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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.18 -1 -10 BOX 27 03441 PUTNAM COUNTY DEPARTMENT OF HEALTH TE 'OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM ZUCTION PERMIT # F -$_ cl.3 CF,ar��rcul Bi �ctr K aw �p 50�..�+� � Located at O rt Arr- t (tu- ea-AD CTO r Village 1� ✓ — Owner /Applicant Name l c'1' cw8,rax Map �g Block l Lot I Formerly Subdivision Name L /A✓4f71 Subd. Lot # 3 Mailing Address 37 072,7100l DAT" Ran, 050 i NW671. Alt' Zip 1056z_ Date Construction Permit Issued by PCHD Separate Sewerage System built by Il - 1Z -`18 5A—C' Address S''r —tC_ Consisting of �� Gallon Septic Tank and 5a' tf 711"'1005. ?rctr`'c,,FiE`5 Other Requirements: Water Supply: Public Supply From or: X Private Supply Drilled by VF, 5 �ws "11C- Address Address (3/e&7a5"rz4- /"Y o V X79 �� .. t Ha's- erGSitTimcc�rt�rr l� erre i e ;.� °.�..: � ... .,... -- Number of Bedrooms 4 $eynvrm Pala .Has garbage grinder been installed? N I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of the Putnam County Department of Health. Date: lZ • 1'`�� Certified by P.E. X IM Address W ft� 60 i ,4b , .��1 z &*>*4 k License # N y! a Ca7 Any person occupying premises served by the above system(s) shall prromptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water .supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocati , modification r change is necessary. By: � � Title: Date: White copy - HD File; Yel o copy - Building Inspector; Pink copy - caner; Orange copy - Design Professional Form CC -97 LETTER OF TRANSMITTAL Date: t F_. f NO. Job No. 9 r (4-1, Attn: A0 5-r i ca r- L/ Re: cc;7— WE ARE SENDING YOU 20 Attached ❑ Under separate cover via ❑ Shop Drawings ❑ Prints ❑ Plans ❑ Copy of Letter ❑ Change Order ❑ ❑ Samples the following items: [:] Specifications COPIES DATE NO. DESCRIPTION cl PK A-5 U, -T AW 10 CZ (Fr- M-es 0 -13 CIS cJJ C"977 X-�Iz-'T- . . . . . . . . . . .. . . . . ....... ........................................... .......................... ............................... ... . ....................................................... ........................ ...................................... . .. . . . ..... . . ......... . .......................................... I ........................................ THESE ARE TRANSMITTED as checked below: -90 VFor* approval Aporo-ved'as sUbmitt;d Dk6lubmit pies�, app - - .,royal ❑ Foryouruse ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ REMARKS: COPY TO: Lot98.dot F ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE r PUTNAM COUNTY DEPARTMENT OF HEALTH _ DIVISION O.F ENVIRONMENTAL HEALTH.SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM IQVt J4 JZge u- JC'Iob, .TNC. Owner or Purchaser of Building �7 tfro�o� D�w<,'oq� Core Bluilding Constructed by q� �II RcaC (�"orwi (y Gac-k ,u'll Rd, .5,00k) 73,18 1 10 Tax Map . Block Lot pu +haws Va 114-y TownNillage L i .n c A, R 1" Location - Street Subdivision Name IQs id e +ig ( 3 Building Type Subdivision Lot # I I represent that I am wholly and completely responsible for the location, workmanship, material,' construction and drainage of the sewage treatment system serving the above - described property, and; that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner,. his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate fora period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the The undersigned further agrees to accept as conclusive the determinatio o INIt. e Pu Health Director.of th Putnam County Department of Health as to whether or of e ure o e system I�. to operat` wa caus - the willful or negligent act of the occupan f pe bit' ding tilizing the system. II ` ► ` i yPF O Day .5 Year Signature: Cien4raFC;'ntkActorTQwner) - Signature if 0- Corporation Name (if corporation) /031e-Ro-rots 17.4M-,.-�oAt> co-R, Address: 37 e-go-rotd ,SAM tizoaD Title: P�?, G Corporation Name (if corporation) Address: State c. N Zip IDS(. State_ Zip Form GS -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL.00MPLETffON REPORT pll'�<42:;o — V, e1l1 cl_tao>ffi '_ meet A_rdress: d Woodland Estate Kramers Pond -Rd- Town/Villa e: g - Putnam -Valley Tax Grid # 5 u. �r v Z Map73,a8 Block I Lot(s) Aso Well Owner: Name: Address: V.S. Corporation, 37 Croton Dam Rd, Ossining, NT 10562 Use of Well: fl- primary 2- secondiary X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling ]Equipment X Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total length 33 ft. Length below grade 32 ft. Diameter 6 in. Weight per foot 19 lb/ft. Materials: X Steel _ Plastic _ Other Joints: _ Welded X Threaded _ Other Seal: X Cement grout i Bentonite Other Drive shoe: X Yes No Liner _ Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yes—No Hours Second Well Yield Vest Bailed _ Pumped X Compressed Air Hours 6 1::Yield 100 gpm )[Depth Data Measure from land surface - static (specify ft) I= 20' During yield test(ft) 340' Depth of completed well in feet 505' Well Log If more detailed . information descriptions or