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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.06 -1 -2 BOX 19 02236 16 „ ;I 'n T� 0 ` '. A Wo , 02236 .'a f PUTNAM COUNTY DEPARTMENT OF HEALTH vcr,M,.DIV Ni-OF EN \MEN L�iI LA �HtIr/ R�VEIJV. Ww .wvo PT.vµ'�.a ,T. �•:• T CERTIFICATE OF CONSTRUCTION COMPLIANCE F REATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located at -70 oAKrz i b4 -c piLI VE Town or V ap puT�-)AIli VALLeF 4 Owner /Appkemt Name CHR I S SC H R 0 C,06 R Tax Map . 6 Block I Lot 2- Formerly Subdivision _ e '6 11 oar Subd. L # 4 V 7 IF -r 6W Mailing Address IMF HONE YSu c KLC C?. Date Construction Permit Issued by PCHD I-101-01 LLL Separate Sewerage System built by K 9. r x Tee fib vaoPiiC�i`' T Address Zip 12 S• 9 2 Consisting of I ZSa Gallon Septic Tank and 206 L F - �f''�' 'I ciz r oiz A Tc e P UG Fi P6' rN 2*" 612H114L T� &JCki Other Requirements: 2z tip or - FAuKkutJ AN, sysTen+ IS2 $AR G� rZ rra8 L Water Sunoly: Public Supply From Address PST -AJAnt i(A LLLf''f, AJy 1 o R ���1 a �l%� ^�.f ��l Y 1v�I �'• or: Private Supply Drilled b Address , Buildm fi e Ifaas erosion control'bee-n complefed? -y' s Number of Bedrooms Has garbage grinder b , ' led? 6F N E y0 I certify that the system(s), as listed, serving the above pre es e cods cte� as ntially as shown on the as- built plans (copies of which are attached), in acc ce wi ' ssu Co tion Permit and approved plans and the standards, rules and regulation of Putn C ent o H alth. Date: 3 —13 —v Z Certified by P.E. Address (Design F r,9 f L-K.rKJL 62980 , ,,' 'I o(3)ht nr se # 6 6 2 b Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocati n, modification r change is necessary. G� By: � Title: Date: White copy - HD F4; Yellu copy - Building Inspector; Pink copy - wner; Odge copy - Design Professional Form CC -97 o, PtUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address- ' aj /Village: Tax Grid # Map 4(,6 Block t Lot(s) Well ®caner: N e: Addr % � •S'� vz 'jfA� Use of Well: I- primary 2- secondary Residential Publ' upply Air cond/heat pump Origatiol Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing "Y, Open hole in bedrock Other Casing Details Total length 1 ft_/ Length below grade /9 ' �f. Diameter Pin. Weight per foot alb /ft. Materials: Steel _ Plastic _ Other Joints: _ Welded Threaded _ Other Seal: Cement grout _ Bentonite Other Drive shoe: -. —Yes No _ Liner:— Yes --.-'No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes—No Hours Second Well Yield Tess _ Bailed _ Pumped >(_ Compressed Air Hours Yield 2v gpm IDepth IlData Measure from land surface- static (specify ft) -3d During yield test(ft) Depth of completed 7 ell in feet .off Well Log If more detailed information descriptions or sieve analyses are available, please attach. Depth From Surface Water ]Bearing Well Diameter(in) Formation )(Description ft. ft. Land Surface If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information,: Pump Type 5,12,j� Capacity: "',_. Depth —qb Modeo�'07 7� Voltage _ y3 . Tank Type t Volume,_ ._ ., Date ell Co pleted Putnam County Certification No. Date of Report Well Driller (signature)' M/1 7'm */ Exact location of well with distances to at least two permangnt tapamarxs to De provtaea on a separate sneevpran. Well Driller's Name Address: Signature: Date: 3- 1,2 Zo White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 YML_. ENVIRONMENTAL SERVICE S 321 Kear Street: (314) 245-E BOO Albert H. Padovani.R Director. LAB aT: a 32.200592 CLIENT Q Isis NON STAT I°'ROC PACE E 1 rvrvrvwwwwry - -Mrvwry wry rvrvM rvrvwrvrvn.,Nrv.N.NwrvM rvrv... Nn..NMn Mw.... Nrv. N. N... M. N... N.. ..,.n.rv.NM... „.... ... .,,..,.n... ANDERSON,-NORMAN DATE.:: /'1” I ME TAKEN r 01/28/02 03:0%"' 152 BARGE R ST DATE/TIME f tEC ' D g ( i l /r f:3 /02 0 3 0►)P PUTNAM VAL_I._E1` n NY 1057? R1.1 OI :''T DATE; 02/01/02 PHONE: : (91.4) _..5r.?f:3....1. 491. SAMPLING $ I T:E .s 70 OAKR I DQE DR 4 F' OAR I NG I: #!=t[: OK PUT VALLEY :a(1MPLI_: '('` PE ... e POTABLE: e TAKE: PRE:' ERVAT I VE & NONE: COL.. `'D iBY : SARAH ANDERSON TEMF'ERA'T'Uf;E ... a 4 4C NOTES e ! . u COL_ I I°'C)RM Iii: T& MI::' Mwrvn. .. .VM/V n. ------ --- Mnlrvrv.VMwwrvn. rv.v rv.N .V ..•w.Vry .VM.Vn.rvrv.V.V-- --- ---.V ...wnl n.-- ---M...MI..1• - ---- -- DATE,- F LAS PROCEDURE RESULT NC1RMAL. _ RANGE METHOD F YT341AM CNT`! PROFILE 01 /2 8YO2 MF T. COL_ I F O M ABSE::14 T / 100 ML ABSENT 1()08 (:r1 12L3 /02 LEAD (.l'MS) 9.3 pl:b 0 -15 ppb 9101 'c:j I QIJ /r:)2 NITRATE N I TROD 0.71 MG /I_. 0 - 10 9139 K01420/02 r2 NITRITE: N I TROD <0.01 MG /L. 341 /A 9 146) , 29YO2 I RQN_ (F°e) <0.060 MG /I... 0-0.3 mg / l 2037 (:i 1" 128'. 02 MANGANESE On) 0 . Ca25 I`'It:; /L 0-0.3 mg / l 2037 37 01/28/02 SODIUM (Na) 7.0q MG /I_ N /A 01/28/02 pH 7.1 UNITS) G. 5- ---8.5 904, 3 r)1 /28 /r r'2 HARDNESS a TOTAL 150 MG /L N/A 01/20/02 ALKALINITY (AS 106 ,MG; /L.. N/A r;)1 /r: ?S /r:) ' 1 "1.11 Eti I D I •l "'1` - f 'T UFi :e e a N "f Ll r:) °:`a. N.111 COI °IME:NTS BACT THESE: RESULTS INDICATE THAT THE WATER' X WAS) ( WAS NOT) OF A SATISFACTORY SAN I TARP OVAL. I TY ACCORD I A HE: NEW YORK STATE AND EPA FEDEt,A DRINKINS WATER STANDARDS „' FOR THE PARAMETERS TESTED, AT THE: ,TIME:: OF COLLECTION. Pb/Cu LEAD limits for !=r EPA Lead & Copper than 10% of their than 15 }. pb and a treatment must: W potential. _blic schools are set at 1;: ial�I-r.. Rule for Public Systems requires that no more distribution point:s have a LEAD value of more COPPER value of 1.3 "g/L, else water undertaken to reduce the waters corrosive Fe /Mn If both iron and manganese are present, their total, value combined shall not exceed 0.5 mg /L.. Na No limits for, Sodium are proscribed. :a1.1ggI:st:ed guidelines state that for people on a sodium restricted dietgthe water _should contain no more than 20 mg /L of Sodium. For those on a moderately restricted diet:„ a maximum tia'f' 270 mg/L of Sodium is suggested. YML ENVIRONMENTAL SERVICES 321 Kear Street (914) 245-2800 Albert H. Padovani, Director ANDERSON, NORMAN DATE/TIME TAKEN: 01/28/02 03:00P 152 BARGER ST DATE/TIME REC'D: 01/28/02 03:401:` PUTNAM VALLEY, NY 10579 REPORT DATE: 02/01/02 PHONE: (914)-528-1491 SAMPLING SITE: 70 OAKRIDGE DR,ROARlNG BROOK,PUT VALLEY SAMPLE TYPE..: POTABLE : TANK PRESERVATIVES: NONE C[]LM 00 fARAH ANDERSON TEMPERATURE,.: < 4C NOTES...: COLlFORM METH: MF ~~~~~~~~~~~~~~~~~~=~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE: REEjULT NORMAL - RANGE METHOD �~ ~, LE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF `e THE YMFORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER- WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND �F�)TURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. r '' .��� �- AS �E SUM | OF T CALCIUM ] rI t MAGNESIUM � '—'` `` TRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE ` �6�NESS MAY RANGE FROM 0 TO HUNDREDS OF NS/L, DEPENDS ON THE n�"" , SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0-70 MG/L VERY HARD WATER: ABOVE 300 MG/L 11ODERATEL0HABD WATER: 7071A0. MGJL . . 1' MG/Q>,KlLLI13RA1'2ER \'ITER HARD WATERm 140-300 MG/L (I grain/gallon = 17.2 MG/L) - SUBMITTED BY: Albert H. Padovani, N.T. (ASCP) Director ELAP# 10323 .. _: BRUCE -Ry *,,F0LE- Y,.... Public Health Director DEPARTNIENT OF ;HEALTH 1 Geneva Road Brewster, New York ,10509 I ORETTA - MOL-1NAR1 -R:N.; M:S.N: . Associate Public Health Director Director of Patient Services Environmental Health (914) 278 - 6130 Fax (9.14) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 279,- 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 OWNERS NAME: :TAX MAP NUMBER: EQ11 ADDRESS: TOWN: AUTHORIZED TOWN 0 (Signature), DATE: C4f-lJ° F}Nn eHr�r?���l�t ScHR o��p� iL SL-'c 11.6 ELK; I L.oTr 2 JE- '7-0 0A K R 1 1,0 G'--S- FxL � y4- L Z9- `l The Putnam County Department of Health, will not issue a Certificate of Construction Compliance unless the above form is completed, i.e., a legal E911 address is assigned by. an authorized town official. This form is to be submitted with the application for a Certificate of Construction Compliance. (E911 VERFRM) PUTNAM COUNTY DEPARTMENT OF HEALTH sue- ,..,::- •r...A.— -1L... :, r!:% ,JtR,J��1L:�::.;�_:;..;,,..:... w....,...� GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM G4IRis Ck(AfWEAJe ScM I2 o 6 C) I'(L Owner or Purchaser of Building cHRI s � CHAALCPLr' XC Hit oebe:9t- Building Constructed by �] 0 c>AKR I OCL", � Location - Street S 1106CC' fA- MILL -( Building Type 41.6 1 2 Tax Map Block Lot fu i NFi� V14 L Lam' `( Town/V44aQe 'RofP_1 -,J - 7TRoaK Subdivision Name *g'7 � q-88 Subdivision Lot r I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above- described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in Rood operating condition any part of said system constructed by me which fails to operate for a period of two years immediately folio« ing the date of approval of the "Certificate of Construction Compliance' for the sewage treatment system, or any repairs made by me to such system, except where the failure to _.:..,. _.operate.properlv is caused b ;fhe willful..or ne- aliRent.act ofthe.- occupant.of- the- .bui- ldin.g.utilizing- the. -_ -= - system. The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: �yonth . Day % Year 20 Wz- (Owner) - Signature Corporation Name (if corporation) Signature: Title: )e ar- Corporation Name (if corporation) Address: Iq yc���y- t'yc,C(Lr CoQfL-r Address: State Stogy vl LL 41-, Zip State go(CW6LL }� Zip !2533 Form GS -97 RONIN ENGINEERING P.E. P.C. The Lindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 10566 Tel :'(9I4)73664'iFai.`(9i4)736 - 3693;- 3& March 20, 2001 Shawn Rogan; Public Health Technician Putnam County Department of Health Division of Environmental Services I Geneva Road. Brewster, N.Y. 10509 so Re: SSTS Compliance Chris & Charlene Schroeder 70 Oakridge Drive Town of Putnam Valley Dear Mr. Rogan Please find enclosed the revised iiiformation'based' on our Marcff 19" phone conversation.' The information is revised to show the existing water well location surveyed in the field by Baxter Land Surveying. Please review at your earliest convenience. If there are any questions or if additional information is required please do not hesitate contacting me at the above number. Thank you for your assistance in this matter. Respectfully submitted, Kenneth WMMurphy Project Designer �rii[2 Off 4G?/^1,GIM04MS CRONIN ENGINEERING P.E., P.C. March 8, 2002 The Lindy Building; Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 914-736-3664 Fax 914-736-3693 Putnam County Department of Health I Geneva Road, Brewster, N.Y. 10509 RE: CHRIS & CHARLENE SCHROEDER SW-25-01 70 OAJ(RIDGE DRIVE TOWN OF PUTNAM VALLEY THESE ARE TRANSMITTED as checked below: ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY WE ARE SENDING YOU attached 17.) -Three copiesof is-built subsurfic'e-'sewagetreatment-system- plan-- - 2.) Three certificate of the construction compliance. 3.) Three guaranties of SSTS 4.) Copy of survey showing foundation location 5.) Well completion report 6.) Water analysis 7.) E911 address verification form 8.) $200 certified check for application fee. Should you have any questions or require additional information regarding this matter, please contact me at the above phone number. Thank you for your time and. assistance in this matte. Respectfully submitted, eA I Kenneth M. Mur by Project Designer i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION -PERMIT FOR SEWAGE'TREATMENT SYSTEM PERMIT# SW -25 -6 V Located at is A K R l A CC' DjZ I Vim' Town or ge ff u TN lZ h, VA L L (--' � Subdivision namefuARia C ZZ60 Q. 4°K �4?8& ubd. Lot # Tax Ma p 4I 6 Block I Lot �-- Date Subdivision Approved -S J L-"-A Owner /Applicant Name cNRt.c � GHA RL6/J6 SchRoeyyz Mailing Address 1'+ NON CLASO CKLLI COO R T STdj2r hV'j6 Le- /J,y Zip Amount of Fee Enclosed Building Type srrJG'Le 6m/LY Lot Areal. 16',Qc. No. of Bedrooms 2- Design Flow GPD qo6 Renewal Revision Date of Previous Approval Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of ZSO gallon septic tank and 266 L.. �• - �� Other Requirements: , I y r`` P - 6 6- I�'t To be constructed by ('% ref DCI-e- rZn I4i✓e) Address Water Supply: Public Supply From Address or: Private.S PLy_Drilled.by. - e9 L So�,I. //J c . ; Address _q. -pu'f to7'a► l�l/ ACWTTOL fi X - /0505 I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction i'- '.:asatisfactory to the Public Health Director will be submitted to the Department, and a written guarante i�l�e- fitmis� owner,;his successors, heirs or assigns by the builder, that said builder will lace in good ti 'ebP itio an of s 'd sewage treatments stem during the period of two 2 ears P g y `P g Y g P () Y immediately followi e d o the 'ssuance app va -of the Certificate of Construction Compliance of the original system or any r irs the o. lu Signed: ,' _ E. R.A. Date Address 2 70 Wlq � � C Al 4s ff License # Z `� g d APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered, necessary by the Public Health Director.. Any revision or alteration of the approved plan requires a new pe it. Approved fo discharge of domestic sanitary sewage only. By: r Title: c'-- White copy - HD Fill; Yel o copy - Building Inspector; Pink copy - ner; Orange copy - Design Professional Form CP -97 DATE : JAN -10 -2000 MON 2300 NAME : PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845 - 278 -7921 0 a .e * s• 'BRUCE R FOLEY WRB'Cf'A MOLWAnt R.N, M.S.N. Nbe'e XuRh Darge A[.odeta YRblh N,.M Dt,,, DEPARTMENT OF HEALTH °""° Petkat sr era.. 1 Genova Road Brewster, New York 10509 tnArnn4[nt<l Rnllb (443)771.6110 F4(945)271.7921 ' KurdA, ll A*. ("S)771.051 wIC(4))778.667! F.040278.6011 LAY rrtlrvtn6en (Nf)]7 {.6aN Ra(14S)27{ -1618 MernePrutberol ({43)2L -591] lye (14fl711.611] ' _- . - . To; Design Prefessionals Submitting Plans jjjjto Putnam County Health Department From: Bruce Foley, Public Health Diret Date: August 10, 2001 Subject: Revisions to Putnam County Health Scpartmem Bulletins ST -19 and CS -31 As a result of a recent meeting hold with the Putnam County Electrical B ]ark the following items were agreed upon with respect to the design and construction of wastewater pump chambers: 1. An all weather junction box with an outlet and screwed cover will be provided at or above grade at the pump chamber to allow for a plug in connection for the pump(sj. 2. 