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Home My WebLink About0262DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 5. -1 -26 BOX 3 00071 Ira I i r4 00071 PUTNAM COUNTY DEPARTMENT OF HEALTH IVISION OF ENVIRONMENTAL HEALTH SERVICES FICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # P- I -1 - r19 Located at. 8 SR%flt_E 9%pc e_ j? D Town or Village PAr[-T-exsor3 Owner /Applicant Name *Gl sEu,A SAeZ Tax Map S Block _ - Lot 2& Formerly L Subdivision Name Subd. Lot # Mailing Address P.O. f5py- S-1(0 , FA6! 4,-IC, r l y Zip 125'0`} Date Construction Permit Issued by PCHD o.S 24-(v PIP. Separate Sewerage System built by M>;*.c.A o,J; 1,.1 e- . Address Mpa'op,*-c_ , W"t to-541 Consisting of 1000 Gallon Septic Tank and '504 L,F. OF 2 "Wipe P�85o;z 1e,.S "F?4�CAA Other Requirements: ��r- _0.8. Fi L_L_ Water Supply: Public Supply From Address or: Private Supply Drilled by f?) , 6*,At-- t 1,.1e. Address STr-,L tilt lb2ei Building Type Has erosion control been completed? Number of Bedrooms 3 Has garbage grinder been installed? t,A b 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 wi s onstruction Permit and approved plans and th s dards, rules and regulatio u partment of Health. Date: 1( 1� �� Certified by P.E. R.A. (Design Professi nal) Address fuTa" a-eSG 1E.aR-lA6. Pt.Le- . 4- oLD 1=aM, License # 0 &-714( rJ.Y. Io5 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 s ject to modification or change when, in the judgment of the Public Health Director, such revocation,' od' ication o hange is necessary. By: Title: V Date: 8 White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 0 BRUCE R FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI RN., 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 E911 ADDRESS VERIFICATION FORM OWNERS NAME:�L13A►l.i TAX MAP NUMBER: E911 ADDRESS: TOWN:,�"�`r -� AUTHORIZED TOWN OFFICIAL: (Signature) , DATE: The Putnam County Department of Health will not issue a Certificate of Construction Compliance t�dess the above form is completed, i.e., a legal E911 address is assigned by spit authorized town official. This form is'to be submitted with the application for a Certificate of Construction Compliance. — (E911 VERFRM) BRIDLE RIDGE ASSOC IL :- * �� n► w tijO�` Wr;LL t;Ur1rLl;r1UN tcnrUict : DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office US Only WELL LOCATION STREET ADDRESS: TOWNIVILUGAUCITr TAX GRID NUMBER: Route 22 North, Patterson 1§k1eVdkAY,NY Lot #1 WELL OWNER NAME: ADDRESS: Bridle Ridge Assoc. Route 22 Brewster NY O PRIVATE 0 PUBLIC USE OF WELL 1- primary 2 - secondary ® RESIDENTIAL O PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP O ABANDONED O BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify) O INDUSTRIAL O INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED _______._/ EST. OF DAILY USAGE gal. REASON FOR DRILLING ® NEW SUPPLY '' ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION O REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 300 ft. STATIC WATER LEVEL 30 ft. DATE MEASURED 7/14/88 DRILLING EQUIPMENT FS ROTARY ® COMPRESSED AIR PERCUSSION ❑ DUG '0 WELL POINT O CABLE PERCUSSION O OTHER (specify): WELL TYPE O SCREENED D OPEN END CASING, 13 OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH __21_ ft MATERIALS: 12 STEEL ❑ PLASTIC ❑ OTHER LENGTH.BELOW GRADE 20 ft. JOINTS:. ❑ WELDED ® THREADED O OTHER DIAMETER A in. SEAL: Fri CEMENT GROUT ❑ BENTONITE ❑ OTHER WEIGHT PER FOOT 19 lb./ ft DRIVE SHOE DYES ❑ NO LINER: O YES 12NO SCREEN DETAILS DIAMETER (in) SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (it) OF-VELOP07 FIRST Q YES 0 NO HOURS SECOND GRAVEL PACK O YES ❑ NO GRAVEL DIAMETER SIZE: OF PACK in. ED fL BOTTOM OM it. WELL YIELD TEST i' if detailed pumping 1 METHOD: M PUMPED t tests were done is in- • COMPRESSED AIR formation attached? • BAILED O OTHER ; ❑ YES ❑ NO y�IELL LOG f more detailed formation descriptions or sieve analyses are available. please attach. DEPTH FROM SURFACE Water Bear- ing Well Dia- meter fOAtAA80M DESCRIPTION ptlE n tl WELL DEPTH IL DURATION hr. Wn. DRAWDOWN rL YIELD gpm- Surface — in H t rock at 21, 00 48 i _21- li-II-411ing in rnck,set casing, grautg d- 21 300 lFrilling in rock granite. WATE$ O CLEAR TEMP. QUALITY D CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES ONO STORAGE TANK: TYPE CAPACITY GAL. WELL GRILLER NAME P.P. Heal & Sons , Inc . DATE ADDRESS PO Box B SIOWURE 2 2 �47 J Brewster, NY 10.509 1-4 /` PUMP INFORMATION TYPE CAPACITY MAKER DEPTH MODEL VOLTAGE HP 03/0' 4 TUE 16:51 FAA P. S a °1 `. ART"" WELLS WATER SYSTEMS . JET PUNvs MMUERMLE PUMPS P.F. BEAL & SONS, INC. 4 PUTNAM AVE3-= BREWSTER. NEW YORK I 05 (%f'rA1.'jdW1d91 -pier 13,,2/s 664 c6w/k/ed TEL_ (845) 279-2460 - 2461 FAX (845) 27"613. COMPLETE R�sTALLATi*N, REPLACEMENT AND REPAIR SMWCE February 19, 2004 Taff Contracting Attn: Eric Taffera Dear Mr. Taffera: WATER TANKS COUNERCML WATER OSTEMS NVOROFRAC?MHO WATER CONDMONM GWIP @NT Please note that on July 14, 1988 we drilled a well for Bridle Ridge Associates on Route 22 North, Brewster, NY (then known as Lot #1). The well was drilled to a depth of 300' with 21' of 6" steel casing and a flow of 100 gpm. If I can be of any further service, please.don't hesitate to call. Very truly yours, P. F. Beal & Sons, Inc. " 0aV� Rick De Vall RD /mm gUTNAM NPLLCngineers and Architects SEPTIC SUBMISSION FORM TO: ?-X�ag_ -T I10 RR-� S DATE: it as PUTNAM COUNTY HEALTH DEPARTMENT PROJECT: F * (St Std LA ; v 151LI DL f. 94D ND FAS_� ri -rrlol E; -- 1— 2.cx, ENCLOSED, PLEASE FIND: C COPIES OF THE SSDS "AS- BUILT" PLAN CONSTRUCTION COMPLIANCE CERTIFICATE WELL LOG HEALTH DEPARTMENT FEE ($300.00) WATER ANALYSIS GUARANTEE FORMS - 3 ORIGINALS E 911 ADDRESS FORM c-. ?Tn Pj cA'rE ❑ LETTER OF EXPLANATION I: u 10091 COPIES TO: (SepSubForm -2004) SIGNED: ?-�S --Y- -Z-APP 4 OLD RouTE 6, BREMTER, NEw YORK 10509 • (845) 279 -6789 • Fax (845) 279 -6769 • EmAiL: putnamengineering @rcn.com ~~ ~/ YML ENVIRONMENTAL SERVlCES 32i Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director LAB #: 9.5O1909 CLIENT #: 58737 NON STAT PROC PAGE: i ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SAEZ, FERNAND & GISB-L 8 BR]DLE RIDGE RD PATTERSON, NY 12563 DATE/TIME TAKEN: O8/19/O5 �9:*) DATE/T}ME REC'D: 08/19/05 10;05 REPORT DATE: 08/30/05 PHONE: (845>-855-1296 SAMPLING SITE: Cl BRIDLE RIDGE RD SAMPLE TYPE..: POTABLE : KITCHEN TAP PRESERVATIVES: NONE COL'D BY: GISELLA SAEZ TEMPERATURE..: < 4C NOTES...: COLlFDRM METH: MF ~~~~~~~~~~~~~~~~~ ... ... ... ... ~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 08/19/05 MF T. COLIFORM ABSENT /10O ML ABSENT 10O8 O8/24/�5 LEAD (IMS) 3.l ppb 0-15 1- p;., 9003 O8/24/05 NlTRATE NlTROG 0.81 MG/L O - 10 9O52 O8/24/O5 NITRITE NITROG N/A 9162 O8/24/05 lRON (Fe) O.120 MG/L 0-O.3 mg/l 9002 O8/25/05 MANGANESE (Mn) 1.19 MG/L 0-O.3 mg/l 90O2 08/25/05 SODIUM (Na) 32.5 111E.1 /L N/A 90O2 O8/22/05 oH 6.j. UNITS 6.5-8.5 9043 08/22/05 HARDNESS,TOTAL 154 MG/L N/A 08/22/05 ALKALINITY (AS 62.0 MG/L N/A 900l O8/22/05 TURBIDITY (TUR 1.1 NT 0-5 N[U COMMENTS: BACT THESE RESULTS INDICATE THAT THE WAT W AS I WAS NOT OF A SATISFACT[��Y SANITARY QUALITY ACCORDl T HE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME O� COLLECTION. Pb/Cu LEAD }imits for public schools are set at 15 ppb. EPA Lead & Copper Rule for Public Systems requires that no more than 10% of their distribution points have a LEAD value of more than 15 ppb and a COPPER va1ue of e1se ater treatment must be undertaken to reduce the waters currosive potentiai. Fe/Mn lf both irun and manganese are present, their total value combined shall not exceed 0.5 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 moderatelV restricted diet, a maximum of 270 mg/L uf Sodium �r '~ YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 1059E (914) 245-2800 Albert H. Padovani, Director LAB #: 9.501909 CLIENT #: 58737 NON STAT PROC PAGE: 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SAEZ, FERNAND & GISELL 8 BRIDLE RIDGE RD PATTERSON, NY 12563 DATE/TIME TAKEN: 08/19/05 09:00 DATE/TIME REC'D; 08/19/05 REPORT DATE: 08/30/05 PHONE; (845)-855-1296 SAMPLING SITE: 8 BRIDLE RIDGE RD SAMPLE TYPE..: POTABLE : KITCHEN TAP PRESERVATIVES: NONE COL'D BY: GISELLA SAEZ ' TEMPERATURE.,: < 4C NOTES...: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ COLlFORM METH: ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~^~~~ MF DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD is suggested. pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH lS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMlSTRY,, WATER WITH A LOW pH MlGHT 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/1 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: Director ELAP# 10323 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchaser of Building J Building Constructed by Location - Street Building Type Tax Map Block Lot TownNillage Subdivision Name 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 occupan t f t building utilizing the system. Dated- Month Day Year 0G_ ontractor (Owner) - !Signature Corporation Name (if corporation) Address: JEL-1 cam, State Zip Signature: Title: /7 C: �� - . Corporation yName (i Lcorporation) ��,� Address : Pk p 14- 0 ?/1 L State JV Zip Form GS -97 5t - CIJ49'J ✓J f ; `f7 f KUN; �Uk2= LLWl l Kll. CYJJ f 71 Ct3J13 I U; lu"ID000100to r. C r -- - F'AUL UZ -x.09 07/2085 12:1 17184946829 aim Mil 2 11 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10036 CERTIFIES THAT Upon the application of SUGGS ELEC. 602 LARSON DR. DANBURY, CT 06810, upon premises owned by FERNANDO SAEZ PO BOX 234 PATTERSON, NY 12563 Located at 8 BRIDLE RIDGE RD OFF STAGECOACH PATTERSON. NY 12563 Application Number: 2002927 Certificate Number: 2002927 Section: Block! Lot: Building Permit: , BDC: W104 Described as a Rggidential 3QO04000 square ft occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 21st Day of June, 2004. Nom QJ�' Rate Rahn i it 7I,g_ Miscellaneous SEPTIC PUMP 113 HP Alarm and Emergency Equlpmeat Sensor 9 0 Smoke Sensor 1 ,A,latm Appliances and Accessories Clothes Dryer 1 0 4.5 KW oven 1 0 6.5 KW Exhaust Fan 5 0 110 F.H.P. Panels Cvntieued on Next Page 1 of 2 ThIS certificate may not be altered in any way and is validated only by the presence of a raised seal st the location indicated. 1 200 42 Signs Wiring and Devices Fixturc 29 0 110 Incandescent Fixture 3 0 110 Flou reseent Receptacle 74 0 1x0 General Purpose seal Switch 53 0 110 General Purpose Cvntieued on Next Page 1 of 2 ThIS certificate may not be altered in any way and is validated only by the presence of a raised seal st the location indicated. �O I IO r: yy h KUV1: SUUL1ZD ML-w- I Kll. =13 ! 71 CtiJJ I U • 10"TJOJJC!VDV • • •,•, •... itiuJ LL. LJ Lf1V•,J- W&L y` 13Y THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 13UREAU OF ELECTRICITY 40 FUL.TON STREET — NEW YORK, NY 100393 CERTIFIES THAT Upon the application of SUGGS ELEC. 602 LARSON DFt. DANBURY, CT 06810, upon premises owned by FERNANDO SAEZ PO BOX 234 PATTERSON, NY 12563 Located at 8 BRIDLE RIDGE RD OFF STAGECOACH PATTERSON, NY 12563 Application Number: 2002927 Certificate Plumber: 2002927 Section: Block; Lot: Building Permit: BDC: W104 Described as a Re$ideatial. 3900 -4000 square ft. occupancy, wherein the premises electrical system consistirlg of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Second Floor, Attached Garage, Outside, Attic, A visual inspection of the premises electrical system. limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration. or other authority having jurisdiction. and found to be in compliance therewith on the 21st Day of June, 2004. Namz 9-T1' Rate Eattnta Scttf!!!S im Outlet 8 0 Telephone Outlet 7 0 CAN Service I Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 CB Meters: 1 seal 2 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seat at the location indicated. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: 9 z 9 0 �� Inspected by: ��, i Street Location 'Bilk, i� 1�a P / / ?�e� Owner AT 011 N do Town. � Permit # TM # — / - z Subdivision Lot # / 1. Sewage System Area YES O COMMENTS 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 ...... ............................... IL Sewage System 'jZe�ace Fe,rrieo; a. Septic tank size E ....... other ........... b. ' Septic'tank installed level .......: ..... ............................... c. 10' minimum from foundation . d. Distribution.rBoz - \ _ : -.* :� . f7-7 "T3All`outiets at same elevation -water tested ............. 2. Protected below frost .............................................. 3... Nfinimum 2 ft. Original soil between box & trenches e. Junction Box properly set .......... ............................... 6. ren c es 1. Length required 5-u Length installed 6,-06 2. Distance to watercourse measured + loo Ft.......... 3 : Installed _according _to.plan - 4: wSlope'oftrencli acceptable -l/1 "6 - -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 - 11/9" diameter clean ...................: 9. Depth of gravel in trench 12" minimum ....... :........... 10 pe ds ca ed.......... p . g um _-Dosed. Systems. _ - Sze 6f piimp chamber -- 2. Overflow tank ........................ ............................... 3. Alarm, visual/audio ........:........:.. ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled .......................... ............................... .6 * C�yycle witnessed by H.D.estimated flow /cycle........... III. House/Building a house located per approved plans b -D -= -. - - Well located as per approved plans ..............�,..5 � . Pte— P. Distance from STS area measured to o - ft........... c. Casing. 18" above grade ................ ............. ................... - d. Surface drainage around well acceptable ....................... V. Overall Workmanship . a.. Boxes properly grouted ................... ........•...................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box .. ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. _w. f Curtain, drain :outfalla protected 7& � din to exist watercour g Footzuig drains discharge -away from STS area...... h. Surface wafer= protection adequate : : :............................ i. Erosion control provided .....:........... ............................... Rev. 12/02 FC 09/27/2005 TUB 11:55 FAX -44 PCHD PU'TNAM COUNTY DEPARTIIlENF OF HEALTH DMSYON OF ENVIRONMENTAL HEALTH SERVICES ATTENTION ❑ JOSEPH )KGL►NE U, 0ALMST FOR FINAL INSPECTION For: Fill 2c- All information must be fully completed prior to any Trenches inspections being made. Fv:�� -- PCHD Construction Permit # F-- ri A 9 Located: EW4 mph& i<< rtoka (T) (V) PArzP*gW.3 Owner /Applicant Name: nd t rw seuk er.ez TM _.�3_ Block 1 Lot t Formerly. Subdivision Name: 11&ioxe �jg Ps y►+r �5 Subdivision Lot* 1 Is system fill completed? S Date: ,z&/ -P•� Is system complete?, -re s Date: Ia.-k IV- Is system constructed as per plans'? Yes Is well drilled? s Date: Is well located as'per plans? YES Are erosion control measures in place? " YAS I certify that the system(s), as listed, at the above premises has beeii constructed and I haveinspected and verified their completion in accordance with the issued PCHD Construction Permit and approved plans and the Standards, Rules and Regulations of the Putnam 'County Department of Health. Date: Zi o Certified by v - - — PBX RA Design Profssional Address: FL! nmod-1_ SlhhWAffib • "c- _ � w.qa &W, =/a Lic. # 96-14476a 0002/002 Form FIR -99 SEP -27 -2005 TUE 11:35 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2 O SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health October 3, 2005 Putnam Engineering Paul Lynch 4 Old Route 6 Brewster, NY 10509 Dear Mr. Lynch: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive Re: Field Inspection — Fernando Bridle Ridge Road, (T) Patterson Lot #1, T.M. 5. -1 -26 The following comments must be corrected in the field: 1. The fernco connecting the cast iron pipe needs to be replaced with a more solid connection. 