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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 52. -2 -2 & 52. -2 -3 BOX 22 02564 � �o .. -� . , is , IN 1 f r 40 ., or i f �; I a�` pf"T - ` 02564 r l FUMAM COUNTY DEPAHNEW of NMTH DNYdw •t ibi liil I�tl16 Senl.ia. Cassnd. N.Y.14512 10 PwvW. Pest.It 1: •� Og CO 6/ COSH PIII�I� FOR SeWAGE DEAL SYS1ffiI[ �`v P�-ro Any c �y Lealad fat C C. D ` E F f?0iq p " Town ar .: _ li16i.ItM ria.. SEN-_ iii -0 Tau llbTap RIM& Q� GOR. i�ETT�9 Renewal ' lfevlal.a 0.. Dade of Pmvbm Anw.W g,) sA CKQ t 6N AUK Toan OSStNlING N.Y. X05-6.2 Date Subdivision Annroved Fee Enclosed Amr»;,,t 9." T,.5 W G tE ,Fiym I tv SFr IM Asa! ' 10.6 Fm S der Only ' Depa. vahme Nobae 1 B.drasa�. a Deatlgt Flow G P D-66 0 POW Nowic ttion in Rebored Wben FM Is enowleted SopeeN. S.f fwgp S,.t.. In Gomm e( . o U © G.Bist. S.Pa Tool, -tea. -300 (. F O F Z4- , r . 6 2 la' U �L T'i�EN C 1-1 reale-.a.eaaYCo5T/q } FERZhS'.IR � AM, 66' IC1R6j/LL AUF licti RoCH -Cce- NY Wsdalt SaP*L- Ps- Htic Sop* FYain .: ' . Addrvaa . — ✓, o.�-.� ss.ovb Domed by F �iC'1Z . SoN.a�.. f 6 V E W J`TER olb.r of wog 1 rep/esMt that 1 am wholly and COTAMteIy refponsipla fOr•aha deiigrl and IOCatiOrl'of -tfW `�SY:lrjlt�:7 flat- t N Fate s•vr.. di sil. stem . !brow descri0ed will be constructed as showy on the approved amendment there to and il.3a c with ter sta r 1 a rpu ns o ham County Department of MIMRh, and that on completion thgeof a Cartifk ate of Con ruct ompl wtisflSt t the Commissioner of Healthwill be warn ti i to the;Departelant. and 'a written guarantoe. will be ".furnished.th owoor. h C" Miss s t FS r assi(r' by •,buiW.i.aliat said bulkier will. place in, good operating condition, any qrt of ' Ykl siwaae disposal system •du► anCa of the approval. of the Certificate of. Cohstruction ComIplisnen of., the oriq will4o located at shM It on ter apptow0 plan and that said, iii will instijiQ in County (�D,�%rtm of "Meth. Rod Data 51 �r tC) S�n�d following It "to of the 111W he drilled wN1'described above reeuTii noSOf the Putnam P.E. R.A. . Addren C - I U rl" INN.!. � v! AV I t 'G L {Cane No APPROVED• FOR CONSTRUCTION-. This approvaPex009 . two years "from the date issued F Of1;p t� uiktinq has been undortik•n and is revocabla for pus• or may be amend" or modified when Considered noeessary by the Comm • Eli h, y change or alteration of construction requires a' new permit. Approved for disposal of domestic sanitary sgwage, 'and /pr private. wat Rev. ,. 1088 Date BV Title q. October 20,1995 Ralph and Janet Perritano 165 Oscawana Hgts. Rd. Putnam Valley, N.Y. 10579 -2307 SENT CERTIFIED RETURN RECEIPT RE: Department of Health review of proposed sewage disposal system for property of Marie Retta 4 Colonial Drive Katonah, N.Y. 10536 TAX MAP # 52 -2 -2,3 Dear Mr. Morris: Please be advised that we oppose any such plans for septic, sewer, well or any construction for the above property. The reason for our opposition is the following: 1) in 1993 we applied to subdivide our twenty -five acre lot to gain-one building lot of ` 'four acre "s.' We were denied by the tav`m.' 2)`in the �umrrier of 1935 we had the opportunity to fill in our back yard to level it off. The town again denied us to do this stating that we would be working within one hundred feet of wetlands. This "being the case, we cannot see how the septic or construction can be approved. Enclosed are the papers we received from Cronin Engineering. There are not any designations of distance to gauge were the items in question would be placed. Finally, I would need an explanation as to why the septic field is being placed on the adjacent lot. Is this going to be used in the future for an additional house? Since this is the first notice of said project, I would atleast like these questions answered and to be notified when the zoning and/or planning board meetings are going to be held for the above proposal. If you have any further questions, please feel free to contact me at (914) 285-2185 Monday through Friday 9: 00am to 3:3 Opm. Sincerely, Ralph Aerritano cc: Cronin Engineering Town of Putnam Valley Building Inspector-Marvin O'Dell Zoning Board Planning Board RALPH & JANET PERRITANO 165 OSCAWANA HEIGHTS RD. PUTNAM VALLEY N.Y. 10579 TAX# 52 -2 -6 IPCO ASSOCIATES X JEFFREY PEPPER 66 WOODS END ROAD PUTNAM VALLEY N.Y. 10579 MAURICE J. DESCHESNE 18 & 7TH ST . STAMFORD CONN.. 06905 TAXI 52 -2 -4 PROP ;J ' SEPTIC PROP i HOUSE / ` PROP WELL i RICHARD & BARBARA TURNBULL 23 WICCOPEE RD. PUTNAM VALLEY N.Y. 10.579 50 1MCCQPEE . R0. ,. PUTNAM VALLEY N.Y. 10579 'TAX# 52 -3-19 WILLARD & MARION NICHOLSON 42 WICCOPEE RD. PUTNAM VALLEY N.Y. 10579 TAXI 52 -3 -20 HENRY & JO ANN HENNING ; PEEKSKILL HOLLOW RD. CARMEL N.Y. 10512 TAX# 52 -3 -21 FEROINARD & MARGOT FROMME 34 WICCOPEE RD. PUTNAM VALLEY N.Y. 10579 TAX/ 52 -3 -22 r MARVIN J. O'DELL z. 30 WICCOPEE RD. PUTNAM VALLEY N.Y. 10579 TAXI 52 -3 -23 e .. t i; DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Keith Staudohar Cronin Engineering, P. C. The Lindy Building Suite 200 2 John Walsh Blvd. Peekskill, NY 10566 Dear Mr. Staudohar: �LYV/ ;BRUDE :R..FOLE R:S:_.,...,.: ., Acting Public Health Director October 17, 1995 Re: Proposed SSDS: Retta Wiccoppee Road (T) Putnam Valley 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 plan submitted September 11, 1995 is approvable by this Department. The approval will be released upon the submission of a valid wetland permit. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Ver truly yours, R MAW Robert Morris, P. E. Public Health Engineer RM /jp P I 864.267 501 � P 1 864 267 502 I OS�iF+a%:>tnj Fl G 5 D Receipt for Certified Mail W'� to 5"19 Receipt for Certified Main ,w No Insurance Coverage Provided ® No Insurance Coverage Provided --.,:. .. - �� °- Do not,use_ for International Mail �(�Ee=r� ..PoSTAI SE?VICE: _ Do not use fob International Mail ;.. ..,r-•. . r. .- .... ,, .�.. .. _: _... Poim.s.7 ICE.., _.� (See Reverse) ..... .. _ w.. .eu�.. ... r (See Reverse) . Return Receipt Showing to Whom, Date, and Addressee's Address Return Receipt Showing tage ��.TO $ to Whom.& Date Delivered ewitrn Date Return Receip owinPo. Date, and ressetN J k . W 2 O CID MM M U- 0 a. W r W Z D C O CID ch E LL a. Sent to l.Q 7'ANET P.P. T iJ0 Street and No. Stref� and Na I OS�iF+a%:>tnj Fl G 5 D P.O., State and ZIP Code W'� to 5"19 uT >h N 10 7 Postage $ Certifled Fee / Special Delivery Fee, Restricted Delivery Fee Return Receipt Showing Special Delivery Fee to Whom & Date Delivered Return Receipt Showing to Whom, Date, and Addressee's Address Return Receipt Showing tage ��.TO $ to Whom.