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Home My WebLink About3494DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.20 -1 -20 BOX 28 03494 ■ ., ` , ��T r it I, 03494 PUTNAM COUNTY DEPARTMENT OF HEAL R0�T.1 %4FN'T A T ..ztom . i . 1. i�� CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATN PCHD CONSTRUCTION PERMIT # A — — 05 Located at 60 6on'1af251%f Lftk, l) or Village PU'l7Vft tYu irM Owner /Applicant Name lom � Jpiv Cfo#vft0 Tax Map 3d20 Block 4 Lot 20 Formerly Subdivision Name &ELTiov A or` Pon ft ASS z Subd. Lot # 15 Mailing Address 60 604n F 2SF T I-ftN E PUT IV" IV" Vft.4,6 q , /V Y Zip ID5 :76-) Date Construction Permit Issued by PCHD Separate Sewerage System built by FRP*k b 2A NC F_ Address q&& l,r.-xiivu rarti Avg. MT uxv N 05y� Consisting of 12.50 Gallon Septic Tank and �CD `�� yF bujDF, 4tef rL Other Requirements: ' Water Supply: Public Supply From_ Address or: Private Supply Drilled by EX 157 41 W r-- tL- Address vEA 1 %!"tiL pas ero�lJti WIl'uvl lic3,i : viiij�,��n. y Number of Bedrooms Ll Has garbage grinder been installed? N��t I certify that the system(s), as listed, serving the abov 's vex s cted essentially as shown on the as- built plans (copies of which are attached), in accor tl d Construction Permit and approved Tans and the standards, rules and regulations o am ep�„,' t of Health. tiS,I = 1 Date: — 2 - 0 ,'7 Certified by G '�� >' P.E. V R.A. (Desig `� "sional;Address ,Z -. owe LV19L6N LUA, �F "�Aticense # n to 2 q Q Any person occupying premises served by the above system(s) shah 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, modification or change is necessary. B Title: Date: 1-1113 0 7 copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE T'REAT'MENT SYSTEM. Owner or Purchaser of Building Buildinat 6-ristiucted.-b �— �70 Ivorel3Z7_ �,QOe, Location - Street :51jV1,4 fign Building Type 73� �t v to Tax Map Block Lot TownNillage Subdivision Name I 5 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 `villful or negligent act of the occupant of the building utilizing the system. - The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Month-02- Year ?Ao4+ Signature: / fir Title: Gene a Contract r ( caner) - Signature �— Corporation Name (if corporation) Corporation Name (if corporation) Address: Address: State Zip State Zip Form GS -97 I ETTER OF TRANSMITTAL %i• ., �6._,,;:a: -'��<:s v:i-s% .a" Js�. a i• .- . i n.- b.�+ew..'ai��. +'v .�= .:..YV V� :..�- +..::,e : j., ...c.,.:- a ......•.._.�- .:...� . e :esi i�' . CRONIN ENGINEERING P.E., P.C. The Lindy Building; Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 914 - 736 -3664 Fax 914 - 736 -3693 Joseph S. Paravati, Jr. Assistant Public Health Engineer Putnam County Department of Health 1 Geneva Road Brewster, N.Y. 10509 RE: SSTS Construction Compliance Tom and Jennifer Leonard "Putnam Acres" Lot 15 50S omerset Lane Town of Putnam Valley, NY 10579 THESE ARE TRANSMITTED as checked below: April 9, 2007 ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY WE A1;.E WIDENG YOU attached 1.) Three revised copies of as -built subsurface sewage treatment system plan Upon consideration of your letter dated March 8, 2007 the following comments have been addressed: . 1. As -built dimensions for all the trench ends are shown as requested 2. Addition has been built and is labeled as existing along with dimensions to the property lines as requested. Should you have any questions or require additional information, please contact me at the above number. Thank you for your time and assistance in this matter. �ubmitted, W. Teed SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 March 8, 2007 James W. Teed Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, NY 10566 Re: Completed Compliance — Leonard 50 Somerset Lane (T) Putnam Valley, TM# 73.20 -1 -20 Dear Mr. Teed: ROBERT I BON ®1 County Executive ROBERT MORRIS, PE Director of Environmental Health 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 review and consideration. 1. The as -built dimensions for all the trench ends are required. 2. If the addition is built, it shouldn't be labeled as proposed and a dimension from the addition corner to the aroaertv line should br, vi,ovided. This office will continue its review upon consideration of the above - mentioned comments. Please feel free to contact me at est. 2157 if any questions arise. JSP/kly Very truly yours, (t�ph GS. Paravati, Jr. Assistant Public Health Engineer Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 09/28/2006 23:05 9147363693 CRONIN ENGINEERING 1 PAGE 01 PoWe doff D&WW OWNMSNAMF,: TAX MAP NUMB E911 ADDRESS: LOA, M -- jj#7 I,",I A:*4j$j!JZ] DEPARTMENT OF EM ICMMR04 BnMvw'xvwy4 278.Ml WIC (MS) 278 -1 (149) 278.6016 1 4 .1 zo zo FAT, ZMIMA *-4h.01MARM 1-Mg, KM Am;oai�e. PAW MWO MWMW* ' alto w *I p4dw $0,11M LTH ;low 5)278-Ml IWOMM-im 00278 -U48 D - DATE: 71a t The Putnam County Department of Hub anal not am of womadon compoonce unieu the abm fomis cornploK i.e., a IMA E9i I address =ipWby&naut1tod=dtmvo 'W%t' offieW. This !'arm is to be admnined with the appHcation for a wtfficmc of Constwedw compfinow• (Eglivatim) YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 Albert H. Padovani, Director LAB #: 1.606122 CLIENT #: 59729 NON STAT PROC PAGE: 1 LEONARD, TOM DATE /TIME TAKEN: 10/04/06 12:OOP 50 SOMERSET LANE 1 DATE /TIME REC'D.: 10/04/06 12:02P PUTNAM VALLEY, NY 10579 REPORT DATE: 10/05/06. PHONE: (914) - 469 -5051 SAMPLING SITE: 50 SOMERSET LANE, PUTNAM COLD BY: TOM LEONARD NOTES...: KIT TAP DATE Fj,AG.. PROCEDURE VALLEY,NY 10579 SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE:.; <20 >40C COLIFORM METH: MF RESULT NORMAL - RANGE METHOD 10/04/06 MF T. COLIFORM ABSENT ML ABSENT COMMENTS: i BACT THESE RESULTS INDICATE THAT THE WATER, (WAS) (WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDIk —TCr THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. 