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HomeMy WebLinkAbout2472DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www. s ca n yo u rd o cs . co m 631- 589 -8100 51. -1 -39.1 BOX 21 I ro ,. Jim rl. .` �- r% X= E4, 02472 �J ND ACAb5 D„Yt .1yF, �65rOt tldol I;ot Anafl Ftu,Seatlea 0a>b ` Dep& - NoY�r of Bodies mid Dealan Plow G P D 6DO FCHD N RIii, uk rd W6eit Fm in ad s�p�ears..wfir.57 : a da.rat ` . iN ' 2•S ^ FL 1 LM Aim Sip* Tpk d %5 LF DF F&Q; To be o. ai:cad,by 7b 36 BWV ^ )*bo Aldltra« AdIfnam Wagr sue¢: IP a, Stlp*' an X . P&afO Stied Dai.Mad bf O&W lOgd6ie> : 1 represent- :that 1 am wholly and completely responsible for the jet ign and 16, cation 6C,the proposal system(s)i 1), that the se a►atb Image die oral s stem above described will;be constrtiital as;Uaown.on'the approved ainNidment then to and in accordance with;the standards, rules an rpu a ons p! . • . ru- -county DOPditrriwit of « NRN. - and. that ,oh completion tne►eof a '-C We of .Construction Compliand ♦ntisfaCtory to the Commissioner of 'Mealthw01 be submitted 10, the De"gment, and a written guarantee will pe; furnished the owner his wcOaaois.' heirs or assNn's by tM builder. thlit teal buckler will elate in good. operatkg condition any 'part -of sold sawaga disposal SYtteni during the Jodi f. two (2), years iinmedtately following thidate Of the IM- ' ar4a Of the epploval of ihe.Certifkate.of Construction "..,COmpilence (Wilia o►glnaCsy or y ropeNs.thi►eto;,2) that the drilled well described e6oiie well be leratad as shown on the' sop►owd.plan and that mid'wel I will be Instal�khd�in' F. the standards. '• rules and ►equ aTiTom; of . the Putnam Cowlty Dgmrtnrnt of aseaKli. �/A/f/ vv Signed cL P.E. r RA. — i AeW.g License No APPROVED. FOR CONSTRUCTION: This app!owl 0XI)I s twO y from the data issued. unless constru ctton of the buiMing .has bean undertaken and is revocable for cause Or ay be amended or atwdilied when c6"Aar.1dinpefMary by Commissioner.of Health. Any Charge Or alteration of constructiOn "Quires a mit Roved for.dispoel of Oomesik Y age, a, Or ate water suppyr only. ®� Rev. r Title P/88 Clete By n 4 lQ1 CODM'Y DEPAMMM OF HEALTH DhMa� d Hea116'Seevbs. Ca�eL N.Y low fe Fswlda [wilt � : `.: _ 1 alp II CERIRCA CO Perk �i? FEl1 M !OE W WAM DLI<"S]f M PGctwAn vJ sY ilk a VRiyfSlcA+'� /NV Qeoerii —o ❑ Data Of Prevbu App . M•�s Aaa!<ra+� :2Zb pm •, 3'¢° Fzao,� . NY. •NY .lO ). Tdwo lyY z , /oDD 1 ._ ND ACAb5 D„Yt .1yF, �65rOt tldol I;ot Anafl Ftu,Seatlea 0a>b ` Dep& - NoY�r of Bodies mid Dealan Plow G P D 6DO FCHD N RIii, uk rd W6eit Fm in ad s�p�ears..wfir.57 : a da.rat ` . iN ' 2•S ^ FL 1 LM Aim Sip* Tpk d %5 LF DF F&Q; To be o. ai:cad,by 7b 36 BWV ^ )*bo Aldltra« AdIfnam Wagr sue¢: IP a, Stlp*' an X . P&afO Stied Dai.Mad bf O&W lOgd6ie> : 1 represent- :that 1 am wholly and completely responsible for the jet ign and 16, cation 6C,the proposal system(s)i 1), that the se a►atb Image die oral s stem above described will;be constrtiital as;Uaown.on'the approved ainNidment then to and in accordance with;the standards, rules an rpu a ons p! . • . ru- -county DOPditrriwit of « NRN. - and. that ,oh completion tne►eof a '-C We of .Construction Compliand ♦ntisfaCtory to the Commissioner of 'Mealthw01 be submitted 10, the De"gment, and a written guarantee will pe; furnished the owner his wcOaaois.' heirs or assNn's by tM builder. thlit teal buckler will elate in good. operatkg condition any 'part -of sold sawaga disposal SYtteni during the Jodi f. two (2), years iinmedtately following