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BOX 33
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7 .16
L6. m I I i�-
04336
PUTNAM COUNTY DEPARTMENT OF HEALTH
'II;_CF ,T�IIZITMTA�:HA'�' - SERVICES
vn. a. ✓• p.i. •c. ,.�!.f+_. dew .. �. �• .ntr.c_.• —,. ., v..+ •rtr' .Sr•
CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE T ATMENT SYSTEM
0
PCHD CONSTRUCTION PERMIT # hl/ 2q -06
Located at 5As5in9oYZ D Jet ✓€ own r Vi age UT VAZL�.I/
Owner /Applicant Name 3 7 L;t r" ,&A4 8. , &P_ P. Tax Map 9V Block �_ Lot Y7
Formerly
Subdivision Name (�LITAKM 1, ti -A56.
Subd. Lot # 3.
Mailing Address 31 coo-rm �7M {2D. Q ed l Zip /066Z-
Date Construction Permit Issued by PCHD R//o/00.
Separate Sewerage System built by 31 BoAt tj P-Aat �9. Ooei: Address 31 Otmw �Hnt ���, N51,o ;,V F
N. y
Consisting of 12�0 Gallon Septic Tank and 0 of 7e-e,,fV&A7E>>
I V 0 E*o PF
Other Requirements:
Water Supply:
Public Supply From,
Address
or: Private Supply Drilled by F. F jB -fAi_ e 5na TNo.Address 4 RrrA 1M Awe, -3 rvr -az
N'y-
..._..:B n.4" , __. `..... _. _ �..
L =`Has e7osi5ri control b °en�corrpleterl:,
Number of Bedrooms 174 Has garbage grinder been installed? Aly .
I certify that the system(s), as listed, serving the abov "pie siei vSr�',¢ . s ted essentially as shown on the as-
built plans (copies of which are attached), in ce d onstruction Permit and approved
plans and the standards, rules and regulat' ns o th Pit urii -l� ep j e t of Health.
`�.�, i P.E. R.A.
Date: ��— l� Certified by
sig Vf io ) 4?
�- " License # 2 °%
Address c 2� ";�
Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary
to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage
treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval
of the private water supply shall become null and void when a public water supply becomes available. Such
approvals are subject to modification or change when, in the judgment of the Public Health Director, such
revocati modific Mcan neces sary.
By: Title: Date: Z, Z
White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional
Form CC -97
PUTNAM COUNTY DEPARTMENT OF HEALTH
IVI N:. kP=F�?�R.0? ENTAIL HEA14TH SERVVECE�
GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM
3-1 C�OTON . ���t 120 t�o� P• S €c 31M: / I_D : ell
Owner or Purchaser of Building Tax Map Block Lot
Building Constructed by TovvnNillage
5AsSIN0ZC7 ,��rt/cG 10AM e8A5E
Location - Street Subdivision Name
Building Type Subdivision Lot #
I represent that I am wholly and completely responsible for the location, workmanship, material,
construction and drainage of the sewage treatment system serving the above- described property, and
that is has been constructed as shown on the approved plan or approved amendment thereto, and in
accordance with the standards, rules and regulations of the Putnam County Department of Health,, and
hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition
any part of said system constructed by me which fails to operate for a period of two years
immediately following the date of approval of the "Certificate of Construction Compliance" for the
sewage treatment system, or any repairs made by me to such system, except where the failure to
opezate,properly -is caused by the �x�Il.lful or negligent act. of the occupant of t~he building u ilizina the
. . _ system.. . _ _. _ _ . _
The undersign d further agrees to accept as conclusive the dete nat' f Ire Health
Direc fipr f t e P tnam County Department of Health as to whether r no th fa' ' re of the system
t opf'17 t w 's c used b the willful or negligent act of the occu a i of h u' in utilizing the
°4: t Y g P 4 g g
Day / I Year 00M ,
Mi /11: t`X111'I "I;�tiT�',1�'111'
(Owner)-- Signature.
(fin n n /�
'O 1 Q OTO N DA M "PoA � (fl 2 P }O �'� I QOTO n1 NM �► D a M P
Corporation Name (if corporation) Corporation Name (if corporation)
Address: 37 ezoz-aa DAM � A!)
State ��,,�,�,�, . �/ X Zip d/ S6 L
Address: 3 � elzoraa 3�� 204b.
State A- if,1;1 ±/ Zip �o z
Form GS-97.
Public Health Director
`a..:isORE'FTA>`MaL1,N *ARI'. RIv :M'
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (914) 278 - 6130 Fax (9.14) 278 - 7921
Nursing Services (914) 27g.- 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085
Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648
OWfiERS NAME: 3%
TAX MAP NUMBER: fW : R 5� EL a; / L UT d
E911 ADDRESS: % d S /
TOWN: ►�, N A M UA LLe- X
AUTHORIZED TOWN OFFICIAL: L J'
(Signature)
DATE:
�..�. a... ..�....w.. -♦ e.. .. .....a -.-., .sea• ?.•,. -...y •w.... '-..-y •. -r .�.t 's'S.. tf'.s-.. .. .••... .'�.. ..n.n..,�.. -- � �.. .. ....-..q'.s .: .w ... r. ... - .........w -I♦ ., �EN(pi. +"•J
The Putnam .County Department of Health will not issue a Certificate of
Construction Compliance unless the above form is completed, i.e., a legal E911
address is assigned by an authorized town official. This form is to be submitted
with the application for a Certificate of Construction Compliance.
(E911 VERFRM)
N
R;
BRUCE. R. YOLEY
.-LORETTA MOLINARI RN, M.S.N.
