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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.30 -1 -17 BOX 18 I IN . , �.� ;�Ir ' .` `. �- . ,� r - .± 16r L.- 1 YIN • 01959 `' 8 PUTNAM COUNTY DEPARTMENT OF HEALTH Rev. 3 t ` . . '' Division of Environmental Health Services, Carmel, N.Y. 10512 Engineer Mast Provide P.C.H D. Permit 4 =' — `3 V.� CE C OF CONSTRUCTION, CO RTIFIMPLIANCE FQR_SEWAGE DISPOSAL_SYSTEM. Located at fy t� / c9 •t? 1 �G� C e Owner /applicant Name r� Zip v` ' - -z ° "r • "` rormeny �-�j - L _ Meiling Address l/Y Separate Sewerage System built by 'J y -m'i'l S yet l t [`J t O Yl Address 'Consisting of `0a U Gallon Septic Tank and v Tax Map �_ � �'� � Block / Lot Subdivision Name CSubdv. Lot-#- Date Permit Issued Water Supply: Public Supply From' f Address or:_,�. Private Supply Drilled by Uy R Address Building 1`CG� i -� P. ✓�C Has Erosion Control Been Completed? Number of Bedrooms 2' Has Garbage Grinder Been Installed? 0 Other Requirements I certify that the system(s) as listed serving the above premises were constructed essentially as shown o he plans of the completed work ( copies of which are attached), and in accordance with the standards, rule ations, in accordant ith he fled plan, and the permit issued by the Putnam County Department Of Health. Date C tified b P.E. R.A. C ,! �/) Address � V r License No. Any person occupying premises served by the above. system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary condit -Ions resulting from such usage. Approval of the separate sewerage system shall become null and void as Boon as a pub ": sanitary sewer becomes avallabIs and the approval of the private water supply shall lissome null and void when a public water supply becomes available. Such approvals are subject to m dification or ch'inge'when, In thl judgment of the Commissione'E—of N ,such revocation, modification or change Is necessary. Ie Date By Title -ry wr,LL LVl"1rLr, l _LLj" azrval a, DEPARTMENT OF HEALTH * - Divisio _q_..0$..,Envjronmental Health• Services....- PUTNAM COUNTY DEPARTMENT OF HEALTH~��y Office Use Only WELL LOCATION STREET ADDRESS: I WNIVIL L X a-/ 11Y TAX GRID NUMBER: -r WELL OWNER NAME: ADDRESS: —r� O v acs q V , PBIVATE ❑ PUBLIC USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST / OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT. OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE t506 gal. REASON FOR DRILLING ❑ EPLACE EXISTING SUPPLY ❑TEST /OBSERVATION []ADDITIONAL SUPPLY &NEW SUPPLY (NEW DWELLING) []DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH ft. I STATIC WATER LEVEL_ ft. DATE MEASURED DRILLING EQUIPMENT ❑ ROTARY COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING YOPEN HOLE IN BEDROCK ❑ OTHER Doc�6a TOTAL LENGTH ft MATERIALS: 95TEEL O PLASTIC ❑ OTHER Ca CASING DETAILS LENGTH BELOW GRADE Q_ ft. JOINTS: ❑ WELDED eTHREADED O OTHER DIAMETER �5 in. SEAL: 9CEMENT GROUT ❑BENTONITE OOTHER WEIGHT PER FOOT % 7 Ib. /ft. DRIVE SHOE YES ❑ NO :EINER:IKYES ❑ NO SCREEN D ETA ILS DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEP TO SCREEN_(ft) DEVELOPED? F YES 0.40 - - SECOND..__ - -- _ GRAVEL PACK ❑ YES ❑ NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH ft. S M OEM ft. WELL YIELD TEST if detailed I e um in p 9 METHOD: ❑ PUMPED tests were done is in- COMPRESSED AIR , formation attached? ❑ BAILED ❑ OTHER ; ❑ YES ❑ NO 1�LL LOG )f more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FRoM SURFACE wacer Bear- ing Well Dia_ In FORMATION DESCRIPTION CODE ft.. ft. WELL DEPTH ft. DURATION hr. min. DRAWDOWN ft. YIELD 9Pm. Land ' Y �'rd h ,• � WATER CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS ❑ COLORED ANALYZED? ❑ YES ❑ NO ANALYSIS ATTACHED? O YES ❑ NO STORAGE TANK: TYPE CAPACITY GAL. , PUMP IH! HMATION TYPE Jjr CAPACITY MAKER DEPTH MODEL VOLTAGE HP WELL DRILLER NAME OATF,// ADDRESS SlUATuRE T ,)/ ov DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL,`N.Y. 10512 (914) 225 -0310 AP .P.L-1CAT.ION.- T.O:�C-ONSTRU:CT - -A aWAT -ER= WEL--L PCHD PERMIT WELL LOCATION Street Address Town Tax Grid Number r-ONG- PL ar2_ 064J 37— 3— Z4- WELL OWNER Name ,Uoa.. -rALd A Mailing Address 53 L V_A9& ) FL . ,221S0en1 AVM 1057 -5 JXPrivate 0 Public USE OF WELL © - primary 2- secondary RESIDENTIAL O BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP O FARM ❑ TEST /OBSERVATION O INSTITUTIONAL O STAND -BY ❑ ABANDONED 0 OTHER (specify O AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE gal REASON FOR DRILLING 0 REPLACE EXISTING SUPPLY ❑ TEST/ OBSERVATION GI ADDITIONAL SUPPLY kNEW SUPPLY NEW DWELL G 0 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING L WELL TYPE MDRILLED DRIVEN ODUG GRAVEL. 