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Home My WebLink About4395DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84. -2 -63 BOX 33 104 11 PIT I I IL I j I L 9 111 'I 4rj t 04395 / J'I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # FU- S- o .9 Located at 29 t?H6r4 -1'4 /J - RJ J '1?0AJQ Town or Village 'FU' TtJ A A vlqu-ey Owner /Applicant Name 39 ctlopotJ OArh Ra" Caft'PTax Map 84 . Block 2 Lot 6 3 Formerly Subdivision Name S -rR A P17C2 Rl/ WJ 6 L L Mailing Address 3 Subd. Lot # r7 10,J 014M (2,3 An ocSfo'DaNG! NLw YdfZK Zip 16s62 Date Construction Permit Issued by PCHD q I y I? vo 3. 39 CRafohlOAM IRGAP Separate Sewerage System built by 3'2 cRo <3J C 91-J RaA0 cc �z? Address o ssu mj G , NY l d c-c-L Consisting of 0-50 Gallon Septic Tank and $9 is-o y L , F - 4 `� %Fr r1 Fa aATer-o Pu c. f', p� 10 94" 6721 1VeL T12C-N C-11 IN 2IF `Mis or SANK tzQA Other Requirements: ice" Q M 12 ro rL Qr'PA N, 0 o'-► A R u A (-C&-&r p c la N) Water Supply: Public Supply From Address y Pu v',.I/arh t#LAU 19 Vim. or:_ Private Supply Drilled by ��. Mr4 L I SotJ..r iNc . Address 072E -N1TC R, 7Y I o sot Building Type S I r► 64cl FA- m c v 12L,-.( Has erosion control been completed? 4 -Lf f Num�er of Bedrooms sous rL Has garbage grinder:tl�i .0� N EW Y( I certify that the system(s),-as listed, serving the above re s wer co. built plans (copies of which are attached), in accordan e tii the% ss plans and the standards ulatio rules and re i%� g s� the P Date: ?- — -c:)) Certified by c:r Pro' "'0 (Design ..._. _-.-- Address 2 'sat91l hIAL.rN N% U� Pe K,IK�� L . 70yo- 01 essentially as shown on the as- istruction Permit and approved )f Health. " 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 revocatjgn, modification or change is necessary. I4 azzi _ Title: Date: de copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 09/10/2003 11:23 9147363693 CRONIN ENGINEERING 1 PAGE 04 TO: FROM nemaNemeth KenMuqhy CQMPANY; DATE: PL.H3). AUGUS Z7,2003 FAX NVbMEM TOYAL NO. OF PA BS INCLUDING COVER: PHONE NUMIWPRs SP.NAER15 Rnk - CE NUNME& FheasA�ti Road RE YOUR REFERENC NUMBER: 37 Croton Dam Road Cov. P.C.M. 'e #P1 -5-03 ® URGENT 13 FOR REVIEW ® PLEASE GUMmT.,NT ® PLE SL REPLY 13 PLEASE RECXCL.R TEL. (914)936 -3664 JE FAX (904)936 -3693 f -- - - - -- -- ��-++ F.IOMc -DI IT mom rn iNTV nFPARTMENT OF P. 4 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: Town/Village: Tax Grid # Map 84 Block 2 Lots) 63 Well Owner: Name: Address: VS Construction, 37 Cr ininer. MY 1 MR? Use of Well: 1- primary 2- secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment X Rotary Cable percussion __X_ Compressed air percussion Other (specify) Well Type Screened Open end casing _x Open hole in bedrock Other Casing Details Total length 32 ft. Length below grade 31 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials: X Steel Plastic Other Joints: Welded X Threaded Other Seal: X Cement grout _ Bentonite Other Drive shoe: X Yes _ No Liner: Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes—No Hours Second Well Yield Test _ Bailed X Pumped X Compressed Air Hours 6 Yield 5 gpm Depth Data Measure from land surface- static (specify ft) 30' During yield test(ft) 540' Depth of completed well in feet 605' Well Log If more detailed information descriptions or sieve analyses are available, please attach. Depth From Surface ater aring Well Diameter(in) Formation Description ft. ft. Land Surface 0 ' n FD e rock at 10' 32 605 illina in. rock- cfranite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type 'sub Capacity 5 gpm Depth 560' Model 5GS10412 Voltage 230 HP 1 Tank Type WX302 Volume 86 gall s Date Well Completed 5/20/03 Putnam County Certification No. 001 Date of Report 8/18/03 Well Drille s' Pe NOTE: Exact location of well wi ista ce oat t two permanent landmarks to be provided O a separate sheeVplAn. Well Drillees Name P. Inc. Address: 4 Putman kjam, Brewster, NY 10509 Signature: Date: 8/18/03 Perry Beal White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHDD CONSTRUCTION PERMIT # P1V -,- 0 3 Located at 29 ` 1460- XAtJT- Pu✓J ` OA-0 Town or Village V61, 1/ Owner /Applicant Name 29 cReYT--otJ oArh QbAb .Coyt'i. Tax Map �— Block 2 Lot � 3 Formerly Mailing Address 39 CRoTo u Subdivision Name S'rR ra 6J1Te2 Rl/ W,064LL Subd. Lot # r7 20JID 0SS1/.314G NEW Date Construction Permit Issued by PCHD q q Zoo 3 afZ K Zip 16$62 37 cf?a Tor.D DAIS R oAP Sepairate Sewerage System built by 39 Cr?o r - -.c)J DAf%r tzaAa coy? Address 0ss-J1J i"J G, NV i dg-cl- Consisting of 12-50 Gallon Septic Tank and a �;70 d t , F pu c- f f! (N 24" 6RAtleL T'R(�-N c-H I/�j 24 `mice or zv� Other Requirements: F v M Q SS/s -rte r, F-0 rz E X'PAN ,Ci o N '} R(5 A (f 6-61 P C A N Water Suwfly: Public Supply From Address 4 'Pu �LIA Y►t L 14 UC our: Y Private Supply Drilled by 1:7F MrA L I Sor►1' i N c . Address 912 0NLf-Fi R, N y I o So q Building Type S It-1 GtLf j=/ m IL V P-L,, Has erosion control been completed? �' f Number of Bedrooms rou iL Has garbage I certify that the system(s), as listed, serving the above built plans (copies of which are attached), m acc dan plans and the standards, rules and regulatiop< he PI Date: C-- Z 1`00 Certified by (Design Address 2 SdNhI VJAL Xkf 9% A pF ,NEW N essentially as shown on the as- istruction Permit and approved )f Health. P.E. K Eg*. # 0,6/ Z'I ko 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 revocat' n, modification or change is necessary. By: Title: Date: l ° l 3 e 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 CONSTRUCTION PERMIT► GE TREATMENT SYSTEM PERMIT # ,� y- 5" y Located at PoeA_ ANT P410 )- oA' Townes ?WWAq 1/44tCy Subdivision name _1,rv_awaF_gU d Ai& _ Subd. Lot # _1 Tax Map b'Block .2 Lot 6' 3. Date Subdivision Approved eALA y 15, ?M02 Renewal Revision Owner /Applicant Name 37 Ctojoa P7AM tZoa> &,>. Date of Previous Approval Mailing Address 31 ( maco,o �)Am (�bAj j 0S5.w."VC, Al. Y Zip 10562 Amount of Fee Enclosed Building Type Lot Area 4.58 No. of Bedrooms �_ Design Flow GPD 800 Ace-es - Fill Section Only -0'*" Depth . Volume Separate Sewerage System to consist of /.z 5D gallon septic tank and 50D L. F, of q " ( pcy pf" ?\ /C ?E2 F Pi PF_ !N 2q G;Pa VEz. M gin! A.o 8 �zL�_ . s +�� Other Requirements: 125D GA LL PyA/ P C R AM BEre— w/ 14 Y.PaaMATI C :54 E E M PlA t- i" QV- - f&0,Q- To be constructed by i Cwrono /Am R A11P. Address 3y Ce�rn,,) ANN 21 0AI) 01100 IS N Y lD56z Water Supply: Public Supply From : = z _ Address or: f Private Supply Drilled by % r aexl r 5nw _z�G = Address -V /�iyT*41-+ 'Ave-, . t3 wsre�e, At Y. l05d9. 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 "V %ccordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion ;hereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the department, and a written guarantee will be furnished n,�is successors, heirs or assigns by the builder, that said §tS builder will place in good operating condition any ,p eatment system during the period of two (2) years immediately folplwqig the date of the issuance o erti cate of Construction Compliance of the original j ✓ fit system or repai s thereto -an Signed: ✓C--" '. Address 2 �oL Wo"I5 APPROVED FOR CONSTRUCTION: This Date License # ® fc, Z 0) �O 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 for discharge of domestic sanitary sewage only. � � l'I�YJ�rc• By: Title: Ke, 1`,L&,,< Date: 4(/1q/,22 W#Ir copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Pro essional Form CP -97 08/18/2003 09:57 9147363693 J V o� / e 7 I �lllllllll Tyr . QacZ- ?7A -7q ?1 CRONIN ENGINEERING 1 � t PAGE 01 ' rt fl t f l f 'j ji fi f ff ft 4! ii 11 tf { r fi }f f If ft f ;tyi' 11tf it fl tf !I ,i fi ft f ff f� 11 t' t ;i ii fl ff f4 t' i� NAME:PUTNAM COUNTY DEPARTMENT OF P. 1 Ld tL 6q F cl. ul Gourf"t Kftcimv < ateakftst Jr CL Dining R 194"x 15 am pmby rr Canswvatowy _j 2WV x ISW Gxtb"nd Celabbso up TWO Story Fam Uving Rm IN 16'x IW70 lu� *31fiff x 1240 r1i I L. I —A 0'. 