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HomeMy WebLinkAbout0254DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 5. -1 -18 BOX 3 ME I !7 i • :;is r IN Is I'm .! . IN-bli ' T�' ■'L MILL i N � T 00063 \� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE F REATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located at 1? 1 pa E i2bAr2 Town or Village sal�l Owner /Applicant Name 0A ( M A6al�i (J2E— Tax Map S Block Lot Formerly Subdivision Name f5P1 IDLE 01266— E5 A� CS q I I) Subd. Lot # 9 Mailing Address r 8 Q P Lf-- -E-0Al2 Zip 2 (a Date Construction Permit Issued by PCHD & lq la g Separate Sewerage System built by gA %( M AAA U(9E Address -5AME AS PF -Nf- Consisting of 12 Gallon Septic Tank and 4 00 L_.F 0 f' Z! W I i7F— /� Other Requirements : �/,t.' �(� )&V8t1{�jd� p! e7TF 1GITt $ax w. Water Supply: Public Supply From. Address or: _ Private Supply Drilled by IR)YD AgA-SJAf- 4 Address L?J. 22 CAZMC- N Y. Building Type S 1 NG LIv FAm j `� Has erosion control been completed? Number of Bedrooms A' Has garbage grinder been installed? /\o I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulat' o epartment of Health. Date: Certified by P.E. X_ R.A. VVUT" A4-ok (Design rofessional) Address ltn= C---;yLF =N F.dJ?AF- Mgt4 E-t- t4q. 11 5l2- License # Ca(a -14AC(„ Any person occupying-VTemises 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 ar ubject to modification or change when, in the judgment of the Public Health Director, such revocatio , o ificatio r change is necessary. By: r Title: Date: 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:: k 11 P + Cc1 Town/Village: _Ra 7ff -MS 0kj Tax Grid # Map Block Lot(s) Well Owner: Name: 4 Address: r . 0- 11 py S-0 Q. Is o o N f P.,S76 3 Use of Well: 1- primary 2- secondary LK Reside ial Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion __K Compressed air percussion Other (specify) Well Type Screened Open end casi 2L Open hole in bedrock Other Casing Details Total length Length below grade a O ft. Diameter t!i in. Weight per foot lb /ft. Materials: _ Steel _ Plastic _ Other Joints: _ Welded _K Threaded _ Other Seal: _ Cement grout _ Bentonite Other Drive shoe: ALYes No Liner:_ Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test Bailed _ Pumped X Compressed Air Hour4— Yield .� 0 gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet SS 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 3 �y �? 5° /�J L S LS If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Capacity Depth Model Voltage HP Tank Type Volume Date Well Completed Putnam County Certification No. Date of Report Well Driller ignature) NOTE: Exact location of well with distances to at least two permanent landmarks to be pro ci�don a separate sheedp H,2 Well Driller's Name Har .� Address: ri/1�12t a� r Signature: Date: 6-IT -0 0 ©S Ids White copy: HD File; Yellow cop - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 PUTNAM ENGINEERING, PLLC 102 Gleneida Avenue Carmel, New York 10512 Phone: 914 - 225 -3060 Fax: 914 - 225 -2955 e -mail: www.puteng @bestweb.net LETTER OF TRANSMITTAL Date: CO/ 13 lO D RE: Y. 111-b "I F-F, is) -eA-CT ^i P/E Job: r-rK' S ° 1-1 B We are sending you attached under separate cover, the following items via Certified Mail, Overnight, Hand Delivery, Pick Up: Originals Prints Colored Prints Reports Photographic Exhibit Other: Copies Date Dwg. No. Description Iti S 2 ruw � y a Plans Specifications These are transmitted: _ For approval _ Approved as submitted — For your use _ Approved as noted _ As requested _ Returned for corrections _ For review /comment _ Resubmit copies for approval Submit _ copies for distribution Remarks: Copies to: SIGNED: /J"VL" If enclosures are not as noted, kindly notify this office. 06/13/00 TUE 11 :11 FAX FROM : PUTNAM EVrINEERING PLLC r BPIUCE k FOLEY Public Health DiAmor PHONE NO. : 914 225 2955 .. Z VI Jun. 13 2000 11:23AM P2 14"y L41R)MA MQLINA1U RN., M.S.N. .ca . ;, 1 ;,1�rraeiQSt f'N�lie HeaPth Dirselo► Di.�clar of Patr�ni ,Savlces DEPARTNffiNT OF HEALTH 1 Geneva Rnad Brewster, NeWr York 10509 Eavlra'sweaai H04tp (014)378 -600 Fax(5114) 273 -7921 Nawing Serv(ees (914) 27S - 6538 WIC (914) a7S - 6678 ra ('914) 278.60SS Early Intervendan (914)278-6014 I?ms tool (914) Zn4OS2 Pax (914) 273 - 66,48 E911 ADDli SRS VERYFj .A'Z'ZD oWrrERS INAM: 'AY' hit a~e TAX .iVW NUMBER 991.1 ADIUMS: '4 r-1 =;rP E TOWN: pj�-e5QP4 AUTHOPJUD TOWN OFFICUL: (Signature) DATE: The Putnam County Department of Health will not ispue 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. (8911 VDF Mj A5. 5U I LT MEASUREMENTS N FE:-ET A -7- \ I I Ac AELL. 2--7 OF ;1/� lk- 00i*r0' FROM PUTNAM ENGINEERING PLLC PHONE NO. 914 225 2955 Apr. 13 2000 07:25AM.P3 t " PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM kR 1CCk '6rI /I1 � Ckex Owner or Purchaser of Budding S_ / l2? Tax Map Block Lot IRS ti o TIA \ : ` • �n Sh S4 Te, Sc '. aA � eN-SO Building Constructed by TownNillage Location - Street Subdivision Name S_��P- Building Type Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above- described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system, The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system_ Dated: Month J -,^ e-- Day I U Year Z y o o Signature: Title: Ge 1 Contractor (Ow er) - Signature Corporation Name (if corporation) Corporation Name (if corporation) Address: 41 72jefpc•E tLML 1P. ?a100�•1 Address: State- Zip • 1,563 State Zip - Form GS-97 FROM PUTNAM ENGINEERING PLLC PHONE NO. 914 225 2955 Apr. 13 2000 07:25AM P3 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchaser of Building Tax Map Block Lot ► o `� �i CA \ e. Ste. Q�•�C e.SSo Build niBuild g Constructed by Town/Village c/% fill c/S e.. /cam _ �`' r ' 1 e— I` .% C15 Location - Street Subdivision Name Building Type Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above- described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system_ Dated: Month � e-- Day NO Year Z v 0 0 2�,�w Z Ge 1 Contractor (Ow 4'r) - Signature Corporation Name (if corporation) Title: Corporation Name (if corporation) Address: 41 ';PtP, , eVU7 �E Address: State L4. . Zip I Z6 State Zip Form GS -97 YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director LAB #: 93.000646 CLIENT #: 12175 NON STAT PROC PAGE 2 MAGUIRE JR., RAYMOND DATE/TIME TAKEN: 05/26/00 10:30A P.O. BOX 561 DATE/TIME REC'D: 05/27/00 11:40A PATTERSON, NY 12563 REPORT DATE: 06/07/00 PHONE: (914)-878-6998 SAMPLING SITE: 41 BRIDLE RIDGE RD. : PATTERSON, NY, 12563 Cr)L'D BY: RAYMOND MAGUIRE JR. NOTES...: KIT TAP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE METHOD PH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0-70 MG/L VERY HARD WATER: ABOVE 300 MG/L MODERATELY HARD WATER: 70-140 MG/L MG/L = MILLIGRAM PER LITER HARD WATER: 140-300 MG/L (1 grain/gallon = 17.2 MG/L) SUBMITTED BY: Albert H. Padovani. M.T.