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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.06 -1 -2 BOX 29 03782 oil ' '. 0 LIP ,� L 6 : -� 9y 19 r l . as �,� 03782 0 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCFID CONSTRUCTION PERMIT # S W- 214 - o 1 ° Located at 6 92 S f iz o V i C R o c 1K Q o Y4 0 Town N V jq LL E=c i Owner /Applicant Name qt c_H A IZJD H k:�- S J Tax Map 133,66 Block 1 Lot Z Formerly. Subdivision Name M/4 i3 OF CCW ;1t EP r/1 L V4 (,(-A(;(. Subd. Lot # `Z Mailing Address 62 S F'i20U i 7sf2co r< )Zr)s ,.ty =te"► VALLEFli Zip 10 S -7G1 Date Construction Permit Issued by PCHD A06. 1 +. 'ZOO of SU)J1kET r✓lliL R0i9O Separate Sewerage System built by �r4SS%St 6iFtJ i?AL ca;-j f Address 'Pv.Ng(h Ve4iLcr'`1.' "� Y. - - - -- _ 'Pyc ?I P6- 1N 241 a 6''AyarL _762e/'�Cq Other Requirements: Water Supply: 24 4f-i(�j OF 9,,OKfytJ � 7'oi, -% PEA.kfP cuR /+1,'J PA/41,J Public Supply From Address 4 ro i NO4 or: X Private Supply Drilled by f *0/- � (o�%J' i� - Address � Building Type S i N 6 U_ r� M 14, V, TzC J Number of Bedrooms 02t iJxT R , Has erosion control been completed? XE= f Has garbage grinder been installed? tp� - Ihcertify that the system(s), as listed, serving the. remgisdsv re nstructed essentially as shown on the as- built plans (copies of which are attached), m a lci or ce Ae is , d CHD Construction Permit and approved plans and the standards, rules and regulations e gtyp ent of Health. I ti'f` w Date: °1 5 L Certified by z P.E. R.A. &$i Profession 1) Address 2 S a NN V A L 14 C 1% I E r` Kl�, S6�License # Any person occupying premises served by the above systems shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocation ification or change is necessary. ..... ....... . By - . Title: �'6 Date: 2 White copy - HD Fill; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CL PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: 63;x: S Er ®ut BroVk Road Town/Village: Putnam Valley Tax Grid # 83.6 -1 -2 Map Block Lot(s) Well Owner: Name: Address: Steve Gaetano, 400 Executive Blvd, Suite 202, Ossinin0, NY 10562 Use of Well: 1- primary 2- secondary X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment X Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total length 28 ft. Length below grade 27 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials: X Steel Plastic Other Joints: _ Welded. X Threaded _ Other Seal: X Cement grout ^ Bentonite Other Drive shoe: X Yes _ No Liner: Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test Bailed X- Pumped - X- Compressed "Aire .. Hours 6 Yield 7 gpm Depth Data Measure from land surface- static (specify ft) 30' During yield test(ft) 140' Depth of completed well in.feet 205' Well Log If more detailed information descriptions or sieve analyses are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface 13 Dr' llin in ove )urden clay and boulders 13 Hit rock at 13' 13 28 Drilling in rock set casing, rotated 28 205 Driliin in rock granite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity 7� Depth 160' Model 7GS05412 Voltage 230 HP ' Tank Type WXX251 Volume 62 1. Date Well Completed 1/9/02 Putnam County Certification No. 002 Date of Report 3/14/02 Well Dri e i NOTE: Exact location of well with _ ._.. Wel Driller's Name Signature: least two permanent landmarks to be provid�n a separate sheet/plan. Trie: 'AddiUss:'4 Date: 3/14/02 White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 CW ENVIRONMENTAL SERVICES P.O. Box 2779, DANBURY, CT 06813 203 -267 -6539 (FAX:SAME) WATER ANALYSIS REPORT TO: P.F.Beal & Sons DATE SAMPLE COLLECTED: 3/5/2002 4 Putnam Avenue TEKE COLLECTED: 8:45 a.m. Brewster, N.Y. 10509 COLLECTED BY: Wayne Mayes DATE RECEIVED: 3/6/2002 TESTED BY: ELAP#11715 FILE LD. # CW -165 REPORT DATE: 3/712002 SAMPLE SITE: Gaetano, 632 Sprout Brook Road, Putnam Valley, N.Y. SAMPLE POINT: Tank Hose Bibb SOURCE: Well TREATMENT: None ml -milliliter mgAL—milhgrarns per Liter ND =none detected MCL-Maximum Contaminant Level TNTC =Too Numerous To Count S.U. = Standard Unit NTU= Nephelometric Turbidity Unit TON = Threshold Odor Number * *Notification Level " "'Manganese Action Level= 0.50mg/L — Lead ActignLeve1= 0.015mg/L COMMENTS: -All holding times (were) met. - RESULTS BASED ON SAMPLES SUBMITTED: 3/6/2002 d y P&sident Samples Analyzed by: JMS Environmental Laboartory — PH#0218 -- ELAP#11715 DATE MAKE"_ CONTAMINANT TEST PERFORMED RESULTS METHOD # TESTED LEVEL (MCL) OR STANDARD Color. (Apparent) ND Units SMWW 2120 B 3/6/02 15 Units • Odor ND TONS SMWW 2150 B 316/02 3 TONs • pH 7.13 S.U. SMWW 4500 H B 3/6/02 6.5 to 8.5 S.U. • Turbidity 0.72 NTUs SMWW 2130 B 3/6/02 5 NTU CHEMISTRY: • Nitrite Nitrogen <0.1 mg/L SMWW 4500 NO3E 3/6/02 1.0 mg/L • Nitrate Nitrogen 0.491 mg/L SMWW 4500 NO3E 3/6102 10 mg/L Combined limit for Nitrite plus Nitrate = 10mg/L • Hardness 100.0 mg/L SMWW 2340 C 3/6/02 -- • Chloride 29.0. mg/L SMWW 4500 Cl C 3/6/02 250 mg/L • Iron 0.034 mg/L SMWW 3111B 317102 030 mg/L • Manganese 0.028 mg/L SMWW 3111B 3/7/02 0.30 mg/L * ** • Sodium 7.32 mg/L SMWW 3111B 317/02 20.0 mg/L ** • Lead <0.015 mg/L SMWW 3113 B 3/8/02 0.015 mg/L* ml -milliliter mgAL—milhgrarns per Liter ND =none detected MCL-Maximum Contaminant Level TNTC =Too Numerous To Count S.U. = Standard Unit NTU= Nephelometric Turbidity Unit TON = Threshold Odor Number * *Notification Level " "'Manganese Action Level= 0.50mg/L — Lead ActignLeve1= 0.015mg/L COMMENTS: -All holding times (were) met. - RESULTS BASED ON SAMPLES SUBMITTED: 3/6/2002 d y P&sident Samples Analyzed by: JMS Environmental Laboartory — PH#0218 -- ELAP#11715 BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (914) 278 - 6130 Fax (9.14) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 E911 ADDRESS VERIFICATION FORM OWNERS NAME: 91cNA1.i> Ai-)P iLrL5-i2 l ji �Jts-S TAX MAP NUMBER: i?3 -06 /T4 NCK< Lo—(: 2- E911 ADDRESS: TOWN: AUTHORIZED TOWN OF. (Signature) DATE: The Putnam County Department of Health will not issue. a Certificate of Construction Compliance unless the above form is completed, i.e., a legal E911 address is assigned by an authorized town official. This form is to be submitted with the application for a Certificate of Construction Compliance. (E911 VERFM i'+ / 0J !_KUNIP4 M06INEERING 1 PAGE 01 PUTNAM COUNTY DEPARTMENT UE HEALTH( DIVISION OF ENVIRONMENTAL HEALTH SERVICES d A.R.ANTEE' ®F SUBSURFACE SEWAGE TREATMENT SYSTEM - - Owner or Purchaser of Building Tax Map Block Lot l Building Constructed by Town/Village G32 SPIZgvT inooK R019-0 - MA 10 13 0 CdaTlns�NTR1, V1U.P ,_J' Location - Street Subdivision Name .SilN�Lr l ' �( 4 Building Type 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, anal hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by' me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned Mier 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 a stem to operatt was causal' by -tlie willful or negligent act of the occupant of the building utilizing the system. Dated: 14onth Day Year 2402 General Contractor (Owner) - Signature s • � � L ` V'Y � Address: 2 S -? C 0 4 0 k L i C H-r S c v AW State Ao#j4rzpru Nix. Zip 14 S48 Signature: Title: ?R CC4 I o0J T- CA_S.I-L —"je , !a k�J &''RA t_ Corporation Name (if corporation) Address.- 9 HILL W StateRj VOIL -Y WZip 10,579 Form GS -97 Gaetano TILE ;� NORTHEAST LABORATORY OF DANBURY amn- LABORATORY ,N ACC39 DILL PLAIN.ROAD - DANBURYy C T 06811 CTCert PH 0404 8- 7J03'- FpX "('�03) 748 -0652' "" N "Cent. "1i47f LASS www.NORTHEAST LABORATORIES.com REPORT REPORT TO: P.F. BEAL & SONS DATE SAMPLE COLLECTED: 2/11/2002 4 PUTNAM AVENUE TIME COLLECTED: 9:00 A.M. BREWSTER, N.Y. 10509 COLLECTED BY: ALB Combined limit for Iron plus Manganese = 0.50 mg/L DATE RECEIVED @ LAB: 2/11/2002 0 Color (Apparent) TESTED BY: LAB #11471 15 LAB LD. # PFB -015 - REPORT DATE: 2/22/2002 SAMPLE SITE: GAETANO, SPROUT BROOK RD., PUTNAM VALLEY, N.Y. No designated limits SAMPLE POINT: TANK EPA 180.1 SOURCE: WELL -NEW TREATMENT: NONE MAXIMUM CONTAMINANT TEST PERFORMED RESULTS METHOD # LEVEL (MCL) OR STANDARD BACTERIAL: No designated limits EPA 130.2 0 Nitrite Nitrogen 0 Total Coliform (Bacteria) 0 per 100 ml SM 9222B 0 per 100 ml _ PHYSICALS: Combined limit for Iron plus Manganese = 0.50 mg/L "'62'.0 ._ "_ a ... 0 Color (Apparent) 10 - EPA 110.2 15 ® Odor ND - - 3 Units o pH 7.00 - EPA 150.1 No designated limits © Turbidity 13.0 NTUs EPA 180.1 5 NTUs CHEMISTRY: No designated limits EPA 130.2 0 Nitrite Nitrogen <0.005 mg/L as N - 0 Nitrate Nitrogen - :: 0.33 _mg/L as N . Combined limit for Iron plus Manganese = 0.50 mg/L "'62'.0 ._ "_ a ... 0 Hardness 86.0 mg/L ® Iron 2.14 mg/L 0 Manganese 0.062 mg/L • Sodium • Lead 22.7* * mg/L 0.063*** mg/L EPA 354.1 1.0 mg/L _.aSM.450ONO3D . - — . _._ - -l0 mg/L _ _ ..�.. SM 2320B No designated limits EPA 130.2 No designated limits EPA 236.1 0.30 mg/L EPA 243.1 0.50 mg/L Combined limit for Iron plus Manganese = 0.50 mg/L EPA 273.1 .20.0 mg/L* * EPA 239.2 0.015 mg/L * ** ml= milliliter mg/L= milligrams per Liter ND =none detected MCL= Maximum Contaminant Level TNTC =Too Numerous To Count * *Notification Level ** *Action Level COMMENTS: -All holding times (were) met. - Results re- checked on digested sample 2/21/2002 SAMPLE, AS TESTED ABOVE: MOTABLE or FEINOT POTABLE (PER STATE OF NEW YORK DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) RESULTS BASED ON SAMPLES SUBMITTED: 2/11/2002 a4W 9 Laboratory Director ONORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 060370 (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 © OUTSIDE CT: 800 - 654 -1230 CW ENVIRONMENTAL SERVICES P.O. Box 2779, DANBURY,_,CT. 06813 (D3= 267- 6'x"'39 (F'AXsSANlEj WATER ANALYSIS REPORT TO: P.F.Beal & Sons DATE SAMPLE COLLECTED: 3/5/2002 4 Putnam Avenue TIME COLLECTED: 8:45 a.m. Brewster, N.Y. 10509 COLLECTED BY: Wayne Mayes DATE RECEIVED: 3/6/2002 TESTED BY: ELAP#11715 FILE I.D. # CW -165 REPORT DATE: 3/712002 SAMPLE SITE: Gaetano, 632 Sprout Brook Road, Putnam Valley, N.Y. SAMPLE POINT: Tank Hose Bibb SOURCE: Well TREATMENT: None ml= milliliter mg/L=milligrams per Liter ND--none detected MCL= Maximum Contaminant Level TNTC =Too Numerous To Count S.U. = Standard Unit NTU Nephelometric Turbidity Unit TON = Threshold Odor Number * *Notification Level —Manganese Action Level= 0.50mg/L – Lead ActionLevel= 0.015mg/L COMMENTS: -All holding times (were) met. - RESULTS BASED ON SAMPLES SUBMTTTED: 3/6/2002 sident Samples Analyzed by: 3MS Environmental Laboartory — PH#0218 -- ELAP#11715 DATE MAXIMUM CONTAMINANT TEST PERFORMED RESULTS METHOD # TESTED LEVEL (MCL) OR STANDARD PHYSICALS: • Color (Apparent) ND Units SMWW 2120 B 3/6/02 15 Units • Odor ND TONs SMWW 2150 B 3/6/02 3 TONs • pH 7.13 S.U. SMWW 4500 H B 3/6/02 6.5 to 8.5 S.U. • Turbidity 0.72 NTUs SMWW 2130 B ROM 5 NTU CHEMISTRY: • Nitrite Nitrogen <0.1 mg/L SMWW 4500 NO3E 3/6/02 1.0 mg/L • Nitrate Nitrogen 0.491 mg/L SMWW 4500 NO3E 3/6/02 10 mg/L Combined limit for Nitrite plus Nitrate = 10mg/L • Hardness 100.0 mg/L SMWW 2340 C 3/6/02 _ . •Chloride, r, ... _ h� _ _ 29.0 ` mg/L, S.MWW 4500 C1:C 3/6%02' y .