HomeMy WebLinkAbout3045DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
62.18 -1 -79 & 62.18 -1 -80
BOX 25
L
�; .
T
me
No IT,
ir I
I is
1
81
IN 9
..
T
IN
- -
.
03045
Rev. 3/86
I 91
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Carmel, N.Y. 10512
Engineer Mast Provide P V 4 - 91
P.C.H.D. Permit p - - -- r
TRW %2.1 ,f —
'KATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM . Putnam V a,l l e y
Lake .:Court %Z2 ' vjiitalAi, OR t Vr- ,�.�• _ Tae Map ..�5 2 .:�.:4 ._.; :.. .
Block M Lot 3
Owner /applicant Name M C C A N N Formerly
Mailing Address 181 W 238th S t., B r.o n x zip 10463
Separate Sewerage System built by Steve a s t
Consisting of 1250
Gallon Septic Tank and
Subdivision Name Subdv. Lot #
Date Permit Issued 5/22/91
Putnam 'Val, lie
400 linear feet of tre
h
Water Supply: Public Supply From Address
on X X X Private Supply Drilled by Address
Yes
Ballding Type 4 B R 1 f a m i l y Has Erosion Control Been CompletedY `
Number of Bedrooms 4 Has Garbage Grinder Been Installed? N 0
Other Requirements
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 oe rtmerrt Of Health. JOHN ROME y : MATTHEW - A _ N 0 V I E L L 0 ,
Date 8 / 2 /92 Certified by P•E X�+
Address 1 Northridge Rd. , e ski 11 , NY 1 566 t.,cenunlo• 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 pub(: unitary sever becomes
available and the approval of the private water supply shall become null kt when a public water supply becomes available. Such approvals are
subject to mo Mica fion or change when, in the judgment of the Co sl r of Health, revocation, modification of change Is necessary.
Date 11 ` By Title /
,3/ b l
DEPARTMENT OF HEALTH
�enta-l---Hi?�ilth Services."
-Divis,ion Of'-Envir6nud
PUTNAM COUNTY DEPARTMENT OF HEALTH
Office Use Only
WELL LOCATION
S JAqT AOURESS"I " TUMN-1-Y-ILIArml � TAX GRID iqu
P-W-4 Al I /c, //,p ld6-17
du A 4 R
WELL OWNER
ADDRESS:
AA & ea 02� Sib A
0 PBIVATE
0 PUBLIC
USE -OF WELL
1 - primary
2 - secondary
Q4E 4IDE,NTIAL ❑ PUBLIC SUPPLY ❑ AIR/COND./HEAT PUMP ABANDONED
❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify)
❑ INDUSTRIAL 0 INSTITUTIONAL 0 STAND-BY ❑
AMOUNT OF USE
YIELD SOUGHT gpm.INO. PEOPLE SERVED _/ EST. OF DAILY USAGE - gal.
REASON FOR
DRILLING
[]REPLACE EXISTING SUPPLY []TE'ST/OBSERVATION [JADDITIONAL SUPPLY
D&W SUPPLY (NE DWELLING) []DEEPEN EXISTING WELL
DEPTH DATA
WELL DEPTH ft. I
-.STATIC WATER LEVEL ft.
D
F ATE MEASURED
DRILLING
EOUIPMENT
OdROTARY ❑ COMPRESSED.AIR PERCUSSION ❑ DUG
0 WELL POINT ❑ CABLE PERCUSSION 0 OTHER (specify):
WELL TYPE
0 SCREENED PEN END CASING ❑ OPEN HOLE.IN BEDROCK ❑ OTHER
CASING
DETAILS
TOTAL LENGTH ft
MATERIALS: 09TEEL ❑ PLASTIC 0 OTHER
LENGTH BELOW GRADE L ft.
JOINTS: ❑ WELDED fffHREADED 0 OTHER
DIAMETER in.
SEAL: OCEMENT GROUT -0 BENTONITE 0 OTHER
WEIGHT
PER FOOT Ib./ft.
DRIVE SHOE. 0 YES VIO
LINER: 0YES P4
SCREEN
DETAILS
DIAMETER (in)
'SLOT SIZE
LENGTH (ft)
DEPTH TO SCREEN (it)
DEVELOPED?
FIRST
0 YES -,.O,-NO
GRAVEL PACK
11 YES
❑ NO
GRAVEL
SIZE:
DIAMETER
OF PACK In.
-_ - --- I
TOP
DEPTH -ft.
BOTTOM
DE M - It.
L
I.
WELL YIELD TEST If detailed pumping
METHOD: 0 PUMPED a tests were done is in-
'
UX-6PRESSED AIR , formation attached?
0 BAILED 0 OTHER '0 YES ❑ NO
more detailed formation descriptions or sieve analyses
WELL LOG 'a' re available, please attach.
DEPTH FROM
SURFACE
water
Bear-
ing
wall
Oia-
In meter
FORMATION DESCRIPTION
CODE
ft.
it.
WELL DEPTH
It.
DURATION
hr. min.
DRAWOOWN
It.
YIELD
9Pm_
Land surlace
WATER 0 CLEAR TEMP.
QUALITY 0 CLOUDY HARDNESS
0 COLORED ANALYZED? OYES ONO
ANALYSIS ATTACHED? 0 YES ❑ NO
I
STORAGE TANK: TYPE W.,
CAPACITY GAL.
