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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.18 -1 -14 BOX 27 03445 L 16' � E, , kQ . , m IL 03445 ! �PUTNAM COUNTY DEPARTMENT OF HEALTH ' ,T[ �A.�TI � -I {qT]�y ■{ /���' y� aENVIR1/'1 MI FNIAA.L` HJi:J� &L j /CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # FV Located at 8 �� Cc�� ` Town Village Pu'W 9%^, V At Owner /Applicant Name O&Afi i Formerly Tax Map . 7 3 + l ?� Block �_ Lot I Subdivision Name 6. Subd. Lot # % I Mailing Address '� C-A0 Zbt DA-1-A r- t>t 0550t "+c"i�� NVj Zip Date Construction Permit Issued by PCHD !d ' Zl " R7 Se6arate Sewerage System built by I> A-v'' Address Consisting of 11115 ' Gallon Septic Tank and �`�� ?,Wipe- 77eEaCKt5 Other Requirements:_ Water Sup&: Public Supply From or: Private Supply Drilled by P.F, �,� s vs "c Address Address ✓sr-� .vy tes-v "Building'Typ '� z °'` `--= 'r ero iciii eontrol`beeii o l � Number of Bedrooms (;W/4 Pdt� 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: i y+ `� S~ Certified by P E X n Prof tonal) Address i lv$,Tr comet cwZ- . ww. fLLicense # Any person occupying premises served by the above system (s) shall prdmptly 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. iSuch approvals are subject to modification or change when, in the judgment of the Public Health Director, such i io r change is necessary. Title: I Date: r� Yellow copy - Building Inspector; Pink copy - wner; range copy - Design Professional Form CC -97 14 PUT JAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address' Woodland Estates Zamers Pond Rd Town/Village: Putnam Valle FTa p 73 ,t8 Block v ..Lot(s.)_IF_ k+ EWeIlOwzmer: Name: V.S. Co Address: ration 37 Croton Dam Road Ossinin NY 10562 =I-primz 2- secondary X Residential Business Industrial Public Supply Air cond/heat pump Irrigation Farm Test/monitoring Other(specify) 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 Length below Diameter Weight t p er folt 32 ft. grade 31 ft. 6 in. 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 X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test Bailed .. C`... Pumped x Compressed Air Hours _b__ Yield 7 gpm Depth Data Measure from land f urface- static (specify ft) 50' During yield test(ft) 420' Depth of completed well in feet 605' Well Log If more detailed information descriptions or gib analyses- are available, please attach. Depth lFroni Surface Water Bearing Well Diameter(in) Formation )(Description ft. ft. Land Surface ( 10 Drilling in over urden clay and boulders 10 Hit rock at 101 , 10 32' Drill n In rock sset Basin ,:: routed. 32 605 Drilling in rock granite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity 5qp Depth 500' Model5GS10412 Voltage230 HP 1 Tank Type WX302 Volume 86 ' Date Well ompleted 8/7/98 Putnam County i rti ication No. 002 771/98 ort Well ler 1 w><im Exact location of wen wttn atstances to at le7nc.. o permanent lanamarxs to oe�evtaea on a separate sneetiptan. 4 Putnam Avenue Well Driller's Name P. & Address: Brewster, NY 10509 Signature: % Date: 12/1/98 Perry White copy: HD File; low copy -Building Inspector; Pink copy - Owner; Orange copy -Well driller Form WC -97 ! , el INS ITE ENGINEERING; SURVEYING A LANDSCAPE ARCH;rECrURE, P.C. Brewster, New York 10509 (914) 278-6302 7 DeLavergne Avenue (914) 297-1742 Wappingers Falls, New York 12590 TQ• LETTER OF TRANSMITTAL! Date: za 9 9 Job No. t 4-7, -'?- Attn: IltW Re: GO-" I' e-1,41JC DESCRIPTION WE ARE SENDING YOU ETAttached ❑ Under separate cover via ❑ Shop Drawings [R-15(-ints ❑ Plans ❑ Copy of Letter El' Change Order ❑ I ❑ Samples the following items: ❑ Specifications COPIES DATE 445 NO. DESCRIPTION ........ . ..... . ........... . . ................... . .. . ....... . ........ . ............ ........................ .............................. ... . ...... ....... ............... ......... . ... . ................. . ... ........................ .......... ............ ................ .......... .................. . ............................................................................................................................................ . .... .... ............................................................................................................... ......... THE "RE TRANSMITTED as checked below: ...... .... A�pfoved as submitted ❑Resubmit copies for approval. ❑ ;For your se ❑ Approved as noted ❑ Submit copies for distribution s-r-requested �Ur El Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ REMARKS: T-C A-Ppe-v /t-5 re- O'E-SmD� I COPY TO: SIGNED: IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE Lotg&dot i t-2-1 t fe.j Michael Budzinski, P.E. Putnam County Health 1 Division of Environmen 4 Geneva Road Brewster, New York 10 RE: Putnam Valley - and Adjoining C Dear Mr. Budzinski: Ronald and Marlene Orlando 26 Luigi Road Putnam Valley, New York 10579 January; 1999 Health Services III Subdivision (Lots 6 & 7) Well We hereby withdraw all prior complaints filed by us (directly or through our attorneys, Harkins and Hunte) with respect to the above matter, and consent to the issuance of necessary compliance documentation with respect to Lots 6 and 7 in the Lincar III subdivision. Further, we waive _in. a December .30, ..190 'Deparfiiient'ddtun /2o i release V.S. Construction Inc. from performing those actions specified tter to you from: V. S...Construction Corp., and prior letter from .your.. (as "saifi6"felafe "arid 6ifairi o t e'Orlando propertyY: Finally, we agree to hold your Department and the County of Putnam harmless from any and all further claims regarding this matter. cc: Hon. Robert J. B( Hon. Sam Oliveri Bruce R. Foley, P William Hodges, Charles Anderson Iry Sevelowitz, B Sincerely, . g -61 RONALD ORLANDO `--)�ao,&6� f D MARLENE ORLANDO ndi, County Executive Jr. County Legislator iblic Health Director )epartment of Health Supervisor, Town of Putnam Valley ilding Inspector, Town of Putnam Valley ��~ /:�Nf��S :/ T E ENGINEERING, SURVEYING & I -"MANDSCAPEARCHITECrURE, P.C. "LETTER OF TRANSMITTAL Route 22 (614) 278-4990 t. i Brewster, New York 10509 (914) 278-6392_ 1 DeLavergne Avenue (914) 297-1742 Wappingers Falls, New York 12590 TO: Ft C, H., Date: (Z- Job No. 91 /¢7.3v-7 Attn: s-rfe-r.5 EL/ ,Jq Re: cc;7— -7 I A5-1 i - WE ARE SENDING YOU Attached ❑ Under separate cover via the followin'g items: ❑ Shop Drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications 1 ❑ Copy of Letter 0--Change Order_ COPIES DATE NO. DESCRIPTION I A5-1 Z_ cc —`l7 10,57-98 65-17 6 1A4A^1'rE5_ -7 az ...... . .. . .. . . . ........ . . ................ ............................ ............. . ....... . .................................................................................................................... ............ . . ... . . ...... .. . . ..................... ..................................................................... ............. . .. . . . . . . ... .. . . . ....... ........................... ........................................................ . ......... THESE ARE TRANSM ITTEI ---';94i'ap�proval,. C3 For your use As requested For review,and comment REMARKS: COPY TO: Lot98.dot I as checked below: `copies for approval ❑ Approved as noted ❑ Submit copies for distribution ❑ Returned for corrections ❑ Return corrected prints IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE PUTNAM CgUNTY DEPARTMENT OF HEALTH HEALTH SERVICES �.C'+•" -.W. Yb}a•�a'(a ••-•s i@Pre A." -. .. r.yr :i ... M4. 4 v..c 1...._..� «_ it...t?3•�- ^vi..Y rt��v+ :a�r,Lra.:!9D.�iay-a.•�ai#'L.?Z rNA;. q•N'.:P....tv,�ii+er.� :i•4is..0 .i :..j:.+..... r...� :: ?.:.vi.`ei.^�y`7 i-i�. t GUARANTEE OIL SUBSURFACE SEWAGE TREATMENT SYSTEM l�S Goy s�'¢ v� -r►a., C:.d��. Owner or Purchaser of Building 37G aoroN -DA K, Building Constructed by 73. & t Tax Map Block coiza. .. pJ►'ryaNi VALI-Fry 'Batp,v, 4-oY1RT (RroAM -1( I I.►NcA1z L®Nr Location - Street &Zr-s11PEN t-,A-L Building Type TownNillage L i N a✓s•q -1ir Subdivision Name Subdivision Lot # IN 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 owne�, 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, orb 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 syste The undersigned further agrees to accept as conclusive the determinat' : n tf the ubI c Health Director of t Put am County Department of Health as to whether o no 'the f`ailu of e system to Oera e w s c s by the willful or negligent act of the occupa of fthe'rtuildip, utilizing the system. 't y; Da 1Vlontl O Day _,5 Year —g- Signature: 1 z" �` ` I Title: �E5 r Geneit a5or wner); - Signature Corporation Name (if c �� Address: 37 e Z o i State CS N( ,c.0 Rte. ation) nn �c�A e.oZP. Corporation Name (if corporation) Address: Zip io s 6 7 State Zip Form GS -97 A* NORTHEAST LABORATORY OF DANBURY --CT Gert,;P11-0,404'.• 39 -3 MILL PLAIN ROAD - DANBuRy, CT 06811 NY Cert: 11471 LABS (203) 748-7903 - FAX (203) 748-0652 LABORATORY, REPORT -- WATER 'SUPPLY TESTING REPORT TO: P.F. BEAL & SONS DATE SAMPLE COLLECTED: 11/20/98 & 12/2/98 4 PUTNAM AVENUE TIME COLLECTED: 8:30 A.M. & 2:15 P.M. BREWSTER, N.Y. 10,509 COLLECTED BY: W. MAYERS DATE RECEIVED g LAB: 1,1/20/98 &.12/3/98 TESTED BY: LAB# 11471 & 11301 1 REPORT DATE: 1.2/8/98 SAMPLE SITE: V.S. CONSTRUCTION, LOT #7, WOODLAND EST., PUTNAM VALLEY, N.Y. SAMPLING POINT: 'HOSE BIB SOURCE: WELL TREATMENT: NONE. TEST PERFORMED RESULT:. MAXIMUM CONTAMINANT LEVEL BACTERIAL: Total Coliform (Bacteria) 0 per 100 ml 0 per 100 ml PHYSICALS: pH 7.02 no designated limit 12/3-Turbidity 0.31 NTUs 5 NTUs CHEMISTRY: Nitrite N <0.01 mg/L as N 11301 - Nitrate N 1.4 mg/L as N Alkalinity 86.0 mg/L Hardness- 102.0 mg/L Manganese 0.017 mg/L ml = milliliter *,*Notification Level Sodium 6.3 mg/L Lead <0.005 mg/L mg/L = milligrams per Liter ***Action Level I mg/L as N 10 mg/L as N no designated limits no designated limits 0.30 mg/L [Note: Combined Limit for Iron plus Manganese = 0.50 mg/L] 20 mg/L ** 0.015*** ND = none detected NTU=Units RESULTS BASED ON SAMPLES SUBMITTED: 11/20/98 & 12/3/98 $AMPLE,AS TESTED ABOVE: MOTABLE or�OT POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) Laboratory Director •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 PUTNAM COUNTY DEPARTMENT OF HEALTH 4 Geneva Road, Brewster, N.Y. 10509 Date / TO: Pl uC-r � �-t- FROM: F your ib For signatui For your Q Referred for Attached as Returned as Read and re COMMENTS L. / CZ-61 • I 37 CROTON DAM ROAD, OSSINING, NEW YORK 10562 BUS. (914) 739 -7362 FAX (914) 739 -7156 .. -. -i ;.;a,.+++:.t►evi - __. �:.�.._s. r ...,.0 c.. -= f! ... ..... . -�.. .. ,... •' . i'ys. .�.: . a`;.S'.f. -:w I I December 30, 1998 I Michael Budzinski, P.E. Director of Engineering Putnam County Department of Health Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 ! 1 RE: Lot #6 and Lot #7, Lincar III Subdivision a.k.a Woodland Estates and Adjoining Orlando Well i Dear Mr. Budzinski: With reference to your letter of December 24, 1998, this will serve to confirm that the requirements with respect to Woodland Estates Lots 6 & 7 have been satisfied, and that no l 'fiirther,assurances from our firm'-a,re 'required: With respect to the Orlando well we agree that: I 1. We will install additional water storage tanks as may be necessary to provide a i total of no less than 174 gallon water storage capacity at the Orlando site; and' 2. For a. period of 5 years from today's date, we will .take such steps as maybe necessary to insure a well yield of no less than 2 gallons per minutes at the end of an 8 hour pump test period. G William Bricklemaiei Insite Engineering & Route 22 Brewster NY 1050 ®� BRUCE "R. - FOLEY Public Health Director DEPARTMENT OF HEALTH Division of Environmental Health. Services ...4 Geneva Road Brewster, New York: * 10509 Tel. (914) 278 - 6130 Fax (914) 278-7921 P.E. December 24, 1998 Re: Well Testing Results Lot #6 and Lot #7, Lincar 3 Subdivision a.k.a. Woodland Estates and Adjoining Orlando Well Dear Mr. Brickelemai�r: This Department has received and reviewed the results of the eight -hour pump test conducted (simultaneously) on th three above - mentioned wells. =" -Th - iesull•s 'indicate that the well on Lot #7 began at ten gallons per minute and at the end of the eight -hour pump test, maintained a yield of five gallons per minute. The well on Lot #6 and the Orlando well, however, both demonstrated a yield of 2 gallons per minute at a period of seven hours and five hours into the test respectively. Based on the results o these test, you have proposed the following mitigation measures for these wells. A) The installation of flow restrictors on the wells of Lot #6 and Lot #7 to limit the out�ut of these wells to a maximum of 5 gallons per minute. B) The installation of 174 gallon storage tanks on the well serving both Lot #6 and the brlando well to insure adequate water during peak demand. It is noted that the reported yield of the existing Orlando well was ten gallons per minute prior to the construction of the Lot #6 and Lot #7 wells and hydro - fracking these wells directly affected the Orlando well. Although the Orlando well was deepened to insure adequate water, the existing yield is now reported to be 2 gallons per minute. j i C . .. _. .. �,... �.r- . • — iGIY.'