Loading...
HomeMy WebLinkAbout4389DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84. -2 -57 BOX 33 III 4 r r A ptv`6 - , . -�Il i 6 ' r Is I Is �r .j Is 0 �ti � ,II }� , I NMI PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _ WELL COMPLETION REPORT Well Location Street Address: Strawberry Knolls Lot #1 Town/Village: J Putnam Valley Tax G'r'id # 84 -2 -57 Map Block Lot(s) Well Owner: Name: Address: Vs Construction, 37 Croton Dam Road, Ossining, NY 10562 Use of Well: 1- primary 2- secondary X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment X Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock _ Other Casing Details Total length 103 ft. Length below grade 102 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials: X Steel _ Plastic — Other Joints: _ Welded X Threaded — Other Seal: X Cement grout _ Bentonite Other Drive shoe: X Yes _ No Liner:_ Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen.(ft) Developed? First _ Yes No Hours Second Well Yield Test _ Bailed X Pumped X Compressed Air Hours _2 Yield 5 gpm Depth Data Measure from land surface - static (specify ft) 29' During yield test(ft) 400' Depth of completed well in feet . 7051 Well Log Depth From If more detailed ft. information Land Surface descriptions or -- s -ve rtalgses ..' -40 are available, 103 please attach. Surface Water Bearing Well Diameter(in) Formation Description ft. 40 Drillinq in over den clay and boulders Hit rock t 401 103' -�Dr' 1 in in o et;, �cas' - ' 705 Drilling in rock granite D If yield was tested teet valtons rer ivltnute rutnpi�wrago faun i = =av = = = =u= ■� == at different depths Pump Type sub Capacity m during drilling, Depth 660' Model 5GS15412 list: Voltage 230 HP 11 _ Tank Type WX302 xolui�� 8,�cta1� 3/8/01 1 001 1 6/26/03 1 Per .-Beir NOTE: Exact location of well with distances t 1 t two p rmanent landmarks to be provided a separate sheet/plan . Well Driller's Name P. F. I Address: 4 Pulxlean Ave., 13t�ber• NY 10509 Signature: Date: 6/26/03 Perry L. Bea White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH .. �i'._:i.: ..- ►-. - .!N,� •-r•- .. C-. >. F, _ S RJI ENVI1 ONME om AL HEALTR.. P.ES -- CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR S MENT SYSTEM PCHD CONSTRUCTION PERMIT # py Located at . 21J E-) S A J T RUN 201D Town or VillagN A M V191-LEY Owner /Applicant Name .2? cRo i or.0Ar►, R6ab crwTax Map U Block 2- Lot Si Formerly Subdivision Name S T-Rrl WIRE R IZ'? KN o C L Subd. Lot # Mailing Address 37 C f2 o To N L")19 t%7 120 r9 D D SS f t4 1 N G- , FAi W j/O R K Zip 10 S6 2 Date Construction Permit Issued by PCHD ro . 1 Z 00 2 39 CRO i W 1 "? 20(40 Separate Sewerage System built by 37 c acm jt 4 otv" Roar) cone Address d s c j io I ► , N y I o 6-62 Consisting of I Z S 0 Gallon Septic Tank and 4 a 0 L.17 FC i2. �F a 1RA • — [) F1 iC q "�fa— Other Requirements: 'p,j i^+ p Sys I Ct",7 Water Supply: Public Supply From Address vT/Jla" .(4vc or: Private Supply Drilled by P` EA i� SCA31' I N C. Address t? R E W S L R 1 Z 10 :- . B� lding-Type- Sdr.�G��' : i�:✓h�:�. g2Er� �' •Has erosion. control, been ronipieted ?.. Number of Bedrooms ' -0v i2 I certify that the system(s), as listed, serving built plans (copies of which are attached), in plans and the standards, rules and regulatior Date: — —U Certified by Address 2 'M-W N vV & ,rH T�4c>n t A installed? ted essentially as shown on the as- Construction Permit and approved nt of Health. P.E. X R.A. 0566 License # 06z-4)f-C) Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocati modification or change is necessary. By: Title: A Date: o 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 HEALTH SERVICES WELL COMPLETION REPORT _ .- _ -. ��9 ®cati ®� street Address ` " " - - Strawber Knolls Lot #1 own'%iti�Iage: Putnam Valle )?ax irtd" -' 84 -2 -57 " - Map Block Lot(s) Well Owner: Name: Address: VS Construction, 37 Croton Dam Road, Ossining, NY 10562 ><Jse off 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 103 ft. Length below grade 102 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials: X Steel Plastic Other Joints: _ Welded X Threaded _ Other Seal: X Cement grout _ Bentonite Other Drive shoe: X Yes No Liner: Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yes—No Hours Second Well Yield Test _ Bailed X Pumped X Compressed Air Hours _2 Yield 5 gpm Depth Data Measure from land surface- static (specify ft) 291 During yield test(ft) 400' Depth of completed well in feet 705' Well Log If more detailed information descriptions or sieve" �iiay.5s are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft.. ft. Land Surface 40 Drilling in over den clay and boulders Hit rock at 0' 40� . - i-0 j r - ' ' - ou 103 705 Drilling in rock aranite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity Xcjpm Depth 660, Model 5GS15412 Voltage 230 BP Tank Type WX302 olu 8 al Date Well Completed 3/8/01 Putnam County Certification No. 001 Date of Report 6/26/03 Well Dril r ig Per 37a 5 NOTE: Exact location of well with distances t� i t two p rmanent ianamarxs to oe pruv�uCU i d sup(uam bimui/ pan. Well Driller's Name Po F. I Address: 4 Phil Ave., Bomber, NY 10509 Signature: Date: 6/26/03 Perry Le Bea White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 09/10/2003 11:23 9147363693 CRONIN ENGINEERING 1 CRONIN ENGINEERI.N. POE.1b.10Y.C.... 2 JOHN WALSH BOULEVARD THE LINDY BLDG; SUITE 200 PEEKSKILL, NY 10566 PAGE 03 TO: PROM: Theresa Nemeth, Ken M by COMPAN`f: DATE: P.C.H.D. SEYMN 13ER 10, 2003 FAX NUMBM, TOTAL NO. OF PAGES INCLUDING COVER; PHONE NUMBER -1 SENDER'S RPVEREf4CH NUMBER., Phmaot Rim Road RF: YOUR REOILRENCE'NU MOOR: 37 Cmtm Dam RDad Cotp. P,C-DH- mnit #PV-23-02 13 URGENT 13 FOR REVIEW 13 PLEASE COMMENT Cl PLE Sr, REPLY El PLEASE RECYCLE Town of Putn= Valley SM Gouswwtion Compliance StuwbcM KWU, lot I MMAGE I co Z for the above rekmwxd RcspectfiaIIy TEL. (914)736-3664 N FAX (94)736-3693 SEP-10-2003 WED 11:21 TEL:845-278-7921 NAME:PUTNAM COUNTY DEPARTMFNT OF P. 3 ..­4 REPORT TO: 0. NIVORTHEAST LABORATORY of DAN BURY 39 WILL PLAIN ROAD - DANBURY, CT 06811 CT Cert PH -0404 203) 748 -7903 - FAX (203) 748 -0652 NY Cort: 11471 P.F. BEAL & SONS DATE SAMPLE COLLECTED: 7/2/2001 4 PUTNAM AVENUE TDAE COLLECTED: 2:00 P.M. BREWSTER. N.Y. 10509 COLLECTED BY: C.S. DATE RECEIVED @, LAB: 7/2/2001 TESTED ICY: LAB #11471 LAB H.D. #: JULY -08 REPORT DATE: 7/6/2001 SA1�XPLE SITE: V.S. CONST.. STRAWBERRY KNOLLS, LOT #1, PtiTNA.M VALLEY, N.Y. SA,ARLING POINT: WELL HEAD— SOURCE: WELL TREATMENT: NONE TEST PERFOKMED RESULT: METHOD # i�Sf.k. .XINDUIM CONTA NI IINANT LE'v-EL (NICL) BACTERLkL: Total Cohform (Bacteria) 0 per 100 ml Stil 9222B 0 per 100 ml _ ... __._ . —... -. _. ..M•.��o..... .�.ay.!'^ ._ � . .. .... .. .. .... ...- -. .... —... 'i` ...— - ._ -. —.�. .��. �..�.. ..._. -. ._ .4 ©.� a, --.•rte ♦.