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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 52. -2 -24 BOX 22 III lei Lo 1 me � I � L T �r .,�., IS I IF Im F 16 � - -0. ;. 1. .. Z L -r 02580 " C6 PUTNAM COUNTY DEPARTMENT OF HEALTH DI V _N .OF ENVIRONMENTAL 'H- SERVIC.:.: CERTIFICATE OF CONSTRUCTION COMPLIANCE ftVilliage TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Py " 14 " 91 Located at _ 64 o 5c: #��+tJ. 1+C-1 b NTh �-o a0 Town Ji"M � '+ V A uz-t Owner /Applicant Name Aw- GQv Hr� IkL Formerly Tax Map 529 Block 9- . Lot Subdivision Name 0 SLAW N_� V M0 Subd. Lot # 6 Mailing Address $` fL.pj- PSVP�" V-4DP'D PQrHf�c \J -Ld i�� Zip d a5'0 Date Construction Permit Issued by PCHD Separate Sewerage System built by Address Consisting of C 00 Gallon Septic Tank and 00 LF 04 ater kiabrsis result for sardivan a as aaa� Water gmj9nWg more than 20 ang/L of sodium should not be used for drmkmg by people on severely restrioted sodium diets. Water congaing• Other Requirements: more than 270 ma of sodium sbiould not be iwed by V =le on rnodexalely restricted sodium diets. PUTNAM COUNTY DEPT. OF HEALTI T Water Suutply: Public Supply From Address or: _ Private Supply Drilled by Wt'W i WiFIA -- Address l S� f3-TtiZ tnEL�►�) °�j�'L rig-Type Buildi..Has erosion control been,conpleted ?'. j Number of Bedrooms Has garbage grinder been installed? 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 Co un De ent of Health. Date: �� o�' Certified by P.E. k R.A. giProfessional) n Address _� -v�10 i2i- 17- �S y ( 0.609 License # fro y 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 revocation, s fication or change is necessary. / J By: _ Titlel c (�t� t /i ., / Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well L&-ation Street Add -h isr- " DSec U)Q-K L lea, TownNilla e: I�t �C&04 Tax Grid # Map Block Lot(s) Well Owner: Name: Address: hk tf I& t o V-e- VI you k i-, M [ 018 Use of Well: 1- primary 2- secondary �_ Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing Open hole in bedrock _ Other Casing Details Total length �_ft. Length below grade ti-0 ft. Diameter ip in. Weight per foot q lb /ft. Materials: _jC Steel Plastic _ Other Joints: _ Welded _ Threaded'- Other Seal: Cement grout _ Ben tonite Other Drive shoe: 6C 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 —A? gpm Depth Data ._ .: Measure from land surface- static (specify tt) . . 33 .. During yield test(ft) Depth,of completed well in feet Sao Well Log . If more detailed information descriptions or sieve .anal ses . _. -....� are available, please attach. De th.From Surface Water Bearing Well . Diameter(in) Formation Description ft: " ft. Land Surface C[aAj ' S 4 ... . If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type jjL Capacity 7 Depth _.5S—o' Model "751 i j !A Z Voltage 6 HP /, Tank Type !6t , 3oZ Volume Date Well Completed Putnam County , Certification No. Date of Report Well D ill r (s' n re) tvurt>'r: Exact toc.. ati n owllWhW anco t least two permanent landmarks to be provi n a separat heet/plan. fe.i.dist Aa5 319 n Well. Driller s Name Address: 105 f - QJl.lu Signature: Q h d Date: ri White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 LAB #: 32.205004 CLIENT #: 11941 NON STAT PROC PAGE 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ALL COUNTY HOMES 28 READE ST. YONKERS, NY 10703 SAMPLING SITE: 64 OSCAWANA HEIGHTS RD, : SPIGOT COL'D BY:-VINCENT PASClULLO NDTEG...: ' ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ - - PUTNAMCNTY `'87/1002 . 07/12/O2 07/12/02 07/12/O2 07/12/02 O7/12/02 -~~l.07/12/02 �� 07/12/02 07/12/O2 07/12/02 07/12/02 DATE/TIME TAKEN: 07/12/02 02:20 DATE/TIME REC'D: 07/12/02 03:15 REPORT DATEt 07/19/02 PHONE: (914)-447-5282 PUTNAM VALLEY,NY SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLlF8RM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE METHOD PROFILE MF T. COLIFORM ABSENT /100 ML ABSENT 1008 LEAD (INS) <1 ppb 0-15 ppb 9101. NITRATE NITROG <0.2 MG/L O - 10 9139 NITRITE NITROG <0.01 MG/L N/A 9146 IRON (Fe) <0.060 MG/L 0-0.3 mg/l 2037 MANGANESE (Mn) <0.010 MG/L 0-0~3 mg/1 2037 SODIUM (Na) 29.3 MG/L N/A pH 7.7 UNITS 6.5-8.5 90 43 HARDNESS,TOTAL 32.0 MG/L N/A ALKALINITY (AS 70.0 MO/L N/A TURBIDITY (TUR <1 NTU 0-5 NTU COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATE AS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORD 1E NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb/Cu LEAD limits for p EPA Lead & Copper than 10% of their than 15 ppb and a treatment must he potential. ublic schools are set at 15 ppb. Rule for Public Systems requires that no more distribution points have a LEAD value of more COPPER value of 1.3 mg/L, else water undertaken to reduce the waters corrosive Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. Na No limits for Sodium are proscribed. Suggested guidelines state that for people on asodium restricted diet,the water should contain no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium 11 YMl_. ENVIRONMENTAL .:iE:RV ICE,' 3'21. K e a r S Yorktown Heights, N.Y. J-059k3 J� ..::.... ..,..,:....,.r., �_.__ __ ... _ - A:).besrt H. Paclovani, Director . I...r 1Fs 1 . 322.205oo4 CL I ENT # a 11T41 NCIIq S "f A'1' PR 0 F fact n/ VNIVNNNw NIV NIVNNNNHINNNIVw Nf \IN /V IV IV MIV HI IN Hf HI HI MMIV IV w/V HI NIIIN wfVwwfNNHIN ttIw IINIV HIH ♦IV IV IV ALL COUNTY - - -HOI IES DATE /T 3:I�il=' TAE 'E 0 7 %say 28' R.EA.DE ST. ..DATE:: /TIME REC'G( 07/12/, tat' YCINlf 1.= FiS , NY 1()'7t�3 RE-- 'OI T DATE' ; I_'r'7 1 sy. /I:)c' C31 ?; SO MPLINO SITEo 64 OSCAWANA HEIGHTS RD, PUTkIAM. VALLEY, NY SAMF LE 17YrE rlu SPIGOT .. FIR SI FiVAT I `Jf 4S NOI COL" :D BY _V I i�ICEi�!'f F'ASL;1 ULLO TEMP[ FATUR ' ,NOTES. COL 1I 01:ZI 1 METH-1.1; M1, V VN /VNNIVN /VNI \I fV f\Iw IV lV fN IV M /N.HI /V HI... IV IV IV nI /N IN nI IN NeN / \f H1 fN n /wwwfV f• /NII -MI IV 1 Ml HI ! Vl N:\f NfV /V w/V /VNNIV M/ IVI 13ATLC 1= LAG F'FiOCEDUF'tl RI'.:SUL1" NOFiI•'EAE fjAI,Gk Mk r - -- - PtJTNAM-- -CNTY PROFILE" .. -` -- MF' 'f . CUL I I' 01ri1 °I A1-3 SENT / 100 III_ AB SENT i s ..07112/02. LEAD (IMS) :1 Ppb 0- -'15 . ppb :9 sJ7 / 12 /42 N I ThAl -E N I TROD <:0.2 11C.i. /I_ .. .0 —:10 9 '-,07/42/02 N.ITR :[TEJ\ll•TRO(a ._..;C�.O7. MG /L. id /A:, o7/1-2/02 . I RON (Fe- • :0.060 MG /L 0:--01.3-:(1 L r 1 07 /42 /� �2 : MANGANESE: (11n) :I:� . t"� 1 i) hlta /l.. 00 , 3. Incl./ ] C i 1)'7/12/02 SODIUM (Na) 29.3 11B /L N/A 07/12/02 : PH 7. 7 tUNITS ";. F3.:7 . yi Q'7 /12/02 HARDNI SS , TOTAL_ 32.0 IIG /I_ ICI /A 07 / 12 /02 : ALKALINITY (AS 70.0 MG /L. N /A .07 /.12 /02. TURBIDITY -(.TUh _:1. IuTLJ _ C) n COMMENTa u. ;. - - I.3AC:T' THESE-RESULTS INDICATE THAT -THE WATT: WAS) ( WAS NOT) 0!--;- A SAT I SFACTORY__SAN I TAFLY—OUAL I TY ACCORD l: i T'F IE: NEW YORK':, G•f, ATE - ' AI�I��.E s F OR THE' -:A AND -EPA I °FDEFAI::- DFINFING WATER STANDARDS, - 7 EST ED AT THE T I i�lE OF C[]I..LF_rT.IS]L�t.a..... I= F'b /Cu LEAH limits 'for public: schools are Eiet. at 115 ppb. 