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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 4.10 -1 -25 BOX 3 00185 1 'II I!1"6 - : 11 ggA 1 go I '- Ell I I III go r ' ot ' No+. I I JL 1 L 00185 _ 4 �t v PD IN AM COIIY DI6A4T l OF IEA TH DtiOa aBuv / Cl all CIlR11FICATE CON8UUMN PlI M FOIL SSWAG$ DISPOM SYSTEM i!e _ awe V®ege Tu c� ! u . r huo- epee owpedAppYcblat Naae�l =L FAsT —FA-t t7 ZfusE Date of Previon Approval Aa&., 2o ro 4, u,.,c -1Y�;. � � C71" aril Town ZIP Tlata Siihdivicinn Annrnved 11- 7 A5" Fee Fnclnsed A- -.,-#. 7C)J samba jj p, Woo-9 Lot Area J • p Fm Seed. Ody Depth (%L�valpme -_; -5- Ne>abeil d Bea•. Deaiigl Flow G P D PCHD NodlksNop le Required Wben Fm 1@ conspb ed Seponle Se*eeaSe s�Qan is osoaYt d v Gallus septic T-k .n yc1 ° 7a?ewcr .L69er41 AIZ e-9 r to be ounavided by Admaoa wow SOP*. PWWk Supply Frm Address an ✓ it4l ab Supply DAW by sdd.ww Otbee Requirements I represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage di sal s stem above described will be Constructed as shown on the approved amendment there to and in accordance with the standards, rules a regu suns o • ream County Department of Health, and that on completion thereof a .- Cartificat• of Construction Compliance" satisfactory to the Commissioner of Heelthwill be submitted to the Department, and -a written givarantee will be 'furnished the owner, his successors, heirs or assigns by the builder, that said builder will pine in boot operating Condition any art of Old =we" disposal system during the period of two (2) years immediately following the date of the issu- ance of the approval of the Certificate Of Construction COmpl s of "the or I em or _ y repairs thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said wall willb stalled in cco d " the standards, rules and regu Tons oof the Putnam County Department of Health. Oate P.E._/ R.A. - Atldress ^' .r. License No n[' APPROVED FOR CONSTRUCTION: This approval expires two.year�y[i�m th 'date issued ess colistruntion of the building has been undertaken and is revocable for cause or-m y,be amended m modified when considered n r by tha _CO one► of Health. Any change or alteration of construction requires a n w ermit, pproved to► dispoW of domestic sanitary_ end /or Dr' ter supply only. Rev. 1088 Oat• dry Title o� PUT NAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ' CERTIFICATE OF CONSTRUCTION COMPLIANCE FO ATMENT SYSTEM PCHD CONSTRUCTION PERMIT # P- 16-97 Located at 2 quaker Manor Lane Owner /Applicant Name John Boeheim OMEN � � r��!Ikil- • • Tax Map 4.10 Block 1 Lot 25 Formerly Nicholas Dellabatp Subdivision Name Quaker Manor Subd. Lot # Mailing Address 605 A Bedford Road, Armonk, Nev York 10504 Zip 10504 Date Construction Permit Issued by PCHD 12 Separate Sewerage System built by Westchester .Modular Address Route 22, Brewster, New vork 10 09 Consisting of 1250 Gallon Septic Tank and Pump Chamber .+ 9 laterals ! 100 each Other Requirements: Later Supply: Public Supply From Address At: _XX_ Private Supply Drilled by P. F. Beal & Sons Address 4 Putnam Ave, Brewster, NY Building Type 4 Bedroom Res. Has erosion control been completes 10509 . Number of Bedrooms 4 Has garbage grinder been installed? No 0 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), ' acco ce a issued PCHD Construction Permit and approved plans and the standards, rules and regul t 's of a Puy" County Department of Health. Date: 11/30/01 Certified by P.E. � R.A. Address 1559 State Route 82, Hopewell junct., License # 074666 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 bject to modification or change when, in the judgment of the Public Health Director, such -evocation, odi cation or CA ange is necessary. B � Title: Date: 12-1121t 4 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: South Quaker Hill Town/Village: Patterson Tax Grid # Map �, /o Block Lot(s) d Well Owner: Name: I Address: 2 AU-4bR (A-o -L Ttlestchester iodulars, 1995 Rte 22, .Brewster, NY 10509 P4174Safr, N Use of Well: 1- primary 2- secondary X Residential Public Supply Air cond /heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment X Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total length 82 ft. Length below grade 81 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials: X Steel _Plastic _Other Joints: _ Welded X Threaded _ Other Seal: X Cement grout _ Bentonite Other Drive shoe: X Yes No Liner _ Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yes—No Hours Second Well Yield Test _ Bailed X Pumped X Compressed Air Hours 6 Yield 1 0 gpm Depth Data Measure from land surface - static (specify ft) 40' During yield test(ft) 240' Depth of completed well in feet 320' 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 60 Drillinq in overburden clay and boulders 60 Hit rock at 60' 60 82 Drillinq in rocli set casing, routed 82 320 Drilling in rock --ranite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity 7cfam Depth 260' Model 7GS07412 Voltage 230 HP 3/4 Tank Type hTX302 Volume 86 clal . Date Well Completed 10/18/01 Putnam County Certification No. 002 Date of Report 11/30/01 Well D ' er (sig re) Bed 1, NOTE: Exact location of well with distances to at least two permanent landmarks to be provided on a separate sheet/ . Well Driller's Name P. F Beal & S J. Address: 4 Putr n Ave., Brewi3ter, NY 10509 Signature: Date: 11/30/01 L4 li7t alco T. Beal, Jr: White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM John Boeheim 4.10 1 25 Owner or Purchaser of Building Tax Map Block Lot Westchester Modular Building Constructed by 2 Quaker Manor Lane Location - Street 4 Bedroom Residential douse Building Type T/ Patterson TownNillage Quaker Manor Subdivision Name 1 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 utilizin the system. // A�, Dated: Yonjk7 _ Year 0 r rErqK&t6ctoF (Owner) - Signature Corporation Name (i corporation) Vf-. ZZ Address: &a" o Signature: Title: orporation Name (if corporation) Address: Y ACA A ew4 State � � Zip — State p�CC� 7 :Zip Form GS -97 Robert v Oswald, LS Michael E. Gillespie, PE ■ 1559 Suite B Route 82 Hopewell At., NY 12533 (845) 117 -6217 Fax 226 -1315 OSWALD & GILLESPIE, PC Consulting Engineers & Land Surveyors December 17, 2001 Putnam County Department of Health Attn: Mr. Shawn Rogan Public Health Technician Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 SENT VIA FAXSDXLE & HAND DELIVERY (11/30/2001) Re: Lot 1— Quaker Manor Subdivision Quaker Manor Lane Town of Patterson Dear Mr. Rogan: Please find enclosed the following: • Three (3) sets of revised "as- built" plans This office is in receipt of your letter dated December 5, 2001 with regards to the above. Please note that two (2) steel pins have been installed along the length of the rear line (as detailed on the enclosed plans). Distances are provided from these points to the SDS components. If you require any additional information from this office, please advise. Thank `U. cc: J. Boeheim (via fax 914 - 273 -6172) file 1 NB NORTHEAST LABORATORY of DANBURY %N ^CCogoq i 39 MILL PLAIN ROAD - DANBURY, CT 06811 CT Cert:. PH -0404 203) 748 -7903 - FAX (203) 748 -0652 NY Cert: 11471 Q LABS www.NORTHEAST LABORATORIES.com u. iYY LABORATORY REPORT REPORT TO: P.F. BEAL & SONS DATE SAMPLE COLLECTED: 12/2/2001 4 PUTNAM AVENUE TIME COLLECTED: 5:30 P.M. BREWSTER, N.Y. 10509 COLLECTED BY: CHARLIE PFISTER DATE RECEIVED @ LAB: 12/3/2001 TESTED BY: LAB# 11471 LAB I.D. # PFB -124 REPORT DATE: 12/4/2001 SAMPLE SITE: WESTCHESTER MODULAR HOMES, SOUTH QUAKER HILL, PATTERSON, N.Y. SAMPLE POINT_ : FAUCET SOURCE: WELL . TREATMENT: NONE MAXIMUM CONTAMINANT TEST PERFORMED RESULTS METHOD # LEVEL (MCL) OR STANDARD BACTERIAL: • Total Coliform (Bacteria) 0 per 100 ml SM 9222B 0 per 100 ml PHYSICALS: • Color (Apparent) 0 - EPA 110.2 15 • Odor ND - - 3 Units • pH 6.73 - EPA 150.1 No designated limits • Turbidity 0.15 NTUs EPA 180.1 5 NTUs CHEMISTRY: • Nitrite Nitrogen <0.005 mg/L as N EPA 354.1 1.0 mg/L • Nitrate Nitrogen 0.20 mg/L as N SM 450ONO3D 10 mg/L • Alkalinity 10.0 mg/L SM 2320B No designated limits • Hardness 18.0 mg/L EPA 130.2 No designated limits • Iron <0.03 mg/L EPA 236.1 0.30 mg/L • Manganese <0.01 mg/L EPA 243.1 0.50 mg/L Combined limit for Iron plus Manganese = 0.50 mg/L • Sodium <1.0 mg/L EPA 273.1 20.0 mg/L ** • Lead <0.001 mg/L EPA 239.2 0.015 mg/L * ** ml= milliliter mg/L--milligrams per Liter ND =none detected MCL=Maximum Contaminant Level TNTC =Too Numerous To Count " "Notification Level ** *Action Level COMMENTS: -All holding times (were) met. SAMPLE, AS TESTED ABOVE: OTABLE or OT POTABLE (PER STATE OF NEW YORK DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) RESULTS BASED ON SAMPLES SUBMITTED: 12/3/2001 .f g f. •�- 'jam iii � "`! �"�•�� . ��„i� l..t� %iii i'•1 � �t� -- Laboratory Director -NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230 If�Vi A110*ao►llpl p +SOt►i!ual �e 'i uosW JE W WIJo W400 mi4 of "is :due Am y q044P 04 loci pmm Y7 I�Jl 7Y Kr@ y rY �y1n.T , _ ^'i's SIMI/�yi�yE�Ta • V�. �'J3l �Yii '..ea11 JiQ�4� ��LJ1R r N N LID N r CYI N N N N m tr 4l v A m 00C ' t�L7 8£- 19 Smwoo'ama :two W"v awwww (fill t Y T 8� (113Z i { 'ice! i - Y IVY_aula i*'ON ,� 041-AiO -0 area io f[ lAt f t JAW / l 1 *1 L •w do an 1334140am 3MUR v I - ' 't . 'V#Vvt 'UAW Im -mv 'Inv "S'K'Y ON -14W -a." Vve I 10 i7 un Sumww Imo-mm uUVI 1 um lit! f1 J 'E1 aiY SYI?l! smumvrwv*wl lYmm monj 0300 I -!1: - 't!M - 'A• 'Y r '1P7" ° iR7 'JOV' All 'iIYY �d0 lNItOlf►! WW ilil�llJAi liL7N >I ilO: ' tNr !1A = ow mm S3- ,lltYl! � - - •i�� i��ayrs IY� �: �JIK fsos r� � °1 Pr�l rw' Z61'1�Z' � � !M_ � ' .. L �WV $'Z M.: wo 7.Ir Pn 74J PI7��y�y ®}�[ :w#I�x�! tSapo�� f 4w a i } yp8y - - •W r wd / ww i Bow Vi wao z J HLIMM 1 js -op—a sue!9 f7 is"" t o-vv*q * -ow sip w pug." A pw -ft mar "'-4 -Y rae,--r m 3"SNOMAR pa-maw 4m. -. D ;;- fE�Q� �lli'I�iIQA Mly:'liiMlB kQt�fl�f lit. rr m .�`a� � - ���- tl�l.lwa���11�A �Mi� ��� _Q��ti� :��IQh�- :��� •��H�, .. _ ...'; -; °•�: 12/17/2001 09:58 8452261315 OSWALD GILLESPIE PC PAGE 01 Robert V. Oswald, LS Micliael8. Gillespie, PE ■ 1559 suite 8 Route 32 Hopewell Jc1., NY 12503 (845) 227.6227 Far 226131.E OSWALD & GILLESPIE; PC Consulting Engineers & Land Surveyors December 17,.2001 Putnam County Department of Health Attn:lVlr. Shawn Rogan Public Health Techuiciian Division of Enviroamental Health Services 4 Geneva Road Brewster, New York 10509 SENT VIA FAXSIAULE & HAND DELIVERY (11/30/2001) Re: Lot X — Quaker Manor Suh&vision Qw*er Manor ;Lane Town of Patterson Dear Mr. Rogan: Please find enclosed the following: • Three (3) sets of revised "as- built" plans This office is in receipt of your letter dated December 5, 2001 with regards to the above. Please note that two (2) steel, pins have been installed along the length of the rear line (as detailed on the enclosed plans). Distances are provided from these points to the SDS components. If you rewire any additional information from this office, please advise. Thank cc: K/Boeheim (via fay two, 76�" -- .7600 K/ I. 12/17/2001 09:55 Roborr V otwQld. LS Michael E. Glllaple. PE f 1559 Suite 8 Route 83 Hopewell Jct., NY 12533 (845) 227-6227 Fax 226-13 75 8452261315 OSWALD GILLESPIE PC OswALD & GILLESPIE, PC Consulting Engineers & Land Surveyors December 17, 2001 Putnam County Department of Health Attn:. Mr. Gene D. Reed Environmental Health Engineering Aide Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 SENT VIA FAXSnYME (278 -7921) & HAND DELIVERY (12/17/01) 2 PAGES Re: Lot-1 — Quaker Manor Subdivision Quaker Mandl bane Town of ,Patterson Dear Mr. Reed PAGE 01 This office is in receipt of your letter dated December 10, 2001 with regards to the above, Please be advised that I personally visited the above referenced site on the date of Wednesday, December 12, 2001. Based upon, this field visit, I provide the following: L. A pump- test was performed and witnessed by myself The pump test provided for as even distribution of flow through the SDS area in that the distribution box was set level and all discharging piping at the same elevation. The alarm is installed (both audible and visual) and was tested and found to be in proper working order. As understood, the Owner is forwarding you a copy of the electrical certificate. 2. The piping within the distribution box has been trimmed back. 3. Silt fencing was witnessed. 4. The #5 lateral was modified to insure positive pitch, If you require any additional information from this office, please advise. Thank You. t your , cha cc: K. Boeheim (vi fa. 800 -765 -7600) file Robert V. Oswald, LS Michael E. Gillespie, PE 0 1559 Suite B Route 82 Hopewell At., NY 12533 (845) 217 -6227 Far 216 -1315 OSWALD & GILLESPIE, PC Consulting Engineers & Land Surveyors December 17, 2001: Putnam County Department of Health Attn: Mr. Gene D. Reed Environmental Health Engineering Aide Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 SENT VIA FAXSINIILE (278 -7921) & HAND DELIVERY (12/17/01) 2 PAGES Re: Lot 1 — Quaker Manor Subdivision Quaker Manor Lane Town of Patterson Dear Mr. Reed This office is in receipt of your letter dated December 10, 2001 with regards to the above. Please be advised that I personally visited the above referenced site on the date of Wednesday, December 12, 2001. Based upon this field visit, I provide the following: 1. A pump test was performed and witnessed by myself. The pump test provided for an even distribution of flow through the SDS area in that the distribution box was set level and all discharging piping at the same elevation. The alarm is installed (both audible and visual) and was tested and found to be in proper working order. As understood, the Owner is forwarding you a copy of the electrical certificate. 