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Home My WebLink About3203DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 72.19 -1 -17 BOX 26 03203 ,. 1J `l 1 1- ki . ', I� NN MCI. P 03203 PUTNAM COUNTY DEPARTMENT OF HEALTH �? - SION - -EIF CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR r.ET TMENT SYSTEM PCHD CONSTRUCTION PERMIT # PV-30-00 J Located at G'I G S P9 o u T- CROOK Ro A,0 Town te PUT-nr A ri `VA Z L C Y Owner /A tpkeaat Name AtJiHO JY C 6 S A 91 tJ I Tax Map % 2. 11 Block l Lot 1 � Formerly Subdivision Name M,4p f4 ®r CaA'Tlrq -CAI?AL 114(09C Subd. Lot # 9 Mailing Address 6) 6 SPRO o i 19120o K 1No1q0 Pis T i&m ALi-t y. /J4. . Zip I o 5 9 Cl Date Construction Permit Issued by PCHD MAY I, 'Lam i sI a iNAs N0s Tod sr. Separate Sewerage System built by HooSoa AUt "Y NomAr JrW. Address •PEt KsK1L may. 10C'66 Consisting of I t So Gallon Septic Tank and '428 L .T - lef �0- J>E aF :dgA -rEb 101/c P1 PE llJ 'Zq` 6121IVe4. i ReacK Other Requirements: Water Suplily: Public Supply From. Address. IS 719n'reR STRCeT or: X Private Supply Drilled by NOIZM 40 1+00046,J 10C. Address 'Pu rmgm 1/A L t t Y N •y Ids'77 T.aa; i.�'i:.�.r_T. ��. _C` a r- `J.`'� �,'✓►�/1�u .. v %�itS.I'. N� ere�;�n nnPSw�� L'�� ^. �r,.m,�1PtP�`; �;f'� _'� _ ". - . _ Number of Bedrooms "%—W[n Has garbage grinder been installed? I certify hat the s stems as listed, serving the abo \P� des were' �e s ted essentially as shown on the as- built plans (copies of which are attached), - acc d ce 'th *� qed Construction Permit and approved plans and the standards, rules and regu tionsth 1 �ii'l�ep t of Health. Date: Certified by Address �u ;q ? , P.E. R.A. License # (Q 1 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 is necessary. Title: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Date:l Orange copy - Design Professional Form CC -97 PUTNAM COUNTY (DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: Z- G d*'rx fC� T n/Village U� ._. � /,.. I ax Grid "# '�:2. , "4 �e 6 Map Block Lot(s) Well Owner: Name: Address: Use of Well: 1- primary 2- secondary _ Residential Public Supply Air cond/hea pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment L Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing 7- Open hole in bedrock Other Casing Details Total length A i ft. Length below grade /9 W t. Diameter SO in. Weight per foot j�lb/ft. Materials: X Steel 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 2—'- Compressed Air Hour -7- Yield jO gpm Depth Data Measure from land surface - static (specify ft) During yield test(ft) Depth of completed well in feet ra Well Log If more`detailed information descriptions or _e3_ are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface G" 't If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type? CapacityC Depth ';1, 6 v " Mode -: Voltage 2,:3 0 ` HP _V:�_. Tank Type Volume Date Well Completed Putnam County Certification No. Date of eport Well Driller (signature) �7' �' .q 41 NmU E: tyAct locanon of well wan aistances to at least two permane/tt tanamarxs to De provtaea on a separate ssnn'evete/pnin. Well Driller's Name „� .,� �'�-� Address:/•► Y` .- Jr (i�+-1;r Signature: �.�-�- Date: J--- White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 YML E�UIR NIAL SERVICES 3�l Kear �treet � _Yorktown.Hei 9I-N'Y45-280O Albert H. Padovani, Director LAB #: 32.103215 CLIENT #: 13364 NON STAT PROC PAGE 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ HUDSON VALLEY HOME BLD 513 WASHINGTON ST. PEEKSKILL, NY 10566 SAMPLING SITE: 676 SPROUT BROOK RD. : PUTNAM VALLEY, NY COL'D BY: ANTHONY CESARINI NOWS...: HOSE ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE DATE/TIME TAKEN: 05/14/()1 02:45P DATE/TIME REC'D: 05/14/01 03:55P REPORT DATE: 05/18/01 PHONE: (914)-282-2233 SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE ' TEMPERATURE..: < 4C COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 05/14/01 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 05/14/01 LEAD (IMS) <1 ppb 0-15 ppb 910.1 05/14/01 NITRATE NITROG 0.72 MG/L 0 - 10 9139 05/14/01 NITRITE NITROG <0.01 MG/L N/A 9146 05/14/01 IRON (Fe) <0.060 MG/L 0-00 mg/l 2037 05/14/01 MANGANESE (Mn) <0.010 MG/L 0-0.3 mg/l 2037 05/14/01 SODIUM (Na) 25.7 MG/L N/A 05/14/01 pH 6.2 UNITS 6.5-8.S 9043 05/14/01 HARDNESS,TOTAL 150 MG/L N/A 05/14/01 ALKALINITY (AS 58.0 MG/L N/A . 05/14/01 TURBIDI ~- '~_�� ^.�~��-___��~_�_..~_ <�'NXU=�`` COMMENTS: PACT THESE RESULTS INDICATE THAT THE WATE \WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORD E NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. "b/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 e/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. a 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 suggested. � . .k~ YML ENVIRONMENTAL SERVICES 321 Kear Street Yor} (914) 245-2800 Albert H. Padovani, Director LAB #: 32.103215 CLIENT Q 13364 NON STAT PROC PAGE 2 HUDSON VALLEY HOME BLD DATE/TIME TAKEN: 05/14/01 02:45P 513 WASHINGTON ST. ' ' DATE/TIME REC'D: 05/14/01 03:55P PEEKSKILL, NY 10566 REPORT DATE: 05/18/01 PHONE: (914)-282-2233 SAMPLING SITE: 676 SPROUT BROOK RD. : PUTNAM VALLEY, NY COL'D BY: ANTHONY CESARINI NOTES...: HOSE ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE SAMPLE TYPE..^ POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C " COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL -.RANGE METHOD pH pH SCALE IN WATER RANGES FROM 1-14, MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITHA LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0-70 MG/L VERY HARD WATER: ABOVE 300 MG/L '-' MODERATEL�Y''HARD WATER 70-140 ��G/L_ ''MG/L =�MILLJGRAM PER'LI TER � - - --''' SUBMITTED BY: Albert H. Padovani, M.T.(ASCP) Director ELAP# 10323 Public Health Director .. = LOR.F._TTA, . MOLT- NARI:ItN., -M.-S N. Associate Public Health Director "' Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (9.14) 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: -rntJ Y C Cxn 21 tJ 1 TAX MAP NUMBER E911 ADDRESS: TOWN: AUTHORIZED TOWN OF: (Signature) DATE: .S6c.rloJ ' 72, 19 j?!-ocK Lo-"= 1-7 Pt)'r-tj;4 M Vt-ILL Y 5 /,x 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 VERFM 0 PUTNAM COUNTY DEPARTMENT OF HEALTH T �g 7Y 7j` f:. -� -: 1�,��'\%1 �J��„lY�►V'1Vi �JL�1ZV �� jL:J'L aJ1J��1A�►.3'gJJ�'� V1 �`�' .:.. GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM dP `t cc'nq .IZ rr' I 72,/7 . . / 1.7 Owner or Purchaser of Building Tax Map Block Lot quoj ap YAL(Cy W(V' ' ZyWLl - -/, /NC , yTNf4/'1 U/4 ue_Y Building Constructed by TownNillage -67-C SftOyT&- 9;F6orf )26" 0 /1P lq Or c01jTl14W7,,de_ 111ccAre Location - Street Subdivision Name S11-36LU Mji' it /2C1'lyee_Nce- Building Type 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 ...,.___•_.._. :' s�Yi> s��_ ll' l�l 'IF�'.�.:S= ��t?ilt�'��:lly.tlj" Wl,��flii r_%� L,�1� alt �Cj!'1 T� `1( - ,1'1i111h,(`tif ti G' �):i1S;(�..iTl, 'i�j 11 1 �� t� -;F;, . ---- .......�:__ 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 -the ding utilizing the system. _ y �j � Dat9/d/ loo# !Si Day I Year &M (( (Owner) - Signature aN' Q�XA? -I e I Corporation Name (if corporation) Address: .5/Y WAdt1111 r'7'6rJ S f-. State r6e_ JgjC . , ��! Zip /is-cc Signature: Title: (hersr Veljg- ration Name (if corporation) Address: 513 1JA- fHmJC "I S T: State PcEjrJ>T i (,� N��/, Zip Form GS -97 LETTER I COTFA TRANSMITTAL ..r.'i...... - a.:-.r�.e �:�:r._ -�.,ti _. c.�. r.o�.':.. ..:..,,,� .. _ - ,.tea - r. a.. _a- o�R. -.ti.. r .....:. a r .... �a "•'y...- ._a, CRONIN ENGINEERING P.E., P.C. May 16, 2001 The Lindy Building; Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 914 - 736 -3664 Fax 914 - 736 -3693 Adam B. Stiebeling, Assistant Public Health Engineer Putnam County Department of Health 1 Geneva Road, Brewster, N.Y. 10509 RE: ANTHONY CESARINI "MAP 14 OF CONTINENTAL VILLAGE" 676 SPROUT BROOK ROAD TOWN OF PUTNAM VALLEY P.C.D.H. PERMIT #PV -37 -00 THESE ARE TRANSMITTED as checked below: ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY �?'.?E_ ARE 5EN`3DI G•Y0! #t ieu 1.) Three copies of as -built subsurface sewage treatment system plan 2.) Three certificate of the construction compliance. 3.) Three guaranties of SSTS 4.) Copy of survey showing foundation location 5.) E911 address verification form 6.) $200 certified check for application fee. Should you have any questions or require additional information regarding this matter, please contact me at the above phone number. Thank you for your time and assistance in this matte. Respectfully submitted, _ P/yi Kenneth M. Murphy Project Designer PUTNADi COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION 1 Town TM# 72,-)q -H7 Dater Owner �r 5ift�. Permit # v - Subdivision Lot'# " 1. Sewage Systetln Area a. STS area located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands ...... ............................... II. SeNvaQe System a. Septic tank s e 1,000 .....1,250 ......... other ................ b. Septic tank in vel ..:............. ............................... 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 & trenches e. Junction Box - properly set ........... ............................... f. renc es T- eL -ngth required Length installed Z Z Z- 2. Distance to watercourse measured - Ft..I.. , 3. Installed according to plan ........................................ V 4. Slope of trench acceptable 1/16 -1/32" /foot ............. 5. 10 ft. from property line - 20 ft - foundations.......... 6. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100° .............. yy // 8. Siie of gravel 3/4 -1 %2" diamete clean ....1!�,r .9._ D.eptb of gravel in trench^?" m`. _� , .� - •- - -� u." ripe ends capped :..................... ............................... g. NPUMD or Dosed Systems . ize o pump chamber ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual / audio .................... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled .......................... ..............::............... 6. Cycle witnessed by H.D.estimated flow /cycle.......... III. ouse/Buildin a. house located per approved plans ........................ b. Number of bedrooms ............................................ ...il IV. Well a. Well located as per approved plans........... 4 .................. b. Distance from STS area measured ' [ �6 ft ........... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted .................. ............................... b. All pipes partially backfilled .......... ............................... c. All pipes flush with inside of box.. .... .. .......................... d. Backfill material contains stones <4" diameter............. e. Curtain drain & standpipes installed according to plan f. Curtain drain outfall protected & dir.to exist watercou g. Footing drains discharge away from STS area ............. h. Surface water protection adequate . ............................... i. Erosion control provided ............... ............................... � c �1 3 05/01/2001 15:23 9147363693 CRONIN ENGINEERING 1 PAGE 01 PUTNAM COUNTY DEPARTMENT OF HEALTH DMSION OF ENVIRONMENTAL HEALTH SERVICES ATTENTION XADAM All information must be fully completed prior to any inspections being made. ❑ GENE For: Fill Trenches PCHD Construction Permit # PV 3 7 - 06 Located: oy^r it'RooNC Ror4o ('I') )o PU -MA&I llq C.LGFY Owner /Appkeant Name: ?opJ Y C4.r--09R t t� t 'I m '72. M Biock 1 Lot _j_j Formedy. Subdivision Name: IW I fF of CWJT 14J&W rR L V f ��&' Subdivision Lot # Is system fill completed? Is system complete? Y� Is system constructed as per plans?