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631- 589 -8100
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BOX 32
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` CONSTRUCTIO P
.> Located u
Sabdlvlswn lkame n
Owner / Applicant N
rulflam ;a.f
{ - Dlvielottof Mmkoo
RM1T FOR SEWAGE DISPOSAL SYSTEM
_ �A Aw
woe
o
r
iling A ddrrese
Ma
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Building Type - / F
a A
Namber M Bedrooms '
Separate Sewerage System
i -.'Td be conetracl
Water SttpplY ..I
ort
Otber Renalremente _ r
- 1 ieDie?fent ihat'1 am. Wh011
above describetl'Will 6e'-6 Vr
County Department of :b
be submitted =to the Depi
place `'in 'good operating
„,ance. of the approval of :1
Will' be located;as shown on
County., Depart !a r�t oj i He
Date 6 �Q
APPROVED F,OR CONSTI
revocable'for-cause or may
J -racuires ariew.Dermrt "Y
48 v.
1/87 Date
�'�� Design Flew: G P D�.
;.islet of Gallon Septic Tanlr
Iic Supply -From
ate Supply Droved by 1W 141,
d'comDleEely re'spo siemTeendmom
cted as shown on the roved✓bmo
h .and that.on compleGOn thereof a Ce
ent;, antl a' written <guarsntae will De fi
itioh an K, of said,„sewage�tlrsposat
Cartificate of'Construction,'COmpliance
-this'*"
aDprovsf,ex
rd.or. rnoddied.when com
Dr,disposal 'of domestic
8Y
lrrwxitnrrli ur-n�nt,in
ealt6 Servkee Carmel, N Y, 10512 z ' Eogm
' s o "n CERTIFIC�
s Peemlt p.
Town
Ta: Map ,.Block
L �ltenewal_� ]
Date of Provloae App roal
v_
.:Town
Fw secaen ody De
e G G;D °PCHD NatlHcatlon 1e`Req
ar
� �Addroee _
W Aadresi' All
`%.W A
a®
h
constr
1 .!
to ProvldeRenmit M, -r
OF COMFU4Xa -
Vwage
felon o ;
4
Ti zz
ZIP
y.
� ? f
�-3 'Yolttme ` SC t
�d When FW le completed '. -
LL�iQ � f
Aj
i2pallite' I - em
_i
!n regu,a ronso a e-u nam
the Commissionsr-of Heaith'v i
he Durltler; that said builder•.vFill._
y- following t'he.date of the issu. .
ttie,drilleC:we11 described abb" '
^regula —Pons ; 0�of the Putnam ;' (
r oG oT7 ,
ceen nse
ing has been undertaken and is tt
to or= alteration of construction
,S
:z
IL
t
CO�.
V a r F
PETER C. ALEXANDERSON .� JOHN KARELL Jr., P.E., M.S.
County Executive �� YQ Public Health Director
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
June 6, 1990
Vincent Ettari
1065 Spillway Road
Shrub Oak, New York 10588
Re: Richard Meister
Travers Road
Putnam Valley - TM #75 -2 -2 & 20
Dear Mr. Ettari:
I have received the application to renew the above mentioned construction permit.
The permit must include the paragraph "I represent that I am wholly and
completely responsible for the design and location..." without modification.
Also please submit a copy of the site plan, design data sheet and house plans.
If you have any questions, please contact me at your convenience.
William Hedges
Sr. Public Sanitarian
WHljp
PUTNAM COUNTY DEPARTMENT OF HEALTH.,
147, Education Law, the-Public Health Law,.and the Putnam County,;Sani-
tary Code.
Very truly yours,
Signed
.Owner of b;perty.
Countersigned:
DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CENTER — CARMEL, N.Y. 10512 (914) 225 -3641
.'�° �:'AFPLICAI`Y`OI�'�'T�— CONSTRICT A'WATER WELL �'" ;:, �; a _. �_� aQa .•�
DrUn DDDMTM A PI/ /I.m A 7
WELL LOCATION
Street Address
TGF'�r1�'f .S 4a/.
