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Home My WebLink About4609DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.07 -2 -25 BOX 35 ' -:: L7 .L l , ' l L , :6 61'1 1' ,. I JL . 61im". k+*L 1 • 1 • ` PUTNAM COUNTY DEPARTMENT OF HEALTH Divides of Environmental Health Seevkas, Carmel, N.Y. 10512 EngMeer to Provide Permft M on CERTIFICATE OF COMP f '`tU ON Pll N FOR SEWAGE DLSPOSAL SYSTEM jj Perullft x ° v led at _44 // own or Vulage hislon Name Sabd. Lot N TU Map -FO Block ®� tit 4P rr > 1 Ronowal_ p Rovteioa O m /Applkaat Name OO �N >✓ri �� (J �j Date of Previous Approval htg Address / 7 ® Cl �f le —__ POMP t/T tri Town ZIP nag Type y �r/� % 19 Lot Aeea P / -- Fill Section only Depth Volume ! ber of Bed coma Design Flow G. P D PCHD Notification Is Required When FS Is aft Sewerage System to consist of �d��GAan Septic Tank and i e < To be constructed, by r!/n oe % Address i'i c Supply: Pdtillo Supply Frotn —Address on ✓• Peivsfe Simply Drilled by ~' — Address '"s Requirements 7 j Ca /r —,n2 t; s 2 -W/? _0 C�i^y4� -�/� (sent that 1 am wholly and completely responsib le,toc,the•design-and-loeation o~ t the proposed system {s): 1)' that A _se_par sew6_disposal system dese� ,ibed..will,be,constructed`as shown on the approved amendment there to and in accordance,w t Department of Health, and that on completion thereof a "Certificate of Construction ;COmI emitted to the Department, and a written,' guarantee will be furnished the owner, his success- in good operating condition any part of said sewage disposal system during the period of"IP •f the approval of the Certificate of Construction Compliance of the original system or a' located as shown on the approved plan and that said well will be installed in ordance pDepartment of Health. a lJ 1/� Signed T— �-�`�7 ?ter•° r_ r,s y, . . Addra:s.- VED,�..CJ�JSTAUCTION: This approval expires two years from the date issued unless c le for cause or may be amended or modified when considered necessary by the Commissioner a new permit. Approved for disposal of domestic sanitary sewage, andpor pr iv a water i Commissl 'liar of Healthwill builder, the said buildir -will ollowing thedate of the issu- dri(ted well described above u 7P.E.; i ns of the Putnam N.A. fso No has been undertaken and is or alteration of construct Ion D>bPA A>P �lb� d)(+rrpvvfMe Psti.1t \ )Id�et>SaeQeallaaa�d e.etli jieaeli�ei. tDalsaal. 11.T. atiliH9 � �n IcaI1�uAIKS . W"-VAM in UWA'118 Dpi, RCS �i% L L suet 715 Us, ems" Dais of Ftevlew App rival Tam v ate Subdivision) A220ved Fee Enclosed ® Amn„ /nt /tom tM °��- f�!J/S�i�% " Imt Aka �0- 04U,- l 1 �� FM Seep Ouly LJ DW& Viltaa mlbar d . Ddtgd Flow G P D e CC, PCHD NetQdaden la Re4dired WbM M r emu~ Plunge Sawmw b Model, of ✓p d a Tom Er � //O42� >� L' li be:esslaNs>risd tw Adare= 419 r �/ ir�J'rU aft Sapft r dd be, gaffQy FbaaP Address en�Mvata SIf 11111117 DaMad by Adtbrae spreaM'ahat 1 am wholly and Completely refponsib a for the design and location of the or posed system(s)1 1) that tM ssparate sawape WWI", r�atem j era described will be constructed as shown on the approved anwndment there to and in accOrdan with the standards, rules a� ►pu mi arty Dopwins - of meelth, and that on Completion thwW a "Certificate of Constr ' atisfectory to the Commissioner of Nealthwlll Submitted to the DOPertment, and a written guarantee will be fumW%sd the or aligns by the builder. ti nt mid buWw will s:O is pea dPwafbig coaaltion any Dart of aid sewage disposal system durleg _ to $1 s hnmedistely follow" the date Of the Issu. a of the aPOreral W tow Certificate of Construction Compliance of the orig sy Ror any re`gi s It -. 21 that the drilled well deewabd above 1 be leeKed as slwaaO on the approved OW alt that ma well will be installed In he d rubs. and reguI nt�s of/the Putnam way jDGPOrtWANR O1 omauh. t P,.E).,v to A U, 1 No PROVED POP CONSTPUCTION.Th aPprwat expires two vows /rom the date 1 soh I ii of the building has been undertaken and is aceble for cause or may boa Lt or when consWered neces ery by t Conmiisa tok �� 'lth. Any change or &ablation of construction wires -a- new -per ^A�PW*vedd.- for- dispos/al _of -domeatk-ssonkmyry':awo andior-prWate:water _ agdp `only: - - r�7 PUTNAM.COUNTY DEPARTMENT OF HEALTH DlvWm d Eavlroamental Health Sarvloea, Carmel, 1R.Y.10513 -r. Ei6eer tiaSat Piovlde•".'I 0 / I- - a J P.C.H.D. Permit i CATS OF C Located at A/C 9a Matuog Addren -fi� Fee Enclosed FOR SEWAGE DISPOSAL SYSTEM Separate Sewerage System built by h /046002-01_ Address Consisdug of .116 d 10 Gallon Septic Tear and 1L / 6A7LI�b,nlrt �..�d 1 y Town or Vatir Tax Map stf 7 BIB y Wow Supply: Pablle Supply Feem Address on Private Supply Drilled by Addresa _ 1060 �.PW Ak gR tin Q-A gdymg Type � Lot Size_ 3� Has Erosion - Cn�n/trnl Apps rnm 1 pr y Number of Bedrooms Hae�Garbage Grinder Moen Installed! --Ly O o Other itetjuseements �T! I certify that the system(s) as listed serving the above premises were constructed essentially as shown the plans of.the completed work-('copies of which are attached), and in accordance with the standards, rules and regulations, n accordance with fir plari,'a:W the pezmit iagued by ,the. Putnam County D partmen Of Health. yy/ \ s Data ��,7� Certilfied by P.E, lt.A. Address Nr/ Lks na No. Any person occupying premiss served by the above System(s) shall promptly take such action as may be noessary to secure the correction of any unsahltary conditions resulting from such usage. Approval of the Separate Sewerage system shall become null and void a$ apon•as a pubt;: Unitary sewer beooma available and the approval of the private water supply shall become null a ld when a public water supply beolimea available. Such epprov&IS ere subject to modifhatbn pr change when, In the judgment of the Co Hof Malth, s�h�ravogtbn, modlfkatbn o► Change Is neeapry, DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 = T - • �AFP3�Ii: `P3 3N' I'Ci`Z.UNSTkdO A MATER WELL PCHD PERMIT # ber I WELL LOCATION Street Address ae �� Town/Villa e ity. Tax •Grid Number a Yp i 2, - P.4 o r WELL OWNER Name ` Mailing a 474 f3' A",vh �` %�� Address ��% c� &a G iva.te D Public USE OF WELL 1 - primary 2- secondary BIESIDENTIAL 0 BUSINESS 0 INDUSTRIAL O PUBLIC SUPPLY ❑AIR /COND /HEAT PUMP O FARM (:]TEST/OBSERVATION O INSTITUTIONAL O STAND -BY 0ABANDONED ❑ OTHER (specify O AMOUNT-OF USE YIELD SOUGHT gpm /# PEOPLE