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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 3.20 -1 -18 BOX 2 00109 I IN is F L� ml 00109 8 y, PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES e ��f�; PROPOSAL FOR SEWAGE TREATMENT SYSTEM REPAI YE NO Internal Use Only PERMIT-# Repair Permit issued in last 5 years ❑ , Not in Watershed Li Repair within Boyd's Comers, W. Branch or Croton Falls Res. ❑ Delegated ❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland ;�X- Joint Review --� SITE LOCATION i 1I lt-a mrat•o -.,;. Le OWN pof « TM # 3, zo - i -( k OWNER'S NAME •-M til K 5 Ski `'N C. S . PHONE # X 'fig 3i-YS MAILING ADDRESS SAgy% C c Gbcvc APPLICANT `_ „ � s4n, �u e,r, JA-in d13 rule✓ rp-, Name & Relationship (i.e., owner, tenant, contractor) DATE I p C FACILITY TYPE jr%wP PCHD COMPLAINT # PROPOSED INSTALLER ;C, �; ��"� j�; ,,, CO- ep4w�1PHONE # (n (, I Q ADDRESS '-1 t. \,e (i.4 REGISTRATION /LICENSE # Proposal (incilude a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the repair. Call R, I, as owner,agreeconditinns- stagon this form SIGNATURE:::-,/44,. TITLE 6,k) MR_�j DATE U (owner) r I, the septic installer, agree to comply with the conditions of this permit for the septic system repair SIGNATURE TITLE g. L DATE % (installer) Proposal approved with the following conditions: , 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Denied ❑ & Title Date -Ex-pfratioh Date is in compliance with applicable codes Yes ❑ No COPIES: PCHD; Owner; Installer PC -RP 99ML. Rev. 2/07 it IS li Cab CEMCO Water & Wastewater Septicsi Curtain drains, Excavation r 'i:ciotto b 0 h6r,p .0 eratol JOB — SHEET NO. — CALCULATED BY Healy.Larie , r , lta2 I CHECKED BY storynville. NY �.,2. SCALE OF DATE DATE _ d E } 1 : : [ a , f i . ✓mss/ - _ _. _ ... _.. - - - ; 1 { , _T i I- • ' i 1 i t i � �. ✓`' 1 i i L. t 1 : . V 1 , i ! t ......... 1 a . 1 F ! { f f1- _ r t + } E : I• � � ` I : i tj • 1 qr ; , " � � } ' �• t . —t - , ..�_ ..ice __i •:. . � . ' i 1 ._ _. .... -�_.. • ; y 1 E � i , i : 1 • PRODUCT 704-1 (PADDED 11' EDGE) PRDDUCT706.1 (PADDED 1T EDGE) C N lay 06 10 11:43a Roy Barticciotto CEMCO Water & Wastewater Specialist Ina 59 Healy Lane Stormville, NY 12582 (845) 8781 -9711 Fax (845) 878 -5578 Submitted To Owner. PHONE DATE We hereby submit specifications tor: y 878 -6578 Page No. p.2 of Pages PROPOSAL 5097 JOB NAME l NO. JOB LOCATION DATE OF PLANS APPROXIMATE STARTING DATE APPROXIMATE COMPLETION DATE THE CONTRACTOR AND OWNER HAVE DETERMINED THAT A DEFINITE COMPLETION DATE: iS OF THE ESSENCE IS NOT OF THE ESSENCE .._�-....._. . __._...._....._.__. C._.._. ..__._._.._..._....._._..___.__ ._ _. _._........____ _.._.._..__.__ _ _._- ___ -_r _. __»«._ ..____...- .' ..._ ..z3...._ ............. _-------- Pavment Schedule: with above specifications, for the sum of : dollars ($ ). All advanced funds wflll be deposited in an escrow account at Bank All material Is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond ourconf Authorized Note: This proposal may be Signature wiftrawn by us it not accepted within days. Acceptance of Piroposal . I have read both sides of this.document and accept the prices, specifications and conditions stated. I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. NOTICE: You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See notice of cancellation on back for an explanation of this right. signature Dale Signature Date May 06 10 11;42a Roy Barticciotto 878 -6578 P.1 CEMCO WATER & WASTEWATER SPECIALISTS INC. 59 HEALEY LANE — SfORMVILLE, NEW