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HomeMy WebLinkAbout2646DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 52. -3 -68 BOX 22 16� �' Lir 4 4 T i #, J ;r 6 K i, kP� 02646 AM COUNTY DEPAR'TMEN'T OF HEALTH r .DIVISION OF ENVIRONMEN __ _LREALTH SERVICES .s .. .aj•. . ♦ e — aav a .... t � r .4.- ti .. »1w . . CtTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located at �Jf 5/y %� �'l��'� � e Town or Village �f ) �j�� y Owner /Applicant Name �» Tax Map Formerly Mailing Address Subdivision Name Subd. Lot # Date Construction Permit Issued by PCHD / �1 ? T Zip /'P_s- l Separate Sewerage System built by ��% �� �7�r� el-o Address �✓�r�u��� h � �.T � fL�r� �_ y � �✓ y Consisting of ev Gallon Septic Tank and Other Requirements: Water Suomly: Public Supply From. Address -� W,-%4 ` or: l� Private Supply Drilled by � J ��� i'ja.� Address G :Has-erosion- co�:trsi :hce0--con p�er� ? 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 tbcjssued PCHD Construction Permit and approved plans and the standards, rules and regulations of the Pu €qua „ epartment of Health. Date: Certified by a� y� �` P.E. R.A. _ Desi Address 4*e 3License # Any person occupying premises served by the above syste�inJs o5mptly 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, modification or c�pge is necessary. By;f Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 1 i��Oli. TT/•1TT * , * WLLL UUr1rLL11V1N rizrur" DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Of ce Use Only - - �. WELL LOCATION STREET ADDRESS. wNIVI I TAX GRIO NUMBER: Peekskill Hollow Rd., Putnam Valley. 52368 5Z, j WELL OWNER NAME: ADDRESS: Robert and Claire Mione, Peekskill Hollow Rd., Putnam Valley, NY ❑ PSIVATE ❑ PUBLIC USE OF WELL 1 - primary 2 - secondary ® RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL O INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. /NO. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING ® NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION ❑ REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 204 ft. STATIC WATER LEVEL ft. DATE MEASURED 4/8/98 DRILLING EQUIPMENT ❑ ROTARY ® COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL-TYPE' ❑.- S.CftE1 %EG:_= _:_:;.:' :OPEN i`JD r.ASING: OPEN- HOL•E -:N- BEDROCK__. __ _..:l=-T.OTH €R...- ...— ._......_ CASING DETAILS TOTAL LENGTH 21 ft. MATERIALS: ® STEEL ❑ PLASTIC ❑ OTHER LENGTH .BELOW GRADE 20. ft. JOINTS: ❑ WELDED EI THREADED ❑ OTHER DIAMETER 6 in. SEAL: ® CEMENT GROUT ❑ BENTONITE ❑ OTHER WEIGHT PER FOOT 17 Ib. /ft. t DRIVE SHOE O YES 10 NO LINER: ❑ YES ID NO SCREEN DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (it) DEVELOPED? FIRST OYES ❑ NO HOURS SECOND GRAVEL PACK ❑ YES O NO GRAVEL SIZE DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH It. WELL YIELD TEST If detailed pumping METHOD: O PUMPED 1 tests were done is in- O COMPRESSED AIR , formation attached? O BAILED. ❑ OTHER . i O YES ONO iii It more detailed formation descriptions or sieve analyses ELL LOG are available, please attach. DEPTH FROM SURFACE Water Bear- in �'!e1f D.a' In FORMAnoN DESCRIPTION CODE ft. it WELL DEPTH It. DURATION hr, min. DRAWOOWN }t, YIELD 9Fm Land Surface 9 Clay and boulders. 9 204 x. 6 Granite 204 5 IYATEA ❑CLEAR TEMP. QUALITY ❑CLOUDY HARDNESS ❑ COLORED ANALYZED? OYES ONO SI ANALYSIS ATTACHED? OYES ❑ NO STORAGE TANK: TYPE CApACiTY_ PUMP INFORMATION TYPE MAKER MODEL CAPACITY DEPTH VOLTAGE HP WELLORILLERNAME Eckerson, Inc. [75/11/98 ADDRESS 1613 Route 9W SIGN Milton, NY 12547 ;,�l�l�L�id dAle Vice President C 6. YML ENVIRONMENTAL SERVICES 3�1 Kear Street ' - . ' ' (914) 245-2800 ,~�� �u Albert H. Padovani, Director --~ LAB #: 93.800460 CLIENT #: 9131 NON GTAT PROC PAGE 1 ' ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~°~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-~~~_~~ MIONE, ROBERT,M. 217 FOREST RD. MAHOPAC, NY 10541 DATE/TIME : 05/29/98 10:00A DATE/TIME REC'Q: 05/29/98 10:00A REPORT DATE: 06y04/98 PHONE: (.914)-526-2787 SAMPLING SITE: 852 P PEEKSKI�.L HOLLOW R RD. : ` ` : PUTN . VALLEYv N.Y. 1 10579 PRESERVATIVES: NONE COL'D BY: T C TEMPERATURE..: < < 4C ` NOTES.'