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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 51. -1 -56 BOX 21 �ti,. ,. ;; I I ; rr 02494 4V \ Q PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES. v-�... ... • ... _.. . . h aw+a .. •. .1.. � �.. .t-. .r .n: r, w h.....i • . ...u. ....t.. -.- 1 � L .. r._+. � . w . s.. .. rau.•w.. •. N w ... rl Y:.r r' .. -rcf CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # y ✓- /o - o D Located at Town or Village ©7'eA1W' f UA 6ge. Owner /Applicant. Name & 2 Tax Map S/ n Block / Lot Formerly Subdivision Name Tl2K]%/n/ (o POST- Subd. Lot # # 3 Mailing Address 5/ Z AWE 54a 121! &�tL l Zip l °SG y Date Construction Permit Issued by PCHD 0 _& Separate Sewerage System built by d/1 Vi S c';c� Address ,��C�icTl ,/E �,l �An 1 Consisting of /-L S 0 Gallon Septic Tank and VSZ L F D ( JFA%e -A11'k% G bf S z .S/ /�• Other Requirements: 414 "i6'E/2 a Water Supply: Public Supply From Address r / I or: ✓ Private Supply Drilled by =0 g L 1 S 1i t SowSAddress Imo' wilding Ty e. �� "" '�`� t �/i�i Has-erosion-control been completed? ..._ .P.. �L� rQt!. .... _ �_.�..._ . Number of Bedrooms y Has garbage grinder been installed? `I 0 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: 8 1000 Certified by P.E. ✓^R.A. n cLO (Desi n Professional Address 'J 0 Z T 3, (0�� __ O,i License #�.% Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revoca ' n odifi ion c g 's nec sary. _ r, By: Date: % /0(2 ' White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional j Form CC -9' 1. P UTNIAM COUNTY DEPARTMENT OF HEALTH YVgS�ON1 OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well )Vddti ®ati ° °" _`freeti Address - - Town /Village :. �trw � OB LTa Grid # - p, /m Block Lot(s) Well Owner: Name: Address: Use of Well: - prima 2- secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion----.a Compressed air percussion Other (specify) Well Type Screened Open end casing \& Open hole in bedrock Other Casing Details Total length eft. Length below grade 44 ft. Diameter in. Weight per foot alb /ft. Materials:' Steel Plastic _ Other Joints: _ Welded Threaded —Other Seal:-, Cement grout _ Bentonite Other Drive shoe.----., Yes No Liner: Yes _ 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 Hours Yield _/,,J: gpm Depth Data Measure from an surface- static (specify ft) /6 During yield test(ft) Depth of completed well in feet 1,4zdo 1 rg V,5-- 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 /CA F -4/ . a p4 �;/ tZd�. evt - If yield was. tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type 4:j Capacity 7_ Depth __L&0 Model 2GLIO Voltage AV HP Tank Typ tyVolume _4L4 Date Well Comp eted Putnam County Certification No. Date of Report. We ill (signature) -;:— P-10i NOTE: Exact location of well with disttances to at least two permanent landmarks to be provided on a separate sneevpian. Well Driller's N e /�iS�4 �.SU.� Address: Signature: Date: 4 A d O White copy: HD File; Yellow copy -Building Inspector; Pink copy - Owner; Orange copy- Well driller Form WC -97 12/12/2000, 13:51 9142453170 YORKTOWN MEDICAL LAIS YML ENVIRONMENTAL SERVICES 321.. Kear Street (914) 245 -2800 Albert H. Padovanit Director LAB #: 32.007757 CLIENT #: 114 NON STAT PROC PAGE 1 NNNNNw. N W-W --- MNNN NN NNWNNNNNNNNM WNW NIMMMMNMNMNNMNNNMN /VNMNNNWMWWNNNWNNNMN TORLISH & SONS DATE /TIME TAKENx 11/29/00 1EP30P BOX .P'7'1 a 45 MAPLE AVE_ DATE /TIME REC' D: 11/29/00 lei =P ATTENTION: DWAYNE TORLISH REPORT DATE. 12/12 /00 ARMONKa NY 10504 RHONE: (914)- 273 -3448 SAMPLING BITE: LAKE SHORE DRIVE : PUTNAM VALLEY$ J.P1 NISI COL D BY: D. TORLISH NOTES...: TANK ------------------ -- JyMNNWMNN11NMro DATE FLAG PROCEDURE SAMPLE TYPE..: POTABLE SON PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORM METH: MF N N N N M N M-- N M N N .IN N N N MN N N NN N N NN N N N N N N N NM N N RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 11/29/00 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 11/P9/00 LEAD (IMS) 1.4 ppb 0 -15 ppb 9101 11/89/00 NITRATE NITROG 0.23 MG /L. 0 - 10 9139 11/29/00 NITRITE NITROG <0.01 MG /L N/A 9146 11 /^c9 /00 IRON (Fe) <0.060 MG /L 0 -0.3 mg /l e037 11/29/00 MANGANESE (Mn) KO,010 MS /L 0 -0.3 mg /l e037 31/29/00 SODIUM (Na) 4.90 MG /L. N/A 11129/00 pH 7,1 UNITS 6.5 -8.5 9043 11 /eq /00 HARDNESS,TOTAL 60.0 M01L N/A 11/P9/00 ALKALINITY (AS 48.0 MG /L N/A 1i/29/00 TURBIDITY (TUR <1 NTU 0-5 NTU BACT THESE RESULTS INDICATE THAT THE WATE (WAS)p 5 NUT) OF A SSATISFACTORY SANITARY QUALITY ACCORDI TO NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, THE PARAMETERS TESTED! AT THE TIME OF COLLECTION. Pb /Cu LEAD limits for pi EPA Leas! L Copper than 10!