Town Village C;�Iil Tax Grid Number
�0o JP m' , .7 "0
WELL OWNER
Name
16 W4
Mailing
kZ
Address Wrivate
7 "J JVX 14We Public
USE OF WELL
1 - primary
2 - secondary
RESIDENTIAL
® BUSINESS
® INDUSTRIAL
yyf����'!��'
p AIR /COND /HE
0 PUBLIC SUPPLY /PUMP "7 ABANDONED
O FARM ❑ TEST /OBSERVATION ❑ OTHER (specify
O INSTITUTIONAL p STAND -BY
AMOUNT OF USE
YIELD SOUGHT
gpm /#
PEOPLE SERVED /EST. OF DAILY USAGE ®D gal
REASON FOR
DRILLING
WREW SUPPLY
p REPLACE EXISTING SUPPLY
❑ PROVIDE ADDITIONAL SUPPLY ® TEST /OBSERVATION
DEEPEN EXISTING WELL
DETAILED
REASON FOR
DRILLING
_0
WELL TYPE
DRILLED
13DRIVEN
®DUG
®GRAVEL
® OTHER
IS WELL SITE SUBJECT TO FLOODING? YES >; NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:
401f tar
Lot No. ,P—/6 6f 117 /�Jr
WATER WELL CONTRACTOR: Name Address • P
Pg4i 04 //,r _
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES >( NO
NAME OF PUBLIC WATER SUPPLY: ✓II�p� TOWN /VIL /CITY
`DISTANCE "TO'PROPERTY FROM NEAREST`WATE'R MAIN:-
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
[]ON REAR OF THIS APPLICATION ON-3EPAROE SHEET
(crait e) ( gnature)
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.
Date of Issue: 19
Date of Expiration: 19 Permit Issuing Official
Permit is Non - Transferrable White copy: H.D. File
Yellow copy: Building Inspector
2/87 Pink Copy: Owner
OrancrP mrnr • wonl 1 nr; 11,,,-
-0
f
PU11NAM iqftim biPARTMENT OP HEALTH
_:5 in cier tojlrovlde� Permit E" P #
318 -eirvicei. Carrnei4 N-'i. ion
Re-V DlvWon of EntvItairnentilil He'ath"s-
0='
CONSTRUCTION E FOR AGE DISPOSAL SYSTEM
JraVib . S R i-Putfiar6` Va'--j_j-ev-
r
T6w:n or t'v %
Let 2 & 2
sibdlvlal6n �me Laken Peekskill s.n bd. Lot fil. T..Xap 95 Block
Richard Meister Renewal Revision Owner/
Applicant Name
Date of fteA6";Approvlal
s ' z, 105-66
Maffinj Address STU..HR Gardens T .,k Peekskill; p`
-APT* 4E
1 Family Res., 30 381
Bifidifig V�. Let Am I Section Only. �_*olooe
3
5S5 C+
600: Depth
Number of Bar.6.8 Design Flow G/P/D — Pcl�b in kequilred When FIB lieompletid
Separate Spwem —Gallerieg
g and
e System to consist of LO 00 Gallon Septic T.&I 172 1f Tri
To be constructed by M Alno r s an.0 Address Putnam Valley. ;
Water Suppb,: Address
Polle Supply B�m
1py
xx N • -Andpr��q� Put-naiq:�.Vai
or*— OrMed by -* . __
JA 61'cul IZA Kt.
%Other-Requl" . -ts— &_ , - :7
J_ -1-L
rep h, I a7; whisily'7i.' p
d completely responsible i�r the design. and location of. t I he proposed . sy ste m(s), . 1) that the separate sewage disposal system
. stem
described
wil!.be constructed as shown,on the ,apprcived amendment.ttfeie to and in accordance with the standards, rulesand regul
istiprispf 1,the.. Putnam
County •Depar en :f t�uctioln C-6mpliaint ,satisfactory to the Commissioner•of Healthwill
tm t of HeaI6,�'indthat' Peton tl�ereof a. Co..
corn pert�f icate, �o . Cqns
be submitted to the 6epi'rtriie"rit, and a written guarantee will be . furnished the owner, uccess6rs,heIrs,or assigns by the builildi..'t6it-said buill ' der will
dur,,z 6,s date bf -
place, in good operating conoilion,any part of said iewige.dispqs�sl sy0em 6d Of two (2) ytears.1mmediately *following jhe issu
arise . . i the appriovill''of' the'Certificate '6 , f d6instiucition Com"piian"co):'6f-t6e6ri4inal.s to or n repairs "t 2' that he drilled well described above
a y rs
the e ; R� Putnam
0 to 0 y ir 'Q
will be located as .shown the plan and that siid well Will �e'iq�7ed�in accoi�y itah t hr. an rd., OlulL 'aan'dt reguTa Ions, of the
County Department of Health..
xx
P.E. P.A.