0 OTHER IS WELD SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: M 1A Lot No.' WATER WELL CONTRACTOR: Name "CO ofz. j?ri�MiMji.0 Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES __X�_NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY :. DISTANCE -_.T0 .PROPERTY.:FROM..NEAREST,_WATER MAIN.t--..U.N_IC�owi�J._�_ LOCATION SKETC6ON & SOURCES OF CONTAMINATION PROVIDED t t7� 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 thirty (30) days of the completion of water well construction, the applicant s.hall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the County Health Department attached to this 3. Submit a Well Completion Report on a form Health Dep rt nt. Date of Issue: ! ed 19 Date of Expiration: 11vir 19� requirements of the Putnam permit pro 'ded y the Putnam County it Issuing vtticia Permit is Non - Transferrable White copy: H. D. File Yellow copy: Building Inspector Rev. 10/88 Pink Copy: Owner Orange copy: Well Driller �)iR n�t� -oaf Location - S eet ' Municipality Building Type subdivision.Name Subdivision Lot # GUARANTEE OF SUBSURFACE SFMM DISPOSAL'SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has -been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and ,hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date-.of--approval of -the- . "Cent f eate of- Construction- -Compliance ""for -the sewage -dispo` sal system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant.of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate- was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this day of /- 19'? 2 Signature Title General Contractor (Own ) - Signature Corporation Name (if Corp.) Corporation Name (if Corp.) ess Address rev. 9/85 mk VJ i t• s c 1, RMIAM COUWY DEPARTMF24T OF HEALTH ` - _. SION "'OF' ENVIR01 33TAh "M= SERVICES: .. IV k Owner or, Purchaser of Building Section Block ; ' Lot Building Constructed by �)iR n�t� -oaf Location - S eet ' Municipality Building Type subdivision.Name Subdivision Lot # GUARANTEE OF SUBSURFACE SFMM DISPOSAL'SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has -been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and ,hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date-.of--approval of -the- . "Cent f eate of- Construction- -Compliance ""for -the sewage -dispo` sal system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant.of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate- was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this day of /- 19'? 2 Signature Title General Contractor (Own ) - Signature Corporation Name (if Corp.) Corporation Name (if Corp.) ess Address rev. 9/85 mk N�lYasr d Muss a �' Dotp raw 64 D 4 O 6 P® N Sh IstRegahzd VAmae lu is emmiewd Sgpmgb 8srwiellO Sy M asMhlt d /6 00 s.e... .� �. 8� �� r n /tot, T►- G_ e�C' ,� To V:O�..Y.d.%.�1., f' z � rarh, l ti Mldtslas t � L 11 RrY t Alt d.5 i r ia� KtJ Z On ��(/P�+�" i'►^Q: �/ t .. . 1 represent- et 1. am wholly end, CanpNtely rasponslble for t e.desifin and location -of the PrOpossO systems) i 1), that the Separate eawatN diepOYl sysNm above dpertbad will.bi eonstruet�d as shown ar.fM roved" an mdmpent there _to ind,'ia aceor"nes vvitt l"'standards. roNs�igulat�s o n m GeuMy' Ospirtniaet of hlMkty an0 fhat ogeonipNttoe thta►wf a �!CartNkste;, of Costructton CompHanq! ritistaetory to tM CommissbMr of NaaKhwill M tlsbmktllA: to tlN Opert�nt. and a writts!n: buarantir wili be `furnished the owns► 'his; au oassfon, Mks or asslins b1% the builAM; 4hat said tidiMer will rhea in coed Opandiq COnOklon any oat of said swap Aitpospl system dur64 the period of two (2) years leiinadlatiyr follOiVIAll' the date Of the Isla - aKa bf the, approval of the Cartifkate of Construction ,COmplij"co of,-the ori�tnal system o any igwirs tMroto;.2) that the drilled'well dese►,IOsO above ww be'weem N sstenro On theippM, plan and that sali wall will," Ins!8117wiWaccorafte with .the stands s; • 47q of- /the Putnam CeuMy.D�)aWeteMad of k"Uh' R.A. Da. 7 - / - 9 1 SipnO .. e,,:'13 1'au��e1c� fir" `. n ': 3 „- ' Lieanee No APPROVED FOR CONSTRUCTION: Thls approlol expires s fr tha date I unless construction of the buildup has tome undertaken and is revocable for comes or aY ale