'EPA Lead 8: Copper Rule' for Pub 1. i. r.: System; requires thi. -i t . no 'mo i e than 10% of their -d-istribution.-points have a LEAD value o f more _than _15 ppb and a COI-`PER value of :1.3 mg/L.. else water treatment :must tie undertak-en to red the water -s corros i ,ve..-.r:.:- :::._..;.:;;:..;;:; potential. _ 7 .K 1= 1 = /Erin 'If.-both iron and manganese are present, their total va ue combined shall neat• exceed t5.5 mg/L.. -•,: Na IVa Zimi.t:s; for Sodium are proscrilaed. Suogested guidelines s ate that for. Eieople on a. sodium rest.i=iif -t-ed cl.`Get:,the water ��hi�aul :cl f- .st.:f.�;i'... :.1•v': •:�mrr- 'a-.'- i-1-rrr "(1 mn /I' il'�'riilf {'I HfYI _ I-•i))- 1:171 =1SC� --ri 17 .3 ' .. ..:.. VML ENVIRONMENTAL SERVICES :7 321. Kear Street _. _..._... Yorktown .I- eights, N.Y. 10398 :. �- - - - - -�- 4`a Albert H. Padovani, Director MAW LAiJ . #� 3c'' . 200vU4 CLIENT #k 11941 NON STAT FryROI, .. Nw NNNNNNNNNN NNnfNNnr nrN NNNN Nn. .V n. n• NNNNNN-- -nr— NNNNNNn ..�. N.n+ rr.I+n•. ,- A!_-L:- QUiNTY HOMES DA•T•E/TI:ME: TAK944 Cal /Lc' %t ?�: 28 FADE' ST. __. DATE KI iE: REC ' D V 07 / 1 r:' /0 , '7. V . YC1iUi 9Rq 4 ,NY 10703 REPORT DATE.- :. 07 L 1 c7 102 PHONE: SAMPLINQ.-OITE6, -64 OSCAWANA HEIGHTS RD, RUTNAM._:VAI_-LE`(,WY SAMP G. TYPE :POTABLE r ,` SPIGOT _- _. PRESERVA 1 I VGS f y NOl�ll =. , :1. . GOL''D F3`( ...:V 1. i�1� 'E';iNT_•_l °`ASS.r:�;_LJI_L:C.1 _...__ . ,..• _ , . :TI= ;h'II�EFA f UFE `; . y �•+E y, , lNO t L S ... C:OL I h q;m _ METI MI- .; r .v NNNNNNN NNNN NIVNNNNNNNNNNrVNN fV eVNNNNN /VNN IV.VNNNNfVNNfV IV IV IVIVN NIVNNNNNNNN NNNnI. N�f1INM/N:AIn VI.N MI v :V DATE . F'LAG--F-'ROCEDUR - RESULT, NORMAL7KQW f3� i 111115,.f 7N01) Is AUC,Jaesiteri . �r pH AjW4SCALE.IN WATER RANGES FROM 014. MEASUREMENT OF Iii I S ONL G! THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER „ WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL f-':(i=1::;S AND FIXTURES. THE NORMAL RANGE: OF pH 19 6.5 TO 8.5. ! { TL7TA!_ HARDNESS 5S I :i . Dk:F I IN1:D AS THE SUM OF THE CALCIUM u°: MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONA'T•F'q li�l •f�iG /L �: TI-II- 4 1 i � HAI DNESS -_MAY RANSE FROM 0 TO HUNDREDS OF NiG /I_, Df= PENDS -:C]o H �t ` I" I 1 OOttF0E AND TREATMENT TO WHICH THE-WATER-HAS BEEN-SUBJECTED... ..SOFT WATER: 0 -70 MG/l._ VERY HARD WATER: ABOVE 3c' 0 MG /1 W '' .'. - _- .. . t- tCfDF�i1A- TE::I:.` �`..= 1- 1AEiF3=- '1�1�Z= I::R�--'-It)- ••14ca 1`((:;;L:• _ - 1`'I(7 /L•' = • il-. lf.:: l_::- J'.a�i�11`'1-- 1"G;Ft -, -1. 1Sr"f;>' i. -- -- HARD WATER: 140 -SOO MG /L. .(I grain/gallon = 1'7 . �? f`1[s /l_) is _; -- _ 1 SUBMITTED I3Ya __.. A] "ova _..._.. .E -- - wr. qsCw ) 0 Direc, H ' EL:F1P #i. JC�3c�3• PUTNAM COUNTY" ]DEPARTMENT OF HEALTH 10 N., tJ-F-- ENVIRONMENTAL EALTH -ER =DICE- GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchas. r of Building` Map,_ Block Lot Building Constructed by TownNillage God �Sc�a,+,�,vc� Z7e��sgci 96�;� 9�Jo�r Location - Street - -� Subdivision Name . 0 Building Type 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 - descri bed. 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 willfuLor- negligent act- of t e occupant of the building Ofil.izingthe 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,, on a 12— Year Q,�g,2.. Signature: a4) General Contractor (Owner) - Signature Corporation Name (i corporation) Address:�e_ SrciiT State lei, k&,s . R I 14 -- Zip 10 )o Title: l � C_ 4� Corporation Name f corporation) Address: State. Zip Form GS -97 YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 l/L>- 800. _ Albert H. Padovani, Director LAB #: 82.205004 CLIENT #: 11941 NON STAT PROC PAGE 2 ~~~~~~~~~~="~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~..~~~- ALL COUNTY HOMES 28 READE ST. YONKERS, NY 10703 DATE/TIME TAKEN: 07/12/02 02:20 DATE/TIME REC'D: 07/12/02 03:15 REPORT DATE: 07/19/02 PHONE: (914)-447-5282 SAMPLING SITE: 64 OSCAWANA HEIGHTS RD, PUTNAM VALLEY,NY SAMPLE TYPE..3 POTABLE : SPIGOT PRESERVATIVES: NONE COL'D BY: VINCENT PASCIULLO TEMPERATURE..: < 4C NOTES...: COLlFORM METH: MF DATE FLAB PROCEDURE RESULT NORMAL - RANGE METHOD is suggested. ` pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES- THE NORMAL RANGE OF pH IS 6.5 TO 8.5. . .' Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CO UrPNTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE HARDNESSMAY RANGE FROM 0 TO HUNDREDS OF M8/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0-70 MOIL VERY HARD WATER: ABOVE 300 M8/L - '-MOD AT -HARD WATER: 7O-140 MG/L MG�� P - � -_� `- �- _ �_- �--=�===_~^`- (1- ' � -17 2 MG/L) grain/gallon = . SUBMITTED BY: N~ Albertj& 1::' adovani, M.T.(ASCP) Direct r - - ._ _~' ELAP# 10323 Rug 15 02 10:17a Planning Board (914) 526 -3307 P.1 AUG -15 -2002 09:54 AM HARRY N NICHOLS 914 279 4567 P.02 SAUCE k Yom _ � t,OR91iA''MOLtNAN °it.N., M.S.N. P�btir Hntr6 DhNir ApOQIQAr hWk Nm A 0&mw D %Vw 'V PWW &rrkw . DEPARTiv W OF RMTH . + 1 0myo Rod 9m usr, Now York 1000 Nom! 14040 01V318•faa wk p14l3n•467e .eaplg ata•eoa - .. a�v•>i��'t�arb�•p�e)sT1'•f0a� ha <8s.i crag31Ff01i ►es6f1)iTriMl .. 8911 ADDRESS VERIS',ATION -Fou OWRERS NAM. All Cav'4444 �•,� � TA.i MAY NUMBE)9t: E911 ADDR$88: � of TOWN: .. AUT36 AED TOWN ON h CYAI:, DATE; � The Putnam Couty Department of Healm wits not issue's Ce!° Mike of Coascructian Campllsaa uaBlM the above:form b completed, leg 6. 1.1:.:.:: ts aaasiped by an aatitorised to Otttciasl. T6ta farm !s eo be suba.(tted ,vitb the appUcation for a CerUCjjt0 of Coastructlou Compltapee. al I MUM" _ _ 6-;?- -04�9 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES PERMIT # CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYST a�- � `ftu c t4 P_P214rr Located at _ (SGq��� �� 7`I zati h %�dwe� Town or YAWge Pv 1/4 da-11 Subdivision. name 6_-eq ,,,a PLA Ogjc Subd. Lot # ri Tax Map S227 Block 2. Lot Date Subdivision Approved 6e. Iq 6:7 Owner /Applicant Name A) G,,l /7o4'.-J ,r c/ k-Cn Mailing Address hi o �� of n i Amount of :Fee Enclosed Renewal Revision Date of Previous Approval Zip 105-7!5 Building Type I r St Lot Area 3,3 & No. of Bedrooms I Design Flow GPD Coa 0 Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 10490 gallon septic tank and 3 do Other Requirements: To be constructed by �' l�i Address Water Su Public Supply From Address or: _ Private Supply*Drilled by i-8 Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sew ige treatment s sy tem 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: Address R.A. Date 7-2:1-0 Z License # T412 -4 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 modifle when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new rmilt. Approve for discharge of domestic sanitary se ge only. % By: Title: Date: White copy.. HD Fi ; Ye o copy -Building Inspector; Pink copy - Owne Or opy -Design Professional Form CP -97 PUTNAM COUNTY DEPARTIMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES . FINAL SITE DiSPECTION Inspectec by' `� " 'Street Locationy Owner I%t' . /.