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36.39 -1 -23
BOX 18
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IV-111
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PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM
Owner Z
Address 12,2
Located at (Street) 4*_' < U Tax Map.T
Block Lot
(indicate nearest cross street)
Municipality PAr7'_/1_CQ1y0/1) Watershed ��'j -;r- 4__1C_ /LI
SOIL PERCOLATION TEST DATA
Date of Pre-soaking Date of Percolation Test �,7 6'�L
NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each
percolation test hole. (i.e. s I min for 1-30 min/inch, :g 2 min for 31-60 min/inch) All data to be
submitted for review.
2. Depth measurements to be made from top of hole.
Form DD-97
...................
X
X '.: ........
X.:
. . . ............ ........ .. ........
. ....... .... Water ............
h T
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........ .............
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NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each
percolation test hole. (i.e. s I min for 1-30 min/inch, :g 2 min for 31-60 min/inch) All data to be
submitted for review.
2. Depth measurements to be made from top of hole.
Form DD-97
08- 01 -'07 11;19 FROM -PC. Septi c
vasa.aa vaara ral.a va.aa, I•a ar, aeav, • loss
t Commissioner of Health
LORETTA MOLINARI, RN', MSN
Associore Commissioner of Health
& Repair 845 -278 -2318
r�
OEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
REQUEST FOR FIELD TESTING
T -119 P003/006 F-056
Ia"tltit \t J. "WrILPL
County Erecurive
ROBERT MORRIS, PE
Director of Environmental Health
All information below must be IMIly completed R>rior to any scheduling. DATE;
ENGINEtR OR FIRM: tj PHONE #: V5 - 0313
PERSON TO CONTACT:
O NEW CONSTRUCTION PAIR PROGRAM 0 ADDITION PROGRAM
REASON: DkEPS: Q . PERCS: PUMP TEST: 0
ROAD /STREET: 15-5 k LA ke
TOWN: ?471—!LW a y TAX MAP 9
SUIBDMSION: LOT #:
OWNER: �i e' V,
NYCDEP CRITERIA FOR JOINT REVUW AND WITNESSING OF SO11L TESTING
9��
o Proposed SSTS' within *the drainage b asin of West Branch of Boyds Corner &
Croton Falls Reserv*oirs.
O Proposed' 98TS within 600 feet of a reservoir, reservoir stem or control lake.
0 Proposed SSTS within 200 feet of m watercourse or a DEC wetland.
o Proposed SSTS design flow greater than 1000 galidnvlday or SPDES Perniit required.
O Proposed SSTS for a Commercial Project.
It is the responsibility of the design professional to provide the above'informatiou prior-to soil testing_ The
Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If you
answered ,yes to any of the questions, NYCDEP must witness the soil tests. This Department will coordinate a
matually suitable time for field testing with the Desigu Professional and NYCDEP.
If a project has been determined to be Delegated based on the above response and then subsequent
information indicates MICDEP 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:
W4. FOIL FUorestnia:lur 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 Intervention /Preschool (845) 278 -6014 Fax(845)278-6648
08- 07 -'07 10:38 FROM -PC. Septic & Repair 845- 278 -2318 T -161 P005/010 F -069
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Robert J. Bondi Cris Dellaripa
County Executive Septic Repair Inspector .
Edward A. Barnett Michele Palermo
Watershed Information Coordinator Office Manager
- PUTNAM COUNTY SEPTIC REPAIR PROGRAM _ ....,
100 Rte. 312
Bldg. ##4
Brewster, NY 10509
Date:
PCDOH
Attn: Michael Budzinski
1 Geneva Rd.
Brewster, NY 10509
Dear Mr. Budzinski;
wish to report that the following job: Name �� Ir le-
We
Address
Tax ID#
has been completed as per the approved drawings.
As -Built Attached: Yes No
Signed
CC: Dan Shedlo, P.E.
Telephone; (895) 278 -8313
Faux: (895) 278 -2318
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DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR
YES Internal Use Only L un
❑ Repair Permit issued in last 5 years ❑ Not in Watershed .
