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Home My WebLink About2190DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30.18 -1 -51 BOX 19 02190 F", Flo J 41 loll I l ' , f ' or mal 1 ti 02190 I �✓ r�Y /'un ea CONSTRUCTION PERMIT FOR Located Lake Shore LUve SYSTEM 0eM=16.a.araoua;a'R.I.leaii,. •....:.. s...... .....�,_.•___........,,.f's,•.• (•,:F'-�.ir ,. ...._5,.. on CERTIFICATE OF COMPLIAN Permit # Putnam Valley TowzF or Village SubdivlslonName- _Roaring Brook Lakad,Let # 357 Tax Map 8 Blo& 3 got 'i n enew Revision Q Owner /:applicant -Name' Mr' ry Mr R'i'Ch`.3 CLaetr!3xlP Date of Previous Approval MalungAddreea Lake Shore Drive, Box 362 Town Putnam Valley 71p 10579 Building Typeone Family Res. Let A. 25, 2000 SF Number of Bedrooms 2 Design Flow G /P /D 400 Separate Sewerage System to consist of 10 0 0 Ga. Septic Tank and 6 4 i _ f To be constructed by R. F i o r e n t i no Address FM Section Only Depth 'Volume PCHD Notification Is Required When Fill Is completed A— _ - - I - Lake Shore RD. Wes L 1 _0 11 Eer Water Supply: Pdblic Supply From Address Valley NY or= X Private Supply Drilled by N. Anderson Adis ! Barger Street Putnam Valley NY Other Requirements 7 f-+--- Rank Pill., PUMP SYSTEM I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with"the standards, rules an regulations o e Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner; successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal system during the od of two (2) years immediately following the date of the Issu- ance of the approval of the Certificate of Construction Compliance he original s to or any repairs thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be I tai in actor anc ith the standardjd rules aqd regu a ions the Putnam County Department of Health. Date 29/87. Signed P.E._ R.A. X Address M1391200t -�['�' � Lii a No II�� APPROV €D FOR CONSTRUCTION: .This approval expireSUiie�' year rem he date slued unless construction of the wilding has been undertaken and is revocable for cause or may be amended or'modified when considered n ry by he Commissioner of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestic sanitary sew ivate water supply only. Date n By i Title Rev. 3186 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N.Y. 10512 Engineer Mast Provide 10579 10579 30 Z!V-1 P.C.H.D. Permlt b - ---� 0 Vo CERTIFICATE OF CONSTRUCTIOWCOMPLIANCE FOR SEWAGE DISPOSAL SYSTEM PTTTNAM VAT T Fy L ~ — of Village Located � LAKE SHORE RD. Tau Map Town 3�� Owner/ RICHARD PETRONE y Subdivision Name— BROOK Subdv. Lot q 31; 7 applicant Name Formed Mailing Address BOX 362 LAKE SHORE RD. zip_ 10579 Date Permit Issued 5/ 1 --4/87 Separate Sewerage System built by R , F IORENTINO Address LAKE . SHORE RD o WEST PUTNAM Consisting of 1000 Gallon Septic Tank and 64 T,, F, pRF AST ONC'VAR TyyFR 9 12.FEET O.C. Water Supply: Public Supply From Address or: X Private Supply Drilled by N. ANDERSON Address 1JAIMGER ST. , PUTNAM Building Type 1 FAMILY RESTDENCR Hue Erosion Control Been Completed? N.Y. Number of Bedrooms 2 Has Garbage Grinder Been Installed? Other Requirements 2 FT,, RANK FTT.T, PUMP SYSTEM I certify that the system(s) as listed serving the above premises were nstructed ssentially as s o lans of the completed work ( copies of which are attached), and in accordance with the standards, rules and ulations, in acc dance an, and the permit issued by the Putnam County Department Of Health. Date 7/24/89 certified by P.E. R.A. X Address 2 