2. The curtain drain and footing drain outlet was not found upon inspection. 3. A bedroom count needs to be performed by this Department. 4. A pump test needs to be witnessed by this Department once the electrical inspection has been completed and notification of such has been submitted to this Department. Please note that upon inspection, the SSTS trenches were covered over. For future reference, all components of the system must be kept exposed for this Department's inspection. If you have any further questions, please contact me at (845) 278 -6130, ext: 2261. GDR: cw Sincerely, Gene D. Reed Sr. Environmental Health Engineering Aide Environmental Health (845)278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL IIEATLII SERVICES FIELD ACTIVITY REPORT N AXT F.• red►a a u do AT)TIRFgC; Bib >_C. '-RiDra 9oAD ?Aim I eoAr Street Town State Zip PERSON IN CHARGE (1R TNTFRVTFUTFTZ: - ?uTi►/gm Ltir� TlatP• /o Z! 3 /d S E (_PUMP TEST DOSE TEST Z REQUIRED GALLONS -,�I a START EL. STOP Signature and Title RFPnRT RFC'FTVFT) RV: I acknowledge receipt of this report: SIGNATURE: 02/96 Title; Rev. 00 0 00 -,�I a START EL. STOP Signature and Title RFPnRT RFC'FTVFT) RV: I acknowledge receipt of this report: SIGNATURE: 02/96 Title; Rev. 10/06/2005 THU 09:24 FAX 474 PCHD SEP -7 -2005 07:49 FROM:SUGGS ELECTRIC 2W 791 28.33 TU- 113458550000 P. V. ... _. _._ F'AUh nz x/07/2885 17:1 171m-941129 SY THIS CERTIFICATE OF CKWIPL ACE THE NEW YORK BOARD OF FIRE UNDERWRITERS SURFAU CW 10-WiTINIarWY 100318 CERTIMES THAT Upon the application of upon Premises owned by SUGGS i=LEC. FERNANDO SAEZ 602 LARSON DR. PO BOX 234 DANeURY, CT 08810, PATTERSON, NY 12563 Located at 8 BRIDLE RIDGE RD OFF STAGECOACH PAXTERSON. NY 12663 Apptirartion Nuint wrr 2002927 Cefffiicaic NUmber: 2002227 Section: Rloekt Lot: 0WIdin8 Permit: BDC: W104 Described as a Ralkid I 3 s9ti�a occupwa, *hewn the premises electrical system consisting Of electrical devices and wiring, W' to' below, located Won the prwenl a et: 34sement, First Floor, Second Floor, Attached GwVt, Outside, Attic, A visual inspection of the premises electrical system limited to electikal devices and wiring W the extent detailed herein, was conducted in amordence with the regihMnts of the applicable node and/or standard promulgated by the State of New York, Department of State Code. Enforcement and Administration, or other authority having jurisdiction, and fount to be in cornoialnce therewith on the _ 21sc DRY of I 2404• his Q� R214 #AM Q=&'-t 3)= . i►ilisc8llas►eou6 UP= PUMP 113 HP Alarms and Eetergettacy Equiprtteot Sensor 9 0 smolw SeASOr l Alarm Applialtces one Aece�prles Motive's Dryer 1 0 4.5 XW OMM 1 0 6.5 KW Exhaust Fen 5 0 110 PariCls 1 2W Q S;gu n Wiring sad Devices 29 0 110 Ineandesedat p ixte, gigue 3 0 110 FJOKOWA21 Racept2cle 74 0 110 Gmm'v purPo" / Switch 53 0 110 G neral PaTese Centiausd on Next Pane 1 of 2 This Cdtificabe may not be alwed fn any vw and is validdW only by the pesence or a robed seal at ft location indicated- IR1 002/003 OCT -6 -2005 THU 09:05 TEL:845- 278 -7981 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2 10/06/2005 THU 09:25 FAX 4i4 PCHD 1@003/003 5EP -7 -2005 07:49 FROMs91.lGz ELECTRIC 203 791 2833. TO: 184585500H0 P11_- fJ�IeI /�VVJ iL t.J � YY •••• l BY THM C� MIRCA"M OF COWDL ANCE -rHE b NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF 1F.1 ECTR OTY 40 FULT0N STREET - NEW YORK, NY 10038 CERTIF 1M THAT Upon the application of SUGGS ELEC. 602 LARSON DR. DANBURY, CT 06810, .upon premisrs owned by FERNANDO SAE7- PC -DOX 234 FATMWN, NY 123W Located at 9 11RIDLE RIDGE RD OFF STAGECOACH PAT17MOOM, NY'12568 Applleation Number: 2002827 COVINkSte Number: 200=7 Sections Black: Lot: Building Permit; 8 DC: W104 Described as d bEesidpsr wt 000 ug,w R. OCtuPOM. wherein the p wni9e 91eWcal S�Sm consistifig of electrical devices and, described below, facated inlon the prarribe$ At: Besentt, First Floor, Second Floor, At lked Garage, 00bW AWc, A visual inspection of the premises electrical system, limited to electrical dvivlces and wiring to the extant detsiled herein, was condumd in socoedence with the regetiraments of the applicabla wore and/or standard promulgated by the State of New York, Departrnartt of State Code Enforcement and Administration. or other authority having jurisdiction, and found to be in compliance therewith an the 21st Der of twee. 2004 NWA M I= Outlet 8 0 7elepluone Uuuet 7 0 CAN Serviee ] Phan 3W 8ervi" Fling 200 Amperes Service Disconnect' 1 CE Metrn: 1 seal 2 of 2 This cMirvo aw not be altered in &W way and is veltdW only by the pr Nat of n rsiuiAd seat at the location indieamd. OCT -6 -2005 THU 09:05 TEL:845 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 3 PUTNAM COUNTY DEPtaTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION a .. Street Location 13 g& / ,e_ iz, " 7� Town t�^yorn TM# I. 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 1. All outlets at same elevation -water tested ................: 2. Protected below frost .................. ............................... 3... Minimum 2 ft. Original soil between box & trenches e. Junction Box properly . set .......... ...........:................... 6. Trenches 1. Length required Length installed 2. Distance to watercourse measured 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 ..:..............z. 7. Room allowed for expansion, 100 % ......................... S. Size of gravel 3/4 - 11/2" diameter clean ...................: 9. Depth of gravel in trench 12" minimum .......:........... 10. Pipe ends capped ........................ ............................... g. Pump or Dosed Systems 1. Sized 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. House/Buildirig a. house located per approved plans ... ....................:.......... b. Number of bedrooms ....................... ............................... IV. Well Well located as per approved plans . ......:........................ b. Distance from STS area measured ft........... c. Casing 18" above grade ................ ............. ................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship . a.. Boxes properly grouted ................ ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dinto exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate .... ....:.......................... i. Erosion control provided ................. ............................... Rev. 12/02 Date: Inspected by: Ca,� Owner _ 5 ,�z F Permit # P-/7-92 Subdivision Lot # „/ 0 SITE INSPECTION FOR FILL PAD 1.L11( /c =r G Date: / D o2 n O Inspected by: Fill pad located per the approved, plan V-et;, Fill Pad Length /03 Required Length_ Fill Pad Width Required Width3 Fill Pad Depth nfGCr.E'� Ve" 5 Required Depth 3, 5 e? Run -of -Bank Fill Quality d /L Slope from Top to Toe /1/0� c: amp le--A-0% !4 Impervious Layer Installed Ajo 1' , Erosion Control Installed ✓ " /off/ Sieve Test Results (if applicable) Additional Comments: Reserved for Field Sketch if Applicable pp i X 3�_e 3 G 0 10/18/2004 MON 09:39 FAX PCHD Z001/001 h L PUTNAM COUNTY DEPARTWNT OF HEALTH DIVISION OF ENVIRONMEXr.kL HEALTH SERVICES ATTENTION C 1 JOSEPH X GENE REQIJF,9"F FOR FINAL INSPECTION Fcjl�: Fill �L-L 17/119 1 kxT7-,-LLV-"2 All information must be fully completed prior to any Trenches inspections being made. PCI31 Constnirtion Pemilt P, r7 G1 e-) Located: Liy" Owner/Applicm='Name: &-jzWAW0,f aArzj TM Block Lot Z Formerly: 1!3((,VZ4,5 Subdivision Name: Z Z i o- r,— 2w,)41& T,7-,s Subdivisinii T,ot-# I is system fill completed? Date'. I OA-.