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HomeMy WebLinkAbout3375DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.08 -1 -17 BOX 27 rz. L II 49 T .)IN rip I I ■ ' ,. 03375 I r I . ..... • �eeeormit Is s u ed lot work. (copies ,of,. which ,.,Aie ounty;. Department of Health. Pit A.A. "AW '-Uci�se, N' 9178?O' Wb" 6 0� �4& r6ectlbn ;'odiijy�,;unmnitary jyQj�ays'on as "i. 6u61i,c, k sanitary sewer. 'bi'c'omes ,Iftjpoly,:646inei iViliable. '- Sy*ch -, dppr.pvals­are modification 6i.change' ls..qpcosary.- Title m r,..Mv, _ p WrILL U.Vrlr LjCj 1 .LVLV Lx K VL.1 a. . DEPARTMENT OF HEALTH Office Use Only % Gam *.i_ cies - Y �4 PUTNAM COUNTY DEPARTMENT OF HEALTH A0 ES : wNrvl I TAx GRID euMBER: WELL LOCATION &SEET ' WELL OWNER M ; ADDRESS: ° In 81VATE ❑ PUBLIC USE OF WELL RESIDENTIAL O PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP O ABANDONED 1- primary ❑ BUSINESS ❑ FARM O TEST/ OBSERVATION ❑ OTHER (specify) 2 - secondary ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY p MOUNT OF USE YIELD SOUGHT � #,, gpm.1N0. PEOPLE SERVED '°"`" %EST. OF DAILY USAGE,- gal. REASON FOR ANEW SUPPLY ❑ PROVIDE. ADDITIONAL SUPPLY ❑ TEST /OBSERVATION DRILLING ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA DEPTH 3100 ft. STATIC WATER LEVEL �ft. ®, WELL DATE MEASURED DRILLING -/*'151?k ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG EQUIPMENT ❑ WELL POINT O. CABLE PERCUSSION O OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. XOPEN HOLE IN BEDROCK O OTHER TOTAL LENGTH ft. MATERIALS: �14 STEEL O PLASTIC ❑ OTHER LENGTH.BELOW GRADE ft. JOINTS: ❑ WELDED XTHREADED O OTHER CASING DIAMETER . in. SEAL: ❑ CEMENT GROUT O BENTONITE MTHER DETAILS WEIGHT PER FOOT _ r Ib. /ft. I DRIVE SHOE)9,YES. ❑ NO LINER: O YES XNO SCREEN DIAMETER (in) SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (I q. DEVELOPED? FIPST .. ;- - = - -wry- - - - L YES .ONO SECOND _ _ _ ,__ ..,, 'HGuRS mT GRAVEL PACK O YES GRAVEL DIAMETER TOP BOTTOM O NO SIZE OF PACK in. DEPTH ft. DEPTH It. WELL YIELD TEST If detailed pumping It more detailed formation descriptions or sieve analyses WELL LOG W are available, please attach. METHOD: O PUMPED 1 tests were done is in- DEPTH FROM Water Wen COMPRESSED AIR ,formation attached? ; ❑ YES ❑ NO SURFACE Bear- ing D�a- Meter FORMATION DESCRIPTION COLE. O BAILED O OTHER It ft. WELL DEPTH DURATION DRAWOOWN YIELD Land Surface a IL hr. min. it. 9Cm- 91 A00 ®V WATER LEAK TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES O NO STORAGE TANK: TYPE vlro CAPACITY GAL. Yd PUMP INFORMAT40H � TYPE CAPACITY MAKER IIA4 DEPTH A& / a WELL DRILLER NAP D J,* ADDRESS RE � d MODEL VOLTAGE HP ,�. rktown Medical Laboratory, Inc. LAB ' �' ° "= 'ti�rat� l Yo Y� 321 Kear Street Date .Taken: O 'LL. Yorktown Heights, N. Y. 10598 , Taken Time _?. ye_�.'►�S:.ien�• Date Rc d �( Tim`e: r'� :.. - .:,b,,.. _:�r�.... .: `-' .'. ,fc.': .� .. ., .d , .,r I._.. ... .._¢ ').:.s�i:;• ;aL� r ;7, .