..".IG'Y'I.+nn.l'4i /cYl ✓.o�Y1+�i - ._. •• _ . ... .h :l V. • 4iR�JGM "rn Letter to: William Brickelemaier December 24, 1998 This Department would like to insure adequate water to both the new owners of Lot #6 and Lot #7, as.well as; insure that the water supply to the Orlando residence is not adversely affected. Therefore, this Department will accept the proposed installation of the flow restrictors, limiting the output of these wells to five gallons per minute, on Lot #6 and Lot #7. Also, the installation of storage tanks of 174 gallons to be installed on Lot #6 and the Orlando residence! i This Department would also like assurance that the developer, Mr. Santucci, would agree to correct any problems which may arise with these wells, for a period of not less than five years. Please draft an outline addressing these assurances and submit it to this Department for review and approval Should you any, questions concerning this matter, please contact me at your convenience. Very truly yours, i Michael Bud * Z1 ski Director of E �ineerin� j I NIB/BH:tn .• a ..re ... .. r r hX:• .a-... -.. n .... � r... w -�.. .r...m -n.... - t ti rs.- ...c..n .. .. r .te .. • .. _.. +• e . i� r.. C.�fa•. ._•.._ Syr.... wr w•..�w r'• .. r w .....•.'i ._.�A. .Ir i i i 1 I IT E L�,�: ,EYVG%l1%EE�R%NG; SUi4VEYf'IVG-� LANDSCAPE ARCHITECTURE, P.C. Mr. Bill Hedges Putnam County Health Department Division of Environmental Health Services. 4 Geneva Road Brewster, New York 10509 RE: Well Testing Results For Lots 6 and 7 Lincar 3 Subdivision (a.k.a. Woodland Estates) and Adjoining Orlando Well Dear Mr. Hedges: November 16, 1998 Enclosed please find a copy of the well test results for the three above referenced wells. Based on the - results of this testing and discussions with the well driller (P.F. Beal & Sons), it is.our office's opinion that there is adequate water available to supply the three subject lots. Our office met with Mike Budzinski on Thursday, November 12 to discuss the results. During this meeting, it was agreed that flow restrictors would be installed in the well lines from Lot 6 and 7 to limit the flow rate from these wells to 5 gpm. It was also agreed that additional storage would be provided in accordance with the Putnam County Health Department requirements for wells with yields less than 5 gpm. The minimum storage tank requirements are calculated as follows: Qavg = 4 Bedrooms x 200 gpd/bedroom = 800 gpd = 0.56 gpm Qpeak = 10 x Qavg = 10x0.56 gpm = 5.6 gpm Peak Demand Deficit = Qpeak — Qtest = 5.6 gpm — 2 gpm = 3.6 gpm Volume of Effective Storage Required = 15 min. x Peak Demand Deficit = 15 min x 3.6 gpm = 54 gallons P1(minimum absolute operating pressure) = 30 psi (gage) + 14.7 psi (atmospheric) = 44.7 P2(maximdm absolute operating pressure) = 50 psi (gage) + 14.7 psi (atmospheric) = 64.7 Volume of Storage Tank Required = Volume of Effective Storage Required = 54 gallons = 174 gallons 1-Pi 1-_44,7 P2_ 64.7 Based on the above calculation, a minimum total storage tank volume of 174 gallons will be provided for y both Lot #6 and the Orlando well. Our office will advise the well driller /plumber to install the above referenced flow restrictors and storage tanks upon receipt of acceptance from your department. Should you have any questions or comments regarding this information, please do not hesitate to contact our office. Very truly yours, . INSITE ENGINEERING, SURVEYING & LANDSCAPE ARCHITECTURE, P.C. William J. rickelmaier, III, P.E. Project Engineer, Associate WJB /jms Enclosure cc: Michael J. Budzinski, P.E., Putnam County Health Department Val Santucci, VS Construction Insite File No. 91147.400 1116998bh.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- ang.com � . �� �,'• 14 P.F. SEAL .& SONS, INC. 4 PUTNAM AVENUE j ....::.�::BRE STER, NEW YORK i0€i WATERTANKS 1 ., WATER SYSTEMS COMMERCIAL WATER SYSTEMS JET PUMPS � HYOROFRACTURING SUBMERSIBLE PUMPS TEL. 279 -2460 -2461 WATER CONDITIONING EQUIPMENT FAX 279 -6613 COMPLETE INSTALLATION, REPLACEMENT AND REPAIR SERIVICE • t V. S. CORPORATION i 3 Well Test - 11/4/98 cc: Val Santucci, V. S. Construction John Watson, Insite Engineering r Woodland Estates Ronald Orlando Lot ##66 Lot ##77 26 Luigi Drive! Time Flow Water Level Flow Water Level Flow Water Level • 111:20 10 gpm 60' 10 gpm 50' 10 gpm I 55' j ,11:30 10 gpm 75' 10 gpm 70' 10 gpm 65' ;11:45 5 gpm.. 85' 5 gpm 84' 5 gpm j (throttled output from pumps'to 5 gpm) 12:00 5 gpm 95' 5 gpm 90' 6 gpm 85' ;12:15 5 gpm 130' 5 gpm 130' 6 gpm 90' 12:30 5 gpm 170' 5 gpm -170' 6 gpm 93'. '12:45 5 gpm 190' 5 gpm 185' 6 gpm 95' 1:00 .5 gpm' 210' 5 gpm 200' 6 gpm '145' 1:30 5 gpm 245' 5 gpm 235' 5 gpm 215' ! 2:00 5 gpm 277' 5 gpm 265' 5 gpm 285' (let pumps pump full capacity as directed by engineer) .".2:30 7 .gprq ...:....3`24,!. ~~ 7 gpm -. 300° -` 5.pm.:.. 3:00 7 gpm 385' 7 gpm 300' 5 gpm 500' 3:30 7 gpm 409' 7 gpm 400' 4 gpm 4:00 5 gpm 429' 7 gpm 400' 2 gpm at pump 4:30 5 gpm 440' 7 gpm 420' 2 gpm " 5:00 5 gpm 445' 7 gpm 420' 2 gpm " 5:30 4 gpm 450' 7 gpm 425' 2 gpm 6:00 4 gpm 450' � 7 gpm 420' 2 gpm " I 6:30 7: 0 0 4 2 gpm gpm 450'+ tle%4.1 °`` " 450 '' it fi 7 5 gpm 420'' 4 2 0'} Ga d`� 2 2 gpm " gpm gpm 7:20 2 gpm 450'+ 5 gpm 420't °1`tl" 2 gpm (shut down) II cc: Val Santucci, V. S. Construction John Watson, Insite Engineering r PUTNAM COUNTY DEPARTME\T OF HEALTH DIVISION OF ENVIRONMENTAL HEALTR SERVICES FINAL SITE INSPECTION _. - . :_ „5cr, -- -rte • i�+`. :u."...;iw'.�ir.."°e.. "v�.:. -- — - • -. � =- _t�ivo;e� ---- .'?"�:��i��:.�a: .. Inspected by: Street Loeatio ewVt- 1. (,ANV, Owner (MCA. Town �� Permit # TM r 1 i g j i 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. Septic tan tank size - 1,000 ........ ,2" .........other................ b. Septic tank installed level ................ .....................:......... c. 10' minimum from foundation .......... ............................... d. Distribtuion Box 1. All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches Junction Box - roperly set..........'