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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 51. -1 -16 BOX 21 L L re L � Fr Lt. or J. 02453 PUTNAM COUNTY DEPARlitlM OF 101ALTH Dlwbloo d ivMuseeW soft serwhos. Carmel. N.Y. 16512 weer to rrowlde Psamk III ao CERTIFICATE OF COMPLIANCE Para / PV Town ce viB110e" Tax 1DaP' = illoe ��•�.. t� Renewal_ ❑ RevlYee ❑ CONSTWUCMN PIWW FOR SEWAM DISPOSAL SYSR&if Located d 'tx'. t jig lR/ �.IAW. d�at I ..L Ness Date of Prevloae Apptvv.l lose d" '6N L>, Q 6� Town Z�_ll 7..r7 Y ubdivision ADDroy d Fee Enclosed ❑ e,.,...... Blaft TYPe I1ii S i 1'1C;� Let ,►roe $". � 9 s�'A c, Naaabtx of Bed<meu :3 SeCdO° 0b D Vol.me DWW Flow G P D— 6 O P PM Notf cadoo b Req.bed When M b compleMd SepaeaM Sewenso Sy.tes M oa.abt of 10 v y Go-Don- Sepik Teak .tea 753-3 1,., 1= 24't „► r � al C � o'+ c-yt C��� -s To be conshoeted by "'r Aa�� Water Supply: Pdlb SOP* F*M Addiegg on nose.., Supply DdHod by --Address Other Re ba plot Ill y7 S to s +e rvr `2! R is i� 'r -al l 6' C iJ • i rl , L a a-c- VIM i n wc,C i � to �ctcc 1 represent ".that I am wholly antl compiet responsible for the design and location of the proposed system(s); 1) that the separate saw above described will be constructed as shown on the approved amendment there to and In accordance with the standards, rules so regulattonnss of i I system County Department of Health, and that on completion thereof a ••Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his successor Dim In good Operating condition any part of Yid Ywa.- disposal system during the par of qns by the builder, that mid builder will and Of the approval of the Certificate of Construction Compliance of the original system or lately following all ClO a ib the kw- will be located as grown on the approved plan and that said well will be Installed in accordance w t the drilled well datplbad above County Departnent Of Health. Rd repu a—r lions of the Putnam Date / !y� Signed C` P.E. R.A. _ J APPROVED FOR CONSTRUCTION: _ iceroe No a This approval expires two years from the date if revocable for cause or may be amended Of nwdifisd when considered necessary by the Rev. ra.uires a new Permit. AAA Oved for disposal of domestic sanitary sewage, d /oa 0/88 Date��� S/ �% /�� �� —'--- -- :...... _ DOA7<loRl'OFusAm fAleftldr 0 W ning nas been undertaken and is ge or alteration of construction i- Title CM =CMW Mel' NR WWA= 0WP08AL >s!_MM .. %� r e'. err VIP ba.Id M lblbilrfelw Nor •.,/ asWWL Lot / Ow.u�APPRo..t N.mel y cedes Ariie..�L� �re,Z" /ilo�i �a ad Ter. My a Rbdi = Z Lot R...w.t ❑ Rnlia. ❑ DsiM of PlowN.s U %J p ■I++rs rive�S Lot Aa.. `�'"79s �C• M s«tbo O,lb, D.io voce. O G MfOcatlao b R ae.i Wbs 1e b aolrpNod Nmbsr d 1ai■� Dad Floor G P D PC=' sep.n+. s.lr.etr. Sydm im ossli t d LOD O n.... Sgt T"k O L �i T. ba,oe.eb.eMd 1W water stippb Pit&& StDpb Adhose at SD>pb Dreri by Adbm � Olbllr +.I...r. �' J>�d i3 r� / AW d g U 1 roprosant'allat 1 am wholly and corn "moonfib a for the design are location. of ins proposed systOM114 1) t tM .aperata_ uwraga disposal, system seaw davibod will be constructed as shown on the approved amandlfeflt there to and M accordance with the WnGrd; rules an'a ►Mu ns o _ Cot.ety DapretR srii of Health, and that on completion thereof a "CWUfkata Of Construction Cotnpllo Mira atasMrory t the tw legal said Oufldar will M sllhmlMMd to tlw Dop.W - 1. ised a written gtlafaslMO will be funlisttsd the owner, s. _ DIM M good .emetwo tlo"Ka t any pale M YIO YwON disPosel >ti� du►kIg t oytadlbi4 �) t/aarhMatMO:f2 tla1Mt the � Is0 well adoaabsd above Oros of the apprewal W the Cortllkilte M Construction Compliance of the orlg t a raft rules and rapu es of the PutMm will be ladled tl plow* M the aPPrewod pier are that Y W wNl will M installed In ` e Cw*ty o. mtm" Of H"OL d s+dn.d P.E. � �Rr.A. — Deft v / LicenY No Of the building has been undertaker) and Is APPROVED FOR CONSTRUCTION:? appragal aspires two years from the data\\ f can �g� tt� Any change or a.statlon of construction -- — _...._. ....Y �..�.u..rr wryesv.. ev t11.`%C iilliflolYara �Jw." r +- &St a MM E° Q- Data. d TOM Date Subdivision Approved':- Fee Enclosed amr,;,nt Siagi+raAe .. Syt is eeni's¢ Mg, 6®�ea Y .. etl 19dam s r 1 represent ;ttimt 1 am uvholly en® completely vetpons�bl®fp,thi assign and kxation Ot; tho p.oposad eyo4mm(s) 1) thot the soporoto`tsiv ' di 1 em abovs desckiod wdi'6i constructed as ai�oovn on the eppvovod amenWnen4 tl6re 4o and in aceordpnoe with'in � ctindards, ruin m Fo9u ions o nm County ®opaf4msnt 'of "oggh, and, t"t On eoeipls4ktn thovsoP "a'•COitifket0 OP Construdlon co' sitisfacto►y i6 the Comfnisflonor of Hsalthwill be submlttN, ¢o;the Oopsrtment ana::a writton,ouarorotea will 6e,fwnktietl the ownev ,, or,sss n s by ;the ouildw. Tim taw builder will pleca� b1 opo►a4iil0 condition any port ;oP�tekl smewmge abpoEal $ystsm dwin® th® ja s ImmmAWQely foibw" ths"to Of the bow ONOa Of the elapovai Of ¢he Csrtilkat¢9 OP ConatvuCQbn COmpliooes oP tot® orlginel 9.2),tho4 the.dril(N'W4ll detWMW 86QVG CsIM fs0"IOrAtOd as•ehaiorn"t4ei; appvoyod plop and tPesQ mkt o2 will;�s Ins4e1 aCCO xno r Ids octa. vo0�e aiiio�i of the Putnam COUAty t�eparrtarrmn4 of Meeltll ®else 31 / /�® Gr - /✓ s19nm6 V.E. A.A. Pi%�' i • Lieenso Poo � `��1��� IiOf¢ COfls4ftlJGYIOfN Phis approval attpkeS;4gro yomrs f om the dato `i t builnirg has �n undertaken and is D" for'eousa ov m Y N nincmas8 qr modifi�'whon sa►y by ;C Any Chonge Or alteration of construction < s nomv n pprared POV alsposoi 04 dOmy'+ rm I e, a priv ly 6 F a �' 98 0 N � t 0 Q� N ,arts Pt r� w %'= �o -o r 'Zq"N,'dC6 l000 JtOi�oca /^rehG ,4 G..-> //a h Law 14, Z 's �a 0 a me P.�} 'r i LJ3�AWfi mil Iuul. vounty I)OP "6uouk- ut aw+'r C A 1vielon of Environmental Health $Moue �oi n f 12/29.3 � 2 2 39 3 77 8d s Tz 8a 0 7a � 60 69 Q ✓F4 t 6 v �c iia � 9d /V M / 8® 94 76 dE� �v'CfDnil I� pd%9%6+r..at% a me P.�} 'r i LJ3�AWfi mil Iuul. vounty I)OP "6uouk- ut aw+'r C A 1vielon of Environmental Health $Moue Lc.fa, r,�k S / , DWW ;o quom, ' ifjdgc Sjunoo tsjn�trtj oq4. ;o 'al Pv40ra40uoQ m w;c4q --THAO -Q(4laA,-YO can 1T ra.;c;.K ow #q Vpj.oaAWuT ears 3T44 v3q4 PUL us-La 0,,q9 no ps4rojpu� we pQ;oTtx46?UOO 91P galmoc Qq; 4V.q$ &,Tj�x;o Pv�kl 4wo? &'(7 eoowG� -00 /t �P A A 17�c I S' T. (Anti i7 Sr e o o �`` / a .` i A PUTNAM COUNTY DEPARTMENT OF HEALTH D VI$ I— ON... OF. E, �d-- IROI�TMENT AI:,._ I�IEAL' �' �I—SE�ZVICE��:,m��u.��y.,_._�.. _,�....__,.. : ro .. r_� CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # ,Al P-- � l Located at /5e7<a `/ Town or Village -P Aj w y�,J1ey Owner /Applicant Name Tax Map s�� Block Lot Formerly Cu ` /J 5 Aid _z Mailing Address ;2J Subdivision Name Subd. Lot # Date Construction Permit Issued by PCHD / 9'F% Separate Sewerage System built by d )41',0s e�'' Address ,.