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HomeMy WebLinkAbout3257DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73. -1 -52 BOX 26 03257 Ll re 03257 N �` t Dlvl®bo o[ COUNTY 'DR ' uum 12,4 xHee[ to Provide Permit M 77 77111,� xiK, IT 4, F11 -ownw, Date 4f� Paevioa® Approval mighig ovqm — F.- Z� -Deidg)a -,R Flow .!q A All, To 6e donsteasited by - J Ono nnn IsIll Private bjWj&6' ors - Other ResZvhemeate 1 represent that`? sm wholly and pompletaly +resDO able for 3 a 4hd,,56��ti6n J -If t the4iesi _gn M($)';, gat, the Fseparate� sewage �;diiposal'system above Cescnbed'w�11 De construcCeG as le :0 U n the approved n!. rqqn, o,a a e 0 _herpp. q a, " ! , , ", shown � _ �d__ _A7 �',' rtj ICa t,,,o -sit isfact,61r�;,tp�,�ke Zom.mlsslo rt!STPJ�'. , f; , W­*r' q!kp,. � �p c fioii t Ino Ith ".f r j j� An `G`h` jir%d'J-5�rltten,�gUsrantee will,16 ii� isi oWnM���,q s i .r.assignilby, tbUdG place �An �jd6cl will"'Wellots W. of Co Mtr"ti"r ante .of the approval of �tfiqlj��teh if icate,c t ti anr,"rt'. ounty`DepartmenCoI,­H"j SWAG Ne,date,ofjhe, of_.,Ahe�','.,; .,utnarn',' _7 License No , a%ja IT6X PjFej j;Aj C APPROVED OPj ' by- Y, change or Co ru e ufrp I T e 2. Alp Ci0lel�10lf POI $11WN1ta Ara PUIRMODUMMWASMINIMOFMAIM mbb" 492admonse l Rod& Sardm& Card. N.Y. Ion w PMVMD F stop GMAM DmiPOM STS ai"4 w lE O)E Pglsalt [A rt TIME :L6 mink % ■ot S^ Oei�adAppmcaat Arita ✓� '�' � /7 ! G,' �/ C >�5 bVYam 0 �v Data of Previaaa Appravd J 9 10 Mars Afliar Pd tl C �rrTli I ( • ram �irl .�.1r AI `d _ � IO 4 6 g- Date Subdivigion ARRroved Fee Enclosed ❑ Amnt,nr /bites TM L,lGS 14 _eyg C If W Ania (���`1 24- FE S.com Oab LJ Depdb vita Arbor a[ main.. 13 DWIV Flow G P D 6 86' PCSD MdRo w Its m ovind wba. Fit b aamolobd Sapuala Swan. Spatan in and" d %fJ G d .n.�.. Sap& T ak -lid To b'senske "b Adiaas Wabr wial. sop* Fr.. Adi.. OdW maaata nett 1 rpresMt that 1 am wholly and canpletely responsible for the design and location of the proposed above described will be constructed as shown on the approved sammll ent there nd to aria in actor County Departmant Of Hank. a that on completion thereof a "Certificate Of Censp �Q1 be submM"d to the Ogartmant. wall a written guarantee will be turn~ tar owners POM In pad .dPWMM9 aondRaan. any part of old sawap disposal WO m during t .rang of tar approval M tar Certificate of Construction Compliance of tar original an WE N laaatad as sllaaM on tar asMOaed plan and that aid veep will be Installed In AcM w Cbswlty DQartrllION of "Wall. APPROVED FOR CONSTRUCTIONS TA approval expir" two Yea► r tar Aate is revocable for call" or may be o► nadHlad warn won rig by tar M-11ee a flewiperagilt. Approved for dUPOO of domalk an er Ill /8Q. _r 01 1) that the ate di YI stem standards, rules • reel n o tisfaatory to the CommkisWMr of Meeahwill aasgns by the builder. that said builder will madlatNy following thedato of tar INuu- 12) that tar drilled wall deewdM above ulas and rNTi m1s of tar Putnam LE. R.A. Lieensa Ne of the building has been undertaken and is Hth. Any change or alteration of construction ono. Title DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 AL'1'YiCA�'lU1V�•rU - C:tyiy5'1'ftU(„'i' ei" V�iAT`r;fc wE'L'; "`•: `°. -," ; -,r " "' :� �� j`'� -;' -.: PCHD PERMIT #� WELL LOCATION �ytreet Address /7l1 Town V 1 e City Tax Grid Number � -,a'J 4��'rl Z WELL OWNER -- /, Address '-Y s� Zy s'd G% G/�✓'�i� c &:r Jr rivate O Public USE OF WELL 1 - primary 2- secondary RESIDENTIA BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY .O AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION b INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify, O AMOUNT OF USE YIELD SOUGHT -5"'rgpm /# PEOPLE SERVED -t' /EST. OF DAILY USAGE �ac, Sal O REPLACE EXISTING SUPPLY O TEST/ OBSERVATION GI ADDITIONAL SUPPLY NEW SUPPLY NEW DWELLING) ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE ,DRILLED DRIVEN ODUG O GRAVED 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES /,-� NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: AI C7 Lot No. WATER WELL CONTRACTOR: Name 4' r,-ir ''e Address : /t7 f A'; rz" a" .IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DIV'r' CE TC PY;��PERmn FROM jF ?Eer 74nTEE MpIt3 :. LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED O ON SEPARATE SHEET 95 Oc (date' (signa re PERMIT TO CONSTRUCT A WATER 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. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drillin erations be contained on this property and in such a manner as not to degrade or other a .ontaminat surface or groundwater. Date of Issue: /�- 19 L Z Date of Expiration 19 Permit Issuing Official f Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller JOSEPH F. SULLIVAN, P.E. eonsu�Ei.uty �n9inee2 ' YORKTOWN HEIGHTS, N. Y. 10598 (914) 962 -4248 October 13, 1992 Putnam County Departmenat of Health Geneva Road Brewster, New York, 10509 Gentlemen., Enclosed please find application forms for a proposed sewage disposal system for Mr. John Zoya's Lot on Church Road in the town of Putnam Valley, N.Y. (73 -1 -52) This design was approved. by the PCHD for Mr. Zayo.'s grandfather Mr. Anthon-v hobiondo in 1988 (P,C. File No PV7- 88) 'and again in 1990 for Mr. Zayos. From a field insoection of: :the above lot there have been no changes in the surrounding properties or this lot to adversely affect this design, Verb truly our r4 41.411 Joseph y'. Sullivan P.E. 90 -113 Gr���tyij, i "• - Re: f;rf� PUTNAM COUNTY DEPARTMENT OF HEALTH ' DIVISION OF ENVIRONMENTAL HEALTH SERVICES 6A +•= :cam: -:�'w ..+� � _. _ -o .. __.i'. - _ _ "' `_� _ _ .._ __ � _ __.. _... __ . - :�.e -: .'.�.�!^ , -+:=�. .r `• a..... 4;,.-- ,.:.�:.YS„r.:...v'..oaiF. =.a�., ti'Tn m':a- n.=- w. =:�u :+.;'.c »�.,aa -- s ... Date Property of of 0 4/7 ..,00'4 X®--$ Located at C�f C/rco"' % J (T) , Section Block __j Lot 3 Subdivision of Subdv. Lot Filed Map ## Date i; Go tlemen: This letter is to authorize .a duly licensed professional engineer v or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in cdhiarmity c r -- pi'ovkstor's'Ku 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. 44 ;.Countersigned: P. E. , R/A. , # Address I Very truly yours, Signed Y*ner W IVoperty 0'7--1 7t-4 rr ')t'fe Addre /34" 191 Town (24'0 617 -5-5-y/ Telephone DEPARTMENT OF HEALTH Division of Environmental Health Services COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 .. -- u.: .. -- •.. W�1'1`'E't� ''�' L�i .. ` �Q� PCHD PERMIT # R/ o WELL LOCATION Street Ad ress /j I�ti if Town V' lage /m Tax Grid Number (dam _622 WELL OWNER Name gW� eye Mail' Addr s r OFr rivate D Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL O BUSINESS El INDUSTRIAL ❑ PUBLIC APPLY ❑ AIR /COND /HEAT UMP O FARM ❑ TEST /OBSERVATION C3INSTITUTIONAL O STAND -BY O ABANDONED 0 OTHER (specify O AMOUNT OF USE YIELD SOUGHT 15' PEOPLE SERVED /EST. OF DAILY USAGE dace gal REASON FOR DRILLING ANEW SUPPLY ❑REPLACE EXISTING SUPPLY []PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION ❑DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE QDRILLED a DRIVEN DDUG ® GRAVEL ®OTHER IS WELL SITE SUBJECT TO FLOODING? YES A "NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name /1/, d t`K 0,1 Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES A' NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE -TO' PROP EXfY PROM - NFAR�:S`I��vA'1'E,K LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED � O ON REAR OF THIS APPLICATION � SEPARATE SHEET ate) g a re) p PERMIT TO CONSTRUCT A WATER 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 ermit Issuing ffic Permit is Non - Transferrable White copy: H.D. File Yellow copy: Building Inspector 2/87 Pink Copy: Owner Orange copy: Well Driller PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES . _.. .i. 2 — � -M..v. .. ... ...