❑ Repair within Boyd's Comers, W. Branch or Croton Falls Res. ❑ Delegated
❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland ❑ Joint Review
SITE LOCATION Je. ke- S4i`. �. �dr TM #
OWNER'S NAME P), '/ fle.r foes -a2-- .4 lake- PHONE #
MAILING ADDRESS
APPLICANT (� o. ...
Name & Relationship (F.e., owner, tenant, contractor)
DATE 6 FACILITY TYPE jZ,. 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 trenches)
NOTE: Repair must be in same location and of same type as original sewage disposal system.
Different location and proposed pump systems will require submittal of proposal from licensed professional
engineer or registered architect. ;
�+q�''(, �q. Mt4 id! 1�. d+.... ' ,A/i ��. t ! - i�.a./
7
I, as owner, or reported agent of owner agree to the conditions stated on this form
SIGNATURE �� .._,. TITLE DATE
Proposal approved with the following conditions:
1. .Procurement of any Town Permit, if applicable.
2. Submission of as built repair sketch in duplicate showing:
a. Owner's name
b. Site Street.Name, Town and Tax Map number
c. Location of installed components tied to two fixed points
d. System description (e.g., 1250 gal. Concrete septic tank, etc.)
e. Installers' name and phone number
3. System repair to be performed in accordance•with the
above proposal and conditions.
Priosal Approved A Proposal Denied
I a it Date
COPIES: e (PCHD); Yellow o n 1); Pink (Installer), Orange (Applicant)
PC -RP 99ML
Rev. 8/05
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• PUTNAM COUNTY DEPARTMENT OF HEALTH
H � -- . -.. ��DIVISION= ;OF- ENVIRONMENTAL.HIEALTH SERVICES
INITIAL INDIVIDUAL /COMMERCIAL SITE INSPECTION FORM
SECTION A. GE14ERAL INFORMATION.
Name of Project l 'V (T ) County
Site Location
Building construction begun Extent `
Is property within NYC Watershed ? ................. Yes 0 No
JV
SECTION B. TOPOGRAPHY (Please check all appropriate boxes)
1. Hilly Rolling Steep slope Gentle slope Flat
2. F--] Evidence of wetlands 0 Low area subject to flooding F7 Bodies of water
1
0 Drainage ditches F7 Rock outcrops
3. Property lines or corners evident ....................... ............................... E7E Yes F--J No
4. Do water courses exist on or adjoin the property? ............................ ffyes 0 No
5. Will these affect the design of the sewage system facilities ?............ Yes F--J. No
6. Do watershed regulations apply in this development ? ....................... Ell`/Yes F7 No
7 Will extensive grading be necessary? ................. ............................... . F Yes No
8. Will extensive fill be necessary for SSTS? ......... ............................... 0 Yes M No
9. Do filled areas exist within the SSTS area ? ....................................... F—� Yes No
If yes, what is the condition of the fill?
SECTION C. SOIL OBSERVATIONS
10. Appearance of soil: F-� Sand F--] Gravel
11. Observed from: . F7 Borings E:] I
t
0 Loam EXClay F--� Hardpan F--J Mixture
cut Backho//e``excavations
12. Soil borings /excavations observed by l W on
13. Depth to groundwater 7 f on !�
14. Depth to mottling (Q on -
15. Are test holes representative of primary & reserve areas ...... ............................... L� Yes U No
16. Soil percolation tests made by
17. Soil percolation tests witnessed by
SECTION D (on back)
on
on
Form ST -1
SECTION D. DRAINAGE
18. Will proposed grading materially alter the natural drainage in this or adjacent areas? F7 Yes ffNo
19. Will groundwater or surface drainage require special consideration? ..................... Yes �No
20. Will gullies, ditches, etc., be filled and watercourses be relocated ? ......................... . Yes QNo
SECTION E. REMARKS
21. If a common water supply is proposed, has an. inspection been mad f
existing or proposed source and facilities? .. ............................... ... ................. F Yes F No
Inspection data
22. Do adjacent wells and/or sewage systems exist? ..................... ............................... rV1 Yes F_� No
23. Additional comments]
h
24. Site observer /inspector and title b
25. Date(s) of observation(s)inspection(s)
TEST PIT PROFILES
Hole # Lot #
Hole # Lot #
Hole # Lot #
Depth to water
Depth to water
Depth to water
De th to _ g. - .