PUMP INFORMATION
TYPE CAPACITY
MAKER' [1xc04 '-4 a T_
DEPTH
MODEL VOLTAGE -�31; HP 246
11
WELL DRILLER NAME DATE
Nb1rVV-,&%\ I
ADDRESS SIG7
k VAN AIW\ /1
,3/ b l
PUTNAM COUNTfY rte. ., OF HEALTH
DRTISION OF P.,NVZr - -'.YIZ `P HEALTH SERVICES .
: � k • QS :^ w ..4+ -'..r. � by +..t. .. .. � r �� a • •yr. 'i `b . ...;ryK. ....sn. .. a R 2K�.� f � aw. rM•��•�'X. r. ,b..Q ..w ..,A f . ;'...y
MC CANN /Z 52 8 3 & 4
owner or Purchaser o_ wilding Section Block Lot
Building Constracteci by
Lake Court ZZ S191W& A4�1 141te 6AJ*,
Location Street S _. =..on Name
Putnam Valley
Municipality
1 family residential
Building Type
LA +7
Subdivision Lot #
GUARAWEE OF SUBSURFACE SEWAGE DISPOSAL .SYSTEM .
I repres._,nt that 1, am wholly and completely responsible for the location,
worknanship, m serial, cons trL.:.cion ;:_ainage of the sewage disposal system
serving the above described property, a: r: `gat it has been constructed as shown on
the approved plan or approved amendment thereto, and in accordance with the
standards, rules and zegulations 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 imr.ediately following the date of approval. of the
" Certificate
of Construction Compliance" for the_ :.sei�age disposal system, or any
repairs made by me to sln- system, eycept where t�Yie'"fa lure 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 Director of the Division of Enviro^nental Health Services of the Putnam County
Department of Health as to whether er.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 this ` day Of��191 Signature
'Title
rev. 9/85
rJc
I
Corporation Na- Of Corp.)
YML Environmental LAB NUMBER _�i'.° �c) <I.1�-�.�
Services
DATE /TIME TAKEN
1,/1749 11:30P
_ —.�• �. « <.: 321 Kea *.Stxeet;::Yorktorn!r Heights,— ,NY -1- 0598..:: ; -� �4
ELAP #10323 (914) 245 -2800 'DA"I'E7TIMESRC'D° _ 9`?�""
DATE REPORTED
2 t D
L Putnam Valley, NY,10579
COLD BY Jean McCann m
NOTES
RESULTS OF WATER TESTING
X
ANALYTE
RESULT
UNITS
ALKALINITY
mg/L
AMMONIA
mg/L
ARSENIC
mg/L
CHLORIDE
mg/L
COLOR
Units
CONDUCTIVITY
umhos /an
COPPER
mg/L
--ZINC
DETERGENTS_
_
^
FLUORIDE
mg/L
HARDNESS
n-g/L
IRON
n-g/L
LEAD
n-g/L
MANGANESE
mg/L
MERCURY
mg/L
x
NITRATE
f
mg/L
NITRITE
n-g/L
ODOR
TON
PH
per 100 mL
'SAMPLING B" Spruce M . L.
SITE Putnam Valley, NY,10579
For Lab Use Only
X Notable _ HNO3 _ pH LT 2 x <4C
— Nonpotable NaOH _ pH GT 9 _ <20>4C
_ HCI _ Na2SO3 _ >20C
TAT[ _ H2SO4 _ ?nOAc
�or�FO� Ns�r� -rOD us�a rte► � ,
RESULTS OF WATER TESTING
X
ANALYTE
RESULT
UNITS
PHOSPHOROUS
n-g/L
SILVER
mg/L
SODIUM
mg/L
SULFATE
n-g/L
SULFIDE
n-g/L
SULFITE
rrg/I.
TURBIDITY
NTU
--ZINC
.
CADMIUM
CHROMIUM
mg/L
CYANIDE
n-g/L
NICKEL
mg/L
SPC
per 1.0 mL
x
TOTAL COLIFORM
f
per 100 mL
FECAL COLIFORM
per 100 mL
E. COLI
per 100 mL
FECAL STREP.
per 100 mL
These results indicate that the water sample [WAS] .[WAS NOT] [NA] of a satisfactory sanitary quality according to
the New York State Sanitary Code, for the ar ters tested, at the of sample collection.
These results indicate that the water sample [WAS] [WAS NOT] [NA] of a satisfactory chemical quality according to
the New York State Sanitary Code, for the parameters tested, � the -time of sample collection.
NA = Not Applicable N = Not Present (Negative)
SUBMITTED BY: % P = Present (Positive) SA = See Attachment(s)
° = Also done because Total Coliform was present
Albert H. Padovani, M.T. (ASCP) TNTC = Too Numerous To Count
Director > = GT = Greater Than < = LT = Less Than
MAF#VIN ODELL' - r=• r : ;:a�ws� _ - ,
Bldg. Inspector
JOHN MAHONEY
Deputy Zoning Inspector
PUTNAM VAULY
TO_WN_HALL ._ _
.. .. y.,.S,...rri, 2tlwi . .,.. at.•t3 a +min Hau ICY. - r
PI�TKIAM VALLEY, N.Y.
(914) 526 2377
BETTE STOCKINGER
TOWN. OF PUTNAM VALLEY Bldg. Dept. Clerk
BUILDING, ZONING, AND SANITARY DEPARTMENT
May 20, 1991
Putnam County Dept.. of Health
110 Old Route Six Center
Carmel, N.Y. 10512
Att: William Hedges, Jr.
