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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.09 -1 -12 BOX 35 I ME 11 1 a M-1 1 ; r 0 ; l , LJ '1 . IN '• IN ■ 0 IN I INN X' ' IN 04624 a PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF-ENVIRONMENTAL HEALTff,$FR . ... LK...: . _ �- s .n .� r. .. y Ny.• e.. .: j :tea -.. r.. �..-. ... Y:.y.. '.., .a .. ".;' ..�•.. r.. � k.. . -1 _.: �Y. ..~. p•: CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEW ATM D PCHD CONSTRUCTION PERMIT # PV � �: - qq I- ) L Located at 11mea:[I PLAct Town or Village i!= Owner /Applicant Name_ 4AAAW10 010ANL04 Tax Map s, W Block �_ Lot 1 Z Formerl Subdivision Name M�A Subd. Lot # 11A Mailing Address 7 SA C6ACWi_i &)4-r 6611AAA ; Morn, st 'Nil Zip Date Construction Permit Issued by PCHD 11)1-5 Separate Sewerage System built by AL C..APf5r- LLJ Address t4A 14 p Q c, Consisting oft 060 Gallon Septic Tank and 612 LC- 19" w1106 Ai3soAP-ri/pu 76&fc!6cs Other Requirements: Zi_ Q" - .. l.1.1- uXMp� 250 Cat, pamP lAdi� , (nN 'TA b L.S,.ALAr Water Supply: Public Supply From Address or: K Private Supply Drilled by sV1ymN A,1,ngA,,,J IiX, Address PV'TVAVL V U6, j ..Building. Type � ���,��N"il!!� Has erosion. control been completed? Number of Bedrooms 5 Has garbage grinder been installed? fk)„ 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 the Pu ounty Department of Health. Date: 1510t- Certified by P.E.X R.A. (Design Professional) ,Address -rs �� . �. LP k1U 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 subject to modification or change when, in the judgment of the Public Health Director, such revocat. n, modi. icatio r change is necessary. By: Title: Date: White copy - HD ile; YeO copy - Building Inspector; Pink copy - ner; OraQe copy - Design Professional Form CC -97 YML ENVIRONMENTAL SERVICES 321 Kear Street ' Yorktown Heights, N.Y. 10598 4) 2fft )Q���_:s`'��i��°���/x�����'`'�~� Albert H. Padovani, Director' ` LAB #: 32.105716 CLIENT #: 13667 NON ~~~~~~~~~~~~~~~~~~~~~~~°~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ STAT PROC PAGE 1 O'HANLON, RAYMOND DATE/TIME TAKEN: 08/13/01 12:45P 258 COACHLIGHT SQUARE DATE/TIME REC/D: 08/13/01 01:10P MQNT !SE, NY 1O548 REPORT DATE: 08/20/01 PHONE: (914)-737-4568 SAMPLING SITE: 56 FINNERTY PLACE SAMPLE TYPE..: POTABLE : PUTNAM VALLEY, NY_-- PRESERVATIVES: NONE ' COL'D BY: RAYMOND O . HANLON ..: < 4C NOTES...: WELL COLIFORM METH: MF DATE FLAG PROCEDURE RESULT NORMAL RANGE METHOD PUTNAM CNTY PROFILE 08/13/01 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 08/13/01 LEAD (IMS) 1.3 ppb 0-15 ppb 9101 08/13/01 NITRATE NJTROG <0.2 MG/L 0 - l0 9139 08/13/01 NITRITE NITROG <0.01 MG/L N/A 9146 08/13/01 IRON (Fe) 0.216 MG/L 0-0.3 mg/l 2037 08/13/01 MANGANESE (Mn) 0.053 MG/L 0-0.3 mg/1 2037 08/13/01 SODIUM (Na) 504 MG/L N/A 08/13/01 H p . 7 3 UNITS 6.5-8.5 9043 ' 08/13/01 HARDNESS,TOTAL 122 MG/L N/A 08/13/01 ALKALINITY (AS 84.0 MG/L N/A 08/13/01 TURBIDITY (TUR <1 NTU 0-5 NT. ' --COMMENTS: ' BACT THESE RESULTS INDICATE THAT THE ,(WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb/CV LEAD limits for p EPA Lead & Copper than 10% of their than 15 ppb and a treatment must be potential. ublic 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 /L l water . mg/L. else wa r 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. YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 4 nA.�*.,.,--� H. Padovani, Director LAB #: 32.105716 CLIENT #: 13667 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ O'HANLON, RAYMOND 258 COACHLIGHT SQUARE MONTROSE, NY 10548 SAMPLING SITE: 56 FINNERTY PLACE : PUTNAM VALLEY, NY COL'D BY: RAYMOND O'HANLON NOTES...: WELL ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE -FLAB PROCEDURE NON SAT FROC PAGE 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-~~°~~ DATE/TIME TAKEN: 08/13/01 12:45P DATE/TIME REC'D: 08/1001 01:1017' REPORT DATE: 08/20/0i PHONE: (914)-737-4568 SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE ' TEMPERATUM.: < 4C COLIFORM METH: Ml'-' 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: 70040 MG/L MG/L = MILLIGRAM PER LITER SUBMITTED BY: -- uzre�tor ELAP# 10323 PUTNAIbII[ COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ES WELL COMPLETION REPORT WellYLocatajn- u.. ._ ctr. eet-Addre, .,... .: .v►� -'e'J �� � T 'n / = iliage. 'Tax Grid 4:., 'Map 05: Block Lot(s) Well Owner: N e: Address: t Use of Well: I- pramary 2- secondary Residential Public Supply Air cond/heat pump rrigation 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 ft. Length below grade F-3 7 yft. Diameter G �' in. Weight per foot _Z�_lb /ft. Materials: Y Steel _ Plastic _ Other Joints: _ Welded .24, Threaded Other Seal: A Cement grout — Bentonite Other Drive shoe: Yes —No I 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 /O gpm )(Depth Data Measure from land surface - static (specify ft) +T During yield test(ft) Depth of completed well in feet (` Well ]Log If more detailed information descriptions or sieve analyses please attach. Depth From Surface Water Bearing Well Diameter(in) ]Formationw Description ft. ft. Land Surface -7,5 o,.J 73 _ If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump TypeAL -, Capacity Depth A / ©� Mo Voltage X36% HP Tank Type 3 0v Volume iLd Date Well Completed 19 Putnam County Certification No. Date of Report d &�Z Well Driller (signature) 4�z� �� NOTF: Exact location of well with distances to at least two permanenj Ildmarks to be provided on a separate sheet/plan. Well Drillees Name aJ6WV-1C Address: / S� Signature: Date: White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 CMG a �.a BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director.• of Patient Services. Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 E911 ADDRESS VERIFICATION FORM OWNERS NAME: TAX MAP NUMBER: E911 ADDRESS: TOWN: AUTHORIZED TOWN OFFICIAL: RAYMOND O'HANLON 85.9 -1 -12 OF PUTNAM VALLEY 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. (E911VERFRMVI) PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALT H SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Raymond O'Hanlon Owner or Purchaser of Building gAqM0Nc> C)11 VA4,iL -0 Q Building Constructed by Finnerty Place Location- Street Residential Building Type 85.9 1 12 Tax Map Block Lot Putnam Valley TownNillage N/A Subdivision Name N/A 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. 