2. The piping within the distribution box has been trimmed back. 3. Silt fencing was witnessed. 4. The #5 lateral was modified to insure positive pitch. If you require any additional information from this office, please advise. Thank You. T 1T T e t your , chae . Gil ie, P cc: K.. Boeheim (vi fa 800 - 765 -7600) file 1 1 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT TREATMENT SYSTEM PERMIT # - �2 �� Located at Q&.0, A.- 4.,%e Subdivision name Wu,.L fha.nv Subd. Lot # Date Subdivision Approved l 'Z J-7 l96- Owner /Applicant Name Mailing Address 23 Town or Village . iA- zs Oki Tax Map T « Block Lot Renewal A— Revision F, 4 -9 s 7 Date of Previous Approval o lv- �- Amount of Fee Enclosed yo 6 Building Type 141,t , l Lot Areas, ' �� �No. of Bedrooms 476 Design Flow GPD Zip Fill Section Only Depth 0,-!;- Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of I'2-1 5-6 gallon septic tank and e& Other Requirements: To be constructed by Water Supply: ..' K-t G Public Supply From Address Address or: K Private Supply Drilled by d* K&A -i Address I reprtsent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separzte sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accortance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion therecf a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Depatment, 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 imrneliately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original syste or any repairs thereto. Signd: P.E. R.A. Date '2SZY License # 4--11 2 6 APPIOVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewap treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified wh co sidered ne essary by the Public Health Director. Any revision or alteration of the approved plan requires a nevpermrt, proved f " ischarge of domestic sanitary sewage only. By. Title: Date: 7 //0 % Whitcopy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 OSWALD & GILLESPIE, PC Consulting Engineers & Land Surveyors Robert V. Oswald, LS November 29, 2001 Michael E. Gillespie, PE Putnam County Department of Health Attn: Mr. Robert Morris, P.E. Division of Environmental Health Services ® 4 Geneva Road Brewster, New York 10509 SENT VIA FAXSEv1 LE & HAND DELIVERY (11/30/2001) 1559 Suite B Route 82 Hopewell JcL, NY 11533 (845) 227-6227 Fax x 226-1315 Re: Lot 1— Quaker Manor Subdivision Quaker Manor Lane Town of Patterson Dear Mr. Morris: In accordance with Section 6.0 of PCHD Bulletin St -19, please find enclosed the following: • One (1) Certification of Construction Compliance • Three (3) copies of SDS Guarantee • Three (3) sets of "as- built" plans • One (1) E911 Address Verification Form The system is ready for an inspection by your Department. The builder shall be submitting well quality and quantity results directly to your Department as well as the certified $200.00 check. If you require any additional information from t'is office, please advise. Thank You. I �e t y o rs, �. = ae espi , P. . cc: J. Boeheim 'a x 914- 273 -6172) file NOV -26 -01 02:44 PM TOWN OF PATTERSON 9148782019 P. 02 \� C d. _ .c BRLCE R FOLEY �"' x LORBTTA MOLINARt XN -, 14S.N. Public tGeelth Direc:cr '%' eWodar, Mile Xeafrh D"arcr DhVerar of Parteasl AIMCet DEPARTMENT OF HEALTH 1 fieneva Road Brewatal, Now York 10509 $c +ieoameA41 Rg1th (914)37Y•6170 Piw(914) 278 -7931 Yutslteq �rlu1 (934) Z79 •4714 WIC (914) E73 -44'it Pax (914) 274.4041 P :r1y tocerreadaa (91 ;) 2.4.4x14 i'rgeeaol (914) 274�OEZ ra+1(914) 274.864E OWN, ERS NAMIZ- TA.x MAPNt;FIBER: 1+911 ADDRESS: TatiVN: ,J/obn Boebeim 4-1, /a „ / .z Z Q uAXa oe AUTHORIZED TOWN OFFICIAL: (Signature) DATE: 'g F" -ldl The Pamam County Departmeat 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 *ith the application for a Certificate of Construction Compliance, 15911VEsR M; PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES + FINAL SITE INSPECTION — - --- Date: Inspecte y: Street Location ��,c�kE� M�,� G�,lE Owner �iloi y ox j>e_U� As,�r� Town Permit # P- TM 9 /o - / - 2- �5- Subdivision Lot # 1 "4241.4K6tz M,4,1a71 1. SeNvaQe Svstetn 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. Sewag e System a. Septic tank size - 1,000 ........ . ,250 .......other ................ b. Septic tank installed level ................ ............................... c. 10' minimum from foundation .......... ............................... d. Aistribution -Box ?uProte below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box -properly set ........... ............................... f. renT ches 1. Length required %00 Length installed 20 2. Distance to watercourse measured -J- /ao Ft.......... 3. Installed according to plan.__ ................... . 4�°S`loae of trench a ecc ntahl e 111 � .1 5`101t "from p operty line 7-10 ft.- foundations.......... 6. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100% ......................... 8. Size of gravel 3/4 -1 %2" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... 1 . ends capped .................................. :.................... um Dosed Svstems ze or pump chamber ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual / audio .................... ............................... 4. Pump easily accessible, manhole to grade ................ ,5'. First box baffled .. III. Hou es /Buildin a. House located per approved plans ... ............................... b. Number of bedrooms ....................... ............................... IV. Well a. Well located as per approved plans . ............................... b. Distance from STS area measuredS�2 ��- ft ........... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b.. All pipes partially backfilled ........... ............................... COMMENTS - /Wears Qk. (sy!trK, stQkr -Ql '% 9 � 100 ..4C ti o� a�eQ .l. LNMilllll 111"Ul ZAG11 VV111G1111J 176Vi1MJ _-T \i1GLL11M 1b1 .............. 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 protectton adequate ............ -, .. . SENT BY: TRINET; ReJOEIVED.- 12/ 1101 12/01/2801 06:42 SENT av: TRINET; 914 273 6172; DEC -4 -01 9:24PM; 0;03AM; - >TpIN6T; 0466; PACE 2 8452261315 OSWALD GILLESPIE PC A14 273 8172; NON -30 -01 i0:15pm; PVTNAM COUNTY ]MARVAM OF HEALTH DrMION OF ENVMNMMML REAMS S M VICES ADAM AGME - BE &= EO$.EiW' iNsm- Ct>EAAi For. Fill All IdoimaChm squat be fft ,=TWea p&t to s "free chm 3m ins� being made. " . • . ' PAGE 1/1 PAGE 02 PAQj 212 PCw Co}as Q0dou Permit # dwwe App&wtName: - urea, - Gov -- 4-in Block Lot_j_ � FoimedJ: �Tao1•ac..l�` - - Subdisuian Name: Su"4LOt ir I Is system fiU comp el? .�. $ice Date• &kwambw i - 2M .. Is symm oonmotea as per pbw. Is well drMed? _ Mae.- r,E_>`....+....s.. 11 3nrs - - - -IS wcH laCeted asperp - _ ,••. ,—••• -.R. - . Are em&u.cowml naeaS o in p1m? y, --g I cxm* tbattbie cyst u(a�, ss list a �bgv passes bw been c wWadted and I We iaspetted and veered tb* compledw in ate_ dance with the issued FCHD C Nftucfm Parrot am approved plans and ft 5madw4 Rules afld ' ns f fb* Coaaty Dgmtmem of Dates Dec ,r I� C�eett a � , �A A'ddms: Sri M G TT i . P.C. 155998 Route 82 Iic. 0174666 _ p %IATOR'�F FormF1Rr99 7 e9 - -o 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 (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 December 10, 2001 Michael Gillespie, PE Oswald & Gillespie, PC 1559B Route 82 Hopewell Junction, New York 12.533 Re: Field Inspection - Boeheim Quaker Manor Lane, (T) Patterson Lot # 1, TM# 4.10 -1 -25 Dear Mr. Gillespie: The above referenced separate sewage treatment system can be backfilled. The following comments must be corrected in the field: 1. A pump test needs to be witnessed by this Department once the electrical inspection has been completed for all pump and alarm components and notification of such has been submitted to this Department. 2. Pipes inside the distribution box need to be trimmed back. 3. All silt fence must be properly installed per the approved plan. Please note that all silt fence must be properly installed prior to the start of any construction. 4. Lateral number five appears to have a reverse pitch from the 90° elbow to the trench. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. Very truly yours, Kya E - Gene D. Reed GDR:cj Environmental Health Engineering Aide, . 0 O SENDING CONFIRMATION DATE DEC -10 -2001 MON 14:53 NAME PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845- 278 -7921 PHONE : 92261315 PAGES : 1/1 START TIME : DEC -10 14:52 ELAPSED TIME : 00'23" MODE : ECM RESULTS : OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... a - a BRUCE R. FOLBY LORETTA MOLINARI R.N, M.S.N. P.rEbe H rd Dosuw Aw 1a Pwbltr X.akh D^ta Di..&- d PaeW S—k. DEPARTMENT OF BEALTH 1 Geneve Road Brewster, Now York 10509. e.dra "wtl anon (lrs)2n -sir. vup4572 s -7mt nedes&TAs (80)27: -012 wtc(1451271•4971 M045W$-WAS ts..y r.tmnneo Ms1v1 -wr4 s.,(145)271 -M41 e.eert (us)221 -09,2 As(M>)22a -al ll December 10, 2001 Michael Gillespie, PE Oswald dt Gillespie, PC 1559B Route 82 Hopewell Junction, Vew York 12533 Re: Field Inspection • Boeheim Quaker Manor lane, (T) Patterson Lot N 1, Ti M# 4.10.1 -25 Dear Mr. Gillespie: The above referenced separate sewage treatment system can be backfilled. The following comments must be corrected in the field 1. A pump test needs to be witnessed by this Department once the electrical inspection hits been completed for all pump and alarm components and notification of such has been submitted to this Department. 2. Pipes inside the distribution box need to be trimmed back 3. All silt fence must be properly installed per the approved plan. Please note that all silt fence must be property installed prior to the start of any construction, 4. Lateral number five appears to have a reverse pitch from the 900 elbow to the trench. if you have any further questions, please contact me at (845) 278 -6130 ext. 2261. veryy truly yours, 10.1 el r/ Gene D. Recd � ODR:cj Environmental Health Engineering Aide S0. Q KER HILL i, —o% RD. '64°3131 0.0 — 690 2 N / F BARAUSKY 700% Sz 225.0; � . 16 °3013 —� I�WIDE DRfV�DO`.it'f�. 720 EXIST. SSDS X740 SPECIAL NOTE: WHEN FILING BUILDING BUILDING INSPECTOR FO FILED WITH THE PUTNAM N/ F BUAPUS N TIFIPO0500 H o �- ��r_ �� —750 -� -- \ QA \ o \'e0 N/ F O'HARA ` N 15042`03"':E 60.00' 750 I y FAX NO. ! 9142789716 P. 02 Mar, eg 2000 01:37PI P1 . "N PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COMMUCTION PERMIT FOR SKWA 60d. 1.01 I Dube Subdivision AmrOved /9 C I A MOM AMMU -OLI n AE TREATMENT.S.XOM as , 0. ,1W Town or Vill Tax Map Black -&—tol Ptcwwal A- tivislon Date of Previous Approval -V,/-1 AWWK Of FOG Ewtosed 8 Lot Axicar, _0 11 No. of Bedrooms Damn F14* 6" SIM= tq colisio of _gallon WP1lCUU*WW L. 0dWR&FkWndA8: kl.,i.As XIAS16 Address be Gaseumd INK ba*• PUN10 sialy Ftom Address Private Supply Drilled by A(4,f, q J� Address kf Auk Iyrsspwixtblt for the desist and location OfOW PMPM4 r;`14W(B)Wd40*§ "wholly arwicampide described above will be commuted as shows on to apmed amender 60*1411 in the stadards, rules and m1ulations of the Pumm County 0"arunwat of Ilia" ArA *A as d mf a 'iUrtificaw of Construction CotapiloW satisfactory to the Public Health DksoW will be wbutrlt to Jim Voputasat, and a wrium pamtse will be fUmiihed the owner, his ouacessors. %sin of aWlips by 611. 00 acid :. 6WWor will place In pad operating condition any pox of said sewsp vvement sysom duduS the perlW -of hva (�j yew .*Wdialely Nowins *4 date of the Issumm of the ipptoval of the Cortifoite of ConlWation CUMA*'Ofthd MOW **m or my repairs themo. R. 7-717 pate - I:y t -APPROM MR CONSTRUCTION: This approval expires two yew *m the dim I*UW vale" 46AWOWO *(*A strap wommat ayoum W been omptstied and in*ww4 by the PCHD &W Is revocable for moo at ft* be OrAWId Of iradifad by the Public Ifulth Director. Any revision or eltelstion Of*A APPFOVW PIM h _T, — 0 xppjpqvwy I qlihu .1 now Perm, t ed Wharge of dotnesuo unitary @*wage only, zo by- Title Dke: X .01 White am - HD File. Yellow copy - Building Inspector; Pink wpy • 0wa9y-..0rpV copy - Dulp 4,0 04? 3 0 h PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # to A 97 Well Location: Street Address: Town/Village Tax Grid # G Kay ^0- c/, 5� Map T /o Block / Lot(s)2-5' Well Owner: Name: Address: Use of Well: Residential Public Supply Air /Cond/Heat Pump Irrigation 1 rimary P Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought ,' gpm # People Served Est. of Daily Usages gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling �7 New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... .... ............................ Yes—;;;7 es ✓ No Name of subdivision u-P, -,, Lot No. Water Well Contractor: Wi k'i6,— Address: Is Public Water Supply available to site? .................................. ............................... Yes No !