MUSCOOT NORTH D$ MA OPAC NY License No. 11056 10541 Any person occupying premises served by the above system(s) shall promptly take such t(on s may be necessary to "cure o correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage stem she bec a null and void as soon as pubc': unitary sewer becomes available and the approval of the private water supply shall become null an void w n a public water supply becomes a ailoble. Such approvals are subject to modification or change when, in the Judgment of the Commis on Health, such revocation, Ifleatlon or change Is necessary. Date It By Title e m ALLEN BEALS, M.D., J.D. Commissioner of Health Director of Environmental Health October 7, 2014 DEPARTMENT 'OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 MARYELLEN ODELL County Executive Richard Taney 962 East Main Street Shrub Oak, NY 10588 Re: Addition —A-113-14 No Increase in Number of Bedrooms 344 Lake Shore Road (T) Putnam Valley, T.M.30.18 -1 -51 Dear Mr. Taney: This Department has received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from this Department dated October 7, 2014. The addition is approved with the following conditions: 1. 3. 4. 5. The total number of bedrooms must remain at two without prior approval by this Department. The:area of the existing sewage disposal system-and-its expansion area must be maintained. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc ... The approval is for the modifications only and does not validate any construction shown as existing that has not obtained proper approvals from other agencies having jurisdiction. This approval is valid for two (2) years and expires on October 7, 2016. Any permits or variances required under.the jurisdiction of the Town of Putnam Valley are the responsibility of the applicant. If you have any questions, please contact me at (845) 808 -1390 ext. 43261. Respectfully, v�J t Gene D. Reed o. Principal Engineering Aide GDR:cml cc: BI (T) Putnam Valley I e ::I n ALLEN BEALS, M.D., J. D. • �'. �...� . � '- C'orninissioner oJlfeulth" - .._ �...; ROBERT MORRIS, P.E. Director q/•Environmental Health MARYELLEN ODELL .. '- Couiiiv F:Yrrui'ive' _"..: "_ _.. :. •.. DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 ADDITION APPI..ICATiON - RESiDF.NTiAI. ONI.,Y Owner's Name: C114e Owner's Phone Site Address: 34 T L4k 5hoce fps• Town: N Tax Map #30.18-1-51 Owner's Mailing Address: 16z .,Gelt- Mae -0,1a 5h(rJV 04K Nit 10588 Owner's Description of Proposed Addition: Wm fwl LO t°'w1h i+4p otb®i,c. N yAj coo -f., New Jet~ K, *Number of existing bedrooms: Total number of bedrooms (existing + proposed): * (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) * *Anv addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam Countv Sanitary Code. _ Please submit this tone and the followin to Putnam County Department of Health, 1. Geneva Rd. �\ ^ g � Brewster, NY 10509, Phone: (845) 808 -1390. 1. Certified check or money order for S 100.00. 2. Two sets of sketches of existing floor plan (drawn to scale, all living area including basement, to be shown and dimensioned and 'use of each room specified). (Sec Section 3.c o1'Bulletin HA -1) 3. Two sets of proposed floor plans (drawn to scale — with name. street and tax map #) * Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin HA- I ) 4. Copy of survey showing all well and septic locations on the subject property to the hest of your knowledge. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building Dgartment with legal bedroom. count of dwelling. OFFICE USE COMMENTS Rev. luiv 2013 t n- f ALLEN BEALS, M.D., J.D. Commissioner of Health _ROBERT MORRIS, Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax #(845 ) 278 -7921 Town Legal Bedroom Count & Proposed Addition Status Re: Tci N e— (Owner's Name) Tax Map # 30, 1 ----7 J 1 Address: ` ho P:f- Rda0. Town: Fy�� Vol Year Built: According t records maintained by the Town, the above noted dwelling, is in compliance with Town Code. Is not in compliance with Town Code. The Legal Bedroom Count is-. This information has been obtained from: Certificate of Occupancy: Other: l aq, de add S The plans for the proposed addition are considered: , Addition to existing house only Teardown and/or re -build allowed under Town Regulations Building Inspector Date 5. MARYELLEN ODELL County Executive Valley 1` IAltel Piccirillo Architecture TRANSMITTAL To: Putnam County Department of Health Date: 10 -1 -14 ATTN: Gene Reed Re: Taney Residence Project no. 344 Lake Shore Road Putnam Valley, NY Enclosed Transmitted Sent ❑ Sketch X For approval ❑ Specifications ❑ For bidding ❑ Shop drawings ❑ For corrections ❑ Samples ❑ For review and comments ❑ Product literature ❑ For pricing ❑ Change order ❑ For your records ❑ Copy of Survey ❑ Copy of letter X As requested ■�I ❑ By fax ❑ By messenger ❑ By hand ❑ By Federal Express ❑ By UPS ❑ By USPS X Copies Date No. Description/Remarks 1 10/1/14 1 1 Foundation floor plan approval (bedroom count) Copy to: Client, File If you have any questions please do not hesitate to call. 914- 368 -9838 Signed Michael A. Piccirillo, AIA 962 East Main Street (914) 368 -9838 (telephone) Shrub Oak New York 10588 Email: Michael @mpiceirilloarchitect.com a� 4 FT -_1 t O C 4 T 1 O N 5 �A�e ErTl<. TAv4r., , I°01 35'- izf' 15' -u'- P COAM 6ER Lot 4 I' -oor 2A'- CCP IERFI.OkN TW-JV, I %,- 5 -ccr 2T -Oo i5T R io l losj 6OX I .4 78-W 82'- CS' !.1NikK GALL .i 1 5 72' -08" 7S -06' •.,D GALS. I I G 71' -CO* SW -0S- !6j-. -klQ6 GALLP- I '7 fOE' - :W �,V -011" v0 4ALL-2 ( 8 6,:. -05' Aj=o{•" �G1N1Nto. CAI.L.g ( 4 S�l'-o01' f]5-� i�+D GALL. 3 50(- I Cr hts -a3 5lIc \? - 41V f Y.C-- .f=IZA � to � fit- �tELt_� 3�1� I ot04aL .4- �111 is 0 1 LT 5f FT L A)01,60T I 7.00 F: fMy w9MW� a 3A4 Lm 5HGM vom PLW" V&LIEY' NY CD A,�: 16'' - P-01 MY/ uriuly 5w 5C '"M16 *v V" fo ----------- MIND NC MBC WOM nw fo,mcoxf 51 awa CO Wb,'&,W AS NX41W OY(I?A%Wt,W r I LID 41 Moukap TO r LL) ---------- W&L fo mmm OR (:n 01 (30 LO co wfai re LO LO 41 F MflWA OAIHMM ao�u-r FV9 % fo ix law 51" wm A ww OPENM v 4 AAL L M I Hbm LM 11%km XW OCA ww 451-ep I YCM Mix %osrAf VN "ER fo5mcsttr 014 GRAVEL 6A59 ww Ru-r N Ile- 1> m am Mal Rev. 3186 CONSTRUCTION. PERMIT FOR La {e SI-xote 7 PUTNAM COUNTY , DEPARTMENTOF13i Division of Environmental Health Services. Carmel, N.Y. 10512 on CE) Permit DISPOSAL SYSTEM Located 0.1 or 30 Subdivision Name Rb?Arincu -"Brook La� ,ffid. Loot # 35 7 Tax Map 0iuclr Lot Renewal— O—Revision-0 Owner/Applicsit Name Mr.