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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84. -1 -39 BOX 33 Al- , ! `,- J # foil i 'i �� e i 1. ; a N. , or 04328 PUTNAM COUNTY DEPARTMENT OF HEALTH .l��T�1. ME.l_ U jT� ..... '..�.. -:» , !'�• ;- `.•. �.fa ME. .2,'.' P . . _ ..7A TH -SERXIC —E • CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR S_ ATMENT SYSTEM PCHD CONSTRUCTION PERMIT #l�'�Z -q f Located at 1(p SLPY 012001_ 1_ Town or Village PaWAtA V Owner/Applicant Name RP4 i � DOAA�-:Wftegr Tax Map Block I_ Lot '59_ Formerly q1L Subdivision Name I%T)IR 1, 9;5WL15 V)00 Subd. Lot # Mailing Address '5M *Jt� SDMOT tl*W 1e0Q4 Date Construction Permit Issued by PCHD Ce lqi _ Zip M(' Separate Sewerage S, sY tem built by S �'ACt�1L Address (��11'� �►1 \/N.l. Consisting of Gallon Septic Tank and 5Gb LF _ Z' It W 1 pE %iP f2�j�C�1 T'fzl i�� S C�J,7 G. P1 01-C, Other Requirements: i J 71-0%( re- 0•e�. t✓I u-, Water Supply: Public Supply From Address or: Private Supply Drilled by No A'(?l~ r5pQ N ,Address P4TI-JAW .., =��•Duildi�ng-q`y��:. -,.. -�•° � � fias erosion coiit� :�bee�•cor►plet��'r ?�._....__ , , ,.. =s.•. .. � _ Number of Bedrooms Has garbage grinder been installed? NO I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of the Putgam County Department of Health. Date: Z Certified by Address P.E. X' R.A. License # ()(0 250S' Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocation, mo 'fic 'o o c ge is necessary. By: Title: Date: $ Z3 White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 1PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT W2, L ®eati ®im Street Nddress: 'j � � Td' wn/Village: Tax Grid # Map f Block Lot(s) Well Owner: Name: II thnte Address: &11042 J /Sry J /C jad_. Use of Well: I- primary 2- seeondlary Residential Business Industrial Public Supply Air cond/heat pump Irrigation Farm Test/monitoring Other(specify) Institutional Standby )(Drilling Equipment _V,(otary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing ( Open hole in bedrock _ Other Casing Details Total length eft. Length below grade %_3L ft. Diameter _in. Weight per foot __Ik_lb /ft. Materials: feel _Plastic _Other Joints: _ Welded _&-Threaded _ Other Seal: _ ✓Cement grout _ Bentonite _ Other Drive shoe: e-s _ No Liner:_ Yes 'No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yes—No Hours Second Well Yield Test _ Bailed Pumped Compressed Air Hours 64 Yield gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or sieve�analysesw. are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description . ft. ft. Land Surface x 4_ If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Types Capacity Depth a 80 Model Voltage A&d HP Tank Type JddL Volume Date Well Completed Z3/9 9 Putnam County Certification No. Date of Report lWell Driller (signature) • f_ J _L_ a /�1 —� lvUTE: hxact location oI Well wim Qlstances LU at MUSL LWU pGlllla IVIR lwlwiiaMb w vv, Nivv.uvu vi, a wFwww -F--" p� a 16 Address: r v 1 X-C 11.4 Ale t Date: 0j v White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION. TO ABANDON A WATER WELL please print or type PCMD PERMIT # 32 Well Location: Strget Address Town/Village Tax Grid # 5°`fLA PuT+J/P� Map Block l Lot(s) Well Owner: Name: 13Q�k�� Address: mE�r eot P '3� sT ice( t,00 Well Type: JL Drilled Driven*.. Dug Gravel Other Depth Data: Well Depth �O ft Static Water Level ft Date Measured rJ-q Use of Well: -,,�' Residential . Public Supply Air /Cond/Heat Pump Abandoned 1- primary Business Farm Test/Observation Other (specify) 2- secondary Industrial Institutional Standby Water Well Name: Address: Contractor P eS Uri . (w, ,� . awGtV2 5TH 01M -JANIN1 ail a,rk�j w Reason For Abandonment: f-Z �� ��� 0� � � W9-ilr Description of Work To Be Performed: w6t-L- .w Ott+-. FLApr> -F-- V C.LAt� Off- C0I NJC.lzeX TiZAw�, 0tz 1 MvJ C0-7'1•1(v • ro FAA i 1SNS-T> C; `�, T �� .ra tiu: w �� J C -q •7 7/6 J 9q Date: � Applicant Signature: PERMIT This permit, to abandon one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code, Subpart 5 -2 of Part 5 of the New York State Sanitary Code and/or Part 75 of 10 NYCRR and provided that: Within 30 days of the completion of the abandonment of the water well, the applicant shall submit to the Department a certified statement that the information delineated on the application for this permit has been completed. AA L Dat4 of issue' Permit Issuing Official Title White copy: HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WA -97 I..- : r:.. . "Zm: 0 V F r. _ t PUTNAM COUNTY DEPARTMENT OF HEALTH[ DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well ILa iifi ®un �' -' II YAddress:" _ �� w Tax G rid # Map ,?'i Block Lot(s) 3 9 Well Owner: N Address: Use of Well: I- primary 2- secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment 7' Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing Open hole in bedrock Other Casing Details Total length ft. Length below grade Diameter `" in. Weight per foot lb /ft. Materials: , Steel Plastic _ Other Joints: —Welded 7-e," Threaded Other Seal: X Cement grout _ Bentonite Other Drive shoe: ?e—' Yes No I Liner:_ Yes >CNo Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield 'Vest _ Bailed _Pumped �< Compressed Air Hours Yield Q gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet 50 Well ]Log If more detailed information descriptions or sieve analyses. are available, please attach. Depth From Surface Water Bearing Well Diameter(in) (Formation Description ft. ft. Land Surface If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Capacity Depth Model Voltage HP Tank Type Volume Date W I Co pleted Putnam County Certification No. Date of Report W 11 Driller (signature) NOF E: xact location of well with distances to at least two permanent landmarks to be provided on a separate shemplan. Well Drillers Narne Address: Signature: ::�?j Date: .� White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 AUG 711 -1999 12:44 FROM BADEY & WATSON, P.C. TO 12036562177 P.01 PU'TNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL ,NALTH .SERV_ICES _ GUARANTEE OF SUBSURFACE. SEWAGE TREATMENT SYSTEM �3(I�ICt�ruf> DAP Owner or Purchaser of Building Constructed by (to SG�F.�( 1?9MY. ZA+NF_- Location - Street Building Type 84 • 1 3q Tax Map Block Lot _ Pu-rt-JAM vim' Town/Village lborF Lt, E57NV5 Subdivision Name 5 Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful .or negligent act of the occupant of the building u#Hzing the system. : The undersigned further agrees to accept as conclusive the determination of the Public Health �€tl�AUhtI! J.?eparttnent ofHealtlx as to_whetheror natthe'ilure:of.thc:systeni to operate was caused by the willful or negligent -act of the occupant -of the building utilizing the system. Dated: Month Day 13 Year `� `� Signature: X Title: General Contractor (Owner) Aignature 97`e VC, ,/ 1CG_s 14 'ro'c'. Corporation Name (if corporation) Corporation Name (if corporation) Address: 3svW. Address: �6 � -e A- y rK • K ��, ��� DSO State _ Zip W 34a_ State 4V p Form GS-97 1 YML ENVIRONMENTAL SERVICES 321 Kear Street (914) 245-2800 Albert H. Padovani, Director .