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HomeMy WebLinkAbout3603DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.10 -1 -20 BOX 28 I fin I I a 9 J 6 � T 7m • 1 I m, 1 1 'L I r. . ♦, . I mil 1 1 1l ■� ,; rw 03603 PUTNAM COUNTY DEPARTMENT OF HEAL DIVISION OF ENVIRONMENTAL HEALTH SERVICES 4 Boo T CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT ~ hd...: .... W •'J.: SYSTEM PCHD CONSTRUCTION PERMIT #-A, Located at ��% C�� �� rl VQ— Town Village T—• Owner /Applicant Name l fi c1f r L 1 Formerly Mailing Address Tax Map 2k4d Block �_ LOW Subdivision Nam44, Subd. Lot # /'. yC L Zip/ Date Construction Permit Issued by PCHD Id — Separate Sewerage System built by enl�y�y ILr 1 C �',7 -f e Address 2=4;; 1w1y 41- Consisting f I � 4 -c4,, °7'�iC'• g Gallon Septic Tank and �a. Other Requirements: Water Supply: Public Supply From Address Private Supply Drilled by,t'LS%C�h 9 Address Buildin T e .Si 7 Has erosion control been completed? Number of Bedrooms Has garbage grinder been installed? �G 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 Date: Certified by Address Putnam County Department of Health. P.E. /– R.A. sional) G c /(l License # . 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 Director /Commissioner, such revocation, modification or change is necessary. By: ..Title: / ► Y Date: Wh a opy - HD File; Yellow copy - Buil ing Inspector; Pink copy -Owner; Orange copy - Design Professional Form CC -97 AN yU$Ali Cir IdYV $8A[1 act - v -01 7:57; Po . FAX $o. 191 4278 9$21 P. 3 tiT IAIV� COUNTY DAPA RTMEN T OF IS hNM I "Pena am i and wwlly ad cowlewy ierpMwe ft do iouio. wokqats k, tQAww. p0on aqQ & �tb9 tneafineat tltl a0lo� 1119 abv9�dac lbad proopwty, and 4 is bf ban ar da v oo qae VPMV PIO or grOv9d MIN a11� 9.404 fa wi* &9 *vdwft nft and iapulatiM Q(*W Cam!► O( . Od {0 �! AWf10r. N bets! of as:i N pla�oo is aaldit o �6 Ot fiid;: :COgW'11f l6 by !qt rY�iCb V �., f p11f10d Of two yaQ� y Il ilaal� !#attowitl�t� daa otapp�wsl ot- "Cwdflaw otcaumc" Canoe°' for tl» geera�! MOOMPOW96.Or MY MM& by asa tO , ascoW vbm lk him* to y It plurd9d br dte w�ifbl er a�di/eult:MCCwtt�e �arp� ®lttie has laeiUt� d+® ® "doai ad Ar K -a s k as �rolusk detse�ir�eicO t tbo public %iattu ..._.:._:- . a � :,r_ �,a�i3�ar-�►`� i��::�a�� ►��,� s ®pmu wo tamed by d19 wiutw as tollipong aat 011ie iiliiiai vfiWwW DOW: Mn* xay Year ram 05.07 , YML ENVIRONMENTAL SERVICES i 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245 -2800 ::•� � -�,� .T, _.y -. .:- �, a .........- ., -.,�� .� • -- . . ,,,,Albert ;x,- Padovan�,�...: D��eg�.:P�'a::. -: �....._.......:.,� ..� -..a • .. .....,.,,�;.... ........, .,a . 4 ** TEST REPORT ** f .4AB #: 1.302770 CLIENT #: 13242 NON STAT PROC PAGE: 1 of 1 ---------- --- - - -- -- --------- ------------------------ _-- - - - - -- -_-------_-_-_---_--------._---- '..CARRIL, ADOLFO & DORIS DATE /TIME TAKEN: 08/02/13 07:OOA PARK DR. DATE /TIME RECD: 08/02/13 01:45P ?- IUTNAM VALLEY, - NY 10579 REPORT DATE: 08/05/13 PHONE: (845)- 528 -1670 "SAMPLING SITE: SAME AS ABOVE SAMPLE TYPE..: POTABLE KITCHEN TAP PRESERVATIVES: NONE COL'D BY: DORIS CARRIL TEMPERATURE..: < 4C COLI�FORM _METH; MF._ . START DATE /TIME END DATE /TIME FLAG PROCEDURE RESULT NORMAL — RANGE METHOD 08/02/13 0430 08/03/13 0330 MF T. COLIFOR ABSENT /100 ML ABSENT COMMENTS: MFTC ota Coliform = This result indicates that the water (was not) of a satisfactory sanitary quality according to ew York State and EPA federal drinking water standard for this parameter. This comment applies to the Total Coliform test only. SM 18 -20 9222B THE ABOVE TEST PROCEDURES MEET ALL REQUIREMENTS OF NELAC, AND RELATE Y TO T S PLE ECEIVED BY THE LAB SUBMITTED BY: (I Albert adovani, M.T.(AS ) Director ELAP# 10323 ADOLFO & DORIS CARRIL August 15, 2013 Putnam County Health Department . 