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HomeMy WebLinkAbout3759DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.19 -2 -30 BOX 29 . . .� ., Lir r, , 03759 Sherlita Amler, MD, MS, FAAP Commissioner of Health Director of Environmental Health October 18, 2010 Joseph Iaropoli, PE P.O. Box 319 Shenorock, NY 10589 Dear Mr. Iaropoli: Department ®f Health. 1 Geneva Road, Brewster, NY 10509 Office (845) 808 -1390 Fax (845) 808 -1937 Re: Proposed SSTS — Martin 12 Greenway Terrace (T) Putnam Valley, TM # 74.19 -2 -30 Robert I Bondi County Executive Review of plans and other supporting documents submitted at this time relative to the above regarded project has been completed. Comments are offered as follows: a As discussed, please revise the plan to show one distribution box to feed all laterals. Also sh�w_eght laterals at.60 LF each. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Sincerely, z) � Gene D. Reed Sr. Environmental Health Engineering Aide GDR:kly r D� PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES Internal Use PERMIT-# U AMY Repair Permit issued in last 5 years U,,Aot in Watershed V( ❑ Repair within Boyd's Comers, W. Branch or Croton Falls Res. 9 Delegated ❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland ❑ Joint Review SITE LOCATION OWNER'S NAME MAILING ADDRESS APPLICANT er TOWN TM # `"7�1. i�l ��- A! PHONE #`'0�- -�g''� i & Relationship (i.e., owner, tenant, contractor) DATE FACILITY TYPE _I q PCHD COMPLAINT # PROPOSED INSTALLER PC1P_C,iS�a a-L,�, Ca, PHONE # ADDRESS !ar2C60M �, rry, SODS GISTRATION /LICENSE # 1O :Q Pro osal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the repair. I, as owner,agree to the conditions stated on this form SIGNATUR TITLE Lo r% C DATE (owner) - ....... - - - - -- - - - - -- -3, t e..septicinstal:eT; agr„ com 'Ih iherconditions•o I is °perTnit fortne'�eptie system repair SIGNATURE TITLE _S, DATE (Installer) Proposal approved with the following conditions: , 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Approved L�' Proposal Denied ❑ nspectoes Signature & Title Dat6 Expir tion Dafte ,Repair proposal is in compliance with applicable codes Yes L'f No ❑ COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 MEMORY TRANSMISSION REPORT - TIMF OCT -15-2010-05:0 7PM .-„ :' ," -�- ...... , - - . ... ; .._ � �.. r-- .:,�:�,� -•._ . ..,. TEL NUMBER .�8452T87921 _.. . .. � .... , ... ,..... ,--- ,:..:�.r =.��. .a..... NAME ENVIRONMENTAL HEALTH FILE NUMBER 953 DATE OCT -15 05:06PM TO 87360571 DOCUMENT PAGES 001 START TIME OCT -15 05:06PM END TIME OCT -15 05:OTPM SENT PAGES 001 STATUS OK FILE NUMBER 953 ** SUCCESSFUL TX NOTICE * ** OE� 0OF NVIRNMN AL HEATH SEF2Vt0ES ` PROP( ?SAL FOR SE:WAGiE TREATMENT SYSTEM REPAXR U Repair PamtR 1><•=••�. In last 6 ymrs u oL In vv ulCrSrlEia 1�/ Fialaalr wltt+ln BOyQ'S Gomcrs, W. Branch or Croton Fells Ras. g0lagated SITE LOCATION, C csev \ct" TOWN OWNER'S NAME �� �� t a�_Y•. P ONE # - ��� - '0� ►1`- -, MAILINC3 AOORESS Am? • _++e 8� RaWtlonsnlp (l.a., ownor, tone.[. eetttraateh /-� CATS --`-5 FACILITY TYPE =��� ar-- r- n;1..,r -_Ho COMPLAINT # PROPOSED I--N��S_rr^LA�_EF�q� `��('-P r.i; C��c� �xC.�,'].a �•: r-�GI��PHONE # � - - %.3(o -C7 S'7 .4D[]Rmss - ' - ��— _ _L'1!l 7csit'.