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HomeMy WebLinkAbout2287DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.09 -1 -4 BOX 20 i,yL .. ,- wall. oil or 1 kP all A 02287 r5 .� ": -) nbi:vkSYi'tlA� 4 `� As 1 .. Y ru11v'AM"COVNTY" DEPARTMENT OF _HEALTH Permit o Division of Environmental Health Services,' Carmel_ N Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley. T - Town or iilage Lake Shore Drive p. aleck t Lot t Located. at Tax Map Roaring Brook 3081 2 - Subdivision Subd. Lot - ii -_ • R� @waL:= ""Acr3ision Winer /�daeas.:�.CarmnQ.11aRg —_ f. .a� DateOf Previous Approval 1'Story Frame. r 000 SF Building Type Lot Area 35 Fill Section only❑ - Number of Bedrooms 3 Design Flow G /P /D 600g'• d P.C. N. D. Notification Required Separate Sewerage System to consist of 1000 Gal. Septic Tank and 60 LF of 4x4'-,Galleries To be constructed. by Howard Gragert Address . 0scawana Lake Road Water Supply: r,. Public Supply From Putnam `Valley, 'NY . X Private Supply to be drilled by Andersr� 'h ' Well .Drillers Address Barger' Street Putnam Valey, NY 10579 Other Requirements Domestic Use On?,y I represent that I am wholly and completely responsible for the design and location of the proposed above described will be constructed as shown on the approved amendment there to and in.accordanr* County Department of Health, and that on completion thereof a "Certificate of Constructio q� be submitted to the Department, and a written guarantee will be furnished the owner, hi place in good operating condition any part of said sewage disposal system during the peQgl ance of the approval of the Certificate of Construction Compliance of the original syst will be located as shown on the approved plan and that said well will be'installed in accordar� i County Department of Health. Date Signed a. Address 1 - p10it„-13 /�-va 6" � - APPROVED FOR CONSTRUCTION: This approval expires ne.year from the date issued uh16i 4zi revocable for cause or ,may be amended Or modified when co Sitl d nece ry by the Commissipm requires a n iy, rove for disposal of domestic sanita -page, e,. an or private wCtel Da 2 6 By Rev. 9 -81 that the separate sewage disposal system a rules an regula ions o the eugnarn Xo the Commissioner of Health will the builder, that said builder will i8tely following the date of the issu- the drilled well described above r e'mt regu al-i o of the Putnam P.E. R.A. License No. ell uilding has been undertaken and is change or alteration of construction Title PUTNAM COUNTY.DEPARTMENT OF HEALTH Rev.:- 3186 Divialon of Environmental Health Services, Carmel, N.Y. 10512 Engineer Must Provide j yt/ f P C H D. Permit q Fu n ° in e CEWMC OF CONSTRUCTION COMPLIANCE FOR,SEWAGE•DISPOSAL SYST]E1VY'v 'Lake Shore Drive 10 Town or vivafe 10 Located at Tax MAP Block Lot Owner /applicant Name Mike Mo c uls k i . Formerly Same Subdivision Name Roar Br Subdv. Lot # 462 141 Lake Shore Dr Putnam al ey NY Mailing Address P- Date Permit Issued Separate Sewerage System built by Roger Maves Const Ad,�as Brothers Road. Poughquag 1 1000 88 LrF of 4 x 4 Galleries Consisting of Gallon Septic Tank and 12 ft cc Water Supply: Public Supply From Address 1 1 ng Address Putnam Ave r eW s e r ,. v or: Private Supply Drilled by Yes NIo .0 ar Building Type Has Erosion Control Been Completed? RFD- Number of Bedrooms Has Garbage Grinder Been Inst� ®O�tp�® Other Requirements None I certify that the system(s) as listed serving the above premises were cow sacs+ of which are attached), and in accordance with the standards, rules and �qu Putnam County Department Of Health. r, Oct 30, 1988 C r Mier{ a Date �Ir1e1 — a '.:;, 1 Nor Address dr Any person occupying premises served by the above systems) shall promptly ke ct? conditions resulting from such usage. Approval of the separate sewerage 1 available and the approval of the private water supply shall become null and vo subject to modification Or change when, in the Judgment of the Commission r Date —f on the plans of the completed work ( copies the filed plan, and the permit issued by the s ,l. P.E.,(•8�O a License No, / r be necessary to secure the corroction of any unsanitary and void as coon as a pubs: sanitary sower becomes ftar supply boCOmes available. Such approvals are �vocat)dh, modification or change is no Y. �(E /fJ /%xOt Title PUTNAM COUNTY DEPARTMENT OF HEALTH. Division of Environmental Health Services. Carmel, N.Y. 10511 Engineer to Provide Permit M. on CERTIFICATE OF COMPLIANCE „CONSTRU ON FOR SEWAGE DISPOSAL SYSTEM Permit Putnam_ 'Valley i MhF ti. Located at Town OF Village Roaring Brook 10 i 10 Subdivision Name Subd. Lot A Tax Map Block Lot Owner /Applicant Name Mike M O C ills k i Renewal _•® y Revlslou o 2110 Pitman Aveneu Date of Previous Approval May '2, 1984 MaWng Address Town Zip Bronx, N Ya 10. Modular 1 Acre Building Type lot Area FM Section Only Depth Volbme Number of Bedrooms 3 Design Flow G P D PC>ID Notification Is Requited When FIR Is completed . 000. 