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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84. -1 -41 BOX 33 04330 BRUCE R.. _EOLEY. .. _. Public Health, Director` Jeff Tuccillo 10 Sleepy Brook Lane Putnam Valley NY 10579 Dear Mr. Tuccillo: h L.ORE?TA.•MOLINAR.I N.,- ,M.S.N.• Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York, 10509 Environmental Health (914)278-6130 Fax (914) 278-7921 Nursing Services (914)278-6558 Fax(914)278-6085 Early Intervention (914)278-6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 September 16, 1999 Re: Addition- Tuccillo- Sleepy Brook Lane No Increases in Number of Bedrooms (T) Putnam Valley Tax # 84 -141 I have 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 form this Department dated September 15, 1999 .The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Five without prior approval by this department. - Thc ai ea 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. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. Very truly yours, - -,- William Hedges WH:kg Senior Public Health Sanitarian cc:BI I JEFFREY S TUCCILLO 9145285548 P.01 --Zj , Q, j I �e,f SQ 5 � Ss � � �«,I I� \ UNC_ �TA OVA LS vi p laQ (s A.) 0- A ye c c.4- Cl' Ll _ JEFFREY S TUCCILLO 9145285548 P.02 .• n .. •tl1.- c :. =bY� '�;., e� .. r. . .. .. .. - :viii. �,. `• ^0�7! ..,,a, .. R ..',: •O.- .�,`m -:r�1' .. .- - .••�.-- .... r. ..w .. .. �� -. , ^'.- erya�7Ptb �«++... �s'. o' ^��'.!4R71t�'.aJp1►i�ea'w'rv^ •!. SIra1f,! .�wn.'rIL- '.4v1L14!..^e;.vrr- .. • . i I• p�A�lf�lfiW W= �iw.IM T 5 1 `-tis>an/otr. id�ut� gleepy i3 cook lane • ElA roothl11 F,states WesY_t, � z� Map 1 t,t X11. >t.l; � Nx les Schwartz s.....�_.�Q 1^ o...v�w�t..t ►� Bob of Pie- Ares 1.0 --2 —�3 1c�) xw1bg _ 330 West 45th St.. Apt. fa�bhy E —New York NY 1(X)36 It f Amount, Q• ion Apnrovc 12477A Feg Enclosed •... 1.2A2 ac R �„�ay Zyrp esident i�� 1 rm s.etlo. otv aN� vlieltr � lewMor W MaoNr 5 O�si�la 11taw C ? D t f � . RL7� Y �iaa � r ab�pipMtt 1"we"s w..ps)"mewa.ti"d_1cSS.�c.� book To* __$04 L of •?A" wide sornr_ion U�nch. Ie be somm toad. y F% DeCertni nett A fktaaf WdW sop* t+>tem Airetw «, X awe, BMW yTj Re Deteng2 otftr asEdm Meer 1 faproaant tha{ I aM whomv -Sed COMO MMY One It** tot tfla ov"n ani; le•otlefl, of ne pre{lotllo tYMM(C tl that th• »perN• ffsr4 OlepvNt fYR•m abofe dtwwd wIMM aonweped at oNlwa on tM eppoyw •ab«+emant these to and in awo!dillM wan IM stsnpardN rum War T•vvuvx m Of County 09owt" MA of NetiRy cad Ihet as tento"W" thafwf •' ertif Wto M ConftruMkpl Complf ow, atWsawy to the C"nus"nr at Messhwall M 1111"Rdted to it" and a wIMM tMM SMW wall M fdfMlMd tM ewer, pal WCaatWrt, Mfrs or auffne by the bu1Mr, that MM b"Wer wall was .& t1aM opritlw4DaMa�aell f1dll W Mn wqe f111tI0tr1 •Ytt•e► tiWkle /M psrkl0 of two {t► Yarf knmedlataq rollawkl� IMdaa of tha keu save of the aaerogl d the tpb of CeaRruction Caaolkmq of to* erlaifyl fYftarw a• np•bs Iharstsl 21 !hat the d►IMa/ wall da•erMd aline wall M located as thawlt ad the appfe"S peen aM that taw .+all will a Instal j a�AaMr, rut.a al h" p a It" of t Putna Gully DapMnitnd of "OR& UADEY & WA� I3(N P.C. Rout- 9, Cold Spring NY 6.'. )S • llama ho '� wppROV40 IOR Cp ISTRUCY10141 Tqk approval oeaAot two years heir jhe d to :ttaed YYYYYY teaMrueGen at the bulMifa has Man ulMwtakon and If fNONOb for M M f Y M aw ded of nM]dMlad when Confld� red h'Lbyf by {M C � of ►/MNh, wn the aeuirm a M f PTVIe for. alloetu of doM MIC Matter? I!�_aM/Yr Pr jaapply only... Y A! or aMSralan of coaatraCtlon ' IO %88 I t JEFFREY S TUCCILLO 91452855.38 P. 07 7. IMP "4 LLJ - i - cyr - T f. ,• f 1 .... -.. �• .. gyp( ..il ,Y.`.;p:•? .. , 1. ti .sd/ d BRUCE R...FOLEY Public; Reditn' `Director • "6 Oh M Jeff Tuccillo 10 Sleepy Brook Lane Putnam Valley NY 10579 Dear Mr. Tuccillo: LORETTA MOLINARI RN., .•M.S.N... '� ass "ociaee `f'ub7ic Ffealth�'Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New. York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 June 30, 1999 Re: Addition- Tuccillo - Sleepy Brook Lane No Increases in Number of Bedrooms (T) Putnam Valley Tax # 84 -1 -41 I have 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 30. 1999 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Five without prior approval by this department. The area -of the existu g maintained. ,sewage disposal. expansion ar-oa; must•be - - .. ,. '......�.: ,. ....,...w,.� -.. .. .. _ _ _ . _..,.... .. _ ..,. � . _....._... ,.............�. .. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Vallev. If you have any questions, please contact me at your convenience. ML:kg CC:BI Very truly yours, Michael Luke Public Health Technician DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) BRUCE, .R... FOLEY IStic 7�ea Director STREET 'OWN PV TX NAME T -eP+- (.lu PHONE S4'I 0_10PCHD # ago qq MAILING ADDRESS —to DESCRIPTION OF ADDITION NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS S7— (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING 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., 4 bene va Rd., Brewster, NY 10509, Phone 278 -6130. 1. Certified check or money order for $100.00 2. Sketches of existing floor plan (drawn to scale, all living area including basement) * Non - professional sketches are acceptable 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) * Non - professional sketches are acceptable 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments Feb 98 i ,.2 c�� / �� r ' &/( --Qz C.'C .o° �27'zC";v JEFFRFY S TUCCILLO a- �.rso.�.+ -• 914285548 P.01 ;t . '!� T�-• _ ' i •'s. `cam ;.r =-'= '�n:".nc ....> r. _ - . ... - r..