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HomeMy WebLinkAbout0312DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13. -2 -8 BOX 4 00121 d PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR SITE LOCATION (!5- OWNER'S NAME MAILING ADDRESS OFFICIAL USE ONLY TM# 3 f — �X L PHONE PERSON INTERVIEWED �� /���'�_ PCHD Complaint # —flame & Kelationship i.e., owner, tenant, etc.) DATE TYPE FACILITY PROPOSED INSTALLER PHONE_ ADDRESS REGISTRATION #_ Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system .Different location may require submittal of proposal from licensed professional engineer or registered architect. I, as owner, or reported agent of owner a e 9 c itions'stated on this form. SIGNATURE � � �- TITLE .DATE Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6 diam. X 6' deep e. Installers' name and number. System repair to be performed in accordance with the above proposal and conditions. Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML DA 05/04/2004 16:36 9142324332 A j 1 b Orc) 1 LAWTON ADAMS CONSTRU I j r ( t w f,\1 PAGE 02/02 05/13/2004 12:33 9142324332 LAWTON ADAMS CONSTRU PAGE '02/02 FOX b 6d 60161D 40 I � t � I Ilot 1 ro �Uaw► Q; i Js 1 MAY -13 -2004 ;THU 12:30 TEL:845- 278 -7921 NAME;PUTNAM COUNTY DEPARTMENT OF P. P AM COUNTY DEPARTMENT OF HEALTH ION OF ENVIRONMENTAL HEALTH SERVICES OF CONSTRUCTION COMPLIANCE FOR.SEWAGE TREATMENT SYS'T'EM PCHD CONSTRI*CTION PERMIT # PS�9 i? Located at , f)K%Vot- O Arl,- ;//Town or Village Owner /Applicant Name 1%��'51jC%ji1 p C ) Formerly 1'0A 1ZF-P-5v Al K; J Block. Lot Subdivision Name PVC X .S Subd. Lot #� Mailing Address 1191-9io klE 2z— , %�iQ r%z 'C1/V /� y / � Zip Date Construction Permit Issued by PCHD Separate Sewerage System built by Mdrss Pee-a beiy-C -- Consisting of ;Zne j, r na, Water containing me­--e than 20 rn. �L 01 SO% 1U ri should not be used f0f dji ang by people on sezcrely r :, %' zted sodium diets. Water containigV Other Requirements: lUf�R{n re than 270 MR/l, of sOaii::n :'ri; .?':;a r +:-t. ? , us'--d by oeovle on moderateiV Water SumIDly: restricted sodium diets Public Supply From C (,17.J ITY DEPT. OF HEALT 1i Address Private Supply Drilled by ,� �,�� Address 9 fAM /V Y Building Type Of%QlIUM Has erosion control been completed? Number of Bedrooms -5 Has garbage grinder been installed? _ yes Ale) 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 regulatio s of the Putn County De ent of Health. "v Date: 1 t� Certified by P.E. R.A. Address (Design Profession ) fr Uf . c � d License # 5- 3 2-- Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocatio , m dification or change is necessary. By: Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 N i 4 :l i S In 96- '1710s is, to certify that °�� th Zace disposal system was constructed as indicatedwn this plan and LO that s the system was Jnspected by me before it was covered over. The system was constructed in accordance with all standard rules and I.15i�lIG. regulations of the Putnam County Department of Health and the Nev Yoex State Deoarthent of.Health.° t� a5to \00 Pry '7 9 Ip 't� l �v ^a w Water analysis result for sodium (N' )ot ✓odium should not be used for agar containing me: a than 20 m :- fliu �lci[tg by people on se:r =* '> :tad s_r i mJ� bts. eOatle on moderia[- OUNIJ/9T�b� SUfZ ✓t y /3 y arsu. tt 270 VA91L 0"'r," `' -` ".yi V °JTY DEPT. OT HEAL°M . Sie rnct sodjam diets. D, 4V.1 J ,C . OD4L L . P. . x 31s14 o� - \r3 oq ` !t�D� ck aL`e .W"Ir-; � �1 .t E G; G Qt Putnam. County Department of Tal *Pt's s Division of Environmental Health Servt �l C/ r t%Approved as noted for oon£ormanoe with �O aBpl ab o Rules and Regulations of the., I 0 V� 0 1 L rye( I ffi f Co Health Departmen ,' DA i� -- I".a +ure & Title p �! 16 oWNt lLl VJU6T, M 0 0V - luttis �62 11 71{io K-,r ZZ fN�1lo1 —_ - -- P kt r ey_SO d Ny i z5io3 1 AS —BUILT MEASUREMENTS N0 A I B IREMARKS I 1 3z 1 Ze-rw r. xwver: 50 senx x '� � i cc�r `Vearr: JOIRVY"LL A P.E. P.O. BOX 644 i4) 87!'- CARAEL. N.Yiaw2 d94 t 7'f 34. errs As q_ 31 4- 8 ► Zvi ,�Q -5 ? I� 1ts q3 ' �► 1iv q3 13 i R Is I� ! TM #?` / 3, - 2 - $ LF Aez"n 300 [4e P,poviD� 300 VA"VVI I. T "5Sp5 � 2 xwver: .,vo. 1MEST, M op ,FM/t�fcs CA 4D)21 Vlc PA77EJ -50t) (r) x '� � i cc�r `Vearr: JOIRVY"LL A P.E. P.O. BOX 644 i4) 87!'- CARAEL. N.Yiaw2 d94 o co- xcctra. I 1 I errs PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT i -94� Well Location Street Address: Caroline Drive Town/Village: Patterson Tax Grid # Map J- Block P,,- Lot(s) 2 Well Owner: Name: Address: Westchester Modular Homes, Inc., Box 2910, Rte 22, Patterson, NY 12563 Use of Well: 1- primary 2- secondary X Residential Public Supply Air cond/heat pump Irrigation Business, Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment X Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total length 62 ft. Length below grade 61 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials: x Steel Plastic Other Joints: _ Welded X Threaded _ Other Seal: X Cement grout _ Bentonite Other Drive shoe: X Yes No Liner: Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _ Bailed x Pumped ­2L Compressed Air Hours Yield 5 gpm Depth Data Measure from land su rfacerstatic (specify ft) 301. During yield test(ft) 945' Depth of completed well in feet 985' 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 15 Drilling in' over urden clay and boulders 15 Hit rock at 15' 15 62 Drillinci in rock set casing, routed 62 .985 Drill! in c 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 8/10/98 Putnam County Certification No. 78/20/98 002 ate of Report Ceir i g re) o a�,Tr NOTE: Exact location of well with distittces to AX least two permanent landmarks to be provided on a separate sneetiptan. Well Drillees P ! teal SOS, Inc. Address: 4 Patnam Ave., Brewster, NY 10509 Signature: Date: g,��noaR 1 olm T. al, Jr. White copy: File; Yellow copy- Building Inspector; Pink copy - Owner; Orange copy -Well driller Form WC -97 NORTHEAST LABORATORY OF DANBURY E CT Cert: PH -0404 39 -3 MILL PLAIN ROAD - DANBURY, CT 06811 NY Cert: 11471 (203) 748 -7903 - FAX (203) 748 -0652 LABORATORY REPORT -- WATER SUPPLY TESTING REPORT. TO: P.F. BEAL & SONS DATE SAMPLE COLLECTED: 8/14/98 4 PUTNAM AVENUE TIME COLLECTED: 11:00 A.M. BREWSTER, N.Y. 10509 COLLECTED BY: WAYNE DATE RECEIVED @ LAB: 8/14/98 TESTED BY: LAB #11471 & 11301 REPORT DATE: 8/21/98 SAMPLE SITE: WESTCHESTER MOD., CAROLYNN DRIVE, PATTERSON, N.Y. SAMPLING POINT: HOSE BIB SOURCE: WELL -NEW TREATMENT: NONE TEST PERFORMED RESULT: MAXIMUM CONTAMINANT LEVEL BACTERIAL: Total Coliform (Bacteria) 0 per 100 ml 0 per 100 ml PHYSICALS: pH 7.53 no designated limit Turbidity 0.45 NTUs 5 NTUs CHEMISTRY: Nitrite N <0.01 mg/L as N 1 mg/L as N 11301 -Nitrate N 0.44 mg/L as N 10 mg/L as N Alkalinity 165.0 mg/L no designated limits Hardness 170.0 mg/L no designated limits Iron <0.03 mg/L 0.30 mg/L Manganese <0.01 mg/L 0.30 mg/L [Note: Combined Limit for Iron plus Manganese = 0.50 mg/L] Sodium 33.6 ** mg/L 20 mg/L ** Lead <0.005 mg/L _ 0.015*** m1= milliliter mg/L = milligrams per Liter ND = none detected NTU =Units * *Notification Level ** *Action Level RESULTS BASED ON SAMPLES SUBMITTED:8 /14/98 SAMPLE, AS TESTED ABOVE: MOTABLE or CINOT POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) Laboratory Director •NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230 7V .