1 Geneva Road Brewster, NY 10509 Attn: Joseph Pavarati, PE Re: Permit #A286 -06 Dear Mr. Pavarati: As per Dan Donahue we have been informed that a bacti analysis of our water was necessary to finalize our current construction project. As per this request our water was tested and found to be of satisfactory sanitary quality. Enclosed is a copy of the report for your review. Please process the necessary paperwork to finalize this project. Sincerely, _.. .._. Q. /dc 36 PARK DRIVE • PUTNAM VALLEY, NEW YORK • 10579 . PHONE: 845 528 -1670 G: \Doris' Files \Letters \Putnam County Health Department - Septic Renewal 2013.doc CONSULTING-t-NIGIN-YERS .100 No M Breckentidgz Road M thopac, N.Y. 10541 914-628-7576 TO — WE ARE SENDING YOU Attached C2 Under separate cover —_-the f0flOWIM9 items: 7 Shop drawings r ._� Copy of letter Ej Prints E-3 Change order U Plans C. Samples Ci Specifications • "'HESE-ARE -TRANSMITTED- as'`'ihvvii� b6f**.- r S(For approval 0 Approved as submitted Resubmit --copin for approval D For your use El Approved as noted C-) Submit--copies for distribution 0 As requested 0 Returned for corrections .1") Return_ coriectal prints 0 For review and comment rj_ 0 FOR BIDS DUE [I PRINTS RETURNED AFTER LOAN TO US O"ClOW18 Of* IM at. need. hindiV mnify va st once. Al • "'HESE-ARE -TRANSMITTED- as'`'ihvvii� b6f**.- r S(For approval 0 Approved as submitted Resubmit --copin for approval D For your use El Approved as noted C-) Submit--copies for distribution 0 As requested 0 Returned for corrections .1") Return_ coriectal prints 0 For review and comment rj_ 0 FOR BIDS DUE [I PRINTS RETURNED AFTER LOAN TO US O"ClOW18 Of* IM at. need. hindiV mnify va st once. ALLEN BEAILS, M.D., J.D. Commissioner of Health IEGEI�T'.1 O'.; -PEo91!/a$$� Director of Environmental Health 1 6 Y MARYELLEN ODEL L County Executive .��: t _� nv •.tea. -.. a::.la r'= T:4�a9t .. . .;'!74.^. Si.- 'V -'• "� 3M IM 9r .! r � # "r. i Mme , s . b ki � Geneva Load, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 July 19, 2013 Daniel Donahue P.E. 120 Breckenridge Road Mahopac, NY 10541 Re: Construction Compliance — Carill 36 Park Drive (T) Putnam Valley, T.M. 74.10 -1 -20 Dear Mr. Donahue: 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. A satisfactory water test for bacteria is to be submitted. -.: - `'" doesn't-appear' to" lbe a`s -built dl'm"ensions for the 500 gallon septic tank.. M a 3. ' The trench ends have not been labeled in correspondence to the as -built chart. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 43157 of any questions arise. Very truly yours, Joseph S. Paravati, Jr., P.E. Assistant Public Health Engineer JSP:cw ALLEN BEALS, M.D., J.D. Conanbsioner of Health ROBERT MORRIS,, P.E. DireMrof1Bnviro=enWHealth DEPARTMENT OF HEALTH I Geneva Road, Brewster, Now York 10509 Tielephofie: (845) 809-1390; Fax: (945) 278-7921 May 7, 2013 Daniel Donahue P.E. 120 Breckenridge Road Mahopac, NY 10541 Dear Mr. Donahue: MARYELLEN ODkLL County Executive Re: Field Inspection — A-286-06 36 Park Drive (T) Putnam Valley, TM 74.10-1-20 The above referenced separate sewage treatment system can be backfilled. The following comment needs to be addressed. • It appears the septic system has moved down slope from its actual designed location and -the design- has: also-changed from the actual approveddesigp.. -.Please have _the- loggti�rki.pf the system carefully measured and properly shown on the as-built plan. If you have any further questions, please contact me at (845) 808-1390 ext. 43261. Sincerely, Gene D. Reed Environmental Health Engineering Aide GDR:cw PUTNAM COUNTY EDEPART [ENT OF I>XALtH DIVISION OF EI�IIgONMENTAL TB -SERVIC.ES FINAL SITE INSPECTION Date: s Inspected', Town f vf�� 1/ rem F imiit # A TM # 7V. /U - - z 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/wetlandss ...... ............................... IL Sewage System a. Septic tank siz . 0 1250 ......... other ................ b. 'Septic tank . e level C. 10' minimum from foundation ....... ............................... d. Distribution'Box 1. A2 outlets at same elevation- water.tested ................. 2. Protected below frost .................. ............................... 3...`Mnimum 2 ft. Original soil between box & trenches e. Junction Box properly set ....... ............................... 6. Trenches 1..Length required 333 Length installed 2. Distance to watercourse measured c do Ft.......... 3, Installed according to plan... 4. Slope of trench acceptable 1116 - 1./32 " /foot ............. 5. 101 from property he - 20 ft.-P foundations.......... 