4 x 4 Galleries Separate Sewerage System to consist of Gallon Septic Tank and To be eenstructea by Howard, Gragert Addreae OjKcwanan Lake Road . Putnam Valley, N Water Suppb,: Public Supply Fro m Address art x Private Supply Drilled by And,erson_Add,.. Barger Street Putnam.Valley, No Ys Other Requirements 150 LF min from. well to galleries ��eeee I represent that I am wholly and completely responsible for the design and location of the proposedS�� ) s. L '�Parate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance i r nations of the Putnam County Department of . Health, and that on completion thereof a "Certificate of Construction C so Isfalefgr� e°Sommissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his suc61 s or. assigns udder, that said builder Will. place in good operating condition any part of said sewage' disposal system during the periodapti r ('d►'�- ears`i73mgdiat ff llbwing thedate of the issu- ance of the approval of the Certificate of Construction Compliance of the original system orest� r pairs (d[e[o:2 -• at lied well described above will be located as shown on the approved plan and that said well will be installed in accordance wltlteBi stun ri;'ijilend rou ions of the Putnam County Department of aalth. a �- s'..' "'=' o Date March ; 1 p 988 Signed /� o °° e P.E.? R.A. - -t Adtlress 1 Northridge RoaQ Peekskil , 1iQ Lice61 No 27846, APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless C nstr 6tiV,�(At/frr• a��tn{�r�re.•1 *WAI; has been undertaken anti. is revocable for cause or may be amended or modified when considered necessary by the Commissioner otpld�TiT1. "9Rh odhge or alteration of construction requires a new permit. Ap ved for disposal of'domestic sanitary sewage; and /or private water sup o e 6® ,!ev. 1_'87 Oats / � / � V v By die - - - -- - - - -- - - -- ,. - - -- - -- - -. ----- --- - ......... -` -- - - -- 5 I PViTl" COUNTY DIWAR MENT OF HEALTH DivM= of Iinhaomeetd Heal& Services. ColmeL N.Y. 10M RusinewtopIrayme Permit / • _ .,._. - mos CERT1piCATE OF CO CONSTRUCTION FOWWWAGE DISPOSAL SYSTEM Peo>sa� r —�� Locted a D G V C� . T t ✓ e, owe or VMage S>a6dlvWaa Name [Xi v I ka R'tc1i� 30� p'c�a_ Lot Y -46 Z Ta. Map —�'! Black Owner /Appdnnt Name �L l GL, G �r _ �y� 13,C U I S K j D• Date of Appeovala — g MaBteg Address •�1 I t'i �f �Ly i A V e Town ZIP t✓ 6 BaHdhtg Type R Lot Am 0i Number of Be 6soms 3 Deslo Flow G P D Sopande Sewerage Sydem b oaosiat ot—L�-6i) GaOon Tank I To be coedeaebed by Water Supply: Pelb11c Sopp4 From on Sttgmly Dented by— Other Rellahemants FM Secthm 0* " Depth Vaiame PM Naditedo n Is Reaoked When PM In completed 1 represent that 1 am wholly and completely to nsible f he design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the app► e0 amendment there to and in accordance with the standards, rules a regulations o nam County Department of HMkh, and that on eomplat thereof a °Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written -antes will be furnished the owner, his successor; heirs or assigns by the bulkier. that said builder will place in good operating condition, any Zanthat sewage disposal system during the period of two (2) yens Immediately following the date of the issu- ance of the approval of the Certificate Can ction Compliance of h original system or any repairs t eto; 2) that the drilled well described above will M located as shown on the approved plan said well will be insta in accordance with the stn s, uNS d raguTafions of the Putnam County Department Of Health, (IA Date I 11 — �% ,9 Sign t✓ - P.E. R.A. L¢A Jr.. ( i a U License No �� 1 APPROVED FOR CONSTRUCTION: T,. s approval expires two years from the date issued .unless construction of the building has been. undertaken and is revocable for cause or may be amend or modified when considered necessary bV the Cnmmictinnar nt Heanh_ Anv rhama nr alteratinn of — strurtinn 777777777 re yst. Wr u n—am.—'. ealth V d i ' ;.i!l! the iss-u-� id 'abov6.7",;" License No N---Q2781+k- Addreis,�-Wj -fn APPROVED FOR CONSTRUCTION This approvalwexpires!`one year from the >date ;issued�un� }strucU_o'pr of the;bwliiing has revocable =for cause or may' #be amended or'modifiedwhem:c ssar?Fb fhe__Comm" io of Health, Any change ;or -i;i en , undertaken aril 1. is alteration - dVc6nstru'cti6h,'.1- V " q rJ� WLLL UULv1rLZ11UM rzruAl .e DEPARTMENT OF HEALTH � r A_..viSiq.n._Of,. Environmentsa.: Hea :�t i�ServiceG >_ :._. PUTNAM COUNTY DEPARTMENT OF HEALTH office Use Only .. - W STREET ADDRESS: 75WN191CLAIVEIrY TAX GRIO NUMBER: Roaring Brook , Lake Putnam Valley, NY A0 -- 1— to WELL OWNER NAME: ADDRESS: ' Michael Moculski, 2110 Pitman Ave., Bronx, NY 10466 PBIVATE ❑PUBLIC USE OF WELL 1 - primary 2 - secondary )G>iESIDENTIAL 0 PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP, ❑ ABANDONED ❑ BUSINESS ❑ FARM . ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY p MOUNT.OF USE YIELD SOUGHT 5 gpm. /N0. PEOPLE SERVED 3 / EST. OF DAILY USAGE ® gal. REASON FOR DRILLING ,GxVEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION O REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA ' WELL DEPTH 465 ft. STATIC WATER LEVEL 30 ft. DATE MEASURED 3/30/88 DRILLING EQUIPMENT ❑ ROTARY JkiCOMPRESSED AIR PERCYSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. lagPEN .HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH 45 ft. MATERIALS: STEEL ❑ PLASTIC ❑ OTHER LENGTH .BELOW GRADE 44 ft. JOINTS:. ❑ WELDED 'aTHREADED ❑ OTHER DIAMETER 6*4 in. SEALEMENT GROUT ❑ BENTONITE ❑OTHER WEIGHT PER FOOT 19 lb./ft. DRIVE SHOEaYES ONO LINER: O YES ONO SCREEN DETAILS ..._ .. DIAMETER (in) SL07 SIZE LENGTH (1t) DEPTH TO SCREEN (ft) DEVELOPED? FIRST _ ..... ..... ..... . _........