& I t;.f Is system'colnplete? Date: Ts system constructed as per plans? Is well drilled.? Is well located, as per plans? Are erosion control ineasures in place? uatc: I certify that thesyqtern(s.), as fisted, at the above and I have inspected rued verified their completion in accordance -xitJ, issued PCHD Construction Permit and approved plans and the Standards, Pules and P.egula['[ !,is of the PU Department of Health. Date- i0 IV' 0 Lf Certified PE RA. Address: G LP I 4VII-5- Lk. 4 '(o 9 q (4- Comments: k I;. L U I C A ic (16CZ, Al V1 c4ritil- i zxgy m, -n 1,-/4 ij I,(, 1\/ J-)A 174 Form FIR-99 OCT-18-2004 MON 09:42 TEL: 945-27e-7921 COUNTY DFOARTMFNT nF P Ic 14 LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 -6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Paul Lynch Putnam Engineering 4 Old Route 6 Brewster, NY 10509 Dear Mr. Lynch: November 2, 2004 Re: Saze Bridle Ridge Rd., Lot # 1 (T) Patterson, TM# 5. -1 -26 ROBERT J. BONDI County Executive An inspection of the fill pad at the above referenced project has been completed. Comments are offered as follows: 1. It appears portions of the fill pad do not have the required 3.5' depth. An appointment must be made with this Department to witness deep test holes in the fill. 2. The clay barrier has not been installed. 3. A 3 on 1 slope from top of fill pad to bottom of toe must be maintained.. Please note that field measurements by.this Department in no way suggest that exact size, depth and location of the fill pad. If you have any further questions, please contact me at 845- 278 -6130, ext. 2261. GDR:km Sincerely, Gene D. Reed Sr. Environmental Health Engineering Aide 12/103/2004 FRI 09:53 FAX 44-* PCHD PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEAL'T'H SERVICES ATTENTION JOSEPH , , REQUEST FOR FINAL INSPECTION For: Fill 17/%);' All information must be fully completed prior to any Trenches inspections being made. PCHD Construction Permit# F—. 1`7 L.ocatcd: U00L C)wner/Applicant Name; FiagwALkc' f Formerly: Is system fill completed? Ts System ro lete? (T) iGQA- <5Aa-1 TM S. Block Lot Subdivision Name: 1Z, iA ie- IZ 0)61�—:- VrA Subdivision Lot Date: 2) C Lf Date: --.r - Is system constructed as per plans? Is well drilled? Date: Is well located as per plans? Are erosion control measures in 01...? [a 001/001 I certify Q,.at tbe system( . s), as listed, ai the above premJ.,ies has been constructed and I have inspected and ver-.'-aed their completion in acoordance, with the issued PCHD Construction Permit and approved-J.'-'s and the Standards, R,,.Ilew and Ft,.; qulatio-,L's of the Putty Geii - Department of health. . ..... T Date- /a 6 Ctxtified bV: j PE-D!� RA Desip nal Address: QL0 ]Zevn--- Lie. # '6, 1 q 4 ( o - Comments: 4E,(.j _Li A 17.71 PPS) 6 1 A 174 Form FIR-99 DEC=3-2004 FRI 09:56 TEL: bll-'.-> - d (b OU'T NAM COUNTY DEPARTMENT OF P. 1 PUTNAM ENGINEERING, PLLC 4 Old Route 6 Brewster, New York 10509 Phone: 845 - 279 -6789 Fax: 845 - 279 -6769 e -mail: putnamengineering @rcn.com LETTER OF TRANSMITTAL Date: X_ -2 RE: P/E Job: We are sending you -✓ attached under eparate cover, the following items via U. S. Mail, Overnight, Hand Delivery, Pick Up: Originals Reports Plans Prints Photographic Exhibit Specifications Colored Prints Other: Copies Date Dwg. No. Description /0 /2 S- 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: y ��. n��r�iiw��r� .ri�ss.►.��s��srr�i��.��rr�+s� Copies to: �Ir f SIGNED: C" If enclosures are not as noted, kindly notify this office. PUTNAM COUNTY DEPARTMENT OF HEAL DIVISION OF ENVIRONMENTAL HEALTH SER CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT .# ? — I `1 Located at gr : 4e_ '1 or Village ` A- 10i'v2 -S 0 t Subdivision name '$,r, C+ 11e. Subd. Lot # d Tax Map Block ( Lot ZAP Date Subdivision Approved _� Renewal Revision Owner /Applicant Name C e,; vnuv%A C." ; I'%99_L&�k Date of Previous Approval 3 �aAz 2. Mailing Address �7_('� �:;-j Tfjl4 IL v 6-. Nj .1 Zip t 2 Amount of Fee Enclosed Building Type 5 nS t,2 , l I Lot Area i • 6A No. of Bedrooms 3 Design Flow GPD 6D 0 VV—, Fill Section Only Depth = Volume c�`1 PCHD NOTIFICATION IS REQUIRED WHEN FILL IS CO LETED Separate Sewerage System to consist of f pc gallon septic tank and Other Requirement's: To be constructed by Address Water Supply: Public Supply From A— Address or: Private Supply Drilled by Address 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 there- -�ti Signed: _ Address .E. R.A. License # Date /11� 1-11, t> La 4 GLo a-E?cp 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 pe 't. Approved for discharge of domestic sanitary sewage only. By: Title: i`� Date: Wh opy - HD File; Yellow copy - Bui ing Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 5RIDLE RID6E ROAD GRAPHIC SCALE 20 0 10 20 40 so ( IN FEET ) I inch = 20 fL M -BUILT MEASUREMENTS ( FEET) UTNAM N6 /NEE -It FILLE ENGINEERS _ ARO ITEGTS 4 OLD ROUTE 6, BREWSTER, NEW YORK 105041 (845) 2741-6'1841 FAX (845) 2'141-6"1641 0 R7R1AM EN61NlFWN6 PLLG 2004 PURSUANT TO NEW YORK STATE EDUCATION LAW, ARTICLE 145, SECTION 7209 SUBDIVISION 2, "IT IS A VIOLATION OF THIS LAW FOR ANY PERSON UNLESS HE IS ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL ENGINEER, TO ALTER AN ANY WAY. IF AN ITEM ITEOFIAN ENGINEER IS ALTERED,ETHE ALTERING AL ENGNEER SHALL AFFIX TO THE ITEM HIS SEAL AND THE NOTATION "ALTERED BY" FOLLOWED BY HIS SIGNATURE AND THE DATE OF SUCH ALTERATION, AND A SPECIFIC DESCRIPTION OF THE ALTERATION." REVISIONS . IV N0. DATE DESCRIPTION 0000 D • �� UTNAM N6 /NEE -It FILLE ENGINEERS _ ARO ITEGTS 4 OLD ROUTE 6, BREWSTER, NEW YORK 105041 (845) 2741-6'1841 FAX (845) 2'141-6"1641 0 R7R1AM EN61NlFWN6 PLLG 2004 PURSUANT TO NEW YORK STATE EDUCATION LAW, ARTICLE 145, SECTION 7209 SUBDIVISION 2, "IT IS A VIOLATION OF THIS LAW FOR ANY PERSON UNLESS HE IS ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL ENGINEER, TO ALTER AN ANY WAY. IF AN ITEM ITEOFIAN ENGINEER IS ALTERED,ETHE ALTERING AL ENGNEER SHALL AFFIX TO THE ITEM HIS SEAL AND THE NOTATION "ALTERED BY" FOLLOWED BY HIS SIGNATURE AND THE DATE OF SUCH ALTERATION, AND A SPECIFIC DESCRIPTION OF THE ALTERATION." REVISIONS N0. DATE DESCRIPTION PU,TNAM ENGINEERING, PLLG 4 Old Route 6 Brewster, New York 10509 Phone: 845- 279 -6789 Fax: 845 - 279 -6769 e -mail: putnamengineering @rcn.com LETTER OF TRANSMITTAL Date: /' moo Aa5 P/E Job: 735 TO: We are sending you --Z"attached under separate cover, U.S. Mail, Overnight, Hand Delivery, Originals Prints Colored Prints Reports Photographic Exhibit Other: U ' the following items via Pick Up: Plans Specifications Copies Date Dwg. No. Description, 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 i copies for distribution REMARKS: y Copies to: SIGNED: UTNAM NEINEERIN& PLLE. Engineers and Architects January 7, 2005 Mr. Robert Morris, P.E. Putnam County Health Department 1 Geneva Road Brewster, NY 10509 RE: Saez Bridle Ridge Road. Lot 1 Town of Patterson Dear Mr. Morris: Per your request I am enclosing a new Construction Permit along with two (2) sets of house plans. Should you have any further questions please contact me at this office. Very truly yours, PUTNAM EXGIN.E \1 'r Paul M. Lynch, P.E. PMUcp (u0ss> 4 OLD RouTE 6, BREKsTER, NEW YoRK 10,509 • (845) 279 -6789 • Fax (845) 279 -6769 • EMAIL: putnamengineering@rcn.com P 1-ITNAM El 'EERINEPLLE. .Engineers and Architects SEPTIC SUBMISSION FORM TO: DATE:. PUTNAM COUNTY HEALTH DEPARTMENT PROJECT: V;Sef L)A )-j �duwye is- ENCLOSED, PLEASE FIND: LT COPIES OF THE SSDS PLAN 2- COPIES OF THE HOUSE PLANS CONSTRUCTION PERMIT APPLICATION WELL PERMIT APPLICATION HEALTH DEPARTMENT FEE ($400,00) SHORT EAF DESIGN DATA FORM 4, LETTER OF AUTHORIZATION APPLICATION FOR WASTEWATER TREATMENT (PC-97) ❑ LETTER OF EXPLANATION REMARKS: L COPIES TO: SIGNED: `,, '�c 1'; ::'�;- '.'