�u.z....a a�V'iJSr.r_ wa Yn�n :iw �.: <.- ..'W�. ..dye.. ... -mod. �W:+� _-o.b __r`�"i.. �. is.�. ..i «� -. .' ^..1- v.�-�� _.. .ar+:.�.cri.I A � . r.h n:.�. ..._y m.: .ti�.w ✓� Re: Property of . k7 cs Date �li��/ Located at ���eclh (T) 1 i Section Block % Lot Subdivision of Subdv. Lot # Filed Map # Gentlemen: Date L This letter is to authorize a duly licensed professional engineer �or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 14x7, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. 4� Countersigned: P.E., R /., # "2'y Address Telep one Very truly yours, Signed 94wner cf F'operty 7'07 774v /,v, z *e' Addre /32eo x, A111. ioy L Town Telephone JOSEPH F. SULLIVAN, P.E. eonsu.�tin9 �nyinces T YORKTOWN HEIGHTS, N. Y. ios9e (914) 962 -4248 November 28, 1990 Nr. William Hedges, Putnam Goanty Department of Health 110 Cld Route 6 Carmel N.Y. 10512 Gentlemen, Enclosed please find application forms and plans for a proposed seurage disposal system on Mr. John le ayos's Lot on Church Road in the town of Putnam Valley, N.Y. This design was approved by the PCHD for Mr. Zayos's grandfather. Mr. Anthony Lobiondo in 1988(*P.C. file No. PV 7 -88)0 From a field inspection of the above lot there have been no changes in the surrounding properties or this lot to adversely affect' this design, Very truly yours., Joseph F. Sullivan Pm DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 - APPLII:ATIUN TO CU1VSTRUC T A I WATE t WgLL PCHD PERMIT WELL LOCATION Street Ad ress Town/Village/City Tax Grid Number WELL OWNER Name lei'! Mailing Address / el C"" de ""e ��°"/ of orprivate +� O Public USE OF WELL 1 - primary 2- secondary "SIDE TIAL 0 BUSINESS 0 INDUSTRIAL 0PUBLIC SUPPLY OAIR /COND /HEAT P O FARM O TEST /OBSERVATION O INSTITUTIONAL O STAND -BY OABANDONED O OTHER (specify 0 AMOUNT OF USE YIELD SOUGHT "w gpm /# PEOPLE SERVED /EST. OF DAILY USAGE 01 gal REASON FOR DRILLING PM SUPPLY O PROVIDE ADDITIONAL SUPPLY OREPLACE EXISTING SUPPLY ®DEEPEN EXISTING WELL O TEST /OBSERVATION DETAILED REASON FOR DRILLING WELL TYPE . DRILLED O DRIVEN ®DUG ❑ GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES k**" NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: ���� �y Lot No. WATER WELL CONTRACTOR: Name AYe� -0i NY7 A-A Qti:�>d'e;P Address:— �'� "�• IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES P�NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY-FROM NEAREST WATER MAIR:Al ;A> _ - LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED - ON REAR OF THIS APPLICATION []ON SEPARATE SHEET (da ) (s G7t ure )4, PERMIT TO CONSTRUCT A WATER 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 Permit Issuing Offlftflal Permit is Non - Transferrable � copy: H.D. File Yell Buildin � ow copy. g InspeC 'r 2/87 Pink Copy: Owner Orange copy: Well Driller PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Subdv. Lot ## Filed Map # Date Gentlemen: This letter is to authorize 7Z b a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conza- rinity' i�rii; h" he- pr�wai' cin5 -u'r'-Ai'i::.i�-'-li)"`�'i" - 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned:.,','-' P.E. , U.-At- Very truly yours, ^ Signed ` ® Owner Property o as D j�4. s6 s.. Address / 1-4 Telephone Address Town .7-6 Telephone O V 985 p (��AY � X F r" ,OUN ftgZ N Date Re: Property of i�� /�'d "s? j' G4-i el Located at (T) Section ®® Block Lot Subdivision of Subdv. Lot ## Filed Map # Date Gentlemen: This letter is to authorize 7Z b a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conza- rinity' i�rii; h" he- pr�wai' cin5 -u'r'-Ai'i::.i�-'-li)"`�'i" - 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned:.,','-' P.E. , U.