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Home My WebLink About2200DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30.18 -1 -69 BOX 19 02200 1 11 1 No 'I 16 , ` 02200 Rev. 3/C6` PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N.Y. 10512 Engineer Mast Provide p V 31- 81 P.C.H.D. Permit q SEWAGE DISPOSAL SYSI Located at OAXR TT)rF nR TVP Owner /applicant Name JOSEPH MAZZA FormerlyR ° FIORENTINO Malang Address -BOX 390A- OAKRIDGE DRIVE zip 10-579' PUTNAM VALLEY, NEW YORK —= PTTTNAT�4 IAT T FY Town or Village Tax Map 9 Block_ 7 Lot]_6y____ Subdivision NaIm OARING t # Date Permit Issued 5/2/86 Separate Sewerage System built by R. F IORENT INO AddreseLK ° SHORE RD , WEST , PUT. VAL. , NY Consisting of 0 Gallon Septic Tank and 108LF Of CONC. GALLERIES 10579 Water Supply: Public Supply From Address or: XXXX Private Supply Drilled by N. ANDERSON Address B .Hding 1ype ONE FAM ° RES IDENCE' Ela. Erosion Control Been Completed? YES Number of Bedrooms -4 Has Garbage Grinder Been installed? NO Other Requirements CURTAIN DRAIN AND 1.5FT OF BANK 'RUN LL I certify that the system(s) as listed serving the above premises were constructed essentia ly as shown on the p a s of the completed work (copies of which are attached), and in accordance with the standards, rules an lationa;, act with the fil d /plan, and the permit issued by the Putnam County Department Of Health. Date 9/2 -/86 Certified by 1 P.E. R.A.�� or Addre ARV 4ICense No. 11056 Any person occupying premises served by the above system(s) shall promp y to such s n as may be necessary to secur the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewero em shall become null and void as soon as is pub!': sanitary tower becomes available and the approval of the private water supply shall become null and vold when a public water supply becomes available. Such approvals are subject to modification or change when, in the Judgment of the Commissioner of Health, such revocation, modification or change Is necessary. Date `�� S/ � By -- �'`.- -. �`�. ,_ .:. -_; • / /_G_� .s Title // ---� . - •• PUTNAM •COUNTY .DEPARTMENT .OF: HEALTH. ENGINEER TO PROVIDE PERMIT # _ ON CERTIFICATE OF .COMPLI AN . •, �� .. _........... _ _.. - ." ,. Carmel; N. Y. -76512 �' °PERMIT 31 -81 Division of Environmental Health Services, CONSTRUC ION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley own or Village Located at Oakridge Drive Tax Map 9 -2 -16 Block Lot Subdivision Roaring Brook Lake Subd. Lot u Renewal Revision _0 Owner /Address Joe & Laura Mazza, 230 Floral Ave PlaiPaY"W9vious Approval —December-1, 1981 New York 11803 Building Type(l) Fam • Res, Area 0.55 Ac Fill section Only 0 Number of Bedrooms 3 Design Flow G /P /D 600 P.C. H. D. Notification Required Separate Sewerage System to consist of 1000 Gal. Septic Tank and 450LF Of 21 Wide fields 7' o, c. To be constructed by Brian Gibbons Address Gilbert La. , Put. Val. , NY Water Supply: Public Supply From XXX Private Supply to be drilled by N. Anderson Address Barger S_ t� Pt: to am Val ley' NY 10579 Other Requirements *Formerely Ronald Fiorentino 1 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 u nom 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, his 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 thedate of the Issu- ance of the approval of the Certificate of Construction Compliance of the original system 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 installed in accordance with the standards, rules and regulations of the Putnam County Department of Health. Date November 25, 1985 Signed P.E. R.A. xx Muscoot No . I RFD #2, Bx 488, Mahopac, NY 10541 License No. 11056 Address APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when c9risidple-Anecppsary gy the Com sloner of Health. Any change teration of construction requires a new, permit. Approved for mastic nit y swage, An Nor, pri pP Y -- l,, PUTNAM COUNTY DEPARTMENT OF HEALTH Engineer to Provide Permit N l 7gQ v. 3186 Division of Environmental Health Services. Caratol: N.Y. 10512 on CERTiFiCCA OF OWL1ANCE . � Perm. IN 