( of their than 15 ppb and a treatment must be potential. ,:blic 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 an a sodium restricted diet,the water should contain no more than SO mg /L, of Sodium. Por those on a moderately restricted) diet, a maximum of 270 mg /L of Sodium is suggested. 12/12/2000, 13:51 9142453170 YORKTOWN MEDICAL LAB PAUL b4 YKL ENVIRONMENTAL SERVICES Yorktown Haight %,' Na V e . 80�9� V ....,.,......._�.... . , _ ..:....-. -...� Q914D 245 —e800 Albert He Pad®vani, Director LAB O s 32 0 007757 CLIENT On 114 NON STAT PROC PAGE 2 pp/01NR7MM NMN/MM/Y AI1MpiCl kl 111 pl p/bppdpres alsppgRfpppWWpa xy of wl asp N MppN pa wAIw AM•MIN M-- NM/Mw.rMMIV MI JW IMM!V Ala as TORL I SH a SONS DATE /TIME TAKEN n 11/e9/00 12 a 30P 809 2719 45 MAPLE AVE. [DAVE /TIME REC'IDo 11 /29/00 g2o55P ATTENT I ON a DWAYNE TORN I SH kEPORT !DATE s 12/12/00 ARMONK, MY 10504 PHONE a (914)-273-3448 8 SAMPLING S II TIE a LAKF ASHORE YDR I VE PUTNAM VALLEY, ,.1 q .P- NIE' COLD Bvn D. TORLISH NOTES... a TANK ppR/NpItl ql Mlppp Np pNW NMI AI MIab M/u JY /aNNAINIw NIIIMN MNNNN DATE FLAG PROCEDURE SAMPLE TYP E o e e POTABLE SON PRESERVATIV ES a NONE TEMPERATURE —2 4 4C COIL. I FORK HETH a Pct' NNNNNNNMINNNMNAI ----MI MINIV AI NI MIN MxIN IMMlII MINM MMN� RESULT (NORMAL ° RANSE METHOD PH pH SCALE IN WATER RANGES FROM 1 - -14. MEASUREMENT OF PH IS ONE OP THE IMPORTANT AND FREQUENTLY USED TESTS IN DATER CHEMISTRY, WATER WITH A LOW pH MIGHT BE CORROSIVE TO !METAL_ PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.3. 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 4 TO HUNDREDS OF M6/L., DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER a 0 -70 MG /L VERY HARD WATER- ABOVE 300 MG /L MODERATELY HARD WATER: 70 -140 MG /L MS /L. o H I L.L II SRAM PER LITER HARD WATER 8 140-3(i0 B"1 ®f9.. (1 grain /gal Ion m 17o2 MG/L) rr i SURM I TTED BY o Albert H. Padova , M.To ( D a vve for ELAPO 1 0923 0 I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAG)C TREATMENT SYSTEM Owner or Purchaser of Building Tax Map Block Lot /f11L-Y6V Cor"7 Cd4P 1-007 -IV,4 c r/�UCH/ Building Constructed by Town/Village 1V 6 R-7-# j #646 Ie d A/0 '/ZA-0 /A/G ,aOJ T Location - Street REs / o 6VT7AL, Building Type Subdivision Name .5--6 4S -A 3 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: o �°� ay Y Year -2 4 4 0 Signature: Title: General Contractor (Owner) - Signature Corporation Name (if corporation) Corporation Name (if corporation) Address: �� S�ae� �, ��r�•.• y Address: State 141, Zip Id Se State _ Zip Form GS -97 k1 ; o , BRUCE . R . FOLEY �. - ........_.._ .._....... . Public Health' Director - LORETTA- MOLINARI: RN.,:..M.S.N. - �- Associate Public Health Director Director of Patient Services DEPARTMENT OF B EAI,T H 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 OWI1 E2S NA1EE: TAX MAP NUMBER: E911 ADDRESS: TOWN: AUTHORIZED TOWN .OV (Signature) DATE: CAJ L 4. U i(i 13 Ei i 2000. The Putnam County Department of Health will not issue a Certificate of Construction Compliance unless the above form is completed, i.e., a legal E911 address is assigned by an authorized town official. This form is to be submitted with the application for a Certificate of Construction Compliance. (E911 VERFRM) PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEAL ONSTRUCTION PERMIT FOR SEWA A' PERMIT # t✓ Located at Town or Vi Subdivision name Subd. Lot # 3 Date Subdivision Approved Owner /Applicant Name t,i rj,, & Tax Map Renewal [ SERVICES SYSTEM Block / Lot S-j:� Revision Date of Previous Approval Mailing Address 5�1 2- &QaziQ1,,,_&&a. &curw/r -, AJ "i zip D " Amount of Fee Enclosed - Building Type J?r5wrz,,ynAL Lot Area L% 714.,- No. of Bedrooms __�/ Design Flow GPD C Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1:25-0 gallon septic tank and #4V Cr r >f / iritic_ Tyr -eu , C.� s'— �s ` � _ n, B F;,� _ i2 sa �iL &,•,,,.�.►„, Other Requirements: To be constructed by 71317 Address Water Suplib: Public Supply From Address or: �_ Private Supply -Drilled by E60.—. Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: � � �� P.E. 