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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 72. -1 -19.1 BOX 26 iT T :' e' I} 03163 V ro PUTNAM COUNTY DEPARTMENT OF HEALTH CERTIFICATE OF CONSTRUCTION COMPLIANCE FO ATMENT SYSTEM PCHD CONSTRUCTION PERMIT # SW -31-01 Located at Camp Collins Road Town or Village Putnam Valley Owner /Applicant Name Steven Cerutti Tax Map 72 Block 1 Lot 19.7 Formerly Subdivision Name Subd. Lot # Mailing Address P.O. Box 91, Putnam Valley, NY Date Construction Permit Issued by PCHD 08/07/02 Separate Sewerage System built by Consisting of 10 0 0 INT Design Corp. Address Rose Property 1 Zip 10579 Gallon Septic Tank and 378 LF Absorption Trench, Curtain Drain. D -Box, 3' -0" R.:O.B. Gravel Fill Other Requirements: Water Supply: Public Supply From Address T. or: X Private Supply Drilled byNorman Anderson, Inc. ' Address 152 Barger Street »' pe iuiciin i YPc_ AC.'�11:aC11l.0 �` Number of Bedrooms 3 Putnam Valley, NY 10579', ridgy Has garbage grinder been installed? No 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 of)q Putman County Department of Health. Date: 841-01- Certified by Address 113 Smith Avenue, Mount Kiscd, NY 1054 P.E. X' R.A. License # 0.71226 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 revocati , modification or change is necessary. By: Title: Date: White copy - HD File; Yel w opy -Building Inspector; Pink copy - Own r• Orang opy -Design Professional Form CC -97 l PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location tree , ddr s : To� illag . ~ Tax Grid # Map ?;Z Block Lot(s) / Well Owner: Na e: .Address: 'd Use of Well: 1- primary 2- secondary Residential Public Supply -Ai ond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total length / ft. Length below grade � ft. Diameter G " in. Weight per foot lb /ft. Materials: X Steel _ Plastic _ Other Joints: _ Welded Threaded _ Other Seal: X Cement grout _ Bentonite Other Drive shoe: _Z,,'* Yes _No Liner: Yes --X-'No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _Bailed _Pumped Compressed Air Hourss T Yield gpm Depth Data Measure from land surface- static (specify ft) ,3a ' During yield test(ft) Depth of completed well in feet Yoa Well Log If more detailed information descriptions or are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface ` .4,,_„ ,3 0 0 ' •' If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type E=1?,c Capacity Depth 2 rro Model 5SW- ` Voltage )- 3 0 1/' HPY Tank Typekt (3ov Volume Y Date Well Completed 7 0Y� Putnam County Certification No. q Date of Report r222 0 Well Driller (signature) NOTE: E�Act location of well with distances to at least two permanent danamarKs to Ue provtaea on a separate sneevptan. Well Driller's Name Ire ^'Address:/,3'� Gam' a Signature. Date: White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 y� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL. HEALTH -SERVICES.- - ..: GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Susan Parsons - Cerutti Owner or Purchaser of Building INT Design Group Building Constructed by Camp Collins Road Location - Street Residential Building Type 72 1 19.7 Tax Map Block Lot Putnam Valley TownNillage Rose Property Subdivision Name 1 Subdivision Lot # I represent that I am wholly and completely responsible for the .location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Month 0 8 Day 15 Year 02 o� General Contractor (Owner) - Signature Corporation Name (if corporation) Address: P.O. Box 91, Putnam Valley State NY Signature: Title: Corporation Name (if corporation) Address: Zip 10579 State Zip Form GS -97 YML ENVIRONMENTAL SERVICES 321 Kear Street . (914) 245-2800 Albert H. Padovani, Director LAB #: 32.203855 CLIENT #: 55571 NON STAT PROC PAGE 1 ~~~~~~~~~~~~~~~~~~~~~~"~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PARSONS-CERUTTI, SUSAN PO BOX 91 PUTNAM VALLEY, NY 10579 SAMPLING SITE: 7 CAMP COLLINS RD : PUTNAM VALLEY COL'D BY: SUSAN AND STEVEN NOTES...: BATHROOM TAP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE DATE/TIME TAKEN: 05/30/02 06:00A DATE/TIME REC'D: 05/30/02 12:30P REPORT DATQ 06/06/02 PHONE: (914)-696-0427 SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE PUTNAM CNTY PROFILE O5/30/02 MF T. COLIFORM ABSENT /100 ML ABSENT 05/30/02 LEAD (IMS) <1 ppb 0-15 ppb 05/30/02 NITRATE NITROG <0.2 MG/L 0 - 10 05/30/02 NITRITE NI.ROG <O.01 MG/L N/A 05/30/02 IRON (Fe) <0.060 MG/L 0-0.3 mg/l 05/30/02 MANGANESE (Mn) <0.010 MG/L 0-0.3 mg/l 05/30/02 SODIUM (Na) 7.66 MG/L N/A 05/30/02 pH 7.2 UNITS 6.5-8.5 05/30/02 HARDNESS,TOTAL 78.0 MG/L N/A 05/30/02 ALKALINITY (AS 52.0 MG/L N/A -'0-5A LW.-�_ . COMMENTS: BACT THESE RESULTS INDICATE THAT THE WAT AS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORD THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS Pb/Cu LEAD limits for p EPA Lead & Copper than 10% of their than 15 ppb and a treatment must be potential. iblic schools are set at 15 ppb. Rule for Public Systems requires that no more distribution points have a LEAD value of more COPPER value of 1.3 mg/L, else water undertaken to reduce the waters corrosive Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L.. Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet�t ,�xater should � contain no more than 20 mg/L of Sodi46: ��'^���� on a moderately restricted diet, a maximum of 270 mg/L of Sodium is suggested. METHOD 1008 9101 9139 9146 2037 2037 9043 YML ENVIRONMENTAL SERVICES 321 Kear Street (91*) 245-2800 Albert H. Padovani, Director LAB #: 32.203855 CLIENT #: 55571 NON STAT PROC PAGE 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ PARSONS-CERUTTI, SUSAN PO BOX 91 PUTNAM VALLEY, NY 10579 SAMPLING SITE: 7 CAMP COLLINS RD : PUTNAM VALLEY CQL'Q BY: SUSAN AND STEVEN NOTES...: BATHROOM TAP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE/TIME TAKEN: 05/30702 06:00A DATE/TIME REC'D: 05/30/02 12:301-:' REPORT DATE: 06/06/02 PHONE: (914)-696-0427 SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLlFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: O-70 MG/L VERY HARD WATER: ABOVE 300 MG/L '..' MODERATELY'HARD,WATER,: 70_140 MG/I_ ' MGfL`z MI PER.,L.lTER�� - -HA�D'WATER�`l40�3iK)'MG)l�' ~`- - (�----r---'-�---- --L)- -- grazn/ga��on = l7.� Mb/ / SUBMITTED BY: . � Director El-AP-.9 10323 Public Health Director ..•`•�. -,:.sue .~L�l�l ~l ti- lVi�}li1IVHICI �(.1V � 1V(.�J.1V.::: - •— V,._•� -}: 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 OWNERS NAME: TAX MAP NUMBER: E911 ADDRESS: TOWN: AUTHORIZED TOWN OF (Signature) DATE: 7-7- /, !!5''II If VA--Id ,--- -S05 .4 A) The Putnam County Department of ]Health will not issue a Certificate of Construction Compliance unless the above form is completed, i.e., a legal E911 address is assigned by an authorized town official. This form is to be submitted Nvith the application for a Certificate of Construction Compliance. (E911 VERF M 08/08/2002 22:12 9142416787 KEANE COPPELMAN ENGR PAGE 01 66-UH UU01 MWAMOD # :Aq poUwaD jo zwmmdoa Auncyo ummd mp i , o suor.pp4lvx pus 9*m 'spnpuft ail pie suvid pAoiddle PLO *md uomwMcy.) CaDd ponss! g(p qm wmepicoov m uolPidmoo 10q) P013UDA PUB popa&m. aAliq I P= pa wamw aAOgB Q* 99 xOmph mo W% sammm lonuoo uo!so-o a aj twnd Ad so pomol W,% sl SIVA if*VP W& sl Lsmid .tad su pwwmc* ms& sl Lovidwco mois& si _Lpmldmoo Tig mmsAs sl # W'I uowm".ns i�40VWM 'SrPVV :OMV14 UDXW--Pqtls 17 16T 401 --[- 100113 —Z-r W.I. 1 .Ljn-*q-3 :�14jm"!jddVjj2umo WWU17 (A) (1) aw :polml =d uol.pnmoD (uDd mo"dM smuall An (n jot.14 Pomdow AM Qq Is"'m UOW.MOJM By 1pd -JoA "go WVaV El NOU"LLY MDUllzg iELLqVjH WjXMNoMjA.M3A0 NOIRMG AUG-9-2002 FRI 10:05 TEL:845- 278-7921 NAME:PUTNAM COUNTY DEPARTME PUTNAM COUNTY DEPARTMENT OF HEALTH DMSION OF ENVIRONME\ -TAL HEALTH SERVICES . FILIAL SITE DiSPECTION Date: �tr'eet ],ocattoM � ©' Owner ,�' ��'°':7ol • Town 6011 Permit # _ a/ TM r "� `� °��/ Subdivision Lot # 1. SeNvage 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 ...... ............................... II. Sei aae Svstem a. Sep-tic tan.< size - 000 ....:.1,250 ......... other ................ b. Septic tank installed level ................ .........:..................... c. 10' minimum from foundation .......................................... d. Distribution Box y 1. All outlets at same elevation -water tested..... ':. 2. Protected below frost ................................................. . 3.. Minimum 2 ft. Original soil between box & trenches e. Junction Box - properly set ........... ............................... f. renc es �. ---- 7�y Length required 37n- Length installed l 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 -1 %z" diameter clean .................... 10. Pipe ends capped ........................ ............................... g. PumD or Dosed Systems tze ot pump chamber .. .............. ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual / audio .................... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled ............................ ............................... 6. Cycle witnessed by H.D.estiinated flow /cycle.......:... III. House/Building a. house located per approved plans ... ............................... b. Number of bedrooms ....................... ............................... . IV. Well a. 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. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. 'Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercours g. Footing drains discharge away.from STS area............ .... h. Surface water protection adequate... .. .............................. i. Erosion control provided .. ...........................:... ATTENTION PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 11 ADAM JaGENE All information must be fully completed prior to any inspections . being made. For: Fill x Trenches PCHD Construction Permit# SW-31-01 Located: Camp Collins -Road (T) (V) Putnam Valley Owner/Applicant Name: Steven Cerutti —TM 72 Block 1 Lotl-2,1— Formerly: Subdivision Name: Rose Property Subdivision Lot # Is system fill completedT. Yes Date: Is system complete? Date: Is system constructed as per plans? Is well drilled? CBS Date: H 71 Is well located as per plans? Are erosion control measures in place? I certify thattthe system(s), as listed, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Construction Permit affd approy.ed.pjams-,vd-the SN"Ogils, Rules and :Regulations of the-Putiazin-C, -epaqmept,Qf Date: 4/25/02 Certified by: Peter J. Gregory PE x RA Design Professional Address: 113 Smith Avenue, Mount Kisco, NY Lic. # Comments: frnLL 'PAR NAdPIV159 071226 Sheet_ of� PUTNAM COUNTY DEPARTMENT OF HEALTH FIELD ACTIVITY REPORT NAME• Cam! /T7,% ° Tal: ATIT�RF44; GAMS GoL.G /NS �� �vTii�i� i/.�,LGC% /✓_ f _ Street Town State Zip PERSON IN CHARGE 7/,i a/v 2 -- ©IC nR TNTFRVTF. FT?: X644 6 GO 3���/yl.�i1% �Nl, � � e v l k �r \ Na_ me and Title / TYPE OF FACILITY :/ FINDINGS: J r da TN4PF,CT0R:� v�l/ Ae!�e TFT: Signature and Title RFPnRT RF-CF.TVFT) BY., I acknowledge receipt of this report: SIGNATURE: 02/96 Rev. Apr -26 -02 02:13A �e PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIROXMNTAL HEALTH SERVICES ATTENTION ❑ ARAM GENE REQ11EST F A FINAL INSPECTION For: Fill X All information must be fully completed prior to any Trenches inspections being made. PCHD Construction Permit # SW -31 -01 Located: Camp Collins Road (T) M Putnam Valley Owner /Applicant Name: , Steven Cerutti _TM 72 Block 1 LotLq , I Formerly: Subdivision Name: Rose Pro ert Subdivision Lot # Is system fill completed? Yes Date: Is system complete? - Date- Is system constructed as per plans? Is well drilled? - Date: Is well located as per plans? Are erosion control measures in place? I certify that the system(s), as listed, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Construction Permit and approved plans and the Sjpndards, Rules and Regulations of the Putnam County Department of rim 4/25/02 Certified by: Peter J. Gregory pE X RA Design Professional Address: 113 Smith Avenue, Mount Xisoo, NY Lic.# 071226 Comments: Form FIR -99 P -02 -- -- - - -- -- M, • -7-7 TCI - 0nS_770_7=1 NAME: PI ITNAM rn INTV nPPAPTMFNT nP P P ff.".Z744/2082 --�mTT3--;'�--,9142416787 KEANE COPPELMAN ENGR PAGE 02 PMAM COUNTY DEPARTMENT OF HEALTH DMS10K OF ENVIRONMENTAL REALTIER SERVICES ATTENTION ❑ ADAM GENE MQUES1 FOP, 13NAL WSPEMON For: Fill All information must be My completed prior to any Trenches inspections being made, PCBD Construction Permit # Located: Camp Collins Oww/Appliczat Name: Formerly: Is system fill completed? b system complete? SW-31-Q1 -- Road- (T) (V) Putnam Valley teven Cerutti —IM 72 Block I LaLU Subdivision Name: Rose Property Subdivision Lot # Yes Date, 3 --LOL ftl- Date; Is system Constructed as per Plans? Is well drilled? Due. Is well located as per plans? Are erosion control measures in place? i ceoffy that the system(s), as Osted, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Construction Permit and Mir;&Ved plan -and-the- st a.Y s, Fines and F.—,;dafions of the lh-ftmm.County of f Health, Date: 07/ji/02 Certified by: Peter Jo Gregory _pE_%_ILA Design Professional • 113 Smith Avenue, Mount Kisco, NY rte I stapposntmen or 'j, co-- Uc_ # 071226 Form FIR-99 TIP --jC'-0(jM0 W-011 qp- pp TP71 -P4cZ-P7P-7qP1 NAME !P11TWam mWTV nCDn0-rh1C'k1-r nE* M ., fl' , �J �� �: �;5ignature -ana� titre.:' -,TEST 7ROFILES Hole # Lot Depth i6 water`" Depth to mottling Depth to rock/imp. G.L. 0.5 1.0 2.0 3.0 r Hole # ;> Lot # Hole # Lot# -7 b6ptfi'towater Depth to water 4.0. 6.0 %) 7.0 (1 8.0 9.o LT-- f r� 10.0 Depth to mottling Depth to mottling Depth to rock/imp. Depth to rock/imp. G.L. G.L. 0.5 1.0 2.0 3.0 4.0 0.5 1.0 .2.0 3.0 4.0 I 5.0 6.0 .6.0 7.0 7.0 8.0 8.0 9.0 ..-9.0 10.0 .10.0 Hole # Lot # Hole # Lot # :-Hole # Lot # ' Lepiii to water Depth i6 Waier Depkh'to water Depth to mottling Depth to mottling Depth to mottling Depth to rock/imp. G.L. 0.5 1.0 2.0 3.0 4.0 5.0 6.0 j - v 7.0 8.0 9.0 10.0 Depth to rock/imp., G.L 0.5 1.0 2.0 3.0 4.0 5:0 6.0 7.0 Depth to rock/imp. G.L. 0.5 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 8.0 A- 9.0 9.0. 10.0 10.0 4 Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 LCi iG l'ii'rY" MOU Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 August 20, 2002 Peter Gregory Keane Coppelman Engineers 113 Smith Avenue Mount Kisco, New York 10549 Re: Field Inspection - Cerutti Camp Collins Road, (T) Putnam Valley Lot # 1, TM# 72. -1 -19.1 Dear Mr. Gregory: The above referenced separate sewage treatment system can be backfilled. The following comments must be corrected in the field. No further comments. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. P Sincerely, Gene D. Reed GDR: cj Environmental Health Engineering Aide BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 -.7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 August 21, 2002 Peter Gregory Keane Copplernan Engineers 113 Smith Avenue Mount Kisco, New York 10549 Dear Mr. Gregory: Re: Proposed SSTS Compliance - Cerutti Camp Collins Road, (T) Putnam Valley TM# 72.-1-19.7 Review of plans and tither supporting documents submitted at this time relative to the above regarded project has been completed. Comments are offered as follows: --Proyidme the metes. and bounds descrintion-of the-property. 2. Provide the dimensions necessary to locate the ends of the trenches. Upon receipt of a submission revised to reflect the above comments, this application will be considered further. Sincerely, Shawn Rogan Public Health Technician SR:cj KEANE COPPELMAN ENGINEERS, P.C. CIVIL & ENVIRONMENTAL CONSULTANTS 113 SMITH AVENUE - MOUNT KISCO, NEW YORK 10549 (914) 241-2235 August 26, 2002 . "3 11 Shawn Rogan, Public Health Technician Putnam County Department of Health I Geneva Road Brewster, New York 10509 Re: Proposed SSTS Compliance-Cerutti Camp Collins Road, (T) Putnam Valley TM# 72.1-1-19.7 Dear Mr. Rogan: We are resubmitting As Built Plans for the above referenced project for your review. The following items have been addressed as per your review memo dated August 21, 2002: The plan now provides the metes and bounds descriptions including the source of survey. 2. The dimensions necessary to locate the ends of the trenches have been provided. Should you have any questions regarding the above, please don't hesitate to contact me. Very yo , ;e e r Very Yeg o , P. E. 9z SOWS AN3 A lm 6 d 'J" 4v 410 8 0 3 KEANE COPPELMAN ENGINEERS, P.C. 113 Smith Avenue MOUNT KISCO, NEW YORK 10549 (914) 241-2235 TO Putnam County Health Department 1 Geneva Rudd Route 312 Brewster, NY 10509 DATE JOB NO. ATTENTION Shawn Rogan RE: Steve Cerutti Camp Collins Road Putnam Valley SSTS As Built Rose Subdivision WE ARE SENDING YOU M Attached ❑ Under separate cover via the following items: > ❑ Shop drawings X Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order EIX Forms Check COPIES DATE NO. DESCRIPTION 4 As Built Plan 1 Certificate of Compliance 3 Guaranty Form 1 Bacterial Analysis 1 E911 Address Verification 1 Application Fee —THESE ARE TRANSMITTED as checked ow: 2 For approval El Approved as submitted El Resubmit copies for approval • For your use ❑ Approved as noted ❑ Submit — copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED:— if enclosures are not as noted, kindly notify us at once. AEANE COPPELMAN ENGINEERS, P.C. 113 Smith Avenue MOUNT KISCO, NEW YORK 10549 TO RTMAM C60NTN 06M. KRUUM @1P DATE ^ t 6 ATTENTION JOB NO. RE: DESCRIPTION -5-revsw C-murn CAAF cmwms (ZoAl? SSTS LAN a Fi LE #f V cl:A i L-45 POTNA.K COO NT 1 J- q- > WE ARE SENDING YOU /Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints el Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 4 SSTS LAN a Fi LE #f V cl:A i L-45 C I htJt ARE TRANSMiT TEU' ' -;' For approva :for approval ❑ For your USE it distribution ❑ As requeste prints ❑ For review a : 101'atl? 5 4'(111 �%l .N TO US 0 FORBIDS D1 iel REMARKS ha, s madif 12 v 5 ala3 r a,.4 4wW Ile ff enclosures are not as noted, kindly notify us at once. PUTNAM COUNT Y DEPARTMENT OF HEALTH i DIVISION OF ENVIRONMENTAL HEALTH SERVICES FOR SEWAGE TIDE ENT SYSTEM _. PEPMT' # � U)- 3 / -c?