`AlfbeldtVANIC ea_)tW-DhriRtW-
Director of Patient Services
DEPARTWMNT OF HEALTH
I Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 - 6130 . Fax (845).278
Nursing Services (845) 27.8 - 6558 WIC (845) 278 - 6678 . Fax (945) 279 -'6085
Early Intervention (845) 278 - 6014 Preschool (845) 278-6082 Fax (845) 278 - 6648
MANI W, _WVA1 I t 1 11
Date:
To: Fax #•
No.'- Page-. s
U (Including cover sheet)
From:
Adam B. Stiebeling
Asst.. Public Health Engineer
For your information Please respond
- your review
A-]For s discussed
Notes/Mess.ages
C�7 awt-111""I &t 4
In the event of transmission/reception difficulties, please
(845) 278-6130 ext. 2157.
0 ,frt,_
a
Attached as requested
Please call
-7 00
............................... )7/
i
ct this of is at
Ic
, a-y C:) An
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
WELL COMPLETION REPORT
eII' 1✓ocation = ' °`'
Streir`t Address ' Kramers bond Rd
Putnam -Chase Subdivision
Town/V illdge:
Putnam Valley
Map Block Lot(s) 3
Well Owner:
Name: Address:
VS Construction, 37 Croton Dam Road, Ossining, NY 10562
Use of Well:
1- primary
2- secondary
X Residential Public Supply Air cond /heat pump Irrigation
Business Farm Test/monitoring Other(specify)
Industrial Institutional Standby
Drilling Equipment
X Rotary Cable percussion X Compressed air percussion Other (specify)
Well Type
Screened Open end casing X Open hole in bedrock _ Other
Casing Details
Total length 32 ft.
Length below grade 31 ft.
Diameter 6 in.
Weight per foot 19 lb /ft.
Materials: X Steel _ Plastic _ Other
Joints: —Welded - X Threaded _ Other
Seal: X Cement-'grout _ Bentonite —Other
Drive shoe:.... X Yes No
Liner Yes X No
Screen Details
Diameter (in)
Slot Size
Length(ft)
Depth to Screen (ft)
Developed?
First
_ Yes—No
Hours
Second
Well Yield Test
Bailed X Pumped X Compressed Air
Hours 6
Yield 20 gpm
Depth Data
Measure from land surface- static (specify ft)
30'
During yield test(ft)
120'
Depth of completed well in feet
185'
Well Log
If more detailed
information
descriptions or
sieve analyse . .
are available,
please attach.
Depth From
Surface
Water
Bearing
Well
Diameter(in)
Formation
Description
ft.
'ft.
Land Surface
rb
Lrden clay and boulders
6
Hit rock
at 6'
..:.'6
w_32
D:illin
in r7ck,
_
set cas nc, .gteuted-
32
185
Drillin
' n rock granite
If yield was tested
at different depths
during drilling,
list:
Feet
Gallons Per Minute
Pump /Storage Tank Information
Pump Type sub Capacity 10c m
Depth 140, Model 10GS07412
Voltage 230 HP 3/4
Tank TypeM02 Volume 86 gal.
Date Well Completed
8/24/00
Putnam County Certification No.
002
Date of Report
11/21/00
Ve r
al
iw i c : exact tocatton or wen wtm aistances to at least two permanent lanamarus to be prove ed on a separate sheettplan.
Well Driller's Name P. al & 561Jnc. Address: 4 Ritrw Ave., Bmusber, NY 10609
Signature: / Date: 11/21/00
L.
White copy: HD File; Y6flow copy -Building Inspector; Pink copy - Owner; Orange copy- Well driller
Form WC -97
„_
RONIN ENGINEERING P.E. P.C.
The Lindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 10566
Tel. (914) 736 -3664 0 Fax. (914) 736 -3693
Adam_Stiebeling, Public Health Engineer
Putnam County Department of Health
Division: of-Envirorimental; Services
4 Geneva-Road, -
Brewster, N.Y: 10509
• �. - „- Noveiniier
Adam_Stiebeling, Public Health Engineer
Putnam County Department of Health
Division: of-Envirorimental; Services
4 Geneva-Road, -
Brewster, N.Y: 10509
PUTNAM COUNTY DEPARTMENT OF HEALTH
DMSION OF ENVIRONMENTAL HEALTH SERVICES
FINAL SITE INSPECTION t(7 o O
Dat
Inspe
=` V ~Street I;oca ' on - 1.4 02 c y�/� -' ` Owner
Town Permit # -oU
TM # 4 , — lz� Subdivision L t #
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. SeNlage System
- 1,000 a. Septic tank size ... 25 other ................ ,
b. Septic tank installed level ................ ...............................
c. 10' minimum from foundation .......... ...............................
d. Distribution Box
1. All at same elevation -water tested .................
2. Protected below frost .................. ...............................
3. Minimum 2 ft,Original soil between box & trenches
e. Junction Bow - properly s t ........... ...............................
f. rep "i - ches
T-Ue—n-A required Length installed
2. Distance t waterc rse easured
3. I ed a ordin to p1 ..... ...............................
4. lope tre chac epta le 1/16, 1/32 "/foot...........
10 ft, in ope 1' -20 .- foundations. .....
._
Depth o, tren ' <3 in es m surface ..................
. Room a owed or p ,100 % .........................
$. Size of ravel 3 - %z" diameter clean ...................
9.. Depth o gavel is nch.12" aninimu�:
. __.
`Pipe en s cappe .......:............. ..............................
g. ' um or sed Systems
Size o pump c am er ...... ...............................
2. ve ow tank .......... ............................... ... ........