� Name of Public Water Supply: — Town/Village -- Distance to property from nearest water main: .- Proposed well location & sources of contamination t prow' ed on separate sheet/plan. Date: b 1 Applicant Signa i' 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 revision or alteration of the approved plan requires a new permit. Well to be constructed by a water w 1 revision ce ' ed by Putnam County. Date of Issue -- 0 Permit Issu' 'al: Date of Expiratio Z 03 Title: Permit is Non -Trans rra le White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH ; DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of Located atca�a� 6/•,�- T/V Q, Tax Map # , la Block Lot 2� Subdivision of a.4-- 1149, Subdivision Lot # Z Filed Map # W7d' Date Filed -//"0/9.-C Gentlemen: �r This letter is to authorize u GCUf C_es�A�. a duly licensed Professional Engineer i.-' or Registered Architect to apply for the required . wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director, of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater tretment and/or water supply systems in conformity with the provisions of Article 145 and/or 147 of the.Education Law, the Public Health Law, and the Putnam County Sanitary Code. Counter i P.E., R. 40 � Mailing Address /g WA-sAf-ryaft -z C11— Al 1116rIet State Zip �25zf° Telephone: <N05 320 e Very truly yours, Signed: ",� V (Owner of Property) Mailing Address: '2--T27 7t .f �- y State /f Zip / o n 9 Telephone: 77/1:� - 57 f = ( Tr->-Y Form LA -97 PUTNkil COUNTY DEPARTINIENT OF HEALTH DMSION OF ENVIRONMENTAL HEALTH M- IVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS REVIEW SHEET FOR CONSTRUCTION PE W NANIE OF ONER: STREET LOCATION: REVIEWED BY: RK OR, AS, &ATE: �� �! �7 TAX IvL4P =: (CO* CONFIRMED) /0 - ` 1' ` N DOCUMENTS LIL. U(.PERMIT APPLICATION SELL PERMIT OR PWS LETTER (_P C97 (ZJ-ULETTER OF AUTHORIZATION - DESIGN DATA SHEET (DDS) - CORPORATE RESOLUTION {-�&ORT EAF (fUUPLA -NS -THREE SETS -4, $OUSE PLAINS - TWO SETS ONCE REQUEST SUBDMSION ((__)LEGAL SUBDIVISION ()(__)SUBDMSIO- N APPROVAL CHECKED Y N (REQUIRED DETAILS ON PLANS CONT'D) CZCL)HOUSE SEWER -' /P FT. 4 "0'; TYPE PIPE CAST IRON C JC—)NO BENDS; M,- X BENDS 45° W /CLEANOUT RENEWALS (�USTTE N OTE (NO CHANGE) FILL SYSTENIS (-Z (---)10' HORIZONTAL; PAST TRENCH SLOPES 3:1 TO GRADE (,/JC__ )FILL SPECS/ FILL NOTES 1 -5 C!UCUFILL PROFILE & DIMENSIONS (%,C__)FILL IN EXPANSION AREA G FA TFI? TJVJV2 FEEr _)C A B (� )FILL C ICATION NOTE UUPERC RATE /j -� UUDEPTH Ut1jEILL REQUIRED DEPTH f GJ LJVOL. :'PLAN FOR R.O.B., UNCLASSIFIED & IMPERVIOUS !7� gyz/4y UUSEPA �.TION DISTANCE FROM TOE OF SLOPE UC ICURTAI N DRA i REQUIRED / Nc ! GENERAL �'�' G CALF TRENCH PROVIDED clehO 60FT MAX. U(___)LOCATED Lti NYC WATERSHED C/J(_)PLANS SUBIIITTED TO DEP (_}CZJDELEGAT.ED TO PCHD U( _JDEP APPROVAL, IF REQ'D C.-)C_JDEEP TEST HOLES OBSERVED 67 ()L_JPERCS TO BE WITNESSED (�/ C SEX- APPROVAL SSDS ADJ, LOTS L_�)C,t-J-WETLANDS (IOW,;/DEC PERMIT REQ'D ?) (Z_)(_)DATA ON DDS PLANS & PERMIT SAME UC,6PRE 1969 NEIGHBOR NOTIFICATION (_JC4LETTER BI/ZBA Cam( )100 YR FLOOD ELEVATION W/I200' (_J(/�SOIL TESTING LOTS >10 YEARS OLD REQUIRED DETAILS ON PLANS ( J (SEWAGE SYSTEM PLAN - (NORTH ARROW; (%C _)SSDS HYDRAULIC PROFILE ( ZX )GRAVITY FLOW )INSTRUCTION NOTES 1 -15 ;SIGN DATA: PERC & DEEP RESULTS CONTOURS EXLS LNG & PROPOSED (Z3L jPAR4LLEL TO CONTOURS (f�C_J100% EXPANSION PROVIDED. ---` - ( )( )DETAIL/DUST FREE - CRUSHED STONE OR WASHED GRAVEL C JGEOTEXTILE COVER /nry, SEPARATION DISTANCES ON PLAN - FROM SSTS T�(_)10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL (�_ C_)20' TO FOUNDATION WALLS ('7/"')(_)100' TO WELL, 200' E i DLOD,150' TO PITS C_)( _J1f0'!T61STIMAINI, WATERCOURSE, LAKE (Inc. espan) (/x(_)50' TO CATCH BASIN, 35' STORIvIDRAIN, PIPED WATER C_ %U10' TO WATER LINE (pits - 20') (!.)CJ50' I ITERIIITTENT DRAINAGE COURSE 500' RESERVOIR, ETC.. 150' GALLEY SYSTEMS UU10' ivlL`NTO LEDGE OUTCROP C/)(_JDRIVEWAY & SLOPES, CUT - (, )FOOTING /GUTTER/CURTAII`NDRAINS . ( J JUSDASOILTYPEBOUNDARIES (_Z)( _JTTTLE BLOCK; OWNERS NAME ADDRESS TM , PE/RA; NAbIE, ADDRESS, PHONE# 6(_JpATU`,,l _JDATE OF DRAWING/REVISION REFERENCE OCATION OF WATERCOURSES, PONS LAIMSM -DT LXNDS= WTTH'IN:200' OFbY0 (_JPROPOSED FINISH FLOOR AND DeLaLP'1L01 LLLYA11V1la UUWELLS & SSDS'S W/IN 200' OF SSTS (,/J( JPROPERTY NIETES & BOUNDS CO,N i TENTS: ra rvcurr'n SEPTIC TANK (!�)C___)10' FROM FOUNDATION; 50' TO WELL WELL C_ _) UDZI]1 N-90ANS T-O•I'ROP9,RTYLLINES (ZJ-(_)LOCATION OF SERVICE CONNECTION UU� 15:';;TCaPRQPE�TYuLIi!FE SLOPE ,/- SLOPE W SSTS ARElJ °� (S20 %) �C__)REGRADED TO 15 %, IF REQUIRED DOSE/PUMP SYSTEMS ( (�PU-TIP NOTES &_)DETAII, JDOSE 75% OF PIPE VOLUME/DOSE VOLUME NOTED FOR FORCE MAIN, (PIPE TYPE, ETC.) UL-)PIT AND D-BOX SHOWN & DETAILED (,,-)Ul DAY STORAGE ABOVE ALARM (___)(__ )STANDPIP 5' BOT ES, DET (__)C-J15' MIN to CD >5° , 20'-4 %, 25' -3° , 35'4%,100 % -<1% C�U20' b1T1`i to CD GE /100' 182 cons day discharge C�U10' MCI to 1 -PERF E ';� ' -M. BRUCE R. FOLEY Public Health Director Julius Cesare DEPARTMENT OF HEALTH 1 Geneva Road . Brewster, New York 10509 a LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC .(845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 February 1, 2001 19 Washington Court Pawling, NY 12564 Re: Proposed SSTS: Dellabate Quaker Manor Road, Lot 1 (T) Patterson, TM #4.10 -1 -25 Dear Mr. Cesare: 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. 1. Current codes requires that the E911 address notification form is submitted with the Certificate of Construction Compliance (enclosed). ✓2. Current engineers authorization form must be submitted photo copies are not acceptable. A. The location of all 100 year flood plans, watercourses, wetlands and water bodies within A�' 200 feet of the property are to be .shown or a note added stating non existent. . The well location is to be dimensioned from two property lines. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. RM/jp s Vey ly yours 4 1 't/ ROA0 Robert Morris, P. E. Senior Public Health Engineer BRUCE R FOLEY Public health Director DEPARTMENT OF HEALTH 1 Geneva Road Brcwstcr, New York 10509 q , 1 _ 4 :.. 'J _ LORETfA MOLINARI iLN., U&N. A.wociate PuNk Health Director Director of Potttnt . servlcts Euriroumental Health (914) 278.6130 Fax (914) 278-7921 lurvina Services. (9141 278 - 6556 WIC (9141279 - 6679 Fax (914) 278 - 6083 Early Ioterveatioa (914) 2:8 - 60I4 preschool (914) 2786081 Fax (914) 378 - 6648 i H )VILI WIM 34491101 \ 0 C OWNERS NAME: �E cc � (a s 71 TAX MAPNUNIBER: I . /D ' / - 2 5 E911 ADDRESS: TOWN, �OA i Tlr/1so1J AUTHORIZED TOWN OFFICIAL: (Signature) DATE: /D y o 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. (E911 -vMTxF RM) NYC DEP ENGINEERING Fax:914 -773 -0343 Jan 22 '01 11:33 P. 01 New Fork City p&p arlmex,t Of viro�.m ntal Protection ORERA?'IONS 8 .tr-NGINEERING 465 0 O U.LI6US A Y,ENUE Covet ' YALIVALLR, NEW YORK 70595 FAx 4 0343 Sheet Transmit to FAX-O"�� Numbezr of pages:_ - — Date: 1j,06Z L� (including Cover Sheet) NYC DEP ENGINEERING Fax:914 -773 -0343 Jan 22 '01 .11:34 P.03 Loca 10 ';' �aP 1 NYC DEP ENGINEERING Fax:914 -773 -0343 Jan 22 '01 11:34 P.02 �..-" S64°310 3�byy BARAUSKY OD p, ---- 700 Z _ 22 30i 3 _ l6 �— --� L ='60 4.81 "-a0 ti� ~^ �'�^ -- "'� .� EXIST ssos �rBLGaA'f1� �- y���,.'� N / F BUAPUS 740. --- .ION Olt 1po N/F OHARA 11$0 N15 °42'03 "E 750:.... -_ . 60.00 .`� : LAPOUT PLAN �oj;r NYC DEP ENGINEERING Fax:914= 773 -0343 Jan 22 101 11:35 P-04 ____ .... JAN-ZZ-UI DE IU:46 AM !'UUM CTY BY HEAL'fb FAX RU.' 0142787KI DR= R Pom Pubft x.OM r DEP"Tib M 1 GMM 8rewmt. New OF MAi.TH R(ad York 10509 Ea,bva ®csr+1 �esfsh f�i�? x1a : si3o �s,c i�sar 37a •792! K� se.�, {9t~fz7� -usa �act9tg2ti -sari �b YauwmtMa t��n rra • �a�� F� (91 +t z�8.6b4i WiC {9th} z7a • �� 3Foc �t4j � - was Request for Status of point Review Pro,�ect Date ! /31/01 on ,c" S a ®c r au Individual SSTS Construction foru' was deemed to be Complete. Plans were fotwarded to the New York City Department of Environmental Protection for review /commeaulapproval as required ft joiAt review . projects. Under the watershed Agreement a datenuination must be made within 20 days after an applicants submissida is deemed complete. r At this time the 20 day period is; 1} Almost over i 2) Has past A determination bas not been raceived by this DepWwent. It is important that you notify this Department as to the status of this Project. Please respond by fax (914) 278 -7921, or call Robert Monis, P.E., Senior Public Health . Enngiaeer at (914) 278 -6134 ext 166, at your earliest convenience. Thank you, in advance, for your assistance in this matter. W 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 Request for Status of Joint Review Project Date / / Ja /V I On %-ems S a coo an Individual SSTS Construction O� for `�� g< bq�& , QUu � w�Or e . , y � ". was deemed to be complete. Plans were forwarded to the New York -City Department of Environmental Protection for review /comments /approval as required for joint review projects. Under the Watershed Agreement a determination must be made within 20 days after an applicants submission is deemed complete. At this time the 20 day period is; 1) 2) Almost over Has past A determination has not been received by this Department. It is important that you notify this Department as to the status of this project. Please respond by fax (914) 278 -7921, or call Robert Morris, P.E., Senior Public Health Engineer at (914) 278 -6130 ext 166, at your earliest convenience. Thank you, in advance, for your assistance in this matter. dep fax# 773 -0343 BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLWARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278.6085 December 11, 2000 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Julius Cesare, PE 19 Washington Court Pawling, New York 12564 Re: Dellabate, Quaker Manor Lane, Lot #1 TMT 4.10 -1 -25, (T) Patterson Reservoir Basin - East Branch Dear Mr. Cesare: The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on December 5, 2000 is complete. The Department will notify you by December 31, 2000 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 would 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 New York City Department 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 Department of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should contact the Department of Environmental Protection regarding such activities to see if DEP review and approval is required. If you have any questions regarding this matter, please call me at (845) 278 -6130 ext. 2159. Sincerely, . S; �t 912K Shawn Rogan Public Health Technician SR:cj PERCOLATION TEST DATA . ?lama a 664 K-_GX_ Mr#NG :. C) B2_•,C_ :4 DATE Ll •I2 (a ! �i j ;Iy' !R q �Avp- LIr1U Inspactor ArvC,,F.LA_ L rr4 t. L Lot 11o. Teuc Bolo No. Test _Bola. De th Soil Type Soakad TEST RUNS. * l .- 2 3- ...1 4 S F Iflt -ai, Il'S3 1z: c3 iz:1 S - C1 .';4 ;2: 04 T s i+t N1 1N 1 ell t •'! 'al .l�t•N h .n�iV f F �l)'. f1 p: t �L 00 il'•_ Cam' /2: CQ �0' . a,rS T 3 rt• J• U roinJ: .«� �t nt�n/ i S �+C I�GS 3a IC%I i ..41A tt.:i0 it: 47. Z S , is -z- �i:o �(:c7 ��: rv: F F L': ZO 17 ". T< 12 3 ;,1 1 30 S `�. S . 10 .-+2 y� T 1" .) . Z Nl . ry :•1. 'r-1 M l,l �J i vw1= E % k �' C -� F 12'= 573 'U I ? , 1& :10 S i2: sl` 1Z: SU:.4C T ` z. r";eJ f V40 rrlgl F F' T !l F� F 2 it o S 11 . ( ti S3 (7-: II T- .2,9 mitt 17 n1 wfi!✓ F S T F S T F S T l 0 �o5�4l� ZAti 1&'l (, the undersigned, certify that these porcolation test, jarc done by myself or under direction according to the standard procedure. Tha lata and results are rect. F 7��PO+t )aced: 3 5 (resented q� lP 5i nature 8 Scats c No. 41126 �<v= f ROFESSjO� \R>\f1j --n lair ��+` � •�., t..• ti_: ST � �' � RESULTS DEEP TE i DaCcf� - -... A -to :iuc `of property. mcr of° `properCy r 1, ►,�ao ±�de�L.. :r son `rccti:ng• tcst. Sos a ` °Zr��kGk i °P: '; RcP -. :ola Lot'' 'loyal ;L ro1bQT'. - Number -�Dc Ch'�� '� "De' Ch- ' -�Dc Ch �So'�.1 - iTcscr'i: C�.onJ ~��" • t A ream ia� S. is tY`� 3 t Y Oats" +.r'• `74 rylc- alp�^.P's�^"1'h°j K {. r •�'^T^ei` _3...._ —. ;.. f I�; > ' � Y. :. sr iJ. i x^ti artr+,sk r s ""4, ataii*•• k._ F.^�{ - °r^^- LI•+r!!_ IL A f nom. '�'�- ,,.. _, _w+.. ......._ +......_ - -- _- _ -'C Co 'C't is�►�` r7� r�i�i�i - t Genera1"rcmark6 (t) _ wcaC9ti , rxn�:;', �tresins, cCc w r 2 n►o..411 pROFESSIO�P� , t e r tp� t a. r �) 7 1 , r E £t 1 5 1 xj z t f t ' lyilr� 5 o�tt. Q o Es.►c�¢ -- b-� Lt�c.. • '(��at+a� - ��"jiGT2,So/J . TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION ....� DESCRUTION OF SOILS ENOOUNIWM IN TEST HOLES NI {' HOLE NO. HOLE NO. HOLE NO. 8` 9' 10' 11' 12` 13' --�e�{ by .1c�k L.l Koh 4'��W -ook 14' INDICATE LEVEL AT MICH - G PDONUA= IS ENOOUNTERED M A INDICATE LEVEL TO WHICH SAYER LEVEL P= AFEM BEING E9 OWTERM DEEP HOLE OBSERVATIONS MADE BY: F CI L-j L vlg : l P t(L DATE: - - DESIGN Soil Rate Used 31 irl/1" Drop: S. D. Usable Area Provided lo 0 C St= No. of Bedroans Septic Tank Capacity 1 2_Sb gals. Type �.