'r/ R.A. Date 101141,66 Address Cj2i0TD /U V d J7 2 License # APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when consider d neces by the Public Health Director. Any revision or alteration of the approved plan requires a new pe App ve o dis arge of domestic sanitary sewag only. By: Title: Date: (1/1/00 " hite copy - HD File; Yellow copy - Building Inspector; Pink cop l- Owner; Orange copy - Design Pr essional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN. DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner 10 7 rm �4ypz_IG� Address 5l2 Aft 105i5l Located at (Street) /z)of'TH 5LO' c- Ro Tax Map J5/ Block Lot S6 (indicate nearest cross street) Municipality Drainage BasinC,,,�,�,¢..� ,q C 6 F/ LL SOIL PERCOLATION TEST DATA Date of Pre - soaking /o :11- o6 Date of Percolation Test. /o a2 -ors Mole No. Run No. Time Start - Stop Ela se Time (pMiU.) Depth to Water From Ground Surface (Inches) Start Stop Water Level Drop Iu Inches Percolation Rate Min/Inch /5' - Ie 3 f. 2 3 � 3 3 2 :361 -2. 1H o lS-- IE 3 2.7 4 Ny -2:53 11 iS— lE 3 3 s 4 30 3.99 q 15r r l� V 3 3 S 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 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 1 � P TTNAM COUNTY DEEARTMEN7 OF HEALTH DEVISIO OF ENWRONMENTAL HEALTH SERVICES ���� T Cw4 TkutTION PERMIT F'0 EWAGE TR A'Il'l�'iIENt'g'YS EM . -. PERMIT # —10 -0 l7 9' Located at N ®fz I� S pogre KOAP Town or Village PVT -PAg n !t Subdivision nameTWP(rF oN 1W Subd. Lot # Tax Map 51 Block Lot 4 Date Subdivision Approved 7 - j 9 If Renewal Revision Owner /Applicant Name Tppapcg Date of Previous Approval Mailing Address 51"L 435 POND 12-0-A-0 Zip Ia Amount of Fee Enclosed Building Type AeL- Lot Area +;7A,(, No. of Bedrooms f Design Flow GPD &20 Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN ]FILL IS COMPLETED Selparate Sewerage fvstem to consist of 1 ` 5() gallon septic tank and 0.5-2.15 1 ¢ F;�.O- 5. FS L-L, /1V 6L?A- IV BWV105 Other Requirements: &A,40P pOA4 p COWB�' To be constructed by -ra a Address Water Su l : Public Supply From Address 'or: Private- gupply- -Drilled:.by. - Address -- I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted, to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: W. P.E. Address r� ��X �D� — / U�v N � D� v R.A. License # _ Date 3113111 APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary b e Public Health Director. Any revision or alteration of the approved plan requires a new t. Ap ove o is arg o domestic sanitary sew a only. By: Title: Date: S C) ,D White copy - HD File; Yellow copy - Building Inspector; Pink co y - Owner; Orange copy - Design Prof ssional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # Well Location: Street Address: Town/Village Tax Grid # D RTN*1 l VAuzr Map 51 Block I Lot(s) J Well Owner: Name: Address: mawm anE- Use of Well: Residential Public Supply Air /Cond/Heat Pump Irr gation 1- primary Business Farm Test/Monitoring ,Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought S t gpm # People Served __I- Est. of Daily Usage 3;o© gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type )( Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision? ...................................... ............................... Yes X No Name of subdivision j P-Aplp (r- f05T' 07:� 1W-0 � Lot No. 3 Water Well Contractor: 7; D, 4, Address: Is Public Water Supply available to site? .................................. ............................... Yes No X_ 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: -- / ®° O® Applicant Signature: A4�pk PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface .or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well dr' ler Mcertifieyam County. Date of Issue 3 d Permit Issui Official: dsL� Date of Expiration Title: Permit is Non- Transfe ra le White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form. WP -97 PUTNAM COUNTY DEPAWfMEN'I' OI+ DIVISION OF ENVIRONMENTAL HEALTH SERVICES.' J APPLICATION FOR APPROVAL OF PLANS FOR y ; - - A WASTEWATER TREATMENT SYSTEM 1..Name and address of applicant: 2.. Name of project: la-1 31/n w 3. Location. TN: 1�lJAY1') U LL ` 4. Design Professional:;;��„/?/y�.,.,a.,, 5. Address: 6. Drainage Basin: *e 7. Type of Project: Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision . Other. (specify) 8. Is this project subject to State Environmental Quality'Review (SEAR)? Type Status (check one) ....................... ............................... Type I Exempt Type II Unlisted 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... IU 4 , 10. Has DEIS been completed and found acceptable by Lead Agency? ............... A), 4 ; 11. Name of Lead Agency 12. Is this project in an area under the control of local planning, zoning, or other officials,;ordinances? .. -_ ...............: 13. If so, have plans been submitted to such authorities? ...... 