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03049
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: , PUTNAM CO
v RR 3/86 Dlvlelon of Eavlronn
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CONSTRUCTION PE FOR SEWAGE - DISPOSAL SYSTEM
Iota at WE , o
subdlvleion Name ' 5nbd :Lot'
w - Owner /Appilcant Name n"
L
MaWng:Addrese
vl
L
r,
�- .Number of Bedrooms � Do Flow
w
t Sepairate Sewerage Syste to con st of
cons by'' L .o ` IN
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Water Sappb `b11c,Sap y Flom L 'f
+= orsPrlvtite.S
pi DriB by" 6e
t a
` Other R i6emente Rro
R+ , _q
Ito 1„represent that'llAam wholly antl completely.Yresponsible for. the_c
above , esenbeC will tie constructed as shown on the approved am
` County Department of :Health ;and thaGon completion thereof
r, be wbmatted to tl a Department, and a Svritten guarantee -.wil
+ Place 'in`good'operating;:condition any p5rt of saad'sewageatl
;i \.t`ance of the,'approyal oi',tKo Qertdicate;ot Construction Comj
will be jj ca .as shownon the approved plan and that said well>v
L County D'eep1artment of Health
a x f l,/ 12_117 1 ;
Date
—r, ,
`APPROVED FOR CONSTRUCT
IevOcablB for cause Or mays be.'ar
� U w y
reQUes a ne,permd App4
�.; noway
0 5 rt� q
T Town t
rt ¢
• 1
Address" -
Addeess '
51? Engineer to Provide Permit #
t on TIFICATE OF COMPLIANCE ' f
❑ - ` � Revision ❑
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zlp'_12 S D
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n Only Depth Volttme':
RNotl6catl on, ' ` egdr'ed;Whon FIR is completed
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el CIMAs) 1) diet the separate,.sewage disposal' ^system " •,�
th3hastandards, "rules an ;cegUa ionso a :,,u,nam
lance" satisfactory 401 the Commissioner' of,Hialthwill
s heirs or assigns by the builder; thab,said buitder'.will
ro (2►,'yeais immediately'follow,ing thedate of the issu
vepa wt ►eto;�2) thatjthe�dNled °well .desertbed,atiovo'v ,2.e- d °A {t�
e nd d ,rules and regu a ions of the Putnam
r
PE RA
u
License \NO '
structionvof„the Duildin has. been untlertaken: and is
of. Flealth ". 'Any change or alte/etion`of _constrlictlon 7
DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CENTER - CARMEL, N.Y; 10512 (914) 225 -3641
APPLICATION TO CONSTRUCT A WATER WELL
PCHD PERMIT 4
WELL LOCATION
Street Address
\Q M0014
Town Village City Tax
MOO VAui�Y 3.1 -1
Grid -Number
.- 11,13
WELL OWNER
Name
D_ Co urm�
Mailing Address
A 1`1at _ �earA,. a `�- 123015
gPrtvate
O Public
USE OF WELL
1 - primary
2 - secondary
EhIfS'IDENTIAL
13 BUSINESS
® INDUSTRIAL
O PUBLIC SUPPLY (D AIR /COND /HEAT PUMP
0 FARM p TEST /OBSERVATION
O INSTITUTIONAL O STAND -BY
1.
13 ABANDONED
❑ OTHER (specify
AMOUNT OF USE
YIELD SOUGHT
gpm /# PEOPLE SERVED 3 /EST. OF DAILY USAGE Soo gal
REASON FOR
DRILLING
UNEW SUPPLY []PROVIDE ADDITIONAL SUPPLY
OREPLACE EXISTING SUPPLY '0 DEEPEN EXISTING WELL
®TEST /OBSERVATION
DETAILED
REASON FOR
DRILLING.
WELL TYPE
DRILLED
®DRIVEN
®DUG
®GRAVEL
OTHER
IS WELL SITE SUBJECT,'TO FLOODING?
YES �0
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: j/4KC 0 SCA R "ST NO E
Lot No. 135- 131
WATER WELL CONTRACTOR: Name Address:
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE.: YES NO
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
DISTANCE TO PROPERTY FROM NEAREST WATER MAIN;
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
ON REAR OF THIS APPLICATION N SE S ET
.t
(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: 19
Permit is Non - Transferrable
2/87
Permit Issuing Official
White copy: H.D. File
Yellow copy: Building Inspector
Pink Copy: Owner
Orange copy: Well Driller
• •' • i• •; ID 5 V •1 . W, I �• My.
