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PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM
PERMIT # R ° .9 ° ® 0 fi
�-00
Located at C, .QLn SUM & PDNb I Town or Village
&C;A,vr*NA LA -G 31-'%,- >e,46 -53, plo 59
Subdivision name FgpY WTS Subd. Lot # _ Tax Map 62,1S" Block _I Lot 32z
Date Subdivision Approved AUC;TO>Y 11, 1 9`05 Renewal Revision
Owner /Applicant Name �pB MT (-ELd MiCkILE (Yft-1, J Date of Previous Approval
Mailing Address C Q0)gPN W&- (Z.U( i 1) .�� ` <(�i � N y Zip 105-7
Amount of Fee Enclose P2 +,y1 Q, S 0 S U B M Ii "f [✓ 6
Building Type Q ESI� �(,� Lot Area (n,2AC. No. of Bedrooms Design Flow GPD t0U
Fill Section Only )< Depth 21-(D" Volume ) h , C.
PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED
Separate Sewerage System to consist of i , QID Q gallon septic tank and -yY' LEM
yW bF, - rQDJ(0RS .SPALEb N-1 UFT, D- C
Other Requirements: 1,LQC) C-74L Fb Mp pi -I ; AUhlb jV l,SUA &161-Lms 1 N �IAS AIEM-r
To be constructed by Wocb 0 D, QQS 4 SC)I\,)S Address C,OC.I) SP lip} (r �j
Water Supply: Public Supply From
Address
vate Supply Drilled' by EX i S T l j . Address
I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the
separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in
accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion
thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the
Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said
builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years
immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original
system or any repairs thereto.
Signed:
Address
R.A. Date o� U
License # C) Cn 2 zX) S
APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the
sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or
modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires
a new permit. Approv ,d_f disc of domestic sanitary sewage only.
Bye/ Title: Date:
White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Pr fessi nal
Form CP -97
,
PUTN,AiJ COLTI'ITY DEP-1 .ThlENT OF HE,AtTif _.._.
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If OUSE PLANS S fl-J1p-, 3 :i ,' E.D P, It 15 r E i 0
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SIGAVATUIRE & i'1 'L - DATE
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BADEY & WATSON LETTER of TRANSMITTAL
Surveying & Engineering, AC.
3063 Route 9, 'Coliiy S nn , New 'Yor A 6516
P g� Date: 07 Nov 2000
' ` r
(845)265-.9217 (845) 628 -1800 (914) 739 -3577 File No. 83 -103B
FAX (845) 265 -4428
W. 0. # 13598
RE: Proposed SSTS
Kelly
TO: Park Way / Cold Spring Road
Adam Stiebeling Oscawana Lake Front Lots
Subd. Lot No. (many)
Putnam County Department of Health Tax Map 62.25 -1 -32
Permit #
1 Geneva Road
Brewster, NY 10509 Sent via: US MAIL
❑ UPS -NIGHT
MESSENGER
❑ UPS -2 DAY ❑
PICK -UP
❑ UPS -3 DAY ❑
FAX
❑ UPS -GROUN ❑
UPS -COD ❑
We are sending: .
copies date description of document
1 03- Nov -00 I Construction Permit for Sewage Treatment System
❑
E 07- Nov -00 Letter of Authorization
F1 03- Nov -00 I A ion for A roval of Plans for a Wastewater Treatment System
❑1 03- Nov -00 JShort Environmental Assessment Form
02 03- Oct -00 -1 IDesig n Data Sheet
03 03- Nov -00 ISeparate Sewage Treatment System Fill Plan Sheet 1 of 2
❑ 03- Nov -00 ISeparate Sewage Treatment System Sheet 2 of 2
❑1 03- Nov -00 Pum p data & info
1 03- Nov -00 I IFloor Plans
❑
F-01 lApplication Fee (PREVIOUSLY SUBMITTED
REMARKS:
APPLICATION FEE WAS PAID WITH INITIAL SUBMISSION TO PCDH OF FLOOR PLANS FOR PROPOSED ADDITION
Signed: John P. Delano, P.E.
Copies to: File
4291
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
LET'T'ER DE AUTHORIZATION
RE: Property of Robert Kelly & Michelle Matson
Located at Cold Spring Road
T/V Putnam Valley Tax Map # 62.25 Block 1 Lot 32
Subdivision of ®scawana Lake ]Front Lots
31 -349 389 46 -46
Subdivision Lot # pro 54 Filed Map # 34-HD Date Filed August 17, 1905
Gentlemen:
This letter is to authorize John F. Delano, P.E.
a duly licensed Professional Engineer X or Registered Architect _ to apply for the required
wastewater treatment andlor water supply permit(s) to serve the above -noted property in accordance
with the standards, rules or regulations as promulgated by the Public H ealth Director of the Putnam
County H ealth Department, and to sign all necessary papers on my behalf in connection with this
matter and to supervise the construction of said wastewater treatment and/or water supply systems
m conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public H ealth
Law, and the Putnam County Sanitary Code.
Countersigned:
P.E.,,'l`# I CIE 062505
Mailing Address Badey & Watson, P.C.
3063 Route 9, Cold Spring
State New `Mork Zip
10516
Telephone: (845) 265 -9217
Very truly yours,
Signed:
(Owner of Property)
Mailing Address: . 59 Cold Spring Road
State
New York
]Putnam Valley
Zip
Telephone: (845)526 -2781
10579
Form LA -97
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
�. :., , _.,.. . r • TYr ._.. .. • , ' APPL- 1C *7- 10N-F0R APPROVAt-0F PLANS -FOR' _.. � {• -., .... .
A WASTEWATER TREATMENT SYSTEM
1. Name.and address of applicant: Robert Kelly & Michelle Matson
59 Cold Spring Road
Putnam Valley; NY 10579.
2. Name of project: Kelly
4. Design Professional: John P. Delano, P.E.
6. Drainage Basin: Oscawana Lake
3. LocationT /V:' Putnam Valley.
5. Address: Badey & Watson; P.C.
RL9 Cold Spring, NY 10516
7. Type of Proiect:
X Private/Residential Food Service Commercial
Apartments Institutional Mobile Home Park
Office Building Realty Subdivision. Other (specify)
8. Is this project subject to State Environmental Quality Review (SEAR)?
Type Status'(check one) .........................: Type I Exempt
Type II' Unlisted
9. Is a Draft Environmental Impact Statement (DEIS) required? ............................. . No
10. Has DEIS been completed and found acceptable by Lead Agency? .................... N/A
11. Name of Lead Agency P.C.D.H..
12. Is. this project in an area under the control -of local, planning, zoning, or other
`officials, or dinances ? ....................... .°............................................................. '. �............Ye's .. � -.....
13. If so, have plans been submitted to such authorities? .....................................................
No
14. Has preliminary approval been granted by such authorities? N/A Date granted: N/A
15. Type of Sewage Treatment System Discharge .........:.. ....... surface water X groundwater
16.'If surface water discharge, what is the stream class designation? ......................... N/A
17. Waters index number (surface) --------------------------------------- - - - - -- ---------------------------------------
N/A
18. Is project located near a public water supply system ?. ................ No
.19.* If yes, name of water supply N/A Distance to water. supply N/A
20. Is project site near a public sewage collection or treatment system?
. No
21. Name of sewage system N/A' Distance to sewage system N/A
g. Stiebeling
.22. Date test holes observed 08/22/00 23., Name of Health Inspector P.C.D.H.
24. Project design flow (gallons per ay ) ....................................... ----------- - - - - -- ------=--- - - - - -- 600
25. Is State Pollutant Discharge Elimination System (SPDES) Permit required?... No
26. Has SPDES Application been submitted to local DEC office? No
Form PC -97
27. Is any .portion of this project located within a.designated Town or State wetland? No
28. Wetlands ID Number N/A
_. _
_..: 29: Is Wetlands Permit requued? -------- - - - - -- No
Has application been made to Town or Local DEC office? --------------------------- __
30. Does project require a DEC Stream Disturbance Permit? :..... :. ............:.:..........:... No
31. Is or was project. site used for agricultural activity involving application of
pesticides to orchards or other crops, solid or hazardous waste disposal,
landfillirig, sludge application or industrial activity? ..:............................ Yes/No No
32. Is project located within 1,000 feet of existing or abandoned landfill,
hazardous waste site, salt stockpile, landfill, sludge disposal site or any
other potentially known source of contamination? ___ __ _________________ _____ __ _ _ _ __ Yes/No No
DESCRIBE:
33. Is there a local master plan on file with the Town or Village? ---------------------------------
34. Are community water and/or sewer facilities planned to be developed within
1`5 years in or adjacent to project site ?------------- - ----- ___
Yes f
kn
35. Are any sewage treatment areas in excess of 15% slope? ______ ___________
....... _............
No
36. Tax Map ID Number ------------------------------------------ Map 62.25 Block g Lot '32
37. Approved plans are to be returned to
Applicant X Design Professional
NOTE: All applications for review and approval of a new SETS to be located within the.NYC Watershed shall
— -- ..- 'be�sent -to- the- Depai-ftnen, and need-.not- be-sent ire duplicate to the-DEP; although the project May-require DEP
approval of the SSTS prior to f nal approval by the Department. Projects within the watershed may also
require DEP review and approval of other aspects of a project, such as stormwater plans or the creation of
impervious surfaces, and the project applicant. should obtain the appropriate forms for such activities from
DEP and submit those forms to DEP for review and approval.
If the application is signed by a person other than the applicant shown in Item l.,the application must
be accompanied- by a Letter of Authorization (Form LA -97). Failure to comply with this provision
maybe grounds for the rejection of any submission.
I hereby.affirm, under penalty of perjury, that information provided on this form is true
to the best of my knowledge'and belief. False statements made herein are punishable as
a Class A misdemeanor pursuant to Section 210.45 of the Renal Law.
SIGNATURES & OFFICIAL TITLES:
Badey Watson, P.C.
Mailing Address- ------------------------------ 3063 Route 9 --- - - - - -� -
Cold Spiring, NY-10516
14164(11/9�-- 7W 12
.PROJECT I.D. NUMBER .617.20 SEQR
Appendix C
State. Environmental Quality Review
'SN0`k'%ENV'R0N'II B4 rA
For UNLISTED ACTIONS Only
PART I— PROJECT INFORMATION (To be completed by Applicant or Project sponsor)
1.. APPLICANT I SPONSOR
2.' PROJECT NAME
Robert Kelly & Michelle Matson
Kelly.