� •v c Absorption Area`Provide By L.F. x 24" width trench Other I F i LL f71.' ^� f S✓ i! C' /Vl ✓ Ntnntt. OA?ORA Name 41 E= U v Z �' na SEAL Address 1Z c� TZrE zZ. { �,.,$ '+ m 1980 f�R> .Utr LD W. YOP�' 1I11S SPACE EUR USE BY HEALTH DEPARIMDgr ONLY Soil mate Approved sq.ft,/gal. Qiecked by Date OL LOT tkinicipalit IU rbl WP Z. ' ` UJI A 9W - are cbtainea At each bdrcolation test hole. _AU data' �0- I-n subntttbd' fbr review.' APPENDIX J ' _PUTNAM COLWy DEPAR]ViRNr OF HEALTH (C) DIVISION OF EwnximymL HEALTH SERVICES GN DATA SHEEP- SUBSUFACE SEWAGE DISPOSAL SYSTEM ,� t FILE NO. LOT u . - - Owner i` .� cy ` V V t G•%vtn�' Address .11, Ii o"c _(&A2 %Jet . N Y 16 S0Q, AL ! � t� . «. � �i ri.ii S� ^ �2 • .0 -* �F �17 I Located .at (Street) ! 1 Ieo� Sec. 2 Block -Lot Pi►t) ,. ;y indicate nearest cross•street) / ttFt rt p �A ..'i'rSq...i, .: .a11 •l _ Sk - ..,/. ....� �.i <� �51d5'4 *�fi. -r'* �1 ' '. Municipality PCt Watershed; n SOII, PERCOLATION TEST DATA RDQUIFtID TO BE SUBMITTED WIM APPLICATIONS ,� �:i P i Date of; Date Hof Percolat aion ( 'Lao' •r• d . _ w. E=LATION JC � Fln e" �� DCpth,;to Wa-te�cm Wa.�er �+.. SW. L�yyy.I.LL�e., '^'•�"ti.` �++•'!$t.7V /n tJG e,�y! Start, StQ ; k:~ S Drop In .��OP r w o 1Ll(:ij� GJ . � ,fir- ?-" � - •t %'.� -K..•f -,..A `t i �� e x wV4,4 _ r ' �' � -.e ii DY � i'.",� ".`. -.r -' .�.• � q,r.- ..- .1:..: ' I {{ �u� .�i`,,.rd�.._....w,t.....�rn- ��.�T+,.�..i+..v -- k.+- �.a. -. y ` Tipt i1 `' Y, �"�.�i C' ��,,,'(t••�21r�'J 'ir.- ..n.r- b.I�•� �.. ..� .! • i .�,.J v+!�tn+Y•_4. ...M�._ OR•+�.+^. .. A �y iw it Q d�..a & ��- *ems..... -. ✓�(� 11 An RN f. ♦ i_ g Cff 4 4 � .. • i fir i % e • r . n', . 7 7 'S ._..__��._ - d 5.% 1 i ••ice( ��~I�cMM����{��...._.,...._... NOTFS:........1. - ...Tests....to:.be; repeated.$t__ same depth.'until.appraoumately .. soil, rates are obtained at each pereolation -test ` hole. All data. to be.suinitted for review. 2. Depth measurements to be made,frb'm top of hole. rev. 9/85 17 mk ic't•t cx >�� :%rjj, ;.t:.,,.ia� �i:i;:':; cliv� _ }` L- P. C. W iTNesse� R r Me C ()g S;C -V rdVrA Sill : Si1135ii1�tC: S:i4AJ7r; D < P OS, Slriri% T ame= LOFT Cor, Toh' j&P 8e3 rooted at (Street)' S�-QLAke�, Hiu. ROaD `: Blocti;. xoc. �6 (in&c - -te nearest moss - street) • t"= =1i-tY Qt�AkER MAUDFt �'UE�DiViS�ON wat�she3` CjRo�"0N Datee cf Pre -env - 7 Date of Pe=cclzUca..Test \ilt P .F�.f F:..iM�:.A•LL�bl\ �� .�.��. �,w}. { ,.-C�..Z<AilXil� F iC��.t�. L-= `7." t� "i�C b�� 'C.Q ... ........ [.. �.�.-e�r �. �iGr.�.� ..KVeI:. Tim ti Grcunn S=.- -C-- _ Sslcle5 Soi 4ate ?ri Drop 3`r> es Tmches Irkhes Hole s ;. _•. _ _. - 2 I �:la ot3" oty A tope A` - . 3. to'.anaa.�,� NF . .•� : �pPOA� b % � 3 ='a •SEA �= _ ._.. -.� -f i� ��_ 4 _m. 5 _r / / t AR�F SIONP 1_ Tests to be reoaat&C at �n� depth until. a _ ar', try - soi? rates are obtaine;i at zach percolation test- hole_ 1 data to be nILMdtted for revic.+. 2_ Deot% easure-rLnts to be mL6c. frcn ton of hole_ IRS PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION Property of SlAdd s Located at C cog,t,_ ,r /'151/'q, c,,- J—.q •-r T/V PA,?7,)qzsg), Tax Map # l Block % Subdivision of vc -telo. , Subdivision Lot # Gentlemen: This letter is to authorize J "/t r. J. 07,7- - 75- Lot Filed Map # '44 7f- Date Filed a a duly licensed Professional Engineer C.,'—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. Counters' e . P.E., R.A. #//2� Very truly yours, Signed: ""K'["A (Owner of Property) Mailing Address/9 jf2M(q4V/ Address: 3 -X 7 71e State Zip Zs�61° Telephoner State Zip o�S Telephone: 1 S' 6 3c,3 Form LA -97 iF.< . f Julius I. Cesare, P.E. 19 Washington Court Pawling, New York 12564 914- 855 -3208 FAX 914 -855 -3216 A& v• 2/ 2000 Bruce Foley, Director Putnam County Health Department ATT: Robert Morris 1 Geneva Road Brewster, New York 10509 RE: Quaker Manor Lot 1 Renewal SSTS Dear Mr. Foley, Herewith transmitted is a complete package in application for a renewal on the above noted subject. r_ 1. Four (4) sets of plans revised to reflex current department standards. r` i 2. Letter of Authorization. 3. Construction Application 4. Fee Check Very tru yours, Julius I. Cesare, P.E. Y PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTftUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM An PERMIT # Located at �o w`{ Gnu f 1) Town or Village PA -s d l Subdivision name 01 A KOZ MP�01t Subd. Lot # / Tax Map � r 0 Block— / Lot — 2S Date Subdivision Approved 1-247 X9.5 Renewal Revision Owner /Applicant Name All c(4A4s Date of Previous Approval 1 (31 /9 7 Mailing Address Jr/3 &-Tl S a" e /L KRZ "'o .e AC % Zip Amount of Fee Enclosed S� Building TypeWoof Lot Area �5163A'No. of Bedrooms Y Design Flow GPD ' Fill Section Only Depth ®, S" Volume `-c-S PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of t25b gallon septic tank and 2001 fer S. -sue► j � Other Requirements: Pcr r%P To be constructed by W —t ki o a.+W Address Water Suuuly: Public Supply From Address or: `�-- Private Supply Drilled by &c,) Xqu &-W Address u 5. ,9-- 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. Sighe- P.E. R.A. Date �2 Ad `z Ac License # f� APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. proved fo charge of domestic sanitary sewage only. B Y: Title:� Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 a_. • 19 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 February 2, 1995 Julius Cesare, PE RD 97, Blackberry Hill Brewster NY 10509 Re: Proposed SSTS: Dellabate Quaker Hill Road, Lot .—=1 (T) Patterson T -i44 4.10 -1 -25 Dear Mr. Cesare: BRUCE R. FOLEY Public Health Director Review-of plans and other supporting documents submitted at this time relative to the above captioned 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." J1) House plans have not been submitted. ,/2) Standard construction notes 1 -13 have not been provided on plan. 12 J3) Footing /gutter drain discharge has not been shown. J4) Datum reference is to be noted. Title block is to note property location, i.e., street and municipality, address and phone number of the design professional. ✓6) Remove or cross out fill note 1 and 4. The notes are not relevant to this plan. 7) Pump pit detail is insufficient, the following has been omitted or appears ,incorrect: J Dump curves, operating range is to be indicated on curves. 7 Dose volume noted on plan or pump on/off elevations dose volume to be 75% of pipe volume available in pipe network. �C) Alarm elevation is not noted on plan. D) Trench detail for force main, specifying pipe type and rating bedding and cover. J8) Distribution box detail is insufficient, the following has been omitted or. appears incorrect: ✓A) Inlet invert is to be a minimum of 2 inches above outlet. Julius Cesare - Re: Proposed SSTS Dellabate �$) Outlets to be 1 -5 inches above tank bottom. C) Minimum 12 inches clean sand or pea gravel. 7 Maximum 12 inches cover. � Frost protection. ✓9) Minimum scale of the location map is to be V = 2000 feet. ✓10) Basement elevation is to noted. /11)* Dimensions from the well to the property line is to be noted ✓12) Location of the service connection from the well to the house is to be shown. Upon receipt of a submission, revised to reflect the above, this application will be considered further. RRNI:tn watershed Ve truly yours, • %' �;1� %��GG cw Robert 'Morris, PE Public Health Engineer I SSDS DESIGN REPORT QUAKER MANOR SUBDIVISION LOT # 1 by: Julius I. Cesare, PE Blackberry Dr. Brewster, New York 10509 revised : December 29, 1997 0 QUAKER MANOR SD LOT #1 4 Bedroom Design Design Rate: 4(200 gal /bed) = 800 Gallons Perc Rate: 46 -60 Application Rate: 0.45 Req. Area: 800/0.45 = 1778 Req. Field Length: 1778/2 = 889 LF 2' Trench Actual 900' Septic Tank: 1250 Gallon PUMP SYSTEM Dosing Value:-- (pi)(2/'12)2(900)( .75)(7.5) _ RLI: 740.0 Use 9 Lines, 100' Long for each System and Expansion 0.5' Fill Required i 441 Gallons 0.5' Fill High Lateral High Lateral DB out 771.3 DB in 771 .5 RLI: 740 Lowest ST. in 739.79 ST out 739.59 Pump Chamber in Pump Chamber out STATIC HEAD Length of Pipe 2 450 elbow 1 CH Valve 1 Gate Valve Proposed Ground 772.5 Inv. 771.0 739.38 739.38 771.5 739.4 32.1 290' 2 x 2.5 5.0 13.0 13.0 1.2 1.2 19.2 QUAKER MANOR LOT 01 RE -Do Total Length of Pipe 290 + 19.2 = 309.2' Total Equivalent losses (309.2)(3.84'/in) = 11.87 Total Losses 32.1 + 11.87 = 43.97' PUMP: Use WEO 712H 50GPM @ 42' 3/4 HP 230V Single Phase 35 RMP Pump Chamber 5' x 10' 375 gal /ft. 442/375 = 1.18 ' 1 Day Storage 800 Gallons 800/375 = 2.13' PUMP CHAMBER in 739.38 24 Hr Storage 2.13 737.25 Alarm EL .50 Pump on 736.75 1.18 Pump off 735.57. Bottom of Chamber 735.30 Goulds FEATURES 1. Impeller� Su bmersi Ne 2. Casing 3, Mechanical 'i*— Effluent Seal 4. Shaft 5. Motor Pumps 6. 60arings — Upper. & -7 L,) w Or ' . Power Cable 8. C] -Ring 6 —4 3885 1 PERFORMANCE IRK—. In gallons 2— MODELS WE0511H Seri" HP Volts Philse, Max, WE0712H WEI012H WE151211 WE02 AmPS, WIE031 I L WE031 I M 115 WE0732H 9.4 wE0312L 113 7.0 WE0312L 4.7 1NE0311,%4 WE0734H 1 i5 1 9.4 WE0312M -236 47 W(0511H 15 RPM ,3.0 1750 3500 230 3500 6,5 WC0532 H 2,081230. 3 3.4 WE05341-1 106 460 1.7 11,E0511HH 65 115 4 13,0 WE0512HH 55 430 r3u 57 71 V 208,1280 To$ 3.3 WE05MHH 38 460 65 78 WE07121-1 104 ?.30 17SG 56 25- WB7321-1 314 20812,30 89 5.4 -Wr'U'734H 30 .160 2" WE1012l'i 34 21) 1 11.6 WE103211 1. 208!230 3 64 WEI034H 34 4fjo . . 32 WE 1512H 52 X30 1 33 WF1532H I 48!230 3 92 WEIZ3411 -'q 4on JJJJ 50 46 WEI612HH.: W. .1 13.3 WEI.532HH bb 2061230 3 9.2 WLI &AHH 42 •0 12 4.6 PERFORMANCE RATINGS In gallons per minute WE0511H wtoll Series WE0512H WE0712H WEI012H WE151211 WE02 No. WE031 I L WE031 I M WE0532H WE0732H WE1032H WE1532H WE0532 WE0312L WE0312M WEMN WE0734H WHOM WE1534H WE0534 RPM 1750 1750 3500 3500 3500 35M 3500 iOV 70 -0 90 106 114 Weight 10 RPM Solids •(Lbs•) -so 65 76 37 102 Ili, 55 1S r3u 57 71 V 98 To$ 62 20 38 4y 65 78 94 104 48 17SG 56 25- -26 73 89 100 -42 30 50 I 61 34 i 39 35 40 bl 19 91 34 26 52 V2 K) 30 "48" 1d 43 64 -'q 23 JJJJ 50 10 54 72 ii�t bb 17 42 63 12 6 26 53 3 -3 66 .16 40 10 "1 26 V411 rf) . 14 80 4 90 r0 100 .120 A. . DIMENSIONS (Alt d irffe heions ini6dlJe's) (Do not wse.for construction putposooi.) 1512HH • 1532HH 1534HK 1'1: 35W 7-3 /7 63 ,2 63 66 58 W 52 54 4h 47 37 40 33 24 15 4 EFFLUENT EJECTOR SYSTEM- -ROTAT101`4 jv Packs Includes: D" , - --nt I Effluent ejector systern'oflers submersibia- ;:fflu,-, Pump, 2" NPT ease of'orderingano irmtmia- IT %VEG31 1 L, 12;--T&0JEQ31 fM-, 12M. WE0611HH, 1.21-11-1 A!, .10ordorimorlutifte =- specifies a complete system rvVecury I.�vd Conrol5w i1c h . . . . . . designed for mcFt residential I Ind Commorcial sump And A7-1 8C IS effluent pump applications. \U Ciersin Ch,-ck'Va I w�, A9-,'-iP K I CK -1B CK- Order No.: SWE013-, 1L, SWE0312L • D' and 1. HP .: 15" oxcept for model WE0712H 5 WE--'1012H 18"; K4, !j "vEW1.2m, "HH. 1 �b HP 18" Aft SWEOSI i"-,. S%906;2 Available Certificatiom', %I-P, Canadian Standards Association Pt!nrisy.tvar).ia-RurLAu-ot.Mine.s,Jo.t' non� face applications — BOTE .91. 111MV �r-rV - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - a*-, Performance Curves METERS FEET 80 E15, LLA M io wEio 60 0 IE07 H FWI I 50 4._.._. WE05H 40 r0 f WE03M 7— - PWE03L 2.0 10 METERS EMS FEE I 110 100 110 L 90 so 70 0 0 1 485 ?unps.:nc. C I. I*- opoArtV4 Am4r f,J 10 20 30 40 50 60 '10 80 010 100 '110 120 20 CAPACITY GPM 30 W/h (Di L 1,— GOULDS PUMPS. INC. Sec<-A I-aLl. -% "? ITTW-K 14140 10 20 40 50 60 io so .