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Home My WebLink About3342DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -810o 73.05 -2 -30 BOX 27 03342 ��\k PUTNAT AUNTY DEPARTMENT OF HEALTH DMdon of Ebv. _ aeutal HeaM Seevkea, Cannel, N.Y. 10512 Engineer Must Provide A- 107 -92 P.C.H.D. Permit 0 ^_ SEWAGE. LM$W at Lookout Pass Ownetlapplkant Name RLrt & Tracey GibgrQo>e..rm�ly M,M,S Address 7 Lookout Pass, Putnam Valley aP 10579 Tax Map 73, Fat SubdMdon Name Subdv. Lot V Date Permit Issued 9/10/93 Separate Sewerage System builtby Canopus Construction Address Canopus Hollow Road Consbtha of Gabon Septic Tank and 127 LF of 24" wide absorption trench Water Supply: Public Supply From Address on X Pdvate supply Drmed by existing Address Buddha Type Residential Lot Size.674 ac Has Erosion ('.antral Rpen rnmpl atpd? No Number of Bedrooms 2 Han Garbage Gdnder Been lustsded? Other Reapdrements 31-611 ROB f ill I certify that the systems) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies of which are attached), and in accordance with the standards, rules and.requlations, in ac an th the filed plan, and the permit issued by the Putnam County Department Of Health. Date Qkzp2i !9-71 • k -&a 22 Certified by - 41t1p, 26&ro — P.E. X R.A. Address Badgy & Watson P.&J Route 9 Cold S rim , `Manse No. 62505 Any person occupying premiYS served by the above systems) 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 sawaraga fteem shall become null and void as soon as 'a publ.: unitary save► becomes available and the app►ov 1 of the private water supply shall become null v when a Pubhk e► supply becomes available. Such approvals are suNoct to mod Ication or Mange when, to the Judgment of the Con I of "With- '7 modification or change Is necessary. i 3/89 one �3 By �, TRle MAL �AQ11=COUM DWARISU t OF REAM \ Bhtl Swdm& Cnm•L 11.T.1061? - - . - : COM9 � 101m' SWAM DseOM SIMMIl .. [rsli 0 FOIL Putnam Valle + ~� Vaay Lookout Pass TMM •r VIhW lawrbla.Rala. ['amn . T.nnkout lIWWLLst# 25 -27 T=ills 73.05 Nab 02 W 30 Kurt & Tracey Giberson —� 1. Daft d how bo• Ag M"A UhisAd&m 7 Lookout Pass Teen Plitnam Valley 10579 Date Subdivision AnoroYed_ May 4, 1931 Fee Enclosed ❑ Amniinr Yh11s TYN Res. Addition W Am 0.674 Acres Mswan 0* Lx D•a3 L_6 "v r.• 375 C Thaler d 11•i,•,ms One Ad d i t i' o n !?law G P D 200 PC® NMmtls, b isaabM Wll n M b essaplah :aMab sowuag• to a mm d e x i It 1' 96an Sww Teak ..a Mike Gilleran • AmeM Yorktown Heights, NY won Sates Few Adige. rd w qjgg,* quid b (existing) Adilea• 0�1R ttaalabe� ads . 1 represent that 1 ant wholly sift completely responsible for the design and location of the proposed Wdem(gi 1) that the Y orate saws • dif oYl s Rem above Oesergsae0 will be Constructed as shown on the approved amendment the►• to and in accordance with the standards, rules an regu S ores o • County OapM , sin of HMRfa, and that on tanPlatIon thereof a "Certificate of Construction Compliance" astisfactory to the Comm' slOaw of Ileslthviin M swbanRtd to ten asp wil fwd, ad a written gu•►an"s will be furnished the am Wo. his faltcesaa►f, heirs or assigns by the builder. that said builder wigs PIM in " .e"Whall CoMMIM, any Part of said sawga disposal system during ten Period of two (2) yeses lnnaadlatehy following thed to of the Issas- aaM of the siall wN of the Cartgskato of Cohstnactlen Compll- I of the original sysem a again tharetoi 2) that the drilld wait dembed allow WO be l•ostad es shaven on the "Prewed Plan ad that Yid WON will be Installed �R I do rds. rules sod reem s of the Putnam fM Cow" pgratWAN of /RR am June 29,. 1992 Signor '/ P.E. X R.A. Radev & Watson. .. 