& Date Delivered ewitrn Date Return Receip owinPo. Date, and ressetN J TOTAL Pjoaga' mow:, J r W Z 00 M E iL C0 Sent t0 Street and No. tuL.A MAi�lo►J Ntc v1.5o Stref� and Na Street and No. 4Z W1ti+0{�I C � W'� to 5"19 P.O., State and ZIP Code NIMAK $ 3 Postage $ Special Delivery Fee Postage Restricted Delivery Fee Certified Fee to Whom & Date Delivered Special Delivery Fee Retum iq,* wing t om, Restricted Delivery Fee T AL`1`''a� Yb- Return Receipt Showing jgjjjiark or . t / to Whom.& Date Delivered / Return Receip owinPo. Date, and ressetN J TOTAL Pjoaga' mow:, J & Fees d Cq Postmartt<•Or: Dfitei C� r', — i 17,7 I i P 864 267 411 p 864 267 500 Receipt for " Certified Mail Receipt for n+ No Insurance Coverage Provided Certified Mail I -,,,57P Do not use for International Mail n. No Insurance Coverage Provided tO"` :}"` ® Do not use for - International Mail (See Reverse) Sent to V►tO T. D'DEt.- Street and No. AoiOARV t MAiWwr- e wiir -e-o EE Rp Street and No. P.O., State and ZIP Code " L) A \/�uE -Y W'� to 5"19 Postage $ 3 Certified Fee i Special Delivery Fee Postage Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered Special Delivery Fee Retum iq,* wing t om, Dat Add dr T AL`1`''a� Yb- $ jgjjjiark or . t / ^ Receipt Sdee'.s�RS+Migm, i W Z 0 Q io V) tL rn D Sent to AoiOARV t MAiWwr- FKIDW415 Street and No. W \(:CO f'615 P P.O., State and ZIP Code ?a—y 0kM VA o5i Postage $ Certified Fee' / Special Delivery Fee Restricted Delivery Fee Return Receipt Showing / to Whom & Date Delivered Receipt Sdee'.s�RS+Migm, Date, Date, and Addr ae'a AdcftSA_ `•, TOTAL Pos r �• & Fees A� Postmard qr Daje ^, . W Z O O 00 M E LL o_ W Z O O tri E LL a P 864 267.505 P 864 267 498 Receipt for Receipt for Certified Mail Certified Mail No Insurance Coverage Provided t� No Insurance Coverage Provided n use f0 Mail Do net ,tlse.fo[.Internatior)al:Mall .. _., . UNTIED SMTFS Do of r International roSTAl SFIvICE . . - (See Reverse) ;: /See Reverse) Sent to ikE040 N(T- M Au R�c.E T Dt'c G c Street and No. a roc sr G P.O., State and ZIP Code ST vRD otJ/J D(o9o5 Postage $ �f Certified Fee Post ge /r / Special DeMery Fee Cent Fee Restricted Delivery Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing Return Receipt Showing Return Receipt Showing to Whom & Data Delivered to Whom & Data Delivered / Return Receipt S n %--- -esa; Date, an ssre's ss Date, and rasa Date, and AdOPtissaq's A ..� TOTAL Polf&ge & F:�AS. TOTAL Poste = ` t1LC '�.; • -� P or Dales " f & Fees �y� - `, PostmatK,90ate 5 Iv9 P 864 267 .504 Receipt for Certified Mail TO No Insurance Coverage Provided STA Do not use for International Mail PO AL sE Man AAverSe) Sent to Q''.. . So Ai00 ikE040 N(T- Street and No. G �CStG+t.l_ �LLew RD P.O., State and ZIP Code Street and No. G w%u -vf'EE Postage P.O., State and ZIP Code �11 Certified Fee Post ge f Special Delivery Fee Cent Fee Restricted Delivery Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing Return Receipt Showing Return Receipt Showing to Whom & Date Delivered to Whom & Data Delivered / Return Receipt Showin to Whom, Date, an ssre's ss Date, and rasa Date, and Ad5P8s3ee_'s7ddteck TOTAL Polf&ge & F:�AS. TOTAL P LQb P or Dales " f & Fees A' `, Postrrjtk of Date 5 Iv9 W W Z O O M ti U) Y) <n W Z O O Go M LL U) CL Sent to ELE0 AE55 - UROBut_t_ Street and No. w%u -vf'EE RP P.O., State and ZIP Code SO-% tJ A„n IFUTOAK N 5 Post ge $ 3 / Cent Fee / Special Delivery Fee Restricted Delivery Fee Restricted Delivery Fee. _ Return Receipt Showing Return Receipt Showing to Whom & Date Delivered - to Whom & Data Delivered / Return Racafpt Date, an ssre's ss Date, and rasa TOTAL Pg5lag8 r TOTAL Polf&ge & F:�AS. &Fees P or Dales " Postm oi:D � {i{{stmprk `, 5 ..P.864 267 503 Receipt for Certified Mail TY No Insurance Coverage Provided UNRED STATE Do not use for International .Mail KWAL 55 (See Reverse) Sent to RICkAkp - B k - UROBut_t_ Street and No. 23 WLC/ -0 V'e(5 RD P.O., State and ZIP Code SO-% tJ A„n Postage , F Certified Fee / Special Delivery Fee Restricted Delivery Fee Return Receipt Showing 6/ to Whom & Date Delivered - Return Receipt n to Whom, Date, an ssre's ss TOTAL Pg5lag8 r & F:�AS. P or Dales " {i{{stmprk 5 Iv9 !f } pER yl�ompletaliems 1 eriG /or 2 for additional services. xf,: SENDER: I also Wlsf1 t0 reCeivetrfthe I y • Completefitems 1 and /or 2 for additional services _ • Complete items 3, and 4a & b. �"Complete hems 3;-and 4a & b. following sern r ces (for an extra o = O i '•yPrint;yourmima and address on the reverse of this form so that we can feel: ,� v i • Print your name and address on the reverse of this form so that we can` m return this card to return this card to you. �R �C you • Attach this-form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address m f H m Attach this form to the front of the mailpiece, or on the back if space does not permit. C • Write "Return Receipt Requested" on the mailpiece below the article number. 2. ❑ Restricted Delivery ; a: does not permit. L • Write "Return Receipt Requested" on the mailpiece below the article number +• • Receipt • The Return Receipt will show to whom the article was delivered'and the date C �A V Ai aP l ; ! The Return will show to whom the article was delivered and the date C delivered. delivered. O t Consult ostmaster for fee. V . o : o o' .3. Article Addressed to: m a R \CHARD WIMP" U(Z Bu �� -- 4a. Article Number. P864 z0 5o3 CC ; a 3. Article_ Addressed to: FE�oItJARp mAP.6v -r 59oMME � 4a. Art 8 � b alsor� wish to receive the iwing,`services (for an extra fee): 1. ❑ Addressee's Address 2. ❑ Restricted Delivery Consult' postmaster for fee. Is Number 426"fci0 E . 