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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.18 -1-49 BOX 28 !7Z 111 IN I 7. ;. , r, , T � ` I I ,, ti . . iRl. � T T , r Zj in larmA 03477 RWMOF PUMWCOUNMEPAS d . . . . . . . � `464iii VUAM a�, r. va Mamas. iVc,,ifl PEVEWPm e2�77 0 777 Valle aI Yredaln Mighis Udiess * � bat :Subdivision kip r6 v ed! %rq�e rn 9 Ist, AM see-16 LO M6, . CHDN ReO&MMbmi IscimpM Nui G P -d ;iiilim.ssiik pr �ibRommul" di "' ' ' ' **ws S0411101 "TINA w"K A t6&njo— rlu—, -IV j:--lj that the ,repo _ritim. di!w!�" utn"t Off t"'i Ot �n�Cipnmpllei�IMO 1`4!'C"i druct fall neraCHasithwill above dMCribeO " '' I i " ifictGri to the _%,,,and th 40 ki ' of A:." Oft `sttbtnitt�d to '0009ftj III .P liulkler "': I '—M";401;�a�r!!� �*O!ar f he prper., m4 14'fiGh's 404 420jinS by the li`�Wdii.�ihsi� Said W at per, . .. ... �ks I Mediate$ f ' if ' I I. - the:, iw, y oil *,.!he G.of the Im- hot �the drilled well degailied above loccsted-"shm pt,t":apor" plan 'and that rid well imill'beiiist&$Wd.'!-'' with the;.$tandarqS.* rules and r the Putnam I, Ilit a te ned P.E. P.E A. I kianw No APPROVED FOR CONSTRUCTION This' a6pi'citi ii' a -as two s rd oft 4 building has' been undertaken and is caur inini" i 0 Meek' Any'chsnqi or ali4ition of condhiction NVOCAble for i led; h. I P"May, •�arftp!" I . I . mQuires a p owmnly I for disposal of. dov" ary only. Rev . 10/88 D" Title Z7 PUTNAM COUNTY DEPARTMENT OF HEALTH CERTIFICATE OF CONSTRUCTION COMPLIANC o E TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # _ _ �/ •• i -,944- � •?.1 ") n Located at = °� �.4.�,,` �� o�[�wn or Village . t- E,,.�, i /rMi t .. ; Owner /Applicant Name_-t- �.�- "�,�, -,.a -p �. Tax Map '�� , 15a, Block i Lot T Formerly t _;,, r 'i�� �p t�-� ;,,,e �,Sybdivision Name fir• •�t� � Subd. Lot # ":�> Mailing Address �, � �,.,,,� °I��er d cis ",.� L)S !( Zip lc rte, Date Construction Permit Issued by PCHD t Separate Sewerage System built by c.��.r, -..w. P- ,- .,Address �- Consisting of i ®cam Gallon Septic Tank and Z-,1c, fir- Other Requirements:d.,,;.,� Water Sunnly: Public Supply From Address or: Private Supply Drilled by°t�.�p�.(, �-�r,� �9 Address L"illl14"I pt- `� 7 �A- ;;vt i,;s - Il'�lJ efl»1`i)ii (UlIi VT i5Cei1 I UTil�i1CLCU - `y= �f� Number of Bedrooms Has garbage grinder been installed? 1Q C=b 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: Certified by Address 14L4r_'e_ 7 -7_ "L License ccai� 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 revocation, modif atiori or change is necessary. By: Title: P V Date: 711-5-) `4? White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT O F HEALTH ll H DIVISION OF ENVIRONMENTAL HEALTH SERVICES .. WELL.COMPL TION REPORT ..... _ ...tlT'?��?, �;� a3iM :'. wMwYlsil :rLS•[tS!.l'_'- �.'I.awr.:ii Well Losatioh Mme: Tr:�Ta �Mi 4...i GrT =.. r+ul.i �.. -C: y:I.1�i+Trii+4b Street Address: Church Street -• .-.ai .�;�'�' Towti/Village: Putnam Valley s'.y-��'WSi .•.aGC�'�iTl�'r�+Y3r— .'M'4 �*i�%'Tr�+oL2 Pap-73Vg x Grid #r Block Lot(s) $ 49 Well Owner: Name: Address: V.S. Corporation, 37 Croton Dam Road, Ossining, NY 10562 Use of Well: D -prima y 2- secondary X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling )Equipment X Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock _ Other Casing Details Total length 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 I Liner:_ Yes X No Screem Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yes-140 Hours Second Well Yield) West _ Bailed X Pumped X Compressed Air Hours _E_ Yield 12 gpm Depth Data Measure from land surface- static (speci K) 101 During yield test(ft) 200' Depth of completed well'in feet 265' Well Log If more detailed information descriptions or are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description fft. ft. Land Surface 15 Drillin in over urden clay and boulders 15 Hit roc at 15, 32 .1��'� ii lili 'Ill- 32 265 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 7crpm Depth 220 - Model 7GS07412 Voltage 230 HP 3/4 Tank TypeWX302 Volume 86 Date Well Comp eted 5/3/99 Putnam County Certification No. 002 Date of Report 6/9/99 Well Ile i a NOTE: Exact location of well wttn citstances.to at.teast;tw ermaneni tanamarxs to oe prlu un a bopa-am onvvulficu.. 4 Putnam Avenue Well Drillers Name P. F. 1 & s, I Address: Brewster, NY 10509 Signature: Date: 6/9/99 Perry L. al White copy: Hl) Fil ; Yellow copy -Building Inspector; Pink copy - Owner; Orange copy -Well driller Form WC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF GUARANTEE OF SUBSURFACE'SEWAGE TREATMENT SYSTEM . 3 -7 G5Z oT'O N v1�.N% �2 o a..C->. Ccg RP. 7 3 /8. y Owner or Purchaser of Building Tax Map Block Lot 37 e--V- �7p�1� R ©�D efoRP Building Constructed by Ca UZC_ a s- mF-r -r Location - Street +9FS c7CV.tr�A Building Type 'PvZ'N kIV VALLEY Village Li�C�•R 6STlLT�rj Subdivision Name 3 Subdivision Lot # I represent that I am wholly and completely. responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above- described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to -place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing,they4�.,, .....,..sue . •.-..— S . Ct41. r' f1 ^sD ww ...rte —ems F.v...�.r... <.'�^^...�..w.w •..�rY- +.ea�vasT vn - ........ rY -.. -U r -.w._ a. —. .�y.�.•e. _.w ww/.'�.e... —'M ^I+..• The undersigned, further agrees to accept as conclusive the determi tion - f 'e P blic Health Director of the Putnam County Department of Health as to whether or got th h 'tire a system to operate was caused by the willful or negligent act . of the occupant }oi` the', khrig "ti zing the system. Dated: Month Day Year Signature: Title: General Contractor (Owner) - Signature % C RO-Fo N, �Zc,A%> coRP Corporation Name (if corporation) Corporation Name (if corporation) Address: 3-7 ctzo ro N y Address: State 05 5 ( N 1 u U ,1 < Y Zip 10-5/-z , State Zip Form GS -97 n�e�1tlB+ ({:� �iD�9�1�11 ; CT- Cert•- PTIAMU, , UJRY, NY Cert: 11471 (203) 748 -7903 - FAX (203) 748 -0652 LABORATORY REPORT -- WATER SUPPLY TESTIN G IMPORT TO: P.F. BEAL & SONS 4 PUTNAM AVENUE BREWSTER, N.Y. 10509 DATE SAMPLE COLLECTED: 5/27/99 TIME COLLECTED: 4:45 P.M. COLLECTED BY: C. BEAL DATE RECEIVED @ LAB: 5/28/99 TESTED BY: LAB# 11471 & 11301 REPORT DATE: 6/3/99 SAMPLE SITE: V.S. CONSTRUCTION, LOT 0A, CHURCH RID., PUTNAM VALLEY, N.Y. SAMPLING POINT: HOSE BIB TANK SOURCE: WELL TREAT ivENA: -. Ni.➢1dE TEST PERFORMED RESULT: MAIUMUM CONTAMINANT LEVEL BACTERIAL: Total Coliform (Bacteria) PHYSICALS: Color Odor pH Turbidity per 100 ml ND 7.40 0.24 NTUs CHEMISTRY: Nitrite N <0.005 11301 - Nitrate N 1.0 ,•: _.,s, Alkalinity. 