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HomeMy WebLinkAbout2139DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30. -2 -19 BOX 19 02139 O PUTNAM COUNTY DEPARTMENT OF HEALTH ElVIRON:MEN�CL.HIEAI.TH SERICES. :..,..�:._ ..:..:.. CERTIFICATE OF CONSTRUCTION COMPLIANCE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # p y -1- 9 9 p' d Located at LAIJ G Town or Village N-T iIM V ALLE'd Owner /Applicant Name X01: L. ,JC' -TPrNf Tax Map 3C Block �- Lot Formerly ) A-61E S 4-1> 12O N L; Subdivision Name FOP LE ST P 4P_ �_ Subd. Lot # I ,Z Mailing Address i3ST LA-k) � 46P Tsb A LE , P y Zip Jos; Date Construction Permit Issued by PCHD 2_'L c c Separate Sewerage System built by [_.0 ITT {�11=s�T CXC.AU&-71(t4ddress G ZEeti 11 I LLE . 1J 7 Consisting of USO Gallon Septic Tank and 5 O L-) L E -2A � � U! 1 *bE=, 1 �NC:i Ls tSPfi -C-7—b /N-T (c FT (0 , C _ !. Other Requirements: I.' 2- G^-A L PQ M i P IT" IlU l-D V 1 S i1A L &bAM 9 U (RSEMEJUI Water Supply: Public Supply From Address, or: _ Private Supply Drilled by f-), F, f,�E-L_ SO S , I &J& Address E, I? 1✓ W STE:g= lfuildii g'fype RES'1 h' 1 Jll r-L' Has- erosion control been completed? - - Number of Bedrooms Has garbage grinder been installed? I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of the Putnam County Department of Health. Date: t t Certified by Address a Kk&r 1h&t44&K P.E. _J, R.A. (Design Professional) cl, CDCh SPR_JN(- ,P4 License# Mo 5-CS Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. 'Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such Title: Date: /_S_/0 actor; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH 4 DIVISION OF ENVIRONMENTAL HEALTH SERVICES During yield test(ft) WELL COMPLETION REPORT Well ]Location Street Address: Town/Village: Tax Grid # I Waterfall Lane Putnam Valley Map Block Lot(s) Nell Owner: Name: Address: Joseph Lhotan, C/0 Norman Milefsky, 14 Frost Lane, Hartsdale, NY 10530 Use of Well: x Residential Public Supply Air cond/heat pump Irrigation priue><ary Business Farm Test/monitoring Other(specify) 2. secondary Industrial Institutional Standby' Drilling ]Equipment X Rotary Cable percussion _X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock _ Other Total length 32 ft. Materials: X Steel _ Plastic _ Other Joints: _ Welded X Threaded _ Other Casing Details Length below grade 31 ft. Seal: X Cement grout _ Bentonite Other Diameter 6 in. Weight per foot 19 lb/ft. Drive shoe: X Yes No Liner:_ Yes X No Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? Details Well Yield Test First _ Yes—No Second Hours Rai IPd YPumned - Y Comnressed Air IlHours 6 Yield 20 gpm PD Oth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet 30' 240' 305' Well ]Log If more detailed .reformation iescriptions or sieve analyses ire available, Tease attach. If.yield was tested at different depths during drilling, list: Depth Fro nn Surface fft. fft. Land Surface 5 5 5: 32 32 305 Water Well Bearing Diameter(in) Drillin in ove: Hit rocc at 5' in to Yormation Description and boulders Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity 7gm Depth 260' Model 7GS07412 Voltage 230 HP 3/4 Tank Type I nlume� 8/30/00 002 11/13/00 lido Teal, Jr—. rNO'ITE: Exact location of well with distanc s to at east two permanent landmarks to be provided on &separate sheet/plan. We11 Driller's Nam F Address: 4 Patrw Ave., Brewster, NY 10509 Signature: Date: 11/13/00 Waccam T. Beai , Jr. White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 YML ENVIRONMENTAL SERVICES 321 Kear Street (914) 245-2800 � Albert H. Padovani, Director � LAB #: 93.003131 CLIENT #: 13002 NON STAT PROC PAGE 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~-~~~~~~~~~~~~~~~~~~~~~~~ LHOTAN, JOSEPH DATE/TIME TAKEN: 12/29/00 08:30A 14 FROST LANE DATE/TIME REC'D: 18/29y00 10:30A HARTSDALE, NY 10538 REPORT DATE: 01/16/01 PHONE: (914)-949-0784 SAMPLING SITE: 16 WATERFALL LANE CARMEL, NY, 10512 COL.D BY: JOSEPH LHOTAN NOTES...: KIT TAP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE ` SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORMMETH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~�~~~ RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 1008 0-15 ppb 12/29/00 MF T. COL%FQRM ABSENT /100 ML 12/29/00 LEAD (IMS) 6.5 ppb 12/29/00 NITRATE N%TR8G 0.43 MG/L 12/29/00 NITRITE NITROG <0.01 MG/L 12/29/00 IRON (Fe) 0.0094-MG/L 12/29/00 MANGANESE (Mn) 0..018 MG/L 12/29/00 SODIUM (Na) 8.00 MG/L 12/29/00 pH 6.5 UNITS 12/29/00 HARDNESS,TOTAL 144 MG/L 12/29/00�' � -�LKALI��IT Y� -(��S � 98.0 MG/L 1���2��00-----TUBBIDITY-(TUR 1-NTO' - ABSENT 1008 0-15 ppb 9101 0 - 10 9139 N/A 9146 ` 8-0.3'mg/l 2037 0-0.3 mi/l 2037 N/A 6.5-8.5 9043 N/A � -N/A' COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATd (WAS NOT) OF A _ SATISFACTORY SANITARY QUALITY ACCORDING TO THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb/Cu LEAD limits for public schools are set at 15 ppb. EPA Lead & Copper Rule for Public Systems requires that no more than 10% of,their distribution points have a LEAD value of more than 15 ppb and a COPPER value of 1.3 mg/L, else water treatment must be undertaken to reduce the waters corrosive t tial po en . - Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a'sodium. estricteddietvthe water should .contain no more than 20 mg/L of Sodium. For those'on a moderately restricted diet, ' maximum of 270 mg/L of Sodium is suggested. u�'�.��� YML ENVIRONMENTAL SERVICES .321 St reet ~-_ Yorktown Heights, N.Y. 1059� (914) 245-2800 Albert H. Padowani, Director LAB #: 93.003131 CLIENT #: 13002 ~~=~~~~~~~~~~~~~=~~~~~~~~�~ LHOTAN, JOSEPH 14 FROST LANE HARTSDALE, NY 10530 NON STAT PROC PAGE 2 DATE/TIME TAKEN: 12/29/00 08:30A DATE/TIME REC`D: 12/29/00 10:30A REPORT DATE: 01/16/01 PHONE: (914)-949-0784 SAMPLING SITE: 16 WATERFALL LANE SAMPLE TYPE..: POTABLE : CARMELv NY, 10512 PRESERVATIVES: NONE COL`D B9: JOSEPH LHOTAN TEMPERATURE..: < 4C NOTES...: KIT TAP COLIFORMMETH: MF ~~~~~~~~~~~~~~~~"~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~°~~~~~=~~°~~~~~=�° --- "~~~~==~ DATE , FLAG PROCEDURE RESULT NORMAL - RANGE METHOD pH pH SCALE IN WATER RANGES FROM 1-14" MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND ' FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OFTHE CALCIUM &MAGNES%UM CONCENTRAT%ONv BOTH EXPRESSED AS CALCIUM CARBONATEv IN kG/L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OFMG/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. -. SOFT WATER: 0-7 ��' �-� �� � V HARD WATER: ABOVE �0�.y4GyL MODERATELY HARD WATER: 70-140 MG/L MG/L = MILLIGRAM PER LITER HARD WATER: 140-300 MG/L (1 grain/gallon = 17.2 MG/L) Albert H. Padovani,1 M. Director ELAP# 10323 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALT H SERVICES SUBSURFACE SF-WAGFaTRI✓AT1 N� TT�.gYSTEM Joe Lhotan Owner or Purchaser of Building Joe Lhotan Building Constructed by 16 Waterfall Lane Location- Street Residential Building Type 30. 