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631- 589 -8100
84. -1 -43
BOX 33
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04332
ALLEN BEA1A M.D., J.D.
Commissioner of a tiY
ROBERT MORRIS, P.E.
pir -CCW of EnvironmmW Health
September 6, 2013
DEPARTMENT OF HEALTH
1 Geneva Road, BrewvsW1. New York 10509
Telephone: (845) 808 -1390; Fax: (845) 278 -7921
Linda & John Murphy
6 Sleepybrook Lane
Putnam Valley, NY 10579
Re: Addition — A- 099 -13
No Increase in Number of Bedrooms
6 Sleepybrook Lane
(T) Putnam Valley, T.M. 84.4-43
IVIARYEi.iFN ODP.LL
Comity fixative
Dear Mr. & Mrs. Murphy:
This Department has received and reviewed the plans for the proposed addition to the above
mentioned residence. The proposal for the addition has been approved as per plans bearing the
approval stamp from this Department dated September 6, 2013. The addition is approved with
the following conditions:
L. The total number of bedrooms must remain at five without prior approval by this
Department.
e` 8 of.' e,P t t' ....... a "rin ,
.:: ":.: _ ::.:�•: _:.,Tb.. i to sag se�ag. disposal system and -its expansion area i��rust be ^. --
maintained.
3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush
toilets, restrictors for shower heads and faucets, etc ...
4. The approval is for the modifications only and does not validate any construction shown
as existing that has not. obtained proper approvals from other agencies having
jurisdiction.
5. This approval is valid for two (2) years and expires on-September 6, 2015.
Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the
responsibility of the applicant.
If you have any questions, please contact me at (845) 808 -1390 ext. 43261.
Respectfully,
,24, N;�) , ��4
Gene D. Reed
Senior Engineering Aide
GDR:cw
cc: BI (T) Putnam Valley
.!
ALLEN BEALS, M.D., J.D.
Commissioner of Health
ROBERT MORRIS, P.E.
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845)' ®8 -1390
Fax A (845) 278 -792 -1 -
t'�
MARYELLEN OIDELL
County Executive
saes I
of �.
ADDITION APPLICA'T'ION RESIDENTIAL ONLY
�L�=f_��riPaD� L/1` TOWN `" ��7 /Il�flH V�t �( TAX MAP #
STREET .
NAME L��iV. I'9U��i�� �a�rh r /'��P�i /�Px ®NE -.��2 oo yS PCxID# X19 �C 3
MAILING
ADDRESS
(DESCRIPTION OF
ADDITION
31AIR4 Y ZZZ j� A
J20�� -
*NUMBER OF EXISTING BEDROOMS NUMBER OF PROPOSED NEW BEDROOMT_
* (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., 1 Geneva Rd,
._, "; - r:Brewste , NY' 10509, Phone::(845) 808' 1390:.
1. Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be
shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin
HA -1)
3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #)
* Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin
HA -1)
4. Copy of survey showing all well and septic locations on the subject property to the best
of your knowledge. Include date of installation known. Contact this office with any
questions.
5. Copy of Certificate of Occupancy from the Town or Certification from the Building
Department with legal bedroom count of dwelling.
OFFICE USE
COMMiENTS
ALLEN BEALS, M.D., J.D.
Commissioner of Health
_*ROBERT MORRIS.—P.E.—T .
Director of Environmental Health
MARYELLEN ODELL
County Executive
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
Town Legal Bedroom Count & Proposed Addition Status
Re: 1, ' "' �� V (Owner's Name)
Tax Map #.. 1 — `t3
Address:
fr
Town:
Year Built: Acl�
According to records maintained by the Town, the above noted dwelling,
is in compliance with Town Code.
Is not in compliance with Town Code.
The Legal Bedroom Count' ism+
This information has been obtained from:
Certificate of Occupancy:
The plans for the proposed addition are considered:
Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
Building Inspector Date
5.
GEOGRAPHIC /NDEX 488061 619947 — --
ttoges, 1no' 3:
Brook falls
t BROO,�(
LLO
_`o 0( /HD W
/ Y
/ Q 6 I,
/ ♦1
P7 3 1O
1250 GAL. PRECAST CONC. PUMP PIT Y' D1S7R18UTION BOX
4'P.V.C. 2 3
B ! '
1250 GAL. PRECAST CONC. SEPTIC TANK B 2" FORCE' MAIN
2
A OK*
p $tort
Owe om llm9
od oycn 4 "C.I.P. i 1
e We# '
AS —BUILT
RELOCATION— DIMENSIONS
Al
31.0'
SEPTIC TANK IN
B1
42.5'
SEPTIC TANK IN
A2
41.0'
SEPTIC TANK OUT
82
34.5'
SEPTIC TANK OUT
A3
124.7'
DISTRIBUTION BOX
B3
62.0'
DISTRIBUTION BOX
A4
127.4
1 START LATERAL
B4
65.3'
1 START LATERAL
AS
71.8'
1 START LATERAL
B5
49.9'
1 START LATERAL
A6
119.6'
1 END LATERAL
B6
1102.8-1
END LATERAL
A7
159.5'
END LATERAL
B7
112.0'
END LATERAL
AS
47.3'
PUMP PIT
B8
28.9'
PUMP PIT
',
1`
i
•S
I
rucuam county veparcmenz or 110ai"
)1vision of Environmental Health Service,
.pproved as noted for conformance a3th
.pplicable Rules and Regulations of'the
'utnam County He h Department.. .!
tsnatrxre
A. Title
"AS —SU /L T" OF S. S. D. S.
PREPARED FOR
LOT .NO. 9 OF FOOMLL Esm TES ;NEST
S77UA7F IN 7HE ti ;
TOWN OF PUTNAM VALLEY
-PUTNAM COUNTY
NEW YORK - -RR� I N T-r u
SCALE fin= 50ft. ✓UL Y 8, 1997 `
.:c
1.,
� .. . , ;- �-- �•-- •-- :.-•- sue.
PUTNAM COUNTY DEPARTMENT OF HEALTH. ,
e Rev 3/ Division of Environmental Health Services, Carmel, N.Y. 10512. tltl
\ Engineer Mast Provide 'JlL—.s.!'T
P.C.H.D. Permit q
CERT>i ICA OF_CONSTRVMON_ COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM i° V 1 N .A to
�� Town or Village .
Located at t. Q 1` L Tax Map_ -_LS _Bl0ek —
Owner/applicant Name �UOY.CAU s l�z1J Care e y��`� ! Su6dlvision Na`mm�eW� Sgbdv. Lot 0
Mailing Address 34-0 uit 44 "A API Lck�' � E OY Date Permit Issued bkh 7
Separate Sewerage System bulltby `J.ICASTt�iC Address 3CQL'A 5,&�j
Consisting of 1, 2S b Gallon Septic Tank and Cal 2- Ur OF Ain Co2Di'la?J ' X4
Water Supply: Public Supply From p 0 - Address
or: Private Supply Drilled by 0 AVC4r "int'� Address -0-1ILJ`CG2 iPst.