3. PROJECT LOCATION:.
Municipality Putnam Valley . County Putnam
4.•PRBCISELOCATION (Street address and road intersections, prominent landmarks, etc., or provide map)
. Cold Spring Road
(see map provided)
S. IS PROPOSED ACTION:
®New ❑Bc ansion ❑ Modification/ alteration
6. DESCRIBE PROJECT BRIEFLY:
New residence,SSTS and well
7. AMOUNT OF LAND AFFECTED:
Initially. <5 acres Ultimately < acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING'OR OTHER EXISTING LAND USE RESTRICTIONS?
®Yes ❑No If No, describe briefly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
® Residential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Park/ Forest/ Open space [].Other
Describe:
Single Family Homes on 1/2 Acre.lots
- -14, 9 0M,ACT40N INW,:VEA•PEMIT- RPPMV i, OR-FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL,
STATE OR LOCAL)?
®Yes ❑ No Ifyes, list agency(s) and permit/ approvals
T/O Putnam Valley: building & driveway permits
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
❑Yes N No If yes, list. agency name and permit/ approval
12. AS A RESULT OF PROPOSED ACTION WILL-BaSTING PERMIT/ APPROVAL REQUIRE MODIFICATION?
[]Yes X No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant/ sponsor name: John P. Delano - :E. Engineer for Applicant Date: 11/03/00
Sgnature:
If the action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
am
PART II EMARONN ENTAL ASSESSIVENT (To be completed by Agency)
A. DOES ACTION EXCEL ANY TYPE I THRESHOLD IN 6 NYCRR PART 617.4? If yes, coordinate the review process and use the FULL EAR
❑ Yes ❑ No
a- WULACTION RECEIVE COORDINATED REVIBNAS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6 ?? If No, a negative.dedaration
may be superseded by another involved agency. .
❑ Yes ❑ No
C. COULD ACTION. RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, If legiblej
61.. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal,
potential for erosion, drainage or flooding problems? &plain briefly:
C2. Aesthetic agricultural, archaeological historic, or other natural or cultural, resources:.or community or neighborhood character? Explain brief)
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
04. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain brief
C5. Growth, subsequent development, or related activities likely to be Induced by the proposed action? Explain briefly.
06. Long term, short term, cumulative, or other effects not Identified in Cl- 05? &plain briefly.
C7. Other impacts (Including changes in use of either quantity or type of energy)? Explain briefly.
D. WILL THE PRO.ECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA?
❑Yes No
E IS THERE, OR IS THERE LIKELY TO EF, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
❑Yes ED No If Yes, explain briefly
PART III DEfERmNATioN OF SIGNIFICANCE (To be completed by Agency)
wrR.l oNS For each adverse effect identified above, .deternune.whether it is substantial, large, important or otherwise significant.
Each effect should be assessed in connection with its (a) setting (I.e. urban or rural); (b) probability of occurring; (c) duration; (d)
irreversibility; (e) geographic scope; and (f) magnitude. if neoessary, add attachments or reference supporting materials. Ensure that
explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If
question D of Part II was checked yes, the determination and significance must evaluate the potential impact of the proposed action
on the environmental characteristics of the CE4.
❑ Check this box if you have identified one or. more potentially large or significant adverse impacts which IVAY
occur. Then proceed directly to the Fldl EAF and/ or prepare a positive declaration.
❑ Check this box if you have determined, based on the information and analysis above and any supporting
documentation, that the proposed action WLLNOTresult in any significant adverse environmental impacts
*D provide on attachments as necessary, the reasons supporting fhis determination:
Name of Lead Agency
Rini or Type Name of fbsponslble Officer in Lead Agency Tile of Responsible Officer
Signature of Responsible Officer In Lead Agency Signature of F7eparer Of different from responsible officer)
Date
2
PUTNAM. COUNTY DEPARTMENT. OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
�` DESIGN - DATA`SHEET - Rd-ARE. SEWAGE TREATMENT SYSTEM
59 Cold Spring Road
Owner Robert Kelly & NchelleVatson Address Putnam Valley, NY 10579
Located at (Street) Cold Suring Rd Tax Map.. 62.25 Block Ol Lot 32'
(indicate nearest.cross street)
.Municipality Putnam valley Drainage .Basin Oscawana Lake
SOIL PERCOLATION TEST DATA
Date of Pre- soaking 10 /02 /00 Date of Percolation Test 10/03/00
Hole No.
Run No.
Time
Start - Stop
Elapse Time
(Min.)
Depth to Water
From Ground
Surface (Inches)
Start - Stop
Water
' Level
Drop In
Inches
Percolation
Rate
Min/Inch .
A
1
2:14 - 2:38.
24
19 - 22
3
8
A
2
2:41 - 3:07
26
19 - 22
3
9.
A
3'
3:10 - 3:40
30
19 - 22
3
10
4
-
-
5
-
-
D
1
2:39 - 2:42
3
19 - 22
3
1
.2�:.
- -2:43_- -7 --2:47
.. .4 ..
49 . _.-. 22_
. -.._ V3.._- ,
D
3
2:48 2:53.
5
19 - 22
3
2
D
4
2:53 2:58
5
19 - 22
3
2
5
-
-
1
-
-
2
-
-
3
-
-
4
5
NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each
percolation test hole. ,(i.e. < 1 min for 1 -30 min/inch, < 2 min for 31 -60 min/inch) All data to be
submitted for review.
2. Depth measurements to be made from top of hole.
Form DD-97
TEST PIT DATA
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
_DEP 6EH�..K,:
G.L. \
0.5'
Lo,
2.0'
2.5'
3.0'
3.51
4.0'
4.5'
5.0'
5.5'
6.0'
6.5'
7.0'
7.5'
8.0'
8.5'
9:0'
9.5':_
10.0'
Indicate level at which groundwater is encountered not encountered
Indicate level at which mottling is observed not observed
Indicate level to which water level rises after being encountered N/A
Deep hole observations made by: J. Delano, P.E., Badey & Watson, P.C. Date 08/22/00
witnessed by A. Stiebeling P.C.D.H.
Design Professional Name: John P. Delano. P.E.
Address: Badey & Watson, P.C.
3063 ]route 9, Cold Spring, N 10516 Q vf�a`` � t'''`
INA
TM %`rL:'�Y ^1y
Signature:
Design Professional's Seal
2
• cm,
h l
Indicate level at which groundwater is encountered not encountered
Indicate level at which mottling is observed not observed
Indicate level to which water level rises after being encountered N/A
Deep hole observations made by: J. Delano, P.E., Badey & Watson, P.C. Date 08/22/00
witnessed by A. Stiebeling P.C.D.H.
Design Professional Name: John P. Delano. P.E.
Address: Badey & Watson, P.C.
3063 ]route 9, Cold Spring, N 10516 Q vf�a`` � t'''`
INA
TM %`rL:'�Y ^1y
Signature:
Design Professional's Seal
2
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM
59. Cold Spring Road
Owner Robert Kelly & Michelle Matson Address Putnam Valley, NY 40579
Located at (Street) Cold Spring Rd Tax Map 62.25 Block of Lot
(indicate nearest cross street)
Municipality. Putnam Valley Drainage Basin Oscawana Lake
SOIL PERCOLATION TEST DATA
Date of Pre- soaking 10 /02 /00 Date of Percolation Test 10 /oxoo
32
Hole No.
Run No.
Time
Start - Stop
Elapse Time
(Min.)
Depth to Water
From Ground
Surface (Inches)
Start - Stop
Water
Level
Drop In
Inches
Percolation
Rate
Min/Inch
B
1
2:16 - 2:32
16
19 - 22
3
5
B
2
2:32 - 2:55
23
19 - 22
3
8
B
3
2:56 - 3:22
26
19 - 22
3
9'
B
4
3:23 3:49
26
19 - 22
3
9
5
-
-
C
1
2:19 - 2:25
6
19 - 22
3
2'
.-._2:26b.._ 2:37.:
..._.,_1.1. __ .
.__.1:9 ..
C
3
2:42 2:54
12
19 - 22
3
4'
C.
4
2:55 3:07
12
19 _ 22
3
4
5
-
-
1
-
-
2
-
-
3
-
-
4
-
-
5
-
-
NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each
percolation test hole. (i.e. < 1 min for 1 -30 min/inch, < 2 min for 31 -60 min/inch) All data to be
submitted for review.
2. Depth measurements to be made from top of hole.
Form DD-97
TEST PIS' DATA
DESCRIPTION ®F. SOILS ENCOUNTERED IN TEST DOLES
2
Indicate level at which groundwater is encountered not encountered
Indicate level at which mottling is observed not observed
Indicate level to which water level rises after being encountered N/A
Deep hole observations made by: J. Delano, P.L., ]Barley & Watson, P.C. Date 08/22/00
witnessed by A. Stiebeling P.C.dD.H.
Design Professional Name: John P. Delano. P.L.
Address: Badey & Watson, P.C.
3063 Route 9, Cold Spring, NY 10516
f 111-1
Signature:
h&pl-
U
Design Professional's Seal
.-HOLE-NO ' .
G.L. Topsoil
Topsoil
Topsoil
0.5' Sandy Loam
Sandy Loam
Sandy Loam
1.0' V
V
V
1.5 V
V
V
2.0' V
V
V
2.5' V
V
V
3.0' V
V
V
3.5' V
V
V
4.0' V
V
V
4.5' V
V
V
5.0' V
V
5.5'
6.0'
6.5'
7.0'
7.5'
8.0'
8.5'
9.0'
10.0'
Indicate level at which groundwater is encountered not encountered
Indicate level at which mottling is observed not observed
Indicate level to which water level rises after being encountered N/A
Deep hole observations made by: J. Delano, P.L., ]Barley & Watson, P.C. Date 08/22/00
witnessed by A. Stiebeling P.C.dD.H.
Design Professional Name: John P. Delano. P.L.
Address: Badey & Watson, P.C.
3063 Route 9, Cold Spring, NY 10516
f 111-1
Signature:
h&pl-
U
Design Professional's Seal
mro
t.
j�17T
-Ala- \IE'lli
5212-
.
2.:3
f
PARTS'
Item No.