& Mra. Rxchn-Ed kgatmne Date 411),revious Approval Mailing Address Lake Shore Drivei, Box 362 Town. PUtliaM Vallee zip 10'379 Building Typeone Family Iles. Lt A,,.., 25, 2000 9F Only LJ Depth —Volume fficadon Is Required When FIR Is completed -; Separate Sewerage System to consist of GaOon Septic Tank en�1 � � �• ^' � ' ` 10_0 To be rnnatrncted by Address y NY 1•0 ' Water Supply: Pdbllc x .......... Supply '1q. Anderson Barc Street, Putnam Valley N I ors —Private Supply Drilled by Add,," Other Requirements 2 f - t - Bank F i I I A M M represent that I am Wholly and Completely responsible for the design and location Of the proposed system($); 1) that the Separate sewage INPR-Sa-1 F Gy.,.m !M above described will be constructed as Shown on the approved amendment there to and in accordance with the Standards, rules and regulations I County Department of H ' ealth, and that on completion thereof a "Certificate 'of Construction Compliance" satisfactory to the Commissioner of 14ealth will be submitted to the Department, and a written guarantee will be furnished the owner,h'i'sl successors, heirs or assigns by the builder, that said builder will Place in good operating condition any part of said sewage disposal system during the period of two (2) years Immediately following the date of the Issu• . ante of the approval of the Certificate of Construction Compliance of the original systerf �. or any repairs thereto; 2) that the drilled well described above ro— of the Putnam will be located as shown on the approved plan and that said well will be installed in aCCOf4anCt Aqith the Standards',' rules and requ= ns \'r County Department of Health. 4 x Date P.E.— R.A. 2/9/87 Signed A—' V . / - -f Lar6- No. Address Ras coot lyTor kfi --7,41y� 488 "a e-�.,ftomjhe dateAssued unless construction of the wilding has been undertaken and is APPROVED FOR CONSTRUCTION: This approval expire��Ai n ; the n, revocable for cause or may be amended or modified when considered ne.resiAry by,lthe Commissioner of Health. Any hsnge or alteration of construction requires a now permit. Approved for disposal of domestic sanitary sewage;-andtoo-private Water supply Only. By Title :L ZZ Ej 44 0 0 47 41Y ed IV4 &0 Aq 134 a4 94 -0 jz ml 0 43 0 1:5 R. (1) 004 J�- l 4 - .0 - , j�), 0 Tj CIO 0 0 0 0 Q) to ed < z. 44 JCZ . .0 'D >4 0, (3 04 V U xc 64 0, 4 zf CO 0 0 19 '1� ;q cu rl" 14 0 CO zi Q) 0 4 W. &1 CO x :D U C) Cl C', C) Q, 0 CO. V 1:4 41 Vj C) 0 --q . 1 tat E-i < U) 0 E-4 Iq C11 �4 0 (n 0 �-q X 44 H W 0 C/I C14 a 3 64 10 E-, C4 04 0 0 Ac 0 4 E, C4 04 E-i 0 W - U 1-4 4 0 00 14 (zi E-4 0 November 18 19 87 TOWN OF PUTNAM.VALLEY 87 - 1859 RBL E , IT RECORD i District; ----- Bldgl. Permit Work to start at' } p ication �'is hereby made for One Famil /No Deck _ a :ription i,r - —`. 87 -1859 _— - PMgT # 11/18/87 - )tion. of Premises - Strut or Tg #8 -3-30 Deck `� - - --- RICHARD one Fam:i.ly/ No h� pBTRONE, _ _ J , hone RBL Lakes kk �'tY�c+q' )''�^syrS:L r-kv.v+ri* rrf .rh kfsv,ts six • h - _..- ��F�ff, !`...� ...�.. ...� ...'.�'....e3�� _.;RS.�+�,.n'c.�t �a;7 �'-;?,C�c`�tl�..�<G?��:: ..�,..?A -,sa -- ,.a;_�'.�k;�:�%V�l.11f�.: ..`�`^�✓. k� _ )w... TOTAL $� Rev. 1/85 BZS I -� ' I i - -� - u nam Valley when requested by inspector _ . -.ter _u- rc –rvwrr : Estimated - :ee $ -- 533.00 - .Building cost $ Total Livable Area 7/9/87 . 15:00 Sanitary - royal " Date Zoning Board APP. $ 16.00 plumbing Total - 5579.00 $ 15.00.. Sanitary Permit $ /J Plumbing Permit .00 $ .ZBA Approval Af 60 . IT Well Permit ArchiteEturaliApproval TOTAL $� Rev. 1/85 BZS I -� ' I i 5' ---------- ........ . . ................. ...... ..... ..... 4 kt!7 -M?l 4 Fl, GALL-E RIE 5 2 Shoe, 'FrIZA"E P . WELL-1 �K� h-116249 b-oo4qlm".- I 0004�AL r -7. f3 � -* 5ef'- T;6041 PLC P C-TiAM e)F--R 602 4 I' -o0 EA'-GJ' .)