- _ _- __ _YES No_. HOURS SECOND ` " w. -_.... GRAVEL PACK ° YES O NO GRAVEL SIZE DIAMETER OF PACK in. TOP DEPTH fL BOTTOM DEPTH It. WELL YIELD TEST N detailed pumping P P 9 METHOD: O PUMPED tests were done is in- "M COMPRESSED AIR ,formation attached? O BAILED O OTHER ; O YES O NO WELL. LOG If more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water Bear- ing well 013- meter FORMATION DESCRIPTION POE. ft.. tE .WELL DEPTH tt, DURATION hr. min. DRAWOOWN ft. YIELD 0M. Laurl nd ace 5 no 6 Silt & sandy soil 5 12 no 6 Fractured ledge 300 1 15 300 1 12 465 ,yes 6 lHard grey & black granite 400 2 - 400 1 -3/4 465 16 - 460 1 6-1/2. UATEA ) MCLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? ARYES ONO ANALYSIS ATTACHED ?)W YES ONO STORAGE TANK: TYPE CAPACITY GAL. PUMP INFORMATION TYPE MAKER MODEL CAPACITY DEPTH VOLTAGE HP WELL DRILLER NAMES DRILLING, /88 ADORESS Putnam Ave. SIGMATURE Brewster, NY 10509 ,Mill, re i ent PLnNm couary DEPAi TmEur OF HEALTH DIVISION OF ENVIMNMENTAL HEALTH SERVICES Owner or Purchaser of Building »7l . Xa Building Constructed by LAS- fb4a/V,6 ytii v Location - Street . pv Tick . �!/K� -may Municipality Building Type Section Block Lot 12.0 4-P4 ,b Subdivision Name 46 Z Subdivision Lot # GUARA[= OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am. wholly and completely responsible for. the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved.plan or approved amendment thereto., and-in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part, of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the .sewage. disposal =system, or any _- �sgairs made -.by •rie - -to -such system; except -where the feilure to 'operae' properly 'is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to..accept.as conclusive the determination of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the .systern. (SEE ATTACHED Dated this /V "LIMITATION OF GUARANTEE ") day of 0 c-r- 19 YY Signat Title General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk ROGER MAYES CONST, CO,: INC, Corpora M"OA6f Corp-) _ _PQUGHQUAG N.Y, 12570 ess LIMITATION OF GUARANTEE NOT4vITHSTANDING the attached statement, it is intended that the sole responsibility of the Guarantor (septic system installer) is limitPe to defective . workmanship to. the extent performed by the Guarantor (septic- system installer), and. to defective.materials to the extent supplied by the Guarantor (septic system installer). In addition; the Guarantor (septic system installer) shall be responsible for the placement of the.system on the lot in accordance wit] the plans supplied and approved; by the board, of health and. for building the system in accordance.with the plans supplied and approved by the board of health.. However', the Guarantor (septic system installer) assumes no responsibility for the failure of the system to function .properly if such failure. is due to the design of the system and to the extent that any materials and /or workmanship was performed by someone other than Guarantor (septic system installer), or in the event that anyone, after the installation, modified the installation or caused damage to it in any manner whatsoever. ELLIS A. TAR,LTON LABORATORY DIVISION OF ELLIS A. TARLTON, ENGINEERS, INC. CHEMICAL 34 PLEASANT STREET DANBURY, CONN. 06813 -2328 WATER - WASTEWATER PHYSICAL METHODOLOGY BIOLOGICAL APHA : EPA.o ASTM.. _.... P.OBOX.2328.203- 7.48 -7903 REPORT OF BACTERIOLOGICAL AND CHEMICAL EXAMINATION OF WATER NAME AND ADDRESS OF PERSON TO RECEIVE REPORT I Mill Drilling, Inc. Putnam Ave SOURCE OF SAMPLE Water Supply, Roaring Brook Putnam .Valley, Mosclski Res. N.Y. Brewster, N.Y. 10509 DATE OF COLLECTION May 18 , 1988 DATA COLLECTED BY Mill Drilling Hydrogen lon COLOR TURBIDITY ODOR CORROSION INDEX DISSOLVED SOLIDS Concentration LANGELIER (Ph) RYZNAR NTU Mg /L Alkalinity as CaCO3 Fluoride (F) Bicarbonate Nitrite Mg /L Mg /L Mg/l. Alkalinity as CaCO3 Chlorine Residual NITROGEN CONSTITUENTS Nitrate Mg /L Carbonate Mg /L Mg /l AS NITROGEN (N) Total Hardness Conductivity as C.0O3 Ammonia Mg /L Mg /L Micromohos /crr Mg /L Iron as Fe Mg /L Mg /L Chlorides as CL Mg /L Manganese as Mn Mg /L Mg /L Detergent as MBAS Mg /L Sulfate as SO4 Mg /L 11 Mg /l. The arithmetic mean of all standard - samples - examined• -par. month -using the ,membrane filter technique shall not exceed Iona'•eolony'per- 100ml. Cdilform "cbiVhrdb - pet'il8n`deid sampie dial( not exceed 3/50ml, '4 /100ml, 7/200m1, or 13/500ml in: (a) Two consecutive samples: (b) More than one standard sample when less than 20 are examined per month: or (c) More than five per Cent of the 'samples when 20 or more are examined per month.. AT THE TIME THE SAMPLE WAS SUBMITTED: FX 1. The results of the analysis of this sample were satisfactory and met requirements for a potable water MEMBRANE. FILTER'TEST" 7 " " ' ' ColPfoim Catonles %t00ti L 0 D2. The results of the analysis of this sample were satisfactory for a potable water but certain of the chemical or physical constituents were high. These are as follows: D3. This sample was not satisfactory since it did not meet the bacterial requirements for potable water. The presence of organisms of the coliform group in a sample of potable water is undersirable and, while not necessarily indicating the presence of any disease- producing organisms, does indicate that such contamination might survive to the same extent. The presence of organisms of the coliform group may also Indicate that the treatment was not adequate at the time the sample was collected. 