3. A arm, visua'/au ......... ....:................
4. Pump easily acces 'ble, ade .................
_.....
5.. First box baffled ......... :...... .. ....
............................ ,.
6. Cycle-witnessed by at flow /cycle...........
III. Houseffluildmg
a. House located per approved p . ...............................
b. Number of bedrooms ....................... ............................... .
IV. Well
a. Well located as per approved plans .............................
b. Distance from STS area measured j � 06- 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 ...............
Ii. Surface water protection adequate ... ...............................
i. Erosion control provided ................. ...............................
Rev (/Q7
COMMENTS
K c,
N
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(f4
r>
' 11 !- C I�,
1 lr
11/03/00 FRI 14:41 FAX 914 736 3693 J
Cronin Engineerl ng
Q001
]?UTNAJ�j COUNTY DEPARTMENT OF HLALTE
1DPnSUON OF ENVMON&EMAIL EffALTH SERVIaS
ATTENTION AA l GL
RE MST FOR E ROM= For. Fill
All information must be fully completed prior to any Trenches __-_ Ifs
inspections being made.
PCHD Construction Permit # PV
Located: aLZ_Wd _ ('gyp Pe/M'44W
Owner/Applicant Name: fl'10 C94•I_Ivf AV Block I Lot�
Forn!erly- Subdivision LFW-AA*� gAwa
Subdivision Lot # 13* —
Is system fill completed? —M-14—
Is system complete? V err
Is system constructed as per plans?
Is well drilled? . k—
Is well located as per plans? —
Are erosion control measures in place?'
Date: ft=1__1
Date: //-5-00
Date:
I certify that the system(s), as listed, at the above premises has been constructed and I have inspected
and verified their completion in accordance with the issued PCHD Construction Permit and
approved plans 'and the Standards, Rules and Regulations of the Putnam County Department of -
Health.
IL
RA
Design Professional rr
Address: 6fig
.Ad)� C 1AJ&>_WAA6 Lic.
Form FIEL-99
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
CONSTRUCTION PERM 1"GE TREATMENT SYSTEM
0
PERMIT it ✓'off ti- O-D
Located at Sassinoro Drive/ Town WARW Putnam Valley
Subdivision name Putnam Chase
Subd. Lot # Tax Map 84 Block 1 Lot Sue Lot .L
Date Subdivision Approved 0-7 —75--00 Renewal Revision
Owner /Applicant Name 37 Croton Dam Road Corp. Date of Previous Approval N/A
Mailing Address 37 Croton Dam Road, Ossining, NY Zip 10562
Amount of Fee Enclosed $30o . oo
Building Type Residential Lot Area ,D� No. of Bedrooms 4 Design Flow GPD 800
Aa,
Fill Section Only Depth Volume
PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED
Separate Sewerage System to consist of
1250
of 4" PVC Perf. pipe in 24" gravel trench.
Other Requirements:
gallon septic tank and 500 L. F.
To be constructed by 37 Croton Dam Road Corp.. Address 37 Croton Dam Road, Ossining, NY 10562
Water Sunuly: Public Supply From Address
or: -Private Supply�llrilfeda y eaY S ons nc
�' utriam °Ave'
Brewster, NY 1050q.
I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the
separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in
accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion
thereof a "Certificate of Con _ n Compliance" satisfactory to the Public Health Director will be submitted to the
Department, and a writt . - ua�af `a . e furnished the owner, his successors, heirs or assigns by the builder, that said
builder will place in aug;ctio , any part of said sewage treatment system during the period of two (2) years
immediately follow' ` th yd to of the is4s'u ct' .. the approval of the Certificate of Construction Compliance of the original
system or any m i s to. '
s 01
Signed: ` ' _ P.E. R.A. Date 5��f — 00
Address 2 John lip Piss 11, NY 10566 License # 062980
APPROVED FOR CONS: This approval expires two years from the date issued unless construction of the
sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or
modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires
a new hargq.f domestic sanitary kseage only.
By: Title:
Date: (o 0
O
White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Pro ssi nal
Form CP -97
P TII NAI`iI COUNTY DEPARTMENT OF IHI]EAIL'll'H
DffWS ON OF IENWRONMIENTAIL HEAIL'll'IH[ SIE1lSW CIES
AEFLI CATION TO CONSTRUCT A WATER WELL
?'[' ._- _..a_.1~ .i� Ir
- - -
ease print or type -PC bTe"rmlt #
Well Location:
Street Address: Town/VlUp Tax Grid #
Sassinoro Drive, Lot 3 Putnam Valley Map 84 Block , Lot(s)
Well Owner:
Name: 37 Croton
Address:
Dam Road Corp.
37 Craton Dam Road, Ossining, NY 10562
Use of Well:
X Residential Public Supply Air /Cond/Heat Pump Irrigation
I- primary
Business Farm Test/Monitoring Other (specify)
2-secondary
Industrial Institutional Standby
Amount of Use
Yield Sought 5 gpm # People Served 4 Est. of Daily Usage 500 gal.
Reason Tor
Replace Existing Supply Test/Observation Additional Supply
Drilling
X New Supply (new dwelling) Deepen Existing Well
Detailed Reason
Water supply for new residence.
for Drilling
Well Type
Drilled Driven Gravel Other
Is well site subject to flooding? .............:................................... ............................... Yes No x
Is well located in a realty subdivision? ...................................... ............................... Yes_y No
Name of subdivision PLT&J -M G 6 Lot No. 3
Water Well Contractor: P.F. Beal & Sons, Inc. ss: 4 Putnam Ave.. Brewster, NY 10509
Is Public Water Supply available to site? '�" vv ' o�` ................. Yes No X
Name of Public Water Supply: N/A ,X ; y ` -' N/A
Distance to property from nearest water main:
JSl �
Proposed well location & sources of contamination ?i, on s to sheet/plan.
