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Home My WebLink About2337DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.10 -2 -65 BOX 20 L i J L �. �6 . IIAL. 02337 ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E. Director of Environmental Health MARYELLEN ODELL County Executive POWAM DEPARTMENT OF HEALTH �l 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 ADDITION APPLICATION RESIDENTIAL ONLY STREET l o k s-ne�c-' TOWN T TAX MAP # 3,tA' -A�l 1-- NAME Mf,Zzuu.o PHONE t �Y' 0- PCHD#e. L I MAILING ADDRESS f'ub aI ►" �ONfM VALLL y- /V- /.r7 5 DESCRIPTION OF ADDITION PflGzrAL r,niisKEp j?ftsfn�� *NUMBER OF EXISTING BEDROOMS �)' NUMBER OF PROPOSED NEW BEDROOMS * (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) . * *Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Brewster, NY 10509, Phone: (845.) 8084390. 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin HA -1) 3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) * Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin HA -1) 4. Copy of survey showing all well and septic locations on the subject property to the best of your knowledge. Include date of installation known. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling. OFFICE USE COMMENTS . . 4. ALLEN BEALS, M.D., J.D. . Commissioner of Health ROBERT MORRIS, P.E., WH Director Of Environmental Health February 11, 2014 DEPARTMENT OF 'HEALTH 1 Geneva Road,. Brewster, New York 10509 Phone # (845) 809-1390 Fax # (845) 278-7921 MARYELLEN ODELL .. County Executive Joseph Mazzullo 101 Pudding Street Putnam Valley, NY 10579 Re: Addition — A- 018 -14 No Increase in Number of Bedrooms 101 Pudding Street (T) Putnam Valley, T.M. 41.10-2-65 Dear Mr. Mazzullo: This Department has received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from this Department dated February 11, 2014. The addition is approved with the following conditions: 1. The total number of bedroomsmust remain at two without prior approval by this Department. 2.- The area of the existing its must-be-- sewage system expansion area 3. All plumbing fixtures must be updated with water saving devicesi, i.e., new low flush toilets, restrictors for shower heads* and faucets, etc ... 4. The approval is for th * e modifications only and does not validate any construction shown as'existing that has not obtained proper approvals from other agencies having jurisdiction. 5. Jbis approval is valid for two (2) years and expires on February 11, 2016. Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the responsibility of the applicant. If you have any questions, please contact me at (845) 808-1390 ext. 43261. Respectfully, Gene D. Reed Principal Engineering Aide GDR:cw cc: BI (T) Putnam Valley .2, �I�s r /NSVL q.f61% 1 - Q.XS �nNp6tT% W, SrnIXd B. �mnz��,�o I� t SPPct ` cW -T4cb as �� iR- °CASED '(iD �1C� P S�uDOFO �i6t+Mr SHeE'r¢�CU. t„PL� oN osC'ER WaliS �F gr6ErETR S'8 FC>< M6Ltj �HQQ(RALIL /wij� l+ /�nlS�lfl'TWNl x 1� 3�Lee Ro(((om WT)f DLKR- s i P• PUTNAM OOUNTY DEPART iv1ENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY 2 BEDROOMS A,� ($ ALL SUBSEQUENT P. EVISiONIALTERA T IONS TO THESE HOUSE PLANS MUST BE SUBMITTEDDTOy*THE PCDOH FOR, APPROVAL` �' ,4 DATE SIGPdATURE A TIT`[ � ST PRESSURE FOR 9555 WHOM )H8L H666 'V. er rme . w IU/YL tSz w flMYI laz 'S YNR a)z 'a flNYL ih w coon tM '6 ARYL t0z 15 -01/2• 3' -01/2• 3'_g• y_1" THIS DOCUMENT CONFORMS WITH THE SYSTEMS APPROVAL AND SPECIFICATIONS APPROVED BY IRA AND THE STATE V NJ, PA, Cf. VA. WV, WA, MD. IAE, NH, VT, RI.(q DATE .3_ 19 _O4 SIGNED I OF 46-0' 2' 0. A .. ALL (TYP. ALL WINDOWS AND DOORS THIS PLAN) 25 -6• q SHWASHER)_ f,-, T` DIA. FUTURE V. O CERTIFICATION ' SEE 15.1 8 15.6 OF THE NE :YORK SYSTEM OJ VINYL PATIO DOOR �B 5 pRD L�l - - ® w 11 W4230 WZ{30 3(130. W243 PAGEAGE FOR WINDOW AND DOOR HEADER SCHEDULE k _ FAMILY ROOM MORNING''ROOM 642 . 311.7 SO. FT. of ROOK I BF 2 3/4 $L 249 LIGHT REWD. -'' i'Y' KITCHEN WF 3 ® Q 12.4 VENT REO'D 63B LIGHT PROWD, 9 LL MATNq WALL OPENINGS N % WALL OF 264 VENT PROWD. d ;t gEE PG. 30A THE SUFFICENT LIGHT.& VENT PROVIDED, kH.Y. SYSTEM ACKAGE FOR A,. —HALF 31` 4 AM -iM)' -COL. DETA SAND CHARTS, r rn Z AP WF (2) 2x4 SPF g3 t 1) 2x SPF If I 0 EA. SIDE M.W. (3) 2x4 SPF g3- A. S# M.W. ; STRUCTURAL TEST PRESSURE FOR DXRWA-TRU STEEL ODOR SYSF IS EA. SIDE M.W } l:A' 4i ^ Cam. d C li �_ VL A POSSIIIVE PRESSURE +73.4 .PST O 171 MPH PM PR (2) 2.10 2YKYQ ' ' C I L (2)2,10 p SPF g2 /z - SPF /2 2 I w I (�(� 6 E NEGATIVE PRESSURE -96.0 PST O 196 MPH ' - DOWN C . 1) 2x4 SPF /3. AC\OOc" ,(3) 2x4 SPF /3 ., DOORS _ EA. SIDE M.W. �{ --•'' EA. SIDE M.W. - FOR BASEMENT e�_-;p (2) 2x4.SPF 13 AP V L DC M EA. SIDE M.W. TRIOS TYPE MIT,, CREE PIMISH IRHT i' 1826 S0. FT. of RBI 1559 SO FL aF ROOM = ' • ' F'' I 14.6 LIGHT REO'0. l -=- — 12.4 LIBR REO'0. I Ii" ' 7J VENT REO'D, 6.2 VENT REO'A 239 LIGHT PROV'0. 1 239 LIGHT PRDV'0. t " ` •- ftLE t 122 VENT PROV'0. 122 VENT PRWIL ' l00n ! SUFFICIENT LIGHT 6 VENT PROVIDE0. RAILING INSTALLED A . 2g SLFFICENT LIGHT 6 VENT PROVIDED.; IN PLANT BY CREST LIVING ROOM DINING ROOM Il.ao. Q ®® ® 4. 6' -d' 15 30 !001 NO © © W.P. GFI J W 2 SIDE CHTS ST PRESSURE FOR 9555 WHOM )H8L H666 'V. er rme . w IU/YL tSz w flMYI laz 'S YNR a)z 'a flNYL ih w coon tM '6 ARYL t0z 15 -01/2• 3' -01/2• 3'_g• y_1" 12 -10• 1 OF ALL (TYP. ALL WINDOWS AND DOORS THIS PLAN) f,-, SEE 15.1 8 15.6 OF THE NE :YORK SYSTEM 5 pRD L�l - - FRONT PAGEAGE FOR WINDOW AND DOOR HEADER SCHEDULE k CHART FOR HEADER SPANS FOR SINGLE JACK STUD. _ Q n rn Z AP STRUCTURAL TEST PRESSURE FOR DXRWA-TRU STEEL ODOR SYSF IS ^ Cam. d C li �_ VL A POSSIIIVE PRESSURE +73.4 .PST O 171 MPH PM PR (�(� o e- 7 (�0 P J NEGATIVE PRESSURE -96.0 PST O 196 MPH ' - DOORS - AP V L SYMHOL TRIOS TYPE MIT,, CREE PIMISH IRHT t FACTO 8L O HOLW! COAd l00n ND RIFIx Il.ao. Q 2' -6' 6' -d' 1 1/9' HOLLOI LTIA! !001 NO REPfN Q 2'-d' 6' -d' I J /4' INSULATED PRACL NO PAINT 19.4 ' APR 2 Iadda lea2e 3' -0' INSULATED PBRCL NO PAINT 11.6 e' -0' 6'-d' N/A IJDINC CLASS METAL YES CILY f21 141.!5 6' -0' ow C -J' 6' -d' N/A N/A UDINC CUSS HINaD CLASS 1000 loan Y!S PAINT YES PAINT II.1 ILI - LIMITED TO D r onannN a I ° z � o a Q m g a a � � � a z Z [Y I rv_7oz�N O U g Q 11J O N51 �mz OJ3 ® 4 A yJ s n i s w Z I m STATE: NEW YORK TYPE T 1WD STORY MODEL: 4026 -2501 DRAWING: w w FLOOR PLAN W SHEET: 2 ''"_THIS DOCUMENT CONFORMS WITH THE SYSTEMS APPROVAL AND SPECIFICATIONS APPROVED BY TRA AND THE STATE OF NJ, PA, CT; VA, WV, MA, MD, ME, NH, VT, RI. Y DATE 3_ T 9 -04- SIGNED _ 15-0' 12' -0' 13' -0' REFER TO N. Y. SYSTEM PACE (1) 1 1/2'x18' LVL (1) 1 1/2'.9 1/4' LVL (I) 1 1/2'.18" LVL 15.2 FOR RIDGE BEAM SPAN CHART. 40' -0, "C" -HALF 1 I g ?�zY 2z Q !O¢a Co 0 • Q Q \ z - o z '�r o V a _mw wow rws mn1A-NclAx1 w, cEx cnrtsu<D 13' -0' 7 -10" 8' -10 I/2' as wlcs (TYP, ALL WINDOWS AND DOORS THIS PLAN) SEE PG. 15.1 k 15.6 OF THE NEW YORK SYSTEM yI - (2) DOUBLE Q JOIST \ O o UN EROTUB AREA © OJ FRONT PACKAGE FOR WINDOW AND DOOR HEADER SCHEDULE k CHART FOR HEADER SPANS FOR SINGLE JACK STUD. n 2 .2 w Cr k Z FS NJ§ rl HOMEWORK/ W.I.C. ia2 m o , V600C 1 n•r W� g pe I 26 COMPUTER -AREA I I 975 SO. FT, of ROOH � 5 t B H 1 I 127.3 M fT. o/ RD)1 12.6 LIGHT RE00. p r 181 LIGHT REO'D, 63 VENT REDS o - ' 26 I \ i 5 VENT REIM ' I I '0 �I66 11.9 LIGHT I'ROV'0. L J 6.1 VENT PROV'6 238 LIGHT PRGV'R _ 122 VENT PROV'0. AC \N�MFILENI LIGHT L VENT PRWIDEB p � 6 _ 2 I 1A O, SUFFICIENT LIGHT L VENT MVIDEO O} 9 �~ 2s SO. FT. SECOND RRST TOTAL FFLO�ORR 10 0 2080 OR STRUCTURAL TEST PRESSURE FOR - ,) / / ^, l - TURAL TEST PRESSURE FOR '. THERMA -TRU STEEL DOOR SYSTEM IS ( y Crl, '{'tO-Q - lr ✓lt R'GS.' - IX )L 40DEL 9555 WINDOWS �' POSSITNE PRESSURE .714 PSF O 171 MPH 1 � J aG� (2)'20 SPF /J ' STATE: NEW YORK -'S iz AC",,, EA. SIDE M.W. D NEGARVE PRESSURE -96.0 PSI O 196.MPF1 C _ c 26 AILING INSTALL B MEET— CO IN PLANT Y CRES --1 TYPE: TWO STORY WIN DOWS DOORS POTENTIAL A D 26 W -6 i/2' n -z _ T MODEL: 1 roc MOO 9554 v�iv>z DO-S M-L 1rr5aDO�Y4 w.>e.1. sruna mCr -s Au NmSN UCIR 'FACTORY BUILT oORTION -. ED SPF 3 R1fB n mr e sass • i' -D' 6' -a' 1 Jam' RO1mI m% ImD No %rfN DOWN rt;. .�. (2) 2.6 SPF 13 �a}� , AC\DC LAm aS.1a R,>a 16 mow NM _ e, EA. SIDE M.L. (2) 2x4 SPF 13 I� FC�'3(, EA. SIDE M.W. , 26 S9 L;SJ.,.., . (1) 2x4 SPF 13 p . Doow 695c 4.1 „ aD .6.aD © Y-D' 6'-a' 11 /d" INSUMTdD PBRCL NO rHN,• Ia.. APR 21 9 2004 TYP. ALL MATING WALL OPENINGS EA. SIDE M.W. 26 FLOOR PLAN um a,.>s n,rt a»a >I.>d mow a. SEE PC, 30A k 30B OF THE C rn Lu - N.Y. SYSTEM PACKAGE FOR N14 M.m ILIYL Jh51 !901 II.m Imo 2150 OoOau aUNC . OCTOmM f.l m I6ele 6' -0' 6'-a' N/I MDFNC CUSS WAL r6S CAIV M. W, COL. DETAILS AND CHARTS. SHEET: ^ M.m a,.>6 IU1T1 9095, mow ,DlM 242.4 SO. FT. of REIN 220.97 SO. FT, d RDUI _ A 19.3 LIGHT REWR 16 1 114 LIGHT REO'0. 9.6 VENT REO'D. 238 3' -0 1/2' LIGHT PROV'D. (2) DOUBLE 5.7 VENT REO'8 23.8 LIGHT PROV'9 122 VENT PROV'9 FLOOR JOIST 122 VENT PROV'D SUFFICENT LIGHT L VENT PROVIDED �y-� UND R-T EA BEDROOM 1 AT� W SUFFICIENT LIGHT L VENT PROVIDER BEDROOM 2 15 -0 112' 9' -10 1/2' 13--0" - "C" -HALF 1 I g ?�zY 2z Q !O¢a Co 0 • Q Q \ z - o z '�r o V a _mw wow rws mn1A-NclAx1 w, cEx cnrtsu<D as wlcs (TYP, ALL WINDOWS AND DOORS THIS PLAN) SEE PG. 15.1 k 15.6 OF THE NEW YORK SYSTEM Q o FRONT PACKAGE FOR WINDOW AND DOOR HEADER SCHEDULE k CHART FOR HEADER SPANS FOR SINGLE JACK STUD. n 2 .2 w Cr k Z FS NJ§ o ia2 m 1 n•r W� "D " -HALF Elh- � 5 t cp m° ' p o - ' 2CD OFF NE4,,o p � SOlt 9 i - (TYP, ALL WINDOWS AND DOORS THIS PLAN) SEE PG. 15.1 k 15.6 OF THE NEW YORK SYSTEM Q o FRONT PACKAGE FOR WINDOW AND DOOR HEADER SCHEDULE k CHART FOR HEADER SPANS FOR SINGLE JACK STUD. n 2 .2 w a k 1 m W z cp m° ' p 2CD 9 SO. FT. SECOND RRST TOTAL FFLO�ORR 10 0 2080 OR STRUCTURAL TEST PRESSURE FOR - ,) / / ^, l - TURAL TEST PRESSURE FOR '. THERMA -TRU STEEL DOOR SYSTEM IS ( y Crl, '{'tO-Q - lr ✓lt R'GS.' - _ )L 40DEL 9555 WINDOWS �' POSSITNE PRESSURE .714 PSF O 171 MPH 1 � J ' STATE: NEW YORK -'S NEGARVE PRESSURE -96.0 PSI O 196.MPF1 C _ TYPE: TWO STORY WIN DOWS DOORS APPROVA IMITED TO LCi _ T MODEL: 1 roc MOO 9554 v�iv>z DO-S M-L 1rr5aDO�Y4 w.>e.1. sruna mCr -s Au NmSN UCIR 'FACTORY BUILT oORTION -. R1fB n mr mr sass • i' -D' 6' -a' 1 Jam' RO1mI m% ImD No %rfN 4026 -2501 LAm aS.1a R,>a 16 mow NM U 1.6 AO 11.50 Y-D' 6'-S' 1 a/6' ROYDI m% FOOD ND. Rar,N DRAWING: tam ti.16 ILpS aI is Doow 695c 4.1 „ aD .6.aD © Y-D' 6'-a' 11 /d" INSUMTdD PBRCL NO rHN,• Ia.. APR 21 9 2004 ' CD FLOOR PLAN um a,.>s n,rt a»a >I.>d mow a. 11.1 u m Ia1.n J' -0' 6'-9' I a/i IMSUUTRD PBRCt MD PAINT 11.6 ,ia rn Lu - M.m ILIYL Jh51 !901 II.m Imo 2150 OoOau aUNC . OCTOmM f.l m I6ele 6' -0' 6'-a' N/I MDFNC CUSS WAL r6S CAIV SHEET: ^ M.m a,.>6 IU1T1 9095, mow ,DlM e.a N0 101.55 6' -0' 6'-a' NIA INC CUSS FOOD US PVNP u,l _ A I P s� vDDFD SNEETttoCkL 1 PLC 0 p��a 9b C X" 3 HiffgA c, inns A.fl T i.&j5 Lee Roam. boob i ,�ie'.� Vrw —T.,Cb Q o r� IV �X C+l,a9�StJ p r I P s� vDDFD SNEETttoCkL 1 PLC 0 p��a 9b C X" 3 HiffgA c, inns A.fl T i.&j5 Lee Roam. boob i ,�ie'.� Vrw —T.,Cb Q o r� ALLEN BEALS, M.D., J.D. Commissioner of Health _ 1,zR-' BERT- -M0RR—IS; P.E. Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Town Legal Bedroom Count & Proposed Addition Status Re: lC) (Owner's Name) Tax Map #� " �- Address: 0 ` pva Town: \Ja u ai'l Year Built: 2 According to�records maintained by the Town, the above noted dwelling, is in compliance with Town Code. Is not in compliance with Town Code. The Legal Bedroom Count is.- This information has been obtained from: Certificate of Occu anc P Y Other: The plans for the proposed addition are considered: Addition to existing ou se only Y Teardown and/or re -build allowed under Town Regulations eA &c Building Inspector Date 5. MARYELLEN ODELL County Executive VAM COUNTY DEPARTMENT sOF HEALTH )N OF ENVIRONMENTAL H ALTH SERVICES ERTIFICATE OF CONSTRUCTION COMPTv] PCHD�QNSTRUCTION . PERMIT # ..3;4 -161: Located at f O f ?UDDIM4 Slit t- F T Owner /Applicant Name .S-4c-I C2A,4 €- Formerly IA. Mailing Address &( 56%4-ay L a "e 3o FOR SEWAGE TREATMENT SYSTEM Town or Village Por"4 -M y4c.& G:y Tax MapA(, %P Block - Lot �► '�'` e Ati i��0 H &P .vf o am Subdivis p % It fte l m fg artobic i � Subd. Lot # 0 Zip 10 5 'IECTED CERTIFICATE OF OCCUPANCY Certificate No: 2005-126 Date, of Issue: 6/13/2005 Permit No: 2004-155 Tax Map No: 41,10-2-65 Location: 101 Pudding St Parcel Owner: Guzman Juan 101 Pudding St Putnam Valley NY 10579 a This I certificate covers the construction of., ONE FAMILY RES, TWO BEDROOMS; 21/2 BASEMENT; FAMILY ROOM, MORNING ROOM; KITCHEN; DINING a ROOM, LIVING ROOM; NO DECK/PORCHES The. applicant having heretofore filed an application fora building permit pursuant to the Town Code, Sanitary Code, the Uniform Building & Fire Code and the Laws in . effect in the TOWN OF PUTNAM VALLEY, Putnam County, NY, having paid the required fee therefore and the undersigned having by personal inspection ascertained that imprdwinent -of the-proposed structure is m*-,- compliance with the requirements of the laws as aforementioned; that the said work and materials meet every requirement of the laws as aforementioned; and that the premises have now been fully completed and are ready for occupancy pursuant to the provisions of law. Now, therefore, the Certificate of Occupancy is hereby issued under the seal of the TOWN OF PUTNAM VALLEY. TOWN OF PUTNAM VALLEY V BY Code Enforcement Officer R -04 -411 Survey of Lot 125 as shown on RICHARD J. DOMATO 'Amended Map of Roaring Brook Lake,Map 1 Section B" LAND SURVEYOR Filed in the Putnam County Clerk's Office 22w• First Street -Room 401 on Dec.09 ,1949 as Map No.J08J. Mt. Vernon, N.Y. 10550 Towns of.mPotnar?-� Valley, ° ' -(91.4 )667 -0565 Putnam County, New York. March J0, 2004 Scale: 1 "=J0' Revised March 28, 2005 Map to show New Drain Manholes Revised May 9,2005 Final survey LOT 128 i m f II a LOT 126 I & w LOT 124 I 3 ii i6 c-4- R'�5 I sn.C-�pQ I 1 191yn' Sa 50 12000 crrirea oN Y� s� & f_ ;d. S � TGe day N.Y.S. Lmd T.. wv Assu. *SURVEYED AS IN POSSESSION" 9 R -04 -411 ro n soy NN f LOT 125 N Area= 23182.21SF. LOT 127 NBI70TO W m f II a LOT 126 I & w LOT 124 I 3 ii i6 c-4- R'�5 I sn.C-�pQ I 1 191yn' Sa 50 12000 crrirea oN Y� s� & f_ ;d. S � TGe day N.Y.S. Lmd T.. wv Assu. *SURVEYED AS IN POSSESSION" 9 R -04 -411 w g"i } e 14 •� y.�1 �'. fit,. Zip, , :F 1w, • x � a � F ! L GRAM MANHOLE #2 ^ MANHOLE g1 R1♦L-189.0 t�GRAIN , >RIM =190.28 ? " NY-183.9 (IN) ;' MV. =186.9 (IN) �.x '� 4:; t1Yr183 8 (OUT) INV. =186.8 (OUT) ; w' t 15 HOPE DRAIN Groin rig 11 �$ IN DRAINAGE EASEMENT 50 6r; N 51 a E oN pREA 0 py3 1 10 R° 9 R4i.. q► 1F . 6 6h' DROP Bn(iYP 205 LF OF ABSORPTION; I B TRENCH 4• PN CI `4 `l SEEPAGE r \ e CIP 3 PR / / 2 O / 1 / _ `\. 1000 D _. -.. \ �� y �. \.. -_PUMP CAI TANK - - - - - / A 4250"J, SEP[!C TANKrr t G �` FOOTING DRAIN •-� PLAN SCALE 1"= • c �o 3 t two h y WARNING: ALTERATION OF THIS W MMB ANY Ym BY ANY PERSON,1:0T I R1t MDlM,. AL • I IA[ \IC iURE FOR NDOWS i' THIS DOCUMENT CONFORMS WITH THE SYSTEMS APPROVAL AND SPECIFICATIONS APPPOVEO BY TRA AND THE STATE CT HNJ. PA, QT, VA, WV, MA, MO. ME, NH, VT, RI.O DATE .3_ 19 -04 SIGNED ( 40F -0• 2; 0. b 25'-8* I SHWASHER) .. . 2 DI At V. OVINYI PATIO DOOR O CERTIFICATION S SFI ® ® ' w423o W24J W243 FAMILY ROOM MORNING' ROOM - _842 o/w L4 e BSO 311.7 SO. FT. Df ROOM KITCHEN 2wF a 24.9 LIGHT REd0. ® ;n 12.4 VENT REd0.` 618 LIGHT PROVO +' +' MATIN4 WALL OPENINGS 261 VENT PROV'0. >fjY P0. 30A Ik 30B OF ME SUFFICENT LIFNT.L VENT PROVIDED. .iHT Y. SYSTEM ACKACE FOR „A „ —HALF . "ir. • "i : DETA S AND CHARTS. (2) 2x4 SPF /3 r "- (1) 2z SPF /} WF I SIDE M.W. (3) 2x4 SPF /3 ''c�,;,y� EA. SIpE M.W. 3 EA. SIDE M.W 5 —o• ) 5' -0• (2) 2x10 ? C L (2) 2xIO SPF 12 I SPF 42 p0 i 6 N ES r JEA. - - - - -- Z _ --� (1) 2x4 SPF /3. rEA 4 SPf / 3 EA. SIDE M.W. E M.W. FOR BASEMENT (2) 2z4 SPF /J \nr _ EA. SIDE M.W. F xB „ -HAL,6 es" P / 182.6 SO. FT. of NOW ISS.e S0. FT. of RODI 4.6 LIGHT REdD. 12.4 LIGHT REO'0. 7.3 VENT REO'D. 1 1 62 VENT RECT. 23.8 LICIT PROV'0. .,gLE 218 LIGHT PROWD. 12.2 VENT PRWD- /O; ;T- 122 VENT PRDV'D. SUFFICIENT LIGHT L VENT PROVIDED. RAILING INSTALLED H, a 44 SIFFICENT LIGHT L VENT PROVIDED. IN PLANT BY CREST �f y } ® LIVING ROOM ®® ; ® DINING R00 30 © © W.P. GFl J W 2 ID © , 15 -0 I/2• 3 -01/2' 12 -10' :I ALL WINDOWS AND DOORS THIS PUN) SEE SEE PG. 15.1 & 15.6 OF THE NEW YORK SYSTEM FRONT PAGEAGE FOR WINDOW AND DOOR HEADER SCHEDULE & CHART FOR HEADER SPANS FOR SINGLE JACK STUD. STRUCTURAL TEST PRESSURE FOR i THERM A —TRU STEEL GOON SYSTEM IS POSSIRVE PRESSURE +73.4 PST 0 171 MPH NEGATIVE PRESSURE —96.0 PSF'0 196 MPH DOORS STXDOC hKIA661THIC91 ITPS HATC SCRINA PINISH LICHT !' -0' 1' -1• 1 0. tlOLL01 LORI FOOD 00 HOU,Or CODr 10011 XO RfIfN 7 1• S L NO PAINT IR4 ' ' /XSL 1' -0 1-1/I' fXSOLT[0 FHSCL NO PAINT 171 C' -0- 6' -1' 1 N/A UOINC CUSS XATAC NS CALM Il.I /000 TCS PAINT 11.1 S I I D' -D' s -t N/I RIN<lD CIJ.CR IMD Y[P PAINT Ill D 1 P a i � 1 U ]CZ Oz Gx ° N Z. rwo °z�n, o r°r U . xxliCR [R1TNp,CD KRE1x rs- Pminnwr wm NDT DE REPR➢DIY[Y V i1p/I TD. VRITi�x FObRSS n xuc1 wc. g }� Q z W � 0 r 0� .mr IRON L LIMITED TO "OW BUILT CIORTIO APR 2 9 2004 IIw z 1 a 1 Zoi I I I I Z TA T... -. 7ND STDRY 400EL: 4026 -2501 DRAMNC: z FLOOR PLAN L LI SHEET: 2. i V' t. a, ' •IS DOCUMENT CONFORMS WITH THE SYSTEMS APPROVAL AND SPECIFICATIONS APPROVED BY TRA AND THE STATE OF NJ, PA, CT. VA, WV, MA MD, ME. NH. Vr, RI.8 DATE ? -19 =94_ SIGNED 15 0 IY -0• IY -0' p REFER TO N. Y. SYSTEM PACE O Z as s (1) 1 1/2'x18- LVL (I) 1 I/2'x9 1 /1• LVL (I) 1 1/2•x18' LVL 15.2 FOR RIDGE BEAM SPAN CHART. 40'-O', j a 13 -T 2' -10• 8''' 10 1/2• `I (2) DOUBLE i rr _ I -1 FLOOR JOIST N o z N O UNDER TUB AREA 0o cF1 f —I HOMEWOR" W./.C. V60DC a • I z6 COMPUTER AREA _ I I 975 SG FT. of RWII TT B H > I o 126 LIGHT REO'D. .. F3 10.1 S0.'TT. of R�1 Q VENT REVA zE g r awl l 101 VENT REW0. h ,�Qpy�►��. ©ice/ 2 I \ = 5 VENT PRDV 238 LIGHT PROV'0 11.9 LIGHT PRDV'0. • ENT VENT VENT PRINT. I rws mcucxr Axn c 0 L 6.1 VENT PRDV'6 AC \OITICExT LIGHT t VENT PROVIDED - - -T 26 I — — — — ms — —I SUFFICENT LIGHT.8 -VENT PfMDM ••C••_HALF x.nE ws:D ePxmllT 11 itE (2) 2.4 SPF /3 VIvlNrfx ACC10C C}}}� EA. SIDE N.W. psi wc°i AILING INSTALLED �} .16 PLANT IN PLANT 6 BY Ct T it D 1T -7 1/2• 2 18•'8 � 11' -2• , r' ` - 2 (2) 2.6 SPF i3 g � GOWN I EA. SIDE M.L. (Z) 2x6 SPF /J AC\DC - Z (% W EA. SIDE M.L. (2) 2.4 SPF /3 I( X c / Y i EA. SIDE M.W. . 1 26 �! S 9 _ (1) 2x4 SPF /3 •� ODF TYP. ALL MATING WALL OPENINGS EA. SIDE M.W. 28r - '<� Llj.r t SEE PG. 30A k 30B OF THE ° �€ b 2 5 1 N.Y. SYSTEM PACKAGE FOR ;� PCI`eiviiY NU.- z s�F -$c M.W. COL. DETAILS AND CHARTS. ••D,• -HALF ii 9 242A SO FT. of Rmll ®l 220.97 SO. FT. of ROM - - 19.3 LIGHT REOWIL IIA LIGHT REWD. - 9.6 VENT REWIX ! 57 VENT REO'D. 0 238 LIGHT PRDV'R 3 -01/2- (2) DOUBLE 230 LIGHT PROWD. 122 VENT PROV'D. FLOOR JOIST 122 VENT PRUV'0. SIFFIICENT LIGHT t VENT PROVIDER UN R SUITICENT LIGHT t VENT PROVIDER A BEDROOM 1 � BEDROOM 2 )� •� 15' -0 1/2' 9' -10 1/2'' 13' -0• F -4 0. N fkPy a t 5 DL (TYP, ALL WINDOWS AND DOORS THIS PLAN) Q \G _Fyy f• �t i SEE PG. 15.1 k 15.6 OF THE NEW YORK SYSTEM - FRONT PAGEAGE FOR WINDOW AND DOOR HEADER SCHEDULE 8 n A tf Q Y I CHART FOR HEADER SPANS FOR SINGLE JACK STUD. W. a� Z c ' ' ' ' ul cp A ' OR so Fr. iESi PRESSURE FOR TEL 9555 WINDOWS F STRUCTURAL TEST PRESSURE FOR STRUCA -TRU STEEL DOOR SYSTEM IS POSSIRVE PRESSURE +73 *4 PSF O 171 MPH NEGATIVE PRESSURE -96.0 PSF O 196 MPH WIND 0 WS DOORS AloDLL oaaa rpVYt LIOVaLa HuIVO N'INOOIIS u -.n Iw [ SYMBOL T81Cf TTPd MA TL PINT1411NIS01 LICxT It -1 4026 -25M j 1 APR 29M4 ° FLOOR PLAN t' 0. 1' -1• I s/1. 60101 COM I000 NO Ipwisl li.ri RA7t fir$ OWNS eaei a.. I.1 ND 1IJe 1 t' -1• C -1• I t Ar"Of COed I f0O➢ NO ROIN e). 10 WNtl flsrr DWDY fUNC 4.1 LI e0 4U0 t' -f• Y -0• 1-0• 1' -1• f'-I• r' -Y 1 t /4• Il /i Y/I mtuLATPD IMSUMTd➢ NDINC cuss 1DeC1 P➢RCL raw NO NO IBM,, PAINT PANT u.. 121.6 ILI F, 1-1 ItIN lrW DOOIDA /oat 10.1 A! Ra IJAa!( r /.r! IllTl »fl mm tf1NC. 13l it YtS If1.W r4A! lDOD im wfooatl -_ -- - -- _____ /' -0• /' -/' M A IlOINC C455 1000 YIS PAINT 41.1 u. ri ILYN IOxV lOOlfa eDNC !.4 AI ND IlIAI C -0• 1' -1• N/I xIMCfO CMSS I00D YIS PifNT n r f sEC�oND noon tao TO noon 100 iorAL 2080 STATE NEW YORK APPROVA IMITED TO TYPE, . LO TM STORY FACTORY BUILT PORTION TT MODEL• -1 4026 -25M j 1 APR 29M4 ° FLOOR PLAN LZ l THIS DOCUMENT CONFORMS WITH THE SYSTEMS APPROVAL AND SPECIFICATIONS APPROVED BY TRA AND THE SIAIE ALL` 1 " i '• t F<14a <1:NlA 11� Y Y^ x ill S FOUNDATION PLAN IS FOR DIMENSIONS ONLY. FOUNDATION WALLS, FOOTINGS, UMNS, PIERS, AND SLAB TO BE DESIGNED BY OTHERS TO MEET STATE AND /OR AL CODES USING EXISTING SOIL ANALYSIS. MANUFACTURER. ASSUMES NO PONSIBILITY FOR ERRORS IN THE CONSTRUCTION OF THE FOUNDATION. ANY AND DIMENSIONS ARE TO BE CHECKED AND VERIFIED (AGAINST THE FLOOR PLAN ELDER COPY') BY BUILDER /DEALER PRIOR TO FOUNDATION CONSTRUCTION. THE -DER/DEALER MUST CONTACT MANUFACTURER. WITH ANY DISCREPANCIES PRIOR THE START OF CONSTRUCTION. UFACTURER. WILL NOT ASSUME ANY RESPONSIBILITY IF BUILDER /DEALER /OWNER LEEDS MAXIMUM SPACING OF SUPPORTS AS SHOWN ON THIS DRAWING. DOW CENTER LINE LOCATIONS FOR RAISED RANCH AND /OR SPLIT –LEVEL MODELS BE OBTAINED FROM 'BUILDER COPY' DRAWINGS. FRONT so' Fr – -- COLUMN SPACING HAS BEEN DERIVED I SECOND FLOOR IOH O1•AL FLOOR 208( USING CHART ON PC. 30 OF THE R LLIH0 FACTORY BUILT PORTION NEW YORK SYSTEM PACKAGE. USED TYRE: t TWO smRY T (6) 2x10 SPF /2 W/ 45 PSF GROUND APR 2 9 2004 �* I '026 -250' SNOW LOAD i0 CALCULATE. p i I f Z { r i 1 I i t„ . 1 t I 1 SHEET: a F . Wul ii} R1 47y) DATE _?_! 9 =0q_ SIGNED "B"—HALF z d z 1 S i � o 1s=anm V a Q m x 0 N ? Z i O ¢¢ I 0 VI o � o n YRKW@2006 ig, pon,rcxl n. _ WPR®IIfEO I V VRL M fiP[NMISSIM Q ::;CREST MUtS i so' Fr – -- w SECOND FLOOR IOH O1•AL FLOOR 208( APPROVAL LIMITED TO R LLIH0 FACTORY BUILT PORTION TYRE: t TWO smRY T 9 APR 2 9 2004 �* I '026 -250' p OR WING: W w I of t w SHEET: a 11:'1 !1 � it is FLOOR so' Fr – -- SECOND FLOOR IOH O1•AL FLOOR 208( APPROVAL LIMITED TO STATE: NEW YORK FACTORY BUILT PORTION TYRE: t TWO smRY T NOOEL APR 2 9 2004 �* I '026 -250' p OR WING: W w MONDATINN w SHEET: a 11:'1 !1 � it (I J. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT �7) NOTE: Exact location of well with distances to at least two permanent landmarks to be provided on a separate sheet/plan. 7Y Well DrilleV-s N n, In Address. 75 Putnara.Ave.., Brewster, E Signature: —0 Date: ,E0 White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC-97 Pudding Street Putnan, Valley Map ql,(CBlock Lot(s) Well Owner: Name: Address: Jack Gomes 10 Rustic Lane Mahopac, NY 10541 Use of Well: 1-primaryXXXX 2-secondary X Residential Public Supply —Air cond/heat pump jrrigation-- Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary _ Cable percussion _X_ Compressed air percussion _ Other (specify) Well Type Screened _ Open end casing r, Open hole in bedrock Other Casing Details Total length 41 ft. Length below grade 39 ft. Diameter . 6 in. Weight per foot 17 lb/ft. Materials: 7. Steel Plastic . Other Joints: Welded '.,:' Threaded Other Seal: Cement groutX . Bentonite Other Drive shoe: X Yes No ILiner: Yes x No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test — Bailed Pumped x Compressed Air Hours 6 Yield 7.5 gpm Depth Data Measure from land surface-static (specify ft) 20 During yield test(ft) 300 Depth of completed well in feet 665 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 665 7.5 6" ;'hard rranite 7 If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump/Storage Tank Information 665 7.5 Pump Type submer Capacity 7 Depth' _'3#660 Model 7GS10412 Voltage230 HP 1 Tank Typq)hragmVolum,e 62 Date Well Completed 9/16/04 I Putnam County Certification No. 02 I Date of Report 11/15/04 Well D V ,r er 7 e) I Ole �7) NOTE: Exact location of well with distances to at least two permanent landmarks to be provided on a separate sheet/plan. 7Y Well DrilleV-s N n, In Address. 75 Putnara.Ave.., Brewster, E Signature: —0 Date: ,E0 White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC-97 0 PUTNAM COUNTY DEPARTMENT OF HEALTH AMWIN i SERVICI CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT S A a a �i.i PCHD CONSTRUCTION PERMIT # W -L3,4 X61 /Sw- 4 O I Located at l 0 a 'Ror. o w C. Si- V. t €, S Town or Village (.::6 POT "Ot -A �s.c•t �C_�� W •— Asc.wS �' �,, Owner /Applicant Name �� , � � �, Tax Map A i , %0 Block e— Lot 6 c� .tie -biota 8 44-P Of Formerly Subdivision Name 'R o !% c- i m k Z dz4a)'tt & -Afir- S Subd. Lot # 6 '�k_ Mailing Address 6 ( J ! c. c- g v VA'j4 lr c J Q .Y.. Zip 10 8` Date Construction Permit Issued by PCHD I 1 C', ©` Separate Sewerage System built by A t._kf-B 4 C—Ax- La s Address 'Po T i-1N� VoIt 216' j , aX Consisting of 8 i O'3 Gallon Septic Tank and 7_ oo L.F. C) F Z g4" +fit wE k e s a x P t. o a.1 Other Requirements: 3-6"' ?O A 'FaL#- 000 Water Suauly: Public Supply From th16-. `f )-,A ` 1 Z4 Address Dia— ViSy4L •4r- air; ►xS or: %>I(— Private Supply Drilled by Hi LL lDm Ls..ia41MC . Address 130--C-wST"C-P•A df Building `Type €D ai"�+i�c- - Has erosion - control beeri=completed? - Number of Bedrooms 7, Has garbage grinder been installed? "o I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built-plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations th Pu ounty Department of Health. Dater Certified by P.E. R.A. (Design Professional) Address 5 ka_- r t lea.rsQ .J , f?C. C_ a ve 9g la ti , kY I OS'14 License # 0&2-505 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 revocatio modification or change is necessary. B Y Title: Date: �O opy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 Cr a tia BRUCE R. FOLEY M.S.N. _. ssociate- Pa�i��c�Ilealtu�Dfret�c ;,r::�.�.��rt44�..A:.,; °- 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 Preschool (845) 278 -6082 Fax (845) 278 - 6648 E911 ADDRESS VERIFICATION FORM OWNERS NAME: TAX MAP NUMBER: Acaclo Carlos & Jack Gomes 41.10 -2 -65 E911 ADDRESS: loLj Pudding Street TOWN: y TOWN OF PUTNAM VALLEY AUTHORIZED TOWN OFFICIAL: DATE: G� 6 � A (Signature) 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. (E911verfrm) PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well tocataon Street Ad ress: P udd- ing.Street ITown/Village: Putnam �7a11ey 7Tax id 1•(0131ock Lots) Well Owner: Name: Address: Jack Gomes 10 Rustic Lane 1"_a.hopac, NY 10541 Use of Well: 1- primaryXXXX 2- secondary X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion _x Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total length 41 ft. Length below grade 3S ft. Diameter 6 in. Weight per foot 17 lb /ft. Materials: 1: Steel Plastic _ Other Joints: Welded X Threaded Other Seal: _ Cement grout_ Bentonite Other Drive shoe: X Yes No Liner: Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _ Bailed Pumped X Compressed Air Hours 6 Yield 7.5 gpm Depth Data Measure from land surface- static (specify ft) 20 During yield test(ft) 300 Depth of completed well in feet 665 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 665 7.5 6" Hard Granite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information 665 7.5 Pump Type submer Capacity 7 Depth 360 Model 7GS10412 Voltage230 HP 1 Tank Typg,LiaphragmVolume 62 Date Well Completed 9/16/04 Putnam County Certification No. 02 Date of Report 11/15/04 MI I D er e) NOTE: Exact location of well with distances to at least two permanent landmarks to be provi ed on a separate sheet/plan. Well Drille s Na i' "'Al In Address: 75 Putnam .Ave. Brewster, 1% Signature: Date: �O �j White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 JMSEnvironmental Services,�lnc.' �� WATER, SOIL AND AIR ANALYSIS _ f"° 41 Kenosia Avenue I Danbury, Connecticut 06810 LTelephone 203 - 798 -2229 Mailing Information: Name: Mill Drilling Co. Address: 75 Putnam Ave City: Brewster State: NY Telephone: Sample's Information: Client: Jack Gomez Acasio Carlos Zip: 10509 Fax: 845 - 279 -5075 Collector's Information: Name: Bob Address of site: Pudding Street City: Putnam Valley State: NY Zip: Telephone: Site: Bottom of Tank Date Collected: 2/2/05 2/10/05 Date Received: 2/3/05 2/10/05 Preservative: HNO3 Time Collected: 4:00pm 4:00pm Time Received: 11:30am 5:00pm Temperature: <4C Lab No.: J0500789 -1011 Date Analyzed Test Name Result MCL Method 2/3/05 16:00 Total Coliform Absent Absent SMWW 9222B 2/3/05 Chlorine Free Residual <0.1 mg /L N/A SMWW 4500CIG 2/3/05 Color 5 15 Units SMWW 2120 B 2/3/05 Odor ND 3 TONs SMWW 2150 B 2/4/05 Iron 0.117 mg /L 0.3 mg /L SMWW 3111 B 2/4/05 Manganese 0.089 mg /L 0.3 mg /L SMWW 3111 B 2/4/05 Sodium 239.9 mg /L N/A SMWW 3111 B 2/14/05 Chloride " 417 mg /L 250 mg /L SMWW 4500 Cl C 2/4/05 Hardness 288 mg /L N/A SMWW 2340 C 2/4/05 Nitrate 0.27 mg /L . 10 mg /L SMWW 4500 NO3E 2/4/0510:00' Nitrite- ' -'" ' "' '' ' ' <0.1 mg /L 1.0 mg /L" SMWW 4500 NO3E 2/3/05 pH 6.86 S. U. 6.5 -8.5 S. U. SMWW 4500 H B 2/4/05 Sulfate 14.42 mg /L 250 mg /L SMWW 4500 SO4F 2/3/05 Turbidity 1.03 NTU 5 NTUs SMWW 2130 B 2/4/05 Lead 1.55 ug /L 15 ug /L SMWW 3113 B 2/4/05 Alkalinity 150 mg /L N/A SMWW 2320 B COMMENTS: *ABOVE MCL At the time of analysis the sample was acceptable for total coliform N/A = Not Applicable mg /L- milligrams per Liter ND- None Detected S.U.= Standard Unit NTU- Nephelometric Turbidity Unit MCL- Max. Contaminant Level TON- Threshold Odor Numbey ug /L- micrograms per Liter Reviewed by: Sharon Houlahan, Director Signature: State #: PH -0218 Michael Lapman ELAP #: 11715 President CONNECTICUT, NEW YORK AND NELAC CERTIFIED Toll Free 866 -JMS -5097 I Corporate Fax 203 - 798 -2408 1 Lab Fax 203 - 798 -2107 1 www.jmsenvironmental.com PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Acacio Carlos & Jack Gomes Owner or Purchaser of Building Acacio Carlos Building Constructed by 101 Pudding Street Location- Street Residential 41.10 2 65 Tax Map.. Block Lot (T) Putnam Valley TownNillage Amd. Map of Roaring Brk. Lake Subdivision Name Building Type Subdivision Lot # 125 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 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 treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building 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: Month , Day , r Year _ iii 11 de r :ZZ� General Contractor (Owner) - Signature Acacio Carlos Corporation Name (if corporation) Address: 66 Seifert Lane, Putnam V Signature: Title: Corporation Name (if corporation) Address: State New York Zip 10579 State Zip Form GS -97 BADEY & WATSON LETTER of TRANSMITTAL SurKyl?!g-git Hn P.-C - 3063 Route 9, Cold Spring, New York 10516 Date: .05 Apr 2005 File No. 72-179 W. O. # 16747 RE: Certificate of Construction Compliance CARLOS TO: Pudding Street Mr. Joseph S. Paravati, Jr. Amended Map of Roaring Brook Subd. Lot No. 125 Putnam County Department of Health Tax Map 14.10-2-65 I Geneva Road Permit/Title/PO # Brewster, NY 10509 Sent via: US MAIL ❑ UPS-NIGHT ❑ MESSENGER ❑ UPS-2 DAY ❑ PICK-UP ❑ UPS-3 DAY ❑ FAX ❑ Ups-GRND 91 We are sending: UPS-COD ❑ copies date description of document F-11 104-Jan-05 E911 :Address Verification Form Fil 124-Feb-05 71 ICertificate of Construction Compliance for Sewer Treatment System 51 116-Sep-04 Well Completion Report F-11 103-Feb-05 Well Water Test Results F 31 101-Feb-05 IGuarantee of Subsurface Se'wage Treatment System F-11 124-Feb-05 I FApplication Fee V 105-AI)r-05 -1 JSSTS '!As-l3ujlt",.. El I El I REMARKS: Dear Mr. Paravati, please find the above documentation for your review. If you have any questions please feel free to contact us. Copies to: File Yours truly: Neal A. Seidl Jr. Engineer Tel: (845) 265-9217 ext 25 Fax: (845) 265-4428 Email: nseidl@badey-watson.com 40 40-05 523222 645655 26574 Street PERSON IN CHARGE, OR_TNTFR VTPv,rP .. Ci PUTNAM COUNTY DEPARTMENT OF HEALTH ._ AZVISCZY.: O''.: iVC?.t?N:'Ir#1L,IiEAI:SERVIGE.; FIELD ACTIVITY REPORT Town State Zip PUMP TEST 0. DOSE TEST V . .ky 9-j. REQUMD GALLONS /C>0 J l Doi i I jr EL. START EL. STOP TNSPRr Tf1R! TFT • i Signature and Title RFPr1RT 12FrFTVFn RY• / I acknowledge receipt of this report: SIGNATURE; 02/96 Title: `i P. 0 0� V . .ky 9-j. REQUMD GALLONS /C>0 J l Doi i I jr EL. START EL. STOP TNSPRr Tf1R! TFT • i Signature and Title RFPr1RT 12FrFTVFn RY• / I acknowledge receipt of this report: SIGNATURE; 02/96 Title: PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION / Date: "1 [ 7 l� 1' Inspected by: Street Location (kn ':f- --ze_ :Qw per' C o s s -:To, _ -t ��ll Permit# SW —1 -o i Pt/- 3y -87 TM # � 1. to - 2 Subdivision Lot # A �tu� �►,�yo �F o,,� �,n�r� 1. Sewage System Area YES NO COMMENTS a. STS area located as per approved plans .......... : ................ b. Fill section : date of placement 3 :1 barrier Lgth. Width . Avg.Dpth c. Natural soil not stripped..... I ..................... ....................... d. Stone, brush, etc., greater than 15' from STS area..•,..:... `M .e. 100' from water course / wetlands .:............................ A II. Sewaze System a. Septic tank size - 1,000 :....1,250 ......... other ................ b. ' Septic*tank installed level ................ ............................... c. 10' minimum from foundation ......... ................ ,.:........ d, Distribution Box 1. All outlets at same elevati n -water teste CL ................... 2. Protected- treow frost ..:.....::........ ............................... „^_3- °'Nnimum 2 ft. Original soil between box & trenches 6: Junction Box -properly set ........:. ...•.......... ............... 6. ren c es 1. Length required ' ,ZO Length installed flvt- 2. Distance to watercourse measured Ft9i... 3. Installed according to plan ......... ............................... 4. Slope of trench acceptable 1/16 - 1/32" /foot ............. 5. 10.1. from property he - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100 %' ......................:.. S. Size of gravel 3/4 - 11/2" diameter clean..........: •.......: 9. Depth of gravel in trench 12" minimum.. ......... I ...... 10. Pipe ends capped ................... • ... ...........:.::............:... R. Pump or Dose&,Systeanst 1. Size of pump chamber......... 2. Overflow tan....... ............. ................... `........ .%.�: 3. Alarm, visual / audio ........:........... .......................I....... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled ..... ........ ............................................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. House/Building a. house located per approved plans ........................... b. Number of bedrooms .......................... IV. Well ,;,.... Well located as per approved plans .............................. b. Distance from STS area measured ft........... c. Casing 18" above grade ............................ d. Surface drainage around well acceptable ....................... V. Overall Workmanshin . a. Boxes properly grouted ................... ........:...................... b. All pipes partially backfilled ........... ......I........................ c. All pipes flush with inside of box.... I ............................. d. Backfill material contains stones <4" diameter ....:......... e:. Curtain drain & standpipes installed according to plan . f. Curtain drain outfall protected & dinto exist waterco g. Footing drains discharge away from STS.area ............... h. Surface water protection adequate ........ : .......... ................. i. Erosion control provided ............. • .... ............................... Rev. ?2102 /', � GY STTE INSPECTION FOR FILL PAD Date: % 6 Inspected by: ASP , Fill pad located per the approved pl.' -6PL Fill Pad Length Required Length Fill Pad Width Required Width Fill Pad Depth S Required Depth ` Run -of -B ank Fill Quality — S S 7 Slope from Top to Toe e C Impervious Layer.Installed Erosion Control Installed Sieve Test Results (if applicable) Additional C6mirients:......`z =✓� .P�... ttv)'�' Reserved for Field Sketch if Applicable ' .. /I Ov�''LA. . . .. ,y " �/ ✓ '� C... �a L� �� . fa..c "��,�Z S Stu ` _... - ' , ..o FEB -01 -2005 17:04 BADEY & WATSON, PC P.01/04 BADEY WATSON Surveying and Engineering P. C. aPV;=//- __�...`--= .r.,r..a.... -. " "` '-mow....... - .....,,.._- ....�...: •-""W "�-- - - .•....r..�----- ...W.. - ...� N -300 R$ute'% Cold €ding, New-W54-554-& - ., -(s45) 2AS&a214 GTletl..on,j.- 'hVat�on; t..5. �. (845) 225 -3312 John P. Delano, P.E. FAX; (845) 2654428 (914) 62 &1800 Peter Mcis:er, L.S. (914) 739.3577 Stephen R. Miller, L.S. (877) 3.141593 Jennifcr W. Reap, L S. Cycorge A. Badey, L.S., Senior Consultant . FAX � 11TTr1.L !�Y Rice, R.LA., Consultant Julius 1. Cesare, P.E., Consultant Total Number of.Pages: Name Company Fax # FROM: DATE: Z RE: T ,+gip MESSAGE: Owners of the records and files ofJoscph S. AgnoL, Burgess & Schr, Roy Burgess, Vincent Burr ano, Hudson Valley Engineering Company, Inc -fames W. Irish, Jr., J. Wilbur Irish, Dougins A. Merritt, E.B.Mocbus, Reynolds & Chase, Taconic Surveying & Engineering, RC, and D. Walcutt FEB-0i-2005 17:04 BADEY & WATSON, PC PUTNAM COUNTY DEPA&T—WENT OF` HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ATTENTION. X JOSEPH J-1 OE-N;E ❑ REQUEST FOR FINAL - INSPECTION For: Fill Date: 2/4/2004 Trenches P.02/04 PCHD .Construction Permit # PV-34-87.. Located: PUDDING STREET V) Putnam Valley Owner/Applicant Name: Acacio Carlos & Jack GOWN TM 41.10 M Block Lot Formerly: WA Subdivision. Name: Amd. Map of Roaring Ork. Lake Ubdivision Lot# 125 Is system fill e'dimpletexi? yes Date: 11/4(2004 Is system complete? Y" Date: 1m/205 Is system constructed as per plans? Yea Is well drilled? yes 1OW004 Is well located as per plans?. GenemflY Are erosion control measures in pla.c.e? yes 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 Regulkiions: of the Putnam County Department 'of Health. 01 015 __PEX_ - R A Date. Certified by 4&4 Design -Professional Address: Barmy & Watson, P.C. 3M Route 9, CaW.,8prh* NY 062SO5 Lic. # Comments: Mr. Pammi, We would request a puTg , " above captioned property at your earliest convenience. ThankYou.: Form FIR79.9,,-, z I k Inmr- M1 mk IeNm Ik rr" nr_rnevnrmr-4 IT mr- rn FEB -01 -2005 .17. =05 BADEY & WRTSON, PC P.04iO4 FRW WaSchanko F'f134E N0. 93.4 94d (cloe yen. to cviw w•acr EI�I 'YORK � AR0; . UNDERWRITERS IBUFM►u of r rrY 40 PULTOM STREET YGOK, NY I CKM Upon the application upon premises awned by ~P.J. EI`ECTRIC INC CARLOB ACACIA 1$33 ELLEI.LANE ;tQy EypnlNG STREET YQR;c�OWN' MTB.. !!!Y j tom.. PU9'NAM VALLEY, NY 10579 ' - 1. 4 • .. 101 PUDDING ;'STREET :PUTNAM VALLEY, MY 1057V Application Number: 2024610 : Cerllfleale Number. 2024911) Seetim,. a Biock; ` " ` r;10: LOti 8a 341Wing Permit., aDC: W108 l�lsa!rit�ed as: p oecu �yi O'n; ft w hises electflcal• eystern consisting Of. :'eleCllell!d('deyIGES.Bitid wiring, dlkhbad DelOW, t6alted'IfUeR the Il1iM6. :a! ' BaaeMlllt, 01lts�ic. ... . "'A v4W d� C`dOn `Ot :1K' 61:115e9 QtCGtfrGQ II t0 i , Ic m, devlclfF and winng tc In extent, detai.lad hireiit;. was conducted in . smMance :wit s of ffk applicable e0de • ard/ar standarc .pi�om.ulgated by the State of New York. •Daoartinreht. of ; h► Got 'Enforcem0l sr:d Administration, or other suftrlty Having lvrisdia',or., and found ',O be In'compliisece h on the .13&08Y Of Jana y' 2005. Gina ba TOTAL P.04 FEB-01-2005.-17:05 UaSchanko BADEY & WATSON, PC M*4E t4O, 914 962 -2402 P.03/04 Jan. 26 200 03:,31P'rl ?':k - 'lay THIS, NEW YORK BOARD OF 1111�UNIDERWRITERS XURMEAU OF 40 'FULTON 97MM.— 1011W WOKO. NY 10M CGIRTIMM TMAT U06n the apaiciidiarl Of upon w0spsm owned -by P.J. ELECTRIC IN C S ACAC10 1336 ELLEN LANE 101 PUDDING STAF.ET PVfNAM VALLEY, NY 10679 YOWTOWN 14TS" 14y- 14886, P Y.NY,10679 10T;p-U0p1Wq 4kTftrr. UTMAM VALM L • APOIcAlon Numb*r: 2024910 CarlIfIcaft Numbers :Section d4'.10:.'gl0cka 2 L06 sw:ding 01*Mit. BDC,. W106 Ds W4 h •6116fticai 64004AMoiring. On c rbod 0slow. locipm inion the ebctfrAl d4ftin.snd wiring -W the adent detailed ,Nfoill. "Was% conducted in accordance with thi %,qulr*m*ft of the 40licable code srdior staindird promulgated by M4, State bf New Yof kiNO'' 'Mtnt Enforef rnsM and AdMi0suation, or other authority neving jurisdiction and found to beAn cig!rpi ionce therewith Lon the.. 13th Day of jfe,.juayy,2005. Q= RM NOR 91=111. xm:. :15MCP "3AMALARM '0 .4 0 1,10 V-0 LIO 3 0 110 Glmetat C9• C*.A*wed gn 1144w PW i of t in Indi ..Th:p. coMflaft ri�y ra b.9 alum it any vwrj and is;%4WB*v* by tl* Ot S. 16�W SWIfft ft 106*. 0 C6*d TLORETTA �MOLINARI Public Health Director 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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 December 17, 2004 ROBERT J. BONDI County Executive Neil Seidl Badey & Watson Engineering 3063 Route 9 Cold Spring, New York 10516 Re: Field Inspection — Carlos & Gomes Pudding Street, (T) Putnam Valley TM# 41.10 -2 -65 Dear Mr. Seidl: A site inspection was made for the above referenced project on December 17, 2004. The following comments must be corrected in the field. J The .seepage pit for the roof leader /footing drains needs to be installed. Regrading of pad by aiid below the tank area needs to be completed. The side slope near the property line needs to be regraded so the side slopes are at 1:3. System can be backfilled. If you have any further questions, please contact me at (845) 278 -6130 ext. 2157. Sincerely, v �. e141- Joseph S. Paravati, Jr. Assistant Public Health Engineer JSP:cj �.. ..� —. -Y — r .. tx'�.o r �J ,.W m• �. vxv. +rs:..s]a¢= a.c_ :'.sfi••'bs:. =v> .v.•Yir,uF. _art.�?'s' -..a CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # P`J._ _ 3 S-(A) ,- j _ p r Located at `7j(�l�j�.— Town or Village AWix4oED ,mAP car , t Subdivision name 20 i lG LAY-F— Su d. Lot # Z`� Tax Map Block "L Lot �5 Date Subdivision Approved 1z- 1 09 49 Renewal Revision Owner /Applicant Name ACA60 6&& CG Date of Previous Approval o5 Z° laq Mailing Address UP 6F[F95(Z7J LAII�rF-, ?JITJ 6A✓n � liq Zip )CM Amount of Fee Enclosed Building Type ?MI0&,rA- 14C Lot AreaQ�5AC -No. of Bedrooms Z Design Flow GPD qC0 Fill Section Only Depth Volume PCHID NOTIFICATION IS REQUIRED WHEN FILL, IS COMPLETED r Separate Sewerage System to consist of I,CL-ic' gallon septic tank and 0-r— Z44u wip� Aer��Ia►-j • end s (0 i oc Other Requirements: 5" (P �Zo6 T-ILL To be constructed by Aclozjo CA4Z1—oS ) COD CqAcR)AP c ZOO Lj=- w►1 fi10 --y(5, � At-, &2M 5 Address \1AUf-`r, �`% 1 p5�cl Water Supply: Public Supply From ....- _.o�:�� 1 rivate Siipp7y'Drilled by �lfU�,ti�%t- i��4�ZSc�" �: Address Address 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 Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Q P.E. R.A. Date Address eAV2�-4 ?LAJA`—j5 , ?L C-Ot0 '52 1Z 49, �J`l 1060 License # 007-506 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 for discharge of domestic sanitary sewage only. t By: Title: Date: �. Whi opy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Prof sional Form CP -97 DEC -16 -2004 13'45 BADEY & WAT50N,.PC P.01i01 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVI.RONM:ENTAL HEALTH SERVICES ATTENTION X JOSEPH U GENE ❑ REQUEST FOR FINAL - INSPECTION For: Fill Date: 1211 6/004 ...Trenches PCHD Construction Permit ,# . PV -34-87 . Located:•. _Pudding Street . : ( {V): _ Putnam Valley - Owner /Applicant Name: _.._ Acacia Carlos TM- 41.10 Block 2 Lot 65 Formerly: Na : Subdivision Name: Amd. Map of Roaring B& Lake Subdivision Lot # 125 Is system fill completed? Y'es Date: 11/4/2004 _ Is system complete? No Date: .12/16/2004 Is system..constructed as per plans? Yes Is well drilled? Yes -- Dater 10/ N004_�.__,. _. Is well located.as per; plans? :. Generalty _ Are erosion control measures in place? _. Yes,_.__ 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 he Putnam County Department of Health... Date: :12/1 Certi a y;_ PE x RA Design Professional Addnessa_ __Batley & Watson, P.C._3053'RoWe 9,.Cold Spring,' NY__ LiC. # .....