198.0 Iron 0.300 Manganese 0.017 Sodium 3.5 Lead 0.008 m1= milliliter mg/L = milligrams per Liter * *Notification Level ** *Action Level 0 per 100 ml no designated limit 5 NTUs mg/L as N 1 mg/L as N mg/L as N 10 mg/L as N mg/L no designated limits M.9/1L. mg/L 0.30 mg/L mg/L 0.30 mg/L [Note: Combined Limit for Iron plus Manganese = 0.50 mg/L] mg/L 20 mg/L ** mg/L 0.015 * ** ND = none detected NTU =Units RESULTS BASED ON SAMPLES SUBMITTED: 5/28/99 SAMPLE, AS TESTED ABOVE: MOTABLE or aOT POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) Laboratory Director °NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 060370 (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 0 OUTSIDE CT: 800- 654 -1230 /NS/ TE. ENGINEERING, SUR VE KING & L ARCHITECTURE, P.C. LETTER OF TRANSMITTAL Rout " U) -M 4 i �b' Brewster, New York 10509 (914) 278-6392 7 DeLavergne Avenue (914) 297-1742 Wappingers Falls, New York. 12590 TO: Putnam County Health Department I Geneva Road Brewster, New York 10509 Date- 74-99 1 Job No. 92127.303 Attn: Adam Stiebeling Re: SSTS As-Built for Lincar Estates, Lot 3 #206Church Road, (T) Putnam Valley TIVI # 73.18-1-49 WE ARE SENDING YOU Z Attached ❑ Under separate cover via ❑ Shop Drawings E Prints ❑ Plans ❑ Samples ❑ Copy of Letter ❑ Change Order ❑ the following items: ❑ Specifications COPIES DATE NO. DESCRIPTION 4 .7-1-99 AB-1 As-Built Drawing 1 7-1-99 CC-97 Construction Compliance 3 6-16-99 GS-97 Guarantee 1 5-24-99 $200.00 bank check - #289688 1 6-9-99 WC-97 Well Completion Report 1 6-3-99 Water Analysis Report THESE ARE TRANSMITTED as chocked below: 0 —pies,forapproval.,-.. App-,..,-,v Apas ❑ For your use F-1 Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ REMARKS: COPY TO: Lot98.dot P' ._DIVISION CIF._IENV-I DNMEN74 L HZk L7H SERVICES :>`., u�7ei: �: ci. .�p�..a°,ti+:.ic.::�;+`:;v:s+nfr �KaaE :w- ri:.aaR�+<a.&�`�aom.`• =� �w: ....._'e:.c�: -;. :. . .. ..:.: .. . �- -_ _� ..._.�•_•• sr.:.r.:��. . j�v —♦ ...��.yr�."a'im'y'�lecfc+. 6zv.e'- *,..k+r �Yt=� �+w3� ;ei+er.� %v ri.:.• CONSTRUCTION PERMIT FOR SE WAGE TREATMENT SYSTEM PIE 'S # v -177 -9 �- Located at Subdivision name Ll" -4— 6 WrK Subd. Lot # - To n r Village f o'rivA -`+ J Tax Map Block Lot Date Subdivision Approved C Z --Renewal- Owner/Applicant Name 37 C Revision X.:� e ate of Previous Approval 4-1 zi i.. Mailing Address 3? C. Tm%) 1)14' *1 ob , Zip Amount of Fee Enclosed N / h � j 6ta�a -� t7cS G Building Type AV5 Lot Area 3!" No. of Bedrooms Design Flow GPD &00 Fill Section Only Depth Volume PCH D NOTIFICATION IS REQUIRED WHEN FffLL IS COMPLETED Separate Sewerage System to consist of f �� gallon septic tank and r-'N 4-f- /, / -pith Pr q Other Requirements: To be constructed by I-i- -5? C4e-t-g D A",' Alddrreess '- S _.. Wteu' Sun"DAa.: zP»hlic, Supply From Address .. or: �� + Private Supply Drilled by _.....: � Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: P.E. t4 --°-- --Date 61 !8 Address CA-„,'p `�'CI icense # 6" i °t 73 d APPROVED FOR CONSTRUCTI& This approval expires tWo years mm the date isiaed unless construction of the. sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires anew permit. A prove f estic sanitary sewage only. By: Title: 08f, Date: 1 9 White copy - HD File; Yellow copy - B Iding Inspector; Pink copy - Owner; Orange copy - Design Profe sional Form CP -97 i 0 II __• k PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES - - -�. <. 'l.r,..:, . >, m.,.w. '.a �. ..Y. nc -,.ra :-• _v_ �. ..S..r. _.i 7--... , .-ti. ,. .�..�.'r_.,- CONSTRUCTION PE W AGE TREEATMENT SYSTEM PERMIT # PV— / 3 --q q 3 -� ���� s W - cr ql Located at C 09,C_k AOAO . os or Village OC12_4%A-rt vkGl,,,X-L Subdivision name 1,fA'c4K 0sT,47)9S Subd. Lot # _ 3 Tax Map •?3,16 Block / Lot _ Date Subdivision Approved /2. - ei - Renewal Revision ccsNTR ►cT' VFnd;ooe 3 G� -�Tcq ti O$r j � z�- 4w=/Applicant Name Date of Previous Approval Mailing Address 3 C 12,m rm -v o &? ,10 dss_7,y /c./ 6- N Zip /040 L Amount of Fee Enclosed 367 4 0 Building Type L4 5T,�cw%i4h Lot Area 31 3%,PNo. of Bedrooms 3 Design Flow GPD 19&6> Fill Section Only _ X. Depth i `ro W Volume C`(Sr k° P.> 50— PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED -19 Separate Sewerage System to consist of and ;Mu Other Requirements: r _ _ , 3 � c �v d.v ,Ois rK rsa�n -� To be constructed by 3 � c r2w rd v ,d �, �Rg, Address �� � �Sr� 6-, n• © s6 Z w . Water Su _ 1 - _ `� Public Supply From Address or: �_ Private - Supply �Drilled by F /a LS q, so,.5 t/ Address 6AF^ -• S Q I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the senarate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department,. and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: P.E. ✓a ft=�= — Date 3-1-14) 5 � E�/{tti`fp— 9uR vF ter} y_Tf — 9f— Address p T rtc. ' G License #- 4/417> 11465 ^&&Iro :a -2- �- ,,may /67529""t APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new per9M. Approved for discharge of domestic sanitary sewage only. By: TitlePol l J I A-C�, ()6 41 Date: 1(71 White copy - HD tile; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 ' PUTNAIvYIi COUNTY DEPARTMENT OF HEALTH DnqSNGN OF ENWRONMENTAL HEALTH SIERWCIES A MY '8 1 �' =" � 2� '' 7A �A7 �!'F' "F-I F II__ . . "._v. [:'.:+� ,h'.L...�"::.tl :i. T A1W �.4�4 be �.. .. s - Y:l:�. :. �F�1•.. �.... °�NC� +. r. i ...-yb please print or type PCHD Permit # P Ii' —% 3-1 WeR Location: Street Address: o illage Tax Grid # G04Up.Gl� f►rsA� v�NR M V,#AW Map -73, /8 Block ` Lot(s) WeRR Owner: Name: 3 -7 c Am 7v, Address: 3 �L c "Tc9>✓ VA-1-t ",1-0 011M A elfi (% C-0,14 os s r"P -> d- "� /d 5-6 2- Use of WeIlIl: Residential Public Supply Air /Cond/Heat Pump Irrigation lrnmmairy Business Farm Test/Monitoring Other (specify) 2-secondary Industrial Institutional Standby Amount of Use Yield Sought ' gpm # People Served Est. of Daily Usage 300gal. Reason for Replace Existing Supply Test/Observation Additional Supply IIDrnlflnrmg IVew Supply (new dwelling) Deepen Existing Well Detailed Reason for IDriflinng WeIIl Type Drilled Driven Gravel Other Is well site subject to flooding? ......r..r........:...... Yes No ....................................................... Yes 15" No Is well located in a realty subdivision? ...................................... ............................... Name of subdivision I- A✓c.,A &A. �F STr9-T ,FS Lot No. 3 Water Well Contractor: P , �, FAGS 9,�5e-vS A. ^�`G, Address: /'I AvC, 6A&!!O Is Public Water Supply available to site? ............ ............................... Yes No 2! ............ Name of Public Water Supply: /V`/`} Town/Village Rl114- Distance to property from nearest water main: vas /rr> ® v-/+J Proposed well location & sources of contamination to be provided on separate sheet/plan. P EPMHT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and 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 or their designated representative 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. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and 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. APIPROVIEIID' FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue ?�/ �(' 9 Permit Is umg Official: Date of Expirati n Title: A Permmnt As Non- Trra>m err>r bfle White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 I ' . r 'SW 9 -99 NEW YORK STATE DEPARTMENT OF HEALTH Specific WBiVer _Bureau of. pmmunify Sanitation and Foctd_Pratection _ from Reya(rer^ahte- cf Part?5 -9nd Appendix ?5 -A IONYCRR- - w s.. i.w ..F.. ..o - -wr .: -0a'i: •...a.t3.... .......,''?,::.":.n :. .:ci..: �.�- ^- e}w_..�w..a wi.'.a.:y;... - .. .-� P'_ v. —+r... �. -_.. ... for lfidl0v 6ai Hnusehoid �`e i-jei reatmenti Sy §ferns Name of'Applicant 37 Croton Dam Rd. C or p . `•. No. Street CityfTown State Tip Address 37 Croton Dam Rd. Corp. P.v. N.Y:. 10579 } No. Street City/Town State Tip i Site Location Lot 3 Church Rd. Lincar Est. APPLICANT - D• NOT WRITE BELOW 1. Reason why site does. not meet 10NYCRR Appendix 75 -A (check appropriate box(es)): Separation distance cannot be achieved. Excessive slope. J High groundwater. Inadequate depth to bedrock or impermeable layer. Soil unsuitable. i Other (explain) ........