( :S -_ % 6 -N 'j; Located at Camp Collins Road Town or Village Putnam Valley Subdivision name Rose Property Subd. Lot # 1 Date Subdivision Approved 7/24/86 Owner /Applicant Name Steven Cer.utti Tax Map Block 1 Lot Renewal Revision Date of Previous Approval Mailing Address P.O. Box 91, Putnam Valley, NY Amount of Fee Enclosed $300.00 Building Type Residential Lot Area'9.37AWo. of Bedrooms 3 Zip 10579 Design Flow GPD 6 0 0 Fill Section Only _ Depth 3 O Volume 1000 G4, PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1000 gallon septic tank an 3' -0" R.O.B. Gravel Fill,. 2' -0 "W X 7' -0 "D Curtain Other Requirements: Drain To be constructed by Barnes Inc. Water Supple: Public Supply From vdtc.. litmiy: I�riileCe. �.• Address P.O. Box 266, Bedford Hills,NY Address u[ JVll� Address Brewster, NY 10509 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 sovstem 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 o� approval of the Certificate of Construction Compliance of the original system or any repairs thereto. � . Signed: /,,G Address 113 Smith Avenue, P.E. X R.A. Date 3 5 a co , NY 10549 License # 0 712 2 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 w en considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new pe i roved for discharge of domestic sanitary se age only. i,r U P By: Title: � a � Date: �' White copy - HD ' e; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLIf ATInNIO CONSTRUCT A WAT ER WELL please _ please print or type FCHll Fei-ililt # Well Location: Street Address: TownNillage Tax Grid # Camp Collins Rd. Putnam Valley Mapz ® Block 1 Lot(s)4?1 I �. Well Owner: Name: Address: Steven Cerutti P.O. Box 91, Putnam Valley, NY 10579 Use of Well: X Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Indus 'al Institutional Standby Amount of Use Yield Sought 5 gpm # People Served 3 -4 Est. of Daily Usage 600 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling X New Supply (new dwelling) Deepen Existing Well Detailed Reason To serve single family residence. for Drilling Well Type X Drilled Driven . Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision? ...................................... ............................... Yes X No Name of subdivision Rose Properties Lot No. Water Well Contractor: P.-F. Beal & Sons Address. 4 Putnam Ave. , Brews ter , NY Is Public Water Supply available to site? .................................. ............................... Yes No X Name of Public Water Supply: Town/Village Distance to property from nearest water main: Miles Proposed well location & sources of contamination to be provided on separate sheet/plan. PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and 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 or their designated representative 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. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well 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. Well to be constructed by a water well driller certified by Putnam County. Date of Issue g U Permit Issuaw Official: Date of Expiration 6 Title: Permit is Non -Trans err ble White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 _. :tik'u�lr `lt: " °rtiLlrY • _...... - ., < . -_. . Public Health Director NAME: ADDRESS: SITE LOCATION: DATE: STAFF PRESENT: - a..vl:i'a-A irivi,ilVcu�t ivl.:y.Y'i. .. . 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 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAVIER Liz 91 r' y, t1kY 10.5-7 I SPECIFIC WAVIER 0 REQUEST: . -- - - • - � S " 1gq. Say /fL �wtcT.c._ �j j .5`" /�� DOES THE. PROPOSED VARIANCE REQUEST POSE A HEALTH HAZARD OR ENVIRONMENTAL CONTAMINATION PROBLEM? YES NO WILL DISAPPROVAL RESULT IN A SIGNIFICANT HARDSIBP? YES NO REQUEST APPROVAL OR DENIED Q�PARO REASON CE. R DENIAL DIRECTOR OF PUBLIC HEALTH DENIED EEW YORK STATE DEPARTMENT OF HEALTH Specific Waiver ureau oLCpmmunity, Sanitation and Food Protection { R ulretnetit of part y and Apcsqndtx ?5 -A; 1QNYCRR for ridividuat Household sewage 1Preat "m'e'ni sy§fems Name of Applicant `'c Cerutti Address P . O . Box 91 Site Location Camp Ciollins, 'Rd. .Steven Putnam Valley, 1. Reason why site does not meet 10NYCRR Append'a 75 -A (check appropriate box(es)): faration distance cannot be achieved. essive slope. h groundwater. U Inadequate depth to bedrock or Impermeable layer. u Soil unsuitable. `Other (explain) NY 10579 2. Proposed design or conditions of waiver. 3. The proposed design may have the following limitations (check appropriate box(es)): E] Increased risk of well or spring contamination. Increased risk of surface water contamination. Expected design life of the system will be diminished. Operation of sewage system is subject to mechanical problems. Other (explain) ... _ .... __.. Additional information attached Construction pursuant to this waiver request should not pose any foreseeable health or environmental problems. In accordance with New York State Department of Health Administrative Rules and Regulations. Part 75.6 (b), a waiver is hereby granted. This waiver may be revoked by RF 3e(ing official for a change in conditions for which this waiver was granted. ORIGINAL - Local Health Agency d % j COPY - Applicant/Design Professional 617.20 Appendix C State Environmental Quality Review ;0".?T l= ^��IEFQ�innNA-o AScFCS!�'iI�N;T �F?Rp►,7.,.�.... „_._,,.,- �:: For UNLISTED ACTIONS Only Part 1 - PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT /SPONSOR: Steven Cerutti 2. PROJECT NAME: Steven Cerutti 3. PROJECT LOCATION: Municipality Putnam Valley County Putnam County 4. West EsideTlCamptrColl dress a Road atSei4s"frn) ersection 'wit,R or �piioumtapfirook Road 5. PROPOSED ACTION IS: )Mew ❑Expansion ❑ Mod ification /alteration - 6. DESCRIBE PROJECT BRIEFLY: The construction of a 3 bedroom single family residence, approximately 225LF, 12' wide driveway, subsurface sewage disposal system and well 7. AMOUNT OF LAND AFFECTED: Initially 9. 3 7 acres Ultimately 9 7 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? NYes ❑No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT ?. Wesidential ❑Industrial ❑Commercial ❑Agricultural _. ❑Park /Forest /Open space. ❑Other Describe: Town of Putnam Valley Residential Zoning District R -2, R -3 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ,1'es ❑No If yes, list agency(s) name and permit /approvals Putnam County Health Department Construction Permit Putnam Valley Building Permit 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? RYes ❑No If yes, list agency(s) name and permit /approval County & Town Subdivision Approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? ❑Yes ®No I CERTIFY THATTTHE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant /Sponsor name: Date: Signature: If the action is in a Coastal Area, and you are a state agency, complete a Coastal Assessment Form before proceeding with this assessment OVER FOLEY_ LORETTA MOLINARI.RN., M.S.N. ;si.'.• •« •.. -... "°:�SSGi:�i�> -. klicsi:'•"Hot1ii/1 � ✓i cuCJ.° _..':w �...<.. .._ Director of . Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 June 6, 2001 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278-6648 Keane Coppleman Engineering 113 Smith Avenue Mount Kisco, New York 10549 Re: Waiver Committee Determination Cerutti, Camp Collins Road (T) Putnam Valley, TM# 72 -1 -19.1 Dear Mr. Gregory: The Putnam County Waiver Committee was presented with the waiver request for the above regarded project on June 5,2001. The following determination has been made: ❑ The Waiver request was approved. The , arver request was conditwna ly approved: However as`noted`;below, mush completed prior to the issuance of a permit. • Ru: eipc ^, a:�� �tla::ds Pem t -or..- Permit Waiver from theYTown of Putnam.. Valley Wetlands Commission for proposed "regulated activities" within area' of wetlands, (as noted in letter of comment dated April 2, 2001). • The Waiver request was denied. An explanation has been noted below. • The Waiver request was not voted on. Explanation noted below. If there are any questions regarding this matter, please contact me at (845) 278 -6130 ext. 2157. Very truly yours, Adam B. Stiebeling ABS:cj Assistant Public Health Engineer TOWN OF PUTNAM VALLEY MEMBERS - _r .w•c •,..... ,. a: _'.. s.. �. •�• -;Sy a :,> .._ .� ._a.._ . -. ._ � ' �'LL �l � l \ 11 V G«B OL �iW . �:5:.