6. Depth of trench <30 inches from surface .................. 7. t Room allowed for expansion, 10.0%.......,1 :............... S. •Size of gravel 3/4- - 1'A" diameter clean ..............::..: 9. Depth of gravel in trench 12" minimumm. ..:,. g. Puffin or. Dosed r vstems 1. Size of pump cumber..... ........ ............................... 2. Overllow tank ............................................................. 3. Alarm, visual/ audio ......:.......... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffied ................... ............................... 6. C-yycle witnessed by H.D.estimated` low /cycle........... I[L Houselivadirig - a. House located er approved plans ....................... �.......... b. Number of be . pooms ..................:.... ............................... IV. ®Nell 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 Worlananship . a. Boxes properly grouted. ............. ............................... b. All pipes partially backfilled ........... ............................... c. All pipes fiish with inside of box ... ............................... d. Back U material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir,to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate..... , .:.................. . ...... . i. Erosion control rovided ................. ............................... Rov. 12/02 +lB ✓4 DANIEL J. j�g,�/�.i1�®1A,T1�fS3v1 E9 RE. CONSULTING � TING L' NG E Mahopac, N.Y. 10541 845- 628 -7576 June 18, 2013 Putnam County Department of Health Geneva Road Brewster, N.Y. 10509 Att: Joseph Pavarattii, P.E.. RE: As Built SSTS 36 Park Drive Putnam Malley M Dear Mr. Pavaraati: Enclosed please find: I. Certification of Construction Compliance 2. Guarantee and two copies 3. Three copies of the as built plan 4. Filing fee of $300.00 Your prompt attention would be appreciated. ddrAonahue, P.E. Site a Sanitary o Environmental PUTNAM COUNTY DEPARTMENT OF HEALT L. DIVISION OF ENVIRONMENTAL HEALTH SERVICES _ .. :........ _?II�i I: ONSTRUCHON PERMIT FOR'SMAiGE TREATMENT'SYSTEM PERMIT # �� a,� C. i�Q- To r Village u � i Located at o� Subdivision name Subd. Lot # Tax Map Block �_ Lot a :oj Date Subdivision Approved Renewal ^ Revision Owner /Applicant Name /7/ 10 o G /VX1Q/_ Date of Previous Approval I D% Mailing Address �� G �lfr/� . Do Y�e- p4lb �� �Q r/ � � Zip Amount of Fee Enclosed S'I,44 mil /iii Building Type Lot Areaallo. of Bedrooms _,�- Design Flow GPD Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of /„�. (rr% gallon septic tank and Other Requirements: To be constructed by !:]E�g 7,> Address Water Supply: Public Supply From Address d........ Or* �! Private..SupnLy- 1-?i•iLe _liy 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. Y R.A. Date 63/a Jr Address — Q� �'�� - �Ec � License # 2/ �� 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 permit. Approved for discharge of domestic sanitary sewage only. By , Title: "� Date: lb 7a, Wh•te py - HD File; Yellow copy - Buildmg Inspector; Pink copy -Owner; Orange copy -Design Profession 1 Form CP -97 DffVHSION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIIT # 4 - 2-8 6 - o6 Located ag .I� Del Town Village f °dWil;,tf Subdivision name G L eNubd. Lot # S Tax Map � ��P Block l Lo Date Subdivision Approved Renewal Revision Owner /Applicant Name ,064 /�� 0 OhW I S 45 tell— Date of Previous Approval Mailing Address 31e A54 -7 ke— , Pklwexf A �qr Zip Amount of Fee Enclosed /®L Buil ding Type Are Q,9 "N. of Bedrooms Design Flow GPD ®� Fill- Section Onnly Depth Volume PCHID NOTIFICATION IS REQUIRED WHEN FILL IS CO1VIPLETEID Segarate Sewenrage System to consist of A&9 _ gallon septic tank and - o-' / 4,5� 0 r&� `-& eW W C4 Other Requirements: To be constructed by Address Water Supply: Public Supply From Address �' _. Private Supply I7rilied by lc Adcfires`s 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: t P.E. R.A. Date h'" J. Address Y9r- eC,4e!,*n,-? # 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 permit. Approved for discharge of domestic sanitary sewage only. By: Title: �� Date: — 7 White copy - HD File; Yellow opy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 DANIEL J. DONAIlUEq P.E. CONSULTING ENGINEERS Mahopac, N.Y. 10541 845-628-7576 I -C lv � Cam, � �� lo CONSWI M NGINMRS Skreckellfftc "Wad .. iyla�he�ae, R(1' ;dad 1 ' o��•aaR.9��� d" ._ r E X� r n Al tVI APM 99MMM VU Altasho c umw sevome ofter vw ... _.m. _ .._._ .