__. p6250S Comments: Absorption trenches. and fared main trench Is exposed and ready for inspection. TOTAL P.01 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Acacio Carlos Address 66 Seifert Lane, Putnam Valley, NY 10579 Located at (Street) Pudding Street Tax Map 41.10 Block 2 Lot 65 (indicate nearest cross street) Municipality Date of Pre- soaking (T) Putnam Valley Drainage Basin SOIL PERCOLATION TEST DATA Hudson River 09/22/04 Date of Percolation Test 09/23/04 Hole No. Run No. Time Start - Stop Elapse Time (Min.) Depth to Water From Ground Surface (Inches) Start - Stop Water Level Drop In Inches Percolation Rate Min/Inch E 1 12:56 1:02 6 19 — 22 3 2 E 2 1:02 — 1:08 6 19 — 22 3 2 E 3 1:09 1:18 9 19 — 22 3 3 E 4 1:18 1:27 9 19 — 22 3 3 5 — — F 1 12:30 — 12:42 12 19 — 22 3 4 :F ,.._ �2 :. 12:42...._.. 1 :01° .. -.15.. - -_ ..._ .19....:_,— .--- -22..- :_ . 3: _ :. 5......_ �. . F 3 1:08 1:28 20 19 22 3 7 F 4 1:29 1:49 20 19 22 3 7 5 — — 1 — — 2 — — 3 4 — — 5 — — NOTES: 1. Tests to be repeated at same depth until approx percolation test hole. (i.e. < 1 min for 1 -30 mii submitted for review. 2. Depth measurements to be made from top of be rates are obtained at each nin/inch) All data to be .,., /.y - �JA Form DD -97 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES \DE:-H. ,t:. kIOLE N0. HOLE N0. - HOLE.N0: - G.L. 0.5' 1.0' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 10.0' IndicqX level at which groundwater is encountered In 'cate level at which mottling is observed In level to which water level rises after being encountered Deep hole observations made by: Date Design Professional Name: John P. Delano, P.E. Address: Badev'& Watson. SIIVAtnd Engineering. P.C. Signature Form DD -97 (Pg. 2 of 2) , . BADEY - & WATSON LETTER of TRANSMITTAL Surveying. &. Engineering,. P. C. 3063 Route 9, Cold Spring, New York 10516 Date: 04 Nov 2004 He No. 72.179 W. 0. # 16747 RE: Proposed SSTS - Trench Permit CARLOS TO: Pudding Street Joseph S. Paravati, Jr. Amended Map of Roaring Brook Subd. Lot No. 125 Assistant Public Health Engineer Tax Map 14.10 -2 -65 Putnam County Department of Health Permit/Title/PO # 1 Geneva Road Sent via: Brewster, NY 10509 US MAIL ❑ UPS -NIGHT ❑ MESSENGER El UPS -2 DAY EJ PICK -UP El UPS -3 DAY ❑ FAX El UPS -GRND 0 We are sending: UPS -COD copies date description of document ® 04 -Nov -04 Construction Permit for Sewage Treatment System 0 123-Sep-04 I Desi Data Sheet ® 04 -Nov -04 ISeparate Sewage Treatment System Sheet 1 of 1 El I ❑ I��1 REMARKS: Copies to: File Yours truly: Jason R. Snyder, Assistant Engineer Tel: (845) 265 -9217 ext 13 Fax: (845) 265 -4428 Email: jsnyder @badey - watson.com 40 40-05 523222 645655 25510 NOV -01 -2004 15 :38 BADE'Y & WATSON, PC PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ATTENTION JOSEPH ❑ GENE REQUEST FOR FINAL - INSPECTION For: Pill Date: 11 /1/2004 Trenches PCHD Construction Permit # PV-34.87 P.01/01 Located: PUDDING STREET �_.__.....,.._._. -- .__ - -_ . � _ � ":. (T) (v) (T] Putnam Valley Owner /Applicant Name: Acaeio Carlos &.lack Gomes l �q _41,10 Block 2 _Lot 65 Formerly: .._._._ -- NSA _ :...._..__� Subdivision Name: Amended Map of Roaring Brook Lake Subdivision Lot # 125 Is system till completed? YES Date. 1015!2004 . Is system complete? W/t _._. -_ Date. 10/5/2004_........__ Is system constructed as per plans? N/A_ _ __. Is well drilled? __..:.: YES Date: 10/5/2004 Is well located as per plans? . ;:�•�, . Generail Y -- - Are erosion control measures in place?; YES 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. Date: _�..._ 10/5/2004 Certified by: _ _- - PE X RA_ Design professional Address: Bacley & Watson, P.C. 3063'Route 0, Cold Spring, NY — Lic. # 0625055 Comments: Dear Mr. Paravati, We.would like a re- inspection of the placement of fill on the above property at your earliest convince: Thank You l Neal Seidl. Form FIR -99 TOTAL.. P. AI LORETTA MOLINARI Public Health Director 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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Neal Seidl Badey & Watson 3063 Route 9 Cold Spring, NY 10516 Dear Mr. Seidl: ROBERT J. BONDI County Executive October 8, 2004 Re: Field Inspection — Carlos & Gomes Pudding Street, (T) Putnam Valley TM# 41.10 -2 -65 N A site inspection was made for the above referenced project on October 7, 2004. The following fJ'�j J Jf'jl comments must be corrected in the field:. It appears that the fill pad is short by length and width. In order to better measure the pad width, the property line near the road should be marked along the fill pad length. The fill pad is not complete, specifically the side slope and end of pad re- grading. e i` The corner of the fill pad closest to the drain manhole appears..to. need -more run of bank fill or it -may need some further grading. _ a } �4.Z. The material being used for the clay barrier doesn't appear to be impervious. 1(�3t office will continue its review upon consideration of the above - mentioned comments. K . Please feel free to contact the at est. 2157.if any questions arise. U Very truly yours, � JSP 2 .nAc't oseph S. Paravati, Jr. Assistant Public Health Engineer OCT -05 -2004 16:53 BADEY & WATSON, PC PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRON1V CNTAI, HEALTH SERVICES ATTENTI,ON X JOSEPH D GENE REQUEST FOR FINAL ,INSPECTION For: Date: 10/WO04 PC14D Construction Permit 4 PV-34-87 Located: PUDDING STREET (T Owner /Applicant Name:.. -. Acacia Carlos & Jack Gcrnes -_ TM Formerly: a wn Subdivision Name: Subdivision Lot # Fill -- - -_ Trenches (V} (T) Putnam Valley 41.10_ Block 2 Lot 0 Amended Map of Roaring Brook Lake 125 Is system fill, completed? YES _ Date: 10/5/2004 Is system complete? Date; N/A 10/5/2004 _ —_ -- -- __— __....._...... _�....____ Is system constructed as per plans? -N/A Is well drilled? 'YES Date: 1015/2004 Is well located as per plans ?'. Generally _ Are erosion control measures in place? YES_ I certify thg"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. Date: 10/5/2004 Certified by: PE X RA .... Design Professional Address: Badey & Watson, P.C. 3063 Rcute 9, Cola Spring, NY Lie. # 062505_ Comments:; .'Pear Mr. Paravati, We would request an inspection. of the placement of fill on the above property at your earliest convince: Thank You ! Neal Seidl. Form FIR -99 P.01/01 TOTAL P.01 LORETTA MOLINARI Public Health Director April 26, 2004 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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 John Delano, PE Badey & Watson Engineering 3063 Route 9 Cold Spring, New York 10516. Re: Dear Mr. Delano: Proposed SSTS Revision — Carlos Pudding Street, (T) Putnam Valley. TM# 41.10 -2 -65 ROBERT J. BONDI County Executive This office has received and reviewed the most recent set of plans for the above mentioned project. We would like to offer the following comments for your review and consideration. 1. The following items do not meet current code: a. SSTS is less than 50 feet from intermittent drainage course and open drainage. b. SSTS is less than 50 feet from seepage pit. Due to the above, the revision request is denied. However, you can request a waiver for the items above. 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, 'Z Joseph S. Paravati, Jr. Assistant Public Health Engineer. JSP:cj PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT #_� Located at 0W14X, CJ i 1 — chi Subdivision name Sub . Lot # M5 Date Subdivision Approved 12 °`' 41 Owner /Applicant Name AcAuo cAwc6 Mailing Address &s* 3 -4 , (QG 5 Feed L_,ho`— Amount of Fee Enclosed Building Type VZ&0Z 1 AL- Town or Vil4alS l i) � 1 A M JACLE--j .I Tax Map° Block Z Lot Renewal Revision l� Date of Previous Approval 07- P,-r-\A AM �iA11- t=`( j, f `� Zip )D5-49 Lot Area -t AC No. of Bedrooms 1- Design Flow GPD qao Fill Section Only Depth S V Volume 3�0 CA_ PCHD NOTIFICATION IS RE UIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of gallon septic tank and Other Requirements: To be constructed by Water Suonly: Public Supply From _ PT1V66 Supply -Dulled by'1�+� Address Address Addresss4''^- �+'M:C,� ...-- ..._ _ 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 Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: ULZ P.E. R.A. Address 3An+= a , Q CcLO 54-406r, Pq 116 License # Date 03 C&zt0S 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 p (KA. it. Approve for discharge of domestic sanitary sewage only. ��( ' Title: L� � �C'� ate: " By: �%`o White copy - HD F(le; Y� Il w copy - Building Inspector; Pink copy - Ov} er; Or"ge co� Design Professional 44`' Form CP -97 PiJTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _ -- _APPLICATION TO CONSTRUCT A WATER WELL please print or type )SCHD Permlt # O Well Location: Street Address: Town/Village Tax Grid #qt, 0 G 11,CC� ! J) (; Tn IAM 4tW5` 1 Map Block _ Lot(s) &5 Well Owner: Name: Address: Acx_io CAQL05 1Pn&r)3 (CG txFevr aylw^ \I -1 ��i Use of Well: 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 t gpm # People Served Est. of Daily Usage gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason p p f i E(?- '-ib A-- for Drilling Well Type _Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yeses No Name of subdivision Amwo z My r r W_-v Qszop L 1 AY C Lot No. _ 5 Water Well Contractor: 9C0_rvy1vl ADD �( �. [ _ i Address: ► kd \ ALLF_q K / I0M ................... Yes No Is Public Water Supply available to site? .................................. .......... .. Name of Public Water Supply: 0 Town/Village rs , k Distance to property from nearest water main: T It Proposed well location & sources of contamination to be provided on eparate sheet/plan. 1, Date.._ Z • 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 a w ter well driller certified by Putnam County. Date of Issue 04 Permit I *M-r , D ate of Expiration --? 'ii Title: e'7 e7fe Permit is Non - Transferrable White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner, Orange copy - Well driller Form WP -97 qEW YORK STATE DEPARTMENT OF HEALTH Specific WaIV2Y - 3urgau.of Community Sanitation and.FCod- Protection ;� - _ from Fiequ(reriients of Part 75 and Appendlz 75- A,10NICRR for Individual Household Sewage Treatment Systems ;Name of Applicant R Address ( 5 �� . � � /G'� i u i� 1/,J" NZl 5 7 q, N�. Street City/Town State Tip I Site-Location d edzll 1. Reason why site does not meet 10NYCRR Appendix 75 -A (check appropriate box(es)): separation distance cannot be achieved. Excessive. slope. High groundwater: Inadequate depth to bedrock or impermeable layer. Soil unsuitable. Other(explain) ...: ......... ...................... :.......................................................................................................................................... .................................................................................................................................................................................................................................... :.................................. ................................................................................................... .............. .................... _ ............... _ ..... _....... ........................ ........................................................................................................................................................................................................ ....................... .... ....... — ...... _ . 2. Proposed design or conditions of aiver: _ `.....�:5..:�'.....a..R.. Fa��r? f....... 1%,...... �r.;;: r� .yd' .......................... I The proposed design may have the following limitations (check appropriate box(es)): Increased risk of well or spring contamination. Increased risk of surface water contamination. Expected design life of the system will be diminished, Operation of sewage system is subject to mechanical problems. Other(explain) .., ................................................................................................................................ .............:................. . . . .. . . . . . .. . . . . .. ... . . . .. .. .. : . . . . .. ... . . .. . . . . . . . .. .. . . ..... .. . .. ... .. .. . . . . . .. .. . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ .... Additional information attached 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 maybe revoked by thq issuing official fora change in conditions for which this waiver was granted. ORIGINAL - Local Health Agency COPY - Applicant/Design Professional ................ U ................................................... oarE ' 7t. � LORETTA MOUNARI R.N., M.S.N. Public Health Director 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) 279 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (945) 278 - 6648 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAVIER NAME: ADDRESS: (�. Se; >�� L�r e �v it�.�, (�� lC /�y.r:a�7 SITE LOCATION: h' g 6;)s"7y DATE: a ..TSB STAFF PRESENT: _ ob 1. ifi e n� it `' SPECIFIC WAVIER REQUEST: DOES. THE PROPOSED VARIANCE. REQUEST POSE A HEALTH HAZARD OR ENVIRONMENTAL CONTAMINATION PROBLEM? YES NO WILL DISAPPROVAL RESULT IN A SIGNIFICANT HARDSHIP? YES NO DISCUSSION. REQUEST APPROVAL OR DENIED FOR (SPECWAIVER) RO D - DENIED DATE: -0 `7 LORETTA MOLINARI Public Health Director May 6, 2004 ROBERT J. BONDI County Executive . 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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 John Delano, PE Badey & Watson Engineering 3063 Route 9 Cold Spring, New York 10516 Dear Mr. Delano: 4"1 Re: Waiver Determination — Carlos Pudding Street, (T) Putnam Valley TM# 41.10 -2 -65 The Putnam County Health Department reviewed the waiver request for the above regarded project on May 4, 2004. The following determination has been made: ❑ The Waiver request was approved. - .... '.:.The:Waivez:request was conditionally approved. However, the i evision(s) - noted below _ - must be completed prior to the issuance of a permit. ❑ The Waiver request was denied. An explanation has been noted below. ❑ The Waiver request was not voted on. Explanation noted below. 1. Please exchange the primary and expansion system. If there are any questions regarding this matter, please contact me at (845) 278 -6130, ext. 2157. Sincerely, Joseph S.. Paravati, Jr. Assistant Public Health Engineer JSP:cj L 'd -�O 1N3W1dUd30 AiNnoo wuNind :3WdN W - d 10-Lul New York State Stormwater Management Design Manual Td6L- 8L2-9t78 :131 Ot7:9T NOW 17002 -£ -AUW Chapter 6: infiltration 4 Required _Elements ® To be suitable for infiltration, uoerlying.soils shall have an infiltration rate (fc) of at least 0.5 inches per hour, as initially determined from NRCS soil textural classification, and subsequently confirmed by field geotechnical tests (see Appendix D). The minimum geotechnical testing is one test hole per 5000 sf, with a minimum of two borings.per facility. (taken within the proposed ,limits of the facility). • Soils shall also have a clays content of less than 20% and a silt/clay content of less than 40 %. • Infiltration practices cannot be located on areas with natural slopes greater than 15 %. • Infiltration practices cannot be located in fill soils,. except the top quarter of an infiltration trench or dry well. • To protect groundwater_from possible contamination, runoff from designated hotspot land uses or activities must not be directed to a formal infiltration facility., lnoases where this goal is impossible (e.g., where the storm drain system leads to a large .recharge facility designed for flood control), redundant pretreatment trust be provided by applyixig two of the practices listed in Table 5.1 in series, both of which are sized to treat the entire WQ,,. • -,. The bottom of the infiltration facility shall be separated by at least three feet vertically from the. seasonally high water table or bedrock layer, as documented by on -site soil testing. (Four feet in sole source aquifers). • Infiiltratioun facilities shall be located at least 100 feet horizontally from any water supply well • Infiltratiom practices cannot" be placed" iii locations -that - eaul;e -W4tfr "pr "obleiii§ to`-doiviigradsefit� properties.. Infiltration trenches and basins shall be setback 25 feet downgradient from.structures and , septic systems. Dry wells shall be separated a minimum of 10 feet from structures. Dessigu Guidance ® The maximum contributing area to infiltration basins or trenches should generally be less than five acres. The infiltration basin can theoretically receive runofffrom larger areas, provided that the soil is highly permeable (i.e., greater than 5.0 inches per hour), (See Appendix L, for erosive velocities of grass and sofl). The maximum drainage area to dry wells should generally be smaller than one acre, and should include rooftop runoff only. 64 '1 xrj 1 T -Z a Wei # auoyd !F suOUd •off 7�1'o'J I 1 .0gR91 VU-t-3 awfil IL9L aloN xed Aluud Od `NOSiUM 2 A3aUa 9S:9T b00Z— £0 —AUW PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH . SERVICES RE: Property of LETTER OF AUTHORIZATION -� Acacio Carlos & Jack Gomes Located at Pudding Street T/V (T) Putnam Valley Tax Map # If(, c-.5 AW Block 2 Lot 65 Subdivision of Amended Map of Roaring Brook Lake Subdivision Lot # 125 Filed Map # 308 -J Date Filed Gentlemen: 12/9/1949 This letter is to authorize John P. Delano, P.E. 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 in conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public Health Law, and the Putnam County Sanitary Code; Countersigned: P.E., RIB # 062505 Mailing Address Badey & Watson, P.C. 3063 Route 9 Cold Spring State New York Zip 10516 Very truly yours, Signed: (Owner of Property) Mailing Address: 66 Seifert Lane Putnam Valley State NY Zip Telephone: 845- 265 -9217 Telephone: (914) 804 -8730 10579 Form LA -97 BADEY & WATSON LETTER of TRANSMITTAL 3063 Route 9, Cold Spring, New York 10516 Date: 16 Mar 2004 File No. 85 -247 W. O. # 16467 RE: Proposed SSTS - Name Change Carlos TO: 66 Seiffert Lane Joseph Paravati N/A Subd. Lot No. N/A Putnam County Department of Health Tax Map 411. , 1 Geneva Road PermiUTitle/PO # Brewster, NY 10509 Sent via: US NAM El UPS -NIGHT ❑ MESSENGER F� UPS -2 DAY 0 PICK -UP 11 UPS -3 DAY El FAX UPS -GRND We are sending: UPS -COD copies date description of document ❑1 16- Mar -04 IFApplication Fee - $200.00 1 12- Mar -04 Construction Permit for Sewage Treatment System ❑ 1 I -Letter of Authorization ❑ - ❑1 12- Mar -04 FApplication to Construct a Water Well ® 16- Mar -04 71 ISeparate Sewage Treatment System Fill Plan Sheet 1 of 2 F11 16- Mar -04 ISeparate Sewage Treatment System Sheet 2 of 2 ED I ❑ 1 — REMARKS: For your review. Copies to: File Yours truly: Jason R. Snyder, Assistant Engineer Tel: (845) 265 -9217 ext 13 Fax: (845) 265 -4428 Email: jsnyder @badey- watson.com 40 40-05 520704 652453 23709 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # EV- 4 - =5 7 `- (- 5W-1 - Located at pur)0wei 5-r Qi= T Town or Village P u TNam vAl LF i hh"DED i-APe Or Subdivision name RoA jjj & j3 p_ "kE Subd. Lot # 1 Z -6- Tax Map 14jj Block 2 Lot 66 Date Subdivision Approved 12- 1C, / q 9 Renewal X Revision Owner /Applicant Name ij(,'LJ AQn p � Date of Previous Approval 1 0 10 1 Mailing Address 901 AIIJUNK 4-)A-`( .5AQ I EE, 1P M Zip so i Amount of Fee Enclosed 0300. c)O Building Type Re iii- cLU1 �LL Lot Area ')C SAr No. of Bedrooms Z Design Flow GPD 400 Fill Section Only _Y Depth 3'-V Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of Other Requirements: To be constructed by gallon septic tank and Address Water Supply: Public Supply From Address _. 4or: �_ Private -Supply Drilled by NUQM�4r3 A�11�� =G1soN - Address \JA -LF—Y M - 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 s sy tem 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 Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Address R.A. Date iTi o l License # 0� 2 i-05' 10-516 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 for discharge of domestic sanitary sewage only. By: Title: /7 0 i5 Date: h3 Wh' a copy - HD File; Yellow c py - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUT NAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL -o please print or type PCHD Permit # Well Location: Street Address: Town/Village Tax Grid # P 5 Ir E L) T N Map I `i- 10Block Z Lot(s) �S Well Owner: Name: Address: ©w AP, b. A go.) r L , A ,A-r S ti^ A FE 301 Use of Well: _� 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 r- gpm # People Served ___q_ Est. of Daily Usage q20 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason — 6L)PPL. NJigLL1106 for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... YesD No Name of subdivision ;WA cE , M AP c-)F RvA&Qya 6900k I-AkjE Lot No. i Z-T Water Well Contractor: nR -N; NII-pr5olJ Address: &I JA M V ALL,E Y Is Public Water Supply available to site? ...... Yes No _ Name of Public Water Supply: ti-I /A Town/Village�q Distance to property from nearest water main: /A Proposed well location & sources of contamination to be provided on separate sheet/plan. Applicant.Signatu"re:. 1 204"RMIF,ITITIZ�ZI] `y; _Zil lll_t�.il:'�I Y �1iE �.ifJI 111 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 mn be, amended or modified when considered necessary by the Public Health Director. Any revision or alter of the approved plan requires a new permit. Well to be constructed by a water well driller certified b:4'utnam County. Date of Issue A o ° Permit Iss ing Official:' Date of Expiration 1,o Title: Permit is Non- Transff rraC le V. White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 BADEY & WATSON -,Sarvey ag .