23 W �G66' ?E 3. Article�Addrassed to: Cl- 41i. Service Type ❑ Registered ❑Insured m o W>c�ot'EE RP S '�� 4 . ��C yNo gs red ❑ Insured PiJTNA4M V;AL1..E`'It Nh to5i9 Certified ❑COD i y Pl9T►JArfvt V/ac1 Ley NY 1fJ Z�' �C ❑COD U O ❑ Express Mail ❑ Return Receipt for z ; w Cr 1- ❑ COD 5 l47 fn EMail. F] Return Receipt for Merchandise t �A V Ai aP l Merchandise p � ; a d' o� Deliv� 7. Date of Delivery E 5. Signature dtessee) P x ddressee's Address (Only if requested.Y ; I OZC C 5. SV 're (Aifd11 see1��' dressee's Address (Only if requestec • i nd fee is paid) m .: and fee is aid paid) 6. Signature (Agent) �' 6. re Agent) G ;' 'o , >, PS Form 3.811, December 1991 y *U.S. GPO: 1993- 352-714 :• DOMESTIC RETURN RECEIPT '' PS Form 3811, December, 1 ,rus. a ta . DOMESTIC RETURN RECEIPT to SENDER: q. complete items 1 and /or 2 for additional services. • Complete items 3,; §nd 4a & b. q• Print your name a,9d address on the reverse of this form so that we can return this card to you. m • Attach this form -to,'the front of the mailpiece, or on the back if space ` does not permit. m • Write "Return Receipt Requested" on the mailpiece below the article number •L' • The Return Receipt Will show to whom the article was delivered and the date C delivered. I also wish to receive the following services (for an extra fee)*., Z' 1. ❑ Addressee's Address 0 2. ❑ Restricted Delivery o Consult postmaster for fee. o' Ir O 0 3. Article�Addrassed to: Cl- 4a._ Article`Number PFi�o�{r2t'o�SO�- EI a l}ENR� '` 'o ANO 1-EENN1 - �'8(o�i 26`i B; E pe5X7 5 kLt_ ,i'll� ©LLOCt7 Ieh;. N 4b. S ice Type ❑ Insured m' O CAR,MIFA- -_N'? 05I Z ` 1- ❑ COD 5 l47 fn Ex r ti M Return Receipt for i UJI IC ic; . I)-1 , . 5. Signature (Addressee) LU .6. Signature (Agent) Merchandise; 0 is (Only if requested w. Wi rl PS Form 3811,; )ecember 1991 *U.S. GPO: 1993--M-714 DOMESTIC RETURN RECEIPT M1 1 "100 SENDER:. y Complete items 1 and /or 2 for additional services. m • Complete items 3, and 4a & b. • Print your name and address on the reverse of this form so that we can > return this card to you. �j m • Attach'this form to the front of i mai ecel, or on the back if space does not Permit. �trf t • Write ",Return Receipt Requested" on the mailpiece below the article number • The Return Receipt will show to whom the article was delivered and the cute C delivered.' .� I also wish to receive tl following services (for an ext fee): 1. ❑ Addressee's Address 2. ❑ Restricted Delivery Consult postmaster for fee. 0 3. ;Article Addressed to: 4a. Article Number c N(AiuR�cE T DESLNESwf>r �'8(o�i 26`i .µ l$'.• 7 STRFE'� 4b. Service Type ❑ Registered N 's-rAr -A ro V-D coo Aj O('o9or, Certified LU ` ❑ Express Mail C ❑ Insured ❑ COD ❑ Return Receipt ft nae,,.h —Ai.e A VA r' i. Date of Delivery "al All: J..11 1, .P , f � ¢ 5. Signature ( ddressee) 8. Addressee's Address (Only if reques Fand fee is paid) ¢ 6. Signature (Agent) o SEP, 1P Q 1N3 y PS Form: 3811, December 1991 *U.S. GPO: lees- as2,7ta DOMESTIC RETURN RECE) I .- -p :�.,. .. ,. -. _8.6 4.._26 7..._5�D 6` --'I Receipt for Certified Mail No Insurance Coverage Provided Do not use for International Mail UNITED STATES WSTK SEANCE POSTK SEANCE (See Reverse) W W Z M O O rn a. Serit to 00S 0 DD Street and No. l6 IoST'+ ST P.O., State and ZIP Cade K N 100 -L Postage . . i Certified Fee 105 01 Special Delivery Fee $ Restricted Delivery Fee Cerdfled Fee Ratum Receipt Showing / to Whom & Date Delivered Retum Re howing to om, Restricted Delivery Fee Date, an TOT go & Fe to Whom .& Date Delivered Pos"81,15 or t Retum Receipt Showing to Whom, T W Z O O O @7 ll a. I ;46,V.2-6-7- Receipt -for Certified Mail No Insurance Coverage Provided Do not use for International Mail (See Reverse) sent to Irco ASS��- Yo TFt EP E Street and No.. tole woops EaD R P.O., State and ZIP Code J ABM 105 01 Postage $ i� Cerdfled Fee / Special Delivery Fee _ Restricted Delivery Fee Retum Receipt Showing / to Whom .& Date Delivered i Retum Receipt Showing to Whom, Date, and Addressee's Address TOTAL & Eeg�sG }"J ` -Oio k or Date above described will be constructed as shown on the approved amendment, ti County, Department_ 'of'. Health, '.antl thai'6n- completi" 6eieof a ^Certiti be submitte4 to the Department, and a Written ,guarantee will �be furni! place in good, operating; condition any part'of said sewage . disposal - Sys anee of the ".approvalpL. the Certificate, of -Construction 'Compliance -:of.. will b41 ocated'as shown "on the'approved plan and thatsaid well wilf;be in ;tii County De artrhent of Health Date _ Signed ACdresso;'a v: APPROVED. CONSTRUCTION This approval expires one year from .the:.� e revocable for cause or may be amended or modified when considered-neeessary,by reQuireL -& new permit. Approved for disposal of domestic. sanitary'sewage,,and /o Va By. ifactorylo_tne Commissioner of. Healthwill Issigns by4he builder, that said, builder will Immediately following the date of the: issu- t0: 2) that the drilled Well described above rules -and; `ieg a_ Ions of the ,Putnam 1,0"l P.E. R.A. _ 2 CA 11, n of the building h been undertaken and•ts r Fh.' Any Change or. Iteration of construction ply. only. ?�_ Title PC -I Qom' :. �J�AT,Tfr3 AP- .PaICATTON -.:Fi; '- APPROY L QF..PLANS:.FOR,A .�fASTtSVA i Eck . GfS ?CSAL SYSTEM 1. Name and Address of Applicant: (0 S S IN IN 60 'h 2. Name of Project: S5 b S 3. 4. Project Engineer: T M O THY L . CKO'N 1 N 5. License Number: Phone: N )9 UE Location T /Y /C: APO T /JAP7 Up(-C.Ey Address: THECJNay t�UJC.�1�6�SV+Te too 2 7OHN oCs'H szUl) 6. Tyoe of Project: _1.Private /Residential Food Service . Commercial Apartments .Institutional Mobile Home Park Office Building Realty Subdivision Other (speci.fy) 7. Is this project subject to State. Environmental Quality Review (SEAR)? Type Status (Check;One.) Type I.. Exempt 1/ Type II: Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? 7\/G 9. Has DE =S been completed and found acceptable by Lead Agency? ......... N 10. Name of Lead Agency 11. Is this project in an area under the control of local planning, zoning, or•otherwf f i�ials, ordi�nances ?.: �_C_S'= 12. If so, have plans been submitted to such. authorities? ................... %/C7 13. Has preliminary approval been granted by. such authorities? Date Granted: 14. Type cf Sewage Disposal System Discharge.....: Surface Water ✓Ground Waters 15. If surface water discharge, what is. the stream class. designation ?........ �,J /Q 16. Waters index number ( surface), ... ............................... ....... � 17. Is prciect located near a public water, supply system? 18. If yes, na :ne of water supply /J Distance to water supply 0. IS p�c; -C% Sipe lea" c rJu�Jli. SeW2Qc CC ie��l�n O' C' :S�OSc S�'S� °r, ^..... O 20. Names c se�wa_e system /� Distance tC S?waa� cyc�el �— = 21. Gate observed': rQ 22. P,ame of Health Inspecto-: _4bq 24. ProjeCt design flow (gallons per day) ...... ............................... coo 2. 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?.. No Ic 25. Has SPDES App l i cation been submi ted -to local- DEC "Off * - 'O - ".. 27. Is any portion of this project located within a designated Town or State wetland ? .................6..... ............ .... ye ZS. Wetland ID Number ...................... ............................... 29. Is Wetland Permit required? ........ t s 30 31. 32. I Has application been made to Tcwn or Local DEC Office? .................. Does project require a DEC Stream Disturbance Permit? ................... cS 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 or NO v Is project Iocated within 1,000 feet of.existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other ;potential known source of contamination? .............. YES or NO NO DESCRIBE: .32'. Is there a local master plan or file with the Town or Village? ............A -�' 3 ".. Are community water, sewer facilities planned to be developed within 15 years? 140 _ 35. Are any sewage disposal areas in excess of 15% slope? .................... 36. Tax Map ID Number ......................... ............................... _. 37. Approved flans are to be returned to: ................ Applicant V Engineer :f the application is signed by a person other than the applicant shown in Ita.im 1, the application must be accompanied by a Letter of Authorization. Failure to comply with this :)rovision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury form is true to the best of my know.7edgell herein are punishable as a Class A Misd the Penal Law. ?G.N= ,TUP,=S L O= PIC=A' T= T:.ES. NEW y\ L7.79 o i . provided on this ief. 'k� sew tatements made �t S Lion 210.45 of Ir.I! !NG ADDP 2- J 611/V VV L� v� Y W w DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPiICA`PION-'TO CONSTRUCT 'A "'WATER WEL L` PCHD PERMIT # WELL LOCATION a t Street Address Town Villa City Tax Grid Number vN 1 C C O I?E F '%'O Abt3'�'N M I WELL OWNER Name Mailing Address mvrivate c jdK 1�iE -r f-1 C 0 1-6 t-4 dt11%� OPublic USE OF WELL �' primary 2- secondary , B RESIDENTIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O ABANDONED O BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify 0 INDUSTRIAL M INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT _gpm /l/ PEOPLE SERVED �i' /EST. OF DAILY USAGE 60C`a gal 10 REPLACE EXISTING SUPPLY O TEST/ OBSERVATION GIADDITIONAL SUPPLY MNEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WMTCK Sufi L`/ 1= o.R Q RS 1 56 AI CE WELL TYPE DRILLED DRIVEN ®DUG []GRAVEL 0 OTHER IS WELL SITE SUBJECT, FLOODING? YES V-" NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name P F SE9 L + Sc5 N Address: i PUTM W �' LJ ?ES TE t2 Y IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES 1✓ NO NAME OF PUBLIC WATER SUPPLY: N 10 TOWN/ - QTLff -• pIS.TANCE,.TO. PROPERTY: FROM NEARESTWATER.MAIR: C`'.Uti LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED``Y A� r ErO'N SEPARATE SHEET (SS DS IBC1iJ).. :Sn z Uj R-r %,: )Qj (date) ( tur ) `` 'G ��'UFESS�G 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 thirt3- (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 waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. Date of Issue: Date of Expiration Permit is Non - Transferrable 3/89 19 19 Permit Issuing Official White copy: HD File Pink copy: Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller APPENDIX 3 PUTNAM COUNTY DEPARTMENT. OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES ..::.. , � :W. ,::- _:�N1?IVIDiJA ;.W�►:7CER.- S.,iJPPLY & SUBSURFACE - SEWAGE- DISPOSAT, .S3lSTEMS,...- .,.,n REVIEW SHEET for CONSTRUCTION PERMIT STREET LOCATION NAME OF OWNER BY B. HEDGES_ R.MORRIS OTHER DATE TAX MAP # DOCUMENTS. Y pi PERMIT APPLICATION PC -1 WELL PER]gIIT W PWS LETTER itl ENGINEERS AUTHORIZATION_ DESIGN DATA SHEET(DDS) CORPORATE RESOLUTION PLANS THREE SETS W HOUSE PLANS -TWO SETS m VARIANCE REQUEST Y EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE PUMPED PIT & D BOX SHOWN & DETAILED HOUSE - NO. OF BEDROOMS WELLS & SSDS'S WAN 200 FT'. OF PROPOSED SYSTEM ROPERTY METES & BOUNDS OUSE SETBACK NECESSARY (TIGHT LOT) 9 HOUSE SEWER - 1 /4 "/FT. 4 "0; TYPE PIPE !N'O BENDS; MAX. BENDS 45 W /CLEANOUT FILL SYSTEMS SUBDIVISION C YBARRIER GAL SUBDIVISION 1 FT HORIZONTAL: SLOPE 3:1 TO GRADE SUBDIVISION APPROVAL-CHECKED LL SPECS m FILL NOTES ERC RATE m LL CERTIFICATION NOTE ILL REQUIRED DEPTH m PTH GAUGES CURTAIN DRAIN REQUIRED m STANDPIPES m I L PROFILE & DIMENSIONS m V�LUME GENERAL ZTL.IF LL IN EXPANSION AREA fiAi. SSDS ADJ. LOTS WET OWN/DEC PERMIT REQ ?) TRENCH _DATA ON DDS PLANS & PERMIT SAME TRENCH PROVIDED =60 FT MAX - 1969 - .NEIGHBOR NOTIFIFICATION m PARALLEL TO CONTOURS. =TET'fE1t�BI)ZBA m 1000% EXPANSION PROVIDED m 100 YR. FLOOD ELEVATION REQUIRED DETAILS ON PLANS SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE m GRAVITY FLOW CONSTRUCTION NOTES (GRINDER NOTE) DESIGN DATA: PERC AND DEEP RESULTS- TWO-FOOT CONTOURS EXISTING & PROPOSED W DRIVEWAY & SLOPES CUT FOOTING /GUTTER/CURTAIN DRAINS EROSION CONTROL; HOUSE,WELL, SSDS ROSION CONTROL NOTE PERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY AND EXPANSION 10' TO P.L., DRIVEWAY, LARGE TREES TOP OF FILL ,20' TO FOUNDATION WALLS fli 15' WELL TO P.I 100 TO WELL, 200' IN D.L.O.D., 150' PITS 100 TO STREAM WATERCOURSE LAKE (INC.EXPAN) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (PITS -20') 50' INTERMITTENT DRAINAGE COURSE on/200 FT. RESERVOIR, ETC.m 150 FT. GALLEY SYSTEMS EE 15'MINTO C.D. S= >5 %,20'- 4 %,25'- 3 %,30'- 2 %,35' -1 %,100' <l% m 20' MIN TO C.D. DISHARGE /100' WITH 182 CONS DAY DIS. SEPTIC TANK m 10' FROM FOUNDATION; 50' TO WELL COMMENTS: DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER; CARMEL, N.Y. 10512 (914) 225 -0310 ._ a .. .. :+.r[. _ . .1. �:A.•: _-r:. ..a A. .- + APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT WELL LOCATION . Street Address Town/Village/City Tax Grid Number WELL OWNER Name Mailing '7 Address ),06 j 0r vate O Public USE OF WELL - primary 2 - secondary XRESIDENTIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP ® BUSINESS O FARM O TEST /OBSERVATION O INDUSTRIAL 0 INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify AMOUNT OF USE YIELD SOUGHT_ gpm /# PEOPLE SERVED_ /EST. OF DAILY USAGE gal REASON FOR DRILLING 13 REPLACE EXISTING SUPPLY X NEW SUPPLY NEW DWELLING E3 TEST/ OBSERVATION d ADDITIONAL SUPPLY ® DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING. ��J�� • WELL TYPE DN ®DUG ®GRAVEL. 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN.A REALTY SUBDIVISION, NAME OF SUBDIVISION: bj jA Lot No. WATER WELL CONTRACTOR: Name AJ617 ytj � 50� Address: : �7?= _A4 ff IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETQ1 & SOURCES OF CONTAMINATION PROVIDED N SEPARATE SHEET (date) TOWN /VIL /CITY PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted tinder 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. ti Date of Issue:,�!