anrersde0 -or. modified when Co seder ry y. t missionir of Health. Ahy.e6arpe Or, alteration of Construction REV . ' raoua.e a n 1pafmt � Amp ad for dlsoosal of A sa r ' a tsr wliPhr only. 10/88 oats Ism Title is 1 V c• 1 PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services JOHN KARELL Jr., P.E.. M.S. Public Health Director 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 November 15, 1990 Eleanor Talia 53 Gleason Place Harrison, New York 10528 Construction Permit # P- 40 -90 Malone P1. /Dryden Rd., Patterson Dear Ms Talia: ,The Department has this day approved the above - captioned construction permit. As is our policy, the approved materials have been forwarded to your engineer. THE CONSTRUCTION AUTHORIZES THE CONSTRUCTION OF A TWO- BEDROOM HOUSE ONLY. Since you are the permittee, your attention is directed to the above and to the attached notice relative to construction of these facilities in accordance with the approved plans and occupancy of the completed structure.. A similar notice has been forwarded to your engineer. This approval is subject to all local permitting and approval requirements. You should contact the local municipality relative to the need for such permits or approvals. If you have any questions, you may call Mssrs. Budzinski, Hedges, or Morris of this office. Very ruly yours, John Karell, Jr., P.E. Director, Environmental Health. Services JK:cj NOTE: THIS DEPARTMENT MUST BE NOTIFIED 48 HOURS PRIOR TO THE INSTALLATION OF ANY PORTION OF THE SEWAGE DISPOSAL SYSTEM. PLEASE NOTIFY CHRISTINE JOHNSON OF THIS OFFICE PRIOR TO COMMENCEMENT OF OF ANY OPEN WORK. CALLS WILL BE ACCEPTED BY THE ENGINEER ONLY. PETER C. ALEXANDERSON County Executive -_. - ...c.a� ,— _= ....< -, —., • . -_ -"" ENIO• L.'CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. DEPARTMENT OF HEALTH Director Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Date 10/15/90 Applicant Name Eleanor Talia Address 53 t:1 Person P1 ace, Harri. on,_, New York 10528 Property Street Location Malone Place and Dryden Road Tax Map Designation 37 -3 -24 Municipality Patterson Variance Request to- _Sept ic...,s.epar,.ation' distance. .Irom..200.._.__. - -..- -_ - - -- feet to 100 feet. Reduce well setback from property line from 15 feet to 3 feet. Approved x Denied Conditions /Remarks 1. Double case well 2. Stake well by surveyor..pr.ior to drilling 3. 2 Bedroom house maximum t TPETER C. ALEXANDERSON 4 a County Executive September 24, 1990 DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Eleanor Talia 53 Gleason Place Harrison, New York 10528 Variance Request Name: Talia Street address: Malone /Dryden Roads Town: Patterson Tax Map: 37 -3 -24 Dear Ms. Talia: OA JOHN KARELL Jr., P.E., M.S. Public Health Director Please be advised that the matter of your request for a variance from certain provisions of the Putnam County Sanitary Code has been placed on the agenda for the next meeting of the Board of Health to be held on October 15, 1990 located at 110 Old Route 6, Carmel, New York. You or your representatives must attend the meeting to present your case. You are ref erred-- to the -attached - "Neighbor Notification," and "Variance Request" procedures which must be satisfied. The materials required in the "Procedure for Variance Request" document must be received in this office by October 5, 1990, except for the proof of Neighbor Notification, which is due in this office by 2:00 P.M. on October 15, 1990. y trul WJ. J n Karel , A,. E Director, Environmental Health Services For the: Board of Health JK:pt cc:JK File PETER C. ALEXANDERSON County Executive September 24, 1990 DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Re: Variance Request Name: Talia Street: Malone /Dryden Road Town: Patterson Tax Map: 37 -3 -24 JOHN KARELL Jr., P.E., M.S. Public Health Director Please be advised that a request for a variance from provisions of the Putnam County Sanitary Code relative to the construction of a sewage system and well proposed for the captioned property will be heard by the Putnam County Board of Health on October 15, 1990 located at 110 Old Route 6, Carmel, New York. If you have.. any. questions, concerns or information which may .bear on our •- - deliberations;- you"•may appear- at'this keetirig -to contact the writer at Ext. 324. Because scheduling sometimes are modified at a late date, if you are planning to attend this meeting you should contact the Department on the