�- r�-- ,�w•++�.wa►+ ewe+'. �iSr7efrtfiw+ w►, oarrrwaRw. Mw... sw. r......,l akpr .s"V�VIIoMM.PF'enr^%MC.r +:.:.. ;. » �q tA1L OODIf:TRed& imdlM ON" ILT. low A � 1 QI���7 110M M UWAM U=W lbtm of Putnam y llev �lttlt>r 5�+y t3rook Gene «f, Ile Yt�te. stlt�si/t.star•hoothill Estates Wesh, l�r �� TAM mop 84 -old Niles Schwartz PV-30-9.1i Dw tc n.lr.. Apr--d 10 -2 -93 now A 330 West 45th St. t Apt. _!2 u E rf„,aNew York NY 10036 1 DaLe subdivisio U A nl^oved _ / Q �. R 4177A Fee Enclosed ❑ Amnnn* 3.Z82 ac . Reg dential la Ats YQ $awu„g 04 ova ydl "Nowt Da h"M 5 Dfatp ro. C P D 1, QnQ ttClm tiN�adlw M RwtfMt/ tiM� /t11 Y Maa/Itad i &u=,M s....w $pwm M a NW t/ 3W— s./1! r..k ••d 5Q4 &F og7411 wide at ort)t ion trench. . I Tt M b To Ae Determined s�1s i warm $NP/b: PdW &tMpb lN.t A�tft �`+ X r, cq, SAW b* Be Determined,,,_ s i 000 �/...�f..�M... 1 rgrowar toot 1 No WA*ft fd rattle OW nNO1meM tar 1M486401 fd WWWA of two peoorr0 gfW"o; U tat too raa►ab st•afa d11f1eW Nltarn i a0oat "WW" will N tonsve NO N 0 a - 41 •A ton sop""" uwadws"d then to af" M accorallm With the d•nMr•t, ►ulaf aw::wtrtarawa tr 1na �tugtitl OOMMY Oapattiaanl of tuaRty ad IMl ew '" 91dwa tfww a "Certfficals . of Conitructl•n Cornpllawtar' 011doctory, to the Commissioner of HMRww01 M 111106"Itted. to site Down Am. Wd • w1ROIM "We"" vat N ftrwidted low owww. "NKON ftt. Mire a altlpte 011 the 0t "W' toot ON butw r win ((2 OMao M NOO .apnlln0 condown Saw fart M low swap dupow pAO1M dw0i0 tu• farbd of two M YOWS OMWAdwattr "Howlq tl esslo of too bew f MW Of the y/►oset of 1M collftbit of Cirws tualon Cfmptlenie of the wiaiwat War or ropaMa tfwratol21 that too arOtatt pM{ttt" t/Oe0 toll N Iatat00 w m Of Ow too /0o/OMq paw ow0 tiro pN well and N Iett•unr a�taMnq/�IrIjK 1�wr MaddaMt. ruMa aao foo t too /1Aw.ra tatMtr ts...nwrMl M ffeanw. /,Jl iI. % / � Il f`Y // 061S A ur.i 1 21, 199 slMw AdSMI PEY & WAT5 L I ANNOVEO ROR CONSTRICTION: Teff apfroral U046 two vWs ra�aOM for M or y to aroIMPSW a moddled alrn tonMOdVed •lCSu4roo•A^� wta C •t!f 1M i1MfaN of 0o�oltk IanRaf .................: 0/88 wt•TM. •i S � ..... , . � .��:. , . - •:, 04. Route 9, Cold Spring NY 62505 Oats iwYat EMA.uttiOw of the OttltfwN hee toM11 uttfartabw 04 If Oy 1M of MYRM Any tlMltp at anarNnw of conetMCtion en0/w ,M" suppitr . only. w.x o /J .. .. :.. TIlN r` 6 t �.-I Le4,k 9 A-e °use 5 JEFFREY S TUCCILLO 9145285548 P.06 Of 4 _ i I i I 1 I ... { • d .o ;fry w .I� .d I -,41 ... - • � - ytiDon Ts- In IN W A p � •�•O „011. .� ':ifl � � � � �C � / J.K•1 ®r �r1oo�� c7f1 x�a lti _ � � s- �vV ®'� 'd•Z• "�, �� `mod • i—� ---# ago Ir jai 0.o ° � I � � �. °.'r_.. ' �,.� x • � •� oil 11 � _ � � • 1 ht' ��.1 �: dam, .i � I' i � .1:�(' :�• •'� p•ty,��' +,- V'�.. <. @ I: I Iii 1 i a • �, a 9be a�8 � JJ li __.........._ _ - _�. .... _.. ....._ .. w __.... ... � 6 � I' I � - N l°s(' `cio.7'Id O{ x3 � I tit• .. _. -- _- _.........._... , _... ova ��►•��• � I { _ uo:.. �..� :vii �.: , - - - - -.. -� °'•=5 .. .. _ � .. ... � _ °� " { .... CI s JEFFREY S TUCCILLO 9145285548 P.05 I y \ 0 f I ii l !L .... _ I -„► a n I f ,� � r � rb. m�S '�'co•.71 0� N .[ I � •� �; 9d ,._ �.r.. =;, r_a,'.*rc... ..... L;• - �1N� ► "��'7..'2 I jT oc +.r:�...Q. � -. »..: _ •�.. .. (Xld) t4 My % -T7ff _ >L �� , ; ICI ► .� ._.._......_.. . ...... ...... .a � ____ ...___ � �. • �,, -tea ; I �� f;,; ' ! ;; IL D N r p .h ',f 5.,�•Iv pip ; 00 01 ,n1 d n 07 A �d1 A. .• iC tT r, I 1 f ban otx•y(4) �. •�" ,; (nl�)�4 ICY _"_ . �_� .•.. '0.: 'j. � I .�. � �� Vat ,il? a:�s d1p go. I of JEFFREY S TUCCILLO 9145285548 P.O4 jjF NIX C 49 WC' I 7-41- sit - • it 3 NA n4-21 P qh% i p IL a o — TO " - i •�h I'' � N4 i 1L - 1i' 241 -�.. �axril.•,t'. .1'~. [ ,�� I �! _day r" � �','{ � ' dil t! 111 d1 _ d �� •.� ....:.�.rr_ �r.�_.. .... 1 .) (� . •'• '.Lrrr 'd •Id 91 A$ I � I a A - li •. �I 1 � ,� �� -�Y Ai. s IIJ 3'N j( i..Nw O•on�i n b y Z111 ` a . dc: �f t- .. f �' nF i A: � m s � : _... p0WrUa7UF IIE11L1N _ rLL RQUSERIdIS . BF.DFOpN OOIWi OALY; C feEOmoss . '° :_ ti:;•!` < PUTNAM COUNTY DEPARTMENT OF REA t Y t 1 1 t-5i `` r e.. t ...:...' . _,. HQJSE F.:ANS'.APPROVE BEDRG.^d4 COUNT ONLY; leCy gn ture &Title to 61 ev 1 S! a T i.� d. � t --PUTNAM COUNTY DEPARTMENT OF HZALjl HOUSE PLAN BEDRCOM COUNT ONLY; j: EDRCG,'�S Signatt T tle �x x tj o 6. .Li t is cr) ov At t is At m m 0 -4 C 0 T MUH PUTNAM 60UNTY DEPART 1� OF FOR 0 r HOU';E PLANS 40h' R BEr,,Com COUNT ONILY; E ID 0 N CD Signature &Title (D j. i. T (A it w � - R 4 cJ O W ° V, :. m —. JEFFREY S TUCCILLO 9145285548 P.04 a§§ 3a ♦• pp ^N �r I I O.n t'11�",�.n•,a i; �..a.1��4',f1 I I CLIFF l I _... .. ... ....i ! 4L If rA lz uy j roT a O,�Z(4) ��oqn p',vmaanV q.s ` -,J •.'v "• i _ . i t7lj . -_. 'dn- .. 7 - wa•rin%� I �� r 11. JI •iq �. • � .. a•si�is �c'a. .. U, -. '.L41'�en: .7 91 1 J lk Id J �. •i � � �` r µ(v,, I stit �2 �WOVd 1Y n'7J i v yl t7 N F g 3` �. i.3 }�� 'i ;:1 :i '. �i � ;� a.... a _ _ ------------ _,._.__._.. - - IL ..s• `^*b on:. w +» •r ; ^w�.ar+!lli�,er •e._• �, f nwv'v n. �..�... ...� w• ... - .-rt ..�•!r„+li,..�e A.;...3 •" : ���'�� o I j I� I ,169 '1 r p ayy I fan I' T a N� 4 J41.'I ..'.�Z'J b` i ; ' - z W1��ld-a14-r\d1 �QI♦ ILA �dAM -Id 2! x 7, ( � \: - — �Y- r 1 ��' � v :1 ; I �� fi`'LCz� �nOQYx 7N�,1 rJ X z;5 ,tc IL I-- ! t\ IT i �- •, IL ld -- r I( - - ..I.f1. -�.x. } �'� i✓• 1 F- I 1 Q' I I � i- ,I� •,�li l l 1. -� ,� � '� ��'1 / .. _ � _ LN�J_. _ _�t'� ��_;- �t_I,. pia,.}. .� ,.11.'s_. 2..,. .p..,J o.•.... ___...,......a--- •- �_ -_. —_. All \N I 11W � 0. - � -i -.� ....... .. -- -' -- •' - ._ �� as �I lily I I I 77-77 777 1_ 91 �':� � >� �x .j ' •7'69, ll �� _ ,� ! � : . ...I.. I ,tom -,41 ,1�' i r ,1� -t�•� ,.��,1� ' , = OQ I i oe >. _ I I I m N � - I S7T \P t m I ;© 101, 41 ,1 l a D TV lu r \. F -1 All 32 (r!x) 111 � ➢ Q _��. �, i �`'� .I��X !�' G. I r y rl C. ° 0 \v I I J.. O Y T �.: Y G C r•wJ -• '+ :�'Y•:, LI• ._.. '; V� N� �I}•l' .�� y��3` • '�T`.