Date: D4 /? -4/.00 Aivlwant Signature: .
PERMIT TO CONSTk'ktk .. R WELL
This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the
Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided
that within thirty (30) days of the completion of water well construction, the applicant or their designated
representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the
requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form
provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or
well driller shall take appropriate action to assure that any and all water and waste products from such
well drilling operations be contained on this property and in such a manner as not to degrade or otherwise
contaminate surface or groundwater.
APPROVED IFOR CONSTRUCTION: This approval expires two years from the date issued unless
construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be
amended or modified when considered necessary by the Public Health Director. Any revision or alteration
of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam
County.
Date of Issue CfOO I f Permit Issui Official:
")ate of Expiration gy I go Title: t
�unnt
is Non- Tn•ansffe��� Ile
ny - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller
Form WP -97
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
_ - APr_L- 1CAT10N- - FOR .APPROVAL OF: PLANS- FOR-. - -.-
A WASTEWATER TREATMENT SYSTEM
1. Name and address of applicant: 37 Croton Dam.. Road Corp.
37 Croton Dam Road
Ossining, NY 10562
0
2.
Name of project: Putnam Chase
- Lot # ,3
3.
Location TN: Putnam Val ley
4.
Design Professional: Timothy L.
Cronin III
5..
Address: 2 John Walsh Blvd.
6. Drainage Basin: Peekskill Hollow Brook
Peekskill, NY 10566
7. Type of Project:
X Private/Residential Food Service Commercial
Apartments Institutional Mobile Home Park
Office Building Realty Subdivision Other (specify)
8. Is this project subject to State Environmental Quality Review (SEQR)?
Type Status (check one) .......................................... .............. Type I _ Exempt
Type H _ Unlisted X
9. Is a Dra$ -Environmental Impact Statement (DEIS) required? ........... :.
10. Has DEIS been completed and found acceptable by Lead Agency? ............... N/A
11. ,Name of Lead Agency Town of Putnam Valley Planning Board
12. Is this project in an area under the control of local planning, zoning, or other
`oiticials, ordinances ? =:'.::.:::..:.. ' .:............... :...:....:.::.................. YES-,
....
13. If so, have plans been submitted to such authorities? ..........................
............. YES
14. Has preliminary approval been granted by such authorities? YES Date granted: 08/02/99
15. Tv
pe of Sewage Treatment System Discharge ................. surface water. X groundwater
16. If surface water discharge, what is the stream class designation? .................... N/A
17. Waters index number (surface) .......: ............................... ............................... N/A
18. Is project located near a public water supply system? ....... ............................... NO
19. If yes, name of water supply . N/A' Distance to water supply N/A
20. Is project site near a public sewage collection or treatment system? ................ NO
21. Name of sewage system N/ A Distance to sewage system N/ A
22. Date test holes observed 03/29/99 23.,: Name of Health Inspector Adam Stieeeling
24. Project design. flow (gallons per day) ................................. ...............................
800 GAL /DAY
25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?...
NO
26. Has SPDES Application been submitted to local DEC office? ......................... NO
Form PC -97
2
27. -
Is any portion of this project_located within a designated Town, or State wetland? : - . No.M
28. Wetlands ID Number ................................:.......................... ............................... N/A
29. Is Wetlands Permit required? .............................................. ............................... NO
Has application been made to Town or Local DEC office? ............................... NO
30. Does project require a DEC Stream Disturbance Permit? .. ............................... NO
31. Is or was project site used for agricultural activity involving application of
pesticides to orchards or other crops, solid or hazardous waste disposal,
landfilling, sludge application or industrial activity? .................... ......... Yes/No NO
32. Is project located within 1,000 feet of existing or abandoned landfill,
hazardous waste site, salt stockpile, landfill, sludge disposal site or any
other potentially known source of contamination? Yes/No YES
DESCRIBE: Property adjacent to the west was the former Orlando Landfill.
33. Is there a local master plan on file with the Town or Village? ......................... YES
34. Are community water and/or sewer facilities planned to be developed within
15 years in or adjacent to project site? ...:............................ ......................... .I..... _ NO
35. Are any sewage treatment areas in excess of 15% slope? ... NO
36. Tax Map ID Number ...............:.........: .. .............................. Map 84 Block 1 Lot Af7
37. Approved plans are to be returned to . Applicant Design Professional
NOTE: All applications for review and approval of a new SSTS to be located within the NYC Watershed shall
be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP
approval of the SSTS prior to final approval by the Department. Projects within the watershed may also
require DEP review and approval of other aspects of a project, such as stonnwater.plans or the creation of
impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from
DEP and submit those forms to DEP for'--re-view and approval. I
If the application is signed by a person other than the applicant shown in Item l .,the application must
be accompanied by a Letter of Authorization (Form LA-,94. .. 'lure to comply with this provision
`
ti El
y
may be grounds for the rejection of any submission
. r` 1. Cn��
.a A.
I hereby affirm, under penalty of perjury,
perjury,
to the best of my knowledge and belief p
a Class A misdemeanor pursuant to Sect
SIGNA TURES & Or, F6J11 L ffbf S.
Mailing Address:..,%111' `.1.Q'-7`. ; `:;.:�`.a
....
Ile on this, form 8s trace
r h re are punishable as
1. C i r- E55�
Cronin Engineering, P.E.,P.C.