__ : v . _ ' _.250- mg/L.:4. • Iron 0.034 mg/L SMWW 3111B 3/7102 0.30 mg/L • Manganese 0.028 mg/L SMWW 3111B 3/7/02 0.30 mg/L * ** • Sodium 7.32 mg/L SMWW 311113 3/7102 20.0 mg/L ** • Lead <0.015 mg/L SMWW 3113 B 3/8/02 0.015 mg/L* ml= milliliter mg/L=milligrams per Liter ND--none detected MCL= Maximum Contaminant Level TNTC =Too Numerous To Count S.U. = Standard Unit NTU Nephelometric Turbidity Unit TON = Threshold Odor Number * *Notification Level —Manganese Action Level= 0.50mg/L – Lead ActionLevel= 0.015mg/L COMMENTS: -All holding times (were) met. - RESULTS BASED ON SAMPLES SUBMTTTED: 3/6/2002 sident Samples Analyzed by: 3MS Environmental Laboartory — PH#0218 -- ELAP#11715 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 9 p ao e .' 1 FPIAL SITE INSPECTION Date' : _ Inspect( y - C', �treetLocation 5p;zairr- 13 iK l Owner MoE.5:, 'own ?0-7-1y,14-111 i441-1,E Z Permit # 5 4,f/ •- ;P-4 — p> ,M 83, e26 -- I - Subdivision Lot 4 ;2 Sew age Svste' 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 ...... ............................... Sewage System a. 6eptic tan iz a1000 ......1,250 .........other ................ b. Septic tank inst e evel ................ ............................... c. 10' minimum from foundation .......... ............................... d. Distribution Box 1. All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft-Original soil between box & trenches e. Junction Box - properly set ........... ............................... f renc es TZength requirzd `Length installed�< 2 � = Distance to watercourse measured , _ �� Ft...:....' 7',; 77777777 �. Installed according to plan ......... ............................... A Qlnno of trPn/`l1 aev antohln 1 /14 1 :..... of trench <30 inches from surface .................. ........... _..... 9. Depth of gravel in trench 12" minimum ................. 10. Pipe ends capped ........................ .......... ...................... g. Pump or Dosed Systems 1. Size of pump c am er ................ ............................... .2. Overflow tank ............................. ............................... 3. Alarm, visual / audio .................... ............................... 4.' Pump easily accessible, manhole to grade ................. 5. First box baffled ........................................ ; ................. .. 6. Cycle witnessed by H.D.estirnated flow /cycle........... III. House/Buildin a. House I ocated per approved plans...... ...1 ....... ..... b. Number of bedrooms .... ..............................� .!�:........ . IV. Well a. Well located as per approved plans . ............................... b. Distance from STS area measured -f ,/� ft ........... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d Backfill material contarns_stones <4 ",diameter ......... I. e Curtarn d�ra��8c�,s�tanmprp "e lledp acc ordrng t p f Ctirtainxdrain outfall protected&dtr.to exist °�raterc . is g Footing drains,dischaige away from STS area NOI COMMENTS "P' ,q t< e c ex . e�; /tJ'P' yFG �JX �� `• "P' 01/18/2002 12:29 9147363693 CRONIN ENGINEERING 1 PAGE 01 I r PuTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL 0EALTH SERVICES ATTENTION a ADAM KGENE RE=Sl FOP, FiNA_ INSPECTION For: Fill All infomation must be fully completed prior to any Trenches_ inspections being made. PCHD Construction Permit # -W' 214 " a Located: 632 SPROUT U7106K Ra�9'� (T)(v) - �uT�.1�r''t �19Lt�'�`� Owner /Applicant Name: RICHARD N C -C-C TM $1,d6 Block 1 Lot I Formerly: - Subdivision Name: CavT�NTA� V���pd'� Subdivision Lot # Is system £d1 completed? �� f Is system complete? `I•+� "1 Is system constructed as per plans? �! Is well dri0od? Is well located as per plans? y _ Are erosion control measures in place? Date: a W1JPILh. 11 T 16 ok -L — Date: I certify that the system(s), as fisted, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Construction Permit and __approved 'plans A0. the Standards; Rules and Regulations_ of the Putnam County Department:.o Health. Date- Vah-L_ Certified by- C srW 9L34(t ErR /Jd PE -R.A Design Professional Address: . Lic. # _ -- Comments: Form FIR -99 M a BRUCE R. FOL`EY Public Health Director January 22, 2002 DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA N16LMM RN:, K.SN:` Associate Public Health Director Director 'of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Timothy L. Cronin, III Cronin Engineers & Planning Consultants The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, New York 10566 Re: Field Inspection, Hess . Sprout Brook Road, (T) Putnam Valley Lot # 29, TM# 83.06 -1 -2 Dear Mr. Cronin: The above referenced separate sewage treatment system can be backfilled. All junction boxes and trench ends must be staked for future reference. The following comments must be corrected in the field: 1. It appears the expansion area needs additional fill. Fill pad must extend ten feet beyond proposed trenches on all sides prior to sloping back to grade. 2. Piping for the stream needs to be completed. 3. Roof leader /footing drain and curtain drain need to be extended per the approved plan. 4. Some of the SSTS trenches appear to be within ten feet of the property line. 5. Stand pipes must be installed per the approved plan. 6. All silt fence must be properly installed per the approved plan. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. Very truly yours, Gene D. Reed GDR:cj Environmental Health Engineering Aide a SENDING CONFIRMATION DATE a JAN -5 -2000 WED 0451 NAME : PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845 - 278 -7921 PHONE : 919147363693 PAGES : 1/1 START TIME : JAN -05 04:50 ELAPSED TIME 00'34" MODE ECM RESULTS : OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... a a BRUC13 R FOI EY LORMA MOLINAM R.N., bLS.N. PON Heakh Dfto- Amdm ?.NJ, Heald Dreedv Daedaa 6J Pokenl snvieee DEPARTMENT OF HEALTH 1 Geneve Road Brewster, Now York ID509 I..k...1e.41 R hb t645)174-6176 F.e(W)VA -7911 tt6nnx3mftn 5)278•6551 WSCR 45)378-6676 F&(645)2711.66aS x.,y rmm"itle. (IInM -6614 V-(f45)176 -6666 P,Qr1..l (611)126 -5911 F=(a55)116 -6111 January 22, 2002 Timothy L. Cronin, M Cronin Bngiumn; do Pla}niug.Csrnaultastts' :. _ ...... «.. .� __.__.._ � -. .. _...r_..': _...: _..-- TheLittdyHoi '.ding;'suita°.,0'v.•.,.__�, . _ ....... ..� �_,.r. ._ .._._�.» . -..... .... ...._ ..� _. __. __.._..— �..._— .' —...J— .._... 2 John Walsh Blvd. Peekskill, New York 10566 Ro: Field Inspection, Hess Sprout Brook Road, M Pumsm Valley Lot p 29, TM# 83.06 -1 -2 Dear W. Cronin: Tbc above referenced separate sewage treatment system can be backfilled. All junction boxes and acnch ends must be staked for future reference. The following comments must be corrected In the field: I. It appears the expansion area needs additional till. Fill pad must extend ten fret beyond proposed trenches on all sides prior to sloping back to grads. 2. Piping for the stream needs to be completed. 3. Roof leaderlfooting drain and curtain drain need to be extended per the approved plan. 4. Some of tho SETS trenches appear to be within ten feet of the property line. 5. Stand pipes must be installed per the approved plan. 6. All silt fence must be properly installed per the approved plan. If you havo any further questions, please contact me at (845) 278 -6130 axL 2261. Vcry truly yams, Gene A. Reed GDR:cj Bnvirotmental Health Engineering Aide s,.. „;BRUCE. Public Health Director March 19, 2002 DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 I,OR ETTN' -MC EINAR! R.N.;" N1.&N Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Timothy L. Cronin, III Cronin Engineers & Planning Consultants The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, New York 10566 Re: Field Inspection, Hess Sprout Brook Road, (T) Putnam Valley Lot # 29, TM# 83.06 -1 -2 Dear Mr. Cronin: The above referenced separate sewage treatment system can be backfilled. All junction boxes and trench ends must be staked for future reference. The following comments must be corrected in the field: 1. Piping for the stream needs to be completed, i.e. end section and stone rip -rap. 2. Some of the SSTS trenches appear to be within ten feet of the property line. 3. All silt fence must be properly installed per the approved plan. 4. The SSTS trenches need to be staked in order for a proper inspection of the 100% expansion area. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. Very truly yours, Gene D. Reed GDR:cj Environmental Health Engineering Aide ` SENDING CONFIRMATION DATE : MAR -19 -2002 TUE 21:52 NAME . PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845 - 278 -7921 PHONE : 919147363693 PAGES : 1/1 START TIME : MAR -19 21:51 ELAPSED TIME : 00'32" MODE : ECM RESULTS : OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... _ a BRUCE R. FOLEY -y LORETiA MOLINARI R.N.. M.S.N. P.EIk R -1A DOecrar .( A-1W. P.Nk H-hA Di. , A c of Pffm( Sorties DEPARTMENT OF HEALTH I Gencva Road Bresva0of, Now York 10509 LrinaaY0l.l ny11Y (i65)3T!•61r0 Fn(145)273-7421 �+ss19...k,. (M!)s7a -sss6 wrc (us)176 -667a V- (645)276 -6016 8.dy Lu"..am (r6i)278.6014 F8046)TA -6611 T,w�M (MS)3]1 -591] R.(MS)]3. -61.3 March 19, 2002 Timothy L Cronin, III __._.._........:- ...:..:._,..., ._ -.— :. -. •• CroninEaginc ;.rs &PlarrtingConauttants.- �_..._.. - - - - _ - - .. -. "' - - - - - ... The L1ndyyuuffi11g,S%Re200^- — 2 John Walsh Blvd. Peekskill, New York 10566 Re: Field Inspection, Hass Sprout Brook Road, (T) Putoam Valley Lot # 29, TMM# 83.06 -1 -2 Des Mr. Cronin: The above referenced separate sewage treatment cyst= can be backfilled. All junction boxes and trench ends must be staked for future reference. The following comments must be corrected in the field: 1. Piping for the stream needs to be completed, i.e. end section and stone rip -rap. 2. Some of the SSTS tteachcs appear to be within tcn feet of the property line. 3. All silt fence must be properly installed per the approved plan. 4. The SSTS wenches need to be staked in order for a proper inspection of the 100910 expansion am If you bave any finthcr questions, please contact me at (845) 278.6130 ext. 2261. Very tntly yours, . 0 Gene D. Reed GDR:cj Environmental Health Engineering Aide 4 03119/2002. 15:13 9147363693 CRONIN ENGINEERING I IPVTNAM COUNTY DEPARTMENT OF HFAT TH Dr ION OF ENWRONMENTAL HEALTH SERVICES ATTENMON 0 AIDAM GENE All information must be fully completed prior to any lopections being made. For: Fin Trenches PAGE 01 PCBD Construction Permit # .SW–` V– 6 1 - Located: Ot SMZduf MOK-lZb 0) AD 'iTtinn 0�t_t.