'Prior to conducting a final Inspection on the pump chamber, an electrical Undawaiftes Certificate for the pump chamber must be provided to the Putnam County Health Department. The Putnam County Health Department will W schedule a final inspection of the pump chamber until an electrical Underwriter's Certificate 1a pmvldcd. 3. The Putnam County Health DepartmaR will only inspect the pump pit construction, pump dose and alarm operation. 4. The note "All pump power and control wiring shall be made directly to the control panel without any outside spllees;' fs to be deleted ham Bulletin ST -19, Section 4.A.7s and. from Bulletin CS -31, Section 4.0.15.11. S. The following note from Bulletin ST -19, Section 4.A.7.r and Bulletin CS -31, Section 4.C.15.h has been revised and shall now read as. "The pump control panel and alarms shall be located inside the house or building" The following revised sheets fmm the above referenced Putnam County Health Department Bulletins arc included for inclusion into your existing Bulletin documents: Page 12 - Bulletin ST -19 Page 13 - Bulletin CS -31 Should you have any questions concerning the above, please contact this office. CA- PICRtclla, Blectrical Board : 919147363693 PHONE PAGES : 2/2 START TIME : JAN -10 2258 ELAPSED TIME : 01117" MODE : ECM RESULTS : OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... 0 a .e * s• 'BRUCE R FOLEY WRB'Cf'A MOLWAnt R.N, M.S.N. Nbe'e XuRh Darge A[.odeta YRblh N,.M Dt,,, DEPARTMENT OF HEALTH °""° Petkat sr era.. 1 Genova Road Brewster, New York 10509 tnArnn4[nt<l Rnllb (443)771.6110 F4(945)271.7921 ' KurdA, ll A*. ("S)771.051 wIC(4))778.667! F.040278.6011 LAY rrtlrvtn6en (Nf)]7 {.6aN Ra(14S)27{ -1618 MernePrutberol ({43)2L -591] lye (14fl711.611] ' _- . - . To; Design Prefessionals Submitting Plans jjjjto Putnam County Health Department From: Bruce Foley, Public Health Diret Date: August 10, 2001 Subject: Revisions to Putnam County Health Scpartmem Bulletins ST -19 and CS -31 As a result of a recent meeting hold with the Putnam County Electrical B ]ark the following items were agreed upon with respect to the design and construction of wastewater pump chambers: 1. An all weather junction box with an outlet and screwed cover will be provided at or above grade at the pump chamber to allow for a plug in connection for the pump(sj. 2. 'Prior to conducting a final Inspection on the pump chamber, an electrical Undawaiftes Certificate for the pump chamber must be provided to the Putnam County Health Department. The Putnam County Health Department will W schedule a final inspection of the pump chamber until an electrical Underwriter's Certificate 1a pmvldcd. 3. The Putnam County Health DepartmaR will only inspect the pump pit construction, pump dose and alarm operation. 4. The note "All pump power and control wiring shall be made directly to the control panel without any outside spllees;' fs to be deleted ham Bulletin ST -19, Section 4.A.7s and. from Bulletin CS -31, Section 4.0.15.11. S. The following note from Bulletin ST -19, Section 4.A.7.r and Bulletin CS -31, Section 4.C.15.h has been revised and shall now read as. "The pump control panel and alarms shall be located inside the house or building" The following revised sheets fmm the above referenced Putnam County Health Department Bulletins arc included for inclusion into your existing Bulletin documents: Page 12 - Bulletin ST -19 Page 13 - Bulletin CS -31 Should you have any questions concerning the above, please contact this office. CA- PICRtclla, Blectrical Board 01/23/2002 16:04 9147363693 CRONIN ENGINEERING 1 PAGE 02 JANUARY 23, 2002 SHAWN ROGAN PUBLIC HEALTH ENGINEER PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL SERVICES I GENEVA ROAD BREWSTER, N.Y. 10509 Rr SSTS TRENCH PERMIT PCOH PERMI r #S*25 -01 CHRIS 8 CHAft,=NE SCHROEDER "ROARING BROOK LAKE" OAKRIDGE DRIVE, Lars 487 8 488 TOWN OF PUTNAM VALLEY DEAR MR. STIEBELING: THIS LETTER IS TO INFORM YOU THAT CHUCK PATEMAN WILL PERSONALLY Be PICKING UP THE TRENCH PERMIT WHEN THE PUTNAM COUNTY HEALTH DEPARTMENT HAS ISSUED THE APPROVAL fOR °THE-ABOVE REFERENCED.PROJECTt ..:._;:.:� PLEASE CONTACT ME AT THE ABOVE NUMBER WHEN FINAL APPROVAL HAS BEEN ISSUED SO I CAN INFORM MR. PATEMAN IF YOU REQUIRE ADDITIONAL. INFORMATION OR HAVE QUESTIONS PLEASE DO NOT HESITATE TO CALL ME. RESPECTFULLY SUBMITTED, * i K,elaneth M. Murpby . Project Designer dC�u4[�Gt Off 4G3/�f���J114�G�6 CRONILV ENGINEERING R.flNG lC .E., P.C. The Lindy Building; Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 914- 736 -3664 Fax 914- 736 -3693 Shawn Rogan Assistant Public Health Engineer Putnam County Department of Health I Geneva Road, Brewster, N.Y. 10509 RE: IPCIIDR PERMIT #SW -25 -01 CHRI & CHARLENE SCHROEIIDER ®AKRIIHDGE DRIVE, LOT 487 & 488 TOWN OF PUT AM VALLEY THESE ARE TRANSMITTED as checked below: . _ . ❑ FOR APPROVAL ❑ FOR YOUR USE WE ARE SENDING YOU attached January 8, 2001 ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY I 1.) Three copies of subsurface sewage treatment system trench plan Please review at your earliest convenience. Thank you for your assistance in this matter. Respectfully submitted, oh Kenneth M. Murphy Project Designer Sheet -4of� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION. Or_ENVIRONMENTAL HEATLH SERVICES q FIELD ACTIVITY R ACTIVEPORT NAMF• Tel. aA,1 AnT)RFS,0,. 0,46Mt TmE T?2. ?tyrii/i4M Street Town State Zip PERSON IN CHARGE Name and Title TYPE OF FACILITY :l FINDINGS: f6 Z tot TN4PF.CTOR: /,.t� TFT Signature and Title RFPQRT RFrF.TVFT) RY: I acknowledge receipt of this report: SIGNATURE: 02/96 Title: i iI 0 BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New . York 10509 LORETTA M- OLINAM 'R:N. M:S".N"_....._ Associate Public Health Director Director of Patient Services Environmental Health (845)278-6130 Fax(845)278-7921 Nursing Services (845)278-6558 WIC (845)278-6678 Fax(845)278-6085 Early Intervention (845)278-6014 Fax(845)278-6648 Preschool (845)228-5912 Fax(845)228-6113 January 10, 2002 Timothy Cronin The Lindy Building Suite 200 2 John Walsh Blvd. Peekskill, NY 10566 RE: Schroeder Oakridge Drive, Putnam Valley Lot #487/488 TM #41.6 -1,2 & 3 Dear Mr. Cronin: An inspection of the fill pad at the above referenced project has been completed. Trench plans must be submitted to this Department for final approval. - - - - Please note that field: iiieasurements Jiy this:I7epartluentir. nQ way.suggest the exact size depth or location of the fill pad. If you have any questions, please contact me at (845) 278 -6130 ext. 2261. Very truly yours, �/' �A�F/g% Gene D. Reed Environmental Health Engineering Aide GDR/jp PUTNAM COUNTY DEPARTMENT OF HEALTH b DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE DiSPECTION 3/ 71o2- - �k Street Location _D,¢ j-p 7Ti��t�� Town TM 4 1. Sewase Svstein Area a. STS area located as per approved plans ........................... b. Fill section - date o,f placement 3:1 barrier Lgth- Width Avg.Dpth c. Natural soil not stripped.... ............... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 10.0' from water course / wetlands ...... ............................... II. Sewage tiSystemstze -1 0 p , 00 °:1, 250 .,? ..... other ................ gib. Septic tank installed leve�:.:- :...... ............................... c. 10' minimum from foundation .......... ............................... d. Dstributio Box .: _ ....._ - -n_ Date: Iaspecte y: f,776r1---)_. Owner Permit # :51,y — a —©4 Subdivision Lot #. -t 8 7— el 8 8 pYES:I- NO 1 COMMENTS V 11�3 - vfl& -1 lb- i. Atl outiets:ar:same erevation= water- :testea I ff 3 ° r ° -- 2. Protected below frost .................. ............................... 3. Minimum 2'ft:Original soil between box & trenches e. Junction Box - properly set ........... ............................... f. Trenches es T- Length required 2 GCS Length installed no 2. Distance to watercourse measured .� o �� Ft.......... 3. Installed according to plan ......... ............................... 4. Slope. of trench acceptable 1/16 -1/32" /foot ............. 5. 10 ft. from property line - 20 ft: foundations.......... d 6. Depth of trench <30 inches from surface .................. 7. ' Room allowed for expansion, 100% ......................... , 8: Size of gravel 3/4 -1'/2" diameter clean ..... :....... ....... ! , of gravel -in- trench -12" minimum..*.- ................ 10. Pipe ends capped....... ................. _ gCRumn or- rposed.SvstemsM - -�-. � �0 - �: 2. Overflow tank ........................... ......................1........ 3. Alarm, visual/ audio .................... ..............................: .:...__... __ ... -- .... _._ _ .. _ .._..._.. _.... ...... _ ..._ .. — 4. Pump easily accessible, manhole to grade ................. 5. First box baffled ............................................................. 6.- Cycle witnessed by H.D.esttmated flow /cyele........... III. House/Buildin a. House located per approved plans ... ............................... b. Number of bedrooms .........:....v .. M......lf. ...?: Yf..l I vt IV. Well a. Well located as per approved plans . ............................... f �� � C� b. Distance from STS area measured ¢" G ". ft........... c. Casing 18" above grade ................................................. r _ d. Surface drainage around well acceptable ....................... V. Overall Workmanship' a. Boxes properly grouted ... :.............................................. b. All pipes partially backfilled ........... ............................... ' c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area..........,, _ 02/07/2002 13:15 9147363693 . a CRONIN ENGINEERING 1 PAGE 01 All information must be fully completed prior to any Trenches inspections being made. PCHD Construction Permit # s'�j''�'°b d ,�c�J�� /� c L� � Located: 7 o oen t ocWiye, Owner/Applicant Name: EMP-1( cMARUe"mr ENRK' _91. Block _— Lot Forardy: Subdivision Name: P RM)s ao l ( Subdivision Lot # '48 *7 e Y-9 9 Is system fill completed? Date: _e/J,y oAR� q- 2 o Is system. complete? .Vi -f Date: / e_-&R U 12"k 7, 2061.. Is system constructed as per plans? rJ Is well drilled? )/�.f" Date: Is well located as per ply? Are erosion control measures in place? -7` I certify that the system(s), as listed, at the above premiers has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Coumction Permit and - approyed,plw aid the Standards Rules and Regulations of the -Putnam County. Department. of Health. Date. �� '�. Ceded by. CFV11a 0)QAKe_F lw f Pld V RA Desi p Professional AddreSS: j- a 0 H/J WA VM ;Te_` _,t) Qt t -� �1 x I..ic. # 6 2 cl 8 O Comments. Llci_af �� �- ' a BRUCE R. FOLEY Public Health Director LORETTA MOLINARI R.N., M.S.N." Associate Public Health Director Director of Patient Services DEPARTMENT OF, HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 February 12, 2002 Timothy Cronin Cronin Engineering, PE, PC The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, New York 10566 Re: Field Inspection - Schroeder Oakridge Drive, (T) Putnam Valley Lot # 487 & 488, TM# 41.6 -1 -2 Dear Mr. Cronin: The above referenced separate sewage treatment system can be backfilled. The following comments must be corrected in the field: 1. A pump test needs to be witnessed by this Department once the electrical inspection has been completed and notification of such has been submitted to this Department. 2. All silt fence that is in disrepair needs to be fixed up and/or reinstalled. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. GDR:cj Very truly yours, Gene D. Reed Environmental Health Engineering Aide FEB- 14- 2002 08:48 FROM:PUTNAM COUNTY HEALTH 845- 279 -3578 DMW S FEE-L2-2W2 TM 23014 mm 9 PMNAN OASJBi'b'Y' BWARTI T OF Tw&1 m TA a 845 - 270-7921 TO:92787921 P:1 /1 Fma 8 919147363693 P TZ s x°12 23012 AUM TM o 00'53P VMT PAGE OF RBC= DOWHM TR N= .. mow or A*M axt= pA17�tdT Sf�+ ElPALTR tt v, "a vtila to Rrwm+Am.r+� Fsplgyu.5?�+ aaesmno�•wum_.�a ,nePwna.mto ec.maR9+a•ca� ' em�rM.nenoN+slua.we` m.nrnMa.mw F�vmapa9�ao.na mR+mm.aa F[6e¢�ty12.�OSl 79n7� X900 ; A7blm WLII�hAha. ilrYA!$t0�rr Xo¢t i0BH6 tlw Ybe e9ovnf�anaaa�o�n� +��taR ®t�baauSlla�, 9� 9 anmr�atp tn�atbaamlvr�+4�m QAl7� �. Apampas��eeoeoala� .�trymia>anen�a�sA!ffi1lr�Haahr� bo®oomplAIM1 d(M4bbmb=MW6i"IDQbDOPWMWL �, A9rAlfam�e lmsndl�pekm�mbo�vp+�aes��. t4D�++ia�ems�+c4 pfsa�saoa�ca�rd(Ai'� ¢T0.6]90srt. 7T6t. * mD.ReftA GOR•aj of AM0 PUTNAM. COUNTY DEPARTMENT OF HEALTH --DIVISION OF-ENVIRONMENTAL,.IIEATLII.SERVtC, S FIELD ACTIVITY REPORT NAME, :54mzzn46 Annn.s.s• Street Town State Zip PERSON IN CHARGE 0 04W TEST E] DOSE TEST. 17 J ,O 131 m� O 0 . . ........ !--- REQUIRED GALLONS 7-57 3 91 `117 EL. START 1 ill/ 12 x 7,5w9>.:- /0 7, Signature and Title MORT RFClFTVF-T)-RV.' I acknowledge receipt of this report: SIGNATURE: 02/96 Titl • m w m N m i m N w New York Reard of Fur Unde awritees I j c�1t DUCIMM Of Mecdli y is ill the PIXxM of issaaiug a cmfificabe of 0eerpliance for flee eie4lakol installation LD ae poeavided for in the appticalion !f ®r X, wspeea(M m l V a �r'. w _ _ { a i i New Yb& Duard of lire Miderwritws a Bureau of Ekvtridtp Impectiun activity punsuant to Applicatiort has been completed iuld a ceedficdd of r� compUance seKhig foriiz the do -flail of Obe elfttriral system is bei mprepamd. i z C.) ' form i�1) (61e7 (aSiQ7i) H F F� a C` N ' ❑ D 1 m f a 03/06/2002 13:55 9147363693 CRONIN ENGINEERING 1 PAGE 01 .. .e�...s .. a 4 - .�. v. � . .. .r .. �. � . ... T• ..? v+ w •. - r ..M - ..t .h n .x+ r. � r.a ... � _. •.. .y.r .. va -. .. .n v .� .. .�... . .. i ...� �w • tMvN.w........ .q *w tar .h n. A PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL kFALTH SERVICES ATTENTION 0 ADAM GENE REQJ JEST FQR FINAL INSPECTION For: Fill Ali information must be fully completed prior to any Trenched/ inspections being made. PCHD Construction Permit # Located: �o nAkR raCrr eg�v (� �,.r;,��a�, gIR LtE `i' Owner /Applicant Name: cKR(s V r–MMUA e' SC#R 2E'DeT W. C--- Block „1 Lot �- Fo y: Subdivision Name:1_?wEVS 9XtO1K AK Subdivision Lot # V 'qf $ Is system fill completed? j( Date: f:55 V UroRy o C �L Is system complete? Date: –.!''R u A 2 ti i� 'Z061– Is system constructed as per plans? r Is well drilled? 