-At- Very truly yours, ^ Signed ` ® Owner Property o as D j�4. s6 s.. Address / 1-4 Telephone Address Town .7-6 Telephone O V 985 p (��AY � X F r" ,OUN ftgZ N ,.., ......_. :IJABRUEN`r .. :..,e;.-: �-:;.«:._.._..:._�- ...,.. -� - • -�,. `w VID l). ' .._., , � �.- ......,.�,'..:p.._•. .....__.•_. .•_ -•!. .- ..._.�... .. ... -,.. County Executive ��14"® + ' JOHN SIMMONS M.D. W--j 0 Deputy Commissioner DEPARTMENT OF HEALTH Division Of Environmental Health Services November 12, 1985 Mr. Frank Sullivan, P.E. 2972 Ferncrest Drive Yorktown Heights., NY 10598 RE: Lobiondo SDS Permit Application Church Road, (T) Putnam Valley TM 60 -1 -39 Dear Sir: Review of .Departmental files relative to the above referenced application received May 8, 1985 indicates that on May 20, 1985 Mr. Hodgens of this office, communicated the following comments'in a telephone conversation: 1. Field investigation by this office on May 14, 1985 did not locate property corners and indicated an inadequate area exists in the front of the parcel to maintain 100 feet separartion from surface waters. To date, a revised submission has not yet been received in this office _addressing these items. If this project is no loser active, this 1?Qpartmmment _...sUould be'acc.- ordingiy" advised. JSH:mk cc: Anthony Lobiondo jk jsh file Very truly yours, s S. Hodgens Assistant Public Health Engineer TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUN'T`Y OFFICE BUILDING, CARMEL, N'. " Y. "1051 DESIGN DATA SHEET= SEPARATE SE //WAGE DISPOSAL SYSTEM FILE. /N-O,./ Owner An � on' Address Z %ak Located at (Street gQfj v,� / . d a Sec. V Block % Lot .3 f indicate nearest cross street) Municipality B e, Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS _5 h 2 4 aQ�.. v�. y l z r Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. Hole Number, CLOCK TIME PERCOLATION PERCOLATION am No. Start -'Stop apse Time Min. Depth to Water - From Ground Surface -Start Stop - Inches Inches Water Level in Inches Drop in Inches Soil Rate Min. /in drop ✓ is ....... .. . 5 710 3_5361 sy� /a 2-o �3 3 _5 h 2 4 aQ�.. v�. y l z r Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. 4 TEST PIT DATA REQUIRED 10 BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS. ENCOUNTERED IN TEST HOLES .,r.. -;: _.,.. .. - .:o:.. ., - r,..r .,,� ,..- .. >•�. -.,. z..'�,s r... :_.,<. -: ..: _..a ,. .,.., .:c ;...'. ...,...c:�.. _ _,-,:c o, is- >c r'y- ,_sn'.:•,.>x� � .eve -; ,, .y..�w��:•�;,r� DFPTH HOLE NO. / HOLE NO. t HOLE NO. INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED, 7INDICAT.r, L,' v T_J,TO �r�JTT_M iit�. ER LE<tirEL l�I E FT_E,R4 �3-EING ENV �i3�� FI TESTS MADE BY w ._ __. J 1 J;'�1/ar� �- DESIGN Soil Rate Used Min/1 "Drop: S.D. Usable Area Provided AGO No. of Bedrooms Septic Tank Capacity�*`Ga Absorption Area Provided By 2_5G L. F. x24 � , Of x� h trench. �, qx ,O0.QO0 ® er�J.�� lYtL1JJG " 'V x71 �L1CL Address 75V7 V 9' �a ti vc r, • §'' a , �.>sy n , y THIS SPACE. FOR USE BY HEALTH DEPARTMENT ONLY: Soil.Rate`Approved Sq. Ft /Gal. Checked by Date DATE 2- (Meets ell Std . 1 Roma rks es No DOUR, :I1TS Dssign data sheet Peres presoaked? + !in. 30" perc test depth Const. results for 3 runs I D. Hole log O.K. Corporate Affidavit for other than indivd Authorization for engineer Ietter from Water Supply if applicable If variance* requested -such noted on puns & apps.: D,TAILS - if change*is proposed,) I: Existing contours,shown show new contours) Slopes for driveway cuts, etc. shown 1 ter service line location I Footing drain, etc. location ! I Top slope, bottom slope of fill ! + Percolation tests and deep test pit location I i Septic tah1k size and conformance to std. 3 B.R. house mirrir;um ✓ i ! House setback shown i I Distribution box ftg. below frost ! All water within 50 ft . of FL shown .: Plan and profile SDS +.. _ �...... .. . All other wells and SDS closer 200' ; shown or_ .reference . made Pro rt bb inaaries y " (metes and bounds- clearly shown, L�CzKFL sc:aD+u iS lQ� -� �. �Xr�T -11� q•PPeoUgL RERLTy SOQDIQ S+o� i I SEPARATION DISTANCES SPECIFIED ON PLkN I10 to P.Z. t20'i to Foundation walls 400 to Nearest well 100` to stream, march, lake, etc. (inc! ,15' to Curtain drain 1W to water line (pits -20 15' to storm drain 0' to lzrce trees '10' from >'otind:ltion to so�ltic tank 5' to pipo i rom leadcr avoin &.1'boi;1nz :, ill'alil !25 To C+Tr-4E gHSIN - e.cn nsion � � ' �t�., r ]3 L D CHECK LTST Date:- T_nsp.by: fI, � ' -_ .