thidate Of the IM- ' ar4a Of the epploval of ihe.Certifkate.of Construction "..,COmpilence (Wilia o►glnaCsy or y ropeNs.thi►eto;,2) that the drilled well described e6oiie well be leratad as shown on the' sop►owd.plan and that mid'wel I will be Instal�khd�in' F. the standards. '• rules and ►equ aTiTom; of . the Putnam Cowlty Dgmrtnrnt of aseaKli. �/A/f/ vv Signed cL P.E. r RA. — i AeW.g License No APPROVED. FOR CONSTRUCTION: This app!owl 0XI)I s twO y from the data issued. unless constru ctton of the buiMing .has bean undertaken and is revocable for cause Or ay be amended or atwdilied when c6"Aar.1dinpefMary by Commissioner.of Health. Any Charge Or alteration of constructiOn "Quires a mit Roved for.dispoel of Oomesik Y age, a, Or ate water suppyr only. ®� Rev. r Title P/88 Clete By n AC A 2G' RA— V,.- I e . W C.— r.— �— r.--- F+.r• o6. i- ........... E kOr , �ow t4— al. -- . b,a lig. t- .a " L V. V. PI 'Hi Z:7 OF T -7,,j D &$9 bulu-IRM 5. GOP--To-i ,,,,,/J P-J). A)eLAJ PICL:lq� fi' S/qp)gc 12561 Ali YIP �--, I-o" I DATE 2//,o/'14- --4—. P-- r I I., C— r—.. I'kL,- jo- rt Y4 uI I lit XrYs L V. V. PI 'Hi Z:7 OF T -7,,j D &$9 bulu-IRM 5. GOP--To-i ,,,,,/J P-J). A)eLAJ PICL:lq� fi' S/qp)gc 12561 Ali YIP �--, I-o" I DATE 2//,o/'14- --4—. P-- DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New.York.10509 (914) 278 -6130 .�s. APPLI CAT I. ON.-_ x0._- C. ONSTRUC .T_,A..:inTATER,.�pTF,LICN PCHD PERMIT WELL LOCATION Street Address Town/Village/City Tax Grid Number N097H 5i7oRI ROAD PIAT.,JAA VAkby WELL OWNER Name �� 7o►'vJCJa1�N Mailing Address -x26 h AV', 3 fu-. �o VAN6uARo 1 V NSW yug MY, op- ®Private D Public USE OF WELL 1Q- primary 2- secondary ® RESIDENTIAL 0 BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION O INSTITUTIONAL O STAND -BY O ABANDONED 0 OTHER (specify O AMOUNT OF USE YIELD SOUGHT 5 1N gpm /# PEOPLE SERVED /EST. OF DAILY USAGE__,gal 13 REPLACE EXISTING SUPPLY O TEST /OBSERVATION Gl ADDITIONAL SUPPLY @( NEW SUPPLY NEW DWELLING 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING A644 A045F WELL TYPE ®DRILLED DRIVEN ODUG GRAVEL. 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES X_NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: ;)b iv Lot No. 4. WATER WELL CONTRACTOR: Name TO 9E 0M&,9111IA' Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY:. TOWN /VIL /CITY DISTANCE TO PROPERTY-FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED j ®0N SEPARATE SHEET 7/vj< �- 4tAll (date) (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part'5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. 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 de or otherwi contamin to surface or groundwater. Date of Issue: A 19 °11 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 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 August 15, 1994 William Gorton 7 Meador Road New Pal tz, W 12561 Re: Proposed SSDS: Tonchin Shore Road Lot #1 (T) Putnam Valley Dear Mr. Gorton: P_ JOKk KARELL -Jr.: P.E.. M.S. Public Health Director Review of plans and other supporting documents submitted at this time relative to the above- captioned project has been completed. its are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." 1. Minimum scale of the proposed SSDS and fill plan is to be 1" = 30'. 2. Expansion area is to be shown as one area. 3. Fill is required to be installed in the expansion area. This is to be clearly noted on plan. Expansion trenches are to be shown, dashed lines are acceptable. !4. Erosion control win®asur ®s for the gri;�_;Ie�swill S806 is to b shoes on plan along with a note stating all con be installed prior to the start of any construction. 