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Home My WebLink About4325DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 8 BOX 33 04325 ALLEN BEALS, M.D., J.D. Commissioner of Health Director of Environmental Health . June 27, 2014 DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Joy Hudson 3 Brookfalls Road Putnam Valley, NY 10579 MARYELLEN ODELL County Executive Re: Addition — A- 092 -14 No Increase in Number of Bedrooms 3 Brookfalls Road (T) Putnam Valley, T.M. 84. -1 -36 Dear Ms. Hudson: This Department has received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from this Department dated June 27, 2014. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at four without prior approval by this Department. 2. The area of the existing ,sewage, disposal system and its expansion area must be _ maintained:.._ _.. 3. All plumbing fixtures must be updated with water saving devices; i.e., new low flush toilets, restrictors for shower heads and faucets, etc .. . 4. The approval is for the modifications only and does not validate any construction shown as existing that has not obtained proper approvals from other agencies having jurisdiction. 5. This approval is valid for two (2) years and expires on June 27, 2016. Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the responsibility of the applicant. If you have any questions, please contact me at (845) 808 -1390 ext. 43261. Respectfully, Gene D. Reed Principal Environmental Engineering Aide GDR:cml cc`. BI (T) Putnam Valley T_..- f7oL;. LO!. F P Q I Ile/ le- 0 /Z _dmA 9 Ll LL F? 71 . 02:0.2. CD t n Z's,_ 5 7-L 0 4�TlP ,3;_ H. � -M N ft Q'i ,Nfip *514 mom -4 P UTNAM COUNTY DEPARTMENT' tF HEALTH 7 HOUSE PLANS APPROVED FOR BEDROOM,80UNT ONLY \`7 BEDROOMS .,",,*.,o 0 -`) ' T ALL SUBSEQUENT REVISIONALTERATIO ,TO THESE HOUSE -PtANS-MUST -BE SU MITTE-D TO THE-PCO'k FOR APPROVAL SIGIIXTURE & TITLE IDATt tiF AS j T e' E 4L -gA-EF ESN 4. j I - I e• 1'l� M E vaLE. F t 8, r , — IsLL. H EAP7 I - t � i I "mod r 1�• i:'� - i Ay e � 2,(D 1- !�/•?�17�E�'a x WE��yi� } • . 3 Cc- QOT2F. VN ST Ailgxil �y �F -pk'�7 "�' 'r+. �> � '�� y.�A�t 's,'h� fit' ��n;f•"4 �§ #�` I g FA ,T gq '�- '7 i I-•,p. � L� .� O Y�� :i?.TN ��• 1iti tir''" . � �` ��•F•' ..+ �.,`��y;tc'$ '`�' � it r!" �:� �9� ��R �:..` R>t �� -� c,�y �%�•" � '.. . CEIU F1.L�,Ei3LAZ- �Zl�',`:7'AT �.� ' AS P>= PR_T✓tAl7l7F?LT SPC . x -- — vs : Fx 3yz . FAZ_T rhTH'•AS d £, ' I,J` ? � , -._ v. ' w� -. '�� =;�,. ;N'Y'P si�a t u`�,�" � �F7�• '.. - � �^- u�� - 'x•srFr�t�q� i :° 'i «��l "fie. -,:�• "tit'. � �a Y ?�rv.'" -k. ��'�, �' .a.�..5 � -.a! � +! e z Firm' ;� �? :,.. � . 4'. � - � tr �- ,R «.: v ` . -�� ' .�' ' •.1�.�"sF s^ � >k` a 7TA1 t T' l{4 )L•�'-h `? ..7.57 Q ahY`k'.,,}A�r f ate, �*4�',, --1'� 'mar „� tx ..,Fy - `s A r s , {tI T .. U- t .�+ ♦� "� '� w ibis, 7 � iC� �Erc� `,:�?��L.��a2,�r �� ,ex� "s. <��, 51, I..J:U — 7 � zr� �fi. s° f ..t�� "� � �*,�,fr'y�% :� ""�_ii5r, -� •$ rR- { i� w \ rY y,.. T �. (all 'L r e� t' g {. C �v . 7 I€ a -7 2 Lq Y& I:0-r6, ?-- Ic>A6 , 1:1 is sli I l' ;Z' )01"s 1-0 t, L & m C) G. U('I'PF Of u E4C) 7, FLOOI". ED 76, i�—YT� ALLEN BEAILS, M.D., J.D. Commissioner of Health (I.iORYtIIS, ,Director Of Environmental vironmental Health MARYELLEN ODE1LtL r County Executive �.a+.tr - ^.lSa a .rQ .oy'v .i..e •` A�•ur'iC .- .... �, ..•+.; —. DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 phone # (845) ®� -1390 Fax # (845) 278 -7921 ADDITION APPLICATION RESIDENTIAL ONLY STREET �� t"1 TOWN tn&yn AX MAP # 0 �. NAME JFJ '��ASG Pii ®1�1 1% 5a 6— PCI #7 M 0 �_q -x_34 .., MAILING ADDRESS 5 DESCRIPTION OF ADDITION *NUMBER OF EXISTING BEDROOMS 3 NUMMER OF PROPOSED NEW BEDROOMS * (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUELDING INSPECTOR) "Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. --Please submit this form, and the .following to-Putnam. County Health Dept.; 1. Geneva Rd, Brewster, NY 10509, Phone: (845) 808 -1390. 1. Certified check or money o. rder for $100.00. 2. Sketches of existing floor pin (drawn to scale, all living area including basement, to be shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin HA -1) 3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) * Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin HA -1) 4. Copy of survey showing all well and septic locations on the subject property to the best of your knowledge. Include date of installation known. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedrdom count of dwelling. OFFICE USE COMMENTS 4. ALLEN gEALS, M.D., J.D. ..:�;d .