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04357
TNAM COUNTY DEPARTMENT OF HEALTH
IVISI.ON_OF- ENVIRONMENTAL HEALTH .SERVICE
CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEMS,
PCHD CONSTRUCTION PERMIT # PV-09 -'08
Located at 107 MARSH W I1..L RQgD Tow or Village PU7 -tAM VAL -LEY
Owner /Applicant Name_,S, eoNSM UC- 7gd Q) &P Tax Map 811 Block 1 Lot
Formerly Subdivision Name JFMER4/,0 RIDE
Subd. Lot # 10
Mailing Address 37 Gww PAM jZpA 0ss!Nq) L, Nam VoRk Zip 105 02
Date Construction Permit Issued by PCHD MARCH
;r 513 VJA6J4JA*T0N ST909'r
Separate Sewerage System built by T. Comm 0W MVCTi8d .Address PWX8K1 U. N 1/ 1A566
Consisting of 1500 Gallon Septic Tank and Y05 L X. O c f "Of R6RFoR4'rED
PVC PIPE IN 2'y" CARAVEL - PSAMNES
Other Requirements: AlO/NE
Water Sunaly: Public Supply From Address
✓ 152 BASER 8-nwr
or: Private Supply Drilled by Ab&MM "DERSON Address j)TNAt4 1/ka.LEy,N� 105 9
t...yBu ld ngx 'y_pe j!N � L IDF . Has erosion-control-been completed? i/ - r .... _......:_:.�..
Number of Bedrooms Has_gadu-
- .
c NEW
I certify that the system(s), as listed,
built plans (copies of which are attar
plans and the standards, rules and r
Date: �_Z-1_-.)._-VdCertified1
Address 2 JOHN
s
UN0N
been installed? WA
constructed essentially as shown on the as-
d PCHD Construction Permit and approved
Department of Health. /
P.E. V R.A.
License # 062980
Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary
to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage
treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval
of the private water supply shall become null and void when a public water supply becomes available. Such
approvals are subject to modification or change when, in the judgment of the Public Health Director, such
revocation, modification or change is necessary.
B � G%Ctisc��. Title: IQr
to copy - FID File; Yellow copy - Building Inspector; Pink copy - Owner;
Date: o! ® 1
Orange copy - Design Professional
Form CC -97
} PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
WELL COMPLETION REPORT
p(�o,DO`xY�
Svg'►7�d►Sw+.e
W_ I _T9
Well Location
.Street Address: _
TownNiliage:
Tax
Ma f Block Lots e, W
Well Owner:
Name:
S C��nS �Y.tti�
Address:
+ioh -3 -7 Q A.
Use of Well:
I- primary
,2-secondary
Residential
Business
Industrial
Public Supply Air cond/heat pump Irrigation
Farm Test/monitoring Other(specify)
Institutional Standby
Drilling Equipment
Rotary
Cable,percussion Compressed air percussion Other (specify)
Well Type
Screened
Open end casing Open hole in bedrock Other
Casing )Details
Total length !-,ft.
Length below grade ft.
Diameter (o in.
Weight. per foot lb/ft.
Materials: t- Steel _ Plastic _ Other
Joints: _ Welded _--threaded _ Other,
Seal: Cement grout _ Bentonite Other
Drive shoe: Yes No
Liner: Yes No
Screen Details
Diameter (in)
Slot Size
Length(ft)
Depth to Screen (ft)
Developed?
First
_ Yes_No
Hours
Second
Well Yield Test
_ Bailed _Pumped '"Compressed Air
Hoursi
Yield Cr
CIPM
Depth Data
Measure from land surface- static (specify ft)
During yield test(ft)
Depth of completed well in feet
(� cU I
Well Log
If more detailed
information
descriptions or
sieve analyses
ire available,._
please attach.
Depth From
Surface
Water
Bearing
Well
Diameter(in)
Formation
Description
ft.
ft.
Land Surface
r,•
v
If yield was tested
at different depths
during drilling,
list:
Feet
Gallons Per Minute
Pump /Storage Tank Information
Pump Type Capacity
Depth 510 Model i_5-/`j__:-;.?c
Voltage . 3 HP
Tank Type Volume
Date Well Completed
( S
Putnam County Certification No. Date of Report
/
We I Driller (si; nature)
;� :t
NOTE: Exact location of well with distances to at least two permanent landmarks to be provided on a separate sheet/plan.
Well Driller's NatneA I inn , vt 10i 4. V E 0 ^ Address:
Signature: i0Owl Date: i.r ';i�lUSr
White copy: HD File; Yellow copy - Building Inspector: Pink copy - Owner: Orange cope - Well driller
Form WC -9?
-. ,C,: -tip• �� .7 <. •C� .'.,Cr % _ �a,��ir ti ems. •. .. _ "_ -_
BRUCE R. FOLEY
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services
Environmental. Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278.6085
Early Intervention/Preschool (845)278-6014 Fax (845) 278 - 6648
OWNERS NAME"
E911 ADDRESS VERIFICATION FORM
� S - CONS rr- U c i oN - OVOIP,.
TAX MAP NUMBER: g — i- —
E911 ADDRESS: yd T mas H lt-c K°AV
TOWN: ?tl i NII�M U
AUTHORIZED TOWN OFFICIAL:
,. _ .. t -- - _ w,• (Sig' ature)..
DATE:
y %O
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 Certificatc of Construction
Compliance.
(E911 verfrm)
B
a B
D
A
A
V
A
(a
ANS /NSF 81
Pffe- pressulzed diaphragm -type well tanks
WN -1 009 200 and 300 SERIES
In -Line Models
Model
No.
Tank
Vol.
Max.
Accept.
Factor
A
Height
B
Diameter
Sys.
Cann:
Factory
Pre - charge
Working
Pressure
Ship
Wt.
'Lit.
Gal
mm
I ins.
mm
ins.
ins.
PSIG
PSIG'
kg
I lbs.