day of the meeting to assure that this item is still on the agenda. V r y rul J fin Karel Public Health Director JK:pt cc:JK File PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 BOARD OF HEALTH VARIANCE REQUESTS NEIGHBOR NOTIFICATION Beginning January 1, 1989 appeals (petitions) requests to the Board of Health for a variance from provisions of the Putnam County Sanitary Code will not be heard by the Board until such time as the Director of Environmental Health Services of the Department of Health is provided with proof that notification of the date of the variance hearing was made to all property owners contiguous to the property in questions. A location map with contiguous properties shown along with the property owners name and Tax Map # must also be provided to the Department. ENID L. CARRUTH. M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Notification shall mean receipt by each contiguous property owner of a ---...-..-.copy .of _. the. attached- -not if- ication -form, along - with -a -copy of the -- latest = - -- _ site plan. Proof of receipt of notice by contiguous property owners can include either of the following: 1. Copies of registered mail receipts 2. Copies of the notification form signed by the contiguous property owners Notice shall be made at least 7 days prior to the date of the meeting and no earlier than 21 days prior to the meeting. Failure to provide the Board with adequate documentation of the performance of the notice may result in the Board delaying action on the request until proper notice is executed. The proof of notice shall be submitted to the Director of the Division of Environmental Health Services on or before 2 P:f. on the day of the hearing. JK:pt 9/89 BOARD OF HEALTH Procedure for Variance Request Pursuant to the provisions of Article III Section 2, (b) an application for the installation of an individual sewage disposal system that has been denied by the Director may be reviewed by the Putnam County Board of Health who may reverse the decision based upon proof of hardship and with concurrence of the Director that the proposed sewage disposal system will not create a health hazard by its use. Individuals wishing to make application to the Board of Health for a variance must submit a letter to the Board President, Sara McGlinchy, Putnam County Department of Health, 110 Old Route 6, Carmel, New York 10512, which application must include: 1. In a letter,(14 copies) a) Formally request a variance b) Fully describe the variance requested c) Discuss the hardship that will be experienced should the variance not be granted 2. Provide 14 sets of plans 3. Submit a letter from the local Town Building Department that the property in question is a legal building lot. The Board of Health will not consider variance requests for property that is not a legal building lot from a Town Zoning standpoint. /John Karell,Jr.,, P.E Public Health Director JK:pt 9/90 DIVISION OF ENVIRONMENTAL HEALTH SERVICES 110 OLD ROUTE SIX CENTER CARMEL, N.Y. 10512 RE; TALIA MALONE /DRYDEN RD OCTOBER 15, 1990 MR. JOHN KARRELL JR. PUBLIC HEALTH DIRECTOR I'M WRITING TO YOU IN REFERENCE TO A VARIANCE, WHICH IS BEING SOUGHT BY THE ABOVE PARTY. I WISH TO HAVE NOTED AT TONIGHT'S HEARING THAT I OPPOSE TO THE VARIANCE, FOR THE FOLLOWING REASONS: 1. I FEEL THAT THE PLANNED ARTESIAN WELL IS TO CLOSE,TO MY EXSISTING SEPTIC SYSTEM. 2. I FEEL THAT THE PLANNED SEPTIC SYSTEM WILL INTERFERE WITH THE PUTREFACCION OF MY EXSISTING SYSTEM.. 3. I FEEL THAT THE PLANNED STRUCTURE SHOULD BE BUILT WITH LESS FRONTAL FOOTAGE AND ALLOW MORE FOOTAGE FROM THE REAR PROPERTY LINE, TO THE PLANNED STRUCTURE. YOURS TRULY AVIA ROAD SON, N.Y. V00 ' 30dd Q I n W0N3 SZ : b I 06, ST 100 -------------------------------------------------------------------------------------------------------- 81/07/1900 11:47 FROM TO 2123995250 P.02 00, 3 ----------- ---------- ol .L -fff 3 `\\ J� f ' If 14 / C? c; " k 38 02 " c..'s 1%sl: 4, l, 7 ec e • 0� c % oaf 0 A- 3 7 J V Z Z t 'J's, 24 'N 2 CPS' 2 2 19 F8 ea le 36 SPECIAL DISTRICT INFORMATION LEGEND F.Aff-Frof MUM= IRICT --Rr I 'I Or PArTERSCh ;I II,opem" J%e I STATE •'%C sc•.3x 0, S —SC.— &=a R�ar. M .1 O&GlftAL LOT LI%C CITI C 'ST L11E PWKM %WSER 72 SC"OCL-CENTRAL TOW4_ :; --E. INE OECD L_,XK N,-eEp 01 3=r-4AST. CA-EL AND EWE V DAVEMENT.<—OAD-W 'T-A:-T r L-N! DEEC I.OT .—U. Rqc.4'I •$'7_ L',C DECD D'.C11,11 Sc.Lla D.IFY4JS I ii HIGH 3'MIN. 