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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 72. -1 -37.3 BOX 26 ,Iry I �wl",rm mir 146 No, not No 11111 y, ■■ j1 �� I � 03184 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location . _.. Street Address T�wn/Village: Tax Grid # , V Nlap ^" ....Block Lot(s)y Well Owner: Name:• Address: r LL N Use of Well: 1- primary 2- secondary VResidential Public Supply Air cond/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 Open hole in bedrock Other Casing Details Total length &0 ft. Length below grade Q ft. Diameter 0 in. Weight per foot lb /ft. Materials: Sfeel Plastic Other Joints: Welded X Threaded Other Seal: Cement grout _ Bentonite Other Drive shoe: Yes No Liner: Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _ Bailed _ Pumped I Compressed Air Hours & I Yield CKgpm Depth Data Measure from land surface - static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or sieve analyses please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface ` �j p /t J •:, If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Sk 1p Capacity /Gsl Depth Model /6 5�.5 Voltage Aa6 HP Tank•'Type_l /tj Volume OF Date Well omple d 1 2741 Putnam County Certification No. Date of 'port Well tiller ignature) NOTE: Exact location of well with distances to at least two permanent landmarks to be provr"oti a separate sheet/plan. Well Driller's Name, �W Co Signature: / i 4/11W Address: 1(54 RT _�2 WDX osid Date: q 8 White copy: File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 u, PUTNAM COUNTY DEPARTMENT OF HEALTH O_ .,DINTS.ION.OF _ENV1RONMEN !n H EAL,T' C..SER ' -- c. _ - .. ��b�...��_.:..%:rT —�'..: r.. ,.:�' -_.._ - .._6�^. r a -�-�. _c-.:�-- r..�.:'s. ar• f .- �.-,.oa!�:¢w.- .o..e!.tv.c -: ,:.:...... .�. �'.- .�J:'.,.... _GV.d'..e ...� _. CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # PV- ZL -Ol Located at A Town or Village Lr� Owner /Applicant Name M t c id aE - C„ a-m-a.,io ta� Tax 'Map 2- Block o 1 Lot 31.3 Formerl UJA Subdivision Name Subd. Lot # Mailing Address At Vkoeco�a gotw%-J �RAuO R)Tntbr." vau--�--Y ' � Zip 9 Date Construction Permit Issued by PCHD 4 Z3 0 Separate Sewerage System built by �u2Ea �` `s C-oNkScevcio�!Address Coe.Tc.aubT e- 105fel- Consisting of f Z-Sd Gallon Septic Tank and q0S UF. OF Z' wa�� A�s�2pT�o•. ree&kz- a SPwc(E-0 e Ca �- O.4 oak Cks it Ef?— Other Requirements:_ Water SuIR&: Public Supply From. Address or: Private Supply Drilled by Boyo &r+gstcwt Wg,„C.a. Address Cng.tAF-L , 10S12- ....�,...�Building -T��, e: -- ����t -ice ;;� � _ _ ,�Iac ,pros o o l: be h o . -: =:, _ - . ' - .. � . -•- -�: � - -: _ ' =- .�.� Number of Bedrooms Has garbage grinder been installed? �A 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 of the Pu unty Department of Health. L& Certified by , Date: P.E. R.A. :t06t,C E �,./.e,i S�aoa. Sut�uctiat (Design Professional) EW4ANr- M-`M PC. , Address z)(. :a Ca`,p mac, t- /. I oz-t co License # 0('z Sa V 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 Title: IA f Date: t6 d copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: Town/Village: Tax Grid # Map" -Block Law Well Owner: Name:• , Address: Use of Well: 1- primary 2- secondary Residential Public Supply Air cond/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 Open hole in bedrock Other Casing Details Total length ft.. Length below grade 10 Q ft. Diameter in. Weight per foot lb /ft. Materials: Steel Plastic _ Other Joints: Welded Threaded Other Seal: Cement grout _ Bentonite Other Drive shoe: Yes No Liner Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _ Bailed _Pumped I Compressed Air Hours & Yield gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or sieve analyses �ee•aysil4�l�:r . _� please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface /{ - �u"_' ;il t': -�' ,>_'!_;��,:: .�,.:.