Date "iv. 1/07 Signed
Musdo6.t NO. . RFR2 4,88. Mahopac
Address— -Y License No-
�a ro
'proval'tax*pires-d'an"Yea rov" the pat issued unless APPROVEOFO`R. CONSTRUCTION: This ap ss, construction of ttie,building has been undertaken and is
revocable*for cause o I r.may be amended or modifi*idd wh.e.n-.c66's'I'de*r'e' necis'sary.b"' the -C 6mmissioner' 'o'f',Health. ny change or: alteration of construction
s
reQuires a n Approved for disposal'of domestic sanitai sawage,- r -private water supply only.
bate 13 .1 qe?l Title
Y
41
DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641
PCHD PERMIT #
WELL LOCATION
Street Address
Travers
Town/Village/City Tax
_ _
Grid Number
WELL OWNER
Name
Rich Meister,
Address
qPrivate
❑ Pub lic
USE OF.-WELL
1 - primary
2 - secondary.
Iff RESIDENTIAL ® PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP
❑ BUSINESS O FARM O TEST /OBSERVATION
❑ INDUSTRIAL 0 INSTITUTIONAL O STAND -BY
❑ ABANDONED
❑ OTHER (specify,
O
AMOUNT OF USE
YIELD SOUGHT 5 gpm /# PEOPLE SERVED_ /EST. OF DAILY USAGE 600 gal
REASON FOR
DRILLING
MNEW SUPPLY
❑REPLACE EXISTING
O PROVIDE ADDITIONAL SUPPLY
SUPPLY ❑DEEPEN EXISTING WELL
(:]TEST/OBSERVATION
DETAILED
REASON FOR
DRILLING
WELL TYPE
®DRILLED
DDRIVEN ®DUG
®GRAVEL
®OTHER
IS WELL SITE SUBJECT TO FLOODING? YES XXX_NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lake Peekskill
Lot No. 8 -16 &117 -125
WATER. -WELL CONTRACTOR: Name N. Anderson Address: Put, Valley
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE:
YES XX NO
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
. -. vc - .....44..- ..-.e .. ._ +. .: M......r......v ,_r�..v .o +....._ .. ...ca . -r ...p a . -a. 4. • . nr._ � n .. ._ - _. _ _ ....._ _
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
[:]ON REAR OF THIS APPLICATION
(date)
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 provide by the Putnam County
Health ADDeprtment Date of Issue: 19 Date of Expirati�' 3 19 Pe it I suing Officitl
Permit is Non - Transferrable
PUTNAM COUNT-Y'%DEPARTMENT OF HEALTI-i
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date 2/17/87
Re: Property of
Located at TRAVERS, ROAD
(T) Section 95 Block 2 Lot 2 & 20
Subdivision of LAKE PEEKSKILL.
Subdv. Lot # 8-161117-125 Filed Map # 185c Date 5/29/29
Gentlemen:
This letter is to authorize JOEL L. GREENBERG
a duly licensed professional engineer or registered architect. YX
(Indicate)
to apply for a Construction Permit for a separate sewage system, to
serve the above noted property'in accordance with the standards, rules
ox regulations as promulagated by the Commissioner.of.'the Putnam Cdunty
Department of-Health, and to sign all necessary papers.on,my behalf in
-Carfn e' *c t�o n with this to 'mdtter and to- supervise` the cons ccuction 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 Sani-
tary Code.
Counters:
P. E. I R.. A.
.MUSCOOT RTH RELD
488
Address
MAHOPAC 2 NEW YORK 10541
.- -
Tyep -hone
Very truly yours,
Signed
Own.er...of.- Property
STUHR GkRDENS
AddTe s —s
PEEKSKILL�,_NEWY . YORK 10566
Town
739-3030
Telephone
PUTNAM COUITTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONNOITAL HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
,DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE.NO.