` LAB #: 32.904266 CLIENT #: 5698 NON STAT PROC PAGE 1 HOME BUILDER 330 WEST-45TH ST NEW YORK,:NY 10036 SAMPLING-SITE: LOT 5 SLEEPY BROOK LANE : PUTNUM VALLEyNY [OL'[>3BY:0AVID SCHWARTZ NOTES...: KIT TAP / GARDEN HOSE ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE DATE/TIME TAKEN: 07/20/99 01z45P DATE/TIME REC'D: 07/20799 02:30P - REPORT DATE: 08/09/99 ' PHONE: (212)-265-8189 SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE,.: COLIFORM METH: N/A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE ' 07/20/99 MF T. COLIFORM ABSENT /100 ML ABSENT .'�. 1 '1008 07/20/99 LEAD (IMS) <1 ppb 0-15 ppb � -101 07/20/99 NITRATE NITROG 0.638 MG/L 0 - 10 9139 07/20/99 NITRITE NITROG <0.01 MG/L N/A 9146 07/20/99 IRON (Fe) <0.060 MG/L 0-0.3 mg/l.^ 2037 07/20/99 MANGANESE (Mn) <0.010 MG/L 0-0.3 mg/l� ' 2037 07/20/99 SODIUM (Na) 10.8 MG/L N/A '' 'i 07/20/99 pH 7.7 UNITS 6.5-8.5 ?043 07/20/99 HARDNESS,TOTAL 148 MG/L N/A 07/20/99 ALKALINITY (AS 128 MG/L N/A COMMENTS: BACT THESE RESULTS INDICATE THAT THE S NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDI���O%�THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. . ' Pb/Cu LEAD limits for public schools arp set at 15 ppb. EPA Lead & Copper Rule for Public Systems requires that no more than 10% of their distribution points have a LEAD value of more than 15 ppb and a COPPER value of 1.3 mg/L, else water treatment must be undertaken to reduce the waters corrosive Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. Na No limits for Sodium are proscribed. Suggested guidelines state that for people'on a sodium restricted diet,the water should contain no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium is suggested. YML ENVIRONMENTAL SERVICES 321 Kear Street �.a7,yorktown hefghts3. NxYFjjApp&% 'w Albert H. Padovani, Director LAB #: 32.904268 CLIENT #: 5698 NON STAT PROC PAGE 2 ~~~~~~~~~~~~~~~~"~~~~~~~~~~~~~~~-~~~~~~ ~~~~°~~~~~~-~~~~~~~~"~~~~~°~~~~~°—~~~ FOOTHILLS HOME BUILDER DATE/TIME TAKEN: 07/20/99 01:45P 330 WEST 45TH ST DATE/TIME REC'D: 0700/99 02:30P NEW YORK, NY 10036 REPORT DATE: 08/09/99 PHONE: (212)-265-8189 SAMPLING SITE: LOT 5 SLEEPY BROOK LANE : PUTNUM VALLEY NY COL'D BY: DAVID SCHWARTZ NOTES...; KIT TAP / GARDEN HOSE ~~~~~~~~°~~~°w~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: COLJFORM METH: N/A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~°~~~~~~~~ RESULT NORMAL - RANGE - METHOD pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH 3S 6.5 TO 8.5. � Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L.'tHE* -HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG/L, DEPENDS ON THE, SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. . SOFT WATER: 0-70 MG/L VERY HARD WATER: ABOVE 300 MG/L' MOQERATELY R� ��ZER: 70 /L� MG/L� =-MILLI '. ��� + ���'��������_~��''�^' -- `~-- �1 -r-�---lon�-------!:--- ' -- SUBMITTED BY: Dir ELAP# 10323 AU5-11 -1999 12:44 FROM BADEY & WATSON, P.C. TO 12036562177 P.02 #� r�p]PUTNAM COUNTY DEPARTMENT IWIL tl� tC l �I � 1Pi� V DEPAR 1 NT DIF IALTH V a NWA+Zn A LrIR� WELL ABANDONMNT RIEFOI{ T Well Abando=mt Of Well Well Depth 5850 sR Static WaWr Level 0 ft Date Measured for P)? Yid ®4 6XJCAZPr'*— 01 work VC 'I, undersigned, hereby certify that the abandoment of the above- refermced water well has been accomplished and completed in accoxdatmce with the methods desct7ibed in k'eanut#. .3� to aba dotz said Water well.. Date. _ l j z l9 q Signatum.: Print Name: 191+,, /J Address': Form WAR -97.. TOTAL P.02 2 'NAM COUNTY DEPARTMENT OF HEALTH ON OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM #I�32 -a3 Located at Subdivisio; Date Subdi or Village FLAT WW yA-u. FW lap `�� Block wal Lot -39_ X Revision X Owner /Applicant Name i24:U�S iAP�'1 Date of Previous Approval Mailing Address : W Wa- i 46 i 1-1-5i . N1FN Yo N`� Zip IfX)-��, Amount of Fee Enclosed 'A % -co Building Type PG5N r tt Ari, Lot Area 24 No. of Bedrooms 5 Design Flow GPD� Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 0c) gallon septic tank and 5W Lf� b ,�� yLl (ham APt,Rt�iir1�3 "f1Z.es�31 SQA� f �,I t?: •C, Other Requirements: 12t1-0 'r-095 Fl GL- To be constructed by S TT�yl - kA6 i LAi-- Address RAT-t-4 W VA-�� Water Supply: Public Supply From Address tl PfiatCe Sipply"Drillzd by NO'eiJ "S� -'_:: 'Address- fkX�'1�j' y "-�_ I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the sgparate sewage treatinent system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Address R.A. Date 7.9 c6 License #. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new rmit. Approvo for discharge of domestic sanitary s wage only. By: Title: Date: i124A � White copy - HD ile; Ilo copy - Building Inspector; Pink cop Owner, range copy - Design Professional Form CP -97 PUTNAlVli COUNTY DEPARTMENT 07 HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES All PLffCATION TO CONSTIRUCT A WATIEIR WIELL, . - please print or type PC -W Permit # WeIM Locadon: Street Address: Town/Village ax Grid # - �stL- tom- Pi,t'i-r./,�M ap ' Block Lot(s) WeR Owner: Name:P���,�� Address: Use of Weu: Residential Public Supply Air /Cond/Heat Pump Irrigation I- Primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought _ gpm . # People Served _�o Est. of Daily Usage _gal. Reason for Replace Existing Supply Test/Observation Additional Supply ➢Dtrfffing New Supply (new dwelling) Deepen Existing Well Detafied ]Reason for pDrifling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No .X Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision f:60-'t-MALL Eii —E5 'W Lot No. 5 Water Well Contractor: 6ONMMJ ANI &3 (N-C- Address: RA-4JA AA- Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: ti 1A Town/Village Distance to property from nearest water main: A- _ Proposed well location & sources of contamination to be provided on separate sheet/plan. ata :: CIS Ap�f�[�liea Si nature: �! '44 . ,.......r .... . R .. _ . .- - ... .