�L4�'f`J�(71.5 P.02 NORTHEAST LABORATORY OV DANBURY CT Cert; FE -0404 34 -3 MmL PLAM RDAD - DA"URY, CT 05811 IVY Cert: 11471 (203) 748.7903 - VAS (208) 748 -0892 LABORATORY REPORT -- WATER SUPPLY TRSTING REPDR'1 i P.F. I EAt � SONS DATE SAMPLE COLLECTED: 8/14/98 4 PUTNAI TINE COLLECTED: 11,00 A.M. 13 STi2, N: Y. 10509 COLLECTED BY: WAXI DATE RECEIVED (a LAB:8 /14 /9S j TESTED 8X: L'0411471 &c 11301 REPORT DATE: &I ]J" I Ste! E: WEST�MSTER MOD., CAROLYNN DMVE, PATTERSON, N.X, SAM?IkNd POINT., HOSE A B S wm T -,' �w '-1R 11►xl + _ NONE' , TESL P QHMD RE$CTLT: MAXIM UN CUNTA.K NANT LEVEL kACfE otaP ' lilcrm ($acteria) 0 per 10U ml 0 per 100 ml ' PHYSIC S., i pH . 7,53 no designated limit ' Turbidity 0.45 NTUs 5 NT Us do LV61 *- **Action Level �TS$A�SED.ON $AIVIPLES SLT3MxTTED.$ /14195 Hd 1I1; kS TtSAD ABOVE: UTABLE or OT POTABLE 'i�)* StATS DEPT. OF H SAL'M SERVICES STANDARDS FOR MM.ABLE i •I. i I Laboratory bireator i - NORTHEAST LASOP- A-foPkY, 129 MILL STREET, 8EPUN, CT 06,0370- {860)82$ -9787 - FAX ($60)829 -1050 `, I TOLL FRED, WITHIN CT: 800- 825.0105 •OUTSIDE CT: 800 -654 -1230 Nitrite N ; ' <0.01 mg/L as N 1 w&I as N !11301 - Nitrate N ' TO FoLLow mg/L as N 10 mg/L as N - A1Winity 165.0 mg/L no designated limits 1 Hardaass 170.0 mg/L, no designated limits I Irou ; <0.03 MSIL 0.30 mg/L ' . Nlaog�anese <0.01 mg/l, 0.30 mg/L i (Note: Combm` ed Limit for iron plus i r Manganese =:0.50 mg/L,] Sodium • 33.6 ** mg/L 20 mg/'L** Lead ' <0.005 mg/L it t I mg/L - milliewts per biter ND = move detected NTU�[3rtits do LV61 *- **Action Level �TS$A�SED.ON $AIVIPLES SLT3MxTTED.$ /14195 Hd 1I1; kS TtSAD ABOVE: UTABLE or OT POTABLE 'i�)* StATS DEPT. OF H SAL'M SERVICES STANDARDS FOR MM.ABLE i •I. i I Laboratory bireator i - NORTHEAST LASOP- A-foPkY, 129 MILL STREET, 8EPUN, CT 06,0370- {860)82$ -9787 - FAX ($60)829 -1050 `, I TOLL FRED, WITHIN CT: 800- 825.0105 •OUTSIDE CT: 800 -654 -1230 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET SUBSURFACE SEWAGE TREATMENT SYSTEM Located at (Street) C�eo`iNE 1�fz/yE 31 / Tax Map 13 , Block Lot 8 (indicate nearest cross street) Municipality RA -T-T1= ieSyM/ Drainage Basin — ��T -P-,A e-H SOIL PERCOLATION TEST DATA Date of Pre- soaking Date of Percolation Test 3, 24 / 9 Q NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are odtamea at eacn percolation test hole. (i.e. < 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 NDe th to Water Water rom Ground Level Percolation Time Ela se Time Surface (Inches) Drop In Rate Nfin/Inch Hole No. Run No. Start - Stop Mi n.) Start Stop Inches 2 7,16-s - ie" l 3 /S 3 ro�.3o /o,j -- $16 X2,34 7 6% 5 �/ '7� 2 116W /0I01 D ��" - �U " 3 4 roia- 010 8 2- X - 2G% 4 7 1 10,3o - l0°3y 14 17 3 3 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are odtamea at eacn percolation test hole. (i.e. < 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 John M. S=Wns, M.D. PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES Deputy Cm nissioner of Health - FIELD ACTIVITY REPORT - Sheet -L— of INSPECTION NAME�7G,�7R��uL�'� i Orig. Routine — Orig. Complain ADDRESS GA 0/_ 441 r -DR, f rTF,P X/ 13, - 2 " 8 Orig. Request No. Street. Town TM No. Compliance — — Camplaint Camp MAILING ADDRESS !� �% /CI �� I�c�- i���r,;✓� !�/,! Final P.O. Box Post Office Zip Code Group Illness — Construction TELEPHONE /(/ — — t Reinspection PERSON IN CHARGE j- — Field, Sampling Only OR INTERVIEWED +; ^_ Field Conference +y and Ti Other la-f ; OM DATE TYPE FACILITY SUb -ua�e `fir e SOak TIME ARRIVED ; 3 p TIME LEFT T 4,670 Explain FINDINGS: Tw::� ( �� %y�r�5 � �. y, L���,;p C.�Zi -e+r� ��'t� —Scsac k'�� •f u INSPECTOR: Signature and PERSON IN CHARGE OR INTERVIEWED: I acknowledge this Field Activity Report. 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MO®UL*e CA-AOU Pk- 01- PJAT7 -�Sd M RECORD OF PHONE CONVERSATION Time: 4� /O tLL Date: / / Person calling: jac k Phone 9: Reason () Inspection: >i Deeps and' eres: Scheduled Field Meetin, Time: Date: Tentative /to be confirmed () ( ) Town:. Road /Street: ; AM 11 7%�. Tax Map #: — }t1,7 j Comments: 3 // �-� 2, Z ® t PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: y g Inspected by: Street Location e,+t`i2yZ)NC bR 1 V Owner ��; ia� � Zj .josx,�,� k�,nz� Town P,4t���sdni Permit# 'P— -5'— 9S TM r 13 — Z — 8 Subdivision Lot # '� D n ts L 1. Sewage Svstem Area a. STS area located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped .... .............................:. d. Stone, brush, etc., greater than 15' from STS area.......... e: 100' from water course / wetlands ...... ............................... II. Sewage System a. eptic t c size 1,000 ... ....1, 250 . ........ other ................ b. Septic tank instal e evel ................ ............................... c. 10' minimum from foundation .......... ............................... d. Distribtuion Box 1. A out ets at same:.elevation -water tested ................. 2. Protected below fro§ ff ................ ............................... 3. Minimum 2 ft.Original soil between box & trenches Junction Box - properly set .... ............................... ....... ength required ©C� Length installed 300 2. Distance to watercourse measured+ 2 aoFt.......... 3- Installed according to pl 4. Slope of tr *s t l 1/1 A /foot ............. 5. 10 rordpe�y line - 20 ft.- pcyio d s.......... 6. De i o trench O i c s ..�...... 7. a 1 wed e��o......................... 8. Si Sizefxavel 3 4 - 1' /�" diameter clean ..................... 9. Depth of gravel in trench 12" minimum ................... 10. Pipe ends capped ........................ ............................... g. Pump or Dosed Systems Size ot pump chamber ................ ............................... 2. Overflow tank ................:............ ............................... 3. Alarm, visual / audio .................... ............................... 4. Pump easily accessible, manhole to grade.: ............... 5. First box baffled .......................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. HouseBuildin a. House located per approved plans ... ............................... b. Number of bedrooms ....................... ............................... IV. Well a. Well located as per approved plans . ............................... b. Distance from STS area measured :'/ D0 ft ........... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ... ............................... i. Erosion control provided ................. ............................... Rev. 1/97 Form mim 0 O z NV-1d il�ss g / av001 t / + , ►s 0o1) . I ���j Q DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 April 7, 1998 John Karell P.O. Box 644 Carmel NY 10512 RE: Westchester Modular Homes Caroline Drive, Lot #2 (T) Patterson, TM9 13 -2 -8 Reservoir Basin East Branch Dear Mr. Karell: f3 r-, C BRUCE R. FOLEY Public Health Director The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on March 31, 1998 is complete. The Department will notify you by April 27, 1998 of its determination. 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 of impervious surfaces, and the project applicant should contact the Dept. 