—: KITCHENTAP ' ' COL%FORM .: N N/A DATE FLAG.PROCEDURE R ` NORMAL - RANGE M METHOD PUTNAM - CNTY PROFILE 05/29/98 L LEAD (IMS) 3 3.9 p ppb 0 0-15 ppb 1 12345 05/29/98 NITRATE NITROG 0 0.30 M MG/L 0 0 - 10 9 9139 05/29/98 N NITRITE NITR8G < <0"01 M MG/L N N/A q q 46 05/29/98 I IRON (Fe) 0 0.457 M MG/L 0 0-0.3 mg/l 2 237 05/29/98 M MANGANESE (Mn) 0 0.043 M MG/L 0 0-0.3 mg/l 2 2037 05/29/98 S SODIUM (Na) 4 49.8 M MG/L N N/A 05/29/98 p pH _ 7 7.0 U UNITS 6 6.578.5 9 9043 0�/29y98 H HARDNESS,TOTAL 2 254 M MG/L N N/A 05/29/98 A ALKALINITY C#8 7 72.0 M MG/L N N/A 05/29/98 T TURBIDITY (TUR 4.6 N NTU 0 0-5 NTU COMMENTS: Pb/Cu LEAD limits for public schools are set at 15 ppb" EPA Lead-& Copper Rule for Public Systems requires that no more than 10% of their distribution points have a LEAD value of more than 15 ppb and a COPPER value of 1.3mg/L else water treatment must be 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 a sodium restricteddiet.the water should* contain no more than 20 mg/L of Sodium. For those on a moderately restricted di-et, a maximum of 270 mg/L of Sodium ` is suggested ' . ` SUBMITTED BY: � Albery H. Padovani, |1.T.(ASCP) Direetor ELAP# 10323 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchaser of Building Tax Map / Block Lot Building Constructed by Town/Village Location - Street dr�l-i Gt_° Building Type Subdivision Name Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system..._ The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the bu2ilding izing the system. Dated: wMontn _: D y Year Signature: Title: c' 5, General Contractpr (Owner) - Signature Corporation Name (if corporation) Corporation Name (if corporation) Address: /� /Ju Val .�.A -�� �- 92-e t �9.e..- r Address: State ,'J y Zip / Z Y4 o State Zip Form GS -97 3 �a - PUTNAM COUNTY DEPARTMENT OF HEALTH D SI0N OF ENVIRONMENTAL HEALTH SERVICES _ :. .-- gym__.__ _ _ ® Yo iJCPERMIT FOIE SlEWAGE TREATMENT SYSTEM PERIVIIT # J Located at .%c,�`i >%1%/. /r� r✓ a Town or Village ' Subdivision name Subd. Lot # Tax Mapes -1oL Date Subdivision Approved _ Owner /Applicant Name s—e / 4/&—,,,,,-,-- x/,•e 5p e Renewal Revision Date of Previous Approval Mailing Address 2/ 7 A' !Z Zip Amount of Fee Enclosed�� Building Type i` Lot Areal .3 No. of Bedrooms Design Flow GPD Ir, o Fill Section Only Depth Volume PCHD NOTIFICATION IS RE IJIREID WHEN FILL IS COMPLETED Separate Sewerage &steam to consist of /a -P e gallon septic tank and Other Requirements: To be constructed by --- Address —Water Supply: Public Supply From Address or: Private Supply Drilled by Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewagg treatment lys em 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. OF NE;y Signed: Address R.A. Date License # 1;41 APPROVED FOR CONSTRUCTION: Thiv two years' from the date issued unless construction of the sewage treatment system has been completed an 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. Approved for discharge of domestic sanitary sewage only. By: .�'�� G � % Title: E ,�i� Date: Z � ZS White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design P ofes 'oval Form CP -97 PU 1 NAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: Inspected by: Street Location Owner Font', TM # 5 Z , — f3 Subdivision Lot # 1. Sewage System 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. Sewa e S stem a. Septic tank size - 1,000 ......... 1, 250 .......... other ................ b. Septic tank installed level ................ ............................... c. 10' minimum from foundation .......... ............................... d. Distribtuion Box . All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches Junction Box - properly set ....................... ............................... ength 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 3/4 - 1' /2" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... 10. Pipe ends capped ........................ ............................... g. Pump or I' DOSed Systems ..- _. - _ . Size of pump. chamber .............................. :............:...::... 2. Overflow tank ............................. ............................... 3. Alarm, visual/ audio .................... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled ................................... : ................ ..... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. House/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 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 & dinto exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ... ............................... i. Erosion control provided ................. ............................... Rev. 1/97 orm IFUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEA1L71'lllii SERVffCES APPLICATION TO CONSTRUCT A WATER WELL �� m1 - :Vdewe,rsirx:ostypns; , _� __ -.... ._� ._ =RCIID Pere it �' .i Well Location: Street Address: Town/�'V�i��lllage Tax Grid # /✓�. %�lvs . Map )Block Lot(s) 9 Well Owner: Name:' Address: � b/r 4, / Use of Well: Residential Public Supply Air /Cond/Heat Pump Krigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought �'' gpm # People Served 4, Est. of Daily Usage Ad11 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling 1"'New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes No ✓t Name of subdivision Lot No. Water Well Contractor: _ /1/e Awg4e -r-,.6 Address: A,r gr�r1-5;0-1 ZI Aelcr Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: Town/Village Distance to property from nearest water main: &; /dam Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: �� �0 ` Applicant Signature �iL _..... - - _ sue. PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue l Permit Issuing Offi���� Date of Expiratio Title: Permit is Mon 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 DESIGN DATA SHEET - SUBSURFAC_ E..SEWAGE TREATMEN, T SYSTEM Owner 17�:....�i dir _. .:....,_._.. Address y . 005�-� /1— /9-001 I aG Located at (Street) ", ;tol % Tax Map-3>— -3 Block _ Lot 25" (indicate nearest cross street) Municipality a Drainage Basin SOIL PERCOLATION TEST DATA Date of Pre - soaking �d — �- �'� Date of Percolation Test Hole No. Run No. Time Start - Stop se Time n.) Depth to Water rom Ground Surface (Inches) Start Stop Water Level Drop In Inches. Percolation Rate Min/Inch CV 1 Aa 3 JJr x -" -5 5r 2��v3 3�`�s 4 5 3 �✓v �-/ �iS' i!� 4 5 1 2 3;- 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtainea at eacn percolation test hole. (i.e. s 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 2 TEST ]PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST MOLES OED HOLE "s N0 _ -- HOI✓E NO: HOLE' NO.' < . fir.. _ ... .. _ � . 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' 7.0' 7.5' 8.0' 8.5' 9.0' 9:5' 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: Date Design Professional Name: lE,Su1ii e-'r 1Z Address: �i r Signature: Design Prof'essional's Seal of „ cis ,�Q'���Ppor (� SGO9'F' �� z a PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES a APPLICATION FOR APPROVAL OF PLANS FOR T'I2EATMENT SYSTEM 1. Name and address of applicant: Inv ���� 2. Name of project: —!5-'-5 7� 3. Location TN: 111,1116027 G c 4. Design Professional: T ;4';.jAf 5. Address: ��7 z �f�3 �✓�'r� 6. Drainage Basin: 7. Type of Project: Private/Residential Food Service Apartments Institutional Office Building Realty Subdivision Commercial Mobile Home Park Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? .Type Status (check one) .................... ................11l..q ........... Type I Type II 9. Is a Draft Environmental Impact Statement (DEIS) required? �' ......................... 10. Has DEIS been completed and found acceptable by Lead Agency? ............. 11. Name of Lead Agency Exempt Unlisted 12. Is this project in an area under the control of local planning, zoning, or other - officials ordinances? . .................... :.................... ......... _... :... 13. If so, have plans been submitted to such authorities? � -s ................. �Y................. 14. Has preliminary approval been granted by such authorities? Date granted: 15. Type of Sewage Treatment System Discharge ................. surface water 1/groundwater 16. If surface water discharge, what is the stream class designation? .............."".. 17. Waters index number (surface) ......................... "' 18. Is project located near a public water supply system? ... .........11.*I.i� ................. 19. If yes, name of water supply Distance to water supply AiA,> 20. Is project site near a public sewage collection or treatment system? ................ Ale 21. Name of sewage system -� Distance to sewage system /if�_S 22. Date test holes observed 23. Name of Health Inspector 24. Project design flow (gallons per day) .......... Z. 1//.