� P ERMffT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade. or otherwise contaminate surface or groundwater. AI?P ROVE D'FOR CONSTIRUCTffON: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a wat well driller certified by Putnam County. Dale of Issue Permit Is ' g�Official: Date of Expiratio Q Title: Permmnt is Noa- Traensffer" a White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP-97 AUGUST 13, 1998 ADAM STIEBELING ASSISTANT PUBLIC HEALTH ENGINEER PUTNAM COUNTY HEALTH DEPARTMENT 6 GENEVA ROAD BREWSTER, NEW YORK 10509 RE: ZAKLAD RESIDENCE GARRISON, NEW YORK DEAR MR. STIEBELING, BARTOS RHODES_.. ARCHITECTS BY FEDERAL EXPRESS PURSUANT TO OUR CONVERSATION REGARDING THE APPROVAL OF THE SEPTIC FIELD FOR THE ABOVE REFERENCED PROJECT, I AM SUBMITTING HEREIN .A REVISED SITE PLAN INDICATING AN ALTERNATE WELL SITE, SHOULD A NEW WELL BE REQUIRED IF THE EXISTING ONE FAILS. WITH REGARD TO YOUR CONCERNS ABOUT SERVICEABILITY OF THE EXISTING WELL, I HAVE MET ON SITE WITH MR. LARRY DOWNEY, OF THE DOWNEY OIL COMPANY, GARRISON, NEW YORK, WHO SEVERAL MONTHS AGO INSTALLED A NEW PUMP IN THIS WELL WHICH HAS A DEPTH OF APPROXIMATELY Soo'. MR. DOWNEY ADVISES THAT THE PROPOSED CONSTRUCTION WILL ALLOW SUFFICIENT ACCESS TO AGAIN REPLACE THE EXISTING PUMP IF NECESSARY. IN ADDITION TO THE ABOVE PLEASE NOTE THAT THE WELL HEAD WILL BE EXTENDED AT LEAST 36° .ABQVE TH.E_.CONCRIE.M.FLQQR.- _OE._THE EQUIPMENT- t'ZOOM; THAT A ALOOR= DRAIN,;WILI. BE PROVIDED-- .,, " - FOR THIS ROOM, AND"THAT THE WELL HEAD WILL BE PROVIDED WITH A CONTAMINATION SEAL. WE TRUST THAT THE ABOVE EXPLANATION AND ASSURANCES WILL ALLEVIATE ANY CONCERNS THAT MAY HAVE ARISEN REGARDING SERVICEABILITY OF THE WELL AND HOPE THAT BOARD OF HEALTH APPROVAL WILL BE GRANTED AS SOON AS POSSIBLE SO THAT WE MAY BEGIN CONSTRUCTION OF THE SEPTIC FIELD. SINCERE 44 ROBE RHODES ENCLOSURE I HAVE RE*6 AND, CONC�IR WITH THE ABOVE STATEMENTS. LAWRENCE 330 WEST 42ND STREET . NEW YORK, N Y 10036 TEL. 212 947 . 1996 FAx. 212 695 . 0480 ARCHITECTS AUGUST 18, 1998 ADAM STIEBELING ASSISTANT PUBLIC HEALTH ENGINEER PUTNAM COUNTY HEALTH DEPARTMENT 6 GENEVA ROAD BREWSTER, NEW YORK 10509 RE: ZAKLAD RESIDENCE GARRISON, NEW YORK DEAR MR. STIEBELING, BY FEDERAL EXPRESS AS PER OUR PHONE CONVERSATION EARLIER TODAY I AM FORWARDING A DIAGRAM SHOWING AN ALTERNATE WELL LOCATION. THIS LOCATION WILL BE UTILIZED IN THE EVENT THAT THE PRESENT WELL SHOULD HAVE TO BE ABANDONED DUE TO UNFORESEEN CIRCUMSTANCES RELATED TO THE CONSTRUCTION OF THE POOL AND POOLHOUSE AT THE ZAKLAD RESIDENCE IN GARRISON. A SURVEYED PLAN SHOWING THE EXACT LOCATION OF THE ALTERNATE WELL HAS BEEN SENT TO YOU BY BADEY be WATSON, SURVEYING AND ENGINEERING, PC. PLEASE FEEL FREE TO CONTACT ME IF THERE IS.ANYTHING FURTHER WE CAN DO TO EXPEDITE THE ISSUING OF THE ZAKLAD'S SEPTIC PERMIT. PLEASE INFORM US OF YOUR DECISION ON THIS MATTER AS SOON AS POSSIBLE. Tr{ANK YOU VERY MUCH. SINCERELY, ROLAND SUMM ENCLOSURE 330 WEST 42ND STREET . NEW YORK, N Y 10036 TEL. 212 947. 1996 FAx. 212 695 . 0480 ............. * .. ............ (C N OU q (TYP) Pvc--- a 11 PEO FT. MO. PITCH f T C CIP OR APPE t44r-PER FT. 222.._ LF OF ABSORP -4f/A f TANK ( 3 F.E. r Appr Loct7(ao n T.S \ Existing: Ic Nio. WEELL- Cob We// Igrivevvoy 9 ...... ..... FROM : BARTOS Pa-Fd RHODES AuQu,%T Ia. 1991D PHONE NO. : 2126950480 BARTOS RHODES ARCHITECTS AoAM 5MCBMING AssismAwr Pusue MEALTm EMa'N9mR PVTMM CCUWrY HCALT14 DEPARIWtNT 6 GENCYA R*Ao BREWSTER, NEW YORK 10500 RE: ZAKLAv Rmmcc GARRISON. New YORK DeAR MR, IMWELING. Aug. 19 1998 09:13AM Pl/2 BY FcoeRAL ExpRxss As Pen OUR emomic c(>mvcRaAncw eAiqUeR TODAY I AM FVAWARDIM0 A 0MORAM SHOWING AN AL,w-RmAvm wmA. LocAmom. THis 60CA'"014 WILL BE LMUZED IN THE F.VrNT 714AT THE PRMSL'WT WELL SHOULD HAYS 70 W A"NOOMeD OUE O VMFORESEFM CIOCUMS ' APP. -E$ - RELATED TO Txe e0N$TRUC'n0W Or "M POOL. AND 10*01-HOU6It AT THE ZAKLAD FtselDamCit IN GARmisom. A GURVeYCD PLAN SHOWING THE 17ACT LOGA'nOM OP -MC ALTERNATE WELL KAS 0=W COAT TO YOU BY BAor-y & WATwN, SuRvLymo AND FwomevAmo, PC. FIXASIt ML PRITC TO CONYACT MR. IP TMr:.RM 13 ANYTHINO FUR-MEA WE CAN DO TO EXPEDITE THE ISSUIKG OF THE ZAKLAO'S SF-PM PERMIT. PLEASE INFORM US OF Y0094 DECISION 014 VMS - _ MATTER AS SOON A3 -POSSIBLM, - 7WANK YOU VERY, MUC SINCERELY. L- -- ROtAMb SUMM EmcL,osuRp - 330 WasT 42mo STRrzET . New YORK. N Y 10036 TEL. 212 047. 1906 FAx. 212 6915. 0480 • FROM BARMS Arid RHODES PHONE NO. 2126950480 Aug. 19 1998 09:13AM P2/2 .......... . . ......... AtUx 4,27 " \ J 9 O AUGUST 14, 1998 ADAM STIESELING ASSISTANT PUBLIC HEALTH ENGINEER PUTNAM COUNTY HEALTH DEPARTMENT 6 GENEVA ROAD BREWSTER, NEW YORK 10509 RE: ZAKLAD RESIDENCE GARRISON, NEW YORK DEAR MR. STIEBELING, Fir; j I" i ir►) ; RHODES, .. ARCHITECTS BY FEDERAL EXPRESS. e THE ENCLOSED LETTER DATED AUGUST 13, 19915 REFERENCES A REVISED SITE PLAN SHOWING A FUTURE LOCATION FOR A WELL. BADEY & WATSON WILL BE FORWARDING THEIR SITE PLAN AS THE FORMAL SUBMISSION FOR THIS LOCATION. THE ENCLOSED IS JUST FOR YOUR REFERENCE AND IN CASE THE BADEY & WATSON DRAWING HAS NOT ARRIVED FOR YOUR MEETING. AS YOU CAN SEE, I MET WITH LARRY DOWNEY AND HE CONFIRMED THAT OUR CONSTRUCTION WOULD NOT HINDER IN ANY WAY HIS ABILITY TO CHANGE THE WELL PUMP IF NECESSARY. PLEASE CALL ROLAND SUMM FROM MY OFFICE AS SOON AS WE HAVE APPROVAL OR IF THERE ARE ANY PROBLEMS. 330 WEST 42ND STREET . NEW YORK, N Y 10036 TEL. 212 947. 1996 FAx. 212 695. 0480 • __ PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL Teaselp'nforry'pe' PCHD'Permit* ; -1 Well Location: Street Address: Town/Village Grid # ''- ,//Tax tG Lmz-- �'UTOAM VAtk�(Map 84 Block Lot(s) 39 Well Owner: Name: 5aaol&P�S Address: DE�/G4.OP�tErfi Ce1 33(j vq Use of Well: Residential' Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served __ (;p _ Est. of Daily Usage 6ccL gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason -to W 12_ ScA L ` . VNd 1 De t,3cF , for Drilling Well Type _� Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision Fb0T1+1 LL ESirAT5 !;> 1NF-,GT— Lot No. 6 Water Well Contractor: h)emAtJ AtXePF >o -� . 1 N(� Address: Is Public Water Supply available to site? ................................... ............................... Yes No >e Name of Public Water Supply: �R Town/Village _ I A Distance to property from nearest water main: *2* 1 Al tLE— Proposed well location & sources of contamination to be provided on separate sheet/plan. Date _; R .:.. Applicant:- Signature: PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED_ FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. p Date of Issue L `� 9 Permit Iss ' g Official: um Date of Expiration' 1 i I s7 Of Title: Permit is Non - Transferra White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 FIJTNAM COUNTY DEPARTMENT OF HEAL'T'H DIVISION, OF ENVIRONMENTAL. HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of 5000JC � Located at (-Ajj -_ T/V PRAM Vkkg� Tax Map # N Block t Lot Subdivision of �SrT .1ST Subdivision Lot # Gentlemen: 5 Filed Map # 2A-1 -7A Date Filed (J-2-01610 This letter is to authorize 044 a duly licensed Professional Engineer > or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or water supply systems .... ,.. in confc!, n i': y th- t���:pro -A n o w�� %} J-45 and /or.1: 7.. o the Edt�ca±i ;� L � ,. n Law, and the Putnam County Sanitary Code. Countersigned: P.E., # �2 � Mailing Address WAT156h) P.G. P t . q CdLo -5P;aiN3G- State Q Zip t.c)9(.:::, Telephone: a L4 - 2.