�. v _ - r_:'; .. ....._ . �l If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type y Capacity A2 Edit Depth, Model /Q Sly Voltage HP %ss Tank`'Type #iq Volume %D- /�APA / Date Well PmplePd I 11MAI Putnam County Certification No. Date of port Well riller ignature) NOTE: Exact location of well with distances to at least two permanent landmarks to be provicj 'oti a separate teet/plan. 444/1 Well Driller's Name, ' Co Address: Im RTl OS +a Signature: Date: R � )7-145 '7- White copy: File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 ,`SAM CpG A. BRUCE R. FOLEY DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. A±S�QGi3t?,P11Ji�r .Haalt}gjZire�tltr ', - � - . 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 (845)'278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 E911 ADDRESS VERIFICATION FORM OWNERS NAME: TAX MAP NUMBER: E911 ADDRESS: TOWN: Michael Carravone 72- 01.37.3 Horton Hollow Road AUTHORIZED TOWN OFFICIAL: DATE: (Signature) 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 with the application for a Certificate of Construction Compliance. (E911 verfrm) PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE 'OF SUBSURFACE SEWAGE TREATMENT SYSTEM Michael Carravone Owner or Purchaser of Building Three R's Construction Building Constructed by Horton Hollow Road Location- Street Residential Building Type 72 01 37.3 Tax Map Block Lot (T) Putnam Valley TownNillage Westchester Holding Co., Inc. Parcel III Subdivision Name Subdivision Lot # IN 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 system. 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. 20 (Owner) - Signature Three R's Construction Corporation Name (if corporation) Address: 2292 Crompond Road 2005 Signature: _ Title: Corporation Name (if corporation) Address: State New York Zip 10567 State Zip Form GS -97 YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 . Albert H. Padovani, Director LAB #: 1.506006 CLIENT #: 58763 NON STAT PROC PAGE: 1 CARRAVONE, MICHELL DATE/TIME TAKEN: 08/29/05 09:00 48 HORTON HOLLOW ROAD DATE/TIME REC'D: 08/29/05 10:14 PUTNAM VALLEY, NY 10579 REPORT DATE: 09/14/05 PHONE: (914)-755-7482 SAMPLING SITE: 48 HORTON HOLLOW : WELL TANK COL'D BY: ROBBY R TEICHMAN NOTES...: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE PUTNAM CNTY PROFILE 08/29/05 MF T. COLIFORM 09/09/05 LEAD (INS) 08/3O/05 NITRATE NITROG 08/31/05 NITRITE NITROG O8/29/05 IRON (Fe) 08/30/05 MANGANESE (Mn) 08/30/05 SODIUM (Na) 08/29/05 pH 09/06/05 HARDNESS,TOTAL 09/06/05 ALKALINITY (AS 08/29/05 TURBIDITY (TUR COMMENTS: PICK UP SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COL...[ FORM METH: MF ~~~~~~~~~~~~~~~~~~~~"~~~~~~~~~~~~~~~~~~ RESULT ABSENT /100 ML 1.3 ppb 0.24 MG /L <0.01 MG/L <0.060 MG /L 0.022 MG /L 5.16 MG /L 7.4 UNITS 102 MG /L 126 MG /L <1 NTU NORMAL - RANGE ABSENT O-15 ppb O - 10 N/A 0-0.3 mg/l O-0.3 mg/1 N/A 6.5-8.5 N/A N/A 0-5 NTU COMMENTS: BACT THESE RESULTS INDICATE THAT THE WAT WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCOR )THIE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb/Cu LEAD limits for p EPA Lead & Copper than 10% of their than 15 ppb and a treatment must be potential. ublic 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. METHOD 1008 9003 9052 9162 9002 9002 9002 9043 9001 o YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (Albert H. F."adovani, Director- LAB #: 1.506006 CLIENT #: 58763 NON STAT PROC PAGE: 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ CARRAVONE , MlCHELL 48 HORTON HOLLOW ROAD PUTNAM VALLEY, NY 10579 SAMPLING SITE!, 48 HORTQN HOLLOW : WELL TANK COL'D BY: ROBBY R TEICHMAN NOTES...: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE DATE/TIME TAKEN: 08/29/05 09:00 DATE/TIME REC'D: 08/29/05 10:14 REPORT DATE: 09/L4/05 PHONE: (914)-755-7482 SAMPLE TYPE..: P[RiABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLlFORM METH: MF RESULT NORMAL RANGE METHOD Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium is sugested. 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 RAT�OW� �E�F1RESSEDAS j��L� (���,��lh[�V�/]�.-]���.