'ooTINC��P D ,TAIL Y o � �J � � 1 I ooq GAI. SEPT IG 00 /1 —� I I �j / m \� k i I/ / of M It hl • . .10-I G T I O N Poy, SY-t(.) J �Q I / IMI°,f�►��IOU� r 0 �02� _ s MALONE I'L�G� I � � r U 1 O O ou ��•Jj� � vi Jp I �I J i 10 °i° E�19 r� / le• �A / / 110 / SI7 r• P r4 w I ti p,% , V c y � I �1 00(p \ oL I N of 0061 o '1 ML w _ I LAURENT ENGINEERING ASSOCIATES, PC. 73 FAIRFIELD DRIVE _ PATTERSON, NEW YORK 12563 RANDOLPH W. LAURENT, PE. (914) 278.6108 -(FAX) 278.2658 HARRY W NICHOLS, JR., PE. - CONSULTING SITE ENGINEERS July 31, 1.990 Mr. John Karell, Director Putnam County Health Department 110 Old Route Six Center Carmel, New York 10512 RE: Eleanor Talia Dryden Road Patterson, NY Dear Jacks A proposed SSDS design was prepared and submitted to the Putnam County Health Department on October 5, 1989 for the above referenced location. This submission was made after an informal inspection of the premises with a member of the PCHD to evaluate the potential of receiving approval. That site visit indicated a system could be approvable subject to deephole and percolation tests. The soil testing was acceptable, and as noted above, the design was submitted. However, under cover of letter dated March 5, 1990, the permit was denied, based on a determination that there was direct line of drainage to the proposed well from an existing SSDS located north of the premises. _. T':ie other item noted in the rejection letter stated that the junction boxes were within 100' of the proposed well and the design plan has been corrected to adequately provide the required 100' separation. We are respectfully requesting that this Application for a Proposed SSDS permit be forwarded to the Appeals Board, hopefully with a positive referral, for reconsideration based on the followings 1. The parents of Ms. Talia owned the property since the late 1930s. When they passed away, Ms. Talia inherited the property in 1982. As such, the family has been paying taxes on this property for over 50 years. 2< The proposed well is over 1001 from the SSDS located to the north. When placing the template used to evaluate direct line of drainage over the proposed well, the conflicting SSDS is located on the outer fringes of the template. page 2 July 31, 1990 Mr. J. Karell 3. The existing slope of the ground surface between the proposed well and conflicting SSDS is less then 10 %. 4. The proposed well could be double cased to provide additional protection. 5. The application is for a two (2) bedroom house on nine (9) lots, approximately 20,000 s.f. Reflecting the above we are enclosing four (4) prints of Drawing SS -1, "Proposed SSDS", revised 5- 17 -90. Kindly advise us of the appearance date before the Appeals Board. Any questions regarding the enclosed, please call. Very truly yours, LAUREN ENGINEERING ASSOCIATES, P.C. ,Harry W. Nie ols, Jr., P.E. 89035/map CC: Mrs. E. Talia w/ encl. �Ps17�- fLSai.) 0® SAL "Lo@ ap Fes Y 7 • Ar Owma7 Date ci l �d u div 6ion Fee 'Enclosed < ®. 5. �..= T�il i1 bN71 Fat Ate :. , 0 ZI y ZS Gti DWm floc' o° Pte` S. Wei• ." ... , aa, rop►Otont that'1 am lzroioliy grid tonipgtoly r vitpwriimi)o POi ttlo dost�n slid IoCAtiein oP tlio props d systoiil(o); 1), that 1110 22parato__a ra�w'die9oal 4ystem at10v dO8eii06til wiol'Oa COYItt /YCled ia••4t10Wn oOVOS arneeWmant mare to and'in aCCOtd9ilto with M6- s6rici ids, :rules a rt�u s.o naltl County Ospot""t ; oB_ ! ?oNW, ,arid that orl n tha000P a,!'Cir0fkato of Conatructiuh, Compil+aile®' aatfaiae4o ►y to the Cominih"h& oP HiE ihwill Submittaii to the OOSaAensnt; area>.a,_div. ariirlbo:oum- M' al.2na or'n4.'Iiio �eesoseo►q ibolbsor awn- sby.tii© Iwei6Ser.6 tt 6 i �itip t7l" Oncie in 1�0.: MOtOr�: eoelAWl®n any:•,pvt.OP.:e91A sse�st�d dispotml syClow duriiij 'M4 POt� oP•@ra0':l8)-y46we Un r*ia9@Oly POICOaricrg the date of 166 l9de- anoo• of tNe_a roliat of; ttw'CevtNk;@o =oP Cewatruetbn COniOltonco of it lskwl "cyst 'or arly ro tre @hwoto :2) thgt'the diilkd troll al®feee" above wo bo,located as ihoarn _on the. anp►bsa� Plan aiid that toil viell grill ®e lnstol in: aceoedonoo:- eariili th®, CQaliddi 4 ruC=sa reausIzz .ow tno dilWnalll Date P. RJOL Coueily Oep ttR+ord o0 PIma1Qh. / FM Pit," t.r< ©nm, i!io 5<012$ x. AP?tMPVliEO ROPI COP�7tiTWIlCTI04Ptt Thk 'oC ixro7al. ®llpiros ttlso yaar8 Proan the bate, i unioss Constryction of t tbuild . has bean undGwWken and is ryes le POT CaY99:®r Ina l! ®e- p or_inoditiq vulun Corisidart8 nc";omPy, by the Commissioner oP