3 RUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Oakridge Drive or VUlage.. Sabd)vieton Name Roaring Brook La�uid. Lot # 491 Tag Map 9 Block Z rat 16 Renewal_O Revision Owner /Applicant Nun Joseph Mazza 11/27/85 & 1/13/86 Date of Pievioas Approval RgallinR Addresbi: 1032 Highland Str e et Town Rat c9wi nt NY zip 510 One F am l l y Re S e Lot A� 2 4, Fill Section only Depth volum�__ Bafidbtg _Res- 6 O O pCHD Notification in Required When FIB to c Number of Bedrooms 3 Design Flow G /P /D. 1250 108LF of 4' x 4t. Precast Conc aleries S eparate Sewerage System to consist of Gallon Septic Tank and - 105 79 To be constructed by Address Water Supply: Pdbfic Supply From Address ort XXX private Supply DrlOedby N. Anderson Address_ Barrier St Putnam Val. ,NY 10579 Other Regalrements I represent that I am wholly and completely responsible for the design and location of the proposed with the 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, his 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 d of two (2) years immediately following thedate of the issu. ance of the approval of the Certificate of Construction Compliance of the original sys m 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 in accord ce with the st arils, rules and r ions of the Putnam egu a County Department of Health. P.E.- R.A. XX i Date 5/1/86 Signetl Muscoot North, , Bx 8, Mahopa , NY 1L4 54]No 11056 NCOress - -- APPROVED FOR CONSTRUCTION: This approval expires one f th to i omu is s * nor of construction .of th change ohaalteration ofrconstructon revocable for cause or may be amended or modified when cons" BcesSa by riv a wat -r sup on n V� requires a new permit. Appr vetl for disposal of dome i sew / Title 6y� Date By C' PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services,, Carmel, N. Y.,10512 .�PE1RMI "FOR SEWAGE DISPOSAL SYSTERN FUTNA►'1 i✓AtlE`r �I+glLtLl D Town OP`b"ifiage Located at _ Tax Map _ / w � � h tai /t Block Subdivision �V AR i Nr.., • yjP,00i;.., I_AK� Owner_RONA Lot Job L•1t) �11J(l� / 7 //.t ,r,- Al �1 Address Building Type _ � PMA,� Loot Area +�(I,E Number of Bedrooms Design Flow - -6 0 4) 6A � • Total Habitable Space - ` 1� T d 0 Square Feet Separate Sewerage System to consist of 6 0 0 Gal. Septic Tank /)n A71 f.A� To be constructed by Water Supply: Public Supply From ,7t: " Private Supply to be drilled by Address Other Requirements Address C. 4 RQTN �1L 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 regu a ions o e u nam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Health 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 disposal system during he ante of the a p 9 period of two (2) years Immediately following thedate of the issu- pproval of the Certificate of Construction Com liI ' I of he original system 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 in all in accordance ith the standards, rules and regu a� pns of the Putnam County Depar ment of Health. Date O % signed llS•('OO t �4 T P. E. R.A Address License No. APPROVED FOR CONSTRUCTION: This approval expires one year f om he date i ued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considered n nary by the Commis ' n of Health. Any change or alteration of construction requires a new permit. Approved for des osal of domestic sun wa e, a d or Date / private supply only By_._ JOSEPH MAZZA PUTNAM VALLEY Owner or : urc aser of Building un c pa ity .JOSEPH MAZZA g - Bu ng Constructea by action OAKRIDGE DRIVE 2 Location - Street, Block, ONE`FAMILY RESIDENCE 16 Building Type of GUARANTY OF SEPARATE SEWAGE-SYSTEM I represent that I am wholly and completely responsible for the location, workmanship; material, construction.and drair_age'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 guararity to the owner, his succes- sors, 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 initial use of the eewage.disposal 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 occu- pant of the building utilizing.the system... The undo rs'igned`fU'r�lier"a rees;;to accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser- vicas