1/6EX Date: Is well located as per - plans? Are erosion control measures in place? "i"'— I certify that the system(s), as listed, at the above premises has been constructed and I have inspected and verified their completion in accordance with the ' issued PCHD Construction Permit and approved plans "and: the Standards, Rules and Regulations of the Putnam County Department of Health. wg�ej , HQ1Z-w $-(A �n ct2aNiN�" Date: %'�� �� �-- Certified by: cRW)AJ 0)6W 65"RW C pE RA Design Professional Address: 2'S'oH/J WA L-c# X4, 13�_�XJKI (-4-, Comments: fume mss -C-o 'OR w Form FIR 99 08/1S/2001 09:33 9147363693 CRONIN ENGINEERING 1 PAGE 03 a RONIN ENGINEFRING, P.E., E.C. The Lindy Build+nB, :juice 200, 2 john Walsh Blvd., Peekskill, New York 10566 Tel. (914)736.8464 *'"ax- (914)736-3698 AUGUST 15, 2001 ADAM B. STIEBELING PUBLIC HEALTH ENGINEER PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION CF ENVIRONMENTAL SERVICES I GENEvik ROAD BREWSTER, N.Y. 10549 RE 5,5' rS CoNs rRUC77ON BERml r /W,A TER SUPPL Y OfRIS 6 CHARL4NE SCHROEDER ,OARING BROOK LAKE" UdmhRIDGE DRIvLr, Lors 487 8 488 TOWN 0, PUtN.A ±"1 VALLEY DEAR i IFI. STIEBELING: THIS LETTER IS TO INFORM YOU THAT CHARLENE SCHROEDER WILL PERSONALLY BE PICKING UP THE CONSTRUCTION PERMIT WHEN THE PUTNAM COUNTY HEALTH DEPARTMENT HAS ISSUED THE APPROVAL FOR THE ABOVE REFERENCED PROJECT. PLEASE CONTACT ME AT T14E ABOVE NUMBER WHEN FINAL APPROVAL HAS BEEN ISSUED SO I CAN INFORM MRS. SCHROEDER. IF YOU REQUIRE ADDITIONAL INFORMATION OR HAVE QUESTIONS PLEASE DO NOT HESITATE TO CALL ME. RESPECTFULLY SUBMITTED, KenAietk� i�. M by Project Designer 08/14'/2001 16:33 9147363693 CRONIN ENGINEERING 1 e { k. ` . NIN ENIGINEERIN!G E. PC. e- Undy'Ruilding; ui te'214;2Jahn ;Wahh,Bhvd,,- Paekddlt New York e). (914)736.3664 a Fax. (914)73&303 AUGUST 14, 2001 ADAM B. STIESELING PUBLIC HEALTH ENGINEER PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISIOPa OF ENVIRONMENTAL SERVICES I GENEVA ROAD 9R €WSTER, N.Y. 10509 RE: SS TS CQNSTRUCT101V PEmr1WA rER &PPL Y CNR/S B CHARLENE Ad N S H 114 CIOCf�- `R4AR/NG BROOK LAKE" UAKmaE DRIVE, L<7TS 4AWWW A{ 9 7 ,� 4 8 TOWN,Of PUTNAm i/xacy DEAR MR. STIEBELING: PAGE 02 THIS,'L E•�ff - S -TO—WC ,. "YOU•ZHAT CHARLENE SCHROEDER WILL PERSONALLY BE PICKING UP ,- CONSTRUCTION ONSTRUCTION COPUTANCE WHEN HE` TNAM COUNTY HEALTH DEPARTMENT HAS ISSUED tAL:.FBR- FHE- k90!rE RENCED PRWECT;. PLEASE CONTACT ME AT THE ABOVE NUMBER WHEN FINAL APPROVAL HAS BEEN ISSUED `SO 1 CAN INFORM MRS. SCHROEDeR. IF YOU REQUIRE ADDITIONAL INFORMATION OR HAVE QUESTIONS PLEASE AO NOT HESITATE TO CALL ME. RESPECTFULLY SUBMITTED, Kenneth M. Murphy Project Desigm a 0 s Uf. BRUCE R. FOLEY LORETTA MOLINARI R.N., M.S.N. Public .Health Director _ _ _ _ _ Associate Public Health Director Dire�t�'`of'Pa'tii3Rt Services" DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845)278-6130 Fax (845) 278 - 7921 Nursing Services (845) 278 6558 WIC (845) 278 -.6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Date: 01 To: I��£+.r ve. 4 From: Adam B. Stiebeling Asst. ]Public health Engineer For your information For your review As discussed Qt � Fax #: 736 - 36 ?3 No. ]Pages _ (Including cover sheet) ]Please respond Attached as requested Please call Notes/Messages SG i-( 2 O D 9 C PV4-M';&A A+4 r TO T.G }r 4 In the event' of transmission /reception difficulties, please contact this office at (845) 278 -6130 ext. 2157. ,t 1 �f4' PUTNAM COUNTY DEP. DIVISION OF ENVIRO PERMIT It Z 5—`&l Located at OA K 6 9 0 1 1 i/er -4. -O TMENT OF HEALTH NTAL HEALTH SERVICES TE RE d 1�1L' NT S ►7 1 E. :: „m�."...,.....s,�...... - .N.......R.. L-. Town or d4Mge 100 Td Al", ALLtFY Subdivision name '1j oARiNG 6nooK 4nr,8ubd. Lot #,W75g9e Tax Map */- 6 Block I Lot 2. Date Subdivision Approved TuLY 1, IcI 4 9 Renewal Revision Owner /A nt Name CH/?i S e CHA ei -6,JC SC H R OrDi�'2 Date of Previous Approval Mailing Address 14 god od 1 S y c K LL CO J tZ r S7d Rt'h y 1 L LA' ti. y. Zip 12c,81- Amount of Fee Enclosed 4 3 V O Building TypeS06Le I'AmlcY Lot Area 1. 16 No. of Bedrooms Z Design Flow GPD q-0O j2t J � � e!� c Ls rc} CR�J �'h147r Fill Section Only Depth 2 Td3 Volume 3 30 cv. yO Separate Sewerage System to consist of 12,50 gallon septic tank Other Requirements: 2 Te 3 o F 9 Ar' K 1? Ud _u r�, ,e S - fT6l11-1 W ITN 4 AS-() G'A L- • &1r 7r e 1111A . To be constructed by ( ?n roc p� tR t�+r �Ep) Address Water Supply: Public Supply From Address or: , _ ._( Private Su�iply Drilled by_ LEA t Sd �J _Address �uTi� 1/��� I I RELJJTEJt , /, i o So I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction :foXiprce" satisfactory to the Public Health Director will be submitted to the Department, and a written guar. ffl- be-fiti`Y t- —d the owner, his successors, heirs or assigns by the builder, that said builder will place in good ope.r I ;ebndition-d1'qNy a f said sewage treatment system during the period of two (2) years immediately fol n the d4ie die issuance of tlt_ap oval of the Certificate of Construction Compliance of the original system or repai thereto Signed: Address 2- TO HtiJ WA L.t i� � � f���.r K J P.E. R.A. Date �, IJ 16rC6 License # 062780 APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified w considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new pe it. Approved for discharge of domestic sanitary sewage only. By: Title J t c�c5` Date / I White co - HD File; Yellow copy - Building Inspector, Pink copy - Owner; Orange copy - Design Professional Q Form CP -97 BRUCE R::.:FADLEY Public Health Director DEPARTMENT .1 Geneva Brewster, New OF HEALTH Road York 10509 LORETTA: MOL•INARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 r To: Engineers, Architects, Building Inspectors, Septic Installers, Construction Permit/Repair Applicants ]From: Bruce R. Foley, Public Health Director Date: August 8, 2001 Subject: Putnam County Health Department Registered Septic System Installers Please be advised that on April 26, 2001 the Putnam County Board of Health adopted revisions to the Putnam County Sanitary Code requiring that the installation and repair of all subsurface sewage treatment systems (SSTS) be performed by installers registered with the Putnam County Health Department. This provision became effective July 1, 2001 and includes the installation of SSTS's for all new construction as well as repairs and replacement of any portion of existing systems. Please note that individual homeowners may construct or repair systems serving their residence without registering with the Putnam County Health Department. However, they must obtain a Repair Permit or Construction Permit from the Department. All work will be monitored by the Department. If you have any questions relative the registration process or to verify the registration of a proposed installer please contact William Hedges at (845) 278 -6130 ext. 2168. BRF /jp PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL .. .. �.v.e...- �.ir..Mi'»l r.v1rs'v: MI�F..a•t.0•.• .r. r..•, v�l++..:•i ... �� .. '��. i. ��.. �..;�.O,ir...n.- i.- ...tw -.: ..... ..:w ...z ...�-. n.4 ..w .. .. n �n .. • ♦ ar. Well Location: Street Address: To illage Tax Grid # s t. z O.3 0i9K,Q1P64r 012 l ✓e"' 'Pv T1J14A � ✓AIGC Y Map Block Lot(s) ,M Well Owner: Name: CNfl I s it CHA'Q 'P Address: 1 /yo,j t YS, �K ct' Co Q iZ l- or0612 STc�RM✓1LL6 /�1,Y. /2 S82 Use of Well: I Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought S gpm # People Served Est. of Daily Usage 70k-,-) gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling X New Supply (new dwelling) Deepen Existing Well Detailed Reason WATCH SuPPI Y FolZ I-JCW, REX100JcC'• for Drilling Well Type X Drilled Driven I Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision? ..................................'.... ............................... Yes x No Name of subdivision "Fif -rH MAP of RO A9- 6 SROOK 4A K ' � Lot No. Ji 91 f -( 9 8 Water Well Contractor: F $ER L SorJ S ) IJ r-t Address: Mwr,m^ AU6 • XRCE , f' TZ %/Z . tJ, Is Public Water Supply available to site? ................................. ............................... Yes No _r Name of Public Water Supply: PIA Town/Village H %A Distance to property from nearest water main: AA Proposed well location & sources of contaminati to a provided on separate sheet/plan. Date: - — —U Applicant Signature: i :... _ ... . PERMIT TO CONSTRUCT 'A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear.. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by Awatwell, riller certified by Putnam County. Date of Issue Permit Issuhi fficialDate of Expiration 6 Title: { f p. Permit is Non - Transferrable White copy -1 file; Yellow copy Building Inspector; Pink copy - Owner; Orange copy - Well driller c(.C. -- S.� ;e, ti7 / �� G ,Ac Form WP -97 Public Health Director NAME: ADDRESS: DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085. Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAVIER CH120S �q7tj&LrriNie /+tz oL �r - SITE LOCATION: DATE: 0 C lz.5o2 1 Ti'st 44 STAFF PRESENT: Bruce F Rob M Mike B. Adam S. Gene R. Shawn R. Bill H. SPECIFIC WAVIER REQUEST: `5 e I .r ter (Do 0 tOnt- zdMIL C>F (PA f- w rvrr.✓+�.c�a A 2 �✓t, u,w..�� DOES THE PROPOSED VARIANCE REQUEST POSE A HEALTH HAZARD OR ENVIRONMENTAL CONTAMINATION PROBLEM? YES WILL DISAPPROVAL RESULT ITS FICANT HARDSHIP? DISCUSSION REQUEST APPROVAL OR DENIED APPROVED NO NO DENIED REASON R DENIAL DATE: DIRECTOR OF P LIC HEALTH (SPECWAIVER) IEW YORK STATE DEPARTMENT OF HEALTH Specific Waiver iureau of Community Sanitation and Food Protection from Requirements of Part 75 and Appendlx75- A, 10NYCRR for individual Household Sewage Treatment Systems . Last Name First M.L I Name of Applicant ` A) Address L4 ffDIV&1/ l©VTCr , STb/ZMV1LLLr m.V, /2.S6L i o. Street Gtya"n 9 store Zp Site Location .A-Kg a L!A� tiAM VR , (, -1- Z APPLICANT DO NOT WRITE BELOW 1. Reason why site oes not meet 10NYCRR Appendix 75 -A (check appropriate box(es)): i i aration distance cannot be achieved. i Excessive slope. J High groundwater. 7 Inadequate depth to bedrock or impermeable layer. A t her Soil unsuitable. 3 111 ; (explain) ...:.......:...... �.. �?. �..`.'.. �. j» �'.: :�'!"1�Z....».___........ »...._ ,................... »2�2- .... »� ..��tcr'Y4 »P.............. »... _ V .....................................................................................................................................».......................................................................... ............................... j ...................................................... ............................................. :............ ................................................................................. _.._._........__.�.�_w..._._ .. .........._ .... ............. _» .... ........................................................... ... ... ............... .» ..... »».»..... ._.._..... ».... ».. »_..»..._.».. 2. Proposed design or co ditions of wayi* gr: _. "'........ M ...vr.....l..K.r:.:.. �...»..,t.......... ..�....: _ 1 ................... ...... .......... ...._._..... .» . .t . ............:_� 9s�� ...... ...... . _r . ....�7s t ..+,, -►.c 1 5 -. a«....... �....... �..— ............. ......._ ». ............ ......................... ............... 4-t ......... 3' ; ©t,... »...F .... _.. 3. The proposed design may have the following limitations (check appropriate box(es)): J Inc eased risk of well or spring contamination. ncreased risk of surface water contamination. rExpected design life of the system will be diminished. E eration of sewage system is subject to mechanical problems., 1 Other (explain) » ..:........................_ .... ... ........_ ......... _...... ............. ...................... _._ -� -__. Additional information attached 12,4 ti J�W4 Construction pursuant to this waiver request should not pose any foreseeable health or environmental problems. in accordance with New York State Department of Health Administrative Rules and Regulations, Part 75.6 (b), a waiver is hereby granted. This waiver may be revoked by Os-issuing official for a change in conditions for which this waiver was granted. NTATI..E.. ....................................... ............................... MISSIONER OF HEALTH ORIGINAL - Local Health Agency I i 0 , 1 COPY - Applicant/Design Professional DOH -1326 (7/92) (GEN -152) r BRUCE R. FOLEY ..,.... - Public Health. �Direetor:,:.,..= _..,_ .,,.....- . NAME: ADDRESS: LORETTA MOLINARI R.N., M.S.N. ._.. , ......:. •Associate.. :Public- Health ,Director. Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 rC_OpV Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 . Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAVIER r CHRIS � q7ta, Lr N!f 14(2.015 4--) k14— SITE LOCATION: DATE: W Tot. 44 1 STAFF PRESENT: Bruce F Rob M. Mike B. Adam S., Gene R., Shawn R., Bill H. y t ovii. S-0 SPECIFIC WAVIER �l ' ` t REQUEST: `5 s l..�o �u ;� r M (Oo oF- evt -zv++ -coo l (Nt; ur<rue,C o� Ao) 1 r ' f W 6Y l t, 5> 1 rcr� �1 I �! — 5 r i� (A.Ut6 � C, 2�✓u ..._:,....DOES THE PROPOSED VARIANCE REQU, STa POSE A: HEALTH 1HAZARD ENVIRONMENTAL CONTAMINATION PROBLEM? YES NO WILL DISAPPROVAL RESULT IN A S NIFICANT HARDSHIP? . S NO DISCUSSION REQUEST APPROVAL OR DENIED APPROVED REASON DIRECTORVOF PUBLIUEALTH (SPECWAIVER) DATE: DE. ED OR BRUCE R. FOLEY Public --Ifealth. Director., NAME: ADDRESS: SITE LOCATION: DATE: STAFF PRESENT: LORE17A MOLINARI R.N., M.S.N. Associate Public Healdi 'Direc'tor Director of Patient Services DEPARTMENT OF HEALTH I - Geneva Road Brewster, New Yo 10:509 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAVIER L"Z%5 t 12- SPECIFIC WAVIER REQUEST: lr'Ji"e 100 of rf L w 1" 100 LI L LL- -DOES THE PROPOSED VARIANCE REQUEST POSE ..A, HEALTH ARD OR 'ENVIRONMENTAL -CORTANMATION.FiRCOL-EM? YES NO WILL DISAPPROVAL RESULT IN A SIGNIFICANT HARDSBI[P? YES NO DISCUSSION RE-QUEST APPROVAL OR DENIED N —EQR DEM DkEtTOR ObPUBLIC HEALTH DATE: (��APPROVED DENIED TOWN OP PUT-N' A-- VALL.E CHAPTER 144: Freshwater Wetlands, Watercourses and Waterbodies Ordinance of the Town of Putnam Valley, New York. The Town Wetlands Inspector, as Approval Authority, has determined that the proposed action is an Unlisted Action under SEQRA, and will not have a significant environmental impact. Therefore, a PERMIT WAIVER is granted subject to the conditions noted below. DATE PERMIT ISSUED: DATE PERMIT EXPIRES: APPLICANT/SPONSOR: July 28, 2001 July 28, 2002 Chris & Charlene Schroeder 14 Honeysuckle Court Stormville, NY 12582 Cronin Engineering P.E. P.C. The Lindy Building, Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 PROPERTY LOCATION: Roaring Brook Lake, Oakridge Drive TAX MAP #: 41.6 -1 -2 &3 SIZE OF PARCEL: 1.16 acres ZONING: R -3 PROPOSED ACTION: Construction of single family residence, septic system, driveway and well within wetland buffer area MATERIALS REVIEWED: 1. Application Materials, file # WT -28. 