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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 72. -1 -44 BOX 26 03190 ,. , r $,.r N 4 ;it'd Ir L i, i 7 03190 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Well Location ddr ss: wn/Village, Tax Grid # Map-7D- Block j Lots) Well Owner: Name: OAIS D 17 C ddre Z Use of Well: 1- primary 2- secondary _ Residential Public Sup 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 LC Open hole in bedrock Other Casing Details Total length eft. Length below grade !I Yft. Diameter 1m r` in. Weight per foot "Ib /ft. Materials: teel _ Plastic _ Other Joints: _ Welded X, Threaded _ Other Seal: ;<.. Cement grout _ Bentonite _ Other Drive shoe: X Yes —No I Liner: Yes ?SNo 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 Hours Yield O gpm Depth Data Measure from Ian surface- static (specify ft) el During yield test(ft) Depth 6f completed well in feet Well Log If more detailed information descripttorns or. _ sieve analyses... -_ are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface C 11 _ ._ r _...-..T. �! ... . _.__.....� _ . ? r 7 -= • <"+7- < � A♦ Y V k. ) c If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information ,r;; Pump Type E&2:Lt,-- Capacity Depth 2-n Modeyl! ' '1 Voltage Z3 d HP V JA Tank Typed -�� Volu e, r'r =t' �, Date Well Completed y o Putnam County Certification No. Date of Report z�, (� �� s� Well Driller (s' ature) _ NOTE: E�tact location of well with distances to at least two permanent lanrarks to be provtaea on a separate sneevptan. Well Dril /ler's Name Address: Signature: Date: 9 A White copy: HD File; Yellow copy- Building Inspector; Pink copy - Owner; Orange copy- Well driller Form WC -97 PUTNAM"COUNTY DEPARTMENT OF HEAL, :,.. -s. .�.. .-'.;. .rye'.:; t: 'r. _._'_ '� °:•a'r- -Y a,�- i'A•ia�'^ iS•_�.'7���'•-i.a.►- (.�� T I - SCR CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATN___ PCHD CONSTRUCTION PERMIT # p37 -17 - 01 Located at 68 Horton Hollow Road Town or Village Putnam Valley Owner /Applicant Name DMS Homes Tnc _ Tax Map 72 Block 1 Lot 44 Formerly Subdivision Name Gauci Subd. Lot # Mailing Address 129 Dahlia Drive, Mahopac, New York Zip1 0541 Date Construction Permit Issued by PCHD 9/3/2003 Dogwood Road x Separate Sewerage System built by P i z e l l a Bros, Inc. Address Cor -t 1 a n dt Manor, ny Consisting of 12 5 0 Gallon Septic Tank and 444 L. F. of 2'. wide 0567 Other Requirements: 0 -1 ft, run of backfill for grading Water Sunnly: Public Supply From 152 Barger Street or: Private Supply Drilled by Norman Anderson Inc. Addressp,,tnam Vai lgji, N 31 Building Type R a c i an 1- i a 1 Has erosio rol been completed? yes Address Number of Bedrooms 4 Has garbage grinder been installed? I certify that the system(s), as listed, serving the above p ses were co ted essentially as shown on the as- built plans (copies of which are attached), in accordance ' the issue C Construction Permit and approved plans and the standards, rules and regulati�s of the Pu County ent of Health. Date: 4/ 4 / 2 0 0-5-- Certified by (Design ofessional) Address 2 Muscoot Road North, M opa , N.Y. 10541 icense# P.E. R.A. x 11056 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 revocatiop31modification or change is necessary. io'c"opy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 R C TC9 Public Health Director DEPARTMENT OF HEALTH I Geneva Road Brewster, New York 10509 ti Associate Public Health Director, Director of Patient Services Environmental Health (914) 278 - 6130 Fax (M) 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 E911 ADDRESS VERIFICATION FORM OWNERS NAME: TAX MAP NUMBER: E911 ADDRESS: ffffi"k, AUTHORIZED TOWN OY . - (Signature) 073 1 of /V 5 /1019 F -S 2'IVC, 7oL 4/� 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 WELL,..COMPLETION- .REPORT Well Loeation tr t ddr ss: L _._ Town/Village--\ �� —Tax Grid # � _ Maps Block Lot(s) j Well Owner: Use of Well: 1- primary 2- secondary ddre Residential Public Sup 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 Casing Details Screened Open end casing ' Open hole in bedrock Other Total length eft. Materials: Steel _ Plastic _ Other Length below grade G '"ft. Joints: _ Welded X, Threaded _ Other Diameter Jp (I in. Seal: ?<,. Cement grout _ Bentonite Other Weight per foot �'lb /ft. Drive shoe: >4'-- 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 Compressed Air Hours Yield -0 gpm Depth Data Measure from land surface - static (specify ft) During yield test(ft) Depth 6f completed well in feet 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 tr C �' If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type -3�-G Capacity Depth Mode )J�'t5 -' Voltage -3 HP� Tank Type J -2eo Volui4e , Date Well Completed A" Putnam County Certification No. Date of Report Well Driller (si ature) NOTE: trct location of well wun distances to at least two permanent lanTarxs to De provtaea on a separate sneeuptan. Well Dril /ler ' s Name dc Address: Signature: Date: White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 GREENBERG & ASSOCIATES, A.I.A. 2 MUSCOOT ROAD NORTH MAHO_RA_C, NEW YORK 1 0541 r T (845) �6ZB.661 3 Fµ(645) 628.LB +O'7 E -MAIL: JLGARCH@BESTWEB.NET Regarding: TRANSMITTAL Date: 5/18/2005 Company: P.CHD Attention: JOE PARAVATI From: MIKE DAY Project Name: DMS HOMES We are sending you: ❑ As requested XAttached o Under separate cover For Your: o Records ❑ Use and Information ❑ Review and comments ❑ Use and distribution Via: • Overnight mail • Mail . Hand delivered o Fax Signed: Michael J. Day Copies Date 2 4/5/2005 1 Memo: Remarks: Description guarantee 5/03/2005 water test '6 � , =- . . ^ . � YML ENVIRONMENTAL SERVICES � ^ 321 Kear Street _ - . -- ^ - Ft Albert H. Padovani, Director. ' LAB 04 9.500485 CLIENT #: 57081 NON STAT PROC PAGE1 1 ~~~~~~~~~~~~~~~`~~~~~~~~~~~~~~~~~~~~~~~ ~_~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DMS HOMES INC. 129 DAHLIA DRIVE MAHOPAC. NY 1054'� DATE/TIME TAKE& 03/15105 1040 DATE/TIME REC'Dr 03/15/05 REPORT DATE! 03/23/�5 PHON0 (914)-906-1742 SAMPLING SITE: 68 HORTON HOLLOW ROAD, PUTNAM VALLEY SAMPLE TYPE-4 POTABLE w GARDEN HOSE PRESERVATIVES, NONE COL'1} BY/ VINCENT CRECCO TEMPERA7'1..!R�..: ^ NOTES... COLlFDRM METH; N/A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE PUTNAM CNTY PROFILE RESULT NORMAL - RANGE METHOD 03/15/05 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 03/15/05 LEAD (IMS) 6,4 ppb �-15 ppb 90A3 03/15/05 NITRATE NJTROG 1.04 MG/L 0 - 10 9052 03/15/05 NITRITE NITROG <0.01 MG/L N/A 9i6� 03/15/05 IRON (Fe) 0.791 MG/L 0-0.3 mg/] 900E 03/15/05 MANGANESE (Mn) 0.061 MG/L 0-0.3 mg.'� 9*02 03/15/05 SODIUM (Na) 79.3 MG/L N/A 9002 03/15/05 pH 6.1 UNITS -` 6.5-8.7 9/)4? 03/15/05 HARDNESS,TOTAL 280 MG/L N/A 03/15/05 ALKALINITY (AS 46.0 MG/L N/A 9*�� 03Q 1.100U A WNIAITy' (MUR MET AN�-.�� COMMENTSi w BACT THESE RESULTS INDICATE THAT THE WAT � WAS NOT) OF � n2/ . SATISFACTORY SANITARY QUALITY NEW _ \�) . AND EPA FEDERAL DRINKING WATER STANDARDS, FOR T!�E PARAM[TEFS ~� TESTED, AT THE TIME OF COLLECTIOa. "b/Cu LEAD limits for p ^ EPA Lead & Copper than i0% of their than 15 ppb aid a treatment must be potentlai, ublic schools are set at 15 ppb. Ruie for Public Systems requires that no � distribution oointh have a LEAD value of n COPPER value of 1.3 mg/L, eise *ate,.--- undertaken to reduce the waters ccrrosive 7e/Mn if both iron And manganese are present, their total vaiue combined shall not exceed 0.5 mg/L, 0 No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water shouic-i. contain no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L oF Sodium YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. -'Tsvn.; S& TOM! '241�210O- Albert H. Paduvani, Di LAB #: 9.500485 CLIENT 04 5708! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~ DNS HOMES KC. 129 DAHLIA DRIVE MAHOPAC, NY 1054! ' 10598 rector NON STAT PROC PAGE: 2 ~~~~~~~~~~~~~~~~~~~~~~~~^~~~ DATE/TIMETAKENt 03/15/05 L0:0 DATE/TIME REC'D: 03/15/05 ll:4O REPORT DATE: 03/23/05 PHONE: (914)-906-174E SAMPLING SITE: 60 HORTON HOLLOW ROAD, Pi|TNAM VALLEY" SAMPLE TYPE..j POTABLE n BARDEN HOSE PRESERVATIVES: COL'D BY: VINCENT [RE[CO TEMPERPTURE..: NOTES...: COLlFORM MET& N/A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE RESULT NORMAL -'RPNGE METHOD is suggested. oH 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 oH IS 6.5 TO 8.5. Ad TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, lN NO/L. THE ORDNES5 MAY RANGE FROM 0 TO HUNDREDS OF MG/L, DEPENDS ON THIF SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTEN., SOFT WATER: 0-70 MG/L__ ^_ V|:RY HARD WATERv ABOVE ' HARD WATER: 140-300 MG/! (1 grain/gallon = 17.2 MG/L) iUBMITTED BY� Directoi ELAP* !���3 05/11/2005 10:11 8456282807 JOEL GREENBERG PAGE 01 G,�ey�be�r�8��ssoci�S,JalA, NGARB rV Lh - FVs "8u1dd9 2MMootRoad NOM MmhoW.,NmvY0rk10541 .T. {64t5j628- �131�. (846) �` E -MAIL• Jig��h(�esnei PATE: �A 0: RE: MA Iap% All ATTENTION: � 1 �� Cat Chi V� ► --7d-- I , FAX NUMBER: 4 FROM: TOTAL NUMpri RS Or. FAG" iNCLiJyDjNc- TIUS TRANSMITTAL SHEET-2. IF YOU DON'T RECEJIVL ALL CAGES Or TIT -ANS SSYON, PLEASE CALL US AS SOON AS POSSIBLIC. MAY -11 -2005 "WED 11:07 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P_ 1 05/11/2005 10x11 8456282807. JOEL GREENBERG YML ENV I RON]"JE N—rAL BERV I CF I; Yorktown F-leiyht 4s N „Y. 10598 ( 914) '4. (914) Albert H. F adovan: DircA -Ctnr PAGE 02 _AS #: 9.500 798 CI._ I E- NT- .# : 570131 NON S T AT PROC PAGE:; 1 II IV NJV NMIIVNNNMNItf M._N IV MJVNIVN IIl MIVNNJV'IV IVryM MIVNNNrV nJN IY .Ir IV JV IN INN NIV IVN NMM NWNNN NNIVNIIINNIN.V IV AJIII NIII JU IV tV III I'f PIS HOMES INC. DATE /T11'1#x. TAKEN t. 04/26-/03 07,-`53 L29 DAHLIA DRIVE DATE /TIME REC;'.': 041E6105 (39 J.0 IAHOPAC r NY 1 0541 REPORT DATE: 05/03 /05 PHONE,. ( 914) — 9syEr _ 17GIcs 3AMP'LING ;SITE: 68 HORTON HOLLOW ROAD. PUTNAM VALLEY .. SAMPLE:. 'TYPE'. I o POTIF'cDL5 GpRDNA! MOSS PRESERVATIVES% NONE :'OL' T) BY : VINCENT GRECCO 'rEMPERATURE „ . COL. I FOR11 METH.: N/A wIHINNN NNNINNNIN MIN INMNM111 IVNNIVNNNIVMMIN JVW wIJVN1VNNM MI. \IIUIII IIJN IVMMJ IVIVNNN MNNIVN NryM1y NJV NIVM MJY MIW INNNIV NIIJ DATE.- FLAQ PROCEDURE' RESUL -T NORMAL, RANGE 1111E' I'HOD I 04 /2'7 /05. IRON S Fe ) <0.060 PIG /I_ . o-0.3 inu / 1. ?(502 COMMENTS:' Fak /Mn If both iron anU manganese _ are present,, their total value combined •sh.ai l l not ercceed 0,5 men /L.., :"aUBM I TTl 'D BY,. Albert P. Padovanl, M.T. (ASCFI - D i rec+torl MAY -11 -2005 WED 11:07 TEL:845- 278 -7921. NAMF:PIITNAM rniINTY nF:PARTMFNT np, P P GREENBERG & ASSOCIATES, A.I.A. 2 MUSCOOT ROAD NORTH 1735.41 T (B45) 628.661 3 F (B45) 62B.2B07 E-MAIL: JLGARCH@BESTWEB.NET TRANSMITTAL Date: 4/6/2006 Company: Putnam Cty. Health Attention: Joe Paravati From: Michael Day Project Name: DIVIS Homes, Inc. Regarding: DMS Homes, Inc. We are sending you: ❑ As requested K Attached ❑ Under separate cover For Your: ❑ Records Copies Date Description 4 4/5/05 as-built ssts; T, r-Tt I Z! 9 ❑ Use and Information . .. ....... AK Aooruval:' L3 \ Review and comments ❑ Use and distribution Via: ❑ Overnight mail Remarks: Certificate of Const. Compliance ❑ Mail 911 Verification Form, Guaranty, X Hand delivered Well Completion, YML Env. Ser. & ❑ Fax $300 Money Order Signed: Michael Day, Project Manager PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM D.M.S. HOMES, INC. Owner or Purchaser of Building D.M.S. HOMES, INC. Building Constructed by 68 HORTON HOLLOW ROAD Location - Street RESIDENTIAL Building Type 72 1 44 Tax Map Block Lot PUTNAM VALLEY Town/Village GAUCI Subdivision Name 2 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 s ystem. 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 T Day __5' Year Signature: t I.. ? � - `'G Title: General Contractor (Owner) - Signature p i'/.S` /y0 I/,�F S I4/6 . Corporation Name (if corporation) Address: /.d q P 4 // /- 1/z'c State IV e w YO,^ le Zip 103-41 i ,7� 1-Z r_� a _:�ms. —L-n C Corporation Name (if corporation) Address: Zip IVY Form GS -97 YML ENVIRONMENTAL SERVICES 321 Kear Street YoTktow 1 Albert H. Padovani, Director LAB #: 9.500798 CLIENT #: 57081 NON STAT PROC PAGE: 1 DMS HOMES INC. DATE/TIME TAKEN: 04/26/05 07:58 129 DAHLIA DRIVE DATE/TIME REC'D: 04/26/05 09:10 MAHOPAC, NY 10541 REPORT DATE: 05/03/05 PHONE: (914)-906-1742 SAMPLING SITE: 68 HORTON HOLLOW ROAD, PUTNAM VALLEY SAMPLE TYPE..: POTABLE : GARDEN HOSE PRESERVATIVES: NONE COL'D BY: VINCENT GRECCO TEMPERATURE..: NOTES... g COLIFORM METH: N/A DATE FLAB PROCEDURE RESULT NORMAL - RANGE METHOD 04/27/05 IRON (Fe) <0.060 MG/L 0-0.3 Mg/1 9002 COMMENTS: Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. SUBMITTED BY: I k e Director ELAP# 10323 �p ('. YML ENVIRONMENTAL SERVICES d 321 Kear Street Yorktown Heights, N.Y. 10598 Albert H. F\aduvani, Director LAB #: 9.500485 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ CLIENT #: 57081 NON STAT PROC PAGE: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ i D S HOMES INC. DATE/TIME TAKEN: 03/15/05 10:0', 129 DAHLIA DRIVE DATE/TIME REC'D: 03/15/05 11:40 MAHOPAC, NY 10541 REPORT DATE: 03/23/05 PHONE: (914)-906-1742 SAMPLING SITE: 68 HORTON HOLLOW ROAD, PUTNAM VALLEY SAMPLE TYPE..: POTABLE : GARDEN HOSE PRESERVATIVES; NONE COL'D BY: VINCENT CRECCO TEMPERATURE..: NOTES...: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ COLIFORM METH: N/A DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 03/15/05 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 03/15/05 LEAD (INS) 6.4 ppb 0-15 ppb, 9003 03/15/05 NITRATE NITROG 1.04 MG/L 0 - 10 9052 03/15/05 NITRITE NITROG <0.01 MG/L N/A 9162 03/15/05 IRON (Fe) 0.791 MG/L 0-0.3 mg/} 9002 03/15/05 MANGANESE (Mn) 0.061 MG/L 0-0.3 mg/1 9002 03/15/05 SODIUM (Na) 79.3 MG/L N/A 90 02 03/15/05 pH 6.1 UNITS 6.5-8.5 9043 03/15/05 HARDNESS,TOTAL 288 MG/L N/A 03/15/05 ALKALINITY (AS 46.0 MG/L N/A 9O)i 03/15/05 TURBIDITY (TUR 3,2 NTU 0-5 NTU ` ' -. .,- COMMENTS: BACT THESE RESULTS INDICATE THAT THE WAT WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORD IM NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb/Cu LEAD limits for public schools are set at 15 ppb. EPA Lead & Copper Rule for Public Systems requires that no more than 10% of their distribution points have a LEAD value of more than 15 ppb and a COPPER value of 1.3 mg/L, else water treatment must be undertaken to reduce the waters corrosive potential. 