Building Type �, IO,-f M Art Has Erosion Control Been. Completed?
Number of Bedrooms Jr�' Has Garbage Grinder Been Installed?
Other Requirements SMW A &C tQ►T' y-01, l -O A,(% 5T0<LAbis ,. AL>n l 0- V t ttSy A L
I certify that the system(s) as listed serving the above premises were,constructed essentially as shown on the plans of the completed work ( copies
of which are attached), and in accordance with the standards, rules and requlati ns, in actor a witJ3 the filed plan, and the permit issued by the
Putnam County Department Of Health.
• Date
ma Certified by P.E x R.A.
Address
License No.
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. sewerage system shall become null and void as soon as a pub;,: sanitary sower 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 odifieation or change when, in the Judgment of the Commissioner LFfQ4RK� v tlon, modification or change is MeosUry.
Date —_G 22 Title �� /��
August 21, 1997
Sury y g and Engineenn ' P.C.
Route 9, Cold Spring, New York 10516 (914) 265.9217 739 -3577 628 -1800 GEORGE A. BADEY, L.S.
FAX (914) 265 -4428 GLENNON J. WATSON, L.S.
JOHN P. DELANO, P.E.
William Hedges
Putnam County Department of Health
4 Geneva Rd
Terravest Corp. Park
Brewester, NY 10509
Re: Brookfalls Development Corp. - Lot 9
Sleepy Brook Lane
Putnam Valley
Permit # PV- 34 - 93
Dear Mr. Hedges:
Our client has completed construction of the sewage disposal system for Lot 9 of the
Foothill Estates West Subdivision, TM 84 -1 -43. This system was designed to serve a
four bedroom residence based upon previous testing by this office.
We are of the understanding that the Department has taken the position that the dwelling
as constructed contains a total of five bedrooms. The fifth bedroom being the accessory
room above the garage.
This being the case we have conducted additional deep soil and percolation tests, which I
believe you have witnessed personally, that indicate that higher application rate may be
permitted.
Owners of the records and files of Hudson Valley Engineering Company, Inc.,
Reynolds and Chase, J. Wilbur Irish, Vincent Burruano and Douglas A. Merritt
Affiliated with Taconic Surveying and Engineering, P.C.
August 21, 1997 William Hedges Page 2
Original testing indicated the soil to be a silt loam with stabilized percolation rates of 9
and 24 minutes per inch. The resulting application rate 0.6 GPD /SF required no less than
667 LF of absorption trench be provided for a four bedroom residence.
Our re -test show the soil to consist of sand and gravel with a stabilized percolation rate of
1 minute per inch. This rate would allow an application rate of 1.0 GPD /SF. At this
faster rate a five bedroom residence would be require to have only 500 LF of absorption
trench.
As 672 LF of absorption trench have been installed for this system we are confident,
based on the latest tests, that the system can support a five bedroom residence. We
request the Departments permission to allow the existing 1,250 gallon septic tank to
remain and seek their approval of the entire system to service a five bedroom dwelling.
Yours truly,
BADEY & WATSON
Surveying & Engineering, P. C.
John P. Delano, P.E.
JPD/KS/kws
cc: File V: \86- 192B\BH21AG7L.SAM
BADEY & WATSON
SO1V
Surveying and Engineering P.C.
' YML E t� R NwIENzAL S'�RV I SES
2f �ea�- 5treg±
Yorktown Heights, I.Y. .10598
Albert H. Padovaoi, Director
LAD # 32.425697 CLIENT #: 5698 STET PROC PAGE i
FOOTHILLS HOME BUILDER DATE /TIME TAKEN: 02/20/97 02 ; t TOP
330 WEST 45TH ST DATE /TIME REC' D : 08/20/97 03 : 3 0P
NEW YORK, NY l0(--)38 REPORT DATE: 08/21/?7
'HONE: (212) -265 -8189
SAMPLING SITE: 6 SLEEP, BROOK RD. SAMPLE TYPE ..: PdTABLE
PRESERVATIVES: NONE
COL'D BY: DAVID SCHWARTZ TEMPERATURE... < 4C
NOTES...: TANK COLIFORt1 METH: NF
DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD
08/20/97 M T . .COL I FORM 4 ABSENT ``X 10: ML ABSENT
COMMENTS:
BACT THESE RESULTS INDICATE THAT THE WATER (!WAS) (WAS NOT) OF A
SATISFACTORY SANITARY QUALITY ACCOr ;DIN-. T HE NEW YORK STATE
AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS
TESTED, AT THE TIME OF COLLECTION.
SUBMITTED BY:
Albert . Padovani_, M.T.(ASCP)
Director
ELAP# 10323
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:
David Schwartz
Copies Date ' No. Description
LETTER OF TRANSMITTAL
Date:- .,August21,,;199T ;'v: r ....:.....
Job No: 86- 192.09
Re: Brookfalls Development Corp.
Sent By:
❑ US Mail
❑ UPS
❑ UPS Overnight
❑ Fed Ex
❑ Messenger
® Pick -Up
1 Certificate of Construction Compliance
3 Guarantee of Subsurface Sewage Disposal System
1 Certificate of Construction
1 8/21/97 Letter to William Hedges
1 Design Data Sheet
4 7/8/97 "As- Built" of SSDS prepared for Lot No.9 of Foothill Estates.
Remarks:
Signed: John P. Delano, P.E. hls
Copy to: file
PUrNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ,ENVIRONMENT HEALTH SERVICES
C�r�p 84 l X13
Owner or Purchaser of Building Section Block 'Lot
�5AA►1.
Building Constructed by
Location - Street �f
�i/UAM
Municipality
'Q,E� (��NT(A i
Building Type
FCOT 41 ATz---s l��sti
Subdivision Name�j
6
Subdivision Lot #
GUARAWEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM
I represent that I am wholly and completely responsible for the location;
workmanship, material, construction and drainage of the sewage disposal system
serving the above described property, and that it has been constructed as shorn 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
����tifica'�c =:�% C-Ur }ruction Co�mpll.ance ". for. the SE,-,aagP disposal systamn, 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 utilizing
the system.
The undersigned further agrees to accept as conclusive the determination of
the Director of the Division of Environmental Health Services of the Putnam County
Department of Health as to whether or not the failure of the system to operate was
caused by the willful or negligent act of the occupant of the building utilizing
the system.
Dated this day of 19 Signature
Title
General Contractor (Own - Signature
Q0r)0
Corporation Name (if Corp.)
Ad
Address
lue'w '''o21L /0036
rev. 9/85
mk
Corporation Name (if Corp.)
Address
2 PUIMM aXM Y DEPAxc"'I laL T ' OF HEALTIJ
• ��' �J - / DIVISION OF HEALTH SERVICES
DES GN DATA SHM- SUBSUFAU SSgPLE DISPOSAL SYSTEM FILE. U).