* Insuffient Area Available for Conv. Trenches .............................................................................................:...............................................................:..... ............................... * tt it tt for100% esp. .. .......... .... ................. . .................. . ............ ... .......... ............................... ..... ........ .... ........... . ... ... . ... . ....... . .... .. .. ............ ... . . .... . . . . ............ . .... . .. .. . .. . . ..... ....... . ...... . . . . * Grading required greater than 31/2 feet fill ............................................... . ........................ :............... ......:........................................... . ....... ... -............................._.............. ............................... . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . .. . .. . . .. . . . . .. . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Proposed design or conditions of waiver: ............................. I ..................................................................................................................................... .......................... I.................................................. *,SSTS, Well and House must be staked ................................................................................................................................................................................................................. ............................... by a NYS Lic:iensed Land Surveyor _ ......................:...,_........................._..........,............... ............................... .. ..............._..... ..... ..... -In- s-p'Ccl i-wi -'ryor .. . . .. . . .... . . . . . . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . .. . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . .... . . . . . . ... .. . ............................................... . . .. . . . . . .. . . . . . . . . .. . .. . . . . . . . . . . . . . . .. ... . ... . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. The proposed design may have the following limitations (check appropriate box(es)): Jincreased risk of well or spring contamination. Increased risk of surface water contamination. Expected design life of the system will be diminished. Operation of sewage system is subject to mechanical problems. Other (explain) ................................................. ............................... ...................................................................... ............................... . Maximum 3 -Br. House Design Additional information attached Construction pursuant to this waiver request should not pose any foreseeable health or environmental problems. In accordance with New York State Department of Health Administrative Rules and Regulations, Part 75.6 (b), a waiver is hereby granted. This waiver may be revoked by issuing official for a change in conditions for which this waiver was granted. DOH -1326 (7/92) ........ ............................... TH ORIGINAL - Local Health Agency ......... .I ............................. COPY - Applicant/Design Professional (GEN -152) DEPARTMENT OF HEALTH Division Of Environmental Health Services 4' Geneva Road, Brewster, New York 10309 (914) 278 -6130 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAIVER NAME: 37 Croton Dam Rd.. Corp. ADDRESS: SITE LOCATION: Lincar Est. Lot #3 Church Rd. April 9, 1999 DATE: STAFF PRESENT: BF,MB,ABS,RM;BH,GR,SR SPECIFIC WAIVER see Attached REQUEST: ,.SW 9-99 i BRUCE. R.' FOLEY, R.S. Acting. Public Health Director __ ... -. - . .. _ .. ...: -.. _...� .. _ nr�� �� r i. r_ A r r r1A ti .t1 'I�f Cllr /„T l i. "T ... _. .. .�.. UGtJ 1 rlC rl�JrVJf =U • y�hlfllMiVCC f1CVKiCS � ` "FV:^7�L "1`itsL r n CONTAMINATION PROBLEM? YES NO WILL DISAPPROVAL RESULT IN A SIGNIFICANT HARDSHIP? YES NO DISCUSSION Previous Approval 6 -22 -94 REQUEST APPROVED OR DENIED APPROVED DENIED XX REASON Fit' DENIAL (Cri DIR CTOR {E r 0 UB �(q II /�H��EALTH LMATT. �'Z/ / o April 21, 1999 The 100 foot restrictive setback to water is to be measured from the flow diffusor trench, and not from the toe, of the fill pad. Use of low profile flow diffusors in lieu of conventional absorption trenches. 50% expansion area. * Greater than 3-1/2 feet of fill for grading purposes. Minimum center to center separation distance of 10 feet between flow diffusors, not 24 feet as required by the current code. sw9-l7 1-NEW YORK STATE DEPARTMENT OF HEALTH Specific Waiver f3Ureau 5f �i0ril �tlt�j'drl"Ii`dtltSii �lrSu'�'(zil� I`r3wCtti ; " iii fib' eiESt�iiitar rvrt a �i` �a 16 as ..d rA ;``3i?neFlx ,r,, b%!V0r,;9Q -. :_ for Individual Household Sewage Treatment Systems Name of Applicant 37 rWTOP•k AW. Co No. Street Qty/Town stag ZP Address No. Street Cityrrown State ZP Site Location Lw C yao-,t is- 1. Reason why sit es' not meet 10NYCRR Appendix 75 -A (check appropriate box(es)): SeDaTation distance cannot be achieved. X xessive slope. High groundwater. Inadequate depth to bedrock or impermeable layer. LJ S it unsuitable. ) A :.... Other (explain) ......... ....t. Sv..F!.! .S"......t ? A...... ............��Vr�a,..........1" :... Q u�.......i..l? ......... ........................................................... ...< c.. .. ...... 1Y... �°�a......... � t ............ ............................... .... :1. ".�'p! .•.'.'.�'.K: ...... .... �!. j.!° C,±l. �.%...:.:.. GyL''.'p.4�:i........ ....!4::9..1.1'..1...7.?.�..1.f.i.......... ...J.. / ..!..Z;....}..lilr y I'............ ; l......L...i ... 2. Proposed design or conditions of waiver: . ...................................................... :................ ....................... ........ ..................... . .:...:.....s. . r............ .. :i :.e....... �:�.i..... ... .. j ....... . \ ... ..f.•!:;......... :G... ....................................................................................................... ............................... . .................� .......� ............... ....................... '7�r' -° - �+, :•-- .'�lZ. .�'....,,..__....r. - ..,..aa..x. :sr.ay ^.:, ytx:: .ate :.' ........ .. . - « T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . .. . . . . . . . . . . . . . . . .. . . . . . . . .. . . . .. . . .. . . 3. The proposed design may have the following limitations (check appropriate box(es)): Increased risk of well or spring contamination. Increased risk of surface water contamination. Expected design life of the system will be diminished. Operation of sewage system is subject to mechanical problems. ther(explain) ..... . ...... ...................................................................... ............ . .... ........ q " vlal i exty avL �►s ........ ...................................................................................... ............................... Additional information attached Construction pursuant to this waiver request should not pose any foreseeable health or environmental problems. In accordance with New York State Department of Health Administrative Rules and Regulations, Part 75.6 (b), a waiver is hereby granted. This waiver may be revoked by the issuing official for a change in conditions for which this waiver was granted. ................................................................................. ............................... REPRESENTATIVE OF COMMISSIONER OF HEALTH .. ............................... DATE ORIGINAL - Local Health Agency COPY - Applicant/Design Professional (GEN -152) rf 4. 