�,, • Director: Albert H. Padovani M. T. (ASCP) Collected By . '61- 'Al -� Referred By: T- Sample Location: ��C�CS /L /L[.._ /fvGLOCJ QO. _ Phone # L �GTAh�7 //gGGC�/ Al%. /Od-79 J Phone # Sample .Type:. Repeat Test? (check one) LABORATORY. REPORT ON THE BACTERIOLOGICAL QUALITY OF WATER GENE AL BACTERIA _ Standard Plate Count (CFU /1.OmL) (Agar Plate @ 35 °C) MEMBRANE FILTRATION TECHNIQUE (MFT) V Total Coliform.:(CFU /100mL) 0 _ Fecal Coliform (CFU /100mL) Fecal Streptococcus.(CFU /100.mL) MOST PROBABLE NUMBER TECHNIQUE (MPN). _ Total Coliform: MPN Index (per 100mL) . - 1'1 1 V i °rtl�: a•11 at i /1 u t+ Jl Fj C L:. co •_ 1 v 1{t L .) • ••�•• �. •�R. ••-' _ .. �...._ .. _ .Y.. _ .:,. OTHER ANALYSES REMARKS (For Laboratory Use) _v Potable Non- potable STP INF _ STP EFF Other Sample Status': (check each)- Outgoing — .Na2S203 Incomin _ LE 4 °C GT 4 °C _ Other: KEY FOR TERMINOLOGY RDS = Recommend Disinfec- tion of Source TNTC= Too Numerous To Count CON = Confluent.( =TNTC) LT = Less Than (<) GT = Greater* Than (> ) N/A Not Applicable LE = Less than or equal to THESE RESULTS INDICATE THAT THE WATER SAMPLE, (WAS) (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO T NEW YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS.TESTED,.AT E TIME OF COLLECTION. x v 1%."W-1 Albert H. Padovani, M.T. (ASCP ), Director 12 /85(Rvsd7 /87)RWE For Lab Use Only: H/C to LAB OFFICE HOURS (Main Lab): 9AM -5PM, Mon. -Fri. 9AM -NOON, Sat. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Robert & Harriet Siegmund Owner or Purchaser of Building . Robert Siegmund Building Constructed by Peekskill Hollow Road. Location - Street Putt Valley Municipality 1 Stox7 Frame Building Type 62 14.3 Section Block Lot None Subdivision Name Subdivision Lot # GUARANM OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal 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, 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 disposal system, or any rep ir!2 -n—a o bx:.,me `,;sbe�, except-- v4I>re e to 0 CAti'a'�a. caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental 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 15 day ofOCt 19 87 Signature - Title Z = e� l/L General Contractor (Own Signature Corporation Name (if Corp.) Address rev. 9/85 mk Ll,a Corporation Name (if Corp.) Prof PUTNAM COUNTY DEPA ME NT OF HEALTH - DIVIS ` INDIVIDUAL 6+TAM SUPPLY SUBSURFA ?.7, PTO N. _RFk.'.0R T' DATE: - �,•� `v INSP.' BY: (Name of er) ( treet Location) 'INITIAL SITE INSPECTION YES NO COMMENTS Wetlands on /.or proximate to property.............. Property lines or corners found ................... Can estimate house. location ....................... Will driveway need cut .............. ... .. .... -• Must trees be•removed - note these... ............. Deep holes representative of entire SDS area...... Additional deep holes needed...... .... :.... ..... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells /septics.. ........................ OF ENVIRONMEATrAL HEALTH SERVICES D. H. 1 Lot• D. H. 2 Lot Depth to G.W. Depth to G.W. Depth to rock Depth to rock Soil Descri tion Soil Descri tio� 0 ft.. 0 ft. 3 ft. 3 ft. 6 ft. 6 ft. 9 %ft.� 9 ft. "1 D. H. -Deep Hole G.W.-Groundwater D. H. 3 Lot. Depth to G.W. Depth to rock • Soil Description 0 ft.' 3 ft. 6 ft. 9 ft. DATE:. FINAL SITE INSPECTION INSP.BY: YES NO COMMENTS House SSDS located per approved plan ............. Length of trench measurers Width of trench average Slope of tile line and trench acceptable......... Room allowed for expansion trenches .............. Over 100 ft. from' watercourse .................... Natural soil not stripped or SDS area unnecessarly graded .......... .. ... ......... 10 ft. maintained from property line and 20 ft. fran house .............................. Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench.. .......... 15 ft. of peripheral soil horizontally fromtrench ............. :...................... Boxes properly set ............................... . Could surface runoff from driveway, roads,' ground surface,.etc., channel near SDS area.... . Does lot drainage appear OK,in area of SDS::....... FINAL GRADNG OF SITE ACCEPTABLE... ....... , ince: of_,the approval :ofy will be located .,'pisi j: Dipartment,.. th, APPROVED FO R.�C6NST'R UC' revocable for Buse or.,may require-, a -pate ress- N 7r is-,appr?�P I:ex pir!� � h �V' ided� or'r i i ddified when consi er 1, for diposalo f 'd 6 m"e-s't 1c, ia il By `7 P. R.A. 2786 om the date issued uniess cci r Ct ionk oft fb q ng - c 9. - nd I &kin, and is ;0 V ��tho rCo I i it chanje'6i 'Iteration of 'construct [on i &a % lov I. i_ . . - , ., " 1 .11 1. . _# .. - Q�qo, 0 ii" .-an or pr* ater, sup 0 v Z. .4 1•} r. v -+y.c- .K..r. t'.G. 'sr• r.�- �v'��- :.4r a.. ..C. .. .�Ft. �Ve �. .�_ ...- c.b.Y= -FI -'eC" -a - x V' Kr-- .- .v'.L�: r - .i...�. "Y.� +.u/�'f -w..i. •i �f ..+ � -. _ r[ .r T'l •. �'4�� •� -1 &Z- Ila 40�- 4-- Z-244 a PUTNAM VALLEY, N.Y. 10579 May 269 1987 Putnam County Department of Health . Division of Environmental Health Services Route 6 Camel N.Y. 10512 Res Well for Siegmund, Sec 62 ATTENTION: Mr. John Karell,jr. Director Dear Sir - I have examined the above property as shown. My experience in this area is that stream is extremely soft and there able to maintain the casing for th, Robert & Harriet ; - Peekskill Hollow Road, Block 7 - lot 14.3 . PV 12-87 so that I amy drill the well the area close to the is great difficulty in being a well. If the well could be relocated. closer to the house location say 150 feet from the septic system, I.am sure there would be no difficult-. y in drilling a satisfactory well, I have�.,had 1v1r. Romeo, the Engineer prepare a revised location for the well. This location is a bit over 160 feet from both iVlr. Siegmunds propos6d septic and. from the adjacent septic. - y -Zl-i Siegmund Eas n objection to signing release for locating the well closer than 200 feet from his own septic. Very