HomeMy WebLinkAbout0080DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
3.16 -1 -5
BOX 1
y,
all
LE
Eml
��
,
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM K 6 9— %
17 "u 0r- j
Located at Maple Avenue
Subdivision name N/A
Date Subdivision Approved
N/A
Town or Village
K� e) PA /) e"
Patterson
Subd. Lot # N/A Tax Map 3.16 Block 1 Lot 5
Owner /Applicant Name Benjamin & Beth Brill
Mailing Address 113 Maple Avenue, Patterson, NY
Amount of Fee Enclosed $ 100
Building Type Residence
Renewal $ZbbM Repair
Date of Previous Approval N/A
Zip 12563
Lot Area 1.666 Ac No. of Bedrooms 4 Design Flow GPD 800
Fill Section Only Depth Volume
PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED
Separate Sewerage System to consist of
Absorption trenches
Other Requirements:
To be constructed by
TBD
Water Supply: Public Supply From
or: Private Supply Drilled by
1250
Existing
gallon septic tank and
Address
Address
Address
400 LF
I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the
separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in
accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion
thereof a "Certificate of 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 repoirsheretA.
Signed: P.E. iC R.A. Date ,rT`?�y?�'
Address P.W. Scott Engineering & Architecture, P.C. License # 059346
3871 Route 6, Brewster, NY 10509
APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the
sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or
modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires
a new permit. Approvyd- ferisse of domestic sanitary sewage only.
By: Title: _G��`"— Date:' —S
White copy - HD File; Yellow copy - Building Inspector; Pink copy---Owner; Orange copy - Design rofess' nal
Form CP -97
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
INDIVIDUAL WATER SUPPLY & SUBSURFACE SiNVAGE TREATMENT SYSTEMS
REVIEW SHE;':,Ej FOR CONSTRUCTION PERMIT
.E /
STREET LOCATION
NAM OF OWNER
REVIEWED BY
C
S
DATE - TAX MAP #
Y N DOCUMENTS Y
PERMIT APPLICATION
EROSION CONTROL:HOUSE,WELL, SSDS
PERC & DEEP HOLES LOCATED
L PERMIT _ PWS LETTER
REPRESENTATIVE OF PRIMARY & EXPANSION
LE 'OF AUTHORIZATION
LOCATION MAP
DESIGN DATA SHEET (DDS)
EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE
CORPORATE RESOLUTION
IF PUMPED, PIT & D BOX SHOWN & DETAILED
SHO EAF _
HOUSE - NO.OF BEDROOMS
P S - THREE SETS
WELLS & SSDS'S W/IN 200' OF PROPOSED SYS.
HOUSE PLANS - TWO SETS
PROPERTY METES & BOUNDS
VARIANCE REQUEST
HOUSE SETBACK NECESSARY (TIGHT LOT)
FEE Y �(
]HOUSE
SEWER - 1/4" FT. 4 "0; TYPE PIPE
NO BENDS; MAX.BENDS 45° W /CLEANOUT
LEGAL SUBDIVISION
FILL SYSTEMS
SUBDIVISION APPROVAL; CHECKED
PERC RATE
FILL REQUIRED DEPTH
CURTAIN DRAIN REQUIRED STANDPIPES
GENERAL
j CATED IN NYC WATERSHED
S SUBMITTED TO DEP
LEGATED TO PCHD
PROVAL, IF REQ'D
TEST HOLES OBSERVED
RCS WITNESSED, IF REQ'D
PROVAL SSDS ADJ. LOTS
15ATA ON DDS PLANS & PERMIT SAME
PRE 1969 NEIGHBOR NOTIFICATION
LETTER BUZBA
100 YR. FLOOD ELEVATION
6TFi R REQ'D PERMIT(S)
REQUIRED DETAILS ON PLANS
SEWAGE SYSTEM PLAN - (NORTH ARROW)
SSDS HYDRAULIC PROFILE GRAVITY FLOW
CONSTRUCTION NOTES
DESIGN DATA: PERC & DEEP RESULTS
X CONTOURS EXISTING & PROPOSED
DRIVEWAY & SLOPES, CUT
FOOTING /GUTTER/CURTAIN DRAINS
10- FT. HORIZOi TAL;SLOPE 3:1 TO GRADE
FILL SPECS FILL NOTES
FILL CERTI CATION NOTE
DEPTH AGES
FILL P OFILE & DIMENSIONS
VOL
FILL IN EXPANSION AREA
T EN
F TRENCH PROVIDED FT
I:rARALLEL TO CONTOURS
/o EXPANSION PROVIDED
SEPARATION DISTANCES SPECIFIED
ON PLAN - FROM SSTS:
10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL
20' TO FOUNDATION WALLS �15'WELL TO PL
100' TO WELL, 200' IN DLOD, 150' PITS
100' TO STREAM WATERCOURSE LAKE (inc. expan)
50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER
10' TO WATER LINE (pits -20')
50' INTERMITTENT DRAINAGE COURSE
200'/500' RESERVOIR, ETC. _150' GALLEY SYSTEMS
15'min to CDS= >5 %,10'- 4 0/o,25'- 3 0/o,30'- 2 %,35' -1 0/o,100' - <I%
20'min to CD discharge /100'with 182 cons day discharge
SEPTIC TANK
10' FROM FOUNDATION; 50' TO WELL
S� / FORM ST -2
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM
Owner !�/✓ S.¢vN�,�rya�fi�i c. Address
Located at (Street) 14W4'y' � �� Tax Map ; /d Block �_ Lot
(indicate nearest cross street)
Municipality ;;2>, 4. -,Ig 7 Drainage Basin C- orl-ai,,i
SOIL PERCOLATION TEST DATA
Date of Pre - soaking Date of Percolation Test
NOTES: 1. "Nests to be repeated at same depth until approximately equal percolation rates are obtainea at each
percolation test hole. (i.e. _< 1 min for 1 -30 min/inch, < 2 min for 31 -60 min/inch) All data to be
submitted for review.