Owner Ri chard Mi Pst-er Address Stuhr Gardens 'Peekskill
Located at (Street Travers RD Sec. 95 Block 2 Lot 2 & 20
6udicate nearer cross.s reet
Municipality Watershed Hudson
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
00
Number CLOCK TIME PERCOLATION PERCOLATION
apse. Depth to Water Water lave-1
No. Time From Ground Surface in Inches Soil Rate
Start -Stop Min. Start Stop Drop in Min. /in drop
Inches Inches Inches
PTH #1 1 9 :30'. 10:00 30 '36 39.5 3.5 .30/3.5 =8.5
2.10:01 10:31 30 36 39.5 3.5 30/3.5 =8.5
31n - -47 11 -n? 'An 'AA 'AA�'S. 14 -5 inf -I -5 =R_5
411:03 11:33 30 36 39.5 3:5 30/3.5 =8.5
5
PTH #2 19:35 10:05 30 36 39.5 3.5 30/3.3 =9,Q
210 i'06 ' h0 sII5 ..... 10 36 "s9 .`5 3. i3 .30/3.3 =9
:0
310:37 11:07 •30 i 36 39.5•. 3.3 30/3.3 =9.0
411:08--11:38 30 36 39.5' 3.3 30/3.3=9.-O----
5
2
3.
,...Notes: 1) Tests to be repeated at same depth until approximatelyy equal soil
rates are obtained at each percolation test hole. All data to be submitted
for review.
2) Depth me::. ;vents to be made from top of hole.
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DEPTH
HOLE NO. DTH #1
G.L.
TOP SOIL
1 °•
SAND & STONES
2°
'
30
GLAY
4°
...
„ .
'. .
9
13°
IIMl= LEVEE. AT WHICH GRiOUNDWATFR IS E=UNTERED 3 ' - 6 "
nmicATE LEVEL. M WHICH WA= LEVEL RIM AFTER BEING ENOWNTEM 3u-611
DEEP HOLE •OBSERVATIONS MADE BY: JOEL L. GREENBERG DA=: 11/20/86
DESIGN
Soil late Used 8-10 Min/1" Drop: S.D. Usable Area Provided 5000
No. of Bedrooms 3 Septic Wank Capacity 1000 gals. ' Type Conte
Absorption Area Provided By 172 L.P. x 24" width trench �µ E o .o R
v\� ike C GR Q r
®rho Tri- Galeries F
Address r4uscQQt--7h1orth,RFDA2
`.
•
laox .. ,
THIS-SPACE O` • ONLY:
Soil Rate Approved sq.f�/gal. Chocked bi Date
PEnMM COUNTY DEPARTMENr OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES
IlaDIVIDUAL WATER SUPPLY & SUBSURFACE S� DISPOSAL SYSTEMS
C S ® 7--- - * 1
REVIEW SHEET - CONSTRUCTION PERMIT
(Name of Owner) (Street Location)
COMMENTS
YESI
NO
n
4 A-
( : 3
�, baL,
/3/J
r• A ft;
1
CAI-
td
DOC(Il-JENrS
Permit Application
Corporate Resolution
Plans - Three sets
Engineers Authorization
Design Data Sheet (DDS)
Deep Hole Log
Consistent Perc Results (3)
30" Perc Hole
Other
House Plans - Two sets
If PWS - Letter
Variance Request
REQUIRED DETAILS ON PLANS
Sewage System Plan
Sewage System Hydraulic Profile - Gravity Flow
Fill Profile & Dimensions.- Volume
D or J Box;Trench /Gallery; Pump pit details
Septic Tank - Size, Detail
Well Detail, Service Line if over
Construction Notes
Design Data
Two -Foot Contours Existing & Proposed
Driveway & Slopes Cut
Footing /Gutter Curtain Drains
Perc & Deep Holes Located
Representative of Sewage & Expansion Area
Expansion Area; shown; gravity €low,suff.;.size
_If .. Pumped -Pit & -a -`B - Sh6wn' & .. ...... - ..._
House - No. of Bedrooms
Wells & SSDS's, w /in 200 ft. of Property Located
Property Metes'& Bounds
House Setback Necessary (Tight lot)
House Sewer - 1 /4 " /ft. 4 "0; Type pipe
No Bends; Max. Bends 45° w /cleanout
SEPARATION DISTANCES SPECIFIED ON PLAN
Fields
10' to P.L., Driveway, Large Trees
20' to Foundation Walls
100' to Well; 200' in D.L.O.D, 150' pits
100' to Stream, Watercourse, Lake (inc. expan)