truly yours, Norman Anderson, President DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL PCHD PRRMTT A NIm) WELL LOCATION AWAifidIlT811ow Road To � e tfey 6rWyber WELL OWNER NaTObert Siegmund M'Wilnut Road Lake Peekeki� rivate Public USE OF WELL 1 - primary 2 - secondary Z]:RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP ❑ ABANDONED ❑ BUSINESS O FARM p TEST /OBSERVATION ❑ OTHER (specify; ❑ INDUSTRIAL 0 INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED 4 /EST. OF DAILY USAGE 800 gal, REASON FOR DRILLING ®NEW SUPPLY OREPLACE EXISTING SUPPLY ❑PROVIDE ADDITIONAL SUPPLY OTEST /OBSERVATION ❑DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING Building new home WELL TYPE DRILLED IDDRIVEN ODUG GRAVEL E] OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO .+ C.ic -. -4 ...r.:. �.e..a: w:n •. .�..�...ed.v-vz�.+ >. - ...:.rC a.... QiT^ d �a-�ma.�.�....,...i�.....� -.e ._ a.-c ..... e...yty =..r.— _ 1..-„�GX�� N _�..i IF WELL IS LOCATED IN A REALTY SUBDIVISION,, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name Anderson Address: Barger Street Put Ve IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: none TOWN /VIL /CITY LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED Feb ON REAR OF THIS APPLICATION ON SEPA SHEET 25, 1987 (date) fT (signature) 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. t 4 Flo- .... . .•.. ... S .. ' ..4/ ~1 _ ..: .� �fa ..: r•� fe •o Date of Expiration: 64;) 19 erm t I suing Official' V �-1 Permit is Non - Transferrable :. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date February 1, 1987 Re: Property of Robert Siegmund Located at Peekskill Hollow Road (T)PUt. ���°�°�� Section 62 Block 7 Lot X1603 Subdivision of None Subdv. Lot # Filed Map # Gentlemen: This letter is to authorize John So Romeo. Date a duly licensed professional engineer X or registered architect (Indicate to apply for a Construction Permit for a separate sewage system: ._. _ .. .. � -. .. . -.._ 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 147,-Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly_.yours, Signed Countersigned: Owne o Pr perty Z �16E � � /.1 k, �I� l P.E. # Address 1 No pidge Road le Address aaa��" Town Peekskilbo N.Y.- 10566 737 °1056 ,``' `, _ Telephone 6 9 A Telephone /.-- _ „:,Y:r -•,M, '=v - ^h - ::.�.„ y = 'La's".. _,haw.} °::.,.:�?1'f'':.r.3MCr• _..e.r - . ._. `: ..._ ®Q�a ®ge DIVISION :'OF HEALTB SERVICE'S' a99ci e jffiIGN DATA SHEET= SUBSUFACE SEWAGE .DISPOSAT, SYSTEM _ FILE PA x"' ;-'Jf Fs?"�.;�::•S.':F' Fti; :.'tr.c ....x __- .�.-. ?-. "a .:.� •...,�`'.: :.c•.- l+�r...� ...I �.: .ir ', . .••. � ��. ..._.✓:�I.: l.:..•i.i _r t�, c; Owner Robert 'Siegmund '_Address 158 Walnut+ -Road hake Peekskill, N. Y. Located at. (Street). Peekskill Hollow Road . 62 3 .e• ._ .