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HomeMy WebLinkAbout2163DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30. -2 -59 BOX 19 1 rm 1oi ' -I ■ r4 ■ P ,6 1 ;�.l Ll 02163 PLITAIAM COUNTY DEPARTMENT OF., HEALTH 1 nn �`�� Y OVrI DE �\!V. Division of Environmental Haiglth';, Servioas, Carmel, N .Y .f05,1 y 5� PERMIT #. s• I, CERTIFICATE CONSTRUCTION ,COMPLIANCE FOR SEWAGE DISPOSAL'SY,ST,EM h,.f L Town or /VI aqe ._. .LOCated.a ��• -y-� r. ..� ©�I�.y,�� _ —� - .�q.�..�p _ ��,,0 _.'Blocky �/� � _ .... .. Owner Forme ly Tax Nap-LOt N ': •Subd Lot p , Separate Seweiige SY tem -built by � � Ad resi Consisting'of � � _qaI. Septic Tank and p V �' • ➢� r I-� Other, re'quire'ments (� O : :. Cpl \ �oGt' �tC>3 e. �i�� :.'�aAw' "r•�i�..' Water Su ublic Supply From Private, SuPDIy 'O , ` BY �., _,•Y O Addras3 f D' .Building Type s "i No. of Bedrooms Date Permit "ISwed Has Erosion Control ,Been Completed? Has: garbage grinder been .installed? d .1 certify that the syetem(s) as:lieted serving the above premises were:conatnicted sent all as sho on the plane of th `comp eted work (copies of which are attachedY—and `in accordance with the,.standards, .rules and s° ulatio' , in. accor anc a +.p �" and the rmit issued by the Putnam:Counfy D'epartmerifi'Of Health. Oate : tiff E. R.A. Addre Any person `occupying premises served by the•above systems) shall pro ptly. �yti n _e y o se: ►e'the correctio of my unsanitary conditions resulting from such usage. '.'Approval of ;the separate' „sew roge'system shal ” ms nu an oI s ri at a putille ary savver' becomes available and the approval, of tie private' water iupply shall become nu and ;void an a publlc water supply been Such ' �pp►ovais are subject to modification or change when, in the 'judgment of the r of Meaith; such' revocation, ` modification or' chfnps Is neces"ry. Date Title �. .Rev. 6/85 - I Al-A Cr) I WELL L;Uiv1rLh11V1N rzrual Office Use Only DEPARTMENT OF HEALTH ­.Divisibn Of Envixoritental Health - 'Services 0 PUTNAM ' COUNTY DEPARTMENT OF HEALTH STREET ADDRESS: 1MWN/VI=11CIIY TAx'GRID NUMBER: WELL LOCATION 0. NAME. ADDRESS: 0 PRIVATE WELL OWNER 0 PUBLIC USE" OF WELL ff'RESIDENTIAL ❑ PUBLIC SUPPLY 0 AIR /COND. /HEAT PUMP ❑ ABANDONED 1 - primary ❑ BUSINESS ❑ FARM ❑ TEST/OBSERVATION ❑ OTHER (specify) 2 - secondary 0 INDUSTRIAL ❑ INSTITUTIONAL 0 STAND-BY ❑ AMOUNT OF USE YIELD SOUGHT gpm.INO. PEOPLE SERVED _/ EST. OF DAILY USAGE 2 gal. REASON FOR O'NEW SUPPLY 0.. PROVIDE ADDITIONAL SUPPLY ❑ TEST/OBSERVATION DRILLING ❑ REPLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH —ft.1 STATIC WATER LEVEL ft. DATE MEASURED DRILLING C1 ROTARY O` COMPRESSED AIR PERCUSSION ❑ DUG EQUIPMENT ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. Q OPEN HOLE IN BEDROCK ❑ OTHER TOTAL LENGTH ft. MATERIALS: 0 STEEL 0 PLASTIC 0 OTHER CASING LENGTH.BELOW GRADE ft. JOINTS: 0 WELDED 0 THREADED 0 OTHER DETAILS DIAMETER in. SEAL: b CEMENT GROUT OBENTONITE 00THER WEIGHT PER FOOT 1b./ft. DRIVE SHOE. ❑ YES ❑ NO LINER: 0 YES 0 NO DIAMETER (in) 'SLOT SIZE LENGTH (it) DEPTH TO SCREEN (ft) DEVELOPED? SCREEN FIRST 0 YES SECOND HOURS GRAVEL PACK 0 YES GRAVEL DIAMETER TOP BOTTOM ❑ NO L SIZE- OF PACK in. DEPTH —ft. DEPTH — It. WELL YIELD TEST If detailed pumping It more detailed formation descriptions or sieve analyses VELL LOG are available, please attach. METHOD: , 0 PUMPED I tests were done is in- DEPTH FROM SURFACE W ater Well dCOMPRESSED AIR formation attached? l Bear- Dia- l I FORMATION* DESCRIPTION CODE ft. ft. 0 BAILED ❑ OTHER ❑ YES 0 NO ing m in eter WELL DEPTH DURATION DRAWDOWN YIELD d Sur Lanface 4 hr. min. ft. 9prn. 4C 5 WATEI ,"O-CLEAR TEMP. 1�1 QUALITY 0 CLOUDY HARDNESS - 0 COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? 