�,5- -- 612 1 " 7 Very truly yours, Signed:r (Owner of Property) Mailing Address: Bt2c )V-� DEWIF Ji�t'�t -1 State N Zip L00__15, Telephone: Aid2 - Z&s -- gj 1 Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH ..DIVISION OYENVIRONMENTALREALTH SERVICES AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application -for: PL--ryk (TS F00 SSTs A Lxje l i, I represent that I am an officer or employee. of the corporation and am authorized to act for: Name of Corporation: D;-Wi;-L_0P►�wF-V-j CO2-P Having offices at: '3` 4S-T)+ -S-1 V�- WIFEW "eO'ze, loo:Zc Whose Officers Are: President - Name: N(LIC-5 5CA+WA7LA—Z Address: 3 y W�v A9 T)+ S+N2�T- E.A4 YCQ,4. t,0� 1C0_,_L)G Vice President - Name: Address: Secretary -Name: Address: Treasurer - Name: Address: and that I am and will be individually responsible for any and all acts of the corporation with respect to the approval requested and all subsequent acts relating thereto. Sworn to before me this J (month) Notary Public 0�09000%0 .0 lgojmqP W2 W3501" 60. 02 , OYA r AOSS100 Form CA-97 Signed: Title: Pizi_zs I 1>PKjT 1PUTNAM COUNTX DEPARTMENT OF HEALTH APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM _•_ _ Td Wt. T ="L R~ r, ••. s• •.TU- °`!Y - s '.Y• •r :v? .. i!'"'r. •'4•. M il.•• .YJ Y+'a•: 'f..a .E+' -.., s11 E ...... . Name and Address of Applicant: Nilsc)Zwartc 330 West 45th St.., Ant. Lobby E. New York; NY 10036 Niles Schwartz Putnam Valley 2. Name of Project: .3. Location T /1' = 4. Project. Engineer: John P. Delano 5. Address; BADEY & FVATSON, Surveying & Enqlneerinq, T-.C. U.S. Route 9, Cold Spring, NY License Number: 62505 Phone: (914). 265 -9 6. Lype' of Project: PI VateJResidential Food Service Commercial Apartments Institutional Mobile Home Park .Office,Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEAR)? Type Status (Check One) Type I.. Exempt Type II. X Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? ............. No Has DEIS been .completed_a.nd_ „f_q acceptable by Lead Agency? N/A 10. Name of_ Lead Agency N/A 11'. Is this project in an area under the control of local. planning, zoning,. or other officials, ordinances? Yes _' '*T. �F _ •Ty, :11e. -- �� ...�. � w;a w r ... .. n +e `�i^ o•fT .. .. r «.. . ... T -v :...V .e. "12r `If so, 'have plans been °s�ibmitted` to `such authori`tie's. .. �. 'N r 13. Has preliminary approval been granted by such authorities? N/A Date Granted: N/A i4'. -Type- of "Sewage °bi`sposal. System Discharge.:: Surface Water' X Ground Waters 15. If surface water discharge, what is the stream class designation ?........ N/A 1 16. waters index number (surface) ............ ............................... N/A 17. Is project located near a.public water supply system? ..............:... No ,9 18. If yes, name of water supply N;[A;+►rT Distance to water supply N/A 19, Is project site:near -a public sewage, collection or disposal system ?..... No 1 ?0. Name of sewage system N/A Distance to sewage system N/A )ate observed: 23. Name of Health Inspector: Michael J. Bud zinski Iroject design flow (gallons per day) ...... ............................... 800 2. 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?.. Nn = -'26. fa-s-SPDES"Appl fd'atioht -bse -n; submitted 'to l ;oval' SEC Office? '� 'N% A 27. Is any portion of this project located within a designated Town or State No wetland ?... ..... 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 th-Ore a local master plan or file with the Town or V111.rge ?............. 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 .3;5.. :T:ax Map =ID= Number. :...........................: 8�- 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 appl ication-must b'e accompanied by a Letter of Authorization. Ffi i litre 11P L ith this r,-ovision may be g.rounds 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 Penal Law. O A SIGNATURES & OFFICIAL TITLES: Q .. ., U P. f—:: . Engineer for Applicant V2oEY & WATSON, Surveying & Engineering, P.C. —!AILING. ADDRESS: U.S. Route 9, Cold Spring, NY 10516' -•,r.:; PUTNAid COUNTY DEPARTMENT OF HEALTH Division of Environmental health Services APPEUDIX L AF PA.VIT_ - .'.CO.RP•.GZ _E':Q:}N FOR PERMIT APPLICATION SUBMITTED TO PUTNA;t COUNTY HEALTH DEPARTMENT TO: Commissioner of Health In the matter of application fo.r: Construct.ioii Hermit for Sewage Disposal .System & Water Well Schwartz represent that I am an officer or employee of the corporation and am authorized to act for [3cookfalls Development Corporation (Name of Corporation) having offices at 330 West 45th Street, New York, New York 10036 Whose officers are: President: Niles Schwartz, 330 West 45th St., NY, NY 10036 .. (Name and Address) Vice - President: (Name and Address) 0 ('Name- and Xdd,res -a) Treasurer: (Name and Address) and that I am and will be individually responsible for any and all acts of the corporation with respect to the approval requested and all subsequent acts relating thereto. r Sworn to before me this 29 day of... D�2comhe r 19 gr) �; �; u, ' Notary Public REBECCA W. LINDA NOTARY PUBLIC, State of New York No. 5004353 Qualified in Dutchess County'" Commission Expires November 16, 8/84 ' Signed: _ Title: :Corporate Seal CO'UNT'Y' oi.- H[-.AL` A P 1 .1 i' 11X DIVISION OF ENVIRONMENTAL HEALTH S-11MVICLS May;' 4`19W t ) ic' iRc: Propel-ty o.t - Bcdokfalls*Deve,jopment Corp.. Located. a -t Putnam. Valley Section 84 Block Lo 1, Subdivision of— Foothill Estates- Subdv. Lb t 5 F i 1-ed 1-1a. p 2477A Da t e, 6/20190 Gentl ellidn': This le-t-te. is -to. authorize John P. Delano., P.F� a duly licensed professional- engineer or registered architect .(Indicate) to apply for a oris truction Permit for a separate sewage serve the cibovc .:io t ed property irx accordance with the --.3tm1dz1-t-d.s, 1-uiv.5 0.17 res"U'Lation-'s as 1.)r011411 11"Isated by the Commissioner of Cvu;iLy Depi..irtmeiit of J.jcz,.1Ah zi;-id -to sa.gvn all necessary papev:i ou niwv connection u-4-tj, this ma-tter and 'to supervise the con.struc;:J.