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Home My WebLink About4610DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.07 -2 -26 BOX 35 04610 ' T IN Ism ? .� „ . , ANNI 4 Ak'. Er I JAI IN 04610 r PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION_OF ENVIRONMENTAL vHEALTH SERVICES-.,..,.-.-.., I qil'. J =. H.` c+�j. �l � '�` r .� � w SJ '� ; t -i P�'n � ma.. :,-.". w'q � :" � �..p w�. iiw4 l.,�r••wf� r.4. �ti q.. u�t 1 '...q�n CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # C �'" - O 'D Ciage4iv/ Located at G� DOD cS� Town r Cv.�9w�• Owner /Applicant Name) 4 d%!t Ddv� � - ID Tax Map S % Block Lot Formerly /I'1 // ��' � C ei t2etf Ge, / Subdivision Name ye. 0(61'z ' Mailing Address Date Construction Permit Issued by PCHD Separate Sewerage System built by Jcf A-A L Consisting of /c9L4y Gallon Septic Tank and exxv4 t. Other Requirements: Water Supply: Public Supply From, Subd. Lot # -J- Zip IV- /7'u Address or: _� Private Supply Drilled by Address , k/ d- .y ':'Bi:ildinR T Ha ype - -I� /G y s erosion control been completed? ' Number of Bedrooms 1�-- Has garbage grinder been installed? A/ I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of* Putnam CQpunty Department of Health. Date: /,/ oL Certified by Address Z P.E. 4-,' R.A. License # 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 sub'ect to od'fication or change when, in the judgment of the Public Health Director, such revoca ' odifi a 'on o ge i cessary. By: '" Title: Date: 2 C> White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Pro essional Form CC -97 i 13'UTN kM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEflRVffCES WELL COMPLETION REPORT fli I,�a�ititntn eet-Addiess:..... �� ; � %ail agiu: : AT ax'Cstid Map 6t ' Block Lot(s) Well Owner: Na e: Address: Use of Well: I- primary 2- secondary esidential Public Supply Ai cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby. Drilling ]Equipment Rotary Cable. percussion Compressed air percussion Other (specify) Well Type Screened Open, end casing Open hole in bedrock Other Casing Details Total length` '., /6v ft. Length below grade W`e'ft. Diameter " in. Weight per foot �lb/ft. Materials: 7�- Steel Plastic _ Other Joints: _ Welded c Threaded _ Other Seal: -K, Cement grout _ Bentonite Other Drive shoe: 7 Yes No Liner _ Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) . Developed? First Yes No Hours Second Well Yield Test _ Bailed Pumped Compressed Air Hours? Yield to gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet 3o e) Well Log If more detailed information descriptions or sieve analyses are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface 6 tr 3 U a If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type -3,4-,� Capacity i Depth ;2-D Model ICO-.f 9 Voltage 2-3 o HP�/ Tank Type Y X ZS o Volume , Date Well Completed Putnam County Certification No. Date of Report Well Driller (signature) NQ➢TUI: Exagt location of well with distances to at least two permanent janamarKS to be proviaea on a separates sneeupian. Well Driller's Name arrn Ac Address: /J �--�n y Signature: �f= Date: y7 U G White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES I: :'ci �"^. ri �r._��'t � >�'.. i _ :° r,.. -- .. , ... ti�r ": - •ri�" .. :Is~:in :�.��.r.:. ,_- v+��•'6. `.. f'..." a ... �_F.`��.�i:� _ •_ ...•.a.- • >.�'i,t�` .. .�:"�._ ' "I GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM & / a • e Gi C- 6; C� Owner. or Purchaser of Building Building Constructed by Location - Street Building Type 9, 7 —2 o4: Tax Map Block Lot PC, / 114 �i� o�illage 14?1et oea�p Subdivision Name r Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in 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 utilizing the :system. 'r _.... r 4..� . ..4 -_.�� . � ..' .. _.... .��...... ...- -. .... .. -.��. ... _.... `. .•. ..�. .. .a.�..�- .....r -. r- •v ems. -.. �- .--.. r. -.. .'..rh•. ._ ..._� ! .•., . 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 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: Month r Day Year; - i� Signatu�e:/! Title: _ PA Zr G _ ral Contractor (Owner) - Sigh ture Name (if corporation) ��/2 T Address: �Y�� @' StateL;G'et,c,�'G•�i! /� /`l Zips ,U v /�J rporation Name (if corporation). Address..q IVW 5 e'-iq&L►'1 T G State ` 46 f " C( Zip 6 yo Form GS -97 2Pubt c Health Director L( RM- A- MOLINA:RI - P- Ad:, :OK S =A!: _.. . Wea`�th Director may' + - Director of Patient Services DEPARTMENT OF HFALTH 1 Geneva Road Brewster; New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 3'' I i ;, lull l'' .