- _ bwwft ftms. shop O"Wines ftaa t�eciiYeatu�oa L0 _: chna►Is order L' �.,. �.�__ ....._ e.a.®........._... _ _...._- TWa3g APR YRANSA9I"M as ChGOW tea. Fat .300r®9 _ . _.Sar. ®0. eub�►d -_ _.. _ :. ��xirB.- ..:.,�. t+aa''a:'e�ai - ...._� _ For Yr asks r, Appfftw n now __. pOr distriwtiom L. As reft®sted C QoluraoW for serv®e4iwo fthgm....ate fwmow Malts • �. Fog, rsawr 04 CONWOM C ....... ___ ...., _. �. ..... r�� /��R M `�� Ii�� as x �_ Q cd�z ti ea /1 or 117 ir I/ tejrhow"'i f3� �A RIB, 01 1 3g* do C* sexy PUTNAM COUNTY DEPARTMENT OF HEALTO DIVISION OF ENVIRONMENTAL HEALTH SERVICES DES . IGN DATA SHEET- SUBSURFACE SEWAGE TREATMENT SYSIrEM Owner. I 0JQ-D Address 3&edf t D*fl 609 Tax Map Zj*-/&Plock /!Lot ao Located at (Strect).-j (indicate nearest cross street) Municipality Vr,4.4 Aw, r *k4.4 If Vatershed T).%tt- of SOIL PERCOLATION TEST DATA percolation test hole. (i.e. s I min for 1-30 min/inch, -; 2 min for 31-6U miniincn) Au, aata to oe submitted for review. 2. Depth measurements to be made from top of hole. Form DD-97 -5-1 1 ar 3 2 12 cR r 5-,4 3 /-7 ZSE 4 a r 5 76 __�. 2 . 30 117 Y7 17 3 -�-7 mow_ 4 5 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates art obtained at each percolation test hole. (i.e. s I min for 1-30 min/inch, -; 2 min for 31-6U miniincn) Au, aata to oe submitted for review. 2. Depth measurements to be made from top of hole. Form DD-97 DEPTH G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' X9.0' 40.01 TEST F� i DATA DESCRIPTION OF SO ILS ENCOUNTERED IN TEST HOLES 6 HOLE NO. � / - 1. 1 HOLE NCB. , ;x c` HOLE NO.�`.�, c� Indicate level at which groundwater is encountered NON 0 Indicate level at which mottling is observed NAN Indicate level -to which water level rises after being encountered /V,/ , Deep We observations made by: --J DaR* /k/F J Anti, A Date Design Prafessianal Name: Za?'i Address: isna re: Design Pr'0fesslonal's Seal �a� EsS i 01Up <� Q J. Do Fy z rn W S� OAS OQ' qTF OF PIES y PU TNAM COUNT Y DEPARTMENT OF HEALTH DIVISION-OF ENVIRONMENTAL..-HEALTH. SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner A0 �z, rO Address Located at (Street) 3 4 �.1f' /r� Ic _ __ Tax Map Zy-ABJock „_._„Z°. Lot --e-► (indicate nearest cross street) Municipality �1�?'N 061 P' *ke,,f `l _ Watershed�r� SOIL PERCOLATION TEST DATA Date of Pre- soaking Date of Percolation Test NOTES: I. Tests to !e xepeated 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. Depth measurements to be made from top of hole. Form DD -97 r b TEST PIT DATA z DESCRIPTION OF SOILS ENCOUNTERED IN T'ES'T' HALES 4 1 NO. . H_6 - NO,..a i�0L� G.L. 0.5' 1.0' 1..5' 2.0' 2.5' 3.0' 3.5' 4.Ot x.,51 5.T 5.5° 6.0' 6.5' 7.0' 10.0' Indicate level at which groundwater is encountered Indicate level at which mottling is observed Indicate level to which water level rises after being Deep hole observations made by: 0 JQ,00 44111 Design Professional hlame: Q2 v!E: Address: 74 �Pc°�.'� Ie ....� encountered ._-IV, _ �. ..� . �j !�� P� '� Date; �, d� Signature: Design Prot'essional's Seal Q�OgESSIOjV�< ,4{: M cn0.4948� OF N PUTNAM COUNTY DEPARTMENT OF HEALTI] DIVISION OF ENVIRONMENTAL HEALTH SERVII CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # Located at (?6 / la /� toe_w-�C_ Town o illage Subdivision name Subd. Lot # Tax Map Block _/ Lot 76 Date Subdivision Approved Owner /Applicant Name & 6 l-�Ca Mailing Address /°a/l Renewal Revision Date_ of Previous Approval Amount of Fee Enclosed & Onj Building Type e/xj Lot Area . i No. of Bedrooms Zip -7 Design Flow GPD_e;�U� Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED i"r1ty" Separate Sewerage System to consist of L 4r;--v 4- /c 61-- 9 gallon septic tank and Other Requirements: To be constructed by Address Water Supply: Public Supply From . Address of -Private -Suppiy'Driiled' by ° ` etc' 3'T ' - �G -� __ ... -Addr ess 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: nn P.