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. Very truly yours, Robert Morris, PE RM:tn Public Health Engineer DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 April 7, 1998 John Karell P.O. Box 644 Carmel NY 10512 RE: Westchester Modular Homes Caroline Drive, Lot #2 (T) Patterson, TM# 13 -2 -8 Reservoir Basin East Branch Dear Mr. Karell: N®R BRUCE R. FOLEY Public Health Director The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on March 31, 1998 is complete. The Department will notify you by April 27, 1998 of its determination. 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 of impervious surfaces, and the project applicant should contact the Dept. 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. Very truly yours, Robert Morris, PE IUM:tn Public Health Engineer 14 -IG -4 (2107)— Toxt.12 PnOJECT I.D. Numaen 617.21 SEC. Appandlx C Stato Environmental Quality noviaw SHORT ENVIRONMENTAL ASSESSMENT FORM. For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT /SPONSOR 2. PROJECT NAM 3. PROJECT LOCATION: G! L /� ✓ y Nltl Municipality 'g County v w I A. PRECISE LOCATION (Street address and toad Intersections, prominent landmarks, etc., or provide mspl S. IS PROPOSED ACTION: 61New ❑ Expansion ❑ Modlflt:attonrallorallon S. DESCRIBE PROJECT BRIEFLY: iJrr SflvC L. �iC I /,•� ��� 7. AMOUNT OF LAHO AFFECTED: Initially acres Ultimately acres 0. WILL PROPOSED ACTION COMPLY( WITH EXISTING ZONING On OTHER EXISTING LAND USE RESTRICTIONS? 17Yes ❑ No it No, describe briefly 9. WHAT IS PRESENT LANO USE IN VICINITY OF PROJECT? Dgrrlosldanllal ❑ Industrial. Q Commercial ❑ Agriculture ❑ Park/Forost /Opon space' ❑ Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNOING, NOW OR ULTIMATELY FROId ANY OTHER GOVERNMENTAL AGENCY (FEDERAL STATE OR LOCAL)? ` r� ❑ Yes �,I No it yes. Ilst agency(s) and permillapprovals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY( VALID PERMIT OR APPROVAL? ❑ Yes to If yns, list agency name and permll /approval 12. AS A AESULY OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REOUIRE MOOIFICATION7 ❑ Yes No I CERTIFY THIT THE INFOnMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ` Oaie: Z Appilcanlfsponsor name: 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 A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN G NYCIIR, PART 617.12? It yes, eooidlaata the review process and use the FULL EAF. ❑ Yes ❑ Na a. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRA, PART 617.67 It 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 handw(lltan, It legible) Cl. Existing air quality, surface or groundwater quality or quantity, nolse levels, existing trailic patterns, solid waste production or disposal, potential lot erosion, dralnago or flooding problems? Explain bdolty: C2. Aesthetic, agricultural, archaoolaglcal, historic, or olliar natural or cultural tosoureas; of community or neighborhood chaneloa Explain brlolty: Ca. Vegetation or fauna, Ilsh, shellfish or wildlife species; signititant habllals, or threatened or ondangared species? Explain briefly: Ca. A communlly's existing plans or goals as officially adopted. or a cnangs in usa dr Intensity at use of land or olnor natural resources? Explain briefly. C5. Growllt, sub.soquanl development, or rolalad activities likely to be Induced by In* proposad action? Explain briefly. CG. Long farm, short term, cumulative, or other ellects not identified In Ci -CS? Explain briefly. C7. Other impacts (Including changes In usa of althor quantity or typo of energy)? Ecpialn trlolly. 0. IS THERE, OR IS THERE LIKELY TO OF, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes ❑ No if Yes, explain tidally . 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 affect should be assessed In connection with Its (a) setting (I.a. urban or rural); (b) probability of occurring; (c) duration; (d) Irreversibility; (a) geographic scope; and (1) magnitude. It necessary, add attachments or reference supponing materials. Ensure that explanations contain sufficient detail to show that all relevant adverse Impacts have boon Identified and adoqualely addressed. • Check this box It you have Identifled 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. • Checic 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: Noma QVLead AVencY i n�7f rw lu u�� nw•��ry u u Itmi —m u rur 1'1 of w yp�• N.nm• a Itrquw J 11• iUnalure at Resporuible Officuf in Le . 2d Agmtcy Signatute at Ftepua-(Ii different 190M (CIPOM1131C Officer) 310 N PUTNAM COUNTY DEPARTMENT OF HEALTH D SIGN OF ENVIRONMENTAL HEALTH SERVICES r DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTENT Owner �� �J G ft(�- 6S Address Z q I D U '3 -P_ ZZT� N y Located a (Street) e�Qi_ IA—I& Dp=l /-0- Tax Nlap 13 Block ;2--- Lot (indicate nearest Cross street) Municipality Pif 7�-7 �'�S'U A) Drainage Basin SOIL, PERCOLATION TEST DATA Date of Pre-soaking `� Z qJP" Date of Percolation Test jZ41 qk Ro le No. Run pro, Time Start - Stop Elapse Time 1 Sin,) De th to Water rom Ground Surface (Inches) Start Stop Water bevel [ Dropp In ( Inches Percolation Rate tilin17nch ZZ 3�� - ZS xf 3 3 3v 16 ` Z31�y - Z'L�f i 3 4 3/ 4'G ld -i� 1S Z -z� ' 2 z 1 v 3 7. ff iv U /_ I1 Z� i y Z L . 3 ;2-. 1 3 /0 11- / ©-?_° z314 -Z&Vq 3 2, 4 P_ 24 '/1 - Ll '/-1, 3 Z 1 jv r� j -q - z - i 4 -1 ests to be repeated at same depth until approximately equal percolation rates are obtained percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s Z min for 31 -b0 min/inch) Ali data to be submitted for review. 2. Depth measurements to be made from top of hole_ Form DD -97 ,� 1 .. .•. � - k a K Z C � v 1 `t .:1'c -y f.r ;r 1 J. �} k ''�. x r .. .._.,_ .. :.rn n. TJ`T n• rirT r.'R.rl- �x .. 9Trr1 •T r3Cr PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS REVIEW SHEET FOR CONSTRUCTION PERMIT STREET LOCATION L'A(leato, e_z-� NAME OF OWNERff REVIEWED BY GR, AS, MB, BII VAJE TAX MAP # 13'- 2 Y pi DOCUMENTS PERMIT APPLICATION PC -1 WELL PERMIT PWS LETTER LB.I_lZK_VIYAU'1H VK7G7i"1"1Q DESIGN DATA SHEET (DDS) = CORPORATE-RESOLUTIQN} SI`IORT EAF PLANS - THREE SETS r HOUSE PLANS - TWO SETS VARIANCE REQUEST FEE SUBDIVISION LEGAL SUBDIVISION SUBDIVISION APPROVAL CHUCKED PERC RATE FILL REQUIRED DEPTH CURTAIN DRAIN REQUIRED STANDPIPES LOCATED IN NYC WATERSHED PLANS SUBMITTED TO DEP DELEGATED TO PCHD DEP APPROVAL, IF REQ'D DEEP TEST I IOLL•S OBSERVED WETLANDS (TOWN /DEC PERMIT REQ'D?) DATA ON DDS PLANS & PERMIT SAME PRE 1969 NEIGHBOR NOTIFICATION . LETTER BI /ZBA 100 YR. FLOOD ELEVATION OTHER REQ'D PERMIT(S) REOUIRED DETAILS ON PLANS SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE GRAVITY FLOW Y N PERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY & EXPANSION LOCATION MAP EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE IF PUMPED, PIT & D BOX SHOWN & DETAILED HOUSE - NO.OF BEDROOMS WELLS & SSDS'S WAN 200' OF PROPOSED SYS. PROPERTY METES & BOUNDS MOUSE SETBACK NECESSARY (TIGHT LOT) HOUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE NO BENDS; MAX.BENDS 45° W /CLEANOUT FILL SYSTEMS CLAY BARRIER 10- FT. I IORIZONTAL;SLOPE 3:1 TO GRADE FILL SPECS FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES FILL PROFILE & DIMENSIONS VOLUME FILL IN EXPANSION AREA TRENCH LF TRENCH PROVIDED 60 FT MAX. PARALLEL TO CON'T'OURS 100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN - FROM SSTS 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL 20' -TO FOUNDATION - WALLS >_15 -WELL TO PL 100' TO WEEL, 200' IN 150' PITS 100' TO STREAM WATERCOURSE LAKE (inc. expan) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 10' TO WATER LINE (pits -20') 50' INTERMITTENT DRAINAGE COURSE 200' /500' RESERVOIR, ETC. _150' GALLEY SYSTEMS CONSTRUCTION NOTES 15'MIN to CDS= >5 %,10'- 4 %,25'- 3 %,30'- 2 %,35' -I %,100' - <1% DESIGN DATA: PERC & DEEP RESULTS FR20'MIN to CD discharge /I00'with 182 cons day discharge T CONTOURS EXISTING & PROPOSED SEPTIC TANK DRIVEWAY & SLOPES, CUT m 10' FROM FOUNDATION; 50' TO WELL FOOTING /GUTTER/CURTAIN DRAINS WELL SOIL TYPE BOUNDARIES L DIMENSIONS TO;PROPERTY LINE TITLE BLOCK; OWNERS NAME,ADDRESS Z�LO.CATION OF SERVICE CONNECTION TM #,PE/RA; NAME,ADDRESS,PHONE# DATE OF DRAWING /REVISION DATUM REFERENCE LOCATION OF WATERCOURSES, PONDS LAKES AND WETLANDS WI rl llN 200 I L'L I CL 'P_R.".Ol'OSGD FINISH FL-OOR AND BASEMENT L.' COMMI:NTS: C/ " `l C7ht C7,,C�-& -( / JilZ1 X1,44 1. DEPTH G.L. 1.0' 1.S 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. C HOLE NO. ` ;-- HOLE NO. r�Vo G' i x % /a Imo/ !I l� RA : 10 Indicate level at which groundwater is encountered-ji dam.. Indicate level at which mottline is observed 2 i Indicate level to which water level rises after being encountered Deep hole observations made by: Sal "Dl /!s''' // Date lfo4o Design Professional Name: Address: 5r'S� �`�us MAR- 3 -98 TUE 10:07 AM PUNAM CTY ENV HEALTH FAX N0, . 19142787921 p. 3 2 27. Is any portion of this project located within a designated Towm or State wetland? A,10 28. Wetlands ID Number ........................................................... ............................... 29. Is Wetlands Permit required? ...................................... ............ :........::...... ........... 1� _ Has application been made to Town or Local DEC office? .......... 4 ..:................. 30. Does project require a DEC Stream Disturbance Permit? .......... ........................ A/ 0 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 A) 32. Is project Iocated 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? ............. -` 34, Are community water and/or sevver 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? . ............................... 36. Tax Map ID Number .......................... .........I..................... Map / 3 Block ;)— Lot J-- 37. Approved plans are to be returned to ..... __.L— 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 stormwaterplans 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, Ifthe application is signed by a person other than the applicant shown in Item 1 ,,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. 1 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 Sect' n ZI 9,45 f the Penal Law. SI61VATUItES & OFFICIAL T1TLE, L Mailing Address: ................................... NEAR- 0 -98 TH 10:06 Aryl PUNAM CTY EN'% HELTITH FAX t!0. 19142787911 P. 2. PUTNA.M COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATItON FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1, Name and address of applicant; 2910 /-�7 ivy 2.6,5 2. Name of project: 1kEW }fV. US6 3. Location T/V: 12Y7;�_(dN 4. Design Professional: T -41 V ✓7z 5. Address: 535 6. Drainage Basin: t S ' /,•9?U Cif /U y G P,4ZIE•Z,Q10 aU y I Z563 7. Typg of Project; > Private/Residential Food Service Commercial Apartments Institutional Mobile Home park Office Building I 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 x 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... A)O 10. Has DEIS been completed and found acceptable by Lead Agency? ......:........ 11. Name of Lead Agency 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ......................................................... ............................... NO 13. If so, have plans been submitted to such authorities?.,,,,, ...... ............................. _ 14. Has preliminary approval been granted by such authorities? Date granted: 15. Type of Sewage Treatment System Discharge ................. surface water X `groundwater 16. If surface water discharge, what is the stream class designation? .... .,.... 4......... 17. Waters index number (surface) ...... ............................... 18. Is project located near a public water supply system? ....... ............................... 19. If yes, name of water supply Distance to water supply 20. Is project site near a public sewage collection or treatment system? ................ /U (� 21. Name of sewage systems Distance to sewage system --, 22. Date test holes observed ;0?/- 7 23. Name of Health Inspector 24. Project design flow (gallons per day) ................................. ............................... Z C! 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?... /)a 26. Has SPDES Application:been submitted to local DEC office? ......................... '' | i ` r"UTNAM COUNTY DEPARTMENT OF HEALT DIVISION Off' ENVIRO "MENTAL HEALTH �g+f.�. SERVICES LETTER. OF AUTHORIZATION ice: Property of �L�, %ice ���✓�� -, �zv° ��`- Located at IDYC1110 TiV /' Tax Map /3 Block Lot. Subdivision of/7ffZ�'/� /C' //�If Subdivision Lot ?'r Filed Map r ;'Q� Date Filed � 2- Gentlemen: This letter is to authorize�7G�,S�� a duly licensed professional Engineer 4— orik4ggi -s � to apply for the required. ,wastewat °r treatment and/or u-atdr supply permit(s) to serve the above -noted property in accordance .pith t , rmi .ons as Promulgated by the Public Healt h Dirmartor oftlh e Pumarn County Health Depa- rtment. and to sign al necessary papers on my behalf in conrection with this mutter and tp �� t'T'yl,o zhle 10.r rizCi.O.n 0- Sfi \i «'2std�vater treatment ?.t'ld!Or tcl t1� i�' _ 1': . in CrJi lmmmi y with the pro'.is;ons o Article 145 a I r 141 of ti"�C'. rd,ucat;on'. a-- tP� P -11 .11 1�.C'�itil 1 Lau-, 2nd the Ptltnam Count; Sanrtary Code. Countersigned: .P.E., R.A.; # Majlinc Address N s:' i 4 Very truly yours, S1 ed: Otivner o °Proper} -� W"I' -rr Address: ���� kc, /11c -�s� State _ �� _ Zip / ?-.1-Z f3 State _l A_zip Telephone: 9,( 7 % Telephone: 9 Zf— 2 d'40 r. Form LA -97 /1 j PUTNAM IVISION O COUNTY DEPARTMENT OF HEALTH ENVIRONMENTAL HEALTH SERVICES / ,N PERMIT FOR SEWAGE TREATMENT SYSTEM Located at C t-- j N -_6 j) P_j Vim' Subdivision name aP � Sub/d. Lot # Date Subdivision Approved Town or Village pc rs o J Tax Map .3 Block -2- Lot Renewal Revision Owner /Applicant Name ht V/6- s Date of Previous Approval Mailing Address 4, PA- 17EXSU ;a /V Y; / Z Zip Amount of Fee Enclosed Building Type Lot Area / / W lTt. of Bedrooms Design Flow GPD 6646 Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of % 0 ® 0 gallon septic tank and 3 o O 6-F 2_1c7- 7 %4-7'ci-�- Other Requirements: %j d N i:_ To be constructed by Water Sunnly: Public Supply From Address or: _> Private Supply Drilled by %�C- %7°c% /�% 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. Signed: Address R.A. Date 312JI License # 15-; ZJ:2 r2.J6Y 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 anew perm , it. proved discharge of domestic sanitary s e only. - By: v Title: Date: J/44 White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # ✓ / Well Location: Street Address: Town/Village Tax Grid # 64P-0L /Aim OR V& I P/4777ZFZ5s IV Map % 3 Block 2- Lot(s) Well Owner: Name: Wa5jCJJ Address: NAW, 1 X910 i r�i Z� peso ICY /'ZS� 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 _ -5 gpm # People Served Est. of Daily Usage lb4 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason /(l '-A, 1-716 05,E for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? .......................... ........ ............................... Yes_X No Name of subdivision t )&— fit/,} 0 /)/ L1- Lot No. Water Well Contractor: 1-1 �1 Address: — Is Public Water Supply available to site? ........ ..... O............................................... Yes No X_ Name of Public Water Supply: — Town/Village Distance to property from nearest water main: Proposed well & sources of contamination to be pr vided. on separate sheet/ Ian. iilocation Date: 7.`� f Applicant Signature: L 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 water ell driller certified by Putnam County. ` Date of Issue G/ Permit Iss OX1171 l: Date of Expiration Title: Perm it is Non -Trap err le White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 WED, MR-25-98 8:42AM TOWN OF NVEL 914 528 2087 P.01 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for: G I V\R represent that I am an officer. or employee of the corporation and am authorized to act for: Name of Corporation: u---) ".x �6vv�eS Ca =�5�yve ►on oC Having offices at: -z9io Whose Officers Are: P: esident - Name: `n 4 / aS63 Address: " ` -t l _ Vice President - Name: Address: _ Secretary -Name: Address: Treasurer - Name: Address: and that I am and will be individually responsible for any and all acts of the corporation with respect to the approval requested and all subsequent acts relating thereto. Signed: Title: F leef -, -al e Sworn to before me this day of Year .(month) (year) G�itC� �LCGu --�cc. Notary Public SHARON L. PECARINA Notary Public, State of Pdew York aualifieNo-4606329 co„� Corporate Seal Cornrnlssion Expires Sept 30,11# Form CA -97 APR- 9 -98 THU 10:28 AM PUNAM CTY John Karell P.O. Box 644 Carmel NY 10512 Re Dear Mr. Karell: FAX PdU, 19142787921 —, P. 1 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278.6130 Fax (914) 278.7921 April 9, 1998 Proposed SSTS: Westchester Modular domes Caroline Drive, Lot #2 (T) Patterson, TM# 13 -2 -8 BRUCE R. FOLEY Public Health Director Review of plans and other supporting documents submitted at this time relative to the above captioned project has been completed. Comments are offered as follows- "'t 'he construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." CO N4 S � 11° n IN Letter of engineers authorization does not note file map number and date filed. Deep test holes must be witnessed by a representative of this Department, Please contact this office to arrange a mutually suitable time. If percolation tests were not witnessed by a representative of the New York City Department Environmental, tests must be witnessed by a representative of this Department. Construction notes 1 - 13 has not been noted on the plazl. SSTS profile is to note finished floor and basemenfelevations. Erosion control measures for the well is to be shown. - Dimensions from the proposed well to the property lines are to be noted. . Location of service connection from the well to the house is to be shown. Provide documentation that the�well on Lot #1 was abandoned as required by the subdivision plat. Be advised only one original document needs to be submitted, e.g., engineers authorization, short EA1~, etc. Upon receipt of a submission, revised to reflect the above, this application will be considered further. Ve truly yourrs,,' Robert Morris, PE Public Health Engineer RM:tn DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 April 9, 1998 John Karell P.O. Box 644 Carmel NY 10512 Re: Proposed SSTS: Westchester Modular Homes Caroline Drive, Lot #2 (T) Patterson, TM# 13 -2 -8 Dear Mr. Karell: U BRUCE R. FOLEY Public Health Director Review of plans and other supporting documents submitted at this time relative to the above captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." 1) Letter of engineers authorization does not note file map number and date filed. 2) Deep test holes must be witnessed by a representative of this Department. Please contact this office to arrange a mutually suitable time. 3) If percolation tests were not witnessed by a representative of the New York City Department Environmental, tests must be witnessed by a representative of this Department. 4) Construction notes 1 -13 has not been noted on the plan. 5) SSTS profile is to note finished floor and basement elevations. 6) Erosion control measures for the well is to be shown. , eg-) 7) Dimensions from the proposed well to the property lines are to be noted. 8) Location of service connection from the well to the house is to be shown. 9) Provide documentation that the well on Lot #1 was abandoned as required by the subdivision plat. 10) Be advised only one original document needs to be submitted, e.g., engineers authorization, short EAF, etc. (� Upon receipt of a submission, revised to reflect the above, this application will be considered further. Ve truly yours, Robert Morris, PE Public Health Engineer RM:tn PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OFFICIAL USE ONLY X-, 2 g7`� SITE LOCATION C Z'_ C�� �� s� 1��-- TM# �" z f U OWNER'S NAME '3 /�� X PHONE MAILING ADDRESS eo� C: -/- A PERSON INTERVIEWED PCHD Complaint # ame & Relationship i.e., owner, tenant, etc. DATE ADDRESS J TYPE FACILITY PHONE REGISTRATION# . Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system .Different location I, as owner, or reported agent of owner agree to the conditions stated on this form. SIGNETURE TITLE DATE Prol2sal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Propsal approved_ Z��'4— Inspctor's Signature & Title ATE COPES: White (PCHD); Yellow (Town BI); Pink (applicant) PC —R 99ML 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 James Fox 6 Caroline Drive Patterson, NY 12563 Re: Addition: Fox 6 Caroline Drive No Increase in Number of Bedrooms (T) Patterson, TM# 13 -2 -8 Dear Mr. Fox: ROBERT J. BONDI County Executive September 11, 2003 I have received and reviewed the plans for the proposed addition to the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp form this Department dated September 11, 2003. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at four (4) without prior approval by this Department. 2. The are of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for showers heads and faucets, etc. 4. 100 linear feet of trench to be added in the approved expansion area as shown on R- 289 -03 Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Patterson. If you have any question, please contact me at your convenience. Very truly yours, WH:tn William Hedges cc: BI (T) Carmel Senior Public Health Sanitarian PUTNAM COUNTY HEALTH DEPT. 0215664 1 Gen.e4a Road ' (aa5) 27a -6130 Date 9 /a 10-3- Brewster, NY 10509 Received of The Sum Of ! !'' �h a'`A' Dollars $ L'.0 THANK YO 'heck ❑ M.O.