� e Consisting of ® y eJ Gallon Septic Tank and 36"a z;21r_ 2-11' Other Requirements: /� O i �� ��/ ci i .r� �-Cy � �9 Water Sunaly: Public Supply From. Address Zip /es,7 or: >/ Private Supply Drilled by e, -yPC� vl r el Address - - Building -Type' ji G•�° Has erosion control been completed" "— Number of Bedrooms Has garbage grinder been installed? Ala 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 of the Putnam County Department of Health. Date: d/ Certified by P.E. R.A. Address :� 9y Any perso ccu�y/4 p e to secure the correction of �u treatment system shall beco of the private water supply s approvals are subject to modii ,(Design Professional) ? f . License # r n system(s) shall promptly take such action as may be necessary s resulting from such usage. Approval of the separate sewage as a public sanitary sewer becomes available and the approval and void when a public water supply becomes available. Such .ge when, in the judgment of the Public Health Director,' such Title: l Date: 7 3o d White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNA.M COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT We I Z%tenon 1 $£reet Idre n/V' ag j Tax Grid # Map /Block Lot(s)/,6— Well Owner: f Addres AS,*g T - V4"rm,, Use of Well: I- primary 2-secondary Resident al Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling ]Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock _ Other Casing Details Total length k�i ft. Length below grade ft. Diameter n. . Weight per foot /0 lb /ft. Materials: Steel Plastic Other — — Joints: _ Welded hreaded _ Other Sea]:,- Cement grout — Bentonite Other Drive shoe: Yes No Liner _ Yes 3s No Screen Details Diameter (in) Slot Size Length(ft)- Depth to Screen (ft) Developed? First _ Yes—No Hours Second Well Yield Test _ Bailed _ Pumped Compressed Air Z!LL Hours Yield 1 gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet 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 (; ?00 1 ` If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Types *apacity Depth &CD� Model Voltag HP Tank TypewWh olume�ld Date Well Completed Putnam County Certification No. Date of Report /.-o� Well Driller Is' atureI " nyjL my =act location or wets wrrn arstances to at Least two permane�tt lanC[TarKS to be provided on a separate sheet/plan. Well Driller's Name / Address: Signature: 06 �- Date: Q �d White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES I... 411 .7.M1. .4l 4 R... _C. w ... .+r a.�p.. )a�M — =.v.fa aw ♦alvi.w.aawn.sl .q... -�: M.< GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM / ?, -h ry i' Owner or Pur aser otAujWng Building Constructed by C) / /C) Q., Location - Street Building Type Tax Map Block Lot Town/Village Subdivision Name Subdivision Lot # 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: onth % Day 2, Year Signab Title: etterai G.4. re Address: State Zip Corporation Name (if corporation) Xr�ess: c State Zip /Q�� CA Form GS -97 | ` '� � ' |� ` | YML ENVIRONMENTAL SERVICES ' 321 Kear Street | Albert H. Padovani, Director | LAB ON 32.104979 CLIENT ON 13574 NON STAT PROC PAGE MACQUINGNON, PATRICIA DATE/TIME TAKEN: 07/13/01 03:331:` P.O. BOX 259 DATE/TIME REC'D: 07/13/01 0026P PUTNAM VALLEY, NY 10579 REPORT DATE: 07/20/01 PHONE: (914)-737-8433 SAMPLING SITE: 211 BELL HOLLOW RD. SAMPLE TYPE..: POTABLE : PUTNAM VALLEY, NY, 10579 PRESERVATIVES: NONE COL'D BY: PATRICIA MACQUIGNON TEMPERATURE..: < 4C ' NOTES".": KIT TAP COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLA6 PROCEDURE RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 07/13/01 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 07/13/01 LEAD (INS) 3.1 ppb 0-15 ppb 9101 07/13/01 NITRATE NITROG <0.2 MG/L 0 - 10 9139 0703/01 NITRITE NITROG <0.01 MG/L N/A 9146 07/13/01 IRON (Fe) <0.060 MG/L 0-0.3 mg/l 2037 ' 07/13/01 MANGANESE (Mn) - 0.040 MG/L 0-0.3 mg-/-1 f!037 07/13/01 SODIUM (Na) 5.94 MG/L N/A 07/13/01 pH 6.8 UNITS 6.5-8.5 9043 07/13/01 HARDNESS,TOTAL 72.0 MG/L N/A 07/13/01 ALKALINITY AS 58.0 MG/L N/A _ 07/13/01 _ `_TURBIDITY (TUR <1 NTU . ` COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATER (WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDIN THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS | TESTED, AT THE TIME OF COLLECTION. Pb/Cu LEAD limits for p EPA Lead & Copper than 10% of their than 15 ppb and a treatment must be potential. ublic schools are set at 15 ppb. Rule for Public Systems requires that no more distribution points have a LEAD value of more COPPER value of 1.3 mg/L, else water undertaken to reduce the waters corrosive Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium is suggested. YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 Albert H. Padovani, Director LAB #: 32.104979 CLIENT #: 13574 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ MACQUINGNON, PATRICIA P.O. BOX 259 PUTNAM VALLEY, NY 10579 SAMPLING SITE: 211 BELL HOLLOW RD. : PUTNAM VALLEY, NY, 10579 COL'D BY: PATRICIA MACQUIGNON NOTES...: KIT TAP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAB PROCEDURE NON STAT PROC PAGE 2 DATE/TIME TAKEN: 07/100i 03:33P DATE/TIME REC'D: 0711a/61 04:20P REPORT DATE: 07/20/01 PHONE: (914)-737-8433 SAMPLE TYPE..: POTA8LE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE METHOD pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE, TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE HARDNESS MAY RANGE FROM O TO HUNDREDS OF MG/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0-70 MG/L VERY HARD WATER: ABOVE 300 MG/L MODERATELY HARD WATER: 70-140 MG/L MG/L = MlLLIGRAM pER LlTER SUBMITTED BY: Alberf�by'Padovani, M.T.(?P) Director B-AP# 10323 Public Health Director n..... .v- LORETTW"i�ifi3f Associate Public Health Director Director of Patient Services DEPARTMENT OF B EALTH I 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 D July 27, 2001 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Frank Sullivan, PE 2972 Ferncrest Drive Yorktown Heights, New York 10598 Re: Application of Certificate of Construction Compliance - Pat McQuignan 211 Bucks Hollow Rd., (T) Putnam Valley TM# 51.4-16 Dear Mr. Sullivan: This office has determined that the above referenced Certificate of Constriction Compliance application, received by the Department on July 25, 2001 is incomplete. Please be advised that the following information is required before the Department may commence its review. 1. Application Form CC -97 A. E -911 address number to be included at "located at ............." B. Tax map number as noted 51.1 -1 -16 is incorrect, correct number is 51.4-16. 2. Well Completion Report - Form WC -97 A.. Pump /storage tank information is required to-.be completed. .._..__ _.._._ .. �: -_• -- ~ Applicattion Guarantee - GS -97 A. E -911 address number to be included with address at "location - street." B. Tax map number is incorrect. 4. Plan A. Tax Map number as noted 51.1 -1 -16 is incorrect. Correct number is 51.4-16. This office will continue its review upon receipt of the above mentioned comments. Please feel free to contact this office if any questions arise. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj enc. CC -97, WC -97, GS -97 Plan Mark -ups and originals V, /11/20M lj:jb 'J14y16:14248 JOSEPH SULLIVAN DWISION OF ENVIRONMENTAL REAUM'SERVICES vf ATTENTION /—jADA.Vt JKEQ .:Yf _E09 F1 NAL IN S P LQN All information must be Fully completed prior to any inspections being made. C1 GENE For. Fill Trenches PAGE 01 PCRD Construction Permit # OwneriAppiicant Name: 'Af I'M Block Lot L� Subdivision Name: Subdivision Lot J,s system till completed? Is System Complete? 4v Ytf� ate: el–ze Iss 5teni constrUCted as per plans? lip) Is well drilled? Is Nell located as pQr plans? Ate erv:iioxi control measures in place'! I cerr)*Ij : that the system(s), as fisted, at the. above prennises has beet). constructed acid I have inspected and verified their completion w. accordance with the issued -PCHD Construction Permit and Eipproved plans and the Standards, I(LileS and Re&1ulatiuns (A'dle Putnam County Department of I lealth. Ditte. Certified by. I RA PE ^.� Address: Form, FIR-99 - e- PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # /P� 9� �/ � ` , Located at /��// �����o A-,, /�— Town or Village qr, �c� ��f Subdivision name Date Subdivision Approved Subd. Lot # -- Owner /Applicant Namez ,,,,As A/-7- _ Mailing Address 7417 //'j' 4rlaf Tax Map (�_ Block 1 Lot Renewal Revision Date of Previous Approval 911-4 Amount of Fee Enclosed �'�''�' ��'��"y �� �,r✓ d Zip -4-e- Building Type G e Lot Area -<'R No. of Bedrooms -!3 Design Flow GPD 2G � Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of l a 0 a gallon septic tank and 3 el / Other Requirements: To be constructed by Address Water Supply: _ Public Supply_From Address or: =e✓' Private Supply Drilled byrj'l,�'�G;� 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:' -� P.E. L--' R.A. Date Address r.'.✓� License # X � a`�_�'"" APPRO rFOR.�(—NSTRit QN `fhis approo' expires two years from the date issued unless construction of the :�,... sewage treatment system has been completedad`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 anew pe it. Ap ved f d omestic sanitary sewag only. By Title: Date: Z� ct White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Pro essio al Form CP -97 PIiJTNAM COUNTY DEPARTMENT OF HEALTH HI DIVISION OF ENVIRONMENTAL HEALTH SERVICES :: APPLICATION ION TO CONSTRUCT. A WATER WELL :..... r.....,. please p or type ._ PCHD Permit # ?N - I r Well Location: Street Address: Town/Village Tax Grid # , ' 43'&11 al a Block % Lot(s) /-4& Well owner: Name: Address: _J Use of Well: k-' Residential Public Supply Air /Cond/Heat Pump Irrigation I- Primary Business Farm Test/Monitoring Other (specify) 2- second e y Industrial Institutional Standby Amount of Use Yield Sought , g' 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 for Drilling' Well Type ifDrilled Driven Gravel Other Is well site subject to flooding? .................................................. ............................... Yes No Is well located in a realty subdivision? ....................................... ............................... Yes No Name of subdivision Lot No. Water Well Contractor: A,7d ® Address: A, e"V Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: -'' Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: �� r y . - Applicant Signature:. PERMIT TO CONSTRUCT A WATERS 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 .IFORB 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 7 Z % % i Permit, Issuing Official: 3L Date of Expiration 71 zl / a 1 Title: Permit is Non- Trannsfferdab White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 TOWN OF PUTNAM.VALLEY PERM WAIVER CHAPTER 144: Freshwater Wetlands, Watercourses god Waterbodies Ordinance of the Town of Putnam Valley, New, York.. The Town Wevhmds Impectox, as Approval Authority, has determined that the proposed action Is an Unlisted Action undcr SEQRA, and will not ha -ve 4,--igrac&A environmental impact. Therefore. a PERMIT WAIVER is C=tcd s4*ct io the conditions noted below. DATE PERMIT.11ME0: - June 30,199.9 DATF. rp-A-mlT EXPIRES. June 30,2000 APPLICANT/SPONSOR-- Curtis Katz 747 Middle Nreok Road C=at Neck, NY 11024 PROPERTY LOCATION: Bell Hollow Road TAX MAP Jh 51. -1 -16 SIZE OlV MkCEL: 5.905 wiies ZONING: W3 PROPOSED ACTION: Construction of slvgk bituffy residence, driveway, septic system within Watemume wtbgek area 1&kTER1AL'q REVIEWED-.. 1. 2. Site Plan and Proposed Sewage Disposal System Plm prepared by J.SuMvm P.E., dated 05-27-97, lart revised 05-06-99. Site Aittr8liOD Pennh Application forz)s, file # wr.io& dated 06/23199. CONDITIONS OF PERMIT: 1. A silt fens should be installed around the proposed well location to prevent any erosion of slur materials from well drMing activities. 2. Erosion controls as shown on the above plats: sbaU No ingtafled prior to construction The silt fence should oxwnd along the entire length of the prop,-rty to protect Sprout Brook and the intermittent wtiterc.ourse aTft TI& silt fence should be properly tiunched. 3. All construction activities shall be constructed in accordance with the above approved pbw. No chafes are permitted to the wo6ir0s wee without prior review and approval of the Wctl=ds Inspector_ PW j of2 k1upw 4. The wilding Inspector shall be notified once erosion control n -o; cures are in place and at least 48 hours prior to the initiation of any site work, 5. Wh6n Brosion controls are required, they rnusn be m- irntained properly throughout the construction process and rmxID in place untE f1ttal site inspections t'or compliance with condatiioDs of permit have been completed. 6. The Putting Board, Wctiauds Inspector, arA -lor Building Inspector, shall bave the right to inspect the project from tir= to th=. 7. TU permit shall be prominently displayed at (,he project site daring the undertaking of the activities authodnd by the permit.. 8. An additional eiscrow account in the amount of $ 300 muse be established with the Tovm before this Perrgrit Waiver can be considered nUated. Thesc pddidorml escrow funds will . be approprWcd as required for construction morsitoring purposes. Any portion of the account not used during tt c project monhoring .period shall be returned to the applicarn. upon sa k&ctoay completion. of the project. Moncomplin- nee with the conditions above will imiWaic this 1'en nit Waiv®m, and may result in a P1odoc of Violation ndlor a Stop Work Order. Any questions regarding this Pemilt Waiver should be directed to the Towrn,Wet ads Inspector (914) 762 -7288, or the oil ofthe Building Spector (914) 326 -2377. Dde Permit Waiver Prepared: Juste :�q, 199-Q .. .. ..,.._ c Stephen W. Coleman ce: /Applicant Building Inspector ]Planning Board lEnvirolull. itgl Commission Pbw_d2 kwm TOTAL P.03 . ,PART$ Item No. Description 1 impeller ,2 Casing 3o Heater Size N * -- - - - -�. .1 ^ $ha11 ::=.9:4'1 5 Motif - 56 6 ^ Bearings - upper and WE0318L .. 