0 YES 0 NO STORAGE TANK: TYPE CAPACITY GAL. PUMP WFORMATION WELL DRILLER NAME DATE TYPE CAPACITY MAKER DEPTH ADDRESS SiGihtTURE MODEL VOLTAGE — HP 14 E 11 Rev 78 `COUNTY'OE WESTCHEST.ER :1y pEPARTlAENT OF LAt3pRATQRIES AND RESEARCH VALHALLA: NEW YORK 10595 ; jBACTERIAL EXAioINATION OF DRINKING AND TREATED WATERS LeF . Ll 6 Lab. No ENT Date Coll d� Time Time Sei £ +,� r it .kTi S�.bm�tted t —..,w, �4 Tests (ciicle) SPC .Cofifonn -MPN coiiform Membrane Fecal Other f . 7h w° t ; r Agency Coll d `►o Cali 'd from•: Name, lu.q 7 Irrdrr t, , (k.,46 M lcnv, own. u Izb`Cow> i Icoun, 1' P y+y Identit�catroh of Sourcex"° lsamp►mg Point williin Premisee � ' `� 'l � #=t= Refrigerated? Chbrutated? Yet} o No` Free rtigl): Total mg /I pH RESULTS:OF EXAMINATIQN OF WATER MPNltE10;mF slinclard Plate Count Bacteria per mL'(48 hr) t ' Coliform Group" a Membrane Method /100 ml Number Positive Tubes ; Total Coliform Eebal.Coldorm: `x Other .1liA " These results indicate sampl (was as not) :of Reported by T Dete ; satisfactory sanitary quality v�hete sample was R^ +� co lected `PM- AM COUNTY DEPARTMENT OF IEALTW Division of Environmental Heoltb Services C, srmel RI:y 10512- Engineer O Provide Permit lY MTLIAN RTIFI WE O , � � on CE FC COPTS ON,PERBIff FOR SEWAGE DISPOSAL SYSTE1bY „ Located at '-r1 `1 ki t"� g i �. � t Pawn or VUlage Sabdivislon IVeme�J I AtI� C :L�j �abd Lot q Tau Mnp °� Bloch % Lot Renewal_ ❑ Revision � . • p Over /Applicant Flom y " Date of Previous Approve! MaWng Address Town Zip ' Ball�leg Type t`p S l �`.iROa Lot Area` �' Fill 5ecao D ®pt6— Yohtme C°• PFambor of Sedrooms Design Floq G P D F.M Biotl$caaon.i.® Requlied Vb7ten Fill t® Co ®plated ' Separate Sew ®rage Syetem 6 Consist of Gallon Septic Tack an To;be Coiisteucted by 'Address l- VYat®r SaPPb Pdbllc Supply Feom }3 Addees® c or:_Pelvate Supply Drilled by dress • Otbe'•Renoliemente '� `t<' I repiesenE that 1 am wholly and „completely responsible for ilia tleslgnYand location oi. the proposed systems) -1)- that- .theseparate,sewage�tlisposal system above defcrlbed w111 be constructetl as shown on the'approvetl amendment there [to and 1n accordance with the standards rulgs,an regu a ions of - e Putnam ,.. >. - - County Department of, HeaIM `: ?and that on egri pletlon thereof a Ceitiflcate 1 of Construction'6omp11ance satisfactory t6.3he'Q6mmissioner of Hailthwill be ;wbmlttetl” to the ;Department and'. ,a written guarantee'.w ll be turnaheG,'the o wctessori, heirs or assigns by the builder, that said builder, Will place '1n good ;operating condition any part of said sewage deposal system'du g Ina pe tod oft (2) yearsdmmediately following the;diite of the iffu•. an +of the :approval;: of the Cetlilcate .of Constiuctlon lComphancec of the, lgmahsyste oran re `irs thereto; 2) the he drilled, well tlescribed ;above will-6e 10Cated-as shnwn'On the,.approved' plan and that said well w111 be - install 'n :accord ce w s th standards,, rules'a regu a ions;,- of :the• ;Putnam tmeit of'Health County. Oepar d =-� Date' S1 P E R.A. — Address L-5 be � ` .. � ' L enso No ®/ 1i.'. APPROVED FOR- CONSTRUCTION This approval expves -,two years ,from the date.y�ssued unless construction of 'the building ha ' been undertakon? and is revorAbla for.cause or.may be:amendad brmodlfi'ad.whin cdhslderetl- ne�asfary bj,- hi - Commissioner 'of ; <Health- Any change or inerattOn of tructlon ravuiies new permit. 