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02940
PUTNAM COUNTY DEPARTMENT OF HEALTH ENGINEER U�
Division of Environmental Health Services, Cart% N ;Y. 10512 PROVIDE# "C 7
CERTI I ATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM P u t n-a m V a l ley A
Town or Village
�LOCated 'a ',9 ^9. M o o.n•t a 'i`n . V' ;i e w- R d<. 'Tax `i eP . &L-'I 7� slock 1 .. ... ....
Owner R I C H A R D B A I LEY / Formerly Tax Map Lot N 3- L subs. wt a 356 - 361
Separate Sewerage System built %g Esa Bay C o m p a. n:y , I n c . Address 23 Sunken Mine Road , P . V .
Consisting or 12 5 0 Gal, Septic Tank and 500 1. f 2 4" wide fields
Other requirements
Water Supply: Public Supply From
X X X private Supply Dr(lletl By P . F . Beale Well Drillers
Main St., Brewster, NY 10509
Address
Building Type 1 f a m i i l y r e s i d e n t i a l
Has Erosion Control Been Completed? Y e s
No. of Bedrooms 4 Date Permit Issued 19 8 7
Has garbage grinder been installed? N o
I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies
of which are attached), and in accordance with the standards, rules and regulations, in accordance with the filed plan, and the permit issued by the.
Putnam County Department Of Health. JOHN S. ROMEO, P . C .b y
Date 6/14/95 Certified by //t j - 1•' 5. P.E)�— R.A.
Address 898 Washington St., Peekskill, NY License No, 61145
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 sewerage 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 vo hen a public water wpD1Y becomes available. Such approvals are
subject to modification or change •when, in the judgment of the Commisslo erpl Health, such ri;6* ton, modification or change Is necessary,
Rev. 6/85
tt iO PUTNAM COUNTY DEPARTMENT OF HEALTH
'D EV ISED Division of Environmental Health Services. Carmel, N.Y. 10512 Engineer to Provide Permit q
on CERTMCATE OF COMP
•R1IIT FOR SElVP_GE.DISPOSAL SYSTEM -
_ :CO .STIR CTIOIV;PF _ _ ___ ... ._._.... .. ... Permlt.� N
Located a< Mountainview Road, Putnam�Val�le or
Sabdividon Name Camp Lookout Sabd. Lot N 35b—)61 Tat Map— Block 1luage Lot 1 s 1
Owner /ApplitwntName Richard, Bailey for Esa 'Bay Co. Renewal -_❑ Revlslon ❑
Date of Proviou#,Ap royal
Mauu. Address 23 Sunken, Mine Road, Town t'u -nam a e
P
Building Type Contemporary Lot Area 4. 0 + ,Acres FM Section only LJ Depth Volume
Number of Bedrooms Design Flow G P D 8)0, PCHD Notification Is Required When Fill Is completed
Separate Sewerage System to comlet of 12 15 0 Gallon Septic Tank and 500 LF of 2 Ir trench
To be constructed by Esa Bay Above
Address
Water Supply Pabfic Supply. From Address
X I Anderson Barger Street u nam ey,
or:' Pri t Sapp] ;Drilled by -Add eke
Other Reoulmments 7.0 Curtaln�a T 011 e
I represent that I am wholly and completely responsible for the design and location of the proposed systemV)d dPT&P tlip separate sewage disposal system
above described will be constructed as shown on the approved amendment there to and in accordance withAlft �{r regu a ions o e u nam
County
Department of Health, and that on completion thereof a "Certificate of Construction Combl1ion:� STa F.G ho.Commissioner of Healthwill
be submitted to the Department, and a written guarantee will be furnished the owner, his succeasgTIs arig7pf t Gilder, that said builder Will
place in good .operating condition any part of said sewage disposal system during the period of Aw s e Igy►Ing the date of the Issu-
ance of the approval of the Certificate of Construction Compliance of the original system or ag� r th iped well described above
will be located as shown on the approved plan and that said well will be Installed in accordance wit lb anda nd ons of the Putnam
County Department of Health.