-E. R.A. Date r G Address /e"V, /yk, License # 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 permit. Approved for discharge of domestic sanitary sewage only. Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 CONSULTING ENGI SURS ;14*W - N V 1044 i A 0- wt OE SMING VOU AR&CW 7 UOW4Pr saprate cover vis famwIP4 itel"s Moo frawfop r) PUR6 URON L C40► of Isaw J Gr6w (J -- -4- 0 T045E APR YCAMSMITTIO 0ts< COWW 6000aw - Fat &WOOval 69 subm ---a" fo For your #aw r Aporeved as rmod C"Ift w OfOlOwt,on "Urnew for CO(nittiome m --.www prim CO" for revive and CoMmefli 00* WDS Dug le PRINTS *FTUPP490 AM* LOM tO Uf, MOO: 12 Oamew" w aw 04 palm &POP 4047 VO Ot 0000 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORET I'A 1VM6I 11YARt l'tN, MsN ` n Associate Commissioner of Health Dan Donahue, P.E. 120 Breckenridge Road Mahopac, NY 10541 Dear Mr. Donahue: ROBERT J. BONDI County Executive - ­ kbj ERT MORRIS,.PE�� Director of Environmental Health DEPARTMENT . OF HEALTH 1 Geneva Road, Brewster, New York 10509 October 30, 2006 Re: Proposed SSTS -A- 286 -06 Carril, 36 Park Dr. (T)Putnam Valley, TM #74.10 -1 -20 Review of plans and other supporting documents submitted at this time relative to the abovee regarded project has been completed. Comments are offered as follows: ✓1. The deep ole descriptions p submitted do not reflect those recorded in the field by this Department. �1. Wells need to be shown/addressed within 200 feet in direct line of drainage of f , the proposed SSTS. ..:'3.._ House plans submitted and reviewed under this departments. qewKeontnntctiola, �— guicl`efines show�an extra room in the basement. This Department considers this room to be a potential bedroom. This will bring the bedroom count to four (4) potential bedrooms. The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, •� �- �ak GDR:lm Gene D. Reed Sr. Environmental Engineering Aide 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 DANIEL J. DONAHUE, P.E. CONSULT11% ENGINEERS 120 Breckenridge Road Mahopac, N.Y. 10541 845-628-7576 September 26, 2006 Putnam County Department of Health 1 Geneva Road Brewster, N.Y. 10509 Att: Larry Werper Re: Bedroom Addition Property of Carril 36 Park Drive Putnam Valley Dear Mr. Werper Enclosed herewith please find the following: 1. SSTS application 2. Design data sheet 4. Letter of authorization 5. Fee in the amount of $100.00 6. Three copies of construction plans 8. Two copies of house plans Your prompt consideration of the above would be appreciated. Regards, ds J. onahue, P. Site - Sanitary - Environmental .4pplicatioti is hereby made to erect (alter) ................... l t'% 3(.........•................................ W�jc.e —Ry- I Building ...................................... i / ....................... .... ovation of Premises--Street or Road ....... R M_ L ..... 1�•<-- L._. r�_ ce'----. C .strP..UiY..4;_. ............... ... 2. + .... _........... JLCRE .• -- ................... BLOCK. L01.- i ItONTAG)✓ a Depth...... R S (other descrii)tion) n »�»„i,�. �F �- - -- `Z11 ',Y..7; r '/* go- . s s' <,Ory X/I V /lib o a v Dimensiori of B. :dSh Depth /•v Y/ W6 X X )e Foundation__ 1G� & Use Each .............. -m with Window Are . ...... ............................... ....? erage Type....:rKP�__ of Septic Tank.A.r ;11 Ft. D_ rairnage.._.....: of Dry Wells............ ;tional Information:.. ---- ........ --- ......:� _.._::._.. %..._., .:.:::............r.. �._.Y._......1... Ti{ :...... This application must be accompanied by a copy of surveyor's map and complete plans, specifications an oration required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested b; I . ............................... ..................:............ ......................the applicant, do hereby certify that the above are true to my knowledge and belief. .................. Signature of Applicant ....... ... .. DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509'` (914) 278 -6130 BRUCE R. FOLEY, R.S. Acting Public Health Director ADDITION APPLICATION - (RESIDENTIAL ONLY STREET:� TOWNj �I.1G4�rE� TX MAP # � cy NAME: SECf PHONE �S�.