�-. :'. cv.+ .r. ., .�.. c .. .s. � w - - � r.. ._ - - r..... .S -•t � ��Y<4n_.: -.n mc — ..zlsr ���:: uC.:�o'.� .vk nx� _ ;�.._`...+ .� •f�:ic -r.. -. `•- ^>Va�t?t . INITIAL SI`I'r 111SPECTIT'. C-) Ye s No Comments ,Proporty lines or corners found Can estimate house location . . . . . . . . . . Will`. driv-cway need cut ... . . . . . . . . . . ` Must trees be removed -hote these . . ... a .Is deep hole representative of entire SDS area `- ✓" Additional deep deep holes needed. ... • . . . . . Sufficient SD5 area available considering driv6way cut, house location, separation distances, etc. OF 0 -6-F L4.. . -- DEEP HOLE DATA _ Depth: Cam- Water elevation: S � Rock elevation: t_300€' Soils descr_:LT)tion: _S_N J Date: FIR,L SITE IW PEC`i'IGX Insp. by: Hous_- located when•° *shot;Tn on approved plan SDS located wilere approved . . . . . . . . . . of trench mca s urea — __....._ Width of trench average Slope of file line and trench. acceptable . Room allowed for expansion trenches Qv�:r_ 50. fi�....,from_ a�:ar�p,l:ai;rcourse ::.. _ iuuiecessa.rily graded . . .. e . 10 lit. maintained from prop.line and 20 ft. from house Separation of trench from house, well - -- -etc . - follows 'plan — - - -- - - -- - -- - - - - -- ---- ._.__.. ' hui)ber of bedrooms checks . . . . . . . . . . . Stone,,, brush, - stui::ps, rubble, etc'. greater than 15 ft. from nearest trench . . . . . . 15 It . of peripheral soil horizontally from tronch Jtulction boxes properly set Could surface riuz off froin driveway, roads, ground surface, etc.. chai-nael near SDS area Daes -lot dra.:ina f:e al�pdar 0. K. in area of SDS -- FINAL GRADING OF SI`l'E ACCEPTA}lT-2, VAK t_UULY1:1 lireMM.Linvu,41 Ur =eaJ.Ln - 1J1V1Z31U1'4 VI: =-4VA.MULYL1C'1.4.LM1' nMkUJ_Ln Zk=V-L% r, 0 1 h4L 113104 Sao rzxeim a a 4kp /_ a9lolt-Ila-, -ame of comer) COMMENTS LF trench �required 60 ft. max. Parellel to REVIEW SHEET - CONSTRUCTION PERMIT DATE RE 12 Z (,S_tre!at,. 1,acati-on-) YES NO Permit Application —Corporate Resolution Plans - Three sets S/s. Engineers Authorization Design Data Sheet (DDS) SUBDIVISION Deep Hole Log Perc Consistent Perc Results (3) Fill Perc Hole Depth cd House Plans - Two sets Well permit; PWS letter Variance Request GENERAL Legal Subdivision Subdivision Approval Checked Ex-approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DELULS ON PLANS Sewage System Plan - (north arrow) I Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume 7 D or J Box;Trench/Gallery; Pump -.pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction''Notes >< Design Data: perc and deep results Two-Foot Contours Existing & Proposed Driveway & Slopes Cut F Drains' (discharge I CK Perc & Deep Holes Located Representative of primary and expansion Expansion Area;shown;gravity flow,suff. size If Pumped Pit & D Box Shown & Detailed House - No. of Bedroans Wells &.SSDS's w/in 200 ft. of Proposed Systems Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1/4"/ft. 4"0; Type pipe No Bends; Max. Bends 45' w/cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 101 to P.L., Driveway, Large Trees,Top of fil: 201 to Foundation Walls 1001 to Well; 2001 in D.L.O.D, 1501 pits 1001 to Stream, Watercourse, Lake Unc. expan' 151 to Drains-Curtain, Leader, Footing 351to catch basin,stormdrain,piped watercourse --7T 101 to Water Line (pits-20') 501 intermittent drainage course Septic Tanks 10' fran Foundation; 501 to %;--ll v 15' Well to PL 9 10 DAVID D. BRUEN \/�i��.