� Date of Expiration: 19 fermi fssuing� Permit is Non- Transferrable Whit -' copy: H. D. File Yellow Copy: Building InspW.L Rev. 10/88 Pink Copy: Owner PROFESSIONAL ENGINEER - PLANNING CONSULTANT _.--0EE[1CR0N1N & 525 Albany Post Road, P.O. Box 14 - Croton -On Hudson, NY 10520 - (914) 736 -3664 Fax (914) 736 -3693 February 7, 1991 Putnam County Department of Health Division of Environmental Health Services ATTN: Bill Hedges 110 Old Route 6 Center Carmel, NY 10512 RE: Renewal - Retta Wiccopee Road Town of Putnam Valley Tax Map *35 -2 -11.1 & 11.2 Dear lair. Hedges: Please find enclosed three signed and sealed copies of the above referenced plan. If you have any questions or require additional information, please don't hesitate contacting me at the above number. KC:S /mrm Respectfully submitted, Keith C. Staudohar Project Engineer 1A PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512. (914) 225 -0310 Mr. Timothy Cronin PE 24 Maple Place Ossissing, NY 10510 Dear Mr. Cronin: June 23, 1989 Re: Renewal - PV 85-86 Wiccoppee Road - Retta (T) Putnam Valley (TM #35 -2 -11.1 & 11.2 ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director This letter is in reference to the construction permit for the above captioned project. It will be necessary.for a wetland permit from the Town of Putnam Valley be issued to construct a sewage d.isposal system less than 100 feet from a wetland, before a construction permit can be issued by this Department. If you have.any questions, please contact me at your convenience. Very truly yours, Lawrence C.. Werper LCW:jr Assistant Public Health Engineer I®®MFCNANIN'&'ASSMIATES P.E.. P.0 PROFESSIONAL ENGINEER PLANNING CONSULTANT 525 Albany Post Road, P.O. Box 14 • Croton -On Hudson, NY 10520 • (914) 736 -3664 Fax (914) 736 -3693 December 20, 1990 Putnairi l•_ountv Department of Health Division of Environmental Health Services ATTN: Laurence C. Werper 110 j � ld Route Six Center Carmel, NY 10512 RE: Renewal - Retta Wicopee Road Town of Putnam Valley Tax Map 0 35 -2 -11.1 and 11.2 Dear Mr. Werper: Please find enclosed the following items pertaining to the above referenced project.- 1. Three copies of the latest plan, dated 6/13/8(). 2. Copy? of t ae To�r,�n : f Putnam Valley resolut ior regarding approval of- the wetlands permit. - v - 3- Copy of the vietland permit plan. 'Your latest memo of June 23, 1%9 indicated that it was necessary, to secure a wetland perrnit from the To;im of Putnam Valley before a construction permit could be issued. If ;Fou have any questions or require additional information, please don't hesitate contacting me at the above number. Thank you for your time in this matter. Respectfully submitted, a Keith C. Staudohar . {Wy s5 Project Engineer ` / PROFESSIONAL ENGINEER - PLANNONG CONSULTANT L. CRGR909%9 JR., P.E. AR90 ASSOCOATES 24 Maple Place, P.O. Box 64 • Ossining, New York 10562 • (914) 941-5421 June 13., 1989 Putnarn County Department of Health Division of Env 1-ronmental Health Services ATTN: John Karell, Jr., P.E. I l0 Old Route Six Center C'a r met, N Y 10 --, 14 RE: Renewal- Retta li"Viccopee Road Town of Putnam Valley . 1 12 Si I Dear Mr. Karell: Please find enclosed three revised copies of the above. referenced plan., along �-,Ath a new 1well construction application. As per the department's memo of June r:,, I �1 s (-I's 1 4 C54 yak all the itera have been addressed. Regarding item *2., we would like a Construction Permit for an individual Sevrage Disposal System subJect tx) tbe Toxiff. of Putnam Valley's approval. if you have any questions or require additional information,. please don't hesitate contacting me at the above number. Than you for your time in this matter. TL(7 Tr/Mrrf, 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 June 5, 1989 Mr. Timothy Cronin 24. Maple Place Ossining, NY.10510 Re: Renewal - Retia Wiccoppee Road (T) PV TM #35- 2- 11.1 &11.2 Dear Mr. Cronin: J (,4j ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Review of plans and other supporting documents submitted at this time relative to the Above- captioned project has been completed. Comments are offered as follows: 1) Well permit must also be renewed. 2) Town permit required due to construction less than 100 feet from wetland boundary_. _. 3) Maximum application rate is 1 GPD /Sq. ft., therefore, 300 linear fee.t- of- two. foo.t'wide trench is. r. equi.red.,..not.250 _ 4) .Grinder note is missing. 5) Minimum slope of CIP is 1 /411/ft. This is not stated on plans. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, C !� Lawrence C. Werper LCW:jr Assistant Public Health Engineer R 2PEDlDL{ PUTiF:_/r cz:,N- s"_ OF EF?LTH. - DIV-I icl Or �ti C? `TLL .�L r sz -�/ -ICES r-,,[D_-,j7! L-La_r 4ti�r ": Su�P °L� & Sl J`'PSAr� Si'u�S ' DISr -S7 SiS "S Mm Pe_r �.7i` Rs,Ni i c =ticr_ C-- --cLnt=- Res.7L uL_C:1 Plans - T . rae s =r.._= a,• hcr_z`t_cn Casi -c LI Data Cher:. ( -7c',S Deep ac_ °_ LCc Ccr.=_s tan c Per` Res :l _s ( _ ) Pe_r-c ccle De_ t_-i r` Cy Well r i_ - va_iaace R' aest R & cat=- Ca l;%S P ar & ps =i ` .sL=7:a nFtiuL}cJ Dr y'� CV =_vS F__ C,Z � C TG1i We_� i �T_i1 S_r -rce Li _e i_ r _e z C= - — ICti C r TSic -Fcct C-- U-- - {_s _RC & Dri ,,raaav & S1cces C-2t Fcotinc _ =_r,C r-`_':J. Dra_ns (d_s- harce C-'1, Perc & Deec Ecles- Lccac Repr=.sen_ta.tive cf pr=mar1 and ex-- ansica t''ci2S]C[1 =rB=;S CiV11; :iG'J1t;T f ±r'J,s -. si2e I Pm_ - Pit & D scx sac r. & Hcuse's No _ Cf Bedr-c ms Wells & SSCS's w/ 200 fr.. cr - :.ccced S_ Prcce_r tv 't_s & Ecurc 1 HcusL c.c' +;cC ?{ NCr °C =ar.� (Eric_iht iCC)� ECuse Sewer No Ber.-:_s; Max. Berds of ° w /c? = .r^cu- S=PATICYN Dzs'L =\; �=. ON PLAN F 10' to P.L. Lamed Traas,TC: Cr = 20' to Ftruidatica Wa? is 100' to Wr11; 200' In D.L.O.D, 15 P1 = 100' to Stream, W�=-t= rccour_e, L_ka (i_^c. E`- 15' to Dra r_ns it -? i rl, Lr=cer, FCCL2iIC 35'tc Ctch basiilrstOZ:C 10' to ?T-at_r Line (Nit= -20') 50, -+'- ,Ltton,, roar `r"-= S-Cti C 1J' f =, FcunLcZ =.ca; SO tc we—, c 1::, ;iii `c ?L YE j NO 1NeL ( I I 15Z" I I I� I I I 1 I I I I I I I I { 3 tc SO CIO cc r_Z Ur. S Ic I I I - .--1 -- - ,ur4•� Jc.eF�= � Q % I� i I I I I I I I i I SYST�.ic I I cicVCcrT I I I� ?.a ti--_ f cc--7 el. I f I I I r=s=, ci =, et-c. U > I 1 Mm Pe_r �.7i` Rs,Ni i c =ticr_ C-- --cLnt=- Res.7L uL_C:1 Plans - T . rae s =r.._= a,• hcr_z`t_cn Casi -c LI Data Cher:. ( -7c',S Deep ac_ °_ LCc Ccr.