.,... p..._:... _.mottlin
Depth to mottling
_ - Depth to mottling
Depth to rock/imp.
Depth to rock/imp.
OQ to rock/imp.
De th p p.
G.L.
G.L.
G.L.
0.5
0.5
0.5
1.0
1.0
1.0
2.0
2.0
2.0
3.0
3.0
3.0
4.0
4.0
4.0
5.0
5.0
5.0
6.0
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
1 �
,SHERLITA ANTLER, MD, MS, FAAP
1'ommissioner of Health
+ LORETTA MOLJNARI, RN, MSN
Associate Comm issionmof Health - . , . . , _ -;
ROBERT1 BONDI
Counry f reeurive
ROBERT MORRIS, PE
r;. Directorofl;nvironmenta/ Health.
DEPARTMENT OF HEALTH •
I Geneva Road, Brewster, New York 10509
REQUEST FOR FIELD TESTING
All information below must be fully completed prior to any scheduling. DATE: 3 Ole)
ENGINEER OR FIRM: C S j� PHONE #:
PERSON TO CONTACT: r
❑ NEW CONSTRUCTION L7 REPAIR PROGRAM ❑ ADDITION PROGRAM
REASON: DEEPS: PERCS: ❑ PUMP TEST: ❑
ROAD /STREET:
TOWN: e, - e.rso. -, TAX MAP 4,
SUBDIVISION: LOT #:
OWNER: << j/e_
NYCDEP CRITERIA FOR JOINT REVIEW AND WITNESSING OF SOIL TESTING
YES NO
O Proposed SSTS within "the draina ge. basin of West. Branch or Boyds Corner & .
..Croton Falls - Reservoirs:"
0. Proposed SSTS Within 500 feet of a reservoir, reservoir stem or control lake. - �T
O Proposed SSTS within 200 feet of a watercourse or a DEC wetland.
0 Proposed SSTS design flow greater than 1000 gallons /day or SPDES Permit required,
0 �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 yes to any of the questions, NYCDEP must witness the soil tests. This Department will coordinate a .
mutually suitable time for field testing with the Design Professianal and NYCDEP.
If a project has been determined to be Delegated based on the above response and then subsequent
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. MIL HELD TEST(NG:KLY
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 Intervention/Preschool (845) 278 -6014 Fax(845)278-6648
1
07/03%2007 10:44 FAX 19142443814
Attorney's T1tle Ins.
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WOOD-_-,
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Chris Dellaripa
Putnam County Septic System Repair Program
100 Route 312, Building # 4
Brewster, NY 10509
Dear Mr. Dellaripa:
ROBERT I BONDI
County Executive
Director of Environmental Health
December 31, 2007
Re: Septic Repair Permit (WS- 264 -07)
for Miller at 133 S. Lakeshore Drive
(T) Patterson, T.M. # 36.39 -1 -23
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.__...
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: T. Cronin, PE
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 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
I v a iv .... vv v... . . ,— ...._. . . -- . .. ....I ..
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PRO OSAL FOR SEWAGE TREATMENT SYSTEM REPAIR
.YES NO; - Internal Use Only PERMIT #
❑ Repair Permit issued in last 5 years ❑"Not in WateTShEd
❑ ❑ 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 r33:S Z,, TOWN P� M # -
OWNER'S NAME, %j�� PHONE #27
MAILING ADDRESS �5r1le-.
APPLICANT t,,,_
Name & Relationship (i.e., owner, tenant, contractor)
DATE /0 /�2 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 off / thle (f/ repair. (]�_ ((�� �q / /,,] J
/ // , _ S 4 I f -i � d� �✓ .� J .�.� P ` _c (� r :Y. �� �• "_ .w.'b_ . sad L ^..
I, as owner,agree to the conditions stated on this form
SIGNATURE TITLE DATE
(owner)
I, the septic installer, agree to comply with the conditions of this. permit for the septic system repair
_DATE_
(installer) r _ . _...._
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
oposal Approve Proposal Denied ❑
Inspector's Sign ure T le ate Expiration Date
,Repair proposal is in com liance with a li a e codes Yes ❑ No
COPIES: PCHD; Owner; Installer
PC -RP 99ML Rev. 2/07
CITY DerypT
2 0�
h o
R�N'HENTAl PRA
(718) DEP -HELP
If you have any questions, I may be reached at (914)742 -2055.
