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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 . 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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 '