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PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM
Owner Address .z &
Located at (Street) 2 & 0 At e-J�a n. Tax Map AV-1 9 Block Lot
(indicate nearest cross street)
Municipality R4 776. a .t o,,, Watershed
SOIL PER: COLATION TEST DATA l
Date of Pre - soaking Date of Percolation Test s/ 7/0'
y 2%
2 _� i
z ,y 3i :Jz < < 2
3
4
5
1 .
2
3
4
5
1
2
3
4
5
NOTES: 1. Tests to be repeated at same death until arwroximately eaual percolation rates are obtained at each
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.
Form DD -97
05- 09 -'07 13:41 FROM -PC. Septic & Repair 845 - 278 -2318
SHERLITA AMLEK MU, MS, FAAP un
m_ NC`ommissioner of Health
LORETT'A MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
I Geneva Road, Brewster, New York 10509
REQUEST FOR FIELD TESTING
All information below must be f completed prior to any scheduling
T -431 P003/004 F -733
ROBERT J. BOND]
Cowry Executive
ROBERT MORRIS, PE
Director of Environmental Health
DATE: /0 i
ENCYINEtR OR FIRM: Cr (�. PHONE #• ] 8 3 13
PERSON TO CONTACT:
❑ NEW CONSTRUCTION
REASON: DEEPS: ❑
EPAIR PROGRAM ❑ ADDITION PROGRAM
PERCS: PUMP VEST: ❑
ROAD/STREET:
TOWN: hr7 TAX MAP #:��y_�
SUBDIVISION:
OWNER•' S
LOT #:
NYCDEP CRITEIUA FOR JOINT REVIEW AND 'WITNESSING OF SOIL TESTING
YES NO
O Proposed SSTS withba the drainage bashm of West Branch or Boyds Corner
Croton Pails Reservoirs.
0, proposed SSTS within 500 feet-of a reservoir, reservoir stem or coiztrol lake.
O Proposed SSTS within 200 feet of a watelrcourse or a DEC wetland.
o Proposed SSTS design flow greater than 1000 gallons /day or SPD + S Perrart required.
0 proposed SSTS for a Colninercial Project.
it is the responsibility of the design professional to provide the above, information prior.to soil testing. The
Department vvill 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 Desigia Professional and NYCDEP.
If a project .has been determined to be Delegated based on the above response and then subsequent
information ixldica►tes 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.
IFOR COLNTY USE ONLY
DATE: TZM :
COMMP,N•TS:
rya FOMMEotesrnAcxLr Environmental1i]ealth (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 -6426 WIC(845)278-6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention/Preschool(945) 278 -6014 Fax(845)278-6648
05- 09 -'07 13;41 FROM -PC. Septic & Repair
845 -278 -2318 T -431 P004/004 F -733
/, , � . f � o'r e— -D r.
��q.r
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
-LA4 s4e��L* D
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:
TOWN:T_5t��
JOINT REVIEW
SUB'D APP DATE
NOTICE OF COMPLETE APPLICATION:
DATE: e-7 0 %
❑ Within the drainage basins of West Branch, Boyds Corner Reservoirs or Croton Falls.
❑ Within 500 feet of a reservoir, reservoir stem or control lake.
L 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
ENGINEERING REPORT
PROPOSED SEWAGE TREATMENT SYSTEM REPAIR
JUNTA RESIDENCE
200 LAKE SHORE DRIVE
TOWN OF PATTERSON, PUTNAM COUNTY, NEW YORK
SEPTEMBER 2007
WARNING: IT IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE
EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED
PROFESSIONAL ENGINEER OR LAND SURVEYOR TO ALTER IN ANY WAY, ANY PLANS,
SPECIFICATIONS, PLATS OR REPORTS TO WHICH THE SEAL OF A PROFESSIONAL ENGINEER OR
LAND SURVEYOR HAS BEEN APPLIED.