Sincerely,
Danny Shedlo, P.E.
Civil Engineer III
Wastewater Design Review EOH
xc: Michael Meyer, NYCDEP EOH Planning
Edward Barnett, PCSRP Watershed Information Coordinator
Chris Dellaripa, PCSRP Inspector
Roger Sokol, P.E., NYSDOH
December 19, 2007
.�ewor
Department. of .
Environmental
Mr. Michael Budzinski, P.E.
Protection.
Putnam County Health Department
1 Geneva Road
466 Columbus Avenue
Valhalla, New York
Brewster, New York 10509
10595= 1336'
Re: Miller SSTS Repair — Putnam County Septic Repair Program ( PCSRP)
".
(T) Patterson, Putnam County
East Branch Reservoir Drainage Basin
Emily uoyd
Commissioner
TM# 36.39 -1 -23
DEP Log # 2007 -EB- 1049 -DJR.1
Tel. (718).595 -6565.
Fax (718) 595 -3557 '
Dear Mr. Budzinskl:
This letter is to inform you that the New York City Department of
Environmental Protection (DEP) has no objection to the approval of the above-
referenced activity, subject to the following conditions:
Bureau of Water Supply, '. ,
.
1. The owner must maintain an effective septic tank pump -out schedule
•
Paul V. Rush, P gf oner
Deputy'Commissi
until the subject repair is completed.
2. The subject repair cannot be used as a system to provide sewage
Tel (914) 742 -4 8.
Fax (91.4) 741 -03034
treatment for new construction or expansions on this site.
p
This determination is based on the review of submitted documents including
the drawings titled "SSTs Repair PIan = lffiiller Properly' ; T33 S�utYr'Lakeshore - " - -" --
Drive, Patterson, New York, revised 12/3/07.
CITY DerypT
2 0�
h o
R�N'HENTAl PRA
(718) DEP -HELP
If you have any questions, I may be reached at (914)742 -2055.
Sincerely,
Danny Shedlo, P.E.
Civil Engineer III
Wastewater Design Review EOH
xc: Michael Meyer, NYCDEP EOH Planning
Edward Barnett, PCSRP Watershed Information Coordinator
Chris Dellaripa, PCSRP Inspector
Roger Sokol, P.E., NYSDOH
.. L
46S.Col.umbus-Avartue.. -4
1 $0111341114., .4�
A
7-7
Fax:914-773-0343
Dec 19 2007 15:03 P.01
Mr. Michael Budzinski, P.E.
Putnam County Health Department
I Geneva Road
Brewster, New York 10509
Re: Miller SSTS Repair — Putnam County Septic Repair Program (PCSRP)
(T) Patterson, Putnam County
East Branch Reservoir Drami age Basin
TM# 36-39-1-23
DEP Log# 2007-EB- 1049-I)JR I
Tel. (718) 595-6565
Fi* (718)
Dear Mr. Budzinski:
This letter is to inform you that the New York City Department of
Environmental Protection (DEP) has no objection to the approVal of the above-
referenced activity, subject to the following conditions:
6
1. The owner must maintain an effective septic tank p UMP -out schedule
PauVV.'Rtiih;T,
L until the subject repair is completed.
2
. me subject repair cannot be used as a system to provide sewage
(91 4Y
treatment for now construction or expansions on this site.
-1411-1 348
_77 This ati&'is'based oil the•review of sub rm -tted-docurn6nts -ilicludin g_
the drawings titled "SSTS Repair Plan - Miller Property", 133 South Lakeshore
'7'
Drive,
Patterson, New York, revised 12/3/07.
-2055�
I may be reached at (914)742
If you have any questions
a.
Sincerely,
k6t
T-1, __ (z
iledIrl P P
,
�77
'71"'
P
.T I ..
