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HomeMy WebLinkAbout0320DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13. -2 -19 BOX 4 00129 44 oil . 4 -. Jr. , � T rA , r 16- ., 00129 PUTNAM COUNTY DEPARTMENT OF HEALT Jam- SO DIVISION OF ENVIRONMENTAL HEALTH SERVICES 0 b ° '�OCCERTIFICATE OF; CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT Located at Town r Villagr Owner /Applicant Name i L, O'E.-Pd,"6 Tax Map 13 Block Lot Formerly Mailing Address Subdivision Name a s/-,t) Subd. Lot # Zip LO Date Construction Permit Issued by PCHD 8 J - /Z. Separate Sewerage System built by ta-p4zgL,3 eAa.AUU 7_Ar, Address Consisting of 15W Gallon Septic Tank and Cc) ky— `c 51wx' 1--A0 cu t-F oi(- 2-' w cam am 47i`3a ocizaom 1 - Other Requirements: Water Supply: Public Supply From or: ----Private Supply Drilled by� Address Address lca� Building Type g►Aic,(& n4m Has erosion control been completed? Number of Bedrooms Has garbage grinder been installed? {� I certify that the system(s), as listed, serving the Bove premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accor ee tli r sued PCHD Construction Permit and approved plans and the standards, rules and regulations of e t © Department of Health. Date: q -Z �14 Certified by Address Any person occupying premises served by the P.E. O R.A. IF License # 0'7 q1 s�(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 Director /Commissioner, such revocation, modification or change is necessary. By: �r P itle: /�� Date: 6 Whit c y - HD File; Yellow copy - Buildi Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: 740 Route 311 Town/Village: Patterson Tax Map # Map 13 Block 7 Lot(s) 19 . �..t32rs 730 36' 7 "W Well Owner: Name: Address: Matthew Castellano; 117 Tulip Road, Brewster, NY 10509 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 XCompressed air percussion —Other(specify) Well Type _Screened _Open end casing __L Open hole in bedrock _Other Casing Details Total Length 31 ft. Length below grade _Vt. 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 Dept to Screen (ft) Developed? First I _Yes _No Hours Second I Well Yield Test _Bailed _Pumped __I Compressed Air Hours 6 Yield 12 gpm Depth Date Measure from land surface- static (specify ft) 30' During yield test (ft) 240' l5epth of completed well in ft. 280' 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 12 Drilling in overburden, cley, and boulders Hit rock at 12 12 31 DrillinR in ro k set casirg. grouted 31 280 Dri 11i.ng in rnak granite 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 Com feted P- yrt �Y .{ H. Well Driller FYe X ^:h k`'AY' Pum Installer �. _._ ._.. PC Certifleate5# �g 13019 Su iFrk .f �: ✓ X;: d ww P,C Certificate #x _... _ .. W....... :._.. NY State # ,, NY12D10105 NYState# "36/13 Date of Report ' Well griller NameAtldress fi P F Beal &a ':... a. s. S v} « >.a T ,..ter. �u Sons Inc n k'P 4 FutnamAvr?nu;e Brewster i`iY1�509 herBea ,.< 7 '' s.:. •e' Y = F,s 3: & r S 'S+ a,: t !:A' Pump 14 taller Name"A Address r Rump In er re)= F F % S ' i 'y' y p F" h'k.... - K d # (yJ /�} r �.d1n'�k'4.�"'ai x '��jZ.C"h 's.�:=21.n»Y�a.'6YV�/ NRiI..;...'Y✓Ii��/ C�9"'.trvu."Lw'�xxd a'3' ;:,*'Sw. Ms..G >re',fiX' ...3P k,.- CSiz'x rX1. ,'i4""Wk` >.5y., NOTE: Exact Location of well with distances to at least two permanent landmarks to be providLTd on a seVaFate sheat/plan. White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 Rev. 3/06 "1 a • V PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: 740 Route 311 TownIVillage: Patterson Tax Map # Map 13 Block 7 Lot(s) 19 e 5 ; 730 36' 7" W Well Owner: Name: Address: Matthew Castellano, 117 Tulip Road, Brewster, NY 10509 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 Rotary _Cable percussion _LCompressed air percussion —Other(specify) Well Type _Screened _Open end casing X Open hole in bedrock _Other Casing Details Total Length 31 ft. Length below grade _3Qft. 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 XNo- Screen Details Diameter in Slot Size Length (ft) Dept to Screen ft Developed?, First _Yes _No Hours Second Well Yield Test _Bailed _Pumped Compr @sled Air Hours _� Yield 12 gpm Depth Date easure m n su aeeata rc spec 30' During Y1010 test ft 240' p o completed well rc ft 280' 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 12 Drilling in overburden, clEv, and boulders Hit rock at 12 12 31 Drilling in ro k set casino. Rrouted 31 290 Drilling in roo-k- $Zrnpjt-n If yield was tested at different depths during drilling list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type. §ubmersible Capacity a Depth 270ft Model FP2322 Voltage 240v HP 1 HP TankTypePre -char ec9(olume 10 GPM Datei , ell5 , qm leted ` :s tr -arpL We11 DrilIbKRG ?Cartlficate# :i K t'�NY ;rr y =. rk{.rr rk �+.: J v 1301.. ,ts r EH,yr ,7 r�.r4t ti ss` hug' � �,��� Pum jlnstail94515- Ge State` }# y "� *7 � }4 /��_`� ✓ °Y 5 T '" c„ z. ti tNY`State =# ,r Date of ?Report tr1 i a _ x ,..., , �r We1I�Dr IIerMName 8 Address try d p 'r 1')1 t T 41 it - ra. 4e1 cif ik f r f Ft Beal . 5C D rf� , -Nf _ h � ,» . Pump InstallerwNarne �Actdress ;t t' t;' Yx� �} t { Pump} faller (i r. .. .,t ..F =.r a'r r a i'•r ri k ti J ` j. r�`�` r° :'•, ,�j.;R k f,<rMS e + "F'a z5,- r ,,,,,..Y d {r _;, 4.r' v. nsa.'�v�y.2y� Matthew Castellani ,74D Roufe °3411 Patterson •NYC 125 ails ffij.r s.4..:... p ..d .fig% ...c.,J... ..f • h�.. ».+'in., - ':.f.. NOTE: Exact Location of well with distances to at least two permanent landmarks to be provided on a separate sheet/plan. White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 Rev. 3/06 ALLEN BEALS, M.D. MARYELLEN ODELL Commissioner of Health County Executive ROBERT MORRIS, P.E. Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10,509 Phone # (845) 808 -1390 9911 ADDRESS VERIFICATION FORM owNER,s NAME: Matthew and Catherine Castellano TAX MAP NUMBER. 13. -2 -19 E911 ADDRESS: 740 route 311 Patterson N.Y. 12563 TowN: Patterson AUTHORIZED TOWN OFFICIAL: (Signatu e) DATE: The Putnam County Department of Health will not issue a Certificate of Construction Compliance unless the above form is completed, i.e., a legal E911 address is assigned by an authorized Town official. This form is to be submitted with the application for a Certificate of Construction Compliance. KLY 7/13 ry 'M YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245 -2800 Albert H. Padovani, Director ** TEST REPORT ** LAB #: 1.402282 CLIENT #: 64226 NON STAT PROC PAGE: 1 of 2 CASTELLANO, MATTHEW DATE /TIME TAKEN: 07/10/14 11:00 117 TULIP RD DATE /TIME RECD: 07/10/14 11:20 BREWSTER, NY 10509 REPORT DATE: 08/05/14 PHONE: SAMPLING SITE: 740 ROUTE 311, PATTERSON, NY SAMPLE TYPE..: POTABLE : HOSE BIB PRESERVATIVES: HNO3 COLD BY: MATTHEW CASTELLANO TEMP RECEIVED: 6c ON ICE NOTES...: COLIFORM METH: MF START DATE /TIME END DATE /TIME FLAG PROCEDURE RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 07/10/14 0450 07/11/14 0430. MF T. COLIFOR ABSENT /5100 ML ABSENT SM 18 -20 9222B 07/30/14 LEAD (IMS) <1.0 ppb 0 -15 ppb SM 18 -19 3113B 07/11/14 0330 07/11/14 0400 NITRATE NITRO 0.54 MG /L 0 - 10 HACH 10206 07/11/14 0325 07/11/14 0345 NITRITE NITRO <0.01 MG /L 1.0 MG /L SM18= 204500NO2 08/04/14 IRON (Fe) <0.06 MG /L 0 -0.3 mg /1 SM 18 -20 3111B 07/21/14 MANGANESE (Mn <0.01 MG /L 0- 0.3'mg /l SM 18 -20 311113 08/05/14 SODIUM (Na) 3.20 MG /L N/A SM 18 -20 3111B 07/11/14 0330 07/11/14 0333 * pH 7.8 UNITS 6.5 -8.5 SM18 -20 4500HB 07/22/14 HARDNESS,TOTA 184 MG /L N/A SM 18 -20 2340C 07/23/14 ALKALINITY (A 180 MG /L N/A SM 18 -20 2320B 07/10/14 0245 07/10/14 0247 TURBIDITY (TU <1 NTU 0 -5 NTU SM 18 (2130B) COMMENTS: MFTC to Coliform = This result indicates that the water (was) (was not) of a satisfactory sanitary quality according to ew York State and EPA federal drinking water standard for this parameter. This comment applies to the Total Coliform test only. Pb /Cu LEAD limits for public schools are set at 15 ppb. EPA Lead & Copper Rule for Public Systems requires that no more than 10W of their distribution points have a LEAD value of more than 15 ppb and a COPPER value of 1.3 mg /L, else water treatment must be undertaken to reduce the waters corrosive potential. Fe /Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg /L. IMS = IMMEDIATE METAL SAMPLE.(INTERPRETATION: WATER SAMPLED AFTER SITTING UNDISTURBED A MINIMUM OF 6 HOURS OR OVERNIGHT) NMS = NORMAL METAL SAMPLE. (INTERPRETATION: WATER SAMPLED AFTER RUNNING FOR 10 -15 MINUTES MINIMUM) •w YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245 -2800 Albert H. Padovani, Director ** TEST REPORT ** LAB #: 1.402282 CLIENT #: 64226 NON STAT PROC PAGE: 2 Of 2 ----------------------------------------------------------------- ----- -- -- -- ----- ---- ---- --- - - -- CASTELLANO, MATTHEW 117 TULIP RD BREWSTER, NY 10509 DATE /TIME TAKEN: DATE /TIME RECD: REPORT DATE: PHONE: 07/10/14 11:00 07/10/14 11:20 08/05/14 SAMPLING SITE: 740 ROUTE 311, PATTERSON, NY SAMPLE TYPE..: POTABLE : HOSE BIB PRESERVATIVES: HNO3 COLD BY: MATTHEW CASTELLANO TEMP RECEIVED: 6c ON ICE NOTES...: COLIFORM METH: MF START DATE /TIME END DATE /TIME FLAG PROCEDURE RESULT NORMAL - RANGE METHOD Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg /L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg /L of Sodium is suggested. * pH pH SCALE IN WATER RANGES FROM 1 -14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. pH IS A FIELD MEASUREMENT AND IS TESTED OUTSIDE THE HOLDING TIME. pH REPORTED FOR REFERENCE ONLY. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG /L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG /L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0 -70 MG /L VERY HARD WATER: ABOVE 300 MG /L MODERATELY HARD WATER: 70- 140 "MG /L MG /L = MILLIGRAM PER LITER HARD WATER: 140 -300 MG /L (1 grain /gallon = 17.2 MG /L) ALK (ALKALINITY REPORTED AT pH 4.5) IMS ' IMS = IMMEDIATE METAL SAMPLE. (INTERPRETATION: WATER SAMPLED AFTER SITTING UNDISTURBED A MINUMUM OF 6 HOURS OR OVERNIGHT) THE ABOVE TEST PROCEDURES MEET ALL REQUIREMENTS OF NELAC, AND RELAT t Y TO SE PLES RECEIVED BY THE LAB SUBMITTED BY: Albert . Padovani, M.T.(A CP) Director ELAP# 10323 OC ENGINEERING. PC October 3, 2014 Mr. Joseph Paravati, Jr., P.E. Putnam County Department of Health 4 Geneva Road Brewster, N.Y. 10509 Re: Castellano Construction Compliance 740 Rt. 311 (T) Patterson TM# 13.2 -19 Dear Joe: I have reviewed your comment letter regarding the above referenced project. As requested, have modified and/ or provided additional information on the attached plans and in this letter. To facilitate your review, I have keyed the following responses to the original comments from your department: 1. The E -911 form is enclosed. 2. The well completion report pump /storage tank information is enclosed. 3. Two more copies of GS -97 are enclosed. 4. The pump test results have been added to the plan. If you have any questions regarding the revisions made, please feel free to call me at your convenience. I can be reached at (845) 855 -2000. Sincerely, John A. Kalin, P.E. Enc cc: File DESIGN CONCEPTS ENGINEERING, PC 3 MEMORIAL AVE. SUITE 301, BAWLING, NY 12564 RH:645-B55 -2000 • FX:645-655 -2605 E: JKAUN@VERIZON.NET DC ENGINEERING, PC LETTER OF TRANSMITTAL To: Putnam Co. Dept. of Health Date: Oct. 3, 2014 --i—job No: 4 Geneva Rd. Attention: Joe Paravati, Jr., P.E. Brewster, NY 10509 RE: Castellano Residence — 740 Rt. 311, (t) Patterson We are sending you: X Attached 0 Under separate cover via The following items: O Shop Drawings 0 Prints X Plans O Samples 0 Specifications 0 Copy of Letter 0 Change Order 0 Copies Date No. Description 5 07/25/14rev.10/01/14 Castellano Residence As -Built Plan (1 of 1) 1 03/05/13 Well Completion Report 2 07/17/14 Guarantee of SSTS 1 10/03/14 Response Letter 1 10/01/14 E911 form These are transmitted as checked below: X For approval X As requested X For your use 0 For review and comment Remarks: Signed: cc: File DESIGN CONCEPTS ENGINEERING, PC 3 MEMORIAL AVE. SUITE 301 , PAWLING, NY 12564 PH: 645$55 -2000 • FX:845$55 -2605 E: JKAUN@VERIZON.NET ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E., MPH Director of Environmental Health September 22, 2014 DC Engineering John Kalin, P.E. 3 Memorial Avenue Pawling, NY 12564 Dear Mr. Kalin: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Re: MARYELLEN ODELL County Executive Construction Compliance — Castellano 740 Route 311 (T) Patterson, TM 13.2 -19 This office has received and reviewed the most recent set of plans for the above mentioned project. We would like to offer the following comments for your review and consideration. 1. The E -911 form is to be provided. 2. The well completion report pump /storage tank information has not. been provided. 3. Two more copies of the guarantee form (GS -97) with original signatures are to be provided. 4. The pump test results are to be provided on the plan per PCDOH comment letter dated July 15, 2014. This office will continue its review upon consideration of the above mentioned comments. Pleas eel free 'to contact me at ext. 43157 if any questions arise. Very truly yours, seph S. Paravati, Jr., P.E. Assistant Public Health Engineer JSP:cml ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E., MPH Director of Environmental Health July 15, 2014 DC Engineering John Kalin, P.E. 3 Memorial Avenue Pawling, NY 12564 Dear Mr. Kalin: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 MARYELLEN ODELL County Executive Re: Field Inspection — Castellano 740 Route 311 (T) Patterson, TM 11-2 -19 The above referenced separate sewage treatment system can be backfilled. Kindly submit the dose test results to this Department on the as -built plans. If you have any further questions, please contact me at (845) 808 -1390 ext. 43261. Sincerely, Gene D. Reed Environmental Health Engineering Aide GDR:cw PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: 7& Inspected by: Street Location 7050 •54+, .5.1 l Owner Gas �Iat� Town la- TM Subdivision Lot # a- 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 .:.... ....:.......................... IL Sewage Svstem a. Septic tank size.- 1,000 .......... 1,250 ......... other.. o0 b. ' Septic tank installed level ................ .........:..................... c. 10' minimum from foundation ........................... :............. d. Distribution Boa 1. Alt outlets at same elevation- water.tested .................. 2. Protected below frost .................. ............................... 3. • imum 2 ft. Original soil between box & trenches e. Junction h n Box properly set .......... ............................... 6. Trenches f- Length required 6 7;2, Length installed 1�2 7Z 2. Distance to watercourse measured -f- ? oD 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 surfa.ce .................. 7. k Room allowed for expansion, 1 W /o ......... :............... 8. Size of-gravel 3/4 - 11h' diameter clean ...................: 9. Depth of gravel in trench 12" minimum 10. Pipe ed ........................ ............................... g. Pum or ose stems 1. Size o p chamber.... ............. ............0......... .......... 2. Overi;Iow tank ........................ .............. .................. 3. Alarm, ;mti / audio ......... :........... .......................0....... 4. Pump easily accessible, manhole to grade................. 5. First box baffled..'..'. . ......... * ................................ ........... 6. C�,y�ycle witnessed by H.D.estimated flow /cycle........... II I Roused uildirig a. douse located. er approved plans:......... b. Number of bedrooms ........... ....... TV. Well �hts 4 -ca�i� Well located as per approved pl . ......:........................ b. Distance from STS area measured loo . ft ........... c. Casing. 18" above grade ................ ............. ................... d. Surface drainage around well . acceptable .....:................. V. Overall Worlananshin . S ' 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. 12/02 DEC -5 -2004 01:27A FROM:DC ENGINEERING 845 - 8552605 TO:2787921 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ATTENTION 46SEPH X GENE REQUEST FOR FINAL INSPECTION All information must be fully completed prior to any inspections being made. For: Fill P. 1/1 Trenches PCHD Construction Permit Located: ? 'S11 Owner /Applicant Name: TM Block Lot_ Formerly: Subdivision Name: D' aA Subdivision Lot # _ Is system fill completed? �„ �` Date: Is system complete? Date: "Z Is system constructed as pe plans? Is well drilled? Date: Is well located as per Tans? Are erosion control measures m pla e? I certify that the system(s), as listed, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Construction Permit and approved plans and the Standards, Rules and Regulations of the Putnam County. Department of Health. Date: �%' 9-l`� Certified by: PE �RA y— ` Professional 'l Address: rN i_t lZ Lic. # o7gU0`� Comments: � � .�.d, �� �. v La �o Covey w-,jal,j 4-1-,o-,t4rGa�s dhI Form FIR -99 DC ENGINEERING, PC LETTER OF TRANSMITTAL To: Putnam Co. Dept. of Health Date: Sept. 4, 2014 Job No: 4 Geneva Rd. �� Attention: Budzinski, P.E. Brewster, NY 10509 RE: Castellano Residence — 740 Rt. 311, (t) Patterson We are sending you: X Attached 0 Under separate cover via The following items: 0 Shop Drawings 0 Prints X Plans 0 Samples 0 Specifications 0 Copy of Letter 0 Change Order 0 Copies Date No. Description 5 07/25/14 Castellano Residence As -Built Plan (1 of 1) 1 09/02/14 Certificate of Construction Compliance for SSTS . 1 07/17/14 Guarantee of SSTS These are transmitted as checked below: Remy Signe cc: Fil( 0 As requested 0 For review and comment DESIGN CONCEPTS ENGINEERING, PC 3 MEMORIAL AVE. SUITE 301, PAWLING, NY 12564 PH: B45$55 -2000 • FX: 1345 -1355 -2605 E: JKAUN (PVERIZON.NET PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Matthew Castellano 13, 2 19 Owner or Purchaser of Building Tax Map Block Lot Matthew Castellano Building Constructed by 740 Route 311 Location _ Street Private Dwelling Ranch Type Building Type Patterson TownNillage Ohara s/d Subdivision Name #2 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 it 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 repair 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 Commissioner of Health of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Month D 12 Year. 2014 Signature: (Sep c S em In t ller) Title: President Genera ontracto er) — Signature PCHD License # Corporation Name (if corporation) Address: 740 route 311, Patterson State: New York Zip 12563 _ Arrow Excavating, Inc. Corporation Name (if corporation) Address: 143 Poplar Hill Rd. State: Wassaic N.Y. Zip 12592 Form GS -97 ,N�,XMM AKtA tf 8 LATS ® 56' EA. A I PT -4* M \ DT -4 7 co / Y9' 1 60' I , 16 I 51 " , 10' cr-y NONUMEW — -- GRAVEL. PAD Pi -6,V DT -6 i SURFACE SWALE PT —s So M�' e DT -5 4 / Sfi e ICY ' �RESERVE AREA 'A' / I / 4 LATS ® 56' EA. 1500 GAL CONC SEPTIC TANK �/ / / / F (2) — 4" PVC FDN & ROOF LEADER DI / / I e 4" PVC SDR -35 PIPE ' CD 5 / / CONCRETE DOSING TANK r / / / II I i DECK TWO STORY HOUSE ROOF O/H / / / 4 "0 PVC SDR -35 PIPE i WETLAND UNE AS DOUG GAUGLER, _Y 17, 2012 E AS -BUILT DIMENSIONS: DESCRIPTION �1 B X 1' SEPTIC TANK 1 30' 14' 60' 11 SEPTIC TANK 2 37' AS -BUILT DIMENSIONS: DESCRIPTION A B X Y SEPTIC TANK 1 30' 14' 60' 11 SEPTIC TANK 2 37' 17' 78" 63' DOSING TANK 3 43' 19' 14 73' DOSING TANK 4 46' 22' 71' 16 CLEAN OUT 5 50' 25' CLEAN OUT 6 142' 83' CLEAN OUT 7 112' 56' CLEAN OUT 8 99' 60' INE AREA '8' X TS ® 56' EA. DIST. BOX 9 92' 63' 10 85' 60' 11 PT -791 61' 12 78" 63' 13 75' 65' ,-x ummm GRAVEL PAD PT -6 DT -6 SURFACE SWALE PT -510 DT -5 7 � f Y 4-, DESCRIPTION X Y DIST. BOX 9 92' 63' 10 85' 60' 11 81' 61' 12 78" 63' 13 75' 65' 14 73' 67' 15 72' 71' 16 51" 1 10' DE 17 18 19 2C 21 2� 2: 2z / I 5 /22 / /5 / DE 17 18 19 2C 21 2� 2: 2z / I 5 /22 / /5 DESCRIPTION X Y DIST. BOX 9 92' 63' 10 85' 60' 11 81' 61' 12 78" 63' 13 75' 65' 14 73' 67' 15 72' 71' 16 51" 10' DESCRIPTION X Y 17 45' 15' 18 i :40' 21' 19 34' 27' 20 28' 33' 21 23' 39' 22 91' 67' 23 88' 68' 24 85' 70' .i DESCRIPTION X Y 25 82' 72' 26 80' 74' 27 79' 78' 28 141' 123' 29 139' 124 30 137' 125' 31 136' 126' 32 135' 127' 33 V 134 129' L SOIL TESTING DATA DEEP TESTS I PERG TESTS I DESIGN CT DATA' S 1212009'D MACHWE USED: EXCAVATORi 95. Oa TEST DATE: 12/19/11 �T�� 1/9/12 (DT�536) DT-1 0"-12' LOAM 13'. -4Y COARSE SANDY LOAM 4r-98' SILTY CLAY LOAM NO WATER NO MOTTLING, NOR ROCK , 0' «48' SILTY SAND W/ COBBLES 49'-72' OK SM LOAM 73'. -96' M RRN CA TY i nYl TEST DATA: -USE •30 min/hi •V PRESOAK: 12/19/11 - TEST. 12/20/11 FROM 'APPENDIX If OF LATEST ED. OF PCHD BULLETIN ST -19: TEST DATA: 4 BEDROOMS 0 20D GPD/BD DEPTH: 3Y 00 - 8 OAL/DAY TEST RUNS (RATES): RU FIAO m/Yi RUNp: IS ./in PRIMARY AREA DF9M: RUN 1S m 4 BEDROOMS O 21-30 min/h STABB.RED R TE IS min/In ABSORPTION TRENCHES PT -2: PROVOM. 12 LATERALS O TEST DATA: 56 LF. EACH FOR A DEPTH: 28" TOTAL OF 672 LF rj, UTILITIES ARE PLOTTED FROM FIELD LOCATION AND ANY RECORD WORYATION- AVAH.ABLE AND SHOULD BE CORSD RED APPROXIMATE OTHER UTLITIS MAY EXIST WORM ARE NOT EVDENT OR FOR WHIM RECORD Oi 71017 WAS NOT AVAILABLE. CONTRACTORS MUST CONTACT ALL UTILITY COMPANIES BEFORE EXCAVATING AND DRILLENQ CALL 'M SAFELY NEW YORK' AT 1(800)982 -7862. t�. C r V PUTNAM COUNTY DEPARTMENT. OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR.SEWAGE TREATMENT SYSTEM PERMIT # C—I (-2— Located at rTo pr Village -7 Lot_ Subdivision name 4 Subd. Lot # T ax Map Block_ Date Subdivision Approved & /I z Renewal'— Revision Owner/Applicant Name 1� Date of Previous Approval Nfailing Address jj� -ilu( Zip I r r." Amount of Fee Enclosed. Building Type ,,T; 0 r) .: Lot Area. 4,t j No. of Bedrooms 4- Design Flow GPD .4. . .1 :.. ... Fill - Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FELL IS COMPLETED Separate Sewerage- —System to consist of gallon septic tank and 14,7 r, A I t> T -1 Z r t, g,,;nr .4 g441� r�p i -1,A t-) t: 5 7 C.V f7 N Other Requirements: To be constructed by � ar, Address WaterSuliply: Public Skuwi frw Address Private. Supply Drilled by' Addre.sg 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 regulation's of the Putnam, County -Department of Health, and that on completior.. there9f a. "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Departinent, and a written e will be furnished- the owner, his successors, heirs or assigns by the builder, thit.sak builder will place.in. go . od operating condition'. any part of said sewage treatment.syst.em during- the. period of two (2) yea n immediately following the date of the issuance of the approval'of the C-ertificate of Construction Compliance of the ongina. system. or anyrepairs thereto. Signed: P.E. RA. Date 1-7 License # Address 4) A /1%rf �.3y '7 qr. r APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the mp by HD;andisrevociblefotaust may o: sewage treatment system has been completed and inspected PC or ed modified when considered necessary by the Public Health Direow. 1. Ong {approved plan require., i *011or Any 4. a new permit. Approved for harge of dom e*stic sanitary go kgd,on �i By: 1jjzh_1_Wf11 Title: ate: White copy -; HD File ;"Yellow �op, Inspector; Pink copy - Owner;: `6 g.e cW - Design Professional 7 � . !�/ . . -9' Form CP PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type Well Location Street Address: Town/Village; Tax Map # j 4c r1 j Map 17 Q BI Z Lot(s) Well Owner: Name: Address: hone #: c:' V 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 gpm # People Served U Est. of Daily usage F; ) c gal. Replace Existing Supply Test/Observation Additional Supply Reason for Drilling i New Supply (new dwelling) Deepen Existing Well Detailed Reason i- ,;�.�'� 04 CC l T (I for Drilling Well Type ; .- Drilled Driven Gravel Other Is well site subject to flooding? ..... ............................... ....... Yes No r Is well located in a realty subdivision? ........................................... ............................... Yes i No Name of subdivision ..`::._ �_: ,-, (r; Lot No. Z t Water Well Contractor: Address: _ Is Public Water Supply available on site ? ....................... _ .............................. Yes _ No_� Name of Public Water Supply: i)= N,�wh/Village - Distance to property from nearest water main: a % Proposed well location & sources of contaminatioif� be'pxoy parate sheet/plan. �. n Date: 1 ' ' Applicant Signari` PERMIT TO CO - "T" WATERWELL 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:Putna.m County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health. Departmei 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 tha 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 Commissioner of Health. Any revision or, alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. � • � � ',LLB' :u�- �' -�-�i Date of Issue Permit Issujng Official: Date of Expiration ' `` _ Title::, Permit is Non - Transferable Y; White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner, Orange copy Well driller Form WP -97 Rev. 3/06 P.F. BEAL & SONS, INC. 4 PUTNAM AVENUE BREWSTER, NY 10509 ARTESIAN WELLS WATER SYSTEMS Esta6Cishedi8gi - over i5,000'WeCfs Completed JET PUMPS SUBMERSIBLE PUMPS TEL. (845) 279 -2460 - 2461 FAX (845) 279 -6613 COMPLETE INSTALLATION, REPLACEMENT AND REPAIR SERVICE March 4, 2013 'Mr. Matthew Castellano 117 Tulip Road Brewster, NY 10509 Dear Mr. Castellano: WATER TANKS COMMERCIAL WATER SYSTEV S HYDRO FRACTURING WATER CONDITIONING EQUIPMENT With regard to our recent conversation, I am enclosing contracts to drill a well on 740 Route 311, Patterson, NY. The six -inch casing mentioned in the contract runs from the surface at least ten feet into the solid rock where it is grouted in accordance with the regulations of the Putnam County Department of Health. This casing is new, heavy duty, seamless steel pipe weighing approximately nineteen pounds per foot. After the well is drilled and we know the depth and the flow, we will contact you to give you a price on the installation of the water pumping equipment. If the contract meets with your approval, please sign and return.. one copy so that we can place your name on our drilling schedule;., Please include the parcel tax ID number in the space provided on the contracts_. If you have any questionso" please l:et us,.,hear from you.' Very truly, yours:, P. F. Beal & Sons, Inc. Christopher Beal CB /mm enclosure P. F. BEAL & SONS, INC. ----------------------------------------------------- - - - - -- OUR 100' YEAR — 1891 -1991 - - - - -- ARTESIAN WELLS, PUMPS — COMPLETE INSTALLATION AND REPAIR SERVICES 4 Putnam Avenue TEL. (845) 279 -2460 -2461 Brewster, NY 10509 FAX. (845) 279 -6613 THIS CONTRACT, made this 4`" day of March , 2013 . between P.F. BEAL & SONS, INC., Brewster, New York (the "Contractor"), and Matthew Castellano, 117 Tulip Road. Brewster. NY 10509 (the "Owner' Business Tel. 845- 278 -4759 Cell 845 - 224-6883 WITNESStTH, IT IS HEREBY MUTUALLY AGREED, as follows: Contractor agrees to drill a well six (6) inches in diameter, upon the property of Owner at a location designated by Owner, and to such a depth as may be fixed by Owner or representative of Owner. It is not P.F. Beal & Sons responsibility to stake . the well. This must be done by a licensed engineer or surveyor. Property address of Owner 740 Route 311 Patterson NY Contractor. agrees to furnish and place in position in the well, in a thoroughly workmanlike manner, casing consisting of a standard pipe six (6) inches in diameter inside measurement, extending from the surface at least ten (10) feet into the solid rock, and to furnish all labor, fuel and cartage for drilling said well. The rate for drilling in rock will be $12.00 per foot. The rate for drilling existing well deeper will be = = == per foot. The rate for moving drilling machine onto property, setting up over well, removing pipe, etc., until drilling commences will be The rate for six -inch casing will be $20.00 per foot. The quoted casing price is firm for one month from the. date of this contract. Due to the highly volatile steel market, this price is subject to change. If this contract is being submitted after one month from the date of this contract, please call for a price update. The cost of six -inch drive shoe will be =- - -- The well shall be drilled to a minimum depth of 75 feet. 