'Route 9, Cold SPrj=,.,_NY 62505 APPROVED VON CONSTRUCTIt)fsi Thle SWONI eaphes two from the data issued unless construction of the building has Won undertaken and is rewOWl• for cam or may In am•add or modified when cons by the Caemlssiona► of MMKh. Any ehenM Or aKaraitk►n Of construction P wlIdw X , (existing) an Miller, - f MBgtenv:tMt cam, end; eomPletely isironsilels for'ths design and location o0 the proposal System(5) iJ that .4ha separate sewage ditpotal system abuse daaibai will be construEtoO as shown on tf►e appoyad emendrnM4 there' 46 and :in actordt+na wtth;tM}tanpards. rules an rpu ns o na County Depertmwi4 Of lfaalth; and'that on cornpletbn thweof , msetiafactory to the Commissioner Of Health Will be somitted to the t7aPertn t. •,erq a writtar ouafMtoo will IN !umisMd tM ownM, his suCassors,; lade} ov assyns by the. bu0der. that said builder wpl owe in poi .Operating caiwition��any Pwc .of »wa4e dirOdtal syttim- ducirg tM pMioA;of two;(l►�yews immediately f011owUp the "to of the New an 0 Of tM :lqi r of of t1M, CiAlfkate Of , Co�ftrud{on- rComplitnce of ;the original .system o!vny r tiw►etoi.2J that the drNW wNl OaserNsed 86osa _. w Aa fRt�ttatl sf fAOrsh on the'aPpo@ P,- n and It tBiO wait will bo tnstelled a` nos ,, th }: titd daMs. rubs and regUMERS of the Putnam Daft 9/9/93 P.E. � PA. v A Addreth: BaCle <& Watsonl ,FP /Routh "9: C'Ci'� p`!3� 71 62505 �� _.. issued unless eonstruo4ion o4 the building has been undatahon APPROVED FOR CONSTRUCT10N vha apparel expkes two years m the date _@ revocable for cause or may No amended or ihwIi6 i whsn'eonsider .n ry by the, C fssionar Ot alkith Any change Or alteration of construction "Quires a a�mYt Ap -Dro"w d for disposal' of AOmes41c fenitar , antl /or t soppy �� ®y. .. Ti41a 8 .-r +• 1_ cam.. r .. -Cwt >�i_�.o u f::i-.. — r R -raii Existing Well 1 ame I pWepin9 prop oseonAdducfoon ,(Under 77 as shown on ended Mop... m County 7. r �.. Y7.. il.::�.xi0Y.t1"._..v. _..c. ef.• :x sz...vC:r. <�en r..n. b�•► i �:.� ��V w+iti�il � .+ �Q J. O AS- BUILT RELOCATION - DIMENSIONS 1 14.5' Septic Tank 1 35.5' 2 22.5' " 2 35.6' 3 27.6' Distribution Box 3 36.5 4 79,0' Clean - out 1 4 73.0 5 82.0 Drop Boi 1 5 73.0' 6 85.3' 6 73.3' 7 89.0 7 74.4' 8 92.8' 1 8 75.6' 9 96.5' 1 9 71.0' 10 82.0 End Trench 3 10 56.0' k It 74.0' - -_ _ 3 II 48.6' 1 12 69.0' 3_ 12 45:0 - - -_ ^ -- i 3 64.6'° 3 13 47.0 4 14 61.0' - 3 14 1 48.5 " 'AS- BU /L T " OF S.S.D. S. PREPARED FOR KURT 49 TRACEY G/BERSON SITUATE IN THE TOWN OF PUTNAM VALLEY PUTNAM COUNTY, NEW YORK SCALE lin= 20 ft. OCTOBER 6, 1993 This is to certify that the sewage disposal system was constructed as indicated on this plan and that fhe system was inspected by me before 4 was covered over. The system was constructed 0��k11131tti��4gff regulations /�7 accordance wilh alf standard rules and of the Putnam County Deportment of Health and the co SOP• D$( YOF New York State Deportment of Health. n i U. uq SADEY & WA FSON ,� e SURVEY7NG & ENGINEERING, C F, O 062y0 by ESS1 NEW YO TE LICENSED PROFESSIONAL ENGINEER LICENSE No. 62505 15-02-30 _ FILE No. 93 - GEOGRAPHIC INDEX b I� Q a64,x "Y" I A, ,, -r4d9 Fl �1a al a t t t f n t a y ti 1w 7 1 ^t w' s t Iif r � 7 .s..,. � � ` i•.4 �l .. :� ..w- ]ii'�, �,. _'ega .U" tW� ��'� o� a, q 6 L Area = 2,99 %of x.3 Sq �"� Division of Environmental Health S APPrOved as noted for conformance 10li Rules and Regulations g111ations c Coun ealth Departmen S19114tUr4a ntl� a Nolen 1. The premises hereon is Lols No. 2,, !hot certain mop enlilled 'Hilltop X Comp L ookoul._, - which was filed in Cle4 v Office on Mod 4, 1931 as A kEY U.S. Route 9 (814) 266 -9217 Cold Spring, Nev York 10518 828 -1800 777-3577 (914) (914) 286 -4428 (Fu) W 0. No. 8898 TA q oo� 4f NV . .. .... Uv -j UA . . . . . . . . . . . . ik' 41 4W Mi k' �c hrt kt i 14.16.4 (2/87) —Text 12 PROJECT I.D. NUMBER 617.21 SEQR Appendix C _ State Environmental Quality Review SHORT EIVVIRdNMEIV` AL`AbtSStl i .FOW` For UNLISTED ACTIONS Only PART 1— PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT /SPONSOR 2. PROJECT NAME Theresa GDberson SSDS for Kurt & Tracey Giberso 3. PROJECT LOCATION: Municipality Putnam Valley County Putnam 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 7 Lookout .:Pass, Putnam Valley, New York 10579- +/- 300 North of intersection with Hilltop Drive 5. IS PROPOSED ACTION: ❑ New Expansion ❑ Modificationlalteration 6. DESCRIBE PROJECT BRIEFLY: Expansion of existing SSDS to accommodate one bedroom addition. 