are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land surface .5 Drilling in overburden clay and boulders 5 Hit ro at 5' 34 Drilli --in rset " asi 33 505 Drillin in roc ranite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity 10qLn Depth 360' Model 10GS15412 Voltage 230 HP 11-2 Tank Type WX302 Volume 86 Date Well Completed 11/10/98 Putnam County Certification No. 002 Date of Report 12/1/98 Well Drille s' trayuis rxact tocanon or well wtm atstances to at least two. permanent landmarks to be prov d on a separate sheet(plan. 4 Putnam Avenue Well Driller's Name P. SZ Inc. Address: Brewster, Ny 10509 Signature: Date: 12/1/98 White copy: HD Fib Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 e- PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES.. . . �- -.. ., - -, -�-- • - -.. _.._ ,_. _ . _ .. a •f . -r- - - ....:. ,..r : -�._ :.,.:��. . - - w.;l • . GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Coy- �ig�d� `RQ��d2i -e�ub� ZNG. Owner or Purchaser of Building 37 Building Constructed by Location - Street Res rd•Q -,-'iA1 Building Type 73.18 1 ico Tax Map Block. Lot pU+,%Q.►•^ V Q I l ec1 Town/Village LI✓iGAR Subdivision Name Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that, is has been constructed as shown on the approved plan or approved amendment thereto, and in i accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, -heirs or assigns, to place in good operating condition any' part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system....._.... The' undersigned further agrees to accept as conclusive the determinatio of the Pub ealth Director oft Putn m County Department of Health as to whether or of the failure o ,he stem ; to operat,wa$ caus�e;y the willful or negligent act of the occupant of thebulding 4: tiliz ng the Datt'd• Nlb ,t f Day S Year Signature: GeneYaI ConttYctor (Owner) - Signature C_©(ZT L- A, t\4 DT- :RA QVgrLLUg z\jc COT oration Name (if corporation) /0 Re ?oTOis n�4M i�o�D cv1Z? Address: 3.7 e_ g oTo N p,&, m zzo dr State CO SS I N i N c,, N Y Zip 1 DS 6 Z Title: PW G Corporation Name (if corporation) Address: State Zip Form GS -97 a - PUTNAM COUNTY DEPARTMENT OF F HEALT EN • .. ... .. -.f... �a�,S" _ �. "rte t _.''�S '`.: Y.:;^_. �..,.__.-... w-... �.. w ...n.- ..,.....,.$.'.....:1�'_ti. n..>..+��.�:�r`_'r.,.�3- `_wt'i. .��... ...n.0 ... l..- ,-_..w �.: - ''.n'�.�ai .. Y GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM C6rUtKC14 1Zg44,jj(2 tvb) zlvG. Owner or Purchaser of Building 7 C JO ,., ®a we 9044 Corp Building Constructed by B: I q/' 0,11 l o4j (po.rww,(y (3=ack ,utl l R-1. -50- -k) Location - Street Res td R � i-,a I Building Type 73.18 1 ico Tax Map Block Lot pu +�a�•. �a.11.�.� Town/Village L ,.n C A R Subdivision Name 3 Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good. operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to o. pcergate properly is caused by the willful or negligent act of the occupant of the building utilizing the ... .r;- `as- ....Jye7t'V-'Lil:eo-�. .. w. r ., .-._ .r... ....., ,..� -. .r._ .- •,a._...- �,...- ...- ...,..�.... ., rr .�fr.+......~r.- .- v�-- .+.a-.... w'..... .. ,.� .r. ... . ..... .. ..o. ,'4+, a .- .,a.- .,.�.- .. -».� The undersigned further agrees to accept as conclusive the determinatio o�the r-f l� c Health Director of the Putn County Department of Health as to whether or oft 'e failure , o system to operat was cau edk by the willful or negligent act of the occupant' of the bu�ldmgoutilizing the t systeh �! Da t ' t Day 5 Year _� Signature: Title: Pr's F $ I VP N Gener o tr` for (' caner) ---Signature Ca A, ND-F :RArajP- FL'LUr�.Z�vc, Corporation Name (if corporation) 37C ?oTo tit r�.�M � o s� D Gc�Z? Address: 37' 6-g cg SAM �o an State d SS t N i N fed Zip ID Corporation Name (if corporation) Address: State .' Zip Form GS -97 I NORTHEAST LABORATORY OF DANBURY CT Cert: PH -0404 39 -3 MILL PLAIN ROAD - DANBURY, CT 06811y NY Cert: 11471 S (203) 748 -7903 - FAX (203) 748 -0652 LABORATORY REPORT -- WATER SUPPLY TESTING REPORT TO: P.F1 BEAL & SONS DATE SAMPLE COLLECTED: 11 /23/98 & 12/2/98 4 PUTNAM AVENUE TIME COLLECTED: 4:00 P.M. BREWSTER, N.Y. 10509 COLLECTED BY: W. MAYERS DATE RECEIVED @ LAB: 11/23/98 & 12/3/98 SAMPLE SITE: SAMPLING POINT: SOURCE. TREATMENT: i TEST PERFORMED BACTERIAL: -Total Coliform (Bacteria) PHYSICALS: i pH Turbidity CHEMISTRY: TESTEDBY:LAB #11471 & 11301 REPORT DATE: 12/11/98 V.S. CONSTRUCTION, LOT #3, WOODLAND EST., PUTNAM VALLEY, N.Y: HOSE BIB WELL NONE i RESULT: 0 per 100 ml 8,44 4.6 NTUs MAXIMUM CONTAMINANT LEVEL 0 per 100 ml no designated limit 5 NTUs Nitrite N 0.030 mg/L as N 1 mg/L as N -11301- Nitrate N 14 mg/L.as N 10 mg/L as N Alkalinity 68.0 mg/L no designated limits Hardness 48.0 mg/L no designated limits _...,.,....._ .:..• - ...,:...., 12/3 -Iron <0.03 mg/L.. .. 