'If when drilling for well casing we encounter an unconsolidated formation where-we are unable to keep the drilled hole open, it may be necessary to dig a "catch hole" which will act as a circulation pit to pump bentonite clay;using an auxiliary mud,pump, the charge for which will be $850.00 . The rate for drilling in the overburden.until casing is set will be J1&gg1perfo6E Contractor does not guarantee to obtain any specific flow of water from the well and, in the event that no water is obtained in the well, Contractor will be paid in full for all drilling footage,. casing installed and setup charges as stated in this.Contract.. If drilling is discontinued by the direction of Owner or representative of Owner at a depth less than the minimum depth, payment shall be made for the aforesaid minimum depth or, if drilling is prevented,-or prohibited .by. the dirge. tion of Owner or representative of Owner, payment shall be made for .said -minimum ; depth,. :payment shall imrhWiately`,ecorrie due and payable upon such discontinuance or such prevention or prohibition. Repair to ground damaged by Contractor's equipment in the process of getting to and, from, well drilling, location shall not be the responsibility of Contractor. Removal of drilling cuttings will not be the responsibility.of:Contrador. Owner shall be responsible for complying. with all local laws, zoning ordinances and:.health regulations in selecting the location for the well. Once this Contract has been executed, the location of the well may not be changed. Contractor is completely covered by compensation and public liability insurance. Owner shall make a deposit payment of $500.00 upon execution of this Contract: Payment of the total depth at the above - listed rate is due upon completion of this Contract. If Contractor deems it necessary to take action to collect any moneys due from owner under this contract, owner shall be responsible for Contractor's costs, expenses and reasonable attorney's fees. Contractor will assess a finance charge of 1.5% per month, or 18% annual percentage rate, on unpaid.balances of thirty (30) days or more. Please be advised that the Well Completion Report (Well Log) and the water quality results will not be released until the account has been paid in full. Accepted: Parcel Tax ID # P.F. B 4- , S, INC. By: .Christopher Beal Date: Date: March 4, 2013 a Customer: Tenant: Job Address: Mailing Address: Directions: * * * *. P.F. BEAL SONS, INC. * * * * SERVICE REQUEST FORM Matthew Castellano 740 Route 311, Patterson, NY 117 Tulip Road, Brewster, NY 10509 Date: 03/06/13 County: New Customer: Yes No Telephone #: 84,5-278-4759 Telephone #: 845- 224 -6883 cell Reason for Service: SUMMARY OF WORK COMPLETED Employee: Arrived: Departed: Lunch: Yes: No: Backhoe Time: Wheels: Yes No Smeal; Yes: No: Depth: Water Level:. Make: H.P. Well Info: Type of pump: Amount & Type.of pipe in well: Type of Tank: Make: Model: Size: Flow: Volts: Model No. Well Location: Work Completed: Depth to rock: 12' Schramm #05 Pfister /Adams /Rose 120012000 MATERIAL USED "pump: motor lead: motor: control box: serial # line filter cadges pipe in well: mount kit wire in well:. air release gauge pipe in trench: relief valve wire in trench: relay capacitor torque arresters: check valve gate valve heat splice kit: clamps pitless: . tank well cap or seal: tape tank fee: pressure switch Other.material used: 3/5/13 Drilled 6" well for Matthew Castellano, 740 Route 311, Patterson, NY 280' of 6" drilling @$12.00 per ft.. $3.,960.00 31' of 6" casing @$20.00 per ft ............................................... ............................... 620..00 $3•:'980..;00 Well #15453 Depth: 280' Flow: 12 gpm B 9 �$ A � it � � � R ��n� Z�j �. �2 ] j-(i �d 9 F c �F G� --- ZZZZiiii -i e i� $ �• � � z a J IH 111 111111 I li I I it �II 'I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYS - PERMIT # Located at 1,10 900TH 3 I I o r Village PAT�E�So� Subdivision name 0 4AA?:?!� S Lt> Subd. Lot # '� Tax Map Block Lot Date Subdivision Approved Renewal Revision 1.t�VV Owner /Applicant Name Wr4-ta N Date of Previous Approval Mailing Address t 1 i TV t_ I p r� F:T-W Zip t o S 0q Amount of Fee Enclosed 4-S e ° Building Type I f7-AM s L- f f-� • Lot Area j No. of Bedrooms + Design Flow GPD 800 Fill Section Only Depth Volume PCHD NOTIFICATION IS RE UIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of [15-&0 gallon septic tank and 32J G,A L DOSE Got`�%fM DOS(tJGi -rANr- , 672 OF Z` UVIps✓ srt> Ats0P —PrtoN Other Requirements: To be constructed by I-F p D - i6Etscf4-0-*rTie-- Address N" t q cv-(o it _ Water Su 1 : Public Supply From Address or: Private Supply Drilled by JB0 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 airs thereto. Signed: P.E. V/ R.A. Date Address Ab Mt*ol,iAV AM, ��4W t-u ej O t JTS 4q License # 0 Oo 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 en considered nece sary by the Public Health Director. An revision or alteration of the approved plan requires a new permit. Approved forAscharge of domestic sanitary 71 Y. I: White copy - HD Title: Building Inspector; Pink copy - Owner; Date: —/2— - 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 Well Location Street Address: Town/Village: Tax Map # VA-r Map 13 Block -Z- Lot(s) Well Owner: Name: Address: Phone #: Byf ti►A-fT VUCAs u-AN d TvL-I p ��T�2 Ids 21� • 6�tb3 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 SOv gal. Replace Existing Supply Test/Observation Additional Supply Reason for Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason t-ON W5 -t- I,- o! for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ....................................................... ............................... Yes _ No �No Is well located in a realty subdivision? ........................................... ............................... Yes Name of subdivision 0144 a(Zf,, (11D Lot No. Water Well Contractor: TIC Address: Is Public Water Supply available on site ? ............................ -- ........................ Yes _ No F NFU; rown/Village Name of Public Water Supply: / G A fc\ Distance to property from nearest water main: Proposed well location & sources of contamination t A ��or separate sheet/plan. 3' Date: �' (° Zi Applicant Signat fe�\ Gam`, PERMIT TO CONSTRUACT- A 'ATER 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: 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 Commissioner of Health. Any revision or alter Pon of the approv d plan requires a new permit. Well to be constructed by a water well driller certified by Putnam CO n y. `J� 6. Date of Issue l Permit Iss ng Offici I: Date of Expiration Title: Permit is Non -Trans era le White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owt11 Orange copy - Well driller Form WP -97 Rev. 3/06 INSTALLATM NOTES 1. EXCAVATE A 4 R" TREWN ALQM. Tiff LAMER PEIAtM OF THE SITE. 2 UNROLL A SECTION AT A TOE AND POSRON DIE POSTS AGADW TW BACK (DOME' M M) WALL OF TTff TROCH (NET SDTE AWAY FRW DNEC M OF RLMJ I OWVE TIM POST KID DE GMW UN11L Tiff NETIWG IS API'MMLATELY 2 DIQIES FROM TI@ 7112" BOTTOM. 4. LAY THE TOE-01 FLAP OF FABRIC ONTO THE UNDISUMM BOTTOM OF THE TRENCH. i BAO%U THE TRENCH AND TAMP THE SOD- SLEiYFR SLOPES RWAtE AN 447MCEPT TFOM ® 5. JON SECTIONS AS SNOMN ABOVE. SILT FENCE DETAIL NTS 5. CONSTRUCTION OF SSTS TO BE IN ACCORDANCE MAIN INt= ru-;' N AND THE RULES AND REGULATIONS OF THE PERMIT ISSUING GOVERNMENTAL AGENCY. 6. THE WELL IS TO BE A DRILLED WELL, CONSTRUCTED IN ACCORDANCE WITH NEW YORK HEALTH DEPARTMENT BULLETIN, ENTITLED 'RURAL WATER APPLY', PUMP TESTED FOI MINIMUM OF 6 HOURS AND HAVE A MINIMUM SAFE YIELD OF 5 GPM. YIELDS LESS TH WILL BE IMMEDIATELY REPORTED TO THE PUTNAM COUNTY DEPARTMENT OF HEALTH. 7. THE SSTS DESIGN SHOWN HEREON DOES NOT PROVIDE FOR INSTALLATION OF A GARE GRINDER. SUCH INSTALLATION REQUIRES ADDITIONAL DESIGN AND THE APPROVAL OF PUTNAM COUNTY DEPARTMENT OF HEALTH. B. PUTNAM COUNTY HEALTH DEPARTMENT APPROVAL IS BASED ON THE LOCATION OF T WELL BUILDING, SETBACKS, AND DRIVEWAYS AS MOWN ON THE APPROVED DRAWING MOOMCATIONS ARE TO HAVE PRIOR PUTNAM COUNTY HEALTH DEPARTMENT APPROVE UNAUTHORIZED MODInCATIONS MADE TO THIS DRAWING AFTER THE DATE OF PUTNAY HEALTH DEPARTMENT APPROVAL VOIDS SAID APPROVAL.. --S —s — ^ —s / — PROVIDE GRAVEL. PAD AT SWALE END 14-00D5 �— — — — — — / SURFACE, swALE �T =� — — — se / ' REFER' T DETAIL — —' '— — — _ — — — — PT-5'$' ' Ex TRAIL TO BE REMOVED AND RESTORED TO LAW -- - - -- -- DT -5 / ® c O ® / /i TYP. / R — ---- - - - - -\ �__� / / /� / 1 10'x: �-- - -- -480 -- � / � ^/ � ENTF • / / / RESERRVE AREA 'A' S6`E PRO A - — � \ \ \\ / / ,�/ I /�/ I OVE )T -4 /PT / \s DRAIN TO W A' ARD 3'Wx6'Lxt 1500 GALI/CONC4PT1C TANK �- / REFER /TOT DETAP- SDR -3 PIPE Q1;9 MIN /PITT' ( ®/ // sS —try s�ll i 1 \ I / �\ 40 \ / 11/ / I 4 °0 PVC St /i / / / �'i \ 1 F9o� 1 / / / I MIN. PITCH (TYP) DETit / / / S i TO BE�EMOVED �. PORED CSO Sug argea r1rC7 500 $ ONO NITARY 'DtWOSAL FIELDS 100 FT DOMMLL OF WELL / i r• ✓f 1/\ // % i PROPOSED WELL LINE 4 1/2' COVER (MIN.) 1 ' PROPOSED WELL REFER TO DETAIL C� 1 / \ EX TRAIL AND REST / 1 ARF4 = 16.596 ACRE5 / 1 PR L1EQX ate; P _• I I / , PR 4 0W�LC1AFG } f h tic r• ✓f 1/\ // % i PROPOSED WELL LINE 4 1/2' COVER (MIN.) 1 ' PROPOSED WELL REFER TO DETAIL C� 1 / \ EX TRAIL AND REST / 1 ARF4 = 16.596 ACRE5 / 1 r' NVC Environmental Protection Carter H. Strickland, Jr. Commissioner Paul V. Rush, P.E. Deputy Commissioner Bureau of Water Supply prush @dep.nyc.gov 465 Columbus Avenue Valhalla, New York 10595 T: (845) 340 -7800 F: (845)334 -7175 July 31, 2012 Michael Budzinski, P.E. Putnam County Department of Health 1 Geneva