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Home My WebLink About3924DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.50 -1 -22 BOX 30 03924 ' 'I'I 11. Ne Will 7'. 1 . ' ki . . I I �� I T '. IL fNUN :1' , T , • ' 1 NN 1 ` 03924 i io o•R/a�re..e t�.. r Date' Subdiyisio Aide Sib: w Ol�ad�i� 4 a0or� ttMe►,MN w111iN aonAl M.:_fi tM N.;tl4 book on" t* -void 40-ligW* , a�a ea .et�;aMrewt d taw t 1rIN N "ItK�bd N fAOM11, Mi t1 et' o -, °j ANgOV[Q F011 COHSTRU rw�trM fOi :ciYN :e� nom: d " �'NiikM � Mw MnnM. Aji i io Umoing PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION .QFjENV DATE: RE: Property of AC Z C Located at j6- "44 /cE Ae/ �r (T) �7�401301 Section 7 Block Lot �7 Subdivision of C-T V/'.. Subay. IA)t # Filed Map # Date 124ri 'Af Gentlemen: This letter is to authorize 7 7 �; a duly licensed professional engineer or registered architect (indicate) to apply for a Construction Permit for a keparat.e sewage system, to serve the .above noted property in accordance with the standards, rules.or regulations as promulagated by the Commissioner of the Putnam County. Department of Health, and to sign all necessary papers on my behalf in connection.with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article.145 or 147, Education Law, the Public Health Law, and the Putnam County ge wil Qx e. En \ Counters: P. E. , R. A. , T., '-,- a � s s �i�w � Addres, r Very truly yours, Signed: Owner Property Address Y" A " ion: �y Town C/ ,2 Telephone Telephone 19 Vincent Ettari, P. E. 1065 Spillway Road Shrub Oak, NY 10588 Dear Mr. Ettari: DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 JOHN KARELL Jr., P.E., M.S. Public Health Director January 3, 1992 Re: Proposed Construction Permit Howard Grabert, Tanlevylde -and Lake Drive (T) PV #83.50 -1 -22 - 83.58 -1 -10 i 34 Review of plans dated October 24, 1990 and other material 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 rater supply and sewage disposal are considered inadequate as set forth below, therefore, approval of these plans cannot be granted. 1. A letter from the Building Inspector must be submitted stating that the above described lot is considered a building lot by the Town of Putnam Valley. 2. The proposed well is 97'._fro.m ,the.. SDS on 83..58 -1 -66. A, minimum of :_ 1.00.1 . is- required (150 if tht ssew-ege,disposial system is considered leaching pits). 3. The proposed well is 110' from the sewage disposal system on 83.58 -1 -11. This sewage disposal system is considered in Direct Line of Drainage: Therefore a minimum separatio., distance of 200' is required. 4. The proposed well is 79.55 feet from the proposed sewage disposal system. A minimum of 100' is required. 5. The proposed sewage disposal system is 74' from the existing well on lot OS3.58 -1 -11. A minimum of 100' is required. 6. The proposed sewage disposal system does not allow for the required 100% expansion area. 7. The proposed well is 5' from the property line. A minimum of 15' -is required. S. Drainage along Tanglevydle Road is not shown. 9. The plans should fill section only on lots requiring a depth of ROB fill 2' or greater. 10. Pere test holes must be a minimum depth of 30 ®. If you have any'questioris; please call me at Ext. 304. Very. tru y yours John Karell, Jr., P. E. Public Health Director . JK/jp DIVISION OF ENvniONMENTAL HEALTH SERVICES DESIGN.DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FIDE NO., Owner /-/Ow.�,e� X1,2 -AFer Address aye Gsc�.¢w.�i✓ft yr A! Located at (Street) i'�/ EGG -"�v G' Sec. Bloc Lot ( indicate n est cross Street) Y3_0 Municipality O�y 7-1,ye ,w Watershed SOIL PEROOIATION TEST DATA P30MM TO BE SUBMI= WITH APPLICATIONS Date of Pre- Soaking "4V Date of Percolation Test 1, 6Z-,,` "- HOLE v - NUMBER C = TIME PERCOLATION . PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time fund Surfaoe In Inches Soil Rate Start -Stop Min. Start Stop, Drop In Min /In Drop Inch Inch Inches 3 0 021 4' 3r 5 v - . 