& ............ ............................... 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... ki�ll 26. Has SPDES Application been submitted to local DEC office? ......................... Form PC -97 2 27. Is any portion of this project located within a designated Town or State wetland? __:5 zL.11Ae. 28. Wetlands ID Number ...................................................... ...... ... ............'.r -�.. °....... 29 -Is dJetlands Permit required ?" ':............................................ '.. . ......:..: :.... :.. : :. ::........ . ......v.. Has application been made to Town or Local DEC office? ............................... 30. Does project require a DEC Stream Disturbance Permit? ............... ................. Ales 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous `waste disposal, landfilling, sludge application or industrial activity? ............................ Yes/No /V�a 32.. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? M DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ......................... 34. -Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ................................ ............................... 35. Are any sewage treatment areas in excess of 15% slope? 36. Tax Map ID NumY>er .......................... ............................... Map 4 '22:0ock . 6 Lot g 37. Approved plans are to be returned to ..... Applicant i.-- Design Professional NOTE: All applications for review and approval of a new SSTS to be located within the NYC Watershed shall be sent to the Department,. an�leed.�noS be. sent in duplicate to the DEP, althi�ug>Z the'project nay require-, DEP - approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater,plans or the creation of impervious surfaces, and ,the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item l .,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, .udder penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNATURES & OFFICIAL TITLE'S: Mailing Address: ................................... MAY 27 '97v 04 : 45PI'1 D &S_PUMP PARTS Item No. 3 _ i 4 6 Description 7— Casing __� Mechanical 5aai�� Shalt - Motor Bearings - upper and 8 _ lower P.1 Goulds Submeitible 4 ---- 3 3885 7 Power cable 8 0-ring 2 ulllt Order No. HP Volts Phase Max. Amy fiPM Solids- Wt (lbs,) WE031IL 115 9.4 WE0312L 230 4.7 WE -0313 V� h 115 8,4 1750 56 WE031 M2N ^ .230_ 1 4.7 - -- 32H 230 3 3.4 34H 460 1.7 60 11FIH 15 1 1 13.0 >, 2HH 230 WE0512h WEE'112H _ 6.5 8HH 200 1 _ 3.6 2HH 230 3 ._._ 3,3 4HH 480 __. _�_ 3 1.65__,__ 12H 230 1 10,0 ,�� WH 3� 200 1 _ 6.2_ - - - -- 12H ".1 208 -•230 IAA 3 5.4 3500 A7 ­V­­ W 1012H -„A, 230 1 — 70 12.5 WE1038H 1 200 8,1 WE1032H 208 -230 3 7.0 ._ ......, .. WE1034H...:... 460 WE0512h WEE'112H WE1012h WE1512H 230 _ _ 1 15,0 WE1538H 200 Effluent ejector system ?�- P 101 WE1532H 208 -230 3 9.2 WE— 153 I7 1,� 460 4.6 _ 80 WE1512HH 230 1 1510 WE1538HH 200 MOURN 1016 n1l HH 208 -230 3. 9.2 WE1534 H uwwon ww T 460 4.8 - — I 4 30 - 1 26 20 Is G - 0 PERFORMANCE RATINGS (a3lions per minute) WE0511H WE0311H11 MODEL:�3 ©SF v Order WE0512h WEE'112H WE1012h WE1512H WE06124H WE1512hl, 10 w €1 H Effluent ejector system ?�- P NEMOH WE013EH WE1030 W11e3eH WE0531HH WE15361111 Mercury Laval Qoniroi SWiich WE03^1, 1 +wOd1ir4 W10532H WE0732h 1VE1032H WLW2@ WED51211H MOURN WEa3l1L WL0312.1 W10534H WE0734h WE1045H WE +0340. WE0814RH WE1634HN - — - - RPM V5J 1750_ 15003_ 00 35W 3500 3500 3500 5 --_ - - - - ___60 _ - 1080_ B5 tl - 60 56 _ 84 15'-60 57 _ u 6.9 90 104 128 82 -20 36 45 —'60 83 8e 122 _53 48 7777 25 20 50 — r'6 92 - - 116_ 455 7575 -- �38 67 85 —75_ -1 09 40 72— 35 26 1i•— 102 1 70 40 - - - eo N 47 Y+70 �94— _ 30 67 _ w 45 ; - — 62 $6 25 64 — 4 50 — 25 52 77 18 60 55� .....— _ so 42 61 to 7 58 J A 60 _ d 32 56 _ 3 54_ QO to 20 30 21 46 _ _ 51 70 40 w 60 70 80 11 go 1 PERFORMANCE RATINGS (a3lions per minute) DIMENSIONS .(All dimensions are in Inches, Lio nut ;se *ur constructlon purposes.) D" 1/4t V" % and 1 HP =15" except for model WE0712H anc WE1012H = 18 "; VA HP =18' i WE0511H WE0311H11 Order WE0512h WEE'112H WE1012h WE1512H WE06124H WE1512hl, NO, Effluent ejector system ?