-)Q 100 110 120 GPM 1U -tU 30 m,lh CAPACITY ENLOw-, ju;y, 19e5 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL. WATER SUPPLY do SUBSURFACE SELVAGE TREATMENT Sl'STENIS REVIEW SHEET FOR CONSTRUCTION PERbPT STREET LOCATION 5eJ7 -// CV/oA,t o5irC HI L.1, 2d' NAME OF OWNER 'A//c NDL•ii --, 17EGL/4 im-re REVIEWED BY RM, R, AS, MB, BH DATE TAX MAP # #Q,10 -1-;a YIN DOCUMENTS Y N PERMIT APPLICATION . PC -1 WELL PERMIT_ PWS LETTER t LETTER OF AUTHORIZATION DESIGN DATA SHEET (DDS) CORPORATE RESOLUTION SHORT EAF PLANS THREE SETS HOUSE PLANS -TWO SETS E REQUEST FEE SUBDIVISION LEGAL SUBDIVISION SUBDIVISION APPROVAL CHECKED PERC RATE i FILL REQUIRED d, 5 DEPTH CURTAIN DRAIN REQUIRED STANDPIPES GENERAL. LOCATED IN NYC WATERSHED PLANS SUBMITTED TO DEP DELEGATED TO PCHD DEP APPROVAL, IF REQ'D DEEP TEST HOLES OBSERVED PERCS TO BE WITNESSED EX- APPROVAL SSDS ADJ. LOTS WETLANDS (TOWN /DEC PERMIT REQ'D ?) DATA ON DDS PLANS & PERMIT SAME PRE-r967NEIGHBOR NOTIFICATION DOD ELEVATION 9T4 -Q'D PERMIT(S) REQUIRED DETAILS ON PLANS SEWAGE SYSTEM PLAN- (NORTII ARROW) SSDS IIYDRAULIC PROFILE GRAVITY FLOW EROSION CONTROL:HOUSE,WELL, SSDS PERC & DEEP HOLES LOCATED "PRES>;`NCA'iVE O RIMARY •CPI IVSiON 7Iivw eXp, 67✓1 p ; ^v LOCATION MAP EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE IF PUMPED, PIT & D BOX SHOWN & DETAILED HOUSE - NO.OF BEDROOMS PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) HOUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE . NO BENDS; MAX.BENDS 45° W /CLEANOUT FILL SYSTEMS CLAY BARRIER FT. HORIZONTAL;SLOP] 3: RADE FILL CS FILL NOTES FILL CER T NOTE DEPTH GA FILL ILE & DIME ONS FILL IN EXPANSION AREA TRENCH LF TRENCH PROVIDED 60 FT MAX PARALLEL TO CONTOURS 100% EXPANSION PROVIDED �VO4- well -5 he7,vn -to +h e —100 Lac. �-s w/ r v! t'► p ON PLAN - FRON1 SSTS J0' TO P L., DRIVEWAY, LARGE T EES, TOP OF FILL UNDAT -WALLS 15 -WELL TO PL 100' TO WELL, 200' IN DLOD, 150' PITS 100' TO STREAM WATERCOURSE LAKE (inc. cxpan) 50' TO CATCI I BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (pits -20') 50' INTf.RMITTENT DRAINAGE. COURSE; 200'/500' RESERVOIR, ETC. 150' GALLEY SYSTEMS CONSTRUCTION NOTES to CDS= >5 %,10'- 4°/6,25'- 3 %,30'- 2 %,35'- 1/,100' - <I% E)ESfG - V D � N to CD discharge /100'with 182 cons day discharge ' CONTOURS ING & PROPOSED SEPTIC TANK DRIVEWAY & SLOPES, CUT �OOFNF UND - nMTO WELL 11 FOOTING /GUTTER /CURTAIN DRAINS WELL SOIL TYPE BOUNDARIES DIMENSIONS TO PROPERTY LINE TITLE BLOCK; OWNERS NAME,ADDRESS m LOCATION OF SERVICE CONNECTION TM #,PE/RA; NAME,ADDRESS,PHONE# DATE OF DRAWING /REVISION DATUM REFERENCE LOCATION OF WATERCOURSES, PONDS LAKES AND WETLANDS WITHIN 200 FEET PROPOSED FINISH FLOOR AND BASEMENT EL. COMMENTS: _ a' APPENDIX 3 PU.TNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS, REVIEW SHEET for CONSTRUCTION PERMIT STREET LOCATION SOUTH e&#&AW 11141- RoAp NAME OF OWNER Me4621- 4 � BY B. HEDGES R.MORRIS OTHER 6;, R99 I) DATE /j /� TAX MAP n 44,119 -�_- DOCUMENTS. DELEGATED JOINT REVIEW YN EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE PC -1 IF PUMPED PIT &- D BOX SHOWN & DETAILED WELL PERMIT HOUSE - NO.OF BEDROOMS ENGINEERS AUTHORIZATION11I0 sec l WELLS &: SSDS'S W/IN 200 FT. OF PROPOSED SYSTEM INO DESIGN DATA SHEET(DDS) PROPERTY METES &BOUNDS CORPORATE. RESOLUTION /V® 'Sect/ HOUSE SETBACK NECESSARY (TIGHT LOT) LAMS THREE SETS ' HOUSE SEWER - 1 /4 "/FT. 4 "0; TYPE PIPE BE \DS; MAX. BENDS 45° W /CLEA \'OUT run E REQUEST lS�HORTA'F FILL SYSTEMS - S�C!'B`DT ISION GAL SUBDMSION .L` 3e1,'e -yL i �- i-:5 CL4YBARRIER Q] 10 ONTAL: SLOPE 3:1 TO GRADE' 0151)1:1 NAP' -GVA-- L�CH€C ,© FILL SPECS m �( --�o d `' F PERC RATE_ - � FILL NOT 0 FILL REQUIRED DEPTH FILL CERTIFICATION N 0 DEPTH GAUGES T�N DRAIN REQUIREDD"' eiBFE'ES F7 FILL PROF - DI14ENSIONS rtIPERC TEST WITNESSED BY NYCDEP? VO E L L IN EXPANSION AREA PhGENERAL EX- APPROVAL SSDS ADJ. LOTS TOWN/DEC PERMIT REQ ?) TRENCH THAI A Oti "DDS-PL Nsm -ERM T -SA. — Alo �� rat 7� LF TRENCH PROVIDED m 60 FT MAX �PFF 1.9 5 - NEIGHBOR NOTIFIFICATION PARALLEL TO CONTOURS m n nUZBA 100-b EXPANSION PROVIDED �MIN LOOD ELEVAT ION M 3 BEDRO09.DESIGN SEPARATION DISTANCES SPECIFIED ON PLAN REQUIRED DETAILS ON PLANS FIE DS' SEWAGE SYSTEM PLAN - (NORTH OW) i — DRIVEWAY, LARGE TREES, TOP OF FILL SDS HYDRAULIC PROFILE W 20' TO FOUNDATION WALLS m 15' WELL TO P.L . EO`TSTBDC 10 -1 iO0=(GRINDER NOTE) 4e- 100 TO WELL, 200' IN D.L.O.D., 150' PITS DESIGN DATA: PERC AND DEEP RESULTS 100 TO STREAM WATERCOURSE LAKE (IN'C.EXPA:N') TWO -FOOT CONTOURS EXISTING & PROPOSED 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER RIVEWAY & SLOPES CUT 10' TO WATERLINE (PITS -20') OOTIlN /G`Z�iU�I ER7CIIRi N D 1S € 50' LNTEF- %IITTENrr DRAINAg COURSE EROSION CONTROL; HOUSE,WELL, SSDS 200 FT. RESERVOIR, ETC. 150 FT. GALLEY SYSTEMS EROSION CONTROL NOTE`- l i ' PTO C.D. S= >5 %,20'- 41/d;25'- 3 %,301- 2 %,35' -1 %,100' <l�b PERC & DEEP HOLES LOCATED C.D. DISHARGE /100' WITH 182 CONS DAY DIS. REPRESENTATIVE OF PRIMARY AND EXPANSION S PTIC TANK OCATION MAP 10' FROM FOUNDATION; 50' TO WELL D12ifM"RErl RENCE r NOTE - URVEY` 3-9 WEL LOCATION OF WATERCOURSES,PONDS,LAKES, P- E &Ty- LINES - WETLANDS WITHIN 200 FEET - b0CArl0N -0k SEMMEZONN- EC-TION: ROPOSED FINISH. FLOOR AND09$ EN EL, -. TITLE BLOCK; NAME, ADDRESS (owner), TM #, }i'R IPERTY -LO A ION-(s`l 'wt- - &--muntclp- l y NAME & (ADDRE�O� PE -/ A, DATE OF DRAWING/ REVISION \ Julius I. Cesare, P.E. 64 Blackberry Drive Brewster, New York 10509 914 - 279 -7115 February 13, 1998 Bruce Foley, Public Health Director Putnam County Health Department 4 Geneva Road Brewster, New York 10509 Att: Robert Morris RE: Dellabate Lot 1, Quaker Manor Dear Mr. Foley, Herewith transmitted are three (3) sets of revised drawings for the above noted project reflecting all comments of your letter of February 2, 1998. With specific reference to some of those comments, please be advised as follows: Comment 1. House plans for this project were delivered to your office on January 26, 1998. As apparently they did not reach your desk, we are transmitting an additional two (2) sets. 7. As per your Policy and Procedure Manual, the pump curves, operating range and computation of dose volume are included in the engineering report. Two (2) copies of that report are herewith transmitted. We believe the plans to now be at a status sufficient for approval. Thank you for your cooperation in this matter. Very truly yours, Julius I. Cesare, P.E. �Y UTY OEPQRTNE A�/�E CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL PROTECTION EL'A. MIELE, SR., P.E. Commissioner. .. .. :WILLIAM N STASIUK, P.E:,Ph.D. . 'YMEn11AL PR�tE .. . 'Deputy Commissioner PHONE (914) 742 -2001 Bureau of Water.Supply, FAX (914),742-2027 Quality and Protection ce ..1997 .. December er 1.2; Julius Cesare;._P.E.. Blackberry Hill . . Brewster, NY 10509 Re: Quaker Manor Subdivision Patterson, Putnam. County East Branch. Reservoir Basin Dear Mr: Cesare: : The New York City Department of Environmental Protection (NYCDEP) has reviewed the applications for individual subsurface sewage treatment s' terns.' It is our determination that additional deep hole inspections and percolation tests witnessed by.a representative of our office are required. at different lots. Quaker Manor Lot No. Required field workto be witnessed by NYCDEP 1 -A deep hole'and percolation test in the expansion area. 3 A deep hole and percolation. test in both. the primary and expansion area: 4 A deep hole . and a percolation test in the expansion area. 5 A deep hole and percolation test in the primary area. 6 To be evaluated upon 're- submission. 7. A deep hole and percolation test in both the primary and, expansion area. 8 A deep hole and percolation test in the primary area. 9 A deep hole in the expansion area and a, percolation test in the primary area.... 1.0 A deep hole and percolation test'.in the expansion. area., 465 Columbus Avenue, Valhalla, New York 10595 -1336 `OAK CITY DfPART{,E D Rto' THE CITY OF NEW YORK DEPARTMENT.OF.ENYIRONM�NTAL PROTECTION JOEL A. MIELE, SR., P.E. Commissioner P o� WILLIAM N. STASIUK, P.E.,Ph.D. �MAL pAOtE� De uty Commissioner PHONE (914) 742 -2001 FAX (914) 742-2027. Mr. Julius I. Cesare, P.E. Blackberry. Hill Brewster, New York 10509 . RE: Quaker Manor- Lot #1 Log' # 7179 Patterson, Putnam East Branch Reservoir Dear Mr. Cesare: P Bureau of Water Supply, Quality and Protection.. November 7, 1997 The New York City Department'of Environmental Protection (Department) has determined that the above referenced. application, received by the Department on October-.30,.1997, is complete. The New York City Department of Environmental Protection (NYCDEP) has received the . following materials: Quaker Manor SD Lot 1 Plan, dated May 8;:1996, last revised October 20, 1997. • Quaker Manor SD Lot 1 Profiles and' Details, -dated May 8,.1996, last revised October 20, 1997. In accordance with .18- 23(d)(2) of the Watershed Rules and Regulations .NYCDEP must notify the applicant whether. the submittal contains sufficient information to commence review of the application. Based on the information. submitted at this time the application is complete and NYCDEP review shall commence. If you have any questions, please contact the undersigned at (914) 742 -2068. Sincerely,:— .: anrnne M.* McColgan tall Engineer Engineering Design A Review xc:: Putnam County Department of Health 465 Columbus Avenue, Valhalla, New York 10595 -1336 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278 - 6130 Fax (914) 278 - 7921 BRUCE R. FOLEY Acting Public Health Director DELEGATION STATUS FOR SUBSURFACE SEWAGE TREATMENT SYSTEM PROGRAM Project: Op-�A >A� Town: ?/ 109-15D fJ NOTICE OF COMPLETE APPLICATION: Delegated Joint Review ` - A DATE: '�• 4- DEPARTMENT OF HEALTH Division of Environmental Health Services ' 4 .Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 January 21, 1998 Julius Cesare 64 Blackberry Hill Brewster NY 10509 BRUCE R. FOLEY Public Health Director RE: Application to Construct a Subsurface Sewage Treatment System at South Quaker Hill Road, Dellabate 'PA if' "S0rJ i IK4 44o_ Dear Mr. Cesare: 1-OT A j The Putnam County Department of Health (Department) has determined that the above_ referenced application, received by the Department on January 14, 1998 is incomplete. Please be advised that the following information is required before the Department may commence its review. ✓ ® Construction Permit Application for a sewage treatment system has not been submitted. Permit is to note revision requirements. L2�2` f o House plans have not been submitted. The review of your application will commence once the Department receives the requested information and determines that the application is complete. The Department will notify you within 10 days of its receipt of the requested information as to the completeness of your application. Please be advised that failure to submit information to the Department or to follow procedures is sufficient grounds to deny approval, pursuant to the New York City Department of Environmental Protection Watershed Regulations and Putnam County Dept. • Of Health regulations. Should you have any questions or care to discuss this matter, please contact me at (914) 278 -6130 ext. 166. Very truly yours, Robert Morris, P. E. RM/tn Public Health Engineer az BATH 2 11-10 1/2 X 1-9 IT? E= UD tp I C N N C14 c%l &4SVWW CaWoi ILOC BEDROOM I 14'-6' X 15'-2' u 11 BED ROOM- 4 "1112 fRUSSES_ .8,9DR06M.... 3 KNEE- 16-11 1/2" X 10"A 1/2' SPAa C4 r 'I H r Tgw- -1 (2) .21'611 ALL., I I I is cum m I 'L—__-- ___j _'24- — — — — — — — — — — 7-4-- 1 _rxi-i—rr I � cat'A"no loocu" pertain irrnring (Wed ...If fl . 5* . M90FAMY corium oolulne loceou kw- Won foo&don. W. - A-K vp LL, (2) 2 1611 OWA(eV-t- LC . BEDROOM ,Z ,#. !3,:60 x 10-9 1/2- Jpy T ffb Ur a ov 4+-W v4 S .(a oe o 3 04 61 3046- orte1w Orr c (p eA► DUE W Bioafftsbtq, Penmytwmic 178I5 MODEL' St:. W-0-2 1/2 F/ t XL Tru:. FARTIT)ON DETAIL REFERENCE PLAN Julius I. Cesare, P.E. 64 Blackberry Hill Brewster, New York 10509 914 - 279 -7115 January 6, 1998 Bruce Foley, Acting Director Putnam County Health Department 4 Geneva Road Brewster, New York 10509 / V 1 � Att: Robert Morris RE: Quaker Manor Lot #1 Revision Dear Mr. Foley, The above noted individual sanitary design recently received approval from your office. The purchaser of the property is desirous of changing the house location. The desired new house location changes the SSDS design to now require a pump system. Herewith transmitted are three (3) sets of revised plans, a copy of the revised design report and a check to cover the revision application fee of $150.00. Thank you for your cooperation in this matter. Very truly ours, Julius I. Cesare, P.E. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES AFFIDAVIT- CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PU`rNAM OOUNTY HEALTH DEPARTMENT TO: Catmtiissioner of Health In the matter of application for: represent that I am an officer or employee of the 96rpomtion ax�d am authorized to act for CG S- (Name of Corporati n) having offices at 20 Cmlo.�or�o -� `b2rr.G Whose officers are:. President: (Name and ess) Vice - President: ( Name and address) Secretary: (Name and' \address) Treasurer: (Name and. addree- sl and that I am and will be individually responsible for any and all acts of the corporation with respect to the approval requested and all subsequent acts relating thereto. Sworn to before me this day of �.` r Sig Title: Corporate 20 11 NV h'.NI II x M • PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMUAL HEALTH SERVICES AFFIDAVIT- CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPAR7MFNr TO: Commissioner of Health In the matter of application for: M � 4 represent that I am an officer or employee of the corporation and am authorized to act for �G Q having offices at Whose officers are: President: (Name and 0 Mfr / d (�20 /:Ovo,� e;;71ao vice- President: (Name and address) Secretary:' , (Name and address) Treasurer: (Name and address) and that I am and will be individually responsible for any and all acts of the corporation with respect to the approval requested and all subsequent acts relating thereto. Sworn to before me this 2;), Y�day of f2,4 T _ / / 19°% � Sign Q. Title: seal 20 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date App- /L Re: Property of Located at Ro4'4 OU4feas A111 14. (T) �.ysoR, Section_ l0 Block /. Lot 2 Subdivision of 01,44,1 A OA Subdv. Lot #J l Filed Map # Date Gentlemen: This letter is to authorize a duly licensed professional engineer '� 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 Commissioner of the Putnam County Department of Health,•and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed Countersign Owner of Property P.E. , R.A. , (,G // 26 G2 +J-urd� Address �hR S A& Address !�2 eFwrk>- Telephone Town Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES. Date `�-' d /�, s �-r�- Re : Property of W�s� G4.,s-r !�C- �a17't, �2c.s � o Located at S %o c,1-9 (T) ®,�,� „y Section /a Block /. Lot 2 5' Subdivision of TG,te,. 