(ASCP) Director ELAP# 10323 YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director LAB #: 93.000646 CLIENT #: 12175 NON STAT PROC PAGE 1 MAGUIRE JR., RAYMOND DATE/TIME TAKEN: 05/26/00 10:30A P.O. BOX 561 DATE/TIME REC'D: 05/27/00 11:40A PATTERSON, NY 12563 REPORT DATE: 06/07/00 PHONE: (914)-878-6998 SAMPLING SITE: 41 BRIDLE RIDGE RD. : PATTERSON, NY, 12563 COL'D BY: RAYMOND MAGUIRE JR. NOTES...: KIT TAP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORM METH: MF -------------- 0 ---------- ~~~ ----------- RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 05/27/00 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 05/27/00 LEAD (IMS) 1.7 ppb 0-15 ppb 9101 05/27/00 NITRATE NITROG <0.2 MG/L 0 - 10 9139 05/27/00 NITRITE NITROG <0.01 MG/L N/A 9146 05/27/00 IRON (Fe) <0.060 MG/L 0-0.3 mg/l 2037 05/27/00 MANGANESE (Mn) <0.010 MG/L 0-0.3 mg/l 2037 05/27/00 SODIUM (Na) 2.98 MG/L N/A 0E5/27/00 pH 5'5 UNITS 6.5-8.5 9043 05/27/00 HARDNESS,TOTAL 14.0 MG/L N/A 05/27/00 ALKALINITY (AS 12.0 MG/L N/A 05/27/00 TURBIDITY (TUR <1 NTU 075 NTU COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATE NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDING-T�THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb/Cu LEAD limits for p EPA Lead & Copper than 10% of their than 15 ppb and a treatment must be potential. ib1ic schools are set at 15 ppb. Rule for Public Systems requires that no more distribution points have a LEAD value of more COPPER value of 1.3 mg/L, else water undertaken to reduce the waters corrosive Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium is suggested. ?e -1 PUTNAM COUNTY DEPARTINIENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES / s FINAL SITE INSPECTION Date: r� II //��,, DD r Inspected by: Street Location _ ,cI.X� tcG /�Q Owner IJ�i Urr1b Town i.s�t,, Permit TM 9 — %$- Subdivision Lot 4. 1. Sewage System Area a. STS area located as per approved plans ........................... b. Fill section - date of placement k " - 3:1 barrier Lgth. /dam Width J'_D Avg.Dpd c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands ..... : .......................... ...... II w Se Seas Qe S stem f ,,;� �- fi t �sizeyx, 00 ......... 1,250 ......... other Septic tank installed level ............................................... c. 10' minimum from foundation .......... ............................... d. Distribution Box A —outlets at same elevation -water tested..........., 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box - properly set ............. I ................. I.......... f. ren'!^ c eF s TT—en—gth required Length installed 2. Distance to watercourse measured `t" FtZbiD.. 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' /Z" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... 10. Pipe ends capped ........................ ........... ..................... g. Pump or Dosed Systems Size ot pump c am er ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual /audio ......:................ ..............:.......: 4. Pump easily accessible, manhole to grade ............ 4... 5. First box baffled .......................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. House/Buildin a. house located per approved plans. b Number of bedrooms ...................... .... ........(F iC IV. Nell liiscance measurea -r lo 12 n........... Jr c Casin g�� above gI da e }` ....... ..........................._ 'd ".S'urface rain ound 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 & dinto exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adeouate ... ............................... NO COMMENTS //1 <il-Ll /IV_, >1_ A y cM Stye Ad— �s J BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R-N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 FAX COVER SHEET rAj'4 �t Date: 5-1 / 8 / ©a �l(�, To: R/76644 F-Na12VFF=211�! Ize. 40r 9 From: Gene D. Reed Putnam County Department of Health X For your information For your review As discussed Fax #• 02a -'5-- 2 9:5"S No. Pages I (Including cover sheet) Please respond Attached as requested Please call Notes/Messages G GM rrl t=ATS /V a F7 7s _1 B "r ARcoyE C�7eAD� In the event of transmission /reception difficulties, please contact this office at (914) 278 -6130 ext. 2261. Ga 1t1cQ BRUCE R. FOL£Y Public Health Director Al /A DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 REQUEST FOR FIELD TEST LORE'TTA MOLINARI R.N., M.S.N. Avottate Publk Health Director Director of Patient Ser+.,ces ATTENTION: ❑ ADAM STIEBELING o GENE REED All information below must be LqUy completed prior to any scheduling. DATE: S ? ENGINEER OR FIRM: WiW A l D16 I NIEE?INETHONE #: REASON: DEEPS: a PERCS: o PUMP TEST: ROAD /STREET: :59-t PL--a PO AD TOWN: ?AZr61P-S0/-- .J TAX MAP #: SUBDIVISION: Sjt E�=E P-106 E J 5T- 5 LOT #: q OWNER: 9A Y��-sliC. t �' NYCDEP CRITERIAFOP JOINT REVIEW AND WITNESSING OF SOIL 1151I YES NO • ;BC Proposed SSTS within the drainage basin of West Branch or Boyds Corner Reservoirs. • VK Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. • W-- Proposed SSTS within 200 feet of a watercourse or a DEC wetland. • ,yam Proposed SSTS design flow greater than 1000 gallons /day or SPDES Permit required. • )If— Proposed SSTS for a Commerical Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If you answered Ms to any of the questions, NYCDEP must witness the soil testing. This Department will coordinate a mutually suitable time for field testing with the PCDOH, the Design Professional and NYCDEP. If a project has been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is required to witness the soil testing, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYCDEP. FOR COtJM'Y USE OYLY DATE! TIME: C[)�iRfFM1TSS FROM : PUTNAM ENGINEERING PLLC 4 MEMO TO: , �f PHONE NO. : 914 225 2955 Aug. 30 1999 04:16PM Pi " v kJ I I"KVZA: ru 114poin EINGMEERM, rjLjiA- DATE: RE: REQUEST FOR SSDS AS BUILT INSPECTION PROJECT TIME: STREET ADDRESS: TOWN: TAX MAP 9: PERMIT #: :19 (Lor 9 ) PLEASE NOTIFY THIS OFFICE AFTER YOUR INSPECTION AT (914) 225-3060, IN ORDER FOR US TO NOTIFY THE CONTRACTOR/OWNER THAT BACKFILLING THE SYSTEM MAY BEGIN. E-- tr--> Wa 7 Vr,? cod L s6tN24>or--1 (Rep-HSSDSmWht#mm) yeyv 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 (91'4) 278 =.7921 Nursing Services (914) 278 -6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 Oki, / i Date: 6-4112 / O r- To: 1444.1 Ila72 G Y '7e-! Loy- 9 'B-rz 1 -w- 'e rz cU From: Gene D. Reed Putnam County Department of Health )— For your information For your review As discussed Notes/Messages G©AI M ENTS Fax #• o2-a ° 'Z % 5 :!S— No. Pages % (Including cover sheet) Please respond Attached as requested Please call W In the event of transmission /reception difficulties, please contact this office at (914) 278 -6130 ext. 2261. v nu ut VJ. I ° ju z Y y IN 1 � r ti 0 v�Y UN Q— O UA _m ii_i �< ATTENTION PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 1:1 ADAM • • ' 104 • I D • XGENE All information must be fully completed prior to any inspections being made. For: Fill Trenches PCHD Construction Permit # Located: 21 171/15 P-1110 > �,�r> (T) (V) �'� _ � Owner /Applicant Name: TM 5_ Block Lot Formerly: Subdivision Name: ✓� ►Z 1 A1©6;TS Subdivision Lot # Is system fill completed? Date. Is system complete? yS Date: Is system constructed as per plans? Is well drilled? __ '-ku=' 5 _ _ Date: Is well located as per plans? 