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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84. -2 -70 BOX 33 ` 1; L, , f �1 � �4 ■, L, 04402 1_0q PUTNAM COUNTY DEPARTMENT OF HEALTH :,... DI VIS.ION;=OF�EN- N' -IRONTMENT'AL• HEALTH CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR { ATMENT SYSTEM PCHD CONSTRUCTION PERMIT # V- LOY_, Located at I PP14Z4SIgN RuN ROAD Town or Village Put -SAM VALLCV Owner /Applicant Name 39 C Ro ToN OAn POO cgP. Tax Map 8 + Block 2 Lot —7 O Formerly Subdivision Name S TIZA W 2_ L- W R Y KN Q L L Subd. Lot # I f Mailing Address 99 C 12 a" `e IJ L?Ar),? 120j1_0 o S s 1 rJ I N C Zip I o 562. r Date Construction Permit Issued by PCHD D6 c- - to -zoo;?, 39 clzoTaA 1>9rti Rora,D Separate Sewerage System built by 32 c rz esaJ DAA 12o-w Ce2P Address os s i.l I N ef; U4/ /o �Z Consisting of MS-0 Gallon Septic Tank and 44 S L.-F. - 4 `:� �L� �z � 0 fR A T e ro ?v c,. -P (PC 1.4.J '2,4-`' 6_TZraVL5_L 'Tne/,JCK Other Requirements: ' 1 !J r%i p S y S Te r-' Water Supply: Public Supply From Address 4} Pu i NAB A✓CIJv+--' or: X Private Supply Drilled by 12 , r 96A L is S W X C . Address I? 12t inixTe CL, OJ V 10 SJ 1 B iulding Type Z V Has erosion'c`onfrol been completed? AS Number of Bedrooms 1-'0'J I`L Has garbage grndefi iceyen�astalled? I certify that the system(s), as listed, serving the above built plans (copies of which are attached), in acc plans and the standards, rules and regulatio oi!kle P1 Date: L —10 —0 Y Certified by Address *1,1e, (Design VD VC-L- 71,6SU I LL essentially as shown on the as- istruction. Permit and approved )f Health. P. E. R.A. Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocation, modification or change is necessary. By: ,l- ICJ' T'� Title: 41&E Date: 61,126,112Y_ 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.. Weli location . Street Address: Pheasant Run Rd Strawberry Knolls, Lot #14 TowiWillage: Putnam Valley Tax Grid # Map 84 Block 2 Lot(s) 70 Well Owner: Name: Address: VS Construction, 37 Croton Dam Road, Ossining, NY 10562 IIJse of Well: I- primary 2-secondary X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling ]Equipment X Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total length 52 ft. Length below grade 51 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 _ I 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 an surface - static (specify ft) 309 During yield test(ft) 5401 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) IFormatioD Description ft. ft. Land Surface 30 Drillin in ove r )urden clay boulders Hit roci at 301 , ._ - ...30 52 605 D ' If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity _5am Depth 5601 Model 5GS10412 Voltage 230 HP 1 Tank Type WX302 V me 8 Date Well Completed 5/22 /03 Putnam County Certification No. 001 Date of Report 1/13/04 Well Drill (sig Pe NOTE: Exact location of well with distances t o'permanent landmarks to be provided separate sheet/plan. Well Driller's Name P. F al nc. Address: 4 lama, &e-. ter- NZ trtrrta Signature: Date: 1/13/04 Perry L. al White copy: HD File; ellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form Wr-o,7 ..BRM -E =. k-� XIJLEY Public Health Director f L'OROtk` IvlOL1�ARI I , '� ,,. ., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (9.14) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 OWNERS NAME: TAX MAP NUMBER: E911 ADDRESS:. TOWN: AUTHORIZED TOWN OF (Signature) I- —. DATE: 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 VFRFRM) 02/26/2004 16 :09 9147363693 CRONIN ENGINEERING 1 PAGE .0 _ 2 JOHN WALL -H BOU7 RVARD THE CINDY BLDG; S1011TE 200 PEEKSKILL, NY 10566 Tb: J llama N FROM: Ken COMPANY- V VAT E: P,C.H.D. F FEBRUA R RY 26, M FAX NUMBER: T TOTAL NO. OF PA • •k.3.INCLUDING COVER T PRON$ NUMBER; S STWVJU'R'S AAfT,R C CE NUBAHIiIL 16 Phm$24 R Rua Road 1t6H +R6NC NUMBER: 37 Croton Darts Road Corp. RUDH-pain it #PV -35 -02 ® URGjsNT 13 FOR REVIEW 13 PIZASL' CUMMRNT ® PIA; SE RE -FLY ® PJ.F. MB REC AJ; Town of Putnam Vahy SM Consmuction Compliance Stmw►betaly Knoll, lot 14 MESSAGE I CK?UMEM.- l' is -fax-is to inform you that Val Santucci A vuu JI�.G'IUPl,lll<Y TEL. (924)736 -3664 JS F4X (91x)736 -3693 i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL _H.EALTHfSERVICES_� -:� GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchaser of Building Tax Map Block Lot 39 ct2vToN _pAr, 2()po co2P �ujWAr, VALLEY/ Building Constructed by TownNillage i G ?HeA S A N `r R uN i2 o A 1> S `TIZA '►ti'l?CIZ R I; N 0 Z C. Location - Street Subdivision Name SiN 6_L r'-? ILIZ 2 S J jCNCC Building Type Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system 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 caused by the willful or negligent act of the occupant -of the building utilizingpthe, o system. The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or n th \L ai e f the system to opera was caused by the willful or negligent act of the occup t of he ildi g utilizing the syste'ri' �\\ r Day 10 Year Z00 4 ) - Signature Corporation Name (if corporation) Address: 32 CRo•i o,J PAr j 726A_O State 0SX)► -J UJ C, YQ Zip 10 S'G 2 Signature: Title: i�R�•(�i L�t�N -r 39 c2orna j DAI/ RoAb CoRP Corporation Name (if corporation) Address: 39 CRoTOti DA) 9-0 State 6 ss !/J i.:1 G. y(�— Zip I o 6, I - � Form GS -91 IMS ENVIRONMENTAL SERVICES, INC. 15oo SUMMER STREET 'STAMFORD,. C.ONN.ECTICUT o6905� NkAC�., C_ T. aWr�rj- X= Sgtej `fcEr "riiaer�ta'IYatioretor"y = ,..:fir =:-s:: �, =:' 'a' •w•: - :..,a:.,-�. ---� Mailing Information: Collector's Information: Blame: PF Beal & Sons Client: VS Construction Name: Matt Beal Address: 4 Putnam Ave Address of site: Lot #14 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: water tank Preservative: N/A Temperature: <4C Date Collected: 1/14/04 Date Received: 1/15/04 Time Collected: 13:00 Time Received: 15:30 Lab No.: J040313 Date Analyzed Test Name Result MCL Method 1/15/2004 16:00 Total Coliform Absent Absent SMWW 9222B 1/15/2004 Chlorine Free Residual <0.1 mg /L N/A SMWW 4500CIG At the time of analysis the sample was acceptable for total coliform N/A = Not Applicable MCL- Max. Contaminant Level mg /L- milligrams per Liter r Reviewed by:%.�{ Sharon Houlahan, Director Signature. State #: PH -0218 Michael Lapman ELAP #: 11715 President Tel 203 961 9911 Toll Free 1 866 567 5097 Fax 203 961 9919 jmsenvironmental.com JMS ENVIRONMENTAL SERVICES, INC. 1500 SUMMER STREET STAMFORD,, CONNFCTI.C.UT .o69o5 NELAC, CT and .NY.State Certified Environmental Laboratory ; wm- Mailing Information: Collector's Information: Name: PF Beal & Sons Client: VS Construction Name: Matt Address: 4 Putnam Ave Address of site: Lot 14 Strawberry Knolls City: Brewster City: State: NY Zip: 10509 State: Zip: Telephone: 845-279-2460 Fax: 845-279-6613 Telephone: Sample's Information: Site: Preservative: HNO3 Temperature: <4C Date Collected: 2/17/04 Date Received: 2/18/04 Time Collected: 15:00 Time Received: 12:30 Lab No.: J041207 Date Analyzed Test Name Result MCL Method 2/18/04 Color ND 15 Units SMWW 2120 B 2/18/04 Odor ND 3 TONs SMWW 2150 B 2/20/04 Iron <0.050 mg /L 0.3 mg /L SMWW 3111 B 2120/04 Manganese <0.050 mg /L 0.3 mg /L SMWW 3111 B 2/20/04 Sodium 8.75 mg /L N/A SMWW 3111 B 2/20/04 Chloride 30 mg /L 250 mg /L SMWW 4500 Cl C 2120/04 Hardness 52 mg /L N/A SMWW 2340 C 2120/04 Nitrate 1.10 mg /L 10 mg /L SMWW 4500 NO3E 2/2010.4 10;00. 0, Nitrite . Nitrite ...... ... _ , _ , _ z0.1 mg /1 ` _..1':0 mg /L =. = Swim. 4500 W03� .. - 2/18/04 pH 6.58 S.U. 6.5 -8.5 S. U. SMWW 4500 H B 2120/04 Sulfate 15.9 mg /L 250 mg /L SMWW 4500 SO4F 2118/04 Turbidity 0.23 NTU 5 NTUs SMWW 2130 B 2120/04 Alkalinity 26 mg /L N/A SMWW 2320 B 2120/04 Lead <1.0 ug /L 15 ug /L SMWW 3113 B At the time of analysis the sample was acceptable for total coliform WA = Not Applicable mg /L- milligrams per Liter ND- None Detected 3.U.= Standard Unit NTU- Nephelometric Turbidity Unit WCL- Max. Contaminant Level TON- Threshold Odor Number ig /L- rvicrograms per '7144 Reviewed by: ':: Sharon Houlahan, Director ,s Signature: State #: PH -0218 Michael Lapman ELAP #: 11715 President Tel 203 961 9911 Toll Free 1 866 567 5097 Fax 203 9619919 jmsenvironmental.com OR pwpzfiff AWAV LOT M ra Located In P9AT8-,P,R64)VMRRY "OLL-Ov Ar SAPwn,ton a Atp Fgsd in Me Putnam Cburdy aor*'jr Ojyka on Afty 15. JVVJ w map na 2900 Situate in the WZW7 OJP MMAX AT I February 11, rvnfj a r. 141 N& [a i. 14 ii RONIN ENGINEERING P.E. P.C. The Lindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 10566 Tel. (914) 736 -3664 0. Fax. (914) 736 -3693 -- - ;:1 3 ?_, - �i 'a� 'YA ..:.1 =.. r. o . , . _ . �, r . ._ . - -^...... - .. . • d. .."ti.. .C;i. ;..yy..v�. -.ter. w :... ... . . .... ... - k February 25, 2004 Joseph S. ParavatL Jr. Assistant Public Health Engineer Putnam County 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 -35 -02 16 Pheasant Run Road "Strawberry Knoll" Lot #14 Town of Putnam Valley Dear Mr. Paravati Please find enclosed the original water analysis report and the revised as-built plan. The plan has been revised to show the expansion area within 10 ft. of the stone wall. 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, Kenneth M. Murphy Design Engineer CIt ONIN ENGINEERING G 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: 16 PHEASANT RUN ROAD "STRAWBERRY ]KNOLL" LOT #14 TOWN OF lPUTNAM VALLEY 37 CROTORT EDAM ROAD CORP. THESE ARE TRANSMITTED as checked below: February 9, 2004 ❑ FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY WE ARE SENDING YOU attached 1.)- mlimeinair'y copy of as -built subsurface sewage treatment system plan 2.) Copy of survey showing foundation location 3.) E911 address verification form 4.) Well Completion report 5.) Water Analysis ][deport 6.) $300 certified check for application fee The information enclosed is submitted for review only the septic pump test will be witnessed on ]February 10th and the ffinal as -built plans with pump information. Should you have any comments regarding this information please don't hesitate to contact me at this office. Rmespe tffully submitt d, Kenneth M. Murphy )(Design Engineer 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 - ! sr << February 11, 2004 Joseph S. Paravati, Jr. Assistant Public Health Engineer Putnam County 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 -35 -02 "Strawberry Knoll" Lot #14 Town of Putnam Valley Dear Mr. Paravati �t Please -find enclosed the as -built plan and-construction compliance application for the above referenced project. The plan has been revised based on our February 10`h pump test information. 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. =fie b , Respectfully submitted, Kenneth M. Murphy [V�n' Design Engineer tl� Street PERSON IN CHARGE nR TN F-RVTPWPT)-. s� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION -Or ENVIRONMENTAL IfFATLII- SERVICES- -- FEELD ACTIVITY REPORT -1 az�-m a. Town 6.11.4 PUMP TEST v State Zip DOSE TEST 1ZVnTTMPn (:AT T O'XT4Z 1-- 3 to F.L. START 0 Irp EL. STOP Txsma• Signature and Title PP1D0'D,r b'0f-'r7T-.T0n I acknowledge receipt of this report: SIGNATURE: 02/96 Title: LU (D 0 0� v State Zip DOSE TEST 1ZVnTTMPn (:AT T O'XT4Z 1-- 3 to F.L. START 0 Irp EL. STOP Txsma• Signature and Title PP1D0'D,r b'0f-'r7T-.T0n I acknowledge receipt of this report: SIGNATURE: 02/96 Title: 1 02/03/2004 16:43 9147363693 7 . . \ .. v :.11 ur • r. . e C. -a1 � r�...:q R' t .e o \'�b i� � e BRTJa R. FOLEY Public Hlealth Direarer ,CRONIN ENGINEERING 1 PAGE 01 !/Z LORETCA MOLINARI R.N., M.S.N. Amociam Public Health Director Director of Patient Services DEPARTMENT OF HEAL, 1 Geneva Road Brewster, New York 10509 1... w40 /,}ISeAVA7'1 ATTENTION: O GENE REED All information below must be luft completed priuX,to any scheduling. ENGI.YEER OR FIRM: CAQ, 1,0 P-WON: DEEPS: C. PERCS: C PUMP ROAD /STREET: �'M �AS�e3''C" `1? u#J TORti • V-r,4 A M V4 LAY TAX SUBDIVISION: 3p x N0I-L MI ER- tt,p . : V/ e, c4 —,.p - 70. L0TR: / J� • .. •�.�.• �. .tea■ .�_� r iiw .I�G�. ■�i+- ��Fe��e`v\� .v ..._. a .i ..; 'I _.. ....... ... ,-._ _. _.._... .. .... �... .. ... ._ . ,.a . ........ -r. a -.. T- ...- .- _..... _.. _... a ._._. ._._...- ... .... ... _.. .., , ........ - .... ..y, .... I ES NO/ ❑ c9' Proposed SSTS iithin the drainage basin of West Br o Proposed SSTS within 500 feet of a reservoir, reservo 0 mf Proposed SSTS within 200 feet of a watercourse or'a 0 � . Proposed SSTS design flow greater than 1000 allo. 0 Cif Proposed SSTS for a Commerical Project_. It is the responsibility of the design professional to provide the above This Department will determine the NYCDEP project status (3oi response. If you answered ►}�es to any of the questions.•NYCDEP m Department will coordinate a mutually suitable time for field testir Professional and NYCDEP. an or Bovds Corner Reservoirs. stem or control lake. C wetland. nsi av or 5PDE5 Permit required. formation prior to soil testing. or Delegated) based on the gip: bp witness the soil testing. This with the PCDOH, the Design If a project has been determined to be Delegated based on the abov� response and then subsequent information indicates N1c'CDEP is required to witness the soil testing# -a- will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing kith YYCDEP. FOR C007r USE ONLY DATE: ---.. � TIME: 02/03/2004 16:43 914736369.3 CRONIN ENGINEERING 1 PAGE 02 D �[.I�CPCI�C�I�[�[PCPCP[PCnCPfP rlC?C PPC�1�G C1OR iCPL�L(C1 [Pt1C�L�GI�CPCi� rJalC.iGf GIGmi3C1mI�GIWd [ it PcPr.P1�r.3RPM11iGJIM 5 BY T>-�rl .ETaFaATE OF C MP I_AN. -o-�, ; ny ®�//�g� YORK g�{��, py�� �i .. .{pia _ .. ,•r, a {py�� tpr , ,tl `il E V L7 „ U �Ad/ ll t`a � �E� 6l 0. ® � . � U N tl..C' E W ®6 U T E !t 'Ca S 5 BURFAU.OF Erl_ECTRI P'TY 5 S40 FUL.TON STREET.- NEW YORP , NY 10038 CERTIFIES THAT Upon the application of pon premises owned by VELARDO ELECTRIC . CROTON DAM ROAD CORP. 203 BARNES ST. f 27 PHEASANT RUN OSSINING, N.Y. 105621404, PUTNAM VALLEY, TN, NY 10579 Located at 16 PHEASANT RUN PUTNAM VALLEY. NY 10579 j t Application Wtmber 1103971 4irocate Number 1103971 i $ection. Block: Lot: 14 Buil ing Permit: 1243-03. BDC: IN106 Described as a Rmidcntial occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in /on the premises It. Basement. Outside, was inspected in accordance with the National Electrical Code and the det il of the installation, as set forth below, was found to be in compliance therewith on the 31st Day. of December, 1003, Name QTY Rate Rating Cir !,it Tvne t, Misce0aneaus SEPTIC PUMP AND ALARM. Service I Phase 3W Service Rating 200 Amperes Service Disconnect: Meters: 1 CT, 40 I. 200 CB seal I This certificate may not be altered in any way and is validated only by the presence�of a raised seal at the location indicated. z■ 12/12/2003 11:59 9147363693 CRONIN ENGINEERING 1 PUTNAM COUN'T'Y .DEPARTMENT 01 F HEALTH DIVISION OF ENVIRONMENTAL HEAL SERVICES ATTENTION I GENE Q T- -FOR FINAL INSEE -TIO For: All information must be fully completed prior to any inspections being made. PCHD Construction Permit # ?V- 35' 4 2 Located: _ F146 A J A N T- a vPj Ra A Owner /Applicant Name:39 CROTon► DAn ROAD CeRP T Formerly: Subdivision Naz Subdivision Lot # Is system fill completed? LA Da Is system complete? r-1CLfl -I O Oty Da Is system constructed as per plans? Is well drilled? Mr -1' Da Is well located as per plans? f Are erosion control measures in place? _� 1 I certify that the system(s), as listed, at the above premises has been and verified their completion in accordance with the issued ] ,approved- plopw --and_ tin -,Standards; -Rules and --Regulations :of -th, Health. Date: De c e nyef - 120 2oo 7 Certified by: Address: ? Fill Trenches PAGE 01 (V) 'fj -WA►vi VO4 L L Lef IN Block 2 Lot sT"ho�RRAY KI(t►Lc_ 144 2 • 12 - 2 ao 3' icted and I have inspected Construction Permit and m County-Department- of G96 N W LA N W e APE lt.A. Design Prof ssional I J"K IL(- . Lie. # Comments: �.. Form FIR-99 p V I U7NAM COUNTY D EPAII TMMIEN7 GIF IHIIEAL'II H DHVHSII (DN OF IENWRONM ENTTAIL HEALTH B ERVHC1ES 9C0NS')1 RU(gj- jPN PERMIT 'FOR. SIE WAGE TREAII'MlENYSYSTE1M[�_ ;:. Located at PH,5 -A SAnf -r- 2UA/ x,0,49 Town o /' �� ��► �y /i� ��, Y Subdivision name ..�5T.e�4weL--2,ax k/jtqc.cSubd. Lot # /9� Tax Map &'-l' Block 2 Lot �y Date Subdivision Approved )k4 Ay #5-i Renewal Revision Owner /Applicant Name 37 Cp —or,cj -T>P m QZA!) Cpl . Date of Previous Approval WAr . Mailing Address 31 Q e-0 -U N-0 Jb A M eoA !) F 05-5 m oAiG , iy Y. Zip 1056 Z Amount of Fee Enclosed O° Building Type L Lot Area 3, 79 No. of Bedrooms _ Design Flow GPD 80y AC . (Fill Section Only Depth Volume PCHIlD NOTIFICATION IS RE UIRIEI(D WHEN FILL IS COMPLETED Separate Sewerage System to consist of / Z 50 gallon septic tank and Y LI g vt Pv c F" ? F 1P 2 cf ° G zoq vd-�— I iZ ee;-oc rl . / Other Requirements: 825 t!;d &W e- . I u �+y (eh /wo r j- 4y, . Yya0 ,pA4A Tic- 5? D 1 000 oz Ed L).4 t To be constructed by 5r Ott o-t Lw DAm LoA)) L%P Akddress 37 GM,,0 /)A rg �D&9 , 0IT1104 s AI s! iD56e WatE San01Y., Public Supply From Address o1r: X, Private Supply Drilled by f- - 13. SAL . �' 50,YS ,--"/C..Address .-il �oTr� •mot � ; 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 ConstructionYCbmp�" satisfactory to the Public Health Director will be submitted to the Department, and a written gu �t�6 wiltbe� furriii 64 the owner, his successors, heirs or assigns by the builder, that said builder will place in good op attng,cD�ndition aq, part%,f said sewage treatment system during the period of two (2) years immediately followi the d e o ie isAu'atice'of the ppi�val of the Certificate of Construction Compliance of the original system or any airs eret. Signed: -. �i P.E. Rte-- Date �j -� Z, Address �,, ,C 1%,` y ° �� U, 56 License # 1)'� 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 ermit Approv for discharge of domestic sanitary sew ge only. By: Title: Date: White copy - HD f ile; ell w copy - Building Inspector; Pink copy - ner, ange copy - Design Professional Form CP -97 i \ PiTTNAM COUNTY DEPARTMENT OF HEALTH f� DIVISION OF ENVIRONMENTAL HEALTH SERVICES COl®TS`I'RiJCTION P RMI'I' jF(QR E�WAGE TREATMENT SYSTEM PERMIT # V -.3 �- O� o 2 b5, Located at ' ," tiVAV Town or Putnam Val1 ey Subdivision name Strawberry Knoll Subd. Lot # Tax Map 65� Block 2 Lot 70 Date Subdivision Approved PJ AY ff .; 2aa,2._ Renewal Revision Owner /Applicant Name 37 Croton Dam Road Corp. Date of Previous Approval N/A Mailing Address 37 Croton Dam Road; Ossining, NY Zip 10562 Amount of Fee Enclosed $300.00 Building Type Residential Lot Area &79 No. of Bedrooms 4 Design Flow GPD 800 AD- Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1250 gallon septic tank and #4/9( L. F. of 4" PVC Perf. Pipe in 24" Gravel Trench Other Requirements: 125-0 6a 1/. CV101 , , rum's I lti c,,,M 66',r W/ 01 c(rty rhA i e 5 f" 4D f uvn p o r coq u ej- , To be constructed by 37 Croton Dam Road Corp. Address 37 Croton Dam Road; Ossining, NY 10562 Water Suonly: Public Supply From Address Private• Sup ly Drilled_ by yP.'B_, Beal . °. Sons:;- =Iris : Address 4 - Putnam Avenue • ' "- Brewster, NY 10509 I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the parate sewage treatment s,, stem described above will be constructed as shown on the approved amendment thereto and in ao.ordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Constructio pnac atisfactory to the Public Health Director will be submitted to the Department, and a written guarant �.v�il owner, his successors, heirs or assigns by the builder, that said builder will place in operat' g c �dl' ion any of* . id sewage treatment system during the period of two (2) years immediateVrepairste'reto. win date f th t�suaure a ov of the Certificate of Construction Compliance of the original system or Signed: // V Address 2 John. Walsh Blvd; .E., . X R.A. Date %—� -'y L Peekskill,NY 10566License # 062980 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 rmit. Approved for discharge of domestic sanitary se age only. n By: `' °' Title: a Date: /? 0 White copy - HD Fi e; Ye copy - Building Inspector; Pink copy - ner; Oange copy - Design Professional Form CP -97 PUTNAM (COUNTY DEPARTMENT OF If3IlEAILTIHI DIVISION OF ENVIRONMENTAL HEALTH SERVICES AIPPLICATION TO COlYSTR T, IEI[B.WIE please print or `type 1 PCHD Permit # Y ^ 3Sr WeIR Location: Street Address: To Putnam Tax Grid # Pheasant Run Road, Sublot# f'cf Valley Map 8' 4 Block ,2 Lot(s) , 7D, WeRR Owner: Name: 37 Croton Dam Address: Road Corp. 37 Croton Dam Road, Ossining, NY 10562 Use of WeIR: X Residential . Public Supply Air /CondlHeat Pump Irrigation I- Primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served 4 Est. of Daily Usage 500 gal. Reason for Replace Existing Supply Test/Observation Additional Supply I<DARUng X New Supply (new dwelling) Deepen Existing Well Detailed Reason Water supply for new residence. for Drilling WeH 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 Strawberry Knoll Lot No. Water Well Contractor: P.F. Beal & Sons, Inc. Address: 4 Putnam Ave . , Brews ter , NY 10509 Is Public Water Supply available to site? .................................. ............................... Yes No X Name of Public Water Supply: N/A Town/Village Distance to property from nearest water main: + 600' (out of town & county) Proposed well location & sources of contamination provided on separate sheet/plan. ...._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 shallA) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED .IFOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. I A Date of Issue 2 �� '0 C-- Permi Date of Expiration 12 —o Title: Permit is lion- Trans ffe b e�— White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Fnrm U- 7 RONIN ENGINEERING P.E. P.C. The Lindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 10566 Tel. (914) 736 -3664 • Fax. (914) 736 -3693 -- .•'-ti . •J •` '� . ''L�{' iC� 9 r. —. .� .'.r. ti �.{. . a�; r.'i Y �J O!'�. . .5 . C.. ili. � .�.yR•f.: -.��. .... ,�'4`�'��v December. 10, 2002. .. Joseph Paravati, Jr. Assistant Public Health Engineer Putnam County Department of Health Division of Environmental Services 4 Geneva Road, Brewster, N.Y. 10509 D A, Re: SSTS Construction Permit Strawberry Knoll Subdivision — Lot 4, 14 Pheasant Run Road Town of Putnam Valley Dear Mr. Paravati: Find enclosed three copies of the revised SSTS plan for each of the above referenced subdivision lots. The plan has been revised as previously discussed including an additional junction box for lot #4 and the replacement of the 2" dia. high density polyethylene resin force he by a 1 1 /z" dia. of the same specification. The revised headloss calculations and the new pump / system curve are included. 4 4. 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 submitted, Luis Hernandez Project Engineer M. Val Santucci StrawberryKnoll,l ots4r1,14r2,PCDK 12- 10 -02.doc tv V SMAP"09(Qj Af4 .3,,7,1 G&,,ej� 4 Mi/It o /I S �cs -2— cl- - - ----------- T Modifications on the Lot #14 SSTS plan dated September 5, 2002 and revised October 22, 2002 is summarized as follows: 1. The pipe in between the septic tank and the pump chamber is labeled 1 % minimum slope on both SSTS plan and profile. 2. The absorption trench detail has been modified to include "...dust free crushed stone or washed gravel". 3. The calculations and pump / system sewer force main curve are attached. The pump curved has on the plan been revised in accordance to your comments. 4. The detail of the force main trench is detailed to include the same specifications as shown for the lot #2 '(See item 4 pertain to the minimum cover for lot 2). 7. The specification of the proposed force main pipe has been modified, the new force main to be 2" diameter PE -3408 high density Polyethylene Resin as manufactured by Charter Plastics, Inc. or approved equal. A copy of the revised house plans is attached for both lots. 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. r {- cc: Val Santucci StrawberryKnoll,Lots2,14rl ,PCDH,10- 22 -02.doe Respectfully submitted, Luis Hernandez Of Poll `� ._ Pump Characteristics Pump/Motor Unit Submersible Manual Models SP40M1 SP40M2 Automatic Models SP40A1 I SP40A2 Horsepower 4/10 Full load Amps 9.4 4.7 Motor Type Split -Phase R.P.M. 1750 Phase 0 1 Voltage 115 1 230 Hertz 60 Operation Intermittent Temperature 140 °F Ambient NEMA Design A Insulation Class A Discharge Size 2" NPT Solids Handling 1 -1/4" Unit Weight 60 lbs. Power Cord ... ... ...: 18/3, S1TW, 115V =10' std. (20' opt.) 230V =!20' std :.. -`--* Materials of Construction Handle 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 Thermoplastic Upper Bearing Single Row Ball Bearing .ower Bearing Single Row Ball Bearing Fasteners Stainless Steel Performance ' Data ■ ■fir ■tl ■ ■ ■ ■ ■��� ■ ■ ■ ■� ■ ■■ ■■ 'sir ■ ■ ■t9 ■ ■ ■ ■ ■ ■ ■ \� \ ■ ■ ■ ■ ■ ■ ■■ Total Head (feet) 4 8 12 16 20 24 28 i 120 108 90 68 42 20 0 Dimensional Data 3 -15/16 6 -13/16 5 -1/8 I. All dimensions in inches ti 2. nt dimension .2NP_T _. -,.- ... _iaiy= aAirrch 4.5/16 /DISCHARGE 3. Ilot for construction purpose unless certified y 4. Dimensions and weights are approximate 1 5. We reserve the right to 3 -3/4 4 -15/16 make revisions to our �. t products and their specifications without notice 13 -1/16 14.1/16 12 -1/4 ISCHARGE PUMP HEIGHT ON 4 -5/16 3 -3/4 )MP OFF AURORA /HYDROMATIC Pumps, Inc. 1840 Baney Road, Ashland, Ohio 44805 (419) 289 -3042 ifVELOCITY HEAD AND FRICTION LOSS IN FEET PER 100 FEET OF PIPE I - -.:/ 4T r• .r. n i .. . .�_•�..�.. nN,. ,p . 1�t .. a ... .. • . I:W� US GPM -IRON S "ul, STEEL 0 schedule 40 40 _ Type M a US GPM - - Vol. Ft.! Sec. Vol. Hd. Ft. Head Loss ft./ 100' Vel. I. Sec. Vol. Hd. Ft. Moad loss Ft./ 100' Vol. k./ sec. Vol. Nd. Ft. Head Lois Ft./ 100' 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 1 0,2 1 2.9 3.2 0.2 3.0 3.5 0.2 4.2 223.5 0.2 0.2 3.5 3.5 0.2 2.8 3.9 0.2 5.0 24 3.8 0.2 4.1 18 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 4.4 0.4 7.8 30 4.7 0.3 6.3 4.7 0.4 5. 5.3 _ 0.4 8.8 32 5.0 0.4 7.1 5.0 0.4 5.8 5.6 0.5'70-0 65 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 1 11.8 6.6 0.7 9.7 7.4 0.8 16.5 44 6.9 0.7 8.6 7A 0.8 10.6 7.7 0.9 18.0 46 7.3 0.8 _12.9 14.0 7.3 0.8 11.4 8.1 1.0 19.5 48 7.6 0.9 15.2 7.S 0.9 12.4 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 1.2 16.0 9.6 1.4 _27.2 60 95 1.4 23.2 9.4 1.4 18.6 10.5 1.7 2.0 31.8 _ 65 102 1.6 27.1 10.2 1.6 21.6 11,4 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. 4.1 48.4 48.1 . X80 - d 2•.6- 57.7 -40.5' '12.7 -2.5 '32:0' 1 •i :0 3:0 54.2 85 '13.4 2.8 45.6 13.4_ 2.8 35.3 39,5_ 43.7 14.9 15.8 3.5 19 60.5_ !90 14.2 3.1 51.0 14.2 3.1 67.3 74.3 95 15.0 3.5 56.5 15.0 3.S 16.6 4.3 1_00 15.8 3.9 62.2 15.7 3.9 47.9 ) 7.5 4.8 82.0 110 17.3 4.7 74.5 17.3 4.7 57.3 19.3 5.8 97.5 120 18.9 280 88.3 18.9 5.5 67.2 21.0 6.9 115.0 133.0 130 20.5 _5.6 6.5 103.0 20 5 6.5 78.0 22.8 8.1 140 22.1 7.6 119.0_ 22 0 7,5 89.3 150 23.6 8.7 137.0 32.5 16.4 187.0 160 25.2 9.9 156.0 34.4 .184 209.0 170 26.8 11.2 175.0 20.5 1231.0 -- 180 28.4 12.5 196.0 122.7 1258.0 190 29.4 13.4 1218.0 4 US GPM IRON / STEEL Schedule 40 PLASTIC Schedule 40 COPPER Type M Vol. k./ Sec. Vet. Hd. Ft. Head Loss Ft./ 100' Vol. Ft./ Sec. Vol. Hd. Ft. Head loss Ft./ I Vol. Ft./ Sec. Vol. Md. Ft. Head loss Ft./ 100' 20 1.9 0.) 0.9 1.9 0.1 0.9 2.0 0.1 1.1 22 2.1 0.1 1.0 1 2.1 0.1 1.1 2.2 0.1 1.3 24 21 0.1 1.2 21 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 (303 2.9 0.1 1.8 2.9 0.1 .8.1 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 3.8 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 1 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 1.4 16.8 101 1.6 21.6 110 10.5 1.7 20.9 10.5 1.7 20.2 11.1 1 1.9 1 25.8 _ 120 11.5 2.1 24,7 11.5 2.1 23.5 12.1 2.3 2.7 30.4 35.1 130 12.4 2.4 28.8 12.4 2.4 27.3 13.1 140 13.4 2.8 33.2_ 13.4 2.8 31.5 14.2 12 40.3 150 14.3 15.3 3.2 38.0 14.3 15.3 16.3 3.2 35.7 15.2 3.6 45.8 -160 . 3:6 d3;0 `40.4 - 45.1 16:2- ».I 51.5 170 16.3 4.1 48.4 4.1 17.2 4.6 57.7 180 17.2 4.6 54.1 17.2 4.6 50.3 18.2 19.2 5.1 64.1 190 18.2 5.1 60.1 182 5.1 55.5 5.7 76.7 _200 220 19,1 21.0 5.7 66.3 19.1 5.7 60.6 72.4 20.2 22.2 6.3 77.9 93.1 6.9 80.0 21.0 6.9 7.7 240 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 .184 209.0 380 136.3 20.5 1231.0 400 138.2 122.7 1258.0 -4 �y y EQUIVALENT. LENGTH (FEET) OF STRAIGHT PIPE FOR PIPE FITTINGS (BASED ON HYDRAULIC INSTITUTE PIPE FRICTION MANUAL) PIPE DIAMETER I PIPE..F.ITTI,NG _ "1%4' 1 1/2 2 21/2' 3 "4 - 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 66 184 112 - - CC32 SCREWED COUPLINGS &. UNIONS 1 1 1 1 1 1 1 1 - I - - SCREWED SWING CHECK VALVE I 9 11 13 15 19 23 ( 28 40 I - - SCREWED ANGLE VALVE ( 16 161 1 8 18 118 18 1 20 20 I - - }-� INWARD PROJECTING PIPE OR -iED SUDDEN INCREASE 3 4 5 6 �9� 11 14 20 26 33 REDUCERS 11 1 I 1 I 1 I 2 f 2 3 14 4 17 FOOT VALVE - I .3 I 4 5 7 I 9 ; 11 116 121 26 }� BELL MOUTHED INLET 10 I 0 0 O I 0 I 1 1 1 1 1 12 -�- SQUARE EDGED INLET 11 I 2, 3 IJ� 4,` 1 5 7 110 113 16 REGULAR FLANGED RETURN BEND OR REGULAR.F.LANGED ELBOW I - 2: 2 3 .I 3 - 4' ;"5'`' 6 "'i `8 .I'.g_..._ . LONG RADIUS FLANGED RETD. BEND OR LONG RADIUS FLANGED ELBOW - 2 2 2 I 3 I 3 4 4 5 6 LONG RADIUS FLANGED 450 ELBOW I- I 1 I 1 I 1` 2 I 2 3 14 15 15 - FLANGED T -LINE FLOW - I 1( 1 I 1 I 2 I 2 2 13 , 3 f 4 -� FLANGED T- BRANCH FLOW I- 4 I 51 6 7 I 8 10 114 116 119 FLANGED INCREASER Q FLANGED GATE VALVE I- - I - - I 3 I 3 3( 3 3 13 FLANGED GLOBE VALVE I - 145, 57 163 74 83-1 98-112011561192 - i J FLANGED SWING CHECK VALVE - I FLANGED ANGLE VALVE I - 7 I 161 1 0 1 18 1 3 118 122 181 21 1 28 23 ' 30 40 153 39 ` 53 165 65 BASKET STRAINER - I - I 10 111 113 14 17 1 22 125 T 28 _ BRUCE R. FOLEY Public Health Director DEPARTNIENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental health (845) 278- 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 October 7, 2002 Luis Hernandez, PE Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, New York 10566 Re: Dear Mr. Hernandez: Proposed SSTS - 37 Croton Dam Road Corp. Pheasant Run Road, -(T) Putnam Valley TM# 84 -2 -70, Subdivision Lot # 14 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. •2: 3. 4. 5. 6. 7. The proposed study constitutes a fifth bedroom. Please revise the opening of the study to -.. provide_ a 6 foot. opening -with doors or-eliminate-it altogether. - y - - The laliel for the pipe between the septic tank and the pump tank needs to include "1% minimum." (Plan and profile view). The label for the stone in.the absorption trench detail needs to include "dust free." A force main detail needs to be provided. Calculations showing head loss due to friction and elevation needs to be provided. The pump operating range needs to be indicated on the pump curve. The force main in the profile needs to be shown with T -6" minimum cover and this distance should be labeled and dimensioned. The pump curve is labeled 4/10 horsepower but the table says 1 horsepower. Please clarify. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 2157 if any questions arise. Very truly yours, N" Joseph S. Paravati, Jr. Assistant Public Health Engineer JSP:cj �TlSl BRUCE R �FOM Public Health Director DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 LORETTA MOLMARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Date: /o/'yJax To: 14e-reltWdez Re: Props eA, 557'5 - 3 7 &v4n 0wo 4a 6*r phei,-Sao-f-goon 2o�k1Pu-1nAm W l e j 1: M. te I q- R -7o Dear This office has received and reviewed the most recent set of plans for the above mentioned project. We would Eke to offer the following comments for your review and consideration. This office will continue its review upon consideration of the 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 5 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT S- YSTEMS -•- : = ='a �. REVIEW SEMET.FOWC- ONSTRUCTION PERMIT NAME OF OWNER: J / CrO 0�" STREET LOCATION: P`s' �j REVIEWED BY: RM, GP �e SRDATE: q 3ti' . 0al TAX MAP#: (CONFMNM, �% 7D 5✓6 La.f /y Y N DOCUMENTS ( (JPERMIT APPLICATION ( X VYTLL PERMIT OR PWS LETTER V (CPC -97 LETTER OF AUTHORIZATION ( _)DESIGN DATA SHEET (DDS) (A(JCORPORATE RESOLUTION (__)SHORT EAF / ((__)PLANS -THREE SETS �cY1?17W SUBDIVISION (✓1F )LEGAL SUBDIVISION (3USUBDIVISION APPROVAL CHECIMD UUPERC RATE C_) ILL REQUIRED DEPTH C-JCZCURTAIN DRAIN REQUIRED GENERAL UC_JLO�TED IN NY ATERSHED (_J(_;)PLAN S ED TO DEIP (�(�DELE;; T i'GHD- /" (�(�DEP�PROVAL, IF REQ'D ((__)DEEP TEST HOLES OBSERVED C___)(JZPERCS TO BE WITNESSED C-J(___) APPROVAL SSDS ADJ, LOTS (_X-ETLANDS (TOWN/DEC PERMIT REQ'D ?) ✓UUDATA ON DDS PLANS & PERMIT SAME UUP U(U���! : ZOp XR.. FLOOD ELEVATION WIT 200' (C(,�SOIL TESTING LOTS >10 YEARS OLD ✓/ REQUIRED DETAILS ON PLANS CL- SEWAGE SYSTEM PLAN - (NORTH ARROW) �`�SSDS HYDRAULIC PROFILE GRAVITY FLOW C6(_ )CONSTRUCTION NOTES 1 -15 //( � )DESIGNpATA: PERC & DEEP RESULTS (jn 2' CONTOURS EXISTING & PROPOSED DRIVEWAY & SLOPES, CUT FOOTING /GUTTER/CURTAIN DRAINS (( __)USDA SOIL TYPE BOUNDARIES � )TITLE BLOCK; OWNERS NAME ADDRESS TM#, PE/RA; NAME, ADDRESS, PHONE# DATE OF DRAWING/REVISION DATUM REFERENCE LOCATION OF WATERCOURSES, PONDS LAKES,WETLANDS WITHIN 200' OF P.L. PROPOSED FINISH FLOOR AND BASEMENT ELEVATIONS CZj(ZJWELLS, & SSDS'S WAIN 200' OF SSTS PROPERTY METES & BOUNDS U(_JEROSION CONTROL FOR HOUSE, WELL & SSTS, EROSION CONTROL NOTE :OMMENTS: MVSHEET)09 /01/00 g Y N (REQUIRED DETAILS ON PLANS CONT'D) HOUSE SEWER -'/." FT. 4 "0'; TYPE PIPE CAST IRON (ENO BENDS; MAX BENDS 45' W /CLEANOUT RENEWALS (AFA- C- HACNGE) _)10' HORIZO AL; PAST NCH SLOPES 