SERVED 4 /EST. OF DAILY USAGE oE,. gal REASON FOR DRILLING EW SUPPLY OREPLACE EXISTING SUPPLY O PROVIDE ADDITIONAL SUPPLY 0DEEPEN EXISTING WELL O TEST OBSERVATION DETAILED REASON FOR DRILLING WELL TYPE 2DRILLED DRIVEN EJDUG GRAVEL E] OTHER IS WELL SITE SUBJECT TO FLOODING? YES r' NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: o Lot No. WATER WELL CONTRACTOR: Name �e-cyl %�ia�• Address: iii nS�e� et/l% IS'PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES 1/ NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY -.- .DISTANCE TO, PROPERTY TROM -NE ST '�IAiEK' MAIN.%"li fry. LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED O ON REAR OF THIS APPLICATION [DON SEPARATE SHEET (date) �a�.4 f¢sig£ Eur PERMIT NJ TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted unler the:y`'i provisions of Subpart 5 -2 of Part 5.of the New York State Sanitary Codej.;and provided that within thirty.(30) days of the completion of water well c6fistruction, 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. Date of Issue: yZe� 19 Date of Expiration: 19 ermit ssuing fficia White Permit is Non - Transferrable copy: H.D. File Yellow copy:. Building Inspector 2/87 Pink Copy: Owner Orange copy: Well Driller r.•. -� I-,, N M M 7- V 3O Gi (D 30; 30, S. 0-- W. .7 7 " PICV/101 Putnam County Department of Real )),vision of Environmental Health Sei Approved as no' U01 conformance I for app 11 ble Rales and Regulations 0-. - 1�0 CULM He . -alth Depar-tmenj NO Da, & Title MS is TO ICE WAS COMSTRUC! THE SYST77.,' ED OVER WITH ALL ces nth the At AV q C/ ff!RU I L7- A!rS. l y' -- !�' 3q-1 z ;A-, - - .3 Y S- '7%7' b1L b�L 7 7/. S" 7' t/ 3c, — .— -/7' 1�� Putnam County Department of Real )),vision of Environmental Health Sei Approved as no' U01 conformance I for app 11 ble Rales and Regulations 0-. - 1�0 CULM He . -alth Depar-tmenj NO Da, & Title MS is TO ICE WAS COMSTRUC! THE SYST77.,' ED OVER WITH ALL ces nth the At AV q C/ ff!RU I L7- A!rS. �4"Y THAT THE SEWAGE DISPOSAL SYSTBA AS PTir )TA M!, TED ON THIS PLAN AND THAT cy, !,!E, Bll'-Z"OPU IT WAS COVER- ill,., 0' 'PUICTED IN ACCORDANCE JUY11; RE.1ULATIONS OF THE FUTINAIM L-',!T OF HEALTH. ILL 7— 15 e77-1 COfe IAI ' Allf� �o �' �7- ItIll 11-IJ Sl 7'41,-,17-&- 1,V -7716rp- -70 C-0 41 i�ilF�iiKFd 8y Z' r, 2-- Jt- co 'U' c c),,,e,6 /V Of New", z S- '7%7' 7 7/. S" 7' -/7' 7- /,3' /3 2y,s zz -7, 1 . :z.< 7 3Z.'' J'7 w.3' 4 :5 ZZ 'I 25'0 -A �4"Y THAT THE SEWAGE DISPOSAL SYSTBA AS PTir )TA M!, TED ON THIS PLAN AND THAT cy, !,!E, Bll'-Z"OPU IT WAS COVER- ill,., 0' 'PUICTED IN ACCORDANCE JUY11; RE.1ULATIONS OF THE FUTINAIM L-',!T OF HEALTH. ILL 7— 15 e77-1 COfe IAI ' Allf� �o �' �7- ItIll 11-IJ Sl 7'41,-,17-&- 1,V -7716rp- -70 C-0 41 i�ilF�iiKFd 8y Z' r, 2-- Jt- co 'U' c c),,,e,6 /V Of New", PUTNAM COUNTY DEPAR'.IIOU OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH__SERVICE!!� - .._....... _ i _. vJ ' .t � . .ifY R >9'T,ti G!•-• .>p _ aS ,xF'a. _ .-s �v -. .