y Health Dept., 4 Geneva Rd., Brcws=.er, �`Y- 10509, photle ?'s5 -6130. - 1. Certified check or mozaey order for 5100.00 Stsrtches of existLng floor plan (drawn to scale, all living area including basement) . Non- professior.21 sketches are accept =ble 3. Two sets of proposed t:oor plan (drawn to scale, with name, street, a :d tx., r. _ap T) * Non -pro :-ssio=' sketches are acceptable 4. Copy of suNey s owing well and septic location, to the best of your knowled;e. include date of installation if kro-.an. Label all wells and septic systems witWn 200 feet o-,"-'the p:operty lire. Contact this office wi-1 any questions. 5. Copy of Cen. of Occupancy from Town or Certification from. Building Dept:. "xith loom bedroom count of dwe ll.*:g. OFFICE Commel.s rob 93 i I i i I L-b �T�J DO 4c--I�da nd ? nd ie!v c��r5 X2.171- ?-.'I -7.S I i i 12-'0" "3 1V PUIi 4AM COUNTY DEPARTMENT OF HEAD HOUSE PLANS APP�iGt; D FOR BEDROOM COUNT ON11'; BEDROOMS SA- bed r oo r Z�ZA% 02 O Closet 2Z - r x is t J N � — I j �o n t I /O/ V/ Vj 1'•' I OF HEALTH ` U` • l�s I Dater.; ail 3.-- �.•��..X� FRor(r � ��. ^::z = -, { � I f i r I—OTS t3 171 - Ps 21-75 i ;i5vE C _ i r.: t` C .j NEvi WA! L3 �XISTIN6 �. R -3o INSVLA'i�aJ 1015T5 �. 2 PUTNAM COUNTY DE ARTMENT OF HEALTH R9UL4rloH HOUSE PLANS APPROVED FOR BEDROOM, COUNT ONLY; 2 X I 0 F.T. —PEDROOMS R- 19 INsULk � ' oN 2-2x10 �J.. G I RDE7? SignatUS_ e & Tit].8y --�— Date . Y, POST Co G{ZETE Foorl>�6 b N E 5 09. Y A D21 T D'o7TAV 10 t TIMIGAL WALL CORNFER ;. 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LICENSED LAND 9- WVTYORS SHVLL NOf ALTER ,TTICA110N5 SHALL Rill ONLY f0 TFE PER50N SURVEY AAW5, 5ESMY PL" OR SLRWY PLAT5 2 WHOM 7N5 5L VEY WA5 PIMPA W AND ON PW -PAMP PY 00fR5. MWILF f0 TFE TIfLE CO. MID LEADING 045T1- Lt4ftHF ORlzW ALTERATION OR AmmoN To 1"5 ION LISTED HEREON. SUtVEY IS A VIOLATION O° SELiK7N a 7X19 CF .'11FICATIONS An NOf TV V4WERAMX fO ADM- " NEW YOOC SPATE EDUCATION LAW. KM IN5f"UnC0 ,5 OR 5LH5EOIPNf O1WER5. TFE LOCATION OP LIP MgGRO1.pD IMPROVEMENf5 OR EMMOACF Ma". IF AW E%19f OR AM SFIONN �j --L_- HERON. /a fl0 CEROON ALL CANP COI -95 T HEREON ,Ly VALID FOR TWS � - -�--� MAP Mid GCPIES TFEf�OF ONLY IP SJVD MM Q2 I3Z1( MRgxwow GOLILIN5 �vOIZ �,E 54NATLft �� W-W ON. TH45 MAP AMY NOf ®E USED N COPAEOTION Willi A WO CORPORATE PAM .1 5LRVEY AFFIDAVM' OR SIMILAR DOCL"Nf. :WSfER. NEW YOiX 10509 - 9WEMENf OR MECW"SM fO 09fAIN TITLE t-"- "5. 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