- Is well drilled? Agf� Is well located as per plans? AF Are erosion control measures in place? WX Date: Date: . Zi'J 1 Date: I certify that the systeas(s), as listed. at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Construction Permit and approved plans and the Standards, Rules and Regulations of the Putnam County Department of Health_ De?:P`Y: ! '1.d9 r . t'rsifiP�i.hv' gs' L },�ti �!1! - :' ti R, Design Professional Address: ? M ie YA 04 vo edl K rf IL L, N. Y IOS66 Lic. # 6 Z 416 0 Comments: Form FIR -99 j' , ` M s COUNTY 1 a T OF HEALTH CONSTRUCTIO - c SEWAGE TREATMENT SYSTEM PERMIT # )O V -37 -o (:) 00 Located at tftl T Sri E or Sl ,& 7 I T f�?rW at Q>, Town o !"i,�~�r��, VaAx Subdivision name e v Subd. Lot # _7 Tax Map Block Y/ Lot h Date Subdivision Approved 5!Z Renewal Revision Owner /Applicant Name Mailing Address ./. 1�cas��i� .�� • , le��l�1�i� Amount of Fee Enclosed �f .00 -4 Date of Previous Approval N Zip Building Type Lot Area 4 ddb No. of Bedrooms .2 Design Flow GPD Vd . A e_ Fill Section Only Depth Volume PCTID NO'TIFICA'TION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage S, syy tem to consist of Id dz gallon septic tank and 7,er 7C PA-F6 D ?VQ R-P(5 /i0 Other Requirements: To be constructed by /�ucicog l // /y f ( , Address ✓/3 JA14- 0 o S P .� /A& Water SuRply: Public Suliply From Address _ _- &Wry ry ar, . i LY�lete i -apply f rJ' i' �f % � A %Y�� (�3 -iddl: -D r, by - -1, rt;z�� d ;-J �. t%Zfey„ A) y icy ys I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatmentsystem 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 Constructio3} GW" e" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee' �i. s the owner, his successors, heirs or assigns by the builder, that said builder will place in good operati crondition art.. f said sewage treatment system during the period of two (2) years immediately following the date tie i sOf tl�e p oval of the Certificate of Construction Compliance of the original s: .t F. A system or an y p 'rs there o. �% ;::• •:,� Signed: P.E. Date 8 8'bD ;Address -2 -To4if V v i g AIX. License # 062,9i9y �_. 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 .anew it. pproved for discharge of domestic san it s w tee ge only. ojt� By: Tit Date : White 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 . .... ..please print or type , .. ti „ r 1 ..11,E i-i;r 01111 f " Well Location: Street Address: Tower 'u- -NAMTax Grid# A,1T .6,,A OF -5f' 0 UT Broq a Qil _ VAt_Lp_ Map 7,$ - /ay Block Lot(s) &47 Well Owner: Name: %Dw 0&(ARM)l Address: ✓�/3 Y�/o��lrr� 7csi� .JC�. �evJ.J .'� /N Use of Well: ✓ Residential Public Supply Air /Con eat Pump 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 dal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling ✓ 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 t/ Is well located in a realty subdivision? ......................// .. ........� "'A ............................ Yes No ly N Name of subdivision / ��, sn t �' Lot No. T Water Well Contractor: A d 6i�7 Ad ess: / %.2 Is Public Water Supply available to site? .................................. ............................... Yes N9' t,' Name of Public Water Supply: X Town/Village N1, Distance to property from nearest water main: �+ Proposed well location & sources of contam' a o to be ro 'de separate sheet/plan. Clata ref: r,li{%. _.. �iT3uii(,aCli� °,�,ilaii3I?' - PERMIT TO CONST UA 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?onalteration of the approved plan requires a new permit. Well to be constructed by a wa r well driller 6ertifie'tl by Putnam County. Date of Issue 4 Permit g Official: Date of Expiration Title: f Permit is Non -Tra "err White copy - HD file; Yellow copy Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 7'9 BRUCE R-. FO LEY . . Public Health Director Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAVIER NAME: f O��/ C s ADDRESS: i 3 W Q9+( ^-« SITE LOCATION: ( % ':>k J DATE: STAFF PRESENT: SPECIFIC WAVIER REQUEST: ?1100 Bruce F.. Rob M.. Mike B.. Adam S., Gene R., Shawn R.. 2 1n,- 5 DOES THE PROPOSED VARIANCE REQUEST POSE A HEALTH HAZARD OR ENVIRONMENTAL CONTAMINATION PROBLEM? YES N WELL DISAPPROVAL RESULT IN A SIGNIFICANT HARDSHIP? YES NO DISCUSSION ,I REQUEST APPROVAL OR APPROVED DENIED REASON EM DENIAL &14� - DIRACTOR 0 UBLIC HEALTH NEW YORK STATE DEPARTMENT OF HEALTH Specific waiver pity rit tic^ and G ^oci G q epticr? from Requipements_ of. Part 75 and Appendix75 -A, IONYr:RR 4< .. for Individual Household Sewage Y 6Affierit; �Systems:.s , Name of Applicant No. Street Cily own stare Lp i Address -13 5 Ll /us��/ 1�1 9 // No. pp Street Citylrown Sure Zp Site Location, co t c�/� o S�✓.�r ��vc�y�, .�T� � ,�c... + �c �✓ y /D ;r-9 . 1. Reason why site, does not meet 1.ONYCRR Appendix 75 -A (check appropriate box(es)): Separation distance cannot be achieved. Excessive slope. J High groundwater. Inadequate depth to bedrock or impermeable layer. S ii unsuitable. Other(explain) ..................I...f�1..{ .. :.... sl' !"! .................. .............................N1 ......... ........................... ..................... 1�6 .............................. .............................................. ............................................... ....... 7°. r2.:...........✓ C..-........,"''...:.....:...... ._............._........._._. :_ 2. Proposed design or conditions of waiver: ...................:...... --.....---------.......---........._...... ................................. ................. ............... _ .................... f: ................... .......... .. .....................s,�. ............._..' .Scvs %... _...................... _. _.... -v. .. ... ._- ✓..— .x..... .- _ .._ - 3. The proposed design may have the following limitations (check appropriate box(es)): J Increased risk of well or spring contamination. Increased risk of surface water contamination. Expected design life of the system will be diminished. O oration of sewage system is subject to mechanical problems. they(explain) ......................... .... .. .......... :....... ... ....... ............. ................. �'�....? X......... _...1. :.....�.s :_.._._...► �- Additional information attached Construction pursuant to this waiver request. should not pose any foreseeable health or environmental problems. In accordance with New York State Department of Health Administrative Rules and Regulations, Part 75.6 (b), a waiver is hereby granted. This waiver may be revoked by thoriss ing official for a change in conditions for which this waiver was granted. F.0 . MI....I ONER. OFHEAL TH .......................'..... ORIGINAL - Local Health Agency r�� fj COPY - Applicant/Design Professional PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES i-CATION'FOK APPROVAL Gr' Ir Ari S FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: %v.Jy �� ✓,�a�oAJo 2. Name of project: -55T� PI-AA) • 3. Location TX: 7r;yAy1 blq 4. Design Professional: i . �ivnir� /// 5. Address: o2-=,ZolH Jf/eW elle -1 6. Drainage Basin: 7. Tv pe of Project: �/Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEAR)? Type Status (check one) ....................... ............................... Tvpe I - Exempt Tvpe II — Unlisted. 9. Is a Draft Environmental Impact Statement (DEIS) required? .........................a 10. Has DEIS been completed and found acceptable by Lead Agency? ............... �f 11. Name of Lead Agency NI - • -12 Is this prr►3ect ir_ ar area under t_-- .control of local plamin.- zor�ip�,a� %�.u'I�r :....... - w•....,A a.r.��..wn.. �Jn .,,s. u w,> ...a. -r.. -- .- .. ... .. � .... ... w. ....- �.... .+ .^. ... -r.,. +. � .. .. Sordinances? ......................................................... ............................... .yds 13. If so have plans been submitted to such authorities. ....................................... VD, 14. Has preliminary approval been granted by such authorities? _ Date granted: A - 15. Type of Sewage Treatment System Discharge ................. surface water ✓groundwater 16. If surface water discharge, what is the stream class designation? .................... IV // 17. Waters index number (surface) ...............................:........... ............................... N/ 18. Is project located near a public water supply system? .........:........ 19. If yes, name of water supply I/I Distance to water supply 20. Is project site near a public sewage collection or treatment system? ................ 4/D 21. Name of sewage system ,v� Distance to sewage system n1 A 22. Date test holes observed 8-1,291 d 23. Name of Health Inspector Sl`�/� �� ZA 24. Project design flow (gallons per day) ..........:...................... ............................... D 25. Is State Pollutant Discharge Elimination System SPDES Permit required? ... Y ( ) 26. Has SPDES Application been submitted to local DEC office? ......................... x�o 2 27. Is any portion of this project located within a designated Town or State wetland? it/d 28. Wetlands ID Number .............................. ......... - ....................... . -.,.. 1 - - -- � - -- � •- - - - �� °'Is wetlands Isermit required. ................................. ............................... ....... yef Has application been made to Town'or Local DEC office? ......................... ....... -A /%- 30. Does project require a DEC Stream Disturbance Permit? ............ 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 ,v0 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 *0 DESCRIBE: 33. Is there a local master plan on -file with. the Town or Village? ......................... yej 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? o 35. Are any sewage treatment areas in excess of 15% slope.? . ............................... SID 36. Tax Map ID Number .......................... ............................... Map %5 Block d Lot , 37. Approved plans are to be returned to ..... Applicant . ✓ Design Professional �NOTE: All applications for review and approval of a new SS_ TS to be located within the.NVr Wate sh - shall - 4 ; ct Aiui uc'S mt tiYuie�ll tC tU tnC LCD! , aiihotigh the project may require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwaterylans 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. tT I hereby affirm, under penalty of perjury, t at 'nf tion provided on this form is true °`^ to tbest of my knowledge and b st a nt made herein are punishable as Cll&s A misdemeanor pursua t to S c ° n 0. S e Penal Law. c. *s SICN4rtaZES & OFFICIAL TITLES. Mailing Address: f -� 1L164 42111117I.