- e s -C' a.. .y �•.l �. ..ice � R +M1'��a� 'fr.1' . VQ Owner or Purchaser of Building Building Constructed by Location - Street' / ,PA/ Tiv/�vi Municipality �,e�°inaX/TJ�c� Building Type J0< 7 1- a ,r Section Block Lot Subdivision Name Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it 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 . - .. - .. ... ",Cgztifica.te of -,..Construction, Com�?lianc -�" �ewag�; •° "; repair s'madd bp' rrle "to °ach- sys "tc�n; except 'where --th failure to operate properly is T 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 determination of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this 2{ day of 19 Y Signature Co ration Name (if Corp.) Address rev. 9/85 mk r Corporation Name (if Corp.) l/,y c - c Address ELAP #10323 YML . Environmental Services 321=Kean Stmet,- iforkTown Heights, NY ;0598 (914) 245 -2800 COL'D BY,� NOTES RESULTS OF WATER 'TESTING X ANALYTE RESULT UNITS ALKALINITY mg/L ' r AMMONIA mg/L ARSENIC mg/L CHLORIDE mg/L COLOR Units CONDUCTIVITY umhos /cm COPPER n-g/L DETERGENTS . :. r .mg/L FLUORIDE mg/L HARDNESS, mg/L IRON mg/L LEAD mg/L MANGANESE mg/L MERCURY rrg/L NITRATE rrg/L per 100 mL NITRITE FECAL COLIFORM mg/L per 100 mL ODOR E. COLI TON per 100 mL pH FECAL STREP. S.U. per 100mL LAB NUMBER =- t_ 05.587 RESULTS OF WATER 'TESTING DATE /TIME TAKEN ANALYTE RESULT UNITS PHOSPHOROUS ^DATE /TIME RC'D ' r DATE REPORTED mg/L SODIUM SAMPLING SITE�i For Lab Use Only t! Potable _ HNO3 _ pH LT 2 —1-4C RESULTS OF WATER 'TESTING X ANALYTE RESULT UNITS PHOSPHOROUS mg/L SILVER mg/L SODIUM rrg/L SULFATE mg/L SULFIDE n-g/L SULFITE rrg/L TURBIDITY NTU ZINC — ..... >....:.:.., :. r jL. SPC per 1.0 mL TAL COLIFORM per 100 mL FECAL COLIFORM per 100 mL E. COLI per 100 mL FECAL STREP. per 100mL These results indicate that the water sampl enp'ers [WAS NOT] [NA] of a satisfactory sanitary quality according to the New York State Sanitary Code, for the tested, at the time of sample collection. These results indicate that the water sample [WAS] [WAS NOT [NA] f a satisfactory chemical quality according to the New York State Sanitary Code, for the parameters tested, at 1e of sample collection. _ A = NoL.Applicable N = Not Present (Negative) SUBMITTED BY: �GY'_.� -�� ,,ie9Fnt (Positive), SA = See Attachments) ' = Alm/ �dmc because Total Coliform was present Albert H. Padovani, M.T. (ASCP) TNTC= Too NumerousToCount Director > = CT = Greater Than < = LT = Less Than L. . �� -✓(r WELL uvriCLE110N KEFO I DEPARTMENT OF HEALTH * V. �,iRt isio 0 nyi.onrnental. Health - S.er., ►ice_s_- PUTNAM COUNTY DEPARTMENT OF HEALTH Office se Only - ' WELL LOCATION STREET ADDRESS: TOWN/VIELACEICHY TAX RIO NUMBER: s A" elf L WELL OWNER NAME: ADDRESS: C�8IVATE `v r i h }� ! / �a vv�( st ❑ PUBLIC USE OF WELL 1 - primary 2 — secondary 2- RESIDENTIAL ❑ PUBLIC SUPPLY O AIR /COND. /HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL O INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT '� gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING _ ❑REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION ❑ADDITIONAL SUPPLY ffiffEW SUPPLY ('NEW DWELLING) ❑DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH`S ft. a.y STATIC WATER LEVEL ft. DATE MEASURED 9// AAA DRILLING EQUIPMENT 0_110TARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED 1 OPEN END CASING ❑ OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH «� ft. MATERIALS: OKTEEL ❑ PLASTIC ❑ OTHER LENGTH BELOW GRADE `mss ft. JOINTS: ❑ WELDED C"FrREADED ❑ OTHER DIAMETER in. SEAL: ❑ CEMENT GROUT O BENTONITE 9WT+IER' WEIGHT PER FOOT Ib.1ft. I DRIVE SHOE O YES CA I LINER: ❑ YES MO SCREEN DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (It) DEVELOPED? FIRST cis GRAVEL PACK ❑ YES O NO GRAVEL SIZE: DIAMETER OF PACK In. TOP DEPTH - ft. BOTTOM DEPTH It. WELL YIELD TEST If detailed pumping t p p 9 METH00: ❑ PUMPED tests were done is in- [14OMPRESSED AIR , formation attached? ❑ BAILED ❑ OTHER ; ❑ YES ❑ NO IPIELL LOG )f more detailed formation descriptions or sieve analyses are available, please attach. . 'DEPTH FROM SURFACE Water Bear- ing well Dia- (meter FORMATION DESCRIPTION CODE ft It. WELL DEPTH It. DURATION hr. min. DRAWOOWN ft. YIELD 9(:m. Surface ) ns e- 4' 1385 �ti io I selis ' S� + D WATER O CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS ❑ COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES ❑ NO' STORAGE TANK: TYPE .47 -e•LZ ) CAPACITY GAIT. `� WELL DRILLER NAME Jam, DAT 6 fL ADDRESS ' " dr ""e" Q h �� r� " "SrGrnCTURE v 8 4 / G VN PUMP INFORM TION TYPE "y CAPACITY MAKER vA, DEPTH MODEL ' Ell VOLTAGE' HP v/ v� _..f F77. C.P. �_uc�?- i. -��'( L .. ..r .._ _-. _.. J --'- -� "�e�•3a 7.._ .� r .��.� • q.- . ._.yy ..r5. s,�• . yr 7 DI r c r ? FE I r -_ - E -C `..c �_ F= l ii sc� - DAL= cf g?ac_ ^_t -C 7 1- y I ,tea_= E_ 100 T- �= E -=CL?- loco __=i /�_�- •7 A—' r - �_" Cc�.- I C__:CL•` W_ - ^.?:? I.� ?•_ Ct ` CDo Cc �= L Cri+ r:G C-r C � E l i t 7•• -- -- Gam: = 1 = T 7, �:C1 c = rj _ - p lam- - -- C =cc�. �; i ; -_ - 20 c= r -_ - E -C `..c 2. __=i /�_�- •7 A—' r - F ` Cri+ r:G C-r C � E ES < awav � C= I i 1 1 JOSEPH F. SULLIVAN, P.E. ^!�' •" '�''�29'i2 FERNCRESTDRIVE YORKTOWN HEIGHTS, N. Y. 10598 1 (914) 962 -4248 1` 1 October 15, 1991 \ ,1 Putnam County Department of Health 110 Old Route 6 Carmel, N.Y. 10512 Gentlemen, Enclosed please find plans sewage disposal system for Wood Street in the town of These plans were approved number. PV 27-89). and application forms fora proposed Mr. Buterioni and Stevens lot on Putnam Valley, N.Y. by.your department in 1989 (Four file From a'.field inspection of this lot there have been no changes in:th's lot or surrounding properties to adversely affect this design,.. _. _ .~:r , r� ...• wY Very truly yours Joseph F. Sullivan P.E. DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, .N.Y. -_.10.512. .(914.)..225 -0310 APPLICAT %ON TO CONSTRUCT A WATER WELL PCHD PERMIT # ALL LOCATION Street Address own Village C'it�' M a .5A-e- � �j a Y�/ Tax Grid Humber i- '"''- WELL OWNER Name Mailing Address Private 13 Public USE OF WELL 1 - primary 2 - secondary ,f RESIDENTIAL ® BUSINESS ® INDUSTRIAL O PUBLIC APPLY O AIR /COND /HEAT PLT4 ® ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify O INSTITUTIONAL O STAND -BY AMOUNT OF USE YIELD SOUGHT ' gpm / #_PEOPLE SERVED 4 /EST. OF DAILY USAGE el REPLACE EXISTING SUPPLY ® TEST/ OBSERVATION ® ADDITIONAL SUPPLY &NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR 'DRILLING WELL TYPE DRILLED ODRIVEN ODUG OGRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES ✓ NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. VATER• WEU