Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
3443
DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.18 -1 -12 BOX 27 oril I lIm T if I ML IL 03443 AM COUNTY DEPARTMENT OF HEALTH 1_15xvISION OF ENVIRONMENTAh HEART I_S 1 VI. .._.__ - _ - - .. ",y. - . ': w� i�:.`;9na+.,.. ,7'�. ..:au+...t++.sVx.+.- aa.soz� «».x.. ,. ... ...- a .`!'�i+.4 ?'�.+:a .i. {.a...ys�nv ^+• CE)4tTJIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD `CCONSTRUCTION PERMIT # Located at /'rvrr.- 23E Kea-r.12, !';.CVrP;) own�Village rVr?✓42,"'7 (AU Owner /Applicant Name. 4wa,;&y.* -r g#6i/r 1- f.�, 6 h e.Tax Map t c ' Block I Lot t Z ! Formerly Subdivision Name G ce-OcAAL 3 Subd. Lot # Mailing Address _71 CA01?7j 94yi r'o 55C'V(' q WV Zip to t'6_ 'Z.. Date Construction Permit Issued by PCHD i Separate Sewerage System built by Address 3 % &-.eo-T&n/ /%*--"7 Consisting of / Gallon Septic Tank and ° � 4i'r5*_- TZewc -66 Other'Requirements: i Water Supply: Public Supply From Address ®r: Private Supply Drilled by P f3o- 4, � Address 4- t'Tt-14&-1 6 /re%S7z•ot, BuildingYPe`-�at D�"� +4''�.. Has erc�sjnn control beer!,coi»nleted' -- Number of Bedrooms A0&0*n wt Has garbage grinder been installed? 42 CD i 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 wind the standards, rules and regulations of the Putnam County Department of Health. Date: jf)'-°l Certified by Address mjN ; MC' P.E. ?L pre, License # t4-0 04- p4l ea511517 Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revoc tion, modification or change is necessary. By: � �`� Title: � � Date: I White copy - HD File; Yel ow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 9 I e PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT G r,vt,+7z_ 3 tv r— 5 elF��aJ stt'eef7►- tldres�: tiaoodiand Est. Kramers Fond P.d TownNillage: Putnam Valle y Tax Grid # IMap 7 7 r8 Block ( Lots () �t Well Owner: Name: Address: V.S. Coaoration, 37 Croton Dam Road,.Ossinin$-, NY 10562 Use off Well: 1- rima 2- secondary 6_ Residential Public Supply Air cond/heat pump Irrigation . Business Farm Test/monitoring Other(specify) Industrial Institutional Standby )< Drilling lEquipment _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 32 ft. Length below grade 31 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials: __X Steel Plastic Other Joints: Welded X Threaded Other Seal: X Cement grout _ Bentonite Other Drive shoe: x Yes _ No Liner: Yes _ No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test Bailed X Pumped X Compressed Air Hours 6 Yield 8 gpm Depth Detta Measure from land surface- static (specify ft) 30' During yield test(ft) 240' Depth of completed well in feet 305' Well Log If more detailed information descriptions or sieveanalyses �..- y,- areavailable, please attach., Depth From Surface Water Bearing Well Diameter(in) ]Formation Description ft. ft. Land Surface 10 . D r i 10 Hit rock a t ICI -in.. r ck - set- casi-n -- �roix1t - -- _.'_..�.... 32 305 Drillira in rack crranite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type SUB Capacity 7;gpm Depth 260 - Model 7GS07412 Voltage 230 Hp 3/4 Tan k Type WX302 Volume 86 coal . Date Wplete 8 Putnam County Certification No. 002 Date o Report 10/1/98 Xe r (si al gu ru: tJxact location or well wttn atstances to at [east two permanent tanamams to oe provtaecyon a separate sneevptan. Well Driller's Name E! 15 q / R Tn Address: 4 Putnam Aw , Brewster, NY 105509 Signature: Date: 10/1/98 Perry ea White copy: HD File; Yellow copy -Building Inspector; Pink copy - Owner; Orange copy- Well driller Form WC -97 NORTHEAST LABORATORY OF DANBURY CT Cert: PH- 0404.. - I3i�NBYiIILY� L'i' ° ®6811 �`` r : NY Cerf: -114 39 =i �T."pPIAIY ROlD (203) 748 -7903 - FAX (203) 748 -0652 LABORATORY REPORT -- WATER SUPPLY TESTING REPORT TO: P.F. BEAL & SONS DATE SAMPLE COLLECTED: 9/29/98 41 PUTNAM AVENUE TIME COLLECTED: 9:00 A.M. BREWSTER, N.Y. 10509 COLLECTED BY: W. MAYES DATE RECEIVED @ LAB: 9/29/98 TESTED BY: LAB #11471 & 11301 REPORT DATE: 10 /2/98 SAMPLE SITE: V.S. CONSTRUCTION, WOODLAND EST., PUTNAM VALLEY, N.Y. SAMPLING POINT: LOT #5, HOSE BIB SOURCE:' WELL -NEW TREATMENT:' NONE TEST PERFORMED RESULT: MAXI UM CONTAMINANT LEVEL BACTERIAL: Total Coliform (Bacteria) ,0 per 100 ml 0 per 100 ml PHYSICALS: OH 7.19 no designated limit Turbidity 0.24 NTUs 5 NTUs . CHEMISTRY: Nitrite N 0.083 mg/L as N 1 mg/L as N 11301- Nitrate N 1.1 mg/L as N 10 mg/L as N Alkalinity 136.0 mg/L no designated limits Hardness 112.0 mg/L no designated limits Iron <0.03 mg/L angan ' [Note: Combined Limit for Iron plus Manganese = 0.50 mg/L] Sodium 7.1 mg/L 20 mg/L ** Lead <0.005 mg/L 0.015 * ** ml ,= milliliter mg/L = milligrams per Liter ND = none detected NTU =Units * *Notification Level ** *Action Level RESULTS BASED ON SAMPLES SUBMITTED:9 /29/98 SAMPLE, AS TESTED ABOVE: �X OTABLE 417] NOT POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) . n,. Laboratory Director I •NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230 Y 0 PUTNAM COUNTY DEPARTMENT OIL HEALTH DIVISION OF (ENVIRONMENTAL HEALTH SERVICES _ __ _ ._ _ _.;.a^ -a n w+ r^r —.ate pT., �q'�aq .s/ w.n..