Civil Engineer 111
Wastewater Design Review EOH
xe: Michael Meyer, NYCDEP EOH Planumig
Edward Barnett, PCSRP Watershed Information Coordinator
Chris Dellaripa, PCSRP Inspector
Roger Sokol, P.E., NYSDOH
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
LA-6 &+'EtUD
ROBERT J. BONDI
County 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: IUI) L-L��
TOWN: P01- I .r, O K)
JOINT REVIEW
SUB'D APP DATE
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 subdivisbn
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 Intervention /Preschool(845)278 -6014 Fax(845)278 -6648
CRONIN ENGINEERING P.E., P.C. December 4, 2007
The Lindy Building; Suite 200 .
'2 John Walsh Boulevard
Peekskill, NY 10566
914- 736 -3664 Fax 914 -736 -3693
Michael J. Budzinski, PE
Director of Engineering
Putnam County Department of Health
1 Geneva Road
Brewster, N.Y. 10509
RE: SSTS Repair
Miller Property
133 South Lakeshore Drive, Patterson
THESE ARE TRANSMITTED. as checked below:
❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT ❑ PLEASE REPLY
Mike,
Based on your November 26, 2007 review memo, please find enclosed the following:
3- Copies of "Subsurface Sewage Treatment Repair Plan for PCSRP - Miller Property" .
- - -- sheets SPA A- &•1:2; dated-October 16; 2047; = re4ised - through, December 3, 2007-- ....:__ _.:,._.._.:._.....::. .
1- Copy of the soil data sheet
The following are responses to the comments of the above mentioned memo:
1. Comment noted, please see enclosed soil data sheet.
2. Adjacent wells have been shown on the plan, see sheet SP -1.1.
_r 3. Percolation holes have been labeled P -1 & P -2 on the plan, see sheet SP- 1.1.
4. Comment noted, please see Design Note #3 on sheet SP -1.1.
5. The footing and leader drains have been shown discharging away from the treatment
area, see sheet SP -1.1.
The above mentioned changes to the plan should satisfy your comments as set forth in your
November 26, 2007 memo. If you have any further questions please contact me.
Respectfully submitted,
1'1—� ✓"i
Patrick M. Bell
Project Engineer
PUTNAM COUNTY DEPARTMENT OF HEALTH .
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATNfkNT'cSVSrT�M
Owner cam. 4 1q, / 14 r Address 133 S, L a kt G k v r c. D �r
Located at (Street) S k c-ko arc t f-a i r � i e Id Tax Map 3� , 3 B lock j Lot Z 3
(indicate nearest cross street)
Municipality Ira } 1 e r s o o. Watershed Pu + n r, m �_,e_
SOIL PERCOLATION TEST DATA
Date of Pre - soaking A vvT . I : 2 o o J- Date of Percolation Test Av� . 2, 2 o o -f
No ole
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
i
1
q -0-7 -9:31
Z4
21 1" -2q'
2
3a —)o:o
0
1'12" -, �,
a 4"
(i
3
j�,o3 -10:33
p
1 ' U
I '
3! i/
y n
4
,
5
2
1
L2 -1
2,G _Z
30
6 2gg"
�o
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. 5 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.
Pomi DD -97
Ps. 1 or,
TEST PIT DATA
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH HOLE NO. I�
G.L. eyec z6
0.5'
1.0'
1.5'
2.0' V
2.5' SA �d
3.0'
3.5'
4.0'
4.5'
5.0'
5.5'
6.0'
.6.5'
7.0'
7.5'
8.0'
8.5'
9.0'
9.5'
Indicate level at which groundwater is encountered ki
Indicate level at which mottling is observed Al I A
Indicate level to which water level rises after being encountered.
Deep hole observations made by: (ft- vv \lamr��h -e per ��►�, �? �.C• Date,+J�
Design Professional Name: r %�•lll Address:
...
�2���si��lt ,,IV�F IoS�b6
Signature:
&-� ID-e pP t-� �e5
ivlS�-1 C C'P( " +) Design Professional =s Seal
C�.s l �ztL�.r���pcSRp�
`P,4 --r tc-L 3o k C cr o w vi
\� �r NEW )10
629$0
�`��NKU F ESS\
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
K s LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
Patrick Bell
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Cronin Engineering
The Lindy Building, Suite 200
2 John Walsh Blvd.
Peekskill, NY 10566
Dear Mr. Bell:
November 26, 2007
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Re: Proposed SSTS Repair for Miller
At 133 S. Lakeshore Drive
(T) Patterson, TM # 36.39 -1 -23
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.