2. Site Plan for Christopher and Charlene Schroeder, as prepared by Cronin Engineering P.E., P.C., dated 01- 05 -01, last revised 07- 23 -01. CONDITIONS OF PERMIT: 1. All construction shall followed approved Site Plan as prepared by Cronin Engineering P.E., P.C., as dated 01- 05 -01, last revised 07- 23 -01. 2. Wetlands Inspector to be notified when erosion controls have been installed. Wetlands Inspector to inspect controls prior to construction. Page 1 of 2 3. The Building Inspector"shall be not fied'once erosioircontml"measures�are in place and at -- :.;..: least 48 hours prior to the initiation of any site work. 4. When Erosion controls are required, they must be maintained properly throughout the construction process and remain in place until final site inspections for compliance with conditions of permit have been completed. 5. A minimum of 35 -50 shrubs to be planted, in clumps of 5 -7, with species noted on above referenced plans. Wetlands Inspector to inspect plantings prior to issuance of Certificate of Occupancy. 6. The Planning Board, Wetlands Inspector, and/or Building Inspector, shall have the right to inspect the project from time to time. 7. The permit shall be prominently displayed at the project site during the undertaking of the activities authorized by the permit. 8. An additional escrow account in the amount of $ 300 must be established with the Town before this Permit Waiver can be considered validated. These additional escrow funds will be appropriated as required for construction monitoring purposes. Any portion of the account not used during the project monitoring,period shall be returned to the applicant upon satisfactory completion of the project. (this is waived if already taken care of with application) Noncompliance with the conditions above will invalidate this Permit Waiver, and may result in a Notice of Violation and/or a Stop Work Order. Any questions regarding this Permit Waiver should be.directed to the Town Wetlands Inspector (014) 762 -7288, or the office of the Building.. Inspector (914) 526 -2377. _._. , ._... Date Permit Waiver Prepared: July 28, 2001 �) . - Ve,, Stephen W. Coleman Town Wetlands Inspector cc: Applicant Building Inspector Planning,Board Environmental Commission Page 2 of 2 07/.30/2001 10:28 9147363693 CR�IIN ENGINEERING 1 JUL 2® 2001 12:01PF9 HP LASERJET 3200 CHL0TER 146, Fhshwater Wetlands, Watercourses and WMerbefts Ordln.aece of tke Town of Putnam Vallepq New York. The Town Wetlands fiWeetor, as Approval Authority, ha determined that the proposed action is an Urlisted Action under SEQR.A,, and will not have a sigtiificaait mit+onmartal knpw't. Therefore, a, PERHU WAIVER is granted subject to the conditions noted below. DATE PERMIT ISSUED: DATE P1ElMrr EXPIR S: APPLICANTISPONSOR: ,PROPERTY LOCATION: TAX MAP ',$: 41.6.1 -2&3 PROPOSED ACMOIN: July 28, 2001 July 28, 2002 Chris & Charlene Schroeder 14 Honeysuckic Court Storniville, NY 12582 Cronin Enginver* F2, P -C. The Lindy Building, Suite 200 2 Job n Walsh Boulevard kleekskill, NY 10566 Roarizg Brook Lake, Odaidge Drive SUE OF PARCEL: 1.16 amee Z0NMG., R -3 clronstractlon of Bugle fW Wry resweam Sepik systeuh driveway and well w thk wstlaedl buffer tins MATERIALS REVIEWED' 1. Application 1Nlateri .ale 0 WT -28, 2, Site Plan for Christopher and Charlene Schro ®der, as prepared by OroBiiit Engineering P -L„ P.C., dated 01- 05-01, last revised 07- 23 -01. CONDITIONS OF PERM : 1. All construction shall followed approved Site Plan as prepared by Cronin Engineering P.E., RC,,-as dated 01- 03 -01, last revised 07- 23 -01. 2, Wetlands Inspector to be notified Mon erosion controls have ban imtelled. Wetlands bwector to inspect controls prior to couhuction,. Past I e . I PAGE 04 P. d "I'VO7.I30/2001 10:28 9147363693 CRONIN ENGINEERING 1 PAGE JUL 28 2001 12 . 05. 02PM' HP LRSERJET 3200 p.7 3. The Building hispector shall be noti`od owe erosion control mmsures are in place and at least 46 hours prior to the initiation of any site work. 4, Wben Erosion coutrols are required, they must be maintained properly tbomughout'the eonstn}etion process and remain in place until final site inspecctione for compliance with eohditions of permit have been completed. S. A minimum of 35 -50 shrubs to be planted, to clumps of 5 -1, with spwics /noted on above referenced plan's. Viiedonds Inspector to inspect plantings prior to issuance of Certificate of Occupancy. 6. The Planning Board, Wetlattds It' specto:, and/or Building inspector, shall have the right to inspect the project from time to !roe. 7. The permit shall be prominently displayed at the project site during the undertaking of the activities s,utho&W by the pennif 8, Am additional escrow account in the amount of $ 300 must be established with the Town befm *his Permit Waiver can be ootisi demd validated. These additional escrow fiords will be appropriated as required for construction monitoring pwposee. Any portion of the account not used during the project monitoring period sban be retuned to the applicant upon,aetisfactory completion of the pro ect. (this is waived if already taken care o; with application) Noncompllikice with the oorditiens above will invalidate this Permit Waiver, and May result in . e ;\otkee of O.elation awd * a Stop Work Order. Any questions regarding this Permit Waiver should be directed to the Town Wetlands Inspector 1914) 762.7288, or the office of the Building _ nri3pector (9.14) S26- 2377..._..... Date Permit Waiver Prepared: July 28, 2001 Stephen W. Coleman Town Wetlands Inspector oc: Applicant Buildtag Inspector Plowing Board Environmental Commies:on P*t 2 ar 2 Public Health Director -. - -LORETTA- °•MOUNA I- RN., M.S.N.--',z . Associate Public Health Director Director of Patient Services DEPARTMENT ®F HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845)278 - 6678 Fax (845) 278 - 6085 April 11, 2001 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 Timothy Cronin, PE The Lindy Building, Suite 200 2 John Walsh Blvd. "Peekskill, NY 10566 Dear Mr. Cronin: M Re: Schroeder, Oakridge Drive TM# 41.6- 1 -2 &3, (T) Putnam Valley The above referenced project was discussed at the April 5, 2001 Department Specific Waiver meting. I offer the following. Request for waivers was denied at this time, specifically: "Separate sewage treatment system components within 100'0" zone of influence of subject well." It was the recommendation of this Department to relocate the subject well to 3'0" off both south and west property lines, therefore, removing the zone of influence from the area of the proposed separate sewage treatment system. Receipt of "original" wetlands permit is also required prior to final approval. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 2157 if any questions arise. Very truly yours, Adam B. Stiebeling Assistant .Public Health Engineer ABS:cj RONIN ENGINEERING P.E. P.C. The Lindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 110566 Tel. (914)736.36644 Faz (914)736 -3693 March 28, 2001 Adam Stiebeling, Public Health Engineer Putnam County Dept. of Health 4 Geneva Road Brewster NY 10509 Re: -Construction Permit SSTSIWater Supply Oakridge Drive TMD 41.6 -1 -2 0 Town of Putnam Valley Dear Mr. Stiebeling: Pursuant to your denial letter dated March 26, 2001, we respectfully request a formal waiver of the Putnam County Code for the following: 1. sewage treatment components (tanks, 4" raw line and force line) within 100 feet of a town designatedwetland.- 2. fill pad encroachments only within the well "keyhole" for lot 489, the zone of influence (I00').of the well on lots 487 &_488, and within zone of influence (100') of the well on lot 494. 3. well located within 15' (10' proposed) of the property line. 4. general site grading to the property line 5 a proposedlwo bedroom residence. - == Enclosed is -the "Formal Waiver Request" form GEN -152 and two copies of the signed and seafedhouse plans. The Wetland Permit Waiver will be sent under separate cover as will a letter from the Town of i I Putnam Valley Building Diepartmenf: Kindly review the above for the specific waiver meeting on April 05, 2001 and should you have any questions or 'require additional information please contact me at the above number. Thank you for your time and assistance in this matter. Respectfully submitted T,�.. r� -- eith Staudohar Project Engineer cc: Chris Pateman via fax only 914.332.5725 stiebeling- pateman rb1032801.doc BRUCE R. FOLEY Public Health Director DEPAR'T'MENT OF BEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 March 26, 2001 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, NY 10566 Re: Application for Construction Permit Oakridge Drive, TM# 41.6 -1 -2 & 3 Town of Putnam Valley Dear Mr. Murphy: This office has determined that the above referenced revised construction permit application, received by the Department on March 7, 2001 is complete. Please be advised that the following information is required before the Department may commence its review. Prio tr o final approval, submitted,houseplans =(2sets) must =be cornpleted _``Architectural" g d ;arid sealed drawmgs;of a 2 bedroom dwelling Droof of-Wetlands Permrt'or waiver Please submit letter to the Town of Putnam Valley requesting combination of two. lots submitted; into one, as shown. 4. Please provide a letter of acceptance for proposed driveway access to lot's # 485 and "486 er subject lots from the Town of Putnam Valley or Planning/Building Departments as noted in response letter from Earl Smith, Deputy Superintendent of Highways, dated March 14, 2001. 5 Letter of request of waiver required. Denial of application under separate cover. This office will continue its review upon receipt of the above mentioned comments. Please feel free to contact this office if any questions arise. Very truly yours, OL Adam B. Stiebeling Assistant Public Health Engineer ABS:cj , e. BRUCE R..FOLEY Public Health Director March 26, 2001 DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 Timothy Cronin, PE The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, NY 10566 Re: Proposed Construction Permit Oakridge Drive, TM# 41.6 -1 -2 &3 Town of Putnam Valley Dear Mr. Cronin: Review of plans dated January 5, 2001 last revision dated February 26, 2001 and other materials relative to a construction permit for the above captioned property has been completed by the Department. Based upon such review, and pursuant to the provisions of Article III of the Putnam County Sanitary Code, you are hereby advised that the proposed method providing water supply and sewage disposal are considered inadequate as set forth below. Therefore, approval of these plans cannot be granted. Specifically: A- treatment systelri components within. 100' -0 °_buffer of wetlands..,_ -,,. B. Separate sewage treatment system (toe of slope of fill) within: 1. Plan shows toe of fill and grading within zone of influence direct line of drainage keyhole of well on lot # 489. 2. Plan shows toe of fill within zone of influence (100' -0 ") of well on subject lot #'s 487 and 488. 3. Plan shows toe of fill within zone of influence (100' -0 ") of well on lot # 494.. C. Subject well is not compliant with Putnam County Health Department policy - minimum separation 15' -0" from the property line. D. General site grading to property line, Putnam County Health Department waiver required. E. Proposed 2 bedroom dwelling. Please submit a "Formal Waiver Request" of the above stated comment and complete the enclosed NYSDOH "Specific Waiver" Gen: 152 form, general information section. This project will be discussed at the April 5, 2001 specific waiver meeting of this Department if the above stated is received by Monday April 2, 2001 by 12:00 noon.. If you have any questions, please call me at ext. 2157. Very truly yours,: tl Adam B. Stiebeling Assistant Public Health Engineer ABS:cj 0- BRUCE: R� _ FQJ,EY....,..�....,- ,:._... ....,....�... . Public Health Director LOREM . MOLINARI_ RN.,, M.S.N. . Associate Public Health Director Director of Patient Services DEPARTMENT OF HEATH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 o Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 January 31, 2001 Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, NY 10566 Re: Application for Construction Permit. Pateman, Oakridge Drive TM# 41.6 -1 -2 & 3, Town of Putnam Valley Dear Mr. Murphy: This office has determined that the above referenced Construction Permit application, received by the Department on January 16, 2001 is incomplete. Please be advised that the following information is required before the Department may commence its review. D - uments: Application Form PC -97 requires the following corrections /completions. Complete Item #28. omplete Item #36. Proof of NeighborNatification 4s required pursuant-to Putnam County•Health Department� - �' Bulletin ST -19. Proof of Wetlands Permit or waiver required. Provide copy of survey showing wetlands boundary location as well as topography. 5 Please submit letter to the Town of Putnam Valley requesting combination of two lots submitted; into one, as shown. 60. Please provide a letter of acceptance /feasibility of proposed driveway access over lots # 487 and 488 (combined) from the Town of Putnam Valley Highway Department or Planning/Building Departments. Application DD -97, soil testing does not list soil profiles as witnessed on July 11, 2000 by this office (depth of deep test holes.) 1. System components within 100'0" buffer of wetlands. Wetlands Permit on waiver required, Putnam County Health Department Waivers are also required. Please verify depth of fill. Fill greater than 2'0" requires a fill plan to be submitted. Please specify "pipe" connecting septic tank to pump chamber. Please specify size of pump chamber on permit applications. Please provide baffled distribution box as required. Please provide an additional 4 "o PVC outlet line to the area of expansion for future use. Line to be capped inside the., distribution box. Additional field testing required in area of proposed expansion. Test hole(s) D; and D3 are not sufficiently representative of area. Please contact this office via RFI -99 to schedule an inspection. I . Provide additional erosion control measures in the following areas: a.