2. Depth measurements to be made from top of hole.
Form DD -97
Depth to Water
Water
From Ground
Level
Percolation
Time
Ela se Time
Surface (Inches)
Dro In
Rate
Hole No.
Run No.
Start - Stop
(pMin.)
Start Stop
Incles
Min/Inch
3
= Zf
4
5
/0
o,' Z
,/o
L3
�H
2
2
4
5
2
3
W
4
"�o
��
_
®
5
APES
10�.
NOTES: 1. "Nests to be repeated at same depth until approximately equal percolation rates are obtainea at each
percolation test hole. (i.e. _< 1 min for 1 -30 min/inch, < 2 min for 31 -60 min/inch) All data to be
submitted for review.
2. Depth measurements to be made from top of hole.
Form DD -97
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
LETTER OF AUTHORIZATION
RE: Property of -Benjamin & Beth Brill
Located at 113 Maple Avenue
TN Patterson
Subdivision of
Subdivision Lot #
Gentlemen:
_ Tax Map # 3.16 Block
N/A
N/A Filed Map # N/A
5
Lot
Date Filed N/A
This letter is to authorize , . �d) 11/1- ,
a duly licensed Professional Engineer _k or Regi tered 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 treatment and/or water supply systems
in conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public Health
Law, and the Putnam
Countersigned:
P.E., R.A., #
Mailing Address
State NY
Telephone:
Brewster
Zip 10509
(9 14) 278 -2110
Very truly yo
Signed:
��►��
(Owner f roperty)
Mailing Address: � )a,, (e d'�14
9
P����
O- T"A-e r-S CYN
State Zip
Telephone:
Form LA -97
P.W. SCOTT
ENGINEERING & ARCHITECTURE, P.C.
3871 ROUTE 6 (914) 278 -2110
BREWSTER, NY 10509 FAX (914) 278 -2166
May 15, 1998
Mr. William Hedges
Putnam County Health Department
4 Geneva Road
Brewster, NY 10509
RE: Brill Residence
SSDS Repair
Maple Avenue
Patterson, NY
Dear Mr. Hedges:
Enclosed please find design drawings for the aforementioned project. At this
time, the applicant intends to demolish the existing 6 bedroom residence and
replace it with a new 4 bedroom residence. The existing septic system consists
of a 1,000 gallon septic tank and 250 LF of absorption trenches. Soil in the area
is primarily R.O.B. gravel with stabilized percolation rates of 7 minutes per inch.
Per our conversation, please process this application as a repair permit.
We trust the enclosed information is adequate to issue a repair permit. Please
contact this office should you require additional information.
Si ely
David H. Johnson
Project Manager
Enc.
A R C H I T E C T U R E • E N G I N E E R I N - S I T E E P L .A N N I N G
I
P. W. SCOTT
Engineering & Architecture, P.C.
3871 Route 6
BREWSTER, NY 10509
(914) 278 -2110 FAX (914) 278 -2166
TO V e Ll
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via
❑ Shop drawings ❑ Prints ❑ Plans
❑ Copy of letter ❑ Change order ❑
112VU1912 @I V o U M)LIVLJ0VVZM
❑ Samples ❑ Specifications
COPIES
DATE
NO.
DESCRIPTION
f � f
THESE ARE TRANSMITTED as checked below:
❑ For approval
• For your use
• As requested
❑ For review and comment
❑ FOR BIDS DUE
REMARKS
COPY TO
• Approved as submitted
• Approved as noted
❑ Returned for corrections
❑ Resubmit
❑ Submit _
❑ Return _
—copies for approval
_ copies for distribution
corrected prints
19 ❑ PRINTS RETURNED AFTER LOAN TO US
SIGNED:
t�1 NC' }j2 /23
�(•Lt a rn
14'x114
Secofxi
oo Yn-,
-
rJ�y,
S- �uc�a, Q,
*/ivw
w.