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,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 I [ YML ENVIRONMENTAL SERVICES v 321 Kear Street - Albert H. Padovani, Director LAB #; 9.5O0485 CLIENT #il 57081 NON STAT PROC PAGE: 2 ~~~~~~~~~~~~~~~~~~~~ ill ~~~~~~ ill ~~~ Ile ~~ ill ~~~-It ~~~~~~~~~ ill ~~~~ ll. ~~~~~~~~~ Ili ~~~~~~~~~~~~~~ DMS HOMES INC. 129 DAHLIA DRIVE MAHOPAC, NY 1054� DATE/TIME TAKEN: 03/15/05 10:31 DATE/TlME REC'D: 05 11:4O REPORT DATE: 03/23/05 PHONE: (914)-9O6-1742 SAMPLING SITE: 68 HORTON HOLLOW ROAD, PUTNAM VALLEY SAMPLE TYPE..: POTABL| : GARDEN HO5E PRESERVATIVES: NONE COL'D BY: VINCENT CRECCO TEMPERATURE..: NOTES...: COLlFORM METH: N/A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD is suggested. pH pH SCALE IN �ATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MlGHT BE CORRDSIVE 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, lN MG/L, THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG/L, DEPEND5 ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT ATER �- HAR AT ` . _'- - 1 1-141 D~W#T������+'/40 HARD WATER: 140-300 MG/L (1 grain/gallon SUBMITTED BY: __ J-4x-e- ELAP# �0223 LORETTA MOLINARI Public Health Director 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 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 December 1, 2004 Joel Greenberg, RA 2 Muscoot North, RFD #2 Mahopac, New York 10541 Dear Mr. Greenberg: ROBERT J. BONDI County Executive Re: Field Inspection — DMS Homes (Grecco) Horton Hollow Road, (T) Putnam Valley TM# 72 -1 -44 A site inspection was made for the above referenced project on November 30, 2004. The following comments must be corrected in the field. U 11 l lefloq -.11 1. The fill for grading doesn't appear to be placed according to the approved plan. . The trenches at the northern end o.f.th.e.system are ±oo:deep;(greater than:2 feet)._.,. . b� orl 3. 13eCiroom count iieecis to be done when th'e house is completed. o1'FcS +�Q If you have any further questions, please contact me at (845) 278 -6130 ext. 2157. JSP:cj Sincerely, Joseph S. Paravati, Jr. Assistant Public Health Engineer PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: t i Inspected by: Street Location 'r, P ermit 4 PV-1-7-01 TM# 7_, - - I SubdivisionEW 1. Sewage System Area a. STS area located as per approved plans .......... .. ................ h. 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....:.:... 6. 100' from water course/wetlands .............. E-C. 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 t -water tested ,Esw�evition 0 f 2. Pr e ow frost .......................... 1* ................. �-urn 2 ft.Original soil between box & trenches e-:Junction Box properly set ....................................... 6. T'renches P 1. Length required 612 Length. installed �.� q. 7 2. Distance to watercourse measured Ft.17 3. Installed according to plan ........................................ 4. Slope of trench acceptable 1116 - 1/32"/foot ............. 5. 10 ft. from property he - 20 ft, foundations.......... 6.. Depth of trench <30 inches from surfice .................. 7. Room allowed for expansion, 100% ...................... 8. Size of gravel 3/4 - llk" diameter clean ................... 9. Depth of gravel in trench 12" minimum, ...... i ........... 10. Pipe ends ca ed...:... ............................................ 1. T- Size of pump champ....... /...) ...... ................. ...................... 2. Overflow t- ........ 3 Alarm, �Yaudio'....- '� - J. arm, ......................................... 4. P easily accessible, manhole to grade ................. oxt ................... ......... ir7stbox baffled ............................. ... 6. Cycle witnessed by H.D.estimated flow/cycle ........... -M..House/BuildifiE �?i House located per approved plans.. . ...... . .. . b. Number of bedrooms .......................... iv.-i Well Well located as per approved plans ..................... .......... b. Distance from STS area measured ,,Lf - ft........... C. Casing. 18" above grade ................................................ d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted .................................................. b. All pipes partially backfifled ............................................ c. All pipes flush with inside of box .................................. d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to p f. Curtain drain outfall -protected & dir.to exist water ri-r P g.. Tooting drains discharge away from STS area ............... h. Surface water protection adequate ..... i. Erosion control rovided ................................................ Rev. F2102 X71MOA Wrt% , tNr%1L ff% IL -11, 1 "N V k—UPrJUV11,14.1 S We) '061 I 011 I'd eau e-tA LZ A \1L 117 Z2 e-4 0 L-01 Form ST7 I/ 11/29/2004 13:31 8456282807 JOEL GREENBERG PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ATTENTION JOSEPH GENE REQUEST FOR FINAL INSPECTION For: Fill X All information must be fully completed prior to any, -Trenches x inspections being made. PCHD Construction Permit #. PV-17 01 PAGE 02 Located: Fart -nn Hnll_Qw;Boad {') (* Putna>__Val1ev _ Cheer /Applicant Name- Vincent• Crecco TM 72 Block 1 Lot 4 Formerly: G. uci___ Subdivision Name: Gauci Subdivision Lot # _ 2 - Is system fill. completed? yea_ Date: n n 4 Is system complete? Yes Date: 11/2Y2004 Is system constructed as per plans? Y•P s . . Is well drilled? Yes Is well located as per plans? yes Are erosion control measures W place?-.- Yes Date. 1 0/1 /2004 I certify that the systeni(s), as listed, at the.above premises has been constructed and I have.inspected and verified their completion in accordance .with the issued PCHD Co tion Penult and approved plans and the Standards, Mules and Regulations of the put Coup Department of .Lx Date: 11 /18/2004 Certified by: PE RA x . Address: 2MuScoot Road .North, Mahopac;/ NY 10 5 41 Lic. # 1 1056 Comments: plea ;s'e, contact: me' when you will, be. inspecting. Thank You- Form FIR -99 NOV -29 -2004 MON 14:29 TEL: 845- 278 -79F I NAM E :Pi -ifNAM cn-INTY DFPARTMFNT nF P a 11/29/2004 13:31 • 8456282807 JOEL GREENBERG PAGE 01 C-gp bn &Asso . m&s 2M=octRo8dNorfh MahopAC, Now YoFk 10541 T F"M4M3F. (84.r`Bo T E4VLaH.: M DATE: TO: ]RI Gl: ATTENTION ri AX NUM BE 2.00 FROM: COMMENTS: U TOTAL NUMBERS OF PAGES INCLUDING TIIIS TRANSMIWAL SIIEET--L._ IF YOU DON'T :RECEIVE ALL PAGES OF TRANSIVaSSIoN PLEASE CALL US AS SOON AS POSSIBLE. NOV -29 -2004 MON 14:28 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMFNT nF P_ 1 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # ,r�r± u PV -1 7 -01 '�� -'-�� ' 6� Located at Horton Hollow Road own or illagePutnam Valley Subdivision name Gau c i Subd. Lot # 2 Tax Map 7 2 Block 1- Lot 4 4 Date Subdivision Approved 9/26/1977 Renewal x Revision Owner /Applicant Name Vincent Crecco Date of Previous Approval 7/23/2001 DMS Homes, Inc. Mailing Address 1-)a palpiiaprij r Mah9paG, New Yerk Zip 109,41 Amount of Fee Enclosed $300 0 0 Building Type Residential Lot Areal . 9 2 7 6 No. of Bedrooms 4 Design Flow GPD 8 0 0 Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 12 5 0 gallon septic tank and 444 1. f . of 2 ft, wide lnaohinc}— t ®noh ®s Other Requirements: ®-- 1 FT' EurY Df;� EIAW L_. It/[.L Pba_ GaA®iW � To be constructed by Not selected Address Water Supply: Public Supply From Address or: x Private Supply Drilled by N�tGPI c��tPr7 Address4 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 condiKn—anX part of said sewage treatment system during the period of two (2) years immediately following the dato the iss ce of approval of the Certificate of Construction Compliance of the original system or any regairs thereto. Signed: a =, P.E. R.A. x Date 6/3/2003 Address2 Mu cof Ro d North, Mah pac, N.Y. 10541 License# .11056 APPROVED W% 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: -f- h Date: i 3 Whit copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUiNAM COUNTY DEPARTMENT OF HEAL'IfH DIVISION OF ENVIRONMENTAL HEALTH SERVICES - APPLICATION 301 .CONSTlgU T.� �a�r_��..W�>LL- _ - - .. .. _ a1: �.,r a T ♦. ... . - .. ,. .- - r.. ...a.. a.b a n -.. -,.\ •. _ Aim v4e:. � . -. ..