• (] Credit Card By a" 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 L 1 : THE PLAZA _ = AT CLOVER LAKE INDE PEN DEN T.WASSIS TIE D'I.IVING . James, B. Fox Executive: Chef. Tel: 845 -878 -.4111 Fax: '845- 878 -4333 e- mail`. plazacl6verlake@,a0l:6orri- 838 Fair Street, Carmel—New York 10512 j �I DEPAR i MEIV i OF IMALTH Division of Environmental Health Serw'ces 4 Genava Road Bretwster, Naw York 10509 Tel. (914) 278.6130 F= (914) 278-7921 way agagno m. BRUCE R. Fol'zy Public Health Dir_c:cr STREET 1 PH0114M NAME PCHD Z ADDRESS f -- -c DESC.R:MON OF .A-DDiTIO, �. *61 ��EX Cc \L�IBER OF E�ZSTL� U BE13R OILS t� ED # CF OO�LS I (FROM CERT. O? OCCUPANCY PANCY oR CERTIFICATIOFI FROM BT -U:m4c r�SPECTOR) *.Any addition Nvhich is cors:der od a bedroom requires formal approval of place (Cona-tzuction Permit) prepe: ed by a Frcf_ssionL En veer or Registered Arc'n;tect in accordance with aoolicab:e sections of tht Putnam County Sarita*y Code. Please submit this feet.. a;:d the following to Pu'mam County Health. Dept., 4 Geneva Rd., Brews =.er, NY 10509, Phcne 27S-F130. 30. 1. Certified check or mor_ey order for 5100.00 Sketches of existing floor plan (drawn to scale,. all living area including basement) " Non- professiOMI sketches arc acceptble 3. Two sets of proposed Loor plan (dx-awm to scale, with name, stree', and tw: r---,.p Y) * Non- profcssiorial sketches are acceptable 4. Copy of sarvcy s:.owin; well and septic location, to the best of your k,owledge. Include date of installation if kr_o.vvn: Label all wells and septic systems within 200 feet of the p:operty line. Contact 'his office wi-I any questions. 5. Copy of Lent. of Occupancy�frcm Town or Certification from Buildirg Dept. with legal bedroom count of dw�-Ilir.l. OFFICE US F. Commel-.s Z- /h F -.b 93 PUTNAM COUNTY .DEPARTMENT OF HEALTH t, IVSION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICA E OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTR CTION PERMIT,# . Located at -,*R 0 UA1& ,00e /t. 4AJ4-6' N/ Town or Village 41 Ik Owner /Applicant Name 1 C-§ itf 5 14d -011i �, Map / • Block o Lot Formerly '`" Subdivision Name PftL- �e- ,,S Subd. Lot # Mailing Address A910 i2lLr ;44 , ,%��'r"i��1 .S�/�` lVZ - 12.5gp 3 Zip Date Construction Permit Issued by PCHD Separate Sewerage System built by M 't '/4 Address JeO_ 41 K .,,,Consisting of� 00 Gallon Septic Tank and 13004.)r :,� AQ rMi5"ejtf " analysis ult for sodium (Na) is _33. re MWL. R ;other Requirements: �A/g4er.eontaining mo: a than 20 Mg/1L of sodium should not be used for n )n V„i 5v Water Sup& Public c Q m! o£ sod'u''" "ho 11 1 ' jtj +7 ° °aeQuQsed by people on moderately or, Supply Drilled by Address 4' Building Type Has erosion control been completed? Number of Bedrooms - Has garbage grinder been installed? _ y& S l/f0 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 regulatio s of the Putn County De ent of Health. Date: 7 4 / : e! Certified by 4411 """° P.E. R.A. (Design Professional) Address C Q• License # 5' 3 Z..7 7 Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification of ;change When-, im the judgment of the Public Health Director, such revocation; modification or change is necessary. Y �� Title: 1h114 ``1..s._ Date: �` A-, White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PROP05ED ADDITION TO THE FOX .RESIDENCE G CAROLINE DRIVE, PATTER50N, NY SCOPE OF WORK: WMW Se MDVIOO UNDER THIS CONTRACT SMALL INQLDE FLOOM M IG OF ALL SIWEBVISION. WSOR MAMALS. TOOLS. EGA1NEfT. ANTUMIQ9 AM SCI® V=XE1D M Coke= THE WOGR AS SHOWN AND OOCOBm IN M CONTRACT DRAW1NGEI AND AS SrOMM MOmN. YARKSMALL IINCUM BUT NOT M UMIIID TO M FOUDIWOIA I. OOBIRIK.T A 300 SOUNIM FOOT AMMON TO M DETING MAIN FLOOR OF M HOUSE N SHOW IN CONTRACT 00CUMENT51 N oEA0IT1ON Or F !moms Or CET. HOUSE AS 9=11RD TO PERFORM WORM N ADM ON OF MASTER EDRDOM AND WNK.IN COJET. q IS' DIAMETEtSONOR M FOOTINGS, SOTTORA Or roarwas MIN. 410 MEOW RImM® GRAOG C) 51TVAIM 04CLWMM REAPVAL AD REDCATDN Or LANOSC~ DOGVATION, AM RBOGNING FOR FROMDRMNNi. E WOOD SIILTC MAN" SOC1LTUim A INSTMIA71O1 OF DOORS AND WINDOWS. D D awl! HMtlMC TO MATCH E67OD HdISL GENERAL I. TMm CONntw SKALLCHMKANDVMYALLCDKMnOn ATMBUMMNGMM ER7R M STAR or WEIR. ANY V*RSAN0ES FJUND BYM CONTRACTOR WWCM M ~mm AND THE rw CONDITIONS SHALL M ER000IFro M ATTRITION Or M ARCHITECT. 2. NL.004112EIO S AR TO ROUGH MAMMG. S. M CONTRACTOR SMALL SODIRE MIS SUDaW(TRALTOO WODC SO THAT THEY WILL NOT WN EVE EACH O1TmES rROGREIB. 4. PRd'ARE SITE AND EOSTOYs BUDONO OR WORK. AS SHOWN ON DRAWINGS FIND As 9TmFd). S. WIORALTOK SMALL RLYEIVE. STIR AND PROTECT ALL MATRONS MINE E)ro M WE FROM WEATHER AND DAMAGE G. STORE MATEIBAn IN A LOCATION SELECTED 10' THE QVNM 7. CONTRACTOR SMALL INSTALL ALL NI ATURA S IN ACCORDANCE WITH M MND/ACIOReISI SFEC (CATIONS. S.' COWrAcTOtSNA L Be RESFOlODIII FORSIE CJUVDA ON A OAYBLSIS. S. M COWRACTOR9INLMAONAIN ASE GrAMVADRARS ATMQ71CTR1CTRN WE IN ASAM FACE rORRVIVW OrM KINICUUOro SIALONG Rt4DC=QIRMG oomsnt LTION. 10. ALLWORKSHNL M IN ACCORDANCE WIN STATE OF NEWVORKAND LOCALWILDING CODES, 11. DONTRACrOR SMALL GRAM. RaOD. AND WAVE DAMMED AREAS AS NBLIOSAW ATM COMFIETION Or WORI 12. ALL WORD. SMALL M DOE W AMIST CLASS WOWIMWBDm AIAMEIIN COMORMNRZ WITH M FLAILS AND NNIFIA110015. 13, MOOTR/L70R SMALL GUARANTEE THE WORK TO M FREE Or DEFECTS IN WOWOAAMW AND MATERIALS IN MOOOI TO ANY WMWALTURDn' OtIARAM® 4 WARRANTIES Or NOT LElSTHAN ONE YLNR MRGECRN. CONSITK TION WCFKAND OF NOT LESS THAN TWO NATO FOR ROOFING WORK FROM M CAS OF M CERTIFICATE Or NMaLl!wK M QNIRALTOR SHALL M/DFONSM FORM RELACLEIT OR RLTNR WITH= ADDITIONAL C05TTOTHE OWNER., MR ALL WOMR MOOIRICO AND INSTNU D IN ACCORDANCE WITH M CONTRACT IF WOIOLOR MATRONS SMALL MOONC DEFECTIVE WITHIN THAT GUAIWOM IN ADDITION M CONTRACTOR SHALL M I®rOR9miE TO OBTAIN. ON M OWNERS BNALF. ALL MANUFACNREC WARRANTIES AND GUARANTEES ro GO INTO WOO ArmLM OOORAOORS GUARANTEES OTRESS, 14. M CONTRACTOR WA AL M RCFON=9 ro OBTAIN A RAISED SURV[MAS PAN OF QDSOW OUT M WORKro oar" M RAIL CERTIFICATE Or OCCIMNLY. IS. MOMtER91NLCARIB'HRONIRANCE. DEMOLITION: I. COORDINATE THE DITNT Or DOAOIDN WITH ALL DRAWOM M THIS SQ OF DOOARNT& 2 mmumi NO mKm FCM M SITE FaDIOIO Or M ammm BUIIDIN BmNC OE.IOUSMm RS rAIO M THE WORK. 3. BEER REAOVING ANY BOAS. MM THAT THE OWING 5IRi1CHIR AND SLIMM AIM ADEOUTILY 9101® AND SALFORD. 