--�__^�_ 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: 0-70 MG/L VERY HARD WATER: ABOVE 300 MG/L MODERATELY HARD WATER: 70-140 MG/L MG/L = MILLIGRAM PER LITER HARD WATER: 140-300 MG/L (1 grain/gallon = 17.2 MG/L) ~� SUBMITTED BY: Director ' ELAFI# 103F22) BADEY & WATSON LETTER of TRANSMITTAL Fr' 3063 Route 9, Cold Spring, New York 10516 Date: 26 Sep 2005 File No. 98-105 W. 0. # 17413 RE: Certificate of Construction Compliance Carravone TO: Horton Hollow Road Mr. Joseph S. Paravati Jr. Westchester Holding Co. Inc. Pare Subd. Lot No. 3 Assistant Public Health Engineer Tax Map 72.4-37.3 Putnam County Department of Health Permit/Title/PO # PV-22-01 I Geneva Road Sent via: Brewster, NY 10509 US MAEL El UPS-NIGHT F1 MESSENGER El UPS-2 DAY El PICK-UP 11 UPS-3 DAY El FAX El UPS-GRND W We are sending: UPS-COD El copies date description of document F 11 126-Sep-05 lCertificate of Construction Compliance for Sewer Treatment System F 11 120-Sep-05 I FE911 Address Verification Form F 31 120-Sep-05 IGuarantee of Subsurface Sewage Treatment System r 11 113-Sep-05 [Eoq�� of Well Completion Report (See PCDH File For Original) F 11 114-Sep-05 7 lWell Water Test Results 51 111 -Sep-05 JApplication �e_e (300.00 Money Order) F-1 F-1 El REM[ARKS: Dear Mr. Paravati, please find the above documentation for your review. Copies to: File Yours truly: Neal A. Seidl Jr. Engineer Tel: (845) 265-9217 ext 25 Fax: (845) 265-4428 Email: nseidl@badey-watson.com 40 40-05 500113 626157 27824 _ _ __._� _ --. , jL & jpxdxzLimilrjual'4 1 VZ' tLEAL'11i DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION �- -- Date: Inspected by: 75fo Street Location 4o -ton 14. I ( ,*w t20c1.4 Owner. Ca,- r «_vov� ,..- Town - Q� n '✓4=1 ...� . A.ermii' ;fir _ a -o Subdivision Lot # ocyebi-cGw..sfe'- I. 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 ................... ....................:I......... d. Stone, brush, etc., greater than 15' from STS area......:... 6. 100' from water course / wetlands ..... ............................... II, Sewage System a. Septic tank size - 1,000 ......... ,1,250.other ................ b. � Septic'tank installed level .....:..........:........ . ....................... c. 10' minimum from foundation .......... ............................... d. Distribution Box 1. All outlets at same elevation -water tested. ...:.. 2. Protected below frost .. ........................ ........ 3. .. Minimum 2 ft.Original soil between box & tre /c S... e: Junction Box - properly set ........................ I................ 6. Trenches, 1. Length required e Length installed�'� 2. Distance to watercourse measured Ft..4lau 3. Installed according to plan ..............:. 4. Slope of trench acceptable 1/16 - 1/32" /foot ............. S. 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 /i' diameter clean ...................: 9. Depth of gravel in trench 12" minimum ....... :........... 10. Pipe ends capped ...:.................... ............................... g. Pump or Dosed Systems 2. Overflow tank ..................: /ettade ............ ............ 3. Alarm, visual/audio........:. ....................... 4. Pump easily accessible, manho ................. 5. First box baffl ed .......................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... UI.:House/Buildiris ..a. house located per approved plans................ .................... ..b. Number of bedrooms ............. . ............. ...:....................... IV Well 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 pl f. Curtain drain outfall protected & dinto exist watercc% g. .Footing drains discharge away from STS area ............... h. Surface water protection adequate ........ :........................... i. Erosion control provided ................. ............................... Rev. 12102 AUG-16-2005 16:53 BADEY & WATSON, PC P.01/02 • PUTN)rk COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ATTENTION JOSEPH GKNE REQUEST FOR EWj&L - INSPECTION Date:- PCHD Construction Permit # PV-22-61 Located: Owner/Applicant Name: Formerly: - 11 For: Fill Trenches Morton HoNow ROW. &V) _ Putnam Valley MictOW Cwvov*m TM -.