15' to Drains- Cartain,Storm,Leader,Footing
25' to Catch Basin
10' to Water Line (pits -201)
Septic Tanks
10' from Foundation
50' to Well
15' Well to PL
GENERAL
Legal Subdivision
Subdivision Approval Checked
Ex- approval SSDS Adj. Lots Checked
Wetland (Town/DEC Permit R & D)
Data On DDS Plans & Permit Same
PUTNAM COUN'T'Y DEPARTMENT OF HEALTH .- DIVISION OF
HEALTH
FIELD INSPECTION REPORT y
... ..._ _... ' . -... :- . . � :
DATE / �to
9�1 1 I .1' cW��1.� �( -6[ 1 , �� , , �INSP. BY:
(Name of Owner) ( Street Location)----- -
INITIAL SITE INSPECTION YES NO COMMENTS
Wetlands on /or proximate to property.......
Property lines or corners found ...................
can estimate house location .......................
Will driveway need cut .............................
Must trees be removed - note these ................
Deep holes representative of entire SDS area......
Additional deep holes needed..... .......... ....
Sufficient SDS area available considering driveway
cut, house location, separation distances,etc...
Adjacentwells/ septics ............................
D. H. - Deep Hole
G.W.- Groundwater
D. H. 1 Lot D. H. 2 Lot D. H. 3 hot
Depth to G.W. Depth to G. W. Depth to G. W.
Depth to rock Depth to rock Depth to rock
0 ft.
3 ft
6 ft,
9 ft.
12 ft
Soll
0
ft.
3
ft.
6
ft.
9
ft.
_ 12
ft.
Soil Description
_)
0 ft.
3 ft.
6 ft.
9 ft.
_ .V12..fta.
Soil
r—
DATE:
FINAL SITE INSPECTION INSP.BY:
YES
NO
CHI'S
House SSDS located per approved plan .............
Length of trench measured
Width of trench average
Slope of tile line and trench acceptable.........
Roan allowed for expansion trenches ..............
Over 100 ft. from watercourse ....................
Natural soil not stripped or SDS area
unnecessarly graded.......... ..... ........
10 ft< "maintained from property line and
20 ft. fran house.... ........................
Distance well to SSDS (ft.) ......................
Number of bedrooms checks ........................
Stones, brush, stumps, rubble, etc., greater
than 15 ft. fran nearest trench ................
15 ft. of peripheral soil horizontally
frm trench ..... ...............................
Boxes properly set .. . ...... ............ ........
Could surface runoff fran driveway, roads,
ground surface, etc., channel near SDS area.... (
{
{
Does lot drainage appear OK in area of SDS.....,,
{
{
FINAL GRADNG OF SITE ACCEPTABLE..
Enclosed please find 3 copies of a ,' proposed - drainage.. plan
for tic. Richard ister'.8 lot on `fravers Road and pardin
Road (Sec. 9.'5 Block 2 Lot 20).
I have also enclosed the drainage calculations for this
proposed design.
The drainage area . weet .:of ' _ in - Drive, in approximately
4..39 Acres, : :which ieb' 'u, i ;.a run -eft of� 5 3 cfs. to'-the
culverts on N.ardin Drive dreining into the_. -abav� lot.
_.....-Tbe__exist n_g. -16" cgjVgrt _on :firever� :Road. cab :con#.r ®1::
°
4-25 cfs -. -leavingr a' storage required' :tcar' reta ti'o a osa
Mrs Meister ®s property of 3 4 765 cu® ft. A retention
basin of 3' by 22 ° by 1551,-:as-shown, will control the
additional runoff.
U ®®....
Pi.�f76.�V.
0"lry P� Z
'' `
29'y2 MGQ�T ORIVI
i
� t �',
qtr. Marvin Odell
Building Inspectosc..
