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Home My WebLink About2134DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30. -2 -14 BOX 19 02134 m or I. 0. . `. {L . 02134 jI " I I �• ` �b PUTNAM COUNTY DEPARTMENT OF ` Rev. 3186 Division of Environmental Health S. el; N.Y. 12 Engineer to Provide Permit # on CERTIFICATE OF COMPLIANCE Permit N CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Town or Village y. Tax Map Block ` np > - Loot Js • �' Renewal_ ❑ Revislon uw Date of Previous Approval Town Zip Located at !1 Subdivision Name Owner /Applicant Mailing Address _ Sabd.. N Building; Type �:=9 Fill Section Only Lj Depth volume �d Number of Bedrooms De Flo G /P/ t7 PCHD Notification is Required When FIB Is completed �' d �/ // :'V ,"Pee v o Separate Sewerage System rn sist of Gallon ptic Tank an / To be constru by Address l✓ C/ ryW/ 6 ✓� Water Supply: Pdblie Supp m Address or% Private Supply D ed by _Address Other Requirements ^' aarr I represent that I am wholly and completely respons for the design and location of the proposed .YCw�,fr1(s ;ai IYat j yseparate sewage disposal system above described will be constructed as shown on pproved amendment there to and in accordan vay h (G P.*6 r regu a ions o e u nam County Department of Health, and that on completion thereof a "Certificate of Construction mpl� Cpa twc Xt Commissioner of Healthwill be submittetl to the Department, and a written guarantee will be furnished the owner, his cess� lei►z place in good operating condition any part of said sewage disposal system during the peri 16f a (2 y or sisigl9 the wilder, that said builder will immeai ly Ilowing thedate of the issu- ance of the approval of the Certificate of Construction Compliance of the original system ► a pal 2) tgttte railed well described above will be located as shown on the approved plan and that said well will be installed in accordance ith Ae' it les r. u a ons of the Putnam County Department of Health, e' Date igned P.E. R.A. loor Address � �n ti�j r' � ` ' �y J�� ' nse No APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued nless c tjtl� buR�ding has been undertaken and Is revocable for cause or may be amended or modified when considered necessary by the Commissioner of,", t : "'Arlyyehange or alteration of construction requires a new permit. Approved for disposal of domestic sanitary sewage, and /or private water supply only. Date By Title I__ - �;;_ -1 DAVID D. 'BRUEN County Executive November 21, 1986. DEPARTMENT OF HEALTH Division Of Environmental Health Services Mr. Joseph F. Sullivan, P.E. 2972 Ferncrest Drive Yorktown Heights, New York 10598 JOHN SIMMONS, M.D. Deputy Commissioner Re: Proposed SSDS. • Milazzo Waterfall Lane, Putnam Valley TM 4 -1 -15.7 Dear Mr. ...Sullivan: A Review of plans and other supporting documents'.submitted.at this time relative to the above captioned project has been completed. Comments are offered as follows: If the system is designed with a'1250 gallon. septic tank, the fields should be upgraded to 400 lin. feet as well., p (Confirm if a DEC stream protection permit will be.necessary to cross the stream wi th 'driveway. Confirm i.f.DEC.wet1ands permit is necessary. Confirm if SSDS is within a 100 year flood zone. vleotes Recommend curtain drain and /or more than 2 feet of fill. %Show plan on larger scale. 0 Show all stone walls in vacinity, of SSDS. Show limit of clay barrier keeping 10' minimum separation of end of (� trench to property line. Upon receipt of a submission, revised to reflect the above comments, this appli- !q �)cation will be considered further. L f� ��,tG�`}' U I�.v /'� !✓ Very t ul y yours, Anne Bi ttner -AMB:cj �.'