2 19 Tax Map Block Lot Putnam Valley Town/Village .Forest Park Subdivision Name Subdivision Lot # 12 I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of.said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. - -- Th- e-urridersigried -furtl er -agrees to accept as "conclusive Elie deterniinatiori of^tlie �ulilic Health` Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Month.p cember Day 18 Year 2000 Signature: Contractor (Owner) - Signature Corporation Name (if corporation) Address: 14 Frost Lane, Hartsdale State New York Title: Corporation Name (if corporation) Address: Zip . 10530 State Zip Form GS -97 BADEY & WATSON LETTERofTRANSMITTAL ';.:J:Rr-V_4�Vkh_ g-4 -AFAg 3063 Route 9, Cold Spring, New York 10516 Date: 16 Apr 2001 (845) 265-9217 (914) 628-1800 (914) 739-3577 File No. 86-177 (845) 225-3312 FAX (845) 265-4428 W. 0. # 13909 RE: Certificate of Construction Compliance Lbotan TO: Waterfall Lane Adam Stiebeling Forest Park Subd. Lot No. 12 Putnam County Department of Health Tax Map 30.-2-19 Permit # PV-7-99 1 Geneva Road Brewster, NY 10509 Sent via: US MAIL El UPS-NIGHT NESSENGER E] UPS-2 DAY F� PICK-UP El UPS-3 DAY 11 FAX El UPS-GROUN E] UPS-COD We are sen ding copies date description of document F-1] 111-Apr-01--7] ICertificate of Construction Compliance for Sewer Treatment System F-3] 11 8-Dec-0 I I IGuarantee of Subsurface Sewage Treatment System Fl 116-Jan-01 Well Water Test Results F_ �l 113 -Noy-0 I I JWell' Completion Report F-4] I I I -Apr-O I ISSTS "As-Built" F_�l 123-Feb-01 JE911 Address Verification Form FI] 101-Feb-01 JApplication Fee ($200.00 Money Order) El 1 __7 1 F-1 I I El I UMARKS: Signed: John P. Delano, P.E. Copies to: File Public Health Director . L0RETTA TM0L1WARJ 'PLN.;USN.—' Associate Public Health Director Duvaor of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914)278-6130 Fax (914) 278-Ml Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 OWNERS NAME: TAX MAP NUMBER: E911 ADDRESS: TOWN: AUTHORIZED TOWN OF (Signature) DATE:. The Putnam County Department of Health will not issue. a Certificate of Construction Compliance unless the above form is completed, i.e., a legal E911 address is assigned -by an authorized town official. This form is to be submitted with the application for a Certificate of Construction Compliance. (E911 vERMA) la r rttv - -- ael aed DewakAng SulrW hlobr erommeaded imp D•hWer 115X I a, B-5FLk M _ ... I/3 HP spill ese ermtil nvarload proledi sa _. 1750 RPAA Simples =10" 057mm) Depla = 30° (762mm) dic Owsion pressure (manual a►a0able) Dtephmgm switch .. f utslrodion loyal Brmn lmP�ler Open wne Navol Bronze . � _ Mme Sze I.1 /�' (31.8atni) Aids Handling 5/r (W MM) _ Poarar ford 20':51 A fiat ieff i os � °. gavel hrerrce coastruelon'for coa�ian reust cite , _ — &iati Gateau- fype 21 mechanicalseal ° OD nHcd motor w /aalaoa6e reset 6eratal n*du d for mmdmtim pr orlon ° 0pp& and lower ingle roar ball ke iop tens rudion 2A w 4 bG LLLLLL =JJl X16 a z J .8 Q Refer to your authohted Iocal,Hydromatl& Dlstrlhulor, Fftmsentativo or the factory for other awlicatiom 10 UUU1u: Submersible Effluent Pump 3'871 APPLICATIONS Motor: FEATURES Specifically designed for the ' Single phase: 0.4 HP, 115. Impeller: Thermoplastic ' ±' or 230 V, 60 Hz, 1550 RPM, following uses: Semi. � ex des gn withh • Effluent systems. built in overload with • Homes • Farms • Heavy duty sump • Water transfer • Dewatering SPECIFICATIONS Pump: • Solids handling capability: 3/4" maximum. . '• Capacities: up to.55 GPM. • Total heads: up to 24 feet. .Discharge size. 11/2" NPT. • Mechanical.seal: carbon - rotary /ceramic- stationary, BUNA -N elastomers. • Temperature: 104 0F (40 °C) continuous 140 °F (60 °C).intermittent. stainless steel. • Capable'of running dry without damage to' components. 0 1994 Goulds Pumps, Inc. automatic reset. • Power cord: 10 foot standard length, .16/3 SJTO with three prong grounding plug. Optional 20 foot length, 16/3 SJTW with three prong grounding plug.. Fully submerged in high :grade turbine oil.for lubrication and efficient . pump ou vanes or mec and cal seal protection. Casing and Base: Rugged thermoplastic design provides superior strength and corrosion resistance. Motor Housing: Cast iron for efficient heat transfer, strength, and durability. Motor Cover: Thermoplastic heat transfer. cover with integral handle and t: float switch attachment points. Available for automatic and Power.Cable: Severe duty Y' manual operation: .Automatic rated oil-and water resistant. models.include Mercury .; Float Switch assembled and 0 -ring: Provides positive preset at the factory. sealing. No gaskets to replace :::•.3 METERS, FEET ~'.r�— rl G QO :' _ 6 U_• Q 5 Z C 4 J p 3 f- `a 0t during maintenance. Stainless steel fasteners. �. .. 0 2 4 6 .8 . 10 ... 12; :•• m' /h.: CAPACITY Effective May, 1994 . BRUCE R. FOL Public- Health Dirsctorctor.. . LORETTA MOLINARI R.N., M.S.N. Director of Patient Services DEPARTMENT OF B EALTH 1 Geneva Road Brewster, New York 10509 . Environmental Health (845)278-6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 December 20, 2000 John Delano, PE Badey & Watson 3063 Route 9 Cold Spring, New York 10516 Re: Lhotan, Waterfall Lane TM# 30. -2 -19, Town of Putnam Valley Dear Mr. Delano: This office has conducted a final inspection on December 18, 2000 as requested for the above mentioned project. We would like to offer the following comments for your consideration. The system was backfilled at the time of inspection. All components of the system are to be survey located and shown on as-built plan. Electrical connection box for pump to be located and shown on as -built plan. Electrical connections should not be buried. Pump as instaJl.ed.is_not as shown or specified on approved plan. Please submit pump - -- design and specifications for -pump installed pursuanf to PCHD"Micies and- Procedjres­- �- Bulletin ST -19. /4. 'Pump chamber vent required to be installed as shown on approved plan. Pump "non- corrosive" lifting chain to be installed. 6. Erosion control measures (silt fence) to be maintained as required throughout until adequate natural vegetation is in place to prevent erosion. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact ne at ext, 2157 if any questions arise. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: spe n f oqStreet Lo"' Town Permit # 9 1 — 7 -mil TM # Subdivision Lot z 1. Sewage Svstem Area a. STS area lobated as per.approved plans .........................:. b. 'Fill section - date of placement 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped.................................................. d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands ...... ............................... II. Sewage System a. eptic tank size - 1,000 ........ ,250. .....other ................ b. Septic tank installed level ................ ............................... c. 10' minimum from foundation .......... ............................... d. Distribution Box 1. All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box ..