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HomeMy WebLinkAbout4348DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84. -1 -59 BOX 33 am I I I IN! IN? r �i IN a '. r ir 0 r IN AN �61 -1! PIN IN IN 9 16 IN 64. 0 a IN �a10 a I IN ol I ' : ALLEN BEAL -% MA, J.D. Commissioner ofHeahh ROBERT MOR1U5, P.E. Director of EnviromneW Health February 12, 2013 MARYF LEN OMU County Rxecutive s DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Telephone: (845) 808 -1390; Fax: (845) 278 -7921 Gregory Morley 17 Sassinoro Drive ' Putnam Valley, NY 10579 Re: Addition – A- 011 -13 No Increase in Number of Bedrooms 17 Sassinoro Drive (T) Putnam Valley, T.M. 84.4-59 Dear Mr. Morley: 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 February 12, 2013. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at four without prior approval by this Department. 2. The area of the existing sewage disposal system and its expansion area must be mairYtained: ,_ ... ... _ in — `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 February 12, 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, Gene D. Reed Senior Engineering Aide GDR:cw cc: BI (T) Putnam Valley i c r 1 N m Ill LLJ LLI 1 ;:o Co r i; c� gin.•:.. L! ; cl) U -1 e cn COY'- co o -J CL U1 0 OPP ER �X24' INSULATED PERIMETER URR OUT TO .CLEAR EXISTING PfaN LU J Q Cl CD z z S CC UJ a \ c 60 WATI� FAMILY W.1 537 sq. ft VENT l x L HT - 44 ¢ y BAR or LL- 1 h- -r .Y 150 CFMUPPLY 90 CFM C:) f--\Ga Y 60 CFM ....................... ... ... ......... w o 1 NCLOSE COL EX EGRESS-' O Q LJJ Lc _ c 00 O v J CD _ N � Ljj CD f C 5 O S LJ ro r 1 N m Ill LLJ LLI 1 ;:o Co r i; c� gin.•:.. L! ; cl) U -1 e cn COY'- co o -J CL U1 0 OPP ER �X24' INSULATED PERIMETER URR OUT TO .CLEAR EXISTING PfaN P T 60 WATI� FAMILY MAT 6 537 sq. ft VENT l x L HT - 44 ¢ y BAR .Y 150 CFMUPPLY 90 CFM Y 60 CFM ....................... ... ... ......... ...... .. ... .... x NCLOSE COL EX EGRESS-' rE)A 7 EX COL TO REMAIN l la' -u- RETURN N — — — — — }� STORAGE & UTILITY 635 sgft TYP 60 WA T ,7 A USE OF DRYCORE UNDERLAYMENT COVERED W/ OWNERS SELECTION NOTE: MINUUM PA55A6E GLEARANGE HE16HT BASEMENT PLAN SCALE 1' 2 4 7 O O O NOTE: MINIMUM GEILIN6 HEIGHT 7' -0' -1 B 8 ;8a fill g BAB �•" o� �S�Y�fi�gg Eg aa V.S. CONSTRUCTION CORP. /YEN L MORLEY (15PC) SN- /ON2001030/NY f t I( 8'-0• 1 2ri. .� .!'9(t„x f Y1 SP. 9' -Ilbnt •wr• t� 2r-0' oa win rm acrtR. _ _p• AefN Ip1 01- pt[ PDILIOp O (D � O T C Ksl " r .. yr r 4eu w x w 30' -3' h 1 VV•11 fir ( N x w 1m.0 514• 6 L • -.. iv,. �i � f __ •. q O 17-0' � IAt,.11n a -prt BATH 43 QnLnr i NOOK , >�Tm m x° 1 . - b F KITCHEN wRr(.N 7-r 6a HT. � e.(tt uvc yr , FAMILY ROOM O .p._�, 26._6• �� ^ q I INL�f' ICDT r t �nY.!!K' `Z ...`: A 'wls e•t�,� _ f \R SS°G+ii ca M. Alm 1fYiw a 10' -6• GARACh 10' -3 )/2- ' ®D I w - r - -, ;; • a ■M NIt NN IRy 1 - M Vf Nie f M IJ4• IrI r tV HNr m �: -- .—_ - -- u—r:.OW 3 storm 1r E6 7-0• 13' -2 1/2• g w use ,mow • j k OINIW.ROON ro �I �+ LIVING (1®M I �' - rVTD4 f n 1 2w-13 7/ir - uu - i m r vr.n Q (.r.a �_ _._.. _:.... ,- a.a4 cc.ry ..'..'�..••. •_•_� _ $ Dear[ [ I fIF r K 4 4 R n uh D[ s.` Ut VnLli 116'ULl2.I NARK WALLS 1 4i fLOCR A1ST5 ! l6. OG fr r[N To K 2/' OL (GARAGEI- l__ ___ ______ __ _____ __ _ - - _ . . _ _ _ _ _ _ _ - . . 1 I(r�Slgrq' VI 81.21214 02+22/8 !3.3016 41.2252 411.2!361 t(i�pp� 0pvy[�A �ARAr; TO. K• 2- 1 /r.10'A2r -0• NL. IUtL REStp(slp.E rp( CCD(TIIRNrtON TIRE S,.T. t i s .. RR.0 BOX "S 6 27'58/48 HAMILTON I / +R4DD1( AGE SLAN To wDER -SIDE or ROOT SHEATHING t `A TTPC 7• GrP. EA. SIDE OVER 2.1 STUDS ! 16. Ot. AtiACN 1 STAGGER $WTS . /6d CEMENT [IIATEO NAILS 21. OL:. EA SIDE aW73iW n , 1 05��j�/V(.�ES LnTRPOOL. PA 17015 w/2422 GARAGE 1ST STORY 1 4.1 •'LOOty(NSOLAr OM REQUIRED PERTSF.CL� Sift LOCATION, PUTNAN VALLEY. MY, PUTNAM COU/TTI 30 r¢ SNOW LOAD /Vj�,�r, - ` •��_' (7l. (717f 111 -JJJS TAX (717) IAA -7577 Or.V. en Uib[te er rr[. - �A tD /!(1/2000 Kvrpm ty. . 1/1'•1• -0' _._i.. ... .. -_ ralw T14I IIfSR our wII.LIC£/J/OYJJ.COY _ 112001070 • A 6.• I: ti r :Y .f ' 7STRUCT113N CORP. /YEN 6 MORLEY tISPC> it r--r;--------------------------- I , 1 si', I p i I 1 I 1 1 1 I L I I I, I ��. 1 � 1 1 1 1 1 � I Z, I 1� 1 I I � i 1 L-------------------------------- 4 — — - -- "Now '. a0 c g Q aroar, .4 5 1 63 3 4 PO EN ' BEDROOM MN HALL W�lA t•M fM4 N t',1.1_ BCD" 00 - A SAO P ENTIAL - 1 BEDROOM , MOTES' 1. N6 CST VRLL$ 0 21. Ot./3N MARR VALLS r 2.0• -0• CLG MT. W SpFoz S S EM TOO TO BE TSB 16• G.C. 5 M WINDOWS =:! _ d. CIG BCRM OVER BEDOI TO BE- 2-1 vr.l�• :ar -o• Ma,. �� I �•�osOLD eA,gNK,,5s f. _ j +C p' E � F�Syay gb ti$ $a�� ogu8 � y g ggyp � o. � pal a s 53fill, 8 . �� � n MOTES' 1. N6 CST VRLL$ 0 21. Ot./3N MARR VALLS r 2.0• -0• CLG MT. W SpFoz S S EM TOO TO BE TSB 16• G.C. 5 M WINDOWS =:! _ d. CIG BCRM OVER BEDOI TO BE- 2-1 vr.l�• :ar -o• Ma,. �� I �•�osOLD eA,gNK,,5s f. _ j +C p' E � F�Syay gb ti$ $a�� ogu8 � y g ggyp � o. � pal a s 53fill, 8 . �� � n P �!-,LEN BEALS, M.D., J.D. y Commissioner of Health ... V, Director of Environmental Health n� MARYELLEN ODELL U d County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 ADDITION APPLICATION RESIDENTIAL ONLY . STREET 1 �G:SG��, ��1�� TOWNAX MAP # NAME HONE 2/L/ 2& 3/ j()PCHD# MAILING ADDRESS DESCRIPTION OF ADDITION *NUMBER OF EXISTING BEDROOMS NUMBER OF PROPOSED NEW BEDROOMS * (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, 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin HA -1) 3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) * Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin HA -1) 4. Copy of survey showing all well and septic locations on the subject property to the best of your knowledge. Include date of installation known. Contact this office with any questions.. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling. OFFICE USE COMMENTS 4. .AjLEN BEALS, M.D., J.D. Commissioner of Health ROBERT -MORRIS,P.E.' Director of Environmental Health MARYELLEN ODELL County Executive DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 Phone # (845) 808-1390 Fax # (845 )278-7921 Town Legal Bedroom Count & Pronosed Addition Status Re: MORLEY Tax Map # 84.