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Home My WebLink About4839PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES�., Gi Internal Use PER U �epair Permit issued in last 5 years U Not in Watershed ❑ �epair within Boyd's Comers, W. Branch or Croton Falls Res. tJ Delegated ❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland ❑ Joint Review SITE LOCATION Lk iLr'bV `M-Avv I TOWN OWNER'S NAME MAILING ADDRESS APPLICANT TM #� PHONE # s ..0 / Name & RelatAnship (i.e., own4r, tenant, contractor) DATE FACILITY TYPE ��S PCHD COMPLAINT # PROPOSED INS ALLER ltG6 f PHONE ADDRESS , . &EGISTRATION /LICENSE #`,.9S -9 Proposal (include a se arate 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. I, as owner,agree to the condition s ted on this form SIGNATURE DATE G 2.: (owner) I, the septic installer, agree to comply wit t conditions of this permit for the septic system repair SIGNATURE (installer) TITLE DATE 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Approved Proposal Denied ❑ Inspector Signature & Title Date Expirati Date ,Repair proposal is in compliance with applicable codes Yes ❑ No COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 Putnam County Department of Health Division of Environmental Health Services Date: 7Jl b •�-- 7/// �l Z SSTS Repair Final Site Inspected by s nom— installer le Street Location: Owns: '- --- Town _� �,�—, Repair Penmit #• iL —[Vn — (2_ TM # ar' r Y6 1. Type of System: Conventional ETAlterosate ❑ Comments: c Tank Yes No N/A Comments eptic tank size —1,000 ...1,250 . eptic tank installed level ...................... 0' minimum from foundation .................. P istribution Boa i. All outlets at same elevation (water tested) ... ff. Protected below frost ............................. W. Minimum 2 ft. Original soil between box & trenches j e. Junction Box — Operly set ....... ....... ............... C Trenches .r i. __SystenfcqnWletely opened for inspection E Ed ii. Length required _q.1 -Length installed Y iii. P• esl6jx checked ....................... :.......... iv. Installed according to plan ..................... V' 10 ft. from property line — 20 ft — foundations ... vi. Size of gravel % -1 '/: " diameter clean ......... vii. Depth of gravel in trench 12" minimum ......... viii. Ends qWed . g. Pug r Dosed stems 3. Sews e &vstem Area a.. SETS Area located as per approved Plans b. Fdl section — c. Distance from water course/wetlands 4. Overall Workmanship a. Boxes properly grouted and installed correctly ........... b. All pipes slush with inside of box ......................... c. Backlill material contains stones <4" diameter ......... d. Curtain drain & standpipes installed according to plan e.. Curtain drain outfall protected & dir to exist watercourse C Footing drains discharge away from SSTS area ......... . g. Erosion control provided ............................. AdCuuonai L ommems: -� E Rev- 011312 I PUTNAM COUNTY DEPARTMENT OF HEALTH DIMSION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM owner: <D. &,z Address: Located at (str-4-7-, _6�, TM #* Secflong:fXocic Lot municipality: Watershed: SOIL PERCOLATION TEST DATA Witnessed by: PC Date of?re-soaking:.] Date of Percolation Test:' . Otis 'Hole No. Ran No. Time Start — Stop Elapse Ti . me (min.) Depth to water from -gund. ro surface (inches.) Start - Stop Water level drop is Mches Percolation Rate min/inch 4p fa 2 6 - 2 � 2 6 .1 2 3 Igo 4 3 4 2 4 5 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., < I min for 1-30 min/inch, < 2 min for 3l -60 min/inch). All data to be submitted for review. , 7 2. Depth measurements to be made from too of hole. Form Dn.