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Home My WebLink About2090DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.56 -1 -7 BOX 18 FUUM him I . kc ty. Ir ■ 1.91 sd - ,o o•l PUTNAM COUNTY HEALTH DEPARTMENT �f _ DIVISION OF ENVIRONMENTAL HEALTH SERVICES / ....... . PROPOSAL FOR SEWAGE TREATMENT SYSTEM REPAIR Internal Use Oniv PERMIT # Li KJJ Repair Permit issued in last 5 years LJ 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 W,�SL,4 y RD TOWN TM # OWNER'S NAME *EJjE- Clo 9 as c) PHONE # x (/5- 27q - S016o111_ MAILING ADDRESS Ps t...) S L41 `/ ILO 0 j[ APPLICANT Name & Relationship (i.e., owner, tenant, contractor) DATE 9 12-3 d FACILITY TYPE �4 i- S PCHD COMPLAINT # PROPOSED INSTALLER �`�P axe_6UA+j,J I t NL, PHONE # ADDRESS 163 r- dik-w 8y Q(L REGISTRATION /LICENSE # % 7 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. 1AJe,"LL_ AlarLi Iaco CAS. 4-A.-44-- +A KL W.+ Y.� SOL- /IS LA ' N VZ VZ L Soil- 9- Jt eQ 7t 1, as owner,agre to the co;Ations s ed on this form SIGNATURE TITL DATE Q42 d0q (owner) _- _l,.thesepti6h agree -co the conditions of.this perm mit for- the•septiic- system- repair.._. SIGNATURE TITLE PAI. ' DATE— 3 (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. Ih 1 CKNAL U= UNLT Prop" I Approved Proposal Denied ❑ In Sign -W re Title Date Expira ion Date / R proposal is in compliance with applicable codes Yes O No C COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 / -` LJ too FL IV HED 7 Q •.;fir "d�.'. !I iv VW Att ' t, CIS -" (- i N E S f-+ Z Nt9 ix SPjo � 4 �i`'�� Tft L lyE *1�„i4' s.i`Y� ',�•� {��r � :�� 'f t" n "HBj i i� , _'!• .: � s�'a +li]i "'•ry � � - " -=.... L4 1. � t :.i �._ ga=r �' i •``.� �x a l��r�� =:� ^: �,�' ig x ,. .SEf4�u.. .(a� z'a�-r'�Zin.t ru...M C..t -a=;. .�° - _• _�""� < ��. i:. 1,11 ;W 0 L.Q Se C- 1-A 1J PIOEJ-5 c-, 9 V Aj ho 0 -- ta-ml vt;-r-,,* &-., A-U,0,5 4, S j).;: 1.4- r 5-7 . . . . . . . . . . . . 03,691) - - - - - - - - - - - - tz vs 7A <96 41 2P- *Y� 1"') Ica 0- W.1 AM, Cp'.. 'Sheet of * PUTNAM COUNTY DEPARTMENT OF HEALTH < DIVISION OF ENVIRONMENTAL HEATLH SERVICES FIELD ACTIVITY REPORT ,NAME.' `2°Ven °. �✓ -rsc7 AT�i�RF:CC.25{ reet _ Town State Zip PERSON IN CHARGE �J7b (�R1�ITERVTFU�TEl�. , . ®v�?/ ; . T)afP' Name and Title o TYPE OF: FACILITY .- 08/25/2009 .14:31 8458782019 PATTERSON PLANNING PAGE 01/01 z 7z �_a._.. _ ...rte: . -. -. .. -... ,..__.. --., :, �.,..•,- .;_ -•.. ...�..r -_ ,:- ..,.�..�_.. a...� v, 'r.k�..�- .,..•_ _- .- _� - -. -_. . -. .,. 1,,.;,t -.,._ �- - ..a. ->.�_. -_. ,' rtl�l: +n f ';• r.`f? . •, , !'. " '..: •i�• l.ia.r�, j +.; � „�,� ?'; it . ""'.+- _ ir+ � �� • a5 Ff 7 � Qtl r�'r' - ';'. �Is.. • �.�_` _ '� �,: ti, r • r 4 ' . 4 r �•v. � 43 221 z ' -4 ��j •aFGk - � � .f�sr' '• � •S� ,i ,�rW r i dip • , �� . � i ' � - +,t, , fir^ ;,�.'`ly . - ''_ T.fi° ��t`� r ':t ��' ' ,acv, 1,,� j� >,'•iF; 1j r 1 r 1��...- f r , of =�6�';r • a �59,.� yam•• [,. •' �•,. ;' , i.t • ''� .,,..:, - >• ,;tee.-. ,1',�.: .:i:e`�e.:�° "� , ft.R ,&E,Stf Y1.. Z.942 r� 29Z .reXC4 cs �.Ys 1C' L/,T1YF,�°'1 ('Ol�1Xz".Y, ,lY6 lie' P64Tfllr Z"fvT,nr4f 9, -7 C47 V"7-Y G 4�r�KK • .<'`?.RR G�5( r20l.�3! h's .r"7,�9.�.rY(/!`1 G3G- - r5F`.Y_ Se�r.•e1.•h•t�'e• w- r�l�e ✓sr /oeafciJs.rva� /0/978. rrne..e� eo.