14. Has preliminary approval been granted by such authorities? Date granted: AUTA . 15. Type of Sewage Treatment System Discharge ................. surface water k' groundwater 16. If surface water discharge, what is the stream class designation? .................... AV./1 , 17. Waters index number (surface) ........................................... .. .............................. 18. Is project located near a public water supply system? ....... ............................... N o 19. If yes, name of water supply . Distance to water supply. 20. Is project site near a public sewage collection or treatment system? ................ 21. Name of sewage system Iv O Distance to sewage system 22. Date test holes observed. z..g 3 23.. Name of Health Inspector 24. Project design flow (gallons per day).............. ............ ............................. 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... A, 26. Has SPDES Application been submitted to local DEC office? ......................... A -111A I Form PC -97 t. 2 27. Is any portion of this project located within a designated Town or.State wetland? /Va 28. Wetlands ID Number ............................ ... ..... .......... ............................... :..�:� .. 29. Is Wetlands Permit required? ..................... .... ................ ...................... Has application been made to Town or Local DEC office? ............................... 30. Does project require a DEC Stream Disturbance Permit? 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ............................ Yes/No 0 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site of. any other potentially known source of contamination? ............................... Yes/No 0 DESCRIBE: 33. Is there a local master plan on file with the Town or Village? .......................... s 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ................................ ............................... 35. Are any sewage treatment areas in excess of 15% slope? . ............. .I................. &es 36. Tax Map ID Number .......................... ............................... Map,!;-/ Block_ Lot ' 37. Approved plans are to be returned to ..... Applicant _ Design Professional NOTE: All applicaiions_for review and approval of a new SSTS to be located within the NYC Watershed shall be sent to the Departriient, and need not be sent in duplicate "to "the-DEP; althougYf the project-may-require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater.plans or the creation of impervious. surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item I .,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury; that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNATURES & OFFICIAL TITLE'S. Mailing Address: ................................... 14 -164 (2187) —Text 12 E CT I.D. NUMBER 617.21 SEAR _ ... ...... . ,M1 ... r a .,•.. .... _ ..n,V. pensllx.C,. ._... ,.. .-... ._ ... •a -.. - ., ., a ......, x ... ......,•.,ra ., i.• State Environmental Quality Review SHORT. ENVIRONMENTAL ASSESSMENT FORM. For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1: APPLICANT /SPONSOR 2. PROJECT NAME, 3. PROJECT LOCATION: Put-PAM' VA b p U PJ"M CAbun�T Municipality ( County / 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) 5. IS PROPOSED ACTION: IV New ❑ Expansion ❑ Modificationlalteratlon 6. DESCRIBE PROJECT BRIEFLY: C©h�frc,c•/" �' �3- iP, �' rs��,( �i'% veea���Gt�c? % /A�c�v�ti�s °�- •v..��� ,f'e�i� o���v 7� '�3 s�'Ti-�o�=•� %�os7'` //fie- %�vc���C,o•� /��Sys���l 7. AMOUNT OF LAND AFFECTED: Initially —4,7 acres Ultimately acres 6. V IL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ❑ No If No; describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ntial nds(Ia Cecil ❑AgriculturReside _ Park/Forest/Open space ` ❑'Other _ : : Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL) ?? ,XYes. FSJ No If yes, list agency(s) and permmlUapprovaisn 11. ; ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ffaaDOES 1v` Yes ❑ No If yes, list agency name and permlVapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE, MODIFICATION? ❑ Yes 2No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ApplicanUsponsor