0.30..mg/L :..:.: ......: : 0 023' _ mg/l °-0:3'0 r ig/L" .. [Note: Combined Limit for Iron plus Manganese = 0.50 mg/L] 12/3- Sodium 3.7 mg/L 20 mg/L ** , Lead i <0.005 mg/L 0.015*** m1= milliliter mg/L = milligrams per Liter ND = none detected NTU =Units * *Notification Level ** *Action Level RESULTS BASED ON SAMPLES SUBMITTED: 11/23/98 & 12/3/98 SAMPLE, AS TESTED ABOVE: �X OTABLE or OT POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) Laboratory Director •NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 060379 (860)828 -9787 - FAX (860)829 -1050 i TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMEl\TAL HEALTH SERVICES ° ? FINAL_ SITE IdSPECT�I- mN _. Date: - Z 7 96 „ r Inspected by: Street Lo cat' ,PrL 1 �, Owner To«n TM ► 73. + t3 - t - to Subdivision Lot 1. Sewage System Area a. STS area located as per approved plans ................. b. Fill section - date of placement 3:1 barrier Lgth. Width Avg.Dpf c. Natural soil not stripped ......... ............................... d. Stone, brush, etc., greater than 15' from STS area e. 100' from water course / wetlands .......................... II. Sewage System a. Sep-tic tank size - 1,000 ...... .1,25 ........other...., b. Septic tank installed level ..... ............................... c. 10' minimum from foundation .............................. d. Distribtuion Box outlets at same elevation -water tested...... 2. Protected below frost ....... ............................... 3. Minimum 2 ft.Original soil between box & ti Junction Box - properly set ............ ............................... + I .- Length required ,S O Length installed 2. Distance to watercourse measured F 3. Installed according to plan ....................:........ 4. Slope of trench acceptable 1/16 -1/32" /foot.. 5. 10 ft. from property line - 20 ft.- foundation, 6. Depth of trench <30 inches from surface....... 7. Room allowed for expansion, 100% .............. 8. Size of gravel.3 /4 - T%2 ",diameter - clean ......... - -. _ 5; Depth --of gravefln-trench li" mi rum u- m ... .::.. 10. Pipe ends capped ............. ............................... g. Pump or Dosed Systems Size ot pump c am F r .... ............................... 2. Overflow tank ................. ............................... 3. Alarm, visual / audio ......... ............................... 4. Pump easily accessible, manhole to grade..... 5. First box baffled ............................................. 6. Cycle witnessed by H.D.estimated flow /cycl III. House/Buildin a. house located per approved plans ...................... b. Number of bedrooms ........... ..................... ........... IV. Well a. Well located as per approved plans .................... b. Distance from STS area measured f c. Casing 18" above grade ....... ............................... d. Surface drainage around well acceptable........... V. Overall W rkmanshin a. Boxes properly grouted ..:.... ............................... b. All pipes partially backfilled .............................. c. All pipes flush with inside of box ...................... d. Backfill material contains stones <4" diameter., e. Curtain drain & standpipes installed according f. Curtain drain outfall protected & dir.to exist w� g. Footing drains discharge away from STS area... h. Surface water protection adequate ..................... L Asa t�yx)Tt_( Town or VUkW Vr ' ' mwm�wm . M°0wm ! n=to n,,hdin4nfm* Annrhnpd 4�v(XQ FeeEnc1uae6[3 A.~","~ / | ' ���m� Nmmbw 61 Bediount&_4 17 PCHD Noiffleadon Is Reqobvd Witen FM Is considded I ;="t I am whoiii.ano, como�iefy responsible for and locallibli' of the Proposed Syste M(s)!' 1) that the, separate Iowa" dispossla� n bed Will be constr6citidai.ilAown'onihe approvedamendinent there to and in accordance with the standards, rules ana roliulo�lons or ins county 'Department of that on compifit ion. thereof a "Certificate of C I onst.ruction compliance,* , satisfactory to the Commissioner of Healthwill be submitted to the Oepartnt I "t. I an I d . a written quiliant" will'be furnished the owner. his siccessori. heirs or assigns by the bulkier. that said build*r will in good 'opffiatini. coiuilltiop,imy part. of said 'sawigi disposal System during the piwiod bf two j2) yews Immediately following thadate of the i Inu- Once of the 'approial of the Certificate of Constfuctl6r� CiDinpOince of the origins ' I system or any repairs thereto; 2) that the drilled well des aim" above will m on . � �*�� ° ` — ' ` APPR.OVEO FOR CONSTRUCTION: This approval expires two.josrs'.from the nued lesi construction of the building.has been undertaken and is revocable I . or cs6se or may be amended 6r'm"ified when'con I side!ed nec I a sury oneir of Health. Any Change or alter . ation. of, construct Ion Rev. / lO/88 Title ` | . | ' ~ `�. Asa t�yx)Tt_( Town or VUkW Vr ' ' mwm�wm . M°0wm ! n=to n,,hdin4nfm* Annrhnpd 4�v(XQ FeeEnc1uae6[3 A.~","~ / | ' ���m� Nmmbw 61 Bediount&_4 17 PCHD Noiffleadon Is Reqobvd Witen FM Is considded I ;="t I am whoiii.ano, como�iefy responsible for and locallibli' of the Proposed Syste M(s)!' 