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: onth Day % 5 Year ),CO Z-- General Cda tractor (Owner) - Signature Corporation Name (if corporation) Address: 258 Coachlight Square, Montrose Signature: Title: Corporation Name (if corporation) Address: State New York Zip 10548 State Zip Form GS -97 BA❑EY & WATSON sPdgey&ng,_ 4_4 ngi3 eeY11Y8 ]P_C. 3063 Route 9, Cold Spring, New York 10516 (845) 265 -9217 (914) 628 -1800 (914) 739 -3577 (845) 225 -3312 FAX (845) 265 -4428 TO: Sean Mogan ]Putnam County Department of )Health 1 Geneva Road Brewster, NY 10509 We are sending: copies date description of document ITTAIL LETTER of TRANSMITTAL 6 r Date. 16 Jan 2002 File No. 77 -139 W. 0. # 14112 RE: O'Hanlon Finnerty Place N/A Subd. Lot No. Tax Map 85.9 -1 -12 Permit # Sent via: US MAIL ❑ UPS -NIGHT ❑/ MESSENGER ❑ UPS -2 DAY ❑ PICK -UP ❑ UPS -3 DAY ❑ FAX ❑ UPS -GROUN ❑ UPS -COD ❑ ❑1 16- Jan -02 7 Application Fee Ol 15 -Jan-02 I lCertificate of Construction Compliance for Sewer Treatment System F71 04- Dec -01 I E911 Address Verification Form ❑1 1 10 -Jan-02 I INYS Board of Fire Underwriters Certificate of Compliance 1 15 -Jan-02 JGuarantee of Subsurface Sewage Treatment System ❑1 20- Aug -01 7 lWell Water Test Results � - Well Com letion Report .. -- — ❑3 28- Nov -01 SSTS "As- Built" ❑ ❑ l REMARKS: Signed: John P. Delano, P.E. Copies to: File 6474 r =,- L I a r =,- L I JAN-16 -2002 12:29 BADEY & WATSON, PC _... toe BADEY & WATSON ' Surveying and Engineering A. C. 7 . , 9063 Route 9, Cold Spring, New York 10516 (845) 2654217 GlennonJ, Watson, 4S: (845) 225.33.12 John F. Delano, P.F.. ut�1G FAX: (845) 265.4428 (9 14) 628 -1800 Peter Mcisler, L.S. (914,739-3577 Stephen R. Miller, L.S. (877) 314.1593 Jennifer W. Reap, L.S. FAX T7'f 1 1lTSAUTT �' George A. Badey, I-S., Senior Consultant 1 ii1i1�►7ts� i rsa u James W. Irish, Jr., PE., L.S., Senior Consultant Mary Rice, R.L.A., Consultant DA'I'S: s� TO:. FAX # 7- 0' ti MESSAGEANSTRUCTIONS:. NUMBER OF PAGES INCLUDING THIS ONE BADEY & WATSON FILE # PLEASE CALL IF ALL PAGES DO NOT GO THROUGH Owners of the records and files of iiwnic Surveying & Engineering, P.C., Burgess & Behr, Roy Burgess, J. Wilbur Irish, jWph S. Agnoli, Vincent Burruano, Hudson Valley Engineering Company, Inc., Doug as.A. Merrit; K B. Moebus aM Reynolds & Chase JAN - 16-2002 WED 13:26 TEL: 845 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 1 JAN -16 -2002 12:29 BADEY & WATSON, PC P.02i02 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENWRONMENT'AL HgAL,T'lH1 Sll;RVIICES ffQUEST FOR FINAL INSPECTION For: Fill /,A Date: � t 15 lot- Trenches AIIA ....- - - -- PC HD Construction Permit # FV' l �" Located: GidaXIM - - -- Owmer /Applicant ]Name: �' ice_ T i� 5.� i�lock �� _ot 17, Formerly. Job Subdivision Name: - l IIA Subdivision Lot # fla Is system fill completed? 14c Date. is system complete? Date: _... 911151 1 _ Is system constructed as per plans . _ Is well drilled? Date: Is well located as per plans? vx� Are erosion control measures in place? I certify that the system(s), as listed, at the above premises has been constructed and I have inspected and verified their completion-in accordance with the issued PCID Construction Permit and approved plans and the Standards, Wes and Regulations of the Putnam County Department of Health. Date: f 4 L14� - . - -.. -- Certified by: ---John P. 001ano _PE a/ RA Desi Professional Address: .- Lie. # - . _ 62605 F Now 1V (NAME) Form FIR. -99 TOM-1r.-?GAP wpn 1 '3! P7 TP - A4r- P7A -7gP1 NOME' - PI ITNAM f" f1I INTY nPPAPTMFNT np, P P PUTNAM COUNTY DEPARTMENT OF HEALTH D `VISION OF ENVIRONMENTAL HEALTH SERVICES..' _ CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM l PERMIT " I Located at wKjT--ZV( FLACC-- Town or Village � lJft-i Y/ c Subdivision name P.i�,- Subd. Lot # Tax Map � Block _� Lot R Date Subdivision Approved N/Al- Owner /Applicant Name RA4yko�j\ , Mailing Address Renewal Revision Date of Previous Approval Zip 10W Amount of Fee Enclosed 4 ?)C)O. too 'Building Type A-t - Lot Area ' ?,$:5' No. of Bedrooms Design Flow GPD CCO Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1,000 gallon septic tank and Gl ?- L-f - Other Requirements: 2-1-0c (zo e:) r—i a.., Ply rA P. I 26D &M, - PAPA P TA IJI/ CCN us , AkA2aV To be constructed by bP2g -'> 4�k& J� 5 16X•Address PZp (, Li-- , (OL Z4 A-(� Water. = Supply: Public Supply From Address Private- Supply -l�irille by d p P Address CoW SM rj 6 r I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewaeme treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction 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 place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Address R.A. - Date, 112-(, License # 6 (.265 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 anew pe MN t. App ved fo -d ch " e domestic sanitary sew ge only. Alki By: Title: Date: J White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Pro essional Form CP -97 PUT NAM COUNTY BDIEPAlIB'1<'MIENT OY HEALTH H DIIVIKON OIF IENWRONM EI` TAIL HEALTH S ERWC1ES APPLICATION TO CONSTRUCT A WATER WELL please ,inwr;r,,;ie ,._..- 1 CHD Permit # ?I - Well Location: Street Address: TownNillage Tax Grid # NTO eftaAl Map . Block Lot(s) (' WellllOwner: N""a''me: q Address: 054 Use of Well: �' Residential Public Supply Air /Cond/Heat Pump Irrigation I- primary Business Farm Test/Monitoring Other (specify) 2- secondanry 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 New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type _ L>-:�' Drilled Driven Gravel Other Is well site subject to flooding? ........... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes No X Name of subdivision /� Lot No. — Water Well Contractor: Address: " Is Public Water Supply available to site? .................................. ............................. ... Yes No X,' Name of Public Water Supply: 01A- TownNillage Distance to property from nearest water main: 1 M t Proposed well location & sources of contamination to be provided on separate- s-heet/plan. Date: b �i Applicant Signature:', PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by PtItnan County. f Date of Issue �: j ° i� : �' � .i Permit Issuin Official: Date of Expiration i i j ..� 4 � Title: (.` . Permit is Non- Transfferr bllij White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 CHAPTER 144: TOWN -OF. PUTNAM. VALLEY.- PERMIT WAIVER Freshwater Wetlands, Watercourses and Waterbodies Ordinance of the Town of Putnam Valley, New York. The Town Wetlands Inspector, as Approval Authority, has determined that the proposed action is an Unlisted Action under SEQRA, and will not have a significant environmental impact. Therefore, a PERMIT WAIVER is granted subject to the conditions noted below. DATE PERMIT ISSUED: DATE PERMIT EXPIRES: APPLICANT /SPONSOR: PROPERTY LOCATION: October 20, 1999 October 20, 2000 Nancy O'Hanlon 258 Coachlight Square Montrose, NY 10548 Finnerty Place TAX MAP #: 85.9 -1 -12 SIZE OF PARCEL: 1.3 acres' ZONING: R -2 PROPOSED ACTION: Construction of single family residence, driveway, septic . system within Watercourse setback area �:......_ . � :--MATER AL.S.RE-V.