- y.- ..i".t..::asnot' =:= .A.. , -. a_ -." n .r � _ -- n �, i.Y.•.s' �.A'•'�v r Yea.. i..+.A;n.��w�..< �: .` GUARANTEE OF SUBSURFACE SEWAGE AGE TREATMENT SYSTEM G.�ori'L,i( vrr RACq - *T- C�I3, J:Nc.. Owner or Purchaser of Building 37 6aioroN P,. , vv Lor�P Building Constructed by �,Rla�t WALL Rd. (FoxeywLY g;rcu lt(u- R17. $C"orl) Location - Street 'R CSI ®EMTtAL 7318 1 17— Tax Map Block Lot j?uT NA1PA V/�•LL6Y Town/Village L MZ7 Subdivision Name S Building Type Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance' with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to 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 fhe Puhlic Health Director o th%utn County Department of Health as to whether or of t fat�ure or .t system to oeratwas cause, by the willful or negligent act of the occupant of th bu�dingut' izing the Date NIo'` Day 5 Year Signature: Title: PR & 5 (Pk N_ -r- (Owner) - Signature O 001� T LAN PT- "RACq c/ ET <ftyJ��ZN(�, Corporation Name (if corporation) Corporation Name (if corporation) ,516 3 7 CROTO M Z-'A Nt RO A- r-> <�:nkp. Address: 57 cl 2 o ro N a& M 2 0,&, tp State _ Oss I N I Ng " N Y Zip I os (. 2 Address: State Zip Form GS -97 T i PUTNAM COUNTY DEPARTMENT OF HEALTH � DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: 2 fftaoe Street Loca ' i c . R rf iL Owner _ t t.tc,t4r- d�by--- Town Permit # P11-1' Z4 TM # 7 3 , j l —1Z 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.Dpth 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. eptic t c size - 1,000 ........ ,250. ....other ................ b. Septic tank 'installed level ...:...........: :.............................. c. 10' minimum from foundation .......... ............................... d. Distribtuion Box A I out etT- s at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches Jun ction Box - roperly set ....................... .............................. I. . engtlPrequired _ Length installed SVO 2. Distance to watercourse measured Ft... ........ 3. Installed according to plan ................................. :...... 4. Slope of trench acceptable 1/16 -1/32" /foot ............. 5. 10 ft. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100 % ......................... 8. Size of gravel 3/4 - 1 %s" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... ends' capped .......... :.::..::.......... : .......... ................. g. Pump or Dosed Systems Size ot pump chamber ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual /audio ..................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled .......................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. House Buuildin a house ocated per approved plans .................. :............ b. Number of bedrooms ............... IV. Well A. Well located as per approved plans ............................... b. Distance from STS area measured ft........... c Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c'. All pipes flush with inside of box ... ............................... d'. Backfill material contains stones <4" diameter .............. e Curtain drain & standpipes installed according to plan.. £� Curtain drain outfall protected & dir.to exist watercourse g'. Footing drains discharge away from STS area ............... h. Surface water protection adequate ... ............................... i. Erosion control provided ................. ............................... Rev. 1/97 E Form - ~ F kn '� � A!!'lii1l1V6WD�Yl�W�VOY 1W�IC V 1 i . ®Il' 3YWbf11i111101 r�': ��(�i� �i'` _ 1r Sl�Yfn $ a 4.171 sF3s ao La OF '�' �iP- PiiO1lN - TYUf(FS Wa(ra 1 INW Swly AFM .. , > i bye 1'roproscinl3hat Lam ,wholly and e0mpi0toly �ro"nsiblo for tho dosign and location, of tho proposad , systom(s); 1) that tho Srporato gmma 'dis oral a atom =P. d4EL ►ibO ®� C9ill b0 OOPIft►YCt@d 09 own On. th0 tlPDeoVOd.DTOndmG711f th6r0 �to.On6 in aceOrdU nCO CJit11 tho ftandardE. rules an. 16gu a iOnB o O Ilam .; lC.mirnQy OppaetencnQ OP Hmlgh, and;that oncompWioai th0ro000 "Cortificot0 Of .Construction COmplianc0" 8otia4actoey to tho Commfaolond o9'Ptcwith� rill bo oub"tod to tho DoparQwlc�l4 Died. D wfltton guorao000 arill,bo furnishod Oho ownca hi's,sUccoss'aes, hoirs of asslena by tho buildw, that call, buikkw will pPnco Iq. -poad �OQ�rp oowdiQion any part oP ral8, swago_;dispo6l systom durir,6 iho pagW of two (2) vas Imm©diatoly 9.150oirq tkdato of -Qho imu- aaxo of tw b - ,,oval ii th6 i:dkificato of _Construction Complionco of tho original syatonl'ov.ony r=17s thpoto; 2) that tho deillcd tooll dofxvlBs al abovo pt1P IDO iosnto® o"s uha�a on Qua aporovd pion and toot oiW vroll Vriiibo installed, in ac nco with tho, slar4ards, rubs and mgu ono ot, tho, Putnam county Dopartmoat 09 H601Qh.. Data. ,�'_' —� Sig7n6d p.lE:. A.A. ... OOddPOa1S .! - .. I ona0 WO `I � AMMOVED FOR CONSTRUCTION: This DppioVDI 0ttpilos tey0 VOWS from the,' SSUtad un construction Of tho building .has boon undortalton and is rovocoblo for cousa or may.bo amd"Cd or Modifidd arhon considcrod nc c=mry by nor of Mcalth. Any,chango or altaatton of construction ocouivoo a. now in it. ApI pro vc� for disposal of donloslic fanitovy oocVogo /or t 1 only.. Rev. "� wy 10/88 DOQO d^( v. /- 1 ®y .. Tit ...... _ • C' _� .> .� � - �y- .- ...�..y- o + +cz,w> -. .�..,,C.. ...7.> � C - r'� v • Y "a.•- rJ'�'- o+�+.an.+>v.'A•....n ...y..ws... �. 1 �6 SAM tC0 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 r APPLTCA'rl- ON`�'TCr COftTRUCT P;''WATER' PCHD PERM :T #'R/-Z4 -`0 WELL LOCATION Street Address Town/Village/City. Tax Grid Number -1- 1 7 .I 2 WELL OWNER Name L Mailing Address j [ , M Wrivati O Public ! USE OF WELL - primary 2- secondary O&SIDENTIAL BU O SINESS O INDUSTRIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION b INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify O AMOUNT OF USE YIELD SOUGHT 151 gpm /# PEOPLE SERVED /EST. OF DAILY USAGE 36-"al O REPLACE EXISTING SUPPLY O TEST/ OBSERVATION 12- ADDITIONAL SUPPLY NEW SUPPLY NEW DWELLING 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE DRILLED DRIVEN ODUG GRAVEL a OTHER IS WELL SITE SUBJECT.TO FLOODING? YES `�>C NO j IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: i Lot No. Cj WATER WELL CONTRACTOR: Name Address : IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY lil �la __ .1�ISTA 1 .1 TO,; P.ROPEkTY RROK.,N -EAREST,. WATER . MAIN LOCATION SKETCH SOURCES OF CONTAMINATION PROVIDED ON SEPARATE SHEET (date) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth.above is of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, thirt- y'(30) days of the completion of water well construction, granted under the provisions] and provided that within 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 i :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 contaminate surface or groundwater. Date of Issue: Z 19 Date of Expiration 19 .77 Permit js Non - Transferrable 3/89 f I Permit Issuing Official White copy: HD File Pink copy: Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller v!'ryA�a�c 1/hcc,�'t9 i; � AM -6 Bob off >M Date Subdivision Approved —6 —9?1 ) Fee Enclosed 0 Arontint Am e Hf aC )A�a;Gn l� 'ID @CMD Wd2wgiom Oa Pik Whoa FM weewomw c'1 Sapgg Tomb nmd 5EO 4r, F or Z` lJ [ 6$vP /p.J 0j%N To ba C=kuva3z by vL, yt /y -yc.l. Ad&em i t i✓K pr.✓ its bq - `u ih/k i1�Oc:tl 3 AM,,, LG.✓fS /V 0� e I 'roprosorit flirt 1 om wholly and completely r6iponwblo f1 � the design and :bcation. of in proposn9 systom(s); 1) that the paret6 tmuwgo disposal system ebova d60crib6d mils bo constructed as sno"'on tfla approded amendment the►o to and inaccordanco with tho standard; rules and rogusaxions or � tne. rutharn. County ®opnrtmcnt of sOprdlth, 'an® tAot on eoinpbtiori tharoof a •Ccxtif"to o4 Construction Compiiara o'• satisfactory to tho Commissioner of Mo®Itharill bo fslbmittcsd to tho`I rtmant, a o tzvltton guarantee will do furnisAOd t" earns, his tuceos�vs, heirs or assigns by time build�r,.ths4 said buildor will obco in gi op iliinp' condition any pnrt;o0 said m9taaga dis®os?I systom 66ri ig.tho Rse,)a® of two (8) ygvsirnre WtoIV follgrxing tlwdato of tho Imu- 8"Go of time 40"61. of',4ho Cortifieat6 o9 Construction;; Compliztnco' of .fhb original systoiw:'ov any roi nivs tho+oto; 8) that tho drilled *oil dea vibee mono esiill bo coeated as,0� q non tho apgrOOO6,p{aw and that mld,tiou twill bo instailo6 in accomon arnh the otOncla Was and rogu ens of tho Putnam County rt 69f of '"' Ith Oato' �"3C 7 7niU.ft a /etiJErft 4A �w pax o _ 'Y! -'rZZ $R'�'? ._ 4, 1 i ' a APPROVED FOR CONSTRUCYIOWe'Yhis approval ettphot taro yoav} ve;vocObto for. eau 7 or Inlay amonded�or mo6if att8 arhen eonsidt_ red; requires a now p mit. ppro for disoocaI of. done lk sanitar Rev. 10/88 ®ate•Z ®b y ,nstruction of tho Building .has boon undortahon and is of HWRh. Any chango or aitcraWn of construction supply only. TRIO f/ DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New.York 10509 (914) 278 -6130 • �:°:.::.