-Tea 12 Mawr LC L NUMBER SEOR Appendix C SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I—PROJECT INFORMATION (To be completed by Applicant or Project sponsoo 1. APPLICANT PJPON3OR 2. PROJECT NAME 3. PROJECT LOCATION: rOVV.4) .0f= 1;:W_ -1,41 -% 11,41-LIFYCounty .4- PW= LOCATION (Street addWe OW Mad intgrudsom prominent WWmwks. air- or pmow map) )F'o S. 18 PROP(*W ACTION:- W16w O&Wslw ❑ Madificat1wMerallon B. DES=Bg PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECMID.- InItWey v gem Ultimately &2,g_r wra S. VOLL P ,ROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LANO USE RESTRICTIONS? ❑ No if ft describe bftlly 9. WHAT IOPENT LAND USE IN VIONMY OF PRWECT7 MU 04"Witial Q IndusUW ❑ c.unereW ❑ Apiculture ❑ ParklFamtIOpm space 0OUw COIES, ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL STATE Oft LOCAL)? alf'o"s ❑ No h vm list agency(s) and wfnitjaowovW _r_9 R_..'� $no\ ?elr I . P . T6 Lk3 v.. o VC41 DOES ANY ASPEq OF THE ACTIC.14 HAVE A CURRENTLY VALEWIbAIT OR APPROVAL? ❑ ya eii-c it yw an agency name and psrmwapparal I;- _#3 A FAWXT OF PROMM ACTION WILL VWTM POWWPROVAL RE01.111RE MODIFICATION? Oyu I CERTIFY THAT THE INFORMATION 7PTIM Llrd: ABOVE IS TRUE TO THE BEST, OF MY KNOWLEDGE . � r --Io 'q /_9 /'rool) It the action Is In the Coastal Area, and you am a state agency, complete the Coastal Assessment Form belompiroceeding with this assessment OVER PART ll"ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I TNR92M= IN 6 MYCRX PART 017.17! It yes. 000folnets the review process OW it" the FULL ELF. 0 Yee ON* ,11111- WILL ACTION RECEIVE COOROINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 4 NYCJqR, PART 617.67 It A-9. a negative declaration May be superseded by 2001114f Involved agency. 0 yes ❑NG Any E6Wft THE FOLLOWIN(k (Answers may be handwrittek it legibly %�'WULI5*4672W' "Etk—T tWAxy ADV0611 &IFE& Cl. Existing air quality, surface at Oro . undwater quality at quantity, not" levels, existing traffic patterns. solid waste productlon or disposal, pootentlat for erosion. dr - afnage of flooding P0`01018111111111 Explain briefIr. C2 Assfibetic. agricultural, archaeological, historic. Of 00101' natural or cultural resources; or community of nalghbortupod charawer? Explain "fir. CO. Vegetation or fauna, fish, owiffsh or wildlife $peclea, significant habitats, or threatened (w 811144114ared species? Explain briefly: C4. A community's axiallng plans or goals as off adopted, or a change In use orintanally of use al land at other natural resourcul Explain CS. Growth, subsequent developinw . 1. at related activities likely to be Induced by the proposed action? Explain brielly. CIL two term ~ term, cumulatt". or Other effects not Identillod In Cl-CM Explain briefly. C7. Other impacts oncluding changes in use at either quantity of " of energy)? Explain bristly. PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect idsn~ above. determine whether It Is Substantial, larp. ln*oftm or oviamse signifte"L Each effect should be assessaxi in connection with its (a) setting P.S. urban or rural; (b) pmbWlity of occurring; (c) duration; (d► Invversibilitr (6) geographic me and M magnitude. It necessary, add attachments or retwence ripportinill materials. 11neuto that explanations contain sufficient detail to show that all relevant advw" Impacts have been Idondfled and ade*m* stildressetit. ❑ Check this box It you have Identified one or more potentially large or signIftant adverse Impacts which MAY Occur. Then proceed directly to the FULL EAF andbir prepare a positive disellwaticirt. ❑ Check this box If you have -determined, based on the Information add 'analysis above and any supporting' docunnntistlot% that the piroposett! action WILL NOT result In any algalficiant sitIvanse environmental Impacts AND provide an attachments as necessary, the masonis supporting this detemilihatiorL- PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for: -5-'7-57 "?- W TES 2�11,1104 y. represent that I am an officer or employee of the corporation and am authorized to act for: nn n Name of Corporation: J u S so v, \Ja l/t i Q v ex mi, JU C, Having offices at: 513 wa;S Whose Officers Are: President - Name: Address: Vice President - Name: Address: Secretary -Name: Treasurer - Name: - Address: and that I am and will be individually responsible for an to the approval requested and all subsequent acts relati Signe Title: Sworn to before me this (:6 day of (month) Nota STAUOONAR A. Nota ublic, State of New York I Corporate Na. +4}, county Commissl' �.,- .:;;nber 18, Form CA -97 I U S6 G. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of 7o,5, Located at Tj` luT,y, o i/,,& y Tax Map # —W� /y Block- — Lot 1 &-7 Subdivision of _ ��1414;� /y Subdivision Lot # T Filed Map # 317--L- Date Filed 5151435y_ Gentlemen: This letter is to authorize. %irwT&,y �- � voAP J a duly licensed Professional Engineer or 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 supery ction of said wastewater treatment and/or water supply systems or 0 in conformity wn� 'cle 145.and/or 147 ofthe_Education Lawa the.Public Health _ V _ilr _.�, v� .P.aa�Vt'yJCirj{t e a cl Very tr Coun ersigned: 62 Signed P.E.,1., # Mailing Address. ,2 ,-Z` tw fWwtl,� Bl v� Mailinl State A) . y. Zip State W g u�' ')vim k Zip l �� Telephone: 9 Telephone: q �- 7i 3 (o Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 1?Q'!� &S. FT - •� U� AC �., r►r' G ; iAEA1iV1'r,N`I` SYSTEM Owner /ova ��f�.�iir/� Address 2 Located at (Street)-t7- v�— �_Oza 0, VO Tax Map :2 Block A* Lot _,T? (indicate nearest cross street) Municipality L _q 7�TAmm lf4u -y Drainage Basin t4"n " 06,rc-, SOIL PERCOLATION TEST DATA Date of Pre - soaking T 1l _3 1) Date of Percolation Test Hole No. Run No. Time Start - Stop Ela se Time Min.) Depth to Water From Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch 2 4 :S7 2/ /8 " ,2/ � 3 0 7 3 .2r- �� f�, r 4 5 tc 4 5 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtainea at eacn percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 DEPTH G.L. 0.51 1.01 1.5' 2.01 2.5' 3.0' 3.5' 4.0' .0 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.51 9.51 10.01 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES, HOLE No. HOLE NO. Z, 3, V HOLE NO. D -off .Ae�oia,a 7W e Indicate level at which groundwater is encountered A/07- Indicate level at which mottling is observed Aldr 0MaF&/e1/er/)- Indicate level to which water. level rises after being encountered Deep hole observations made by: 79WAQ 049W 10;e 6TteteLPAPate I ijesign rroressionai N Address: ---I -.Z wl,' Sig4tdre: 01 Professional's Seal 2 item 4 If Restncted Delivery is desired. � - ■ Pnnt your name andaddress'on the reverse. C. Signature so that we;can return the card to you; $q ❑Agent ■ Attach this _card to the back.,of the rriailpiece _ .... os on the rfront if space permits �s r Addressee 4 v. �-',.. r, C$`b',��tit�iolbY 1 i7: 1: Article Addressed to If:YES,11`enter delivery address belo ❑ No �8as sPfi 3 Seance Type 1 /�q/'%l ° k / Y Certified Mail ❑Express Mai ° z �(% eg {stered - ❑ Retum Receipt for Merchandises X ❑Insured Mail ❑COD *,` r 4. Restncfed Delivery? (Extra Fee) ❑Yes 2 Article Nu ber (Copy from serv�c,`e label) , k Form 3811, July 1999 _ Y . Domestic Return R ceipt = 7 702595 99 M 189 ITS TOWN OF PV PAGE 01 ...... -. .. ..-.� ems... -....: .. _ . -. � _ — r• n M f�� ~'�•�� - _ . _. _ + _ .... .V._— _ .. .' —�°: ..::'�G- .y.., -.. Q• vim..... f. • �: .¢..w.:. -"r7 : _ ..�✓. � ,hyQ. .• •M:^l_.'r.. �..-`?. • .. .' '- j ` \ 677 s � �� 17 4 - c 1.00 A.C. cr . 00 AC, �J �3'� %2.19 - 1 -11 oo "7Z 141-1-14g _ r, c.1 4 39.oP ; ,-y 4t( X673 :. 4 • 3t. AC. Ic 1. r m 449 �l 1.00 AC. 1.34 AC ' \. iq Ac 23 t 1.01 AC :� 0-rri,6:' 2a ,. ;� <a ■ Complete Items 1, 2, and 3. Also complete e Item 4 if Restricted Delivery is dashed. 0 Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mallpiece. or on the from II space permits. 1. Article Addressed to: A Received by (Phase Pdnt Cleary) I B. Date of Delivery { C. Signature x ° Agent O Addresses D. is delivery address different from Item 17 ❑ yea ff YES, enter delivery address below: ❑ No 3. Service Type e)9eWlied Mall O E press Mail ❑Registered t7 Return RWeipt for MecnpWW • Insured Mae ❑ C.O.D. 4. Restricted Delivery? (F_aba Fee) ❑ yp 2. AdIde_ 93 ODD 000s/ Sry lS' PS Form, 33811, July 1999 Domestlo Return Receipt ssvo-u -vm (GE514�iA1 /— ��?c'dUru''cK RcIfF� • Complete Items 1, 2. and 3. Also complete . A. FReceh*d by (Pfaase p fnt Ck&,)4 a. Data of Delivery Item 4 H Restricted Delivery Is desired. • Print your name and address on the reverse so that we can return the card to you C. Attach "a card to the back of the mallpbae, x ❑ Agent or on the from H space permits. Article Addressed to:' LH adders dffeent from item 17 ❑ Yea e dellml, address below: ❑ No Suss 3 y/usk 10 13 SPfe0v/-4eooz 2cI .%./E qyy� /jd� 1' �15I7 e h /r h r�F J (/v7 A i/ 4,// /W / �T Mea ❑ Express Mai l 7 ' y/Y r red ❑ Return Receipt for Merchandise Mall ❑ C.O.D. --ryl IE ea Fee) C3 Yes 2. Ank -7D�%e Pow PS Form 3811, July 1999 /- ( /EDpanesW Return RR 'ecc /, olott� ./ pC,f p + ■ Complete items 1, 2, and 3. Also Complete A Received by (Please Print peedY) B. Data of Delivery item 4 H Restricted Delivery Is desired. ■ Print Yaw name and address on the reverse so that we can rettmt the Card to you. G Signature ■ Attach this Card to the back of the maitplece, Ages or on me horn If space permits. x 13 Addressee 1. Ankh Addressed to: D. Is delivery adders, dfferent felon ken 1? ❑ yes If YES, enter delivery address below: ❑ No C e R v61L) bonl // pa 8a SP/Lo�t oo� Certified Mad ❑ Express Mail Bred ❑ Ralu Reaipl ter MehaWse /OS ! ❑ Iroued Mad 13 C.O.O. n/ 4. ResMied Dedveyl OW2 Fee) ❑ va 72. ANele�r?Copy awn service IeDNJ D�W3��.S_ ��3 _ ,_ - PS FOrrl .;8� 1, Jli� {' iE''J3... . ..OM".„.:!'., ^;Y'.Tfi'e::1:Pi"' •' ••.• .- 1M59SeaM -1TFe .•'�.. --' + • Complete item.9 1, 2, and 3. Also compete Ham 4 H Restrbted Delivery Is desired. ■ Pnrt your name and address on the reverse so that we can rattan the card to you. ■ Attach this card to the back of the mailpiece, or on Hro from H space Psrrttks. 1. Article Addressed trs . Vi d ewmc�/ W //3, A. Received by ft's PrW 04-W I B. Data of Delivery C. swab" O Aq-t X ❑ Atkins D. p cheesy etlosss ddrerern frdn earn 17 O ves If YES. enter deNrery address bW M O No 3. $aryideTya . C3 Certified Mad ❑ Eldress Mal 13 Repeufed Q Return Receipt for M- hWWlse C 3 insured Mad ❑ C.O.D. 4. RestdgW Dedvey) tErae Feel D ra 2. Article Number ICdPy fare service kW X099 .