-,/ERFLO5Y4 T44V, i t- 5•-OC" 2'7 -06 r7itrrRif5uT*,O T60xl -4 7 d -111V' 05 ,I j-, W� C-,AL L. _j 5 5EC 72'-08" 7t; 08' Fat-lv GALL.. 1�* I G 7 W-05" 5e4,jWlW6 GLiLI.Z I -7 f. :,v- oA" vb 6 AL L 5e61NiN6, 9 52'-00 155*-Od" E Nic? G AI.L. 501 -ia t> LAYOUT Yorktown Medical Laboratory, Inc. 321 Kear Street Yorktown Heights, N. Y. 10598 ( -9 i 4) Director: Albert H. Padovani M. T. (ASCP) r � 617171* e- fe,11?60 e,, /aa �/74In 11�ley , A y .c2. 025480 LAB # Date Taken: ` 7'Jp Time: Date Rc'd: 6-7 - Time: 34' ° Date Reported:` J Q,9'•g Collected By p , Referred By: Sample Location: &77 %A a� Phone # Phone # I Sample Type: Repeat Test? (check each) LABORATORY REPORT ON THE QUALITY OF WATER INORGANIC NON- METALS mg /L MICROBIOLOGICAL CFU /100mL Acidity Alkalinity _ Chloride Detergents, MBAS Hardness, Total Nitrogen, Ammonia .� Nitrogen, Nitrate Phosphate, Total Sulfate Sulfide Sulfite GENERAL BACTERIA _ Standard Plate Count (CFU /1.OmL) MEMBRANE FILTRATION TECHNIQUE Total Coliform 1_< Fecal Coliform Fecal Streptococcus METALS (mg /L) Copper Iron _.Lead _ _-Ma- n.ganes•e _ Mercury Sodium Zinc MISCELLANEOUS PH (units) _ Color (units) _ Odor (TON) Turbidity (NTU) MOST PROBABLE NUMBER TECHNIQUE Total Coliform Index Fecal- Colifo-rm- Inde -x_.. KEY FOR TERMINOLOGY CFU = Colony Forming Units CON = Confluent (q.v. TNTC) LT = < = Less Than GT = > = Greater Than N/A = Not Applicable S/A = See Attached TNTC= Too Numerous To Count REMARKS /COMMENTS (For Lab Use) _v Potable Non- potable STP INF Y_ STP EFF Other: Sample Status: (check each) Outgoing HNO3 _ HC1 _ H2SO4 _ NaOH _ ZnOAc _ Na2S203 Other: \.incoming V LE I+ °C _ GT I+ °C _ pH LE 2 PH GE 9 _ pH GE 12 Other: ELAP ' No . 10323 THESE RESULTS INDICATE THAT THE WATER SAMPLE (Was) (Wasn't) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO TH NE YORK STATE PUBLIC DRINKING WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF SAMPLE COLLELTION. THESE RESULTS INDICATE THAT THE WATER SAMPLE (Did) (Didn't) /A), ET THE SATISFACTORY CHEMICAL QUALITY STANDARDS OF THE NEW YORK PUBLIC (:RRIN NG WATER CODES, FOR THfi— MRAMETNS TESTED, AT THE TIME OF SAMPLE COLLECTI . /X/ \, — A / W,\\Q -- Albert H. Padovani, M.T. (ASCP , Director 2 /86(Rvsd7 /87)RWE PUMAM COUNTY DEPARTMENT OF HEALTH DIVISION OF. ENVIRONMENTAL HEALTH SERVICES _.a .. tar .a .. or. �. .¢ as . . ✓.. ._ .. - .. -..n m. •n.a ...a - na..— ..��.. ._a ..a �t•> r...a_ • � tom.. .. a Rid-hard Petrone R �O Owner or Purchaser of Building Section Block Lot Richard Petrone Building Constructed by Lake Shore Road Location - Street Town of Putnam Valley Municipality One Family House Building Type Roaring Brok Subdivision Name 357 Subdivision Lot # GUARANP.rEE 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 made- by -me ,to such system, ekcept; where. the,failure to operate _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 willful or negligent act of the occupant f the building utilizing the system. Dated this 31 day of July 1989 x General Co actor (Owner) - Signature Corporation Name (if Corp.) Lake Shore Road Address Putnam Valley, NY 10579 rev. 9/85 528 -4712 mk Signature Title Contractor Corporation Name (if Corp.) • Putnam Valley, NY 10579 526 -2595 JOEL LAWRENCE GREENSERO Architect D Town Planner Two Muscoot North D RFD #2 MAHOPAC, NEW YORK 10541 (924) 628.6613 o FAX (914) 623 -2607 Town Planner D Putnam Valley, NY -(924),526 374 119 OLDROUTE 6- CENTER. CARMEL, N.Y. 10512 > WE ARE SENDING YOU M Attached ❑ Under separate cover i > ❑ Shop drawings E Prints ❑ Plans ❑ Copy of letter ❑ Change order ❑ LfEU EQ @)F UIRRAS0M DU ML DATE 7/25/89 JOB NO. 9 -83 -214 _ .. .. RE: SSDS FOR: RICHARD PETRONE LAKE SHORE