COPYRIGHT 2007 DESIGN CONCEPTS ENGINEERING, P.C.
Prepared by:
Design Concepts Engineering, P.C.
John A. Kalin, P.E.
3 Memorial Avenue
Pawling, NY 12564.
s•��. ; - . r �L
/ r r/
Submitted herewith is a report containing the engineering design data relative to the
emergency repair of a failed Sewage Disposal System (SDS) to serve a single family
residence within the Town of Patterson, Putnam County, New York.
PROJECT DESCRIPTION:
The parcel to be serviced by the proposed SSTS is located at 200 Lake Shore Drive in the
Town of Patterson. The parcel is identified on the Town Tax Maps as Grid # 25.49 -1 -37.
The building is an existing 1 story structure with two (2) bedrooms. The existing septic has
completely failed and is.surface discharging.
The building is supplied with water from a individual well.
GENERAL DESCRIPTION OF SYSTEM:
The lot currently has an SSTS which consists of a metal septic tank and a limited leach pit
discharge. There is also a drywell on the north side of the parcel adjacent to the well.
Effluent has been surface discharging in the lawn and is therefore in failure.
Several test holes were excavated and witnessed by representatives of the Putnam County
Septic Repair Program(refer to data on plan). During the soils investigation, the SSTS
area was found to be a mix of loams and silty sands. There were no indications of water,
rock nor mottling in the holes.
Utilizing the soil test data, the best area was selected for the treatment system (refer to
plan). As this system is a repair, an alternate technology was selected to treat the effluent
prior to discharging it into the receiving soil. The peat biofilter system by Puraflow was
selected due to its ability to effectively treat effluent in a confined area.
The new SSTS shall replace the entire existing. system. The homeowner shall be
responsible for any modifications to the interior plumbing in redirecting the effluent line to
the south of the residence. Attached please find the proposed plans for the layout of the
sewage treatment system.
The system is proposed to consist of the following components:
1,000 Gallon Plastic Septic Tank
1;000 Gallon Plastic Pump Chamber with effluent pump
2- Puraflow Peat Fibre Biofilter Modules (blue units)
Manufacturer's data was used to size the required number of units. Percolation tests were
Engineering Report- Proposed SSTS Repair September 10, 2007
Junta Residence Page 2
performed to size of the gravel bed. Separation distance was maximized from adjacent
wells and the lake.
Effluent shall be delivered to the units through a force main. The pump chamber shall
deliver effluent in 25 gallon doses once per every two hours using a time dose control
panel. The panel shall be mounted on the exterior of the building in a weatherproof
enclosure with a visual -audio alarm. Sufficient storage capacity has been provided in the
pump chamber if a failure occurs. I
.
In addition to the, SSTS replacement, other improvements have been specified for the
project. They are as follows:
A surface swale will be installed uphill of the peat units to divert any runoff from the
SSTS area.
Pick up gutter leaders along the south side of the house and pipe them beyond the
SSTS to the west of the parcel.
This repair represents the best available solution to the failure, given the constraints of the
site.
SSTS Design Calculations
Project: Junta Residence
Location: 200 Lake Shore Drive Patterson, New York
1. DESIGN CONSIDERATIONS
2 Bedroom Single Family Dwelling
Emergency Repair of SSTS,
Note: Garbage Grinders Shall Not Be Used
2. DESIGN FLOW (Per PCHD Design Standards)
2 bedrooms x 150GPD / bed = 300GPD
Use: 300 GPD
3. SEPTIC TANK SIZE
For 2 bedrooms use: 1,000 gallon tank
Tank shall be plastic (Fralo or appv'd equal) and designed for an H -10 loading.