'_',John Walsh Blvd, Peekskill. NY 10566
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL. HEALTH SERVICES
LETTER OF AUTHORIZATION
RE: Property of 37 Croton Dam Road Corp.
Located at Sassinoro Drive /Kramers Pond Road
Tj Putnam Valley Tax Map # 84 Block 1 Lot Sub Lot �;7
Subdivision of "Putnam Chase Subdivision"
Subdivision Lot # Filed Map # Date Filed
Gentlemen:
This letter is to authorize Timothy L. Cronin III
a duly licensed Professional Engineer x to apply for the required
wastewater treatment and/or water supply .permit(s) to serve the above -noted property in accordance
with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam
County Health Departrnont
wid to sign all necessary papers on my behalf in connection with this
matter and to supeviab cw ction of said wastewater treatment and/or water supply systems
r ,
- in. } ro�r t_. C ls o icle 145i and/or. 147 of w; a ati a the Public Health r
the" S - �- Code. �-- . -..i.� .
artt!� _ _ _�.._...___..---- ....__...
Very trul yo
Counters' ed: �F. s2�0 - ��, Pres.
gn � Signed:
0 8'F ass +� � •
P.E., � # — _ ( ner perry)
Mailing Address 2 John Walsh Blvd. #200 Mailing Address: 37 Croton Dam Road Corp
Peekskill 37 Croton Dam Road, Ossining
State NY Zip 10566 State NY Zip 10562
Telephone: (914) 736 -3664 Telephone: (914) 739 -7362
Form LA -97
f
1 • •
"""U 'NAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
AF'F'IDAVI[T - OORPOfl2ATE OWNER APPLICATION
FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT
To: Public Health Director
In the matter of application for: Construction of SSTS and Water Supply
T_ Val Santucci
represent that I am an officer or employee of the corporation and am authorized to act for:
Name of Corporation:
37
Croton
Dam
Road
Corp.
Having offices at:
.37
Croton
Dam
Road,
Ossining, NY 10562
Whose Officers Are:
President - Name: Val Santucci
Address: .(Same as above)
Vice President - Name: Same as President
Address:
Secretary -Name
(Same as above)
Michelle Santucci
_�. Address. .(Same; as,.above)
Treasurer - Name: Same as Secretary
Address: (Same as above)
and that I am and will be individually responsible for any
to the approval requested and all subsequent acts relatin,
Signed
Title:
Sworn to before me this day of
nizi ( 2 0 0 year)
Notary Public
KELLY M. LENT
Notary Public, State of New York Corporate Seal
No. 01 LE6026834
Qualified in Westchester Count S
Commission Expires June 21, 21/
Form CA -97
oration with respect
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
. � ' - use':±. {•c ..,,r •' ��: ". ..`rte .;.. �;;'�, ".:'`' ....... - :�. .. . • � . - •
bSIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM
Owner ST c90 am rj,4M &AP co LP Address 37 CaomN j>m 2B OSSIwN6 u y,
Located at (Street) JbwA _ILoA-O Tax Map jffl Block ^L Lot
7-07-
(indicate nearest cross street)
Municipality(?') R1riyAryl VAz.Lt,�l Drainage Basin _ l4S�l t t, twLCo aJ C-94M9
m1D-<,a U 2 l uem
/voEate SOIL PERCOLATION TEST DATA
of Pre- soaking oft- os -qq Date o € Percolation Test _ b4 -oq -qg
Hole No.
Run No.
Time
Start -'Stop'
Ela a Time
lin.)
De th *to Water..
from Ground
Surface (Inches)
Start Stop
Water
Level
Drop In
Incites
Percolation
Rate
Min/Inch
2
11s� -L,
3
7
3
Zt13. Z3�i
Z l
l _ZZ
3
4
5
414
17,
3
4
5
2
4
5
NOTES: 1. Tests to be repeated at same depth until. approximately equal percolation rates are obtained at eacn
percolation test hole. (i.e. s 1 min'for 1 -30 min/inch, s 2 min for 31-60 min/inch) All data to be
submitted for review.
2. Depth measurements to be made from top of hole.
Form DD-97
2
TEST, PIT DATA-
DESCRIPTION OF SOILS ENCOUNTERED It TESL' HOLIES
DEPTH HOLE NO. �7 HOLE NO.-' 9 HOLE NO. 9.
G.L. I IV
Os'
1.0'
A
1.5' tea► p�® ltsu ZouvpJ �L A�4
2.0' �� A
cam gg�
3.0'
3.$'
4.0'
4.5'
5.0'
5.5'
. 6.0'
6.5'
7.0'
7.5'
8.0'
C7
10.0'
Indicate level at which groundwater is encountered AMW E ��cca,�yea2
Indicate level at which mottling is observed _ �a 08' dgy�
Indicate level to which water level rises after .being encountered
Deep h®ie observations made by: Ap4M Sn&-&&dAj6 ZY4,--71N !0-4vogAWDite o3zo -j q
. As.Aa i'f➢_._ -... .tea a/_
Design Professional Name: Te��n��
Address:
Signature
0
�r NEW. y�
Ir $W
`c SW
6280
Design Pi°ofessionsPs SeaO r uFEWO
617.20 SEAR
Appendix C .
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT FORM
��: - ::�'�- :.,, - ;:_ ... - . :.• ti _ -F ®r�UNLIS'TED- ACTIONS Ono yea , .. . r; _ .�.' -_ . .......... -a:. .
Y
Part 1 - PROJECT INFORMATION (To be completed by AQplicant or Proiect soonsor)
1. APPLICANT /SPONSOR: .
2.' PROJECT NAME.