�. �r, ... .. a+ .. �. please print or type PCHD Permit # Well Location: Street Address: TownNillage Tax Grid # 70 Horton Hollow Rd. Putnam Map 72 Block 1 Lot(s)44 Well Owner: Name: DMS Homes, In dress: Vincent Crecco 129 Dahlia Drive, Mahopac, N.Y. 10541 Use of Well: xx Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served 4 Est. of Daily Usage I0 0 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling xx New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type 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 Gauci Lot No. 2 Water Well Contractor: Not Sal -acted Address: Is Public Water Supply available to site? .................................. ............................... Yes No x Name of Public Water Supply: N / A T illage N/A Distance to property from nearest water main: Proposed well location & sources of contamination to be ro id d on sep ate sheet/plan. "t,u•�(\\�' . _ _ . _..o �.,� � � '�: '� ?:ZIT. ?;r - %,:� = �rr1i�C?I?.t �lor�a J{;�1.Y� :,�_ :�'<:,��;... . PERMIT TO UON—TR T A WATER WELL This permit to construct one water well as sea granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of P f 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 'q13 p3 Permit Issuing Official: dvegV4� V/ Date of Expiration Title: Permit is Non- Transferrable White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 LORETTA MOLINARI R.N., M.S.N. Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road,. Brewster, New York 10509 Environmental Health (845) 278 -'61.130 Fax (845) 278 - 7921 1d> Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention /Preschool .(845) 278-6014 Fax (845) 278 6648 cas tkz aA August 12, 2003 Joel Greenberg, R.A. 2 Muscoot North, RFD # 2 Mahopac, New York 10541 Re: Proposed SSTS — Renewal — Grecco Horton Hollow Road, (T) Putnam Valley TM# 72 -1 -44, Permit # PV -17 -01 Dear Mr. Greenberg: ROBERT J. BONDI County Executive 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. ,/I. �2. -1 . ¢%6. L7. !! t// 8. / / //I The renewal site note needs to be provided as per Bulletin ST -19, 5.A.3. The cast iron pipe needs to be labeled, " 4 inch CIP@ 2% minimum" in the plan and profile The plastic pipe between the septic tank and first junction box needs to be labeled " 4 inch PVC— SDR35@ 1% minimum" in the plan and profile view. It appears fill for grading is being provided. If so, please provide a note that fill for grading is being provided and that the fill is to be run -of -bank. Fill notes should be provided if fill is being proposed. The words "dust free" need to be added to the crushed stone /washed gravel label in the absorption trench detail. The back property line with metes and bounds needs to be provided. What is the elevation of the 100 -year flood plain? Please identify the dash line between the edge of swamp and edge of flood plain. 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, aoLseph S. Paravati, Jr. Assistant Public Health Engineer JSP:cj LORETTA MOLINARI R.N., M.S.N. Public Health Director August 12, 2003 DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 2787 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early' Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Joel Greenberg, R.A. 2 Muscoot North, RFD # 2 Mahopac, New York 10541 Dear Mr. Greenberg: Re: Proposed SSTS — Renewal — Grecco Horton Hollow Road, (T) Putnam Valley TM# 72 -1 -44, Permit # I?V -17 -01 ROBERT J. BONDI County Executive 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. The renewal site note needs to be provided as per Bulletin ST -19, 5.A.3. �. The cast iron pipe needs to be labeled, " 4 inch CIP@ 2% minimum" in the plan and profile �3 The plastic pipe between the septic tank and first junction box needs to be labeled " 4 inch /4. PVC— SDR35@ 1% minimum" in the plan and profile view. -15. It appears fill for grading is being provided. If so, please provide a note that fill for grading is being provided and that the fill is to be run =of- -bank. /6. Fill notes should be provided if fill is being proposed. /7. The words "dust free" need to be added to the crushed stone /washed gravel label in the absorption trench detail. �8. The back property line with metes and bounds needs to be provided. �9. What is the elevation of the 100 -year flood plain? /10. Please identify the dash line between the edge of swamp and edge of flood plain. 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. iv " JSP:cj Very truly yours, "J • aoLseph �SParavati, Jr. Assistant Public Health Engineer PUTNAM• COUNTY DEPARTMENT OF HEALTH 0 Pty DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SFWA� _S E A?T, =. u - = � .•.... - -. - - Rel(wiv- FOR'LUNSTRUCTION PERMIT J NAME OF OWNER: l kc."nf- C am° STREET LOCATION: lz4c-k Pu j"3P REVIEWED.BY: RM, GR, AS, SRDATE: � /43—TAX MAP#: (CONFRUvf D) „�Y DOCUMENTS Y N G OUIRED DETAILS ON PLANS CONT'D} IJPERMIT APPLICATION WELL PERMIT OR PWS LETTER ffj_JPC=97 ( TTER OF AUTHORIZATION L,}(_1DESIGN DATA SHEET (DDS) (_,)CfJ-CORPORATE RESOLUTION (_-::j )SHORT EAF (J(JPLANS -THREE SETS L_) OUSE PLANS -TWO SETS ( )L- VARIANCE REQUEST SUBDIVISION {� )LEGAL SUBDIVISION (�=LjSUSDTVISION APPROVAL CHECK�ve D UUPERC RATE (— )C-)FIL �' D DEPTH S OBTAIN DRAIN RE UIRED „� TYJ3ro UUHOUSE SEWER-%" FT. 4 "0'; TYPE PIPE. CAST IRON U(__)NO BENDS; MAX BENDS 45' W /CLEANOUT i_ = )U✓ NOTE (NO CHANGE) )10' HORIZONTAL; PA PlttE1 vUFILL SPECS NOTES 1 -5 PROFILE & DIMENSIONS IN EXPANSION AREA (UU CLAY BARRIER U(�FILL CER ION NOTE SLOPES 3:1 TOG E AJ11v '2 FEET �eop�S lkpAlw� .1 A0 PLAN FOR R.O.B., UNCLASSIFIED & Il�E1tVTOV9 ,� :TON DISTANCE FROM'TOE OF SLOPE 0 m4/r). Q ` r TRENCH • • ' ' jU4 p.5 4v GENERAL 4-�PARALLEL LF TRENCH PROVIDED 60FT MAX, H(-:-)-PELEGATED � ATED.IN NYC WATERSHED TO CONTOURS �1�i G�' '�e`� LANS SUBMITTED TO DEP U 100% EXP ION PROVIDED TO PCHD (�DET USTUSHED'STONE OR WASHED GRAVEL - EP ROVA E EQD U(-JGEOTEXTLCOVER `—�A 0 u ETEHOLES OE SEPARATION DISTANCES ON PLAN - FROM 'SSTS C--)(eJ-P RCS TO BE WITNESSED , 10 TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL (� - APPROVAL SSDS ADJ, LOTSZO' TO FOUNDATION WALLS WETLANDS (TOWN/DEC PERMIT REQ'D ?) (___)L-,100' TO WELL, 200' IN DLOD,150' TQ PITS (U)U ATA ON DDS PLANS &PERMIT SAME C� 100' TO STREAM, WATERCOURSE, LAKE (inc. ezpac►) L� RE 1969 NEIGHBOR NOTIFICATION ,/("') TTEP. kl�! ?r3A= ATER. ( 50' TO CATCI' yti; �, STO 7DBAfu�i;. ? "rj 3 W` EI. QODI ,FV,— ATIOrL1V3__a- (�I(i�:'C1 WATERLINE (pits - 20') ivy (!�U50 INTERMITTENT DRAINAGE COURSE SOII. TESTING LOTS>10 YEARS OLD F`� 2 �j 200'/500' RESERVOIR, ETC. 150' GALLEY SYSTEMS REQUIRED DETAILS ON PLANS : (�10' MIN TO LEDGE OUTCROP (�L„_}SEWAGE SYSTEM PLAN - (NORTH ARROW) SEPTIC TANK (ZjUSSDS HYDRAULIC PROFILE (l-/ (_,_)10' FROM FOUNDATION; 50' TO WELL (�C_,•�GRAVTTY FLOW / WELL UC__)CONSTRUCTION NOTES 1 -15 (� DIMENSIONS TO PROPERTY LINES C- )C__)DESIGN DATA: PERC & DEEP RESULTS 1�LOCATION OF SERVICE CONNECTION .0 -j ---)2' CONTOURS EXISTING & PROPOSED UUlYiTrT 15' TO PROPERTY LINE U(UDRTVEWAY &SLOPES, CUT SLOP C—)C__)FOOTING /GUTTER/CURTAINDBAINS ( ,/)LOPE IN SSTS AREA 20 %) ()(___)USDA SOIL TYPE BOUNDARIES C REGRADED TO 15%, IF REQUIRED (_)(TITLE BLOCK; OWNERS NAME ADDRESS o TM #, PEIRA; NAME, ADDRESS, PHONE# DOS UMP SYSTEMS-- % (�(_jDATE OF DRAWING/REVISION UUP� NOTES . � `" • U(�DATUM REFERENCE . C_)UDOSE 75% OF PIP OSE VOLUME NOTED U _)DATUM OF WATERCOURSES, PONDS C ) _ )DETAIL F RCE.MAIN, (PIPE TYPE, ETC.) LAKES,WETLANDS WiTHIl�I 200' OF P.L. (- •—•)UP D -BOX SHOWN &DETAILED (_)(PROPOSED FINISH FLOOR AND 1 DAY STORAGE ABOVE ALARM ,J BASEMENT ELEVATIONS CURTAIN DRAIN S . JJ/ (_)DWELLS 4 SSDS'S WAN 200' OF SSTS LJC- -)STANDPII'ES, 5' BOTH , TAIL UUPROPERTY METES &BOUNDS C- JCU15' MIN to CD o, 0'-4 %, 25' -3 %, 35' -1 %,100 %.<1% .