of the - Putnam Co,unty'Department of Health as to whether or not -the failure of the system to operate was caused by the willfu or egl ent act of the occupant of the building utilizing the syste Dated this /�' day of 19? Signatur Title NER If corporation, give-name and address) THREE (3) COPIES ARE REQUIRED WITH THREE,(3) COPIES OF FINAL PLANS BEFORE CER`T'IFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS 'REQUIRED TO FILE NOTICE, OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health :,:::.L=;:��: �:..r. °^—.._ ��- •�._�_•.:� - - ..: %'��'= �'tgg..c:is .:: t:• �: uT:.::: E'v^_.. C'.'_-: �r:f`: i.c ��!'! �w�., tti !�iJ1aC'.::r�...t�:i42%r,�.. fir. �.: �i;' �K ::��,,.�;u�_:�:.:�:.i:.•.':.., - I -USE uect =:...:..._.... -. WELL_COMPLETiON REPORTr DEPARTMENT OF HEALTH " Division Of Environmental Health Services'°' _ :P- t: TTAI- U,-IDEPAR'TMENT�'OF ' °H'EALTH ITT STREET ADDRESS: WN/VILLAGEICIFY fAx GRID NUbt8ER: oi9 /ter -�G�i ..:;......:- „ -,..w :...,..,.._- WELL LOCATION WELL OWNER ME: ADDRESS: o3 y S-1a ❑ PRIVATE ❑ EUBLIC USE OF WELL 1 - primary 2 - secondary ME�- R SIOENTIAL ❑ —UBLIC SUPPLY ❑ AIRICOND. /HEAT PUMP ❑ A ANOONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ AMOUNT OF USE YIELD SOUGHT I5 gpm. /NO. PEOPLE SERVED /EST. OF DAILY USAGE gal. REASON FOR DRILLING ❑ NEW SUPPLY = ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION ❑ flEPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH ft. STATIC WATER LEVEL ft. 1 DATE MEASURED DRILLING EQUIPMENT ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. ❑ OPEN HOLE IN BEDROCK 0 OTHER TOTAL LENGTH -3 ft. MATERIALS: 0STEEL ❑ PLASTIC ❑ OTHER CASING LENGTH.BELOW GRADE ft. JOINTS: ❑ WELDED ❑ THREADED ❑ OTHER ~ - - DETAILS DIAMETER �� in. - _ - SEAL: MENT GROUT ❑ BENTONITE ❑ OTHER WEIGHT PER FOOT lb./ft. DRIVE SHOWNES ❑ NO I LINER: -YES ❑ NO SCREEN DIAMETER (in)' 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? FIRST _ ._ ...: __._ - ....:...... - ._ =_ O YES' V0, _ _:DETAILS _...... _ ...... _•_. SECOND - .. . . .__.� � HOURS GRAVEL PACK O YES ❑ NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH It. If detailed pumping WELL YIELD TEST�� METHOD: ❑ PUMPED t tests were done is in- t COMPRESSED AIR , formation attached? O BAILED 0 OTHER ; O YES ❑ NO LOG If more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water gear- mg , . >veli Dia- meter FORMATION DESCRIFTION Ct70E It. ft. WELL DEPTH ft. DURATION hr. min. ' DRAWOOWN ft. YIELD Surface 9 i� 1 . WATER ❑ CLEAR TEMP. QUALITY O CLOUDY HARDNESS ❑ COLORED ANALYZED? ❑ YES ❑ NO ANALYSIS ATTACHED? ❑ YES ONO STORAGE,.TANK: .TYPE u CAPACITY °' GAL. < 'L PUMP I RMAT../I�G�N / TYPE C1,�-�[ /d �r � CAPACITY � �' ` MAKER 40 6 `'' � ' �S DEPTH /K MODEL 7 �J /� VOLTAGE h HP WELL DRILLER NAME DATE tg ADDRESS / _ SIG!dMRE X1006( > yK.02701� - YorktOWn Medical Laboratory' Inc LAB I --__ 321 Kear Street Yorktown Wights, N. Y. 10598 Collection Station Used - .., . (914k24S.3203 _.. ar,s.. e , -. , _ ..�P.e ... e ,_.. s ill ,Div acor: AYberf f: Pado�ani ..._ _ ,...,.. _ . Date Taken:— JOs��id m � Date Received: 9T ��j0 D�- k,�? /bG� ��P1 ✓c� Date Reported: Collected By: mps /,yAtZa,4, Referred B • Cnoss ao ei0.t' m A..0 J Sample Source: L sy� - ;2-�9 q LABORATORY REPORT ON. BACTERIOLOGICAL QUALITY OF WATER QENER L BACTERIA Standard Plate Count per 1.0 ml (Agar plate @ 35 °C) M:EMBRARE. FILTRATION TECHNIQUE (MFT) Total Coliform per 100-ml Fecal Coliform per 100' ml Fecal Streptococcus per 100 ml YOST PROBABLE NUMBER TECiiNIAUF. -(MPN) Total Col iform: MPN Index per. 100 ml - Fecal Coliform: MPN Index per 100 ml OTHER ANALYSES THESE RESULTS INDICATE THAT THE'WATER SAMPLE (WA (WAS NOT) (NOT APPLICABLE) OF A 1ATISFACTORY SANITARY QUALITY ACCORDING TO THE NEW YORK STATE DRINKING A T E R STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. LEGEND RDS ■ Recommend Disinfect - ing Water Source < • less than TNTC - Too Numerous Too A 1 b :rt H. Padovani, M.T. ASCP), Director LEGEND RDS ■ Recommend Disinfect - ing Water Source < • less than TNTC - Too Numerous Too 419: Pi N .. ...... . PUTNAM COUNTY DEPARTMENT OF EWALTH Rev.