1) that the, separate Iowa" dispossla� n bed Will be constr6citidai.ilAown'onihe approvedamendinent there to and in accordance with the standards, rules ana roliulo�lons or ins county 'Department of that on compifit ion. thereof a "Certificate of C I onst.ruction compliance,* , satisfactory to the Commissioner of Healthwill be submitted to the Oepartnt I "t. I an I d . a written quiliant" will'be furnished the owner. his siccessori. heirs or assigns by the bulkier. that said build*r will in good 'opffiatini. coiuilltiop,imy part. of said 'sawigi disposal System during the piwiod bf two j2) yews Immediately following thadate of the i Inu- Once of the 'approial of the Certificate of Constfuctl6r� CiDinpOince of the origins ' I system or any repairs thereto; 2) that the drilled well des aim" above will m on . � �*�� ° ` — ' ` APPR.OVEO FOR CONSTRUCTION: This approval expires two.josrs'.from the nued lesi construction of the building.has been undertaken and is revocable I . or cs6se or may be amended 6r'm"ified when'con I side!ed nec I a sury oneir of Health. Any Change or alter . ation. of, construct Ion Rev. / lO/88 Title ` | . | ' DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT•A WATER WELL PCHD PERMIT WELL LOCATION Street Address 4 Town/Village/City Rw4fom Tax Grid Number IB,1 &-- i - to WELL OWNER NTER Name U�kke . Mailing U Address rivate `i e O ® Public USE OF WELL &_ primary 2 - secondary SIDENTIAL 0 BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP 0 ABANDONED O FARM O TEST /OBSERVATION 0 OTHER (specify O INSTITUTIONAL O STAND -BY AMOUNT OF USE YIELD SOUGHT gpm /# ® REPLACE EXISTING SUPPLY ANEW SUPPLY NEW DWELLING PEOPLE SERVED /EST. ® TEST /OBSERVATION D DEEPEN EXISTING WELL OF DAILY USAGE 3 al M ADDITIONAL SUPPLY REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE UDRILLED DRIVEN ®DUG ®GRAVEL ®OTHER IS WELL SITE SUBJECT-TO FLOODING? YES :;< NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: uric"- Lot No. WATER WELL CONTRACTOR: Namet)pjj�K)b\&f&) Address: ok)V, OVJS 3 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO WAKE OF PUBLIC WATER SUPPLY: /U TOWN /VIL /CITY fy�� DISTANCE, TO- PROPERTY -FROM NEAREST- WATER - MAIN ::_ LOCATION SKET�' SOURCES OF CONTAMINATION PROVIDED �vN SEPARATE SHEET (date) ( s igp atur 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 thirt -y (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 drilling operations be contained on this property and in such a manner as not to degrade or otherwise face or groundwater. Date of Issue: ��°s' -/ 19 `-- Date of Expiration 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES i z ja we Date Re: Property of LINGAK DEV>� �.O►'�NtEI� "r C.o I�Ac . Located at 'BlKC A HIL-t- QDAp S .OTH (T) FurwmA VALL.cY Section 73.16 Block I Lot_ _ Subdivision of LINCA.F- I& 5UBDIV1516A Subdv. Lot # Filed Map # 2g33A Date Gentlemen: This letter is to authorize Insite Engineering k Snrypying, P.- C-a duly licensed professional engineer x 9ccxcfxx.�xScxSc (Indicate I to apply for a Construction Permit for a separate sewage system, to i 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 San - tary Code. Very truly yours, Signed Countersigned: �� a r erty L GAS DEVf c.pPME1�T Gds ll�1G. Jeffrey J. Contelm P.E. , Ilx, # 61931 �I LISERCI� �T Address Insite, Engineering & Surveying, P.C. Address Route 22, Brewster, NY 10509 278 -4990 Telephone LI ' _Le .Fexp'`4 Q.�. 17 ro 4.3 Town Telephone k .I r t1► `, l I� P t ;� U� I" � � i i l f r1> ��� E� �, I I I I "I I DYTTV IN 07j] I i mem I WWI IN I NJA i PIERMffT #I V V' U— I J Located at 6;Ccoe ly`dcl d (:Town Village e/ Subdivision name Subd. Lot # S Tax Map 73,16Block o Lot 0 Date Subdivision Approved O >4 6n Renewal Revision Owner /Applicant Name ,g„ �a�' Gtv3,�.�;Date of Previous Approval �"��Z► 97 Mailing Address 37 ewer*- ,o 124- -� re-)> , *55-c Zip Amount of Fee Enclosed l 5cl. CC) Building Type' XC5 100- /,f<—Lot Area h70ftz No. of Bedrooms Design Flow GPD ]Fill Section Only Depth Volume PCIIItD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Segnarate Sewerage System to consist of Other Requirements: To be constructed by gallon septic tank and '37 come- Address wattE SUWRYe Public Supply From Address Supply`Drilledliy =✓d;,td:,. > _ ;,. Acldtess' �p�.. _:. I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. R.A'— Date APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new p rmit. Approved for discharge of domestic sanitary sewage only. By: Title: —Date: l —76 White copy - HD Ale; Ye ow copy - Building Inspector; Pink copy ner;(drange copy - Design Professional Form CP -97 W I r I I � TE SURVEY /NG_ & - LANDSCAPEARCH%TEC7'LIRE,- P.0 _ s e.