1 <SL- L k)n Tda story FWvdyVbw 20V x 203" .1v L A4 TPP3 T I ITP T EP '14 j0F HEAI-.,Tll E PLANS 4APPR�JEDF, OIC BED O'C M COUNT PNLY, PE DROOMS fftsEQUEf-,TT RE, VISIONIALTERATTONS TO THESE HOUSE MUST BE SUDP.,lA"r;'.Ll'ED '10 -THIE' PCDOH FOR APPROVAl, VTU E& TITLE DA. Tlw"cwamge !ap lL LL F— F- 771 r LLJ X ., Xj(t v -4 e Muster Bed; I I 61 .14' � x141 pe A" J-5 P 16 10120 A Open t® Foyer Princess Suite 1 141411 x 121 *4 Sedrm#3 Iff, D I do x 131611 .......... Open t® Below Bedvm#4 14.d5m 9 1215" E—� eltUn'tot Ou*let< The actual appearance of these options in a Particular home design may vary from the images shwOn OR MI is page. PleisooqNsult,the saks rraar+a tten details describing these options for exact specifications. L11 .I I �T _ �. �..._r . ;.. " .. -Y � - � t' _ .rte �- � ` ,. .. .. _. .. r d �: 1 1 ' . � � _ .. ' �� ... � •1� �1 k i 7¢�� .'.. � � � r° �- - ��: � - :.. �� '�� .� R ' � f E � - � _ } � A { � R w�►+e -t •�.t � 7 . o � � � - . CONSTRUCTION PERMIT FOR SEWAGE IfBIEATMENIT SYSTEM a PERMffT# ?V - -5 - 0 S n 3 03 ,/ Located at 2°1 1 NE/i Sd�NT Q�� RoA p Town or Village iPu i tiAM VAL Lk')/ Subdivision name S T RA IVV W RR / Subd. Lot # r] Tax Map 9'4 Block 2 Lot 6.3 N0L.- Date Subdivision Approved M(1 y 1 �, :ZOO Renewal Revision Owner /Applicant Name 39 COo`('dN DtIM JRn6D CoRf Date of Previous Approval � 2 0a3 Mailing Address :99 CR o-ro t 1 PA m Ro Ao G S S i N j nl 6- i�e w V oi? K Zip 10 9 6 2 Amount of Fee Enclosed l i� O Building Type S.,cLC r mty Lot Area q, S 8 No. of Bedrooms q Design Flow GPD 8613 ]Fill Section Only Depth 2 4 � � Volume ± 11 So cy y-0 PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLEf E D Segnarzte Sewerage System to consist of )25o gallon septic tank and 60 o t_ , F. _ 4 " 0' PPeAr -bQA Tro ?V c Pl?e 11J 24" 02AVE1- Tt2c'NCH Other Requirements: PQ r-s n Sys ,—t 1=o R CkjI 3N S ► oN g12erl (Ste PUIIJ To be constructed by 3'9 ci?oToij near► RoAn caAP. Address S9 C12oTaN DAB" Rn oS.(rN fiJ d' NV —7_ Water Suunlve Public Supply From Address o : _ Private Supply Drilled by F -5eA t- 4 5OfJS I C. Address I FIj TN An 120 �g4FV4 XT- ,e 1'z, �y 16sa01 I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Cori ", , tisfactory to the Public Health Director will be submitted to the Department, and a written guarantee w' "e"u N eYd? wrier, his successors, heirs or assigns by the builder, that said builder will place in good operating i 't a%y `p sai sewage treatment system during the period of two (2) years immediately following e of is ce o£tbeTappfo, ado the Certificate of Construction Compliance of the original system or any repai err o. Signed: `'� Address 'SoNN KJAL St4 L r :u 'u D -%A. Date` t-AV IOS(G License # d 6 Z 9 S-o 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 P Title: rmit. Approved for discharge of domestic sanitary sewage only. By: t ✓ Date: 11 0 3 Wh copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH , DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: Town/Village: Tax Grid # Map 84 Block 2 Lot(s) 63 Well Owner: Name: Address: VS Construction, 7 Croton Dam Road . OgRinina. NY W562 Use of 'Well: 1- primary 2- secondary �_ Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment X Rotary Cable percussion _X_ Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock _ Other Casing Details Total length 32 ft. Length below grade 31 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials: X Steel Plastic Other Joints: _ Welded X Threaded _ Other Seal: X Cement grout _ Bentonite Other Drive shoe: X Yes _ No Liner: Yes X No Screen Details Diameter (in) Slot Size Lenkth(ft) Depth to Screen (ft) Developed? First _ Yes No Hours Second Well Yield Test _ Bailed X Pumped X Compressed Air Hours 6 Yield 5 gpm Depth Data Measure from land surface- static (specify ft) 30' During yield test(ft) 540' Depth of completed well in feet 605' Well Log If more detailed information descriptions or sieve analyses are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface 10 in o clay and boulders Hit rock at 10' in 39, cjrni*Prj 32 60 D ' aranite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity 5 qpm Depth 560' Model 5GS10412 Voltage 230 HP 1 Tank Type WX302 Volume 86 call Dae Well Completed 5/20/03 Putnam County Certification No. 001 Date of Report 8/18/03 Well Drille s' Pe NOTE: Exact location of well wi is ce oat t two permanent landmarks to be provtded,0 a separate sneetipian. Well Driller's Name P. Inc. Address: 4 Putzm Ave=r Brewster, IVY 10509 S imature: Date: 8/18/03 Perry Beal Rhite copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 JMS ENVIRONMENTAL SERVICES, INC. 1500 SUMMER STREET STAMFORD, CONNECTICUT o6905 Mailing Information: Name: PF Beal & Sons Client: VS Construction Address: 4 Putnam Ave .City: Brewster State: NY Zip: 10509 Telephone: 845-279-2460 Fax: 845 -279 -6613 Sample's Information: Site: Preservative: HNO3 Temperature: <4C NELAC, CT and NY State Certified Environmental Laboratory Collector's Information: Name: C Beal Address of site: Lot 7 Strawberry Knolls City: Putnam Valley State: NY Zip: Telephone: Date Collected: 8/20/03 Date Received: 8/21/03 Time Collected: 14:20 Time Received: 13:20 Lab No.: J036088 Date Analyzed Test Name Result II>IiCL Method 8/21/03 15:00 Total Coliform Absent Absent SMWW 9222B 8/21/03 Chlorine Free Residual <0.1 mg /L N/A SMWW 4500CIG 8/21/03 Color ND 15 Units SMWW 2120 B 8/21/03 Odor ND 3 TONs SMWW 2150 B 8/22/03 Iron <0.03 mg /L 0.3 mg /L SMWW 31118 8/22/03 Manganese 0.011 mg /L 0.3 mg /L SMWW 3111 B 8/22/03 Sodium 12.1 mg /L N/A SMWW 3111B 8/22/03 Chloride 26 mg /L 250 mg /L SMWW 4500 Cl C 8/22/03 Hardness 78 mg /L N/A SMWW 2340 C 8/22/03 Nitrate 1.65 mg /L 10 mg /L SMWW 4500 NO3E 8/22/03 10:00 Nitrite <0.1 mg /L 1.0 mg /L SMWW 4500 NO3E 8/21/03 pH 7.74 S. U. 6.5 -8.5 S.U. SMWW 4500 H B 8/22/03 Sulfate 23.3 mg /L 250 mg /L SMWW 4500 SO4F 8/21/03 Turbidity 0.72 NTU 5 NTUs SMWW 2130 B 8/22/03 Alkalinity 46 mg /L N/A SMWW 2320 B 8/22/03 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 6 Signature: State##: PH -0218 Michael Lapman FLAP M 11715 President Tel 203 961 9911 Toll Free 1 866 567 5097 Fax 203 961 9919 imsenvironmentat.com Aug 20 03 11:5.1a Donnelly Land Surveying I i 9149622209 p.5 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 (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 E911 ADDRESS VERIFICATION FORM O` ARS NAME: TAX MAP NUMBER: E911 ADDRESS: TOWN: AUTHORIZED TOWN OF (Signature) DATE: S9 U o! ol-1 C>Ar"v\ fz o'�A n c e 'Z P Sec-. Q14 -0i_K 2 Lo T = 63 SuCLo -r x? A9 THCO stq,j-r ROB Rot-1 D . The Putnam County Department of Health will not issue a Certificate of Construction Compliance unless the above form is completed, i.e., a legal E911 address is assigned by an authorized town official. This form is to be submitted with the application for a Certificate of Construction Compliance. (E911 VERFKM} PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM 31 CRO -TON QA01 120AD C-012-P. (o3 Owner or Purchaser of Buildina Tax Map Block Lot 39 CRo-ro/d DAri I�OA.Q CORE iPu -rQA '-t Vt� Lc Building Constructed by TownNillage PHCPsQ,,-J-r Ru,J 1?0 (iD s —, Rr-1 Wrr6 fZ2y KNOLL Location - Street Subdivision Name - SIi�:Cc.