+�¢i�...• 7 �4p V w. • n y� y'^J ' � �•. � �f ^ ► ! ' •, �'Y.� n p - - II-�� �'Itill3li'tau,✓dI�.Nra run j 711 ,2S4 671 VIII ; +� ?gib � � I � � � I' 1- - • s�,'� +off y awv lid d I�, s � � � � � � .... -.. . • —IN . -r � �.• �J � . - -- - l of ._.'�... . �. ; Q; =� LL IL - n !I - -- ,: orb- - �, -I `, _ � �,, ' � •O ,��i II -� � ....- -- - � II;o �• 5I Via. ^d- 'p > +,. � � � J ►- �I L(Z) ,,1►- ° s pz I I � 1� d � .� j� I � • v , _ I 11) 4-, II ,n 4tc►ht 21 K 2 S�) �6 _ ...... lrirl , II_._._......._. _.. DEPARTMENT. OF HEALTH - Division ,Of 'Envir-onm*e'ntal. Health Services 4 Geneva' Road, Brewster, New York 10509 (914) 278-6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: Residence Tax Map Town BRUCE R. FOLEY, R.S. Acting Public Health Director • Gentlemen: According to records maintained by the Town, the above noted dwelling IS IS NOT in compliance with ToNNm code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER Building Inspector NO a i;i1•...: y; a,'+fw'���. •`+•c:� %-r:: ,`, ;' .tjit =: n _.-•*>-�•+�,.:i: %:-= .i.�tr.'v r;. i(. ,.::;. _ Ri>..,� .- ►r�� .. .�:.:. r.•��':,:.:".w: �:•- '"''.".�.�,• t i J -� Q doc O O� 1 -1/7 SMRY TAA< 40.3 sa.o• i 0 m � o a 0 ti ` 0R ti e 1 C O g 1J�Q S66 00 Op 151. 47' �® �o� PUTNAIN "'`LINTY DEPARTMENT OF HEALTH Division of Env rental Health Sery cer, Carmel, N.Y.1051E2eer Mast Provide P.C.H.D. Permit N P V— 3 0- 9 3 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam valley ,Town orRWage4. `;t /applitaat Name Niles Schwartz Formed] N/A Sabdivisloa Name Foothill Est 4 t e s West Address 330 W. 45th St. NY NY Z(p 10036 Subdv. Lot # 7 Fee Enclosed Amount $200.00 Date Permit Issued 6 -7 -95 Separate Sewerage System built by S.J. Lore Address 133 S. Broadway, Red Hook Consisting of 1,500. Galion Septic Tank end 504 L F- 2 4" absorption trench Weller Supply: Public Supply From Address or: X Private Supply Drilled by A n d P r A a n Address _R a_>^ g tz r S t' f Putnam V a l l e y midi.aTyi, Residential Lot Size 1.282 Ac Has Erosion Cnnt-rnl Rppn rmm:plptprl? Number of Bedrooms 5 Has Garbage Grinder Been Installed! No Otber Requirements I certify that the systea(s) as listed serving the above premises were constructed essentially as hown on the plans of the completed work ( copies of which are attached), and in accordance with the standards, rules and regal ti on in ac an ith filed plan, and the permit issued by the Putnam County Department of Health. Data September 8, 1995 Certified by p.E.- S —p.A. Address BADEY & WATSON P.(` Pt Q rn1d Spring N)L)censeNo, 625,05 Any person occupying premises served by the above system(s) shall promptly such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usega. Approval of the separate sews► cysts shall Become null and void as soon as a pubt;: unitary eswer becomes available and the approval of the private water supply shall become null nd o -when a pub Ater supply becomes available, Such approvals are subject to mo ificstio or change when, in the Judgment of the Co m of Health, svocstion. modifIcat)on or change Is ry. 79 Date �� BY Title PUTKAV---UKTY DEPAMMM OF HFAME DIVIGIUM of z3v ellstal Redth Swvfic&4 Calzmel, N.Y. 10512 PV-30-93 P.C.H.D. Pwmdt ull-nam, V l gy Town or V =W of Sleepy- Brook Lane Tau map 84, 1 Let 4 1 Niles Schwartz N/A LZMW/TPB=t HMO Niles — SubdMdm Norse Foothill _Estgjtes West 310 W- 4qth Ri- - my MV -- 1()()149 1- It 7 kd&Vw ' Fee Enclosed! Amount $200.00 OU UV. WL Date Permit Issued 6-7-95 Seponta Sevimse System built by S.J. Lore - Add. 133 S. Broadway, Red Hook . Conobtlag d. 1,500::_ Gollon Septle Tomah 504 LF-24" absorption trench WOW supply: Public Supply Froat Addmw or.— x Private Supply Doed by A n 8 tz r n n Addnw Rar (gyp r Ste Putnam Valley BmIldluS 7�p Residential Lot-Size 10282 Ac Has Erosion Gantrnl Rppn l2nmplat-pd? Number of Badmalle 5 Elm Garbage Wader Been Inatolled? No OdDw nequkammts I certify that the system(s) as listed serving the above premises were constructed essentially a h— an the Ians of the completed work ( copies I the ad p of which are attached), and in accordance with the standards, rules and requ in ith filed Ian, and the permit issued by the Putnam County Department Of Health. , .4 Date September 81 1995 Certified by P.E. X R.A. Address No. 62505 Any parson accuprine promises served by the abo4e 5y5tQM(S) shall PrOMP"y," such action as may be noccomry to cocuro tho correction of any unmnitory conditions resulting from Such usage. Approval of the Sol wavrlsysto)n shall bocom null and v" as coon as a pubtl: sanitary enww bocow= ovallablo and tho approvol of the private tvater supply shall separate -r tfolh,whon o p b .,apply b0comm avaltob" Such apiwavolo cro Subject to ma h;. UA =711n. mollification or chonea IS/99camry. 01ficatiot or chance When, in the judilmont of the Co On of Wait /(4 r By pitta 3/89 0"0 WbLL UUF1rLL"11U1V r-LI21rurU DEPARTMENT OF HEALTH 11i'S Divisioi� onment:41'Hi�a't 6ti flci�4' PUTNAM COUNTY DEPARTMENT OF HEALTH Office Us 0111Y ------- 7 WELL LOCATION STREET AOURESS: TOWN/VILLAGLICHY TAX GRID MUM E A 09RESIS: BIVATE UBLIC V r_14 .)Z�RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIRICOND 1H7AT PUMP 0 ABANDONED 0 BUSINESS 0 FARM 0 TEST/OBSERVATION 0 OTHER (specify) 0 INDUSTRIAL 0 INSTITUTIONAL ❑ STAND-BY ❑ WELL OWNER USE OF WELL 1 - primary 2 - secondary AMOUNT OF USE YIELD SOUGHT gpm./NO. PEOPLE SERVED -'�" %EST. OF DAILY USAGES o d gal. REASON FOR DRILLING [_]REPLACE EXISTING SUPPLY ❑TEST/OBSERVATION ❑ADDITIONAL SUPPLY NEW SUPPLY (NEW DWELLING) []DEEPEN EXISTING WELL DEPTH DATA 3 WELL DEPTH 0.0 r ft. STATIC WATER LEVEL JAS ft-1 DATE MEASURED' DRILLING EQUIPMENT JR-ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG 0 WELL POINT 0 CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED 0 OPEN END CASING, FZF OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS LENGTH _41—LiE"t MATERIALS: IRSTEEL OPLASTIC OOTHER -TOTAL LENGTH BELOW GRADE ft. JOINTS: 0 WELDED 0 THREADED 0 OTHER DIAMETER in. SEAL:*iZEMENT GROUT OBENTONITE OOTHER WEIGHT PER FOOT 1-7 Ib./ft. IDRIVE SHOE: (OYES ONO I LINER: D YES O NO SCREEN - ;-,DETAILS,- DIAMETER (in) 'SLOT SIZE LENGTH (11) DEPTH TO SCREEN (ft) DEVELOPED? FIRST 0 YES. ❑ No OURS SECOND GRAVEL PACK 11 YES ❑ NO GRAVEL SIZE: DIAMETER OF PACK in. TOP —ft. BOTTOM OEM — It. WELL YIELD TEST It detailed pumping MIFTHOO: 0 PUMPED 1 tests were done is in- ;6 COMPRESSED AIR !ormation attached? 