__.�`..� 4 =RI'llITE g,BREMTER, NEW YORK 10509 • (845) 279-6789 • FAx (845) 279-6769 • Emu putnamengineering@rcn.com PiUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES M k DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner � ��. r� _r �ti "�'(�,�:' I _ Address Po (o y i �� u `Y 17 SC (-; Located at (Street) A o f.4 ,f_„ Tax Map Block Lot 2 (indicate nearest cross street) Municipality Drainage Basin �- =�sS r Try f I L.t, l'r6 -v-I '-'() (�q Date of Pre - soaking SOIL PERCOLATION TEST DATA 10 I S I () .4 Date of Percolation Test ) v 1(10 Hole No. Run No. Time Start - Stop Ela se Time Min.) De th to Water from Ground Surface (Inches) Start Stop Water Level Dropp In IDCLes Percolation Rate A in/Inch ' 1 2 Z� '�z' -24 f;zzv 3 2 u �� 3 1 3 Z4Z Zs� Zl'�z' 2' /� 4 5 Sit' 2 LyY j2 � 30 y r L l 1 l u 2� Fz. i �" 4 i ZO 3 �5� . �^ �� 2y 4 5 A� 2 4 674& ARC von ki 5 NOTES: 1. Tests to be repeated at same depth unto! approximately equal percolation rates are obtainea at eacn percolation test hole. (i.e. < 1 min for 1 -30 min/inch, <_ 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Fpm, nn- 7 T RUTNAM COUNTY. HEALTH: DEPT. U Z 6 3 "4 1111 1 Geneva Road ' (845) 278-6130 Brewster, NY locos Date l\7 m1n �.�� a9c�9q Received of _A10 0.4 The Sum Of ____. Dollars $ 30 D� c7 F r " ANK YOU. ❑ Cash ❑ Check .0. ❑ Credit Card By/1�ttyY�u¢ii7 1 1 1 1 1 'v\ ti PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT It Located at v C - Town o Village Subdivision name RgL046 MAc Subd. Lot # �_ Tax Map Block �_ Lot Date Subdivision Approved Renewal 5e Revision Owner /Applicant Name f�'.i4nit�[M s�LC� 5�- Date of Previous Approval Mailing Address elf- 33k Zip I� Amount of Fee Enclosed 36c) D© Building Type�J . LC ��,t1� Lot Area 4 No. of Bedrooms 3 Design Flow GPD Fill Section Only Depth Volume Cjy, PCHD NOTIFICATION IS REQUIRED WHEN FILL ISETED Separate Sewerage System to consist of % �( gallon septic tank and T 'gyp w ,Z gdT %kA Other Requirements: , 5-1 R V,6tc _r, F- To be constructed by 7 [) R 6gE 72 '�/y Address Water Supply: Public Supply From Address or: _�� Private Supply Drilled by `To gc Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewagg 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 th Signed: P.E. R.A. Date (/- Address ?ot,kl License # Q&3 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 49 considers necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new pe discharge of domestic sanitary sewage By: �,� Title: Date: 16�—hv 16-3 White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # Well Location: Street Address: To illage Tax Grid # �, Map �" Block J Lot(s)pR Well Owner: Name: �R144A10p Address: s�cc,4�AE� Ro. isax 3 c✓ ,v N i.�l Use of Well: esidential Public Supply Air /Cond/Heat Pump Irrigation 9-rimary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought ,D ; gpm # People Served -5' Est. of Daily Usage gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reasons for Drilling Well Type _ Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No SC Is well located in a realty subdivision? ...................................... ............................... Yes X No Name of subdivision ftT,Q1-6 p_:FJ)6tr 6MIfA!�:5 Lot No. / Water Well Contractor: 7-6 A,!F- pC—j-,�,�,?/Nr.-Z�kddress: Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: N m Town/Village Distance to property from nearest water main: j ,y ALE Proposed well location & sources of contamination to be provid Ian. Date: 11 `3 , U 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 waye, driller c rtified by Putnam County. Date of Issue � %),j _ a j Permit Iss ' icial: Date of Expiration VzL ZaVc= Title: Permit is Non-Transferrablfi /% White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 / �� gL T/ VAM GI/ VEERING, PLLC. ngineers and Architects SEPTIC SUBMISSION FORM TO: Zoom�-z� 11lVo RT-S DATE: � PUTNAM COUNTY HEALTH DEPARTMENT PROJECT: AI ZG2 E P—Tn - ,e 'lo Cot. ENCLOSED, PLEASE FIND: lam' I COPIES OF THE SSDS PLAN . 4 le `C 1i I'Fk f t ❑ COPIES OF THE HOUSE PLANS ❑ CONSTRUCTION PERMIT APPLICATION ❑ WELL PERMIT APPLICATION ❑ HEALTH DEPARTMENT FEE ($300.00) ❑ SHORT EAF ❑ DESIGN DATA FORM ❑ LETTER OF AUTHORIZATION ❑ APPLICATION FOR WASTEWATER TREATMENT (PC -97) ❑ LETTER OF EXPLANATION REMARKS: -;F�gNt5co -557`5 As act Pccf6o c COPIES TO: 4 LD RouTE 6, BREWSTER, NEW YORK 10509 - (845) 279 -6789 - Fax (845) 279 -6769 - EMAIL: puteng@bestweb.net LORETTA MOLINARI R.N., M.S.N. Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Gary A. Tretsch Putnam Engineering 4 Old Route 6 Brewster, NY 10509 Re: Proposed SSTS: Saez Bridle Ridge Road, Lot #1 (T) Patterson, TM# 5 -1 -26 Dear Mr. Tretsch: ROBERT J. BONDI County Executive November 25, 2003 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:. Please provide a two foot clay barrier, the minimum depth of seven feet, between the SSTS and house foundations. The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours Robert Morris, P.E. Senior Public Health Engineer RM:tn UTNA1/I N5 1NEERINE PLLC. Engineers and Architects November 21, 2003 Robert Morris, P.E. Putnam County Health Department Geneva Road Brewster, New York 10509 RE: Bally Formerly Pryschlak Town of Carmel Tax Map #76.17 -2 -11 Dear Mr. Morris: As a response to our telephone conversation of this date, specifically with respect to an existing water course to the south and within 100 feet if the property, it apparently was not noted when field testing was requested or during the field testing with the Health Department. The subject parcel is a lot on an approved subdivision designated as Section F, Teakettle Spout Lake Filed Map No. 335- E,.Lot 61. The water course is not shown on the Filed Map (copy attached). The water course is also not shown on the New York City DEP Watershed Map Sheet 11 D (copy attached). I have also been informed by the Town of Carmel, Town Engineer, that the water course only flows when upper Teakettle Spout Lake is full and overflowing. Therefore is was most likely not flowing during the field testing. We have subsequently located the seasonal watercourse and have adjusted the SSDS to be 100 feet from same. The adjusted SSDS remains in the area that was previously tested with the Health Department. A copy of the revised SSDS layout is also attached for your information. Kindly advise as to any additional information you may require regarding this matter. Very truly yours, PUTNAM EN LLC Gary A. Tretsch GAT /cp Attachments cc: Bob Bally (L03.632) 4 ULD ROUTE 6, BREWSTER, NEW YORK 10509 - (845) 279 -6789 - Fax (845) 279 -6769 • EMAIL: puteng @bestweb.net 0 45:9 A) C, .40 CA C. /�O(P 0 -ro4r 0' cl- % k-P QO 0i 00 10 IS- ? 7' 7 N yb 00'4 0 0 A I Eta hkierr 2"; 5�, 417"DVII; "kae.f ro. AQ. 31!t' 2,T at th: wN 11 AM"— A Omagh WAD; 40 Nil RISC A ON 4 Mfr IS TOW I "J r s Mw Q SAM AWWWANK loss a S' c uavel EXt4 (. stRFA^X -_.�6 rT • C'!✓�ASoMAL� /- �oc�tTE� t3Y A£Ktat_ U'"'°'_ • S WO?� • IPµY A1I0 Pr,ZC' Mt;'nS U7 � 4 c, `•- z ono) N so I 148111 , c r, =270 • �• � -� O � GUKf'Ginl �•r! Tim (040 EDGE a c I Iwo mA � o LoT n` *65A =0.39 - 0 +00 ��>a_ ►g }oaf -S 77 -47L C4. + 3� 2U NOTES: 1. NO WELLS OR SEPTICS WITHIN 200 FEET UNLESS OTHERWISE NOTED, LITNAM 2. TOPOGRAPHY AND BOUNDARY INFORMATION BASED UPON 54l2YEYSY 5WID4ODELL.