'Approved for'disDOSaI of domedic sandary sewage a c, wafer sup only, `. B7 Datell(L —_�(/ � BY•'r� Title s PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _.= xz.._�..a..._...,. 1..... _..'.COUNTX.-- OFFICE DESIGN DATA SHEET — SEPARATE SEWAGE.DISPOSAL SYSTEM FILE NO. Owner 6e� v Located at (Street Sec. ,� Block / Lot /1 V 6dicate neares cross street) Municipality Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS l® hole Number G. CLOCK TIME PERCOLATION PERCOLATION Run No. .Start Elapse Time -Stop Min. Depth to Water From Ground Surface Start Stop � Inches Inches Water Lev e in Inches Drop in Inches. Soil Rate Min. /in drop y�ArJn • to:c�pAvn 1 � 1 Q3 /� n"�a��c.- � . � o . 2 At 4 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 submitted for review. 2) Depth measurements to be made from top of hole. LM TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS' ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. HOLE NO. 84,. . i INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED i TNDICATE LEVEL TQ WHICH WATER LEVEL- RISES AFTER BEING ENCOUNTERED TESTS MADE BY Date DESIGN Soil Rate Used Min/1 "Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity Gals. Type Absorption Area Provide By L.F.x24" 6" width trench. Other ame Signature Address SEAL THIS SPACE FOR USE BY HEALTH DEPARTPJ1ENT ONLY: Soil Rate Approved Sq. Ft /Cal. Checked by Date j 1. .. - .._ ...._ PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES =__.COUNTY.• OFFICE %BLT- ILDING .. CARMEL ;..FN•- ,,,.y:._..,_ . -I 512:�,� DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEMS FILE NO. Owneri,� /L; ✓��� Addre "ss�1jL�"p°/"ll�l/%S Located at ( Street �(. SecTNO:5 Block , / Lot t. 'Incticate nearest cross st ree Municipality P) IV h M 00- de �d Watershed -SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Role Number 'CLOCK TIME PERCOLATION PERCOLATION apse .'Depth to Wat Water ve' No. Time From Ground Surface in Inches. Soil Rate Start -Stop Min. Start 1 Stop Drop in Min. /in drop Inches 1 Inches Inches 1 95 /; <o° ' !O �o �¢: ! �� /� . I . •lam 2 ►o:oS ,, �Z..� yak 1. .2a 3 101 v 5�0 ;�� 1 . 4 �11 11111i OF 64�� Notes: 1) Tests to be repeated at same depth until aroximately equal soil rates are obtained at each percolation test hole. A11 pp data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES ..�. DEPTH�Y. HOLE cNO.. , j HOLE NO. HOLE G.L. 6" 1 12 11 � 1811 ketzzd�l �IwL tvia 24" 3011 , 3611 0, � /Lr�4d 4 V 42" 4811 54" \ . . i 60" 66" j�c� PLC: ail 7211 : 7811 8411 . INDICATE LEVEL AT H GROUND WAPER IS ENCO ERED INDICATE LEVEE, TO H W TER EL- RISES AFT BEING ENCOUNTERED / r TESTS MADE ' B _ _ Date T /O �Q / t� `'�oi`l Ra No . tof Abaorp't Name Address 1JL�,J 11i1V - . lsed)�_ DtxVl "Drop: S.D. Usable Area Provided .5"660;5 t� ot�ms_� Septi ank Capacity Ib � Gals. Type �ay/G� . Area Provided By L-. F.x24" width't rent . _0_44�1 V7 ,/0(-/ SEAL Soil Rate Approved Sq. Ft /Gal. Checked by .. `'' -' == rDat,e BY HEALTH DEPARTMENT O ONLY: THIS S SPACE FOR USE B PUTNAM COUN'T'Y DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DO Own r Purchaser of Building Section Block Lot Building Constructed 2b .s" � 0 L P-O tion - Street Municipality C-4. 