- Below area of proposed SSTS, retaining wall. b. Around the area of proposed well. c. Along the northeast side of proposed drive. d. Along north property line. Well as shown is not compliant with current Putnam County Health Department policy. a. Well minimum distance from property line to be 15'.0 ". Well as. shown is 10'0" from property lines. Waiver of this requirement is required. b. Letter of denial to follow. Notes and Details: 1. Notes must be written as noted in Putnam County Health Department Bulletin ST -19, Appendix C. Notes 1 - 15, fill notes 2 - 5, all/any additional notes to follow. 2. Clarify size of property line access top. 3. Distribution box to contain baffle. 4. Additional outlet required for future expansion purposes. Outlet to be plugged in box. This office will continue its review upon receipt of the above mentioned comments. Please feel free to contact this office if any questions arise. ABS:cj encl. RFI -99, DD -97, Plan field notes Very truly yours, amt , ... Assista ' 'Public Health Engineer PUTNAM COUNTY DEPARTMENT OF HEALTH DMSION OF ENVIRONINIENTAL HEALTH 'INDIVIDUAL WATEkSUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS _ . •:..� :., �:;. _. _,...::.r.. -. . REVIEW SHEET FOR CONSTRUCTION PERMIT - - �- NAME OF OWNER: 14-P -0 C jD 6p STREET LOCATION: BY: RM, GFejT S ATE: _ Y /)r 44DOCUMENTS APPLICATION MMIT OR PWS LETTER ft OF AUTHORIZATION i DATA SHEET (DDS) RATE RESOLUTION EAF THREE SETS TLANS -_TWO SETS (,6(�LEGAL. SUBDIVISION 20' TO FOUNDATION WALLS V SUBDIVISION APPROVAL CHECKED �L�'� PERC RATE -7 (etc N tl- ;XL ( L REQUIRED Z4 n DEPTH -- L--)(CURTAIN DRAIN REQUIRED GENERAL' (__)GATED IN NYC WATERSHED CLANS SUBMITTED TO DEP C_)(� ELEGATED TO PCHD (� P APPROVAL, IF REQ'D (,6C__)D P TEST HOLES OBSERVED 14j) (_) ERCS TO BE WITNESSED (SEX- APPROVAL SSDS ADJ, LOTS 69 100 YR. FLOOD ELEVATION W/I 200' SOIL TESTING LOTS >10 YEARS OLD AGE SYSTEM PLAN - (NORTH ARROW) i HYDRAULIC PRQ�E % � VITY FLOW I/•- �'R ' DESIGN DATA: PERC & DEEP RESULTS U 2' CONTOURS EXISTING & PROPOSED RIVEWAY & SLOPES, CUT �FF, OTING /GU TTER/CURTAIN DRAINS DA SOIL TYPE BOUNDARIES LE BLOCK; OWNERS NAME ADDRESS #, PE/RA; NAME, ADDRESS, PHONE# ATE OF DRAWINGAREVISION DATUM REFERENCE LOCATION OF WATERCOURSES, PONDS LAKES,WETLANDS WITHIN 200' OF P.L. (�UPROPOSED FINISH FLOOR AND BASEMENT ELEVATIONS ELLS & SSDS'S WAIN 200' OF SSTS ( PROPERTY METES & BOUNDS MAP #: (CQNFIRMED) OUSE SEWER -' /d' WE-CTST IRON NO BENDS; MAX BENDS 450 W /CLEANOUT RENEWALS UITE NOTE (NO CHANGE) FILL SYSTEMS (_J(__)10' HORIZONTAL; PAST TRENCH SLOPES 3:1 TO GRADE FILL SPECS/ FILL NOTES 1 -5 (_JFILL PROFILE & DIMENSIONS UUFILL IN EXPANSION AREA Z FILL GREATER MAN 2 FEET (� CLAY BARRIER (� FILL CERTIFICATION NOTE U DEPTH GAUGES U VOL. ON PLAN FOR R, O.B., UNCLASSIFIED & IMPERVIOUS U SEPARATION DISTANCE FROM TOE OF SLOPE. TRENCH LF TRENCH PROVIDED T� 60FT MAX. ARALLEL TO CONTOURS 100% EXPANSION PROVIDED DETAIL/DUST FREE CRUSHED STONE OR WASHED GRAVEL ( ( )GEOTEXTILE COVER COMMENTS: � 10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FIL 20' TO FOUNDATION WALLS V 100' TO WELL, 200' IN DLOD,150' TO PITS (etc N tl- 100 TO STREAM WATERCOURSE, LAKE (inc. a -- � CATCH BASIN; 35' STORI�IDRAIN� �IPu EIS 10' TO WATER LINE 50' INTERMITTENT DRAINAGE COURSE 200' /500' RESERVOIR, ETC. _ 150' GALLEY SYSTEMS 10' MIN TO LEDGE OUTCROP SEPTIC TANK 10' FROM FOUNDATION; 50' TO WELL UUU o �. WELL DIMENSIONS TO PROPERTY LINES OUTION OF SERVICE CONNECTION MIN 15' TO PROPERTY LINE SLOPE �L4E IN SSTS AREA (520 %) �EUUkDED TO 15 %, IF REQUIRED DOSEAPUMP SYSTEMS "P NOTES DOSE 75% OF PIPE VOLUMEMOSE VOLUME NOTED 9•ETAIL FOR FORCE MAIN, (PIPE TYPE, ETC.) PIT AND D -BOX SHOWN & DETAILED 1 DAY STORAGE ABOVE ALARM CURTAIN DRAIN STANDPIPES, 5' BOTH SIDES, DETAIL 15' MIN to CDS = >5 %, 20'-4 %, 25' -3 %, 35' -1 %,100 % -<1% 20' MIN to CD DISCHARGE/100' with 182 cons day discharge 10' MIN to NON - PERFORATED PIPE RONIN ENGINEERING P.E. P.C. The Lindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 10566 Tel. ,(914) 736 -3664 • Fax. (914) 736 -3693 April 18, 2001 Adam B. Stiebeling, Assistant Public Health Engineer Putnam County,Department of Health Division of Environmental Services 1 Geneva Road. Brewster, N.Y. 10509 Re: Fill Placement Permit / Water Supply Chris &'Charlene Schroeder�a .y "5th Map of Roaring Brook Lake" Oakridge Drive, Lots 487 & 488 • Town of Putnam Valley Dear Mr. Stiebeling- Pursuant to your denial letter dated April 11, 2001, 'the following items have been revised to meet your request of the - relocation of the well to 3'0" off both south and west property lines, allowing the proposed SSTS to be removed from the zone of influence. The following items are submitted at this time for your'review only: 1.) One- -copy -of therevised S-STS- plot plan - __._�. _....__.. � _.. , �..........:._.,.. 2.) Three copies of the revised fill placement plans 3.) Two copies of the signed;& sealed house plans The Wetland Permit Waiver will be sent under separate cover as will a letter from the Town of Putnam Valley Building Department. Kindly review the above for the specific waiver and should you have any questions or require additional information please contact me at the above number. Thank you for your time and assistance in this matter. Respectfully y�sub mi d, enneth M. Murph Project Designer SION OF ENVIRONMENTAL HEALTH TH SERVICES. LETTER OF AUTHORIZATION RE: Property of CHfZ I S � G' S C H fZ v 606 lz Located at yA l! i? 1 D 6 C D R 1 y 6- (JTV_fu-riJi9Y1? VfilctYTaxMap# �/. C Block 1 Lot 20 -3 Subdivision of "FI r TH MAP a 1�6 i92 I JJ G ITRoo K LA K£ Subdivision Lot # #97 �' '188 Filed Map # 309- I Date Filed S o e- Y I-, 19 y/ cl Gentlemen: This letter is to authorize o -H Y L, C'2 oa 0-J a duly licensed Professional Engineer _,' or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or water supply systems coA€ormity with -the provisi :,off ticle 44-S.and/or--147.of the Education Law,, the.Public: Health = Law, and the Putnam Court _ "de. Countersigned: P.E.,1., # Mailing Address. 7- ' Y . Very truly yours, by LU Signed: (Owner of Property) Sv i Tt 200 2 -I'oHt_j W19Lx" XIouLEVARW PFCK.1 ILc_ State / 60 'C01ZK Zip 10 5-6 6 Telephone: (914 7 3�6- 36 _C,¢ Mailing Address: I 96rtek'4 6. w k'c. State Zip 1 S� Telephone: Form LA -97 FILE COPY Certified Return Receipt sent to: �w Jarivary'5; 2001 •ran ." - • ,... ADJACENT PROPERTY OWNERS: OF: . Chris & Charlene Schroeder Chris & Lana Pateman Oakhdge, Drive Putnam Valley Tax Map #41.5 Sk #1 Lots #2, 3 & 4 Tax Map #41.6 Bk #1 Lot #20 Tax Map #41.5 Bk #1 Lot #21 Tax Map #41.5 Bk #1 Lot #15 Tax Map #41.5 Bk #1 Lot #16 Tax Map #41.5 Bk #1 Lot #17 "Tax-Map #t•41-5 -Bk4l - Lot- #18 - - Tax Map #41.6 Bk #1 Lot #1 Owner's Name & Mailing Address Richard & Joan Bergen 52 Oakridge Drive Putnam Valley, NY 10579 Robert & Rachelle Berne Apt. 10L 3 Washington Square Village New York, NY 10012 K.F. & J.M. Ward 57 Oakridge Drive Putnam Valley, NY 10579 Chandler & Susan Frank 52 Oakridge Drive Putnam Valley, NY 10579 �. -_::John-& Laura Listwan 67 Oakridge Drive .__...... , .... _ . _ s. _ ..... _. Putnam Valley, NY 10579 Robert & Patricia Chesnut 72 Oakridge Drive Putnam Valley, NY 10579 a' I NO ETRA [91 MRMA N I MV I I TT CRONE 'q ENGINEERING P.E., P.C. The Lindy Building; Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 914- 736 -3664 Fax 914 -736 -3693 Adana B. Stiebeling, Assistant ]Public health Engineer Putnam County (Department of Health 1 Geneva Road, Brewster, N.Y. 10509 RE: CHRIS aft CHARLENE SCHROEIDER ®AKRII®GE DRIVE, LOTS 487 & 488 T®d W OF IPIIT NAM VALLEY THESE ARE TRANSMITTED as checked below: January 8, 2000 ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY WE ARE SENDING YOU a tacked 1.) Three copies off subsurface sewage treatment system. plan Three SSTS construction n- pernlit application :.... _.. � _..... 3.) Two sets of house plans 4.) Letter of authorization 5.) Application for approval of plans 6.) Application to construct a water well 7.) Soil data sheet 8.) Short environmental assessment form 11.) List of property owners notified 12.) $300 certified check for application fee The information is provided based on our July 10th joint site inspection and ensuing discussions. Please review at your earliest convenience. Thank you for your assistance in this matter. IBespe tfully submitted, enneth. Murphy ]Project Designer d�'i a Off �gG�04�7Qd CRONIN ENGINEERING P.E., P.C. The Lindy Building; Suite 200 2 John Walsh Bioulov &d Peekskill, NY 10566 914 -736 -3664 Fax 914 - 736 -3693 Adam B. Stiebeling,, Assistant Public Health Engineer Putnam County Department of Health 1 Geneva Road, Brewster, N.Y. 10509 RE: CHRIS SCHROEDER & CHRIS PATEMAN OAKRIDGE DRIVE, LOTS 485, 486, 487 & 488 TOWN OF PUTNAM VALLEY THESE ARE TRANSMITTED as checked below: January 10, 2001 ❑ FOR APPROVAL ❑ FOR YOUR USE /1kAS REQUESTED ❑ FOR REVIEW AND CONAIENT X PLEASE REPLY WE ARE SENDING YOU attached Two $300 certified check for application fees . . A Respectfully submitted, Kenneth M. Murphy Project Designer .._�_ - -�' ®.sue ® - ':o® ®� . ® ®•o ®i� �� ���:� ® ®.__ ..._,',... , ' ® ®. °:. .° • - .. _ ±'� .� y '� ... .. -�1r- � •. + 'e: Tai' Zk Irl lit P. _ _ ',� �.- - -' - `'�,.. • . Vii: .... .: � .�:.. � • • irwe ®_e•� mom. �° ' Z'l Pr ® A� 10/27/00 FRI 12:19 FAX 914" 786 3'693 Cronin Engineering @004 • m 0 alt OWVBWay �. g r o v e � s ti • l { f all f r • • ♦ ♦ • • CD ! f a i • a 1 a . f f4 i a a � o O 1 . I i R - �� so ►� y� 10/27/00 FRI 12:16 FAX 914 736.3693 . CRO1V RN ISd6'G G9 EE G FE PC ne Lindy Building; Suite 200 2 JOHN WALSH BOULEVARD PEEKSM !,1Y 105" (914) 736 -3664 FAX (914) 73 &3693 TO 792/ Cronin Engineering 1A001 E 4ME4 -rF �►NSm�- ,�Rrn� WE ARE SENDING YOU 04ttached Q Under Sr P8Mte eoear eta the fblwnd items: 9 Shop drawings G.-Prints 0 Mans = Samples Cl Specifications 0 Copy of letter 0 Change order THESE ARE TWSMITM as wed br krz C; For. approm _❑ Approved a$ submitted = Re$ub�+it � copies for approval ® For your use p Apps as notes = Submit copies for distribution CI As mugs" ❑ Returned for corrections = Return _corm prim eFFor mview and comment C 0 FOR BIDS DUE 19 = PRIM RETURNED AFTER LOAN TO US RONIN ENGINEERING P.E. P.C. Thetindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York. 10566 Tel. (914)736 -3664 • Fax. (914)736.3693 -. _' March 2, 2001 Adam B. Stiebeling, . Assistant Public Health Engineer Putnam County Department of Health Division of Environmental Services 1 Geneva Road. Brewster, N.Y. 10509 Re: Fill Placement Permit Chris & Charlene Schroeder "5`h Map of Roaring Brook Lake " Oakridge Drive, Lots 487 & 488 Town of Putnam Valley Dear Mr. Stiebeling: Please find enclosed the information requested in your letter dated January and.the ensuing discussions on February 14th 'at your office. , The following items are submitted for your review only: 1.) Revised SSTS. plot plan - 2.) Fill placement plan 3.) Fill section only permit application 4.) Proof of neighbor notification 5.) Survey showing wetland boundary location 60 Survey showing topography 7.) Specific waiver application The required wetlands permit, sealed house plans an d letters of acceptance for combination of two lots with feasibility of proposed driveway access will follow. Please review at your earliest convenience. If there are any questions or if additional information is required please do not hesitate contacting me at the above number. Thank you for your assistance in this matter. Respectfully 'submitted, Kenneth M. Murphy Project Designer 03/15/2001 09:02 9147363693 CRONIN ENGINEERING 1 PAGE 02 MRR 16 2001 0:04AN C 6 L PATEMRM DE:SIGM 914 -332 -5725 P.1 WAD I r9L.�t1{Tp 936 OSCAWANA LAKE ROAD _ .. ... „ _. PUTNAM VALLEY, NEW YORK 10879 TEL. WO) W- =3 Fu X40) W"28 TOWN OF PUTNAM VALLEY Oi HWAY OEPAMENT March 14, 2001 ,rid= B. Stiebling Asst. Pubis Health F.ngiwar ftmarn County Depa tment of 1-lea lth 1 Ccneva Road B"ste¢, New York 10509 Re: Acs Easement from Christopher and Chalcae Schroeder to Christopher, and Lum Paterrm Od idge Drivc, Put= Valley TM6's 41.6 -1 -2 & 3. od 44.5.1 -2Q A Dear Mr. Stiebling: 1 have revietwd the site plan as shown on the Subsu¢face Sewage Treptment System Plan prepared by Cgonia Engineering, P.E., P.C. dated 1601, last revised 2!26!01 which indicates a driveway easement over lots 487 dt 488 providing access to lots 485 & 486. Pleme be advised that this is amble to the Highway lope went providing that it is to be uscd solely for the pu fposes of =:ss to lots 485 8:4K as the Town of Putnam Valley does not gawk the use of ooaxuw n driveways. Futtitmnorc. it should be noted that the proper legsl documentai on iho4d bi• ubriiiited to the Building Dqmtmnt for the ace -ess casement. Very Truly Yours Earl Stnith Deputy Supabrealdeal of Highways HIT AW4M art o wi Ka•j K%;F 1 ;i '} "'•. '� '% e pw#* �9 1,) 7 T6 l ��! �'. :1 !, ir'• / % % /i.•% /. -;; /: �- :'%.�: ," �` ;�.• mss. f� 1f iaj.. ,man �,: ,. :� �; /,; % .•.•� % '•�i-.J %'..� ,.,;�, ti ' •' . � �i 1!��: - _ �•'• .-fi r!� /`, %1''t f � .rl� /. � t Ilder, ��i1Q;:�'/ � l t�- �': !� � p�, x es '• ,, s,� > ,� �. t i uJ -� 2 O t. �F1c� f2tr" I• • eu uN . . 1 �� ti� '.� +� � r t' , �, �� � o.�r s r • � � �o y,�; � T �l W fl I tl�� �-- j f .r \I fJR dim i � 1111` 03 )ORIOR'llill Awe MIND 1 1 - - - _ telbacM lane PIC ' (?s) $P, a:F 25 • dim n_aEM AM -� � � 4 !o• inir� - - _ -. . - -- ' •OtT Of _ _ _ aNnl 6' to SsIg x+a tai dale >*I) ti' ai IN ?f' 6WA wz M. Lots TO fir CAPMV) i -- i N f94l E a 1 Ta NOL, ® • .. .., • ...�;:;.;��'... ...:. -aB4e .- ...