°::.; rA€' �Ir' It�i4 .',IO1�i�:T6�'�OI�':�TRi1CT AT'WAZ'ER"WE?I;:.:�`:,:" Prmn PERMIT # WELL LOCATION Street Address Towi Village City Tax Grid Number > 166R /ftu- 40" -504,7ff pa k"+C c: 73, S _. ( _. (-- WELL OWNER Name L /nI D - ,1J Mailing Z$i uf3 Address iT c trrz��Erze !j, 21.,1 2 '' rivate ❑ Public ; E OF WELL - p'rimary 2 - secondary '.RESIDENTIAL b BUSINESS ❑ INDUSTRIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP ❑ FARM p TEST /OBSERVATION []INSTITUTIONAL O STAND -BY O ABANDONED ❑ OTHER (Specify 13 AMOUNT OF USE YIELD SOUGHT gpm /# E] REPLACE EXISTING SUPPLY W SUPPLY NEW DWELLINGA PEOPLE SERVED_ /EST. OF DAILY USAGE 3160 gal ❑ TEST /OBSERVATION Q ADDITIONAL SUPPLY 0 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING i WELL i TYPE %DRILLED DRI 0—VEN 13DUG OGRAVEL 0 OTHER, IS WELL SITE SUBJECT TO FLOODING? YES -�-NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: �I,UCFi R-- Lot No. WATER WELL CONTRACTOR: Name u NA, -)0 Address • K Nlr,N V �'J ro IS FUBLIC WATER SUPPLY AVAILABLE TO SITE: YES 4_NO NAME OF PUBLIC WATER SUPPLY: /1j 1A TOWN /VIL /CITY • y1A DIS10CE > -Tj1; PROPERTY- FROM - NEAREST, WATER LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED SEPARATE SHEET ; (s natu e PERMIT TO CONSTRUCT A WATER WELL i This permit to construct one water well as set forth-above is granted under the provisions of S wp'art 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thi.rr (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. Dur iE all well drilling operations, the applicant shall take appropriate action to assure that any ad,all water or waste products from such well drilling operations be contained on thisi pro pety and in such a manner as not to degrade or oche a contaminate surface or groundwater. Date)f Issue: � 2- 19� ' i Dat e)f,Expiration 19 Permit Issuing Official Perm is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller A DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 . Fax (914) 278-7921 FAX COVER SHEET Date: C7 / v, To: 7 . 8 V4!�'1-w— From: A; Ada D. Stiebeling Asst. ]Public Health Engineer Fax #: 7, 7® No. ]Pages (Including cover sheet) __ .......:.... . ..._ For.. yout'- :information:.. .,. .[ .. r-[4.. r.. - s- .:��.: -'ia .• .. .w- _.- +-a9^eaq' -.. ... -. -. f ..r•!F. .r..- -�v.'R�rq�+ne.wrwe........ Fo your review As discussed Notes/Messages LPG cam, Attached as requested ]Please call t 4C.1el-ri9, L In the event of transmission /reception difficulties, please contact this office at .(914) 278 -6130 ext. 157.'` l Q 0 Wa � V c®4 Ww ® Q O TE ENGINEERING, SURVEYING & V +f^+g. �- .; —?_�.. W O.i i.e :�yG, .q.'�e3t +�.- :t.i�R:•�•�: J. Route 22 _ (914) 278 -4990 Brewster, New York 10509 (914) 278 -6392 7 DeLavergne Avenue (914) 297 -1742 Wappingers falls, New York 12590 WE ARE SENDING YOU `.,, ❑ Shop Drawings ', >' °` 3:. ❑ Copy of Letter Date: /D -T -98 DESCRIPTION Job No. 9 c 147, 305- Attn: q DA-- 5-riC6 UAA Re: j, r,•�u� ,z 3 c,dr !9- L'�•c PLc (D W A ?-67? - Z=5 0-7 I to = 1 -7 8 w e- 17 [91 ttached ❑ Under separate cover via 041'rints ❑ Plans ❑ Samples ❑ Change Order ❑ the following items: ❑ Specifications COPIES DATE NO. DESCRIPTION 0-( t"- t3 P2 j( 0 �`1 =`t� CC -1? 6,0-,J 57 Co Ar' CIE (D W A ?-67? - Z=5 0-7 I to = 1 -7 8 w e- 17 c.> 67'C' C� �c�zz �✓ �i°��t .. . . ........... . ... . ... [-..- ..................................................... . .................................... . ............................................................................... HES E TRANSMITTED as checked below: For approval' " ""fl Approved as submitted - E] 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 ❑ ZEMARKS: IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE I� �I trk�, rn t Date Subdivision Anvrc Ri IL- ILL 7777-T COMT11ttXTIONO 'A w *M,. 