�s3a t°� -"-'y [c,�3C�'�S(�(l� L SE �ISTRA: 1CN ft- SCENSE # [] >L Proposal (incluela a separate sko t= t looming tit® l•tatase, property lines, all adjacent walls within 20o feet of repair and tl„a locatlon of existing and pro•posecl : ystem) NOTE: The Department muy require submittal of proposal from licensed professional depending on the nature and extant oft a repair. t Q_�r °.o �� X11- .r✓�� -1 r� _' ate• 79:> 1, as cwnar,agrae to the conditions stated on this form SIGNATUR R TITLE DATE (ownar) I, the septic installer, agro5A.ap com th the conditions of this permit for the septic system repair SIC3NATURE TITLE '?°R��.atti�c' CATS (Installer) Proposal aporoyatl with tha folowino conditions_ ., Y . Procurement of prey Town Parrrtii, tr applicable. 2. Submission of as butt rOp4sir 9kelcft lay the wag. system grtvtaFtar witrtin 30 days of the repair, in dupilcada showing: a Owners Hama. Sits Street Name, Town and Tax Map number b. Location m of Inalmiled oomponants tied to two lbd points c. System description (s.gi.. 1250 gal. Concrete septic tank, stc.) d. Installers• name and phone number S. System repair to be perronmed In accordance with the above proposal and conditionn 4. Tha proposed SSTS repalr is consldaratl a bast fat design and thars is no guaro mtea to the duration st which the complered SST3 repair v.131 function. S. No complotad work is to b.e backlillad until atnhorl ation to do no has bean obtained from the Mapartment_ INTERNAL t1SE ONLY Propos //al Approved Proposal Denied 0 ins eotor's Signature a. Title. Cat�J' T i<pirg&tF on UaMer Repair proposal Is In compl4snoa -4th applicable codas No M COPIES: PCHD: Ownar: Installer PC -RP 99ML Rev. W07 27' .30'' 09/23/2010 06:38 9625439 IAROPOLI ASSOCIATES PAGE 02 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL ETALTH SERVICES DESIGN DATA SHEET — SUBSURFACE SEWAGE TREATMENT SYSTEM Owner s hli A 24 t I•.f Address: _ tZ ,1r^ 711. Located at (street): 12 .60 TM #' Section: ,_'8iock _ Lot s Municipality: t fl kll V �b Watershed, SOE.. PERCOLATION TEST DATA Date of 'Fre- soakiiag: q 115,1 f o ,- Witnessed by: Date of Percolation Test,-. . 1p1e No.. Run No. Time, Staff — Stop Elapse Time tom,) ' Depth to Water from ground surface (mches) Start - Stop Water level drop in inches Percolation Rate. min/Inch 3 . ,ef x z 3 Z X01 4 5 z 3 4 5 2 3 4 Notes: 1.' Tests to be repeated at same depth until approximately equal percolation ratan. are obtained at each percolation test hole. (i:e., c-i min for 1.30 min/inch, 15 2 min for 31 -60 ipin/ineh). All data to be submitted for review. 7 r.a..Am. aen.ramante M k. mutir fn-irm M» Af hnl• n eery r- 44 �M PUTN.kti1 COUNTY DEPARTI'IEN'T OF HEALTH DI -ISION OF ENTVIRO- i-IMENT -U HEALTH SERV -f CES DESIGN DATA SHEET = SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: M" ;r //V Located at (street): Municipality: Y",4 �iALLirY Address: /,2- 60 - ,CA1td/A'� 7EZZ�L,6 TM >; Section: _ Bloch — Lot Watershed: SOIL PERCOLATION TEST DATA a � °2 Witnessed by: Date of Pre - soaking: 1r' / /a Date of Percolation Test: l6 /p Hole No. Run No. Time Start— Stop f t EIapse Time (min.) Depth to water from bound surface (inches) Water level drop in inches Percolation . Rate min /inch 30 13� °�0 %1 – s �lo I 40 I I Z I I I I ( I .3 I I I i_ i s I I i i ! ► I I I I I I I I 2 3 I I 14 I I I I I s 2 I ( I 3 I I I I I 4 I I I s► I I i 1 2 1 3 1 I I I I I I I I I { i 4 I { I I Motes: l T_szs ro be repezc--d ac same depth unfit approximately equal percolation rates are WYh "+"^�. was`" "�'1C�i6'L`SVlii'i:44Wd4NalWAWi, .. ....