1008 SUBMITTED BY: Director ELAP$# 10323 bAQA7b7bTf LETTER OF TRANSMITTAL I' •0.6- .'.'s�a+a ..�w.F': '... 'v n.e o. °a.Qa- (a::�i. _ez., .. _.> .�... �..s -�.. -. .: .., ;r,�v:.4 w - "wo .�z�s' -' .. � 'tira.��.a. �- mai`v• ' .. .a. .s.. •e'..a- ni.: -� -$v CRONIN ENGINEERING P.E., P.C. The Lindy Building; Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 914 - 736 -3664 Fax 914 - 736 -3693 Joseph S. Paravati, Jr. Assistant Public Health Engineer Putnam County Department of Health 1 Geneva Road Brewster, N.Y., 10509 RE: SSTS Construction Compliance Tom and Jennifer Leonard "Putnam Acres" Lot 15 50 Somerset Lane Town of Putnam Valley, NY 10579 THESE ARE TRANSMITTED as checked below: February 26, 2007 ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY } WE ARE SIZE. : �9U attache, .r 1.) Three copies of as -built subsurface sewage treatment system plan d 2.) Three certificates of the construction compliance. ts3.) Three guaranties of SSTS ►•°4.) Copy of survey showing foundation location vS.) E911 address verification form 6.) $300 certified check for application fee. 7.) Bacteriological Water analysis report Should you have any questions or require additional information, please contact me at the above number. Thank you for your time and assistance in this matter. W. Teed 09/26/2006 23:20 9147363693 CRONIN ENGINEERING 1 PAGE 01 c. %a _, , _ �.- yi�«+e�:L >X- .n`�YrT_- o;i.,:" °.cr`.�.Cf�' %zr.- R R, ,- ..� -�5=,; _ ,. n.s:.�- ::i -r�, e 7aia :•� .. in iaf<i:. aAa.y�a: �s�a, >�= �';v= d�iia':,e-,., ':� .: '4"r.�• n PUTNAM COUNTY DEPARTMENT O] DMSION OF ENVIRONMENTAL KEALI A'li`TENnON °° ® GENE l OUE5 -FOR FINAL INSPECTION For: All information must be fully completed prior to any inspections being made. PCHD Construction Permit # " '43d.,65 .e Located: LAt49 Owner /Applicant Name. LAM &Mfg TN Formerly: Subdivision Name Subdivision Lot # _ Is system fill completed? - � M Dati Is system complete? 116 Dat( Is system constructed as.per plans? 16_ Is well drilled? _ Date Is wed located as per plans? Are erosion control measures in place? . I certify that the system(s), as listed, at the above premises has been and verified their completion in accordance with . the- issued HEALTH X SEIBVIICES Fin Trenches BIock � Lot _ Z b ... ..:. PP_rave ..plans as t .Star •It�a ?es srd I'.€� th P. s ..� .. � ,. Date: Q-4-"- OL Certified by: Desk Prof si Address- Comments: Form -99 �r eructed and I ha -4e inspected D Construction. Permit and Qopnty "XDe.°tmet T RA onil Lie. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION .2'u'EiuL: �. � .._V��.1'� ?:r�7! /Y�•71.r'%v��: �• ^T; •.�-OY ...' _��'r. -.'J�C�uVi'� . Town Ve Tn 6 D� W, TM # 7g. �a n — Date: Permit # A –3.5e -,OS 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.... . ............................... 11 Sewage System a. Septic tank size- 1,000 ...:.....1,250. ...other ................ b. 'S eptic tank installed level ........................ .............. .. c. 10' minimum from foundation .......... ............................... d. Distribution Box 1. All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. .. Minimum 2 fft.Original soil between box & trenches e. Junction Bog - .properly set .......... ............................... 6. es Le ' � / 1. Length required � Length installed ��7"z- 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 he - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100 % ......................... 8.` Size of gravel',3 /4 - 11/2' diameter clean ...................: 9. Depth of gravel in trench 12" minimum ....... :........... 10:,.Pire -ends .cap p ed.;..:: ' : _ v ... 1. Size of pump chamber ................. ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visuaV'audio .... ....:.......................... ............. 4. Pump easily accessible, manhole to grade ................. 5. First box baffled .......................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. House/Buildiiig a. house located per approved plans ... ....................:.......... b. Number of bedrooms ....................... ............................... IV. Well 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. Backfll material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dinto exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate .... ....:.......................... i. Erosion control provided ................................................ Rev. 12/02 SIHERLI'TA AMLER, MD, NHS, FAAP LORE'TTA MOLINARI, RN, NISN Associate Commissioner of Health January 25, 2006 Tom & Jennifer Leonard 50 Somerset Lane Putnam Valley, NY 10579 Dear Mr. and Mrs. Leonard: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT .I. BONDI _Gatent� S�j�Pcrcte _._. -�l+a_ '.L. . =4 v. p F �%'}G Re: Addition — Approval - Leonard Increase in Number of Bedrooms with new SSTS 50 Somerset Lane (T) Putnam Valley, T.M. 73.20 -1 -20 I have received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from the Department dated January 23, 2006. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at four without prior approval by this Department. .2. All plumbing fixtures must be updated with water saving devices (i.e. new low flush toilets, restrictors for shower heads and faucets etc.). 3. Approved SSTS must be constructed according to the approved plans certified by Timothy Cronin III, P.E. Any deviation from the plan requires a revision be submitted to this Department. _ .._. _..,.......- _4��fiSrTS must be inspected by thi, gepartm kbefore. ans; bagkfillilaa r 5. The housemust be inspected for bedroom count before compliance s'issued. 6. Once SSTS has been inspected and backfilled, a construction compliance package must be submitted for review and approval before operation of the new SSTS. This will also include a well yield test and a water sample for bacteria 7. The approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. trulfPa s, 1 oseph Svati Jr. Assistant Public Health Engineer JSP: cw cc: Building Inspector, (T) Putnam Valley John Cronin, Cronin Engineering Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health,, - LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI ..Coil%t.V. ,Kerutiv_a. -... .... ►:w,..,.'wW :+alit .ii-i•e' .. DEPARTMENT OF HEALTH January 25, 2006 1 Geneva Road' Brewster, New York 10509 Tom & Jennifer Leonard 50 Somerset Lane Putnam Valley, NY 10579 Re: Addition — Approval - Leonard Increase in Number of Bedrooms with new SSTS 50 Somerset Lane (T) Putnam Valley, T.M. 73.20 -1 -20 Dear Mr. and Mrs. Leonard: I have received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from the Department dated January 23, 2006. The addition is approved with the following conditions: 2. 4. 7 The total number of bedrooms must remain at four without prior approval by this Department. All plumbing fixtures must be updated with water saving devices (i.e. new low flush toilets, restrictors for shower heads and faucets etc.). Approved SSTS' must be constructed according to the approved plans certified by Timothy Cronin III, P.E. Any deviation from the plan requires a revision be submitted to this Department. SSTS must.be. inspec tedby, fts Department before, any:backfMing: _, . „-..._..,.... ,�... '�iTe house�rrius'iee "inspec`t'ea for neciroomcount before coinpliance'is issued: '�`- '. " - '" `�'-"' —� +' "- Once SSTS has been inspected and backfilled, a construction compliance package must be submitted for review and approval before operation of the new SSTS. This will also include a well yield test and a water sample for bacteria The approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. truly y4Lirs, 1z oseph S. Paravati Jr. Assistant Public Health Engineer JSP: cw cc: Building Inspector, (T) Putnam Valley John Cronin, Cronin Engineering Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (843) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 i1► i `1 ill ` l� . " e i�6, 4Y � �' ' c 1 CONSTRUCTION PERMIT .+ - F.. _OR . SEWAGE TREATMENT w ;SYczwSZ�T .1EM PERMIT # Located at S® Z<no N, r � g y 1 rn��. �r,e. -, Town or Villa e V�� . e_:g Subdivisi,$n name' e�.F.Subd. Lot # ,� Tax Map 111,2 Block Lot -Lo Date Subdivision Apprdved, -'� -��5� Renewal Revision Owner /Applicant Name - o cn c,A �Q-, Date of Previous Approval Mailing Address C \ j zip Amount of Fee Encloseed 4S00 Building Type �R Lot Areal Deekc e-No. of Bedrooms �_ Design Flow GPD 800 Fill Section Only Depth Volume PCHD NOTIFICATION IS RE UIREID WHEN FILL IS COMPLETED Separate Sewerage ystem to consist of ��5o gallon septic tank and 4'� 1.•�. Other Requirements: _° To be constructed by f�c-,,,CN. CL-,e¢.sAddress ,4(4 L.e:ai; nom, M'J Water SU)PPIv: Public Supply From Address lo 'V r Private supply Drilled by rigs e,rr.t AG.aires� 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 Co fan f ctory to the Public Health Director will be submitted to the Department, and a written guarantee w . is ,ro ' er, his successors heirs or assigns b the builder, that said g ��?F�.� � � Y builder will place in geoToperating c immediately system or ap Signed- Address of W,,h1,6 art if ,s 'des age treatment system during the period of two (2) years ' oVk f e Certificate of Construction Compliance of the original X� 3� z � l ate - o License # 067-0 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 anew permit. Approv d for discharge of domestic sanitary sewage only. %it-1"" Title: Date: opy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 CRONIN ENGINEERING P.E., P.C. The Lindy Building; Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 Phone: 914 - 736 -3664 Fax: 914 - 736 -3693 Joseph S. Paravati, Jr. Assistant Public Health Engineer Putnam County Department of Health 1 Geneva Road Brewster, N.Y. 10509 R4TiTW4RT@1F TRANSMITTAL - . � i't•,�;r ::.m:. �j�g..�?'�yp. j.,':q`,i.. °rtx` :.io a-...4 ��.��„} :' t- _. .'�v�e-- v�iat+.o.