CONTRACTOR: Name A • A"'"J-07 --se 1 Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES ei° NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DIStANCE 'TO ` PROPERTY -`FROM NEAREST LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ON SEPARATE SHEET (date (signature) PERMIT TO CONSTRUCT A WATER WELL This permit 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 thirt7' (30) days of the completion of water well 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 operations, the applicant shall take appropriate action to assure that any and all water or 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. 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 PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 August 9,,1988 Badey & Watson Route 9 Cold Spring, New York 10516 Attention: John P. Delano Re: Proposed SSDS - Earle Wood. Street (T) Putnam Valley TM #120 -4 -1 Dear Mr. Delano: ENID L. CARRUTH, M.P.H. Public Health Director JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL Jr., P.E. Director 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: In order to verify the ;soil percolation .rate of 60 min /in it will be. ecess,ary:,, -for -a representative-of-this Department 'to °witness percolation tests. It is requested that these tests be scheduled for the fall during a wetter time period,due to the perk rates being questionable during the dry summer months. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, r Lawrence.C. Werper Assistnat Public Health Engineer LCW:jz &)1`jNEs5Eb 1 Z,' HEL KEK PUINAM CCU= DIEPARnffM OF r. DIVISICN OF r r : is v HEALTH SERVICES �V °~.�= :.�fi'•._:. y':. �_.._:_.c '_. ..:_'r.: _. .. -.:v .. •.: :.. .'•- ;^s•.r�wb� :iil c:.,•_c`:''. - .... --;.. DESIGN DATA S=- SUBSUFACE S&TAC"- DISPOSAL SYSTEM FILE NO. Owner y��%�/� /(�� iPL C Address 5c"Ll Located at (Street) _ Sec_ Block Lot (indicate -nearest' street) ,Acipality Watershed Date of Pre- Soaking JO Dl ,} Date of Percolation Test HOLE NL'�1°. m C= TIME PERCCtIATICN P-E�ROO=CN Fan Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Alin /L*i Drop Inches Inches Inches foCE.#1 1 10;11 11-1 r '�3 /a �`�� I 6v 2 3 1 rJ' ` • •�£ w�My F 3 4 5 i 2 3 i. 4 5 R=': 1. Tests to be reneatal at same depth until aporcximately equal soil rates are obtained at each percolation test hole. All data to'be slatmitted for review. 2. Depth nea s„reme -nts to be made fran top of hole. �CO . a Mae INSPECTOR s Signature and Titlef OR INTERVIEWED: s Field Activity Report. TITLE: _ :* aC7LX N ::k Vf---DEPT' 1 DIVISION OF ENVIROR4ENrAL HFALTH SERVICES John. :M' Simmons, M.D. _Deputy Comissioner of Health - FIELD ACTIVITY REPORT - Sheet of INSPECTION NAME . >y Orig. Routine _ Orig. Complain ADDRESS-.. Orig. Request Street Town No. _ Compliance Complaint Canp MAILING ADDRESS Final P.O. Boat Post Office Zip Code Group Illness _ Construction TELEPHONE. Reinspection 'PE WN'IN CHARGE Field, Sampling Only OR.' INTERVIEWED Field Conference "s 4 Name and Title Other DATE TYPE FACILITY TIME ® TIME LEFT A Explain . a Mae INSPECTOR s Signature and Titlef OR INTERVIEWED: s Field Activity Report. TITLE: NO, -W 'Am -Elapse D*1th tO 5ftter Frcm