- properly set ........... ............................... f. renT nc es — r- ? Len required 5dd Length installed 2. Distance to watercourse measured Ft.......... 3. Installed according to plan ......... ............................... 4. Slope of trench acceptable 1/16 -1/32" /foot ............. 5. 10 ft. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface............:..... 7. Room allowed for expansion, 100% ......................... 8. Size of gravel 3/4 - 1 ` /Z" diameter clean .................... 9. Depth of gravel-in- trench -12'rninimum :.::::::....:... -Pipe ends capped .................... ............................... g. PumR or Dosed Systems T. —Size ot pump chamber ................................. l..s`�. . 2. Overflow tank ............................. ............................... 3. Alarm, visual / audio .................... ............................... 4. Pump easily accessible, manhole to grade .:............... 5. First box baffled ........................................ :: ......... ......... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. House/Building a. house located per approved p ............. ....... :.... .. b Number of bedrooms ............. . j. ..... ......... ... IV. Well a: Well located as per approved p ans ............................... b. Distance from STS area measured I a O� ft........... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted .............. .......................... b. All pipesTmtiaHy backfilled...... c. All pipes flush with inside of box ... .....................:......... d. Backfill material contains stones <4" diameter .............. e. 'Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate .. ...............................Iti i. Erosion control provided ................. ............................... D.... L /fl9 YES _I S wo COMMENTS 4 1_>.1 L,� 4. k_�_ w c,c. l.:-� 5 aa 2 r��� mar I- .,+���►t �l c xc, J .r C M APR-11-2001 08:46 BADEY & WATSON, PC P.01/01 PUTHAM COUNTY DEPARTMNT OF HEALTH IDMSION 9F VMRONMNTAL HTALM SERVICES For: Fin Trenches PCHD Construction Permit — -1 — Located -A C, k 0 Block -- bag L 19 Formerly (�V-I-m y NJ; PAP, Subdivinion Lot N- is system fill completed? Dat is SYMM complete? is system comtructed asp r plans? Is-well drilled?_ Date_ Is well located as per PI Are exosion co=Q1 mcMUM in Place? ',4 557" I I ca* that The system(s), as listed, at the above pmmises has been constructed and I bave ppected and verified their completion in socordmee wh the rued PCH CownMon PC= a&d approved plazas and the Stndxrdj, Rules and Regulations of the Pum= County DqmMnenT of Heal& Date J,�ijjqj Cerfified-by: Design Professional P. (.. Lic. # Address B Al el 4- w Vol Comments: FOR-- )(ADAM 0 OEM TOTAL P.01 A - r 19 BRUCE R. FOLEY L .N.� M.S.N. Public Health Director �114 W�vo, Associate Public Health Director i "reeor o a ienl•'` ervices " DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845)278-6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278-6082 Fax(845)278-6648 No.. -Pages_- (Including cover sheet) From: Adam B. Stiebeling Asst. Public Health Engineer For your information Please respond For your review As discussed Attached as requested Please call Notes/Me ssages �-1 s s . -3 f, � i+ ,r In the event of transmission /reception difficulties, please contact this office at (845) 278 -6130 ext. 2157. DEC-08-2000 11:48 BADEY & WATSONo PC PUTHAWCOUNTY DEPARTMINT OF HF-ALTH ]DIVISION OF ZMVM0N?Az1qTAL HEALTH SERVICES PCHD Construction Permit# For: Fin Tmches__X Located &V) UAD - MN rm 30. Block Z Lot 19 Owner/Applicaut Nawe_�SQC Subdivision Lot # Z. is qyqt= fill completed? Date is "em Date �-O is system constructed as per plans? _Cz �G_ L U � Is-well drilled? L Date g z4 j c C) Is well located as per plans? G � j - A 0A Am erosion con1ml measures in place? _—I E_ 5 I certify that the systexn(s), as listed, at the above pmnises hu been constructed and I have inspected and verified their completion in accordance with the issued PCHD Comoxtion Pmait and appruved plena and the Swdards, Rules and Reguladow of Fuwm CounV Depa=eny of Health. CortMea by: PE RA Address o C0MM0Ub:_1F_MLhS -- V.EMM, RLL LN,Wz S. To -05 IZ-,O()-Ts FOR: �ADAM OGENE Form FIR-99 , P.01/01 TOTAL P.01 OCT -24 -2000 12:09 BADEY & WATSON, PC P:01 /01 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES PCHD Construction Permit # 'PV Located W ATF -ta.LL IAN E y alu= Owner/Applicant Name 70E L &TIJ-M TM Block 2 Formerly L S A-R�> IZOAJ Subdivision Name2 EST D/g.1� Subdivision Lot # 2 Is system fill completed? Aj1A Date -- Is system complete? F Date I O a4 OD Is system constructed as per places? - � Is'well drilled? I S Date Q �4 Is well located as per pleas? Are erosion control measures in place? S I certify that the system(s), as listed, at the above pmnim has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Constitution Permit and approved plans and the Standards, Rues and Regulations'of the Pumam County Depamem of Health Date: 4 0..... Celtifed by: PE X Design Professional Address j&E1 k WA:rzbDN P.C. Cc�psFeJNGLic. # 0(D 2 Sfl 5 1 a A m 1 b WAR ! -A .TM t! f5QO' MIN Q.& QU�P L, F ?Q-MN� I' MINIMUM FOR: ADAM 0 GENE Form FIR -99 . TOTAL P.01 AUG -24 -2000 12:55 BADEY & WATSON, PC ]PUTNAM COUNTY DEPARTMENT 07 HEALTH I!'D1IM<SIOPJ OF ENVIRONMENTAL HEALTH SIERVRCIFS L -II+ SPECTION.:., Date: 08124100 PCFID Construction Permit # PV-7-99 Trenches P. 01:/01 Located: Watt rfQ00 Lane (V) G' utnsm Va00ey Owner /Applicant Name: doe Lhatmn 'rM 30 Block 2 Lot 9S Formerly: Arcdizon subdivision Name: Forest Park Subdivision Lot # Is system fill completed? HIA Is system complete? NO (FIELDS ONLY Is system constructed as per plans? ° Is well drilled? No Is well located as per plans? N/A Are erosion control measures in place? o M: Date: G/A Date: 08/24/00 Date: I certify that the system(s), as listed, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCI-ID Construction Permit and approved plans and the standards, Rules and Regulations of the Putnam County Department of Health. Date: 0 4!00 Certified by:_. John P. Delano __.PE RA Design Professionals BADEY & WATSON Address : 3003 RoUte 9, Cold S�rato�, Ga�Y 10096 Lac. # OO��T�LI. SOLT FENCE �� SH ®1 9G� �fi�.0 .. �N DETAIL (ANDIOR Comments:- D WHERE REQUIRED; REMOVE ALL LARGE STONE, BOULDERS, ROOTS a STUMPS FROM FIELD AREA; EXPOSE ALL ELDOW3 A END CAPS; UPON COMPLETION OF ABOVE ITEMS, CALL FOR RE4NSPECTION FOR: M ADAM U GENE 0 (NAME) Foir& l co `V V —*U?bP— k6D04 --,-�.t410 4--7� � 4 if 4 0 Form FIR -99 TOTAL P.01 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL t - please print.or cvpe , -.,._ ` ` PCHD Permit # V �- Well Location: Street Address: Town/Village Tax Grid # WW- ;F� 1. FWNW V k,� Map 30 Block Z Lot(s) 1� Well Owner: Name: TA &_5 Address: A4ZDtZo1,JE- (A5 WLkZa� P4Ve L VAt.P NIT 0-IG-1 Use of Well: )_ Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 7 gpm # People Served (, Est. of Daily Usage ro> O gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detafled Reason ao'�J )vp' 1 bT-'P" 3Lr-- supph P,P6w g;uS1 s*x's for Drilling Well Type _ Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision? ...................................... ............................... Yeses No Name of subdivision Fb .1:51_V"" f'ft('"4C.