- � i .. V � t OLEO ' ��'•�' '� oIEEZ! /0 NOTE 6 OF QETAE( ,vi0 QI •. RI VF All® Oil ,eeme�r) D�4 KRIO GE' D. , , - e � t i r �- FILE COPY Certified Return Receipt sent to: January 5, 2001 ADJACENT PROPERTY OWNERS: OF: Chris & Charlene Schroeder Chris & Lana Pateman Oakridge Drive Putnam Valley Tax Map #41.5 Bk #1 Lots #2, 3 & 4 Tax Map #41.6 Bk #1 Lot #20 Tax Map #41.5 Bk #1 Lot #21 Tax Map #41.5 Bk #1 Lot #15 Tax Map #41.5 Bk #1 Lot #16 Owner's Name & Mailing Address Richard & Joan Bergen 52 Oakridge Drive Putnam Valley, NY 10579 Robert & Rachelle Berne Apt. 10L 3 Washington Square Village New York. NY 10012 K. F. & J. M. Ward 57 Oakridge Drive Putnam Vailey, NY 10579 Tax Map #41.5 Bk #1 Lot #17 Chandler & Susan Frank 63 Oakridge Drive Putnam Valley, NY 10579 Tax Map #41.5 Bk #1 Lot #18 John & Laura Listwan 67 Oakridge Drive Putnam Valley, NY 10579 Tax Map #41.6 Bk #1 Lot #1 Robert & Patricia Chesnut 72 Oakridge Drive Putnam Valley, NY 10579 January 5, 2001 John & Laura Listwan 67 OaMdge Drive Putnam Valley, NY 10579 RE: Chris & Charlene Schroeder Chris & Lana Pateman Oakridge Drive Putnam Valley Tax Map #41.5 Elk #1 Lots #2, 3 & 4 Tax Map #41.6 Bk #1 Lot #20 Sent Certified Return Receipt'" ' 7000 0600 0028 4643 2628 Tax Map #41.5 Bk #1 Lot #18 Dear Mr. & Mrs. Listwan, i Please be advised that an application for a Construction Permit relative to the construction of a sewage system and /or well proposed for the captioned property has been made to the Putnam County Department of Health. Attached please find a copy of the latest site plans. y If you have any questions, concerns or information which may bear on the Health Departments review of this application, you may call the Health Department at (845) 278 -6130 or myself at (914) 736 -3664. Very truly yours, ?Project Engineer .0 ru M Enc. a n Postage 5 t m .v SENDER: ..... ........... I also wish to receive the follow - 1. E D Complete Hems 1 andlor 2 for additional services. Ing services (for an extra fee): I m Complete items 3, 4a, and 4b. a Print your name and address on the reverse of this torn so that we can return this t • O Addressee's Address card to you. 13 Attach this form to the front of the mailpiece, or on the back If space does not 2, O Restricted Delivery m cO permit. Write Retum Receipt Requested' on the mailprece below the article number. t] The Return Receipt will show to whom the article was delivered and the date o delivered, Cat %q3, , 7 9 tr 3. Article Addressed to: 4a. Article Number E G hN l-'fU 44 fj S f '� f} JJ bCeftffied 4b. Service Type v ' V7 7 -K %'I JV, O Registered ZCerfified O Express Mail O Insured Return Receipt for MercMndlsa ❑ COo r1al O Return Receipt for Merchandise ❑ COD Date of Delivery S. Received By: (Print Name) Z v4# A� ressee's Address (Only if requested and o�� 4 stw� 9 ®s mid) �0� 5 6. Signal re d ssee or Agent) N S F 11, December 1994 io2sss ss s Domestic: Return Receipt Oman T I Z' P. �aak He � QQ� rfy) (to be compigled by mailer) I Cu Lol.%U . ......... ..... ........... B /OS7 cnr d.r. ar 41 Article Number 00o Cat %q3, , 7 4b. Service Type a°. ❑ Registered bCeftffied ❑ Express Mail ❑ Insured F❑ Return Receipt for MercMndlsa ❑ COo _e b �scmanc Nae ................. January 5, 2001 Robert & Patricia Chesnut 72 OaMdge Drive Putnam Valley, NY 10579 RE: Chris & Charlene Schroeder Chris & Lana Pateman Oakridge Drive Putnam Valley Tax Map #41.5 Bk #1 Lots #2, 3 & 4 Tax Map #41.6 Bk #1 Lot #20 Dear Mr. & Mrs. Chesnut, Sent-Certified- Rsttifn Receipt 7000 0600 0026 4643 2635 Tax Map #41.6 Bk 91 Lot #1 Please be advised that an application for a Construction Permit relative to the construction of a sewage system and/or well proposed for the captioned property has been made to the Putnam County Department of Health. Attached please find a copy of the latest site plans. If you have any questions, concerns or information which may bear on the Health Departments review of this application, you may call the Health Department at (845) 278 -6130 or myself at (914) 736 -3664. i' Postal Very trul yours, • G ! � • • - - - -- m Kenneth M. Murphy -o Ft; Project Engineer n t 1tr S X Postage $ t� .D Certfed Fee I 6. Signature' (Addigssee or lb I i i. s r37a4-o ti u m IX O Registered kdertlfied ❑ Express Mail ❑ Insured c H ❑ Return Receipt for Merchandise ❑ COD z 7. Date of Delivery � B. Addressee's Address fee is paid) PS Form 3811, December 1994 1025W W8-OM A dy it requested and c m J C P4 lie rk CD 2001 ! --- ltS t d by m ilea) s- 1� .......... . . .. O Registered hided it O Express Mai! Q Insured a ❑ Return Receipt for Merchandise ❑COD fee is paid) �s a and e a 9 i SENDER: I also wish to receive the follow- 0 Complete items t and/or 2 for additional services. ing services (for an extra fee): Complete items 3, 4a, and 4b. a Print your name and address on the reverse of this form so that we can return this taro to you. 1. ❑ Addressee's Address O Attach tfds form to the front of the mailpiece, or on the back if space does not 11 permit. 2. 0 Restricted Delivery 5 13 Write Tetum Receipt Requested' on the mailpiece below the article number. e O The Return Receipt will show to whom the article was delivered and the date o delivered. I J. Article Addressed to: 4a. Article Number I 6. Signature' (Addigssee or lb I i i. s r37a4-o ti u m IX O Registered kdertlfied ❑ Express Mail ❑ Insured c H ❑ Return Receipt for Merchandise ❑ COD z 7. Date of Delivery � B. Addressee's Address fee is paid) PS Form 3811, December 1994 1025W W8-OM A dy it requested and c m J C P4 lie rk CD 2001 ! --- ltS t d by m ilea) s- 1� .......... . . .. O Registered hided it O Express Mai! Q Insured a ❑ Return Receipt for Merchandise ❑COD fee is paid) �s a and e a 9 I r RONIN ENGINEERING P.E. P.C. TEe Undy,Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 10566 Tel. (914) 73636&i •'FZx'(914)7?{1'3699 January 5, 2001 Chandler & Susan Frank 63 Oakridge Drive Putnam Valley, NY 10579 RE: Chris & Charlene Schroeder Chris & Lana Pateman Oakddge Drive Putnam Valley Tax Map #41.5 6k #1 Lois #2, 3 & 4 Tax Map #41.6 Sk #1 Lot #20 Dear Mr. & Mrs. Frank, Sent Certified Return Receipt 7000 0600 0028 4643 2567 Tax Map #41.5 Sk #1 Lot #17 Please be advised that an application for a Construction Permit relative to the construction of a sewage system and/or well proposed for the captioned property has been made to the Putnam `County Department of Health. Attached please find a copy of the latest site plans. ; If you have any questions, concerns .or information which may bear on the Health Departments review of this application, you may call the Health Department at (845) 278 -6130 or myself at (914) 736- -Very truly yours, Kenneth M. Murphy Project Engineer Enc. 0 N) .. - _ . , ... s . m $ 7thPostage e Certified Fee Return / O '+' Im cO Receipt Fee (Endorsement Required) ?• /. 1 ! Here Here ru C3 Restricted Delivery Fee �` C (Endorsement Required) 0 Total Postage & Fees* C3 -a Re /cJ'p' /fit s Name P ss Pnnt Cleaarty) (too oe r�c1ompleted mailer , C3 C3 . ....... .... Stre t, Apt. No.; or PC Box N c':9/9t��5+1..� .......... . ..... OCi ..... ......................... ry, re. lP +4 ,�l�.I.u�- �u �n �m �j dos � PS Form :" ,,, Sew nLvers e for In January 5, 2001 K. F. & J.M. Ward 57 Oakddge Drive Putnam Valley, NY 10579 RE: Chris & Charlene Schroeder Chris & Lana Pateman OaMdge Drive Putnam Valley Tax Map #41.5 Bk #1 Lots #2, 3 & 4 Tax Map #41.6 Bk #1 Lot #20 Dear Mr. & Mrs. Ward, Sent Certified Retum Receipt 7000 0600 0028 4643 2604 Tax Map #41.5 Bk #1 Lot #16 Please be advised that an application for a Construction Permit relative to the constriction of a sewage system and /or well proposed for the captioned property has been made to the Putnam County Department of Health. Attached please find a copy of the latest site plans. If you have any questions, concerns or information which may bear on the Health Departments review of this application, you may call the Health Department at (845) 278 -6130 or myself at (914) 736 -3664. Very truly yours, CERTIFIED - (Domestic Mail Only; No, K M. Murphy / C3 Project Engineer - ru - — s Postage S i - • .Enc._ _..._ ........ °: :< ., camfiieo.Fee Zr Return Receiot Fee (Endorsement Required) e r7J Q Restricted Delivery Fee -- n _ /Fndnnaomenr FL :. •lied) SENDER: a i y 0 Complete items t and/or 2 for additional services. m Complete items 3, 4a, and 4b. 0 Print your name and address on the reverse of this form so that we can return this y card to you. m 0 Attach this forth to the front of the mailpiece, or on the back if space does not m permit. o write 'Return Receipt Requested' on the mailpiece below the article number. C a The Return Receipt will show to whom the article was delivered and the date p delivered. also. wish to receive the follow- ing services (for an extra fee): !Please not Clef 1. 0 Addressee's Address eP 2. 0 Restricted Delivery N + " "�� ' G V 3 3. Article Addressed to: 4 4a. Article Number a T p In LA 0 C ( (q3 4b. Service Type T 0 Registered J JKCertified C 0 Return Receipt for Merchandise 0 0 COD 7. Date of Delivery 5. Received By: (Pri �t NAa�me) B B. Addressee's Address (Only if requested a y..__. _. leted by mailer) e-- ------•-------------•-------- n`.....-•----... p ,� / 9-- . -..--- 4 a da aAde rumor. C tWered and the mro ,P V 4a. Article Number m rs r7ribb 60.1 53; -460 of 4b. Service Type a0 Registered cc z 0 Express Mail Olnsured a ❑ Retum Receipt for Merchandise ❑ COD 0 7 9 7. Date of Delivery A � x C 8. Addressee's Address (only d requested and e 's ^aid l a January 5, 2001 Sent Certified Return Receipt _7 7000 0600 0028 4643 2598 Robert & Rachelle Berne Apt. 10L 3 Washington Square Village New York, NY 10012 RE: Chris & Charlene Schroeder Chris &Lana Pateman Clakridge Drive Putnam Valley Tax Map #41.5 Bk #1 Lots #2, 3 & 4 Tax Map #41.6 Bk #1 Lot #20 Dear Mr. & Mrs. Berne, Tax Map #41.5 Bk #1 Lot #15 Please be advised that an application for a Construction Permit relative to the construction of a sewage system and/or well proposed for the captioned property has been made to the Putnam County Department of Health. Attached please find a copy of the latest site plans. •eol,ueg idleaaa u,nlaa 6utsn,oa noA )jueyl +tions, concerns or information which may bear on the Health of this application, you may call the Health Department at n'o a yself at (914) 736 -3664. O U .22 y . m FZ Postal 02 2 el E 00 � 2 2 CERTIFIED MAIL RECEIPT m y p 9 ❑❑ m ei v� v N O y m N z c C t7' o 0 ru y �-7 y H N • Rt Postrge S.. c O t) N E CL n> H M Certified Fee w 7 m m m d f -. -� P ark Z g � (J 0 - N (r �_ u0 i 2. i Return Receipt Fes �j� E m a N m E d ^ (Endorsement Requved! m a Q N N x to eo v m p Restricted Delivery ree 5 o L w 0 Q r3 (Endorsement Requirec �❑ U ❑ ri eD "V. s c$ ca ^ 2 E nt ii � m o m Q cc .a C Om 4L N (1 a p 9D b m mm�;o ` - CO Q '- 0 0 m CO W mooF ¢gym m � �'"� 13: mttm� BEEra 2 U y C LL WQ '0 U OIL 4 V ¢ to y ❑ ❑ ❑ ❑ ❑ ri L6 v; a Lapis esjeeej eta uo p jnoA sl L-3 Total Postage & Fees O i SENDER -0 Re(c('plergis' Name Pi_assss,,,���m c w m r r o v "v 1� 4 t� ceew4!aM S[ t. Apt. o.;. or PC x Nt CIA t7 Pmt toy r O 3 perms G I C1ty late. ZIP-a� a Write 7bn r` i 0 The PAM 3. Article At,......._ Rom �- Alf- ion. 3 wi9M -1? j 6 IUe v old, dry IUOI,?-- be completed by ........... .- �...,.µ....�sc_..� ..... _.� J iDbl � r)000 0 M 8 e f 4b. service Type ❑ Registered �4rtlfied tr C C3 Express Mall ❑Insured � ❑ Return Receipt for Metcrandise ❑ COD 7. Date of Delivery I. B. Addressee's Address (Only if requested and c 'ee `s :aid) T r January 5, 2001 Richard & Joan Bergen 52 Oakridge Drive Putnam Valley, NY 10579 RE: Chris & Charlene Schroeder Chris & Lana Pateman Oakridge Drive Putnam Valley Tax Map #41.5 Bk #1 Lots #2, 3 & 4 Tax Map #41.6 Bk #1 Lot #20. Dear Mr. & Mrs. Bergen, Sent Certified Return Receipt 7000 0600 0028 4643 2581 Tax Map #41.5 Bk #1 Lot #21 Please be advised that an application for a Construction Permit relative to the construction of a sewage system and /or well proposed for the captioned property has been made to the Putnam County Department of Health. Attached please find a copy of the latest site plans. If you have any questions, concerns or information which may bear on the Health Departments review of this application, you may call the Health Department at (845) 278 -6130 or myself at (914) 736 -3664. T. •ooljueg ldleoaa uanaed 6ulsn jol noA Nuetu cc Ln M - t`lryi`i A , • Certified Fee y�' • r, r,�a tm J Return Recent Fee ; ` i t/ Il ere • r u rU (Endorsement Rewired) ; 1 pL l ''; C-1 y C3 Restricted Delivery Fee O (Endorsement Reaulred) : ) 2001 , • C3 Total Postage & Fees r3 /. —0 Recl'pi s N me rPle se Pvnr Cteanyr rto be ccmoiered by maaen O O Street. Apt. No.: or PO ox No. C3 . -. �c� . d AXtet A --- 1& �-- ............. ( O Crttate� Z1P-a n i N r w P ENDER: p Complete Weis t and ter February 2000 pComplete items 3, ea. _� ._. - Pmd your new and aoftse on me remoras of ft torn so vw we can slum ft C aftarh roan to ma horn of ea m eo ,.4K . or on as evx it epam ON not Addressee's Address . Panr.t. 2. 0 Restricted Delivery 2 write - Retum Asoapt Aepwated' on me below eto amtle nraroer. 7 The Retum Retarpt with crow to wham ea anode was delivered end the date R I 1000..�,kpoo =? 1403, 1 -f- ToA p (,t fU/ 4b. Service Type O Registered lzrcertified �a Off} ' 7 (� �IQ t (r� �+ 0 Express Mail O Insured �7 ny 0 Retum Receipt for Merri andise 0 CAD P(� (1 iA%r1 V rt t / by /Qs r I 7. Date of Delivery and u H O m v • C 0 0 Y P "u1J ELI � `r=i- rtOtJPatI V.i.1 %�'e; ant. �t e • t M11� d pno�pau d N .Ln .ru •. ITT CO �. rU 0 o' u 9 U W w� ZW =o W c�� W Z Z�2J. N .t�mQY w V slc �ZW Z J Z 0 G. r � r 2 • `' w p'Q 4� c i 0 �v j Ur �,QJvvo Q C LL CU z W 06 C (U,, CU c- SENDER: I also wish to receive the v ■Complete name 1 'arWor 2 for additional aervieea. o ■Complete items %4a, and 4b., fopovping services (tor an ■ Pdrd your name and address wi the reverse of this form so that we can return ttde extra fee): m ■� hft form to the hoM or the maloece, or on the back 0 space does nol 1. 0 Addressee's Address 8 o - W t'R.M. Rerae pt Requested' on the maiipieos below the article number. 2. ❑ Restricted Delivery .The Return Receipt wip show to wham the &-tide was delivered and the date delivered. Consult postmaster for tee. 8 ° 4a. Article Number � 3. Article Addressed to: a 4b. Service Type E °u [3 Registered e fled (�Q Q Express Mail [3 Insured p 13 Pufylom Return Receipt for Merdtanc9se ❑COD L`'(j`"(/� 7. Date of Delivery q. 5. Received 8y; (Print Name) 8. Addressee's Address (Only if requested c and lee is paid) r, 6. Signature: (Addressee or Agent) X ITT CO �. rU 0 o' u 9 U W w� ZW =o W c�� W Z Z�2J. N .t�mQY w V slc �ZW Z J Z 0 G. r � r 2 • `' w p'Q 4� c i 0 �v j Ur �,QJvvo Q C LL CU z W 06 C (U,, CU c- SENDER: I also wish to receive the v ■Complete name 1 'arWor 2 for additional aervieea. o ■Complete items %4a, and 4b., fopovping services (tor an ■ Pdrd your name and address wi the reverse of this form so that we can return ttde extra fee): m ■� hft form to the hoM or the maloece, or on the back 0 space does nol 1. 0 Addressee's Address 8 o - W t'R.M. Rerae pt Requested' on the maiipieos below the article number. 