YORK 12582 PHONE 845 878 -971 1 - FAX 845 878 -6578 EMAIL: CEMC059 @GMAIL.COM ROY BARTICCIOTTO NYS CERTIFIED WATER & WASTEWATER OPERATOR SALLY BARTICC[OTTO NYS CERTIFIED WATER OPERATOR & SERVICES COORDINATOR FACSIMILE TRANSMITTAL SHEET TO: JOSEPH PARAVAT.I, JR. PE COMPANY: PCDOH FAX #: 845.278 -7921 RE: SAUNAS BARBER SHOP FFRom, ROY BARTICCIOTTO DATE: 5/6/10 TOTAL PAGES (INC. COVER) 2 rrrrrwwrarirarrraraaarrarrwwaaararaaarwaaaarrrrwararrrwrwarrrrrwwaawrrrwrwrrrra■ Please see attached. PLANNING DEPARTMENT P.O. Box 470 1142 Route 311 Patterson„ NY 12563 Michelle Russo Sarah. Wagar Secretary Richard. Williams Town. Planner Telephone (845) 878 -6500 FAX (845) 878 -2019 April 12, 2010 Mr. Joe Paravotti TOWN OF PATTERSON PLANNING & ZONING OFFICE Putnam County Health Department Division of Environmental Health Services 1 Geneva Road Brewster, NY 10509 Re: Mr Tomas Salinas Tom's Barbershop 1116 Route 311 Patterson, NY 12563 Twx Map No. 3.20 -1 -18 Dear Mr. ZONING BOARD OF APPEALS Howard Buzzutto, Chairman Mary Bodor, Vice Chairwoman Marianne Burdick Lars Olenius Gerald Herbst PLANNING BOARD Shawn Rogan, Chairman Charles Cook, Vice Chairman Michael Montesano Maria Di Salvo Thomas E. McNulty Mr. Tomas Salinas has submitted an application to the Patterson Planning Board to amend his site plan for the above - mentioned property. The amendment proposes five new parking spaces adjacent and perpendicular to Locust-Street. One or more of these parking spaces would be located over the existing subsurface sewage treatment system, and therefore it appears that the subsurface sewage treatment system fields may need to be relocated, noting however, that this is a determination that would need to be made by the Putnam County Health Department. This is to confirm our conversation today. The Planning Board of the Town of Patterson does not object to soil testing being completed for the purposes of evaluating a new location for a subsurface sewage treatment system, or the relocation of the subsurface sewage disposal system on the above - mentioned site. Please feel free to contact me if you have any further questions. Sincerely ours, /1 Richard Williams Sr. TOWN PLANNER Sherlita Amler, MD, MS, FAAP Commissioner of Health Robert Morris, PE Director of Environmental Health April 30, 2010 Roy Barticciotto Cemco 59 Healy Drive Stormville, NY 12582 Dear Mr. Barticciotto: Department of Health I Geneva Road, Brewster, NY 10509 Re: Field Inspection — Salinas Barber Shop 1116 Main Street (Route 311) (T) Patterson, T.M. # 3.20 -1 -18 Robert J. Bondi County Executive A site inspection was made for the above referenced project on April 28, 2010. The following comments 'must be corrected in the field. The; manifold system is to be replaced by installing separate junction boxes for each trench. 2. Please note that clean washed gravel is to be used when installing an SSTS. The gravel installed doesn't appear to be washed. If you have; any further questions, please contact me at (845) 278 -6130, ext. 43157. JSP:kly Sincerely, oseph S. Paravati, Jr., PE Environmental Engineer Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845).225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing / Home Care Agency (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 Sherlrta Amier, MD, MS, FAAP s Commissioner of Health Robert Morris, PE Director of Environmental Health April 23, 2010 Roy Barticciotto Cemco 59 Healey Lane Stormville, NY 12582 Dear Mr. Barticciotto: Department of Health 1 Geneva Road, Brewster, NY 10509 