-& 1 Engineefing, -P.C. 3063 Route 9, Cold Spring, New York 10516 TO: Mr. Joseph S. Paravati, Jr. Putnam County Department of Health 1 Geneva Road , NY 10509 LETTER of TRANSMITTAL Date: 02 Jan 2003 File No. 72-179 W. O. # 15560 RE: Permit Renewal Aronow Pudding Street Amended Map of Roaring Brook Subd. Lot No. 125 Tax Map 41.10-2-65 PermitffitletM # PV-34-87 Sent via: copies US MAIL 1:1 UPS-NIGHT ❑ MESSENGER ❑ UPS-2 DAY ❑ PICK-UP ❑ UPS-3 DAY ❑ FAX ❑ UPS-GRND W We are sending: l ❑ UPS-COD ❑ copies date description of document F__11 102-Jan-03 lConstruction Permit for Sewage Treatment System 51 1 ILetter of Authorization F-11 109-Oct-02 IDurable Power of Attourney F-31 102-Jan-03 Se crate Sewage Treatment System Fill Plan Sheet 1 of 2 1 ❑ 02-Jan-03 ISevarate Sewage Treatment System Sheet 2 of 2 l ❑ 102-Jan-03 FApplication to Construct a Water Well 171 121-Dec-02' I.Al5plicatibnFee'' F-11 1 7 ISPecific Waiver Request Form F-11 118-Nov-02 1 lPermit Waiver - Chapter 144 F-1 I REMARKS: Copies to it File 6 1 --*I I '.1y, C- tv Yr c, n Yours truly: John P. Delano, PE Tel: (845) 265-9217 ext 12 Fax: (845) 265-4428 Email: jdelano@badey-watson.com 40 40-05 523222 645655 20517 za ' d - iulol PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES RE: Property of - ..... . LETTER OF AUMORUArnON Howard ,Aronow Located at Pudding Street T/V Putnam Ka—U�L -. Tax Map # ............41.1.....__.__ Block 2 Lot 65 Subdivision. of Amended Map of Roaring Brook Lake..... Subdivision Lot # 125 Filed Map # 308-J Date Filed--.-. 12/9!49_. Gentlemen: This letter is to authorize John P. Delano, P.E. a duly licensed Professional Engineer X 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.. - in"conformity with-the provisidns -of Article 1a5-anui/or 147 of the Educ'atadi Law; the Pubic I ealth Law, and the Putnam County Sanitary Code. Very truly yours, Countersigned:. Signed: 062505 _._.. ... _.._.. _ (owner of PmPorty) 3 / v" 2N E -j C-�k F Mailing Address- Badey & Watson, P.C. Mailing Address: 901 Allahna Way 3063 Route 9 Cold Spring Santa Fe State ......... New York yip _xos16 Telephone: 845-265-9217 State ....... _ NM Zip_ 87501 Telephone: (800) 749 -7040 Form LA -97 'p._.. . I . -,^o 2. TFie" PuiIdirig ''inspedd— Fslfk- benotified once erosion control"measures,are °iriplaee° ' --'-•- Y.,= - -•-_ °- and at least 48 hours prior to the initiation of any site work. 3. 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. 4. The Planning Board, Wetlands Inspector, and/or Building Inspector, shall have the right to inspect the project from time to time. 5. The permit shall be prominently displayed at the project site during the undertaking of the. activities authorized by the permit. 6. 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. 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 (914) 762 -7288, or the office of the Building Inspector (914) 526 -2377. Date Permit Waiver Prepared: cc: - Applicant Building Inspector Planning Board Environmental Commission November 18, 2002 Stephen W. Coleman Town Wetlands Inspector x CHAPTER 144: TON" OF FUTNA►M A-LL-EY- __..... 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: November 18, 2002 November 18, 2003 Howard D. Aronow 901 Allahna Way Santa Fe, New Mexico 87501 Peter T. Belefant 2 William Street, Suite 405 White Plains, NY 10601 -1909 PROPERTY LOCATION: Lake Shore Road TAX MAP #: 41.10 -2 -65 SIZE OF PARCEL: 23,181 sq. R. ZONING: R -3 PROPOSED ACTION: Construction of single family residence, sanitary disposal system, driveway within watercourse buffer MATERIALS REVIEWED: 1. Application Materials, file # WT= 350. 2. Subsurface Sewage Treatment System and Site Plan prepared by Badey & Watson, dated 01- 07 -00. DATE OF SITE INSPECTION: July 19, 2000 and November 17, 2002 CONDITIONS OF PERMIT: 1. All work to be constructed as shown on the proposed site plan as prepared by Badey & Watson, dated 01- 07 -00. This Durable Power of Attorney shall not be affected by my subsequent disability or incompetence. If every agent named above is unable or unwilling to serve, I appoint (insert name and address of successor) - to'lie my agent for alf purposes tiereunder. To.induce,anyahicd -party to acthe>reunder;I hereby agree that any,third party receiving a duly executed copy or facsimile of this instrument may act hereunder, and that revocation or termination hereof shall be ineffective as to such third party unless and until actual notice or knowledge of such revocation or termination shall have been received by such third party, and I for myself and for my heirs, executors, legal representatives and assigns, hereby agree to indemnify and hold harmless any such third party from and against any and all claims that may arise against such third party by reason of such third party having relied on the provisions of this instrument. This:Durable General Power of Attorney may be.revoked by me at any time. In Moog 30b9t 0f, I have fi8reunto signed my n �thts �ay, of c t o b e r , .2 0 0 2 :(YOU SIGN HERE,) :MmW, (Signature.ofPrincipal) . - Howard D. Aronow : ACKNOWLEDGMENT IN NEW YORK STATE (APL 309 ij ''' ACKNOWLEDGMENT OUTSIDE NEW YORK STATE (RPL 309•b) State of New "York',; New eitico County of as County of ((JJCC'' ss.: On before the the undersigned, On O c t o b e r 2 0 0 26efore me; the undersigned, rsonall a aced v, '- `" personally PC y ppe pe y Howard D. Aronow personally known to me or proved to, me on the basis of.satisfac :;,.personally known to,.me or proved to me on the basis of satis- tory evidence to be the individual(s).whose names) is (are),sub factory evidence to be the.individual(s) whose name(s) is (are) scribed to the within instrument and acknowledged tome that 'subscribed to the within instrument and nowledge to me helshelthey executed the same in his / her /their capacity(ies),;'and thathe/she(they executed the same in hi4 er)t}1 W' '9 s Pes), . -" "' that by his/hei /their iignature(s) on' the instrument, the indivtd- and that by his/her /their signatu7(s) o�.�e !t }liyp i�te� dri ual(s), or the person upon ,behalf of which the individuals) acted, , vidual(s)* or. the person upon be Ij, Fr t executed the instrument. acted, executed the instrument, &ncf tit it;filii�li4ld� ' in . s ' such appearance before the undesigti�'diri (insert city or political subdivuoon and EJtateSr co llldce kno�- (signature and office of individual taking; dek io'wledgment) edginent taken d " h Publisher's Note: This document is printed on 50% cotton paper. Unlike ord' photocopy paper, this stock resist turning Midi and brown with age. Insist on genuine Blumberg forms to ensure the longevity of this important document. The publisher maintains property rights in the. layout, graphic-design and typestyle of this form as well as in the company's trademarked logo and name. Reproduction of blank copies of this form without the publisher's permission is prohibited. Such unauthorized use may constitute a violation of law or of professional ethics rules. However, once a form has been filled in, photocopying is permitted. II 11 3 z O z OR o w cV C ^. . P9 .: A.�' �._. 3 H , O rq W x1 P+ CV O O Q� G cV ^. A.�' �._. rq F U O Q Q 'f�{ "' •MP Statutory hort form.ofbgo Power'of pttomey;° BluieberyFjeeelLOt. Inc. GOL § 5.1501, 12 pt. type. 1 l 98 Pubtsher. NYC 10013 DURABLE GENERAL POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM THE POWERS YOU GRANT. BELOW CONTINUE TO BE EFFECTIVE SHOULD YOU BECOME DISABLED OR INCOMPETENT Caution: This is an important document. It; gives the person whom you designate (your "Agent ") broad powers to handle your property during your. lifetime, Which may include powers to mortgage, sell, or otherwise dispose of any real or personal property without advance notice to you or approval by you.. These powers will continue to exist even after you become disabled or incompetent. These powers are explained more fully In New York General Obligations Law, Article 5, Title 15, Sections 54502A through 5- 1503, which expressly. permit the use of any other or different form of power of attorney. This document does not authorize anyone to make medical or other health care decisions. You may execute a health care proxy to do this. If there is anything about this form that you do not understand, you should ask a lawyer to.explain it to yon:: 1.... THIS is intended to constitute a DURABLE GENERAL POWER OF ATTORNEY pursuant to Article 5, Title 15 of the New York General Obligations Law: 1,HOWARD D. ARONOW, 901 ALLAHNA WAY, SANTA FE, NM.87501 (insert your name and address) do hereby appoint: PETER T. BELEFANT, 2 WILLIAM STREET, WHITE PLAINS, NY (If I person ism be appointed agent, insert the name and address of your agent, ve. [3 n (If 2 or more persons are to be appointed tNsE u insert their names and addressL$ve) my attorney(s) -in -fact TO ACT.' (If more than, one. agent is designated, of the following two choices by putting your initials in QjVE of t to the left of your choice:) [ ] Each agent may SEPARA t. [ ] All agents must act TOGE l (f I p e.. ►��E be requi ed to act TOGETHER) I neither blank space is 1 l.e v. ; IN MY NAME, PLACE AND STEAD in ch I myself could do, if I were personally present, with respect to the following matters as eac f defined in Title 15 of Article 5 of the New York General Obligations Law to the extent that 1. d by law to act through an agent: (DIRECTIONS: Initial in the blank space to 1 your choice any one or more of the following lettered subdivisions as to which you.WANT to give your agent authority. If the blank space to the left of any particular lettered subdivision is NOT initialed, NO AUTHORITY WILL BE. GRANTED for matters that are included in that, subdivision. Alternatively, the letter corresponding to each power you wish to grant may be written or typed on the blank line in subdivision "(Q) ", and you may then put your Initials in the blank space to the. left of subdivision "(Q)" in order to grant each of the powers so indicated.) [ ] (A) real estate transactions;r e 1 a t i n g to[ ] (M)making gifts to my spouse, children real estate in Putnam Valley, NY and more remote descendants, [ j (B) chattel and goods transactions; [ ] .,(C) bond, share and commodity nd parents, not to exceed in the h aggregate $10,000 to each of such transactions;; persons in any year; [ ID) banking transactions; x.e l a t I n g _to [ ] (� tax matters; real `estate' in Putnam `Valle N Y', [ ) (E) business. operating transactions; [ (0) all other matters r e 1 a t i ng to real [ ] ggt e n Pu acp Valley NY [ ] (� insurance transactions; ll�r)) an unqua > iecttl authonty to my [ ] (G) estate transactions; attorneys) -in -fact to delegate any [ J (H) claims and litigation; . or all of the foregoing powers to any person or persons whom my [ . ) (I) .personal relationships and affairs; attorneys) -in -fact shall select; [ ] (I) benefits from military service; [ ] (Q) each of the above matters identified [ ] (K) records, reports and statements; .r e l a:t i n g ..to, - - -• - �by the following -. - r�'a1'�estra.re " °in: Putnam Valley, •NY - [ ] (L) retirement benefit transactions; ........................... ............................... (Special provisions and limitations may be included in the statutory short form durable, power of attorney only if they conform to the requirements of section 5 -1503 of the New York General Obligations Law.) A` f+r; PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SE RV f CONSTRUCTION PERMI + SEWAGE TREATMENT SYSTEM PERMIT# pV- 31-/'97 / �adJ �� cf..t�NLX Located at FUDD N 6 s g %ZEE ( Town or Village U f AM *04) MAP or- Subdivision name gauxm& bltcoi: d.AKE Subd. Lot # =I5 Tax Map , /0 Block Lot ` Date Subdivision Approved D-E BER V", j -'141 y Renewal X Revision Owner /Applicant Name 14ow, rw f?: AizoAtotij Date of Previous Approval :S'41 5- $7 Mailing Address qa l j t ff LAJJNA WAY., 5��h FE. NM Zip °O i Amount of Fee Enclosed (!30® &aapj pgw Griiaiva awn ) Building Type (IE5IbCtJtll41- Lot Area 0.5uc. No. of Bedrooms Design Flow GPD '100 Fill Section Only )_ Depth 3Volume 3.30 G PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of gallon septic tank and Other Requirements: To be constructed by VI A ZOLD 0014 t &W5 INC, Address -3175 (Pine- q. (9zD 5&Ly6 IV-q !O5% (o Water Supply: Public Supply From Address _. or '.. v ..... _Private Supplybrilled-by- I.R:lLK� Kr � drff-Cit5— ....... . Address `-6- :6- 5pi�jw - M46-51�`. 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 s sy tem 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 Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Address R.A. Date 6 t &I License # 060505, 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 ;he nsidered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. proved for discharge of domestic sanitary se ge only. By: Title: Date. White 4y - HD File, Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Profession^' i� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # Well Location: Street Address: Town/Village Tax Grid # PdPDf-A J 6, 9W'r PUTN M Ej Map /y.lv Block Lot(s) Well Owner: Name: Address: {- }OUt,' �D D. 1 oNoud 1701 ALLAMMiAlh u .SANTA /K NM 8750/ Use of Well: 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 gpm # People Served Est. of Daily Usage 90 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling ✓ New Supply (new dwelling) Deepen Existing Well Detailed Reason Pao V f POT A1W. Mft 9 QtL 1gPJ Dii4ra-Al � for Drilling Well Type y/ Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision? ...................................... ............................... Yes X No Name of subdivision AMfWrA MAP ne &IuZU6 t3koor. I-Ak'15 Lot No. / a$ Water Well Contractor: 9-1ZX6 e5vN 8 ,0- .antwZ:5 Address: Co4z 5PrrAj&, No io511n Is Public Water Supply available to site? .................................. ............................... Yes No X� Name of Public Water Supply: AJ dpi Town/Village N/A Distance to property from nearest water main: 6MAm2 rH/W iuxbd Proposed well location & sources of contamination to be provided on separate sheet/plan. - .Applicant.Signature :. 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 a water well driller certified by Putnam County. Date of Issue Permit Issup'g Offici Date of Expiration 1.179.16 Title: Permit is Non -Trap fern ble White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 scJ- I - QI JEW YORK STATE DEPARTMENT OF HEALTH Specific Waiver 3ureau of Community Sanitation and Food Protection from Requirements of Part 75 and Appendix 75- A,10NYCRR for Individual Household Sewage Treatment Systems I. Reason why site s not meet 10NYCRR Appendix 75 -A (check appropriate box(es)): ration distance cannot be achieved. Excessive slope. Hi groundwater. equate depth to bedrock or impermeable layer. Soil unsuitable. Other(explain) ............. .................................................................. -.......................................... 2. Proposed design or conditions of waiver: ..:......................... ............................... — z ,t > I....................I........ ....... t��- '....... ....... —( �t�!!. ............. 3....J..... ....... . ................................. ................'"............. .. x4-Y ' lZrVtZ......... 3. The proposed design may have the fdtlowing limitations (check appropriate box(es)) Increased risk of well or spring contamination. I eased risk of surface water contamination. - ected design life of the system will be diminished. :.... O ration of sewage system is subject to mechanical problems. ther (explain) ...... :.... ......2. .......... Q....... :.:...... �� .`..Y .4..( ... Additional information attached 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 the iss^ official for a change in conditions for which this waiver was granted. ORIGINAL - Local Health Agency COPY - Applicant/Design Professional DOH -1326 (7/921 (GEN -152) N DEPARTMENT OF HEALTH Division Of Environmental Health .Services 4 * Geneva Road, Brewster, New York 10509 (914) 278 -6130 BRUCE. R. FOLEY, R.S. Acting Public Health Director Sc� ( -O PUTNAM COUNTY DEPARTMENT OF HEALTH PECIFIC WAIVER NAM =. drL ' ADDRESS: rA y SITE LOCATION: 5-- DATE: /17foo STAFF PRESENT: SPECIFIC WAIVER REQUEST: %I �� t -... .` ;DES- T+fE-PRO?QSED VARIANCE •REQUEST�POSc A -- REALTM = HAZA=ci7._CsZ'.E( VIL(OI�MENTAL ....:. .::... _ .._. ..... CONTAMINATION PROBLEM? YES NO WILL DISAPPROVAL RESULT IN A S GNIFICANTI HARDSHIP? + ---r ES NO DISCUSSION REQUEST APPROVED .OR DENIE ' APPROVED DENIED REASOtf • DENIAL r DIRECTOR OF P LIC HEALTH ;EW YORK STATE DEPARTMENT OF HEALTH Specific Waiver ?ureau of Community Sanitation and Food Protection from Requirements of Part-75 and Appendix 75- A,10NYCRR for Individual Household Sewage Treatment Systems_. Name of Applicant Otitoc;�- I -w . rho. Street Uylfown Stag Zip Address O1 - 5 F"ti cwn na Zp Site Location ` e 1. Reason why site 6s not meet 10NYCRR Appendix 75 -A (check appropriate box(es)): ration distance cannot be achieved. Excessive slope. Hi groundwater. equate depth to bedrock or impermeable layer. Soil unsuitable. Other(explain) ...... ....... .............................................. _ ............. ... _.._ .... _.- _ ........... _..... ................................................ ......................... . . . . .. --- - - - - -- -- - -- - - 2. Proposed design or conditions of waiver: L. trn*i. . _. w.•....... . . .�.�` _.. .._ _v ....._ ..w ..._.. ........ __ .. ......._. F ..... 3. The proposed design may have the 61 owing limitations (check appropriate box(es)): JIncreased risk of well or spring contamination. i I eased risk of surface water contamination. ected design life of the system will be diminished. 0 ration of sewage system is subject to mechanical problems. jthey (explain) ...... t 4.-..........: �w.. L4... rl..._........._ .......... ...._____._............._._.._. _ .. l i Additional information attached 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 the isspfirtg official for a change in conditions for which this waiver was granted. OF HEALTH ' ORIGINAL - Local Health Agency COPY - Applicant/Design Professional DOH -1326 (7/92) (GEN -152) / 1 L- r r � G BRUCE. R- FOLEY. R.S. Acting Public Health Di. ector DEPARTMENT OF HEALTH Division Of Environmental Health .Services 4 * Geneva Road, Brewster, New York 10509 (914) 278 -6130 PUTNAM COUNTY DEPARTMENT OF HEALTH PECIFIC WAIVER NAME . AJ O"cx i ADDRESS: � A SITE LOCATION: 01..E %1'x �. DATE: I 17 foo STAFF PRESENT: SPECIFIC 41AIVER h ' REQUEST: �� M tl �� . S t _ .-- •-- - -__.. _. - -.. -- DOES THE PF POSED- VARI -ANCE - REQUEST -- POSE - H ALTH._ RD CP, - ENV.IRONMENTAL --._Y� COIriAMINATION PROBLEM? YES NO WILL DIS-N.OPROVAL RESULT IN A S GNIFICANi HARDSHIP? ES NO DISCUSSION REQUEST APPROVED OR DENIE APPROVED DENIED REASON •DENIAL DIRECTOR OF P LIC HEALTH 1 halve f I 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: J- �p�,,l/ �h . n Q2o/yow 5o ho ALL ,414 NR !Al Ay SAIV-T't NM k75©1 2. Name of project: i4gW.1W D. 141ZOIUvw 3. Location TN: PuINAM V4L4 .0 4. Design Professional: J0- /4IV P, DE44i p, PC,, 5. Address: 9,40Cd 4 GU47-soli; P, C 6. Drainage Basin: PJ I061(,(.L! 14pl_ww 6t.�voil X015 12.711-1-ir 6i coca SPaw< , N9 f�516 7. T e 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 Type II Unlisted 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... N 0 10. Has DEIS been completed and found acceptable by Lead Agency? ............... iti A 11. Name of Lead Agency Po 'rly, M LPuNT,9 f)UACrMC2V f OF 1-fal-'r1i 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? .:..:................. ............. ............................... .......... 13. If so, have plans been submitted to such authorities? ........ ............................... N D M. Has preliminary approval been granted by such authorities ?. 1 /l Date gr' nted: JAJZA 15. Type of Sewage Treatment System Discharge ................. surface water groundwater 16. If surface water discharge, what is the stream class designation? .................... 17. Waters index number ( surface) .......................................:.:. ............................... 18. Is project located near a public water supply system? ....... ............................... No 19. If yes, name of water supply AJ M Distance to water supply 20. Is project .site near a public sewage collection or treatment system? ................ AI 21. Name of sewage system Af J1q Distance to sewage system '— J1, 22. Date test holes observed ;j UCH 11161 23. Name of Health Inspector AP444 5f.IE/3G47;V6 24. Project design flow (gallons per day) ................................. ............................... o Q 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?... /V U 26. Has SPDES Application been submitted to local DEC office? ......................... �J & Form PC -97 2 27. Is any portion of this project located within a designated Town or State wetland? 28. Wetlands ID Number. .............. � .... ..... 29. Is Wetlands Permit required? .......................... :................................................... Has application been made to Town or Local DEC office? .............................. 30. Does project require a DEC Stream Disturbance Permit? .. ............................... N� tj NL) R No 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 N 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 nl Q DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ......................... 5 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ........ ............. .................:. ................... 35. Are any sewage treatment areas in excess of 15% slope? . .......:....................... N U 36. Tax Map ID Number ........................... ............................... Map K iu Block Lot 65' 37. Approved plans are to be returned to ..... Applicant_ Design Professional NOTE:aAll applications. for review and approval of anew SSTS to. be 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 lans 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. I hereby affirm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 21„0.45 o�thPenal Law. SIGNATURES & OFFIML TITLES. Mailing Address: ................................... 