2. ❑ Restricted Delivery .The Return Receipt wip show to wham the &-tide was delivered and the date delivered. Consult postmaster for tee. 8 ° 4a. Article Number � 3. Article Addressed to: a 4b. Service Type E °u [3 Registered e fled (�Q Q Express Mail [3 Insured p 13 Pufylom Return Receipt for Merdtanc9se ❑COD L`'(j`"(/� 7. Date of Delivery q. 5. Received 8y; (Print Name) 8. Addressee's Address (Only if requested c and lee is paid) r, 6. Signature: (Addressee or Agent) X .....:,.BRUCE R. FOLEY Public Health Director LORETTA MOLINARI RN., M.S.L.. <.- Associate Public Health Director Director of Patient Services DEPARTMENT OF BEALT14 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 /,"� Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 l!70�° Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 January 30, 2001 Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, NY 10566 Re: Application for Construction Permit Oakridge Drive, TM# 41.6 -1 -2 & 3 Town of Putnam Valley Dear Mr. Murphy: This office has determined that the above referenced Construction Permit application, received by the Department on January 16, 2001 is incomplete. Please be. advised that the following information is required before the Department may commence its review. Documents: 1. Appli tion Form PC -97 requires the following corrections /completions. Item #24, 600 g.p.d. is incorrect based on a 2 bedroom design. omplete Item #28. _a.... r - Complete Item #36: Proof of Neighbor Notification is required pursuant to Putnam County Health Department Bulletin ST -19. 3. Prior to final approval, submitted house plans (2sets) must be completed "Architectural" gsigned and sealed drawings of a 2 bedroom dwelling. Proof of Wetlands Permit or waiver required. Provide copy of survey.showing wetlands boundary location as well as topography. 6. 7. Please submit letter to the Town of Putnam Valley requesting combination of two lots submitted; into one, as shown. Please provide a letter of acceptance /feasibility of proposed driveway access to Lot's #485 and 486 over subject lots from the Town of Putnam Valley Highway Department or Planning/Building Departments. Plan. 1. Toe of slope to be considered "start of system." a. Plan shows toe of fill and grading within zone of influence DLOD keyhole of well on Lot #489. b. Plan shows toe of fill within zone of influence (100'0 ") of well on subject Lot #'s 488 and 487. c. Plan shows toe of fill within zone of influence (100'0 ") of well on Lot # 494. r1 _. January. 30 . . — _ - - - - Page 2 A waiver for the above stated will be required once a complete application is received and formal denial is issued by this office. 2. System components within 100'0" buffer of wetlands . Wetlands Permit on waiver required, Putnam County Health Department Waivers are also require a. Please verify depth of fill. Fill greater than 2'0" requires a fill plan to be submitted. Please specify "pipe" connecting septic tank to pump chamber. Plan states 1000 gallon septic tank, permit application states 1250 gallon tank, as does note on plan. Please clarify. Please specify size of pump chamber on permit applications. 7 Please provide baffled distribution box as required. 8. '- -xpasiarr�fer— €urse_ Additional field testing required in area of proposed expansion. Test hole D3 is not sufficiently representative of area. Please contact this office via RFI -99 to schedule an ins pectio 10. Provi additional erosion control measures in the following areas: Pelow area of proposed SSTS. Around the area of proposed well. c..,Along the northeast side of proposed drive to Lot #'s 485 and 486. .xr Along north property line. 11. Well s shown is not compliant with current Putnam County Health Department policy. Well minimum distance from property line to be 15'.0 ". Well as shown is 10'0" from property lines.. Waiver of this requirement is required. Letter of denial to follow. Notes an etails: Notes- must-be °written,as -noted irrPutnain- Count} Health Department Bnlietirr S- T -1.9,- -_ Appendix C. Notes 1 - 15, fill notes 2 - 5, all/any additional notes to follow. Clarify /specify size of septic tank. See note # 5, plan. ,3°' Distribution box to contain baffle. ,A9. Additional outlet required for future expansion purposes. Outlet to be plugged in box. This office will continue its-review upon receipt of the above mentioned comments. Please feel free to contact this office if any questions arise. ABS:cj encl. RFI -99. PC 797 Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer J 'i. It PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES .APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: CHrZ1 S fj�jD co R CC-Pc -0CH126rOE1-Z. l� i�c�1J� �'S;V�%KL�' Cc�vi2.r. • STaiZ�'1V1���.. ,J�Y IZSg2 2. Name ofproject:,SEw4(t: �fZEA..rm& r-c esre63. LocationoNV: P, `rP4 A 041-C.t Y 4. Design Professional'(�rw-,hoc L. cRodW -13Z' 5. Address:.-�f�� S.-) I rV, 2Jo 6. Drainage Basin: &6KsKiu- No LC,, is -gRooK 2 oN� 1��1 c..th TEL va 7. Type of PrQect: � P��Krri «� ,�, `'• l o S�< _ Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ....................... ............................... Type I _ Exempt ?� Type II Unlisted 9. Is a Draft Environmental Impact Statement (DEIS) required? .....................:. ... 10. Has DEIS been completed and found acceptable by Lead Agency? ............... 11. Name of Lead Agency d14 12. Is this project in an, area under the control of local p`laiiniii�, zoningor oilier Q- officials, ordinances? ......................................................... ............................... 13. If so, have plans been submitted to such authorities? ......... .............................. 14. Has preliminary approval been granted by such authorities? a%k Date granted: IJJ r�lk (16r 15. Type of Sewage Treatment System Discharge ................. surface water X groundwater 16. If surface water discharge, what is the stream class designation? .................... -J J& 17. Waters index number (surface) ........................................... ............................... • �t 18. Is project located near a public water supply system . ................ :..................... N a 19. If yes, name of water supply u �/-} Distance to water supply N !� 20. Is project site near, a public sewage collection or treatment system? ................ a 21. Name of sewage system Distance to sewage system An Pop rh 22. Date test holes observecls.%�,f 16 'Zwo 23. Name of Health Inspector s- rJ8rLr& , i a 6 24. Project design flow (gallons per day) ................................. .............:................. Coo 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... - o 26. Has SPDES A lic pp ation been submitted to local DEC office? ......................... N � C-- nn n-r 2 "� Y 27. Is any portion of this project located within a designated Town or State wetland? Y6-S' 21i, ydetlands..IDNumber... ; ......... - . _..,... - ..��....� . 29. Is Wetlands Permit required? .............................................. .............................:. Has application been made to Town or Local DEC office? ............................... 00 30. Does project require a DEC Stream Disturbance Permit? ND 31. Is or was project site used for agricultural activity involving application. of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ............................ Yes/No l� b 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination. Yes/No Av DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ......................... Ye S 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site ? ............................ /J 6 35. Are any sewage treatment areas in excess of 15% slope? . ....................... ......... , J o 36. Tax Map ID Number ............................. ............................ Map Block Lot 37. Approved plans are to be returned to ..... Applicant_ Design Professional .. NOTE:. AI applrcations or.reviewan . approv.A 6 - a.new:SSTS•toabe locafed" within -�he-NYC Watershed shall --- - '-" be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item I.,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. f. °`L j Yo" I hereby aJfarin, under penalty of perjury, that to the best of my knowledge and belief. False a Class A misdemeanor pursuant to ,Section S SIGNATUq�, & OFFICIAL TITLE, S: i I ;y Q� }!� Mailing Addess: `: ............. C.0 PoVil ell oft is rm is true f`p• - �. v dt are u' ishable as -x r to P . w C 12o N 1 N &NG' /W &—r X. Tp Q' -,NE LirJo`f gull-0 1Nr". SQ , cs 2oa 2 Somme WALS11 grDoLE P25ir S ILL /J.Y 109CC PUTNAA1 COUNT'S DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDIVIDUAL /COMNIERCIA.L SITE INSPECTION FORM SECTION A. GENERAL INFORMATION Name of Project Q Mm �; County Site Location Building construction begun Extent Is property «ithin NYC Watershed? ................. F_� Yes F; to SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. F_� Hilly F_� Rolling teep slope Gentle slope Flat 2. F-I Evidence of wetlands FZKow area subject to flooding F__J Bodies of water Drainage ditches ( Rock outcrops ex-Mo sk. "� 3. Property lines or corners e�`7i` dent ..:.................... ........................:...... Yes io 4.. Do water cou_ses exist on or adjoin the property? ....... F es . F No girl, � 5. Will these affect the design of the sewage system facilities ?............ Yes � No 6. Do watershed regulations 'apply in this development ?.. ............. .......... -F [ No 7 Will extensive grading'be necessary? ................. ............................... Yes F No 8. Will extensive fill be necessary for. SSTS? ......... ............................... es F-1 No .9. Do -fill' exist -N•itluni•the' SSTS area ? ...:.:..:....::..:..:..:..::: 'Yes "' No If yes, what is the condition of the fill? SECTION C. SOIL OBSERVATIONS 10. Appearance of soil: and ravel ' [am F_� Clay F__� Hardpan E '1 ixture 11. Observed from: 0 Borings B cutBackhoe excavations 12. Soil borings /excavations' observed by on 13. Depth to groundwater on �( 14. Depth to mottling y on 15. Are test holes representative of primary & reserve areas.........., .......................... L_,res . L_J No " 16. Soil percolation tests made by on - ~ 17. Soil percolation tests witnessed by on `�--- 2 SECTION D (on back) Form ST -1 SECTION,' D. DRAINAGE :..:�..:. proposed -er diri�--materially alter the natural drainage in this or adjacent areas? ❑Yes ❑ No 19. Will groufldwater or surface drainage require special consideration? ...........:......... ❑ Yes ❑ No 20. Will gullies, ditches, etc., be filled and watercourses be relocated ? .......................... F-1 Yes F1 No SECTION E. REN74.RRS 21. If a common water supply is proposed, has an inspection been made of the existing or proposed source and facilities? ................................ ............................... Yes No Inspection. data 22. Do adjacent wells and /or sewage systems exist? ..................... ............................... ❑ Yes ❑ No 23. Additional comments 24. Site observer /inspector and title 25. Date(s) of observation(s)inspection(s) I TEST PIT PROFILES Hole € _Lot r_ Hole Lot = Hole r Lot r Depth to water � a ,�t Depth to water r Depth to water Depth to mottling Depth to mottling `� -oy Depth to mottlina .... D, e trh .� . to rocklim. ._.._-to roclgimp epf ©� � � mp: G.L. G.L. G.L. 0.5 O °t 0.5 0,1-17,11 T-5 1.0 1.0 2.0 3.0 3.0 9N� 5SL 4.0 4.0 6.0 6.0 7.0 300r,� Zia 7.0_ 8.0 _ 8.0 _ 9.0 'moo �� 9.0- 10.0 . yio lockc 10.0 0.5 0 �f �, (r 1.0 2.0 - 6 M 4.0 5.0 S 6.0 _ko -0. . _T1 8.0 9.0 10.0 i � D i r.� 1 rt 1 rxUr iLr.J ' Hale # Lot # 1'1' Hole # Lot # Hole # Lot r Depth to wa ter Depth to water_ Depth to water Depth to mottling Depth to mottling Depth to mottling _ .. Depth to rock/imp Depth to rock/imp Depth to rock/imp. An 0.5 0 11, 1,0 , ..... 1.0 2.0 to r 3.0 4.0 5.0 3 6.0 7.0 '7z> s� Cf 8.0 9.0 10.0 Hole# Lot # Depth to water G.L. G.L. 1.0 1.0 2.0 (o rt ZJ�� I7 5� 2.0 3.0 4.0 j'Rc(_ 90 << 5.0 G - 6.0 7.0 to 1� 8.0 V- . 9.0 10.0 Hole Lot r Depth to water 3.0 1 ' 4.0 _ 5.0 (� l 6.0 8.0 9.0 10.0 `I Hole # Depth to water Lot # Depth to mottling Depth to mottling Depth to rock/imp. _ Depth to rock/imp. Depth to rock/imp. G.L. G.L. G.L. 0.5 0.5 0.5 1.0 1.0 1.0 2.0 2.0 2.0 3.0 3.0 3.0 4.0 4.0 4.0 5.0 5.0 5.0 6.0 6.0 6.0 7.0 7.0 7.0 8.0 8.0 8.0 M 9.0 9.0 10.0 10.0 10.0 6 P 11.+J l Ill rfCUr 1L.�,J Hole # Lot # Hole # Lot # Hole # Lot # Depth to water Depth to water Depth to water Depth t o mottling Depth to mottling. p _ p g:.... �.. ::- ., - " De th °to mottlin Depth to rock/imp. Depth to rock/imp. Depth to rock/imp. G.L. G.L. G.L. 0.5 0.5 0.5 1.0 1.0 1.0 2.0 2.0 2.0 3.0 3.0 3.0 4.0 4.0 4.0 5.0 5.0 5.0 6.0 6.0 6.0 7.0 7.0 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 10.0 10.0 Hole r Lot r'r Hole # LotIF- Hole # Lot r Depth to water Depth to water Depth to water Depth to mottling Depth to mottling - --. ' °Depth t6 "m6ttlin? Depth to rock/imp. Depth to rock/imp. Depth to rock/imp. G.L. G.L. G.L. 0.5 0:5 0.5 1.0 1.0 1.0 2.0 2.0 2.0 10 3.0 3.0 4.0 4.0 4.0 5.0 5.0 5.0 6.0 6.0 6.0 7.0 7.0 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 10.0 10.0 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS "FOR ' A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: c-H24 S Rt,3D CHA fl LCNC XCHR -6 606-fL l Ma �YtS KLe ccvRT- 's-T-0 fzf tjJLL6' dry! 12Sg2 2. Name of ro ect: , p j SEwAGc,' TREE .fmer- 'rSY:S i wit 3. i Locationo/V: 00-r�-)✓+r\ 'UA zc.t Y 4. Design Professional: -f r%o , K`i L. c (Zod'#J. —TZ� 5. Address: _ �� Z-wD 13 ul Lo i41JC S.� T-V, 2 Jv 6. Drainage Basin: Py6K -rK1Q- Ho zt, W 2 T oN� Wn (,- H ZrLLJ,0 7. Tvpe of Project: _ Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ....................................................... Type I _ Exempt ?c Type II Unlisted 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... ti1c� 10. Has DEIS been com P leted and found acceptable by Lead Agency ?................. '44 11. Name, of Lead Agency . 14 - 12: Is this project in an area u.*ider.the control of local planning; zoning, or_other, .. officials, ordinances? .............' 13. If so, have Plans ,been submitted to such authorities? ........ ............................... ti? a 14. Has preliminary approval been granted by such authorities? a1a Date granted: 1JI & 15. Type of Sewage Treatment System Discharge ....... .......... surface water A- groundwater discharge, what is the stream class designation? ............... tile 16. If surface water d ..... 17. Waters index, number (surface) .................:................::....... ............................... 