(� ,^)EROSION CONTROL FOR HOUSE, WELL & UC --)20' DISCHARGE /100' with 182 cons day discharge SSTS, EROSION CONTROL NOTE (--) to NON- PERFORATED PIPE 'OMMENTS: �-!'� -� G2,8 .� '3 �ILwi l0� V'eX sT' AYE*! B'1- 7.12�E1i� ,irrlGtis ri -% ` L�e�Lj a/ l�Gf. K $ /Lf7� i mw/tl b i r , i o a �„ 3 Ae t&" f,),t IEVSH MT }09/01/00 a PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER TLETTER ®T AI11'I-I®RIZATION RE: Property of Vincent Crecco DMS Homes,. Inc Located at Horton Hollow Road T/V Putnam vat 1 P,, Tax Map # 72 Block Lot. a4 Subdivision of GATTC'T Subdivision Lot # 2 Filed Map # 1617 Date Filed 0./26177 _ Gentlemen: This letter is to authorize Joel L. Greenberg, R.A. a duly licensed Professional Engineer or Registered Architect xx 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 tretment and /or water supply systems in y t�m� p._ 5 at►_ci /fir 4? of►e_Edual�n aw the Public ._o3fcrmit��;, th �.�.;:.r�v��n �:f��t..�a4._�.. :.__ ._ ,..:._... Law, and the Putnam County Sanitap -Cade. Counter P.E., R. Mailing State N. Y. Mahopac _ Zip 10541 Telephone: 845 628 -6613 Very truly yours, Signed: l� %�d (Owner of Property) Mailing Address: State N. Y. 129 Dahlia Drive Mahopac Telephone: 845 628 -2367 Zip 10 5 41 Form LA -97 a 4 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES .. ♦ .. RY.a w-.. _.. .-. ... n -- �� ..�'C'... v -! -. .. ....a .,.. • .. � ♦ .. ♦1 ... � rw .... .- +.. -.. ♦ .. x .- •n n Y. �a..� a �. .....M t -vs.. .. ONSTRUCTION PERMIT FOR SEWAGE TREATMENT SY TEM PERMIT # Located at 76 HORTON HOLLOW ROAD Town or Village PUTNAM VALI;EY Subdivision name G_AUCI Subd. Lot # 2 Tax Map72 Block 1 Lot 44 Date Subdivision �d iL 17 Renewal Revision Owner /Applicant Name MR . & MRS. PAUL GAUCI Date of Previous Approval Mailing Address 7 5 HORTON HOLLOW ROAD, PUTNAM VALLEY, N.Y. Zip 10579 Amount of Fee Enclosed $300.00 Building Type RESIDENTIAL Lot Areal .9 2 7 (lo. of Bedrooms • 4 Design Flow GPD 800 Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 12 5 0 gallon septic tank and 444 L . F . OF Other Requirements: To be constructed by NOT SELECTED 2 FT. WIDE LEACHING TRENCHES Address Water Supply: Public Supply From Address or: xa Private Supply Drilled by " NOT SELECTED a _ - Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage. treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of a pproval of the Certificate of Construction Compliance of the original system or agy-Mairs thereto , MUSICOOT ROAD NORTH, MHOPAC , N.Y. 10541 License # 1 1 0 5 6 APPR VED OR CONSTRUCTION: This'aporoval expires two years from the date issued unless construction of the sewage trea men, system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when consi ered ec ss1harof Public Health Director. Any revision or alteration of the approved plan requires a new permi ppr ed comest ic sanitary sewage only. By: Title: Date: *7 2'3 'bite 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 piuse prinibrlype rl;Hli Yennit # 1 `! Well Location: Street Address: Town/Village Tax Grid # HORTON HOLLOW ROAD PUTNAM VALLEY Map 72 Block 1 Lot(s) 44 Well Owner: Name: MR. & MRS. Address: 70 HORTON HOLLOW ROAD, PUTNAM I PAUL GAUCI VALLEY, N.Y. 10579 Use of Well: X Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served 4 Est. of Daily Usage 3 0 0 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling X New Supply (new dwelling) Deepen Existing Well Detailed Reason NEW DWELLING for Drilling Well Type 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 GAUCI Lot No. 2 Water Well Contractor: NOT SELECTED Address: Is Public Water Supply available to site? .................. ................ ..............' *............... e No X Name of Public Water Supply: N/A Town/Village N Distance to property from nearest water main: Proposed well location & sources of contamin provid d separates t/pl 7be Date: 2 /26 /?.001.....?:pplicant Signature: -_ ./ PERMIT TO OONST UC A WATER WE LL This permit to construct one water well as se v -is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 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 requ'res a new permit. Well to be constructed by a Ovate well driller certif d by Putnam County. Date of Issue 7 Z3 © Permit Issuin f cial: Date of Expiration ? Z Z Title: f Permit is Non- Transferra le 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 LETTER OF AUTHORIZATION RE: Property of Located at MR. & MRS. PAUL'_'.GAUCI HORTON HOLLOW ROAD T/V PUTNAM VALLEY. Tax Map # Subdivision of Subdivision Lot # 2 Gentlemen: GAUCI 72 Block Filed Map # 1617 1 Lot 44 Date Filed 9/26/77 This letter is to authorize JOEL GREENBERG, R.A. a duly licensed Professional Engineer or Registered Architect xx 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 tretment and/or water supply systems in conformity with the _prpyisions of Article 1 -145 and /or. 47 -of. the Education .L- awr the .Pub -1_ic - Heal.11� :: - - Law, and -the Y Sanit "de. Very truly yours, Countersi Signed: P.E., R.A., (Owner of Property) Mailing ddres T "ROAD NO,. Mailing Address: 70 HORTON HOLLOW ROAD MAHOPAC PUTNAM VALLEY State NEW YORK Zip 10541 Telephone: 8.4 5 628-6613 State N. Y. Telephone: 845 528 -4164 Zip 10579 Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _ APPLICATION FOR APPROVAL OF PLANS FOR A WAS'T'EWATER TREATMENT SYSTEM 1. Name and address of applicant: MR. & MRS. PAUL GAUCI 2. Name of project: 75 HORTON HOLLOW ROAD PUTNAM VALLEY, N.Y. 10579 GAUCI 3. Location T/V:PUTNAM VALLEY 4. Design Professional: JOEL GREENBERG, R . A .5. Address: 2 MUSCOOT ROAD NORTH 6. Drainage Basin: HUDSON RIVER MAHOPAC, N.Y. 10541 7. Tyne 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 (SEQR)? Type Status (check one) ....................... ............................... Type I Exempt Type II Unlisted x 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 N/A M 12. Is this project in an area under the control of local planning, zoning, or other _.. officials. or ? 13. If so, have plans been submitted to such authorities? ........ ............................... No 14. Has preliminary approval been granted by such authorities? N / A Date granted: . N / A 15. Type of Sewage Treatment System Discharge ................. surface water x groundwater 16. If surface water discharge, what is the stream class designation? .................... N/A 17. Waters index number (surface) ........................................... ............................... N/A 18. Is project located near a public water supply system? ....... ............................... No 19. If yes, name of water supply N/A Distance to water supply N/A 20. Is project site near a public sewage collection or treatment system? ...NO......... 21. Name of sewage system N/A Distance to sewage system N/A 22. Date test holes observedl /17/2001 23. Name of Health Inspector ADAM STIEBELING 24. Project design flow (gallons per day) ................................. ............................... 800 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... No 26. Has SPDES Application been submitted to local DEC office? ......................... N!A Form PC -97 8/99 } I 2 27. Is any portion of this project;located within a designated Town or State wetland? No 28._ _Wetlands. TD. Numberi - ..N / A- _ 29. Is Wetlands Permit required? .............................................. ............................... Has application been made to Town or Local DEC office? ............................... 