Loading...
HomeMy WebLinkAbout2473DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 51. -1 -39.2 BOX 21 J L Lr �05 {. 02473 I I W. )/88 Id,06 S Odw RM"kgmmb I repmsent'Ihst I am wholly and completely rospOn>;iple!ol'ths di ."" described will W constructed as shown on the spproiisci &me County Department Of., Hfttth,� and that On COMP101i'lon,th4reoi be smbmntqd to the Department. And a wriitin i6irintis will Otace in 9".0perating condlitioany part Of liki, -.4 dl n. Sam Of the approval of the Certifkate, of Construction Comp well (N k,c,M*$ shown on the approved plan ar4that aid w*1 I W', proposed systerp(s); ljthii.ths separate savr di sposaLsWern nt there to arw in den4' w!th the #enjards, rules TiVre—e—GEl"s or , IRS Putnam rtificate of satisfiCt"'t 0 the .Co nmitaloMr.Of ""Ithwill lrw44ii the '"iter"'j, i i i - , h heirli,or alliNs by the bulkier. that said bulkier will �.iiiii,m during ths:084,10d,61, years imn"distely.following the date of • the Issu- .of.the Original system Or a regales thereto; 2) that the 'drililid well described 60— nsiallib'd in,ti­ n' a id IS 1"`gfpsi - it Acts S. rule and FORMUGIM-56f the Putnam COYnty Date Signed P.E. R.A. Addretl—%>. -;—L#cense No APPROVEO FOR CONSTRUCTION-. This approval *XpWft t years fr m the date ,inue . d unless construction of the building has been undertaken and Is !WO 5 7, revocsbeelfor cause or may be a- to or modified when consid U.qy by �C ismOner -of •Nos Ith. Any 'changs or alteration of construction Oab or .8 jv)P* no of dom" * "n res lrj4APProved for disposal of domestic IE W Ix I w ter supply only. L By Title DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New.York 10509 (914) 278 -6130 APPLICATION., TO' :'CONSTWC`_ ' ;A :`_WATER ..WL�ifi;.� PCHD PERMIT �k/ /O 17 WELL LOCATION Street Address Town/Village/City Tax Grid Number No2TN 5qQaA,b 90p.0 PWAVAJ VAOL46Y S2 - 1 -3y WELL OWNER Name Mailing Address ObY 7DMCAJ11' S10 JfAA64 AtO 1N(/, 226 Srh6,Qjer, 3AOFI-, Ajbv4 YOU Nr 1000) ®Private O Public USE OF WELL 0- primary 2- secondary Z RESIDENTIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP 0 BUSINESS O FARM O TEST /OBSERVATION 0 INDUSTRIAL O INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify O AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE__�gal REASON FOR DRILLING 0 REPLACE EXISTING SUPPLY O TEST /OBSERVATION 13 ADDITIONAL SUPPLY t3NEW SUPPLY NEW DWELLING 13 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING Nbw ^, WELL TYPE 10DRILLED 13DRIVEN CIDUG GRAVEL O OTHER IS WELL SITE SUBJECT TO FLOODING? YES V NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: 3Oy 7bA C.A+i,J Lot No. Z WATER WELL CONTRACTOR: Name -'v 56 P67b4^-)AA0 Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _,2�._NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY -•. IzYSTANCE. TO. PROPERTY ".FROM.. NEAREST_WA -M MAIN LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED /r (SON SEPARATE SHEET AvAj M e-b (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 drillin operations be contained on this property and in such a manner as not to degrade or other a contami ate surface or groundwater. Date of Issue: 19qq_ WV I Date of Expiration 