•µ . ...:: _ l' . _ I i 1 ' October 27, 1998 i i Mr. Adam Stiebeling Assistant Public Health Engineer Putnam County Health Department Four Geneva Road Brewster, New York 10509 RE: Lincar 3 Lot #3 i Briar Hill Road (formerly Birch Hill Road South) Tax Map #73.18 -1 -10 Town of Putnam Valley I � - I Dear Mr. Stiebeling: Enclosed please find revised Construction Drawings and appropriate documents for an SSTS Revision. Please note that the SSTS was redesigned as a gravity system to eliminate the pump pit. - Should you have any questions or comments regarding this information, please feel free to contact our office: I Very truly yours, i iI INSITE ENGINEERING, SURVEYING & LANDSCAPE ARCHITECTURE, P.C. i i By Jeffr ntelmo, E. ci eer JJC /jms cc: Val Santucci i Insite File' No. 91147.303 i I ' I i i i i i i 98 2 doc 1485 Route 22, Brewster, New York 10509 (914) 278 -4990 Fax: (914) 278 -6392 ❑ 7 DeLavergne Avenue, Wappingers Falls, New York 12590 (914) 297 -1742 www.insite- ong.com i I j I I i 7 —ih9B 0P SS TS FOR 37 CROTON DAM ""&ARID B"• / N S / T E m�e ROAD CORP. � ,• =JO' tor t«ri> a neaesw mom � _ ENGINEERING, SURVEYING & OF NE. y LANDSGAPEARCH/TECTURE, P. ;�P�Ey 1.�Hr RRaerr xi 911147.322 ENLARGED PLAN CONSTRUCTION DRAWING v�'r 1485 Route 22 Brewster, New York 105 4�P� Yr PAo— (914) 278 -4990 Fax (914) 278 -63 �iy, er. TQM. ' AM.W sr. �srte —e�9. �s •�. .. ... .� _�; _�... '>: -. liS•i b'IV. �.'eS �• .mot i:.^'r .ta.Y.r ♦ ., b" �. ., e. >,,.o •IJa Vim' F -. ^-:� ... .n.. '. _ C��. �• '�i). ��� -'sF �r�41 ix�� .. .: s. »'t.la..J ,'l K. :'.. :vat .� ��:..Y+ . 61971 SAY I • . f�aF... � SE \ _Jf Fcap _ -- .4'¢ PVC :,CR • `3iG� OPFOX 700 Cl OM MLL,(,Aff 1 A \ t4h= 1 .r.; i. �" �' T1"ki:: -'`° ar",c �.'`St*. a' .'mot ixn�.r.,•.s- t -r: 'Yr�_'°�'k� 1 of r . e . ^ '. , Dblaioe d FStnmeW Haillti`Seevloea: Cume1.'N.Y.1AS12 a N Q. CATS OF COMPI2AN, I r N P FOIL s6WAOS DislOSAL SYSiffi11 PV 7 , c= Q3 LA l.�.tea d 31 kc i N 1 l,t_, R &Ab v ill f"� - .qr StiitidhlaMe Nsims r. /+ ` c.ea leaf / Ta: MaP�%�% Bloek vat . Btmewal_ t ft -mm tae L /A/GA/� REV ZO(Plrl�-7►�T GOB !`+�Ga vhb° 0 ... Date o<Previoaa ApptovN r.� l A;aaie„ L,g zr! Zi - t ry i 1 Town zy4 � 6::¢3 Date subdivision. Approved �/' ` ' 8�% Fee Enclosed 0 Arnmint dT 't�31p�yTIL Lot Area !` Z.t7 f' .,r�� FID Section Vobam swmbg Type e Defy Nei bar of Beilbtiaa DmI& Flow G P D PC® NoflOtatloo 4 Ee4ahed When FM Is cowmieied l s1Iporaft Seworop.sydome to Comm orL4' =v Go&. sepk rook add 6W L- F of Z W1 0C !q E75ORpnow raewwc'" S To be, an . @6ad.od by U /V KrV eW A.( Addiess G f Nh /t%O G-� l 11i Water _Suppb • PdAc saw From Addrere . en _Pelvatesayob "W.bs �l.tJ 'iy�JGJ1� s.>a Gf /yl�Nt1GJ Clam 1%Qahemeoe I represent that 17m: wholly, rid eompNtely responsible for the design and button of''the, proposed systems); .f� that .the separate sew di LI, f stem above described will W constructed as shown on the approved amendment there to and in accordance with tha'stMdirds, rules land regu ns o Hain County Oepartrnaet o1 MMlth, anA that 6n,;eompNtioq the►eof'a''CMlfkate •lof• Construetion Complianca•, fatisfaetory to the Cornlrlisslonor of Heelthwill lie i submitted to the D'".ffsom! an0. a writtari :guarantee,will oe furnished the :owner; his successors, heirs or assigna by the builder, that said builder will pper M good oa►atisq ,edmiltion`,aniv pot of said sewage tlisposal ,system aurirq' the period of two.(2) yeafi Immediately following tMdate of tM ipu- once of the amoval of :the t:e►tifkate, of Construction Compliance, of the orginal system or any raWhs thsreto; 2) that the drilled well described ibow wal be located as shown on tM apprOi id plan'and that Laid well wiif,be Installed m 'ac;ordarice ,w standards. rules and rsgu fI3ns of the Putnam County Oepartmaist•o1 Ifeal sign eO P.E. . P.A.'_ - c � •s..co r � � p ' Address S /PE t EWe� License NO APPROVED FOR CONSTRUCTION: TMf aOpibval expires two years ► he ate issu can cxnstrudion df. the ouiWirp has been undertaken and is revocable for cause or maybe amerxaed or modified when conslda►ed y by tnri miss±onsr of Health: . Any charge or alteration of construction requires a no -pit ApPr ie_,fo disposal of dome wrist a and/or ater supply only. REV. Oate ' By' Title �. 10/88 i .. .. .e-,.. ry ...«..�. .., ro- ... w:.r ,...... _.. -.. - : o .•. g•w. ...... w �-•cm - .......�..,++,..y..... _. -r...- ... -+w. w.... � ... � . _ ..._.. _..... : s .�•p�... ..�. .- a..wa...,'. I I I I I I I I k !— I M CAX (.uT�— DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 - APPLICATION' TO' CONSTRUCT ` A `4JATER PCHD PERMIT # V -9- 3° TELL LOCATION Street Address FZ ACK HILL, *)" SCUTN Town/Village/City PUTWAO VA Tax Grid Number Z., 18 - - o RTELL OWNER Name -i�c R Mailing Address �..�Tr�c irawtt- �, ¢FRrivate Zit �.r�3�tr 5%" 17 & 'j 0 Public E OF WELL 1 primary 2 - secondary PRESIDENTIAL ® BUSINESS ® INDUSTRIAL D PUBLIC SUPPLY Q AIR /COND /HEAT PUMP ® ABANDONED ® FARM ❑ TEST /OBSERVATION ❑ OTHER (specify 0 INSTITUTIONAL O STAND -BY AMOUNT OF USE YIELD SOUGHT �5_ gpm /# ® REPLACE EXISTING SUPPLY JLNEW SUPPLY NEW DWELLING1 PEOPLE SERVED /EST. ® TEST/ OBSERVATION ® DEEPEN EXISTING WELL OF DAILY USAGE -SOO 0al 13-ADDITIONAL SUPPLY REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE DRILLED ®DRIVEN ®DUG ®GRAVEL. ®OTHER IS WELL SITE SUBJECT TO FLOODING? YES No IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: I N GR f- 7P� Lot No. WATER WELL CONTRACTOR: Name (Wtvk/Utsc✓j# Address: aluk IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: 91J,_ TOWN /VIL /CITY N 1A CE` TO PROPERTY= FROM _ NEAREST .1JATER: XAIN ; Y , .