name: �C%��'�Gei'�d9 G' E— Date: C� '� � if Signature: -- M If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER FART II— ENVIRONMENTAL ASSESSMENT (To be completed by 4gency). A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR, PART 617.12? If yes, coordinate the review process and use the FULL EAF. ❑ Yes ❑ No •B •WILL ACTION 'REGEiVE COt)RDINATED'REV(EW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No,'a negative declaration may be superseded by another Involved agency. ❑ Yes ❑ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, If legible) C1. Existing air quality, surface or, groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly" C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or Intensity of use of land or other natural resources? Explain briefly C5. Growth, subsequent development, or related activities likely to be induced.:by the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not identified in C1-05? Explain briefly. C7. Other impacts (Including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes ❑ No If Yes, explain briefly PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above, determine whether it Is substantial, large, important or otherwise significant. Eac&effect should be assessed in connection with Its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) d! irrdbfjsibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that 71 ;AxpikAtions contain sufficient detail to show that all relevant adverse Impacts have been Identified and adequately addressed. �i Ch k this box if you have identified one or more potentially large or significant adverse impacts which MAY vf, occw. Then proceed directly to the FULL EAF and /or prepare a positive declaration. � L :) �Chel,this box if you have determined, based on the information and analysis above and any supporting ,•� �6ocuWe tation, that the proposed action WILL NOT result In any significant adverse environmental. impacts D ;ide on attachments as necessary, the reasons supporting this determination: . a „s Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsi e o icer) Date 2 P6 �ei P(MQM QOgiMY DEPAMNENT OF' HEALTfi ��"� :t t�...�,, G DIVISION Or ENVLRM=AL HEALTH SDWICES POST &W %K P DESIGN DATA SHEET- SUBSUFACE SE4PLE DISPOSAL SYSTEM FILE NO. owner.:,::.�v Located at (Street') �a SNo aT SVOW41u4lec. 61 • Block Ipt (indicate Anega,�restt cross street) 3 1- Municipality �(� 1'�M W A"w T_ Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre-Soaking - qq' - Date of Percolation Test 9 q " Z�� c� "` i � -7(- / L —T-- 3 a ���r t 1 `�� P3 1 HOLE NLMBER CI= TIME PERCOLATION PERCOLATION Run Elapse: Depth to Water. F.;cm Water Level No. Ti me Ground Surface In Inches Soil Rate Start-Stop Min. Start. Stop Drop In Min /In Drop 7.7 Inches . Inches Inches iI '' -1130 13 2l . 2 3 3 5 3 ,3 NOT "T 0 vA -7, 0, P7 1 '�I21 ' I,ti3 �' . �, 0,' Sort 2 �I✓ I1�� 3 vI ?� j, o 3 a ���r t 1 `�� P3 1 5 P3 1 it - I I'" 3 I1 gfr - I 3 a . z3 3 7.7 4 11) z_,, .�z 23 NOTES: pt✓ o a DW _M�t 1. Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2. Depth measurements to be made from top of hole. rev. 9/85 DEPTH I T PIT DATA RE"..- LD 'IYJ "i I 1'1*1T4J Vi E 'j.r - U JM�j MSCY.' "?PION ., . ' .IS _0 �17T) IN HOLE NO. HOLE NO. HOLE NO. L 1A 4 'S 20 31 4 T74#tm P -JAN, 5 60 4T619— 6'6"o e &-juP. & 7 81 Somf el X" a, e7dt` 91 100 121 131 No e-v r& 141 No , 14vo — NO 0(*_ - 140 112o Iq C. 1.1,o- INDICATE LEVEL AT WHICH GROUNDWATER IS ENOOUNTERED INDICATE LEVEE` TO. WHICH- -WATER R LEVM RISES AftER BEING _EtMUNTERED... p°�/ " 91 .46b DEEP HOLE OBSERVATIONS MADE BY: DATE: % 171f T& .- 4/7- /17 DESIGN Soil Rate Used Min/1" Drop: S.D. Usable Area Provided 2�2n No.•of Bedrocms . Septic Tank Capacity gals. Type Absorption Area Provided By L.F. x 2411 width trench Other Name Q, - U/ OCN re m torulriu,u Address Rte. 22 & Hardscrabb"C 11- S cc Croton Falls, N.Y. 10519 NO. 1 42 THIS SPACE MR USE BY HEALTH DEPAfM%k/p Soil Rate Approved sq.tt/gal. Checked )y Date Q PSJmm .aXWrY DEP1 kRMn OF' HEALTfi DIVISION OF EWIR0%PiENTAL HEALTH SERVICES DESIGN DATA.. SHEET- SUBSUFACE -.StKAGE,.DI- SPOSAL�.•S- YSM- - FJIZ& Np: owner ..�, _ Address c'_. T Located at (Street)gom- 54096 AtJIJ�+I_Hlg Sec. �� • Block Lot ( indicate nearest cross street) Municipality t�U'r1JAM yAwegY Q-r Watershed SOIL. PERcOLATION TEST DATA REwmw To BE SUBMITrw WITH APPLICATIONS Date of Pre- Soaking . (� L " ! - Date of Percolation ' Test HOLE NU4BER CLOCIC 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 6, d 0 101, ILI 3 �a,_ z�. V Zy 4 11A 5 3 NOM: 1. Tests to be repeated are obtained at each for review. 