19 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 Public Health Director August 18, 1994 William Orton 7 Meadow Road New Paltz, NY 12561 Re: Proposed SSDS: Tomchin North Shore Road Subdivision lot $2 (T) Putnam Valley Dear Mr. Gorton: Review of plans and other supporting documents submitted at this time relative to the above- captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." "You are referred to Article 128.1 of the official compilation of Codes, Rules ` and Regulations- of =the. -State. of�.NewiYork.,, Ti Ja 10, relative to the - need .for. approval of individual sewage disposal systems by the City of.. York: "'You` should contact City Officials in this regard." 1. Dosing is not required for systems equal to or less than 667 linear feet. 2. Erosion control measures for the house, well and SSDS are to be shown on the plan with a note stating all erosion control measures are to be installed prior to the start of any construction 3. Minimum scale shown is to be 1" = 309. 4. Sewer line is to be slewed in a C. S. P. extending the minimum 15 feet from the intersection of the sewer line and the 24" C. S. P1 Upon Receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, )�,, Nom' Robert Morris Assistant Public Health Engineer RM/jp APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS ... ,.REVIEW SHEET for CONSTRUCTION PERMIT ._. . .., -:. —. r.... renra ..ae •r'v. .v.. - x..;w T -v.`�: a;;n�e �;,._....v.w� -.r .. . MME OF OWNER STREET LOCATION^ DATE -DOCUMENTS - N 3 C- 1 WELL PE.R-Nff:= PWS LETTER fGLNEELS AUTHORIZATION SIGN DATA SHEET(DDS) EP HOLE LOG NSISTENT PERC RESULTS (3) RC HOLE DEPTH RPORA TIE RESOLLTION ZPLa.NS THREE SETS YHOUSE PLANS - TWO SETS 7 VARLANNCE REQUEST TAX -MAP Or DISCHARGE (OK) PERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY AND EXPA:NSIG:N 24 V XP. AREA; SHOWN; GRAVITY FLOW, SLTF.S=- IF PUMPED PIT & D BOX SHOWS & DETAILED U HOUSE - NO. OF BEDROOMS WELLS & SSDS'S WMN 200 FT. OF PROPOSED 537.--STEM PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) OUSE SEWER - 1 /417FT. 4 "0; TYPE PIPE NO BEN -DS; MA.X. BEDS 45 W;CLA.NCLT FILL SYSTEMS !CLaYBARRIER GENERAL 10 FT HORIZONTAL: SLOPE 3:1 TO GRAD. E LEGA -L SUBDIVISION FILL SPECS SLRDIVISION APPROV C:1 -CKED 'DEPTH GAUGES PERC RATE �� FILL REQLTRED 'Jt- -� FILL PROFILE & DLifEvSICNS CURT.ALN DRAIN REQUIRED CLSTANDPIPES TRENCH EC- APPROVAL SSDS ADJ. LOTS . LFTRENCH PROVIDED NN- =k', -D (TOiVtiiD(EC PERMIT R & D) E J MAX DATA ON DDS PLANS & PERMIT SA:Ig � P PRE- 1969 - NEIGHBOR NOTIFIFTCATION � PARALLEL TO CONTOURS 1C0% EXPANSION PROVIDED LETTER BL7BA SEPARATION DISTANCES SPECIFIED ON PLAN 10o1�t: "FLOOI7'EtEVATTON -" S_ EQUIRED DETAILS ON PLANS 10'-7 P. L, DRIVTWAY, LARGE TREES, TOP (fF SEii:AGE SYSTEIM PLAN - (NORTH ARROW) 20Y TO FOUNDATION WALLS SSDS HYDRAULIC PROFILE m GRAVITY FLOW 100 TO WELL, 200' IN D.L.O.D., 150' PITS D/ J BOX m TRENCWGALLEYCD P- Pn' DETAILS 100 TO STREAM WATERCOURSE LAKE (LNC.EN -.k.N) SEPTIC T .NK - SIZE, DETAIL 50' TO CATCH BASIN, 35' STOR- DRAP, PIPED WATER NYELL DETAIL, SERVICE LINE IF OVER 10' TO WATER LINE (PITS -201) CONSTRUCTION NOTES (GRINDER RATE) 50' LNTERMMEN'T DRAINAGE COURSE DESIGN DATA: PERC AND DEEP RESULTS 200 FT. RESERVOIR, ETC.m 150 FT. GALLEY SYSTEMS TWO -FOOT CONTOURS EXISTING & PROPOSED SEPTIC TANKS' DRnENVAY & SLOPES CUT 10' FROM FOUNDATION; 50' TO N ELL FOOTING,GUTTER/CURTAIN DRAINS WELLS JMMENTS: �015'NVELLTOP.L. APPENDIX I DESIGN DATA SHE£T- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner y ' Ta/'?JW Address Located at ( eet) p5c,Qc„AtiA f•�"�iGNfS Sec. Block Lot (indicate nearest cross street) Municipality 7DL,,y OF /21(7�AJA') IRZJ.6 y watershed o SOIL PERCOLATION TEST DAM P=U= TO BE SUEM]:= WITH APPLICATIONS Date of Pre- Soaking 9�3/G� Date of Percolation Test HOLE NU-M R CL= TIME PERCOLATION PERCOLATIC N Run Elapse Depth to Water Fran Rater Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches • 30 2 yr4iz-5;►� -��- J - - -. t=--_ " :� .•fi - _ : : _ .. .: l� ,1 . _ �._..' _ S' n, l a' - - 2 Zy:' "TO "►0..: :3Q_.: ^__��?j:[,��- .- :�����:• : -- .:. -3 %.._.. " iL %^�i,�..__._ r...__ _ _ •� 3 s; /� - �rL /� 3� • may' r. 2�:1�' j ,i' �� �,rr „1 NU.rES: 1. Tests to be repeated at same depth until apprcxi.mately equal soil rates are obtained at each percolation test hole. All data to* be submitted for review. ,�g� 2. .Depth measurements to be made from top of hole. J rev. 19/85 31 t41-VZ1,Y 64A11"Ll 41 1 '5D,(j_)2'o IL 5 51 61 71 RE 91 10, lit 12 T 13.1 14' INDICATE I= AT WHICH GROONDRAM IS ENC=EPM /VOA-)S INDICATE LEVEL, TO MICE WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE, BY: DAM. DESIGN Soil Rate . Used Min/1" Drop: S.D. Usable Area Provided No. of Bedrccms Septic Tank Capacity gals- Type Absorption Area Provided By I L.F. x 24" width trench Other Nam 60)e0^j Address 2-S-6 THIS SPACE FOR USE BY HEALTH DEPAMM ONLY: I NEW 5 ; - Soil Rate Approved sq'ft/gal. Checked by Date '40 -M.0 =ST PIT DATA E1-JJU1-hW --LV nr� 0u2Y1 .L.Lx1j rv.L.Ln DESCRIPTION OF SOILS ENCOUNMMED IN TEST SOLES DEPTH HOLE- NO. HOLE NO. HOLE NO. G.L. :5,A^JOV 2-014e-,) 2' 31 t41-VZ1,Y 64A11"Ll 41 1 '5D,(j_)2'o IL 5 51 61 71 RE 91 10, lit 12 T 13.1 14' INDICATE I= AT WHICH GROONDRAM IS ENC=EPM /VOA-)S INDICATE LEVEL, TO MICE WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE, BY: DAM. DESIGN Soil Rate . Used Min/1" Drop: S.D. Usable Area Provided No. of Bedrccms Septic Tank Capacity gals- Type Absorption Area Provided By I L.F. x 24" width trench Other Nam 60)e0^j Address 2-S-6 THIS SPACE FOR USE BY HEALTH DEPAMM ONLY: I NEW 5 ; - Soil Rate Approved sq'ft/gal. Checked by Date '40 -M.0 DESCRIPTION OF SOILS EN Mm IN TEST HOLES vq b DEPTH HOLE NO. HOLE M. 2 _ BOLE NO. ..y '� ~Ge Le��. >. ......_ ,�..r,';..; r .r- / y� ✓��� ..w .. .cc.< .. ...._. .... s.... .. ..... ._.. =:.r. ± - r ., ..e....x.,.. � 1° �raa,, �.�►, �p�a 5�0�! c.o�m wrN� . 