�� ��0�� PCHD PERMIT # MAILING ADDRESS',& A 4L� Description of Addition N1A "re, 9 'ice d r cool Number of existing bedrooms - Proposed nLlmber of bedrooms Ar y adda t ic> a which a s- considered a bedroom- r eyui�res- feanal. appt ova:1. of. - plans (Construction Permit)_ prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to PUTNAM COUNTY HEALTH DEPARTMENT, 4 GENEVA ROAD, BREWSTER, NY 10509, Phone 278 -6130 with the following information. 1. Certified Check for $100.00. 2. Sketch of existing floor plan (all living area including basement, if any) Non- professional drawing is acceptable. 3. Sketch of proposed floor plan. Non professional drawing is acceptable. 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Include all wells and septic systems within 200 feet of property line. Any questions please contact this office. OFFICE USE Comments and /or conditions application ° August 1995 • x PUTNAk COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY. &,S,URSMRFACE SEWAGE TRFATNIEi\ 1 SYSTEMS-'. _... • .......,, -. I4vit SHEET FOR CONSTRUCTION PERMIT NAME OF OWNER: ar I STREET LOCATION: �� lea v�.J /lLEVIEWED.BY: RM, (GRJ Bir" SRDATE: /Q %2 j aG _ TAX MAP#: (CONFIRNMD) 7 a-c Y N DOCUMENTS N lREOUTRED DETAILS ON PLANS CONT'D1 APPLICATION HOUSE SEWER - %?, FT. 4"0'; TYPE PIPE. CAST IRON WELL PERMIT ORPWS LETTER - l'[`Sri,c� (_,NO BENDS; MAX BENDS 45' WlCLEANOUT. PC-97 N/f RENEWALS ETTER OF AUTHORIZATION (� _JSITE NOTE (NO CHANGE) (_,_)DESIGN DATA SHEET (DDS) FILL SYSTEMS �;�„CORPORATE RESOLUTION 10' HORIZONTAL; PAST TRENCH SLOPES 3:1 TO GRADE SHORT EAY U FILL SPECS / FILL NOTES 1 -5 PLANS -THREE SETS RILLINIKiPANSIONARI'EA. ILL PROFILE & DIMENSIONS (_ (Z jHOUSE PLANS - TWO SETS (_*_-,VARIANCE REQUEST FILL GREATER THAN 3 FEET % SUBDIVISION CLAY BARRIER (�(r✓ LEGAL SUBDIVISION , I a FILL CERTIFICATION NOTE SUBDIVISION APPROVAL CHECKED DEPTH GAUGES (--) PERC RATE _ ' xv VOL. ON PLAN FOR RO.B., I7NCLASSIFIED & IlVLPERVIOUS FILL REQUIRED DEPTH SEPAR ATION DISTANCE FROM'TOE OF SLOPE (� TAIN I}RA IN REQUIRED TRENGENERAL `LFTRENCHPROVIDED 60FTMAX.v'�``�' S%y� (�(_}LOCATED.IN NYC WATERSHED - " PARALLEL TO CONTOURS I )PLANS SUBMITTED TO DEP 100% EXPANSION PROVIDED / (, DELEGATED TO PCHD ( DETACMXJST FREE CRUSHED'STONE OR WASHED GRAVEL 1DEP APPROVAL, IF REQ'D GEOTEXTMP, COVER / (SEEP TEST HOLES OBSERVED SEPARATION DISTANCES ON PLAN - FROM'SSTS )rP RCS TO BE W MSSED 10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL. - APPROVAL SSDS ADJ, LOTS 7Z-)201 TO FOUNDATION WALLS . WETLANDS (TOWNIDEC PERMIT REQ'D ?) U 100' TO WELL, 200' IN DLOD,150' TQ PITS ems - �(.JDATA ON DDS- PLANS & PERMIT SAME • )100' TO STREAM, WATERCOURSE, LAKE (iac. ezpari).:... �.... .. PRE 1969 NEIGHBOR NOTIFICATION " --� ... (-r) 50'_ TO_ CCIl. BASYN,• 3S�: S' 1' aRMDRAiu +I,�PiP1�D�W�;.'i'L�c'•- ,LETTER BVnA IQ' TO WATER TINE (pits - 20') O YR: FLOOD ELEVATION WiI 200' S0'• 1NTERMTTTENT DRAINAGE COURSE - 4 _JU-� SOIL - TESTING LOTS>10 YEARS OLD 200'1500' RESER O M ETC. 150' GALLEY SYSTEMS REOUIRED •DETAILS ON PLANS 10' MIN TO LEDGE Q CROP SEWAGE SYSTEM PLAID- (NORTH ARROW) SEPTIC TANK ' SSDS HYDRAULIC PROFILE (_,- •)(�10' FROM FOUNDATION; 50' TO WELL GRAVITY FLOW WELL rONSTOCTION NOTES 1 -I5 DIMENSIONS TO PROPERTY LINTS DESIGN DATA: PERC & DEEP RESULTS LOCATION OF SERVICE CONNECTION CONTOURS EXISTING & PROPOSED ,MIN 15' TOPROPERTY LINE �RIVEWAY & SLOPES, CUT / SLOPE i FOQTING /GUTTER/CURTAIN DRAINS / �UUSbA SOIL TYPE BOUNDARIES UL_)XOPL IN SSTS AREA i L(520 %) _ j(,�TITLE BLOCK; OWNERS NAME ADDRESS (_jL fj�REG�ED TO 15 %, IF REQUIRED ' TM#, PE/RA; NAME, ADDRESS, PHONE# ,/ DOSE/PUMP SYSTEMS DZ�JDATE OF DRAWINGMEVISION DATUM REFERENCE . L-JLQCA.TION OF WATERCOURSES, PONDS LARMS,WETLANDS WITHIN 200' OF P.L. ,PROPOSED FINISH FLOOR AND BASEMENT ELEVATIONS WELLS & SSDS'S W/IN 200' OF SSTSc�" �V_JPROPERTY METES & BOUNDS X__)EROSION CONTROL FOX HOUSE, WELL & SSTS, v-nn v-^w i- ^wrrnnr wrn,ry VENTS: (_ _) PUMP NOTES . MElD DOSE 75% OF PIPE VOLUOSE VOLUME NOTED ETAM FOR FORCE* .MAIN, (PIPE TYPE, ETC.) PIT AND D -BOX SHOWN & DETAILED 1 DAY STORAGE ABOVE ALARM . CURTAIN DRAIN ' STANDPIPES, 5' BOTH SIDES, DETAIL 1S' MIN to CDS=->5 %, 20' -4 %, 25' -3 %, 35' -16 /o, 100 % -<1% 20' MIN to CD DISCHARGE/100' with 182 cons day discharge 0' MIN to NON - PERFORATED PIPE +HEET109/Ol/If0 —� LETTER OF AUTHORIZATION RE. Property of D 6 G r—O G 4WAF Located at 34 TN V -�� Tax Map # 91 � lv 1Block �_ Lot c-20 �D � Subdivision of Subdivision Lot # " Filed Map # Date Filed Gentlemen: This getter is to authorize 4 cd a duly licensed Professional Engineer 6-6r registered Architect 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 tretment and/or water supply systems in conformity with the provisions of Article 145 and/or 147.,of,lhe_1g4ucation Law,.t11cYublic_Fiealth.. ....