11&51 Are erosion control measures in place ?_ I certify that the system(s), as listed, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCBD Construction Permit and approved plans and the Standards, Rules and Regulat' the Putnam County Department of Health. / J Date: 67` l Certified by: PE RA Design—Fro essional Address: IP z' -d21`� � ' PW 4f� 91 Lic. Comments: �t? z Form FIR -99 � royL- 1151� (t uof tai V V rna. Va: cv rm `' FiEioY�l1�20ee 68:06 AM HENJYS DRIy1CWAVf } y[J V V avoice _ �1 -'PC CO1'Ft�r�tdCi'� 1NYein- I*1a11i: nit 3�m R'r,►eI Q"ury 00,?'74.10613slip > Fog 0;�1'7�Q'.'7o a; . r iild e.M C�LL.ANI�bU�; PH .COD W. TI 14RI ..L. FTC 'N �'1IL.L• 2. RI&O IIT OrP, TOP c: OF HIU.• L. T M 6.t� ON C.EP T . e213N C;ULpAC .•• IvR:rDLF- R, DO . _.. .. _ ' . '' .,, '• .r i ,y t•r ' ' i/ 'rernle p 8 00000 Twrr or.RVY71 1 C.O.D. MEM XV 00 IREG• -01014 0-•1'. AIR 641.00 !. 00 hEr �-Oxgow 1130 7c� � 00 '7US. 00 VV s 00 NOT alfAMA i *ZE .,t.' ,&fM • � �' n>rr.•►���F� TIC uV THa Maw. TOW Iffnft A ftft •• 1 p 4- t%r C46 ch"k w. a Popew R@OMYMI 0.00 Tam •,h r A PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # Well Location: Street Address: Town/Village Tax Grid # e4t?L �1 Map 5 Block Lot(s) 1 Well Owner: Name: Address: AL iu D7 -0 � � �� /k , Use of Well: Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought`M04 �j gpm # People Served [-_�AAiLf Est. of Daily Usage 00-Ral. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling 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 So� Is well located in a realty subdivision? ...................................... ............................... Yeses_ No Name of subdivision ]�2Z j l E- M l76► E. i i E� Lot No. Water Well Contractor: ve:Kl ik-Ep Address: Is Public Water Supply available to site? .................................. ............................... Yes No >c, Name of Public Water Supply: N /R Town/Village Distance to property from nearest water main: G►r,"dt , I he r. I - . Proposed well location & sources of contamination to be nrovi �ZA e on sheet/plan. V— Date: - c/ g Applicant Signature: PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump. the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a wateyVQVII driller certified by Putnam County. Date of Issue Permit Issu' fficial: Date of Expiration Z-ou % Title: Permit is Non- Transfe rab e 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 CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # - 9 Located at 1 D L le Town or Village -$21 cy-r= F-L EaC� Subdivision name STaT Subd. Lot # 5— Tax Map Block Lot Date Subdivision Approved Renewal Revision Owner /Applicant Name MACS V 1 fc,, = Date of Previous Approval Mailing Address F0 F30X 1�7(0 1 F/S�T �; a 1 - 1 jai Zip Amount of Fee Enclosed 430c:o® Cp�Msuq 5vW-n^ in-ve-o) Building TypeSINJ6­1-6 r &-vA Lot Area 5#'� 2-No. of Bedrooms — Design Flow GPD o Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1 2..o gallon septic tank and AssoRPTto t,-1 I X e -r,1,cjr j Other Requirements: A-! X13 T-- To be constructed by` 12 "> fi . Address Water Sup "I : Public Supply From Address or: _Y Private Supply Drilled by °ry rf e— Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the sgnarate sewage treatment sy is em 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 o e issuan of the approval of the Certificate of Construction Compliance of the original system or any re ai Signed: P.E. A R.A. Date G✓ C4r C(9 Address 0 2. �� � X. �� 21.��.t, }d U I a License # & �v 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 perfnitj Approved jqr discharge of domestic sanitary sewage only. By: Title: Date: —4 1 /4h White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 13•-l• 1. 0 /2., FUT J VENT �'- �` 2x6 • - 2x6 , .•„(� 2x A 2430 1 VAL 36 2430 3630 9' -!l 1/2' 10' -6 1/2' �1 i I 11 I LIN iu Sip SRB 36 DV e 1 DRY fl ASH I [OF DATA PLATE STATE tABKCL - - - - - tj AND PFS LABEL LOCATION `o x N � 6 O 41 O 1 ., iu LAUNDRY BATH N O1 49.17 SO FT • - ri `D 3.93 LIGHT REO D N ' KITCHEN NOOK DINING ROOM O T 1.97 VENT REG'D a m - na45 SO FT 138.80 SO FT N v 030 LIGHT PRDV'D i� 9.00 LIGHT REO'D 11.10 LIGHT REO'D ?SAI VENT PROV'D m 430 VENT REO'D 535 VENT REO'D n 2378 LIGHT PROV'D 22.00 LIGHT PROV'D el 14.70 VENT PRDV D 1220 VENT PRDV'D > 11� it x3 - Q 3L 2'-- 8. -3/4' F121 28' 7, ° HAL -L ,�,I ST R, �� L�' 32�i � STUDS N 2 -2x4 STUD GRADE CLO �l1TNAi'I vJtiA6' EACH IT 3' -6' 8'-11 1/2' Zo EACH ur,1T AD LOLLY N ADIrL Lt1LY C REO D❑ PAN _ _ COLS _ m - - -- �`" -a• S' -6' - 4'-0' 2'.0, 9' -5' 6' -0' 2' 3' N nam County f' e�aartment of ,ea t' �i Q Q: ..v }¢�' on f 1'gnV iro :tncnta T Health Sery i/c.r s 1 tee: "° ^ CLO A. I";�d� �E TO P.�t -?IC7 I a1_a_ ONLY _._-�- ..:.� ' Vats � ;t �nsature & Title I f In aceor dar, s'. to app iez h? e ?pules an) c O FAMILY ROOM FOYER I I Refit'' " - ,�C3n3 of L. - t,RDOM;,' CoUnty Healiu 15.625 I� REO'D :i I I.c v�partMenrt. 18.61 LIGHT RE" za 7.81 VENT REO D 930 VENT REO D 22.00 LIGHT PROV'D ZD o tL r 1 I ` 22.0 VENT PROV'D MARTIN FIREPLACE 12.20 VENT PROV'D MODEL OSC36 c,!On tUS°6 Title - -- Dater -_�___ O R.D. 40 1/2'x44 1/4' V/A n 17x58'x6' HEARTH % � D 1e• 2• 0 CKU 17' N N 2.6 2x6 p 3� 8'-9 7/8' p � 30't9 7/8• 2� 8-3 1 /2' 2L 1" [E 1� 9' -3 3/8' 7/8' p� J2' 73 7/ ' 3' -9' 8' -0' 10' -3' 10' -3' 8' -0' 39' a0 -3 32'-3 2. 2 -0 'x6 EXTERIOR WALLS 2 16' O.C. ?x4 MARRIAGE WALLS P 16' O.C. ��Q ?vSe `TL t: S l p.E/JG e- )' -0' CLG HT. 2844 CONTI1 ;ITE LOCATION: MONTROSE, NY; WESTCHESTER COUNTY; 30 PSF SNOW LOAD r'd jL 1ST S' rtF lUILDER IS RESPONSIBLE FOR PROVIDING A PROPERLY �b����E ;IZED HEATING SYSTEM TO COVER A 77,000' BTU LOSS f��' ^Y&, DRAWN BY, CHECKED BY 'L C-r- Kt,,� ' MANUFACTURED STRUCTURES REVISIONS, RR.N2;' "HOX' 663,• LIVERPOOL, PA 17045 C t4f T' zrd YD-r L/Q krL-- AID (717)` 444 -3395 FAX (717) 444 -7577 '7t (3? o s (!r-- D 'RIE s i,9- TL'f2Y4 t TA vv, , J DEVELOPMENT CORP /SPEC 9'-3 1/4' 36' -6 112' 13' -10 3/4' SN -E _ rL PLUMB 44' -D' rl PLUMB 7' -5 1/2' SAFETY 29' -5 1/2' 7' -1' 41' -6' 39' -0' 351-3 1/4' 28-3 1/2' 19' -1' 151- 3113' -7 1/2' 4' -2' PLATE - € VL O MIRROR _ VE O4 4O �` -- - 2x6 2K6 • • eme rXGARDENIA 4'-8 1/2 ' 8' -10' - 13' -1 l /2' ET a 3V Air RLPOOL a BATH #2 T 'n 0, []" iin DRESSING AREA .o N ? 