0 Re 161-8-6 . . . . . . . . . . . . I 417 lj4jj�a& joill ar �'i 4n M" thw.build nu, Fiea`ti4ii6e6klimk and is OP ",,!:hQ,-CommiSsionw Any co ibi� Fee `Enclosed nf Do p 'G P V cm 'lop �c �7 417 lj4jj�a& joill ar �'i 4n M" thw.build nu, Fiea`ti4ii6e6klimk and is OP ",,!:hQ,-CommiSsionw Any co t, I f LINO elft -LD'i 5 PUTNAM COUNTY DEPARTMENT OF HEALTH :APPLICATION FOR APPROVAL OF'P.LANS FORA WASTEWATER DISPOSAL SYSTEM` +P 1. Name and Address of .Applicant: LINCA? DEVE.L PMENt CA•,1t4c hlfit'1.:E M99Y N•d• .110" 2. Name of Project: 95D5 FOR LINCgIZ. M-YELOPMENt 3. Location T /V /C: FUtt M VALLEY1. CO•, htc•. 4.1 Project Engineer: INNM ' 4$ AND DF6L(--kip. Address 1 9 1 •Co I WKEL t Y, 16512 License Number: Co1931 Phone: qi4 -225 -&w 6. Type of..P.ro.iect: PPrivate /Residential Food Service Commercial` •~ - Apartments Institutional. Mobile Home Park . Office Building'. Realty Subdivision Other .(specify) r 7.. Is this project subject to State Environmental Quality Review (SEQR) ?. , i Type,Status (Check One) Type I.: Exempt Type II. Unlisted 8. . Is a Draft'Environmental Impact Statement- (DEIS) required? ..::..:.::..: i hb 9. Has DEIS been completed and found acceptable by Lead Agency? ........... VA 10.,Name of Lead Agency NiA 1.4 = :Is..lffirs -- rb ='pct iri::- an._ar- �a• ^u�der� he. con _ rol -mof-= 1o0�1= lairni`R z nin or other. of €icials, ordinances? ... . ......... ............. 61-D4• :t .12. If so, have plans been submitted to such authorities? ................... 70 r-, n Nc;°G F1 r 13. Has preliminary approval been granted by such authorities ? K/A. Date. Granted: rice rri ; 14. Type of Sewage Disposal System Discharge........ Surface C7 iii,' �Ground Iftterg .Water 15. If surface water. discharge, what is the stream class designation ?.,: , -:.. I' 16. Waters index number '(surface) • I7, GIs ,_p_roject _.Located near ,,a public-water supply, systQtil? ........ .... NO 18. If yes, name of water supply NIA Distance to water supply N A 19. Is project site near;a public sewage.-.,collection or'disposal ,system ?..... 1J0 !0. "Name of sewage system .: WA Distance to sewage system N ?1. Date observed: 23 Name of Health Inspector: a 11N1�NhY,,N '.4. Project design flow (gallons per day) ...... ............................... 2. :.2>5.._.Is„ State Pollutant.-Discharge Elimination System ( SPDES) Permit required ?.. (fib 26. Has SPDES Application been submitted to local DEC Of 27. Is any portion of this project located within a designated Town or State wetland?.... ..... .......................o....... ......................... 28. Wetland ID Number .............................. ... .................. N 29. Is Wetland Permit required? ............................................... .. .. ... .� Has application been made to Town or Local DEC Office? >............ 30. Does project require a DEC Stream Disturbance Permit? .................... 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ......... YES 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? ...e.......... YES or NO ND DESCRIBE: 33. Is there a local master plan or file with the Town or Village? .e......... YES 34. Are community water, sewer facilities planned to be developed within 15 years? NO .:. 15: »Are;any.�ewage disposal areas .in•excess of 15X: slope ?........... .... ND 36. Tax Hap ID Number ........................................................... .• 37. 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. T hereby affirm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made .: herein are punishable as a Class A Misdemeanor pursuant to Section 290.45 of _._ .. the Penal Law. SIGNATURES & OFFICIAL.TITLES: MAILING ADDRESS: DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509. (914) 278 -6130 : -v APPLTTT AiI ?Nr `i'O ��CC�t1STi�CIC�T�r- -WxATER� . WELL v. WELL LOCATION WELL OWNER i , USE OF WELL �j Primary 3 - secondary I AMOUNT OF USE i REASON FOR DRILLING ,DETAILED REASON FOR DRILLING Street Address Town /Vi 61". Ni LL fib. So , FLktl -MN Name Mailing Address LiNC,AI? DI;YFWpMENf CV• ,1NC� U-r %ee � `O RESIDENTIAL ' O PUBLIC SUPPLY O BUSINESS O FARM O INDUSTRIAL b INSTITUTIONAL PCHD PERMIT #� City Tax Grid Number LigeRA-A sf*- }Private 0L'A tit -44;, O Public Q AIR /COND /HEAT PUMP O ABANDONED O TEST /OBSERVATION O OTHER (specify O STAND -BY O YIELD SOUGHT E2 PEOPLE SERVED /EST. OF DAILY USAGE X00 gal REPLACE EXISTING SUPPLY O TEST /OBSERVATION M ADDITIONAL SUPPLY IWELL TYPE I DRILLED ODRIVEN ODUG GRAVEL OTHER I i IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Ll WCAV- -9_ Lot No. 5 WATERIWELL CONTRACTOR: Name UtaK -t�DWN Address: UNLNOWIIq IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES_NO I NAME OF PUBLIC WATER SUPPLY: AZ `j1 TOWN /VIL /CITY N�(� DI$ AtdCE T.iZ YtOP RTY,: ERONd .NEAREST