H filth. , Any change or altc ration.: of _Const►udion aaquNSS ®wam p niit.. Apir .POT dill oP;6oitice ki sanitary 'e M.G. and %a prW h/ a4o nfator Culp.only. tev. . By Titea PETER C. ALEXANDERSON County Executive Ms. Eleanor Talia 53 Gleason Place Harrison, NY 10528 Dear Ms. Talia: DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 March 5, 1990 JOHN KARELL Jr., P.E., M.S. Public Health Director Re: Proposed Construction Permit Talia Malone /Dryden Roads (T) Patterson, TM #37 -3 -24 Review of plans dated October 4, 1984 and other materials relative to a construction permit for the above captioned property has been completed by the Department. Based upon such review, and pursuant to the provisions of Article III of the Putnam County Sanitary Code, you are hereby advised that the proposed method providing water supply and sewage disposal are considered inadequate as set forth below, therefore, approval of these plans cannot be granted. 1. Proposed well is within 100 feet of the existing sewage disposal system on the property to the north and in direct line of drainage. 200 feet is required. 2. The junction boxes for the proposed sewage disposal system are located within 100 feet of proposed well. If you have any questions, please call me at Ext. 304. I y yours, rs, �� . , E. Director Environmental Health Services JK /jp cc: Harry Nichols PETER C. ALEXANDERSON County Executive . August 17, 1990 DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 Eleanor Talia Dryden Road Patterson, New York 12563 Re: Talia Dryden Road (T) Patterson Dear Mr. Talia: r JOHN KARELL Jr., P.E., M.S. Public Health Director Please be advised that the matter of your request for a variance relative to the construction of a subsurface sewage disposal system on the above - captioned property will be placed on the agenda for the next Board of Health meeting on September 17, 1990 for informal discussion purposes. You need not attend this meeting. The- matter ""will -then be. placed on -the agenda. for a formal variance discussion at the next regularly scheduled Board meeting on October 15, 1990. You will be advised further in this matter after the September meeting. If you have any questions, contact me at Ext. 324. i i Very ;.'truly 6urs, j 4bhn Karell, Jr., P.E. 1� Aiblic Health Director JK:pt cc:Laurent Engineering 73 Fairfield Drive Patterson, New York 12563 RANDOLPH W LAURENT. PE HARRY W.NICHOLS. JR. PE July 31, 1990 \\LAUREN ENGINEERIN a : .ASSOCIATES; P . %,-; �� j3 FAIRFIELD DRIVE is PATTERSON, NEW YORK 12563 / \ i914;278.6108— (=,\x)278.2658 CONSULTING SITE ENGINEERS !�Ir. John Y.arell, Director Putnam County Health Department 110 Old Route Six Center Carmel, New York 10512 RE: Eleanor Talia Dryden Road Patterson, NY Dear Jack: A proposed SSDS design was prepared and submitted to the Putnam County Health Department on October 5, 1989 for the above referenced location. This submission was made after an informal inspection of the premises with a member of the PCHD to evaluate the potential'of receiving approval. That site visit indicated a system could be approvable subject to deephole and percolation tests. The soil testing was acceptable, and as noted above, the design was submitted. However, under cover of letter dated March 5, 1990, the permit was denied, based on a determination that - there -,waz direct line -of drainage __to_�:.the...pro an existing SSDS located north of the premises. The other item noted in the rejection letter stated that the junction boxes were within 100' of the proposed well and the design plan has been corrected to adequately provide the required 100' separation. We are respectfully requesting that this Application for a Proposed SSDS permit be forwarded to the Appeals Board, hopefully with a positive referral, for reconsideration based on the following: 1. The parents of Ms. Talia owned the property since the late 1930s. When they passed away, Ms. Talia inherited the property in 1982. As such, the family has been paying taxes on this property for over 50 years. 2. The proposed well is over 100' from the SSDS located to the north. When placing the template used to evaluate direct line of drainage over the proposed well, the conflicting SSDS is located on the outer fringes of the template. El r� page 2 JuJy..31, . 1990, -Mr. J.- Karell` ;. The existing slope of the ground surface between the proposed well and conflicting SSDS is less then 10%. 