37 Croton Dam Road Corp.
Putnam Chase Subdivision, Lot # 3
3. PROJECT LOCATION:
Municipality Town of Putnam Valley County Putnam County
4. PRECISE LOCATION: (Street address and road intersections, prominent landmarks, etc., or provide map)
Kramers Pond Road/ Sassinoro Drive
5. PROPOSED ACTION IS:
@New ❑Expansion ❑Modification /alteration
6. DESCRIBE PROJECT BRIEFLY:
construction of subsurface sewage treatment system and individual well water supply
7. AMOUNT OF LAND AFFECTED:
Initially 3 00 acres Ultimately 3, 00 acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
®Yes ❑No If No, describe briefly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
Pesidential 0Industrial ❑Commercial OAgricultural ❑Park/Forest/Open space ❑Other
Describe:
Sunoundingj r ar z �xd :$inglp fdrrjify'i s�de lief :... Y. .._ . = Tz'� - . _...._.. __ ::: ... _:•. ; •...: .
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY (FEDERAL, STATE OR'LOCAQ?
®Yes ❑No If yes, lisst agency(s) name and permit/approvals'
Town of Putnam Valley- Building Permit
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID. PERMIT OR APPROVAL?.
®Yes ONO' If yes, list agency(s) name and permittapproval
Subdivision Plat Approval - `Putnam Chase Subdivision"
12. AS A RESULT OF. PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION?
OYes NVo
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant/Sponsor name: in Keith Staudohar date: 0419 -00
Sgnature:
�U
N the action is in a Coastal Area, and you are a state agency, complete a
Coastal Assessment Form before proceeding with this assessment
OVER
1
1 N,
A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR, PART 617.4? if yes, coordinate the review process use the FULL EAF
❑Yes []No
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a
• neoative:declaration ma lresu erseded anothp vpJ��sfvgeQc�y. : --
Yes � ❑No .
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: Answers may be handwritten, if legible.
C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or
disposal, potential for erosion, drainage or flooding problems? Explain briefly:
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood
character? Explain briefly:
C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural
resources? Explain briefly:
C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly:
Cti. Long term, short term, cumulative, or other effects not identified in C1 -05? Explain briefly:
C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly:
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT
OF A CRITICAL ENVIRONMENTAL AREA (CEA)? ❑Yes []No If Yes, explain briefly:
E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
❑Yes ❑No If Yes, explain briefly:
_. Part III , DETERMINATION ;OF.SIGNIFICANCE, o. .bscompleted -b Agency)--
IfdS* U CTIORiS For each adverse effectidentiiied a6o've; determine whether it is sritistantial, large, important or otherwise "significant.
Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d)
irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that
explanations . contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question
D of Part II was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the
environmemai
❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then
proceed directly to the FULL EAF and/or prepare a positive declaration.
❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that
the proposed action WII_t_ NOT result in any significant adverse environmental impacts AND provide on attachments as
necessary, the reasons supporting this determination:
Name of Lead Agency
Print or Type Name of Responsible Officer in Lead Agency
Signature of Responsible Officer in Lead Agency
£� �I Hd Z~ W400
date
A / \ f-4 7
,e'.1
t1TiA1331U 2
Title of Responsible Officer
Signature of Preparer (If different from responsible officer)
BRUCE R.. QILg_
public'`Healfh 'liirectur
LORETTA MOLINARI R.N.; M.S.N.
Associate Public 'iFTe.4'lie ' DirC for
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 WIC (914) 278 - 6678 Fax (914) 278 - 6085
Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax' (914) 278 - 6648
May 17, 2000
Timothy Cronin, PE
Cronin Engineering
The Lindy Building, Suite 200
2 John Walsh Blvd.
Peekskill, New York 10566
Re: Putnam Chase
' Town of Putnam Valley
Dear Mr. Cronin:
This office is in receipt of individual sanitary sewage treatment system and well construction
plans and applications subject to the above referenced Realty Subdivision, lot #'s 2,3,4,5,6..
Prior to further review of such applications, please. provide this office certified proof of filing or
the Realty Subdivision map..
--At such_thne-as -Map is fired, constnact On.Z�pplications submitted will have,to�be completed i.e..-. • -
"Date Subdivision Approved."
This office will continue its review upon consideration of the above mentioned comments.
Please feel free to contact meat ext. 2157 if any questions arise.
Very truly yours,
Adam B. Stiebeling
Assistant Public Health Engineer
ABS:cj.
1
�f
PU TNAM COUNTY DEPARTMENT OF HEALTH
DI V tL1. ION -CF -E V11RONME ALq 11'.'H..SE �� A -..` .. ♦:ri• bi• ^� --
`.
GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM
37 PZOTON DAM 20A.b 00V Q• Sic 8� 3 /t� : / .�aZ : cf7
Owner or Purchaser of Building Tax Map Block Lot
31 l QC7TOPQ DA,til
Building Constructed by
Location - Street
Building Type
V::L•eT_1JAr-4. t/A LL&Y
TownNillage
tr rn) A M HA s E
Subdivision Name
0.
Subdivision Lot #
I represent that I am wholly and completely responsible for the location, workmanship, material,
construction and drainage of the sewage treatment system serving the above - described property, and
that is has been constructed as shown on the approved plan or approved amendment thereto, and in
accordance with the standards, rules and regulations of the Putnam County Department of Health, and
hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition
any part of said system constructed by me which fails to operate for a period of two years
immediately following the date of approval of the "Certificate of Construction Compliance" for the
sewage treatment system, or any repairs made by me to such system, except where the failure to
operate properly is caused by the willful or negligent act of the occupant of the building utilizing.;the..:,::.