� �i�rhiz�/ I�t.S'1n�fJcE Building Type Subdivision Lot n 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 Rood 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. The undersigned further agrees to accept as conclusive .the determi io t& u lic Health Director oft e P tnam ounty Department of Health as to �yhether oft t e iltir the system to oper to s used t e willful or negligent act of the occupan of ildin� utilizing the system v Dated Mont 8' Day 26 Year Zoo'7 III 1I.. o General jontraktdV(0wnZk - Signature 29 CVa -7-0 20 A D C o t2P Corporation Name (if corporation) Address: 37 (fpo- o"j DAM won D State 0 SS itJ //,3 6- Y,1 Y, Zip 10 S6 Z Signature: Title: 'r -Q4�' i o 3 �) C-20 76,0 DAB 126A 0 COP? Corporation Name (if corporation)- Address: -q2 C'126TaN DiP/"I 2ID. State 0 S.S y01/-3 C, ip 10 56 2 Form GS -97 CROM[N ENGINEERING EG P.E., P.C. 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 I Geneva ]road Brewster, N.Y. 10509 RE: 37 CROTON DAM ROAD CORP. PC DH PERM #PV -5-03 29 PHEASANT RUN ROAD -- TOWN OF PUTNAM VALLEY I ETTORTM F T RANSMITTAL THESE ARE TRANSMITTED as checked below: August 25, 2003 ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY WE ARE SEN DE14G YOU adtmched 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.) Updated well completion report 6.) E911 address verification form 7.) $200 certified check for application fee.. The information enclosed is submitted for review only the water analysis will be submitted when it is obtained. 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 matte. ]respectfully submitted, AK neth M. Murphy Design Engineer RONIN ENGINEERING P.E. P.C. The Lindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 10566 Tel. (9 14) 736 -3664 • Fax. (914) 736 -3693 August 25, 2003. Joseph S. Paravati, Jr. Assistant Public Health Engineer Putnam County Dept. of Health 1 Geneva Road Brewster NY 10509 Re: 37 Croton Dam Road Corp PCDH Permit #PV -5-03 OStrawbeny Knoll Subdivision" lot # 7 29 Pheasant Run Road Town of Putnam Valley Dear Mr. Paravati: Please find enclosed the necessary information for the above referenced lot. The SSTS plan has been changed to show the grading and elevations of the house to allow the permit to be revised for a gravity feed system. Please review the project at your earliest convenience and if there are any questions do not hesitate contacting me at the above number. Respectfully submitted, Kenneth M. Murphy Design Engineer 08/15/2003 08:38 W i K cap 9147363693 CRONIN ENGINEERING 1 IPUTNAM COUNTY DEPAR8TU(MT OF MMUCES ALTH DIJON OF EN ONDIE TA, SIG e g 13 GENz For: All information must be fully completed prior to any inspections being made. PCHD Construction Permit # , ?V °i° o' Located: f 9iQMA)' lzuO 12o -- (T'; Owner /A.pplicantName: T;� CtOnA1 VA Q® TIM Formerly: Subdivision Name: Subdivision Lot 4 ` Is system fill completed? VLr 8 Date: Is system complete? * Date: Is system constructed as per plans? Ali 0 Is well drilled? VCs Date; P Is well located as per plans? Are erosion control measures in place? Fill Trenches F�- g�arAn� VALL9V _ Bloch 'Z Lot PAGE 01 I certify that the system(s), as listed, at the above premises has been onstructed and I have inspected and verified their completion in accordance with the issued I CHD Construction Permit and approved plans and the Standards, Rules and Regulations of the Putnam County Department of Health. Date: 14F 28OJ Certified by: v Address, Comments: Form FIR -99 1- C S.T S 1NL3 KtFA-J MfL C.Rot-llai cidi V Desien Prop sl L ic. f PE -Y*- RA PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # r L- J -D3 Well Location: Street Address: To Putnam Tax Grid # Pheasant Run Road, Sublot# 7 Valley Map 6>,y Block P, Lot(s) 6'3 Well Owner: Name: 37 Croton Dam Address: Road Corp. 37 Croton Dam Road, Ossining, NY 10562 Use of Well: X Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served 4 Est. of Daily Usage 0�5 gal. Reason for — Replace Existing Supply Test/Observation Additional Supply Drilling X New Supply (new dwelling) Deepen Existing Well Detailed Reason Water supply for new residence for Drilling Well Type X Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision? ......:............................... ............................... Yes X No Name of subdivision Strawherry KnnI 1 Lot No. Water Well Contractor: P.F. Beal & Sons, Inc. Address: 4 Putnam Ave., Brewster, NY 10509 Is Public Water Supply available to site? X .................................. .......................:....... Yes No Name of Public Water Supply: N/A Town/Village N/A Distance to property from nearest water main: ± 600' (out of town & county) Proposed well location & sources of contamination t rovided on separate sheet/plan. Date: .Z_3 �� Applicant Signature: PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue C 3 Permit Issuing Official: !� Date of Expiration a Title: 15 lc <t Permit is Non- Transferra White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 RONIN ENGINEERING P.E. P.C. The Lindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 10566 Tel. (914) 736 -3664 o Fax. (914) 736 -3693 April 1, 2003 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— Lot 7, 8, 9, 10, 12 Pheasant Run Road, Town of Putnam Valley Dear Mr. Paravati: Find enclosed three sets of copies of the revised SSTS Plan, dated March 27, 2003 for each of the above referenced lots. The plans have been revised in accordance with our previous phone conversation and the letters received from your office dated February 27, March 7, and March 17, 2003. The SSTS plan and profile for lot #12 has been modified to provide a 1.5% slope instead the previously .proposed 1.0% slope from the septic tank to the first junction box. Additional information for lot #7 and lot #9 is enclosed as follows: Lot #7: 1. Copy of the design data sheet for the deep hole #14a submitted during the Subdivision approval.. The rock depth is 5' or 60" as shown on the SSTS plan. The total depth is 5'- 4" instead 54" which is a typo on the Subdivision Plan. 2. Copy of the percolation test #14b is enclosed and incorporated on the SSTS plan. 3. Two copies of the proposed residence plan are enclosed showing no doors and 6' ft. opening at the conservatory and study room. 4L . b- Lot #9: Copy of the design data sheet for the deep hole #18b submitted during the Subdivision approval. The rock and total depth is 5.5' or 66" as shown on the SSTS plan. Kindly review at.your earliest convenience. 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. Strawberry Knoll - lot 7,8,9,10,12R1,PCDH,03- 31- 03.doe Respectfully submitted, Luis Hernandez Project Engineer LORETTA MOLINARI R.N., M.S.N. Acting Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax(845)278-6085 March 17, 2003 Early Intervention/Preschool (845) 278 -6014 Fax(845)278-6648 Luis Hernandez Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, New York 10566 Re: Dear Mr. Hernandez: Proposed SSTS - 37 Croton Dam Rd. Corp. Pheasant Run Road, (T) Putnam Valley TM# 84 -2 763, R.S. Lot # 7 This office has received and reviewed the most recent set of plans for the above mentioned project. We would like to offer the following comments for your review and consideration. 1. The depth of deep hole # 14a is 60 inches on the plan and design data sheet, but is 54 inches on the approved subdivision plat. Please clarify. 2. Percolation results for hole # 14b are not shown on the plan or design data sheet. 3. Fill dimensions need to be provided for both the primary and the expansion area (i.e. length and width). 4. The profile states a 1 1/4" bleeder hole, instead of 1/4 ". 