Re: Application for Well /Se tic
Lake Court(Private Road
TM #PV' 52 -8 -3 �& 4
Dear Bill:
Per reques.t regarding'`tlie above noted property, our
records reflect an':approved Subdivision, 'Spruce Mt.,
Lake Estates" filed May 15., 1956, Map #778.
....�G. r<.. _..._____�...�..�.,._..... _._.._� w.. .Sincerely,
4
MARVIN'O DEL
Building & Z ping Inspector
MO'D:es
JOHN S. ROME09 P.C.
CONSULTING ENGINEERS &I-AND SURVEYORS
INORTHRIDGEROAD
MATTHEW A. NOVIELLO, PE
JOHN C. HOFFMANN, LS
(914) 737-1056
ROBERT J. ROMEO, SURVEY MANAGER FAX (914) 737-9333
February 5, 1993
PUTNAM COUNTY BOARD OF.HEALTH
4 Geneva Road
Brewster, NY 10509
Re: MC CANN S.S.D.S. AS BUILT
TOWN OF PUTNAM VALLEY, TM 552 - 8 - 3 &•4
Dear Sirs:
ance.
Enclosed for your review and approval, please find:
1. Three copies of a Certificate of Construction Compli-
2. Three copies of a signed S.S.D.S. Guaranty.
3. Three signed and sealed copies of As Built Plans.
4. Water Bacteriological Test.
5. The Well Driller's Log.
6.--,- A. b*an'k,
Very truly yours,
JOHN S. ROMEO, P.C.
by A xkw,, &,-
MATTHEW A. NOVIELI-O, P.E.
'Clj
_ Av C:sNIT�. i r
cl: ',G .
cr
C_= - rs
bT
Z-
C_ `��ar �r� _• etc - r C-=-Z =r - l'�""1 `i _ I
E_
in, (I f�_ f =c. �__—
CCL �:vc -� �*_L -
I -- c--- :� D• =C��� c:cr
= CL're==� -r
p_ -' r c! ,; r =cam
tie_: c_c
a LW
can
�. tcCGS�' -ir- = CY ex-
`- -� -C -r
c Lira_ C-
U-
E. C _ - -____- h c
w_ --
I -e-I -
1.. E•C.L=-7- _ 1
Ir
C_ CSr:C
. _ - kr.i i r•r- •`��a_
• t^
< S° 2.=1 may- I
acc=:.-ciinc to
to
Z. C= ..= '__''. C` -__ G::�• ..-.- C_C `rte 1
C. i
Inc:
c: c(�cV t_� •u I
--
I CCcc c= =_=t"'
"'
i
I
PD PNAIN COUNTY DEPAMMMM ®F EWALTH
DMWk m off Raftennienlial Red& Seevkm Ommel. N.Y. 10512 to hovw Pomlt 0
on CEM7P&1PHCATE ®F CO CE
PEI:IOr F®D SEWAGE DISPOSAL SY Pte? ` 0
.e; Town of Putnam Valley
SMWMoioM Name sww. it a 6& 7 j'aa mp 5 2 ska 8 3& 4
Ownea/AepllcamtMine HUGH and JEAN McCANN
Dot® of Pi evione Apeiroval
181 W 238th Street Tom- Bronx, NY ZIP 10463.
qh. 1 Fam . frame IAt Ana FM Section only Depth vau me
Number of Eedreosme 4 DesiSm Flow G P D 8 0 0 PCEID No4ffication [a Rewhed when FM Is comtplatell
Sepaeate sew—ge Systm to consist of 12 0 0 G,9eID sp* aQnh aaa 400 linear feet 24 inch wide trench
To w oomsbcted by t . b . d . A&k=
Wow Supply. Public Steeply F¢o® Address
or: X Pelee b Supply DirO W by t . b . d . ____A&Imw
®ebea Eetl�e®emts
1 represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system
above described will.be constructed as shown on'tne approved, amendment there to and in accordance with the standards, rules and regulations o e u nam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill
bo submitted to the Department; and I 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 disposal system during the period of two (2) years Immediately following the data of the Issu-
once of the approval of the Certificate of Construction Compliance of. the original system or any repairs thereto; 2) that the drilled well described above
%rill be located as shoran on the approved plan'and that said well will be Install in accordance with tlh�rpa. sttaandards, rules and rogu a�i%ns of the Putnam
County Department of Health.
����/� �,d/
Data February 14 , , 19 91 Signer Y�^� //Oi� P•E• �-- 'C—
Address Route 9D. & Elyins Lane,* Garrison e. NYLIcense No 061145
APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the building has been, undertaken and is
revocable for cause or may be amended or modified,when considered necessary by the Commissioner of Health. Any change or alteration of construction
requires as new /permit. Approv for dire sal of domestic sanitary sews e, a !_private water supply only.
/1 gj Date % --- Title
DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641
"tS U•a.C3 - 'b• w.. .. -w: .,. -..,- ... ......� .... v.., -. _ -. -+mow.. _.. -: :. .r- ..�_.�. ::..�an�L,i .... Vw w.�- w+.r/•••..:.._wwT�: •'w+.r. ..r r, ... �•'Q: �'v P.•:
A'1�PLICATION T� CONSTRUCT A WATER WELL
PCHD PERMIT
WELL LOCATION
Street Address
Lake Court,
Town /)VJtk1aP9R1bjzK Tax Grid Number.