� \A; i,4 i _ ;A I I (!r \ i �i� i��l OWI` E S NAME: TAX MAP NUTV1BER: E911 ADDRESS: TOWN: AUTHORIZED TOWN OF (Signature) DATE: Fj The Putnam County Department of Health will not issue a Certificate of Construction Compliance mess the above forge is completed, i.e., a legal E9111 address is assigned by an authorized town official. This form is to be submitted with the application for a Certificate of Construction Compliance. (E911 VERFRNO 16 I.;, ....,. ,'c YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245 -2800 Albert H. Padovani ; -Director LAB #: 32.007769 CLIENT #: 10701 STAT PROC PAGE 1 JASTINE CONTRACTING CO #8 APPLE SUMMITT LANE LA GRANGEVILLE, NY 12540 SAMPLING SITE: 103 WOOD ST. : PUTNAM VALLEY, NY COLD BY: DANIEL E. GARAY JR. NOTES...: KIT TAP DATE FLAG PROCEDURE DATE /TIME TAKEN: 11/29/00 02:30P DATE /TIMEREC'D: 11/29/00 03:OOP REPORT DATE: 12/05/00 PHONE: (914)- 227 -4357 SAMPLE TYPE..: POTABLE PRESERVATIVES:-NONE TEMPERATURE..: < 4C COLIFORM METH: MF RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 11/29/00. MF T. COLIFORM ABSENT /100 ML ABSENT 1008 11/29/00 LEAD (IMS) <1 ppb 0 -15 ppb 9101 11/29/00 NITRATE NITROG 1.33 MG /L 0 - 10 9139 11/29/00 NITRITE NITROG <0.01 MG /L N/A 9146 11/29/00 IRON (Fe) 0.091 MG /L 0 -0.3 mg /l 2037 11/29/00 MANGANESE (Mn) <0.01 MG /L. 0- 0.3'mg /l 2037 11/29/00 SODIUM (Na) 16.5 MG /L N/A 11/29/00 pH 7.1 UNITS 6.5 -8.5 9043 11/29/00 HARDNESS,TOTAL 202 MG /L N/A 11/29/00 ALKALINITY (AS 128 MG /L N/A 11/29/00 TURBIDITY (TUR <1 NTU 0 -5 NTU COMMENTS . _. _� -_ ^. w BACT THESE RESULTS INDICATE THAT THE WATER (WAS) (WAS NOT) OF A^ SATISFACTORY SANITARY QUALITY ACCORD I HE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb /Cu LEAD limits for p EPA Lead & Copper than 100 of their than 15 ppb and a treatment must be potential. .ablic schools are set at 15 ppb. Rule for Public Systems requires that no more distribution points have a LEAD value of more COPPER value of 1.3'mg /L, else water undertaken to reduce the waters corrosive Fe /Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg /L. Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg /L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg /L of Sodium is suggested. w YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 9 245. -28 0 , Albert �i. Pa ovani; Dire'c -or" LAB #: 32.007769 CLIENT #: 10701 STAT PROC PAGE 2 JASTINE CONTRACTING CO #8 APPLE SUMMITT LANE LA GRANGEVILLE, NY 12540 SAMPLING SITE: 103 WOOD ST. PUTNAM VALLEY, NY COL'D BY: DANIEL E. GARAY JR. NOTES...: KIT TAP DATE FLAG PROCEDURE DATE /TIME TAKEN: 11/29/00 02:30P DATE /TIME REC'D: 11/29/00 03:OOP REPORT DATE:. 12/05/00 PHONE: (914)- 227 -4357 SAMPLE TYPE..:.POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORM METH: MF RESULT NORMAL - RANGE METHOD pH pH SCALE IN WATER RANGES FROM 1 -14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS'IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES'. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG /L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG /L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0 -70 MG /L VERY HARD WATER: ABOVE 300 MG /L MODERATELY HARD WATER: 70 -140 MG /L MG /L = MILLIGRAM PER LITER HARD WATER: 140. -300_ MG /L,,_ .....__, .(1• .grain /gallon = 17.:.2 .MG /L) SUBMITTED BY: -/ Albert H. Padova i�, M.T.(ASCP Director ELAP# 10323 I A% -l:+J I-AN XL SITE INSPECTION . Date: cD, Inspected by S:rea Locati 00.0 Owner �,-. Tom Permit I M.- S' • - Z 21 Subdivision,Lot 1: SW -ase System Area i. a. STS area located as per aQproved plans... ........................ b. Filt section - date of placement 3:1 ba_- n-1r Lath. Width Avg.DpC C. Na- -a!� oil not stripped ................. ............................... d. Stone, brush,.etc:, greater than 15' from STS area.......... e. 100' from water course- Avetla ads ...... ............................... 11. Sewage Svstem a. 'eatic tan. s1ie - 1,000. 1?5 oflner ................ ID. Sep c tank installed level ................ ............................... c. 10' nunimu:-n from foundation ......... ............................... d. Distribtuion Box .1. A.1 outlets at same elevation -water tested .............::.. 2. Protected below frost ................ ............................... 3. Minimti-n 2 ft.0riginal soil between box & teaents Junction Box - properly set ............... .. ...... ....... .... ��et!gtn requued Leng<h installed •• 2. Distance to watercourse measured Ft.......... 3. Installed accordin to plan ............... ................. c ^: Slope of teach acceptable 1116 -1 /3 ti ............. 5. 10 ft. from property line - 20 n 0n.5 .......... t 6. f trench <30 i the fr m s Lac ......:....... Room allot; e for ,10 /o ......................... YES I. MY CO HUNTS �8. Sze o grav l 3 A -1t " di2meter clean .................. i 9. of gr . t trench 12" minimum. I 10. Pi nds ap ...... ... I .. ... Pum o'' sed Svstems ` ize �. Z 1 visual /audio .................... .............. ...... { 4. Pump easily accessible, manhole to grade ................. i 5. First box baffled .....................:........ { 6. Cycle Y;itnessed by H.D.esti ed otiS cycle.........., i III.House/I3uildina a. ouse ocated per appro d pal ......... b Number of bedrooms... ................ { IV. Well Melt located as per appr .. d s...: b. Distance from STS area ft ........... c. Casing 18" above grade ................................................. d. , Suriace*ai'nage around well acceptable ....................... V. Overall iVorkmanshin Boxes properly grouted ................... ............................... b. Alt pipes partially backfilled........................................... c. All pipes flush with inside of box ... ............................... : - d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ... ......................... .6..... i. Erosion control provided ................. ............................... P: v. 1191 c7 S� 0 PUTNAM COUNTY DEPARTMENT OF 19AI -1CH. DIVISION OF FKMONMWTAL HEALTH SERVICES P run ronstl6etion Permit# 0/ For: Located 040 3 7- owner/Appli*t Name _J,_o gj-1w TM Block Lot �/ Subdivision Name Subdivision Lot # Is system fill completed? I A-1,1,4 Date Is system c0nplete? Date Is system caWtructed as per plans? Is well drill4d7__- Date Is well locajed as per plans? s-? 7,0 Am erosion . control measures in place.— I certify th* the system(s), as listed, at the above premises W been constructed and I have impeded 9*d verified their completion in accordance with the issued PCHD Construction Permit I and approv0d plans and the Standards, Rules and Regulations of the Putnam Corny Department of Health. C fled erffied by .- Desip Professional Address Lic. # AVl L -�I�' :11; .•4J AM ibaAiQ �,i{ CAO VMSION OF VfMONNIN?AY:1Eij ALTR $L% il:S ATTUnQlq ADAZ•d • i A • Jt. _ R 1Z ' .M7V • 1,1N AN iafomi tl must be My eomplated prior to my k"tiosu boing mWo, PCW Co luvo iao, Panic N 13 Can For. FiD Treach�s Located: Ci ' OwtudA Nye_ Stock --a— Lot ,.. Foorm�rly: Subdivision N.mr. Dabd'iwtoa Lot � Is tymm iW completed? Date. �. G "Sm cmplow? Date: J e ._ is � comtrrstted.aa per phaos? �'' Is "U 4dw Date: Is well located u per Vim? Are eeosieo oo ml maiums is place? I pectifj► that tlle'►mm(1), at is* at the abm prtwsaa bw bem sari uomd and I have Wp" and vNiSod gala completion is owdow' wah the taw Pm Coaaat idw Pamir lad apprond p1m ad the Suadards. hula and Rawat oos of the Put= Cowry Dep ffulm of Hcdtb. Dtn; ,i CNogied by: PE RA Addim: Lit. +t - - - - ---- _. .. .:..,: ..�.�.�. ":;: .:rte_:_ :�;,:�,9;,._ra�► 1�:�•�s��b/• .. -- _, .._.._ -- _�. Foam FIR" N4, �'O 0-(D( 0 1 PUJ'1CRIAM COUNTY ][➢IEPARTMIEI`T7[' CIE II3[[lEAIL7t'&3[ DIi ESII BN GIF IENWRONMIENTAL HEALTH SIERWCES . CONSTRUCTION ON PERMIT FOR SEWAGE TREATMENT SAYS � �._:.... PERMIT it Located at lam; 5'n ooyj C' ' 6 iU.,— Subdivision name -P& � Subd. Lot # Date Subdivision Approved Owner /Applicant Name i,111 Mailing Address Town or Village RQVHo irl yV7 Tax Map Block _ 2 Lok Renewal Revision Date of Previous Approval Zip / Q474 - Amount of Fee Enclosed Building Type Lot Area No. of Bedrooms .4 Design Flow GPD ' GcD }Fill Section Only Depth Volume PCHHD NOTIFICATION IS RL UIR1EflD WHEN FILL IS COMPLLTIEDD m_j Se )garzte Sewerage System to consist of /2 q DO, `�12�a -�C4 Other Requirements: 0 Z. ,J,,., � l bs jn � Jlj -k gallon septic tank and O �c � To be constructed by B . 