4. The proposed well could be double cased to provide additional protection. 5. The application is for a two (2) bedroom house on nine (9) lots, approximately 20,000 s.f. Reflecting the above we are enclosing four (4) prints of Drawing SS -1, "Proposed SSDS", revised 5- 17 -90. Kindly advise us of the appearance date before the Appeals Board. Any questions regarding the enclosed, please call. Very truly yours, LAUREN ENGINEERING ASSOCIATES, P.C. Harry W. Ni ols, Jr., P.E... 89035/map CC: Mrs. E. Talia w/ encl. LIST OF A-DJOINING PROPERTY OWNERS �jaq--U Name and address 36-2-1 Kawulicz, John & Elizabeth ' RD 5 Box 479 - 1 Rita Dr' New Fairfield, Ct' 06812 36-2-2 Putnam Lake Fire Dept., Inc. Fairfield Drive Patterson, N.Y- 12563 37-3-23 Klein, Alfreo 227 Norman Road New Rochelle, N.Y. 10804 37-3-27 Reynolds, Robert J. - Batavia Road Patterson* N.Y. 12563 37-3-2 Martin, John & Geraldine 26 Batavia Road Patterson' N.Y. 12563 - -' 37-3-3- - - ' --- Barberio° Louis Sr. 75 Royal Oak Ct. #107 Vero Beach, Fla. 32960 37-3-4 Barberio, Peter 46 Jackson Ave. Eastchesterr, N.Y. 10709 37-4-4 Simpson, Katherine Marinello, Paul RD# 1 Dryden Patterson, N.Y. 12563 T J .. _ 'E'. FR C. A.�R.xtJ :4 F650K CnUA(Y EY�3 :V ti•:r Sopt:en. i er 24. 1990 DEFARTNAEh.T OF HEALTH Division of _nviror:n:ental Health Sertiices 110 0H Roate Six C,: nter, Carmel, New York '10512 il'4) 2:25 -0310 Re: variance Request hams:: Talia Street: Malone /Dryden Road Town: Patterson Tax Map: 37 -3 -24 R , i! JOIN KAFFLL Jr.. P.E.. M.S. ?Ubli(. Heal:R Gi(ectoe Please be advised that a request: fot: a variance from provisions of the Putnam. County Sanitary Code relative j:o the. construction of a sewage system and well proposed for .the captioned propert.r will -be heard by the Putnam County Board of __..Hearith..oi�.October- 15, 1990 loc:;ted- at 110. Old Route .6, ..Carmel, . New. York. If you have any•questions, con,erns or information which may, bear on our deliberations, you may appear at this meeting to contact the writer at Eat, 324. Because scheduling sometimes a-re woUfied at a Late date, if you are planning to attend this meeting you should contact the Department on the day of the meeting to assure that this item is stall oat the agenda. kir., J fin lArel • Fiblic Realth Director 3K:pt cc.JTi File P PnF-mLC 9 Pl CC:. 'T_"_' DE PA a=•la;r CF bE.,l=H - Dr,T_TFiC I OF EN-v -=M5 `1--L Lam? v-Tru ll ma-,= EuPPL•1 & SuF.EuPiFzC DI-gP ---:L SYST .*2115 (i.•ia�fT of Cw,-- =r % CL "?�7I`S I I NO ( Dt=' rrz P --cl i c- ticn I �Pl�-*ls - Tree sets s/ s I L..a�Znccr . Au cr_---1._Cia i :cn L'cL Si:cct ( CS S L %_c =Cii Ec-. = Lx I P=--c acle ceot:Z C Ca Cr: :.C__ I 100;. I I I I I I I I I I I I I i to zL_ I =i notEs I -a Ere= C_o th cai c = I I I I I I �r 150 f t. _ca I I I I i 4 I TWO -C=-�• t�-cPr- S: -- Va- & J ) ED 1)=-=, CN PL =?tiS F_! ! Profile & D cr i c`.uSLrLCL?Ci: LYCL=!i (Cr_r'iC~.?' ZG=_: TI .ice FCCL & Dr =�i Y -cJ & SlcC -= C.2t - I P_ ---: Pit & D icx ShicW i &Dom____ . Ecuse - ETC. c;_ Eedrears 210 r =. c= Prcce -Met & Ecur Ect=ce Cc_:cck 17ec =ss`= i ( T =ch i= 1Ct i ml ;c 10' to P.L., Dr_.iewav, L=' -- T ==ITc- cr = 20' to Fccnc ti cn wells 1001 to We-11; 200' in D.L•.C.D, 150' P - - == 100' to St=e.F-51, jk== _"cnu'"=e, -roc. EF _ 15' 35"^ 1 =1r __ wat�T__` 10 to Rater Lln_ (rit_= -_n') l0' well MA ........ .. 3e eo/ A �l #� 2 PUIT,1AM CXXINTY DEPARTMENT OF y Y• DIVISION OF ENVIRONMENTAL HEA=-SERVICES DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTIIri FILE .W. Owner - . -. °�l, No �z TA; a A, Address }(M2Rt so N T ,u y o s z LocateA at (street) ...Mac.oN� 1'�. �Pt2'CV�N Ro, D sec. 37 i Block .` 3 Lot 24 (indicate nearest cross street) Municipality �T) Watershed CP -o-ro N SOIL PERCOLATICN TEST DATA RDQU= TO HE SUBMI= WITH APPLICAT'ICNS Date of Pre- Soaking �j Sf'85 Date of Peroolation Test 13 14, HOLE NU -1BER CLOCK TIME ` PERCOLATION PERCOIATION Run Elapse Depth to Water Frcm Water Level No. Time . Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches i it, 43 -1 ; D ( ; (E5 •Z¢ . 2 1:v1 -- 1;ZZ 1,0 - -- Z z� 3 3 (,23 - 1:44 : Z( Z¢ 2? 3 4 5 1 12 47 - bo3 A6 24- - 2-7 - . 3 2 1) 04 - 11.24-- 1. 