-on SY t I 147 E, duca Lion tary Cody. FIJI it q-o,1ifQ-r -he., pr.ox mi:ty wi-th,P--L _isiqns-- iv, -the Ptiblic.1-leal-th Law, and • the PL11t1-1,-.Jfii S L, 'Very truly yours Signed 01-mor of 11ropO Y 330 West 45th B-Lce-eI- p r. IXXXX, # ?2 5 0 5 AddreSS BADEY & WATSON, P.C. New. York, NY 10 0 3 A d ch: (-- s s Town :US Route 9 Cold sspring NY 10516 Telephone (212) 247-3450. Telephone .1 BADEY & WATSON Surveying and Engineering, P.C. Cold Spring, NY 10516 (914) 265-9217 739-3577 628-1800 FAX (914) 265-4428 - LETTER OF TRANSMITTAL Date:. t File No: 86-192.05 Re: Permit Renewal BROOKFALLS DEVELOPMENT CORP> Sleepy Brook Lane Foothill Estates West Subd. Lot #5 Putnam Valley TM 84.-1 -39 TFL--,,6 I oi"IAC7L PCDH Permit #PV-32-93 Adam Stiebeling Putnam County Department of Health Sent By: 4 Geneva Road "';p US Mail ❑ Fed Ex Ell Brewster, NY 10509 UPS El Messenger 9A Z UPS Overnight ❑ Pick-Up Copies Date No. Description 3 08/18/98 1 of I SSTS Plan Revised pursuant to our conversation yesterday. Signed: John P. Delano, P.E. Copy to: File PUT NAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS s ;.. -PERMIT. FOR CONSTRUCTION . STREET LOCATION.0 �i?.® IkN•t� NAME OF OWN `'�► '�'�L� G REVIEWED BY ���� DATE �° / �S TAX MAP # " Y DOCUMENTS PERMIT APPLICATION PC -1 WELL PERMIT PWS LETTER LETTER OF AUTHORIZATION ESIGN DATA SHEET (DDS) CORPORATE RESOLUTION SHORT EAF PLANS - THREE SETS PLANS -TWO SETS ARIANCE REQUEST FEE Y / / i / SUBDIVISION LEGAL SUBDIVISION SUBDIVISION APPROVAL CHECKED PERC RATE I ftleF L REQUIRED DEPTH RTAIN DRAIN REQUIRED STANDPIPES GENERAL CATED IN NYC WATERSHED PLANS SUBMITTED TO DEP D EGATED TO PCHD DEP APPROVAL, IF REQ'D D P TEST HOLF.S.OBSERVED, 0\�> PERCS WITNESSED; IF REQ'D J EX- APPROVAL SSDS ADJ. LOTS WETLANDS (TOWN/DEC PERMIT REQ'D ?) DATA ON DDS PLANS & PERMIT SAME PRE 1969 NEIGHBOR NOTIFICATION LETTER BUZBA 100 YR. FLOOD ELEVATION OTHER REQ'D PERMITS) REQUIRED DETAILS ON PLANS SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE_ GRAVITY FLOW ONSTRUCTION NOTES ESIGN DATA: PERC & DEEP RESULTS 2' CONTOURS EXISTING & PROPOSED [A/dDRIVEWAY & SLOPES, CUT FOOTTNG/GUTTER/CURTAIN DRAINS COMMENTS: EROSION CONTROL:HOUSE,WELL, SSDS PERC & DEEP HOLES LOCATED PRESENTATIVE OF PRIMARY & EXPANSION fOCATION MAP EAREA; SHOWN; GRAVITY FLOW, SUFF.SIZE FI PUMPED, PIT & D BOX SHOWN & DETAILED HOUSE - NO.OF BEDROOMS WELLS & SSDS'S W/IN 200' OF PROPOSED SYS. PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) HOUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE NO BENDS; MAX.BENDS 45° W /CLEANOUT FILL SYSTEMS CLAY BARRIER 10- FT. HORIZC)NTAL;SJZ 3:1 TO GRADE PILI. SPECS FILL NOTES FILL CERTIFICATION NOTE VOLUME FILL IN EXPANSION AREA TRENC LF-. TRENCH PROVIDED ... O._- ,60 FT.N4AX.:. PARALLEL TO CONTOURS 100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN - FROM SSTS 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL 20' TO FOUNDATION WALLS 15'WELL TO PL 100' TO WELL, 200' IN DLOD, 150' PITS 1,00' TO STREAM WATERCOURSE LAKE (inc. expan) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (pits -20') oll 5 INTERMITTENT DRAINAGE COURSE P67500' RESERVOIR, ETC. _150' GALLEY SYSTEMS 45'min to CDS= >5 0/o,10'- 4 1/o,25'- 3 1/o,30'- 2 0/o,35'- 1%,100' - <I% 20'min to CD discharge /100'with 182 cons day discharge SEPTIC TANK 10' FROM FOUNDATION; 50' TO WELL FORM ST-2 BADEY & WATSON Surveying and Engineering, P. C. L .9pute. 9 Cold Spring, NY 10516 (914) 265-9217 739-3577 628-1800 FAX (914) 265-4428 Adam Stiebeling Putnam County Department of Health 4 Geneva Road Brewster, NY 10509 LETTER OF TRANSMITTAL Date: August 14,,1,998... File No: File No.86-192.05 Re: Permit Renewal BROOKFALLS DEVELOPMENT CORP. Sleepy Brook Lane Foothill Estates Subd. Lot #5 Putnam Valley TM # 84.4-39 PCDH Permit # PV-32-93 ti Sent By: ❑ US Mail ❑ Fed Ex ❑ UPS ❑ Messenger ❑ UPS Overnight 0 Pick-Up Copies . Date No. Description 3 08/13/98 1 of 1 SSTS Plan 1 08/10/98 Design Data Sheet Signed: John P. Delano, P.E. Copy to: File H ij r ��7 �t BRUCE R. FOLEY Public Health Director DEPARTNMNT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 . Tel. (914) 278-6130 Fax (914) 278-7921 FAX COVER SHEET Date: 1a' To: Ott' ��Lii+uc7 t j From: Adam B. Stiebeling Asst. Public Health Engineer Fax9 Z r 1 No. Pages (Including cover sheet) For your information Please respond ' For your review Attached as requested As discussed Notes /Messages W, Please call ( 1 ( rr,0 t't —N k 12 S i v %J2 s 1 9('b 021-C ttj A "A OF �WdD � )<P� In the event of transmission /reception difficulties, please contact this office at (914) 278 -6130 ext. 157. (2,v O� i BADEY & WATSON Surveying and Engineering, P.C. Route 9 Cold Spring, NY 10516 (914) 265 -9217 739 -3577 628 -1800 FAX (914) 265 -4428 To: Adam Stiebeling Putnam County Department of Health 4 Geneva Road Brewster, NY 10509 Copies Date No. Description LETTER OF TRANSMITTAL Date: July 28, 1998 File No: 86' 92.05 Re: Permit Renewal BROOKFALLS DEVELOPMENT Sleepy Brook Lane Foothill Estates West Subd. Lot #5 Putnam Valley TM 84. -1 -39 PCDH Permit # PV -32 -93 Sent By: ❑ US Mail ❑ Fed Ex ❑ UPS ❑ Messenger X UPS Overnight ❑ Pick -Up 1 07/28/98 Construction Permit for Sewage Treatment System 3 07/28/98 1 of 1 SSTS Plan Plan revised to accommodate 5 bedrooms. Signed: John P. Delano, P.E. Copy to: File ■: BADE' & WATSON Surveying and Engineering, A C Cold Spring, NY 10516 (914) 265 -9217 739 -3577 628 -1800 FAX (914) 265 -4428 David Schwartz 330 West 45th Street Apartment Lobby E New York, NY 10036 Copies Date loo. Description gDate;. May 26,::1:9.98.:,..: ]File No: 86- 192.05 Re: Permit Renewal Proposed SSTS Sleepy Brook Lane Foothill Estated West Subd. Lot #5 Putnam Valley TM 84. -1 -39 PCDH Permit # PV -32 -93 Sentry: ❑ US Mail ❑ UPS ® UPS Overnight ❑ Fed Ex ❑ Messenger ❑ Pick -Up 1 Letter of Authorization 1 Affidavit - Corporate Owner Application 1 05/26/98 Construction Permit for Sewage Treatment System 1 05/26/98 Application to Construct a Water Well 3 04/27/98 1 of 1 SSDS Plan 1 Instructions for submitting to PCDH Have Miles sign the Letter of Authorization. Provide appropriate name on the Affidavit; have Niles sign same & witnessed by Notary Public. Provide PCDH fee, in proper form, & Submit entire package to PCDH for review & approval Signed: John P. Delano, P.E. Cop: to: File BRUCE R. FOLEY Public Health Director I j DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New .York 10509 Tel. (914) 278 - 6130 Far (914) 278 - 7921 FAX COVER SHEET Date: 711 (o g To. of Lgg0 From: Adam B. Stiebeling . st. Public Health Engineer For your information ^ For rour,..review As discussed NotesfiNless ages Fax 9: 2�� ' i42su No. Pages (Including cover sheet) Please respond .attached as'requested Please call �e4'- o';. 11�>C- --)5St l L (,O cv-� l i 3 « tr 2 A 1L(.►4 -►.�� d,2 �t� c'� oot. ,fGU,nacr In the event of transmission /reception difficulties, please contact this office at (914) 278 -6130 ext.157. B2+ ; L r } 1. 