The un si e further agrees to accept as conclusive the determinatio of edPublic Health
Dire or o th tnam County Department of Health as to whether or n t fail re of the system
o era e.wa ,caused by the willful or negligent act of the occupa o h buil ng utilizing the
Day / I Year .?60 0 Signature:
Title:
Owner) - Signature
'O OTON �Am I�OAb l SJ�zP. j° ��OTQn) �i9M �D l�0yz{7
Corporation Name (if corporation) Corporation Name (if corporation)
Address: �37 e2aTaI) DAM l?o -AD
State ��,�„�,� _ �/ y Zip
Address: � � e��Z)N �Ar�k 20A L>,,
State Zip /0 z
Form GS -97
11 % 22�/7�U U WED 08:41 FAX
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
LC'OMPLE'Fi`ON'RE' ORT..,,:._
Q 003
Well Location
Street Address: Rramers picad Rd
Putnam —Chase Su division
TownNillage:
Putnam Valley
Tax Grid #
Map Block Lot(s) 3
Well Owner:
Name- Address:
VS Construction., 37 Croton Dam Road, Ossining, NY '10562
Use of Well:
1 -primary
2- secondary
_x Residential Public Supply Air cond/heat pump irrigation
_ Business Farm. Test/monitoring Other(specify)
Industrial Institutional Standby
Drilling Equipment
X_ Rotary Cable percussion X Compressed air percussion Other (spccifv)
Well Type
Screened Open end casing X Open hole in bedrock Other
Casing Details
Total length 32 ft,
Length below grade 31 ft.
Diameter 6 in.
Weight per foot 19 lb /ft.
Materials: X Steel Plastic _ Other
Joints: Welded X Threaded _ Other,
Seal: X Cement grout _ Bentonite _ Other
Drive shoe: X Yes No
Liner. Yes X No
Screen Details
Diameter (in)
Slot Size
I,ength(ft)
Depth to Screen (ft)
Developed?
First
Yes No
Hours
Second
Well Yield Test
_ Bailed X Pumped X Compressed Air
Hours 6
Yield 20 gpm
Depth Data
Measure om land surface- static (Specify ti)
30'
During yield tes00
120'
Dcpt of completed wd] in feet
185'
Well Log
If more detailed
information
descriptions or
sicr'� anal�ses :�—
.y. ae r...... a
are available.-
please attach.
Depth From
Surface
Water
Beari ng
Well
niametWin)
Formation
Description
ft.
ft.
Land Surface
A
bt
d clay-and bDui dens
6
it rock
t 6'
:6
w;32'.
of C =;�
set c"ssicng grou'ted.
?
'te
If yield was tested
at different depths
during drilling,
list:
Feet
Gallons Per Minute
Pump /Storage Tank Information
Pump Type sub Capacity 10 m
Depth 140' Model 10GS07412
Voltage 230 UP 3/4
Tank Ty M02 Volume 86 gal .
Date well Complote
8/24/00
Putnam County Ccrtification No.
002
Doe of Report
11/21/00
Wdl
,
Nu i t:: txact iocatlon of well with distances to ar least two permanenr lanamaixs to oe provlaea on z separate sneeupian.
Well Drillers Name P. ? & A'nC . Address: 4 1%ftam Aw., met, IY IM
Signature: Dare: 11/21/00
Perfv L.
White copy: HD File: Yc4ow copy- Building Inspector; Pink copy - Owner; Orange copy -Well driller
Form WC-97
:'11/22i'00 WED 08:41 FAX
1@002
7
NORTHEAST LABORATORY o? Dwzuay
39) Ifni., PL" - D"WRY, CT @6612 I>r II cest
(203) 748-7903 - FAX (203) 748.4j652 Ky C6; 114-11
P.F. DEAL & SOM
DATE SAbeLE C011?.CTFM-
11/1312000
4 KnWAM AVENM
TWE COLLECIW:
10:30 A.K
BREWSTER,N.Y. 1050
COLLECTED BY:
WAY-Nr-
DATE RECEMD (P UAD:
1 01321X)0
.MVL ASN'
'IEMD BY-
LAIM 1471
-AIkdbzdty
LAD ID.9
BEALIZI ;
W23-20B
MPORT DATIS.
11r2woes
U-WLE. M- H.S. CONSTRUCTION C(W., LOT 43, PUTNAM CHASE SUS., KRAN=3 POND RD I
SAIWPL& POINT: HOSE DO
EPA 1311-2
No d1 lu
SOURM WELL-NEW
40.03
MWL
T29AIM141; NONE
0.30
Among me a
OW1
aw/L
EPA 243.1
0.50
COUN&K
fimaL fw im p
sadium
0 pa 100 M1 SM 93225
0 p4ff,a
PHYSICALS!
20.0 r
o lAud
0 Color (Apps ud)
0 EPA 110.2
EPA 239-2
Odor
14D
3 U w
o PH
6.78 EPA ISO. I
No &3i it
Turbwiry
.0.29 NTUa BPA ISO. I
5
—CUNIMMY:
0 Witritc9laos=
<0.005
ZVI as N
EPA 354.1
<010--
.MVL ASN'
-AIkdbzdty
16.0,
ing/L
W23-20B
I birdws
16.0
Rka(l,
EPA 1311-2
No d1 lu
o Im
40.03
MWL
EPA 236.1
0.30
Among me a
OW1
aw/L
EPA 243.1
0.50
COUN&K
fimaL fw im p
sadium
1.1
ffel.