Date June 25, ,1987 Signed 1 f�_ Lf iA .44 a P.E. X R.A. _
1 Northrid•ae Road, Pdtfks
APPROVED FOR CONSTRUCTION: This approval expires two rs from the date issued unless c%st
revocable for cause or may be amended or modified when eo der- necessary by #117mm. oissioner eW
requires as new permit. Approved for disposal of dome c a swage, anafar fum y jK
ense
276
Mo
r
ding has been undertaken and is
oee o*f alteration of construction
,a
A ,
�` ®� %i ' TTT.IT T /'1ALdTlT TTT/�LT Ti TT1/1T]T
�Lti ry
•1
�, �•
WPiLL VVrLr Ljn11V1`! au:r VlN.l
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
PUTNAM COUNTY DEPARTMENT +OF HEALTH
Office Use ly
/ p
WELL LOCATION
STREET ADDRESS: WNl_Vll 1 I Y TAX GRID NUMBER:
Mt. View Rd. Putnam Valle NY
WELL OWNER
NAME. ADDRESS:
ESA Bay Co. ,Inc. 23 Sunken Mine Rd. ,Putnam Valley,NY
❑ PBIVATE
❑ PUBLIC
USE OF WELL
1- primary
2 - secondary
IN RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED
❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify)
❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑
MOUNT OF USE
YIELD SOUGHT gpm. 1N0. PEOPLE SERVED / EST. OF DAILY USAGE gal.
.REASON FOR
DRILLING
® NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST / OBSERVATION
❑ REPLACE EXISTING. SUPPLY ❑ DEEPEN EXISTING WELL
DATA
WELL DEPTH 225 ft.
_]DEPTH
STATIC WATER LEVEL�ftDATE
ME ASURED 5/23/89
DRILLING
EQUIPMENT
® ROTARY 19 COMPRESSED AIR PERCUSSION ❑ DUG
❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify):
WELL TYPE.
❑ SCREENED ❑ OPEN END CASING. E) OPEN HOLE IN BEDROCK 0 OTHER .
CASING
DETAILS
TOTAL LENGTH 121 ft.
MATERIALS: 0 STEEL ❑ PLASTIC ❑ OTHER
LENGTH.BELOW GRADE 120 ft,
JOINTS: ❑ WELDED ID THREADED C1 OTHER
DIAMETER _ 6 in.
SEAL: C310EMENT GROUT ❑ BENTONITE ❑OTHER
WEIGHT
PER FOOT 1- Ib. /ft.
DRIVE SHOE 0 YES ❑ NO
LINER: ❑ YES 0 NO
SCREEN
DETAILS
DIAMETER (in)
'SLOT SIZE
LENGTH (ft)
DEPTH TO SCREEN (ft)
DEVELOPED?
FIRST
O YES ONO
_. .. ._'� ..
HOURS- '
GRAVEL PACK
O YES
❑ NO
GRAVEL
SIZE
DIAMETER
OF PACK in.
TOP
DEPTH ft.
BOTTOM
DEPTH It.
WELL YIELD TEST It detailed pumping
I
METHOD: O PUMPED i tests were done is in-
�
XXCOMPRESSEO AIR , formation attached?
O BAILED O OTHER 0 YES ❑ NO
It more detailed formation descriptions or sieve analyses
WELL LOG are available, please attach.
DEPTH FROM
SURFACE
water
Bear.
ing
Well
Dia-
peter
FORMATION DESCRIPTION
CODE•
ft.
ft
WELL DEPTH
ft.
DURATION
hr, min.
DRAWOOWN
It,
YIELD
gpm.
surface
95
ri
li
g in overburden clay & bldrs .
t
ro
k at 951
225'
6
205
150+
95
121
Drilling
in rock,set casing,grouted.
121
225
Drilli
a in rock granite.
WATER O CLEAR TEMP.
QUALITY O CLOUDY HARDNESS
O COLORED ANALYZED? OYES ONO
ANALYSIS ATTACHED? O YES O NO
STORAGE TANK: TYPE
CAPACITY' GAL.
PUMP INFORMATION
TYPE
MAKER
MODEL
CAPACITY
DEPTH
VOLTAGE HP
WELLDRILLERNAME ea O )p� 6/26/8
ADDRESS PO Box B E
Brewster , NY 1
DIVISION OF EWIRCh�AL HEALTH SERVICES
-. -.rv.J •...�.. ....r..,f ....n. -. �.... �. .., .. ... ». ♦ ..0 -..tea• ..M. o- .� .,e.. .... .. . . • .. ...• `I. a e. _r.,. ->
Owner or Purchaser Buildi g Section Block Lot
C e.