2- Building Type Subdivision Name Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it 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 - disposal system, or any repairs mace Vii'+ me to -such sys`tcn; �xcepf' whex`the fahure° to�perate-'properly -is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the wi ful or negligent act of the occupant of the buildinp, utilizing the system. Dated this day of 1922 Signature Title General Contractor (Owner) - Si natur Corporation Name (if Corp.) Address rev. 9/85 mk 11� Corporation Name (if Corp.) Adc-Cress II. IV. V. VI. APPENDIX C i FINAL SITE INSPECTION - Date Z3 e_ Inspected by TION� V rx. Ui; . .. TM :.A OR SUBDIVISION LOT a YV-8 NO C M- MENI'S SE4vAGE DISPOSAL AREA a. SDS area located as per approved plans r b. Fill section - Date of placenent 2:1 barrier. LGTH WIDTH AVG.DPTH 5 c. Natural soil not stripped d. Stone, brush, etc., renter than 15' from SDS area. Ri e. 100 ft. fran water course /wetlands. SE-AGE DISPOSAL SYSTEM a. Septic tank size - 1,000 1,250 b. Septic tank _installed level c. 10' minimum fran foundation d. No 90° bends, clear-cut within 10 ft.. of 450 bend e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested 2. Protected below frost 3. Minimum 2 ft. oriainal soil between box and trenches f. JUNCTION BOX -- rcoerl set e - i ' d Q c_ g- TRENCH-S1 1. Leiath required Aq Length insi�all 2. Distance to water arse me sured _ ft. i 3. Installed acccrding to plan J, ,i 4. Distance center to center ( ,/ 5. Slope of trench acceptable 1/16 - 1/32 " /foot. I 6. 10 feet from rcce--'"v line - 20 feet - foundations 7. Deoth of trench < 30 inches fran surface 8. Roan allowed for e.xransion, 50% 9. Size of gravel 3/4 - 1 " diameter 10. Depth of gravell in trench 12" minimum 11.. ]Pi -endsl- cat-ped h. PUMP OR DOSE SYST&mS 1. Size of puTp chamber 2. Overflow tank 3. Alarm, visual /audio -� 4. Pump easily accessible manhole to grade 5. First box baffled !' - 6. Cycle witnessed by Health Department --� estimated flow per cycle HOUSE ' a. House located per approved plans. b. Number of bedrooms WELL a. Well located as per approved plans , ' al b. Distance fran SDS area measured ft. �L c. Casing 18" above grade. d. Surface drairace around well acceptable. OVERALL WORKMASHIP a. Boxes properly grouted , b. All pipes.partially backfilled c. All pipes flush with inside of box d. Backf ill material contains stones < 4" in diameter e. Curtain drain installed according to plan f. Curtain drain outfall protected & dir.to exist.watercours •---- , g. Footing drains discharge away from SDS area h. Surface water protection adequate i. Errosion controi provided on slopes greater than 15 %. 1 DAVID D. BRUEN County Executive ............ DEPARTMENT OF HEALTH Division Of Environmental Health Services September 11, 1986 Mr. Frank Trapani, Jr., P.E. Sloehidd Road Briarcliff,Manor, New York 10510 Dear Mr. Trapani: * - JOHN SIMMONS, M.D. Deputy Commissioner Re: Duffy SDS CP # PV 45-85 Pudding Street (T) Putnam Valley Tax Map 5-1-11.4 Gibbons Lot 1 Departmental field inspection of fill ' ,pla.ced on the above referenced lot prior to.September.-19, 1986 indicates non-conformance-'With the approved.-plan in that the fill (Aj?p'rGxi'm;ately (100' to 105 4.0' appears ins uff icid nt"* to" "install' the- "sewage disposal system 'on' file "" with this Department.. . It also appears -the:attached.memorandum was inadvertently notincluded with the fill placement permit. If there are any questions, I can be reached at Ext. 242. JSH:pt cc: JH / Fi le JK M. Duffy/w/oencl. Very tru yours, ames S. 