••r�v /F7�eef'.la.s��'y /x, /P7s. �.r.rarva�r 4� /a..�• 2Y� / �5�� /i'c.J bra <r.� ✓�.tc Zile, /fa 4t. 3 r�R V6 Y6O we rri 1`7++Yr1-7,uf -1 ST/�Nb.pRVS' Pbii 77- r'—Rr r Fc oz vB Ys of r/VE" e%rw Ye,p.K L Nry 0 'ii r-4e Ti o N. G,Ere7'IF /E6 To �S'Td�'NE'N fa: ZP&A5o pnr /'•'jyaY49: FiRSr F6"aERA+C .SR ✓ /Nt4S ,++vo rCo�r,+ �sSOai.9 >ioN iOVID 7-uY /i6 Nf�rro...rrc /�7"svRr�r Y'.S p / 3SL5'- FM.'N.Y. /oesC' Kw�Zrr z3 5Si /,' -rr Complaint Information _ ..._..._._. _. ... . tom lamt'Receiv8d` '� - �...,.°.°Reeeeve� .... .._ • .. _ _ ... . _ 8�..- M-arrtin;yi:inde-- �..�_,,.r.: -. Rcvd via Telephone Time Received Assigned To Luke, Michael :ompiainant (Person Maiung uomplallnt) ❑ Anonymous t: FirstERIN Last GALELLA Address 3 ULSTER RD. City PUTNAM LAKE State Zip Phone 845 - 259 -3773 - Origin /Source UL RD. e 1 -� �� c�'� 0_1 Address Phone Location Town of PATTERSON Operation Type Complaints not associated with a eHIPS Facility Category A condition, action, activity, place or area that is ani Complaint is Against Complaint - General Facility Address Sub -LHU Risk Level No risk assigned Complaint Nature of Complaint Date Complaint Sewage exposure Status Needs Investigation Resolved Description ActionTaken (CHERYL BI CALLED) NEIGHBOR SAID - NEIGHBOR BEHIND THEM (ULSTER RD.) SEPTIC LEAKING - _:.. _mss, {' : s� / / W i/, /'1 4,—r C_" Mi—S O"u 4_/ 3•,l " yam Val.... ( 1 7 f .�. ly► to �Y-• -� �� 7�.a.�1 Gam` s `"�``";/' -�--iP `` 4r' °- �l,/1u Aa w .. 4-j H-k A 2 K�" lt � � .1- ^f�-� ! kz-Q f "� .�t%r. l.� v �s � 0. � � �^-� u S i •� CL C_ r r4 -� f— 4/lZV0g' DyC_ Z4 C'_jtS11y /91) / 6%1 - Page 1 of 1 Date Printed April 25, 2008 `` /k<_f Se- r7 .,� After - Hou- rs.Log #: _ _. ,. Complaint- #: - Date Received: __.Logged By How Received: Received By: Referred To: L'� Y-6 Y Person Makinq Complaint: First Name: Last Name: Aa Street Lu Town: State. _ Zip: Phone: 7 7 Origin of Complaint: First Name: Last Name: Street: Town: State: Zip: Phone: Natur ' e ' 'of Com plaint: (Briefly describe) -50- W500 Action Taken: kly tLITA AMLER, MD, MS, FAAP Commissioner of Health .ORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH Geneva Road, Brewster, New York 10509 CERTIFIED RETURN RECEIPT REQUESTED Stephen Durso 8 Wesley Rd. Brewster, NY 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health NAME: Michael Luke TITLE: Public Health Sanitarian PHONE: (845) 278 -6130 Ext. 2127 DATE: April 30, 2008 OFFICIAL NOTICE OF NON - COMPLIANCE YOU ARE BFR]EBY NOTIFIED that non - compliance with Article III Section 3.4 of the Putnam County Sanitary Code consisting of a discharge of sewage on the surface of the ground was found at 8 Wesley Rd. (T)Patterson, TM #36.56 -1 -7 by a representative of this Department on April 29, 2008. It is believed that you are responsible for correction of this condition. If you are not responsible, you are requested to notify immediately the inspector indicated above. Please be advised that appropriate steps must be taken immediately in order that the sewage overflow cease by arranging for the septic tank to be pumped out and maintained pumped until the proper repairs are made to the system. Approval of proposed repairs must be obtained from this Department prior to any alteration or rebuilding