1'F m AL CALD VS30 VS30 2- OMIT 3' -0' SECT CD CLG L VALL GYP / lu 3 -2x4 SPF #2 EACH UNIT v ' 2' -2- R! r � z e BEDROOM #1 290.19 SO rT LIGHT REW I 11.6 VENT RE DD 22.00 LIGHT PROV'D 1220 VENT PROV'D AWL LIGHT/VENT PROV'D ZO 14'- O� 3� 8' -9 7 /8' O I 30't9 7 /B' JZ8B 3 1/2' 3L 2' -3' XTERIOR WALLS a 16' O.C. ARRIAGE WALLS a 16' O.C. CLG HT. SYSTEM TO BE 16' O.C. T WALK -IN ' CLOSET BATH #1, m i 2 3 IN Q fU n 1 O- N %D x L ' k7' -0 1/2' 1'-6'I 3 CLO OO _ E Amc - - -- #13-4 ccf ' . p HALL I 26 - t/p iq TU n i CD CLO to EAM OVER BR #1 /DRESSING TO BE: 2-1 1 /2'x11 1 /4'x20' -B' M-L BEDROOM #4 13715 SO rT 10.97 LIGHT REWD• 5.49 VENT REWD 11.00 LIGHT PROV'D 6.10 VENT PROV'D 2� 0'-6 7/8' . 10' -3' -7' BEDROOM #2 16036 SO rT 12.85 LIGHT RED'D 6.42 VENT REWD 22A0 LIGHT.PROV'D "- 1220 VENT PROV'D 4' -8 1/2' CLO BEDROOM #3 147.4 SO rT 11.76 LIGHT RECD 5.88 VENT REWD 22.00 LIGHT PROV'D 12.20 VENT PROV'D 13' -7 1/2' O u0 3 7 /8' 8' -0 11 1 -9 ECL; - u.�w �f el"T �OCN ers� �nT. �nr•e• El ?U O� 1 0 OI' -3 7, 3' -9' 2844 CONTINEN' 2ND STOW CHECKED HY. DATE, - - -- O1/ lU.UMIMIAAIA^I"I".IINA I M NAM COUNTY DEPARTMENT OF HEALTH HEALTH DIVISION OF ENVIRONMENTAL j , � � j i SERVICES - �. r DESIGN DATA SHEET SUBSURFACE SEWAGE TREATMENT SYSTEM Owner -` Address 10 Located at (Street) t 2OD (Le el fib .f�A r�> Tax Map Block ' Lot _ (indicate nearest cross street) Municipality Drain a Basin «A ST SOIL PERCOLATION TEST DATA Date of Pre - soaking `- Date of Percolation Test Hole No. Run No. Time Start - Stop Ela se Time Min.) De th to Water rom Ground Surface (Inches) Start Stop Water Level Drop In Inches . Percolation Rate Min/Inch 1 2 3 4 5 1 2 3 4 ` 5 1 2 3 .4. 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s.2 min for 31 -60 min/inch) All data to be submitted for review. ` 2. Depth measurements to be made from top of hole. C..r rin_0'7 :lll.. '.t i•- '- ':i:_!�:: _.b. N� !Gn'.i i1^!S 15l .:'. ti::. :!.7..a:i:.TVl+l�L1.JJSart.sr.sr ._ rt." s .a:wa'arawaa.armavur.a�.:sweas rs. vuae.+. .�.,.�____._._�.�Y..�- I` r _ ,TEST PIT DATA. . JI;ri ' DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. HOLE N0. ' G.L. 0.5' 1.0' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' ' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' 10.0' O L) VE Lo &,%A wlous W t�caM�NC� �x,1Z . Indicate level at which groundwater is encountered Indicate level at which mottling is observed Indicate level to which water level rises after being encountered 5—C? h Deep hole observations made by: Ll- 1 b — _ H o Date Design Professional Name: Address: Signaturt V�t°fNY war Q� Design Professional's Seal I��`' Goulds Submersible Effluent Pumps 3885 il. *� 1.' `.;+ _ '.� Impeller i 26 -CAsin , _ 9 3�--Mechanical 7 . S641 4 Shaft .5 Otor. 6.7;'Beaflngs - - Uppet & Low'er T.'0ower Cable 8. '16-Ring 5- ON- gnm -,.- ' k' �EHluent,electorsystem off er s& U b n e m i p I a ET! P r N PT VVEW1.1 LO WHOr-.1 ,tion.Wsin le ordering number.. 2H . ... .... ,r - !ng'1!3oyqanng,nurnDer--.��-- �sdpeenees d ao.cr moslet'wresjsiytnevrna l ; - sand commercial ,sump 'and eff ue pump applications - 2� fo1 model &WE1012H-=18' ; . . . . . . . . . . . . . . . . . ...... Available : rut Icat Canadian Standards Association, Pennsylvania•Bureau of Mines for non -face applications — BOTE 91. �,� i .�: k TNAM EINEERING,PLLE. May 20, 1999 Engineers and Planners Mr. Robert . Morris, P.E. Putnam County Department of Health 1 Geneva Road _ Brewster, N.Y. 10509 RE: Ray MaGuire SSDS Bridle Ridge Road Patterson, TM #5 -1 -18 Dear Mr. Morris: Please note that the above property has relocated the proposed septic and field testing has been witnessed by your office. We are in receipt of your latest memorandum, and we offer the following comments, specifically: I. The toe of fill has been revised to maintain a 10 foot separation from the property line. 2. The new plans have been forwarded to the Town of Patterson for a Wetland Permit. 3. Completed design data sheets have been enclosed including new field test locations. 4. The new septic location requires one foot of fill. The "fill only" section no longer applies. 5. The short EAF has been revised. A copy has been enclosed. 6. Deep tests have been witnessed by your department. Design Data Forms are enclosed. 7. Note #3 states, "Well to be located by surveyor." A note has also been added on the enlarged plan. 8. The existing detention pond has been shown on the plan. 9. Revised house plans are enclosed. The family room has been removed and replaced with a cathedral ceiling open to below. 10. The proposed well is now shown a distance of fifteen feet to the property line. 102 GLENEIDA AVENUE, CARMEL, NEW YORK 10512 • PHONE (914)225 -3060• FAX (914) 225 -2955 At this time, we would request your continued review and/or approval of the above project. Very Truly Yours, PUTNAM ENGINEERING, PLLC 0�7 By: �/ - -� Ken Hurley cc: Ray MaGuire Joe Sinisi file 990346 PUTNAM ENGINEERING, PLLC. Engineers and Planners 102 GLENEIDA AVENUE, CARMEL, NEW YORK 10512 • PHONE (914)225 -3060• FAX (914) 225 -2955 BRUCE R. FOLEY Public Health Director Ken Hurley Putnam Engineering 102 Gleneida Avenue Carmel, NY 10512 Dear Mr. Hurley: LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509. Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278-6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Re: Proposed SSTS: Maquire Bridle Ridge Road, Lot 99 (T) Patterson, TM# 5 -1 -18 May 27, 1999 Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: 1) The proposed plans submitted are approvable, however, a construction permit cannot be issued until a wetland permit is granted by the Town of Southeast. Upon receipt of a submission, revised to reflect the above comments, this application ,will be considered further. V ly your , 7obert Morris, P.E. Senior Public Health Engineer 09m, WETLAND ' ATERCOURSE PERMIT TOWN OF PATTERSON 2 Route 164 Patterson, New York 12563 Dated: June 3, 1999 Permit # 0599 -02 Permit is hereby issued to: Raymond Maguire PO Box 561 Patterson, NY 12563 Location of work: Tax Map # 5.1.18 Lot 9 of the Bridle Ridge Subdivision To conduct the work as follows: Construct a driveway and well within a wetland buffer in accordance with the Putnam Engmeering, PLLC plans dated May 1999 and last. revised May 14, 1999 and including the conditions stipulated in the Environmental Conservation Inspector's memo dated Jute 2, 1999. No activity shall be permitted within controlled areas except as identified in the approved applications and plans. 2. All work shall be performed in accordance with the New York Guidelines for Urban Erosion and Sediment Control. 3. The Permit Holder shall notify the Environmental conservation Inspector (ECI) in writing, at least five business days in advance of the Date on which project construction is to begin. 4. The Permit shall be prominently displayed at the project site during the undertaking of the activities authorized by the permit. 