�� Asst. Public Health Enginee r CC:. AB, JK, File TWO. COUNTY CENTER CARMEL, N.Y. 10512 . (914) '225-3641 i �/3/S 7 R- I � � Nooll " s ti= F- 3 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ... .._... _ _,�...o-r:..mu -na.+ -._.:: � . . - . � .-ln: ..: x•,,, ..r.. �o.- �..•., - - :. -__._. ,.:.._.._..._:.. _,,....:��r�.a.z «.> ___ � � � � - .•.rle. ... '`. Date Re: Property of �/� �/' Located at ��/rr��°� %// z, �- (T) tiles �o r Section Block Lot ` Subdivision of + G�'�' A/ Subdvo Lot # 17 Filed Map # Date Gentlemen: This letter is to .authorize a duly licensed professional engineer Pool, or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to'. serve.the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145.'or 147, Education Law, the Public Health Law,.and the Putnam County,'Sani- tart' Code. Very t .Signed Countersie`i . V/ Address Town )P e 1 Telephone Telephone 1' PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services February 6, 1987 Mr. Joseph F. Sullivan, P. E. 2972 Ferncrest Drive Yorktown Heights, New York 10598 RE: Proposed SSDS Milazzo Waterfall Lane Putnam Valley Dear Mr. Sullivan: JOHN SIMMONS, M.D. Deputy Commissioner Review of plans and other supporting documents submitted at this time relative to the above captioned.project has been completed. Comments are offered as follows: As stated in our January 13, 1987 letter due to groundwater conditions which prevailed at the time of inspection revised plans of the proposed SSDS as submitted are not approvable. Should you have any questions, please contact me at 225 -0310. JK:pt cc: AB File JK Vincent Milazzo 6 Charles Place Mahopac, N.Y. 16541 Very, ruly yours, Anne 21: tner Asst. Public Health Engineer 110 OLD ROUTE SIX CENTER -' CARMEL, N.Y. 10512 (914) 225 -3641 71 PUIMM COUNTY DEPARTMENT CF HEALTH _ DESIGN DATA SHEET•- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE,.NO. Omer` ` '�Grl/ o7c� - Address Located, at (Street) �� = ��s►� Sec. �. Block I,pt•/.S'.' (indicate nearest cross street) Municipality Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre- Soaking 2-9 gt'r Date of Percolation Test c 5- HOLE NUMBER C= TIME PERCQLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches • Soil Rate Start-Stop Min. Start StOPL Drop In Min /In Drop Inches Inches Inches 3,Y� . 4, 5 2 3s 5�.s 1 NOTES: 1. Tests to be repeated at same depth until approximately equal. soil rates ..are obtained :at each percolation .:test hole.... All data to'..be suhnitt� ._.. for review. 2. Depth measurements to be made from top of hole. rev. 9/85 5 ; NOTES: 1. Tests to be repeated at same depth until approximately equal. soil rates ..are obtained :at each percolation .:test hole.... All data to'..be suhnitt� ._.. for review. 2. Depth measurements to be made from top of hole. rev. 9/85 DEPTH G.L. 9 21 3' 49 51 61 71 81 91 10, TEST PIT DATA -REQUIRtD*- TO'BE_ SUBMITTED - WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. . HOLE NO. HOLE NO. V "17 121 '131 14' INDICATE'LEVEL AT WHICH GROUNDRATER. IS ENCOUNTERED INDICATE LEVEL TO I WHICH WATER LEVEL RISES"A= BEING ENCOUNTERED er DEEP HOLE. OBSERVATIONS MADE BY: DATE. DESIGN Soil Rate Used Min/11' Drop: S.D. Usable Area Provided No. of Bedroams Septic Tank Capacity gals. Type Absorption Area Provided By —30iq L.F. x 24" width trench Other Address ' ) /v 4"0' SPACE FOR USE BY HEALTH DEPART ONLY: signature OF f4j� 4z i 5.0 Soil Rate Approved sq.ft/gal. Checked by PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF •• •' is Y •i • E• •E. DESIGN DATA SHEET— SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner G �� %. ;�iGddress 4 9 ... L. Located at (Street) !/� Sec. Block % Lot (indicate nearest cross street) Municipality Watershed TO BE SUBMITTID WITH APPLICATIONS Date of Pre- Soaking /� �� Date of Percolation Tesver' � S�J /0 HOLE NUMBER - Q =.TIME PERCOLATION PERCOLATION Run Elapse Depth to Water FYca Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches Ar �- S'r . , '5/ ia< z as- 4 5 .. 