0 BAILED ❑ OTHER ❑ YES ❑ NO it more detailed formation descriptions or sieve analyses WELL LOG are available, please attach. 4jVsPtAAm Water Bear- ing Well Dia- meter In FORMATION DESCRIPTION Coal! ft . it . WELL DEPTH It. DURATION hr. min. DRAWCOWN It. YIELD gpm. Land Surface '(2 V - 'f WATER ,'CLEAR TEMP. QUALITY 0 CLOUDY HARDNESS 0 COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? 0 YES ONO STORAGE TANK: TYPEA �?,e_ )e - -A* CAPACITY WELL DRILLER NAM 4-_-,,C DATE ADDRESS /0 GNATURE 77, 4 17 PUMP INFORMATION TYPE CAPACITY J MAKER DEPTH MODEL VOLTAGE'Idk- HP 1 J/89 Pt1'S�1M CC�Jta.('Y 1�11FtIMFfi�T OF Fi�J#L141 DrVgI ON OF �rrv�tc ►�C�rz�l>C. r:z�1 - U:RVzcPs lv I,e OwneC car kas f�uilding�34�� AY-00+kA*IjS PQ de top u ling Conetrxted by S1eePY BCOVk Lame Location -- Street Town bf Putnam rtu Cipal,ity Residontal � is ng T�� I^vothi"11 Satat os Wes Sub iivisiori ?mow subdivisx04D Lot # CUARA.NI'F.E OF SUBSURF&CE ME= DISPOSM SYST94 r represent that T am wholly and completely responsible for t.hc location, Worlwnship, materitil , construction and drainage of the sewage disposal system scrvins the above described propexty, and that it No been Mn3trUCLP -d Lis sham on tha approved plan or approved amendment thereto, and in accordance with the standazd�, rules and regulations of the Putnam County Department of lloa).Ui, and hurebr.( cjpazaatee to the aw1jer, his successors, hai::s or a6signs, t.o Plac:�� i ri good operaticig condition any part cf said Systee, constructed by me which fai).s to cpe4ate for a pgricd of two ye4U s imntK .ately fo)- Imiing the elate of • approval of'. the "Certificate of Construction Compliance" for the ,e,aage disposal sys;:«n, or any repairs made by rw to such system, e;Xcept whs-te the failure to operate properly 's caused by the willful. or negligent Act of the vauvpwlt of the buAl ing utilizing the system. The undersigned further agrees to accept a$ conclusive the deter-anation of - .the.- Dkrectof ,,of.:tbe. Division of Environmental Health services of the Putnam County Cep4itmazit ,.df '�Tcekl`h as• to wt,etMhU ar not tho fail,u- of -the syst�nI.,� o�,nI to was caused by the willful or negligent act of the occupp.,nt Of th4 bii'- ]�Qiai� ,;Z2izzng the system. [)ated this 17_ _ ddX of ►'!- °-'? - -- 19 Sigriaturt: <; - F Title G•jneral Con ctor ('Own; ) Si.gnat.taxe Corporataoa Naw (.i ; Carp. ) 330 W 45th Stn. 36 . rev. 91U Mk � 7 t C�Ozpozation Name 133 S. Broadway Redhook, NY_ l_99 YML ENVIRONMENTAL SERVICES 321 Kear Street ~ �yorktown Heishts, N.Y. 10598 (914) 245-2800 ` Albert H. Padovani, Di[ector - . - , LAB #: 32.411003 CLIENT #: 5698 NON S'AT PROC PAGE FOOTHILLS HOME BUILDER DATE/TIME TAKEN: 11/15/95 24 EDGFRTON ST DATE/TIMFREC'D: 11/15/95 12:0 DARIEN, CT. 06820 REPORT DATE: 11/17/95 PHONE: (212)-265-8189 SAMPLING SITF: 10 SLEEPY BROOK LANE SAMPLE TYPE..: POTABLE : PUtNAM VALLEY OUTSIDE HOSE PRESERVATIVES: NONE CO|''D BY: DAVID SCHWARTZ ` � TEMPERATURE..: < 4C NOTES...: COLIFORM METH: MF | DATE FLAG PROCEDURE RESULT NORMAL — RANGE 11/15/95 MF T. CO|'IFORM ABSENT /100 .ML ABSENT COMMENTSi . BACT THESF RESULTS INDICATE THAT THE WATER ,(WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO THE NEW YORK STATE ' AND FpA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLhECTI0N. SUBMITTED BY ....................... ____'____ Albert H. Padovani, M.T.(ASCP) � Disector � � B'AP# 10323 Foothill Estates RI 0 7 WCQ 84 1 41 M==d—o— 099m3m ■ 06=/A;01�3� Vz=b HUM sy�� D3b CI RQ'Ift= AR=Vd 330 West 45th St... A6t. Lobby E Tetm New York, NY 0036 Date Subdivisi on A22raved 6/2QL90, #2477A Fee nclosed G AmniA300-00 Residential 1.22 ac @M20D8 gyp A=— - 8 L–j DVQ miiucmr 'y ss2•tenr cg c: n-;. 4 D=ta M= G I I? D 8 0 _1250 400 LF of 24" wide absorption trerich. T• bo e=s&!g2s• by_ t-n be detgzjrMj ned W2a,4'. gg F4 IM I rotwo"! 2P of I am wholly woo. complototy, rouponsiblo for tho dosion and location of tho PFOPG$od system()); 1) that the saporato sal atom Obovo ewtiftofi will bo constiucqe� as mown* on Itho OpSwovod amondmont there to cod in accordonco with tho standards, rules We -0dV 1. ho cov"tv, Dopoftnicat of kc&M.' Ong t6ot on completion.tfoovoof 0 "Ce7tillcalto at Construction CoinallancO" entlelactory to the Commissioner of Hoolthwill C:3 cubmMag to tho ..W , writton'Mrantoo will Do furnished tho Cwna. his c3jcco=s. Piolm or owl5no by tho bule9w. tM SaW bujW= will oe=6 la gam - awatM6 -condnion -6av a6ul 00 MW Mwap dfoml system durifto tho, P071"W two (2) VMS Iffifficelotolv foleowifto tw&to of tho IMM. O= 00 tMo OpWWjDl of totd- coftwicato of Conebudion Compoinaw of tho 07181nm4l. systegA07 any rc*of7a W�,o; 2) that tho 0111c:0 moll dowMcS c6ovo own ogW that mli) woll will bo Instal in re w 0 02 tires, rubs and rc8RUNOWS-09 tho Putnam 0010july 30, 1993 sto ro . CS P.M. x A.A. -jP -WATSM P. Re-wif-qz Q re% S x in NY t-iconw mo 62505 APPMOWED 9'OM CONSTMUCTOCINt. VhIS C%W*VOl OU01703 tc7o VMS QV6M the- dato Is 406 unOm construction of tho buildine Ma bcon undortotton and is rommeo for COUM W Moo FPO afmt= or Wtogif WF.?n conwfid9 nq=MrY by the CommissionCe I MMKO. Any chonac, or onvation of construction qMut?0Q t AWc*W gov (31mml �Ofl a0mod IC(Arv. a C7 ZZ only. Rev. 0 Tillo 11 _1k M APPLICATION FOR APPROVAL OF PLANS FOR AWASTEWATER DISPOSAL SYSTEM h ' 330 West 45th St., AT.)t. Lobby E New York, NY 10036 2. Name of p[o'eot� Niles Schwartz 3. Location �`otnain Valley John � Delano BJ�I�!