Buildin Constru ed by
Lora ion - S eet
icipality ,
e/'r,7 -'en e, (_4&("A
Building Type
Subdiv ion Name
3 l y-134�/
guubdivisicn Lot #
GUARA= OF SUBSURFACE SEWkGE DISPOSAL SYSTEM
. I represent that I am wholly and completely responsible for the location,
workmanship, material, construction and drainage of tine sewage disposal syste -7,
serving the above described property, and that it has been constructed as shown cn
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 fora period of two years irmediately following the date of approval of the
"Certif_icate. of _Construct on.__Compliance ".:for the sewage disposal system, or.any
.__..__. _:.repairs rr�e� by i -f� cfr�syst m ° except where- the failvr tempera e==proge l �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 Director of the Division of Environmental Health Services 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 . systern.
Dated this day of j ,ye 19�/ Signature
Title
Contraxof (Cleaner) ,-I Signature
tion Name (if,P,orp. )
& .3 "&10_ae /a/
7� 2
rev. 9/85
���
mk
Address
.. .c BRUCE R., FOLEY. R.S., - .
Acting Public Health Director
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York. 10509
(914) 278 -6130
June 23, 1995
Mathew Noviello
895 Washington Street
Peekskill, NY 10566
Re: Proposed Certificate of Construction
Compliance
Bailey
99 Mountain View Road
(T) Putnam Valley
Dear Mr. Noviello:
Review of plans and other supporting documents submitted at this time.relative to
the above— captioned project has been completed. Comments are offered as follows:
1. Enclosed please find guidelines for the submission of Certificates of
Construction Compliance. (Revise plans accordingly.
2.. As built plans are not to show details, profiles, construction notes, etc.
Upon receipt of a submission, revised to reflect the above comments, this
application will be considered further.
Very truly yours, 2
Robert Morris, P. E.
Public Health Engineer
RM /jp
YMLENVIRONMENTAL SERVICES
321 Kear Street
Yorktown HeiAhts, N.Y. 10598
.(914) 245-2800
Albert H. Padovani, Director
LAB *.1. 870302211 CLIENT NON STAT PROC PAGE I
I.I --------------------------------------- ---------------------------------------
THE ESA BAY COMPANY IN DATE /TIME TAKENOD 06/05/95 110000
23 SUNKEN MINE RD DATE/TIME RECID9 66/05/95 91s.45
PUTNAM VALLEY, NY 10579 REPORT BATES 06/07/95
PHONE (9J4)-526-3641
SAMPLING SITES 99 MOUNTAIN VIEW* 'HOSE B I B SAMPI.E TYPE ...o POTABLE
PI TNAM VALLEY, NY PRESERVATIVES* NONE
a
0OL-D BY S RICHARD BAILEY TEMPERATURE— a < 4C
NOTES ... a COLTFORM METHO. MF
--------------------------------------- ------------------------ -------
DATE FLAG PROCEDURE RESULT NORMAL – RANGE
06/06/95 MF T. COUFORM ASSENT
COMMENTS9
PACT THESE RESULTS 7NDICATF-THAT THF WATER CWA'
SATISFACTORY SANITARY QUALITY AccoRDIN
AND EPA FEDERAL DRINKING WATER STANDARDS,
TESTED, AT THE TIME OF COLLECTION.
SUBMITTED
Albert H. PadovRni, M.T.(ASCP)
Director
100 ML. ABSENT
)3 (WAS NOT) OF.A
,(WAS
NEW YORK STATE
FOR THE PARAMETERS
EL AP* 1. 0323
5�.._� L�iION �� V ✓n%ii.+ t ✓/ b .� Yllr —i'
P�tM?T Q ��"' �3 �� 2M p OR Su'r.JIVISICN LOT
I- CAGE DISPOSAL AREA
as atarovea',r 2rs' .... _...
b. Fill s,✓,- cn - Date of placs-ment
2:1 barrier . I Wes"' AVG_DPTH
c. Natural soil not s triucei
d. Stone, brush, etc., crrte_- than 15' fran SDS ara?.
e_ 100 ft_ from wzt°_r curse /wztlanes_ i
DISPOSAL SYSTEM
a. Septic tank size - 1,000 1,250
b. Septic tank instal 1 -ed level.