4 -3.'/S- .�•' S/ � AU;y 5 1 2 3 4 ,5 NOTES: 1. Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to'be submitted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DFSCRIP`TION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. / HOLE N0. 2 HOLE NO. 2 3 40 lG�� ✓� 3S/ G Pe�F /97 mss' 6' 7' 8' 10, 12' C� 13' 141 . `µ INDICATE; I,SV ,'It A HICH GROUNMATER IS MOUNTERED _•• - ._ _ ._ INDICATE'igtt� TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: l� ✓ DATE: 141 i7�NPS3 DESIGN Soil Rate Used /y, 7 Min /1" Drop: S.D. Usable Area Provided j No. of Bedroans —;3 Septic Tank Capacity 4000 gals. Type �✓c Absorption Area Provided By 3 L.F. x 24" width trench ON I Other Name :� Address c-A,, a DA Signature SEAL 16j7r THIS SPACE FOR USE BY HEALTH DEPARD1ENT ONLY: �� Soil Rate Approved sq.ft /gal. Checked by ate* Date PC -1 P UTNAM C OUNTY D E iPARTMENT OiF H EA L TH APPLLCATI�N-,:FOR: APPROVAL- P WATSR, ,DISPOSAL.- SYSTEM -- LANS FOR-.-A:- VtASTE , . . 1: Name and Address of Applicant: /,7 U wlloi��P .GR�l Ae�eT 11. Is this project in an area under the control of local planning, zoning, . wor. Qt.her of-f�,�'�a.ls.,. _c,.dinances. ?. �:.: ., s:r.,.,.. ...�.....�.._....�..,.�.r,...�, 12. If so, have plans been submitted to such authorities? ................. /'� yes - .z'�ia,✓�,✓6 -� 13. Has preliminary approval been granted by such authorities? Date Granted:__/V/A 14. Type of Sewage Disposal System Discharge...... Surface Water y Ground Waters 15. If surface water discharge, what is the stream class designation ?........ N�i9 16. Waters index number (surface) ........................................... 17. Is project located near a public water supply system? 18. If yes, name of water supply _,G�- r"G�.ES� /Gl Distance to water supply Sa 19. Is project site near a public sewage collection or disposal, system ?..... 20. Name of sewage system Distance to sewage system 21. Date observed: 23. Name of Health Inspector: 24. Project design flow (gallons per day) ...... ............................... f� Oct 2. Name of Project:��r ��'' .S e7� 3. Location T /V /C: �u �, 4. Project Engineer: �� % �� aCj 5. Address: ,1,�P S Sh ecJ �P License Number: 6'9& fO S_� Phone: o73S- ,Zo 6. Type of Project: _ L Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park -' Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality. eview (SEQR)? 7- Type Status (Check One) Type I.. Exempt / Type. II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? ............. A10 9. Has DEIS been completed L and found acceptable by Lead Agency?. ........... 10. Name of Lead Agency 11. Is this project in an area under the control of local planning, zoning, . wor. Qt.her of-f�,�'�a.ls.,. _c,.dinances. ?. �:.: ., s:r.,.,.. ...�.....�.._....�..,.�.r,...�, 12. If so, have plans been submitted to such authorities? ................. /'� yes - .z'�ia,✓�,✓6 -� 13. Has preliminary approval been granted by such authorities? Date Granted:__/V/A 14. Type of Sewage Disposal System Discharge...... Surface Water y Ground Waters 15. If surface water discharge, what is the stream class designation ?........ N�i9 16. Waters index number (surface) ........................................... 17. Is project located near a public water supply system? 18. If yes, name of water supply _,G�- r"G�.ES� /Gl Distance to water supply Sa 19. Is project site near a public sewage collection or disposal, system ?..... 20. Name of sewage system Distance to sewage system 21. Date observed: 23. Name of Health Inspector: 24. Project design flow (gallons per day) ...... ............................... f� Oct 2 .' o 25:.- 3s, State Pollutant -D.i-scha-r:ge El-imina don System _( SPDES.) Rerml.t- .required ?..��_� 26. Has SPDES Application been submitted to local.•DEC Office? ..:...........: 27. Is any portion of this project located within a designated Town or State v wetland? ...................................................... ............... 