Road Brewster, New York 10509 Re: Castellano Residence Lot # 2 — SSTS 740 Route 311, (T) Patterson TM # 13 -2 -19 East Branch Reservoir Drainage Basin DEP Log # 2012 -EB- 0363 -DJS.1 Dear Mr. Budzinski: New York City Environmental Protection (DEP) has determined that the above - referenced application, received by the DEP on July 26, 2012, is complete. The DEP has no objection to the approval of the above - referenced regulated activity. This determination is based on the review of submitted documents including the plan titled "Subsurface Sewage Treatment Plan, Castellano Residence, 740 Route 311, (T) Patterson, Putnam County, New York ", prepared by D.C. Engineering, dated January 5, 2012, last revised July 18, 2012. If you have any questions regarding this matter, please contact the undersigned at (914) 742 -2055. c: Pamela Young, NYSDOH Sincerely, Danny Shedlo, P.E. Civil Engineer III Wastewater Design Review OC ENGINEERING, RC July 18, 2012 1�._ . Mr. Michael Budzinski, P.E. Putnam County Department of Health 4 Geneva Road Brewster, N.Y. 10509 Re: Castellano Residence SSTS 740 Rte 311 (T) Patterson TM# 13 -2 -19 Dear Mike: I have reviewed your comment letter dated July 2, 2012 and the NYCDEP letter dated June 29, 2012 regarding the above referenced project. As requested, I have modified and/ or provided additional information on the attached plans and in this letter. To facilitate your review, I have keyed the following responses to your original comments and the comments of the NYCDEP: PCHD Responses The stream that was depicted on FM #1828 was not a stream but an overflow from the manmade pond that is shown on the plans. Since FM #1828 was filed, the previous owner installed an overflow structure that exists the east side of the pond and discharges to the east over the hill and away from the septic area. It has been located on the plan.. 2. Doug Gaugler from the NYSDEC visited the site on July 17, 2012 and delineated the boundary of DP -22 adjacent to the project. The surveyor was onsite with Doug and located the flags. The wetland information has been placed on the plan along with the wetland buffer. The NYSDEC Validation block has been added to the plan and is endorsed by both Doug and the surveyor. There is over 100' of separation distance in between the septic and wetland. 3. Details have been added for the grass swale and leader/ foundation drain discharges. 4. Comment acknowledged. NYCDEP Responses 1. Refer to PCHD response #2 above. The driveway is existing and it is the intention of DESIGN CONCEPTS ENGINEERING, PC 3 MEMORIAL AVE. SUITE 10 1, PAWLING, NY 12564 PH: 845-e55 -23000 • FX: E34-1-655-2605 E: JKAUN @VERIZON.NET E OC ENGINEERING, PC the Owner to leave it as gravel. The Owner has been advised by this office, NYSDEC and the Town of Patterson that should he decide to pave or otherwise improve the initial portion of his driveway, he will be required to obtain permitting from all involved agencies, NYCDEP included. 2. Refer to PCHD response #2. 3. A high water alarm has been added to the dosing chamber as requested. If you have any questions regarding the submission, please feel free to call me at your convenience. I can be reached at (845) 855 -2000. C ly, Kalin, P.E. cc: David Alderisio, "NYCDEP File DESIGN CONCEPTS ENGINEERING, PC 3 MEMORIAL AVE. SUITE 101, PAWLING, NY 12564 PH: B45- 855 -2000 • FX: 84555 -2605 E: JKAUN@VERIZON.NEr ALLEN BEALS, M.D., J.D. Commissioner of-Health ROBERT MORRIS, P.E. Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 1MIARYELLEN ODELL County Executive TO: NYCDEP DEPARTMENT OF ENGINEERING AND DESIGN REVIEW nrrrr: t7- P�rs/ c7 FROM: PROJECT: LOCATION: DELEGATION STATUS FOR SUBSURFACE SEWAGE TREATMENT SYSTEM PROGRAM REVISION - JOINT REVIEW TOWN: Pf vAoEolvl DATE: '07 -23 / Z, REVISION JOINT REVIEW TM 0,- ,,'a ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E. Director ofEmironmentalHealth- DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 July 2, 2002 Fax # (845) 278 -7921 John Kalin, P.E. DC Engineering 3 Memorial Avenue Pawling, NY 12563 Re: Proposed SSTS for Castellano @ 740 Route 311 ' (T) Patterson, TM 13 -2 -19 Dear Mr. Kalin: MARYELLEN ODELL County Fxecutive This Department, in conjunction with the NYCDEP, has received and reviewed the submitted application and plans for the above referenced project and the following comments are offered for your consideration. 1. The submitted site plan does not show or locate the stream traversing the property as r depicted on FM #1828. d 2. The NYSDEC environmental resource mapper indicates a portion of the lot is within a wetland check zone. The NYSDEC is to be contacted to determine if any NYS freshwater wetlands are present on the site. 3. Details of the velocity dissipation structures for the footing/leader drain and, grass swale discharges are to be provided on the plan. 4. Please refer to the June 29, 2012 letter from the NYCDEP for additional comments. Upon completion of the above, this Department will continue its review. Kindly advise us if there are any questions. Respectfully, Michael J. Budzin' ki, PE Director of Engiv6erino, MJB:cw cc: D. Alderisio, DEP NYC Environmental protection June 29, 2012 Michael Budzinski, P.E. Putnam County Department of Health 1 Geneva Road Brewster, New York 10509 740 Route 311, (T) Patterson TM # 13 -2 -19 Carter H. Strickland, Jr. East Branch Reservoir Drainage Basin Commissioner DEP Log # 2012 -EB- 0363 -DJS.1 Paul V. Rush, P.E. Deputy Commissioner prush @dep.nyc.gov 485 Columbus Avenue Valhalla, New York 10595 Tel. (845) 340 -7800 Fax (845) 334 -7175 Dear Mr. Budzinski: New York City Environmental Protection (DEP) has determined that the above - referenced application received by the DEP on June 18, 2012, is incomplete. The following information is required before the DEP may commence its review: • A watercourse and NYSDEC Wetlands DP -22 are located at the entrance for this project and must be shown on the site plan. More specifically the distance from the wetlands /watercourse to the proposed driveway must be noted on the site plan. J • Please provide a completed NYSDEC Wetlands stamp on the site plan. J • Provide an alarm for the dosing chamber. If you have any questions regarding this matter, please contact the undersigned at (914) 742 -2010. c: Pamela Young, NYSDOH Sincerely, David Alderisio Associate Project Manager Wastewater Design Review i Nvai E vi mnsental Protection Carter H. Strickland, Jr. Commissioner Paul V. Rush, P.E. Deputy Commissioner prush @dep.nyc.gov 465 Columbus Avenue Valhalla, New York 10585 Tel. (845) 340 -7800 Fax (845) 334 -7175 June 29, 2012 Michael Budzinski, P.E. Putnam County Department of Health 1 Geneva Road Brewster, New York 10509 I 740 Route 311, (T) Patterson TM # 13 -2 -19 East Branch Reservoir Drainage Basin DEP Log # 2012 -EB- 0363 -DJS.1 Dear Mr. Budzinski: New York City Environmental Protection (DEP) has determined that the above - referenced application received by the DEP on June 18, 2012, is incomplete. The following information is required before the DEP may commence its review: • A watercourse and NYSDEC Wetlands DP -22 are located at the entrance for this project and must be shown on the site plan. More specifically the distance from the wetlands /watercourse to the proposed driveway must be noted on the site plan. • Please provide a completed NYSDEC Wetlands stamp on the site plan. • Provide an alarm for the dosing chamber. If you have any questions regarding this matter, please contact the undersigned at (914) 742 -2010. . c: Pamela Young, NYSDOH Sincerely, ra-� David Alderisio Associate Project Manager Wastewater Design Review t_ PUTNA,M COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIC'r�i DATA SHEET.- SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: GASTIELt --AN O Located at (street): I` 2 71- Ci S I ( Municipality: 'rATrtEP 00 Address: 111 TUt-1? F9 I Myr>T�E-,'`'� TM * Section: L Block 2 Lot Watershed: t QX_T URtJ FS SOIL PERCOLATION TEST DATA Witnessed by: GFls bEU_q -fNeg Date of Pre - soaking: 12 ' l °� Date of Percolation Test: 1-7, • ZO. 1( Hole No. Run No. Time Start - Stop Elapse Time (mint) Depth to water from ground surface (inches) Start -Stop Water level drop in inches Percolation Rate min /inch o:oH " 2 oat - 10'.-it 3 10 u- I('. os� 13 -. T8 t" c', { 4 5 I 9:'56- to, 06 '30 1, 7, - 23 %s. 28" 2 tot o -10: 14 'z" 3 t' /7- 4 5 10'.07 so 2t(- l5" I N I 3b" 2 to co- (11*12 `' 4 -[. j � 10:11 't a 2 � �' � � I � /0 l� 1h0° 2 3 I 4 5 I I f Notes: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hale: (i.e., < I 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. TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE #_Qa HOLE # y j• v HOLE # bT.9 G.L. 0.5- . 0 -(Zu l-ogM 4- us t tom_ u d `=ti` sAN�� 1.0' snN � w co � ►�M 1.5' w U Zi- CoA SE (ZOOMS 2.0' 'G-ANd "A, -1 M� 2.5' LOAM 3.0' ?,3�� 96 "SIt•�T`� 3.5' e-LAT 4.0' c -A j SAM 4,5' t6W wAAA 5.0' 5.5' 6.0' 6.5' 7.0' (-DAM {a' . 7.5' Mols1 P i�Ym 8.5` 9.0' 9.5' 10.0' HOLE #n� HOLE # l - (t7 "5AWtY WAM I QTY �M T � r► Indicate level at which groundwater is encountered Indicate level at which mottling is observed N CrV n &SC4A69-jc=� Indicate level to which water level rises after being encountered T)T• q— 5 —60 Deep hole observations made byA , "t -I'); �fS1e -tAV- pA Date Design Professional Name: �J oti (LAS ►J , }�E Address: 3 M�MvP�tA�,a P.