-1-59 Address- 17 Sassinoro Dr. Town: — . Putnam Va11@3X-- Year Built: 2001 (Owner's Name) According to records maintained by the Town, the above noted dwelling, is XX in compliance with Town Code. Is.not Jn-c mpliance.with -Town Code.,. .0 The Legal Bedroom Count is- 4 This information has been obtained from: Certificate of Occupancy: CO#2001-38 Other: The plans for the proposed addition are considered: XX , Addition to existing house only Teardown and/or re-build allowed under Town Regulations 19W12 Building r W�pf Date 5. JBuldin and the Improve require 'that -th as afor and tha ..or occ this ce seal of said work mind : -0 `COMPLIANCE/ /OCCUPANCY CERTIFICATE F � , . I I - - ]M CERTIFICATE NO 2001 -38 PERMIT 160.0.i TM# "84' AT" DRIV E - -LOC k "n ow: ', SASSWO R G 'CORP AD IS$UED' I AdT RQ ­ready V. ' 0 der JC e::",construction _This'. p Fireplace - Four Bedroom; Unfinished Basement a", �11+ 4 ,,aP.P Ica g' heretofore -h,: t E66 , f 6k,�--, mj Ih di Th e ��applicant ­�Iffi 1'11­11`�Iu -.1 IMIrr n rqi 8 N ni i �i A,ni z,�: -A JBuldin and the Improve require 'that -th as afor and tha ..or occ this ce seal of said work mind ow—, -i'dref-drej-­-, t --f-, hereby �I:issue ,,under ,;,-� . gdl d6dpa h-cy -is 0, comp, I. nv - rb TOWN OF PU TNAM VALLEY; N -Y' . . ........ CODE ENFORCEt �0"l %R Mef­--eveiy requirement ow—, -i'dref-drej-­-, t --f-, hereby �I:issue ,,under ,;,-� . gdl d6dpa h-cy -is 0, comp, I. nv - rb TOWN OF PU TNAM VALLEY; N -Y' . . ........ CODE ENFORCEt �0"l %R ­ready V. ow—, -i'dref-drej-­-, t --f-, hereby �I:issue ,,under ,;,-� . gdl d6dpa h-cy -is 0, comp, I. nv - rb TOWN OF PU TNAM VALLEY; N -Y' . . ........ 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C4 1? 1,O11I1Ly llewTmenT or !fetalT i Z i uvieion of Environmental Health Service. ipproved as noted for conformance with - UP `}t applicable Hulse Regulations ad the V Put Cc 1 neyartment.. E T7"�1 '7MEt tit T 5 Y , , fY f 2 i4 { tit { i r Certified to.- t Gregory E Aforiey & Katlyn S. Yen 2. HSBC Mortgage Corporation (USA) t , I Certified to: f. jGregory E. Morley & Katlyn S. Yen 2: Ls HSBC Mortgage Corporation (USA) t� 3? ?Kenneth l4mgno Agency, -Ltd. #KPF- 10973L „N t SURVEYORS CER77FICA %ION COPYRIGHTQ2001 DONALD J. DONNELLY LAND SURVEYOR, P.C., ALL RIGHTS RESERVED 9 CER 71FICA 77ONS INDICATED HEREON SIGNIFY THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISnNG CODE OF PRAC77CE FOR LAND SURVEYS ADOPTED BY 7HE N.Y.S. ASSOC. OF PROFESSIONAL LA�!D SURVEYORS. CA'TIF7CA77ONSISHA TO THE PERSON FOR WHOM THIS l�f3f/E ARED AND ON HIS BEHALF TO THE -)IE A E ING INS77TUT70N LISTED =77S CERT7FI R N E BLE TO AD31110NAL 1N3;7gJJVO1 OR OXIOUENT OWNERS. DONALD D. COLEMAN, JR., NYS LIC. NO. 49922 W S UNAU7HOR /ZED ALMRAT70N OR ADD177ON TQ THIS SURVEY IS A NOLA77ON OF N.Y.S. EDUC. L�4W SEC77ON NO. 7209. UNDERGROUND STRUCTURES, IF ANY NOT-SHOWN. I ALL CER77FICA77ONS ARE VALID FOR THIS t�AP AND COPIES THEREOF ONLY IF SAID MAP ;QTR COPIES BEAR THE RED INKED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. ., l DONALD J DONNELL Y LAND SURVEYOR, Pe C 1929 COMMERCE STREET YORKTOWN HEIGHTS, NY 10598 PHONE. 914 962 -2215 FAX. (914) 962 -2209 .. a ^ l• f. is i t , I Certified to: f. jGregory E. Morley & Katlyn S. Yen 2: Ls HSBC Mortgage Corporation (USA) t� 3? ?Kenneth l4mgno Agency, -Ltd. #KPF- 10973L „N t SURVEYORS CER77FICA %ION COPYRIGHTQ2001 DONALD J. DONNELLY LAND SURVEYOR, P.C., ALL RIGHTS RESERVED 9 CER 71FICA 77ONS INDICATED HEREON SIGNIFY THIS SURVEY WAS PREPARED IN ACCORDANCE WITH THE EXISnNG CODE OF PRAC77CE FOR LAND SURVEYS ADOPTED BY 7HE N.Y.S. ASSOC. OF PROFESSIONAL LA�!D SURVEYORS. CA'TIF7CA77ONSISHA TO THE PERSON FOR WHOM THIS l�f3f/E ARED AND ON HIS BEHALF TO THE -)IE A E ING INS77TUT70N LISTED =77S CERT7FI R N E BLE TO AD31110NAL 1N3;7gJJVO1 OR OXIOUENT OWNERS. DONALD D. COLEMAN, JR., NYS LIC. NO. 49922 W S UNAU7HOR /ZED ALMRAT70N OR ADD177ON TQ THIS SURVEY IS A NOLA77ON OF N.Y.S. EDUC. L�4W SEC77ON NO. 7209. UNDERGROUND STRUCTURES, IF ANY NOT-SHOWN. I ALL CER77FICA77ONS ARE VALID FOR THIS t�AP AND COPIES THEREOF ONLY IF SAID MAP ;QTR COPIES BEAR THE RED INKED SEAL OF THE SURVEYOR WHOSE SIGNATURE APPEARS HEREON. ., l DONALD J DONNELL Y LAND SURVEYOR, Pe C 1929 COMMERCE STREET YORKTOWN HEIGHTS, NY 10598 PHONE. 914 962 -2215 FAX. (914) 962 -2209 .. a 4P, lot NO• ";F, Z 9 No 815 Area= 6.38.92 Acres 1 B 1Fy 9 ' ^ l• f. 71. 4P, lot NO• ";F, Z 9 No 815 Area= 6.38.92 Acres 1 B 1Fy 9 ' V.J. UUF4J I KUL 1 lU11 UUMV 1 cI. m IIWMt_tw 1 0 1w, =I'm lltnI "na MILT €g AI 6 1 01.1 ap N FAPEILY Q�M)4 pil 11"Ov Wht OIL) V.J. UUF4J I KUL 1 lU11 UUMV 1 cI. m IIWMt_tw 1 0 1w, =I'm lltnI "na MILT 1% O 13­0' BATH .3 YillllY r TCHIN HALL 3�r to om w CLD ANN ir-jo wr Lwow 32 JA rn. coo X-0• RMN LIVING RMM I' EA1 iJ Its. LI. ALL 1 MARR --LS C In JOISTS Sf {{iCN TO BE 2R' DL (GMAGE7 P 16. OL. 1 L- - - - - - - - - - - - - - - - - - - -1-2115z 111-26%1 7 - - - - - - - -- IS r SLAB TD LINDER-SIDE GF ROOF SHEATHING t.lf* 51r TYPE -.- GIP. EA_ SIDE DYER 2.4 STUDS t 16' Dr- ATTACH ./6d CEIIENT MATED Ilty "Ift.rOD915. SMINNIC 1& DIA HEADS) f 7' D.C. STAGGER JMN�TS 24' CIE. EA. SIDE OVF`351D) 4.11) Lmor INSULATION REDUIRED PER N.Y.Sr-CZ. %lit LUCAILDA, PUINAM VALLEY. Wj PUTHAm CMWTYi 3D PSr SHOW LOAD SN— /QN2001030/NY ant, t. 6 FAPEILY Q�M)4 .1 ­41 111' ;u (D 6-AW GARAGE 0_5 7/e' 4--L — - — - — - — - — -- — - > ---------------- 27658/48 HAMIL-T-ON I R.R./2 BOX 683 w/2422 LWE)EPM, PA 17045 IST STORY (717) 444-3"395 FAX 1`717) 444-7577 MLA 2 21r-11 7/8' 6 1% O 13­0' BATH .3 YillllY r TCHIN HALL 3�r to om w CLD ANN ir-jo wr Lwow 32 JA rn. coo X-0• RMN LIVING RMM I' EA1 iJ Its. LI. ALL 1 MARR --LS C In JOISTS Sf {{iCN TO BE 2R' DL (GMAGE7 P 16. OL. 1 L- - - - - - - - - - - - - - - - - - - -1-2115z 111-26%1 7 - - - - - - - -- IS r SLAB TD LINDER-SIDE GF ROOF SHEATHING t.lf* 51r TYPE -.- GIP. EA_ SIDE DYER 2.4 STUDS t 16' Dr- ATTACH ./6d CEIIENT MATED Ilty "Ift.rOD915. SMINNIC 1& DIA HEADS) f 7' D.C. STAGGER JMN�TS 24' CIE. EA. SIDE OVF`351D) 4.11) Lmor INSULATION REDUIRED PER N.Y.Sr-CZ. %lit LUCAILDA, PUINAM VALLEY. Wj PUTHAm CMWTYi 3D PSr SHOW LOAD SN— /QN2001030/NY ant, t. FAPEILY Q�M)4 .1 ­41 111' ;u (D 6-AW > ---------------- 27658/48 HAMIL-T-ON I R.R./2 BOX 683 w/2422 LWE)EPM, PA 17045 IST STORY (717) 444-3"395 FAX 1`717) 444-7577 MLA r' 4. '10 4' �y1�� >�YaBeSw 1,�5 i.g� 8� - o s3 saaag s Hal G) X... -t ... � -6l:II L b !( F i• 1' f I 0 0 L 'L. IL, SN- /QN2001030 /NY ----- -- ---- - -- -'1 I I 1 1 1 i 1 I 1 j I i 1 _--- ---- --- - - - - -- 28'-0' O Iwrs2 M fL4 LVERPOOL PA 170!5 Mown (717) 444 -9395 FAX (717) 444 -7577 F40.1 THE OS1DE 011f CVV.£X['EWOYfS.COY 27648 HAMILTON 1 1 13'-10' 2ND STORY p .iaS1 .r. IuiL SCK[� 1011012000 OIS[ P0 B11w 11 � R t S - QI s _ BATH 12 1 l � pp SS � • .s Ki w e.rsc v.• [ 2.6 na. vla Mp M.. HALL lMt z -e.. —.1 .np WV.�SO¢ to [Cw Wf .ANA .nlwil( ' -0'— .. .. �'+.. ivlr io`:irlc M:s BEDROOM 11 Lti 0 * - VM1* tiLYf f .. tl � G) X... -t ... � -6l:II L b !