Owpes QiX7 K� .s. l,�,s v. Cori Address .53�v✓ 1H"
Located at (street) . St, EP��R LAAJ0_ sec- R4 Block I Lot '
(indicate nearest cross street)
r=icipality -R-n Je.M \IALLE Watershed W0veOP
SOIL PERCCUMCN
DATA REQUIRED -TO BE SUBMITTED WITH APPLICATIONS
Date of Pre-- Soaking
Date of Percolation Test 1,91 %� 7
SOLE
NUMM C%OC'R TDE.
PERCOLATION
PERCOLATION
Run Elapse
Depth
to Water Fran
Water Level
No. Time
Ground Surface
In Inches ' Soil Rate
Staxt -Stop Min.
Start
Stop
Drop In Min /In Drop.
Inches
._ Inches
Inches
-� -a ;a 3 .32�
2�
3
2 a:cZ)5 - a'08 3
Zq
3 a -0e� 'a:
5
�..2.
3
4 -
5
' 1
2
3
M5: r `
•� `� _.a .gig: �.. � .
r. 4`
:Tests' to- be. repeated: at same depth .until. approximately equal soil. rates
are. obtainx l at each percolation test hole. All data .tc' be submi.tt0d
;
for review.
2_ Depth rrnasurcments to be made fray top of hole.
rev. 9/85
TEST PIT DATA RCQ(TIRM- '0 BL SUMITI'ED WITH APPLICATION
DESCRIPTION OF SOIIS 04COUNA= IN TEST !MOLES
Da-11U HOLE, N0. i HOLE �k?. 2 Holz., ? '>
3' Gr(LA y E 'TPSG� `10 0010 c- %%Jj-
5'
61 tv
7' �Ar•s'� S A0 o
8' AM 0 A�N�
C -mac._ G- 2�:VC(.
10 m 10
12'
13'
14'
t.
- .. GROO NCqTER I$ E_ WWOUN_ �-O �
C.. _....
INDICATE• LEVEL To WHICH WAI LEVEL RISES AFTER BEING ENCOUNTERED
DEEP MOLE OBSERVATIONS MADE BY:'Rj, ApC-Y HIV d�.G. DATE: 7/5 7____
DESIGN
Soil Kato, Used Q ' 7 Min /1" Drop: S. D. Usable Area Provided
No. of Bedrocros Septic Tank Capacity 125 y _gals . rlype CcWC
Absorption Area Provided By L.F. x 24" width trench
Other Q.) ./) �, rz et Pi-r "JI 1 Deg -e s - DI.a &° A0101 o - V t Ss O
Name \0 E r Signature
Address C 0 S P 2l W i SEAL
e
-LUIS 5FAC.:Y; 11T4K USr: bx li.L•'aul:d UZI: 1P1C;LYJ: UL ux : '
Soil Rate Approved
• ... 9�d6ocuu�+a��•-
sq -ft /gal. Checked by Date
Aol
WbLL I:UP1rLt11UV MZrVA1
Q, DEPARTMENT OF HEALTH
Division.- Of Emiroramer�tal,; .SerYices -
��'W PUTNAM COUNTY DEPARTMENT OF HEALTH
Office Use Only
-
WELL LOCATION
SiREEi URE S: l0WNjWU4u&1GIIy TAX GRIO NUMBER:
WELL OWNER
E' o ''`
33a k/
® P81VATE
O PUBLIC
USE'OF WELL
1- primary
2 - secondary
® RESIDENTIAL O PUBLIC UPPLY ❑ Al /COND./HEAT PUMP O ABANDONED
❑ BUSINESS O FARM O TEST /OBSERVATION ❑ OTHER (specify)
❑ INDUSTRIAL O INSTITUTIONAL ❑ STAND -8Y ❑
MOUNT OF USE
YIELD SOUGHT � gpm. /N0. PEOPLE SERVED —j EST. OF DAILY USAGE gal.
REASON FOR
ORILLING
[]REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION []ADDITIONAL SUPPLY
ISNEW SUPPLY (NEW DWELLING) [❑ DEEPEN EXISTING WELL
DEPTH DATA
WELL DEPTH ft.
STATIC WATER LEVEL _2'f Lftj
DATE MEASURED
DRILLING
EQUIPMENT
7 ROTARY ❑ COMPRESSED AIR PERCUSSION . ❑ DUG
O WELL POINT O CABLE PERCUSSION O OTHER (specify):
WELL TYPE
O SCREENED O OPEN END CASING 0 OPEN HOLE IN BEDROCK O OTHER
CASING
DETAILS
TOTAL LENGTH Z 90 ft.
MATERIALS: aSTEEL O PLASTIC O OTHER
LENGTH BELOW GRADE 8'2-'�'�_
JOINTS: ❑ WELDED &THREADED ❑ OTHER
DIAMETER G " in.
SEAL: KFCEMENT GROUT ❑ BENTONITE O OTHER
WEIGHT
PER FOOT Ib. /ft.
DRIVE SHOE YES ❑ NO
LINER: G YES . 0 NO
SCREEN
DETAILS
DIAMETER (in)
'SLOT SIZE
LENGTH (It)
DEPTH TO SCREEN (ft)
DEVELOPED?
FIRST
❑ YES O Na ,
— HOURS- :..:.. w
SECOND
--
: _ : _:_._ _. __ „_..__
GRAVEL PACK
O YES
❑ NO
GRAVEL
SIZE:
DIAMETER
OF PACK in.
TOP
DEPTH ft.
BOTTOM
I DEPTH ft.
WELL YIELD TEST It detailed pumping
METHOD: O PUMPED tests were done is in-
-t!60MPRESSED AIR , formation attached?
O BAILED ❑ OTHER ;DYES ONO
WELL LOG )f more detailed formation descriptions or sieve analyses
are available, please attach.
DEPTH FROM
SURFACE
I water
Bear-
Iny
well
Dia-
neter
FORMATION DESCRIPTION
CODE
ft,
ft
WELL DEPTH
It.
DURATION
hr, min.
DRAWOOWN
It.
YIELD .
gpm.
Lan,ace
zfV
b
�
O
4—
J1�
WATER JZCLEAR TEMP.
QUAUTY O CLOUDY HARDNESS
O COLORED ANALYZED? OYES ONO
ANALYSIS ATTACHED? O YES ONO
STORAGE TANK: TYPE If6
CAPACITY / Zb GAI,.
PUMP INFORMA ?ION ��
TYPE CAPACITY
MAKER ,' DEPTH b
MODEL �S YOLTAGFr7/. HP3
WELL DRILLWWAM E DATE l
ADDRESS slGfnfTURE
yJ -
J /tty los-71
e
YML QjQpNMENZAL yRVICES
eat- �tr�� ti.