5. The boundaries of the project shall be clearly staked or marked and maintained. In addition, any wetlands contained within the boundaries of the project shall also be staked or marked. 6. The Environmental Conservation Inspector (ECI) or his designated representative shall have the right to inspect the project. 7. The Permit shall expire on completion of the acts specified and unless otherwise indicted shall cia7QJQ4b LF NOSN311Hd AO NMn1 WA 91:gn AA- Spa -Nnr f t r be valid for a period of one year. S. As a condition of the issuance of this permit, the Applicant has accepted expressly by the execution ofthe application, the full legal responsibility for all damages, direct or indirect, of whatever nature, and by whomever suffered arising out ofthe project described herein and has agreed to indemnify and save harmless the Town from Suits, Actions, Damages, and costs of every name and description resulting from the said project. • s� I . The Applicant is to include on the plans the design changes outlined in the memo from the Environmental Conservation Inspector dated ISSUED BY: erbert Scum CHAIRMAN PATTERSON PLANNING BOARD cc: Environmental conservation Inspector Town Engineer Codes Enforcement Officer F PROJECT I.D. NUMBER 517M • ,T Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM - For UNUSTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant.or Project sponsor) 1. APPLICANT /SPONSOR 3. PROJECT LOCATION: 2. PROJECT NAME. County eCA -_V_ LAM 4. PRECISE LOCATION (Street address and d Intersections, prominent landmarks, etc, or provide map) FOB^ CJL�t \ 1O�L l`AAR 5. IS PROPOSED ACTION: uC1.New ❑ Expansion ❑ Modificationtalteration SEAR 6. DESCRIBE PROJECT BRIEFLY: �O'�F �� �'Ir(.6r,•� I�i�t�'f �L� P�V�LL),�ICI c:S1� /�1�- v�?'t� -�i� �c�,8�lvi5io� 7. AMOUNT OF LAND AFFECTED: Initially 6;3:;,-. acres Ultimately 8-3.0— acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ,®.Yes ❑ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? R Residential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Park/Forest/Open space Describe: ❑ Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL. OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAL)? AYes Vo It Y03, 113t agency(s) and perntittapprovais TO W NA VJ L—_r av O Fr_y2_M cT T—_0-P_ 7=1 FZ t 'lei A 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? ❑Yes o If yes, list agency name and permittapproval . 12. AS A RESULT OF ""PROPOSED ACTION WILL EXISTING PERMR /APPROVAL REQUIRE MODIFICATION? ❑Yes r1 •N90 Applicantisponsor name: Signature: pi UJ-- M • LY Nc-H IS TRUE TO THE BEST OF MY KNOWLEDGE Date: -3h R 9 If the action Is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment P NAM 'CC"TY DEPARTMENT OF,HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES V, DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner 11A 6 Lk I kti f,= Address -P.0.30y, 5-co/ Located at (Street) -5jEi D 'i:!(Dr-AFr-7 2�A> Tax Map Block 1 Lot (indicate nearest cross street) Lsp'- �� 8 Municipality -PATt-s-- Drainage Basin SOIL PERCOLATION TEST DATA Date of Pre-soaking 71-Z-3 !q 9 Date of Percolation Test 21 -,74 199 INV I ha: I Tests to be repeated at same depth until approximately equal percolation rates are obtainq,C.at each percolation test hole. (i.e. < I min for 1-30 min/inch, �5 2 min for 31-60 min/inch) All data to'be submitted for review. 2. Depth measurements to be made from top of hole. Hole No. Rua No. Time Start - Stop Elan Time n.) Dipth to Water rom Ground Surface (inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch 4 5 1, /0'. r3 -- /0;-43' 7c) 2 /0' 41-- 11:14 �— --7 /0 3 2-7 16) 4 5 2 3 4 V ti 5 6744b INV I ha: I Tests to be repeated at same depth until approximately equal percolation rates are obtainq,C.at each percolation test hole. (i.e. < I min for 1-30 min/inch, �5 2 min for 31-60 min/inch) All data to'be submitted for review. 2. Depth measurements to be made from top of hole. _���1t- ;zliil7at3���:: iii? �T-: ii?i?. �' iiu. S" l: 3$', r,'.. �1<! iti:. �YaN2.:.` rrS: �:: 1: iYu�: i' i' o:: 1.;..... �sl. u�:l` i_ vS; i; ai�a' I' �li�li11 .Y3tk^.i6N1i61itAT.L'C'. SAM.` �Ll: �:' ii.4ilz5al7ti52}+- pT:c1B�"`'°:n: • uv.sY+x:��n�+[aa�is�.�c�aa�iM ..y.t PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES a DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner M Ln Lc i Address tot FA -F-P -5 l Located at (Street) 'W—t' zA-DTax Map Block �_ Lot 1 g (indicate nearest cross street) Municipality VA TE4�:.5� Drainage Basin ji t SOIL PERCOLATION TEST DATA Date of Pre - soaking '6/11 !99 Date of Percolation Test 611-2- 1cl 9 percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data -to be submitted for review. 2. Depth measurements to be made from top of hole. Depth to Water Water Percolation rom Ground Level Hole No. Run No. Time Start - Stop Ela se Time �1Viin.) Surface (Inches) Start Stop Drop n Inches Rate A in/Inch 2 3 4 .3� 2� Z1 ' - 2-a- 5 3 /0: 57 Z-0 z2 " u0' 4 5 1 E 2 C P 3 't e 4 5 until annmximately ennal nercnlatinn rates are nhtained "at each NOTES: I. Tests to he reneated it same denth percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data -to be submitted for review. 2. Depth measurements to be made from top of hole. DEPTH G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4:0' 4.5' 5.0' 5.5' ' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' 10.0' TEST PIT DATA 4 :: DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES- .. HOLE NO. I HOLE NO.. 2 4 3 - HOLE NO. pct 1 1 W 15 MWg-J Indicate level at which groundwater is encountered tj Indicate level at which mottling is observed HIA, Indicate Ievel to which water level rises after being encountered X01' Deep hole observations made by: F � zzyp � Yb Aa6 Date ' ! 4 q Design Professional Name: FbcTtl�AM r-/UCC i Mr-r- Address: Signature: Design Professional's Seal o� �-o BRUCE R FOLEY Public Health Director Gary Tretch Putnam Engineering PC 102 Gleneida Avenue Carmel NY 10512 Dear Mr. Tretch: VID LORETTA MOLINARI RN., M -S.N Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New, York 10509 Environmental Health (914)278-61 30 Fax (914) 278-792 1 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 March 29, 1999 Re: Proposed SSTS: Maguirie Bridle Ridge Road (T) Paterson, TM# 5 -1 -1s Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. If percolation tests were not 'Witnessed by a representative of the New York City Department Environmental Protection on this lot, percolation tests must be witnessed by a representative of this Department. 1) Minimum distance from the toe of the fill to the property line is 10 feet. 2) Fill and the driveway are proposed within the ICOfeet buffer zone. A wetland permit is required from the Town of Southeast. 3) Design Data Sheet has not been completed. Groundwater level, mottlinc, deep hole observations made by and date has not been provided, (enclosed). 4) Permit Application has not been completed. Fill section only information has not been omitted. 