2. Depth measurements to rev. 9/85 at same depth until approximately equal soil rates percolation test hole. All data to be submitted be made from top of hole. DEPTH 2' 31 41 69 70 81 go 10, 12' 13' T DKVA 1d;Q0-1-:%'1:D A) J%'; DESaur-'rioN of Som,j IN 1'1:'`1' 110i-E-S HOLE NO. HOLE NO. HOLE NO. 14, INDICATE- LEVEL AT-WHIC[l GIROUNUAM IS FNCOUNT= INDICATE _LEVEL TO WHICH WATER LE W- RISES AFTER BEING Eb=UNTERM- DEEP HOLE: OBSERVATIONS MADE BY: DATE: DESIGN Soil Rate Used Min /1" Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank-Capacity gals. Type 1. Absorption Area Provided By L.F. x 24" width trench Other Lo :3> Name Bib6o Associates Signature Commiting engine ers-PlafflMrs Address Rte. 22 & Hardscrabble R& SEAL Croton Falls, N.Y. 10519 SPACE FOR USE BY HEALTH DEPAR`n4CNT ONLY: �11 NO. 421% ll OP 51 A Soil Rate Approved sq.ft/gal. Checked by Date CD C) Ti C CI 70 T1 L0 C� -A C3 C-3 439 COO I S,o iAL ENG1, IN A A -8 -A) INDICATE _LEVEL TO WHICH WATER LE W- RISES AFTER BEING Eb=UNTERM- DEEP HOLE: OBSERVATIONS MADE BY: DATE: DESIGN Soil Rate Used Min /1" Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank-Capacity gals. Type 1. Absorption Area Provided By L.F. x 24" width trench Other Lo :3> Name Bib6o Associates Signature Commiting engine ers-PlafflMrs Address Rte. 22 & Hardscrabble R& SEAL Croton Falls, N.Y. 10519 SPACE FOR USE BY HEALTH DEPAR`n4CNT ONLY: �11 NO. 421% ll OP 51 A Soil Rate Approved sq.ft/gal. Checked by Date W PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of Located at P09- j4 SPOIZ, P,0,j T/V!%'N/X►✓1 Ulkll•Ei Tax Map # J� Block Lot Subdivision of 15�oep i -' 4- Pb6, r o ti f w lAg.,5 Subdivision Lot # Filed Map # 2732 Date Filed /_7 _ M9 Gentlemen: This letter is to authorize J(I/k_K. i"• A& A.,1a nc,vn- a duly licensed Professional Engineer ")4- or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or water supply systems in conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public Health -L• aw,-',and-ihe Putnam County. Sanitary-Code._ ..... Countersigned: , P.E., R.A., # 818W A6S0C.rAjT-5 Lip Mailing Address 5jbq ftAl' 22 c�Tors lr'IkLL.S State * N i Zip I v 519 Telephone: 114- - 171 - 52) 05 Very truly you , Signed: (Owner of Property) Mailing Address: 51a Aec{4rd /-o a,4- /- /-md /L k- State Al Y Telephone: Zip Form LA -97 PUTNAM COUNTY DEPARTDflrNT OF HEALTH IT DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT, SYSTEMS IZEVIEW'SH.EETT'OR•CONSTRVCTION PERMIT ,""'""'.' ," "' .. ` NAME OF OWNER: E A 0 9- i�l G g VIEWED BY: RM, GpG—) SRDATE: Y DO t -N S P ICATION SWES WE ERMIT RPWSLETTER / LETTER OF AUTHORIZATION DESIGN DATA SHEET (DDS) a, CORPORATE RESOLUTION . ,$ SHORT EAF y PLANS -THREE SETS HOUSE PLAY'S - TWO SETS VARIANCE REQUEST SUBDIVISION LEGAL SUBDIVISION SUBDIVISION p�ROVAL CHECKED PE RATE Ate• L REQUIRED DEPTH CURTAIN DRAIN REQUIRED GENERAL j.00ATED IN NYC WATERSHED PLANS SUBMITTED TO DEP DELEGATED TO PCHD DEP APPROVAL, IF REQ'D (PEEP TEST HOLES OBSERVED PRCS TO BE WITNESSED APPROVAL SSDS ADJ, LOTS WETLANDS (TOWN/DEC PERMIT REQ'D ?) pglA ON DDS PLANS & PERMIT SAME 969 NEIGHBOR NOTIFICATION JET •ER BUZBA YR. FLOOD ELEVATION W/I200' ,,$OIL TESTING LOTS >10 YEARS OLD WAGE SYSTEM PLAN - (NORTH ARROW) DS HYDRAULIC PROFILE CAVITY FLOW )NSTRUCTION NOTES 1 -15 ,SIGN DATA: P C & DEEP RESULTS CONTOURS TING & PROPOSED tUVEWAY LOPES,, CUT DOTING/ ER/dRTAIN DRAINS (ERS NAME ADDRESS ADDRESS, PHONE# f. DATUM 1'ERENCE LOCATION OF WATERCOURSES, PONDS LAKES,WETLANDS WITHIN 200' OF P.L. TROPOSED FINISH FLOOR AND BASEMENT ELEVATIONS IWELLS & SSDS'S W/IN 200' OF SSTS )PROPERTY METES & BOUNDS COMMENT'S: LOCATION: S TAX R: (COQ :OUIRED DETAILS ON PLANS CONT'D) I � ISE SEWER -' /1' FT. 4 "0'; TYPE PIPE CAST ON SENDS; MAX BENDS 450 W /CLEANOUT RENEWALS NOTE (NO CHANGE) FILL SYSTEMS I [ORIZONTAL; PAST TRENCH SLOPES 3:1 TO GRADE SPECS/ FILL NOTES 1 -5 PROFILE & DIMENSIONS U IN EXP Cpl WA`I NOTE U L�VOL. ON PLAN FOR R.O.B., UNCLASSIFIED & IMPERVIOUS EPARATION DISTANCE FROM TOE OF SLOPE. TRENCH E�HPARALLELTO LF TRENCH PRO D 60FT MAX. TOURS 100% EXP N PRO Ep FR �SHEP STONE OR WASHED GRAVEL 2_JGEOTEXTILE COVER SEPARATION DISTANCES ON PLAN - FROM SSTS 10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL 20' TO FOU'DATION WALLS 100' TO