51 t t' 1i 1 .h s The 100 -foot restrictive setback to* 'ater is to be measured from the flow diff usor trench, and not from the toe of the fill pad. Use of low - profile flow diffusors in li ftiu of conventional absorption trenches. ;o- a 50 %.expansion area: ;! • Greater than 3- 1 /2.feet of fill for gr;c�ing purposes. Minimum center tocenter separation distance of 10 feet between flow diff usors, not 24 feet as required by the current code. P t `i =.J ' +s S 'r� it t rf 4. 51 t t' 1i 1 .h s The 100 -foot restrictive setback to* 'ater is to be measured from the flow diff usor trench, and not from the toe of the fill pad. Use of low - profile flow diffusors in li ftiu of conventional absorption trenches. ;o- a 50 %.expansion area: ;! • Greater than 3- 1 /2.feet of fill for gr;c�ing purposes. Minimum center tocenter separation distance of 10 feet between flow diff usors, not 24 feet as required by the current code. DEPARTMENT OF. HEALTH DiVision Of Environmental .Health Services 4'Geneva Road, Brewster, New York 10509 (914) 278-6130 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAIVER - NAM 7 h4'" To ADDRESS: if SITE LOCATION: L INV, kil- -, t 5i-r- Lor - 11 ?:, C 14-M4+4- IP-4, STAFF PRESENT: f SPECIFIC WAIVER REQUEST: BRUCE. R. FOLEY, R.S. Acting Public Health Director 13 —7 Lt�sT- jQ--,-.- EM/ IRON14EN CONTAMINATION PROBLEM? YES NO WILL DIS.-%PPROVAL RESULT IN A SIG$IFICAN-1 HARDSHIP? YES NO DISCUSSION z 7- REQUEST APPROVED OR DENIED APPROVED DENIED REASON FOR-DENIAL DIRECTOR OF PUBLIC HEALTH � -4 � ^ '5W 9 NEW YORK STATE DEPARTMENT OFHEALTH Specific Waiver r oY d Food Protection .n ~^ ''"'-'-q-''-''-~'-` o a Appendix 75.A, I ONYCRR ^ Name of Applicant 37 Croton Dam Rd. Corp. Address 37 *Cro.t.Qn Dam Rd. Corp. PiN. N '10579 Site Location . Lot 3 Church Rd. LiOcar Est. 1. Reason, why site does. not meet 1ONYCRR Appendix 76-A(check appropriate box(es)): � �Separation distance cannot boachieved. Excessive slope. High groundwater. inadequate depth 10 bedrock nr impermeable layer. ' Soil unsuitable. � ' * IOSVffieOt Area Available for [OOV. Trenches �Other (explain) ............. .............................................................. ............................................................................................................................. * x o it 0 }0�% e * Grading requiY`ed greater than 31/2 feet fill .................. ...................... ............... ...................... - -'.................................................................... 2. Proposed design or conditions. mdwaiver: -'-'-- ................................................................................................................................................................................... � ��TS» �S�l �O� HOUS� 0U�t �� staked /� - ' ' b� a NYS Li ci eDSed Land SUrV8�cr____� 3. The proposed design may have the following limitations (check appropriate box(es)): increased risk cd well or spring nontaminaU0n. i |increased risk of surface water contamination. -- � \Expe�eddeaiQn|honf\hosyotemwUibedininiuhod� ��` � | |Operation ud sewage system \y subject Vo mechanical problems. �3Other. (explain) -_--------------------'--------.----------------...---..-----__----~-- Maximum 3 Br. H0V3e Design '---'---------............. - ..... --- ...... -... ............. ................. ---------' ____________-_------_-------'.......L--'__--__--------._--'----------' { |Additional information attached � Construction pursuant to this waiver request should not pose any foreseeable health or environmental problems. In accordance with New York State Department of Health Administrative Rules and Regulations, Part 75.G(b).o waiver is hereby granted. This waive, may be revoked by Oie�issuing official for a change in conditions for which this waiver was granted. ' ORIGINAL ' Local Health Agency COPY ' Applicant/Design Proosdomal .��'-.��'--------------------' T� / ' ^ � nV'Nu'1nnr% ' (GEN4B) P S SW .9 -99 BRUCE R. FOLEY, R.S. Acting. Public 'Health Director DEPARTiMENT, .OF HEALTH Division Of Environmental Health . Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAIVER 37 Croton Dam Rd., Corp. ADDRESS: SITE LOCATION: Lincar Est. Lot #3 Church Rd. DATE: April 9, 1999 STAFF PRESENT: BF,MB,ABS,RM;BH,GR,SR SPECIFIC WAIVER see Attached REQUEST: _,__. _...._... °D6ES��HE- Ni�U`r'(7.SEU VARIANCE "r�cCtur ST'PCiSc °H r�ci1L`Tri 'rv;�e_r,, C- r^�- ��.`�'I.R2NME(.'TAL F CONTAMINATION PROBLEM? YES tib WILL DIS.N.°PROVAL RESULT IN A SIGNIFICANT HARDSHIP? +T_+ + -- YES NO DISCUSSION ' Previous Approval 6 -22 -94 REQUEST APPROVED OR DENIED APPROVED XX REASON FOfq• DENIAL R 0 �Pl1B IC HEALTH l Z7,1 �(!�4( DENIED ,'A'pril 21, 1999 * The 100 foot restrictive setback to water is to be measured from the flow diffusor trench, and not from the toe. of the fill pad. * Use of low profile flow diffusors in lieu of conventional absorption trenches. * 50% expansion area. * Greater than 3-1/2 feet of fill for grading purposes. * Minimum center to center separation distance of 10 feet between flow diffusors, not 24 feet as required by the current code. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTR SERVICES FINAL SITE INSPECTION Street L Town ' 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. Sewaee Svstem " a. Sep-tic tank si - 1,000 ... .... 1,250 ......... other ....... b. Septic tank insta c. 10' minimum from foundation. ...... .. ........................ d. Distribtuion Box 1. All outlets at same elevation - grater tested........ 2. Protected below frost ............................. ....... 3. Minimum 2 ft.Original soil between box & tre Junction Box - properly set ............ ............................... ength required Length installed 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......r 7. Room allowed for expansion, 100 %......: 8. Size of gravel 3/4 - 1' /�" diameter clean ........... 9. Depth of .gravel in—trench 12" rninimum..... .. "� °i s rife ends cap �d... ........ : ...................�tt . Za o PUMD or Dosed Systems Q- IS4 Size of pump chamber ..... ............................C.. �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. HouseBBuildi�ng 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 tc f. Curtain drain outfall protected & dir.to exist wat g. Footing drains discharge away from STS area.... h. Surface water protection adequate ....................... i. Erosion control provided ...... ............................... Rev" 1/97 Date: III PC Owner L t We 41t._ ' Permit # 13 — Subdivision Lot r FEB-23-1999 10:08 INSITE ENGINEERING 914 2?8 6392 P.05 P COUNTY DEPARTMENT OF HEALT DMS10 OF ENVIRONMENTAL HEAL_ TH SERVI E� LETTER OF AUTHOR&ATION RE: Property, of C-A-era,-J VA-M F-� P C-ogf. Located at 9.