.... ............................ eng required _ Length installed aZ 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 %" diameter clean .................... 9,- -Depth of gravel iitrehsl�� I2•' minin3ud ::..........: ::e� 10. Pipe ends capped ........................ ............................... g. Pump or Dosed Systems 1. Size of pump c am er....... .......... ............................... 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/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 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.. f. 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 ................. .............. .................. I COUNTY DE, AR NT OF HEALTH a n t NO.5 7 T- 98 - 2 0 j COMPLAINT OR SERVICE REQUEST ". I 'Li r :.._�• .::: -:�i •: -:ire i .: ', d.'v :rtr�� - :�_ aura a .r �. , .. � ' - ... ... ::� :::'.S� i a.v.: � . _Q i a .. -'�ry :.- .::..iy:I �.�•i.: �=r .:� �4�� :m. + -SCr:r v....• j .. '�. ':.i 1 . .� -..- �. -�... . TOWN P u t n a �� 11 e y DATE 8/20/98 REFERRED TO Ql tii i TAKEN BY BH TELEPHONE -CALL . X IN PERSON LAMER CONFIDENTIAL REQUEST FROM Ronald Orlando TELEPHONE 5 2 8 2 9 3 6 ADDRESS ..26 Laggi Road, Putnam Val ev ENVIRONMENTAL HEALTH: Sewage Nuisance Public Health Nuisance. Chemical Emergency Individual Water x Other I COMPLAINT OR REQUEST ! N.ew house under construction on Lot 7, Lincar Subdivision had well h'ydro fractured during process. Orlando's well was mud Apparently not Water. EXDansion tank etc- _ - hart to ho rirni n o.., -- ACTION; TAKEkBY DATE FINDINGS j I 1 I , FOLLOWUP INSPECTION (s) DATE FINDINGS i I I DATE FINDINGS i ' I I I PROBLEMABATED DATE PERSON NOTIFIED I I i I � ESTIMATED TOTAL MAN HOURS SPENT Pr,- rR Li ® DEPARTMENT OF HEALTH E•� ivision of Environmental Health Services T R A N. S M I TT A L 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fc (914) 278 - 7921 to:: Nancy Smith fax TM: 278 -4865 re: Records Rptrieval date: V l 1 It 7 ? ' pages: 1 , including this cover sheet. This is to request that the following records be retrieved from storage: BRUCE R. FOLEY Ac'i; Public Health Dirct;r Record: Our Box r Your Box r / �.. Circle one: Comm l" addition Repair Retry Subdivision Ind. SSDS Other R- Name of OnQ na Twmerr if available): street: L.: V I G-1 2 �v :. _° ToVn °- _...: I; W-t'L y: Tax Map r Year Built Other identifying information: LCOdG14 1-0K— Special Instructions: �� ( T ( S S From the desk of... Kathy Graap Account Clerk Putnam County Health Department ' 4 Geneva Road Brewster, New York 10509 914 - 2735130, ext 153 Fax: 914- 278 -7921 Poiru�M COUR �c )'� � DPeldea�a[BtivMa>•tiM LcvuC.r on CER1'MATE OF COMPUANCE Pena NgRU CTW!N PUr FOR SBWAGH DWOSAL SYSTEM : t�c1- 23 g 3 Located � /.t>U. 4lZ- (—Av .....- •.<✓• ..� .i' ,.e.i �• "ar'o4rA ^ewe" ' {4Uc A�iL - S.bd- W r / Tae Map �3. tg >RoA W- 4_r1 ____ t�..adAplilr:�NaatleLt+rticcm2 t�`Uc:cl�F�m�CC�,, [,Ili[;• R--� � Date of.Preyloae Approval "Y �. 7 was Aaai�e .2 t L a rt . Town LffTc l Few �.i zt, n Go4� llateubdlvlslon Annrovea 1 t- clr•le- U_ ree Enclosed" am�„nt Rowe Type �?v([]�"yUTi l� Lot Atrfl M AT= Fm Secgoa Only. Deloth _Vol" Nt suitor. of Bedsit ass Declare Flow G P 'D ��.. �' PCHD NotMestion V Reaubed When Fm le completed Sept ease Seweege Sylan to Comm 'af aZo Ganon Septic Tank � M4 l (�� 2 ` (n� I ��G ' h(L� T&!1 V-4 -0 d To be ceeab eeftil by 'U (WK M &A3 fU Ate_ U 1L1 L�V111>1/19111 WKIM St**: PAW SM* From Adiltew dzt Prfvattl Sopply Dolled by _J► 14N�1J fi�N Odw R".uhismena ` 1 represent that I an'wholly, and.eomphtely rosponsible.for.thedesignand' location of the proposed system(s): 1) that the separate sewage di sal s stem above desc►i0ed will be constructed as shown on the approved amendment therm to and in accordance with the standards, rules a regu nso ream County Departs ant 44 Health, ,and that on conipletionihereof a ° Certifkate of Construction Compliance., satisfactory to the Commissioner of Mealthwill be n omitted- to yt6i Depart". and a 'written guarantee will be. furnished the owner; his sut:CoWS. heirs or assigns by the builder, that said builder will DO- in to" operatin condition any part_ of said sewage dt4"I.: system Qurirq' the period of two (2P Years immediately following tMAate of Me Issu•. ance of the'avoovel of the Certificate of Construction Compliance .& the oiginat, sysstem or. any repairs thereto; 2) that the drilled melt described above will be loutau'aa 4fows, on .the apprdved'plan and that said well wilt be installed in accordanco with the standards, rules and reeuTaMn of the Putnam County Depert@jW o1 MlMlth, Oab� Signed Addre i 2SZ6 License No-'- e. APPROVED FOR CONSTRUCTION: This app►o,ial expires two years. from the date ..-.J d 6n!, construction of the building .has been undertaken and is rew"Is for cause or may be amended or modified when considered necessary b toner of Health. Any change or adoration of construction "Quires a now pwr► it ApMeved for disposal of domestic sanitary WO _8ndi / ate supply only. ReV. --2/ �rqy� 10%88 Date - -!. L / By �'`� Title Olr ly I.�. ' .. - '. .. � .... ... .. •- YI��'!'�• ��Tn.. .w�- i•. +M +w•y..�.��.- �u.w.•.... w.y�- .u�;�...r .. IF .. �. y... .r.w.- a,- .�- �.•c-.•,- r••••� -..r ........ ....sue -...a .�r...�r�-_ a�- DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva.Road, Brewster, New .York 10509 (914) 278 -6130 ., ?-•L\Y �..r.'.J. y'I' _. -. Y ..- .. .. :.' .;,., �r ".'Si�]�....:� :y;'.: +: :5 `..:_ °; C: <y4�'S'^ZirsxCM ,.`et .. s'.r _ = -.'' APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT TELL LOCATION Street Address i14 i' LA&4Town Village City Tax Grid Number sV Y- 14 WELL OWNER Name QtvuK xv. z;v Mailing Address i L_1 1 RI-L &I A . 177 L21 *,C Wrivate a 0 Public USE OF WELL ®- primary a - secondary SIDENTIAL . 94BUSINESS ® INDUSTRIAL 0 PUBLIC SUPPLY 0 AIR /COND /HEAT PUMP 0 ABANDONED 0 FARM 0 TEST /OBSERVATION 0 OTHER (specify, E31NSTITUTIONAL 0 STAND =BY 0 AMOUNT OF USE YIELD SOUGHT -� gpm /# PEOPLE SERVED 4 /EST. OF DAILY USAGE aMal 0 REPLACE EXISTING SUPPLY 0 TEST/ OBSERVATION 13. ADDITIONAL SUPPLY W SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE 15DRILLED ®DRIVEN ®DUG ®GRAVEL. ®OTHER IS WELL SITE SUBJECT-TO FLOODING? YES .3G NO IF TELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: L-1 t c-ft .3 Lot No . '7 TIATER WELL CONTRACTOR: Name (_V 1y A3 Address: (AIi'`k3 %AV&V IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY (J/ DTST CESTO- PROPEitTY. -F-R,O --NE&R S�maWAT- E&- MT.