�P•L.S• GIN EERIN.E PLc FILED MAP NUMBER: $55 -E DATED: JiL .24,1950 — ENGINEERS - ARCHITECTS DATUM: 0 34 S 3. WELL 19 TO BE SURVEY LOCATED BY A NEW YORK 4 OLD ROUTE 6, BREWSTER, NEW YORK 10509 STATE LICENSED SURVEYOR PRIOR TO DRILLING. (845) 279-6789 FAX (845) 279 -6769 • _......,..• �...,ro.,, +n nc .ucrni i cn ooino rn 0 PUTNAM ENGINEERING PLLG 2001 PJTNA M NGINEERING, PLLC. Engineers and Architects SEPTIC SUBMISSION FORM TO: PUTNAM COUNTY HEALTH DEPARTMENT PROJECT: DATE: u- 13 03 ENCLOSED, PLEASE FIND: COPIES OF THE SSDS PLAN capTE5 of T*V s3©S F'Fu ",Al ❑ COPIES OF THE HOUSE PLANS I� CONSTRUCTION PERMIT APPLICATIONCee -*eU 4e) WELL PERMIT APPLICATION HEALTH DEPARTMENT FEE ($300.00) ❑ SHORT EAF ❑ DESIGN DATA FORM LETTER OF AUTHORIZATION ❑ APPLICATION FOR WASTEWATER TREATMENT (PC -97) ❑ LETTER OF EXPLANATION COPIES TO: I � 1 SIGNED: 1 4 rLo ROUTE 6, BREWSTER, NEW YORK 10509 • (845) 279 -6789 • FAx (845) 279 -6769 • EMAIL: puteng @bestweb.net PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of 'E z- -C�z' Located at T ! V Tax Map. # Lot_ Subdivision of� Lc�STT Subdivision Lot # Gentlemen: This letter is to authorize CU-��/K/l wA21 oter(ffi��i�i� , 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 treatment and /or water supply systems in conformity with the provisions of Article 145 and /or 147 of the Education Law, the Public Health Law, and the Putntanitary Code. v F Very truly your , Countersigned: 4 F, -�j Signet P.E., R.A., # (O er of Proper Mailing Address:l ()1,o a `w,' ( State: Zip: ID�5X Telephone: 2 �� Mailing Address: Ti(-, ( VQ c:. State: �" Zip: Telephone: 4-(c, - �4c" � r PUTNAM COUNTY DEPARTMENT OF HEALTH ►�� DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # p 17 —q�:. Located at 04,,9- 91/9(76 65120 own or Village ) /PTI�e/ �,2i/>�� 2tyJC -r�r Subdivision name �;*� -�-� Subd. Lot # / Tax Map 5 Block Lot 016 Date Subdivision Approved Renewal ✓ Revision .—T Owner /Applicant Name od-AI / 146A4,,1 S Date of Previous Approval S Mailing Address Pf0 60x' 69-2 ZdTIRL- xodeJ , rI y Zip Amount of Fee Enclosed Building Type / ?e�� P-eS Lot Area % & o. of Bedrooms v Design Flow GPD �00 Fill Section Only _ Depth , %2 ' Volume PCHD. NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of /CCO gallon septic tank and Other Requirements: 5 /Z "Q C/-3 /LL (/ZOz) G42 avw ,-,/ T !' j To be constructed by 73 6c Address Water Supply: Public Supply From Address or: _ Private Supply Drilled by &,V /S TI/J(r- &/&Z,t, Address 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. Si ned�<T P.E. R.A. Date JU 2 W Z- Address License # 0044-4 5 d co /2o 176- 6 640,1 S-zt��-�J /d J a 7 APPROVED FOR CONSTRUCTfON: This approval expi, res two years from the date issued unless construction of the sewage treatment system has been completed and uspected by the`PCHD and is revocable for cause or may be amended or modified w n c nsidered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new pe " ' proved o ischarge of domestic sanitary sewage only. By: Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 lJTNAM NGINEERINE PLLE. Engineers and Architects SEPTIC SUBMISSION FORM ,/% TO: -e✓ � /�J /`'g,— DATE: 2 PUTNAM COUNTY HEALTH DEPARTMENT PROJECT: /� /lG� /f , �/� /%JG� A21126 -6 75 ENCLOSED, PLEASE FIND: COPIES OF THE SSDS PLAN dLr'- ❑ COPIES OF THE HOUSE PLANS CONSTRUCTION PERMIT APPLICATION ❑ WELL PERMIT APPLICATION HEALTH DEPARTMENT FEE ($300.00) ❑ SHORT EAF ❑ DESIGN DATA FORM LETTER OF AUTHORIZATION ❑ APPLICATION FOR WASTEWATER TREATMENT (PC -97) ❑ LETTER OF EXPLANATION REMARKS: COPIES TO: SIGNED: Av z A- 4 OLD ROUTE 6, BREWSTER, NEW YORK 10509 • (845) 279 -6789 • Fax (845) 279 -6769 • EMAIL: puteng @bestweb.net PUTNAM COUNTY DEPARTAUNT OF HEALTH DIVISION OF E ,, !O�N�'L HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of Ldlk" (-4QYe_A S Located at lbA(JL 12 (06S CeAQ TN PAT_(_6U6J Tax Map # 5 Block Lot Subdivision of '69 i OLe, e L 066 -E5 �� Subdivision Lot # i Filed Map # Date Filed 2A 21 l $� Gentlemen: This letter is to authorize Pork r-A (5"G s ns61=2z &, - eL. _c- a duly licensed Professional Engineer j ✓or Registered Architect to apply, for the required wastewater treatment and/or waW supply permit(s) to serve the above -noted property , in accordance with the standards, rules or regalat t m 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 conMetion of said wastewater treatment and/or water supply systems in conformity with thlZovisioiti s of Article 145 and/or 147 of the Education Law, the Public Health Law, and the Puj nitary Code. P.E., R.A., # Mailing Address cti oceen RCC State �_._. Zip Telephone•` Very truly yours, Signed: - (owner of Mope Mailing Address: 2� State ___Zip Telephoner 3 --4d l 0A a 1 (� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CpONSTRUCTION PERMIT TREATMENT SYSTEM PERMIT# T- /7 9� _ Located at lgla � Ki oay.; K1 >� Subdivin name Subd. Lot # Date Subdivision Approved—.2191 Owner /Applicant Name .10+4 rJ t!09 R.tS Mailing Address Town or Village Tax Map Block Lot Renewal Revision Date of Previous Approval Zipt 664 Amount of Fee Enclosed T' k Building Type l J6 Lot Area No. of Bedrooms Design Flow GPD (d o® Fill Section Only Depth Volume G PCHD NOTIFICATIO I REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1®Q C) gallon septic tank and Other Requirements: 1 To be constructed by 0 P Address Water Suunly: Public Supply From or: Private Supply Yrilled by V i-15(A311i Ii Address Address 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 ap al of the Certificate of Construction Compliance of the original system or any rgpair�Ytl Signed: / ► \ R.A. Date S Address FufiNbM jl& t nJ6I:arL_► 102� 6t.r,-w154 PA PA', License # . cAP-r^ex— i v5u, 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 w nsidered ecessary by the Public Health Director. Any revision or alteration of the approved plan requires a new pe i • pprove&W discharge of domestic sanitary sewage only. By: Title: U.,� Date: / White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 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 July 19, 1999 RE: Morris, Bridle Ridge Road Bridle Ridge Estates, Lot #1 (T) Patterson 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 July 9, 1999 is complete. The Department will notify you by July 29, 1999 of its determination. ® The Project has been delegated to the Putnam County Health Department for review pursuant to the guidelines set forth in the Watershed Agreement. ❑ Joint review with the NYCDEP will commence pursuant to the guidelines set forth in the Watershed Agreement. If the Department fails to notify you within the above referenced time frame, .you may notify the Department of its failure by certified mail, return receipt requested. The notice should be sent to my attention at the above address. This notice must include your name, the location of the project, the office with which you filed the application originally, and a statement that a decision is sought in accordance with section 18 -23 (d) (6) of the NYC Dept. of Environmental Protection Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed complete, subject to standard terms and conditions as set forth in the regulations. Please be advised that projects within the NYC Watershed may also require Dept. of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation k., Letter to: Paul M. Lynch - July 19, 1999 -2- of impervious surfaces, and the project applicant should contact the Department of Environmental Protection regarding such activities to see if Department of Environmental Protection review and approval is required. If you have any questions regarding this matter, please call me at (914) 278 -61 A ext. 2159. SR:tn Very truly yours, Shawn Rogan Public Health Technician DRIVEWAY & SLOPES, CUT ®10' FROM FOUNDATION; 50' TO WELL FOOTING /GUTTER/CURTAIN DRAINS WELL 1, SOIL TYPE BOUNDARIES �I'N 0� ,T,0TROI :E 'IY'I iNE f� TITLE BLOCK; OWNERS NAME,ADDRESS LOCATION OF SERVICE COi`iNECTION 1 A TMR,PE/RA; NAME,ADDRESS,PHONE9 L� DATE OF DRAWINGIREVISION DATUM REFERENCE LOCATION OF WATERCOURSES, PONDS LAKES AND WETLANDS WITHIN 200 FEET =PROPOSED FINISH FLOOR AND BASEMENT EL. CO.NnIENTS: &S-e U0 1(4ce q- Ekyn PUTNAM COUNTY DEPARTMENT OF HEALTH ` DIVISION OF ENVIRONI, IENTAL HEALTH INDIVIDUAL NVATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS REVIEW SHE T FOR CONSTRUCTION PERMIT ,g STREET LOCATION y l'� NAME OF OWNER��(S REN'TENYED BY RM, GR, AS, DIB, B DATE TAX MAP 9 Y N DOCUMENTS Y N APPLICATION EROSION CO ITROL:HOUSE,WELL, SSDS P�PPERNIUT PC -I - PC 47 PERC & DEEP HOLES LOCATED WELL PERMIT _ PWS LETTER REPRESE` ?ATIVE OF PRIMARY & EXPkNSION LZLJ LETTER OF AUTHORIZATION LOCATION MAP DESIGN DATA SHEET (DDS) EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE CORPORATE RESOLUTION IF Pi!