�yoy S� /S ?f` P3 1999 Dooestic Return Reow ,p25g54glA.,Tea C�sf�c /N/ SO,CGdT $Eton /! ,eo�4fl + — • Complete items 1, 2, and 3. Also ��ete Hem 4 H Restricted Delivery Is • Print your name and addrma On the revMSe so Thal we can fallen � the Card to Y ■ Attach this card to the back of the fn8dpisce, or on the front H Orderer Perm t'L 1. Amcle Addadsed to: �rIS - p"ROu leci Nfr�os�9 m u1 — n1 m m m 11"Inw— N Ln "I ,-R Poabee Cenlard Fro eeeeer�r• c3 c3 IaMereamnl Wpiroyp 00 c3 1:3 f� =F' c3 a C3 C3 TOM roalege a Fees S S —w m m A'rmr w�a Ford Gyp T D" r��arr�y C3 O •h�,aab. N r- 1- -0 m m V11 �Ln r rn In !rerY!d Fro �� S 7 Return tleA —'F — f7 [= IEridonun+'1 Rra,4rr1 r3 C3 RwelddW 0,Ii —Fee c3 O p 121 TOW Fbelee• a Faee or. Ir m m rrme ra�tra -.. O'.1reaeG MJtNR.: t�PoE rte_ .tee, r3 a t -.. F I' - n /V. •�fr.h� 1 S S r r VC d r-a a Pee++ve Ln — ut rrh Cyaew Fw C3 C3 IFidvaevriy,t Rereiedl — o0 IMeirIW o•n•r1' Fee C3 C3 rtneu+yrnm R•ae:eN C3 O C3 C3 1 --tege A F- r" m ran. wrey.+e 4 ar a'• SOMtZp /L /n�u:o/R7 ei a o r r .c'xSra COMPLETE t U.S. postal berruct: CERTIFIED MAIL A. Received by Aelt B. Date of DaRmy S S swab" C. Sweb CS r3 If D. Is df,.y addess dllfeea born Item 1? 13- . �e�f✓• hsl of peeege a . . if Y ender delivery address below: C3 . No ES. �' I r9 40 r0 - yh {n Cwjftd Fa Poslmerlr . �� S 7 C3 0 Nye Raven Receipt FM /. C3 C2 RntlrWd pee„yyFN C3 C3 IFr,p�Feemere neVnedl 3. Service Type C C3 err Feces a reee $ .MBertleed Mad ❑ Express Men Receipt Merchandise 13 O G C3 m m a 11 M O Ca .. y .l.►[.L�.. ............................. 4. Reealotad oedvey? l� Fe"i ❑Yea_ D' 117 -- m r Vief. Ne.:a �reW >' r S..ew_ hf R%hy JL R a Er M -0 Ln r-1 Postage CO Ln Certified Fee -r Return Receiot Fee C3 (Endorsement ReGujred) M I Restricted Delivery Fee (Endorsement Required) C3 C3 Total Postage & Fees. M Name tPleas 2 'n - . X Street, ApyN -PO a Cr )r" , C3 . ....... - - ------- T r- -UK K------------------------ -------------- M Lrl r-1 Postage LrI -.ertiflea Fee Return Receiot Fee C3 Endorsement Recuirew C3 Restricted Defivery Fee O (Endorsement Rec6jredl C3 . . r3 Total Postage & Fees -7 rTj Name (Pleas . ........ ra Ir Street. Aor 1) 0 Ir C3 fad r--. r-O ..................... . .............. A /// h .,7,7-9 '; . C3 M -0 L-n r-1 Postage S Ln Certified Fee )- P-4 pi F Hf Fee I '? Return Racal r_3 (Endorsement Required) C3 Restricted Delivery Fee 41' C3 Endorsement Required) C3 C3 Total postage & Fees ftl N (PI Pn'nt Clearly) It be corn by q7rr) T, T, Street. �.ipt. WO. or . ...... ----------- ........ C3 ......... ...... City Stw. ZJP.4 r PS Ft"m 1600' July 1999 Se-a R,2,.---,s-2 fcr nstmctinils J M Article Sent To: -3 G r'U Ln cc Postage 6ertifiec Fee `7 $ I / / . ; . I 1 rq ca Ln ?Gstage :amfiec Fee i / U-1 �Ost _r Retum;1eceiotFee 1 Reouirew C3 Return Receipt Fee (Endorsement Required) C:3 C3 (Endorsement Rest ricea Oefivery Fee C3 Restncrea Deli Fee very F (Endorsement Required) (Endorsement Rea�ireoj C3 2- C:3 C3 Total Postage A Fees M M Total Postage & Fees $ j r rn [r* Name a (to oe cam by marl .............. .. ---------------- ------ Street. AOL M Name .-P31se Print Cleany-)l (to Oe cOmPlet I A", Millier) / Y ............. ------------------ 'N Lot a ..S rpe, ��- 7.... 0,-O.y 0 C4/"-5'0 I,- M....... ------- ......... O"at JP�4 See Reverse for Instructions PS Form 3800, July 1999 C3 M -0 L-n r-1 Postage S Ln Certified Fee )- P-4 pi F Hf Fee I '? Return Racal r_3 (Endorsement Required) C3 Restricted Delivery Fee 41' C3 Endorsement Required) C3 C3 Total postage & Fees ftl N (PI Pn'nt Clearly) It be corn by q7rr) T, T, Street. �.ipt. WO. or . ...... ----------- ........ C3 ......... ...... City Stw. ZJP.4 r PS Ft"m 1600' July 1999 Se-a R,2,.---,s-2 fcr nstmctinils J N — - - gr m 7A 77 posmp 3 Ca Ln Certified Feb A^ A tm Hem In Ed=ftMr4I= C3 Fee ft**", a Ann M AWWW Ir PO Box .. . . ... . ............. Ir . ...... C3 Nm — ------- - _n L m 79=74� rA P-UW Ca L" Certified Fee Redelpt fee _-r I%- M m ro U.S. Postal Service P.609 S 77 �C Certified Fee Ln Ca Ln Tom ftsow a ft" m d—ffn-rIr-'IC:M Mum^ar RAAII F-)C!f%CIM'r N — - - gr m 7A 77 posmp 3 Ca Ln Certified Feb A^ A tm Hem In Ed=ftMr4I= C3 Fee ft**", a Ann M AWWW Ir PO Box .. . . ... . ............. Ir . ...... C3 Nm — ------- - _n L m 79=74� rA P-UW Ca L" Certified Fee Ln rn Redelpt fee _-r I%- M m ro M=D= C3 P.609 S 77 �C Certified Fee Ln Ca Ln Tom ftsow a ft" m ROD Mum^ar eu= C3 ApI C3 Jp;_or '7 Tafte ftsuw a 14" $ -0, r Ib2W PasuW a item $ y Ln rn _-r I%- M m ro Ln rA Cc Ln P.609 S 77 �C Certified Fee Ln Ca Ln ft$TSR 1 CermwFee yf ROD eu= C3 C3 '7 Tafte ftsuw a 14" $ -0, Ib2W PasuW a item $ y M or Name "a Ckwfy) 00 now (pn L Yz, rs7,A S& -Y ..... rn Er Er Robe COM A skeet APt or PO Box W. C2 f%- ----- -- 0� . ... ...... .. .... . . A /ply ........... -r C3 rn -a Ln rq Ca Ln Cwdftd Fee =- M= G=Fm Ga C3 Ibm Posups &Fees 'M 'Afaft M ~Clow Ir ir 'T founipMrA C3 71, 1 10003 %I ilia Tmw XF Pv 9002 PAGE ei gyp) j 7Ve- Key -1 16 V4C4A.Pr ot 1.00 A%.. (57 7 14 1.00 AC !.00 ACIV& 1 00 0 AC A #673 13 AC 5� Y'l 13r• AC. _... :.o= :; `` 1 00 AC. 1.34 AC k 0 Ac .., �l .1.01 Ac. op AC 1.01 AC iL AC .11lw vuiu cugineering CRONIN ENGINEERING P.E. P.C. 1MLOWBUunM SUMoo 2 JOHN WAISH BOULEVARD, PEBMKILL Mr 105M (PH) M4- 738,1664 00 M4.736%'M 'tee Adwn Sf g From KOM Sta dahar Plrrc 914278-7921 P*pu 3 Plow 91427"130 Data August 11, 2000 Rae Ce0wft brt, Sp aA Bwok Road M. [I Urgent [x] Per Review [I Rome Conwnm i Q Piano Reply [] Rome Recycle e Canm�tx Find erdosed the earti W mAM reoeqftfor the ndgVtw nofficad n and a copy of the tax mW for the Cesand SStS and vwM cn Spmd Brock Road. The fomul apptcation has been aWled bo you radar separate corer. Please cell P you have any quedans or require ad t' I irftmv kxL Thanks Q001 __.... -. r._.. -. _ .cam nu ..... «_.e. - ..- - .. -.. - .. - .. � _... .. v .. a, -m a.•- .._._...�. . -.. _. .... ... 'T- 9 this transmkmdon Is not clear plae Est our ofrm y 98/31/2369 11:14 9149467469 BRLMA(E;PIRO ITATI 01 NOW TOOK COUNTY OF 95 see On the (q day of January 19 %9, before me penaoally came Sharon Ronca .,_ _ _. ._._ =.�. _.• `iri- nic'in�twri u; tx'Tnc on.rv7.�'a:'•�- ae'x.:i�tu :t. i.+.,:...eo axmnad the foregoing instrument, and acknowletleed that she executed the same. Notar u Nolnry nn'i . ;i York !n punaP ^A !n it:a'...• 'a a:c,•ay . Com'N434n 4pyea Aua. 31, 29s�i k: ITAT[ OF NlMf YOIC COUNTY OF %[+ On the day of 19 before me pt•rsonally came to the known, who, being by me duly swim, chid depute and my 14At he resides at No. that la: is the of the corporstion described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the kal affixed w said iustrimient is such corporate st•al; that it was so Affixed by order of the board of Jirectori of said corpora- tion, and that he signed h name thereto by like older. PACsE a3 ITATI of New TOM COUNTY Oi tar l On the f ei' day of %10-UG601f 199 , before me personally came Anthony Ronea executed the foregoing iastnunent, anti aekridir dCetr that he executed the same. otary i York r +, ...Y Cw:..'..... :a 1� rwZ Wit, 19§6 ITATI 01 New TOIL COWITT Of sL On the day of 19 before me personally came the subscribing witness to the foregoing instrument, with whom 1 am peraauulty uyuainted, who, being by tri duly sworn, did depose and say that he resides at No. that he'knowt to be the individual described i0 and who executed the foregoing insttt,ment; that he, said subscribing wtmes% was present and saw exmtte the acme; and List he, said witness, at the same time subscribed h name as witness thereto. Bargain and flair Ireb WiT11 CovtNANT AcAi Nf[ CaANTOVS ACTS stccr2oN - rliig NO. ILOc[ 77 -2-13 ANTHONY RONCA AND SHARON tOT 7 RONCA . TO covrrTY cut Towx Putnam Valley Putnam County PAUL $ENCIVENGO AND JAMES _ . QItCACO TRT.t ttIltlltANtY COY ►e Distributed by MARKOWITZ 6 PIRO 90 North Central Avenue Statewide Abstract Corp. Hartsdale, New York 10530 19 Court Street [Attention: Clare A aPiro, Esq. White P181ne, N.Y. 10601 ft r `s.. 08/31/2880 11:14 314 9467468 9RLKA(x:P1R0 FAu^E :2 a..w a.T.aT.u, n,..0 -fw — a.,pl. Y. YY ,Itt,l p,\ fMYV„. gM,11•,.wr i l"rlwru•r L„yw,.p. prY 141.1. CONSULT VCUS LAWTIS NIMBI IIONINO TNII INSTSUNINT,THIS INITIUNSNYWOULD SS 0112 By LAWTIat ONLY THIS INDENTURE, made the 15th day of December , nineteen hundred and eighty -ei: DI??'lv!�EAI ANTI6ONY RONCA and SHARON RONCA, residing _ ._:.. ^. ^.,....:. ..... -. ... __., -> ... ,.oi,v., r.. ✓ 7.: ^ r party of the fire part, and PAUL BENCIVENGO and JAMES R. BENCIVENGO, Sr, as tenants in common, residing at 76 Holland Avenue, ttihits Plains New York 10603 and it Beaver Landing, Harrison, New York 10525, respectively, party of the second part, WITNE9lETH, that the party of the first part, in cunsiderahon of trn dullars and other valuable consideration Paid by Ile party of the second part, does hereby grant and release unto the party of the second part, tht heirs or successors and assigns of the party of the secattd part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements therms erected, situate, lying and being in the Town of Putnam Valley, County of Putnam and State of New York, known and designated as Lot No. 7 on a certain nap or plan of lots called, 'Map 14 of Continental.Village, Town of Putnam Valley, Putnam County, New York," trade by Hans E. Fromaholz, P,E. and L.S., Yorktown ileigthts, llaw York, surveyed September 11, 1953 and filed in the office of the Clerk of the County of Putnam (Register's Official, Carmel, New York, on May 5, 1954 as idap No, 372 -L TOGETHER with all right, title and interest, ii any, of the party of the first Fart in and ho any streets and roads abuiliug the above described premises m the center lines thcreuf ; TOGLTHER with the appurtenances and all tht estate and rigins of the party of the first part in and to said premises; TO HAVE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever. AND The party of the first part covenants slut the party of the first part has-not dote or suffered anything whereby the said premises have been encumbered in any way whatever, except as aforesaid. AND the party of the Am parr, in compliance with Section 13 of the lien Law, covenants that the party of the first port will receive the consideration for Ibis conveyance and will hold the tight to receive such consid- eration as a trust fund to be applied first for lice purpose of paying the cost of the improvvnent and will apply the tame Arse to the payment of the cost of the improvement before wing any part of the total of the saint for any other purpose. The word "party" shall be constr utl as if it read "parries" whenever the sere of this indentltre so requires. IN WITNE07 VMERZOP. the party of the first part Ius duly executed this dead the day and year first above written. f N For"Nea or: ntnony Kona Won Rdnca ' N4020,00, 89.46' This mop /4 cwtitmo? oMy to ANTHONY P. MACA SHARON ROACA SADEY 8 WATSON Lamm SurrKi'ir<i;, u. S. AAarAr. 