—. -.... �.. —.. _ .... -.. ... .. —.... _,, ..w— CHEMISTRY: , Chlorine Residual ND mg/L. - - - -- m1= milliliter mg/L = millig=s per Liter ND = none detected TNTC= Too Numerous To Coum COMMENTS: - Holding Times (were) met. RESULTS BASED ON SAMPLES SUBiNlITTED:7/2 /2001 SAMPLE, AS TESTED ABOVE: MOTABLE or DOT POTABLE (PER STATE OF NEW YORK DEPT. OF HF-6 LTH SERVICES STANDARDS FOR POTABLE WATER) Laboratory Director -NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 060370 (860)828 -9787 - FAX (860)829 -1050 NORTHEAST LABORATORY' OF DANBURY 39 MILL PLAIN ROAD - DANBURY, CT 06811 CT Cert: PH-0404 .203) 748-7903 - FAX (203) 748-0652 NY Cert: 11471 -,, .-.,,-WWW.NORTHEASTLABORATOREES.com P. F. BEAL & SONS 4 PUTNAM AVENUE BREW TER, N.Y. 10509 SAMPLE SITE: SAMPLING POINT: SOURCE: COMPOUND Toluene D �14 Acco'?o U LABORATORY REPORT EPA METHOD 524.2 Measurement. of Purgeable Organic Compounds in Drinking Water 'b':Gas Chromotography-Mass Spectrometry 'by :Gas SAMPLE COLLECTED: 7/24/2001 TE14E COLLECTED: 3:00 P.M COLLECTED BY: C. SCRIVANOS DATE RECEIVED @ LAB: 7/25/2001 TESTED BY: LAB#10916 REPORT DATE: 8/3/2001 V. S. CONSTRUCTION, LOT 01, STRAWBERRY KNOLLS, PUTNAM VALLEY, N.Y. HOSE BIB WELL (all results expressed in micrograms per liter) AMOUNT LDMT OF DETECTED DETECTION BDL BDL=Below Detection Limit Results based on sample(s) submitted: 7/25/2001 0.50 MCL=Maximum Contaminant Level Laboratory Director -NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, &'06637- (860)828-9787 - FAX (860)829-1050 TOLL FREE WITHIN CT: 800-826-0105 - OUTSIDE CT: 800-654-1230 1 R®NIN ENGINEERING P.E. P.C. " The Lindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 10566 91,4.736x3664 r. September 16, 2003 Joseph S. Paravati, Jr. Assistant Public Health Engineer Putnam Couni Department of Health Division of Environmental Services 1 Geneva Road. Brewster, N.Y. 10509 Re: SSTS Construction Compliance 37 Croton Dam Road Corp. P.C.D.HPermit #PV- -23 -02 "Strawberry Knoll" Lot #1 Town of Putnam Valley Dear Mr. Paravati Please . -er elosed , e 'Water-,analysi-- rey3rt- for -the' abo =ae-r.- ced- prgj& ' 'Fiie-iepoit has bee> completed to show the required PCDH profiles. Please review at your earliest convenience. If there are any questions or if additional information is required please do not hesitate contacting me at the above number. Thank you for your assistance in this matter. Respectfully submitted, fev)7 May Kenneth M. Murphy Design Engineer JMS ENVIRONMENTAL SERVICES, INC. 1500 SUMMER STREET �- - STAM•FORD,,_CON•NECTICUT o6905_ NFLAC,.CT and.NY, State- Certified.Environmental Laboratory .� S - - -- Mailing Information: Collector's Information: Name: PF Beal & Sons Client: VS Construction Name: Wayne M Address: 4 Putnam Ave Address of site: Lot #1 Strawberry Knolls City: Brewster City: Putnam Valley State: NY Zip: 10509 State: NY Zip: Telephone: 845-279-2460 Fax: 845-279-6613 Telephone: Sample's Information: Site: hose bib Date Collected: 9/8/03 Date Received: 9/9/03 Preservative: HNO3 Time Collected: 16:00 Time Received: 13:30 Temperature: <4C Lab No.: J036W Date Analyzed Test Name Result MCL Method 9/9/03 15:00 Total Coliform Absent Absent SMWW 9222B 9/9/03 Chlorine Free Residual <0.1 mg /L N/A SMWW 4500CIG 9/9/03 Color ND 15 Units SMWW 2120 B 9/9/03 Odor ND 3 TONs SMWW 2150 B 9/10/03 Iron <0.03 mg /L 0.3 mg /L SMWW 31116 9/10/03 Manganese <0.01 mg /L 0.3 mg /L SMWW 3111B 9/10/03 Sodium 13 mg /L N/A SMWW 3111 B 9/10/03 Chloride 22 mg /L 250 mg /L SMWW 4500 Cl C 9/10/03 Hardness 68 mg /L .. ,.. N/A _ SMWW 2340 C 9%10/63 1.32 mg /L 10 rng /L­ , -SMWW 4500 NO3E - 9/10/03 10:00 Nitrite <0.1 mg /L 1.0 mg /L SMWW 4500 NO3E 9/9/03 pH 6.97 S.U. 6.5 -8.5 S.U. SMWW 4500 H B 9/10/03 Sulfate 23.5 mg /L 250 mg /L SMWW 4500 SO4F 9/9/03 Turbidity 0.12 NTU 5 NTUs SMWW 2130 B 9/10/03 Alkalinity 54 mg /L N/A SMWW 2320 B 9/10/03 Lead <1.0 ug /L 15 ug /L SMWW 3113 B At the time of analysis the sample was acceptable for total coliform N/A = Not Applicable mg /L- milligrams per Liter ND- None Detected S.U.= Standard Unit NTU- Nephelometric Turbidity Unit MCL- Max. Contaminant Level TON -. Threshold Odor Number ug /L- micrograms per Liter Signature: State #: PH -0218 Michael Lapman ELAP #: 11715 President Tel 203 961 9911 Toll Free 1 866 567 5097 Fax 203 961 9919 imsenvironmental.com 09/11/2003 16:58 9147363693 09,1109 TRI 13:1T FAX CRONIN ENGINEERING 1 PAGE 01 VS Cona�io JM5 ENVIRONMrkrhL ScRvi_.S IUC, .:�. _ _F 'a `;i. - _a.yvo�SU:YMBR' yTR;F4.•[=.. . , - _ � ,.� .� . -. - . - •• S rAMFCRG. L0t4.aa: {T:(L, o3S.og AIELAt Cr on f NY Stogie Gerd; ed favitanrneota' Lat)orutory Mailing an$matio", Callao DrIG UnVofflu 1anS (?L9t4jL-r {ZUV 16 Nmme: PF Bea & Sona Client: VS Constrwtlor• Warne: Wayne M, atddrram: 4 putnem Ave Ad of ales: Lot #1 Strawberry Knoils Cl¢y: Brewster City: F Anarn Valley etoteD. NY zip! 105M stat .- gy Zip. Telephone; 845 - 279-2460 F . 845-27 "613 Stamplo'S Information; SiW hose bib . Date Collected: 91e/03 Date R bd*1vod: 919ro3 Pnmrvotive., W.1403 'tea Collected: 10:00 Time A mosived: 93.30 Tampere um- c4C Loa's No.: J036537 Date Anslynd Tryst Nam& Result MCL Method 919103 15:00 Total Colftm 9 /9 /03 Chlorine Free Residual 9/0103 Color 919103 Odor 9110103 Iron 9110/03 M anger. ®se 9110103 Stadium 9110/03 Chloride 9/10/03 mardness 9110103 Nitrate 6.97 5. U. 919,103 opt 9/10/03 Sulfate 919103 TurNdky 9110103 Alke!In'ty X110103 Lwd Ahsent / 00.1 M91 6MbV'W 45900G NO 1 RID 3 '0.03 mgll. 0. <0.01 rnglL 0. 13 mg1L SI IMV 31116 22 mg;L _ to 68 m91 SMWW 2340 C 1.32 m01 11 6.97 5. U. e-.5. 2a.5 mg1L. 25 0,12 NTT 5 54 rng/L i!A ¢1.0 ug/L 1 At the tImv of analysis the sample was acceptable for total colit'ofm W/A s Not Applicable fl1g /L- milligrarne per I 3 -U -= Standard Unit SITU- Nephelumetric 1 MCL- Max, Contaminant Level TOIL- Threshold Odor ug /L- micrograms per Liter 2.- - e � Michael LapmaIn presiderg :sent SMt VV 92228 VA 6MbV'W 45900G Units SMWW 2120 B 'AK's SMWW 21K 0 ri+L SMWW 3111a mat $MWw 31115 VA SI IMV 31116 MWL Smwo/ 4500 CI C VA SMWW 2340 C 1�^3E...... -- .5 S.U. SPAWW 4500 H B mg/L SfirVVW 4500 SO4F iTUs SPAWW 2130 8 i!A SfNM 2320 B Smwv-/ 3113 8 NO. None Detected Unit State*, PH -0219 ELAP t. 11713 TO 20) 96: 97:: rot, F-ee 1 866 567 °..9' Fax 203 961 95 .9 i"�saav;ro 9- ontsl.tcr LETTER OF TRANSMITTAL .i�a 'q -.V.i Y.. w'.... .. •rw.,. ..:= 4"4�� ^'.. '_a; w.�+ _. -•1'�+..'�i •• .mow n U.•d'• t. ... y': ->a. .. -i:..; -. _. �.r:;,;�,.•��:: "i::•a.:io ' ::�. CRONIN ENGINEERING P.E., P.C. September 8, 2003 The Lindy Building; Suite 200 2 John Walsh Boulevard Peekskill, NY 10566 914- 736 -3664 Fax 914 - 736 -3693 Joseph S. Paravati, Jr. Assistant Public Health Engineer Putnam County Department of Health 1 Geneva Road Brewster, N.Y. 10509 RE: 5 PHEASANT RUN ROAD "STRAWBERRY KNOLL" LOT #1 TOWN OF PUTNAM VALLEY 37 CROTON DAM ROAD CORP. THESE ARE TRANSMITTED as checked below: ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY WE ARE sEN]3ING YOU attached 1.) Three copies of as -built subsurface sewage treatment system plan 2.) Three certificate of the construction compliance. 