'/ A soil data sheet with the percolation and deep test hole information is to be submitted.
_._:......._ .. __ - ✓_.2.. The location of the adjacent wells are. to be shown on.the plan.
X. Pere are two (2) percolation holes labeled P -1 on the plan.
The design engineer is to verify the condition of the existing septic tank prior to
ncorporating it into the design scheme.
,,The location of the dwelling footing and leader drains are to be shown discharging away
from the treatment area.
Upon completion of the above, this Department will continue its review. Kindly advise us if
there are any questions.
Respectfully,
Michael J.
Director of
MJB:kly
cc: D. Shedlo, 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 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
(718);O.EP•HELP
November 15, 2007
Mr. Mike Budzinski, P.E.
Putnam County Health Department
1 Geneva Road
Brewster, New York 10509
Re: Miller SSTS Repair — Putnam County Septic Repair Program ( PCSRP)
(T) Patterson, Putnam County
East Branch Reservoir Drainage Basin
TM# 36.39 -1 -23
DEP Log # 2007 -EB- 1049 -DJR.1
Dear Mr. Budzinski:
This letter is to inform you that the New York City Department of
Environmental Protection (DEP) has reviewed above - referenced repair
application, has determined it to be incomplete, and requests the following:
1. Engineer must verify condition of existing septic tank prior to
incorporating into design scheme.
2. Show location of residence footing/leader drains and ensure they are
discharged away from treatment area.
3. Show location of all neighboring wells.
These comments -are. based on_the .review of submitted documents including
drawings titled "SSTS Repair Plan — Miller Property", 133 South Lakeshore
Road, Patterson, New York, dated 10/22/07.
If there are any questions, I may be reached at (914)742 -2055.
Sincerely,
Danny Shedlo, P.E.
Civil Engineer III
Wastewater Design Review EOH
xc: Michael Meyer, NYCDEP EOH Planning
Edward Barnett, PCSRP Watershed Information Coordinator
Chris Dellaripa, PCSRP Inspector
Roger Sokol, P.E., NYSDOH
Fax:914-773-0343
' 2007 e r 15,
Nov 15 2007 12:19
"D ;ht OU'..
Mr. Mike Budzinski, P.E.
-.7r,
Putnam County Health Department
.-Prote
I Geneva Road
"a m.
Brewster, New York 10509
.465Colunitkus'Avi,-fiue
Vaibaiia: New York- _
f
Re: Miller SSTS Repair - Putiam County Septic'
Danny Shedlo, P.E.
(T) Patterson, Putnam County
East Branch Reservoir Drainage Basin
TM# 36.39-1-23
DEP Log # 2007-EB- 1049-DJR, I
4.
5" j
Dear Mr. Budzinski:
595 -3557:
.......
This letter is to inform you that the New York City D
Environmental Protection (DEP) has reviewed abov(
L
"0
application, has determined it to be incomplete, and r
Otar S.Up
1. Engineer must veri condition of existing s
fy
incorporating into design scheme.
L.10 P
2. Show location of residence footing/leader drai
discharged away from treatment area.
74�200
3. Show location of all neighboring wells.
These comments are based on the review of st
drawings titled "SSTS Repair Plan - Miller Pt
Road, Patterson, New York, dated 10/22/07.
P. 01
it Program (FCSRP)
of
d repair
� following:
tank prior to
and ensure they are
mitre d0 Uia�ejat
.3erty 133 South Lakeshore
If there are any questions, I may be reached at (914)742-2055,
Wu•Wol C. 0". A q P)
C'
181) D
E:P;K.V.
Edward Barnett, PCSFT Watershed Infori
Chris Dellaripa, PCSRF Inspector
Roger Sokol, P.E., NYSDOH
Coordinator
Sincerely,
"a m.
Danny Shedlo, P.E.
Civil Engineer 1H.
Wastewater Design Review EOH
xc: Michael Meyer, NYCDEP EOH Planning
Wu•Wol C. 0". A q P)
C'
181) D
E:P;K.V.