- Town e, Permit # oo / TM r ` ` 4V ¢ Subdivision Lot # / 7 1. Sewage Svstein Area a. STS area located as per approved plans ........................ b. Fill section = date of placement /. 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped ........ ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands ...... ............................... II. SeN age System a. Septic tanK siz ° =1,00 :::....:.1,250 ......... other ................ b. Septic tank in to a level ................ .........:..................... c. 10' minimum from foundation .......... ............................... d. Distributig5 Box . All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box - properly set ........................................... f. renc es eL ngth required Length installed 2. Distance to watercourse measured Ft> 3. Installed according to plan ......... ............................... 4. Slope of trench acceptable 1 116 -1/32 "!foot ............. 5. 10 ft. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface ........ :......... 7. Room allowed for expansion, 100% ......................... 8. Size of gravel 3/4 -1 %:" diameter clean .................... _ 9- :_.Depth:of.grai vel.irt u=n h 12" minimum ::......::::::.:' 10. Pipe ends capped ........................ ..........:.................... g. Pumn or Dosed Svstems 1. Size ot pump chamber .................:..... .:.... ......... . . 2. Overflow tank ....................... ': 2 ... .... 3. Alarm; visual/audio.. .. .............................................. . .. .. 4. Pump easily accessible, manhole to grade ................. 5. First box baffled ......................................... ::.........:....... 6. Cycle witnessed by H.D.esftmated flow /cycle.......:.:. III. ouse/Buildin a. house located per approved plans ... ............................... b. Number of bedrooms ........... ............................... .... IV. Well a. Well located as per approved plans . ............................... b. Distance from STS area measured ' Y4470' ft ......... ... c. Casing 18" above grade .............. ......:........................ d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box .. ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercoun g. Footing drains discharge away from STS area ............:.. h. Surface water protection adequate... .. ............. .................. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES . FINAL SITE INSPECTION Street Location Town TM` ,Z 1. II. Sewage Svstein Area a. STS area located as per approved plans ........................... b. Fill section = date of placement 3:1 barrier Lgth. Width Avg.Dpth C. Natural soil not stripped ........ ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e: 100' from water course / wetlands ...... ............................... SeN aag System a pt�c tangy stze 1000 .......... 1,250 ......... other ................ b. Septic tank in lled level ................ ............................... c. 10' n.unimum from foundation ......................................... d. Distribution Box -A outlets same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. 1Viinimum 2 ft.Original soil between box & trenches e. Junction Boo - properly set ........... ............................... f. renches 17. eC ngth required Length installed 2. 'Distance to watercourse measured Ft.......... 3. Installed according to plan ......... ............................... 4. Slope of trench acceptable 1/16 -1/32" /foot ............. 5. 10 ft. from property line - 20 ft: foundations.......... 6. Depth of trench <30 inches from surface ........ : ....... :. 7. Room allowed for expansion, 100% ......................... 8. Size of gravel 314 -1 %z" diameter cl ........... 9.. Depth of gravel din trencli -12" mini '. um:.. :. 10. Pipe ends capped ............ ............................... .. g. PumnZ or t Pump chamber am er .................: 2. Overflow tank .. ............................... ..................... 3. Alarm; visual / audio .................. ............................... 4. Pump easily accessible, manhole to gra e ................ 5. First box baffled .................................. ......::.........:.... 6. Cycle witnessed by H.D.estunated flow /cycle.......... III. HouseBuildin a - Rouse ocated per approved plans .. .............:................. b. Number of bedrooms.... .................................................. IV. Well a. Well located as per approved plans ............................... b. Distance from STS area measured ' ft ......... c. liming 18" above grade ........... ............................... ... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. 'Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............:.. h. Surface water protection adequate ... :................................ i. Erosion control nrnvide.d Date: inspec y.,° Owned/ G'® Permit # Subdivision Lot # 9 a, i C I�� ter_ • - �` :yr r�e� 9 a, ` �� �i�� �=-� �! � �� � ` � � . � �� e� �� ���� i�� � ����� �. goy ` ✓� �� � � ��- � � �� Y .. r. � ._. _ .: ;� �, �� ... �. - �; «y � ,�- Vic%`. -� ��� ,b� i /_'� � � �.� s� � L � P���� .'��r�� �o � -? S � _ f - -''..' kfev. Harry W. Nichols Jr., P.E. Patterson Park, Suite. 106 2050'Route 22 Brewster, NY 10509 Telephone (845) 2794003 Fax (845) 2794567 August 15, 2002 Mr. William. Hedges Putnam County Health Department One Geneva Road Brewster, New York 10509 Re: Individual SSTS compliance Oscawana Woods,. Lot # 14 Lake Oscawana, Heights Road Putnam Valley, N.Y. Dear Robert: Enclosed are the following: 1. Five (5) prints of Drawing S -8, "As -Built Plan," dated 8/7/02. 2. "Certificate of Construction Compliance for Sewage Disposal System," dated 8/7/02.. 3. Three (3) copies of "Guarantee of Subsurface Sewage Disposal System," dated 8/12/02. 5. Well completion report, dated 7/9/02. b. Application Fee. in the amount of $200,00 payable to Putnam county Health Department. If there are any questions concerning the enclosed, please call. Very truly yours, Harry W. Nic s Jr., P.E. HWN;jmm 02- 069.00 4- v UCE ; -R ; . F(3I:EY.r ..._.... Public Health Director August 1, 2002 DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Harry Nichols, PE Patterson Park, Suite 106 2050 Route 22 Brewster, New York 10509 Re: Field Inspection - All County Homes, Inc. Oscawana Heights Road, (T) Putnam Valley Lot # 8, TM# 52 -2 -24 Dear :Mr. Nichols: The following comments must be corrected in the field. • As per your discussion with Mr. Hedges at the above mentioned site on July 29, 2002, the ROB fill is not suitable fora SSTS fill system.-All fill, must be removed and replaced with �.. _._.. _.. _..ROB fill`that meet.T this Departments guidelines per:- c6iisfnicti7M nbfes T = 15 when fill is'-` `� y proposed (see attached). • Notification must be made to this Department for an inspection of the fill pad prior to the issuance of a trench permit. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. Sincerely, va / , Ell Gene D. Reed GDR: (j Environmental Health Engineering Aide Q,- SENDING CONFIRMATION DATE AUG -5 -2002 MON 08:50 NAME : PUTNAM COUNTY DEPARTMENT OF HEALTH. TEL 845- 278 -7921 PHONE : 92794567 PAGES : 2/2 START TIME : AUG -05 08:48 ELAPSED TIME : 0112111 MODE : 93 RESULTS : OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... a - • BRUCE R FOLEY LORETTA MOLINARI R.N., M.S.N. Prbae Heam Df— A—i. PuM1e x arf6 Mrnaa Daeery 9f Pm6rnr 37a.fm DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 s:..1m..,..m xmin Ous)rn -65ra Fci ex+>)xte -7V21 d9flhx 9ar.(843) 278 -6358 w1c(543)278 -6 %1 Fml(NS)376 -6015 Lire' twr...soo (as)rn •6su F.I pes)m -sue 1'rtealN(885)728.6913 Fu01497ZI.611) August 1, 2002 . Hury MchoK PE ._ ... Patterson Puk, Suite 106 2050 Route 22 Brewster, New York 10509 Re: Field Inspection - All County Homes, Inc. Oseawana Heights Rned, (T) Pumam Valley Lot # 8, TM# 52 -2 -24 Dear Mr. Nichols: The following comments must be corrected in the field. • As per your discussion with W. Hedges at the above mentioned site on July 29, 2002, the ROB fill is not suitable for a SSTS fill system. All 511 must be removed and replaced with ROB 511 that meets this Departments guidelines per construction notes 1 - 15 when fill is • proposed t be NottSimon must made to this Department for an inspection of the fill pad prior to the issuance of a trench permit. If you have any further questions, please contact me at (845) 278-6130 eKt. 2261. Sincerely, Gene D. Reed GDIL4 Euvirottmentel Health Engineering Aide JUL -23 -2002 10:44 AM HARRY.W NICHOLS 914 279 4567 ___... .. -..... _ ..__.._. ._. __ P.01 p . PUTNAM COUNTY DEPART=n 01="T3 DDWON OP ZW=NitVlWAL WALTB UMCZ$ NZ" m4 mom D ADAM GENE -- • • � phi RT FO IL MAI . WIR .CTi N Fir: , p'd1 AN iafamadw twat be f&y4Wmplctod prior to any icmchel isspecdoas be4 .:PCHD Coatntodoa Permit Lowed -- ��.� • �%a . Owner /Applicaat Nana; b, DI 5:46- Block .2.. Lot .�.�. Port fAy. 5ubdlvlsloo Name: Subd mloa Lot Is ayit= tilt cowletad? .:•. ate: .. is ayriem 99MA467 Date; , — 149 --d 2 - Iy ey:sem eoastttieted,aspet piw7 . U wiD drWvd? Duo; ; f= �._. U woo lomed q pot plaas7 Are amdoa sonttn! roe&%M Ia VIM? I ' that b ly$=($� as AstA a the above prcaw4a+ bu bow coaeu eW ad 1 brave Inspected . verled their cotapledoa In aacordWe with tba issued PCHD COWW*u Permit god the- Staanda, Mies sad, RtV1gdoas.,Qt the 'Putum Couaty._cputmeat of _.,.. Dhts; 7 ��w� --_• Certl�ed by: p8 �RA .___ .. • ' De i'rofe>tsiocel - .. _. address: � i�'-,� �•�.,_,�Yrc��.��� � � I.Ea 1Y � •�; ''y .. - Com:acntsi ` JUL -23 -2002 TUE 10:58 TEL:845- 278 -7921 NAMF_• PI ITNAM rni INTY n;=paP- TM�KJT nr 0 4 ON vii CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # ff411 Located at C-4 tJ ►JA 14,5161-I T4- P1104-1-3 Town or Village 1?ZD1 -(9n4 Y,1 /k- / Subdivision name 444.0 JayS Subd. Lot # Tax Map SZ Block Lot _ Date Subdivision Approved' Owner /Applicant Name 4/1 om iVL Renewal Revision Date of Previous Approval Mailing Address 8' f- [-p 4- 40A 9,P i rte' 116,"1 V a i (ex X Zip /a'% Amount of Fee Enclosed Building Type 1 - L Lot Area 3, 3 c No. of Bedrooms Design Flow GPD 6© Fill Section Only Depth Volume Separate Sewerage System to consist of /000 gallon septic tank and S::, cc Other Requireme To be constructed by Address Water Supply: Public Supply From Address or: + �/M Pi7vate Supply Drilled by� �"�. _._.._ ........ _.._ . . - Address_.__ ._...-.._ ._...._._._..._..._.._.- ..:___: I represent that I am wholly and completely responsible for the design and location of the proposed systems) 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:thai 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: Address R.A. Date !o B 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 considered nftessary by the Public Health Director. Any revision or alteration of the approv71, plan requires a new pe t. rov fo ischarge of domestic sanitary sewag only. By: Tifle: Date: �© White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professio al Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL . please print or type : . _ . - . ' - °'- PCHD Peimlt # :.3 Well Locution: Street Address: Town/Village Tax Grid # G9Wh" S /2,d L rl . 04 &4 MapSZ- Block Z Lot(s) Well Owner: Name: V Address: e 6 1 r10 1--4 09 rl V0. . P . 0 `t Use of Well: esidential Public Supply Air /Cond/Heat Pump I gation ' 1- primary Business Farm Test/Monitoring Other (specify) 2- secondsiry Industrial Institutional Standby Amount of Use Yield Sought _1!7 gpm # People Served Est. of Daily Usage -gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling e/Ne Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling j4 PQ 40 uS . Well Type Drilled Driven Gravel Other Is well site: subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ..................................... ............................... Yes V No Name of subdivision ©S c4t'0 4tJ O&Op S Lot No. Water Well Contractor: Address: Is Public Water Supply available to site? .................................. ............................... Yes No l/ Name of Public Water Supply: I 1 A Town/Village t4h!E . Distance to property from nearest water main: Proposed well location & sources of contamination It be pror, on s parate sheet/plan. Date: % lJF __ :Applicant Signature: 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 wate well Ile red by Putnam County. rr Date of Issue Permit Issuin Official: Date of Expiration (® zip Title: l Permit is Non- Transferrab White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION .OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: '7T11 A yAl�e�, l-f f 0S7�. 2. Name of project: 0SGAi,.,);4 AA u%Cyns 3. Location T/V: _FUT1-1,+M 4. Design Professional: 5. Address: •{?©. ?>C:�( 5-0 ylA/-/Q0A<,- T %0S# / 6. Tyke of Project:. %.,--TGvate/Residential Food Service Apartments Institutional Office Building Realty. Subidvision Commercial Mobile Home Park Other (specify) _ 7. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ....................... ............................... Type I Exempt Type II Unlisted L.--- 8. Is a Draft Environmental Impact Statement (DEIS) required? ' ......................... 6(9 9. Has DEIS been completed and found acceptable by Lead Agency? ............... :.._...1.0.. Name of Lead Agency- .. ,. 11. If this project is an area under the control of local planning, zoning, or other officials, ordinances? ......................................................... ............................... �s 12. If so, have plans been submitted to such authorities? ........ ............................... 13. Has preliminary approval been granted by such authorities? Date granted: 1 as 14. Type; of Sewage Treatment System Discharge ................. surface water groundwater 15. If surface water discharge, what is the stream class designation? .................... 