'AL • - 306 3 20 u E 9 (Q`i) sP&Vy6 - `v 0 10 5 / b r I1NA1V1 l., "UiNTY VEYARTIVIE.NT OY HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Ho"b 0, ArzgvOw Address ! /,aw,q Fg .. ,vM ?7�5o j Located at (Street) P(,IDDTN(; ST2cGi/5 &2EIAKC 1�01ffP Tax Map N /0 Block a Lot /5 . (indicate nearest cross street) Municipality PUZNA11I VA1.1_,--y Drainage Basin PC'&c KL� &W "uo P.^�vt� SOIL PERCOLATION TEST DATA Date of Pre-soaking. 1 //,3 d- �� /y/9 9 Date of Percolation Test Hole No. Run No. Time Start - Stop Ela se Time �1VIin.) De tli to Water Prom Ground Surface (Inches) Start Stop Water Level Dropp In Indies Percolation Rate Min /Inch A 1 q:05 - q: 0 iii ti ad 3 A 2 U,�o . q,/5 r 5. _ �� : 3 3 3 A 4 130 - .q'3 7 -'2 a A 5 vol D l3 3 1q 'tS r2a 3 3 13 4 -P,27- 1.35 3 3 5 q,31 -T' 22 3 3 1 C 2 _q :30 i- a.�, c 3 y -qj C 4 9' 5,- o, 1c) 3 6 MUTES: 1.: Tests to be repeated at same depth until approximately equal percolation rates are obtained at each Oercola on test ho:(e, (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. °.Dept}imeasurem'ents to be made from top of hole. Form DD -97 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH' . °HOLE'NO ._:: HOLE N0. Z _;... HOLE-N0: G.L. -"0 P50 1 L TD ?50iL- PSot 0.5' 1.0' IF N E. SAWQt LOW 1.5' �1N SA�1 Low 2.0' 2.5' 5ANOf LA� WPoM `Jto� S%A4"0 Lo 3.0' - UJ�2�cVj, 1( 3.5� � � � c'�m PAQ.T' � �►.�.. 4.0' 4.5' W LC- .5.0' 5.5' 6.0' 6.5' 7.0' 8.0' 8.5' 9.0' 10.0' Indicate level at which groundwater is encountered =- w 0, —1 Indicate level at which mottling is observed I,,SoTi ORS � Indicate level to which water level rises after being encountered Deep hole observations made b ) .I) tAKQ P, Date 0 Design Professional Name: :ToA*J P, DELANJ0. F'.Z- - Address: 5kp6,Y WAI;�-,(>J P,G Signature: Design Professional's Seal PUTNAM COUNTY DEPARTMENT OF HEALTH ` DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM 901 Allahna Way.. Owner Howard D- Aronow Address Santa Fe, NM 87501 Located at (Street) Pudding Street Tax Map 41.10 Block 02 Lot 65 . (indicate nearest cross street) Municipality Putnam Valley Drainage Basin Peekskill Hollow Brook SOIL PERCOLATION TEST DATA Date of Pre- soaking 04/10/00 Date of Percolation Test 04/11/00 Hole No. Run No. Time - Start - Stop Elapse Time (Min.) Depth to Water From Ground Surface (Inches) Start - Stop Water Level Drop In Inches Percolation Rate Min/Inch D 1 3:20 - 3:32 12 19 - 22 3 4 D 2 3:33 - 3:45 12 19 - 22 3 4 D 3 3:47 - 3:54 12 19 - 22 3 4 4 - - 5 - - 1 - - 2 - .3 4 - - 5 - - 1 - - 2 3 - - 4 5 NOTES: 1. 'Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. < 1 min for 1 -30 min/inch, < 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 .. "° 2 • TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 4 HOLE NO. HOLE NO. G.L. Topsoil 0.5' Fine Sandy Loam 1.0' V 1.5' V 2.0' V 2.5' V 3.0' Compact Fine Sand w/ Gravel 3.5' . V 4.0' V 4.5' V 5.0' V . 5.5' V 6.0' V 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' �- � _. � 10.0'.... _._•_ _ .._ . - .a....._ �. _..... _ . , .� _.... .. . - ..._ .. _.. E ......_ _._...._ . _ ♦ ,. .......... �, ... _ ..... . Indicate level at which groundwater is encountered not encountered Indicate level at which mottling is observed not observed Indicate level to which water level rises after being encountered N/A Deep hole observations made by: J. Paravati, Badey & Watson, P.C., Cold Spring, NY Date 05/04/00 Design Professional Name: John P. Delano. P.E. Address: Badey & Watson, P.C. 3063 Route 9, Cold Spring, NY 10516 .Signature: . U - Design Professional's Seal ,�; X r fPwl ✓ r: .. 7 1-79 "A IF. roe tAA) NJ 0) 0 E:LZO 0 4A-E V UC ),0 L9 1 7--' V7 00. t/05 Oct- 3 ,K9 L,/ E D3 L- 770 can be i stainless s, t 'fWmNd�W,,ast!mnvnhjtp SPECIFICAT, ANGE PLASTIC PIPE: Fiction LOSS I PER rom 0 Y2" ,/4" 1" 11/4 1Y2" GPM GPH Ft. Lbs. Ft. Lbs. Ft. Lbs. Ft. lbs. Ft. Lbs. Ft. Lbs.. 1 60 4.25 1.85 1.38 .60 .356 .155 .11 .048 2 120 .15.13 6.58 4.83 2.10 1.21 .526 .38 .164 .10 .044 3 180 31.97 13.9 9.96 4.33 2.51 1.09 .77 .336 .21 .090 .10 ..043. 4 240 54.97 23.9 17.07 7.42 4.21 1.83 1.30 .565 .35 .150 .16 .071 5 300 84.41 36.7 25.76 11.2 6.33 2.75 1.92 .835 .51 .223, .24 .104 6 360 36.34 15.8 8.83 3.84 2.69 1.17 .71 .309 1 .33 .145 8 480 63.71 27.7 15.18 6.60 4.58 1.99 1.19 .518 .55 .241 10 600 97.52 42.4 25.98 11.27 6.88 2.99 1.78 .774 .83 .361 15 900 49.68 21.6 14.63 6.36 3.75 1.63 1.74 .755 20 1,200 86.94 37.8 25.07 10.9 6.39 2.78 2.94 1.28 . 25 1,500 38.41 16.7 9.71 4.22 4.44 1.93 30. 1,800 13.62 5.92 6.26 2.72 35 2,100 18.17 7.90 8.37 3.64 40 2,400 23.55 10.24 10.70 4.65 45 2,700 29.44 12.80 1 13.46 5.85 .31000 w.... m _..._ _:.... �:� : - _: __ ..: 16.45 7.15 60 3,600 23.48 10.21 EQUIVALENT NUMBER OF FEET STRAIGHT PIPE FOR DIFFERENT FITTINGS Size of Fittings, Inches Yz" 3/4" 1" 11/4 11 Y2 2" 21/:" 3" 4" 5" 6" 8" 10" 900 Ell 1.5 2.0 2.7 3.5 4.3 5.5 6.5 8.0 '10.0 14.0 15 20 25 450 Ell 0.8 1.0 1.3 1.7 2.0 2.5 3.0 3.8 5.0 6.3 7.1 9.4 12 Long Sweep Ell 1.0 1.4 1.7 2.3 2.7 3.5 4.2 5.2 7.0 9.0 11:0 14.0 Close Return Bend 3.6 5.0 6.0. 8.3 10.0 13.0 15.0 18.0 24.0 31.0 37.0 39.0 Tee - Straight Run 1 2 2. 3 3 4 5 Tee -Side Inlet or Outlet 3.3 4.5 5.7 7.6 9.0 12.0 14.0 17.0 22.0 27.0 31.0 40.0 Globe Valve Open 17.0 22.0 27.0 36.0 43.0 55.0 67.0 82.0 110.0 140.0 160.0 220.0 Angle Valve Open 8.4 12.0 15.0 18.0 22.0 28.0 33.0 42.0 58.0 70.0 83.0 110.0. Gate Valve -Fully Open 0.4 0.5 0.6 . 0.8 1.0 1.2 1.4 1.7 2.3 2.9 3.5 4.5 Check Valve (Swing) 4 5 7 9 11 13 16 20 26 33 39 .. 52 65 Check Valve (Spring) 4 6 8 12 14 19 23 32 43 58 Example: (A) 100 ft. of 2" plastic pipe with one (1) 900 elbow and one (1) swing check valve. 900 elbow - Equivalent to 5.5 ft. of straight pipe Swing Check = Equivalent to 13.0 ft. of straight-pipe 10Q ft �f..p.tpe - .Equi "valent to..1m -, gbt pipe- 118.5 OA ft of stral ft. Total equivalent pipe Figure friction loss for 118.5 ft. of pipe. (B) Assume flow to be 80 GPM through 2" plastic pipe. 1. Friction loss table shows 11.43 ft. loss per 100 ft. of pipe. 2. In step (A) above we have determined total feet of pipe to be 118.5 ft. 3. Convert 118.5 ft. to percentage. 118.5 =100 = 1.185. 4. Multiply 11.43 X 1.185 13.54455 or 13.5 ft. = Total friction loss in this.system. 11 TOWN OF PUTNAM VALLEY i WADME 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: PROPERTY LOCATION: July 25, 2000 July 25, 2001 Howard D. Aronow 901 Allahna Way Santa Fe, New Mexico 87501 John P. Delano, P.E. Badey & Watson 3063 Route 9 Cold Spring, NY 10516 Lake Shore Road TAX MAP #: 41.10 -2 -65 SIZE OF PARCEL: 23,181 sq. ft. ZONING: R -3 PROPOSED ACTION: Construction of single family residence, sanitary disposal system, driveway within watercourse buffer MATERIALS REVIEWED: 1. Application Materials, file # WT- 350. 2. Subsurface Sewage Treatment System and Site Plan prepared by Badey & Watson, dated 01- 07 -00. DATE OF SITE INSPECTION: July 19, 2000 CONDITIONS OF PERMIT: 1. All work to be constructed as shown on the proposed site plan as prepared by Badey & Watson, dated 01- 07 -00. 2. The Building Inspector shall be notified once erosion control measures are in place and at least 48 hours prior to the initiation of any site work. 3. 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. 4. The Planning Board., Wetlands Inspector, and/or Building Inspector, shall have the. right to inspect the project from time to time. 5. The permit shall be prominently displayed at the project site during the undertaking of the activities authorized by the permit. 6. 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. 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 (914) 762 -7288, or the office of the Building Inspector (914) 526 -2377. Date Permit_ Waiver Prepared: July 25, 2000 Stephen W. Coleman Town Wetlands Inspector. cc: Applicant Building Inspector { Planning Board Environmental Commission ag �o cow Bof ~ . .. .:^^: c�:=.::. t'_, �'+ Pe-.n.nrcM1.ra:.+.:n..,.�x:ro �u:�sisisl•�.m_rtv.fs.•e:�,r ssaC.tctA'.: "_.._....�.. _T��.c ✓ . —� - m.<u..Y..�Mnseat Z 052 266 6y8 6 61? Z 052 26 US *Postal Service US Postal Service Receipt for Certified Mail Receipt for Certified Mail No Insurance Coverage Provided. - - DonotuseforintemationaiMail (Seereverse) " Mr. & Mrs. Michael Deszaran Ms.Betty.Deszaran 29 Arbutus Street 31 Arbutus Street Putnam ,Valley, NY 10579 Putnam Valley, NY 1057'f LO M T ' O to 0 a Postage Post Dmce, azate, it ur �ooe $ Certified Fee $ i (� ice S 14V . Special Delivery Fee Special Delivery Fee Restricted Delivery Fee Restricted Delivery Fee Return Receipt Showing to a°fi Whom & Date f Whom & Date Remm R r O� ( �/ Date, & TOT ! gl� ees I 0 $ ` R IOTA ge & Peatrn to ILL co �, V, 0$ ESQ t i Z 357 82.4 735 Z 357 824 736 i Postal'Service---- _.. �__. ',;. .US-Postal Service.:. Receipt for Certified Mail Receipt for Certified Mail No Insurance Coverage Provided. No Insurance Coverage Provided. Do riot use for International Mail See reverse Do not use for International Mail See reverse Sent to /. Sire NU be j P ice, te, & Code Postage $ 1 Certified Fee Special Delivery Fee Restricted Delivery Fee in rn Return Receipt Showing to 2 T Whom & Date Delivered Return Receipt Showing to Who Date, & Addressee's Address.. L`1Y 1 0 TOTAL Postage .& Fee rf Postmark or Date 01� Post Dmce, azate, it ur �ooe Postage. $ i (� ice S Certified Fee Special Delivery Fee Restricted Delivery Fee LO Special Delivery Fee a°fi Retum Receipt Showing to r- Whom & Date r r Reium ( �/ _T- W TOT ! gl� ees I 0 $ ` R Retum Receipt WIpD � P r Date . ILL co TOTAL s V V, 0$ i Z 357 82.4 735 Z 357 824 736 i Postal'Service---- _.. �__. ',;. .US-Postal Service.:. Receipt for Certified Mail Receipt for Certified Mail No Insurance Coverage Provided. No Insurance Coverage Provided. Do riot use for International Mail See reverse Do not use for International Mail See reverse Sent to /. Sire NU be j P ice, te, & Code Postage $ 1 Certified Fee Special Delivery Fee Restricted Delivery Fee in rn Return Receipt Showing to 2 T Whom & Date Delivered Return Receipt Showing to Who Date, & Addressee's Address.. L`1Y 1 0 TOTAL Postage .& Fee rf Postmark or Date 01� c') Postm ate o tiO Q� °yon �� sent Stre ice S State, & ZIP. od Postage Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to ( ( �/ _T- W Whom & Date Delive I I . 2 ` R Retum Receipt WIpD Nate, & Addr TOTAL s V V, 0$ Post Office, State, & ZIP Code Postage $ r Certified Fee $ O Special Delivery Fee Restricted Delivery Fee .Certified Fee Retum Receipt Sho Whom & Date De i. O Spedat Delivery Fee Retum Receipt Date, &Address TOTAL Posta a iFees f Postmark or D e Z 052 266 631 Milton Eagens Putnam Valley, Town of 265 Oscawana Lake Rd Putnam Valley , NY 10579 Aronow 72 -1791 Post Office, State, & ZIP Code Postage $ .Certified Fee O Spedat Delivery Fee Restdcted Delivery Fee L rn. Retum Receipt Sho ' Whom &.Date De Retum Receipt o m, 's Date, & Address DTOTAL a j Fees _Posta Postmark or D e L t% k 1 1 /ter I 2 !� is ti \\ I^ 1 p i 0 QJp � 52 '. 5.ite \ J 8 6o I90.s5 �L g 59 mi i I i •I L— _ 1_ _ — �/ Ao Wl � _ zzies s9e000 P/0 41.14 134 i !' 2 7 LEGEND �,_.J '41.05 41.06 41.07 PRELIMINARY —�_ DISPUTED ATE.AS. COITINOOUS OA0g715RIP ............... �• KUM LINE YID MOM DEVELOPERS - - - -- RDAD RaAT STREAAI/DATEALINE — LOT NOW DEm DIAEIKION SGL ED�DIEEI6TON J mm I0 1019 '41.09 41.1 1 SCALE _itl4i. 100' TOWN OF PUTNAM VALLEY - — — SPECIAL DISTRICT LINE —f sons V!sTRla PART OF PARCEL BO1gnART •— CALMUTED AREA vism DTRD ENID PARCEL NAM 25• AC. CAL • n + + v . 41.14 41.15 O 100 0 100 ZL PUTNAM COUNTY. NEW YORK DATE OF AERIAL IfT£T - — — — 1 W S TA1E PLAIE.4-10- INATEB ARE-1111M IN j Hawn ion wm N1 U # 1. 10 - - (�a i Desz�r� M Clime 16 d CA e 1 A Ttx M etf Ai, ►o_ ... 1; Mu11e9 M iL 4- 7,nny A »n ✓ y 5 P �1. =BRUCE R.- -- FOLEY Public Health Director LORETTA MOLMAW7K.N:, - M.S.N.4.` Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278.7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 February 15, 2000 John Delano, PE Badey & Watson 3063 Route 9 Cold Spring, New York 10516 Re: Aronow, Pudding Street TM# 14.10 -2 -65, (T) Putnam Valley Dear Mr. Delano: This office has discussed the above referenced project at its February 2000 Specific Waiver Meeting "for discussion only." I offer the following comments for your consideration. Reference plan by Badey & Watson, dated January 14, 2000. Additional- field testin re uired-Ili -thy area -of the ptoposed'" rim "` SSTS -' - "" 2. Explore with field testing area to the west of the proposed primary SSTS. 3. Increase separation from piped drainage to "start of trench" to be a minimum 35' separation as required. 4. Intermittent drainage course to be verified by the wetlands inspector in regards to location. • Wetlands inspector to comment on proposed "piping and discharge" of existing road drainage as proposed. 5. Applicable Town Highway Superintendent to be notified and to comment on proposed drainage piping and relocation. Provide this office with notification(s). Prior to further review, please provide this office with the following: A. Proof of Neighbor.Notifications. r `.m Delano /Aronow February 15, 2000 Page 2 B. Response from Wetland Inspector. C. Response from Putnam Valley Highway Department. D. Written request of required waivers. • Construction of a 2 bedroom dwelling. • Fill greater than 3.5' for grading. • Fill to property line • Piping of drainage course. 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, C�`-0t+1,wt Adam B. Stiebeling Assistant Public Health Engineer TO•d UITN*M- COU -DIMION OF ENVIRONMENTAL HEALTH SERVICES LIWMR OF AUTROMMATION TN Tax Map # 16 -)0 Block I— Lot --C.5 LCTMM� This low is to au&otize J04$J P. MLA*J() ?-a - a my licensed Pw&&*Iw &*m --)e or Registered, architect to apply for *6 - muim wastewater ftatmft and/or water ** pan-At(s) to sense ft above-noted property in accordance with Me S=ft&, rulm or regulations as promulgated by the Public Health Dkedorofthe PuUmm CO=W Health De partmait and to sign all necessary papers on my behalf in comecdon with this math and to supamse the calmuefion of said wiftwata U*-tmat and/or water supply "ems in 'Confornifirwith provisions of-Atticle, -145 aad1cw 1,47 -oftlie Education Li*,, the ftbj1C`jtjj&'' Law, ad the PuUm County Smitaty Code. very Y Signed: P.E, vjw# (OwneraPOPOW) Meiling Address ONWa %AjYjgk4, Pt, Mailing Address: qg i AA4-^ %jo-jilk- %,A � LO( a, RMAM COU SANTO 4-W State zip 125i(g stato Telephone: Telephone: . &Q-14A-71-0-40 POMIA-97 01 /11 /00 17:58 FAX 2126798679 �JbI 3 -F N�tigI :. Bank- ,�• �s , ec M e Santa Pe 2.1-49 8 -5 robu FOtC Remitter Claw S16d1L %d2& J, ffft%Wwmto Mi+=JP1i�l?lIIRJC:�,i lot0rderoPa8*4-0 PUT9lAR COUNTY HEALTH DEPT.4$41-04 I I'll '1" b �11,11 yI -I F 'ln.�' 11i f ....^�Tl!T,TI j.tr Ba onal NOT OTiABLE` . alisrr R � Pa om- son am - Urot993.2mu �ufTlo 9ignctun: —T' ; Sum Fe. New obwo B?]ua•ubN CUSTOMER COPY TOTAL P.03 I�11�00 J,j nil ..: "ko ksso D NAM CC -,u QUESno05,, PLCASt GIVE Mc A CALL A7 Gt)-n•Jc Etie2l]' hi P"(; IJ-�� 7)1L°CVl Vitapy, i -,J H Q DE ur -\t J o a,�^ 686�8s7) BADEY & WATSON LETTER of TRANSMITTAL .ling = & Engiiteeringi--PAC..-".7*--a-,-v.-..---*--.-.--:-�-z--. 3063 Route 9, Cold Spring, New York 10516 Date: 114 Jan 2000 914 265-9217; 737-3577; 628-1800 FAX (914) 265-4428 Refer inquiries to: TO: Adam Stiebeling Putnam County Department of Health 1 Geneva Road Brewster, NY 10509 We are sending: number date of Work Order # 12995 Project Director JPD Our File Number 72-179 Sent via: US MAIL ❑ UPS-NIGHT MESSENGER ❑ UPS-2 DAY ❑ PICK-UP ❑ UPS-3 DAY ❑ FAX 1:1 UPS-GROUND ❑ UPS-COD ❑ copies document description of document final prelim concep revise F4] 07 Jan 2000 SSTS Fill Plan I V ❑ ❑ 1:1 711 14 Jan 2-0070 IConstruction Permit for Sewage Treatment V ❑ ❑ ❑ F 11 1 14 Jan 20001 ILetter of Authorization W ❑ ❑ ❑ F_1 1 114 Jan 2000 Application for Wastewater Treatment W ❑ ❑ ❑ 71, 1 14 Jan 2000, Short EAF F-21 1 14 Jan 20-0-01 Data Sheet ❑ F-1 ❑ ❑ REMARKS: to Construct Well of Check COPIES TO: 1416.4 (2187) —Text 12 - PROJECT LD. NUMBER 617.21 SEOR f Appendix C State Environmental Quality Review Sti4DRT•:ENVIRONMIEN' -A-L-: ASSLMRN TTCYR For UNLISTED ACTIONS Only • PART I— PROJECT INFORMATION (To be completed by Applicantor Project sponsor) i t . APPLICANT /SPONSOR _ ; 2. PROJECT NAME , ©, �Rd�IOUJ •- ! -fowl D. r} -2nNoW 3. PROJECT LOCATION: Municipality _ _PLj'rNj4M V4U6jj County /V) 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) 5. IS PROPOSED ACTION: NNew ❑ Expansion ❑ Modificatlon/alteration 6. DESCRIBE PROJECT BRIEFLY: (ofvy-rfLu(rSDN of /U6w &fS10cV441 ;ys -am, 4/vp fi✓ELL 1. T'.. -r I 7. AMOUNT OF LAND AFFECTED: Initially -1 X55 T /MN Q1 S acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 21 KNo Yes , If No, describe briefly r rJz �eG� vi re �fo v+•t z g �} 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? t tsResldentiai ❑ industrial ❑ Commercial ❑ Agriculture Park/Forest/Open space Other Describe: s.tPJba ; frMVA 40M� oN 0,�,AaL6 _..._......._- do 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OA FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? _ O Yes ❑ No If yes, list agency(s) and permll/approva,s PrlfNkt�► vau-�y • �n,�v�w� MJO g�ir -or�� E�rrS. 1. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLYNALID PERMIT OR APPROVAL? ❑ Yes X[No If yes, list agency name and permit/approval 1. AS A RESULT OF PROPOSED ACTION WILL EXISTING` PERMIT /APPROVAL REQUIRE MODIFICATION? ❑ Yes c I- CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY. KNOWLEDGE Applicant/sponsor name: J-014lV P. D-a- VO, PC. 6V6RjWU/ P21-__14&J Date: G I /0-7 106 Signature: - M If the action Is in the Coastal Area, and.you are a state agency, compiete*the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II— ENVIRONMENTAL ASSESSMENT (ro be completed by Agency) A. DOES ACTION EXCE D ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? 'If yes, coordinate the review process and use the FULL EAF. Yes o t3. WILL ACTION rRECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6 ?. if No, a negative declaration may be superseded another Involved agency. ❑yes:: C. COULDACTIOk RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH 1HE. POLLOWING: (Answers may be• handwritten, it legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns,.solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change In use or Intensity of use of land or other natural resources? Explain' brlefly C5. Growth, subsequent development, or.related activities likely to be Induced qy the proposed action? Explain briefly. C6. Long term,. short term, cumulative, or other effects not Identified in C1-05? Explain briefly. h - C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS T E LIKELY TO BE,'CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? . .._❑.Ygs -_,:, r)f Yes,_axplain brlefly __ y •_ _„ v w PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether It is substantial, large, Important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural);_(b) probability of occurring; (c) duration; (d) Irreversibility-, (e) geographic scope; and (f) magnitude. if necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been identified and adequately addressed._ ❑ Check this box If you have identified one or more potentially large or'significant adverse Impacts which MAY ccur. Then proceed directly to the FULL EAF and/or prepare a•positive declaration. Check this box if you have determined, based on the information and analysis above and any supporting ocumentation, that the proposed action WILL NOT result In any significant adverse environmental impacts AND provi"'attachments as necessary, the reasons supporting,,this determination: I-t-t Lo. t Print or Type Name of Responsible Officer ih Lead Agency Title of sponsi icer (• Signature of Responsible Officer in Lead Agency ignature o I VrepTeir orni erent from response icer Date 2 a „ BADEY & WATSON Surveying and Engineering P. C. 3063 Route 9, Cold Spring, New York 10516 FAX: email: October 31, 2000 265 -4428 Adam Stiebeling Putnam County Department of Health 1 Geneva Road Brewster, NY 10509 Re: Waiver - Proposed SSTS Howard D. Aronow, Pudding Street Town of Putnam Valley TM: 41.10 -2 -65 Dear Mr. Stiebeling: .us (914) 265 -9217 628 -1800 739 -3577 (877) 314 -1593 George A. Badey; L.S. Glennon J. Watson, L.S. John P. Delano, P.E. Jennifer W. Reap, L.S. We are in receipt of your February 15, 2000 letter concerning the above referenced matter. After reviewing same, it is our understanding that the Department will continue its review of the subject- permit application contingent upon written request for waivers of the following. 1. Construction of a 2 bedroom SSTS. 2. Fill greater than 3.5' for grading. _ 3. Fill to properly line. 4. Separation to drain pipe less than 35'. We respectfully request the Department consider waivers of the subject permit applications and/or grant an appropriate specific waivers in accordance with Section 75.6 of Title 10 of the Official Compilation of Codes, Rules and Regulations of the State of New York. Furthermore, additional field- testing, as required, in the proposed primary SSTS has been completed and design data sheet attached. We believe you observed the deep holes independently. An application was submitted to the Town Wetlands Inspector. Upon completion of his review of the plans and a site inspection, a permit waiver was granted, and is attached. With respect to the proposed drainage and piping, the Town Highway Superintendent offered no comment. Proof that neighbor notifications were sent are. attached. 01 :010 E - AON 00 S3MS H 1. �'�'�1r1 ANA ;,�an��JrN.Lnd Owners of the records and files of Hudson Valley Engineering Company, nc� �l, 133 J. Reynolds and Chase, Wilbur Irish, Vincent Burruano and Douglas A. Merri tj Affiliated with Taconic Surveying and Engineering, P.C. , October 31, 2000 Adam Sfiebefing Page 2 of 2 Should you require any additional information in connection with this request please so th6fi-k---y'ou--f6i-yo' matter and remain hopeful for a favorable conclusion. Yours truly, BADEY & WATSON, Surveying & Engineering, P. Q by, JoJ'. Delano, P.E. P JPD/tad enclosures cc: File U: \72- 169B\AS31OCOL.doc Howard D. Aronow BADEY & WATSON Surveying and Engineering P.C. BRUCE R FOLEY ..