.. - .......: ,..-. ,... _ _
0.0 kTA . SAL,,, ... _ TEK
...._ ..: •- , . - x . , . . 4.
Owner. Address .N1,� \et.
Located at (Street) '�-o.,��, ��, c �• Osca�a„�� 31 Block 1 Lot ,1
(indicate nearest cross street)
Municipality Watershed..
SOIL PERCOLATION TEST DATA RDwiRED TO BE SUEiMITTED WITii APPLicATIoNS
Date of Pre- Soaking G 2 81 Date of Percolation Test d29 7
HOLE
NUMBER C= PERCOLATION
PERCOLATION.
Run Elapse Depth to Water Fran
Water Level
No. Time Ground Surface
In Inches Soil Rate
Start -Stop Min. Start Stop
Drop In Min /In Drop
Inches Inches
-Inches
1 1 30 2y
1 2 30 24 ISIS 1.15 17.1
1 3 2't `25.5 15 20.0
1 4 30 14 25 -5 1.5 20.0
5
�. 3 30 14.5 26.125 I.�tS )S.S
9- 4 30 2y.S 2G.iZS 1.625 IS. S
5
1
2
3
4
5
NOTES: 1. Tests to be repeated at same depth until approximately equal soil rates
are cbtained.at each percolation test hole. All data to'be submittlod
for review.
2. Depth measurements to be made fran top of hole.
rev. 9/85
2115
2.zS
X3,3
1-
2
30.
0
�. 3 30 14.5 26.125 I.�tS )S.S
9- 4 30 2y.S 2G.iZS 1.625 IS. S
5
1
2
3
4
5
NOTES: 1. Tests to be repeated at same depth until approximately equal soil rates
are cbtained.at each percolation test hole. All data to'be submittlod
for review.
2. Depth measurements to be made fran top of hole.
rev. 9/85
0I• '.I
G.L.
i 2°
3°
4°
5°
6°
%°.
8°
90
11°
12°
13'
14°
TEST PIT DATA RDQUIRED TO BE SUBMITTED WITH APPLICATION
D�SC22IPTION OF SOILS
ENOOUNTERED IRT TEST HOD'S
HOLE N0. I HOLE NO. 2
HOLE M. 3
IlVDICATE LEVEL, AT WHICH GRUAMATER IS R OOUNTERED �
INDICATE LEVEL TO waICH WATER LEVEL RISES AFTER BEING ENOpUNTEREp
DEEP HOLE OBSERVATIONS MADE BY: F_ -z,z
DATE: g7
Soil Rate Used ( 6- Z, Min /1" Drop: �1� 2
p= S.D. Usable Area Provided
No. of Bedrocros Septic Tank Capacity Too .
gals . Type
Absorption Area Provided By ►l6 L.F. x
Other n,
Name rCe.�eR:CUI � - z�tnZ stir C
Signature
Address 7.1-z -z a a St - SEAL
THIS SPACE FUR USE BY HEALTH DEP NO. 43136
� ONLY:
Soil Rate 60 "ROFESS10"O'
. Approved sq,ft /gal, Checked by
________ Date
PUTNAM COUNTY DEPARTMENT OF HEALTH
:_,... ...,,r.� . _- _._ _ ..,.:.T=-- rDIVIS201�' �OF "EI�`ITyRONI►�NTAI; HE�ILTH'�SERiirC'ESF ,••� +1 to nr . .rte _.�.2cv...,:,..�,4.:j:.
Date ig$7
Res Property of (i, Co�
Located at W��o
(T) P V X Section Block I Lot �2 >3.
Subdivision'of Uk 05CAJAIM t'��ST /t)o
'Subdv. Lot .# iled Map ' # Date
�3�1►
.Gentlemen•
This letter is to authorize FA Zf-'
a duly licensed professional engineer .-tor registered architect
(Indicate
to apply for a Construction Permit for a separate sewage system,, to
serve the above noted pr*p -6-rty 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
connection with this matter and- to' - supery se" the construction -off .said
system or systems in conformity with the provisions of Article 145 br
147, Education Law, the Public Health Law, and the Putnam County Sani-
tary Code.