� -- Owner/Applicant Name- &CJ092 Mgi_ m ' TM T1. 06 Block Lot 2-- Formerly: Subdivision Name- COP:EW9,tt ML VIC.-LACe- Subdivision Lot # 0 Is system fin completed? Date; Is system complete? Date, WM 17, Ztx'i- Is system constructed as per plans? y 6 Is well drilled? ViEr Date, Is well located as per plans? y4f Are erosion control measures in pface? I certify that the system(s), as fisted, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Construction Permit and a ivied, . .. 'd s,'Ri-Mes-andResulatio of the. Putnam -Coup of pp-Pl=, - =d th� -Stan Lr-d ns He" - -pty 4W MURPqy +r- Date- Cenified by: cR0-AJ1A► CIJ C10jee7W PE — RA Design Professional Address: Z 8H4 WALJq ff CC dL N, Y, i L I Comments: &L CqjZRer-.Cff—(gr� M� -r#e Fla(-do el��Z JVJ76*4 IJ M.94-Wi Form FIR 99 e 6 PQ9 Aj I 31 xt o O O WET AP$';CA ROOF LCAAM AAV AL FOOBW DRAW vo Nk DRAINAGE X k WA 7M -IZWMCr kv 19P F N.71 VOIOO'W .1" CAL. CONOWIF MPHC 7.4W— N,71 10 4 L am 4. j 4,0 -Wv ^v PrOPE WR( BEMS AS SMW NT m 3> war T> D I:b It. Is. Tt rA - 41. an OUMALL PW AL *L -V— "WNW fnp) fl[. -o cA 4 S Al. eoo� rz-r -4"o PERr Pic W 24' GRAWL MEMC;� (EROS ARE CAWMI Jou 'M AIWA EVANS aj "J SAP Lj- 0 z w r- F- w CE CL W z O U z Z) a_ LLI z Q z AT LOMER EAV 00 LO L IT -josoo pe LLI Rat NW POW -i r AREA OF W j6W. L F- ((ACED AREA) -f92LF-7' ANW D CURMOV DRAW W WEWIMIS AT q L R C-H HAve' Xeco ru AS-- -BUILT SEWAGE 70 M CU -7 Ck SCALE: I JO F 1� cc 1: LETTER OF TRANSMITTAL CRONIN ENGINEERING P.E., P.C. March 15, 2002 The Lindy Building; Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 914 - 736 -3664 Fax 914 - 736 -3693 Putnam County Department of Health 1 Geneva Road, Brewster, N.Y. 10509 RE: RICHARD & ALBERTA HESS SW -24 -01 632 SPROUT BROOK ROAD TOWN OF PUTNAM VALLEY THESE ARE TRANSMITTED as checked below: ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY WE ARE SENDING YOU attached 1.) Three copies of as -built subsurface sewage treatment system plan -. 2.):.Thrce certificate -of the construction cof-npliance: 3.) Three guaranties of SSTS 4.) Copy of survey showing foundation location 5.) Well completion report 6.) Water analysis 7.) E911 address verification form 8.) $200 certified check for application fee. Should you have any questions or require additional information regarding this matter, please contact me at the above phone number. Thank you for your time and assistance in this matte. Respectfully submitted, 1� Kenneth M. Murphy Project Designer 03/13/2002 14:06 9147363693 CRONIN ENGINEERING 1 PAGE 01 PUTT rat COUNTY DEPARTMENT OF HEALTH ?ail information must be fully completed prior to any Trenches .�.._ inspections berg made. PCHD Construction Permit # Sbo--1 -4 - 0 1 r't `��,� Located: (2-'3Z _S" Pf2oU f 1 2WK V(SAD (� fuT�� Vo Owner /Applicant Name. JZ IC- M A Rib M e if TM "'� 0 6 Block I Lot Z ]Formerly. Subdivision Name: COaT1NENTA1L VIC-t_paCZ- Subdivision Lot T V Is system fill completed? ``rte 1 Date: Is system complete? -- � Date: �,14 VA (Z`t 1 '7A 2 y o 2 Is system constructed as per plans? _ Yy,s Is well drilled? `?L''-r Date: Is well located as per plans? `1f A--.f Are erosion control measures in place? Ye-J I certify that the system(s), as listed, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Construction Permit and approved plans, and the Standards,_ Rules and Regulations of the Putnam County- Department of.... ,.. = �tJ i� t,rZph 4( o F Date: Cettif ed by:fZ1N �i/�� �l�pE RA Desim Professional Address: S --3-P 6 .-4-► W ALf h 7§4WO pe yxf &14. c.. j�j% Lic. ? Comments: C &'AJ e 'Tdg e fL DA 74,0 MpoiIrle MIg04 5i . T2- 2662 dlW g- .f Form FIR -99 BRUCE R. FOLEY LORETTA MOLINARI R.N., M.S.N. Public Health Director �, 4� �ls;o�iate Public Health: Director ' ., ....- .�....= Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New .York. 10509 Environmental Health (914)278-6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914)278-6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 MEMO To: All Design Professionals, Builders and Property Owners From: Robert Morris, P.E., Senior Public Health Engineer Subject: Partial Submissions/Revisions Date: February 12, 1999 In 1998 the review of plans"and the return of comments, if warranted, was constantly ahead of the time frame allotted by the New York City Department of Environmental Protection Watershed agreement. The Department is still striving to improve the time frame involved for permit review and approvals. Some improvements are: 1) Additional personnel in the program. 2) New York City Department of Environmental Protection faxing comments /approvals (saving mailing time) ----- ._, Reviewirt the�-ne ghbor-nutjftcafion requirement to make the requirement less stringent. 4) Updating the filing system. - -- - - However, it is also the design professional, builders and - property - owners responsibility - submit - - - -- - documents with all pertinent information provided. A cover sheet must be attached to all documents - not submitted with an initial complete application for a construction permit.. The cover sheet must include the following formation for each project. A) Owners name. B) Project address, municipality and tax map number. C) Document status, i.e., revision or requested additional information. The required cover sheet with assist in reducing the review and approval time frame. An example cover sheet has been enclosed. Your compliance with this requirement is appreciated. RM:tn d. a BRUCE R. FOLEY LORETTA MOLINARI RN., M.S.N. Public Fea1!h.:Directcr...-,:__; .; �' �� Associate Public Health' Director (� Director of Patient . Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914)278-6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914)278-6014 Fax (914) 278 - 6648 WIC(914)278-6678 Fax(914)278-6085 COVER SITILMET NWNICIPALITY: TAX MAP NUMBER: DESIGN PROFESSIONIAL: DATE: PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES :.. �115;�`>fZII�'I'I l�T.�E ZM�T FOR SE �sG _' ' t T14!IEl�' - ,SYS'gTEM .:. .. . PERMIT # J'J " Z i - 01 ?,1; `f Located at SAMO.-: -7- rRoo K 801910 Town or -Vittage l v ; ,J4A 4 LLd'_ �r Subdivision name Coda r °1ajE /j-rA I- (�eg.Subd. Lot # Z Tax Map 93.06 Block 1 Lot Date Subdivision Approved M14RCd 08, 19S4 Renewal Revision Owner /Applicant Name R1 CH Alzo � igL9iFR'7-A Hi 4 %r Date of Previous Approval Mailing Address 259 Cc)i4C'NL1 x H T- SQuA 11g— Zip Amount of Fee Enclosed Building Type Sja 61-C irmyp.. ILot Area 1.92 `� No. of Bedrooms Design Flow GPD G0 co feX 10 110 Ce_7 Ac4k^f' Fill Section Only ✓' Depth 6 "ro Z8" Volume '''`"260 cv 1Tac- Y50. PCHD NOTIFICATION IS RE UIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1000 gallon sse�pftic tank` and Sao l.. F - 4' Other Requirements: I 'M i H DECP c v TL`T 74)fJ 0R A I,Q To be constructed by (7'0 Xi5- 10 7702 1 I AJ €D ) Address Water Supply: Public Supply From Address or: _ Private Supply Drilled by PK g -q z SQr1_f /VJ C- Address Y dv'; jA14 allC i 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 w' ids he owner, his successors, heirs or assigns by the builder, that said builder will place in good operating illito id sewage treatment system during the period of two (2) years immediately folio �mg the date of ens ��e of th�''�(p ova Hof the Certificate of Construction Compliance of the original system or an y repair 'thereto. a Signed: .Pr Date — Z ,3 Address .� �,1 � /. o C % ` `� License # O'C z - -CJ APPROVED FOR CONSTRUCT IO Zexpires 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 considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new peftnnitj Approved for discharge of domestic sanitary se age only. By: Title: Date: White copy - HD Ale; Yellow copy - Building Insp�ctor; Pin copy - Owner; Orange copy - Design Pr fessro Form CP -97 BRUCE R. FOLEY K Public Health ' Director DEPARTMENT OF HEALTH .l Geneva Road Brewster, New York 10509 LORETTA MOLINARI - R.N.;- M.S:N. - Associate PuNfc" Ke'dlth 'Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278,- 6558 WIC .(845) 278 -_ 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 )•1, To: Engineers, Architects, Building Inspectors, Septic Installers, Construction Permit/Repair Applicants From: Bruce R. Foley, Public Health Director Date: August 8, 2001 Subject: Putnam County Health Department Registered Septic System Installers _ ....._ �,.: }.lease adis�drl April 26200 tie Ptittlarrl County =BOa of- Isl�li adopelislis- - - .': - to the Putnam County Sanitary Code requiring that the installation and repair of all subsurface sewage treatment systems (SSTS) be performed by installers registered with the Putnam County Health Department. This provision became effective July 1, 2001 and includes the installation of SSTS's for all new construction as well as repairs and replacement of any portion of existing systems. Please note that individual homeowners may construct or repair systems serving their residence without registering with the Putnam County Health Department. However, they must obtain a Repair Permit or Construction Permit from the Department. All work will be monitored by the Department. If you have any questions relative the registration process or to verify the registration of a proposed installer please contact William Hedges at (845) 278 -6130 ext. 2168. BRF /jp PUTNAM COUNTY" DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL :please print nr.type. - PCHD Permit �.� Well Location: Street Address: Town/V-ge Tax Grid # Pi200 —i C Z-0K R-0 VAz44Y Map 63.00 Block 1 Lot(s) 2. Well Owner: Name:1 ?+CH,q ft0 (qpn Address: 257 C O A C H X16 "H r 9' q v,4 ( I ALV6IZT& HiEss N. . loc- g Use of Well: __X Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 9 gpm # People Served .1 Est. of Daily Usage IY6 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling Z( New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type y' Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes ✓ No Name of subdivision MAP i 3 OF cot 71 1JZiJ'-rA i VJ J. LA GG Lot No. Water Well Contractor: P. r. 96,gL V SoNl' I1JCr Address: 4 PtrAw, Avc 02 lirr0l N.Y- /o Is Public Water Supply available to site? ..... .. ............................ ............................ Yes No Name of Public Water Supply: N 4 Town/Village tJ 14 I Distance to property from nearest water main: u Proposed well location & sources of contamina ' n to provided on s parate sheet/plan. Date: Applicant Signature: PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a Mer well driller certified by Putnam County. i Date of Issue I Permit Issuing Off Date of Expiration c Title: Permit is Non-Tr ansf rra e Whit copy - HD file; UI) CL� Yellow copy -Building Inspector; Pink copy - Owner; Orange copy- Well driller o R�PCE' R. FOLEY s•.