6DA�°m :.
ul
_ S�airs
�(•Lt a rn
14'x114
Secofxi
�1Q,y Room
$ "x 13'3"
11'
Beh
$''8 "x
r �
LQvo
Roo
�1Q,y Room
.I
4
r
1
i
v q. >1
CJ Zi — cJs
f2J I 1/2" X B 114" X ?4' -0' MlC.40 —fAM
ep 1 v/ i /_��^" ?cwroco R.MAREO Es. �EVF •mcofs)
FAMILY ROOM
12' -6' X 13' -2"
Cal I-
11 " p.jj CE r ti !,
1� 23' X 23' -(" Ty— -- - - -- I-
t II
.824
CN
1 '
PLANS APPROVED FOR
)M COUNT ONLY;
7DROOMS
l Z
24' -0"
�I
?} I FOYER '
DE
•I rV
' - 1
° ' 6,4, x 132' _
d� •Im I I 13' -0' X 13' -2"
±I KITCHEN /DINING
of 15'- X 13'-2'
j igaatun &Title Window and door centQetAcatrors perain
solely to original drering dated if DEALER 30 ST0;
revislons are mods, it Is the sore responeibifdy 4E8vf, bMiSi ERIL
Sherwood Homes, C. of builder /deafer to confirm centsrllne lorciions I
jRD 2, BOX 0 with Design Homes. Inc. before foundation
Pawling, NY 126 corstruction begire.
1
44' -0" _ 1
SERIAL i RI,✓ISIONS GATE e1'
40, I a1.1 •7L Jf,9R7tR/.`,', J7LC•. r Bloomsburg, Penasvvanio
MODEL ST JUK3 4426 -3BR -2 1%2B A,14',FnW'y M.
ffRiNED 3t' --G�=
TITLE PART; !ON DETAIL REFERENCE PLAN
60 68 PATIO DOOR - -��
I
a.c I °� I
1
m I °a I
L - -J
LIVING ROOM
•,' r-vau 1
18-o X 13' -2"--
FAMILY ROOM
12' -6' X 13' -2"
Cal I-
11 " p.jj CE r ti !,
1� 23' X 23' -(" Ty— -- - - -- I-
t II
.824
CN
1 '
PLANS APPROVED FOR
)M COUNT ONLY;
7DROOMS
l Z
24' -0"
�I
?} I FOYER '
DE
•I rV
' - 1
° ' 6,4, x 132' _
d� •Im I I 13' -0' X 13' -2"
±I KITCHEN /DINING
of 15'- X 13'-2'
j igaatun &Title Window and door centQetAcatrors perain
solely to original drering dated if DEALER 30 ST0;
revislons are mods, it Is the sore responeibifdy 4E8vf, bMiSi ERIL
Sherwood Homes, C. of builder /deafer to confirm centsrllne lorciions I
jRD 2, BOX 0 with Design Homes. Inc. before foundation
Pawling, NY 126 corstruction begire.
1
44' -0" _ 1
SERIAL i RI,✓ISIONS GATE e1'
40, I a1.1 •7L Jf,9R7tR/.`,', J7LC•. r Bloomsburg, Penasvvanio
MODEL ST JUK3 4426 -3BR -2 1%2B A,14',FnW'y M.
ffRiNED 3t' --G�=
TITLE PART; !ON DETAIL REFERENCE PLAN
o
1�0
IS6 01
BEDROOM 4 �`x. (I.� �m
><
>
i LJNEII C'OSET
Li >
Ell cQO HALL
ca
_BEDROOM 3
14'—Y' X '3'-2"
-7— —5—
II
7-
17'-11" X 13'—T—
HOUSE PLANS APPROVE
BEDROOM COUNT ONLY;
-2-
'Z E DROOMS
3224
RD Sherwood Ho r %es, Inc.
Z224 i
di 224 3224 3224 RD 2, Box 93
?-- 3 — 15,5 Pawling, NY 12564
`Signature & Title Date 7. 12 REVERSED GAELE DORMER
44'_ 0"
W1.1dcw and door centerline locations pertain REL% SERIAL - i'VASIONS DAR fff
solely to ors drawing dFted. DEALER CUSTOMER�.: Bloornobvig, Pennsylvania TO -PROD. -NO.
rim
sioris'are mck -it ii'the sob responsibility
at builder/dealer, to confirm centerline locations BRILL MODEL : Si JUES 4426-3BR-2 112B 114"EXFEY I 16Y
vM4 Design Harries, :rc. before ;ouadation APO W.6 BY: =aa=
construction begins.