�+/ JOHN SIMMONS. MD, County Executive _ _ .. ...::i z--._ �-- - - . -- .: .___..,- --- _...:. :,._. .. -�- F .'.f .�:' + E�:�' ' ±��j i. ..— _ .,,i.:... .�.. _ �.. -- -- '. - • °•— P)e �t•.•� -til �ini�SSail�:: DEPARTMENT OF HEALTH Division Of Environmental Health Services Date: Re: SDS Construction Permit Application Dear Sir: Review of the materials submitted on `)2 (7 18•� relative to the above referenced project, has been completed. Items checked in the "No" column on the reverse of this correspondence require additional information or revision in conformance with "Program Review and Policies, Subsurface Sewage Disposal and Water Supply Facilities for Single Family Residences" dated October 5, 1985 and revised November 8, 1985. v3iCa If you have any questions, please call me at 225 -34M or 225 -3849-. .... .. - i. � .av . >... �. us - _ ... -� - .. '.F ^. s _. - -..-. . -. -» .r - ..•.�- .... .r_.. ...-. .0 s -ar•••- -• -.. .v ..s... - . r. .. .... — ... .¢ � .... � ... - -.s.e� -..- .a- ...•�_.r.- v... .`e R Robert Morris -- — Sr. Environmental Health Technician !=sue AS `Pep- MARUtw &D£ -LL- C��r►�vhta c-S A Su�2�c.:� `"14 (,JyQidx TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225-3641 %,.� ,�- �,E. ', J;.rd;y, a • .•;;1i `r tit-I "�§'`a `�a. �' `s�""vt'�ir as ¢.,c4j d°.' '.r -' '- u-�4 y. ''s.A',6•st�i�Jtt�. ^i 'wz at `rte' -3, r ear ,, '• -t '" � '�-� "` r T �' ,�: i^ � � .. � °� i - e xP .� a � � � r r z t-�. �' t ��.� x �4� ae �,• � �� � s• `.. ;v {{ � PUTNAM COUNTY'` DEPARYTMENT .OF' �SHEALTH �: „,Permit f �?? •' -t x tee a '" r z b +t... • ,,,.. 'c r_ .e., t a; 'r n - n ' s %' Drvrs_ion of'Envrrarimental Ir/ea /thSer�vicesCartne% 11!Y 10512' 5 2 g: k i •! a- try ( + { . q`+� S �r`:� s � L kv ;'' n•� ,y, f :� ��,� -5�^ -.f p,..a �t t 1 v. ti�� 2�a� � x:. 3�' � ,, 1 .., � ,c ,.._ ,.. s U' r st °a vx' "'' c � r �" •;y T :m t ,a°;n, �v ^f .c ,i ``# h CONSTRUCT .N'`PERMIT F'OR- SEWAGE,DISPOSAL_SYSTEM,; � .,_ �4'h'► ,:.'� a r /► / f t a,y' uocateoat tiV • I%r. rr trG �' y x neap o�ocK �` roc 5� i { 1 Subdivision ' ee ' " ` Subd Lot alF Renewal (]. rReVlsloR£ c ❑ y s ` Owner /Addresses ��>7`vrJ�he�o = Date Of P�reVious Approval' - f '�-�' # 8uitdm9 ;Type- a✓/ f � � �.,ot Area - ��� Fi11 section only ❑ �, Number Bedrooms °— Desagn Flow G /P /D �� �' x P C H- DNotrfioation Required' ' a, j'4 E a. Y '{�' 1a at?✓ t }_,d k:�- �j �-s. 3 ry ¢ 4• qi 't}'ww J/� F ��'" j. s"` f Separatec5ewerage. System to consist ©0 U Gal Septic Tank a `antl �2SU Z - v .q a 1SL M - To be constructed by Address 3 ° Water Supply _r Public Supply From s K s z _ . pvate SuPPIY to >be dn(led by n .'T r - e r 4 � } Address o; 1 t Other Requ�remeilts — I�Yr�/¢.rG L Ze t'�r� ZZ I'►epresent that I. sm wholly and completely- resp'641` le ior: he design and locbtion of the proposed „system(s) ) that-the separate sewage- disposal system, i above described will be eohstrueted as shown on then approveal amendment there to and,•in secoidancewi r txi► lets, rules an ;regu a �o�s o e; u nam l ,. County_ -boo' tment..of.•Health and that'on completion thereof a .'Certificate= of ConstructtorC' o' nE sai16fl�a ".'to the'Commissidner of Nealthw ll. be. submitted to '.the Department, and •a 'written guarantee'.w�ll be, furnisheC'tno owner, hists_u- C`t girsiors ss the builder that said tiwider will i place'in; good operating'COndition any part of said sewage Cisposal; system °'durrf�g the per.` o fvaf $U." W Iy follow�rgahedata of the isu% i -once 'of- the .approval of <tna Cartill ate- of, Construction Compliance of the,onginal'systam' an ra irs tijeret4ftthal'the d itled well descr,.ibed,ahove t will be, located =as shorvn.on` the approved;ptan and that said well will beitnstatled �n accordance °' it rtA.standa[d's ro an ;regula ns of the .