0 4 5 1' 2 3 4 5 NOTES: 1. 2. rev. 9/85 Tests to be repeated are obtained-at each, for review. Depth measurements to at same depth until approximately. equal soil rates percolation test hole. All data to'be.sukmittod be made from top of hole. S�J /0 4 5 1' 2 3 4 5 NOTES: 1. 2. rev. 9/85 Tests to be repeated are obtained-at each, for review. Depth measurements to at same depth until approximately. equal soil rates percolation test hole. All data to'be.sukmittod be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOiJN'IMED IN TEST HOLES DEPTH HOLE NO. 1 HOLE N0. Z-- BOLE NO. t G.L. C;I*:1�% 21 3' 49 5V z LZ 7° 8° 9° 10° 11° 12° 13° 14° INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED%, DEEP HOLE OBSERVATIONS MADE BY: �l �/ DATE: �t �„ LLa71Vltl Soil Rate Used Min /1" Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity %,��`� gals. Type Absorption Area Provided By,3 rLO L.F. x,244''' width trench Other � Name Address _ RATS 0 ° �1 0 THIS SPACE FOR USE BY HEALTH Soil Rate Approved sq.ft /gal° Checked by Date PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES SYSTEMS t +V' REVIEW SHEET - CONSTRUCTION PERMIT DATE REM . .. // f 1A tion) DOC[Il1ENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results 30" Perc Hole Other s/s SUBDIVISION Perc (3) Fill cd House Plans - Two sets If PWS = Letter if well/ permit Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data Two -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Glitter Curtain Drains Perc & Deep Holes Located Representative*of Sewage & Expansion Area Expansion Area;shown;gravity.flow,suff. size If Pumped Pit '&'D B6x Shown & Detailed HoTase ,- .No... of Bedroxns _ .. _ ................. _ Wells & SSDS's w /in 200 ft. of Property Located ,Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains - Curtain, Leader, Footing 351to catch basin,stormdrain,piped watercourse 10' to Water Line (pits -201) 50' intermittent drainage course Se tic Tanks 0 1 trcrn Foundation; 50' to well 15' Well to PL GENERAL .Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same trench IF . -. required •0 ft. max. �® I / tion) DOC[Il1ENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results 30" Perc Hole Other s/s SUBDIVISION Perc (3) Fill cd House Plans - Two sets If PWS = Letter if well/ permit Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data Two -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Glitter Curtain Drains Perc & Deep Holes Located Representative*of Sewage & Expansion Area Expansion Area;shown;gravity.flow,suff. size If Pumped Pit '&'D B6x Shown & Detailed HoTase ,- .No... of Bedroxns _ .. _ ................. _ Wells & SSDS's w /in 200 ft. of Property Located ,Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains - Curtain, Leader, Footing 351to catch basin,stormdrain,piped watercourse 10' to Water Line (pits -201) 50' intermittent drainage course Se tic Tanks 0 1 trcrn Foundation; 50' to well 15' Well to PL GENERAL .Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS FIELD INSPECTION REFORT - DATE V1 INSP. BY: Mme of ) (StreEt Location) INITIAL SITE INSPECTION YES NOI STS Wetlands on/or proximate to property .............. Property lines or corners found — ............>.... Can estimate house location.. o — ........ — o .... Will driveway need cut — o ........................ Must trees be rived - note these ................ Deep holes representative of entire SDS area...... Additional deep holes needed ..... o — — —oo Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells /septics.. ..... . D. H. 1 Lot Depth to G.W. Depth to rock Soil DescriAtio 0 ft. 3 ft........