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HomeMy WebLinkAbout2266DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.06 -2 -42 02266 ., i 0 T. , . yti i�� J r ti , 02266 i� hr w is �.; r s _z { F.;, t.• z'. '� f {.�4; s, i -� rc. ,:- tA PUTNAM COUNTY DEPARTMENT OF HEALTH , Rev 3/86 �p µDivision of Environmental Iiealtlt Se`rvlces Ceimel N Y.' 10512 e r �,' on CERT�I CONSTRUCTION .`PERMIT;F SEWAGE DISPOSAL SYSTEM, 4i *. Permit N =, , Put, Eir.ch' Road t Zake Store Drive Toy; . , Roara.ng•. ro.o :>,. 7 Sabdiylslon Name;, Sabd Lot N - Tax Mep _ , Bli f_ ` °J. Micheal Dolan. Renewal -° ;Owner /Applicant Name � * %9 Oak ,Ridge Drive Putnam Vagey Date of P vtons Approval a ,blauhtg'Ada,reee ., j j Town P.�t� am Val: Y k Mod 441arx t-F k5 tE.. t r .t AeU 4 Bsdlding sType µsr Lof' Area ' Fi� Sectlon Only r �O R 4 ,Nmnbe'of Bedrooms �� � `� 1)eeiga Flow G /P /D � � ° PCHDNotifcatlonlei t F- f ,� f f�_. "Separate Sewerage Systemao conelef of 100 on Septic Tank and ' ��00 �F Of iZ4il To be conshvcted rd. Gragert r Aaareea0 wana I+akeR� r sca Water SaPPI] Public Supply From µ t Address or= X Private Sup ly D ed by A21der'son Vel ddreea :Barger ,StretE j$ o raven ` zn place .min o Other Requirements F ` 2 oa f n f thed ro Osed ste Q I, represent that i, "am wholly and completely °iesponsiD le or the "design uric locat�o o .,p p sy �s� 1iC 'above described will be'conitructed�,asshown "on theiDProved amendment theri to andinticcordahce . w ith0� :d County''- +Department of Health `and that on completion thereof a Cedtif�cate of Construction Comp' cti bo= submitted to; the Department :'and a written guarantee wilt` be furnished the" owner his succissdrs r a - ••place`in good.operatmg.cond tion °any 'part'ot SaiG,sewage'°disposal systemdunng they periodto}Avo,j£;i _ ,. ante of, -tn a. appioval of'ftne Certif+cate of +ConsVuction Compliance .of the or�gmal system orah .r�.i sal t� will be located of shown on the approved plan and that said well_will be installed in accord` ce� wit:h,, t ndai .County "DePe$tlgerlttOt h 1987" ti� { ��t716 s� �j Date ' r 2, S ea `Z INorthrx'�g ,., • Ada =ess - _ o APPROVED FOR CONSTRUCTION This�approval;exp�res one year from the date issued untessy con 'revocable for ,caii3e or may be amended or mod�fiedwhenconsidered necessary: -by the'Commissiorier o requ+res.,a nowr,perm�t Approved_ for disposal of domesLC sanitary sewage and /or private water supply — lw* w: ` Date s.v.�Y Iiptovide.Permlt tY )P COMPLIANCE alley {T)� y ;uh�e .18 -�_ Lot loo o 10579; ti* 1 , 1 2+ S > r •a w � F x; IWhen Fill is completed C �tnam Valey, NY �tnam Valhey, ,:NY 1057 s Pro o ins is rite- sewage.'disposal system O u a ions,o o u nam -' A `missioner p( Health will I('ahat said' builder will owitiq thedete'ot the issu n I well described above i ►, pans of the Putnam i ense tvo r` �+ a s a i�jrMs been undertaken andI 1 ' r,-alteration of construction w r + PflTER C AIEXANOERSQN County Executive Mr. John Romeo 1 jlorthridge Road Peekskill, NY 10566 DEPAR ► N ENT OF HEALTH Division Of Environmental Health Services 1-10 Old Route Six C =zcer, Carmel. New York 10512 (914) 225-3310 - September.20, 1989 Rte: Construction Permit - Dolan Birch Road & Lake Shore Drive (T) PV TM #7 -3 -18 LN10 L C-AaRUTH.. M.P.4. Pualic Heartn =i's, ,CNN 'CARE I-1 -t_ P.S. C:rac-.ar Dear Sir Review of my files 1ndiCates no activity on the above CaGtiane' d project fur sC'me time. . Pie= se..advj,.qa.:tchq:...wr..iter as to the status -•of this- projec without delay:* Failure to receive a response by October 16,1989 will result in the file-being returned to you, DISAPPROVED. Very truly_ yours, Larry W. Werper Assistant Public Health Engineer LW /jp _ cc: Owner:J. Michael Dolan 49 Oak Ridge Drive Putnam Valley, NY 1.0579 PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 December 22, 1987 Mr. John Romeo 1 Northridge Road Peekskill, New York 10566 Proposed SSDS Dolan Birch Road & Lake Shore Dr. (T) Putnam Valley TM #7 -3 -18 Dear Mr. Romeo: JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL, Jr., P.E. Director Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: The proposed SSDS area is not acceptable for the following reasons: 1. -- Water. ,at.1. foot -_in- deep hole 5. _._.. _- ..... -... 