� L� •; d "ihr Putnam Cduruty-Sanitary-Code: _ . Very truly yours, Countersigned: c '�igned: P.E., r.A., # of ) Mailing Address � �•g -:��� �- iling Address: J � ���� State Zip T /V f'2/ Telephone:�"��� f al" % State Ali Zip L� Telephone: Form LA -97 pioDANIEL J. DONAHUE, P.E. CONSULTING ENGINEERS i/.0 tsrecKennage xoaa Mahopac, N.Y. 10541 845- 628 -7576 April 1, 2013 Putnam County Department of Health 1 Geneva Road Brewster NY 10549 Att: Joseph Pavarotti, P.E. Re: SSTS Renewal Park Drive Putnam Valley Dear Mr. Pavarotti; Enclosed are 4 copies of the plans for the above captioned application. My client needs to complete the construction of the system by April 20th or his approvals will expire. I would appreciate your assistance in this matter. Thank You. Regards, el onahu P. Citn . Coni+orw . Cn%Arnr%mor►fol _ 5. Construction of SSTS to be in accordance with these picni , any rev sic, s thereto, and the rules and regulations of the permit :ss_� )g goverr.m? ^tar cgn..nc /. 1 6. The well is to be a drilled well, constructed in occord:-.c:l with New Yoi` State Health Department Bulletin, entitled "Rural Water Supply," hump tested `;,r a mir,i,,urn of 6 hours and have a minimum safe yield of .1) gpm. Yields_ less than 5 gpm will be immediately reported to the Putnam 1 aunty Cepartl-nent of Health. I 7. The SSTS design, shown hereon does not provide for ir,:;: 'ic:tion of o y' "-:;age grinder. Such instci'aGon requires additional design and .t:a approval c;± the Putnam County Department of Health. `i 8. Putnam Cou -.:y Health Department opproval Is based upon. I he location: wf the SSTS, well, ;building, setbacks and driveways as shown on ± ne approvedt drawinc,. Wadificct:ons are to have prior Putnam County .1 :.,alth Department _ approve.;. Unauthorized modifications made to this drowir.i. .of' 7, the date of c a Putnam County Health Department opprovol voids said opr roval. F I E- 9. � o� r All stone walls in and within 10 feet of the SSTS area she � be removed' 0D N to their •entire depth cnd the resulting and replaced with : i.ndar on site soil 10. Cut or fill is not permitted in the SSTS area, exceot if so specified on' this plan ' 6.. 11. After backfiiling the system, the SSTS area shall be cove,­.- with a minimum of 6 inches of topsoil, seeded, and mulched. e i 24" 12. Occupancy of this structure will not be permitted until the`iconstruction Compliance Application has beer. received cnd cpproved t Putnam County CRC; S SECTION Health Department and forwarded to the Building Inspects, of the respective municipality as part of the Certificate of Occupancy ApplirUion. 13. This plan is approved for se %cgs treatment and /or water only anly, and (311 . other required permits and /or approvals are the responsit�l ity of the pe rnittee 14. The Putnam County Health Oeoariment cpprovcl expires iw.:114J years from the date on the cpprovcl stprop, and is required to be renew_!- on or before the expiration dote. the opprova! 's revocable for cause or (,•�y be or i• modified when considered necP_ nary by the Department. ; 15. A copy of the house plans so`.-.mitted to the bu1111c:::1g inspector '+ f the local r:. �nicipalijr, when filing fo a building ; : rmit must I s;,bmitted to the health de-m_�ment veriry bedroom count. 