4. CAR SMALL BE OWN NOT TO DESTROY FAROS NAM DCIDNO BUDDING NOTARWm SYM WOW MNYAUA= ff.ODDTDID.ONNLWcammicnONDNAM.m DYMAOVNS9WL SE IRQNRQMtEI/�WITH MARRWS TO MATCH AND IN AOOOND,V/Q WITH DMUUW ACCOim STANDAICS, AT NO WOW TO THE OWNML S: COORDINATEVAm Tma mtAMYI0IS7MATARro Mornm=,ro Maam EXCAVATION, FOUNDATION. AND CONCRETE: 1. FOOTING. FOUNDATION. AND VEWDI SLAB, ORCAVATE ALL SAWN. BO UNM WCSEAM SOT K=TOTM LMAWMKMDDICATmMMMAWOM. ALLrOOTTW51015MtON S/uDUNDISORISmHJOH. OORRACMSWUDO MANWA=nc &cm4vmDNN NE>Q9NO'NORFRDFOtIOUIDA/ION BEARING OOHIRALTOR9IWLOONTAgMARO7TI6T IN M MNT.TTWT UNVERFWNG OF EXISTING FOODAION IS MOUOfT.NYDSAIYVMBm FROPD9E) fOODWIS AID fOUNDATIO S I COSTING FOOTINGS AND F LUMTIMn. P. FMINCATIOMTo WAR ON UNmCSTURBTO 500. MAWS AM UM SICARIKI W'ACMf O' 4,000 MOWPS PER SO.WR PCOT. 3. BORON O' FOOIDNW ffiWL M A MIOAIM Or 410 BMW =51DE GRA[r- 4. M ENATIOIS or THE oomm or F00'BNm SHOWN ON THE F'LAND AR BASE) CALM Ow AVMAMEINFOPMATIM IT MAY M NE235AIB'TO LOWStBOTTMAS Or FOOfINGEL ME TO FED OODMCN% IN COMM RACI ADBOMR SEARING MATERIAL S. VEM MT.OEIH. AND DINTOF EETIG ADRTL79T TOOn NGS FRIOKT000RSTRICT10N or roorimm G. 00 NOT II/DEWI12 BOSENG FOOTING, 7. ALL CONCRETE WOR SMALL CNFORM TO M LATEST ISWON Or THE AO BUMNG COD" R AC3 I SL AND TOM LATEST EO CN or THE NEW"M STAR UNIOIIN FIRE MBVNION AMC BWDING COOV AND THE ACCOMPANHNG STATE OF NEW MRKCODE MANLIAL: Q ALL CONCRETE KISNMRCING SHALL BE IN CONFONA ANCL WITH M LATER ®IMION Or M AC MANUAL Or STANDARD FRACIICE FOR OISA37NG OF RE/OOALRS CONCRCR 9RUCEOmS. S. MIDAUM CONCRETE STRENGTH AT 23 OAT} rC - 3.000 PJI. 10. MROR® BARS SMALL OONFO7A TO ASIM'AGIS. GRACE GM 11. WISDE) WEE rAbW SMALL OONFOSA M ASIDE AISB. 12, GROIT FOR Sim SAM MT15 TO M NONaMMTYF". IS. NO MORRONTAL NNETMICn011 JOINTS WILL M MMATTE7 IN WALLS OR TOOT M ' GENERAL NOTES: I. 00 NOT SCALE DRAWINGS. 2. ITMO SHOWN ON DRAWIRM AIM TO GENERAL CARPENTRY AND FINISH CARPENTRY: DE INSTALLED UNLESS ° Norco D WS ANDs. S. ALL WINDOWS AND DOan BMFALL I. UTAIBEU Al FRAM UAmEtro M CO1BfWIgION GRADE NAVRIO A MOMWM WOW STRESS Or mve TE 2. IO HEAOEn LmcSS I AM rSI. OTHERWISE NOTED. 2, rRAMDG, ALL FUMING SHALL M am= FILMS. Lrm- ARID YKA SMJIELY NNIM. 3, JOISTS, STUDS. AND XVIM SMALL BE 000dE) ABOVE ALL OFENOS. 4. ALL FUSIM JOINTS AT"ADE"SMALL M CONIOLTE) WITH MEAL JOIST MANmn. , c UM OrJOETS. SHFATNNO, AND RAFTERS RS SHOWN ON M MANS. 7. WINDOWS, SMALLSCASMANLWACHM!DVrANOMMWMM CORP. 9MOPAMNOSrOR505 AND STYLES. E. ALL NEW GIAENG SWILL M MROMED WIMM.WMB WEINER" AND SQ®U' `WM`REMAND. 3. TRH, SMALL MATCH EXISTING. AND SMALL M NEATLY MITE) AND MILEED AND COMRIEIC INQLDING DOOR AND W NM*5 CASRM AFRONS. AND STOOLS, MSC AMOWVOEt ROUNDS AT THE FIOOL ADDITIONAL NOLIM105 SMALL MATCH M MQAQIIfn IN THE E ISNG MOUSE =C55 MMWAY NOTE) WIRRAL M CONTRACT WILT DRAWINGS. 10. FRWDE IN9QATIOL AS RBMRID O• NEGY OORIBMATION COOL N /nULATI( .SK4LaEMMK WANTMaB%RASE,TTSWIMVAFORBNMMFM INTERIM. 9 C MJkW ADIaMM ATTIC RSO q ammos ADJOININGROOF Rao O forawKSNDWNLS RIB . 11. ItOMMMATION, VENTILATE ALLATTIC AND KAMM SPAM YAM PRIMER SM 5Crjvm SOFIT AWVJMADSMT "CAMCIA95INCATMMR- L=&M. DfSURE7INT TI/ORtEODNIMIOA ARIDW FROM SAVE TO WOOL 12. MIMORWALL BLTAM N Off" BOARD, U2'T=I'MIIDIm WITH SCREWS IN AC:OROANDE TO M`ANffX P"S` SrEOHCAITONS. 9 ALLJOMES TO M TRW AID RECEIVE TMRME COATS Or "IT OOMO'QAD. row To Be DATE SMOOTH AND HEN. NOW NOR MAIMING. ALTmnON.T0+. Q PROVIDE GRANT MAID IN BATHROOM FOR, TU RIME I3. PAINTING THE EOXS' N WISMItPASCMAM TRIM SMALL RECEIVE /N FROM MAT AN TWO FINISH COATSOr RECIDENCE OmUORWOODSTANORFAINT. COLORro MATL71EDMV& `'- 9 am MMa M MWrMWI AWFADMMWAXKC NrE ' G CAROLY.N,DRIVE q INTERIM W'NLSANDTRM TO RLEVECTm FOR COAT MDTWO fIN15"COATS OFVRM. FLAT. PATTER50N, NY O FLUSH DOwroWXLVE ONE MAT OrFWCNO TWO COATSOF VIM SM &GICE3. rnn DOORS TO M FRMD AND STARE) TO MUM NSONG STAIN. AND MOVAE ONE COAT OF SCNEtMD 1000=5 OF URETHANE E FLOORS IO M SANDED VARNISH. CCtMMMSM= WCYOWERMDMSrAIDAIDMANUrACn =MCOLORL SMA 9tq> w Ml NA 4 A33=RTr� ARCHIT'CCT5. - P.C. MECHANICAL, PLUMBING, AND HVAC: 2315 FAAMAARDNxRAVMUV ' WHrm rLAHU'. N.Y. MOOS I. ALL MRATINGTO 09 CALCULATED SWFLMBEL mM 014449dF87 2. JOIN NEW MCATMG TO OEIHG HEATING AS REIRRID. b 914"9.7aBG ,.0 ELECTRICAL: DRAWING mw I. EaTwrxxaaroNMawroMNATwuLEQROarrIRIJM .aawrae0oae GENERAL -NOTES AND NDCALCOOD N NGRACEno MrMG EECTIWAL SEMCE P IT IS INADEQUATE ICRMAMMON AND SCAM N.T.S. • MOVDEM rwrm5mVIDE IN ACCORDANCE roTHE p3L'IMCLCOM. DATE, 6.572409 E Swam9. CUM& rwLm5. EC. SMALL MATCH EXISTING DRAWM.BY, 54H. SM AND OANITTY MM OIHO7NM 3MEDM _ . Q PROVIDE HARD WOW SMOm OEfLTORS rEt000G PROLECT NO.,. 2009 -02 DRAWING NO., RD 0 FVIM rM TEEHONE AND DATA 0I.M.M. T- i DEMOLITION LEGEND: ❑ODSNITO YANOOW AND Hal¢ ro ee RLAIOVOT ®ODSIW06TN]t rAAN6 wAUro ee RelAWm ❑a 0251140 DOOR AND TRAI.RroEEIU. '/ ❑ ENOT04 MRLMCIOL TO ac ml%oo m DEMOUTION GENERAL NOTES: 1. COOROINATETIIN OlTEM30/OOAOU110f1WT" ALL DRADANfd IN T"D SR or 000lAmOD. 2 ADNIAlUY SRALG arN1CTURE rRIOIT ro THE 5TARr Or THE %0M a. C000014ATE MTI OW ADar Or mma To ME SALVAI=I ANO R[RIIINm To OMEmC CON5TRUCnON GENERAL NOTE5: 1. CONTRACTOR SMALL DOTAU AOOWMN WALL MSL 111 AT ALL MRIIDR WALLS. 2. CONTRACTOR 51I I NSTALL TMMM DCIAAMN M ALL. D.TODOR WALLS. ITOIIm AND m111IMM S. CONTRACTORS MAUM Bemat NNO11'Dro ODSTING I N]UMNG MIT NIM L TO WALLS Alm TImA. 4. M NOr SCALE ORAMIMGD. ABBREVIATIONS: OG ONm O.T.A. D MASOVE r.T. TRe79URE TR lw OooNf ATODMMIl01O I115Ill. INSWATIM r.FJ. mw NNGSLAoffnw pmT. IO2SMIw Fro. NOORIW IRw DINAtTnt ® RIGID INaLi ATCN OONCi INSULATION = NEWCOUTTLL ® New91aNG ® NEw RaonNG SMDOL MOOR• R.O.Wmm R.O.tmaa TYR Sal IMAM A OOyT BOOR - OODTIND CM7LI1110 um, I OEL"LNG BASE -WOOD S D DO/r. 2' 0.1 IaI1P 41e IW immm YO °•� "AU NOOK - MOLT, T NOT" VOLLEY"ImDTNe eG5TB10 DOOR 10GRS Alm MATOI 01511140 d`x -V mean - GMe wTm FAINT rDaSn ao WAILS .OWD WTI MIM rulnll LOmI OInEf 1401[91 AUWIOMSA TOMAN0CpQENt AFMV[DCM1 &IMAOM IS ANDWON OATAIDM2 NUM FINISH SCHEDULP: - ROOM NAME 19140"[5 CauNO 1IOGIIi RGOM ARM 1 aw, ?-p. 4w W ,X:IUDOR wNOIAI CORE. RN LaGC.TION row MAOL• MOWNM OOyT BOOR - OODTIND CM7LI1110 MOOD• SOLID MLIIIICAK CORD "ALAI SOecTION TO BE MAOt aYOAMOt. BASE -WOOD S M I Aw. Ili•. .M1a• CMW -GM W+ rAM MNMI ro COO 90.11. WALLS - OMD 1MR1 FAW NNUN GW SIlD11G OOAIA9D DDIR ANOOmd MOM • 195 1 llTT OMMMM M BM- mlAl a5ac11DN ro ee MADE er awNes "AU NOOK - MOLT, T NOT" VOLLEY"ImDTNe eG5TB10 DOOR 10GRS Alm MATOI 01511140 d`x -V mean - GMe wTm FAINT rDaSn ao WAILS .OWD WTI MIM rulnll LOmI OInEf NOOK -N9M C/Dfl'ef Aw-WOW CZODIO ..M11 YIITII ►NNf 7114014 O•fT 1 4AIS WALLS - GAS WTRI MW rMM WN,LAN DOaEf nnaR- NT.wrwlaer -WOW -' omala • Gwe WIIII FAME NNgN VAp22I S9OD DO.R WNL9 -a WTI FAINT nxtaN NAameamtow 110ML -NEW CARTEf aVe.MODD OeUND • GYA WIRI FAME rDILl11 VNNC! 2'11.51 R. WNIa • OAD WRN FNM rMa" NOM FINAL IVIYIII aeacTlONrosMNie aOW/O[ DOOR 0: DOOM am, DOOR OtOCARgN�. ,. .. I 1 aw, ?-p. 4w W ,X:IUDOR wNOIAI CORE. RN LaGC.TION row MAOL• MOWNM Y IA4'.YIO.C6& MOOD• SOLID MLIIIICAK CORD "ALAI SOecTION TO BE MAOt aYOAMOt. S M I Aw. Ili•. .M1a• D.006 OOUD OR ADIm1AI.DMIG SImMO at d- I�DIDTTI[- rINN.SptCRONMeeMALEwowN I GW SIlD11G OOAIA9D DDIR ANOOmd MOM • 195 1 llTT OMMMM M BM- mlAl a5ac11DN ro ee MADE er awNes NOT" VOLLEY"ImDTNe eG5TB10 DOOR 10GRS Alm MATOI 01511140 U5T OF DRAWING5: T -1 GENUM NMEf Ta 9000UL .5YUBM 1. AND MXWC� MIT 19AN N 10MICUTON RAM Alm aRIgaNON O A2 IOUNATO FLAK FM t m a NN PLAN D I ROr PLAN w4 CONST ReFKMawT A-4 OD1tl1YuRION aOITXM w A3 NNSpNCT1ON SECTION w I+ 1 1 LOT /2 AREA a 50.277 50. TT. / OR 1.154 ACRE I 1� 3� NOIIDI j TRoQVImT 119URVEYm 70 IMM I 14 1.'PAMAIIZ MX 90URLS ONE YORW7Q 9 e C10W ION ORAT 4 TDmY iTf1E WIN= LTD. Lol II� �f w` a� �e A P POSED 517E P GENERAL NOTE5: 1. 00 NOT SCALE DRAWOM. 2. ITEMS SHOWN ON ORAMANIM ARE TO BE OMALLM UM155 MMASE NORD AS MaSTM. a. ALL WINDOW) AND DOM 5W11L WE M 2.10 MEAD= DNUS5 onlO MM N=. DATE, IM MON: ALMARON M. THE FOX5 RESIDENCE 6 CAROM DRIVE PATTMONT NY SMA ARCHITGCTS - P.C.