3 1,25 -1- Z�- 2 to 24- Z7 ,3 7 7 3 4 5 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 suhuitted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 ��� 4 p ra 1 f 2 3 4 5 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 suhuitted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERM IN TEST HOLES DEPTH HOLE NO. HOLE N0. Z HOLE NO. G. 1j. 1' 2' 3' 4' 5' 6' 7' 8' 9' 10' 11' 12' 13' 5r7Y l n d-Im GAW PY ' A WZgoe'(�!; IV 14 INDICATE LEVEL AT WHICH GROONDNATER IS ENCOUNTERED IJ A INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED ►J�� DEEP HOLE OBSERVATIONS MADE BY: N 17G1EGOC-k- DATE: DESIGN Soil Rate Used (g -Z Min/1" Drop: (,00 cjry S.D. Usable Area Provided 10-7 6' 51- s No . of Bedroans 2 Septic Tank Capacity 1 O oo gals. Type CoN c.. Absorption Area Provided By Zo O L.F. x 24" width trench' Other 01 Name L X09,007 F-k)C�I&JEg.,myj6 ASSoc� Signature pF F1EV1 7 C2 �� �� Address � FA 112F-1 ")q Det i L/ f- SEAL Ui W AJ THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: , 0. PROFESS10�� Soil Rate Approved sq.ft /gal. Checked by Date PUTNAM COUNTY DEPARTMENT OF HEALTH ` . DIVISION OF HEALTH SERVICES DESIGN DATA SHEET- SUBSUFACE SEWAGE, DISPOSAL SYSTEM FILE NO. - Get. F A.fS eL Owner a (L, �Pc `R Address E- t-�s o N Y 1 oS ZS ` Located at (Street) JI M-oN fL f L, Pr--Y1 DatJ RV. Sec. 3'] Block 3 I-ot 2-+ (indicate nearest cross street) Manicipality �7 (' 'tYf �� �I Watershed Gao7od SOIL PERCOLATION ZEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre- Soaking Ia 23 18� Date of Percolation Test - to 123 k5cj HOLE NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Frcm Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 1 2'• n3 - 'L:ZS 1125' l �3 2 2 Z,,3-? 3:07 :30 1 2 E U& L 3 4,,,c,-i - ¢•, -z,3 ', ((0 16 19. 1 4 5 1 24 -2. Z.`. 32 - _ 3 02. x .30.. 2-4_. Z- . - .. 3... __. __ 3 4'01 - 4:2:7- 13 24- ZS' I l3 4 5 1 00`CE ; eiL2c TEg-t s V-4 t TN rz-3 s" 1rY rJ A,%% Cv . 2 6ot -rL0 or- 0,r6A -L,Y W 3 4 5 NOTES: 1. Tests to be repeated* at same depth until apprcocimately equal soil rates are obtained at each percolation test hole. All data to'be submitted for review. 2. Depth measurements to be made from top of hole. rev. 9/85 Fs� G.L. 1' TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS EMOUNTERED IN'TEST HOLES HOLE NO. 2 HOLE NO. HOLE NO. 2' l.D W A'n• 3' 4' 5' SA-00 Y GO :5A-iJ0 hb,-, 6' W [20GK4 W IZoG 7' 8' 9' 10' 12' 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL, 'Zb_WHICH W ATER' LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: & fz z-G A. [4, -TC4 c.0 C_r_ DATE: 5 t (a 1 DESIGN Soil Rate Used 1&-2,o Min/1" Drop: C.-7 o S.D. Usable Area Provided 3400 S F t No. of Bedroarts 2. Septic Tank Capacity (000 gals. Type CnNC., Absorption Area Provided By 286 L.F. x 24" width trench Other 0'— 2 ' P 10- F-0 K- _L� PO 8--190 S F�5 - Name ( ICU ►Z(zni -r ASS o G CC . Signature Address bet L/E, SEAL THIS SPACE C 0USF r BYr j �i� DEPAPMMU ONLY: N081AN3 Soil Rate ApprovddA13038 . sq.ft /gal. Checked by Date PUTNAM COUNTY HEALTH DEPARTMENT.., DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Camnissioner of Health - FIELD ACTIVITY REPORT - Sheet Q of INSPECTION NAME T-44 Orig. Routine Orig. Ccmplain ADDRESS 4 Orig. Request No. Street Town 'IM No. Compliance Canplaint Comp MAILING ADDRESS Final P.O. Box Post Office Zip Code Group Illness Construction TELEPHONE PERSON IN CHARGE OR INTERVIEWED Name and Title DATE Q 01 Q't B TYPE FACILITY TIME ARRIVED TIME LEFT FINDINGS: Reinspection Field, Sampling Only 1'5-- Field Conference Other Explain INSPECTOR: TELEPHONE: Signature and Title PERSON IN CHARGE OR INTERVIEWED: I acknowledge this Field Activity Report. SIGNATURE: 6/86 TITLE: LIST OF ADJOINING PROPERTY OWNERS ELEANOR TALIA Maw- Block-Lot Name and address 36 -2 -1 / Kawulicz, John & Elizabeth RD 5 Pox 479 - 1 Rita Dr. New Fairfield, Ct. 06812 36-2-2 .Z Putnam Lake Fire Dept., Inc. Fairfield Drive Patterson, N.Y. 12563 37-3 -23 Klein, Alfred 227 Norman Road New Rochelle, N.Y. 10804 37-3-27 Reynolds, Robert J. Batavia Road Patterson, N.Y. 12563 37 -3 -2 S Martin, John & Geraldine 26 Batavia Road Patterson,.. 1263,..�.. 37 -3 -3 Barberio, Louis Sr. 75 Royal Oak Ct. #107 Vero Beach, Fla. 32960 37 -3 -4 7 Barberio, Peter 46 Jackson Ave. Eastchester, N.Y. 10709 37 -4 -4 Lane, Robert & Rita 1657 Strawberry Road Mohegan Lake, N.Y. 10547 F z ���ST '� BEd � s, ����� �� � s,E°o G /C �L. � U � 9 � Q � i �- AS - BUILT DIMENSION CHART N_ A B G I 25 .-7 31 8 2 28 . 1 35 II 3 2 ID .5 50 q- 35 ( 32 2 5 -+o . 2 3:5 .10 ro 4:3 .0 9 3 9 7 45 .0 3� J g 52 .8 5 .10 9 75 .10 G Co 5 IO 72 .ro .0b .0 1 1 75 .2 7 0 .10 12 70 .2 ro 9 .7 15 C0,5 .5 61 .10 14 ro O . ro Co't .10 fro 55 2 605 .4 1-7 29 3 1 2 I9 44 9 51 .11 Weu, 70 .10 35 .1