WATER, -MAIN; LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED WUN SEPARATE SHEET u11`I l _3 (date) gn ture) 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. i 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 manner as not to degrade or other a cont a n to surface or groundwater. Date of Issue: 1 19� AA Date of Expiration fZ _19 Permit Issuing Official i Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller ENQVINEERING,1 SU V INSITE R E ING P.C. Route 22 �91.4 -4990 (914 <278- 6392 Yctrk•1 Fpxj- 91 278-6392--- 7 De Lavergne Avenue (914) 297 -1742 Wappingers Falls, New York 12590 TO: rID WE ARE SENDING YOU ❑ Shop drawings ❑ Copy of Letter LETTER 0FTRANSWTTAL DATE -- j - Ta ATTENTION RE: -D5 12 Attached ❑ Under separate cover via the following items: ❑ Prints ❑ Plans ❑ samples ❑ Specifications ❑ Change order ❑ -1 COPY TO P SIGNED: 6rki`) H endastres are not as noted. kindly notify us at once :% THESC�R'C'T'14ANS'MITTED: as 'checked "below: 7"..' For or approval Approved as submitted ❑ Resubmit copies. for I 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: -1 COPY TO P SIGNED: 6rki`) H endastres are not as noted. kindly notify us at once ,Insite Engineering & Design, P.C. 1849, Rt. 6 Carmel, NY 10512 _ _Phone:_(914.) 225 -6200 , Fax: (914) 225 -6438. TO VP > WE. ARE SENDING YOU Attached ❑ Under separate cover via_ ❑ Shop drawings ❑ Prints ❑ Plans ❑ Copy of letter ❑ Change order ❑ LIEUMM (01F�a����a���� i DATE��..yy. JOB �.) NO. RE: ` sv_� i i C)'04 -s_4 1 ❑ the following items: i ❑ Samples ❑ Specifications i COPIES DATE . NO. DESCRIPTION xrees t ivav: ) C)'04 -s_4 1 ❑ 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 I ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS i t� `THESE ARE' TRANSMITTEG a's" checked `beloN: _ _ r` x t( 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 SIGNED: i If enclosures are not as noted, kindly notify us at once. �T,Escf►rts�u.E If Floor 27'8" X 48' c 2656 Sq. Ft. First Floor - - -, UU -- 1 ' - -� -� O;O KITCHEN i i 12' -0" x 19.0" i r- pUT \'AM +�QUP rx OEPARTINi�IvT tJF - DINING ROOM _ C'u5+ ANS AN ftGSJ I-) FO B ED r,OM CoUtdT l [Ui.Y, r u-O 3 f. 48' BREAKFAST 0-5"x 13' -0" FAMIL' ROOM 20' -0 x 13' -0• 48' �T?f L' Y' d' 1 1 i 1e e 4- Spacious Bedrooms e 2%2 Baths 0 Open Two -Story Entry Foyer 0 Formal Dining Room 0 Formal Living Room © Spacious Country Kitchen with Breakfast Room and Pantry 0 "Cottage- Style" 3056 Lower Level Windows with Architraves on Front .l VING_ ROOM - _.: e l �a - '" x;: -ate, �: • �.`�'�;.;.' =' 27'8" I 27'8" T! • Framingham Pediment on Front Door eP • Fireplace Options Available = n _< CO � • "Boxed -out" and "Angle Bad/' Options Available • Consult an Authorized Westchester Builder for a Complete List of Options o Artist's renderings and Floor Plan Dlrnersions are appropmate. All specifications must be Written In the Contract No 021 conditions. ESTCHESTER MODULAR OMES, INC. P.O. Box 900 m Dover Plains, W 12522 (914) 832-9400 0 (800) 837 -3999 r I APPENDIX 3 i PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS t �RtE,VIEW SHEET for CONSTRUCTION PERMIT NAME OF WNER STREE? iACATI N I� G "W� •� BY DATE ( DOCUMENTS. i APPLICATION PWS LETTER AUTHORIZATION " J, DESIGN DATA SHEET(DDS) nA DEEP HOLE LOG CONSISTENT PERC RESULTS (3) PERC HOLE DEPTH CORPORATE RESOLUTION PLANS THREE -SETS '-Tl HOUSE PLANS. - TWO SETS VARIANCE REQUEST GENERAL LEGAL SUBDIVISION SUBDIVISION APPROVAL CHECKED -PERC RATE ' FILL REQUIRED CURTAIN DRAIN REQUIRED CL�STA�VDPIPES �EX- APPROVAL SSDS ADJ. LOTS WETLAND (TOWN/DEC PERMIT R & D) 2frA ?A ON DDS PLANS & PERMIT SAME a =1969 - NEIGHBOR NOTIFIF* CATION ITER BVZBA "'..•�8 Y�sZ:0i3D ELEV:A1i0� ���� . REQ.IJIRED DETAILS ON PLANS 9 DrEWAGE SYSTEM PLAN - (NORTH ARROW) SDS HYDRAULIC PROFILE III GRAVITY FLOW / J BOX m TRENCH/GALLEY m P- PTT DETAILS Llfl-SEPTIC TANK - SIZE, DETAIL WELL DETAIL, SERVICE LINE IF OVER CONSTRUCTION NOTES (GRINDER RATE) DESIGN DATA: PERC AND DEEP RESULTS U TWO -FOOT CONTOURS EXISTING & PROPOSED DRIVEWAY & SLOPES CUT FOOTING /GUTTER/CURTAIN DRAINS COMMENTS: DISCHARGE (OK) PERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY AND EXPANSION i XP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE PUMPED PIT & D BOX SHOWN & DETAILED i HOUSE - NO. OF BEDROOMS WELLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM PROPERTY METES & BOUNDS `HOUSE SETBACK NECESSARY (TIGHT LOT) HOUSE SEWER - 1/4 "/FT. 4 "0; TYPE PIPE 0 BENDS; MAX. BENDS 45 W /CLEANOUT FILL SYSTEMS CLAYBARRIER 10 FT HORIZONTAL: SLOPE 3:1 TO GRADE FILL SPECS DEPTH GAUGES FILL PROFILE & DIMENSIONS VOLUME TRENCH TRENCH PROVIDED LF J50 FT MAX PARALLEL TO CONTOURS 100% EXPANSION PROVIDED F20'TO -T0 _L, DgIVER�YAY,, LARGE IRE1rS, TOP OF FILL FOUNDATION WALLS TO WELL, 200' IN D.L.O.D.; 150' PITS 100 TO STREA.I WATERCOURSE LAKE (INC.EXPAN) 50' TO CATCH BASIN, 35' STOR DRAIN, PIPED WATER 10' TO WATER LINE (PITS -20 50' INTERMITTENT DRAINAGE COURSE 200 FT. RESERVOIR, ETC.M 150 FT. GALLEY SYSTE141S SEPTIC TANKS 10' FROM FOUNDATION; 50' TO WELL / / NiTLLS ED 15' WELL TO P.L. Onshe Engineering & ®esign, R.C. 1849, Rt. &. Design, NY 10512 M Phone: (914) 225 6200 Fax (914) 225 -4$8_ ,..;K`S"i:,.t• -.. .:r.:..Yl:'- .!