c. 10' mini= from fcur, on
d- No 90' ben-ds, cie =neat within 10 f t_ of 45° be*id
e- DISMIBLZICN BOX
1. KU outlets at same e? eLzt2on - water tested
2- Protec+-ed below frost
3. Muni =. 2 L=- cricL:all sc 1 be=rie n box and tr =' ches
t. JUNCTION BOX - DrO rty Ee
1. Ling= :n re= red - G y ins= = 11 esi <
2. Dis'L-aace to wate_- =Urse UE- 2- TO'"=es I ft.
3. Lost =1 1 e3 ac or_g to Dlan
4. Distance cent-- to cn*iter (�
5. Sloze of trench ac ent ale 1/16 - 1/32 " /foot.
6. 10 feet fray prc----rt-,r line - 20 f� - -La 0Ur-, Gj a tiCiS
7. Demth of s_ncn < 30 inches f_am szmmace
8. Rcan all cwed for e- xz- an_ion, 50%,
9. Size of cr_vel 3/4 - li" diem = =.r
10. Depth of c=,--vei in trench 12" mini==
L. • Pi-ce ends cDm�
h. OR DOSE Syssmm -S
1. Size of D=, c amb r
2: Cvar=lcw tank' _
3. A1am, visual /au c
4 Pu= e`s7?y acs= = =ible m- anhole to ar•de
5. Firs` bcx ba-f-1 ed
G. Cvcle wii ne-:csd by Eeallth De=a e ="
estimated L.LCw r:—z= CJCIe
IV. Eau- '
a. E,-, -ce 1=ted t -er a=mrcve3 Dlans.
b. nm�--,er of bedscoms I
V. -'':'.r
a. Well lc<--at -- as Tier a*.,•oroved plans
b.
Dist--ice fran SDS a=. = ma -scared 103'e ft_
c. C?s? ng 18" above crate_
d. Surface d_* - .dnace arson.: wail ac=eotable.
a. Bcxes preLerly c--cut.:
b. AU pines zr---tial y b`cKci? led
C. Aid pipes flush with irside of bcc
d. Backfill material contains stones < 4" in diamete
e. C' :r- a i n drain installed lled according to plan
f. Csrtain domain cut =z? 1 protected & dir. to exi st_wa.
g. Foctinq drains disc; ce away from SDS area
h. Surface water erot_ec ?.on adEcuate
i. E cszcn c--n=ol Drovided on slcces cr_t =Y than 15 %.
by C.✓
I YES NO
a. SDS a 3 'li t
K
_lit
PETER C. ALEXANDERSON
County Executive
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
June 16, 1987
John Romeo, P. E.
One Northridge Road
Peekskill, New York 10566
RE: Proposed SSDS
ESA Bak Company, Inc.
Mountain View Road
(T) P. V. 56-1.1.1
Dear Far. Romeo
JOHN SIMMONS, M.D.
Deputy Commissioner
JOHN KARELL, Jr., P.E.
Director
Review of plans and other supporting documents submitted at this
time relative to the above captioned project has been completed.
Comments .are offered. as follows; ,
1. Enclosed is the Corporate Resolution for the above captioned
proposed SSDS. Please have the Corporate Owner Application
completed and show the Corporate Seal.
2. Enclosed are the house plans. Please designate rooms, i.e.
bedroom, etc.
3. The septic tank location on the proposed plan is 77 feet from
the house foundation, show a reasonable approximate septic
tank location. Due to the excessive run from the septic tank
to the first junction box, it is advised that the first drop
box is to have a baffle.
4. Permit application notes 1200 gallon septic tank is to be
used, plans note a 1250 gallon tank. Please correct
descrepancy.
5. Standard note 5, reference to garbage grinders not noted on
plans.
6. Design data, i.e. deep test hole results not noted on
plans.
7. House sewer is to,be noted sloping at .25 inch per foot.
8. Curtain drain detail not shown on plan
Upon receipt of a submission, revised to reflect the above
comments, this application will be considered further.
Very.:truly yours,
Robert Morris
Environmental Health Technician
RM:pt
cc:RM
File
JK
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services
-� AFFIDAVIT -CORPORATE' OWNER" AP"PL7ICAT1ION `
FOR PERMIT APPLICATION SUBMITTED TO
PUTNAM COUNTY HEALTH DEPARTMENT
TO: Commissioner of Health
In the matter of application for:
represent that I am an officer or
to act for
employee of the corporation and am authorized
having offices at
Whose officers are:
President: /1 2
Vice - President:
Secretary:
Treasurer:
% 6
L /zpl'
(Name and Address)
and that I am and will be individually responsible for any and all acts of the
corporation with respect to the approval requested and all subsequent acts relating
thereto.