Edward Barnett, PCSFT Watershed Infori
Chris Dellaripa, PCSRF Inspector
Roger Sokol, P.E., NYSDOH
Coordinator
ENGINEER'S REPORT
MILLER SEPTIC REPAIR
133 S. LAKESHORE DRIVE
TOWN OF PATTERSON, NEW YORK
October 18, 2007
Revised: October 22, 2007
Reference.is made to plans prepared by this office entitled "SSTS Repair Plan for PCSRP - Miller Property"
dated October 18, 2007, revised through October 22, 2007.
PROJECT LOCATION:
The existing residence is located at 133 S. Lakeshore Drive in the Town of Patterson, New York. The
property is approximately 50' from Putnam Lake. This property is within the watershed for the New York
City Reservoir System.
PROJECT AND SITE DESCRIPTION:
The existing Miller residence is situated on a lot of approximately 8,000 sq. ft (0.18 acres) in an area of
built out development. Approximately 6,820 sq. ft of the property is landscaped with grass, miscellaneous
planting areas and native trees. The remaining 1,180 sq. ft of the property is impervious, consisting of the
..residence, the access driveway and walkways on the property. The property is served by private water
supply and sewage disposal system, as is typical of the surrounding- residences
The existing sewage disposal system consisted of a septic tank and various areas for trench and pit
treatment. The existing septic system was identified, by the Putnam County Septic Repair Program, to be
a failing system. As part of this repair, the Putnam County Septic Repair Program, installed a temporary
repair to replace the existing system. This system includes the 1,000 gallon septic tank as shown on the
above mentioned plan and infiltration trenches in an area at the northeast corner of the property.
There is very limited area to replace the existing SSDS based on the following: the location of the existing
septic areas, the location of house and driveway and the proximity of the private water supply for the
property. Based on these limitations, the viable area identified through field reconnaissance for the
replacement SSDS would be in the northeastern portion of the property (as illustrated on the plan).
Deep Test Hole inspections were conducted on the site, in the area identified as suitable for installation of
the replacement SSDS, on July 31, 2007. Present for the Deep Test Hole were the following: Mike
Budzinkski (PCDOH), Danny Shedlow (NYCDEP), Pat Tyndall (Excavator) and Patrick Bell (Cronin
Engineering). The Deep Test Hole inspection revealed suitable soils for the installation of a replacement
SSDS. Percolation Tests, were conducted by staff at the Putnam County Septic Repair Program, and the
information was used in the design of the replacement SSDS.
PROPOSED DESIGN OF REPLACEMENT SSDS:
Based on the constraints of the property it was determined at the July 31, 2007 site visit that the
replacement system for the SSDS should be a peat biofilter system, as manufactured by Puraflo. These
systems offer a high level of treatment to the sewage outflow from the house in a relatively small area.
The system will consist of three (3) peat biofilter modules (See Appendix A for peat module design data)
and will have a weep design that will discharge the effluent for further treatment into a pad disposal
system. The pad disposal was designed on existing soil conditions and percolation rates in the soil. The
proposed disposal pad is 22' x 10' (220 sq. ft.) with a 6" layer of W washed stone between the bottom of
the modules and top of soil,
As part of the repair installation, a 1000 gallon concrete pump /overflow chamber is being proposed. The
effluent flow from the septic tank will be pumped to the peat biofilter modules on a time - dosing process of
no greater than 37.5 gallons every two hours.
In order to provide a level pad for the disposal beds re- grading will be neces area.
Approximately 15 cubic yards of fill will be needed for the pad area and s�6fRfr�`d1%
CD r� L. C,.rU �a
CRONIN ENGINEERING P.E. P.C. —< !Mx �
UJ
w�
BY: FOR �s. � 62980
NIYOFESS %o ' i
Patrick M. Bell Timothy L. Cronin l
Project Engineer Professional Engineer
Cronin Engineering 2 Miller- October 22, 2007
Appendix A
Peat Module Design Data
I PEAT MODULE DESIGN DATA I
PROJECT OVERVIEW: THE PUTNAM COUNTY SEPTIC REPAIR
_.. -.._ , ,, .,:_.:.P,R.OGRAM HA$ DETERMINED --THAT..-
THE EXISTING. SS TS FOR THIS
PROPERTY HAS FAILED AND
REQUIRES A NEW REPLACEMENT
SYSTEM. THE PROPOSED REPAIR,
USING A PEAT MODULE FILTER
SYSTEM, SHALL BE BASED ON
MANUFACTUR'S SPECIFICATIONS
AND EXISTING SITE CONSTRAINTS.