-.-?2- Block I Lot 37-3 WA Subdivision Name: Westchester Holding Co., Inc. Is system fill completed? ___ WA IS system complete? Yes Is system constructed as per plans? Is well drilled? Yes Is well located as per plans? Are erosion control measures in place? Subdivision Lot # 3 Date: N/A Date: 7/19/2M NO Date; 7/19/2005 Yes Y" I certify that the system(s), as listed, at the above promises has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Construction Permit and approved plans and the Standards, Rules and Regulations of the Putnam County Department of Health. RA Design PYofessional Address: Ma" & VkWm, P.C. 1063 Route 9, Cold Sprit NY Lic. # Comments: Mr. PwavW we would like an Iropeoftn at yew WAW con►ience. Form FIR-99 062605 a A y�o PUTNAM COUNTY DEPARTMENT OF HEALTH V DIVISION OF ENVIRONMENTAL HEALTH SERVICES ..� -_"<P ��:_ _ � �.,- :¢�.•rr:•- __ -'- _ •.c -'. .e._ a..i= _- as-i.. . -+...i �'L <.�. ....� T:= �'"..�'�.i.,r�r... -:.. sa.mc•i .._. ,ST'..<'- -i..�y. ":.� - «�_ CONSTRUCTION PERMIT FOR SEWAGE NT SYSTEM Y PERMIT # Located at u) �D s� � Towne or Village 6/% yfl y! .V /X uJ.sT� T•r R. Subdivision name /494666C do . Subd. Lot # Tax Map es— Block l Lot . Date Subdivision Approved ` / Renewal Revision 41 Owner /Applicant Name'/ d g4l(- 4f.�R,<,,f /pit/,' Date of Previous Approval Mailing Address //O Amount of Fee Enclosed ," T- Z11-Arm Zip /4 , L(� �0 Building TypX45'15-14iL: y�Al–Lot Area !•.3.4cNo. of Bedrooms Design Flow GPD elof© Fill Section Only Depth Volume Separate Sewerage System to consist of v'�� gallon septic tank and 3zDD Other Requirements: To be constructed byf,�i�.Po /<l . o,✓s +� �a,r/s .✓�ddress,00 (2D /6 oV.Y Water Supply: Public Supply From Address ._• _. _ __ � � . _ pp y `riiiea'�ny- ',�.��ci�C�S'DiV i�f'...��s' -. -__�_ Aci�ess �.P.�iso��. %�� 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 P.E. /t R.A. Date 19,5111101 s6ggz k� License # 06 -:�J©�r 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. Approved for discharge of domestic sanitary sewage only. By: - `, Title: ��– Date: D� copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT.A.WATER WELL - - - '" Well Location: Street Address: TownNillage�,�/ Tax Grid # �e��0,0 Ke lle -Y Map Zt, Block / Lot(s)J 7 „3 Well Owner: Name: NicyA,( I_ Address: IA r6 6 4 1100 Clak7T� 4/� ' Ae., Use of Well: X Residential Public Supply Air /Cond/Heat Pdmp . Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought gpm #People Served Est. of Daily Usage DO al . Reason for Replace Existing Supply Test/Observation Additional Supply Drilling X New Supply (new dwelling) Deepen Existing Well Detailed Reason /C,C7,r /J & 44e- 4' for Drilling Well Type _� Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ........ ............................... ��� .... Yeses_ No ...... ................. Name of subdivision �����✓�og'T.�,2- /%�d�i✓ �4 �C4 7'� Lot No. -,3 Water Well Contractor EA /r/44SDA/ 6AdJ , Address: /1/y Is Public Water Supply available to site? ............ ............................... Yes No X Name of Public Water Supply: /i/ /� TownNillage /►�� _ Distance to property from nearest water main: Proposed well location & sources of contamination to be provided separate sheet/plan. Pate : 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 'ql')2101 Permit Issuing Official: Date of Expiration a3 Title: Permit is Non- Transf rra le White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 BADEY & WATSON LETTER of TRANSMITTAL Surveying &Engineering, P. �� 3063 Route 9, Cold Spring, `New ' Kok "10516 • _ Date:' 23 Mar 2004. File No. 98 -105 W. O. # 16447 RE: Carravone TO: Horton Hollow Road Mr. Joseph S. Paravad, Jr. Westchester Holding Co. Inc. Parc Subd. Lot No. " 3 Putnam County Department of Health Tax Map. 72:1 -373 1 Geneva Road : Permitfritle/PO # Pv -22-01 Brewster, NY 10509 Sent via: US MAIL . ` ❑..UPS-NIGHT ❑ MESSENGER ❑ UPS -2 DAY ❑ PICK -UP El UPS-3 DAY ❑ FAX ❑ UPS -GRND R We are sending: UPS -COD ❑ copies date description of document 7l 11- Mar -04 lConstruction Permit for Sewage Treatment System l Lettei of Authorization . 