5) Short EAF answer to question 10 appears to be incorrect. A wetland permit from the Town of Southeast for filling within the 100 feet buffer Zone. If wetland permit is not required a letter from the Town of Southeast is to be submitted stating this position. 6) Deep test holes must be witnessed by a representative of.this Department. d Letter to: Gary Tretch - March 29, 1999 7) Well location must be staked by a licensed surveyor. This is to be noted on the plan. S) If the detention pond is proposed or existing, the pond location must be shown on the plan. 9) House plans submitted are considered a five bedroom house. 10) Minimum distance from a well to a property line is 15 feet. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. RM:tn sstsproposed Ve ly yours, r Robert Morris, P.E. Senior Public Health Engineer PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET- SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Address P o • 3aX 5-Lo l if Sae Located at (Street) 75 757-1 V L- E 2 > Tax Map Block Lot (indicate nearest cross street) Municipality -P cV_-� Drainage Basin NCR SOIL PERCOLATION TEST DATA Date of Pre - soaking 2�Z-3 19 9 Date of Percolation Test 2/24199 Hole No. Run No. Time Start - Stop Ela se Time Min.) Depth to Water From Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation Rate A in/Inch J— 1 0'Dq -ID; 3 10'A-7- 11 -' 0 6 7- - - Z`t �j ` 4 5 1 j0" 1-3 - /0,43 c) 24 " -7`7'' 3 i - /� ;f �� r- .Z I 4 5 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 DEPTH G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' ' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' 10.0' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. HOLE NO. 2 4 HOLE NO. 4 1 AS Ut t� z-z� -SCI �67rEV 2 •Z� -g9 c Indicate level at which groundwater is encountered Indicate level at which mottling is observed Indicate level to which water level rises after being encountered Deep hole observations made by: Date Design Professional Name: -P"yqAm • ' •1 r L Design Professional's Seal �EOF NFIv yo °F •wry, 1.�`' FUTNAM COUN'T'Y DEPARTM&W. OF HEALTH DIVISION OF ENVIROIdi=AL HEALTH SERVICES COUI�'TY OFFICE FJILDIVG, CARMEL, N. Y. 10512 ESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. caner iJ, (p r2i d G.2 Address J31-,ew54e-,- 13uSi,ess Pik ocated at (Street No etrc,4 kill sec.__, Lot ^% Indicate nearest cross scree inicipality Pa lie Son Watershed SOIL PERCOLATION TEST DATA RE2UIRBD TO BE SUBMITTED WITH APPLICATIONS G0 19 De amber CLOCK TIME PERCOLATION PERCOLATION apse Depth to Water- a er ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min./in drop Inches Inches Inches 1.4 1 3:02 -3: 3z 30 2,6 2 3 233 -g,,o 3 4-'o 3- ¢: 3 3 30 4 ' K6 1 3:05 --2j' 3S 3 (--> Z¢ 26 � S 2 57 30 3 3 5 30 24- 4 5 1' 4 4 5 otes: 1) Tests. to be repeated at same depth until approximatelyy equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. r , pUrqAyi CCUN.L'Y DEP -AR-a U OF HEALTH DrJiSICN OF ENVlPZM=kL BE= S=C"Sc. DESIGN DATA S=-SJi UFACE SBgAGE DISPOSAL SYSTEM FTC' E N0. Address Located at (.St--e--t) )II2�FIC esddj /L/ -Y sec. Block Lot 9. (indicate nearest doss street) -- 1�*�cipzli ty Wate_rsher IMIL P —rRMIA ICN TEST aAM R 7J—TR D TO HE S .l_ w W-Lah AP =CA.TICNS Dare of Pre -ScakiIlc Date of Percolation Test BOLE, N l' rR Chi TDAEP Ri:.7 Elamse No. T u' ile Start -Stou Min. ¢oLt*1 1 x.'03 x:33 PEaQJLaT -TC-N Sci Rate Drop /5 2 x,.33 ;;03 l� 3 3 ;t�3�33 ���, Z5 75 175 17 A 5 2 3 4 5' 4A 2 4 5 N=: 1. Tests to be re_ tai at same de=Uh until a_roroximateLy e:ual soil rats are obtained at each percolation test hole. All data to' be suhaiitted for review. 2. Depth to be made from too of hole: Deoth to Water- Frcm Water icVe: CrCUnd Surface In Lndies Staff stop Drco In Inches !*adze ; InLhes LO PEaQJLaT -TC-N Sci Rate Drop /5 2 x,.33 ;;03 l� 3 3 ;t�3�33 ���, Z5 75 175 17 A 5 2 3 4 5' 4A 2 4 5 N=: 1. Tests to be re_ tai at same de=Uh until a_roroximateLy e:ual soil rats are obtained at each percolation test hole. All data to' be suhaiitted for review. 2. Depth to be made from too of hole: TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES q DEPTH HOLE NO. HOLE NO. % Z HOLE NO. G.L. /0 a A-z"c 1 G a rl-r 21 3' 4' 3 �L �� cy ¢ /-7 o C4 5' 6' 7' 8' 9' 10' 11' 12' 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: InJS PC- t1--D DATE: 312Y DESIGN Soil Rate Used Min /1" Drop: S.D. Usable Area Provided 6000 S-f No. of Bedrooms Septic Tank Capacity % 2Sb gals. Type C.C. Absorption Area Provided By �� L.F. x 24" width trench .. Other 3. 5 T/ 1 l 5- S C ����rirrrrrirrrrA �J� ;`�, Qf NEw y Z SL Sigrl Name aure�.. + t•-.` -i; cY:: tJ jam. 7"i 1 i'j' ry i AddressEAI, THIS SPACE MR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq. ft /gal. Checked by Date Date z' /9 41 RE: Property of 0A y M n t JL I P � Located at "R,Z_ j r>t...E- F I pCj F_ . gaAp (Town) P4rtt Section 5 Block _Lot T Subdivision of DL-F l?-! C*4 G E_ -E2 Subdv. Lot # Filed Map # 201e�2 Date' 3 _Z /$q Gentlemen: This letter is to authorize PUTNAM ENGINEERING PLLC, a duly licensed professional engineer 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 promulgated 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 constructio ;of:saaiid system or systems in conformity with the provisions of Article 145 or ��pE NEI 147 tucattoinELacth. �' Public Health Law, and the Putnam County Sanitary Code. e A ( Very truly yours, 1 �1 Signed^ Owner of Property P.E., R.A., # 0&1 4Ca 914- 225 -3060 Telephone '�� 4, _-/ Ad&Z Town (fle-1) iF72? Telephone 14- 104fzmiy —Text 12 - - SE�R PROJECT I.D. NUMBER ;i- Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNUSTED ACTIONS Only PART-.I -- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT /SPONSOR 2. PROJECT NAME. 7PICIWAKI C �. ,_-1 , 3. PROJECT LOCATION: Municipality County 4. PRECISE LOCATION (Street address and mad Intersections, prominent landmarks, etc., or provide map) 5. IS PROPOSED ACTION: 5 INew ❑ Expansion ❑ Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: t• '� 7. AMOUNT OF J LAND AFFECTED: 6' �2L Initially � acres Ultimately J,3� acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 9Ye3 ❑ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? F Residential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ ParWForest/Open space ❑ Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ❑ Yes iRNo It yes, list aeency(s) and permit/approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes 4 No If yes, list agency name and permlt/approval 12. AS A RESULT PROPOSED ACTION WILL EXISTING PERMR /APPROVAL REQUIRE MODIFICATION? �Or�F7 C3 Yes . I.CERTI AT M ON ROVIDED AS O IS TRUE TO THE BEST OF MY KNOWLEDGE / Applicantisponsor Date: name: Signature: 17ALt,L M • L.. V 9 If the action is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 r.