- 3 86. Division of Euviranueenfi 1051i Engineer to Provide d Health Servfws. Camel. N.Y. mu C TAITIFICA FC O. —8 P comltucnori PERmir FOR SEWAGE DisposAL SYSTEM 3 Putnam am V --L. . ,,jW d Oakridcfe Brive Vlfte Roaring, Brook L21 .491 9 2' 16 ins Subdivision No. TW *Ap, Block Lot - Owsm/Applicen . I Nate Josdph Mazza Revision 31 & 11/27/85:, 1510 of 1032 Highland F t.-i% e e t 'T own - i RA r1w n my - 10 , , One Family Res. 24:,000SF TM , Lot A FIB Sectlan itp.n#:,LLJ Depth Vollude' Wausbas of Bed-outo 3- Design ,Flow .G/P/ D PCHD Notiication to Requited Wben FW h completed z . '...4.I:,,*.Precas Galleries 10 T.P E 4' .: separate Sewerage system to Millet Of _won Septic Tank and Rr, vat 'T be emtmded by R F'i(1ren i-A n fi)r`!.�� mv 105%9 0 Wabr Supply Public Supply From Add i* NY xxx by N.-- At Barger `St -0 Putnam,, Val an Privae * ill Sup Dred - It. Other Bell j. I represent that I am Wholly and completely responsible for the design and ol.tho. prop osjd'aystsm($)`,;I) ,that the separate sewage disposers Xstem above'describod will be constructed as shown on the approved amendment there to and in acc9rdance,with.the standards, ' rules an regulations of. • the Putnam .County ' Department of 'Health; and that on completion.there6i a --C artifiCate the Coin missioner'of Hiselthiivill be Submitted to the Department, and a written quarantse,will be . furnished thoovener.;'his successors, . h eirs - or assigns s by the builder, that said builder will $at-" systern In d f tropl%y",, immediately following the date of thq issu- place n, good, operating condition any part of said sewage dispo 0 of r, y '. air an the* approvat of the Certificate. of Construction Compliance of �.On theratoi 2) that the drilled well describod4bove' �—uTs—n:*, a will be:locat6d as shmNn s on the approved plan and thatid , sa wall will !7..' in ith the st pfds, rules and roe oV. of .;the,_ Putnam County Dapartment.,of Health. .— . Date. 5/1/86 " P Signed E. RA .:W Addre—s MU scoot:Nor W k.,1S.—I Mahopaq, NY I '1054 1105E to I APPROVED FOR CONSTRUCTION: This approval expires one yj"y f/.M/thjv.tda less .construction f thq building, has been undertaken and- Is y --Or revocable for muse t of may be amended or modified when consj red pocces b 0 ss neri of Health. A change -alteration of construction se it Y d/ is wet r, sup -only. Oato requires A netv permit., A d or disposal of domestic' p "it By dr- q u son air i Y i CUKTAI N W A. f Putnatin Courtp Deuair arrant of Health Division of L:nv lr6. a4ta1 Health Services Appr ved as noted for conformanoe Mith app 3sble Kules and Regulationa.oY,;the - - - ' c ty th Departm iat,• + lgnature 80. Ti le 'C1.EANOUT COV[Rs 1 -J A i 4 - 2.S -Se i 25Na�•I�Jf6$ •! � x A': NO Q144ma Ed 1:110N _ At pelt INS(• VCR �nrr+�.• uv.'•9'+�eR:Yr�{1Y?+w.':kisA �e+ria ut '� "� ' r G 14 20 NoV.1�181 ' -iN � RFV131�r1S Novi, h 25 Nov. Iqs I� -A' 1 -i4.B6 I PROJECT: 4 E-WAG CIS Po�A L r-7Y5T' JV1 �OR; .o� bc: i DRAWN 9y: T. 7� -. °l - 2'- lLp .JLG . O A V 2 1 •* / E- SCALE: _. C.1. T N A M u A L L e `r , N Ew Yo 21G At wa-rop r i DRAWN(' i 1(LE ORAYYINO N0:' I ti- -r . iL� N M M J - �r - i i. 4. - 11 ,: v H _ -z f .. '.y _ -r .,... r,_.- .,,,.': - ..,.. 11 „. s �I. _ f L y . Z; ` - i t `1 , T ?. p0 �AltlAR COYJPZ 1 ]f DEPAB3RYIERTF OF HEAP ' Rev 3/86 Division of D vlronmeatal Healffi Seevl�ee Cmmel. P7 Y 1051? - - � 8��r to Peovide Peeini8 q . - F y x On CEB1]i11CATE OF COAipddAN(C , 1 9 11— ¢APZSTBIILR%ONZ FEBA� FOB SEW.�OE DLSPOS� SYSTl:A4i r Yeemii 3 81 } y' x, Putnam 3 a eyf y ; 1. ,> rep Oakr dge �r1ve r 5 Toa� .g vm r = . Roaring Brook ` Last 491 9 2 :16 y : �as�ivl�om x a,Da 0 av idicxh R t f < r.:, t r .. ,�eHCWB)�`� _ -,,, "Betl�aiOR ��g' i _ - A. -11 - Oc . X/ YJQa NIe Jo s epl�' :=Mazza -,, 11 Asp x v ,:_ Dcgt_ off Peeviotan: , a - -.. .0 n r - -f S a :, ,.i f” ;i1,�27/85 & 1/13/86 ", %032- Highland street "4 7focin BaldwlnrNY'� 11510 i S Y :f C + One Family `Res 24`, 006SF sera . Lat . 3 ., 6 0 0 �c �enne� eptt e® rtimte,fl 2 �; 3 y ,' f NTt8D6�eR o� BR'�4.