�- P NEMOH WE013EH WE1030 W11e3eH WE0531HH WE15361111 Mercury Laval Qoniroi SWiich WE03^1, 1 +wOd1ir4 W10532H WE0732h 1VE1032H WLW2@ WED51211H MOURN WEa3l1L WL0312.1 W10534H WE0734h WE1045H WE +0340. WE0814RH WE1634HN RPM V5J 1750_ 15003_ 00 35W 3500 3500 3500 5 --_ - - - - ___60 _ - 1080_ B5 - - - 56 _ 84 15'-60 57 _ u 6.9 90 104 128 82 -20 36 45 —'60 83 8e 122 _53 48 7777 25 20 50 — r'6 92 - - 116_ 455 7575 -- �38 67 85 —75_ -1 09 40 72— 35 26 58 102 35 70 40 - - - -- -- 15 47 Y+70 �94— _ 30 67 _ w 45 — - 36 62 $6 25 64 — 4 50 — 25 52 77 18 60 55� .....— _ _ - ����17 42 61 12 58 J A 60 _ d 32 56 _ 3 54_ ti 65 21 46 _ _ 51 70 T -- � - -�— — ^ 11 35 47 75 25 43 $0 �" -- — -- - —15 40 gO _ -100 � • 24 . 110 .._. - - 15 120 _ _ .... 5 _ DIMENSIONS .(All dimensions are in Inches, Lio nut ;se *ur constructlon purposes.) D" 1/4t V" % and 1 HP =15" except for model WE0712H anc WE1012H = 18 "; VA HP =18' i vo GPM a r— 1E?. " '+.m des' "nari i) a'0 (t 15' ;, A2.6 (230V) �. R �y y r Basin A7• • 901 S. 9431n Cover A9.1821 o 10 -- —' 20 ''' m3In for most residential and i '''`��' Cneck vaiva A9-2P CAr,ACiTY commercial Sump and' .� ° ;1i u Cedar No.: SWE0311L. SWE0312L. effluent pump applicailcris, �` — % SWE0311M. SWE031211, •i SWE0511HH, SWE0512HH. WATSA TECHNOLOGIES GROUP SENECA FALLS NEW YCKi!: 1346 SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U,S.A. 12 r ROTATIOld i NPT 3V KICK BACK EFFLUENT EJECTOR SYSTEM Effluent ejector system ?�- P Packaye Includes: L..6i k Su6rersi5lc Effluent Pui�1p WE0311L• and lnstallation.Asirple �J� ' r 1 12LorWE0311M.,12MVVE0511HH,12HH ordering nnmCer specifies T • M Mercury Laval Qoniroi SWiich R �y y r Basin A7• • 901 S. 9431n Cover A9.1821 o 10 -- —' 20 ''' m3In for most residential and i '''`��' Cneck vaiva A9-2P CAr,ACiTY commercial Sump and' .� ° ;1i u Cedar No.: SWE0311L. SWE0312L. effluent pump applicailcris, �` — % SWE0311M. SWE031211, •i SWE0511HH, SWE0512HH. WATSA TECHNOLOGIES GROUP SENECA FALLS NEW YCKi!: 1346 SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. PRINTED IN U,S.A. 12 12 MAY c7 APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry Effluent systems SPECIFICATIONS Pump: • Solids handling capabilities: 3/4' maximum. • Discharge size; 2" NPT, • Capacities: up to 128 GPM. .Total heads; up to. 123 feet • Mechanical seal: silicon carbide- rotary seat/silicon carbide- stationary seat, 300 series stainless steel metal parts, BUNA -N elastomers. • Temperature: 104 °F (40° continuous 140 °F (60 � ") intermittent. Fasteners: 300 series stainless steel. • Capable of running dry without damage to components. Motor: • Single phase: 1/3 HP, 115 or 230 V 60 Hz, 1150 RPM; 1/2 HP, 115 V, 60 Hz, 3500 RPM; %2 HP —1'A I , 230 V, 60 Hz, 3500 RPM. Built -in overload with automatic reset. Class B insulation. & SUPPLY P.2 Uou ds ,,r,y :.....0 u "l Effluent Pump 3885 QMWA5016SOAk. A55011A:M'. G • Three phase: 1/2 HP — FEATURES 1'A HP 200/230/460 V, 60 Hz, 3500 RPM. Class B Impeller: Oast Iron, semi - insulation, overload open, non -clog with pump - protection must be out vanes for mechanical seal provided in starter unit, protection. Balanced for smooth operation. Silicon • Shaft: threaded. 400 series bronze impeller available as stainless steel. an option. p • Bear!ngs: ball bearings' upper and lower. Casing: Cast iron volute • Power cord: 20 foot type for maximum efficiency. standard length (optional 2" NPT discharge adaptable lengths available). for slide rali systems. Single phase: 1/3 and 1/2 HP Mechanical Seal: Silicon —16/3 SJTO with three carbide vs, silicon carbide prong plug. % -1'/ HP sealing faces. Stainless steel —14/3 STO with bare leads: metal parts, BUNAA. Three phase :' /z -1 %2 HP elastomers, --14/4 STO with bare Shaft: Corrosion - resistant leads. On GSA listed gainless Mel. Threaded =- models c0�fcbt�lsrigth.�. : .:..,dE�1gr:-Locknut�or- tt�rEn - -= SJTW and STW are phase models to guy rd standard, against component damage on accidental reverse rotation, MSTERS FEET 90 ?5 90 l 70 20 sa s 15 �- 80 Z o 40 0 10 r 30 20 5 10 01 0 0 10 20 30 40 50 eo 70 80 80 100 110 120 130GPM t � .w I 0 10 20 30 M11h Motor: Fully submerged In high -grade turbine oil for lubrication and efficient heat transfer. Resigned for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage. Bearings: Upper and lower heavy duty bail bearing construction, Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. . 