1940A Subdv. Lot # f Filed Map # Date 7 ,1Qh6 Gentlemen: This letter is to authorize a duly licensed professional engineer '� 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 Commissioner of the Putnam County Department of Health, and to. -sign all necessary papers on my behalf in connection with this matter and to. supervise the construction of said- system or systems in conformity with the provisions of Article 145, or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Countersign P.E. , R.A. ; .117"6 Address Telephone Signed Owner of Property 420 ce 10•co1,14 Address q)A41 -(n d Ca Town ms's - -7yz r 5776 Telephone PC— 1 P U T N AM COUNTY D E P A R T M E N T OF= H E A L T H APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name and Address of Applicant: 20 C0 l0'yta/ Telw we�v C 'wy. o G pyl 1 2. Name of ProjectQw-4— /1%1X4- SP ).or / SSpS 3. Location T /V /C: I-- PAftc" ► 4. Project Engineer: J KSlwc it -y 5. Address: ezAttl. License Number: Phone:Z %r7' -7//5" T 6. Type of Project: k 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 —_ 8. Is a Draft Environmental Impact Statement (DEIS) required? ............. 9. Has DEIS been completed and found acceptable by Lead Agency? ........... -, 10. Name of Lead Agency 11. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ... ..... 12. If so, have plans been submitted to such authorities? .................. 13. Has preliminary approval been granted by such authorities? "Date Granted: 14. Type of Sewage Disposal System Discharge...... Surface Water ✓ Ground Waters 15. If surface water discharge, what is the stream class designation ?........ 16. Waters index number (surface) ........... ............................... 17. Is project located near a public water supply system? is 18. If yes, name of water supply ^` Distance to water supply 19. Is project site near a public sewage collection or disposal system ?..... Ala ..'0. Name ,of sewage system Di stance. to sew`a.ge system 1. Date test holes observed)!4 190 � 22. Name of Health Inspector: KE?K '3. Project design flow (gallons per day) ...... ............................... OCIZ 11/93 2. 24. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?.. X 25. Has SPDES Application been submitted to local DEC Office? 26. Is any portion of this project located within a designated Town or State wetland? .................................. ............................... �o 27. Wetland ID Number ........................ ............................... 28. Is Wetland Permit required? .............. ............................... Has application been made to Town or Local DEC Office? .................. 29. Does project require a DEC Stream Disturbance Permit? ................... 0. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, so lid or hazardous waste disposal, landfilling, sludge application or industrial activity? ........ YES or NO 31. Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or I/ any other potential known source of contamination? ..............YES or NO DESCRIBE: 2: Is there a local master plan or file with the Town or Village? ........... //° 3. Are community water, sewer facilities planned to be developed within 15 years? Wo �. Are any sewage disposal areas in excess.of 15% slope. 5.. Tax Map ID Number ......................... ............................... &a � 2� 6. Approved Plans are to be returned to: ................ Applicant Engineer f the application is signed by a person other than the applicant shown in Item 1, the pplication must be accompanied by a Letter of Authorization. Failure to comply with this r-ovision 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 be 1 ief. Fa Ise statements made herein are punishab)e as a Class A Hisdemeanor pursuant to Section 210.45 of the Pena 1 Law. "NATURES & OFFICIAL TITLES: _!` ..rte -••.� �-E %T LING ADDRESS: APPENDIX 3 PUTNAM COUNTY'DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS R&V11EWZ5S1HF T or CONSTRUCTION PERMIT STREET LOCATION NAME OF OWNER BY B. HEDGES R.MORRIS OTHER DATE TAX MAP # r A) -�- a DOCUMENTS. YY �,.,N,,�� u" ! RE T APPLICATION ED PC -1 E.L PERMIT PWS LETTER C= NG EE AUTHORIZATION RESOLUTION-4//' ESOLUTION - I!SlfGe-PNNJDA.-JiL�tAkx,SHEET(DDS) �E SETS S - TWO SETS = VARIANCE REQUEST SUBDIVISION = LEGAL SUBDIVISION = SUBDMSION�'PROVAL CHECKED = PERC RATE J' = FILL REQUIRED DEPTH = CURTAIN DRAIN REQUIRED =STANDPIPES Y EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE IF PUMPED PIT & D BOX SHOWN & DETAILED = HOUSE - NO. OF BEDROOMS = WELLS & SSDS'S WAN 200 FL OF PROPOSED SYSTEM = PROPERTY METES & BOUNDS m HOUSE SETBACK NECESSARY (TIGHT LOT) = HOUSE SEWER - 1 /4 "/FT. 4 "0; TYPE PIPE = NOtiBENDS; MAX. BENDS 45° W /CLEANOUT FILL SYSTEMS Y BARRIER �OLA FT HORIZONTAL: SLOPE 3:1 TO GRADE FILL SPECS = FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES FILL PROFILE & DIMENSIONS GENERAL OI:UME ILL IN EXPANSION AREA = EX- APPROVAL SSDS ADJ. LOTS WETLAND ( TOWN/DEC PERMIT P TRENCH = DATA ON DDS PLANS & PE :0 SCAM TRENCH PROVIDED m60 FT MAX PRE- 1969 - NEIGHBOR NOT IFI R1 ARALLEL TO CONTOURS LETTER BI/ZBA 100% EXPANSION PROVIDED = 100 YR. FLOOD ELEVATION SEPARATION DISTANCES SPECIFIED ON PLAN REQUIRED DETAILS ON PLANS FIELDS EWAGE SYSTEM PLAN - (NORTH ARROW) 10' TO P.L., DRIVEWAY, LARGE TREES TOP OF FILL SDS HYDRAULIC PROFILE = GRAVITY FLOW 'TO FOUNDATION WALLS fti 15' WELL TO P.I ONSTRUCTION NOTES (GRINDER NOTE) 100 TO WELL, 200' IN D.L.O.D., 150' PITS DESIGN DATA: PERC AND DEEP RESULTS 100 TO STREAM WATERCOURSE LAKE (INC.EXPAN) TWO -FOOT CONTOURS EXISTING & PROPOSED 'TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER -- �RIVEWAY & SLOPES CUT x'10' TO WATER LINE (PITS -20') �1 FOOTING /GUTTER/CURTAIN DRAINS 50' INTERMITTENT DRAINAGE COURSE = EROSION CONTROL; HOUSE,WELL, SSDS 20 FT. RESERVOIR, ETC.= 150 FT. GALLEY SYSTEMS = EROSION CONTROL NOTE 'MIN TO C.D. S= >5 %,20'- 4 %,25'- 3 %,30'- 2 %,35' -1 %,100' <1% = PERC & DEEP HOLES LOCATED = 20' MIN TO C.D. DISHARGE /100' WITH 182 CONS DAY DIS. REPRESENTATIVE OF PRIMARY AND EXPANSION SEPTIC TANK = LOCATION MAP =10' FROM FOUNDATION; 50' TO WELL COMMENTS: =PIT DATA RDQrM DES42FLIPTION OF f�F.PTH'?• : 'HOLE NO. TO BE SUPMITI'M WITS APPLICATION , i —2 HOLE `NO. 7 v P Sv•! HOLE NO. 2' �o-„ t1i o co o.-� I o,rr� �w/ k �ra <r Cl 'I G v� 3' 5' 1oa~ 8' �' °G k rib 9' 10' 121 J. 13' ` ... :..�.Pc/�C'11 [� (1 .�i�� h[ LY7!1'1n:lrlrl 1 ?.it(a iYlS�'i' /o-121 /&7 14' INDICATE LEVEL AT WHICH. GROONDG = IS ENCOUNTMED INDICATE UMM TO WEIiCfi MTER LEVEL RISES AFTER BEING ENOQUNIERED DEEP ROLE OBSERVATIONS:MADE BY: `jam t ry 5m, Irh DATE; DESIGN Soil Rate Used Min/1" Drop_ S.D. Usable Area Provided No. of Bedroms Septic Tank. Capacity gals. Type Absorption Area Provided BY _ L.F. x 24" width trench Other , i ?� •, tom/ f:- S :� Address F A L—L `a 1980 THIS SPACE MR USE BY HFAM- 1- ,pEPAV�0P GMY: Soil Rate Approved _ ,c;. f , /gal_ :A. y' .�t3d @Llrf3^ � 1. SEAL �C}'G:i:.1t��ir�. aIeC . Date !� — HA*V -10_ 'fi=t 17:41 1 D: b.INTEP New York City Department of Environmontal Protection Bureau of Water Supply & Wastewater Collection Sources Division (914) 742.2012/3 Division of.Deinking Water Quality control (914) 742.2060 465 Columbus Ave. Suits 350 Va)bolla, New York 10595. 1336 Commissioner RICHARD D. CAINER, P.E. Deputy Commissloner D"^w Julius Cesare, P.E. Blackberry Hill Brewster, New York 10509 Dear Mr. Cesare: May 10, 1994 Re: Quaker Manor SSTSs (T) Patterson, Putnam County The Department has inspected the deep boles, witnessed the percolation testis and inspected the sites for ten proposed individual subsurface sewage disposal systems (SSDS) for the proposed project. The lots are shown on the site plan labeled Final Plat Quaker Manor and dated 4/4194. The ten SSDSs for lots 1 -10 meet the requirements of 10 NYCRR Appendix 75 -A. The ten sites as located on the Final Plat are approved for SSDSs. Requirements for final individual SSDS drawings for construction approval will follow shortly. Should you have any questions, please call; 914 - 742 -2065. Sincerely, Ja s N. Roberts, P.E. Program Engineer xc: Town of Patterson Planning Board Putnam County Department of Health .Julius I. Cesare, P.E. Blackberry Hill Brewster, New York 10509 914 - 279 -7115 May 15, 199.6 Bruce Foley, Director Putnam County Dept. of Health 4 Geneva Road Brewster, New York 10509 Att: William Hedges RE: SSDS Quaker Manor Lots 1 -10 Dear Mr. Hedges, We are herewith transmitting completed construction permit submission packages for the above noted 10 lots of the Quaker Manor Subdivision. This letter will serve as a transmittal letter for all 10 submissions.; A copy of the letter will is included in each of the submission packages. In accordance with department requirements we are submitting the following: 1. A completed Construction Permit Application. 2. A letter of authorization for the Engineer for each lot. 3. A corporate resolution for each lot. 4. An Engineers Design Data report for each lot. 5. Three sets of plans sealed by the Engineer containing all the required data as outlined in the Departments policies. 6. As these lots are being sold unimproved but. with SSDS Approval, we are not submitting specific house plans for each lot. Be advised the Lots 1 -8, and 10 are designed for four bedrooms and lot 9 for three bedrooms. We will advise buyers by providing copies of this letter that they are to provide you with house plans before start of construction.. 7. We are providing Well Permit Applications on lots 1, 3, 4, 6, 8, and 10. Wells already driven page 1 J will be used on lots 2, 5, 7 and 9. Logs of these wells are herewith included. 8. A certified check in the amount of._$3,000.00 to cover the combined fees on all 10 lots is herewith included. The field data for lot 5 would indicate that no fill is required for the system design and a two and one half foot fill required for the expansion design. The plans are presented as such, however the toe of slope for the expansion fill will encroach upon the now to be constructed system. The two options are to build the system in fill or to request a waiver for construction of the expansion fill at this time. As the deep holes in the system area show more that sufficient depth it would not be good engineering judgment to construct a fill. We are therefore requesting a waiver of the requirement that the expansion fill be constructed at this time. Please be advised that during the course of the subdivision design representatives of the NYCDEP did visit the site, review all available test data and determine what additional testing would be required. All that testing was completed and witnessed by them and again by your department. A copy of the NYCDEP letter is herewith included in each of the submittal packages. Thank you for your cooperation in this matter. Very truly yours, P Julius I. Cesare, P.E. page 2 bs• a. SSDS DESIGN REPORT QUAKER MANOR SUBDIVISION LOT # 1 o'J QUAKER MANOR SD LOT # 1 4 Bedroom Design Design Flow: 4(200 gal /bed) = 800 Gallons Perc Rate: 46 -60 Application Rate: 0.45 Req. Area: = 800/0.45 = 1778 Req. Field Length: 1778/2 = 889 LF 2' Trench Actual 900' Septic Tank: 1250 Gallon Dosing Required Dosing Volue: (pi)(2/12)2(900)(.75)(7.5) = 441 Gallons Dosing Chamber: SC 6 X 6 380 E = 28" RLI: 775.5 Use 9 Lines, 100' Long for each System and Expansion 0.5' Fill Required APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS ll // REV IEW SHEET for CONSTRUCTION PER,lMIT Wvs STREET LOCATION & cJd'� � el' I / � A 1 -d . NAME F OWNER Lie& T Ec s �C �� V e-C' BY B. HEDGES R.MORRIS OTHER y J, S, DATE //% / 2 TAX MAP # L/, /y - DOCUMENTS: Y JERMIT APPLICATION PC -1 ENGINEERS ELL PERMIT PWS LETTER ` re AUTHORIZATION 'DESIGN DATA SHEET(DDS) lct}yc -� i'dt i e EORPORATE RESOLUTION t10 .5 c,_ MANS THREE SETS HOUSE PLANS - TWO SETS VARIANCE REQUEST a 21 C v 5 SUBDIVISION = LEGAUSUBDIVISION_ 4 SUBDIVISION APPROVAL CHECKED = PERC RATE = FILL REQUIRED DEPTH = CURTAIN DRAIN REQUIRED =STANDPIPES GENERAL (�C4 #/ EXP. AREA; SHOWN; GRAVITY FLOW, SUFF. SIZE = IF.PUMPED PIT & D BOX SHOWN & DETAILED OUSE - NO. OF BEDROOMS I LLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM ,PROPERTY METES & BOUNDS OUSE SETBACK NECESSARY (TIGHT LOT) HOUSE SEWER - 1 /4 75T. 4 "0; TYPE PIPE ? = N BENDS; MAX. BENDS 45° W /CLEANOUT FILL SYSTEMS gl�TLL AYBARRIER FT HORIZONTAL: SPE 3:1 TO GRADE SPECS FILL NOTES �' LL CERTIFICATION NOTE DEPTH GAUGES LL PROFILE & DIMENSIONS VOLUME FILL IN EXPANSION AREA EX- APPROVAL SSDS ADJ. LOTS = WETLAND ( TOWN/DEC PERMIT REQ ?) TRENCH = DATA ON DDS PLANS & PERMIT SAME &RALLEL TRENCH PROVIDED =60 FT MAX = PRE- 1969 - NEIGHBOR NOTIFIFICATION TO CONTOURS LETTER BI/ZBA . 0% EXPANSION PROVIDED = 100 YR. FLOOD ELEVATION SEPARATION DISTANCES SPECIFIED ON PLAN REQUIRED DETAILS ON PLANS FIELDS SEWAGE SYSTEM PLAN - (NORT ARROW) �—T/ TO P.L., DRIVEWAY, 'LARGE TREES TOP OF FILL SSDS HYDRAULIC PROFILE GRAVITY FLOW w 'JO FOUNDATION WALLS � 15' WELL TO P.L CONSTRUCTION NOTES (GRINDER NOTE) W0 TO WELL, 200' IN D.L.O.D., 150' PITS ESIGN DATA: PERC AND DEEP RESULTS �w � TO STREAM WATERCOURSE LAKE (INC.EXPAN) 0-FO CONTOURS EXISTING & PROPOSED ' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER AY SLOPES CUT ' TO WATER LINE (PITS -20') G /GUTTER/CURTAIN DRAINS = 0' INTERMITTENT DRAINAGE COURSE ROSION CONTROL OUS LL D 00 FT. RESERVOIR, ETC.