30. Does project require a DEC Stream Disturbance Permit? ............................... NO N/A 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 a � 35. Are any sewage treatment areas in excess of 15% slope? . ............................... _7NO -u 36. Tax Map ID Number Map 72 Block 1 `'Lot 37. Approved plans are to be returned to ..... Applicant x Design P ofesssi '.T •"�+ tjli arr iii »��__ -?.., be sent to the Department, and need not be sent in duplicate to the DEP, although the project mayjequEP approval of the SSTS prior to final approval by the Department. Projects within the watersl R m*' also require DEP review and approval of other aspects of a project, such as stormwater plans or the creation 'of impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item l .,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision 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. 1 SIGNATURES & OFFICIAL TITLES. 70 HORTON HOLL W ROAD Mailing Address: ................................... PUTNAM VALLEY, N.Y. 10579 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISIONOF ENVIRONMENTAL HEALTHSERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM 75 HORTON HOLLOW ROAD Owner MR. & MRS. PAUL GAUCI Address _PUTNAM VA=, N.Y. 10579 Located at (Street) HORTON HOLLOW ROAD Tax Map 72 Block 1 Lot 44 (indicate nearest cross street) Municipality TOWN OF PuTNAm VA= Watershed HMSON RIVER SOIL PERCOLATION TEST DATA Date of Pre-soaking 1116/01 Date of Percolation Test 1/17/01 ........ .... ........... ........ TT. . .. . ...... X7, 8:35 9:01 26 24 27 3 26/3=8.66 2 9:02 9:28 26 24 27 3 26/3=8.66 3 9:29 9:55 26 24 27. 3 26/3=8.66 4 5 __f8:37 9:04 27 23.5 26.5 3 27/3=9 2 9:05 9:32 27 23.5 26.5 3 27/3=9 3 9:33 10:03 27 23.5 26.5 3 27/3=9 4 5 2 3 '5 NOTES: ;1 Tests to be dat same depth until approximately. equal percolation rates are obtained at each repeated test hole. I min for 1 -30 min/inch, s 2 min for 3l-60min/inch) All data tobe subffiitted1br review". 2. '1:,.Pdptk measurements to be made from top of hole. Form DD-97 Indicate level at which groundwater is encountered NONE Indicate level at which mottling is observed NONE Indicate level to which water level rises after being encountered N/A Deep hole observations made by: ADAMIESELING Date 1/17/2001 Design Professional Name: JoEL Address: 2 MUSCOOT ROAD NOR , N.Y 1 Signature: Design Professional's Seal ENcE c e •ogto���0� op NF-*° TEST PIT DATA 2 DESCRIPTION OF SOILS ENCOUNTERED IN TEST BOLES DEPTH HOLE NO. 1 HOLE N0. 2 HOLE NO. G.L. TOPSOIL 0 -8" TOPSOIL - 0 -8" 0.5' BROWN SANDY SANDY 1.0 SILTY & 1.5 LOAM GRAVEL 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' • 5.5' 6.0' 6.5' 7.0' c:D R, 7.5' 8.0' m rn 8.5' 9.5' . 10.01. o Indicate level at which groundwater is encountered NONE Indicate level at which mottling is observed NONE Indicate level to which water level rises after being encountered N/A Deep hole observations made by: ADAMIESELING Date 1/17/2001 Design Professional Name: JoEL Address: 2 MUSCOOT ROAD NOR , N.Y 1 Signature: Design Professional's Seal ENcE c e •ogto���0� op NF-*° + teL16 12raT —Tex14.16-4 L PROJECT I.O. NUMBER 617.21 S EO R Appendix C State Environmental Ouallty Revior- NUiO' ENVIRONMENTAL ASSESSMENT FORM1 For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT !SPONSOR G lq u r Z. PROJECT NAME Galt ! J. PROJECT LOCATION: Municipality �7,q L L Qjxb� C:! county 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks. etc.. or prov.de map) 40JZ -" t•Q 9 4 - I& LZ OW S. IS PFVPOSED ACTION: Nelr ❑ Expansion ❑ Modilicatiorualteration 6. DESCRIBE PROJECT BRIEFLY: T. AMOUNT OF LAND AFFECTED: q- �' Initially -J-11-9 acres Ultimately acres S. PROPOSED ACTION COMPLY WITH EXISTING ZONING.OR OTHER EXISTING LAND USE RESTRICTIONS? Yea ❑ No II No, deserl0e "fly 9. W IS PRESENT LAND USE IN VICINITY OF PROJECT? WET Reaieentlal 0 Industrial • ❑ Commercial ❑ Agriculture ParklFoeslOpen space C3 Other I rte - 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL STATE OR LOCAL► ?^^11 .Ya u No it yea, list agencytsl and permiUaporowls 4 UTN. A i A LIA U-tz Y i %I Q ik Lc/A Lt/ (<t 8 0 t x.,10 e It G A Pfd P- TIMEtJ`Tv 11. DOES_ ANY qPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR. APPROVAL? ❑ YN NO It ye} Ilse agtinl:y Hams and psrinM/approval 1:. AS A RESULT PF0POSEO ACTION WILL EXISTING PERMIT /APPROVAL REOUIRE MODIFICATION? ❑ Yp 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Aue, Appllcan nsa t1ts: Data: T n �-(2 —1 *F- c7r 9P, SIonatun: , JIM@ actin is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART If— ENVIRONMENTAL ASSESSMENT tTo oe compietea oy Agency) A. DOES ACTION EXCEED ANY TYPE i THRESHOLD iN 6 NYCRR. DART 617 12° It yes. C Instil ttts rarveow process and we the FULL EAF .mil ❑ Yes 0 No a. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN a NYCRR. PART 617.61 _ If No, a lisp ®true doclaratton maybe suprsede Oy anoheme 0 C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answes may be Handwritten. If iegibiel ,C1. Existing air Quality, surface or grounowater quality or quantity, noise levels, exist" tratfic pattarrta, solid waste production or disoosai. potential for eri sion, drainage or flooding problems? Eiiplain briefly: C2. Aeethelic, llgri- ,ullural. archaeological, historic. or other natural or cultural resourcdW or cornrnurlity or nelgfittolft00d character? Explain briefly: C3. V"Watlon or fauna. fish, shellfish or wildlife species. sipnif1writ habi tats, or thme"ined or andiiingered spae8aa7 Explain brlsftr. CA. A community's existing plans or goals a4 officially adopted, or 0 change in use or Mtiftaity of um of land or Otim natural resources? Explain briefly CS. Growth, aubss0uent det elopnront. of mated acthritlos likely to be induesd by the proposed action? Explain "fly. r�^ CO. Long tarn, snort term, eumulatiw. or other affects not idenfiflod in C1-CS? Explain txiafly. • W .- ..�. Tel rn C7. Other Impacts (including changes in use of either quantity or tgpo 011 'ener"? ExptaM btielly. ioc C G= lb'pf��,F,'ra'd'R-rSrr �TERE�LiiC�Li 'OIE:nWt 'r'iwkFrwGcSr..r- �._._.... - ~U No If Yas, explain brWly PART 111 — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS For each adverse effect identified above, determine 4hsttw It is substantlal, large. important or otherwise significant. Each effect should be assessed in connection with Its (a) setting (i.e. urban or rural): (b) probability of occurring: (c) duration; (d) irreveraibility; (e) geographic scope; and m 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. ❑ Check this box if you have Identlfied one or more potentially large or significant adverse Impacts which MAY occur. Then proceed directly to the FULL EAF atuVor 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 ?masons supporting this determination: Print or Type Name of Responsible OfIscef in Load Agency raruture of Responsible Officer on Load Agency Name @ Lead Agency at! 2 Title O espornrb Q Officer ignstum ry 11 i event Irom response Q o rcer) PUTNiAM COUNTY DEPARTMENT OF HEALTH .Y.••d- .°.. +� J � OF -El \ r ` 1 -Drd :/N A� AIXI SER V �I.0 "ES . INITIAL INDIVIDUAL /COMMERCIAL SITE INSPECTION FORM SECTION A. ,,GENERAL INFORMATION Name of Project Avc, i M(� County L Site Location t-6 I✓L-C�-i (�' Building construction begun "vI ID Extent Is property within NYC Watershed ? ................. 0 Yes �No SECTION B. TOPOGRAPHY (Please check all appropriate boxes) I. Hilly Rolling Steep- slope.__ ..____ ,Gentle slope— -- - at — - - -- - - -- - - 2. Evidence of wetlands Low area subject to flooding Bodies of water Drainage ditches ock outcrops 3. Property lines or comers evident ....................... ............................... Q Yes a No y - 4:= Do water coiuses exist on or adjoin the property. es - No ......................... , . 