�s:`.. .'i.a ^- , DATE: 01/12/06 RE: SSTS REVISED CONSTRUCTION APPLICATION Tom & Jennifer Leonard 50 Somerset Lane Putnam Valley ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY Enclosed is the following material: 1.) Three revised copies of subsurface sewage treatment system plan Please note the following as requested in your January 6, 2006 memo to this office: 1) The expansion area is now displayed to include the junction boxes. 2) The 2' solid pipe is now shown in both the detail and the site plan. A(( � 3) The two rooms on the first floor that were previously unlabeled are an existing kitchen bathroom that will not be changed as a result of the vl and proposed modifications. These two rooms are now labeled. 4) The attic consists of uninhabitable space, which will be used for HVAC ductwork and storage. Access to the attic is via a set of stairs. Please review at your earliest convenience. Thank you for your assistance in this matter. e ully ned, d c ohn L. Cronin Design Engineer SIIERLITA AMLER, MD, MS, FAAP Cominissioner_of,,H�alth 1LORE'I I'A MOLINARI, RN, MSN Associate Commissioner of Health Ken Murphy Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, New York 10566 Dear Mr. Murphy: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 January 6, 2006 Re: ROBERT I SON ®I Itv.Fxfcutive, >r Proposed SSTS for Addition — Leonard 50 Somerset Kane, (T) Putnam Valley TM# 73.20 -1 -20 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 review and consideration. 1. Please. show the expansion area as it would be actually laid out with the junction boxes. 2. , .. - Tb.e 2 -foot solid pipe: should. be clearly shown on. both sides >of the junction boxes.,. l wo rooms on die- tlrstdoor of the proposed'tloor plans are not labeled: 4. It appears that there is a full 3rd floor being provided. If this is the case, please provide floor plans for the 3rd floor and please clarify whether the access is by a staircase or a pull -down set of stairs. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 2157 if any questions arise. JSP:cj Sincerely, oseph S. Paravati, Jr. Assistant Public Health Engineer Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MN, MAY � Comiairrioan q�Xealt6 LORMA MOLMARL RN, Mists &cocked Commf iaarr n/ Health DEPARTMENT OF HEALTH I C =w Road, Beewsmr, New York 10509 ROBERTL ROM County t'�rr.dw• January 6. 2006 \ Ken Murphy Cronin Engineering The Lindy Building, Suite 200 2 John Welsh Blvd. Peekskill, Now York 161% Re: ProposoSSTSforAddiuon — Leonard 50 Somerset Lane, M Putnam Valley ' ]'M1IM 93.20 -1 -20 Uwr Mr, Murphy: ' ibis office has received and reviewed the mat;( recent sot of plans for the above menlionul project. We. would like a, offer the lullowing oununents for your review and eonsideratiou. 1. Please show the expansion area as it would he actually laid out with the junctiuu boxes. 2. The 2 -foot solid pipe Ouuld be clearly gK)wn on both sides of thejuaction boxes. 3. Two rooms uu the fuse floor of the proposed flour plans are not labeled. 4. It appeets,ttat them is a full 3"t floor being provtded.'lf this is the case, please provide floor pltuts for the 3"t floor and pleavo clarify whether the a6eesa is by a stain:ase ur a pull -down set of stairs. This office will continue its review upon wusideratiun of the above mentioned communta. Yleasa feel free to contact nee at ext. 2157 if any questions arise. SincurelY, 'z? ' osepi, S. Paravali, Jr. �- Assistant Public Health Engineer JSp:cj -• - Y.drn,a�nul Hrdta (84 »'t /R•nUa I'0x (805)278ov2r •_ �.•. .. r •• ""' ..� i ._ .. .- .. _ P'ahr BaDWY 9.dao (e�512Gi.j: da rx�auua)x��:.il r. d. . ,Nure:p s:rNco (NSl a7aefm n,- (sa:rxrd::,io wi:.tit�:i- 7:.: -:"Y -. I Mardat Rams Can Fu (80i1278.6086 Early lat0rvmlbdlmclwlfa0xY 7' /8.6010 Fxx(5451278.664a "'Q� IWSNiI'2is X&ZwflOOQ JmOHH ,3o 30Kd ,LS2IT3 NO SLYMM NOS SCION "W'00 awe QSSdVrIH 9S:ST 60 -NVf WIS. MIS T/T Mf)Vd £69£9£LtT6T6 aNOHd T M L -8LZ -S 68 I�Z HIUSH 30 ZNHWjHVdHQ 7,ZNf1OD WKNZIId aKVN LS:ST NOW 9002 -6 -NVf a1VC[ NOIRMIM03 DOES 10/28/2005 11;46 9147363693 CRONIN ENGINEERING 1 t'? FFTt`..: F21.)`t;:iP wf?�J? l `, Uk'r! -! d y;7 `� t'- ' 7� i . • . A » SHERIJTA &1 LL& 6iD, &s,9, FAA? J� Ri'3f.AT J• 1 OND( C:dmtrtlSSf4ncr offlcall7, _ .. [� .p; Caunri �Yera�we LDIi,M' A r[OUN, RN, iSN. �ss�e:ate Carot�rtls:tane- �J'X:wlth � i DEPARTMENT OF HEALT� t Crcneva P.08 , Srcwster, Saw York 10505 PAGE 01 ,� ,i �. + .ill.+ :. ► :. ` a S TREET.56 SaMERSET � L-#1# � TOWN Vs L-14�zTAXM 7�� SAME L oad R li+��> g�� 5�� -�4 C� 1 IMIMLING DDR U 'SaIndse-t-, 6,C4,1 A,41,14el, L > orw DE SC:IIMON OF ADDMO ,,J Qclldl`)�o pi NUMBER Or EXISTING BED RC OIM.r+ ZPRCPOSk D 0 OF BEDROONI�.d_r_�- (FROM CE1t.T. OF OCCUPANCY CiR �' RITIFICATT,ON FRpV,B:." ,DJNG UNSPM""'TOR) "Atsy addidon w:uc. ,—r eoraidered a hadmommgWres forma! appro%- ' - pin (Co2�*~ani n ��1 mrp=6 by a Praksyict!'al EnR�aear Cr' If. gist minbitw 4n �.rcogdao: a �ft0.. pplic ols aecuna of I�pe Pui.ux County Jalite:y Coda Pluse submit this farm and the folicwing to C'9uni }' 14�-ai4h Dep-., 1 Gemlva �d. BrowNter.NY 10.509. 'bane: ($45) 279 -61 36. 11 CettIf od quack or money order for S? 00.00. 2. SkeLclhes o a ?:ist:njc floor plan (drovm to scale, all lh-Ing arcs InclVdirne uetmeot) 1. Two Sorge of propn$cd C.00- plan kdr3�v i to seal-- — vfitL r. ame, street and W: map t!) �. Copy of snrvq S.W%ing Well aad septic locations p0 dio beet of vo-� src ledge Inclao date of inEtallatioa i- lnoL .