= 150 FT. GALLEY SYSTEMS EROSION CONTROL NOTE = 15' MIN TO C.D. S= >5 %,20'- 4 %,25'- 3 %,30'- 2 %,35' -1 %,100' <1% PERC & DEEP HOLES LOCATED = 20' MIN TO C.D. DISHARGE /100' WITH 182 CONS DAY DIS. ,PRESENTATIVE OF PRIMARY AND EXPANSION SEPTIC TANK LOCATION MAP 10' FROM FOUNDATION; 50' TO WELL COMMENTS: PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: v o �4�ya f (ey i'?a�tor 7coP,) Inspecte by:* Street Location 5.�i� i� �`� /f� 72�, Owner ? Town `%4¢ --nom nzs ,-,.,v TM #.py 1. Sewage System 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. 10' minimum from foundation .......... ............................... d. Distribution Box III out ets at same elevation -water tested ................. 2.. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box - properly set ..... ............................... f. Trenches T-Ue—ng-th required / Length installed la76 2. Distance to watercourse measured f-l0 0 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........... III. HouseBuildin a. House I ocated per approved plans ... ............................... b. Number of bedrooms ................ ............................ IV. Well a// - ®57", /,, s a. Well located as per approved plans . ............................... b. Distance from STS area measured t _e, o - ft........... c�Casmg�h8��alioue grade ................ ............................... d. ' Surface d a ria geeround 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 control provided ................. ............................... Rev. 6/97 Permit # -ID - 2 - i 6 Subdivision Lot # .-7 4uafcev Ma,aQ�, •a D 3 2-7 37 - -- q 5-r w w ell 67'�?- AUG -02 -00 W 9: 1 E- ENG... 914 278 3656 P.03 PUTNAM COUNTY DEPARTIMT OF HEALTH DMSION OF Ei i VIRONMNTAL HEALTH SMVICES PSMEST FQiL FI AL INSPE —Cla I For. Fill . Trenches_�,� PCHD Construction Permit # �'''� Located ��� %�•4�t -*� �,Er- _ - (� M�'�9- s-- -- Owner /Applicant Name Iw--u-- ,TM�Block,�� Lot Z Formery )�if `QtF 'R" �j AT- . Subdivision Name_ uI& Subdivision Lot # Is system fill completed? Date Is system complete? YAO Is system constructed as pe plans? >l Is •yell drilled? yes T— Date Is well located per Plans? Are erosion control measuns in place? I certify that the systcm(s), AS listed, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Construction Permit and approved plans and the Standards, Rules and Regulations of the Pi tbam County Department of Health. Date: //vo Certified PE -�— RA 4DeitgnProfessional Address Lic. Comments: �5► c� 'Fie 6 b 113 7 — Z'? 8' Z FOR: El ARAM A'GENE Form FIR -99 . . M `( .VvVgAKCOIQIM n�erOt�c�e Mlwufirrittalii bdmn���t�ti1>Mt.lsw C7twr°I.l�.I.IOItt - OF :..:: . ,.. Puma i �L PM sRw ABM N 3 d.s "LS ft- i °lia %�1t'O/� Lstt ! Ifa M" OnadtlAilS 1frio 1 - Dam of bwlwo Aitawd �+„rs AAamada C�o�a►,t c 'DQ '(�av <a►� ��F_ x68'11. �hr v s o ree -E d 00 �f+eaw t5rr• WWI—> / W A. 7 � Pm s et ..0* Ilar oE's.Ltrtaa� T Dam liar G P a �p !C®?faMaYwlsLvdw+l�Pla.vubee ixied rya iS.attN. S --- m OMWM O[lzjo--G• =. 8."k me M eaadt4.dld k7 wear asNrb •- -- :Mie swllr w•' --- �.an" �"'°' t TOPMW4 that 1 604 wwa► ar4 con+oMar 0049"60" tar teo stria" aad ft"t n of tall waooma W"VAO: U tart vw .o.rtta w.r�_-ai+ott► w�twe Safi" datniOSO Sara a awfum tad M ma" an bfta00rOSOd &mMe mme tows m Owe in accordance wtts tM tan�wo% "Sall a u Wffty Daeaf.aaat a ifOaRq Ond cart on eohi lAww tttagef a �Qarttaifaa0 of CohttrratMh COfMiiaaaa• Witfaaary to use Ca-ffA Saw of NMlawta to N MtRW to LM cosmtfrisnt. and O wro"N toMantee Will M tUgaltlrOd tM awrf:a f. % a 1HtoataM� alalfa p Mtn► by tM awite«. Otat saw tnvldar wai adMa y OaSa O/«atide o0lteRlah ony i.R Of e" omwoo atgawt ryttOM 4W" tM .«400 oa two t!t yMrd onMO wtiy fati0wffft tai data of th0 Mw anon Of Ma 900 W M st fin 6artMttatO fit Goavmcgbaa Cratfai Of tM � a OnY a fiMgtoi =) thst tM d►taad Vrsi OitOla00 Sa000 WOOS tooatad M aaaa�a M tM rderwad O M MA tart aW wM Sala M eaa wain aWro; wM° 0110 M�W/Yw RdMrO oaonttf owrtwMAl of MNRh. .�. .� �/�AdON ADPIItr/EF► FOR f•pIVSTRYCT10NiTMs aeoraai a YOS two tOa date M.ad unurs ca" of tM puileay Ms bean OtfdarHaaO and is M.GCM.M for c"se M wow M off—dad at fa0difkd waMl OMlaidaf Py d Onaf of gaaafL Any CONifeO Or OaKOtiOw Of OOn1t wdWft rrO.rfn a /frrr go-ft. ^Mn"W �« Wtp�es+f of IornMtt amitars, 109-POIV oMy. /ate/ Rev. x0188 D c I m W t +D I c tD A W 0 M N D A m I M z c� �D A N W 0+ W 0� v m N War ReRdro®ents 1 represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage dispostl syssem above described will be constructed as shown.oe the approved amendment there to and in accordance with the standards, ►ulesa ►egu sons of Mm County Oepirtment of . Health, and that on completion thereof a'PCatificate of Construction Compliance" satisfactory to the Commissioner of M eRhwill be submitted . to the Department, 'arid a written guarantee will be furnished the owner, his successors,'heirs or assigns by the builder, that said beildw will place -in good operating condition any, part of aid =we" disposal system during the• pwiod of two (2) yews immediately following the date of the issu- aria Of the approval of the'Ce►tificate of Construction 'Complia a of the origi syst m or any r ins thereto; ,2) that the drilled well described above �" � wall M Heated as %hdwn on tlso appoire0 plan and that aW.well will stalle d in rda with standards, rules and rpu�ia ions of thi PutMn County Oepartrnent of �HMlth. - <f J Data �[ Signed "" P.E._ RA.— fi Address j — License No APPROVED FOR.CONSTRUCTION: This approval's ire% two y rs tr m the- date issued unless eonstru on of the building has been undertaken,..,., 4., , .. revocable for cauwor may be amended or modified when considw essary by the Commissioner of Health. Any change or alteration of constr ►e0uinf a new imit. Approved for disposal of domestic sanitary saw and�ypri a r supply only. Rev. �0 %88 Otte v`1- ! f � ®y, I Title :h PUTNAM COUNTY DEPARTMENT OF HEALTH, DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 04p2 /L ?, 1q '?K Re: Property of Wr--r7 04-9T- c.7-7- Located at RoGj'U- (', UA-gc -K #-i /1 /02. (T) koa�xo,y Section /o Block / Lot 2 5' Subdivision of (7), I RA-'VOA Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize !ZL4 uc I. ( .E "Vj5- a duly licensed professional engineer '� 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 Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersign P.E. , R.A. , &0 s A& Address Telephone Very truly yours, Signed y' Owner of Property •acs G:LC. At'r ,s-t (??P- Address Town 2-C>3 -7 Z. (r'-7-M' Telephone C, C4 DEPARTMENT 'OV" HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH WELL LOCATION STREET ADDRESS: TOWN IVICUCLICI I Y TAX GRIO NUMBER: 6 0, L? q /GL 104 7,rzw\sotij tiJAf 8 J-,o r' - "WELL OWNER" NAME: MP ADDRESS: i-oF-r CvA4,s1-k0C-7-1e)t-J ,qO645E k-� 0,eEw5T 7Z R?BiVATE 0 PUBLIC USE OF WELL 1- primary .2 secondary 0 RESIDENTIAL 0 PUBLIC SUPPLY 0 AIR/COND./HEAT PUMP ❑ ABANDONED ❑ BUSINESS 0 FARM 0 TEST/OBSERVATION 0 OTHER (specify) ❑ INDUSTRIAL 0 INSTITUTIONAL 0 STAND-By ❑ A . MOUNT- OF USE YIELD SOUGHT gpm./NO. PEOPLE -SERVED EST. OF DAILY USAGE gal. .AEASON FOR DRILLING X NEW SUPPLY 0 PROVIDE ADDITIONAL SUPPLY 0 TEST/ OBSERVATION ❑ REPLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH L55 _ ft. STATIC WATER LEVELIE— ft. DATE MEASURED DRILLING EQUIPMENT ❑ ROTARY COMPRESSED AIR PERCUSSION ❑ DUG 0 WELL POINT ❑ CABLE PERCUSSION 0 OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. J;eOPEN HOLE IN BEDROCK 0 OTHER CASING DETAILS TOTAL LENGTH —a-L tL MATERIALS: JSrSTEEL 0 PLASTIC ❑ OTHER LENGtH.BELOW GRADE E Jo ft JOINTS: 0 WELDED f4-'THREADED ❑ OTHER ..-DIAMETER ---b--in. SEAL: ISMEMENT GROUT 0 BENTONITE 0 OTHER WEIGHT PER FOOT 1b./It I DRIVE SHOE. -;IYES 0 NO IJNER: 0 YE S RNO SCREEN DETAILS DIAMETER (in) -SLOT SIZE LENGTH (it) E DEPTH TO SCREEN (It) DEVELOPED? FIRST 0 YES ONO HOURS SECOND GRAVEL PACK ❑ YES ❑ NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH _f`L BOTTOM DEPTH It. WELL YIELD TEST If detailed pumping METHOD: 0 PUMPED tests were done is in- ' )O�COMPRESSED ' AIR formation attached? 0 Siit.tb 0 OTHER' '@-YES ❑ NO It more detailed formation descriptions or sieve analyses WELL LOG are available. please attach. DEPTH FROM 1Water SURFACE Bar- ing Well Oi3- meter FORMAnON DESCRIPTION C30E a WELL DEPTH It. DURATION hr. min. DRAY1OOWN It. YIELD 9PM_ Land surlace /71 /C-109 7- TOTAL 1 70 A 91 01 TEMP. WATER O CLEAR TEMP. QUALITY 0 CLOUDY HARDNESS ❑ COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? 0 YES 0 NO STORAGE TANK: TYPE CAPACITY GAL. PUMP INFORMATION TYPE MAKER MODEL CAPACITY DEPTH VOLTAGE HP WELL DRILLER NAME/% qb 0,9/) 4),EZL0 OAT ADDRESS leb 3- Re) 07-,--- 52— SIGNATURE �-3 I'- ly "A, .Jdl 17 - -13 i 9 &_ — 1.14'1`12=1= 94 17:=11 1 L1: I:.INTEP =.! IF'F'L _,DI i TEL c't1- - New York City Department of Envimnmontal Protection Bureau of Water Supply & Wastewater Collection Sources Division (914) 742. 2012/3 Division of prinking Water Quality Control (914) 742.2080 1 . . 465 Columbus Ave. Suite 350 Valhalla, New York 10595- 1336 Commissioner RICHARD Q. GAINER, P.E. Deputy Commissloner D %% EP May 10, 1994 Julius Cesare, P.E. Blackberry Hill Brewster, New York 10509 1?e: Quaker Manor SSTSs (T) Patterson, Putnam County Dear Mr. Cesare: The Department has inspected the deep holes, witnessed the percolation tests and 'inspected the sites for ten proposed individual subsurface sewage disposal systems (SSDS) for the proposed project. The lots are shown on the site Flan labeled Final Plat Quaker Manor and dated 4/4194. The ten SSDSs for lots 1 -10 meet the requirements of 10 NYCRR Appendix 75 -A. The ten sites as located on the Final Plat are approved for SSDSs. Requirements for final individual SSDS drawings for construction approval will follow shortly. Should you have any questions, please call: 914 - 742 -2065. .Sincerely, t J s W. Roberts, P.E. Program Engineer xc: Town of Patterson Planning Board Putnam County Department of Health Julius I. Cesare, P.E. Blackberry Hill Brewster, New York 10509 914 - 279 -7115 May 15, 199.6 Bruce Foley, Director Putnam County Dept. of Health 4 Geneva Road Brewster, New-York 10509 Att: William Hedges RE: SSDS Quaker Manor Lots 1 -10 Dear Mr. Hedges, We are herewith transmitting completed construction permit submission packages for the above noted 10 lots of the Quaker Manor Subdivision. This letter will serve as a transmittal letter for all 10 submissions. A copy of the letter will is included in each of the submission packages. In accordance with department requirements we are submitting the following: 1. A completed Construction Permit Application. 2. A letter of authorization for the Engineer for each lot. 3. A corporate resolution for each lot. 4. An Engineers Design Data report for each lot. 5. Three sets of plans sealed by the Engineer . containing all the required data as outlined in the Departments policies. 6. As these lots are being sold unimproved but with SSDS Approval, we are not submitting specific house plans for each lot. Be advised the Lots 1 -8, and 10 are designed for four bedrooms and lot 9 for three bedrooms. We will advise buyers by providing copies of this letter that they are to provide you with house plans before start of construction. 7. We are providing Well Permit Applications on lots 1, 3, 4, 6, 8, and 10. Wells already driven page 1 will be used on lots 2, 5, 7 and 9. Logs of these wells are herewith included. 8. A certified check in the amount of $3_,000.00... .. to cover the combined fees on all 10 lots is herewith included. The field data for lot 5 would indicate that no fill is required for the system design and a two and one half foot fill required for the expansion design. The plans are presented as such, however the toe of slope for the expansion fill will encroach upon the now to be constructed system. The two options are to build the system in fill or to request a waiver for construction of the expansion fill at this time. As the deep holes in the system area show more that sufficient depth it would not be good.engineering judgment to construct a fill. We are therefore requesting a waiver of the requirement that the expansion fill be constructed at this time. Please be advised that during the course of the subdivision design representatives of the NYCDEP did visit the site, review all available test data and determine what additional testing would be required. All that testing was completed and witnessed by them and again by your department. A copy of the NYCDEP letter is herewith included in each of the submittal packages. Thank you for your cooperation in this matter. Very truly yours, A C— Julius I. Cesare, P.E. page 2 SSDS DESIGN REPORT QUAKER MANOR SUBDIVISION LOT # 7 QUAKER MANOR SD LOT # 7 4 Bedroom Design Design Flow: 4(200 gal /bed) = 800 Gallons Perc Rate: 16 -20 Application Rate: 0.7 Req. Area: 800/0.7 = 1143.0 Req. Field Length: 1143/2 = 572 LF Septic TAnk: 1250 Gallons PUMP SYSTEM RLI: 777.0 Use 8 lines, 72' for System and Expansion No Fill Required Pump Pump Static Head DB Inlet 807.40 Pump 1 Outlet 775.96 31.44' QUAKER MANOR LOT 7 4 Bedroom Design PUMP DESIGN Design Flow: (4)(200 gal /bed.) = 800 gallons Field Length: (See Design) = 572' Dosing Volume: (pi)(2/12)2 (572)(.75)(7.5) = 262 gal. Maximum Dose Permitted 100 gal. Use 90 Gal. PUMP PIT SIZES Use 4 x 6 (180 gal /vert Foot) 90/180 = .5 (6 ") Storage in PUMP PIT Required storage 1 Day Flow = 800 Gal. 800/180 = 4.44 Vert Feet = 4'5" PUMP # 1 Losses Static Head = 31.44' Use 2" Force Main Length of Force Main 240' EQ Pipe 3 45° elbow 3 x 2.5 = 7.5 1 Check Valve 13.0 1 Gate Valve 1.2 Total EQ Pipe 21.7 Total Length of Pipe 240' + 21.7' = 261.7' Total Length (261.7)@ 6.3 Loss /100' = 16.0 Total Losses 31.44 + 16 = 48.44 Use Gould WE 1012H 1 HP 53' @ 45 gpm 230V Single Phase APPLICATIONS Speciti designed for the lollowii:-:1, uses: • Homes • Farms • Trailer courts • Motels Schools • Hospitals Industry • Ellluent �vstems SPECIFICATIONS Pump: • Solids handling capabilities: '/. maximum. Discharge size: 2" NPT. Capacities: up to 128 GPM. Total heads: up to 123 feet TDH. Mochanil.. = :ml: silicon tarblde -rotary seat/silicon carbide- stationary seat, 300 01106 stainless steel metal pads, BUNA -N elastomers. omperature: 104 1F (40 °C) continuous i 1401(6 q intermittent. FAateners: 300 series Winless sl��el. !CGpable of ru:;ning dry "hout damage to . components. 