4. TREATMENT UNITS
Perc Rate: 25 min /inch
Design Flow: 300 GPD (2 bedroom)
Method of Treatment: Puraflow Peat Fibre Units
Units Req'd: 1 unit/bed x 2 bed = 2 units
Use: 2 units
5. DISPERSAL BED
.Provide dispersal bed below treatment units
Perc Rate: 25min /inch
As per Table 1 in the Puraflow Design manual (6/26/06 ed.), the underlying soil
is classified as a Group 2 soil and is set at 1.33 gpd /sf infiltration rate (25 min /in
pad).
2 bed x 150 gal /bed / 1.33 gpd /sf = 225 sf
Make bed 11' x 21'(231 sf
D E S I G N C O N C E P T S E N G I N E E R I N G P C
3 MEMORIAL AVE, SUITE 1 01 , PAWLING, NY 12564
PH: 845- 855 -2000 • FX: 845 -855 -2605
E: JKALINOVERIZON.NET
Junta SSTS - Repair Calculations
Putnam County Septic Repair Program
Page 2
September 10, 2007
.6. DOSING VOLUME
As per the manufacturer, the system shall be time dosed 12.5 gal /unit every two
hours..
2 units x 12.5 gal /unit = 25 gal dose /2 hrs
PUMP CHAMBER: PUMP DESIGN
Pump calculations:
Daily design flow: 300 gpd
Dose volume: 25 gallons
Friction Head:
Pipe type /size: 1 W' polyethylene Length: 20 LF
H -W coefficient: 120 Assumed flow rate: 30 gpm
Loss ( @30GPM): 6.26/100' (per Goulds)
Equivalent Lengths:
Straight Length
20 LF
Fitting loss (use 1 Y2"
dia)
90° elbow (2):
.
4.3 x 2
45° elbow (2):
2.0 x 2
Quick disconnect (1):
4.3 x 1
Discharge (1):
1.5 x 1
Cleanout (3):
2.0 x 3
Ball Valve (1):
54.0 x 1
Check Valve (1):
11.0 x 1
Nozzle Losses:
50.0 x 1
Total length: 159.4 LF = Use: 160 LF
Total Dynamic Head:
Total dynamic head = static,head + friction head
Friction Head:
D E S I G N C O N C E P T S E N G I N E E R I N G P C
3 MEMORIAL AVE. SUITE 1 01 , PAWLING, NY 12564
PH: 845 -855 -2000 • FX: 845 -655 -2605
E: JKALINOVERIZON.NET
Junta SSTS - Repair Calculations
Putnam County Septic Repair Program
Page 3
September 10, 2007
Friction head = Equivalent length x Head Loss /100 ft of pipe
160LF x 6.26FT =.1 0.02 ft
100FT
Static Head:
Static head = Elev at Unit - Elev. at Pump
98.5 -95 = 3.5 ft
Total Dynamic Head:
10.02 + 3.5 = 13.52 FT
Use: 14 ft
Pump specifications:
Using the total dynamic head of 14 ft, a Goulds Effluent Pump Series PE, Model
PE31, .33 HP, 115V, has been selected. This pump can deliver approximately
.32 gal /min against. 14 ft of total head. Refer to attached sheets for pumps
specifications and chart.
Cycle time:
Dose = 25 GAL /CYCLE
Pump rate = 32 GPM
NOTE: THE PUMP WILL BE CALIBRATED IN THE FIELD TO DELIVER 10
GAL /MIN BY USE OF A FLOW BYPASS (REFER TO PLAN).
Drawdown / Float Switches:
Tank capacity: 28.0 gal /in of depth of 1,000 gallon Fralo tank)
Drawdown = Dose/Vol per Depth of tank
25 gal / 28 gal /in = .89 inches or 7/8"
Per design, the pump shall operate on a timer designed to deliver a 25 gallon
dose every 2 hours. There shall be a pump enable float set at 3" off of the
D E S I G N C O N C E P T S E N G I N E E R I N G P C
3 MEMORIAL AVE. SUITE 1 01 , PAWLING, NY 12564
PH: 645 -655 72000 0 FX: 845 -655 -2605
E: JKALINOVERIZON.NET
Junta SSTS - Repair Calculations
Putnam County Septic Repair Program
Page 4
September 10, 2007
chamber floor. The alarm float will beset at 10.0" above the tank floor.