&7f-r,> ,P5r"/*W . ?,4tw Tax Map # -7 3 a Block Lot (5)v Subdivition of t Subdivision Lott# Filed Map # Date Filed Gentlemen: This letter is to authori: z IM, kzL,*�W, qx—ywim 'Wd-scme ant �tect=, P.C. ogff=ir s. I a dilly orft*ftxd*zbb=xxxxxtoapply for thi requ j wastewater treatment ai . d/or water supply permit(s) to serve the above-noted property in a cordz r with. the standards-'rule, or regulations as prorhulga:ted by'the Public Health Director of thj Putdi Count Health Departr ient, and to sign all necessary pap y ers on my behalf in connection1with matter and to supervise the construction of said wastewater treatment and/or water supply syst He in conformity with the, i visions of Article 145 and/or 147 of jhep 01QffMw, the Publ'c H Law', and the Putnam Sanitary Code., c7unty Very truly I Countersigned: Signed: # Mailing ing Address in•to L.== M.. amnft Mailing Address: 37 C-.1e&r00 D*p4 Ko" eA Isaft Ve Ac Utacbml P.C. don 05 SwAvlej State M ym* State A), AP Zip to Telephone: (914) 27 990 Telephone: Form P. FEB -23 -1999 1008 INSITE ENGINEERING 914 278 6392 P.06 ]PUTNAM COUNTY DEPARTMENT OF HEALTHi DMSION W.EWERONMENTA 1, HEAL -Z (C FOR PERD&T° APPLIC 'TON SUBRfIT" D TO PUTNAM COUNTY HEALTH DEPAR T To: Public Health Director In the chatter of applica 'on. for: 1, VR, -5AV'R sT5 -5-7 c,,,?ero,-j Dot iu Aro coW. repro sent that I am an o Icer or employee of the corporation and am authorized to act for: Nam of Corporation: � "� �° � 7� PA-v" C®" Having offices at: 5 "&,/ Pfv4l /goy, �[oV1 osg Officers Are: I President = 1�Iaane: ( l� J� % lit C '� 1 Address-. Ok 6 1 o 5/ /V /nl & 7'1 Vice President - ?lame: Address: Secretary -Name: _.._..._.. A3dress. Treasurer - -Name: Address: aced that I am and will be i to the approval requested to before arse this d®8ai Publ' i AMY L KEVIN ,XOTMP 11C, eLm OF N QUALIFIED IN PUTNAM CO No.01KL5065176 MY COMMISSION EXPIRES Form CA-97 >, s ,idually responsible for any an X11 a the rporation with all subsequent acts relating th r�to. e Side _ Title: day of I (year) U Corporate Seal .j IN-SITE ENGINEERING, SURVEYING & .;:' ,: �' " --' A'Q;; Sn n-�:� � d• ^!`'�d �:- „�'�,-T� �.� � � �.:, � , .. ' �R°°t' y'I,1 �: ►� q .. _ �..... 1'.' ^„"`• i.°t r °.Jl'%p� . •...rr viw�'rg +r, ; q ra...•�' v -o . 'id i.. :..i• E g . �:v i'F flii` 24"A .ii "G.••:•- C��:... 1485 Route 22 (914) 278 -4990 Brewster, New York 10509 (914) 278 -6392 7 Del-avergne Avenue (914) 297 -1742 Wappingers Falls, New York 12590 TO: P, G , /-/, e Date: 3— ej I Job No. f1ZY27, 03 Attn: 110!4 rj _51 Re: 4-�?-AI6 A jF;5;M) 5 4-a T 3 WE ARE SENDING YOU 9CAttached ❑ Under separate cover via the following items: ❑ Shop Drawings Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of Letter ❑ Change Order ❑ �. _ .. ... '; '..- �. «r'iE`rn, a�en:�rTen'� �GV..�ni± F+olriw., ` '. ., .. . ' ...._ ...... ... _ c . _..'_. •. " ... .L .. .` . .. 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 ❑ REMARKS: COPY TO: Lot98.dot SIGNED: IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE .. .,rte ---.; ��..� < •:�� � _,_, � ,,,,.�.... _ L-7Iv alivE 1'* c3, �soF� LANDSCA PEA RCH/TECTURE, P.C. April 1, 1999 Mr. Adam Stiebeling Assistant Public Health Engineer Putnam County Health Department 1 Geneva Road - Brewster, New York 10509 RE: Lincar Estates Lot 3 Tax Map No. 73.18 -1 -49 Dear Mr. Stiebeling: The pnclosed plans have been revised according to your March 12, 1999, memo. Responses to your com ents are as follows: Enclosed please find a copy of the Town of Putnam Valley Wetland Permit Waiver for the subject property. • See enclosed well access drive sketch for topography and access leading down to and around the area of the proposed well. • A note has been_placed on the flow diffuser detail noting the separation distance of ten feet as shown on the plan. • The flow diffuser detail has been revised to read, "3/4" to 1 -1/2" clean crused stone or washed gravel." • A fill section detail is shown on the fill plan. • The grading around the pump pit has been revised to show adequate cover. • Note #28 has been underlined and the expansion flow diffuser has been dashed and labeled to differentiate between primary and expansion. Putnam County Health Department Waivers are requested for the following items: o The 100 -foot restrictive sefrjack to wateris to tie' "m`easurea rrdiii tnei7�w °uifitrur lrt��c��, aFid -° .t.. _ not from the toe of the fill pad. 0 Use of low- profile flow diffusors in lieu of conventional absorption trenches. 0 50% expansion area. • Greater than 3 -1/2 feet of fill for grading purposes. • Minimum center to center separation distance of 10 feet between flow diffusors, not 24 feet as required by the current code. Should you have any questions, please feel free to contact our office. Very truly yours, INSITE ENGINEERING, SURVEYING & LANDSCAPE ARCHITECTURE, P.C. Jeff re elmo, E. i ng er JJC /jms Enclosures Insite File No. 92127.303 92127 L3.doc 1485 Route 22, Brewster, New York 10509 (914) 278 -4990 Fax: (914) 278 -6392 ❑ 7 DeLavergne Avenue, Wappingers Falls, Now York 12590 (914) 297 -1742 www. insite -eng. com w.,'..n.:�...,.A. -i b .e r.`.r:.'�iw�x...r.,rr "",'3iea; �. .�a: _��r. %�- :�'.�•. .y.. .D. .. +Y'.�9."'�- '�'Pr'� \r `TOWN Off, PU'�lMiAN� W PERMIT WAIVER CHAPTER 144: Freshwater Wetlands, Watercourses and Waterbodies Ordinance of the Town of Putnam Valley, New York. The Town Wetlands Inspector, as Approval Authority, has determined that the proposed,action will not have a significant environmental impact. Therefore, a PERMIT WAIVER is granted subject to the conditions noted below. DATE PERMIT ISSUED: DATE PERMIT EXPIRES: APPLICANT /SPONSOR March 17, 1999 March 17, 2000 37 Croton Dam Road Corp 37 Croton Dam Road Ossining, New York 10562 Insite Engineering, Surveying & Landscape Architecture, R.C. (agent) - 1485 Route 22 Brewster, NY 10509 Attn.- John M. Watson ;pF�>?El3TY �.00ATIOI�T: _ Li�car,rs *ates TAX MAP #: 73.- 18 -1 -49 SIZE OF PARCEL: 3.305 acre ZONING: R -2 PROPOSED ACTION: Construction of Single Family Residence, Driveway, SSDS, and Well within wetlands buffer to existing pond MATERIALS REVIEWED: 1.. Application Materials, file # WT -288, dated 2 -8 -99, ref6rred 2- 18 -99. 2. Construction Drawing for Lincar Estates, Lot 3, as prepared by Insite Engineering, dated 4-11-94, last revised 2- 18 -99. DATE OF SITE INSPECTION: March 05, 1999 CONDITIONS OF PERMIT: 1. All work to be performed in accordance with the above referenced plans. Page 1 of 2 linrarestsWpw Z. erosion and sediment' coii`tiols shall lie ffi�plai;e pri'tiiitidre;� J~Y��� f- �r F''L.•;:`�:; construction/grading work. Erosion controls to be inspected by Building Inspector prior to commencement of construction activities. All erosion controls must be maintained properly throughout the construction process, and remain in place, until final site inspections for compliance with conditions of permit have been completed. 3. The Building Inspector shall be notified once erosion control measures are in place and at least 48 hours prior to the initiation of any site work. 4. The Planning Board, Wetlands Inspector, and/or Building Inspector, shaThave the right to inspect the project from time to time. 5. The permit shall be prominently displayed at the project site during the undertaking of the activities authorized by the permit. 