- o...... � ,..ir- ..•�'... .. - a�...> .= -n. ._� -. . • - :, Chairman BILLY L. CROWDER Vice- Chairman STEVE KASTUK Secretary Town Engineer JEFFREY CONTELMO August 6, 2001 265 Oscawana Lake Road Putnam Valley, NY 10579 -2004 (845)526 -3740; Fax: (845)526-3307 E -mail planning,@pumamyalley.co CERUTTI /PARSONS (Rose & Gremse) Sprout Brook Road TM #72.4-19.1; FILE #72./601/736 RE: SITE DEVELOPMENT PLAN ALTERATION -R3 & WETLANDS PERMIT ROBERT YARUSSO MICHAEL DOEBBLER RICHARD TULLY (Ad Hoc) Clerk VITTORIA M. COLESANTI WHEREASM the applicants, Steven Cerutti and Susan Parsons, wish to move the location of their house uphill from the site location approved at the time of the Rose & Gremse subdivision, and WHEREAS, an application for site development approval has been filed along with an application for wetlands permit pursuant to Chapter 144 of the Town Code, and WHEREAS, the Planning Board felt that the relocation of the house will also require the relocation of the driveway from Sprout Brook Road to Camp Collins Road which would require less site disturbance and possible erosion, _.... _ w _ _._ ._...Z WHEREAS, -fife ifnlermiffenc "stream vcnii'ae pipeu'arindicatcd in the piaii`aiiu drainage shall be directed towards it; NOW, THEREFORE, BE IT RESOLVED THAT, a Negative SEQRA Declaration be filed as the project will not have significant environmental impact, and FURTHER RESOLVED, THAT SITE DEVELOPMENT ALTERATION AND WETLANDS PERMIT BE AND ARE HEREBY GRANTED, subject to: ❖ the applicants' engineer conferring and complying with the recommendations of the Town engineer regarding erosion and drainage control, and ❖ receipt of final report by the Wetlands Inspector, ❖ posting of a construction escrow and the applicants arranging a meeting between their builder and the Town engineer prior to the commencement of any construction Dated: August 8, 2001 JR. RUQ 14 2001 10:21PM HP LRSERJET 3200 MEMO To: From Date Re: Planning Board Stephen W. Coleman, Town Wetlands Inspector August l2, 2001 Cerutti and Parson — 325 Sprout Brook Road P.1 Environmental'COn o Ung 3 Aspen Court Owning, New Yorfr 10562 At the request of the Planning Board, I reviewed the proposed Site Plan for Cerutti and Parsons and have determined that the proposal to pipe the watercourse located along the westerly property line is necessary to secure a Board of Health Approval from Putnam County for the proposed Septic System. Based upon my review of existing site conditions, the piping of this watercourse will not result in a significant impact to the larger wetland system located on the adjoining properties on the other side of Sprout Brook Road. This completes my conurents at this time. Please let me know if you have any questions or require further information. CC; Applicant Building Inspector. Environmental Commission �r5 lo- 64.3 Phone: (914) 762.7288 Fang: (014) 762-5260 y08/16/2601 12:11 9146960421 PAGE 02 "'A1�'ir Vtr$Ie,'"s+..�r"-- _r, .rcu.. x .-a .. .. - t.. /- •�_.'1W �_4...(KT Fad ti(Cs�+' s:.�+f' JOHN ZARCONE, JIL MEMBERS Chairman BILLY L. CROWDER, Vice - Chairman STEVE KASTUK Secretary Town Engineer JEFFREY CONTELMO August 5, 2001 PLANNING BOARD 255 Oscawana Lake Road Putnam Vaffey, NY 10579 -200 (845)526 -3740; Fax: (345)526 -3307 E-mail lennJ n &@apntnamVailcy.cOm CERUTTI /PARSONS (Rose & Gremse) Sprout Brook Road TM #72. -1 -19.1; FILE #72./601/735 RE: SITE DEVELOPMENT PLAN ALTERATION -R3 & WETLANDS PERMIT ROBERT YARUSSO MICHAEL DOERBLER RICHARD TULLY (Ad Hoc) Clerk VITTORIA M. COLESANTI WHEREASM the applicants, Steven Cerutti and Susan Parsons, wish to move the location of their house uphill from the site location approved at the time of the Rose & Gremse subdivision, and WHEREAS, an application for site development approval has been filed along with an application for wetlands permit pursuant to Chapter 144 of the Town Code, and WHEREAS, the Planning Board felt that the relocation of the house will also require. the relocation of the driveway from Sprout Brook Road to Camp Collins Road which would regee.lPss site. >sltusbanc and possible erosion, .. .. - .:..... C WHEREAS, the intermittent stream will be piped as indicated in the plan and more site drainage shall be directed towards it; NOW, THEREFORE, BE IT RESOLVED THAT, a Negative SEQRA Declaration be filed as the project will not have significant environmental impact, and FURTHER RESOLVED, THAT SITE DEVELOPMENT ALTERATION AND WETLANDS PERMIT BE AND ARE HEREBY GRANTED, subject to: R'o the. applicants' engineer conferring and complying with the recommendations of the Town engineer regarding erosion and drainage control, and Al receipt of final report by the Wetlands Inspector, Posting of a construction escrow and the applicants arranging a meeting between their builder and the Town engineer prior to the commencement of any construction Dated. August S, 2001 JR. -- - -- - - -• . i.�w�r. n1 ITIIAM hr11 IAITV nE70n07MCAIT r1C 0 0 r r r W.16/2601 12:11 9146960421 DMM RUG 14 2001 10:21PM HP LRBERJET 3200 PAGE 03 P.1 _ i.rr Irp y.f L .. - - .. .r.. I ..-v. .- i... _S - x-1.1 �( -: v .o utS •. .r _ ... -.Z._. rr4..i. - . v v • f. .... . r.� .•, t �. _.'�Y 1' .MEMO To: Fmm: Date Re: STEPHEN W. COLEMAN ' Eooi�fMe►etttl Co�wlf3rrg Plannins Board Stephen W, Coleman, Tmfm Wetlands Inspector August 12, 2001 Cemfti and Pusm — 323 Sprout Brook Rmd J A4W amV , New T1 W* 10Si2 At the request of the Planning Board, I rerimmed tht propoocd Site Plan for Cercth and Parsons and have deer Wucd that the proposal to pipe the watercourse 100aoed alWg the westerly property lint is tteorssary to secure a Board of Health Approval frame Ravism County for the proposes Septic System. Based upon my review of existing site conditions, the Piping of this waknourse will ImOt moult in a significant im"t to the larger wetland system located on the adjoining properties an to other Lade of Spmut Brook Road. This completes my corm-eats at this t 00- Please let to know if you have any questions or require Whor infomsbon. CC Applicant Building Inspector Environmotal Commission Pae+nr: (!lI) 7�.T1�d Fa�k MII) 7d?►��fi .018/16/1001 12:11 9146960421 DMM PAGE 01 Deitch Media Management, Inc. FACSIMILE TRANSMITTAL SHEET TO: FROM: Adam Stiebling Sue Parsons COMPANY: DATE: PC BOH 08/16/01 PAX NUMBER: SENDER'S FAX NUMMER 1- 845 -278-7921 (914) 696-0421 PHONE NUMBER SENDER'S PHONE NUMBER: (914) 6% -0424 RE: 'DOTAL NO. OF PACES INCLUDING COVER 3 0 URGENT ❑ FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY 0 PLEASE RECYCLE NOTES /COMMENTS: Adam: Following is a letter that I received from the PV Planning Board stating that the Wetlands permit is granted subject to the final report by the Wetlands Inspectot, which also follows. I asked the Planning Board -secretary if there was some sort of official stamped m document that I had to give to the PC BOH and she said there was not. Is this information adequate to issue my fill permit or is there something else I need to obtain? Please give the a call at 91¢696 -0424 Thanks 108 CORPORATE PARK DRIVE WHITE PLAINS, NY 10604 Q dbJ- 15/4001 15 :56 , 9146960421 DMM MULP 11 eUUI 1u:eAYM HP LMSLWJL1 3200 '_MEMO STEPHEN W. COLEMAN To- Planning Board From Stephen W, Colenmtt. Tom Wethmde Inspeew Date: August l2, 2041 Este: CervM xad Parsoa — 3" Sprout Brook Road PAGE 02 p.] Envh=matal Comal ft 3 Awm cowt owwmk w, New Yank testis At the request of the Planning Board. I miewed the proposed Site Phn for CemW and Parsona and have determined ftift prapasal to pipe then watercourse located along the woeterly property line is nmcessery to secure a Board of Health Approval from. P`j=m Cmmty for the proposed Septic Systan. Based Upon my review of exietmg site conditions, the piping of this watercourse will"result in a significant impact to the larger wetland system locoed ou the adjoining propetties an the other side of Sprm Brook [toad. This cwVkims my eonimAts at this time. Please let me imaw if you have any questions or roquire fitrthe r infortloatkm. CC: Applieant Bttikiir4 Inspector Etvirommm tl Cotmtission 0, 0 C W Gsi�Aw Ca 04 #L7 it 4 r • TU- 33 o''4 P71s�r: {lrlj 7s�•7Jdd Fac �YI�} 7i�SBiI - - • � -A 1 .r- . C. AA Tc, NOMP! Pt ITWOM rni INTY nFPARTMENT OF P. 2 ° a °'198%15/2001 15:56 , 9146960421 DMM PAGE 01 Deitch Media Management. Inc. FACSIMILE TRANSMITTAL SHEET TO: '� FROM Sue Parsons C ?� �� V DATE: , FAX NUMBER: SENDER'S FA NUMB ?