'y Address Water Sane Public Supply From Address - ®: �/ -Private Supply Drille&by �' - :' - vAddress I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage trea ent sys m described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof •a- ".Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder: will plate in good operating condition any part of said sewage treatment system during the period of two (2) years immediately folfowing the date of the issuance of the approval of the Certificate of Construction Compliance of the original system'. or any repairs thereto. d Si g ne =' - .'1 P.E. a/ R.A. Date .. Address - �- , License # APPROVED YOR 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 of alteration of the approved plan requires anew permit. Approv fo of domestic sanitary sewag only. By: Title: 1 H-pe— Date: 2 White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Profes ional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL _ -F015 Peiiiii Well Location: Street Address: Town/Villa e Tax Grid # i.� 4 i,)_ 14 Map �r Block Z Lot(sJX '4M V/1 ° Well Owner: Maine- r-Az . Address: Use of Well: esidential Public S pply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought _ 5' gpm # People Served Est. of Daily Usage gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling �.�N ew Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling us-e , Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes %--"*' No Name of subdivision 1£- A,LS Lot No. �! Water Well Contractor: Address: Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: Town/Village �---- Distance to property from nearest-water main: �- Proposed well location & sources of contamination prov i n Date Applicant Si ature 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 -Z of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this* property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED_FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue 00 Permit Issi#ng Official: Date of Expiration 7, I dZ Title: Permit is Non- Transferr bl White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 P 4 NA COUNTY D,Y ''i R 1 OF HEALTH DEWSHON OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of � u Located at T/V Jr/ 4 fil Tax Map # �7 •� Block _ Lot e Subdivision of Subdivision Lot # l Filed Map # o Date Filed �Z/ ` Gentlemen: This letter is to authorize a duly licensed Professional Engineer or Registered Architect 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 behalf in connection with this matter and to supervise the construction of said wastewater tretment and/or water supply systems in conformity.with the provisions of Article 145 and/or. 147 of the Education Law,.the Public Health i;aw, and the Putnam County Sarii�tary Cone: ` ` Countersigned: P.E., R.A., # �� b Mailing Address Po & x 9 S-0 jvylg dr-.C-• State _ (` Zip Telephone: r�3 % Very truly yours, Signed: 1h1tQ jot441L., (Ow er of Prope ) Mailing Address: 4 State Zip C)6-4 �• Telephone: Form LA -97 REAL PROPERTY TAX SERVICES AGENCY M E M O R A N D U M DATE: September 27, 1999 TO: Ronald Fiorentino, Assessors Chair FROM: Arlene Burke, R.P.S. Supervisor RE: FM 2803 - The Meadows Putnam Valley Tax Maps 85.09 -1 -23 + 85.07 -2 -6 + 7 = Filed Map Lot # Tax Map Lot # Area 1 85.07 -2 -26 1.17 Ac. 2 85.07 -2 -27 1.02 Ac. (Incl. house formerly on 85.06 -1 -23) 3 85.07 -2 -28 1.04 Ac. 4 85.07 -2 -29 1.05 Ac. , 8:5.07 -2 -3.0 .:., r _ _ _ .; A4,.Ac,, 6 85.06 -1 -27 10.99 Ac.' 7 85.06 -1 -28 1.72 Ac. 8 85.07 -2 -31 1.17 Ac. 9 85.07 -2 -32 1.05 Ac. 10 85.07 -2 -33 1.03 Ac. 11 85.07 -2 -34 1.20 Ac. (Incl. house formerly on 85.07 -2 -6) 40 GLENEIDA AVENUE - CARMEL, N.Y. 10512 (914) 225-3641 Ext. 310 ar BRUCE R. FOLEY Health .Dir=6r.: --'s _ LORETTA. MOLINARI R.N., M.SN. - «-'5e3iidfe"� °PrIblic Health Director- Director of Patient Services DEPARTMENT OF 11EAI,TH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 September 22, 2000 Mr. Dan Donahue, PE 120 Breckenridge Road Mahopac, New York 10541 Re: The Meadows, Lot #1 TM# 85.07 -2 -26 Dear Mr. Donahue: This office has conducted a final site inspection on September 2 000 s reques d. I offer the following comments for your review and consideration. rf 1. Erosion control measures not installed correctly. i 2. The following items were not completed at the time of this inspection: all °is not drilled - inspection is required. Pump is not installed- inspection is required. t 1 o c. House is not built - inspection is required. ?ro tii�g/lead -' drains °are of instdlieti = ih is L ion is require ."