3.) Three guaranties of SSTS 4.) Copy of survey showing foundation location 5.) E911 address verification form 6.) $200 certified check for application fee 7.) Updated well completion report 8.) Copy of water analysis report 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 matter. Respectfully submi ed, Kenneth M. Murphy Design Engineer BRUCE R. FOLEY Public. Health Director LORETTA MOLINARI-RN., M.S.N. - Associate Public Health Director Director of Patient Services DEPARTMENT OF B EALT H 1 Geneva Road Brewster, New York 10509 Environmental Health (914)278-6130 Fax (9.14) 278-7921 Nursing Services (914)278-6559 WIC (914)278-6678 Fax (914) 278-6085 Early Intervention (914)278-6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 E911 ADDRESS VERIFICATION FORM TAX MAP d Re 8 DRESS: i ��, &, 4 �% !. y I � I%' )n\ A/ t AUTHORIZED -DATE: The Putnam County Department of Health will not issue a Certificate of Construction Compliance unless the above form is completed, nee., a legal E911 address is assigned by an authorized town official. This form is to be submitted with the application for a Certificate of Construction Compliance. (E911 VERFM Area=104,887 Sq. R. = ,2.4079 Acres `Tree w /nail `Tree w /nail 5.5' On Line p Drolnage Easement In Favor of Th Tour of Putnam Valley h � � R=1,25.00 ' G= 128.3708 n 0 /� o 0 Drive ` / Norodom to W O 1 00.0' 06 E- Tem ovary Grading Easement J" 1g• n Favor Of Lot ! ' o0 a� z A UA well v A 1R1 Trans.13 13,.72 S11 °005 "E �v NT O A � A Under gonstri Lion) (Roapg� N ROAD PUTNAM COUNTY DEPARTMENT OF HEALTH -ENVIRONMENTAL HEALTII,8E­R1VfCE9 GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM 07 CRo-ro t l DAM RoA D CoR E Z S r7 Owner or Purchaser of Building . Tax Map Block Lot 39 C-R<)-ro" P(am ROAD CORP. u- rjjt4M VALUE Building Constructed by Town/Village PW8ASi91J'r Ryf-J f?oAJ_'� S- rRAWT?i:�RR'Y ek)OLL Location - Street Subdivision Name SIN6C.E i'�rti�c -Y ��slr>�'d.Jc� Building Type Subdivision Lot r I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system sen-ing 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 c used t v tffe willt'ul'oi' neQliQcnt "2ccc of the occupant'of the building-utilizing the- system. The undersigned further agrees to accept as conclusive the determination, of Directo of the Putnam County Department of Health as to whether or no t fa 4 opp+ *caused by the willful or negligent act of the occupan of h , bu Days Year 2-0d Itor (Owner) - Signature .39 c120-rc)rJ 0(-)M aoAP cofL�. Corporation Name (if corporation) Address: 29 CRoTy®.► PWII 26/�D State OSS1Nit-36f t-�y Zip 10562 Public Health of the system g utilizing the Signature: � ' Title: fR e:.SI 4 :5N T -92 cRo i aN Corporation Name (if corporation) Address: State 0 9S /Nj^l6 ^�_ Zip 10 56 2 Form GS -97 PUTNAM COUNTY DEPARTMENT OF HEALTH ;� : i�IV�SIC�1�i .OI; EN`' I�iOR 'ME�i- T- �iE�4TLIa[SERV€'CES. ..... ` • '• ; "` .... —; . , FIELD ACTIVITY REPORT xt)ng F.�.�; /'1� u s i r , �i� �V � ,�, kkv C Street ' Town PERSON IN CHARGE State Zip PUMP TEST DOSE TEST REQUIRED GALLONS Io 0 of N : EL. START - -- �� AN / A I EL. STOP 1NSPFrTQ2, - - TEI! - Signature and Title REPORT RFC'.FTVRn RY: I acknowledge receipt of this report: SIGNATURE: 02/96 Title; 08/29/2003 10:47 9147363693 CRONIN ENGINEERING 1 PAGE 01 BRUCE L FOLEY Public fil'Avddi Dbvcw P � .. ' �Ya . �.. ,�,,. � 1.s . J P bl ~ �l . Y• . P 7 � - � J •c,• t .t .• -{� • �+.�I DEpARTNffiNT OF BEAL° 1 Geneva Road Brewster, New York 10509 &Lf N %--A dok r P 13 GENE 1 ED AJrEN�T 10.N. Allinformtion below must be hft completed prior to an.y scheduling.. EMI NE t OR FUM: —"010 6401 a ,Fyne MASON: DEEPS: M PERCS: C MAD/STREET: r ,c- 41^f*r TOWN: SM DMSION: VzA-0t3eM -M OVNER: IM 13 E3 C a �� F-cA POV2 TEST$ 'l-A.X i1YMA MOLINAR I $1d., M.&N, Aamdaw Publk Health D&=Mr Di�ctW aj Padsru Servkes DATE: /U Zu, #: S l Lf- ` 7 -96 01C C ,5x fit- .2 r.�:F LOT0: NC ar' Proposed SSTS %ithin the drainage basin of West Branc i or Eovds Corner Reservoirs. e Proposed SSTS %ithin 500 feet of it reservoir, reservoir nem or control lake. e Proposed SSTS within 200 feet of a watercourse or a D1 C wetland. W ]Proposed SSTS design Dow greater than 1000 gallons/ r or SPDES Permit required. Qe Proposed SSTS for a Commerical Project. It is the responsibility of the design professional to provide the above ' orffiation prior to soil testing. This Department will determine the NYCDEF project status (3a' ar (Delegated) based on the response. If post answered ►f to any of the questions. NYCDEP mu t witness the soil testing. This Department will coordinate a mutually suitable time for field tesdnt with the PCDOH, the Design Professional and NYCDEP. If a project has been determined to be Delegated based on the abovo response and then subsequent information indicates N -YCDEP is required to witness the soil testing, 4 will be the sole responsibiI17 of the design professional to schedule re- witnessing of the soil test;nn Mh 'Y CDEP. FOR COUTrY USE ONLY maTE I 'slid;: kt MMI. DI If - '�4- aLiLiZ COT 4M--70 Tri . nnc 0E3/)9/2003 10:47 9147363693 CRONIN ENGINEERING 1 PAGE 02 Oe/29/2003 08:27 5147397.156 PREWER +ETIC CLU PAGE 82 'NEW YORK BOARD. OF- FIRE 13VRIEAU OF FELECTO 40 FULTON STREET'— N.EW'VOI CERTIflIES THAT' Upon the applIcition of NDERWRITERS A ITY. NV 10038 n.oranilses Qwno by VELARDO ELECTPJC. 20S RNWES ST., OSSINING, N.Y. 10882-1404.' located at a PHWANT. IkUN MILL STREET PUTNAM vALLEYM .Nscrlbod•s'a'•- Reszde ial accupefty. wh"n .el KWcal dwAces and w1iin dgsc.rlbw* below, located IrVom the premlSes a %atmm, Fta Flow, SecmW Floor, Armehdd Omp, Ok*idc,. Atdc,, CROTOk DAM - kQAD CORP. PNFMANT'•RUN TILL STREET WNW VALLEY,: TN, NY' 401179 NY. 1061 1fiCjftN*r:- 1103910 he premises electtticai system corlslsting of was hspeclklim-accordance with the National found to ho In compliance Oetwithan the 166 Dayoi Jmm,'2PO3.: 12.0'" aft, hand1m. Alain amd Sampacy EqWpmmi 1 0 tnolcc A"110cis."A.Attembrin 1 .0 Aft Cbndtti0.ae: .-2 0 24000 ale too Ito 2 0 110' ). jFC1 3 0 '110 Ti4 15 .0 1 0 110 Sag L Pbm3W. -SerVice Rating 2004'V*(n6 smics Diwomear CgndmtLedanNMPfip .1 of I k This ceMt&* may not ha altamd in -any Way and' K validatea .0i'lly by the frosenc - - -- -- AIl1MC • DI ITAIOM f'f11 IF.ITV nFPARTMFNT r1F P. 08/29/2003 10:47 9147363693 CRONIN ENGINEERING 1 PAGE 03 08/29/2003 d9:43 9147397156 FIREMIER A ETIC CLJ PAM 02 Ay H PUREAU OF ELEd '�I '.' 40 FUL.TON STREET � NE�V NE .•. 10-03S.: CERTLFf-ES TMAir Upon the application of I Po n peat = owned by VELAR DO tLECTRIC CROTON DAMR ®AD CORP. 904 BARNES 5T ' . :. P14WM . M GW . -OSS' NIN.0, KY, tMaB 1404,- ILL STREET :.. ' M YALLV, T-W, NY 1057® Located at PHEAMNT' RUN WILL 'STREET lolBrtlA tiN VAL4.13Y, T , NY:98¢�� 1.1039 Q, section: ®leek: Lot; 1 Bid Perw a. Goa m os Diix- bed as-* t e�ideettigt orcuperlty; wPtMin prey el trlcat system consists of .ehm cal dektis end• wong, .16scrted below, IOC ed Won tha'promis" At $atiadmrrrt, F mt MOT; 3edond f1m, Attsebed GmSe, Chglde, •Accto., Was inspected in acgordar>Gc with the Notional Electrical Code and tt'ta' data( of the irNStellabon, as set.fbM below, wag. bond to win cornpiiance therawlth on the 264% Day of Jle, 2cxo3, Vviii Vs bwu we 'Of fts s flm of aomptia»ct. ca ifia chat, far the devices cnitrrl9raged, e. ®t+ort aiark uen oiooduc of far•temtindor, to devices and/ut eq�sipmets_ requiting terminition Uya•c 'err al' QD'8r cai,duotor W.M. SfliW to ate, pry c4ftatt for o�a>yx:; � procedure r *uW to aw'jPli `W10W). The &1Wv ndM Md coot e.SnduMM *0d 4iide4 ia•aecoMce "tJx the Hetlag mid in8000- iputtuationo :. VNVli ed wish the - dieing device, ; .' . .