+ R " �M 70 A (914) 696 -0421 PHONE NUMBER. SENDER'& PHONP. NUMBER: (914) 696 -0424 R$: TOTAL NO. OF PAGES INCLUDING COYER: ❑ URGENT ❑ FOR REVIgw ❑ PLEASE COMMENT d PLEASE REPLY ❑ PLEASE RECYCLE NOTES /COMMENTS: S64 +4 1�PA%k 106A C-31"OteA 44-jo -M&*ks Q104 ?OU&S 108 CORPORATE PARK DRIVE WHITE PLAINS, NY 10604 — --sn fin^ 4 AI[1MC • DI ITAIOM rni itiTY nPPAPTMFNT nF P. 1 37/16/2001 12:41 9146960421 DMM PAGE 01 4414, FACSIMILE TRANSMITTAL SHEET PROM: &.w Pamons DATE: FAX NUMBER: o" X7 UNDER-6 FAx NThm-ER (914) 696-0421 PHONE NUMBER: SENDER'S PHONE NUMBER, (914) 696-0424 RE: TOTAL NO. OF PAQRS INCLUDING COVER .2— 0 URGENT (3 FOR REVIEW 11 PLEASE COMMENT (3 PLEASE REPLY ❑ PLEASE RECYCLE NOTWCOMMENT& %i'C�ty �d( ?Sccv1 h -�wt ��rt P11 P104047 6ocvcl ctskad 4,kZ+ Ifo,, 4,41's 4c) Lf o u - Oki,( i"-'ve or ov" La &4 108 CORPORATE PARK DRIVE WHITE PLAINS, NY 10604 -A Oki,( i"-'ve or ov" La &4 108 CORPORATE PARK DRIVE WHITE PLAINS, NY 10604 07/16/2001 12:41 9146960421 DMM PAGE 02 10 E VAf4S A5. ° _ - 1 •• r c:c 1 2«?b 3file 9 P. 00 ' ASSOCIATES Environmental Consulting SITE INSPECTION REPORT TOWN •D. 4 I ME h 1' 11!51F C-14-11-rlr US .Sprout ffiroo!c Road COMMENTS: A site Inspection was ride of the above captioned property to detennim the nature of, the "interwittent drainage swaies" shown on the "Integrated Plot plan" and P. C., dated �8 20-92 Ile site is steeply-sloping, and there are at lease @biree �prin oe � aniac� •o���aa � � _ -�: shallow drainage swales. Due to the topography, none of the weeps foam wetlands of 0.5 aacm or wore. However, the drainage clearly would have an impact ps the proposed septic disposal areas, and it is appropriate that the flow be realiped to avoid the leach fields. Since both lots will require curtain drains and relocation of surface drainage, it is recomaaeanded that the detsils of these b aproveaments be reviewed at the time that the building penults are applied for, since dhe actual house and driveway configuration may change slightly. I believe that these modifications would be handled with issuance of a Permit Waiver at that point. Ro Time: 0.9 hr other Yinat. 0.3 hr ae VOCO AV40"11P Norwalk. Connecticut 06951 203- O37-0135 Prix 203 --OS3 -0039 U ... r '• w -..y' - .. -., T =r. _t: .r. >.. ... : .- -. .. -.. _o- .. . :c.., s ... -. � .r,.: r _+ _R.. .:.i. :.._ 'i' � ..._ ... .. :. WETLANDS FEES: WETLANDS APPLICATION / INSPECTION FEE - $150 (min. Escrow Account $300.00) This feeA covers one (1) hours time VIOLATION FEE - Double the Wetland Application / Inspection Fee FURTHER RESOLVED, that additional escrow monies may be required. Seconded by Peter Kennedy, passed unanimously BUILDING DEPARTMENT ,C- 4e,(mcm"f4 File It The undersigned owner(s) uorabr apply (applies) for permit in accordance with the "Freshwater Wetlands, Watercourses and watezbodiau Ordinance", Chapter 144 of the Code of the Town of Putnam Valley. obeob one: Application to romedx violation Tax *up o \/ Site Alteration Permit sioo of gorce ` Location: ` Violation issued on: Proposed. Project Name of nearest _` - In what zone is the parcel l d? �' Noma of. owcxy��sl��� Number of buildings or structures, if any g2vlA?— mxmu� ____(owuar' Contract vendee, agent) Please Print ADDRESS TCLC �� DATE:. Attach: copy of Short E.A.F. 2 copies of deed 3 copies of current survey u drawing abuvioy the project copy of authorization by owner or copy of contract For Office Use Only Is there presently an application before a local ag.,.)ncy? If so, explai Fee aubmittud on aefazzou to watluoda zosnootoc ueIacreu to Planning Board on _ ___ otboz ' ' T4M YORK SfAll DitAXIMMI or INVIXONMINTAI CONSIJLVAI[ON DIVISION Of KICULATOKY AHAIKS Slily EnvIronmintil Oustlity Raylow SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I Projoct l6formallon (To be completed by Applicant or Project sponsor) 1. Appilcant/sponao( ^ 2. rioitcl Name J. r1olv<t location: '., A (- vv'\ V •.'�K C--sy Municipality -? 4 4. Is pooposvol action: RIFNew ❑ ❑ E%i>jns',on mc-difio:&Go,6Itrr&tIon 5. Otictl1>4 project briefly: 11A(A "FC L,� cl w t I 5r`U.V�J' e c 5 e '-;-;Ci C, z t1i4 c�c' 6 Fieciie locit;on (road W,tsec6ons, p-comitstni lindmails, tic. or poov;& map) Fds' f3pi-0--k- 7 Amount of land affcclvd: Initially . 91 S1 &coca ultimsitly%S3 Cott & Will copessorol action comply with ezin4vt stoning or other tt;sl;nL 14(%d wit 1citektionil Wye$ ❑ No It No. do,sc,ite 1,40y 9. What is p,cicnt 1&.d vie in vicinity of ptoitorit Qe Residential ❑ Indwits;&I ❑ Commercial ❑ A14cultuts: ❑ ralklAndlopin SPACC ❑ other Dticiil>c: , -s V) a wi VA I v, -cI -2- cvj1vj�A;s4-n'c--V 10 DcKi action involve a gKen;�spp'0v11.01 fundint.no- or vitimildy. Isom snyothti tovtinmentAl sitACT(Ndc'Al. state of local)( (9 Yes ❑ No If yes. list &jtncAs) and Fximiijappio,slo 1-k-, vA Cc -- ---1 lk;k ck rA c C 1,2 VR \4c; Ir 11 Doti Any &ip-tct of the action hsvt & currently valid permit or sppiovill c5k-y. ❑ 140 It yes. Ilit Altncy name and plemit!Applov&I typor Ok V": A 12 As reivil of proposed action will cxisl;nl ptimitlappirovsf lNuirt modifics6ont ❑ Yti V1,10 I CIR711Y THAT THE INfORMAIION PROVIDED ABOVE IS IRV[ 10 IM BEST Of MY KNOWLEDGE <1 'S4" V\ Ditt; ApplicanUip-ontot nAmc: -V� SlInitult, If the action Is In the Coastal Area, and you are a alato agency, complete the Coastal AjiAesaAmfsn1 Ponrim hf%fnrA nrr-sPAAAI"- —1"' I1"- ------- ai (fir t•�� i i' Receipt ; State of Now.. York N COD - 0895 ' LI Town of Putnam Valley 4 A Building Dept. t '; l Q j � a +i 7 dl 7t R ved fro { t ` ............... .... $.�5..... , ... ... ..... DOLLARS w.��t -- �!........ "' r .............. ...... ........ ............................................ . ' yb� .: .. ............... ..- ��..c............. Town of utnam Valiey ti� r '1� "I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRU&ION Pi if N`�ll �1LLVA IE "RSA 1CivI N r SY' :;'� = PERMIT # SW -31 -01 Located at Camp Collins Road Subdivision name Rose Property Subd. Lot # 1 Town or Village Tax Map 7 2 Putnam Valley Block 1 Lot 19.7 Date Subdivision Approved 7/24/86 Renewal Revision Owner /Applicant Name Steven Cerutti Date of Previous Approval Mailing Address P.O. Box 91, Putnam Valley, NY Zip 10579 Amount of Fee Enclosed $300,Q0 Building Type Residential Lot Area 9.3 7NO. of Bedrooms 3 Design Flow GPD 6 0 0 Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1000 378LF absorption trench Other Requirements: To be constructed by Water Supply• Barnes Inc. Public Supply From gallon septic tank and D-Box W /Baf f le Address p.o. Box 266, Bedford Hills, NY Address 'tZ Tir': 4� •;:.. »ry T lr.iiA,t ��, -P: F. Beal _ & Sons _ - z�t�idi YS. 4 Putnam Avenue Vl: - a i cxw':5utsray ��'a...:•.�� — - _.�_.f. �'�'....- . .. _ tsrewster:, -1Y--•�u.505 : . 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 therett Signed: P.E. X R.A. Date 7/22/02 Address 113 Smith Aver%, t Kisco, NY 10549 License # 071226 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 p iZAov for discharge of domestic sanitary 's ``age only. By: ��� Title: `� Date: '� 2 White copy - HD le; 4w copy - Building Inspector; Pink copy - Ow ; Ora(g copy - Design Professional Form CP -97 L L XAJ Vb. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH ,P REVIEW SHEET FOR CONSTRUCTION PE t � A NAME OF OWNER: STREET LOCATION: (� l IEWED BY: RM, GR, AS,' /CT ATE: OZ.Y y- TAX MAP #: (CONFIRMED) Y N DOCUMENTS (�C )PERMIT APPLICATION L-)C--)WELL PERMIT OR PWS LETTER C--)L-)PC-97 a C__)C._JLETTER OF AUTHORIZATION C__)L_)DESIGN DATA SHEET (DDS) UUCORPORATE RESOLUTION (--)(--)SHORT EAF U(_)PLANS -THREE SETS C--)(--)HOUSE PLANS - TWO SETS (U(JVARIANCE REQUEST SUBDIVISION C_JC_)LEGAL SUBDIVISION - C-)C-)SUBDIVISION APPROVAL CHECKED C--)C-)PERC RATE L-)(_)FILL REQUIRED. DEPTH C--)C—)CURTAIN DRAIN REQUIRED GENERAL (� OCATED IN NYC WATERSHED (_) PLANS SUBMITTED TO DEP - DELEGATED TO PCHD C )DEP APPROVAL, IF REQ'D UCJDE'IP TEST HOLES OBSERVED (_) kRCS TO BE WITNESSED U_ )EX- APPROVAL SSDS ADJ, LOTS )WETLANDS (TOWN/DEC PERMIT REQ'D ?) A ON DDS PLANS & PERMIT SAME . 1969 NEIGHBOR NOTIFICATION )IAO YR FLOOD ELEVATION W/1200' SOIL TESTING LOTS >10 YEARS OLD REQUIRED DETAILS ON PLANS )SEWAGE SYSTEM PLAN - (NORTH ARROW) )SSDS HYDRAULIC PROFILE )GRAVITY FLOW : ONSTRUCTION NOTES 1 -15 IESIGN DATA: PERC & DEEP RESULTS 'CONTOURS EXISTING & PROPOSED 'AY & SLOPES, CUT 3/GUTTER/CURTAIN DRAINS SOIL TYPE BOUNDARIES (,!�Fr�TITLE BLOCK; OWNERS NAME ADDRESS TM #, PE/RA; NAME, ADDRESS, PHONE# (j(JDATE OF DRAWING/REVISION DATUM REFERENCE (___)LOCATION OF WATERCOURSES, PONDS LAKES,WETLANDS WITHIN 200' OF P.L. (� PROPOSED FINISH FLOOR AND BASEMENT ELEVATIONS WELLS & SSDS'S W/IN 200' OF SSTS (�_)LPROPERTY METES & BOUNDS .C,�CEROSION CONTROL FOR HOUSE, WELL & ' SSTS, EROSION CONTROL NOTE COMMENTS: (REVSHEET)09 /01 /00 Y N (REQUIRED DETAILS ON PLANS CONT'D) (jUHOUSE SEWER - %" FT. 49'; ; TYPE PIPE CAST IRON U(__)NO BENDS; MAX BENDS 45' W /CLEANOUT RENEWALS U(_)SITE NOTE (N RANGE) FILL SYSTEMS (--)C---)l0'HORIZONTAk, PAS RENCH SLOPES 3:1 TO GRADE UC�L)FILL SPECS/ FILL E'S 1 -5 (jUFILL PROFILE SIONS (U(—_JFU.L IN EXP SION AREA FILL REATER THAN2 FEET (-�} CLAY BARRIER J� jFII,L CERTIFICATI N TE U( )DEPTH GAUGES C�C_•.)VOL. ON PLAN FO R , UNCLASSIFIED & IMPERVIOUS U( )SEPARATION DI TANCE FROM TOE OF SLOPE THE CH �LF TRENCH PROVIDED 60FT MAX. C-�DLJPARALLEL TO CONTOUR ( (_)100% EXPANSION PROVIDED CSC )DETAIL/DUST FREE CRUSHED'STONE OR WASHED GRAVEL ( 6C__)GEOTEXTILE COVER SEPARATION DISTANCES ON PLAN - FAOM SSTS C,-- C-JI0' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL (�HI00'7`0 20' TO FOUNDATION WALLS WELL, 200' IN DLOD,150' TO PITS (Lr�(_J100' TO STREAM, WATERCOURSE, LAKE (inc expan), _.150' -T01 CAT CH,RASIN, 35'=- STO.RUMDRAW, -FIPED VV �iTE >.... 