'Ole phase :' /3 HP, 115 01230 V 60 Hz , 1750 RPM; 1411P,115 V, 60 Hz, X00 RPM; '/2 HP —1' /2 HP, r0 V, 60 H7, 3500 RPM. 111111t'In overlc,u.i with Womatic reset. �q B Insulation. • Three phase:' /2 HP — 1T/2 HP 200/230/460 V, 60 Hz, 3500 RPM. Class B insulation, overload protection must be provided in starter unit. • Shaft: threaded, 400 series stainless steel. • Bearings: ball bearings upper and lower. • Power cord: 20 foot standard length (optional lengths available). Single phase :' /3 and' /2 HP —16/3 SJTO with three prong plug. %/ 1'/2 HP —14/3 STO with bare leads Three phase:' /2 -1'/2 HP —14/4 STO with bare leads. On CSA listed models — 20 foot length SJTW and STW are standard. METERS FEET 0 a W Y U a 15 0 J a p 10 Goulds Submersible Effluent Pump a 6 0 10 RO, CANADIAN STANDARD ASSOCIATION S A FEATURES Impeller: Cast iron, semi - open, non -clog with pump - out vanes for mechanical seal protection. Balanced for smooth operation. Silicon bronze impeller available as an option. Casing: Cast iron volute type for maximum efficiency. 2" NPT discharge adaptable for slide rail systems. Mechanical Seal: Silicon carbide vs. silicon carbide sealing faces. Stainless steel metal parts, BUNA -N elastomers. Shaft: Corrosion - resistant stainless steel. Threaded design. Locknut on three phase models to guard . against component damage on accidental reverse rotation 1511 Motor: Fully submerged in high -grade turbine oil for lubrication and efficient heat transfer. Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage. Bearings: Upper and lower heavy duty ball bearing construction. Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. 0 -ring: Assures positive sealing against contaminants and oil leakage. OMEN:: ill O \ENON \"�NONN�MEONNNMNNNN ' WENNEWO EMKO. ■MURNMEMMEMME WENEWROMMEN Q■- v -rE�►O0 ■�E \ \ .4E►� ■EM".1�ME IMMENME MMEME Mmiggamal mm 167-3 0-14MMEMBlEMME 0 . 10 20 30 40 50 60 70 80 90 100 110 120 130GPM 20 CAPACITY 30 m3/h �•�rrr�vu� rl PUPNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIROkMYM HEALTH SERVICES AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Camnissioner of Health In the matter of application for: G� �u.4 -CQ-ti 1"AlV01L represent that I am an officer or employee of the corpomtion and am authorized to act for of Corpora having offices at `b2 iLc , :Whose officers are: President: (Name and 4daress) Vice - President: (Name and address) Secretary: (Name and'•\address ) Treasurer: (Name and address} -. c ..c_c. and that I am and will be individually* responsible for any and all acts of the corporation with respect to the approval requested and all subsequent acts relating thereto. Sworn to before me this L-t-T-day INFEWI!oon Sigfied-:����•���� -- Title: 2� Corporate Seal 20 PARTS Item No. Description 1 Impeller 2 Casing 3 Mechanical seal 4 Shaft 5 Motor 6 Bearings - upper and lower 7 Power cable 8 0 -ring MODELS k Order No. HP Volts Phase Max. Amp. RPM Solids WL (ibs.) WE0311 L 45 115 M� 9.4 mmmmmmmmmm 85 WE0312L ' 230 N 4.7 1750 56 WE0311 M 35 115 9.4 47 70 WE0312M 30 230 1 4.7 mom 62 WE0511H 25 115 13.0 25 52 WE0512H 18 230 6.5 17 42 WE0538H .':::im°:':: 200 3.9 8 32 WE0532H 3J 230 3 3.4 21 WE0534H Y2 460 1.7 .ili.ii..C.CiC.C. 60 WE0511HH �d 115 1 13.0 WE0512HH _. 230 6.5 WE0538HH 200 3.8 C:::::C'�l:C:C:: WE0532HH 230 3 3.3 • WE0534HH 460 1.65 mmm■ WE0712H mfit)tliil•mmI�lii�lil•� 230 1 10.0 WE0738H ' 200 6.2 WE0732H 208 -230 3 5.4 3500 WE0734H 460 2.7 70 WE1012H 230 1 12.5 WE1038H 1 200 8.1 WE1032H 208 -230 3 7.0 WE1034H 460 3.5 loom WE1512H 230 1 15.0 IIIIIII WE1538H 200 CIN�CCC=C:�':=:I:l 10.6 WE1532H 208 -230 3 9.2 WE1534H 1 1 ` 460 4.6 80 WE1519HH 230 1 15.0 WE1538HH 200 10.6 nuCC:'� WE1532HH 208 -230 3 9.2 WE1534HH . 460 4.6 METERS FE lis I, 35r 30 c W S U 25 a i 0 20 5 0 10 20 30 40 50 60 70 so 90 100 GPM fr� 0 10 20 m31h ` CAPACITY Goulds Submersible Effluent Pump 6 4 3 3885 PERFORMANCE RATINGS (gallons per minute) WE0511H WE0511HH Order WE0512H WE0712H WE1012H WE1512H WE0512MH WE0530H WE0738H WE1038H WE1538H WE0538HH No. WE0311L WE0311M WE0532H WE0732H WE1032H WE1532H WE0532HH: WE0312L WE0312M WE0534H WE0734H WE1034H WE1534H WE0534HH HP 'h '/3 '/2 % 1 1'h '/2 ' -I RPM 1750 1750 3500 3500 3500 3500 3500.1 5 - - - - - - 60# 10 80 65 - - - - 56 15 60 57 69 90 104 128 53.,?d 25 25 50 76 92 116 45 E1M M� 38 mmmmmmmmmm 85 109 40 3 35 N 26 MMMMmmmMMm� 78 102 35 Y 40 15 47 70 94 30 iu 45 U. i mom 62 86 25 50 25 52 77 18 :.fff mumm, 17 42 67 .':::im°:':: ;0 60 8 32 56 3J 9 65 21 46 CMoon 70 .ili.ii..C.CiC.C. 11 35 �d _. C:::::C'�l:C:C:: • mmm■ mfit)tliil•mmI�lii�lil•� ' -Ulm 1 1=1C::::::C:I' 1' loom 61 IIIIIII CIN�CCC=C:�':=:I:l nuCC:'� =C:��C:C:C:, . milliniLa®ikik lis 0 10 20 30 40 50 60 70 so 90 100 GPM fr� 0 10 20 m31h ` CAPACITY Goulds Submersible Effluent Pump 6 4 3 3885 PERFORMANCE RATINGS (gallons per minute) WE0511H WE0511HH Order WE0512H WE0712H WE1012H WE1512H WE0512MH WE0530H WE0738H WE1038H WE1538H WE0538HH No. WE0311L WE0311M WE0532H WE0732H WE1032H WE1532H WE0532HH: WE0312L WE0312M WE0534H WE0734H WE1034H WE1534H WE0534HH HP 'h '/3 '/2 % 1 1'h '/2 ' -I RPM 1750 1750 3500 3500 3500 3500 3500.1 5 - - - - - - 60# 10 80 65 - - - - 56 15 60 57 69 90 104 128 53.,?d 25 25 50 76 92 116 45 30 38 67 85 109 40 3 35 26 58 78 102 35 Y 40 15 47 70 94 30 iu 45 U. 36 62 86 25 50 25 52 77 18 = 55 17 42 67 12 ;0 60 8 32 56 3J 9 65 21 46 =? 70 11 35 �d 15 110 DIMENSIONS k. (All dimensions are in inches. Do not use for construction pu D" /3,'h, 3// and 1 HP =15' except for model WE0712H and WE1012H = 18';1'h HP: =18'; �. 12/2' ROTATION 8'/i KICK -BACK EFFLUENT EJECTOR SYSTEM Effluent ejector system Package Include offers ease of ordering Submersible EttWO and installation. Asingle 12LorWE0311IA1A- Mercury Level COn I ordering number specifies - A2-5(11M-A2-6 .. a complete system designed Basin A7- 1801S, for most residential and `�' Check ValveA9.2P. commercial sump and Order ,-.49A - 011, $ DZ P)-) THE CITY of NEW YORK DEPARTMENT of ENVIRONMENTAL PROTECTION JOEL A. MIELE, SR., P.E. Commissioner PHONE (914) 742 -2001 FAX (914) 742 -2027 September 15, 1998 Mr. Julius I. Cesare, P.E. Blackberry Hill Brewster, New York 10509 RE: Quaker Manor - Lot #7 Log # 7185 Patterson, Putnam East Branch Reservoir Dear Mr. Cesare: WILLIAM N. STASIUK, P.E.,Ph.D. Deputy Commissioner Bureau of Water-` Supply;= Quality and Protection Enclosed please find the New York City Department of Environmental Protection's (NYCDEP) SUBSURFACE SEWAGE TREATMENT SYSTEM DETERMINATION for the above referenced property located on South Quaker Hill Road in the Town of Patterson, Putnam County, New York (Tax Map# 4.10 -1 -25, Lot #7). This letter is to inform you that your application to engage in the above referenced regulated activity pursuant to the "Rules and Regulations for the Protection from Contamination, Degradation, and Pollution of the New York City Water Supply and its Sources" (Regulations) was approved on September 15, 1998. The Department reserves the right to modify, suspend, or revoke this approval based on the grounds set forth in Section 18 -26 of the Regulations. The activity proposed in your application only apply to the terms of this approval and are subject to the Regulations cited above. Failure to comply with the conditions of the approval may be the cause for suspension of this approval and initiation of an enforcement action. Should modification, suspension or revocation of an approval be necessary, NYCDEP will notify the regulated party, via certified mail or personal service, prior to modifying, suspending or revoking the approval. The notice will state the alleged facts or conduct which appear to warrant the intended action and explain the procedures to be followed. 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 their representative making this determination. 465 Columbus Avenue, Valhalla, New York 10595 -1336 fA 9 Mr. Julius I. Cesare, P.E. Re: Quaker Manor - Lot # 7 Page 2 of 2 September 15, 1998 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. Once the project has been completed and inspected by a representative of this Department, a copy of the As -built plan shall be sent to this office. If you have any questions regarding this approval, please contact Jannine McColgan at (914) 742 -2068. Supervisor Engineering Design & Review Encl: plans cc: Putnam County Department of Health Mr. John Calbo, Building Inspector, Town of.Patterson James Covey, NYSDOH Bxc: Sadosky H. Meltzer Lloyd /McColgan File 465 Columbus Avenue, Valhalla, New York 10595 -1336 0- R �RK u „ vcrgRTMf � " New York City LOM " 0L z r o� �rr Department of F�`'RU'VMENTALPR� Environmental Protection SUBSURFACE SEWAGE TREATMENT SYSTEM DETERMINATION Pursuant to the authority granted under: Article 11 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 -39 (or Chapter 18); and 10 NYCRR Appendix 75 -A Wastewater Treatment Standards - Individual Household Systems. 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: Quaker Manor Lot 7 Location: South Quaker Hill Road, Town of Patterson, Putnam County, NY Owner: Thomas Scott Address: Properties East, L.L.0 c/o Thomas Scott 20 Colonial Drive Danbury, CT 203 - 792 -4776 Drainage Basin: East Branch Reservoir Type of Sewage Treatment System and General Description: Subsurface Sewage Treatment System for a 4 bedroom residence. The system consists of a 1250 gallon septic tank and 667 lineal feet of absorption trench and is designed to treat 800 gallons per day sewage effluent. Additional area exists for 100% replacement of the absorption area. The system shall be installed in accordance with the plans titled Quaker Manor SD Lot 7 Plans and Quaker Manor SD Lot 7 Profiles and Details, Located at South Quaker Hill Road, dated May 7, 1996, last revised September 8, 1998, prepared by Julius I. Cesare, P.E.. Dates of Site Inspections and Soils Tests : Deep Hole Tests - 1994 and June 1998 Percolation Tests - 1994 and June 1998 Page 1 465 Columbus Avenue, Valhalla, New York 10595 -1336 SUBSURFACE SEWAGE TREATMENT SYSTEM DETERMINATION (XX) Approved ( ) Denied Conditions of Approval: 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. This approval shall expire and thereafter be null and void unless construction is completed within two (2) years of the date of issuance or within any extended period of time approved by NYCDEP upon good cause shown. 5. The applicant will provide "as built" plans to NYCDEP, certified by the engineer. 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, this approval is not valid and construction of the SSTS is in violation of NYCDEP Regulations. 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 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 change in the system must be approved in advance of construction by this Department and any other agencies with regulatory authority, including but not limited to county and state department of health. 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. Page 2 465 Columbus Avenue, Valhalla, New York 10595 -1336 SUBSURFACE SEWAGE TREATMENT SYSTEM DETERMINATION 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 Part 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 all applicable regulations. 14. This approval shall not be construed to invalidate any rule or regulation enforceable by local authority having jurisdiction. Date: September 15, 1998 Determination made by: Margardl Lloy , �.E. Supervisor Engineering Design and Review Recommended for Approval: Jnine M. McColgan ff Civil Engineer Engineering Design and Review This determination letter must be maintained by the applicant and be readily available for inspection at the construction site. Page 3 465 Columbus Avenue, Valhalla, New York 10595 -1336