-,i -. _. LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ON SEPARATE SHEET Z<�_ (date) (s natu 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 am nner as not to degrade or otherwise contaminate a or groundwater. Date of Issue: G 19 - -�L Date of Expiration Permit is Non - Transferrable 3/89 19� Permit Issuing Official White copy: HD File Pink copy: Owner Yellow coDV: Blde. InsD. Orange cony: Well Driller PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: property of LANC_► Located at- (T) Fur"AtA VA, ,L_Cy Section 73 L6 -Block I Lot Subdivision of L,1kC_A,-F UL 50PIVIE>1429 "7 Filed Map Date a Subdv. Lot # e 01 Gentlemen: This letter is to authorize- Insite Engineering & Surveying, P.C. a duly licensed professional engineer x (k.RxKjo&j&.�ArMXArAj4xtARj (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as prom ulagated 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 cons , truction of said system or syst.evas in conformity with the provis ions of Article 145 or 147, Education Law., the Public Health Law, and the Putnam County Sani- ,tary Code. Countersigned: Jeffrey J. Conte P. E. Fx.>*x, # 61931 Ins ite, Engineering & Surveying, P.C. Address Route 22, Brewster, NY 10509 278-4990 Telephone Very t Signed /f-' "of P''ofe - t y Address Town -7,41 - iKe) — 41-70 c)' Telephone. Septeb � "l. . � ..:. -i� ���.AYa_c+<\� -0^n._ j r.d.. tb'. r. { :. ✓ • ... .. ...,t. � t.." _ .. .. i � .. �t1 : L- .f.Y.`�' -"C mber'21, 1997 Mr. William Hedges ' . Putnam County Department of Health 4 Geneva Road Brewster, NY 10509 Dear Mr. Hedges, At your request, I am writing this letter to provide you with further background on the property that I own on Scarsdale Road in the town of Kent (about 3/4 of an acre). As you know, I am seeking BOHA for a three bedroom house. Previously, I had BOHA to build a three bedroom house, but recently realized that the engineering design was not done properly. The previous plan called for an elaborate septic system that included a retaining wall and other unnecessary requirements that "economically condemned" the property. I am now seeking BOHA for a 3 BR house with a new engineering design through a new engineer. I acquired the Scarsdale Road property through three separate purchases. The fast parcel (about 1/2 acre) purchased in 1987 included the remains of a house (foundation and chimney) that was destroyed by fire. I purchased this parcel with the intent that I would build a house for myself in Kent (where I was bom and lived the better part of my life). I also bought this property with the explicit understanding that I would be able to build on the property under so called "grandfather rights" since the property had been built on by a previous owner. A small house was built in the 1930s and was destroyed by fire in 1966. In addition, for the last ten years, I have paid real estate taxes on the property at a higher per lot basis reflecting additional taxes related to the foundation on the property. Recently, when Kent went through a tax equalization process, the taxes on that lot was reduced to a level commensurate with the contiguous lots that I own on Scarsdale Road. The "grandfathered" parcel was further improved (from an engineering perspective) by the purchase of two adjacent parcels resulting in a contiguous parcel of 3/4 of an acre. In 1988, I purchased the second parcel from the town of Kent, which was then considered Parks Department Land. To buy this parcel; I had received the approvals from the town board, and had a bill passed through the NYS Assembly. The town had acquired the parcel from tax foreclosure. In 1989, the next parcel was purchased from Putnam County through the sealed bid auction process for surplus property. At the time, I believed that the county and town purchases were win win situations since I thought I would have a buildable lot, and the town and county would put surplus properties back on the tax rolls. ilnf r un�telX; after may purchase prig, ,takes_ pain on these,pa, giatht las(„lt� years significant_ en p=mZmd other. •:r costs, and after the decline in the real estate market, I am still seeking BOHA. I request that the Putnam County BOH grandfather my parcel with a waiver and relaxation of existing code requirements, and provide a 3 BR BOHA for the plans separately filed by Laurent Engineering (Harry Nichols) for the following reasons: • Septic system will be appropriately designed to protect against any failure; • Initial parcel was purchased with "grandfather rights" to build; • . Initial parcel was taxed for at least ten years at an incremental amount compared to similar lots for the foundation on the property; • Initial parcel's situation (from a septic design standpoint) was improved by the purchase of the two additional lots (1/4 acre); and • The additional lots were sold by the town and county to get the lots back on the tax rolls with the idea that I would merge those lots with property that I already owned to obtain BOHA. Once again, I appreciate your time and consideration. I will contact you next week to confirm the receipt of my letter and to discuss our next steps. Thanks. Rick O'Brien 65 Rockridge Drive Port Chester, NY 10573 H 914 -937 -7106 0 203 - 3574754 �r PUTNAM COURff DSPANIbg= OF E"TH 91 �9.' _ _ : Dhbis d �fvbenseeW Ha116 Sstevics. Carmel :'N Y 1661? �: , tD PiroVlde Peislt N N MMU FOR SEWAOS DEPOSAL SYSTEM: own` or V ®fie ,Y • =�' L� .-.�.1 '"". 4/ /V.GI�•.. - -�F�+- s: w`s.bi.. ^'.c / -:�1� .^ !. ! J .