- Lot No. 12 Water Well Contractor: tJoempgJ Awpe_- _501,- ► kWC, Address: Si_ R,(T; Is Public Water Supply available to site? .......... ............. ............................... es No Name of Public Water Supply: Town/Village Njf/2 A: Distance to property from nearest water main: '7 l M k Lz- Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: g.'s l Z J�k Applicant Signature:: PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and 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 or their designated representative 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. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such. well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue Z 7, Permit Iss '1� n g � O ial: Date of ExpiratioA 1 .517-11 o t Title: Atst - % �-i t-Ers -rrt ��t> ►,u Permit is Non- TransferrAbl White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 -MVito THE CITY OF NEW YORK DEPARTMENT OF EWROMMENTAL PROTECTION ow JOEL A. MIELE, SR.. P.E. Commissioner WAL ifNILLIAf>i;3 H. STASIUK, P.E.,PhA Deputy Commissioner P.HQ- NE.(914) 742.2001 AX(814) 742 -20ai July 15, 1.999 Robert Morris, P.E Co. Health Dept. 4 Cymeva Road Brewster, NY 10S09 Re: Ardizonei]aores Pk Irot4 aterfall baii� = x� Putnam Malley, Putnam DEP Log # 9206 (Joint Review) Dear W. .Moms: _ This letter is to inform you that the New York Ci4 .has detennined that the above - referenced appl= Bureau of fluter Supply, ®ualiity and Protedion n TEnviro=enW.Protectin (__eparoment) :omplePejn addition; the Departffienthas no ted aicti�ty Ties determination is Based on the :1� for James Ardizone dated 11/19/98, and last revised 06/17/99. The applicant must contact Sissy De La Ossa of my staff at (914) 773 -4416 at least 2 days prior to the start of construction of the $STS so that a Department representative may inspect and monitor the installation. 465 tCORUMbus Avemm's, 1Y&umna' Now OORK 10595-1336 ZO'd In[ �b�0 -�zz -bib Xpd 9NI2133N: i ...4 New York City Department of Q�rrP Environmental Protection OPERATIONS & EIVGINEUING F" 465 OOZVA US AYENUE Cow° . Sui7rE � • VALHALLA, "W WRK 10595 Shmt FAX /779- 0343 Transmit to FAX# 8 - ??-I j .Number of pages* . Date: 032! precluding Cover Sheet) Deliver To: 4/4"1. From: rj',•s 5 .l�Q. �4 �s Phone: 4 y ?,73- WA6 Subject i14 9NI2133NT�tva a�n ,��� THE CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL PROTECTION z JOEL A. MIELE, SR., P.E. Commissioner 0 PONLIENTALPR� WILLIAM N. STASIUK, P.E.,Ph.D. :.:- ..,.:..,:,b....:.;.:...:: _ pu y Commissioner r e t PHONE (914) 742 -2001 Bureau of Water Supply, FAX (914) 742 -2027 Quality and Protection May 18, 1999 Robert Morris, P.E Putnam Co. Health Dept. 4 Geneva Road Brewster, NY 10509 Re: Ardizone/Forest Pk. Lot 12/19 Waterfall Lane Putnam Valley, Putnam DEP Log # 9206 (Joint Review) Dear Mr. Morris: The following information is necessary to complete the above - referenced application: • Limits of 100 -year flood plain; • Show all watercourses, streams and wetlands boundary within 250 feet of the property line; or add a note indicating none exist; • Percolation test result sheet dated 10/19/98, used for the calculation of the trenches length. Additionally, please note, the following comment regarding the system design: o A downward facing and screened air vent is required at the pump chamber. If you have any questions regarding this matter, you may contact me at (914) 773 -4416. Sincerely, Sissy De La Ossa Assistant Civil Engineer Engineering Design & Review xc: James Covey, P.E., NYSDOH 465 Columbus Avenue, !Valhalla, New York 10595 -1336 . j SUBS UKFACESEWACih1KEA.I*MENI SYSTEMFRO(AAM..:,::: ;:.. JOT7VjT! ,fit F-VfFW 0 PUTNAM COUNTY DEPARTMENT 1 Geneva Road Brewster, New TO: FROM: your information OF HEALTH York 10509 Date 6 [ 0 For signature For your files Referred.for handling Attached as requested _ Returned as requested Please see me Read and return C0p�p�t7���+ A 1111711J1V S: LQ j � ' >c a. i o DEPARTMENT OF -HEALTH: Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509. Tel. (914) 278-6130 Fax (914).278-7921 FAX COVER SHEET Date: l� To: 55511 ...J a L4 V Ssa C From: Adam B. Stiebeling Asst. Public Health Engineer For your information For your review As discussed NotesfiVIessages BRUCE R. FOLEY Public Health Director Fax #: 7 ?3 —O 143 No. Pages 3 (Including cover sheet) Please respond Attached as requested Please call In the event of transmission /reception difficulties, please contact this office at (914) 278 -6130 ext. 157. THE CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL PROTECTION JOEL A. MIELE, SR., P.E. Commissioner EVraLPaot WILLIAM N. STASIUK, P.E.,Ph.D. Deputy Commissioner PHONE (914)742 -2001 Bureau of Water Supply, FAX (914) 742 -2027 Quality and Protection May 18, �f-�vp re L t�C.v Robert Morris, P.E l Putnam Co. Health Dept. 4 Geneva Road A, Brewster, NY 10509 C Re: Ardizone/Forest Pk. Lot 12/19 Waterfall Lane Putnam Valley, Putnam DEP Log # 9206 (Joint Review) Dear Mr. Morris: The following information is necessary to complete the above - referenced application: o Limits of 100 -year flood plain; o Show all watercou sand wetlands boundary within 250 feet of the property line; o add a note indicating none exist; Additionally, please note, the following comment regarding the system design: o A downward facing and screened air vent is required at the pump chamber. p'QS�v�a If you have an questions regarding this matter, you may contact me at 914 773 -4416. Y Y q g g � Y Y ( ) Sincerely, 4�275;5/ 0 D, S' asc, Sissy De La Ossa Assistant Civil Engineer Engineering Design & Review xc: James Covey, P.E., NYSDOH 465 Columbus Avenue, Valhalla, New York 10595 -1336 O -% �t BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 6130 Fax (914) 278-7921 . Date: To: �tSS —r From: Adam B. Stiebeling Asst. Public Health Engineer For your information _Fo .y.Dur,review.. As discussed Notes/Messages >%WkPCC 1 / A l Fax #: 7 %_� - o3 `,Ii No. Pages --?I— (Including cover sheet) Please respond Attached as-requested Please call F--4zC1 L-1q. In the event of transmission /reception difficulties, please contact this office at (914) 278 -6130 ext. 157. number date of copies document description of document I.P BADEY & WATSON LETTER of TRANSMITTAL concept Surveying & Engineering, P. C _Z 3063 Route 9, Cold Spring, New York 10516 Date: F31 Mar 999 914 265-9217; 737-3577; 628-1800 FAX (914)'2654428 Refer inquiries to: Work Order # 12177 Project Director JPD TO: Our File Number 86-177 Sent via: Adam Stiebefing US MAIL UPS-NIGHT ❑ Putnam County Dept. of Health MESSENGER ❑ UPS-2 DAY ❑ 4 Geneva Rd. - -------- Brew r, NY 10509 PICK-UP El UPS-3 DAY El FAX ❑ UPS-GROUND ❑ I UPS-COD El FAX # We are sending: I number date of copies document description of document final prelim concept revised _Z RE S: COPIES TO: -------- - - .. : ,..,,.. y. - -,o;a. • -•.. , . PUTNAM COUNTY DEPARTMENT. OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES :. - -- CONSTRUE TIONTERMI -E TREATMENT SYS'T'EM: r PERMIT # Located at Town or Village PUTNA+A VAAAk Subdivision name Ffl94E!Si - PAS Subd. Lot # 12- Tax Map �50 Block 2- Lot 1 I _ bate Subdivision Approved t t % 1 b(� Renewal Revision O-wner /Applicant Name J-AMg-7-S A9- pi 'ZOOP— Date of Previous Approval Mailing Address (PC5 MXZEf r nND 121QE1Z V ,lam. . N�z Zip O rc75 Amount of Fee Enclosed 4 '6ob , -ua Building Type �SIDV� Lot Area 3.1 Ac- No. of Bedrooms 4 Design Flow GPD ItKL Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of f . 