• ." .' .• X81 •' •. ,. 2 of a this certificate may not be dko ttl in any.vaey and, is valieated only by. t v p'r ► •' I& ra4w so, at the location indtcateg• - - -- -- AIl1MC • DI ITAIOM f'f11 IF.ITV nFPARTMFNT r1F P. LORETTA MOLINARI R.N., M.S.N. Public Health Director 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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 August 29, 2003 Ken Murphy Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, New York 10566 Dear Mr. Murphy: ROBERT J. BONDI County Executive -t' Re: Field Inspection — 37 Croton Dam Road Corp. Pheasant Run Road, (T) Putnam Valley TtM# 84 -2 =57, R.S. Lot # 1 A site inspection was made for the above referenced project on August 28, 2003. The following comments must be corrected in the field. 1. A pump test needs to be witnessed by this department. This also includes inspection of distribution box while the pump is running. 2. Please be advised that the study has a 5' -3" opening, not 6 feet as shown on approved floor plans. 3. The system can be backfilled. If you have any further questions, please contact me at (845) 278 -6130 ext. 2157. JSP:cj Sincerely, Joseph S. Paravati, Jr. Assistant Public Health Engineer X3/25/2003 15:17 9147363693 CRONIN ENGINEERING 1 PAGE 02 I?mAm coUNTY UPARTMENT O11F FEALT11 X gON OF E O"I1ENTA .+ M ijSERVICES 11,,il1F�'i' �C)it F L X1VSP OW For: All infotion must be fully completed prior to any inspections being made. PCID Construction Permit # fV s 'Z. r 0 2 Located: 'N LTA -'A m RJR .l 6 6 0 (T) der /A,pplicaat Dame: -17 C-Ro -rW g2A 2ory0 c, -9FTT%4 Forffierly Subdivision Name: Subdivision Lot # Is system fill completed? — Date: Is system complete? - Y � Bate: Is.system constructed as per plans? ��= Is well drilled? Date: Is well located as per plans?� Are erosion control measures in place? I certify that the system(s), as listed, at the above premises has bees and verified their completion in accordance with the issued _ _. 4: aa�. cv c!a,ti lneta*drdg..�:�les and Ret:latios of th Fill „ Trenches A('. iu LC t !f— Block 2.. Lot rimw -reRRV /Kaacc tJ la 5 2 �o 'i onstructed and I have inspected M Construction Permit and Putnam Coanty Devartmem. of Health. Date: 0c. Address: Comments: - 602 Certified by: Cizo:a 1,4 wic Desigza. Prof bJA '-.rK 91 U, �K,[ -K( NV ZLA PE R4 sioual Lic, 9 Form FIR -99 - -- - -. -. _• -_ r-. — ,r. I^M nn, n rry nrr)V9TMr -A M nC 0 0 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES °i6eT116N PERIMIT PERMIT #. O 2� OTown@t ': Pheasant Run Road �o L Putnam Valle Located at ' Y Subdivision name Strawberry Knoll Subd. Lot # /. Tax Map VT Block 2. Lot 57 Date Subdivision Approved MAY ITS 2DO2 . I Renewal Revision Owner /Applicant Name 37 Croton Dam Road Corp. Mailing Address 37 Croton Dam Road; Ossining, NY Amount of Fee Enclosed $300.00 Building Type Residential Date of Previous Approval N /A- Lot Area :Z. q/ No. of Bedrooms 4 W.) Fill Section Only Depth Separate Sewerage System to consist of 1250 of 4" PVC Perf. Pipe in 24" Gravel Trench Zip 10562 Design Flow GPD 800 Volume gallon septic tank and # 00. L. F_. Other Requirements: 1;y2 6,9,p, i% egA,N3e_R_, 11Y " 4 i 1 e 5HE41F 1"00 ?lq? LNec)'' a' cATe �lrS1111 '1 To be constructed by 37 Croton Dam Road Corp. Address 37 Croton Dam Road; Ossining, NY 10562 Water. Supply: Public Supply From Address a.._ X; prig- ate:. uppy-Drilieab� l �s�`IAL _ Address: P, a, B&A- ll 5045, _iVj'_ ff09 j. 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 i accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compli _" satisfactory to the Public Health Director will be submitted to the Department, and a writt uarantee will 7 caner, his successors, heirs or assigns by the builder, that said builder will place i ood o erating co,, y.p tai ewage treatment system during the period of two (2) years immediately fol ing th ate of the ' �su c>z of the app % 1 he Certificate of Construction Compliance of the original system or any epairs reto. Signed: c �� - "=' ° Ut X ---- Date — 3-04 Address2 John Walsh Blvd; 204 �II3 `el ;_ P ill,NY 10566 License # 062980 APPROVED FOR CONSTRUCTION: Th s't[pprov6f 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 pe it. Approved f r discharge of domestic sanitary se age only. r 2_ By: Title: , Date: c Y White copy - HD F le; Y llo copy - Building Inspector; Pink copy wner; ange copy - Design Professional Form CP -97 RONIN ENGINEERING P.E. P.C. The Lindy Building.: Suite 200; 2,john Walsh Blvd., Peekskill New York,1Q566 id d If. °(91 736"3i;64'b 1�ex. October 24, 2002 Joseph Paravati, Jr. Assistant Public Health Engineer . Putnam County Department of Health Division of Environmental Services 4 Geneva Road, Brewster, N.Y. 10509 Re: SSTS Construction Permit Strawberry Knoll Subdivision — Lots 1, 3, 4, S, 6 Pheasant Run Road, Town of Putnam Valley Dear Mr. Paravati: r Find enclosed two copies of the revised first floor house plans for each of the above referenced subdivision lots. The plans have been revised to show a 6' wide opening at the study room The revision applies to each lot as follows: 1.. Your office has previously approved lots #1 and #6. 2. Lots #3, #4, and #5 are currently under review. Should you have any questions or require additional information regarding this matter, ...�-tllielsrie i.a_cttoer t: a"c.. t.m�e_ ..t� ,h._..h. abov:_., . ph.a.n. e...n� u :. be._r.._T_h: Thank _ y._9. u..t fu ssista1 cp a.r tn.ae n �:.�..:_.._..:__..�_..:�..__.. _ .. ..... _ , . StrawberryKnoll ,HousePlans,PCDH,10- 23 -02.doc Y Respectfully submitted, '111� , //4w Luis Hernandez Project Engineer 1 1 ! ;1 �1d sZ X30 . Zo %" PUTNAM• COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH _ &I)IYIDUAL WA R SiTI'HEET TORN •.CFA VFW �-N / REVIEW S CONSTRUCTION PERMIT NAME OF OWNER: 3 Crate / CarQD STREET LOCATION: REVIEWED BY: RM, GR, AS ((!D TE: 6/1;' /D x TAX MAP #: (CONFIRMED) 3- r Y N DOCUMENTS (�DPERMTT APPLICATION U(�WELL PERMIT OR PWS LETTERS h (,/R )PC -97 /jULETTER OF AUTHORIZATION k!!fJ'UDESIGN DATA SHEET (DDS) C,-IL-)CORPORATE RESOLUTION ((___)SHORT EAF (PLANS -THREE SETS PLANS - TWO SETS U(_r jaARIANCE REQUEST SUBDIVISION LEGAL SUBDIVISION USUBDIVISION APPROVAL CHECKED (� )PERC RATE P- U �' FILL REQUIRED DEPTH U( !CURTAIN DRAIN REQUIRED GENERAL (UULOCATED IN NYC WATERSHED U� �L5 PLAS SUBMI D D TO PCHD EP APPROVAL, IF REQ'D DEEP TEST HOLES OBSERVED YEN (REQUIRED DETAILS ON PLANS CONT'D) 1 HOUSE SEWER - %" FT. 44% TYPE PIPE CAST IRON BENDS; MAX BENDS 45' W /CLEANOUT RENEWALS U( )SITE NOTE 0Q!HANGE) U(—J10' HORIZON L; PAW TRENCH SLOPES 3:1 TO GRADE U(�_JFILL SPECS / WSION S 1 -5 )(_)FILL PROFIL SIONS UUFILL IN EXPEA UC—) CL AY B R U(-_)FILL -—__CE!T I. N TE (_( )DEPTH GAU (__) ( __)VOL. ON PLAN OR R.O.B., UNCLASSIFIED & IMPERVIOUS ( )( )SEPARATION ISTANCE FROM TOE OF SLOPE THE CH- (e�c LF TRENCH PROVIDED 9 W ! 