( F i• 1' f I 0 0 L 'L. IL, SN- /QN2001030 /NY ----- -- ---- - -- -'1 I I 1 1 1 i 1 I 1 j I i 1 _--- ---- --- - - - - -- R.R. /1 BOX 689 LVERPOOL PA 170!5 Mown (717) 444 -9395 FAX (717) 444 -7577 F40.1 THE OS1DE 011f CVV.£X['EWOYfS.COY 0 dQ a 0 27648 HAMILTON 1 2ND STORY p .iaS1 .r. IuiL SCK[� 1011012000 OIS[ � I N o. 22' -1�' 2' -10' 217 x 10' DEEP CONTINUOUS l — - TYPICAL — — — — PROVIDE DROP FOUNDATION WALL AT GARAGE DOOR OPENNG COORDINATE W/ MODUI AR MAK.IFACTURMER 6`. 10' I 20'-9' I 4' I r lV N I DNEXCAVATED b PROVIDE DROP F ATICN 4' POURED CONCRETE SLAB WITH IPER WALL AT DOOR 86 W74xW14 WAIF OVER 4' CRUSTED N I I � q E W/ STONE/GRAVEI- BW AND ML VAPOR (TYPICAL BAPPJ31 .n O .r i. Iv: LINE OF DECK ABOVE 6'x6' WOOD POSTS (TREATED) 3 -2x10 {x10 W/METAL CAP 6 BASE CONNECTORS ON 18• DW 2 -2x8 LEDGER (TREATED) BOL I CONCRETE SON -0-TLBE I TO EASTNO STRUCTURE PER/FOOT R�AU' W /5/81DIA. BOLTS m 2'-0' O.C. (STAGGERED) FLASH TOP (TYPICAL. OF PO R ROOM WIDOW ABOVE I v. 58' -0' 10' THICK POURED I i m l CONCRETE FOl>TDATION 2820 BASEMENT I WINDOW d AT�FEi_D1 WALL = TYPICAL — GC TO COORDINATE LOCATION OF ; STAIR W/ MODULAR MANUFACTURER FOR ADDITIONAL STRUCTURAL INFO ADD LALLY COLUMN IN HOLD DIMENSION 6' -3' 6' -3 6' -2 6' -5' 5-6' �- L —� L — J L L� J -� °3 4' STEEL PPE COLUMN ON 3'-0' x 3'-0' x 1-0' DEEP POURED CONCRETE FOOTING - TYPICAL � qjp a Ma. va :e i PROVIDE FIRE RATING AS REQUIRED BY 'PLATED) BOLTED NYS CODE AT FURNACEA -EAT UCTLK W /5/8'Db PRODUCING EOUPM£NT+ELD b,; lG (STAGGEIRLO1 I R t- ►i . �f LIE OF DECK ABOVE — P 3200 3-200 32x10 W vvooD Posrs (TREATED) METAL CAP 9 BASE NNECTORS ON 18' DIA 2-2x8 LFDOER (TREATED) BOLTED NCRETE SON-0-TUBE TO E1aSTING STRUCTURE R/FOO (TYPICALI. ! W /5/81DIA BOLTS ® 2'-O' O.C. (TREATED)! ! " LOCATE ON -1 (STAGGERED) FLASH TOP ?� OF CBL VIT M ABOVE (TYPICAL). O O< FOR ROOM N`ApOW ABOVE ( 58' -0' t, TNCK Poupm ao 6' -0' 1-0 V2' DIA. x 18' ANCHOR BOLTS ,CONCRETE FOUNDAT101N WALL - TYPICAL 10W (LOS BASEMENT _ 2 B BN ) 10" 2' -2' OC TO COORDINATE LOCATgN OF STAIR W/ MOO XM MANUFACTURER 1 FOR ADDITIONAL STRUCTURAL INFO i b ADD LALLY COLUMN A DD LALLYICOLUMN HOLD DIMENSION H OLD OEMSION (� BFJ'M POCKET 3• 6' -3' 'E ;: 6' -2' 6' -5" 6' -5' B't,> { 5' 6' S'-8' cTYPJ 0' L__J —J L L J L L —J ! J 4' ST �y•�- PPE COLLWN ON 3' -0' . R x 7-0"k T-O' DEEP POURED BASEMEtVT �INrSHF�;" CONCRETE FOOTING - TYPICAL 4' / SLAB VNIT?i ! ! CK JOISTS `� �, ! (Ta>✓ATED) ! 66- MI!?IMw14 WWF: e ST G2iAV& BED AND 4 ML VAPOR j? B ! W/FRAWM CLIP t a Soo ! 12 LOERPROVDE FB RATK AS REQUIRED BY 2- 2x8 ! (TREATED) BOLTED NYS COOE AT FURNACE/FEAT TO eotm STRUCTLpe W /5 /B'OW. BEAM ! N ! zo POO CPIG EO(1PNENT FIELD BFLASWTnP (TYPICAL). (STAGGERED) �fTYP) 2x6 DECKNCi l' TYPICAL (& :s MOOLILAR • �: ° 4' STEEL N ° I W/ yr V2' x 6' �:r �LI�I ' PUTNAM COUNTY DEPARTMENT OF HEALTH ��'DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FO TREATMENT SYSTEM D PCHD CONSTRUCTION PERMIT # PV- Y -7 - O 0 Located at /-1S s N o IZ v D 1 i/C Town or-� v �t rh s9 LZa Owner /Apphemt Name_? 7 CR�'o,J y4m Roa o cc aP. Tax Map Block Formerly Subdivision Name Pv rjJ j9 ^ Subd. Lot # Lot 51 Mailing Address 17 CRo i 0 rJ 04 M Ro AD O SS I N i N (, � /J,. Y. J* Zip fo S6' 2 Date Construction Permit Issued by PCHD pCcErh�'2 P 2do i 37 cRa a.J 0/4rt 8040 c011f Separate Sewerage System built by37 cRorw o4/n rhogo cotzR Address oss iJr46., P. Y. 1ore"L h.. Consisting-of- ­'G=a1lc:: Septic -- Tank- and w 71 P6 l� 2 `f 6- P/41�6L I N X Z " M 1 a1 or- 9R KR v ArJ-o i9 �'t/M /° S `d' •S- i'C Other Requirements: `?UM P S Y S'o 6M ✓9 ,o0 32 o f i59N KR U r,1 Water Supply: Public Supply From Address ,3_7 CRO rod CiAM Ruraa or: Private Supply Drilled by Pi' 1?£/9 L S0/3 S 0C. Address KR45w -r-rE2 10 ri. `r /a562. Building Type Sr-36'46r ! "i9rLrrt Y PC s Has erosion control been completed? ` c S Number of Bedrooms Has garbage grinder been installed? I certify that the system(s), as listed, serving the above e' ere cb44s` c1 built plans (copies of which are attached), in rdance'wi the 'ri �j C C plans and the standards, rules and regulat• ns the P4.'iA Co y;'` - 3;epartm nt till j iu Date: /= Z 6 — y l Certified by Address Z L-, 131,E ,• . rte: tjo © 1 -'7 essentially as sliowwon4he as- istruction Pere and:i� proved if Health. P.E. >e# 06 Z 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 modific do or change when, in the judgment of the Public Health Director, such revocation odifi tion an is essary. ,..L; _....... -.: �:.. -. ice_:... _ ..... _ .... ,.;,, By: Title: Date: /of White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 .. ' ,_ • .. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL >El[IEALTIH[ SERVICES WELL COMPLETION REPORT Well ]Location Street Address: Krarers Irtnd Rd, Fitt-CYlase Subdo Town/Village: Putnam Valley Tax Grid # --rA u 1,6,r S 9 Map 8�1 Block 1 Lot(g) 15 Well Owner: Name: Address: VS Construction, 37 Croton Dam Road, Ossining, NY 10562 Use of Well: I- 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 42 ft. Length below grade 41 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' lumped X Compressed Air ` Hours 6 Yield __20 gpm )(Depth Data Measure from land surface- static (specify ft) 30' During yield test(ft) 180' Depth of completed well in feet 245' Well Log If more detailed information descriptions or sieve analyses are available, please attach. Depth From Surface Water Bearing Well Diameter(in) ]Formation Description ft. ft. Land Surface 27 Drilling in ove burden clay and boulders 27 Hit rocr, at 27' 27 42 DrillinLin rock, set Basin routed 42 245 Drillim in ro aranite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity 7gpm Depth 200' Model 7GSO 412 Voltage 230 HP 3/4 Tank Type WX302 Volume 86 1 e Date Well Completed 9/ 5/01 Putnam County Certification No. 002 Date of Report 1/19/01 WZDril g al tvUTE: rxact location of weu wttn atstances to at rWell_Driller_'s Name.. Signature: Perry two permanent tanamarxs to De provtaer a separate sneeuptan. Date: 1/19/01 White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 45-225- ©231 TO:ENU HEALTH DEPT P:1 /1 MAE- 1 -111 7P, I 4:E1 )M PUNAM CTY ENV HEALTH FAX NUJ, 13142737021 F. 1 Joseph L. Petoso, Jr. Putnam County Clerk Public Information Officer Application for Public Access to Records To: Records Access Officer Name of Agency 7 Address I HEREBY APPLY TO INSPECT THE FOLLOWING RECORD: WERVED FOR TIME STAMP JOSEPH L. f'E OSO A MfIAN Cat€ N] Y GI FkK . 