�y :r. - .. . . Public Health Director DEPARTMENT OF BEALTH 1 Geneva Road Brewster, New York 10509 LORETft 1VIOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278- 6130 Fax (845) 278 - 7921 Lj Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 G` Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAVIER I NAME: ADDRESS: SITE LOCATION: DATE: STAFF PRESENT: 0 to- f $ 157`4 SPECIFIC WAVIER REQUEST: �5 v 1,� loci L :avL — DGES� • `SHE'" PROPOSED VARIANCE REQUEST POSE A HEALTH HAZARD OR ENVIRONMENTAL CONTAMINATION PROBLEM? YES NO WILL DISAPPROVAL RESULT IN A SI NIFICANT HARDSHIP? YES NO DISCUSSION REQUEST APPROVAL OR DENIED APPROVED REASON` DENIAL DIRECITOI!COF PftLIC HEALTH (SPECWAIVER) DENIED DATE: �113101 iEW YORK STATE DEPARTMENT OF HEALTH :ureau of Community Sanitation and Food Protection Specific Waiver from Requirements of Part 75 and Appendix 75- A,10NYCRR for Individual Household Sewage Treatment Systems Name of Applicant 146ss iNo. Street cityrrown sty ?rp Address 25�. COA�HL1 Gj-j'j SQU1gRC No. Street CityrTown Stie Zip Site Location Vkou - -r OROOK 0000 F i�TNAr-. I I-LE fir' to S' 7 1. Reason why site does not meet 10NYCRR Appendix 75 -A (check appropriate box(es)): *.--Xe pa ration distance cannot be achieved. cessive slope. High groundwater. Inadequate depth to bedrock or impermeable layer. Soil unsuitable. tOther (explain) ............. .............................................................. _........................................ 2. Proposed design or conditions of waiver: .................................... ............................... r t, i' r .......................�....5�. ...........r. l! 1...... -....1 ..� ... ...._5�!.... ... °............. _.._.._- _.....- ._.�sv!.! -j'�., .......... .............L.tc'. ri,ALt�.1.........�'`��� .., .. ..,, !.t ....... , _ ...—..... ........................... ........... ...... ,. ....... wc . 3. The proposed design may have the following limitations (check appropriate box(es)): *-LJ1Incre sed risk of well or spring contamination. risk of surface water contamination. LJ Expected design life of the system will be diminished. Operation of sewage system is subject to mechanical problems. Other(explain) . ................................................ :.: .......................... _. ............................... Additional information attached rr ..t- ?9r� C ..................... ...._41......._. .. L Construction pursuant to this waiver request should not pose any foreseeable health or environmental problems. In accordance with New York State Department Health Administrative Rules and Regulations, Part 75.6 (b), a waiver is hereby granted. This waiver may be revoked by the,,,, ss uing fficial for a change in conditions for which this waiver was granted. ............ ............................... ALTH ORIGINAL - Local Health Agency COPY - Applicant/Design Professional ............. ............................... DOH -1326 (7/92) (GEN -152) 14I" (MH7) —Text 12 PROJECT I.D. NUMBER 617- SEAR Appendix C - -_ - - _. �.... St$ee FnYlecrltncntal ®usllty- Rsavioai SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT rSPON30A PI cN ILO 0 4lL0021-r1 2. PROJECT NAME 'W+jq T— R S,-) e(PL ✓1 � ��j 3. PPWECr LOCATION: Munk4winy 'TCI w "i OF fu ANA r",x L L (Eq Counq .4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, SIC.. a provide map) O F S P (2c) u T -izew K 12-0 (}'o S. IS PROPOSED ACTION: New D E gwsW ❑ ModitkatloNaltaation 6. DESCRIBE PROJECT BRIEFLY: C'oij -171M UCTI-D -) v � ''3 gcolzoof ' Houxirl Dr21 COL e�1 `I', WC-Ll. SS TS (4/J_i 02(-41 ,,j a Gt 19i Pi r-J IS r 7. AMOUNT OF LAND AFFECTED: b 13 1 i Initially seas Uftlrnately aeraa B. WILLL�PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LANO USE RESTRICTIONS? 9 Tee D No It No, deecrito Wielly e. WHAT le PRESENT LANG usE IN V1t:7NrTY OF PROJECT? ❑ Reeldentiai D Industrial D Commercial D Agriculture D Pw*JForestlOpen apacs D Otlwr Describe: J ZONING' ICT' 10. DOES ACTION INVOLVE A PERMIT APPROVAL OR FUNDING. NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAQ? Yes D No It list 10 ym agency(s) and wmiVapprovals , 1 PEt +r !�iNi� tAtTL1jND Pbz^rIr SS IX`_ PC.pM pPt'IZoML., �j /c.Af:J6 ri20M .T6WQ 6 i� PvT�A/►7 Vlq LLB 11. DOES ANY ASPECT OF THE ACTIC4 HAVE A CURRENTLY VALID PERMIT OR APPROVAL? D Yoe H yea, list agency name &M permMapproval 12. AS A RESULT pPOSED ACTION WILL VaSTING PERMMAPPROVAL REQUIRE MODIWATIM OQ Mae I CERTIFY THAT THE INFORMATION PROVIDED ABOVE 13 TRUE TO THE BEST OF MY KNOWLEDGE ApMkar+tfsponeor name• �14da T11 f /L?f�/'N Pj2c? PI=CT �N6r Z ova: p i signature: i It the action is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER I PART II— ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A- DOES ACTION EXCEE ANY TYPE I THRESHOLD IN 0 NYCAK PART 011.129 If yoo. coordlnato tho rov6bw prowao meld use tft FULL EAF. 0 Yea I S. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN a NYCAR, PART 611.69 If No, a negativo declaration may 00 Superseded another Involved agency. ❑ Yet - - - " :C.-'OQiA -=TTOd RESULT IN ANY Aovahlt-&Odcrr2 ASSOCULTffD WtYH THE FOLLOWING: (Answore may be nandsw itten, If legible, C1. Exlaling air quality, surface or grourAwattlr qusallty or quantity, nolas lavola, exlaling Ifafflc prttcrno, Solid vre81e production or disposal, potential for eror k^ drainage or flooding problems? Explain bully: © 49 % t Ca Anat,fmtie, slgltcultsrral, aaehsu®loglcal, historic, or other natural of cultural rossoureos; or community of n©IghtwrAOOd ef►aieeiafl FipkUn briefly: C1. Vogotatlon Of fauna, 11811, olteltflah or vrildllfo opocloa, significant habltala, or thrastoncd or ondangarcd apestes? Explain brially. CA. A community's existing plans or goals, as officially adopted, or o chango In uca or Intensity of use of land or other natural resourcas? Explain txlely CS. Growth, subsequant doveiopmont, or relatod activities Ilkoly to bo Induced by the proposed action? Explain briefly. Cal Long term, short term, eumulat1w, or other offoets not Identified In CI-Q7 Explain Wally. O M. .may >�M C7. Other impacts (inetuding changes in use of oilher quantity or typo of onargy)9 Explain Driolly. Q _ - M. -C CD --, 0. IS THERE. OR, E LIKELY TO Sts. CONTpoV@p9SY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes It Yee, anclain briefly PART 11111— DETERMINATION OF SIGNIFICANCE (To be completed by Agency) 11016 UCTION& For ®acn advenle effect Identified above, detc Mans wftthar It Is subetantlal. tarp®, Important or other -Mee elgnlftaeant. Each ®Host should be assessed In connection with Its (a) sorting p.e. urtlan or rural); (b) probablllty of =UrNng; (e) duration; (d) Iffavuslbinty, (a) geographic scope; and (f) magnitude. If necoseary, odd attactintent6 or relle nos supp"rig insteriab. Ensure that axt+Mnatlons contain sufficient detail to show that all relwmt adver" Impriota have bit Identified and adeqltfately addmased. ❑ It this box If you have Identified one or more potentially large or significant adverse impacts which KAY ur. Then procood directly to the FULL EAF anew prepare S positive deiclaration. Ct,eek this box If you have -dettarmined, baud ore the inforinatlon and anaiys s and any supporting umentation, that the pr)poeW action FALL NOT must In any significant advew environmental Impacts AND p7l " on attachments as r the r�ona supporting this determinatim ( /)� ; - or- 4"i'm rn:7 of Load Agency L fV 7--;, I L, C- l Cr Yp* N asporisoble Orricer in Lead Agency as r Si ture oVftftj a scar in Lea7l siwtum at ftoam (it differew from t ate a 08/06/2001 14:02 9147363693 ,. 3 CRONIN ENGINEERING 1 KRONIN ENGINEERING, P� .E. P.C. dy k1jng, Se,200.2 f9hn W'" Blvd1 Peeks , New 1urf .lCSi - 1.-(914)79a9661 August 6, 2001 Adam S''tieWing, Public Ilea" Engineer Putnam County DqA: of Health 4 Geneva Road Brewster NY 10509 Rey., Construction Permit SSTS/weter Supply Sprout Brook Road, tMD 83.0612 Town of Putnam Valley PAGE 01 Deer Mr. Stiebeling, P Pursuant to your denial fetter, wE rely request i` rmai we iver�.of the Putnam County Code for the following: 'R 1. Sewage treWment wnponw is within 100 feet of a town designated wstiand.._. 2. SSTS fill pad grading within 5o feet buffer of valianft. 3. Fill pad gradng to the property line.. EnCfps l is they "Formal Waiver ReequW form GEN -152.. Igrxuy review the above for the specific w®iveer meeting on Atvua 7.2001 i*W ftM you,have any que a Ions or require aeiditional information pkww contact meat the above number. Thank you for your time and assistance In this matter. R lly submitted, >e. Keanene#h M. Murphy Prqed Designer AUG -6 -2001 MON 13:52 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 1 F1 c CHAPTER 144: Freshwater Wetlands, Watercourses and Waterbodies Ordinance of the Town of Putnam Valley, New Fork. The Town Wetlands Inspector, as Approval Authority, has determined that the proposed action is an Unlisted Action under SEQRA, and will not have a significant environmental impact. Therefore, a PERMIT WAIVER is granted subject to the conditions noted below. DATE PERMIT ISSUED: DATE PERMIT EXPIRES: APPLICANT /SPONSOR: PROPERTY LOCATION: July 28, 2001. July 28, 2002 Steve Gaetano 18 Bramblebush Road Croton, NY 10520 Cronin Engineering P.E. P.C. The Lindy Building, Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 Sprout Brook Road _- T= AX- MAP= #: - 83:6 -1 -2 - -SIZE-OF PARCEL: 1':03 acres -BONING: W -T- PROPOSED ACTION: Construction of single family residence, septic system, driveway and well within wetland and wetland buffer area 1MIA-R 1 All IVA o►a*113 1. Application Materials, file # WT -. 2. Site Plan for Richard and Alberta Hess, as prepared by Cronin Engineering P.E., P.C., dated 06- 18 -01. CONDITIONS OF PERMIT: 1. All construction shall followed approved Site Plan as prepared by Cronin Engineering P.E., P.C., as dated 06- 18 -01. 2. Wetlands Inspector to be notified when erosion controls have been installed. Wetlands Inspector to inspect controls prior to construction. Pagel of 3 3. The Building Inspector shall be notified once erosion control measures are in place and at . 8�hours pri017 - thb- ifiitiation�of any site work w 4. When Erosion controls are required, they must be maintained properly throughout the construction process and remain in place until final site inspections for compliance with conditions of permit have been completed. 4. Wetlands Inspector to be notified with drainage installed. Drainage to be installed prior to start of foundation, and inspected by Wetlands Inspector. 