Emergency storage volume capacity is 720 gallons.
D E S I G N C O N C E P T S E N G I N E E R I N G P C
3 MEMORIAL AVE. SUITE 1 01 , PAWLING, NY 12564
PH: 845 -855 -2000 • FX: 845- 855 -2605
E: JKALINOVERIZON.NET
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM
Owner - J V j� Address ZCO DRIVE
Located at (Street) lyo L,A9r,6 VKIVS Tax Map l� Block I Lot
(indicate nearest cross street)
Municipality 's T ai Watershed MsT L�i9�i�NGi�
SOIL PERCOLATION TEST DATA
Date of Pre - soaking! O Date of Percolation Test _
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.
Form DD -97
Pg. 1 of 2
TEST PIT DATA
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH
HOLE NO. t)T • I
HOLE NO. DT Z HOLE NO.
G.L.
0.51
�� TO�SO((�
�tiZN °TOP O(c�
1.0'
36„ I.4,AM
1.5'
2.0'
Z5�%�Zu I.014M
2.5'
3.0'
3.5'
S somsS ONE
Sti8N" SI(-TY coA S6
4.0'
SAND
4.5'
5.0'
5.5'
6.0'
6.5
$T Ali
7.0'
7.5'
8.o'
8.5'
9.0'
9.5'
10.0'
Indicate level at which groundwater is encountered Noi 15N000MT6 ;D
Indicate level at which mottling is observed NOT 0&;F- 9VE12
Indicate level to which water level rises after being encountered M (R
Deep hole observations made by: J•r -AL-IN, M. gup7-jN&U, D.s4EDt -0 Date 3.2$'07
Design Professional Name-'Jo I-tN A I-A wt-A P. E . Address:
1%. ENC4IM66 IIVA Pc, 3 MEM0F -(At AVE
SVIT1 lo( PAwLCNLn NY Izs6l-f
Signature: I - Z Tz ,
Design Professional =s Seal
Ln'44*
ITT
APPLICATIONS
Specially designed for the following uses:
•,Mound Systems
• Effluent/Dosing Systems
• Low Pressure Pipe Systems
• Basement Draining
• Heavy Duty Sump/
Dewatering
SPECIFICATIONS
Pump — General:
• Discharge: 1'h" NPT
• Temperature: 1040F (4000 maximum, continuous when
fully submerged.
• Solids handling: 1/2" maximum sphere.
• Automatic models include a float switch.
• Manual models available.
• Pumping range: see performance chart or curve.
PE31 Pump:
• Maximum capacity: 53 GPM
• Maximum head: 25' TDH
• Maxim011
• Maio
• Maxi
• un
METERS FEET
401
35
to
30
0
Q 25
V
Z20
O
X15
10
GPM
GOULDS PUMPS
Residential Water Systems
MOTOR
General:
• Single phase
• 60 Hertz
• 115 and 230 volts
• Built-in thermal overload protection with automatic reset.
• Class B insulation.
• Oil -filled design.
• High strength carbon steel shaft
PE31 Motor:
• .33 HP 3000 RPM
• 115 volts
• Shaded pole design
Motor.
• A 0 RPM
• an volts .
• PSC design
>51 Motor. H RPM 230 volts desi
AGENCY LISTINGS
70 GPM CR h ead.3 us
Tested to UL 778 and
CSA 22.2 108 Standards
By Canadian Standards Association
File AR38549
DELS: PE31, PE41,
33, .40, .50
—► 2 GPM
1 FT
0 5 10 15 m3/h
CAPACITY
Goulds Pumps is ISO 9001 Registered.
K,
ol
ITT
GOULDS PUMPS
Residential Water .Systems
PERFORMANCE RATINGS DIMENSIONS
PE31 PE51 (All dimensions are in inches. Do not use for construction purposes.)