WX -101
8
2.0
0.45
321
125/6
203
8
6/4
18
100
23
5
WX -102
17
4.4
0.55
381
15
279
11
6/4
18
100
4.0
9
WX -103
33
7.6
0.42
629
221A
279
11
6/4
28
100
7.0
15
WX -104
39
10.3
1.00
451
176/4
390
156/e
1
38
125
9.0
20
WX -200 1
53 114.0
38
0.81
559
22
390
15'/6
1
38
125 1
10.0 1
22
System Connection: Steel. 6100 PSIG is 689.5 kPa, 125 PSIG is 862 kPa
' System Connection: Steel. Copper Lined Steel Fitting
Stand Models
Model
No.
Tank
Vol.
Max.
Accept.
Factor
A
Height
B
Diameter
C
Can
Sys.
Conn '
Factory
Pre -char a
Working
Pressure
Ship
Wt.
Lit.
I Gal
mm
I ins.
mm
Ins.
Ins.
Ins.
PSIG
PSIG-
kg
lbs.
WX -104 -S
39
10.3
1.00
489
191/4
390
15%
116A6
1
38
125
10.5
23
WX -201
53
14.0
0.81
606
23'/6
390
15%
1t6A6
1
38
125
11.4
25
WX -202
76
20.0
0.57
803
316/6
1 390
151/6
1 "A6
1 1
1 38
125
15.0
33
WX-202XL
98.4
26.0
0.44
971.5
38'/4
390.5151/.
116A6
1 1
38
125
16.3
36
WX -203
121
32.0
0.35
1143
45
390
15%
116A6
1
38
125
20.0
43
WX 205
129
34.0
1.00
752
295/6
559
22
26A6
1' /•
38
125
28.0
61
WX -250
167
44.0
0.77
914
36
559
22
26A6
1'A
38
125
31.0
69
WX -251
235
62.0
0.55
1187
465A
559
22
26A6
1'A
38
125
41.0
92
WX -255
06.6
81.0
0.41 ..1.432
56'/6
558.8
22
26A6
1'A
38
125
10.0
103
;;WX =3.02 `
326`: "8f
s0
_i054
`120D'4'A'
66
_2ii,;
. ?2'A6
,;i' %? '
,: 38.' .,. ,
,125.:.56.0
WX -350
450
'19:ff
0.39
157[
61'/6'
660
26
2'Ae
iY < "'
' 38'
'75:0
' 166'
' 125 PSIG is 862 kPa (Stainless Steel Elbow).
' System Connection: Stainless Steel.
Max. operating Conditions
V Operating Temperature 200° F (93° C)
C p
A
Job Name 9APAVC61
Location ft_ 3 6 �u ( loc 1�
Engineer CadA/ my &W& urf�fly;
Contractor a °me"1 oN AWDFfZ6W
Contractor P.O. No.
Specifications
Description
Standard Construction
Shell
Steel
Diaphragm
Heavy Duty Butyl
Liner
Virgin Polypropylene
Coating
Blue Enamel'
4 Unless TUF -KOTE is specified.
All dimensions are approximate.
Sales Representative
Model No. Ordered �-
Pump Cut -In PSI Pump Cut -Out PSI
Pump GPM
Rev. 02105 Submittal data sheets can ONLY be ordered as a 'Submittal Data Sheet Pack', using MC# 4400. They are not available to order on an Indi-
vidual basis, however each data sheet is available on the Amtrol Web Site and can be downloaded and printed ror use as needed.
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
,, . .. ., : S']': .. ._:ti Pe" -a •C;:o -:�: ,• � .. _ .. ,v - ..,• _... _.._._ _. .. .. -.. -- t�.• x..10. . •:X'. ".v; e.: g.. 9. a, ,
GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM
V, S. l o VS -rAyC c ol( (kp-
Owner or Purchaser of Building
V, S. QA/CTk UC -r(Wj 6blzP,
Building Constructed by
1,07 MffGf4 14rc.c. Ro /4p
Location - Street
s+N4(,E htmPUf 1 6r%%VF1VCS
Building Type
814 1 70
Tax Map Block Lot
Turvoin V
ow . illage
,rME0LJ7 RraG,E
Subdivision Name
t0
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
:system. e . _:. _ .... _..•.r•
The undersigned further agrees to accept as conclusive the determination of the Public Health
Director of the Putnam County Department of Health as to whether or not the fa' re o the system
to operate was.caused by the willful or negligent act of the occupant o di utilizing the
system. _ , Z) w
Date o th' Day Year Signature: _
CT�l2
Title: �,/S�NS£D SSTs �}
Gene a o tra or (Owner) - Signature
V. S, C01,x eVCt►cN C0PP, (V #L6ibVT`1jZ►) j Cr-sAglNl GNsmo-no4
Corporation Name (if corporation) Corporation Name (if corporation)
Address ad-rw D" Ro�➢f d s�+N��� Address: 513 t0SH+NGTON 57'F-ar
State N y Zip 14566- State N _� Zip Z
Form GS -97
YML ENVIRONMENTAL SERVICES
321 Kear Street
Yorktown Heights, N.Y. 10598
(914) 245 -2800
_A 1-ber -t H �.' Padovan1 Suva -r iktor': .,, .... _ ......
LAB #:- 1.802922 CLIENT #: 58362 NON STAT PROC PAGE: 1 of 1
V.S. CONSTRUCTION DATE /TIME TAKEN: 06/19/08 09:30
37 CROTON DAM ROAD DATE /TIME RECD: 06/19/08 10:15
OSSINING, NY 10502 REPORT DATE: 06/24/08
PHONE: (914)- 447 -4587
SAMPLING SITE: LOT #10 MESDON RIDGE SAMPLE TYPE..: POTABLE
: SUBDIVISION PRESERVATIVES: NONE
COL'D BY: A. SANTUCCI TEMPERATURE..: .< 4C
NOTES.: BOILER MATE COLIFORM METH: MF
------------------------------------ NM' N' NN---- NNNNNNNNNNNNNNNNNNNNNNNNNNNNNN
DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD
06/19/08 MF T. COLIFORM ABSENT /100 ML ABSENT SM 18 -20 9222B
COMMENTS:
MFTC THESE RESULTS INDICATE THAT THE WATER (WAS),(WAS NOT) OF A
SATISFACTORY SANITARY QUALITY ACCORDI HE NEW YORK STATE
AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS
TESTED, AT THE TIME OF COLLECTION.
SUBMITTED BY:_
Albert H.