Town of Putnam: Valley :.
.
Putnam Coupty, New York, •20579.,
Dear. . !fir . Odell s
Enclosed please find 3 copies of a ,' proposed - drainage.. plan
for tic. Richard ister'.8 lot on `fravers Road and pardin
Road (Sec. 9.'5 Block 2 Lot 20).
I have also enclosed the drainage calculations for this
proposed design.
The drainage area . weet .:of ' _ in - Drive, in approximately
4..39 Acres, : :which ieb' 'u, i ;.a run -eft of� 5 3 cfs. to'-the
culverts on N.ardin Drive dreining into the_. -abav� lot.
_.....-Tbe__exist n_g. -16" cgjVgrt _on :firever� :Road. cab :con#.r ®1::
°
4-25 cfs -. -leavingr a' storage required' :tcar' reta ti'o a osa
Mrs Meister ®s property of 3 4 765 cu® ft. A retention
basin of 3' by 22 ° by 1551,-:as-shown, will control the
additional runoff.
x.
LCW: j r
CC:JK
CC:File
CC: Richard Meister
Stuhr Gardens -Apt. 4E
Peekskill, NY 10566
aft C'e)
1 .
PETER C ALEXANOER50N
�I ; 'C
n aa>•
EN80 L C:RRuTH •
-a
county Executive
t !t. � �
V
.
Pualic Healm D;reCr.
DEF RTAENT OF HEALTH
JCHN )(ARE_L :r_ p _
Division Of Environmental f.ealth Services
110 Old
Route Six Center, Carmel. New York 10512
.(914) 225 -0310
September 20, 1989
Mr. Joseph Sullivan
RZ: Construction Permit - Meister
2972 Ferncrest Drive
Travers Road
Yorktown Heights, NY 10598
(T) PV - TM #95 -L-20
Dear Sir
Rev vietd of my files indicates
no activity on the above cactticned prc„;ect fcr scmie
time.
Please advise the writer as to the- status of this project without delay.
Failure to- r ;:Y.iv.e a ,resaansa-- by.`October 20,1989 ri11' result' iri the` file
being
.returned to you, DISAPPROVED.
Very truly-youurs,
Lawrence C. Wer r
Assistant Public Health Engineer
=
x.
LCW: j r
CC:JK
CC:File
CC: Richard Meister
Stuhr Gardens -Apt. 4E
Peekskill, NY 10566
PIITNADS COUNTY DEPARTMENT OF UMTii
Rev. 3186 1 `� ` 1 Division of Environmental 1lealdt Services. Carmel, N.Y. 10511 Engineer to Provide Permit M .:
` on CERTIFICATE OF COMPi1AN E
Permit. w
CONSTRUCTION PERASTT FOR SEWAGE DISPOSAL SYSTEM
'Valley
Travers RD Putnam ? t Town or Village
Located at
' Lake-Peek-skill Stibdlvlelon Name Sabd. Lot N "'' Tar Map 9 S �` Block Lot i &
Ri::ghard Meister Renewalo ;, Revtslon 0
Owner /Applicant Name . > {:
Dater of Previous Approval
g ,
MIlIp Address STUHR Gardens Town Peekskill zip 1056G
�.. APT 4E ,
t. 30 381
t I'artil Res. �
[
Building Type 1 �' Lot Area r Fw Sectioa,OnIy" : %j Depth _ �L_Volfrme S•_.- J5
Number of Bedrooms 3 Design Flow G /P /D 600 PCHD Notl(sc t(lon Is Required When Fill 1s completed J .'
Separate Sewerage System to consist of 1000 Gallon Septic Tank and 1-72 if Tr —Gal 1 Pr i (�r,
To be constructed by M. An,orsano Address Putnam; Valley
;Water So PP ) I .` Public Supply From Address
'
Y.?: 11. Anderson Putnam Valley
Drilled t
e or: Private Supply Drilled by Address ,
.'Other Requirements .-. f °`'' /y tt ��i %Iy j'-' � l--L. '� � t '_ Ct � i A f hl L /�-f -1 1 .`. _ •. . -.. : i
1 represent trial I am wholly and completely responsible for the design and location of the proposed system(s),:,I) that the separate sewage disposal system
�. above described will be constructed as shown on the approved amendment tnere to and in accordance with the S�Bndards, rules an regulations o e Putnam
t _ :County Department of Health, and that on completion thereof a'- Certificate of Construction Compliance ",: satisfactory to the Commisslgnerof Heaithwill; .