� ...:Block,., 7 Lot 1 . (indicate nearesf" cross street) Municipality Putnam Valley Watershed Peekskill SOIL PEROO=ON TEST DATA RBQUIRED TO BE SUBMITT'E'D WITH APPLICATIONS Date of Pre- Soaking Jan 16, 87 pate of Percolation Test Jan 179 1987 HOLE NUMBM ... .CLOCK TTME PERCMATION .. PERCOLATION Run Elapse Depth to Water Frcm Water Level No. Time Ground Surface In Inches Soil Rate Start.-Stop.. Min. Start Stop Drop In Min /In Drop Inches Inches Inches (1) 1 10104 to : 13 9 19.25 22.25 3.00 3.00 2 10116 10,26 10 19.25 22.25 3.00 3.33 1012.9-101 3.9 10 19.25 22.25 3.00 3.33 3 4 .. 5 (2)'l 10117 10127 10 20.50 23.50 3.00 3.33 x2: 322Cj�C1._._.`: s3�5.0`: ..3�c 3 10146_,10157 11 20.50 .23.50 3.00 3,67 5 ..1 2 3 4 5 c NOTES: 1. Tests to be repeated at same depth until Apprcaocimately' equal soil rates are obtained at each. percolation test hole. All data to' be suhnitt�d for review. 2. Depth measure ants to be made from top of hole. rev. 9/85 TEST PIT BE SUBMITTED WITH APPLICATION Deap Deep HOLE NO. HOLE Nj. 3 hole .4. Topsoil TOP1301il Topsoil .Topsoil..,., Topsoil Topsoil ROB dravei: ROB ravel 13' INDICATE 11].E�VEL' AT WHICH GROUNDWATER IS ENCOUNTERED idode INDICATE tZVTM TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED Nohe DEEP HOLE OBSERVATIONS MADE BY: John S. Romeo DATE: Jan 168 1987 DESIGN Soil Rate Used 0-7 min/ill Drop: S.D. Usable Area Provided 5000 SF + No. of Bedrooms 4 Septic Tank Capacity 1200 gals. Type Masonry 'Absorption Area Provided By 400 L.F. x 24" width trench Other Name John S. Romeo Address 1 Northridge Road Peekskillo, NY10566 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: s, .5 X, Signature &-� Zni L/ SEAL 7 al 00 Soil Rate Approved sq.ft/gal. Checked by Date DESCRIPTION OF S Pere DEPTH, HOLE NO.,. to P1 0 Topsoil. Topsoil 21 31 BE SUBMITTED WITH APPLICATION Deap Deep HOLE NO. HOLE Nj. 3 hole .4. Topsoil TOP1301il Topsoil .Topsoil..,., Topsoil Topsoil ROB dravei: ROB ravel 13' INDICATE 11].E�VEL' AT WHICH GROUNDWATER IS ENCOUNTERED idode INDICATE tZVTM TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED Nohe DEEP HOLE OBSERVATIONS MADE BY: John S. Romeo DATE: Jan 168 1987 DESIGN Soil Rate Used 0-7 min/ill Drop: S.D. Usable Area Provided 5000 SF + No. of Bedrooms 4 Septic Tank Capacity 1200 gals. Type Masonry 'Absorption Area Provided By 400 L.F. x 24" width trench Other Name John S. Romeo Address 1 Northridge Road Peekskillo, NY10566 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: s, .5 X, Signature &-� Zni L/ SEAL 7 al 00 Soil Rate Approved sq.ft/gal. Checked by Date •;w APPENDIX B PUTNAm COUNTY DEPARTmm OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS (rJ Z 4 11f, 3 r V . REVIEW SHEET - CONSTRUCTION PERMIT Ir.� Pr DATE -REVIEWED: 3131(f (Name c# Owner) (Street Location) COMMENTS YES 0 DOCU 4aM Permit Application Corporate Resolution / Plans - Three sets s/s Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results (3) Perc Hole Depth LF trench required _ 60 ft. max. Parellel to contours House Plans - Two sets Well permit; PWS Variance Request SUBDIVISION Perc Fill cd letter Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town/DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DELMS ON PLANS Sewage System Plan - (north'arraa) Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume 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 . t,;;� ► i'ririfiCiiar .,: fl t i3ly.: bi Pr sed-.