2. Standing water " in* proposed SSDS` 'area': 3. Proposed SSDS is within 100 feet of a wetland as determined during my field inspection of 12/21/87. If revised plans are submitted the wetland boundary is to be shown. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, Robert Morris Sr. Environmental Health Technician RM/jp DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. .J. Micheal Dolan address 4.9 0ak'� Ridge' Drive. Putnam Valley, NY Located at (Street) Birch . Rd, &bake Shore Dr... Sec. 7 Block 3 Lot 18 (indicate nearest cross street) Putnam Valley Municipality Watershed Peekskill SOIL PERCOLATION TEST DATA RDQUII2ED TO BE SUBMITTED WITH APPLICATIONS Date of Pre- Soaking Aug 17.9 1987 Date of Percolation Test Aug 18, 1987 HOLE 11:11 7 16.50 1950 3,00 NUMSM ClaM TIME 11 & 27 PERCOLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches - (1) 1 11x01 11:06 5 16.00 lg000 3,00 1067 11 :10 11 :17 7 16000 19000 3000 2033 2 lls20 11&28 8 16.00 19.00 3,00 2067 3 4 11 :32 11s40 8 16000 19000 3000 2067 5 (2) 1 lls04 11:11 7 16.50 1950 3,00 2033 1 & 18 2 1 11 & 27 F _9 16.0 5C...1g.3 -0 .. .. 30 00....._ ..... _ 30 00° : _....,._ ._ ....._. _..._.._ 3 11 :34 lls43 9 16.50 19050 3000 3000 4 5 1 2 3 4 5 NOTES: 1. Tests to be repeated'at same depth until ai'ppricxubmtely equal soil rates are obtained at each percolation test hole. All data to'be submitted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION Pere DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES . d. e e p DEPTH 1 G.L. Topsoil Topsoil Topsoil Topsoil Topsoil Topsoil 1, sandymgravel sandygravel sandy sandy sandy sandy gravel gravel gravel 2' 3' 5' 6' y 7' 8' 10' . 12, 13' 14! INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED None INDICATE LEVEL TO WHICH 4ATER LEVEL RISES AFTER BEING ENCOUNTERED None DEEP HOLE OBSERVATIONS MADE BY: Carmine LaPine (J Romeo) Dom: August 179 87 0_ - DESIGN -- - SOOOSF + Soil Rate Used 7 Min /1" Drop: S.D. Usable Area Provided No. of Bedrooms 3 Septic Tank Capacity 1000 gals. Type Masonry Absorption Area Provided By 300 L.F. x 24" width trench Other m • • Name John S. Romeo Signature 1 Pio thr ' d e Ro d e b Address r z g a SEAL Peekskill, N.Y. 10566 e Jf 27BA�' 01 IMP O iC THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: •.,,,,o« Soil Rate Approved sq.ft /gal. Checked by Date COUN'T'Y DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES 1 \ (Name o Owner) (Street Lc D Tz BY: DOCUMENTS Permit An Corporate Resolution Plans - Three sets Engineers Authorizaticn Design Data She--t (DC.S) Deep Hole Log Consistent Pe.-'c Results Perc Hole DeOth i s/s SUBD?ti%� ICN I Perc (3) Fill - ca Souse Plans - Two sets Well pe-rmit; P' S letter VariaUce Reques-It- GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Tcwn /DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DETAILS ON PLA ,,S Sewage System Plan - (north arrow) Sewage Systern Hydraulic Profile - .Gravity Flcw Fill Profile & Dimensions - Voltme D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Ser�Vice Line if over Construction Notes Design Data: perc and deep results Two -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter,Cur'� in Drains' (discharge OK) - Perc & Deep roles Located Representative of primary an---- ex --arsi cn Expansion A.re7.;shcw-n;gravity f'_cw,su= size If Pounced Pit & D Box Show: � Detai l House - No. of' Bedroans Wells & SSDS's Win 200 ft. c= Propcsed Svst_..E Property Rtes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 "0; "_'- --e pipe No Bend--,; Max. -15 -nds 4 ^ c w :--Ie .Out SEPARATION DISTti' -S - CN PL, `+ Fields 10' to P.L., Drive a %,, Z;�-.r, Tr =_, _ 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (ic. 15' to Drains -Cur Z n, Le---der, Footing 35't0 catch basin, wat_rc^ -1— 10' to Water Line (pits -20') 50' inte_m- mi.ttent drainace course Septic Tanks 10' fran Foundation; 50' to will 15' Well to PL a. r DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 _.