of existing disposal systems. An application is enclosed. " - Falilure'to pump the septic tank—i) e" diately and'further,- to correct this condition by May 31, 2008 will' p make you liable for additional penalties provided by law, including prosecution on a charge of committing a violation punishable by a fine or imprisonment, or both such fine and imprisonment, as prescribed by law, in addition to such other actions as may be prescribed. A re- inspection will be made. It is sincerely hoped that the above - mentioned further action will not be necessary and that you will cooperate by securing the correction of this condition. For the Public Health Director Very truly yours, Sherlita Amler, MD Commissioner of Health By: Michael Luke Public Health Sanitarian ML:lm Enc: Permit Application Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 cc: BI(T)PatterAgpsing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 MAB Nursing Home Care Fax (845) 278 -6085 DEP Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 Date Remarks Complaint Lo # /Y7-o9 -f I ccA ; -'d .) 1, SIC,, 14, /j -0 C/, 26 "L W e-J, Q L, e 5"7 4, 4� 4., L-k L 4, c-.3 v c Q- e- ic c:- ,.v -4-Locj ccA ; -'d .) 1, F, ComDlaint Loa Date Remarks 4 141 7.- 0 y- t I CAL LI-10 2 -4 3 L 2-4 Alp Ak, 4r— r -.j C.— 44 co-O &1 5 0- .Ohs . -ILL IZO PL ej Nf Date Remarks Comotaint Loa -7-113101 f sJ Q Z I Ge I Ms. Anne Butner Putnam County Department of Health 1 Geneva Road Brewster, NY 10509 Client Sample ID: 8 Wesley Rd �ap� Lab Sample ID: 420 - 25833 -1 1 Method: SM 9222B Total Coliform Count Method: SM 9222D Coliform, Fecal Job Number: 420 - 25833 -1 Sdg Number: NUS Lab ID #10142 Date Sampled: 03/30/2009 1230 Date Received: 03/30/2009 1630 Client Matrix: Wastewater Result/Qualifier Unit RL RL Date Analyzed: 03/30/2009 1700 3800 CFU /100mL 100 100 Date Analyzed: 03/30/2009 1700 1500 CFU /100mL 10 10 Dilution 100 10 04/01/2009 Sheet of PUTNAM COUNTY DEPARTMENT OF HEALTH FIELD ACTIVITY REPORT .N q j " �JP3 ® TPI: - - Street Town State Zip PERSON IN CHARGE r "cG ivf SiLv �.►� --- OR TNTFR VTF -W-PT) : ` � ry r`a v �-�^ 1�atr: V% 02 L/b i Name and Title TYPE OF FACILITY: il,,,-i4iw4 SAS ?3 _ ,Z FINDINGS: Gyre. aw }4 re- -s e-4 -d Oh. - %S Jl (/e-,� CJr L �rrA.�. j22 e v�5 4o t �%V �'S:� c `S ' �� Gt,�( 42�"° D Gam. s 5 •' y, [� �.yr� / .Oc /�--- c�Li /v v� G. — is S✓ 5 dft7of.i aGnd 64,161 ' �� U�5 �- 7��' ✓� W� �lY-rc r?i c� �— C a/ ll�C./� L� G✓Lkd `/ c/tulf•v � i'Oc�P.{ . TFT Xia atu re and Title DCDnDT D r7T) RV! (/ I acknowledge receipt of this report: SIGNATURE: 02/96 Title: Aug 05 08 09:07a DAVID L RAINES Code Enforcement Officer Fire Inspector TO ►_ IRE: TOWN OF PRTTERSO 845 - 878 -2019 � 7 7c! -21 TOWN OF PATTERSON CODE ENFORCEMENT OFFICE PUTNAM COUNTY P.O. Box 470 Patterson, New York 12563 FAX COVER SHEET z TEL (845) 878 - 6319 FAX (845) 878 - 2019 Cheryl — :Patterson Code Enforcement Office August 5, 2008 D'AMICO --10 WESLEY ROAD 2 Pages being faxed, including cover sheet. COMMENTS: P.I Aug 05 08 09:07a DAVID I. RAINES Code Enforcement Officer Fire Inspector TOWN OF PATTERSO 845 -878 -2019 p.2 TOWN OF PATTERSON .,...., ;�. �C-ODE--ENIFO RCIEM- E— `- T-OFFICE–..,- ....r,_ -. ,.v.�.....