TITLE PARTITION. DETAIL REFERENCE PLAN
'77 1SHIF.-NO.
�—,PR -2980
1.
MAPLE'•AVENUE CEMETARY ASSOC.
5. 06, fo,0b"W 155.33'/
A
EX. PAVE4NT
(ss,rsrsac/ vises) j C
5. 06" %A1
7.
s/• 67'
EX.ABOVEGROUND OOL`
EX. WELD Z
MAPLE F'
i / N gipp.
/
"J ur eimslsro)
e
SIP ��T/WK
;AF4 / I
EX. HOUSE �
I (To 6�
IEX.-DRI\a
I`
F. W . SCOTT`
ENGINEERING ARCNITECTIJRE , P. C.
3 8 7 1 ROUTE 6
�t
BWMT82, W 10509" 9.14 - 278 -21 t0
a Syr , D.HJ
Scale
`„ :=3 .;
1 { R
T'7
Y '
h F fi.
�.w
4
! v.
� b
Y
'N Y3 f
& tSF r, . 5 � STS � ,3 5 . Y �` _,,,, ,. ' wr✓' !y . = _
S' .. -... 1 t 4• s
' a-t t •r,� y � F'fti' � �iltl P Y 3 ' 4 -r. -r i3'�Y� v �' t �, rt„ w 1 - �
� � `� .t 1...E - 1 t� ,� '+? .�` ,tr';� kr ��1 'r` a F, £!' 'y? ✓" 4 r. �
d - t v='.. }-0 � 1 _.t.S_ lYy'�+ \`.r. =t N.f�� a> A � �.�..•i h ��� :. i "�Y �'j�,`S `.� �. '>1 �',f4!`" Y t
� <Y� ! 7,�4 � c -, ,§.rSir. v`Y'.F . ;.�', 'a s�, , � � •� .s- .5` >-. � � � � _ Y, t t s �] - t,
' � �"` � ar �,7b .�.waz'� -� � , ,a,� � �.; �xu- � tK .c•.ti ,�, 3 s' .m z�.`'�y7,�s r.��. -,.
r � lx +�- �b�3�.i �r� r..,, 4 '' •cy� °''!z..�� `'�x°'�cc�r ,r. � S 4rts:�t i�'� - �,l a �� "' _.;y� '`` t."'' r �- � l„T� �
r} E. L'-4 C' 'g� 'j '�.'P�3 V-, ,,, N 4K "i fy }f��. Ti�_y.Y•>�, �,. ��.
3 't 1 M .Ffi'F1 ,F h
�A31 >,U.� f�l�:a�)' M+� "� +iy'n, ,^. •�,c'�.' 3. (..:� �hw. :E'F 3. � ~tt Aw ) �'•F �Y Y if'S
'..Y y'C'a•,vrz. m:""^ -. r+Y- }[.,'3 7 i`'h•� ��i:i Y 7�K�y? Y '.cam Ar, S1 Y' ` '!i�'}i'•w E .',�.
��' t3 "�{,�t� _ .?^� y r' u. *��s ar4��.�'. �ai 1�i P ��`�. �ir'.,f t w+G'R A "x d ZL`�„q'... u�` 1- .�.7'Y yt.E,e•g,_�{ � r � _:
TT
r x ,
rr 6'b �Y
a
r
S
1
TT
r x ,
rr 6'b �Y
a
r
S
1
! x
CU
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM
PCHD CONSTRUCTION PERMIT # 9_15_3 -98:. Repair
Located at Maple Avenue To r Village Patterson
---(''
Owner /Applicant Name BenJmin & Beth Brill
Tax Map 3.16 . Block 1 Lot 5
Formerly Subdivision Name n/a
Subd. Lot # n/a
Mailing Address 34 Maple Avenue, Patterson, NY Zip 12563
Date Construction Permit Issued by PCHD
Separate Sewerage System built by _
Consisting of 1250
Other Requirements:
Water Supply:
6 -15-98
Benjamin Brill
Address 34 Maple Ave., Patterson, NY 12563
Gallon Septic Tank and '.400 _ LF primary & 400 LF reserve, absorption trenches
Public Supply From
Address
or: Private Supply Drilled by existing Address
Building Type
Residence
Number of Bedrooms 4
Has erosion control been completed? yes
Has garbage grinder been installed? no
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 regulatio s of the Putnam County Department of Health.
Date: 12/ 1/98 Certified P.E. x . R.A. x
(Design Professional)
Address P.W. Scott Engineering & Architecture, P.C. License # 059346
3871 Route 6, Brewster, NY 10509
Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary
to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage
treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval
of the private water supply shall become null and void when a public water supply becomes available. Such
approvals are subject to modification or change when, in the judgment of the Public Health Director, such
revocation, modification or chang.4s necessary.
By: Title: Date:
White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional
Form CC -97