� ��Co�rnjssioner afHealth _ _ _ ROBERT MORRIS, P.E., MPH Director of Environmental Health DEPARTMENT.. OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 8084390 Fax # (845) 278 -7921 Joy }ludson 3 Biookfalls Road Putnam Valley, NY 10579 Def Ms. Hudson: MARYELLEN ODELL l County Executive June 17, 2014 Re: Proposed Addition 3 Brookfalls Road (T) Putnam Valley, TM 84.4-36 Renew of plans and other supporting documents submitted at this time relative to the above regprded project has been completed. Comments are offered as follows. 1. Please provide a description of the.proposed addition on the addition application. 2. The proposed plans do not show any changes from the existing plan. Please show an and all construction that is proposed (ie: walls rooms doors etc ... yar application and proposed plans have been returned for your use. L�n receipt of a submission, revised to reflect the above comment, this application will be cosidered further. Sincerely, (� Gene D. Reed Principal Environmental Health Engineering Aide DR: cml 3 2x 7 F- 6 i i {•O C_) 9 a� j a.' nou!� En �or.;� Fn�a ;off - — �ti� : rl �A�r� r-� ...__ J OU (LEIUUC, bJMAJU 3 -0 i 41, 0 e 1..; C h LA 13 i _ C3 ' Co YA F5 Co 3/8 �J' (o '�2 8 " 305 to -' i , t A.h^. 7L 4T h•1!. �I'' M Ct�.. 4 P ..- It �. 3 �A I F FILLEFJ ;,'i' E to W 'rAiF `, r ._ -._�� T —1 f'OcX:o 2"O LJJIiG 3 1/: 3 Viz.. e,�,y 1• rt ' pry er� . %� j IX T�(E�I?�• 3 w Z 4 st aa't AN � I � I Fj ! —'• ^ ni 4 3 V•.,5�.� � `„g_, �h } d "i' f5' ' � I I f•' P f. i. k Li 3- -),-I C) co a gg 0 -Z:k TVA- (V- IL-I"C Q :5T L nL , pl- ..FLV AS P -✓) AL LONE UUCz 17 -, * - TA 0 F _.a7oA aj -LC) LF.R i. 7 NMI -11%, 751 1% �go I L4 3,q- LTI c,.,� U 00 �79 tl�iST FIL -RATP- BN f7L)C-TQr2 ,e ao I LT.-/ T�U&LL ALL q I ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT - MORRIS, P.E. Director. ofEnvironmental Health d MARYELLEN ODELL County Executive r �•1• .. ..1 .a :ne�Ci.MJ'.wM`r- .]p.ir.QV. ..'� '.il e".'1.!. !'.'at �1' ^O.`iR.]•.j DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Town Legal Bedroom Count & Proposed Addition Status Re: Hudson Tax Map # 84--1-16 Address: 3 Brookfalls Rd. Town: . Putnam Valley Year Built: 1996 (Owner's Name) According to records maintained by the Town, the above noted dwelling, is xx in compliance with Town Code. w _ - .Is .not incompliance with The Legal Bedroom Count is`. 3 bedrooms and 1 study This information has been obtained from: Certificate of Occupancy: # 9 6 - 8 9 Other: The plans for the proposed addition are considered: xx Addition to existing house only (finished basement) Teardown and/or re -build allowed under Town Regulations B g Inspector Date 5. QQK E 5 PY "6650"0 E s� o� w 24'11 ME N75' 0 n s O I.S �pl ,I O { Fro St Fra ling me WARNING: - - - ALTERATION OF THIS DOMMIM. IN ; ANY WAY. E • ANY POISON, NOT UNS ' THE DIRECTION OF A LICENSED i we // PROFESSIONAL ENG;k.-F OR LAND r; 0 SURVEYOR, AS APPROPRIATE, IS A VIOLATION OF THE EDUCATION LAW OF THE STATE OF NEW YORK 187• w W !l Area = 2.048 Acres M°^ °m°"` 57j 2.9 p0 'W ji:. ow / a^263, 17 ' Mgym h1/11 .O ,li jjo G o• O O lOndi % i O h 65 *0f 47" ;^T R = 50.00' L = 57.62' 61. A = 00 57'13" R = 1970.00' L = J2.79 ROAD'. PRIM' ED gi•, • biAY I �" � .S �Q BAGY 8 WATSON p = 0177 07 SURVEYING 8 ENQINEEKING, P.C. R = 2030.00' SURwY OF PROPERTY PREPARED FOR " LOT NO. 2 OF FOOTH /LL ES TA TES WEST EEKSK TOWN OF PUTNAM VALLEY ' P Notes PUTNAM COUNTY e.. 1. C�YIP/GH7 1996f' by SAOEY & WATSOW,: Surveying d• Engineering, PC. NEW YORK 4 Aii Rights Reserved. Unauthorized duplicdtion is o violotion of opplicob/e lows. SCALE fin= 5017. SEPTEMBER 26, 1995 2. Unouthorized.olter tion or oddition to �0,-S ney rnap^prepared by o - 1.• t. t Si Ai ; r' + �:. \. RELOCATION AS -&--. Al 27.1' 81 51.0' A2 42.4' c� UZ.9- CLEAN -OUT 113 55.7' CLEAN -OUT .3 64.5' CLEAN -OUT 45 102.7 END LATERAL 75 63.0' -END LATERAL %7 32.5' CLEAN -OUT :7 99.4' CLEAN -OUT Z 46.0' END LATERAL 8 101.0' END LATERAL 9 48.0' END LATERAL 9 80.4' END LATERAL 0 94.0' DROP BOX 0 69.9' DROP BOX 1 98.7' DROP BOX 1 94.0' DROP BOX 2 153.0' END LATERAL t 127.7' END LATERAL S 139.6' END LATERAL I 94.3' END LATERAL A= = 2,048 Acres „;LANE �0K BR SEEP S 0 Notwe 8 PE EKSKILL •t i Dwelling 00 Or Anlronmeaw7a3alth maal'f$i ' �u „ro- Pitle -f-. � 10. 5 O 2 e V a "`VVV e acv SLEr4 ROAD .