()7 no i Ne") V, :t TEV4STPIT DATA DESCRIPTION OF SOILS -ENCqMTEKED IN TEST HOLES DEPTH HOLE# HOLE #— HOLE # HOLE # HOLE G.L. Ll A 0.51 1.01 2.0' 0 �4\1 2.5' eig .TTe-f 3.0' - V-o 5 ------------ 4.0' 45 5.01 6.01 6.5' 7.0' 7.5' 9.01 9.51 -Indicate level .at which groundwater i8 encountered Indicate level at which mottling is observed Indicate level to which water level rises after being encountered Deep hole observations made by- Date Design Professional Name: Address: Signature: Design Professional = Seal I THIS SURVEY IS ACCURATE AND CORRECT.BY: Z4�� GERALD L. LYNA LAND SURVEYOR, ' P.C. WAPPINGERS FALLS, N.Y. N.Y. REG. LAND SURVEYOR No. 049292 �e LOT 3392 I LOT 3391 ' LOT 3390 164'04' 47 // CA STONE i• , C!1 DWG. — a% ENCI_ flI CONC. PORCH DRNEWAY (B(n — i <v �~ AREA= 0.1!kAc. m CoNC. RET. VI" C S 64'04' W 117:03 ��/ t.oT Selo -- I HEREBY CERTIFY TO -- ESQUIRE FUNDING GROUP, INC. It's successors and /or assigns TIMELY TITLE SERVICES, LTD. As agent for CHICAGO TITLE INSURANCE COMPANY 0- /1 1 SURVEY GERARD TOWN OF (PUTNA] PUTNAM NEW TiT�TTT7 • r.� PLANNING DEPARTMENT P.O. Box 470 1142 Route 311 Patterson, NY 12563 Michelle Lailer Sarah Mayes Secretary Richard Williams Town Planner Telephone (845) 878 -6500 FAX (845) 878 -2019 June 13, 2012 To: Town Board From: Town Planner Re: 12 Irby Road Tax Map No.25.40 -1 -1 g TOWN OF PATTERSON PLANNING & ZONING OFFICE ZONING BOARD OF APPEALS Lars Olenius, Chairman Howard Buzzutto, Vice Chairman Marianne Burdick Mary Bodor Gerald Herbst PLANNING BOARD Shawn Rogan, Chairman Thomas E. McNulty, Vice Chairman Michael Montesano Ron Taylor Edward J. Brady Jr. I was contacted by a Mr. Gerald Duffy, owner of the property identified above, for a "strip of frontage requested from Town to complete county- required work ". It appears that Mr. Duffy's septic system has failed and the Putnam County Health Department is requiring that the system be repaired. It was suggested by Cris Dellaripa, PCDH that Mr. Duffy contact the Town to use a portion of the road right -of -way for septic fields. On June 13, 2012 I accompanied Russ Goff, Patterson Highway Superintendent to the site to further evaluate the proposal. The area in question is a 10' to 12' wide grass strip between a stone retaining wall and the edge of the road pavement. The grass strip creates a slight swale which conveys stormwater runoff from the road to the southwest. It was not certain how stormwater would be managed should this swale be eliminated and the area be used for septic fields, except through the installation of a catch basin and pipe to convey stop nWater. to the .opposite side of the road, and to a lo�vcr elevation. Iti.addition; this area is used as a snow shelf for snow removal during winter road maintenance operations, a use which would not be compatible with a use of the area for a septic field. It appeared that the loss of the road right -of -way by placing the septic fields in this area would not in the best interests of the Town, would negatively impact road maintenance operations, and/or would create potential liabilities for the Town. In addition, there appeared to be area on the site that would be usable for septic fields, and although this area is probably not the cheaper solution, would be a viable option. For the aforementioned reasons, it was our recommendation that this area not be used for the septic system repair. cc: Cris Dellaripa, PCDH PLANNING DEPARTMENT P.O. Box 470 1142 Route 311 Patterson, NY 12563 Michelle-Lailer Sarah Mayes Secretary Richard Williams Town Planner Telephone (845) 878 -6500 FAX (845) 878 -2019 June 28, 2012 Mr. Gerald Duffy 12 Irby Road Patterson, ,NY 12563 TOWN OF PATTERSON PLANNING & ZONING OFFICE Re: Tax Map No.25.40 -1 -18 Dear Mr. Duffy: ZONING BOARD OF APPEALS Lars Olenius, Chairman Howard Buzzutto, Vice Chairman Marianne Burdick Mary Bodor Gerald Herbst PLANNING BOARD Shawn Rogan, Chairman Thomas E. McNulty, Vice Chairman Michael Montesano Ron Taylor Edward J. Brady Jr. The Town has considered your request to use a portion of the Town's right -of -way for a subsurface