• .. .. . TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES CEP 7H HOLE HOLEY HOLE # G.L. HOLE R 3 HOLE # r �� Lndicate level at which groundwater is encountered 6,(0 � LZdicate level at which mottlinz is observed y''` 11/14114 -/o 42WIM Indicate Level to which water level rises after bein` encountered Deeg hole observations made by: /�]� t�',4 Ef,�, Date Design Professional Name: ?.ddress: S io-nattre: 1.0' Sexy;' J 2.0' Zaa1 2. N?9P- �{ 3.0' a..0' 5a 4.1 � 5.� 7.0' a 7.5 '- 8.0' 8. 4- bd a,ti 9. Te.a' HOLE R 3 HOLE # r �� Lndicate level at which groundwater is encountered 6,(0 � LZdicate level at which mottlinz is observed y''` 11/14114 -/o 42WIM Indicate Level to which water level rises after bein` encountered Deeg hole observations made by: /�]� t�',4 Ef,�, Date Design Professional Name: ?.ddress: S io-nattre: B let a ;G Te z Lke West\\. Lak Secoi 'I P 33 in 'e. 30 R e Lek M 14 e m 6N AHOPA 24 2 HS, ms 71 loom 114rgei% 6 .er Pond Still e 37 3� was �f GRID :STREET GRID STREET GRID '-c DO Mahopat A — :sE hbusi, 9 take 7 Square Mdwin. - id Rd.:...:. 3 1 0 ". BbtternutlA: !4. aog Wade Va-is" 'Lawso rn�n ret lialr 4 L Cern Gardiner R McMe]n14 : Sonnet N Atonement Am. 9, �or6 :41 Rd ............. L 5 Calvbrtdh Rd R '4. Garfield Or McManus hBirch'H[IlRd.O... e'ff arson i L 4 Camden Rd R 4 i lley I South ............ 6N 'ROSALL MUIN MER • EXT MUNI ST EAST 0 Brew,, 118 Carm Cold 6 Kent Nelso rub ; Patter ,aK f j Philip j Putna F X Copyright 2004 Hagstrorn Map Company, Inc. All rights reserved. No part of Brew,, Lu this work may be reproduced or transmitted in any form or by any means. Carm electronic or mechanical, including photocopying, recording, or by any Colds information storage and retrieval system, without permission in writing from Garri,, 132 the publisher. Lake The information shown on this map has been obtained from various Maho authoritative sources. Nevertheless, a work of this scope may contain some Mahol inaccuracies. Any errors and omissions called to our attention will be greatly Patter appreciated. Putna ADJOINING AREA SEE HAGs'rROM'S UPPER WESTCHESTER COUNTY POCKET MAP �f GRID :STREET GRID STREET GRID STREET GRID :sE - id Rd.:...:. 3 1 0 ". BbtternutlA: !4. �"-' � - i'�:�:. .'�`W 'A' Fulton Or. �: '8' Va-is" �omersef r �`A rn�n ret lialr 4 Caldwell Rd 0: .4 Gardiner R McMe]n14 : Sonnet N Atonement Am. 9, �or6 :41 Rd ............. L 5 Calvbrtdh Rd R '4. Garfield Or McManus hBirch'H[IlRd.O... C Rd' —C'19 L 4 Camden Rd R 4 'Garfunkel Wav N 5 Mead" South ............ �ti a° CO O` p�R �1 �N ce p .O 'Y ,i� o i� �v OO�c I A9E / az � 5ti m A� Z p0 ' gz � C,,, CO 9 L�'P 4�, : � GJ CA cn 5Z J G) 0 CD Co o 0 3 N cD ; TRIM LINE I� '- - - - - -- L ER 165 e W CD 20 FT. DRAT A E � SME T M.33. O_ (D .32.75 PIN ET 19M ' S 15 °04' 1 " RE VERED CD0.1� o_svu Create PDF with G02PDF for free, if you wish to remove this line, click here to buy Virtual PDF Printer Precision. Excavating Inc. 3.Rochambeau Road Garrison.: NY 10524 (845) 734-'0571 excavadng@verizon.net FAX TRANSMFTTAL FORM To: Gene Reed From: April Leonforte Date Sent: Sept 5, 2010 Regarding: Test Holes No. of Pages: 4 Gene, Here is a faxed copy of a request for field testing and the permit. I am faxing this so that we could get on -your -calendar for M -.Opy,.,S -1,3L qv.� 5 o. hat -the engineer. Pjsq-... or ept�.. ?_Please, -let me. �r _Qarypoordi q,:.