WELL, 200' IN DLOD,150' TO PITS 00' TO STREAM, WATERCOURSE, LAKE (inc. espan) �0' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER L (pits - 20') (�( `0' INT'ERbIITT DRAINAGE COURSE ( _j200'/500' RESE OIR, ETC. _ 150' GALLEY SYSTEMS UUl S C ()10' FROM FOUNDATION; 50' TO WELL WELL (—J( S - C-i LOC 15' TO PROPERTY LINE S SLOPE IN SSTS A A A (5200%1) REGRADED TO 15 %, D DOSE/PUMP SYSTEMS PUMP NOTES (�()DOSE 75% OF PIPE VOLUME/DOSE VOLUME NOTED TAIL FO ETC. PIT -b -BOX SHOWN & DETAILED U1 DAY STORAGE ABOVE ALARM CURTAIN DRAIN OUST ES, 5' BOTH SIDES, DETAIL (_)(___)15' MIN to (_JU20' MIN to GD =DiS AARGE /100' with 182 cons day discharge (_ --J) IN to NON - PERFORATED PIPE ' 1.... Public Health Director March 27, 2000 LORETTA ..MOLINARI JR_.N,,, M.S.N. Associate Public Rl dfdi Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914)278-6130 Fax'(914) 278-7921 Nursing Services (914)278-6558 WIC (914)278-6678 Fax (914) 279-6085 Early Intervention (914)278-6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 John McNamara, PE Bibbo Associates 589 Route 22 Croton Falls, New York 10519 Re: Laurence, North Shore Road TM# 51 -1 -56, Town of Putnam. Valley Dear Mr. McNamara: 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. Do mentation: Property Tax Map Number on all documents appears to be incorrect. -. TM # listed as 51 -1 -3 - Correct TM# as per the Town of Putnam Valley'is 51= 1 " =56: All submitted document applications (entire submission) returned for correction. Please also correct plan(s) title blocks with correct Tax Map number (fill and trench fans). Plan Title Block(s) to read "North Shore Road ", not North Shore. F' Plan: Footing and roof leader drains need to be shown from the house. Pump chamber size to'be noted. Sleeve for 2" PVC force main under drive required. Provide additional fill pad dimension(s) at a. Width (north end system) b. Length (through expansion area.) Remove lineal footage (LF's) of trench on fill plan. imension well from PL's, as required. Provide force main detail. Provide pump chamber detail with size noted. Edit well detail to read 18 "minimum well head above grade, as required. Remove absorption trench detail, distribution box detail, junction box detail. oVidereord o£ -desi n-data• deeps acrd erc Afninntio i Please explain "grading" beyond property line at south end of system. . Tren'ch-Plan: All applicable comments from the "fill plan" to be referenced on the "trench plan." 2, .- '' Trenches to be a minimum 10 feet from "ledge rock." It appears as though 100% expansion area is not provided for: 395 < 444. Please clarify. Trench Plan, Details and Notes: Pump Chamber a. Wired connections must be direct wired to inside house at control panel. -.Remove NEMA4 junction box at P /C. emove "pump note" #6 regarding pump wiring. - Note #5 is correct. c. Note dose (volume) as part of P/C detail. 2. Fill certification statement to be on trench plan. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact us if any questions arise. Very truly yours, . Adam B..Stiebeling ..... 4 Assistant Public Health Engineer ABS:cj 2D .t+.••...1 •a.t X.. ...,f �f..T .-cP'•.�.- �T.• A.M..s+a -T�.c.T->...... •... aY•.r �.�...:: 't o- _.t� ... Q- � n. ..n-✓.•rt.. =.a arLs O.. -R.e ET4T- A YM aM OLINAR. I R.N. , M .S . N . Public Health . Director. Ass ociate Pub lic Health -Director BRUCE R. FOLEY of Patient` Service.s ."e';-.„ atDir ctor ... A.ft.. .•iltt DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (9.14) 278 4921 Nursing Services (914)278-6558 WIC(914)278-6678 Fax (914) 178-6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 May'4, 2000 Joe Buschynski Bibbo Associates 589 Route 22 Croton Falls, New York 10519 Re: Laurence, North Shore Road TM# 51 -1 -56, Lot #3 Town of Putnam Valley Dear Mr.. Buschynski: Attached please find fill plan approval for the above referenced lot. Please also find.marked up copy of the trench plan. It appears as though 100% expansion (trenches) have not been provided for on the plan. Please verify. Corrections are to be made and submitted at the time of trench plan approval. 