7. AMOUNT OF LAND AFFECTED: Initially 0.674 acres Ultimately 0.674 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? u Yes ❑ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Park /Forest /Open space ❑ Other Describe: -1 _t- s :nq—;,e fawil;yr � eq idoncos ('man.y- converted.._season.als ). .._.._. 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY. (FEDERAL, STATE OR LOCAL)? ® Yes ❑ No If yes,11st agency(s) and permit/approvals Putnam Valley Zoning Board of Appeals - size of addition 11. DOES ANY ASPECT OF THE ACT;.-'N HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes ® No If yes, list acency name and permit /approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes ® No I CERTIFY THAT'THE INFORMATION PROVIDED ABOVE IS TRUE TO.THE BEST OF MY KNOWLEDGE Applicant /sponsor name: John P. Del icant: 6/29/92 Loll Signature; L/ If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II— ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes, coordinate the review process and use the FULL EAF. ❑ Yes ❑ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration maybe superseded, by_ another involved agency. -j Yes LJNo ". _ ='" 5 .l: R -.YK _ ♦T 2 %:..mod GZ'�..w j ='�, I C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality,'surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid Waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife: species, significant habitats, or threatened or:endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or at change in use or intensity of use of land or other natural resources? Explain briefly. C5. Growth, subsequent development, or related activities Ilkely to be Induced by the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not Identified in C1•C57 Explain briefly. C7. Other impacts (Including changes In use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes ❑ No,,,,_,_. If Yes, explain briefly.L PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: Foreach adverse effect identified above, determine whether It is.substantial, large, Important or, otherwise,signif Ica nt. Each effect should be assessed In connection with its (a) setting (I.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined,. based on the information and analysis above and any supporting; documentation, ..that the proposed action WILL NOT result- in any: significant adverse- environmental Impacts. AND provide on. attachments as necessary the reasons supporting this: determination: Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Name of Lead Agency — 2 Title of Responsible Officer Signature of Preparer (if different from responsible o icer) - PC -1 PUT NAM C1C>UMr3U-V DEPARTMENT C31F —7 Lookout Pass, Putnam Valley, N.Y.. 10579 2. Name of-P.roject: Kurt & Tracey Giberson 3. Location T, C: Putnam Valley 4. Project j-Engi.neer: John P. Delano; P.E. 5. Address: BADEY & WATSONr P.C. Rt. 9,r' Cold Sr)rin-gi NY 10516 License Number: 62505 Phone: 265-9217 6. Type of Project: X Private/Residehtial Food Service Commercial Apartments Institutional M other Home Park Office Building Realty Subdivision. other (specify) 7. Is this:.project subject to State -Environmental 'Quality Review (SEAR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted X 8. Is a Draft. Environmental Impact Statement (DEIS) 1. Name and Address of Applicant: Kurt & Tracey Giberson —7 Lookout Pass, Putnam Valley, N.Y.. 10579 2. Name of-P.roject: Kurt & Tracey Giberson 3. Location T, C: Putnam Valley 4. Project j-Engi.neer: John P. Delano; P.E. 5. Address: BADEY & WATSONr P.C. Rt. 9,r' Cold Sr)rin-gi NY 10516 License Number: 62505 Phone: 265-9217 6. Type of Project: X Private/Residehtial Food Service Commercial Apartments Institutional M other Home Park Office Building Realty Subdivision. other (specify) 7. Is this:.project subject to State -Environmental 'Quality Review (SEAR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted X 8. Is a Draft. Environmental Impact Statement (DEIS) required? ............. No Has DEIS-been.completed and found Acceptable by Lead Agency? ............ N/A 10. Name',;of Lead Agency Putnam Conty Department of Health —11. Is this project in an area under the control of local planning, zoning, 12. If so, have 'plans.been submitted to such authorities? .............. I ....... No 13. Has preliminary approval been granted by such authorities? N/A Date Granted: N/A 14. Type of Sewage Disposal System Discharge,...... .Surface Water X _Ground Waters 15. If surface water discharge, what is the stream class designation?........ NZA. 16. Waters index, number (surface) ..................................... I ......... N/A 17. Is, project located near a..public water supply system? .................. 18. If yes, name of water supply N/A Distance to water supply - N/A 19. Is project site near a public sewage collection or. disposal -system?...... No 20. Name of sewage system NZA Distance to sewage system N/A 21 Date observed: 23. Name of Health Inspector: 24. Project design flow (gallons per day). ............... 400 2. 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?., No 2b. Has SPDES Application been submitted to loca yEC Office? NSA 27. Is any portion of this project located within a designated Town or State wetland ?... ... ..... ... No 28. Wetland ID Number ... ...................... N ZA 29. Is. Wet 1 and, Permit . required? ..... ... No Has application been made to Town or Local DEC. Office ?.:,.. ..:........:... . N/A . ,30 Does project require a DEC Stream Disturbance Permit? No. 31. Is or was project site used for agricultural activity 'involving application of pesticides to orchards or other crops, solid or hazardous *waste disposal, landfilling, sludge application or industrial activity? ........ YES or NO No 32. Is project located within 1 *000 feet of existence of abandoned landfill, hazardous waste site, -salt stockpile, landfill, sludge disposal site or any other- potential.known source of contamination. YES or NO No DESCRIBE: $3. Is there ,a. local master plan or file .with the Town or Village? ............ Yes 34. Are community water, sewer, facilities planned to.. be developed .w.1thin 15 years? No.. 35.. Are any sewage disposal areas in excess of 15% slope? ........................ No' 36 Tax MaVID Number :.....,,73005 -02 -30 37. Approved Plans are to be returned to: .............:.:. Applicant X Engineer If the application is signed by a person other than the applicant shown in Item 1, the application must be accompanied by a Letter of Authorization. Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, -under penalty of perjury, that information provided on this fore► is true to the best of my knowledge and be ief. False statements made herein are punishable as.a Class A Misdemeanor pursuant to Section 210.45 of the Penal Law. S 1? E IGNATURES & OFFICIAL TITLES: 1 John Pe Delano, P.E., Engineer for Applicant AILING ADDRESS: BADEY & WATSON, P.C., Rt. 91 Cold Spring, N.Y. 10516 { 1 m axjm.DEPMM4a4T • ilk, ® • a r • is v i a• mar DESIGN DATA' SHEET- SUBSUFA(:E S5Q.GE DISPOSAL SYSUM -.Q •.....1ti -. :M1L.�•e..,.t•... t..4 -... \W ..IV.. ♦.f?a. yVl�Y4'Za•�. ..iT.��.'YF a•f.N• /. �.P..,,y.(. .. _ ... ..i�vi ..Yief.r L..ai fL, ... ° �a� •fvr.f K: GI �. P•.ibM♦ y.�•: .. Owner Theresa Gibers,on ? Address 7 Lookout Pa .$s, .,.Putnam 1Falley Located at (Street) Lookout. Pass Sec. 73.05 Block 02 Lot 30 (indicate nearest cross street) Municipality Putnam Val.ley Watershed .Oscawana. Brook SOIL PERCOLATION TEST DATA RDQUIRED TO BE SUBMI= WITH IAPPLICI,A TIONS \ Date of. Pre- Soaking . 