4. This sample was unsatisfactory as a potable water because certain chemical or physical constituents were above acceptable limits. These are as follows: COMMENTS The bacterial analysis showed no organisms of the coliform group at the time the sample was collected which indicates the water potable. Certified COUNTY DEPARTMENT nvironmental Health Services :,C 3POSAL 'SYSTEM da , te ,- issued by t h6"Cor LAURENT ENGINEERING 73 FAIRFIELD DRIVE PATTERSON, NEW YORK 12563 914.278-6108 RANDOLPH W. LAURENT, P.E. HARRY W. NICHOLS JR., PE. CONSULTING SITE ENGINEERS January 11, 1988 Putnam County Department of Health 110 Old Route 6 Center Carmel, NY 10512 Att:.Mr. William Hedges Re: Proposed SSDS-Lake Shore Drive Putnam Valley, NY TM 10-1-10 Revised Owner Application & Renewal Permit PV-18-84 Dear, Bill: Enclosed are copies of the following: (a) Construction Permit, approved 5-6-85; �..Authorization tion ci�l Con 1str Yc (d) 3 copies of Approved SSDS Plan Permit dated 1- 11 -88; A Construction Permit (renewal) was issued on 5-6-87 in the name Carmine De Riggi. This parcel was sold to Michael Moculski and in order to obtain a building permit, a new Construction Permit must be issued in his name. Thank you for your cooperation. Sincerely, LAURENT ENGINEERING ASSOCIATES, P.C,.,, Harry W. Nictols, Jr., P.E. /map CC: Mr. M. Moculski 4# /1 PUTNAM COUNTY DEPARTMENT OF HEALTH -: - .,... <D-I-•VI-SION �--'OF;"ENVIRONMENTAL °$EALTH - -SERVICES-` Date Re: Property of C��� m fJCvt (S KG Located at La a 1•C, /X� v (T) Section Block Lot Subdivision of RU�r��� 17yac� ;3del .� Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize�ltyr� �.iL�`� J� a duly licensed professional engineer_1--_`� 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 .._....-.._ COTMe •et.i`o•n..w-th-- th.i•s.-matter -and to- su.pervi-s-e_-th•e c on- struc ti :on °_of..sai:d:........... ... 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. 1411" Countersi ed: r P.E. , .F'• e # c1�Gs 1 ZGI Address / - /��W�elfv L7 Telephone Very truly yours, S i gn e d 11,4-J, Owner r_�P�roperty 'a ! ( o ; v� Address Town at - .- �9Y -�2, Telephone APP-TM EC B PGTNPlu CCU= DEPARa= OF HEALTH DIITISICN OF EST MCNMENTAL HEALTH SERVICES 11IM117IDUAL WATER SUPPLY & SUBSURFACE MY -AGE, DISPCEAL SLSTEVS. - REVIEW SHEI i' - CONSTRL"�CTION PERMIT (I)I AiEw19 C_ V L• S Kt3 DAZE' REVIEN -M : Sf/� e BY: e- L.V (;arse of Cwner) (Sheet Location) CC:'IS YES I NO X'640 x C orj /t I 1 Pet r_ f I is N. S 01474 1 1 i f "" CLV 4-.A er I I 00,\ 4 /t I I LF t.=ncn provided GO rquir�Ed 7 r 60 ft. ma:c. tGj Parellel to, contours /VV 100% e--<p. I I k �- x ZvR.n . W ,cI�W ON I v vWAJ >< E T 0OZ, FILL SYSTE M1S clavbarr 10 ft. f i ll ,i%tes ne=. seer-. SvQUVOOV:� 4Y ' bth aauces V^ w 100 vr. flood elev. 200 ft. reservoir, etc. Lj 150 ft. trigall /gall. `'i b Permit Application Corporate Resolution Plans - Threes sets s/s Engineers Authorization Design Data Sheet ( DDS) SUEDDIISICN Deep Lole Lcg Consiste_ht Per.- Results (3) Fill Perc Hole Depth c; House Plans - T;vo sets Well P'_- lit; PivS letter Variance Reauest L Legal Subdivision Subdivision Approval Check Ex- a=rcval SSDS Ad j . Lots Checked Wetland (Town /DEC Permit R.& D) Data Cn DDS Plans & Pe*_mii t Sarre REQUIRE DETAILS ON PLAN-S SC.vage-Syst`n Plan - (north arrow) SeRage Syst�n Hydraulic Profile - Gravity Flow Fill Profile & Dimc- nsions - Volume D or J Eox;Trendh /Gallery; Purim pit details Septic T.nk - Size, Detail Well Detail, ..Service Line 1f: over - - -. Cons %riiction 'Notes (grinder rate) Design Data: perc and deep results Two-Foot Contours Existing & Proposed Drive. -ay & Slopes Cut Footing /Gstter,Curtain Drains (discharge OK) Perc & Deep Holes Located Representative of primary and expansion Expansic:;n Area; shown; gravity flcw, suff. size If Pt�3 Pit & D Box Shown & Detailed House Zvo. of Bedrooms Wells & SSDS's w /in 200 ft. of Proposed Systems Property Metes & Bounds House Setback Necessary (Tight lot) House Se<aer - 1 /4" /ft. 4 '0; Type pipe No Bends; Max. Bends 450 w /clea.nout SEPARA`*'ICN DISTANCES SPECIFIED CN PLAN Fields .10' to P.L., Driveway, Large Trees,Top of fit 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake Unc. ern 15' to Drains - 'Curtain, Leader, Footing 35'to catch tasin,stormdrain,pioed waterccurs 10' to Water Line (pits -20') 50' intemittent drainage course Septic Tanks 10' fran Foundation; 50' to well , '- .au -[ -. f-•• n�a. ^r..v.y+•.^r..:r.r:w:- .+•w'_ r ..a .. a .- ..( -. �. -. y.. . m _ - •� °- .. . nv \ na_ .. _ -. a a•. 't .. u i rt October 17m X97 Mrs.?. D6rip q(?,p Lake Shore Dk MO. i�o�x�:zzg° i3roo� e �tt V' tey'; lca: Y4) 10579 Dear. Mrs. :G0.0,004 4.0 jonctoead . ceg , of .s letter .461A ±'Dn Jur�o 59 ]:975 to a far iz . i3�1 -Sg : l - t�:�re to,- -his ���,r aag .`�ca� o� �; r� #Yaor� ., Drivre o Sine 6 : oUt ' discuasion b p#dju 9. 'toe: have reiaspecteO the areas rolet��I to titan oar prob . a do �� feel ; t1 a at 4a%s t3 me t p+�ertuet :;ltt�e _.: epee t+ proceed'' e.l et y. for ct 00.attin :�.. They : g xc�dtx to o decc t s� t oga o tide terla #rur�. d aura the £r�oqut fin® the �.aM+/t� � apt �a ej Cb® rte[ y` thy "the s�3 lye t �jiLoxr=6 acaue (�y d t¢►/� � �y th riYi'6A7 f: �1�d M�ef# MAW Vim+ OYs � M� Y ✓Y S® - - ' a�.a ofd -ce �.