� -�.� � r , , y, . . LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED / ON SEPARATE SHEET (date) sig a 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 drilling operations be contained on this property and in such a anner as not to degrade or othe a conta ' ate surface or groundwater. Date of Issue: I 19 Date of Expiration 19� Permit Issuing Official e Permit is Non- Transferrab White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller �z E: RA' n uedNtiken and is tbn of conitructi in Y .. I I DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION rO"'`CONSTI2UC'T` -A* wArER --wEr `—,.: PCHD PERMIT # ALL LOCATION Street Address . Town/Village/City Tax Grid Number Lif_1CP Hll-1 RvAP so"'rv4 PuTr4Am Nine.!_LF. -( 1 - 10 WELL OWNER Name L i f-4 C P_ r •. pmeWt Cc4 MailiAg Address LNG ,private ® Public USE OF WELL �%- primary a - secondary RESIDENTIAL ® BUSINESS ® INDUSTRIAL ® PUBLIC SUPPLY O AIR /COND /HEAT PUMP 0 FARM p TEST /OBSERVATION U INSTITUTIONAL ® STAND -BY ® ABANDONED 0 OTHER (specify, AMOUNT OF USE YIELD SOUGHT S gpm /# PEOPLE SERVED 4 /EST. OF DAILY USAGE gal ® REPLACE EXISTING SUPPLY ® TEST /OBSERVATION 13-ADDITIONAL SUPPLY IM NEW SUPPLY NEW DWELLING 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE DRILLED ®DRIVEN []DUG ®GRAVEL '0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: -- i�i<,p� 7I] Lot No. 3 WATER WELL CONTRACTOR: Name UtQKNc)WN Address: U N K140p L ►-1 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES V NO NAME OF PUBLIC WATER SUPPLY: �-1 /At TOWN /VIL /CITY N /A .._. DISTANCE, `TO=- F-ROPkk FIOM uA S'F -TdA I .M NY- "tea ... ' • P -^ P9n• .-- a:....•.r. -..... LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED SON SEPARATE SHEET 3�Z2/g3 (date) M) NigApture 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 drilling operations be contained on this property and in such a manner as not to degrade or othe se conta inate surface or groundwater. Date of Issue: 1i 19 13 �W Date of Expiration_410 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller 14 5 I 3 4 5 - 1. Tests to be repeated at same depth until approximately equal soil rates are obtained.at each percolation test hole. All data to'be submitted for review. 2. Depth measurements to be made fran top of hole. rev.i9 /85 i IscGLFS GFSCIFIGN OF LOIs - nmuzii�� I i v - E)EPTH HOLE DK} HOLE y0 2 HOLE NO. '+r �t 3r w- +.i:ea.r wa. ka caerr �w "ry - G >L, 2° :. Q- 50 6° - i 7° g' - .10 °. 13° 14° -LEVU 'AT ` B10i dsR00iVI74`�: TS. ENOOUNTgtID INDICATE LEVEL TO WHICH MTER LEVEL RISES AFTER BEING ENMUN`i'E RED DEEP HOLE OBSERVATIONS MADE BY: 'PG. DATE: DESIGN Soil Rate Used G' Min/1 Drop: S.D. Usable Area Provided No. of Bedrocros `� Septic Tank Capacity 12 gals o Type Absorption Area Provided By __—G L.F. x 2410 width trench r Other /�qoF�NEW Name ti s-yrE. 4 DEStGN, C,.Signature i. { Address i->41 R,ou,TS to _ SEAL FOR USE BY HEAM DEPART fEW ONLY: Soil Rate Approved sgoft/galo Checked by Date L1NCAf- X - Of 3 PU,TNAM COUNTY DEPARTMENT OF HEALTH tAPPLICA!ION FOR -APPROVAL OF PLANS FORA 1iASTEWAT'ER bhSPOSAL SYSTEM 1. Name and Address of Applicant.: ._L .INCA? DEVELOPMENt• CO... WC- _1261 Lit" tt- PY Rd- LIME Fa 2. Name of Project: 95D5 FOR. UWAIZ. CE Y � OPMENt 3. Location T /V %C: R.N'Nki VALLEY. 0P., IBC, 4. Project, `Engineer: ININM P14511AE,BR1N$ AND LPSJ t X5. Address: M9 C69KEL NY. 16512 License Number:: Colg31 Phone: 0iq-225 &2W 6. T e of Protect: Private /Residential Food Service Commercial ' Apartments Institutional_,, Mobile Home Park Office Building ..Realty Subdivision Other. .(specify) 7. Is this project subject to State Environmental Quality Review (SEAR) ?.: Tvpe'Status (Check One,) Type I.: Exempt Type ' I I . Unlisted 8. Is a Draft Environmental. Impact -Statement (DEIS) -requi red? Pb 9. Has DEIS been completed and found acceptable by Lead Agency? ............ N/A 10. Name ,of Lead Agency tea l- -of,,4oc - ofl #n' or other'officials,•ordinances. :.. ....... .................. g .y~ bLb4• PEWIt 12. If "so,:�'have plans been submitted to.such authorities? .................. Nd _ i. 13. *Has preliminary approval been granted by such authorities? WA Date,Granted: 14. Type 'of Sewage Disposal System Discharge........ Surface Water X Ground Waters 15. If surface water discharge, what. is the stream class designation ?........ i6. Water's index number (surface)...:. N/A 17....Is _project .located near a publ is water ' suppl,y system? ... 1`10 8. If yes, name of .water supply NIA' Distance to water .supply. 1 N `A . pP Y L 9. Is project site near a.`publ1.c ,sewage col`lecti.on or disposal ,system ?..... 1�1b -0. Name of sews e..s stem 9 Y I`VA D'i stance 'to sewage system .1. Date .observed: UNP40whl 23. Name of Health Inspector: UNtLNn�L1� —. ,4. Project design flow (gallons per day) ...... ............................... > GPD 2e 25. Is. _State- Pollutant .Discharge..E- lim.ination :System (SPD_ES) Permit_ required ?.._ NO 26. Has SPDES Application been submitted to local DEC Office? eee e e e o o e e o e o ee N 27. Is any portion of this project located Within a designated Town or State � wetland? .ee ....e... oo.....ee....ee... o.. e.