Yorktown Heights, I.Y. 10598
SAMPLING SITE:. 6 SLEEP, BROOK RD. SAMPLE TYPE..: POTABLE
PRESERVATIVES: NONE
CC'.L ' D BY: DAVID SCHWARTZ TEMPERATURE—: N 4C
NOTES...: TANK COL I ORN METH: NF
DATE FLAG PROCEDURE RESULT NORMAL --RANGE METHOD
09/20/97 MF T. r'SL I F ORI:1 ;` ABSENTJ100 ML ABSENT
COMMENTS:
:
BACT THESE RESULTS INDICATE THRT THE WATER (WAS lAS (WRS NOT) OF R
SATISFACTORY SANITARY QUALITY ACCORD I N�. T HE NEW YORK STATE
AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS
TESTED, AT THE TIME OF COLLECTION.
f
SUBMITTED BY:
Albert Padovani, M.T.(ASCP)
Director
ELAP# 10323
r-:•:�Albert
:� .� (�_, �,� 2���a:�tt,, I ;b._ `[' .s T ^f.+ •Fl•,�...4+3 lAai 5 ::t: : . -• ns_
'Padovahi,
H. Director
LAB
NNNNM1NNNM1NNN
#: 32.425697
CLIENT
kN NNNNNN NM1 NNN.
#: 5698 STAT PROC PAGE i
NNM1N NNNNN NNNM1•NNNkNNNNNNNNNNNNNNN NNNN.VN NNNNNN ----
FOOTHILLS
HOME BUILDER
DATE /TIME TAKEN: 08/20/97 02:00P
.330
WEST
45TH ST
DATE /TIME REC ' D : 08/20/97 03:30P
NEW
YORK,
NY 10036 if i36
REPORT DATE: 08/21/97
PHONE: (212) - 265 -8189
SAMPLING SITE:. 6 SLEEP, BROOK RD. SAMPLE TYPE..: POTABLE
PRESERVATIVES: NONE
CC'.L ' D BY: DAVID SCHWARTZ TEMPERATURE—: N 4C
NOTES...: TANK COL I ORN METH: NF
DATE FLAG PROCEDURE RESULT NORMAL --RANGE METHOD
09/20/97 MF T. r'SL I F ORI:1 ;` ABSENTJ100 ML ABSENT
COMMENTS:
:
BACT THESE RESULTS INDICATE THRT THE WATER (WAS lAS (WRS NOT) OF R
SATISFACTORY SANITARY QUALITY ACCORD I N�. T HE NEW YORK STATE
AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS
TESTED, AT THE TIME OF COLLECTION.
f
SUBMITTED BY:
Albert Padovani, M.T.(ASCP)
Director
ELAP# 10323
PUTNAM C`0UNTT DZPAZTIAIW2=�'�:,
am CknUCCATE OF COMPUANCE
MIT FOR =WAGE DEPOSAL 5TftZM
U -f
t S c- j5;7 j2,_- a c>c, j(_ 0 74M or YI®IIAe
Xis P
RenewWL—k
0.w/AWffi,@MN,=:1 gec, V_ WALLS -Cle V. Co 4.�6 .
Daft of Pmvim Appovad
M.gb, Ad&,m 33C> WL
45 OY PY no 100,:3 L
ApT, LL Town
patp. Subdivision AT) Ned 1 7-4 7j Fee E, nclosed 13 Amniirit-
N&ft Typ A--)T# AI` — W Am FM seca., o* LJ Dpa Valame
N=bw off Belfroonti- 4, Doolp Flow 6 P D OCHD . 'Notfflci " I 1iReqdred When F911s'ws*W
Co -7 2- F in r -A -0, -Tv rroc.Q
Soll?mab,Svwuvp Syden to cs=M off Septic Took and
Tobeceinhudedby -LO SIFF- Address
Addn
Wabirsup*- Pdft SW* rveliAdder
an . SW* Didled by 6 pe-h;r jc?-m
i represent1hat-I &In wholly and completely responsible for the design and. location. of..the .proposed system(s). 1) that--the -separate .sew *_di!gl s stem
1
above described will be constructed as shown on the approved amendment there" to and in accordance with the standards. rules a;W requMfons 0 ream
county Department, of Health, and that An completion thereof e "Certificate. of Construction Compliance" Isatisfactory to the commissioner of Hutthwill
be submitted to the Dapertment. and'i written guarantee will be furnished, the owiter.'his successors. heirs or anions by the builder, that said builder will
Dim in good operating' condition any part of said sawage disposal system during . the period of two.(2) �Years immediately following the date of the Issu-
on" of the approve! of ter —Certificate of Construction tomoiinco of the original 'System or nY repairs thereto; 2) that the drilled well described above
will be located is shown on the approved plan and that mid well will be Instal requSTrohsof the Putnam
county Depertment i , it ""it".
Date Signed P.E. R.A.
APPROVED FOR CONSTRUCTION: This approval.ftpkes two vows. froth.the data in"A'"less construction of the building .Ms been undertaken and IS
rev if modified wthin =Cn
ocable for c4un or may 6 intended consiil�, ry by thi Isslon4► of Hikh. Any change or alteration of construction
requires a Approv for disposal of domestic senji, and /w t Water supply only.
Re V . By
Title
10/88 Data
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road, Brewster, New.York 10509
(914) 278 -6130
WELLL
^ PCHD PERMIT
WELL LOCATION
a Street Add..//r��ess
J ..
l■ A Town/Village/City fAJ, A Tax Grid Number
` Cif -+ L) - V N S4-1-A3
WELL OWNER
Name
Q� AL
Mailing Address
EV. o- 3 � . - TH
rivate
O Public
USE OF WELL
1 - primary
2- secondary
RESIDENTIAL
b BUSINESS
0 INDUSTRIAL
0 PUBLIC SUPPLY 0 AIR /COND /HEAT PUMP
O FARM O TEST /OBSERVATION
0 INSTITUTIONAL O STAND -BY
O ABANDONED
0 OTHER (specify
io
ANOUNT OF USE
YIELD SOUGHT j gpm/ # PEOPLE SERVED/EST. OF DAILY USAGE &04&1
O REPLACE EXISTING SUPPLY O TEST/ OBSERVATION 12- ADDITIONAL SUPPLY
2QEW SUPPLY NEW DWELLING O DEEPEN EXISTING WELL
REASON FOR
DRILLING
DETAILED
REASON FOR
DRILLING
--
tLOO iZ zlik
i d0-.vG"-
WELL 'TYPE
DRILLED
ODRIVEN ODUG OGRAVEL
OOTHER
IS TELL SITE SUBJECT TO FLOODING? YES i�. NO
IF TELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: F00to i Qk L_L G<—1 L"JG S? _
Lot No.