2001 MAR — I Phi -4: 28 Check one: D I wig hand deliver myself (� Piease Subinit to the specified department for me FOR -0UJC1 Lr._... ...... . �,..». Lj f Da Anntlnen► kle—lNSMPf? ri:rAervt i 1 w• Mailing Ad Uz,itr:M ros III L PE10.SP, FOR AGENCY USE ONLY DENIED Roca of which this Agency Is Legal Custcdion cannot be found. R ord maintained by this Agency. S nature tle U NOTICE: YOU HAVE A RIGHT TO APPEAL A DENIAL OF THIS APPLICATION TO THE PUTNAM COUNTY EXECUTM Name "0 MUST FULLY EXP iN HIS REASONS FOR SUCH DENIAL IN WRITING VEN DAYS OF RECEIPT OF AN 'AP>aC- AL..•:I�HEREBY.AP :..:......._ .•.... Signature Date REVIVID Aulot00 MAR -1 -2001 THU 16:17 TEL:845- 228-0231 NAME:PLITNAM COUNTY CLERK P. 1 Iq F . NORTHEAST LABORATORY ®F DANBURY 39 MILL PLAIN ROAD - DANBURYy CT 068311 CT Cert: PH -0404 LAS (203) 748 -7903 - FAX (203) 748 -0652 NY Cert: 11471 REPORT TO: P.F. BEAL & SONS 4 PUTNAM AVENUE BREWSTER, N.Y. 10509 SAMPLE SITE: SAMPLE POINT: SOURCE: TREATMENT: TEST PERFORMED DATE SAMPLE COLLECTED: 1/10/2001 TIME COLLECTED: 10:00 A.M. COLLECTED BY: KEVIN BENISON DATE RECEIVED @ LAB: 1/10/2001 TESTED BY: LAB #11471 LAB LDN PFB -003 REPORT DATE: 1/15/2001 V.S. CONSTRUCTI014, LOT #15, PUTNAM CHASE S~3BD., PL 1NAM VALLEY, N.Y. HOSE BIB ND - WELL 3 Units NONE 6.38 - NL43CUALM CONTAMINANT RESULTS METHOD # LEVEL (MCL) OR STANDARD BACTERIAL: o Total Colifolm (Bacteria) 0 per 100 ml SM 9222B 0 per 100 ml PHYSICALS:.. .. • w <0.20 o Color (Apparent) 0 - EPA 110.2 15 o Odor ND - _ 3 Units o pH 6.38 - EPA 150.1 No designated limits o Turbidity 0.45 NTUs EPA 180.1 5 NTUs CHEMISTRY: • Nitrite Nitrogen <0.005 mg/L as N EPA 354.1 • Nitrate Nitrogen <0.20 mg/L as N SM 4500D • Alkalinity 8.0 mg/L SM 2320B • Hardness 21.0 mg/L EPA 130.2 • Iron <0.03 mg/L EPA 236.1 • Manganese <0.01 mg/L EPA 243.1 • Sodium <1.0 mg/L EPA 273.1 • Lead <0.001 mg/L EPA 239.2 r 1.0 fg/L 10 x2'L No de fu e limi{$ t _- No def limits : ' c-- 0.30 in CD Combined limit for Iron p us Mat gkiasbi= 0.50mpf L 20.0 �' 0.015 r 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: X® OTABLE . or OT POTABLE RESULTS BASED ON SAMPLES SUBMITTED: 1 /10/2001 i Laboratory Director -NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037° (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 o OUTSIDE CT: 800 - 654 -1230 PUTN-AM"COUNTY DEPARTMENT-,.:OF-HEALTH DIVISION LHEALTH SERVICES.. GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM - 00 it P'. Owner or Purchaser of Building Tax Map Block Lot Building Constructed by Q63village 5A5_51WQgP 11 F_ ('aTA)AM l HA-sr- Location - Street Subdivision Name Building Type Subdivision Lot # 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 §ffd6f6d-is'91�6wni- and in. accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee arantee 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 p eriod 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 system. A The undersigned rther agrees to accept as conclusive the dete i a 'ono lid � �u$c Health t Directo o t e �u County Department of Health as to whether n th( i u e d the system to per e s cau d y the willful or negligent act of the occup t o e b ildi utilizing the rthe r a e whether h eta 0 thi 01 t .c e 01,b I sy em. td up 0 • is r 01' Day 23 Year 260 Signa e j 0 Title: Gen ral t for (IFner) - Signature 91* C9o-ro/o, _D4M DOA D 0 Pf • y e�o,-o� � .; �o, 00 E Corporation Name (if corporation) Corporation Name (if corporation) _a5iA)r/,)& Address: 31 0670.4 AM k0A0 Address: _D Am 0 State zip 0 6,Z State Zip /d5 ,6Z Form GS-97. ii BRUCE R. . FOLEY Public -_ a&"'Director M - �•:. .. LbRETTA -MOLINARI- RN., -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 (9.14) 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 OWNERS NAME: .3Y �czoTOa �1},v� &A-0 TAX MAP NUMBER: c.: 8`>� ; �La If E911 ADDRESS: 4 5 AS6 I N D 90 > ?- TOWN: AUTHORIZED TOWN OF (Signature) DATE: 4 The issue a Certificate of e Putnam County Department of Health will no � Construction Compliance unless the above form is completed, i.e., a.legalE911 address is assigned by an authorized town official. This form is to be submitted with the application for a Certificate of Construction Compliance. (E911 VERF M :a ;,i �F1N 1' a.i �I 11WITH The Lindy Building; Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 914-736-3664 Fax 914-736-3693 Adam B. Stiebeling, Assistant Public Health Engineer Putnam County Department of Health I Geneva Road, Brewster, N.Y. 10509 RE: 37 CROTON DAM ROAD CORP. "PUTNAM CHASE SUBDIVISION" SASSINORA DRIVE, LOT 15 P.C.D.H. PERMIT #PV-47-00 THESE ARE TRANSMITTED as checked below: ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED DFOR REVIEW AND COMN ENT X PLEASE REPLY WE AM SENDING YOU attached 1.) Three copies of as-built subsurface sewage treatment system plan C:) 2.) Three certificate of the construction compliance. nc 3.) Three guaranties of SSTS ti 4.) Well completion report 5.) Water analysis report 6.) Copy of survey showing foundation location 7.) E911 address verification form 8.) $200 certified check for application fee. C-) Should you have any questions or require additional information regarding this matter, please contact me at the above phone number. Thank you for your time and assistance in this in atte. pectfuRly submitted, Kenneth !M. Mu pnhly Project Designer �'i �� �. PUTNA 1 COUNTY DEPARTt•IENT OF HEALTH I Z Z'l DMSION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION -7 0 J Date: Ins ect . S eel Lo }:. ye�T�j; � �Z(2% . °: � n :� �,,;�. --,; —, '. '.y. V ►1ner- ry, :. J� v'►wl Town j Permit # -D \j TM # Subdivision Lot # 1. Sewage System Area YES 0 COMMENTS :..a--.',STS area located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lgth. b 7 Width &V Avg.Dpth 3Z c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands ...... ............................... II. SeilaQe System a. Septic tank size -1,000 ....... 1, " :........other ................ b. Septic tank installed level ................ ............................... c. 10' minimum from foundation .......... ............................... d. istribution Box / 1. A outlets at same elevation -water tested ................. �� 2. Protected below frost .................. ............................... 3. Minimum 2 ft,Original soil between box enches e. Junction Box - properly set ......... ............................... f. J renc es , + Len 1 required . en gth inalled 2. Distance to watercourse me ured rFt......... "Lm,� S 3. Installed accordin o p .......... : ....... " ............ 4. Slope of trench�cceptablel /16 - 1 /3�2 "/fgrot ............. 5. 10 ft.. from property line -00 - foundations....:. 6. Depth of trendE <30 inches fro •surtace V 7. Room all "for expansion, l0 %'.... .. . 8. Size of g ve13/4 -1%" diameter 'leeen .................... 9. Depth of ravel in trench P2" mini nnum ................... _ ....:... _ _ , ._.. ..� •.,• ,. g. FumR or llose' stem 1. Size o pu p c am er .............. ............................... 2. Overflow tank ........................... ............................... 3. Alarm, visua�udio .................. ............................... 4. Pump easily a essibl manhole to grade ................. 5. First box baffle .. .................... ..............::............... . . _.. -. 6. Cycle witnessed by H.D.estimated flow /cycle........... III. House/Buildin a. Ouse ocated per approved plans .... ............... ..:....:.:.... b. Number of bedrooms ...................... ............................... . IV. Well a: Well 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 ............... h. Surface water protection adequate ... ............................... i. Erosion control provided ................. ............................... Rev. 6/97 0 M at/ LVf LVVV 11.0Z y141.ib3b93 . CRONIN ENGINEERING 1 PAGE 01 PU7T- TArd C®IiM DEPARTMENT OF HIA LTE IDMSION OF ENVMONMNTAL ETAiLTH SERYWES All information east be fully completed prior to any wspecuons being made. ®C n For: Fall Tre�ches V' PCBD Construction Permit N , Located: �" ��� (MM '> LCt0 A VAU Y O /Applicant Name. � 1 Q Aha 1 k t P. Ti i liz Block _L Lot Ponaaerly: I Subdivision Name: Subdivision Lot A Is system. fill- completed? D Is system complete? Date: - — Is system constructed as per plane �Y � Is well drilled? Y40 Is well located as per plans? 4�2 Are erosion control measures in place? Date: _- - -, A?1491 @b I cerdy that the system(s), as listed, at the above pa entries has been constricted and I We inspected and verified their completion is accordance v4th the issued PCFD Construction Permit and approved ply and the Standards. Rules aaad Regulation of the Put= County Depw=ent of Heald Date: / . Q J C eegi$ed by: /reroi .. g PE Date: ✓ , Professional Adds: �-' N�c. b� f3i� 1 Q r•1 6A1 GI. "Y. iotkC Lic..29�0 Comments: Form FIE -99 0 7' crown Engineering X1001 POSt-It'" brand fax transmittal memo 7671 #0fp"esp. TO FMM — 1. w1I 0 ME I i tie �71 L 4. • kRTWNT OF HEALTH DIVISAK4 Uk ZIN V HEALTH SERVICES ATTENTION ADAM 13 GENE REQUEST FOR F MON For: Fill V-/ All information must be My completed prior to any Trenches inspections being made. PCHD Constxuction Permit # r V — 41 DD Located: 17. r', - Owner /Applicant Name: 3-1 Cmm Am kA, '&i - ForrC!"Ir Subdivision Subdivision Li Is system,fillcompleted? je'n Is system complete? Is system constructed as per plans? /q/,k Is well drilled? NO Is well located as per plans? N/A Are erosion control measures in place? Date- N I certify that.the system(s), as listed, at the above premises has b' .9 1, 1 have inspected I 9 and verified their completion in accordance with the e PCHD o., Permit and approved plans and the Standards, Rules and R Department of Health. ..Dat-e:. D Address: .2 Zra" Wclj 13lu J 0 le eA di fit, A'I 104 6 Lic. 4 -062-9 8 0 Comments: ?,-trrjbLA 4*1� i W1 t J air -tg T r^ e1A oytr d pk�J Atu 6t C.kQXO 2Q. t� Q*- r n I CAk t IZA -2 Yhi in I i4j, , t-n 4 661 110CL Form FIR-99 � -o PU TNAM COUNTY DEPARTMENT ®IF HEALTH IIDIIVIISIIGN OF IENW R ONMIENTAIL JHIIEAIL')TIHI SERVICES . c oNi ST.- RUcCTf(UN E°1E118MIr ]'DR8 92 WAGE TREATII ENT SYS lEM PElf81aU.T # Located at 5assinorn 1U Town I�rr§UAN ' V�AL-ifY Subdivision name EM-OA M eVKS6 Subd. Lot # 15 Tax Map 64 Block I Lot 5.9 Date Subdivision Approved 01 -2 -5- 01)D Renewal Revision Owner /Applicant Name 3i &a0A �)AM i4p Obp-i�, . Date of Previous Approval N/4 . Mailing Address 31 &Qtoro ,DAM P9AD 055 rev eN (•* A): y Zip /0-6Y?— Amount of Fee Enclosed 13 ©p x° Building Type II F-siD&J —DA -t... Lot Area 6,3.9 No. of Bedrooms _�/ Design Flow GPD l0 AC. Fill Section Only Depth Volume PCH D NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Sepairate Seweirage System to consist of gallon septic tank and 00 G- . �: o� 6 jee`' ?+PE t 4" G vii —7z -/0cH (D—Lc 1 =IBI -MA) 00)d j . Other Requirements: 1-.25-0 G ktL L oto JM � CAA A 13Ee- w f 54 -7-S- d� Q7 Lj ATB p IIM P M�'tJAL To be constructed by 31 ezz-are . Address Di e-to-Tol') D'o"M a.. 05SJA ,1 )61. A/y )0-t`6? Watg Su9gly. Public Supply From Address or: ✓ Private Supply.Drilled..by_ ?E _.SAL -?r, 5j ; cvc' address 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 Construction Complan�e" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee wilt be_ishedthe owner, his successors, heirs or assigns by the builder, that said builder will place in good operati€ig Cori iti'on a* h !4pajt o1f;said sewage treatment system during the period of two (2) years immediately follower the date q1f th z ange:.q th" pi`o� al of the Certificate of Construction Compliance of the original system or any r air thereto. Signed: cry P.E. } - Date J2 051,06 IN Address .2 ��l �v` Wca-c", lv;`' : �v.s ." t 1 r /0 • ! 016 6 License # 06 z_3 8 Q APPROVED FOR CONSTRUCTION: This-approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or m6difiedtkvhen con Wered eces uy b th blic Health Director. Any revision or alteration of the approved plan r quires a ne t. App ed f is arg f o estic sanitary sewag only. By. - - Title: r` Date: rs 0.5 C White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Prof ssiona Form CP -97 T PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES -:� DESII�IDATA�S1EiEET SUBSURFACE SEWAGE TREATMENT SYSTEM Owner 01 -DAM Address 3 i l t_ rco►,) A M I2D Q%ss IM /J. Located at (Street) 50-!;C: MOT-0 �C= \y F Tax Map B Block / Lot !J (indicate nearest cross street) , II Municipality Lam) iu-�NAA �A -W�_j Drainage Basin BEd s V i LL Noi.�oLQ �3�ao� SOIL PERCOLATION TEST DATA Date of Pre - soaking // �3� L D Date of Percolation Test /,2f0/ D�) Hole No. Run No. Time Start - Stop Ela se Time an.) Depth to Water rom Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch ,z6" eo 2 L10:_3S 3 10%3811 o! 12 4 5 G a I g a 2, �. _- _ 3 (0"S4/ ilJb3 9 18 — z� 3. 4 5 1 ' 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i:e. s 1 min for 1 -30 min/inch, 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 4 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST DOLES _ �7..^ .-.,. .. .. _..:. � ... .%�; > =.�.�, .n ri'v;:c�•• %" �;;�y',� -".=r -.gin_. _.._ p:. DEPTH HOLE NO. 1 A HOLE NO. t s' B HOLE NO. G.L. ,u to a,= 36' 2olu o r 0.5 t3AA) A F., Lk 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 7.