�e ;s , LOW ft HOB "AS -BU /L T” OF S S.D.S. t PREPARED FOR L O -T NO. 2 OF Fo0rHILL ES TE, /�{�'ST TOWN OF PUTIVAM VALLEY PUMAM COUNTY NEW YORK t SCALE fin= 50ft. APRIL 17, 1.995 �P )his is to crrtifv Mho ohm u� A! lit e: 9S Et r tole• in iti of Conttruction. Compliant••' satiifactory to the C*M- MiNIG41W Of MMIthwOl wd the owner his srucoiuors; heirs or nuiNit.by the bIWider.. that said bulkier will srh durirp .tM,paiod of ws,InnNdlebly following tMato of the bY• tM originail sY 0► any rglairs thiietoi Z) that the drilled well 466ilbed allow Ciounty:- p•pertnunt ;of. Week . p • PutMin led in accordance the, stsirtd. ris, rules and. u na Of th 95 s+��.uX n.e. x R;A. Address_ Badey.' -& W C ue.ns. No 62505 APPROVED FOR CONSTRUCTION This approval expirK, two yeas tlN data iswed iinNSt coristrudlep of the building fees been, undertaken and is revocable, for cause Or,maY Oo.enatbed or nwgilidd when consider Y by .tne: C issioner of Mealth•, Any change or alteration of construction r puires a M 'per' it Approved for dispossl'of d0.m san i' e, mind or water <fups►ly: only. Rey � 10/88 DateTi' er Title .. ... ,•�.... n ........ .. n ..a v. ..a. ...ur•,.n ..e .. .. ..0 ...ic. •. ,. ., .. ._... .-. .. ... .e .. « r .._. .. ..e ... v.. ,. .e. �n � ,. . .. ... .... .._,� .... ... ... ..� DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 �APPLICATIONr TO CONSTRUCT� $, in1ATER 6 EI;L � 7,;;, 7. PCHD PERMIT .# / // /b WELL LOCATION Street Address BrookFalls Rd. Town/Village/City Tax Grid Number Putnam Valley WELL OWNER Name Mailing Address David M. Schwartz 330W 45th St. ®Private O Public USE OF WELL 1 - primary 2 - secondary EI RESIDENTIAL D BUSINESS ® INDUSTRIAL ® PUBLIC SUPPLY O AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION []INSTITUTIONAL O STAND -BY ® ABANDONED O OTHER (specify AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 5 /EST. OF DAILY USAGE 500 dal ® REPLACE EXISTING SUPPLY ® TEST /OBSERVATION GI ADDITIONAL SUPPLY XO NEW SUPPLY NEW DWELLING)- ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE DRILLED []DRIVEN ®DUG ® GRAVEL. 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Foothill Estates West Lot No. 2 WATER WELL CONTRACTOR: Name to be determined Address: %,A.0,PUBLIC'WATER SUPPLY AVAILABLE TO SITE: YES _X_NO NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON SEPARATE SHEET 6/30/95 (date) (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well asset 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 thirt -y (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 dri be contained on this property and in suc a manner as not to d�rade or of er n K operations onta to surface or groundwater. e of Issue: 19 qj ;�`..... Date of Expiration �,t 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller ZpC —ln P U T NAM C UN TY D E PART M EN T O F H EALTH N'• ` -..a -. � .•� ��. .1• .1 .a. a.i -.+. �. �. � � . -� ^u. v.. e..A -.'_� � -.. . ..�' .: yi�-T _ � ..- •... ...'tea.. 'L�.... li •' ^gait+. .� C "1L _ "AO�^Iw•- ':h..... iw �.. APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name and Address of Applicant: David M. Schwartz 330 West 45th Street New York, NY 10036 2. Name of.Project: same as applicant 3. Location T /*/t: Putnam Va uey 4. Project Bade &- Engineer: Y , Watson P.C. 5. Address.: US Route 9 Cold Spring, NY 10516 License Number: 62505 Phone: 265 -9217 6. Type of Project: _X_ Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Bbilding Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted X 8. Is a Draft Environmental Impact Statement (DEIS) required? ............. No Has DEIS been completed and found acceptable by Lead Agency? ........... N/A 10. Name of Lead Agency Putnam County Department of Health 1.1. - I�s-t-h�is�projeet h an area under the controa: of local planning; zoning, or other officials, ordinances? ......... ............................... Yes 12. If so, have plans been submitted to such authorities? No 13. Has preliminary approval been granted by such authorities? No Date Granted: N/A 14. Type of Sewage Disposal System Discharge...... Surface Water X Ground Waters 15. If surface water discharge, what is the stream class designation ?........ N/A 16. Waters index.number ( surface) ........... ............................... N/A 17. Is project located near a public water supply system? DIo 18. If yes, name of water supply N/A Distance to water supply N/A 19. Is project site near a public sewage collection 'or disposal system ?..... No 20. Name of.sewage system N /A Distance to sewage system N/A late observed: May 1987 23. Name of Health Inspector: Michael J. Budzinski, P.E. 24. Project design flow (gallons per day) ...... ............................... 800 ,r .c i I C 2. '�25`: fIs S a e`�Po`llutantr`Discharge Elimination ' 'Sys'tem`'(SPDES� Perm "its req�riTred�. S 2 ion een submitted to local DEC Office . ............... 27. Is any portion of this project located within a designated Town or State wetland? .................................... .....'