MATER WELL CONTRACTOR: Name- A40.0 E;[2 Address:
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO
NAME OF PUBLIC WATER SUPPLY: ��,� TOWN /VIL /CITY
DISTANCE- TO.PROPERTY.FROM.NEAREST WATER MAIN_:
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
SON SEPARATE SHEET
(date
.V
. " ��_ q (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 dril 1 g operations be contained on this
property and in such a manner as not to degrade or 0th w e con urinate surface or groundwater.
Date of Issue: 191
Date of Expiration ,�. 19 Issuing Official
Permit is Non - Transferrable White copy: HD File Pink copy: Owner
3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller
B,A.DEY & WATSON
Surveying and Engineering, P.0
Route 9
Spring; NY10516
(914) 265 -9217 739 -3577 628 -1800
FAX (914) 265 -4428
To:
Robert Morris, P.E.
Putnam County Department of Health
Geneva Road
Brewster, New York
Copies Date No. Description
LETTER OF TRANSMITTAL
Date: January 24, 1997
Job No: 86 =19z
Re: Brookfalls Development Corp.
SSDS Renewals Lots 8 &9
Sent By:
® US Mail
>( UPS
❑ UPS Overnight
❑ Fed Ex
❑ Messenger
❑ Pick -Up
1
1/14/97
SSDS Application Lot 8
1
1/14/97
Well Application Lot 8
1
1/14/97
SSDS Application Lot 9
1
1/14/97
Well Application Lot 9
3
1/14/97'
SSDS Construction Plan Lot 8
3
1/14/97
SSDS Construction Plan Lot 9
Remarks:
Signed: Kurt Schollmeyer
Copy to:
JAN -14 -1997 14 :24 FROM BADEY & WATSON, P.C. TO 12125514334 P.03
I''UTNAM COUNT "T 1)SPAX MI ;N'r OIL il1;AI ;Uli
APIA NDI:X .X
DIVx5XON OF ENVYRONMEN'SAI, HEALTH SERVICES
�y?- . .�Y .Yi�•1',.�...T .. q;....:..:�ajp:•�,:r� -i' �- .Tr:.. � -- �- {��:: -in... ., '.. �:�:. .. .. n:.i-- :_:,.. v.Yri •i i,�'.__ .�.• .�P� +�.Pi' .�o'�:.:.:.^ _ w`_. =i- Qs'+= b^�� - = %.�
DatCAaaa� zt�t' lQ Icli rl i
'Fie . Propoz-•ty of > gVo)(.
Located at_ LC- !r- "_ tZoCO V_ L/a,i�.)
A�v, �, Sec tiozx '04 'Block _ Lo t
Stzbdivis:i.o» of: 17C�C>T KILL C=5TA$--„YV-�,
Subdv, Lot 2 Filea mop GIZdLQU-
Gentleman:
This lc'ttcz is t•o' au'thorize.�3G�nJJ� ��=Il.ANO ?�. t•- -
a duly licensed professional engineer�`ox
(Indicate)
to apply for a Conztruction Permit for a separate savaSo system, to
.serve the above ;7otcci property in aacoraance ,with the standards, :rules'
oz regulata_ozS as pro;Ijulago ted by the Conullissiozier oi• f he Putnam Cov.:xty
�.-Department of 1Ira,1, t11 a�z4 'to siga-k all .necessary p -xpers on my behalf in
connL tion with matter and to Supervise the co•n•.4t uction of said
systc,i) or systcros ill C011forn:i'ty' with the provisions of Al. ;ti.cica 1! }5 or
�tt7 uca �i uaa I:r:�ti,� t;la,e .�3ub� i c Iie'a l :CZ� .L: S^, and. the Ptifli,�;i "ti �auxity S�irri'�
;tary Codc.
Very truly your.,
I '
• Si.�ned _- _ __ _
01mor of Property .� .
;CO�dI1tCr51$17CCI: _
-soo
Address
Town
' Telephone
�._ sTeaeplione
jAN-14-1997 14:23 FROM BADEY & WATSON, P.C. TO 12125814334 P.02
FuTNAx couny DEPARTMENT OF HEALTH
Division of Enviromnenta - 1. Health Services
AFFEVDIX L
AFFIDAVIT CORPORATE.OWNER APPLICATION
FOR .?E&4LT APPLICAT ' LON SUB61111TED TO
PUTNAM COUNTY HEALVI DEPARTMENT
TO: Commissioner of Health
In the matter of application for:
I, A ► r:5 S C.L t Y'/ �2: Z
represent that I 4m an officer or employee of the corporation and am authorized
to act for _E>VZV01/_'T;:ALLS _DF_0=— L CD .1jr
(Name bf Corporiation)
having offices at 33Z> AS T4-/ S(: 4)'?
y
Whose officers are;
UiL-cg
looafw
.President:
•ame and
Address)
Vice - President:
(Name aud
Address)
Secretary:
(Name and
Address)
Treasurer;
and that I am and will be individually
responsible for
any and all act$
of the
corporation with respcct to the approval requested and
all siubseqvent is re atin.g.
thereto.
�
Sworn to before me this day
Signed:
of. I 9_L�
Title;
No,cary rubLIC
n
U�
8/84
-00ZD0C2_te S144L
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
FINAL SITE INSPECTION
Date'—
Street Location��i
Town V .
TMr
1. Sewage System Area
a. STS area located as per approved plans ...........................
b. Fill section - date of placement
3:1 barrier Lgth. Width Avg.Dpth
c. Natural soil not stripped ................... ...............................
d. Stone, brush, etc., greater than 15' from STS area..........
e. 100'. from water course / wetlands ...... ...............................
II. Sewage System
a. Sep-tic tank size -1,000 ....... .........other ................
b. Septic tank installed level ................ ...............................
c. 10' minimum from foundation .......... ......... .......................
d. Distribution Box
1. All out ets at same elevation -water tested .................
2. Protected below frost .................. ...............................
3. Minimum 2 ft.Original soil between box & trenches
e. Junction Box - properly set ........... ...............................
f. renc es
engt required �� Length installed Q
2. Distance to watercourse measured $— Ft 14j.-a..
3. Installed according to plan ......... ...............................
4. Slope of trench acceptable 1/16 -1/32" /foot .............
5. 10 ft. from property line - 20 ft.- foundations.......:..
6. Depth of trench <30 inches from surface ..................
7. Room allowed for expansion, 100% .........................
8., Size of gravel 3/4 - 1' /z" diameter clerri ...............::...
- -9. Depth of gravel in trench 12" minimum ..................
10. Pipe ends capped ........................ ...............................
g. Pump or Dosed Systems
Size ot pump chamber ................ ...............................
2. Overflow tank ............................. ...............................
3. Alarm, visual / audio ...... :............................................
4. Pump easily accessible, manhole to grade .................
5. First box baffled .......................... ...............................
6. Cycle witnessed by H.D.estimated flow /cycle...........
III. HouseB.luild"in�
a. House located per approved plans.............. ...............
b. Number of bedrooms ...... ............................... .............