5. The fill is to be shown extending 10 feet horizontally and past the edge of the trench and then sloping 3:1 to grade. The top toe of the fill section is to be clearly delineated on the SSDS and fill plan. 6. Minimum distance from the toe of the fill to the house foundation is 20 feet. 7. Enclosed find a copy of appendix E of the Putnam County Codes. The fill certification is to be added to the proposed trench plan. Upon Receipt of a submission, revised to reflect the above its, this application will be considered further. Ver truly yours, Robert Morris, P. E. Public Health Engineer RN/j P PUTNAM . COUNT.Y DEPARTMENT OE' HEALTH APPLICATION "POR ARPR'OVAL`OF °PLANS FOR A hASTEWATERnDISPOSAL. SYSTEM_,._ >...,.;,;.,,,; : Name and Address of Applicant: Joy Tomchin 226 Fifth Ave. 3rd FL. New York, NY 10001 Name of Project. Tomchin Subdivision 3. Location T /V/C• Putnam Valley Project Engineer. William Gorton,P.E. 5. Address• Meadow. Road 62492 New Paltz, New York 12561 License Number: Phone: 914 225 4504 i Iyl�e.of Project:. Private /Residential Food'Service Commercial Apartments ' Institutional Mobile Home Park Office Building x Realty Subdivision Other (specify) Is this project subjectAo State Environmental Duality Review. (SEAR)? .Type Status (Check One) Type I.. Exempt Type II. Y Unlisted, . Is a Draft Environmental Impact, Statement (DEIS) required? . Has DEIS been completed -and found acceptable by'Lead'Agency? ............. N/A Name of Lead Agency Putnam Valley Planning Board ,­:Is this, project in an area_under the control. of local planning, zoning, YES or other officials,• ordinances? .................. .........:... If so, have plans been submitted to such authorities? .................. YES SKETCH F11ho MAD /, * Has preliminary approval been granted by such authorities ?PLAN Date Granted: -5 -93 Type of Sewage Disposal System-Discharge ...... Surface Water _X _Ground Waters If surface water discharge, what.is the stream class designation ?........ N/A N /A. i. ;Waters Index number.�(surface) ..'.:............ 6:: s .•.. . :.. 4'.:..... '. Is project located near. a •public water supply' s sytem? `. -,* .............. NO 1.'If,:yes,.name of..water.:_supply U Distance to,water supply ).GIs project.,site. near- :a.,publi c, sewagecol „lectian or' disposal system ?...... NO ,... , 1 • .y ).`:Name of sewage system "' Distance to sewage system I.: Date observed: 12/92 & 2/93 23. Name of Health Inspector: Michael Budzinski 600 -800 gal /day /dwell.ing• 4. Project design flow (gallons per day) ..................................... WILLIAM J. GORTON PROFESSIONAL ENGINEER -"1 q2 MEADOW'ROAD NEW PALTZ, NEW YORK 12561 (914) 255 -4504 July lil, 1994 John Xarell,. ,fro, P.R. Director, Environmental Health Services Putnam County Department of Health 6 Geneva 1Road! Brewster, New York 10509 IRE: Tomehin Subdivision.. Town of Putnam Valley Bearr Mfr. Urrell Enclosed are four sewage disposal system 'coanstrunction permit packages fora review by your Department. The ffollowin g item or dlocu mats are included,* Your Construction Permit Applications Putnam County Departmnt of Health Application - Certified Check for $1200.00 - Four Water Well Application - Your Letters of Authorization - Copies-of Design- Dental 'Sheets - Three Copies of the sets of plans for lots 2,3 & 4, wee'. - copies of the`..:,,' Willl Drawing and one copy of the Construction 40rewing for 