� ---�� r- �r�: -.:w� ' !w. Subd Lot Made wd_" Revision p 1 O..ec/Afflk.a rt es G/ R D�'14 co.3 /it1C - g Daft of rrevbae Approval MiiMmig waateag Z �F. G Ei�TV S Town G tGE .eTZQH . �J Z10 ate Subdivision .Anvroved `�- 5 -F34 -FILO), Fee Enclosed ❑ amn;,,,r t bt"N n AL_. Lot Arc. V aaro � . Ntaber ON Bedroosaa Dodge Flow G P D �,��� ' G PC® Nad&adm b Regaled Wben FM b compbted Swinsa Sewaase Sues to oiedat d �0 led SSeplc Tank mod' �� / Z o � -L�IJ larr'" ��3 Sor�Pl'tc T!'Zt�H o bs oanahtacfed by Gl it//l iJOc J Addraa �i i✓/�C,rJ.O�� Water Seeppb pId;11c Sttppq' Rom Addteae ff /iiv ©c,� •. sdd.ea. GL e✓ lS n1 o r.J art�Pdvata S� De®ed by N . Olber Rega4ement�- � _ :. - I reprownt, that 1 am'wholly, and cOihONiely niponNbla .for the tleiign.4iocation of in* prop" system(s)s .I that the.separ•te Sawa", di sae above described will be sbnstructed a; shown on'the approved amendment there to-and in accordance with the'standaras, rules a regu ions o e OVUM County .Depirtn;erst Of Health, vnd that odcompletion thpeof "a "Ce►tifieab o/ Construction Compliance',' sitisfactory to the Commissioner of Hialthwill be, submitted 1:61he Dep•rt`pient, Wand a writte qu n irantee will (je furbished the owner, his successors; heirs or assigns by the bulkier, that said builder will condition thi . of4wo (2) years, Immediately following the date of the if•u- I and Of the ppoiril of M CNti/kate Of Construction Comp i of "th wginaltsys<tf or any rep hs thereto; 2) that the drilled well described above who be locatd as•shgwn on the approved plan and that siid well_will be installed in 'accordance with the • standards, rules and rpu a–T Oil ni ' Of the Putnam County D A " of Fleilth. Date "y.. Signal P.E.X— R.A. — Aad►esslN50_e 42 n1 ? Z' License No 61 !�l APPROVED FOR CONSTRUCTION=This apopwal expire= two yriars or the un s construction of the building .has been undertaken and is revocable for cau or may he amended or modifled when consldorea r Oy the "m over. of Health. Any .change or alteration of construction re0uinf • „e m7it./y ApproviA 10r disposal of'tlomestiC sanifar and /or` t - ater supply only, My . Zi1i�`t % 10 /pp O•te By - _ _ Title r 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 # i Y-Z -3 -i3 WELL LOCATION Street Address e_/tiC,*'q LA7w� Village City Tax Grid Number fu ry fm 73,10— 1-14 — WELL OWNER Name Mailing L /SCAR OW, 00 /�G ?�� Address V u rTZ E e ,its l7(� xivate O Public E OF WELL - primary 2 - secondary UMSIDENTIAL 0 PUBLIC SUPPL Q AIR /COND /HEAT PUMP BUSINESS ® FARM O TEST /OBSERVATION ® INDUSTRIAL U INSTITUTIONAL O STAND -BY ® ABANDONED O OTHER (specify AMOUNT OF USE YIELD SOUGHT J`—gpm /# ® REPLACE EXISTING SUPPLY V NEW SUPPLY NEW DWELLING PEOPLE SERVED /EST. OF DAILY USAGE '��gal ® TEST/ OBSERVATION 12-ADDITIONAL SUPPLY 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON'FOR DRILLING WELL TYPE DRILLED DRIVEN MDUG ®GRAVEL ®OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: L1006W9 2z Lot No. `7- STATER TELL CONTRACTOR: Name Address:— u IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: A) _ TOWN /VIL /CITY fJ `A DgSTA1+TCE TO PROPERTY'. FROM • NEAREST --MAIN LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ;kON SEPARATE SHEET dat ) (sign t 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 any and all water or waste products from such well property and in suchra manner as not to degrade o Date of Issue: I f 2 a2_ 19 4f� Date of Expiration rL 19 4-7- shall take appropriate action to assure that drilling operations be contained on this r oth w se contaminate surface or groundwater. _ Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89. Yellow copy: Bldg. Insp. Orange copy: Well Driller 0---EENGINEERING .6 SURVEYING, , P .C. NSIT.E.- SURVEYING, PC. -.-ROUP3 .(914)278-4990 x ; -9 R, r. : ( 14- 7. "aa I 2, 7 DeLavergne Avenue (914) 297-1742 Wappingers Falls, Ne%4 York 12590 TO: t4 D LETTER OF TRANSWTTAL ,GATE'. _JC T. 40P NO. ATTENTION F\ RE: S S �s For approval ❑ Approve A as submitted WE ARE SENDING YOU Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plan's ❑ Samples ❑ Specifications ❑ Copy of Letter ❑ Change order ❑ THESE ARE TRANSMITTED as checked below: For approval ❑ Approve A 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:' .............. ... .... ................ . ... ... . . . ....... ..... ... ............ t-• 'd n1d @;t•,nq,:,o ^ a3 �s ns. :r. • a =e a.aa i ►a•�»,•! =.i Fi T 1 ris I : °kg':cwea .n ew+;n r �' »F I ^.74 w lla1YOiJ�lli ;;: , • r Lq I !+�'■ K � k�rOR'k v"'':7 1 represent that 1 am_ Wholly and eomplotoly.rospoiasihks for thO oeaiin and location of that propowd systorea(l)l 1) that the wparato _ _a�qo �ie�aril ayatom atiovet datvihod will he eonstviaeted as shown on that ep9rovad ainaMHNrat there to and in oeeor"nee with tho standards. rules a regu ns o m County iDolit tWAnt of Hoalik and tb1at oneoialptetb06Y:the!aof a "Cati9iee®to of Condruetion Complianeo" wtisfoetovy to the Commimlow of Hoolthtvill b O &atbWaRSW to 0:60 DqwMiriont. ani a tivillton. ®ytivaDw4®O `troill N furnish'@ the of ih . his wacossaara. hobs or assigns by thO builder. that said ®uWw tatll Dbeo I1 OWS .Operating o lion (oY tart of old, E-w -180 di4ml sys6m, duriie tho povlod of two (8) yme Immediatoty follozvitts thedate of the Iom- OW of the ONOwal of . Flab Cartifkrato ®f Conotrudlot i Comptimnco of tho orlginal systom ov any 10SF175 2"eto: 2) that that gritted weII dower al§,aw t that tocaw os on thy; Plata and that wid ,bolt eviil be indallod in 'acconaanoo oaith tho c'lafea)ards, rubs cad rqu ens of tho Putnam CoeDatty ®Q�aftOfw9nt ®f H"Ith "Tconao Rio In t�r A6 30N(Et7 ROf1 C ®btSYfttJCVa ®F9 :.9h1s epgvOVtal an ®ir" two s daQO i nbss construction of tho [uuit4iahl7 has 0>ean uae4ovtaaeva and Is Velrowill ; for eauca or may be amonSog or w4dif" i6hoPa eat vy ®y t mmissfOnor of Pfoohth. Any ehango or oetwation of construction Rev. 0F=4700 o a = Ut.. Aprovc d for •©it�col of 0001,0St mac. ®bed / Mato brats+ tvapphy only. 10/88 wo f 41142 Oy Yltb s.. yy :- }s .. '�., ..ti .w•— . .� �... ...:�.�.�.,.....w« ...++. � .... ... F .. w - r ..oa y... ..... -e -o - ... .. .. ._. t _ ...ke .. ....n ......, .rfr. ,. ..... .. � ..o kw - APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF E1±IVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET for CONSTRUCTI N PERMIT NAME OFOWNElt `""L'' - ;: -=sue;: - =ST_REE 7LOCAMO N [ ►'1F,�c�- / BY DATE ` ° ` ' -" TAXMAP' :.w. DOCUMENTS. APPLICATION LETTER ENGINEERS AUTHORIZATION DATA SHEET(DDS) DEEP HOLE LOG CONSISTENT PERC RESULTS (3) PERC HOLE DEPTH CORPORATE RESOLUTION PLANS THREE SETS HOUSE PLANS - TWO SETS VARIANCE REQUEST GENERAL LEGAL SUBDIVISION �_`SSUBDIVISION APPROVAL CHECKED ] PERC RATE '��LL REQUIRED `� URTAIN DRAIN REQUIRED MSTA'VDPIPES X-APPROVAL SSDS ADJ. LOTS - I WETLAND (TOWN/DEC PERMIT R & D) DATA ON DDS PLANS & PERMIT SAME 1 1 PRE -1969 - NEIGHBOR NOTIFIFICATION L� LETTER BI/ZBA I R UIRED DETAILS JON PLANS " r " • r ::� _ ,. SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE III GRAVITY FLOW D/ J BOX m TRENCH/GALLEY m P- PIT DETAILS EPTIC TANK - SIZE, DETAIL WELL DETAIL, SERVICE LINE IF OVER CONSTRUCTION NOTES (GRINDER RATE) DESIGN DATA: PERC AND DEEP