Description
1
Impeller
2
Casing
3
Mechanical seal
4
Shaft
5
Motor
6
Bearings - upper and
lower
7
Power cable
8
O-ring
MODELS
7
5
8
1
2
RATINELS (gallons per minute J.,`._
WE00512H WE0712H WE1012H WN 0
WE0311 L 115 9.4 W - 1
WE 538H WE0738H WE1038H
WE0312L 230 4.7 0311M WED532H WE0732H WE1032H
1/3 1750 WE0311L WE 10,11
WE0311M 115 9.4 WE031 - 2L WE0312M WE0534H WE0734H WEI 034H . . . . . . . . . . . . . . . . KI k, !" MM
1/3
_i3_0 % Y2 Y4 1
WE0312M 4.7
_C
------ - �Akjg"47 175
WE0511 H 115 13.0 -1. 17 0 1750 3500 3500 3500
WE0512H 230 6.5
WE0538H 200 3.9 80 65
WE0532H. 230 3 3.4 `;.. x 60 57 69 90 104
36 45 60 83 98
WE0534H _�6_0 1.7
1/2 - 60 V 25 50 76 92
WE051 1 HH 115 13.0
_T3_0 6.5 38 67 86
WE0512HH
WE0538HH 200 3.8
15 47 70.
A 0
WE0532HH 230 3 3.3 VI 26 58 78
E
WE0534HH _46 4 36 62 _0 1.65 IT
� 17 42
R-
WE0712H 230 1 10.0 25 52
WE0738H 200 6.2
M
%
4A. 9M,
WE0739H 208-230 3 5.4 8 32 21
WE0734H 460 2.7 3500
�4WE1012H 230 1 .12.5
WE1038H 1 200 .8.1
WE1032H 208-230 3 7.0
WE! 034W '460. - - -
v.
WE1512H 230 1 y 15.0
V A MM
WE1538H 200 10.6
WE1 532H 208-230 3 9.2
WE1534H 460 4.6 '4
1 80,-
SIONS "4n
WE1512HH 230 1 15.0
Ov.
WE1 538HH 200 10.6
(Ali dli6iensions are in inches. Do not use for construttlofiiii6ils,,k
WE1532HH 208-230 3 9.2 % and 1 HP = 15'
WE1534HH 460 4.6
exceptjpr model WE0712H and WE1012H = 18';1'/ HP:. =48p
METERS FEET
120 1 1 1 1 1 1 1 1 1 1 MODEL: 3885
35 SIZE: 3/4' SOLIDS
110 W 121/2'
XIGHW\j I I
30 100-
ni
90 - - - -
ROTATION l.
D.
so
70
20 -
60
50
15
KICK-BACK
40
30
20
10
0 0
0 10 20 30 40 50 80 70 80 90 10
I L
0 10 20
CAPACITY
WATER TECHNQ40QIW§, GROUP
SENECA FAU-% NEV •ytyriK 13148
7 EJECTOR SYSTEM
ctor system
of ordering
t1ofl. A single
mber specifies
system designed
;Idential and
.sump and
ip, applications.
WITHOV!
...... .- , . d
Z
'j.6001 DS
MODEL
e
morn
na a r
t 3 a
PLASTIC
PIPE:
TECHNICAL DATA q
FRICTION LOSS PER 100 FT.
I, u` :,, :: gip. ,L'1 rM. ,�. :'J.._.,.,,y,,,., ... lY ". r.�m. . ' +q ^Y',: +Y'Cn. :. *e^iRnt. +F Atria Yl9u .i �,...., .. ` :•_ , :,•�
x • ,. ` ;� -, xa n. i... • ":.. , . ' :.' :.. _� ' :; : : :: T., i irl :'. " -� .iv. -': _�'I . 'J' A' ....r l . [f ;rt9 .S.:,.{ . 'kN r' :'.:'".'£L£; 1"i.' ^'i:2t.SP).2 «d: W:'= ;ti'Mrm+R F. , :.Tt..• { _ .:, Y�1 i1
GPM
GPw
IAN
3/4"
1"
11/4"
R.
Lbs.
Ft.
Lbs.
Ft.
Lbs.
Ft.
lbs.
Ft.
Lbs.
Ft.
Lbs.
1
60
4.25
1.85
1.38
.60
.356
.155
.11
.048
2
120
15.13
6.58
4.83
1 2.10
1.21
.526
.38
.164
.10
.044
3
180
31.97
13.9
9.96
4.33
2.51
1.09
.77
.336
.21
.090
.10
.043
4
240
54.97
23.9
17.07
7.42
4.21
1.83
1.30
.565
.35
.150
.16
.071
5
300
84.41
36.7
25.76
11.2
6.33
2.75
1.92
.835
.51
.223
.24
.104.
6
360
36.34
15.8
8.83
3.84
2.69
1.17
.71
.309
..33
.145
8
480
63.71.
27.7
15.18
6.60
4.58
1.99
1.19
.518
.55
.241
10
600
97.52
42.4
25.98
11.27
6.88
2.99
1.78
.774
.83
.361
15
900
49.68
21.6
14.63
6.36
3.75
1.63
1.74
.755
20
1,200
86.94
1 37.8
25.07 1.
10.9
6.39
1 2.78
2.94
1.28
25
1,500
38.41
16.7
9.71
4.22
.4.44
1.93
30
1,800
13.62
5.92
6.26
2.72
35
2,100
18.17
7.90
8.37
3.64
40
2,400
23.55
10.24
10.70
4.65
45 :
. 2, 700
_
:: �. :. _
-
R.:..:
29:44
; 2:8;7
3.46
-:5'.35-
50
3,000
16.45
7.15
60
3,600
23.48
10:21.
Faction
LOSSa I *Q I k, I oil N �_ �rtM.. nrtii�:.M . 4+ s +. �.aa. -..t . Mr - t• t.. _- ....ns: :. :`.^ .. � n- c. M. •..�..�Y .tci} .
. , , .
EQUIVALENT NUMBER OF FEET STRAIGHT PIPE FOR DIFFERENT FITTINGS
Size of Fittings, Inches
Yi"
44
1"
11/4
1Y"
2"
21/2"
3"
1 4"
5"
1 6"
8"
1 10"
900 Ell
1.5
2.0
'2.7
3.5
4.3
5.5
6.5
8.0
10.0
14.0
15
20
25
450 Ell
0.8
1.0
1.3
1.7
2.0
2.5
3.0
3.8
5.0
6.3
7.1
9.4
12.
Long Sweep Ell
1.0
1.4
1.7
2.3
2.7
3.5
.4.2
5.2
7.0
9.0
11.0
14.0
Close Return Bend
3.6
5.0
6.0
8.3
10.0
13.0
15.0
18.0
24.0
31.0
37.0
39.0
Tee - Straight Run
1
2
2
3
3
4
5
Tee -Side Inlet or Outlet
3.3
4.5
5:7
7.6
9.0
12.0
14.0
17.0
22.0
27.0
31.0
40.0
Globe-Valve Open
17.0
22.0
27.0
36.0
43.0
55.0
.67 .0
82.0
110.0
140.0
160.0
220.0.
Angle Valve Open
8.4
12.0
15.0
18.0
22.0
28.0
33.0
42.0
58.0
70.0
83.0
110.0
Gate Valve -Fully Open
0.4
0.5
0.6
0.8
1.0
1.2
1.4
1.7
2.3
2.9
3.5
4.5
Check Valve (Swing)
4
'5
7
9
11
13
16
20
26
33
39
52
65
Check Valve (Spring)
4
6
8
12
14
19
23
32
43
58
Example:
(A) 100 ft. of 2" plastic pipe with one (1) 901 elbow
and one (1) swing check valve.
90° :elbow -.Equivalent to _5.5 ft of.straigti
Swing Check - Equivalent to 13.0 ft. of straight pipe
100 ft. of pipe - Equivalent to 100.0 ft. of straight pipe
118.5 ft. = Total
equivalent
pipe
Figure friction loss for 118.5 ft. of pipe.
(B) Assume flow to be 80 GPM through 2" plastic
pipe.
1. Friction loss table shows 11.43 ft. loss per. 100 ft. of
pipe.
2. In step (A) above we have determined total feet of
pipe to be 118.5 ft.
3. Convert 118.5 ft. to percentage. 118.5 =100 = 1.185.
4. Multiply 11.43
x 1.185
13.54455 or 13.5 ft. = Total friction loss in
this system. .
'' /1b1j0 00:34
_BRUCE. - R FOIY
Public health Director
2128779375
MILLER RAVED PAGE 01
I
i
Associate Public Health Director(
Director of' Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, Nets York 10509
Ewvlrownantul UWth (914) 378 - 6130 . Fax (914) 278.7921
Nurai ®8 8ervlcao (914) 278 - 6558 WIC (914) 278 - 6678. Fax (914) 278 -6095
Morly 6wterventloo (914) 278.6014 Prdscbool (914) 278 -6082 Fax (914) 278 - 6648
January 4, 2000
Jelly- Matson j
59 Cold Spring Rd.
Putnam Valley NY 10579 j
Re: Addition - Kelly- Matson
(T) Putnam Valley Tax # 62,25 -1 -32
To Whom It May Concern:
I have received and reviewed the plans for the proposed addition to the above mentioned residence.
The plans indicate that the proposed addition will consist of the following:
i
An addition of three bedrooms and removal of two existing bedrooms.
leased on the information submitted, the above mentioned addition cannot be approved for the
following reasons;
- r _t ..: —All thezequired- inforltiation has n it-b-een submitted. "
2'; The legal bedroom count for the dwelling is I= The potential bedroom count of
your proposed addition is Three
I
3. The addition of a potential bedroom requires this Department's approval of a revised
septic system plan from a professional engineer.
Please revise the proposed floor plan to reflect no more than Two potential bedrooms, or
have a professional eng'neer or registered architect design a sub- surface sewage treatment
system,.meeting present code requirements.
If you have any questions, please contact me at your convenience,
Very. truly yours,
Rdichael Luke
ML-kg Public Health Technician
- _BRUCE R ..EbLEY _
Public Health Director
. LORETTA MOLINARI"'AX, M.S.N.
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster;. New York 10509
Environmental Health (914)278-6130 Fax (914) 278-7921
Nursing Services (914)278'-6558 WIC (914) 278 = 6678 Fax (914) 278-6085
Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648
Kelly- Matson
59 Cold Spring Rd.
Putnam Valley NY 10579
Re
To Whom It May Concern:
January 4, 2000
Addition - Kelly- Matson
(T) Putnam Valley Tax ## 62.25 -1 -32.
I have received and reviewed the plans for the proposed addition to the above mentioned residence.
The plans indicate that the proposed addition will consist of the following:
An addition of three bedrooms and removal of two existing bedrooms.
Based on the information submitted, the above mentioned addition cannot be approved for the
following reasons:
the required.3nformatlon has -.note een submitted-..
2. The legal bedroom count for the dwelling is Two . The potential bedroom count of
your proposed addition is Three
3. The addition of a potential bedroom requires this Department's approval of a revised
septic system plan from a professional engineer.