5. Will these affect the design of the sewage system facilities ?.......:.:....... - es No 6...:. -Do watershed regulations " " l - in thus lcvch�rnc t ? :...................... Q Yes o 7 Will extensive grading be necess . ._: 8. Will extensive fill be necessary for SSTS ? .............................. 0 Yes -_ No . -- - - - 9. Do'filled areas exist within the SSTS area ? .............. Yes No. If yes, what is the condition of the fill? - SECTION C. SOIL OBSERVATIONS _ - 10. ' Appearance of soil: -d Gravel Clay -. HazdpanlVlixture - 11. Observed from: F-1 Borings B t Backhoe excavations 12. Soil boring slexcavations observed by on h 11 13. Depth to groundwater k-k -0 a4 on ...... 14. Depth to mottling f` on 15. Are test holes representative of primary & reserve areas ...... ............................... F2 es No 16. Soil percolation tests made by V on 17. Soil percolation tests witnessed by �r on SECTION D (on back) Form ST -1 .. _ .1 • � vGa.. -'v. _.i.0 �. f.....__ ... ...t ... .._ - '�. + _. i.. ..nom _ SECTION D. DRAINAGE 18. Will proposed grading materially alter.the natural - drainage in this or adjacent areas? Yes o _ 19. Will groundwater or surface drainage require special consideration? ......:.............. F Yes o 20. Will gullies, ditches, etc., be filled and watercourses be relocated ? ......................... � Yes o 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 o Inspection data - - - = -- - 22. Do o tl ... . ..... ............ e 23. Additional comments 24. Site observer /inspector and title 4 25. Dates) of observation(s)inspection(s) -1'7 a TEST PIT PROFILES 2 - .. _ .1 • � vGa.. -'v. _.i.0 �. f.....__ ... ...t ... .._ - '�. + _. i.. ..nom _ SECTION D. DRAINAGE 18. Will proposed grading materially alter.the natural - drainage in this or adjacent areas? Yes o _ 19. Will groundwater or surface drainage require special consideration? ......:.............. F Yes o 20. Will gullies, ditches, etc., be filled and watercourses be relocated ? ......................... � Yes o 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 o Inspection data - - - = -- - 22. Do o tl ... . ..... ............ e 23. Additional comments 24. Site observer /inspector and title -- - - - - -- 25. Dates) of observation(s)inspection(s) -1'7 a TEST PIT PROFILES - Hole # Lot # - ._...... _dole # _.._ _ _ . _ . -Lot # - - - -� - -Hole # .....: -. _. lit # Depth to water Xv vA Depth to water Depth to water Depth to mottling. " Depth to rock/imp. i - (o Depth to rock/imp. � i -C� �� Depth to rocklimp. G.L. G.L. G.L. - 1.0 = 1.0 1_0_ _ ...: - -- ._.._.. . ... ..... ...... - - - -- - - -- 3.0 3.0 ' .� - - -.... - -3.0 4.0 4.0 - - -: 4.0 5.0 6.0 7.0 8.0 , 9.0 5.0 6.0 7.0 8.0 .o 5.0 a 6.0 7.0 8.0 M 10.0 . 10.0 10.0 JOEL LAWRENCE GREENBERG Architect • Town Planner Two Muscoot North e RFD #2 MAHOPAC, NEW YORK 10541 (914) 628.6613 • FAX (914) 628-2807 Town Planner • Putnam Valley, NY TO AvA t,),, �Ti F_ a Fu, i N6 N.( JoS05 WE ARE SENDING YOU )Z Attached ❑ Under separate cover via ❑ Shop drawings ❑ Copy of letter XPrints ❑ Change order ❑ Plans 0 LIE-tFUEM (MVq MUMMU-If nAL nA'lr. ATT.�NT.IQ;4_ .......... - ------ ------- 17F ------------- TZ.- the following items: ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION Rm _h_cked b-Io%Al:__ )5eFor 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 ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS IV C, 1- 0 0. pry �Trzjc_-F14SN 1=o a.' Appp_'OVAL. COPY PRODUC72402 �1nc'G'dwmw will SIGNED: If enclosures are not as noted, kindly notify us DEC-20-2000 05.25 P.01 BFBRUCE !t fOLEY * LOREiTA ivtOLIIdAR! R.N., NLS.Ai. X tk Director �'�i+ W. Associate Public Health Director O .. .... . 4 . DEPARTMENT 1 of HEALTH 1 Genev� !Load Brewster, !dew l York 10509 REQUEST FQ Kx'1 - L1�S'Il'i1VG IT'ENT'ION: MADAbf STtEBELING o GENE REED Il information belo4 must be fly completed priorito any scheduling. I a; ! II!o ^Y? aic- :........ ... ... .> DATE. 11/27/2000 YGINEERORFIMNI: JOEL GREENBERG, (t.A,. PIIONEN: 845 628 -6613 i EASON: DEEPS: Xk PERCS: !* o PUMP TEST: o 5 HORTON HOLLOW a PUTNAMi VALLEY I TP. 72 -1 -43, 44 [VISION: AN,�ONIA & PAUL GAUCI 2 LOT #: i .n. ANTONIA & PAUL GAUCI ES NO i A7 Proposed SSTS within the drainage Rosin of Nest Branch or Boyds Corner Reservoirs. 1p Pro sed SSTS within 500 feet of.a �eservoir, reservoir stern or control lake. )1 Prozed SSTS within 200 feet of a atercourse or a DEC wetland. )P Proposed SSTS design flow greaterlthan 1000 gallons/day or SPD.ES Permit required. ..Prne �c °f1.C�TcS'-for.n �'nr;n4CT'cA P ect: I is the responsibili {y of the design professional to rovide the above information prior to soil testing. his Department v ill determine the NYCDEP raject status (Joint, or Delegated) based on the esponse. If you *veered Ms to any of the ques 'ons, NYCDEP must witness the soil testing:. This partment will c"rdinate a mutually suitable tine for field testing with the PCDOH, the Design refessional and N111CDEP. r f a project has "ben determined to be Delegated �ased on the above re's'ponse and then subsequent armation indicatfs NYC•DEP is required to witness the soil testing, it will i4'the sole responsibility I the.design professional to schedule re-witnessing loI the soil testing with NYCDEP. 'c. / FOR COUNTY USE ONLY OATZ: ' ' ' lm TrnrE• • cos�mEtas I l 17 _T� BRUCE R. FOLEY \ LOR_ ETTA MOLINARI R.N., M S.N. - �.ij'I Ng �: �"•,� �.. r-�W` zs :' ...:.e ;:- y`,�.:.:ks, :... �.. _ � _.,- v . �� � j'�� � ..».H; a•a`o>�...:H:v� �e a. _ �C/.��ie'.... "_*'_'d• �4a�-..�..�i tri: a ... �-.� . 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 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Date: S� O To. L `f� Fax #: b 28 — Z `SO 7 No. Pages (Including cover sheet) From: Adam B. Stiebeling - - -Asst. Public Health Engineer For your information Please respond For your review As discussed Please call -� r I ►Z M l KX ir. Attached as requested NotesMessages v IL.Z -00 G CL r& WA- aj:� In the event of transmission /reception difficulties, please contact this office at (845) 278 -6130 ext. 2157. C�? VjtL4 C n�l '* DEC -20 -2000 05:26 P.02 •J, I i /rr� I Af f _ S 00 - ..�.., a. ..a �:} � - "' � •._.r_. y:re.- fib'• , .V �i �x ♦ �>i..'s r �,/'s -V✓. ..s �. r.. .. �.. v >}S- .._.Ir.' � .6 � .. � '/_ .rte. b >.- •�- n .. �.r.+....- _ 1 0f I �' 41 L ®7- 2 =- A943/dq ff / � b i op 3 1 r < /IF � o ' x,413 j3y 10 %000. .2 °40 -00 E t316. o a4': 5 101, ovi 9 2 t f ®' Ny a Z4'E 147-56' 40 o fta r 65 Jl�l a.- .16 �.;N �_C20 TOTAL P.02 Q. .- DEC -08 -2000 04:23 Public R. FOLEY zith Director DEPARTMENT I Genev Brewster, New XXADAAI STIEBELm`G information below must be kilyl1 completed prior, to any scheduling. GINEER OR FIRM: JOEL GREENBERG, R . A. ASON: P.02 0 LORMA MOLWARI R.N., M.S.N. 0Q� Associate Public Health Director OF HEALTH Road York 10509 IELD 'fE '1'1N o GENE REED DEEPS: XK P 75 HORTON HOLLOW ROA DATE:11/2712000 PRONE #: 845 628 -6613 o PUMP TEST: 0 OWN: PUTNAM VALLEY -FAX MAP #. 72 -1 -43, 44 UBDIVISION: ANTONIA & PAUL GAUCI LOT #: 2 IwN1rR: ANTONIA & PAUL GAUCI NYCDEP CRITERIA FOR 301 NT REVIEW AND _WITNESSING OF SOIL TFSTI NG ES NO ' 13 Proposed SSTS within the drainage basin of West Branch or Boyds Corner Reservoirs. V Proposed SSTS within 500 feet of a ervoir, reservoir stem or control lake. Proposed SSTS within 200 feet of a Wesatercourse or a DEC wetland. 