-1E WEI 1. Site Plan and Proposed Sewage Disposal System Plan, prepared by Badey & Watson, dated 07- 16 -99, last revised 08- 30 -99. 2. Site Alteration Permit Application forms, file # WT -320, dated 10/07/99. CONDITIONS OF PERMIT: 1. All erosion control measures shall be implemented as shown on above referenced plan. Silt fence shall be extended to run along the entire length of the watercourse at the 50 ft. line as shown on approved plans. 2. A buffer enhancement planting plan shall be prepared that shows-the addition of plantings along the 100 ft. wetlands control line of the state wetlands, and along the 50 ft. watercourse buffer line. Plantings shall consist of native species of trees and shrubs. Plantings shall be placed along limit lines ta demarcate control areas, and to serve as a permanent screening to separate the wetlands areas from the residence and septic areas. Page l oft ohanlonpw P ' Y....3. 4. The bu_ffex: enhancement olantin:; planto. be- submitted to the Wetlands Inspector -for_ _. -,x;.� review and approval, prior to the issuance of abuilal ig permit._" The Building Inspector shall be notified once erosion control measures are in place and at least 48 hours prior to the initiation of any site work. 5. When Erosion controls are'required, they must be maintained properly throughout the construction process and remain in place until final site inspections for compliance with conditions of permit have been completed. 6. The Planning Board, Wetlands Inspector, and/or Building Inspector, shall have the right to inspect the project from time to time. 7.:.' The permit shall be prominently displayed at the project site during the undertaking of the activities, authorized by: the permit. g. An additional escrow account in the amount of $ 300 must be established with the Town before this Permit Waiver can be considered validated. These additional escrow funds will be appropriated as required for construction monitoring purposes. Any portion of the account not used during the project monitoring period shall be returned to the applicant upon satisfactory completion of the project. Noncompliance with the conditions above will invalidate this Permit Waiver, and may result in a Notice of Violation and /or a Stop Work Order. Any questions regarding this Permit Waiver should be directed to the Town Wetlands Inspector (914) 762 -7288, or the office of the Building Inspector (914) 526 - 2377. Date Perr-tit Waiver Prepared;_ - October 20; 1999 cc: Applico t . uilding .. Inspector Planning Board Environmental Commission Page 2 of2 Stephen W. Coleman Town Wetlands Inspector Post-ir Fax Note - To 7871 Date � fl w/� - ' Iv . From aq Pages 2. . Phone # Co. y Z D ,�/2(C�"1 Phone # Fax # Fax# �r G�� �(2 `b J~���� ohinlonpw P TOWN OFF pi"" VMjU'Y' p CHAPTER 144: Freshwater Wetlands, Watercourses and Waterbodies Ordinance of the Town of Putnam Valley, New York. The Town Wetlands Inspector, as Approval Authority, W determined that the proposed action is an Unlisted Action under SMRA, and will not have a significant environmental impact. Therefore, a PERMIT WAIVER is granted subject to the conditions noted below. DATE PERMIT ISSUED:, October 20, 1999 DATE PERMIT EXPIRES: October 20, 2000 APPLICANT/SPONSOR: Nancy O'Hanlon 258 Coachh& Square Montrose, NY 10548 PROPERTY LOCATION: Finnerty Place TAX MAP #: 85.9 -1 -12 SIZE OF PARCEL: 1.3 acres ZONING: R-2 PROPOSED ACTION: Construction of single family residence, driveway, septic - - sy -te �`i?h ?ttat re ne e_ -ftek :i aa MATERIALS REVIEWED: 1. Site Plan and Proposed Sewage Disposal System Plan, prepared by Badey A Watson, dated 07- 16-99, last revised 08- 30-99. 2. Site Alteration Permit Application £om:s, Ste # WT -320, dated 10/07/99. CONDITIONS OF PERMIT: 1. All erosion control measures shall be implemented as shown on above referenced plan. Silt fence shall be maended to run along the entire kno of the watercourse at the 50 ft. line as shown on approved plans. 2. A buffer enhancement planting plan shall be prepared that shows. the addition of plantings along the 100 & wetlands control line of the state wetlands, and along the 50 ft. watercourse buffer lice. Plantings shall consist of native species of trees aW shrubs. Plantings shall be placed along Limit lines to demarcate control areas, and to serve as a permanent screening to separate the wetlands areas from the residence and septic areas. PW 100 ZO'd TZ6LBLZ 01 •J'd `NOSIUM '8 AMUS W06A eo:VT 666T -LE-100 F 3. I-M buffir enhanceamM pkmtaasg plaaa to ba mbn*ted to the Wedmds Spector for review approval, p&g to the imume Of a. building peat. 4. The Building Inspector shd be motifmd once erosion costml as comes are in place and at 48 hours prior to ft iaaatiation Offiny site work. S. When Fkoslon controls me requh*d, they avan he ambataiaaed properly througbout the coaastuetion process and mmm in ply until &l site inspection for comphoft wath comMons of peranit have been completed. 6. TU Mign Bond, Wet s laspector, M&Or Building Inspector, smell have the right to msp= ft Project fiorua tme to teas'.. 7.1 The per. sha be promineWly displayed at. project sip during tm uadut wng of the wd.vkies authorind by.ft C. An additiond amw mcount in ft amu ot of S 300 mast be estaablashed with the 'Town bpabre this Peat Wswer can be conskiered vadaaW. Tbm aadditiond escrow finids gill be appropriated as required for constmdon monitoring purposes, Any portion of the mooing not used during the project aaaonkoring period siall be returned to ft applicant upon adstmogy Completion of tim project. Moncompliam(ic wkh the conditions above w1H invalifte this Tanni4 Waive]?. and any mule in a Nodes off MOIngl ®n andldr? a 3e®p Work Orden?. Any question aganling this pemgt Waiver should be dirma to the Town Wetlands Spector (914) 762°7238, or the office off the Buiwias motor 1,914) 526-2377.. %Dste Pezout Waiver Prepared: October 20, 1999 ALP" u e Lzte — Stepben W. Colamn 'own Wdkods gnspector TO'd TZ6L8LZ 01 '0'd `NOSIUM '8 k3Qt1G W08=1 LO:VT 666T -LZ -100 -BADEY & WATSON LETTER of TRANSMITTAL Surveying & Engineering, P.C. 3063 Route 9, Cold Spring, New York 10516 Date: 01 Sep 1999 3 -.628 -1800 t.9 2 .3 5 77. 'N.07 jj,4 �65�n9ZJ.7;: 7 FAX (914) 265-4428 W.O.# 12701 RE: Proposed SSTS O'Hanlon Finnerty Place TO: N/A Subd. Lot No. N/A Adam Stiebeling Tax Map 85.9-1-12 Putnam County Department of Health PCDH Permit I Geneva Road Brewster, NY 10509 Sent via: US MAIL ❑ UPS-NIGHT ❑ MESSENGER ❑ UPS-2 DAY ❑ PICK-UP ❑ 'UPS-3 DAY ❑ UPS-GROUND We are sending: copies date description of document F-3] 130-Aug.