250 gallon septic tank and 5DQ Lr - 2A opt t-t W q> F—� A-R:60RP`t-( c) SPA AT G 4:T-- 6 . `- Other Requirements: Pu wt P r i 2GO CA/', Pimp A-'Lko tU -\ Std A4.. A°+r'D To be constructed by 4dl,ULAPI �Y S SONS. a ddress 3 �`� `j I � , COLD 5 W&I_ Water Sup DIV: Public Supply From Address ox�__ �riv_ teSupply _Drilledby- Address RCWAM ��• I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Address R.A. Date l? (F', R License # D E2S05� APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approv d pl requires a new pe it. Approved for isc ar a of domestic sanitary sewage only. (( 1 6177 By: Title: si�;3i . �P�in� Date: Z White copy - HD File; Yellow copy - Bu' ding Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 ... _.." i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OYENVIRONMENTAL HEALTH SERVICES APPLIC ATION.FOR AP.PROVAL..OF.PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant:. TOMMi� F1ZDIZOt4E� 2. Name of project: _TJ�mES AiZD(W`t,,,r-_ 3. Location TN r-V-NjAm ym4p 4. Design Professional: J)4+0 Q; DELA-foP.e. 5. Address:-* ddress: �� VQA-iSoA) . P-G 6. Drainage Basin: Bp- Os Co2r f S R >vol COLE) sP 136 7. Tvpe of Project: . _ Private/Residential Food Service . 'Commercial Apartments ' Institutional Mobile Home Park Office Building -Realty Subdivision . Other (specify) 8. Is this project subject to State Environmental "Quality Review (SEQR)? Type Status (check one)........ ..... . ............ Type I Exempt Type II Unlisted 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... 10. Has DEIS been completed and, found acceptable by Lead Agency? ......... 11. Name of Lead Agency Pct+ 12, Is this project in an area under the control. of local planning, zoning, or other uff ctals ordinances` ��' ...... .. ... ..:.:.:..:.: :.:. :.: :::.::...� 13. If so, have plans been submitted to such authorities? 14. Has preliminary approval been granted by such authorities? WA, Date granted:. {.4 66 15. Type of Sewage Treatment System Discharge ..:::............ surface water groundwater 16. If surface water discharge; what is the stream class designation? .:::............:... N 17. Waters index number (surface) ......... ......................... N LA _ 18. Is project located near a public water supply system? 19. If yes, name of water supply Distance. to water supply 20. Is project site near a public sewage collection 'or treatment system? ................ Nc� 21. Name of sewage system K , Distance to sewage system 22. Date test holes observed 23. Name of Health Inspector 24. Project design flow (gallons per day) ................................. ............................... 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... NO 26. Has SPDES Application been submitted to local DEC office? N /A _ Form PC -97 ':a- E A ' 27. Is. any portion of this project, located within. a designated Town or State wetland? No' 28. Wetlands ID Number .............. ............................... ..... _ .....' �.. ...., .... ........ .... ...... �. - 29.. Is Wetlands Permit required? ....... ...... .... ............ ............................... N© Has application been made to Town or Local DEC office? ............................... N A 30. Does project require a DEC Stream Disturbance Permit? ............................ ...... Nfl 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application,or industrial activity? ............. I............... Yes/No {gyp 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination. Yes/No DESCRIBE: 33. Is there a local master plan on. file with the Town or,Village? ......................... 34.. Are community water and/or sewer facilities planned to be developed within 1,5 years in or adjacent to project site? ................................ ............................... 35. Are any sewage treatment areas in excess of 15% slope? ............. 36. Tax Map ID Number .............. ............... ...........::............... Map '�;o Block S- Lot 1 q 37. Approved plans are to be returned to ..... Applicant 5,,/ Design Professional .... NOTE: All: applications -for review And approval of a new S °TS�tQ be-lacated_"'I iih - " ' --be sent to ihe,Depa ent, and need not be sent in duplicate to the DEP, although the project may require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a`project,' such as stormwater plans or the creation of impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other.than the applicant shown in Item l .,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affIrm, wader penalty of perjury, that information provided on this form is true to the best of my.knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the. Penal Law. SIGNATURES & OFFICIAL TITLES. Mailing Address: Co►.� �t2tti�+ �`� 1aSl� PUTNAM COUNT' DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAwL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner JAMES Zc_)N — Address MkZ-F- 12ojkfl gjy� E fL Nr Located at (Street) WA- e4? LAsJr_ Tax Map 3O Block 2 Lot 1 (indicate ncarC5t cross street) Municipality PAY-IJpm N6Lq � Drainage Basin PoJpS Cpl2NFg�, (Z> tZVt>ItZ SOIL PERCOLATION TEST DATA Date of Prc- soaping Z IcLy) Date of Percolation Test oq Hole No. Run No. Time Start - Stop Isla se Time �lYlirr.) De�ppth to Water ,r•onr Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch 22 3 Z 10!0(0 - (0. K., ICS 22 3 3 P� 4 lo: t�, (6 2-(,a 10 1�1 2Z 3 3 B ' 61.>;.16 -10.08 io 19 2Z 3 3 e) 3 io.06 — , to, i to ( Z2 3 3 `1 10=113- 10'.2. to 11 2) 3 5 1 3 4 NU TLS: I . Tcsts'to "bc repe'nt'ed -a t,samc depth until approziinately'cqual percolation rates arc obtained at each pc�cbfation`tasr hole:, ("ac. I min for 1 -30 min /inch, s 2 min for 31 -60 min /inch) All data to be sub1iaittcd. for rcvic.iv:: 2. Dcp.th'nca ,ur.ci�cits'to be made from top of hole. Dorm DD -97 DEPTI I G. L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' .1 8.5' 9.5' 10.0' 2 TEST PIT'DATA DESCRIPTION OF SOILS. ENCOUNTERED IN TEST HOLES HOLE NO. I HOLE NO. Z HOLE NO.. TtJP Sd � � �P Sot L '51 l= r( LCA-m 6x LTY LOS Ct.