54 WE0311M i Power cable WE0312M 1 GOLJIIds -� Submersible Effluent Pump 4 �3 3885 8.._. -ring �0 __. -.�_ 1 - 2 MODELS Order- 1 o., -HP Volts' Phase Mai. Am . RPM 3o Heater Size WI. 16s. WE031:11-1 WE0312L +; L'1;15 -1 1 ::=.9:4'1 1750 N/A 56 230 4.7 WE0318L 200 54 WE0311M 115 94 WE0312M 230 4.7 _WE0318M WE0511H 200 54 WE0532h 115 230 145 3500 60 WE0512H 7.3 WE0518H 200 84 WE0538H 200 3 3.9 K32 WE0532H 230 3.4 K32 WE0534H 460 1.7 K21 WE0511HH 115 1 14.5 N/A WE0512HH 230 7.3 - WE0518HH 200 6.4 WE0538HH 200 3 3.8 K32 WE0532HH 230 3.3 K31 WE0534HH 460 1.65 K21 _ WE0712H WE0718H r, 230 1 10.0 N/A 70 200 11.5 _ WE0738H 200 3 6.2 K49 WE0732H 230 5.4 K39 WE0734H 1 460 1 2.7 K28 WE1012H 1 230 1 1 12.5 N/A -WE 1018H 200 1 14.4 WE 1038H WE1032H 200 3 8.1 K43 230 70 K43 ^WE 1034H 460. 3.5 K32 "WE1512H-- - , i ' •.•230 " i._. -._,.15.7 - --- NIA - - -. 80 7-WE 1538H 2up 3 10.6 K53 WE1532H 230 9.2 K50 WE1534H 460 4.6 K36 WE1512HH WE1538HH 230 1 15.0 N/A 200 3 10.6 K53 WE 1532HH 230 92 K50 WE1534HH 460 46 F K36 ' Fur 575 V consult factory. METERS FEET 120 is - 110 WE15HM 30, 100 i 90 U 15•' 80 > 70 s MODEL: 3885 SIZE 1/+' SOLIDS PERFORMANCE RATINGS (gallons per minute) DIMENSIONS (All dimensions are in inches. Do not use for construction purposes D' 'h; '1/2. % and 1 HP = 15' except for model WE0712H and WE1012H = 18', 1'/.,HP = 18' r 1 8I/T ROTATION Rim ' IPT I uu I 3'.,' 5 50 WEOSMM KICK -BACK 1 ' 4o - EFFLUENT EJECTOR SYSTEM G 3G Effluent ejector system Package Includes: 5 . 20 offers ease of ordering Suomelsiole En uenl PLmp WE0311L 10 and installation. A single 12L or WE031 IM. 12M WE0511HH. 12HH �; . ~. < umberspecifies ? Mechanical Level COnl1J1 Switch C1. " ieo' eo 100 nPM g p A2.5015V1 A2.60304i 0 10 20 a complete system designed Basin A; 160'S. Basin cover A8.1622 .10 a0 50 6o 70, L. - IU 20 M31h for most residential and 1 ChecK va,ve A9-2P CAPACITY Commercial sump and I Order No SWE0311L SWE0312L. GOULDS PUMPS. INC. effluent pump applications. l•- SWE051iiih,SWEE0512Hri WATER TECHNOLOGIES GROUP SENECA FALLS NEW YORK 13148 SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE., PRINTED IN U.S.A WE0511H WE0511Nh T - WE0512N WE0712N WE1012N WE9512N WE0512NN WE1512NN Order WE0531h WE0111N WE1001h WE1531N WE0521NN WE15NI1 i NO. 1 10 'It W10319111 WE0532h W0132N WE1032h WE532N WE0532NN WE1532Nh WE0112L WE0312M WE0534N WE0734N WE1034H WE1534H WEO534NH WE15a4NN' WF0311L WE031111 WE0511H WE0711N WE1011N WE051 1NN 3500 3500 3500 3500- 3500- RPM t_f750,'j 1750 3500 10;,1.`180 t 65 - - - 56 84 15 1§21 57 •69 90 104 _ 128 53 82 20 4N36 45 60 83 98 122 48 77 1 25 25 50 76 92 116 45 75" 38 67 85 109 40 72� 39 26 58 78 102 35 70 ;� 5 70 - 94 30 67 F45 15 47 d 36 62 86 25 64 0 25 52 77 18 60 55.. 17 42 67 t2 58 60 .. 8 32 56 3 54 65 21 46 51 I 70 11 35 75 25 43 40 80 15 90 33 ?4 110 - 120 5 _ DIMENSIONS (All dimensions are in inches. Do not use for construction purposes D' 'h; '1/2. % and 1 HP = 15' except for model WE0712H and WE1012H = 18', 1'/.,HP = 18' r 1 8I/T ROTATION Rim ' IPT I uu I 3'.,' 5 50 WEOSMM KICK -BACK 1 ' 4o - EFFLUENT EJECTOR SYSTEM G 3G Effluent ejector system Package Includes: 5 . 20 offers ease of ordering Suomelsiole En uenl PLmp WE0311L 10 and installation. A single 12L or WE031 IM. 12M WE0511HH. 12HH �; . ~. < umberspecifies ? Mechanical Level COnl1J1 Switch C1. " ieo' eo 100 nPM g p A2.5015V1 A2.60304i 0 10 20 a complete system designed Basin A; 160'S. Basin cover A8.1622 .10 a0 50 6o 70, L. - IU 20 M31h for most residential and 1 ChecK va,ve A9-2P CAPACITY Commercial sump and I Order No SWE0311L SWE0312L. GOULDS PUMPS. INC. effluent pump applications. l•- SWE051iiih,SWEE0512Hri WATER TECHNOLOGIES GROUP SENECA FALLS NEW YORK 13148 SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE., PRINTED IN U.S.A J F SULLIUAN P.E. 962 4248 P.01 �J �Qq' 1. PUTN COUNTY DE OF `, F HEALTH.A -ENVNRONMENTAL- HEALTH 'S. ley < LETTER OF AU .6®LLIZATNO ; 4 6661, 9 ddV RE: Property of iL.z /fo }z f )Located at TN � o Tax Map # ,d / Block Subdivision of Subdivision Lot # Piled Map # Date Filed Gentlemen: This letter is to authorize c7 :3 h _ 7_ _ �� YAW e Lot / G 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.propetty 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_1.45_and/or.14.7 of the Education Law, the Public. Health_ _. - Law,•and the Putran•County SanitaryCode: ` . ..r.r -� very truly yours, a� Countersigned: Signed: P,E,,., # (Owner of Property) Mailing 4 State Telephone: V A Mailing Address: State - I Zip i1 U Telephone: 115"14 V(�& "6 6RO X i/-3 Form I;A -97 94% P.01 ., . ----BRUCE- Public Health Director June 21, 1999 ...a- u,. <:::. :�; _-: LORETT. �, : ��![ 4�1: 1` t :!�L,�:J>1•;,;�•S.N..•,,.n.,,.. 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 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Frank Sullivan 2972 Ferncrest Drive Yorktown Heights, New York 10598 Re: Katz, Bell Hollow Road TM# 51.4-16, (T) Putnam Valley Dear Mr. Sullivan: 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 consideration. • I have inspected the two deep test holes on the above referenced lot as requested. The two holes that were dug are not representative of the proposed area of the Separate i . Sewage Treatment System and expansion area. Therefore, additional deep test holes are " 4�"'"'� ..L —'req�zired'�lease' call' this -office'to 5chedule'a' mutual -a *poir.tment'with a-b6ckYiou-to ........ �" witness deeps again. • I would recommend the proposed area of the SSTS to be staked in the field prior.to �a qaf digging deep test holes. I 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, i� Adam B. Stiebeling Assistant Public Health Engineer ABS:cj .1. .- -1 .. . a DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER PCHD PERMIT # WELL LOCATION SMtet Address/ Town/Village/City Tax Grid Number WELL OWNER Nam Mailing Adf ress rivate /T�� fd� ® Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL 0 PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP ® ABANDONED _9BUSINESS 0 FARM 0 TEST /OBSERVATION 0 OTHER (sped 0 INDUSTRIAL U INSTITUTIONAL 0 STAND -BY ARROUNT OF USE YIELD SOUGHT gpm /4i PEOPLE SERVED /EST. OF DAILY USAGEs�r�r 0 REPLACE EXISTING SUPPLY 0 TEST /OBSERVATION 1➢: ADDITIONAL SUPPLY OEW SUPPLY NEW DWELLING 0 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE DRILLED ®DRIVEN ®DUG ®GRAVEL. 0OTHER IS TELL SITE SUBJECT TO FLOODING? YES A-' NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name A:eZ Q�2-1 4142 Address: 11� IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE' TO' PROPERTY" FROM'NEAREST -WATER- MAIN: . ..... - LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDE j2bN SEPARATE SHEET 212111 4 Z; date (signature PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the Department attached to this permit. 