*th_ If you have any further questions, don't hesitate to contact us at (845) 736-0571. Sincerely, April Leonforte ARUCE R,..Ft -[.RY LD Associate Public Health Director Director of Patient Services DEPARTNffi NT OF HEALTH 1 Geneva Road - . -Brewster, New York 10509 RE QIUESI FQH ]EELD TESTING . ATTENTION: ❑ JOSEPH PARAVA'IIT GENE REED All information below must be fft completed prior to any scheduling. DATE: `— �' O ENGINEER OR FIRM: t`'{`en : S : n C ;� . �c� i c� c� PHONE #: 2L- REASON: DEEPS: i � PERCS: b( PUMP TEST: ❑ ROAD /STREET: k a TOWN: R.A`C13 (Yl V � to, TAIL MAP#: -7H „ j q - Q -3 Q SUBDIVISION: LOT #: OWNER: i" YES NO ❑ o Proposed SSTSwitl in thedrainage basin of WestBranch orBoyds Corner Reservoirs. _❑ ._ .. ..Proposed. SETS within 500feet of a reservoir. Z weir stem or toots ol.lekp. a a proposed SSTS within 200 feet of a watercourse or a DEC wetland. ❑ ❑ Proposed SSTS design Sow greater than 1000 gallons/day or SPDES Permit required. ❑ ❑ Proposed SSTS for a Commercial 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 yews to any of the questions, NYCDEP must witness the soil tests. This Department will coordinate a mutually suitable time for field testing with 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 tests, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYCDEP. FOR COUM USE ONLY DATE: 11M6: MBLDTES7) 2010 -09-06 09:38 PRECISION EXCAVATING 18457360571» 8452787921 P 314 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PR P )SAL FOR- SEWAGE TREATMENT SYSTEM REPAIR YES NQ- _ Internal Use Only PERMR # RepWr Permit Issued In lest 5 years ❑ Not in Watershed U U Fts;Wr within Boyd's Comers, W. Branch or Croton Falls Res. U Delegated ❑ . ❑ Repek within 200 ft. of a watercourse or DEC - mapped wetland ❑ Joint Review SITE LOCATION C, Cpp�yl 7 TOWN P TM # -ILA _ A -AO OWNER'$ NAME C'�r.;. '.a�--- Lr�r�n -P ONE #' IJS -�)$4 -0%1 MAILING ADDRESS Ql Oregon L "Torre 1'0- PjrnArn APPLICANT G �Jkt-iS "'; r1§, ►r_ P r- Na ne & Relatlonshlp p.e., owner, tenant, contractor) DATE — -- t.0 FACILITY TYPE PCHD COMPLAINT # PROPOSED INSTALLER i S; on PHONE # `AS- -736 --OS-7 ADDRESS r /LICENSE # i©:);)L Proposal (include a separate sketch locating; the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of t e repair, 1, as owner,agres to the conditions stated on this form (owner) I, the septic installer, agre SMp com th the conditions of this permit for the septic system repair SIGNATURE TITLE 4?-., A DATE (Installer) Pr=sal approved with owing conditions: 1. Procurement of any Town Permit, ffi applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a, Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number . 3. System repair to be performed In accordance with the above proposal and conditions 4. The proposed SSTS repair Is considered a best fit design and there Is no guarantee to the duration at which the completed SSTS repair will function. 5• No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Approved ❑ Proposal Denied ❑ Inspector's Signature & Title Date Expiration Date Repair proposal is In compliance with applicable codes Yes O No ❑ COPIES: PCHD; Owner; Installer r h- r � C'f -r.n x • F "knw- ✓ � : it F ° � t5 J �,,r' �bii 9�1r f4k � t ` '• j n, �. c* `r r +, '} �rP r Iy ��{.h,c 9 m � r ..k+(. .'K? f. ,,,,.''9" " "I 7-K sir }, {4 3.. �,' b'��'" 1 ` .. x �.mf.',y t`, •' ' �; � t, � s � ♦ �.�+, f �: yt y � c,,. Ae �Y Wit,# }�` ��+'A'f _ � , w{ y� + t 4 �,�L• Wit Ap '�k y, - r 9 S'�'.s t t ..,.r . N !".;��t�•h+'�V ytt"�'Ei� .� I� ;G'4 ) f �� � 1e ' s • r; �. t F I ir'' �M�� �h ''1 '+ �� � 1�if .f , e ��°' �. ,E,y„_, �'. i,'��yj, ELK" . ,•.`: ° r'^��� '� , '4 W4 t t ..`,`ir � Syr t.r., rn 9 h � ay/P�,'��'• �' � 'p ���0� � 1 �r4' ..'' -� � y lid f , -'• .. � f� V rhkk'• ✓�' �/ ?' .o- P... 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