��.. , . PUTNAM COUNTY P.O. Box 470 Patterson, New York 12563 TEL (845) 878 - 6319 FAX (845) 878 - 2019 NOTICE OF VIOLATION - ORDER. TO REMEDY Name: Address: City, State, Zip: TM #: 36.57 -1 -6 Dear Ms. D'Amico, Ms. Mary D'Amico 10 Wesley Road Brewster, New York 10509 August 1, 2008 You are hereby notified that you have been found to be in violation of the Building Code / Zoning Code, Town Code. The specific violation is: Discharge of water onto adjacent property is not allowed. As observed by the Code Enforcement Officer on August 1, 200.8. (via health Department) The following corrective measures should be taken no later than August 8, 2008 or penalties may be assessed. Discontinue discharge of sump water onto adjacent property. Redirect water immediately. For the purposes of applying the penalties described in the Administrative Section of the Town Code, your first violation shall be deemed to have occurred as of August 1, 2008. If you have questions, please contact me. Sincerely, D Raines, Code Enforcement Officer .Please Note. § 64-19. Penalties for offenses. (see attached) PUTNAM COUNTY -HEALTH DEPARTMENT [)[VISION OF ENVIRONMENTAL HEALTH SERVICES ?RO-PO.SAL F.O.RSEwAGE, TREATMENT. SYSTEM. -REF.) D JITE LOCATION )WNER 'S.NAME 1AILONG ADDRESS ,PPLICANT Internal .Use Only Repair Permit issued irilast 5 years Repair vvithin BoycPs Comers, W. Branch: or Croton Falls. Res. Repair. within 200 ft_ of a watercourse or DEG-mapped wetland PERMIT # LJ Not in Watershed Delegated ❑ Joint Review. Lve, 74/ (max'- TOWN Ile-),, TM #f PHONE # 4,60 Name & RelatifflEhip (i.e., ov tenant, contractor) )ATE FACILITY TYPE PCHD COMPLAINT, 114 PHONE:i _-�� QPOSEQ::11NSTALL-X 7 '_�._REGISTRATIONILIOENSE 0DRESS'_."._. /�/A 3roposal (Iinclud&va separate sketch locating-,thp hp4se,;property Iinesj:aII adjacent4ells with n200 - eeftifrevWi and the Iodation of existing and, proposed ;systern) DOTE: The Department May require submittal of :proposal-from ofess' n 4oppricling,,nn the, ed p to a.1 iature an&e.xtent of the repair. as ownpr,agree to the conditions stated on this form :SIGNATURE TITLE (owner) 71 1010' I ilhe."ePptic s Iler,'agree to cbrnply.with the -aaff-ditroh-g-of-this-permit't6r the septic -system 'r6p&. SK3NAT-b,RE TITLE DATE (installer) t-Tupu5ai approved wan me iguoyong commons: 1., P(ocur erpent.of any 7ovvn:Penrfi1jf appTicable- 2. Subrnissio6�.6f as built repair sketch:by.thp septic system installer within 30 days of the repair, duPljcate showing: a Owner's name Site Street me'i.-Town and T cjxVap.number%, b. " Location•of-installed components -tied to two•fixed-poirds . . ..... c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name, and phone number 3. System repair to tie performed in accordante.wIth the above proposal and conditions 4. The. proposed SSTS r6 iPal ir is considered a best Ht 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 ❑ Proposal Denied ❑ Inspector's.Sig nature & Title Repair proposal is_ in compliance.with applicable codes C.OPIES: PCHD; Owner-, InstalieT PC-RP:99ML Date Expiration Date Yes D No. 0 Rev. 2107 SHERLITA AMLER, MD, IBIS, I'AAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI ._County Executive ROBERT MORRIS, PE Director of Environmental Health CERTIFIED RETURN RECEIPT REQUESTED Stephen