`' ltra tion pits are not installed - inspection is required. 3. Erosion control measures must be corrected immediately. This office will conduct an inspection on Tuesday, October 3, 2000 to verify compliance. Enforcement action will be taken if erosion control is not installed ',correctly. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact us if any questions arise. ABS:cj enc. Erosion Control Detail Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer rc%, Figure 5A.9 Silt Fdnce Details.: 4 WOVEN WIRE FENCE (MIN. 14 1/2 GAUGE. MAX. 6- MESH SOACIP461 - C. 36' MIN. FENCE POSTS. ORIVEN MIN. 16' INTO GR lUN3 . LZ U. o I Pr=RspiEcT:cvE view 36' MIN. FENCE POS WOVEN WIRE FENCE IMIN. . 14 1/2 GAUGE UNDISTURBED GROUND M . AX. 6 MESH SPACIk 8) t. FILTER -CLOTH 'OVEF MIN. I FLOW COMPACTED SOIL MI EMBED i-ILTER CLOT IN.'d-'IkTO GRbUN a 8 r= CT 10 N 77 CONSTRUCTION Nb!fi. FOR .FiW.C.AT.Eo. S,ILT. FENCE 1. VbVE,N'g,l*R,E FENCE TO BE FASTENED SECURELY -TO FENCE POSTS STEEL EITHER *T* OR 'U* iT'ikiS'*.---_'__ fk" OR 2 44 2. FILTEWiLOTA TO BE. . TO BE F4SiENED k6dAiLi tb WOVEN Wlhi. WOVEN 41k. 14 1/.2 G-A., FENCE WITH TIES i0ACEO EVERY 24' AT TClP:ANC AID iiitjhk: MAX. MESH dPtNIN6 3.-Vkk iWO, SEC-.IONS OF FILTER CLOTH A'LCljN EACH OTHER FILTER CLOTH: FILTER X, i* 3 THEY SHALL 'BE 6ViALA�POVERLAPPED iiX lkk6 AND FOLDED. RI . RAF] 1 - BOX. STABI . LINKA T14ON OR APPROVED EQUAL. 1. MAIN . TENANCE SHALL 8 . E PERFORMED' AS NEEDED AND MATERIAL PREFABRICATED UNIT: SE . OFAB. REMOVED WHEN DEVELOP IN THE SILT FENCE ENVIRCIFENtE. OR APPROVED EQUAL. U.S. DEPikAiNT OF i0itLbUR_,' STANDARD SYMB . OL NATURAL RESOURCES CONSERVATION SERVICE SILT F E N C'E' SYRACUSE. NEW YORK New Y&rk Goidilines for Urban Page 5A20 April 1997 = Fourth Printing Er ' osion and Sediment Control J re%• - STANDARD AND �SP JONS. Ks~. -aY,. i� ., . h ::y...�'Vr•. SILT FOR De ffidtion Where ends of filter cloth come together, they shall be over- lapped, folded and stapled to prevent sediment bypass. See A temporary barrier of geotextile fabric (filter cloth) used to Figure 5A.9 on page 5A.20 for details. intercept sediment laden runoff from small drainage areas of Criteria for Silt Fence Materials disturbed soil. t�,,.,,� 1. Silt Fence Fabric: The fabric shall meet tl a follow�ine Purpose pose specifications unless otherwise approved by the appro- priate erosion and sediment control plan approval aoThe purpose of a silt fence is to reduce runoff velocity and authority. Such approval shall not constitute statewide effect deposition of transported sediment load. Limits im- acceptance. Statewide acceptability shall depend on in posed by ultraviolet stability of the fabric will dictate the field and/or laboratory observations and evaluations. maximum period the silt fence maybe used. . Minimum ---------------- - - - - -- - - - - -- Co nditi®uis Mere cfgee A0plies Acceptable _ - -- Fabric Properties Value Test Method A silt fence may be used subject to the following conditions: Grab Tensile 1. Maximum allowable slope lengths contributing runoff to Strength (lbs) a silt fence are: Elongation at 90 ASTM D1682 50 ASTM D1682 r Slope Maximum Slope Failure (�c) - - - - -- - - -- Mullen Burst 2:1 50. Strength (PSI) 190 ASTM D3786 3:1 75 4:1 ` 125 Puncture Strength (lbs) 40 ASTM D751 - 5:1 -..._ 175 ..__. _ _ - - — - - -- - - - (modified) Flatter than 5:1 200 Slurry Flow 2. Maximum drainage area for overland flow to a silt fenceaUsfj e ..r O Rate _..�. -.