5. The conservatory and study need to have 6' wide openings and no doors. This office will continue its review upon consideration ofthe above mentioned comments. Please feel free to contact me at ext. 2157 if any questions arise. Very truly yours, Joseph S. Paravati, Jr. Assistant Public Health Engineer JSP:cj formletter PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIV[DUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS REVIEW SHEET FOR CONSTRUCTION PERMM NAME OF OWNER: 3 7 (ro4,, Ae �w, C�►'P STREET LOCATION: / rllc.44i''f �n & - -' �sP 3 /y L) 3 REVIEWED.BY: RM, GR, a, SRDATE: � / TAX MAP#: (CONFIRMED) 3 Y N DOCUMENTS Y N (REQUIRED DETAILS ON PLANS CONT'D� PERNIIT APPLICATION (L-)HOUSE SEWER - vv, FT. 4 "0'; TYPE PIPE.CAST IRON •(Z)(_JWELL PERMIT OR PWS LETTER (-( :/ NO BENDS; MAX BENDS 45' W /CLEANOUT CI L_)PC =97 DWI— A'/ Cl//• (Y•LETTER OF AUTHORIZATION (�(�S GE) /v /� (z/)UDESIGN DATA SHEET (DDS) FILL SYSTEMS ( )L_)CORPORATE RESOLUTION 10' HORIZONTAL; PAST TRENCH SLOPES 3:1 TO GRADE „SHORT EAF (` QJFILL SPECS / FILL NOTES 1 -5 bl/�L_)f(OUSE UPLANS -THREE SETS ;R_ &.DIIVIEI!ISiEONS` PLANS - TWO SETS (J•FILL IN EXPANSION AREA (�(ARIANCE REQUEST FILL GREATER 2 FEET SUBDIVISION UU CLAY BARRIER %v LEGAL SUBDIVISION (__ C-JFILL�CERTIFIC NOTE SUBDIVISION APPROVAL CHECKED (JUDEPTH G (�UPERC RATE /! S ""' ��' "��` (JUVO PLAN FOR RO.B. UNCLASSIFIED & EMPERVIOUS ��REQUIRED w?...c DE thz�u SJb ;r ' U(�CURTAIN DRAIN REQUIRED t yk�' EPARATION DISTANCE FROM•TOE OF SLOPE GENERAL a ti ° �; D tf H . Si Z�) LF TRENCH PROVIDED 5 60FT MAX. bbo i Q_¢ � e (-=OCATEDIN NYC WATERSHED CjUPLANS SUBMITTED TO DEP L- C_JPARAI:LEL TO CONTOURS �} ELEGATED TO PCHD 0100 /° EXPANSION PROVIDED C��A DETA&MUST FREE CRUSHED'STONE OR WASHED GRAVEL (,)�DEP APPROVAL, IF REQ'D U(,�GEOTEXTILE COVER (_JUDEEP TEST HOLES OBSERVED / SEPARATION DISTANCES ON PLAN FROM'SSTS C__.) r_/,)PERCS TO BE WITNESSED ti�,H 10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL (�(!_) - APPROVAL SSDS ADJ, LOTS 20' TO FOUNDATION WALLS (�(� TLANDS (TOWN/DEC PERMIT REQ'D ?) 100'TO WELL, 200' IN DLOD,150' TQ PiTS ATA,ON.DDSPI�ANS- &�P.ERMIT SAII��Q ys'" � X100' TO STREAM, WATERCOURSE, LAKE-(inc, ezpan). PRE 1969 NEIGHBOR NOTIFICATION �7 "- ei (__)50 TO CATCH BASIN, 35 1 STORMDRAIN, PIPED WATER UU ETTER BUZBA s 9" 10' TO WATER LINE (pits -20') (�(,� 0 YR. FLOOD ELEVATION W1I 200' � 'lh s 50' INTERMITTENT DRAINAGE COURSE (�( - SOIL TESTING LOTS>10 YEARS OLD °��, 200'/ REOUIRED •DETAILS ON PLANS 5 " : �C 500 RESERV04k, ETC. 150 GALLEY SYSTEMS (�USEWAGE SYSTEM PLAN - (NORTH ARROW) �- -�( --)10 M3N TO LEDGE SEPTIC TANK ' (�USSDS HYDRAULIC PROFILE �✓(___)10' FROM FOUNDATION; 50' TO WELL � WELL 1CONSTRUCTION NOTES 1 -15 (✓)DIMENSIONS TO PROPERTY LINES ODESIGN DATA: PERC &DEEP RESULTS L� LOCATION OF SERVICE CONNECTION ✓ ✓�2' CONTOURS EXISTING & PROPOSED 15' TO PROPERTY LINE (� ` DRIVEWAY & SLOPES, CUT SLOPE �FOOTING/GUTTER/CURTAIN DRAINS USDA SOIL TYPE BOUNDARIES IN SSTS AREA (S20 %) Pr!`i»i✓c� TITLE BLOCK; OWNERS NAME ADDRESS U(-- -) G � TO 15 %, Iii' REQUIRED / TM #, PE/RA; NAME, ADDRESS, PHONE# ✓ DOSE/YUMP SYSTEMS DATE OF DRAWING/REVISION PUMP NOTES . i. DATUM REFERENCE . U DOSE' 75% OF PIPE VOLUME/DOSE VOLUME NOTED (�(�LOCATION OF WATERCOURSES, PONDS DETAIL FOR FORCE MAIN, (PIPE TYPE, ETC.) LAKES WETLANDS WITHIN 200' OF P.L. PTT AND D BOX SHOWN &DETAILED (� ✓UPROPOSED FINISH FLOOR AND UI DAY STORAGE ABOVE ALARM ) BASEMENT ELEVATIONS - CURTAIN D �N / A ,/ UUSTANDPIPES, T BOTH ,DETAIL ` WELLS & SSDS'S WIIN 200' OF SSTS (x(__,)15' MIN to CD ° , 0'-4%,25'-3%,35'-la/-6, 100 % -cl% (-:, PROPERTY METES & BOUNDS .//((,,_„)EROSION CONTROL FOR HOUSE, WELL & (- -)L -)20� MIN ISCHARGE /100' with 182 cons day discharge SSTS, EROSION CONTROL NOTE U to NON - PERFORATED PIPE COMMENTS: :REVSIIEET)09101/00 or '01a'45 -• (017S@tIA: 1-If Allj "PUTNAM COUNTY DEPARTMENT OF HEALTH D SHON OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of 37 Croton Dam Road 'Corporation Located at (Mill Street (CR #23) / Lover's Lane) — 7^/EA,.:�;,4.vT %euN .?0A4� T/' Putnam valley Tax Map # 8�4 Block .S Lot C3 Subdivision of Strawberry Knoll Subdivision Lot # 7 Filed Map # .000A -,iF— Date Filed /Av 1-6 Gentlemen: This letter is to authorize Timothy L. Cronin III a duly licensed Professional Engineer x or 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 TrE y ehalf i connection with this matter and to supervi . ai�un tion of said wastewater e and/ ter supply systems in conformity, wi � s ` 'cle 145 and/or 147 catio , the Public Health Law, and the Pu 'a un- San de. ff nd_ U, Very tr Countersigned: 62gso Signed: P.E., R.A., I# Mailing Address 2 John Walsh Blvd . , #200 Mailing Address: Peekskill N.Y. State Zip Telephone: (914) 736 -3664 10566 State NY Croton Dam '•.. Ossining Zip 10562 Telephone: (914) 739 -7362 1 Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAsIM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for: Construction of SSTS and Water Supply L Val Santucci represent that I am an officer or employee of the corporation and am authorized to act for: Name of Corporation: 37 Croton Dam Road Corp. Having offices at: 37 Croton Dam Road, Ossining, NY 10562 Whose Officers Are: President - Name: Address: Val Santucci (Same as Above) Vice President - Name: Same as President Address: (Same as Above) Secretary -Name: Address: Treasurer - Name: Address: Michelle Santucci (Same as Above) 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 Sio--ned: Title: Sworn to bef re me this /gPfuday of . oath) (wear) Notary Public KELLY M. LENT Notary Public, State of New York Cor orate,Seal No. 01 LE6026834 P Qualified in Westchester Cou2tyF.n Commission Expires June 21, �7 Form CA -97 all alts o3the coNoration with respect 4 t. CRONIN ENGINEERING, P.E., P.C. (994) 736 -3664 Fax (994) 736 -3693 2 CLIENT �J7 y il/cC/ ; e::7- u1=3� Pit �% 1 �r4'DLi DATE 6 iN6PE6�69.8Y ��tiGN�s� L ACV rsFi) Te /// i fi i i 1 ' / d» : ¢o i v t L o IV ; ' ! f i lei _......_....._...._..__... �_..........___a___.._.__..._.. __..._,._..__.. �._•_._ - : /Ir i 1 S i i • i i t _......_....._...._..__... �_..........___a___.._.__..._.. __..._,._..__.. �._•_._ - : /Ir CRONIN ENGINEERING, P.E., P.C. (914),736-3664 Fax(914)736-3693 k a I� L CLIENT DATE INSPECTED BY ? %. ` 10 ....................:...................... _ ..,............. ............... ; i ! i i , A" .. ._. _.. ........... ..... , iI i 1 �, k j 0 ; i ..t... + .T..., _•. , . i „ ,___....._..__;_._,_.,.}_,_ .. ...:..........:.._..._..�,._,._ .: _.__.;_.._. .,., ,,.. .... .... .... ..., i .... ..,. .,.....i. ..., .... ..... _ ...........- ...... ...._� . _ ,w_..,.._� ...._...,._.....:_......� .. ' .. ..... .... _ .... ? .... ................. .. .. i -- }- - - -, -- . .._,,,,_,_ 1.... ._....__,..�...._a.._.__.._..._ 13,. 7....._ ..............._.z!?..._ .... 3. 3..... .... ..... t T _ i. .._ . : ! 2 ........ ci 3'...7... I , _ _ ! _..a__....+ .... _._...:._....__ ........ i E._.... s..._._ .,....._ ....................... _......_:.........,. .......:.,...._....._.._......� _.......:..._...,.7......_. t i , I 1 ..,,.....y....._...f,__.....� i 11 } f i : : 1 t , i f j : t .,.. a.._.......:._ .....__...._..,..� ............. 