10' 'TO WATER �,INE (pits - 20') � J C-j50' INTERMITTENT DRAINAGE COURSE (,,:�J�2001/500' RESERVOIR, ETC. _ 150' GALLEY SYSTEMS C,e�f- )10' MIN TO LEDGE OUTCROP SEPTIC TANK Ll- C—)10' FROM FOUNDATION; 50' TO WELL WELL DIMENSIONS TO PROPERTY LINES e ULOCATION OF SERVICE CONNECTION (_YC -)MIN 15' TO PROPERTY LINE SLOPE �C�OPE IN SSTS AREA (S20 %) C )C�REGRADED TO 15 %, IF REQUIRED DOSE/PUMP SYSTEMS U(__)P OT U( )DOSE °/ F qIPE VOLUME/DOSE VOLUME NOTED LJC_JDETAH^R F RCE MAIN, (PIPE TYPE, ETC.) C_)CjPIT A0 D-WOk SHOWN & DETAILED C -)Cj1 DA STORAGE ABOVE ALARM CURTAIN DRAIN C—)C--)STANDPIP , 5' OTH SIDES, DETAIL C--)C-J151 MIN to %, 20' -4 %, 25' -3 %, 35' -1 %,100 % - <I% (-_)C__-)20' MIN t CD DISCHARGE /100' with 182 cons day discharge o NON - PERFORATED PIPE KEANE COPPELMAN ENGINEERS, P.C. 113 Smith Avenue MOUNT KISCO, NEW YORK 10549 - _ r a ..: _. -- - • . (914) 241 2235 -. -..� � a. ,- .;.ti:.., � ... � . _ - - ,. ; :� TO Shawn Roaan Putnam County Health Department 11944EN @IF 4 ° ° Gv @W0V4Qd DATE 7/?2/Q2- L10B NO. r. r,� -_-.- ~ ATTENTION _ RE: Camp Collins Road Putnam Valley WE ARE SENDING YOU Attached ❑ Under separate cover via • Shop drawings ❑ Prints XR Plans • Copy of letter ❑ Change order N Form the following items: ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION 1 ❑ Approved as submitted ❑ Resubmit copies for approval PCDOH - Construction Permit for Sewage Treatment Sys. 4 ❑ Approved as noted ❑ Submit copies for distribution SSTS Plans & Details As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS RESE ARE TkANSM11 I ED as checFled b21Ov XX For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO - SIGNED: If enclosures are not as noted, kindly notify us at one KEANE COPPELMAN ENGINEERS, P.C. 113 Smith Avenue MOUNT KISCO, NEW YORK 10549 (914) 241.2235 TO Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 WE ARE SENDING YOU Attached ❑ Under separate cover via • Shop drawings ❑ Prints X Plans • Copy of letter ❑ Change order ❑ [LIEVVIEQ W V ° ° l@ ulwl avlff l DATE JOB NO. .. ATTENTION Adam Stiebeling RE: Camp Collins Road Town of Putnam Valley Putnam County, NY Rose Property Lot 1 the following items: ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION 5 Fill placement Plan 5 Trench Plan fl - THESE ARE TRANSMITTED as checked below: 0 For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS Revised as per Memo received 5/25/01. 'r'pY TO SIGNED: 0 KEANE COPPELIMAN ENGINEERS, P.C. 113 Smith Avenue MOUNT KISCO, NEW YORK 10549 TO �yTl�i�� CoU N`�`� ��t�-T• WE ARE SENDING YOU Attached ❑ Under separate cover via _ ❑ Shop drawings ❑ Prints ❑ Plans ❑ Copy of letter ❑ Change order ❑ �- I .4n E Pi, A �,S S LLI Ll LJ 1212 @I LJ o nLJV @IJ 0 LI U1LL DATE + d 1 pAA" _s ..tr_l3Ei_ JOB NO NG RE: ' I FV E N LE- rzo-IT d Ck�A? COLU Q`S �Zp TN !� coo ►•1�`� I` 55T5 Ll��i P(�6F'tt,,� E (A1LS P ❑ Samples the following items: ❑ Specifications COPIES DATE NO. DESCRIPTION 55T5 Ll��i P(�6F'tt,,� E (A1LS P C N uCTt�� E RM l SIGH DA SHOF-7 P � PRa �L F' Pt STS 1 �v-c�o�R�ZAT�a cwt �o��t _.THF r..aCR.F.T • For approval ❑ Approved as copies for approval • For your use ❑ Approved as noted Submit copies for distribution • As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: If enclosures are not as noted, kindly notify us at - Ajar -12 -01 04:01 Keane Coppelman Engr 4 ;: "1'CJLC1r Public Health Direeror P.02 LORETTA^ MOLINARI RN., M.S.N. Assw4m Public Health Director Diredar of Parhnr Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 REQUEST FOR FIELD TESTING ATTENTION: 0-ADAM STIEBELING ❑ GENE REED All information below must be fidly completed prior to any scheduling. DAB: 04/12/01 ENGINEERORFIRM: Keane Coppelman Engineers PHONE #:914-241--:2235 REASON: DEEPS: b PERCS: Ta PUMP TEST: o ROADISTREET: Camp Collins Road TOWN: Putnam Valley TAX MAP #: 72 -1 -19.1 SUBDIVISION: Rose Property LOT #: 1 OWNER: Steven Cerutti NYCDEP CRITERIA FOR JOINT REVIEW AND MOTNESSING OF SOIL TESTING YES NO 0 ❑ G xx 0 >k Proposed SSTS within the drainage basin of West Branch or Boyds Corner Reservoirs. Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. Proposed SS'I'S withid 2M feet of a waterc 49--er �(Az °`�yrYi Proposed SSTS design flow greater than 1000 gallons/day or SPDES Permit required. Proposed SSTS for a Commerical ProjeeL It is the responsibility of the design professional to provide the above information prior to soil testing. This Department will determine the NYCDEP. project status (Joint or Delegated) based on the response. if you answ ered yn to any of the questions, NYCDEP must witness the soil testing. This Department will coordinate a mutually suitable time for field testing with the PCDOH, the Design Professional and NYCDEP. If a project'has' een determined to be Delegated based on the above response and Wed, sttbsequep information indicates NYCDEP is required to witness the soil testing, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYCDEP. *p FOR COUNTY USE ONLY DATE: ` TIME: 0 A COMMENTS KEANE COPPELIVIAN ENGINEERS, P.C. 113 Smith Avenue MOUNT KISCO, NEW YORK 10549 (914) 241-2235 TO Putnam County Health Department 1 Geneva Road Brewster, NY 10509 WE ARE SENDING YOU X1 Attached ❑ Under separate cover via ❑ Shop drawings Prints ❑ Plans ❑ Copy of letter ❑ Change order ❑ U21TV19n @1P VD2&H@W0VVZr,�[L DATE JOB NO. ATTENTION Adam Stiebeling RE: Mr. Steven Ceruti Rose Subdivision - Lot 1 sprout Brook Road Putnam Valley, NY Putnam County the following items: ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION 4 Revised Sewage System Plan n st: A E'8 C A E - T k 9N S M -11 TE1 TaTchecked I i96 Z ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval 1:1 For your use ❑ Approved as noted ❑ Submit - copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: If enclosures are not as noted, kindly notify us at once. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISIO N OF ENVIRONMENTAL HEALTH SERVICES ES _ _ :.aa, . .. _. .,., .. r- �. s .- � � .. . :..e..•r..� .. � ^a.r_� , -m'..; .:ys, -> w ..r. .•: ..n.�t .a:nc«� .- .r:': v:F�.�....._e.e:nir•:.d - -�_, .. x -x LETTER OF AUTHORIZATION RE: Property of Steven Cerutti Located at Camp Collins Road T/Vputnam Valley Tax Map # 72 Block 1 Lot 1 `� Subdivision of Rose Properties Subdivision Lot # Gentlemen: 1 Filed Map # 2152 Date Filed 7/4/86 This letter is to authorize Peter J. Gregory,PE Keane Coppelman Engineers, P.C. a.duly licensed Professional Engineer x or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam �. County Health 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 { in.conformityvith thu.prE of Article 145 and /o.r, -14'1 of the:Educat�cr Law,Tthc I'�ubla.�- e It o Law, and the Putnam County Sanitary Code. - . • . - ^sh.- _. FOR _ Very truly yours, -Er'Cf' P.C. Countersigne .1 ��. �i =-.° <,� �,L CORPORATIONigned: P.E., R.A., # 07122 (Owner of Property) Mailing Address 113 smith Avenue Mailing Address: P.O. box 91 Mount Kisco, Putnam Valley State NY Zip 10549 State NY Zip 10 5 7 9 Telephone: 914-241-2235 Telephone: 914-328-2634 Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH �o Date L o iM T0: R . T7F.c_ coo FROM: For your information For signature - Fores — — Referred for handling ached as requested _ ............. Returned as requested Please see me -- — Read and return CONfBUMS: -- -. t-p L K C� ;• ^....- _rte- ._.._.. ..,..r-- ._.• -- 'ec�!�.e... -"v.. ,, .d: � .:.•rain...- r..... _. , r� i - n r.. - -� ~�i. w:, ,...v � :4_^� . �i�.. ... _ � a .. � -a ". _... r i Y PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS REVIEW SHEET FOR CONSTRUCTION PERMIT n d -N i1�11 OF'UWNEk: �.w Y- . STREET . LOCATTON: - V' - G[::K YJ. EVIEWED BY: RBI, GR/4gSRDATE: 3 z O TAX FLAP =: (CO IED) L� T- DOC'j "-t " TS 1 (REQUIRED DETAILS ON PLANS CONT'Dl �PERNITT PLICATION ( OUSE SEWER -' /a" FT. 4 "0'; TYPE PIPE CAST IRON /z W MIT OR PWS LETTER C_ AC_). 