Sworn to before me this day Signed:
of C//!/ 19J? _-7 Title:
t
'O?A�6 *
Notary ub 'c
MM
RCSERY J. ROMEO
Notary Public, Stato of New York
No. 4775859
Qualifiied in Westchester, Co 1N
�mrmiislQO �i[es� �/
t% t
Corporate Seal
PUTNAM COUN'T'Y DEPAXdMENr OF HEALTH - DIVISION OF ENVIR014ENTAL HEALTH SERVICES
INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS
Say-
COMMENTS
REVIEW SHEET - CONSTRUCTION PERMIT
.y DA
J'�'lai d1`ra ir►f,�[ �L� j�acs.I BY:
.(Street Location)
YES NO DOCCRAMS
Permit Application
Corporate Resolution
Plans -'Three sets
Engineers Authorization
Design Data Sheet (DDS)
Deep Hole Log
iF Consistent Perc Results
Perc Hole Depth
LF trench provided —
required _
60 ft. max.
Parellel to
notes
new
k
s/s
SUBDIVISION
Perc
(3) Fill
cd
House Plans - Two sets
Well permit; PWS letter
Variance Request
GENERAL
Legal Subdivision
Subdivision Approval Checked
Ex- approval SSDS Adj. Lots Checked
Wetland (Tawn/DEC Permit R & D)
Data On DDS Plans & Permit Same
REQUIRED DETAILS ON PLANS
Sewage System Plan - (north arrow)
Sewage System Hydraulic Profile - Gravity Flow
Fill Profile & Dimensions - Volume
D or J Box;Trench /Gallery; Pump pit details
Septic Tank - Size, Detail
Well Detail, Service Line if over
Construction Notes (grinder notes)
Design Data: perc and deep results
Two-Foot Contours Existing & Proposed
Driveway &.Slopes:.Cut
/ Footing /Gut ter;Curtain-Drains (discharge OK)
Perc & Deep Holes Located
Representative of primary and expansion
Expansion Area;shown;gravity flow,suff. size
If PmVed Pit & D Box Shown & Detailed
House - No. of Bedrooms
Wells & SSDS's w /in 200 ft. of Proposed Systems
Property Metes & Bounds .
House Setback Necessary (Tight lot)
House Sewer - 1 /4 " /ft. 4 "0; Type pipe
No Bends; Max. Bends 450 w /cleanout
SEPARATION DISTANCES SPECIFIED ON PLAN
Fields
10' to P.L., Driveway, Large Trees,Top of fill
20' to Foundation Walls
100' to Well; 200' in D.L.O.D, 150' pits
100' to Stream, Watercourse, Lake (inc. expan)
15' to Drains - Curtain, Leader, Footing
351to catch basin,stormdrain,piped watercourse
10' to Water Line (pits -201)
50' intermittent drainage course
Septic Tanks
10' fram Foundation; 50' to well
15' Well to PL
9
• DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641
-• w ,PPLICAION TO CONSTRUCT _.A�WATER_ -WELL _ Q I. PCHDY PERMIT' &5� .
WELL LOCATION
Street Address
Mountainview
Town /Village /City Tax rid u ber
Road, Putnam Valley, NY 59 -1 -101
WELL OWNER
Name Address
Richard. Bailey for Esa Bay Go. Inc.