'HoZ"ns Asst. Public Health Engineer TIA/n rni WTV (FNTFP - CARMF1 - N.V. 101;1? (q14) 995-3641 To: Frank Trapani From:. Jay Hodgens �-- Subject: 1��, =�y SS DS &NStR. '-peR t M. Upon fill settlement and percolation of fill, the three prints detailing the SSDS should contain the following information in addition to that already shown: 1. Design data e.g. Perc Data, etc. 2. Well detail 12" A.F.G. min. 3. Specify trench slope 1/32 - 1/16" per foot. 4. Locate wells /SSDS within 200' of the property line. 5. Detail 20' minimum foundation to trench, 10' minimum septic tank to foundation. 6. Well 151:.to property line. Note also notes on plans. Any future submission must conform with Department requirements or they will be returned for revision. PUTNAM COUNTY DEPARIM1ENT OF HEAUTH - DIV151UN Ur• .hjNV114QUNKUY AU HNE�'1'ri '.)=V1l..C.7 INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET - CONSTRUCTION PERMIT. DATE REVIEWED: D -Z BY: DOC[]D3ENTS Permit Application _ Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results (3) 30" Perc Hole Other House. Plans - Two sets If PWS - Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Prof' _-Gravity Flow Fill Profile & Dimensions- Volume D or J Box Detail Septic Tank - Size, Detail Well Detail, Service Line if P.4S Trench /Ga1l.ery PWP Pit Two -Foot Contours Existing & Proposed Slopes for Driveway Cuts Footing/Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage & Expansion Area Expansion Area; shown; gravity flow If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms -Wells - &�SSDS!- s•.w /in, .200 - ft...of. Property.:Located :;'; Property Metes & Bounds House Setback Necessary 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,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' fram 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) IP Data On DDS Plans & Permit Same �A^ 4 )k ::: 1� 10 2K PUTNAM COUNTY DEPART or' hl! AU.Uki — U1. V 151U1V ur r ,4 V A muixt nrA*i "W a L Lr Lu., INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS FIELD INSPECTION REPORT DATE: CTI INSP. BY: y — INITIAL SITE INSPECTION ( YES NO CAS Property lines or corners found ...... V............ Can estimate house location.—­....... Will driveway need cut. ° ............. .,..,..... Must trees be removed - note these. ..... o......... Deep hole representative of entire SDS area....,.-,- Additional deep holes needed. ... > ................. pf Sufficient SDS area available considering driveway cut, house location, separation distances,etc... ✓ Adjacent wells /septics ............." ............. „- Access to nronosed well location for drilling..... / D. H. 1 Lot Depth to G. W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. 12 ft D.H. 2 Lot Depth to G.W. Depth to rock Soil Description 0 ft. 3 ft. 4 6 ft. 9 ft. 12 ft. P-06 D.H. - Deep Hole G.W.- Groundwater D. H, 3 Lot L� Depth to G.W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. 5011 4 t�� __ ._ ... ......... DATE: FINAL SITE INSPECTION INSP.BY: YES NO COMMENTS House SSDS located per approved plan.... ....... .> Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Roan allowed for expansion trenches .............. _ Over 100 ft. from swamp, watercourse ............. Natural soil not stripped or SDS area unnecessarly graded— ....... _ _ ....<........ 10 ft. maintained from property line and 20 ft. fran house— ...................>....... Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench ................ 15 fto of peripheral soil horizontally fromtrench ..... ..................o............ Boxes properly set ............................... could surface runoff from driveway, roads, ground surface, etc., channel near SDS area.... )oes lot drainage appear OK in area of SDS.,..... FINAL GRADNG OF SITE ACCEPTABLE..,. ... ,.... rev /9/85 mk a • PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _ .. ..