16. Waters index number (surface) ........................................... ............................... 17. Is project located near a public water supply system? ....... ............................... 18. If yes, name of water supply `-- Distance to water supply 19. Is project site near a public sewage collection or treatment system? ................ _ t4 0 20. Name of sewage system 21. Date; test holes observed 1Ab7-Jf 22. Distance to sewage system Name of Health Inspectorei3�r�r� Form PC -97 4 2 ___-- .. -.... 23.. Project. desi gn.. flow _ . on perday)a.. (g all s ; caC� 24. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... 25. Has SPDES Application been submitted to local DEC office? ......................... i4C�. 26. Is any portion of this project located within a designated Town or State wetland? es 4 c, 27. Wetlands ID Number ........................................................... ............................... ZAC 28. Is Wetlands Permit required? . ............................... ........... ............................... V2� Has application been made to Town of Local DEC office? ............................... =p %J k1 29. Does project require a DEC Stream Disturbance Permit? .. ............................... El� 30. 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 31. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? ... ............................... Yes/No , DESCRIBE: 32. Is there a local master plan on file with the Town or Village? ......................... e .33. Are community water and/or sewer facilities planned to be developed within 15 years m or. adJacent -to: roject site?;;..-.-..-. - ................................. - - - — - ...,...._ .... .... -..... _.. z_.... ., ...� .. _.. .. �. -. ..'. .... �, -.-... .....y...__._�__...- ...� -rs. —. -ter... _ _...._... ._ __... I D Eo 34. Are any sewage treatment areas in excess of 15% slope? ......... 35. Tax Map ID Number .......................... ............................... Map, Block Lo 36. Approved plans are to be returned to ..... Applicant L,---'-Design Profcbior ti If the application is signed by a person other than the applicant shown in Item 1 .,the applicatf8h dm= be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this Avis� may be grounds for the rejection of any submission. A0 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 & ®FFICL4L TITLES- Mailing Address: ................................... P1,11 NA?' COUNTY DEPARTMENT OF HEALTH 9F.ENVTR0NMTKNTAL HEALTH SERVICES A T"I I DAVIT - CORPORATE OWNVER V-PPLICATION FOR M!"t' SUBMITTEM TO PTUTNAM COUNTY 1-11",A1111 DEPARTMENT T (.): J, ob is 1* 1!, a, i D c t. o r tjap q t_)o 67 CIS h) for: C-ert, J'eprc tha, am anofflicer or employee of the corporption zuA am authm -ized to act for: ��me :�f`Ca1• ��-��tior�: � i�__ _ � � f/I dJ -1 % �/ O x'1'1 t° �i s-1 N . I < of l C � s at: Vlhme Offiwei-s Are: A4 12' v 70 A d (h L AV 7 ?QJC VC -6 C) a Ile; �i/0 70� 'A b2rf 7 anti am and evil! '- individually .—nnsible f(,r any and a''' ,acts of the corporation with respect a ling thereto. pprov,! '! "reques. all subs. ientactthereto. EDWARD KERSCHNER NOTARY PUBLK! STATE OF NEW VORY, S;,-,,,ied-. NO: 30.0197880 QUALIFIED IN BRONX COUNTY CO ISSION :PIPS AUG 31, 20,?/_ .... . rn to efo.• -lie wEIVA (Jay of (year', Corpoi-.-I-IoD Seal ' Sep 21 -00 20:16 STEPHEN W. COLEMAN 914- 762 -5260 P.04 wnl PasC' (4(, TOWN OF PUTNAM VALLEY CHAPTER 144: Freshwater Wetlands, Watercourses and Waterbodics Ordinance: of the Town of Putnam Malley, Now Mork. - The Town Wetlands Inspector, as Approval Authority, has determined that the proposed action is an Unlisted Action under SEQRA, and will not have a significant environmental impact. Therefore, a PERMIT WAIVER is granted subject to the conditions noted below. DATE PERMIT ISSUED: DATE PERMIT EXPIRES: APPL ICAN'I' /SPONSOR : PROPERTY LOCATION: September 19, 2000 September 19, 2001 Vincent Pascuicce All County Itomes, Inc. 81 Floradan Road Putnam Valley, NY 10579 Oscawana Heights Road TAX MAP #: 52 -2 -25 SIZE OF PARCEL: 3.2 acres ZONING: R -3 PROPOSED ACTION: Construction of single family residence, septic system, driveway and well within wetland buffer MATERIALS REVIEWED: .... _ 1. Application Materials, file # WT -318. 2. Preliminary Fill Plan and Site Plan for All County Homes, Inc., its prepared by R. Fredrilosen, P.E., dated 05- 11 -99, last revised 09- 07 -00. CONDITIONS OF PERMIT: All cclnstrUCtion shall follow approved site plan as noted above. 2. The Wetlands Inspector shall inspect construction of the driveway, and installation of mitigation plantings, and all wetland disturbance areas. Wetlands Inspector to bu notified by applicant when driveway is being constructed, and plantings have been installed. Final inspection once site completely stabilized rcquired by Wetlands Inspector. 3. The Building Inspector shall be notified once erosion control measures are in place and at least 48 hours prior to the initiation ol'any site work. abp i ura " Sep"°- '21 -00 20:,16 STEPHEN W. COLEMAN 914 - 762 -6260 P.03 4. When Erosion controls are required, they must be maintained properly throughout the ,. construction process and remain in place until final site inspections for compliance with conditions of permit have been completed. 5. The Plaruting Board, Wetlands Inspector, and/or Building Inspector, shall have the right to inspect the project from time to time. 6. The permit shall be prominently displayed at the proicct site during the undertaking of the activities authorised by the permit. 7. An additional e% row account in the amount of $ 300 must be established with the Town before this Permit Waiver can be considered validated. These additional escrow farms will be appropriated as required R)r construction monitoring purposes. Any portion of the account not used during; the project monitoring period shall be returned to the applicant upon satisfactory completion of the project. Noncompliance with the conditions above will invalidate this Permit Waiver, and may result in a Notice of Violation and/or a Stop Work Order_ Any questions regarding this Pcrmit Waiver should be directed to the 'Town Wetlands4 inspector (914) 762 -7288, or the office of the Building Inspector (914) 526 -2377. Date Permit Waiver Prepared: September 19, 2000 Stephen W. Coleman "Town Wetlands Inspector M: Applicant Building Inspector hiartning Board .... Environmental Commission 1%,v:? cW2 BRUCE R... FOLEY. -. / .. LORETTA MOLINARI R.N., M.S.N. Public Health Directory Y O4� Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845)278-6130 Fax(845)279-7921 Nursing Services (845)278-6558 WIC (845)278-6678 Fax(845)278-6085 Early Intervention (845)278-6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 October 2, 2000 ' Mr. Roy Fredriksen, PE PO Box 950 Mahopac, New York 10541 Re: Oscawana Woods Realty Subdivision TM# 52 -2 -24, R.S. Lot #8 Town of Putnam Valley Dear Mr. Fredriksen: This office has reviewed the wetlands waiver dated September 19, 2000 and the most recent set of plans on file for the above mentioned project. We would like to offer the following comments for your consideration, as noted in August 23, 1999 letter of comment. 