Durso 8 Wesley Rd. Brewster, NY 10509 NAME: Michael Luke TITLE: Public Health Sanitarian PHONE: (845) 278 -6130 Ext. 2127 DATE: April 30, 2008 OFFICIAL NOTICE OF NON - COMPLIANCE YOU ARE HEREBY NOTIFIED that non - compliance with Article III Section 3.4 of the Putnam County Sanitary Code consisting of a discharge of sewage on the surface of the ground was found at 8 Wesley Rd. (T)Patterson, TM #36.56 -1 -7 by a representative of this Department on April 29, 2008. It is believed that you are responsible for correction of this condition. If you are not responsible, you are requested to notify immediately the inspector indicated above. ` . Please be advised that appropriate steps must be taken immediately in order that the sewage overflow cease by arranging for the septic tank to be pumped out and maintained pumped until the proper repairs are made to the system. Approval of proposed repairs must be obtained from this Department prior to any alteration or rebuilding of existing disposal systems. An application is enclosed. Failure to pump the septic tank immediately and further, to correct this condition by May 31, 2008 will make you liable for additional penalties provided by law, including prosecution on a charge of committing a violation punishable by a fine or imprisonment, or both such fine and imprisonment, as prescribed by law, in addition to such other actions as may be prescribed. A re- inspection will be made. It is sincerely hoped that the above - mentioned further action will not be necessary and that you will cooperate by securing the correction of this condition. For the Public Health Director Very truly yours, Sherlita Amler, MD Commissioner of Health n��e4 By: Michael Luke Public Health Sanitarian ML:lm Eric: Permit Application Water Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 cc: BI(T)PatterfMing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 MAB Nursing Home Care Fax (845) 278 -6085 DEP Early Intervention /Preschool (845) 278 76014 Fax (845) 278 -6648 TEST PIT DATA 2 I DESCRIPTION OF SOILS ENCOUNTERED IN TEST DOLES " - .:..:..� ...�DEPT�I . _ ,_.:... � �I�4�E �NO:: r :.� -.�� ...:::.: _..�-- _FiO,1✓•�04 ..�...,...�.,. _ . r�:I-IO�� =NA w:;_ . - G.L. a 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' Jw. 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5'' .0' 8.5' 9.0' 9.5' - 10.0' Indicate level at which groundwater is encountered Indicate level at which mottling is observed 0,A -h . Indicate level to which water level rises after being encountered Deep hole observations made by: Date Design Professional Name: Address: Signature: Design Professional's Seal �_ . -► sue,._ _ _ "�_TTJf,�a vim: � ,:., �, 'o V ' . � •.c 2 43 - uCi Ln O^ k'St Ry.lr rr} V• �WE � .. � 1 C1�41 i �,J � � = �S: 6i t;i ;S 6.x'%44 •.gyp � , i,L30 e-W I , IV F,: kV ]'-plT.,f� - F!4 C47CJl l7 v C L Rte$ gQFF(G� I/j` �.� ✓vrvcr y /z. /Y�6. � j°� ✓o..<re 2rJ�! 9d /f/ /1'c..✓ 7rac,.r? ✓ +rc 2� /FHy, _ ' - - S V/! l/E YF_ O /N r9c GC',¢oA.✓GE r✓, r// 7">'c /Yr/y�/..r ST/JNC.9RO.t- fp, /' x TT�_F aSI�R VE Y3 of THE NE'W YO.p N. .L qNO 7'l TG6 n. SJOC/�T /o N. /�� G«l �.G re 7' /F /EO TO STdP'NEN A O(JRSO en.r /")qRY B. i%(7RSC ��V//vv ii F „¢sr Fee -a6R9t Sq✓/rvGS .ovo Lo�,y /q�rsauAYvN