5. A split -rail fence to be placed along the 50 foot wetlands buffer line as depicted on above referenced site plan. In addition, a minimum of 50 native shrubs, minimum size of 3 -4 feet, to be planted, in clumps of 5 -7, along both sides of split rail fence. Wetlands Inspector to inspect plantings prior to issuance of Certificate of Occupancy. Plantings to consist of summersweet, arrowood viburnum, gray dogwood, highbush blueberry and winterberry. Plantings to be guaranteed for a minimum of two full growing seasons. 6. A note to be added to site plan, that no further encroachment, lawn or any improvements to be added beyond the 50 foot wetlands buffer line as shown on above referenced plan. The split rail fence shall remain as a permanent separation to wetland area. 7. The Planning Board, Wetlands Inspector, and/or Building Inspector, shall have the right to inspect the project from time to time. The permit shall be prominently displayed at the project site during the undertaking of the activities authorized by the permit. 9._ .. An additio.na.I escrow account in the amount of. $ 3.00 must -be establisrtgct with:.the_.To"- l�erinit Waiver can be considered validated. These additional escrow funds will be appropriated as required for construction monitoring purposes. Any portion of the account not used during the project monitoring period shall be returned to the applicant upon satisfactory completion of the project. (this is waived if already taken care of with application) Noncompliance with the conditions above will invalidate this Permit Waiver, and may result in a Notice of Violation and /or a Stop Work Order. Any questions regarding this Permit Waiver should be directed to the Town Wetlands Inspector (914) 762 -7288, or the office of the Building Inspector (914) 526 -2377. Date Permit Waiver Prepared: July 28, 2001 J �� Stephen W. Coleman Town Wetlands Inspector cc: Applicant, Building Inspector Planning Board, Environmental Commission Page 2 of 3 a 11ETN@ OTF�TRANS�MITiTAL PAE09 P.C. . July 39, 2001 The Lindy Building; Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 914- 736 -3654 Fax 914- 736 -3693 Adam Stiebeling Public Health Engineer Putnam County Department of Health 4 Geneva Road Brewster, NY 10509 RE: Pateman, Schroeder, Gaetano Wetland Permit Waivers Town of Putnam Valley THESE ARE TRANSMITTED as checked (below: FOR APPROVAL is FOR YOUR USE N AS REQUESTED ❑ FOR REVIEW AND COMMENT ❑ PLEASE REPLY REMARKS As discussed, enclosed are the originally signed Wetland Permit Waivers for the above referenced projects.. Also included are three copies each of the Pateman: and Schroeder_ plans: They -were-revised° per the TbWfi'Wetland- inspector and generally include a planting scheme, a "no mow" zone, limits of grading behind the houses and an indication of when the wetlands were flagged Please include these applications at your next Waiver Meeting in August. Should you have any questions or require additional information, please contact me at the above number. Thank you for your time and consideration in this matter Copy to: Signed: Keith C. Stlaudohar Cronin Engineering, P.E., P.C. 6'7/30/2001 10:28 9147363693 CRONIN ENGINEERING 1 PAGE 02. JUL 28 2001 11:59nm NP LAUERJET 3200 p,4 TOWN OF PUTNA►.M VALLEY CHAIMER 144: Freshwater Wedands, Watereourser and Waterbodies Ordinance of the Town of Putnam VaNey, Now York. The Town Wetlands Inspector, as Approval Authority, his determined that the proposed action is an Unlisted Action under SEQRA, and will not have a significant environmental impact. Therefore, a PERMIT WAIVER is granted eubj ect to the conditions noted below-. DATE PERMIT I,SSCMD: DATE PERMIT EXPIRES: APPLICANT)SPONSOR: PROPERTY LOCATION: July 28, 2001 July 2 8, 2002 Steve Gaetano 18 Bnunblebush Road Croton., NY 10520 Cronin Ensinccring P.E. P.C. The Lindy Building, Suite 200 2 John Welsh Boulevard Peekskill, NY 10566 Sprout Brook Road TAX MAP 4: 83.6.1 -2 SIZE Of PARCEL: 1.0.3 acres ZONING: R -1 ... Pi8.O1 ED! AC" 'IOI : _ _.._ Cnaadractln nt singei a y reside ;t sep _� 'ai _.. c . - P 'Ms - _.— - _- -. - - -. driveway and well within wetland and wetland buffer area MATERIALS REN "IFVM: 1, Application Materials, file # WT- 2. Site Plan for Rich. and and Alberta Hess, as prepared by Cronin Engineering P.E., P.C., dated 06- 18 -01. CONDITIONS OF PERMIT: 1. All eonstructidn. Shall followcli apDraved Site Plan as prepared by Cronin Engineering P.E., P.C., as dated 06- 18 -01. 2. Wetlands Inspector to be notificd when erosion controls have been installed. Wttlands Inspector to inspee' controls prior to cv 5"Wion. Pose t of L JUL -30 -2001 MON 10:05 TEL:845 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2 07/30/2001 10:28 9147363693, I CRONIN ENGINEERING 1 PAGE 03 .'UL 28 2001 12:00PH HP LRSERJET 3200 • P.5 The Bx lading Inspector shall be notified once erosion control nwasaum are in place Wd at least 48 hours prior to the initiation of any site worts. 4. When Erosion controls ere required, they must be maintained properly dvoushout the construction proem and remain in place until fill site inspections for coWliance wirb conditions ofperdt have been completed. 4. W.-Alands Inspector to be notified with drainage installed. Drainage to be itl Wiled prior to start of fomdation, and inspects by Wetlands Inspactor. S. A split -rail fence to be placed along the 50 foot wetlands buffer line as depicted on above referenced site plan. In addition, a minimum of SO native shrubs, minimum size of 3.4 fleet, to be planted, in clwmps of 5 -7, along bath sides of split rail fence. wetlands Inspector to inspect plantings prior to issuance of Certificate of Occupancy. Planting& to consist of numnermeat, wrowood vibuanuM gray dogwood, highbush blueoeffy and w interberry, Plantings to be guaranteed for a minimum of two >flall growing sessans. 6. A note to be added to site plan, that no ftarther =oachment, lawn or any improvements to be added beyond the 50 foot wet'ands buffer line as shown on above referenced plan. The split rail fence shall remein as a parmanew sepam6on to wetland area. 7. The planning Bogard, Wetlands Inspector, andlor Building Inspects$, mall have the right to inspect the pray; from Lime to time. 8. The permit smell bo promnently displayed at the project site during the undertaking of the activities authorized by the permit. 9. An additional escrow account in the amount of S 300 must be established with the To%m before this Permit Waiver can be ronsidered validated. These additional escrow funds Unll- be:epp-i-L-Vdxtuxl as're aired fop :canstsiictio riiaatit�,xin p r a :... :�rat� id i n of :P__ avant not used during the project monitoring period shall be returned to the appli cant upon. satisfactory completion of the pToject, (this is waived if already taken care of with application) Plontmpliauce with the conditions above will invalidate this Fermh Wsdver, arpd may result in a Nodee of Vlolation atrdior a Stop Work Order, Any questions regarding this Permit Waiver should be directed to the Town Wetlands Inspector (914) 762.7288, or tlse office of titc Building Inspector (914) 528 -2377_ Date Permit Waiver Prepared: July 28, 2001. VAL t Stephen W. Coleman To" Wetlands Inspector cc: Applicant_, wilding Inspector Planning Bo", Environmental Commission Pax z -"t JUL -30 -2001 MON 10:06 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 7 07/30/2001 10:28 9147363693 CRONIN ENGINEERING 1 <I4tN,:ENGIN]E:ERIN6 -P:,E - -, C,1.,,, -i THE LINDY BUILDM, SUITE 200 2 JOHN WAL8H BOULEVARD, PEEKSMLL NY 106M (PH) 9147304861 (F7q 91e- 738.988 lbw Adam Suede ft From Keith 6VrKWW Pam 845478.79121 Pale: 7 Plmm 8454784130 Dmbm July 30, 2001 IBM Pateman, SOV09( r, Gaetano M. PAGE 01 [x] !'or awrlew [] Nl a commmo U Ko ee I1100y ❑ Pkme Recycle Find enclosed a copy of the Tanis of Pt*wn Valley Wetland PemA Waivers for the above refer ox! pr*cds. Please in ludle these applications in your next Waiver meeting in August. I(Irdy rwiow and plea 00 If you have any questions or mire addrfionel infomrebon. Thanim Cc Chris Pat emen if this transmission is not clear please► cordsct our office JUL -30 -2001 MON 10:05 TEL:845 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 1 ST'EPREA; f: COLE, AA y�ronzgnem�� u ®sttlt�ang 3.4spm Goan Ossining, New YLW* 10562 10: Keith Staudoha-, Cronin Engineering Steve Gaetano. Contract Vendee Prom: Stephen V4'. Coleman, Toom li'ctiands ir_spector5,ax, Date: May26,.200' Re: Sprout Brook Road, Tax Map No. 83.6 -1 -2 - iti'etlands Delineation As requ ?sled, tine wetlands ,Vn the sub. ect narce: were delineated according to Chapter 144 of the Code of the Town o" 17utnam ''alley. The criteria used to identify the wetlands boundary included hvdrophvT_c vegeta::on, hydric .soils, and evidence of wetland hydrology. The wetlands boundary waz flagged with rink flagging "wetlands delineation ", numbered consecutively 9 1 - g 'S. The flags beg n in the southern- southwestern corner of the for (parallel to the road) and travel to the rear of the propery along the northern propem; line. The wetlands boundary Nags should be sun-ev located with the individua: flag numbers shown or the proposed si.e plan fQr the pronem. Please submit a proposed site clan tha.: sho�tis the wetlands boundary, the 111", loo' - wetlands setback lirr_it line, and the '_ocation of proposed structures, driveway, septic systeii hncludln°_ exp2?ls_on), existing and proposed grades, the extent o= grading required, fill material, and proposed drainage. Due to t ;,e close proximity ofthe wetlands or the s.:bject parcel., a wwetia_nds mi- b- aiior, play, wi' he r,gU.red. Please con-,ac: me you havt any auestio Ls or re:,.-tire additional inforrzaticn. Cc: But ' lEa« Inspector, _ _.. .... ,. ,.. Phone (414) 762-7288 Fcx. 0141 7,12 -3260 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION. FOR APPROVAL OF PLANS FOR A VvkgIitWXTER'rREATMENI- SYSTEM _- _._:. -,. r.. ......_ ...., 1. Name and address of applicant: W c h ig Q n AS i C o'J C k L.1 aJ4 -r s a'J .'4 E tiboi-riZosc, /J Y IO SLf� 2. Name of project: SS-r- S' J10Q /J 3. Location T/ V: fu TNH M VIOL -L 6 4. Design Professional: T oo -He L- C ?:ciob'-) _-5�5. Address: 'L _J_0 yN WA L S H EL UO 6. Drainage Basin: 4,j o s ors k t JC R- 7. Type of Project: ✓ Private/Residential Apartments Office Building Food Service Institutional Realty Subdivision ` CCK, KJLL, /'J y. 10s6,c. Commercial Mobile Home Park Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ........................ ............................... Type I Exempt Type II Unlisted t,- 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... N 10. Has DEIS been completed and found acceptable by Lead Agency? ............... oJ Jo 11. Name of Lead Agency 12. Is this project in an area under the control of local planning, zoning, or other . .._ _ - - -- - a:....