�l �s'so'n,'d, © atcats .tori a the 'owner, Q see if �e can B ®c c lt�5t cop m .sax . in relieving tbi 'Odor r eoepoge- pro,)14 a cased the .excavAti0U* very txru].y yuurS. do g e, .I 10 Cadde. , m P.4o.• Director nvlrQai ae 1 iieol t c es Ri-c /Ps ,ft,c cc: Hon. Robert Housl6keeper , Supervisor Town of Putnam Valley 1 i ROARING BROOK LAKE PROPERTY OWNERS' ASSOCIATION pit ._ROARING_BR04K LAKE *,*FiJTN M VALLEY.-. N..Y..,10579;:,�.__.• April 8, 1975 Mr. Robert Caddell Department of Health Carmel, New York 10512 Dear Mr. Caddell:- I am very concerned about L.ot #462 on Lake Shore Road in Roaring Brook Lake and owned by Mr. Carmine- DePiggi. I understand he has been granted a building permit. If he has also been granted a septic permit, I am requesting a copy of it. My concern last year and again this year is pollution and- .silting into our lake. The water.run -off from'the Taconic Parkway comes.down this property and across the road into the lake. Several of the residents of the Cove area have called me to voice their concern. As_ president of this Association,....I would like :to. • - °w�e�rk along --with your -department- on­ this- particular "� matter in everyone's interest, including Mr. DeRiggi. .If at all possible, I.would like an on -site inspection with you or a member'of your department. Sincerel`y yours, �m Wolfe ­--'President President A field inspection was condmted on May 239 197.5 at your pro posed building sito an Lake Shore Drivot Roaring Brooke Town of Putnam Valley* Tha.�Vollowlzg was noted by thaw departwentg I* The Ate has been extonelvely regraded with no .proviso ion for erosion control. 11tis situation. has caused and will court sue -to *&use as silting problem In Rocarl Lro*U as 24, The natural drainage basin teat has existed at the site i .. .._... _._,. to . -years OKs- h�z a - ail %e3 -ti th� . tree. a.tumps.R is an environmentally* unsound practices tech will tend to. add to the aglow destruction of any small' body..of waters eticb. o.s a R oaring Brook in this particuXar caao* You are hereby requested to eliminate those potential hazards ediately by 1) having all. tree . sttmpa s .hra►nches and . brush taken away or chipped up and 2) provide some erosiou control to stops the. sitting problem* I would sctron -gly suggest you contact your €nginoers For. Romeoo eo hat he may be able to offer you some suggestions for Correcting this situation* please be advised that this department will tallow you fihirty 30) days from this date to abate these problems* I will cladly mower any inquai.rios pertaining. to this wat$ors so therefore please do not hesitate to contact me at my Office at any time* Very truly yours] Robert J. Tu,tont R JT /ps gasviroi u entol Health Services . acs tiro R® tlousekoopers Supervisors Totan of n.atnam Valley Aire Jo. Greenbtargs Town of Putnam Valley Esagr. Hr® Jo Romeos Design E•ngro DEPARTMENT OF HEALTH Division of Environmental Health Services 90. COUNTY CENTER CARMEL, N.Y. 10512.(914) 2 , 25-3641 APPLICATION TO CONSTRUCT -A WATER WELL PCHD PERMIT WELL LOCATION Street Address 4 R� 5110AOL Town/Village/City Tax Grid Number - ox purr#" V44-tir-'y WELL OWNER Name Mailing .Address M.II wt 2 C_Q4-�ef all 0 P, ro"&4 ",Iy SPrivate 13 Public USE OF WELL 1 - primary 2- secondary A% RESIDENTIAL 0 BUSINESS UINDUSTRIAL [3 PUBLIC SUPPLY 0 FARM 0 INSTITUTIONAL OAIR/COND/HEAT PUMP 0 TEST/OBSERVATION 0 STAND-BY 0 ABANDONED [I OTHER (specify, AMOUNT OF USE YIELD SOUGHT gpm/# PFOPLE SERVED Y /EST. OF bAILY,IfSAGE 6010 gal REASON FOR DRILLING C*NEW SUPPLY. OPROVIDE ADDITIONAL SUPPLY CIREPLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL 0TEST /OBSERVATION DETAILED REASON FOR DRILLING WW ps WELL TYPE MDRILLED' DRIVEN ODUG OGRAVEL 0,9THER IS WELL SITE SUBJECT TO FLOODING? ),C YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: A*4%c-k& 13AoO4�, 308.Z Lot No. 46Z WATER WELL CONTRACTOR: Name W*10AAdl�y ko'"Z_ Address: 8&y4jrA 571- IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _--.,t_NO NAME OF PUBLIC WATER ..TOWN/VIL/CITY DISTANCE TO PROPERTY . FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION . []ON REAR OF THIS APPLICATION is I Mw4� (date) PROVIDED 0 ON SEPAR ATJ9 SHEET V (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions sions 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. 2. -3. Date of Date of Permit Pump the well until the water is clear. Disinfect the well in accordance with-the requirements of the Putnam County.Health Department attached to this permit. Submit a Well Completion Report on a form provided by the Putnam County Health Department. Issue: 19 Of Permit Issuing -f i�ti a 1 Expira on:... 