'lot 1. . Wo copies of House Plans for each lot Mike Budzinski of your Department has been to the site and. witnessed 1,the Test: 1Pits o If you have any questions I can the reached during .the :day ar1� = 431�5II5Co.: Y look 90ir card to hearing from your Department. Sincerely, William J. Gorton, P.M. 11 WILLIAM J. GORTON PROFESSIONAL ENGINEER ROAD ...:..:.,. .. .4 „� _ ..... .... ... tU NEW PALTZ. NEW YORK 12561 (814) 255 -4504 December 27, 1994 Robert Morris, P. E. Assistant Public Health Engineer Putnam County Department of Health 4 Geneva Road Brewster, New York 10509 RE: SSDS Applications Tomchin Subdivision Town of Putnam Valley. Dear Mr. Morris: Enclosed are revised SSDS construction and fill plans which address your December 20, 1994 comments for Lot 1 in the Tomchin Subdivision. I have added erosion control measures around the house and well and I have labeled the well location on the fill plan. I hope this addresses your concerns and look forward to your approval. If you have any questions please call me at 431 -5850. Have a happy and healthy New Year! ., _ Sinc�l William J. Gorton, P.E. t 1 , i$.. mot.- i' . - - .. .: .[ a ec Y . -x, air . t r. ��� -� s � c rrn.'�.. .. � :w. . r yiv � .I n .- n �. ..-x. .. •., aw rvi - � �r�.ar. c ar +nrv. � s u .'S`... � a „ I. - .. ..11 "i'•.. �.1 . t F �. � • ... • .. �1. .. . 1 � 1 � .. I ' i.1 .•. .. 'l f - PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of 50Y 7o/ncll1U Located at /VOZrtI 5fiDqE `LDAO W. PKIVAM UA14ZY Section S , Block � Lot Subdivision of '10Y - rOMG141)') Subdv. Lot # Filed Map # Z ��g Date b Gentlemen: This letter is to authorize a duly licensed professional engineer P6 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 connection with this matter and to supervise the construction of said system or " systems '�in-'�orifi�r[nr'ty-zrith -•the -provisions -of, A -or i 1� = 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: P. E. , R. A. , # '7 MbOODW APAO Address Very truly yours, Signed Owner of Property A,4 Address '-'- A/--I L v1 r Town New PAqa Ny 12561 -2 i 2 6y-"3- 03 � 0 z�S - Telephone may Telephone DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 William Gorton 7 Meadow Road New Paltz, NY 12561 0 Dear Mr. Gorton: BRUCE R. FOLEY, R.S.- Acting Public Health Director December 20, 1994 Re: Proposed SSDS: Tomchini Shore Road Lot #1 (T) Putnam Valley Review of plans and other supporting documents submitted at tr s time relative to the above - captioned project has been completed. Comments are offered as follows: 1. Erosion control measure around the house and well have not been shown on the plan. 2. Well is.to be labeled. Upon Receipt of a submissicn, revised to reflect the above cciTrents, this application will_be_considEred further. Ver truly yours, Robert Morris, P. E. Public Health Engineer RM/jp ,- + e RnMM COMM DEPAMENT OF M7 MM DIVISION OF ENVIRCNMERTAL HEALTH SF MCES ` APPENDIX I DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM Owner Address FILE NO. away u�Gt�1,S z nmrM . Located at Greet) 45G SNP /O, Sec. Block Lot �- (indicate nearest cross street) [Municipality Pu7AJA,-1,) LJA41 -by Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBNUTPED WITH APPLICATIONS Date of Pre- Soaking 7// /43 Date of Percolation Test 7// F15 HOLE - 0- NUIMER C =TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Tune Ground Surface In Inches Soil Rate Start-Stop Min. Start Stop. Drop In Min/In Drop Inches Inches Inches 1 jz% - 12!3c7 30 1S 20 .�- 2 12!3a -1,oa 3� - . l.6 -_. j�. 