......................... No 28. Wetland ID Number ....................... N/A 29. Is Wetland Permit required? ............. ................... .. ......... °No Has application been made to Town or Local DEC Office? N /A. 30. Does project require a DEC Stream Disturbance Permit? ......:............ No 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 No 32. Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? .........:.....YES or NO No DESCRIBE: 33. Is there a local master plan or file with the Town or Village? ........... Yes, 34. Are community water, sewer facilities planned•to be' developed within 15 years? No 35. Are any sewage disposal areas in excess of 15% slope? No 36. Tax Map ID Number .......................... ............... 84a -1-36 37. Approved Plans are to be returned to: ................ Applicant _x_ 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 Class A Misdemeanor pursuant to Section 210.45 of the Pena 1 Law. SIGNATURES & OFFICIAL TITLES: MAILING ADDRESS: Route 9 Cold Spcing, NY 105,1ti A ............. DMSION OF kITY-Mj, I?ESIGN akTA 5HEET-•SUMUMaE SBIRAG , E DISIPOSU SYSTD4 FILE• NO. Cheer David M. Schwartz. M&es's 330 West 45th St-� NY,NY' 10036 Lora L d at (S tree t) Brook Falls Rd, (Peekskill Hollo�$W,.L 84 i Block. 1. Lot 36 ( ndjcate ne'a*xe-st cross street) MWuCiPalit-Y T/O Putnam County RatetshOd Hudson River OIL PEROMb=CX\I TT--,f SLAM REQU= TOM suai TED wmH ,oPPjjcATjcNs 'Date -of Pre-Soaking 1/21/88 Da' te of. Percolation T6st 1/21/88 Borz NUMBER CLOG ME PERCOLATION I • PERCOUTIOLN Run Elapse. Depth to i4 ter * Iran Water Legel No. Time Ground.Surfac'e in 11�ch; es Soil Rate Stax-t-Stop Xin. Start -stop Drop -. ir . Min /In Drop Inches Inches Inches 1:46 1:49 3 24 27 .3 1 2 1:55 2:04 24 27 3 3 2:05 2:14 9 24 27. 3 3 A 1 1:50 2:20_Q —_ 24 26 _. 2 15 2 2 "2:24 ' '2:54�-"30'-' 24 2 15 3 4 4 5 'I rates RXES: l.. Tests to b--. repzP_tr:xq_' at sah-e depth .until apqrcxin�tely equal sol. are--cbtain,—_J at each r>arcolation test hole.. All �da'ta sLb-ait-tbd- X .-o--, revle".i. 2- Dzoth m2asuxen-c-nts• to be made frbm top of hole. rev. 9/85 31 4 '...• ( water 4' -01t L S Sandy Loam (,water sandy joam 5 ! -0" )_ 6f 71 it 9, 10' 11' 12' , 14' DN IC1�TE..1;1`1 ._ AT F rua ...M— D,' Nt r r M, IS E \L=UNTERI,D 7' -0" !N- DIC3TE LE"VM TO WHICEi .� '�'Et: LEVEL RISES AFTER BEING ZN30UNTiERtr)• 4'-0" DEEP HOLE O SERVIaTIOOS MADE BY: Badey & Watson P.C. _ DATE: 5/28/8,7 DESIGN So"" Rai:4 Used 15 M.in /1" ..Di:o:p: S.D. Usable area Provided 6000sf No. of BedreL-rns 4 Septic Tank Capacity 1250 gals- Type Conc. Absorption area Provided By 500 L.F . x 24" width trench Omer 7ft deep cdrtain drain _ Nacre Badey & Watson � i Sigriatuxe� -- Surveying & Engineering, -P.C. - eat itiN�y� AL' pF NEw lyddress SE Rout-P ! -- o' yp ,, ` n� 1D51ti a X90 Cold Sorins�.,, `.'HZS SPACE R 'USE'BX HEALTH DEPt = 7J ONZ,Y:. F `U • � CFO �a :062��y ,J. /gal Soil Rate Appr-ovcd sq.gt . Checl:c3 by _ RI-OT.-;CON OF SO= ENNCOUNI'.c,RFD IN :TEST •MOLES ' D::2TH HOLE 1\0 - A HOT-2 NO. B HOLE no. r _ �: -*t. •. VJ :1J. ..� ^C -Y ci 65pS0l., �.. (3"� 2' Silt Loam Silt'Loam 31 4 '...• ( water 4' -01t L S Sandy Loam (,water sandy joam 5 ! -0" )_ 6f 71 it 9, 10' 11' 12' , 14' DN IC1�TE..1;1`1 ._ AT F rua ...M— D,' Nt r r M, IS E \L=UNTERI,D 7' -0" !N- DIC3TE LE"VM TO WHICEi .� '�'Et: LEVEL RISES AFTER BEING ZN30UNTiERtr)• 4'-0" DEEP HOLE O SERVIaTIOOS MADE BY: Badey & Watson P.C. _ DATE: 5/28/8,7 DESIGN So"" Rai:4 Used 15 M.in /1" ..Di:o:p: S.D. Usable area Provided 6000sf No. of BedreL-rns 4 Septic Tank Capacity 1250 gals- Type Conc. Absorption area Provided By 500 L.F . x 24" width trench Omer 7ft deep cdrtain drain _ Nacre Badey & Watson � i Sigriatuxe� -- Surveying & Engineering, -P.C. - eat itiN�y� AL' pF NEw lyddress SE Rout-P ! -- o' yp ,, ` n� 1D51ti a X90 Cold Sorins�.,, `.'HZS SPACE R 'USE'BX HEALTH DEPt = 7J ONZ,Y:. F `U • � CFO �a :062��y ,J. /gal Soil Rate Appr-ovcd sq.gt . Checl:c3 by _ PUYN A 'OUNT"Y L)I;'.PARTM.f.`,ZqT OF III-;AJ," )),[,\r, S' ON 0.1' Ei\IV**(TZON'M.1',,NTAL HEALTH SE Rc Pi-oper•[,.y o!'_ —_ David M.'Schwartz LocaLcd 3t Brock-Falls Rd (T) Putnam Val!ey 5cc tio11 84 131 o c I c. LO L Subdivisioil of David M. Schwartz 5 ub cl v - ho t 2 F i 1. c cl iMa P 2477A 1) a t c Gcritlellicil : This IctAcr -1.:5 to authorize John P. Delano, P.E., a duly licensed Prof c5sional. engincer X or registered architect ( Indicate ) to apply for a Cons tructi. oil Permit for a separatc :jcwo(;c to r,c,rvc the abovc notcd p.i�operty in accorcIzincc w-il:ll 1:11c staliclavcl-s, r'IAIC:' or rcgulationzi jis i.womulzigatcd by the Commissioner of the Putnam COI-XII t Dcpartment of 11ca-1-th, artc, to all necesso.i.