Total Head
(feet of water)
GPM
5
52
10
42
15
29
20
16
25
0
PE41
Total Head
(feet of water)
GP
10
Amps
15
0,59
20 jr
50
25
39
Maximum
Solids
Size
26
35
8
Total Head
(feet of water)
?GiOP
Volts
Amps
Minimum
Circuit
Breaker
57
Xr
46
Discharge
Connection
33
Maximum
Solids
Size
16
PUMP INFORMATION
1
SCHARGE
.1
Order No.
HP
Volts
Amps
Minimum
Circuit
Breaker
Phase
h
Float Switch
Cord
Len
Length
Discharge
Connection
Minimum
Basin
Diameter
Maximum
Solids
Size
'Shipping
Weight
Ibs/kg
PE31 M
5
11
1Z J
20
Manual / No Switch
Piggyback Float SWItC
20'
1.5"
18"
3-
31/14.1
Manual / No Swi
Piggyback float itch
Manual / N witch
Piggyback oat Switch
Sr
fff
2e
Manu / No Switch
Piggy6ack Float Switch
anual / No Switch
�E53PT
/Piggyback Float Switch
Permit #
Robert J. Bondi Cris Dellaripa
County Executive K" 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: V121 I 0 cQ
PCDOH
Attn: Michael Budzinski
1 Geneva Rd.
Brewster, NY 10509
Dear Mr. Budzinski;
We wish to report that the following job:
Name c> U''+ ��--
Address ?— 0 KG
Tax ID# .2-.r. V g % —3 9
has been completed as per the approved drawings.
As -Built Attached: Yes. No
I MA
S' d'
CC: Dan Shedlo, P.E.
) e- -d _S_1' _t'" !�L s
Telephone: (845) 278 -8313
Fax: (845) 278 -2318
Al =24'
2 =25"
3 =20"
4 =30'
B1 =11"
2 =14'
3= 7'
4 =11'
PUMP IH HOLE s1
PUMP TANK
SWISHER 200 LAKESHORE Dr: PATTERSON
PROJECT #080107
4" SDR#35
SEPTIC TANK
SEPTIC CLEAHOUT IH HOLE #3
s
Y
i
NOTE• ;
BRAiI/Q / EX ,. ST
TANKAN
ON ROAD I PUMPED BYtiA NYSO
E I HAULER AND THEN;116;1 R
c w,
EDGE Of
m
,Zo,
PAVWENT Sri rh
E � A'
ROCK
AREA 24'MAPLE
STUMP PAVED a�i r b Hav�W
/ ,SEPTIC
DT -1 LEAKAGE 0$
✓ I E,11' 4 M %4
If OF AV """20
5 IRON ROD
°MNT
'SM`s'rr.
FOUND t,v'r' ��rt ASR.
P r— 1
CO A �4D M srocKADE, a� }
NC. /
/f
WALK ONE s rORY
HOUSE
PROVIDE I ��, /��� /, CONC. PICK UP LGUT >IEIL' 0 k /��
,� ff. 103.4 // : AND PIPE;,TO"fiQUs
'ONE \ �� r
DT -2
Ull
I s u c 4 "0 PVCa SDR ,35,PIPEl
PAW
%
�S 1
AND CLEAN OUTS N:t- %MIN ;PIy�il4�,
t ice" "y�
Rh
Z.O.B.
1000 GALLON PLASTICS SEP11Gr
REFERL° T0il� DETAIL
20VIDE MINOR FILL
VELING PURPOSES
)R LE
CIiAIN UNK a
FENCE A^' CUF IN g
— PEAT BIOFILTER MODULES cONCRErE
1.0% MIN PITCH TO TANK
;EFER TO DETAILS) "
4 0 PVC SDR -35 PIPE NOTE:
'" EXISTIN
x21'x6 LEVEL GRAVEL PAD G SSTS FIE
iEFER DETAIL) 1000 GALLON PLASTIC PUMP SHALL ;BE, ABANDC
CHAMBER. REFER TO DETAIL IN ACCORDANCE „V!