� !rte AyM C t Lv�M Indicate level at which groundwater is encountered �clUt�i -A Indicate level at which 1-notthng is observed - Ndt- Ui?vs v Indicate level to which Water level rises after being encountered Deep hole observations made by: Cs, ,5fzjw� —� PC Date CA 2 �_ Design Professional Namc: ;70HQ P .Dfl.Adjc? i`1�lti�4 f itf��f�r Address: gk \NAi-�btJ -p-G- "`'`� 6�- ..E)10.1,�'fy IZF vt� "' ? 11 COCA Ispe P6 to5L Signature: ;^ Design Professional's Seal jFfti;�tit•t�\ FIR 1) UT.7N.-VA-1. C 0 Lf N TY DEPARTMENT OF HEALTH DIVISION Of. I 1-11'.N.VIRONMENTAL RE LTIISER17JCES DE,S R; N SU.BSUP-,I,'ACESEN-N'..1.GE'I'IZEATj)!"kEN'FSYSTE.,I Address UC) /\Z-C-- RD - VA-Lp N5— (,S i Cc 1--6M-k-- LAND i ax 1.35 1 (-) c k L o cl IfulcNo. N'illl.No. C- W;Itcr 1,c)-c1 Drop In Inclics PCI-CoLitioll Ratc 2 '4G— i' 5C> 2- 5L, — 21 C, 2- L -3 C) 1I;I1.1 -S(op I Ilic (NIM.) Dopth (I) W:I(cl. I.I.olliGrollud ��Ilrf;lcc (111cl I CS) titan S, t c W;Itcr 1,c)-c1 Drop In Inclics PCI-CoLitioll Ratc 2- '4G— i' 5C> 2- 5L, — 21 C, 2- L -3 C) r 7L 150 'M =3 4] 3 I 2.2- 1)Criulalloll raics :11;c o bta;,wd a( cach i c : ( ho1c. I I l l I l l for -30 I l l l l l ! l I l c h , 2 mIn fur 31 -6U hill/inch) A l l 611 to be -I,E, sl- I'ACUUNIFE""IZE-1) IN TEST I IOLES 101,1: NO. HOLF" NO. G. I- 0.51 lol 7. S' HOLE NO. lom, Is CIIC()Illltcl,ccl is oh.scrvcd 111(lic;!,Lc lo-•l k:vcl rlscti ;Iltl'J' [)clll" CIIC0L)III•I-C(1 )CCp llol c , 111:.1 . . - — - - - - - - - - -- - - - - . - . , . . L . -- - - - hy Dal.c , AddI-Css- V-J;vro�j o C, T' I ' r 2 ' APPLICATIONS Motor: FEATURES Specifically designed for the ° Single phase. 0.4 HP, 115 or 230 V, 60 Hz, 1550 RPM, Impeller: Thermoplastic following uses: built in overload with Semi - Vortex design with ° Effluent systems automatic reset pump out vanes for mech ani- ° Homes . ° Power cord: 10 foot cal seal protection. ° Farms standard length, 16/3 SJTO Casing and Base: Rugged .O .Heavy duty sump with three prong grounding thermoplastic design provides • Water transfer plug. Optional 20 foot superior strength and • Dewalering length, 16/3 SJTW with corrosion resistance. three prong grounding plug. Motor Housing: Cast iron SPECIFICATIONS ° Fully submerged in high for efficient heat transfer, Pump: grade turbin e oil for strength, and durability. • Solids handling capability: lubrication and efficient Motor Cover: Thermoplastic 1/4" maximum. heat transfer. cover with integral handle and • Capacities: up to 55 GPM. float switch attachment points. • Total heads: up to 24 feet. Available for automatic and Power Cable: Severe duty • Discharge size: 1112' NPT. manual operation. Automatic rated oil and water resistant. • Mechanical seal: carbon- rotary/ceramic - stationary, models include Mercury Float Switch assembled and 0 -ring: Provides positive 8ON/S;N elastoallers:..: -- r._ _preset at-the facto!::.::.- `: :::,: _ .: §ealirag. No,:gaskets_to replace,...- ° Temperature: during maintenance. 104 °F (40 °C) continuous Stainless steel fasteners. 140 °F (60 °C) intermittent. ° Fasteners: 300 series SlainInce Steel METERS FEET o Capable of running dry without damage to a components. 2 5 0 Q w U L a Z O J Q F- O H 7 6 2( 5� 1: 4 3 2 1 0 1C 5 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 ml /h CAPACITY � —ts _5 GPM 2.5 FT - -- — -- — �: 00 10 20 30 40 50 GPM 0 2 4 6 8 10 12 ml /h CAPACITY w° SIcrM GOUICIS Submersible MP" ...R. 7 11) rn 6 If \:' 9 ----- 5 4 3871 3-1 U , �p 2 DIMENSIONS (All dimensions are in inches. Do not use for construction purposes.) PARTS Item No. Description 1 Impeller EP04121' 230 6 EP0411AC' 115 12 "A" denotes automatic operation. Pump includes float switch. "F" denotes 20 foot power cord. "AC" denotes automatic operation, CSA listed with 20 foot power and switch cords. ' CSA listed units. 1(011, WATER TECHNOLOGIES GROUP ;rrn'CA rAl I., nl:w'rtJrn: 131413 20' 20 24 0 20' 21 SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U.S.A. 2 Rugged thermoplastic base + t' ,� h, Rugged thermoplastic 3 t,,�y�, Y�' �`i,y.••,. jF� pump casing 4 Mechanical seal 7%z _ _I 11 MAX. 10 % ;`r ; 1' /, NPT 5 Ball bearings 7 Power cord 8 Oil filled motor — 4y, —'' Cast iron motor ,/� 9 housing /stator assembly 10 Thermoplastic motor cover MODELS PERFORMANCE RATINGS Order No. HP Volts Phase Max.. RPM Solids Power Cord WIS. Total Head Gallons Per Amps Handling Length (lbs.) (II. of water) Minute EP0411 115 12 10' 5 53 20 EP0412 230 6 10' 10 46 E P0411 A 115 12 10' 21 15 36 a 1 1550 3/,. EP0411F' 115 12 20' 20 20 21 EP04121' 230 6 EP0411AC' 115 12 "A" denotes automatic operation. Pump includes float switch. "F" denotes 20 foot power cord. "AC" denotes automatic operation, CSA listed with 20 foot power and switch cords. ' CSA listed units. 1(011, WATER TECHNOLOGIES GROUP ;rrn'CA rAl I., nl:w'rtJrn: 131413 20' 20 24 0 20' 21 SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U.S.A. ca m 13 am Amskift AO% soma Loss yn'a �T;�71 TECHNICAL DATA -' FRICTION LOSS • ..:.:.'s'.... r ..:...:r. ..i N+ %: -i. �': i:u � Y'�4 :'�. .. - n?i5 °�. �.. 0. u. n.'.1..Y+f�'Y. tL. r.: ...y, ..,: �.li: - .: ^� »TI.Yv. n.YYAP�r,, �..: }eg.:Y•Y. •u5 t... � 1' . "'4fY mMa �� yolf 14" 3/4" 1" 11/a" 1' /2" GPM GPH Fl. Lbs. Ft. Lbs. Ft. Lbs. Ft. Lbs. Ft. Lbs. Ft. Lbs. 1 60 4.25 1.85 1.38 .60 .356 .155 .11 .048 2 120 15.13 6.58 4.83 2.10 1.21 .526 .38 .164 1 .10 .044 3 180 31.97 13.9 9.96 4.33 2.51 1.09 .77 .336 .21 .090 .10 .043 4 240 54.97 23.9 17.07 7.42 4.21 1.83 1.30 .565 .35 .150 .16 .071 5 300 84.41 36.7 25.76 11.2 6.33 2.75 1.92 .835 .51 .223 .24 .104 6 360 36.34 15.8 8.83 3.84 2.69 1.17 .71 .309 .33 .145 8 480 63.71 27.7 15.18 6.60 4.58 1.99 1.19 .518 .55 .241 10 600 97.52 42.4 25.98 11.27 6.88 2.99 1.78 .774 .83 .361 15 900 49.68 21.6 14.63 6.36 3.75 1.63 1.74 .755 20 1,200 86.94 37.8 25.07 10.9 6.39 2.78 2.94 1.28 25 1,500 38.41 16.7 9.71 4.22 4.44 1.93 30 1,800 13.62 5.92 6.26 2.72 35 2,100 18.17 7.90 8.37 3.64 4�. _ 2.400. +1.24" 1 -6.70- `4.65 .. 45 2,700 29.44 12.80 13.46 5.85 50 3,000 16.45 7.15 60 3,600 23.48 10.21 mMa �� "IN Loss M. EQUIVALENT NUMBER OF FEET STRAIGHT PIPE FOR DIFFERENT FITTINGS Size of Fillings, Inches I '/z 900 Ell 1.5 450 Ell i 0.8. Long Sweep Ell 1.0 Close Return Bend 3.6 Tee-Straight Run 1 Too-Side Inlet or Oullel 3.3 Globe Valve Open 1 17.0 Angle Valve Open 8.4 Gate Valve-Fully Open 0.4 Check Valve (Swing) 4 Check Valve (Spring) 4 3/4 2.0 1.0 1.4 5.0 2 4.5 22.0 12.0 0.5 5 6 1 2.7 1.3 1.7 6.0 11/411 11/2" 21. 1 21/211 3" 41' 5" 611 8" 1011 3.5 1.7 2.3 4.3 5.5 6.5 8.0 10.0 14.0 15 20 25 2.0 2.5 3.0 3.8 5.0 6.3 7.1 9.4 12 2.7 3.5 4.2 5.2 7.0 9.0 11.0 14.0 8.3 10.0 13.0 15.0 18.0 24.0 31.0 37.0 39.0 2 3 3 4 5 5.7 27.0 7.6 36.0 9.0 12.0 14.0 17.0 22.0 27.0 31.0 40.0 43.0 55.0 67.0 82.0 110.0 140.0 160.0 220.0 15.0 0.6 18.0 0.8 22.0 28.0 33.0 42.0 1.7 58.0 2.3 70.0 2.9 83.0 110.0 1.0 1.2 1.4 3.5 4.5 7 8 9 11 14 13 19 16 23 20 32 26 43 33 39 52 65 5 ' 8 Example: - (A, 0 e and one (1) swing check valve.. 