-y paper. -; on my bchalf ill coi-11-1c.c.tion with -Lhis ma-t1tor zi-iid to supervise I.A.1c. co.".1.,itruc. i::i. oil of sal id -Sys 'cills �c_ 11►7 rducaLi.on La w 1. .1-lublic Healt1i La•, ai-id.tho Putt, --mi C01.1.11Y tary Code. VO.I.-Y truly S i gril c" cl Owlicx. of Pr&'rperty. P. E. 1$6c�,� I 62505 A (A d j: BADEY & WATSON P.C. Address US Route 9 Cold SPrin9MLaQ52_E. .914-265-9217 T el c p I i o ii e To wi i c1f -c' TCJ.('P)1031(' = m BADEY & WATSON Surveying and Engineering, P.G. Route 9 Sprnang,*,NY-10516 . (914) 265 -9217 739 -3577 628 -1800 FAX (914) 265 -4428 TO: Putnam County Department of Health 4 Geneva Road Route 312 Brewster, NY 10509 We are sending you: Via: Hand Deliver Attached a LETTER T ER OF TRANSMITTAL Date: July 11, 1995 lob.Nw- 86 =192 Attention: Robert Morris, P.E. Re: Proposed SSDS - SCHWARTZ Foothill Estates West, Subdivision Lot #2 Peekskill Hollow Road / Brookfalls Road Putnam Valley, TM 84. -1 -36 Copies Date No. Description 1 7/08/95 Money Order - $300.00 1 6/30/95 Construction Permit for Sewage Disposal System 1 6/30/95 PCDH Letter of Authorization 1 1/21/88 Design Data Sheet - Subsurface Sewage Disposal System A. _... ,: Y 6/30/95 Applipaxj6n to_ Construct ,a Water Well__... 1 Form PC -1 , 4 6/30/95 1 of 1 SSDS Design 1 4/17/95 (set) House Plans _J These are. transmitted: For your use For approval Remarks: Signed: John P. Delano, P.E. Copy to: File .;tr._.a.-- r«-= �alrniw,. ter,,:*+ �.!i�` -; •.., i. rr:.,., r^�-*•1+.c'��?c.-r,;; "-m^'1 •�'S.�- `*.`�F""t4�`�n,"� ^r i?T.�- -•,4�S, rev- •RcF^-.•'77 w'S ,�•- b � :: PUTNA - UNTY DEPARTMENT OF HEALTH ` Dlvbioe of F,n�r� �Ientl He�Nti Servloer Caemel; N Y.10512 `�;, ;' E1agble" sent Pm%l& P V —10 - 9 5 P.C.H. D. Poemit / . CATF OF CONSTRUCTION COMPUANCE:FOR SEWAGE DISPOSAL SYSTF�M � — yTora^ Of Putnam Va 11 ey ' ,s .. _: ma sec .. ry,:.. '.,�., r ^'a-v v. T t r• •--ct :.. •� e ! .i cc. .. r� e, .� `t ti'a in j i+'.�. t . _..i •. t -�- " Iowa or'V eekski11 Hollow Road & Brook 'Falls Road Taahsap 36 Broo:kfa_lls.Deu Co r Niles Schwart Foothills EST West ' Otrnaar /appllcaot Name, >�rmeelyabdivlslon Name ' M.uAaa..33,0 W 45 th St� NYN•Y 1p 10036 Subdv. Lot 4 2 , Fee Enclosed] Amount $200 Date Permit: Issued,. 7/21/95 ' Seweft. sewerage system bwh by S . J• . I o r e Addi m 133 S . Broadway,. Red ' .Hook N.: T Conalatblg of 1,,'25 5 0 cellon Septic Tank and 5 O O L F O f Absorption Trench: Water supply: Public Supply. From Address X Pd�ateSuPPIY�by Norman Anderson Shrub Oak N.Y. an Baudmg Type Res idenaial 'Lot' .Size,. 2, 048, AcHas Erosion Er,nt rn1 RPPn cnm= 1 PrPA9 yes, 4, Number.oc Bedrooms Has .Garbage Grinder Been Ina ailed? ottier eeyolremente 7• , f t .. _..Deep ._ C u_r f a i n D ra i n I certify that the systems) as ,'listed serving the abode premises.were.constructed essentially as shown on the plans of the completed work ( copies . of which are aot�taacahed); and`, in accordance with the standards,, rules and regidati-ns, in ac ce with,the filed plan, and the permit issued by the Putnam Count/ 1 }�c6ar,xealth. X 7 P.E. RA. Oats Certified by add ►a:: Badey &. Watson P.C. Rt9 ''told- Spring .�b.nesNa 62505 AnY ,person oecuDYinp- pnmisai served by the aDOva ;YSt!in(s) shall promptly ke.such section as "y,bs necessary to secure the correction of any unq�ltary conditions resulting from such' ufsgi Approval of the ;Mpa►sti' seweray am a1N11 become null and Vold as soon as a public sanitary ewer been rise avalloble and the- aOW,,.ov 1 of;'the p►1yaU,witer.supply.shall become null ' .' when• a water supply becomes available. Such approvals' a e wblect to, Icatb 01 change wllee,.:n the judgment of, the Comp „ . of w th; ravoeat . modification of change M, necessary. Oats By TRIG 3/89 c, 3 WLIAL, LUrLr1jr,11VLX LNX! I K VLXL DEPARTMENT OF HEALTH 6f'tnvir6 n-l'`nt'afl,-H6a, r - S erv-lces, 0 PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only WELL LOCATION "FI—REET ADDRESS: LLAGILICI W GRID NUMBER: /al ,f&g WELL OWNER` AME: RESS: Lg -f Pa ��7 44�4 Id M-30 4/ >1 ILI PRIVATE ❑ PUBLIC USE 'OF WELL 1- primary 2 - secondary >149ESIDENTIAE�' ❑fPUBLIC SUPPLY" ' 0 AIR/CONO./HEAT PUMP ❑ARANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND-BY ❑ AMOUNT OF USE YIELD SOUGHT gpm./NO. PEOPLE SERVED -_/ EST. OF DAILY USAGE .�Loo_ gal. REASON FOR DRILLING .