9 CoW �r„ /,p; �r. fosis (914) 999 -91!97 w0 W.Mv Area = 1.006 Acres I NOTES /. AoweNwi of this document, ",.'apt by o licensed Land swwrw, is MOW. P. All crri ficatians we valid fb• this aw and copies tAmw only if sold app or copies beam is /w�prnsed swat of No wwer/re wAvee i/ ,& oPpsers ok J. f4jgbrV raAd jAWP&w~ty , avawnen/s or nw vPn&"ls, N OW, we not sha" Aaraw. 4 TAr pwewaer Mtrwr is Lot Nd 7 as sham an thof Clain "Mp /4 ofcoM/wewro/ draft:-', "alwch wu W44 /n Canty CAWb flior on AAA' a, 19144 as map NO 37ALL. a. Tgw0jW7jj&d on f/aW sdrner ab*O April M, f9#6 vw xw MMM pare Lere.E abfwn of /929. 6. Rw/pd to skew aw/naawde of stream. 4 ; o , 5, tl is �i ie e a� 36°00 190 "W 1j per /ands a� a' enfta/ Vi / /oy "e: , Inc. 4 °20'00 "W 4.7rV a. . i. ir. SURVEY OF PROPERTY PMAORED FM - I,;;. ANTHONY P. 8 SHARON RONf"A S/T//ATE /N WE TOWN OF PUMAM VALLEY PUTNAM COUNTY ' NEW YO#?X SCALE /in. = 50 ff. JUNE 6 1995 ft fiwv r awMfy Mat Ale ii /I�p +�I�Mn► aw oaWrAVW 4' es on .Ame i /Jird , I"f i MIS Sap nw caMyNNd on Apr// A'a , fm, wed Mvt IArr Aar berw prllwred Ae wrowetwe o/M Me =AV Cbo� o/ AvsAk+r M Lanl swWwo ae o*p/wd Ay Me AYw York Mwo Assaviofisw of pmf"#~l Loved SLrrerors, /wc.ASrisedae A►arcUP9.l9ea. [S. PRINTED are na/s s. /6 .iat RL 7 OPY BAOE1 L WATSON �� n S hpG 8 ENGINEERING P.C. ) _ :i f I L' FOUNDATION NOTE5 Li771m n,,..�e.... At ,W I =s�� COLUMN DETAIL ! i f 1. (I. t� i9 ,a 7 `7 .,7 ;i -T TT ;i 1,. ' 11 �Tt COLUMN BASE PLATE DETAIL5 t •• FOUNDATION/KNEE -WALL DETAIL t. i t 73'10 3/4' B' i ''73' -5 V4' L —_Z— — — -- ----- ---- ---- --- --- ----- -- ---- ----- --- ----- ------ i-- ------ ---- --- — - -- --U z'6 PEE WALL PANELIZED 7 . 6 *EE WALL PANELIZED SNIP LOOSE WIT LED ON SITE SNIP LOOSE MULLED ON SITE 77' -4 V1' � ;4'�II I/4' 48..0. FOUNDATION PLAN t k i} r•; f , S'r !1G 1 •1 I 1 A F BILEVEL KNEE -WALL DETAIL dEq O z W Q 0 U a N bY: DATE: iF�� 2 I 1 x I I I I I v - 1 I I I + I � g Iqq� I Iggo NqgC r7� / / Si1C I g�g I I i UNFINISHED > x xa ' '41=, � I BASEMENT I � I '• I I I I I II' -6 3; 8' 17' -3 :'4• I I I 10' -5 5r8" li' -II Sib' I I I I I I J I 1 I '• ox I I NOTE: 7- M19h' LvL N FLOOR ABOvE EACN SIDE 1 I I I 1 I I lKLE 7- 85k9 �' LvL N FLOOR ABP/E EACH SIDE I I -------- I I 1 i NOTE: _= 3 = = == -- - - - - -- I FIRE -RATEQ FLOOR ABOVE ON SITE BY T 1 OTHERS PER LOCAL BUILDING CODE s UNFINISHED 1 I I BASEMENT' - - -- -- -- -- -- - -- • I I I 1 i I I e I 1 L —_Z— — — -- ----- ---- ---- --- --- ----- -- ---- ----- --- ----- ------ i-- ------ ---- --- — - -- --U z'6 PEE WALL PANELIZED 7 . 6 *EE WALL PANELIZED SNIP LOOSE WIT LED ON SITE SNIP LOOSE MULLED ON SITE 77' -4 V1' � ;4'�II I/4' 48..0. FOUNDATION PLAN t k i} r•; f , S'r !1G 1 •1 I 1 A F BILEVEL KNEE -WALL DETAIL dEq O z W Q 0 U a N bY: DATE: iF�� 2 1 w � � g BILEVEL KNEE -WALL DETAIL dEq O z W Q 0 U a N bY: DATE: iF�� 2 o �a� � � O w z Q YZ O '`7 C O Q W pq z a z U$p4 a aT&Z� Q W D 4 w mu oaarert a ne A�]ISlNT o � � m w ssnw Nlt99ICNW mllue IIODEL� IRAEIIIte ngeuiv, fo.41E0 m uNnlrAeamfc'.wN,rLa rteawnwemis NW l.w® 51-LEVEL To ra NCMENrL seep rove tepin,NN rteIM TOS KIep cN DRAUPNC� CIetlND T,aI[fD roNp NINI. ATIGN G1eM'A.G6pe NIMLL11e.At IYO� IUD �ele .M aAIIBIIf Mxcf eE OSatan PLMI LAYLLT N O4L ql N INN ro W!M pleev �oneNnw ue nwure NIINL® 9NEETi �ol.en ®YRIellblalol Eu, NeDIG N'Npp NC 1 w � � g Iqq� I Iggo NqgC r7� / / Si1C I g�g I ICK � � > x xa ' '41=, � k z 1 1 1 ox 13' -9' I' 15' -0' 'B' MODULE 'A' MODULE 13'.9• p.3" AIR SPACE DETLEEN MODULES PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, BEDROOMS ALL SUBSEQUENT REVISIONIALTERATIONS TO THESE H( PL)_'>;S MUST BE SmzmiT7rT — -- __ C3 �d f � F m > a y $ z Z - ° DD -r -Q r r0 nz D N � m n m N —I 3 m m H D r r ° BUILDER 6aLES.EER.9GE %- • DATE RQNSIONS SERIAL EAST SAO' r Iww aa�..e orb -a mvco as rER r�auEer m A s n g G CORTLAND MANOR NY. 10966 s Suurr� 4drvul P..k aPS -e erlormm a9 PER REOIEST ED A TPoJ94 TYPE T*r N > m TES" PmyN�M. WIT 01Yt MI.Ym b PER RE EST ED A 03 o t <fl Ta=TAa TONY vnut uEe: aEb -D ve+co PER/EaEST EoA HEAT, HW68 �8 T- SALES PERSON D�� B Y. DATES 9CALE� TRACKING • OEILMG NEIGNT� Ca�� BUILDING SYSTEM$ ED A 1/70/00 0196 9TAIRTYPE. 5i -LEVEL 1 ;• r 1+4 1 ;a tb �fl '.1 i� :Y 'sr i� •i . ?1 l� F ac .Q NOTE: PORGN, POSTS, ROOF, AND STEPS ARE ON SITE BY BUILDER 9 TO DO1MtlMrwvn+0 - IO6pU- T!I@II �L' aD fLMN! rnwauxr nawutt..conm m .u�rnr�etaw�cnx i.a rt mm� neae.t� ao iaa® ro.aaaaw.e.taeciroM caaminwrtoxorroecw®a , w ®a.amm ro�o.rvic winae,eaau u►awu,cwram ncm. M f411nIR Mli wn !- pf Oaem naou. a-a rart roonae aum rortmerznw M n-aue mnom mwm M ex�cxrn aane� rm+eacx =----------------- - -- =- = - = - -= NOTE: PORGN, POSTS, ROOF, AND STEPS ARE ON SITE BY BUILDER 9 TO DO1MtlMrwvn+0 - IO6pU- T!I@II �L' aD fLMN! rnwauxr nawutt..conm m .u�rnr�etaw�cnx i.a rt mm� neae.t� ao iaa® ro.aaaaw.e.taeciroM caaminwrtoxorroecw®a , w ®a.amm ro�o.rvic winae,eaau u►awu,cwram ncm. M f411nIR Mli wn !- pf Oaem naou. a-a rart roonae aum rortmerznw M n-aue mnom mwm M ex�cxrn aane� rm+eacx RIDGE VENT LEFT ELEVATION RIGHT ELEVATION I 70 m D 70 m r- m O 411111agp' All 12 11iff 14, 1 —:Z ;-Q Q s BUILDER SALES. SERVa EAST CO AST . MANFACTMM 01 m RDA HOOK ROAD CORTLAND MANOR, NY*. WM& a.— �—' P.. M RETAIL TONY CMLOQ MMOR NY, 6 u N SALES F�-RWH I STATE —BUIL01% 5Y51EM5 G. MOR.AN NY SERIAL TRUSS TYPE. --ZAT-. A NlUBB CEILPIG HEIGHT, LSTAIR TTFIE• f. h' i t A � I lA6' SIEAhaG YNR soAB I I d ) R -l0 NSLLAfpI iBFJdYA`b SHAYAE4 RDCE VFNT SS BEDFD PAPER RIXIF RP SIPREO FF- FEERGLA559VAYA.ES —ALL TIO 01.511E NSiALLAFKN •• +� 6'9ALOEN RP EAA jam___.., ACA PAPER ROOF SIEAIHFG PRE N' ORTOILL 404 GRIP EDff N• ORYIINL X04 FASCIA SA1. OR90LL A hb B1B FASCIA m. IOP RAE CONTNKV$ D' DRNILL ]W IED R NAILER PE.,RATED S(FNI tx6 S1UD • I6' OL. PRE- IAANIFAClURED VNYL SDAG R 9 NSL:AON FSDCF TRIbS IIIS'.AEAI IDROOF RIDGE DETAIL e FLIP EAVE DETAIL 4 4 w N'DRroRI z }xb SAD • W OL R.9 N50A1R.x 1 08979a vN L 5pF R -SO N94ATN F'lrF NANFAGIINED BO. RATE lA6 9EAi1nY yI• fG DEGNAY• R'12F IR14F. hID JOLST . K• ()L DBL. h1e FERL Bam • P.T. SILL RATE hl CLNI. NAIER L OBL. TOP RAZE�B0.I :'7" • BLgX o POPED 1DIlKIATpI WYL NOTE !•I LN SRE BY ORER )MATE WALL TRUSS DETAIL 4 EXT, WALL 4 FDN. DETAIL 4 N• DRTCIAII. l7' ORriOLI h3 SAD. 'OL 1/YN4D' RT1KW hF 5AD . WOL OyyyS• pLT4l')OD IIERtO -RT RILDLD BlOFXLYs TIERIO.RT RTILOOD B.OIXIL WT. RATE V4' T. DEO:LIG OBL. I.fD Km SAWS BOI. RAtE DBL. hl9 RN4 DAIDS •' 3/A' IIG DE(]:I. V111V THREADED ROD VHAO• TIFEADED RDD DISIEFS (NITS i0) RASTERS I NR$ AD' OL v fI1 .AS' OL. hO )d5I . W' OG 1x10.OBI • Y:• OL -5T AY IBI 4. 5T. RATE A T HANGER ID' - WA• St. KAN W SIS�A• LAO W,L LELOED t0 C0.1fN LELDED IO COL0N1 (4)10k1• LAG BOLT TdLD. RAN pEtAl) (SEE FCUO. RAN DEIAL) fSEE MATE /COLUMN DETAIL 5 MATE /COLUMN DETAIL 4 f. h' i t A � I lA6' SIEAhaG YNR soAB I I d ) R -l0 NSLLAfpI 94O BY: R -b MYIAKM SID' DRfWLL i/B• DRTBALI Tm Sno 16 s N' ORTOILL N• ORYIINL I/Y DRTWII A ��• R -9 N50,ATpi m t ILLI h4 SAD R -9 NEILIMN IIERtq -RT /� w A z 1 08979a I _____ ________ __ _____ i ML RAZE R.9 NBLAIKN _ ____________________ CN SITE BY OBER CH SIM BT OTHER NOTE FA$MNNG+ 6 ROOK TO TAFDA11011 a1 ]xb LANDNG 1 SHALL DE a,. " NAIL S. TOE BALED NTO PERfEIER BANDS AW SLL RATE .9' flc. •' d d COL" 6teKED I INSTALLED ON NTE � BY OTHER CRO55 SECTION 28' -0 WIDE � ?• 94O BY: OF N _V1 DATE: t S 1' ��• t ILLI w z 1 08979a nb. ' i .. U a1 1 •' d d d d m8888 � ti t, rr rcrc �Ittf rc NYAFALA ED OCF TRBS a Q 9 a � , .l L'• W QKZ Z oil >- Q a w � rc � No PnOFM n ne nvr.;r. a aNAYII]FO mIDY KATD:3UN � � n i7 FnnlarARr xxwuiDxoas L- sawilexeFmrTlv°C�iAO ",® nuTnnxw HODEL: BI -LEVEL DRAWNG: c000CM[OC;npBCTlhrY nl roacp A+ne nINVEFD a, oltnm roAO N)lNan nOF�6. 4Al CAMBnA TN0 �FlVJG01® CRC*B BECTICF! xouE oA x FAa roaoDe•F IRn a os 'iemm f;t 51IEET' ,F `"F eanxs vxxn Y))y. 4' -n --4 -n O O m I> 4 AlMI P., H CZ MILDER EAST COAST Dur. SALES. 5ERVr-E DATE I w -- '151" ---, BY SERIAL M RDA HOOK ROAD W,LAND MANOP, NY. W-566 I 114HFACMWS 5 su.rf� Wkvr,l Pak A"r 5 u N BUILDING SYSTEMS 01%.A 11411001 AS PER RE=ST ED A 56 ryn: 0 to V%.5 I W/w I AS PER FECItEST ED A. AS PER RE"IT ED A RETAIL TONY M ANQR NY, AS PER REaEST ED A ED NEAT. HUJ5�5 HLU5, DRAU4 � .1 1 DATE: 18CALE, CEILW4. HE*lWT. ..T p l3/ 3l l9 3d u amts 9610 . 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MI 411141 121.» (m.fi. Kl ¢11114 am 1¢l1 T, "1) (012 22 KI ¢ILI4) 1.m am Nlm am(11. Im,.R <IIW MrtIWU 11.8 KT CSILIK) I'M O.m ILI 0.m <I1. 6m 11 (11. _JI 14.8 Ki CEILINI 4.05 Dm 121.» 0.m <II. 451.15 (BIW -1 rLUD 615 18.31 210 311 tii. DROSS ILUD 4.35 218 m 10)8.69 (BTW OATS FLOOR) 1.35 11128 /10.05 (61. GROSS FLUU » ItI. X X1. B] <IIW MRINK ARW SB1 Dm IKIIiMIId GtU 0.AI 8415 1 DO (BT. ])3m (IiW DVEAIU4 ARE ) 18) IKILIBATION RAIG m am 1X.10 0. IS (IT. 211115 <It. DYEMN1t WC. 3.11 INIL10AT1d 0.IU 1.m 0.m Ilm.O 0.m (IIW )Hari (IIW 0rtbt11L NS.0 181 INILIBATION RATE) I.X 0. m 971.12 am (1TW 131A)O(Ir. 1014 11. LOSS) )IB 57 210. 61 (WAIT COrvCRild TOTAL Ilk "" 619569 1871. X N 11 CDNEASId 101. 11. LOSS) 1151.1) 13TH. BI (.IT Carv[¢Id ml. IIW 101 3129.9) 917.10 (VAII COMIC.,. AIM KEA NAME Q WmD HI. MIN NNE Q UH) NA Al O.DO (QI MIN NAVE ¢ x AREA Dm IMIL.NT. Kx NAC Q MDa N AREA 0 DO IEC IL.NT. 1 Q EII, v4U 0.m C Mpx LEACT -1B1. am 0.m WINDOW, m61 aTO ff ORAL. 0.m <4AS. WALL am<m FT. FT. TEXT. V.0 DEBT RIM LC4IWYIDIM) am am WALL O. DO <GRS. V.LL 0.m (M FT. -1 !i. Q CIT. v.0 0.m MLDRET -OTMD am .m I m (EAR WALL am(m'i. 11 Q UI. 4U am mLEKI -MINT, am aTO a m <OO. u4L nm(mrr. am EVIGRIOR DOW 413 am am <I1W 0.m (012 VIXWW, m61 EARRIM DOW 41, am am D (12 am (1t1H IT- 30.61 [FICRIW DUO 41, .1W 0.m 0.m 111. 0.m <IIW WINDOW, X61 CXIEAIOR O[GRJ 4.] 0.m 0.m am <0W ED Mm <li. FT" 4ASM X.33 O.m 80.4855 OmD ll.li 0.,m 0.W flT. O.m <ITW FIRED 4A0 52.m A0. (ARTS [EdJ 11.12 am 0.00 IT TO OT. am (ItW 11.14A,M X33 AM GLASSw 4.12 1111 0.W am O.m (IIW OED 111. IIrt04ASS) X» A0.4AT5 DOOR) 1111 am 0.m TM 600(1!. KT V4Ll 5.8 O.DO GRmS ¢1L14) Im <Ii. 0.DO(M. FT. Ki VKU SIB (ROSS ECILiNO aST O.m(0. 1.00 lX FINN K) Wall 41m54IL1A4) 0.m nm (Ii. am (m fl. Ki VKU S.8 mm, ¢ILI4) 0.m 0.m(11. 0.DOlX'i. am(0W MYLIWI> N.R DO Kl ¢AIK) 1.m O.DO 0.m <Ii. 0.m (ti. 4MIWU N.22 KT ¢IDINJ l,m 0.m am O.TO <ITT. 0.m (1TW SVIIWT) II.. KI ECILIMU 5." am am 0.m (Ilk am <,t. MYL1"1 3.22 KT QILINO I.m 1ED am am1Bi1. GROSS FT. 1.35 0, m OKRWAD .AN ]. A) 0.m 0.m <IiW 0.m <I3. !ROSS FLDOO C 0.S dCRM1AS AKU 10 a DO am a DO 11iIN I'm(I3W fItlA1 FLDOO » DKMNK AREµ 18) M m am D DO lRIW 0.m <tIW UlO3S ROOD 4.» PvCMN14 MS.) 3B) a DO 0.m 0. DO Eli. am(513 1 MIX G1U 0.00 O.DO 0.m <ITW FORK IIW LOM O.M 0.m (WAIL CdvCASld NLiR.IId GTU 0.m 1 1014 87. L05M 0.DO 0.m am C. <IIW I- UMRSIM INILTIAIIOR PATU Dm TOTAL am am f19H INILIRATid G1U 0.m 0m DIM 0.m (IIW (RITId MTM AREA NfN AREA ll M LEMP 0.m MIN Dm %A CA (VAII [.VERSION 104. BTW Lm0 0.m Xi, (VAII A)SA NAVE Q a m (¢IL MT. Q ROW) O.m tQ ILM1. ANNE OR AUV Dm CECIL. N. NNE OF RIDS NN a m IRIL.Mi. -1) 11. QUi. KU 0.m 0p 11 LEAME-MIND am am 0.m (WSV4L am (DOFF. 7 C FINN OGt. Y.0 0.m Rpd LfNON 31. Mm nm Dm <aRSVKL O.m lm FINN fl. QU1. VALU am ML(KTI -DIND O.m 0.00 am(GRS U.I Mm(Cari. Fr. QGr. VKU am ilp l[43WV10TN) am 0.m am (ORS. NAL D.m lm n. VINNO IIT am CYTCRI. 