Putnam Valle 52 -8 -3 &4
WELL OWNER
Name Mailing Address
HUGH and JEAN McCANN 181 W 238th St., Bronx NY
XQPrivate
❑Public
.USE OF WELL
1 — primary
2 - secondary
Xn RESIDENTIAL
0 BUSINESS
0 INDUSTRIAL
O PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP
O FARM O TEST /OBSERVATION
CIINSTITUTIONAL O STAND -BY
0 ABANDONED
❑ OTHER (specify
O
AMOUNT .OF USE
YIELD SOUGHT
5 gpm /# PEOPLE SERVED /EST. OF DAILY USAGE gal
REASON FOR
DRILLING
ARNEW SUPPLY O PROVIDE ADDITIONAL SUPPLY
❑REPLACE EXISTING SUPPLY ❑DEEPEN. EXISTING WELL
❑ TEST OBSERVATION
DETAILED
REASON FOR
DRILLING
WELL TYPE
®DRILLED
DDRIVEN
E1DUG
C]
GRAVEL
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES ___X_NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: # 778
Lot No. 6 &: 7
WATER WELL CONTRACTOR:' Name Address:
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _IL _NO
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
DISTANCE TO PROPERTY PROM NEAREST WATER MAIN:
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED P /qM
ON REAR OF THIS APPLICATION MPN SEPARA SH T-
February 14, 1991 •M
(date) (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 provided by the Putnam County
Health Department.
Date of Issue: � 19
Date of Expiration:
Permit Issuing Offi
Permit is Non - Transferrable White copy: H.D. File
Yellow copy: Building Inspector
Pink Copy: .Owner
2/87 orange copy: py: Well Driller
15
a
_CONSULTING ENGINEERS
ROUTS 9D & SLVINS TANS
GARRISON, NY 10524
(914) 424 -3560
February 18, 1991
PUTNAM COUNTY BOARD OF HEALTH
tOld Route 6
Carmel, NY 10512
Attn: Mr. William Hedges
Res McCANN S.S.D.S.
TM 52 -8 -3 & 4, TN OF PUTNAM VALLEY
Dear Bill:
Enclosed please find the original application for well and
septic systems approvals for the above captioned property.
Included are the following:
1. A signed Engineering Authorization.
. Two sets of House Plans
3. Three signed, sealed prints of the S.S.D.S. design.
4. A Well Construction Permit Application.
5. A S.S.D.S. Construction Permit Application.
6. A signed and sealed Design Data Sheets.
7. A bank teller's check in the amount of $150.
Kindly approve the plans and return them to me. If you
would like to inspect the site with me please give me a call.
Very truly yours,
"XI AXWA/ 0,`�4
Matthew A. Noviello, P.E.
J
PUTNAM COUNTY DEPARTMENT OF HEALTH
ATVI J. N,. F
... w .... _ _ _ - ..�._.�..,�•.�.�.'.�....�.. ...cam., .,-..
Re: Property of
Date February 4, 1991
HUGH and JEAN McCANN
Located at ' Lake Court
(T) Putnam Valley Section 52
Subdivision of
Subdv. Lot # 6 & 7
Gentlemen:
Block 8 . Lot 3 & 4
Filed Map #
778 Date
This letter is to authorize MATTHEW A. NOVIELLO, P.E.
a duly licensed professional engineer - ' - X axxxKKkxkaxxdxxx�xkiEak
(Indicte
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
hi,s matt- er:::and- t_o. sup.�rviae tFie :constructi.on..o.£. 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.
Countersigned:
Very truly yours,
Signed //�Ca"
OwnOr of Property
181 W 238th Street # 22
P.E., R-A., # 061145
Route 9D & Elvins Lane
Address
Garrison, NY 10524
(914) 424 -3560
Telephone
Address
Bronx, NY 10463'
Town
Telephone
0 w
I
mim
TV
I
cmi-uuc,°►
PUTNAM CWNTX DEPA OF.BEALTH, i
DIVISION OF ENVIRONKRO AL HEALTH SERVICES
DF,SIGN BATA -'Sf -SUBSUFACE. _Spt71�GE..PISFOSAL SYSTEM FIES NO:
i
Owner HUGH . and JEAN MCCANN Address 181 W 238th St: , Bronx, NY 10463
Located at (Street) . Lake Court Sec. 52 Block 8 L6t`6' & '7-
(indicate nearest cross street)
Town -.:of Butnam, Valle tl
Municipality Y Watershed
SOIL PERC)DI IC N TEST DATA REQUIRF..D TO BE SUBMITTED SMITH APPLICATIONS
Date of Pre 2 / 4 / 91 Date of Percolation Test,::
g 2/4'/91
'HOLE'
:. NUMBER Q1JCK 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
Hole # ' 2 Inches Inches Inches
1'
12-:41.12:59., 18 24'. 27 3. 6
2
1:00- 1':18 18 24 27 3. 6
3 1 :19- 1:38 18 24 27
4
3 6.
5 12:'47 -12 :57
10
2.4
27
3 3 113
_.12't58- 1:A81 _'
1 0 .