Re: Salinas Barber Shop 1116 Main St (Route 311) (T) Patterson, TM # 3.20 -1 -18 Robert J. Bondi County Executive On April 23, 2010, I witnessed a deep test hole at the above referenced parcel for the purpose of shifting the approved SSTS area approximately 20' -25' to the east. Since the soil parameters are exactly the same as the original deep test hole and all wells are still over 100' from the new SSTS area, this Department has no objection to shifting the SSTS area. This letter will serve as the approval for the new area. All other parameters of the approved permit signed on February 2, 2010 remain in effect. Please kindly contact me with any questions you may have. Si F cerely, Joseph S. Paravati, Jr, PE Environmental Engineer JSP:kly cc: T. Salinas, Owner R. Williams, (T) Patterson Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845.).225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing / Home Care Agency (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 Feb 2 2010 14:24 P.01 -;0A New York City %RIM R � � '. Department of F ' Environmental Protection 4��,ViAI P :SUBSURFACE SEWAGE TREATMENT SYSTEM REPAIR DETERMINATION Pursuant to the a"uthority granted under: Article l of the New York State Public Health Law; Rules and Regulations For The Protection From Contamination, Degradation, and Pollution Of The New York City Water Supply and Its Sources, 15 RCNY Section 18 -38 (or Chapter 18); and 10 NYCRR Appendix 75 -A. Wastewater Treatment Standards- Individual Household Systems; Putnam - County Septic Repair Program Plan — March. 2005. DEP Project# `10/0 —69 —4J— (9- � PCHD Repair #� Of — Site Location: �l �b � f� _ �`�f1`e��6 �, T.M .'# Reason for Joint Review: C° Drainage lBasiri ,2001 of WC/Wetland Repeat Repair in 5 Yrs.� Name of Clwner: z oL C,,j �� l iT t f y� ers J a I k2 Owner's Address: - Drainage JBasiD Of PrO j eet Site: Zs!, General Description of Sewage System. Repair: 4�,s x e alje ¢.,_ i-,ale fi ef Dates of Site � Inspections and Soils Tests: Approved_ (/ *Incom lete Delegated * *Denied *Required: Soils; Tests Repair Sketch WC/Wetlands — Wells Other * *Reason Determ tion made by: Engineenn g Division pate Page i of 1 Joseph Paravati From: Joseph Paravati Sent: Friday, January 29, 2010 3:26 PM To: 'DShedlo @de:p.nyc.gov' Subject: Salinas Barbershop Danny, I talked to both the owner and the contractor. I was able to gather the following info: 1. The infiltrators are x 3 x 16" high. 2. There are two employees, the owner and his wife. 3. There is no salon type use. Only haircutting with minimal water use. 4. There is no public bathroom. 5. There is an existing apartment and office space above the barbershop. 6. Based on 2 employees at 15 gal /day /per person the flow is 30 gal /day. Let me know if you have enough information to approve the permit. Thanks, Joe Joseph S. Paravati, Jr., P.E. Assistant Public Health Engineer Putnam County Department of Health 1 Geneva Road Brewster NY 10509 845- 278 -6130 x43157 joseph.paravati@putnamcountyny.gov 2/1/2010 PU T NAiM COUN r (HEALTH DELL A ;TM=;N r DlV[StON OF E;�4ViRONME —N�TAL HEALT; RV1"-- T H S IS NOT A REPAIR PERMIT, PROPOSAL FOR EXPLORATION OF S;=PTIC SYST'cM FAILURE All information below must be d completed Prior ta. anyschedu[inig 1_0 CA 710N t TOWN Oti�t /l��c�'S `Il1lVl_ J 'tfJiM6 �+_ / it -illl FC T. �/ Y rye IN AIL ING ADORES,. FROPOScD CONTPA^_ -ORi NST ALLE. Reason for exnicration: Ilure to surface I✓ back -up in house = find limits of sys:ern fcr repair other (explain. below) FOR COUNTY USE ONLY ( °fAt' r * r Dais SHERLITA AMLER, MD, MS, FAAP Commissioner c f Health LORETTA MOLINARI, RN, MSN Dissociate Commissioner of *Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York ( 0509 ROBERT I BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health TO: DEPARTMENT OF ENGINEERING AND DESIGN REVIEW (it X, v1 L01 PRIORITY - SEPTIC REPAIR DELEGATION STATUS FOR SLBStiRFACE SEWAGE TREATMENT SYSTEM PROGRAM PROJECT JOINT" REVIEW SUB'D APP DATE �l NOTICE OF COMPLETE APPLICATION: DATE: b`t b a _! Within the drainage basins of West Branch, Boyds Corner Reservoirs or Croton Falls. El Within 500 feet of a reservoir, reservoir stem or control take. Ci Within 200 feet of a watercourse or a DEC wetland and appearing on a subdivision map approved after December 31, 1992. 1L Design flow greater than 1000 gallons /day. L jF�Commercial SSTS. jtreviewrepair P� L� V ✓� Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 778 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 PUTNAM COUNTY DEP--kRTIMENT OF HEALTH DIVISION 0�ENVIRONME _N_T_-A,,L.H_E.A_LTH SERVICES .DESIGN DATA SHEET — SUBSURFACE S AG.','---; TREATMENT SYSTENTI Owner Ito Address: Located at (street): 10,lk TIM'# Section: / Block Lot __ Municipality: Watershed: i�, SOIL PERCOLATION TEST DATA Date of Pre - soaking:. f 3110 ID,(� Witnessed by: Date of Percolation Test:, f Hole No. Run No. j Time Start - Stop Elapse 1 Time (Min.) Depth to water from grofac und I sur a (inches) I Start - Stop Water Percolation * 011 level drop 1 Rate in.inchles.. :1 min/in-ch I ©. 0 1 2 Ile, 01 -,,9& 3 - , 3 4 2 3 4 5 3 4 3 Notes: 4 L Tests to be --toeaed a,, 4�,une deoch until arr,-,ox1Maie;-,,7 equal Dercollation, rates are obtained, a'. each, percolation tes hoie. < 1 irdn fo,r 136 miniinc'r, < 2 min foT 3 1L -60 min,'inc . r,,j ail data to be submitted for review. beol-i measurements 2nts x; �e mad( frnn n o hoie. vv-l) iu 10 v � A4 �t OVA Sln.v�r� i✓i of s: i J "7/. d) 17 . M NESS Inc..To Flai I-800 -2269380 or—nob- V, t i —� � � � � � �I � �� � —� � } ' I i —� '�� L � ._ _F �— —j { — I — I ! r:Ta I _ I. 1{ I I s � 1 i t i - -i tI- � I -- � , ,�- - -I � - - , -- /44 - -- - - -i -I : --I- -I , f i T t � --j I - -I— -� -. _ ��F�„ i - I i --� � _, —� i�_i _.�_I._ i ._�- � -� -- F 7 TFF I f --I-- 1 845:878.9711 Fw 845-878-6578 Cell 845. 661-9711 --i J JOB SHEET NO. CALCULATED CEMCO Water & Wastewater Septics, Curtain drains, Excavation OF BY DATE DATE B rti iotto St� —Ale NY. 1�582 59 H.Wy La. Operall, , CHECKED BY SCALE C NESS Inc..To Flai I-800 -2269380 or—nob- a PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OFFICIAL USE ONLY . SITE LOCATION GG� TM# OWNER'S NAME, PHONE k7,f MAILING ADDRESS�'d , /3o _ PERSON INTERVIEWED PCHD Complaint # ame & Relationship i.e., owner, tenant, etc. DATE TYPE FACILITY PROPOSED INSTALLER . ' PHONE S �� — 7� ADDRESSI % /� , 61tl Z7r . J.6�1 /l /REGISTRATION# Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system ,Different location may require submittal of proposal from licensed professional engineer or registered architect. I, as owner, or reported a gnt of ow,ner�a�gree to the conditions stated on this form. SIGNATURE4 =r dG� C�si�V TITLE DATE - Proposal approved. with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submissions of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. Systtem description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6 deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved. Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML DA k 7--3 fl G„q,vrGwK tlo PUTNAM.000NTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE TREATMENT SYSTEW REPAIR YES NO Internal'Use Only PERMIT # '[�- ❑ ❑�/ Repair Permit issued in last 5 years ❑ Not in Watershe_ ❑ LCJ Repair within Boyd's Comers, W. Branch or Croton Falls Res. 4K7 Delegated ❑ Repair within 200 ft. of a watercourse or qEq:rpqpped wetiand ❑ Joint Review SITE LOCATION - N TM. #. +a` OWNER'S NAME = PHONE #lS MAILING ADDRESS id') Name & Relationship (i.e., owner, tenant, contractor) DATE FACILITYTYPE P- �?5r��ni 3%� PCHD COMPLAINT-# PROPOSED INSTALLER C 01MC4 l.Jc��e�� t�`F �� S "HON ���J� "4S7S5'� It .ADDRESS 59 1AQ6%1c� �a+n� S`,'o�rr►Ui��� REGISTRATION /LICENSE# ,3�BaJ� lIOgoZ Pro osal (inielude a separate sketch locating the house, property lines; all adjacent wells within 200 feet of repair and the (location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the repair. ,--1 I _t-- _ I _ r I _ -. , \I, as owner,agree`to r. • . J . . - - - - - Uorvl GNATUREC %E:5— ,� TITLE b 4_�i�1,_ DATE ►wner) the septic installer,. agree to comply with. the conditions of this permit for the septic system repair SIGNATURE TITLE4!:DCA,/614Q,/ DATE (installer) Proposal approved with i:he following conditions: 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.)' d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal acid conditions 4. The proposed SSTS repair is considered a best fit.design,and there is no guarantee to the duration at which the completed SSTS repair will function.. 5. No completed work: is to be backfilled until authorization to do so has been obtained from the Department: III 1 r-nimmL Ulzr- V171..T Proposal Approved Proposal Denied ❑ z epaictor's Signature & Title Date Expiration Date r proposal is in -om liance with applicable codes Yes ❑ No 5` COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 wkf,�J SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health August: 12, 2009 Thomas Salinas P.O. Box 684 Patterson, NY 12563 Dear Mr. Salinas: DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 Re: Septic Repair 1116 Route 311 (T) Patterson ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health This Department has received the application for the above referenced repair and a site evaluation was conducted on August 11, 2009. At the time of the evaluation, it was discovered that the site is not a simple residential site, but a commercial store with a 1 bedroom apartment above. It is our understanding after speaking with representative of the Town of Patterson that a site plan is being prepared for submittal. This Department will withhold action on the repair application until the Town has concluded its site plan review. Please contact us with any questions you may have. Sincerely, J Paravati, Jr., PE Assistant Public Health Engineer JSP:kly cc: Roy Barticciotto, Contractor Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 1 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 x 498.26 EXISTMG DRIVEWAY OMD4MCs TO REMAN UNCWANGED MOTES NO EXTERIOR LIGWTMG IS PROPOSED FOR PAw,m AREA . ,. 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C" NY5 pOU1t�- 311 ( Main 5%rcot ) 11' -0" (16' -0" FOR DRIVEWAY) i s I I I 0' N a N N� L BRICK PAVERS ovv"PD WIRES I y 1 AT�I I ---- -�-�-� d. + + + + + + + + + C O + + + + + MN41OLE y . n 4� c •'' J'' a. e' . . a .... .:. .i y V17Tj, A W1 L 0 NORTH 0 4 8 16 G• ASSUMED I -i � 2 srorty �I� cords. C" NY5 pOU1t�- 311 ( Main 5%rcot ) 11' -0" (16' -0" FOR DRIVEWAY) i s I I I 0' N a N N� L BRICK PAVERS ovv"PD WIRES I y 1 AT�I I