4,. �t * BRUCE R. FOLEY W Public Health Director DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 FAX COVER SHEET Date: 7 ► �� To: J o aftt t ®, i From: AZ4 Adam B. Stiebeling Asst. Public Health Engineer For your information F r your` review :1s discussed Notes/Messages Fax 9- 2. (o ¢ ,f Z`B No. Pages (Including cover sheet) Please respond Attached as requested Please call MV d, D —cze4W 0/,-1 r C OS7T jaletel_� S L�LiLD 1� V a&>r.L4- L In the event of transmission /reception difficulties, please contact this office at (914) 278 -6130 ext. 157. a ? r ao"L}�U ` �j1 �^ ►-ems 1Qo� OSo� ■ v i',^Y.n ^- *..- saaae^.*.rT ., —'nro ., •.«.w >.n..,.. ,..'4 rr..v.. TSr7 t-r,4 j 'F :.Z i S• PUTNAM COUNTY DEPARTME T OF �ALTH 7 d ikwseitr) He Nh SaeNoe ; Cietwel: N.Y; 14512 ao Fhw lde Pas'" a CBRIIIIICATE OF 06MIhM�f f` j CO H FERMIT OR SEWAGs Dc roswt.sxsr RV -32 -> 3. ,. j ..• _ .. of �Plttnam VallP�' 8 Brook Lane ,tan -M Yle.Qe t«>.ad a leS>�Y `" ` - "` Brstat =� , id�r 5 :_r� ;t T� Min • 84-� - e)o Ol..a�� -w q, i39- ," ._.. .. � Renw.a [� Qevh)en Ot t rites Rrookfalls Development COrTn. D e.0f Pin v)uea Approvd 10/2/93 joisma� 330 West 45h St. , Apt. Lobbv E Tn New. York; NY 1036; Ae 0 . gwmkg Tm Residential t,,t ,gym 2.583 FM sew * � fil] 6� % ram Number d Bedtoome -4 De ilp F w G P D 800 PCHD,Nod&M1 b k Yequbed when ft Is completed only sa w,b Setiereg, system t• endet Ill Gen. Sq* Tm& and 400 LF of 24" wide absorption . trench To be by•TO Be Determined Address Wnter'Sgpp�p: PomBc Sw* From Addresi on X ":•� stipar nemea by To Be , Determined 1 °uprisen! that 1 am; whollyzand eompNtely refponsipla fof the design and - location ofAhe proposed system(s)j-11 that the separate-sew dl sal s stem abow'deuribed will be constructo4 is mown on the approved amendmenCliheri to and in accordance,with the standards, rules a ►egu ns o . nam County DepartlnanC of FlMltn,, and that on eo�npletion tluraof a''^Catifcate of Construction Compliance" satisfactory to the Commissioner of Healthwill tM submitted to the" Deperinient, and. a . written quoiantee, will pe 'iurnished the owns, his successes, "" of assigns by the bulkier, that Yid builder will plece an good opwating condition any'. part of sake saiaage' disposal system during the period of two (2) Years Immediately fo110wilsg the date of tM issu- ance of ;'the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled welt desamw above *III be located as shoam on thrapprovsd. plen andthat nkl well will be instail in acco it the standards, rules and ovulations of the Putnam County Oepartvne t of ►fealth. Squad P.E. X R.A. oet. Ma .1 14 f 1996, , Y • Badey' &:Watson P Route 9 Cold S-rin NY 62505 Address. License No APPROVED FOR CONSTRUCTION: This approval_ expWj" two.Yent from the date issued unless construction of the building .has been, undertaken and is revocable for cause or may be amended or modified when tAn necessary 'b Commissioner of Health. Any change or alteration. of construction reouhes a - ne • perini Appr"od _ for disposal of domestk cry age, or private water supply only. Rev. Lf> D PIN ate 9 BY Title 10/88 0 .. r 4 : Town;, of Putnam! va.iley Sle,epv. Brook Lane iAll =Estates -Weser a 5 o 0 i Niles Schwartz 330 West 45th Ste, APt..LobbY E New York; NY 10036 Date Subdivision Angroved W0190 92427A Fee 'Enclosed-: Amri„nt:- $300-000 - Residential Ica , 2,$83 f R 0* =01, v ®290 v OB fill aft. 1 W d O 800 �c� �m aooteplbioea only SYBUM to e 4.1250 a* 400 LF of 2411 dide absorption trencho 5T0 to be determined Ab Q, x t�.t® yto tie determined.f , Provide 2°4-01-. ROB sand.and gravel`fill 1 reP►oannt,ahat 1 ein :wholly `e_a� complotoly ro>fPOnsibb:for tM design and Wcstion 'Of , the. propossd systom(s) 1) that the se rata saw di sal fb/n above doscriWke will be constructod os dawn on the,aoproved ameiMment than to ;and -in acords -6e writh tho.standara; rules-and regulations o County lieowt/oiaent',of tA0a7fth, anaf,thot on eoihpWtiain 4hweote "Ca/tifia ate of Construction ComplWnecY' seUSfaetoby to the CominlWoher of Mblthwtll n Do tnomlttod to tM; t)epeit ,ant, 'ate `a written guaren ;�o will `b famished 41N od►no, .his 9uccasecis� heha or assigns by tho_0ulklor, that said ouNda wllI deco 0:9404 opsratklg eopatttlon, any �rt ot,suld soriaga dltpotal syaitem dairirag the 1eerWd,o4 4wo (20 Vim immedletely followit" the date Of the ItiWr liWSa of. 8lio; apprme?al Of t110 "Ca►tHICOtO O} COhst /YCtfOh- 'COTpIb®nta Of Iho Original system or eny;repalis theratoa 2) that. tho'�di {INO Wou'domm" above 60 locetod as non tho';aPPaovod,Plan one! that ffiid wall will, bo Instal i "acco/dan ai the ndard% rules and rc@u azns of the Putnorn C*6nty Oe@ortmeal',o1 Hultk We Sept. 24,:'1993 s�ihaDd P.E.?{ ee a+. _. Aden, BADEY & WAT t.+eansa No - 62505 A"OVE0 FOR CONSTRUCTION: This approvaaI ettpi►ei two y, rorn.fha delta _issued unless construction Of the building has bean undertaken and is vevoeabl© for eaufc� or may 64 aNien6ed or' modified whon'66n ed ocolisi ry by the missionair o9 ifoalth. Any change or alteration of construction Immims a few par it oved for disposal of dornagic sun y' ..ilg®, end/ ate water supply only. .Rev. � 10/88 ®aeo_ �__,_?_"( 3 ®y TRIO BADEY & WATSON Surveying and Engineering, P.C. Route 9 -M _ .... .-Cold Spring, NY'10516 (914) 265 -9217 739 -3577 628 -1800 FAX (914) 265 -4428 TO: Putnam'County Department of Health 4 Geneva Road Brewster, New York, 10509 LETTER OF TRANSMITTAL Date: May 16, 1996 ,- JnbNo8 7192 Attention: Mr. Robert Morris, P.E. Re: Brook Falls Development Town of Putnam Valley LOTS 5 & 10 We are sending you: Via: U.S. Mail u ps Attached Conies Date No. Description 3 Revised SSDS Plan 1 Revised Permits 1 Authorization 1 Resolution - IThese are transmitted: 'For your review. temarks: Signed: Kurt Schollmeyer, P.E. :opy to: i i DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 pAPPLICATION TO CONSTRUCT -A •WHTtR .'W iF PCHD PERMIT #_ PV -32 -93 WELL LOCATION Street Address Town/Village/City Tax Sleepy Brook Lane Putnam Valle 84- 01 -391 Grid Number Subdo #5 WELL OWNER Name Mailing Address Brookfalls Devo Corp. 330 West 45th St., Apt Lobby E NY Private NY 0 Public USE OF WELL 1 - primary 2 - secondary GJ RESIDENTIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP 0 BUSINESS O FARM O TEST /OBSERVATION ® INDUSTRIAL []INSTITUTIONAL O STAND -BY ® ABANDONED O OTHER (specify, 0 AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 6 /EST. OF DAILY USAGE _ 6 0 gal 0 REPLACE EXISTING SUPPLY O TEST/ OBSERVATION 13. ADDITIONAL SUPPLY ® NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING Provide Notable water suply for new residence. WELL TYPE ®DRILLED ®DRIVEN ®DUG ® GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Foothill Estates West Filed Mazy No. 2477A, Dated 6/20/90 Lot No. 5 WELL CONTRACTOR: Name mo Re Tk-termined Address: 1S 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: N/A LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED []ON SEPARATE SHEET May 14, 1996 k" LA��— (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 thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to /degrade or other4ile cont 'pate surface or groundwater. L rye of Issue: Date of Expiration 19 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 i/ DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 1 -,. r .. �♦ - .._,._.... .