[]REPLACE EXISTING SUPPLY []TEST/OBSERVATI . ON [3ADDITIONAL SUPPLY FINEW SUPPLY (NEW DWELLING) []DEEPEN EXISTING WELL DEPTH DATA WELL DEPTHd 1—ft.1 STATIC WATER LEVEL ft.1 DATE MEASURED DRILLING EQUIPMENT 19 ROTARY O' COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING )9 OPEN HOLE IN BEDROCK 0 OTHER CASING DETAILS TOTAL LENGTH tL MATERIALS: ,.STEEL ❑ PLASTIC ❑ OTHER LENGTH BELOW GRADE F ft. JOINTS: ❑ WELDED ,THREADED ❑ OTHER DIAMETER G e, in. SEAL;.�GEMENT GROUT OBENTONITE ❑OTHER WEIGHT PER FOOT 1b./ft. I DRIVE SHOEe-dYES ONO I LINEA:OYES)B(NO SCREEN DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (it) DEPTH TO SCREEN (it) DEVELOPED? FIRST OYES ONO Noun ;SECOND GRAVEL PACK ❑ YES 0 NO GRAVEL DIAMETER SIZE. OF PACK in. TOP DEPTH R. BOTTOM DEPTH — N. WELL YIELD TEST If detailed pumping METHOD: ❑ PUMPED tests were done is in- ACOMPRESSED AIR formation attached? 0 BAILED ❑ OTHER :0, YES . ONO If more detailed formation descriptions or sieve analyses WELL LOG are available, please attach. DEPTH FROM SURFACE Water 1Bear- ing Well uia- mete , FORMATION DESCRIPTION cut ft. ft WELL DEPTH It. DURATION hr. min. DRAWOOWN It. YIELD gpm. Land Surf2ce er - 1349 7D o IV, WATER ,CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS 0 COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? 0 YES 0 NO STORAGE TANK: TYPE CAPACITY ;?_e GAT,. 'PUMP IHFPM ION TYPE Yd_-T_�-CAPACITY 00 MAKER DEPTH 3 r MODEL VOLTAGE�!O_HP WELL DRILLER HAM SIGNATURE 1/ 0!1 wo S J LORE CONST 19147592712 P. 01 JAN-05 -1996 13:22 FROM BADBY & WATSON) P.C. TO 8761276 P.02 •. � .: 1' .- �+• .- � a � .. ... - a /'Ty:�Tr •='•`EP .. .. <. ». /EGrv..(. v�^...A.�.. �p. ..,( � . �� .. ♦ � : 1 .._ .. • Ti ri't Si.. IwASZON CZ WvrRatol m Run-MMI Niles Schwartz Owner or Purim W ,building Brookfalls Development Corp. suilxag 'ConsUEEW by Lom on - Street 'own of Putnam Valley Re Building Type 84 Section Block Lot Foothill Rotates west fiubdi.v�isioa Nwe Subdivision t GUAPAW= CF SMURFACS SMGZ DISPOSAL 6YSTIM4 I .represent that i am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described prr Wty, and that it has been conetxucted as sham On . the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of A®alth, am hereby guarentee to, the awner, his successors, heirs or assigns, to place in 9004 opara Ling condition any part of said system constructed by me which fails to -' operate for a period of two years innmediately following the date of approval of the ._ __..._-. '*'Cartlficute"-of-Co-astruction compliance" for th ,6- sewage disposal' System,• or any repairs made by me to such system, e=ept where 'the failure to operate properly is caused by the willful or negligent act of the occupant of the building Utiliting they ayetoem. ' The undersigned further agrees to accept as concluSi" the detenninntiOn of the Director of the- nivision of Hnvitoniaantal Health Services of the Putnam County Depaitment•of Health as to Anther or not the failure of the system to operate was caul d by the willful or negligent act of the occupant o bull Lkjq is ing the system. Dated this IC day of /714-5 l9 Signatur LAI&Title Gmeml Contractor ( ? - a grnab3 e 330 so A-fth at, �,..� Address New York, New Yok 10036 rev. 9/85 mk w Corporation Nam CiR .orp. 133 S. Broadway a 2 069 ..w � � = YM( FNVTR0NMFNTA(' SFRV7CFS 321 Kear Street Yorktown Hvishts, N.Y. 10598 (914) 245-2800 Alhert H. Padovani, Director |'AR #: 32.414323 CLIFNT #: 5698 NON STAT PRUC PAGF 1 �� FOOTHILLS HOME BUILDER DATE/TIME TAKEN: 05/15/96 13:00 330 WEST 45TH ST DATF/T7ME REC'D: 05/15/96 14:00 N F W YORK, NY 10036 REPORT DATE: 05/16/96 PHONF: (212)-265-8189 SAMF1JNG SITE: 3 BROOKFAALS RD SAMPLE TYPE..: POTABLE : PUTNAM VALLFY BATHROOM TAP. PRESERVATIVES: NONE COL'D BY: DAVTD SCHWART7 TFMPFRATURF..: { 417: NOTFS...: COLIFORM METH: MF BACT DATE FLAG PROCEDURE RESULT NORMAk - RANGE 05/16/96 MF T. CO|'7FORM ABSFNT /100 ML ABSFNT COMMENTS: THESE RFSU|TS 7ND7CATF THAT THF WATER ,(WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO THE NEW YORK STATE uwn Pp8 Ponppm npTmxrmn uaTFn QT4mn4pnn4 FOR THF PARAMETFRS TESTE SUBMITTFD E 11 'M Uffff ri *#W VCAI*,,OF, BS M7- LEI Cf jw- M a Lot FM Desip Flow G. P D'z- FMb gnpktitt SOP&TIN somwwsydm,:b MINNOW it Gan .;s spw Toi# MW lso a redid,by, Ad W-6, FIress: dr ess Wool, SW* An pe haft !opply Di" by I npnMet;tMt 1 am who11Y and,eompNtely responsible f0►.tM tlasgn;an0 location oftM •propote0sy tam s1:: 1) teat 0101W t!w got wage 4420001= � gate or s��uves,anc!raqulaxlonsov, ins above iliscilklid.will be w1iW64stanoora orao", a" Cpinp!.'e"' tisfictori to the Commissioner of Healthwill be submitted to the #fill" 14, the'.pwn4r' his' 1, the build . ir. that saill'build'or will succalamw by' P"It": any : part j"4 Nwo/a okpoYl syfNin durUq.tM:pabA of lately following the "to of. the Now once ov 1 of 1161 1 stem, or,a i the &11140 well Clescr*ied,olbove WIN! too as- oriihi*p, nee redGUM—sof the Putnam plan and'that fold,well,will be In .