111 - Mar -O4 Subsurface Sewage Treatment'S stem Sheet 1. of 1 SDBL003_ _ R02) 0 11 1- Mar -04 jApplication to Construct a Water Well Certified Check for $400.00 - Application Fee REMARKS. 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 500113 626157 23769 I -n -A. -I YJ r 1J -0-1 GH11ti & WHi7UIVi r1 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES RE: property of. Located at F. 0e:%U2 ... - cF r � - ss A. a7i .�. Ci A::RdJY9 Ts'a.JiS •:•_ T/V Putnam Valley Tax Map # Michael Carravone Horton Hollow Rd. 72. Block .__...__1 Lot .37.3__..._. Subdivision of _ Westchester Holding Company -_ Subdivision Lot # 3 Filed Map # _ 28? AA Date Filed Gentlemen: 8/2/2001 This letter is to authorize -._ John P. Delanob -P.E. a duly licensed Professional Engineer -,,/ or Registered Architect --' to apply for the required wastewater treatment and/or water supply permits) 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 constriction of said wastewater treatment and/or water supply systerns in conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public Health Law, and the Putnam County Sanitary Code. Countersign P.E., R*, � Mailing Address Badey & Watson, P.C. w„_ 3063 Route 9 Cold Siring State New York Zip _ 10516 Telephone: $45- 265 -9217 Very truly your,, Signed: / - -- - - -- (Owner of r'ropevy) Mailing Address: 1100 Cortlandt Avenue Peekskill State New York Zip 10566 Telephone: _ w 914-739 -5038 Form LA -97 TOTAL P.62 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES C UIti S`rK>�1 C'I'ION PEI�IVI GE TREATMENT SYSTEM PERMIT # Located at HolzTot.1 HO LLOW (Zopa Town or Village P01 -10AM XI A •N�s -� c-t� �s�lZ Subdivision name wu6i 4 Lo, Subd. Lot # 3 Tax Map -7'Z,, Block i Lot 37.3 Date Subdivision Approved C)6/0-2-/01 Renewal Revision Owner /Applicant Name iv( t,, CA1ir" V O NrE Date of Previous Approval Mailing Address ) 100 C E T-t AOli i A v€ , hEey s K i L-t✓ tJ Y Zip 1 Amount of Fee Enclosed '� 30D, Old Building Type g r ,,;t_ Lot Area E3, -tAe- No. of Bedrooms + Design Flow GPD 800 Fill Section Only Depth Volume Separate Sewerage System to consist of lJ 2-5 D gallon septic tank and 400 !_, F, -z4 -clot III A asoP -P7-ro of Te &,c (4Es 5PAa& � 6 ` v. C Other Requirements: To be constructed by IAAEoL-1, L y 0 0-C 4 S0 &3t, Z Lt , Address R•r. q 1 Ge L-1� S pQ i" Water Supply: Public Supply From Address P�i :iate ss , »ryi Drt•�1e �� 4,.9 -..i: u f,6 N 'D rrS. }:sa.,..� — - Yt'-Y � "Y' -- �r�..v v � - tia.:aa vl. __�� i �L�fv +• ,v � � �r 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 Ob /Z z v License # 04, �Sl7s� 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 Pken considered ie the Public Health Director. Any revision or alteration of the approved plan requires a new z App r-- d of domestic sanitary sews a only. By: Title: Date: /0', White copy - HD File; Yellow copy - Building Inspector; Pink cop Owner; Orange copy - Design Prof ssion 1 Form CP -97 PUT NAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL i;,' Type Well Location: Street Address: Town/Village Tax Grid # HOP-uJ H o Lt.PyV PQ p. Pv i PJ A" f ,kLk r- Map `7 Z, Block t Lot(s) '3-7 ; -� Well Owner: Name: qA is jiAfw Address: CAPP-AVV C (1 PO CnRTL-Aiu l i Aye - cL- I 1J Y iask,& Use of Well: 4 Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitonng Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5— gpm # People Served 47 Est. of Daily Usage &00 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling _ New Supply (new dwelling) Deepen Existing Well Detailed Reason T'P-pY i c V c -CO L- FOL Nc l si Ct�r for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ............. Yes