6/l/92.- Date of Percolation Test 6/l/92 HOLE NUMBER CLCCR TIME PERCOLATION PERCOLATION. Run Elapse Depth to Water Fran Water Level .No. Time Ground.Surface In inches Soil Rate Start-Stop Min. Start Stop Drop In. Min /In Drop Inches _ Inches Inches A. 1 2:19 2:33 14 20:'75 32.75 3.00. 5 A 2 2:34 2:51 17 21.00 24.00 3.00 6 A 3 2:54 3:22 28 21:00 24.75 3.75 8 - A 4. 3:25 3:47 .22 20.75 24.00 3.25 .� A 5 3:50 4:11 21 20.75 23.75 3.00 7 B 1 2:23 2:40 17 21.00 24.00 3.00 ... .�. - .1......L..�'�.� -� �.,•v�i+s•....m�ce:: - - �'.,.�..�. ?�...... �..�al �- aJ:�S.e:.. ....,.,�a....G.,.-- T- lr•�.- ..... +s .i_.rp•. � _ .. �.. «�. B 3 3:14 .3:44 30 20.75 23.75 3.00 ,,,_ 11 B 4.,.." " 3 : 46 4:16 30 20.75 23.50 2.75 .5 - 1 _.. 2 3 4 NOTES: 1. Tests to be' repeated at same :depth : until' appr6dn ate1y equal soil rates are obtained .at each percolation test hole. All data. tb`be siabhi.tted for review. 2. Depth measurements to be made,frbm top of hole. rev. 9/85 , TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION 7' 8' _ 9' 12' 13' 14' INDICATE LEVEL AT WHICH _GROUNDWATER IS ENCOUNTERED Not encountered ^INDICATE LEVEL 'T0 RICH WATER LEVEL RISES AFTF,R BEING ENOOUNTtID ° N /A.. DEEP HOLE OBSERVATIONS MADE'BY: BADEY & WATSON, P.C. DATE: 5/15/92 DESIGN Soil Rate Used l l -5 Min /1" Drop: S.D. Usable Area Provided 2,300 S.F. No. of Bedrecros 1 Septic Tank Capacity (Existing,) gals . Type Absorption Area Provided By 127 L.F. x 24" width trench Other 3 ° -h" R _.0 _ R_ F i l l ...uua... Name BADEY & WATSON, P.C. Signature r ; v Address,. U . S . ROUTE 9 SEAL z. COLD SPRINGR N.Y. 1051A THIS SPACE FQR USE : BY HEALTH DEPARTMENT ONLY:_- Soil Rate Approved sg.ft /gal. Checked by [T may: Date DESCRIPTION OF 'SOILS:: ENCOUNl FRED IN ;TEST HOLES DEPTH HOLE NO. l HOLE NO. 2 HOLE NO. ' 3 G.L. 4" Topsoil 4" Topsoil Tops.oil.. 9 �� 4 +�.�l ..ri.,@. "3v YM1(:" - -yY �.. _ - i V•.lS�"rA' ;: _ _ _ _4" ..__ : -._.� n t♦ ...ys.r NP.'.OV91a'4'R:47'•�i <.:i'�• ��.(;G f"•1T: [ . :• f- :„e,.,;;,i ^.C•..'�•� 7.- 1' Silty Loam Silty Loam 'Silt'V Loam 2' 31 Loam Loam Loam.. 41 ...._ -. (30 -6" R k (3° -6 ") Rock . 1 51 (41-0 ") Rock 6' 7' 8' _ 9' 12' 13' 14' INDICATE LEVEL AT WHICH _GROUNDWATER IS ENCOUNTERED Not encountered ^INDICATE LEVEL 'T0 RICH WATER LEVEL RISES AFTF,R BEING ENOOUNTtID ° N /A.. DEEP HOLE OBSERVATIONS MADE'BY: BADEY & WATSON, P.C. DATE: 5/15/92 DESIGN Soil Rate Used l l -5 Min /1" Drop: S.D. Usable Area Provided 2,300 S.F. No. of Bedrecros 1 Septic Tank Capacity (Existing,) gals . Type Absorption Area Provided By 127 L.F. x 24" width trench Other 3 ° -h" R _.0 _ R_ F i l l ...uua... Name BADEY & WATSON, P.C. Signature r ; v Address,. U . S . ROUTE 9 SEAL z. COLD SPRINGR N.Y. 1051A THIS SPACE FQR USE : BY HEALTH DEPARTMENT ONLY:_- Soil Rate Approved sg.ft /gal. Checked by [T may: Date Building Constructed by 07" PASS Location - Street Fo /' t IA- Municipality Building Type Subdivision Name Subdivision Lot # GUARANrEE.OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I. represent that I am wholly and completely responsible for the location, wor)ananship, material, construction and drainage of the sewage disposai. system serving the above described property, and that it 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 rand. hereby guarantee to the owner, his successors, ::eirs 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 disposal system, or any r airs Ilkiue to such cyst m, except where the failure to. operate. properly. is ._� caused by the willful or negri4eh "a'ct of °tile' °occupant' the system. The undersigned further agrees to accept as conclusive the determination of the Director--of the -- Division of Environmental- -- Health Services. -of the- Putnam County. Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this . /day of(�s:(T, 19 Gen al Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk Signature Title Cokporation Name (if Corp.) Address BADEV &- WATSON Surveying and Engineering, R Q Route 9 COLD SPRING, .N.Y. 10516 FAX (9f4) 265 -442 TO Putnam County Department of Health 4 Geneva Roadl Route 312 . Brewster, NY 10509 EUETTEN orF TURSE DUML DATE JOB NO. 'w NTiOm Roert Morris RE, Giberson SSDS Lookout Pass Putnam Valley > WE ARE SENDING YOU X3 Attached ❑ Under separate cover via the following- items: • Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications • Copy of letter ❑ Change order ❑ COPIES DATE NO. ' DESCRIPTION 1 lot. 7 1-3 For your use Application for Construction Compliance 3 14 65 As requested Guarantees of SSDS 3 \o A. M For review and comment Plan of'As -built SSDS ❑ FOR.'BIDS DUE Gheek too $200 appileatie PRINTS RETURNED AFTER LOAN TO US 1 —THESE W "r'KANSM- iTY "Et;`as' cnecked"tielow. 17 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 ❑ ❑ FOR.'BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO 4 40%Pre- Consumer Content •10%Post-Consumer Content SIGNED: Kurt Schollmeyer MDUCT240 �ix, Gaon, n= oioi. It enclosures are not as noted, kindly notify us at once. B DF Y WA. TSON ing n d nFin eery P.. Route 9, Cold Spring, New York 10516 (914) 265.9217 739 -3577 628 -1800 GEORGE A. BADEY, L.S. FAX (914) 265 -4428 GLENNON I WATSON, L.S. JOHN P. DELANO, P.E. April 2, 1992 Putnam County Department of Health 110 Old Route Six Center Carmel, N.Y. 10512 Attn: 'Mr. Robert Morris RE: Proposed Addition - GIBERSON Lookout Pass, Putnam Valley Dear Mr. Morris: In response to your letter of March 12, 1992, we offer the following for your consideration: Ei sxetch' `o=` -tne "existing basement; "'provided "byTthe owner, is attached hereto for your use 2. The owner's plumber, Mr. Michael Gilleran, has determined the extent of the existing sewage disposal system; 4 absorption laterals, each approximately 30 feet in length and 10 feet away from the existing structure. Same are in general area previously identified on the 40 scale survey. 3. That area outside the direct line of drainage to lot 24, which drains toward Van Ross, is of excessive slope and contains indications of adverse subsurface conditions related to rock. Further interpretation of the local drainage pattern, based upon field measurement, is also provided. Same is discussed in a letter 'from Mr. Gilleran and indicated on a copy of the Owners of the records and files of Hudson Valley Engineering Company, Inc., Reynolds and Chase, J. Wilbur Irish, Vincent Burruano and Douglas A. Merritt Affiliated with Taconic Surveying and Engineering; P.C. April 2, 1992 _ _ Page 2 - previously submitted survey (copies attached). Being personally acquainted with Mr. Gilleran and his work as a licensed.plumber, I have no reason to doubt his competence and integrity; his determinations and, assessments have always been, in my experience and opinion, rational, reasonable and based in practical reality. Additionally, visual inspection of the soil proximate to the existing disposal system would lead one to anticipate a sufficiently slow percolation rate which would afford a comfortable level of . protection against contamination of surrounding wells. Same might also be, evidenced by satisfactory bacteriological analysis of the Giberson's well water considering their well is no less than 25 feet, and downhill, from a neighboring septic system. We ask that you evaluate all of the above and the attached and consider some additional benefit which might be gained by proposing the addition somewhat closer to the front of the parcel. Current consideration is the proposal of a simple system expansion to accommodate the proposed increase in bedroom count; with or without variance request(s). Thank you for your consideration and, as always, should you require additional information feel free to contact us. Yours truly, BADEY & WATSON Surveying &Engineering, P.C. by John P. Delano, P.E. JPD /cal Attachments cc.