2' 3' .o 4' fir@ ys' 5, lI 6' 7' a' 9' 101 11' 13' _ INDICATE INDICATE LEVEL TO MICH WATER LEVEL RISES AFTER BEING IIMUNTERED DEEP HOLE OBSERVATIONS MADE BY • �/ 's�'� DATE: DESIGN .Soil Rate Used Min/1" Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity gals. Type Absorption Area Provided By L. F. x 24" width -tren 00 NFy,yd G p9 9� Other Na L�/l�liy�i Signature W Nam $ A ,Address SEAL 062��Z 'THIS SPACE FOR USE BY HEALTH DEPAMM ONLY: Soil Rate Approved sq.ft/gal. Checked by Date + e : PUn4AM COUNTY DEP� ARn4ENI' CF BEAM DIVISION OF ENVIRCNMENTAL HEALZS SERVICES _ APPENDIX I DESIGN DATA-' SiiM- SUBSUFACE SEIgXM DISPOSAL - SYS7- R4" ` = . -FIXE NO. Owner s�i %0►"1C111� Address • Located at (Wreet) C)564"A4A NeI60 > 5No� -s /j0. Sec. Block Lot 2 (indicate nearest cross street) Municipality. PkTO 41n VA44-by Watershed SOIL PERMUMON TEST DATA REQUIRED TO BE SUBNII= W H APPLICATIONS Date of Pre- Soaking Date of Percolation Test HOLE bo NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate, Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches -30 12. 13 30 11-1 2 bo 3 430 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 submittO-3 for review. 2. Depth neasurements.to be made fran top of hole. rnv Q�RS PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of 50Y -rn/J?CP//j Located at AJ00#1 561-,45 )ZC> AD (T). AOI'J"l UAL)&Y Section Block _L_ Lot - Subdivision of 50Y To/)')CAIN Subdv. Lot # 2- Filed Map # �-G12 Date 4 Gentlemen: This let . ter is to authorize N11-41AP1 -5. �A- AZ a duly licensed professional engineer r- 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 standardsq 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 connec-t ion. with thi-s matter and to supervise the.. coAs.truction.-Of Said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed 4 Countersigned: 14 Owner f Property 1Z4 loll Awt 3::l Ft.. P. E. 9 R. A. Address 2 1,12,640,0cJ Address ,Aj6L,.J P-4L7Z NY, /256/ Telephone iv Town -L i I - 6 -93--c) 3.4 o Telephone I r -C . ............ EPARTMENT OF HEAWN I r -C &0,0 rHoop PuiNAMPUC"WITY I EPARTMENT OF HEAWN HOUSE PLANS APPIRGI! :r) FOR BMROCM COUNT T ©o Al BEDROOMS' 6 , 6 7qi De to r... flg5r'FLLtiP PLR &0,0 rHoop PuiNAMPUC"WITY I EPARTMENT OF HEAWN HOUSE PLANS APPIRGI! :r) FOR BMROCM COUNT T ©o BEDROOMS' 6 , 6 7qi De to r... J1 E) z� �4. LOT j- E. AIQ, -JOY _T01'1-)411'J ujWo/v Af TIvAPI i. DA-re- 7 //PA14 !l*_-ztc, me-, - 0" 'y. W/UJA/n '60�rrorj p"C' '. 7 msoaa� R-a 'L� PA4'R NY 12'156 ii i r I'd , .4 ... V, ♦ �peM F t ► - _ f a v. VLF � - �/L- 2 _' �c �Il • � I � 9 *• fQ.. • 1 • t --tea t Ve Ebb W .4 rl f � . I'd 5 Ecou0 Zwe PLAAJ i -DEPROOM Coupi' ill: 'QQ C _ r � 3 i� y• 7 '•' III r!l # ^� l.,d9.. 'syy �{a3 ¢7 Y � 4 Q' � j ta✓!tY luicM[w - .. it e - fiu�Yra ,oryr7 a 1..� ,... � .ic .- a5. V, �peM F ► - _ f a v. VLF � - �/L- 2 _' �c �Il • � I � 9 *• fQ.. • 1 • t --tea t Ve Ebb W .4 q � / •eL 5 Ecou0 Zwe PLAAJ i -DEPROOM Coupi' ill: 'QQ C _ r � 3 i� y• 7 '•' III r!l # ^� l.,d9.. 'syy �{a3 ¢7 Y � 4 Q' � j ta✓!tY luicM[w - .. it e - fiu�Yra ,oryr7 a 1..� ,... � .ic .- a5. airF y _ u,.l Roo., • /' r..... F 'S OF HEAl3'R P�fiN hok 5u80jVISION P 104TAAM UPILICY CWAt R - 50Y TO /nC HAJ l�UFSIOVS Dont- - 9 Po r14 ly W 11 -LIiP) I. (�OiYiOPJ p, E.. L P'$4Aw A-4 nxw O� M �isb ► - t --tea t .4 u,.l Roo., • /' r..... F 'S OF HEAl3'R P�fiN hok 5u80jVISION P 104TAAM UPILICY CWAt R - 50Y TO /nC HAJ l�UFSIOVS Dont- - 9 Po r14 ly W 11 -LIiP) I. (�OiYiOPJ p, E.. L P'$4Aw A-4 nxw O� M �isb OF HEAl3'R P�fiN hok 5u80jVISION P 104TAAM UPILICY CWAt R - 50Y TO /nC HAJ l�UFSIOVS Dont- - 9 Po r14 ly W 11 -LIiP) I. (�OiYiOPJ p, E.. L P'$4Aw A-4 nxw O� M �isb