•. ,.. ;�........ _ _. r ., ..... _ ...__ .. , -- � Date .�� � Ti..� ���� �f �,�, ...•......•..,r....,, ,. _ Re: Property o Located at (T) &, 1' / ; M Section h 05 Block U I Lot �' // • l Subdivision of ��'�L�1A9�• C-i ��t'R. %3 Subdv. Lot # l Filed Map Gentlemen: This letter is to authorize -1—i2 0 f1 L 112(5- J2f9AI / a duly licensed professional engineer or registered architect (Indicate to apply fora 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 . sy, s.tems� in conformity _wsth_­ the;_.provisions of Article 145 or •. . 147, Education Law, tary Code. �.`.W 6- y Counte ne tlublic Health Law, and the Putnam County Sani- ery truly yours, A,,�:� w ' 0& /V i ll 7 5_I I Z J Telephone Signed Owner of Property Uf, Address Town 4z s-- -g 142-3 Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL NUER SUPPLY SUBSURFACE SE-VaGE DISPOSAL SYSTEMS . r (NanW of INITIAL SITE ION F u-INSPECTION REFdRT -.:. -^ !LL W Pc4 Yj a DATE ,. INSP. BY: , )'1\A'0 =a�V ( Street Locat on) YES I NO I CHI'S Wetlands on/or proximate to property .............. Property lines or corners found ................... Can estimate house location ....................... Willdriveway need cut ............................ Must trees be removed - note these ................ Deep holes representative of entire SDS area...... Additional deep holes needed ...................... 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 De 0 ft. 3 ft. 6 ft. 9 ft. 12 -..fto FINAL SITE IN House SSDS to Length of tre Width of tren, Slope of tile Roan allowed Over 100 ft. Natural soil i unnecessarl, 10 ft. mainta: 20 ft. from Distance well Number of beds Stones, brush, than 15 ft. 15 ft. of peri from trench, Boxes proper13 :ould surface ground surfz ?oes lot drair INAL GRADNG C D.H. 2 Lot Depth to G. W. Depth to rock D.H. - Deep Hole G.W.- Groundwater D.H. 3 Lot Depth to G. W. Depth to rock I� I c �c DAVID D. BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services September-11, 1986 Mr. Frank Trapani, Jr., P.E. Sloehidd Road Briarcliff;Manor, New York 10510 JOHN SIMMONS. M.O. Deputy Commissioner Re: Duffy SDS CP # PV 45 -85 Pudding Street (T) Putnam Valley Tax Map 5 -1 -11.4 Gibbons Lot 1 Dear Mr. Trapani: Departmental field inspection of fill-.placed on the above referenced lot .prior -.to..September..19, 1986 indicates non- . conformance with the approved-plan.in.that the fill (approximately (100 ° to 105 ° ) x . (33 ° .td 1, :40 ° ) appears -- -- - :: nsuffic ent to, install the sewage -d spos-al:: system .ors;: file: _ - ...,... . with this Department. It also appears the attached memorandum was inadvertently not included with the fill placement permit. If there are any questions, I can be reached. at Ext. 242. Very tru yours, ames S. Ho ns JSH:pt Asst. Public Health Engineer cc: JH File JK M. Duffy0w,pencl. TWO. COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 Date: October 28, 1985 To: Frank Trapani From: Jay Hodgens -- Subject: �, Upon fill settlement and percolation of fill,.the three prints detailing the SSDS should contain the following information in addition to that already'shownc 1. Design data e.g. Perc Data, etc. 2. Well detail 12" A.F.G. min. 3. Specify trench slope 1/32 1/16 per foot. 4. Locate wells /SSDS within 200' of the property line. 5. Detail 20' minimum foundation to trench, 10' minimum septic tank to foundation.: 6. Well .15' •^to property line. Note also notes on plans. Any future•,submssion_must_conform with.Department requirements or they.will be returned for revision...' Id" / -- .,PETER C. ALEXANDEfiSG7W- • -'= County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services February 26, 1987 Mr. Frank Trapani, Jr. Sloehidd Road Briarcliff Manor, New York 10510 RE: Proposed SSDS Duffy Pudding Street Tax Map X65 -1 -11.2 (T) Putnam Valley Dear Mr. Trapani: f---- 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: submit a construction permit application . for a percolation rate.of 0 -7 min /in at least 300 linear feet of trench should be provided show .well detail include construction notes septic tank should be at least 10 feet from foundation wall show limit of clay barrier and top of fill section drawing seems to be only partially to scale; profile does not seem to match plan view to scale. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Ver truly yours, An e Bittner AB:pt Asst. Public Health Engineer cc:AB File 110 OLD ROUTE SIX CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 PETER _C. ALEXANDERS if ,;,, County Executive )e_� - - -• JOHN. SIMMONS,; M.D.,_ Deputy Commissioner DEPARTMENT OF HEALTH Division Of Environmental Health Services March 9, 1987 Mr. Frank Trapani Shoe Hidden Road Briarcliff, new York 10510 Re: Proposed SSDS Mr. & Mrs. M. Duffy Pudding Street Kent 'TM 5 -1 -11.4 Dear Mr. Trapani: 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: 1. 2. 3. WH/jP The original soil had a percolation rate.of.16 to 20 mins. Therefore 429 linear feet of 2 ft. trenches are required. The fill section does not appear to be large enough to acccnodate 429 linear feet. Please show the dimensions of the fill section, and calculate the amount of additional fill necessary. Please submit a new construction permit application. Very truly yours, William Hedges Public Health Sanitarian 110 OLD ROUTE SIX CENTER - CARMEL, N.Y. 10512 (914) 225-3641 DIVISION. OF ENVIRONMENTAL HEALTH- SERVICES RECORD OF TELEPHONE CONVERSATION PROGRAM: 's 5 FILE: DATE: TOWN OF: tee- '. 4 CALLER'S NAME/: / Y v rr ADDRESS: lei /• 'eY �`� " TELEPHONE:— -------------------------------------------------- - - - - -- - __- - - - - -- MAIN CONVERSATION POINTS: i "-Ave el -e (f o o 0 e-,' S / -r) C 000~ moo' s 0 / >I-. 0 SUMMARY OF TELECON: A J,0100 SIGNED: APPENDIX B �1 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WkM SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET - CONSTRUCTION PERM-IT DATE By cation) DOCUMENT'S (Nam Owner) •4E I - ►. OW-AM s� LF trench provided uired 60 ft. max. Parellel , to contours r is W �s MM MM mm RON Permit Application Corporate Resolution Plans - Three sets s/s Engineers Authorization Design Data Sheet (DDS) SUBDIVISION -Deep Hole Log Perc Consistent Perc Results (3) Fill Perc'Hole Depth cd House Plans - Two sets Well permit; PWS letter Variance Request GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town/DEC Permit R & D) Data.On DDS Plans & Permit Same REQUIRED DEPAILS ON PLANS "yaLlic (north arrow) age Ayttemn ) 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: perc and deep.results . Two-Foot Contours Existing.& Proposed Driveway & Slopes Cut Footing /Gutter,Curtain Drains (discharge OK) Perc & Deep Holes Located Representative of primary and expansion Expansion Area;shown;gravity flow,suff. size If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft, of Proposed System Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1/4 " /ft. 4 "0; Type pipe . No Bends; Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees,Top of fi' 20' to Foundation.Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, make (inc. expa 15' to Drains-Curtain, Leader, Footing 35'to catch basin,stormdrain,piped watercour. 10'. to Water Line (pits -201) 50' intermittent drainage course Septic Tanks 10' fran Foundation; 50' to well 15' Well to PL 9 1 KA PUTN AM COUNTY DEPARTMENT #OF F z Dfv'isron rof:.Enwronmental; HowO iServ�ces 1Carme% r. 4 CONS RUCTION PERMIT FOR 'SEWAGE .01SPOS'AL SYSTtEM ` } r r µ •to bill De:Ipcatea ;as'snowmon,inetapproVea_ plan Afla. nat .Sa la .WCll wnr:ae?msaq� County Oapart rrient of Health t t signed: } rh Address G APPROVED FORICONST is,'approvablexpires one yearom th date �ssueC evocable for cause /or maybe•amended or:,modified' when' idered necessary, tiythe -Co reoutref ai ne ,peimit A proved; for disDOSaI of dome is d ry'S sewaye;Kan ;pON Date �a Y Rev 9 81. r C e t t n. -r d r R h t 5- 7 z _ u LTH ' �- Pezmit s: ✓` 105f12 -� Town e e'71T' Block: O1 i Approval r � t � 4 4, acation.Requxred" ke ttU9 7 system(s) j Y)' that the separate- sewage disposal lsiystern 341fhAfieAtandards rules an regu a_ onso e' u nam'• mpliance sat sfactory tQthe Commis loner Of ;Healthwill; sort:= ,heirs'or ^assigns -tiy fheaiuilder,.that said'bu_ilder will.-'. I two ( ears , immediately, toilow,ing,,thedate . of the ssu- 6, ►e" irs thereto ^2)Sthat theca illed'.well,described above th ' sta arG , ruler regu ons of a .tpe" PUtnam' ` ' and ' a ray f� 1V ®' r Se, No hstiuction�rof,,the buildmg has been;,undertaken and ii r ter ftHealth' Any'sclang - alteratkn of,conitructi,n.` z Title t 4 �' /,•-� w "s`.^•. ♦ is .g. r, y. �lly E 5 ,l'o'cated /at R1;lr�)liC -r�J� ytaa�i 1�31� 11[A ttlLL:� :- ° JI►� /C.o rf'�, sues �ioc f s , Subdnrision:�l�l� .. ' ".•/' 'f.M n } �. _ .,fi i, V. {r.+ Owner /Address CdrKy2: ' Butldm9 TYPe f ' Lot Arei r a ��:a Q _k s $S D Q4,-M mber`:of Sedragm$ Design F -low •a,f Separate, !sewerage: System'• to icon ;ist of (� ��° - Gal Septic Tank t. %T.o be 'co "nstructedtby ` ` Water supply P-ubhc SuDD1Y From L c' rt Priv y ate .Supply to Ybe drilled b � � M"� fiz -_ c Address_ x a Other, %IRequ,cements / T° r µ •to bill De:Ipcatea ;as'snowmon,inetapproVea_ plan Afla. nat .Sa la .WCll wnr:ae?msaq� County Oapart rrient of Health t t signed: } rh Address G APPROVED FORICONST is,'approvablexpires one yearom th date �ssueC evocable for cause /or maybe•amended or:,modified' when' idered necessary, tiythe -Co reoutref ai ne ,peimit A proved; for disDOSaI of dome is d ry'S sewaye;Kan ;pON Date �a Y Rev 9 81. r C e t t n. -r d r R h t 5- 7 z _ u LTH ' �- Pezmit s: ✓` 105f12 -� Town e e'71T' Block: O1 i Approval r � t � 4 4, acation.Requxred" ke ttU9 7 system(s) j Y)' that the separate- sewage disposal lsiystern 341fhAfieAtandards rules an regu a_ onso e' u nam'• mpliance sat sfactory tQthe Commis loner Of ;Healthwill; sort:= ,heirs'or ^assigns -tiy fheaiuilder,.that said'bu_ilder will.-'. I two ( ears , immediately, toilow,ing,,thedate . of the ssu- 6, ►e" irs thereto ^2)Sthat theca illed'.well,described above th ' sta arG , ruler regu ons of a .tpe" PUtnam' ` ' and ' a ray f� 1V ®' r Se, No hstiuction�rof,,the buildmg has been;,undertaken and ii r ter ftHealth' Any'sclang - alteratkn of,conitructi,n.` z Title t 4 �' /,•-� w "s`.^•. ♦ is .g. r, y. I 1 , � �, 2 'y.. ? c t ` t `I _. 7 �y t is i< "ta i ✓Z4 t� w t k�3 �j q-1.1, Lp li Jr IJ l� � 1 eW '•i:` Y�I ..i Y/: � ,T �O !`\ cT r � 1 ,1 p� ro f IGt rt 1