1. A fill plan is required as outlined in PCHD Policies. and Procedures ST -19 for all proposed fill sections of greater than 2'0" in depth. Fill and Trench Plan (s) 2. Erosion control measures must be shown along the north side of the drive to protect erosion into wetland(s) areas. 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 Assistant Public Health Engineer ABS:cj BRUCE R. FOLEY Public Health Director August 23, 1999 DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI RN., N f.'9.N. - -� ` Associate Public Health Director Director of Patient Services Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Mr. Roy Fredriksen, PE PO Box 950 Mahopac, New York 10541 Dear Mr. Fredriksen: Re: Oscawana Woods Realty Subdivision TM# 52 -2 -24, RS Lot #8 Town of Putnam Valley 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. 1. Provide a Wetlands Permit to conduct proposed disturbance within 100 feet buffer of Nvetlands; or provide a letter of permit waiver. 2. A fill plan is required as outlined in PCHD Policies and Procedures ST -19 for all proposed fill sections of greater than 2'00 ,in depth. Trench flan 1. Intermittent drainage course to be piped along the area of the SSTS. Minimum separation distance for piped drainage to "toe of slope" to be 35 feet. " Minimum separation from a "open" intermittent stream to fill is 50 feet. 2. Erosion control measures must be shown along the north side of the drive to protect erosion into wetland(s) areas. 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 14.164 (2187) —Text 1.: PROJECT I.D. NUMB ER 617.21 S EO R _ . , _v �, ..•_. -'State`Efivh 3ntel Quailty 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. PROJE .NAME e S 3. PROJECT LOCATION: Municipality �/h a County .�(�h 4. PRECISE LOCATION (Street addre s and road intersections, pr minent landmarks, etc., or provide map) Trv1 5Z - ? - 24 5. IS PROPOSE CTION: ex El Ex,;ans'•on ❑ Mcdification/alteration 6. DESCRIBE PROJECT BRIEFLY: / 7. AMOUNT OF LAND AFFECTED: 3 w Initially -33 acres Ultimately' acres 8. WILL PR r ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? [i es 1 No It No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? esiC ?ntiz! C InCUStrial- ❑ Commercial ❑ A;riculture_ ' " 0 ParWForest/Open space - 13 Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL STATE OR LOC L)? es ❑ No It yes, list agency(s) and permitlapprovals • PGrID r wetio-,ds rte► D 11.. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? Yes. Ptvo It yes, list agency name and permlt/approvai 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicar,Vsponscr name: Date: Signature: —' Ii the action Is in the Coastal* Area, and you are a state agency, complete the , Coastal Assessment Form before proceeding with this assessment OVER PART II— ENVIRONMENTAL ASSESSMENT (ro be completed by agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6.NYCRR, PART 617.127 If yes, coordinate the review process and use the FULL EAF. ❑ Yes ❑ No _ ._6..V1IL-L-A#ON - REOEFVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may b'e superseded by another Involved agency.. " ❑ Yes ' ❑ Nb '. C. COULD ACTION. RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, If legible) Cl. 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 brlefly 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. . t;p L,." Co. Long term, short term, cumulative, or other effects not identified In C1-05? Explain briefly. . N .. W . C7. Other impacts (including changes In use of either quantity or type of energy)? Explain briefly. N N' Opp - 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. Each effect should be assessed in connection with Its.(a) setting (i.e. urban or.ruraq;.(b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been identified and adequately addressed. ❑ Check this box if you have Identified one o� more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a'positive declaration. ❑ Check this box if you have determined, based on the Information and analysis above and any supporting documentation, that the proposed action WILL NOT result In any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency. Print or Type Name of Responsible Officer in Lead Agency Title o Responsib e O ficer Signature of Responsible Officer. in. Lead Agency Signature of Preparer (if different from responsible officer) Date "4 ^"f Iy z'M h�< C >w � C7 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Lk%, Address .4 6W tj jZp Located at (Street) (93 vi ,4r( e j g 0: Kp_ Tax Map 5?, Block 2- Lot (indicate nearest cross st&4t) Municipality Able Watershed SOIL PERCOLATION TEST DATA Date of Pre-soaking -4 L> / Date of Percolation Test !�0/ Ly;r 1,02 f7 7 �j .19 5 I I - I 2 1 1 3 4 5 TES: 1. Tests to.be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. -.5 1 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 yo., z4D 10:3, 2 /,0:35*- 16.'53 16 2-1 24 3 /0 .'54 I/v z /3 21 9,4 3 6. .19 5 I I - I 2 1 1 3 4 5 TES: 1. Tests to.be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. -.5 1 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 TEST PIT DATA . 2 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. DOLE NOz — _. MOLE' O. G.L. 0.5' 1.0' _ 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' L��c� 7.0' 7.5' 8.0' 8.5' 9.0'. - 10.0' Indicate level at which groundwater is encountered Indicate level at which mottling is observed Indicate level to which water level rises after being encountered��_ -_ Deep hole observations made by: p. E 4. g�PG# v Date �Z Design Professional Name: ae Sin/ . Address: Signature: Za 0 add SaA:81DV: AN! AM03 WE Design Professional's Seal 03AI3338 Of Ne . o So PUTNAM COUNTY DEPARTMENT OF'-HEAI-'JTH DI)" 1. SION OF ENV IRONAIVIENTAL. L)"ATER OFAUTHORITATION RE: Property of' 4Z-L. C-46 at 19 P T- J �� �-/Tlclx map# Block Lot -- Sulb(hVisiol► of* 4 L"jo,),O-S, Soh"Jivisioll. l'ot 11 _Filed Map # 2Z36> Date llled- C',entlenic! i -. A Ills letter to authorize T � �� � -- fir- Registered Architect to apply for the required wiislcxvak-j, Irc.atment and/or water supply permit(s) to sme the above-noted prOperty in accordance 11.11 the S1,110-ards, nd s or regiflations as pr oiiitilgale.(.Ii)ylliePt.it)liclica.li.liDit-cctorofflic.iltitliam (,f)1nity I and to sign all necu.ssary papers on my behalf in connection with this imiller and to sup -.rvise the construction of said wastmaA.c-r-..tre,,tjmcnt ant-Vot,water s.uplik, systems. 