%ns gt— cNVIMUNMENTAL ASSESSMENT (To be completed by Agency) A DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6 NYCRR, PART 617.12? It yes, coordinate the review process and use the FULL EAF. ❑ Yes ❑ No 1. B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another Involved agency. ❑ Yes ❑ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, If legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, Potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain C5. Growth, subsequent development, or related activities likely to be induced-by the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not Identified In C1-05? Explain briefly. C7. Other impacts (including changes In use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes ❑ No If Yes, explain briefly PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above, determine whether It Is substantial, large, Important or otherwise significant. Each effect should be assessed in connection with Its (a) setting (i.e. urban or rural);. (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare appositive declaration. ❑ Check this box If you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Print or Type Name of Responsible Officer in Lea Agency Signature of Responsible Officer in Lead Agency Name of Lead Agency Date Title of Responsible Off icer Signature of Preparer (1 i erent rom responsible o icer) . $7- , s �� rr S'IAsTEiR_ Q�pt2aor'� Ira ►� 1 �--� ' � 4 0� To 191 .._ ...._ . 4'1 -p 11 P LA Z . �izs JAI;Fo.ST' L�vltil� . boo � t �r �ITG�t E rJ NM1a I rl 1►•1G. FoOI" STU 17'"( (Elevia-NII) ,f F3iS DC<-De: ��tr- - I/ -::, - C) 1, PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: 1A A n-4 ,1 l erf= S .mod -74 ff.-'W . • i v- e 2. Name of project: MAL,-u g? fE 3. Location TN: -PA7ff —E � 4. Design Professional : -FaKV vn .Fog�)'i,viceut,u�} 5. Address:1 tea- Cq LEN F DA A-4E7 6. Drainage Basin: ,5 *7r' l7rA41L,4- i"g( y. 10r— 1�- 7. Type of Project: ><_ Private/Residential Food Service Commercial Apartments Institutional . Mobile Home Park Office Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ...................:... ............................... Type I Exempt Type II Unlisted �- 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... . /LLD 10. Has DEIS been completed and found acceptable by Lead Agency? ............... 11. Name of Lead Agencyl� 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ...... ............................... AI/O 13. If so, have,plans been submitted, to such authorities? ........ ............................... A11A 14. Has preliminary approval been granted by such authorities? Date granted: 15. Type of Sewage Treatment System Discharge ................. surface water ><groundwater 16. If surface water discharge, what is the stream class designation? .................... 17. Waters index number (surface) /`L 18. Is project located near a public water supply system? ....... ............................... A1,4 19. If yes, name of water supply ��i�1 Distance to water supply Gru'=& ,�kewl 20. Is project site near a public sewag collection or treatment system? ................ /yd 21. Name of sewage system �A Distance to sewage system 22. Date test holes observed( [q9 23. Name of Health Inspector 24. Project design flow (gallons per day) ... ............................... )300:1 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... A/ 0 26. Has SPDES Application been submitted to local DEC office? ......................... /,//A. 2 27. Is any portion of this project located within a designated Town or State wetland? ...... 28. Wetlands ID Number ............ ............................... ................ ......................... , 29. Is Wetlands Permit required? ............................. yl`3 _S Has application been made to Town or Local DEC office? ............................... 30. Does project require a DEC Stream Disturbance Permit? .. ............................... /40 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ............................ Yes/No Al 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? ............................... Yes/No �L DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ......................... 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ................................ ............................... 35. Are any sewage treatment areas in excess of 15% slope? . ............................... NO NO 36. Tax Map ID Number .......................... .............:................. Map Block__L Lot 37. Approved plans are to be returned to ..... Applicant i4-- Design Professional NOTE: All applications for review and approval of a new SSTS to be located within the NYC Watershed shall be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item l .,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, underpenalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant tc SIGNATURES & OFFICIAL TITLES: Mailing Address: ................................... NIA = W, W L M "T O 0 '?-- c=-: I— E-- I,^,( F I VA /:k-V F . ef- r-1- l E 1- N.c/ 1 C�S-) D. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREAT, NiE \T SYSTEMS REVIEW SHEET FOR CONSTRUCTION PERMIT,,/f� STREET LOCATION rIJiO (/lid- i 1( NANI IE OF OWNER IE REVIENVED BY RNI, GR, AS, NIB, B DA /?9 TAX NL4P # S' Y �' _ DOCUMENTS PER. T APPLICATION SION CONTROL:HOUSE,WELL, SSDS PC =I�IIPG �i "�" Mr &DEEP HOLES LOCATED YELL PERMIT _ PWS LETTER PRESENTATIVE OF PRIMARY & EXPANSION TTER OF AUTHORIZATION CATION MAP DESIGN DATA SHEET`NDS) EXP. AREA; SHOWN; GRAVITY FLOW SUFF.SIZE RATE RESOLUTION THREE SETS REQUEST SUBDIVISION jXJGAL SUBDIVISION SUBDIVISION APPROVAL CHECKED ERC RATE 0 f � 1 FILL REQUIRED.) ? / .DEPTH TAN DRAIN REQUIRED PIPES GENER4L CATED N NYC WATERSHED PLANS SUBMITTED TO DEP DELEGATED TO PCHD P APPROVAL, IF REQ'D q CEP TEST,HOLES.QBSERVED FRCS TO BE WITNESSED X-APPROVAL SSDS ADJ. LOTS A_=0N DDS "PLANS & PERMIT SAME 1969 NEIGHBOR NOTIFICATION CER BULBA tR. FLOOD ELEVATION ER REQ'D PERMIT(S) AGE SYSTEM PLAN - (NORTH ARROW) > HYDRAULIC PROFILE VIN FLOW , WNO k-dUMPED, PIT & D BOX SHOWN & DETAILED SE - NO.OF BEDROOMS LS & SSDS'S WAN 200' OF PROPOSED SYS. PERTY METES &BOUNDS SE SETBACK NECESSARY (TIGHT LOT) SE SEWER - 1 /4" FT. 4 "0; TYPE PIPE END S; MAX.BENDS 45° W /CLEANOUT FILL SYSTEMS fVCLAY BARRIER . HORIZ ONTAL;SL :1 TO GRADE SPECS FILL NOTES CERTIFICATION NOTE LP PEPTH GAUGES PROFILE & DIMENSIONS V ME FILL N EXPANSION AREA TRENCH WARALLELTO RENCH PROVIDED S�� 60 FT MAX. �d CONTOURS %E'XpA— NSiOI�LP.R90ID) &-clFIED 9/ SEPARATION DISTANCES S ON PLAN - FROM SSTS 'I-0 P =t DRLYEWAY, LARGE TREES cTOP`OF+lUb 20' TO FOUNDATION WALLS A: 5'VV_LL TO'PL- 100' TO WELL, 200' N DLOD,150' PITS 100' TO STREAM WATERCOURSE LAKE (inc. expan) 50' TO CATCH BASIN, 35' STORMDRAN, PIPED WATER TO WATER LINE (pits -20') 5XINTERNImrENT DRAINAGE COURSE 2007500' RESERVOIR, ETC. _150' GALLEY SYSTEMS -?D% Oi