=t - Deai®8 �' O!7 G /P/D - } .. . 1125,0; OSLF of 4 Tx 4 "Precast' Coric Ga °lleries * f s. - „_ ._ Sepsiaate Sesre><age Sysrtem to conalet o$ isellosit Septic Tmais sand I rt f 3 :�; 'q i,. k -, w ,p beoonatlactsM! R Fi nrPrtti nn 1,0579 Water Sdppiyt Fttblic Sdppiy From r. f , �: s ,. w Addreoa �r er: xxx Erivate supply Ddued b' ti o ` A11 E!X" Y"' i' ® BarQer St Putnam Val a PTY 105 79 - b - J• ".. :. Otifer B- MulremIssIl ' . . -. . ..:s v ::, l; 1 - _ - Z �vti... ,,.... - .....:.:,: ...... x . ±_-' I. represent thatl.am.wholly end completely responsibie_togthe design "and location 00 the `proposed 'system(s);' 1), t�ati the. separate sewago disposal system _ s. . ,, .- - aDOVe' described will be constructed. as shown on;tbo, approved amendment there to•aI in accorCanee with th® standards, rules an regulations o e :;. Putnam - " I I, ''j.; ,County• Department; of Health : and,that on completlori ;,thereof_."a.. "Certi(icaw. of Construction Compliance "' satisfactory to "tho Commissioner'o4:Healthwill 11 be ',submitted' to :the Department; _and .a "written guarantee wilt be, ?urnished tho'owner.Ais successors; heirsor assigns by f4builder. thet;'seid;buitde► will �"• != .. Dtace "in' good o operating condition an ` 4 9 P 9 par o said,sewa o'dis osal s stem dwi tho r B of two 2 earsinimediaEel fol wi the at of." h if4u Y Pa to d o t o P 9 y Y ( ) Y ng , % • ante o4 the approval of the Certificate of Construction` Compliance' of the original sy m or any repairs thereto 2 that the drilled well described apovo' . will ;be located as shoavn on the approved -plan and that sltld weU will be i in .accorl - ce with" the, st ards. rules and regu a Ions o4 the Putnam - �. - - - . County Department of Health -. : -' _ - j Oat-' 5/1/86 Signed M P E R A _ r i Muscoot ,North( Bx:':. 8 "_M.aho aj 10541 :f11056 r x ..F �� f.. 'Adtlretf' - / /:7 �D. .. I P Y "ice'` Liten:7 itlGO 4 . -, .... ', .1. i . . APRROVEO FOR CONSTRUCTION :_This'abproval expires ono �`(Y 4 tha -date, t 8d: u less construction 9, th Du1ld/ng,hes been, undertaken and is - rev cablo for cause or may; be amended -or modified when consi�d ed necessa4.,' by Commiss' nor' "Of Health ' A change or alteration cV construction h r hires s. neia ermi ' _ . , . - eq P t. .• A Dr ed .for.• disposal, 09 domesLi� ' ita sew d,�qn / briv ie" wet r wp only. - \ :.., .p. ._ .. '�� - b t . -1• _ _ 3. .. � , .. ��:�' ,Date �<::•:.:, � =: :.:,.• ./'- �!1/!.�/� r •� , ti -` .. r .,.;. r S Y r L� y J , ' t ( 1 ' I q 1 r :. (+ r z .::� - Y r ". x , M1 " f.. } ,y _, ip _ v .. - - . ,.� - , -, r Y� �v • 1 v I. • _ v A 1.. ►r,O. �NArr4Ey E. as pea iNsP' vcn. .., _ ... :�.�...� �;.'. �; ��: �; C��'✓, m' �.: i6+4A'u�z:�i..�::��+.;..�:�:ti "` ice':. ~ � 4 .. JOEL � AW9F NC FF N rnrF i E la i_E' f�E fiG :2C.NOw 1961 ; ARCNFTECT PLANNER �di �larss r IF !! 3 M*-.J:: "'00'T N081 h 2�j`NOV.198 i j .�+.:.f �lAr•HOF'AC. P::V1( Y'UrsPt iU:�dl = .►.��S,f. $14) U - EZII-, r PROJECT : \ VQG L X15PouL r7YST M foR.: 8�-. 0 f-- M-r DRAWN BY: 7 A FL jL I r v 2 1 \./ rc . a c' I.1:: u'-rt j A M V A LLe-r N Ew 'Yo¢.K,. I AS..MOTEp..r I nt�Aw►NU � rrt..� i DRAWING N0: , GJ P.Tl L L A `ro.UT , . NPTE:S,". 1 ' i . r NO F-40UgE o' �O NE . wEU-V -O O �O o 9J,- A - 24 000 5 F - o.y Ac. o N / LL AO� i AC If 11p_ 9AP ro r � rrT awn 1TTe:ov � � s,•t:a�e� Fu I-P,4e / -� - 1 Flj eovAn ' 1 � S�rTic 5 ys E J: -�AM1.6.Y, _ .. . t4 �OU62P_ f160 4A4• I ! EX1tiT• �3EF'T vrl c r NK d-1 ou 5 E SYS . r: M !O ' / / ' D14rEZ181IiloN �.. _ . , j1 F 8XrA af,4ON HLEA ' t0 5'tY FAMsl id AttAA 1p ks� cuszrA,w Oi All-7 $.19 A9' -3a "E 1 - 1 !a �OPoQtJP�J ini1311 �< �" TAP EN VO IL Cable, T.I. wi O PUINAM COUNTY OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES E SUPPLY SUBSURFACE SFWA(�F. 1)1c0ncnr cVC!rrf ..cam FIM INSPECTION REPORT-,., �✓� � ✓' \ C� ( /� �C�l �-, P. INSP. BY: (Name ofi_ _ ) ( Street Location) � `a INITIAL SITE INSPECTION] y NO COMMENTS Wetlands on /or proximate to property ......:. •• Property lines or corners found... .........._ _ ....... Can estimate house location ..:. ; ................:.: 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 ............................ Access to procos_ed well location for drilling.__ D. R. 1 Lot Depth to G.W. Depth to rock Soil Descri tion 0 ft. 3 ft.' 6 ft. • 9:ft: 1.2ft. FINAL SITE INSPECTION D.H. 2 Lot Depth to G.W. Depth to rock Soil Descriptiol 0 ft. D.H. - Deep hole G.W.- Groundwater D.H. 3 Lot Depth to G.W. .Depth to rock Soil Description DATE: _ INSP.BY: House SSDS located per approved plan.... r Length of trench measured v / Width of trench average Slope of tile line and trench acdeptable ....... ._ Roan allowed for expansion trenches ........:..... Over 100 ft. fran watercourse.. . ............ Natural soil not stripped'or SDS area unnecessarlygraded............................. 10 ft. maintained from 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 from trench....... ........... Boxesproperly set. ...... ......................... Could surface runoff from driveway, roads,,.. ground surface, etc., channel near SDS area.•.., Does lot drainage. appear OK in area of SDS.....:. �'INAL. C�2ADNG ..OF ..SITE Arr�rARr F . YES NO CCmauS a . .( (T, PUTNAM COUNTY DEPARTMENT OF- HEALTH »- DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of P Y Located at nakri rirrP Dri vP (T) 9 Section - - - - -- Block 2 Lot 16 Subdivision of Roaring grook Lake ' Subdvo Lot # 491 Filed Map �f1RT Date .13111Z 1 . 19¢9 . Gentl-emen a This..fetter is to authorize. __.Joel L. Greenberg a, duly licensed professional engineer or registered architect 'xx (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 wiin the pgvisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. o\y��ENCE cR oy� F A �P Very truly yours, i e d Co t rsig d: �% � 011056 p�`!' 0 er of Proper R MEW .. Po , R o9 # 11 -1032 Highland Street Address Muscoot North,RFD #2,Bx 488 Baldwin;- --New Yrok 1 1510. Address Town Mahopac, NY 10541 628 -6613 Telephone 516 - 868 =9826 Telephone A AM COG DAVID D. BRUEN .� �+ County Executive nn JOHN SIMMONS, M.D. �jiJ YOl Deputy Commissioner DEPARTMENT OF HEALTH Division Of Environmental Health Services . April 9, 1986 Mr. & Mrs. Joseph Mazza 230 Floral Avenue Plainview, New York 11803 RE: Proposed SSDS Joseph & Laura Mazza TM 9, BL 2, Lot 16 (T) Putnam Valley Dear Mr. & Mrs. Mazza: On April 8, 1986, Michael Budzinski of this office inspected the above captioned property for which a construction permit was approved for a.sewage disposal system on November 27, 1985 and revised January 13, 1986. The - inspection. - indicated -that, the watercourse along side the property line is a stream'feeding Roaring Brook Lake rather than a drainage swale as indicated on the approved.plan. It should also be noted that this stream is shown on the USGS Topo Map, entitled Oscawana Lake. Consequently, the separation distance which must be maintained. between the sewage disposal system .and. the stream i -s- 00 -feet; ..not- 35 f-ee.t. In light of the above, the construction permit . #PV 9 -2 -16 issued on November 25, 1985 is. hereby suspended pending receipt of approvable plans. You and your engineer should' contact the writer at 225 -3638 to discuss procedures necessary to remediate this matter. ery tr ly yours ohn Karell, Jr. , P.E. Director Environmental Health Services JK :mk cc: J. Greenberg JK- MB JH / Filev M, O'.Del_l, BI (T) PV TWO. COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 %I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date November 27, 1985 Re: Property of Mr. & Mrs Jospeh Mazza - Located at nakridae Drive (T) 9 Section - - - - -- Block 2 Lot 16 Subdivision of Roaring Brook Lake Subdva Lot # 4q1 Filed Map # 3pBT Date jidy 1p 1949 Gentlemen: This letter is to authorize Joel L. Greenberg 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 ri conformity with7 the pr &visions of Article - 145 -br 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: PoEe, R*Ae, # 11056 Muscoot North,RFD #2,Bx 488 Address Mahop.ac,NY 10541 628 -6613 Telephone Very truly yours, �X,Signed 4 !