__._- .APPLICATION. TO .CONSTRUCT A WATER WELL PCHD PERMIT 4 WELL LOCATION Street Address Birch Rd, & lake Town/Village/City Tax Grid Number Shore Dr. Putnam Valley 7 -3 -18 WELL OWNER Name J Michael Dolan Address JpPrivate 49 Oakrid,ge drive Putnam Valley p public USE OF WELL 1 - primary 2 - secondary 19 RESIDENTIAL O BUSINESS ❑ INDUSTRIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP D ABANDONED O FARM O TEST /OBSERVATION ❑ OTHER (specify ❑ INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 4 /EST. OF DAILY USAGE600 gal REASON FOR DRILLING ®NEW SUPPLY ❑PROVIDE ADDITIONAL SUPPLY OTEST /OBSERVATION ❑REPLACE EXISTING SUPPLY ❑DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE DRILLED DRIVEN DDUG GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Roaring BrooX 171ap Lot No. fD WATER WELL CONTRACTOR: Name Anderson Well Drillers Addressi3arger St Putnam Valley IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: - TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: None LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED None OON REAR OF THIS APPLICATION ON WSA T E SHE T Sept 29, 1987 � (date) ✓ (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health:,Department attached to this permit. 3. Submit a Well , Completion Report on a form provided by the Putnam County Health Department. Date of Issue: Date of Expiration: Permit is Non - Transferrable 8/86 19 19 Permit Issuing Official PUTNAM COUNTY DEPARTMENT OF HEALTH Date August 5, 1987 Re: Property of J. Michael Dolan Located at Birch Road. and, Lake Shore Drive (T) Putnam Val ley Section 7 Block 3 Lot 18 Subdivision of Roaring Brook Map 2 296 308E 1946 Subdv. Lot # Filed Map # Date Gentlemen: John S. Romeo This letter is to authorize a duly licensed professional engineer (X) or registered architect (Indicate) to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in c'onhec`t'ion--with"- -th: s "matter' and' t'o-supervi'so�- the nor struetion-of said system or systems in conformity with the provisions of Article 145 or 147, Education Law,. the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed Countersigned: - Owner of Property p. E. xJM # 27846 Address 1 Northridge Road, o AddrePe Town ekskilloNY 10566o'��c�o`, �� `0 r9 1141-� 737 -1056 ° elephone Telephone oo.e°oo 1 . 13` -1" VO'-2` 12-9 10" • �" � -6 °WIDE x 7" DEEP , -2 GIRDER POCKETS + u i r T —1 C4. CONCRE TE SLAB I R.EINF. AS RE'p' D. ,� -i + -{� R FOGTING TYP. FRbSTWALL AS RGgUIRED ANCNOR BOLTS !o `- O. C.'• 4" FROM OUT51PE EDGE MIN. 10' GONG. WALL � I OR- : TO LOCAL CODES 1 SEE 5NT. A CO L i J t— L J 2G'- 0" DROP W&LL TO BELOW COW- FLOOR _ b -O 110^ PEEP ' AT 5ASEMENT POM OPENING 3 - $ KWIMNE Y 5EE 6HT. A -1 --, i IFOOrING1 I I k SL L 1 J L 1 J MIN. ZG CONTINUOIb I C• WALL FOOTINC.(tYP.) 2817 2817 — — — , �• 10-0 � ,. � 10�-0�• j. ii i. FOUNDATION PI-AN ... .. is I: , I r i . i. +! t i I , Z I 210 =O" F z '1 �i .1r j. •, � 12Tt : _ I �IVIMG RbON( I 1 uP �' I Did i`1TizQ?nn 2-(0 8 S,.tMME�2 P31 P 2-Gnxa SUMSAEQ V �A'M P33 BE{s,M �i Ic-'- 91Z G -44 $OVd CcOfop— SIMP.SON M1lrVZVI1J" 1JIAiLViN Y Y I 2432 9-"q- CLOSET 5 /oY �wg Y O O 4' 12 BN N CL_. NIP�ST�R E-EJiR�UI�I . a- • _ I. �"'� 12 -e> sxyLid, Rr SITTi^lG R,OIDM � 11' -1O �C -SL_1 1 ILL' 1 I SF+Ep D�RM�R SECOND �L.�O12, PLAN 10 r 114— Ile, 14 Ml .1 tq Ilk- 6 DESIGNED 8 SUPERVISED BY JOHN' S. ROMEO, PC. CONSULTING ENGINEERS I NORTHRIDGE ROAD 13//c A P'PN Lo 4 61-1, BEDROOM HOUSE SOILS RATE /o o- GAL. TANK 74 L 2- 1 0 Vfi-,L /. U' -t-v N 2- 4 s*. '2 C! x V 1� - Aj;" SEPTIC SYSTEM FOR J. WICNAEL DOLPH TOWN OF PU74AI') v A I- 1. f-'l ,Pt/-rH M COUNTY,