`IPED, PIT & D BOX SHOWN &DETAILED SHORT EAF HOUSE -NO.OF BEDROOMS PLANS - THREE SETS WELLS & SSDS'S W/ IN 200' OF PROPOSED SYS. HOUSE PLANS - TWO SETS PROPERTY METES & BOUNDS VARIANCE REQUEST HOUSE SETBACK NECESSARY (TIGHT LOT) FEE / HOUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE SLBDIVISION NO BENDS; MAX.BENDS 45° W /CLEANOUT LEGAL SUBDIVISION FILL SYSTEMS SUBDIVISION APPROVAL CHECKED =CLAY BARRIER PEP RATE 3U _ 10- FT. HORIZONTAL;SLO$E_3:1 TO GRADE �� MFILLREQUIRED .5 DEPTH FILL SPECS FILLNOTES CURTAIN, DRAIN REQUIRED FILL CERTIFICATION NOTE STANDPIPES III IDEPTHGAUGES GEN-ER L / FILL PROFILE & DIMENSIONS LOCATED N NYC WATERSHED VOLUME PLANS SUBMITTED TO DEP FILL N EXPANSION AREA DELEGATED TO PCHD NN DEP APPROVAL, IF REQ'D LF TRENCH PRO 60 FT MAX. DEEP TEST HOLES OBSERVED IC y PPRCS TO BE WITNESSED L CONTOURS 4M NSION PROVIDED EX- APPROVAL SSDS ADJ. LOTS SEPARATION DISTA\CES SPECIFIED WETLANDS (TOWN/DEC PERMIT REQ'D ?) ON PLAN - FRONT SSTS DATA ON DDS PLANS & PERMIT SAME 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL PRE 1969 NEIGHBOR NOTIFICATION 20' TO FOUNDATION WALLS _15'WELL TO PL LETTER BI2BA 100' TO WELL, 200' N DLOD,150' PITS 100 YR. FLOOD ELEVATION 100' TO STREA�1 WATERCOURSE LAKE (inc. expan) OTHER REQ'D PERMIT(S) 50' TO CATCH BASIN, 35' STORMDRAN, PIPED WATER REQUIRED DETAILS ON PLANS 10' TO WATER LINE (pits -20') SEWAGE SYSTEM PLAN - (NORTH ARROW) 50' NTERMITTENT DRAINAGE COURSE SSDS HYDRAULIC PROFILE 2007500' RESERVOIk, ETC. _150' GALLEY SYSTEMS GRAVITY FLOW .2D CONSTRUCTION NOTES IYMN to CDS= >5 %JW- 4 %,25'- 3 %,30'- 2 %,35' -1 %,100' - <I% / DESIGN DATA: PERC & DEEP RESULTS 20'MN to CD discharge /100'with 182 cons day discharge 2' CONTOURS EXISTING & PROPOSED SEPTIC TANK DRIVEWAY & SLOPES, CUT ®10' FROM FOUNDATION; 50' TO WELL FOOTING /GUTTER/CURTAIN DRAINS WELL 1, SOIL TYPE BOUNDARIES �I'N 0� ,T,0TROI :E 'IY'I iNE f� TITLE BLOCK; OWNERS NAME,ADDRESS LOCATION OF SERVICE COi`iNECTION 1 A TMR,PE/RA; NAME,ADDRESS,PHONE9 L� DATE OF DRAWINGIREVISION DATUM REFERENCE LOCATION OF WATERCOURSES, PONDS LAKES AND WETLANDS WITHIN 200 FEET =PROPOSED FINISH FLOOR AND BASEMENT EL. CO.NnIENTS: &S-e U0 1(4ce q- Ekyn ravel xP' .off PUTNAM COUNTY DEPARTMENT OF HEALTH �v DIVIISION OF ENVIRONMENTAL HEALTH SERVICES, DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner MojZyJ,5 Address Located at (Street) �5)r- A4,6 C��t� � , Tax Map Block _L Lot P6 (indicate nearest cross street) Municipality T, :,r . 542 Watershed ,� � SOIL PERCOLATION TEST DATA Date of Pre- soaking �) ,/ Date of Percolation Test 4 A2Jg P .»eapse No Time ;Surface (inches) Arop )In Rate Hale Ruts No. Star t Stop (fin ).. .: Start Sta Inches Mtn/InclE 3 036 - /H M 3 4 5 2 3 :2X, 3 % 4 it 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. HOLE NO. 4 "2 Indicate level at which groundwater is encountered A/�9 -*? e- Indicate level at which mottling is observed Indicate level to which water level rises after being encountered A1,29 Deep hole observations made by: Date G A. 99 Design Professional Name: Address: Signature: Design Professional's Seal Signature and -Title'-} �r I .02/96- Rev Title: L) J f j `1 730•. y�s 174 , ol 5151.51 Sr 1 1.7�5Ac. � I ( .1 "\,,_ Al-, b� a [E X.1 PNl pm- ° ` "z •z• �,� 73 -oo' -aid � 1Pi� n D11• ea r " 1 If Ab 1 1 � I W� 1 i 41 it r- YD / Sri/ � 8o�9Cv� S J L_ r,' i 3'S7."�iOt �iE L '.oG a I 04119 .151 71 OWW.t, I.9'Sl �J l � Yll! 0 i . 1/ I I 1 o . �o ICL. 1 i I I 1 ( I I° I_ 1° I� 1 ,� 1si.a le �p I 31 16.94 AC. CAL. 1.20 - t,sn 31279 Ift 227.10 199.03 2ar.oe R 31613 1 z91.d 112 200 E 3 29.. x 11.41 AC. 291 89237 5.21 AC CAL. 28 +0810 4.44 AC. CAL • 27 C83 136.19 24198 20100 67 ° " s . 0 23 w i 25 to .. 26. 22 ;A 24 .2 .. ,. 21 , ' S • 173 AC, , IBC 225 AG _ 256 c 291 AC.' s< ' 5.10 AC. °r�A C. `� ` .1p /a,.#/ .99 ` I n3 o 17 16. ° 1.39 1.93 19 yArtio� 7.40 AC. Isals a .87 AC. �`' 8 Y tt0AI 15 JL i36116 ' 9 3 ,o\, r••- • J 717.60 5.32 AC. •-= 10.24 AC. 1249.68 Imo' 14 --!�102 ' 9 2.78 AC.� 116608 10.84 AC. « 394&1 K i m4.93 10.92 AC. III 9 10 9 40 AC. 20.37 AC. CALF. 279 X job, ayl, pA,A.1nc coltnu -� .2 214.3 27E! BwasTER Cew.AL Sam e 28.44 AC. CAL. 5 AC. CAL. 4 7.67 AC. CAL. P A W L I N G -7AL AREA IN DISPUTE "GORE' / 3� AC. 37 58.44 AC. n a11�38 �� v 307.31 1.62 .a 39 1 +181 s � a 1331.n �� 8 2.19 AC., 4 1338 T! "v 40� f In 24.36 AC. CAL. 42 40.70 AC. CAL. 43 16.5AC . CAL.1 1+.+e I w 6 � s z88AC Y i 1 �-laes �� • z o� r Sc"QeL 01SZRIC7 b _ _ SCN - PA`M► -ING CAM' f - - - - - - D151RICT Bit MMAL SLF180L s k f 44 1 ' 496.11 AC. EXEMPT ;1 % PUTNAM COUNTY PARK 1 W&29 �•---- -- ---- -- '�- - -�? - , - - --( - - - - - - - - - . •_' � 960 �� ' 11 0,` _ - b RECORD OF PHONE CONVERSATION DATE: TIME: �z/ PERSON CALLING: j K PHONE #: 60 REASON ()Inspection:--'-' 'W_Deeps and /or erm _ SCHEDULED FIELD MEETING DATE: TIME: z ;o f ROAD /STREET: .9 9 1- j L F_ X" t j 2, �-, r ; TOWN: t,q j '� TAX MAP #: SUBDIVISION: B r i ov e 7ZYd!Q e_'s LOT #: OWNER: >�'� / 5. COMMENTS: Ll v 151UN OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner � (4 '3 M r-F—1 rj Address �al f A- 1''� Located at (Street)erfJG ,el /7C,El LID Tax Map S Block Lot . (indicate nearest cross street) Municipality �� Drainage Basin � � � SOIL Date of PERCOLATION TEST DATA Date of Percolation Test Hole No. Run No. Time Start - Stop Ela se Time Min.) Dep th to Water )From Ground Surface (Inches) Start Stop Water Level Drop n Inches Percolation Rate Mn/Inch 1 (o [ cl `' 2 1 LIP„- y-;Z Y- 1 :3 "J� t `� 18�z �'% 5 2 I r 3 5 1 2 fJ-- 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, _< 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' .a.oi rxl UNIA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. —L HOLE INTO. Z, HOLE Wprug- V -0 ENV V, .4LT,4 SRVCS 99 JUL - 7 PM �: ,. a Indicate level at which groundwater is encountered /go Indicate level at which mottling is observed 11 /_ Indicate level to which water level rises after being encountered zzq- Deep hole observations made by: � ydt#46 Date 2 h9 Design Professional Name:' Address: Signature Design Professional's Seal OF NEFr � O� Q��t�,1CN,1E(� yrc'Qf- 067445 �Aa ESSlO��L �IupmersIL Y!"'.PI mw pi lmns 1kyz r 1 yt �i q y `ut- JY :�y_T l3�_•f[�) �F•�z,r��•f;�i. �Ya arPi Of: s 4,1 t IF - -i A9 i 3F y ,e ms�IfZ -i •. � -� f, ! ( M1 � ��} •vs°"( fpT"''a'iaa°i - �.''7Y'w^.' 3 5 �.... i i..iwz�ialia o��ri19'Ir�y!�n'Ii�G1 =7i i :�:'! ._ rpm �IupmersIL affluent, mw pi lmns �4t ! CP wo.AYyt 1� � _ 4 Ae gLl lti 2 i0 Ub.� ul• �� -�1�14 � e' z , •. 11 Yli PaO?I r o of ,� f cy yy,, .•� ��r lr Cif1}RI�(OS- �Slul� i 14`1 P' l!ti •a+=rrPd..,. -t )•. <vrhr•ar'°�'�/,Y. - »7� -�?. 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"'^^,�I �t �G �{ �t ��E•,- �..''