- ...eee..0... ................ 28e Wetland ID Number ..... e....eee. e..ee. e.ee eee.....ee.eee.ee....eeeeee..00 N 29. Is Wetland Permit required? .........ea eeoo....eee..................... ee 9�J Has application. been made to Town or Local DEC, Office? .eee.e s e e o e o o e o 0 0 0 0 30. Does project require a DEC Stream Disturbance Permit? eee....ee........e. _ 31e 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? .....e.. YES or NO. ND 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 ND DESCRIBE: 33. Is there a local master plan or file with the Town or Village? ........... 1! 34. Are Community water, sewer facilities planned to be developed within 15 years? NO 5: A're aiiy :se► . age dj. �sa1 ra s -inn excess - of 45 slope? ..,:e.•.. , . • .. ND . � .. • .�.- Y♦ . � ��.. •,.. -.� V.M.. -. ` ..n<"Trv. • .. ... • rr� 36. Tax Map ID Plumber .......................................................... ��•��i °1 °6® 37e Approved Plans are to be returned to: Applicant 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. % hereby affirm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and be 1 ief. False statements made; . herein are punishable as a Class A Kisdemeanor pursuant to Section 210.85 of the Pena 1 ,Lair. SIGNATURES.& OFFICIAL TITLES: MAILING ADDRESS: C.A�FJ.i 1cnJ7_ 14' J) 2 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES IN CA T L Date Re: Property of LINCAR MVE-LOPMENt CO., IW, 7 Located at BIRCH HILL 9.1). =-M (T) PUt�j �1 VALLEY Section—�-16 Block Lot -to Subdivision of LINCAR 11 5UPOYb1:*4 Subdv. Lot # 3 Filed Map.# 245M Date 'Gentlemen: This letter is to authorize. INSIi E.PIGINE $JiJG ANp reSnt4 PC. a duly licensed professional engineer 0 r registered architect (Indicate to apply for a Construction Permit fora 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 1 con?;!:Wi W1 visions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours 7 .8igned Countersigned- of FfT Co.) 1W. EN L I M-2 Address iW-�tP--EWnINEIE12i)4GA14DD�%0 FC I-IttLE FEM QP43 Address Town 6401 -r-T'.6 CAF-MPJ-. N .--I. IC612- 1 -44o-4166 Telephone Telephone *2 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services '7 t AFFIDAVIT,.-! CORPORATV. OWNER APPLICATION' ON. FOR PERMIT APPLICATION SUBMITTED TO PUTNAML COUNTY HEALTH DEPARTMENT TO: Commissioner of Health' In the matter of application for: U DDALOPMW Co.) INC! st'ablv LOT Ia represent that .1 am an officer or employee of the corporation and am authorized to act for (Name.of Corporation)' having offices at Etff-_***f INJ 1165 Whose officers are: President: Donald Nuckel 281 'Ljhd:fty S-tre6t Little Ferrv, NJ 07643 ( Name and Address) Vice-?resident: (Name and Address) Av. Wine and Address) Treasurer: .(Name and Address) and that I am and will be individually responsible for any and all is of the corporation with respect to the approval requested and all subse act thereto. !,,j Sworn to before me this 5 day of Notary Public.. ARLENE FAUSTINI NOTARY PUBLI C OF NEW JERSEY my cornrnission Expires June 24. 19M ¢.'g_ Cornaratp Spa APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES, INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET for CONSTRUCTION PERMIT BY At'4--- DATE DOCUMENTS. Y 'w WlT APPLICATION 1' LL PERMIT;' PWS LETTER ANEERS AUTHORIZATION_ ;IGN DATA SHEET(DDS) TAX MAP # I"S ', / t- I /J .DISCHARGE (OK) 'PERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY AND EXPANSION EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE IF PUMPED PIT & D BOX SHOWN & DETAILED EEP HOLE LOG HOUSE - NO. OF BEDROOMS WELLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM CONSISTENT PERC RESULTS (3) � PROPERTY METES &BOUNDS PERC HOLE DEPTH HOUSE SETBACK NECESSARY (TIGHT LOT) CORPORATE RESOLUTION �; HOUSE SEWER - 1/4"/FT. 4"0; TYPE PIPE PLANS THREE SETS L,J NO BENDS; MAX. BENDS 45 W /CLEANOUT HOUSE PLANS - TWO SETS FILL SYSTEMS VARIANCE REQUEST YDEPTH BARRIER GENERAL HORIZONTAL: SLOPE 3:1 TO GRADE GAL SUBDIVISION SPECS SUBDIVISION APP OVAL CHECKED GAUGES P CRATE PROFILE & DIMENSIONS REQUIRED VOLUME CURTAIN DRAIN REQUIRED MSTANDPIPES TRENCH al EX- APPROVAL SSDS ADJ. LOTS LF TRENCH PROVIDED J �' LAND (TOWN/DEC PERMIT R & D) EMO Fr MAX ATA ON DDS PLANS & PERMI � T SAME PARALLEL TO CONTOURS RE -1969 - NEIGHBOR NOTIFIFICATION bJ100% EXPANSION PROVIDED 00 R BI/ZBA SEPARATION DISTANCES SPECIFIED ON PLAN YR,.' FLOOD ELEVATION FIELDS 'llbuiRiEb DETAILS ON PLANS 10' TO P.L., DRIVEWAY; LARGE'TREE5; TOP`0t FILL'S "` '` s SEWAGE SYSTEM PLAN - (NORTH ARROW) 20' TO FOUNDATION WALLS SSDS HYDRAULIC PROFILE m GRAVITY FLOW F 100 TO WELL, 200' IN D.L.O.D., 150' PITS TID/ J BOX m TRENCH/GALLEY m P- PIT DETAILS [15 100 TO STREAM WATERCOURSE LAKE (INC.EXPAN) 11SEPTIC TANK - SIZE, DETAIL 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER WELL DETAIL, SERVICE LINE IF OVER 10' TO WATER LINE (PITS -2(Y) CONSTRUCTION NOTES (GRINDER RATE) 50' INTERMITTENT DRAINAGE COURSE 3n DESIGN DATA: PERC AND DEEP RESULTS 200 FT. RESERVOIR, ETC.E D 150 FT. GALLEY SYSTEMS Zl TWO -FOOT CONTOURS EXISTING & PROPOSED SEPTIC TANKS DRIVEWAY & SLOPES CUT E6 10' FROM FOUNDATION; 50' TO WELL FOOTING /GUTTER/CURTAIN DRAINS WELLS E/t15' WELLTO P.L: :OMMENTS: f� y DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Jeff Contelmo Insite Engineering Route 22 Brewster, NY 10509 Dear Mr. Contelmo: °R.s: Acting Public Health Director December 16, 1996 Re: Proposed SSDS: Lincar Lot #3 Birch Hill Road (T) Putnam Valley Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." 