=_s tan c Per` Res :l _s ( _ ) Pe_r-c ccle De_ t_-i r` Cy Well r i_ - va_iaace R' aest R & cat=- Ca l;%S P ar & ps =i ` .sL=7:a nFtiuL}cJ Dr y'� CV =_vS F__ C,Z � C TG1i We_� i �T_i1 S_r -rce Li _e i_ r _e z C= - — ICti C r TSic -Fcct C-- U-- - {_s _RC & Dri ,,raaav & S1cces C-2t Fcotinc _ =_r,C r-`_':J. Dra_ns (d_s- harce C-'1, Perc & Deec Ecles- Lccac Repr=.sen_ta.tive cf pr=mar1 and ex-- ansica t''ci2S]C[1 =rB=;S CiV11; :iG'J1t;T f ±r'J,s -. si2e I Pm_ - Pit & D scx sac r. & Hcuse's No _ Cf Bedr-c ms Wells & SSCS's w/ 200 fr.. cr - :.ccced S_ Prcce_r tv 't_s & Ecurc 1 HcusL c.c' +;cC ?{ NCr °C =ar.� (Eric_iht iCC)� ECuse Sewer No Ber.-:_s; Max. Berds of ° w /c? = .r^cu- S=PATICYN Dzs'L =\; �=. ON PLAN F 10' to P.L. Lamed Traas,TC: Cr = 20' to Ftruidatica Wa? is 100' to Wr11; 200' In D.L.O.D, 15 P1 = 100' to Stream, W�=-t= rccour_e, L_ka (i_^c. E`- 15' to Dra r_ns it -? i rl, Lr=cer, FCCL2iIC 35'tc Ctch basiilrstOZ:C 10' to ?T-at_r Line (Nit= -20') 50, -+'- ,Ltton,, roar `r"-= S-Cti C 1J' f =, FcunLcZ =.ca; SO tc we—, c 1::, ;iii `c ?L PU`1'NAM COUNTY nEPARTNF;N'P QP 11J1,1L'I'lI DIVISION OF 1TU1I.,TIT SERVICES _ I _.... _.:. COUN` J.` Y '-OP'I�'ICE'•1:',l)-:[i�IT`1G;- CA?�ME;i.,,:,.pr. -Y:..: .,...1Or�12 -:•:- ...,,_�.- .- .,..,... ..z DESIGN DATA SHE ET- SEPARATE SDt4AGE DISPOSAL SYSTEM FILE NO.- Owner E3die Retta Address 171 .Croton Ave. Ossining Located at (Street�indicate Sec. Block 2 Lot11.1 & 11.2 nearest cross s rce Municipality Town of pii4.nam .Va] Watershed H»cl son Ri VPr SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH' APPLICATIONS hole. Number CLOCK TIME PERCOIATIOTN PERCOLATION Ru.n— Elapse Depth. to :aver Water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop -- - -- Inches Inches Inches 3 I Id )a 1 2 . 3 4 5 - Notes; 1) Tests to be repeated at same depth'until aPProximately equal soil rates arc obtained at each percolation test hole. All. data, to be submitted for review. 2) D_,pth measurements to be made from top of hole. TEST PIT DATA 1UQTJIRED TO DE SUBP4.1-TT.ED WITH APPLICATION DESCRIM'.T014' OF SOILS I.11' "LIEST HOJEiS DEPTH HOLE NO..,�df HOU, NO. 1/t) HOLE, NO. . .... ..... G.L. Q 6 ir 1211 1811 2411 3011 3611 4211-- 48" 54 6olf 6611 7211 78 11 8411 5; .nT.TCATE, LEVEL AT WHICH GROUND WATER IS EkOUNTERED INDICATE, IZIEL TO WHICH WATER LEVEL RISES AFTER BEI14G ENCOUNTERED TESTS 14ADE BY Timothy L, Cronin jr Date lMarch 1-2,1986 DESIGN Soil Rate Used 8 10 Yd n/l"Drop: S.D. UsaU 0 vided 5,000 sq. ft. No. of Bedrooms 3 - Septic Tank Capacity Absorption Area Pro— vided By 333 L.F-x24" XX' ! Timothy L. Cronin Jr. Address Pn Rox (,41 24 Maple Place, Ossia ng NY THIS SPACE FOR USE BY HEALTH DEPARTbIENT *ONLY: Soil Rate Approved Sq. Ft/Gal. 0 P-6, Gal s- pe Masonry h trench. lie r Chockp Date PUTNAM •• DEPARTMENT OF DIVISION OF P •' ' IN V• HEALTH SEWICES DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner 9-� Address Located .at (Street) \► a� 'C, �`� Sec.` Block Lot (indicate nearest cross street) Municipality Watershed,��� SOIL PERCOLATION TEST DATA PIWIRED TO BE SUBMITTED WITH APPLICA7�'I�l Date of :Pre - Soaking Date of Percolation Test HOLE NUMBER CI= TIME PERCOLATION PERCOLATION Run Elapse Depth to,.-Mater Frog Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 1 1 1J i ° � �L_ � 1�.1 •' �s i l�r I � (v 1 � ey 9 �� s' 210',2,3 1€ , 10 31.E -7.9 10 t A'�- 1- rev. 9/85 l 2 5 l �� �.- �� l� it NOTES: 1.4 Tests to be repeated.at same depth until apprc imately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 TEST PIT DAT DEPTH HOLE NO. G.L. �- 1' 2'`- 3' 4'.� JCL. 5' 6' 7' 8' 9' Inc L� ku 11' 121 ,� 13' HOLE NO. 21�% HOLE NO. 4. is 14' SEPz67986 INDICAg"j GROGbORATER IS -EDWUNTERED ®F HEALTH INDICATE LEVEL, TO WHICH WATER LEVEL RISES AFTER BEING ENOOUNTERED DEEP HOLE OBSERVATIONS MADE BY: '`�`"� ��,. �5� �L -��,� DATE: r DESIGN -- - Soil Rate. Used b�__ Min/1" Drop: S.D. Usable Area ProvidedC�,�`; No. of Bedroans Septic Tank Capacity 0 U gals. TypeC��� X33 Absorption Area Provided By L.F. �24*dth'trendi i� Other' Name TA Signat Address 1} L L SEAL THIS 'SPACE FOR USE BY HEALTH DEPAR24ENT ONLY: Soil Rate Approved sq.ft %gal. Checked by Date DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO.CONSTRUCT.A:WATER WELL PCHD PERMIT # WELL LOCATION Street Address Town /Village /, /City� Tax Grid VA A LL- ° - _L Number g 14 r !/ WELL OWNER Name p e j( Address ,(p,�"GZ' rivate ;ltnv�. au )h111 IVY 0 Pub1is USE OF WELL 0 primary 2- secondary @<ESIDENTIAL ❑ BUSINESS O INDUSTRIAL O PUBLIC SUPPLY O AIR /COND /HEAT PIEW O ABANDONED O FARM O TEST /OBSERVATION ❑ OTHER (specify O INSTITUTIONAL O STAND -BY E3 AMOUNT OF USE YIELD SOUGHT _ gpm /# PEOPLE SERVED_ /EST. OF DAILY USAGE,42L" gal REASON FOR DRILLING EW SUPPLY ❑PROVIDE ADDITIONAL SUPPLY OTEST /OBSERVATION O REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING 0 tvj pV e-- WELL TYPE IRDRILLED ®DRIVEN DUG GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name VOIZ.I1 AL) 944* 0k-, Address: P(q 2�(; _� N,BY►-U IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES k NO NAME OF PUBLIC WATER SUPPLY: DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: �.. LOCATION SKETCH & SOURCES OF CONTAMINATION ! 2—/,r//6 O ON REAR OF THIS APPLICATION (date TOWN /VIL /CITY PROVIDED ON SEP RATE SHEET ignature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as s.et 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. 6 Date of Issue: 641Q,y� S- 19 Date of Expiration: &4A" S`19 Permit Issuin ffici Permit is Non - Transferrable FA13.1 PUTNAM COUN'T'Y DEPARR4ENr OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL EATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET - CONSTRUCTION PERMIT DATE BY: (Name of Owner) (Street cation) DOCUMENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results (3) 30" Perc Hole Other House Plans - Two sets If PWS — Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions.- Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data Two-Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage & Expansion Area Expansion, Area, shown,_crayity_ flow, suff.:.._sze: ,. If Pumped it & D Box Shown & Detailed House - No. of Bedroans Wells & SSDS's w /in 200 ft. of Property Located Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 "0, Type pipe No Bends, Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 2001 in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains-Curtain ,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' fran Foundation 50' to Well 15' Well to PL GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Check Wetland (Town /DEC Permit R & Data On DDS Plans & Permit Same COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES FIELD - - - - ION REPORT - Q� INSP. BY: (Name of Owner) (Street Location) INITIAL SITE INSPECTION G N I YES NO I COMMENTS Wetlands on /or proximate to property.. ..... ` Property lines or corners found.... _ ............. Can estimate house location ....................... r/ Will driveway need cut........ ... ............ ra-c- Must trees be removed - note these...". ... Deep holes :representative of entire SDS area...... Additional deep holes needed.. ..... ... ...... Sufficient SDS area available considering driveway cut, house=_ location, separation distances,etc... Adjacent wells /septics............... ............... Access to pro sed well location fordrillin D.H. - Deep Hole G.W.- Groundwater D.H. 1 Lot D.H. 2 Lot -� D.H. 3 Lot Depth to G. W. Depth to G. W. Depth to G.W. Depth to rock Depth to rock Depth to rock Soil Iescri tion Soil Description Soil Description 0 ft. 0 ft. 0 ft. 3 ft. 3 ft. �.� 3 ft. SI (� 2 r. 6 ft. 6 ft. 9 ft. 9 ft. 9 ft. 12 ft. 12 ft. 12.1 t. _ - DATE: FINAL SITE INSPECTION INSP.BY: YES NO COBS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Roam allowed for expansion trenches.......... .. Over 100 ft. fran watercourse .................... Natural soil not stripped or SDS area unnecessarly graded........... ... ........ 10 ft. maintained from property line and 20 ft. fran house... ........................ Distance well to SSDS (ft.) ...................... Number of baboons checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench... ........... L5 ft. of peripheral soil horizontally fran trench ..... ............................... Boxes properly set.. .......................... :ould surface runoff fran driveway, roads, ground surface, etc., channel near SDS area.... L_ )oes lot drainage appear OK in area of SDS....... L ?TNAL GRADNG OF SITE ACCEPTABLE.. DEPARTMENT OF HEALTH Division Of Environmental Health Services July 30, 1986 Mr. Tim Cronin III, P.E. 21..Maple Place Ossining,.NY 10562 Re: Retta SDS Constr. Permit Appl. Wiccopee Road, PV, TM 35 - -2- 11.1,11.2 Dear Mr. Cronin: Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: 1. 100 foot separation to wetland and surface water has not been provided from sewage disposal system. Redesign or relocation is necessary_. 2. Applicant name conflicts between authorizaiton, permit and plans. 3. Minimum five foot above high ground water as shown in trench profile is not provided. Putnam County minimum requirement is five feet of soil above high ground_ 4. As defined in N.Y.S. Official Compilation of Codes, rules and Regulations, Title Six, Part 864; any activity along the banks of Wiccopee Brook (Item 628) will require .DEC permit i.ssuance prior to issuance of Health Departmentpermi Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, James S. Hodgens. JSH:amm Assistant Public Health Engineer cc: File JSH TWO. COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 DAVID D. 'BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services Timothy Cronin, Jr., P.E. 24 Maple Place Ossining, New York 1051E Dear bKr. Cronin: November 13, 1986 - JOHN SIMMONS, M.D. Deputy Commissioner 0 RE: Proposed SSDS Retta Wiccopee Road (T) Putnam Valley 35- 2- 11.11.2 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: esi.gn for 3 bedroom should be.333 lin. feet of trenches 1 for a percolation rate of 8 -10 minutes /in. Revise all documents and.plans to reflect this. W .. show final grade sloping away- from well, Vand pitless adapter. sign should include one day storage in pump chamber over high level alarm instead of an overflow tank. pump chamber: should include a gate.valve and union for pump connection. all electrical work in pump chamber should be to NEC standards manufacture's pump curves should be provided. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very4truly yours, An e Bittner AB :pt Asst. Public Health Engineer cc:AB JK File TWO COUNTY CENTER - CARMEL•, N.Y. 10512 (914) 225 -3641 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date July 7,1986 Re: Property of Eddie Retta Located at Wiccopee Road (T) Putnam Valley Section 35 Block 2 Lot 11.1 & 11.2 Subdivision of (see survey) Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize Timothy L. Cronin Jr. a duly licensed professional engineer XX 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 o It 'th the provisions of Article 145y0 r 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. '! f) - -- �C' F u,_, PUTNAM '0 11 APT �� � Very truly yours , 0 Signed -- ', 0 er o Property Coun ens P . E . 171 Croton Ave. ' ?' Address Address Ossining, NY 941 -5421 Telephone Ossining NY Town 762 -0164 Telephone ■ I PROFESSIONAL ENGINEER PLANNING CONSULTANT IMOTHY L: CRONIN JR.. P.E. AND ASSOCIATES- 24 Maple Place, P.O. Box 64 • Ossining, New York 10562 (914) 941 -5421 April 19, 1989 Putnam County Department of Health ATTN: John Karell, Jr., F.E. Director Environmental Health Services r 2 County Center Carmel, NY 10512 RE: SSDS *PV85 -86 Gregory Rena Wiccopee Road Section 35, Block 2, Lots 11.1 & 11.2 Dear Mr. Karell: ire have revised the house location on the above dearibed lot. The original SSDS permit required pumping. The revised permit will reach the disposal area via- gravity- flow. '..The wea originally. approved -for= the -treriches-vdll . ...._...w :._ still be used. The area is in the same condition as when originally approved in 1955. Enclosed are revised plans and a new construction permit. Utilize the, original letter of authorization, house plans and soil data sheet. We would appreciate your quick review and issuance of a revised construction permit. Thank you for your time in this matter.. -,� AR, l, Ttmiqft 'k -,"', Jr. TLC, Jr /mrm ^c PUTNAM COUNTY DEPARTMENT :OF.- HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date September 24, 1986 Re : Property of Gregory Retta Located at . Wiccoppe Road .(T) Putnam Section 35 Block 2 Lot 11.1 A .11..2 Subdivision of Liber 778/CP 081 & 502 Subdv. Lot # Filed Map # Date Gentlemen: This letter is 'to authorize Tima.tby L Cl a . duly licensed professional engineer ** or, rag ivtere -6 *arretrktee�t. (Indicate to apply fora Cbnstruction 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. 