t.'. 'be submitted to the Department, and "a written guarantee will be furnished the owner, his) successors, heiri'or assigns by the:builder,•that said builder .will,.
i place in good operating condition any part of said sewage disposal system during the,pefiod -of two (2) years Immediately following thedate of the.Isw-
�, - '• ante of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. 2) that the drilled well described above. '
ti'•!will be to caled as shown on the approved plan and that said well will be Install` d -,in accordi-nds" with the' stanj rds, rules and_ regulMons..,01; the :Putr)im;:;: ?'_..-z*: _.
f County Department of Health. ) R _
Date �/ /IV'/ Signed' X i «f i f, �4 a.. '4-C.. .-P.E: ' R.A..�{•�...
j. Muscoot No. .:RFI?• 2 Box 488 Ylahopdc y � /Oj•L�
Address IF r License. No
',.APPROVED FOR CONSTRUCTION: This approval expires on't;'jrear, from'the dale issued unless constructio6'01 the building has been undertaken and-is
revocable for cause or may be amended or modified when considered necessary by/ the Commissioner_ of. Health. ny Change or alteration. of constructeO h'• �.• F7: {,_:' - -
r requires a new permit. Approved for disposal of domestic sanitary sewage, and /or private water supply only. .J .p _, -:;� ``;Y,i'••�:':
Date f. :�'l !f .• By •:;+r "/ /• { Title _,f•. / /� .f� .i; •: ?'
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' DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CNTER — CARMEL, N.Y. 10512 (914) 225 3641
,APPLICATION TO- CONSTRUCT A WATER WELL
PCHD PERMIT #
WELL LOCATION
" Street Address
Traver
Town/Village/City'
own Village /City ' Tax
�
Grid Number
WELL OWNER
Name
Rich Meister
Address
QPrivate
o Public
USE OF WELL
1 - primary
2 - secondary
f.RESIDENTIAL
❑ BUSINESS
❑ INDUSTRIAL
-D PUBLIC SUPPLY OAIR /COND /HEAT PUMP
O FARM ❑ TEST /OBSERVATION
0 INSTITUTIONAL O STAND -BY
0ABANDONED
O OTHER (specify)
❑
AMOUNT OF USE
YIELD SOUGHT
5 gpm /# PEOPLE SERVED--/EST. OF DAILY USAGE 600 gal
REASON FOR
DRILLING
8NEW SUPPLY O PROVIDE ADDITIONAL SUPPLY
O REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL
O TEST /OBSERVATION
DETAILED
REASON FOR
DRILLING:
WELL TYPE
®DRILLED
DRIVEN
®DUG
GRAVEL
®
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: 0 IleeKskill
Lot No. "
WATER WELL CONTRACTOR: Name N. Anderson Address: put. Valley
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES XX NO
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
DISTANCE T6,PROPERTY FROM NEAREST WATER MAIN:
LOCATtON SKETCH.& SOURCES OF CONTAMINATION PROVIDED
0 O REAR OFD THIS APPLICATION. ®ON SEPARATE, SiftE 1
(date) (signatuFe) '
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 p'rovided.by the Putnam County
Health Department.
. 1
Date of Issue:
Date of Expiration: `;... ;;'19 ermit" Issuing Official
Permit is Non- Transferrable
't £ `
j"
JOSEPH F. SULLIVAN, P.E.
• -t eonsu� tiny �ny(neas
2972,FERNCREST DRIVE
YORKTOWN HIAGHTS, N. Y. IDS96
(914) 962 -4246
September 28, 1987
Mr. Marvin Odell
Building Inspector
Town of Putnam Valley
Putnam Valley, New York 10579
Re: Property of Richard Meister
Travers.Road
Town of Putnam Valley
Sec. 9.5 - Block 2 - Lot 20
Dear Mr. Odell:
Based on an analysis of both a ten year and twenty -five
year storm, it has been determined that an 18" C.M.P. at
a slone of 2.35% through the above property will satisfy
both storm flow;.