1. One trench plan is required for renewals of fill permits utilizing greater than two feet..of.fill..- w - :r®saQ control inca.�ur�sor t melt �olwrt on°t3ldri: `iIies'inore; ltie plan is ` M..�. M to note all erosion control measures are to be installed prior to the start of any construction. 3. All erosion control details are to be shown on the plan. 4. Current engineers authorization letter is to be submitted. Upon receipt of a submission, revised to reflect the above, this application will be considered further. VeTV truly yours, V/; Aa� Robert Morris, P. E. Public Health Engineer R�Njp ANSI T` SURVEYING, P.C. R Rvute 22 (914) 278 -4990 ` ".° ` �' �Esreayst0e ,�ieilv�iii'k•Sf1309:._r . ,::�9x�'(9�9 }�2i:8c63°Z.. ,.,., , 7 DeLavergne Avenue (914) 297 -1742 Wappingers Falls, New York 12590 TO:G f� D WE ARE SENDING YOU ❑ Shop drawings ❑ Copy of Letter LETTER OF TRaNSfM1 TTAL DATE JOB NO. ATTENTIO /,03 RE: � C �S R EI1� �Z ✓�._ �� G/ 60 7-- submitted ❑ Resubmit O-Attached ❑ Under separate cover via the following items: ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Change order ❑ - w- THESE ARE TRANSMITTED as checked beiow:_ 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 Onsite Englneerring & Desig n, P.C. 1849, Rt. 6 Carmel, NY 10512 Phone: _(914) 225 -6200 Fax: (91 4) 226&,Q TO FO'Tti►AM HE.LT44 > WE ARE SENDING YOU ;�1 Attached ❑ Under separate cover via_ ❑ Shop drawings` ❑ Prints ❑ Plans ❑ Copy of letter ❑ Change order p LETTE2 OF VQRAZEDUML DATE JOB NO. ATTENTIO - -' RE: l�aT 3 ss � S LlNC4V_ In SUL3D1,11SiC1J PGND TtDK-j pC_ -1 i the following items: ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION PGND TtDK-j pC_ -1 i 3 izz 113 -- c:c�l�sTr� uc`ricts IT ,d.�P►� ►c,aT loi ti I 6 3 9 A'F�p 1 C>A"4 IT v DDS IGt�t .T,t�. SN 1 -5 /2Z /`I WELL VE?-M kT 1s- PPUC'4_ 01� � 3 /fir /�3 L- � �r.►sTlr.vcT►�� pP�a,.►.� I I�C� ©O T- e E /00, 60 c' THESE ARE RAN SMITTtD .as checked below: 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 SIGNED: J,r? k, If enclosures are not as noted, kindly notify us at onca ILA4 i EMS a For, 1-U 3VIIIIIIIIIIIIA-011 10 oil Mal— I — K Second Floor 27'8" X 48' ® 2656 Sq. Ft. 48' First Floor j KITCHEN ii BREAKFAST 12' -0 °x 19-0° 6 -fix 13 0° FEDRO' _ . . ate up s 48' FAMILY ROOM 20' -0 "x 13' -0° - 18 -9 "x rr i+• 27'8" STANDARD SCARSDALE. 11 FEATURES • 4- Spacious Bedrooms © Framingham Pediment on Front Door • 2Y2 Baths o Fireplace Options Available • Open Two-Story Entry Foyer o "Boxed -out" and 'Angle Bay" Options • Formal Dining Room Available • Formal Luring Room o Consult an Authorized Westchester Builder • Spacious Country kitchen with Breakfast inr a Complete List of Options Room and Pantry ® Ardsrs renderings and Floor Plan Dimensions are • "Cottage- Styie" 3056 Lower Level Windows C�fO� I� ora; ro°nd; '"`�` °� "In rr,e with Architraves on Front ESTCHESTER 0®ULAH ®ESg ICo -R I P.O. Box 900 o Dover Plains, RAY 12522 M {'u (914) 832 -9400 © (800) 832 -3888 4" NIF L ONGHI MS' D Octvrffr, .ICENSED PROFESSIONAL ENGINEER, IS A KOLA 77ON OF N 7209 OF AR77CLE 145 OF THE, EDUCATION LAW RECORD ' OWNER CORTLAND T RI ..� iy-• :�, .,...- ..... > . ...:w`.�-+i - °ecv°�i?sr� -x -�.c'a�i c` : a ..�.w. "•,.:.gin =. '�- .��"rM.•*s + �i PLO, AS - OQJ SEMES Z I OSSIN,ING, NEW NO. A B REMARKS 1 22' 49'. .1250 GALLON SEP 77C TANK 2 48 80' DROP BOX 3 46 75' DROP BOX 4 45' 71*'- DROP BOX 5 45' 67' DROP BOX 6 46' 63' DROP BOX 7 48' 59' DROP BOX 8 56' 56' DROP BOX g 53.' 54' DROP BOX 0 56' 52' DROP BOX 11 108' 139 END. ' OF TRENCH 12 106' 135' END OF TRENCH 13 103' 131' END-OF TRENCH 14 102' 127' END OF TRENCH ,.1.5,. ._� __..1.01_' _ - • 1.23..: _. rEND._.OF T6-E. 0 16 100' 120' END OF TRENCH 17 100' 118' END ' OF TRENCH 18 100' 415' END OF TRENCH 19 83' 91 ' . END OF TRENCH SITE LOCA 710N. TOW OF PU Tn P ,, TNAM COON TAX MAP NO. DIES, 1:.THIS IS TO CER77FY 7HA f THE SEWAGE 7 WAS CONSTRUCTED' AS 'INDICATED ON TH THE SYSTEM WAS OBSERVED BY INSITE L SURVEYING AND LANDSCAPE ARCHITECTU WAS COVERED OVER. ' -THE SYSTEM WAS-( GENERAL ACCORDANCE WITH' ALL STAND,$ REGULA77ONS OF THE PUTNAM, COUNTY C OF HEAL TH AND , THE NEW YORK STATE L HEAL TH. 2. ALL FACILITIES EXISTING, UNLESS NOTED 4. PROPERTY LINE, HOUSE LOCATION, AND FROM FIELDWORK BY: INSITE ENGIN&RM LANDSCAPE ARCHITECTURE, P.C., COMPL kutnam bounty Department DivisionAof Environmental Hea Approv s noted for, confora ap licable Pules and Regulati P nam Count Ij�alth Departme 1 /G. R /10 Signature &