� Putnam jj County 'Departm nt /` �% ! Date .. / c �/ 5�9ned �J'�c g.. Ev P Y i Address �'y i<(cense No i t/ f APPROVED FOR CONSTRUCTION Thlvapproval expires one yeaWfrom the- issued less cOrl ruct�o3,-0, the b i ing his -been undertaken and is 4 ' :revocable for - cause -or , may be amended .ormoddred when- cdriside►ed' necessary,. by the : Commissioner :8t `Health "V Any oA nge oralteration of construction f «s - - a requues _a naw 'permit;.. Approved, tor' disposal of;domestic'sandar`yrsewage;_ and /Or - 'private , water supply only r Dste gy Tale .i k i j f / Y / -: ' -__. _�..._s -:`- . -- . �-.� r - � �. -� . = .. �''- F ' ' .sr F +`�"�✓ �'%�. -'ax -a.. '' "" s = �.... s. "_sue � `,"�` .,� -.- r, �._ -.:� C A.PPE —NDIX S PUMNAM CCLiNrY DEPARTMENT CF HEALTH - DIVISICN OF ENVIROI4AL HEALTH SERVIC =S vZDo; 74 V 'M FPT`C : &. ST.JF? T1PFaCF' .4eW- CF.- DISPOS:AL S'�STFnrc REVIEV S'riEE`i' - CONSTRUCTICN P—ERMIT A DATE REVIE"wr'�J V A w+ BY: (.�mm of Cwner) (Street Lccation) CUM-MENTS YES NO I I I X I I ICI I I I --I- I I I I ( I LF trench provides ZO o rc—auir 60 ft. max. Pare -lel to dontours 100% exa. s14OW reeyNt I I •✓� F1 t 701 ACM-It G e4v r FLa rfc/l�' aqr />LL �✓ t ee Irmle, AeK f C FILL SYS clavbaerier 10 fi notes spec. enth cruces 100 vr. flccd e1ev. 200 ft. reservoir, etc. Li 150 ft. trigall /gall. 026T en Rgbv coo, 1 1C ..r J dam' L A&.v ,C DCCI S Permit Anplication Corporate Resolution Plans - Three sets s/s Engineers Authorization Design Data Sheet (DDS) SUEDIt1ISICN Deep Hole Lcg P`rc Consistent Per-- ResaltS (3) Fill Perc Hole Depth cd House Plans - Two set- Well Fermi t; FivS letter Vari�eauest �A.L Le=af Subdivision Subdivision Approval Checked E�x- approval SSDS Adj. Lots Checked Wetland (Tcwn /DEC Permit R & D) Data Cn DDS Plans & Permit Same REQUIRED DETAILS CN PLA1NS Swage Syst-a-n Plan - (north arrow) Sewage Systrn Hydraulic Profile - Gravity F'cfw Fill Profile & Dimensions - Volume D or J Box;Trench /C-allery; Pump pit details . Septic Tank - Size, Detail 1 ire ta 7..1,, . iL?i? r . o`TP.r Construc-t ion Notes (grinder rate) Design Data: Perc and deep results Two- -Foot Contours Existing & Proposed Driveway & Slopes Cyst Footin /Gatter,Curtain Drains (discharge OK) Perc & Deep Holes Located Representative of primary and expansion Expansion Area; shown; gravity flow,suff. size If Pxrr:)e3 Pit & D Box Shown & Detailed House .3 No. of Bedrooms Wells & SSOS's w /in 200 ft. of Proposed Systan_= Property Metes & Bounds House Setback Necessary (Tight lot) House Suer - 1 /4" /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PI:AN Fields 10' to P.L., Driveway, Large Trees,Top of fil 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. excan 15' to Drains - Curtain, Leader, Footing 351to catch basin, stormdrain, pined waterccurs 10' to Water Line (pits -20') 50' inte_rmitte_*it drainage course S_eotic Tanks 10' fran Foundation; 50' to well PETER C. ALEXANDERSON County Executive U C DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 September 17, 1987 Marvin O'Dell Building Inspector Town Hall Oscawana Lake Road Putnam Valley, New York 10579 Re: Lubriando Wetland Boundary TM# 60 -1 -39 Dear Mr. O'Dell: JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL. Jr., P.E. Director As per our conversation on September 14, 1987 in your office, input is requested from your Department to determine the wetland boundaries on the above - captioned project. Thank you, in advance, for your assistance. Ver truly yours, Robert Morris Senior Environmental Health Technician RM:jt Supervisor SALLIE SYPHER (914) 526 -2121 Town Clerk PATRICIA PETTERSEN (914) 526 -3180 SALVATORE SANTAMORENA Councilman �+ ? HOWARD D.uARONOW Councilman p� JOSEPH MARRO Town Attorney TOWN "OF PU 1. m AM VALLEY Cquncilown HERMAN TAUB. (914) 526 -3050 TOWN ' HALL BRUCE E. JOHNSON Councilman _ 265 Oscawana Lake 'Road Putnam Valley, New York 10579 January 14, 1988 l Mr. Frank Ivan 2972 crest Drive Y town Heights, N.Y. 10598 Re: Wetland Application Peter LoBiando - TM #.60 -1 -39 Dear'Frank: Your most recent map (12/7/87) reflects the. changes suggested in the .site_ report dated December 4, 1987. In. addition, please note the following: Staked bales shall be in place, as fill is being used to'regrade the wet area. Fill shall and ,r. t.