16. The SSIS desic r; is a sed on the construction of a t bed " - om single— tcrr,ily It residence, a sail eeerrolatioqq y�f rnin//;:., d the foliaa�t deep hole information L.i�' �.5. /d '_flL<1 �r/i"C. NI Al L ei/, 1-i . ,8: ,c ;,o q 4i 76 S 17. T� -, STS shall include the fvllowIn -6?i gallon precost cc�,crete septic. tidnk, � -¢ L. F, of 24 inch wide absorption trenches. Additie al requ;remer.: Survey and am to/p�ographic ^`formation obtcined frcrn: There are no streams,wotercourses,or wetlands within -�-.J f c of ;he pc, eel except os show.n.There is. no .femo designated i 00 year floc, I pain `)Ilo%v;r,6 " ;t?s shall be Gravi_'r,d on all o;.r r..i for individUGi SSTS ryquirin in depl i -1, .1i LOCATION MAi overfill -for .settlement Geote:;tile filter fabric �- 4 "clia. perforated pipe _ slope 1 /16 " /ft. &„- n/n 3/4 " -1 1/2" dust free crust stone or washed gravel NOTE: UNCONNECTED LATERAL ENDS MUST BE PLUGGED. DEPTH TO GROUNDWATER: DEPTH TO ROCK: TYPICAL ABSORPTION TRENC PIPE TO BE: HDPE SDR 38 AS FILL SECTION DETi N.T.S. 5' ­-2 _.L G, .,. J SEPTAGE HAULER PRIOR '0. THE INSTALLATION AND CONNE.C" "" NEW TANK AND SYSTEM. i 3 ' ; i ;t• { -•.,.. ., fr,.�,. tom.., -.- _. ... ._. ..,s:�� . jai n Lt'u ir/ z. tF - - - -- - i t CONSTRUCTION NV�;�o. :n • C CONTRACTOR SHALL CONTACT ENGINEER ?R;OR TO i i=:E START Or CONSTRUCTION. • C CONTRACTOR SHA-i L LOCATE THE SEPTIC TANK AN- SEWAGE :.:Si :: SYSTEM. ` • • C CONTRACTOR SHALL. REYLOVE.EXISTING SEPTIC TANK AND 17"--:'T 1250 GALLON PRECAST SEPTIC TANK AND i3OCATE THE NEW TA`T'S T( PROVIDE Z% GRADE FRO: s,�TOUSE TO TANK AND I% GRADE. TO T. =RS JUNCTION BOX. • C CONTRACTOR SHALL REMOVE EXISTING SEPTIC SYSTEM REPLACE EXCAVATED AREA WITH 1 011 FILL AND RE GRADE. • C CONTRACTOR SHALL HAVE THE SEPTIC TANK PUMPED BY A LiSCi� i� ENRICH F'ACNANI no Or f oerly� 0 z� N ; VI .�► Off,A1 514.' 516'01 00 W 143 00,1 W 61 001 5 SUrve I_ 55 30 MoP -j 5 T"1 APPROX IMATE DOM 4 , 00 LOCAT70NWE L EXISTING ® TMRE�SgQ N� BEpRoOM ON6 P� eft OP�SEg 0 r f' i i 1 T ' i f f ' f 9 , Pool. E 7C TAN" pSTINGP NEW 000 GAL PVC SEPTIC TANK a ` soL PVC PIPE p at Eat_ / r 6 a M Vie' �➢' �u `` 1� 79 / jq 119.28' D R / %eld�V ./ (WGTO E SnGN LO N 1 cfl i O O f 0 o ' �0 0 a r�. N-y O GR SA G ALL' ?'I .W "Q) O C/) i Lr) h O N30 °21 '00 "E 347 34 PARK D R �� SCALE: I° _ STSS Tie -ins (taped) Unit A B 0 _F _ W a a a W 0. o . 5. 0 _ Septic Tank 1 13 22.6 45' Bend 2 28.6 25.6 JB 1 3 70.8 62 JB 2 4 76.0 68.6 JB 3 5 79.7 73.8 J9.. 4 •. . _6. _ -...'84.15 79.9 JB- ... 7 _ 89.6 86.2.. JB 6 8 95.7 93.3 END OF TRENCH 9 60.6 66.3 20 18 END OF TRENCH 10 84.7 66.9 20 18 END OF TRENCH 11 65.6 75.0 26 24 END OF TRENCH 12 87.6 72.6 18 16 END OF TRENCH 13 70.7 83.6 26 24 END OF TRENCH 14 90.7 78.0 23 21 END OF TRENCH 15 76.7 90.1 31 29 END OF TRENCH 16 103.3 87.3 32 30 END OF TRENCH 17 83.0 100.7 41 39 END OF TRENCH 18 110.7 94.5 38 36 END OF TRENCH 19 90.3 108.4 42 40 END OF TRENCH 20 116.3 101.4 40 38 TOTAL LENGTH OF TRENCHES 333 LF SSTS � - -- PROPER.. OF-AD-0,- 36 PA PUTNAI June d U� J Additional Notes: cy Survey and topographic information obtained from: Link Land Surveyors, datum assumed. There are no streams, watercourses or wetlands within 200 feet of the parcel except as shown. There are no FEMA designated 100 year flood plain. THIS IS TO CERTIFY THAT THE SEWAGE TREATMENT SYSTEM WAS CONSTRUCTED AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS INSPECTED BY ME BEFORE IT WAS COVERED OVER. THE SYSTEM WAS CONSTRUCTED IN ACCORDANCE K17H ALL STANDARD RULES AND REGULATIONS OF THE PUTNAM COUNTY DEPARTMENT OF HEALTH AND THE NEW YORK STATE DEPARTMENT OF HEALTH. 22--11/2' e 2'x(o' WOOD FRAMINCs i Oj W/ R -19 BATT INSUL. 0 I i c I REMOVE EXISTING STONE �`�' r+ VENEER SALVAGE FOR fRoi OM RE- INSTALLATION ON \ b4.:11 V4' 4' NEW WALUS). \ INSTALL NEW 11-2 ' I E X 15 T ' G \ GYP. ,5D. OVER SHEATHINGD I REMOVE EXISTING FINISH .4 PAINT. Loy WINDOW 4 WALL BELOW \\ cwgn REMOVE EXISTING WOOD \\ ALIGN FRAMED WALL(S) AS SHOWN. NEW WOOD FRAME WALLS \ SITTING AREA 4' 8' -911A' i FINISHED P WITH 1/2 GYP. N E X I T C. OARD EACH SIDE.. -� `\ `\ db SATi .0 L IN- OS. 'A' �\\ NEW LIN. REMOVE EXISTING CLOSET 'B' DOORS 4 FRAME. FRAME OPENING W/ 2'X4's 4 FIN. W/ 1/2' GYP. BD. EA &IDE. REMOVE EXISTING WINDOW.: FRAME AND FINISH W/ GYfl�•BD. NEW D IN IN('' Room (FORMERLY BEDROOM) EXISTING L I V INCaROOM PLANTING it 'kil T I r — — — L05Et Vi 2.�2. . 2�4. �� I B `g CERAMIC ell 11 111111111 --z4r an OR QUARRY 3' -0' 1 31-0. TILE HEARTH 1" TASTE R �— INSTALL NEW -1/2' GYP. BD. OVER EXIST. WOOD SHEATHING. FINISH 4 PAINT. U c0 .9 x – • cam. W Sicnature 7 Ti' _ FOR _ r�tv. t1�lIRL CAB. POOL MA57 B 4TH CAB. .i 1i I