4mD 6.13 0.m 0.m lBTW O.DO <IIW VIMmW, 30.61 CxiCPId OOOR> IT TO DO 0.m (Ilk O.DO <11. VIxmN m.'1 CXTCRI. DOW 1 Om O.DO am (111. Dm flitµ IxmY> ]0.61 EYt[RIGR DIN 41] O.DO O.m (IIW Dm T. 1140 UNITS) X.31 am SL0.4ASS- 112 am am (11w Dm GIN. rIVED 4wtS) X.33 Aa (AASS= 11. 12 am aDO 0. COI:,. am(11. R¢D(ARm X.» AM GAS, 11.12 aDO aDO aDO IItW ¢m<I1. FIRER 4851) X.13 Aa GLASS ®D 1.. 12 0.m am D.DO(1(W am(11I.� KI VKU 118 0.m (ROSS ECILTo aDO <tIW D.EN (Taft. KI V.0 S. MMS QILIID am 0.m"I. O.m 130. IT. KT WALL) 5.58 (ACTS!QILI4) am am(Ir. am (marl. KI V.0 S.8 Mal CCILINJ aDo aED 0..m <m, n. MYIIWTI 51.8 0.DO am T. T. MRIWU 6.22 am ImTw MAIWt) 51.8 0.00 0.m (ItW TAN MYLI WI) N. 22 Dm 0.m(9OW aDO RIM Ki QILI14 4.0 am .DOS Flml 4.» ¢DO am 0.00 (IIW KT QILI4) 4.m LREEM RLpO X 1m am 0.00(61. O.m <IiAN KI QIIIKJ lam IAm, ROJ ..» am Dw am .m (11. Ki¢IIWT) lam ERIC, fLUU 1.» aDO a TO a. (IIW UIER4µ24 AQN 18) a m INILIRA>Id GIG am aDO a m (81ST am 181. .SMIRK ARE. 181 IKILTPAil. wib 0.00 am QDO 0. TO (11W O.m <IrW MITAl AA0 3.11 IMIllMfld M7U O.m 0. m 0.m C DO (IIW 0.m (BTW Ov[MNK AKK ail INlllbild W7D 0.m a m 0.m a m t6N1 0.m f11W 1014 IiW LESS) am 1.00 (v.ii CONNIVE] ON 104 IT. Lm0 D. DO am (WAIT CONi Tm. 11. LOSM 0 am <uAii CdVERSid 101. 11. LOSS) aDO Dm (.I'D CONCRSIM %OGRIN SINDAY AKA ............................._............................_.................................................... ..__......................_.... 1014 IiW LOSS »)1).]117. miK %ml. ELECTRIC KAI--------- - ---- Ilk _.. -. ---- - - - -.. - - - -Fi. W KAI - - - -- MYMIC KAI RTId---------- 11. - - - - -- • --•(1. ¢KAI---- - -- - - --- - f2m33 Y.l AREA ---------- IXI.m m /1. Kt WALL NSA--------------- Il3fl"mFi. K.m Id]pv xJ2'E LIY4 th LOA 9668 B3 - SmQiICD-- 11.17 =0 - -• 11.00 ROUT ANNE tlV4 IN LOSS 9669.11] -LSEESTEW-- 0.X VSO -•- Rm KT YELL O. I----- - - - - -- 62X8 0LH N. WINDOW II. LEGS - - - - -- CITIES 1i. 11.15 891 OINK IN NIRMEN 1411." 418.61 J." 418 BDO I.m DIxIK Rn XITCKN N0." 4422.65 12. ITS ,0.m RDO TO.. TOTAL CIS. = IT. LESS--- 26157 BTW IOtX FIX. CLASS IiW LOSS -- am IiW a 71 000 N. IRTKe MALL IN 1509.78 718.51 2.21 1.05 3. ME 1M n GIKH L MIN NAL Mix 1509.» )18.51 10 1.67 4.00 2.00 ICI. AI (A.OUI IiW LOSS- 1764.71 11. MYLIW1 RIM Lmi---- 0.m IIW 1.91 am x1EDAU1 KORUI12 6]9169 .ISI.0 1.37 4X Ip.m I.DO M KOMDIII 6»5.69 156.11 11.6 1a It 1500 12,00 11AL ImK lILINO IIW LOS - - - -- 5a"01T. I01µ IKIL. ilk L05- - - - -- 17752.13 IT. ISm 3811 IC M:e x 710.97 am 4.X DDO 100 8040X11 x JItA 91 aIS ). 11 am B. ED am 101. OKRNVID IIU. LOSS - - -- a DO IT. 1014 (lUt llW toss- .. - - -- XI].011W It m IS 10 x N. a m aDO a. DO aDO a, 0. m aDO w w a m D m am 0. W Tm AR am DDO am aDO am D.m Dm Mm 0.m am O.DO am It ED _ xA . ana pDO am am am am aOR ,TO � 0..00 am am o.OD o.DO ¢DO D.DO nm am mex8s ¢ O EiUILDER BNE9 EAST GOAST. 6 KAREACTIfil RDA HOOK ROAD r CORTLM� MANOR. NY. Ill 9 SM u f 6dKol'i Pe14 m r r RETAIL TaNJ_ PwnyNaw New TONY 5 N vhTUS0.NrlfuEs `ORTL*Q MANOR NY J nuw.aBrooEU.ca r SALES PERSON STATE BUILDING $YSiEMS C I'IORL9AN 47 ANN 0.w eY. -, ED A 11201W SERIAL 0 a TIaISS TYPES S� HEAT: HWBB CEILW. HEIGHT, 81_06 STAIR TYPE: BI -LEVEL vp .. BRUCE R. FOLEY .. -..:_ raisiie° ��'r.:Jit•��t�r`- ,g:.�- �:�.x -, ��"o;� "t :� � - ...... It A'1_ UNIX= � LORETTA MOLINARI RN., M.S.N. :.:.Assocja a �u6lic Health Director :;^ ` D'ir'ector of"�atient ' �e'ivrces 1 Geneva Road Brewster, New York 10.509 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 August 24, 2000 Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, New York 10566 Re: Proposed Construction Permit Cesarini, Sprout Brook Road TM# 72.19 -1 -17 Dear Mr. Hernandez: Review of plans dated August 8, 2000 and other materials relative to a construction permit for the above captioned property has been completed by the Department. Based upon such review, and pursuant to the provisions of Article III of the Putnam County Sanitary Code and Bulletin ST -19, Rev. 12/99; Section 3 Letter A., you are hereby advised that the proposed method providing water supply and sewage disposal are considered inadequate as set forth below. Therefore, approval of these plans cannot be granted without request and issuance of a waiver. - ---`--`SST,S design is to be rased on.a minimum of a three Q) bedroom and consideration of less will require approval of the Public Health - D'ir'ector "'. `—s Plan as submitted is based on a design for a 2 bedroom dwelling. Please submit a formal request of waiver in writing and complete NYSDOH Application (Gen -152) for the above stated. If you have any questions, please call me at ext. 2157. Very trulyyours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj Encl. Gen -152 BRUCE R. FOLEY LORETTA MOLWARI R.N., M.S.N. ,.... _. -. ,_. o' i.oSvGiJ.i' YaUi.� ` ��Uiifh "Iiii'�i'.Cili"'�' �.`=' °` ' . • ` 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 4 & Early Intervention (845)278-6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 August 24, 2000 Cronin Engineering The Lindy Building 2 John Walsh Blvd., Suite 200 Peekskill, New York 10566 Re: Application to construct a Subsurface Sewage Treatment System on Sprout Brook Road Town of Putnam Valley, TM# 72.19 -1 -17 Dear Mr. Hernandez: The Putnam County Department of Health (Department) has determined that the above referenced application, received by the Department on August 17, 2000 is incomplete. Please be advised that the following information is required before the Department may commence its review. 1. Application Form CP -97 * Subdivision Name, Subdivision Lot #, Date, Subdivision approved must be completed. 2. Application Form WP -97 ....;:._.. *. Subdilvision_and Lot # must.be.comnletgd. * Subdivision of .................... * Lot # ...................... Filed Map #................... * Date Filed ................ 4. Application Form DD -97 * Complete date of pre - soaking. 5. Request and documentation of required specific waivers in writing. * Please also complete NYS DOH -1326 (Gen 152). * Waivers required - 2 bedroom design, current code requires minimum 3 bedroom design. 6. Submission of Proof of Neighbor Notifications. 7. Certified copy of survey. The review of your application will commence once the Department receives the requested information and determines that the application is complete. The Department will notify you within 10 days of its receipt of the requested information as to the completeness of your application. Please be advised that failure to submit information to the Department or to follow procedures is sufficient grounds to deny approval, pursuant to the New York City Department of Environmental Protection Watershed and Putnam County Department of Health regulations. - ' ' G.6i"�"- -8fi6um You have' any questions caretodiscuss ihi�rriiff6f e, please 278-6130 extension 2157. ABS:cj Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer y ,a. CHAPTER 144: Freshwater Wetlands, Watercourses and Waterbodies Ordinance of the Town of Putnam Valley, New York. The Town Wetlands Inspector, as Approval Authority, has deters that the proposed action is an Unlisted Action under SEQRA, and will not have a significant environmental impact. Therefore, a PERMIT WAIVER is granted subject to the conditions noted below. DATE PERMIT ISSUED: DATE PERMIT EXPIRES: APPLICANT/SPONSOR: PROPERTY LOCATION: August 21, 2000 August 21, 2001 Anthony Cesarini (contract vendee) C/o Hudson Valley Home Builders 513 Washington Street Peekskill, NY 10566 East Side of Sprout Brook Road TALC MAP #:'72-19-1-7 SIZE OF PARCEL: 1.006 acres ZONING: R -3 PROPOSED ACTION: Construction of single family residence, septic system, driveway and well, piping of intermittent drainage channel MATERIALS REVIEWED: 1. Apphcafion Materials, file # .W1 =360. 2. Wetland Permit and Site Plan for Tony Cesarini, as prepared by Cronin Engineering P.E., P.C.; dated 08 -08 -00. CONDITIONS OF PERMIT: 1. All construction shall followed approved Site Plan as prepared by Cronin Engineering P.E., P.C., as dated 08- 08 -00. 2. The piping of the intermittent drainage channel must be completed prior to beginning the foundation of the proposed house. Peke 1 on Ike o of *. t:�e iq",no _W _dr;�inage channel shall. be inspected b the Wetlands Inspector for compliance with approved plans. Wetlands Inspector to lie notified when y erosion controls have been installed, when pipe has been installed and is ready to be backfilled. 4. The Building Inspector shall be notified once erosion control measures are in place and at least 48 hours prior to the initiation of any site work. 5. When Erosion controls are required, they must be maintained properly throughout the. construction process and remain in place until final site inspections for compliance with conditions ofpermit have been completed. 6. The Planning Board, Wetlands Inspector, and/or Building Inspector, shall have the right to inspect the project from time to time. 7. The permit shall be prominently displayed at the project site during the undertaking of the activities authorized by the permit. 8. An additional escrow account in the amount of $ 300 must be established with the Town before this Permit Waiver can be considered validated These additional escrow funds will be appropriated as required for construction monitoring purposes. Any portion of the account not used during the project monitoring period shall be returned to the applicant upon satisfactory completion of the project. Noncompliance with the conditions above will invalidate this Permit Waiver, and may result in a Notice of Violation and/or a Stop Work Order. Any questions regarding this Permit Waiver should be directed to the Town Wetlands Inspector (914) 762 -7288, or the office of the Building Inspector (914) 526 -2377. Nte Permit Wa ^-r Wired? : wgust 21; 2000 cc: Applicant Building Inspector Planning Board Environmental Commission Paget 42 Stephen W. Coleman Town Wetlands Inspector �ewr a -in -n r— C) AT CK15RALL GO-ENWICH 84CLUMS P Art SPACI!WTaMMr%XX"9 10 • r rmwl 03 R 03 ,.T li CK15RALL GO-ENWICH 84CLUMS P Art SPACI!WTaMMr%XX"9 10 CRONIN ENGINEERING P.E.,P.C. 2 JOHN _WALSH BOULEVARD PEEKSKILL, NY 10566 FACSIMILE TRANSMITTAL SHEET TO: PROM: , Xlpii,a STi <.B�'Lie/• dig ri'�•��J"� COMPANY. DAM' S Yd PAS NUMBIBL' TOTAL NO. OP PAGES INCLUDING COVER L3(4) .218 73 Z/ 2 PHONE NUMBER SENDER'S REFERENCE NUMBER RE: YOURRBPERMCE NUMBER O URGENT ❑ FOR REVIEW iJ PLEASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE NOTES /COMMENTS: TELEPHONE (914).736 -3664 ■ FAX (914) 736 -3693 -in dt, r!,bll r- W PINKU . . . .. ;, , , , ; , . . - - . .— v . flocPA26 IS 31 cn d d S 1% 10 IS 31 cn d d S 1% �a :Y-0 1,4' _ 23'-9 fH' 1 1' I I I II li I I I 1 I I 1 I I l 1 I I I I 1' 1 1 r t t I I t 1 I I 1 I I I 1 t - - - - -- - - - - -I - -- �•�Y 1 �1i �f 1��i��1�1�1��1�t•♦ ��1♦ �1i��1��11�1�� ♦i�i�11�•i��i�f �l�ll�... ��•�1�11�l��11 11 ♦1t��If ��1iA•�1��1��. 