5 "0 PVC SCH 40 FORCE MAIN NYCDEP� REG;ULATI
ZEFER TO DETAIL) SURFACE SWALE REMOVED. COMPO�
REFER TO DETAIL REPLACED WITH S
FILL CONTAINING I
FINES AND THEN
SILT FENCE (TYP•)
oes
�o, TICj' SITE PLAN
SCALE: I inch = 20 feet
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
Chris Dellaripa
Putnam County Septic System Repair Program
100 Route 312, Building # 4
Brewster, NY 10509
Dear Mr. Dellaripa:
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
December 31, 2007
Re: Septic Repair Permit (WS- 223 -07)
for Junta at 200 Lakeshore Dr.
(T) Patterson, T.M. # 25.49 -1 -37
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: J. Kalin, 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
DIVISION OF.ENVIRONMENTAL HEALTH SERVICES
R SEWAGE TREATMENT S
Internal Use
EPAIR
PERMIT #
U
L'4
Repair Permit issued in last 5-years
U
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 � oa ,�,4 Y )ym br TOWN TM # yRJ-;
OWNER'S NAME 'PHONE # �3
MAILING ADDRESS r$ an1L
APPLICANT
Name & Relationship (i.e., owner, tenant, contractor)
DATE %,!I �ja 7 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 o the repair.
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
SIGNATURE C,
r-' TITLE - r DATE, %�j
(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
P oposal Approved Proposal Denied ❑
nspector's Sig ris e 'tle Date Expiration Da e
Repair ro os co fiance with app' aiec od es Yes ❑ No
COPIES: PCHD; Owner; Installer
PC -RP 99ML Rev, 2/07
OC ENGINEERING., RC
December 18, 2007
Mr. Michael Budzinski, P.E. •
Putnam County Department of Health
4 Geneva Road
Brewster, N.Y. 10509
Re: Junta Residence SSTS Repair
200 Lakeshore Drive Patterson, New York
TM# 25.49 -1 -37
Dear Mike:
have reviewed your comment letter regarding the above referenced project. With respect to
the location of, the percolation test performed by Repair Program Staff, while it is not in within
the footprint of the proposed SSTS repair, I feel that the test is representative of the onsite
soils. In review of the deep test pit data, it is evident that the receiving soils underlying the
SSTS area are relatively uniform to those near the percolation test, which is approximately
27 feet away. In addition, the percolation test data has been conservatively applied in the
sizing of the gravel bed below the peat units, which was slightly increased in size (231 sf vs.
225 sf) from the manufacturer's required dispersal area.
It is with this understanding that I feel that the percolation test is sufficient for the design of
the SSTS repair. If you have any questions, feel free to call me at your convenience. I can
be reached at (845) 855 -2000.
Y
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ellaripa, PC Septic Repair Program
C:\design concepts\ projects\ PCSRP\ SWISHER \COORESP\121807.resp.Itr.wpd
D E S I G N C O N C E P T S E N G I N E E R I N G P C
3 MEMORIAL AVE. SUITE 1 01 , PAWLING, NY 12564
PH: 845- 855 -2000 • FX: 645- 855 -2605
E: JKALINOVERIZON.NET
®C ENGINEERING, PC
December 18, 2007
Mr. Michael Budzinski, P.E.
Putnam County Department of Health
4 Geneva Road
Brewster, N.Y. 10509
Re: Junta Residence SSTS Repair
200 Lakeshore Drive Patterson, New York
TM# 25.49 -1 -37
Dear Mike:
have reviewed your comment letter regarding the above referenced project. With respect to
the location of the percolation test performed by Repair Program Staff, while it is not in within
the footprint of the proposed SSTS repair, I feel that the test is representative of the onsite
soils. In review of the deep test pit data; it is evident that the receiving soils underlying the
SSTS area are relatively uniform to those near the percolation test, which is approximately
27 feet away. In addition, the percolation test data has been conservatively applied in the
sizing of the gravel bed. below the peat units, which was slightly increased in size (231 sf vs.