900 elbow - Equivalent to 5.5 ft. of straight pipe Swing Check - Equivalent to 13.0 ft. of straight pipe 100 ft. of pipe - Equivalent to 100.0 ft. of straight pipe 118.5 ft. = Total equivalent pipe Figure friction loss for 118.5 ft. of pipe. (B-) Assume flow to be 80 GPM through 2" plastic pipe. 1. Friction loss table shows 11.43 ft. loss per 100 ft. of pipe. 2. In step (A) above we have determined total feet of pipe to be 118,5 ft. 3. Convert 118.5 ft. to percentage. 118.5 -., 100 = 1.185. 4. Multiply 11.43 x 1.185 13.54455 or 13.5 ft. = Total friction loss in this system. PUTNAM p ^ COUNTY DEPARTMENT OF HEALTH LETTER OF AUTHORIZATION R& Property of 1 Located at li4Z t -.kf._ T'/v amptm y , ax Map -bo Block Lot � � Subdivision of 5t E Subdivision Lot # Filed Map # 154(i,, mate Filed Gentlemen: This letter is to authorize � 1014W Df RE . a duly licensed Professional Engineer or Registered Architect to apply for the required wastewater treatment and/or water supply permits) to serve the above -noted property, in accordance with the standards, rules or regulations -as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or water supply systems - _incorfo ity with-the�prc =oi66M mfA dcle- 141 and/or 14 oftiae lydIadation Law ,'the Pub11c H�altli Law, And the Putnam County Sanitary Code. Countersigned: P.& A. # _ e" Very trul yours, .Signed: ( ner of Property) Mailing Address Mailing Address: &t5 M&-L4 SgAD Stage dip 1®si� State B ;r I ' zip-0-1(0-15 Telephone: r Telephone: 201 OWN X91 ° °W Form LA,99 P. . 1 J� 14.164 (2/87)—Text 12 PROJECT I.D. NUMBER __. 617.21 SEAR a Appendix C _.. .... ,. , _ Stat ©;,Erivironmendal. Qua{Ity Review..;:.: : -- °•.: -. •. ;; SHORT .ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant or Pro)oct sponsor) 1. APPLICANT /SPONSOR 2. PROJECT NAME, ?-prm eS P�`ZD) Zo�� �/M'L E'j 1Pc2D 1 ZotJ J. PROJECT LOCA710N: Munlclpallly PU1l,,jAM \(,dL9Y County Pa-rT jAm 4. PRECISE LOCATION (Street addro s and road Intersections, prominent landmarks, otc., or provldo map) C� r,aP �rWlc%d� 5. IS PROPOSED ACTION: New 0 Expansion 0 Modlllcallon /allorallon 6. DESCRIBE PROJECT BRIEFLY: CO 05-1 5 F -k<vl i lio USF -/ .5EP. r, SyST M \^4eu- 7. AMOUNT OF LAND AFFECTED: Initially L b acres Ultimately G acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 0Yes ❑ No It No, describe briefly 9. WHA IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential 0 industrial 0 Commorcial 0 Agriculture ❑ Park/ForosUOpon space 0 Other l Describe: Sk1-4 .. ¢!ci�!+tl.Y..i�$i�l X1,0 •- °1-• An y- LOT, ._.. ._ ..•.. _... -- ..._._.. _- .._... _. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? Yes ❑ No II yes, list agency(s) and pormlVapprovals 11. DOES ANY ASP T OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes If yes, list agency name and permlUapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? 0 Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE flew AppllcanUsponsor name: �N P- &r w_1�, �at►�- F Palo: 0 lqq . Signature: 40_&AIOZL� N If the action Is In the Coastal Area, and you are a state ag ancy, completo'the Coastal Assessment Form before proceeding with this assessment OVER PART II— ENVIRONMENTAL ASSESSMENT (To be completed by agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617;127 It yes, coordinate the review process and use the FULL EAF. ❑ Yes ❑ No e. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 if No, a negativo declarallo.n may be superseded by another Involved.agency, ❑Yes _Q.No.. , C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE'FOLLOWING: (Answers may be handwritten, If legible) C1. Existing air quality, surface or groundwater quality or quantity, nolso iovels,.oxlsting traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agrlculiural,.archacologlcal, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: CJ. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or throatonod or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change In use or intensity of use of land or other natural resources? Explain briefly CS. Growth, subsequent development, or related activities likely to be inducodby the proposed action? Explain briefly. C6..Long term, short term, cumulative, or other effects not Identified In C1 -057 Explain briefly. C7. Other Impacts (Including changes In use of either quantity or typo of energy)? Explain briefly. - D. IS THERE, OR IS THERE LIKELY T0.•e.E „CONTRO.V.ERSX.. RELATED- TO- POTENTI •AL— ADVIERS-E -ENIVIRONMENTAL "IMPACTS?" ~^ ❑ Yos ❑ No It Yes, explain briefly PART III” DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above, determine whether It Is substantial; largo, Important or otherwise significant. Each effect should be assessed In connection with Its (a) selling (Le. urban or rural);,(b) probability of occurring; (c) duration; (d) Irreversibility; (e) geographic scope; and (f) magnitude._ if necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient dotall to show that all relevant adverse Impacts have boon Identified and adoquatoly addressed. ❑ Check this box If you have Identified one or more potentially large or significant adverse Impacts which MAY occur. Then proceed directly to the FULL EAF and /or prepare a' positive declaration. ❑ Check this box If you have determined, based on the Information and analysis above and any supporting documentation, that the proposed action WILL NOT result In any significant adverse environmental Impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or lype Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Hesponsi a 51licer in Lead Agency Signature of Preparer (I i erenl frorn responsible officer) Date 2 LETTER OF TRANSMITTAL BADEY & WATSON Surveying and Engineering, P. Route 9 Cold Spring, NY 10516 (914) 265 -9217 739 -3577 628 -1800 FAX (914) 265 -4428 To: Robert Morris, P.E. Putnam County Department of Health 4 Geneva Road Brewster, NY 10509 Copies Date No. Description Date: March 16,1999 Re: Proposed SSTS JAMES ARDIZONE Waterfall Lane Forest Park Subd. Lot #12 Putnam Valley TM 30. -2 -19 Sent By: ❑ US Mail ❑ UPS UPS Overnight ❑ Fed Ex ❑ Messenger ❑ Pick -Up 1 03/18/99 Construction Permit for Sewage Treatment System 1 Letter of Authorization 1 Application for Approval of Plans for a Wastewater Treatment System 1 03/18/99 Short Environmental Assessment Form 1 09/30/98 Design Data Sheet 1 10/09/98 Design Data Sheet 4 . ;. _ 11/19/98 1 of 1 SSTS Plan._. _;. .. __.. :.._.. 1.. -... _ .. .. _._.. - --11169199- " (set)' " "pump data &info. 2 floor plans 1 03/18/99 Application to Construct a Water Well 1 12/04/98 1301 Money Order - $300.00 Signed: John P. Delano, P.E. Copy to: File sw- s yam, Y %'t- ,`... • S _0 '0 I+3' .f -� ._ �,. ♦ , r'' + tzo olo QI t 0 0� . V; I 4 j •fit r •� .ti 1 t I{ !�� -� ,- ., o. /� 6 7 - � cps �'O� � , .. \ `, •' � •-� r ��r \\ . \� • /� " , \. 