�. _.:� <..< �.�,:Pubfic - tfealth�•�Dir�eceor �= �•��•_�� °� _ : _a. NAME: ADDRESS: SITE LOCATION: DATE: LORETTA MOLINARI RN., M.S.N.,_ _- Associcle = °P�`lic"Fteaftii `Director F �_ Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914)278 - 6130 Fax (914) 278 - 792 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 -6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAVIER l- t� ocoz --� • � aoxao .e/ �f SGvc�Scoj.(` 0 PId L. y t7o1 J4-f �j:�" t-e 44 N4 BE STAFF PRESENT: Bruce F.. Rob K. Mike B.. Adam S.. Gene R., Shawn R., SPECIFIC WAVIER REQUEST: t,c, —PD kD Y �� DOES THE PROPOSED VARIANCE REQUEST POSE A HEALTH HAZARD OR ENVIRONMENTAL CONTAMINATION PROBLEM? YES NO WILL DISAPPROVAL RESULT IN A SIG ICANT HARDSHIP? YES NO DISCUSSION • APPROVED DIRECTOR OF PUBLIC HEALTH nATF- DENIED , F 14164 (yg7) —Text 12 PROJECT I.D. NUMBER $17.21 SEOR it' - Appendix C State Environmental Quality Review FORM _. For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Appiicant:or. Project sponsor 1 . APPLICANT /SPONSOR _ 2. PROJECT NAME., p, #Rdu0UrI 3. PROJECT LOCATION: Municipality j Al County m 4. PRECISE LOCATION. (Street address and road intersections, prominent landmarks, etc., or provide map) 5 � M6p NOVIP6A) 5. IS PROPOSED ACTION: New ❑ Expansion ❑ Mod if icatlon/alteration 6. DESCRIBE PROJECT BRIEFLY: (.o�►yrn,lct��►� OF /vFw &CS—o i S /Zc sysf414 AtiD (/rIEGL 7. AMOUNT OF LAND AFFECTED: Initially X55 TNAN B, S acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? jKNO Yes If No, describe briefly . G r V �^ r ✓l ca �e 6, cn`� 7 to eti z g A 9. WHAT IS PRESENT LAND USE IN VICINITY OF.PROJECT? tsResldential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Park/Forest/Open space ❑ Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? _ 0 Yes ❑ No If yes, list agency(s) and permittapprovals ( ofAIAM URU69 = uVrw" 140 gvlt-6NG fWITS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY.VALID PERMIT OR APPROVAL? ❑ Yes SNo If yes, list agency name and permltlapprovai 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? Cl Yes o I- CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY. KNOWLEDGE ' Applicant/sponsor name: T014&i R ®EUWO, P, E. 4QJ6 i V ffa1 A61RRffAII%7 Date: Signature: PC M If the action Is in the Coastal Area, and.you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II— ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXC D ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? 'If yes, coordinate the review process and use the FULL EAF. . ❑ Yes p B. WILL ACTIONIRECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be supersededM another Involved agency. Yes C. COULD ACTIOA RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE,•POLLOWING: (Answers may be handwritten, It legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels,. existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly 62. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community. or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: . C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly C5. Growth, subsequent development, or:related activities likely.to be induced_Fy the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not identified in Ci•C5? Explain briefly. C7. Other impacts (including changes In use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS T E LIKELY TO BE,'CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes ° If. Yes, explain briefly PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, Important or otherwise significant. Each effect should be assessed In connection with its. (a) setting (i.e. urban or rural);•(b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or.reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been identified and adequately addressed. ❑ Check this box if you have Identified one or more potentially large or significant adverse Impacts which MAY `occur. Then proceed directly to the FULL EAF and/or prepare a•positive declaration. Check this box if you have determined, based on the information and analysis' above and any supporting ` documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND providakn -attachments as necessary, the reasons•supporting.this determination: C, r !ao Agency U Title o sponsi icer, . (. gnature o rep er Brent rom response" icer 2 Y - --- -- - - - - -- CCLV CIa IBADEY & WATSON LETTER of TRANSMITTAL Surveying & Engineering, P. C 0 Spriq, MW'-_Y 6'rC "i 0'5T_6_'-*'-_^"-—'_"'-_' (845) 265-9217 (845) 628-1800 (914) 739-3577 File No. 72-179 FAX (845) 265-4428 W. 0. # 12995 RE: Proposed SSTS Aronow TO: Pudding Street Adam Stiebeling Amended Map of Roaring Brook Subd. Lot No. 125 Tax Map .14.10-2-65 Putnam County Department of Health Permit # 1 Geneva Road Brewster, NY 10509 Sent via: US MAIL ❑ UPS-NIGHT MESSENGER ❑ UPS-2 DAY ❑ PICK-UP ❑ UPS-3 DAY ❑ FAX ❑ UPS-GROUN ❑ UPS-COD ❑ We are ending : copies date description of document ® 07-Jan-00 ISeparate Sewage Treatment System Fill Plan Sheet I of 2 —07---Jan--00 ISeparate Sewage Treatment System Sheet 2 of 2 J� 0 O El o� F_ El El o� 7 L REMAUKS: Signednd sealed prints. L signt John P. Delano, P.E. ccvwo: File BADEY & WATSON LETTER of TRANSMITTAL Surygyft_ .-Tygi P.C. 3063 Route 9, Cold Spring, New York 10516 Date: 05 Jan 2001 (845) 265-9217 (845) 628-1800 (914) 739-3577 File No. 72-179 FAX (845) 265-4428 W. O. # 12995 RE: Proposed SSTS Aronow TO: Pudding Street Adam Stiebeling Amended Map of Roaring Brook Subd. Lot No. 125 Putnam County Department of Health Tax Map 14.10-2-65 Permit # I Geneva Road Brewster, NY 10509 Sent via: US MAIL ❑ UPS-NIGHT MESSENGER ❑ UPS-2 DAY ❑ PICK-UP ❑ UPS-3 DAY ❑ FAX ❑ UPS-GROUN 1:1 UPS-COD ❑ We are sending: copies date description of document F-21 08-Dec-00 IFloor Plans ❑ I E-1 I I El 71 F-1 1 REMARKS: PURSUANT TO OUR CONVERSATION: 2 SETS; SIGNED AND SEALED 2 BEDROOM FLOOR PLANS FOR ABOVE REFERENCED APPLICATION. Signed: John P. Delano, P.E. Copies to: File asao BADEY WATSON Surveying and Engineering P. C 0 3063 Route 9, Cold Spring, New York 10516 (914) 265 -9217 George A. Badey, L.S. 628 -1800 Glennon J. Watson, L.S. FAX: (914) 265 -4428 739 -3577 John P. Delano, P.E. SIGN email: badey &watson @cold - spring.ny.us (877) 314 -1593 — Jennifer W. Reap, L.S. November 6, 2000 Adam Stiebeling Putnam County Department of Health 1 Geneva Road Brewster, NY 10509 Re: Howard D. Aronow, Pudding Street Town of Putnam Valley TM: 41.10 -2 -65 Dear Mr. Stiebeling: It has come to our attention that we failed to stamp and seal 4 sets of plans we submitted on October 31, 2000. We apologize for the oversight on our part. Please inform us when you have - completed you review, so we can come and finalize the prints. Should you require any additional information in connection with this matter please do not hesitate to contact us at your earliest convenience. Yours.truly, - .._ _ ... _.. _..... . BADEY & WATSON, Surveying & Engineering, P. C, f° by, Tonya A. DyAman TAD /tad cc: File U: \72- 169B\AS06NVOL.doc Owners of the records and files of Hudson.Valley Engineering Company, Inc., Reynolds and Chase, ]. Wilbur Irish, Vincent Burruano and Douglas A. Merritt Affiliated with Taconic Surveying and Engineering, P.C. BADEY & WATSON . LETTER of TRANSMITTAL Surveying & Engineering, P.C. 3063 Route 9; .Cold Spring, l�Tew York 105.1.6..:.. _,> <.�. ,- .... _ 6i - _.-,, o_.- ,_. _...�-_... Date: O1 Dec 2000 (845) 265 -9217 (845) 628 -1800 . (914) 739 -3577 File No. 72 -179 FAX (845) 265 -4428 W. 0. # .12995 RE: Proposed SSTS Aronow TO: Pudding Street Adam Stiebeling Amended Map of Roaring Brook Subd. Lot No. 125 Putnam County Department of Health Tax Map 14.10 -2-65 1 Geneva Road Permit # Brewster, NY 10509 Sent via: US MAIL ❑ UPS -NIGHT MESSENGER ❑ UPS -2 DAY . I o PICK-UP' ❑ UPS -3 DAY ❑ FAX ❑ UPS -GROUN ❑ UPS -COD ❑ We are sending copies date description of document 2 01- Dec -00 IFloor Plans ❑ 771 F_ El . El I El I ❑ I REMARKS: Signed: John P. Delano, P.E. Copies to: File 4395 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYS REVIEW SHEET FOR CONSTRUCTION PERMIT STREET LO s7Jinticr' NAME OF OWNL ER V W D Y R-NI, GR AS B, BH Y N DOCUMENTS Y I j \'i/ -31-87 TAX MAP k RMIT APPLICATION SION CONTROL :HOUSE,WELL, SSDS Q VRIC PC -1 7 & DEEP HOLES LOCATED LL PERMIT PWS LETTER WRESENTATIVE OF PRIMARY & EXPANSION 11F LETT R OF AUTHORIZATION OCATION MAP D IGN DATA SHEI`T (DDS) BXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE RPORATE RESOLUTION PUMPED, PIT & D BOX SHOWN & DETAILED ORT EAF HOUSE - NO.OF BEDROOMS LANS - THREE SETS WELLS & SSDS'S WAN 200' OF PROPOSED SYS. SE PL ETS PROPERTY METES & BOUNDS MNO ANCE REQUES HOUSE SETBACK NECESSARY (TIGHT LOT) E HOUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE SUBDIVISION BENDS; MAX.BENDS 45° W /CLEANOUT . LEGAL SUBDIVISION FELL SYSTEMS �UBDIVISIONZ APPROVAL CHECKED CLAY BARRIER ERC RATE C P L 10- FT. HORIZONTAL;SLOPE 3:1 TO GRADE FIK REQUIRED DEPTH FILL SPECS FILL NOTES �WtAIIN DRAM REQUIRED FILL CERTIFICATION NOTE TANDPIPES DEPTH GAUGES FILL PROFILE & DIMENSIONS ATED N NYC WATERSHED VOLUME NS SUBMITTED TO DEP FILL IN EXPANSION AREA GATED TO PCHD TRENCH EP APPROVAL, IF REQ'D TRENCH PROVIDED 60 FT MAX E P TEST HOLES OBSERVE MLF PARALLEL TO CONTOURS P CS TO BE WITNESSED 100% EXPANSION PROVIDED - APPROVAL SSDS ADJ. LOTS SEPAR4TiON DISTAtiCES SPECIFIED WETLANDS (TOWN/DEC PERMIT REQ'D ?) ON PLAN - FROM SSTS 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL RnR ' ` . 20" TO FOLTIDATION WALLS 15' :YELL TO -PL ER BIUZBA 100' TO WELL, 200' IN DLOD, 15V PITS YR. FLOOD ELEVATION I00' TO STREAM WATERCOURSE LAKE (inc. expan) OTHER REQ'D PERMITS) 50' TO CATCH BASIN, 35' STORMDRAN, PIPED WATER I \ 10' TO WATERLINE (pits -20) E SYSTEM PLAN - (NORTH ARROW) 50' INTERMITTENT DRAINAGE COURSE YDRAULIC P FILE FRAVITY FLOW 200' /500' RESERVOIR, ETC. _150' GALLEY SYSTEMS RUCTION NOTES 15'MN to CDS= >5 0/o,10'- 40/45'- 3 %,30'- 2 %,35' -I %,100' - <1% SIGN DATA: PERC & DEEP RESULTS 20'MN to CD discharge /100'with 182 cons.day discharge CONTOURS EXISTING & PROPOSED SEPTIC TANK 4 110 ;9 VEWAY & SLOPES, CUT F-T-1 10' FROM FOUNDATION; 50' TO WELL TING /GUTTER/CURTAIN DRAINS WELL SOIL TYPE BOUNDARIES. ® DIMENSIONS TO PROPERTY LINE T E BLOCK; OWNERS NAME,ADDRESS LOCATION OF SERVICE CONNECTION E/RA;NAME,ADDRESS,PHONE9 OF DRAWNG/REVISION DATUM REFERENCE L CATION OF WATERCOURSES, PONDS AKES AND WETLANDS WITHIN 200 FEET PROPOSED FNISH FLOOR AND BASEMENT EL. COMMENTS: lo-Z-6-5- '0' . Putnam County Board of Health Mr.Adam Stiebling 1 Geneva Road Brewster N.Y. - 10509- February 9, 2000 Brian Kennedy 97 Pudding Street PutnamValley N.Y. 10579- Dear Mr. Stiebling, I am writing this letter in reference to our conversation on January 31,1999, concerning the septic proposal for lot # 41.10 -2 -66. As I explained to you, I take exception to the current septic proposal for this lot. My reasons are as follows; The plan shows intermittent drainage, which runs through my property. I contend that this intermittent drainage does not exist now and has never existed. I would like to point out that the original subdivision map does not reflect intermittent drainage. This plan also proposes to collect.and. re- route Town, drainage water from Pudding Street and run off from the leader drains onto - ....... - - -my-property: IBM that the aforementioned Town'drainage water should be connected to existing Town Drainage on Pudding Street. The leader run off which would be dumped near my septic system should be routed to a collection pit, to avoid damage to my septic system. Finally I would like to remind you that there is NO drainage easement through my property, and directing the drainage through my property with out such is Illegal. I would ask that if the County plans on approving this septic proposal as written That I am given sufficient notice to enlist the assistance of an Attorney. Thank you for your cooperation in this matter. Sincerely, Brian Kennedy d= RECORD OF PHONE CONVERSATION etTime: (% Date: i 00 �Z L� Person calling: Phone #: -71 tf Reason () Inspection: () Deeps and /or Peres: Scheduled Field Meeting Time: Date: Y N Tentative /to be confirmed () ( ) Town: �) tis- ttfloA- K °fit r Road /Street: .Tax NIap #> .._.�.._ ...__ �......__ Comments: 0M s_-V'q s ca (V e BRUCE R.. FOLEY- _ Public Health Director Joel Greenberg, RA Two Muscoot No. RFD2 Mahopac NY 10541 Dear Mr. Greenberg: O1�� -� 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 (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 January 13, 1999 Re: Aronow Septic, Pudding Street TM# 41.10 -2 -65 (T) Putnam Valley h This office has received and reviewed the most recent set of revised plans for the above - mentioned project. We would like to offer the following comments for your consideration. All comments pursuant to Putnam County Health Department Bulletin ST -19. _ .. (A)_ - _ - Documents - - - - 1. Submission of more detailed house plans required. (Layout of proposed basement and elevations). 2. A letter from design professional requesting all item requiring waivers . of current regulations required specifically: a. Well to property line separation. b. Design of a 2 Br. System. 3. Documentation to be provided verifying percolation tests were witnessed by a representative of this office, within the last 10 years, this being 2 Br. dwelling is proposed. 4. Proof of neighbor notification was not received by this office with submission of application. Review of this project cannot continue until such time as above stated documentation is received. (B) Plan 1. A site inspection will be required to verify physical features as show on plan. (i.e., ledge, drainage coarse, property lines, adjacent wells and septics, "abandoned " sus � E Letter to:.Joel Greenberg, R.A. - January 13; 1999 -_27 CMP). 2. Please reference source of.survey and related property features. 3. Provide basement floor elevation. 4. Plan does not show required 250 LF of absorption trenches as required. 5. Plan does not show required 100% expansion, as required. 6. Plan shows septic tank in driveway. Please clarify. Tank to be a minimum 10' from drive. 7. Minimum separation distance well to property line is 15'. A waiver will be requited if less is proposed. Please provide dimensions. 8. Please show all existing/proposed wells and /or septics within 200; or provide a note stating there are none that exist within 200'. 9. Please label distribution box on plan. - 10. A clean -out is required between septic tank and distribution box. A detail on detail sheet will be also required. 11. Please show layout of trenches in proposed area of expansion. (250 LF) 12. Profile to include representation of expansion trenches. 13. Profile to show existing and proposed grading. 14. It appears as though there is either ledge or a boulder within the proposed SSTS at the northwest side. Please clarify. Please contact this office to schedule an appointment to walk site and dig "new" deep test holes, and run perc's. Holes of record are for 198.5 (C) Details 1. Please show detail of clean -out as requested. 2. Detail of absorption trench to note separation distance(s) to H2O and rock. 3. Junction box detail to show (note) T minimum to trench. 2 foot separation to be solid pipe. 4. Please eliminate 1250 gallon and 1500 gallon septic tank spec's on detail sheet. 5. Please edit and complete fill notes (note #3). This office will continue its review upon consideration of the above - mentioned comments. Please feel free to contact us if any questions arise. Very truly yours, Adam B. Stiebeling ASB:tn Assistant Public Health Engineer PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES :... :r:_... _ _- ..a..— <- .:':..,.,.. >,<a.,•,.- .arm.:. _.- :,;x., -r:.C. _4 - -: .._ __..... _ :-._- _ __�... _... _ �_� L. _ _ . CONSTRUCTION PERMITEFORAMMA,OE TREATMENT SYSTEM PERMIT # PV -34 -87 Located at PUDDING STREET /,/ Town or Village PUTNAM VALLEY Subdivision name ROARING BROOK Subd. Lot # 12 5 Tax Map 41 . 1 OBlock 2 Lot 6 5 Date Subdivision Approved 12/9/49 Renewal X Revision X Owner /Applicant Name HOWARD ARONOW Date of Previous Approval 8/29/89 Mailing Address 901 ALLAHNA WAY, SANTE FE, N.M. Zip 87501 Amount of Fee Enclosed $ ion Building Type ONE PAM. RES . Lot Area ' SA r 22 No. of Bedrooms 2 Design Flow GPD 400 Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS .COMPLETED Separate Sewerage System to consist of 1000 gallon septic tank and 250 LF OF 2 FT. WIDE LEACHING TRENCHES Other Requirements: BANK RUN FILL AS NECESSARY TO EVEN GRADING To be constructed by NOT SELECTED Address Water Supply: Public Supply From Address or: _.h Private-Supply Drilled by NOT SELECTED __Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatments sy tem 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 Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of ibe issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. JWV Address T W O / R b S COO5)"ROAD NORTH, MA40PAC , N. Y. 10 5 41 , License # 1 1 0 5 6 APPROVE"OR 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 permit. Approved for discharge of domestic sanitary sewage only. By: Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL, HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please Rrintor type . •- -.PCHD Permit # • PV -34 -87 Well Location: Street Address: Town/Village Tax Grid # PUDDING ST. PUTNAM VALLEY Map 41.10Block 2 Lot(s) 65 Well Owner: Name: Address: 901 ALLAHNA WAY I - HOWARD ARONOW SANTA FE N.M. 87501 Use of Well: x Residential Public Supply Air /Cond/Heat Pump Irrigation 1 rimary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought __!i— gpm # People Served 4 Est. of Daily Usage 3D 0 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling x New Supply (new dwelling) Deepen Existing Well Detailed Reason NEW HOUSE for Drilling Well Type x Drilled Driven Gravel Other Is well site subject to flooding? ...............................:................. ............................... Yes No x Is well located in a real subdivision? ....................................:. ............................... Yes x No AMENDED ROARING BROOK LAKE MAP 1 Name of subdivision SE�'T $ Lot No. 12 5 e Water Well Contractor: NOT SEr.ECTED Address: Is Public Water Supply available to site? .................................. ............................... Yes No X Name of Public Water Supply: N/A Town/Village N/A Distance to property from nearest water main: N/A Proposed well location & sources of contamin ion be providy on separate sh ,et/plan. Date: 9/1 / 9 8 Applicant Signature:.. PERMIT TO C S UC4 WATER WELLu This permit to construct one water well as set fo 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 a water well driller certified by Putnam County. Date of Issue Date of Expiration Permit is Non- Transferrable Permit Issuing Official: Title: White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of Located at T/V PUTNAM VALLEY HOWARD ARONOW PUDDING STREET Tax Map # 41 .1 0 Block 2 Lot 65 Subdivision of AMENDED MAP OF ROARING BROOK LAKE, MAP 1 , SECT. B Subdivision Lot # 125 Filed Map # 308-J Gentlemen: Date Filed 12/9/49 This letter is to authorize JORT, GREENBERG a duly licensed Professional Engineer or Registered Architect x 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 tretment and/or water supply systems in conformity with the provisions of Article 145 and/or. 147 of the Education Law, the Public Uealth __ ..__... Law, and'the Put na " . nty- -Sanitary Code.--- State NEW YORK Zip Telephone: 914 628-6613 10541 Very truly y / r j, Signed: (Owner Mailing Address: 901 ALLAHNA WAY SANTE FE State NEW MEXICO Zip 87501 Telephone: 1-800-451-7168 Form LA -97 FUTINAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES a APPLICATION FOR APPROVAL OF PLANS FOR A.WA,O. X YXAT&R TREATMENT SYSTEM 1. Name and address of applicant: HOWARD ARONOW 901 ALLAHNA WAY SANTE FE, N.M. 87501 2. Name of project: HOWARD ARONOW 3. Location TN: TOWN OF PUTNAM VBT.LEY 4.. Design Professional: JOEL GREENBERG, R.A. 5. Address: 2 Mvscnom ROAD NTH 6. Drainage Basin: HUDSON RIVER MAHOPAC, N.Y. 10541 7.. Type of Project: x Private/Residential Food Service Apartments Institutional Office Building Realty Subdivision Commercial Mobile Home Park Other (specify) . 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ........................ ............................... Type I Exempt Type II Unlisted x . 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... 140 10. Has DEIS been. completed and found acceptable by Lead Agency? ............... N/A 11. Name of Lead Agency N/A, 12.. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? .. ......:........:............... ..�...,...,,.. , - YES!. 13. If so, have plans been submitted to such authorities? ........ ............................... No 14. Has preliminary approval been granted by such authorities? Date grunted: N/A 15. Type of Sewage Treatment System Discharge ................. surface water x groundwater 16. If surface water di9charge, what is the stream class designation? ......:............. N/A 17. Waters index number (surface) /A ........................................... ............................... N 18. Is project located near a public-water supply system? ....... ............................... No 19. If yes, name of water supply N/A Distance to water supply N I A- 20. Is project site near a public sewage collection or treatment system? ................ No 21. Name of sewage`system N'/A',; `�_ Distance to sewage system _ nT4A 22. Date test holes observed 3/29/85 23. Name of Health Inspector R. TUTONI 4 0 24: Project design flow (gallons per day) ................................. ............................... 