�/ -PropertLy 230 Floral Avenue Address Plainview,New York 11803 Town 516- 935 -7584 Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date! NOV, 10181 Re: Property of '20N SOLD r/ 1.t D Located at (T) 9- Section Block Lot Subdivision of ZOAP,INC. Subdv. Lot # -T/ Filed Map # SOS Date JCLL Gentlemen: This letter is to authorize E L a duly licensed professional engineer or registered architec (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'Art "icl'e 147, Education Law, the Public Health Law, and the Putnam County Sani- tary-Code. Countersi P.E., R. Joel Greenberg- Architect Y' Musc�ot North . Ads' RFD 2, Box 488 Mahopac, NY 10541 6 �Z g - (0 ('la Telephone Very truly yours, Signed I , I C T� Owner of Property � A kE '�S j4OR-E ZD . W Address ,,/I UT C� Town .r28 2 7. NOV 3 01981 r PUTNAM COUNTY DEPT. OF HEALTH PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ,COUNTY OFFICE BUILDING, CARMEL,' Ne.: Y t... -512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.._ owner 102 1.177 N n Address L Sal, tZi�, (,t) IU* 1�11)_�-klyy Located at ( Street Block Lot �IndlcatO nearest cross street) Municipality PERCOLATION TEST DATA tershed 144 P -,--) 0th FILIPuz _ TO BE SUBMITTED WITH APPLICATIONS Role Number CLOCK.TIME PERCOLATION PERCOLATION Run apse Depth to Water Water Level ...No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches &0 !� i� 3 x'0/3 2- ° 2 9:3 0 60 3 2� 3 9.52 - /0': y 119 ; Z� 5 0.3s" 2 3.6_ LL 1 :. :- :x.013 - Via...._ 5 1 2 3 NOV; 0 1981 4 P "al AnA Q 0�BMy 5 DEPT. OF HEALTH 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. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING. CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE N0. Owner Joseph Mazza Address.1032 Highland St.Baldwin, NY 115:0 Located at (Street 4dicate akrid a Drive Sec. 9 Block 2 Lot 16 nearest cross street) Municipality Putnam Valley Watershed Hudson River SOIL PERCOLATION TEST DATA REQUIRED TO :BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Wate r- ve No. • Time From Ground Surface in Inches Soil Rate Start-Stop Min. Start Stop . Drop in, Min. /in drop Inches Inches Inches PTH #1 1 3:00 3:30 30 16 17.75 1.75 30/1.75 =17.14 - 3:31-'4-:01 30 = - lfi— - 17.75 1. 75 .. -30/1.75 =17.14 3 4:02 4: 42 30 16 e 1 7.7K 1 _7S 'V /T_ 7Sn1 7 14' 4-4T23 5 -02 10 1tl i. 7. -_ 7!, /, l A 7C 14-.-14 7T77 • PTH #21 3:05 3:35 30 16. 17.625 1..625 30/1.6.25 =18.46 J. 6 4:06 30 16 17.625 1.625 30/1.625 = 18,46 3 4:07 4:37 30 16 17.625 1.625 30/1.625 =18!46 4 4:38 .5:08 80 16 17.625 1.625 30/1.625 =18.46 1 2 3 4 5 - Notes: 1). Tests to be repeated at same depth until approximately equal soil pates are obtained 4t each percolation test hole. A11 data to be submitted forreview. - -- - - - - -- - - -- - -- --- - - - - -_ ...., - - -- 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION t.�.: ;...., DESCRIPTION OF SOILS ENCOUNTERED IN TEST .HOLES DEPTH HOLE NO. DTH #1 HOLE NO. DTH #2 HOLE NO. G.L. TOP SOIL TOP SOIL' 6" SAND & CLAY SAND & CLAY 12" it 18" 24" it 301 360 42" 99 IF it i THIS SPACE FOR USE BY HEALTH DEPARTMENT,,.ONLY: �► ti 8 Soil Rate Approved Sq. Ft /Gal. Checked by F �' Oj° 6 NI- rd 54" " u 60" 66" - 11 7V' 84" " 12011 It to INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED 6' INDICATE .18VEL- TO WHICH WATER' LEVEL RISES AFTER BEING ENCOUNTERED .6 -' ;..._, . _...._. TESTS MADE BY Joel L. Greenberg Date 4/21/86 DESIGN Soil Rate: Used 16- 20 MirVi "Drop: S.D. Usable Area Provided 5000 No. of Bedrooms 3 Septic Tank Capacity 1250 Gals. Type Precast Conc. Absorption Area Prided By 108 L.F.x24" width trench. of. 4'=41 -- Yacas•e can . Ot1wr _... Curtain Drain Required galley' ame Joel L. Greenberg Signature R Address Muscoot No,RFD #2,Bx 488 SEAL Mabapaae-. NV' 10541 -1 i THIS SPACE FOR USE BY HEALTH DEPARTMENT,,.ONLY: �► ti 8 Soil Rate Approved Sq. Ft /Gal. Checked by F �' Oj° 6 NI- rd L I t5 A m f—N T yL609, PLA.F,1 (P- E VEV-S a) 10 00 .00 r-L OiN Im.r. X ITG145 Fta-C �C`W-420-tA I o Ilk I I- ol�4.11 .