0 Pump Characteristics Pump /Motor Unit Submersible Manual Models (50) M1 M2 M3 M4 M5 Automatic Models eta i}I � Pump Characteristics Pump /Motor Unit Submersible Manual Models (50) M1 M2 M3 M4 M5 Automatic Models Al A2 Seal Faces: Carbon /Ceramic Seal Body: Brass Spring: Stainless Steel Bellows: Buna -N Impeller Engineered Thermoplastic Horsepower 1/2 Full Load Amps 14.5 17.6/7.113.2/3.11 1.6 1 1.2 Motor Type Capacitor Startl 30 R.P.M. 3450 Phase 10 3 0 Voltage 115 208 -230 208.23o 460 575 Manual Model (100) — M2 M3 M4 M5 Automatic Models 68 A2 55 42 22 Horsepower 1 Full Load Amps la.o /tt.5 6.o /5.a 2.8 1 1.9 Motor Type Capacitor Start 1 30 RPM 3450 Phase 10 1 3 0 Voltage 208.230 208-23DI 460 1 575 Hertz 60 Temperature 140° F Max Fluid Temp. NEMA Design L B Insulation Class B Discharge Size 2" NPT Std. Solids Handling 3/4" Unit Weight 58 lbs. (50) 1 65 lbs. (100) Power Cord I I5V, 14/3, SJTW -A; 230V, 10, 16/3 SJTW -A; 3o, 16/4, STW -A, All cords 20' std. with 30' opt. fi atersWs ®f Construction Handle Stainless Steel Lubricating Oil Dielectric Oil Motor Housing Cast Iron Pump Casing Cast Iron Shaft Stainless Steel Mechanical Shaft Seal Seal Faces: Carbon /Ceramic Seal Body: Brass Spring: Stainless Steel Bellows: Buna -N Impeller Engineered Thermoplastic Upper Bearing Single Row Boll Bearing Lower Bearing Single Row Ball Bearing Bottom Plate Polyester Coated Steel Fasteners Stainless Steel Legs Engineered Thermoplastic Performance Data 72t1MAlly N,. Ty,L 30 90 25 30 70 N 20 k1h Z60 E d 15 m 50 I co _ = ao /2 h 10 30 5 20 - 10 0 0 Capacity, US GPM 0 10 20 30 40 50 60 70 80 90 liters /second 0 1 2 3 4 5 6 cu meters /hr 0 5 10 15 20 Total Head (feet) 13 22 40 50 55 63 1 70 80 90 GPM 1/2 HP 63 57 41 21 13 0 — — — 1 HP — 88 71 68 63 55 42 22 0 58.E P, TD H i, 51. Dimensucna� Data 1. All dimensions in inches. 2. Component dimensions may vary +/- 1/8 inch. 3. Not for construction purposes unless certified. 4. Dimensions and weights are approximate. 5. We reserve the right to make revisions to our products and their specifications without notice. .a 1 /16 ' 7318— 6. Float switch (automatic models only). —6YB ^3 -15fW 7- 1116 �5 -114 — 4.118 "k II ' 3•tl/161 � j 4-9'16 DISCHARGE 2' NPT i 3.11/16 '� DISCHARGE 2- NPT • II II 'r DISCHARGE PIPE NOT INCLUDED t — DISCHARGE PIPE } NOT INCLUDED i 16•S'18 a t2 I k AFLOAT 121 /4 61� SWITCH —FLOAT llllt SWITCH i I I �v 2 SHEF50 SHEF 1100 9 840 Baney Rood, Ashland, Ohio 44805 (41 9)289 -3042 c =vA s J� l70' -Ft hs .n. M c 0 CP 0 0 0 LL Cn W LK C o: E 0 0 5 a a P C, Pump Characteristics Pump /Motor Unit Submersible Manual Models (50) Ml M2 Y, id, '* Automatic Models Al I A2 Seal Faces: Carbon /Ceramic Seal Body: Bross Spring: Stainless Steel Bellows: Buna -N t 1 � Pump Characteristics Pump /Motor Unit Submersible Manual Models (50) Ml M2 M3 M4 M5 Automatic Models Al I A2 Seal Faces: Carbon /Ceramic Seal Body: Bross Spring: Stainless Steel Bellows: Buna -N Impeller Engineered Thermoplastic Horsepower 1/2 Full Load Amps 14.5 17.6/7.113.2/3.11 1.6 1 1.2 Motor Type Capacitor Start 30 R.P.M. 3450 Phase 10 30 Voltage 115 208 -230 208 -23o 460 575 Manual Model (100) M2 M3 M4 M5 Automatic Models A2 - - Horsepower 1 Full Load Amps 13.0 /11.5 6.0/5.8 1 2.8 1 1.9 Motor Type Capacitor Start 30 RPM 3450 Phase 10 30 Voltage 208 -230 1 208-23ol 460 575 Hertz 60 Temperature 140° F Max Fluid Temp. NEMA Design l B 'Insulation Class B Discharge Size 2" NPT Std. Solids Handling 3/4" Unit Weight 58 lbs. (50) 1 65 lbs. (100) Power Cord 115V, 14/3, SJTW -A; 230V, lo, 16/3 SJTW -A; 30, 16/4, STW -A, All cords 20' std. with 30' opt. Materials of Construction Handle Stainless Steel Lubricating Oil Dielectric Oil Motor Housing Cast Iron Pump Casing Cast Iron Shaft Stainless Steel Mechanical Shaft Seal Seal Faces: Carbon /Ceramic Seal Body: Bross Spring: Stainless Steel Bellows: Buna -N Impeller Engineered Thermoplastic Upper Bearing Single Row Ball Bearing Lower Bearing Single Row Ball Bearing Bottom. Plate Polyester Coated Steel Fasteners Stainless Steel Legs Engineered Thermoplastic Performance Data 30 90 25 80 70 1 p N 20 f Q) u 60 ca 15 m 50 ca _ 1/2 hp 40 10 30 20 5 I 10 ' 0 0 Capacity, US GPM 0 10 20 30 40 50 60 70 80 90 liters /second 0 1 2 3 4 5 6 cu meters /hr 0 5 10 15 20 Total Head (feet) 13 22 40 50 55 63 70 80 90 GPM 1/2 HP 63 57 41 27 13 0 — — — 1 HP — 88 77 68 63 55 42 22 1 0 Dimensional Data (/d 1. All dimensions in inches. 2. Component dimensions may vary +/- 1/8 inch. 3. Not for construction purposes unless certified. 4. Dimensions and weights are approximate. 5. We reserve the right to make revisions to our products and their specifications without notice. 6. Float switch (automatic models only). J 116 =6 --I I I , 3.11/16- I _ 4.9.16 - DISCHARGE 2' NPT I i 3-11 I 116 '-DISCHARGE 2'NPT .- DISCHARGE PIPE NOT INCLUDED I DISCHARGE PIPE NOT INCLUDED 16.5'16 -FLOAT 14 14-1/2 r i 12-1/4 f <<" ;'.'• SWITCH II ` FLOAT 1 6 I I 1.9/16 4 I I I I J I 2 ; 2 SHEF50 SHEF100 AURORA/HYDROMA,46C Pumps, Inc. 1840 Baney Road, Ashland, Ohio 44805 (419)289 -3042 :r • :I i rn 0 0 o' LL UJ y C a 'o C 0 `o 5 4 CN P C, Wil- VELOCITY HEAD AND FRICTION LOSS IN FEET PER 100 FEET OF PIPE %a„ IRON / STEEL Schedule 40 PLASTIC Schedule 40 COPPER _ Type M US GPM Vol. Ft./ Sec. Vel. Md. Ft. Head Loss Ft./ INY Val. Ft./ Sec. Vol. Md. Ft. Head Loss Ft./ 10o, Vol. Ft./Md. Sec. Vol. Ft. Head Lois Ft./ 10(Y 10 1.6 - 0.8 1.6 - 0.7 1.8 0.1 1.2 12 1.9 0.1 1.2 1.9 0.1 0.9 2.1 0.1 1.6 14 2.2 0.1 1.5 2.2 0.1 1.3 2.5 0.1 2.2 16 2.5 0.1 2.0 2.5 0.1 1.6 2.8 0.1 2.8 18 2.8 0.1 2.4 2.8 0.1 2.0 3.1 0.2 3.5 20 3.2 0.2 2.9 3.2 0.2 2.4) 3.5 0.2 4.2 22 3.5 0.2 3.5 3.5 0.2 2.8 3.9 0.2 5.0 24 3.8 0.2 4.1 3.8 0.2 3.2 4.2 0.3 5.8 26 4.1 0.3 4.8 4.1 0.3 3.8 4.6 0.3 6.7 28 4.4 0.3 5.5 4.4 0.3 4.5 4.9 0.4 7.8 30 4.7 0.3 6.3 4.7 0.4 5.2 5.3 0.4 8.8 32 5.0 0.4 7.1 5.0 0.4 .8 5.6 0.5 10.0 34 5.4 0.4 7.9 5.4 0.5 6.6 6.0 0.6 11.2 36 5.7 0.5 8.8 5.7 0.5 7.3 6.3 0.6 12.5 38 6.0 0.6 9.8 6.0 0.6 8.1 6.7 0.7 13.7 40 6.3 0.6 10.8 6.3 0.6 8.8; 7.0 0.8 15.0 42 6.6 0.7 11.8 6.6 0.7 9.7 7.4 0.8 16.5 44 6.9 0.7 1.2.9 7.0 0.8 10.6 7.7 0.9 18.0 46 7.3 1 0.8 14.0 7.3 0.8 11.4 _8.1 1.0 19.5 48 7.6 0.9 15.2 7.5 0.9 12. 8.4 1.1 21.1_ 50 7.9 1.0 16.4 7.9 1.0 13.3 _8.8 1.2 22.7 55 8.7 1.2 19.7 8.7 1 1.2 16.0_ 9.6 1.4 27.2 60 9.5 1.4 23.2 9.4 1.4 18.6 10.5 1.7 31.8 _ 65 10.2 1.6 27.1 10.2 1.6 21.6 11.4 2.0 36.8 70 11.0, 1.9 31.3 11.0 1.9 24.9 12.3 2.4 42.4 75 11.8 2.2 35.8 11.8 2.2 28.2 13.1 2.7 48.1 80 12.6 2.5 40.5 12.7 2.5 32.0 14.0 3.0 54.2 85 '13.4 2.8 17.2 13.4 2.8 35.3 14.9 3.5 60.5_ 90 14.2 3.1 _45.6 51.0 14.2 3.1 39.5_ 15.8 3.9 67.3_ 95 15.0 3.5 56.5 15.0 3.5 43.7 16.6 4.3 74.3 100 15.8 3.9 62.2 15.7 3.9 47.9 17.5 4.8 82.0 110 17.3 4.7 74.5 17.3 4.7 57.3 19.3 5.8 97.5_ 120 18.9 9.6 88.3 1 18.9 5.5 67.2 21.0 6.9 115.0 130 20.5 _5.6 6.5 103.0 20.5 6.5 78.0 22.8 8.1 133.0 140 22.1 7.6 119.0_ 22.0 7.5 89.3 320 30.6 14.5 150 23.6 8.7 137.0 340 32.5 16:4 160 25.2 9.9 156.0 360 34.4 _ 170 26.8 11.2 175.0 380 36.3 20.5 180 28.4 12.5 196.0 400 38.2 22.7 190 29.9 13.9 218.0 _ $„ IRON / STEEL. Schedule 40 PLASTIC Schedule 40 COPPER Type M US GPM Val. F./ Sec. Vel. Md. Ft. Head Loss Ft./ I Vol. Ft./ Sec. Vol. Md. Ft. Head Loss Ft./ I Vol. Ft./ Sec. Val. Md. Ft. Head Loss Ft./ INY 20 1.9 0.1 0.9 1.9 0.1 0.9 2.0 0.1 1.1 22 2.1 0.1 1.0 2.1 0.1 1.1 2.2 0.1 1.3 24 2.3 0.1 1.2 2.3 0.1 .1.2 2.4 0.1 1.5 26 2.5 0.1 1.4 2.5 0.1 1.4 2.6 0.1 1.8 28 2.7 0.1 1.6 2.7 0.1 1.6 2.8 0.1 2.0 30 2.9 0.1 1.8 2.9 0.1 1.8 3.0 0.1 2.3 35 3.4 0.2 2.4 3.4 0.2 2.4 3.5 0.2 3.1 40 3.8 0.2 3.1 18 0.2 3.1 4.1 0.3 4.0 45 4.3 0.3 3.9 4.3 0.3 3.9 4.6 0.3 5.0 50 4.8 0.4 4.7 4.8 0.4 4.7 5.1 0.4 6.0 _55 5.3 0.4 5.6 5.3 0.4 5.6 5.6 0.5 7.1 60 5.7 0.5 6.6 5.7 0.5 6.5 6.1 0.6 8.4 65 6.2 0.6 7.7 6.2 0.6 7.6 6.6 0.7 9.7 70 6.7 0.7 8.9 6.7 0.7 8.6 7.1 0.8 11.2 75 7.2 0.8 10.1 7.2 0.8 9.8 7.6 0.9 12.6 80 7.7 0.9 11.4 7.7 0.9 11.1 8.1 1.0 14.3 85 8.1 1.0 12.8 8.1 1.0 12.5 8.6 1.2 16.0 90 8.6 1.2 14.2 8.6 1.2 13.8 9.1 1.3 17.8 95 9.1 1.3 15.8 9.1 1.3 15.3 9.6 1.4 19.6 _ 100 9.6 1.4 17.4 9.6 1.4 16.8 10.1 1.6 21.6 110 10.5 1.7 20.9 10.5 1.7 20.2 11.1 1.9 25.8 120 11.5 2.1 24.7 11.5 2.1 23.5 12.1 30.4 _ 130 12.4 2.4 28.8 12.4_ 2.4 27.3 113.1 _2.3 2.7 35.1 140 13.4 2.8 33.2 13.4 2.8 31.5 14.2 3.2 40.3 150 14.3 3.2 38.0 1_4.3 3.2 35.7 15.2 3.6 45.8 160 15.3 3.6 43.0 15.3_ 16.3 3.6 40.4 16.2 4.1 51.5 170 16.3 4.1 48.4 4.1 45.1 17.2 4.6 57.7 180 17.2 4.6 54.1 17.2 4.6 50.3 18.2 5.1 64.1 190 18.2 5.1 60.1 18.2 5.1 55.5 19.2 5.7 70.7 _200 19.1 5.7 66.3 19.1 5.7 60.6 20.2 6.3 7.7 77.9 93.1 220 21.0 6.9 80.0 21.0 6.9 72.4 22.2 240 22.9 8.2 9_5.0 22.9 8.2 85.5 24.3 110.0_ 260 24.9 111.0 24.9 9.6 99.2 26.3 _9.2 10.7 127.0 280 26.8 _9.6 11.1 128.0 28.3 12.4 145.0 300 28.7 12.8 146.0 30.4 14.4 165.0 320 30.6 14.5 166.0 340 32.5 16:4 187.0 360 34.4 18.4 209.0 380 36.3 20.5 233.0 400 38.2 22.7 258.0 �A EQUIVALENT LENGTH (FEET) OF STRAIGHT PIPE FOR PIPE FITTINGS (BASED ON HYDRAULIC INSTITUTE PIPE FRICTION MANUAL) PIPE DIAMETER PIPE FITTING 3/4 1 11/4 11/2 2 21/2 3 4 5 6 SCREWED RETURN BEND OR [� REGULAR SCREWED ELBOW 4 6 6 7 9 9 11. 