11 1 ♦11If111/ i�111••111.1f ♦•f11. 1111.1• ♦111 ♦1111111 ♦1f If1 ♦11. 1�1 ♦11 ♦ ♦•f11.1i1• ♦•11f 1111 ♦1f11if •111/11 ♦•♦ 1_1_1.1.1. 1.1. 1.1, 1_ ff. 1. 1_ 1. 1. 1 _I_fff_1.fi_•_1_•.•.I.f.1.f.1.� f.f�ff. ♦.� � f_f :f1.f.f. /.f.f.ff. ♦. f_ 1. 1_ 1.1_f.1.f_f.1.1.f_1.1.1_f.1.f.i �.f„ f.1_� 1 1.1 f.1_f�f.•_f.• �_1_f.•.f.f.,f1 :• � 1 _1.1.1_1,.1_1_ . tl •11 li 11t 11.11 1• 1 t p !f1 !� ♦ t 1., 1. ♦ i• • ♦ • 1 11 � 1 / fi•1 I.1 1.1� i• ♦' Iff11 !1, • 11. 1 ♦ !1 ••� FIRE -RATED FLOOR-ABOVE • 51TE - �� - OTHERB 'r ♦ / ♦t 1•�1e •1.11 ff•/ f'f_f =e 1 � � �7 f.�_A� � �:► ff_f_1_f.1�� i_1:fi � ff'1:1�f�f�1�1�f�f�f�l�f�i�♦�1 11t ��f�lffff_� ° =` °_ee .•'_•mss. ........ • ♦ 1.1•I.ff_1,f �V � f�ff_ff_1'1:f_� 1_1_f.� •:• � � �: ♦`� :� � �.� 1:i f.1 �.•:i_f'� i:� � � .iii,wi,�,�i +s:�wwe.�w;lii:•ee= wa>::w.w lt�r.wal>.,ia;tirw6t�it�: s;w.t�t:rsisti�e!� . .7 r;. if FOUNDATION PLAN 1 ( I I i 1. 1 1 1 t 1 I I I I 1 I 1 I 1- I 1 I 1' I I 1 1� I' t 1 I I 1 I I I 1 I I t I ®ILEVEL IQJEE -WALL PuAIL +wemr6AMMA COWA Iw�w•nwle�oaw • ntvlunwralaamualw lu �wlrlrint mnle+r la RMl�al••�Im1UCICiMf LW UM �Oq �ioa alw ee el c um M Mamureelwiet Kam ws m•sala+rol sowarosmaramw•e 8qq - — — Igo 09/1&/OQ ' IW 15. 1, rAA A14 I YV YYOY CRONIN ENGINEERING PoEo,.P.C. !-,PH BOULEVARD- THE LINDY BLDG; TS,UI�-� .pEEKSKIL]L, NY I0566 FACSIMILE TRKNSMITTAL SKEET To: r noft / _ ..G•G4C5 ooupwi : /�>nDll nnrs PAZ NUMBER: TOTAL NO. Off PAGES INCUMWO CAVE& 9��) .9787szi �} PRONENUMBB& �— SWDER'SRBPBRENCBNW/BE& R& YOUR RBFEEENCB NUMBER: 0 URGENT ❑ POR "view L°J PLEASE ComaNT ® PLEASE REPLY ❑ PLEASE RECYCLE NOTES /commENTS �� ' C: Ga -Ss9i2 /it!/ •'- .�.5 %�.S /^''� i�//�% '- i7/�GS� lLf1•�5C r#77s�lf%E�� TELEPHONE (914) 936 -3664 M IAA$ (914) 936 -3693 i r O fi y sr,NC DRA ' sue, � �£ (zs- EX15Wc- •''�� C4 TCH 8A -VN Try - • ' �.-.� '�.`t' yO •�V EKISRN Ara EVSnNC wA7ER SERNC£ 65.0 , l ROOF LEADER dr FOO�C DRAIN HOPE END SECnCN RIP RAP AREA JA F. -4'i JSSDR PtV .-l'PE —F-410 X/O HO PE sALL P /PE CA. GU7. �\ / .VNCRPV dOX (7.: J CASr PEAFORAE0 rRIAiN— W// IRIXJ PIPE INRU FNOr. a 1 C t vC, Q DRAIN IN CPA<TL 7R£NCH I i 3. �� i�!�'�•j dJ s4 E5 F. + \ ; a � / F� 2L -4' SIXJD 5f.3" SE°nC TANK / �� £ � 3�ca��q,�� .�• fi,GGY - "`� �'Se.T�'.' tk�%3Syd.� 5: PIPf w/ as' BENDS AS SNO6N 7/r�� 7 I•y�! /.I / /' 0 1W 2 -t-I PERFREN PL °E —/ J - I (ENDS�ARE CAP..-ED \''0\ �k p41 `�. k! Ai saseO b/ DISTANCES 70 SS7S A B SEPW TAW 45' 50.5' AINCIIaN BOX jl _ 83' 86' AINC71GN BOX p 90' 93' AWC77aV 80X /3 97' 100' AWC77aV BOX f4 103' 108' AVNCTIa"V BOX 05 112" 115' JUNC77av BOX o6 118' 122' AS —BOIL T SEWAGE TREA TMEA SCALE: 1" = 30 FT. 0 1ST4NCFS 7MNDS CF SS7S A B END OF 1ST. TRENCH 68' 93' END OF 2ND. 7RENQY 74' 99' END a' 3RD. TRENCH 84' 105' END OF 41H. 7RENaY 91' Ili' END OF 57N. 1RENCH 99' 1176' END OF 6TH. TRENCH 1 106' 123.5' 7t cc W, W, At HE S CD as HELL COCA n =D B 1 HUL W 1 25 =8" 28' -3' •51,3 PEE rT D/ /VOA 15" PO Rev. - 3186 ` PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services. Carmel, N.Y. 10511 Engineer to Provide Permit N on CERTIFICATE OF COMPLIANCE CONSTRUCTION PERMIT FOR E GE DISPOSAL SYSTEM � Permit a r Put. Valley Located at_ Sprout Broo Rd. - _ Town. or Subdivision Name I'I`t o' y i 1 1 i3y 5 a Snbd. Lot a Tax Map ^ 77 Block 2 r Lot 1 Owner / 'I'Ori ROrica Renewal_❑ Revision ❑ Applicant Name Y Date of Previous Approval Mailing Address Rd.4 S,Ptout Rrnnk Rd Town Put. Valley ZIP 1 Fain. Res. 1.006 AC Building: Type Lot Area Fill Section Only Depth Volume Number of Bedrooms 3 Design Flow G /P /D Finn PCHD Notification Is Required When Fill Is completed Separate Sewerage System to consist of 1 0 0 0 Gallon Septic Tank and 9 7 LF —I}- —$ a l 1 e r i e s I, X q To be constructed by M _ Am n r.-, a 13 n Address Water SapPb: Public Supply From Address or: XX Private Supply Drilled by ddress Put. Val! ax - OtherRequirements g�O" Ca27AIN 1> 2Aht w 2I-b1) RANIe 14 jiILL represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards. rules and regulations of e Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of HealthwilI be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assign the builder, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years Im di tely following the date of the I.. ante of the approval of the Certificate of Construction Compliance of the original system or any re s eroto; ) t at the drilled well described above will De located as shown on the approved plan and that said well will be installed in accordance with the ands tls, r las and rag ions of the Putnam County Department of Health, Date 2/`�/87 Signed Joel L Gree b P, E._ R.A. XX —� Address Muscoot North RFD #2 BOX tense APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless co Uf, n f the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the Commissioner I Any Cha nge or alteration of construction requires a ]&ermi t. Approved for disposal of domestic sanitary ew and/or private water supply n11y Date ��r 7�'7 gY �''w�`� Title s " PIJTNAN�I COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENFfAL HEALTH SERVICES ... .. T Tt 7Tr T+1��.111 Ji \r {T j�.T ,� 1' nTT� YrT.j`-r�ry� t :rs +zisi� t xL:Jii..::itUJ�t.illll� SECTION A. GENERAL INFORMATION Name of Project O�lG (T) (V) County Site.Location Buildina.construction aIun 91 Extent Is property v.ithin NYC Watershed ? ................. F-� Yes No SECTIONr B. TOPOGRAPHY (Please check all appropriate boxes) 1. F-1 Hilly 0 Rolling F--J Steep slope Gentle slope � Flat 2. vid nce of wetlands 5 -- ow area subject to flooding Bodies of water aQe ditches ock outcrops 3. Proper<y lines or corners evident ....................... ............................... Yes No 4. Do water courses exist on or adjoin the property? 5. Will these affect the design of the sewage system facilities ?............ es F-I No 6. Do Ntiatershed regulations apply in this development ? ....................... F. Yes ` �to 7' Will extensive grading be necessary? ................. ....................:.......... Yes � No 4,; NVill extensive fill be necessary for SSTS ?............... ..n: Yes ' :No 9. Do filled areas exist «ithin the SSTS area? ........ ............................... Yes o If yes; what is the condition of the fill? SECTION C. SOIL OBSERVATIONS. 10. 'Appearance of soil: and Gravel �Loani F--] Clay E] Hardpan RMixture 11. Observed from: Borings B u ackhoe excavations 12. Soil borings /excavations observed by 2 on 6J? 13. Depth to groundwater on `( 14. Depth to mottling k 15. Are test holes representative of primary & reserve areas ...... ............................... 16. Soil percolation tests made by 17. Soil percolation tests witnessed by SECTION D (on back) on P;; Yes E] No on on Form ST -1 SECTION D. D WIT IN! 18. Will proposed grading materially alter the natural drainage in this or adjacent areas? Yes No 19. Will groundwater or surface drainage require special consideration? ...................... s a No 20. Will gullies, ditches, etc., be filled and watercourses be relocated? ......................... . Yes. No SECTION E. REMARKS 21. If a "common water supply is proposed, has an inspection been made of the existing or proposed source and facilities? ............................................................... Myels No Inspection data 22. Do adjacent wells and/or sewage systems exist?.: .................................................. 23. Additional comments 214. Site observer /inspector and title 25. Date(s) of observation(s)inspection(s) OJ TEST PIT PROFILES es No Hole t Lot Tr r Hole r Lot Hole r Lot Depth to water Depth to water Depth to water Depth to mottling Depth to mottling 4 - _Dep``: to A Depth to rocklimp. 1 Depth to rock/imp. Depth to rock/imp. G.L G.L. 0.5 -0 8- 0.5 0 TS 1.0 2.0 Ag� 3.0 C, (,A y 4.0 jj 5.0 1.0 2.0 3.0 --s!F SP T 4.0 4-.OTT- 5.0 k2), " ( (J C, G- 6.0 6.0 7.0 7.0 14-7-0 8.0 8.0 9.0 9.0 10.0 - 10.0 G.L. 0.5 1.0- 2.0 LT5 3.0 4.0 5.0 6.0 7.0 9.0 9.0 10.0 900 2 SECTION D. D WIT IN! 18. Will proposed grading materially alter the natural drainage in this or adjacent areas? Yes No 19. Will groundwater or surface drainage require special consideration? ...................... s a No 20. Will gullies, ditches, etc., be filled and watercourses be relocated? ......................... . Yes. No SECTION E. REMARKS 21. If a "common water supply is proposed, has an inspection been made of the existing or proposed source and facilities? ............................................................... Myels No Inspection data 22. Do adjacent wells and/or sewage systems exist?.: .................................................. 23. Additional comments 214. Site observer /inspector and title 25. Date(s) of observation(s)inspection(s) OJ TEST PIT PROFILES es No Hole t Lot Tr r Hole r Lot Hole r Lot Depth to water Depth to water Depth to water Depth to mottling Depth to mottling 4 - _Dep``: to A Depth to rocklimp. 1 Depth to rock/imp. Depth to rock/imp. G.L G.L. 0.5 -0 8- 0.5 0 TS 1.0 2.0 Ag� 3.0 C, (,A y 4.0 jj 5.0 1.0 2.0 3.0 --s!F SP T 4.0 4-.OTT- 5.0 k2), " ( (J C, G- 6.0 6.0 7.0 7.0 14-7-0 8.0 8.0 9.0 9.0 10.0 - 10.0 G.L. 0.5 1.0- 2.0 LT5 3.0 4.0 5.0 6.0 7.0 9.0 9.0 10.0 900 C. O •� zs� � c PRO gev c WE f A 75' RED =1.006 ACRES - - -- - — — , - - P'U6 — • � Yo � J!qo�. �e�u � •. M d �cy .�.av/f \y 4:, , DeJ6 AJhi� i� i ,, ' yr ' E+SLt� 'M'i''��PF'4� �LGCY.S `. iP =O O.C. I, '' b ggIP �. u000A a 4 , #MfN IVCU S Qosi PTr \ !PAN91ar.�z 1 z Ji�,f?TILI E u •, 1od. J i 1 , J 1 3 5 cyl tV �,,._.woau /i 1! ,cr 3 jp�y �'@SifK7 D .4� � 1 �. ; 'f r a.• -,ec �.,�� T �n ;31 �:k''q �' ,".j � n k'!~ i i • -S)15,;L ry 't nti? -/H e , �' 100 wbR7xfi '� S 4 :`` �s�" m� �- •'"rig {7�`r^ GGG '�J`� PLOT PLAN i SEPARATE SLWERU/ Tof 5CALE o w 5)A `oe� •, s _a- .o.,,hcc�, � e,,,..�x r-ro. - eY.:�vt�.i.x ♦ t W �+:•a. ._� � `G3�'1„ "`s;..�r��* 'ta^'��x� r � , x ✓•-�� S t :1" /, q DBISGN'CRITERIA 1: 3 droao� house 1 000 ga precasx concrete septic° tank required ( , 2. S oil .$ 10'min, W., , a. Daily flow 2 00 'gallon.pez bedr mm" 200x3 =600 C\ rz PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION�Or ENVIRONMENTAL HMAITH SERVICES .: ._:. ..�. :::.- ...r....it.:L .. ..s Lv'°J :J�i1 Ci�'1F'"�r`,',�'1J•�.LJUi�1�'i �i� 'vtYlrCl•'{�JJ j_`.lLi.�.. .iii _. �.�.. `l: :.s ..a ... ...a.�. xp �� -t ,.. -r .....v ... DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE N0. Owner Tony Ronca Address Sprout Brook Rd, PUT. VAL,NY 10579 Located at (Street SPROUT BROOK RD. Sec. 77 Block 2 Lot 13 ica a nearest cross-street :39.5 .3.3 30/3.3=9:0`-- Municipality PUTNAM VALLEY Watershed Hudson RIVER• =, SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse.. Depth to Water Water Level No. Time Pro m.Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches PTH #1 1 9' :30'. 10:00 30 36 39.5 3.5 30/3.5 =8.5 210.:01 10:31 30 36 39.5 3.5 30/'3.5 =8.5 31n -49 1i'•n2 'A n 149 C; 1 S -in /- _S_R_S " 411:03 '11:33 30 36 39.5 3:5 30/3.5 =8.5 PTH #2 19:35 10:05- 30 36 39.5 3.5 30/3.3 =90 ,�.:�.... .. - - 21C.;.05.. a,i3:::�:_F._ 3l). eh� .._ 9 -- 5�: _ , - - •- - -_--_ 310.:37. 