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HomeMy WebLinkAbout4189DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.80 -1 -14 & 83.80 -1 -16 BOX 32 I,yti r' 1 or • ' s J'. `� `I , f, r ` 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 j 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; •: ?' N i ! �; i ' 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 JI .. 1 Iz A '_'. , f-i I Ci 19 41 .s P,fnoer Fj LEC'ErND LINE -SCH PARCEL NUMBER UNI: E Bi..00K NUMBER A;n I- j7 I, I L _W_ DEED 117 10 ..J, % flu'l NAr,1111 COUN WES'i 'J !l ';TER COUN F ro 0 0 JI .. 1 Iz A '_'. , f-i I Ci 19 41 .s P,fnoer Fj LEC'ErND LINE -SCH PARCEL NUMBER UNI: E Bi..00K NUMBER A;n I- j7 I, I L _W_ DEED 117 10 ..J, % flu'l NAr,1111 COUN WES'i 'J !l ';TER COUN F ro hiLa or c0i \% c zjw r v le, Iw .. ....... 1000 / /* Os HOr i�-- N'3-0�' \z To 0// 4� 7 45 4j � _ , . �� \ ron. �—� ���.����,/ may, `, �L /� 4 4 21 CIV mv -,I ..... ..... 4 \� `\ .rob /' /�-�°" /J� �/ y`, // 9� / /. Our Oei 4 v6 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....... 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