24
27
3 3 1/3
2 1:09= 1:18
9
24
27
3
3
4
5
1
7
3
_ :he
4
5 _
ry
27IT'S: 1. Tests to be repeated at saner depth until approximately equal soil rates °
are obtained at each - percolation. test hole. All data to be suhnitted
for review. 4
2. Depth measurements to be made from top of hole.
rav - q/8-9
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH HOLE NO. 1 HOLE NO. 2 HOLE NO. 3
Veq 'etat.ora,
1' Silty loam Sandy loam Sandy Loam
2' . b
31 Sandy loam
5' • • • _
6' b . Ledge @ 6' 8" Ledge @ 6' 10"
7' • • i
8'
9'
10'
12'
13'
14'
_...__.._ INDIM- TE 1- .=__AT- WHICH GROUNVATER IS 14NCOU
N.TERED--..none found.,._. -
INDICATE LEVEL TO WHICH LATER LEVEL RISES AFTER BEING ENMUNTERED.. N/A
DEEP HOLE OBSERVATIONS MADE BY: MATTHEW A NOV IELLO . P . E . DATE: 2/4/91
DESIGN
Soil Rate Use 6-7 Min /1" Drop: S.D. Usable Area Provided 650 sq . ft.
?`
pre - cast..
No. of Bedrocns 4 Septic Tank Capacity 1200 gals. Type concrete
Absorption Area Provided By .400 L.F. x 24".. width trench
Other
Name MATTHEW A. NOVIELLO . P.E. Signature
Address Route 9D & Elvins Lane SEAL
Garrison,'NY 10,524
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY:
Soil Rate Approved sq.ft /gal. Checked by Date
.mss
- --A- ID.ZC 5
CER- v -::Of CIF h�NVIFMTNEIZU
-FM.IE -,7r CF Dr=
D
:�Z I—j7 SUPS:_r;L
DATE
C& 17 -2
06: cf C,;-,- --2
YES I
NO
-7
4,a
IL
x,
77 �. -
XI -
Z404
,x
7=7 CZ rc:7--'c
_47PoA, /clo S
Ces
Llc)�
-><
;- E-W szec: _
f I cad elev
fm-
I LIKII
Plans - 7:--ae Set:=-
B a ta
C=msista-nt Perc Fr =c
a:Ie cepth
well
a="ZeSz:
C-Z7C 2-4-
R &
LVT
r a t ca "Lics
ti
c
CE. a
c
&
D c j
01i
C
C
wel! re sEzvica if c-;=-:-
&
Ora nc
Cees Holes Lccat--
Pit & D S &
E�zc—,s
P_ cce = =s &
(T-icbiz 1C t-
E
c 4 7 E
" 0; T-
E
ON PLAN
10' to P.L. TZE7�jTcc C-':
20' to Fc--Id=--L-ic j qElls
.LIJUI i o- 200' in D.L.0-D, 15
100 to E e—Z
13' •z
bas
3 E
10, t0 ivctar Li::. -2 12
7
10, wel
PU'SNAM - -C OUNTY HEALTH.- .DEPAR _...._.. ._ .
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
John M. Simmons, M.D.
Deputy Commissioner of Health - FIELD ACTIVITY REPORT -
ADDRESS
Sheet of
- - INSPECTION
MENWO-1
No.
MAILING ADDRESS ✓ '�.�9���
P.O. Box Post Office Zip Code
PERSON IN CHARGE
OR INTERVIEWED
Name and Title
DATE .2/2 F � TYPE FACILITY
TIME ARRIVED r TIME LEFT O %j
FINDINGS:
Orig. Routine
Orig, Complain
Orig. Request
Compliance
Complaint Comp
Final
Group Illness
Construction
Reinspection
Field, Sampling Only
Field Conference
Other
Explain
- MEMEMMOMMU
INSPECTOR:
Signature and Title
PERSON IN CHARGE OR INTERVIEWED-
I acknowledge this Field Activity Report. SIGNATURE:
6/86 TITLE:
TELEPHONE:
J. S. ROMEO. PE. LS
JOIFIN S. RomEo, P.C.
I NORTHRIDGE ROAD
�\' Y PEEKSKILL, NEW YORK 10566
914737-1056
April 25, 1991
PUTNAM COUNTY BOARD OF HEALTH
Old Route 6
Carmel, NY 10512
Attn: Mr. William Hedges
Re: McCANN S.S.D.S.
TM 52-8-3 & 41 TN OF PUTNAM VALLEY
Dear Bill:
Enclosed please find revised plans for well and septic
systems approvals for the above captioned property. Included are
the following:
1. Three signed, sealed prints of the S.S.D.S. design.
2. Copies of Notification Letters sent to all adjoin-
-ing property owners.
3. A copy of the Building Lot letter to the Town Code
Enforcement Officer.
4. A copy of all the Certified Mail receipts for the
above mailings.
Kindly approve the plans and return them to me. If you
would like to inspect the site with me please give me a call.
Very truly yours,
Matthew A. Noviello,, P.E.
cc: Mr. and Mrs. Hugh McCann
Courry Ezecu'tive
b : JOHN ;.9ELLVJr, P.E.... I
Director
DEPARTMENT • OF'' HEALTH
Division Of Environmental._Health Services
110 Old Route Six Center, Carmel;.. New York 10512
(914) .225 70310
Building Inspectors / April 22, 1991
Code Enforcement Officer
Toarn.of Putnam Valley _
Putnam Valle,____, New York zip_10579___
Dear Sir:
Re: Owner McCann
Street Lake_Court
TM TM 52'=8=3&4------ - - --
Toam_ Putnam Valley________
An application to construct a well'and setiC -system_____
-------------- - - - - - - - - --
is being submitted for review to the Putnam County Health Department.
_
The above vmgpt ob�ed_' par �el is : nat..r;�art f a Putn m County -'Appi oved . subs viaion: --
Therefore, the following information is requested prior to our review.
1. Does the proposed project conform Frith existing .hand use as officially
adopted?
2. Is the above mentioned lot considered a legal building lot?
The above information must be submitted to this Department prior to our reviev.
Approval of this information is for the creation of property lines only. The
project must conform to all health department requirements and. all local
ordinances.
If you have any questions, please contact me at your convenience.
Very truly yours,
WH /JP
0
William Hedges, Jr.
Sr. Public Health 'i aiiii- Ldn
by:
Matthew A. Novello, P.E.
s N�
JOHN'S. ROB EO9 P.C.
-
CONSULTING ENGINEERS AND.LAN® SURVEYORS^
i . , y.F -... r ... `..!+ x ✓ ...<. <.w - ..•.+++4 - -...w w•r-- -r r ..Y .r _ - ... .v � ... �-. u --- .�w.F' ^, �: _ v.lL: n< ...
1 NORMMIDGk ROAD.
PEERSRILL,:NY 10566
(914)737 -,1056
r,
i
April 15, 1991
Mr." and, Mrs.. Harris-F., Kures
2341 Gwanville Court' I
Yorktown,. "NY 10598
Re.: PUTNAM; COUNTY DEPARTMENT OF HEALTH REVIEW
HUGH and JEAN McCANN
KE'.:"COURT
LA 0
-3 &1 4
PUTNAM VALLEY
Dear .Sir:.
We. represent the above captioned people ;'as .engineers. On
their behalf., we..have prepared the attached Engineering'Site Plan
J,
and. applications or a water".weli and septic system for..•their"
property'•;
Since your property is adjacent to bur clients'. property.we
request that you review the attached plan. If you, have any
questions, concerns or information wh "ich may bear on the Putnam
....County Board_ _ of Health D- epartment.' s revi..ew of this. a.ppl
} please +call Mr'. Hedges -or Mr Morris ,of'the Putnam County Healt}i,
Department at 225-0310.
Very truly yours,
JOHN S ROMEO,. P.C.
JOHN S. ROMEO, P.C.
CONSULTING ENGINEERS AND LAND SURVEYORS -
- NORTHFtIDGE ROAD
. PEEKSKILL, NY 10566
(916) 737 -1056
April 15, 1991`
'Mr and Mrs. Charles Anderson
P.O. Box 612 i
Putnam: Valley, NY :10579 i I
Rez PUT14AM•COUNTY DEPARTMENT OE HEALTH REVIEW
HUGH and JEAN McCANN !,
LAKE-COURT',
TM 52 -8 -3 .& 4
PUTNAM -VALLEY
Dear Sirs
We represent the above captioned. people as engineers. On
their behalf, we have prepared.'the.attached Engineering Site Plan
and applications, for a. water well '.and septic system for their,
Since . your property.is.adjacent . to our clients.' property we
request that you ._review- the .attached .plan... If.you have any
questions,' - concerns or information which may bear. on the Putnam
County Board of Health Department's review'of this application,_
-- - .please cal-1— Mr: Hedges - or ._Mr.,_:Mo.rrts „.6T.: tTie- Pi tna n' -Cou my Health -
�' ” M� Department at 225-0310.-
. Very truly yours,
JOHN S. ROMEO, P.C.
by:
Matthew A..Noviello, P.E.
i
i
I
0.
I
(914) 737 -1056
April 15, 1991
Mr. and Mrs. Nicholasl:Domkin.
4. Spruce Mountain Drive
Putnam Valley, NY 10579.'
i
Re r.- PUTNAM.COUNTY DEPARTMENT OF. HEALTH REVIEW '.
..HUGH "and JEAN McCANN
LAKE.COURT.
TM 52 -8 =3 & 4:.
PUTNAM VALLEY ;
Dear Sir:
i
We. represent the: above :captioned people as engineers. On
their behalf, we. have prepared the attached_ Engineering Site Plan
and applications, for. a water, well and septic system for their
property.
Since your property is. adjacent to our clients' property we
request, that. you review :the att!aLhed plan. If you have any
.,questions, concerns or: informationj 'which may bear on the Putnam
County Board of `Health .Departme.nt'js review of this. application,
please call ..Mr.. dges or, Mr. Morris .of the Putnam, ounty Health -
_... . • : ..:.Dcpar tment�--�at 2.25- �G31t� 4...... _...._ ..!. ... _ .. .._ .... ... _...__.._ ......_...._ .. r .. �_............ .
!
Very truly yours,
JOHN S ROMEO, P`.C.
• I
by:
j Matthew A. Noviello, P.E.
IN
_ CONSULTING E_ NGINEERS AND LAND. SURVEYORS.
1 NORTSRID(iE••AOAD .. .. _ c: - -•- ... ._ ... v
PEEKSKILL, NY 10566
(914) 737 -1056
April 15, 1991
Mr. and'Mrs.'Jame.s H. Gorman
6 Spruce Mountain Drive
Putnam Valley, NY ;10579
Re:,.-PUTNAM COUNTY.DEPARTMENT OF.- HEALTH REVIEW
HUGH and JEAN McCANN
LAKE COURT
TM '52 -'8 -3 & .4
PUTNAM VALLEY
i
`Dear Sir:
We represent the above .captioned people as engineers. On
their behalf, we have prepared the attached Engineering Site Plan
:and applications for a water well and septic, system for their
property.