3. Submit a Well Completion Report on a form requirements of the Putnam County Health 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 aste products from such well drilling operations be contained on this property and in such a manner as not to degrade or o h )'s conta *L a surface ox groundwater. Date of Issue: ..5� 19 c Date of Expiration i 99q Permit Issuing Officia Permit is Non - Transferrable White copy: HD File Pink Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller MAY 27 '97 04 :45Pf1 D &S -FUMP & SUPPLY PARTS Volts Item No. Description , 1 1 !rnpe)ler 2 l Casin 3 tJlechanlcal saal�� 3.5 WE0312L /' 5 Motor !!! 7 Bearings - upper and e lower Power cable 8 0•rin ` r.. rim 2 MODELS Order No, HP Volts Phase ntax. Amy RPM Solids Wt. fibs.) WE0311L 115 460 9.4 3.5 WE0312L /' 230 1 4.7 �9.4 1750 56„ . WED31IM 115_ 106 WE1532H 208 -230 _ WE-0312M 230 1 4.7 WDVIL WM12'1 WED534H WE0734H _ WE0511H 115 1,� 230 13.0 - 80 15.0 WE0512H _230 Rpm 1750 1750_ �5.5 'WE1532HH WE0538H 200 9.2 3.9 460 _ WE0532H 230 3 _ 3.4 �10 80 85 WE0534H ,h 460 1.7 60 WE0511 HH 115 1 - 11-0 _ __ ► WE0512HK 230 -987- 7 b.5i5 _53 a8 WE0538HH 200 50 - 16 3.6 116 WE053 HHH 230 3 3.3-; _ _ 05 WE0712H 230 1 10.0 ,/4. WE0738H 2M 8.2 WE0732H 1 208 w 230 3 5.4 3500 70 'WE11738H �> .. 200- �^ •. - -.w•. WE1032H 208 -230 3 7.0 WE1034H 460 - - 3.5 WE1512H 230 1 15.0 WE1538H 200 WE0e3eHH 106 WE1532H 208 -230 3 9.2 W� 1534H 460 WDVIL WM12'1 WED534H WE0734H 4.6 WE1512HH 1,� 230 1 - 80 15.0 WE1538HH 200 Rpm 1750 1750_ _ 10.6 'WE1532HH 208-230 3 9.2 WEt 4HH 460 - 4.6_ 04"ERS FEET Gb 30 25 20 T �^ •. - -.w•. r MODEL: 3088 ,......1 SIZE: rro' SOLIDS 10. 1Y 1 N - - - - I - - •- WE1012HN No. WIM30H WE07W WE1034N W[teseH WE0e3eHH WE1536HH WEV11, 1v40 :tiIN W90332H WE0132H WEIOS2H WE0211. WE9532HN WE1632011 WDVIL WM12'1 WED534H WE0734H WE10148 W 10340• WEOe34HH WE1534HH ;,P 'A A is A 1 1/1 'A 1'/1 Rpm 1750 1750_ 3500 3500 tal _ I 3500 - _3500 - - - - _ �-OFr au 70 �10 80 85 ' - - e0 e0 84 _ to 60 57 �63 90 104 128 _ 8� •20 36 a..__f 83 -987- 7 e0 4: _53 a8 77 25 _ fi - 50 - 16 92 116 -�- _ 75 30 - -. 3E -- 67 _ 05 109 40 72 _ 35 26 58 78 02 35 ._ 70 040 - - - -- ___ 15 4i -_'70 o o 10 y 26. 30- •10 w 60 70 e0 911 too GPM p 10 20 m Jh CAPACITY R, WATER TECHNOLOGIES GROUP -' , ,r%cw 1,AF1 P.1 4 ---- 3 Goulds ts Eff Went Pump ._ 3885 PERFORMANCE Phi IIN6S (g311ens per minute) DIMENSIONS (All dimensions are in inuh-es, 0o nut ,sc fw construction purposes.) D' A, tr, % and 1 HP =15" except for model WE0712H 4nc WE1012H - 18'; 1 HHP .18' WE0511H WIWI"N Older W1051211 WEVi2H WEA12h WE1512H WE061211N WE1012HN No. WIM30H WE07W WE1034N W[teseH WE0e3eHH WE1536HH WEV11, 1v40 :tiIN W90332H WE0132H WEIOS2H WE0211. WE9532HN WE1632011 WDVIL WM12'1 WED534H WE0734H WE10148 W 10340• WEOe34HH WE1534HH ;,P 'A A is A 1 1/1 'A 1'/1 Rpm 1750 1750_ 3500 3500 3500 3500 3500 5 -_ -_ _3500 - - - - 60 - �10 80 85 - - - 56 84 _ to 60 57 �63 90 104 128 _ 8� •20 36 a..__f 83 -987- 7 _ i22 _53 a8 77 25 _ fi - 50 - 16 92 116 455 _ 75 30 - -. 3E -- 67 _ 05 109 40 72 _ 35 26 58 78 02 35 ._ 70 040 - - - -- ___ 15 4i -_'70 �94 30 _ 67 °S'► TT 36 62 86 25 64 _45 _.� 50- _�.. 25 i 52 _ 71 18 - 60 __- 1v -_ - 17 42 67 12 53 55 "� -- - - -- -8 32 56 54 65 -�' 21 46 51- _ 7�"- 11 _ 35 47 75 w _ _ --' -- - 25 _ a3 - - 80 15 40 90 -- 33-'-- . .. -. _. 100 - - -_- _..__ ., 24 110'- _ -'� _ _ _ 15 120 _........... Y r.'.. .__ _ 5 - DIMENSIONS (All dimensions are in inuh-es, 0o nut ,sc fw construction purposes.) D' A, tr, % and 1 HP =15" except for model WE0712H 4nc WE1012H - 18'; 1 HHP .18' SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U.S.A. r ROTATI0*w i 2" NPT 8 h" „ -i �... '., ... K!CK BACK t _ EFFLUENT EJECTOR SYSTEM Ellluent ejector system I'� Package Includes: offers ease of orddrinp _ Sultr,er0le Ettluelt Pump WE031 tL. and Installation.. A single 12L or WE0311h!,11M 6VE0511HH, 12hH r j ordering number spec!fies MtrOUry LAW Control Swiien h�, a compiete system des!y"ne0 ( 1 r A:•5 (11W), A2.6 (230V) sawn A7.1801S. 9asin Covet A8.1822 for most residential and 1 ' ;r4'I� CneckvaiveA9.2P commercial sump and ;1, Ordar No.: SWE0311L. SWE0312L, effluent pump applieailons, SWE031IM, SWE0312M. SWE051 t HH, SWE051 2HH. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U.S.A. n� r i MAY 27 APPLICATIONS Specifically designed for the following uses: ° Homes ° Farms ° Trailer courts o Motels ° Schools ° Hospitals a Industry ° Effluent systems SPECIFICATIONS Pump: • Solids handling capabilities: 3/4" maximum. • Discharge size: 2" NPT. .°:Capacities: up to 128 GPM. Total beads : =up-to 123.feet - -._ TDH. ° Mechanical seal: silicon carbide- rotary seat/silicon carbide- stationary seat, 300 series stainless steel metal parts, BUNA -N elastomers. ° Temperature: 1040F (40° continuous 140 °F (60 Y„) intermittent. o Fasteners: 300 series stainless steel. ° Capable of running dry without damage to components. Motor: ° Single phase: 1/3 HP, 115 or 230 V 60 Hz, 1750 RPM; 1/2 H P, 115 V, 60 Hz, 3500 RPM; %2 HP -11,4, HP, 230 V. 60 Hz, 3500 RPM. Built -in overload with automatic reset. Class B insulation. JPPLY Goulds R . A. :It CAb1p M 80UM. A65DL W ID,'. I, t► ° Three phase:' /2 HP — FEAYURES 1'ri HP 200/2301460 V, Impeller: Cast Iron, semi - 60 Hz, 3500 RPM, Class B open, non -clog with pump - insulation, overload protection must'be out vanes for mechanical sea provided In starter unit. protection. Balanced for smooth operation. Silicon ° Shaft: threaded, 400 series bronze impeller available as stainless steel. an option. p o Bearings: ball bearings: upper and lower. . - Casing: Cast iron volute ° Power cord: 20 foot type for maximum efficiency. standard length (optional 2" NPT discharge adaptable lengths available). for slide tali systems. Single phase: 1/3 and S/2 HP Mechanical Seal: Silicon —16.3 SJTO with three carbide vs. silicon carbide prong plug. % -1'/z HP sealing faces. Stainless steel —14/3 STO with bare leads. metal parts, BUNA -N.. Three phase: '/2 -1 %z HP elastomers, 14/4. STO with bare Shaft: Corrosion- resistant leads. On CSA listed .. "— ° °atatritess.0eel. Threaded models — 20 foot length design. Locknut on tiirah` SJTW and STW are phase models to guard standard, against component damaga on accidental reverse rotation METERS zs 201 15 �- o J 10r 5 I 0! FEET 8 e0 70 sa 60 40 30 20 10 P.2 Motor: Fully submerged In high -grade turbine oil for lubrication and efficient (teat transfer. Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage. Bearings: Upper and lower heavy duty ball bearing construction, Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil 0 -ring: Assures positive sealing against contaminants and oil leakage. 