11:.03 . '.30 36 39.5 3.3 30/3.9 =9.0 411:08.. 11:38 30' 36 :39.5 .3.3 30/3.3=9:0`-- 5 2, 3 ..__:. Notes :. 1) - Tests to be ,-repeated at same depth until apnroximatelyy equal soil rates .are obtained at each percolation test hole. All data to be submitted " for review. 2) Depth measurements to be made from top of hole. My�-- I= V D Me 13 INDICATE LEVEL AT WHICH GROUNDWATER IS EN=NTERED & 5 INDICATE LEVEL TO WHICH MTER, LEVEL RISES. AFTER BEING ENMONTERED 2 & 51 DEEP HOLE OBSERVATIONS MPLE BY.: JOEL L. GREENBERG DATE:, 11/24/86 DESIGN Soil Rate Used, 8-10 11in/1" Drop: S.D. Usable Area Provided 5000 No. of Bedrooms. 3 Septic Tank Capacity 1000 gals. Type Cone_ Absorption Area Provided By 96, L.P. x 24" width trench kO' other Tri-Galleries 5- � X A ZI Name JOEL L. GREENBERG Sigha 91 Melm, 1. qW SF illy 488 Address MUSCOOT NORTH, RFD#2,BX MAHOPAC, NEW YORK 10 1; 4 1. THIS SPACE FOR USE T,Y HEALTH DEPARTMEM ONLY: Soil Rate Approvc-.,.L Er ff/gal. Q-z,-,,:cked by Date 06/19/00 MON 09:21 FAX 914 736 3693 �D `f Post -it" Fax Note 4 7671 0� coJUMr C� / _ PFone e CRONIN ENGINEERING PE PC 10001 1 i .1,.. '. .. -. .a.. <.0 .... ... .i. -- ..-� .. fig. ..y ..a ..r. •.. ...-. .:1 -, -r.y .e LORMA MOLINAM RN., M.S.N. Public Health Director ��t+w Associate Public Health Dbruor Director of Patient &-Mces DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 44 -V OR FIELD TESTING ATTENTION: ADAM STIEBELING a GENE REED All information below must be h t completed prior to any scheduling. DATE: OG -og, -zo7 p ENGINEER OR !s PHONE #: —73G— '711( ST'?L0�42 REASON: �PV�6,-S6 Cir:09 EROS: ❑ PUMP TEST: ❑ ROAD/STREET: tA74y TOWN: TAX MAP #: 77 —Z;-13 SUBDIVISION: LOW: OWNER �1vc�'S4J +i l coc�rA.�cr �c.c�a MLQEP =EM FOR JDINI K MM AND WITNESSING OF SO TFS"TiN(� YES N -� -. '.ter ❑ ,ef Proposed SSTS within the drainage basin of West Branch or Boyds Corner Reservoirs. ��ro�74Pr`�. :7� � Wl .f j� �i'.R1 fee+ 4 P -' PCnw�ir. ri!r�.runi� a. °L - �- Proposed SSTS within 200 feet of a watercourse or a DEC wetland Proposed SSTS design flow greater than 1000 gallonsiday or SPDES Permit required. Proposed SSTS for a Commerical Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If you answered.y-a to any of the questions, NYCDEP most witness the soil testing. This Department will coordinate a- mutually suitable time for field testing with the PCDOH, the Design Professional and NYCDEP. If a project ' has been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is required to witness the soil testing, it will be the sole'responsibility of the design professional to schedule re- witnessing of the soil testing with NYCDEP. . m TES r,Sr I/Y$p/Zz, fh4-T, :5 lVC W/I Tfi�F j�.6oxi11a ; . �c./UY /i.%:C+CJ 'T�J"'v�IJt.�% -.iE 'I`'Si%`��SC�N Ci/Y -I•f- ei. `:1.. .a:i�,y r .;,-�. �•.:s...:.. `.�..'i - •.iv:.�.►.:.i..:r .._ _ ..u_.. .YS..,. _.. re .: w. Sv�'V,E}/ f -a'o�U �� /gam �� HONy� � • / �i G� r Sim on/ !�diY�/A AY-0 A`115 DN -9 724;11- 7 C:o ✓ %oB D l° l O r. ;'� AR E/+ = 1.00(o l 4l O 3 .Y' 30 �. • • .a IOL) Imiq iVCU. �%� �� fro'•" • . - �,i.,. _�:_ Itr �- r__c;•'•r • __. - ••_;.. �� CORWO TE-LF7ffQ9A,TF, Oz PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmenal Health Services Facility:_ Town: Time: Date: 73"1 -2- 1 1 f, Telephone# Caller's Name: DISCUSSION: - -v, :Z 7_ 02-13 2 i3 --f7 �2 " 7 C- t-O(Z M) I Ll- C-) Signed:_W —Date:— Rev. 6/97 PUTNAM.COUNTY-DEPARTMENT OF HEALTH PETER C. ALEXANDERSbN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services April 1, 1987 Mr. Joel Greenberg, R.A. Muscoot North, RD #2 Box 488 Mahopac, New York 10541 RE: Proposed SSDS Ronca Sprout Brook!Road Philipstown Tax Map #77-2-13 Dear Mr. Greenberg: JOHN SIMMONS, M.D. Deputy Commissioner Review of plans and other supporting documents submitted at this time relative to the above captioned project has been completed. Comments are offered as follows: provide one more copy of house plans well detail missing a q e.r. . s c,a..l e_ .,qet;til o draw sys,tem-. n r include detail of distribution box hh drawing is unclear; is point of discharge of curtain drain on adjacent lot? metes and bounds are lacking design oversized pump-pit with one day storage over high level alarm instead of a separate overflow tank label "proposed well" as such on plan show clay barrier in plan view specify volume of fill on plan 110 OLD ROUTE SIX CENTER - CARMEL, N.Y. 10512 (914) 225-3641 s -r --u - -. ::'Tf '�x..�4'••L.Y.+.-:.✓: ':}.o ... e:c a —�r..y �:- r.-r -rs� ♦ ..; -' �.�- �PCCti,a'ov.orr. y Tf ''c•r....r ..6Y -.: .�.W'.N��..- :ra.r..`�: Ss�. . ....µa..i�= �.�.- :tws�: - .. ,.r ..- r.•.�•.- _t:' +w V•. 2 - Mr. Joel Greenberg April 1, 1987 perc rate of 8 -10 min /in. requires 133 LF of tri- gallerys or 83 LF of 4 x 4 galleys; only 97 LF provided. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very trul yours, W A n tner AB:pt Asst. Public Health Engineer cc : AB File JK ...�..0 s^c. .- .. -. _...- _.•z .�. -. s .. ... ��..-- ...�� -. ...'. ...... � .e• ...- .. ?+.w.r +..- .w...�.. ....a �.ra...s. -�.. .`.... •. a�� • m _ ter... —�. -•.s -. �. ^_-�- .— . -... �. ..q.aut. ..w DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 i i.i 3: �.ti _1110 iL :. ��.: .��. �''Tf "v1 r.�L"i: "'i'vi PCHD PERMIT{ WELL LOCATION Street Address Sprout Br Town/Village/City Tax Grid Number Put. Valley 77 -2 -13 WELL OWNER Name Tony Ronca Address Rd.4 Sprout Brook Rd, O Private ❑Public USE OF WELL 0- primary 2- secondary Iff RESIDENTIAL ❑ PUBLIC SUPPLY OAIR /COND /HEAT PUMP ❑ BUSINESS O FARM ❑ TEST /OBSERVATION o INDUSTRIAL 0 INSTITUTIONAL O STAND -BY ❑ABANDONED O OTHER (specify p AMOUNT OF USE YIELD SOUGHT S gpm /# PEOPLE SERVED`_ /EST. OF DAILY USAGE 600 gal REASON FOR DRILLING f3NEW SUPPLY OREPLACE EXISTING ❑ PROVIDE ADDITIONAL SUPPLY SUPPLY ❑DEEPEN EXISTING WELL ❑ TEST /OBSERVATION DETAILED REASON FOR DRILLING WELL TYPE ®DRILLED ❑DRIVEN ODUG ®GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES xx NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Cont. Village Lot No. 7 WATER WELL CONTRACTOR: Name N. Anderson Address: Put. Valley IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES xxx NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY 'L1J'1t1Nl:C '1V P LCVrEtcl f" ricOM "E-oJ WATER: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED l ON REAR OF THIS APPLICATION ON EP E (dat sign ure PERMIT TO CONSTRUCT A WATtR WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. Date of Issue: Date of Expiration: 19_ rfnif Issuing Official Permit is Non- Transferra e yLfXNAM W UDr. Y Ljze K1P1C".r yr n r.Fa i •-ln — L1 V .La.Lv V Ur r 4 V 1-M1.A '=AA lty, • - -d-W1n ocaX V ik.c.l INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTPMS f I �+ REVIEW SHEET - CONSTRUCTION PERMIT. Z, DATE REVI 6 �. BY EN TS .- Permit Application _ Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log - Consistent Perc Results (3) 30" Perc Hole Other House Plans - Two sets If PWS - Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flaw Fill Profile & Dimensions - Volume D or J Box Detail Septic Tank - Size, Detail Well Detail, Service Line if Pr4S Trench /Gallery Pump Pit Two-Foot Contours Existing & Proposed Slopes for Driveway Cuts Footing /Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage & Expansion Area Expansion Area; shown; gravity flow If Pumped Pit &.D Box Shown & Detailed HouseHouse - No. of Bedrooms , i !,_ r'.;..4t i1C 1 _ �; ))'i 11 +.i' -. •F_ Tivi.rv+ f i�,:i _ ..�•.,:,,n l`ry7, e.��l-•,3L�.7.°'°:Y' v..J ✓.; 5•.,:�j `i GvJ` �i:. "•C?,'L �i.:u�r -"1 .�... Property Metes ,& Bounds House Setback Necessary House Sewer - 1 /4 " /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains- Curtain,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' from Foundation 50' to Well 15' Well to PL GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same �� WA_ JM mm �m MM MM ©M / 'MM m_ mm r i1 MM I� .. OR mm oil wild �M' \ K-_ EN TS .- Permit Application _ Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log - Consistent Perc Results (3) 30" Perc Hole Other House Plans - Two sets If PWS - Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flaw Fill Profile & Dimensions - Volume D or J Box Detail Septic Tank - Size, Detail Well Detail, Service Line if Pr4S Trench /Gallery Pump Pit Two-Foot Contours Existing & Proposed Slopes for Driveway Cuts Footing /Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage & Expansion Area Expansion Area; shown; gravity flow If Pumped Pit &.D Box Shown & Detailed HouseHouse - No. of Bedrooms , i !,_ r'.;..4t i1C 1 _ �; ))'i 11 +.i' -. •F_ Tivi.rv+ f i�,:i _ ..�•.,:,,n l`ry7, e.��l-•,3L�.7.°'°:Y' v..J ✓.; 5•.,:�j `i GvJ` �i:. "•C?,'L �i.:u�r -"1 .�... Property Metes ,& Bounds House Setback Necessary House Sewer - 1 /4 " /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains- Curtain,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' from Foundation 50' to Well 15' Well to PL GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same �� JOEL LAWRENCE GREENBERG Architect a Town Planner Muscoot North a RFD #2 a Box 488 MAHOPAC, NEW YORK 10541 (914) 628.6613 (914) 526.3740 T�'�4iZ P!a ^►i Putna�rs �3!ieer. _KY-;- TO 1� D [l , r�( IrJ GY /%,� f) it LIEVVI Di OF M S UPI OV ° L Z--/ DATE ] JOB NO. RE: > WE ARE SENDING YOU XAttached ❑ Under separate cover via ❑ Shop drawings Prints ❑ Plans ❑ Samples ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION the following items: ❑ Specifications ..THESE 4RG _rR16iJ,�WSI'c�TFi1,38_rF.n_4od 'For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑/Q BIDS DUE 19_ ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO PRODUCT 240-2 1X, Gmt., Nm 01471. SIGNED: If enclosures are not as noted, kindly notify us at once. 44 May 25,1988 Mr. Larry Werper Putnam County Department of Health Two County Center Carmel, NY 10512 RE: Ronca; Sprout Brook Rd.; Putnam Valley Taff flap * 77 -02 -13 PCHD Permit* PV -3687 Dear Larry; Thank you for reviewing the file on the above named property with me on the phone this afternoon. As you can see on the enclosed drawing, the stream along the property line does connect to the culvert beneath Sprout Brook Road and, as a result, the SSDS is considerably less than 100 feet away. While I am curious as how such an obvious omission remained undetected during the filing and review of the application, I am more concerned with resolving Mr. Ronca's situation to the satisfaction of all involved. I understand that your office will likely revoke the construction permit and ask the applicant to submit a new SSDS design as culverting the stream is limited by the property line. I think your suggestion of redesigning the SSDS for a maximun of two bedrooms may be the best solution. Thanks again for your cooperation. I appreciate it. Sincerely; � .t ,�= ti =c�1• v Michael Priano Wetland Inspector Town Of Putnam Valley