&'n. Labe! all wells turd scpti: . thin 2M fee! 0!01e property line. Contact this, office with &.1y quostions. � :�. Capy i11 Crrati5ratc of occupancy frmL 1 "otnrn 0. C,tfif,cation r"rotrn Bai 'd�i� DCrL with I.-gal bedroom count ofduelhnQ. . i CONZEhiS Environmental Run (?4�1 ?7 •5t3�1 P rBcS`.2i? &' -;_ Muraina Serv(et� (3RSj , "9.5 >: @ iVl'r: t£ii51 ? "is.b6;6 Vii!(,: (8-+1� :76.8035 FAA-, :545` 2 ?7`60' 4 Rly.ii4i) —, m,542 i i ^0. SPIERLITA AMLER, MD, MS, FAAP LORETTA MOLIivAltl, RN, 1<ISN- . _. > ,. •.- :- -,;sr_ ;. • . . Associate Commissioner offealth F� DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 PUTNAM COUNTY DEPT. OF HEALTH 1 GENEVA ROAD BREWSTER, NY 10509 To Whom It May Concern: ROBERT J. BONDI Re: 50 Somersot T.AnP Residence TAX MAP# 73.20 -I -20 TOWN of Putnam Val 1 ev According to records maintained by the Town, the above noted dwelling, I:..� ::•.. :._ _IS:. .IN COI `,,xPLIA— N�'F.WTTH- TnVVN.CODE. __..... IS NOT . IN COMPLIANCE WITH TOWN CODE LEGAL BEDROOM COUNT IS 2 This information has been obtained from: CERTIFICATE OF OCCUPANCY: OTHER: Assessor's Records Assist. Building Inspector , John Allen .6/22/.05 Date CERTIFICATE OF OCCUPANCY Im Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (845) 278 -5130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845)278 -6014 Fax(845)278 -6648 k L ', I.,1 DIVISION OF ENVIRONMENTAL, HEALTH SERVICES •.. - • C 4^ .. Y)d71CSFKY:`it�0' _ SSA :J ` , l 1. %S�i'T •T -.\. - ril T T 4^ rJf wcs'K : +-c+y ... ..ts 13,.p .W NY,i > +. �`�L • JET' LETTER OF AUTHORIZATION ZATION RE: Property o Located at !&O U_Y,,, � _ T/V Q Tax Map # -11, LD Block , Lot 2_0 Subdivision of & WQkY-4,,,,r, f\C_Tt.s Y Subdivision Lot # \ Filed Map # Gentlemen: This letter is to authorize ;,,N c- a duly licensed Professional Engineer_ or Re stered Arch' ect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or water supply systems in conformity with- the.proyisions.ofArti.cle 145_ and/or .147 of.the_E.ducat onhaw,_the, Pnb]. c- Health_., ��.:.�..a.- .,;.. -....- ....-_.�._..wa- :.:�.. Countersigned: P.E., R.A., #/ Mailing Addresi S,j 2.00 �r E w r0 o� fi�9S�0 State Zip 1aS(C. Telephone: a 14 - -13(:,-3u Very truly yours, Signed: /��'" (Owner of Property) Mailing Address: Sp Sa ec-&.Y State Zip Telephone: 4kf34 Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES -f :,7y'.' ' :.t ;.q• •'r 'i rS'aJ. 1xU1E&T10,NT..F,0 A- ��u40 PR.0V L -0 F,P•L. A-1 "ST ,0R -".' .• vii. .•.e- �....... , A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant Tt..., c lyn Leoflc, f 2. Name of project:?; C,, ' 3. Location T/V: u a 4. a-TlA SS17s ... Design Professional: cv , r; �,� 5. Address: �„ ,, `j 6. Drainage Basin: 7. Type of Project: Qee"V,11, NY l vSotfl _ Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ........................ ............................... Type I Exempt Type II Unlisted 2!� 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... 10. Has DEIS been completed and found acceptable by Lead Agency? ............... WN 11. Name of Lead Agency lik 12.. Is this project in an area under the control .of.local planning, zonng,_gr other__., .. _.. oicia'r� urtiiriance5 .....:..:�' : :..::::..........'.`::::::::::. :..........:..:.. °'.:`..: • 13. If so, have plans been submitted to such authorities? ........ ............................... 14. Has* preliminary' approval been granted by such authorities? b6 Date granted: 15. Type of Sewage Treatment System Discharge................. surface water groundwater 16. If surface water discharge, what is the stream class designation? .................... N 17. Waters index number (surface) ........................................... ............................... 18. Is project located near a public water supply system? ....... ............................... 19. If yes, name of water supply _�,i1p� Distance to water supply project site n 20. Is p ear a public sewage collection or treatment system? 21. Name of sewage system Distance to sewage system 22. Date test holes observed (�S 23. Name of Health Inspector. Valc.Jc:�; 24. Project design flow (gallons per day) .................................. ............................... 8coo 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... �o 26. Has SPDES Application been submitted to local DEC office? ......................... 2 27. Is any portion of this project located within a designated Town or State wetland? 6 28. Wetlands ID Number..... 29, Is Wetlands Permit required? .....: ............................... �n ......... ............................... Has application been made to Town or Local DEC office? ............................... V41 k_ 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? ............................ Yes/No N o 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? ............................... Yes/No DESCRIBE: 33. Is there a local master plan on file with the Town.or Village? ......................... 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ...:................. ............................... 35. Are any sewage treatment areas in excess of 15% slope? . ............................... 14M� 36. Tax Map ID Number .......................... ............................... Map Block Lot 37. Approved plans are to be returned to ..... Applicant Design Professional N1C)TF 11 pp e `f r 1 ' i - 4, -. ' F .._ ..... _.