Watex Leved Tim GroxId awface 7h Xrxhes Soil Rate S ILOP min. start stop Drop 7h min/in Drop XrAb6 Lx:hes Lxhes (2)1 3 Nom: L its to be repeated'at so= depth untn aWadmately equaa soil rates are GMUL 64mo f. tgo • fiz�. b MI;& )GO ne Ski9mr-tm 11 gor i® 2. Depth M"&WGmtm ta be MKIS fm top @e h2le. EQ 2 < Nom: L its to be repeated'at so= depth untn aWadmately equaa soil rates are GMUL 64mo f. tgo • fiz�. b MI;& )GO ne Ski9mr-tm 11 gor i® 2. Depth M"&WGmtm ta be MKIS fm top @e h2le. EQ < V. 3 Nom: L its to be repeated'at so= depth untn aWadmately equaa soil rates are GMUL 64mo f. tgo • fiz�. b MI;& )GO ne Ski9mr-tm 11 gor i® 2. Depth M"&WGmtm ta be MKIS fm top @e h2le. TEST PIT DATArToREDI N c cr G.L. 31 41 51 61 71 81 go 10, Ill 121 131 WZ NO.- 141. -ITE`LE VEL-AT WHICH 'GROCICNATER -m \C, INDICATE LEVEL TO WHICH WATER LEVEL RISES AFM BEING FNOOUNl DEW HALE OBSERVATIONS MWE BY: 9-le- Ay '44 ew mm DESIGN Soil Rate Used 3d -lo MinAw Drop: S.D. Usable Area Provided ooc;W No. of Bedroom Septic TRI* Capacity JOOO gals. Type Na,3va ry Absorption Area Provided By 41 Cl L.P. x 240 width ..tiench Other 2 'C Name (4 '1 VA ill Address 2172— 1p A-F- SPACE FM USE BY M= DEPARDIM ONLY Soil Rate Approved sq.ft,/gal. Che&.W by Date ME COO rT1 \C, INDICATE LEVEL TO WHICH WATER LEVEL RISES AFM BEING FNOOUNl DEW HALE OBSERVATIONS MWE BY: 9-le- Ay '44 ew mm DESIGN Soil Rate Used 3d -lo MinAw Drop: S.D. Usable Area Provided ooc;W No. of Bedroom Septic TRI* Capacity JOOO gals. Type Na,3va ry Absorption Area Provided By 41 Cl L.P. x 240 width ..tiench Other 2 'C Name (4 '1 VA ill Address 2172— 1p A-F- SPACE FM USE BY M= DEPARDIM ONLY Soil Rate Approved sq.ft,/gal. Che&.W by Date ME Su i4eafental Percolation Test a t a PURWI OCIU1,11Y DEPARD0,4T OF HEALTH DlVISION OF ElqV-LRMIWrAL HEALTH SERVICES DESIGN DATA SHM-tSUBSUFACE SBqAGE DISPOSAL SYSTEM FILE NO.. -4 Owner —Jeanne 'Earle Addressa07 -,t t4ahnp act =U)541 Located at '(Street) - 69 Wood Ste^ Sec. 120 Block 04 Lot 07 (indicate nearest cross street) Municipality Town: of Putnam Valley Watershed Am'awalk Resprunit SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre - Soaking 10-4-88 Date of Percolaii on �Test , '-10-5-88 HOLE NMM CLOCK TAME PERCOLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate .Start-Stop Min. Start stop Drop In—.. Min/,In Drop Inches Inches Inches A 1 10:11:11:10..1.60 23.5 24.5 1.0 60 1- 2 11:13:12:13:60 24.0 25.0 1.0 60 3 4 B 1 10:21:11:21:60 24. .52 2-gi. C; 1 _S 2 11:23:12:23:60 2 Y_.7 5 07 3 12:26:1:26:60 24.0 25.0 1.0 60 4 5 2 Witnessed by: Mel Keck, P.C. 3 4. 5 .�A 1. Tests to be repeated a t sane depth until apprmimtely,-, egual-soil, rates are obtained at each percolation test hole. All data:,to'bd xu itted for review. a. C. 2. Depth measurements to b6- aide from top of hole. rev. 9/85 TEST FIT DATA RBQUIRED TO BE SUBMITTED WITH DFPTH HOLE NO. a° ;HOLE NO. - HOLES HOLE M. 1: 4° 5° n 7' ; 8•' E + 91 I J N I� !