- . Driveway & Slopes Cut Footing /Gutter,Curtain Drains (discharge OK) 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 System 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 10' to P.L., Driveway, Large Trees,Top of fi' 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Take (inc. expa 15' to Drains - Curtain, Leader, Footing 35'to catch basin,stormdrain,piped watercour. 10'. to Water Line (pits -201) . 50' intermittent drainage course Septic Tanks 10' fram Foundation; 50' to well 151 Well to PL 9 PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services --1 March 11, 1987 Mr. John Raneo 1 Northridge Road Peekskill, New York 10566 RE: Proposed SSDS Silgmund Peekskill Hollow Road (T) Putnam Valley TH 62 -7 -14.3 d� JOHN SIMMONS. M.D. Deputy Commissioner Dear Mr. Raneoa Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been canpleted. Camients. are offered as follows: 1. Construction notes are lacking. Upon receipt of a submission revised to reflect the above comments, this _ ia L � .L�l:j1 �1. - r - Lu:-1'n w� , Very truly yours, Anne M. Bittner Assistant Public Health Engineer AMBemk 110 OLD ROUTE SIX CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 PETER C. ALEXANDERSON County Executive JOHN SIMMONS, M.D. Deputy Commissioner DEPARTMENT OF HEALTH JOHN KARELL. Jr.. P.E. Director Division 01 Environmental Health- Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 �Hp 'Porn eo I k"" Im /Z I% f- P- 0 Dear *-M& 9-rmeo Review of plans and other at this time relative to completed. Comments are supporting documents ' submitted the above - captioned project has been offered as follows: cl C'tMiF&dtd 6 cam. v ce e, L � 'J d (1-W C rL U OVA^ , ztta,� IAIA-- OVK :J 0—b-5016L,n, 1k94tC4' [/au- UA-11 510J t^a4I Itk4 dA<4-cw�.Cl— b CfW U4, T4 w C tj ssio S. A9,WS e- &in & iu k add W X A.,- Cam en-rs; hL r-e d ai6ne Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Ver truly yours, t Morris onmental Health Technician fOMEO, PE, LS JOHN, & R®z -F-®, F.C. CONSULTING ENGINEERS & LAND SURVEYORS 1 NORTHRIDGE ROAD PEEKSKILL, NEW YORK 10566 914757 -1056 Mr. Robert Morris . Putnam County Health Depto 110 Old. Route Six Center Carmel, N.Y. 10512 Dear Bobs July 158 1987 REa Siegmund. Proposed, Well Relocation Peekskill Hollow Road (T)Putnam Valley, TM 62 -7 =14.3 In response to your memo of July 19 1987. I am revising the plansfor a new proposed. well. As per conversation with you and, Mr. John Kare119 Jr. I °m moving the pr &mary system so.that it is 20011 from the proposed new locat &on of thewell. I am also questioning the curtain drain since there is none shown on the original submission for the ssds. Robert J. Romeo for John S. Romeo z. PUTNAM COUNTY DEPARTMENT OF HEALTH Rniv` -ND _ Date: 7—:1 ° �7 AL -'DE-PARrPMENT--.';O - I .