{ 6 ���S�0 A. Project Engineer: ^ 5. �ddreaa' ' -` �ii C. U.S. Route 9, Cold Spring, 0Y License Number: 62585 / Phone: ^gl4) 2�5-9 - 21' 0. v of -�7r -- Private/Residential � Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEQR)? Type (Cheoh One) Type I'. Exempt ' --�_- ' ' . ��^ . Type II. Unliste d 8' IS o Draft Environmental Impact Statement (DEIS) required? ....'........ � HOs�* DEIS been completed, and found acceptable by L8a� Agency? � ........... | 10. Name of Lead Agency m/'= No N/A 11 IS this project in an area under the control of local planning, ZOq1ng`, or other officials' ordinances? ..'.-''..'..''....'.�...�, 3[eo ......'.....'' L' f l ana -�/ b ` �n 2�''l�^ so '�o � v��1z �an� `ou�m����� such- 2uthori-tveo�- 13' Has preliminary approval been granted by such authorities? m/A_��_��_ Date -Granted: N/A ,4. Type of Sewage Disposal, $ystem ' u Diacha�r�- � .' ' �- _�_��_ Surf�o�' Water- ,'/�~7JroOMU'Wate'r$ | | 15. If surface water discharge, what is the stream class designation?. ' . . . ' . . N/ Az ' - | 10. Nntora index number (surface) ..,.,.....,....'.'.'.,'.'.'......^^'^`^... | 17. Is project located near a public water supply 'system? .'..../..,.'.:.., N /& 18_ If yoo' name of water aupply, , Distance to water supply . . � 19` 1 projeot site hemra pub liu sewage collootinn o dispoaal syatem?..... | ?O. Name of-sewage system Distance to sewage system )ate observed: 23. Name of Health Inspector: Michael J }c �� � Si . AOO � | ! 'ro'ect design flow (gallons per d . . ay).....''.'...''...........'......''. --- T. 2. 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?.. No L.'. 2;f� H s;. PD1 S .?ppJ cat;`o.n been: submitted .to :a.oca-17�OEC- 0,1<fi:ce? L= 27. Is any portion of this project located within a designated Town or State wetland ? ....................I ............................................. 28. Wetland ID Number ........................ ............................... 29. Is Wetland Permit required? ............................................. Has application been made .to.Town or Local DEC Office? ..... .............. 30. Does project require a DEC Stream Disturbance Permit? ................... N/A No N/A 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 DESCRIBE: No e o Q© 33. Is there a local master plan or file with the Tawri Dr 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 15ro slope? ...............:......•. No ^ Map ID Number` _.. 84 =1 -41 y- - - ................ . .. - ........... 37. Approved Plans are to be returned to: Applicant X Engineer If the application is signed by "a person other than t'he, applicant shown in Item 1, the .. application, - mush be accompanied by .a Letter of Authorization. Failure to comply with this r :rovision 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. SIGNATURES & OFFICIAL TITLES A�L L' Engineer for Applicant �ADEY & WATSON, Surveying & Engineering., P.C. 'AILING ADDRESS; U.S. Route 9, Cold Spring, NY 10516 {, DSVISION. ;'OF ' _ ERVZCES a DESIGN DATA SHEET- SUBSUTAC:".E SEWAGE DISPOSAL SXS'ITM FILE NO. Gwner Niles Schwart,, Address 330 West 45th, St-, Apt. Lobby E, NY, NY Located at (Street) Sleepy Brook Lane Sec. 84 Block 01 Lot 41 (indicate nearest ' cross street) Subd.. Lot #7 y=icipality Town of Putnam Valley. Watershed Peekskill Hollow Brook SOIL PEROD=CN.TEST.DATA REQUIRED TO BE SUBMiTTED..WI'TH APPLICATIONS Date of Pre - Soaking 1/22/86. Date of Percolation Test 1/22/86. HOLE NUMBER CIIJCK TIME PERCQLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Tbtl-e Ground. Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In. Min /In Drop Inches _ Inches Inches A' 10:28 - 10:30 2 24 27 3 1 . 1 2 10:30 - 10:33 3 24 27 3 1 3 10:35 - 10 :38 3 .24 27 3 1 5 B 1 10:30 - '10:34 4 24 27 3 1 2 10:34 - 10:38 4 24 27 3 1 .26.:.:., .5 '1 2 3 9 5 N(YIES: 1. Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test . hole. Al]. data to" be subni.tted for review. 2_ Depth rreasuxesnents to be made from top of hole. rev. 9/85 DESCRIPTION qI SQ7L.S EI UNT'ERI;D,.':IN :.TEST, MLES DEPTH HOLE NO.. A HOLE N0. $ HOLE N0. G. L. Topsoil 1011 Topsoil 1011 1 -b/ 2' Silt Loam Silt Loam- 31 4' V 51 Sandy Loam Sandy Loam 6' 7' Water 74-011 81 91 INDICATE LEVEL AT WHICH GROONI7idATER IS ENCOUNTERED - _:INDICATE •:LEVEL,. -'IYI: WHICH? .WATER -LEVEL RISES AF`TER-BEING ENOOUNTE12F1� ....� _ :...... _. . E 011 T ... .. _. DEEP HOLE OBSERVATIONS MADE BY: BADE.Y & WATSON, P.C. DATE: 5/28/87 DESIGN Soil Rate Used .1 Min /1" Drop:. S.D. Usable Area Provided 5 -,000 SF No. or Bedrocros 4 Septic Tank Capacity 1250 gals. Type Co nc Absorption Area Provided By 400 L.F. x 24" width trench Other -dame . BADEY & WATS.ON. Si gnature Surveying & Engineering, P C. .Address Route 9 Ste' Cold Sprinq, Nczw Ynrk 1051-6 THIS SPACE FQR USE BY HEALTH DEPARJ.MENT ONLY: Soil State Approved "sq.ft /gal. Checked by •im"iffm ``` Zf NEW �yp14� Dom,. =0 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date: August 6, 1993 RE: Property of: Niles Schwartz Located at: Sleepy Brook Lane T /0: Putnam Valley Section 84 Block 01 Lot 41 Subdivision Of: Foothill Estates West Subd. Lot No. 7 Filed Map No. 2477A Date 6 -20 -90 Gentlemen: This letter is to authorize John P . 