(J(5 7.� =� =T 8.5' n CL 9.5' 10.0' Indicate level at which groundwater is encountered AI0 r4€ Indicate level at which mottling is observed E. Indicate level to which water level rises after being encountered NIA Deep hole observations made by: k5. . CC. e ., Date e,z D ,00 Design Professional Name: 1A4oTH XL. Atoi is) jV Address: e-00110 Signature: N • `l, 10-f 5-a . Design Professional's Seal J\ N. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISRON OF ]ENWRONMENTAL HEALTH SERVICES . w - +\.. . \:•:n. .. ..e n...w :f1 'w ^;�- .v.. -._:.. ,..� �.. t. -. . t _._ .'..�.. Z °..1..'. �[ t tr. .tll 1end: ..a .r.. .:i�it nw�:� MAe ^s.�3] :.i'O.. C:�...•'f� cCONSTRlUcCTff(DN PERMIT` QR S WAZTo!orVMill1U7W4/b/ ^YSTEM i PIERIWIIT # V47- QQF f Located at �� i n Du°a .JT a U e , f/w.1 -ey Subdivision name ?u—, n)A,,M e tuF Subd. Lot # 15 Tax Map 841- Block / Lot .!39 Date Subdivision Approved 07 ,2,5- -2000 Renewal Revision Owner /Applicant Name -5;'r OrzTOj DAm -e Date of Previous Approval u A Mailing Address 37 P12Crro 3 ( Ail t OAD ©ss1A)0AJ(5 14-). y Zip /056z Amount of Fee Enclosed —4301) Building Type %Z f , r,5,oTiA Lot Area 6 +3J No. of Bedrooms Design Flow GPD j:- 0 AC. Fill Sections Only v/ Depth .32 11 Volume 1000 C--.Y. PCIl3[ID NOTIFI CAT12N IS REQUIRED WHEN FILL IS OOM PLETE➢ Separate Sewerage System to consist of Other Requirements: gallon septic tank and To be constructed by _37 euTW Ak )2�D Address �OSGZ, Watg &Rply: Public Supply From Address riVate "- Supply Drilled'by ice. t=� i_ "" c��05 vtCl.Address 1��ti'�°A via BP—e—CVAT- =e-, � Y, 90502 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 Construction Complia"5— atisfactory to the Public Health Director will be submitted to the Department, and a written guarantee wilt beirni ��the ,\wner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any pti sx sewage treatment system during the period of two (2) years immediately fo g the date of the issuan ge o r ap o al i f the Certificate of Construction Compliance of the original system or y repai thereto. ;� ,w Signed: ' �' .E. -V/ Date /J/,/ Iloo . ov Address .0- 6o k���� B��i'',� �Q� ` 'r� D05(� License# 0629 e0 . APPROVED FOR CONSTR1UcCTRONI: 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 consi er ne ess by the Public Health Director. Any revision or alteration of the approved plan requires anew pe 't. Appr e r isch ge of domestic sanitary sew a only. By: Title: Date: V 1114 White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Prof ssion 1 Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES - a. APiPLICATION TO CONSTRUCT A WATER WELL •a� � «:•s =. sT." -r/&rr � u %v' .. ��1 -:... - .. .. ., o. ., ' ""_ .r please print or type I germi�f4v- � `%r.,e� Well Location: Street Address: SUBTown/UkW Tax Grid # Sassinoro Drive/ Kramers Pond Road LOT /5 Putnam Valley Map 84 Block 1 Lot(s) '59 Well Owner: Name: Address: 37 Croton Dam Rd Corp. 37,Ctoton Dam Road, Ossining, NY 10562 Use of Well: X Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served 4 Est. of Daily Usage 500 gal. Reason for 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 _X— Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision? ...................................... ............................... Yes X No Name of subdivision Putnam Chase Lot No. 1,5' Water Well Contractor: p .F . heal & Sons, Inc. Address: Rrewster,NY 10509 . J} 01' %,Yes No X Is Public Water Supply available to site ................... .................... � ,��,...... a Name of Public Water Supply: N/A ` -T N/A �; Distance to property from nearest water main: N/A location & b A 1 Proposed well sources of contaminatio pro ,idle on eet/ te. =cv - Applicant :S�gt> zz PERMIT TO CONSTRUCT A WAS This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED_ ; FOR CONSTRUCTION: This approval expires two years from the date issued unless. construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller e ' ied Putnam County. _ Date of Issue i 17-' on Permit Iss in Offs ial: Date of Expiration Z Title: Permit is Non - Transferrabl White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 I No,v 21 00 04.:01p , JOHN ZARCONE, JR. Chairman BILLY L. CROWDER Vice - Chairman KENNETH KURITZKY Secretary Town Engineer JEFFREY CONTELMO Planning Board (9141 526 -.3307 p.2 Wt®F.PUL 1 1e�l V J 1 November 6, 2000 PLANNING BOARD 265 Oscawana Lake Road ]Putnam Valley, NY 10579 -2004 (845)5263740; Fax: (845)526 -3307 E -mail ulannin_,C&ptunamvalley.com PUTNAM CHASE Subdivision (37 Croton Dam Road Corp.) SITE PLAN ALTERAg'ION & WETLANDS PERMIT Sassinoro Drive TM #88.4-59; FILE #84./9000/706 MEMBERS STEVE KASTUX ROBERT YARUSSO MICHAEL DOEBBLER (Ad Hoc) Clerk VITTORIA X. COLESANTI WHEREAS, the above request represents the desire of the developer to encroach into the wetlands buffer area between lots 15 and 16 of the subdivision, in order to extend the fill area required to install a septic system for four bedrooms on lot #16 (including 100% expansion area), and WHEREAS, the only impact of said change in site development plan is the above mentioned encroachment and the relocation of the proposed barrier between lots 15 and 16, and WHEREAS, a public hearing was duly held on this date; 11TOW HEREFQ , )gE.g�' )� _$,OLVED.T1HAT,.on modon,`by itobert•Yar'u *so; soconikd_by .� Kenneth Kuritzky and unanimously carried, a Negative SEQR Declaration be and is hereby adopted, and FURTHER RESOLVED THAT, on motion by Kenneth Kuritzky, seconded by Robert Yarusso and unanimously carried, alteration of the site devclopmcnt plan for lot 15 and wetlands permit for the encroachment into the buffer zone of same be and is hereby GRANTED, subject to: 1. the relocation of the delineation barrier between lots 15 and 16 2. revision of the modified site development plan dated September 20, 2000 to reflect the granting of the approval, specifically note #6 and placement of the signature block for approval by Planning Board chairman /secretary, and 3. Subnussion of approved /signed revised site development plan to Building Inspector prior to seeking building permit. BY: John M. Zarcone, Jr. BRUCE R. FOLEY r.P.ubliC:Neulth• :'Di�n�ctor u.., LORETTA MOLINARI R.N.,-M.S.N. .. • •- •� Associate 'Public-= •fleaftk"�rwectar` ' ''-` `� ; "'` Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax.(845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 November 2, 2000 Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, New York 10566 Re: Putnam Chase Lot #15 TM# 84 -1 -59, Sassinoro Drive Town of Putnam Valley Dear Mr. Cronin: This office has received and reviewed the most recent set of plans for the above mentioned project. We would like to offer.the following comments for your consideration. Documents: 1. Property has two road names listed under "Located at..... ". Only Sassinoro Drive is to be listed. 2. Construction Permit CP -97 l�sec 16n; =da tl volume. b. Trench requirements not to be noted on "fill only permit." 3. House plans required to be submitted. 4. Wetlands Permit required for fill within wetlands buffer. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact us if any questions arise. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj PUTNAM COUNTY DEPARTMENT OF HEALTH ' DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL; OF.P S FOR _ c^ LAN - `._r., 'A WEiSTEVWAyTER TREATMENT' _ it1V1 I. Name and address of applicant: 37 Croton Dam' Road Corp. 37 Croton Dam Road Ossining, NY 10562 2. Name of project:_ Putnam Chase = Lot # /9- Putnam Valley 4. Design Professional: Timothy L. Cronin III 5.. Address: 2 John Walsh Blvd. 6. Drainage Basin: Peekskill Hollow Brook Peekskill, NY 10.566 7. Tvpe 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 II Unlisted X 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... I No 10.. Has DEIS been completed and found acceptable by Lead Agency? ............... N/A I L .Name of Lead Agency Town of Putnam Val ley Planning Board 12. Is. this project in an area under the control of local planning, zoning, or other official s,-ordinances? 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. Type 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) ...... ................... 18. Is project located near a public water supply system? ....................: 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 Stiebeling 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 _ .. • � C' � ti' . . �M1' .. rr. b_.!' a .. _. . - • �. ... 4'. T a�ti�T t � - � • • . �.T • - ..�v�n.1•A u.- '- t.-La. : >' •9t - 1 t :'T .4•�.'G.�..'1' .J .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? ......................... ............................... No 35. Are any sewage treatment areas in excess of 15% slope? . ............................... NO 36. Tax Map ID Number .......................... .................:............. Map 84 Block 1 Lot 5S 37. Approved plans are to be returned to ..... Applicant x 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 review and approval. 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 -97). Failure to comply with this provision may be grounds for the rejection of any submission. *11 hereby affirm, wider penalty of perjury, that information provided on this form is true to the best of my knowledge and belief' False st ents made herein are punishable as a CgssA misdemeanor pursuant to .Sectio 1 X15 of the Pere aw. SI qi?URRB & OFFICIAL TITLES: Ua UJ MaW#*ddtess:.................................... Cronin Engineering, P . E . , P . C . C-) John Walsh Blvd, Peekskill, NY 10566 U J' r • PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES O'. N ' ..y - . f..La C..'�. w..•h. 'Qe��a•`L..�IM'r!f/n u. _. '.a. rty.. w �.[+ � ..ter ...r _ - ,..... .- �_ �4.•�..` � ,���q�4:1.:.1i+ =.:... i.=v. .� � K'r..� LETTER OF AUTHORIZATION RE: Property Of 37 Croton Dam Road Corp. Located at Sassinoro Drive /Kramers Pond Road T'/ Putnam valley Tax Map # 84 Subdivision of "Putnam Chase Subdivision" Block 1 Lot 5.9 Subdivision Lot # Filed Map # .2932 Date Filed Gentlemen: This letter'-is to authorize Timothy L: Cronin III a duly licensed Professional Engineer X it =hA=hkcct to apply for the required wastewater treatment and/or water supply .permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise thep= truction of said wastewater trea nt d/or water supply systems in conformity with th mvi�I icle 145. and/or 147 or the "du ation aw, the Public Health a.__ ­ to 'ty de. r Very trul ` ours r' v, U j pa . a Countersigned: �� = ,� Signed: Pres . P.E. # 0 62980 ( r of r erty) TKO F ESS\9 Mailing Address 2 John a�7`fss Blvd. #200 Peekskill State N.Y Zip 10566 Telephone: (914) 736 -3664 Mailing Address: 37 Croton Dam Road Corp. 37 Croton Dam Road, Ossining State NY zip ­ 10562 Telephone: (914) 739 -7362 Form LA -97 PUT'NAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES AFFIDA = CORPORATE i6` NER*APPL'ICATI.O ON 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 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: (Same as above) Secretary -Name: Michelle Santucci Address: (Same as above) .: ..... ..'., ... ,.•r• - rte* .:.. .. .._.. v - _ _ _ .. r... _- .-.. .-. ... ... � �. -.. ,.- .. -... . -..... _r� --, �^•�.� c e- � S Same as Secretary '�. Treasurer - Name: A Address: (Same as above) and that I am and will be individually responsible for any', to the approval requested and all subsequent acts relating Signed: Title: Sworn to before me thNO � day of '(month) (year) Notary Publi KELLY M. LENT Notary Public, state of New Nbvk Corporate Seal No. Oi LE6026834 Qualified in Westchester Count.., Commission Expires June 21, 211/ Form CA -97 t orporation with respect i PUTNAM COUNTY DEPARTMENT OF HEALTH :D O�.Ob�' =Re 1'KgE'r�i° la� 'A�,r TH `�:7ERCE►�. .b,. DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner 3'7 cg=tj 1y-,-4'►'1 &A p Lgil-P Address -A7 GIzoTOAJ )>m j?-D. o551m AJC, AJ Located at (Street) KIZA11 I-bAvA RDA-D Tax Map 8 Block( Lot (indicate nearest cross street) Municipality(?') 89-MAM VsK -Ljal Drainage Basin f ��SoA1 2 f vc?L SOIL PERCOLATION TEST DATA ,p V Date of Pre - soaking o y--o7- jq Date of Percolation Test _ orb -os Hole No. Run No. Time Start - Stop Ba a Time Bag n.) De th to Water from Ground Surface (Inches) Start Stop Water Level Dropp In Inc7�es Percolation Rate Min/Inch 28" 2 t1��12� 30 ZZ -L�`-S Z•S t.Z 3 4 5 X30 Iz°`'~ der 2 Z °' -12' 0 `3 o it; -7,1 3 10 3 10 4 5 1 . 2 3 4 lYU ftb: I. Tests to be repeated at same depth until approxunamy equal perco►anon rates are obtamea at eacn percolation test hole.. (i.e. s 1 min for 1 -30 min/mch, 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 10(: DEPTH G.L. 0.5' 1.0' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' HOLE NO.'S P Soil � G� HOLE NO. ' 4 G ITP SolL (-oae- HOLE NO. 4-7 _ M SOtL. logo 311# _. 