Director
dovani, M.T.(ASCP)
F
ELAP# 10323
R®NIN ENGINEERING PE, PC
The Lindy Building, Suite 200, 2- John Walsh Boulevard, Peekskill, New Y Tr 10.5.¢6... _.
4 =`T36= 3664'• °Fax: 914 =736- 3693..
July 17, 2008
Mr. Joseph Paravati
Assistant Public Health Engineer
Putnam County Health Department
1 Geneva Road
Brewster, New York 10509
Re: V.S. Construction Co►p.- Emerald Ridge
SSTS Construction Permit
Marsh Hill Roam Lot 10
Town of Atinam Valley, New York
Section: 84.00, Block. 1, Lot: 70
Dear Mr. Paravati,
1� u
Per your conversation with Keith Staudohar of Cronin Engineering, please find enclosed the following
regarding an application for a Subsurface Sewage Treatment Construction Compliance Certificate at
the above referenced lot:
1. Four (4) Revised Subsurface Sewage Treatment System As -Built Plans for the above
referenced lot.
It appears that the location distances shown for the trench beginnings were never updated with the
correct data and were showing data from a different job. Should you have any questions or require
.- ..additional information, please do not hesitate in contacting me at: the number above. -:
Respectful Submitted,
ames W. Teed, Jr.
Project Engineer
cc: Owner- Val Santucci (V.S. Construction Corp.)
File- Paravati - PCDH- Santua;i-Emerald -Lot 10-Tra r� #- 20080717.doc
(CRONIN IEN GIN EIEI ING PE, PC
intly.- +Buililirig;. Suite 2Q0;" 2;; Jahn,Walsh;Boµlevard,Peekskitl, Netii -Yorl
Tel.: 914 - 736 -3664 o Fax: 914- 736 -3693
June 25, 2008
Mr. Joseph Paravati
Assistant Public Health Engineer
Putnam County Health Department
1 Geneva Road
Brewster, New York 10509
Re. VS. Cmstmcllon Corp.- Emerald Ridge
SSTS Construction Permit
Marsh Hill Road- Lot 90
Town of PuWarn Valley, ifew York
Section: 8100, Block. 9, Lot. • 70
Dear Mr. Paravab,
Please find enclosed the following regarding an application for a Subsurface Sewage Treatment
Construction Permit Renewal at the above referenced lot:
1: One (1) E911 Address Verification Form Signed by Authorized Putnam Valley Official.
2. Three (3) Guarantees of the Subsurface Sewage Treatment System signed by a licensed
Putnam County Septic Installer and the Owner.
3. One (1) Certified check for $300 made payable to the Putnam County Health Department
on behalf of the above referenced application
4. Four (4) Subsurface Sewage Treatment System As -Built Plans for the above referenced
"I ehewal)
dQR
5. Four (4) Subsurface Sewage Treatment System Construction Compliance Applications for
the above referenced lot (Renewal)
6. Four (4) Copies of the Well Completion Report originally submitted to the Putnam County
Health Department at the time of Subdivision Approval.
7. One (1) Specification Sheet for the Well Tank installed at the above referenced property.
(WeIl�X Trol Model WX -302)
8. One (1) Copy of an As -Built Foundation Survey for the above referenced property.
Should you have any questions or require additional information, please do not hesitate in contacting
me at the number above.
Respectf Submitted,
�' .�- . s Teed, Jr.
Project Engineer
oc: Owner- Val Santucci (V.S. Construction Corp.)
File- Paravati -PCDH- Santucci- Emerald-Lot 10 -Trans jt- 20080625.doc
'08 -06 -18 13 :44 FROM- T -991 P001/001 F -729
(345) Z.?s- 39V
. `ci t: 'l: ., -. .. � . .. :':.i -r. +•_.._...:.. f. •. .�.. ci. �:.. • ;. ._ .. to1K -.. ai.er- J
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
ATTENTION ADAM Q GENE 01a l- P
RF,(tFF.S"C FOIL. FTIVAT, INSPECTION For: Fill
All information must be fully completed prior to any Trenches
inspections being made.
PCHD Construction Permit
Located: H ILA-, Roar
Owner /Applicant Name: o 'i' C onl TM 60V Block � L t ..
Formerly: Subdivision Name: FM6 r
Subdivision Lot # /0
Is s�stem fill completed? _ N 1A _ Datd:
Is s�.stem complete? Date---..0 zu�ti?
Is system constructed as per plans? VF8
Is well drilled? V ,S Date: 01,12-005,
Is well located as per plans? YES
Ate erosion control measures in place?
I certify that the system(s), as listed, at the abov
and verified their completion in accord
_.apptoved plans and the Standards, Mules n+
Ire ih,
Date
" l Certified b4
NEW Y
e Y$s�i� ed d I have\iaspected
i o ruction Permit and
ins nty. Department of
w
c� PE ItA
I pROFES5�0
Address-
Comments:
daKIV /A Lic. #
Comments:
Form FIR -99
I
SHERLITA AMLER, MD, MS,1:AAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
June 20, 2008
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Cronin Engineering
The Lindy Building, Suite 200
2 John Walsh Blvd.
Peekskill, NY 10566
To Whom It May Concern:
ROBERT J. 13 ®NDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Re: Field Inspection — Emerald Ridge
Marsh Hill Road; Lot # 10
(T) Putnam Valley, T.M. # 84 -1 -70
The above referenced separate sewage treatment system can be backfilled. A bedroom count,
well -inspection and.trench:inspection was preformed today and there are- no further comments or
concerns
If you have any further questions, please contact me at (845) 278 -6130, ext 2155.
JD:kly
Si erely,
Jose Digit
Environmental Engineering Aide
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool(845)278 -6014 Fax(845)278 -6648
Street Location
[ TNI9_%
PUNAL SE INSPECTION ��-
Date:
Inspected by:
Owner
t'rIVA✓ul .4!'Fl.� - Permit # _ — —0e
' Yubdivision Lot
1. Sewage Svstem Area
a. STS area located as per approved plans .......... :................
b.. Fill section - date of placement
3:1 barrier Lgth. Width . Avg.Dpth
c. Natural soil not stripped ..............:.... ...............................
d. Stone, brush, etc., greater than 15' from STS area..........
e. 100' from water course / wetlands ...... ...............................