60FT MAX. PARALLEL TO CONTOURS (100% EXPANSION PROVIDED (­)DETAIL/DUST FREE CRUSHED STONE OR WASHED GRAVEL (f!::j�(_)GEOTEXTILE COVER SEPARATION DISTANCES ON PLAN - FROM SSTS i�UPERCS TO BE WITNESSED 10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL C/)�)EX- APPROVAL SSDS ADJ, LOTS C W TO FOUNDATION WALLS C—)(/ WETLANDS (TOWN/DEC PERMIT REQ'D ?) (�,�100' TO WELL, 200' IN DLOD,150' TO PITS (DATA ON DDS PLANS & PERMIT SAME (f::J(�100' TO STREAM, WATERCOURSE, LAKE (inc. exp*. L _)C/jPRE 1969 NEIGHBOR NOTIFICATION ',TO,CA�QH,BASIN,. S' STOjL2MDRAIN, PIP]w WATER. 100 YR. FLOOD ELEVATION W/I 200' (��10'-TQ-WATLR-L'Ii+�E (pits = 20')" � 's � U�SOIL TESTING LOTS >10 YEARS OLD —�50' INTERMITTENT DRAINAGE COURSE (`/j(J200 /500 RESERVOIR, ETC. _ 150 GALLEY SYSTEMS REQUIRED DETAILS ON PLANS (�10' MIN TO LEDGE OUTCROP SEWAGE SYSTEM PLAN - (NORTH ARROW) )SSDS HYDRAULIC PROFILE U/ (..=)GRAVTTY FLOW CONSTRUCTION NOTES 1 -15 DESIGN DATA: PERC & DEEP RESULTS U2' CONTOURS EXISTING & PROPOSED C - �fC--)DRIVEWAY & SLOPES, CUT �' (HOOTING /GUTTER/CURTAIN DRAIN S J(-�USDA SOIL TYPE BOUNDARIES L�UTTTLE BLOCK; OWNERS NAME ADDRESS TM #, PE/RA; NAME, ADDRESS, PHONE# C_� DATE OF DRAWING/REVISION ( cif' )DATUM REFERENCE )LOCATION OF WATERCOURSES, PONDS � LAKES,WETLANDS WITHIN 200' OF P.L. (�L—)PROPOSED FINISH FLOOR AND BASEMENT ELEVATIONS (� (SWELLS & SSDS'S WAIN 200' OF SSTS PROPERTY METES & BOUNDS .(s6C-JEROSION CONTROL FOR HOUSE, WELL & SSTS, EROSION CONTROL NOTE COMMENTS: (REVSHEET)09 /01 /00 � SEPTIC TANK `U1U10' FROM FOUNDATION; 50' TO WELL WELL ( L )DIMENSIONS TO PROPERTY LINES (� )L )LOCATION OF SERVICE CONNECTION 15' TO PROPERTY LINE SLOPE ( /I( )SLOPE IN SSTS AREA (S20 %) L—)(z:jrEGRADED TO 15 %, IF REQUIRED DOSE/PUMP SYSTEMS PUMP NOTES )DOSE 75% OF PIPE VOLUME/DOSE VOLUME NOTED DETAIL FOR FORCE MAIN, (PIPE TYPE, ETC.) )PIT AND D -BOX SHOWN & DETAILED (UUl DAY STORAGE ABOVE ALARM CURTAIN DRAIN L_)USTAND ES B TH SIDES, DETAIL L—)(_)15' MIN to S => /o, 20'-4%,15'-3%,35'-16/6, 100%-<I% L_)L_)20' MIN t C ISCHARGE /100' with 182 cons day discharge C--)U10' o NON - PERFORATED PIPE 03 12 o1 NON 16 50 FAX M PUTNAM CO v TY I)EPAI$'1 TENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH. SERVICES WELL r-- t0iilOil:.E TI.fON, ><2Ta PQ1WT.s.. Well )Location Street Address: Mills Street Lot 1, Strawberry Knolls Town/Village: Putnam Valley Tax Grad # Map 64 Block 2 Lot(s) 4 Well Owner: Name: Address: VS Construction, 37 Croton Dam Road, Ossini.-*, NY 10562 Ube of Well: 1- primary 2- secondary X Residential Public Supply Air cons /heat pump Irrigation Business Farm tTeWmonitonng Other(specify) Industrial Institutional Standby. Drilling Equipment X Rotay Cable percussion X Compressed air percussior Other (spccifj ) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total length 103 ft. Length below grade 102 ft. Diameter 6 in. Weight per foot 19 1blft. 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_ Primped X Compressed Air liours _6 Yield 6 gpm Depth Data (Measure frot:t land surface - static (specity ;t) 30' During yield tcst(tl) 665' Depth or a:mpleted wcl! in *es: 705, Well Log If n)ore detailed ulfonnation descriptions or sieve analyses are available, Please attach. Depth From Surface Water Bearing well Diamerer•(in) Formation Description ft. ft. Land Surface 40 Drilii n ove Durden clay and boulders 40 Hit roc at 40' 40 103 Drillinc in .rock set casin , rrouted 103 705 Driilinc in rock granite If yield was tested at diff_ rent depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Capacity Depth Model Voltage HP Tank Type Volume Date Wcn Complcud 3/8/01 Putrum Cowuy Certitrcution No. 002 Date ofReporl 3/12/01 \Yell Uri i iav t r-: rzact tocattun or weii wtui alsrances ro at iea+sq nvo permanent 1=41nOrhs TO ne prOVWa t 011 a sCparate shcet'pian. Well Driller's Name P. F a /In c. Address: 4 Putrm. Aw., Fm;t e , NY 10579 Signature: / f Date: 3/12/01 Perry �ee_)iiow , White copy: > File; copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 -0 07/13/2001 09:54 9147363693 CRONIN ENGINEERING 1 PAGE 02 N 0 %,A ACco 010 NORTHEAST LABORATORY OF DANBURY LAW LAW 3qbmLpLAnf ROAD -DANmmy,CT 06811 a Cent: mo4w 203) 748-7903 - FAX (203) 748-0652 NY Cort; 11471 LABORATORY REPORT RWrO—RT ".: P.F. BEAL & SONS DATE SAMPLE COLLECTED: 7/2/2001 4 PLUNAM AVENUE TIME COLLECTED- 2:00 P.M. BREWSTER. N.Y. 10509 COLLECTED BY: C.S. DATE RECEIVED-@ LAB: 7/2/2001 TESTED AY: LAB#1 1471 LAB LD. 01: AMY-08 REPORT DATE: 7/6/20oi SA LE SITE: V.S. CONST.. STRAWBERRY KNOLLS,Oj__J# PUTNAM VALLEY, N.Y. SAMPLING POINT: WELL BEAD-- SOURCE; WELL TREATMENT: NONE TEST PERFORMED RJES ULT: METHOD # MAXINUUM CONTAMINANT LEVEL(MCLI BACTERIAL: O..per. 1.00 ml_ . CHEMISTRY: Chlorine Residual ND mgfL m1= milliliter vig/L — nulliV=K per Liter ND - none detected TNTC= Too Numerous To Count COMMENTS: . -Holding Times (were) met. RESULTS BASED ON SAMPLES SUBM]rffED:7/2/2001 SAMPLE, AS TESTED ABOVE: DOTABLE or DOT POTABLE (PER STATE OF NEW YORK DEPT OF F 41TH SERVICES STANDARDS FOR POTABLE WATER) Laboratory DiIVCtOT -NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)828-9787 - FAX (860)829-1050 NORTHEAST LAB®RATORT OF DANBURY 0 �N ACCo'?0 39 MILL PLAIN ROAD - EDANBURY, CT 06311 CT Cert: PH -0404 ?� ), 748 -TA : �A-Xf' (2gaj 748 -0652_ NY Cert• .11471 4 vvwww`d%10ii5C1E3L�A5T l�X0RAf0R1kS.tbm"' P.F. BEAL & SONS 4 PUTNAM AVENUE BREW TER, N.Y. 10509 SAMPLE SITE: SA..MPLING POINT: SOURCE: COMPOUND Toluene LABORATORY REPORT ]SPA METHOD 52402 M asurement of ]Purgeable Organic Compounds in Drinking Water 16 f :q-as Chromotography -Mass Spectrometry r.VATE SAMPLE COLLECTED: 7/24/2001 TIME COLLECTED: 3: 00 P. M. COLLECTED BY: C. SCRIVANOS DATE RECEIVED @ LAB: 7/25/2001 TESTED BY: LAB#10916 REPORT DATE: 8/3/2001 V.S. CONSTRUCTION, LOT #1, STRAWBERRY KNOLLS, PUTNAM VALLEY, N.Y. HOSE BIB WELL (all results expressed in micrograms per liter) AMOUNT LE WIT OF DETECTED DETECTION BDL BDL =Below Detection Limit Results based on sample(s) submitted: 7/25/2001 0.50 MCL= Mwdmum Contaminant Level Laboratory °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 PUTNAM COUNTY DEPARTMENT OF HEALTH ..1RONMENTAL.HEALTH.SERV,1C: ;-�:: AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBNIITTED 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 Cori). 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 .e..,.. r r. - .... � w,.. t.. ... �> . .. .�.. �.,K. � ..�•t �.t....• —... w. -- v..s a ..._ _ ..... ..,p w... .. . .. � • .... .,.. ... ..