00 10 20 30 40 50 e0 70 60 80 100 110 120 130OPM I- - 1 ,-- -.. I I 0 10 20 30 rrrw/h CAPACITY Effective May. 004 ME on 00 10 20 30 40 50 e0 70 60 80 100 110 120 130OPM I- - 1 ,-- -.. I I 0 10 20 30 rrrw/h CAPACITY Effective May. 004 PUTNAM COUNTY-DEPARTMENT OF HEALTH DIVISION-OF ENVIRONMENTAL HEALTH SERVICES Re: Property o Located at (T) 2/P" Section Block Lot Subdivision of Subdv. Lot # Filed Map # Gentlemen: Date This letter is to authorize a duly licensed professional engineer— '*"or registered architect, (Indicat to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign.all necessary papers on my behalf in connection with this matter and to.supervisp the construction of said systems in _conformity with the provisions. of Article -- 145 - -or -- 147, Education Law, the Public Heialth,Law,••and the Putnam County Sani- tary Code. Countersigned:- 'Yer 1�ruly,,.•yours, Signed Owner' of Proper // / 1/1� t: Aaaress Town m Telephone PC -1 b fFaUTHAM COUNTY ®E PARTME N7 OF H E A.U- H APPLICATION FOR APPROVAL OF PLANS FOR % A WASTEWATER DISPOSAL SYSTEM ,_.. . _ Name and Address r of Applicant: �a 4�L 2L� ZE % Ir 2--el� 2. Name of Project: 3. Location T /V /C: 4. Project Engineer: �/dG�,'� 5. Address: rr r License Number: Phone: 6. Type of Project: ::�_Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) , 7. Is this project subject to State Environmental Quality Review (SEAR)? N/ a Type Status (Check One) Type I.. Exempt Type II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? .......4!U. _ 9. Has DEIS been completed and found acceptable by Lead Agency? .....:e:°... 10. Name of Lead Agency 11. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? .............................. 12. If so, have plans been submitted to such authorities?� .................. 13. Has preliminary approval been granted by-such authorities? Date Granted: 14. Type of Sewage Disposal System Discharge......b Sue,face Water Ground Waters 15. If surface rater discharge, what is the stream class desi;gnati'oh ?......... 16. beaters index number (surface) .............. A ...... o'...'o . e`.............. � . 17. Is project located near a public water supply system? .........e.......... Iva 18. If yes, name of water supply Distance to water supply 19. Is project site near a public sewage collection or disposal system ?..... A10' 20. Name of sewage system Distance to sewage system A/ 6 21. Date test holes obterved: 22. Flame of Health Inspector: 23. Project design flow (gallons per day) ....... 45.e � ........................ 11/93 2. 24. Is State Pollutant Discharge Elimination System (SPDES) Permit required'.. ,147 444.4.._- __`--- .........., ..:..,,.,.....:.- :,..- _;._ 25. Has $PDES . App4Tf at on been su�rnitted to` 1`ocal DEO- ^tiff c 26. Is any portion of this project located within a designated Town or State wetland? ................................... ............................... 27. Wetland ID Number ........................ .4.4.6.6....................... 28. Is Wetland Permit required? . .............. .........0..................... A110 Has application been made to Town or Local DEC Office? 29. Does project require a DEC Stream Disturbance Permit? ................... Ala — 30. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, A/1 landfilling, sludge application or industrial activity? ........ YES or NO 31. Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or X /C/ any other potential known source of contamination? ...............YES or NO DESCRIBE: 32.. Is there a local master plan or file with the Town or Village? ........... 33. Are community water, sewer facilities planned to be developed within 15 years? 34. Are any sewage disposal areas in excess of 15% slope? ........................ AICI 35. Tax Map..Il) Number" .:......:........ .................... 36. Approved Plans are to be returned to: ................ Applicant _L/Engineer If the application is signed by a person other than the applicant shown in Item 1, the application must be accompanied by a Letter of Authorization. Failure to comply with this provision may be grounds for the rejection of and submission: 1 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 210.45 of the Penal Law. - SIGNATURES & OFFICIAL TITLES: MAILING ADDRESS: - f BRUCE R. FOLEY - Public ;Health...Director -•:.:. , :.. ; _ LORETTA MOLMARI R.N., M.S.N. -, ,.. ..:::.,.:eA_ssgci. ate,:. Pu6l ic., �Hea lth.,-•;Rirector,,:,,;;,,.,. , „• • 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 Fax (914) 278 - 6085 May 27, 1999 Early Intervention (914)278-6014 Fax (914) 278 - 6648 y WIC (914) 278 - 6678 Fax (914) 278 - 6085 Frank Sullivan, PE 2972 Ferncrest Drive Yorktown Heights, New York 10598 Re: Katz, Bell Hollow Road (T) Putnam Valley Dear Mr. Sullivan: 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 consideration. �, l Documentation: 1. Please verify the Tax Map number given (61- 1 -16). I 2. Please submit "current" Design Data Sheet. 3. A current "Wetlands" Permit is required. Permit of record is dated July 1, 1991. New deep test.holes must be witnessed and perc's run. Please contact this office to schedule an appointment. Plan: 1. Restrictive distances begin at the toe -of- slope. 2. Fill must be placed in the area of expansion trenches. 3. Force main detail required. Please find attached application and plan(s) for revision. 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, V't, Adam B. Stiebeling Assistant Public Health Engineer ABS :cj Attachments ,ILLY CROWDER Chairman GERTRUDE McKAY Secretary Town Planner JOEL GREENBERG (914) 628 -6613 July 1, 1991 Members, _.. - ROBERT XANAVAN BRIAN DOYLE SALVATORE SANTA MORENA TOWN OF PUTNAM VALLEY PLANNING BOARD 265 OSCAWANA LAKE ROAD PUTNAM VALLEY, NEW YORK 10579 Adm. Assistant VITTORIA COLESANTI (914) 526 -3740 KATZ, CURTIS VXn AND PERMIT APPLICATION - TM#22 -2 -9 WHEREAS, the applicant wishes to construct a single family house and- he needs to redirect the road drainage and pipe it along the northern property line, in order to be able to install an adequate septic system, and WHEREAS, various alternatives have been considered and studied, including the relocation of the proposed improvements across the brook - a plan that would not require the installation of a curtain drain to catch the ground water evidenced between the street and the proposed house, and WHEREAS, a discussion with the applicant's engineer and the health sanitarian from the P.C. Health Department has resulted in the acceptance of the proposed location of all improvements between the brook and Bell- Hollow Road,-- NOW, THEREFORE, BE IT RESOLVED THAT, on motion by Sal Santamorena, seconded by Robert Canavan and unanimously carried a NEGATIVE SEQR DECLARATION is in order, since there will be no significant environmental impact if all the work is done as proposed, and FURTHER RESOLVED THAT, on motion by Robert Canavan, seconded by Gertrude McKay and unanimously carried, a WETLAND PERMIT IS HEREBY ISSUED pursuant to Chapter 24C of the Code of the Town of Putnam Valley, subject to: 1. -The final drawings showing the note regarding deed restrictions customarily requested; 2. Payment of the