3 10 46. :. 4 J--7 • ;.. 1..�2•a2 X2+32 - 0- 3 1,'03 -1.'3 3� =135 /5;. 2 !s 5�'u 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 suhnittd for review. 2. Depth measurements.to be made from top of hole. rev. 9/85 APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF E:4- ►'IRONM,, ENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET for CONSTRUCTICIN PERIMIT .VIE OF OWti-EX- STREET-LOCATION DATE _ DOCUMENTS. ERIi�IlT APPLICATION f C -1 ELL PERVfIT: PWS LETTER NGINEERS AUTHORIZATION ESIGN DATA SHEET(DDS) EEP HOLE LOG ONSISTENT PERC RESULTS (3) PERC HOLE DEPTH CORPORATE RESOLUTION PLANS THREE SETS HOUSE PLANS - TSVO SETS ARIX-NCE REQUEST GENERAL ZLEGAL SL- BDTVISiON :J SUBI)DISION APPROV L CHECKED ERC RATE 1- , FILL REQUIRED CURTAIN DRAIN R-QL,= ©STANDPIPES EX APPROVAL SSDS ADJ. LOTS «BTL�ND (TOWN /DEC PERMIT R & D) DATA ON DDS PLANS & PERMIT SAME PRE- 1969 - ,NEIGHBOR NOTIFIFICATION LETTER BI/ZBA =00 YR. FLOOD ELEVATION UIRED DETAILS, -ON, PLANS.— SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE m GRAVTTY FLOW �-D/ J BOX M TRENCH/GALLEY M P- PIT DET -AILS SEPTIC TANK - SIZE, DETAIL WELL DETAIL, SERVICE LINE IF OVER TC NSTRUCTION NOTES (GRINDER RATE) ESIGN DATA: PERC AND DEEP RESULTS VO -FOOT CONTOURS EXISTING & PROPOSED ,ffRTVENKAY & SLOPES CUT �obTLNGGUTTER'CURTAIN DRAINS MMENTS: M d f:.- TAY MAP T Ct-DISCHARGE (OK) Cla'PERC & DEEP TOLES LOCATED RESENTA ,IVE OF PRLWARY -k%7D EXPANSIOti EXP. AREA; Sr -OWN: GRAVITY FLOW, SUTF.SIZE IF PUMPED Pi' & D BOX SHO« \ & DETAILED OUSE - NO. CF BEDROOMS WELLS & SSES S NV/D; 200 FT. CF PROPOSED SYSTEM PROPERTY iETIES & BOLNI DS HOUSE SETB. <.\ECESSA.RY -, GHT LOT) HOUSE SES` - L' =''FT. 1 "0: T1=E PIPE t NO BENDS; -Ni -'-X BENDS 45 W.;CT- -ANOLT F_? SYSTEMS fDEPTLAYBARR=,- H FT HORIZG� : AL: SLOPE 3:1 TC &- RADE LL SPECS GAUG E LLPROFIL DM NSIONS OLUME T=om \CH �LF TRENCH P:.CVII;ED �60 FT FLAX PARALLEL TO CONTOURS 00% EXPkNS :O PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN FIELDS 10' TO-P.L, -URGE TREES,..TOP OE. FILL.. m 20' TO FOUNZATION WALLS m 100 TO WELL 200' IN D.L.O.D., 1:,Y PITS m 100 TO STREW =i WATERCOURSE LATE (INC- EXPA:N) m 50' TO CATCH BASIN, 35' STOR- NfDRALN, PIPED WATER m 10' TO WATER LINE (PITS -20') CD 50' INTERMIT:'s.NT DRAINAGE COURSE CI] 200 FT. RESERVOIR, ETCH 1_J FT. GALLEY SYSTEMS S---MC TANKS m10' FROM FOLIATION; 50' TO NVEU y% i m 15' WELL TO Z _L LJ41�9� TEST PIT DATA REQUIM TO BE SUBMIITrM WITH APPLICATION DESCRIPTION OF SOILS ENCOUN MM IN TEST HOLE'S DEPTH HOLE NO. I HOLE NO. l — II. �' . HOLE NO. DESIGN Soil Rate Used Min/1" Drop: S.D. Usable Area Provided No. of Bedrecns Septic Tank• Capacity gals. Type Absorption Area Provided By L.F. x 24" width Other �F N, �• G Name &0)Qr0/V Pb, Signature M., Fill Address 1,,)L-ArJDw /LoAO SEAL M N&w Plu-TE AA>O', /z�61 goEss� NP., THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft,/gal. Checked by Date c. ('r 4AV ma- 1' L wI -7# ZD,01'� cAIn,u 3or,Z,,%¢5 21 3' 41 6' 7' 8' 9' INDICATE;LEVEL AT.MBICH_ GROUNDMTER -IS ENCOUNTERED INDICATE IZVEL TO WHICH WATER LEVEL RISES AFM BEING ENOOUNTERED . i mM; DEEP HOLE OBSERVATIONS MADE BY: rn/Ata 3uQ aw5K-L- DATE: I 93. DESIGN Soil Rate Used Min/1" Drop: S.D. Usable Area Provided No. of Bedrecns Septic Tank• Capacity gals. Type Absorption Area Provided By L.F. x 24" width Other �F N, �• G Name &0)Qr0/V Pb, Signature M., Fill Address 1,,)L-ArJDw /LoAO SEAL M N&w Plu-TE AA>O', /z�61 goEss� NP., THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft,/gal. Checked by Date c. ('r 4AV