No X Is well located in a realty subdivision? ...................................... ............................... Yeses No Name of subdivision VVcfiTc441�sTE-: g (y L.h i 06 Co Paee�c i -ZI Lot No. 3 Water Well Contractor: Address: -_4AP-P -is©k ; IJ.i• Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: IJ ,. Town/Village t' Distance to property from nearest water main: > 6 m i L- EE Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: DS Applicant Signature:. _� e r 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 wate well dMr'fie Putnam County. Date of Issue ( c'� Permit Iss Official: Date of Expiration/ Zc7 Title: Permit is Non- Transferra e White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 1 AN A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: Michael Carravone 1100 Cortlandt Avenue Peekskill, NY10566 2. Name of project: Michael Carravone 3. LocationT /V: Putnam Valley 4. Design Professional: John P. Delano, P.E. 5. Address: Badey & Wats6n, P.C. 6. Drainage Basin: Hudson River Rt.9 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 (SEQR)? 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 Putnam County Department of Health 12. Is this project in an area under the control of local.planning, zoning, or:other...... _ _ - a_ ---------------------- - - - - -- - .------------- - - - - -- - Y� 13. If so, have plans been submitted to such authorities? ------------------ _ _ _ _ _ _ _ No 14. Has preliminary approval been granted by such authorities? No 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 >1mi 20. Is project site near a public sewage collection or treatment system? - _ _ _ _ - _ _ No 21. Name of sewage system N/A Distance to sewage system >1mi 22. Date test holes observed 23. Name of Health Inspector 11/06/00 A. Steibeling_ 24. Project design flow (gallons per ay) ______ ____ ___________________________ 800 25. Is State Pollutant Discharge Elimination System (SPOES) Permit required? ... No 26. Has SPDES Application been submitted to local DEC office? --------------- NSA Form PC -97 2 27. Is any portion of this project located within a designated Town or State wetland? Town 28. Wetlands ID Number _ _ _ _ _.__ N/A -a ac• .,. ,».-.- .. q -_ -: ...a __.�,:_.- >'- vx-�. -•.t. ks ,__�..� rc+r„ •n :.a -n ..�Y::•2w�.'i.+n�'lH. -v.. v'� -.G'.- �.�ti.T 29. Is Wetlands Permit required? ____________ ______ __________ __ _____________ No Has application been made to Town or Local DEC office? ------------------ NSA 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, landfilling, 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? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Yes 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 Map ID Number _ ______________________________- Map 72 Block 1 Lot 37.3 37. Approved plans are to be returned to _ _ _ . Applicant X Design Professional . _. NnTF.,A,1t* phcat'orL for rew wand approval o_f_ai new. SSTS.to be_lncaied -.i thin the .NV-- C.Wate_rsh_ed.shall--: . "" �" be`sent to ttie lleparhrient; and need n'ot be`sent in duplicate to-&e- t)EP,- although the project may require 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 to Section 210.45 of the Penal Law. SIGNATURES & OFFICIAL TITLES: Badey & Watson, P.C. 9 Mailing Address: ____________________ 3063 Route -• �' ��� Cold Spring, NY 10516 ;. . PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES JK RE: Property of Michael & Stephanie Carravone Located at T/V Putnam Valley Tax Map # Horton Hollow Road 72 Block 01 Lot 37.3 Subdivision of Westchester Holding Company Inc. Parcel III Subdivision Lot # 3 Filed Map # 2824A Date Filed Gentlemen: This letter is to authorize John P. Delano 08/02/01 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 conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public Health Law, and the Putnam County Sanitary Code. Very truly yours, Countersigned: Signed: P.E;, v?t,o# 062505 (owner of Property) Mailing Address Badey & Watson, P.C. 3063 Route 9, Cold Spring State New York Zip 10516 Mailing Address: 1100 Cortlandt Avenue State NY Zip Telephone: 845- 265 -9217 Telephone: 914- 739 -5038 Peekskill, 10566 Form LA -97 Ix BADEY & WATSON LETTER of TRANSMITTAL -SlIrvewho? 