{-p, .n..�weia- �.w- �as.r -ev ^e.:w:. s� 'c..�e�i- 'w_w:a%o- •+,:��.•%�i�7 TO N- NAM CWKt'( �j(_t1j DGP�- racm a o [F TURSETTURL DATE � ❑ ^ JOB NO.��i l�•�, ATTENTIOAL ,= " R"f-T , pi :?•'; >r+.:- :ty.r�- :*✓7:n re-. d'. its: - T=.•a R� RE: Loi � / 5 LINCNZ rT1 41 /� 3 Cnl iCfiaN ��`1► PPPUgAboN 19 ❑ 3 .... MMK OF AiAthOP Zi` 00 > WE ARE SENDING YOU I XAttached ❑ Under separate cover via the following items: • Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications • Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION ❑ Submit copies for distribution ❑ Returned for corrections ❑ Return corrected prints rT1 41 /� 3 Cnl iCfiaN ��`1► PPPUgAboN 19 ❑ 3 .... MMK OF AiAthOP Zi` 00 — AFFIDNVIt QOP:bj � OWNEPSMP I –=- -- DF_ -IN . DR fi AMICAiVO PO PAiIO C F,b9oc,. oo �k 3 4 / CottsfC1fJ, 1nll ISIS a�Y wM _ ; -r.-s •' :.'.'.._ 'r :..::s -.: �'.O°�6' -' i,?� ht� ".0 ✓�7 �i. _��sfd� =�S?_. ...w ... _. ro _ . , � 's.:. y _,. _ ,�. >z... _ .. '. r. - + <� 'THESE OL- TRANSM11TE6 as' checked' bermi [%For approval ❑ For your use ❑ As requested ❑ For review and comment ❑ FOR BIDS DUE ❑ Approved as submitted ❑ Resubmit copies for approval ❑ Approved as noted ❑ Submit copies for distribution ❑ Returned for corrections ❑ Return corrected prints rT1 19 ❑ c... PRINTS RETURNED AFTER LOAN TJG1S .... REMARKS 'NA `° f .� < 1-TI COPY TO SIGNED: It enclosures are not as noted, kindly notify us on i w' tti �. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL'HEALTH SERVICES p _;. ..•. ..._ _ ., L,a. I� - gat ,5 ... ••r�tA;- -'.QsPA^w••r. +sv ... ^ �'A - .. rs' .. a -.i' -d �.. ._n .- ,•:1.. Y! ;.4fV `w «.,. - e^ .. n .. a Dated %�~ 4e: Property of UNCAP- MVELOPME1- CO., WN Located at 51RQA HILL RD.. faj i (T) PutsAm \jAL ZX Section 13• Block Lot I2 Subdivision of LINCA>? 1u= SU1"151CH Subdv. Lot # rJ Filed Map # 24 5:2 Dat e i Gentlemen:, This letter is to authorize 1451i r- ENGINEEPNU AND 1 51'�t�I pG• a duly licensed professional engineer.. or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to I . i serve the above noted property in accordance with the standards, rules' t or regulations as pro mulagated by the Commissioner of the Putnam Country i 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 'iri °conformity:wi�ii the' povisZOns" of"`Art�'i:3' '7'S�'or °� ^._'y . _: 147, Education Law, the Public Health Law, and tary Code. the Putnam County Sani i Very truly your Signed Countersigne . CDt Address- �!...- _ _ JOEY a• Go►`►T�a.MO , P E • . - INSItE EW.3*4MRIP16 AND of ao _ FC Address' LIME FED`(, N.0 • n(P Town { CA%T-MPI N •Y. 10 12 261 - 44o - 4160 jAr.'T6ephone Telephone Sf(u�� {{47 i'; •�iy \I� L��' t�i�1 Q'� All I PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services TFIPAUT. 7. _CPRPPRATE� V a FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Commissioner of Health In the matter of application for: D5&jj*MEtft _Co. a INC. t1_tA--CAP_ 3i4blk- LOT represent that 1 am an officer or employee -of the corporation andam Outhorized to act for L W., INC. (Name of Corporation)' having offices at EtM 6NLj 11&43 Wbose officers are: President: Donald Nu6kel 281 lihArtu Si-rpp+- T,itt]_Q. Rare yy"07643 (Name and Address) Vice-President: (Name and Address) l—im� and fi� x4s Treasurer: (Name and Address) and fiat I am and will be individually responsible for any and all acts of the corporation with respect to the approval requested and all subse t acts rjW t in g thereto. zp/ Sworn to before me this day of 1993. NotAu Public.. ARLENE FAUSTINI NOTARY PUBLIC OF NEW JERSEY ',.9yCQMn105.6w)1vF.-;wes. June 24, 19" Signed: Title (Porporate Seal PUTNAM COUNTY DEPARTMENIT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES . � '.l. - � � '.j `. T.^.}3 -t`�: Ch � ... 1 ;. .. _ •r .�i f' .. .n >•^ tl� � \ I ,..4`F3�Q 6�wa .r �. a� f'� i Date Re: Property of. LINGAg INC. Located at- I3l IZG44 +i I L- i- P0A-p E a TTj (T) FVrNa�A VALL.cY Section ?3, l6 Block I Lot Subdivision of L_1KCAR:. 