II. Sewage Svstem
Moo a. Septic tank size - 1, 000 ... ......1,2�0.........other....
b. ' Septic'tank installed level ........... ............................... ..
c. 10' minimum from foundation .......... ...............................
d. Distribution Box
1. All outlets at same elevation -water tested..........
.:...: .
2. Protected below frost .................. ...............................
3 Minimum 2 ft. Original soil between box & trenches
e. Junction Box - properly set ........ .............................�
6. Trenches – . // ��V,,�5 1 '
1. Length required `7 Length installed
2. Distance to watercourse measured Ft..........
3. Installed according to plan ........................
4. Slope of trench acceptable 1 /16 - 1/32" /foot .............
S. 10 ft, from property line - 20 ft.- foundations..........
6. Depth of trench <30 inches from surface ..................
7. Room allowed for expansion, 100 % .........................
8. Size of gravel 3/4 - 11/2" diameter clean ...................:
9. Depth of gravel in trench 12" minimum ...................
10. Pipe ends capped ........................ ...............................
g. Pump or Dosed Systems
e of um chamber ..:.:....:..:...:....
2. Overflow tank ............................. ...............................
3. Alarm, visual/ audio ........:........... ......:........................
4. Pump easily accessible, manhole to grade .................
5. First box baffied ........................... ...............................
6. Cycle witnessed by H.D.estimated flow /cycle...........
III. House/Building
a. house located per approved plans . ...................:...........
b. Number of bedrooms .... ............................... ........
M Well
Well located as per approved plans ................ I ............ V
b. Distance from STS area measured ...........
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, 12/02
IMAM
MM
VAMM
V�M
��®
WIAM
MAM
��M
MA-
WAMM
=MM
v..
CONSTRUCTION PERMIT FOR SEWAGE TREATMENT YST&'
PERI�UT # PQ/ -Vq- Ofr
Located at MARSH HILL ROAD To or VillagePUTNAM YALLlc
Subdivision name lE Lp �8®gj� Subd. Lot # �® Tax Map (Sq. Block t Lot �;O
Date Subdivision Approved NoysAr mg :19, 2.00T-: Renewal Revision
Owner /Applicant Name V0 S. C01qSTR �Xnapj COMA Date of Previous Approval
Mailing Address V4 `} t1,•' ,.W DAM RoA T ►) 0 `} M l ^16] NEW 1, l J) Fl :� 10512 zip
Amount of Fee Enclosed A .500. do
Building Type SQL" FAMILY Lot Area.5AW No. of Bedrooms q Design Flow GPD 800
FBI Section Only Depth Volume
PCH D NOTIFICATION IS RE N>1RE1<D WHEN FILL IS COMPLETED
Segau•ate Sewerage Sts>tem to consist of 10500 gallon septic tank and 1165L-!F- ®r-
V14 PC-PF0AATSV PVC PIPS /N Z'y" 6WVE&- T3RAM
Other Requirements: MWE
To be constructed by i Do De Address
Water Su nniy:
Public Supply From
Address _
or: V
PrivaWSupply-Drilled"by
15 9
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 re ulations of the Putnam County Department of Health, and that on completion
thereof a "Certificate of Construct " satisfactory to the Public Health Director will be submitted to the
Department, and a written guarante ,*J e 51pled a owner, his successors, heirs or assigns by the builder, that said
builder will place in good operafiriv leA on any' 4 f"\aid sewage treatment system during the period of two (2) years
immediately followinhP date of tie issu;are;f thepVrol of the Certificate of Construction Compliance of the original
system or any re irslfereto. 1,
PP
-. I '- 40.
Address 2- %JOHW 07,
r }�
r
y ^:
/PL.E. , �9 R.A.
APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the
sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or
modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires
a new permit. Approved for discharge of domestic sanitary sewage only.
B � Title: Date:
khij/copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional
Form CP -97
PUTNAM COUNTY DEPARTMENT OF DEAL
ISION OF ENVIRONMENTAL HEALTH SER
CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM
PERMIT #
Located at MARSH HILL ROAD 1 To or Village PUTNAP4 VALLEY
Subdivision name .EMERALD RINlIE Subd. Lot # 10 Tax Map q._ Block 1. Lot q0
Date Subdivision Approved NOVEMrm 19, Zool- Renewal Revision
Owner /Applicant Name V.S. CONSTRUCTION CORP. Date of Previous Approval
Mailing Address Y4 CROTW t7AP1 ROAD . OSSINIA167 NEW VokK Zip 10562
Amount of Fee Enclosed 1500. 00
Building Type SI460- FR 4 Lot Area 5N35 No. of Bedrooms Design Flow GPD 800
RESIDEA/CE (ACRES)
Fill Section Only Depth Volume
PCND NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED
Separate Sewerage System to consist of 1,500 gallon septic tank and y05 t_•f. CF
�iof d P0= RF mTr=b PVc PIPE /At zy Jg*VEL T1zEd6I
Other Requirements: NONE
To be constructed by T'6• D• Address
Water Supply: Public Supply From
Address
or: Private Supply Drilled .by r$• -D. 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 treatments stem 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, Co etfo — Compliance" satisfactory to the Public Health Director will be submitted to the
Department, and a writt a EWwrfkla aJi mished the owner, his successors, heirs or assigns by the builder, that said
builder will place i ting(O ion\ y part of said sewage treatment system during the period of two (2) years
immediately foll i thte of ( u he approval of the Certificate of Construction Compliance of the original
system or any r ai
Signed:
Address 2
P.E. R.A. Date 016 $
i L,1VV 10566 License # 062980
APPROVED FOR CONSTR: 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 permit. Approved for discharge of domestic sanitary sewage only.
Title: Date:
White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional
Form CP -97
(e'S 1 •` i 's 74T u) v./ Y
HEALTH. OF EN`kt7M01W
WAL
AFFIDAVIT - CORPORATE OWNER APPLUCATION
FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT
To: Public Health Director
In the matter of application for: Subsurface Sewage Treatment System Construction Permit (TM#:Bq - ( -.-fo )
Val Santucci
represent that I am an officer or employee of the corporation and am authorized to act for:
Name of Corporation: V. S. Construction Corp.