18. Is project located near a public water supply system? ....................................... a 19. If yes, name of water supply ,u /i4 Distance to water supply N 20. Is project Isite.near a public sewage collection or treatment system? ................ � o 21. Name of sewage `system Distance to sewage system AA 22. Date test holes observed -SJO . Icy 'Zwo 23. Name of Health Inspector s- rlet'EL i "JG 24. Project design flow (gallons per day) .................. ............ ............................... �O O 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?... o 26. Has SPDES Application been submitted to local DEC office? ......................... N 119 Form PC -97 NOTE-All applications. for revievtic..and.approval..of a"new.SSTS- tote- located within -the NYC Watershed shall.- - -- be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item l.,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. ,." r ��tw roR I hereby affirin, under penalty of perjury, that to the best of rosy kno;vledge and belief' False. a Class A misdemeanor pursuant to Section SIGNAT U W & OFFICIAL TITLES: I 7 �rodl,�n of a��'- Mad8 are F1 e 'P. e is rrrs is trade a'. fishable as r jj C fZ0N r NNGi�� s' Mailing , ......... iIro ,0r z DiN r . s -206 ', ; 2 27. Is any portion of this project located within a designated Town or State wetland? Y45S _.28.. Wetlands-ID.Number. ....,. .........................................:..... ................. ............... �- 29. Is Wetlands Permit required? .............................................. ............................... DES Has application been made to Town or Local DEC office? .............. ................... o 30. Does project require a DEC Stream Disturbance'Permit? .. N� 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ............................ Yes/No 6 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination. Yes/No P�v DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ......................... Ye s 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ...................... ........................................... _ N 35. Are any sewage-treatment areas in excess of 15% slope? . ............................... 36. Tax Map ID Number .......................... ..............:................ Map_yJ, 6 Block I Lot 2 3 37. Approved plans are to be returned to ..... Applicant_ Design Professional NOTE-All applications. for revievtic..and.approval..of a"new.SSTS- tote- located within -the NYC Watershed shall.- - -- be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item l.,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. ,." r ��tw roR I hereby affirin, under penalty of perjury, that to the best of rosy kno;vledge and belief' False. a Class A misdemeanor pursuant to Section SIGNAT U W & OFFICIAL TITLES: I 7 �rodl,�n of a��'- Mad8 are F1 e 'P. e is rrrs is trade a'. fishable as r jj C fZ0N r NNGi�� s' Mailing , ......... iIro ,0r z DiN r . s -206 ', ; PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 'asidN -DATA SHEET -- SUBSURFACE SEWAGE'TREATMENT SYSTEM 1# NvNr'Ysu CKI- Kne2- Owner cHrzis cHARLEnj�' SCHQd6 "DzrR Address S o Viu.0 Located at (Street) oA KR 10 E:-�' PR I VE Tax Map Block 1 ot.c 2 3 (indicate nearest cross street) Municipality (7) PL)r,�jAM - V,4LtE Y _ Drainage Basin f tEKSKI Lt. Ha -w G eF c SOIL PERCOLATION TEST DATA Date ofPre- soaking s z Y 1, 2000 Date of Percolation: Test �Z� Z J�0 Hole No. Run No. Time Start - Stop Elapse Time (l'Iin.) De th to Water rom Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch I2� 16 3 3 2 3 5� P2- _..1 _ .'.g. L?-7 °I 1�7 20`' _.3.. . .3 4 .2 `7 5 1 � t 2 3 4 5 INUTES: I. Tests to be repeated at same aeptn untu approximatery equal percolation rates are ootau= a< <ak« percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 i 2 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED_ I.N11-T ES T N0L'ES,7,.:---- DEPTH HOLE NO. 6 HOLE NO. Q Z, HOLE NO. G.L. 0 pzo 0.51 Ego ptj Sig /-Jo Y e- 0 ta th VOVJA -Q*r,1PY LOW1 S1 L-r Y LaA r1l 1.0 1.51 2.0' 2.5' �rL /V MF I- 3.0 G06*11rocry CC/*-1/0,QC-79-,P .3.5 4.0 IVA T6 TZ 4.5' 5.0' 5.51 6.0' ROCK Roc K 6.50 7.01 Sit 7.5 8.0' 9.51 10.0 vjtq-rall 61, C uo-F6 2CD iq 1� d73 Indicate level at which groundwater is encountered tjaJi5 6W c o ci iJr4:5-(2 P1 A AO**L- Indicate level at which mottling is observed /7ok3a' Og-C 6-R VC,0 Indicate level to which water level rises after being encountered ®-T Deep hole observations made by: --rj mo-r1,je i- • cR ant ijj Date '7 a 2 o Design Professional Name: CR6101AJ tWct/JC-C-/Zt�J6: Address: TU6 L1d,0 V Zt,0 4- <'u I'Fl Zoo P496 Signature: 10 V 3 Design Professional's Seal 98 e ESS\ PART II— ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I T11111E8HOLD IN 6 NYCRR, PART 617.177 If rite, Coordinate the review process and uee 11N PULL ELF G l J Yes 5210— I B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCAR, PART 617.61 If No, a negative declaration may be superseded Vsnother Involved agency. Yes C. COULD ACTION RESULT IN ANY ADVERSE EFFECT$ ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten. It lsglbiel C1. Existing air quality, surface or groundwater quality or quantity, not" levels, existing traffic patterns, solid waste production of disposal, potential for eroslon, drainage at flooding problem? Explain briefly: CZ Aesthetic, agricultural, uchaeological, historic, or other natural Of cultural resources; or community or nsighoornood charsctM Explain briefly: 1�0 Cd. Vegetation or fauna, fish, shellfish or wildlife species, slgnlflcant habitats, or threatened a endangered species? Explain briefly. Ca. A community's existing plans or goals as officially adopted, or a change In use of Intensity of use of land or other natural resources? Explain briefly CS. Growth, subsequent development. or related activities likely to be Induced by the proposed action? Explain briefly. Ca, Long term short term, cumulative, at other effects not Identified In C145? Explain Malty. C7. Other impscta onctuding changes In'use of either quantity or type of snergyl? Exotatn brleily. r,, D. is THERE, on IS TH KELY TO IIC CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes If Yes, explain briefly PART 111111— OETERYINATION OF 310NIFICANCE (ro be completed by 'Agency) 1119MUCTM& f=or each adv rse effect Identified above, detectnins whettw It Is subetantlai, larls, Important or othwwtee slgnlft<ewt. Each effect should be assessed In connection with Its (a) setting 0.e. uiban a rurs4; (b) probability of occurring; (c) duratlon; (d) Itreversibllity; (e) geographic scope sib M magnitude. If necessary, add attachments or rat w e nrppoMnp materials. Ensure that explanations contain suffkient detail to show that all relWAM 011VO M Impacts haw been Identltied and adequately addr«sed. ❑ Oleck this box If you hays identified one or more potentially large or significant adverse Impacts which MAY ur. Th en proceed dlreclly to the FULL EAF andior prepare a poalttw Declaration. Ctleck this box If you have -detemllned, based on the Information and analysts abode and any supporting umentatlon, that the proposed action WILL NOT result In any significant adverse elnvironmontat Impacts AND provide o attachments " necessary, the reasons supporting this detenMnatk n: 7-1\j Co. V = i r9tii'4 Name 01 Load AROK9 Film 1pO IY aM or espon Ker In l Asencv ,6 f, ,7y N C ,7 ,mature oi It Officer in-Lescr i r 'Future of PhilIfam (If 4ifferara from owsponskle ottkerl ate u•r, 2 aECr LQ Nu�et�ER SEOR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM) For UNUSTED ACTIONS Only PART I ®PROJECT INFORMATION (To be completed by Applicant or Project sponso4 1. APPLICANT )SPONSOR 2. PROJECT NAME c jt- rREp�r��n�T s�srE r ►S C AjZLC 3. PROJECT LOCATION: Munlapallly -TO W,0 6F 09U TPAM Z 46'Y County a 'Tip tq rh .4. PRECISE LOCATION (SUM addreos and road Intersections. W mimmt landmarks, otc' of prorldo map) RPf'1Zok/MA � LLB 3o�s ' o,'j ^ 3#65- 6i-7,rT If/0 - o f -ova- o� 0IgKI?10Ce 4921V6"- It the action Is In the Coastal Area, and you art B state agency, complete the Coastal Assessment Forth before pmeoeding with this assossmonf .. OVER 9 S. IS PROPOSED ACTION: ,gNotr 0 ExWBlan 0 ModlficatlaNWtaratlon e. DESCRIBE PROJECT BRIEFLY: CZ) N s i- p- O G (1 d hi or a so-36-ter rAr'? 1 L Y 2ESi`0613CC: / S6- WA Sea T^REzrj-M61jT S YS'`C tj 141jo /9 j�Rl LC��o W6 L OfJ A, I PCIZC 10i'a R cC L 6F LtqiJv 7. AMOUNT OF LAND D: AFFECTE I.16 Inplally acres UtIlmateh Q. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? XYac 0 No It No, deoctltte W%ft ©. WHAT 18 PRESENT LAND USE IN VICINrTY OF PROJECT7 ,VRaolDanOW 0 lMwtrtal 0 Commem1W 0 Agriculture 0 PWWFWWUOpsn spaea 0 Omar DC=tb ....... �. ...... ... _ .. .. .. .. .. 90. ODES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? XYam 0 No If yea list agwcy(s) and psrmitlapprovalo 0 .SCPOGLS. 7Rc'!q Tnc-� S`t'- ('TL�i'�t ' WATwit SvPPI-y- /-C,oy 99. DOES ANY ASPECT OF THE ACnC:! HAVE A CURAENTLY ;VAUD PERMIT OR APFMVAL? O Yea RN® If yr , Ilat agency now and permltlapporal U. AS A RESULT. PROPOSED ACTION MILL EXISTING PERMITIAPPROVAL REQUIRE M0004CATIM 0 Yea FrIft. 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE 18 TRUE TO THE BEST OF MY KNOWLEDGE Ap®IleanQQ;'Mb name: C 0 �!J 6,-J 62lJ6 -6-12 1.*J 6 Date: �% Slgnaturcc It the action Is In the Coastal Area, and you art B state agency, complete the Coastal Assessment Forth before pmeoeding with this assossmonf .. OVER 9 SURVEY OF PROPERTY PREPARED FOR ! SCHROEVER I RISTOPYE CIIA)?LENE SCffR0,9DE)?, PROPER T Y SI TUA TE IN TOWN OF P UTNAM VALLEY" COUNTY OF PUTNAM STA TE OF NEW YORK SCALE 1 " = 30' DA TE.- SEP TEMBER 19, 2000 PROPOSED IMPROVEMENTS ADDED: AUGUST 24, 2001 UPDA TED TO SHOW FOUNDA TION. OCTOBER 31, 2001 N. gs noted and limited below, on /y to: OPHER & CHARLENE SCHROEDER 7LE SERVICES, INC. ( Title No. CE0-01 -7591 ) =PUBLIC NATIONAL 777LE INSURANCE COMPANY MORTGAGE CORP., ITS SUCCESSORS AND /OR ASSIGNS m7r:s seal. sionoture and ony certification oppeoring hereon { { LOT 472 (7) CO h b [. O M .. w c � O L J � a r0l) o i-0 �o }e U 1 1 pole N 1_ 0" E ' b b I /I I 4 0��5 % 1 90C 00 / nES FNO 1 R RD 11L All? A0j0 1NI 4 10.24' r. 200.01 1 12 Lul 221.29' 9'4 30„ 19-49'30" S C 0 AL AL A ; � o O flo99ed ----------- AL ;! AL C14 AS LOT 487 A' LOT 488 I wood retoinin9 wall — 1 6a9. JrouJ� cprt� Fau+o� non a, 60.9' n i Io b [. O M .. w c � O L J � a r0l) o i-0 �o }e U 1 1 pole N 1_ 0" E ' b b I /I I 4 0��5 % 1 90C 00 / nES FNO 1 R RD 11L All? A0j0 1NI 4 10.24' r. 200.01 1 12 ul W. .' LQ 487 1Pi 4$8 lore 5Q 555 SF F. Acres` ' e A2 Al �.. A3 ,RS ._ 99egq -4 3r V l � T. 6l'� \1 S ea� r Apr `}� 'ywallpn0s e ftl1717N0'ORA1N (Tlf°J . ' .RVW- 'LEAOER-(PP} exist well '7 %. larpfM by SaNe}af �� 6001 � 11LF. -4 0 CAST A �N P)-s5"GENDS • - SQa� °e� ,�.�p yj, / 1150 CALLCA .. - Al010( ND KSVAL ALAAN. cd: wdr '. ` �' r, 'i +� ego °°• '2CMF s a, FiW Pte P/PE' • lEM7S'saRE GPPC'DJ., r . 1tg. '�-' 4 e `� �•'\. `` ,. e° a .� o •.. B °jnsr4' �! IAfPERYJUUS,$OL9lDARY t J'.i Ae pO°�tp AT LOwfA END' AREA OF 14 h6i (dAAO�.Mt { ia�' yh SY�.. i �. ♦ t ° ° °� ° S . 100 x£.1FANS/ONAR£A — ^�_ ,m,i F•t{ O) -a�Ji r .^--- }qy�?/` Et fORCf UN£ t / yE7+'i�Y � f r p�y"T�cS ANA, -' . t�rb -.0 I 'tF -i6 AGu.*_ �•yntltN+ PAS• 90 LBOw DOW✓' ;/ ._v�4 to" . d• i 8 et '2W . IRA AE .o/ � Pap } retak �pG ----- �A MACK• . wvf chamber as \ . loc&f d by sun,)— d \ \ t III s4 S- -EAU /L. T SE WAGE TREA TMEN T SYStEM SCALE: E: 1 " _ .30 F% SUBSUI DISTANa -S TO. ..A B ENO OF 1ST, • 7RETV[7J' 62.5' 85;- ' END OF 2ND. TREmcn- ; . 57`' BT. ` ; END OF 3RD.' TRFVO! 51:5' '64.5' • END CS 4TH .1RrN& ,',. . 46' 59'. ENO OF 57H..TRMOi 41' 67.5 END OF d rX 1RENOV- 35.5' 63" END OF 77H. 7RE7Vpi'. � .• 3Ct 5.' S9` :' END OF -8771, :TRENC7/ 26.5' .. 56,'-.. DISTANLfS TO SrA)?.T OF S$-7 ..A B STARr OF 1ST. 7RENp1 73' . ` 76` START, OF 2ND WNCH :68' 7O' START OF ,M 1RENOf . 63' :.. '64.5' • SrgRr OF 41Y . n?DVa1 59' . 59'. START OF 5TH.:TRENOi $$' 53.'5' START OF, 6TH. WAICY ' 52 -' 48.5' START OF 7TH. MENM .- 49' 43' ' STARr OF 6Th 7AENCH 46 5' .. CONSIS7S C PERFORA M K.R.F. 577E 53 WOOD'D HOPLEWELL tW? PRIVATE HE W RAMN AN 152 BARGER PU77VAU VAE • . A,' cz `1 ae 2 .9M EM WAS MDT)F7ED PMR. -4O S7AR77NC. Ib;Nr1C ANQ' 1?J R TO &AGXfILLNG 7HLU2{ZED'gL7EXAn0+vs 0R .aoerncaVS r0: errs Q,aA�sTyc rs Al IOOLAnON LJF S£CjK,6V;i2091(2)`.'OF 7NE NEiY YORK STATE• EoivcanoN tA� •� • 4 24 _ TO 2a OF BAAwm .' AREAiPRI� TO�CONSIRU[ • OF ALL ORGAIVIGLA/A1�YA1 A' SrXI PERCOLAnON RA S LOTSANOW fffREL2r ARE . RCR4R/NC BROLYI LAKE" • S 8 HOUSE AND MfU',LOCAna -ANO,.. P�PAR£O B GAVE AgaQ ??TYPREPARED fYJtl?:4 — 1150 GALLW PUMP CHAMBER MD1 X 1TJPWA AC. 9P40 PUMP O? EQUAL CV l YQ:GRAUEZ. ;WAS'PLACM'1N n?E4newT SS7S BAIJICRLgV %S•CLEAN ANO -FREE ME ROMS- BANKRUN DOES HM S,7HAN 5'81/NU7ES PER /NCH'CRO. )!4N CN A MAP M7 F,TH AA ,OF, nLE0 /Nr'77lE PY%7NAAT C�1NTY CLERKS RESPECT 70 PROPERTY LINES WAS SURICM BUR► YINC :P -C En7 IMM SURVEY OF �NfR'SDE74 R: °LY,'ARLENE'SCIrROEDER...' On 7, rw :3/14/1001 .PUMP DATA .,. 7250 CAL PlINP `prAA/8ER . rN9DE`<vraEnrsrLSU 4 s,' x s -8' °. PUA/P::QN '4Bi' ' PtGiIQ::OfF :50.172' ORAW .. 4 DOSE`. .720 CALLQNS . PUA/P•; H?11RANATlC SP40•'PUNP . ..��— CMS AVG 4A 7EP 5ZRVCr . TANK DISTANG"S . A-' 8 C Si'PT/C TAi�c' 119.5' M M .TT 26' PtlA P Cr AereEie O 27.5` ' 33 5' 01 0R 70V BOx 76 74:5' J �LJ. ,W ' A 1 ,'B, �•b! 166.5; 119.5' M M �LJ. ,W ' J Z a 0 M M ' W`:.N 1' NCH . O '11J' j �m J . Z. WYp In Z J. y d �J;Ir'tJ Z, ip ' �LJ. ,W ' J Z a 0 X; O.W ' W`:.N 1' NCH . '11J' j 4 'a J . Z J. •AND pV7NA CD.. DEPT OF HEAL TN I U :EON CONCRETE S €PiC TANK 200E .-4 0 _fX1SWG BELL LOCA7RAV AS Sb?KYED ... :TAX NAP� � •,•r, BY�&07ZER LAMP S, PWiMlG P.G .. (stf RorE'4s) ShCTlLSN•, 41.6 BLOQr 1 ' •OT 2 SU&OTS' 48'& 489 ' ., A4ANN KAlSIr; CFJET,7ffd. -TCJ NEW DAYpR Y74 %C PREP Ir TE J/iJJi1P i h, �:KSii ('",Lf.� • S JOAn`R70£•L2WC ..; i ' LAj� .�"'U7U104' CHUCJ(PATL�lA �c P 2 v N` O >cofer =r ,IL J TREATMENT SYSTEM J. ,IL "WAGE'. TREATMENT SYSTEM •AND pV7NA CD.. DEPT OF HEAL TN I U :EON CONCRETE S €PiC TANK 200E .-4 0 24" GRAVEL TRENCH IN 24''• MIN. , OF BANKRUN 1 Q�JA1 -dt -oI Jk k ru %nam County Department Or nealtn INC. CHRIS & CHARLENE 'SCHROEDER - oivieion of Eqvjronmental Health Service: 0 , 14 HONEYSUCKLE COURT' ipproved.as noted for conformance with n , 12533 STORMI//LLE N. Y. 12582.. ,applioabls Rules and Regulations of the g, - .. - .. 6fri4 iER S'M. + sli. Depar tmea' . U --...... PEEKSKILL HOLLOW CREEK L It