'i/ '`\{ \\\'t,3 'Y`' ,p OO W N O ®Y� t' • l t., �� L�/ 'o G� �' � � •� � •�1 =w >, a �� /61 fir{ �'`�'°�' o v oil. C®' OCt• .\ � t ; �k+ �' ° fir: '� � �` ' •\ .x;00.0 \ '� I `41 101'. . � '� \\ � '\ y3; � v. � I' \ ••�vry :, y =j M 0 !u. J I I cu I \� Ell Qj fj iA IK ,• " 1 `'• �� ��, \' ; r • ale i`. � � �• � � .:•1 .:yam•; •. °��; '� +�i;., .;.:';...,.. � 1� mod%r(, +�� '•.�a., . � v � QQ ' ��q�: <} •�,� BFI' .- yr I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS REVIEW SHEET FOR CO\STRUCTION.PERINIIT, , , • , ;., _ .T 4 iSTREET LOCATION lLV1 w9'L{�r _ �+ � NAi\IE OF OW ER r w., a ry 2 REVIEWED BY RNI, GR, AS, NIB, BH 22 Y DOCUMENTS_ PERMIT APPLICATION. WELL PERMIT LETTER LETTER OF AUTHORIZATION DESIGN DATA SHEET (DDS) CORPORATE RESOLUTION SHORT EAF PLANS - THREE SETS USE PLANS - TWO SETS VARIANCE REQUEST FEE SUBDIVISION �� MAL SUBDIVISION 81IBDIVISION APPROVAL CHECKED P TE rLREQ UIRED i3 DEPTH RTAIN DRAIN REQUIRED STANDPIPES GENERAL CATED IN NYC WATERSHED P ANS SUBMITTED TO DEP EGATED TO PCHD DEP APPROVAL, IF REQ'D D P TEST HOLES OBSERVED Ahl RCS TO BE WITNESSED - APPROVAL SSDS ADJ. LOTS WETLANDS (TOWN/DEC PERMIT REQ'D ?) TA ON DDS PLANS & PERMIT SAME r _ *E _ 1969 NEICIH8_QF, J 0,TlFICATION ..... .,. PRI.TER BUZBA YR. FLOOD ELEVATION IER REQ'D PERMIT(S) QUIRED DETAILS ON PLANS AGE SYSTEM PLAN - (NORTH ARROW) S HYDRAULIC PROFILE VITY FLOW STRUCTION NOTES GN DATA: PERC &DEEP RESULTS NTOURS EXISTING & PROPOSED EWAY & SLOPES, CUT T NG /GUTTER/CURTAIN DRAINS TYPE BOUNDARIES E BLOCK; OWNERS NAME,ADDRESS #,PE/RA; NAME,ADDRESS,PHONE# TE OF DRAWINGIREVISION ?CTUM REFERENCE LOCATION OF WATERCOURSES, PONDS AKES AND WETLANDS WITHIN 200 FEET PROPOSED FINISH FLOOASEMENT COMMENTS: L! EROSION CONTROL:HOUSE,WELL, SSDS !�.RC & DEEP HOLES LOCATED PRESENTATIVE OF PRIMARY & EXPANSION CATION MAP EXP. AREA; SHOWN; GRAVITY FLO UFF.SIZE IF PUMPED, PIT & D BOX SHOWN E AILED HOUSE - NO.OF BEDROOMS WELLS & SSDS'S WAN 200' OF PIflED SYS. PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) HOUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE NO BENDS' MAX BENDS 450 W /CLEANOUT TAX NIAP # 5ZDv L1, FILL SYSTEMS CLAY BARRIER �:��' %,-,FT. HORIZONTAL;SLOPE 31 TO GRADE c� FILL CS FILL.NOTES FILL CERT ON NOTE DEPT UGES FI PROFILE & DIMENSION OLUME FILL IN EXPANSION AREA TRENCH L� TRENCH PROVIDED _ 60 FT MAX. PARALLEL TO CONTOURS 100% EXPANSION PROVIDED Go -t ( Z ON PLAN - FROM SSTS 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL. 20' TO FOUNDATION-WALLS -• 15'WELL -TO-PL '° 100' TO WELL, 200' IN DLOD, 150' PITS I00' TO STREAM WATERCOURSE LAKE (inc. expan) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 200'/500' RESERVOIR, ETC. _150' GALLEY SYSTEMS L 1IYMIN to CDS= >5 %,10'- 4 %,25'- 3 %,30'- 2 %,35' -to /x100' - <I% 20'MIN to CD discharge /100'with 182 cons day discharge SEPTIC TANK 10' FROM FOUNDATION; 50' TO WELL WELL DIMENSIONS TO PROPERTY LINE LOCATION OF SERVICE CONNECTION -56'-0 PUTNAM COUNTY DEPARTMENT OF HEALTH OWNER /APPLICANT JAMES ARDIZONE HOUSE PLANS AP-pn, TOd LOOR PLAN 615 MAZE ROAD BEDROOM COUN]" OINLY§CALE: 1/4" = V-0" RIVER VALE, NJ 07675 EDROOMS i LOCATION WATERFALL LANE BADEY & WATSON. svr Xnj p.c FOREST PARK SUBDIVISION LOT 12 X .1 PUTNAM VALLEY TM 30-2-19 3063 Route 9 (914) 265-9217 Cold Spring, New York 10516 628-1800 739-3577 Signature & Tlti6l o Date FILE NO. 86-17 (914) 265-4428 (Fox) ((877) 314 -1593 F T ib is I s. } PUTNAlI CCU?TY DF:i' 1RTrlEIIT OF HEALTH fIGUSE PLANS ��:�PP:O ED FOR + ' BTED'R00 4 COUN ' O-NLY; A—BEDROOM-S T,. ate v IBAI)EY & WATSON LETTER of TRANSMITTAL Surveying & Engineering, P. C. - -•,• •� 3063. Route 9, Cold. Spri ng, New York 10516 ,.. <.. .:a.�. .,. -.,.. _ _ .: -. -: , �- � : >::: ,:. g➢�te:a::.:a:$;.Yttn,,.1.999 914 265 9217; 737 -3577 628 -1800 FAX (914) 265 -4428 Refer inquiries to: Work Order # 12177 aJ�q Project Director JPD TO: Our File Number 86 -177 Sent via: Adam Stiebling US MAIL ❑ UPS -NIGHT Putnam County Dept. of Health MESSENGER ❑ UPS-2 DAY ❑ 4 Geneva Rd. PICK -UP ❑ UPS-3 DAY ❑ Brewster NY 10509 FAX ❑ UPS - GROUND ❑ FAX # UPS -COD ❑ We are sending number date of copies document description of document final prelim concept revised ® 1 17 Jun 19991 ISSTS for James Ardizone I 0 ❑ ❑ ❑ ❑1 - ��❑ ❑ ❑ ❑ ❑� -�� �❑ ❑ ❑ ❑ REMARKS: 'Revised pursuant with the NYCDEP letter. COPIES TO. E 2403 BADEY & WATSON LETTER of TRANSMITTAL Surveying & Engineering, P.C.. 3063 Route 9, Cold Spring, New York 10516 Date: 27 Jun 2002 (845) 265 -9217 (914) 628 -1800 (914) 739 -3577 File No. 86 -177 (845) 225 -3312 FAX (845) 265 -4428 W. 0. # 15069 RE: Lhotan TO: Waterfall Lane Forest Park Subd. Lot No. 12 William Hedges Putnam County Department of Health Tax Map 30. -2 -19 — �l Geneva Road Permit # PV -7 -99 __— Brewster, NY 10509 Sent via: US MAIL ❑ UPS -NIGHT ❑ . MESSENGER ❑ UPS -2 DAY ❑ L — -- PICK -UP ❑ UPS -3 DAY ❑ FAX ❑ UPS -GRND 2 UPS -COD ❑ We are sending: copies date description of document E—II 126- Jun -02 Curtain Drain — LL JJ I _ �I - - -.- _ Elr � I ❑; i IF _ -- I - REMARKS: I i I I i I I Signed: John P. Delano, P.E. Copies to: File [Joe Lhotan 2 prints, UPS /G 7344 J I i i N ?p �D 00 cona mm. fd oinage easement 7 Va Sed map Cru st-fe k from pole to h6iis &lm ..Mw. fd. steel ph set 0 lie as P. at. cellar entry u CURTAIN \Z DRAIN Y ff i0ox Xf AP 0 XI E LOCATION OF FORCEMAIN (T JR RIFTED T ED IN THE FIELD) ...-w steel Pin fd in Sirch DEEP (771) 5' DEEP (774) figs SP&S Iw 1 gent 11 GP 1 —APPROXIMATE LOCATION OF FORCEMAIN .fog. Elea connection (TO BE VERIFIED IN THE FIELD) or Jo steel M. box f� pump #1549' Loll steel pm fd la as 01 346- 1414 o 790 bert Ro d6 i 5��% G n n rn N in In x w 0 z x a 4 0 0 rn N 0 M h h i 0o m 0 z U r m 4 0 0 m 0 w Y RELOCATION - DIMENSIONS of /Jfy pa breoa army f1,e m vNMy pas fi 12 • CUP a d-f � 1A 14.1' SEPTIC TANK IN 18 45.3' SEPTIC TANK IN 2A 22.2' SEPTIC TANK OUT 2B 48.6' SEPTIC TANK OUT 3A 32.8' PUMP TANK 3B 54.3' PUMP TANK 4C 135.7' DISTRIBUTION BOS 4D 57.4' DISTRIBUTION B0S 5C 135.1' BEGIN LATERAL 5D 55.3' BEGIN LATERAL 6C 127.4' BEGIN LATERAL 6D 52.7' BEGIN LATERAL 7C 119.7' BEGIN LATERAL 7D 51.3' BEGIN LATERAL 8C 112.2' BEGIN LATERAL 8D 51.2' BEGIN LATERAL 9C 104.7' BEGIN LATERAL 9D 1 52.5' BEGIN LATERAL 10C 97.5'. BEGIN LATERAL 10D 55.1' BEGIN LATERAL 11C 90.4' BEGIN LATERAL 11D 58.8' BEGIN LATERAL -12c ,l 83,6! - 3EG+4 -LATERAL '`12D 63.4' BEGIN LATERAL 13C 77.1' BEGIN LATERAL 13D 68.7' BEGIN LATERAL 14C 71.0' BEGIN LATERAL 14D 74.6' BEGIN LATERAL 15C 93.2' END LATERAL 15D 17.6' END LATERAL 16C B4.3' END LATERAL 160 25.0' END LATERAL 17C 75.5' END LATERAL 17D 33.3' END LATERAL 18C 66.8' ' END LATERAL 18D 41.9' END LATERAL 19C 58.2' END LATERAL 19D 50.7' END LATERAL 20C 49.7' END LATERAL 20D 59.6' END LATERAL 21C 41.6' END LATERAL 21D 68.5' END LATERAL 22C 33.9' END LATERAL 22D 77.5' END LATERAL 23C 27.2' END LATERAL 23D 86.5' END LATERAL 24C . 22.3' END LATERAL 24D 95.6' END LATERAL WB 87.1' WELL " WE 69.7' WELL of /Jfy pa breoa army f1,e m vNMy pas fi 12 • CUP a d-f �