Having offices at: 37 Croton Dam Road, Ossining, New York 10562
Whose Officers Age•
President - Name: Val Santucci
Address: 37 Croton Dam Road, Ossining, New York 10562
Vice President - Name:
Address:
Secretary -Name:
. h.: r r..r ..tea.. r ..,n.�d�resS,< r c.- .. r. � ..• �� s .t.. -�. •i.•'hv ....y. .... —. 4 .s .TPS— q�K..... +. <.r..... .. ... �. _ _ �Mt
Treasurer - Name:
Address:
and that I am and will be individually responsible for any 1 cts Fthe corporation with respect
to the approval requested and all subsequent acts relating
Signed:
Title:
Form CA -97
PUTNAM COUNTY DEPARTMENT OF HEALTH
D�P I-SIO-N �OF -ENVIRONMEI - TA- L-HE.A -T, H- °SE 1 YW S-...,
LETTER OF AUTHORIZATION
RE: Property of V.S. Construction Corp.
Located at Marsh Hill Road
1-IN
Putnam Valley
Tax Map #
84
Block I Lot 70
Subdivision of Emerald Ridge
;;063 4
Subdivision Lot # 10 Filed Map #.38644 - Date Filed X P8 4U!% z ^
Gentlemen:
This letter is to authorize Timothy L. Cronin III, P.E.
a duly licensed Professional Engineer LiL or Registered Architect to apply for the required
wastewater treatment and/or water supply permit(s) to serve. the above -noted property in accordance,
with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam
County Health Department, and to sign all necessary.papers on my behalf in connection with this
matter and to supervise the construction of said wastewater tretment and/or water supply systems in
conformity with th oy f Arti a 145 and/or 147 of the ducation Law, the Public Health -
:LaW,' - ..5' '� a ode:
&W theP a :..:��. �_.....�_�.� ..4.. ... .
�.N __.
P.E., R.A., #
62980
Mailing Address
2 John Walsh Boulevard, Peekskill
State New York
Telephone: (914) 736 -3664
,Zip 10566
` Very tru
wi
Signed:
z
�` J'
.C.
Mailing Address: V.S. Construction Corp.
37 Croton Dam Road, Ossining
State New York
Telephone: (914) 447 -4647
Zip 10562
Form LA -97
PUTNAM COUNTY DEPARTMENT
• n i •wJ�4 -.. .._.v f.� -. r.P:••�P':♦ Y..,�S..i L� DEPARTMEYT ®F HEALTH
O VFENVIRON NTAL -:H A- L- TII- S- E- RVIC.E-�T
...: i..r - } �- yam. F. r� -•
APPLICATION FOR APPROVAL OF PLANS FOR
A WASTEWATER TREATMENT SYSTEM][
1. Name and address of applicant: V.S. Construction Corporation
37 Croton Dam Road
Ossining, New York 10562
2. Name of Project: Emerald Ridge- Lot 8 3. Location: T/V: Putnam Valley
4. Design Professional: Timothy L. Cronin III 5. Address: 2 John Walsh Boulevard
6. Drainage Basin: Peekskill Hollow Brook Peekskill, New York 10566
7. Type of Project:
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) ? .............. Yes/No No
Type Status (check one) ...................................... ............................... Type I Exempt
Type II Unlisted
9. Is a Draft Environmental Impact Statement (DEIS) required ? .................... Yes/No No
10. Has DEIS been completed and found acceptable by Lead Agency ? ............. Yes/No N/A
11. Name of Lead Agency Not Applicable
12. Is this project in an area under the control of local planning, zoning, or other officials,
,.; _ Yes ordinances? ..... ...... : ...... :: ...........Yes/No
-
13. If so have plans been submitted to such authorities Yes/No Yes
14. Has preliminary approval been granted by such authorities? N/A Date granted: N/A
15. Type of sewage treatment system discharge ........................ surface water ✓ 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? ................ Yes/No Hone
19. If yes, name of water supply Not Applicable Distance to water supply N/A
20. Is project site near a public sewage collection or treatment system? .......... Yes/No None
21. Name of sewage system Not Applicable Distance to sewage system N/A
22. Date test holes observed 23. Name of Health Inspector
24. Project design flow (gallons per day) 800 GPD
............................. ...............................
25. Is State Pollutant Discharge Elimination system ( SPDES) Permit required? ... Yes/No No
26. Has SPDES Application been submitted to local DEC office? ......................... Yes/No N/A
Rev. 11/02 Form PC -97
Pg. i of 2
27. Is any portion of this project located within a designated Town or State wetland ?... Yes/No No
>�.. i�4�. >is ° =sia :�na V.oF'., a w. :q6..~i'.% =-a. r... 1. �'0 . :YI e. ,C•q'.� .: {,� v :e- �'.a•••w.'r ::� =Ri o:;ea v,�i •.: . :w�..i -.,�. r.J.: 11 .... -•r� :7•v, ,�q.ir�r:+f++
28. Wetlands ID number N/A
29. Is Wetlands Permit required? ...................................... ............................... Yes/No No
Has application been made to Town or Local DEC ........................... Yes/No N/A
30. Does project require a DEC Stream Disturbance Permit? .... .........................Yes/No 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 No
DESCRIBE:
33. Is there a local master plan on file with the Town or Village? .........................Yes/No Yes
34. Are community water and/or sewer facilities planned to be developed within
15 years in or adjacent to project site? .................................. .........................Yes/No No
35. Are any sewage treatment areas in excess of 15% slope? .............................. Yes/No No
36. Tax Map ID Number .............. ............................... Map 84.00 Block 1 Lot 70
37. Approved plans are to be returned to ................ . Applicant * Design Professional
.. ♦10 .. o... .r .r M.e •.. .• n. ... ... r rryt .+.M. ... ...• a...e.... .. ...w w.. ..,,' ..tea ..,y r-.. .i .... �... .r .. •.Y.. �,. n. +. ..... w� A.w.. ... ... .. , ..�... .. .. ...��. y .�,.M.
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 stormwater 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 ivItem 1, the application must be
accompanied by a Letter of Authorization (Form L , ��41 comply with this provision may be grounds
for the rejection of any submission. "s '��RVr
I hereby affirm, under penalty of,
my knowledge and belief. False si
pursuant to Section 210.45 of the
on this form is true to the best of
ble as a Class A misdemeanor
SIGNATURES & OFFICIAL TITLES: VII' - — : 'v .