Please revise the proposed floor plan to reflect no more than Two potential bedrooms, or
have a professional engineer or registered architect design a sub - surface sewage treatment
system meeting present code requirements.
If you have any questions, please contact me at your convenience.
ML:kg
Very truly yours,
Michael Luke
Public Health Tech 'clan
_ . ._ _ .::;::BRUCE• R::��GBI'i`;:: <.r::c::�a
Public Health Director
DEPARTMENT OF HEALTH'
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278-6130 Fax (914) 278-7921
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
c . AL
-✓
STREET / TOWN TX MAP. N.
NAME PHONE PCHD #
MAILING ADDRESS
6,2. ds / -,, -3 z>
DESCRIPTION OF ADDITION
NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDING INSPECTOR)
*Any addition which is considered a bedroom requires formal approval of plans (Construction
Permit) prepared by a Professional Engineer or Registered Architect in accordance with
applicable sections of the Putnam County Sanitary Code.
Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd.,
Brewster, NY 10509, Phone 278 -6130.
1. Certified check or money order for $100.00
2. Sketches of existing floor plan (drawn to scale, all living area including abasement)
* Non - professional sketches are, acceptable
3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #)
* Non- professional sketches are acceptable
4. Copy of survey showing well and septic location, to the best of your knowledge. Include date
of installation if known. Label all wells and septic systems within 200 feet of the property line.
Contact this office with any questions.
5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal
bedroom count of dwelling.
OFFICE USE
Comments
Feb 98
i
t
0
NE2C �/zE l�l�
(�lG� ^ADS
C&-C) TD
7-H
(I F/t/c-.
T�y CJ
J
K, G LO K
IPav
T3&oaovrn
ajojT- f::a0tvi ToLjJ
O
�oil , " tA.Ii
r- ID
IPav
` t,
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
BRUCE R. FOLEY, R.S
Acting .Public Health Director
Re: 49 6OL-0 SpprVic- BOAS
Residence
d
Tax Map b Z., Z1�- I- 3Z
To "vvn Fy7 f -* 4M
According t records maintained by the ToNvn, the above noted dwelling
IS NOT
in compliance with To,"m code and the total number of bedrooms on record
is '
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD: V
N 01�'
A ing Inspector
km
3
PUTNAM COUNTY DEPARTMENT OF HEALTH C
_. SION _OF_.ENVIRONMENTAL. HEALTH SERVICES
CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM
PCHD CONSTRUCTION PERMIT # A,- O'i -00
Located at S1 Coua Gpgi b, gob o Town or Village (1) FufalAnti Vpt..CC�`f
Owner /Applicant Name R4r'Ezv KC-u,!i Tax Map 6Z. Z�-- Block O -Lot 3 Z-
Formerly N 1A Subdivision Name OsckvjA,"A La,ce �QQca ..ors
Subd. Lot # 3i-3A1 i S6 -A6-S
Mailing Address 51 C9t4 SFF-Iv,j l�1�ap FvTatAv, VA.4-Lc,i LL Y, Zip 101Y11
Date Construction Permit Issued by PCHD
Separate Sewerage System built by Oww.sElm-
Address S E c- A P.s o V6
Consisting of Gallon Septic Tank and 3 L� O
\e;Lt�AC-Q �P�c �� e &i-a, O KI
Other Requirements: W I A
Water Supply:
Public Supply From.
Address
or: X Private Supply Drilled by f`x+sr is i k Address
B ildi g.:F ipe: _ lD .e. d A Has.erosion.- control.been-completed? -�{�s:. :
Number of Bedrooms S
Has garbage grinder been installed? Q 6
I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as-
built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved
plans and the standards, rules and regulations sof tie Putnam County Department of Health.
Date: O 2 C7 t 0a' Certified by _
Address'g n ne-f £ V&T-jau
W4, tl � P.E. X R.A.
Desi Professional)
r iqn"er,P-1 d) PC- License # 0ta2. %0S
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 sewage
treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval
of the private water supply shall become null and void when a public water supply becomes available. Such
approvals are subject to modification or change when, in the judgment of the Public Health Director, such
revocation, modification or change is necessary.
B 0 Title: Date: a/62 7 Off
C.
e copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional
Form CC -97
i i��;� I I - 0• ?Ig�1`` I`c�,! Ili I
' \
GUARANTEE OF SUBSURFACE SEWAGE AGE T11 EATME T SYSTEM
Robert Kelly & Michelle Matson
Owner crPurchaserof ding
Robert Kelly
]wilding C'onst rutted by
59 Cold Spring Road
Location- Street
Residentlal
I: .I ,•1r � •E-
62.25 1 32
TwA4ap Block Lot
(T) Putnam Valley
TOW&Vi W
Oseawana Lake Front lots
31 -349 389 46 -539 & pro 54
S&dlvlsionLot#
I Rxesent that I am wholly and corripletely responsible for the location, wodwrianship, material,
consftuction and drainage ofdw sewage treatrneit system sff Vng.tbe ab• o dn.y' • 3! •' •) and
1 ,.I is bas • i1 consftucted. as • / on the .[• °• • i• plan or .I.1'• • ii• thereto, and in
accordance with the standards, :s and regulations • 1' Putiam County Departrnent offlealth, and
horeby guarantee • the owner, his successors, hen or assigns, to • . t- in • •`•''•' •'•a ti • condition
any part of said system constructed by me which fails to operate for a period of two ym-s
imrnediately following the •'a- • .I•`I' • . • I - "Calificate ofConsftuction CbrMhance?'fior 1:
sewage treatnaent systaA or any repairs made by me to such system, except whem the fid= to
operate ' • •Via ' caused by the wffd or _ • • 1 act • 1' _ Om Pint 1 • '1: - building • II /II • the
(v.
The undersigned further agrees to accept as conclusive the determination of the Public Health
OmarofthePutnam CountyDepartnert ofPIealth as to whether or not the failure ofthe system
to operate was caused by the willful or negligent act of the occupant of the building utilizing the
*-
�:.. � • n . • ,�� � ice, -
Robert Kelly
CorporationName (ifcorporation)
Address: 59 Gold Spring Road
Signature:
Title:
• r• .Il •' .1 - •• 70's—iri n •
State New York Zip 10579 State
M,
FmnGS -97
YML ENVIRONMENTAL SERVICES
321 Kear Street
Yorktown Heights, N.Y. 10598
.__....> y. _,:. r _ ._ .......,... ...... ,(.914;) - _245:= 280C?`-
Albert H. Padovani,'Director
LAB #: 1.706840 CLIENT #: 60544 NON STAT PROC PAGE: 1 of 1
KELLY, ROBERT DATE /TIME TAKEN: 12/19/07 03:00
59 COLD SPRING RD DATE /TIME RECD: 12/19/07 03:30
PUTNAM.VALLEY, NY 10579 REPORT DATE: 12/21/07
PHONE: (914)- 804 -6720
SAMPLING SITE: 59 COLD SPRING RD, PUTNAM VALLEY, NY SAMPLE TYPE..: POTABLE
: PRE FILTER TAP PRESERVATIVES: NONE
COL.' D.. ELY :. BOB' KELLY TEMPERATURE..: < 4C
NOTES....: COLIFORM METH: MF
DATE 'FLAG PROCEDURE RESULT NORMAL - RANGE METHOD
12/19/07 MF T. COLIFORM ABSENT /100 ML ABSENT SM 18 -20 9222B
COMMENTS:
MFTC THESE RESULTS INDICATE THAT THE WATE (WDHE WAS'NOT) OF A
SATISFACTORY SANITARY QUALITY ACCORDI NEW YORK STATE
AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS
TESTED, AT THE TIME OF COLLECTION.
SUBMITTED BY:
Albert ` Padovan i ,
Director
r /
A
M.T.(ASCP)
ELAP# 10323
TOWN OF PUTNAM VALLEY
WELL DRILLERS-LOG AND_REPORT
WELL COMPLETION REPORT
This report is to be completed by well driller and submitted to
Bldg. department, together with laboratory report of analysis of
water sample i dica is of satisfactory bacterial quality.
Well Location
max Map Street Sec. B1. Lot
Well Owner"V
Name
ling Address City or Town
Tel. #
Well Driller AL�9
Name Mailing _ ress
CASING DETAILS ' YIE1 -D TEST
Bailed
Length / Ft.LX ox
Pumped Hrs.
WATER LEVEL
Measure from
City or To
SCREEN DE'
surface
Static: Ft.I Makes
r� TAThen Bailed Slot
Diameter: Inches Yields S GPM for Pumped Ftj Length Ft.Size
TOTAL DEPTH OF WELL �o Feet-
WELL LOG
Depth from Give description of formations penetrated, such
- r Ground Surface as; eat silt sand --
P , g 9 A .gravel.,. clay: hardpan,...
" "- sliale, sandstone, granite, etc. Include size of
gravel (diameter) and sand (fine, medium, coarse),
color of material, structure, (Larose, packed,
cemented, soft, hard). For examples 0 ft. to
27 ft. fine, packed, yellow sand; 27 ft. to
134 ft. c ,ray granite
Well Driller // •
BZS 1 -77 Signature
40 40-05 510603 634540 346 '
3063 Route 9, Cold Spring, New York 10516
Date: 22 Feb 2008
File No. 83-103sb
RE: Certificate of Construction Compliance
Kelly
TO:
Park Way / Cold Spring Road
Mr. Joseph S. Paravati Jr.
0scawana Lake Front Lots Subd. Lot No.
see dese
Putnam County Department of Health
Ta ' x Map 62.25-1-32
Brewster, NY 10509
Sent via:
US MAEL UPS-NIGHT
MESSENGER UPS-2 DAY
PICK-UP UPS-3 DAY
FAX El UPS-GRND
R
We are sending:
UPS-COD
copies date description of document
F4 121-Feb-08 lRevised As-Built plans
El :11
F7 T
El
Dear Mr. Paravad, please find the revised plans pursuant to your comment letter dated 2/13/08. If you have any questions please feel free to contact us.
Copies to: File
Yours truly:
Neil A. seidl Jr. Engineer
Tel: (845) 265-9217 ext 25
Fax: (845) 265-4428
Email: nseidl@badey-watson.com
40 40-05 510603 634540 346 '
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN v - -
Associate Commissioner of Health
Neil Seidl
Badey & Watson
3063 Route 9
Cold Spring, NY 10516
Dear Mr. Seidl
R®RERT J. R ®NDI
County Executive
..
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
February 13, 2008
Re: Construction Compliance — Kelly
59 Cold Spring Road, (T) Putnam Valley
TM # 62.25 -1 -32
This office has received and reviewed the most recent set of plans for the above - mentioned project.