�, A _ a . l�c�.t,ons.`or r view an �or ovµi � _�. _ � �.5 �e'- roc.. �f�d�� .1�sr�.��IY�'A��-- r�z':ed sir�d'cl be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DE* EP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwaterylans or. the creation of impervious surfaces, and the project applicant should obtain the appropriate forms for such a,vitom DEP and submit those forms to DEP for review and approval.`` f If the application is signed by a person other than the applicant shown in Item l .,the applic on" be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this pvvi�ii may be grounds for the rejection of any submission., F NEW �� ;a. I hereby affirm, under penalty of perjury, that information proviilerf I trc to the best of my knowledge and belief. False stateme�tts mad 'h' it are uni as a Class A misdemeanor pursuant to Sectio I of t -La SIGNATU ES & ®FFIC14L TITTLES: Ti dh kv N �'Y F , E55 0 P Mailing Address: ................... 'Z 3 ,V � �lv � - -:�` PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES yip i °� '� '�TTT1Ti•A7. ._�^ 1"` ��. 7.e _' y.. :._ � �� .. ��. :y r-_ ..,.:.r:.i,...... :r.�•i..a� .:;r;:a ;;a'',;;;;-r,: �,:� -• � ?�- �.'',:� - .�;y1��a� �.��=- i�`�a' �s�:, �� ^�tir�:��t'3'ul��•�= ,�;'u�".'; � �f�v� "v�:iK1�A i 1��';�I ��i �Y�`� L;M ., , Owner ��,„ av,cX ,J�,r.,,, Address So��,�}� Located at (Street) .�- Tax Map`"13,7soBlock �_ Lot 'Zo kj (indicate nearest cross street) Municipality �,,,,,� ��ie Drainage Basing SOIL PERCOLATION TEST DATA Date of Pre - soaking Date of Percolation Test NOTES: 1: Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for'review. .2. Depth measurements to be made from top of hole. Form DD -97 De th to Water Water rom Ground Level Percolation Hole No. Run No. Time Start Stop Ela se Time in.) Surface (Inches) Start Stop Drop In Inches Rate - (pY Min/Inch 1 I ?� 1st 2L 1 t.o 3 , L- 2 4 3r " IS, ll� 5 3 0" 1-1 2.0 3 C1. L 1`i - 4. 3 1 L3' 1 z�' Its '3 2- 4 24' 1ZSO 5 1� Iq 3 1.L 5 1°" 1G' Ib la 3 �•1 1 2 3..- 5 NOTES: 1: Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for'review. .2. Depth measurements to be made from top of hole. Form DD -97 2 TEST PIT DATA DESCRIPTION OF SOILS E1�1� 1.TER&M -YN T�' :.1 �....._ Zr DEPTH HOLE NO. Di G.L.�s�;i 0.5' 1.0' 1.5' 2.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' HOLE NO. Z SCA l� � IA OS a • `od�a,r��e�b HOLE NO. Q-1 l0Vs�;1 =. 9.5' 10.0' Indicate level at which groundwater is encountered N l Indicate level at which mottling is observed Indicate level to which water level rises after being encountered Deep hole observations made by: �„r�,,,,; \: Inc; �- Date - -os Design Professional Name: Address: Signature Design Prof'essional's Seal L. C,, � s 62950 P''UFESS\O / 617.20 SEQR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM (_ ,For VNLJSTED ACTIONS Only )1..(�1...,�y;D .a.+. ,,,,a}S,:!t'.uyap•M , MY. rA• F.: OYS'�M,.`IT^f.�'W��'Naf....rO�i d:TN�LL�aar�.�.... y.t .��Ma)..�Z ...�YJ�1 n�I�'�.rM�rYV��o�.a. �t!rr.Ytify'Y�Cl.'.Y ^.. rVY.'1 Part 1 - PROJECT INFORMATION (To be completed by Applicant or Proiect sponsor) 1. APPLICANT /SPONSOR: 2. PROJECT NAME: Thomas and Jennifer Leonard SSTS Construction 3. PROJECT LOCATION: Municipality: Town of Putnam Valley County: Putnam County 4. PRECISE LOCATION: (Street address and road intersections, prominent landmarks, etc., or provide map) 50 Somerset Lane, Town of Putnam Valley 5. PROPOSED ACTION IS: ❑New 0■Expansion ❑Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Construction of addition on rear of exisfing property. Installation of new subsurface sewage treatment system to accommodate 4 bedroom single family residence. 7. AMOUNT OF LAND AFFECTED: Initially: Existing residence and SSTS area Ultimately: Addition of 18'-6" x 12' -0 ", approximately 5,500 sf SSTS disposal area, including expansion area. 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Wes ❑No ., If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? QResidential ❑Industrial'. ❑Commercial ❑Agricultural ❑Park/Forest/Open space ❑Other Describe: ._Summvnrtinn lands am �o.,Ad.s /. ^.ole. far?rily- res;de; ia; - - . ... � o .... .� ..... . zo!7e ... n - .-i.vr . ,,*de , -, <......_ ._ ..._ .,�..� -_ -�.... . .. -. -.- ... .. -... ...... :,- -• ... .<-. - . ;y- .mac....- .- .�......- •- r..e... ..= 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? f Yes ❑No. If yes, list agency(s) name and permittapprovals Town of Putnam Valley — Building Permit, Putnam Co. Health dept — SSTS 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ONo If yes, list agency(s) name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? ❑Yes ONo I CE TIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/Spo or n e: ni n ineerin P.E. P.C. /John L. Cronin date: 9/192005 Signature: If the action is in a Coastal Area, and you are a state agency, complete a Coastal Assessment Form before proceeding with this assessment 1 nA nT a Guv10r%U ACUTAI ACCt= CCU=MT !Tn ho rmmnla_4a_d by Anancvl rP1R1 --- - -- - - - A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR, PART 617.4? if yes, coordinate the review process use the FULL EAF ❑Yes ( ❑No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR U_ NLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a I lY1u �..''