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, Adam B: Stiebeling . Assistant Public Health Engineer ABS:cj BOSED ASSOCUMES, L.L.F. Consulting Engineers —Planners pr I 1 000 , Putnam County Health Department 4 Geneva Road - Route 312 Brewster, NY 10509 c��aD Attn: Adam B. Stiebeling Asst. Public Health Engineer Re: Laurence SSTS North Shore Road Town of Putnam Valley Dear Mr. Stiebeling: John P. McNamara, P.E. Joseph J. Buschynski, P.E. Timothy S.Allen, P.E. Leonard J. Bibbo P.E. Robert A. B. Howe, B.S. Enclosed is the Construction Permit Application with supplements, three prints of the Fill Placement Plan., and one print of the Absorption Trench Plan. In accordance with your letter of March 27, 2000, we have made the following revisions: Documents .1. The forms have been revised to provide a tax map number of 51 -1 -56. 2. The correct tax map number is now listed on. the Fill and Trench Plan. 3. The road name has been corrected on the plan. (Full Plan 1. Footing and leader drain locations are now shown. 2. The pump chamber detail has been added with size noted. 3. A CMP sleeve is now specified for the force main under the driveway. 4. Additional fill pad dimensions have been noted. 5. Absorption trench lengths have been removed. 6. Dimensions to the well from property lines have been added. 7. A trench detail for the force main is now shown. Planning - Site Design - Environmental 589 Route 22 o P.O. Box 403 o Croton Falls, NY 10519 0 (914) 277 -5805 0 (914) 277 -8210 Fax 8 . Xpump chamber, n s detaihhas been added. l:f::•:• }; : >vs: a.a•p. ..'.1 ... x: � Vt .� •• .. ••s'.L...,wr:•�s.... a '. 6. V+'!'f.... .:.. •' dtt.f_. t4.a •.OfYla'A.... � . 9. The well head is now specified as 18 inches above grade. 10. The absorption trench, distribution box and junction box details have been removed. 11. Soil Design data is contained on the plan.- 12. Grading at the north and of the system is purposely shown to extend beyond the boundary to blend with existing grades established in the adjoining driveway easement. We have added the location of those driveways and existing contours for clarification. Trench Plan On the trench plan, we have added: a) roof and footing drain locations b) 6" CMP sleeve under driveway c) dimensions from well to property line d) force main trench detail e) revised well detail f) soil design data g) grading clarification at north end of system �.�....;:: 2... _'Trench ends are noted to be 10 feet minimum from rock outcrop 3. Expansion area is available for in excess of 444 linear feet of trench. Trench Plan Details and Notes 1. I have recently discussed with Michael Budzinski our disagreement with the requirement to provide continuous (unspliced) cable from pump to control panel. In most instances this distance exceeds the standard length of cable supplied by pump manufacturers. Pump repairs or replacement would require pulling an excessive length of cable from the panel and back to the panel. We suspect that most repairs would result in a splice to avoid pulling a long length of cable. Our preference is provision of a weather -proof junction box as shown on the plans to facilitate pump repair. We therefore request your reconsideration on this issue. S fill centifi-cati0h:- has been added toihe-'06n, Very truly yours, Joseph J. Buschynski, P.E. BIBBO ASSOCIATES LLP 589 Route 22 CROTON FALLS, NEW YORK 10519 (9.14) 2,7.7 > -aA05 . < ,., .............. ,.•„ •,,- ,q'... -' ' FAX (914) 277 -8210 TO PGff 6 IEEVV Q @1� V e MMO uLA I DATE JOB NO. ATTENTI ,,,_,r._ RE: v IZ Nc6 Ala, /y4— leo aoe.- i11jG fitfr GA1 J 77f6 L- PS W 3 WE ARE SENDING YOU )(Attached ❑ Under separate cover via the following items: • Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications • Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION �;Uw��fi^r•���-i ay-� i�el�n -et' ��� .THESE ARE TRANSMITTED as-checked below:' For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for cort,:ctions ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO n SIGNED:.jo /0. If enclosures are not as no s '' - i ' � - i. i LOT 4 1250 GAL. P/C CONC SEPTIC TANK 1250 GAL. P/C CONC. PUMP CHAMBER 9 N. 11 55 5 S C ttjf — 4 0 PVC tSLEEVE I 127.72• —N4:4F*3-36E "X"-MARKS IN ROCK LA D2-5F'-T--/-/- SAND {y R/FQViRE:D, TO PROVIDE 15% 6 EXPANSION 100% EXPANSION DRIVE tt 8.23" N43 L WELL ELEC METER LEC.BOX 0 0 TRANS. PAD CIYA C 0. 2 �Ousc- D CK OUTCROPPING I. LOT 4 1250 GAL. P/C CONC SEPTIC TANK 1250 GAL. P/C CONC. PUMP CHAMBER 9 N. 11 55 5 S C ttjf — 4 0 PVC tSLEEVE I 127.72• —N4:4F*3-36E "X"-MARKS IN ROCK LA D2-5F'-T--/-/- SAND {y R/FQViRE:D, TO PROVIDE 15% 6 EXPANSION 100% EXPANSION DRIVE OFFSET DIMENSIONS PUMP TEST: DATE - 11 -28 -00 DRAW - 911 DOSE - 225 GAL± 31 mmmm mmmm mm PUMP TEST: DATE - 11 -28 -00 DRAW - 911 DOSE - 225 GAL± 31