� 1 z < ' , I. 12' t. ; 13.' CID. T�mT�� 'IS E�NUOUNTE M- AT WHIM - GROUND MATER ` ' ` LEVEL TO WHICH WATER LEVEL RISES AFTER BEING EIJQUTERED , INDICATE DEEP HOLE OBSERVATIONS MADE BY: . J Jmjj �, I DESIGN t I t Soil Rate Used Ma n/1" .Drop: S.D. Usable Area Provided _ ,. ,l , lb.. of Bedrocgns Septic Tank Capacity galsol Type �, Absorption Area Provided =By L. F. x...2411 width trench OEher \ o BADLY:' "& WATSON, Name Sruveyincg. & Ong nocring $0 Signature Acidness Route 9 SEAL Xols Apeinf, NY 10516 s 1HIS SPACE FOR USE $Y HEALTH DEPARIMEM ONLY: :oil Rate Approved sq <ft /gal, Checked by ! Date PUMN COUNTY DEPARTMEt -Tr OF HEALTH DIVISION OF EWIRONMENIAL HEALTH SERVICES DESIGN DATA SHEET - SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Jeanne Earle Address- 307 Wood Street k6hopac NY 10541 Located at (Street) 69 Wood' Street Sec. 120 Block 04 Lot 07 ' (indicate nearest cross street) Ntunicipality T/0 Putnam Valley Watershed Amawalk Reservoir SOIL PERCOLATION ZI5T DATA RBWMM Ta BE SUBMITTED WITH APPLICATIONS Date of Pre- Soaking 7/16/88 Date of Percolation Test 7/16/88 HOLE MEBER CLOCK TIME PERCOLATION PERCOLATION .Run Elapse Depth to Water Fran. Water Level No. Time - Ground.:Surface In inches.. Soil Rate Start -Stop Min. Start Stop Drop In Min/In Drop. Inches Inches Inches A 1 11:10 -11.40 30 26.0 27.0 1.0 30 2 11:41 -12:11 30 26.0 26.5 .5 60 3 12:12 -12:42 30 25.0 25.5 .5 60 4 12:44- 1:14 30 26.0 26.5 .5 5 B 1 11.25 -11.55 30 26.0 27.0 __l_,0 �0 �2 11.56= 12 : =�6 X30 -= 26� d ..:g 2:6,„7;5_:_.��. :5 3 12:27 -12.57 30 26.0 26.75 .75 40 q 1-•02- 1:32 30 - 26."0 " 26.75 .75 40 5 1 2 3 d' 4 5. NOTES: 1.. Tests to be repeated at same depth until approximately equal, soil rates are obtained at each percolation test hole. All data to'be submittbd for review. 2. Depth measurements to be made from top of hole. rev: 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRI.PTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 1 HOLE NO. 2 HOLE NO. r Lo 0 -7-�&" Tops `01-6" T0p8011 Silt Lbami W/ Silt Loam w/ :Clay Loam present -Clay Loam Presen-t. 20 30 90 10, 12' 13' . 141 INDICATE- IMM To WHICH, WATER LEVM'RISES AFTER, BEING ENMUNTEREP,,--,---'.' -:N/4k DEEP HOLE MERVATIONS'MADE BY:: -',' J,*.. --'Swim of 'BADEY & WATSON, -DAM-., j./jVgA Sucyoxina &,E LX- 1JES1GN- Soil Rate Used 60 Min/1" Drop: S.D. Usable Area Provided 8,000 S.Z. th. of Bearoams 3 Septic Tank Capacity 10()0 gall- TYPeCanrref-e Absorption Area Provided By A r7 2- L.F. x 24" width trench. Mer AL-rSVMA.Ts- 5YSTG1& - OF NE Nme Signature BADEY & WATSONr SurvdVdWs& Engineering P.C. SEAL 0. 062 R,-o Route 9 OFESS1 Cold Spring., NY 10516 (914 1�265-9217 11;181111 MIS SPACE FOR USE BY HE-A' DEPARDIENT ONLY: Soil Rate Approved sq.ft/gal. Checked by Date 40 59 60 78 90 10, 12' 13' . 141 INDICATE- IMM To WHICH, WATER LEVM'RISES AFTER, BEING ENMUNTEREP,,--,---'.' -:N/4k DEEP HOLE MERVATIONS'MADE BY:: -',' J,*.. --'Swim of 'BADEY & WATSON, -DAM-., j./jVgA Sucyoxina &,E LX- 1JES1GN- Soil Rate Used 60 Min/1" Drop: S.D. Usable Area Provided 8,000 S.Z. th. of Bearoams 3 Septic Tank Capacity 10()0 gall- TYPeCanrref-e Absorption Area Provided By A r7 2- L.F. x 24" width trench. Mer AL-rSVMA.Ts- 5YSTG1& - OF NE Nme Signature BADEY & WATSONr SurvdVdWs& Engineering P.C. SEAL 0. 062 R,-o Route 9 OFESS1 Cold Spring., NY 10516 (914 1�265-9217 11;181111 MIS SPACE FOR USE BY HE-A' DEPARDIENT ONLY: Soil Rate Approved sq.ft/gal. Checked by Date