-99 F§eparate Sewage Treatment System Sheet I of 1 El F_ REMARKS: Plan has been revised tbidentify soils and complete soils legend. Additionally, as discussed, the "intermittent stream" shown on the plan is a drainage way which diverts runoff from the parkway. Also be advised that we have again directed the applicant to obtain an appropriate survey as required. Signed: John P. Delano, P.E. cc: File PCDH 2476 t3KUf;1 n. - FOLEY Public Health Director August 19, 1999 DEPARTMENT OF BEALTH 1 Geneva Road Brewster, New, York 10509 LOREVTTA MOLINARI R.N., M. S.N. Y Associate Public Health Director Director of Patient Services Environmental health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 John Delano, PE; Badey & Watson Route 9 Cold Spring, New York 10516 Re: O'Hanlon TM# 85.9 -1 -12 Town of Putnam Valley Dear Mr. Delano: cap 0 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 consideration. 1. Please provide a Certified copy of the property survey, showing property in its entirety. 2. Identify soil boundaries on plan. 3. Complete soils-legends. 4. Provide a letter from the Town Wetlands Inspector identifying the intermittent stream. 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, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj :.BRUCE ..R:= -FQI.EY. - Public Health Director John Delano, P.E. Badey & Watson Route 9 Cold Spring NY 10516 Dear Mr. Delano: LORE,TTA MOLINAK R.N,, 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 (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 .Fax (914) 278 - 6085 Re: O'Hanlon TM# 85.9 -1 -12 (T) Putnam Valley i`�eRV+d�kf M' �l September 14, 1999 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 consideration. -� , - r41 Please provide;'a Certified copy_of,the. propert.�survey...,yshowing . property -in :its entirety. 2. Provide a letter from the Town Wetlands Inspector identifying the intermittent stream. 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, 6 Adam B. Stiebeling Assistant Public Health Engineer ABS:tn �1) �i ` C �,) ' \ .,r 4 �"i i N•a (,Y' ` \ d 11 ".:,b �: �r Y A ® 1 i �'. �a `, 0 .. ., i+.'e-{ -�'•• .. ,.. :. _� �.. ,, �,x�' `._. � ,T.ra _.'� .^ - �,:T -xro �-is :: . � •_`,.^�. .: Y,. .; iz_ ..i - Q.,�4a: "r � ^ +� I IET AUTHORIZATION RE: Property of Mo�J V 0'4AtALot.4 Located at ' FANtq0-r_rq r T/V t'g7-jQW Tax Map # 815. cl Block Lot 12 Subdivision of N/Al Subdivision Lot # _ M/ 4 Filed Map # Date Filed Gentlemen: This letter is to authorize �J_04 j P. Dr-.:L � I P. e, a duly licensed Professional Engineer i 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 _ . _, .. ,.. _ - - -- le Law, and "tlitr'Futnam County Sarntary Cod Very truly yours, Countersigned: Signed: __ P.E.,. # #OnL_�&&4IJ ( Owne Property) Mailing Address �i �C'� +�4 ,�C Mailing Address:' State WY Zip lei Telephone: 41(14- 1 i 2..i i MU1'J'fe05E_ State 1j l i Zip 1 CG46 Telephone: ©1 t4 - -7 �;-7 Form LA -97 k. BADEY & WATSON LETTER of TRANSMITTAL X wri. ��myeyft..'4 ML %. . - 3063 Route 9, Cold Spring, New York 10516 Date: 27 Jul, 1999 914 265-9217; 739-3577; 628-1800 File No. 77-139 FAX (914) 265-4428 W.O.# 12701 RE: Proposed SSTS TO: Adam Stiebeling Putnam County Department of Health I Geneva Road Brewster, NY 10509 We are sending: O'Hanlon Finnerty Place N/A Tax Map 85.9-1-12 PCDH Permit # copies date description of document FI] 126-Jul-99 7Construction Permit for Sewage Treatment System 71 1 7 Letter of Authorization Cent vin- Subd. Lot No. N/A US MAIL ❑ UPS-NIGHT W MESSENGER ❑ UPS-2 DAY ❑ PICK-UP ❑ UPS-3 DAY ❑ UPS-GROUND ❑ F-11 1 7 JApplication for Approval of Plans for a Wastewater Treatment System 0 126-Jul-99� I Short Environmental Assessment Form F-2] 106-Oct-99 —1 jDesign Data Sheet 73 116-Jul-99 —1 Separate Sewage Treatment System Sheet I of 1 71 jPump data & info I oor.-Plans. 71 126-Jul-99 I [Application to Construct a Water Well F-1] 127-Jul-99 ::1 jApplication Fee REMARKS: Signed: John P. Delano, P.E. cc: File PCDH 2465 .711 - �. ; :.J 0 H-A-0 L-0 tJ tJ � M,-TIC- T�-, M 5F-41�� (22, >< VA- LVjf,�- 2.0 se- -T-1 Vvi Prk5s, GPM -., r^... • � •• Item No. Description 1 1 Impeller 2 Casing 3 Mechanical seal 4 Shaft 5 • .. �� ... .� . _Motor, _____ - 6 Bearings — upper and lower 8 7 Power cable 8 0 -ring 1 2 a r,k1 ti i • � f d -- MODELS POFORMANCE RATINGS (gallons per miriu�e) NPf �iS�e�H ,.,•,:r�, c':. 51i Friction PLAST Lt��s 2" 21h" 3" V 6" 8" 10" GPM GPH Ft. Lbs. Ft. Lbs. Ft. Lbs. Ft. Lbs. Ft. Lbs. Ft. Lbs. Ft. Lbs. 6 360 .10 .044 8 480 .17 .073 10. 600 '.25 .108 .11 .046 15 900 .52 .224 .22 .094 20 1,200 .86 .375 .36 .158 .13 .056 25 1,500 1.29 .561 .54' .234 .19 .083 30 1,800 1.81 .786 .75 .327 .26 .114 35 2,100 2.42 1.05 1.00 .436 .35 .151 .09 .041 40 2,400 3.11 1.35 1.28 .556 .44 .191 .12 .052 45 2,700 3.84 1.67 1.54 .668 .55 .239 .15 .064 50 3,000 4.67 1 2.03 1.93 .839 .66 .288 .17 .076 60 3,600 6.60 2.87 2.71 1.18 .93 .406 .25 .107 70 4,200 8.83 3.84 3.66:. 1.59 1.24 ,540 .33 .143 80 4,800 11.43 4.97 1 4.67 2.03 1.58 .687 .41 1 .180 90 5,400 14,26 6.20 5.82 2.53 1.98 .861 .52 .224 100 6,000 7.11 3.09 2.42 1.05 .63 .272 .08 .036 .055 150 9,000 5.15 2.24 1.33 ! .580 .18 .077 . 175 10,500 6.90 3.00 1.78 774 .23 .1C2 200 12,000 8.90 3.87 2.27 ' .985 .30 .130 250 15,000 3.36 ' 1.46 ; .45 .195 .12 .051 300 18,000 i ( 4.85 ` 2.11 .63 i .275 .11 .072 350 21,000 ! 6.53 2.84 .84 .367 1 .22 I .095 ! 400 1 24,000 1.08 .471 .28 4 .121 500 f 30,000 ? 1.66 i 720 ' .42 i .182 .14 .059 550 33,000 i I i ( 1.98 .861 .50 .219 .16 .071 600 i 36,000 i i r i I 2.35 1.02 ( 59 .258 .19 .083 700 42,000 .79 .343 .26 .112 800 48,000 ' 1 1.02 .443 .33 .143 900 54,000 1,27 .554 .41 .179 950 57,000 1000 .46 .198 N .n�:;':F: ,T b..z�:}.` :: 'e'_ „_s'�:. ,.:µ .... ".�.•. A., £^.-�.•_..1. aR. :1: "� "3.. ., :iR.'iE i. .y!.) ,.. +s.'�C...A�f.: ,d. v ^f T£; X51 .t4:4'TAi3�:��'XVIi(' ?_' -".,tiv 4Rk8 ..:F'dY..1�'.'!ad.fiV;.v..6.. ':, •'�G2.:6W.'f#!!SNi „A�."T3 (Q b. �iC`:'M'"^% '�'Y:.wh`T•?Fi"+'c�..Y�:;id;Tn. C �,.�ESX�t'Y e. ,�;��.J3i i3Y:: .= e�, �... s. ..Y19Ft >d1a.i�.5.!+e��K,r'BG.FZ ,Sa'E'Gs':�R.. aaY.iS: rrll W 1# 4 1 1 ' YwtxFVMYRH.' �.'. 3a�Y' iRLS. 3�[ Si'. �4AG' .Ss•iAVAiYY#?^�:JIId.9fe�LR%:EY wPS£ 411 i�i4l. Y.. T': J6:A'F,N.iMf?s�A'1F�4�F.fN®illi Size of Fittings, Inches R 3 /a" 1" 4' Sr "4A 11/2 T��CHN1$C�AL DAT�A�. W �o, N .n�:;':F: ,T b..z�:}.` :: 'e'_ „_s'�:. ,.:µ .... ".�.•. A., £^.-�.•_..1. aR. :1: "� "3.. ., :iR.'iE i. .y!.) ,.. +s.'�C...A�f.: ,d. v ^f T£; X51 .t4:4'TAi3�:��'XVIi(' ?_' -".,tiv 4Rk8 ..:F'dY..1�'.'!ad.fiV;.v..6.. ':, •'�G2.:6W.'f#!!SNi „A�."T3 (Q b. �iC`:'M'"^% '�'Y:.wh`T•?Fi"+'c�..Y�:;id;Tn. C �,.�ESX�t'Y e. ,�;��.J3i i3Y:: .= e�, �... s. ..Y19Ft >d1a.i�.5.!+e��K,r'BG.FZ ,Sa'E'Gs':�R.. aaY.iS: rrll W 1# 4 1 1 ' YwtxFVMYRH.' �.'. 3a�Y' iRLS. 3�[ Si'. �4AG' .Ss•iAVAiYY#?^�:JIId.9fe�LR%:EY wPS£ 411 i�i4l. Y.. T': J6:A'F,N.iMf?s�A'1F�4�F.fN®illi Size of Fittings, Inches 1/Y" 3 /a" 1" 11/4 11/2 2" 21/211 3" 4" 5" 6" 8" 10" 900 Ell 1.5 2.0 2.7 3.5 4.3 5.5 6.5 8.0 10.0 14.0 15 20 25 450 Ell 0.8 1.0. 