* Kurt & Tracey Giberson File MISC.92, RM02AP2L.DOC RM02AP2L.DOC BAILEY &. WATSON Surveying and Engineering P.C. Q �c ti,:r. :<u.-..-•,a+..:: :v •a r. .. ,. .. ... - r,S- .. .. -..,. � _ �,.:c r..•`c� -_\ !o` -;-u �'a., •a ,h<r...,�.. ,. c". ., ,. , '• %' - -• { r .. C2- &Soft t` 7 . - Ib � ,� O Q G s/. I . < Qj . � _ fir.' � ... �' •Oj' �� v � �0�. �C :�_. O$ /��''� O� .. -. � - .. „ c -rs,✓ EX L u O . SS O/ �O, V fl+ CD u N 1J O Q Es �' /� v �• BADEY & WATSON Surveying and Engineering, P.C. Route 9 COLD SPRING, N.Y. 10516 FAX (914)- 265 -4428 To Putnam County Dept. of Health Geneva Road, Route 312 - Brewster, N.Y. 10509 LIEUTEM orF MUS, OMacTUIL DATE JOB NO. - _June 29,x_1992 -- _77 -??6 -- ATTENTION ~ Mr. Robert Morris RE: Proposed SSDS Expansion KURT & TRACEY GIBERSON 7 Lookout Pass Putnam Valle T.M. 73.05 -02 -30 > WE ARE SENDING YOU Ek Attached ❑ Under separate cover via the following items: • Shop drawings CIE Prints ❑ Plans ❑ Samples ❑ Specifications • Copy of letter C] Change order 11 nt-her as 1 i st ed COPIES DATE NO. DESCRIPTION 1 6/29/92 Construction Permit for sewage Disposal System 1 6/29/92 PCDH Letter of Authorization 1 IP CDH Form PC -1 1 6/1/92 Desi n Data Sheet 1 6/29/92 Sho t Environmental A se sme m 3 6/26/92 2 ISSDS Fill Plan 6/26/92 2/2 SSDS Design ^� THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval f(] For your use ❑ Approved as noted ❑ Submit copies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints jj7 For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY SIGNED: John P. Delanoaplb If enclosures are not as noted, kindly notify us at once. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES [�. r�, p ^. `.... �'t: _ - �i..s�i::yic•,::rF'c ., >^�r �.7 <.. :-�.,a x:. 7rs.. F; y. -.5i� .ii sf�.. Gentlemen: Re: Property of Theresa .Gillerson Located at Lookout Pass, Putnam Valleyt.NY Section 73.05. Block 02. Lot' 30 This .letter is to authorize John.P. Delano a duly licensed professional engineer. g §11X mixi usixtr9titrzt .(Indicate) to apply for a Construction Permit for a separate sewerage system; to serve the above noted property in accordance- "with the standards, rules or regulations as promulgated 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 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: A, , M =X, # 62505 Badey Address Rt. 9, Cold Spring, NY (914) 265 -9217 Telephone ��Nmmargl� ( S e a� 0't NEW yo Sk co E� 9 10516 - 0 `` o 'hill! lit% L Very trul Y� yours, S.igne& Owner of.Pr perty 7 Lookout Pass Address Putnam Valley, -NY 10579 Telephone (914) 528 -4317 x, BADEY & WATSON Route 9, Cold Spring, N.Y. 10516 Attn: Mr. John Delano, P.E. Dear John, After consulting with you on the phone,l went to the 8iberson property to take some grade shots. I marked the shots on your drawing, showing the drainage flow. The flow of the water as shown on this drawing, shows the water path flowing in One direction of the neighbors property, which is the Norhadian property. Actually' as the grade shots I took indicate, the flow of the water goes along the stone wall separating the two property's, at a 10% grade heading towards!' the street (Lookout Pass). The grade slopes9ft. in 90ft. towards the road. At a point 93ft. back from Lookout Pass along bearing line N81'-00"-W, the property slopes towards lot 12 for 110ft. lot owned by Janet Vanross. On the other side of the wall, between Giberson and Norladian, before reaching NorhadianTs well, there is a � gar ge, th en a s t one masonary re tai n ing wall runn i ng from the garage to the street with a black topped driveway, pitched from the garage to the street. The location of the existing fields are as shownApn your drawing, however I see 4 sets of fields approx. 