0 BENDS; MJ%X BENDS 450 W /CLEANOUT PC- RENEWALS L TER OF A ORIZATION USITE NOTE (NO CHANGE) CORPORATE RESOLUTION (�(QSHORT EAF �E PLANS -THREE SETS PLANS - TWO SETS L_�SE ,K ARIANCE REQUEST - SUBDMSION U(_JLE GAL SUBDIVISION A PVAL CHECKED (�PERC RATEN ' (� LLREQUIRED DEPTH LCURTAl i DRAIN REQUIRED GENERAL t_)L/ ?1��ANSSUBNIITTEDTOW� CATED LN NYC WATERSHED (� P GATED TO PCHD U EP PRO 'D SE I I .. – U� •. (_,(SEX- APPROVAL SSDS ADJ, LOTS UUWETLANDS (TOWN/DEC PERMIT REQ'D ?) (_J� ON DDS PLANS & PERMIT SAME �) 69 NEIGHBOR NOTIFICATION ( X L4bTirTTER BI/ZBA a 00 YR FLOt ELEV�*TION W/I200' AGE SYSTEM PLAN - (NORTH ARROW) ; HYDRAULIC PROFILE VIfY FLOW YSTRUCTION NOTES 1 -15 31GN DATA: PERC & DEEP RESULTS 'ONTOURS EXISTING & PROPOSED IVEWAY & SLOPES, CUT OTING /GUTTER/CURTAIN DRAINS DA.SOIL TYPE BOUNDARIES 'LE BLOCK; OWNERS NAME ADDRESS A,-PE/RA; NAME, ADDRESS, PHONES TE OF DRAWLYG/REVLSION A' ��20POSED FINISH FLO B -SEMENT ELEVATIONS U ELLS & SSDS'S W/IN 200' OF SSTS UPROPERT)�METES & BOUNDS COMMENTS: zvt � L� (REVSHEET) ORIZONTAL; PA_,SJ�TRENCH SLOPES 3:1 TO GRADE L PROTIME & T4MENSIONS L IN EXPANSION AREA �L GRE��R�A�V 2 FEET � AY BARRIER. �ERTIFTCATION NOTp UM PTH GAUGES u F TREN CH PROVIDED —a-7,,3 60FT MAX. ARALLEL TO CONTOURS �Wa EXPANSION PROVIDED iETAIL/DUST FREE CRUSHED STONE OR WASHED GRAVEL ;EOTEXTME COVER 0' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL X TO FOUNDATION WALLS -To X100' TO WELL, 200' I I DLOD,150' TO PITS L/j W(—v�io,LNTEIR )100' TO STREAM, WATERCOURSE, LAKE (inc. espan) ' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER ' TO WATER LIME (pits - 2 �� t O. ivI TITENT DRAINAGE COURSE ( jt u0`i5ui;'iU SFR'vOIR,cTL: -1`50` GALUY SYSTEMS`- " 0' blLi TO LEDGE OUTCROP I SEPTIC TANK c� 0' FROM FOUNDATION; 50' TO WELL T° WELL U DIMENSIONS TO PROPERTY LINES LOCATION OF SERVICE CONNECTION �� 1 U 15' TO PROPERTY LINE SLOE a . (__)SLOPE IN SSTS AREA (520 %) ' S (__)( JREGRADED TO 15 %, IF REQUIRED DOSE/PUMP SYSTEMS (__)( PUMP NOTES ( _J( DOSE 75% OF PIPE VOLUME/DOSE VOLUME NOTED (_) DETAIL FOR FORCE MAIN, (PIPE TYPE, ETC.) U( PIT AND D -BOX SHOWN & DETAILED L j ()I DAY STORAGE ABOVE ALARM (� ST ND S, 5' BOTH SIDES, DETA T bIIN to CDS=> o, o, - -10 100 % -<I% 20' bII`I to CD DISCHARGE /100' with 2 cons day discharge (�( _J10' MIN to NON- PERFORATED PIPE �'Ec.L iat (!:iC V" 4 BRUCE R. FOLEY - Public ' Health `Director ` DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N.,. M.S.N. . Associate Puuiie Heakh Ditecior Director of, Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 June 6, 200 1 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 Keane Coppleman Engineering 113 Smith Avenue Mount Kisco, New York 10549 Re: Waiver Committee Determination Cerutti, Camp Collins Road (T) Putnam Valley, TM# 72 -1 -19.1 Dear Mr. Gregory: The Putnam County Waiver Committee was presented with the waiver request for the above regarded project on June 5,2001. The following determination has been made: ❑ The Waiver request was approved. ® The Waiver request was conditionally approved. However as noted below, must be completed prior to the issuance of a permit. F .. -.Ta --e n Lt ti'- re :niit Waiver'fii'om th- T wn .o . Putnam Valley Wetlands Commission for proposed "regulated activities" within area of wetlands, (as noted in letter of comment dated April 2, 2001). ❑ The Waiver request was denied. An explanation has been noted below. ❑ The Waiver request was not voted on. Explanation noted below. t If there are any questions regarding this matter, please contact me at (845) 278 -6130 ext. 2157. Very truly yours, Adam B. Stiebeling ABS:cj Assistant Public Health Engineer V v Public Health Director Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 April 2, 2001 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 Keane Coppleman Engineering 113 Smith Avenue Mount Kisco, New York 10.549 Re: Cerutti, Camp Collins Road - - TM# 72 -1 -19.1, (T) Putnam Valley Dear Mr. Gregory: This office has received and reviewed the most recent set of plans for the above mentioned project. We would like - -_.to o er the following comments for your- review and consideration. -------------------- - - - - -- - -- — - - -- - -- - D_042ents 1. Prior to final approval, wetlands permit or permit waiver must be issued by the Town of Putnam Valley Wetland Commission pursuant to the Town of Putnam Valley Wetland Regulations. Proposed activity of wetlands /stream may require approval. - - Tr h an _ .. Fi."er_tification statement_ (blank) must appear, on "trenpb,plan.'.' anCc i ea''ubservaii'on iiiYits'ueCaii'rE"hired- - -_- ::. Reference to trench spacing (670" o /c) under "construction notes" differs from the plan, notes and fill section detail (7-0 ". o /c). Profile notes 375 lineal feet of trench required. ' Plan, notes and permit state required 378 lineal feet. Please clarify.. kF Ian Silt fence (erosion control) measures to b s o wn on fill plan. Please add the following note to profile note: "Provide 3' -0" minimum bank run sand and gravel fill over entire septic area or additional as noted to achieve maximum 15% slope." This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 2157 if any questions arise. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj 9 BRUCE R FOLEY y Public Health Director + LORETTA MOLINARI RN., M.S.N. a Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 . WIC (845) 278 - 6678 Fax (845) 278 - 6085 April 2, 2001 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 Keane Coppleman Engineering 113 Smith Avenue Mount Kisco, New York 10549 Re: Cerutti, Camp Collins Road - TM# 72 -1 -19.1, (T) Putnam Valley Dear Mr. Gregory: This office has received and reviewed the most recent set of plans for the above mentioned project. We would like - -to offer. the. following comments-for .your. review .and consideration..--.------------------__-------.---------- .------- ____.._.____._ Documents 1. Prior to final approval, wetlands permit or permit waiver must be issued by the Town of Putnam Valley Wetland Commission pursuant to the Town of Putnam Valley Wetland Regulations. Proposed activity of wetlands /stream may require approval. Trench Plan _ Fill. certif appear. on-"trench plan." - L. stand pipes (observation points) detail required.'- 3. Reference to trench spacing (6' -0" o /c) under "construction notes" differs from the plan, notes and fill section detail (T-0 ". o /c). 4. Profile notes 375 lineal feet of trench required. Plan, notes and permit state required 378 lineal feet. Please clarify.. Fill Plan l.__ Silt fence (&osi6n coritrol) measures to be shown'on fill plan. 2. Please add the following note to profile note: "Provide 3' -0" minimum bank run sand and gravel fill over entire septic area or additional as noted to achieve maximum 15% slope." This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 2157 if any questions arise. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj •-' 77 •'• •° lO1Z`l'Jt.i.. it i'vi:Y: a .•- Public Health Director -+- Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 . Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 April 2, 2001 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 Keane Coppleman Engineering 113 Smith Avenue Mount Kisco, New York 10549. Re: Cerutti, Camp Collins Road TM# 72 -1 -19.1, (T) Putnam Valley Dear Mr. Gregory: VR This office has received and reviewed the most recent set of plans for the above mentioned project. We would like to offer the following comments for your review and consideration. D currents Application Form PC -97 a. Item(s) # 22 and 23 require completion. b. Item # 28 requires completion or state N/A if so. Application Form DD -97 . a. Date of soil percolation testing "pre -soak and test date" required. b. Deep hole observations made by............ Date .................... are required. Please verify "field testing" is current within last 10 years. PCHD Bulletin ST 719 requires testing to be current (Section 3,13 and C)_ 1. Fill certification "note" to appear on the trench plan. Horizontal separation distance of 35' -0" (closed drainage pipe to area of SSTS) shall be measured from the toe of slope of fill. Plan depicts separation from pipe to trenches. 3. Stand pipes (observation points) required to be 5' -0" either side, up and down gradient from the curtain drain. -- --i'lease also provide detail of such. This office recommends use of an infiltration pit for roof and footing leader drains. Please consider. Please note PCHD design trench spacing 6-0 ", T -0" is acceptable as specified. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 2157 if any questions arise. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj Enc. Entire submission PUTNAM COUNTY DEPARTMENT OF HEALTH ' DIVISION OF ENVIRONMENTAL HEALTH SERVICES '=!'riil l.J�Z[-f1V'1V`15�1\ �Y IiV�tiL'Vl �Lt�lY►7 �V� A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: Steven Cerutti P.O. Box 91 Putnam Valley, NY.10579 2. Name of project: Steven Cerutti 3. Location TN: Putnam Vale 4. Design Professional: Keane coppelman Engr5. Address: 113 Smith Ave. 6. Drainage Basin: Mount Kisco, NY 10549 7. Type of Project: 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 x Type II Unlisted 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... No 10. Has DEIS been completed and found acceptable by Lead Agency? ............... 