$a "a!" Date C i Conn NO Z APPROVED FOR. CONSTRUCTION•Thy spkool-a!pir"�W6 ro th* daWlssuied union Ing has been undertaken and is = rev cable' f nvinded f construction or'" jjl6o 'I Of jIOmojC1 iteration 0 I sancta OL,Ars", orivate:Water -Su as a WMApir W for-" 14 Rev. Li? BY Mr Title ate 10/88 DEPARTMENT OF-HEALTH- Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT # ALL LOCATION tree`t Addryless Town Vi lags Ci y Tax Grid Number WELL OWNER ame �° aili .La . C' Address rivate 0 Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL 0 PUBLIC SUPPLY 0 AIR /COND /HEAT PUMP 0 ABANDONED 0 BUSINESS 0 FARM O TEST /OBSERVATION 0 OTHER (specify ® INDUSTRIAL 0 INSTITUTIONAL 0 STAND -BY AMOUNT OF USE YIELD SOUGHT r:r gpm /# 0 REPLACE EXISTING SUPPLY JdNEW SUPPLY NEW DWELLING PEOPLE SERVED /EST. (3 TEST/ OBSERVATION. ® DEEPEN EXISTING WELL OF DAILY USAGEd,® dal 13. ADDITIONAL SUPPLY REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE 14DRILLED DRIVEN ®DUG ®GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES d' NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: hJ4,-V,*,v�j� Lot No. WATER WELL CONTRACTOR: Name oV ao�p4zey�('' Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES 4-'0' NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY ° -DISTANCE-TO i)ROPElt -TY- FROM-NEAMS- T,.WATEi -, MAiN LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED SEPARATE SHEET (date) (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 thirt -y (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. Duri4'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 suc a manner as not to degrade or othe i e contaminate surface or groundwater. Date of Issue: 2I 19 4LY IVkjzt, Date of Expiration 'did 19- 44 Pe it Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller re'r. i.ra �C'xt7 .- . i _. , •P�,v e'a :. .'i� � _ .. -.�i �i A: =:.M ,• ^v. ,v- � DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 November 1, 1994 Frank Sullivan 2972 Ferncrest Drive Yorktown Heights, 10598 Re: Proposed SSDS: Cardinale Peekskill Hollow Road (T) Putnam Valley Dear Mr. Sullivan: JOHN KARELL Jr., P.E., M.S. Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." Erosion control measures for the house, well and SSDS are to be clearly shown on the plan along with a note stating all erosion control measures are to be installed prior to the start of any construction. Upon Receipt of a submission, revised to reflect the above comments, this application will be considered further. .. ,. ,.. ... ,... _ .• _. -Very rul y yours° �_ .. . �. - -.., .._ � _ .. _. .,,:.... •� „ .. ,.. .. 441 �j � 409V Robert Morris, P. E. Public Health Engineer RM /jp 9y-fv 0 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH - SERVICES - £. Date /a/ Re: Property of d �5C-Y))2 C-aI le- Located at !®"V�� (T) / 14 y Section <,3. 2�0 Block J Lot Subdivision of CePIP /Y C- /90 'M t7 Subdv. Lot # Filed Map # Date 137 9071, Gentlemen: r- This letter is to authorize J a S e. r �� '! a duly licensed professional engineer Y or registered architect (Indicate .,to apply for a Construction Permit for a separate 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 =.eonnec.t -ion• with -this-matter and to su-pervi.s.e - the c�onstruc-tion 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. Countersigned PeEe , 1 i 2 ? �s Address YZ Telephone Very truly yours, Signe 0 er of Property Telephone I Pc -1 , PUTNAM C OUNTY D E PARTMENT O F H EAL TH •..APPLICATION- FOR_ APPROVAL_ 9F. PLANS - FOR.-A .WASTEWATER �ISROSA�- SYSTEM- _ 1. Name and Address of Applicant: nei <11 e4 ' 4 A Name of Project: 3. Location T /V /C: Project Engineer: v �N ��Cr% 5. Address: 7-Y77 , A_e License Number: 5� Phone�� Type of Project: _ Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) • Is this project subject to 'State Environmental Quality Review-(SEQR)? /✓Q Tvoe Status (Check One) Type I.. Exempt Type II. Unlisted • Is a Draft Environmental Impact Statement (DEIS) required? ...?!��'.....,.. Has DEIS been completed and found acceptable by Lead Agency? ... ........ Name of Lead Agency Is this project in an area under the control of local planning, zoning, or other officials; ordirrances? :::. ............ ... ................. 7� If so-, have plans been submitted to such authorities? e�� Has preliminary approval been granted by such authorities? YC Date Granted: IA;?� Type of Sewage Disposal System Discharge...... Surfacce'Water Ground Waters . If surface water discharge, what is the stream class designation ?........ . Waters index number (surface) ........... ............................... Is project located near a public water supply,system? M' s If yes, name of water supply Distance to water supply ` , °" . Is project site near a public sewage_ collection or disposal system ?..... Ao Name of sewage system Distance to sewage system Date observed: 23. Name of Health Inspector: Project design flow (gallons per day) ...... ............................... 2. :5. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?.. A1(1- 6. Has�SPDES Application been ?submitted "to local DEC Office? ................... 7. Is any portion -.of this project located within a designated Town or State �o wetland ? .......:.:............ •. ..... ........................... 8. Wetland ID. Number ............. :.... 9. Is Wet`lan'd Permit required? ................................. ..... A10. { Has application been made'to Town or Local DEC Off ,ice?' 0. Does project requ.re a DEC-Stream Disturbance Permit? AEG w t .. 1. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, A1G landfilling, sludge application or industrial activity? ........ YES or NO ?. Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or AIv any other potential known source.of contamination? ..............YES or NO DESCRIBE: 3. Is there a local master plan or file with the Town or Village? �-s 1. Are community water, sewer facilities planned to be developed within 15 years? �. Are any..sewage disposal areas in excess of 15% slope? ....... Tax Map ID Number ........ :. 9.. > ....� ................ Approved Plans are to be returned to: ................ Applicant Bf Engineer ' the application is signed by a person other than the applicant shown in Item 1, the - plication must be accompanied by a Letter of Authorization. Failure to comply with this ovision 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 Class A Misdemeanor pursuant to Section 210.45 of the Pena-1 Law. GNATl1RFS & OFFICIAL TITLES: ILING ADDRESS: PL71NAM CXXJMY DEPARTME OFIIMTH DIVISION OF •' •; ' 1R V HEALTH SERVICES . . s 7 DFSIGfC -DAB �SHM- �SI)WUFAC:E' S8 4AGE= DISPOSAL- SYSTEM _ FILE Owner ` elj q%C Address 409 O ✓ C� y�� Located at (Street) �r.�j ii}% %% A//;a,�jd Sec. alb. 2- Block Lot (indicate nearest cross street) Municipality Watershed • • • �+• �• • • • v • �• •w+ 46.1• 46= Date of Pre- Soaking / 77 Date of Percolation Test HOLE - NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop .Min. Start .Stop Drop In Min /In Drop Inches Inches Inches 2 9oG�� 4 2 EA, 4 5 1 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 from top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION IN TEST HOLES DEPTH HOLE NO. % HOLE NO. �._ _ HOLE NO. . G.L. l/ 10 3' 4' 5' 6' v 8o 9�N Z0 12' 13' 14' INDICATE LEVEL AT WHICH GROUNUM= IS ENCOUNTERED . . . C:�- INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: �7 O��/ /� DATE:/,/ d DESIGN Soil Rate Used �-� Min /1" Drop: S.D. Usable Area Provided No. of Bedroms Septic Tank Capacity,/ y d ci gals. Type Absorption Area Provided By O vU L.F. x 24" width trench Other Name - (/J %/ i�V Signature Address %7� �l h G��r> SEALP�� of may. Al Al THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: AN . 1VJJ Soil Rate Approved sq.ft /gal. Checked IW Date AS -BUILT RELOCATION- DIMENSIONS Al 27.1' SEPTIC TANK B1 51.0' SEPTIC TANK A2 42.4' CLEAN -OUT E2 82.8' CLEAN -OUT A3 55.7' CLEAN -OUT E3 64.5' CLEAN -OUT A5 102.7 END LATERAL E5 63.0' END LATERAL C7 32.5' CLEAN -OUT E7 99.4' CLEAN -OUT C8 46.0' END LATERAL E8 101.0' END LATERAL C9 48.0' END LATERAL E9 80.4' END LATERAL C10 94.0' DROP BOX E10 69.9' DROP BOX Cll 98.7' DROP BOX Ell 94.0' DROP BOX C12 153.0' END LATERAL E12 127.7' END LATERAL C13 1139.6, END LATERAL E13 94.3' 1 END LATERAL Area = 2.048 Acres BR00K SEEP D pEE KSKILL LAS ✓ I.. r . O 'r i i' Notes I 7A. N�..+...�� A....... ... /..• a -_ �_..._ . -:.. _.... 1 r � 1:c Put— County Department of Health Divieloa of Environmental Health S Of)@ U' Well Approved as noted for conformanoe th ` O app ble Rules and Regulations o Coun Health Departm +! t a lgnmture & wit e a a f' 7 �0 13 y 10 ---- --- ADD- a DuMIN DRAG, 9 5 --- 77b' 7 _ 2 A Fra/7ec"'tn�ryew) 6'CMP SLEEVE .rl µred ROAD +i AV 9� OL�Ow �. H tir r "AS —SU /L T" OF S. S.O. S. PREPARED FOR ! LOT NO. 2 OF F007HLL ESTA TES wsr 57n1AW IN W' TOWN OF PU77VAM VALLEY . PUTNAM COUNTY NEW YORK y'• SCALE fin= 50ft. APRIL 17, 1996 This is to certify that the sewage disposal system �' was Constructed os brdlcoted an this plan and that f? Me system was b7spected by us before it was covered •:'. ie r.1 ,t p-r a