IV. Well
a. Nell located as per approved plans . ...............................
b. Distance from STS area measured ft ...........
c. Casing 18" above grade ...................
..............................
d. Surface drainage around well acceptable .......................
V. Overall Workmanship
a. Boxes properly grouted ................... ...............................
b. All pipes partially backfilled ........... ...............................
c. All pipes flush with inside of box ... ...............................
d. Backfill material contains stones <4" diameter ......... :....
e. Curtain drain & standpipes installed according to plan..
f. Curtain drain outfall protected & dir.to exist watercourse
g. Footing drains discharge away from STS area ...............
Surface water protection adequate ... ...............................
/ Ins ected by:
y t
Owner ei"
Permit 3
Subdivision Lot #.
- .. -m-, -. r „+n...- *.,nr• - c�:.-cr — r —�^.-..�v -s '�w 4 z � -y�+� - -- '- -4- -"r -
:< ?r+
t �� �W- Ali di�lili II$!All i OF lSaALi�' s
.:G' t 'D�. �t ��ti�rhl BrMr'S�e�k•s: Qkr1. N Y 1A;91 �, �R b ����!, '2�
�r�a•n�
t
�.S�IYA� DIS<OSsfI:'S!SlSSI[ '
T
Town of Putnam .
_ teadsdas � eepy. Brook Lane .� ,vvas,
P p s ey
lii�iltlN 11ra .. Fth i 1 1 F�tatp4:: W ._Lat f 43
q.,�riA�tr..• Niles Schwartz o
ii Date of Piew `Appewd
'Aw. 330 West 45th;St. LAY
iNdbe
A Y
t Lob `E - rotr. New York. N� � . �10036.�
Date Subdivisidil Aonrbved .6/20/90 42417A Fee Enclosed .yAmn„•nt $300.00
Residers
Si et" SwaAa S to c
To be e atieeftd I
- -1;raWi
re Std Ftana' '
X >o�t..�'a�.a:e' to be determinea6l.�..
.' County Op�rt�Ifetl
i
AOHAOVEO FOR I
rwoNOle for cause
fe0uks a now
ev '^
11./88 oete
d' „F1eisfk 010'1114t on coeipk+tk�e the►iof a t:ertifkate ;or Construction CompNatna' satiffaetory to the Commiatorw of MaaKhwtll
> AnNnt,'xan0 a• writtan yWrMtN. will 0e furnished tM owner' his M tlNpW 010M,will ssga , tl
t0 "aoildalon eny.Oat of seW fw"e dhgofsl_ °syst�nY sturirM;tli - perb0`of, two (2j years NmnWlately following tMastta of'tAe IYU-
of. the Certificate or Construction Compllanu'of the 641inal ,system or repairs theretoa2) that the'drillsid well dafCrltlad' a6oue
to tM ao/irowe pYn arM that s• W wN1 will t►o Instal I-,-, accorW A M,. it res, ruNS ahu rNTeifons f • ,th Putnam
i,, 1993" v E: - R.A:
BADEY .Route 9 Cold .'S tin ,``NY ,n,,,, 62505
Addr
ltiTAwT10N1 Thk a0proval oupNes two s fioni tM Aate IssuW unkis :Construction of, tM puIloinli .*.peen and ►taken and Is
hay a afn swee or inodttNd when eon necessary'ti t Commissioner of H alth. Any eMnilo or� alteration of construction
f/yA'O'poee/ for dltposal of aonwstk i K y, away. private water sup0hr only.
L7 J
le
Title
DEPARTMENT OF HEALTH,
Division of Environmental Health Services
110 OLD ROUTE SIX CENTER,.,CARMEL, N.Y. 10512 (914) 225 -0310
APPLICATION TO CONSTRUCT A WATER WELL
PCHD PERMIT #
LL LOCATION
Street Address Town/Village/City Tax Grid Number
Sleepy Brook Lane, Putnam Valley 84- 01 -43, Subd. # 9
-WELL OWNER
Name Mailing Address Private
Niles Schwartz 330 West 45th St. Apt. Lobby E, NY ®Public
USE OF WELL
1 - primary
2 - secondary
C;RESIDENTIAL
® BUSINESS
00 INDUSTRIAL
0PUBLIC SUPPLY QAIR /COND /HEAT PUMP 0ABANDONED
0 FARM 0 TEST /OBSERVATION 0 OTHER (specify
O INSTITUTIONAL 0 STAND -BY
AMOUNT OF USE
YIELD SOUGHT 5 gpm /# PEOPLE SERVED 6 /EST. OF DAILY USAGE 600 mail
0 REPLACE EXISTING SUPPLY 0 TEST /OBSERVATION 0 ADDITIONAL SUPPLY
UNEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL
Provide gotable water supRly for new residence
REASON FOR
DRILLING
DETAILED
REASON FOR
DRILLING
WELL TYPE
®DRILLED
®DRIVEN
®DUG
LJGRAVEL
®
OTHER
IS TELL SITE SUBJECT TO FLOODING? YES X NO
IF TELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Foothill Estates West
Filed Map No. 2477A, Dated 6/20/90 Lot No. 9
TIATER WELL CONTRACTOR: Name To be determined Address:
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES __K __NO
NME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY
., _... DISTANCE TO PROPERTY ' FROM NEAREST-WATER-AMAIN..
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
®ON SEPARATE SHEET
JuIY30, 1993 - P.
(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�> (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'a11 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
--operty and in such as not to degrade or oth ise cont inate surface or groundwater.
_..te of Issue: GJ ZL 19 � 3 �.
Date of Expiration /1/2t 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
BADEY & WATSON
Surveying and Engineering, P.C.
Route 9
COLD SPRING, N.Y., 10516
(914).26514217 - -73%-3577 - -6M
FAX (014) 265442s
TO —Putnam County Department of Health
4 Geneva Road, Route 312
Barewster, NY 10509
[LIEUTE12 @IF UMM6900MU
DATE
JOB NO.
NO.
Robert Morris
1
RE:
Schwartz SSDS Permits
2
SleeDy Brook Lane
1
Town of Putnam Vallevi
2
Subd. Lots 8 & 9 I I
1
❑ Return —corrected prints
2
Design Data Sheets
1
> WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via U.S. Mail the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES
DATE
NO.
DESCRIPTION
1
7-30-93
2
Construction Permits SSDS
1
❑ Submit copies for distribution
2
Application Forms PC-1
1
❑ Return —corrected prints
2
Design Data Sheets
1
8-6-93
2
Letters of Authorization
1
7-30-93
2
Construction Permits Well
1
.8-18-93
-2
Check for $300.00
2
2
House Plans
4
7-30-93
1 2.
jProposed SSDS Plans
TRANSIVII ',rED- as ciletkod- below'
❑
For approval
0 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
0—
❑
FOR BIDS DUE
19-0
PRINTS RETURNED AFTER LOAN TO US
REMARKS
I
COPY TO
0 40% Pro-Consumer Content - 10% Post-Consumer Content SIGNED: Kurt Schoillmeyer
PROMM240 ®1nr.Grftjbm0j47j. It enclosures are not as noted, kindly notify us at once.