• - �� shall not, exceed 1/f 4cre per-100 feet of fence; and 3. Erosion would occur in the form of sheet erosion; and Equivalent Opening Size 40 -80 US Std Sieve C«V -02215 4. There is no concentration of water flowing to the barrier. Ultraviolet Radiation 90 ASTM G -26 DeSigifl Criteria Stability, (%) Design computations are not required. All silt fences shall be placed as close to the area as'possible, and the area below the - -- -fence must be undisturbed or stabilized: -- - 2• Fence Posts (for fabricated units): The length shall be a . minimum of 36 inches long. Wood posts will be of A detail of the .silt fence shall be shown on the plan, and sound quality hardwood with a minimum cross sec - contain the following minimum requirements: tional area of 3.0 square inches. Steel posts will be 1. The type, size, and spacing of fence posts. standard T and U section weighing not less than 1.00 pound per linear foot. 2. The size of woven wire support fences. 3. Wire Fence (for fabricated units): Wire fencing shall be 3. The type of filter cloth used. a minimum 14 -1/2 gage with a maximum 6�in. mesh 4'. The method of anchoring the filter cloth. opening, or as approved. 5. The method of fastening the filter cloth to the fencing 4• Prefabricated units: Envirofence or approved equal may- support. be used in lieu of the above method providing the unit is.installed per details shown in Figure 5A.9. April 1997 - :Fourth Printing Page 5A.19 New York Guidelines for Urban Erosion and Sediment Control �m PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DEStGl+r SEWAGE TREATMENY S-irSTEM Owner �Y tj t ii Address 43& P-c,,,.1 to .&� -f--- Located at (Street) Ljoo'c "> ✓ Tax Map Block a7 Low (indicate nearest cros street) p7 07� Municipality �-j , Drainage Basin •.�1�S6t -J SOIL PERCOLATION TEST DATA Date of Pre - soaking L%f . 5;3 Date of Percolation Test 41zl iy" Hole No. Run No. Time Start - Stop Ela se Time �Nlin.) De th to Water rom Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation. Rate Min/Inch 1 Z: 31 ._ 3.'01 3,Q jak 2-oh. Z A5 2 3:0 7 - 3;31 3A) 181 zo I%2 26 3 '3,4o • -4:ip 3z /c' 2 00• 1 A � 4 5 Z 1 2,3Y - 3 ;c6' _ ..3 0 %2 2v/i. 3o 3 145-- 4:6 — 60 1A 1914 3 4 5 1 2 3 5 NOTES: .1. Tests to be repeated at same depth until approximately equal percolation rates are ootamea at eacn percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. ''2.. Depth,measurements to be made from top of hole. Form DD -97 2 .. TEST PIS' DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE N0. 2 - HOLE NO.' 9.01 , �oc;i� °2cc;dG 10.0' Indicate level at which groundwater is encountered X71- F Indicate level at which mottling is observed phi c-4a -- Indicate level to which water level rises after being encountered GY SFr Deep hole observations made by: h. Date. /z 197 Design Professional Name: Ry )/ A. r-k DR 1 K5crJjP Address: Pp 13�x 9s-0 Signature: Design Professional's Seal G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' >` 4.5' 5.0' 5.5' h. 6.0' IA 6.5' 7.0' 7.5' 8.0' 8.5' s f Uv HOLE N0. 2 - HOLE NO.' 9.01 , �oc;i� °2cc;dG 10.0' Indicate level at which groundwater is encountered X71- F Indicate level at which mottling is observed phi c-4a -- Indicate level to which water level rises after being encountered GY SFr Deep hole observations made by: h. Date. /z 197 Design Professional Name: Ry )/ A. r-k DR 1 K5crJjP Address: Pp 13�x 9s-0 Signature: Design Professional's Seal PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR A]PPROYAL OF.gLA1v FOR.. gTltllitATlq NT SYSTEM 1. Name and address of applicant: o&u" n- , Dr- L-) _S-4 / VI 2. Name of project: e, ��:,, e -_ 3. Location TN: /'r 4. Design Professional: r 5. Address: 20 SC- X. c Co 6. Drainage Basin: J -�.r i� s� i��a,�s -� �'� 1 --"t4 1 �5 -T 7. TvDe of P . - ect: Private/Residential Food Service Apartments Institutional Office Building Realty Subdivision Commercial Mobile Home Park Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type S tatas (check one) ......................... I............................ Type I Exempt Type II Unlisted c,/ 9. Is a Draft Envirormer_tal impact Statement (DEIS) required? ......................... �- 10. Has DEIS been completed and found acceptable by Lead Agency? ............... 11. Name of Lead Agency 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ....................................... . _ .:.....:.:.:::....: 13. If so, have plans been submitted to such authorities? ........ ............................... C 14. Has preliminary approval been granted by such authorities? a Date granted: 15. Type of Sewage Treatment System Discharge ................. surface water �oundwater 16. If surface water discharge, what is the stream class designation? .................... 17. Waters index number (surface) ........................................... ............................... 18. Is project located near a public water sur - .y system? ....... ............................... t4o 19. If yes, name of water supply Distance to water supply 20. Is project site near a public sewage collection or treatment system? ................ 21. Name of sewage system_ 22. Date test holes observed Distance to sewage system 23. Name of Health Inspector 0—"4,4mg� 24. Project design flow (gallons per day) ................................. ............................... 800 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... 0 26. Has SPDES Application been submitted to local DEC office? ......................... Form PC -97 8199 27. Is any portion of this -p-roject located within a designated Town or State wetland? 2SY,Wefla<nds ID- .1 ->f . er: .... ............ .......... ............................... 29. Is Wetlands Perirdt required? ............................................ .........................:a:::: Has application been made to Town or Local DEC office? ............................... 30. Does project regaire a DEC Stream Disturban:,e Permit? .. ............................... - 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ............................ Yes/No 9—b 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? ............................... Yes/No tio DESCRIBE: 33. Is there a local master olan on file with the Teem or ``Tillage? ......................... S. 34. Are comrnuniry water and/or sewer facilities planned to..be developed within 15 years in or adjacent to project site?...... ........................... ............................... i 35. Are any sewage treatment areas in excess of 15% slope? . ............................... 36. Tax Map, ID Number .......................... ............................... Map Block Z- Lot 37. Approved plans are to be returned to ..... Applicant _� Desiga Professional N t3 i E: - ap1:11i. L., �'o� re:z? e: r a.� 4pp qya. of a nerd, S STS to be located within the NIYC j16 atershed shall be sent to the Department, and reed not be sent in di plicdte to the DEP, aMiou6-tlie project.ri'nay-rPquire:DEP; approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater plans or the creation of impervious sZ1 aces, and the project applicant shoald obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is sigma ed 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 agar., under pena'ty o f perjury, that information provided on this form is true to the best of my knoWedge and belief' False statements made herein are punishable as a Class A misdemeanor pursuant It Mailing Address: .................................... 14.16-•4 (2187) —Text 12 PROJECT I.D. NUMBER 617.21 SEAR Appendix C . _ - .. • 4- ._...aw:;=- �=- ;.�_;�:�, t8, calla 'rka:��ca #E?tretrt�`R�`view "� - .• �•. - ' •SHORT ENVIRONMENTAL ASSESSMENT FORM . For UNLISTED ACTIONS Only . PART I-- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT ISPPONSOR 2. PROJECT NAME `Ue Yl exe ' 3. PROJECT LOCATION: 4. PRECISE LOCATION (Stre$t address and road lntersSctiorf, prominent 12 ;dmarks, etc., or provide map) S'Frept ` T� Js -07 -Z-4, 5. IS PROPO " ACTION: NeR Q Expaasion ❑ Mcditicatiordaiteration 6. DESCRIBE Fr.OJECT BRIEFLY: f`�'•� "i str"ic�v4 �-� 7. AMOUNT OF LAND AFFECTED: Initially .� acres Ultimately _ acres 8. W�ILL Pa �D ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? eSdY s r No It No, describe briefly 9. VIHAT IS ._ ENT LAND USE IN VICINITY OF PROJECT? esidentiai El Industrial ❑ Commercial . ❑ Ayricuiture 0.Park1FeresVOpen space Other _ ,_ • - ` ° Describe: 1C. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR 'ALI? .Qlf es ❑ No It yes, list ape /ncy(s) and permitlapprovals 11. DOES ANY ASPECT E ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes, o It yes, list agency name and permitlapproval 12. AS A RESULT OF P POSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes No 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicantlsponscr name: Date: %2 Signature: 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 ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes, coordinate the review process and use the FULL EAF. ❑Yes No i++et+'JJR ®r)iiiT- CE"AfE t : f'Pti)GIl1`cD FOITUNLISTED ACTIONS IN 6 NYCTR, PART 617.6? If No, a negative declaration may be superseded by another Involved agency. - ❑ Yes ❑ Nb C. COULD ACTION. RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be,handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production. or disposal, potential far erosion, drainage or flooding problems? Explain briefly C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood characters' Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: y C4. A community's existing plans or goals as officially adopted, or a change in use or Intensity of use of land or other natural resources? Explain briefly C5. Growth, subsequent development, or related activities likely to be induced'by the proposed action? Explain briefly. Co. long term, short term, cumulative, or other effects not identified in Cl-C.5? Explain brieffy. , C7. Other impacts (including changes In use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes ❑ No If Yes, explain briefly PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above, determine whether It Is substantial, large, Important or otherwise significant. Each effect should be assessed in connection with its.(a) setting ().e. urban or.rural);_(b) probability of occurring; (c) duration; (d) Irreversibility; (e) geographic scope; and (1) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and /or prepare a'positive declaration. ❑ Check this box if you have determined, based on the Information and analysis above and any supporting documentation, that the proposed action WILL NOT result In any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of lead Agency. Print or Type name of Responsible Officer in Lead Agency Title o Responsi le Of icer Signature of Responsible Olficer in Lead Agency Signature of Preparer (it different from responsible officer). Date I T 4A S. S. D. S. TIE CHART ? ®• moms, SEWAGE TREATMENT SYSTEM j j \\ 1 1 1 1 JASTINE CONTRACTING CORP. B. tom:,• LOT #1 WOODSTR£ET Z !� , TM# 85.7 -2 -29 1 1 1 1 1► 1 I C, PUTNAM VALLEY (1) S STAKE SEA � � � 1\ 1 1 1 1 � 1M D �3iF�it7�1p DANIM J. DONAHUE P.E. 1 I 11 C ** ; 1 I sss� CONSULTING E STAI E DINE 1 1 j l I j I ENGTNP,ERS S j j ► 1 628-7576 N No. j j I ► • • ®��NA 1 1 1 1 I I _ DATE: NOVEMBER 20,200D 1 1 j I .1 1 SCALE.V -30' - --" 1 1 1 SURVEY BY: ROLAND LINK, L.S. 1 1 1 A 1 1 SYSTEM WAS INSPECTED BY ME BEFORE IT WAS COVERED OVER THE SYSTEM WAS CONSTRUCTED IN ACCORDANCE 1 1 ( I • 1" STATE DEPARTMENT OFHEALTIL N • a o■sA • • se��s� -l�J� �pt��pfii�•at. w1A�t� :t I•]1��j��- 2 P• (, d9, s w FouNw►noN 9L OvERHAJN+ NG 39•x+ CONC. RETAINING WALL . Q WELL I r� LOC4710N a %rr I' 52.8+ 1,WN CE ENTRA►'152 - 1,17I1.I7Y POLE GUY WIRES b e11JDGV1� %,� SET V- 0 —N �j CORNER HOUSE I ' L�11L/IY POLE 40 N�4' PIPE I I �� DRAIN - T UNDER MANHOLES SEPTIC U Py MANHOLE 15' R. STAKE SET TANK 1 V No. 6 0 / p„hP 15' H.D.P.E 11 I W STAKE ON I :PROP. LINE ;' 50,942 sg. ft. QP� Ln 116. ` � 1.169 Eacres �'" B C D ; 1 L/1 A 1 — y 1 1 1 1 1 \ 1 I SEPTIC R£LD �y II \ It 1 1 1 LOC4TED 10/03/00 �tJ ASBUILT PLAN 1 1 SEWAGE TREATMENT SYSTEM j j \\ 1 1 1 1 JASTINE CONTRACTING CORP. 1 1 LOT #1 WOODSTR£ET Z Z I C TM# 85.7 -2 -29 1 1 1 1 1► 1 I C, PUTNAM VALLEY (1) S STAKE SEA � � � 1\ 1 1 1 1 � 1M D DROP DANIM J. DONAHUE P.E. 1 11 C ** ; 1 I I CONSULTING E STAI E DINE 1 1 j l I j I ENGTNP,ERS S j j ► 1 628-7576 N No. j j I ► GUY MAHOPAC.N.Y.10541 1 1 1 1 1 I I _ DATE: NOVEMBER 20,200D 1 1 j I .1 1 SCALE.V -30' - --" 1 1 1 SURVEY BY: ROLAND LINK, L.S. 1 1 1 A 1 1 SYSTEM WAS INSPECTED BY ME BEFORE IT WAS COVERED OVER THE SYSTEM WAS CONSTRUCTED IN ACCORDANCE 1 1 ( I • 1" STATE DEPARTMENT OFHEALTIL N • a 1 1 I . 00 ►, 1 1 1 S DRAIN j l p 0 R MANHOLES N 0 CORNER' PROP. 15 h ° ».q..,°. �1 q,:.'�_'•.q'�,`•P. ::P.. -.,�_ .. o'.�r _•± ...Yy••4..u5at,Ip rn,.r .. qe °l�w:.e '°.i �.. a:44..e�t.:.. :� -'`� ::f.'.N4y. 2�- ..cwe:,e,y�.. 581 BUNyBp . A-14i I rucnam County Le L'ludd ut Iivieion of Environmental Health Servioee