Timo e1P E.
Mailing Address: ........................... Cronin
2 John Walsh oulevard. Peekskill. NY
Form PC -97
617.20
Appendix C
- - State.Environmen�al C alit. Review.. _
- .�} -fie: .,Y._...:F u.�:•r+l,`°
SHORT ENVIRONMENTAL ASSESSMENT FORM
For UNLISTED ACTIONS Only
PART I. PRCLIFCT INFORMATION (To be completed by Applicant or Proiect Sponsor)
1. APPLICANT /SPONSOR
2. PROJECT NAME
V.S. Construction Corporation
Construction of Single Family Residence
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)
West side of Marsh Hill Road, 3580 ft. north of intersection of Marsh Hill Road and Peekskill Hollow Road
5. PROPOSED ACTION IS:
New Expansion Modification /alteration
6. DESCRIBE PROJECT BRIEFLY:
Construction of a new single family residence, SSTS and Private Well Supply.
7. AMOUNT OF LAND AFFECTED:
Initially 5.435 acres Ultimately 5.435 acres
8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
ZYes 0 No If No, describe briefly
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
Residential E� Industrial Commercial 0 Agriculture Park/Forest/Open Space Other
Describe:
Surrounding lands are zoned R -2. (Sin9 le Family.gesidential) -.:- .... .
..,w- w.T... .. +ter .._. r.. .-w. �� ;-y.; ,.rq..F.. �.+.✓ .0 rF -�.as a�aa -.� .__. �..- �+:i -.. r f! ?�l't °...._..� �-.. w_- .�..- .,T„� --�q mot•. ._..�, r iX�i. •aa
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY
(FEDERAL, STATE OR LOCAL)?
Yes F-1 No 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 EJ No If Yes, list agency(s) name and permit/approvals:
Town of Putnam Valley- Site Development Approval
12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION?
E] Yes 0 No
I CERTIFY THAT FORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant/sponsor name: C in Enginee ng, P.E., P.C./ James W. Teed, Jr.
Signature:
If the k6on is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
1
PART II - IMPACT ASSESSMENT (To be completed by Lead Aaencvl
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF.
[]Yes. EJ. No..
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative
declaration may be superseded by another involved agency.
E] Yes 11 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 pattern, 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. Longterm,, 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)?
El Yes E] No If Yes, explain briefly:
T::.t$-THEF3E;DR'IS:T.NFf.?E (sK�L,Y.T0.OE, G.ONTROVCRSYRELATED,TO P,pTEigTIAL. SDI F- RSF_•, EN_ V .IRON"N'4EN,TAL-LKt,AC7S ?.'.,..
Yes ❑ No If Yes, explain briefly:
PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it 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 II was checked
yes, the determination of significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA.
F] Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FU
EAF and /or prepare a positive declaration.
Check this box ifyou have determined, based on the information and analysis above and any supporting documentation, that the proposed action Wl
NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determinatic
Name of Lead Agency Date
Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer
Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer)
SHERLI<TA AMLER, MD, MS, FAAP
Commissioner of Health
rff
;r,1;0 -T-TA A G NAYYLL, 1k V, MJR`.�:yp •a •tr... q• ' FTi.
Associate Commissioner of Health
January 25, 2007
James W. Teed,
Cronin Engineering
The Lindy Building, Suite 200
2 John Walsh Blvd.
Peekskill, NY 10566
Dear Mr. Teed:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Re:
R®RERT J. 1s ®NDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Proposed SSTS — VS Construction Corp.
Marsh Hill Road, (T) Putnam Valley
TM # 84.4-70
Review of plans and other supporthig documents submitted at this time relative to the above
regarded project has been completed. Comments are offered as follows:
1". Please complete and resubmit construction permit in carbon form (see enclosed).
.�G�Notations for leaders and drains are misplaced.
3. The trench detail needs to note (clean, dust free crushed stone or washed gravel)._
.. . .......
-. , o d x e_fr m.: se tic fink to distnliut iori-ox needs =to be SDR-:35:-
'
�.. �:.
fl It appears two house outlines are shown, if one is in error, please remove or provide
additional information.
Please show a 20 ft. separation distance from the house foundation to the SSTS.
,,! The main profile needs to note its own section as not to confuse it with section "A -A ".
This section also needs to show on the plan view.
,Notes provided in a separate box titled "subsurface sewage treatment system" needs to
note the contractor as licensed as apposed to certify.
Upon receipt of a submission, revised to reflect the above comments, this application will be
considered further.
JSP:kly
Resp ctfully,
c
Jo eph S. Paravati, Jr.
Assistant Public Engineer
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
PUTNAIVZ COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL E[zALTS
__ : _.. -.. _ ._ F1�t33FYTDC3L'°VYAISTfPPI7Y' & SU'BSURFti SEA GE
TREATMENT NT SYSTEMS — ...: .....
REVIEW SHEET FOR CONSTRUCTION PERMIT
NAME OF OWNER: 1, 5• CoA ,i- •n,4.k-,l .g*d&
-STREET LOCATION: Aw ,sip l4 J!/ McXAeE'
REVIEWED.BY: RM, OD SRDATE: 3b •O TAX MAP#: (CONFIRNM) g 1 ' 70
Y N DOCUMENTS
Y % ' IREOUIItED DETAILS OlY PLANS CONT'Dl
�(�E R1VlIT- ARPEICA'FION - �Vtz.t ��t l�e. ��, .;ts
/ HOUSE SEWER -1 /." F'T, 4 "0'; TYPE PIPE.CAST IRON
gC )WELL PERMIT OR PWS LETTER �- CxtSM4a
UNO BENDS; MAX BENDS 45' W /CLEANOUT
PC =97 {
LETTER OF AUTHORIZATION
RENEWALS
(SITE NOTE (NO CHANGE)
DESIGN DATA SHEET (DDS)
FILL SYSTEMS
CORPORATE RESOLUTION
10' HORIZONTAL; PAST TRENCH SLOPES 3:1 TO GRADE
1� , }SHORT EAF
FILL SPECS / FILL NOTES 1 -5
/ .PLANS -THREE SETS
FILL PROFILE & DIMENSIONS
�j OUSE PLANS - TWO SETS
(^) L IN EXPANSION AREA
V ARIANCE REQUEST
FILL GREATER THANI FEET
/ SUBDIVISION
CLAY BARRIER,
LEGAL SUBDIVISION
FILL'CERTIFiCATIONNOIE
S DIVUION A.PPROOVAL CHECKED
(�
DEPTH GAUGES
CRATE �._�: ,
a`)
YOL. ON PLAN FOR RO.B., UNCLASSIFIED & i1VVIPERVIOUS
L REQUIRED DEPTH •(wry *'
U EPARATION DISTANCE FROM'TOE OF SLOPE
CURTAIN DRAIN REQUIRED
TRENCH'
GENERAL
�OCATED IN NYC WATERSHED
F TRENCH PROVIDEDr�� 60FT MAX.