STRUCTIONNOTES to CD S= >5 0/.,IW- 4 %,25'- 3 %,30'- 2 %,35' -1 %,100' - <1% SIGN DATA: PERC & DEEP RESULTS IN to CD discharge /100'with 182 cons day discharge CONTOURS EXISTING & PROPOSED W SEPTIC TANK SWAY & SLOPES, CUT 10' FROM FOUNDATION; 50' TO WELL /[C OTING /GUTTER/CURTAN DRAINS WELL SOIL TYPE BOUNDARIES ENSIONS TO PROPERTY LINE 7Z C- /a S-e- TLE BLOCK; OWNERS NAME,ADDRESS 54LOCATION OF SERVICE CONNECTION ,PE/RA; NAME,ADDRESS,PHONE# OF DRAWNG/REVISION TUM REFERENCE LOW ON OF WATERCOURSES, PONDS S AND WETLANDS WITHIN 200 FEET PROPOSED FINISH FLOOR AND & £-1 . f COMMENTS: l 0 neLAs1 � PUTNAM ENGINEERING, PLLC 102 Gleneida Avenue Carmel, NY 10512 Phone: '914-22 5-3060 Fax: 914- 225 -2955 e -mail: www.puteng @bestweb.net • �• "�' � ice• �' We are sending you attached Shop drawings Specifications Plans Nn_ of Cnnies LETTER OF TRANSMITTAL Date: 3� RE: ► A(4L., i eE 13 IF- V 0Ar> LOT", % VAtrEesCY4 under separate cover, the following items: Prints Copy of letter Other: Descrintion �75D V 1 LL P L.AC 1r M E/L(T ONLY LIM I - EA(," a L (9A4,5 L 'regm iT, A /EL..L F r,** T, 5 mgrgrr EAF. F(_-97 OF n-LArsvN l-MEZ :P rr, + awl A A +1 ir-T These are transmitted: _ For approval _ Approved as submitted _ For your use _ Approved as noted As requested _ Returned for corrections For review /comment _ Resubmit copies for approval Submit _ copies for distribution REMARKS: Copies to: SIGNED: 01 jj�74 JOr� If enclosures are not as noted, kindly notify this office. e r•� BRUCE R. FOLEY Public Health Director Paul M. Lynch Putnam Engineering 102 Gleneida Avenue Carmel NY 10512 Dear Mr. Lynch: LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278'= 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 March 22, 1999 RE: Maguire Bridle Ridge Road, Lot #9 (T) Patterson. TM# 5 -1 -18 Reservoir Basin East Branch The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on March 16, 1999 is complete. The Department will notify you by April 5, 1999 of its determination. 2( 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, retum receipt requested. The notice should be sent to my attention at the above address. This notice must include your name, the location of the project, the office with which you filed the application originally, and a statement that a decision is sought in accordance with section 18 -23 (d) (6) of the NYC Dept. of Environmental Protection Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed complete; subject to standard terms and conditions as set forth in the regulations. Letter to: Paul M. Lynch - March 22, 1999 -2- Please be advised that projects within the NYC Watershed may also require Dept. of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, acid the project applicant should contact the Department of Environmental Protection regarding such activities to see if Dept. of Environmental Protection review and approval is required. If you have any questions regarding this matter, please call me at (914) 278 -6130 ext. 166. Vey Wily yours. Robert Morris, PE RM:tn Senior Public Health Engineer lzlpe�i� t`/fTT' ZZ l 2-1 TEST PIT PROFILES r �)" Hole #_ Lot # T Hole #- Lot # Hole # Lot # Depth to water Depth to water _ ,� . -� Depth to water A/'�o �. Depth to mottling 1✓ane.. Depth to mottling. .11kyl F Depth to mottling 1,19N P Depth to rock/imp. -( G.L. Depth to rock/imp. • G.L. 10. Depth to rock/imp. ` G.L. il 0.5 G r 0.5 + 7,�� 0.5 _ F 1 `4 1.0 k���t't -� h� . 1.0 1.0 2.0 :5, 14 d 2.0 2.0 3.04 3.0 3.0 ' 4.0 4.0 4.0 5.0 5.0 5.0 6.0 6.0 6.0 7.0 7.o iz�o -� �F► Q 3' �,, 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 ..10.0 10.0 Hole #_ Lot # Hole # Lot # % Hole # Lot # Depth to water -a p " Depth to water " Depth to water Depth to mottling _A,2ye- Depth to mottling /1/0g e Depth to mottling Depth to rock/imp. (�' �- D � Depth to rock/imp._Z/ 6 " Depth to rock/imp. G.L. G.L. G.L. 0.5 % � ' 0.5 7- 0.5 1.0 1.0 Ted?,' s h 1.0 2.0 2.0 d a 2.0 3.0 3.01 3.0 4.0 5 �. 4.0 olive- Br, F,Ne �✓ /a�� %��r� 5.0 5.0 �eco�fP• . 5.0 6.0 6.0 6.0 7.0 7.0 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 10.0 10.0 • , PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES t-a DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner a&0 E Address J37ejnz F K maa 7 I. Located at (Street) -5-r, aF c aAe-.u_ s� Tax Map S`- Block Lot I S (indicate nearest cross street) Municipality A' T-Tr:g S o,N Watershed EA -ST IV c [4 Pr; M� t� SOIL PERCOLATION TEST DATA Date of Pre - soaking // Z P,7 Date of Percolation Test ] /.?- /9? NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 1 0` 2 a-; 3 o r / 3 0, _ 3 5 2 0;3• 's 6 3 5"3 3 101151-11:11 O 4 5 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 v Street Town PERSON >IN CHARGE M 'Name -- and Title TYPE OF FACILIry -. FINDItVGS G- t y 3 c - y _ ' Y a F t^= - Ti�TcPFC'T(1R' Q TFT • 0�7 f!51--T'- �! Si g nature and Title = I acknowledge receipt of this report: " SIGNATURE,-. OV96 Tit 6; RECORD OF PHONE CONVERSATION Time: Dater A,/ Person calling: k �#Vr .1 Phone #: Reason O Inspection: Deeps and/ Peres: Scheduled Field Meeting Pre SemK!91100 eire S Time: f oo lvate: Z 6;��2 Y N Tentative /to be confirmed ( ) ( ) Town: t Road /Street: ­Br,04c f ° 21c�oiE' Tax Map #: — -- 1 _ / P_ Comments: I Z// 1 ,� l SCALE IN 1110 OF AN INCH rml 1 -800 -345 -7334 1 2 3 4 s N !1000 WI I 9 40 AC. 1 i° I 1 1 ' SCHOOL DISTRICT sw:::� 1 1610{ 167.2 21+3 CEHi�m sm OISMICT I BREWSTER / Il '10 • • 20.37 AC. CAIN- 2T ..�. iAAC i� ROao PAWL III 37 58.44 AC 31 L62 AC � R 3 AC.. 97 saes 1 24.36 AC. 'CAL. 42 40.70 AC. CAL. \. 43 4 7 16.55 AC. CAL.*1 2 9 28.44 AC. CAL. zn.a AC. v 0 �+aao 1 +.6e * n Zlblfl 0 6 � n 7.89AC 43 s _ 17s 7.78 AC. CAL. naA '•..l 4 DUTCHESS CO. PUTNAM CO. 31 I � • mH 16.94 AC. CAL. % 29f23 34279 10&67 U7.10 199,03 WN - 31613 t % 112 200 3D x91.66 r, 11.41 AC. ■iw 29.I a° ee237 ' 5.21 AC CAL • - 29 140a C 10 i 20683 13619 z4>.98 4.44 AC. CALIy� • 27 ; 003.00 30667 2' 22, 23 g 243, 252 / 26 r 21 I tD • 25 AC 1.73 +SAC. 1.04 AC+ 256 291 AC.'!. txn 6 5.10 AC. r� AC. ` � e� 119 17 �>< ° a • 6 1 J I6�C4 ��P. 19 y e �. 7.40 Ac. 1�1e i . 1 fl, X3.87 AC. �`� ,r ��te 15 1 „ 52,E 10.24 AC. I& = �•:...�.�1x4 60 le4a I I - 116608 10.84 AC. � N 5�78�AC?�'• _ ' '� 12 3U.44. e 1 +33 10.92 AC. 9 40 AC. 1 i° I 1 1 ' SCHOOL DISTRICT sw:::� 1 1610{ 167.2 21+3 CEHi�m sm OISMICT I BREWSTER / Il '10 • • 20.37 AC. CAIN- 2T ..�. iAAC i� ROao PAWL III 37 58.44 AC 31 L62 AC � R 3 AC.. 97 saes 1 24.36 AC. 'CAL. 42 40.70 AC. CAL. \. 43 4 7 16.55 AC. CAL.*1 2 9 28.44 AC. CAL. zn.a AC. v 0 �+aao 1 +.6e * n Zlblfl 0 6 � n 7.89AC 43 s _ 17s 7.78 AC. CAL. naA '•..l 4 RECORD OF PHONE CONVERSATION Time: �4 Q Date: Person calling: e Phone #:�� Reason ( ) Inspection: eeps a d /or Peres: 7D�-�iDS�� Scheduled Field Meeting FA Date: I Y N Tentative /to be confirmed () ( ) Town: l�pL Road /Street: Tax Map #: Comments: IL .k L.,o-r * � 23 i , GF