0 -ring: Assures positive sealing against contaminants and oil leakage. CAPACITY 91994 Goulds Pumps, Inc. ENeWive May, 1994 �� B3885 )5- 2O- §(1O/9O)•25c R3 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 0 DEC PERMIT NUMBER EFFECTIVE DATE 3 -3' 28- 00105/1 = October.�7, 1997 FACILITY /PROGRAM NUMBER(s) EXPIRATION DATE _ _ PER _ . ember.31., 1999 ' - "' - '`" n e "r ttie`Erivironmen a onseiva ion aw E C - TYPE OF PERMIT (Check All Applicable Boxes) ® New ❑ Renewal ❑ Modification Cl Permit to Construct ❑ Permit to Operate PERMIT ISSUED TO 7,914) Article 15, Title 5: Robert and Claire Mione Article 17, Titles 7, 8: SPDES ADDRESS OF PERMITTEE Protection of Water CONTACT PERSON FOR PERMITTED WORK Coastal Erosion Management oArticle Article 15, Title 15: NAME AND ADDRESS OF PROJECT /FACILITY Article 19: Air Pollution Control LOCATION OF PROJECT /FACILITY Water Supply ..80UN�(... _. " _... .... _.... _... 6NYCRR WATERC-0UASEPNETLAND -NW-.. _. -- - :..- ..•..•.• ::' Article Title 15: Putnam Article 23, Title 27: Mined Land Reclamation OL -40 Class: III Water Transport DESCRIPTION OF AUTHORIZED ACTIVITY Remove an existing barn and construct a new single family residence within the 100 foot buffer of the above . wetland in accordance with a plan dated June 11, 1997 prepared by Joseph F. Sullivan, P.E. and as Article 15, Title 15: F Article 24: Freshwater Wetlands Long Island Wells aArticle 15, Title Article l Tidal Wetlands Wild, Scenic &Rec ecreational Rivers a6NYCRR 608: Article 27, Title 7; 6NYCRR 360: Water Quality Certification Solid Waste Management PERMIT ISSUED TO 7,914) Article 27, Title 9; 6NYCRR 373: Robert and Claire Mione Hazardous Waste Management ADDRESS OF PERMITTEE Article 34: CONTACT PERSON FOR PERMITTED WORK Coastal Erosion Management oArticle 36: NAME AND ADDRESS OF PROJECT /FACILITY Floodplain Management LOCATION OF PROJECT /FACILITY Articles 1. 3 17, 19, 27, 37; 386 Radiation Control ..80UN�(... _. " _... .... _.... _... 6NYCRR WATERC-0UASEPNETLAND -NW-.. _. -- - :..- ..•..•.• ::' Other PERMIT ISSUED TO 7,914) ELEPHONE NUMBER Robert and Claire Mione 621 -1886 ADDRESS OF PERMITTEE 217 Forest Road, .Mahn ac NY 10541 CONTACT PERSON FOR PERMITTED WORK TELEPHONE NUMBER same as above NAME AND ADDRESS OF PROJECT /FACILITY Lands of Sheldon on the east side of Peekskill Hollow Road. LOCATION OF PROJECT /FACILITY As above. ..80UN�(... _. " _... .... _.... _... - .TOWN. _. .. .- .. :. - -- _:'.... ...f_;W# WATERC-0UASEPNETLAND -NW-.. _. -- - :..- ..•..•.• ::' .'.M1TM C)SORO6NATfS..,.. ' . _... Putnam Putnam Valle OL -40 Class: III E: N: 4 DESCRIPTION OF AUTHORIZED ACTIVITY Remove an existing barn and construct a new single family residence within the 100 foot buffer of the above . wetland in accordance with a plan dated June 11, 1997 prepared by Joseph F. Sullivan, P.E. and as conditioned herein. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified and any Special Conditions included as part of this permit. DEPUTY PERMIT ADMINISTRATOR ADDRESS Michael D. Merriman 21 South Putt Corners Rd., New Paltz NY 12561 W Igb AUTHORIZED SIGNATUR e f � Date ,,._ /� � .0 L l7i/,vvu+rt� CC- fir"+ - - r - % Page 1 of 4 Mione2.pmt (II) NEW YORK STATE ENVIRONMENTAL CONSERVATION GENERAL CONDITIONS inspections -.. �.. 1. The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permitted is complying with this permit and the. ECL. Such representative may order the work suspended pursuant to ECL 71 -0301 and SAPA 401(3). A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site. Failure to produce a copy of the permit upon request by a Department; representative is in violation of this permit. Permit Changes and Renewals 2. The Department reserves the right to modify, suspend or revoke this permit when: a) the scope of the permitted activity is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations is found; b) the ..permit was obtained. by misrepresentation or failure to disclose relevant facts; c) new material information is discovered; or d) environmental conditions, relevant technology, or applicable law or regulation have materially changed since the permit was issued. 3. The permittee must submit a separate written application to the Department for renewal, modification or transfer to this permit. Such application must include any forms, fees or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. 4. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control (APC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. 5. Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. Other Legal Obligations of Permittee 6. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages, direct or indirect, of whatever nature and by whomever suffered, arising out of the project described in this permit and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every- name--arrLd- d-escription, resulting from this project. _ ... 7. This permit does not convey to'the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. 8. The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights -of -way that may be required for this project. DEC PERMIT #3- 3728 - 00105/1 Page 2 of 4 ADDLTIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24,25,34,36 AND 6NYCRR PART 608 Freshwater Wetlands 9. T`Mat if future operations by the State of New York require an 12. All necessary precautions shall be taken to preclude alteration in the position of the structure or work herein contamination of any wetland or waterway by suspended solids, authorized, or if, in the opinion of the Department of sediments, fuels, solvents, lubricants, epoxy coatings, paints, Environmental Conservation it shall cause unreasonable concrete, leachate or any other environmentally deleterious _ obstwptionto- Ahe•fine. navigation:of• said waters:or flood.flows : _.' f _ -- " materials . assopiated: -with the or endanger the health, safety or welfare of the people of the 13. Any material dredged in the prosecution of the work herein State, or cause loss or destruction of the natural resources of permitted shall be removed evenly, without leaving large refuse the State, the owner may be ordered by the Department to piles, ridges across the bed of a waterway or floodplain or deep remove or alter the structural work, obstructions, or hazards holes that may have a tendency to cause damage to navigable caused thereby without expense to the State, and if, upon the channels or to the banks of a waterway. expiration or revocation of this permit, the structure, fill, 14. There shall be no unreasonable interference with navigation by excavation, or other modification of the watercourse hereby the work herein authorized. authorized shall not be completed, the owners, shall, without 15. If upon the expiration or revocation of this permit, the project expense to the State, and to such extent and in such time and hereby authorized has not been completed, the applicant shall, manner as the Department of Environmental Conservation may without expense to the State, and to such extent and in such require, remove all or any portion of the uncompleted structure time and manner as the Department of Environmental or fill and restore to its former condition the navigable and flood Conservation may require, remove all or any portion of the capacity of the watercourse. No claim shall be made against the uncompleted structure or fill and restore the site to its former State of New York on account of any such removal or alteration. condition. No claim shall be made against the State of New 10. That the State of New York shall in no case be liable for any York on account of any such removal or alteration. damage or injury to the structure or work herein authorized 16. If granted under Article 36, this permit does not signify in any. which may be caused by or result from future operations way that the project will be free from flooding. Undertaken by the State for the conservation or improvement of 17. If granted under 6NYCRR Part 608, the NYS Department of navigation, or for other purposes, and no claim or right to Environmental Conservation hereby certifies that the subject compensation shall accrue from any such damage. project will not contravene effluent limitations or other 11. Granting of this permit does not relieve the applicant of the limitations or standards under Sections 301, 302, 303, 306 and responsibility of obtaining any other permission, consent or 307 of the Clean Water Act of 1977 (PL 95 -217) provided that approval from the U.S. Army Corps of Engineers, U.S. Coast all of the conditions listed herein are met. Guard, New York State Office of General Services or local 18. All activities authorized by this permit must be in strict government which may be required. conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by on SPECIAL CONDITIONS ♦ The permittee or a representative shall contact by telephone, the Division of Law Enforcement in New Paltz (914) 256 -3013, 48 hours prior to the commencement of any portion of the project authorized herein. 