PARALLEL TO CONTOURS
PELEGATEDSUBMITTED D
�-- L )100% EXPANSION PROVIDED
CHD
UL--)DET'����E��USHED'STONE'OR WASHEb-G- RA;YE
DEP APPROVAL; IF REQ'D
�E COVER
(-- )GEOTEXTIL
EEP TEST HOLES O$SERVED--
SEPAiiATION DISTANCES ON PLAN : FROM' 'SSTS
P RCS TO BE WITNESSED
L_-)L_)10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL.
- APPROVAL SSDS ADJ, LOTS
(-j( )ZO' TO FOUNDATION WALLS
WETLANDS ( TOWNIDEC PERMIT REQ'D ?)
TA ON DDS- PLANS & PERMIT SAME_ .... _,
L)L)100' TO WELL, 200' IN DLOD,150' TQ PITS
.L; ( 10U�T0 SS t fi.°4�'A'15ERCOTIRSE;`LAXE a
_
RE39Cr0IIG�ORP�OY`iCATi4Pr.
(aac.
'PQ
:.
,
(x(___)50 CATCH BASIN, 35 .STORMDRAIN, PIPED WAXER
�10' TO WATER LINE (pits - 20') •
0 YR; FLOOD ELEVATION W1I 200'
U(U50'' IN'T'ERMI,TTEN'T DRAINAGE COUP. .'
SOIL•TESTING LOTS>10 YEARS OLD
L__)(, _j200'i500' RESERVOIR, ETC. 150' GALLEY SYSTEMS
RLU ON PLNS D
ARROWpv�
TO LEDGE ..OUTCROP
SEWAG& S• Y'ST-EM= P3rAN= (lYOitTS-
SEPTIC TANK
PROFILE
L_)U10' FROM FOUNDATION, 50' TO WELL
FSSDS'HYDRAULIC
GRAVITY FLOW
WELL
CONSTRUCTION NOTES 1 -18'' 17
L JLJDIMENSIONS TO PROPERTY LINES
(_,DESIGN DATA: PERC &DEEP RESULTS
L—)(JLOCATION OF SERVICE CONNECTION
- OL�'IOURS EXISTING & TROPOSED) 38' .
LJL_ MIN 15' TO'PROPERTY LINE
���: V
r DRIVEWAY & SLOPES, CUT A"'
SLOPE
e
_ ,)L- -jF00T iGf RlG It 'AIN DRAINS.- "I.,
,/USDA SOIL TYPE BOUNDARIES
U(__-)SLOPE IN SSTS AREA
(fTXTLE BLOCK; OWNERS NAME ADDRESS
L )LJREGRADED TO 15 %, IF REQUIRED
TM# •NAME ADDRESS PHONE#
DOSE/PUMP SYSTEMS .
, PE/RA, , ,
DATE OF DRAWINGIREVISION
DATUM REFERENCE
�( jLOCATION OF WATERCOURSES, PONDS
Z, LAKES,WETLANDs WITEEw 200' OF P.L.
PROPOSED FINISH FLOOR AND
BASEMENT ELEVATIONS
W 'SBc= SSIfS'S /II�I200'=QP�SSTS:)-N °, e.
PROPERTY METES & BOUNDS
�LJEROSION CONTROL FOXHOUSE, WELL &
SSTS, EROSION CONTROL NOTE
L_)LJPUmP NOTES .
UL_JDOSE• 75% OF PIPE VOLUME/DOSE VOLUME-NOTED
L)L_)DETAIL FORFORCKkAIN, (PIPE TYPE, ETC.)
UUPIT AND D-BOX SHOWN & DETAILED
L_JL_j1 DAY STORAGE ABOVE ALARM
CURTAIN DRAIN
UUSTANPPuw, T BOTH SIDES, DETAIL
L-)LJ15' MIN to CDS =•>5 %, 20'-4%,l5'-3 %, 35'-1 %,100 % - <1%
L___20' MIN to CD DISCS ARGE/100' with 182 cons day discharge
(_JL-)10' MIN to NON - PERFORATED PIPE
E1'IlYIENTS: S'D 2. 315 Sc l,'d' 012.e_ 2.e. M6e, e a`Z.ru ;rrT, vt. 6e_ 14�, 55 ;--.5
b
s' ROIL IN ENGINEERING., PE, PC
The Lindy Building, Suite 200, 2 John Walsh Boulevard, Peekskill, New York 10566, tie-
—
Tel:. -914=736 -3664 o Fax: � 914= 736 -3693
February 14, 2008
Mr. Joseph Paravati
Assistant Public Health Engineer
Putnam County Health Department
1 Geneva Road
Brewster, New York.10509
Re: VS. Consnacdon Corp.. Emerald Rime
SETS Cons&ucdon Permit
fWarsh Hill Road- Lot 90
Town of PuMaaem Valley, New York
Section: 84.00, Block: 9, Lot: TO
Dear Mr. Paravati,
Please find enclosed the following regarding an application for a Subsurface Sewage Treatment
Construction Permit Renewal at the above referenced lot:
1. One (1) Affidavit of Corporate Ownership authorizing Val Santucci to represent V.S.
Construction Corporation.
2. One (1) Letter of Authorization authorizing Cronin Engineering P.E., P.C. to apply for a
construction permit at the above referenced lot.