3L 5UBDIVISIDIA Subdv. Lot # Filed Map .# 2933A Date i Gentlemen: This letter is to authorize Insite Engine rina & Surveying. p. r. a duly licensed professional engineer x . 4ccxl�cCfx�c5�xx�icrxScxtx�tSc (Indicate to apply for a Construction Permit for a separate sewage system, to i serve the above noted property in accordance with the standards, rules i or regulations as promulagated by the Commissioner of the Putnam County ,Department of Health, and to sign all necessary paper's on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the - provisions o.f Article 145 'or 'l 147, Education Law, the Public Health Law, and the Putnam County Sani= tary Code. Very truly yours, %/ 1 Countersigned: Jeffrey J. Contel P.E. , )fix, # 61931 Insite,Engineering & Surveying, P.C. Address Route 22, Brewster, NY 10509 278 -4990 Telephone Signed �r 'of R,drty �' Ai` _�1 LIi3C'IZr�' sT. Address i LIE FEizR 1.1.5. 1-704-3 Town .j Telephone i I r �i.v - .aA.T.r... IZ� —. � _ _ �� gip...— .r-�.. n.• ..0 ... :T, tai ` BRUCE`: R.'FOLEY :aA.'9: Acting Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 December 16, 1996 Jeff Contelmo Insite Engineering Route 22 Brewster, NY 10509 Re: Proposed SSDS: Lincar Lot #5 Church Road (T) Putnam Valley Dear Mr. Contelmo: 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. Erosion control measure for the house and well is to-be shown .on the plan, _ FurthFtmarez a -. .., —..<nDte-is --1 e' iadded sing all erosion coat olineasure's are td -66 ftfsfa11'ed�pnor to tfie start of any construction. 2. Details for the erosion control measures are to be shown on the plan. 3. Current engineers authorization letter is to be submitted. Upon receipt of a submission, revised to reflect the above,' this application will be considered further . Very yours, Robert Morris, P. E. Public Health Engineer RWjP NOTES: 1. 2. rev. 9/85 Tests to be repeated at same depth until approximately equal soil rates are obtained.at each percolation test hole. All data to* be subititted for review. Depth measurements to be made from top of hole. I I DIrIISICN OF raii rv= -L HEAM i Sr1 JIC"r.S -Lot - - _ f DESIGN CAZ` S�iEEP-StiBSUF'P.CE SF.QrE. DIS2G8AL SYST.I FILE . . � 281 t,�gEtZT{ sz��: -• ' • • Gamer. Ut•3G4R MJE.LCn1ENT CO.,1 taC... Address OT -ri-t t =Le¢.Y . Located at : t Street) Sit¢ r ►-) N i �a AoAD 50 a '[N : Seca 13� �8 Block . Lot 2' (indicate` nearest cross street) chinicipality SOIL PERCOLATICN TEST DATA RBQMM TO BE SL0 I= WITfi APPLICATICNS i.. Date of Pre- Soaking" N / A� bate of Percolation "Test N► I A SOLE N 24BM CLOCK TIME PER0QL,A CN PEjtCOLATICN Run Elapse Depth to Water From Water Level No. me l Rate Ti. Ground Surface In Inches: Soi ;..Start -Stop Min. Start Stop Drop In Min/Ia Drop Inches Inches Inches i .1 2 A DESIUN ?ERC©t.AMor-S Q%&TF- OF TAKEW From Twe F1LSD M,&P .a. TA33�. 4 5 � 2 O � F,-' C a 5 < w 2 3 i 5 NOTES: 1. 2. rev. 9/85 Tests to be repeated at same depth until approximately equal soil rates are obtained.at each percolation test hole. All data to* be subititted for review. Depth measurements to be made from top of hole. CrSCRIP'T'ION Cam' SO= a;CCt ct � IN TAT HOLES DFPM- HOLE W. 5,! HOLE Noe NO.' 5,3 G. L. 5 4\0T WA►"'I LAM.. Low 29 Ai1 (- t OAM 4NDY LOAM 30 .. _ 4° CaPv CaflyEl. Cv� 5° 6° a° 9' 10° 121 13° 14° -- INtiICATE 'I;E`VFjL A't- rriiEll i C 20d� IS . ENCOUNTERED —t t 3 � , PI DICATE LEVEL, TO WHICH WATER LEVEL RISES AFTER BEING ENMUNTERED DEEP HOLE OBSERVATIONS MADE BY: kCCM9 'ZU "St P.C. DATE: , DESIGN Soil Rate Used I 15 min/1t1 Drop: S.D. Usable Area Provided 4� Soo � F. No. of Bedrooms Septic Tank Capacity }`L5Z7 gals. Type COP Absorption Area Provided By L.F. x 24" width trench Other Name JWStye �t�6c,,�t�bEE�A1 G, 4 DE51GN,PLSignature r� i!, Address ,F "i R zo�S !a SEAL i r t•mirk- THIS SPACE FOR USE BY HEALTH DEPARDT= ONLY: Soil Rate Approved sq. ft/galo Checked by Date - r i &Zk: 1Ffi:?.EI .. _ AS• BtI1L,.T tifEASUREMfNTS .. NO A B REMARKSG I M [ �t N �23(h TANK ALLOIv SfP�1C �,. 2 5Q' ` 47' DRQP BOX - 3 5T . S DROP BOX .:. ..r 'g, 6S DROP 8OX . ¢: 75� ?�� k -;.• DROP BOX :° 7 $1.;, 76' DRE1R BOX ' • , 8 82 45'I END O,F TRENCH � :. .. 9_ 6S' S0, END 'OF TRENCH . 10 88 V 5 END" QF TRENCH 1.1 91 60 END •OF TRENCH '. 1 88 `' ENO OF b$E%VCM ,13 34; 70; ;END OF FRENCH .' ,15 6fi': 31' END OF TRENCH' noT, s - 17 74 '. 95 £ldD . OF TRENCH' . $9' ;.. END OF" TRENCH 18, 8 "' 95` END OF TRENCH 4 .. I HELL r ' t R . �O a�tewl�e. t .'' ? S 4 S 1 15 ib . I I 1 2` ;.