�.,, ..A � �- .a+.r.'v rr�— . Address: (Same as Above) Treasurer - Name: Address: Same as Secretary (Same as Above) and that I am and will be individually responsible for any to the approval requested and all subsequent acts relating Sinned: Title: Sworn to efore me 2thi � d ay of /W� (month) C� (year) Notary Publi KE .tENt . Notary No 01 LE6026834w 1 Ouaiitied in westchestet Cou Corporate Seal Cormm"on Expires June 210 Form CA -97 corporation with respect PUTNAM COUNTY DEPARTMENT OF HEALTH . D .SIO .Ol E NMENTAL,HEALTH SERVICES .. r ... ... " >� � - ' - '. � ... - - 'e`,. � y, tl o: ^- ^��rc�s °r .. 'v� n ,,r..: M't ..,.tea. =.... i+ r -�� ., :$ •«- = r -: s°'. =. LETTER OF AUTHORIZATION RE: Property of 37 Croton Dam Road 'Corporation Located at Mill Street (CR#f23) / Lover's Lane CP# ` 5A0T PO/ �() ) T/ Putnam Valley Tax Map # ' q Block Lot .57 Subdivision of Strawberry Knoll Subdivision Lot #f_7�4 = Filed Map #.4900A Date Filed o��i1`�2��►2 Gentlemen: This letter is to authorize Timothy L. Cronin III a duly licensed Professional Engineer x to apply for the required E wastewater treatment and/or water supply permits) to serve the above -noted property in accordance with the standards, rules or re s as promulgated by the Public Health Director of the Putnam County Health Departm t,-,an8gb 1 necessary papers on my behalf in connection with this matter and to supervi r Stfu o aid wastewater treat } en and/or ter supply systems = i . -1 5 L d/or .1.47- o''�t1i Law, and the Putna C unty Co e. `r � f Countersigned: P.E., R.A., # _ Cy 629o. 062980 Mailing Address 2 John Walsh Blvd., #200 Peekskill N.Y. State Zip Telephone: (914) 736 -3664 10566 Very to Signed: Mailing Address: 37 Croton Dam. Road Ossining State NY Telephone: (914) 739 -7362 Zip 10562 Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES bifSib N DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM A Owner 37 Croton Address Dam Road.Corp. 37 Croton Dam Road, Ossining, NY 10562 Located at (Street) ..PAe,9sjc?4j eao I. ZD d d '-Tax 'Map Block 2 Lot 57, (indicate nearest cross street) Municipality. (T) Putnam Valley- Drainage Basin Peekskill Hollow Creek SOIL PERCOLATION TEST DATA Date of Pre-soaking /!5 00 Date of Percolation Test 0-6 — A6 —0 6 Role No. Run No. Time Start - Stop Ela se Time ,'Iin.) DSpth to Water I rom Ground Surface (Inches) Start Stop Water Level DrotIn Inc es Percolation Rate Min/Inch 2 x"23 3 6 ' 3 4 5 2 3 5 2 3 4 5 N U'J'JES: I. Tests to be repeated - at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e: 's I 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 DEPTH G.L. 0.5' 1.0' 1.5' 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' 9.0' 9.5' 10.0' pj TEST PIT DATA _ UDES CERIPTI HOLE NO. 2A DP 'Sd iy g" Al G �y 3A0 PS HOLE NO. �2 r3 f3 w.0 o5�►.1_0 �sr � Ge �Y sNO wA-Te--P-, A--r- 6.�" • r VAWC -_ ?__ A HOLE NO. Indicate level at which groundwater is encountered r Indicate level at which mottling is observed A/ Indicate level to which water level rises after being encountered 6,6 Deep hole observations made by: _ Adam Stiebel ing/ Keith Staudohaur Date za-2-r ��� , PCDH Cronin Engineering Design Professional Name: Address: 2 John Walsh- -Peeksyt 1, N Signature: Timothy L. Cronin III vd. #200 10566 , Design Pr'ofessional's Seal L. C /jo Tea. "C' c; . 62980 �\a pNOFESS1O��� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH "SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTE+ WATER"T�R�A�TMEN"T SYSTEM t. :•;.� ; 1. Name and address of applicant: 37 Croton_'Dam Road Corp: a. 37 Croton Dam Road Ossining, New York 10562 2. Name of project: Strawberry 'Knol l 3. Location TN: Putnam Valley: Sub Lo 4. Design Professional: Timothy L.. Cronin "TTT:= 5: °`Address: `2 John Walsh Blvd; 200 Lindy Bldg 6. Drainage Basin: Peekskill Hollow Creek • Peekskill, New Y6rk ­.'10566 7. Tvpe of Project: _.._... X Private/Residential Food Service _ Commercial f 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? ........................... No 10. Has DEIS been completed and found acceptable by Lead Agency? N/A 11. Name of Lead Agency Town of Putnam .Valley Planning Board 12 13. Is this project,.in an area under the control of local planning, zoning, or other officials, ordinances?,..:::: ..::...:::..:-:.................... :.....: :::::,:: .... .......... ::.::::... :Yes If so, have plans been submitted to such authorities? „;, Yes 14. Has preliminary approval been granted by such'authorities? Yes Date granted: Jan 2001 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) N/A . 18. Is project located near a public water supply system? ....... ............................... No 19. If yes, name of water supply . N/A Distance to water supply N/A 20. Is project site near a public sewage collection or treatment system? ................ 21. Name of sewage system N/A ” Distance to sewage system N/A 22. Date test holes observed April&May 2000 23. Name of Health InspectorAdam' stiebeling 24. Project design- flow (gallons per da ........ ............................... 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 Y' 27. Is any portion of ibis project located within a designated Town or State wetland? YES 28. Wetlands Ip Number. . ., ... _ N /.? 29. Is Wetlands Permit required .. .. ...................................................... �,, +...... NO. . Has application been made to Town or Local DEC office? .............:. N ................. o 30. Does project require a. DEC Streain' Disturbance Permit? .. ............................... 31. Is or was project site used for agricultural activity involvin' application of Jag P_P 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 _ NO other potentially knoNim source of contamination? ' ...::.................:.:.....: Yes/No DESCRIBE: ' ;Y 33. Is there a local master plan on file with the Town or tillage? Es 34. Are community water and/or sewer facilities planned to be developed within 115 years in or adjacent to project site ?...:: : ::...::. ........... _ .... NO 3 5. Are any sewage treatment areas in excess of 15% slope? .. ............................... No 36. Tax Map ID Number .......................... .....................:.:. :...:. -Map �7 Block 2- Lot 57 37. Approved plans are to. be returned to ..... Applicant x Design Professional _ I O ; Asl applications. fcar.-revi* -:arid apprev. -o . a rew �S � S to-� �ccated ��ith ri the NYC Watershea'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 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. p. F NEW y J OR C3 'I hereby affirm, under penalty of perjury, th '4 f�. i6 on this form is trraee. to the best of my knowledge and belief. Fa l a m S c � er is are punishable ^ i a Class A misdemeanor pursuant to .S`ecti 1erga L w. �5 �<< � -SIGNATURE & S ®FFIC'L�L TITLES: .[ailing Address: ........................ ....... Cronin En PE PC 2 John Walsh Blvd; 200 Lindy Bldg; Peekskill,NY 10566 144" affi7) —Text 12 PROJECT I.D. NUMBER a1�21 SEOR Appendix C fe Envlr®n�'mentalZuallty IN SHORT, ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1— PROJECT INFORMATION ITo be completed by Applicant or Project sponsor) 1. APPLICANT /SPONSOR 2. PROJECT NAME 37 Croton Dam Road Corp. Strawberry Knoll, Sublot # S. PROJECT LOCATION: ti Munkawit, Town of Putnam Valley county Putnam County .4. PRECISE LOCATION (Street addrsu and toad Intersections, pranlnant landntarlUk etc., or provlds map) Pheasant Run .Road S. IS PROPMEo'AcnoN: ® No, ❑ Expansion ❑ Modlfkatlonialtratlon 6. DESCRIBE PROJECT BRIEFLY: Construction of- Subsurface Treatment System to serve a Single Family House 7. AMOUNT OF LAND AFFECTED: 2 initially :Z. / Was Ultimately sass e. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHEA EXISTING LAND USE RESTAICTIONS7 tt Yes ❑ No If No, ascribe brtelly 9. WK AT Is PRESENT LAND USE IN VICINITY OF PROJECT? G Resldentlal 0 industrial ❑ Comtnuclal. O AWkultute ❑ PvwForestlOpen epau O Omer Dwcrlbs. -_ ��.... .. • - _. _ .�. r .. ..... _.• . � . __sees,, ". . ' - • .. Surrounding Lands are zoned Single Family+ Residential 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL STATE OR LOCAL?? . M Yes ❑ No If yea, list spencyls) and permlUapprovals Town of ;Putnam Valley Building Permit 11. DOES ANY ASPECT'OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? cs Iii.YM ❑ No h yes, rest agency name and permwapprova, Subdivision Plat Approval - "Strawberry Knoll Subdivisions" 12. AS A RESULT OF PROPOSED ACTION WILL E ass NO PERMITIAPPWVAL REWIttMOOIFIC►TION? ❑ Yes ® Na' I CERTIFY THAT THE INFORAW ON PROVIDED ABOVE IS TRUE TO,THE BEST OF MY KNOWLEDGE M� Cronin Engineering, PE PC / Keith Staudohar Oats. 4 -9 -02 Slgnaturt, It the action Is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment . OVER 1 PART 11— ENVIRONMENTAL ASSESSMENT (TO be completed by Agency) A. DOES ACTION . C O ANY TYPE I THRESHOLD IN 0 NYCRR, PART 617.127 It roe. coordinate tho rowlem paoraoa wA moo u* FULL EAF. 0 Yea i 19. WILL ACTION R E1VE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN a NYCRR. PRAT 017.07 It No, a negative declaration may be auporWed by enolhar.lnvoked . eganey. - � ❑Yea' . is c. COULD ACRICtd RESULT IN ANY ADVEME EFFECT$ AGGOC1ATED WITH THE FOLLOWING: (Anovore may ba handlarnten. It Ieglbla) Ct. Existing sir qualify, ourfaea Or groundwalar quallly or quantity, nolao lavolo, existing traffic 0011erno, solid eyasle produetlofl or 81800841, potontlal for oroalm, drainage of flooding problems? Explain brtoW.. .C3. Aoathotic, agricultural, erehaoclogieal. hlatorie, or olhor natural at cultural roaoureoa; of community or nal9hb0rho0d eharaetal Explain brlafly: �D C9. Vegotatlaat or fauna, flak, ohollliah of wildl(to apocloo, slgnlflcant habitats, or thraatanad of cndangored spcelas? Explain bd afyr. Cd. A community's sxlslln plans or goals as officially adopted, or a change In us© or Intanalty of uoo of land or other natural rosoureas? Explain bflafly CS. Growth, aubsequant dovoiopmont, or relatod activitloa Ilholy to bo Induced by the proposed action? Explain Wally. v X/0 CS. hang term, short term, cumulativo, or o(hor ©ffccts not Identified In Cl-CS? Explain Wally. ° NO C7. Omer impacts (Including changes in use of aitti er quantity or typo of energy)? Exolaan briefly. !! C r - , D. IS THERE. OR 13 THERE LIKELY TO ®(L ComTROVtIRBY RELATED TO POTENTIAL ADVERSE 1:HVIi OW"RWAL IMPACTS? L.,I Yea j�J,�6 : it Yf; Ex0laM bibfPV rr BART Ill— DETERNINATION OF SIGNIFICANCE (To be completed by Agency). INMUCrXIM& For 04th advwse effect Identined above, "Wirilne whet" It Is subcatantlal, itadgca. Important or othowise slgnitycant. Each offact should be assessed in connection with Ita (a) setting (I.e. urban or nlraf} (b) prababllity, of occurring; (c) duration; (d) Irre vwalb(Iltyr; (e) geographic ecgw; and (f) magnitude. If necessary, odd attalchmonts or mfww= oupporting matlxiels. Ehsuro that explenallow contain sufflclent detail to show that all m1mant adverse Impzacto havo Din Idmtlfied and adequately addirtmad.' ❑ Check this bolt If you have identified one or nuxe potentially largo or significant advem Impacts which MAY occur. Then proceed dlrectly to the FULL EAF arWor prepare a possittve dexloratlorL tt this box If you have - determined, .based on the Infotmratlon and [anatysl>s above and any supporting documentetlon, that the} proposed action WILL NOT result in any algnlficannt sidverij4 environmental Impacts AND provide on attachments as rgiicessM, the reasons supporting thlo dGiorminat)on: Manta of Load AeOMY 10104FI- -&4f I'mi QJ YOQ Na of olpalf KQI IA le A(I@eKy �cl¢ w @fC�f KGf Slane of 9 or as Load AeaKY _ _ ia-lum Of heparar (if 4hiforim train rosponsibk of earl • ate a �- ._.. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION . Date: Inspected by: Street. Location. ..,r%L5 «�f _!,, -°t. =.- ;Owb'e �/ti JL Permit -T- TM #j - 7 Subdivision Lot # Sti ti, Qulll 4 l 1. Sewage System Area a. STS area located as per approved plans ........................... b.. Fill section - date of placement 3:1 barrier Lgth. Width . Avg.Dpth c. Natural soil not stripped ................. d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course/ wetlands ...... ......... ....................... II. Sewage System a. Septic tank size - 1,000 .......... 1, 250 .........other................ b. 'Septic'tank installed level ................................................ ... ..... .... ..... c. 10' minimum from foundation ................. .................... d. Distribution Box r._. 1. All out - elevation -water tested.......:..:...... _.P a below frost .................. :.............................. Minimum 2 ft. Original soil between box & trenches et--...................... 6. Trenches 1. Length required Z7 u Length installed 17 ,PO 2. Distance to watercourse measured Ft.: Al a 12 3. 'Installed according to plan ......... ............................... 4. Slope of trench acceptable 1/16 - 1/32" /foot ............. 5. 10 ft. from property line 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100 % ......................... 8. Size of gravel 3/4 - 11/2" diameter clean ...................: 9. Depth of gravel in trench 12" minimum....... ............. 10. Pipe ends capped....... . , .. . :. �n nr Dosed Stistems� 1. Size of pump chamber.......... I .................. ............... 2. 0._._rIla vt tl ........ ........... 3. Alarm, visuaVaudio.... .................................. easily accessible, manhole to grade ................. 'S. First box baffl ed .......................... ............................... 6. C cle witnessed by H.D.estimatedflow /cycle: ::........ III. House u� lnd._ g a. house located per approved plans ... ....................:.......... . b. Number of bedrooms ............ ............................... IV. Well S 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. Backfll material contains stones <4" diameter .......... :... e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dinto exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate .... ....:.......................... i. Erosion control provided ................. ............................... Rev. 12/02 �t -a - MOAN C� WAS off. nn� �t -a - 17 'IV +4.:�+t>� .air y�a- a•- n.