6. An additional escrow account in the amount of $ 300 must be established with the Town before this Permit Waiver can be considered validated. These additional escrow funds will be appropriated as required for construction monitoring purposes. Any portion of the - account not used during the project monitoring period shall be returned to the applicant upon satisfactory completion of the project. Noncompliance with the conditions above will invalidate this Fermit Waiver, and may result in a Notice of Violation and /or a Stop Work Order. Any questions regarding this Permit Waiver should be directed to the Town Wetlands Inspector (914) 762 -7288, or the office of the Building Inspector (914) 526 -2377• 1;atePeiti�v';�iverPre ed^ S61 P lu� W. Stephen W. Coleman Town Wetlands Inspector cc: Applicant/Agent Building Inspector Planning Board Environmental Commission Page 2 of 2 fin=est m3pw Public Health Director March 12, 1999 - i:ux' ] r A 'i<%ii7LINA 11CN., M.S.N. Associate Public Health Director Director' of Patient Services DEPARTMENT OF HEALTH I Geneva Road Brewster, New, York 10.509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Mr. John Watson Insite Engineering Route 22 Brewster, New York 10509 Re: Lincar I, Lot #3 TM# 73,18 -1 -49, (T) Putnam Valley Dear Mr. Watson: This office has; received and reviewed the most recent set of plans for the above mentioned project.. We would like to offer the following comments for your consideration. Plans iJ 1. Prior to final approval, please provide proof of wetlands permit. A wetlands permit will for hia- lot.d" P t -: the, fact th at ..- •~ Fill is within 100' buffer of the pond. • Well is within 100' buffer of the pond. 2. Provide topo leading down to and around the area of the well. 3. Provide means of access to drill and service the proposed well. Details 1. Please place a note on the flow diffuser detail noting separation of ten (10) feet, as shown on plan. Edit detail to read "3/4 to 1 '/z in. clean crushed stone or washed gravel ". Provide fill section detail on fill plan. Provide an access to grade over pump chamber detail. 5. Please highlight Note # 28 for use as expansion. Variances/Regulations Waivers 1. Restrictive distances to begin at start of trench, not toe -of -slope of fill. 2. Use of flow diffusers. b F�rti'. -J. .ice.. _ . ... a_ e. �..�...b.:q:.D•"'e..`a+.n�w`f'y ee r:eiv�Yi �.:,ri -` m./u;,i�i.Ti7'n�r::T sQlrri.�wr •QJ.�_. �. ..i _ ._.. .p :-n .s .e..ir'h+��.ass•.'+i1 i_'ri�it.... �.+.M��4n-.r Insite Engineering Lincar I, Lot 3 March 12, 1999 3. Use of only 50% expansion 4. Greater than 3 Meet of fill for guarding purposes. 5. Minimum separation distance of 10 feet, not 24 as required. Please formally request waivers to be required in writing. Specific waivers are discussed at a "Specific Waiver" meeting of this Department. The next regularly scheduled meeting is Tuesday, April 6th, 1999. I will present requests /plans at this meeting. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact us if any questions arise. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE _S&WAGF- T,REATNIENT SYS i an�ac>. �C" if. .�••rt'•a+r.:- :c.�ac-'v....nw :i:u •.'iu'kLu..:'cti- rip- j=1."�iL rV •�i ILGI IV�(.. V:\ k .� '- L Lvr r STREET LOCATION G �` NAME OF *VNER t Gtr REVIEWED BY / DATE TAX 151AP /# L Y 0/ DOCUMENTS Y PERMIT APPLIC7.. PC -I WELL PERMIT - PWS LETTER LETTER OF AUTHORIZATION D GN DATA SHEET (DDS) ,�,yT lieu ORPORATE RESOLUTION SHORT EAF PLANS - THREE SETS HOUSE PLANS - TWO SETS VARIANCE REQUEST Ves: r FEE �Cn e� -01 FF SUBDIVISION LEGAL SUBDIVISION, SUBDIVISION APPROVAL CHECKED PERC RATE G t� LPTH KO t{ KREQUIRED CURTAIN DRAIN REQUIRED STANDPIPES GENERAL LQEATED IN NYC WATERSHED EROSION CONTROL:HOUSE,WELL, SSDS VOLUM PERC & DEEP HOLES LOCATED �fl FILL IN EXPANSION AREA r i-- REPRESENTATIVE OF PRIMARY & EXPANSION L CATION MAP L F AREA: SHOWN• GRITY FLO F.SIZ PARALLEL TO CONTOURS IF PUMPED, PIT & D BOX SH DETAILED 100% EXPANSION PROVIDED HOUSE -NO.OF BEDROOM 3 SEPARATION DISTANCES SPECIFIED WELLS & SSDS'S W/IN .200' OPOSED SYS. ON PLAN - FROM SSTS PROPERTY METES & BOUNDS 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL 14OUSE SETBACK NECESSARY (TIGHT LOT) 20' TO FOUNDATION WALLS _15'WELL TO PL MOUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE 0' TO WELL, 200' IN DLOD, I50' PITS NO BENDS; MAX.BENDS 45° W /CLEANOUT I00' TO STREAM WATERCOURSE LAKE (inc. expan �✓ „ FILL SYSTEMS CLAY BARRIER r U l 10- FT. HORIZONTAL;SLOPE 3:1 TO GRADE I C7 FILL SPECS FILL NOTES JILL CERTIFICATION NOTE PROFILE & S SUBMITTED TO DEP VOLUM LEGATED TO PCHD �fl FILL IN EXPANSION AREA r i-- —10 DEP APPROVAL, IF REQ'D LF "1NinililiVlLl;i1 OUtI MAJC. P CS WITNESSED, IF REQ'D PARALLEL TO CONTOURS /"EX-APPROVAL SSDS ADJ. LOTS 100% EXPANSION PROVIDED WETLA /DEC PERMIT REQ'D ?) SEPARATION DISTANCES SPECIFIED D A ON DDS PLANS & PERMIT SAIME ON PLAN - FROM SSTS PRE 1969 NEIG OR NOTIFICATION 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL LETTER 20' TO FOUNDATION WALLS _15'WELL TO PL 100 YR FLOOD ELEVATION 0' TO WELL, 200' IN DLOD, I50' PITS R REQ'D PERMIT(S) I00' TO STREAM WATERCOURSE LAKE (inc. expan �✓ REQUIRED DETAILS ON PLANS 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER SEWAGE SYSTEM PLAN - (NORTH ARROW) l0' TO WATER LINE (pits -20') S DS HYDRAULIC PROFILE_GRAVITY FLOW 50' INTERMITTENT DRAINAGE COT CONSTRUCTION NOTES 07500' RESERVOIR, ETC. 15GALLEY SYSTEMS SIGN DATA: PERC & DEEP RESULTS -71 in to CDS= >5 %,10'- 4 %,25'- 3 %,30'- 2 %,35' -1 %,100' - <1% CONTOURS EXISTING & PROPOSED B120'min to CD discharge /100'with 182 cons day discharge DRIVEWAY & SLOPES, CUT SEPTICTANK FOOTING /GUTTER/CURTAIN DRAINS m 10' FROM FOUNDATION; 50' TO WELL COMiVIENTS: Ac_r t FORM ST -2 DEPARTMENT OF HEALTH Division of Environmental Health Services 110 .OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 ,.+... _ . i _.. ... .. - .. _ _ _ .... .. � _' ]. ...0 4 a":.. ..rte a. _ .•. _ .. .. _ , APPLICATION TO CONSTRUCT A WATER WELL �/` q' PCHD PERMIT # /,/� - &'1 WELL LOCATION Street Address ch=i � Town Village Nt VAL Cit Tax Grid Number 3,116-k- .WELL OWNER Name Mailing Address LIW4W DEVELppp1EN CO. iNC LiftPlY . Li LE FEM XPrivate O Public USE OF WELL ®- primary 2 - secondary RESIDENTIAL BUSINESS © INDUSTRIAL 1 ® PUBLIC SUPPLY ® AIR /COND /HEAT PUMP ABANDONED ® FARM O TEST /OBSERVATION 0 OTHER (specify O INSTITUTIONAL ® STAND -BY ®. AMOUNT OF USE YIELD SOUGHT S gpm /# PEOPLE SERVED f /EST. 13 REPLACE EXISTING SUPPLY ® TEST/ OBSERVATION %NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL OF DAILY USAGE )00 Sag 13-ADDITIONAL SUPPLY REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE DRILLED DRIVEN ®DUG ®GRAVEL UOTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. HATER 'WELL CONTRACTOR: Name -Address:_. IS PUBLIC MATER SUPPLY AVAILABLE TO SITE: YES _NO NAHE OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED VON SEPARATE SHEET 41 (d g ) N (sig at 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 thirt,! (30) days of the completion of water well construction,, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or other ise contamina a surface or groundwater. Date of Issue: .0/2�_ 19 4 Date of Expiration 19 7'O Permit Issuing /Of ici 1 5 Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller VUTNAM COUNTY DEPARTMENT OF HEALTH APPLICATION FOR APPROVAL OF PLANS -F6 A' `itAS "I'hW i tK 'U:SPGShL j'IZ: i rri 1. Name and Address of Applicant: LINcA� mE u -opmEoi Cam- jW- W LRE-91Y SfiF-E�1fi 2. " Name of Project: 56E5 FCR LiNC.Ae bEV1✓ -AWMEM 3. Location T /V /C: FW1 4AM V/kLi -EJ Co., IRC, 4. Project Engineer: Eti 1*-EY-1NCa AND f)e6160 tx.5. Address: QOUtE fQ LreFft`( J. C041FILMD CAR11FL., WT 10512 License Number: 6199)1 Phone: -L -&ZCO 6. Type of Project: -4— Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEAR) ?. Type Status (Check,One) Type I.. Exempt Type II. Unlisted_ 8. Is a Draft Environmental Impact Statement (DEIS). required? No 9. Has DEIS been completed and found acceptable by Lead Agency? ........... . N 10. Name of Lead Agency ; -�;a ty',, ^.i.