9.5' 10.0' a Indicate level at which groundwater is encountered eiuC0VAJ AC4 Indicate level at which mottling is observed fuowe: o g�- uvw�-►� Indic% ev to which water level rises after being encountered O '1e observations made by: A0„n SLUtMeldvC-) Z146M Se�dDq►�tQDate A U.) Signature ional Name: n4lj2n4k/ j_ e-go4wA1 Design Professional's Seal fir Ntw ), Ole N MO 4 62980 617.20 SEOR Appendix C State Environmental Quality Review _ ..... --_.. _ ..� -.. .. .... a ». ....- ...•.i ".y L_ •: *i.. f.�w� �•r•^ .... II.�,ti�,•.m Vie: w: ...i TFor UNLISTED +ACTIONS Only . Part 1 - PROJECT INFORMATION (To be comoleted by Aonlicant or Proiect soonsor) 1. APPLICANT /SPONSOR: 2. PROJECT NAME: 37 Croton Dam Road Corp. Putnam Chase Subdivision, Lot # 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:. Wew ❑Expansion ❑Modification /alteration 6. DESCRIBE PROJECT BRIEFLY: construction of subsurface sewage treatment system and individual well water supply.. 7. AMOUNT OF LAND AFFECTED: Initially acres Ufiimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? `®Yes ONo If No, describe briefly 9.1;WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ;Wesidential ❑Industrial OCommercial OAgricultural OPark/ForestlOpen space OOther be: Su►ivunding lands are zon'e'd single fatuity residential -' y_ � �"-' • `� � "-� ' "'" - •• M -- • --• •_....,.... _ 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ®Yes . ONo If yes, list 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 permil/approval Subdivision Plat Approval - `Putnam Chase Subdivision' 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? Oyes SNO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/Sponsor name: Crani LM St u ohar date: 04-19 -00 Signature: If the action is in a Coastal Area, and you are a state agency, complete a Coastal Assessment Form before proceeding with this assessment UVtK 1. ,a 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 >W &k ACTION RIrQEIYF CQORDINATED.REYIEW. __AS PROVIDED. -FOR UNLI§TE¢,� TIONlS =1N 6,i11;Y��t „��R'T.6a7;6 ?, If 9Uo;a�=,e�. °negative declaration may tie superseded boy another involved agency. ❑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 patters, 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: C6. Long term, short tern, cumulative, or other effects not identified in C1 -05? Explain briefly: C7. Other impacts (including changes in use of either'duar tity 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 briefty Part 111 - DETERMiNATI IGNIFICAlMCfE'IT be compFe ed'by Agency) - "" INSTRUCTIONS: For each adverse effect identified above, determine whether a is substantial, 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 11 was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the. or the UEA. ❑ 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 WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: f Name of Lead Agency t-- . q - Print or TjOWIme atResponsible Officer in Lead Agency Title of Responsible Officer < Sigr6� aDMI Re,"pnsible Officer in Lead Agency Signature of Preparer(If different from responsible officer) 4�,iRr f C) date ..d 5 Y i -5 i 1, �,. '.�. 5 RONIN ENGINEERING, P E P C M The Lindy Buildtng Suue 200,_2 John •Walsh Blvd , Peekslufl New Yo ;k 10566 ` � Tel (914)73fr3664. Fax'`(9,14)73G3693 _ «. -r.e <.., a=.: aj' F t yr ✓ -; ^F : i ti n c ~' t, tH 4 Y ,A-_.%-,--, r` a +D r ne".r .e- 'R va ✓ ♦. r 1 � 'f' 1n .,w ....,;... ., r,, :... ' :.' k P• v t y . .'. t � 'l F. t.,•� i i V.. .1 I. A' t November 17, 2000 ' r ; ., , , Adam.Stiebeling, l?ubhc Health Enguieer Putnam Courity::Department of Health: v a Division of Environmental Services t ;Y 1 t 1 t p - I 1` - -i 4 Geneva Road, x Brewster, N Y 10509 , 'Y ``l , 1 , 7 •' u 1 1, 4 0 '" }t„ t,, ^ t . 1 111 .11 '` t� ri Re SSTS Construction Permit . .11 �' 3 ; r Putnam;Chase Subdivision'- Lot:15 ..r t i +t, y.. ., '+ 4 .. ' Sassmoro Drive, f 1. Town 6 ,Putnam IC Valley - _ ',° Dear 1VIr Stiebelui r , , g' W < x , t+ •N a Y, 1 1 �� i "` In response to the comments frow y6ur letter, dated `November 2, 2000, regarding the' • ' t ., ,j), - above referenced project, please; fnd enclosed,ahe followmg lnformation.�• - 1 Form CP 97 , ' .. :,.­� . ,� : �, . , .�� ;. �_I :� . ;,.. , ,' :_ ., ". .� ' - _. "�. ��. % ,� � � , " '��I , �I , ". '; . , I - ",, Q � .: I'. ., . , '�. .', , , .* . t * " .�. :- . � . � ,­ � ,-_. " .I� ","1,� I , . "I " . ., . *,. �' � - ,-�. ­ ..­ ,. , . ,, - ' �. ., . .� , "/ . I. * ,— !;. . .- ,1;' -..,': . : A :,. L --�- ,, -., -.. ,"�� � _,� , ,/ I -,,- �, ' t. � 4 t f .r y 2 Copy of the Wetlands Perrrut: as granted by the Town of Putnam Valley , , 3 House pl & for. Lod 1,5 have already been "submi} z ce I .+. ...y 7- t,t, 'c w r ..., . CR�d � �.yoU.r #++ r. .w -:.p p• .a, _ae- 1 Y - ` I., -.. :, - , - r _ i - , , Should ..you have ariy questions or require additional uiformation regarding this .matter, ,' ,, please.'' ' t, , t'me at •the above phone number: Thank you >for your tune: and assistance. . t tins matter S k Respectfully submitted, I;ius Hernandez Project Enguieer 11 :Y �: . , I - ,• ` PutChLot15' 11 21-00' • ti%: "'. 1. � ., i .. ,• Irp­'­ b- at f­ -d 50aA.-4'. P-f p. in 24' grove/ trench (MOS we copped) Oxie f. weN 12' a/ boob"' — weo(Shaded area) LN Lot Ana 16 J'�tr /. �/ Akikl Ai 00 erl ter —1 A10. 1q \4 Aret PUTNAM CHASE — LOT #15 AS—BUILT SEWAGE TREATMENT SCALE. 1 40 FT. 1250 gal- pump a —be .,tm h'wromVic sk-75 pump septic :.k 12LF.-4'0 on pipe _0. _d 'muttt 0— (ICCVtion in basement) roof lead— -d twilq drains (fop) Aret PUTNAM CHASE — LOT #15 AS—BUILT SEWAGE TREATMENT SCALE. 1 40 FT. d- G �� ,Sc ^' k t O VTY YcfrY ABC 0'iI "� �Y" .�top1 J�j?`+r� /'��!� G'. �(,��j ' /�''/y!''��fj��'��wj• /��/`'T(��[' �j/,��'�►' /}/� � �� • z°. • I "`.� ii r► 7 � � +► I ,: 'rV /_ V �` E r �' � . ' ; x t CON5Y5T :OF A 12,fi aOAL OPJ C ,, ,,, t GAL 5 PT1C= TANK," A 125U LON .mot r s� L PUMP CHA1ilBER WI TN HYIIROMA �C SK 75 PUMR, AND 500 L F OF 4 �'�! t r v - i J.?RF ` fVC'1PE �N4" aG i'Cv TT�'EIVGi�1, ANl�2" tiLf/N O BANKRUlV. " OTON \ flAM ROAD '. qRP 37 GROlO/V DAM R ©III ` g ,J7 ` CRO 1"ON DAM ROAII r Y f ©2 QSS'!N/NG N Y`_ 1Q562 PS, KI HOCL 06{t BROOK EEK 'r' ' w q z •"�, t �1 �... ,,. - ro t a ✓ %p. r da s g+ r } '� '4' PUI7VAM 'AVENUE-I, ' 3 i 4��. �Mz' i6REtNS'R` l�i�Y J05fl9 obg 3 \ V e d psi '. s• C _ 1 -( .: r�4, '` `� � a� 4 J ,r E 3 t i PIMP L?A TA ", '/►'3 "'" %Oh.ssz n ,� ha':` Ye.'ri 11x � �'� � ! F N .. a •Z h•'S 4 � t f � S '1 4 � L•y 4 t 'N S 0 ©W � = 215' • 1 %' ,TANK ; i � -, � �•'' � � k,d� 'F�`',4 '\ T S s' B `t , \", � '�+•ixifi2€,.+ ,s+Y i4 Yy �7 � -a. t :,t E L'. c 1 e •\ J ' `of AAA, 7 t � � 'N S 0 ©W � = 215' • 1 %' ,TANK ; 7 1 r r 7 7 1 r r