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 Comm issioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the, provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sanitary Code. BADEY & WATSON. Surveying & Engineeing, P.C. 44�- R'"' J hn P. Delano, P.E. YS Lic. No. 62505 U.S. Route 9 Cold Spring, N.Y. 10516 (914) 265 -9217 Very truly yours.. Signed c Owner of Property 330 West 45th Street Apt. Lobby E New York, New York 10036 Address (212) 265 -8189 Telephone YiVV'Y litl NHS • ®LL' IGYLlif51(1� . CEMBIr OFmo C, .. Via - - - ( .... x Sw ... --sleepy.-Brook _Lane Town of Putnam llev _ . Foothill Est es West Q ,�7 -�:- .�� � 84 � a n 41 i Niles Schwartz -- PV -30-93 10 -2 -93 330 West ' 45th St., �, Apt e ' Lobby E ; :,New-York'' NY 10036. ate. Subdivision Approved 6/20190.- 12477A Fee .Enclosed ,Amimpt l rodreldnt' that t,am wholly. and cornplotoly r adoae doscri@od will tto constructed iis:srio�rn 4 t.00ntm : Dcpaetraemr¢'. 04 l lv®1¢it,, an®l t on Do suacnttt" to l" t)opertm®nt .ate ,o,.wr MISCO in "good opeAatiw{l to Mort anb pool OWCO 'of. the apf>ronal of tho Cmrtif iNO of i a he ktsa¢d os w on th3 oppvode®. plan County' ®0part¢ of 11ith. RADi ! joio for. the design and.location:;of -tho proposed systom(s)l, l) that tho separate. sew o dis , a atom ro approvsd amandmont dnero to and in aeeordonco with tho'.standards, rules an R. regu onb o 0 iplo¢ion 4ho►oof o''Corlifil ate of Construction Compliance'.': afltia4attory ¢o tno ComrrNSeioreav df MCYlthwill r,gtiaventeo still ;t _ aumis 4 the oamw, hiu tco a, bolts o►,aasiana 0y tlio ®uild®r, that said Ouikla wilt 49ES1 riage dispoa9l sys¢0m duriria the li:s.EOd o9.te (8) yoira imroecadia¢oly 4olloarirq� tneda4o of tl>E1 iaeae- atiuclion' Gompti®ncca of tlw oHgii►al ayatorh or. rap9WS ¢Wmvoto; 3) tliot the drlll�l arell'dossrd®&d abase that said atoll �rrll t10 "Inatallencovdanwo eta�dovda, tuba and rc8u�a onus of . the pu¢wam S h: APRONEO'FOR CONSTRUCTION.' Ybla oppvogal oulifes two FQV2 Oto for ca so.or, ` ey lio.amavd or moditiepwhen eoria oc uivos a m t cd for diaposot of domestic m Rev. to /ss ®ate � Z� ®n P.E. X M.A. P. di/ Route 9, Cold Spring NY, No 62505 is m ho ''d t' issued canst►uc¢ion o9 the Building has boon undertaken and is ids ��f� 0y, the Co nor of, Haan h. Any chango or altwation of construction e► . and /or pr t- oom supply, only. Titer DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 AP'FLIC -ATI0N TO.aCONST.RU -CT-, A- ,*ATZR* ?ELL., /.. PCHD PERMIT #P)/- `fa WELL LOCATION Street Address Town/Village/City Tax Grid Number WELL OWNER Name Iles Schwartz Mailing Address 330 West 45th St., New York, NY MPrivate O Public USE OF WELL 1 - primary 2- secondary IM RESIDENTIAL 0 BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY O FARM O INSTITUTIONAL O AIR /COND /HEAT PUMP O TEST /OBSERVATION O STAND -BY 0 ABANDONED O OTHER (specify O AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 6 /EST. OF DAILY USAGE 600 1gal 11 REPLACE EXISTING SUPPLY ❑ TEST/ OBSERVATION ' 12-ADDITIONAL SUPPLY STEW SUPPLY NEW DWELLING 0 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING Provide potable water supply for new residence WELL TYPE ®DRILLED DRIVEN DDUG GRAVEL. 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES y NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:Yes, Foothill Estates West Filed Map No. 2477A, Date 6/20/90 Lot No. 7 WATER WELL CONTRACTOR: Name To Be Determined Address: `J PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY .:::. -., DISTANCE- •T0 PROPERTY.;_FROM NEAREST_.WATER- .MAIN:,- ,..._.." LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED _ I( [j]ON SEPARATE SHEET '/ P A nri l 21, 1995 AV (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 sygffi a manner as not to degrade or oTit se conta ' ate surface or groundwater. %e of Issue: �,�. l� l V11-11, Date of Expiration 1 19� Pe ssuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller ' PUT.N.Ul COUNTY DEPARTMENT OIL IIl:AL C11 . APPENDIX. K DIVISION OF ENVIRONMENTAL HEALTH SERVICES Re - -- . D a t Property of N 1 �-E�j �7 C+kw A4zT Z-. ��- - -- -- Located at 5weyvq- (5(CxpK_ L.br 5 (T) ?UCCNPWA \IM -EA- f Sec t i o n eA 131 o c k ( _I'0 f ®1 Subdivision of FooT -I• tt. b__ Ea;n �S \AJe5T Subdv. Lot /'/ • -7 Gentlemen: F i 1 c d INIa p // ZATI Ar Date This letter is to authorize Jop"i a duly licensed professional engineer 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 Cou.zity Department of Health, and to sign all .necessary papers on my behalf in connection with this matter and to supervise the construction of said . t' rtVtnor yi ets ° i y l tir 1 le 147, Education Law, the .Public Health .Law, and . the Putnam County Sani- !tary Code. i 'Very truly yours, S i g n e d__ - - - - -- Ovmcr of Pro rty 'Countersigned: Address Address —� Town � Telephone :Telephone Cr Q.r" BOG DEPARTMENT OF HEALTH Division of Environmental Health Services k ::. 110 OtD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 ��,� O ,.- .,;..,:,:a_�;: -•,... a��A�FI�ICATION. aq' l�'= CiiNH� 'Rt7'CT�'1�''Li� ^C+��Ls�T�_._ ba.���- :�.: ;:. _,. PCHD PERMIT WELL LOCATION Street Address Town/Village/City Tax Grid Number Sleepy Brook Lane Putnam Valle 84 -1-41, Subd. #7 WELL OWNER Name Mailing Address Niles Schwartz, 330 West 45th St., New York, NY 10 Private O Public USE OF WELL_ 1 - primary 2 - secondary X3 RESIDENTIAL OPUBLIC SUPPLY ❑AIR /COND /HEAT PUMP 0 BUSINESS 0 FARM O TEST /OBSERVATION 0 INDUSTRIAL []INSTITUTIONAL O STAND -BY DABANDONED ❑ OTHER (specifq Q AMOUNT OF USE YIELD SOUGHT _ gpm /# PEOPLE SERVED__ /EST. OF DAILY USAGE 600 gal REASON FOR DRILLING ❑ REPLACE EXISTING SUPPLY O TEST /OBSERVATION 16 ADDITIONAL SUPPLY 19 NEW SUPPLY NEW DWELLING) O DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE DRILLED 13 DRIVEN ODUG []GRAVEL. 