-44A.LL ------- LIVING izo fA cL, E5�v2.O01,A ol Z E C' E I V E D, NOV 3 0 IM OUTNAM c= Tr OPT. OF HEALTH i NO 110W7fo 0 � EaHT. y.'6LL S. 19° -419'- 30 yW O NE"u "��• 0 I 4F-f--A- 24000 5F -c i 4 � N i `00 EDON\ Pn Ex15T S t E`TIG SYSTE I MMILY ELL _ NoySE EXIST• d • IMO& TA �• xm TANK , a' CIAO noN u to 108 L F. OF 41.0" Ul 1 — .. N 10 f1• (tJVAN01d61 AR OJRTNN DuIN 5.19 - 41'_3a "E I No HOUbE- 1 1 OO.OU s 0 AG. e 9,y i IvELL 0 RIP -LAP rj I W 6E1A Irm. r 5'I'CG ANI 'L' I• `I cX1 -5T ex1eT• a64Tlc.. ._' . _......N Oy 9•E ,- ... _SY6. a M' W IN 3 h\. � p ' ` \1 ulnK�7Nf lan,wwW � N o ",,Jj & I "a gp.00' Salutary wall Ce I" TAItq {.---.}- E 9180, Coubtf SEWAGE DISPOSAL S•LSTEM aOTES Calldall 1. This entire septic system will be installed under ��NI° "the sup•erv.islon of the architect and in accordance VLwith.the approved plan and the rules and regulations sl° of the Putnam County Health Department. p °�� 2. All work to be inspected prior to being backfilled. Caawnt 6roa1 3, No trucks, machinery', building materials nor ex- IG'Y'IaSaCfd cavated earth shall be allowed' in the'sewage disposal Water 1.1" M A0� area. Construction of the system is to be in accord- _ ,° 111, ance w y iththese plans-, an revisions thereto and the rules and regulations of the permit issueing Governmental ►alw boat) lau Adoplar Agency. DESIGN CRITERIA 1:.3 bedroom house l,alJO gallon precast concrete septic tank required. 7. Soii: 16 -20 min. /in. esue, wau Co... ut 10' l Drop Pipe Iota Solid Ibe SEPTIC T I I cX1 -5T ex1eT• a64Tlc.. ._' . _......N Oy 9•E ,- ... _SY6. a M' W IN 3 h\. � p ' ` \1 ulnK�7Nf lan,wwW � N o ",,Jj & I "a gp.00' Salutary wall Ce I" TAItq {.---.}- E 9180, Coubtf SEWAGE DISPOSAL S•LSTEM aOTES Calldall 1. This entire septic system will be installed under ��NI° "the sup•erv.islon of the architect and in accordance VLwith.the approved plan and the rules and regulations sl° of the Putnam County Health Department. p °�� 2. All work to be inspected prior to being backfilled. Caawnt 6roa1 3, No trucks, machinery', building materials nor ex- IG'Y'IaSaCfd cavated earth shall be allowed' in the'sewage disposal Water 1.1" M A0� area. Construction of the system is to be in accord- _ ,° 111, ance w y iththese plans-, an revisions thereto and the rules and regulations of the permit issueing Governmental ►alw boat) lau Adoplar Agency. DESIGN CRITERIA 1:.3 bedroom house l,alJO gallon precast concrete septic tank required. 7. Soii: 16 -20 min. /in. esue, wau Co... ut 10' l Drop Pipe Iota Solid Ibe SEPTIC T mKW� 1ao' a- 7 -q I: ►Jo 4 0Uy6 s 51 r 5.19 1•491- 3o �W, 1OC.OaI - O;-�. -O OAkL-A, - 24OG. < q4 \VELL tiP -LAP, TO � 1 FJtuQG� z , `Qp VAIN,. I i • ex1ST LL SEPTIC SyfT I PAM4Y I ex1Sr. e<x1eT .5 110U�s8 10 4Al. IQ i�, �j exlsT• aEprl� i { �KIC TANK I H045E �YS etA 10' Dl4 Iu6uT1oN � 2 1 - � (do lioa - ' -o td � 1081F.OP q:Ow 0 -- �5W MIN rI\ / 2 - _Crw e i l,rt lv WIDE Gllenlp� FWM SsCS 5•(EAFANSw1+1 AR. � 4 GUarAUN DQAINJ 5.19 - 49' -JVE I , -z_ 1 r7 a I-- fly P...U... l _..L�_-- - - - - -- No LWu6ta WA T_ A L �J`(�T�ly� L A Y O U -T THIS IS TO CERTIFY THhT THE SEWAGE DISPOSAY. ED A SYSTEM WAS CONSTRUCTED AS INDICATED ON THIS G`cJ� NcE PLAN AND THAT THEY STEM WAS INSPECTED BY ME BEFORE IT WAS-COVE ED OVER. THE SYSTEM WAS 4v CONSTRUCTED IN ACC RDANCE WITH ALL STANDARD RULES AND REGULATIQNS OF THE PUTNAM COUNTY DEPARTMENT OF.HEALTH AND THE NEW YORK STATE DEPARTMENT OF HEALTH. ht "Q�Cr�¢ P�oG>✓� �tikA17re-2 I1-4 9 T—rAL L E=D F FNVO 4 u dram County llep;:rt:mont oY llealth Trion Of En"IrorUaental health Sorvleoe co`lf n,Tmanco with (ou " ad latio. ^s of tho '� I a1th 7artment. S-P.tCICLT- /a 8� :a:z ' -.NO COANae11 a� pea wsp• JOEL LAWRENCE GREENBERG :::'.; .2oTNOw1�Hi AROWTECT •PLANNER .esr'� .. .•. .. REViS10M$ RR ft 8 MUSCOOT NORTH - 2r7 Nov .198 0 MAHOPAC. NEW YORK 10541 1 14.86 m41510 -6613 .PROJECT.:4 E\VA6 E 1714 oA9A L GIY siTWA OIL: P fi Joe Mo. of -lsq 0 M V_ RANM er: O �0 , TM -� -Z, -rte . • • JLCP . . t Q. A. K-; 6Z 1 t) •. � � � ICJ L :,::.: f;' u T _ o,1 . A �-Al V A L LE- -r, PI aw Yo jL6C SCALE: A-b wulrPel7.,} GRAMN6 N* ORAWINO TITLE � p-r.� � . L A -eou -r ; NoTES1 ' p 7-0 f:l LS A.1:, 0 M A P .;