1.3 1.7 2.0 2.5 3.0 3.8 . 5.0 6.3 7.1 9.4 12 Long Sweep Ell 1.0 1.4 1.7 2.3 2.7 3.5 4.2 5.2 7.0 9.0 11.0 14.0 Close Return Bend 3.6 5.0 6.0 8.3 10.0 13.0 15.0 18.0 24.0. 31.0 37.0 39.0 Tee - Straight Run 1 2 2 3 3 4 5 Tee -Side Inlet or Outlet 3.3 4.5 5.7 7.6 9.0 12.0 14.0 17.0 22.0 27.0 31.0 40.0 Globe Valve Open 17.0 22.0 27.0 36.0 43.0 55.0 67.0 82.0 110.0 140.0 160.0 220.0 Angle Valve Open 8.4 12.0 15.0 18.0 22.0 28.0 33.0 42.0 58.0 70.0 83.0 110.0 Gate Valve -Fully Open 0.4 0.5 0.6 0.8 1.0 1.2 1.4 1.7 2.3 2.9 3.5 4.5 Check Valve (Swing) 4 5 7 9 11 13 16 20 26 1 33 39 52 65 Check Valve (Spring) 4 6 8 12 14 19 23 32 43 58 Example: (A) 100 ft. of 2" plastic pipe with one (1) 900 elbow and one (1) swing check valve. 900 elbow - Equivalent to 5.5 ft. of straight pipe Swing Check - Equivalent to 13.0 ft. of straight pipe 100 ft. of pipe. 7-.f quivalent to 1;00.0 -%: of-straight_ pipe'` - " 118.5 ft. = Total equivalent pipe Figure friction loss for 118.5 ft. of pipe. (B) Assume flow to be 80 GPM through 2" plastic pipe. 1. Friction loss table shows 11.43 ft. loss per 100 ft. of pipe. 2. In step (A) above we have determined total feet of pipe to be 118.5 ft. 3. Convert 118.5 ft. to percentage. 118.5 =100 = 1.185. 4. Multiply 11.43 x 1.185 13.54455 or 13.5 ft. = Total friction loss in this system. V. BADEY & WATSON LETTER of TRANSMITTAL Surveying & Engineering, AC. 3063 Route 9, Cold Spring, New York 10516 Date: 29 Oct 1999 44.z f ite"V7.1 �139 FAX (914) 265-4428 W. O. # 12974 RE: Proposed SSTS O'Hanlon TO: Finnerty Place Adam Stiebeling N/A Subd. Lot No. N/A Putnam County Department of Health Tax Map 85.9-1-12 Permit # I Geneva Road Brewster, NY 10509 Sent via: US MAIL ❑ UPS-NIGHT MESSENGER ❑ UPS -2 ❑ PICK-UP ❑ UPS-3 DAY ❑ FAX ❑ UPS-GRouN El UPS -COD * We are sending: copies date description of document 0 128-Oct-99 Se crate Sewage Treatment System Sheet I of I 71 129-Oct-99 jPurnp data & info El I F-1 I REMARKS: Plan revised to reflect client requested change in house position and add barn. Current boundary survey coming soon from Taconic Surveying & Engineering, P.C. Signed: John P. Delano, P.E. Copies to: File Ray O'Hanlon iii OAO LO FUVIAP Pp_�kG rj R'A go, x Vf- '441 -r3 1*1;tc;7 1 >< 15.c, -=- X-- � m --nvvl RA Ov, CANAMAN R7eunAGn ee� F�� �� i ��s� FA Friction Loss PLASTIC PIPE: FRICTION LOSS PER 100 FT. GPM GPH 3/4 1 1/4 ff 1 Y2" Ft. Lbs. Ft. Lbs. R. Lbs. R. Lbs. Ft. Lbs. Ft. Lbs. 1 60 4.25 1.85 1.38 .60 356 .155 .11. .048 2 120 15.1.3 6.58 4.83 2.10 1.21 .526 .38 .164 .10 .044 3 180 31.97 13.9 9.96 4.33 2.51 1.09 .77 .336 .21 .090 .10 :0.43 4 240 54.97 23.9 17.07 7.42 4.21 1.83 1.30 .565 .35 .156 .16 .071 5 300 84.41 36.7 25.76 11.2 6.33 2.75 1.92 .835 .51. .223 .24 .104 6 360 16.34 15.8 8.183 3.84 2.69 1.17 .71 .309 .33 .145 8 480 63.71 27.7 15.18 6.60 4.58 1.99 1.19 .518 .55 .241 10 600 97.52 42.4 25.98 11.27 6.88 2.99 1.78 .774. ;83 .361 15 900 .49.68 21.6 14.63 6.36 3.75 1.63 1.74 .755 20 1,200 86.94 37.8 25.07 10.9 6.39 - 2.78 2.94 1.28 25 1,500 38.41 16.7 9.71 4.22 1 .4.44 1.93 30 1,800 13.62 ..5-92 6.26 2.72 35 2,100 18.17 7.90 8.37 3.64 40 2,400 23.55 10.24 10.70 4.65 45 2,700 29.44 12.80 1 13.46 5.85 50 - 16.45 - -7.-tb, 60 3,600 23.48 10.21 1 TA. i Foction Loss w -..�.; _ -r `�� .., a, n. -- �. - :: � - •_� f -;,mom - e ® e e �-na;�r.x §. -F*r, vx x.,xr ca ^;t�x�x:. F -:..;- .,.. � „ ^�. ., io; Fm „qa,T +. -tx.m.ra, . ;c ,,.r_ +��'7^+�. - ••,:,nas..i,as.=maoxv,x i�rwe!,��vs•+rsan:m"•".. au�nsmnw :.qux!zas;x.�a..._:W.. -.a ... ., - aa.Am+c�merr��.:au �s ., .x9c.c•:r.�rra.t�u�:.::: .rra;r::,., ��. .. ,. <.._:,; �,�..ss�a,ac..a.,rsw, a :cam,_... �- �s„ �. �s�eu ,_:.::.. +.c.ts- e^M:..�ra..� : aes�: m�: wansau, w .rasYS-�vmnrnf,n:racr:rrae�-c.. .x.. .. ,r:�,.,..... ..+a:,:u.�:sarrwP.sstrsw� Size of Fittings, Inches 1/2 3/4" �„ 11/e" 11 /s„ 2;, 21/27 3" 4" 5" S" 8" 10„ 900 Ell .1.5 2.0 2.7 3.5 4.3 5.5 6.5 8.0 10.0 14.0 15 20 25 450 Ell 0.8 1,0 1.3 1.7 2.0 2.5 3.0 3.8 5.0 6.3 7.1 9.4 12 Long Sweep Ell 1.0 1.4 1.71 2.3 2.7 3.5 4.2 5.2 7.0 9.0 11.0 14.0 Close Return Bend 3.6 5.0 6.0 8:3 10.0 13.0 15.0 18.0 24.0 31.0 37.0 39.0 Tee - Straight Run 1 2 2 3 3 4 5 Tee -Side Inlet or Outlet 3.3 4.5 5.7 7.6 9.0 12.0 14.0 17.0 22.0 27.0 31.0 40.0 GlobeValve Open 17.0 22.0 27.0 36.0 43.0 55.0 67.0 82.0 110.0 140.0 160.0 220..0 Angle Valve Open 8.4 12.0 15.0 18.0 22.0 28.0 33.0 42.0 58.0 70.0 83.0 110.0 Gate Valve -Fully Open 0.4 0.5 0.6 0.8 1.0 1.2 1.4 1.7 2.3 2.9 3.5 4.5 Check Valve (Swing) 4 5 7 9 11 13 16 20 26 33 39 52 65 Check Valve (Spring) . 4 6 8 12 14 19 [.23 32 1 43 1 58 1 J_ Example: (A) 100 ft, of 2" plastic pipe with one (1) 900 elbow and one (1) swing check valve. 900 elbow - Equivalent to 5.5 ft. of straight pipe Swing Check - Equivalent to 13.0 ft. of straight pipe • - 1OG�it: of-piFe ---cLc ivalent to g0.0 ft. offs raight pipe 118.5 ft. = Total equivalent pipe Figure friction loss for 118.5 ft. of pipe. A Assume flow to be 80 GPM through 2" plastic pipe. 1. Friction loss table shows 11.43 ft. loss per 100 ft. of pipe. 2. In step,(A) above we have determined total feet of pipe to be 118.5 ft. 3. Convert •118.5 ft. to percentage. 118.5 =100 = 1.185. 4. Multiply 11.43 x 1.185 13.54455 or 13.5 ft. =Total friction loss in this system. [] PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONNIENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS R ENN' SHEET FOR CONSTRUCTION PERMIT r STREET LOCATION NAME OF•OWNER REVIEWED Bl' PNI, GR, AS, NIB, BH DATE ' TAX NIAP # SUBDIVISION KD UBDIVISION, L SUBDIVISION APPROVAL CHECKED ItRC RATE PREQUIRED Z DEPTH OTAIN DRAIN REQUIRED': ENE&AL ATED IN NYC WATERSHED VS SUBMITTED TO DEP EGATED TO PCHD APPROVAL, IF REQ'D P TEST HOLES OBSERVED :S TO BE WITNESSED kPPROVAL SSDS ADJ. LOTS -,ANDS (TOWN/DEC PERMIT REQ'D ?) 3PBE1269 NEIGHBOR NOTIFICATION 0 K 1• �COOD�AEVATION�• THER REQ'D PERMIT(S) AGE SYSTEM PLAN - (NORTH ARROW) (HYDRAULIC PROFILE VITY FLOW STRUCTION NOTES IGN DATA: PERC & DEEP RESULTS )NTOURS EXISTING & PROPOSED /SWAY & SLOPES, CUT IN DRAINS .OSION CONTROL:HOUSE,WELL, SSDS RC & DEEP HOLES LOCATED ,PRESENTATIVE OF PRIMARY & EXPANSION (CATION MAP ;A.