�a_IIrIP�Pf� j;�e`�"o>>Lrpp, i f i.i �i.1Ya. DE O�' I -,7 ct� C' X11 _ 4 4 �c? .J -p'sr,ning,, zonirq P1. F. _. or other officials, ordinances? .............................. .... .`tttC :-VC m1'T'T""-' °"" 12. If so, have plans been submitted to such authorities? .................. _ �40 13. Has preliminary approval been granted by such authorities ?_.O— Date Granted: 14. Type of Sewage Disposal System Discharge...... Surface Water X _Ground Waters 15. If surface water discharge, what is the stream class designation ?........ Nil P, 16. Waters index number (surface) ........... ............................... 141 A 17. Is project located near a public water supply system? No 18. If yes, name of water supply hjJA .Distance to water supply NfA 19. Is project site near.a public sewage collection or��di'sposal system ?..... �© 20. Name of sewage system ��A Distance to sewage system PVT 21. Date observed: my-Noww 23. Name of Health Inspector: LINM N 24. Project design flow (gallons per day) ...... ............................... 600 0 ENGINEERING S S Y P.C. iNSITE UR E ING 7 Del-avergne Avenue (914) 297-1742 Wappingers Falls, New York 12590 TO: /'-HZ:) LETTIP14- OF TRANSWTTAL DATE 09N Sm ATTOM IN V RE: 4-07 3 OF I WE ARE SENDING YOU * Attached ❑ Under separate cover via the following hems: Shop drawings ❑ Prints ❑ Plans ❑ Samples Specifications ❑ Copy of Letter 0 Change order ❑ THESE ARE TRANSMITTED as checked below: For approval Approved as submitted ❑ Resubmit - copies for approval For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS. .............. .. . ..... . .. ....... ....... .................. ..... . .. ......... ......................... - ... .......... ........ ........................... ... ................................. ................... ... .... .. . . ...... .... .. F 4 Insite Engineering & Design, P.C. 1849, Rt. 6 Carmel, NY 10512 <25 -F!1L F� •• '��a� ?2�645�3 4:f} ? v i> , r c TO i�iNAM (�' ,. Tyr 'PrDEA ZTMEV. 1 of R�ALT 14 L FUTE D OF VMRSO OUML DATE, �'- DATE JOB NO. 9st2`I.3c3 _ ''R'i -TEh i {.^.I'� fo c-:. _. u., .�. ... .:a -: :i,•++a.+e'>.+a.a..�i. :�. �F RE: �- dz 3 e- Ln%CA ;L St�'�D1y 1 S1f74� 3 11 q� > WE ARE SENDING YOU �6 Attached ❑ Under.separate cover via the following items: • Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications • Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 3 11 q� Coksta. C Cl,4 WAWING '2 " '-- HOI,I� PUNS /Ytoovua�2, I 6 3 93 LettEi? Ur- AftmAfi oN Ooomit or- ca,-F. aWme"IP _ ..AF?L1CAtCW Fbt- AFPNhL OP a WVC —_ (AAT, 061. L .5Y5t 1. ...... - -- M56ii4 DMA 5HtEl I !r 4 AMCAOOH to OcW,&tPC1 A MU WLU .. -_F THESE ARE TRANSMITTED as checked below: For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution > ❑ As requested REMARKS ❑ For review and comment ❑ FOR BIDS DUE ❑ Returned for corrections n ❑ Return corrected prints 19 ❑ PRINTS RETURNED AFTER LOAN TO US A-io 7E: # 3 60.00 &E PREi rof✓Si_t AA110 CK # 3350 COPY TO SIGNED: It enclosures are not as noted, kindly notify I L 611, ON 24' X 40' ® 960 Sq. Ft. 40' HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; &J Pd BEDROOMS rA4 '73, le- Z7 ►ignature & T" tle STANDARD WESTFORD FEATURES • 3-Spacious Bedrooms o Consult an Authorized Westchester Builder • Country -Style Eat-in Kitchen for a Complete List of Options. • Fireplace Options Available 0 Artist's renderings and Floor Plan Dimensions are approximate. All specifications must be Written in the Contract No oral conditions. W ESTCHESTER M_0D_U_LA_RW0_MES. INC. P.O. Box 900 - Dover Plains, NY 12522 (914) 832-9400 o (800) 832-3888 24' M PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property , of CL, �� 0C. Located at C"aQL A ?VAD 4 PUNAM \4 A LLE� (T)2UNMA - VALIE —section _]� - I& Block I --Lot Subdivision of U10ca Subdv. Lot # Filed Map Date Gentlemen: This letter is to authorize IWEDIIE, U610EERAW 6MD M516W PC a duly licensed professional engineer o r registered architect (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 promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very t Signed Countersigned P.E. , Jt%!ZW. , # jeffi2aNl 0. C04tulmo I?IF—. INNS 261NEMNO AND 1)E51614_XC- Address Telephone ess U-MLE FE9?,-/, WE !I b43 Town I I 2D1-44Q--4-1x Telephone t PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services rynn.w^;/ t•.'...ai_. -. ris' -4. a.'i':�?..: G;:.:..;•..sr.d"Si , v•.,%'_' '4 _ ,•`y,r.� -._. �r_.._.�.. .,_ ._ _ __ AFFIDAVIT - CORPORATE I OWN, F=R'APP FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Commissioner of Health In the matter of application for: L�1�CA� Dt>jF'Uo?MEjqt CO. �] NC l4,Yc��e :50,m/t/ r rr 3 a I, WAALD represent that I am an officer or employee of the corporation and am authorized to act for .l, ame of Corporation having offices at . 2,9j1 L)# L& 'FERNY, OLD 1 -7 (pg3 Whose officers are: President: Donald Nuckel 281 Liberty Street Little Ferry, NJ 076.43 (Name and Address) Vice - President: (Name and Address) Secretary: (;lame and Address) Treasurer: (Name and Address) and that I am and will be individually responsible fi corporation with respect to the approval requested ai thereto. Sworn to before me this day o f V. Ce i7 19 � Nota:? Public ARLENE FAUSTINI NOTARY PUBLIC OF NEW JERSE{f My emission Expires ,June 24, 1g" F,'S' Sianed Title: 0 Corporate beat I �I _ INSITE�o SURVEYING F C .. _ �, ::� ... ^.. � rte..- r.�:;iU•�•x.�:':" �' .. ,. .,. ... .. .. y .. . , r.. ,_ _. ... .•-'� .":r I ��a��'C�i?i�;<,.: � ._ PUMP PIT DESIGN FOR SSDS FOR LINCAR DEVELOPMENT CO., INC. Lot 3 of the Lincar Subdivision Design Flow = 600 gallons per day Use peak hourly flow 10 times average daily flow Opeak = 600 10 = 4.2 gpm (24)(60) Static Head = ±26 feet C = 150 d = 2" L _ ±160 feet GPM = 42 gpm Equivalent L (Bend & Valve Losses) _ ±50 feet Total L = ±210 feet �. HI = 10.44(Total L)(GPM)1.85 = 7 feet 01.85 d4.87 Total Dynamic Head (26 feet + 7 feet) = 33 feet Use Gould Pump model #3885 Series WE05H 1/2 HP. This pump will pump 42 GPM with a total dynamic head of 33 feet. 92129.30Foute 22, Brewster, New York zo5o9 (914) 278-499° 0 7 DeLavergne Avenue, Wappingers Falls, New York 12590 (94) 297-1742 Fax: (01A) 278 -6 302 Goulds ful, 1� ETL LISTED SUBMERSIBLE PUMP CLASS I AND 11 DIV. 2 AND GI086131480 CLASS III DIV. I AND 2 ETL TESTING LABORATORIES, INC. CORTLAND. NEW YORK 13045 �_2 APPLICATIONS o Motor: Single Phase: 1/3HP,,l 15 or FEATURES, 230V 60 Hz, 1750 RPM Specifically designed for the Impeller: Cast iron, semi-open, 1/2,HP, 115V, 60 Hz, 3500 RPM following uses- non-clog with pump-out vanes for 1/21HP thru 1 1/2HP, .230V, 60 Hz, 0 Homes mechanical seal protection. Balanced 3500 RPM o Farms for smooth operation., Bronze Built-in overload with automatic o Trailer Courts impeller available as an option. o Motels reset Casing: Cast iron volute type for Class B insulation 0 Schools maximum efficiency. 