We would like tQ- offer- the following- comments for your review and consideration.
o The as -built dimension 5A appears to be incorrect.
This office will continue its review upon consideration of the above - mentioned comments. Please
feel free to contact me at est. 2157 if any questions arise.
JSP /kly
Very truly yours,
Joseph S. Paravati, Jr.
Assistant Public Health Engineer
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool(845)278 -6014 Fax(845)278 -6648
BADEY & WATSON
LETTER of TRANSMITTAL
Engineering; Smrveyin' --'.&,
3063 Route 9, Cold Spring, New York 10516
Date: 01 Feb 2008
File No. 83-103sb
W. 0. # 18770
RE: Certificate of Construction Compliance
Kelly
TO:
Park Way / Cold Spring Road
Mr. Joseph S. Paravati Jr.
Oscawana Lake Front Lots Subd. Lot No.
see desc
Putnam County Department of Health
Ta . x . Map 62.25-1-32
Permitfritle/P0 # 11-272-0044-00
1 Geneva Road
Brewster, NY 10509
Sent via:
US MAIL ❑ UPS-NIGHT
11
MESSENGER El UPS-2 DAY
❑
PICK-UP 11 UPS-3 DAY
FAX El UPS-GRND
We are sending:
UPS-COD
copies date description of document
51 101-Feb-08 I Certificate of Construction Compliance for Sewer Treatment System
73 101-Feb-08 = lGuarantee of Subsurface Sewage Treatment System
r ❑I 121-Dec-07 77] iWell Water Test Results
71 126- Jul -77 —1 Well Completion Report
Ei 101-Feb-08 --1 ISSTS "As-Built"
F-11 131- Jan -08 lAmlication Fee $300.0
Mone y Order 12054958481)
El
REMARKS:
Dear Mr. Paravad, please find the above documentation for your review. If you have any questions please feel free to contact us.
Copies to: File
Yours truly:
John P. Delano, PE
Tel: (845) 265-9217 ext 12
Fax: (845) 2654428
Email: jdelano@badey-watson.com
40 40-05 510603 634540 34509
SHERLITA AMLER, MID, NIS, FAAP
Commissioner of Health
LORETTA "16 OCINARI*, RN;'MSiV
Associate Commissioner of Health
December 24, 2007
Neil Seidl
Badey & Watson
3063 Route 9
Cold Spring, NY 10516
Dear Mr. Seidl:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT J. B ®NDI
County Executive
Director of Environmental Health
Re: Field Inspection — Kelly
59 Cold Spring Rd.
(T) Putnam Valley, TM # 62.25 -1 -32
The above referenced separate sewage treatment system can be backfilled. A bedroom count
was also performed today and there are no further comments or concerns at this time.
If you have any further questions, please contact me at (845) 278 -6130, ext. 2155.
JD:kly
Sincerejy,
C" A?1/1
Joseph Digit
Environmental Engineering Aide
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
DEC-20-2007 16:51 BADEY & WATSON, PC
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
ATTENTION 117] JOSEPH n GENE
Joe Digit
RWUEUF0R9ML-NSPECMN For Fill
Data 12/2012007
PCHD C"isftucton P=Wt # A-4-00
Locaw& 59 Cold Spring Road
Putnam Valley
0wrieeApphc=Na= Robert Kelly 'IM 62.25 Block I Lot 32
Fdmedy. NIA Oscawana Lake Front lots
SubKfivision Lot #
Issy � fill completed? WA
is systan complete? Yes
Is system constructed as per phw? Generally
Is well &ffiecp — Existing _ "
Is well located as perplans? -- NIA
Are erosim control measures in ph-wd? Yes..
9 1 7,10
31-34,38,4"3,p1o54 .._
N/A
1211912007
Dele. —... ---....N1A
I cer* diat the Tysbem(s), as listed, at the above pv Ala ises bas •em consoucted and I have his•ecte•
and venfled .11 m acoawl.la with the issued PCHD Cxmstn=on Pwmt aid
appoved plam and ft SWdmi% Rulm and Regbadcus ofthe Aftnam Courty Dqx&next of
Hew&
DaZ 1212012007 ... erff
C wdb RA
Desip Proftsional
Add= Badey & Watson, P.C. 3063 Route 9, Cold Spring, NY 062505
Cxran-=ft Dear Mr. Digit, the trenches are in and ready for inspection.
Fo=FIR-99
1-2,1 z, 1 n'7 !D ;0 V
P-01/01
PUTNAlYi COUNTY DEPARTMENT OF HEALTH OlC
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
FINAL SITE INSPECTION
Date:
Inspected_ by:
_ Permit 4
Subdivision Lot #
1. Sewage System Area
a. STS area located as per approved plans ...........................
b.. Fill section - date of placement
3: 1 barrier Lgth. Width . Avg.Dpth
c. Natural soil not stripped ..................
d. Stone, brush, etc., greater than 15' from STS area..........
e. 100' from water course/wetlands ...... ...............................
M Sewage Svstem
a. Septic tank size - 1,000 .:.:.....1, 250 ......... other ................
b. ' Septic'tank installed level ................ ...............................
c. 10' minimum from foundation .......... ...............................
d. Distribution Box
7 All outlets at same elevation -water tested .................
2. Protected below frost .................. ...............................
3. Minimum 2 ft. Original soil between box & trenches
e. Junction Dog - properly set .......... .. .I I ............................
6. Trenches
1, Length required Length installed _?00
2. Distance to watercourse measured Ft.....
3. Installed according to plan ........................................
4. Slope of trench acceptable 1/16 -1/32" /foot .............
5. 10 ft. from property line - 20 ft.- foundations..........
6. Depth of trench <30 inches from surface ..................
7, Room allowed for expansion, 100 % .........................
8. Size of gravel 3/4 - 11/2" diameter clean ...................:
9. Depth of gravel in trench 12" minimum....... .............
.19:.�ipe�ends ca pped.:......�. - ._ =.. ,__, _•;;_ _
g. Primp or �DosedpSystems
1. Size of pump chamber ............... ............................... .
2. Overflow tank ............................. ...............................
3. Alarm, visual / audio ........:........... ...............................
4. Pump easily accessible, manhole to grade .................
5. First box baffied .......................... ...............................
6. Cycle witnessed by H.D.estimated flow/cycle ...........
1IL House/Building
a. House located per approved plans ............. ..
b. Number of bedrooms ............................... ..
................
IV. W ell
Well located as per approved plans . ......:........................
b. Distance from STS area measured ft ...........
c. Casing 18" above grade ................. ...............................
d. Surface drainage around well acceptable .......................
V. Overall Workmanship .
a. Boxes properly grouted ................... ...............................
b. U pipes partially backEed ......... ...............................
c. ?ill pipes flush with inside of box ... ...............................
d. Backfdl material contains stones <4" diameter ..............
e. Curtain drain & standpipes installed according to plan..
f. Curtain drain outfall protected & dir.to exist watercourse
g. Footing drains discharge away from STS area ...............
h. Surface water protection adequate.........-.,.... .....................
i. Erosion control provided .................. ...............................
Rev. 12/02
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
Robert Kelly
Michelle Matson
59 Cold Spring Road
Putnam Valley, NY 10579
Dear Mr. Kelly:
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
October 19, 2007
Re: Addition — Approval — A -4 -00
Increase in Number of Bedrooms with new SSTS
59 Cold Spring Road
(T) Putnam Valley, T.M. # 62.25 -1 -32
I have received and reviewed the plans for the proposed addition to the above mentioned
residence. The proposal for the addition has been approved as per plans bearing the approval
stamp from the Department dated October 18, 2007. The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at three without prior approval by this
Department.
2. All plumbing fixtures must be updated with water saving devices, i.e., new low flush
toilets, restrictors for shower heads and faucets, etc.
3. Approved SSTS must be constructed according to the approved plans certified by john P.
Delano, P.E,. Any deviation from the plan requires a revision be submitted to this
_ - Department. _
_. ... _
` 4:" SSTS'must'be inspected by'this Depar`tmenf 6efore'any backfilling.
5. The house must be inspected for bedroom count before compliance is issued.
6. Once SSTS has been inspected and backfilled, a construction compliance package must
be submitted for review and approval before operation of the new SSTS and well.
7. The approval is for the proposed changes only. This approval does not validate any
construction shown as existing that has not obtained proper approvals.
Any permits or variances required are the responsibility of the applicant and the jurisdiction of
the Town of Putnam Valley.
If you have any questions, please contact me at (845) 278 -6130, ext. 2261
Sincerely,
0-4
Gene D. Reed
Senior Environmental Engineering Aide
GDR: ens
cc: BI (T) Putnam VallgX ironmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
SHERLITA AI6ILER, MD, ISIS, FAAP
.__ Commissioner of Health
wYT — ._ .. t._. _ .Y. -ti vc_s•. s.•... r. ..�:. v2: ":.y uv�'.y...q
LORE'I I'A MOLINARI, RN, MSN
Associate Commissioner of Health
Robert Kelly
Michelle Matson
59 Cold Spring Road
Putnam Valley, NY 10579
Dear Mr. Kelly:
13ER7 �
. ®I
Cou ty� ecutive
.. .. ._. ... � v w Oi., S.�.. .. :.. �. � .p'...v.rs r:.g .d�. :s dp aN'+••.. <.
DEPARTMENT OF HEALTH
ROBER'P. MORRIS, PE
Director of Environmental Health
1 Geneva Road, Brewster, New York 10509
October 19, 2007
Re: Addition — Approval — A -4 -00
Increase in Number of Bedrooms with new SSTS
59 Cold Spring Road
(T) Putnam Valley, T.M. # 62.25 -1 -32
I have received and reviewed the plans for the proposed addition to the above mentioned
residence. The proposal for the addition has been approved as per plans bearing the approval
stamp from the Department dated October 18, 2007. The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at three without prior approval by this
Department.
2. All plumbing fixtures must be updated with water saving devices, i.e., new low flush
toilets, restrictors for shower heads and faucets, etc.
3. Approved SSTS must be constructed according to the approved plans certified by john P.
Delano, P.E,. Any deviation from the plan requires a revision be submitted to this
Department.
4. SSTS must be inspected by this Department before any backfilling.
5. The house must be inspected for bedroom count before compliance is issued.
6. Once SSTS has been inspected and backfilled, a construction compliance package must
be submitted for review and approval before operation of the new SSTS and well.
7. The approval is for the proposed changes only. This approval does not validate any
construction shown as existing that has not obtained proper approvals.