engineering /inspection fee in the amount of $150.00, equal to 5% of the cost (as supplied by the applicant's engineer) of the work remaining to be done in connection with this permit; 3. Waiver of -the posting of a bond, since :the satisfactory completion of all the proposed improvements will be required by the. Building Inspector prior to issuance of a Certificate of Occupancy for the single family house. It is also stipulated that this permit shall be valid for a period of one year. from the filing of same in the Town Clerk's Office./) BY:* VIII / / /ittor�ia i . Colesanti PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF EN'VIRONNIENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS - . _.... .. _..... _ REV IEN HET -_. .T ON PE- R. M_ IT. FORCONSC �.,.., <. ,,...... STREET LOCATION �Vt- ��oc✓ NAME OF OWNER REVIEWED BY RUN 1, GR, AS, NIB, BH S 2 TAX M1[AP # 0 Y M DO PERMIT APPLICATION. PC -1 WELL PERMIT /_ PWS LETTER LETTER OF AUTHORIZATION EAF - THREE SETS PLANS - TWO SETS l `/ 1 F SUBDIVISION LEGAL SUBDIVISION S qAD I N APPROVAL CHECKED PERC iRl - DEPTH RAN REQUII GENERAL ATED N NYC WATERSHED NS SUBMITTED TO DEP GATED TO PCHD PPROVAL, IF REQ'D TO BE WITNESSED PERMIT ATA ON DDS Y N - ° EROSION CONTROL:HOUSE,WELL, SSDS c PERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY & EXPANSION LOCATION MAP t' EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE o IF PUMPED, PIT & D BOX SHOWN & DETAILED 000 YR. �{6QOP ELE ®AT�IOI OTHER REQ'D PERMIT(S) REQUIRED DETAILS ON PLANS o SEWAGE SYSTEM PLAN - (NORTH ARROW) o S HYDRAULIC PROFILE GRAVITY FLOW LLS & SSDS'S W/N 200' OF PROPOSED SYS. PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) HOUSE 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 N EXPANSION AREA TRENCH LF TRENCH PROVIDED 60 FT MAX. PARALLEL TO CONTOURS 100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN - FROM SSTS 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL 20'-TOFOUNDATION'WALLS ' 15'WELL'TO PL 100' TO WELL, 200' N DLOD, 150' PITS 100' TO STREAM WATERCOURSE LAKE (inc. expan) 50' TO CATCH BASIN, 35' STORMDRAN, PIPED WATER 10' TO WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 200'/500' RESERVOIR, ETC. _150' GALLEY SYSTEMS COMMENTS: 0 CONSTRUCTION NOTES 15'MN to CDS= >5 %,10'- 4 %,25'- 3 %,30'- 2 0/o,35' -1 %,100' - <1% o DESIGN DATA: PERC & DEEP RESULTS 20'MN to CD discharge /100'with 182 cons day discharge T CONTOURS EXISTING & PROPOSED SEPTIC TANK 0 DRIVEWAY & SLOPES, CUT m l0' FROM FOUNDATION; 50' TO WELL FOOTING/GUTTER/CURTAIN DRAINS WELL SOIL TYPE BOUNDARIES DIMENSIONS TO PROPERTY LINE TITLE BLOCK; OWNERS NAME,ADDRESS ® LOCATION OF SERVICE CONNECTION TM #,PE/P A; NAME,ADDRESS,PHONE# OF DRAWNG/REVISION IflDATE DATUM REFERENCE LOCATION OF WATERCOURSES, PONDS LAKES AND WETLANDS WITHIN 200 FEET of mPROPOSED FINISH FLOOR AND BASEMENT EL. COMMENTS: 0 RECORD OF PHONE CONVERSATION Time: Date: Person calling: Phone '' #:Z� - 9� Reason () Inspection: () Deeps and /or Peres: Scheduled Field Meeting Time: D Y Tentative /to be confirmed O ( ) Town: �? 7 Road /Street: "b�I Le_ (4L,0 Tax Map #: Comments: Cow4c, S i 2t�c ��Ey►:� �e� �e, M JOSEPH F. SULLIVAN, P.E. e"4uftit cy &*neeh. 2972 Ferncrest Drive Yorktown Heights, New York 10598 (9 14) 962 -4248 March 29, 1995 Putnam County Health Department 4 -Geneva 'Road Brewster, New York 10509 Gentlemen: Enclosed please find renewal application forms and plans for a proposed Sewage Disposal System for Curtis Katz, on Bell_ Hollow. Road in the Town of Putnam Valley. This design was approved by your department in 1991 (Your File PV 9 -91). __,._ ,._..._.- .._._. �roma -frei6-i�nspection-=;--there- have - been- -no changes-'..t o- adveo�sely-affect "" :_...�...._..� this design. Very truly yours, ,Joseph F. Sullivan, P. E. JFStats Enclosures 88 -154 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER WELL~� PCHD PERMIT # MLL LOCATION Street Addr /_essss ,/ TownGVillage City Tax Grid Nu ber WELL OWNER Name Mailin Address C# /j �,��,, �G LA� ,private �/ /" �y� j �` O Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL O PUBLIC SUPPLY 4BUSINESS O FARM © INDUSTRIAL 0 INSTITUTIONAL Q AIR /COND /HEAT PUMP ® ABANDONED O TEST /OBSERVATION O OTHER (specify O STAND -BY AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED f' /EST. OF DAILY USAGE�ea Jgal ® REPLACE EXISTING SUPPLY ® TEST /OBSERVATION 13-ADDITIONAL SUPPLY ErNEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE DRILLED ®DRIVEN ®DUG ®GRAVED OOTHER IS WELL SITE SUBJECT TO FLOODING? YES /'� NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. STATER WELL CONTRACTOR: Name A-1 "-Y- Address: Ae, -fe!• IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES y'' NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN:. LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDE 0' N SEPARATE SHEET O (da e) (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. 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 oth a contam' ate surface or groundwater. /Lw Date of Issue: 6 19 Date of Expiration 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 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 # L WELL LOCATION Street Ad res. Tgwn �%a ge City Tax Grid Number o �� fry zy- z WELL OWNER Name ilinc� Address orivat,e Public USE OF WELL 1 - primary 2 - secondary ARESIDENTIAL 0 BUSINESS 0 INDUSTRIAL ❑ PUBLIC SUPPLY Q AIR /COND /HEAT.PUMP ZABANDONED O FARM O TEST /OBSERVATION O OTHER (specify O INSTITUTIONAL O STAND -BY 0' AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE , gal REASON FOR DRILLING ❑ REPLACE EXISTING SUPPLY ❑ TEST/ OBSERVATION 13-ADDITIONAL SUPPLY VNEW SUPPLY NEW DWELLING i] DEEPEN E2JISTING WELL DETAILED REASON FOR DRILLING WELL TYPE DRILLED DRIVEN QDUG GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES r NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. f WATER WELL CONTRACTOR: Name AY1 (/1i>��', O1 Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES d NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY' DISTANCE TO- PROPERTY. RQM_NEAREST.WATER M- AIR-: -, LOCATION SKETCH & ,SOURCES OF CONTAMINATION PROVIDED 06N SEPARATE SHEET a '(datel Tsigniturg) 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 thirtT. (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from.such well drilling operations be contained on this property and in suc. a manner as not to degrade or otherwise- ontamin to surface or groundwater. )ate of Issue : 19 )ate of Expiration 19 `�� Permit Issuing Official .__ 'ermit is Non - Transferrable White copy: HD File Pink copy: Owner 1/89 Yellow copy: Bldg. Insp. Orange copy: Well Dri]_'' / D APPE:IMDC B PUrNA1M CCLNL TY_ DEP_ARZM= OF MUTH - DIVIS104 OF ENIRC'NMENi L HEALTH SERVICn PSI JIDE L WA= SUPPLY & SUBSJRFAC- SZv-ACy' DISP=,,L SISTEMS (Ncmle of Owner) C - :.,Gr?NSTE ICN.