3063 Route 9, Cold Spring, New York 10516 Date: 23 Aug 2001 (845) 265-9217 (914) 628-1800 (914) 739-3577 File No. 98-105 (845) 225-3312 FAX (845) 265-4428 W. O. # 14323 RE: Carravone TO. Horton Hollow Road Adam Stiebeling Westchester Holding Co. Inc. Pare Subd. Lot No. 3 Putnam County Department of Health Tax Map 72.4-37.3 Permit # I Geneva Road Brewster, NY 10509 Sent via: US MAIL UPS-NIGHT MESSENGER UPS-2 DAY PICK-UP UPS-3 DAY FAX ❑ UPS-GROUN 1:1. UPS-COD ❑ We are sending: copies date description of document 11 22 -Au -01 1 [Construction Permit for Sewage Treatment System 1 ILetter of Authorization 51 1 lApplication for Approval of Plans for a Wastewater Treatment System Fl 122-Aug-01 JSh6rt Environmental Assessment Form Eli Design Data Sheet 41 123-Aug-01 ISevarate Sewage Treatment System Sheet I of I 10 il 122-Aug-01 j FApplication to Construct ,d Water Well ❑ 7 i J21-Aug-01 —7 lApplication Fee ❑ El I I E-1 I REMARKS: -Signed: John P. Delano, P.E. Copies to: File 01 * 14164(11/95) —Ted 12 PROJECT I.D. NUMBER 617.20 SEAR Appendix C State Environmental Quality Review _ , ,, �S.�SSf�l�l�i� For UNLISTED ACTIONS Only PART 1— PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 11. APPLICANT /SPONSOR 2. PROJECT NAME Michael Carravone `Michael Carravone 3. PROJECT LOCATION: Municipality Putnam Valley County Putnam 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) See Map Provided 5. IS PROPOSED ACTION: ® New ❑ Expansion ❑ Modification /alteration 6. DESCRIBE PROJECT BRIEFLY: Single family residence, SSTS and well 7. AMOUNT OF LAND AFFECTED: Initially >2 acre acres Ultimate) >2 acre 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 Q Park/ForesUOpen space E] Other Describe: Single family residences on 5+ acre lots 10? -•DOES ACTION INVOCV� :1_P£i�'tJii;�F?E%jC}�Q�, _C_1R FI IN6*,i4 "r Ni�I bR i6e6 kIF: ;:LYFR} O: s �dY G�?iiEfc`- u1'i iivivi�iVT "iH� iHticivi Y "(FtUtfi�iL; — ~ STATE OR LOCAL)? ®Yes ❑ No If yes, list agency(s) and permit/approvals Putnam Valley building & driveway permits . 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? []Yes ®No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? ❑Yes ®No I CERTIFY THAT.THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: John P. Della P.E. En ineer for Applicant Date: 08/22/01 Signature: V If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER i PART II - ENVIRONMENTAL ASSESSMENT (To be completed by Anencv) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR PART 617.4? If yes, coordinate the review process and use the FULL EAR _❑ Yes Q No . _...� r .. _ -� B. WILL AC O ECEIVE- COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 �JYdRR, PART 6i7.1i3 If No, a negative declaration 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 legible) C1. 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? Explain briefly: C2. Aesthetic agricultural, archaeological historic, or other natural or cultural, resources: or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. 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 briefly 7- C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not identified in C1 -05? Explain briefly. C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly. C;^ r -f D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? ❑ Yes ❑ No E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? � es � , _. ' ❑,Nu_ if Yes, :exolain. briefly: :.._� PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large,.intportant 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 necessary, 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 CEA. ❑ Check this box if you have. identified, one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL 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 WILL NOT result in any significant adverse environmental impacts, AND provide on attachments as necessary, the reasons supporting this determination: Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Name of Lead Agency. l Date Title of Responsible Officer Signature of Preparer (If different from responsible officer) PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES TV ..r....,. iii:.