� .......o officials, - ordinances? .... . . ...... 13. If so, have plans been submitted to such authorities? ........ ............................... 400 14. Has preliminary approval been granted by such authorities? Date granted: /J 15. Type of Sewage Treatment System Discharge ................. surface water V"" groundwater 16. If surface water discharge, what is the stream class designation? .................... i^' J 17. Waters index number (surface) ........................................... ............................... 18. Is project located near a public water supply system? ....... ............................... /J 19. If yes, name of water supply N JA Distance to water supply IJ(// /4 20. Is project site near a public sewage collection or treatment system? ................ 21. Name of sewage system Distance to sewage system N/A 22. Date test holes observed .3 `v7 o 1 23. Name of Health Inspector I�DAIh.Sr /Egtt�n96 24. Project design flow (gallons per day) ............................... .........................G`' .... CALL 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... 06 26. Has SPDES Application been submitted to. local DEC office? ......................... N Form PC -97 P 27. Is any portion of this project located within a designated Town or State wetland? No �J 28. Wetlands ID Number ........................................................... ............................... ri ..,We1Ehds Permit requ ed? ... ,r ... .S - Has application been made to Town or Local DEC office? ............................... /J 0 30. Does project require a DEC Stream Disturbance Permit? .. ............................... N6 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 /10 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 /Jo DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ......................... c — 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? . ............................... do 36. Tax Map ID Number .......................... ............................... Map 83- o (.Block,L_ Lot 2 37. Approved plans are to be returned to ..... Applicant K Design Professional NOTE: All applications for review and approval of a new.SSTS to be located within the NYC Watershed .shall. , - -be sentto the Department, and fine -a not iie "serf iri duplicafe to the DEPT although the project may require DEP 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 stormwater plans or the creation of impervious surfaces, and the project applicant should obtain the appropriate forms for such acti tieg7ff m DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item l .,the application m'W-s be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this —p ov s may be grounds for the re'ection of any submission. I hereby affirm, under penalty of perjury, that ingormma�laxi'� avid YoR�hr orm is due to the best of my knowledge and belief. 1�'�eV �te%m is `de df�, u. fishable as a Class A misdemeanor pursuant to Se tron 111:45 ,� t � Pe � .. w ,SIGNATUdZE,S & ®T'T'ICIAL TITLES. � 62980 ,' Mailing Address: ................................... c, — 'FE 6KXV, I L L, /J, C PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM ZS9 CoACHe_i6rfT Sy,jAR(i- Owner r�t c H A[ZD �P 14exx ' Address mvo , 1Z 6 x!Z /\j. y. i 6' 4 � Located at (Street)SP(Za u—, 132oo is Y2o,g o Tax Map 83:06 Block 1 Lot 2 (indicate nearest cross street) Municipality "ioyid o i �� ; �� �, Vr4 L LE � Watershed {4 )a o;✓ go ✓e rt SOIL PERCOLATION TEST DATA Date of Pre - soaking MA Y 1-7, . zoo Date of Percolation Test MA y 18 . 20o Hole N© Rua No Time Start ' :$tog 'El a Time Olin.} -De th toG Wut d From r n Surface (Inches) Starf Stop VVe er L vel . Dropp In Ine 'in , Percola . ttan : > Rate. M1nlInch 2 z1- i 3 4 5 } 2 I2�" 23Z 12 r 3 ) 23`' I Z" 5 1 2 ... 3 4 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 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES D,Uilf; ., c =fiilC�Li✓'NQ.r., -. Di - I OT;1✓`NG�. Z. _k - - :L. �,y G.L. Iv PS (c_ C's 0►t- �yPsai�- 0.5' Soop � GQOVC -L S(gdp f GRAVEL SAbp 6'iL�VFI. 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 10.0' WA rFR- a N) 471 OA Indicate level at which groundwater is encountered 3 = (1 Indicate level at which mottling is observed No,vt o tTSEavty Indicate level to which water level rises after being encountered Deep hole observations made by: -I MG ; K Y c, , c 120,01 IJ .1I� Date Mrs ,CN 221 zoo 1 Design Professional IN Ti mo7 -Ny c., c qLNNr-,j j-U- Address: 2 —J-a H �j P� Ks% i L L ri!, Y 1O Z-6-K' Signature: Design Professional's Seal J NEW o ` T46t 62980/ �v.�`YUFESS\O\A 95/15/2091 12:33 9147363593 IjHUN1N tN1a1NttK1Nla 1 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of Fri c k e rn F 4 t e—r R"TA HCSs Located at f a g wr TRoo K l7a A Q (TV PytNAM %/AueYTax Map # 6-3.06 Block I Lot 2 Subdivision of OMA P 13 OF V I LLA GeF " Subdivision Lot # °t Filed Map # _192-K Date Filed M/fR CH 1 df 19 S_5/ Gentlemen- This letter is to authorize -r, M4-TH 5c' L- C Ro N t N 7:31:: a duly licensed Professional Engineer _.,Y _ or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -notcd 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 necessay 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 ..prg s e icle 145 and/or 147 of the Education Law, the Public Health Law, and the Futnam,CO try ode. r. Very v .tnily yo urs, Countersi d: z° x Signed: gr� w �di P.E. AAA. # / , \z � , (Owner of Property) �+Ei?$50C siy� Mailing Address. a. CVp Mailing Address:'- COACH t t CHT SG2��4 [ter' 116EKsKI LL MCIP-rRosc State nJg�'j yO_ a K Zip 1 o !rcc State i t E w Yo VLK —zip -Lo o S Telephone: (q 14) 7 16 - 76 6 Telephone: q/ y �7 y cl c)l o s Form LA -97 r . } = Certified Return Receipt sent to: ADJACENT PROPERTY OWNERS: OF: Richard & Alberta Hess Sprout Brook Road Putnam Valley Tax Map # 83.06 Bk # 1 Lot #2 Tax Map #72. Bk #1 Lot #1 Tax Map #83.6 Bk #1 Lot #3 Tax Map #83.6 Bk #1 Lot #4 - Tax Map #72.19 Bk #1 Lot #34 June 12, 2001 Owner's Name & Mailing Address Stephen Seligman Philip Ammann 86 Indian Lake Road Putnam Valley, NY 10579 Irving M & Carol S. Sevelowitz 630 Sprout Brook Road Putnam Valley, NY 10579 Magdalene Alleyne 628 Sprout Brook Road Putnam Valley, NY 10579 Martin J & D R Albert 638 Sprout Brook Road Putnam Valley, NY 10579 d ,.. - ..: -.car •.:?b.:..n� :,,+e:.-: -e ,. ❑ Cot rn Co vt G Prii cat d ❑ Att pe at ❑W r ❑ TF G dc a 3. A' 3 d a 0 0 Cr — 5. 5. 6. 0 6. a N 71W 64 O Complete items 1 and/or 2 for additional services. Complete items 3, 4a, and 4b. ❑ Print your name and address on the reverse of this form so that we can return this card to you. E3 Attach this f I also wish to receive —thefollow- ing services (for an extra fee): orm to the front of the does not t • ❑ Addressee's. Address V e mailpiece, or on the back if space ❑ Write 'Return Receipt Requested' on the mailpiece below the article number. 2' Restricted Delivery y ❑ The Return Receipt will show to whom the article was delivered and the date ` delivered. N By: of Ar...�_, or P, PS Form 3811, 'December mber g4 ��as� c cle Number cmi 0 O GD OGl YpY3 �j CEFMREM:,MAIL F4b.Service Type stered Certified ¢ ess Mail ❑ Insured ❑ Return Receipt for Merchandise ❑ COD c 7. Date of Delivery m_ 8. Addressee's Address (Only if requested and fee is paid) 0 a Y iE 102595.99 -8 -0223 Domestic Return Receipt • • r. CEFMREM:,MAIL a ■ ■ •• 0 . Provided) Insuran r m_ r m rrI cc �� ■� q Return Rec= _c �r'; ca .Endorsement = ec ' v / \w C ru _ _ -_ : O Restnctee eave^ '- C ' t� C] .Encorseme ^:.='-= -•" -= G%`_ .� C] C Total Postage 3 =ees ��• ��• ° _" , -. C:aarry i'o ::e corncrerec by matleo C -� Reci lent s Name . -as_ 1 - ° ;Street. Act. ia.: _'-' -' =': :c. td� �N• �dvT C3 E:3 City State.- tate. /US7� XE. SE{ act Cr I Pi ' w 0 At pe OW On di 3. At 5.F i 6. S •_ ! PS a /14-, G'» -- v V L c 7 /T/V U SENDER: I also wish to receive the follow- [I Complete items 1 and/or 2 for additional services. ing services (for an extra fee): Complete items 3, 4a, and 4b. • Print your n.;me, and address on the reverse of t`is I0.. m so that we carrreturri ihis card to you. 1 • ❑ Addressee's Address c°1i • Attach this form to the front of the mailpiece, or on the back if space does not permit. 2. ❑ Restricted Delivery > • Write 'Return Receipt Requested' on the mailpiece below the article number. m • The Return Receipt will show to whom the article was delivered and the date a . delivered. m 3. Article Addressed to: 4a. Article Number m � Sry ��z �a v6� aaz��6y3 -2,VW 4b. Service Type ❑ Registered ertified ❑ Express Mail Insured c y ❑ Return Receipt for Merchandise ❑ COD N /V G_% 7. Date of Deli ry llklo o 5. Recei d By: (Pnn Name 8. Addresse d, ss iy if r quested and >1 e fee is paid) t i 6. i PS 11, December 1994 102595 -99.8 -0223 Domestic Return Receipt Kota LLEZ9AU;Q= � o. a . .•. I S ' s S �E 5 ���N ✓r cEy - 64& 7A�jd ® fLl flJ N 1T r" .m _ _- S Return �.re;pt =_� % �'•"71 .._ co ca CCI Endorsemer; Q0 NO 4estricteo �!iver% =se / C3 C3 O Endorsemec ?esc,r' = ' ej Q p O Total Postage 3 Fees j J/ '95 / C3 C3 r-3 Recipie N =vane 1-^Z?; . eanyr ;o oe cam =raO,ey maiien C3 o: 0 6 y GfAi1L 5• 5eu�/oc.�r -t Z.. otr, M 0 0 .241�K AYI----------------------------- - - - - -- o ! 6 3--- .5v3?vt�I.- q r3 C7 -- State. /tJ�/ ® ®. �� skeEffonalm hl- C1. SENnFa• Dc' �%�S`� -�, ish to receive the follow- 9 SENDER: — ❑ Complete items 1 4a, and 4b additional services. I y Complete items 3, r N C3 Print your name and address on the reverse of this form so that we can return this d card to you• C ` c3 Attach this form to the trontuested on the ' cmailp ecehbe w the article dnumber, permit. T_ « ❑ Write 'Relum Receipt Requested' eq s e � delivered. Retdm Receipt will show to whom the article was delivered and 4a. Article C 0 E m 3. Article Addressed to: 0 5. Received�By (Print N_ ame�� T w s'tZ' �L( �I►^� w °C ee or a s. Si W_ T H December 1994 PS Form 3811. Dec I also w ing services (for an extra fee): 1. O Addressee's Address 2. O Restricted Delivery Number 06a camp yGy3 y e Ty pe 14 Certified 'red O Insured S Mail for Merchandise O COD Receipt f Delivery f fee is paid) 102595. 99.8.0223 d v ar N CL m u CD 2 M m 2 m c N 7 0 2 0 T — Y C L O Q Total Postage a Fees Q 0 —3 Reg �iehnr's r N a_5m„e P C3 p a rrn o e :.omo ere n aueti n A� k vo- -•- ---- ----- C3 p p f S e .yot. ; .: r . r ED -- C3 M L.; ---------- tv Stare. IP s L 47,m ias7y f � u t ti Lrr L ti p R E. 117 nLl /j�ES% - M m m J -0 n Return ac2!n: -_�= Enoorsemenr Renutrec arh r1J rL ru O ?esrric:eo Deiivery =_.