11. Name of Lead Agency - 12. Is. this project in. an .area under.the control of !Deal F�arn;n.g, zo1 -H!" -er' other.:.. ..ortitfd1s; bfd16i ces? ....................... ............................... c .................... No 13. If so, have plans been submitted to such authorities? ........ ............................... 14. Has preliminary approval been granted by such authorities? Date granted: No 15. Type of Sewage Treatment System Discharge ................. surface water x groundwater 16. If surface water discharge, what is the stream class designation? .................... - 17. Waters index number (surface) ........................................... ............................... 18. Is project located near a public water supply system? No 19. If yes, name of water supply Distance to water supply - 20. Is project site near a public sewage collection.or treatment system? ................ No 21. Name of sewage system - Distance to sewage system - 22. Date test holes observed 4/2.4/.01 23. Name of Health Inspector Adam, Stiebeling 24. Project design flow (gallons per day) ................................. ............................... 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 2 27. Is any portion of this .project located within a designated Town or State wetland? Yes 28. Wetlands ID Nurn.,i 29. Is Wetlands Permit required? - Has application been made to Town or Local DEC office? r No ...... . 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, No landfilling,. sludge application or industrial activity? ............................ Yes/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 No other potentially known source of contamination? ............................... Yes/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 15 years in or adjacent to project site? No 35. Are any sewage treatment areas in excess of 15% slope? . ............................... No 36. Tax Ma ID Number �.. Map .......................... ............................... Map.: .7. 31ock 1 Lot 9.l 37. Approved plans are to be returned to ..... Applicant X Design Professional 9nr���Cta4in.no 4nr_.n.r: -..... and .>.,. 1 r y i . t _N r sr. � . ,. Ct"-• -- �••• :- .,`..:.•�•:�••::a..dapp.G'vao a'i 1cw SS' PS t` �' Ge' l6caicavi% 11i1L11- 1i [1C1V�L.V�i21te1�I1Cl��SIla11 ._ -. be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval of the SSTS prior to final 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 I .,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be 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 tc SIGNATURES & OFFICIAL TITLES: Mailing Address: ................................... lovt1-X1 tea - & Y 1 "I5�ZF 0 P VTNL].J.II C01 Y'DEPAUMENT-.OF HE A ..:., ._ D.MSION —OF ENVIRONMENTAL HEALTH SERVICES Low- � 4 INITIAL MWMUAL /COMDERCIA'L SITE INSPECTION FORM i SECTION A. GENERAL INFORMATION, Name of Project C 1 OTT ( (T) County C Site Location M Building construction begJn ►`�� i Extent Is projerty within NYC Watershed ? ................. Yes No SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. Hilly__ ❑Rolling-- _❑.Steep'slope-°� -_ entleslope —��- - Flat - - -- -- - 2. ❑ Evide a of wetlands Low area subject to flooding ED Bodies of water rainage-ditches Rock outcrops 3. Property lines or comers evident ....................... ............................... Yes o -- - - - �-4.-� -'Do water coiu�ses exist on or adjoin tFie property..... - es .. ❑ - No T 5. Will these affect the design of the sewage system facilities ?............ 6. -Do watershed regulations apply -in this development ?.. :: ........ :, _...- W1�I�P.YtP.Y1Cj :w-�'aKr:i �b "11G�.FirlSdr! .............. ............................... 8. Will extensive . e necessary for SSTS? ....... ............................... 9. Do filled areas exist within the SSTS area? ....... ............................... If yes, what is the condition of the fill? lid" �" .❑ No cj ,,oak Yes -Yes No 5,1'es ❑ Yes ❑ No SECTION C. SOIL OBSERVATIONS 10. - Appearance of soil: Sand vel am : Clay - Hardpan Mixture 11. Observed from: ❑ Borings 0 Bank cut a k oe excavations C Y- 12. Soil borings/excavations observed by - - x*,q F C 13. Depth to groundwater I 0 F* *" � on 14. Depth to mottling on 15. Are test holes representative of primary & reserve areas..... L�esl 16. Soil percolation tests made by on 4 17. Soil percolation tests witnessed by on SECTION D (on back) 2' SECTION D. DRAINAGE 18. Will proposed grading materially alter the natural drainage in this or adjacent areas? es N 19. Will groundwater or surface drainage require special consideration? ..................... a Yes No 20. Will gullies, ditches, etc., be filled and watercourses be relocated ? ......................... � Yes SECTION E. REMARKS 21. • If a common water supply is proposed, has an inspection been made of the existing or proposed source and facilities? ............................... : ........ ......................... 0 Yes 21 eo Inspection data - -- - 22. Do adjacent, we s and/or sewage, systems exist ? ....:.......::: :::...............- 23. Additional Yes ❑ No 24. Site observer /inspector and title - -- `25. Dates) of observation(s)inspection(s) TEST PI PROFILES Hole # Lot # __Hole # - - -Lot # --Hole # - .... . ;lot _.- Depth to water Depth to water Depth to water - - _ ... ... A_.._ -- . ?berth to mottling T)- th to �c fli„ g - r Depth to mottling Depth to rock/unp. Depth to rock/imp. J Depth to rock/imp. G.L. ®/f G.L.. G.L. 0.5 - . _.:0.5. � C -0.5~ _ 1.0 2. 72V 3.0 3.0 �n- , -- 3.0 4.0 4.0 5.0 / 5.0 ��-��'( 5.0 b 6.0 L 6.0 6:0 7.0 l"' C� �ja L 7.0 1 T_ 7.0 8.0 8.0 8.0 Mll 10.0 9.0 9.0 10.0 10.0 e 1 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ' N .... r.. -+:.ar�.Y iJ�jV L� �Aj �`IN :q'�.� '^ .__ Vie'— .'<���_ " ._ •-. _ _ .a ._. ,. >. �..a�. —. +t Owner Steven Cerutti Address _ P.O. Box 91,_Putnam va 1 1 ey _Ny & Sprout Located at (Street) Camp Collins Rd. Brook Rd. Tax.Map 7z" Block 1 Lot 14• (indicate nearest cross street) Municipality Putnam valley Drainage Basin SOIL PERCOLATION TEST DATA Date of Pre - soaking 04/26/01 Date of Percolation Test 04/27/01 Hole No. Run No. Time Start - Stop Ela % Time Min.) De th to Water rom Ground Surface (Inches) Start Stop Water Level Drop In Indies Percolation Rate Min/Inch 1 1 0:00 -10:24 24 17 20 3 8 2 0:30 -10:55 26 17 20 3 8.3 3 1:00 -11:27 27 17 20 3 9 4 5 2 15- .12.4_ 12:50 -1 -20_ .30 ;2 _ ? 0 _.. 30 17 20 3 10 3 125 1i50 31 17 20 3 10.3 4 5 1 2 3 4 5 rates are obtained at each NOTES: 1. Tests to be reheated at same death until anoroximately eoual percolation 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. -� Ire "M 91 MIN Indicate level at which groundwater is encountered NA Indicate level at which mottling is observed NA Indicate level to which water level rises after being encountered NA Deep hole observations made by: Adam .Stieb,ling Date 04/24/01 Design Professional Name: Keane Coppelman Engineers Address: 113 Smith Avenue Mount Kisco, NY 10549 Signature: Design Professional's Seal e d 2 TEST PIT DATA DESCRIPTION OF SOILS- ENCOUNTERED IN TEST HOLES ;:ti-:. .� . �i✓ T i " ".> .::..;.; 0 l ;E -14O— - 1:. , HOLE NO. 2 HOLE NO. G.L. organics Organics 0.5' Sandy Loam Sandy Loam 1.5' W /Small Med Cobbles W ma j--L mezi Cobriles 2.0' 2.5' 3.0' 3.5' � 4.0 Ledge .4.5' Ledge 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.5' 10.0' Indicate level at which groundwater is encountered NA Indicate level at which mottling is observed NA Indicate level to which water level rises after being encountered NA Deep hole observations made by: Adam .Stieb,ling Date 04/24/01 Design Professional Name: Keane Coppelman Engineers Address: 113 Smith Avenue Mount Kisco, NY 10549 Signature: Design Professional's Seal W/ BAFFLE 15" ADS N12 TO DRAIN INLET 1 � / - -- RROP\ I304� OPOSED CURTAIN DRAIN OUTLET - _ OSED 378 LF ABSORBTION TRENCH _ _ '\ —;PRO.P�SED_,SEEPAGE .PITT 'IDE, 7, -0" 0. C. W/ J —BOX (TYP.) -- - ` _- - - - - -- — _ 5: MIN. '�, _ — _ - - - — __ PRECAST CONC. DRAIN INLET 1 - °T�#ar� PROPOSED DRIVEWAY, RIM = 253.50 -------- - - - - -- INV. (IN)= 251.50 _ INV. (OUT)= 251.25 ; —'.�► PROVIDE 3' -0" BANK RUN FILL OVER ENTIRE SEPTIC AREA — — 0 FILL PLAN FOR PLACEMENT OF FILL) - - PROPOSED SILT FENCE (TYP.) ECAST CONC. DRAIN INLET 2 — — =� — _ _ — � S_ -ND F RIM= 236.00 I S / - -- ` ' TO -MONI INV. = 234.00 (IN) INV.= 233.50 (OUT) ` €XI ST. ,NO-BiTCTMINC P ', E- N-T —TO- BE ,RIP —RAP AT DRAIN .OU_TLET.... 90 OF 15 ADS N12 @ 3.50, Op _ _ PRIIPOSEI D1RrV €WAY �:.. EXISTING 15" C.M.P. UNDER DRIVE ' ` Rp�O TO BE REMOVED or `Y57� � O 1�� °r I' � � .. V ! L XISTINQ SWALE i J 'ES SSTS & WATER SUPPLY iIN 10'-OF. THE PROPOSED SUBSURFACE SEWAGE TREATMENT (SSTS) D.- - FXISTINr, -1 R" r nn A - f ti Ii E �;