RD. PUTNAM VALLEY, NY' 10579 AS BUILT SSDS DRAWINGS following items: ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION 4 7/25/b9 — AS BUILT SSDS DRAWINGS THESE ARE TRANSMITTED-: as - checked. below:- - - . -_... .. ... _ _.....:.... „ ....._. Ri For approval • For your use • As requested ❑ For review and comment ❑ FOR BIDS DUE ❑ Approved as submitted ❑ Approved as noted ❑ Returned for corrections 19 ❑ Resubmit copies for approval • Submit copies for distribution • Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US • a • I MeFORANOMM91MM61151111M. • •r ur •� u ;•► • ' COPY TO — SIGNED: PRODUCT240-2 nee Inc., croon, mass 0I471. If enclosures are not as noted, kindly notify us iiron4. FINAL SITE INSPECTION Date S LS��v�� • TREI.T LOCATION Z/Oq(�C- � PEPMIT Q _ ^ �/ b' 24 p OR Su -BDIVISION LOT 3 0 YE9 NO cam— a. SDS area .located as per anorove3 plans b. Fill section,- Date of placement , 2:1 barrier. LGTH W= AVG.DPTH �- c. Natural soil not 'strinned d. Stone, brush, etc., greater than 15' from SDS are=. e. 100 ft. from water course /wetlands. I II. S.--E DISPOSAL SYS a. Septic tank size 1,00 1,250 b. Sentic tank install level c. 10' miniumnm frcm foundation I Q I d. No 90- bends, cle_nout within 10 ft. or 45° bend e. DIS7=Tj -'TION BOXj. y I I 1. All OuLletS a1. .Samse elevation - water test ed 2. Protects belcsa frest 3. Minim= 2 ft. cricinal soil betwee.*i box and t e iczes ( I I f. JUNCTION BOX - prooerly set g. tiky 1. Length remi , - f Lengt-h installed 2. Distance to watercourse nea stires 3. Instzllea acrding to nl.an 4. Distance center to c°*lte_r 5. Slone of t_enerl acceptable 1/16 - 1/32 " /foot. I I 6. 10 feet from Drco=—T-' y line - 20 feet - foundations I I I 7. Depth of trench' < 30 inches from silrface I �- 8. Roan all-aged for e_r,.arsion, 50% I C I I 9. Size of gravel 3/4 diameter Ix I I 10. Depth of gravel in trench 12" mi nim,n„ L. • Pime e*lds canned h. POMP OR DOSE SYSTEMS 1. --Size of.: m=- c a* _r .. _ - _ 3. Alan, visaall/audio I I 4. Pump easil accessible manhole to araae 5. First box baffled 6. Cycle witnes-sed by Health De*.��_rTcil°►.*lt estimated flow per cvcle IV. HOUSE a. House located per aDDreved plans. I b. Rmnbes of bedrooms V. Wr.m a. Well located as per a =roved plans Yc b. Dis, ince from SDS area nc-asured- y 6 a; ft. I� i C. Casing 18" above grade. d. Surface drainage around well acceptable. I P I I VI. OVF• WOPI MA�nIP a. Boxes prc_ - grouted I b. All pipes par-aally back.11ef c. All pipees flush with inside of box I d. Bar -kfill material contains stones < 4" in diameter e. Csrtain drain installed according to plan I f . Cur-Un drain outfal.1 protected & dir. to exist.watercour's I I g. Footing drains discharge awa fran SDS area I h. Surface water prot-_-_-tion adeduate i. erosion ccntro provided on slopes greater than 15 %. SC 1 1 Ju .18D91 Dean S-lAz, We in Putnam Vattey axe concerned about .so 'catted javoAt.iAm being given to ctien.tz o� the Putnam Vattey Town Board Ptannex Joet Gneenbeng. Many pehmitz are granted .i4 you happen to use the Town Ptannen Jon yours boaAd o4 health appxove.2 and house on nenova.tion p.2an6. WHY ajtex many well peAm.its being .denied is given one to non- conjonm•ing Church pxopen,ty in Lake Peekzk.it Putnam Valley. 