.:iN....,::ESGi �y'c r....t:i i ra_le 'd rEie;fi. a. F'R +_ , 9 r_ ; ,r._ $'C „a • -f'• Z., ❑Yes ❑No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: Answers may be handwritten, if legible. C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic; agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C41 A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain brir: C-- n C6. Long term, short term, cumulative, or other effects not identified in C1 -05? Explain briefly: Q,' -,,:. C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D� C D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ES1 L1,%WEJ� OF A CRITICAL ENVIRONMENTAL AREA (CEA)? ❑Yes ❑No If Yes, explain briefly:' E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes ❑No If Yes, explain briefly: :.y_iark III . nE,ERP <1it.z3 Psyld [ii= :IGi�IFICq�ICE i c� ijP.CO7;�letsi bvaye cw1_ : .. - :. 4 _- INSTRUCTIONS: For each adverse effect identfied above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination of significance must evaluate the potential impact of the on the environmental characteristics of the ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and /or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Title of Responsible Officer Signature of Responsible Officer in Lead Agency date C71. 'PUTNAM COUNTY DEPARTMENT OF HEALTH. DIVISION OF -ENVIRONMENTAL HEALTH SERVICES .4�111* 4, INITIAL INDIVIDUAL /COMMERCIAL SITE INSPECTION FORM SECTION A. GENERAL INFORMATION Name of Project *10* 4`ftounty' Site Location Building construction begun Extent Is property within NYC ................. Yes �No SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. -Bffiiy- - -a Rolling F7 Steep slope A�Gentle slope Flat 2. F7 Evidence of wetlands Low area subject to flooding F7- Bodies of water. Drainage ditchds F7. Rock. outcrops - 3. Property lines or comers evident ................. ..................................... � Yes §ZJ NO 4.. 'Do water courses exist on or adjoin the-property? ....... ................ F7Yes No 5-. Will these affect the design of the sewage system facilities ?............. Yes � 'Nb' 6. Do watershed regulations apply in this development? .......................... 7.Yes' �No 7, Will extensive grading be necessary? ................................ . ............... Yes NO 8. *�:z e fb�! Wi I sl _r�ege�ka �_ ITS? _y 1.140 9. Do filled areas exis ....................................... ot within the S STS area? Yes No yes, what is the condition of the fill? SECTION C. SOIL OBSERVATIONS 10. - Appearance of soil; = Sand = Gravel 625Loam F7 Clay ❑ Hardpan, flNfixturie 11. Observed -from: ='Borings Bank cut PJAackhoe excavations 12. Soil borings/excavations observed d by rl5� , 40ic,4,- on 13. Depth'to groundwater on, .14. Depth to mottling on 15. Are test holes representative of primary & reserve areas ....................................... XYes No 16. Soil percolation tests made. by • on 17. Soil percolatioh tests witnessed by on SECTION D (on back) Form ST-1 SECTION D. DRAINAGE. 18. Will proposed grading materially alter the natural drainage in this or adjacent areas? Q Yes [�*o 1-9. Will groundwater or surface drainage require special: consideiation? ...................... �'Yes Mo 20. Will gullies, ditches, etc.-, be filled and watercourses be relocated? ......................... ]-Yes �No SECTION E. REMARKS 21. Ifa common water supply is has arvinspection been made of the SUPP pr existing or proposed source and facilities ? .............................. .. L."IV .......... Ye's No Inspection data 22. Do adjacent wells and/or sewage systems exist? - - I 23. Additional comments es .................................. . ERY 24. • Site observer /inspector and title 25. Date(s)-.of observation(s)inspection(s) HUB TEST PIT PROFILES Lot # 'Lot -Hole'# Hole # 9 -Hole# Lot # Depth to water. AJI Depth to water 7 `7 7 mottling_ Depth to mottling Depth to rock/' Depth to rock/imp.— Depth torocUimp. G.L. 0 ff S G.L. G.L. 05 .0.5 .0.5 .1 8 .1.0-- 1.0 2.0 2.0 2*.0 3.0• 3.4 3.0 4.0 -4- 4..,0 4.0 5.0 �,14� (61,11 9 .0 10.0. 5.0 - 8.0 5.0 6.0 8.0 10.0 - 10.0 LOME 0V UMMKOUM z CRONIN ENGINEERING P.E., P.C. TM. Lindy Building; Suite 200 2. 'John Walsh' Boulevard Peekskill, NY 10566 914 - 736 -3664 Fag 914- 736 -3693 Joseph S. Paravati, Jr. Assistant Public Health Engineer Putnam County Department of Health 1 Geneva Road i Brewster, N.Y. 10509 RE: SSTS CONSTRUCTION APPLICATIONS Tom & Jen Leonard 50 Somerset Lane Putnam Valley THESE ARE TRANSMITTED as checked below: i DATE: 10/24/2005 ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY i WE ARE SENDING YOU attached 1.) Three copies of subsurface sewage treatment system plan 2.) Four SSTS construction permit applications 4.) Application for approval of plans 5.) Soil data sheet 6.) Short environmental assessment form 7.) 2 sets of house plans 8.) Survey 9.) $300 application .fee . The information is provided based on the August 9, 2005 joint site inspection between. yourself and Ken Murphy. Please review at your earliest convenience. Thank you for your assistance in this matter. ohn L. Cionin V1 (` tDesign Engineer 5z �e Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 `LvRET A `fv1GLff4A-R -1, , .Tvi:S- :IJ;`. Associate Public Health Director Director of Patient Services RE WEST FOR FIELD TESTI 6 ATTENTION: ❑ ❑ GENE REED All information below must be fully completed prior to any scheduling. DATE: ENGINEER OR FIRM:6a ® P3 "4 ®6'�94'f• PHONE 9: q 1 REASON: PS: ❑ PERCS: ❑ PUMP TEST: ❑ ROAD /STREET: E;-® ls6ft?ER S6 °- b9tie TOWN: j-4 A yh VALLeV TAX MAP " : 71 Z ®— ! — Z C, SUBDIVISION: PO L-4 0 ft". 