400 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... No 26. Has SPDES Application been submitted to local DEC office? ......................... N Form PC -97 N 27. Is any portion of this project located within a designated Town or State wetland? . No 28. Wetlands.ID Number ........ ...... ............................................................................. NO 29. Is Wetlands Permit. required? ....... No. : -- Has application been made to Town or Local DEC office? ............................... N/A 30. Does project require a DEC Stream Disturbance Permit? .. ..........:................ ..... 31. Is or was project site used for agricultural activity involving application. of pesticides to orchards or other crops, solid or hazardous waste disposal, landf lling, sludge application or industrial activity? ............................ Yes/No 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 DESCRIBE: NO 33. Is there a local master plan on file with the Town or Village? ......................... YES 34. Are community water and/or sewer facilities planned to be developed. within 15 years in or adjacent to project site? ................................ ...... .......................... No 35. Are any sewage treatment areas in excess of 15% slope? . ............................... NO 36. _ Tax Map ID Number ........................... ............................... Map 41.1 (Block 2 'Lot 65 37.. Approved plans are to be returned to ..... Applicant x Design Professional NOTE: All applications for review and approval of anew SSTS to be located. within the NYC Watershed shall _ be sent to the Vepngment,.andneed.not-be sent in duplicate di 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 maybe grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, th at. information provided on this form is true to the. best of my knowledge and Deli a Class A misdemeanor pursuant t6 SIGNATURES & OFFICL4L TITLES. �i Mailing Address: .................................... 901 ALLAHNA WAY SANTE FE, N.M. 87501 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES - v DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM 901 ALIAHNA WAY Owner HOWARD ARONOW Address SANTE FE, N.M. 8 7 5 01 Located at (Street) PUDDING STREET Tax Map41 .10 Block 2 Lot 65 (indicate nearest cross street) Municipality TOWN OF PUTNAM VALLEY Watershed HUDSON RIVER SOIL PERCOLATION TEST DATA Date of Pre - soaking 3/28/85 Date of Percolation Test 3/29/85 1 1 9:45 -10:15 30 22 25.75 2.75 30/2.75 =1 2 0:19 -10:49 30 22 25.75 2.75 30/2.75 =1 3 10:53 -11:2 30. 22 25.75 2.75 30/2.75 =1 4 5 5A -1 0 : 2 3 . _. .- :.. . - .... 25- — _. — _ 2 10:21-10:51 30 22 25.0 3.0 .30/3=10 3 10:52-11:22 30 22 24.75 2.75 30/2.75 =1 4 5 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each 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 TEST PIT DATA 2 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH . 0LE'NO:' .....1. " 1 OLE N0. - 2 -HOLE-N&.. ...... , ti. .... G.L. TOP SOIL TOP SOIL 0.5' SANDY LOAM SANDY LOAM 1.0' STONES & SOME CLAY STONES & SOME CLAY 1.5' 2.0' if i if 2.5' 3.0' 3.5' it if 4.0' 4.5' if If 5.0' to of 5.5' to 11 6.0' of if 6.5' " 7.0' 7.5' 8.0' 8.5' 9.0' 10.0' Indicate level at which groundwater is encountered NONE Indicate level at which mottling is observed NONE Indicate level to which water level rises after being encountered NONE Deep hole observations made by: JOEL GREENBERG Date 3/29/87 Design Professional Name: JOEL GREENBERG o R . A . Address: TWO MUSCOOT ROAD .NORTH Signature 11 �-RED Arc \g �1fiwN``E rap i Ir Ov 060 0� 0 F NF 44 A(91V -Text 12 617.20 Phrjpt-:T I I). N(IMRIiR Aplx,nAix State Environmental Quality Review. SIiORT 'ENVIRONMN'I'AL ASSESSIvIGNT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by Applicant or Proiec:t Sponsor) 1. APPLICANT /SPONSOR 2. PROJECT NAME HOWARD ARONOW HOWARD ARONOW 3. PROJECT LOCATION: Munlcipall(y TOWN OF PUTNAM County' PUTNAM VALIXY 4. PRECISE LOCATION (Street address and mad intersection, prominent landmarks, etc., or provide map) PUDDING STREET 5. IS PROPOSED ACTION: ' akew O Expulsion 0 Modification /Alteration 6. DESCRIBE PROJECT BRIEFLY: NEW HOUSE 7. AMOUNT OF LAND AFFECTED: . Initlally 0,5322 acres Ultimately 0-5-322 acres ` 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? IN Yes O No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? IR Residendal 0 Industrial O Convnercial O Agriculture O Park/Forest /Open Space .' O Other Describe: 10. DOES ACTION INVOLVE A PERMfl'•APPROVAL, OR FUNDING), NOW OR ULTIMATELY FROM ANY QTHER GOVERNMENTAL AGEN, FEDBRAL, ' STATE OR LOCAL)? ,•. 0 Yes O No If yes, list agency(s) and pennit/appmvals PUTNAM VALLEY BUILDING DEPARTMENT 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? O Yes b No If yes. M-t agency name end pennit/approval 11 AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? O Yes j(7 No 1 CERTIFY THAT THE INFORMA'T'ION PROVIDED -ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant /Spo 194 Date: 9/1/98 Signature: J • �C If the action is in the Costal Area, and you are a state agency, complete the Costal Assessment form before proceeding with this assessment A. 1)OP.S ACTION PXCERI) ANY TY141 I TIIIII S1101.1) IN 6 NYr '.1414, PA141' 617.4? If yev, t-mr(1inotc the jewi!w lnxkrxv 111111 nNO Ih"t I +1.11.1. VAK 0 Yes O No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTION IN 6 NYCk PART 617.61 If No, a negntivim declaration they be supelrseded by another hivolved agency. O Yes O No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers tiny be handwritten, if legible) CI. Existing air quality, surface or growtdwater quality or quantity, noise I.evels, existing traffic patterns, solid waster production or disposal, potential for erosion, drainage or flooding problems? Explab) briefly: C2. Aesthetic, agricultural, archaeological, historic, or other. natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain-briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C3. - ©rvwtI%•subsoq"d t developti:ent, or related aclivitiis fik6'ly-to 6o hiducaf by the proposed action? Explain briefly: C6. Long term, short temr, cumulative, or other effects not identified fn CI -CS? Explain btielly: C7. Other Impacts (lncltidhtg changes ht use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CVA? O yes' O No E. IS THERE, OR IS THERE LIKELY TO 13E, CONTROVERSY RELATED TO .POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? 0 Yes 0 No If Yes, expl sin briefly: I'Alta'ill IM1,1- MMINATION (W SINNHICANCH (To Ix: corrtplrled by Agency) iNS'1'Itli('I'IC)NSi lro►' tart•h ndvr•►xr. rflixl hlrntifit•rl nlx>vr., drlrnninr. whrlhri it is xnle;i:nili:d, I:ul�r, iml�ntanl re olhrrtvixt: sit.!nifit:nnl. la+cl elAil should be ussG•tised in conntclfoll will' its (a) selling (I.e. urban Or nrn;l): (b) Iin +b;;hility or tx erring; (c) tMraliun; (tl) irrevcrtiibility. V. geographic olx ;and, (f) mngnitude, If nece•s pr�±, hdrt.illlashrnents or.rcf04;ncjc_s(4g9rit+ng nial'cri;ds. 'Cnsti, tlisir cxj) hiiiiilirnts conlniii tiufficicn to- inlpacls have been identified and ndeyuately actdrersed.. If gtit:%tion D of fart 11 was chec:ktxi yes, tilt dek' nitration and significance ntttst cvaiu3to the lxJtettlial impact. , Chock this box if you have identified one or more potentially large or significant adverse inipicls which MAY occur. Then proceed directly to the FULL EAF and/or prepare n positive declaration. O . Check this box tf you have detennined, based on the information acid analysis above and my supporting docwneirtation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attnchmcnls as necessary, the reasons supporting .this determination: Name of Lead Agency Pont, or Type Ntune of Responsible Office in Lead Agency Title. of Rv ponsible Officer Signature of ResWisible Officer in Lcad Agency Signalure of Prepares. (if (iffc.rcnt rrtmi n.ponsihlr. officer) R 1 2 FIRST FLOOR PLAN Al SCALE: 1/4" = 1' -0" s m E® .4 DACE 04 R ��,A F ; �Otd cuW. MR. N: A?LON0w PUTNAM VALLEY.. NEW 6K 10579 JOEL L. GREENBERG ARCHITECT z uusaoF"Nam+ 4*j wwDP((AC))NCw. roPoC �osAi FAk�(911g�62E�2mJ MAWM TRtt FLOOR PLANS DA ie n�eT Ma (2 /"I9b 9•g5•R75 /CATS Dw Llel" M 1 /�• -t' -0• AAA /ALO DIUlN710 ND: AT • tF-j SHORT EAF �n cr core S y� r cr or�*r�c E j�NCE REQUEST SUBDIVISION i EGAL SUBDIVISION APPROVAL CHECKED PRE FIIRED DEPTH CURTAIN DRAM REQUIRED STANDPIPES GENERAL �CATED IN NYC WATERSHED PJAANS SUBMITTED TO DEP 9ZLEGATED TO PCHD FP_IPPR_aVAI_ 1PRE(lT1 . AL SSDS YR. FLOOD ELEVATION IER REQ'D PERMITS) i'e .vl — -M IQ,% AGE SYSTEM PLAN - (NORTH ARROW) 'HYDRAULIC PROFILE VITY FLOW SHOWN; GRA OUSE - NO.OF BEDROOMS WELLS & SSDS'S W/IN 200' OF PROPOSED SYS. ROPERTY METES & BOUNDS OUSE SETBACK NECESSARY (TIGHT LOT) OUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE NO BENDS; MAX.BENDS 45° W /CLEANOUT . FILL SYSTEMS CLAY BARRIER 10- FT. HORIZONTAL;SLOPE 3:,1 TO GRADE FILL SPECS FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES FILL PROFILE & DIMENSIONS VOLUME FILL IN EXPANSION AREA TRENCH LF TRENCH PROVIDED 60 FT MAX. PARALLEL TO CONTOURS 100% EXPANSION PROVIDED SEPARATION' DISTANCES SPECIFIED R0142�" C' SJ9 Lcsf � (ZJ 10' TO P.L. D VEwA_WLARGE TREES, TOP OF FILL 0' T Z 5 MUM— A N-WALLS 15 -WELL TO PL" 100' TO WELL, 200' IN DLOD, 150' PITS 100' TO STREAM WATERCOURSE LAKE (inc. expan) 6.0' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 200' 1500' RESERVOIR, ETC. _150' GALLEY SYSTEMS C r [-115'MIN to CDS = >5 %,10'-4 %,25'- 3 %,30'- 2°/x35' -] %,100' - <I% TA: PERC & DEEP RESULTS 20 'hilN to CD discharge /100'with 182 cons day discharge SEPTIC TANK P Y & SLOPES 10' FROM FOUNDATION; 50' TO WELL FO TTE RTAIN DRAINS NY SOIL TYPE BOUNDARIES NS TO PROPERTY LINE TITLE BLOCK; OWNERS NAME,ADDRESS WfL O CATION IPM #,PE /RA; NAME,ADDRESS,PHONE# DATE OF DRAWING/REVISION DATUM REFERENCE LOCATION OF WATERCOURSES, P0, LAKES AND WETLANDS 00 FEET PROPOSED FINISH FLOOR - D BASEMENT EL. COMMENTS: PUTNAM COUNTY DEPARTMENT OF HEALTH~ T �' DIVISION OF ENVIRONME \TAL HEALTH INDIVIDUAL WATER SUPPLY &SUBSURFACE SEWAGE TREAT1vIENT SYSTEMS REVIEW SHEET FOR CONSTRUCTION PERMIT, -y . _ u'4. .. . _ ..... , ... h. .....r_a. .�'n Y:rc:,s...v. • .. .. •.. a•, ,., .... / ., _ STREET LOCATION DsJ t ts� y- .n... ... a /- ...._�.�.:�.�..-- -.'. -� 1 - NAME OF OWNER REVIEWED BY RN1, GR� NIB, BH DATE 1 I TAX NIAP # Y DOCUMENTS Y ^ ! 10 _ 2 —� • PERMIT APPLICATION. EROSION CONTROL:HOUSE,WELL, SSDS. f ` PC -1 /PWS P ED WELL PERMIT LETTER P VE OF PRIMARY & EXP SI LETTER OF AUTHORIZATION LOCATION MAP tF-j SHORT EAF �n cr core S y� r cr or�*r�c E j�NCE REQUEST SUBDIVISION i EGAL SUBDIVISION APPROVAL CHECKED PRE FIIRED DEPTH CURTAIN DRAM REQUIRED STANDPIPES GENERAL �CATED IN NYC WATERSHED PJAANS SUBMITTED TO DEP 9ZLEGATED TO PCHD FP_IPPR_aVAI_ 1PRE(lT1 . AL SSDS YR. FLOOD ELEVATION IER REQ'D PERMITS) i'e .vl — -M IQ,% AGE SYSTEM PLAN - (NORTH ARROW) 'HYDRAULIC PROFILE VITY FLOW SHOWN; GRA OUSE - NO.OF BEDROOMS WELLS & SSDS'S W/IN 200' OF PROPOSED SYS. ROPERTY METES & BOUNDS OUSE SETBACK NECESSARY (TIGHT LOT) OUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE NO BENDS; MAX.BENDS 45° W /CLEANOUT . FILL SYSTEMS CLAY BARRIER 10- FT. HORIZONTAL;SLOPE 3:,1 TO GRADE FILL SPECS FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES FILL PROFILE & DIMENSIONS VOLUME FILL IN EXPANSION AREA TRENCH LF TRENCH PROVIDED 60 FT MAX. PARALLEL TO CONTOURS 100% EXPANSION PROVIDED SEPARATION' DISTANCES SPECIFIED R0142�" C' SJ9 Lcsf � (ZJ 10' TO P.L. D VEwA_WLARGE TREES, TOP OF FILL 0' T Z 5 MUM— A N-WALLS 15 -WELL TO PL" 100' TO WELL, 200' IN DLOD, 150' PITS 100' TO STREAM WATERCOURSE LAKE (inc. expan) 6.0' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 200' 1500' RESERVOIR, ETC. _150' GALLEY SYSTEMS C r [-115'MIN to CDS = >5 %,10'-4 %,25'- 3 %,30'- 2°/x35' -] %,100' - <I% TA: PERC & DEEP RESULTS 20 'hilN to CD discharge /100'with 182 cons day discharge SEPTIC TANK P Y & SLOPES 10' FROM FOUNDATION; 50' TO WELL FO TTE RTAIN DRAINS NY SOIL TYPE BOUNDARIES NS TO PROPERTY LINE TITLE BLOCK; OWNERS NAME,ADDRESS WfL O CATION IPM #,PE /RA; NAME,ADDRESS,PHONE# DATE OF DRAWING/REVISION DATUM REFERENCE LOCATION OF WATERCOURSES, P0, LAKES AND WETLANDS 00 FEET PROPOSED FINISH FLOOR - D BASEMENT EL. COMMENTS: GREENBERG I iftect TWO MUSCOOT ROAD NORTH MAHOPAC, NEW YORK 10541 914 628 -6613 FAX 628 -2807 ® PRINTS C] SPECIFICATIONS El SHOP DWGS El SAMPLES E OTHER i COMMENTS: ENCLOSED PLEASE FIND APPLICATON FOR A CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM. FROM JOC-L GRQgNegRG, R.A. COPIES TO: APPROVAL YOUR USE Q REVIEW [� COMMENTS i COMMENTS: ENCLOSED PLEASE FIND APPLICATON FOR A CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM. FROM JOC-L GRQgNegRG, R.A. COPIES TO: 4^ d� - 0 DEPARTMENT OF HEALTH Division oV Environmental Health Services 4 Geneva Road B.-ewster, \ec, Yotk 10509 TeL (914) 278 - 6130 F_: (914) 278 - 7921 _FAXCOVER nEl n. Date: To: Putnam County Environmental Health Notes Ni essages BRUCE K FOLEY Public Health Director 0 \o. Paces (Including cover sheet) In the -event of transmission/reception difficulties, please contact this office. Mr. Joel Greenberg Muscoot North RFD #2, Box 488 Mahopac NY 10541 DEPARTMENT OF HEALTH Division Of Environmental Health Services Geneva Road, Brewster, New York 10509 (914) 278 -6130 RE: Proposed SSDS A ronow Pudding Street (T) Putnam Valley JOHN KARELL Jr., P.E. M.S. Public Health Director May 21, 1992 Dear Mr. Greenberg: 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: 1. Design _data sheet, ind.icates.._:a_ percolation rate at 11 -15 - - __ *i n /4nch. Th s f wou.l d: requ i re- -the 'm10 n)ufff of 1n7' E- F:• ,.of." 47i_ 4 galleries. Plans propose 96 L.F. of 4 x 4 galleries, revise accordingly. 2. My calculations indicate the minimum of 272 cubic yards of ROB fill is required. Plans propose 220 cubic yards, revise accordingly. 3. Dimensions of fill pad has not been noted on plan. 4. Deep test holes were not excavated in proposed SSDS area. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Ver truly yours, obert Morris Assistant Public Health Engineer RM:mk RECORD OF TELEPHONE CONVERSAX -1- IN PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmenal Health Services Facility: i ON of � If i7C Town• Time: Date: Telephone # Caller's Name: DISCUSSION: 3S 5 1z�� 4 A! 4� 2 K-T Signed: Date: Rev. 6/97 • iiJl I J. V i' T�IVISION AXAmiL >j-J i i.L `. " OF ENVIRONMENTAL HEALTH SERVICES DESIGN`DATA-SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Omer �: R,OM � Located.at (Street) v,_iMsk. Tax Mapiq., ,,. Block Lot (indicate nearest cross street) Municipality r�unlijM dal _i U Drainage.Basin SOIL PERCOLATION TEST DATA ate of Pre - soaking d j i Date of Percolation Test Depth to Water Water rom Ground Level Percolation Time Ela se Time Surface (Inches) Drop In Rate Hole No. Run No. Start - Stop (P1VIin.) Start Stop Inches Min/Inch 1 2 z G r I- �l 3 4 --- S _ ;-2, 3 .2 4 tic- 1 I� ' �-, 3 \\CIO I NOTES: 1. Tests to be. repeated. at same depth until approximately equal percolation rates are o acne 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 a -L -RS, tL sdr po o$ 7 y, 6 84-61 ooe ;67.6 e1d� L 59 g3 i�� CO Z 0 e acr- A era ✓� CAA .oA �8t /24 . � yet _ o �Zp PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEW.CES INITIAL INDIVIDUAL /COMMERCIAL SITE INSPECTION FORM SECTION A. GE Name of Project Site Location INFORMATION County Building construction begun, Extent Is property «ithin NYC Watershed ? ................. F Yes �No SECTION B. TOPOGRAPHY (Please check all appropri to boxes) 1. F_� Hilly F_� Rolling a Steep slope tle slope 2. idence of wetlands ow area subject to flooding Bodies of water �Va inaQe ditches ck outcrops 3. Properly lines or corners evident ................. : ...................................... .; 4. Do water courses ex i adjoin the property? ......................... 5. Will these affect the design of the sewage system`facilities ?............ 6. Do watershed regulations apply in this. development ? .....................:. 7 Will extensive grading be necessary9 ................. ............................... ?' 8. Will extensive fill be necessary for SSTS ?......................................... -.-9,- -Do filled, areas exist within the SSTS: area ?;.,::.::.. ::.: Flat Yes o Yes F_� No Yes F__] No Yes . Yes S - No 0 Yes �No E..Xes-_'LNca �5 v a � a If yes, what is the condition of the fill? ' SECTION C." SOIL OBSERVATIONS 10. Appearance of soil: and avel 0 Loam F__J Clay a Hardpan fixture 11. Observed from: a Borings Bank cu ackhoe excavations 12. Soil borings /excavations observed by \ on 13. Depth to groundwater on _ t( 14. Depth to mottling `` on 15. Are test holes representative of prim &reserve areas................................ Yes El No 16. Soil percolation tests made by CJ (t¢ on 17. Soil percolation tests witnessed by crt — on SECTION D (on back) w Form ST -1 r • C� C SECTIOiND. DRAINAGE Ily No --18. N�tif�,p;''roposeagraciiii�6-�i'ateria' alter the natural draihaae in this or adjacent areas'? Yeses �K, 19. Will groundwater or surface drainage require special consideration? ....................... Yes No 20. Will gullies, ditches, etc., be filled and watercourses be relocated ? ......................... �Yes No SECTION E. RENIARKS 7F( 21. If a common water supply is proposed, has an inspection been made of the existing, or proposed source and facilities? ............................................................... Yes `�o Inspection data 22. Do adjacent wells and/or sewage systems exist? ................ : ........................ ........... ��Yes F--] No 13. 'additional comments 24. Site observer/inspector and title 25. Date(s)•of 6servation(s)inspection(s) 71 z 83 1 co TEST PIT, PROFILES Lot Hole Lot .L' ot Hole Lo Hole Depth to - water Depth to water Depth to water Depth to mottling Depth to mottling Depth to mottling a 0 17 - Depth tonrocklirrip.. G.L. ei 61 Jr- -Depth to rockAmp. Depth-to-roc . V imp. G.L. G.L. 0.50 0.5 0.5 1.0 1.0 1.0 2.0 2.0 F 5L- 2.0 3-0 3.0 (yuWal, 3.0 4.0 4.0 4.0 5.0 5.0 "Av, 5.0 Ou 6.0 6.0 ,✓ (tyw 61(/ 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 JUL -22 -1999 07:57 FROM BADEY 8 WATSON, P.C. TO 2787921 P.01 V� Post -it' Fax Note 7671 e 7-12--r ove. I ss.7sa O z o� Phones Z, vlwno Fax # 26 - 442$ t N $ E 0 •t �d M 4L7# Z p� F d5 v 3 ~ t JS9 r 4t .0 A� i •' t \� N �3 t � ` rJ� 9, V, `gg app to I TOTAL P.01 ilk . ...'Y .� Vr t � ` rJ� 9, V, `gg app to I TOTAL P.01 ilk . ...'Y ;A1 4, 2 611"Imr. CEIRTMIWA P, FI PUTN PUDDING sWWk 5 iibw, A.R-QNQ.,W,,:, LANE SHORE 'ROAD e Enclosed 4d 13 am pane Subdivision P 4, n V I FAMILY RE S o P ACRES L7- fs"M- Dip litlir d �0, xb�� 1�1� _n .x 41 T a n E S1 (ART' Tn7FR!1 "N `-A -N DP%,,, go* �Vdjgd an .3 FT T. O&W P I-J.Tq i-srn=f" completely ression"Is f I fopei* C-that or the 4j4'r"jlon of the propou d - to and ike toor"riciowitio tilia it�ds; k abo"'dowilied will twoodesohoWn"th4l;a.pp.rovedan"nwnt.thirii foo- evoll that ",.,000, 6mmy ObalorlivolloollL it "pelt 'Construe 11119 actoIF-V beloortrooselt.: and written 0 in fooMijilell t "'kis jWIFS or j.,j4por, 1 vibw a Jiferliwoor Atell'to the ploDoe' in Oil" opsirstift -condition L**"V Port of an,,' Aimpollsil the O.-_ .'f 'sitom of tft approval of l%*:COrtIfkxt* of-Co"'Ictim C No&$ tramo; AA embolim—mo I Osshoolim "the 2.00 ►FIO!d pftft*m4cw 010'. wNl ba 81 in Dcmrmnm� AdIM S ohrp 'the-I ajigrotial expirel tvro"�Dai.(f ISfU strucitiori: of, A OVED FOR'-CONSTRUCT1601i tivjj� "tD L W, Uflia"' floor, i4, - or ow"if"d consioNtod ry_bjr,the.�Cpmrotlssio Gilt Hme revocable foi Cemlill Or'"My a le -5 "'Hii, 'Dow/o'r pilvatip Water�_supply n #"%,ii 'ej foa W PWTU. Ap. o fair, 4j, or *06"', V sawass. _T !�of "r�iction Tq 0 t7:_AT. T. . FR TFS _ -Y 0579 79 !�of "r�iction 0 " 3'S pa a: 'nz -:y PUTN - COUNTY ;DEPARTMENT OF HEA "'LTH ENGINEER: TO PROVIDE PERMIT # _f s ON CERTI:FICA 0 C MPLIANCE,'i z 3 D Orvision of Enwronmenmah,Nealrh,Services; Carmel 'N Y 10512 R:ERM I T CONSTRUC N PERINIT FOR SEWAGE DISPOSAL SYSTERA f+s Pttt'nam �7a1 1 ev r a Town Tage, Located at ^�iad>re fax Map 5 mock•�3 -+ors - Rn `r I ncr Rr nk T akP r, .teL>d utrt 1`.i5 ❑ Subdivision, Renewal Revision ❑ Owner /Addzess H,= Aronow, Lk o Shore Rd /, P,ut. Val °NY105D'j ((]] t� Of- Previous "ApprovaD �• TYDe 1 F'am r Res • Fill Section-Ord. ❑ Building = Lot Area 0 5 `Acres FFj �� -� " H'; D Notification Required r s Number of Bedrooms Design Flow c /P /D P c Sepaiate;5ewerage`:Systemwto consist of 1000 Gal- `Septic Tank i and 124LF _of concrete Galleries 1 ` R. Fiorentino Address'Lakle 5hgr,,, Road W,eswt T' be constructed?by r :Putnam Valley,NY:105Z`9 Water Supply PUbllc Supply From XXX Pnvate,5upply to be dulled by Norman Ariders,on '. Bar er 5treet,Putnam Ualle NY 10579 ;Address 9 y i A>, n >r Run F111 Other Requirements i, I .represent •that Lain wholly and .completery,,responsitile for the design and location of the propo d sysfem(s) that the separate sewage: _disposal sy3tem_ above described will be constructed a5 shown on the approved amendment there to and in`' " he standards rules an regu a ons o a .„ u nam County Department of Health, an`d that ortkoinpietion thereof a Cerfrficate 'of 'Co y' _ o satisfactory fo the Commissioner of Healt"ill'. , w be; wbmitted to.tlie Oepartment,_:and a, written guarantee will be furnislied.thei: r:ass�gns by the.truilder thatisaid builder will place in good operating conddion .any part = of said- sewage disposal "system' "dur iod_pf 6� ('immediately' following the`date of the issu, sues of. the approval of the Certificate of; Construction :Compliance of the or s to re fA ` 0 2) #fiat the ;drilled -well descntied above =, ,.. will be ocated bs dhawn on t"-, approved plan;and that::said well:will tie I ed ',i a w t At rules and ►egu a ions of the Putnam County Department of Health { O ?