Since your property.is adjacent to our clients' property we
request that you review, the: attached' plan. If you have any
questions;, concerns or information which may. bear on the Putnam
County Board of Health Department s review of this application,
-_pl. ease - :.cal- 1..,Mr -e- ,~Hedges or •Mr. _Mor- -r- -s of -the-.- Putnam County Health•_
Die partmen. at '225- 0310: i.... -
Very truly yours,
JOHN S. ROMEO, P.C.
by:
Matthew A. Novie-llo, P.E.
5
JOHN S. ROMEO, P.C.
CONSULTING ENGINEERS AND LAND SURVEYORS
.1 NORTHRIME ROAD y
PEEKSKILL, NY 10566
(914) 737 -1056
April 15, 1991
Mr. and Mr:s.. Anthony Torre I
16 Spruce Mountain Drive-
Putnam Valley, 'NY 10579
Re: PUTNAM COUNTY`DEPARTMENT''OF HEALTH REVIEW
HUGH and.JEAN McCANN
..LAKE COURT
TM .52 -8 -3 & 4
PUTNAM VALLEY
Dear. Sir:'i
.We represent the above captioned people as engineers. On
their behalf, we "have prepared the' attached•Engineeririg Site Plan
and applications .for a water well and septic system for their
property.''.j
Since your property is' adjacent to our clients' property we
request.: that you: review the ,.attached plan.,. If you have any
questions,. concerns• or information which ;may bear on the Putnam'
County Board of Health Department's review of -this application,
piease call : Mr. Hedges', or .Mr ,._Morr1 of "the. Putnam County Health
_. .... -Departm-ent '�t'�2-25-0310- __.. _� _ . _ .....
Very truly. yours,
JOHN S.j.ROMEO, P.C.
by:
Matthew A.. Noviello, P.E.
'I
JOHN 'S. ROME®, P.C.
CONSULTING ENGINEERS AND LAND SURVEVOR9
1 NORTHRIDGt ROAD -
i
PEEKSKILL, NY 10566.
(914).737 -1056
April 15, 1991
Mr. and. Mrs Wadyn-'Wontschuk
408 Oscawana Lake Road
Putnam Valley, NY 10579
Re: PUTNAM COUNTY DEPARTMENT OF HEALTH REVIEW
HUGH and JEAN.MeCANN
LAKE COURT'
TM 52 -8 -3 & 4... i
PUTNAM VALLEY
Dear Sir:
Wei* represent the above captioned people 'as engineers. On
their behalf, we have-prepared the attached.Engineering Site Plan
and applications for a water well, and septic system for their
property...
Since your property is adjacent.to our. clients' property-we
request..that you review the attached plan. If you have any
questions, concerns or information' which may bear on the Putnam
County Board of Health Department's 'review,' of this application,_
-._ . p1eac.s.e: :. :cal-? .Mr" •..�i- edges= <or.,Mr.- Morris- of- the - Putnam County Health
Department at 2.25 -0310.
Very truly.yours,
JOHN S. ROMEO, P.C.
by:
Matthew A. Nov.iello, P. E..
. i
JOHN'S. ROMEO, P.G.
CONSULTING ENGINEERS'AND LAND SURVEYORS
1 NORTHRIDGE ROAD
i
PEERSRILL,'NY 1056,6
(914) 737 -1056
i
April 15, 1991
Mr, and Mrs. Horst Walter. i
2 Spruce. Mountain Drive
Putnam Valley, NY, :10'579 ,.
Re: PUTNAM COUNTY DEPARTMENT OF HEALTH'REVIEW
HUGH_ and JEAN McCANN
LAKE COURT I
TM.52 -.8 -3 & 4
.PUTNAM VALLEY
Dear Sir:
We represent the above captioned people as engineers. On
their behalf,-..we have prepared the attached Engineering Site Plan
And. applications for a water well and septic. system for their .
property•.
Since your property is adjacent to our :clients' •,pKpperty We
- - ..:. ._.:.. �re.}ueGt..:_. what- -:y0_U_._• -re ., e�•�_::t e- ._•alta'ched you
question.s, concerns or information 'which may bear on the Putnam
County Board of Health Department's review 'of this application,
please. call Mr. Hedges.or Mr... Morris. of-the Putnam County Health
Department, at 225- 0.3.10.