+ I.. S . .Ac ?r; Tr ai YF?Y f 71 gC;;ae" . p;,, reached. No" machinery shall cross the streams without prior approval of the Building Inspector: As the wet area to be altered falls below the threshold for protection under LL #3 -1987, no .permit shall'be required. This letter .shall serve. as your permit waiver. Please notify the Building Inspector when work is to begin. Sincerely, Pra c Priano Wetland Inspector cc: Lo Biando, P. r Werper, L. a JOSEPH F. SULLIVAN, P.E. ��7ZFERNCR 'I DRIVE YORKTOWN HEIGHTS, N. Y. 10598 (914) 962.4248 Cam; �, 17 17 MARVIN O'DELL Inspector TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND .SANITARY DEPARTMENT PUTNAM VALLEY, N.Y. (914) .526 2377 September 23, 1987 a e JIT Robert Morris Dept. of Health 110 Old Route 6 Center Carmel, N.Y. 10512 Re:, Lubriando - Church Rd. TM #60 -1 -39 Dear Mr.Morris: At your request I have reviewed the property and plans regarding the proposed SSDS in respect to possible wetlands on above site and note the following: A copy of site plan indicates Septic location proposed, does not affect adjacent protected areas. Said site plan does however indicate a relocated watercourse (stream). The proposed well (not shown on copy submitted) must not in any way affect watercourse on property. It is suggested a survey locating watercourse and any other wetland be submitted to verify above. MOT: es Very truly yours, 4 C MARVIN O' Building Inspector PUTNAM COUNTY DEPAR24ENT I W" if u- t--eicn proYI3.aea _:I 0 0, required 10 0 -6 t 0 f -". max.- Parellel to contours !!got 100% e3T. 1410W f Je 7'Y Jcl,"t a JQJN�Ja=�. EIE2kL#M S] e-Y % i., DISPOSAL SYSTEMS',� '100 A 01 4�! wl ee te E "hor izaition At n 9 ix Dpsign Data Sheet- (DDS) Hole "Log Pert: Consistent Perc.Results (3). Fil-l' Pero Hole. Depth, House Plans - Two sets Well Aft permit; PWS lettar , Vari st GENERAL Legal Subdivision Subdivision Approval Chec'lmd Ex-approval SSDS Adj. Lots Checked Wetland (Ta*m/DEC Permit R & D Data On DOS Plans & Pewit Same REQUBED DETA.ILS ON PLANS Sewage System Plan - (north arrow) Sewage. System Hydraulic Profile - Gravity Flow:'. Fill Profile & Dimensions - Volume D or J Bcx;Trehdh/Gallery; . Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over .Constru .tion..Note�§ - -- ,_(griader rate) Design fi:­ " lb e, rcl - -and .7-1 Two-Foot Contours Existing rx Proposed Driveway & Slopes Cut Footing/Gutter,Curtain� Drains (disch"L!. OK} ._ Perc a Deep: Holes Located Representative of primary. and expansion Expansion Area; shcm;gravity flow ddf If RmVed Pit & D &z Shown House a No. Of Bedroans Wells & SSDS's ii/in:200 ft. of Virq` Von. kS Property Metes & E � ds tit, House Setback i 110 r Oi� BdL /ft;. 4"O; _f wrVa airos ;Marc, _Bends` 45 W'AC. SPECIFIED Mum D LId} Y. a fbun - D. L. 200 ft. reservoir, etc. 7t4 Lwai X" XCOUrse. 150 ft. trigall/gall. Leaader `' tQ ip I w0ht i"'il. �,:Ipits--201 Y AX _7,0C D6fl4e6TJe7 Adiv c 111A ab &!1egov. -&v &_v >., zam '-Pbuhdation; to a�el to PL k Supervisor 9ALLIL BYPHER 0194) 132 ® -.a9a9 Town .Clerk PATRICIA PETTIEWBEga Town Attormy TO MMMA6 4AUL (9941 828 -2 ®�0 1 gs� °� F d.d ice± Nit ((�� !�'it�, � 'a°� � y' mss• _. / C 1 f 'MV 4 IT iN ,,,►:.. t, air: co s rat Pro, Fe for E i a Such Installation regairoa'. s.arpr, 7"1 07-I.th!a Fit,sam ,oU ty Department of Health. J) ` yyw A.: pw iyc -�� 144 e, paxltrel vx S cap