-P- —IT ........._ :r... DATE RL`'T= vrM : (Street Lcc3ticn) Ca� _T7 NrS I NOI I ' I I I I I- I --4— I I i I 1- trenc:l prOv_c d re^uired 60 ft. rra:c. - Parallel to contours 10011 e__' . i I I I II i I. ( I I, I I r'_ L �I, SYST21g clavha.rr'er I i 10 ft. fill otes I ne,a pe--. deotrl cauces I 100 vr. flood elev. 200 ft. reservoir, etc. LJ I 130 ft. tricall,%call. DCCU�i R'M Pemdt Rmplication Corporate Resolution Plans - Three sets S/ /' Engineers P_uthori za_ ticn Design Data Sheet (DC'S) Su- DIVISICN Deep Hole Lcg Perc Consistent Perc Res—,f_1_5 (3) Fi11 Perc Hole Depth cd House Plans - TWO se We 11 / pe=nt; P iS letter Variance Re=uest Cam" . Lca1 S Edivisicn Subaivi'sicn Accroval C :eck, d Ex- accria_ SS05 Lots Wetland (Tcw-n/DEC Pe=ni= R & D) Data Cn DDS Plans & Permit Sams REYD1xJ DE`"�.� 1 I c CN Pr AVS Sewage Sv sty Plan - (nor-L-1 arr w ) St.aace Sams: an H_vcraul i c Prcr_1= - Crav =t-_; F-1.1- Fill 1 JProf i le & Dimensions - Vol =...,e D or J Ecx; Trench /C„ 1 1 cry; P'1 pit Cetii S Cantinc�,T -mk - Size, D--4--=;l Wei 1 Detail, Service-Line 12 cver r Ccnstic icn, Notes.., ?Er ° "md- deers ..ns11,•.0 __ ....... _ _. Two -Foot Contours E' sting & Pya_ocsed Driveaav & Sloces Cut J Footin�Cstte_r,Curtain Drains (discharge OR) Perc & Deep Holes Lcc=_t:--; Representative of pri_m:ry and ex-pansion Expansion Area; shcwn;qravity If Rmped Pit & D Box Shcw-n & Der..ailed. House`�s No. of Be3roans Wells & SSDS's Win 200 ft. of Proposed S_vst= Prope_*t yMetes & Bounds House Setback Necessary (Ticht lot) House Sewer - 1 /4 " /ft. 4 "0; `i_Te pipe No Beds; Ma.Y. Bends 45° w /cleanout SEPA=CN DISTALNCES SPECIFIED ON PL N Fields 10' to P.L., DriverNav, Lame Tre s,Tcc or If 20' to Foundation Walls J 100' to Well; 200' in D.L.O.D, 150' Pits 100' to Stream, Water course, rake (inc. er_.- 15' to Drains - Curtain, Lancer, Footing 351tc mtch basin, stcr_ncirain,aice3 wet °'Igor 10' to Seater Line (pits -20') 50' inte_nnitte__nt dra i Place course Septic Tanks 10' f_an Founda ticn; 50' to c,e11 15' Well to PL 9 �w.�..._�.nr,•�, �.n er_r_�.5'i �.,v r..0 vr•4 .... -;. n- m.a♦ . -., P�v. 'ii - >u as u5.,,. PETER C. ALEXANDERSON County Executive ... .tt r, v. ..a sr +aw -.r .. r n..• ., rev. r'w rrw ti. ,��f..MN�..sn...� .. .,. 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 December 16, 1988 Joseph F. Sullivan 2972 Ferncrest Dr. Yorktown Hts., NY 10598 Re: Proposed SSDS - Jatkowski Theodore Morrissey Dr. (T) Putnam Valley TM 4120 -2 -27 PP o p" "o 'e.d "<S Bell Hollow Road (T) Putnam Valley TM 422 -2 -9 Proposed SSDS - Hayes Trail of the Hemlocks (T) Putnam Valley TM #2-4-4-2&3 D.ea:r..Mr. Sullivan: :< Review of plans and other supporting documents submitted at this time relative to the above - captioned projects have been completed. Comments are offered as follows: A written approval from Marvin O'Dell will be necessary before this Department can grant its - approval. If you have any questions, please contact this writer. Very truly yours, C- LCW/kv Lawrence C. Werper Assistant Public Health Engineer 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 September 20, 1989 Mr. Joseph F. Sullivan, P. E. 2972 Ferncrest Drive Yorktown Heights, MY 10598 Re: Construction Permit - Katz Bell Hollow Road (T) P.V. TH 022 -2 -9 Dear Mr. Sullivan: ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Review of my files indicates no activity on the above captioned project for some time. Please advise the writer as to the status of this project without delay. Failure to receive a response by October 16, 1989 will result in the file being returned to you, DISAPPROVED. Lawrence Werper Assistant Public Health Engineer LW /jp cc: Owner: Curtis Katz, 111 Greatneck Road, Greatneck, MY G � �a IL ........... lolls- __-2t Ak C--6.0 RIP, ms Ao 070-0,0 17� ------ ------- &oof PUTNAM COUNTY DEPARTMENT OF HEALTH OF ENVIRONMENTAL HEALTH Date /7Z 7Z'�F '� Re: Property of Located at /3e- // /� d✓ �% k (� (T Section Block Lot Subdivision of Subdv. Lot # Filed Map # Date Gentlemen: �j This letter is to authorize 6 3 Q(4 a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit.for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in ecti on °tli this" matter arid to sups "r'se the° cori's't "rizcti'oh °'of "said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. ;TCountersi. P.E., Address Telephone Very truly yours, Signed W'J�Z% �k Owner of Pro erty Address C To Telephone DFSZGN..ITA SiiEEiSrJ$SAS, E SEWAGE DISPOSAL SYSTEM FILE NO... owner s ✓ 1 4' Z- Address �/�/� ��l �� �U1$�► /' (o yvao* j Located at (Street) /� / )�� �� Sec. Block Z Lot (indicate nearest cross street) Municipality. Watershed SOIL PE F2CO=CN TEST DATA RDQI= TO BE SUM= WITH APPLICATIONS r Date of Pre - Soaking &22 Date of Peroolation Test/'d NCb1SE'R CL= TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Fran. Water Level No. Time Ground.Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches' i%) 1 /v >J�f /?- �- �i' .3--- - 41-Y, - - 4 5. --r- 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal soil rates are obtained.at each percolation test hole. All data to'be submittBd for review. 2. Depth measurements to be made from top of hole. rev. 9/85 TEST PIT DATA BE SUBMITTED WITH APPLICATION IN TEST BOLE _ tC..U., 7,N0� G.L. LE 7 ,o 29 3Q 4° 5° 6° 7° 8° 9° 10° 11° 12° 13° 14° INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED ,41"�-2 K INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: �J � 1d % -" ✓G7 DATE. DESIGN Soil Rate Used /61 Min/1" Drop: S.D. Usable Area Provided ��DO No. of Bedrooms -3 Septic Tank Capacity `e0 U gals. Type Absorption Area Provided By 33-V L.F. x 24" widthh.trench Other /' �/ J 6 '(i . > %gr''�` Name r7'/ --/> d Signature E of N—ISSPA�t FOR USE BY HEALTH DEPARRMW ONLY. A ROFrc a nN Py Soil Rate Approved sgeft/galo Checked by T Date PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT �YSTEM 1- ') 1�;'/ald6z Ale- Iva ONmer (�1,0 Address e-.1 i-- Ile->'y Located at (Street) /;,v a ZTax Map Gl Block Lot Ag (indicate nearest cross street) 14;V Municipality ,A;�, )4? %1e- 9 Watershed SOIL PERCOLATION TEST DATA Date of Pre-soakine X19/9 51 Date of Percolation Test 4//0/93 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s I 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 e t e p to Y Tune . h . .. .. Hale. : ....... ..... .... ..... 0 tart: Stop ... . ...... . 1 30 3e ?-a 7-3 2 3 3a 4 j 2 -Al V'3 .3 4 5 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 I 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 DEPTH G.L. 0.5 1.01 2.0 2.5' 3.01 3.5' 4.01 4.51 5.0' 5.5 6.01 6.5' 7.0' 7.51 8.01 8.51 10.01 TEST PIT DATA DESCRIMON OF SOILS ENCOUNTERED IN TEST HOLES Indicate level at which groundwater is encountered 7 Indicate level at which mottling is. observed Leo e Indicate level to which water level rises after being encountered Deep hole observations made by: Date Design Professional Name: Address: -2q7 Signature: ffl�Tz� Inr S-OMS HDVAI M Design Pro esq"q 2 AvAl 6e j7