19 d��v � �_o_ White copy: H. D. File is Non-Transferrable Yellow copy: Building Inspector Pink Copy: Owner PUTNAM COUNTY DEPARTMENT OF HEALTH ,.DIVISI'ON' OF-ENVIRODIMENT]WL"HEALTH SERVICES- Date March 4, 1988 Re: Property of Mike Moculski Located at Lake Shore Drive Pu nam valley 10 1 10 (T) Section Block Lot Subdivision of Roaring Brook Subdv. Lot # 462 Filed Map # 3081 Date 1948 Gentlemen: This letter is to authorize John S. Romeo a duly licensed professional engineer X o r XtX4ff ! XfJaWl XaXi) WIZZZZ X (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'djrneftioh- With thi's' ion o 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, "0669 a 1pe e N Go Vji e d S. roperty Owner offt Countersigned: 4'o N qj 2110 Pitman Avenue P.E. 1k.A.XtX # 27846 A " 4 Address Bronx, N.Y. lo466 1 Northridge � ,---�--, Road Address - IFA Town Peekskill, NY 10566 212-994-2546 737 1056 Telephone Telephone J. a ROMEO. PE. Ls CONSULTING ENGINEERS & LAND SURVEYORS 1 NORTHRIDGE ROAD PEEKSKILL. NEW YORK 10566 914737 -1058 March 4, 1988 Putnam County Dept of Health Division of Environmental Health Services 110 Old, Route 6 Center Carmel, N.Y. 10512 ATTENTION: William Hedges Public Health Engineer Dear Sir: RE: Septic renewal for' Mike Moculski. Lake Shore Drive Roaring Brook, Putnam Valley Sec. 10 - B1 1 - lot 1. Enclosed find a new application for the property on Lake Shore Drive, belonging to Mr. Moculskil. This property kas had. a number of septic permits beginning with 1974. The last permit was obtained, in 1984. I enclose a copy- of the previous approval dated. May 2, 1984. #10o I98r' I have redesigned. the se tic system to conform with the latest standards, showing 150 ftifrom well to Galleries and also 100% expansion area This together with a 0 -7 minute reading has increased. the 4 x 4 galleiries to 80 LF from the original 60 L.F. ..- .,._.�...o o.. ._.. �.�. -.. . .-ry• .- .. .e_ .._ .._.e......, .,. .... �..� i...... ems. _. ._.... ......_�._. -.�.. ...... _. -... -e. _......... ...-•- .- __e- , -.... .. ... .. -..�.. ._�. ... Your early approval would be appreciated. Very truly our hn S. Romeo P.E. & P.L.S. JSR: clr 06966 0 0v ®, ® 00 ��,� Efl6 /N ®Q� S R�� lea. 08 � 27aae ' °olglF OF NE`s 0• � 0 O • b . • J. S. ROMEO. PE. LS JOHN- S. R01VIE0 ;71-P C: • _1. CONSULTING ENGINEERS & LAND SURVEYORS 1 NORTHRIDGE ROAD PEEKSKILL, NEW YORK 10566 914737 -1056 February 7, 1984 Putnam County Dept of Health Division of Environmental Health County Office Building Carmel, N.Y. 10512 Res SSDS for Carmine Deriggi Map 308I - Lot . 462 ATTENTION: Robert Tutoni Public Health Engineer Dear Sirs Enclosed find plans for a renewed permit for Mr. & Mrs. DeRiggi. Previous plans were approved in 1974. The revised plans conform to the latest requiremets of the Putnam County Health Dept. Your early approval would be appreciated. Very truly yours, v John S. Romeo 1A) (7 .rem. .r .... .a.. e.. �..- .�IJll..s. .... /"��........... -w.. - 's. t. —� '. ...�...... .. aY ................. ..... .- .. .. ..�� 4 .... .. .. .... .... .'K _. .. � �. .w .............+. `y_ � • r,..... .......... ... .. w.,. n.�... �+�._.. _.... .. i 'A P, 00 ^ o1-5 /y J' L CIED B 14 : 1984 PUTNAM COUN ry DEPT. OF HEALTH Date �/ o En'g iieer �.I U� J ` S - C)Meo a A-6y',x C Re: Proposed SSDS U'v 7o Tc Z°V/�Crv2 j (T) G /�.v p Vf4cLtx ft- A N S Z G C lid 4L. �G�-(ziA-JG 0\J�0O/C Dear 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: CON70vV3 U'v 7o Tc Z°V/�Crv2 j ( 2� R� /� L✓ 1 G /�.v p !� 1 C T L� V.cJ ft- A N S Z G C lid 4L. �G�-(ziA-JG 0\J�0O/C �Z t OCR• -- CJ _ /J0�3_ 07- � aw / � �� v��t •S�'` /dam/ 4✓ JC" Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, Lawrence C. Werper Assistant Public.Health-Engineer LCW: REVIEW CHECK. Meets Std. .es No _ DOCITMMTS Douse plans O.K. Design data sheet i Remarks Peres presoaked? ULn. 30" pert test depth 1 Const. results for 3 runs I D. Hole log 0. K. Corporate- Affidavit for other than individual Authorization for efigineer Letter from Water Supply if applicable i- If variance requested -such noted on plans & apps.: • I ✓ --- -- - i 1 i j � —I DETAILS_ +_- 20' if charge is proposed, ) I ✓ i I Existing contours shown show new contours) to - earest well I Slopes for driveway cuts, etc. shown 50' i Water service line location 15' Footing-drain, etc. location I ^ Top slope, bottom slope of fill _ to water line (pits -20' ) I I Percolation tests and deep test pit location - i I 3e:ptic tank size and conformance to std. 10' 3 B. R. house minimum House setback shown. from foundation to septic tank I ✓ - i Ri 1. !'-i1i.d ..i ! 1! lt.t l; ,;�� - I/S-.L l7W 1 A'V J V ___ H11. Wa bel' W11,t1111 ^V TL. Ui t_lr �!Wv iil i �°11,.rn• i� • _ 6j e- ..>a. tee„ Phan and profile SDS All other wells and SDS closer 200' . , shown or' referenc,z made .., ........... I ._ _ Property boundaries (metes and bounds clearly sho�in ) i SEPARATION DISTANCES SPECIFIE) ON PL1 3 10' to.. P.L. ✓ I +_- 20' to. Foundation walls I ✓ i I 00' to - earest well I I 1 50' to stream, march, lake, etc. �incl. expansion .. 15' to Curtain drain ^ 10' _ to water line (pits -20' ) I I 15' to storm drain ! ✓ 10' to large trees 10' from foundation to septic tank I ✓ - i 5' to pipe fro, leader drain & fooling drain _ ! .Ta'7AL SZ`l'E 4,,. 