2nd. Appnovetz given to nonbu.itdabte tots x.igh.t on top ob each others on the Roan.ing Brook Lake,and there are van.ienees given one atheady built and the others given to the town. We can. go...on__and:...on -,but is there any in this Count, an.v :4 _. _. _ _ ....... _. _ . __. _y a Aew. Outraged Rez iden.t ob Putnam Vattey 71i MARVIN O'DELL Inspector TOWN. OF PUTNAM VALLEY ' BUILDING, ZONING, AND SANITARY DEPARTMENT May 19, 1989 �Uo TOWN HALL POTNAM V* (914) 526 2377 Putnam County Dept. of Health 110 Old Route Six Center Carmel, N.Y. 10512 Re: Petrone SSDS Location Lake Shore Rd.. - RBL TM#8-3-30 Dear Sir or Madam: This office has received several complaints regarding' the location of a Sub-surface disposal system being constructed on •the above noted property.. Pleas.e review same with respect to separation distance from existing water well on adjacent property. MO'C D: e s Sincerely, MARVIN O'DEW' Building & fooning Ihspector PUTNAM COUNTY DEPARTMENT OF HEALTH / COMPLAINT OR SERVICE REQUEST RECO TOWN- ° PU•TNAM °VALLE.Y DATE May 22, 1989 - 'REFERRED TO' NO. 351 -89 -19 ttj TAKEN BY Larry W TELEPHONE CALL IN PERSON LETTER CONFIDENTIAL REQUEST FROM Marvin O'Dell ADDRESS Town of Putnam Valley TELEPHONE ENVIRONMENTAL HEALTH: Home Sewage 'Rodents Refuse Public Water Food Service Migrant Camp Other COMPLAINT OR REQUEST Location of newly installed SSDS may not be per approved plans. Close to adjacent existing well. Permit #PV31 -87. Owner- PETRONE- LOCATION -. Roaring Brook Lake, Lake Shore Drive, TM #8 -3 -30. ACTION TAKEN BY DATE -f F 6 A FINDINGS SJ d? E'14,p G q cC (; 'v A� /UP ✓ "- FOLLOW UP INSPECTION (s) DATE FINDINGS PROBLEM ABATED ( DATE a, �� f y PERSON NOTIFIED ESTIMATED TOTAL MAN HOURS SPENT 77 do 7 L.U« -Tio J FOLLOW UP INSPECTION (s) DATE FINDINGS PROBLEM ABATED ( DATE a, �� f y PERSON NOTIFIED ESTIMATED TOTAL MAN HOURS SPENT 77 01 DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRtfft ANATER-WELL� "� "..�..,.A. PCHD PERMIT # WELL LOCATION Street Address Lake Shore Dr. Roaring Town/Village/City Tax Rrnnlc Piit-nam 1.1 Grid Number WELL OWNER Name Richard Petrone Address Lake Shore Dr. Box 362 MPrivate ❑Public USE OF WELL - primary 2 - secondary Q RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP 0 BUSINESS O FARM O TEST /OBSERVATION 0 INDUSTRIAL O INSTITUTIONAL ❑ STAND -BY 0 ABANDONED ❑ OTHER (specify 0 AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 4 /EST. OF DAILY USAGE 600 gal REASON FOR DRILLING EINEW SUPPLY ❑REPLACE EXISTING O PROVIDE ADDITIONAL SUPPLY SUPPLY 0DEEPEN EXISTING WELL ❑ TEST /OBSERVATION DETAILED REASON FOR DRILLING source residence. WELL TYPE ®DRILLED ®DRIVEN DDUG ®GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Roaring Brook Lot No. 357 WATER WELL CONTRACTOR: Name N. Anderson Address: Putnam Valley NY IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY "'DISTANCE TO PROPERTY FROM NEAAEST WATER MAIN: SKETCH & SOURCES OF CONTAMINATION , ❑ON REAR OF THIS APPLICATION PERMIT TO CONSTRUCT A WATER WELL This permit to con.st•ruct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: .1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health De artment. Date of Issue: l3 19,1 Date of Expiration: 0-19 19 Z-ermit Issuing ffici 1 Permit is Non-Transferrabffe APPENDIX B PUTNAM COUN'T'Y DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEMGE DISPOSAL SYSTEMS a _ REVIEW SHEET - CONSTRUCTION PERMIT DAY BY (Name of Owner) (Street Location) COMMENTS YES NO DOCL]MENTS Permit Application AI Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results -Perc Hole -Depth ... - - LF trench provided _ required _ 60 ft. max. Parellel to RE s/s SUBDIVISION Perc (3) Fill - cd- - - House Plans - Two sets well � permit; PWS letter Variance Request Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Tcwn /DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DETAILS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data: perc and deep. results..... �t�vo -Foot contours_ Existirig . &- Prtposod LOW 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 Bedroans Wells & SSDS's Win 200 ft. of Proposed System operty 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, lake (inc. expa 15' to Drains - Curtain, Leader, Footing 351to catch basin,stormdrain,piped watercour. 10'. to Water Line (pits -20.1) 50' intermittent drainage course J Septic Tanks ,rcfn;� K 10' fran Foundation; 50' to well 15,'! /Well to PL _ I 0 6 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES Twn-nnnrMT. GTATF'R STTPPTV .qTTRgT7RPA( -P GFWAaP nTSP(I.GAT. SV.TM-, FIELD INSPECTION REPORT ir tvu—�'� (Name of Owner). -_. (Street Locati n) INITIAL SITE INSPECTION YES NO Wetlands on /or proximate to property .............. Property lines or corners found.... ................ Can estimate house location ..................... X, WIt Will driveway 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 DescriT)tic 0 ft. 3 ft. 6 ft. 9 ft.' "12' ft. rN D. H. 2 Lot Depth to G. W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. soil F— DATE:.. INSP. BY: F] D. H. - Deep Hole G.W.- Groundwater D.H. 3 Lot Depth to G. W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. 12; ft. Soil Descri DATE: FINAL SITE INSPECTION INSP.BY: YES NO CONMEVTS 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. fran watercourse .................... Natural soil not stripped or SDS area unnecessarly graded.......... ... ........ 10 ft. maintained fran property line and 20 ft. fran house .............................. Distance well to SSDS (ft.) ...................... Number of bedroans checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench ................ 15 ft. of peripheral soil horizontally fran trench ..... ............................... Boxes properly set......... ................... Could surface runoff fran driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... L FINAL G MNG OF SITE ACCEPTABLE...... .... b PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 2/9/87 Re: Property of Mr, & Mrs. Richard Petrone Located at .Lake Shore Road (T) Tax Map Section 8 Block 3 Lot 30 Subdivision of Roaring Brook Lake Subdve Lot # 357 Filed Map # 3086 Gentlemen: This letter is to authorize Joel Le Greenberg Date a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity With the provisions of Arti:cl'e -'1 5 or 147, Education Law, lic Health Law, and the Putnam County Sani- � ,Vk 4Rc tary Code. I&V\g��RENCE o`� �� A Very truly yours, GO) -� Signed `-)'�,t Countersigned: _ o- Owner of Property P*Ee, ReAo, /I11 56 Muscoot Nor ja,_ZRFV #2, Box 488 address Telephone Lake Shore Drive, Box 362 Address Putnam Valley, NY 10579 Town 528 -4712 Telephone ,-' i y,;q -'leg r— I ` P __. ... , _ C I -0 l `� LP OD ul -14 LA I is 74 1 i I- -- -,yew �� 41 U Tn' F-Z"I'll-N-11 I kill 4J 4� L ol -z - o9L lix 5;X.- I� - j�hJi� fi I _J \I I. I _. 0 �> `; o II LA LL r,o e -7-OaL 7711 - 1 - - - -1 _.�� :s: X11 �� I� �: �i � _ ,:.� .,.�: -� _. -ORL 54aacU s rocr F l r• ;VA � r 4 -- Ti O ►.� ' i EI— � Area In ai ao4m 5Urvz amil sad i 2 of All 4 Said r 's, "Os" sig7i MW The owmav a Cvr y o"MIN Fam M 0.1r. an AETA24M Notes.' J: -se �, `," /" j �`. 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