'fi')" Article 145 - ndl- -147 the )11 G(Al Fort i Jt with-di-�,provisions of-A e a oi otfh -"d'uc(11 ( n Law, the Public Health. .I\vt an(.] the Putnam County Sanitary - .Code. tj-ul),:Io 1w c ot [liters J�! I i.xj.: Signed: -- 1'.l ., R.A ((honer of Property) NI i I i g A I d ress Pkp>-t� Mailing Address..—E 1-�IAI State Zip fldt,.phollc: 0 Telepholle: Foi in.I.A-97' PUTNAM COUNTY DEPARTMENT OF HEALTH ' DWISION OF ENVIRONMENTAL HEALTH SERVICES . INITIAL INDIVIDUAL /COMMERCIAL SITE INSPECTION FORM C'O SECTION A. GENERAL INF ATION Name of Project p,�c' oS (T)(V) �F County V7 ��CV�J Site Location CLCAJA-mA 425--4L1*M V Building construction begun Extent Is property «ithin NYC Watershed ? ................. Yes No SECTION B. TOPOGRAPHY (Pleas eck all appropriate boxes) 1. Hilly � Rolling Steep slope � Gentle slope a Flat 2. F7 Evidence of wetlands F-� Low area subject to flooding 0 Bodies of water F7 DrainaQe ditches U/Rock outcrops 3. Propery lines or comers evident ....................... ............................... F7 Yes No 4. Do water courses exist on or adjoin the. roe Yes a No L S 5. Will these affect the design of the sewage system facilities ?............ Yes � No 6. Do watershed regulations apply in this development ? ....................... F--J Yes. Fil"'No 7 Will extensive grading be necessary? ................. ............................... 0 Yes No 8. Will extensive fill be necessary for SSTS? ......... ............................... F-� Yes o 9. Do filled areas exist within the SSTS area ?... .._. _ t _ Yes.. No._ If yes, Nvhat is the condition of the fill? SECTION C. SOIL OBSERVATIONS 10. Appearance of soil: [21S' and Gravel oam F-� Clay ED4ardpan �Mixture 11. Observed from: a Borings ' EJ Bank c Backhoe excavations 4) 12. Soil borings /excavations observed by on /z 13. Depth to groundwater 14. Depth to mottling 15. Are test holes representative of primary & reserve areas ..................... .....�........ 16. Soil percolation tests made by �-•r- W of -'aa� L P-c L \( 17. Soil percolation tests witnessed by _ SECTION D (on back) on on es F-� No on on P Form ST -1 ') n_.a t SECTION D. DRAINAGE _ 18.,A ill proposed grading materially alter the natural drainage in this or adjacent areas? 0 Yes o 19. Will groundwater or surface drainage require special consideration? ........... ........... � Yes No 20. Will gullies, ditches; etc., be filled and watercourses.be relocated ? ......................... F Yes i o SECTION E. REMARKS 21. If a common water supply is proposed, has an inspection been made of the existing or proposed source and facilities?......... ...................... ............................... Yes o Inspection data 22. Do adjacent wells and/or sewage systems exist ? .............................. 23. Additional comments 24. Site observer /inspector and title 25. Date(s) of observation(s)inspection(s) [� TEST PIT PROFILES Hole f- -L-Lot 4 Hole Lot-. rp Death to water �'kOklf, Depth to water R-10AV . es 0 No Hole A' Lot r Depth to water Depth to mottling _ Depth to mottling Depth to mottling .Dzp�h_to- rQck/imp: �o� r Depth to rock/imp. -:(o: ^�`( -: - :"-Depth to roc�/rrip:' G.L. 1.0 2.0 13 >tL 5L, W 4.0 5.0 4'-6` Non comp 6.0 - Sam 7.0 C✓ c I l 8.0 9.0 Cnvv "LY 10.0 :m 0.5 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 G.L 0.5 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 1[flul 1 iAl all � � ��� iii► -_�_ /It's ` � •�►``.' �ti�►I � ' ` � , ���+ -TAN-18-02 P R I 9:!57 W I L L I A M -P- B E S H A R A T 41 PN -14 -2092 11:28 FROM: PUTNAM COUNTY DEPART 845 -27S -7921 TD: 962865x.'0 A l JAM— 9---$2 WRD I :L d ®9 W 19..E � F1ht- w�fsSHP4f�AT P - 0 1 P: 1/1 P r PUTNAM COUN'T'Y DEJPAR.' MY.NT OF HEALTH H Dit SION OF Fd11MONMNTAL WALTH SERVICES AT MNTIOhi IYE For: Fzi! '►'►o" 6 �'.'` ` All in%tmation must be t'ully complctad prior to any Trenches i�ispecdasd bet made, '1 'N XUD Contraction Pernvt # `' // s. < Lotted; ('!'� ". Y01d #4e' . OwnodAppllcmntName: �Clt11Ct��: Subdivision Name. �� $1I r.,t`�,'y Subdivisioo Trot Is system flu completed? • bate: to system p se? DAtA: ��-'.;- '�`. .�;•�. ;f0 b system constructed as per plebs? is well drilled? hate: Is weA located as par plans? Axe erasion control measures iA place? ,._ :+ }4•" I cettiijr that the syst*s) as fisted, at the above premises has been eonstm and I bwe, ins ;° Bold vc+fified their ca Zetior► in accordance with_tbe. issued. P(D. ctierti"� }C9n• ii` .!' ppt�tied glens -a 'th ®' Standards; @woes ssi� R*tatlot�`o>" tt 1t utuY t ar Jim jo DAW CoMW by- PE RA /�lddrL88: Q K �A� IAiC. 'tt 1� k. ..1 .�,: • .� " '. ° :r ��1�•' . ';4;�: ?iii U- 1611M M SET— dw Al Z) k OL� ;K I: 'TMI_40_MOMM CDT 11 -W TCI • D/Ir._^J�O_70^J4 11nMr. n1 1T1I -A ..... •�ti JAN— c3 -02 W ED 1 1 : 09 W i L- I r C. M�T2GCUOla�T AWENTION All information must be fully completed prior to any Trenches =; < inspections being made. PCIiD Construction Permit# Located: C eJG-r► 4 (T) (V) OwwrfApplicantName: ` es TM�_ Block Fonnerly: Subdivision Name: �� 9w cvi,� p: Subdivision Lot # Is system fill completed? -_ Date: t Z Is system complete? Date: Is system constructed as per plans? Is well drilled? Date: '' = Is well located as per plans? Are erosion control measures in place? I certify that the system(s), as listed, at the above premises has been constru ed and I have inspec. ed i:. and verified their completion in accordance with the issued PCt-ID C nstructioi Periiiit did approved plans and the Standards, Rules and Regulations of the Putnam County Uepartient or .Health:. - - - I P Date: % 2- Certified b PE RA 1jesign Professional Address: Comments: Form FIR -99 1 .rni 1 n _'1PJJ9. Trl ! 1 I lrn A ."1 . A �i . I"I Ar n�fP'1 7!'I�,A l l/,MAr . l"11 ITl 1I,AA /^I"Il ll ITtI f,rl'1-1"ITMrI IT I•�Ir n � 5• SENDING CONFIRMATION DATE : JAN -14 -2002 MON 11:29 NAME PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845- 278 -7921 PHONE : 96286520 PAGES : 1/1 START TIME : JAN -14 11:28 ELAPSED TIME 00'51" MODE G3 RESULTS OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... .r s+M— 9 ^aa wsn s s aae MILL Ipt•1 +Hg6Hp Rpr v -01,,, f'Jt PIT NAM COUNTY 1)"AATMEIPT OF HEALTH If DIVISION OF EKVIRONMENTAL HEALTH SERVICES f ' ATnWn0N NB ' For Pell it Au Ldbsmation rmset be cmnpktaQ prior m e>n Trtmche¢ �;,; - lropediam tmda •n 1 PCIID CondmwouPermit y Loaetad: m Ili: .... �: '. OaserOApplimat Nesm nA SWek_ 4; { le "dem tv completed? yim• Dam • rya = complaw Data: • system commucced as per ptemT Is wdl dtitledt Date - ,:: �, -:.:: L wdl located as per plmwt Ameroalonoostrdmsenlrrainpkce? I wt' , dw the "UM(sI asfimA at tbs abum premises bm been sad I h6Ye iati�eclpd and verified shah wmpletimt is atxmdasae wlth the iapted PCdip rowctio� PdQais b. approved m d the Stw3dards. Rules and BeSuW m of the C,=W Wpupeaf F.:'c {.:: ;} ; • I : n plus oC xwtk Data: J C4ti8edb9: c . (i •J p Addtes+: P � @>,ir A!54 #1*,92- -0 im- - Lk. commem PomtF" JAN -9 -mac WED 12:13 TF1t848 -278 -7921 If T'Q01 t MtPUfNtM COIMY DEPFRTMENT OF P. 1 SENDING CONFIRMATION DATE : JAN -14 -2002 MON 14:29 NAME : PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845 - 278 -7921 PHONE 96286520 PAGES : 1/1 START TIME JAN -14 14:28 ELAPSED TIME 00'52" MODE G3 RESULTS OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... JAN— 9 —e.8 "a" 11009 P.e)1 rMWAM COV N7'Y DEFARTM M OF HEALTH DtVLVON w ENVyR0Nbff=A�yL. HEALTH SERVICES ATTENTION I,TN, UDI Far. Fit ♦� v '7' :• ;PCHD mfatiou most be SidY asapleoed �'to en! TtOdCti°° •�' "� • .L . made. aoslnttdio n Fedmt 0 Tm r Poim�ly bNama ti- >. qm.fiu completed? Yom• :' .: 5 Isaycoaap�� Dau: —++•-? 