- "�'- '.:::. . a• K'JjC^s�. '`"Ll'� E `SV ., ..,a s sa s� A �+�iT�' I'�T �� S "T 1100 Cortlandt Avenue Owner Michael Carravone Address Peekskill, NY 10566 Located at (Street) Horton Hollow Road Tax Map 72 Block 1 Lot 37.3 (indicate nearest cross street) Municipality Putnam valley Drainage Basin Hudson River Date of Pre - soaking SOIL PERCOLATION TEST DATA 11/16/00 Date of Percolation Test 11/17/00 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 C 1 9:41 9:48 7 19 — 22 3 2 C 2 9:48 — 9:57 9 19 — 22 3 3 C 3 10:00 10:11 11 19 — 22 3 4 C 4 10:13 10:24 11 19 22 3 4 5 — — D 1 9:51 9:52 1 19 — 22 3 1 9:56 10:00 4 19 — 22 3 1 D 3 D 4 10:00 10:06 6. 19 22 3 2 D 5 10:07 — 10:13 6 19 — 22 3. 2 1 2 — — 3 — — 4 — — 5 — — NOTES: 1. #�TestO a beb_ .r6 e 4 pbrcolal on test 1. .sbmttedor revi 2.1Dept "rieasurem same depth until approximately equal percolation rates are obtained at each (i.e. < 1 min for 1 -30 min/inch, < 2 min for 31 -60. min/inch) All data to be be made from top of hole. Form DD -97 TEST PIT DATA 2 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES _ DEPTH_ _ HOLE NO. 3 HOLE N0, 4 G.L. Topsoil Topsoil 0.5' Sandy Loam w/ Gravel Sandy Loam V V V y 2.0' V V. 2.5' v v 3.0' y y 3.5' y y 4.0' V V 4.5' y V 5.0' V V 5.5' v v 6.0' y y 6.5' v V 7.0' v v 7.5' y V 8.0' V H2O V == 8.5' _ 9.0' - _ 0.5�.. - - _- 10.0' ' Indicate level at which groundwater is encountered • #3 8' -0 Indicate level at which mottling is observed not observed , Indicate level to which water level rises after being encountered #3 8' -0" Deep hole observations made by: G. Avalear, Badey & Watson, P.C. Date 11/21/00 witnessed by A. Stiebeling Design Professional Name: John P. Delano, P.E. Address: Badey &Watson; P.C. 3063 Route 9,' Cold Spring, NY ' 10516. �'r� , r l g Signature: Design Professional's Seal i I 4o BEDROOMS ALL SUBSEQUENT REVISIONIALTERATIONS TO THESE HOUSE PLANS MUS',BE #,UWTTED 7ft THE PCDOH FOR APPROVAL Lt ' DATE 1 1 7 jr"IRST FLOOR PLAN NOTE: A ('(?PY OF THE HOUSE PLANS SUBMITTED TO THE BUILDING' INSPECTOR, WHEN FILING FOR A BUILDING PERMIT, MUST BE SUBMITTED TO THE PUTNAM COUNTY HEALTH D60ARTMENT TO VERIFY THE BEDROOM COUNT. I i'. 8' i f' OWNER /APPLICANT MICHAEL CARRAVONE 1100 CORTLANDT AVENUE PEEKSKILL, NY 10566 LOCATION HORTON HOLLOW ROAD PUTNAM VALLEY, N.Y. TM 72 -1 -37.3 N0. 80 -105 `� ti P.'s, Well lei u ss\ well 0 \0 "o GY ko 4* SDR 35 1250 GAL � SEPTIC TANK - 4" SDR W'- t /' 717, 2' 405 LF F OF ABSORPTION -TRENCH Buffer OVERALL PROPERTY SCALE: 1" = 150' ..r.. �'y �«.- r�.-.d � ... a .- :..c..... +. �•:..:... _ :, .. ;.:try- . 7::;a`� i 4 �- .p:.:. . e �... AS -BUILT RELOCATION -DIMENSIONS 1A 42.1' SEPTIC TANK 1B 13.2' SEPTIC TANK 2A 38.5' SEPTIC TANK 2B 15.0' SEPTIC TANK 3A 60.8' DROP BOX 3B 58.5' DROP BOX 4A 66.0' DROP BOX 4B 62.7' DROP BOX 5A 72.0' DROP BOX 5B 67.2' DROP BOX 6A 78.0' DROP BOX 6B 71.9' DROP BOX 7A 84.0' DROP BOX 7B 76.8' DROP BOX 8A 89.9' DROP BOX 8B 81.8' DROP BOX 9A 95.9' DROP BOX 9B 87.0' DROP BOX 10A -1013' -•'c =rR✓u� bX 10B 92.3' _ DROP BOX 11A 84.4' END LATERAL 11B 104.0' END LATERAL 12A 89.4' END LATERAL 128 106.9' END LATERAL 13A 94.5' END LATERAL 13B 110.0' END LATERAL 14A 99.9' END LATERAL 148 113.6' END LATERAL 15A 105.3' END LATERAL 15B 117.3' END LATERAL 16A 111.0' END LATERAL 168 121.3' END LATERAL 17A 116.7' END LATERAL 178 125.6' END LATERAL 18A 122.5' END LATERAL 18B 130.0' END LATERAL WC 47.3' WELL WD 78.9' WELL NOTE 1. HOUSE LOCATION i ON THAT CERTAIN PREPARED FOR MI( CARRAVONE... "PREF ENGINEERING, P.C., TO DATE ON JANU, 000,