2"NPT 0 Three Phase: 1/2 -HP thru 11/2 HP o Hosptitals 208/23OV, 460V, 60 Hz, discharge adaptable for slide rail o Industry systems. 3500 RPM 0 Effluent Systems Mechanical Seal: Ceramic vs Class !3 isulatrc►n overload ca,-bdrrsealin i fa-,es Stainless stee!• ion must"bel ..p- . 6 v i ad 'a di metal pgr ,UUA-7hl'elaitomers. stain ess steel starter unit Shaft: Corirosion-resistant`.. SPECIFICATION 40 © Shaft: Threaked, d 0 series "stain less steel. Threaded design. . Lockriut on three phase models to Bdarings-Ball bearings upper guar a -d against component ent 0 Eblid"s Handling Capa'bilities:.�," n an lower; 3/,. Is n a ci Maximum 6 'dental reverse rotation' m P aridq�d ® � , Power foot standard Fully submerged in high- Discharge size 2" _NPT Moto length GPM o grade turbine oil for lubrication and apacities:.Vp to:�j 1.4. available) '%arid %HP-16/� 0 Total Heads: Up to 123 Feet TDH I.". _ , -,'. efficient heat transfer. hgle Phase: - Designed for o Medhanical'S SjTb twit with three prong p1ug,-'_.'1, re Operation� Pump ratings a' Carb6n-Rotar '-Seat/Ceramic-_-.. P m V4th r6 1 1/2HP 14/3 STO with ,y Seat tationary within the m'ot6r.manufacturee's ` bare leads - 300 Series Stain'16ss Steel Meta recommended working limits,' can Three Phase:' /2 'thru 1' /2 'H P-1 4/4 Parts 'BUNA-N basit6mers continuously without e S age. STO With bar lead dam Temperature: 1606E oTem . ........ 66 cSA listed 'Models �', I " t Bearings. Up er and Lower heavy Maximum `.` .,� , .,- -.:', �' ' length.SJTW and STW are 0 Fasteners: 300 Series Stainless duly ball bearing construction. standard. �N Steel Power Cable: Severe duty rated,' Without 0 Capable of.Runnihg Dry oil and water resistant. Epoxy seal Damage to -Components on motor -end provides secondary k, ,,...moisture barrier in case of outer jacket damage and to prevent oil wicking. .0-Ring: Assures positive sealing against contaminants and oil leakage. - in'). r1_11- D 1 FffPt;v- December. 1991 FEATURES Impeller 3.' Mechanical -- Seal 4. Shaft 5. Motor 6. Bearings Upper & Lower 7. Power cable 8.O -Ring Goulds emble- uent Pumps .38.85 A ;PERFORMANCE RATINGS (Gallons Per Minute) WE0511H WE0$111HH :Series WE0512H. WE0712H WE1012H WE1512H W.E0512HH WE1512HH WE0311L WE0311M WE0532H WE0732H WE1032H WE1532H WE.0532HH WE1532HH DOW WE0312L iVE0312M WE0534H WE07341H WE111134H WE1534H WE0534HH W HP '14 'A 1/1 % . 1% `:1/2 1'A 2 MODELS �-:RPM 1750 ;11750 `:3500 3500 3500 3500 3500 3500. 5 100 , ,,70 80 90 106 -`60 -, Series HP Volts Phase Max.Amp. RPM Solids wt. 10 80 65 .76. 87 102 112 -56 84:,' VVE031 1 L 115 9.4 15 60 el:W- -�:�:72 84 -:100 108' 53 82, 4. 05 '230 7 20 3 A5 79 --A5 WE0312L 01 5 6 3 6 9.4 ..... 9, :91 .100 75 .,.,�;WE0311141 -25� J 15 74 4.7 -67 96 0 72 WE0312M 230 30 1:35 115 13.0 ,;;Ip ...WE051 I H 35 '..40. :61 �79 92 35 70 io 26 86, -�!..30 6.5 -',72 67 W 230 E0512 52 34 .10 43 80..*-L,-,-..�j,`,,,25 64 - ,,-WE05321-1 .208/230 .45 3 :460 --,-7 60 1.7 30 .',;54 ,:WE0534H 1h to - 50 ': 130 z.,fflE051 1 HH '- .1 t.l. , --f ' -.17 A2' 58 .1151 55 G 5- ...54 WE05 9 " I --i- -RH X 6 .3 '40`:` :I�i'WE05321-11-1 20W30 :"IL' 33 65 -460.. 165 70 '15' ""26 47 i, 1�VE05341-11-1 �7 14 d"' 10.0 75 RKi%;WE-07121-1 230 'l 4 :-,5, WE0732 54 '208/230 H 4 -3500 80 40 P,�' `>x$-WE07341-1 -460 2.7 70 go 33-4 ' i oo 24.1N f 012H 230 12.5 0 -110 8 15 7. 'N' -�.WE1 032H .2081230 � � 71 3 T7 5 - 5 H w -4 -:V": 3. ��T20 Ell 034 JI 7- E 15 12 H ',�'230"")' -Y 15.0 0 942 T" .7. 7" -,-F-iWE1 532H DIMENSIONS 1534H 4.6 23Q _r, E1512HH 15.0 dimensions iiii'lodhei) IX ` 20021 U Do not use for construction u :6'�WEI 532HH 10 92 'j, J. - ...- I 'Purpo 4.6 %460,,.;.� , R!4, 1E1534HH J,- -'Z 211 5 '14 EFFLUENT JECTOR SYSTEM 15, kR 0 5 Package Includes: '�c 1%21, Ni q t -Effluent elector Sys em . Submersible Effluent Pump, .4 P-az. WE031 1 L, 121L or WE031 1 M, A offers, ease of ordering PT 12M,'WEOM 1 HH, 12HIA :and Installation. A single ............ M&66ry Level Control Switch lirdering number specifies A2 -5 :(115V),'A2-6(230V).1.' err -a complete syst I Ba�lh A7-i8ois �1�1 lkl.�, K 4 0 a6n Check Valve B Cov�r A8-1822 designed for most rest 31/4" A9 2P :iien,tial and commercial sump and effluent PUMP 'Order No.: SWE031 I L KICK BACK ' SWE.0312L, 8 ..applications. % and 1 HP: 15- except for model WE071 0 2M, /3 SWt 311 M, SWE031 Available certific- 6i: C Canadian I HH, SWE0512HH 8- - liab" at HP 1 "A C -,a Association Testl6g Uboralorles r(Fl� 0nrr'IrIr- A T11)P le ADC 01 IP MrrT Tn f:W Ik I,Ir.1P IAFVTwf)f IT W)TlInF 00MITrM I? I I1 0 A 120 90 25- 110 80 Performance 100 30 - 70 90 20- 25-- 80 60 0 70 20- 50 60 15- 0 METERS FEET 40 10- 120 90 25- 110 80 100 30 - 70 90 20- 25-- 80 60 0 70 20- 50 60 15- 0 40 10- 15- 30 20 40 5- 10- 30 10 0- 20 0 120 0 10 20 30 40 50 60 70 80 90 100 - 110 120 GPM L L -j 0 10 20 30 m3/h CAPACITY 110 100 30 - 90 25-- 80 70 20- 60 0 15- 50 40 10- 30 20 5- 10 0 0 0 10 20 30 40 50 60 70 80 90 100 - 110 120 GPM L L -j 0 10 20 30 m3/h CAPACITY MODEL 3885 �IZE ..?4"..S1li.1. s� NNW 0 10 20 30 40 50 60 70 80 90 100 - 110 120 GPM L L -j 0 10 20 30 m3/h CAPACITY co AWA \ x 1'3 -C, cl-7. Z- � 6� coo 6- _./ 7 7_ * 4 "L" F O - DUC DISSIPATOR 4.. 111.5" -Flow Line rA' 10" Dia. Clean out Lids (Opt.) 81 TOP VIEW .3/8" Slots 4_ a: SIDE SELECTION cm Inspection Lid 16"x8" 41 v 8" 1 . x 3" 14"1 511 END SELECTION K.O.'s For Bed. 1 914-265-3265 7J IV PUrM COUNTY DEPARDOU OF HEALTH DIVISION OF ENVIRONMENM HEALTH SERVICES Owner CtAlcm_ pEv. co. =ryg. Address _22t i-teen-ly sr Lln%X aMt AAT /*7ef3 Located at (Street.) Sec., L 7. Block Lot (indicate nearest cross street) Municipality PSI 401 UAU_tZ' Watershed AU456AI PIVA?Z SOIL PERCOLATION TEST DATA. REX= TO BE SUER-9= WITH APPLICATIONS Date of Pre-Soaking. S jb a Date of Percolation Test 7 If HOLE 3 NUMBER CI= TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In' Riches Soil Rate Start-Stop Min. Start stop Drop In Min/In Drop Inches Inches Inches 1 9:10 - 7.,Zl 20 2 Z'7 3 3 2,7 4 5 2 1:15- 71-30 1-5 3 7.1419 17 2-1. 4 161. 66 5/0:6"7 2,1 2 5 3 .4. 5 N=S: 1. Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to'be submitted for review. 2. Depth measurements to be made frcm top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES G.L. fiL'i' S y 1° 2° 3° 40 WVSL- 51 61 1 111W III E IN x- 79 2oc g- & , 9° 10° 11° 12° 13° ,V 14° - ... - = i . n C t+. !. F. .. � �.,'s+• :y .-. . . ... -..... b n. ... .- • s.... . . r Y. .. . .... s s - . r - -. z� ..•....�.�..+�..6.-- w..w -..�.� •e ♦ n . ' ..^ INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED A� INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: DATE: DESIGN Soil Rate Used 30 Min /1" Drop: S.D. Usable�'Area .Provided R' 36d&I S. f, Noe of Bedrooms 3 Septic Tank Capacity - / ®B® _gals. Type co 44MIT Absorption Area Provided By L.F. x rA,0F1L V 4,0E uso&s � dMGC.�� YA9STd Other / �� �i�-�- 0aen'P Piz" �c ���•- � w}o� Name e7v&/i✓gLj12dA,,6o f-S&A4&W - -C Signature L ,s. Address SEAL ! los-cz CFO 61931 �FESStCJaj THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved . sq.ft/galo Checked by Date D Ii QD Iv 8 LDER RO O F� RODRIGUEZ N 62 '45 "E lox LE OF "64F-R ? iP4 _ .... HE6Ht -� _ _ "'77, LOT 3 AREA .3.305 ACRES P 0 N D ACU56 Div v P PP4�lp 7 I OSl 1 '57'15"W 20.00' 5-00, ..57. '05'36"W 35.00' 1485 Route 22 UNOSCAPE ARCN /TECTURE, P. C. 9 z-