9LPrivate
0 Public
..USE OF WELL
.,1.- primary
2 - secondary
U'RESIDENTIAL
0 BUSINESS
❑ INDUSTRIAL
0PUBLIC SUPPLY (FAIR /COND /HEAT PUMP
0 FARM 0 TEST /OBSERVATION
0 INSTITUTIONAL 0 STAND -BY
0ABANDONED
0 OTHER (specify
AMOUNT OF USE
YIELD SOUGHT
5 gpm /# PEOPLE SERVED 7 /EST. OF DAILY USAGE 800 gal
.REASON FOR
DRILLING
XINEW SUPPLY ❑PROVIDE ADDITIONAL SUppLy
®REPLACE EXISTING SUPPLY 0DEEPEN EXISTTNQ WELL
® TEST /OBSERVATION
DETAILED
REASON FOR
DRILLING
WELL TYPE
DRILLED
®
DRIVEN ®DUG ®
GRAVEL
® OTHER
IS WELL SITE SUBJECT TO FLOODING? X YES NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Yes
Camp lookout Lot No. :356-ift
WATER WELL CONTRACTOR: Name Anderson Well Drillers Addressl�arger St. Putnam Valle
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO
NAME OF PUBLIC WATER SUPPLY: - TOWN /VIL /CITY
DISTANCE, TO PROPERTY FROM NEAREST WATER. IN:: - -
LOCATION SKETCH & SOURCES OF CONTAMINATION
®ON REAR OF THIS APPLICATION
7 None
(date)
PROVIDED
N SEP RATE SHEET
(signature)
PERMIT
TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above is granted under the
provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and
provided that within thirty (30) days of the completion of water well construction,
the applicant shall:
1. Pump the well until the water is clear.
2. Disinfect the well in accordance with the requirements of the Putnam
County Health Department attached to this permit.
3. Submit a Well Completion Report on a form prov' d by the Putnam County
Health Department.
Date of Issue: —� 19 ��
Date of Expiration: ° 7- 19 ermit Issuing Official
Permit is Non - Transferrable
0
8/86
PUTNAM COUNTY DEPARTMENT OF HEALTH
P.IVIS.LON OF ENVIRONMENTAL:: - HEAL -TH� :SERVICES'
Date August 1, 1986
Re: Property of Richard J Bailey - for Esa Bay Company Inc.
Located at Mountainview Road.
(T) Putnam Valley
Section 56 Block .1 Lot 1.1
Subdivision of Camp Lookout
Subdv. Lot #3Y6-361 Filed Map # 79C Date 1928
Gentlemen:
This letter is to authorize John S. Romeo
a duly licensed professional engineer X or registered architect
(Indicate
to apply for a Construction Permit for a separate sewage system, to
serve the above noted property in accordance with the standards, rules
or regulations as promulagated by the Commissioner of the Putnam County
Department of Health, and to sign all necessary papers on my behalf in
c_o- ir%e _ .z :9n� 1�*itWLthis.:mat.tQx .: and.,. -to__ sup ervise '- .the.•._&ons- i= ruct -1. -o-f • said -- _
system or systems in conformity with the provisions of Article 145 or
147, Education Law, the Public Health Law, and the Putnam County Sani-
tary Code.
Very truly yours,
Signed��Z '
Countersigned: r ✓ Owner of roperty
P.E., SIX, # 27846 Sunken Mine Road,
QTWWV Address
1 Northridge. Road. • ® \O�EOOp�o Putnam Valley, NY 10579
Address . a F Town
Uq� �
Peekskill, N.Y. 105660 °
s. r
526 - 2402
737 - 1056 k Telephone
4. •
o A6
Telephone
ea
PETER C. ALEXANDERSON
County Executive
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225-0310
June 16p 1987
John Romeo, P. E<
One Northridge Road
Peekskill, New York 10566
RE: Proposed SSDS
ESA Bak Company, Inc.
Mountain View Road
(T) P. V. 56-1.1.1
JOHN SIMMONS, M.D.
Deputy Commissioner
JOHN KARELL, Jr., P.E.
Director
Dear Mr. Romeo:
Review of plans and other supporting documents submitted at this
time relative to the above captioned project has been completed.
Comments are offered as. follows:
1< Enclosed is the Corporate Resolution for the above captioned
proposed SSDS. Please have the Corporate Owner Application
completed and show the Corporate Seal.
2. Enclosed are the house plans. Please designate rooms, i.e.
bedroom, etc.
3. The septic tank location on the proposed plan is 77 feet from
the house foundation, show a reasonable approximate septic
tank location. Due to the excessive run from the septic tank
to the first junction box, it is advised that the first drop
box is to have a baffle.
.4. Permit application notes 1200 gallon septic tank is to be
used, plans note a 1250 gallon tank. Please correct
descrepancy.
5. Standard note 5p reference to garbage grinders not noted on
plans.
�:. Q
6. Design data, i.e. deep test hole results, not noted on
plans.