From the above study, it was determined that headwater
�conpLa ations -of _this pr- oposed pipe. indac cd tha" inhet
controls governed and that tallwater'dept'hs would nOt
have to enter-into this analysis,
Therefore the existing 161, pipe across Travers Road will
not have to.'be disturbed, Rip Rap should be provided on
the outlet end of this 16" pipe.
Enclosed' please find copies of the proposed drainage plan,
together with a copy of the drainage computations.
Very truly yours,
Joseph F. Sullivan, P. E,
.7�•s %ate ,
EnclosU -es
�,. :;in.e 3udzinsky, P. C. H. C.
fir, Richard Meister
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LINE -SCH
PARCEL NUMBER
UNI: E Bi..00K NUMBER
A;n I- j7 I, I L _W_ DEED
117
10
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WES'i 'J !l ';TER COUN
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ro
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PARCEL NUMBER
UNI: E Bi..00K NUMBER
A;n I- j7 I, I L _W_ DEED
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4j � _ , . �� \ ron. �—� ���.����,/ may, `, �L /�
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owner 1V 1 Address
Located at (Street) Sec. Block Lot
(indicate nearest cross street) Municipality Watershed
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Date of Pre- Soaking IR -8E) Date of Percolation Test
HOLE
NUCER C1= TIME PERCOLATION PERCOLATION
Run Elapse Depth to Water Frcm Water Level
No. Time Ground Surface In Inches Soil Rate
Start -Stop Min. Start Stop Drop In Min /In Drop
Inches Inches Inches
3
5
1
2
3
5
NOTES: 1. Tests to be repeated; at same depth until approximately ec?ual soil rates
are obtained at each percolation test hole. All data to'be submitted.
for review.
2. Depth measurements to be made from top of hole.
rev. 9/85
PUTNAM- COUNTY - DEPAR'Il4EM-OF HEALTH - DIVISION OF ENVIRONMENTAL- -HEALTH- - SERVICES
INDIVIDUAL WATER SUPPLY /SUBSURFACE SEWAGE DISPOSAL SYSTEMS
FIELD INSPECTION SORT.
DATE:
tit C 15 re J 04f M 'cc) K) INSP. BY:
(Name of Owner) (Street Location)
INITIAL SITE INSPECTION I YES I NO COMMENTS
Wetlands on/or proximate to property ..............
Property lines or corners found ......:............
Can estimate house location .......................
Will driveway need cut .......................e.... N
Must trees be removed - note these ................
Deep holes representative of entire SDS area......
Additional deep holes needed........ .. ....
Sufficient SDS area available considering driveway
cut, house location, separation distances,etc...
Adjacent wells /septics ....................... .....
Access to RLoMsed well location for drillin g ..
D. H. 1 Lot D.H. 2 Lot
Depth to G.W. Depth to G. W.
Depth to rock Depth to rock
Soil Descri tion Soil Description
0 ft. 0 ft.
3 ft. �tuA ft.
6 ft. - -6 t.
9 ft.
9 ft.
12 ft.l
D. H. - Deep Hole
G.W.- Groundwater
D. H. 3 Lot
Depth to G. W.
Depth to rock
0 ft.
3 ft.
6 ft.
9 ft.
12 fte
5011
DATE:
FINAL SITE INSPECTION INSP.BY:
YES
NO
COMMENTS
House SSDS located per approved plan .............
Length of trench measured
Width of trench average
Slope of tile line and trench acceptable.........
Room allowed for expansion trenches ..............
Over 100 ft. from watercourse ....................
Natural soil not stripped or SDS area
unnecessarly graded.......... ..... .........
10 ft. maintained frcan property line and
20 ft. from house...............................
Distance well to SSDS (ft.) ......................
Number of bedrooms checks ........................
Stones, brush, stumps, rubble, etc., greater
than 15 ft. from nearest trench.. ...........
L5 ft* of peripheral soil horizontally
from trench ..... ...............................
3oxes properly set .. ...... . ......... .........
:ould surface runoff fran driveway, roads,
ground surface, etc., channel near SDS area....
?oes lot drainage appear OK in area of SDS.......
MAL GRADNG OF SITE ACCEPTABLE... .... .....
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