�_. n. .:4�.;._.��...,.�._.,. �. _i -�Rr .....•':'�_.. .. .:_ .:��J..;� . "V't�:` . -•• -.cam. .•C• _�c",�^t. .. .: .. s> SITE INSACTION 1+ 6R FILL PAD Fill pad located per the approved plan Fill Pad Length Required Length Fill Pad Width Required Width Fill Pad Depth Run -of -Bank Fill Quality Slope from Top to Toe Impervious Layer Installed Erosion Control Installed Sieve Test Results (if applicable) Required Depth Date: Inspected by: ,Additional Comments: Reserved for Field Sketch if Applicable :vs cn,isjpj(r:qj4 Cg]rPr439---L 'ISX) I P-11 T =4 I lIT ­L11 I .• 0111•1 t■" V..Ij MG .1. X ills 1pfLa rLm JXI's f W D.C. / JUST KIKU, wpaivs Ewes C. 12.miz •3•3.4. —am. on•zou: 6 Tow 9-1 11-14,41 I—A r- I.: CILL'Alim L� oo� "Us C3K Mf-%�A VALL SKAT-P-G V-w O"C", 'oftc`3 0. UK lit a it' OC. AfTKR �Id C01"01 C=.Q 7, " L014C 2.12 SX.Z CC LD4 JMSFS -CR us- i I C%A -AWSIS. WTAOO an 1/•' FyK -S' SW v.ACs •T a ommm Ar at-2-1 AFAKLCZ rG CILI -CmT3 ^IT— ., , "v" at 'M CAD jw�z � Jn M �AD916 2 -D' L&, at'M VXL at 04wr A" Cs FLU%I*IM "C"os? E"I &0 LK I sf;aa CAUM STIrcu ra CEMMA 11441 DIV LCKT "U P-1 I JaMACT p"VAU PE . A I xx S.f� LQ:,TCP* •1� VALU•. •1. •u� co-11. 31 -�w Ell 8, " " ti r,*)Lw now 4 /v -it ur CLO I -- J- -T, L 14 3f, C"-3J-E STEEL AEADER CCS1GNCD. PREIVIGCD L HASIALLED f F CN-S:TE Sr IBULDER--, B 3IT WVC 64 w ;".a 46 �ir ••n sm on -9 7— --------------------------- narwv lii lit' t 11 II r1f r, -.7B s TLa. IL La'- r-I ve g L ac OWN" I- 't 'r AIJU, V Alh� 9 SPECIA'. 5TDqY GARAGE LTI2'()*? BIJM-DUI !ST S:GRY rj d" FROM IK KSCE D_T—F�iL—nCm F— I irl 1 I f W O"Z.. um V•1.1s yl I r ac r. A 1"Nu. 19 .1 111 cc "T W. I,:0, imils 'Cot, .11yf -AA-3 YN-13)65/10N 3 SPECIA- Typ S Cn.j STRjfr;g" CCQP�-,fJ5---L :15K) .59 /20 11 GARAGE W w7 "S7 S-ORY fn1i Ils' 071 it Tw I f W O"Z.. um V•1.1s yl I r ac r. A 1"Nu. 19 .1 111 cc "T W. I,:0, imils 'Cot, .11yf -AA-3 YN-13)65/10N 3 SPECIA- Typ .59 /20 11 GARAGE W w7 "S7 S-ORY fn1i wro.. b A tz a am ilk �, z C � _ • � ^ � Ec O C k ilj j Itltl�fO Q�i 11r h 1 O g LC N �'D P �y w h 1 � p MR� F 1 I ^S J • 4., ••^ I�. -.. _. ray .•�e� rl I � .l 1,_ ? I I li ® 9 ykCyC�' V , ^ -_ -; ►••D b2' 4r II gz n Y Q� w rill yt.1T .. C a�" a 11,4 � S� 'W I6 • ` j! ® N N r -'•r N �4 `Iw Q" Q 6 NEW 17 SITE Goo ono ooa 1(Tj 7 4v OV �N j jVN W MAR -20 -2002 'WED 10;38 AM KATINA 00000000000 P. 10 .B -.c .�•.II -�.� '—' .9-.1 °71h� N n N � •�,�• 9 1 1- / 0 ' � .@ /t 0!•.5a l l -- -- �� r.� ---- C3 12 �e •t � �lith .� �� Fes• I 1 @� V � . all, � IiHai nit pn �' iO iiQ �z1 I 1 H• X Cpd�H -4 W `- IS I Ip Ell i a Aq Ru Apt I- J-,vL, 9 1,81. Irt � t� 4i x .� . rl. ...a.�a.r ...ay. :,�. _ ° __1 era•. � .. .. .0 I ..... .. __ °_-._ ssl. _. �.e.. _p..� q f'R .. ... __- .... 4— - pN1 1 h � P 99 �6I I •YY p3i b � 1 •° � t r • !, y ti � I R r �tl e �L i 7e��h\�`i r�\ o • SIRS % .211 9 -.!9 kj1\1 d 9 1 �F 11 IG1,u �T p �v N Q b n %. q ti-I q{i ptpl >ppl A T vv'a Aa�ig 0 ma �ua1 I t x�• p IJ n'• aka �'a g mi ; laic all :ti ,w &-s o lfih --, ON.. - �F?.2 ga�,,"4;8 R al Ow t�! p III•' ° a.E �� il•h�g ^; ����g >: wr 5pC ��y 111 CIE C y upTNas�i= d �a`��IfS JJ�ttll 1 n6J � QNY� r � ♦d � `~ ��N�t���.1.0� N�� ^�' �y �'• & �YI� • � b111 °'o ll� ��� � tll� R h .0 D6 pMMNd W17RtlNd' � ��,� I11 4 � �9�� i •i � Y 8 ���ael�g�b� "Q' �p 166 dg =4� . C3 U Ilin fi -FI . 1 rV. 1 N (-- �•MI y SAC Ln �� ' .9•.IC xo x�d _a l�► M{i�M B•- Nn:rle .: m a..� 9Gt �!1N�1 i'n"i 'IT I- 4 -1NIt; >,=1TiJ -ZA,4 4GTiPfi/nTC. gP:bT 7au! /77/PP PUMP DA TA •1250 GAL PUMP CHAMBER INSIDE DIMENSION: 4' -6" x 9' -6" PUMP ON: 60' PUMP OFF, .52* DRAW . 8" DOSE- 213 GALLONS.. PUMP: GOULDS PUMPS WE1012H 61 00RNC DRANS AND 20 6b ROOF' LEADERS (,-P) a k LVVING C-WLLED W.4,-R ItCl t - (A 5 1 OCA ED 8 Y Rq? vf ?W) HELL L OCA nON -'t SUBSURFACE- SEWAGE TREA 7MEN r SYSTEM (S5 rS) IS DESIGNED SrP7 7C TANK ON A't A'- SOIL PER COLA flON RATE OF I A9 7 YINU 7FS PER 1 INCH DROP. (SEE SOIL: ,DA TA SHEET). 2.' ENGINEER WAS'NORRED PRIOR '7`0 STAR77NG WORK AND START OF jtw. TRENCH R PRIOR .710 BACKkLING 7RENCHES 64' UNAUTHORIZED At-TERAPONS-OR-AD0177ONS TO-IRIS LM-AWrAM-Y5'­� - 78' A KOLA 770,V OF SEC770N 7209 (2) OF THE NEW YORK STATE START OF 5TH TRENCH EDUCA 77ON LAW A HOUSE AND WELL LOCA 77O1V'9f7-H.,qE_WECT 7-0 PROPERTY LINES WAS SURVEYED AND PREPARED BY DONIVELLY LAND SIJRWKNG P.C. 5 PROPERTY HEREON IS LOT I L OCA TED IN "S IRA AFERR Y KNOLL" AS SHOIW ON A MAP f7L0 /At 7HE PU77VAY COUNTY CLERKS OFFICE ON MAY 15 2002 AS MAP No. 2900, PUMP DA TA •1250 GAL PUMP CHAMBER INSIDE DIMENSION: 4' -6" x 9' -6" PUMP ON: 60' PUMP OFF, .52* DRAW . 8" DOSE- 213 GALLONS.. PUMP: GOULDS PUMPS WE1012H 61 00RNC DRANS AND 20 6b ROOF' LEADERS (,-P) a k LVVING C-WLLED W.4,-R ItCl t - (A 5 1 OCA ED 8 Y Rq? vf ?W) HELL L OCA nON c SrP7 7C TANK 61' 88' X TANK DISrANCES c SrP7 7C TANK 15.5'. 5.9'. PUMP CHAMBER 22' 75.5' DISTANCES TO START OF ssrs c -..START..Of- 1ST. TRENCH _96! .7J. 5' START OF oNv- I;R&c.4 90' '69' START OF jtw. TRENCH R 84' 64' S7ART OF 4TH. TRENCH 78' 60, START OF 5TH TRENCH 72' 56' ;F8 , r. ram ,00 IF. j 1250 VittW CaVCREE PUMP CHAMP! W71 G04ILDS OE10:2H PUMP �—;260 I;AUa%( CONCA£T SEPTIC TANK WRJ5 PIPE CAS I AN PlPi' Z AUDIO AND WSLfAk ALARM (LOCATION IN SASEWNt) Q. A 61 - fXS rN.- WA MR 4wY (A,CP.'?0/j4f0.W 40CA 17M) THI,' Cot WA,, WA,, AM AM Rill CON! Pum/ PVC SEPA 37 C 37 C OSS/A D Si9'26' D(SM18MCIN BOX IN TN BAFILE swD '9RJ8 'x rpav DiST. 80* m FfPr. TRENCH PIPE o' 40;0'1;!:-4'0 PER, pec IN MEVCF� ENO Ix hee NN 1002 4F'YJDAN_9CW AREA ±J.&.r­; lli -r P0.1 >rrHvIENE rLW-.r ONE i .0 ;�L DISTANCES TO ENDS OF SSrS END OF 1ST, 7RENCH 118' 71' END OF 2ND. 7RENCH I'li, 66' END OF 3RD. .TRENCH 108.5 61, END OF 4TH. TRENCH 104' 57' rENO .OF , 57,1I_.WNCH 100' 52' j S TRA WBERR Y KNOLL — L OT #1 AS—BUILT SEWAGE TREATMENT -SYSTEM SCALE. I " = 30 FT W��Waff IA T THE SEWAGE DISPOSAL SYSTEM WA S CA TEO ON THIS PLAN AND THAT THE SYSTEM 7 8EFORE IT WAS COVERED OVER. THE SYSTEM ACCORDANCE WTV ALL STANDARD RULES THE PURVAIV COUNTY DEPARTMENT OF HEAL TH I TA 7E DEPAR TMEN 7' OF HEALTH. SEWAGE TREA 7MEN T S YS TEA4 4LLON CONCRETE SEP77C TANK, 1250 GALLON CONCRETE OULDS WE1012H PUMP AND 400L.F- 4"0 PERFORATED OEM & Wwm CORP. 37 CROTON -DAM ROAD CORP. 37 CROA)N DAY ROAD OSSINING, iV. Y 10562 WA Im shm. PEEKSKILL HOLLOW BROOK (CITY OF PEEKSKILL WA TSRSHEV) • Z.V) ':0, r� z 0�4 Z 0, Z z >0(o W. Z E z Z 'La -J z z LAJ V) w Z0 0: 0- Z � J. — '----17 MY MAP t sLrcncw.• 84 BLOC 10r.- 57 SU&C DRA K 09-8--2003 GWG PL,': 5/AS-5Z/.l T1 Z 0 o.. 62990 _j z - u 'ItOFESSN • Z.V) ':0, r� z 0�4 Z 0, Z z >0(o W. Z E z Z 'La -J z z LAJ V) w Z0 0: 0- Z � J. — '----17 MY MAP t sLrcncw.• 84 BLOC 10r.- 57 SU&C DRA K 09-8--2003 GWG PL,': 5/AS-5Z/.l T1 NEW yb Ci{0ry 0: o.. 62990 _j z - 'ItOFESSN 0 NEW yb Ci{0ry 0: 62990 _j z - 'ItOFESSN 0 LL PU 77VA CO. DEPT OF HEAL TN fy PUTNAM COUNTY 6EPARTMENT 01"HEALTH DIVISION OF ENRONMMAL HEALTH SERVICES. APPROVENS NOTED FOR CONFORMANCE WITH APPLICABLE RULES AND REGULATIONS OF THE P=00UNTY HEALTH DEPARTMENT. �l I—Ae- �99NATURE & TITLE. - UAit