_'•�✓ 6 ft. 9 ft. 12 ft.1 D. H. 2 Lot Depth to G. W. Depth to rock Soil Description 0 ft. 3 ft. �--. 6 ft. 9 ft. 12 ft. D. H. - Deep_Hole G.W.- Groundwater D.H. 3 Lot Depth to G. W. Depth to rock Soli-F-Descri tion 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. DATE: FINAL SITE INSPECTION INSP.BYo YES NO COMMENTS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Room allowed for expansion trenches .............. Over 100 ft. frcan watercourse .................... Natural soil not stripped or SDS area unnecessarly graded.......... ....... ........ 10 ft. maintained fron property line and 20 ft. from house .............................. Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. fron nearest trench ................ 15 ft. of peripheral soil horizontally from trench ..... ............................... Boxes properly set......... ...... o— ... o — ^ould surface runoff fron driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS...,,., Lj FINAL GRADNG OF SITE ACCEPTABLE.,,.,..,. ., DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL WELL LOCATION Stre710Address r,4> Town Village City Tax Grid Number ��a� i >> X41-7 /,✓ /�� .4- 1 - 1j. T WELL OWNER Name ,'% ��et i�' �rr Address nQ.t n T rivate 0Public USE OF WELL 1 - primary 2- secondary ZIRESIDENTIAL 0 BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION O INSTITUTIONAL O STAND -BY D ABANDONED O OTHER (specify 0 AMOUNT OF USE YIELD SOUGHT J gpm /# PEOPLE SERVED 6 /EST. OF DAILY USAGE 6010 gal REASON FOR DRILLING MEW SUPPLY O PROVIDE ADDITIONAL SUPPLY OREPLACE EXISTING SUPPLY 0DEEPEN EXISTING WELL ❑ TEST/ OBSERVATION DETAILED REASON FOR DRILLING WELL TYPE LilDRILLED DRIVEN DDUG OGRAVEL E] OTHER IS WELL SITE SUBJECT TO FLOODING? YES 1✓ NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: P'� ? �� a ✓� / Lot No. '7 WATER WELL CONTRACTOR: Nam er� /.� :s' i /..sr Address :� IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY .: DISTANCE TO PROPERTY FROM NEAREST....WATER MAIN:...._ 5 LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ON REAR OF THIS APPLICATION ON SEPARATE SHEET ( ate --j—_ .1 s )gnatu ) Z,, PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. Date of Issue: Date of Expiration: Permit is Non - Transferrable :. 19 19 Permit Issuing Official : "PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services Joseph F. Sullivan, P.E. 2972 Ferncrest Drive Yorktown Heights, New York 10598 Dear Mr. Sullivan: January 13, 1987 _. JOHN' SWIVIONS, M.D.'' Deputy Commissioner Re: Proposed SSDS Milozzo Waterfall Lane Tax Map # 4 -1 -15.7 P.V. Review of revisions submitted and the results of a second field inspection indicate that groundwater is still a problem at the site. Groundwater was found within 1 1/2 feet to grade on December 31, 1986. Plans as submitted are insufficient to protect the SSDS from groundwater intrusion. Mike Priano from the Town of Putnam Valley Wetlands Commission inspected the lot with the undersigned on December 31, 1986. At that time, he indicated that the proposed loc '-ion for the SSDS is within 1001 to Town Wetlands. He indicated that. at ieast a variance would be required based on-separation distances to the wetland area. __.._ _ ......: ...Upon- receipt -3f a modified design- to address the groundwater problem and wetland permit from the Town of Putnam Valley, this application will be considered further. Very truly yours, H r� •:.Y Anne M. Bittner Assistant Public Health Engineer AMB /Jp. cc: M. Priano, Put. Valley Town Hall 110 OLD ROUTE SIX CENTER - CARMEL, N.Y. 10512 (914) 225-3641 yam.. I�• � /y /y '�j IV d �s��Y� Y i \ A Al 7,-, l !I' led . 6 i i • i I, -- .' - -. - - - .. I Z.4w.' 0 oi /V0 Ssp ul-I Do to Ti,, 2 7a — ht 3. i. Q N A9 5c,