Any permits or variances required are the responsibility of the applicant and the jurisdiction of
the Town of Putnam Valley
If you have any questions, please contact me at (845) 278 -6130, ext. 2261
Sincerely,
4
Gene D. Reed
Senior Environmental Engineering Aide
GDR: ens
cc: BI (T) Putnam VallgX ironmental Health (845) 278 -6130 Fax(845)278-7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
PUTNAM COUNTY DEPARTMENT OF HEALTH
ON OF ENVIRONMENTAL HEALTH SER CES
CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYS
PERMIT # A— A D0
Located at C�OL0 SP���y '�ho+�aJ Town or Village Fo- -m N.1, V4 �.«�/
Subdivision name IF P...ioir Subd. Lot # � S4 Tax Map 62 - Z.5 Block 1 Lot 3 Z
Date Subdivision Approved Au,4 vsc 11 j 0 5 Renewal Revision X
Owner /Applicant NameQE�� K+�i-Y r ��Gu��� MaTS��s Date of Previous Approval 1L o� oo
Mailing Address S`k CL-n Sve-Aoay x°46.0 t'lE« sofa %< Zip losgo
Amount of Fee Enclosed :95W162.
Building TypePFS +oE"ll o. Lot Are ,Z No. of Bedrooms 3 Design Flow GPD 600
Fill Section Only Depth Volume
PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED
Separate Sewerage System to consist of 1000 gallon septic tank and 3110 Lf o F 7-1`1
W. a- Q sso e-,P J" Tk-eac N SFact+� P— 6'-0" O" c r� i LT 6 2
Other Requirements: W %A
To be constructed by Qpeuc_Atjr Address SraMt, As kmwE
Water Supply: Public. Supply From
Address
ors X - .Ptidate- Supply Drilled by Address
-
I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the
separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in
accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion
thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the
Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said
builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years
immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original
system or any repairs thereto.
Signed:
Address
R.A. Date -z C)-4
License # 0(vZGo5
APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the
sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or
modified when consider pd necessary by the Public Health Director. Any revision or alteration of the approved plan requires
a new hermit. Approv for discharge of domestic sanitary sewke only.
�- 1 "►i 5m
Title:
- Building Inspector; Pink copy -
Date: -01
copy - Design Professional
Form CP -97
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH ; .
D�IDiYID.i]AL WATER SUPPLY '& SiTR.i'URFACE SEWAGE TREATMENT SYSTEMS
REVIEW SHEET FOR CONSTRUCTION PERMIT
NAMEOFOWNER: K61- y -r5®Aj STREETLOCATION: a y� P2ra1 TZe�r,
REVMWED.BY: RM, w, SRDATE: 40/ TAX MAN: (CON MN MD) (p a2a
Y /N DOCUMENTS y (REQUIRED DETAILS ON PLANS CONT'DI
(PERMIT APPLICATION HOUSE SEWER - VT FT. 4'l - TYPE PIPE. CAST IRON
WELL PERMIT OR PWS LETTER — ,gt 'sTrNG (_}�)NO BENDS; MAX BENDS 4f-'K-
PC=97 RENEWALS
(�LETTER OF AUTHORIZATION SITE NOTE (NO CHANGE)
UDESIGN DATA SHEET (DDS) FILL SYSTEMS
( )CORPORATE RESOLUTION 10' HORIZONTAL; PAST TRENCH SLOPES- 3:1 TO GRADE
)SHORT RAF
i FILL SPECS/ FILL NOTES 1 -5
)PLANS -THREE SETS
I FILL PROFILE & DZIENSIONS
)HOUSE PLANS - TWO SETS
FILL IN EXPANSION AREA
)VARLANCE REQUEST
FML GREATER THAN FEET
SUBDIVISION
CLAY BARRIER
)LEGAL SUBDIVLSION
J FILI,'CERTIFICATION NOTE
)SUBDIVISION APPROVAL CHECKED
DEPTH GAUGES
)PERC RATE
DEPTH ��
VOL. ON PLA1!! FOR R.O.B., UNCLASSIFIED & IMPERVIOUS
)FILL REQUIRED,
(� SEPARATION DISTANCE FROM'TOE OF SLOPE
)CURTAIN DRAIN REQUIRED
TRENCH
GENERAL
LF TRENCH PROVIDED �®® 601T MAX.
k'GCATED.IN NYC WATERSHED
PARALLEL 'TO CONTOURS
IPLANS SU]35U TED TO DEP
ALEGATED TO PCHD
00% EXPANSION PROVIDED
��BE .TA+I
L/DUST FREE CRUSHED'STONE OR WASHED GRAVEL
DEP APPROVAL; IF REQ'D
L._.) GEOTEXTM9 COVER
ALT TEST HOLES OBSERVED
/ SEPARATION DISTANCES ON PLAN : FROM'SSTS
• RCS TO BE WITNESSED
APPROVAL SSDS ADJ, LOTS(
(_)/ U10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL.
IAIP
-
20'7`0 FOUNDATION WALLS
►WETLANDS (TOWN/DEC PERMIT REQ'D ?)
ON DDS- PLANS & PERMTT SAME •
100' TO WELL, 200' IN DLOD,150' TQ PITS _
� "
�ATA
9 NEIGH$QR�(OTI>:ICATION.
160'. TO S. _ _
• .TREANl2, W.ATEP.COURSE; L�A-I{E'(tac. expa�} •
- `
!1 -• x-
. 50' TO CATCH DASIN, 35'.STORwmRAIN, PIPED WATER
)LETTER. BLMA
*60 YR: FLOOD ELEVATION W1I 200'
10' TO WATER LINE (pits - 20')
50'.IN`I7T NIITTENT
)SOIL TESTING LOTS>10 YEARS OLD
- DRAWAGE COURSE,
200'/500' RESERVOIR, ETC. 150' GALLEY SYSTEMS
REQUIRED DETAILS ON PLANS
: (� 10' MIPd TO LEDGE QVI'CROP
ARROW)
)SEWAGE SYSTEM PRO
J`) SEPTIC TANK
I(NOi2TBt
)SSDS HYDRAULIC PROFILE
(,(- FROM FOUNDATION; 50' TO WELL
)GRAITY V FLOW
__)10'
WELL
)CONSTRUCTION NOTES 1 -15 '
)DESIGN DATA : PERC & DEEP RESULTS
• DIMENSIONS TO PROPERTY LINES
gCATION OF SERVICE C0NNECTION rAd5l �,v
CONTOURS EXISTING & PROPOSED
(x (15' TO'PROPERTY LINE
)DRIVEWAY & SLOPES, CUT
/ -SLOPE
)FOOTING/GUTTERICURTAINDRAINS
(�U .OPE YN SSTS AREA ®x(520 %)
)USDA SOIL TYPE BOUNDARIES
C_ J gEGRADED TO 15 %, IF REQUIRED
)TITTLE BLOC){; OWNERS NAME ADDRESS
DOSE/PUM[P SYSTEMS
TM# PE/RA; NAME ADDRESS PHONE#
)DATE OF DRAWING/REVISION UW NOTES .
)DATUM REFERENCE DOSE 95% OF PIPE VOLUME/D.OSE VOLUME NOTED
)LOCATION OF WATERCOURSES, PONDS ETAIL FOR FORCE'.MAIN, (PIPE TYPE, ETC.)
PIT AND D -BOX SHOWN & DETAILED
LAm,WETLA.NDS WITHIN 200' OF P.L. DAY STORAGE ABOVE ALARM
)PROPOSED FINISH FLOOR AND : CURTAIN DRAIN
BASEMENT ELEVATIONS CURTAIN
TBOTH SIDES DETAIL
)WELLS & SSDS'S WAN 200' OF SSTS U ° v ' ° °
)PROPERTY METES �c BOUNDS •, 15 MIN to CDS =�5 / °, 2D -� /° $5 -3 /m 35'-10/o, . 100 /0 - <1 /°
)EROSION CONTROL M ES FO UNDS E, WELL & • 0' MIN to CD DISCECARGE /100' with 182 cons day discharge
SSTS, - EROSION CONTROL, NOTE (--� � MiPi to NON-PERFORATED PIPE
ors:
04
CS) PUT NAf Vs 'u"OUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
a— ,4 BEDROOMS / 3 a-
ALL SUBSEQUENT REVISIOWALTERATIONS TO THESE HOUSE
PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL
'9
4Ed, 1011041.07
SIGNATURE & TITLE f DATE
-1
X)
0
'D
9
C-V'-ZLv/ Space
PL
7
OPEN DECK
4
D)J4
Fe)yE P,
r_ove-RED FORCH Vy"
L
MA-TsoN
FLoo ll� N A
M, ZiATI-f
BATH
' � � M� I�T_ HEALTH COQ
HEAI1 DIVISION OF E R® NIAL SERVICES
LETTER OF AUTE10 ZA- 'IITON '' r
RE: Property of
Robert Kelly & Michelle Matson
Located at Cold Spring Road
T/V Putnam Valley Tax Map # 62025 Block 1 Lot 32
Subdivision of _ ®seawana Lake Front Lots
31-34,38,46-46
Subdivision Lot # p/0 54 Filed Map # 34 -D Date Filed August 17,1905
Gentlemen:
This letter is to authorize
John Pe Delano, P. E.
a duly licensed Professional Engineer X or Registered Architect — to apply for the required
wastewater treatment andlor water supply permit(s) to serve the above -noted property in accordance
with the standards, rules or regulations as promulgated by the Public H ealth Director of the Putnam
County H ealth Department, and to sign all necessary papers on my behalf in connection with this
matter and to supervise the construction of said wastewater treatment and/or water supply systems
m conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public H ealth
Law, and the Putnam County Sanitary Code.
Very truly yours,
N
Countersigned: Signed: �
a P(W�
P.E. FE 062505 (ownerofProperty)
Mailing Address Badey & Watson, P.C.
3063 Route 9, Cold Spring
State New York Zip
Mailing Address: 59 Cold Spring Road
10516 State New York
Telephone: (845) 265 -9217
Putnam Valley
Zip 10579
Telephone: (845)526 -2781
Form LA -97
BADEY & WATSON LETTER of TRANSMITTAL.
Surveying & Engineering, P.C.