- 235 M AMARONECK. AVENUE 1M1RE FINNS. N.Y. 10605 °1441 &7757 DRAWING TRIET 5CHEDULE5.5YMBOL AND BITE PLAN SCALE, AS 5HOWN DATE 6-5 -2003 DRAWN BY. 54M. PROJECT NO.: 2003 -02 DRWNG NO.. T -2 A MR5T O:QQR DEMOLITION PLAN DE MITI E /ATION-SOLO COSTING ROOF. ROIOVe OUSTING SORIT. me JIM wro COSTING. ROAOVe AND RMTAIN 0MNG VANDOW kk=' E_ ROAOVE AND R81A47! a =: DOWOLTTION LPGEND, ElemwwloaRNo nweroaRawia ®aonN enurwe rruroamam eenlo nO0llAn a nweroamla� aeTwmraac � roaRawm DEMOLITION MNERAL NOTES, 1. d)OIeRNAIeMaanmamlwlla lD111 Auolcmelre w Ten avor oaaA,ouD. a AwDlwnraRAa eiuecnA¢naDRTOM afAUOr M NOIOc A CDa161MAR MtfIt aATRRAICfQRO�ID arrlvv� Alm R[IURI ®ro OMm ROAOVE MID FJL=TE MISTING LUDSC1PM IN OROMCTO A000MODATE NEW ADDITION. — 15MATE AND REGWIDE SIR ARW AS RMOIAR W rOR FROM DRAINAGE. DEMOLITION ELEVATION -EAST I GENERA_ NOTES: I. DO NOT SCAM DRAWDIM. 7- ma SNCMM ON DRAWM5 ARE TO K INSTALLED UMM OTNMMM NOW AS OMNG. S. ALL WINDOWS AND DOORS SNAL NAVE M 2.10 NMAUM UNLM5 OTMOMM NOT®. DAM RAE=, ALTERATION TO, THE FOX1S RESIDENCE 6 CAROLYN DRIVE PATTER50N, NY SNU Stephen Mddldl 4 Avowtc ARGMITE'CT9 - P.G. 235 MAMARONECR AWNUC WHrrC PLAJN5, N.Y. 10609 Ei ei4Me•7797 914M8.7aM DRAWING TITLE, DEMOLITION PLAN F EXTERIOR ELEVATIONS' 5CAM, A95MOWN DATE, 65-03 DRAWN DY, 5.E.N. PROJECT NO., 2003 -02 DRAWING NO., �, "ON SNVAM ZO.9OOZ 'ON 13M)O d '1'3'9 -AGNMVNO 9019-9 Suva NMON6 sV -arms SNVId.40()N aNV '16N0'J 210OIA IGNU rJW VNIMVNo 9pp68K1'16-- ------------ /BLL'GYB11 50901 WN'GNArW2MWN anNmv X- =NO'MV W " GGZ '7'd - GJ.l7111 =F� AN 'NOQgJ -LVd 2ANO N.1 OWD 9 3l)N341S3�I NVId 9NIWVtJd dooa aNV 9NnI3o .Gxoj 3Nl vm NouwmTv •aam xlv4wm to GOO 6Ga19N 01 a tar anVN Tr"Qxmaw GNOam*Tly T 'SUUSM GV 02WN 2m4%7 to GS71Nn aarnaua m O.L mN Gsm4ww NO N#Dm G au 'z 'a»aMVaa ZT 3910N as ' I 3�A'RS�R3�3 AaTWAWabdM 39GM =MN *USIX3 /O al NT-W 9NINYbU soali 3 9-111 'I s NIA •f F �rl III ^,_1.^ _- �I a YR MANRANIY MJ4MLT "I= To MATCH E0e19M - MOAK TENT" ND Galae+Cj TAI 00 LIL OLLOM PAPeI O0 IAYIeer llmL WSW E LAP4 r eD ON ur woum MAD[ PLYM7m 61lNTOIE. R REM RODP AID PU1Ime 0t1O Varga TO eras WIN sane+. MATD1 HM VMTL GWM AND ---4 TOM TO ENS1oe MATaI Nel vMTL 6190b m EOSr. bw MT. mm rwm HIt1 elm POW MANS Urb ND Ea.T ANUROM NO GMIS w Ow"m ovi swim Ee PD010M. WX 410 mON PNSI GRAD[ WbPJOg EQLALnO - EA5T rWal0•- • • 25 'ft MARMMY ANWLT SNI SM TO MAICN EOPM ONm LLELLO MOMimo i LLAA»��BC & V WX L�AF%7r vD LAPN ON Vr LVFW=MADE MYNOW OeAT M TO HIM NOW AND mwmb INTO 005101!. MATH men V011i /OR9T ND Tm4 TO Epasrm MATO REM VINYL 610019 TD MW CW 2112 ON= PAOTOW T5 Ew P.T. mw PDETD ISM ate. !GET QYiM CAPE AND e0.T• Ew tmj P.T. mw PDEA PAEfeED TO 0P ea100g PDOrGE MH ETm MW Nt AM AND DOLTS Em OR E ATIO -N GENERAL NOTES: 1.- DD Nor scut DRAW NGS. 2. rtes 5KOWN ON DPAWDW ARE TO BE NBTAUED mm aniamm NarW AS CWTING. 9. ALL WINDOW5 AND DOORS stall HAVE W 200 MCN) 9 UMM OrdERMW NOIEO. DATE ptEV1910N1 ALTERATION TO- THE FOX 5 RE5IDENCE 6 CAROLYN DRNE PATTER5ON, NY SMA 5 q*m MtdmU 4 Ax=An ARCtY1TECT3 - P.C: 295 MMIARONOM AVENUE "ffr PWN5. N.Y. 10005 tdr °14-0417787 tm °14.8417aM DRAWING TIT18 EXTERIOR ELEVATION5 5CAIP. A5 5MOWN ' DATE 65-03 DRAWN By, 5.e.M. PROMM NO.. 2003-02 DRAWING NO.. ,1 5 YR. WARRANTY ASPHALT SHINGLE TO MATCH 95TG. (COIDR, T6f(URE 4 DTOSURE). 10 LB. BUILDING PAPER UNDER(AYMENT, - -� AIN. 4' SIDE IAP5, 2 END LAPS. n' VMOR GRADE PLYWOOD SHEATHING. —� 2x10 ROOF RAFTERS ® I G. O.C. F30 FIBERGLASS BATT INSULATION VICE AND WATER SHIELD AT SAVE, (I6 ® RAKQ. -� AI TAL DRIP EDGE, INSTALLED UNDER LO7li0AYM@NT IN BED Of ASPHALTIC CNN AVE, (® RAKE INSTALL ON TOP Of JND60AYMOM. 'LUMIN.GUTTfKTO 4 TO MATCH 05TG., OOIOR, 5¢E I S1YM. ANYL FASCIA TO MATCH 60ST. AWL 50FF(T, TRIM, AND SOFFIT VENT f0 MATCH 605TING VIN1L 2 -2x I O 2 -2x6 TOP PLAT15 L14' DMOR GRADE PLYWOOD T1'VEK HOUSE WRAP R-19 RBERAA55 BATT INSUL VINYL SIDING TO MATCH 65T'G. (COLOR 4 TEIITURQ 2x6 STUD ®IG'O.C. -- --� 2x6 50TTOM PLATE 2 -2112 R30 FBERGLA55 BAT; INSULATION I Ire DIA, SOFFIT VENT 9 4V O.C. AROUND OUTER PERIMETL3R 2 LAYER 3/4' EXTERIOR GRADE PLYWOOD (2) 2x 12 GIRDERS 6516' (".) WOOD P.T. POETS FASTENED TO GIRDERS MATH STEEL POST BEAM CAPS AND BOLTS 12 6 WALK-IN CLOSET BEYOND Y IC ND ATTENUATION RRIIR INT. PARTITIONS -5V8' pIVB. PAINT F4VNSH- I I I I I I I I I � 2x 10 COUAR T95 @ 16' o.c. ,- BATTIN5ULATION �— 314' T4G POND. 5UB•R GLUED 4 SCREWED 0 12' O.C. TO JO55 9 SOUND ATT6111ATION BARRIER ON INT. PARITIONS 2912 FASTENED FASTENED 0�lTO DUSTING FRAMING (F(DOR FINISH TO BE SELECTED BY OWNER RIDGE VENT 25 YK. WARRANTY ASPHALT 5HINGLE TO MATCH 1557G. (COLOR, T=RE 4 OT05URq. 30 LB. BUILDING PAPER UNDERLAYMEN , MIN. 4' `SIDE LAPS, 2' END LAPS. I/2' WER10R GRADE PLYWOOD SHEATHING. 2% 10 ROOF RAFTERS 0I G. O.C. �— R30 RBERGIASS BATT iw3mnON 36' IGf AND WATER SHIELD AT SAVE, (I V @ RAKE). ,,— METAL DRIP LOGE, INSTALLED UNDER UND60AYMENT IN BED OF ASPHALTIC CUM 0 SAVE, (® RAKE INSTALL ON TOP OF UNDIRLAYMEN ). �- -- ALUMIN. GUTTER TO MATCH 155T'G., (COLOR SIZE 4 STYLE). VINYL FA50A TO MATCH 60ST. �- - -VINYL SOFFIT. TRIM AND SOFFIT VENT TO MATCH ETWNG 2 -2K 10 2 -2G TOP RATES .6516' (;YP.) WOOD P.T. POSTS FASTENED TO 1V 50NOTUBE FOOTING5 WITH STEEL F05TANCHORS 4 BOLTS I& DIAMETER (TYPICAL) I I I 5ONOTUBE FOOTING. MIN. 4-9 BELOW GRADE. GENEM NOTF -55. I. DONO MN20RAVAN(9. 2. MO SHOWN ON DRAWINGS ARC TO K UWAU D UNU55 OTMZRAf [ NOIID AS 005mr. S. ALL WINOOW9 AND DOORS SHALL NAVE (W 2:1 O KCAOM LIMOS OR1[RM7C NO(m. 314' 6(fERIOR GRADE PLYWOOD R 19 FIBERGLASS BATT IN5UL VINYL SIDING TO MATCH E)5T'G. (COLOR 4 TENTURQ 2x6 STUD, I G' O.C. -- - 'Im HOUSE WR0. 6057. FIRST FL mv. /L - 26 BOTTOM MATE. 2 -2x12 2112FLOORJ019T® IG'O.G SLOPE GRADE AWAY FROM 5Tft=RE 1 r DAM JRM310N: ALTM'nON TO: THE FOX5 RE5IDENCE 6 CAROLYN DRIVE PATTER50N, NY SMA -tq*:n M t4WI 4 Aboades AkCHITCCT5 - P.C. 235 I+0AAAKON5M AV MUE NMI! /IAINO, N.Y. I OGOS B I4l40.77S1 .� .e 14449-7aW DRAWING TRIP: 5ECTION 'A SCALE: DAM 6-5-09 DRAWN BY, rRoma NO.. 2003-02 DRAWING NO.: =1 1 sTENCEat.NOTE5; 1. Do NOT SCALE DRAWINGS. 2. Dads SHOWN ON DRAWOM ARE TO . BE INSTALLED UNLESS ontERWI9E NO09 AS OMTrNG. 3. ALL WINDOWS AND DOORS SNAIL NAve m mo NeAlmo UNUSS GTHEM3e Nor®. 2.121tommN s.lorw wwar,olcac Tr.ma mnwwowmmw 1? LrILacRaua nnaoo alsvtmlc. vm5mmmAm mc. 0=410= aloaalNLTee 1co.c A6olceusAVwvrmuwwx 2a4Taram sworn TAIM 49IOCm VN6MMMA1DWIO VM rX015LiF WIDIro VwTo WOOI DSI2w WALK-IN s9a20g1�0EYRON 2a6TOrnRC CL05ET 54=01INr.PNRIIIDO 26MA.Ico.G E39mcae om ammomamc IDl 2A MOW9009OIcOG A19 r619lU9m yINSIL lWTP61wi0Uw MASTER 91fT16nm.3A1L12Lm/ 9mmslEacmLOen WptWING MAroitxlr6. DD01t10""w BEDROOM noownreslroa IW5claeernw. DATE: REVISION IDEL7m9lQN<at R.10' It9Of N9AAlgl ALTERATION TO: 0ls nilORJ0819 PA91Sm OwD�mWw� "Wrm"m OL9f. nor n aLV. THE FORS 1E REDENCE SI al2n6auoero woc. I UEO1AOMMUIr04r= 6 CAROLYN DRIVE c1cOWJWOao P.T. ran MIMS) AMMOnl MEn 02.190= PATTERSON, NY To IS 90ROnme 2LpO aw wm W OAO prom rooT FWAM9WONSrm POBTANLTDR9! 6olfl c@ fr1PJ WOW P.T. IO9r9 PAS15QO ro f6IDE6 ^' ` - WT(N SIIL Pa9T llAY fiY9 NO 9olfl 1\Jll`rAJiAi 9onwovemcmN 9OEOARNNU R(Y91nEOR Stephen Mfthdl4Avo=te9 PN191 OM ARCMIT2CT5 - P.C. 235 MUMIIRONEM AVENUE WMITE PLAINS. N.Y. 10605 14649.7/9'! foo�i:14649-76W DRAWING TrrLE. SECTION V SCALE. Ur - 1147 DATE: 6-5-03 DRAWN BY, Six.". mwie4T NO.: 200302 DRAWING NO.: A_5