225 sf) from the manufacturer's required dispersal area.
It is with this understanding that I feel that the percolation test is sufficient for the design of
the SSTS repair. If you have any questions, feel free to call me at your convenience. I can
15 -2000.
'C Septic Repair Program
C: \design concepts\ projects\ PCSRP\ SWISHER \COORESP \121807.resp.ltr.wpd
D E S I G N C O N C E P. T S E N G I N E E R I N G P C
3 MEMORIAL AVE. SUITE 1 01 , PAWLING, NY 12564
PH: 845 - 655 -2000 • FX: 845 -855 -2605
E: JKALINOVERIZON.NET
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York. 10509
Design Concepts Engineering
John Kalin, P.E.
502 Gardner Hollow Rd.
Poughquag, NY 12570
Dear Mr. Kalin:
November 2, 2007
Re: Proposed SSTS Repair for Junta
at 200 Lakeshore Dr.
(T)Patterson, TM #25.49 -1 -37
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.
1. The percolation test was not conducted in the proposed SSTS area. The
percolation test is to be redone in the proposed peat unit area and the resulting rate
used for the SSTS repair design calculations.
Upon completion of the above, this Department will continue its review. Kindly advise us
if there are any questions.
Respectfully,
MJB:lm
cc: D. Shedlo, DEP
Michael J. Ndzinski
Director of VsnRineerh
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
November 1, 2007
Mr. Michael Budzinski, P.E.
Putnam County Health Department
1 Geneva Road
Brewster, New York 10509
Re: Junta Septic Repair — Putnam County Septic Repair Program ( PCSRP)
(T) Patterson, Putnam County
East Branch Reservoir Drainage Basin
DEP Log # 2007 -EB- 1004 -DJR.I
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:
1. The owner must maintain an effective septic tank pump -out schedule
until the subject repair is completed.
2. The subject repair cannot be used as a system to provide sewage
treatment for new construction or expansions on this site.
This determination is based on the review of submitted documents including
the drawings titled "SSTS Repair Plan - Junta Residence ", 200 Lakeshore
Drive, Patterson, New York, dated 8/1/07.
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
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November 1, 2007
Mr- Michael Budzinski, P.E.
Putnam County Health Department
1 Geneva Road
Brewster, New York 10509
Nov 1 2007 16:06 P.01
Re: Junta Septic Repair — Putnam County Septic
(T) Patterson, Putnam County
East Branch Reservoir Drainage Basin
DEP Log # 2007 -EB- 1004 -DJR.1
Dear Mr. Budzinski:
This letter is to inform you that the New York City
Environmental Protection (DEP) has no objection to
referenced activity, subject to the following conditiv
I
1. The owner must maintain an effective septic
until the subject repair is completed.
2. The subject repair cannot be used as a system
treatment for new construction or expansions
This detezzoination. is based on the review of subrnitt
the drawings titled "SSTS Repair Plan - Junta Residf
Drive, Patterson, New York, dated 8/1/07.
Program (PCSRP)
epartmeIlt of
he approval of the above-
pump -out schedule
to provide sewage
on this site.
documents including
of f, 200: Lakeshore
If you have any questions, I may be reached at (914)42- 2055.
Sincerely,
4 �ti
Danny Shedlo, P.E.
Civil Engineer RI
Wastewater Design Review EOH
xc: Michael Meyer, NYCDEP EOH Planning
Edward Barnett, PCSRP Watershed Infon
Chris Dellaripa, PCSRP Inspector
j Roger Sokol, P.E., NYSDOH
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