'cons _truciion ` of said system or,. systems irt.conformity-with the provisions -of Article 145;: or ~ 1471 Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: P.E. , R.A. , # 38912 24 Maple Place Address Ossining, NY 10562 (914) 941 -5421 Telephone Very truly yours, Signe TrI / /��''r // O oyPrdperty tam i Address Town +9j ( . f + C9 -- . .. r si f HYDR- - MAT {IC SUBMERSIBLE PUMPS IDimensionol..I� rowing... Outline Dimensions For Single Pump Unit `Nith Sump"Bdsirs'" ' -° - :-: MODEL .:: _.._ .... . , i S P -40A Typical Instollotion Of D Duplex Submersible Pumps Using Mercury Level Controls I �'" IN)S•NIAINL[TCANS[ i In - � j.. Y 11 +• � 1— o L .. OB11 SHIELD i i — ..__... _....... �_ ' SR Dcx[cN -LV[! • Nt 00 ply AND•_. M t ,, Vow P�xnutC Pt L SHOULD K USEDIN ILL C N D OE ISCNAR PV[ d c•x e[ pSNIN4 R[ONN[D ' ... _. ALARM MUST BE SIIPPLIEO IN SEMRIfE IN, SURC.NR•CRFOR 1 1`' R 5-e I 2 ST µ AAM SUPPLIED•T I`UI�J N NO.R.SWITCN • f`1 f't � 57. LLI I �— ` PI o STANDARD CORDLENUTx 1510 FT. SPRO PUMPS _2 PYPIPC LOMOC R LENNTNS AVAILABLE IF .p5o PUMPS. — RE—AED � VENt 11 AROC3' t f� .. —.1' HUB •-- .,li_= LARMLFV EI i xLEI _.' IIff1 Ir . ;• Outline Dimensions •MODELS•.._.:- _.. SP-50A — SP -50M '— 5'E Wd Y 2013 ,N 9TD PIPe ® 2 II NIm Performance Curve N� MEN 0 N®R ME No No ON MEN ME No M ON M am M ME ME on .. ...— - jOVERRIOELFVCL - -_ E PUMP! ON Jo.. I _ _, LTIIRN 11L11 _ ID.E PUMP ON ALL CONTROLS P/N —o I� 10 ruRx OFF L[VEL Specializing in Sewage Handling Pumps for Pollution -Control Systems • 1 MANUFACTURED BY... U I V I S I i) N HYEDR At - MAT'C PUMP CO. HAYESVILL,E, OHIO 44838, U.S.A. VUcIL-M0,A1N Printed in U.S.A. �= � , iii; � i14 � � - • , i Typical Instollotion Of D Duplex Submersible Pumps Using Mercury Level Controls i .. r.. .�. IN)S•NIAINL[TCANS[ i rPla - ALL CONT O S OB11 SHIELD i i — ..__... _....... �_ ' SR Dcx[cN -LV[! ` I SHOULD K USEDIN ILL C N D OE ISCNAR PV[ w. POR LOCR LTERNATOR CONTROL ALARM MUST BE SIIPPLIEO IN SEMRIfE IN, SURC.NR•CRFOR 1 1`' R RUN LIONTf µ AAM SUPPLIED•T I`UI�J N NO.R.SWITCN STANDARD CORDLENUTx 1510 FT. SPRO PUMPS _2 PYPIPC LOMOC R LENNTNS AVAILABLE IF .p5o PUMPS. — RE—AED � VENt 11 AROC3' t f� .. —.1' HUB •-- .,li_= LARMLFV EI i xLEI _.' IIff1 Ir . ;• Outline Dimensions •MODELS•.._.:- _.. SP-50A — SP -50M '— 5'E Wd Y 2013 ,N 9TD PIPe ® 2 II NIm Performance Curve N� MEN 0 N®R ME No No ON MEN ME No M ON M am M ME ME on .. ...— - jOVERRIOELFVCL - -_ E PUMP! ON Jo.. I _ _, LTIIRN 11L11 _ ID.E PUMP ON ALL CONTROLS P/N —o I� 10 ruRx OFF L[VEL Specializing in Sewage Handling Pumps for Pollution -Control Systems • 1 MANUFACTURED BY... U I V I S I i) N HYEDR At - MAT'C PUMP CO. HAYESVILL,E, OHIO 44838, U.S.A. VUcIL-M0,A1N Printed in U.S.A. .. ...— - jOVERRIOELFVCL - -_ E PUMP! ON Jo.. I _ _, LTIIRN 11L11 _ ID.E PUMP ON ALL CONTROLS P/N —o I� 10 ruRx OFF L[VEL Specializing in Sewage Handling Pumps for Pollution -Control Systems • 1 MANUFACTURED BY... U I V I S I i) N HYEDR At - MAT'C PUMP CO. HAYESVILL,E, OHIO 44838, U.S.A. VUcIL-M0,A1N Printed in U.S.A. .8 CERTIMCATE OF iw T400*6 -,ii Val tied at age ' Owner �PPR�t Nime J. BuUdIQ i Depth ILI ,,a MaTTo- 7. Ty or -cause or may, a: arnend6d,6i:fnp6 i'f!el- rn on" ' . . � V i � w NS q :,-Wiiir's '111ah li: Sapply Fri, Addreee 77�Z ;rt` veto Sapply Ni6id 16 . . . . . . . ... .:Other!Req q �-,i AW; " .; -,ljep!ise' t! t rp W.- - S4 above tlescr�betl will be constructed as shown on the approved amendmen4 there _a ha W ',acS 0 t a County'- Department a! UrA iiKid 16 ',4, 4 "?n - F Ifs. �-!gsqg q ri te he c;*-,sAi A ilk virrtmadiatel� -11 —.1 i- . ,place jn d' 6piritiho �conditibi(, , �,," I _ a, �"2).thaFth -w Vail' -Car f-, Constructloh -.Co WtNvtr,�,If s r ante of- approval _r nee. s nii. r le �.a will! be located as shown on,t hb approved, olan-and ..t hat t install 111 6�m County Department 41 Hl'"ith.v, 3", Date -Signed Al-1- losai, systefn ions of the Putnam P "E -C-t- APPRO . Eft)Odo tbNSTRUCTIOW, T,his 1ppro�alexpi�es* o lle6: 44 �'t! '�n�,��ndprtake 'an d is - revocitl e - for cause or may be ame6ded or,modified when Ahe Jd6hmls$i6 change` qt, alt&atioi of,construc ion sanitary 0 of domestic ric;ufi" Approved for disposal Date Itle w Al-1- losai, systefn ions of the Putnam P "E -C-t- APPRO . Eft)Odo tbNSTRUCTIOW, T,his 1ppro�alexpi�es* o lle6: 44 �'t! '�n�,��ndprtake 'an d is - revocitl e - for cause or may be ame6ded or,modified when Ahe Jd6hmls$i6 change` qt, alt&atioi of,construc ion sanitary 0 of domestic ric;ufi" Approved for disposal Date Itle w COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES .. _ _ .. "'FIELD: INSPECTION- •REPORT (Name of Owner) INITIAL SITE INSPECTION ( Street Wcation)- I YES I NO 1 -a,.. --- -./ - L✓i v+ -'-- w k'-- k---.Z ............. . Property lines or corners found ................... Can estimate house location.......... ........... Will driveway need cut ............................ Must trees be removed - note these ................ Deep holes representative of entire SDS area...... Additional deep holes needed..... .... ... ..... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacentwel ls/ septics ............................ D. H. 1 Lot: Depth to G. W. U Depth to rock 0 ft. Soil Descripti 3 3 ft. V i 6 ft. 4/ ft. (�. .._ .._.. 12- 9 ft. �(f�. 12 ft. /? D. H. ? Lot DeptKto G. W. Depth to rock Soil Description 0 ft. 3 ft. 6 ft. 9 ft. (�. .._ .._.. 12- ft. DATE: INSP. BY: ;` ;`!1'�•j D. H. - Deep Hole G.W. - Groundwater D.H. Lot Depth to G. W. Depth to rock Soil Descr 0 ft. l r 6 f t. �` f DATE: I YES I NO I - M FINAL SITE INSPECTION INSP.BY: House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Roan allowed for expansion trenches.............. Over 100 ft. from watercourse .................... Natural soil not stripped or SDS area unnecessarly graded.......... ... ........ 10 ft. maintained from property line and 20 ft. from house... ........................ Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, bnr;tsh, stumps, rubble, etc., greater than 15 ft. from nearest trench ................ 15 ft. of peripheral soil horizontally from trench ..... ............................... Boxes properly set.. .... ................... Could surface runoff from driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE.. PR0POSEDt ,PROPOSED f WELL `. `w '`s�A � � 1 . PRQP SILT FENCE -- � (SEE DETAIL &NOTE a no z � � e' 1 k \ G � c tr.Y t s 7 z' Ugyp BOUN T HOLE (- SOIL; DATA4S REA �r L4�S 9 st s � Y 'I1 Y � 1 . PRQP SILT FENCE -- � (SEE DETAIL &NOTE a no z � � e' 1 k \ G � c tr.Y t s 7 z' Ugyp BOUN T HOLE (- SOIL; DATA4S REA �r L4�S 9 st s � Y 'I1 Y