7U Proposed SSTS design flow greaterithan 1000 gallons/day or SPDES Permit required. Dropesed SSTS !qr.a C7::1mcrita! Pkvjert, is the responsibility of the design professional to ' rovide the above information prior to soil testing. kis Department will determine the NYCDEP 'roject status (Joint or Delegated) based on the spouse. if you answered xes to any of the ques ions, NYCDEP must witness the soil testing. This partment will coordinate n mutually suitable ti ne for field testing with the PCDOH, the Design ofessional and NYCDEP, a project has been determined to be Delegated based on the above response and then subsequent formation indicates NYCDEP is required to witness the soil testing, it will be the sole responsibility the design professional to schedule re- witnessing Iof the soil testing with NYCDEP. 1 FOR CUUNT� USE ONLY g� DATE: off �� rtF1R: ®F� coa��terrrs: o j. 0 DEC-08-2000 04:24 P.03 474. .41 §7 14,04- OA V V14 .0 looll Ada- i if Ac. ol' 44'--,. 0 0010, 09 Z 4'E 14 7 56, 1 -1 Ele ALL 620 0 Oil A Ash r t"., J of or 56.5 TOTAL P.03 Lo r ® VS, L-®% o 484-4 hf) I< 9. • . IF) ro A 9431 oqCRE A4 VS R® .4® A4 ArIVY6 Ns, §7 14,04- OA V V14 .0 looll Ada- i if Ac. ol' 44'--,. 0 0010, 09 Z 4'E 14 7 56, 1 -1 Ele ALL 620 0 Oil A Ash r t"., J of or 56.5 TOTAL P.03 I< 9. • . IF) §7 14,04- OA V V14 .0 looll Ada- i if Ac. ol' 44'--,. 0 0010, 09 Z 4'E 14 7 56, 1 -1 Ele ALL 620 0 Oil A Ash r t"., J of or 56.5 TOTAL P.03 DEC-08-2000 04:23 P.01 JOEL GREENBERG, Arcl#tect Two .M Mahopac., New York 1054� (845) 628-6613 • Fai (845) 628-2807 e-mail: JLGARCH @ aol-cd!111 DATE: TIME. TO: RE: ATTENTION: FAX NUMBER: FROM: COMMENTS: j IF YOU DONT RECEIVE ALL PAGES OF TRANSMISSION, PLEASE CALLUS AS SOON AS POSSIBLE. TOTAL NUMBER OF PAGES (INCLUOINCI'IMNSMIIIALSIlEr.7).-I-- F H H PUTNANI COUNTY DEPARTMENT OF HEALTH DIVISION OF ENb'IIt0. NIEN'TAL HEALTH INDTYIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS REVIEW SHEET FOR CONSsTTRUCTtION PERbI.�T,fyy DE _m.+w.. ,v. = ::'�d �SiLQ�?'2�:R� `. `''•�. -. s. r+,.,L �r..s�ry.� =.fir T;a:.a%i:°�J11 ��17i::ti 11V1�.'.` y�V^'��+-- VIEWED BY: %%L GR, 6DRDATE: Z TAX IvLaP =: (CO L Y i'. DOCU}IENTS \ ( REOUIRED DETA SON 1 L �� L��" #- ;� .-RNiTT APPLICATION � OUSE SEWER - V," FT. 4 "0'; TYPE PIPE CAST IRON SHELL PERMIT .ORPWS LETTER NO BENDS; MAX BENDS 45° W /CLEANOUT PC -9i RENEWALS )LETTER OF AUTHORIZATION SITE NOTE (NO CHANGE) UZUD SIGN DATA SHEET (DDS) FILL SYSTEMS Lj ORPORATE RESOLUTION 1 (� 4 10' HORIZONTAL; PAST TRENCH SLOPES 3:1 TO GRADE HORT EAF (__) FILL SPECS. FILL NOTES 1 -5 PLANS -THREE SETS U FILL PROFILE & DIMENSIONS SE PLAINS - TWO SETS C_) FILL IN EXPANSION AREA Y_R LAINC E REQUEST FILL GREATER TAAN 2 FEESLBDMSION CLAY BARRIER XLSUBDIVISION ( JFILL CERTIFICATION NOTE , UJSUBDIVLSION WROVAL CHECKED ' U DEPTH GAUGES L� PERC.RATE (� VOL. ON PLAN FORRO.B., UNCLASSIFIED & IMPERVIOUS ( REQUIRED DEPTH ))SEPARATION DISTANCE FROM TOE OF SLOPE CURTAIN DRAIN REQUIRED TRENCH Z GENERAL F TRENCH PROVIDED 60FT MAX. ,DCATED L\ NYC WATERSHED AR.ALLEL TO CONTOURS / SANS SUBMITTED TO DEP 1DETAILIDUST 00% EXPANSION PRO�ED LEGATED TO PCHD O(K FREE MSEED STONE OR WASHED GRAVEL )EP APPROVAL, IF REQ'D TEST HOLES OBSERVED RCS TO BE WITNESSED FX- APPROVAL SSDS ADJ, LOTS WETLANDS (TOWN/DEC PERMIT REQ'D ?) DATA ON DDS PLANS & PERMIT SAME PRE 1969 NEIGHBOR NOTIFICATION LETTER BUZBA 100 YR FLOOD ELEVATION W/I200' SOIL'LI�'1'.�C;I.- OTC >1O:YEARS_Oa:,D :•_: • _ -. _� --_- AGE SYSTEM .SIGN WkTA: CONTOURS] ARROW) VEEP RESULTS & PROPOSED • TITLE BLOCK; OWNERS NAME ADDRESS TM 4, PEIRA; NAME, ADDRESS, PHONES _ZJDATE OF DRAWING/REVISION J DATUM REFERENCE f LJLOCATION OF WATERCOURSES, PONDS LAKES,WETLANDS WITHIN 200' OF P.L. PROPOSED FINISH FLOOR AND BASEMENT ELEVATIONS L� %WELLS & SSDS'S WAIN 200' OF SSTS (�jPROPERTY METES & BOUNDS COMMENTS: i" (REVSHEET) E TREES, TOP OF FILL. . L00 T[LV DLOD,150' TO PITS l00' TO TREAM, WATERCOURSE, LAKE (inc. ezpan) :0' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (pits - 20') =0' INTERNIITTENT DRAINAGE COURSE NIL- TO LEDGE FROM FOUNDATI ; 50' TO WELL WELL SLOPE- LOPE IN SSTS AREA (520 1/6) REGRADED TO 15 %, IF REQUIRED DOSE/PUMP SYSTEMS (_J( PUMP NOTES ( _J( DOSE 75% OF PIPE VOLUMEIDOSE VOLUME NOTED (_j DETAIL FOR FORCE MAIN, (PIPE TYPE, ETC.) U( PIT AND D -BOX SHOWN & DETAILED (_J( 1 DAY STORAGE ABOVE ALARM CURTAIN DRAIN (__)( STANDPIPES, 5' BOTH SIDES, DETAIL (____) 15' NIIN to CDS = >5 %, 20'-4 %, 25' -3 %, 35' -1 %,100 % -<1% U 20' NIIN to CD DISCHARGE /100' with 182 cons day discharge C_ J( 10' NIIN to NON- PERFORATED PIPE LOR�17--TTA--&-1 UL nk-ci —1 N Y, Public Health Director Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH I Geneva Road Brewster, New York 10509 NMI% 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 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 June 27, 2001 Joel Greenberg, R. A. 2 Muscoot No. RFD #2 Mahopac, NY 10541 Re: Gauci 70 Horton Hollow Road (T) Putnam Valley TM#72-1-44 Dear Mr. Greenberg: This office has received and reviewed the most recent set of plans for the above mentioned projec. We would like to offer the following c . oniments for your review and consideration. Roof and footing leader drainage discharge points to be shown on plan. Please show 100'.0' well arc from well. , PSSTS to be a minimum 100' from federally defined flood plan. 5, 'Soil testing (deep's and perc's) to be shown within SSTS area. Provide a note on plan stating maintains minimum 10'-0" from SSTS to property (inches). 7 Putnam County Health Department Minimum Standard Notes 1-15, required. Please remove all details, from detail sheet that are not applicable and are "x" out. 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. ABS/jp Very truly yours, Adams B. Stiebeling Assistant Public Health Engineer Public Health Director .. I'UitF'1iA" +IviLINARI'R.N:, 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 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 June 27, 2001 Joel Greenberg, R. A. 2 Muscoot No. RFD #2 Mahopac, NY 10541 Re: Gauci 70 Horton Hollow Road (T) Putnam Valley TM #72 -1 -44 Dear Mr. Greenberg: 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. 1. 2. Roof and footing leader drainage discharge points to be shown on plan. Please show 100'.0' well arc from well. - Well 6Uiv1C.e Ciiillic2 iiUfi 11'nC °iu`rtuuSe "to own: SSTS to be a minimum 100' from federally defined flood plan. Soil testing (deep's and perc's) to be shown within SSTS area. Provide a note on plan stating maintains minimum 10' -0" from SSTS to property (inches). Putnam County Health Department Minimum Standard Notes 1 -15, required. Please remove all details, from detail sheet that are not applicable and are "x" out. 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, Adams B. Stiebeling Assistant Public Health Engineer ABS /jp 4. 5. 6. 7. 8. Roof and footing leader drainage discharge points to be shown on plan. Please show 100'.0' well arc from well. - Well 6Uiv1C.e Ciiillic2 iiUfi 11'nC °iu`rtuuSe "to own: SSTS to be a minimum 100' from federally defined flood plan. Soil testing (deep's and perc's) to be shown within SSTS area. Provide a note on plan stating maintains minimum 10' -0" from SSTS to property (inches). Putnam County Health Department Minimum Standard Notes 1 -15, required. Please remove all details, from detail sheet that are not applicable and are "x" out. 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, Adams B. Stiebeling Assistant Public Health Engineer ABS /jp GREENBERG TWO MUSCOOT ROAD NORTH MAHOPAC, NEW YORK 10541 914 628-6613 FAX 628-2807 F-TRANSMV74L COMMENTS: ' FROM Jo ~- - I COPIES TO: 7F:-jP PRINTS PECIFICATIONS lSHOP OP E DWGS Ej SAMPLES OTHER APPROVAL Ybuk USE REVIEW COMMENTS F-TRANSMV74L COMMENTS: ' FROM Jo ~- - I COPIES TO: