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HomeMy WebLinkAbout0081DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 3.16 -1 -7 BOX 1 �y tiI .�r `TI I��■ I V I ti Ar +, ` 11- ✓� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE T o T SYSTEM PCHD CONSTRUCTION PERMIT # Located at D Lnc ST S� i McT Town or Village _ Owner /Applicant Name 6 k�4 W-0 A W i 6LL, Tax Map i _ Block �_ Lot Formerly Mailing Address is Subdivision Name b y� 4 L�- I'A146U, Subd. Lot # N I ft Date Construction Permit Issued by PCHD holoo Separate Sewerage System built by MkUjfeL QZ J& Address Consisting of Gallon Septic Tank and 4o® LF - 2-4 " W k be Other Requirements: V -0'' P'. a " i� FILL 1 k)�� -�l-C� Water Sunnly: Public Supply From. or:_ Private Supply Drilled by 14-6-N M, Address C .&(_.trrF L, EJ! Building Type QESib-E1JT1ILL Has erosion control been completed? �S Address Zip Number of Bedrooms 37 Has garbage grinder been installed? N l) 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 PutW�•C^Qunty Department of Health. Date: `?_ JQQ Certified by _ Address R —7�4 4A14 P.C. P. E. R.A. License # Z (nE!� 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 revocati, odificatio or change is necessary. B Title: ( pk Date: s Y• White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: ##7 LoCad St- Town/Village: r Isom Tax Grid # MapflLi, Block Lot(s) Well Owner: Name: Address: Lo-1e, tf+'r' Use of Well: I- primary 2- secondary °V- Residential Public Supply Air 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 'Lft. Length below grade eft. Diameter in. Weight per foot 1_lb/ft. Materials: Y Steel _ Plastic _ Other Joints: _ Welded X Threaded _ Other Seal: Cement grout X Bentonite _ Other, Drive shoe: A, 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 2(i gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) a Depth of completed well in feet �� 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 tahil it A owtl S0004 r If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Sit b Capacity Depth 280' Model i&X1 -) Voltage 2-3D ,, v HP TankTypei: Volume' +� Date d eted Putnam County Certification No. Date of eport Q , Well (' nature) NOTE: Exact location of well with distances to at least two permanent landmarus to ne provt n a separaLU suoou fawn. Well Driller's Name /t' &A; Address: " Signature: � Y Date: White copy: I4D File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 BADEY & WATSON LETTER of TRANSMITTAL Surveying & Engineering, AC. 3063 Route 9, Cold Spring, New York 10516 (845) 265 -9217 (914) 628 -1800 (914) 739 -3577 (845) 225 -3312 FAX (845) 265 -4428 Date: 30 Apr 2001 File No. 83 -177 W. 0, # 13826 RE: Certificate of Construction Compliance Daniell TO: LOCUST STREET Robert Morris, P.E. Putnam County Department of Health 1 Geneva Road N/A Tax Map 3.16 -1 -7 Permit# P -13 -96 Subd. Lot No. N/A Brewster, NY 10509 Sent via: US MAIL MESSENGER PICK -UP ❑ UPS -NIGHT ❑� ❑ UPS -2 DAY ❑ ❑ UPS -3 DAY ❑ FAX ❑ UPS -GROUN ❑ UPS -COD ❑ We are sending: copies date description of document ❑1 28 -Dec-00 Certificate of Construction Compliance for Sewer Treatment System F3 120-Apr-01 Guarantee of Subsurface Sewage Treatment System 06- Apr -O I lWell Water Test Results F_ 1 124-Apr-01 Well Completion Report C 28- Dec -01 SSTS "As- Built" F-1] 08 -Jan-01 —_—] JE91 1 Address Verification Form ❑1 21 -A r -01 :7] jApplication Fee $200.00 Teller's Check REMARKS: Signed: John P. Delano, P.E. Copies to: File 4997, Cr A. a BRUCE R- FOLEY * LORETTA MOLINARI R-N., M.S.N. Public Health Director cc'�y Ypq��' 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 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: Barry M Daniell TAX MAP NUMBER: V64-7 E911 ADDRESS: 7 Locust AUTHORIZED TOWN OFFICIAL: (Signature) DATE: 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. . (E911VERFRM) PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALT H SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Barry M. Daniell Owner or Purchaser of Building Barry M. Daniell Building Constructed by Location- Street 7 Locust Street Residential 3.16 1 1 7 Tax Map Block Lot Patterson TownNillage Kuehl & Daniell Subdivision Name N/A Building Type 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 utilizingthe system. Dated: Month Day Year Signature:, /moo --- _�.-�� Title: c,•;z�,��� Gene ontractor (Owner) - Signature Corporation Name (if corporation) Address: PO Box 415, Katonah Corporation Name (if corporation) Address: State New York Zip 10536 State Zip Form GS -97 Fe��e h ti a n ,- — _ 0 F &17,Ce Notes or '0/;77 � ¢3 CpU041,, 60- °� QP , 0^? 0 0 P +� .A o, �Qj 60- °� QP , 0^? 0 0 r m rn m 0 0 N N m x w 0 Z U_ a a 0 0 0 w 0 r I I ri F- r r I M W 0 Z w J 0 r m z z AS -BUILT RELOCATION - DIMENSIONS 1A 13.3' SEPTIC TANK IN 16 62.5' SEPTIC TANK IN 2A 19.3' SEPTIC TANK OUT 2B 64.2' SEPTIC TANK OUT 3A 62.8' DROP BOX 3B 88.4' DROP BOX 4A 64.6' DISTRIBUTION BOX 48 84.9' DISTRIBUTION BOX 5A 23.0' END LATERAL 58 51.3' END LATERAL 6A 27,2' END LATERAL 6B 45.7' END LATERAL 7A 32.1' END LATERAL 7B 40.4' END LATERAL 8A 37.4' END LATERAL 8B 35.3' END LATERAL 9A 42.9' END LATERAL 9B 30.7' END LATERAL 10A 61.9' END LATERAL 10B 77.7' END LATERAL 11A 64.3' END LATERAL 11B 75.0' END LATERAL 12A 67.1' END LATERAL 12B 72.7' END LATERAL 13A 70.3' END LATERAL 13B 70.8' END LATERAL 14A 73.8' END LATERAL 14B 69.4' END LATERAL 15A 71.7' END LATERAL 15B 85.9' END LATERAL 16A 72.9' END LATERAL 16B 82.7' END LATERAL 17A 74.5' END LATERAL 17B 79.7' END LATERAL 18A 76:6' END LATERAL 18B 77.0' END LATERAL 19A 79.1' END LATERAL 19B 74.8' END LATERAL 20A 111.7' END LATERAL 20B 121.2' END LATERAL 21A 112.8' END LATERAL 21B 119.2' END LATERAL 22A 114.2' END LATERAL 22B 117.4' END LATERAL 23A 115.8' END LATERAL 23B 116.0' END LATERAL 24A 117.8' END LATERAL 24B 114.8' END LATERAL WC 105.9' WELL WD 77.2' WELL L OCV ST STREET O e/ ry 4° N i� 1 C � � � h Q 9i V QO t / Y a / / 11008' / I 305:Y2'00 -W Olt OH. fYnps ... ... ... _... A PhWt Pde L OCV ST STREET PUTNAM COUNTY DEPARTMENT OF HEALTH 1 DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: VS/a/ Inspecte y: `, Street Location Owner z?4 ,E1` Town P.9 T -ro k so N Permit # 7' - TM r 3,16-1-7 Subdivision Lot # 1. Sewaee Svstem Area. a. STS area located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands .:.... ............................... II. Sewage System a. Septic tank size - 1,000 ..... �1,250 . ......other ................ b. Septic tank installed level ........: ............................... .... c. I U minimum from foundation ........... ............................... d. Distributioll Box 1. All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box - properly set ........... ............................... f. ren "!' ches T- Legth required -3 Length installed 2. Distance to watercourse measured I a"7 Ft.......... 3. Installed according to plan ......... ............................... .4. Slope of trench acceptable 1/16 -1/32" /foot ............. 5. 10 ft. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100 % ......................... 8. Size of gravel 3/4 - 1 %" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... 10. Pipe ends capped . ............................... .................. g. Pump or Dosed Systems Size ot pump chamber ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual/ audio .................... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled .......................... ..............:................ 6. Cycle witnessed by H.D.estimated flow /cycle........... M. HouseBuildin a House located per approved plans ..: ......... ................. ..... b Number of bedroo s ..,....... IV. a. Well located as per approved plans .................... :............ b. Distance from.STS area measured ft........... c. Casing 18" above grade ............... ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All 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 ................... i Erosion -contiol-provided......................................................... ,,.,.. NO COMMENTS o �Ck ice. ICS ICS �a ice= Imm- re,#-11 Q,. BRUCE R. FOLEY Public Health Director LORETTA MOLINARI 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 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 ■ Date: To: Fax #: 2 6 2e VA8!L_ From: Gene D. Reed _Putnam County - Department of Health' - For your information For your review -- ._ -- - _ -_ -As discussed No. Pages (Including cover sheet) Please respond Attached as requested _= Please call Notes/Messages- P;, . / ��1 C,c-V C1Al '7_ - _Q_A15 7��Zcsc 2266/ In the event of transmission/ reception "difficulties-, - .please contact this office at - (914) 278 -6130 ext. 2261.. ::.._. 10;zz� BHDhY & WHI5UNP FC P.01i01 PUTNAM COUNTY DEPARTMENT OF HEALTH DWISYON OF EN VIRON IENTAL HEALTH SERVICES REQUEST FOR FINAL INSPECTION For: Fill Trenches_ PCHD Cocistmcdon Permit # P- 13-9(,p Located _ L- oQ uK S��Gi� T (T? M �r9 T7E2SOl'V Owner /Applicant Name a&AEv !M • I NlEt-t- IM B • I b .._Block .._ ..LLo� Formerly-------------Subdivision Name�LJ E t+ L Da (V 1 LL Subdivision Lot # $,-1 I f 7 Is system fill completed? I't Dale N l r - Is system complete? C.9` E `F Date I 2-1-7-2-1 y Is system constructed as per plans? _Lr PC eA cl Is'well drilled? iE Date ! L L'L.) V,0 Is well located as per plans? ( &WE"tj -y Are erosion control measures in place? i E -'� I certify that the systems), as listed, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCH D Construction Permit and approved plans and the standards, Rules and Regulations of the Putnam County Department of Health. Date: ) I QQ Catifled by: PE�RA Desip Professional Address PAC W ��CStJN PL C.au� S ►N{vLic. # O o 2 S 0 S Comments:. C .1. P f rcM hs U Se 4o -Aai, k -k; ? i min l W 12� Z.t6 1 Q0 2 C? 1 ; 2 °T, FOR: O ADAM N GENE Form FM99 TOTAL P.01 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # Located at L°(`l0JS t ' 5"Ir -s Subdivision name Y44 itL pAN16L,, Subd. Lot # �= Date Subdivision Approved =('% 10 °l Owner /Applicant Name BA°l' 10 M . DAN 1 _ L-L_ Mailing Address F-0: 0K 41 S : VA30t-J" , WE_. Amount of Fee Enclosed M ,A Building Type dk)e1J 1 Lot Area !2AA No. of I Town or Village P i e(ZSO�4 Tax Map Jli Block 1—Lot -7 _ Renewal Revision Date of Previous Approval OZ /0-1 Gb 1r Y0611 K. Zip 1 t . Bedrooms 3 Design Flow GPD 000' Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 72:t;o gallon septic tank and I 41 Other Requirements: l � �. t9.�, E 1 � i_ To be constructed by M A+(oP A-e_ SAd,-A (TAn0t-J Address M A-Ho M-C �J Yb6NC/ ✓ Water Supply: Public Supply From Address or: < Private Supply Drilled by BO;,eC> /gTe5i fNJ L%_�, LL_ Address 0,A9Jn 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 repairs thereto. Signed: Address R.A. Date � �- License # 06 1;GG 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 nsidered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new perm' . rov/ed f scharge of domestic sanitary sewag nly. B �L11 Title: � 4 il" /4�__Date: l d oil Y� White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 ,f BRUCE R. FOLEY. Public Health Director DEPARTMENT OF HEALTH LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services 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 February 7, 2000 John Delano Brady & Watson Survey & Engineers Route 9 Cold Spring NY 10516 Re: Proposed SSTS: Daniell Locust Street (T)Patterson, TM# 3.16 -1 -7 Dear Mr. Delano: Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: The. Permit P -13 -96 has been approved for FILL MODIFICATION ONLY and the following stipulations: 1) Site Modification for Too Rapid Percolation Rate Soils Where soils exhibit a percolation rate faster than three minutes per inch and all horizontal and vertical boundary conditions are met, the site may be modified via a special cut and fill system. All .soil bounded by two feet from the proposed absorption trenches ( i.e., horizontally and vertically) shall be removed and blended with fine sand or sandy loam . and replaced in six inch layers with mechanical compaction to the approximate .density of the on -site soil. Percolation tests of the .stabilized blended soil coupled with proposed daily flow rates shall be used to select the total lineal footage of distribution pipe needed. The blended soil percolation rate shall be in the five to 60 minutes per inch range. Conventional absorption trenches as depicted in Figure 17 shall be constructed in the blended soil. Blended soil shall be used for trench backfill above the aggregate and permeable geotextile, untreated building paper, hay or straw. The vertical and horizontal separation distances noted in Figures 1 and 17 and Table 2 shall be met. (NYSDOH Design Handbook, 1996) 2) The Putnam County Department of Health is to be notified 3 days prior to the soil modification to allow a representative to be present. 3) The Putnam County Department of Health is to be present during the percolation tests in the modified fill. RM:tn V truly yo , Robert Morris, P.E. Senior Public Health Engineer PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Barry M. Daniell Address P.O. Box 415, Katonah, NY 10536 Located at (Street) locust street Tax Map 3.16 (indicate nearest cross street) Municipality Patterson Drainage Basin Croton River SOIL PERCOLATION TEST DATA Block 1 Lot 7 Date of Pre - soaking 06/29/00 Date of Percolation Test 06/30/00 Hole No. Run No. Time Start - Stop Elapse Time (Min.) Depth to Water From Ground Surface (Inches) Start - Stop Water Level Drop In Inches . Percolation Rate Min/Inch C 1 8:53 9:04 8 19 - 22 3 3 C 2 9:06 - 9:15 9 19 - 22 3 3 C 3 9:20 9:29 9 19 - 22 3 3 4 - - 5 - - D 1 9:30 - 10:00 30 19 - 21.25 2.25 13 D 2 10:04 10:34 30 19 - 21 2 15 D 3 10:36 11:06 30 19 21 2 15 D 4 11:08 11:38 30 19 21 2 15 5 - - 1 - - 2 - - 3 - - 4 - - 5 - - NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained 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 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0', 6.5' 7.0' 7.5' 8.0' 8.5' . 9.0' 9.5' 10.0' HOLE NO. HOLE NO Indicate lev /�eYat which groundwater is encountered �- Indicate dvel at which mottling is observed Indicate level to which water level rises after being encountered Deep hole observations made by: Date Design Professional Name: John P. Delano. P.E. Address: Badey & Watson, P.C. 3063 Route 9, Cold Spring, NY 10516 Signature: Design Professional's Seal 2 co N FIRST FLOOR PLAN SCALE: 1/4" = V -0" OWNER /APPLICANT BARRY M. DANIEL P.O. BOX 415 KATONAH, NEW YORK 10536 NOTE: A COPY OF THE HOUSE PLANS SUBMITTED TO LOCATION A& BADEY & WATSON, THE BUILDING INSPECTOR, WHEN FILING FOR A BUILDING LOCUST STREET KUEHL & DANIELL su eyiry? F}{gineriinnp P.G PERMIT, MUST BE SUBMITTED 70 THE PUTNAM COUNTY SUBDIVISION LOTS/ N/A 3063 Route 9 (914) 265 -9219 HEALTH DEPARTMENT TO VERIFY THE BEDROOM COUNT. PHILIPSTOWN TM 3.16 -1 -7 Cold Spring. New York 10516 628 -1800 1. 739 -3579 FILE N0. 83 (914) 265 -4428 (Fax) (877) 314 -1593 _ 1 -177 No Np X OR pR OR pi p ftLLS WrT ' g•S.D:B. W/Tr�py zo P'T OF PR or ppc r;13 ED 3i D S a wECC DRIVE 5 /sue, �5 •/ h R 0 GAL. PRfC,�y7 i nc rAINK S6�6p PROP s OSED � AE '- \`_� R LE40f71 ISEF PRp AL L g s AREA T 0 BEBE Ott _,#46 BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 `1 F� • terra %%%I r✓ J 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 - 648 February 7, 2000 John Delano Brady & Watson Survey & Engineers Route 9 Cold Spring NY 10516 Re: Proposed SSTS: Daniell Locust Street (T)Patterson, TM# 3.16 -1 -7 Dear Mr. Delano: Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: The Permit P -13 -96 has been approved for FILL MODIFICATION ONLY and the following stipulations: 1) Site Modification for Too Rapid Percolation Rate Soils Where soils exhibit a percolation rate faster than three minutes per inch and all horizontal and vertical boundary conditions are met, the site may be modified via a special cut and fill system. All .soil bounded by two feet from the proposed absorption trenches ( i.e., horizontally and vertically) shall be removed and blended with fine sand or sandy loam and replaced in six inch layers with mechanical compaction to the approximate density of the on -site soil. Percolation tests of the stabilized blended soil coupled with proposed daily flow rates shall be used to select the total lineal footage of distribution pipe needed. The blended soil percolation rate shall be in the five to 60 minutes per inch range. Conventional absorption trenches as depicted in Figure 17 shall be constructed in the blended soil. Blended soil shall be used for trench backfill above the aggregate and permeable geotextile, untreated building paper, hay or straw. The vertical and horizontal separation distances noted in Figures 1 and 17 and Table 2 shall be met. (NYSDOH Design Handbook, 1996) 2) The Putnam County Department of Health is to be notified 3 days prior to the soil modification to allow a representative to be present. 3) The Putnam County Department of Health is to be present during the percolation tests in the modified fill. V �t�ruly yo , Robert Morris, P.E. RM:tn Senior Public Health Engineer 0 \\r3l�l UTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWA / q T SYSTEM PERMIT # Located at uS ilk- Town or Village tPWrT=50Nj Subdivision name Subd. Lot # Tax Map Block 1 Lot Date Subdivision Approved to , 161 e(4p Renewal _� Revision Owner /Applicant Name bm4z`1 m . ®Aa -tj, V_=UL Date of Previous Approval CM 30 CIG Mailing Address V-.() . BO X"At5 kMj�JA-t+ 4 j r-,W ,�brzIG )o s--;(:, Zip Amount of Fee Enclosed 4 JC�,,W Building Type lei 0 ql - � Lot Area 2 No. of Bedrooms __4__ Design Flow GPD P -q 0fiesfim Only X Depth Volume PCHD NOTIFICATION IS REOUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1 A1,130 gallon septic tank and 400 LF iP.lW- WiDDS P--Ro 'T2 C P A'° cc, -Fr- 0.C-• Other Requirements: �-(�� (z •Q. e.. SAS 4 &(24wet, Fi, LC- To be constructed by NAARO 'AC- :AAi ltd [,J Address KA40OW -- l,AaW qOZ4::'_'. Water Supply: Public Supply From Address or: _� Private Supply Drilled by t , Pte E- jt WSL�_, Address 0 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 repairs thereto. Signed: Address Date 05 jM jqj # Pv�Z3 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 considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new prlphl� it Approv or discharge of domestic sanitary sewage onlly. By: Title: �J�' ld /J`!� r!�n- Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # Well Location: Street Address: Town/Village Tax Grid # i_CCDUk5rr P &TTLV -50Q Map 3.1(© Block I Lot(s) Well Owner: Name: 13 M, ® t��- Address: 6�<c� .'L�� � t � � 6 - A�al�'1•i -�� � � ®5 �� Use of Well: Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served Cp Est. of Daily Usage j gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling >e New Supply (new dwelling) Deepen Existing Well Detailed Reason (20\J QV—,' f-b7*5LL;;—: \AJNTFZ 5U f>PLY f U�. t j 'r)VV r--W i-J67 for Drilling Well Type Ig' Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision Y UF-W .- 4, C>At,,J 16= --{.t✓ Lot No. Water Well Contractor: 50gC> P4zTIZ—:S�, AtJ Address: �v`-- 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 to be provided on separate sheet/plan. Date: ®:j [ 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 w er well driller certified by Putnam County. Date of Issue 2— aq Permit Issuing fficial: MOV-0 Date of Expiration `Z '0� Title: , 6 it C. '- Permit is Non - Transferrable White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 CITY DEPARrMF T ti ? O.o D~om*w P THE CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL PROTECTION JOEL A. MIELE, SR., P.E. Commissioner ENTAL PROiEC`� °� WILLIAM N. STASIUK, P.E.,Ph.D. Deputy Commissioner PHONE (914) 742 -2001 Bureau of Water Supply, FAX (914) 742 -2027 Quality and Protection July 9, 1999 Robert Morris, RE Putnam Co. Health Dept. 4 Geneva Road Brewster, NY 10509 Re: Kuehl &DaniellSubd /B &B Renovations. Locust Street Patterson, Putnam DEP Log # 9455/3597 (Joint Review) Dear Mr. Morris: The following information is necessary to complete the above - referenced application: • Limits of 100 -year flood plain must be shown on the plan, or a note added indicating if it is in 200' of property line. Additionally, please note, the following comment regarding the system design: The percolation rate is faster that the required by the Department of 3 minutes per inch. Blended soil is a procedure recommended to improve soil quality. This method is described in the design handbook " Individual Residential Wastewater Treatment Systems" edited by The New York Department of Health, page 37. If you have any questions regarding this matter, you may contact me at (914) 773 -4416. Sincerely, y Sissy De La Ossa Assistant Civil Engineer Engineering Design & Review xc: James Covey, P.E., NYSDOH 465 Columbus Avenue, Valhalla, New York 10595 -1336 Q� ,, zv�' PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS DROE�VI -EW SHEET FOR CONSTRUCTION PERMIT STREET LOCATION ���� �w, NAME OF OWNER e L'�' REVIEWED BY RNI, GR, AS, i•IB, B $ K DATE 6 TAX NTAP 9 Y N DOCUMENTS 1' N I RNUT APPLICATION -1- PC- 9� - ELL PERMIT _ P WS LETTER TTER OF AUTHORIZATION ESIGN DATA SHEET (DDS) ORPORATE RESOLUTION HORT EAF LANS - THREE SETS OUSE PLANS - TWO SETS ARIANCE REQUEST EE SUBDIVISION ���• .7nLEGAL SUBDIVISION 40t L:n. SUBDIVISION APPROVAL CHECKED -� A �tn� PERC RATE � ILL REQUIRED DEPTH ittTRTARN DRAM REQUIRED TANDPIPES ? QENERAL LOCATED M NYC. WATERSHED �.�J� / JI"►c PLAINS SUBMITTED TO DEP ELEGATED TO PCHD DEP APPROVAL, IF REQ'D DEEP_ -TEST HOL-ES_OBSERVED f EX- APPROVAL SSDS ADJ. LOTS / WETLANDS (TOWN/DEC PERMIT REQ'D ?) DATA ON DDS PLANS & PERMIT SAME �he. ����� �° PRE 1969 NEIGHBORNOTIFICAR'ION LETTER BI/ZBA - -- - - - - -A OTHER REQ'D PERMITS) REQUIRED DETAILS ON PLANS > SEWAGE SYSTEM PLAN - (NORTH ARROW) / SSDS HYDRAULIC PROFILE / GRAVITY FLOW CONSTRUCTION NOTES DESIGN DATA: PERC & DEEP RESULTS T CONTOURS EXISTING & PROPOSED DRIVEWAY & SLOPES, CUT FOOTING /GUTTER/CURTAIN DRAINS SOIL -,TYPE'BOUNDARIES TITLE BLOCK; OWNERS NAME,ADDRESS EROSION CONTROL :HOUSE,WELL, SSDS PERC SON HOLES. LOCATED IR EPRESENTATIVE OF PRIMARY & EXPANSION OCATION MAP XP. AREA; SHOWN; GRA VITY FLOW, SUFF.SIZE PUMPED, PIT & D BOX SHOWN & DETAILED OUSE - NO.OF BEDROOMS ELLS & SSDS'S W/IN 200' OF PROPOSED SYS. ROPERTY MEI ES = &= BOUNDS] OUSE SETBACK NECESSARY (TIGHT LOT) OUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE O BENDS; MAX.BENDS 45° W /CLEANOUT FILL SYSTEMS CLAY BARRIER / w / 10- FT. HORIZONTAL;SLOPE 3:1 TO GRADE / FILL SPECS Ny FILLNOTES ,/ FILL CERTIFICATION NOTE j DEPTH GAUGES FILL PROFILE & DIMENSIONS / VOLUME FILL IN EXPANSION AREA TRENCH LF TRENCH PROVIDED ' of 60 FT MAX. f PARALLEL TO CONTOURS / 100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN - FRONT SSTS 1`00 L>., DRIVEWAY, LARGE TREES, TOP OF FILL % 20' TO FOUNDATION WALLS 02 LV 0 L 100' TO WELL, 200' IN DLOD, 150' PITS 100' TO STREAM WATERCOURSE LAKE (inc. expan) 50' TO CATCH BASIN, 35' STORMI)RAIN, PIPED WATER 10' TO WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 200'/500' RESERVOIR, ETC._] 50' GALLEY SYSTEMS 15'MIN to CDS= >5/ojW- 4 %,25'- 3 %,30'- 2 %,35' -1 0/o,100' - <1% O'MrN to CD discharge /100'with 182 cons day discharge SEPTIC TANK 10' FROM FOUNDATION; 50' TO WELL WELL DIMENSIONS TgPROPERTY-LINE CDC ATION OF SE-RVICE CONN9CTION TMR,PE/RA; NAME,ADDRESS,PHONE9 DATE OF DRAWING/REVISION DATt1M FE E C>r LOCATION OF WATERCOURSES, PONDS LAKES AND WETLANDS WITHDjZ9-P€ET- =PROPOSED FINISH FLOOR ANIi BASEMENTT =E PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of M - Dm-i(ej L Located at L8C2tC)Fv- S1' T/V +PA-Tr-,C5oi,4 Tax Map # Block 1. Lot Subdivision of & I e4-L_ ¢ �fio[gC' Subdivision Lot # Filed Map # Date Filed d i Gentlemen: This letter is to authorize -P. F__ . 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 Law, and the Putnam County Sanitary Code. Countersigned: P.E., �, # 0Co1-c505 Mailing Address `f�c- 1C, State ,—W yozy— Zip io r3i'Z Telephone: 0 i4 22-rj —�73i Z Very truly yours, Signed: Property) Mailing Address: �L1® 4 kj) &N State bJ 'ia4- Zips Telephone: 61 l Z t 6 6q Form LA -97 REMARKS: COPIES TO: 2359 BADEY & WATSON LETTER of TRANSMITTAL Surveying & Engineering, P. C. 3063 Route 9, Cold Spring, New York 10516 Date: 07 Jun 1999 914 265 -9217; 737 -3577; 628 -1800 FAX (914) 2654428 Refer inquiries to: Work Order # 12628 Project Director JPD TO: Our File Number 83 -177 Sent via: Robert Morris P.E. US MAIL ❑ UPS -NIGHT ❑d Putnam County Dept. of Health MESSENGER ❑ UPS -2 DAY ❑ 4 Geneva Rd. PICK -UP ❑ UPS -3 DAY ❑ Brewster, NY 10509 FAX ❑ UPS - GROUND ❑ UPS -COD ❑ FAX # We are sending: number date of copies document description of document final prelim concept revised DS 1 24 May 19991 ISSDS for B &B Renovations W ❑ ❑ ❑ F-11 1 22 May 19991 JCheck V ❑ ❑ ❑ Fl 1 22 May 1999 JLetter of Authorization W ❑ ❑ ❑ F-1] 1 24 Ma 1999 lConstruction Permit 0 ❑ ❑ ❑ 1 ❑ 1 24 May A lication for construction of Well ❑d ❑ ❑ ❑ REMARKS: COPIES TO: 2359 13RUC15 R FOLEY Public rfealth Director LORETTA MOLINARI RN., 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 John Delano Brady & Watson Survey & Engineers Route 9 Cold Spring NY 10516 Re: Proposed SSTS: Daniell Locust Street (T)Patterson, TM# 3.16 -1 -7 Dear Mr. Delano: August 16, 1999 Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regards. If percolation tests were not witnessed by a representative of the New York City Department Environmental Protection on this lot, percolation tests must be witnessed by a representative of this Department. 1) Limits of the 100 year flood plain must be shown on the plan, or a note added there are none within 200 feet of the property line. 2) Soils must be blended to reduce percolation rates. The design must be shown on the plan. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. RM:tn Very ly yours, R ert orris, P.E. Senior Public Health Engineer EP Dom fyh, •. or °PHONE (914) 742 -2001 FAX (914) 742.2027 THE CITY OF NEw YORK DEPARTMENT OF ENVIRONMENTAL PROTECTION JOEL A MIELE, SR., P.E. commissioner November 17, 1999 Robert Moms, RE Putnam Co. Health Dept. 4 Geneva Road Brewster, NY 10509 Re: Kuchl&DaniellSubd/B &B Renovations. Locust Street Patterson, Putnam DEP Log # 9455/3597 (Joint Review) Dear Mr. Morris: .-tom ..... WILLIAM N. STASIUK, P.E.,Ph.D. Deputy Commissioner Bureau of Water Supply, Quality and Protection bxc- Simroe Lloyd/De La Ossa File This letter is to inform you that the New York City Department of Environmental Protection (Department) has determined that the above - referenced application is complete. In addition, the Department has no objection to the approval of the above - referenced regulated activity for fill only and the mod &ing of the onsite soil. This determination is based on the review of submitted documents including the plan titled "Preliminary Design for Pill Replacement Only ", dated 08/08/96 and last revised 09101!99. The applicant must contact Sissy De La Ossa of my staff at (914) 773 -4416 at least 2 days prior to the start of construction of the SSTS so that a Department representative may inspect and monitor the installation. . Sincerely, Margaret Lloyd, P.E. Supervisor Engineering Design & Review xc: James Covey, P.E., NYSDOH coca r,�t, :mhia� Av"ue:, Va►lhal)<et, New York 10595 -1336 ZO'd SZ:91 00, 9,7 Up[ ib�0- �zz- bT6 :xed 9Nr?Iq _4NTgWq a74rt ,iki BRUCE R. FOLEY Public Health Director DEPARTMENT 1 Geneva Brewster, New OF HEALTH Road 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 Fax (914) 278 - 6085 Early Intervention (914) 278 -6014. Fax (914) 278 - 6648 WIC (914) 278 - 6678. Fax (914) 278 - 6085 John P. Delano Badey & Watson Surveyors & Engineers Route 9 Cold Spring NY 10516 RE: B & B Renovations Locust Street (T) Patterson, TM# 3.16 -1 -7 Reservoir Basin East Branch Dear Mr. Delano: June 21, 1999 The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on June 10, 1999 is complete. The Department will notify you by July 1, 1999 of its determination. ❑ The Project has been delegated to the Putnam County Health Department for review pursuant to the guidelines set forth in the Watershed Agreement. ® Joint review with the NYCDEP will commence pursuant to the guidelines set forth in the Watershed Agreement. If the Department fails to notify you within the above referenced time frame, you may notify the Department of its failure by certified mail, return receipt requested. The notice should be sent to my attention at the above address. This notice must include your name, the location of the project, the office with which you filed the application originally, and a statement that a decision is sought in accordance with section 18 -23 (d) (6) of the NYC Dept. of Environmental Protection Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed complete, subject to standard terms and conditions as set forth in the regulations. Please be advised that projects within the NYC Watershed may also require Dept. of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation M Letter to: John P. Delano - June 21, 1999 -2- of impervious surfaces, and the project applicant should contact the Department of Environmental Protection regarding such activities to see if Department of Environmental Protection review and approval is required. If you have,any questions regarding this matter, please call me at (914) 278 -6130 ext. 2159. SR:tn ws2 Very truly yours, Shawn Rogan Public Health Technician d 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 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 John Delano Brady & Watson Survey & Engineers Route 9 Cold Spring NY 10516 Re: Proposed SSTS: Daniell Locust Street (T) Patterson, TM# 3.16 -1 -7 Dear Mr. Delano: July 14, 1999 Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows :. The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. If percolation tests were not witnessed by a representative of the New York City Department Environmental Protection on this lot, percolation tests must be witnessed by a representative of this Department. 1) Limits of the 100 -year flood' plain are to be shown on the plan, or a note added none are within 200 feet. 2) Current codes requires that soil faster than a three minute percolation rate must be "slowed" by the blending of a less porous fill. Guideline are enclosed. 3) SCS soil boundaries are to be shown. 4) Datum reference is to be noted on plan. 5) Basement elevation is to be provided. 6) Property metes and bounds are to be provided shown. 7) Well is to be labeled as proposed or existing. 8) Dimensions from the proposed well to two property lines are to be provided. 9) Location of the well service line is to be shown. 10) Subdivision lot number is to be provided on plan or in title block. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Ve ly you RM :tn Robert Morris, P.E. enc gPninr Prnhlir HPalth Pnoinaar \... (3) All minimum vertical and horizontal separation distances noted in Figures 1 and 26 and Table 2 shall be met. Design Criteria The overlaying impermeable soil shall be removed and replaced with a soil having a percolation rate comparable with the underlying usable soil: The excavation method selected should assure that the usable underlying soil is not made unusable through compaction. A conventional absorption field system (i.e., trenches with distribution lines and aggregate) as depicted in Figures 17 and 26 is designed for the upper 18 to 30 inches of the permeable fill /underlying soil. The required length of absorption trench shall be determined from Tables 5 or 6 based upon the design flow rate and percolation test results of the permeable fill or underlying soil (i.e., whichever has the lower permeability). Stabilization pPthe fill is required prior to conducting percolation tests in the fill and constructing trenches if the bottoms of all trenches are not in or at the underlying usable soil. Percolation test results of the in situ fill material (i.e., at the borrow pit) shall be used to assure that the permeability of the fill material is compatible with the on -site soil permeability. Construction The area excavated and filled must provide at least a five foot buffer in each direction beyond the trenches. The soil placed above the aggregate in the trenches shall have a percolation rate faster than 60 minutes per inch. Original surface material (i.e., overlaying impermeable soil) shall not be used as backfill above the aggregate in the trenches. The surface area of the fill system must be mounded and graded to enhance runoff of precipitation from the absorption system and seeded to grass. On sloped sites, a diversion ditch or berm shall be constructed on the uphill side of the absorption area to prevent surface runoff from entering the fill. Site Modification for Too Rapid Percolation Rate Soils Where soils exhibit a percolation rate faster than one minute per inch and all horizontal and vertical boundary conditions are met, the site may be modified via a special cut and fill system. All soil bounded by two feet from the proposed absorption trenches (i.e., horizontally and vertically) shall be removed and blended with fine sand or sandy loam and replaced in six inch layers with mechanical compaction to the approximate density of the on -site soil. Percolation tests of the stabilized blended soil coupled with proposed daily flow rates shall be used to select the total lineal footage of distribution pipe needed. The blended soil percolation rate shall be in the five to 60 minutes per inch range. Conventional absorption trenches as depicted in Figure 17 shall be constructed in the blended soil. Blended soil shall be used for trench backfill above the aggregate and permeable geotextile, untreated building paper, hay or straw. The vertical and horizontal separation distances noted in Figures 1 and 17 and Table 2 shall be met. Replacement granular soil with a percolation rate of five to 60 minutes per inch range may be used to fill the excavation in place of blended soil. All other conditions noted above shall be met. Absorption Bed Systems General Information An absorption bed system operates on a principle similar to the absorption trench except that several laterals, rather than just one, are installed in a single excavation. This reduces the effective sidewall infiltration area per lineal foot of lateral /distributor / leach Iine. These systems Page 37 N PUI'ziMM COUNTY DZPAF:l1,ERT OF E3E1?LT.E3 DIVISION] OF HEALTH SERVICES , DESIGN DATA S(IEET- SULSUI:AC--E 53VPGE DISPOSAL SYS'ITM FILE NJ_ Caner i�j �E,�C'�V ,1`I ON Pc3dress -Py --L;Ox" Z(�7 i�a�i` zz 5 x—) /.J Located at (Street) L -oc -oI6'i sr ,z6(5--% Sec_ 3,7-0 Block Lot & (indicate nearest cross street) Municipality i C.%-y IJ o t= -T-)A+ 605O .y watershed G- SOIL PERCC)LzTICaN TEST DAM RDQU= TO BE SU 2•LCTI 7j WITH APPLICATIONS Date of Pre- Soaking .7l 7- Date of Percolation Test %! ZCd 30 2 Zg-10 ,34 HOLE ZI 'ZA 3 2 NTUI E<4 C= TDB PERC OLATIC N PERCOLATION Run Elapse Depth to Water Frcm Water Level No. T Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches. Inches A 3 30 2 Zg-10 ,34 3Ic')'3b -- ID'•44 Cv ZI 'ZA 3 2 4 1p:4ty "S. 5 16c7'e Z 7 •- l d' v % 1 Z-4 3 30 _ 2 '3i i0�3�} 3 -Z, t 3iD'35- 4.� .3 Z 1 5 1 2 rev. 9/85 2_ M �R �t • e sts to be repeated at same- depth.until. approximately equal soil rates e obtained at each percolation test hole. All data to be sufzni.ttird for revieq. Depth rreisuxa-ry-nts to be made from top of hole. 3 �.q 5 "S. rev. 9/85 2_ M �R �t • e sts to be repeated at same- depth.until. approximately equal soil rates e obtained at each percolation test hole. All data to be sufzni.ttird for revieq. Depth rreisuxa-ry-nts to be made from top of hole. TO BE SUa-,"22ED KIM :..0 Mm RQ.EUIRM DE=RIPTION OF SOILS ENCOWYEIZ M- IN TEST HOLES DEPTH HOLE Nlo BOLE NO G. L. C> P!5 c-, I L_ c::, 21 3f 0 41 T 51 T2n,Cc Tv �c7yG ii 61 71 81 91 10, 12' - 3c 14' HOLE M. Ly,D-CATE LEVEL AT ti,'RICH GROUND=R IS ENICOUN=ED INDICATE LEVEL 110 M-LICH G�TER LEVEL RISES AFTER BEING ENMUITTERED DEEP HOLE OBSERVATIONS MADE BY: _jA&oO t � S p �?_Oe Y DATE: 7/ M & Soil Rate Used Min/1" Drop: DESIGN S.D. Usable Area Provided 6000 5F No. of Bedrocnis A Septic Tank, Capacity 25 C) gals. Type Absorption Area -Provided By 40C) L.F. x 24" width trench ,:-::5 A 0 th ?ac) 0- j0 L L-C_ Na.rFe C> -a,J i C- S L--> 2­Joy Q Signature 21�ddress /1, A 0 c-_ SEAL THIS SPACE FQR USE BY 'HEALTH DEPARTMENT ONLY: Soil Rate Approved sa.ft/gal. Checked by Date FUMAM COUNTY DRPARTIANT OF HEALTH DM W= d IR sbeosaelal Beaft Seevk M CMMWL N.Y. 19512 amoftsew to Faarfde Yaiink 0 s C13�I7fP+[CA - COMPIIAN 2 1 *V1 PERMT FOR SRWAGN DEPOSAL SYSIM TQ vU r s f� F � A tt lE 2 tmeed at .. e> Us T smp- � own elf VMW Sdbdlvidao Name / A• Sub& Let N Tea Map P Om/AppNOW Nessis £ a� rue✓ 'C' II J�,1 Q Retlewat_❑ Revkleo 0 tr Date of Peevloue Approval Molbs Add<eM 1,C� leii7 7C a (,al Town t�A-rr- pS19iJ &) ! ZP mddkg ZiPe`y i n N (,k lr Lot Area 'Z ^ 4 A�Ci Fm sectlon Doty -Vahme Nm4w of Redwom 4 Desiv Flow G P D PCSD NotMmdon a Requited Wben Pm b oompkRed Separate Sewerage Sysim to eomM of Is Z-60 GaRols Seplic Talk and AC20 LE 4l= Z4" Wa DL= A!a5ci a- Pi`000 L Qa wc-0 To be oeua4uded by Aug -Tb l�i= T) cr"Tc- e M (/->e 17 Walar Sapplys PeObDt: Soppy Pi<est aK��`' ate Supply DrRed by eaa� otter Reo.ke�ana r v i D>$ l ^ ®q a AN 1J J C,— AV i L- J j 1.. - 1 represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate ssw dI sal system Above described will be constructed as shown on the approved amendment there to and in accordance with the standards, r Weiland regulations o nam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Health will be submitted to the Department, and a written guarantee will be furnished the owner, his successors. heirs or assigns by the bulkier, that said bulkier will Piece in good operating condition any part of said sewage disposal system during the period of two (2) years Immediately following thodate of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or ny repairs thweto; 2) that the drifted well described above Will be located as shown on the approved plan and that said well will be Instal in ord tit the. atanda /tla. rules and rqu i�iOnf Of the Putnam County Department of Health, Date A- ge V 6eo s r 6, 11. � Signed P.E. X R.A. - Address'A�%� {C - V ~ MC cenie No (m2 APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the building has boon undertakao and is fevecable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any Change or alteration of Construction fequires a new permit. oved tor_ ifposal Of domestic sanitary sewage, and/or orw.t. �uaf.wan, ly Only. - /'�'!'�� Data DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER WELL p /� PCHD PERMIT # ! /'—� —14 WELL LOCATION Street Address Town/Village/city Tax'!!9yGir�d Number WELL OWNER ^^�Name Mailing Address Wrivate 4 1?) <PU 13&)( 2 'PA T = ZSON O Public USE OF WELL 1 - primary 2- secondary O RESIDENTIAL D BUSINESS 0 INDUSTRIAL ❑ PUBLIC SUPPLY Q AIR /COND /HEAT PUMP O ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify, O INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED (p /EST. OF DAILY USAGE �0Sal REASON FOR DRILLING O REPLACE EXISTING SUPPLY O TEST /OBSERVATION 12 ADDITIONAL SUPPLY EW SUPPLY NEW DWELLING 13 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING �U S� ►ZV1= - piZp�ty�ED �1�CZ1 -IRJ 6, WELL TYPE DRILLED DRIVEN DDUG GRAVEL. 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES _ NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name --+ -jcl� 'J b a Q m _Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION [RON SEPARATE SHEET (date) PROVIDED (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirt;r (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applica n any and all water or waste products from such we property and in such a manner as not to degrade o Date of Issue 19 Date of Expiration 19 t shall take appropriate action to assure that 11 drilling operations be contained on this Issue: otherwise contaminate surface undwater. Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller TACONIC Surveying and Engineering, P. C 73 Glenedia Avenue Carmel, NY 10512 (914) 228 -3312 To: Mr. William Hedges Putnam County Department of Health Division of Environmental Health Services 4 Geneva Road Brewster NY 10509 Copies I Date No. Description LETTER OF TRANSMITTAL Date: September 18, 1996 j Job No: 83 -177 Re: Individual SSDS Permit Application for B & B Renovations Locust Street Town of Patterson Sent By: ❑ US Mail ❑ Fed Ex ® UPS ❑ Messenger ❑ UPS Overnight ❑ Pick -Up •1' 13 9/12/96 Revised SSDS Plan 1 9/17/96 Copy of Building Inspector Notification Mailing 4 9/17/96 Copies of Neighbor Notification Mailings - Remarks: Signed: Kurt Schollmeyer, P.E. me Copy to: PETER C. ALEXANDERSON County Executive DEPARTMENT OF ]HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, Nlm York 10512 (914) 225 -0310 Building Inspectors/ Code Enforcement Officer Town of Patterson ---------------- Patirerson- - - - - -, ;:ew York Zip -1256_ Re: OwnerB & B Renovations ------------------------ Street Locust Street ----------------------- TM '� 3.20 -1 -16 ------------------------ Town. - Rat-ter_san.------------- Dear Sir: An application to construct a Single - Residene_e _ __ is being submitted for review to the Putnam County Health Department. �-77 JOHN KARELL Jr., P.E. Director The above mentioned parcel is not part of a Putnam County.Approved subdivision. Therefore, the following information is requested-prior to our review. 1. Does the proposed project conform with e:•:isting land use as officially adopted? 2. Is the above mentioned iot,considered a legal building lot': The above information must be submitted to this. Department prior to our review.. Approval of this information is for the creation of property lines only.. The project must conform to all health department requirements and all local ordinances. if you have any questions, please contact me at your convenience. Very truly yours, William Hedges, Jr. Sr. Public Health Sanitarian WH /JP c � r IC ��- - �,_ - -,. , t.. � -- •_��- — Ili :I � Z� °/0 S .6-1.7 _ I! 1 ,.,a ol it 4,0 i vial � 'a �'• � '� -' �~(t? ! (!Y .4 , e. 1 1.10 .0 A , -J CO 50 Ir FORMAT Date September 17, 1996 NEIGHBOR NOTIFICATION CONSTRUCTION PERMIT Patterson Materials Corp. 20 Haarlem Avenue White Plains NY 10603 Re: Department of 'Health Revie�.i of Proposed Se;,.,age Disposal System for property: Flame: B & B Renovations Address: [,ocust Street Town: Patterson Tax Map: 3.20 -1 -16 I Dear sirs: Please�be advised that an application for a Construction Permit re:ative to the construction of a sewage system and /or well proposed for the captioned propert�' has been made to the Putnam County Department of Health. Attached please find a copy .of the latest site plan. If you have any questions, concerns or information which may bear on the Health Department's review of this application, you may call Mr. Hedges or Mr. Morris of the Health Department at 278-6130. Very truly yours, RECEIVED BY: Address: Tax ""ap: J K;CIJ By William Hedges Title Sr. Public Health Engineer, I ' / i t�;,t 1• . _ 111 _ n ball 10 Cl is P/0 3 .G 1.7 / I -iCi:il'0 usl LG .a r I a� I� �'�.' I] � i lil-. /l i� ,l1 `I I 2:I rlltt ° %' j:: I�` rl -1 ;__ C� .__._ � -.—lA le I_ -.� li I• 1 u �r ai � y IIV I 'I � � i✓ I.. I I SI�'C v i I`" •�� .. I I 57 I � I i G0 50 rf `s —�—II I I•� ��1 Ii GI 1 !, Cx..CI f)- I '� 11::'..IIf • �. I ...• _0 FORMAT Date September 17, 1996 NEIGHSOR iNOTIFICATION .004STRUCTIOiN PERK` -11 T Michael J & Michael Carty Locust Street Patterson. NY 12563 Re: Department of Heal th P.evi e.v of P•rcposed Sewage Disposal System For orODert;., lame: B & B Renovations ^.ddress Locust Street Tot -in: Patterson Tax Map: 3.20 -1 -16 Dear Michael J & Michael Carty: Please be advised teat an application for a Construction Peal ;1 t.rela1.ive to the Construction Oi' a seavage system and /or .veil proposed for the cast Toned property has been made to the PUtnam County Departrent of Health. Attached please find a copy: of the latest site Dian. If you have any questions, concerns or in-Iform-ation vhich is -y bear on the Health Departments revi&,-i Of this aDDllCatlO �, you may Call Mir. hec!ges or Mr. Mlo•rri s of 1'-he Neal th Departrlen't 278 -6130 Very truly yours, RECEIVED BY: Add- ess Ta x "•1a0: J.";c„ By William Hedges, . Title Sr. Public Health EngiriLer' _ 1 i I° I , :, w ,r 22 ;n I ' •1' 10 I I. 20 I• I i. I I." CD � � ` ( � r• • l � i � �. -. I i' � , 13 L. 17 r ;,i ',I I ,I ,c< a , I I 6• I �• T R 1ALIC . .2 FORMAT Date= September 17, 1996 NEIGHBOR 1MIOTIFICATIO d CONSTRUCTIOiN PERI`'I.I T Emanuel & Ruth Comunale PO Box 333 Patterson NY 12563 Re Dcoa -i"tii eilt of 'Health Pevl e.., 0 Proposed Se..,ace Disposal System .or oroperzy: Name : B & B Renovations Address: Locust Street TO.rI: Patterson Tax Pip: 3.20 -1 -16 Dear Emanuel & Ruth Comunale: Please be adv41 s e d that a.. app I i Catl on for a Censtri'c ti on Peri::i t re : a t i v to the construction of a se.,,age syster and /or „!ell proposed. o'r the captioned pro eY' "; ,; ,- tni2 Putnam COUnt Depar�i�eni: of HOia ith. AttZCh�d p � f.�s been made to Y � please firid a copy of the latest site plan. If you hale any cUestl 0ns , CGnCeT'ils Or 1 nT�O(�1at10!1 h'ni Cn i11ay bear on the Health Departilleni,'s revs ow or this appliCa iOn,, YOU may Ca 11 Mr. hedges or Mr. Morri s of the, He i to Deoarti„ent, at �-X(O' . 278 -6130. Very truly yours J By William Hedges Title Sr. Public Health Engiriee Ri= CEIVED BY: Iddress: ax ria0: jK -)CJ IQ SiTf 19 +` l I.. J....,_ / =/ I ` r:1 II I•...- .'1'_'S i1 \11.1 ' �1 III P;0 }•.u•I.7 �ti I�'��•,. {;,R� 1.; )1 26 I � � I s 21 1. �� J� 11� -1'1•' _ICI 1... — ='�`� it ..r'.a 1.,:, (r.: i ' — _��_ --`� I 1 - I ,1 211 , "'. •5•` r.p '�l; _ � I 10 � J• I ���1 i , i': I i �. —__-�^ _ _ - 1 --_..I _j 1 I I CD ')'' � 1 I;, li- ;,i ..I -� � �`':. Iy i� • 1 - i�,. �I I 1 `L I Ica :.t IQ Ord, 74 57 1.6 cc. , rvJ:,lC I j � rli: ='cur �• -�- -- J FORMAT Date September 17; 1996 i`IEIGHBOR INOT IFICATIOiN CONSTRUCTIOiN I PER,`1iT Bernard Kuehl & Barry Danieli Locust Street Patterson NY 12563 Re: Deoartrrent of Health P,evievr of Proposed Se,,/age Disposal System for property: ar ?e: B & B Renovations Address: Locust Street Tw;n: Patterson Tax Map: 3.20 -1 -16 Dear Bernard Kuehl & Barry Danieli: Please be adV1sed that an application for a Construct-ion Perilit relative to the construction of a sewage system and /or 'rreil proposed for the captioned proper•t3' r.4s beer, i,lade to t ^'2 PUtnam County De parti;,ent of Health, Attached please find a copy of the latest site plan. If you have any OUeStions, concerns or informat10:1 1.h1C;1 play bear on the Health Department's revlev; of this application, you may Call 11r. Hedges or Mr. Morris of the Health DeOartr,ent at-USX . 278 -6130. Very truly yours, By William Hedges., Title Sr. Public *Health Engineer RECEIVED BY: Address: Tax i"iap: i t JV;C„ all —IG ILI' 27 i! I: U 4c On L—,2 'J, 50 p - 1 R, N G2 I q6 I ( , Bariy. Danieli - Locust Street 1 Patters on.NY- 12563 rn' rn d ' Postage Certified Fee Special Delivery Fee .. . 'CO Restricted Delivery Fee . t° in m rn Retum Receipt Shovnng to " .Whom & Date DoUvere-Q_ - •. L. Retum.ReceiptShowjngbyVhaid Date, & Address Addr *� A CTOTAL Postage;& Fees C') Posunark or ate �. 'A��r�!• q6 I ( , rn' rn O 'CO t° in m l,:VllG 1`il {IVFI:GI { \CIIL V1111;G1- Town Hall Town of Patterson Patterson NY 12563 Postage. Certified Fee • - ` O Spedal Delivery Fee' Restriaed Delivery Fee Relum Receipt Showing to D Whom & Date D ' Retum Recei to Date 8 AdOres�e' TOT Posy go & Posh, o ate' rn' rn O 'CO t° in m mawsb- -MINI, l P 512;.500 310 US Postal Service Receipt for Certified Mail a Patterson Materials Corp. 20 Haarlem Avenue White Plains NY 10603 Certified Fee Special Delivery Fee Rewded Delivery Fee _ Ln .. c Return Rk ipt Showin Whom & Date Deliv0d / Return Receipt. toVIqK Date.& Addr rAs tn 0. TOTAL P.osta es , Go CO Postmark or D e � o� ✓. s a' SEP -26 -1996 14:07 FROM BADEY & WATSON, P.C. TO 2787921 P.01 SWERMOR Joseph:Duks ' Michael Griffin (914) 879'- 6564 r H Raymond .0' Neill ' w < Martin Posner TOWN COUNSEL '!r . ° '* TOM CLJERK Curtiss'.. 1.aibell, Shilling ITT ` Rosh Beefs Tel. (914) 225.5598 D�. ,;; „° ' " Tel. (914).-.979:=.650 . . Fax . (914) 225-5946 ` ':: F= (914) 878 - 63 3 ROUTES PATTIrRSON NEW ; YOC '::.12563 Po814r, Fax We 7671 t>a� q- tom off► t To Phu.. Front �Oklt�f P. 09jD pt. Pr -A.t�► co. VAS .J Ph" s .ZZ$ - Cot* vnm,. a 26� -R2t'j FaX -'M24 pi • .�''�7StYj:' - �'�S"'y�`e3A��:T' Prpp t�'.dl'�+Led'�.) NCB ";': $lt.� 1 [L� pi • .�''�7StYj:' - �'�S"'y�`e3A��:T' Prpp t�'.dl'�+Led'�.) C� �i \� �.( .`.,4.r. "r.. R^ �., "`•�� ' � ,• .fit. ' ;i Sri :,�- '.'`J•,;� %•i�i� �•,•Y�`. - n. TOTAL P.01 DEPARTMENT OF ENVIRONMENTAL PROTECTION •- e EXECUTIVE OFFICES X" 59 -17 JUNCTION BLVD., 19TH FLOOR, CORONA, NEW YORK 11368 -5107 " 59-17 CA 1 rPW LVII� JOEL A. MIELE, SR., P.E., COMNIISSIONER (718) 595 -6565 September 20, 1996 John P. Delano Taconic Surveying and Engineering, P.C. 73 Gleneida Avenue Carmel, New York 10512. RE: B &B Renovations Patterson, Putnam County Project Log 3569 East Branch Reservoir Dear Mr. Delano: Enclosed please find the New York City Department of Environmental Protection's (DEP) SUBSURFACE SEWAGE TREATMENT SYSTEM .DETERMINATION for the above referenced property located on Locust Street, Town of Patterson, New York. Please contact Margaret Lloyd at 742 -2033 at least 2 days prior to the start of construction of the subsurface sewage treatment system so that we may inspect and monitor.the installation. A copy of this determination must be available at the project, site during construction. One set of plans bearing our conditioned stamp of acceptance is enclosed. Very truly yours, Edwin Polese, P.E. Chief, Engineering Section Encl:plans xc: Director of Environmental Health Putnam County Department of Health 4 Geneva Road Brewster, New York. 10509 Patterson Planning Board Richard Williams, Chairman Town Hall Routes 311 and 164 Patterson,. New York 12563 CADATATORMSOETERM. WPD New York City Department of Environmental Protection SUBSURFACE SEWAGE TREATMENT SYSTEM DETERMINATION Pursuant to the authority granted under: Section 1100 of the Public Health Law; Section 18 -03 of 15 RCNY; and Section 128.1 of 10 NYCRR; and in accordance with the standards of: 10 NYCRR Appendix 75 -A Wastewater Treatment Standards - Individual Household Systems; NYSDEC Design Standards for Wastewater Treatment Works; and NYCDEP Procedures and Practices for.the Approval of Septic Systems and Wastewater Treatment Plants. New York City Department of Environmental Protection makes the following determinations with respect to the sewage disposal .system(s) plan described below: Name of Project: B & B Renovations a.k.a.: Location: Locust Street, Town of Patterson, Putnam County, New York Owner: B & B Renovations Bernard Kuehl Barry M. Daniell Address: P.O. Box 267 Patterson, New York 12563 Drainage Basin: East Branch Reservoir Type of Sewage Treatment System and General Description: A Separate Sewage Treatment System consisting of a 1250 gallon septic tank, drop box, distribution box and four hundred lineal.feet of absorption trench with adequate area for an additional 400 lineal feet of absorption trench. The system shown on sheet 1 of 1, Separate Sewage Disposal System for B &B Renovations, revised September 12, 1996, is designed to treat sewage from a four bedroom house. Dates of Site Inspections and Soils Test : Deep Hole Test - July 26, 2996 Percolation Test - July 26, 1996 ( XX ) .Approved ( ) Conditionally Disapproved Conditions of Approval: DETERMINATION ( ) Disapproved ( ) Accepted design 1. Where fill will be placed on the subsurface treatment system area,. trees shall be cut at ground level. The area shall then be plowed perpendicular to the ground slope to a depth of 8 inches. The.fill shall be placed on the, perimeter of the site and pushed into place in such a manner as to minimize soil compaction. 2. Prior.to the commencement of any construction requiring a building permit, the - applicant must provide at.least 48 hours actual notice to the NYCDEP engineer or his representative making this determination. 3. The facility. shall be constructed and completed in accordance with the engineering report, plans submitted, specifications provided, which form the basis of this approval, and in accordance with the conditions of this determination. 4. The project construction must be commenced within two (2) years of the date of the determination. 5. The applicant will provide "as built" plans to NYCDEP, certified by the engineer, where required or requested. 6. When installed the system must be operated and maintained in accordance with NYCDEP Regulations and all other applicable regulations and /or standards. 7. In the event that the material submitted is inaccurate or misleading, or the owners of the project do not have the legal right to develop or use the property where and as' shown on the material submitted to this office, this approval is withdrawn. 8. This determination constitutes approval only of the physical design of the septic system for proposed installation and operation on a watershed of the New York CADATATORMSOETERM.WPD 2 City Water Supply. An approval of the septic system design does not effect any existing property rights, title, or interest, including without limitation, any public or private restrictions upon the use of the land. Therefore this determination shall not be considered to be a grant or waiver of any property right. 9. The sewage disposal system shall be constructed in conformity with the data and plans as approved or commented upon. Any significant change in the system must be approved in advance of construction by the Department of Health and this Department. 10. The system shall receive only the domestic sewage from the structures shown on the plans. The nature and quantity.of flow from the structures shall not be changed without prior approval of this Department and the Department of Health. 11. All parts of this system are to be operated and maintained properly. In no. case is sewage or sludge to be exposed or any other unsanitary or unsafe condition to be created because of the use of this system. Guidance on standards is found in the Waste Treatment Handbook issued by the New York State Department of Health under New York State Code of Rules and Regulations (10 NYCRR 75). 12. Whenever sludge.and scum shall so accumulate in any septic tank so as to occupy together at any point more than one -fourth of the distance between the bottom and the flow line, the "tank shall be cleaned. 13. Whenever sludge and scum are removed from any septic or settling tank or any part of the system it shall be done in such a manner as to cause no nuisance, and the material shall be disposed of in accordance with applicable regulations. 14. This approval shall not be construed to invalidate any rule or regulation .enforceable by local authority having jurisdiction. 15. All duly enacted rules and regulations for the protection of the water supply shall be complied with Administrative Rules and Regulations for the Protection from . contamination to the Public Water Supply of the City of New York adopted under the authority of Section 70, 71 and 73 of the New York State Public Health Law. 16. This system shall be abandoned and a connection made to a public sewer if and when a public sewer is built that is available to this project. 17. Whenever it is determined by this agency that additional replacement or improved sewage treatment facilities are necessary such facilities shall be professionally designed at the expense of the owner or owners of this project. C OATATORMSOETERM.WPD 3 Plans are to be submitted to this agency and the-Health department for review and approval, and facilities shall be constructed and:maihtained at the expense of the owner or owners of this project.. 18. All material removed from the area of the failing subsurface treatment system shall be hauled and disposed of in. accordance. with all local, state, and federal laws or regulations, including those of this Department, pertinent thereto.. Determination made by: Date: September 20, 1996 Edwin A. Polese, P. E. Chief Engineering Design and Review New.York City Department of _ Environmental Protection Recommended for Approval: Margaret Lloyd Senior Environmental Engineer Engineering Design and Review CADATANISOCLOSEMB &BDET.WPD 4 TACONIC Surveying and Engineering, P. C. 73 Glenedia Avenue Carmel, NY 10512 (914) 228 -3312 To: Mr William Hedges Putnam County Department of Health Division of Environmental Health Services 4 Geneva Road Brewster, New York Copies Date No. Description LETTER OF TRANSMITTAL Date: August 21, 1996 Job No: 83 -177 Re: Individual SSDS Permit Application for B &B Renovations Locust Street Town of Patterson Sent By: ® US Mail ❑ Fed Ex ❑ UPS ❑ Messenger ❑ UPS Overnight ❑ Pick -Up 1 8/8/96 SSDS Construction Permit Application 1 8/8/96 Well Construction Permit Application 1 8/14/96 Letter of Authorization 1 Design Data Sheet 1 Application PC -1 3 8/8/96 SSDS Plan 1 8/17/96 Bank Check for $ 300.00 No. 142582 Remarks: Signed:. Kurt Schollmeyer, P.E. Copy to; PUTNJI&I COUNTY DEPAR'T'MENT OIp HEALTH APPENDIX K Dl'VISION OF ENVIRON,IENTAL HEALTH SERVICES Date Q 1 Re: Px o p e rt y of I�t(z� K. . � {�`�- _ �j/a R �� I� V �1`i I �C-L Located at (T) Section J_e10 Block Lot t Subdivision of Sijbdv. Lot ;` Filed Map # Date Gentlemen: This letter is to authorize a duly licensed professional engineer V/' or registered architect (Indicate) to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance.with -the standards, rules or regulations as promulagated by the Conwiissi.oner of' the Putnam County Department: of Ile a1.tF1, andi to si.grx.. all ,necessary papers on. my behalf in co,ruzection with this matter and to supervise the construction of said system or systems in conformity with the prov:isi.oiis of Article 145-or 147, Education Law, the Public I'iealth. Law, and the the Putnam Cotuity Sar:i- ta.ry Code. Cotuitersigned: P ..E Address ` 3* GI.CNGi -/A _/At-ra- CA -e M C, L AY `1' aS12- Telephone Very truly yours, Signed_ timer of Property Address aia:�)�_g Y i26'3 Town Telephone C I. ' 1 PUTNAM C+OiTNTX DEPAR'T'MENT OP' I�EALTH APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM Name and Address of Applicant: 0 y 2�Co 3 2. Name of Project: iQ1D10l00 /-hL &-S Cis PeaMi 3. Location T /V /C: 26UJ✓ 4. Project Engineer.: _rAC`JlutL I 5. Address: 73 &i -GtJ E01 N License Number: Phone: G Az_1-A C_L. P { 10,151-1 _ 6. Type of Project: Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 7. Is this project subject -to State Environmental Quality Review (SEQR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted Z. Is a Draft Environmental Impact Statement (DEIS) required? '00 ,; o ........... Has DEaS been completed and found acceptable by Lead Agency. ? A-) 1u. Name of Lead Agency /V I�k, 11. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ................. y -5 12. If so, have plans been submitted to such authorities? .................. 13. Has preliminary approval been granted by such authorities? 'U s, Date Granted: 14. Type of Sewa;e Disposal System pischarge...... Surface Water Ground Waters 15. If surface water discharge, what is the stream class designation ?........ N� .16. Waters index number (surface) ........... ............................... '17. Is project located near a public water supply system? ...........:...... 1uc. If yes, name of water supply Distance to water supply — 19. Is project site near a public sewage collection or disposal system ?..... k-) 20. Name of sewage system ` Distance to sewage system _ gate observed: 23. Name of Health Inspector: 2 roject desigh flow (gallons per day) ...... ............................... 800 C,> pP M 25: Is State Pollutant Discharge Elimination System (SPDES) Permit required ?.. ki 0 26. Has SPDES Application been submitted to local DEC Office? ................ 27. Is any portion.of this project located within a designated Town or State wetland? .................................. ............................... 28. Wetland ID Number ........................ ............................... O/A 29. Is Wetland Permit required? .............. Pl7 Has application been mcide to Town or Local DEC Office? .................. NI A 30. Does project require a DEC Stream Disturbance Permit? ................... 1J D 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 or NO _ �a 32. Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential k;lcwn source of contamination? ..............YES or NO h� DESCRIBE: 33. Is there a local master plan 'or file with the Town or Village? `CGS 3-. Are community wu-er,l sewer facilities planned to be developed within 15 years? 35. Are any sewage disposal areas in excess of 15ro slope? 35. Tax Map ID Number ......................... ............................. ... 3.2-L 37. Approved Plans are to be returned to: ................. Applicant >_ Engineer If the application is signed by a person* other than the applicant shown in Item 1, the application must be accomranled by a Letter of Authorization. F &llur.e to comiply 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. SIGNATURES « OFFICIAL TITLES: 0-A3&1 �a 1Z Fz-,;z A_??LIC.N� MAILING ADDRESS: AUG 2 2 1996 N �i� Nei,! .•• .. .. THE CITY OF NEW YORK DEPARTMENT. OF ENVIRONMENTAL PROTECTION JOEL A, MIELE, SR., P.E. Commissioner PHONE (914) 742-2001 FAX (9'14) 742-2627 July §' 1999 Robert Morris, P.E Putnam Co. Health Dept. 4 Geneva Road' Brewster, NY 10509 Re: Kueh1&Daniel1Subd 1B&B Renovations. Locust Street Patterson, Putnam DEP Log # 9455/3597 (Joint Review) WILLIAM. N. STASIUK, P.E.,Ph.D. Deputy Commissioner Bureau of Water Supply, Quality and Protection Dear Mr. Morris: The following information is necessary to complete the above - referenced application: e Limits of 100 -year flood plain must be shown on the plan, or a note added indicating if it is in 200' of property line. Additionally, please note, the following comment regarding the system design: • The percolation rate is faster that the required by the Department of 3 minutes per inch. Blended soil is a procedure recommended to improve soil quality. This method is described in the design handbook " Individual Residential Wastewater Treatment Systems" edited by The New York Department of Health, page 37. If you have any questions regarding this matter, you may contact me at (914) 773 -4416. Sincerely, Sissy De La Ossa Assistant. Civil Engineer Engineering Design & Review xc: James Covey, P.E., NYSDOH 465 Columbus Avenue, Valhalla, New York 10595.1336