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Dateo August 6, 1993
RE: Property ofo Niles Schwartz
Located at: Sleepy Brook Lane
T /Oo Putnam Valley Section 84 Block 01 Lot 43
Subdivision Of: Foothill Estates West
Subd. Lot No. 9 Filed Map No. 2477A Date 6 -20 -90
Gentlemeno
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 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
- ..:... of •
said syst systems in .co formity with .,..the provisions . of
em..o�.. s.
. .. .-..a �. s -. �._ w . wrow r+.- v. ..--. .. v . w .. .. .e .. v • Y' K t ... .. . r.. ... .. .. • �._ w . wrti.s .. ... .� . 4 . r . ....•A _. v w .I•f
Article 145 or 147, Education Law, the Public Health Law, and the
Putnam County Sanitary Code.
BADEY & WATSON,
Surveying & Engineeing, P.C.
xxa P'/ ak�04 P,-r-,
by ohn P. Delano, P.E.
NYS Lic. No. 62505
U.S. Route 9
Cold Spring, N.Y. 10516
(914) 265 -9217
Very truly yours,
Signed
Owner of roperty
330 West 45th Street
Apt. Lobby E
New York, New York 10036
Address
(212) 265 -8189
Telephone
C66f. �,
P U T NAM COUNTY .D E PART M E N T
OF HEALTH t
APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM
1
- -- : Name`'Wd Address of Appl`i'cant :'
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. �4ddress; BADEY & WATSON,
urveying Englheering, T,-.C.
U.S. Route 9, Cold Spring, NY
License Number: 62505 Phone: (914). 265 -9
6. T e of Project:
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 Status (Check One) Type I. Exempt
Type II. X Unlisted
8. Is -a Draft Environmental Impact Statement (DEIS) required? ............. No
Has DEIS been completed 4end found acceptable by Lead A ,?••........... N/A
10. Name of Lead Agency N/A
11. Is this project in an area under the control of local planning, zon-ing,.
or other officials, ordinances? ............................................ Yes
12. 1f so, `Have `pi ans�" been s`u�im`i =Ct`ed � to. such a6th6*0t'i d'S? '.:.:::...... `
13. Has preliminary approval been granted by such authorities? NIA Date Granted: N/A
14. Type o1F Se. a 'ge Dis p osaI� $ystern Discharge...... S'u'rface Water X Ground Waters
.,ew
15. If .surface water discharge, what is the stream class designation ?........ N/A
1.6. Waters index number (surface) ............. N/A
17. Is project located near a public water supply system? No
18. If yes, name of water supply N/A ' Distance to water su 1 N/A
19, Is project site near a public sewage collection or disposal system ?.....
1 ?0. Name of sewage system N/A
)ate observed:
pp y
No
Distance to sewage system N/A
23. Name of Health Inspector: Michael J. Budzinski
I?� roject design flow (gallons per day) ...... ...............................
M
FU'TNAM COUNTX 17EPARTMENT OF HEALTH
APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM
.Name and 1Address' oVAppl i cant.
330 West 45th St., Apt. Lobby E
New York, NY 10036
Niles Schwartz Putnam Valley
2. Name of Project: 3. Location T /�:` .
John P. Delano BADEY & WATSON,
4. Project Engineer: 5. Address;
Surveying & Eng!fteertng,'_P_.C.
U.S. Route 9, Cold Spring, NY
License Number: 62505 Phone: (914) 265 -9
6. Tyoe of Project:
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 (SEAR) ?.
Type Status (Check One) Type I.. Exempt
Type II. X Unlisted
8. Is'a Draft Environmental Impact Statement (DEIS)_required? Nd
Has DEIS been completed end found 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, zon.ing,.
or other officials, ordinances? ................... Yes
12. I'r "so; "Have'pl "a- ris "b' n'�ub7ti'i °L'i ;ed to such aut'horitie's'? "'..:: ..........
°: :•J :_..:._
13'. Has preliminary approval been granted by such authorities? N/A Date Granted: N/A .
14. Type or Sewage Disposal,yst..m Discharge...... Surface� Water X Ground Waters
15. If .surface water discharge, what is the stream class designation ?.......: N/A
1.6. Waters index number ( surface) ........... ............................... _N /A
17. Is project located near a public water supply system? No
18. If yes, name of water supply N/A Distance to water supply N/A
19, Is project site near a public sewage collection or disposal system ?..... No
120. Name of sewage system N/A Distance to sewage system N/A
)ate "dbserved:
23. Name of Health Inspector: Michael J. Budzinski
2,,•- roject design flow (gallons per day) ...... ............................... 800
JOHN KARELL Jr., P.E., M.S.
-- r z v - ••Public
Health -Director
.. ���. � �•.. �. .. _ r'+�.tl . -.: .y:a: •.yam _.. .. ..3•- .:n .+r.-
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
October 8, 1993
John Delano
Badey & Watson Engineering, P. C.
U. S. Route 9
Cold Spring, W 10512
Re: Proposed SSDS: Schwartz
Sleepy Brook Lane
Lot #9
(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. Approved subdivision plat notes that dosing or alternate design is required.
-nevi 3e- pl an.s...accor =d ., 9l y,,w.......
2. Minimum distance from a distribution box to a well is 100� feet. yVRevise �pldns
accordingly.
Upon Receipt of a submission, revised to reflect the above comments, this
application will be considered further.