3063 Route 9, Cold Spring, New York 10516 Date: 25 Sep 2007
File No. 83 -103sb
W. 0. # 18770
RE: Permit Renewal/Revision
Kelly
TO: Park Way / Cold Spring Road
Mr. Joseph S. Paravati Jr. Oscawana Lake Front Lots Subd. Lot No. see desc
-
Putnam County Department of Health Tax Map 62.25 -1 -32
1 Geneva Road Permit/Title/P0 # R- 272- 00 /A4-00
Brewster, NY 10509 Sent via:
US MAIL ❑ UPS -NIGHT ❑
MESSENGER ❑ UPS -2 DAY ❑
PICK -UP ❑ UPS -3 DAY ❑
FAX El UPS -GRND 0
We are sending: UPS -COD
copies date description of document
Fl 25- Sep -07 7 lConstruction Permit for Sewage Treatment System
Letter of Authorization
r 20- Sep -07 [Design Data Sheet
Ol 06- Dec -00 Previous Approved Permit
5 06- Dec -07 __1 1Photo Copy of Putnam County Dept. of Health Approval Stamp
[--I] 04 -Jan-00 —1 1PCDH Correspondence.
7l Floor Plans
Ol 25- Sep -07 lApplication Fee ($500.00 money order #11297037104) .
® 125-Sep-07 Subsurface Sewage Treatment System Sheet 1 of 1 (SDI 3598 R03
El
REMARKS:
Dear Mr. Paravad, please find the above documentation for your review. If you have any questions please feel free to contact us.
Copies to: File , Yours truly:
Neal A. Seidl Jr. Engineer
Tel: .(845) 265 -9217 ext 25
Faz:, (845) 265 -4428
Email: nseidl @badey - watson.com
40 40.05 510603 634540 3359
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
- t)ESIGNbATA SHEET = SUBSURFACE SEWAGE TREATMENT SYSTEM
Owner Robert Kelly Address 59 Cold Spring Road
Located at (Street) 59 Cold Spring Road Tax Map 62.25 Block 1 Lot 32
(indicate nearest cross street)
Municipality (T) Putnam valley Drainage Basin Oscawana Lake
SOIL PERCOLATION TEST DATA
Date of Pre - soaking 9/13/07 Date of Percolation Test 914/07
Hole No.
Run No.
Time
Start - Stop
Elapse Time
(Min.)
Depth to Water
From Ground
Surface (Inches)
Start - Stop
Water
Level
Drop In
Inches
Percolation
Rate
Min/Inch
C
1
11:25 - 11:40
15
21 - 24
3
5
C
2
11:41 - 12:03
22
21 - 24
3
7
C
3
12:04 - 12:26
22
21 - 24
1
7
4
-
-
5
-
-
D
1
9:42 - 9:51
9
18 - 21
3
3
2 .. .:
9:52 10:05
13
18 - '•21 ...
-3 ..._ .
4
D
3
10:05 10:18
13
18 - 21
3
4
4
-
-
5
-
-
1
-
-
2
-
-
3
-
-
4
-
-
5
NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each
percolation test hole. (i.e. < 1 min for 1 -30 min/inch, < 2 min for 31 -60 min /inch) All data to be
submitted for review.
2. Depth measurements to be made from top of hole.
Form DD -97
TEST PIT DATA
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH 'HOLE N0. 1 HOLE N0. 2,
__.. HOLE NO. 3
G.L. Top Soil Top Soil
Top Soil
0.5'
1.0' V
1.5' Gray Gray Brown Gray Brown
Reddish Brown
2.0' Sandy Loam Sandy Loam
Silty Loam
2.5' W /Gravel W /Gravel
W /Sand & Gravel
3.0' I I
I
3.5'
4.0'
4.5' I I
5.0'
5.5' I I
6.0'
6.5'
7.0' I Red&h Brown
7.5' I Silty Loam
8.0' - -y -- - -y --
- -y --
8.5'
10.0'
Indicate level at which groundwater is encountered
bone Encountered
Indicate level at which mottling is observed
None Observed
Indicate level to which water level rises after being encountered
N/A
Deep hole observations made by: N. Seidl; B &W/ J. Digit PC DH Date 9/20/2007
Design Professional Name: John P. Delano, PE
Address: Badey & Watson Surveying & Engineering, P.C.
3063 Gold Spring N.Y. 10516
Signature:
Design Professional's Seal
Form DD -97 (Pg. 2 of 2)
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
DESIGKDATA SHEET - SUBSURFACE-'-S-'E-'WAGE'
UBSURFACE' SEWAGE TREATMENT SYSTEM
Owner 1>� ��T �C Address S',P�Li� ✓�
Located at (Street) Tax Map 6Z #ZS Block 0/ Lot 3 2—
'ndicate nearestc1rggss street)
Municipality N Watershed
SOIL PERCOLATION TEST DATA .
Date of Pre- soaking Date of Percolation Test
NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each
percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be
submitted for review.
2. Depth measurements to be made from top of hole.
Form DD -97
TEST PIT DATA 2
(DESCRIPTION OF SOILS ENCOUNTERED IN 'PEST HOLES
DEPTH HOLE NO.... z :._.: __.,,.... _ :.. -HOLE NO::: = : HOLE NO.: _ �...:;_ :....:.....:
G.L. IV- lZ
0.5'
1.0' _ b(OWN
.1.5'
2.0'
2.5'
3.0'
3.5' .
4.0'
4.5'
5.0' SAND (, U6&
5.5'
6.0'
6.5'
7.0'
7.5'
8.0' —
8.5'
9.0'
9.5' . .
10.0'
Indicate level at which groundwater is encountered A%v1v5
Indicate level at which mottling is observed %f/O/v,
Indicate level to which water level rises er being encountered
Deep hole observations made by: Date J 07
Design Professional Name:
Address: .
Signature:
Design Professional's Seal
TEST PIT PROFILES I
Hole n Lot 4 Holp, ' Lot -#1 Hole Lot rr
Depth to water .4/10q Depth to water &A Depth to water - w/ Y _ • - -�
Depth to mottling %p - _ .. - D eptii to mottling ��� V r n - Depth to mottling ± fil A
Depth to rocklimp. ~-
G.L.
3.0- Cz
l.0 �', off.
;•0 %ll(lFo -Ie A
).0
.0 7 A-7MF M
0
Depth to rockf=p:
G.L. a _U
0.5 8 1.0.
2.0
3.0
I
ff
M
5.0 ,
6.0
7.0
8.0 ft o 01911 �7
9.0 SFtfl- Go�n7
"•0 10.0
/c� ' Neil 0/77
Depth to rock/imp. .�
G.L. TS 10 - t Z-
0.5
1.0 RSA)
Z.0 tv'vm
3.0 c;2P_ z J
-4.0 0&.w- c
5.0 Lly toy w� .
7.0
8.0
10.0
2
SECTION D. DRAT A.GE
.18. Will proposed grading materially alter the natural drainage in this or adjacent areas? = Yes.
[ZfNo
19.
Will groundwater. or surface drainage require special consideration? .....................
Yes
�No
20.
Will gullies, ditches, etc:, be filled and watercourses be relocated ? ...................:......
Yes
No
SECTION E. REMARKS
21.
If a common water supply is proposed; has an-inspection been made of the
existing or proposed source and facilities? ............ .......................................... :.........
Y'
a No
Inspection data s
22.
Do adjacent wells and/or sewage systems exist ?....... ..
=Yes
.No
23.
Additional comments
24.
Site observer /inspector and title 9. Lll�l
25.
Date(s)- of obsv -
r 9%4'7
TEST PIT PROFILES I
Hole n Lot 4 Holp, ' Lot -#1 Hole Lot rr
Depth to water .4/10q Depth to water &A Depth to water - w/ Y _ • - -�
Depth to mottling %p - _ .. - D eptii to mottling ��� V r n - Depth to mottling ± fil A
Depth to rocklimp. ~-
G.L.
3.0- Cz
l.0 �', off.
;•0 %ll(lFo -Ie A
).0
.0 7 A-7MF M
0
Depth to rockf=p:
G.L. a _U
0.5 8 1.0.
2.0
3.0
I
ff
M
5.0 ,
6.0
7.0
8.0 ft o 01911 �7
9.0 SFtfl- Go�n7
"•0 10.0
/c� ' Neil 0/77
Depth to rock/imp. .�
G.L. TS 10 - t Z-
0.5
1.0 RSA)
Z.0 tv'vm
3.0 c;2P_ z J
-4.0 0&.w- c
5.0 Lly toy w� .
7.0
8.0
10.0
PU'TNA.M COUNTY DEPAR'TMEN'T OF HEALTH
y
DIVISION OF ENTVMONKENTAL HEALTH SERVICE
INITIAL I DIVIIDUAL /COMMERCLA:L SITE INSPECTION FORM
SECTION A. GENERAL INFORMATION
Name of Project lew% r ��a ('I') _.L r�.�l�? � County
Site Location
Building construction begun Extent
Is property within NYC Watershed ? ................. Yes No
SECTION B. TOPOGRAPHY (Please check all appropriate boxes)
1. Hilly' - Rolling Q Steep slope .Gentle slope Flat '
2. a Evidence of wetlands Low azea sub }ect to flooding =- Bodies of water
Drainage ditches a Rock outcrops
3.
Property lines or comers evident................ ' ...
desNo
4.
'Do water courses exist on or adjoin the property ?............. ................
Yes
No
S:
Will these affect the design ofthe sewage system faciliti es ?.._.......
❑ Yes
No
6.
Do watershed regulations apply in this development ? .......................
Yes
�No
7
Will extensive grading be necessary? ................. ...............................
Yes
No
8.
-Will extensive €ill.be�necessary for SST. S ?... :....:. : .::.:::::::.::.:.. :::.: _
�` Yes
No _
9.
Do filled areas exist within the SSTS area ......... ...............................
. Yes
�Xo
If yes, what is the condition of the fill? -
SECTION C. SOIL OBSERVATIONS
10. Appearance of soil: 25sand 1__J "7avel ff Loam Clay a Hardpan Mixture
11. Observed -from: Borings a Bank cut Backhoe. excavations
12. Soil borings /excavations observed by on _
13. Depth'to groundwater on,
.14.. Depth to mottling ,/Awf-. We V -�, on _
Yes D No
916
9i07
,,% 9I91P 7
15. Are test holes representative of primary & reserve areas .....: ............ .................... .
16... Soil percolation tests made by` on
17. Soil percolation tests witnessed by
SEC'ITIONID (on back)
..
'Form ST -1
SEP -18 -2007 15:18 BADEY & WATSON, PC
P. 02/03
SHERLITA AMLER, MD, MS, FAAP a :a ROBERT I BONDI
Commissioner of Health
* * County Executive
^LORETTA MOLINARI , R.N., KSN
Associate Commissioner of Health Y0�
All x&mnamm below must be fu1_ _,y1 ' em pleted prior to any scheduling, DATE; 9118.12007
BADI»Y & WATSON,
ENGMER ORFH M: �- Surveying & Engineering, P.C. PHONE # (845) 266.9217
PERSON700ONTACT: Neal Seidl; Badey & Watson
❑ NEW CONM[JCTION ❑ REPAIR PROGR W 9 ' ADDMON PROGR"
.a, 0
TOWN.