�7...._..... ..:.. � _. rt:' .. _ ' .. �Y -i l'. -a �. �.v ..•• r a � �.L..•• ?:'�„+`h:Sa.: y ru • 'APPLICATION �TO` �•CO`M5TR�T��" p, �1ATE`R ��LL q PCHD PERMIT WELL LOCATION Street Address Town Sleepy Bzzok Lane Putnam Tax Grid Number Valley 84- 01 -39, Subd. # 5. WELL OWNER Name I Niles Schwartz Mailing" Address 330 West 45th Street, Private Apt. Lobby E, NY, NY O Public USE OF WELL 1 - primary 2 - secondary ® RESIDENTIAL 0 BUSINESS 0 INDUSTRIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP 0 ABANDONED O FARM O TEST /OBSERVATION Q OTHER (specify, [.]INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED^ /EST. OF DAILY USAGE 600 gal ❑ REPLACE EXISTING SUPPLY O TEST /OBSERVATION 13 ADDITIONAL SUPPLY NEW SUPPLY NEW DWELLING) 13 DEEPEN EXISTING WELL REASON FOR DRILLING DPTAILED REASON FOR DRILLING Provirlp patahlp water, suMly for new residence. WELL TYPE ®DRILLED ODRIVEN []DUG C] GRAVEL 0OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION- Foothill Estates West Filed Man No. 2477A, Dated 6/20/90 Lot No. 5 ,WATER WELL CONTRACTOR: Name To be determined Address: ``A PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY - bl$Tl�NC 94 6,* •.PR6PERT'Y••k'.ROM..NEAREST :WATER-- MAIN.: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED a ON SEPARATE SHEET July 30, 1993 (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 Pert 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 drilling operations be contained on this nr�operty and in such a nner as not to degrade or othe7A/7 caminate surface or groundwater. 1te of Issue: 'Z. 19 Alw Date of Expiration .j Z 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 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Dates July 30, 1993 RE: Property of: Niles Schwartz Located at: Sleepy. Brook Lane T /Os Putnam Valley Section 84 Block 01 Lot 39 Subdivision Ofs Foothill Estates West Subdo Lot No. 5 Filed Map Noe 2477A Date 6 -20 -90 Gentlemen: This letter is to authorize John P e Delano, P.E. , a duly licensed . Professional Engineer, to apply for a Construction Permit for a Sewage Disposal System and /or a Private Water Supply, to serve the above noted property in accordance with the standards, rules, or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction Iof : sated system. _or a systems in . conformity . with the provisions_ of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sanitary Code. BADEY & WATSON, Surveying & Engineeing, P.C. r ° John Po Delano, P.E. NYS Lico No. 62505 U.S. Route 9 Cold Spring, N.Y. 10516 (914) 265 -9217 Very truly yours, , Signed LC.cr Owner of Property 330 West 45th Street Apt. Lobby E New York, New York 10036 Address (212) 265 -8189 Telephone BADEY & WATSON 6 Surveying and Engineering, P.C. Route 9 COLD SPRING, N.Y. 10516 =-- ..L914� 265- 9217wyr J3'23{�572- Q- ..628.1840 TO Putnam County Dept, of Health 4 Geneva Road, .Route 312 Brewster, NY 10509 LIUTEQ VF UMMSE WUL Sept . 24, 1993 __,._ Boa No. 86 -192 'ATTENT$ONl t .: ;r ••� p.- .- �7s- <ro►- ..r_.Y- .:.�...n.n ^• .+ Mr. Robert Morris RE: Schwartz SSDS Permits Lot 5.& 7 Sleepy Brook ,Lane Town.of Putnam Valley Revised Construction Permit Lot 5 1 > WE ARE 'SENDING YOU M Attached - ❑ Under separate cover via the following items: O Shop drawings ❑ Prints ❑ Plans, ❑ Samples ❑ Specifications " ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 1 9 -24 -93 ❑ . Submit Revised Construction Permit Lot 5 1 -- ❑ Return Revised Design Data Sheet Lot 5 ❑ For review and comment 9 -24 -93 Revised SSDS Plan.Lot 5 $ 9 -24 -93 ❑ FOR BIDS DUE Revised SSDS Plan Lot 7 RETURNED AFTER LOAN TO US REMARKS The above items have been revised with respect to the comments made in your September 21, 1993 letter. THESE"ARE`TRANSMITTEIT«�� checked " "Bel'ow: • <::. _._...._.. ., —._ _..__.. --- , ,:`:;�:.... w ..._ ,.:q�:::,,:...._..��. Of For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ . Submit copies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS The above items have been revised with respect to the comments made in your September 21, 1993 letter. COPY TO * 40% Pre-Consumer Content • 10% Post - Consumer Content SIGNED: Kurt S c h o l l m e y e r PRODUCT 240 ®iK, WK Mm 01471. if enclosures are not as noted, kindly notify us at once. APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DI'VISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYS'T'EMS REVIEW SHEET for CONSTRUC ION PERMIT NAME OFOWNER LOCATION'S ; BY DATE _ TAX MAP # 7 / DOCUMENTS. , Y � rISCHARGE (OK) PERMIT APPLICATION %-RrP p C & DEEP HO LES LOCATED C -1 RESENTATIVE OF PRIMARY AND EXPANSION LLPERMTT; PWS LETTER UNEERS AUTHORIZATION TGN DATA SHEET(DDS) -�1 DEEP HOLE LOG CONSISTENT PERC RESULTS (3) PERC HOLE DEPTH CORPORATE RESOLUTION PLANS THREE SETS HOUSEPLANTS - TWO SETS VARIANCE REQUEST Z-XP. AREA; SHOWN; GRAVITY FLOW, SUFF.SUM � IF PUMPED PIT & D BOX SHOWN & DETAILED HOUSE - NO. OFBEDROOMS WELLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM PROPERTY METES & BOUNDS SETBACK NECESSARY (TIGHT LOT) SEWER - 1 /4"/FT. 4"0; TYPE PIPE NO BENDS; MAX. BENDS 45 W /CLEANOUT FILL SYSTEMS GENERAL . 1 HORIZONTAL: SLOPE 3:1 TO GRADE LEGAL SUBDIVISION IM ALL SPECS SUBDIVISION APPRO,Y�L CHECKED Fpm GAUGES PERC RATE LL PROFILE & DIMENSIONS FL' REQ�D VOLUME CURTAIN DRAIN REQUIRED STANDPIPES TRENCH EX APPROVAL SSDS ADJ. LOTS EOLF TRENCH PROVED WETLAND (TOWN)DEC PERMIT R & D) 60 FT MAX 71 DATA ON DDS PLANS & PERMIT SAMEell00% pRpLLEL TO CONTOURS RE- 1969 -NEIGHBOR NOTIFIFICATION EXPANSION PROVIDED R BI/ZBA SEPARATION DISTANCES SPECIFIED ON PLAN ..x'60'i'R- �FI -OOD ELEVATION :: : %. : S 3E IRED DETAILS ON PLANS 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL - JEPTIWAGE SYSTEM PLAN - (NORTH ARROW) 20' TO FOUNDATION WALLS C DS HYDRAULIC PROFILE M GRAVITY FLOW 00 TO WELL, 200' IN D.L.O.D., 150' PITS BOX M TRENCH/GALLEY CD P- PTT DETAILS 00 TO STREAM WATERCOURSE LAKE (INC.EXPAN) TANK - SIZE, DETAIL 50' TO CATCH BASIN, 35' STOR- MDRAIN, PIPED WATER LL DETAIL, SERVICE LINE IF OVER 10' TO WATER LINE (PITS -20') NSTRUCTION NOTES (GRINDER RATE) 50' INTERMITTENT DRAINAGE COURSE SIGN DATA: PERC AND DEEP RESULTS 200 FT. RESERVOIR, ETC.