�i�s Cam'^ tM � '! if4T.15nJ } tt ac ir Y'x !`t ll,' t• � yr � ��”' f'�' i�ijr,.si,,.1EW. .,.,,?`:.s . � r r �£� y, '.Y. �cb .✓ ' ` E =1 ;�`d ��y� a•` tlV•L.�•^I*S>,^�•�F � t a 1 f� P_ ` s �t � } - -•a,�� `y' i •r�i'"'7s� k+t r r •ia k�i i y 7s � �� {� � {Tk .' r r T�f t e ! 1•i t.. tell L '�ICa t dt�w'r�q , ,�.�.r j, - .. �•��"i`��i i "� �... ��• :..-( �_ . t �r.:.'�. f L..� :��1, �6i�jth ( ±'G: d rr -� _.r�ur� -`�- . <.r ..;'�._ ,.- _ w��'�f"t .•.�`s' - -�`, _ , S x, #.r<t£� �_ -. �1��"..�� . - t S �i%s. .�� ti- „•e:..�±..�!— 1. ,1- T4+-'- l ��': .",.u.*:1� ,err f "'` *, ,31 �^,� � yr � ��”' f'�' i�ijr,.si,,.1EW. .,.,,?`:.s . � r r �£� y, '.Y. �cb .✓ ' ` E =1 ;�`d ��y� a•` tlV•L.�•^I*S>,^�•�F � t a 1 f� P_ ` s �t � } - -•a,�� `y' i •r�i'"'7s� k+t r r •ia k�i i y 7s � �� {� � {Tk .' r r T�f t e ! 1•i t.. tell L '�ICa t dt�w'r�q , ,�.�.r j, - .. �•��"i`��i i "� �... ��• :..-( �_ . t �r.:.'�. f L..� :��1, �6i�jth ( ±'G: d rr -� _.r�ur� -`�- . <.r ..;'�._ ,.- _ w��'�f"t .•.�`s' - -�`, _ , S x, #.r<t£� �_ -. �1��"..�� . - C I-trtl4zi 1 .6 Plumin UP L M= F=i TNAM tnnNG,PLLE. inelanners SEPTIC SUBMISSION FORM TO: I ��C' I l ®IBS , �� DATE: PUTNAM COUNTY HEALTH DEPARTMENT PROJECT: Lz)-C" ENCLOSED, PLEASE FIND: )P( COPIES OF THE SSDS PLAN C510645--r I * Z D K 3 Gofer 1 �sG TIcN P�� 2 COPIES OF THE HOUSE PLANS CONSTRUCTION PERMIT APPLICATION �i /,o ❑ ' WELL PERMIT APPLICATION (axrE5ro-S& vl��D HEALTH DEPARTMENT FEE ($ �� ) J SHORT EAF DESIGN DATA FORM c LETTER OF AUTHORIZATION APPLICATION FOR WASTEWATER TREATMENT (PC -97) ❑ LETTER OF EXPLAINATION COPIES TO: SIGNED: L'= 102 GLENEIDA AVENUE, CARMEL, NEW YORK 10512,PHONE (914)225- 3060•FAX (914) 225 -2955 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 'J APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: 2. Name ofproject: MCV --1Z1S SSQS 3. Location TN: 4. Design Professional: NEEOaA Nr 5. Address: 102 6. Drainage Basin: 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 Type II 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... Exempt Unlisted X t-J c-2 10. Has DEIS been completed and found acceptable by Lead A enc Y? ............... 1-1 %- 11. Name of Lead Agency tj //'- 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances .......................................................... ............................... ►�l� 13. If so, have plans been submitted to such authorities? ........ ............................... N ,n. 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? .................... I-J 17. Waters index number (surface) ........................................... ............................... 1 J 18. Is project located near a public water supply system? ....... ............................... -i 1�1-) 19. If yes, name of water supply Distance to water supply i L-E5 20. Is project site near a public sewage collection or treatment system? ................ t- r �. 21. Name of sewage system Distance to sewage system' 22. Date test holes observed 23. Name of Health Inspector �L 24. Project design flow (gallons per day) ..................................... ..........................._�� 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... 26. Has SPDES Application been submitted to local DEC office? ......................... C/A, Form PC -97 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? .............................................. ............................... Has application been made to Town or Local DEC office? ............................... ^� Q 30. Does project require a DEC Stream Disturbance Permit? .. ............................... 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 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 DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ......................... 1"JQ 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? . ............................... �`+a 36. Tax Map ID Number .......................... ............................... Map 15 Block j Lot 2C 37. Approved plans are to be returned to ..... Applicant, 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, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNATURES & OFFICIAL TITLES. ?nf 66 Mailing @l$;1 34 AN ................... �t ildfl001�VN.lnd �. UM333d Date 4 / 0 9 y RE: Property of I k a F" i , Located at 23 RX04f 0? -r.DGF !!! CJ,' D (Town) ' A) Section Block Lot Subdivision of T Lle Subdv. Lot # 1 Gentlemen: Filed Map # f7:`�S 62) Date 0 p 1 ! s;/ 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 construction of said systern systems in conformity with the provisions of Article 145 or e6v� 147, Educatio ;cie' lth w, and the Putnam County Sanitary Code. Countersigned:Sj P.E., R.A., # _0&-7 44-(z2 914 - 225 -3060 Telephone Very truly yours, er of Property ?•d( fax Pdre Town I /� '/ ) 1/33 Telephone 14.16.4 (M—Text 12 PROJECT I.D. NUMBER 617.21 SEOR Appendix C State Environmental Ouality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART i— PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT /SPONSOR GI Ni=g�21 2. PROJECT NAME 3. PROJECT LOCATION:�7 Municipality ( County 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) 1 5. IS PRO SED ACTION: New ❑ Expansion ❑ Modification /alteration 6 SCRIBE PROJECT BRIEFLY: -- 1api' p 7. AMOUNT OF LAND AFF CTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? es ❑ No If No, describe briefly 9. WH IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Park/Forest/Open space ❑ Other es ibe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL�)r? —,l ❑ Yes >QNo If yes, list agency(s) and permitiapprovals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes o If yes, list agency name and permlUapproval 12. AS A RESULT OF ROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? ❑ Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE � A I icantJsponsar / pp name: Date: Signature: 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 PART II— ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes, coordinate the review process and use the FULL EAF. ❑ Yes ❑ No 11 1 S. 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 briefly C5. Growth, subsequent development, or related activities likely to be induced.by the proposed action? Explain briefly. to L ;Z:-0 C C Cz r —r r'l C&. Longterm, short term, cumulative, or other effects not identified In C1-05? Explain briefly. �:. rr n to m C:7 C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly. 011 y o._.c„ -c 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 a positive 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 Lead Agency Signature of Responsible Officer in Lead Agency Name of Lead Agency Date 2 Title of Responsible Officer Signature of Preparer (If different from responsible oificer) BRUCE R. FOLEY Public Health Director Ken Hurley Putnam Engineering 102 Gleneida Avenue Carmel, NY 10512 Dear Mr. Hurley: DEPARTNENT OF HEALTH 1 Geneva Road Brewster, New York 10509 '71 - ""W LORETTA MOLINARI RN., 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 Re: Proposed SSTS: Morris Bridle Ridge Road, Lot 91 (T) Patterson, TM# 5 -1 -26 July 19, 1999 Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. If percolation tests were not witnessed by a representative of the New York City Department Environmental Protection on this lot, percolation tests must be witnessed by a representative of this Department. 1) The minimum of 3.5 feet of fills required in the SSTS area. Proposed contours are to reflect this amount of fill. Please check the northwest corner of the fill pad for proposed fill depth. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. RM:tn Ve ruly yours, tv Morris, /Z- Robert .E. Senior Public Health Engineer