Very truly yours,
Signed
Countersigned: Owner 6f Property
P. E. , IMMP , #
Address
1250
Address Town
�c`5o.,�e�t�e N�_ IoS)L Z�►S- 1D3�
Telephone
Z9S -VoIs
Telephone
PETER C. ALEXANDERSON
County Executive
June 28, 1988
DEPARTMENT OF HEALTH
Division Of Environmental . Health Services
ENID . L.^ CARRUTH, M.P,H.
..�. r Public Health Director
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
Mr. De Colter
Wenonah Road.
Putnam Valley, New York 10579
RE: Colter
TM 131 -4 -8
Wenonah Road
(T) Putnam Valley
Dear Mr. Colter:
JOHN SIMMONS, M.D.
Deputy Commissioner
JOHN KARELL Jr., P.E.
Director
Review of plans and other materials relative to a
construction permit for the above captioned property has been
completed by the Department.
Based upon such review, and pursuant to the provisions of
Article III of the Putnam County Sanitary Code and Part 75 of
the State.of New York Official Compilation of Codes, Rules
and Regulations, you are hereby advised that the proposed
_.: _ „method.pr.oyiding water _supply_ and sewage.., disposal are..:_
donsidered inadequate`as set forth_lielow, therefore; 'approval`
of these plans cannot be granted.
The proposed well is located 160 feet from an existing sewage
disposal system on the GENCO property. Two hundred feet is
required since this sewage disposal system is considered to
be above and in a direct line of drainage to the proposed
well.
Returned herewith, please find one copy of the sewage system
plane If you have any questions, please call me at Ext. 304.
V ry r / �r y yo� s ,
//
Mector, Karl l , J e , e E
Environmental Health Services
JK:pt
cc:JK
Fa Zenz
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
November 24, 1987
Fred Zenz
292 Main Street
Nelsonville, New York 10516
Re: Proposed SSDS Colter
Wenonah Rd
(T) Putnam valley
TM #31 -11 -11,13
Dear Mr. Zenz:
JOHN SIMMONS. M.D.
Deputy Commissioner
JOHN 6RELL, 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) Field inspection of the above - captioned lot was conducted
on November 16, 1987. At that time deep test holes were
not at the depth indicated on the design data sheet.
Deep test holes were.,recorded at 4' 3,'.,. and .5' .
2) Additional deep_ test holes required,d.ue to ledge /large rock
on property.
3) It appears proposed well location is in direct line of drain-
age to the SSDS on D'Antuono and other residences on Cold Spring
Road. In order to make a field determination,proposed well lo-
cation is.to be'staked.
4) Contour lines to be shown on entire parcel.
Upon receipt of a submission, revised to reflect the above comments,
this application will be considered further.
v y truly yours,
Robert Morris
Senior Environmental Hlth Technician
RM:jt
PUTNAM C• E• R5is ' OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH a+• .
INDIVIDUAL MM SUPPLY « a n h DISPOSAL SYSTEM
REVIEW SHEET - CONSTRUCTION PERMIT
(Name of Owner) (Street Location).-
DOCUMENTS
Permit Application
Corporate Resolution
Plans - Three sets
Engineers Authorization
Design Data Sheet (DDS)
Deep Hole Log
Consistent Perc Results (3)
30" Perc Hole
Other
House Plans - Two sets
If PWS - Letter
Variance Request
REQUIRED DETAILS ON PLANS
Sewage System Plan
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
Design Data
Two -Foot Contours Existing & Proposed
Driveway & Slopes Cut
Footing /Gutter Curtain Drains
Perc & Deep Holes Located
Representative of Sewage & Expansion Area
Expan sion Area; shown; gran ty_,f1 ' , suff ...size . ..
` If Pumped "Pit-rD Box ShdWn ' &' Detailed
House - No. of Bedroans
Wells & SSDS's w /in 200 ft. of Property Located
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
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 ,Stomn,Leader,Footing
25' to Catch Basin
10' to Water Line (pits -201)
Septic Tanks
10' from Foundation
50' to Well
15'. Well to PL
GENERAL
Legal Subdivision
Subdivision Approval Checked
Ex- approval SSDS Adj. Lots Checked
Wetland (Town/DEC Permit R & D)
Data On DDS Plans & Permit Same