NUMBER OF BEDROOMS: 3 BEDROOMS
NUMBER OF MODULES: 1 PER /BEDROOM X (3 BEDROOMS) =
3 MODULES FOR REPAIR
PERCOLATION DESIGN RATE: 15 MIN /INCH
DISPOSAL AREA REQUIRED:
BASED ON MANUFACTUR'S
111112004 DESIGN REFERENCE
MATERIAL THE SOIL GROUP 1S
INDENTIFIED AS GROUP 3 WITH
A 1-5-MINIINGH- P- ERGOLA -T(.ON ...:_
RATE. THE APPLICATION RATE
IS 2.21 GDP /SQ. FT. A 150 GPD
PER BEDROOM FLOW RATE
WILL BE USED.
DESIGN FLOW: 3 BDRMS X 150 GPD /BDRM = 450 GPD
BED SIZE: 450 GPD /2.21 (GPD /SQ. FT.) = 203.6 SQ. FT
BED SIZE DIMENSION: 10' WIDTH X 22' LENGTH = 220 SQ: FT.
ADDITIONAL REQUIREMENTS: A 1000 GALLON PUMP
CHAMBER WITH TIME DOSING
+/- 15 CU. YDS. ENGINEERED FILL
0
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Nea!(h.,
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. BONDI
Count, EX_cuttVd'
ROBERT MORRIS, PE
Director of Environmental Health
L A-4 SffeL LD
TO: DEPARTMENT OF ENGINEERING AND DESIGN REVIEW
PRIORITY - SEPTIC REPAIR
WS-744-o'-7 DELEGATION STATUS
FOR
SUBSURFACE SEWAGE TREATMENT SYSTEM PROGRAM
JOINT REVIEW IM 3�p f
PROJECT:
TOWN:_] SUB 'D APP DATE
NOTICE OF COMPLETE APPLICATION: DATE:
❑ Within the drainage basins of West Branch, Boyds Corner Reservoirs or Croton Falls.
�0, 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 Intervention /Preschool(845)278 -6014 Fax(845)278 -6648
W L/NK \�
ENCE
1
_-104
FOR
IULD
=IED.
#4.
��l
j�.
.7
.j
,102
LOT 21 .
AREA -= 1-8, 000 SO. FT.
v
v
- S
EXISTING
STOR Y
/ FRAME
/ / / /.-
100 �G
USE EXISTING SEPTIC
PIPE FROM -HOUSE
D2
98
PROPOSED PIPING FOR
- I / --- A A /i1
a
f4' OF 470 PVC SDR -35
PIPE 0 1.09 MIN PITCH TO
PUMP CHAMBER
O
A7JI
1
eox
coNc
R WALL
PAVED
APPROXIMA TE L OCA TION OF
EXISTING 1000 GALLON
SEPTIC TANK. SEE DESIGN
NOTE #3.
'j
s,
PROPOSED 1000 GALLON
PUIVP /OVERFLOW TANK
(SEE DETAIL)
ho
PROPOSED 1 -1/2 "0
SCHEDULE 40 FORCE
MAIN FROM PUMP
TANK TO INLET OF
PEA T MODULES
IRON ROD , Qur PROPOSED LIMITS
FOUND ON R"
OF PAD BED. BED
TO BE 220 SO. FT.
PROPOSED PURAFL 0
PEA T FIBRE BIOFIL TER
"BLUE UN1 TS (3 TO TAL)
1 (SEE DETAIL)
EXISTING TREE TO
BE REMOVED
IN
1
�P
SO �OpF'QTY O
'QO,y� , 'poll-
PROPOSED o'9�
�grre .
EROSION [�
CONTROL (SEE DETAIL) ^V
Lake
LOCATION MA
Ioo�
"op"
'\k�,
Dl�
PR
133 S. LAKE:
UNDER NEW YORK STA"
UNLAWFUL FOR ANY PE
ACTING UNDER THE DIF
ITEM IS ALTERED, THE /
AND THE NOTATION "AL
OF SUCH ALTERATION,