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: yes. Foothill Estates West M Filed p No. 2477A, Date 6/20/90 Lot No. 7 ^ ;_WATER WELL CONTRACTOR: Name mn hp f3pt-prminpa Address: -IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY DISTANCE.,2TO •..PROPERTY ,FROM: NEAREST. ,WATER MAIN _ :`N /A : LOCATION SKETCH & SOURCES OF CONTAMI.NATION PROVIDED 13ON SEPARATE SHEET .71;1y 40, 1�'4_ 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 other s contaminate surface or groundwater. of Issue: 10 L 19_ Date of Expiration 19 qJ Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller F_ JOHN KMgLL Jr., RE, M.S. Public"Hecifh Director. DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 John Delano Badey & Watson US Route 9 Cold Spring, NY 10516 September 21, 1993 Re: Proposed SSDS: Schwartz Sleepy Brook Lane Subdivision Lot #7, TM #84 -01 -41 (T) Philipstowm 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." The- :pf--( aosed- wel;ir ors :loo_ t,.6• is wi th in 200_feet of the proposed SSDS ard:.must be shown on the plan. _ - ... ..�......... 2. An equal distribution system is required due to the 1% slope in the SSDS area. Upon Receipt of a submission, revised to reflect the above comments, this application will be considered further. Ver truly yours, A0 Robert Morris Assistant Public Health Engineer RM/j P SSDSProposed A APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET for CONSTRUCTION PERMITl� �ifE Of OF;Z -Y v�r STREET LOCATION BY TE TA: MAP DOCUMENTS. Y PERMIT APPLICATION Apc-I 2� WELL PERwr;ED PWS LETTER 71 ENGINEERS AUTHORIZATION DESIGN DATA SHEET(DDS) DEEP HOLE LOG �- CONSISTENT PERC RESULTS (3) PERC HOLE DEPTH CORPORATE RESOLUTION PLANS THREE SETS HOUSE PLANS - TWO SETS VARLAINCE REQUEST GENERAL 'LEGAL SUBDIVISION ' a-- SUBDIVISION APPROVAL CHECKED -PERC RATE_ = FILL REQUIRED '- �,,CURTAIN DRAIN REQUIRED =STANDPIPES 7,1-'X- APPROVAL SSDS ADJ. LOTS T/1,WETLAND (TOWN/DEC PERMIT R & D) :I�,DATA ON DDS PLANS & PERMIT SAME -� PRE -1969 - NEIGHBOR NOTIFIFIICATION WyLE=R BVZBA .100 XR,FLOOD ELEVATION RF.U`UIR-'D"DET-A•II '':P3-A_t�_I_S .SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE m GRAVITY FTAW D/ J BOX m TRENCH/GALLEY M P- PIT DETAILS UTJ SEPTIC TANK - SIZE, DETAIL WELL DETAIL, SERVICE LINE IF OVER CONSTRUCTION NOTES (GRINDER RATE) DESIGN DATA: PERC AND DEEP RESULTS TWO -FOOT CONTOURS EXISTING & PROPOSED W DRIVEWAY & SLOPES CUT LQ]] {FOOTING /GUIT'ER /CURTAIN DRAINS COMMENTS: 0 DISCHARGE (OK) PERC & DEEP HOLES LOCATED ,REPRESENTATIVE OF PRIMARY AND EXPANSION f.XP. AREA; SHOWN; GRAVITY FLOW, SUFF.SUE IF PUMPED PIT & D BOX SHOWN & DETAILED LJe1'HOUSE - NO. OF BEDROOMS CB -WELLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM PROPERTY METES & BOUNDS CL'f HOUSE SETBACK NECESSARY (TIGHT LOT) CL7 HOUSE SEWER - 1/4 7FT. 4"0; TYPE PIPE =1 NO BENDS; MAX. BENDS 45 IWCLEANOUT FILL SYSTEMS =CLAYBARRIER =I0 FT HORIZONTAL: SLOPE 3:1 TO GRADE = FILL SPECS =DEPTH GAUGES Q� FILL PROFILE & DIMENSIONS m VOLUME TRENCH MLF TRENCH PROVIDED =60 FT MAX M PARALLEL TO CONTOURS m100 0,6 EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN FIELDS M,10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL 20' TO FOUIVDAT A.LI:S' ED I00 TO WELL, 200' IN D.L.O.D.; 150' PITS - M 100 TO STREAM WATERCOURSE LAKE (NC- EXPAN) m 50' TO CATCH BASIN, 35' STORMDR4LN, PIPED WATER M 10' TO WATER LINE (PITS -20') M 50' INTERMITTENT DRAINAGE COURSE M 200 FT. RESERVOIR, ETC .M 150 FT. GALLEY SYSTEMS SEPTIC TANKS ED 10' FRONf FOUNDATION; 50' TO lVELL WELLS m 15' «TELL TO P QU� CGUMM DIN DINAMMM 017 M31 5F1 11r, +o c4 �?;t. ly Yf flCdIlB g78QO lea am , a PV 27 9s- Town of Putnam` Valle - _ . .. ;- -`• -0..�i�+��sif.G�M.�s +, ..- ��t+6. -. .i1' :Y.P .s-.. i. :Foot,hill Estates ,, i, a West�6 _84 O1 n 40 V= Niles Schwartz i r Dab ca flMt 10 112:195 h � , a 330 West 45th Sto•Apt Lobby"E NY, NY 10036 ^^te Subdivision Approved 6I20I90 24,77A Fee Enclosed Amnnnt. Maaftn gyp Residential IM A 1.182 Ac FM o* Do& tit t 4 Now 6 P 800 0� teal omxm m wD u+a� �' §y ,�, 41250 ypl y iIl(um''•flMt 400 LF of 2,4" wide absorption'trenc,. "'` Toga by To Be Determined Wo�:r Orly: I1Ca ,� � A X SVWDOW To Be Determined . L! 1 1 7_— L L ___ r IV G V 4 i . ^ o 1 roprosont that 1° am wholly and eomp10toly responsible for tho design and location of tho proposed systom(8)i 1) that the toporato ¢oar disposal system obovo doscribod Will be constructc9 as shown on. the appropod OmOnamont ther0 to and in accordanco With the standards, rules a reau sons o O Mm County Doportmcnt of. H'mkh; and that on co6npl6ti6n.thoe66f.6 "Cortifieoto of in Complionco "'sotiatoctory to tho Corrimisdonm Of HCORMAI1 W owbmittod to tiro Dcportmcr;rst, and a written guarantoo "�41_ bo iurnishod tho Mnor, his gsccosiwm hairs Or assbgns by tho buildea, that said buitdor will ptoco in goad gpwothn q. cOrhoii¢lon any part o9 Chid s�aag0 6iaposOl system during tho poriod of tiro (2) years Immcdlototy folb=laa thodato of tho Issas- of= of the oplxro�al of tho � Cortiticoto of Construction Complianco of tho original sysstem or any rappma tfx taco; 2) t¢la¢ the dvillcad welt dOE:olb 1 abonC Csill bo locatDo as eh=a on tho aDprovod plan and that old wolf will bo Installed in ateorda ion tho standards, rubs and rcgu ona of tho Putnam County Dopar¢mon¢ of kd bnh. Data May 3, ' 1996 Stanod P.E. X M.A. - Ad&= sa Liconso No aPPROVED FOR CONSTRUCTION: This approvateuO two you fr the date issu boon unless construction of tho building has bn undortotcon and is rovOCAblo for eau or may bo amondcd or modified whon eonsid" oy the 'missioner of Mcolth. Any change or altaation of construction ocOuiroa a nc mid Approvod for disposal of domestic Wh t nd /or ato Wator supply only. Rev. Mato � ®y Title 10/88 BADEY & WATSON Surveying and Engineering, P.C. Route 9 (914) 265-9217 739-3577 628-1800 FAX (914) '265-4428 1 TO: Putnam County Department of Health 4 Geneva Road