Very truly yours,
JOHN S. ROMEO, P.C.
by:
Matthew,A. Noviello, P.E.
i
i
I
i •
P 240 508 012 P 240 E08 011
P 240 508 016 P 240 508 014' :P 24,0 509 221
RECEIPT FOR CERTIFIED MAIL RECEIPT FOR CERTIFIED ?MAIL RECEIPT FOR CERTIFIED MAIL RECEIPT FOP. CERTIFIED MAIL RECEIPT,FOR CERTIFIED MAIL
NO INSURANCE COVERAGE I�yIOn NO INSURANCE COVERAGE PROVIDED NO INSURANCE COVERAGE PROVIDED
NO INSURANCE COVERAGE PROVIDED , "-" 14 . I NOT FOR INTEaNATNxiAI MAIL NOT FOR INTERNATTOW "I No INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAN NOT FOR INTDUTATIONAL 1WL1 1 ' NO1 FOR INTERNATIONAL NAIL
(See Reverse) lSee Reverse) 1 (See Reverse) m (See Reverse) e
I ' -, (S9e Reverse)
'� Sent to 7;- Sent w Sent to (1'N to Marvin 0' D e 1 1
Sam to i rsi
M uk r Ste,- N r 1 6:�'I36k- 612 Atli I di 46 1ArP@G%Qr
s Y'6� Mountain Drive S ruce Mountain Drive tr8`WfS'eS..i,Putnam Valley
4 ftta kWana Lake Road { T $ 131DasaataVaroltpegaN NY 10579 $ ( P
s P. ., Sau aM 1 >. tat¢ and I e O
` PiT am aro t } ::
d o d Putnam Valle v Y 1057
Postage 5/ 1. Postage Postage S r 'age S 5 Postage S/
Postage Fee (/, / CmUfiee Fee Y Certified Fee / I Cerbliee FeB
VI/ Caviled Fee
Special Delivery Fee Special Delivery Fee
Specal Delivery Fee Special Delivery Fee : • ! Special Delivery Fee
Restricted Deever Fee
1 Restricted Delivery Fee Y Restricted Delivery Fee Restricted Dehvary Fee
Restrcled Delivery Fee 1 ,
Return Receipt showing Return Receipt showing
Return Receipt Showing Return Recaipl showing a whom and Date Delivered / a .rftorn and Date OeMmed Return end DateoOegbvered
to when and Rafe D¢rvered / //v N w Vrlrom and Date Denvered m n
ro Return Receipts 'w•honn. P,a;um ReceipTelin.in' "w:Rom. 1 0
m Return Rec le m Rmum Receipt to .+!win. Date. and �� Fb Date. aM a very m R¢am Receipt shwn -ry to wtom.
�+ Date. and Addre m m Date. lira Addy ►as�at very
Data. e. of ¢av oo i=
m C
g aQ X 1 ' h 2 m 'PTOosTtmAL a rPk o d .•� ale a I1F+ Q � ) Ii I I > `7•/ , ^.9 > Q TT
TOTAL TOAL Po Pa TOTAL ee5 O O S Po5 or Dal P 6 ,' DateaM'[n'C FQ n e I ' ° n Poson Ppsonark q `
iJJl es
\ ,E
_ io7 i
l
�,.
E 1 • a'
1991
J.
An � $_S v o so �rSPS
.
P 240 508 013 1
P 240 508 017 P 240.508 015 'i
i RECEIPT FOR CERTIFIED MAIL RECEIPT FOR CERTIFIED MAIL p gyp 508 D09 P 240 508 010
RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NO INSURANCE COVERAGE PROVIDED RECEIPT FOR CERTIFIED MAIL RECEIPT FOR CERTIFIED MAIL
NOT FOR INTERNATIONAL NAIL - NO INSURANCE COVERAGE PROVNED
s (See Reverse
NOT FOR INTERNATIONAL NAN NOT FOR INTERNATIONAL "I
NO INSURANCE COVERAGE PROVIDED NOT FOR INTFANATIONAI kilt ' ! NO INSURANCE COVERAGE PROVIDED
MOT FOR INTFIWATIONAI N/Vl - (See Reverse) 4 1 ) (See Reverse) '
• Sem to +� w . (See Reverse)
Sam (See Reverse) j
y
Sam toa t - E Mt and Mrs T DC $er11a ' smv to
7f 9j1i`Lelb Mountain Drive `duce Mountain Dr'vei U Wifi�aoMountain, Inc. - an
Street aM No. - i ^ I .
i rA' ., fate and E P.O.. Sale and ZIP Cade 79 , �q g ^ Q9anvi l le Court
d ® fl0.. prlereElC] dad
2d ruce Mountain Drive o Page `5 g s ate an
Pry Place Valley, NY OS 9 : �; % Postage anon, a
Postage S
Caddied Fee Certified Fee + Z/ l
Certified Fee • �
Certified Fee I { i Certi iod Fee
SpeCat Oeavery Fes Specal Delivery Fee
Special Delivery Fee Special DetiverV'Fee
Special Delivery Fee ` - I
ry Restricted Delvery fee I Restrcted Dekver F
Restricted Dative Fee . .
Restricted Delivery Fee Y ee
Return Recceipl showing I Restricted DeW9ry Fee
Ream Receipt a whom and Dafe Delivered i Return Receipt Sttowrg r
Return RaC'eiptytpi
Realm ReCeW1 showug ro whwm and -D er _ N to whom and Date Dewmed '^9
To wttorn ==wed De wed Return m Return o to wh m and ogle Delivered
N to Date. ve m Return Receipt to whwm. I of
• Return R¢celW.stww" to whom. p y Date. and Ado ekvery ' eipl; to who
Date. and s of 4Le r-3a ro Return Rec
Date, and Address erY I g TOTAL and 'F ' 70TH i Oaa. and vary
', �+ TOTAL
TOTAL P e!s _ • 1' ; F ` pf - I� a eM F TOTAL a aM Fads J
Posen 07 \ ! E Dar ' s y, iogj /
/l LL `.
to N —M1 LL \`
n LISPS n S j;
- i
} I
1 :1
i '