SUBDIVISION
OWNER
DEEPS: g PERCS. U PUW TEST. n
{Tj Putnam Valley—,
59 Gold Spring Road
TAXMAP#: 62.25.01.32
Oscawana lake Front lots
Robert Kelly
LOT411 3134,38,46-53,p1o54
NYCDEP CRMWAFORJOINT REVIEW AND Wl'f'NEMECi OF SOIL, TF.,SING
YES M)
Propo age es} B yds
sed SSTS with�iiz the draiz3� basin.f�?V ., .rarlch;or:Bo . Comer 3c
_ .. Croton Falls R,)ervoiYs.
u Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake.
Li 6d Proposed SSTS within 200 feet of a watercolors or a DEC wetland
❑ w Proposed SSTS design flow greater than 1000 gallondday or SPDES Permit required,
U sd Proposed SSTS for a Commercial PmjecL
It is the responsibility of the design professional to provide the above information prior to soil testing.
This Department will detente the NYCDEP project statics (Joint or Delegated) based on the response.
If you amwerod)s to any of the questions, NYCDEP must witness the soil testing. This D"tinent wit I
eom dmate a mutusily suitable brie for fidd testing with the Des pplofiessiorlal andNYC•DE•
If a project has been ddumined to be Delegated based on the above response and then %bsequent
i 6mlation indicat£s NYCDEP i =Filed to witness the Soil test), it will be the sole respombility of
the design professional to schedule re-wiftwsing of the soil testing with NYCDEP.
FMC 0LNTY1 FCt4.Y
1UIE
Cx�rn�lv-rs
� iY�R F7Fi A- [E51INCrIQ.Y
Envim=e W lW& (845) 278.6130 Fax(845)278-7Q21
W2WSupp smfiw (845) 22.5.5186 Fax (845- 225 -5419
MU*9Sen=(845) 279-11558 Fax (845) 278 -6026 W1C (845) 779-0678
Nardn Rome Care Fax (845) 278.6085
Garl4 l4tnwO4l�nwlG�w�- ti....l 10A 9 %•1'79 AMA 72..v /OJC \'1-PO CL A0
._J
BRUCE IL FOLE Y _
" ^
I. POW ftealil< Director
DEP T MEN$ OF
1 Geova Road
Brewster, Aleiay. . York
rAUt b1
4 t
i
'i
LORETTA MOLINARI R F M.O.N.
Asaoctate M114 ffealrb DwecfM
Director op- Patient Services '
HEALTH
10509
Mwvlrowmenbi Ne4t� (914) 172.6130 . T= (914) 279.7921 `E
TqurAxg 8ervioee (914) 278 - 6558 VIC (914) 278 - 6678 Fox(914)378-6045
1ar1y 1atwvead9z (914) 279.601.4 prd9e6001 (914) 278.6092 FGX (914) 279.6646 i
January 4, 2000
i.
Telly- Matson I
59 Cold Spring Rd.
Putnam- `Talley NY 10579
Re: Addition - Kelly-Matson
(T) Putnam `Talley Tax # 62.25 -1 -32
To Whole It May Concern:
I have received and reviewed the plans for the proposed addition to the above mentioned residence.
The plans -indicate that the proposed addition will.consist of the following:
An addition of thiree bedrooms and iresmoval ®6 two existing bedrooms.
eased on,the infonzation submitted, the above Mentioned addition cwot be approved for the i
following reasons:
1, ... All the required information, has 6ot•- bee*9 utiiooiittied:r�
2: The legal bedroom count for the dwelling is Tiro . The potential bedroom count of
your proposed addition ism
I
3. The addition of a potential bedroom requires this Department's approval of a revised
septic system plan from a professional engineer.
i
Please revise the proposed floor plan to reflect no more than , Two potential bedrooms, or
have a professional engineer or registered architect design a sub - surface sewage treatment
system. meeting present code requirements.
If you have any questions, please - contact me at your convenieac�,
'fiery. truly yours,
Michael Luke
1�L :li;g Nblic Health Technician
PUTNAM C6- (JINTY DEPARTMENT HEALTH
-DM.SION OF ENVIRONMENTAL HEALTH SERVICES
CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM
PERMIT U oo
ti
Located at, U,
'Town or Village Pu:'
Subdivision name rz-Q-ow-r Subd. Lot# AgML Tax.Mapie;2,15 Block I Lot
Date SubdivisjRp Approved of, i9V-5, . Renewal Revision
Ow"licot Name LON,!,Vl VLCLO MiL IL 01► i N1 Date of Previous Approval
Zip Mailing Addres i �j6t� 9
I A"I i-) OTMA.11104` UE
A" ,'of Fdd E n*closed ililAl
TnL�
BW14�, -6 i 0 L Lot Area U, 2,�
j C_ No. of Bpdroomi., Design Flow QPD (r,(' Q
FM Section Only , X '- L ", Volume
jj
PCHD NOTIEFICATIONIS AEOMED WHEN FILL IS COMPLETED
Sebaritte Sewer= Sy stem to consist of 1-. C-30 Q gallon septic tank and 'n
C A i
A 61 1 N; 0 "'A 'It K- _k
Other Requirements: I C-I (�J� L 1) U f _4
T6 be constructed by `rl fA W.U,�L ',L_j Address ,_
Water Suonly: Public Supply From Address
Private Supply Drilled byT-J, 1. _Ij Pk' Addres-
s
I represent that I am wholly and completely responsible for the design and loeation of the proposed system(s)and that the
se a treatment 09= described above will be constructed as shown on the approved am' endment thereto and in
accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completi6n
thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the
Department and a written gxutrantee will be fiimished the owner, his successors, heirs or assigns by the builder, that said
builder Will place in good operating condition any part'of said sewage treatment system during the period of two (2) years
immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original
system or any repairs thereto.
Signed: P.E. �K R.A. Date
2
Address' 6Vt.4:1'_'j 'A Vvt"V`17�o, , R_(-r W'j i-,.J'-A(, License I ;, k e,
APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the
sewage treatment system has been completed and inspected by, the PCHD and is revocable for cause or may be amended or
modified when considered necessary by the Public HeWth Director. Any revision or alteration of the approved plan requires
a new permit. Approved for discharge of domestic sanitary sewage only.
40
Br.
--Date:
White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional
Form CP-97
3'
i
7V z
Putnam County Departnen of health .'
Division of Envirorucntal r "ealth ServiceR
APPROVED TO PLA`.;E- FILL ONLY i
In accorclanca with appli.c:ablo Rules and
P.egu ".a.I:•i.or_s of tl_e'Putnam County Health
Depart pl :. t
'Signature & Title Dat
`s
PUTNAM COUNTY.HEALTH DEPARTMENT APPROVAL STAMP
v`♦ olv� 6.iIJ Illtiv v11tlVLt� 1 r. will— 1 VVVL_1_t_11tl\9
& ADDITION. KITH EXISTING PRIVATE WATER
SUPPLY.
PREPARED FOR
r
ROBERT KELLY & MICHELLE MATSON
59 COLD SPRING ROAD 3'
PU TN AM VALLEY NY,, 10579
t
SUBSURFACE SEWAGE.
TREATMENT SYSTEM
SCALE : AS NOTED
SE No. 62505
PRINTED
BADEY & WA
tSON
19VEYING & ENGINEERING P.C.
COPYRIGHT 2000 BY BADEY & WATSON, SURVEYING & ENGINEERING, P
BADEY & WATSON, pc.
3063 Route 9 (914) 265 -9217
Cold.SprW& New York 10516 628 -1800
739 -3577
(914) 265 -4428 (Fax) (877) 314 =1593
' r
FILE NO. 83 -103
t ,
II
1
$1
i
t
t ?i
• • �I I' • I I �I
C I 111
- DESIGN -DATA SHEET SUBSURFACE SEWAGE TREATMENT SYSTEM
Omer Robert Kelly Add ess 59 Cold Spring Road
Located at (Street) 59 Cold Spring Road TaXNtp 62.25 Block 1 JA 32
(irxdirate rat cans sttd)
M "cipaW Putnam Valley D Bash Oscawana Lake
SOIL PERCOLATION TEST DATA
9/13/07
Date of Peroolation Test 9/14/07
Hole No.
Run No.
Time
Start - Stop
Elapse Time
(Min.)
Depth to Water
From Ground
Surface (Inches)
Start - Stop
Water
Level
Drop In
Inches
Percolation
Rate
Min/Inch
E
1
9:21 - 9:30
9
19 - 22
3
3
E
2
9:30 - 9:45
15
19 - 22
3
5
E
3
9:45 - 10:00
15
19 - 22
3
5
4
-
-
5
-
-
F
1
9:20 - 9:24
4
19 - 22
3
1
. F
:• 9:26•- ..-.:. -932
6
i9 ::: =: ..22 :..
3....
,2: °... ., .
F
3
9:33 9:39
6
19 - 22
3
2
4
-
-
5
-
-
G
1
9:18 - 9:23
5
19 - 22
3
2
G
2
9:23 - 9:29
6
19 - 22'
3
2
G
3
9:29 . - 9:35
6
19 - 22
3
2
4
-
-
5
-
-
NOUN. 1. Tests tD be repeated at sa= depdi untid TMxhnatdy eq a pe=Mon rates are, obtained at each
perm Mon :s i• for I i for 61 data t• subtrit1odkrreview. •;
TEST PIT DATA
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
- r-
fl I7E HOENO
GJL
OS'
1.0
1.5'
2.(Y
2-5
MY
35
4.0'
45'
5.0'
55'
6.0►
6.5'
WY
75
MY
8.5'
95
10.0'
Top Soil
V
Gray Brown
Silty Loam
W /Gravel
V--
MEND. _ -' MENG -.
Indicate level at which groundwater is encountered None Encountered
Indicate level at which mottling is observed none Observed
Indicate level to which water level rises after being encountered N/A
Deep hole observations made by: N. Seidl; B &W/ J. Digit PCDH Date 9/20/2007
I)esign Professional Name: John P. Delano, P.E.
Address: Badey & Watson, Surveying and Engineering, P.C.
3063 Route 9, Cold Spring, NY 30516
Design Professional's Seal
FarnDD-97 (Pg 2 of 2)