7. House sewer is to be noted sloping at .25 inch per foot.
8. Curtain drain detail not shown on plan
Upon receipt of a submission, revised to reflect the above
comments, this application will be considered further.
Very.: truly yours,
6.t/ /. -AellLtq
Robert Morris
Environmental Health Technician
RM :pt
cc:RM
File
JK
I• •• • �1• '�1 I� •
• •' • •' •' ' 1� V '1 �' ee
DESIGN IaF1T. SHE ,T— Si�BSUFACE...SF3hTAGE DISPOSAL SYSTEM..•: -:::: FILE_:NO:_._.._;..,..
Owner Richard J Bailey Address Sunken Mine Road, Putnam Valley, NY
s a ay:. ompany Inc-
Located at (Street) Mounrinview Road. sec. 56 Block-1 Lot 1.1
(indicate nearest cross street)
Municipality Putnam Valley Watershed
Peekskill
• • • �+• �• Re'My a. • • u• • a• • • • • •
Date of Pre- Soaking Oct 59 1986 Date of Percolation Test Oct 6, 1986
HOLE
NUMBER
CUXZ TIME
PERCOLATION
PERCOLATION
Run
Elapse
Depth to Water From
Water Level
No.
Time
Ground Surface
In Inches
Soil Rate
Start -Stop Min.
Start Stop
Drop In
Min /In Drop
Inches Inches
Inches
1
3852 4822 30
23.75 26.25
2.50
12.00
2
4826 406 30
23.75 26.00
2.25
13.33
5:01 5831 30
23.75 26.00
2.25
13.33
3
4
5
1. 3'..58. 4•:28 30 21.25 24.00 2.75 10.91
2 4 i 33 5" 03 30.. 21.25 23.75 2.50 12.00 .. • _. ., .
3 5807 5:37 30 21.25 23.75 2.50 12.00
4
5
2
3
K1
5
NOTES: 1. Tests to be repeated.at same depth until,apprc imately equal soil rates
are obtained at each percolation test hole, All.data to'be submitted
for review.
2. Depth measurements.to be made from top of hole.
rev. 9/85
DEEP HOLE OBSERVATIONS MADE BY: John S. Romeo DATE:Oct 5, 1986
DESIGN 5000 SF+
Soil Rate Used 11 -15 Min /1" Drop: S.D. Usable Area Provided
No. of . Bedroans 4 Septic Tank Capacity 1200 gals. Type Masonry
Absorption Area Provided By 500 L.F. x 24" width trench
Other
0000
Name John S. Romeo Signature ��, s Roy, L'
Address 1 Morthrigb Rd, SEFA, °
O a
® =,
�. .
Peekskill, NY 10566 00 e
z7aA
00 �f . Ira I's
FOR USE BY HEALTH DEPA.MlENT ONLY:
Soil Rate Approved sq.ft /gal. Checked by
Date
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
,
DESCRIPTION OF SOIIS ENCOUNTERED IN TEST HOLES
Pere Pere
Deep Hole
DEPTH
HOLE NO. 1 HOLE NO. 2 HOLE N0.
3
_... _
G.L.
--
Topsoil Topsoil Topsoil
Topsoil
1,
Topsoil Topsoil -. Topsoil
Topsoil
s syamilty,.. sand.y,silty
sandy,silty;
2 °
loam, 0AM
1--
-
4°
5° ..
6°
7°
8°
9°
-10°
11°
12°
13°
14°
INDICATE,LEVEL
AT WHICH GROUNDWATER•IS:ENOOUNTERED - None.
INDICATE,LEVEL
TO WHICH,WATER LEVEL RISES AFTER-BEING ENCOUNTERED
None
DEEP HOLE OBSERVATIONS MADE BY: John S. Romeo DATE:Oct 5, 1986
DESIGN 5000 SF+
Soil Rate Used 11 -15 Min /1" Drop: S.D. Usable Area Provided
No. of . Bedroans 4 Septic Tank Capacity 1200 gals. Type Masonry
Absorption Area Provided By 500 L.F. x 24" width trench
Other
0000
Name John S. Romeo Signature ��, s Roy, L'
Address 1 Morthrigb Rd, SEFA, °
O a
® =,
�. .
Peekskill, NY 10566 00 e
z7aA
00 �f . Ira I's
FOR USE BY HEALTH DEPA.MlENT ONLY:
Soil Rate Approved sq.ft /gal. Checked by
Date