RM/ j p
Ver truly yours,
bu,v A04_t:;F
Robert Morris
Assistant Public Health Engineer
APPENDIX 3
PUTNA_ M COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL Si(STEMS
REVIEW SHEET for CONSTRUCTION PERMIT
'NAME C7F C1`�VIVEK` ' N-
BY DATE lZ 3 T .MAC'
DOCUMEN
Y N
= PERMIT APPLICATION
= PC -1
CD WELL PERMIT;ED PWS LETTER
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
'T7
= DISCHARGE (OK)
PERC & DEEP HOLES LOCATED
CZ7 REPRESENTATIVE OF PRIMARY AND EXPANSION
C= EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE
IF PUMPED PIT & D BOX SHOWN & DETAILED
C= HOUSE - NO. OF BEDROOMS
=J WELLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM
CL] PROPERTY METES & BOUNDS
C= HOUSE SETBACK NECESSARY (TIGHT LOT)
= HOUSE SEWER - 1 /4 7FT. 4"0; TYPE PIPE
= NO BENDS; MAX. BENDS 45 W /CLEANOUT
FILL SYSTEMS
y vAff'L-lvk_n tyur_.li
WCLAYBARRIER
GENERAL
LEGAL SUBDIVISION 44" "" -✓ " Y
= I0 FT HORIZONTAL: SLOPE 3:I TO GRADE
=
SUBDIVISION APPROVAL CHECKED
FILL SPECS
=DEPTH GAUGES
`= PERC RATE
= FILL PROFILE & DIMENSIONS
FILL REQUIRED
C= VOLUME
=CURTAIN DRAIN REQUIRED =STANDPIPES
TRENCH
EX- APPROVAL SSDS ADJ. LOTS
=LF TRENCH PROVIDED
WETLAND (TOWN/DEC PERMIT R & D)
=60 FT MAX
DATA ON DDS PLANS & PERMIT SAIvfE
= PARALLEL TO CONTOURS
PRE- 1969 - NEIGHBOR NOTHIFICATION
=100% EXPANSION PROVIDED
M LETTERBI/ZBA
SEPARATION DISTANCES SPECIFIED ON PLAN
y= 1MYR.1ULOOq-ELEVATION,•._
FIELDS
REQUIRED DETAIC9 ON- YEAN'S •" �' -� ° �`b�
1�1.I�y_TO P.L:, DRI_VEW;AY;o-iARGE TREES, TOP OF FILL
=7 SEWAGE SYSTEM PLAN - (NORTH ARROW)
= 20'TO FOUNDATION WALLS -r . - .•• '' " °' ° '
= SSDS HYDRAULIC PROFILE = GRAVITY FLOW
= 100 TO WELL, 200' IN D.L.O.D.; 150' PITS
M D/ J BOX = TRENCH/GALLEY = P- PIT DETAILS
100 TO STREAM WATERCOURSE LAKE (INC.EXPAN)
= SEPTIC TANK - SIZE, DETAIL
LZJ 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER
CL] WELL DETAIL, SERVICE LINE IF OVER
I O' TO WATER LINE (PITS -20
L= CONSTRUCTION NOTES (GRINDER RATE)
= 50' INTERMTITENT DRAINAGE COURSE
= DESIGN DATA: PERC AND DEEP RESULTS
= 200 FT. RESERVOIR, ETC.= 150 FT. GALLEY SYSTENfS
C= TWO -FOOT CONTOURS EXISTING & PROPOSED
SEPTIC TANKS
ED DRIVEWAY & SLOPES CUT
=10' FROM FOUNDATION; 50' TO WELL
== FOOTING /GUTTER/CURTAIN DRAINS
WELLS
=I5' WELLTO P.L.
COMMENTS:
M. SION' 'OF .. HEALTH :SERVICES
DESIGN DATA SH=— SUBSUFAC_.E S317AGt DISPOSAL SYST 4 FILE NO.
C,.ffier Niles SchwartX .Address 330 West 45th, St.., ,Apt. Lobby_ E, NY, NY,
• — . :1'.. P' . 't .. '. _NI :. -. .. r ..— .. '1. -w. > �.. ..a'.. Y -..... _. .-mot: � ...1.%. '.. . 'rY' ...,. rw- ?'•.„.: ... M: .w ew: :.�,
Located at (Street) Sleepy Brook Lane Sec. - "84 Block 01 Lot 43
(indicate nearest cross street)
SUM. Lot 9
Municipality Town of Putnam Valley, Watershed Peekskill Hollow Brook
S01L PERCOLATION TEST DATA REQUIRED TO BE SUEivLLTI'ED _WITH APPLICATIONS
Date of Pre- Soaking 12/13/87: Date of Percolation Test 12/14/87
HOLE
NL,IBER CLOCK
TIME
PER03=ON
PERCOLATION.
Run
Elapse
Depth to Water Fran
Water Level
No.
Time
Ground, Surface
1n Inches
Soil Rate
Start -Stop
,Min.
Start Stop
Drop In.
Min /In Drop
Inches ._ Inches
Inches
10A 1 2:28 2:48
20
28 1/4 34 1/2
6 1/4
3
2 2:56 3:211
25
27 3/4 30 3/4
3
8
3 �� as
26
'26 '1/2 29 1/2
3
9
4
s.'
5
10B 1 2:35 3:05 30 27 3/4 29 1/2 1 3/4 17
2 3:08 3:38 30 27.3/4 29 1 1/4 24
: �_�...3 "- 3:.4'0,..4;: �< °�30 s .._....::23 _ - /4::..,.' Ig `1: 2� 1_:; 14 = >: ::_= X24;
4
I
i
1
2
3
4
9
NCrMS: 1- Tests to be repeated at sane depth until approximately equal soil rates
are obtained at each percolation test hole. All data to' be sd nitti�d
for review.
2- Depth measurements to be made from top of hole.
rev_ 9/85
DESCRIPTION ..OF ;SOILS.' ENCOUNTERED IN :TEST• THOLES
DEPT& BOLE NO.. A MOLE NO. B' HOLE NO.
G.L. Topsoil Topsoil 8 9) y
..t'�`I ii ., _ ._ -~- .. .. �ti -ti:�•e -reT .. + i'. Ff.:. ..d'�... � =•• +• .-.. r ._. .. — - — -z -aT,, -L". o{
�I Silt Loam Silt Loam
9`
10'
11'
12'
13'
14'
�n
Sandy Loam
— . J/ .
M
INDICATE 'LEVim AT WHICH GROUNDWATER IS ENCOUNTERED 7 t -0"
NDI A f LEVF , 7i� WHICH �TATEF<'LEVEL: RISES-- Ab`�ER.pE7�?'� �9 ITE tED' ?._°_- .0 ".., -. . ».
DEEP HOLE OBSERVATIONS MADE BY: BADEY & WATSON, .P.C. DATE: 5/28/87
DESIGN
/
Soil' Rate Used 24
1" Drop: S.D. Usable Area Provided -' 8 , OOOSF _ ...._....
... Min
No. of Bedrocros 4 Septic Tank Capacity 1250 gals. Type Cone.
Absorption Area Provided By 672 L.F. x 24" width trench
Name BADEY & WATS.ON Signature -
`Surveying & Engineering, P C. SEAL.`tttttltnt►d�
Address . Route 9 ��pF NElyy��� >r�e
Cold Snri nom, Pw ynrk 1 nK 1 ti m CO- ��p oFCy✓` � s
`i'HIS SPACE FQR USE BY HEALTH DEPAR'DTM ONLY :.
Soil Rate Approved sq_ft /gal. Cbecked, by
ESS10�
. BitNtc "11! { {a
7:5
SI
PLAN -
SCALE: I inch = 50 feet
PROVIDE 672 L.F. OF ABSORPTION
TRENCH - 12 LATERALS AT 56 L.F. EACH.
DISTRIBUTION BOX WITH BAFFLE a FOOTING To 42'' BE
PROVIDE CLEAN-OUT
4" PVC • 1 /8- PER FT. PITCH TAW
•t250 GAL. PRECAST CONCRETE SEPTIC
- 4• Cip - 1/ 4" PER FT. PITCH