28. Wetland ID Number ......................... 29. Is Wetland Permit required? ................ ....................... ....... �Z- Has application been made to Town or Local DEC Office? .............:..... 30. Does project require a DEC Stream Disturbance Permit? .................:.v. 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 or NO,�. 32. Is project located within 1,000 feet of ex.istence.of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or. any other potential known source of contamination? ..............YES or NO DESCRIBE: 33.-Is there a local master plan or file with the Town.or Village ?..:......... / CS 34. Are community water, sewer facilities planned to be developed within 15 years? S -�:�.: -A -re - aray =- sewage. - di- sposa -1= .,areas i,n -,excess of - - -15X s -.lope? ... :. .......:�. -- �/�S 36. Tax Map ID Number ......... ..................... 37. Approved Plans are to be returned to: Applicant Engineer If the application is signed by a person other than the.applicant shown in.Item 1, the application must be accompanied by a Letter of Authorization. Failure to comply with this provision may be grounds for the rejection of any submission. .I hereby affirm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a C7 ss A Misdemeanor pursuant to Section 210.45 of the Penal Caw. SIGNATURES & OFFICIAL TITLES: DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO -COj4S�2 R CT A _TWATER' ALL PCHn PRRMTT A WELL LOCATION Street Address FLE L 'P� To Villag City g/V Tax Grid Numbe WELL OWNER Name / C "1 e� `T Mailing 6E�i Address ivat �SCj.9�vr9Nf},q l� Fd D Public USE OF WELL 1 - primary .2 - secondary RESIDENTIAL O BUSINESS D INDUSTRIAL O PUBLIC SUPPLY AIR% 0 D/ PUMP O ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify O INSTITUTIONAL O STAND -BY p AMOUNT OF USE YIELD SOUGHT ,T'--gpm /# PEOPLE SERVED, .4 /EST. OF DAILY USAGE gal REASON FOR DRILLING O REPLACE EXISTING SUPPLY ONEW SUPPLY NEW DWELLING). O TEST /OBSERVATION 12. ADDITIONAL SUPPLY CI DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING Ew S O�lfts WELL TYPE RILLED DRIVEN 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES il-'NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:. L/,- lUEE/�'3/tiG� - SFET. G. Lot No. „2/ -.��D ��7 -AflF WATER WELL CONTRACTOR: Name 12Ge94 Address: 4 TA 2E14 1S722 ' IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: &-�Y ES NO nn/Ly NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO °PROPERTY' FROM NEAREST -WATER : MAIN -:: - . ... LOCATION SKETCH .& RCES OF CONTAMINATION PROVIDE 06N SEPARATE SHEET i 2G ta, ' (d te) L (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the.provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. Date of Issue: Date of Expiration Permit is Non - Transferrable 3/89 19 19 Permit Issuing Official White copy: HD File Pink copy: Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller ...:77777 SERIES BY PENN LYON HOMES INC. p MT, . j.. C4 7 LIVING RM FERNWOOD 24x48' V y .rte C 11ATH 7., ic- KITCHEN Q r 0 DINING BED RM 1. U%nf4G RM I 8 T H11 DINING HALL HALL LIVING RM BED RM'2 I j BED RM 12 BED RM BED RM 3 KITCHEN $ 3 KIRKWOOD 27'X40' ENGLEWOOD 27x48' MANCO CONSTRUCTION CORP. Route 6 - P.O. Box 863 Mahopac, N.Y. 10541-0863 Phone (914) 628-4400 1- SERIES BY PENN LYON HOMES INC. -i two . . . . . . . . . . 77- M P -541 It 7 -u y MI(I Z L-j 19TCHEN L-3 drew IDS-- BED RM' I HALL LIVING R m BED RM'2 BED RMS 3 . .,I LIVING RM iz FERNWOOD 24'X48' j KIRKWOOD 27x40' ENGLEWOOD 27x48' MANCO CONSTRUCTION CORP. Route 6 - P.O. Box 863 Mahopac, N.Y. 10541-0863 Phone (914) 628-4400 70 RED RM'I i LIVING RIA A 8 THII r rv.rr z DINING HALL BED RM'2 BED RM'3 KITCHEN M Mgt E j KIRKWOOD 27x40' ENGLEWOOD 27x48' MANCO CONSTRUCTION CORP. Route 6 - P.O. Box 863 Mahopac, N.Y. 10541-0863 Phone (914) 628-4400