-AREA; SHOWN; GRAVITY FL SUFF.SIZE PUMPED, PIT & D BOX SHO m DqrAILED )USE - NO.OF BEDROOMS ?) F i c c�D_ ' SED SYS. .ISE SETBACK NECESSARY (TIGHT LOT) JSE SEWER -1/4" FT. 4 "0; TYPE PIPE BENDS; MAX.BENDS 45° W /CLEANOUT FILL SYSTEMS kY BARRIER FT. HORIZONTAL;SLOPE 3:1 TO GRADE L SPECS FILL NOTES L CERTIFICATION NOTE PTH GAUGES 1,-PROFILE & DIMENSIONS FI klN EXPANSION AREA � TRENCH C�� TRENCH PROVIDED 60 FT MAX. ( 2 PARALLEL TO CONTOURS 100% EXPANSION PROVIDED 9_,_IZ &?Z i- F 1 � ON PLAN - FROM SSTS TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL 0' TO FOUNDATION WALLS _ 15'WELL TO PL 0'370O WELL, 200'INDLOD, 15T PITS • - 100`10 STREAM WATERCOURSE LAKE (Inc. expan) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 2007500' RESERVOIR, ETC. _l 50' GALLEY SYS & 15'MIN to CDS=> 5%, 10'- 4,•% q23 '�3 %q30'- 2 °/q35'- 1 °/g100'• <1% 20'MIN to CD discharge %100'with 182 cons day discharge --� �£PTIC TAI�'K 10' FROM FOUNDATION; 50' TO WELL IVELL DIMENSIONS TO PROPERTY LINE LOCATION OF SERVICE CONNECTION WjPEIRA; NAME,ADDRESS,PHONE# TE OF DRAWING/REVISION TUM REFERENCE CATION OF WATERCOURSES, PONDS KES AND WETLANDS WITHIN 200 FEET [)POSED FINISH FLOOR AND BASEMENT EL. COMMENTS: ncrliv4e ' LpOCUN MENTS MIIT APPLICATION MII LL PERT_ PWS LETTER R OF AUTHORIZATION SIGN DATA SHEET (DDS) CORPORATE RESOLUTION HORT EAF S - THREE SETS USE PLANS - TWO SETS REQUEST t V_L��' � SUBDIVISION KD UBDIVISION, L SUBDIVISION APPROVAL CHECKED ItRC RATE PREQUIRED Z DEPTH OTAIN DRAIN REQUIRED': ENE&AL ATED IN NYC WATERSHED VS SUBMITTED TO DEP EGATED TO PCHD APPROVAL, IF REQ'D P TEST HOLES OBSERVED :S TO BE WITNESSED kPPROVAL SSDS ADJ. LOTS -,ANDS (TOWN/DEC PERMIT REQ'D ?) 3PBE1269 NEIGHBOR NOTIFICATION 0 K 1• �COOD�AEVATION�• THER REQ'D PERMIT(S) AGE SYSTEM PLAN - (NORTH ARROW) (HYDRAULIC PROFILE VITY FLOW STRUCTION NOTES IGN DATA: PERC & DEEP RESULTS )NTOURS EXISTING & PROPOSED /SWAY & SLOPES, CUT IN DRAINS .OSION CONTROL:HOUSE,WELL, SSDS RC & DEEP HOLES LOCATED ,PRESENTATIVE OF PRIMARY & EXPANSION (CATION MAP ;A.-AREA; SHOWN; GRAVITY FL SUFF.SIZE PUMPED, PIT & D BOX SHO m DqrAILED )USE - NO.OF BEDROOMS ?) F i c c�D_ ' SED SYS. .ISE SETBACK NECESSARY (TIGHT LOT) JSE SEWER -1/4" FT. 4 "0; TYPE PIPE BENDS; MAX.BENDS 45° W /CLEANOUT FILL SYSTEMS kY BARRIER FT. HORIZONTAL;SLOPE 3:1 TO GRADE L SPECS FILL NOTES L CERTIFICATION NOTE PTH GAUGES 1,-PROFILE & DIMENSIONS FI klN EXPANSION AREA � TRENCH C�� TRENCH PROVIDED 60 FT MAX. ( 2 PARALLEL TO CONTOURS 100% EXPANSION PROVIDED 9_,_IZ &?Z i- F 1 � ON PLAN - FROM SSTS TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL 0' TO FOUNDATION WALLS _ 15'WELL TO PL 0'370O WELL, 200'INDLOD, 15T PITS • - 100`10 STREAM WATERCOURSE LAKE (Inc. expan) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 2007500' RESERVOIR, ETC. _l 50' GALLEY SYS & 15'MIN to CDS=> 5%, 10'- 4,•% q23 '�3 %q30'- 2 °/q35'- 1 °/g100'• <1% 20'MIN to CD discharge %100'with 182 cons day discharge --� �£PTIC TAI�'K 10' FROM FOUNDATION; 50' TO WELL IVELL DIMENSIONS TO PROPERTY LINE LOCATION OF SERVICE CONNECTION WjPEIRA; NAME,ADDRESS,PHONE# TE OF DRAWING/REVISION TUM REFERENCE CATION OF WATERCOURSES, PONDS KES AND WETLANDS WITHIN 200 FEET [)POSED FINISH FLOOR AND BASEMENT EL. COMMENTS: ncrliv4e ' ZO * d, IU101 14M CMEAPTER Ila4e F w&ftr We9kads, Watentounes amd- Wntarbodlas OrdMace of the TOWM apthanm Vsky, RM Yoram Tbg Tovm Wetbras Inspector, as Approval Authority, has detemined that the proposed actio'n is an Unlisted Action =&r SEQRA. and will not have a sir 909 environmental impact. Thaefore, a IMMOr WAMR is grwed. mWject to the conditions noted below. PROPERTY 10CATROM: October 20, 1999 0toba 20, 2000 NMY O"Hawon 258 CowhU& Square montrose, NY 1054 Fbnerty Place TAX MAP M: 95.9-1-12 SIZE OF PARCEL: 1.3 scres ZOMMG: R-2 FROMM ACTION: Comtrudion daimsk fsmfly Maidemces dRivMays septic utbach am 1. Site Flo and Proposed.Sewage, Disposal System Plu, -pmpared by Badey Watson, dawd 07-16-99, IM ray!=4 08-30-99. 2. Sate Allaadon Pawk ApplkAdOn forts % Me # W1C 320, &ud 10/07/99. CONDMONS 07 PEMM. 1. All aoslou control measures shall be implearated as shown on above refereticed plan. Sit fam " W e-VMM to nM along the Mire IWO of the waamourse at the 50 ft. line ma I shown on approved ploL 2. A buft eWummM plantins plan shag h pmpwe4 shat aMws-the addition of along ft 100 & Wdlows coaftol line of the state wetlands, and along the 50 ft. , Wdercoum biffer Ike P np " con= of natwe species of trees and *xulx. Phutb�p shall be pkwA along bmt Em to dowom corml UMA and to serve as a YCHDW,W MOMM to separge the Wedanft men from the msidence and septic areas. P�V Id ZO*d 'H-CI -:) 'd 01 'D *d 'NOSItJM '8 AXte W083 20:60 6662 -LZ-100 oe m e . 1 3. The buffer enhancement planting plan to be submitted to the Wetlands Iilsspector for review 'and aPPta Prior to the issuance of a building permit. 4. The Building Inspector shall be notified once erosion control measures are in place and at least 48 hours prior to the initiation of any site work. S. When Erosion controls are required, they must he maintained properly throughout the construction process and remain in place until final site inspections for compliance with conditions of permit have been completed. 6. The Planning Boatel, Wetlands Inspector, and/or Building Inspector, shall have the right to inspect the project from time to time. 7• The Pte. shall be ProminewIY', Y�. at the project site during the undertaking of the acttivities . authodzed by. the permit. 8. An additional escrow account in the amount of S 300 must be established with the Town before this Permit Waiver oan be cowered validated. These additional escrow fimds will be appropriated as required for construction monitoring purposes. Any portion of the account not used during the project monitoring period shall be returned to the applicant upon satisfactory completion of the project. Noncompliance with the conditions above will invalidate this Permit Waiver, and may result in a Notice of Violation and/or a Stop Work Order. Any questions regarding this Permit Waiver should be duetted to the Town Wetlands Inspector (914) 762 -7288, or the-office of the Building Inspector (914) 526 -2377. - - Date Pe-n-K±it %ii!ler Prepared: ce: Applicaldt .. Building Inspector Planning Board Environmental Commission rwtrn T0'd 'H'Q'3'd sip" _ eotot� Stephen W. Coleman Town Wetlands Inspector M110vIVIUMI 119/ aioti xa- 8.31_10nj Ol 'J'd 'NOSIbM 2 A3QdH WOad 20:60 666T -La -130 #X0J 2lx lZ�i'' r raoW of U ida0l� M110vIVIUMI 119/ aioti xa- 8.31_10nj Ol 'J'd 'NOSIbM 2 A3QdH WOad 20:60 666T -La -130 DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM r'_':. r.v�re,«n.•+... � � ...: + ��»"Y��.of.appl;�".u� - �'7.t'7'C'kfiy "3a".49` �Y°I�?��� i�. .^�- �. � MON -TTZ0 dj ice- 2. Name of project: ftW►ulc1� ��.�1 3. Location TN: 4. Design Professional: JO. "W P- � s . e-e 5. Address: 4�, 6. Drainage Basin: H t or,,vi,- � y , z 1 �t co tD 5P(Z t 7. Type of Project: _ 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 Type II 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... Exempt Unlisted ?; 10. Has DEIS been completed and found acceptable by Lead Agency? ............... 