4 CRA�: -' LOT': 1 OWNER: 1®^ NYCDEP CRITERIA FOR JOINT REVIEW kND WITNESSING OF SOIL TESTING YES 1�1 _ ....: �.. -� ✓ g�C±"�,t,n ❑ Pr' oposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. ❑ Proposed SSTS within 200 feet of a watercourse or a DEC wetland. ❑ Proposed SSTS design,flow greater than 1000 gallons /day or SPDES Permit required. ❑ Proposed SSTS for a Commerical Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If you answered yes to any of the questions, NYCDEP must witness the soil testing. This Department will coordinate a mutually suitable time for field testing with the PCDOH, the Design Professional and NYCDEP. If a project has been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is required to witness the soil testing, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYCDEP. FOR COUNTY USE ONLY DATE: TIME: COMMENTS: (FIELDTEST) July 26, 2005 Joseph S. Paravati, Jr. Assistant Public Health Engineer Putnam County Dept. of Health 1 Geneva Road Brewster NY 10509 Re. SSTS Construction Thomas & Jennifer Leonard "Putnam Acres►" Lot 15 50 Somerset Lane Town of Putnam Valley Dear Mr. Paravati: 1. ��T • w � � _- . .,)TT�✓-~P'R r .� -R �'✓.ff�! T ^U rt�.� 'fJT : • .4 r. r..R. Please find enclosed the necessary site plan to schedule field work on the above referenced property. «:. _ -.:• ..:. . �.. R'p iv n.a is rah me T at.the above-n ube _ - schedule— T r Y.R.. n .v. r .s.n � ...� 4. `i _ .. .... .. i...n ...y. .w,.. ...+r wi1'Y'TV_..VIS..T.V ^•w w....r..w �. Y.i �.wr.a a field investigation at the property. Thank you for your assistance in this matter. Respectfully submitted, Kenneth M. Murphy Design Engineer raxLof 18 Tax Lot 17 58�I 157, /1/ /FP/ZZUTO .- (L.' /'vii; Fi.:i%fj ., ';.al - _ � ' .. � _ .. r .. . �.;� � : .. � .. _ _ • CLEnOWa// CL. Wed CL. WeN /nf. SAed 1.9W, 1 T7 3.1'rV77V. 7aN /rtxn Fnd w m L/ne O. f8w S'IOna W h' NCOme� S72,Y3401E Q::'A #QO ' 0. 40 Rod FnfL -. L"ol SAed O N,388E { Te / / /roes Fi3 8 >L^/eei on Lhe60f3iV. TeNFYpe Fnd �� 1�� Shed TaaP/po 392E. 1 9 S /ere P&MO IETT._ - ..._......_... :... J >5 000 Acres (43, 559 S. F.) Wd Rmn. SAed I St Fi. 0W9. 9.6" � Conc PN /B 0 0 O o N 0 g � O I Tel f.70 F. Eas /erty R. O. W. re Lane as Shown /o. 8f5A. SSTJ �� r O a Anc. 140 00' SO/yl�cRSE.T I 3C) FT ��Q S �Re/ FncL A, Q LANE 0 U- Tax Lot 21 l w \I N/F ODDO L. 154. f, o. 484) 0 1 O o N 0 g � SSTJ �� r O a Anc. 140 00' SO/yl�cRSE.T I 3C) FT ��Q S �Re/ FncL A, Q LANE 0 U- Tax Lot 21 l w \I N/F ODDO L. 154. f, o. 484) �,, .�•� i Shed' 0 • .v _ •• . V -..: �x •.: r. . e ::�.y_ .' ,,, •. N".. 1. � .� ..� �• .. .. v ' Lit••�r!". ♦.�sl f -h'+ . . r. rwi ...y.p: � r iV � r '� � 4'' 1.000 Acres I I (43,559 SF.) 0 EX /SANG (EXPOSEZ KZL / She 1 Rer. 63. B' ExrsnNa Aoornav / EXIS77NG St. Fr. "' mt 6 or F �� /. LOCH 22.5'bend 10 4' PVC sch 40�� I 1,250 yol conc septic foA I 2 2 57b ds 00 ol 1 odd Jun t box. (l)P 0 7" _ 0 2" Solid PVC (tlP�� / 6 466 L.F. of 4' dio perforated pro W Pipe in o 24; grovel trench I/ ends to be capped Viii: h tl a r I R I� - -- "- " Maw ; .. I I � 1 1 I LANE( / c I r (VOTES 1, sT/awfiFACE SP ar 7REA7MENT sm761/ mrs) /S DESIGNED OV A SO'L PERC0.AWN RAZE O°" 8 70 10 MINUTES PER INQV ORCP (SEE' SOIL OArA 9yfET) 2 ENGINEER WAS NO71fIED PRIOR 7O STARTING NOW AND PRWR TO BACKRLUNG niEWPIM .x UNAUINO 12ED ALIERATIONS OR ADDITIONS 70 THIS ORAINNG IS A KOLA?? V O- SECnOV 7209 (2) OF PE NEW YORK STATE I. ROUat`La;' iliir'�i:= i'r7c• :'=E %c' fl; :•`::�%F: r a1."F, wv;% wpiflw, AND PDREPARED BY a HENRY CARPENTER i.Ca 5 PROPERTY SHOW HEREON BEING LOT 20 IN BLOCK 1 AS A S1/WW.V w OF SE0770V A OF PUINAM AQq= S IVAIED IN 70NN OF PUTNAM KY PUTNAM GIIY, NY AND ITLED /N THE PUTNAM c wry az?KS wTx AS MAP No. 815 ON MINE A 1957. 7H /S /S TO CERAFY 1HAT 1HE" srwA6r 7REAAl/ENT S7STFM WAS CONSTRUCTED AS INDICA7E0 L1V THIS PLAN AND THAT 7H£ SYSTEM WAS /NSPEC7E0 BY ME BEFLWRE IT WAS COVERED OVER. THE 5YS704 WAS CQ MUCIED IN ACCORDANCE W17H ALL STANDARD RULES AND REGULATIONS OF 'THE PUTNAM COUNTY DEPARTMENT OF HEALTH AND THE NEW YORK STATE DEPARTMENT OF HEALTH. DISTANCES TO SS7S BOXES oM om A B AINcncw BOX p 56.5' 51.4' AINC71 V BOX 9 62,6' 577' AINOnOV BOX-0 674' 634' AWCnOV BOX AM 7? 0' 69.5' AWCnav BOX 0 79.0' 750' ssTS rANK LocAnav oM om A B SEPnC TANK (C) 44,0' 32.6' 1 8x7` 2 EAST 85"3' DISTANCES TO ENDS of SSM oM om A B 1 WEST ~- _ 676' z z 1 8x7` 2 EAST 85"3' 51.7' 2 WEST 74.5' 94,7' 3 EAST 880' 56.0' 3 WEST 80" 1' 99.6' 4 EAST 91.1' 60.9' 4 WEST I 87,4' 1059' 5 EAST 1 955' 678' 5 WEST 1 80.1' 832'. U a W a Z H w 'Hk V z war a F Q . j N z oM om O U , � d z z z '00 3 7. �WZ. S' CL � 4r =•c v a 9< z VI W m z a N p z Z w Wnv J z0 s 2 -- '0C4 y LLA 0 CL I w d 41 a33y1 30 1 z 071D71TW7 N p REASON DATE 1 00 REV aVS TAX MAP At SEE? 7120 91X." 1 LOT- 20 SUBLOr,• 15 DRAW- JWT CHECKED: KCS, DATE• 9128106 O O JOB / 050706• z W J 0 I I I I I WASI- BREE 1 PCOH COMMEN75 071D71TW7 / REASON DATE REV aVS TAX MAP At SEE? 7120 91X." 1 LOT- 20 SUBLOr,• 15 DRAW- JWT CHECKED: KCS, DATE• 9128106 OWE: FILE.- D-OV, eW -srrs A4BoxroNC JOB / 050706• Q Q Z n W J I I I I WASI- BREE