30ft. � . in length. These fields measure 101ft. off the existing strutture. The fields'and the whole system seem to be! functioning well under the present load usage. I think it `-_---'_-_'--_'_ -- _ the usage of the present system,,and add to it with 168 ft. / of new fields for the additional pro,osedbedroom. This would save the room on the existing site and allow more room for . future expansion if needed. According to the State Code Handbook Appendix 75-A page ,6, table 2, entitled " Separation distances " absorption fields should be 10' ft. away from the well location. In this case note (a) does hot apply because of the nature of the soil, and "the general path " of the drainage to the well. , The property uphill of the Giberson ' ' s' ad�acent to their well, the septic system of lot 28 terminates and is Oil 25 ft. of the Giberson's deep well. Evidently " dra 'd n " has no/effect in this case. � . Thanks for your consideration and �help:in t �,�``, � ' ' . . `r Mike Gilleran March 5, 1992.,-. Pa ge .2 . tf.. :b * 4 without variance(s),, necessary to construct adequate facilities to service the building addition proposed herein for the subject premises. Your due, consideration is. appreciated. As always, should you have any questions or require additional information to formulate. your reply please. so advise at your earliest convenience. Yours truly, BADEY & WATSON Surveying & Engineering, P.C. by John P. Delano, P.E. JPD/plb encl. cc: Kurt & Tracey Giberson Misc.1'992, RM05MR2L.DOC RM05MR2L.DOC BADEY & WATSON Surveying and Engineering R C. YML (Environmental. `�';:> LAB NUMBER:r ` e $'v x c e LATE %TIMF. TAKEN 321 Kear Street Yorktown Heights NY ]0598 /, g �'?•A47--E -AMI, ' ELAP #10323 ��T4 45'_2 GO DATE REPORTED VRI HCl Na2SOS >20C COLD BY MR. GTBERSOFJ.. STAY! _ H2SO4 ZnOAc r� t. - / -' J S NOTES ffi . >« ; F, ,�.., N,., ;Pr /'cA i X RESULTS OF ANALYTE RESULT UNITS. RESULT$�017_ WATER TESTING ALKALINITY .:mg/L . x AMMONIA mg/L r r .CALCIUM PH' S'IJ ; �Y CHLORIDE PHOSPHOROUS mg/L - COLOR Units -. CONDUCTIVITY umhos /an COPPER mg/L CORROSIVITY LSI - DE .- ERGENTT -S FLUORIDE mg/L SULFATE HARDNESS mg/I y mg/L : ti Mksi r � IRON SULFIDE mg/L LEAD rrg/L MANGANESE mg/L MERCURY mg/L NITRATE mg/L.- NITRITE n g/L NTU'; ODOR TON These results indicate that the water sample ;(WAS] '(WAS NOT] [NA1 of a �7tisfactory sanitary quality according to '. the New York State Sanitary Code, for the p ters te.sted,'at the time of sample collection. These results indicate that the water sample. [WAS] [WAS NOT] r1] of satisfactory chemical quality according to .. r the New York State Sanitary Code, for the parameters •tested, at t ti of sample collection. + M NA =Not Applicable N = Not Present (Negative) �M. P = Present (Positive! SA See Attachment(s) SUBMITTED BY.� &: Albert 1 i. Padovani, M.T. (ASCP) ' = Also done because Total Coliform was present �g TNTC = Too i`iumerous To Cotmt u Director =: GT = Greiitor Than < = LT = Less Than. RESULT$�017_ WATER TESTING t ' x ANALYTE RESULT UNITS ` r r PH' S'IJ ; �Y PHOSPHOROUS SILVER 7� 3w SODIUM+" r,1 L SULFATE mg/I y ` * °,. : ti Mksi r � SULFIDE SULFITE TURBIDITY NTU'; r NX a SPC per 10 mL s„ TOTAL COLIFORIvi per 100 rnL FECAL COLIFORiN I, per 100 mL E. COLI per l00 mL? as FFECAL STRFP., per 100th These results indicate that the water sample ;(WAS] '(WAS NOT] [NA1 of a �7tisfactory sanitary quality according to '. the New York State Sanitary Code, for the p ters te.sted,'at the time of sample collection. These results indicate that the water sample. [WAS] [WAS NOT] r1] of satisfactory chemical quality according to .. r the New York State Sanitary Code, for the parameters •tested, at t ti of sample collection. + M NA =Not Applicable N = Not Present (Negative) �M. P = Present (Positive! SA See Attachment(s) SUBMITTED BY.� &: Albert 1 i. Padovani, M.T. (ASCP) ' = Also done because Total Coliform was present �g TNTC = Too i`iumerous To Cotmt u Director =: GT = Greiitor Than < = LT = Less Than. C> a rb atl l �j n fb ` G ^a ,� � °o, i �� y � -.zo• y, fin. !� � M 6O z �Co o o u zo�n,o� N th `�omo a. o� c ,,