14 - - LONG RADIUS SCREWED ELBOW 2 3 3 3 4 4 4 5 - - !� REGULAR SCREWED 45° ELBOW 1 1 2 2 3 3 4 5 - - SCREWED T -LINE FLOW 2 3 5 6 8 10 13 18 - - SCREWED T- BRANCH FLOW 5 7 8 10 12 14 17- 22 - - SCREWED INCREASER (1 PIPE SIZE) 1 3 1 3 2 4 10 - - - SCREWED GATE VALVE 1 1 1 1 1 2 2 3 - - SCREWED GLOBE VALVE 27 32 41 45 60 66 84 112 - - cCDlcz@a SCREWED COUPLINGS & UNIONS 1 1 1 1 1 1 1 - - - SCREWED SWING CHECK VALVE 9 11 13 15 19 23 28 40 - - SCREWED ANGLE VALVE 16 16 18 18 18 18 20 20 - - �> INWARD PROJECTING PIPE OR —� SUDDEN INCREASE 3 4 5 6 9 11 14 20 26 33 REDUCERS 1 1 1 1 2 2 3 4 4 7 FOOT VALVE - 3 4 5 7 9 11 16 21 26 }� BELL MOUTHED INLET 0 0 0 0 0 1 1 1 1 2 -�- SQUARE EDGED INLET 1 2 3 S 4 5 7 10 13 16 REGULAR FLANGED RETURN BEND OR REGULAR FLANGED ELBOW - 2 2 3 3 4 5 6 8 9 LONG RADIUS FLANGED RETD. BEND OR LONG RADIUS FLANGED ELBOW - 2 2 2 3 3 4 4 5 6 LONG RADIUS FLANGED 450 ELBOW - 1 1 1 2 2 3 4 5 5 — FLANGED T -LINE FLOW - 1 1 1 2 2 2 3 3 4 FLANGED T- BRANCH FLOW - 4 5 6 7 8 10 14 16 19 FLANGED INCREASER - - - 1 1 1 1 1 1 1 p FLANGED GATE VALVE - - - - 3 3 3 3 3 3 FLANGED GLOBE VALVE - 45 57 63 74 83 1 98 120 156 192 FLANGED SWING CHECK VALVE - 7 10 13 18 22 28 40 53 65 0 FLANGED ANGLE VALVE - 16 18 18 21 23 30 39 53 65 BASKET STRAINER - - 10 11 131 14 17 22 25 28 �) I ilk. RONIN ENGINEERING, P.E., P.C. The Lindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 10566 Tel. (914) 736.3664 o Fax. (914) 736 -3693 February 5, 2003 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 7, 12 Pheasant Run Road, Town of Putnam Valley Dear Mr. Paravati: The following information has been enclosed for each of the above referenced subdivision lots for your review: 1. Three copies of the SSTS Plan prepared by this office and dated January 30, 2003. 2. Letter of authorization. 3. Affidavit Corporate Owner application. 4. Application for Approval of Plans for a Wastewater Treatment System. 5. Design Data Sheet — Subsurface Sewage Treatment. 6. Construction Permit for Sewage Treatment System. 7. Well Completion Report for lot # 12. 8. Application to Construct a Water Well for lot #7. 9. Short Environmental Assessment Form. 10. Application fee of $600.00 ($300/lot). 11. Pump / System Curve for the proposed pump to serve lot #7. 12. Two copies of the house plans. 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. Respectfiilly ubmltt uis H andez Project Engineer cc: Val Santucci r i StrawberryKnoll ,Lo1s7,12,PCDH,02- 03- 03.doc 111" 0 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner 37 Croton Dam Road .Corp 2le— Address 37.Croton Dam Road, Ossining, NY 10562 Located at (Street) ,P#?5 4S141rT 1Z4y1✓ /00-f-4", Tax Map 8wl- Block .2 Lot 6 3. (indicate nearest cross street) Municipality (T) Putnam Valley Drainage Basin Peekskill Hollow Creek Lam_ SOIL PERCOLATION TEST DATA . Date of Pre - soaking Date of Percolation Test Hole No. Run No. Time Start - Stop Ela se Time (Min.) De th to Water from Ground Surface (Inches) Start Stop Water Level Dro In Inc es Percolation Rate Min/Inch 1 7_7 Z] ,2 . 3 4 5 1 2 , 3 4 5 1 • 2 4 L 11TL` C . t. 5 •r .. 1;_.JLJ LU C 1cpcaLra at same ceptn unto approsimateiy equai percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD-97 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' 8.5' 9.0' 9.5' 10.0' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. /Y -9. HOLE NO. A. e�� ,Vt"116 HOLE NO. 0j Indicate level at which groundwater is encountered XIA Indicate level at which mottling is observed w/,4 Indicate level to which water level rises after being encountered V 1.4 . Deep hole observations made by: Adam Stiebelingl Keith Staudohaur Date D Z7ol�D Design Professional Name: Timothy L. Cronin III Address: 2 John Walsh Blvd. #200 Pee it NY 10566 Signature: n tneineer 62980 ��` �0 NKOFESS\O,0,yl � :g PUTNAM COUNTY DEPARTMENT. OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES a DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner 37 Croton Dam Road.Corp. //z Address 37 Croton Dam Road, Ossining, NY 10562 Located at (Street) ; tA641 V - fz)4y_ _ -Tax Map 84/_ Block 2 Lot 6,3 , (indicate nearest cross street) Municipality (T) Putnam Valley_ Drainage Basin Peekskill Hollow Creek VDate SOIL PERCOLATION TEST DATA of Pre - soaking 05 —/5- Oy Date of Percolation Test 0 .3- 1161� -c11) Hole No. Run No. Time Start - Stop Elapse Time (Min.) De th to Water From Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch _2 2 — .2 t - 8 ,2g u 2 / -2 zr 3� I 22 - ,2� 3 ID 3 ._9 .22 4 5 zf 1 ,2, - 2 7 3 le 3D l� 2 2nd, 2 -27 3 �/ 3 .2:ro - 0_1 _12" 33 24 -2-7 3 4 5 3 s_ i 3 � 2 2 -:, .15- 4 5 ivvitzi: i. 1 ests to be repeated at same depth until approximately equal percolation rates are obtained at each 'percolation test hole. (i.e. s 1 min for 1 -30 min/inch, _< 2 min for 31 -60 min/incEi) 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' 8.5' 9.0' 9.5' 10.0' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. -13 HOLE NO. fy HOLE NO. / .,4. L°Sn 1 �c�n d ��vwr r/1f D L�'yl h Vin U Ui vL �-Crn� ! �rutl C�✓e ,/Cer �. e COVU ce I ?t d Ar' !�5- 2 Indicate level at which groundwater is encountered NI-A . Indicate level at which mottling is observed Indicate level to which water level rises after being encountered ,V 14 Deep hole observations made by Adam Stiebelingl Keith Staudohaur Date 27Ab , PCDH Cronin EnRineerinR- NEVI Design Professional Name: Timothy L. Cronin III Address: 2 John h Blvd. #200 P skill AY .10566. Signature: Design Professional's Seal w 629$0 \, -q0 FESS \0 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date:- In ected by: S rp Street Location Owner ?2 Town V Permit # �� 3 TM #— Qg Subdivision Lot # °7 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 ..... ............................... H. Sewage System a. Septic tank size - 1,000 .........1, 250 .........other ................ b. ' Septictank 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. Irenches 1. Length required Length installed .Ot t- 2. Distance to watercourse measured Ft.......... 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 ............................. :........................ g. Pump or Dosed Systems , oo Ort 1. Size of pump chamber .................... " ..............:.......... 2. Overflow tank ............................. ............................... 3. Alarm; visual / audio ..............:..... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled .......................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. House/Building a. House located per approved plans .. .....................:......... b. Number of bedrooms ................ ............................... ..... IV. Well Well located as per approved plans . ......:........................ b.. Distance from STS area measured -t-1X ' - ft........... c. Casing 18" above grade ................ ............. ................... d. Surface drainage around well acceptable ....................... V. Overall Worlunanship . a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ............................ ............. c. All pipes flush with inside of box ... ............................... d. BackfM 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 'I w 6W rw i O ; =1kV FURM = iM/E_ w Wt M. 'I w 6W a SITE INSPECTION FOR FILL PAD Date: Inspected by:_ Fill pad located per the approved plan Fill Pad Length Fill Pad 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) Additional Comments: Reserved for Field Sketch if &plicable Required Length_ Required Width Required Depth PUTNAM COUNTY .DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: 37 Croton Dam Road Corp. 37 Croton Dam Road Ossining, New York 10562 2. Name of project: Strawberry Knoll 3. Location TN: Putnam Valley Sub tot. V 4. Design Professional: Timothy L. Cronin III 5.' Address: 2 John Walsh Blvd; 200 Lindy Bldg 6. Drainage Basin: Peekskill Hollow Creek 7. Type of Project: X . Private/Residential Food Service Apartments Institutional Office Building Realty Subdivision Peekskill., New York 10566 Commercial . Mobile Home Park Other (specify) 8. Is this project subject to State Environmental Quality Review(SEQR)? Type Status (check one) ....................... ............................... Type I Type II 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... Exempt _ Unlisted x 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. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? . ...................................................... ............................... Yes 13. If so, have plans been submitted to such authorities? ...... Yes 14. Has preliminary approval been granted by such authorities? Yes Date granted: 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) .............. 18. Is project located near a public water supply system? 19. If yes, name of water supply N/A Distance to water supply N/A 20. Is project site near a. public sewage collection or-treatment system? . ............... NO 21. Name of sewage system N/A Distance to sewage system N/A 22. Date test holes observed Aprilvay 200o 23. Name of Health InspectorAdam Stiebeling_ 24. Project design flow (gallons per day) � .......... 800 Gal /Day 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?... No 26. Has SPDES Application been submitted to local DEC office? ......................... No Fnrrn A('_07 0 2 27. Is any portion of this project located within a designated Town or State wetland? �V® 28. Wetlands ID Number ............ ... ............ ............................... N/A 29. Is Wetlands Permit required? .................................. NO Has application been made to Town or Local DEC office? ................ No 30. Does project require a DEC Stream Disturbance Permit? .. ............................... No 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfillina, 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: ' YES 33. Is there a local master plan on file with the Town or Village? ......................... 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site ?............ :. 35. Are any sewage treatment areas in excess of 15% slope? . ............................... No 36. Tax Map ID Number ........:................. ............................... Map 8� Block 2 Lot 63. 37. Approved plans are to be returned to ..... Applicant x Design Professional NOTE: All applications for review and approval of a new SSTS to be located within the NYC Watershed shall be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as 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 an submission. - 1 Y �r N,Eve.Y�� I hereby affirm, under penalty of perjury, that in for a't' t` 1r0 ded Y this form is true to the best of my knowledge and belief. False tai a Is m � ;�� dnr . eAunishable as a Class A misdemeanor pursuant to Se cti 210. ,S then. ;;haw. Y 1, SIGNATURES & ®FFICL4L T'IT'LES: 62980 Timothy L. G FAN �d�P`'', o Cronin Engineering, PT-PC Mailing Address: 2 John Walsh Blvd; 200 Lindy Bldg; Peekskill,NY 10566 --,64 ="_T-" a Q1721 SEOR PIROJECT I.O. NUMBER Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM' For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by.Applicant or Project sponsor) 1. APPLICANT 13PON30R 4. PROJECT NAME Sublot #7 37 Croton Dam Road Corp. Strawberry Knoll, 3. PMECT LOCATION: yunwo ply Town of Putnam Valley County Putnam County t. PRECISE LOCATION (Stnwt addnse and rob Irltuseetlons, ProMIMmt WWmwk& ate., or provide map) Pheasant Run Road : S. IS PROPOSED ACTION: ® Neer ❑ Expansion ❑ ModiflcatloNalteratlon e. DESCRIBE PROJECT BRIEFLY: Construction of Subsurface Treatment System and Well Water Supply to Serve a Single Family house. T. AMOUNT OF LAND AFFECTED- Initially �4 `V-- acres Ultimately 7� =� 8 acres S. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ZJYa ❑ No If No, dsscrtbs brielty e. WHAT IS PRESENT LAND USE IN vK:iNfTY OF PROJECT? ��11 KRReeldential ❑ Industrial ❑ Cemmercial ❑ A^ulturs . U PwWForsstlow space Oeecrtba: ❑ Other 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 ❑ Nc If yea. list s9ency(s) and Wmit/aDprovals Town of Putnam Valley Building Permit 11. DOES ANY ASPECT OF THE ACTICV HAVE A CURRENTLY VALID PERMIT OR APPROVAL7 uYes ❑ No if yes. Wt soM, name and permftlappnoval Subdivision Plat Approval - "Strawberry Knoll Subdivision" 12. AS A RESULT OF PROPOSED AcnoN WILL E=i Na PERmrTtAPPwvAL RECUIRE YOOIFICATION? ❑ Yes ® No 1 CERTIFY THAT THE INFORMAT)ON PROVIDED ABOVE 13 TRUE, TO THE HEST OF MY KNOWLEDGE ,tea n.mr Cronin Engin ri PEE PC / Keith Staudohar Date: Al -R ?'00.3 , Signature If the action Is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before procseding with this assessment 0 VER 1 PART II— ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EX Ito ANY Type I THRESHOLD IN ® NYCAA, PART 017.127 11 yoo, cawdlnato tta f0vtm proaoee and u604. FULL E&F. 0Y. ®: WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 8 NYCAR, PRAT B17.1i7 .If Ate, a nagativo declaration MY W superseded by another Involved agtaneq. ❑ Yo3 Mo C. COULD ACTION RESULT IN ANY AOV*NE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Anon ara may be handamten, If kelbiel C1. Existing air quallly, sudwe or groundwater quality or quantity, nolso lovole, oxlaling traffic patterns, eolld 100810 production or disposal, potential for emalon, drainage or flooding probl6an69 Eupiain brtafly. C2_ Aaatit;ltic, agricuiturml, archaeological, historic, or What natural or cultural roocurcoa; Or Community Of R01911bOr4lood char8cla l Explain Molly- V C3. Vegotallon or fauna, flak ohoilflsh or xytidllfo opccloa, significant habitats, or throoloned of endangered opcxfas9 Explain brfally: A/ 0 /W— C4. A community's existing plans or gaols as officially adoptod, or a change In ua0 or Intensity of uoo of land or other natural maciumoal Explain Wally 1 vD� CS. Groerth, subsequent dovolopmont, or ralatod aetivitloa 11holy to W Induced by the• proposed actlon7 Explain briefly. /�q, e C8. Long term, short tom, cumulative, or other effects not Idondfled In.C1457 Explain briefly. / - 19 / tjL C7. Other impacts pnctuding changes in use of olthm quantity or typo of ener9Y17 Explain briefly. 