[D 150 FT. GALLEY SYSTEMS TWO -FOOT CONTOURS EXISTING & PROPOSED SEPTIC TANKS WAY & SLOPES CUT EEf10' FROM FOUNDATION; 50' TO WELL FOOTING /GUTTER/CURTAIN DRAINS �OMMENTS: WELLS CD 15' WELL TO P. L:_ JO}IN_, ARELL Jr.; P.E., MS._. -..? _ .. ._ :'r' -'a'" -' .—. •- Putilk'FffAeriln`T1i`reoiox'�. .'u.•' �tiw'; - DEPARTMENT OF HEALTH Division .Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 September 21; 1993 John Delano Badey & Watson US Route 9 Cold Spring, NY 10516 Re: Proposed SSDS: Schwartz Sleepy Brook Lane Subdivision Lot #5, TM #84 -01 -39 (T) Philipstown Dear Mr. Delano: 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." 1. An equal distribution system is required due to the 2% slope in the SSDS area. -the° proposed- S8MYot9- jet 6-is''- within 2aCi feet iyf -tFie pr=b used •vie.1't therefore must be located on the plan. 3. The design data sheet and.the approved subdivision plat notes ground water at 4 feet. Current codes require that 4 feet of soil is- available from the bottom -of the trench to the ground. water. Revise plans accordingly. Upon Receipt,of a submission, revised to reflect the above comments, this application will be considered further. ,.V truly yours, Robert Morris Assistant Public Health Engineer RM/jp 4 r •D a. Results of a minimum of two (2) soil percolation tests in the stabilized fill. b. Three (3) sets of plans pursuant to Section 4.0 A.7. including the till certification note contained in Appendix C. c. The following certification statement is to be added to the construction (trench layout) plan: "This Design Professional has inspected the ROB fill material on date and does hereby certify that such material has been placed and stabilized in accordance faith the requirements of the NYS.Department of Health, the Putnam County Department of Health and the approved fill plan. The material itself has been tested and at this time is considered suitable for use in a subsurface sewage treatment system. The soil percolation rate in the settled fill based on percolation tests after stabilization is minlinch. " SIGNED: Design Professional All Construction Permit approvals are valid for a period of two (2) years from the date of issuance. Construction Permits are required to be renewed when a permit is over two (2) years old, regardless of whether the same or a new owner is involved. _. Y . _,.......,.:. 5.0 CONSTRUCTION PERMIT RENEWALS The purpose of issuing permits with expiration dates is to provide the Department with flexibility should standards . or site conditions. change in the future. In addition, the Department must be assured that a Design Professional is employed to assume responsibility of the proposed design and to supervise and inspect construction. Approval of renewals will not be granted until the Department makes a site inspection and the following items are submitted. A. Construction Permits being renewed by the Design Professional who obtained the original permit (original or new owner). SUBMIT: 1. Letter of Authorization 2. Construction Permit Application U e•, �S".^- - _`:L. .�'-r+ ^r,LF*'.•i�/sryy�n :� .. �'.�:'YY'c.T`.¢•^ .i _ - _ r�� _ _? _�.�_... 3. The Design Professional shall provide' a note on the submitted plans indicating present site conditions with respect to the well and SSTS area are comparable to those at the time of the original approval (i.e., site conditions have not been altered). B. Construction Permits being renewed by a Design Professional other than the one who obtained the original permit (original or new owner). SUBMIT: 1. Letter of Authorization 2. Construction Permit Application 3. New plans signed and sealed by the new Design Professional 4. Soil Data Sheet (if applicable) 5. Same as Section 5.0 A. 3. C. A complete new application for a Construction Permit, including plans signed and sealed by a Design Professional, will be required as follows: 1. Where the Department determines that the SSTS design, as approved, is no longer adequate due to altered site conditions or revised standards. 2. If the number of bedrooms proposed is increased. ... _.... 6. .-0 - C-- ER_ TIFICATE F CONSTRUCTION N COMPLIANCE - - - - . Before a Certificate of Occupancy for a dwelling is issued by the local Building Inspector, a Certificate of Construction Compliance for the SSTS must first be issued by the Department. The Department must be notified before the system is backfilled in order that an inspection of the completed system can be made. Open work inspections may be omitted only at the discretion of the Director or his designated representative. In order for the Department to issue a Certificate of Construction Compliance, the following must be submitted: (Note: All submitted Department application forms shall contain original signatures (no photo copies)). 1. Certificate of Construction Compliance. (See. Appendix K) 2. Three (3) copies of a two (2) year guarantee, signed by the installer, and /or general contractor, or the owner. (See Appendix K) 29 APPENDIX I APPLICATION FEES FOR REVIEW AND APPROVAL OF CONSTRUCTION PERMITS FOR INDIVIDUAL RESIDENTIAL LOTS Subsurface Sewaize Treatment and Individual or Public Water Supply New Construction Permit - Per Lot ... ............................... $300 Any lot where modification or revisions of the approved Construction Permit for water supply or sewage treatment facilities are proposed........... $150 Renewal of previously issued Construction Permits......... $300 \ I APPLICATION FEE FOR REVIEW AND APPROVAL OF CERTIFICATE OF CONSTRUCTION COMPLIANCE PERMITS FOR INDIVIDUAL RESIDENTIAL LOTS - Any lot with.a subsurface sewage treatment systema.:.. for which a Certificate of Construction Compliance isrequired ........................................... ............................... $200 Payment of Fees Payment of all fees required by the Putnam County Sanitary Code shall be by CERTIFIED CHECK OR MONEY ORDER payable to the Putnam County Health Department. Cash payments will not be accepted. Fee shall be payable at the time an application is made for a permit. Applications will not be processed unless they are accompanied by the proper fees.. August 1997 0 0 0 cs Ld 0 0 00 r-z OD z x z 10, < 9 AS-BUILT RELOCATION -DIMENSIONS .1 A 14.2 SEPTIC TANK-IN 1B 45.3 2A 22.4 SEPTIC TANK-OUT 2B 48.0 3A 68.2 DISTRIBUTION BOX 3B 68.3 It 4A 76.8 END LATERAL 4B46.2 If It .5A 98.4 END LATERAL 5B 70.5 6A 109.4 END LATERAL 6B 122.0 It 7A 91.5 END LATERAL 7B 111.2 It :32,4..._ VELL,-, 1D 57.4 6e�bo o�` et�� � t {ot� �oti�°� 4.Qo 0 7 NO YA Y5" 2 . u Ole Qj Cl, 0111 CD <=)- Q WELL CD co N 3 50 L�- Typ I- N ARE A -- 100% -F - XPANS'O--- 00 D 0 q.1.6