11. Name of Lead Agency P G, 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? . .......:...:..::.. :.....:,,,.,... : �lp�.. - _._.. .. -.. - ,. ..._...._ 14. Has `preliminary approval been granted by such authorities ?. Date granted: 15. Type of Sewage Treatment System Discharge ................. surface water X groundwater 16. If surface water discharge, what is the stream class designation? .................... t J P 17. Waters index number (surface) ..... ... ....... 18. Is project located near a public water supply system? ....... ............................... No 19. If yes, name of water supply tJ/ Distance to water supply r1 A 20. Is project site near a public sewage collection or treatment system? ................ No 21. Name of sewage system IJ/A Distance to sewage system 22. Date test holes observed JQ 6C, 23. Name of Health Inspector A- `J.De& ---uNJ 24. Project design flow (gallons per day) ............................. .................... 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... t k) 26. Has SPDES Application been submitted to local DEC office? ......................... Q A Form PC -97 27. Is any portion of this project located within a designated Town or State wetland? 2 28. Wetlands ID Number .................... 29. Is Wetlands Permit required? ...:.......:......... ............................... ................. i�1O Has appacatiaii, been �nadt: tc� i`GG6 1'o1 ocal' 3EC-ofrice? :::...................:..::: ' �- =— 30. Does project require a DEC Stream Disturbance Permit? .. ............................... W 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 W 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 00 DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ......................... 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ................................ ............................... MO 35. Are any sewage treatment areas in excess of 15% slope? . ............................... i Jo 36. Tax Map ID Number .......................... ............................... Map a5a Block Lot 1Z' 37. Approved plans are to be returned to ..... Applicant ><" Design Professional NOTE: All applications for review and approval of a new SSTS to be located within the NYC Watershed shall be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval .of the. SETS prior. to final approval by.the.Department. Projects -within the ova ±rsherl�mar also _ ,. re4liffe`DEP review and approval of Z7 h er 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 true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNATU ES & OFFICIAL TITLES �v� � �.�- 4& MR 0/ - (,C- Mailing Address: ......... . �Te °1 ��, Ou'D SPA. -tom: tai lost G d 14 -16.4 (2187) —Text 12 PROJECT I.D. NUMBER 617.21 SEOR 4• Appendix C State Environmental Ouallty Review SHO_ RT .ENVIRONMENTAL ASSESSMENT FORM ;`<•,.t.- `s:." F' r-41NUSTED ACTIO N PART I— PROJECT INFORMATION (To be completed by Appllcant.or Project sponsor) 1. APPLICANT /SPONSOR / iZAYMq\)C) 0 A-MJi W{ -. 2. PROJECT NAME • I 9A- L0,0JP 0 I-F: *� 3. PROJECT LOCATION: ' Municipality UT_fjpql� JALA_&L� County M-rtJAM 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) 5. IS PROPOSED ACTION: JZNew ❑ Expansion ❑ Modification /alteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially G. acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? s ❑ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ^^9 Residentlal ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Park/ForesVOpen space ❑ Other Describe: +)OLz56,5 J 4– NVZ6, L-O T 5 . 10: "ODES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE R LOCAL)? Yes ❑ No If yes, list agency(s) and permit/approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY.VALID PERMIT OR APPROVAL? ❑ Yes No If yes, list agency name and permil/approval CT 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? ❑ Yes Oo I. CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY. KNOWLEDGE Applicant1sponsor name: 1. V "'� � i Date: c. ..T Signature:GG� ,v 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 1 PART II— ENVIRONMENTAL ASSESSMENT (ro be completed by Agency) A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR, PART 617.12? If yes, coordinate the review process and use the FULL EAF. ❑ Yes ❑ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.61 If No, a negative declaration may be superseded by another Involved agency. ❑ Yes ❑ No - C: GOJL6 N(Se�ON ytES' ttr�ttVtUYf '}14ti�/ER��E1:+taFECSiS -b:' RiErSifT ##FFGf#LLOWvNGRkristv8rs msy tit hslt3wiittan( sf.'i2'g4irto) -. -..'•: ; ; , ,:; C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain brieflyc C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: 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 4 C5. Growth, subsequent development, or`related activities likely to be Induced4y the proposed action? Explain briefly. =o C6. Long term, short term, cumulative, or other effects not identified In C1-05? Explain briefly. , 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 (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) Irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or'reference supporting materials: Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have been.identi.fied 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 of Responsible Off icer Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from responsible officer) . Date 2 a T C �. ©n �o f -.-vi. vi' u.L11 Y J.1VV1\1V1.1U1\ ItX1J 11rJA-UIn DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner g�;,McfiJV C)I0 _0i J Address 2GO COAL 4- -Lx�t+T -5 ., Me)N jrf Z 15 Located at (Sheet) r10 F'I_0d,� MV Tax Map Block Lot (indicate nearest cross street) Municipality FurW, -±d Vp_tAkd T_ Drainage Basin PAAD%Nl PL IjE(Z. SOIL PERCOLATION TEST. DATA Date of Pre-soaking q/Zq %cti� Date of Percolation Test cam( 1Z571gS Hole No. Run No. Time Start - Stop Elapse Time (Min.) De th to Water Prom Ground Surface (Inches) Start Stop Water Level Dropp In Inclics Percolation Rate Min /Inch tic 2 IC1''32— 1 I; 2� i I °I 20 1 3 II 2 — i2.,jc � I�j 20 1 SZ 4 f3 1 5(i -10:44 5c� l°I 20 �o 5 2 1o:4b -il 30 ho I`I 2_0 i 5v $ 3 I I -12,.20 . .50.. l.Gl . 2.0 I. �O 5 C 1 Tee- W,,4t 91 1°I 20 I SI G 2 io:l- 1I 33 52- 1� 20 1 52 C 3 . r 4 NOTES: 1.. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation.test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31-60 min /inch) All data to be <. . a: ;submitted for review. 2. ';Depth measurements to be made from top of hole. { j •' Form DD -97 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES I DEPTH HOLE NO 01. 