Brewster, New York, 10509 cmiLs Date No. Description 3 5/3/96 Revised SSDS Plan 5/3/96 Revised Pen-nit These are transmitted: For your review. Remarks: Revised as per field meeting. Copy to: LETTER OF TRANSMITTAL Date: May 5, 1996 Job No:86-192 Re: Niles Schwartz S.S.D.S. Permit Revision PV-27-93 Sleepy Brook Lane Putnam Valley T.M. 84-01-40 We are sending you Via: Hand Attached Signed: Kurt Schollmeyer, P.E. 1 represerit-tlwt I am wholly an® tomplotoly i above doscribod.'will bo c,onstruod ct as ihown County ®epertmint 04 mao0t , and thtlt On fi.o ' oubmitrd„ t0 ttW - o®part1t10r1t alld _'0 'wr ocace in Qood ®porairlg.con®ition any sort 0M of tiro appr®ariit;, 04 2010 Cortiricoto of., WN be lorateo ai:cwzwl oa m approo� 6607i County ®aoartment of "With. Dote May 25 _ 1995 nsiblo4or,thodosipn , andlocation 94 tl►o propo sys4om(s)s 1) that the aparai4e ww - disposal stem e.approve® amentimont'Mo►ee to and in accordanca syith tho standords. rules a regulations o nanl pletion_tKarooP a � .,C*i.ficato o4 Coestructio.n Gomo.Hanco tatislactory to the Commissioner of Heelthu7ill guarantGcf'.edill bo'PUenistwd tlw Oarnp; his cuccas�s, Pootvsor aasipils_by the builder. tfl®4 eBld bufld3r x7010 i3� t9wago 'oispol syst ©m .duriee8 tho fznlad 64 tee (8) yeees livimodimtoly Pollosiiing QPNdut® of 4h6 Dsav- truction :Complbnce oP the original systom or. v'17' tiwoto: a) that tho drilled well dowebw ab000 root Mli W'0-0 grill i o instoilgC�. `in 6ceortl j .evlQ ho igondsrdt rum and 'UM.-Mot 'tAO Putman APPROVED FOR CONSTRUCTION this approval expiros tar oovocablo for cause or.' ay be amondoo.or rnoaiiied r✓hon con ramuiros a .� permit .iRi d'Po, disposal of domestic Rev. 10/88 "0 ®y _ -F iconso No��� -��, -, yapva'" the" data issuod unless construction of the buddiM Mo been undortadan and is dered es by the C issioner oP Mmitk Any mango or alteration of construction anitory ,and %or p water supply only. Yitp DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 .(914) 278 -6130 PCHD PERMIT # _PV- 30=993. WELL LOCATIONS Street Address Town/Village/City Tax Grid Number Putnam Valle 84 -1 -41 Subd. 47 WELL OWNER Name Niles Schwartz Mailing Address 330 West 45th Ste, New York, NY Wrivate D Public USE OF WELL 1 - primary 2 - secondary URESIDENTIAL 0 BUSINESS 0 INDUSTRIAL OPUBLIC SUPPLY OAIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION t)INSTITUTIONAL O STAND -BY 0ABANDONED O OTHER (specify O AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED /EST. OF DAILY USAGE 60Q gal 0 REPLACE EXISTING SUPPLY ❑ TEST /OBSERVATION GI ADDITIONAL SUPPLY W NEW SUPPLY NEW DWELLING 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING Provide ootable water supply for new rpsi6pnrp WELL TYPE ®DRILLED DRIVEN []DUG C] GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:yes, Foothill Estates West Filed Man No. .9477A, nai-p 6_90=9n Lot No. 7 Map WATER WELL CONTRACTOR: Name To be determined Address: 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 WA LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED (DON SEPARATE SHEET May 25, 1995 ' (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. 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 oth9rXise contami to surface or groundwater. i ,Je of Issue: 19 1 `/ Date of Expiration to 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 BAD E`4' & WATSON Surveying and (Engineering, F.C. Route 9 (914) 265 -9217 739 -3577 628 -1800 ]FAX (914) 265 -4428 TO: Putnam County Department of Health 4 Geneva Road Brewster NY 10509 We are sending you: Attached Via: Hand LETTER (DIF TRANSMffTTAIL Date: June 2, 1995 ob- No;--8&J92.07 _ �R.:* -.2 �=� .. .:,�'- -'_.s. ..F.rnm -- r2 ., t �:`s T. _ _�.,�v`c .+`-i •..wa:.T••_.t. .n Attention: Mr. Robert Morris, P.E. Re: Niles Schwartz SSDS Permit Sleepy Brook Lane Town of Putnam Valley TM# 84 -1 -41 Copies Date No. Description 1 5/25/95 Construction Permit SSDS 1 5/25/95 Construction Permit Well 3 5/5/95 Plan of Proposed SSDS These are transmitted: - For approval Remarks:N&nor revision of just re- issued permit. Copy to: Signed: Kurt Schollmeyer, P.E. OZ Co. 1. WOVEN TO FENC 2. FILTER WOVEN 1 24" AT ' 3. WHEN T ,EACH 0• SIX INCI• 4. MAINTEP AND MA' IN THE 5. EROSIOn PRIOR T( "PROVIDE PROPERTY LINE MARKER.~. :5.8 -'.~ EXTEND LATERALS TO 60 L.F. �' - - •' — T �e REMOVE EXISTING CURTAIN DRAIN. USING 8l ~ \ a ^- sr ... c.r e•i,. sa�s7 NATIVE MA ERRIAL. tc. z ..a , ..r.:.- � ? EXTEND CURTAIN DRAIN TO PROPERTY LII . c ' r� VERTICAL STAND PIPE (TYPICAL) •!� +�t o PROVIDE 400 L.F. OF FIELDS TOTAL 4. PROVIDE PROPERTY LINE MARKE W o Area= 1.182 Acres Scale : I °= 50' N v PP 0% j6 � cA 16 / T �e \ a ^- sr ... c.r e•i,. sa�s7 ,.y., >. _st•� tc. z ..a , ..r.:.- � ? //J PLAN ,6 Cleanout --i 4 " P. V C. Pipe 1500 Go/ PrecGst Conc. Septic Tank 4 "C. /.P - -ti y Frcme Dwelling — (Under Construction) Cleanoul J. DlStrl&tlbn Box Perforcled Pipes (Tvplcol) - So` /id Pipes (Typico /J O AS- 81-JIL T" OF SS L PREPARED FOR IVIL ES SCHWA R C/77/,l TT- iAl 774,C- 3- BUILT DN-DIMENSION,'S Septic Ton Clean - out',- Cleanout --i 4 " P. V C. Pipe 1500 Go/ PrecGst Conc. Septic Tank 4 "C. /.P - -ti y Frcme Dwelling — (Under Construction) Cleanoul J. DlStrl&tlbn Box Perforcled Pipes (Tvplcol) - So` /id Pipes (Typico /J O AS- 81-JIL T" OF SS L PREPARED FOR IVIL ES SCHWA R C/77/,l TT- iAl 774,C- -,z, 1 Q, W.O. No. 10040 AS- BUILT RELOCATION- DIMENSIONS A 1 13.6' Septic Tank B I 1.8 A 2 — 2,. F 8 2 --29.5 A 3 427 —Clean -out C 3 90.7l* It I A 4 77.7' C 4 113.0' .11 to A 5 73.51 Distribution Box C 5 106.4 11 1. A 6 112.6' End Lateral C 6 137.7' A 7. 10 1. 4' C 71 110.0' A 8 34.4' C 8 51.0' It It A 9 37.4' it It C 9 85.0 1. 1, U.S. Route 9 (914) 266-9217 Cold Spring, New York 10516 628-I800 737-3577 (914) 266-4428 (Fax)