1'i;CT1:0id Insp. 1),Y: - �- yes no Ccmments- .roperty 1'�nes o.r corners fo,tind . ._ Can- e�-cizna.te house locution . Will driveway nee,? cut . I4ust .trees be removed -note these Is deep hole r. opresentat.i.ve of entire SDS ar. ea Additional deer) holes needed. . . . Sufficient .SDa wr:;a available cons- deri:1s driveway cut, house location,.separation � distances, etc. .. . DF P E0 =P P4 TA . . Dapth Water elevation Rock: elevation: Soils description: •^tom- s�,,,,a„ •°`� �'��"^"' ~..4 . Date: FII�LAL SITE I^:SPEC'�'I0�1 Insp. by: •House- located where shown on . approved plank - Ni:N s .._. i ..1 - • _ Width of trench averac-e ;- Slope of t -le line and trench acceptable . . . Room a1.1.o4-!e l for ex., c:'?S1 on t� eT1C!: °S. G crer 5C..:: ; f cm o:r�p; .: , r CT., c e CoJi sv - ?natural soil not st ripped or SDS area unnecessa.ri llr graded 0 n.. trYaintai r_ec fro:: _prop .line and 20, ft. from house 0 0 a S °pa.ration o± trench frog house, well etc. folic,Vrs plan . -Number of bedroci-is checks o . , . , Stones. b' us h stu- -ps, rubbl e �'. ^ "renter . _,,, �... than l5 ft. from r_eareSL trenc'r_ 15 .Ft. of peri- Drieral soil horizontally from trench . . . . , . , . • . •. . Junction box es nrope_Ply set Gould surface run off from drivevay, roads, ground surface, etc. channel near SDS , area 0 0 0 . . , . 0 . Does a.ot drairsre abroar O.K. in area of SD FZId&L GRADING OIL SITE ACCEPTABI E •PUTNAM COUNTY DEPARTMENT OF HEALTH . DIVISION OF ENVIRONMENTAL HEAT_,TH.•SERVICES Date August 339 1974' `ra Re: Property . of Carmine De Riggi ° Located at Lake Shore Drive., Roaring Prook Section` Pop 308 I Block - Lot This letter is to authorize John S$ Romeo ' l 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 - E t 2 VQJ11VeV L-LUJJ .Wi. L11 Ln ib iita _ L Lel- . U11U . LU. SU evvise . 'Lne C OM; crU _ Lion O]: sale .. system or systems in conformity with the provisions of Article 145 or k, f 1.47, Education h "aw; -- -the. Public Health Law, and the Putnam County Sani- _.,.... Lary Code Very truly yours, , Signed a,.,VMA-1� F Owner of Property . Countersigned: fi•. Jtf`'..."' l� % I 71 SST %3o,�,L.j� x, Address P.E. , # 02746 z�z- �OVO- 1 Northridge Road A.Y Telephone Address r ' Peekskill N.Y. 10566 s° �`?� Ffp •, 737 — 1056 qQ. k Telephone ,:: ID J. S. ROMEO. PE, pL$ - _ - ...JOHN-, -.S.. CONSULTING ENGINEERS 8c LAND SURVEYORS 1 NORTHRIDGE ROAD PEEKSKILL. NEW YORK 10686' 914- 737 -1066 April 17, 1985 Mr. Robert Tutoni, Public Health Eng. Putnam County Dept of Health Division of Environmental Health-Services County Office Building Carmel, N.Y. 10512 RE: Renewal of SSDS Permit Carmine DeRiggi Roar ing.Brook Dear Sir: I have enclosed construction permit form for renewal of permit approved in 1984. Mr DeRiggi has not begun construction at this time but expects that construction should commence in the near future. Your early approval would be appreciated. .Very truly yours, ohn S. Romeo ® °0•eo, P.E. & L.S. JSR : clr ®cc�pt�p1 EN6/N£f,� • �f v ° 27846 Kill •0.00000 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION TO`CONSTRUCT A WATER WELL PCHD PERMITf WELL LOCATION Street Street Address Town/Village/City Tax Gr ; 1_13,4_4 SlAoXe 'ZA. w4. II /° ►y' Auer m d Number -� WELL OWNER Name Mailing Address M cAO 1, ca Ls.,k; i ce LS 04krivate O Public USE OF WELL 1 - primary 0- secondary 0 RESIDENTIAL 0 PUBLIC SUPPLY [KIR /COND /HEAT PUMP 0 BUSINESS O FARM O TEST /OBSERVATION 0 INDUSTRIAL O INSTITUTIONAL O STAND -BY 0 ABANDONED O OTHER (specify, Q AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE___gal O REPLACE EXISTING SUPPLY 0 TEST /OBSERVATION UKADDITIONAL SUPPLY O NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE 6RILLED DRIVEN ®DUG ®GRAVED ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES P-'NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name,�� f /��� Act !fi = icC weld Si?2�.f eG Ih+c• Address: -6iL���A1 ,vY /���4 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO'PROPERTY'FRON NEAREST-WATER MAIN:- LOCATION SKETCH& SOURCES OF CONTAMINATION PROVIDED ' _ 916N SEPARATE SHEET (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 thirt3, (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. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in suc a manner as not to degra r otherwise surface or groundwater. Date of Issue: 19_ �— Date of Ex ation 19 Permit Issuing Official Permit is Non - Transferrable White copy:,HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller all � 't%y jql 10 cl AREA is 00 -14 r7 .24 tic Cl 15 ew 23 8 AC. CAL 22 Alp f-V 7 21 L-�Ol AC. CAL Z: to 20 1.03 AC CAL eo 19 ttzAl,-02 AC. CALF g 18 o ui MY 4 40 ` '3 11 1 4 'o !00'17 10 12o .g It?—C%6 3 rn /G /� f c-- A;, 4::��O0000 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING; CARMEL, N. Y.. , __.10512 - DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM Carmine DeRiggi Address 1171 71 Street Brooklyn, NY FILE NO. Owner Located at ( Street � Lake Shore DriveSec . Map 3,CfLTock Indicate neares cross's ree Lot 462 Municipality Putnam Valley; NY Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run No. Start -Stop Elapse Time Min. Dep o a er From Ground Surface Start Stop Inches Inches Water LFve in Inches Drop in --Min. Inches Soil Rate /in drop (1) 1902 9:11 9 75.50 78050 3.00 3.00 29:15 9:26 11 75o'50 '78-50 3900 • 3901 9644 23 75.50 78.50 30-00 4.33 49s49 to :0z 13 75.50 78.50 .3000 _4033 5 _ (2) 19:05. V s16 11 36.50 39.50 3i 6o 3067. 2 :zo ,9 :3z lz 36:0 50 .. _3900 _ .:.:: 31:00. 4.000 .- 39:35 9s47 22 36.50 -39.50 3.00 4.00 1 - 2 .. , 3 r 4 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole.' i TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES -E 2 -,HOL -:; NO �.-- HOLE NO G.L. ROB Gravel ROB Gravel ROB Gravel 1211. 1811 2411 3011 3611 4211 4811 5411 6011 6611 7211. 78'1 8411 INDICATE LEVEL AT WHICH'GROUND WATER IS ENCOUNTERED None INDICATE LEVEL TO WHICH:-WATER LEVEL RISES AFTER'-BEING ENCOUNTERED,,. 