1.01 1.5' 2.0' 2,5' 3.01 3.5' 4.01 45 5.01 5.5' 6.01 63 7.0' 7.51 E3111 83 9.01 9.51 SkLT- L-OA+,j -- HOLE NO. 2-- HOLE NO. 5 5iLr Lo M-1 I S k L7- L-0 M-/1 Indicate level at which groundwater is encountered 51-0 Indicate level at which mottling is observed ►07 Indicate level to which water level rises after being encountered 41-01, Deep hole observations made by: kAjAr Dat 4 5��_ � i ILI %AY/& PAZ4W'4kAJAT&T — 6ALLJ, 0 K3 S& Design Professional Name: --4W V. MLAWO, Address: P.r.,. t2-l-.q C )U f2PPN6 Nq I orltfo Signature: SJA s Design Professional's Seal A1t4no, ji4 AN3 C13 0 jJv,�41 ad A 130.18 Ile 0 1A v y1L SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner -'IMO NP C)14A+X©r.1 Address 2L30CyA0�Ll&(+rSR,, M6Q_jTM9_ i;bcated'af (Street)" i � p� ( Lg,t t myitxo� Tax Map Block Lot T (indicate nearest cross street) Municipality LtT, ikt,� Drainage Basin �k tt or�1 pvz SOIL PERCOLATION TEST DATA Date of Pre - soaking gj /2q.Ict e Date of Percolation Test 09 L ggjq 13 Hole No. Run No. Time Start - Stop Elapse Time (Min.) Depth to Water From Ground Surface (Inches) Start Stop Water Level Dropp In Inclies Percolation Rate Min /Inch T 1 10,50- 11 -i3 2� 1°� 22 3 D 2 11,.i3 -- 1�, a .21 11 D 3 11 AO -12,'12 32 22 1 4 12.12 —12" 32 ►q 22 : 1 I S 2 3 5 2 3 4 ivur�;a: 1. I-estsIo be repeated at same depth until approximately equal percolation rates are obtained at each � pergolatiPn test Bole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min /inch) All data to be t submitted for;reyiew. `Deptti-measurelnents to be made from top of hole. Form. DD -97 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. 57 - HOLE NO. 0.5 1.01 WA-M -5At,)Dq 1-06-M 1,( LT- 1 1-0 Alvl I'S I 2.0' 2.5' 3.01 3.51 4.0' 4.51 5.01 5.51 6.0' 6.51 7.0' 1.51 8.01 8.51 9.0' .0 9.51 10.0: t 7 Indicate level at which gro undwater is encountered 5i -0%17 Indicate level at which mottling is observed Xjol- op,3502;1v� Indicate level to which water level rises after being encountered 41-0" Deep hole observations made by: Design Professional Name: --ro+W P. 'PtAAWD', ?.P- Address: Signature: '17/ 66 00 4 .7 Design Professional's Seal V 17 d Date LA 17-3,111 0 k) td 10(, #18 V 0 Aji. v I,cvniviL N'1`AL HEALTH SERVICES INITIAL INDIVIDUALICOMMERCIAL SITE INSPECTION FORM SECTION A. GENERAL INFORMATION �. Name �0f ? oiecr...�:�� =.�_ .... T Co unty 01' Site Location 1" t "f4.9iir Buildinc construction begun d . Extent Is property within NYC Yatershed? ................. F-� Yes EKT SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. 0 Hilly F--] Rolling F-� Steep slope F--J Gentle slope lat 2. Evidence of wetlands Low- area subject to flooding Bodies of water F7 Drainage ditches F—� Rock outcrops 3. Property lines or corners evident ....................... ............................... Yes 12<0 4. Do water courses exist on or adjoin the property? ............................ F1 Yes No lJ 5. Will these affect the'design of the sewage system facilities ? ............. � Yes E.-o <Nob. Do watershed regulations apply in this development ? ....................... Yes 7 Will extensive grading be necessary? ...... ...I .................................... .. F-� Yes No 8. Will extensive fill be necessary for SSTS? ......... ............................... F Yes No 9. Do filled areas exist within the SSTS area? ........ ............................... ca Yes o If yes, what is the condition of the fill? SECTION- C': =SOI ; OBSER :.ATIONS 10. Appearance of soil: Sand Gravel oam Clay Hardpan fixture 11. Observed from: � Borings Bank cut t ack/rh�oe excavations 12. Soil borings /excavations observed by r pb on 13. Depth to groundwater 4 t6 V t°-1 4�5 on 14. Depth to mottling on ft 15. Are test holes representative of primary & reserve areas ...... ............................... es EJ No 16. Soil percolation tests made by 9 on 17. Soil percolation tests witnessed by on SECTION D (on back) Form ST -1 7 SECTION D. DRAINAGE 18. Will proposed grading materially alter the natural drainage in this or adjacent areas? F--] Yes [: "' .:.. -. ' � ... .. .._ . ..: a _...... ..� , c a. y -. 11 grbundwater or surface draifiace require'special consideration. Yes' .o 20. Will gullies, ditches, etc., be filled and watercourses be relocated ? ......................... F] Yes Ovio" SECTION E. REMARKS 21. If a common water supply is proposed, has an inspection been made of the existing or proposed source and facilities? ................................ ............................... Yes o Inspection data 22. ' Do adjacent wells and/or sewag systems exist? ..................... ............................... es F--� No 23. Additional comments 24. Site observer /inspector and title 25. Date(s) of observation(s)inspection(s) TEST PIT PROFILES Hole P Lot #. Hole Depth to water Depth to mottling Depth to rock/imp. 4.0 5.0 6.0 7.0 8.0 9.0 10.0 Lot Hole ft Lot r Depth to water Depth to water Depth to mottling Depth to mottling Depth to rock/imp. Depth to rocklimp. 0.5 0.5 1 1.0 2.0 3 3.0 4.0 6.0 6.0 7.0 7.0 8.0 8.0 9.0 9.0 10.0 10.0 .� . _::l ----------- "'Hole # Lot # Hole # Lot # Hole # Lot # Depth to water Depth to water. 0/1 Depth to water Depth to mottling OcmL Depth to mottling ok-/i ""bi th rock/imp. ept to Depth to rock/imp. G.L. G.L. G.L. if 0.5 0 0.5 /I 0.5 1.0 1.0 .1.0 2.0. 2.0 2.0 3.0 3.0 L-r 3.0 4.0 Olz dLvA 4.0 ISP5 L- , 4.0 . S 5.0. � (nit" 5.0 5.0 6.0 6.0 6.0 7.0 7.0 7.0 8.0 8.0 8.0' 9.0 9.0 9.0 10.0 10.0 10.0 Hole # Lot # Hole# Lot 4 Hole # Lot # water -7-0 Depth to water Depth t Depth to w o water Depth to mottling 9 Depth to mottling Depth t Depth-to ;oc-k/ Dd-Wf rb'ri6ckYimp. Depth to rock/imp. G.L. G.L. G.L. r LOW" 1.0 U (0 2.0 3.0 6,2 4.0 5.0 fi ?,,geeu) 6.0 7.0 8.0 9.0 10.0 f 0.5 O t 0.5 1.0 2.0 3.0 4. 1 0 WE 6.0- 7.0 8.0- 9.0- 10.0 flut 2.0 3.0 6a l r7 4.0 55 5.0 6.0 7.0 8.0 9.0 TEST PIT PROFILES Hole # Lot # Hole # Lot # Hole # Lot # Depth to water Depth to water Depth to water D-0i .t? r,;o l!1lR :_ -Y - '� ^�_�. ? Depth i -n 1jnc. _ _ -- cam.. v _ <_ .` Depth to rock/imp. Depth to rock/imp. Depth to rock/imp. G.L. G.L. G.L. 0.5 0.5 0.5 1.0 1.0 1.0 2.0 2.0 2.0 3.0 3.0 3.0 4.0 4.0 4.0 5.0 5.0 5.0 6.0 6.0 6.0 7.0 7.0 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 10.0 10.0 Hole # Lot # Hole # Lot # Hole # Lot # Depth to water Depth to water Depth to water _ Depth'to mottling Depth to mo*tlin, De th to .mottling. . _ z, Depth to rock/imp. Depth to rock/imp. Depth to rock/imp. G.L. G.L. e G.L. 0.5 0.5 0.5 1.0 1.0 1.0 2.0 2.0 2.0 3.0 3.0 3.0 4.0 4.0' 4.0 5.0 5.0 5.0 6.0 6.0 6.0 7.0 7.0 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 10.0 10.0 P/O 85.05 +a FINNERTr P/O M06-1-ZZ PLACE 14 1.01 At • 9 1.0; At 13 1.01 At 1.02 At 1.26 At 1.45 At CAL. JL Ina a JL w 2.35 AC.XAL. JL AL 23.45 At CAL AL 17 25.28 Ac. CAL x 7 (e- JL AL Y 'Mo 1.10 I. A , t AL AL Y AL Sl — — — — — — — — — — — ti—O 15. 13 .1 -a — — — — — — — — — — — — — — — — — — — — — — — — — — -- pt, 1,— 231 85.05 85.06 PRELIMINARY sm A P - 10' TOWN OF PUTNAM VALLEY PUTNAM COUNTY, NEW YORK ma slum 1 �lv 85.13