> O r . oats 99`/85 sag nedx ` P E R A XX Address License fJo "j; .n5 APPROVED FOR CONSTRUCTION This approval ezp�res one yeara,om he da t "s's cat k of th budding has been undertaken and _is; revocable fortcause or may be amended ormod�f�ed when cons' a ed a ry:',b `v d 1(♦ An change or alteration of construction„ requires a.r,new permit A "pproved for disposal of domestio it `sew e; n /or-- only: , Date_. — BY � Tale Rev 6 %H5 t APPENDIX 3 d (/u 1. PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES _- ..........._ ._.IND- VID.UAL_.WATER SUPPLY A SUBSURFACE SEWAGE.DISP.OSAL SYSTEMS t REVIEW SHEET for CONSTRUCTION PERMIT STREET LOCATION NAIME OF OWNER /,//l 4 �LJ BY B. HEDGES R.MORRIS OTHER DATE l / /!—/jSTAX MAP # - DOCUMENTS. Y ERlMIT APPLICATION TIEVN'T'GINEERS R-M LL PEIT PWS LETTER AUTHORIZATION = DESIGN DATA SHEET(DDS) © CORPORATE RESOLUTION PLANS THREE SETS HOUSE PLANS - TWO SETS VARIANCE REQUEST SUBDIVISION LEGAL SUBDMSION SUBDIVISION APPROVAL-CHECKED PERC RATE FILL REQUIRED DEPTH CURTAIN DRAIN REQUIRED =STANDPIPES GENERAL EX- APPROVAL SSDS ADJ. LOTS N ETLAND ( TOWN/DEC PERMIT REQ? ) DATA ON DDS PLANS & PERMIT SAME = PRE- -1969 - NEIGHBOR NOTIFIFICATION © 100 YR. FLOOD ELEVATION Y REQUIRED DETAIL PLANS JSEWAGE SYSTEM PLA - ( ORTH A -W) SSDS HYDRAULIC PROF FLOW CONSTRUCTION NOTES (GRINDER NOTE) = DESIGN DATA: PERC AND DEEP RESULTS = TWO -FOOT CONTOURS EXISTING & PROPOSED = DRIVEWAY & SLOPES CUT = FOOTING;GUTTER CURTAIN DRAINS © EROSION CONTROL; HOUSE,R'ELL, SSDS EROSION CONTROL NOTE © PERC & DEEP HOLES LOCATED = REPRESENTATIVE OF PREMARY AND EEX�PANSION � � � � Comm 01 XU @141j,�z al �'L s �2 ��ti Y = EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE = IF PUMPED PIT & D BOX SHOWN & DETAILED = HOUSE - NO. OF BEDROOMS _= WELLS & SSDS -S WAN 200 FT. OF PROPOSED-SYSTEM PROPERTY METES & BOUNDS = HOUSE SETBACK NECESSARY (TIGHT LOT) = HOUSE SEWER - 1 /-1 °/FT. 4 "0; TYPE PIPE = NO BENDS; 14L -.X. BENDS 45 W /CLEA�'V'OUT FILL SYSTEMS = CLAYBARRIER = 10 FT HORIZONTAL: SLOPE 3:1 TO GRADE = FILL SPECS = FILL NOTES = FILL CERTIFICATION' NOTE = DEPTH GAUGES = FILL PROFILE & DI]MENSIONS = VOLUME = FILL IN EXPANSION AREA TRENCH = LF TRENCH PROVIDED =60 FT MAX = PARALLEL TO CONTOURS --- ®- lA4 ° %a•��AsNSII•?�; P- ROUdD€Q._ _:._ �.....:; ,..::.._..:� � ___.::_:.,. �.. SEPARATION DISTANCES SPECIFIED ON PLAN FIELDS = 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL = 20' TO FOUNDATION WALLS = 15' WELL TO P.L = 100 TO WELL, 200' IND. L.O.D., 150' PITS = 100 TO STREAM WATERCOURSE LAKE (INC.EXPAN) = 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER = 10' TO WATER LINE (PITS -20') = 50' INTERMITTENT DRAINAGE COURSE _ C= 200 FT. RESERVOIR, ETC.= 150 FT. GALLEY SYSTEMS = 15' MINTOC. D. S = >5 °'0,20' - 4%,25'- 3('b,30'- 2%,35'- 1°0,100' <1% = 20' MIN TO C.D. DISHARGE /I00' «'ITH 132 CONS DAY DIS. SEPTIC TANK =10' FROM FOUNDATION; 50' TO WELL ENTS: "� /llecl 1� {�iceG,i�lu. JOEL LAWRENCE GREENBERG Architect a Town Planner Two Muscoot North a RFD #2 MAHOPAC, NEW YORK 10541 (914) 628.6613 o FAX (914) 628 -2807 Town Planner-9 yPfu/ttn_ amj Malley, MY .: .,r. .va�.w.zm.�a+a.�rav- .m:. -�•�7 d'`4�""e/•�.6�°0' ®a:. s:+u•ix-s:x__ _. � _.. -...,: a:..c. .c> •- TO ROBERT MORRIS PUTNAM COUNTY, DEPT. OF HEALTH TERRAVEST OFFICE PARK ROUTE :33 17 BREWSTER, NEW YORK 10509 MEMER of UMMSOM OUVAIL e, „a DATE MAY_8,� JOB NO. 7, ^] en DESCRIPTION a RE: HOWARD ARONOW COPIES OF SSDS 1 FOR BIDS DUE APPLICATION TO CONSTRUCT A WATER WELL 1 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM > WE ARE SENDING YOU CXAttached ❑ Under separate cover via the following items: ❑ Shop drawings C Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 4 As requested ❑ COPIES OF SSDS 1 FOR BIDS DUE APPLICATION TO CONSTRUCT A WATER WELL 1 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM ThIFSeAR�•TRANSPIIITTED as—eheeked -below M For approval ❑ For your use > ❑ As requested ❑ For review and comment ❑ FOR BIDS DUE REMARKS ❑ Approved as submitted ❑ . Approved as noted ❑ Returned for corrections 19 • Resubmit copies for approval • Submit copies for distribution • Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US JOEL GREENBERG COPY TO SIGNED: PRODUCT 240-2 nrEes ma• Won, M= 01471, if enclosures are not as noted, kindly notify us at once. 3 DEPARTMENT OF HEALTH Division of Environmental Health Services COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225� DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT #2V -34 -87 WELL LOCATION Street Address Town Village City Tax Grid Number PUDDING STREET PUTNAM VALLEY NY,10579 15 -6 -7 WELL OWNER Name HOWARD ARONOW Mailing Address M3Private LAKE SHORE ROAD WEST PUTNAM VALLEY ®Public USE OF WELL 1 - primary 2 - secondary 10 RESIDENTIAL ® BUSINESS ® INDUSTRIAL O PUBLIC SUPPLY C) AIR /COND /HEAT PUMP ® ABANDONED O FARM O TEST /OBSERVATION ® OTHER (specify O INSTITUTIONAL -O STAND -BY AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 4 /EST. OF DAILY USAGE 3 0 0 gal ® REPLACE EXISTING SUPPLY ® TEST/ OBSERVATION L1 ADDITIONAL SUPPLY 23 NEW SUPPLY NEW DWELLING) 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE DRILLED ®DRIVEN ®DUG ®GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: ROARING BROOK LAKE Lot No. 125 WATER WELL CONTRACTOR: Name N.ANDERSON Address- 'BARGER STREET PUTNAM VALLEY, IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES .X NO NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY .DISTANCE -TO -PROPEF.Y I�1 LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDE ®0N SEPARATE SHEET APRIL 17, 1992 0 (date) (sig4 ture 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. 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 such a manner as not to degrade or otherwise contaminate surface or groundwater. Date of Issue: Date of Expiration 19 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 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner 'Howard-. Aronow Address Lk.,, -Shore Rd. West, Putnam' Va11ey,NY10579 Located at (Street Pudding" S reetS @C ?mac 3ca a nearest cross. s ree .. .. Block Muni.c1pality..:.:m .' 't�tn:siu -Val P Watershed I uds.Q.r�:::.itivPx-:..` _ SOIL PERCOLATION TEST DATA FNUIRED TO BE SUBMITTED WITH,.APPLICATIONS oe Number : CLOCK:TIME PERCOLATION PERCOLATION tun luapse Depth to Water Water Le ve No...'..:::...... Time From. Ground Surface in Inches.:..... Soil Rate Start -Stop. Min. Start Stop in drop Drop n .: Mi,n. / P . Inches Inches Inches PTH #1 .1...9:45 10:15 30. 15 17.75 2.75.; 30/'2.75 =11 Notes: ,1) Te`ts to'.be repeated at same depth until approximate) equal soil rates are obtained At each percglation test hole. All data to �e submitted for review. ` ..2) Depth measurements to be'made from top of hole. �' TEST PIT DATA REQUIRED TO- BE SUBMITTED idITH APPLICATION DESCRIPTION OF SOIL" ENCOUNTERED IN TEST HOLES , - -DEPTH HOZE_N0._.DTH #1 _ HOLE NO.: - HOLE_N0.__A__-_ G.r,. Top Soil 3011 361 42" 48" 66" , 72° ?8a 84° INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED NONE INDICATE IKVEL• -TO• WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED NONE TESTS MADE =BY.- - Joel— L;- - Greenberg Soil Rate -Used Min/l "Drop: S.D. Usable Area i'rovided` - 5 000SF No.- of Bedrooms ._...3 - Septie'Tank-Capacity_1000. Gals.:: TYp ' Absorption Area Prov a By L.F.x2411 7 wi o NO Joe. 'T Gla- 66h6rg Signature kkk Ad�ress Muscoot- •No: ; RFD #2, BX 488 SEAT Mah.:)pac +NY 10541 �. TM SPACE FOR USE BY- "HEALTH DEPARTIENT ONT,Y:- Sol Rate. Approved Sq: Ft /Cal. Cheeked by, o .111 N Date� �. f 1 PUTNAM COUNTY-,.:DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 9/9/85 ~ ,I Re; Property of Howard Aronow Located at Pudding Street: A (T) 15 Section =- Block 6 Lot 7 Subdivision of_ Roaring Brook Lake Map #1 j.Section B Subdv. Lot # 125- _Y Filed Map #308 Date 12/9/49_ Gentlemen: This letter is to authorize Joel L. Greenberg a duly licensed professional engineer or registered architect_ xx (Indicate) to apply for a Construction Permit for a separate sewage system, to serve the above noted "property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connecti-on'�wiah "" thi -s matter' and to supervise the construction of said system or- systems in conformity with the provisions of Article 145 or 1471 Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very Sign Countersigned: P.E.,R.A.,# 11056 Muscoot No RF_D_ #2 Bx 488 Address _ Mahogac NY 10541 628 -6613 Telephone Lake Shore_ Road West Address Putnam Valley,NY 10579 _Y Town - _8_5715 Telephone 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 Mr. Joel Greenberg, RA 2 Muscoot North RD 2 Mahopac, NY 10541 Dear Mr. Greenberg: July 21, 1989 Re: Renewal SSDS - Aronow Pudding Street (T) Putnam Valley TM # 15 -6 -7 Permit # PV -34 -87 1, W ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Review of revised plans..a.nd other. supporting document -s . submitted at this time. relative. to the above = captioned project has been completed. Comments are .offered as follows: 1) Comments 1; 8,1..9, 10 of my,March 23, 1989 letter have not been addressed. _ -- 2�'«;;;Cotnme March 23, .19 89 `let te r h =a° --no-t_yb-e-en- fulTy-- March r addressed. Fill profiles must be shown without hydraulic profile. Upon receipt of a. submission, revised.to reflect the above comments, this application will be.consid.ered. further. Very truly yours, Lawrence C._Werper LCW:jr Assistant Public Health Engineer PETER C. ALEXANDERSON County Executive ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. DEPARTMENT OF HEALTH Director Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 March 23, 1989 Mr. Joel Greenberg, RA RR8 Muscoot North Baldwin Place Road Mahopac, NY 10541 Re: Renewal - Aronow Pudding Street (T) PV - TM #15 -6 -7 Permit # PV -34 -87 Dear Mr. Greenberg: Review of plans and othar supporting documents submitted at this time relative to the above- captioned project has been completed. Comments are offered as follows: 1) Dee test hole and erculation hole locations must be P P j1i /4 shown on plans. 2) Fill sections greater than two feet deep require plans d e ��f sfa o w i n_ -f is 1: s - - -� g��.. _ .._�ionon1Y-- t tre.n,c_ h� „l;a��o- ut��w�h6W: '��3 -fill profile d- mensions and volume. _ 3) Fill no es miss_ng from plans. 4) Basic required notes not complete. 5) Proposed contours in fill section must be shown on plans. 6) Depth gauges must be shown on plans. 7) Expansion area must be shown on plans. 8) Plans indicate 96 LF of 4x4, construction permit indicates 124 LF. Al; 1 9) Trees shown on plans are to be removed ?. //4 �f .. 10) Deep test hole results not shown on plan s."'✓ /,l t, Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, Lawrence C. Wer "per LCW:jr Assistant Public Health Engineer A�D�IDL� 9 PUfi\P -''! Cr=. -- Tf DE2 FMA, OF DMSIO OF 2,rv- =CLZfaTM , Ea=Id SZRy-i=-S . L�7I�i iIPL ia= SUPPLY & SUESuRF3(--- Sr3v[�= DISPICau S'iSTEAE �...._ -\T=Ev" S -E :.T - CGNS sL TCV PE•DMII' DAT;.' R:�'Trivr�: �J 73 . 1. R0 <—,d ��p� BY: �.�.i (Name of Owna_T) (S��t Lccarica) \J � N c� v DCC'LTTS Pew* Sit A -col ica ticn Corper to Resciuticn Plans - Three sets s;'s Mhclneer-j Author_zat cn Desicn Data SiieeT (DCS) SLEEDrr_Sicar Dec. Role Lcc p_r� Ccnsiste_gt Perc r'(es i t5 (3) F- -1 1 Ps---- Sole Depth I co Llc, —,-e Plans - 6,vo se__ well var iauc-- Rues G=— —AL. Lei Sut ivi=icn Sc.:'TISiCri Pcprova_ SEDE tiVe4 a:--d (Tc- ,- n/Dtt: Permit R & D) Data Cn DCS Plans & Psr i `. Same .Z-QU=K.ED, DES? � 1 c CAN Sy st-q Plan 5..,7a-ce Sv=tan vdra,.Lic p_cf_ -e - Fill Profile & Di iersicns - vciT= D or J Eox_7;-ira[n�ch /Ga=le fir; P,`,�_, pi= de- -_= Se t?c TGnk - Stae, r-i1 jy'c i 1 DET� ;I , Se -vice Lim. E 1. C4.c -- .0 nstract-icn_Not_s....:�-_nc Design DcL perc and dss_p ra-L -c Twc--Foot Contours Existinc P_cccsed v DrivQaav & Slopes Cat Fcotin�-C Drains (cis. zarce CK) Perc & Deeo Holes Lvc t Repr= ^zitative} or primal and `x-- ainsicn RJanslcn Are- ;Shc,v-n; _ravltV f1osJ,sufi. size If PP. Pi t & D Bcx St, icw -n & Der_ Hcuse,_j ho. cf Be^roans Wells & SSuS's w /in 200 ft. of Propcsad Svst Prc�-tv le--es & Bcures - HcuSe S2 ' -acct{ Necessary (T —id,t lot) House Seaver - 1 /4" /ft. APO; +T6, -ce pipe No Bend5s; Max_ Ee_Zes 450 w /c_e ncut. SEE RATION DISZ -'NHS SPL'CL�- TF-) CN PION Fie--Ids 10' to P.L. , Drive =gal,-, L =rce Tea- .S,TCC of 20' to Fcunc?zticn walls 100' to Well; 200' in D.L.O.D pi 100' to Strearn, Wat .rccour. e, Tr .K? Lr.c. E,_ 15' to Drains - --=tai n, L -.cey, Fcotinc 351tEC -'tC:l 10' to water Line (it_ -20' 50' int� p n rr_ce c r } _e L- - - Sentic Tanks 10' f_= Found ticn; SO' to well 13' We-?1 to PL PETER C. ALEXANDERSON County Executive ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. DEPARTMENT OF HEALTH Director Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Mr. Joel Greenberg, RA RR 8, Muscoot North Baldwin Place Road Mahopac, NY 10541 June 28, 1989 Re: Renewal - Aronow Lake Shore Road West (T) Putnam Valley TM #15 -6 -7. Dear Mr. Greenberg: This office received on June 20, 1989 four copies of prints for the renewal of the above mentioned project. Unfortunately, we cannot locate the permit number. Please supply this information. Very truly yours, c Lawrence.C. Werper LCW:jr Assistant Public Health Engineer P C0G� PUTNAW C OUNTY HEALTH DEPARTMENT - DIVISION OF ENVIRONMENTAL HEALTH SERVICES r John M Sinwns, M. D. Deputy 'Cau ssioner of Health - FIEGD ACTIVITY REPORT - Sheet of INSPECTION NAME % P1 Orig. Routine ms =-e x ( Orig. Complain J, DRESS �d�� J % Orig. Request x Street Town Tvi1 No. — Campliance r ,Y Ccanplaint Comp MAILING:'ADDRESS Final P.O. Baas Post Office Zip Code Group Illness 1; Construction TELEP�IQNE Reinspection AERSON:`IN ".CHARGE Field, Sampling Only OR INTERVIEWED Field Conference `. Name and Title u Other DATE �' TYPE FACILITY r- TIME ARRIVED // ' d p TIME LEFT Explain Y FINDINGS° r � �4 S 4.: Z ` E 'F •"L RE:::-, C Signature and Ti e INTERVIEWED: field Activity Report. SIGNATURE° TITLE: TELEPHONE: JOEL LAWRENCE GREENBERG Architect a Town Planner Two Muscoot North a RFD #2 MAHOPAC, NEW YORK 10541 (914) 628.6613 a FAX (914) 628 -2807 Town Planners Putnam Valley, NY (914) 526.3740 TO MR, LARRY WEEPER DEPARTMENT OF HEALTH DTV„OF R,NVTRONMENTAL HEALTH SERVICES 110 OLD ROUTE SIX CENTER CARMET. N,Y, 10019 > WE ARE SENDING YOU N Attached ❑ Under separate cover via_ ❑ Shop drawings X Prints ❑ Plans • Copy of letter ❑ Change order ❑ LIEUTEQ OF MUSHOUML DATE 6/19/89 JOB NO. . ATTENTIIIN- -_ . --.�. .. 7. RE: RENEWAL OF SEPTIC FOR: HOWARD ARONOW LAKE SHORE ROAD WEST PUTNAM VALLEY, NY 10579 T.M. # 15 -6 -7 copies for approval the following items: ❑ Samples ❑ Specifications COPIES DATE L- NO. I DESCRIPTION THESE ARE, TRANSMITTED as_ checked,,below- For approval ❑ Approved as submitted ❑ Resubmit copies for approval • For your use ❑ Approved as noted ❑ Submit copies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints • For review and comment ❑ ❑FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS— ENCLOSED PLEASE FIND 4 COPIES OF PRINTS FOR RENEWAL /PERMITS OF SEPTIC FOR HOWA T) RONDW, - _ -TBAAK YOU COPY PRODUCT 2402 ees Inc, Gmtnn, Mat 01471. SIGNED: If enclosures are not as noted, kindly notify us JOEL LAWRENCE GREENBERG Architect D Town Planner Two Muscoot North. o RFD #2 MAHOPAC, NEW YORK 10541 (914) 628.6613 a FAX (914) 628.2807 Town Planner o Putnam Vallgy, MY. (914) 526.3740 .. TO Putnam County Department of Health _.110 Old Route 6 Center Carmel, NY 10512 WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via • Shop drawings X Prints ❑ Plans • Copy of letter ❑ Change order ❑ L IE"TTEW DU IMUSADT37QI. DATE JOB NO. - -9 "85 -275 r.... ,- ATTENTION — Lawrence Wer er RE: Howard Aronow Pudding Street Putnam Valle the following items: ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION R ❑ Revised Septic Drawings ❑ FOR BIDS DUE THESE ARE;TRANSMITTED -as- checked below'' XI For approval ❑ For your use R As requested ❑ For review and comment ❑ FOR BIDS DUE ❑ Approved as submitted ❑ Approved as noted ❑ Returned for corrections 19 • Resubmit copies for approval • Submit copies for distribution ❑ Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS EnGlo-Sed_nlPaaP find fo>r copies of the Revised Septic Drawings for Howard Aronow as ynu rerniested_ Also please find a corrected permit for renewal to rni nCl dtz with r- nmment #R on your March 23, 1989 ietzer, Very truiV Vours, COPY TO r SIGNED: PRODUCT 240.2 ner'�s ir.. GmW. M. 01471. If enclosures are not as noted, kindly notify us o ce. .,t....,•. -.=T�. •:a: awn.;:!„•.. ��Cttiiyr .�ya,'+r•C.A'.G•L•a.r.:K, M1Ii?'�•'I,i�;+,iFjl�.,V?fxw �� 1 • DEPARTMENT OF HEALTH � • Division. Of Environmental Ho.*h Services t • TWO COUNTY CENTER - CARMEL,. N.Y. .10512 (914)...225!!36417::_.:: APPLICATION TO CONSTRUCT A WATER WELL _.: _ ....._ _... 511 (� WELL TYPE c 5�. IUriN�YILLA / 1 T IAx GAW NUhttiEA. WELL LOCATION PUDDING STREET, PUTNAM VALLEY NEW YORK 10579 15 -6 -7 WELL OWNER MAA4. • HOWARD ARONOW, A00RESS: LAKE SHORE ROAD WEST,PUTNA9 VALLEY,NY10579 ®P6 VAT[ ❑ 2U8LIC USE OF WELL (3 RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED 1 •primary ❑BUSINESS O FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) 2 -secondary ❑ INDUSTRIAL O INSTITUTIONAL ❑ S_TANO -BY ❑ MOUNT OF USE YIELD SOUGHT S 'gpm. /NO. PEOPLE SERVED 4/ EST. OF DAILY USAGE ' 30.0 gel. REASON FOR ID NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION DRILLING ❑ 'QEPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL WELL TYPE © DRILLED DRIVEN Q DUG E] GRAVEL Fj OTHER IS WELL SITE SUBJECT TO FLOODING? YES x NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:ROARING BROOK LAKE LOT NO. :125 WATER WELL CONTRACTOR: Name --N. ANDERSON Address: BARGER STREET PUTNAM VALLEY NY 10579 IS PUBLIC WATER SUPPLY AVAILABLE.TO SITE: YES XxxNO NAME OF PUBLIC • WATER SUPPLY: N/A TOW-N /V %C -:= '• _ -017STANCE TO' PROPERTY FROM NEAREST WATER.-MAIN , N/A _ LOCATION SKETCH & SOURCES OF CONTAMINATION•SEE ATTACHED B �1J 10/7,/86 �-• �i: ARCHITECT (date) (si azure) FOR OWNER • _••• • PERi1iT • `� 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 I York State Sanitary Code, and provided that within thirty (p) days of the completion of water well construction, thepl•{�ant shall: 1. Pump the well until the water is clear. A0 .'9 2. Disinfect the well in accordance with the requir � s E91 of the Putnam County Health Department attached t+d; ,s permit. 3. Submit a Well Completion,Report on a form provided bil the Putnam County Health Department. )1 Date of Issue:. .410 9� u: i' DAVID D. 'BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services November 26,. 1986 Mr. Joel Greenberg Muscoot North, RD #2, Box 48.8 Mahopac, New York 10541 RE: Proposed SSDS . Aronow Pudding Street (T) Putnam Valley t Tax Map #15 -6 -7 Dear Mr. Greenberg: 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: Submit.2 copies of. house plans. Plans should.include 21 contours. lans```sYiould iricliitie' details of .galleries (tri :galleries or 41' x 4' ?) . A percolation rate of 11 -15 min /in for a 3 bedroom design calls.. fora 375 lin —foot of 2' wide trench, .150 lin: foot of tri- galleries, or 94 lin. feet of 4'..x. "4' galleries. Please revise design. Upon receipt of.a submission, revised to reflect the .above comments, this application will be considered further. Very t my xours, � nne Bittner AB.-pt Asst. Public Health Engineer PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY /SUBSURFACE SEWAGE DISPOSAL SYSTEMS FIELD INSPECT2013 FtF,P00RT . , .._..,_ f:. n DATE: �.. INSP. BY: (Name of Owner) (Street tion)p INITIAL SITE INSPECTION NO MMMENTS Wetlands on /or proximate to property .............. Property lines or corners found ................... Can estimate house location..... ................ Will driveway need cut ............................ Must trees be removed - note these ..... • .......... Deep holes representative of entire SDS area...... k Additional deep holes needed..... .. ......... . Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells / septics ............................ -- D.H. 1 Lot Depth to G. W. Depth to rock YES Soil Descri tic 0 ft. House SSDS located per approved plan ............. 6 ft. .: 9,ft. Width of trench average D.H. - Deep Hole G.W.- Groundwater D.H. 2 Lot D.H. 3 Lot Depth to G. W. Depth to G.W. Depth to rock Depth to rock 0 ft. 3 -ft. 6 ft. 9ft. W 12 -ft. Soil Description J -L-4, y 0 ft. 3 ft. 6 ft. 9 ft. Soil Description DATE: FINAL SITE INSPECTION INSP.BY: YES NO COMMENTS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Roan allowed for expansion trenches... ........... Over 100 ft. fran watercourse .................... . Natural soil not stripped or SDS area unnecessarly graded ............ .... ........ 10 ft. maintained from property line and 20 ft. fran house ............................... Distance well to SSDS (ft.) ...................... Number of bedroans checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench ................ 15 ft. of peripheral soil horizontally from trench ..... ............................... Boxes properly set ............................... Could surface runoff fran driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK :in area of SDS.:..... FINAL GRADNG OF SITE ACCEPTABLE::.................... �±J- L0 co co N N N V) N' L0 x w 0 z U_ a Q c� 0 w 0 AS —BUILT RELOCATION — DIMENSIONS 1A 11.0' SEPTIC TANK 9A 87.3' DROP BOX 1B 41.3' SEPTIC TANK 9B 88.8' DROP BOX 2A 17.6' SEPTIC TANK 10A 90.2' DROP BOX 2B 42.5' SEPTIC TANK 10B 91.0' DROP BOX 3A 25.1' PUMP TANK 11A 39.0' END LATERAL 3B 46.7' PUMP TANK 11B 37.3' END LATERAL 4A 31.7' PUMP TANK 12A 44.5' END LATERAL 4B 50.3' PUMP TANK 12B 35.9' END LATERAL 5A 57.1' DROP BOX 13A 50.4' END LATERAL 5B 64.7' DROP BOX 13B 36.9' END LATERAL 6A 71.2' DROP BOX 14A 57.2' END LATERAL 6B 78.7' DROP BOX 14B 39.4' END LATERAL 7A 76.7' DROP BOX 15A 63.8' END LATERAL 7B 81.7' DROP BOX 15B 43.8' END LATERAL 8•A... . = 810 - --DROP. -BOXv'T.._ a VIIB ..: _ ._ _.. 62.0-, .:.x : WELL. fl. 8B 85.2' DROP BOX WD 43.2' WELL