'Dk:-BYI-� "R :1-AT)t -19 ..',TESTS.,MA Jjjhri omea, 6s -84- DESIGN. Soil Rate Used 0-5 Min/1"Drop: S. D. Usable Area Provided 5000 SF .± No. of Bedrooms 3 Septic Tank Capacity 1000 Gals. .1yin Masonry Tr—o-v 17 —de d � B y 7- Abso tion Area L.F. L.F x2411 _ch. 70, LF x 4 x14 Galleries iName John S- Romeo Address lVorthridge Road Peekskillg.N.Y. 10566 ure &a SEAL THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft/Gal. Checked by F r `i U. 4F Of60 �oi•oo00 . Date PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING,. CARME'L, N.:.Y... .._10512. - - DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Carmine De Riggi Address _ 1171 71st Street Brooklyn, N.Y. Located at (Street Lake Shore Dr. 308 I Block - Lot 462 6-dicate nearest cross street) Municipality Putnam Valley (T) Watershed Peekskill SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Eiapse Depth to Water Water Levei No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches (1) 1 7 :32 .7:40 8 17.5 19.5 2.0 4000 2 7:42 � . 7:54 12 18,5 21,0 2.5 4.80 7 :55 8:04. ' 9 17.75 . 19.75 2.0 4.50 5 (2) l' 7:38 7 :48 10 18.25 20.25` 2,0 5,00 _ . -._2 . 7 :50 8 :11 21 :..._ __.17.75 ,.._....20,75 3.0 7.00 U13 8:28 15 18000 20,50 2.5 6.00 4 5 2 3 4 5 Notes: 1) Tests to be repeated at same depth until approximately equal.soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 1--, HOLE NO. 2 HOLE N'O. 3 G.L. R.O.B. Gravel R.O.B. Gravel R.O.B. Gravel 12" 18" 24" 30" 36" 4211 4811 5411 6o'l 66" 7211 78ff 84" INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED - TESTS MADE BY John S . _ .Romeo Date August ,.13, 1974 DESIGN. . Sgil R�.te: TJsed �'-7 NLi,i�/l:'_'Drop _.- w_.S.I?.t:. Uab1.e .Area. provided _ X000 SF: No. of Bedrooms 4` Septic `Tank Capacity 1200 Gals. Type `Masonry Absorption Area Pr— ovided By L.F.x ?4" 3611 M w ®c trench. bo o� hm- , x 1 e A , Address 1 Northridge Road e -N.Y. 10 THIS SPACE FOR USE BY HEALTH DEPARTPENT ONLY: Soil Rate Approved Sq. Ft /Cal. Checked by ° a e • pii � � 27846 0 .� ° °° 9fF of NEw yob • ° °•••° to / •0 �1• '�i I� 0 It 0' 0 � P 0' ' 1� Y• '1 �' M� DESIGN DATA SHEET- SUBSUFACE SF3aAGE DISPOSAL SYSTEM FILE NO. _ ........ - -~ --- ° °`Mike "T�oculski Address 2110 Pitman Avenue Bronx9 NY 104.66 Owner Located at (Street) Lake Shore Drive Sec. 10 Block 1 Lot 10 (indicate nearest cross street) Putnam Valley Peekskill Municipality Watershed SOIL PERODLATION TEST DATA RDQUIRED TO BE SURMI= WITH APPLICATIONS Date of Pre- Soaking Date of Percolation Test August 131, 1974 HOLE 4 NCflKSER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate s• Start-Stop Min. Start Stop Drop In Min /In Drop Inches inches Inches f (1) 1 7:32 7 e40 ° 8 104• 19.5 2.00 .4.00 2 7 :42 7354 12 1805 21.0 2050 - 4.80 3 7:55 8x04 9 17075 19075 2.00 4050 4 . -- 5 (2) 1 7038 7:48 l0 18.25 20.25 2.0.0. 5.00 7 :50:_$:'11 _: 21 17,.75_. 2oa75._ : 30.00;0° _......... _ 3' 8 :13 8:28 15 180 00 20050 2 -5.'0 6.00 4 5 NOTES: 1. Tests to be repeated =at .same depth, until.apprcximately equal soil rates are obtained at each percolation' test hole.- All data to'be.sukmitted for review.. 2. Depth measurements ­to. be made `from top of hole. rev. 9/85 4 2 4 5 NOTES: 1. Tests to be repeated =at .same depth, until.apprcximately equal soil rates are obtained at each percolation' test hole.- All data to'be.sukmitted for review.. 2. Depth measurements ­to. be made `from top of hole. rev. 9/85 TEST P li12 - It�rr1uN vr- 5vua� rU �uurrrr fW im. °rr rxr m.ilArl -, Perc Perc eep Deep DEPTH HOLE NO. , 1 HOLE NO. , 2 HOLE NO. 3 4 . 1 _ Gravel . - _ ROB Grave ROB Gravel ROB ROB Grael G L _ 2' 4' 6' 81 a 10' . 11' 12' 13' 141 --- y INDICATE LEVEL,- AT'.WHXH-, IS- ENOOUNTERED� None -- None INDICATE LEVEL TO WHICfi WATER LEVEL RISES -AFTER BEING. ENMUNTERED - , Aug 31 197 DEEP HOLE OBSERVATIONS'MADE BY: John Si Romeo DATE: Feb 1984 DESIGN Soil Rate Us6d 0 Min /1" Drop: S. D. Usable Area Provided 5000 .SF+ No. of Bedrooms 3 Septic Tank Capacity 1000 gals. Type Mas onr Absorption Area Provided. By L.F. x 24" width trench Other .80. LF of 4x4 Galleries o ��,i ( b John S. Romeo �, s° a Name Signature =� . 1 Northridge Road �+�a _ t ' Address SEAL Cygi3�rM` %� a Peekskill, N.Y. 10566 00 �r9 2786 /if AIMI ��,.. THIS.SPAC,E:FOR USE. BY HEALTH DEPARTMENT.ONLYc _ ®aeomoo 0 Soil Rate Approved sq.ft/gal. Checked by Date D TO: J. MOCU L5K1 CE WITH THE EXISTING CODE OF PRAC- ) SURVEYS ADOPTED BY THE NEW YORK OF PROFESSIONAL LAND SURVEYORS. I PREMISES 5HOWN HER-EON 6E1tJC L0; 4Cc2, A5 SHOWN ON-FIFTH MAP OF- 'ROAR.INCi P5ROOK LAKE °, SAID MAP BLED IN 71-4E PUTNAM COIJN -T`( C.LEF-45 OFF-IC-F- 6N JULY I, 1549 A5 MAP N? 308 I . �\ O� 6� r� GOrA\G OF / �P V0 OF R� ,Pb S APP VA 41 � 0A -1 Ph FDQP di ID. A �cAaa� `0 0 5 Al' L' 5� R 5,3 OS °75o, �ns shall run only to those individuals and institutions on under the title policy No. sho.n above. Said certi- ee not transferable SURVEYED & PREPARED BY BUNNEY ASSOCIATES LAND SURVEYORS ROUTE =2 FIELDS LANE Gp �AV\ Q P�� i . / 1 - i J 0 do PO,o \ CSC i� x, t i 9 � : °0A 8 l ) } t f i �(19 �O "All certifications hcrcon are valid for tNe'map and copies thereof onlc if said map or copies Lef. r the impressed seal-of the surveyor whose signaturepppears hereon." 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