-,W T COUNTY . Division v - ",,revs` :ICONSTRVCTIO T R.M[,T--'-F R-z-SEWAGt,.C40 SYSTEM: '. Located at " got `L "Al O�A —A5 . .1 4p.. 4 t6 e�io"%-,. on of the -- proposed ` y Tj�t,.' re erit that I -.am wh I Y, S q,.! apd.cornO i6spon sib le', <'coij - nt� epaqq�qp,t,df 6,111 submitted - - — . e ' -p place in good cl:,;o the ion�z ance of, -the approval of; the Certif,i will be; located asJshown oh 60pr- County .','Dep r, men Date: A "ddei :-revbca Ib 11 e,f. en( I%N �pornit, . o4ea,� re FIS �-,n NEWPE, �-MWI Ul Oil ;f sewage a/ or i ie F I n Title age.. dispoo .system Fns Wonero ea will C t'siajWb' l6i-will the date of Issu -- 5 `"the Putnarn-,-,-� �77 owner All Address Bui Idin-, Number of Oede.00rn�s Totai, Hi6itabfe-S6iiZb Square Feet to Separate Sewerige Systern nsist of .-dal. Septic Tank lineal feet, �x Width trench To be constructed Y, �AiiclViss, .Wa te Supp i - . , S From Private Supply to b-7: & Other. 4ecluir6mehis' .1 4p.. 4 t6 e�io"%-,. on of the -- proposed ` y Tj�t,.' re erit that I -.am wh I Y, S q,.! apd.cornO i6spon sib le', <'coij - nt� epaqq�qp,t,df 6,111 submitted - - — . e ' -p place in good cl:,;o the ion�z ance of, -the approval of; the Certif,i will be; located asJshown oh 60pr- County .','Dep r, men Date: A "ddei :-revbca Ib 11 e,f. en( I%N �pornit, . o4ea,� re FIS �-,n NEWPE, �-MWI Ul Oil ;f sewage a/ or i ie F I n Title age.. dispoo .system Fns Wonero ea will C t'siajWb' l6i-will the date of Issu -- 5 `"the Putnarn-,-,-� �77 s. J 1 PUTNAM COUNTY. DEPARTMENT., OF HEALTH, . ...:. 'DIVISION OF ENVIRONMENTAL HEALTH SERVICES •.- :it!'.- .�.j:a �.a.. - rw.••�. .�R�v�.. -se � ix`.i.a. ..r- -:S i.-� 4...w. • ::er• -t. �.QC... :.a.. w:•�1 ,dr•r.w::r.. ..�:i-..: �i;•� ... DESIGN.:-DATA SHEET'-,. SEPARATE. SEWAGE DISPOSAL .SYSTEM : FILE N0. Caner P T AM V&LLe -j oNsT. Gbo.t- address 'Bd x moo. -6 KoH Ate. AKE !�, Located. at (Street)�K,�a .Notaow `t,�; Block:. Lot `�-, (Indicate::nearest cross street) Municipality - "-,- ,•t,�,A,..t Watershed Li.. HAo' SOIL RERCOhATIDN TEST DATA REQUIRED TO BE 'SUBMITTED WITH APPLICATION Hole Number. CLOCK. TIME . =: '' PERCOLATION ` 'P Run Elapse. Depth,to Water. Water .:Level ::. No. :: Time: :From Ground Surface :in `'Inches :,:; Soil Rate'.... Start 'Stop. Min . ' , Start.- Stop Drop in • .. M:in/in .drop ; '. Inches Inches Inc hes 3 5 Z 1 9 oz. 4_zo l8 l`t ZZ '3 6 - Z -2�2v 3 1 - . . � :E �-•c �. PE �FOC� K E'er gy . •: -=-- 2' SULLIVAN - TRIEDE` C! rLAR P: 10. BOX .:308 . MAROPAC, NEW YORK 10541 Notes: 1),Tests.to be repeated at same depth until approximately equal soil rates are ob- tained at each percolation test hole. All data to be submitted for review. :2) Depth-measurements to be made •from top of hole. 5 4" 601, 6611 . 72T7 . . 