3r'..;C`3 )a c p0f p�9? " e oaattat7e4 ae '9 to wall dtMadt Date Is mu mated - papl -6 Am atasim 02W measaa mpbtot? Iaafttwthesymc :Ka,as504atmashwapmmmItl beenconsuu andibaypi 1 u and v6dw dwk compWm m acaotmace wlw the iasucd rct>p one�'1? i%d approved plans and the Stendetda, Rules and RslQ bdoos of tEe cm3tY DfF �'• ..``ct r. IAtta � j�Q�'�- Cectifiod Oq: � PB ✓ � � .� Ptafeseionet "; PotmFIR.99 r� �,: i JAN-9-2M ?2.13 TELtM -278 -7921 Ni'£:Pt1TWII COUNTY nEPORTlENT OF P. • 1 BRUCE R. FOLEY Public Health Director February 6, 2002 _ LORE TA IVIOLLNARI Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Roy Fredriksen, PE PO Box 950 Mahopac, New York 10541 Re: Field Inspection - All County Homes Oscawana Heights Road, (T) Putnam Valley Lot # 8, TM# 52 -2 -24 Dear Mr. Fredriksen: An inspection of the fill pad at the above referenced project has been completed. Comments are as follows: • The fill pad must have a 3 on 1 slope back to grade without a retaining wall. Please note that field measurements by this Department in no way suggests the exact size and location of the fill pad. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. Very truly yours, � � �/Z - - I Gene D. Reed , GDR:cj Environmental Health Engineering Aide ' SENDING CONFIRMATION DATE JAN -20 -2000 THU 23:28 NAME PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845- 278 -7921 BRUCE R FOI.EV LORMA -W R.N, MON. Able H6.la DA7arer 2.20 P.Uk kk.&b Dbttee• PHONE 96286520 PAGES : 1/1 START TIME : JAN -20 23:27 ELAPSED TIME : 001421' MODE : G3 RESULTS : OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... - RoyFrcdtiltsal;P$` .. ....._.... _ _ -__ ._ . PO Boa95u Mahopac, New Yotlt 10541 Re: Ficld Inspection - All County Homes Oscawana Heights Road, M Putnam Valley I,ot 0 8, TM# 52 -2 -24 Dear Mr. FredrMsem An inspection of the 511 pad at the above referenced projoct has been completed. Cmmneots arc as follows: The fill pad must have a 3 on 1 scope back to grade without a retaining wall. Please note that field measurements by this Department in no way suggests the exact size and location of the fill pad. �\ If you have any Radw questions, please contact mo at (845) 2784130 cxt. 2261. \ Very truly yours. z Ciene D. Rood . GDR:cj Environmental Health Engineering Aide BRUCE R FOI.EV LORMA -W R.N, MON. Able H6.la DA7arer 2.20 P.Uk kk.&b Dbttee• D'6'. — .f Ad.W A"k. DEPARTMENT OF HEALTH 1 Geneva Road Bmaste7, New Yolk 10509 laws w6s1771 -6130 M.OM279 -7121 I6.nlq aa.7r. (611)131 -6131 7110 (661)271 -6679 Fa(961).-6W xlb' 2.r,.490n (91!)271 -w2a F..(141)2n -6649 ►1en0.i (561)121.1912 F49(%5)22a.6113 February 6.2002 - RoyFrcdtiltsal;P$` .. ....._.... _ _ -__ ._ . PO Boa95u Mahopac, New Yotlt 10541 Re: Ficld Inspection - All County Homes Oscawana Heights Road, M Putnam Valley I,ot 0 8, TM# 52 -2 -24 Dear Mr. FredrMsem An inspection of the 511 pad at the above referenced projoct has been completed. Cmmneots arc as follows: The fill pad must have a 3 on 1 scope back to grade without a retaining wall. Please note that field measurements by this Department in no way suggests the exact size and location of the fill pad. �\ If you have any Radw questions, please contact mo at (845) 2784130 cxt. 2261. \ Very truly yours. z Ciene D. Rood . GDR:cj Environmental Health Engineering Aide PUTNAM COUNTY DEPARTMENT OF HEALTH � d DIVISION i OF ENNIRONNIENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS R VIEW SH T FOR CONSTRUCTION PERNI1T, STREET LOCATION ' v -� G � A•a-� �� Cf NAME OF OSV \'ER RM, GR, AS, NIB, BH Y DOCUMENTS 211ERIMIT APPLICATION . PC -1 JTTER ELL PERMIT _ PWS LETTER E OF AUTHORIZATION ESIGN DATA SHEET (DDS) ORPORATE RESOLUTION HORT EAF LANS -THREE SETS USE PLANS - TWO SETS VARIANCE REQUEST FEE SUBDIVISION EGAL SUBDIVISION SUBDIVISION APPROVAL CHECKED ERC RATE L5 �o FILL REQUIRED 1-5r DEPTH CURTAIN DRAIN REQUIRED STANDPIPES ■R f: orb sm ■1'' EEO ■f/ /, GENERAL PCATED L` NYC WATERSHED j.ANS SUBMITTED TO DEP LEGATED TO PCHD )EP APPROVAL, IF REQ'D P T HOLES OBSERVED IEKS TO BE WITNESSED (TOWN/DEC Y 6 R9&ION CONTROL:HOUSE,WELL, SSDS_ aERC & DEEP HOLES LOCATED RESENTATIVE OF PRIMARY & EXPANSION F P ATION MAP . AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE RMPED, PIT & D BOX SHOWN & DETAILED �kOUSE - NO.OF BEDROOMS WVCLS & SSDS'S WAN 200' OF PROPOSED SYS. TAX NIAP # OPERTY METES & BOUNDS USE SETBACK NECESSARY (TIGHT LOT) USE SEWER -1/4" FT. 4 "0; TYPE PIPE NO BENDS; MAX.BENDS 45° W /CLEANOUT FILL SYSTEMS CLAY BARRIER 10- FT. HORIZONTAL;SLOPE 3:1 TO GRADE FILL SPECS FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES FILL PROFILE & DIMENSIONS 1�1, OLUME IN EXPANSION AREA r TRENCH F.TRENCH PROVIDED .7 60 FT MAX. I ARALLEL TO CONTOURS r S 100% EXPANSION PROVIDED 9 NEIGHBOR NOTIFICATION . BIULBA FLOOD ELEVATION ?THER REQ'D PERMITS) W4PESYSTEM PLAN - (NORTH ARROW) OS HYDRAULIC PROFILE :AVITY FLOW ON PLAN - FROM SSTS 10' TO P.L., DRIVEWAY,. LARGE TREES. TOP OF FILL. TO FOUNDATION WALLS _15 -WELL TO PL 100' TO WELL, 200' IN DLOD, 150' PITS 100' TO STREAM WATERCOURSE LAKE (inc. expan) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATERLINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 200'/500' RESERVOIR, ETC. _150' GALLEY SYSTEMS P,D UCTION NOTES m 15'MIN to CDS= >5 %,10'- 4 %,25'- 3 %,30'- 2 %,35' -1° /x100' - <1% DATA: PERC &DEEP RESULTS 2 'MIN to CD discharge /100'with 182 cons day discharge OURS EXISTING & PROPOSED SEPTIC TANK AY & SLOPES, CUT l0' FROM FOUNDATION; 50' TO WELL G /GUTTERICURTAIN DRAINS WELL PE BOUNDARIES DIMENSIONS TO PROPERTY LINE LOCK; OWNERS NAME,ADDRESS LOCATION OF SERVICE CONNECTION �,PE/RA; NAME ,ADDRESS,PHONE# M TE OF DRAWING/REVISION ATUM REFERENCE 2 L . CATION OF WATERCOURSES, PONDS AKES AND WETLANDS WITHIN 200 FEET PROPOSED FINISH FLOOR AND BASEMENT EL. F*- r . . r3�. COMMENTS: r Il:. � . i.,-D L',, DIMENSION CHART (in feet) . Nitrnber Q g 1 23 .10 2 3'I 3.1 3 108 108 4 102 101 5 97 96 6 91 89 7 'S 83 g 81 77 9 65 82 10.: i1 87 1 I 79 93 12- 83 98 13 t 89 104 14 ' 103 84' 108 90 16' 112 96 17 117 102 1 18 12Z lua 0 O c Q. N i f 1 ' I o. Qj i ; 1 � d b � h EXISTING 3 BED. i' R E 5-1 D E N C E v u O� 114 PUMP 1000 GAL. CH4MSE{Z. 2 f �"PVCYANK 4"10 5*U> PdC . i d � i s A i XQA v 3OUEP y, t o 6 t Z a o t5 5 t3 2 t6 q 1' 4) SOL,b YNG SbR 35 \1 yFj 1$ SWAY b. BOX -=N I