1 The. permittee= shall;.reguire: ihat._aray_contractor, project engineer, or other person responsible_ for the overall _._ .1 — superi�vislon -o'f" this, project reads;* urdei-stan-ds-- -a 'complie-s Vvitti ifirisp rrnst; incltidtiig -all speclal-I:66dItrons-° to prevent environmental degradation. ♦ For Article 15, Protection of Waters permits, the permittee or an authorized representative shall notify the Department by mailing the attached form at least 48 hours prior to the commencement of any portion of the project authorized herein. Continued on next page... DEC PERMIT NUMBER 3- 3728 - 00105/1 PROGRAM /FACILITY NUMBER apage.frm (3/93) PAGE 3OF4 95- 20$F(7/87)-25CR3 NEW YORK. STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION SPECIAL. CONDITIONS For Article 24 (Freshwater Wetlands) 1. EROSION CONTROL: Prior to commencement of the activities authorized herein, the permittee shall install securely anchored silt fencing and /or continuous staked hay bales along the limits -of- disturbance or as shown on the plans or drawings referenced in this permit. These erosion control devices shall be maintained until all disturbed land is fully vegetated to prevent any silt or sediment from entering the freshwater wetland or its adjacent area. Silt fencing, hay bales and any accumulated silt or sediment shall be completely removed for disposal at an appropriate upland site. 2. Except for the minirnum disturbance needed to install the footing drain, there shall be no disturbance beyond the limits of disturbance /erosion control line depicted on the approved plan. 3. The septic system shall be constructed in strict accordance with the requirements of the Putnam County Health Department. 4. All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass seed and mulched with hay or straw within one week of final grading. Mulch shall be maintained until a suitable vegetative cover is established. 5. If seeding is impracticable due to the time of year, a temporary mulch shall be applied and final seeding shall be performed at the earliest opportunity when weather conditions favor germination and growth but not more than six months after project completion. STATE ENVIRONMENTAL QUALITY REVIEW Under the State Environmental Quality Review Act (SEQR), the project associated with this permit is classified as an Unlisted Action and the Department of Environmental Conservation (DEC) has determined ..th�X.it;_w11.1:_not. -have a_significar5t effect.o�.tt e.eiivir.nnment: •Other-ii ivolvE age���ies may reach an independent determination of environmental significance for this project. Distribution: Law Enforcement (2) R. Wood Putnam County DOH J, SwtlivaVJI A 1' DEC PERMIT NUMBER 3- 3728 - 00105/1 FACILITY ID NUMBER PROGRAM NUMBER Page 4 of 4 Ap- .............. .............. W, /I PIP L 2 "This is to certify that the E.4wage dl.-- Posal sy constructed as indicated on th--s plan and that th was inspected by me before ,t was covered ov system was constructel in accordance with all f rules and regulations of the p tnam County Depir Health and the New yore SState )epartmont of Rea. . A L QYQ Lb-M. DATE. H F. SULLIVAN RE OPKTOWN NEIG ATS, NEW YC AS NOTED JOB W), 1 34- 24 F 10 "This is to certify that the E.4wage dl.-- Posal sy constructed as indicated on th--s plan and that th was inspected by me before ,t was covered ov system was constructel in accordance with all f rules and regulations of the p tnam County Depir Health and the New yore SState )epartmont of Rea. . A L QYQ Lb-M. DATE. H F. SULLIVAN RE OPKTOWN NEIG ATS, NEW YC AS NOTED JOB W), `, ���w � *a..:� . -.� . §,� r;4: .f �-� c .er� r!l�+ %' er,.f`�e* �J/ � r a F �,s c" �ia < f [,•,� lrr ��/r s � + �� afy� ( � ... � �/r p � �. �� � '�� -:, �' . �'ti '` � r3 r i� � � � �� . �' ;1 M� � �.s4..a�_ `�� 1.d,1 90 f , 7�:7 �! cf �-;� •, ,� ,: ., 4 . _ . s „�,�a �� e