0. Iii THERE, OR 18 THERE LIKELY TO ®E. Ct NTROVQfSY 14ELATtED TO POTENTIAL ADVERSE ENVIROMMIZMTAL II:APACT€17 ❑ Yco (1;,16- If Yoe, explain wi ity l./ rr PART 109— DETERMINATION OF SIGNIFIC„M0E (ro, bQ completed by Agency) IlbEi'8 UC'r4N&* Fos aw—h advww effect kMntiffcd tom, "ormina xrflothor It 10 "00tantlal, ice, Important or othervise tslgnlftewt. Each off= ahmid (> I aawased In connoctlen with Ito (€a) ts0tting p.0. urban or rurnk (b) probability of ocesrrrlM '(c) durmtlon; (d) irr0vwi 1billty; (a) geogmpflic scope; and (0 magnitude. it neszooaary, add iaftEchmwts or rolwaftice ouppoWne ma !adala. Ensurro that Qxpdtlmtic m contain sufficient detWI to tah0.v tMI all mlevant adaermla impacta have tt l Ebritlflod nand adoquat&V addmailed. ❑ OWk this bolt If you have Identified one or more potentially largo or significant advarse impacts vhIch PiAY occur. Than prod dlrwtty to ttae FULL EAF andlar prepaaro a pmlttw dedamtkn C* Check this bon If you haw detw' mind, bid on the Inforrnaatlon and s above and any suppo�t!ng documentation, that the propoeed action WILL NOT result In any significant advww dnv(lonmental Impacts AP SO provide on attachments as niecessary, the masons supporting thla d0mmin atiot: QA Ypo Ndmce 01 B7pOTf KQr In l Ag¢tiCy - �i QSVIfKRf S,andtum or Rasponsr0 tser m La Apanty sieuturq w prceparar (if d8if amps f1wn 10soanS490 01 ieerl 3 • Data a PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner 37 c/zoTO.0 AAih !tr>tD CoiZP _Address 37 G+zomo L-Xm oSS /4 JA4 .k y Located at (Street) M /GL 5if&_2T , o1V4Z S L_ 4tiZ- Tax Nlap ft 14 Block i Lot Z3 (indicate nearest cross street) Municipality (T) &c rA mm Drainage Basin C 'M NvD5av R t vc-g SOIL PERCOLATION TEST DATA Date of Pre-soaking OS— I S—yo Date of Percolation Test oS —[ 6 -tom Hole No. Run No. Time Start - Stop Ela se Time (pllin.) De th to Water rom Groaud Surface (Inches) Start Stop Water Level Dropp In Inches Percolation Rate NI EWInch 13 1 33 _ .;-7 Z1f' I ZZ —ZS 3 8 21 ;'" 2 S7 —ZZ7 v I ZZ —Zf 3 to 7 4 2�_ � Z� 30 I ZZ ^Zf 3 !o 5 }� 14 1 46 - Zo- Z-7 Z4-Z 3 2 a-7_ Z 40 33 Zit -7-7 3 / 3 Zia_ �3 33 2K -27 3 ! 1 4 5 P 14A 1 14.4 Z - 7, 3 3 Z 43- 3' 3 30 2L -ZS �a 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i:e, s I min for 1 -30 mintinch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. . Form DD-97 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' 8.5' 9.0' 9.5' 10.0' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST DOLES HOLE NO. 13 HOLE NO. HOLE NO. LtA Solt B" It R Indicate level at which groundwater is encountered Rl%r9 Indicate level at which mottling is observed Indicate level to which water level rises .after being encountered Deep hole observations made by: s9pqm ,snr yax, Z kt �zw t,Da Design Professional Name: cwov,w Address: Signature G Design Professional's Seal 1. \ /. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES { DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner 9,1 5 ,ew A,/ /2�w Address --TI &e? dA1 Located at (Street) i7i .4M IV 7- 12yAr Z,4'2 Tax Map 854 Block Lot 6'3 . (indicate nearest cross street) Municipality c-T� P7',L).4w t g sy Drainage Basin / ' ,4 iLL h'au��+� �x' r'ela . SOIL PERCOLATION TEST. DATA Date of Pre - soaking -/5" --0Q Date of Percolation Test 0 S - /s — oo Hole No. Run No. Time Start - Stop Ela se Time �i11in.) Depth to Water rom Ground Surface (Inches) Start Stop Water Level Dropp In Inc7�es Percolation Rate Min/Inch r 1 �.9 Awe, 4 5 1 2 3 4 5 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately.equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 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' 8.5' 9.0' 9.5' 10.0' 2 VEST PIT DATA' DESCRIPTION OF SOILS ENCOUNTERED IN TEST MOLES HOLE NO. HOLE NO. �YI?WYl �'�l7 � �jiC ryJ HOLE NO. Indicate level at which groundwater is encountered All, Indicate level at which mottling is observed Ae f3 Indicate level to which water level rises after being encountered Deep hole observations made by: Ap ,4,q 5,— i ,6gei,AOa /alErr,► 57,-gu PcHAP- Date 0,,o�--,2 i - ®D . Design Professional Name: Y G.. l r2a ,0r y Address: Pea W r, rY Mt ii ��?� C41 I. c Signature. "HOFESS \fir Design Professional's Seal ►I� Lot No. 7 Lh.a/ +\ \ '•`; \it\ i \ 1 1. AREA a, 24' OF HANKRUN \, \ fSHADED AREAL /RCA GY 24" Of HANKRIJN --/ ARCAj \ TANK 'DISTANCES. TREA TMENT SYSTEM A B; wkic rAHlf 105.5'' 102' . PVMP:CHAMaER 34' -- '13.5 prsiRlBUnoN ear 49.5' 61.5'. . D/,STANCES TO :START"'OF SSTS._ TREA TMENT SYSTEM - A B ; sTAR r of 18T TROVCH.. 105.5'' 102' START'0F, 2ND.: TRENCH . .. ,59.5' 71 START'OF.3RD. 7RENCt1 108. . 109' C'NO OF .4TH TRENCH -.: 110' 1.13 sTARr: _ 5W jp ENOH,- PFFKSIULL I. HOLLOW BR60A 'sTART'OF6TN, TRENCH ^.' :'.72 92��. $TART.OF 7rfL >,TREivc/ 775, ^` 88'_ START:OF =8771•.;TRENCH> Y805..:_ T 129:°5 SrARX'CiT ;9TH. TRENCH 84 :5 : T09` STARl;.'OF`101H TRENCH 8g.5 .. , :.• 115' � " 5 -t: flL7 SOOL *C I C Pr ' R+t �t ^\ (E /105 "AM sYXtD.Zww "W P" OIsr.. 6",.ro FE7 . W'E c F007WG DRAINS AND - /oa, LEADERS fT)PI _ D/SGNARGE /N7U. CA 701 S TRA WBERR Y _:: K)v OL L' L 0 T A S--= Q U/L T SEWAGE i/A GE : TRE.�1 �TIIiI - N T: ` S YS TElti9 D 1STA1VCES r0,. ENDS Of sST9 TREA TMENT SYSTEM CONSISTS OF 'A "1250 GALLON CONCRETL� SEPT/C TANK, 1250 GALLON CONC PUMP CHAMBER•ANO'$00L.F- 4 °a� PERFORATED. PVC PIPE 1N. 24" G/?A1/EL ENO OF. 1ST •.TRENCH 105.5'' 102' ENO OF_2N0.'`,7RENCN :. 107 ' 37 4ROTON• DAY ROAD CORP. ;ENp OF 3R0. 7RENCF! 108. . 109' C'NO OF .4TH TRENCH -.: 110' 1.13 nanie sir u rf r xi Y• %� .. PFFKSIULL I. HOLLOW BR60A ,.,ENO OF;�67N.` TRENCH :. 114:5`: 1721' "'ENO' oF.7TH' TRENCH ENO OFA77} . 7RENCH - 120'_ . T 129:°5 ENO- OF. 97N WENCH, ENO OF f0T7H ,TIPENCH 126.5,'` 'F 139 THlS: IS. TO CER7IFY."p HA-V THE SEWAGE OISP.OSAL SYSTEM WAS. CONS7J?UCTED, AS WiY CA,7t�D, ON 7HlS; PLAN. AND.. THAT THE SYSTEM WAS INSPECTED BY -A1E BEFO/PE'IT .WAS'COVERED, OVER -THE SYSTEM WAS.CONSTRUC7raD l%VrACCbRoAIVCE WwwALL. STANDARD. RULES -AND REGULA770NS .OF THE PUTNAM COUNTY DEPARTMENT OF HEAL 7H AND WE NE. YORK,, STATt,,DEPAR7UENT OF HEAL 7)Y SUBSURFACE SEWAGE TREA TMENT SYSTEM CONSISTS OF 'A "1250 GALLON CONCRETL� SEPT/C TANK, 1250 GALLON CONC PUMP CHAMBER•ANO'$00L.F- 4 °a� PERFORATED. PVC PIPE 1N. 24" G/?A1/EL TRENCH 7N 24 °: M!N 0f,' BANKRUN.._ ` 591ARAYE SMA X $ iB%' 0W9? ,P -Bt!/tWil . 37, CROTON 'DAM ROAD CORP.. 37 4ROTON• DAY ROAD CORP. .<37:CR6 TON DAM ROAD 37 CROTON DAM -ROAD , ;;OSS /IVl!✓C, N Y.'` 10562 OSSININ( .- N. Y. 10562 W W? 57/ ?L f ` WA *R- nanie sir u rf r xi Y• %� .. PFFKSIULL I. HOLLOW BR60A _ -P F 8.£AL &'50NS LNG. .(CITY OF PEEKSKILL WA TERSHED) . '4 PUTNAM A!!ENUE` &RE.WSTER N Y 10509 r d9�'LL L06A710N. -- X. Y D/STR/BUnCw'BGW 113" 173 - 1 0, .- .. -- .SEWAGE "7J4L 4TMEN7 S rA `ON A:'SO/L : PERC04A7I0N RA IE OF II -x /NCH DIROP (SL E SO /L DATA SHEET). .. Z ENGINEER WAS;N071f7Ep;PR /OR.;TO'STAA P19100 ro AAMnU IA(q TRENCHES 3 41NAWHOR/ZE0 AL 7ERA.7/ONS OR ADD 17IC t o p� > - .� . , A LVY A77ON OF SECTION 7209. (2) OF ; £R xi 1\ �� > >\ - }; 4• 24' 'OF SAIVXRUN SAND`AND GRAVEL W, 2om \\ AREA PRIOR TO CONSTRUCTION•OF -S-S7,1 OF ALL ORGANIC MATER /AL AND LARGE A A SOIL PERCOLA77ON RATE OF LESS 7HAl L��\ HOUSE AND �`rEGL LOCAT70N N17T1'RESPEC SURVEYED AND PREPARED LAY DONNELL Y ��71� r2JOI.f: -r / /1'r POL ER nENE FaacE uNE— j 6. PROPERTY HEREON !S LOT 7 LOCATED /N AACA o CYO 1 SHOWN ON A MAP F1LE0 /N 7HE PUTNAM ON . MA Y 15, - 2002 AS MAP NO. 2900. 2'A. F.. - 4 I CAST /RCW MPE 45' BENDS AiS 9roriW "C., L7'aY y>� (. Y - L250 CAllON CQVL'RE2 SEPAC TANK 18 1250 CALLOW COWCREJE PUMP CHA E VEER Xl57.NC 05 MBUnOW 9OY rtlRl BAFriE'— L _ j( �• (FOR EX AN57CY1 AWA ON2 Y) - (r'p4 EYPANSSCN/ AR(A afLY) 'Pp -J, /00% LYPANS/ON AREA � \ LJ 5 �: 'j i �4� >,.?I_•{ /i� �`iP�A •;n'.. EX /STIA'G WA I£R'MA/N -,-,\ L0IAZ -1= _C ra m' 13 � . \� \� \\ , \ \• t B' iil" -tom, —•r, a �Q \ + ` , \ tJOL.F— O PK' 517RJ5 P/PE �\ Ip7H 45" 8END AS &YOMV ,{ ,* \f , (✓$ —' \ \ 1\ , \ \1 \t % D 117 Rot W7H awnr og o R' P4' Lt- ` (SHADED AREA-) ", \ - Js.? �• ,�:-'' S0 // / NV 1 ,,A AaE0 AREA)NKRU Q\ ,f F aR 9P 50DL.F. I O PERT PV JN a 26 GRAVEL 7RLNLhj AR£ CAPPZ^i. ..: t4 _ -,��.S °G'i \/4 �. �•—.t r 3YKID.SORJ8 Pty' PIPE FRCW s 'BOX TO PfRf. MFNC r PJR4 = l: