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Home My WebLink About4593DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.07 -2 -3 BOX 35 I rm NJ I a I IN , a . r-r IN, ' J Is r ' =` I b L ;; r IN it ,I , , AWL i i ; IN. ILNIL 04593 .. - : -. . -. T�.�v .- ,; �, ..r -. �m ',..�i'g�'.s. �ya`''� . w«rw -�."•',� -. � -.�:... .,�.:,„- �.�.hv � "'�, _;:,,�y � : `l "'� .. ldu rw�hl H► a dlb F /L Ba __ �� D� CSIICAT lw�lt M N � CB �•,g I cu. 5�3tDL7i0N akson DISPOSAL SEWA� (ft� Ij{ �t _'Y r _ r . i -.1 Y. d - -_E:.. ':.. w �� .��.- ' s eia1�' P°✓? . ,�,.,�'" j o `�. a•• Laoatad alt � �'� :♦K9 " ?��,$ .`5 eS� �.. �.�ORIa .Q {� ,%f'�� . `.. Slaw. xoe .�. »sue Ytj"r %stl6a tat r, Oevkbo p PrOVIVINS Pate of M Aadaar $''es! I v r 3ar> eifi �/ r �� I Town KO WAI Z5,11 lO S 9 . Dai Subdivision Annroved•• '�' - Fee- Eiicloged-LK .Lot Aeeh J�• � • FFII Sectlo� 0a�y Depth voltage f Nobar d H�tieoeia - DealQo Fbw G P :D r t f PC® NollOcatlos 4 Yewakat When Fm is aowfisted SapanM a . Sewaaa�e Syta:q oaaawtt f! °' G.Ba.' S�ptic Task 'f1 '. f Weer sqq p A HP Sapp / Ftrliiii Aadre:e S F an Y ti..,.r. DOW by sia... - d represent °.that 1 am wholly and eompNtaly nsponsabN:(or the dasign and loution of?An* propotatl system(s); t).that the separate aw di sal s slam above dour ibed will bi constructed as shown on the approwq amendment,the►e to and _ -in acco► the standards, rules a repu M o nam 'County Department .of _lfealth, antl that oe'eomplelion`thereof a "Certificate Of 'COnstr " ytisfattory.to ten Commisfloner of Health will !M sub to tMoDepeAment, and:a- written auaiarit« will -tae fain{ shed the own i� asaions by the buikks►, tMta.a bulkier will r ppte irr pOd operelMq "eon'dkbn any part of aid Sinia" d sposel Fsysten► tlurinq° s lmn"lately following the date of the iau• OP40 of the apaevat of ;the. Certificate of .Construction' - Cornpliarrce 6f ,the orgi - an ► s atol 2)'UNt the'drilled well desa(bed above well be IoeiHtl as shown on ten app►O,ied plan and;tMt saW welt will lie InstalkrA in . i rM t rules mini rayu SMs' of the Putnam. County Depart two of Mealth. q •' Date / f . Shined P,E R A, i car /IJGI's- x y Wv.� Atldres- icense No - t;r, x 4 APPROVED FOR CONSTRUCTION This approval aapkit. two years fro the Mfg .i3 ` �' of the Uuiklina ,has been undertaken and is 0 x ;private- ?Aahritljiply only. , , • Title DEPARTMENT OF HEALTH Div,ision..of Environmental Health,Services .4 Geneva Road Brewster, .New York 10509 (914 ) 278-6130 W 7_1 sz er PCHD PERMIT V 77 j, ;WELL* LOCAT ION re wn , age �Stet Adjress To/Vill,/C Tax .1Grid Number 4; 00 'vNe- y '741-7 . WELL OWNER Name Mailing Address' 0 'O'Private Public , USE OF WELL 1 -',Primary 2 -'secondary RESIDENTIAL 0 BUSINESS. D INDUSTRIAL. 0 PUBLIC SUPPLY C3AIR/COND/HEAT PUMP /0 0 FARM C)TEST /OBSERVATION t3lNSTIT'UTIONAL 0STAND-BY ABANDONED 0 OTHER (specify C3 AMOUNT OF USE YIELD SOUGHT. g p, m # PEOPLE SERVED /EST. OF DAILY USAGEd-?Cl Sal, .13 REPLACE EXISTING SUPPLY ❑ TEST /OBSERVATION G1 ADDITIONAL SUPPLY NEW SUPPLY NEW DWELLING) 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR .DRILLING WELL TYPE rM JaDRILLED. 13 DRIVEN. ODUG 0GRAVkL 0 OTHER IS WELL SITE SUBJECT TO FLOODING?' YES NO IF WELL IS LOCATED IN A REALTY-SUBDIVISION, NAME OF SUBDIVISION:. R-e- 4 r !j Lot No. -WATER WELL CONTRACTOR: Name. W` Address: IS PUBLIC WATER SUPPLY AVAILABLE TO.SITE:, 'YES A-' NO NAME OF PUBLIC WATER .SUPPLY: 41 —7 TOWN/VIL/CITY -PROPERTYv FROM' NEAREST WATE R bUI k 01 DISTANCE TO F LOCATION SKETCH & SOURCES OF CONTAMINATION. PROVIDED MON SEPARATE SHEET Jdate") (signature) PERMIT'TO CONSTRUCT.A WATER WELL This.permi - t to construct one water well as set forth 'above is granted under the provisions of 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 w6ll'construction,the applicant 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 attached to this permit. .3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling-ooerationg,,,',the applicant 'shall take appropriate action.to assure that aqy�and all wateror waste products from such well drilling,,oper.atiofis be contained on this a property and in such a anner s not to dE igrade or other / :�s,�/clontam t ie,*su'rface or.groundwater. Date of Issue: 19 ..-Date of Expiration 19 Permit Issuing Official 'Permit is Non-Transferrable White copy:'HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller .,. A DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Frank Sullivan 2972 Ferncrest Drive Yorktown Heights, NY 10598 Dear Mr. Sullivan: Acting Public Health Director November 22, 1996 Re: Proposed SSDS: Ramirez Wood Street (T) Putnam Valley Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should. contact local wetlands officials in this regard." 1. Current codes require topographical information for the entire parcel. Contour intervals of 10 feet are acceptable, outside_ the itmmediate . SSDS area.. 2.- Docp-tesCand percolation test hole'locations ire to be sfl�own ^on the 1" = 20'�plan. - �' 3. Contours are to be shown on the 1" = 20' plan. Upon receipt of a submission, revised to reflect the above, this application will be considered further. Very truly yours, Robert Morris, P. E. Public Health Engineer RA&jp PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: property of Located at _Section _ZLd_7 Block Lot Subdivision of 13 Subdv. Lot 'Filed Map # Date Gentlemen: This letter is to authorize l/ //� �A� ell, a dull licensed professional engineer �r regiisteiged architect (Indicate to apply for a Construction Permit for a separate :sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated.by the Commissioner of the Putnam County Depiartment of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said sYs eo or systems in isoiiformlity',WithttiL rovision 147, Education Law, the Public Health Law, and the Putnam County Sani- tary rode. Courit,rsigned: P.E . JAW" A4 .......... Tel epone Yer;q truly yours, ti Signed .'0wner of -ZProperty( Address Town Telephone AIPPENDIX 3 PUTNAM COYJIN -fY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL. HEALTH SERVICES - �I�I1�atNTD A-p WATER SUPPLY. S- .BSw0RF.AC'E.:SE AGE DISPOS- L SYSTEMS._ .. ._ .�' - ,..e,.. �:•.,:.« ... �..... �. �.:- ' : STREET LOCATION NAME OF OWNERS BY B. HEDGES R.MORRIS OTHER DATE (�/ tPTAX f.1 AIll. - - DOCUMENTS. Y �VERMIT APPLICATION I -VJ WELL PERMIT W PW S LETTER r] ENGINEERS AUTHORIZATION_ M DESIGN DATA SHEET(DDS) M CORPORATE RESOLUTION M PLANS THREE SETS M HOUSE PLANS - TWO SETS M VARIANCE REQUEST SUBDIVISION rxl GAL SUBDIVISION SUBDIVISION APPROV HECKED m PERC RATE CD FILL REQUIR DEPTH m CURTAIN DRAIN REQUIRED MSTANDPIPES KF IZXP. AREA; SHOWN; GRAVITY FLOW, SUFF. SIZE PUMPED PIT & D BOX SHOWN & DETAILED MIOUSE - NO. OF BEDROOMS WELLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM ROPERTY METES & BOUNDS OUSE SETBACK NECESSARY (TIGHT LOT) tOUSE SEWER - 1 /4 "/FT. 4 "0; TYPE PIPE r'NO BENDS; MAX. BENDS 45° W /CLEANOUT FILL SYSTEMS LAY�AMER 10 FT ORIZONTAL: SLOPE 3:1 TO GRADE FILL SPECS . m FILL NOTES FILL CERTIFICATION NOTE GAUGES PROFILE & DIMENSIONS, i& w GENERAL FILM IN EXPANSION AREA m EX- APPROVAL SSDS ADJ. LOTS ED WETLAND ( JOVYN/DEC PERMIT REQ ?) TRENCH m DATA ON DDS PLANS & PERMIT SAME L TRENCH PROVIDED Yo' M60 FT MAX — M PRE- 1969 - N19GHBOR NOTIFIFICATION ARALLEL TO CONTOURS .:wi E.?��.4'AN IM- PROVIDED . m 100 YR. FLOOD ELEVATION _ /n RE UARI D DETAILS PLANS SEWAGE SYSTEM PLAN (NORTH ARROW ,S-SDS HYDRAULIC PROFI VITY FLOW CONSTRUCTDNNOTES (GRINDER NOTE) DESIGN DATI: TERC AND DEEP RESULTS TWO -FOO -r ONTOURS EXISTING & PROPOSED DRIVEWAY I SIOPES CUT FOOTING /GU- TIR/CURTAIN DRAINS EROSION C4NTKOL; HOUSE,WELL, SSDS EROSION COITIOL NOTE PERC & D IP—E HOLES LOCATED REPRESENTPEDE OF PRIMARY AND EXPANSION LOCATION NAP a SEPARATION DISTANCES SPECIFIED ON PLAN 10' TO P.L., DRIVEWAY, LARGE TREES TOP OF FILL 120' TO FOUNDATION WALLS ffi 15' WELL TO P.L 100 TO WELL, 200' IN D.L.O.D., 150' PITS 100 TO STREAM WATERCOURSE LAKE (INC.EXPAN) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (PITS -20') ,50'INTERMITTENT DRAINAGE COURSE 200 FT. RESERVOIR, ETC.m 150 FT. GALLEY SYSTEMS 15' MIN TO C.D. S= >5 %,20'- 4 %,25'- 3 %,30'- 2 %,35'- 1%,100' <1% 20' MIN TO C.D. DISHARGE /100' WITH 182 CONS DAY DIS. SEPTIC TANK =I O' FROM FOUNDATION; 50' TO WELL COMMENTS: PC -j PUT NAM COUNTY DEPARTMENT OF H EA LT H "" AIsPL '��A`l'101�T'�t1� "APNF2�71�� OF' P'L'ANS FOR "b °,Fi�S'I'�WAI'�"2i � UiSP��L'"I;YST�t� 1. Name and Address of Applicant: 2. Name of Project, �%� Jd 3. Location T /V /C : 4. Project 'Engineer: ✓�/J 5. Address :��cr�jT �r License Number: ;2y 4 Phone: d -- 9,7-3'9 .11000' 6. Type of Project: 1/ Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision 'Other (specify) 7. Is this, project subject to State Environmental Quality Review (.SEQR)? eo Type Status (Check One)- Type I.. Exempt Type II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? .....° 9. Has DEIS been completed and found acceptable by Lead Agency? .... �.. 10. Name of Lead Agency .i'1.:`. ts_b,?e ?.'-_:.,j_n _A.r, eras. uhcier-the ;Gintirol ;4f' Jocai:)annirty; .zc;nina,,� orother officials, ordinances? ......................................... 12. If so, have plans been submitted to such authorities? 14*0 13. Has preliminary approval been granted by such authorities? Date Granted: p��6 14. Type of Sewage Disposal System Discharge....,. Surface Water I� Ground Waters 15. If surface water discharge, what is the stream class designation ?........ •�✓ /� 16. Waters index number (surface) ................. J¢' 17. Is project located near a public water supply system? /✓D 18. If yes, name of water supply ' Distance to water supply j 19. Is project site near a public sewage collection or disposal system ?..... A110 20. Name of sewage system Distance'to sewage system 21. Date test holes obterved: 22. Name of Health Inspector: 23. Project design flow (gallons per day) ....... ............................... 11/93 PC =1 a . PUT NAM COUNTY D E PART M E NT OF H EA LT H [ * _ a.- APPLICAT3-ON"FOR A -V OSAL SYS7 M 1. Name and Address of.Applicant: 2. Name of Project: 3. Location T /V /C: 4. Project Engineer: License Number: Phone: 5. Address: 6. Type of Project: Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality, Review (SEAR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? ............. 9. Has DEIS been completed and found acceptable by Lead Agency? ........... 10. Name of Lead Agency _.. tI...Is.,thz.s:�2Ci?p�t, ..in'.an_arpa.�jnclr. the,cGri± o. �7� .Loca1- wglarininR.;,zo.nin9: or other officials, ordinances? .......... ............................... 12. If so, have plans been submitted to such authorities? .................. 13. Has preliminary approval been granted by such authorities? Date Granted: 14. Type of Sewage Disposal System Discharge...... Surface Water Ground Waters 15. If surface water discharge, what is the stream class designation ?........ 16. Waters index number (surface) ..................................... 17. Is project located near a public water supply system? 18. If yes, name of water supply Distance to water supply 19. Is project site near a public sewage .collection or disposal system ?..... 20. Name of sewage system Distance to sewage system 21. Date test holes observed: 22. Name of Health Inspector: 23. Project design flow (gallons per day) ....... ............................... 11/93 1.0 2. s 24. Is State Pollutant. Discharge Elimination System (SPDES) Permit required ?.. Ale • Al 25 Has SPDES Application been submitted to local DEC Office? ............... A 26. Is any portion of this project located within a designated Town or State wetland? . ............................... d WW 27. Wetland ID Number ........................ ............................... &A 28. Is Wetland Permit required? .............. ............................... .e'l Has application been made to Town or Local DEC Office? .................. 4Uv 29. Does project require a DEC Stream Disturbance Permit? 41d 30. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, A11d landfilling, sludge application or industrial activity? ......... YES or NO 31. Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? ..............YES or NO DESCRIBE: 32. Is there a local master plan or file with the Town or village? ........... Y40 33. Are community water, sewer facilities planned to be developed within 15 years? 34. Are.,any.sewage disposal-areas-in excess of 15% slope? . u . .• - -.m. sue. t -. .. � . 4� .�'�► �. rS:.. -.... o -e w. .. ' �� ^��.€ � � ... ., a �.'.w -• -�.. r! . e n r _ Or• .4.� .w.. +si. u. ... ...,o +M _ ..tee h 35. Tax Nap ID Number ......................... ............................... 36. Approved Plans are to be returned to: ................ Applicant A""' Engineer If the application is signed by a person other than the applicant shown in Item 1, the application must be accompanied by a Letter of Authorization. Failure to comply with this provision may be grounds for the rejection of any submission. % hereby affirm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A Misdemeanor pursuant to Section 290.45 of the Penal Law. SIGNATURES & OFFICIAL TITLES: MAILING ADDRESS: _ __1G�� %� /y4-Z:7 �/ /' we) we U4 z & •• •' " -410. 0 VA m; I ok 1 b'4 W; mi 30 DESIGN DATA. SHEET-SUBSUFACE S& AGE DISPOSAL SYSTEM FILE NO. Owner Address 1 Located at (Street) Sec. 8',4',P-7 Block 2- Lot —3 (indicate nearest cross street) Municipality Watershed MCOUNY ki (PQ RJ Date of Pre- Soaking Date of Percolation Test HOLE NUMBER CL= TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start-Stop Min. Start stop Drop In Min/In Drop Inches Inches Inches /0 / ? 4& D11 XY J/ a�7 //!Y 22 �` r3 1v 3U el 3 3 4 5 -;>, 3 3e�, -3 5 NOTES: 1. 2. rev. 9/85 Tests to be repeated are obtainedat each for review. Depth measurements to at same depth until approximately equal soil rates percolation test hole. 'All data to'be submitted be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES G.L. r7 i�l �rJ /y Iff 2' 3' ly C;Z& a c� 4' 5' 6' 7' 8' 9' 10' 11' 12' 13' A INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED (� DEEP HOLE OBSERVATIONS MADE BY: �7— l J 4.1,11ji DATE: DESIGN Soil Rate Used Min /1" Drop: S.D. Usable Area Provided eee'- No. of Bedrocans 3 Septic Tank Capacity/0&67 gals. Typea dl9 e f� Absorption Area Provided BY, Other 7 C� /!�% L.F. x 24" width trench Name �� Signature �oF NEw io Address �� ✓� C a-�- ��%%,'A EAL _ q tl %l AepAl"; THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date 0 All j ;Putnam County Department of Health DI'lAion of Environmental Health Services noted for, conformance with c a - a e Rules and Regulations of the Cc Health -DepartTelt/ Si, tune --- q � & Title ft ,ra a I -All f 74--,l NO 0 IL 44 j eA' It 'IQ