EPA 213.1
20.0 r
o lAud
<0-001
MVL
EPA 239-2
0.0151
—Kolificalionuvel a 6'*Action Level
-A J1 holding cimea (wire) mcL
SANTLIL AS 2&2-10 ADM OTABLE OT PC TABU
RISULTSBASEDONSAWLES SURWMD:1111302000
Labumory Dirwjor
VALLEY. N.)
nil
limits
via
- 0.30MWL
,aNORTHFA.S-1* LABORATORY. 129 M" SIV.Mt, BMT-IN, Cr 06037- (260)81 &9797 - F W911829-10%
TOLL Fm- wnmN CT: w"26.ow - oursiDE CT: KO-C).54-1230
Tj';k • J * eTC=d 1 9e-6107
n I 1N1rwMTLb-T ." CTLJ" If-umi"b-'al I b—fle I i i &,-b. .e,^ rwat--,jp r"j...T T
NE
IN O_R_THEAST LABORATORY of DANBURY
: :�'`1VItL�: 'PJL.1i1Y °�20AD "'Y')'?iAfi$UR'4",•�CT �" 'Ob81' 1 �� "' �' ; ' .. - - "' • 'C'P'C1= "r�`Rfi- ``041D'4"a." � ra.� _ , .
1 ABS (203) 748 -7903 - FAX (203) 748 -0652 NY Cert: 11471
LABORATORY REPORT
REPORT TO:
P.F. BEAL & SONS
DATE SAMPLE COLLECTED:
11/13/2000
4 PUTNAM AVENUE
TIME COLLECTED:
10:30 A.M.
BREWSTER, N.Y. 10509
COLLECTED BY:
WAYNE
DATE RECEIVED @ LAB:
11/13/2000
TESTED BY:
LAB #11471
LAB I.D.#
BEAL127
REPORT DATE:
11/20/2000
SAMPLE SITE: V.S. CONSTRUCTION
CORP., LOT #3, PUTNAM CHASE SUB., KRAMERS POND RD., PUTNAM VALLEY, N.F.
SAMPLE POINT: HOSE BIB
SOURCE: WELL -NEW
TREAT M NT: NOME
MAXIMUM CONTAMINANT
TEST PERFORMED
RESULTS METHOD #
LEVEL (MCL) OR STANDARD
BACTERIAL:
• Total Coliform (Bacteria)
0
per 100 ml SM 9222B
0 per 100 ml
PHYSICALS:
• Color (Apparent)
0
- EPA 110.2
15
• Odor
ND
- -
3 Units
• pH
6.78
- EPA 150.1
No designated limits
• Turbidity
0.29
NTUs EPA 180.1
5 NTUs
CHEMISTRY:
• Nitrite Nitrogen
<0.005
mg/L as N EPA 354.1
1.0 mg/L
• Nitrate Nitrogen
<0.20
mg/L as N SM 4500D
10 mg/L
• Alkalinity =:. - _
.10.0
rng/L . SM 2320B. -. .. No defined limits.:-,,,.-
_.. _..... _ � Har`diie's §'�... • . �' ..- ........ �
—16.0
'� ing/I, .-- . 'EPA 1'3U:2
' "No defined'liinits
• Iron
<0.03
mg/L EPA 236.1
0.30 mg/L
• Manganese
<0.01
mg/L EPA 243.1
0.50 mg/L
Combined limit for Iron plus Manganese = 0.50mg/L
• Sodium
1.1
mg/L EPA 273.1
20.0 mg/L **
• Lead
<0.001
mg/L EPA 239.2
0.015 mg/L * **
ml= milliliter mg/L.= milligrams per Liter ND =none detected MCL= Maximum Contaminant Level
* *Notification Level ** *Action Level
COMMENTS:
-All holding times (were) met.
SAMPLE, AS TESTED ABOVE:
MOTABLE or '❑❑NOT POTABLE
RESULTS BASED ON SAMPLES SUBMITTED: 11 /13/2000
Laboratory Director '
*NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)828 -9787 - FAX (860)829 -1050
TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230
tl:
3
FE.DN1 Ei_OAi TinN
PUTNAAI COUNTY DEPARTMENT OF .HEALTH
HOUSE PLANS APPROVED FOR BEDROOI47 COUNT ONL�;
BEDROOMS
PLL SiJBSEQUEIvT REVISIOly /ALTERATIONS TO THESE
liIUT E S THE DOUSE
TO ThE PCDOH FOR APP40VAL
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1. SUBSURFACE SEWAGE. TREA 7AfVVT SYSTEM,_(S.STS) IS DESIGNED
ON A SOIL PERCOLA77ON RAJE OF 11 TO 15 MINUTES PER
INCH DROP (SEE SOIL DATA,, SHEET).
2. ENGINEER WAS .NO RFIED PRIOR TO STAR77NG *ORK AND
PRIOR TO BACKf7LUNG 7REA CHES.
J. UNAUTHORIZED AL 7ERA 770AIS' OR A09177ONS TO 7-HIS DRA PIING IS
A WOL A 770N OF SEC 77ON 7209 (2) OF THE NEW YORK STA TE
EDUCA DON LA W
4. WE PREMISES SHOW l HEREOM DESIGNA TED AS LOT No. J ON A
CERTAIN FILE MAP EN777LED "SUBVIt4510N OF PROPERTY KNow
AS PU77VAM CHASE" PREPAk,,�,b DONALD OAIALD J 001VELL Y, "LAND
SUR VE YOR P. C., FILED.. . IN 77$- PU 77VA U . COUNTY CO CLERK'S
OFFICE AS MAP No. 28J2 ON 07-25-2000.
DISrANCES
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