= t' tM 0 C3 c"aeorsemenr Reourec 2 �\ O Q Total Postage a Fees Q 0 —3 Reg �iehnr's r N a_5m„e P C3 p a rrn o e :.omo ere n aueti n A� k vo- -•- ---- ----- C3 p p f S e .yot. ; .: r . r ED -- C3 M L.; ---------- tv Stare. IP s L 47,m ias7y • a 4 ' ' a `I also wish to ieceive the follow= - �� .•• ing services (for an extra fee): 1 • CJ Addressee's Address 2 2. ❑ Restricted Delivery 0 a d U m 3. Artit m m d 3. Article Addressed to: 4a. Article Numoer 0061 DlaCO (1V2i- d c An o ,} — n� / (y` SEND SENDER:' in o Con .N o Complete items 1 and/or 2 for additional services. d Con w Complete items 3, 4a, and 4b. a Prirr ❑ Print your name and address on the reverse of this form so that we can return this ` card o Atta- m card to you. ❑ Attach this form to the front of the maiipiece, or on the back if space does not m per y a Writ. t permit. Cl Write 'Return Receipt Requested' on the mailpiece below the article number. a The a The Return Receipt will show to whom the article was delivered and the date = o = deli% o delivered. `I also wish to ieceive the follow= - �� .•• ing services (for an extra fee): 1 • CJ Addressee's Address 2 2. ❑ Restricted Delivery 0 a d U m 3. Artit m m d 3. Article Addressed to: 4a. Article Numoer 0061 DlaCO (1V2i- d c An o ,} — n� / (y` m ¢ 4b. Service Type �/ ❑ Registered tJ C%ertified (n . W ((J , /� / f2rj �' T %�Cdl� (Q � �� ❑ Express Mail ❑ Insured 0 Return Receipt for Merchandise ❑ COD a 5. Rec w 6. Sigr 0 T N N PS Fol 5. R ceived B)� (Print Name) �. dt" e's ignature (A esse trA t)„ PS arm 3811, Deceinber 1994 a (Only if requested and c cc r o F, Domestic Return Receipt C3 ru 5S M. = /,YO _ /, R''0stmar;;1 m :Enaorserr= . =ai % cJ V ru O :�estnctec C p Enaorsere -- ✓�. 5 ® C3 Total Postage •; zees _ C:l C3 ® O —3 ..4ecrpienr's ,tame ^• ^'ear � ;e cj,, -jetea be:Taneo .trees . =c:. �v EM C:3 J. .. ., jill— 4,1 ---- / , 4 �o ' e RONIN ENGINEERING P.E. P.C. The Lindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 10566 Tel .,. (914) 756- 3664:e, Fax. (914)' - 736 =369a ... s:....._ � . July 23, 2001 Adam B. Stiebeling, Assistant Public Health Engineer Putnam County Department of Health Division of Environmental Services 1 Geneva Road. Brewster, N.Y. 10509 Re: SSTS Construction Permit A ppllication Richard & Alberta Hess "Map No 13 of Continental Village " Sprout Brook Rd., Lot 23 Town of Putnam Valley Dear Mr. Stiebeling: Please find enclosed the requested information based on your letter received by this, office _ .�. -dated J-aIy-9, 2001:--°--..., Enclosed is the specific waiver application for the SSTS within 100' to the flagged wetlands and the fillpad grading to the property line and within the 50' buffer of wetlands. Please review at your earliest convenience. If there are any questions or if additional information is required please do not hesitate contacting me at the above number. Thank you for your assistance in this matter. Respectfully submitted Kenneth M. Murphy Project Designer s a LETTER OF TRANSMITTAL v+.� ... ... r. � . �. • r — �'z.. -� .. w.—. A -. W '. .� .• >.. i .. a _. �..• .. 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 Adam B. Stiebeling, Assistant Public Health Engineer Putnam County Department of health I Geneva Road, Brewster, N.Y. 10509 RE: RICHARD & ALBERTA HESS SPROUT BROO K ROAD TOWN OF PUTNAM VALLEY THESE ARE TRANSMITTED as checked below: ,Tune 18, 2001 ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY WE ARE SENDING YOU attached 1.) Three copies of subsurface sewage treatment system plan ;) Three SETS: con *tr'udioh -pe. rmit�ipplicatlon_ . 3.) Two sets of house plans 4.) Letter of authorization 5.) Application for approval of plans 6.) Application to construct a water well 7.) Soil data sheet 8.) Short environmental assessment form 9.) Updated survey 10.) List of property owners notified 11.) $300 certified check for application fee The information is provided based on our March 22nd joint site inspection and ensuing discussions. Please review at your earliest convenience. Thank you for your assistance in this matter. Respectfully submitted, �rth1!U/MVU4rphy Project Designer PUTNA -M COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRO\1IENTAL HEALTH L\DIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS REVIEW SHEET FOR CONSTRUCTION PERNIIT ziV 4A tE OF OP,i3E;R:.. - ' S LOr :kTIO 7:' REVIEWED BY: RNL GR(A?S SRDATE: TAX IbLAP =: (CONFIRMED) Y DOCUMENTS Y (REQUIRED DETAILS ON PLANS CONT'Dl ER�IIT APPLICATION (� HOUSE SEWER -/I' FT. 4 "0'; TYPE PIPE CAST IRON )YELL PERMIT ORPWS LETTER NO BENDS; NQLX BENDS 45° W /CLEANOUT PC -97 RENEWALS LETTER OF AUTHORIZATION �ITE NOTE (NO CHANGE) ESIGN DATA SHEET (DDS) FILL SYSTEMS U CORPORATE RESOLUTION ( )10' HORIZONTAL; PAST TRENCH SLOPES 3:1 TO GRADE SHORT EAF SPECS! FILL NOTES 1 -5 Ce PLANS -THREE SETS L PROFILE & DIl1ENSIONS H�S- 41 -O SETS C_RL Jr i� L L1 EXPANSION AREA ((� y% �.NCE REQUEST FILL GREATER TA.4-V 2 FEET �I / lnulffHpgmN CLAY BARRIER (LEGALSUBDIVLSION APPROVAL CHECKED U( FILL CERTIFICATION NOTE RC RATE U DEPTH GAUGES (� VOL. ON PLAN FOR RO.B., UNCLASSIFIED & IMPERVIOUS LL REQUIRED DEPTH U SEPARATION DISTANCE FROM TOE OF SLOPE DRAIN REQUIRED TRENCH GE`.ERAL LF TRENCH PROVIDED — 2�00 60FT MAX. (__ ) ATED IN NYC WATERSHED PARALLEL TO CONTOURS (—)(LACNSSUBNTITTED TO DEP �� o EXPANSION PROVIDED (_) EGATED TO PCHD W(( DE /o EPAPPROVAL, IF REQ'D DETAIL/DUST FREE CRUSHED STONE OR WASHED GRAVEL D P TEST HOLES OBSERVED GEOTEXTILE COVER FRCS TO BE WITNESSED (• (_EPPROVaL SSDS ADJ LOTS C_)( YETL�ANDS (TOWN/DEC PERVUT REQ D (�(�D ON DDS P S & PERtiITI 5" VIE 1 69 h O OTMCATI0I (__)(JLETTER BUZBA L-) 100 YR-FIA "OD ELEVATION WQ 200' (�( )SOIL:TES -L-NG >1 ARS OLD " E'=KEU DETAILS ON PLANS S r . G.E SSTEI PJ.AIORTH ARROW) ( _ ( SSDS HYDRAULIC PROFILZ ', ONSTRUCTION NOTES 1 -15 iESIGN DATA: PERC & DEEP RESULTS '.CONTOURS EXISTING & PROPOSED )�LIVEWAY & SLOPES, CUT mIRIII -vm rM4, PE/RA; NAME, ADDRESS, PHONE9 DATE OF DRAWING/REVISION DATUM REFERENCE LOCATION OF WATERCOURSES, PONDS LAKES,WETLANDS WITHIN 200' OF P.L. (PROPOSED FINISH FLOOR AND BASEb1ENT ELEVATIONS )WELLS & SSDS'S W/IN 200' OF SSTS )PROPERTY NIETES & BOUNDS COMMENTS: (REVSHEET) r0' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL !0' TO FOUPiDATION WALLS 100' TO WELL, 200' L i DLOD,150' TO PITS t00''�O STRE�f, WATERCOURSE, LAKE (inc. eapany ORMD IPP WATER 10' TO WATER LINE (pits - 20') 0W'500!- RESERVOIR;STC Is'u' GAI;LEYSYSY IS' _... 0 NMN TO LEDGE OUTCROP SEPTIC TANK (� 'FROM FOUNDATION; 50' TO WELL WELL �DItiIENSIONS TO PROPERTY LINES 501214" Lr-. OCATION OF SERVICE CONNECTION 15' TO PROPERTY LINE � SLOPE (�( LOPE IN SSTS AREA (520 %) (REGRADED TO 15 %, IF REQUIRED DOSE/PUMP SYSTEMS (_J( PUMP NOTES ( _J( DOSE 75% OF PIPE VOLUME/DOSE VOLUME NOTED U DETAIL FOR FORCE MAIN, (PIPE TYPE, ETC.) (�( PIT AND D -BOX SHOWN & DETAILED ( )( )1 DAY STORAGE ABOVE ALARM U( STANDPIPES, 5' BOTH SIDES, DETAIL-* (� 13' 11IN to CDS = >5 %, 20'4%, 2 -3 / 3j'- I ° /u,100 % -<I °/u bIIN to CD DISCHARGE /100' with 182 cons day discharge (x(__--)10' hIL`1 to NON- PERFORATED PIPE H . BRUCE R. FOLEY Publir. Health .Directo. LORETTA MOLINARI R.N., M.S.N. _Associate. - P_ ublic. - Health Director. . Director Or Patient Services —" DEPARTMENT OF HEALTH .1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Al1z:1 3, 2001 Early Intervention (845) 278 —6014 Fax (845) 278 - 6648 Preschool (845) 228-5912 Fax (845) 228 - 6113 Timothy Cronin, PE UM"tl The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, Ne. -,- York 10566 Re: Proposed Construction Permit Hess, Sprout Brook Road (T) Putnam Valley, TM# 8' ).06-1-2 Dear Mr. Cronin:. Review of plans dated June 18, 2001 last revision dated July 23, 2001 and other materials relative to a construction permit for the above captioned property has been completed by the Department. Based upon such review, and pursuant to the provisions of Article III of the Putnam County Sanitary Code, you are hereby advised that the proposed method providing water supply and sewage disposal are considered inadequate as set forth below. Therefore, approval of these plans cannot be granted. SSTS within 100' to flagged wetlands. - - — _�.__.�...__,_•.�.._.._�SSTS: fill: kvlthita: 59�huff�:. t�_ �u�l al> �l% � _._.�.__._�_.._._..__.__._.�.. _:,...- . -....� .�...�__.� __._. - Grading to property lines. Please submit a "Formal Waiver Request" of the above stated comments and complete the enclosed NYSDOH "Specific Waiver" Gen. 152 form, general information section. This project will be discussed at the next specific waiver meeting of this Department. If you have any questions, please call me at ext. 2157. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj BRUCE, -t : FdtEY ..- Public Health Director Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 105.09 Environmental Health (845)278-6130 Fax(845)278-7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 July 9, 2001 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 }' Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Timothy Cronin, PE Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, New. York 10566 Re: Application to Construct a Subsurface Sewage Treatment System on Sprout Brook Road, Hess TM# 83.06 -1 -2, (T) Putnam Valley Dear Mr. Cronin: The Putnam County Department of Health (Department) has determined that the above referenced application, received by the Department on June. 26, 2001 is incomplete. Please be advised that the following information is required before the Department may commence its review. Proof of Neighbor Notification(s) required. Proof of issuance of Town of Putnam Valley wetlands permit or permit waiver for "proposed activities" within wet areas. Wetlands permit is required prior to issuance of final approval. Pi Identification of 100 year flood elevation is required or note that none exists if applicable. . Plan(s) to include a profile of the proposed SSTS. Profile to include components as j required in PCHD Bulletin ST -19. l USDA soil type boundaries to be included on plan. Additional soil testing is required within SSTS area between contours 206 and 210. Please reference source and date of "flagged wetlands boundary." 