sewage treatment system servicing the above - mentioned residence. On June 13, 2012 both myself, and the Highway Superintendent visited the site. In our opinions, the area in question is being used for drainage and winter maintenance, and it would not be in the Town's best interest to give up the use of this area. In addition, it appears that there are other areas on your property that you could consider for repair or replacement of your subsurface sewage treatment system. As such it was our recommendation to the Town Board that this area -not be used for the septic system repair. On June 28, 2012 the Town Board review our recommendation and concurred. Sincerely yours, Richard Williams Sr. TOWN PLANNER cc: Patterson Highway Building Department Cris Dellaripa, PCDH MEMORY TRANSMISSION REPORT TIME JUN -22 -2012 i1:10AM TEL NUMBER 8452787921 NAME ENVIRONMENTAL HEALTH FILE NUMBER 402 DATE JUN -22 11:08AM TO 82795989 DOCUMENT PAGES 001 START TIME : JUN -22 11:08AM END TIME JUN -22 11:09AM SENT PAGES 001 STATUS OK FILE NUMBER 402 * ** SUCCESSFUL TX NOT ICE RU-r"^ N COU➢VTY HEALTH �EPARTNidEY�IT f31VISf ®N OF EN\.,ii tONmP -NTAL HmAu -r" SERVICES �� ®P ®SEAL IFCV� SEliilQa2�E -1T6�{EATfAAERlIir °slPS4E6i6f [r'$E � fl-A ft � i� � �..�u 1D [�Z�hKl spair Pem+a Issuod in last 5 years LI No in watershed [� p01r within 9oyd's Comers. w. eranah or Croton Falls Ras 8 elegated epair within 200 R_ of a watercaourma or OEC- mapped wetland ED Joint Reylaw SfTE LOCATION /� C��IdC�_ TOWN Lk- 4- P—`cizy, TM # - yy -11 f QWNER'S NAME tr sr- t��I _ PHONE MAILING AflCRESSS �- APPLICANT '�7 i+ �s �. �� o�•r^- 1.�.�� -,.r DATE FACILITY TYP ��.r�.c PCHD CQMPLAfNT # PROPOSEM INS ALLEFk PHONE #, =ja AMMRESS. i Ef31STRAT[ON /LICENSE #la..S" Pro oral (incltada a se grata mket,- t locallmia tRte Ptouse, properW lines, alt adDaoe"ll wales wlil tin Zoe feet of repalr and tlsa Bocatlort o4 existing and proposed system) NOTE: The Mepartment may require submittal of proposal from licensed professional depending on the oL nature and extent cf the repair. i a .yo ra�sJ 1, as owner,agrv!la it" thew condition ted on this form SIGNATURE / O T1TLE MATE G % 7 1, the septic Installer, ag a to comply wit ,conditions of this permit for the septic system repair ' SIGNATURE _sew r TITLE DATE - (lnsteller) . 1. Procatr ®mane of any Town Permit, if sppllcable. 2. Submission of as built repair sketch by tha septic system installer wthin 30 days of the repair, in duplicate showing: a. Owner's name, Site Strut Name, Town and Tax Map number b_ °•loo of installed components tied to two fixed points c. System desdnption (e.g., t250 pal. (=oncrata septic bank, etc_) Cl. Installers' name and phone number 3. System repair r to be parfomad In accordance with the above proposal and conditions a: The proposed SSTS repair is cons(dered a bast tit design. and there is no guarantee to the duration at which the completed SSTS repair will function_ S_ No completed work is to he bacldllled until authorization to do no has been obtained from the Department trdTENMAt.. LDSE CbNat -`r Proposal Approved Proposal Menfed Inspeato gnature fi< Title veto Explral 0�'t Mate Ra air oral im in porn fiance wIth monligaickloa cod Yes d No COPIES: PCHM: Ownar; Installer PC -RP 99ML Rey. 2/07 REBECCA W=T BERG, RN, BSN Public Health Director ROBERT MORRIS, PE Director ofEmnromnewd Health DEPARTMENT. OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 MARYM&N ODELL Cormiy Executive TO: NYCDEP DEPARTMENT OF ENGINEERING AND DESIGN REVIEW ATTN: 'Pe4i n FROM: C, DELEGATION STATUS FOR SUBSURFACE SEWAGE TREATMENT SYSTEM PROGRAM DELEGATED New Application Q Renewal El PROJECT: LOCATION: TOWN: P6 DATE SUB'D APPROVAL NOTICE OF COMPLETE APPLICATION DATE: DELEGATED EXCAVATING CONTRACTORS 20 Ivy Hill Rd., Brewster, NY 10509 (845) 279-8809 e. 0, rA b a -PFX LL pa++-�,_Y-s o rj / vAIV bL41/ "I