3. One (1) Certified check for $500 made payable to the Putnam County Health Department
on behalf of the above referenced application
— Four.N W)surface Sewage T:eatment:System Consl_tu Qn permii.Plans,for.tha. above
referenced lot.
5. Four (4) Subsurface Sewage Treatment System Construction Permit Applications for the
above referenced lot.
6. One (1) Application for Approval of Plans for a Wastewater Treatment System
7. One (1) NYSDEC SEQR Short Environmental Assessment Form.
8. One (1) Design Data Sheet
9. Three (3) Sets of proposed House Plans at the above referenced lot.
Should you have any questions or require additional information, please do not hesitate in contacting
me at the number above.
Res ubmitted,
Teed, Jr.
roject Engineer
cc: Owner- Val Santucci (V.S. Construction Corp.)
File- Paravati-PCDH- Santucci-Emerald -Lot 10- Trans4t- 20080214.doe
DB,qSION OF ENNIRONMENTAL HEA.LTH SERNUES
DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTENI
07 � A-_
.. .11 .
60M U6;ncv,Q 60Az
I �Nj
Located at (Street) Mil iMi- PC;A
-P Tax Nf� ,:) 3 4, Bloc: Lot 5-
(indi=z nnres' C-1033 37-111-7) Fb.V-�I?Pyi, of ..&4- 10.3
t t /A
U�--5 r
1v -c Lj- HrL vi gaz
c i p a Drain
SOIL PERCOLATION TEST DATA
Data of Pre -s da kin cr 0-7.17--c,4- Date 61'Percolation Test 0-7-1.3. of
iN u I L3: 1,-, 1 11sts to be raoeat.,(l at same depth untl[ Ittairied at -ach
p'11rcolati0ft*t. test hoie:� I min for 1-30 mia/incill, 5 2 rn�n Sr 31-60 mir�inch) All data to be
-submitt-d,--F&r--review,.
2 —, D -i ,,l measure . ment5 to be made from top of hole.
Fon-n DD-97
th �. Water.
DV.oroun
Water
�om G* ' d
Level
Percolation
Run
Time
Elapse Time
Surface (Inches)
Start Stop
Drop
Rate
Hole No.
No.
Start - Stop
Inches
NliuAnch
?.GI'A
{ 1
3�_ 3�
G
to -zl
� 3
2
I-Of I,
2
ILLB—
I'Lo
9
{ ll�-LI
I 3
5
14 +3
4
L 56 t.Lol
61
5- 2.1
3
5
{
{
-3
.4
iN u I L3: 1,-, 1 11sts to be raoeat.,(l at same depth untl[ Ittairied at -ach
p'11rcolati0ft*t. test hoie:� I min for 1-30 mia/incill, 5 2 rn�n Sr 31-60 mir�inch) All data to be
-submitt-d,--F&r--review,.
2 —, D -i ,,l measure . ment5 to be made from top of hole.
Fon-n DD-97
1 '\ TEST PIT DATA
V� DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH
HOLE N0.
HOLE NO. p3Ar
HOLE NO.
0.5`
�
I.0'
1.5'
2,0•
Llla�+r &Wu,1 fINj 51446
Iti
L14lT O- QWJJ �FJN� S4,Vb �
CiR�ve w./ c:opgfGs
1
wG�iiT gaa,,,u cq:01 4A;
GILOCU�2 w�,�s.. ..
2.5'
3.0'
3.5'
4.0'
4,5'
5.0'
5.5'
6.0'
6.5'
7.0'
7.5'
8.0'
8.5'
9.0'
9.5'
r
Cite V ri NL'� C
A
... _
Indicate level at which groundwater is encountered N O P L 6, CWo NCI D
Indicate level at which mottling is observed ty® NG 05-51: rQC>
Indicate level to which water level rises after being encountered NIA 6 • Z. • �5
Deep hole observations made by: GgvN1�j 1;1AINmwj -4 P e ,PG• % Pcyf Da1e •g • o
-In 4FAVD60,tIL JnE A-ft4VArrrl
Design Professi l Na e: M . Lptjw --ITI
Design Professional's Seal
517.53'
17 53 r
OPEAr ,SP14CE
1 U)
t
1
ALL TRENCH ENDS ''' - '�';:�� '•I
ARE CAPPED +�,;. � +;' %'', ,; +•'•' .; ' . %�s.:J;+ ; 5
\ ABSORPTION '�-
(TYPICAL INSTALLATION - %, d > •� • , '•' �, ° t `1
��n TANK + / °' '� � � ✓+
E 5 PRO 1 /''�
25 BSI
EXPANSION AREA
ti �'� ; � /; /.i• �, ;fig.
LOT >0
�Iroar
O
F I TO 7 MINUTES PER INCH
Y LAND SURVEYIN
' BRUARY 5, 2004 WITH
: SUBDIVISION AND SITE
NAM COUNTY CLERKS
(oz)
. ......... ................ . . ... .........
1. AS-BUILT S.S.T.S. LOCATION DISTANCES
i. DESCRIPTION
A
8
SEPTIC TANK CENTER
49.7*
14.4'
DISTRIBUTION BOX CENTER
62.1'
25.0*
TRENCH I BEGIN
52.2'
35.10'
TRENCH 2 BEGIN
54.9'
32.2'
TRENCH 3 BEGIN
58.7'
31.0.
_4 BEGIN
Z-61.7-
30..0'
TRENCH 5 BEGIN
65.8'
30.0'
TRENCH 6 BEGIN
70.2'
31.7'
TRENCH 7 BEGIN
73.8'
33.6'
TRENCH 8 BEGIN
78.2'
36.8'
TRENCH 9 BEGIN
82.0'
40.0'
TRENCH I END
96.0'
76.1'
TRENCH 2 END
97.7'
75.1'
TRENCH 3 END
100.4'
753
TRENCH 4 END
102.2'
74.9'
TRENCH 5 END
104.6'
74.8!
TRENCH 6 END
107.4'
75.4'
458.75'
AS -BOIL T SUE
CON44
AS-BUILT S.S.T.S. LOCATION DISTAN(
DESCRIOfib"K
TRENCH 7 END 109.5,
TRENCH 8 END 112.4'
TRENCH 9 END 114.8'