6. Based on observation and records of deep test holes, specifically D3 and D4, (water at T -6" and T -8 "), 2' -4" of ROB fill is required d. Fill sections greater than 2' -0" require submission of "fill plan." Reference PCHD Bulletin ST -19. Proposed curtain drain is required to have monitoring stand pipes 5'4' either side for observation purposes. O a, o b The following items as noted do not met current design policies `and procedures as sliowri'ori submitted plans. - SSTS within 100' to flagged wetlands. - SSTS fill within 50' buffer of wetlands. - Grading to property lines. An official notification of "approval denial" will be issued at such time as a complete application is received. At such time application/request of required waivers can be submitted for discussion at the next regularly scheduled specific waiver meeting of this Department. The review of your application will commence once the Department receives the requested information and determines that the application is complete. The Department will notify you within 10 days of its receipt of the requested information as to the completeness of your application. Please be advised that failure to submit information to the Department or to follow procedures is sufficient grounds to deny approval, pursuant to the New York City Department of Environmental Protection Watershed and Putnam County Department of Health regulations. Should you have any questions or care to discuss this matter further, please contact me at (845) 278 -6130 extension 2157. Very truly yours, Adam B. Stiebeling ABS:c) 08/15/2001 09:3 914736369: CRONIN ENGINEERING 1 PAGE 02 R Pl., The Lindy Building, F;nire 200, 2 john Walsh Blvd.. Peekskill, New York 10566 Tcl. (914) 796-3664L a Flax. (914)'7W3691 AU"T 15, ?_04i ADAM B: STIEBELING PUBLIC HEALTH ENGINEZR PUTP1,6 m Co NIFTY DEPARTMENT OF HEALTH DIVISmII or-- ENVIRONMENTAL SERVICES I GEmavik ROAD BREWS "TER, N.Y. 10504 Re: ,..STS CoNs mur. r1oN PERml7,1 A rER : apa r ,QXHARD 8 ALDaus Hess e. DNFfNFJViAL VC 4AGF" TowiV or Purmuf Vm P jEy DEAR MR.. STIEBELING- THIS Lu—iTFR IS -i"0 INFUF.lM Y04,1 THAT ALBERTA HESS WILL PERSONALLY BE PICKING UP THE CONSI kiXTION PERMIT WHEN THE PUTNAM COUNTY HEALTH DEPARTMENT HAS wu=D FINAL APPROVAL FOR THE AEIYv'� REFEREKED PROJECT. PLEASE CONTACT ME Al' THE ABOVE NUMBER WHEN FINAL APPROVAL HAS BEEN ISSUED SO I CAN INFORM MOs. HESS, IF YOU REQUIRE ADDITIONAL INFORMATION OR HAVE QUESTIONS PLEASE DO NOT HE GITATE TO CA',.L ME, RESPECTFULLY SUBMITTED, Kenneth M. Murphy Project De~s*= 0$/14/2001 1E:33 91417363693 CRONIN ENGINEERING 1 PAGE 03 �f . r•5 �. ..: •.. =mac �: m.� -. .�'.+. - -.. "' �.. ... ; � '.R... �, -.� .s+ •`: +A� -. e. ky,.- .'v,.�.. +.< .. tay. f� �' t. RONIN ENQTt4F.Ft21NQ P.E., P.C. The Lindy Building, Suite 200, 2 jfohn Walah Rjv&, Peekskill, New York 10566 Tel, (914) 796.5 O rax. (91$) 78&3693 AUGUST 14, 2001 ADAM B. STiESELING PUBLIC HEALTH ENGINEER PUTNAM COUNTY DEPARTMENT OF HEALTH Dlvisio?i OF ENVIRONMENTAL SERVICES I GENcnm ROAD Eir1EWS,TFR, N.Y. 10509 RE.' SS IS CoN37}F'1./cnoN FeRmfr1WA TeR Sapm Y RIGH,iRD 6 ALDER'TS MESS "COWT1NENTAL VILLAGE" SpRcovT PRooif Ra, ,%OT 2 DEAR MR. STIEBELING, ...... .... .._._..... .IS ^CET`'E R IS TO i ��{ 0011 "i �`OU °'THA,T ALBERTA HESS WILL PERSONALLY 5L PICKING UP THE CdN$TRUCTI(11V COPLi,4NG WHEN THE PUTNAM COUNTY HEALTH DEPaRTAI� =NT Hr+S ISSUED FlhtAl. . 4i?P n t~_F3R THEE iSU +E I_ PROJECT. ...- PLEASE CON. -ACT ME AT THE ABOVE NUMBER WHEN FINAL APPROVAL HAS BEEN ISSUED SO I CAN iNFORM MRS. NESS. IF YOU REQUIRE ADDITIONAL INFORMATION OR HAVE QUESTIONS PLEASE DO NOT HE-- S1'rA'l'E TO C10:1. ME. RESPECTFULLY SUBMITTED, Kenneth M. Mi urpi y Projea Designer 4 s •C BRUCE R. FOLEY LORETTA MOLINARI R.N., M.S.N. Public Health Director Y �¢ Associate Public Health Director Director of Patient Services - -•-L- EPARTNIE NT, . -OF- . - T44.: ...y ...�� .�, ..... _ ...... _ � , 1 Geneva Road Brewster, New York 10509 Environmental Health (845)278-6130 Fax (845) 278 - 7921 Nursing Services (845) 278 -6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 FAX COVER SHEET Date: al To: �>ZOK�rU From: Ail, Adam D. Stiebeling Asst. Public Health Engineer Qrf Fax #: 736- 36 ?> No. Pages I (Including cover sheet) For your Information Please respond Cam_ ✓ For your review Attached as requested As discussed Notes/Messages 2C 11 2 ®Vt f.17 -�` 1. o u s ; 7C..� c tt✓�r � oc� p `i A•nc c iE I Please call r %IL C Uwv 1. Y In the event of transmission /reception difficulties, please contact this office at (845) 278 -6130 ext. 2157. ,t L�-� � C '� 7 � t f �i -,-c— S tvl-� � •o nr g � e2.� c.Z-t o,� � if F�M I T s e - _ BRUCE.c -F Public Health Director 4= MOLINARI' R.N.;- Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH .1 Geneva Road Brewster, New . York 10509 Environmental Health (845)278-6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 August 3, 2001 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Timothy Cronin, PE The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, New York 10566 Re: Proposed Construction Permit Hess, Sprout Brook Road (T) Putnam Valley, TM# 83.06 -1 -2 Dear Mr. Cronin: Review of plans dated June 18, 2001 last revision dated July 23, 2001 and other materials relative to a construction permit for the above captioned property has been completed by the Department. Based upon such review, and pursuant to the provisions of Article III of the Putnam County Sanitary Code, you are hereby advised that the proposed method providing water supply and sewage disposal are considered inadequate as set forth below. Therefore, approval of these plans cannot be granted. SSTS ' with in 100' to ilagg?d wetla:n.ds, • SSTS fill within 50' buffer to wetlands. • Grading to property lines. Please submit a "Formal Waiver Request" of the above stated comments and complete the enclosed NYSDOH "Specific Waiver" Gen. 152 form, general information section. This project will be discussed at the next specific waiver meeting of this Department. If you have any questions, please call me at ext. 2157. Very truly yours, 1 1 Adam B. Stiebeling Assistant Public Health Engineer ABS:cj PtTNAM COYTNTY DEPARTMENT Off' REALT- :.., V ON. 0EvE ' " R E lEALTH SERVIC DES . INITIAL INDWIDUAL /COi1� MERCIAL SITE INSPECTION FORM SECTION A. ,,GENERAL INFORMATION J. Name of Project izti( 1.Ot-i i i Z (1�(� r County �— Site Location Building construction begun Extent Is pryrty within NYC Watershed ? ................. Yes No SECTION B. TOPOGRAPHY (Please check all appropriate ones) 1. Hilly _ 0 Rolling — _ a . Steep .slope .— - __ _Gentle slope —E] - Flat -- -- -- - 2. vidence of wetlands area subject to flooding a -Bodies of water Drainagetitches Rock outcrops 3. Property lines or corners evident ....................... ............................... E] Yes No : - - 4.-' Do water courses exist on or adjoin the property . es - No 5. Will these affect the design of the sewage system facilities ?............ Yes F--J No 6. Do watershed regulations apply'in this -development ?..`:: Yes No 7 Will extensive grading be recess -- N0--IYes =Nv== S. Will extensive fill be necessary for SSTS? ......... ..............................No - -- 9. Do filled areas exist within the SSTS area? ........ ..............................No If yes, what is th e condition of the fill? - - -- --- ~ - - - -� - - SECTION C. SOIL, OBSERVATIONS 10. Appearance of s6il: d vel , ._ 17Wam MClay - Hardpan e 11. Observed from: E] Borings f--J Barik cut J��JBackhoeexcavations 12. Soil borings /excavations observed by z V, on 2 2' 13. Depth to groundwater a2 t� on t! - 14. Depth to mottling i- ( . on c/ 15. Are test holes representative of primary & reserve areas...... KR .... °. Yes E] No 16. Soil percolation tests made by on 17. Soil percolation tests witnessed by on SECTION D (on back) r-__- - 2 L 18. Will proposed grading materially alter the natural drainage in this or adjacent areas. es No 19. Will groundwater or surface drainage require special consideration? ..................... es � No 20. Will gullies, ditches, etc:, be filled and watercourses be relocated ? ....................:..:. Yes No SECTION E. REMARKS 21. • If a common water supply is proposed, has an inspection been made of the existing or proposed source and facilities? ................................ ............................... Q Yes o Inspection data - - - _ 22_ Do_ A scent. wells and/or sewage systems exist? ............. .......::::.- ... ................... Yes D No 23. Additional co ents 24. Site observer /inspector and title - - 25: � Date(s) of obseniation(s)inspection(s) - - -2, - � - --- - -- - -• -- __.._._..._ TEST PIT PROFILES Hole # Lot # — _—Hole # _. -' . 2 - —Lot # - -Hole # Depth to water Depth to water S �--ca Depth to mottling Depth to mottling ✓ Depth tornottiing, Depth to r ^c am ur� : `� - - ` " lleptli to i6&1i np.. p Depth to rock!unp. t G.L. 2.0:.. —© 3.0 ' 4.0 �.. G.L.. G.L. 0.5 . © w 1 �j 0.5 O To -. :. !_ :3.0 -- 3.0 4.0 ..4.0 5.0 t < 5.0 5.0 6.0 u& 6.0 6.0 �= -&( . . 7.0 7.0 8.0 8.0 9.0 _ 10.0 W 10.0 7.0 .0 9. 10.0 i? �- 0... ,03/15/2001 13:12 9147363693 � . . Public Health Director 3 .t UKUNIN tNb1NttKlN1i 1 K rAut Ul 10R A. -MOLINAM -. T N-., , M.S.N. ` : •� . _ �. Associate Public Health Director Director- of Patient Services DEPARTNIENT OF MALTH I Geneva Road Brewster, New York -10509 ATfENTION: /ADAM STiEBELItIG 0"GENE REED All information below must be f& completed prior to any scheduling. DATE: ENGMI ER FIRM: ; N NG PHONE & 91-+-M6-a564 REASON: --- DEEPS I'ERCS: o. PUMP TEST: ROADISTREET: �tovr Br2ooX TOWN &r TAX MAP #: SUBDMSION. P' AMAjF- lF1RL V144,'A Z ILOT #: OWNER-., ylT& NYCDEP CRITERIA FOR JOINT RE= AND WIT S.RING OF'SQU, TESTING YES NO t] 'Ale Proposed SSTS within the drainage basin of West Branch or Bolds Corner Reservoirs. 0 Proposed SSTS within 500 feet. of a. reservoir, reservoir stem or control lake. _0 ._ Proposed SSTS-within 200 feet of a watercourse:or.a DEC wetland. - - -_ Proposed S STS design flow greatex than 104G galIonsldhy or 5PDE5 Peimit required. o Y `Propose(ISSTS for_a.Commerical Project. It is the responsibility of the design professional tq provide: the. above information prior to soil testing. This. Department will deternsine the NYCDEP project status (Joint or Delegated) . based on the response. If you kaswered ya to any of the questions;- NYCDEP must witness the soil testing. This - De"rhment will coordinate a mutually suitable ,tulle for field testing with the PCDOH, the Design Professional and NYCDEP. If ti project has been determined 6 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 ofthe design professional to schedule re- witnessing of the soil testing with NYCDEP. FOR COUP USE MY lo V /9- M 4 DATE: � .Z � � 7'DrIE: ° � o t 7 vv! aIELDTE T) 03/15/2001 13:12 9147363693 b i [k h�. CRONIN ENGINEERING 1 PAGE 02 �•r iii a 20 "'. •�' {�`e'. � -I.b+ a ���. ...- ...'•. t- c .. �.. - +Jµi� +. "aY .. x.03 6C. 31 � p .03 Ac. jw 0 32 1,23 Ac. 33 � a 1.03 Ac. \ �j `2�1 ECG rlC •� a + o r b L. Ar. If Q a.os as. m b 1.03 Ac. ro \ o p Loa At &L.. Ap N JV m T_- ;3 A O - T - ��W�8 �w , .SWAIC JIrU mum -vRwcr W E T A R E A ROOF I EIADCR -T\ 'oor % l'Vo 20 FT. 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