RESULTS . TWO -FOOT CONTOURS EXISTING & PROPOSED EO DRIVEWAY & SLOPES CUT III FOOTING /GUTTERICURTAIN DRAINS 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 En HOUSE - NO. OF BEDROOMS Zf �' WELLS & SSDS'S WAIN 200 FT. OF PROPOSED SYSTEM yy �' PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) HOUSE SEWER - 1 /4 "/FT. 4 "0; TYPE PIPE MNO // /lENDS; MAX. BENDS 45 W /CLEANOUT FILL SYSTEMS qLAYBARRIER 0 FT HORIZONTAL: SLOPE 3:1 TO GRADE FILL SPECS DEPTH GAUGES FILL PROFILE & DIMENSIONS ■■ • 1u1; TRENCH L e6u— TRENCH PROVIDED 0 FT MAX PARALLEL TO CONTOURS 100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN - TQ x ,I,I)RZVEWAY,. LARGE TREES, TOP OF FILL �20' TO FOUNDATION WAILS -- -100 TO WELT.., 200' IN D.L.O.D.; 150' PITS 100 TO STREkNf WATERCOURSE LAKE (INC.EXPAN) 50' TO CATCH BASIN, 35' STOR11fDR JN, PIPED WATER X10' TO WATER LINE (PITS -20') Wi50' INTERMTTTENT DRAINAGE COURSE ® 200 FT. RESERVOIR, ETC.m 150 FT. GALLEY SYSTENfS SEPTIC TANKS MI0' FROM FOUNDATION; 50' TO SWELL WELLS M15' WELLTO P.L. i COMMENTS: OnsHe Engineering A Design, P.C. 1849, Rt. 6 Carmel, NY 10512 Phone: (914) 225-6200 Fax:(914)225 -6438 . .. ,. - ..1•i.i : ri.,:�.�.:. vcr' ..:. � = ..:+vas, -•. .:.� .�.- - .'�y _ a.;ai.T..rz,. -. n.:: i �.. i j :*�.e:. a, ,' [LIEUTE12 VF DATE JOB NO: 91.14.' v7- �RijEH ;qc a _��, J. .:a-3 ^.- a"..sevv;.•,rrng. ,,: RE: Wi ,aD--r,6 L1NCP�� �- suBD1ViS10� IWFor approval ❑ Approved as submitted ❑ Resubmit > WE ARE SENDING YOU X Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints O Plans ❑ Samples El Specifications ❑ Copy of letter ❑ Change order O COPIES DATE NO. DESCRIPTION ` -THtSE 'ARE� TffAT MITTED, as, checked-below: _ IWFor approval ❑ Approved as submitted ❑ Resubmit copies for approval �-/ 1�3 ❑ For your use coi�rSi�uGfioN P i��� APPLIQAtlot4 copies for distribution G 3 q �, > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ O FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO FS, LEflEp of Aut1AgF zAttot'3 REMARKS 3 N 0- r- iDAVIt Go RRmAC- ow -::: l 4123'.1'13 -= Wr=LL P i t APPLiC t00 5- 4 q 3 3350 1$800,00 MF- ,4,v o4 lgao.0o ck 3 C- I Cott ,iCho�j NAwI�,6 ` -THtSE 'ARE� TffAT MITTED, as, checked-below: _ IWFor 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 ❑ O FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO FS, : 71 REMARKS N n� -::: � C?e n En COPY TO SIGNED: If enclosures are not as noted, kindly notify us at e. DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New -York 10509 (914) 278 -6130 APP 6 "Cl! T- A WATER _WEhZi -'r . - QA1<1AA PCHD PERMIT WELL LOCATION Street Address Tin Village City UA . Tax Grid Number WELL OWNER Name Li IACA� RPPKEPt Mailing CO INC. Address 2b 1 U • LI Wrivate ublic USE OF WELL (r�- primary 2- secondary AnESIDENTIAL 0 BUSINESS 1 INDUSTRIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP D ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify U INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT S gpm /# PEOPLE SERVE EST. OF DAILY USAGE . Sal REASON FOR DRILLING 0 REPLACE EXISTING SUPPLY 6NEW SUPPLY NEW DWELLING ❑ TEST/ OBSERVATION O DEEPEN EXISTING WELL 11 ADDITIONAL SUPPLY DETAILED REASON FOR DRILLING WELL TYPE TEIDRILLED aDRIVEN []DUG GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES __NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: L(NC;AR'irC Lot No. '7 WATER WELL CONTRACTOR: Name,... UJA"WN . - Address: UNK:NO�cJN 'IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES 'W NO NAME OF PUBLIC WATER'SUPPLY: M% TOWN /VIL /CITY N, DISTANCE -TO P,ROPERTYrk'ROM;LAEAREST WATER - -MAIN a= _ - - - -;.. - •� --A- LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON SEPARATE SHEET (date) ( gna ure) 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 thirti, (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 any and all water or waste products from such well pi roperty and in such manner as not to degrade o 11q, Date of Issue: 5z- . 19 13 Date of Expiration 19 shall take appropriate action to assure that drill g operations be contained on this r of rw' a cont a inate surface or groundwater. Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller T14ESCARSDALE IJ,' vin � ... 27'8" X 48'o 2656 Sq. Ft. First Floor -- -j I 48' I I KITCHEN ii BREAKFAST 12' -0 "x 130" 8 -5" x 13' -0" I i 0 0 DINING ROOM FAMILY ROOM 20' -0 x 13 -0 IVING ROOM 27'8" 27'8" N q� ,ESTCHE_ S1tR ODU NAI_ H ON ESg INC. P.O. Box 900 m Dover Plains, NY 12522 (914 ) 832 -9400 0 1800► 832 -3888 �— a: � 48' C STANDARD SCARSDALE 11 FEATURES _;` > • 4- Spacious Bedrooms o Framingham Pediment on Front Door , _I n • 2%2 Baths o Fireplace Options Available Z5 ::u Z -n • Open Two -Story Entry Foyer o "Boxed - out's, and,',An, le Bay' Options n • Formal Dining Room , ,w :,TAvaila6le • Formal Luring Room o Consult an Authorized Westchester Builder , �� • Spacious Country Kitchen wgWBreakY fast, :_, fora' Complete List of Options «.: .. : , ROOM and Pantry r Artisrs renderings and Floor Plan Dimensions are • "Cottage-Style" 3056 Louver L.r)dOVVS approximate. Ail specifications m be Written in the ' Contract No oral condPAJ with Architraves on Front N q� ,ESTCHE_ S1tR ODU NAI_ H ON ESg INC. P.O. Box 900 m Dover Plains, NY 12522 (914 ) 832 -9400 0 1800► 832 -3888 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LINCAR Iff Date Property, of Re: LINCAR MVr-_LCJ>MeNt CO., 1W, Located at MCA H I LL Vz. f j V f LIAcpk (T) PUt"A A \/A-LLFY Section —IN6 Block Lot 1+ Subdivision of LIN A?- Iff. 9JPM5tW Subdv. Lot # -7 Filed Map 244 Date Gentlemen: This letter is to authorize � I. PC• a duly licensed professional 0 engineer r registered architect — (Ind ic at to apply for a Construction Permit for a separate sewage system, to serve the.above noted property in accordance with the standards, rules or regulations as promulag6ted b*'.the Commissioner of the Putnam County by 'the of.Health,.and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said s -ys --or m S ri, miAy- t1f-t1Ye'Vf-oVisi6ns"of Artit16 i.45 " 0 e 147,.Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours/, Signed Countersigned • of P P MVP ENT CO- 1W- f*11 P. E. # s 1� ' _� Addres lwms ewaimr=ERIW� AND DES a0 PC LltfLF- F SM, hl c1. r1b43 'Address Town S. EL, N N. 1Qr-)1Z 126 l-44o-4160 77 [Wglephone Telephone IV'l SOM IIVIIIIR',� Ind �iNl a -AI C PUTNAM COUNTY OEPARTWENT OF REALT4i � Division of Environmental Health Services CORPORATE-OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO �UTNA.`i COUNTY HEALTH DEPARTMENT _. rt%,nmisniener ®f Rpalth Ll"Ut FEWf Nj i Wbose officers are: Pres Gent: Donald Nuckel 281 Liberty Street Little Ferry, .NJ 07643 (Name and Address) Nice- President: (Name and Address) .Q__'l•*e'_=�_�',�. (Mime iii d"Addres•s).:i, Treasurer: (Name and Address) and ghat I am and will be individually responsible for any and all a is of the corporation with respect to the approval requested and all subse a acts ire,. thereto. Sworn to before me this -3 day of 19 9- Rlo era Yubl ic• , ARLE -NE FAUSTINI NoT�RY PUBLIC OF NEW JERSEY Ppy Commtssiort Eupirss June 24.1996. Q:'g= Signed: Title:`, . o Corporate Seal 3 4 4'' 5 7-3 2 ZS 3 m 5 0�: cn 2 3 4 5 rev. 9/8s 1. Tests to be repeated at same depth until approximately equal soil rates are obtained .at each percolation test hole. All data to' be sulmitted for review. 2. Depth measurements to be made fran top of hole. 13' Is \=qNTpLm D-jDICATE LEVEL To wucH MTER LEVEL RISES AFTER BEING ENMUNTEREb DEEP HOLE OBSERVATIONS MADE BY-. Lv>u1%t4 4CD044EU as. , DESIGN Soil Rate Us LC) Min/118 Drop: S.D. Usable Area Provided No. of Bed roaris Septic Tank capacity 1256 gals. Type CANS Absorption Area Provided By L.F. x 24" Width trench,40:Z�'--N-F-- _ OCW - I j, '� ; M, Name' 1WSPtYV- 4 t>S51QJi C. Signature Address 1 "®1 gok_yxs eo SEAL E 'ES, THIS SPACE FOR USE BY HEALTH DEPARMVM ONLY: Soil Rate Approved sq.ft/gal. Checked by Date..--. X1.-1 i L INCAR Z - Lot -1 � PUTNAM .COUNTY DEPARTMENT OF HEALTH '"`' 'IPPL CATION" FOR" APPROVAL "OF"PLANS "FOR";A' --6A rt ATER' [1 MPOSAL--SYST'EM"- i I.' Name and Address of Applicant:. IANW. DEVEL DPMENt� CO • � WC - .261 ubu-tY 'W. tt e MWY Rd- 11.(M 2. Name of Project: 95D5 FdR. URCAQ C)JELDPME8f I. Location T/V /C: 1 tNAM VAU�Y C' Project Engineer: INNIB ENMEMWt AND DE5IWfr,5. Address: 1Zt•Le CAPIS -1 V4Y. IoS12. _ License Number Lolg31 Phone:. 014-225'ldlA�. 6. T e of ;Project: Private /Residential Food Service Commercial Apartments Institutional.. Mobile .Home Park Office Building Realty:Subdivision Other (specify) 7.I Is this project subject to State Environmental Quality Review `(SEQR) ?. Type Status (Check.One) Type I.. Exempt Type II. Unlisted -5z- 8.; Is a Draft.�Environmental Impact St atement'(DEIS) required? ...::.. ....... hb 9.; Has DEIS been completed and found ;acceptable by Lead Agency? ........... N 10. Name of Lead Agency WA °GIs tti�s�aje'r,'t Zn ,an_asa= ��der`ifie .contt'o1'_�f. _Y. oval 16nin9;;,._ a•tPf•:-fi� :: - ,i� .rplarYni:ng:;= or other °officials, ordinances? . ........................ .. .... .. , bLD4•t'IIt 12. ' If so, have ..plans been :submitted to such authorities? .................... Nb 13. Has preliminary approval been granted by such authorities? WA Date Granted: 14.�Type of Sewage Disposal System Discharge...... Surface Water _.& _Ground Waters 15.1,If surface water discharge,.what is the stream class designation ?........ HIA 16. Waters index number.(surface) ....................... ... ,... N/A T. Is .project located_ near, a, public. supply, systgm? ................... ND Ia. -If yes, name of water supply :. .WA ' - � -Df tance to.water supply N A 19. Is project :site near .a publ.i.c sewage.,:col1ection or,,disposal system ?..... iI0 7_ nrr stance to sewage ?0. 'Name of sewage system., °:- cic j Di ' zo _ ,system . I . Date observed: UNKNDWj�__�� 8��� -Nat0 o�f-tt ogth Inspector: Ut�IK- Nh�j(� >4. Project design flow (gallons per dar `�� `� .................... PM C-PD 2. 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?.. No 26. Has SPDES Application been submitted to local DEC Office ?`..... 27. Is any portion of this project located within a designated Town or State wetland?........... ..................... ..e .o.... 28. Wetland ID Number ........................................................ W- 29. Is Wetland Permit required? �D Has application.been made to Town or Local DEC Office? o....... 30. Does project require a DEC Stream Disturbance Permit? ............o...... 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? o........ YES or.NO �1D 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? ...........Y 34. Are community water, sewer facilities planned to be developed within 15 years? NO Are any sewage- di sposal., areas- in _excess _ ... . . 36. Tax Hap. %D Number ......a .......... ....... ...........a................... 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. I hereby affirm, under penalty of perjury, that information provided on this form is' true to the best of my knowledge and belief. - Fa lse statements made, herein are punishable as a Class A Misdemeanor pursuant to Section 210.45 of _.......the Penal Law. SIGNATURES & OFFICIAL TITLES MAILING ADDRESS: tg4q Q� G�i�MFJ : 16512 �. p i = N LOT 7 W AREA .�' •e.f;f}ir•r•�.?... �- 4•.t..y•, R :T•::, .QaSi!v�u•_.lr. •�,. r.¢rY.SW+.,�t4�rk� ;:lPl -S „: +�CGwia::M ..,. .:•�: I. "��,i!l �t :l..if _ '•!Pf may'- w. "��r+ar 7:i�o�ti jq+.•..�p..�•►V .0��}r .""���4rY•l cr. 9 8 EX ANS10N sue.. AREA \\ 4 0 •p 4p. N . 3 .N 2 s>. 1j . s b 1 12 �� U _ `11 U A 10 U) ; CC ORI VEWA Y U NDER COIV�T/ZUG:1 /D41.: _ 207.4 0 R =225. L =25.0 823 Poo W LOT 6 00Cl1MENT, UNLESS UNDER THE O1RE`CT1ON . S-SIONAL ENGINEER, 1S A.: , VIOLA TION OF . . 77C-LE 145 OF 7NE 'EDUCATION LAW z T, NO. A B REMARKS 17' 4J'. 1250 GALLON SEPTIC TANK 2 'DROP BOX j -43' 36' DROP Box, .4 50' 40' DROP BOX , 5 46' ..DROP. 'BOX 5 817' 42' END OF TRENCH 7. ..90' 46' END. OF TRENCH 8 .94' 51 ' END OF TRENCH . . 9 .96 56' END OF TRENCH .10. . ,51'. 88' END OF TRENCH - 11 54". END OF TRENCH 0- "0E-- TptMC13_1 54, - 47' END OF TRENCH S/ TE L OCA T70N: TOWN OF PU T/,V/ COUNTY OF PU 7 TAX MAP NO. 7 1. THIS IS TO CERTIFY THAT THE SEWAGE TR. WAS CONSTRUCTED AS INDICATED ON THIS THE SYSTEM WAS OBSERVED BY INSITE EA SURVEYING AND LANDSCAPE ARCHITECTUR WAS. CO VEREO 0 VER. THE S YS TEM WAS C( GENERAL ACCORDANCE WITH ALL.STANDAI REGULATIONS OF THE PUTNAM COUNTY DE OF HEALTH AND THE. NEW YORK STA TE Ot HEALTH. 2. ALL FACILITIES EXISTING, UNLESS 'NOTED C. J. PROPERTY LINE, HOUSE LOCA T70N, AND Wl wl FROM FIELDWORK BY.• INSITE ENGINEERING, LANDSCAPE ARCHITECTURE, P.C., COMPLE; 4. A FLOW RESrRICTOR HAS BEEN INSTALLED LINE TO LIMIT FLOW FROM THE WELL TO A GPM DUE TO THE WELL YIELD OF 5 GPM. Putnam County Del Division o En'vaonR�m, Approved ;a4note-a - f ol applicable Itules and