7 8 -ti z� 8 Ott INDICATE LEVEL AT WHICH GROUND WATER IS-EN COUNTERED §t:o_v' fl .A> P_ INDICATE LEVEL TO WHICH .WATER LEVEL RISES .AFTER BEING ENCOUNTERED TESTS MADE BY SULLIVAN - THIEDE Date I m = 5 7 0 UESIGN Soil. Rate; Used Min/1'T Drop: _ S. D. Usable Area Provided z5, poo No. of Bedrooms Septic Tank Capacity z Gals. Type A, tz, �y Absorption Area Provided By Zo " L. F °x2411 36 _y/" trench. Other c . 1—%G e+ o-1 Name -i u PIA Signature ro-1 &a4eu , . — -� Address SULLIVAN - THIEDE- CLARKPLACE . � ' • °FRANCIS °° 9� • MAHOM NEW YORK 10541 PUTNAM COUNTY DEPARTMENT OF HEALTH;o �, Soil Rate Approved Ft./Gal. Checlw ° �� , 24 8g� °° ���,'� Date still PUTNAM COUNTY - DEPARTMENT OF HEALTH. DIVISION OF ENVIRONMENTAL HEALTH, SERVICES DESIGN :DATA SHEET. -. SEPARATE SEWAGE DISPOSAL SYS.TEM, . FILE NO . ?u s' Nl 1l A "LiEY t3ox :.►yo:: 6 Owner P Address ! s z i�EEK K11. L EEO�;I 6w' T4>— iJkAP PO fc`'_T Located at. (Street) 2oa �z .,' Block Lot Za� (Indicate 'nearest cross street)r `.. . 'T�"c� E•i':�K\ E► o L.L;ai�.. �f�k Municipality ` IF>.0 SOIL; PERCOLATION . TEST DATA ' REQUIRED., -TO `BE' SUBMITTED.; WITH APPLICATION Ifole Number '. CLOCK TIME .- PERCOLATION; :. PERCOLATION Run `Elapse :Depth- to Water,.. Water Level. . No. Time;' . From - Ground Surface` in:,Inches Soil Rate ` Start Si_ Min Start Stop Drop in Min/in dr "op op. Inches, Inches :. Inches 1 2 1 0 :mod 'to:tz tZ z d 3 3.l ©'CIA, 4 • 4 1: t DTs I A a,u:e 2 _ SULLIVAN THIEVE CLARK PLA�E. MANOPAC,.NEW. YORK 105 11 4 Notes-: ,. 1) Tests to be repeated at same depth until approximately.egual soil rates are ob -. tained at each, percolation test hole. All.data to -be submitted for review.. 2) Depth measurements to be .made from top of hole. Signed ljz4mCt�� Owrer .of' roperty A+nNEGk ".3 1 ky,'S �A�EW 1C�R1� Countersigned: Address P E. , # Z -es9 R �g- Sz8- 2�3�E; ���,� Telephone . ( Se�� OF NEw',.,� Address a NCr °OO °,,'. g E ° R S ° , CLARK. PLACE * .ova co 9 0 Box 309 ° AHi1PAC, NEW YOR K 10544 o e &9 Telephone ►4- F��� °° O I ' BLISH - I ' LEVATON OF HOUSE 'TO EPTIC TANK AND FIELDS EM TO REMAIN UNDISTURRED.AL 'AND REGULATIONS AND LOCAL STANDARDS AND REGULATIONS ON/-- poor, APPIY,�DVE OCT 9 fl'970 PN�, U .5 EALH RECTO AL :, z 7- NO Z41 PROPOSED SEPARATE SEWAGE DISPOSAL SYSTEM TOWN OF 4 CO TY.NEW.YORK DATE/0- 7 -70 SCALE -.95 -f// ..... V I J3 NO- 70- I-TZ, 24119 SULLIVAN - THIEDIF- CONSULTING :4Z. ENGINEE;RS CLARK PLACE W-11"Ac. P4w. Yo�ifc N'l .0� JQ- titi 0 7- Y, Z5.. SOIL PERCOLATION' RATE ........... ..... MIN/IN 00 GALLON SEPTIC TANK'„ .1�;DgEP -TE§T..--., A/p-5, "I Ill= 10 e15 -- —1-14�> c LF X-9&"ABS.TRENCtQ I ' BLISH - I ' LEVATON OF HOUSE 'TO EPTIC TANK AND FIELDS EM TO REMAIN UNDISTURRED.AL 'AND REGULATIONS AND LOCAL STANDARDS AND REGULATIONS ON/-- poor, APPIY,�DVE OCT 9 fl'970 PN�, U .5 EALH RECTO AL :, z 7- NO Z41 PROPOSED SEPARATE SEWAGE DISPOSAL SYSTEM TOWN OF 4 CO TY.NEW.YORK DATE/0- 7 -70 SCALE -.95 -f// ..... V I J3 NO- 70- I-TZ, 24119 SULLIVAN - THIEDIF- CONSULTING :4Z. ENGINEE;RS CLARK PLACE W-11"Ac. P4w. Yo�ifc N'l