3:1 TO GRADE FILL SPECS / FH, 1 -5 -_)FILL PROF DIMEN iiNS 6r' )FILLANSION AREA CLAY BARPIER (J( )FILL CER A NOTE N � i (�(�DEPTH GAUG ice( )VOL. ON PL FOR R.O. ., CLASSIFIED &IMPERVIOUS C--)C-_)SEPARATwN DISTANCE FROM TOE OF SLOPE ( �) TRENLF TRENCH PROVIDED� y PARALLEL TO CONTOURS '0A. il> n1- G f Oi -QZUGEOTEXTILE COVER SEPARATION DISTANCES ON PLAN - FAOM'SSTS 10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL ;0' TO FOUNDATION WALLS 00100' TO WELL, 200' IN DLOD,150' TO PITS 100' TO STREAM, WATERCOURSE, LAKE (inc. expan)• 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER - _._. �) 10' TO WATER LINE (pits - 2G') : r. 50' INTERMITTENT DRAINAGE COURSE )200'/500' RESERVOIR, TC. _ 150' GALLEY EY SYSTEMS L� IR, ALL (_,_,)10' MIN TO LEDGE OUTCROP / SEPTIC TANK (v 10' FROM FOUNDATION; 50' TO WELL WELL— +�,�./ /p %� - 7/t/ Tnn•IITCrnt►7c nA ifnAtiE+r mi /r;Zn LOCATION OF SERVICE CONNECTIQN 4'4 �4 Tat (CUMIN 15' TO PROPERTY LINE � SLOPE (! )()SLOPE IN SSTS AREA �OW (S20 %) L-) ✓(_)REGRADED TO 15 %, IF REQUIRED A(_JPUMP NOTES DOSE/PUMP SYSTEMS OSE 75% OF PIPE VOLUME/DOSE VOLUME NO T ETA. F_UR FORCE MAI1!I�_(PIPE "TYPE;`ETC.) �/;e r�^ 6/ PTT AND D -BOX SHOWN & DETAILED •�,,� req (�1 DAY STORAGE ABOVE ALARM CURTAIN DRAIN _ ✓ J � t- _)(STANDPIPES, SIDS ,SF fBET�IL /" /'i' (_J( —)15' MIN to CDS- 00 , '-4%, 151-3%,351-16/o, 100%-<I% (_J(___j20' MIN to - D'DLSCHARG 0' with 182 cons day discharge (__)(__ )10' to NON - PERFORATED E loss a (� A 'pwAAA fl'"uju'� 4 �����wf �^nv"p 1 �[�� Vlv'INi;, �,;�� 014„7 i/�W�. W�u�S "ih n� �v�aw4 0� 'f1�, (lUW►0 cl�.fs.�,r �,�� � i NIN ENGINEERING, P.E., P.C. Lindy Building, Suite 200, 2 John Walsh Blvd., Peekskill, New York 10566 .(914),736-3664-o Fax. (914)736 -3693 September 9, 2002 Michael Budzinski, P.E., Director of Engineering Putnam County Department of Health Division of Environmental Services 4 Geneva Road, Brewster, N.Y. 10509 Re: SSTS Construction Permit Strawberry Knoll Subdivision — Lots 3,14 Pheasant Run Road, Town of Putnam Valley Dear Mr. Budzinski: The following information has been enclosed for your review, for each of the above referenced subdivision lots: 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 submitted, l/ Luis Hernandez Project Engineer cc: Val Santucci StmwbeMKnoll ,Lots3,14,PCDH,09 -09 -02 1. Three copies of the SSTS Plan. 2. Two sets of house plans. 3. Letter of authorization. 4 Affidavit Corporate Owner application. ... i 1, • . -: -. 5: _ - Apglicatioli for Approval f flans fo�7 a Wastewater-Tieattnent Systems M 6. Design Data Sheet — Subsurface Sewage Treatment. 7. Construction Permit for Sewage Treatment System. 8. Well Completion Report and Water Analysis for lot #3. 9. Application to Construct a Water. Well for lot #14. 5 ` . 10. Short Environmental Assessment Form. 11. Application fee of $600.00 ($300 /lot). 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 submitted, l/ Luis Hernandez Project Engineer cc: Val Santucci StmwbeMKnoll ,Lots3,14,PCDH,09 -09 -02 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES v. tr •lf�+ Vii!'• ... � g :.Y'— w b . ns. .4 . LETTER OF AUTHORIZATION RE: Property of 37 Croton Dam Road'Corporation Located at Mill Street (CR*23) / Lover's Lane) -- &0,N j20-, � T/T Putnam valley Tax Map # b'z/- Block ,9 Lot Subdivision of Strawberry Knoll Subdivision Lot # / Filed Map # .ZJ O0 A - i Date Filed N4,y i 5 j 2 ()Z . Gentlemen: This letter is to authorize Timothy L. Cronin III a duly licensed Professional Engineer X or- Registered Ar&itewot to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my be if in connection with this matter and to supervise 'on of said wastewater t4ea nt d/o Paw. er supply systems r in conformity with th le, 145.and/or 147. o th.e. du on, the Public. Health. : - Lew; and -the Pttnirr` ty SarRU 'C e. Very trul Countersigned r �,��' Signed: ca238o P.E., R.A., m (o er of P per4 Mailing Address 2 John Walsh Blvd., #200 Peekskill State N Y Y. zip 10566 Telephone: (914) 736 -3664 Mailing Address: 37 Croton Dam Road Ossining State m Telephone: (914) 739 -7362 Zip 10562 Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAiTM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for: Construction of SSTS and Water Supply T Val Santucci represent that I am an officer or employee of the corporation and am authorized to act for: - Name of Corporation: 37 Croton Dam Road Corp. Having offices at: 37 Croton Dam Road, Ossining, NY 10562 Whose Officers Are: President - Name: Address: Val Santucci (Same as Above) Vice President - Name: Same as President Address: (Same as Above) Secretary -Name: Michelle Santucci ^ Address: - (S'ai e as Above) Treasurer - dame: 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 relatin, Signed Title: Sworn to fore me this day of (month) (year) Notary Publ' KELLY M. LENT Nom Public, State of New York Cor- of No. 01 LE6026834 p ®uallfled in Westchester Counbt�. , Commission Expires June 21, C2Qu-- Form CA -97 allMctsjVf the #�rporation with respect I. Street Location Town DIVISION OF ENVIRON1VIENTAL HEALTH SERVIC Subdivision Lot # 1. Sewage System Area a. STS area located as per approved plans .......... .. ................ h. 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. * Septic'tank installed level ................ ............................... c. 10' minimum from foundation ..................................... d. Distribution Box 4 &� I n' a -qI� k-sr 1. All outlets at same elevation -water tesged ........ Protected below frost .................. ............................... 3 Minimum 2 ft. Original soil between box & trenches -- ®-- JH�6tlAn RnX nrnPner� 6t .. ............................ /., - 6. ren eT s 1. Length required Length installedy 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 -1' /?" diameter clean ...................: 9. Depth of gravel in trench 12" minimum .......:........... 10. Pipe ends capped ........................ ............................... g. Pump or Dosed Systems 1. Size .af purup- chamber .:..:.....:................. . / ................ 2. Overflow tank .......................... ............................... 3. Alarm, visual/audio. .......:..... ...:........................... `�'�` -„' 4. Pump easily accessible, manhole to grade ................. 5. First box baffled ........................... ..............6................ 6. Cyycle witnessed by H.D.estimated flow /cycle........... LQ. House/Buildirig 40a_ / a. House located per approved plans ... ....................:.......... b. Number of bedrooms ............ .............................. ........ IV. Well Well located as per approved plans . ......:........................ b. Distance from STS area measured 1/0 ft........... c. Casing 18" above grade ................ ............. .............6..... d. Surface drainage around well acceptable ....................... V. Overall Workmanship . a. Boxes properly grouted ................... ............................... b. All pipes partially backfdled ........... .............6...6............. c. All pipes flush with inside of box ... .................6............. d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to pl f. Curtain drain outfall protected & dir.to exist wate ours�e g. Footing drains discharge away from STS area ............... h. Surface water protection adequate........: .......................... i. Erosion control provided .........................6.. ..................... Rev. 12/02 l /!p ffly 0-/<, e/ V� uW-umm Mm - M= wo mm, ,. MINIM I ■ r� f ." SITE ,INS ECT'TON--FORIM—L ]P[ R' �:m Date: 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 omments: Reserved for Field Sketch if Applicable Required Length Required Width Required Depth Inspected by: 14-1ea C7A7) —T4ut 1: SEOR PROJECT I.D. NUMBER Appendix C State .Environmental .Quality Review .SHORT ENVIR614 t TAL ASSESSUENT; ,.. N FORM For UNUSTED ACTIONS Only PART 1— PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1- APPLICANT 13PONSCA 37 Croton Dam Road Corp., 2. PROJECT NAME Strawberry Knoll, Sublot # /9( s- PF4jECT LOCATIOit Putnam Count Munklpalfq Town of Putnam Valley county y 4. PRECISE LOCATION (Stmt addtsw and road IntsnwtWk pnominent lowmartts, etc., or provide map) Pheasant Run Road b. IS PROPOSED ACTION: ® Nary ❑ Espanslen ❑ ModlflcatloNalteratlon e. DESCRIBE PROJECT BRIEFLY: Construction of Subsurface Treatment System and Well Water Supply to Serve a Single Family house. 7. AMOUNT OF LAND AFFECTED initially 131 11619 l9 suss Ultimately a. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? MYes ❑ No If No, deeutbe brlNy I. WHAT 13 PRESENT LAND usE IN vICINrTY OF PROJEC'T7 ll----II ustrial ❑ Cial ❑ Agriculture L.: Park/Forest/Open space ❑ Otr. 2Resldentlal ❑ Ind ommerc Describe: - Surrounding Lands are zoned -Sing e-:Family- Residen=tial - - - 10. 000 ACTION INVOLVE A PERMIT APPROVAL OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL STATE OR LOCAL)? ®Yes ❑ No If yes, list agency(s) end pertnlUspprovels Town of Putnam Valley Building Permit 11- ANY ASPECT OF THE ACTION HAVE A CLIRRENTLY VALIO PERMIT OR APPROVAL? ��ySDOES EaYae ❑ No It yes, Ust agency name and perrttlUappr+ovsl Subdivision Plat Approval - "Strawberry Knoll Subdivision" 12. A3.A RESLILT OF PROPOSED ACTION WILL E=j No PERMITIAPPAOVAL REOUIRE MODIFICATION? ❑ Yes ®No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE 13 TRUE TO THE BEST OF MY KNOWLEDGE ,4,k,,,Vz0ww tin, Cronin Enginee ing, PE PC / Keith Staudohar Date: 4 -9 -02 Slgnaturt If the action Is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER PART II— ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED AHY TYPtd 1 THRUM= IN 8 NYCAR, PART 817.127 It yoo. coardlnato the rov ctu WOW" One uW the FULL EV. t J Yea ONG 1 ®• tIVILL AG71Oro RECEIVE COOROINATED REVIEW AS PROVIDED FOR uMUSTED ACTIONS IN a MYCAR, PART 917.87 It Mo, o nngativo docfarauon may bo ouporsedacjty mothor Involved agency. Oise" C,`COtJI.O AI:9i7LYiA3 Ell4iY k�bt tF:E EFirECTB A>$Bt iAYte� 1tY�P1 Yk� bL16WIPit novraro nr aq bo har4h7mten, It leglbtel Cl. Eslatfng 'ob quality, eurfaco or gfoundwator quality of quantity, nolaa lovolo, onlating traffic 9000 n0, solid aooto production or dlopaaal, potonlial for croalan, d1`01111090 Or flooding problontol Explain W1011 r. CZ Acagwitc, agrtcultumi, OW- ftaaological, 111810rle, of other natural or cultural roadurc= of Community of nolghbomoad chafma l Explain bdafy: C3. Viceotatlon or fauna, flah, dwilflah W 011dilto apacloo, Olgniflcant habltala, of th(astencd or cndangoecd ap=lcml Expfaln brIaW. / /04,t Ce. A casrtrltunity's existing plans or goala an officially adopted, or a chango In Liao or Intonalty of uoo of land or other natural raaoumool Explain brlolly C8. Gtatynh, ttubscquont dovalopmont. or rolatod aetivltlo0 ilkoly to bo Induced by tho proposed action? Explain Wally. 11/ l�yl.L• M Long torm, short torm, cumulativo, or othof affocts not Idontifkd In Ct-Q7 Explain Wally. ,442 . C7. Othcr impacts Qncluding cnangos In usa of olthcr quantity or typo of onorgy)7 Explain brolly. Pr,& 0. 10 THERE. OA IS THEAE URELY TO 02. COWROV91118Y AFLATID TO ROTENTIAL AOVZASE ENVIRONMENTAL IMPACT27 Cl Yen It Yoe. oxclaln Wally r'f PART W—DiFTERIWINATiON OF SIGNIFICANCE (To iii completed by Agency) NAt$B UCTtON& For c ch at&MM effoct kkn91red above, datormino wilothor It la subatantial, ;amo• Important or othertdoe algnl flew I. Emit OHOZ should 0.t asillosaW In conr4ctlon with Its (a) iloning p.e. urban or rumfj; (b) pnza0llity of occurrin (c) duration; (d) .Irrt lbdllty; (e) g®o Mahk stops; and (n magnitude. If neceaawy, add attachments or rofcm= oupporUng matsdab. Eneum that ®xp6anatlone contain surtiieiont dotall to tltlora that WI mimant advem impacts havo b=n W3nilPied and odequallWy addrimad. ❑ Chctt this bolt If you h avo Identiflod one or more potentially largo or nignificfant ndvenQ Imp€a n vhkh CLAY occur. Than procaed dirwtq to tha FULL EAF aErldlor pr(Varo a poGittw d-aclamtlaat. ❑ ChOck this box If you have detwivilned, biased on ttw infommtlon and arw"!$ fabow and any supporting docurmntation, that the proposed action WILL WOW result In any algnifleanQ coo onvironmentai Impacts AND provide on attachments as , the nesaons supporting this dwwrninath n: Man" as Load AVIMCY 1 lJ - r- VP* NdTO (M 0`700nZ164 KOf in Load AgtfKY - —`•, - �Ua Or K ltum of /S p K o A(gmy -" - �andtuR 07 Preparm () omm (n2m nisaaM1►e06e1 Off KQf1 . `. E I PUTNAM COUNTY DEPARTMENT. OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES D S :N �. 'A, ET - -.SUBSURFACE SEWA- GE-.TREA.-MENT SYS�'�Ei�v1� Owner 37 Croton.Dam Road.Corp. Address 37 Croton Dam Road, Ossining, NY 10562 Located at (Street) ?h1FA5f1N7' ki1N ",4V, Tax Map -ft— Block 2 Lot ___W (indicate nearest cross street) Municipality (T) Putnam Valley Drainage Basin Peekskill Hollow Creek �df f `� SOIL PERCOLATION TEST DATA Date of Pre - soaking 06-4G-00 Date of Percolation Test O �5 - / 7 - o D . Hole No. Run No. Time Start - Stop Ela se Time (pllin.) Depth to Water From Ground Surface (Inches) Start Stop Water Level Dro In Inc es Percolation Rate Min/Inch 2g� 2 / /�z - /�=� 21 I 2 2 3 9' 4 5 ( 7 3 `- 3 10 4 /z +t7^ 7 30 - —2'f 3 10. 5 1 2 3 4 5 V 1 EJ: 1. I gists to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, < 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements. to-be made from top of hole. Form DD -97 'EST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 2 HOLE N0. %28 t3 - HOLE N0. G.L. a. -To a> L 0.5' ..8 1.0' 1.5' 3rcva ti� ti,.c 2.0' 2.5' 3.0" 3.5' 4.0' e5r rnnd tLd , . 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.5' 10.0' /D'' OUP "v1 5Cwntl 2 Indicate level at which groundwater is encountered WA Indicate level at which mottling is observed Indicate level to which water level rises after being encountered N% Deep hole observations made by: Adam Stiebelin.z/ Keith Staudohaur Date D —may- PCDH I. Cronin Engineering,,----, Design Professional Name: Timothy L. Cronin III ' ., Address: 2 John Walsh Blvd. #200 Peekskiiery 10566 Uj ' 4! Signature: 6no'^80 Design Professional's Seal a v i A. IA. A" v v %./.L It l i L 1J1 r11 %, X IT J1 \� V 1' 111Jr11J j n DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: 37° Croton I)am -Road~ Corp. 37 Croton Dam Road Ossining, New York 10562 2. Name ofproject: Strawberry Knoll 3. Location.T/V: Putnam Valley. . � . 4. Design Professional: Timothy L. Cronin I11 5. Address: 2 John' Walsh -Blvd; 200 Lindy Bldg 6. Drainage Basin: Peekskill Hollow Creek Peekskill, New York 10566 7. Tvpe of Project: X Private/Residential Food Service Commercial. Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review,(SEQR)? Type Status (check one) ........................ ..........................:.... Type I Exempt Type II Unlisted x 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... No 10. Has DEIS been completed and found acceptable b Lead Agency? N/A P P Y� - Y . ............... 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 io7such authorities? ....................................... v 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? ................ NO 21. Name of sewage system N/A Distance to sewage system N/A 22. Date test holes observed Aprilway 2000 23 „.r. Name of Health InspectorAdam Stiebeling 24. Project design flow (gallons per day) , . ,, ...... ;,. .......... 800 cal /Day 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?... No 26. r Has SPDES Application been submitted to local DEC office? ......................... No Form PC -97 2 27. Is any portion of this project located within a designated Town or State wetland? /d® 28. Wetlands ID Number .....................:..................................... ............................... N/A .2-9. ��Is .- Netland8'Permit--requtred ?- ..:.::..... ... r..... ....:: : ........................ 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, landfillinQ sludge application or industrial activity? . Yes/No 3?. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? .......... Yes/No No DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ......................... YES 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ...........:.................... ............................... NO 35. Are any sewage treatment areas in excess of 15 /o slope? No Q ° . ............................... 36. Tax Map ID Number .............................. ............................Map 6 , Block 2 Lot '` 0- 37. Approved plans are to be returned to ..... Applicant x Design Professional be=serrt to l applications for review and approval of a new SSTS to be located, within the NYC Watershed shall NOTE: All applications for rev p neecitrotbe' sentin 'duplicatttuthyDEP;although-1 e`project'mayiequireDEP 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. I hereby affirm, under penalty of perjury, that information provided on this form is trace to the best of my knowledge and belief. False t ents made herein are punishable as a Class A misdemeanor pursuant to Sec ' n 2X-45 of the Penal Law. SIGNAT'UR.ES & ®FFICL4L TITTLES. Timothy L. Cronin PE Mailing Address :.... ............................... Cronin Engineering, PE PC ._1 -.1 , 2 John Walsh Blvd; 200 Lindy Bldg; Peekskill,NY 10566 Ile PL-y 14- ---b.-e J p- beivvteo e 1 r-J 1 k �m-4 A __�p rictu cte, '.7, mIriv 4e- SAoo,,- in + e- A5.1 ilD �104 -7PndL neZd,s 4--) ;r7CIIV41P du s A-(-nrce.' M &4-; Y7 di4A neAP-d-S 4BI kP IZV 4-tie- p,no(j*la,--neeJ-s---- be OCA 7FO IN 'S 7RA HER ON is Lor ITDS EFFLUENT USN r PUMP OPE T E41 wopEwry 7Hr PUnVAM COUNT) r-VOjW ON- A MAP RLED /At • 4ql� No. 2900. ON jwA Y'15, 2002 AS MA 44&f.n" J`CRFLV4fCD PW LOCA W IN 24' '-VALE.' IRCKCH (ENDS ARE CAPPED) {SELL 76' 4; s t f 0 17 d rt v pW PIPE FROAf SA 8 ox I-,,-,. � - r"r WSIX1841pav Bar WTH 8AfTLE - . Q'ee,�z NO. 14 ot I PW outLer LAC _,--,=,w AW PURPOSE X, (c4pnro WSW BOX) 24 4 10ox IAPAN90N AREA JGK.L -4'o CA:77 &WSUvC VAfCR SEROCE UNE Row PzFf -4- SORJ5 FPC WA M?. wu WZ L 2010 8. ALARM, AtUjD)6 AIIVI .1� -,(LOCARaV IN BA56WENO 1250 GAL. C6WC. PUMP CHAMBER 20 m JB Ab wM.6,0005 ErnoENrpump A%,r4i fyj 66 20 AO 1;12 c Pa YEW.YLEW FORCE i"f 11-50 CALLaV CeWCREIE SEP77C rA✓K 20 p fa-m ROLL` VISCHARCE1 rO Oa nJwr 4 76 M JO 0 22. t. W dO A, A I n IG ,S7-RAW6?ERRY KNOLL — LOT 014 AS—BUILT SEWAGE TREATA4ENT SYSTEAS SCALE: :1 T op = -30 FT- THIS IS To CCRI fy THAT THE SEWACE DISPOSAL SYSTEM WAS T AT TLC cvc7r" I 3C1f.. F. -I`l CASI f _- -J(JOR Gxrnrraw• •..- O� £XIS7180 WA!£R SERNCE CZNE cso s Ij t EXISONG DRILLED WATER M£4 AOD 10 AND VISUAL ALARM✓ (LOCARON IN BASEMENT) 70 In (4! f0 e 1250 CAI CUVW PUMP CHAM64R J8' !6 to • /•'7s NTD! GQULOS £FFLUF.lJT PUMP Jpf'�! \\ _ O m I�IU.m 120 GALLCN CaVCREFPTgN ±ifCKF-1 1 j7^ w PCENYLEhr FRCE UN£ I o _°� 7�,J !E w FOOnNG ORA /NS AND 1 - A - ���d p 'ROC,`" LEADERS M,E TO DA YC wMd/T rdi 28 m .? L. DISCkA �+� �✓A�NT 'Ir r8 m i 30 0 1 to bb G TANK ISUNC£S A B ZPP77C TANK 50' 43 5' AMP OYAMBER 56' 53.5' 'maunow Box 113' 160' ZANCES TO ENDS OF SSTS A .8 OF .1ST• FRENCH .51.5' 124' OF 21VD. FRENCH 48' 118.5' OF 3R0. TRENCH 45.5' 113' OF 4TH. TRENCH 43.5' 108' OF 5TH FRENCH 42.5 103' OF 6TH. TRENCH 42' 98' nr 7YY TRENCH 42.5' g3' r6 m a�} DISTANCES rO START of S,sTS A .8 START OF tST. TRENCH 107 156' START OF 2ND. TRENCH 106' 152' START OF 3RD. TRENCH 105.5' . 1485' START OF 41N, TRENCH 105' 145' START OF 5TH TRENCH 105.5' • 141.5' START OF 6m.. TRENCH 106' . 138' START OF 7TH TRENCH 106.5' 135' m , S.YRA WSERR Y KNOLL. L.O T ,4r9 4 AS- -SUILs T SEWAGE TREATMENT SYSTEM SG�L.�� , 9 " JO a-i: 4 PUTNAM AVENUE r 6R4'WS7FR, N. Y. 10509 SUSSURFA. SEW GE 771?EA WENT SYS Mo. i�[/l�a CONSISTS OF A f2 GALLON CONCRETE SEP77C TANK, 1250 GALLON CONCR * PUMP CHAMBER Nli l GOULDS PE41 PUMP AND 448L.F. — 470 PERFORATED 417 PVC PIPF -1N 24 "_ AVEL 1RL'NCH. PUTNAM DIAS(ON t 37 G)ROTON DAM 0 CORD 37 CROWN DAM ROAD CORP. 37 CROTON DAM ROA© 37 CROTON DAM ROAD APPROVE OSSINING, N. Y. 10562 OSSINING, N. Y. 10562 1:. APPLICAE PUTNAM PRIVATE HELL BY- PEEKSKILL HOLLOW BROOK P F PEAL & SONS /NC (CITY OF 060-cell WATERSHED) A 4 PUTNAM AVENUE r 6R4'WS7FR, N. Y. 10509