�w LIN�n, N ( -t.,s6 � Signature: Design Professional = Seal PUTNAYI COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: GAs'j'�Wi�NQ Located at (street): '7 fO 1%Tr, 3 l I Municipality: �AT'�E�jSo► -� Address: ll-T T VHf'F-a FTdA TE "y 'I"iM # Section: (3 Block Z Lot Watershed:�dS`f _$(ZtN CA KZG, SOIL PERCOLAtTION TEST DATA / Witnessed by: C-PS 'IbEU- -AEI PA Date of Pre - soaking: 0 r z- Date of Percotation Test: V( 0 117,- Hole No. Run No. Time Start — Stop Elapse Time (min.) Depth to water from ground surface (inches) Start - Stop Water level drop in inches Percolation Rate min /inch pT S 1 'L:ll"Z:`{I 'tio s/ q 2 Zo X4 S 8 Zo 14 4 5 V 3 Q zl - 7, 7, l -so �LiJ • Z ZZ 1 3o 3 4' 5. _- 3 7 N; 4 AMN 5. � � n, '" z 3 4 5 f Notes: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e., < l min for 1 -30 min/inch, < 2 min for 31-60 miniinch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. TEST PIT DATA , DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE #'PT"S HOLE # DI-1 HOLE # HOLE # HOLE # G. L. 0.5, 0-6u -t- soft, 0- it Soil 1.0' 2.0' WAM 3.0' fM 3.5' 4.0' n1.7. mw 4.5' St�i`� LiAN� 5.5,* �'• u 6.0' 7.0' 61AA 7.5' 8.0' 8.5' 9.0' 9.5' 10.0' Indicate level.at which groundwater is encountered Indicate level at which mottling is observed Not 0 &<W—P? Indicate level to which water level rises after being encountered Deep hole observations made by: .1 luat,tru, (,Pc, vEL-k-A0-A0 Date Design Professional Name: 04 LII -- Address: 'S Mlr *orz �g k, qvE PAWL-"'JA Ny (115-61 Sianature: Design Professional = Seal o� ENGINEERING REPORT PROPOSED SEWAGE TREATMENT SYSTEM CASTELLANO RESIDENCE 740 ROUTE 311 TOWN OF PATTERSON, PUTNAM COUNTY, NEW YORK APRIL 2012 WARNING: IT IS A VIOLATION OF SECTION 7209, SUBDIVISION 2, OF THE NEW YORK STATE EDUCATION LAW FOR ANY PERSON, UNLESS ACTING UNDER THE DIRECTION OF A LICENSED PROFESSIONAL ENGINEER OR LAND SURVEYOR TO ALTER IN ANY WAY, ANY PLANS, SPECIFICATIONS, PLATS OR REPORTS TO WHICH THE SEAL OF A PROFESSIONAL ENGINEER OR LAND SURVEYOR HAS BEEN APPLIED. COPYRIGHT 2012 JOHN A. KALIN, P.E. Prepared by: Design Concepts Engineering, P. °' y John A. Kalin, P.E. 9 3 Memorial Avenue Pawling, NY 12564 `` N Submitted herewith is a report containing the engineering design data relative to the proposed Sewage Disposal System (SDS) to serve a private residence within the Town of Patterson, Putnam County, New York. PROJECT DESCRIPTION: The parcel to be serviced by the proposed SSTS is located at 740 Route 311 in the Town of Patterson. The parcel is identified on the Town Tax Maps as Grid # 11-2 -19. The project parcel is currently vacant with an existing driveway that terminates in the general location of the proposed residence. The residence will consist of a four (4) bedroom, single - family dwelling. The dwelling will be two stories high including the basement. The house will be supplied with water from a proposed well that will be constructed on site. The property slopes up from the existing driveway at Route 311 to the rear of the lot. The parcel is a combination of meadow and woods. There is a pond in the southeast portion of the property. There are no proposed disturbances within 100 ft of the pond. GENERAL DESCRIPTION OF SSTS: Attached please find the proposed plans for the layout of the sewage disposal system. The disposal system is proposed to consist of the following components: • 1,500 Gallon Precast Concrete Septic Tank (upsized per Owner request) • Precast Concrete Dose Tank • Precast Concrete Distribution Box • 672 L.F. of Absorption Trenches for Primary SSTS • 100% SSTS Reserve Area (672 LF) Test holes were excavated and witnessed by representatives of the Putnam County Health Department (refer to location on plan). During our soils investigation, the SSTS area was found to be composed of silts and loam. Rock and water was noticed in the bottom of some of the holes. Mottling was not noticed in any of the test pits. Refer to the attached SSTS design calculations for additional information. WATER SUPPLY: Water will be provided through anew well and submersible pump. Refer to the plan for its' location and associated details. It has been located with the appropriate separation distances to the property lines, existing adjacent and proposed septics. Prior to use, the well shall be disinfected and tested in accordance with Health Department Standards. r� SSTS Design Calculations Project: Castellano Residence Location:. Route 311 Patterson, New York 1. DESIGN CONSIDERATIONS 4 Bedroom Single Family Dwelling Design of a new septic system to accommodate 4 bedrooms. F = F ^!- � Note: Garbage Grinders Shall Not Be Used z 2. DESIGN FLOW (Per PCHD Design Standards) 4 bedrooms x 200GPD / bed = 800 GPD ✓ \� �; 0� �� Use: 800 GPD 3. SEPTIC TANK SIZE As per Owner Request, the septic tank shall be a 1,500 gallon concrete tank. Provide new watertight riser with lockable lid and Zabel A -300 effluent filter. 4. DOSE TANK As per PCHD Appendix H, the percolation rate and the number of bedrooms dictates that the septic shall be dosed. Laterals: 672 LF Dose Volume: 672 LF X .75 x .65 gal /ft = 328 gal dose Dose Tank: 24.69 gal /in Dose Draw: 328 gal / 24.69 = 13.28" — 13 1/4" Utilize dose tank as manufactured by Goldens Bridge Unit Step Co upfit with a Flout dosing mechanism. 5. CONVEYANCE AND DISTRIBUTION • 4" PVC SDR -35 effluent pipe from dose tank to concrete distribution box. • Cleanout assemblies at bends in line. D E S I G N C O N C E P T S E N G I N E E R I N G P C 3 MEMORIAL AVE. SUITE 1 01 , PAWLING, NY 12E564 PH: 645 -B55 -2000 • FX: 045 -B55 -2605 E: JKALIN(PVERIZON.NET r Castellano SSTS Calculations Page 2 April 10, 2012 • Provide 12 outlet concrete distribution box to evenly distribute effluent to fields. 5. TREATMENT FIELDS Perc Rate: 30 min /inch Design Flow: 800 GPD (4 bedroom) Method of Treatment: Standard Trenches Fields Req'd: As per PCHD Appendix H, provide 667 LF of fields 667 LF / 12 rows = 55.5 LF /row Use: 12 rows of 56 LF standard absorption trenches 6. EXPANSION DESIGN A 100% SSTS expansion area has been created adjacent to the primary SSTS. The perc rate in that area was 30 min /in. The resulting trench length per Appendix H is 667 LF. It shall be arranged in two areas: 4 rows at 56 L.F. and 8 rows at 56 L. F. for a total of 672 L. F.. D E S I G N C O N C E P T S E N G I N E E R I N G P C 3 MEMORIAL AVE. SUITE 1 01, PAWLING, NY 12564 PH: 845 - 855 -2000 • FX: 045- 855 -2605 E: JKALINOVERIZON.NET ALLEN BEALS, M.D., J.D. Commissioner of Health . ROBERT MORRIS, P.E. Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 MARYELLEN ODELL County Executive TO: NYCDEP DEPARTMENT OF ENGINEERING AND DESIGN REVIEW Ate: FROM: M I P— Z I � �` DELEGATION STATUS FOR SUBSURFACE SEWAGE TREATMENT SYSTEM PROGRAM JOINT REVIEW New Application X Renewal. r-1 PROJECT. 1 S "ZC-Z& Q 17'1' LOCATION: 1¢Q F--r 311 TOWN: G SoAJ SUB'D APP DATE L NOTICE OF COMPLETE APPLICATION: DATE: ❑ Within the drainage basins of West Branch, Boyds Corner or Croton Falls Reservoirs. ❑ Within 500 feet of a reservoir, reservoir stem or control lake. Within 200 feet of a watercourse or a DEC wetland and appearing on a subdivision map approved after December 31, 1992 ❑ Design flow greater than 1,000 gallons /day. ❑ Commercial SSTS. JOINT REVIEW Map Output [print page] [close wNdowl Please set your printer orientation to "Landscape ". Page 1 of 1 Castellano, (T) Patterson Visible Layers Classified Ponds Freshwater ztlands . p., .��,: fr •:• •'.000 �•�• 0: •� Rare Plaftils; and Ram gg Interstate Nghways •�•� M. 0 Adirondack Park ri��,, ♦♦ * ♦ ♦♦ +•O 003 �q �i♦ ►� �ME W-4 'i+i.�-�'♦�i00't'i+`•3J'�i�i�t; �D�� Counties • t��DO� �i� ' + �O.° ��,..: r.a ,.till ::� tA.�•� �V � � ��.. �� +�.• `•••'/ �•,♦ �•♦•� = �Iy�D Yi • ♦ ♦ Zg � i t. o o •� ♦ • Old ii- ZONCK MOW ``�i"�i�. iii ���.'•i� '�� %•w� �. O �'+ Disclaimer:This map was prepared by the New York State Department of Environmental Conservation using the most current data available. It is deemed accurate but is not guaranteed. NYS DEC is not responsible for any inaccuracies in the data and does not necessarily endorse any interpretations or products derived from the data. REBECCA Wnl WBERG, RN, BSN Public Health Director ROBERT MORRL% PE Director ofEmironmentol Health April 23, 2012 DEPARTMENT. OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 John Kalin PE DC Engineering 3 Memorial Avenue Pawling; NY 12564 Dear Mr. Kalin: MARYELLEN ODELL County Ezecudve Re: Incomplete SSTS Application Determination for Castellano @ 740 Route 311 (T) Patterson, TM, 13 -2 -19 The Putnam County Department of Health (Department) has determined that the above referenced project, which was received by the Department on April 18, 2012 is incomplete. Please be advised that the following information is required to be submitted before the Department can determine the application complete and commence its. review: t X. The submitted SSTS design does not provide a minimum of two (2) deep test holes and two (2) percolation holes in the .primary SSTS area. 1//2. The entire parcel boundaries are to be shown with metes and bounds descriptions. In addition, the location of the proposed house, well and SSTS are to be shown on the entire parcel plan. Review of your application will commence once the Department receives the requested information and determines that the application is complete.. The Department will notify you within 10 days of its receipt of the requested information as to the completeness of your application. Please be advised that failure to submit information to the Department or to follow procedures is sufficient grounds to deny approval, pursuant to the New York City Department of Environmental Protection Watershed regulations and Putnam County Department of Health Regulations. Should you have any questions or care to discuss this matter further, please contact me at (845) 808 -1390, ext. 43148. . MJB:cw PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of M�1T�IN Cwly D Located at -I 4t7 V-j:r__3 I I O'V Tax Map # l2 • Block Lot Subdivision of 0 Subdivision Lot # Filed Map # Z Date Filed �3 Gentlemen: This letter is to authorize JOHN A KALIN PE A duly licensed Professional Engineer X or 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 Commissioner of Health 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 Putnam County Sanitary Code. P.E., R.. Mailing 3 MEMORIAL 07aa �_ A , AWLING State: NEW YORK Zip: 12564 Telephone: (845) 855 -2000 Signed: (Owner of Propel (y) Mailing Address: I I] J-Vt-1 F' State: N Zip: ( D� Telephone: g�s• 'li�i� ' 6 Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: to nT T41M CAST(--,u.A N 0 l l 7 *V t—( P P-oAr_> �Nl �Z� ►� Y lase q 2. Name of Project: CA;STE(' + 4 ( 3. Location:(DV: 4. Design Professional:. J a+�N A VA t-1 N $ % 5. Address: 7+0 F—Tr, 3 6. Drainage Basin: ag`( ieyfL-,wGA , 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) ?............... Yes v YP ( ) ................ � Type Status check one .................. .........:. ...................... .. Type I Exempt � Type II Unlisted 9. Is a Draft Environmental Impact Statement (DEIS) required ? .............. ....... Yes 10. Has DEIS been completed and found acceptable by Lead Agency ? ............. Yes/No "' A, 11. Name of Lead.Agency 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ..,:.. . .. o : 13. If so, have plans been submitted to such authorities? .......... ......... .............. Ye� 14. Has preliminary approval been granted by such authorities? .N Date:granted:_ 15. Type of sewage. treatment system discharge ........................ surface water. -groundwater 16. If surface water discharge, what is the stream class designation? .......................... 17. Waters index number - (surface) ................. 1A N 18. Is project located near a public water supply system? . ............................... Ye09 - 19. If yes, name of water supply Distance to water supply 20. Is, project site near a public sewage collection or treatment system? .:........ Ye 21. Name of sewage system Distance to sewage system 22. Date test holes observed 1 23. Name of Health Inspeclor L• 'bC-L VAAR -(PA 24. Project design flow (gallons per day) .................................. :..:..:............................ DD G P!,-. 25. Is State Pollutant Discharge Elimination system ( SPDES) Permit required? ... Yes® 26. Has SPDES Application been submitted to local DEC office? ............:............ Ye Rev. 11/02 Form PC -97 Pg. 1 of 2 27. Is any portion of this project located within a designated Town or State wetland ?:.. Ye-0- 28. Wetlands ID number ........... :.. ........ 29. Is Wetlands Permit required? ...... Ye o Has application been made.to Town or Local DEC .............................. Ye /N 30.. Does project require a DEC Stream Disturbance Permit? ... ..........................Yes& 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? ................... ...... ............................................ YeslP 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? ................................... ............................... Ye� DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ......................... . e o 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ............ .............Yes IN 35. Are any sewage treatment areas in excess of 150/6 slope? ............................... Ye J 36. Tax Map ID Number .............. ............................... Map �_ Block Lot 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 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. I hereby affirm, under penalty of perjury, that infor '" r my knowledge and belief. False statements made ��� pursuant to Section 21.0.45 of the Penal Law. 0 � .. SIGNATURES & OFFICLIL TITLES: .1ot� P` Mailing Address:.... 'PAW L-ou C., N. ?lGe�y on this form is true to the best of Ole as a Class A misdemeanor 0 Form PC -97 PROJECT I.D. NUMBER 14.16. 4(9/95) -Text 12 617.20 Appendix CSEQR State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1 - PROJECT INFORMATION To be completed by licant or Project Sponsor) 1. *PPbfe*NT/SPONSOR DC ENGINEERING, PC 2. PROJECT NAME Castellano Residence 3. PROJECT LOCATION: Municipality Town of Patterson County Putnam 4. PRECISE LOCATION (Street address and road intersection, prominent landmarks, etc., or provide map) 740 Route 311 5. IS PROPOSED ACTION: R New ❑ Expansion ❑ Modification/Alteration 6. DESCRIBE PROJECT BRIEFLY: New single family residence. 7. AMOUNT OF LAND AFFECTED: Initially 0.5 acres Ultimately 0.5 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? ® Yes ❑ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ® Residential ❑ Industrial ❑ Commercial ® Agriculture ® Park/Forest/Open Space ❑ Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ® Yes ❑ No If yes, list agency(s) and permit/approvals Town of Patterson - building permit, Putnam County Health Department - SSTS and Well . 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes ® No If yes, list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? ❑ Yes ® No CERTIFY THAT THE INFORMATION PROVIDED AB iS i0 x(413 OF MY KNOWLEDGE Applicaut /Sponsor Name: John A. Kalln P.E. Date: Signature: F(o� ` 1 -e�-Z w r" If the action is in the© Area, and you are a state agency, complete the Costal Assessment form before proceeding with this assessment PART II - ENVIRONMENTAL ASSESSMENT (To he comnleted by Anenrv) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.47 If yes, coordinate the review process and use the FULL EAF. ❑ Yes ® No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTION IN 6 NYCR, PART 617.6? If No, a negative declaration maybe superseded by another involved agency. ❑ Yes ® No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers maybe handwritten, if legible) C 1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waster production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: No C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: No C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: No 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: No C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: No C6. Long term, short term, cumulative, or other effects not identified in C1 -05? Explain briefly: None C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: None D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? ❑ Yes ® No E. 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 or occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. ffnecessary, 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. If question D of Part II was checked yes, the determination and significance must evaluate the potential impact. ❑ 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: Name of Lead Agency Print or Type Name of Responsible Office in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from responsible officer) OC ENG[NEERING, RC LETTER OF TRANSMITTAL To: Putnam County Health Department 4 Geneva Road Brewster, NY 10509 Date: April 12, 2012 Job No: 121211 Attention: Mike Budzinski, PE RE: Castellano SSTS Submission We are sending you: ✓ Attached ❑ Under separate cover via _ • Shop Drawings ❑ Prints ✓ Plans o Samples • Copy of Letter ❑ Change Order ❑ The following items: ❑ Specifications Copies Date No. Description 4 4/12 Castellano Residence SSTS Plans 2 4/12 Application Forms 2 4/12 Engineering Data and Reports Filing Fee (certified check) - Submitted directly by Owner 1 4/12 Letter of Authorization These are transmitted as checked below: • For approval • For your use Remarks: Signed: cc: File ❑ As requested ❑ For review and comment D E S I G N C O N C E P T S E N G I N E E R I N G P C 3 MEMORIAL AVE. SUITE 1 01 , PAWLING, NY 12564 PH: B45- 855 -2000 • FX: 645 -BSS -2605 E: JKALIN @VERIZON.NET JAN -21 -2004 08:11A FROM:OUTDOOR CONCEPTS INC 845 - 724 -4459 TO:27e6026 P.1/2 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES REQUEST FOR FIELD TESTING All information must be Lully completed prior to any scheduling. Date: Engineer or Firm: Phone* F55' WOO Person to Contact: k " 114 KgZ-197y I 2'�ew Construction VPercs ❑ Pum epair Program ❑ Addition Program Reason: [9 Deep s Test Pump Road /Street: Town: -C io>IJ Tax Map #• Subdivision: Owner: i"t/� ?T G+1s7�t�Vrt�+i ❑ Project not within NYC Watershed Lot #: NYCDEP CRITERIA FOR JOINT REVIEW AND WITNESSING OF SOIL TESTING YES NO ❑ Proposed SSTS within the drainage basin of West Branch, Croton Falls, or Boyds Corner / reservoirs. ❑ Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. Ql i'r Proposed SSTS within 200 feet of a watercourse or a DEC wetland. [� Proposed SSTS design flow greater than 1000 gallons /day or SPDES Permit required. ❑ Proposed SSTS for a Commercial Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If you answered Les to any of the questions, NYCDEP must witness the soil tests. This Department will coordinate a mutually suitable time for field testing with the Design Professions and NYCDEP. If a project has been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is required to witness the soil tests, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYCDEP. FOR COUNTY USE ONLY DATE: TIME: COMMENTS: Req.for field test:kly 4/16/2009 y . -iT J a PUTNANI COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TR:EAT1/IENT SYSTEM Owner: e. .Et g 1 /jan D Located at (street): i f 3 it Municipatity: Fe- lya'ron Address: TL M# Section: l 3 B` ' 2r Lot ^/! Watershed: SOIL PERCOLATION TEST DATA Date of Pre - soaking: //-S// 2- Witnessed by: �� S I Date of Percolation Test: Hole No. Run No. Time Start — Stop Elapse Time (min,) Depth to water from Found surface (inches) Start - Stop Water level drop in inches Percolation Rate minlinch I 2 I 3 I 4 I 5 I 2 3 4 5. I I I I 2 3 I 4. � I I 2 3 4 5 I I f Notes: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e., < t min for 1-36 min/inch, < 2 rain 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, pgy I of'- v !A �� ! P UTNANI COUNTY DEPARTNIENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TR-EATIMENT SYSTEM Owner: a 0. s Te t6^(A Address; Located at (street): �j �/ TM :* Section: 13 -.Blocf(Z Lot /g Municipality: I 41 e"—so„ Watershed: SOIL PERCOLATION TEST DAT:� Witnessed by: �t 1 `v C— 4 Date of Pre- soat:ing: / /Z— late of Percolation Test: Dole No. Run No. Time Start — Stop Elapse Time (min.) Depth to water from ground surface (inches) Start -Stop Water level drop in inches Percolation Rate min /inch ab' 1 i -a // 36) o - 0.4 3 Z 0 2 t) — 02 all E 4 } s ' 1 i -a V3 30 a- Aa, 1 .30 { 2 .2 �— 3 3 3v _ -30 3 13 - 3 V.3 -3o al . - zi I I 30 . } 4 1 { 2 3 } 4 { 3 { 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., < l min for I -36 min/inch, < 2 min for 31 -60 miniinch). ,ill data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97, ps I ot''- -0, 6 s L/Y _ b i/ 7 S6 i t 7� IZ1ih /r/ DEPTH G. L. 0.5' 2.0' 2.5' 3.0' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0'. 8 9.0' 9.5' 10.0'' TEST PIT DATA , DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE #� _ �n e- A- A �0v�1 L HOLE #9Z HOLE # .9— 6r Co /Lc1 d Gn /� Y S 14 Sa /0r,/ -i /0 a, M A LN Si l�v. - -z rim S� V Indicate level .at which groundwater is encountered Indicate level at which mottling is observed HOLE # 24 Indicate level to which water level rises after being encountered Deep hole observations made by: Design Professional Name: Address: Signature: Design Professional = Seal HOLE # Date /2 / /// TEST PIT DATA , DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE # HOLE # HOLE # HOLE # HOLE #_ G. L. 0.5' 10 � 2.0' /o c.. M /l 3.0' K 3.5' lor"a 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' Indicate level .at which groundwater is encountered Indicate level at which mottling is observed Indicate level to which water level rises after being encountered Deep hole observations made by: Date 2 Design Professional Name: Address: Signature: Design Professional = Seal o ari y • 'i irrC .. ;s'd a PUTNANI COUNTY DEPARTIVIENT OF HEALTH DIVISION OF ENVFRONIVIENTAL HEALTH SERVICES DESIGN DATA SHEET — SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: �A� �A�S�t�i/G �� Address: Located at (street): / % �7 3// Tilt;* Section:13 B[octc Z' Lot l / Ntuaicipaiity: 1 4'�' Watershed: SOIL PERCOLATION TEST DATA / Witnessed by: 6, S Date of Pre - soaking: Date of PercoNdGn Test: /2 /j_o Hole No. Run No. Time Start — Stop Elapse Time (min) Depth to water from ground ground surface (inches) Start - Stop eater level drop in inches Percolation Rate min /inch 2 310 - 02 i 4 I 93�- s 36 f 2 la,,4 —14%6 30 ate- 3' 3 o3b — 116 b ' 4 3 0' 1 939 - /ov 3 J �. 2 - 3 a a - 3 ,1'lll) 30 f 4. i 319 I 32 c2y L 3 4 Notes: t. Tests co be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e., < I min for 1-30 min/inch, < 2 min for 31-60 mitvinch). A data to be submitted for review. 3. Depth measurements to be made from top of hote. Form DD -97, pe I of 0 2—.. D -nT c�w-s �O � s / 1 { 6 ri �d�S D -3 0, /U A o -f, /)c C— e = R i / 1 I I \ \ I ) I �d/ i t I / D D O m O N N I gi � Z Z D o m f0 m DDA ., D rrl pi U1 C N O 'O F - � �zi4,o /{/ 0Zw 3 {o y r F DD W Z O z III � � I gi i • � � N Q �y araK ____ - � y o A W OFFICE: 3 MEMORIAL AVE. TITLE: PAI20 564 PHONE: (845) 5) 855- 855 -000 SKETCH PLAN JOHN A. KALIN, PE FAX: (845) 855 -2605 NYSLIG.N00'15004 EMAIL: JKALINeVERIZONNET PROJ: CASTELLANO RESIDENCE NO. I 5Y REVISION I DATE SCALE: 1 11-50' DATE: DEC. 12, 2011 DRN 5Y: JAK APPV'D 5Y: PROJ: 121211 f � PLANNING DEPARTMENT P.O. Box 470' 1142 Route 311 Patterson, NY 12563 Michelle Lailer Sarah Mayes Secretary Richard Williams Town Planner Telephone (845) 878 -6500 FAX (845) 878 -2019 December 16, 2011 Mr. John Kalin DC Engineering, PC 3 Memorial Avenue Pawling, NY 12564 TOWN OF PATTERSON PLANNING & ZONING OFFICE Re: Matthew Castellano Residence 740 Route 311 Tax Map No. 11-2 -19 ZONING BOARD OF APPEALS Lars Olenius, Chairman . Howard Buzzutto, Vice Chairman Marianne Burdick Mary Bodor Gerald Herbst PLANNING BOARD Shawn Rogan, Chairman Charles Cook, Vice Chairman Michael Montesano Thomas E. McNulty Ron Taylor I have reviewed the locations in which soil testing will be taking place, as shown on the Sketch Plan prepared by your office dated December 12, 2011. The areas which will require testing is outside any Town - regulated wetland and buffer, and therefore the Town would have no objection to excavation of soils test pits for the purpose of SSTS evaluation. All soil testing on the site is subject to the following conditions: • All excavated holes will be filled withing 24 hours. . • No other soil disturbing activity is authorized by this letter, and no activity other than the soil test pit and percolation test for the subsurface sewage treatment systems is authorized. • The Planning Department is to be notified 24 hours in advance of the test. Please feel free to contact me if you have any other questions. Sincerely yo Richard Williams TOWN PLANNER JAN -21 -2004 08:12A FROM:OUTDOOR CONCEPTS INC 845- 724 -4459 MapQuest Maps - Driving Directions - Map mapquest lit' ".� This map doesn't contain any items. Notes 70:2786026. P.2/2 GAsiew -t io s sTS oN Page 1 of 1 Craw Rd L. 311 rCtry WA OF, �R Iv�0AY r 12020ft rrt4pquest ®7011 Mo ptluast • POrtIOn>!1Q11 NVTHQ, Interrnejj,7srl 02011 MapQuest, Inc. Use of directions and maps is subject to the MapQuest Terms of Use. We make no guarantee of the accuracy of their content, road condilions or route usability. You assume all risk of use. AevJorme of Use http: / /www. mapquest .com /print ?a= app.core.be8al dc6c33c58f27065cl 2a 11/18/2011 M PUT-NAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATIVi ENT SYSTEM Owner: �G A.— - L G, 5T i O a►ri O . Address: Located at (street): TM # Section: a_ Block d` Lot 1 Municipality: a oi77�- f_On Waterslied: SOIL PERCOLATION TEST DATA Witnessed by: � ` c � Date of Pre-soak ing: �� /Z Date of PercoFation Test: f // /-2-- Hale No. - • Ran No. Time Start - Stop Elapse Time (min) Depth to . water from sound surface (inches) Start -Stop Water level drop in inches Percolation Rate" min/inch O O Z v i 3 4 5 3L) - 3 2 - /l1 0 3 - ' ' /S 3 //3 -a3 S 13 ly / 2- X, S 4 5. 1 2 3 4 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., < I thin for 1 -30 min/inch.. < 2 thin 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. oe I of''_ Ck 1 7� 9 CO2 O Iti TEST PIT DATA � DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE # HOLE # HOLE # HOLE # HOLE # G.L. . 0.5' 1.0' Sf 2.5'. f 3.0' 3.5' 4.0' 4:5' 5.0' X5.5' 6.5' 7. '' �o x"7.5' ' 8.0' 8.5' 9.0' 9.5' 10.0' Indicate level.at which groundwater is encountered .Indicate level at which mottling is observed Indicate level to which water level rises after being encountered Deep hole observations made by: , C .d- J64�q �C �t:� Date j Design Professional Name: Address: Signature: Design Professional = Seal Z. Private SuPPIY to be drilled, by P.H. AFE L- .! Address r'Other Requirements, Al' represent that 1 am wholly and completely, responsible -tor the designand location of ahe proposed systems) 7),, that the separate sewage`. disposal "system ::etiove described will be constructed -as shown on the approved amendment there to and in accordance with the'stariGards, rules an , regu a ons o a u nom' . r ,county Department. of ,Health, and that on completion . thereof a`! Certificate; of Construction Compliance" satisfactory. to the Commissioner of.Healthwill. ' ,be submitted -to the Department, and a _wriften gudrantee :will be. furnished the owner, his successors,,hei►sor assigns by'the builder :,that Paid builder WI_ place in good operating condition, any part of said sewage •disposal, system . during th �Q of two (2) year; Immediately following thedate,of. the isw lance of the approval of the Certificate of Construction Compliance'of theoriginal syIng any repairs thereto 2) that the .drilled well described above; dwill be located as shawWon the approved- plan -and that said.weh will be insta Ilk F M4Qdp'rdj@s�*,111irrLWA0fards,' ruI ie ons of the Putnam- , County y- Department of Health'.. N(�INtERS, Date P E. R.A. Adtlress License No APPROVED FOR CONSTRUCTION: This approval expires one year00m the date.. issued unless construction, of the buiidjng:has been.untlertiken eand is.. revocable for cause .or -may be amended or'modified when con ' ed necessary..by the m stoner of Health,: Any cha a,i)Iteration of `construction` requires a new permit, ADProve to► disposal Of•dorne rani ry'se e; a d /or `rivate ater .. - Detel' — °� ��` BY. Title. Rev. 9-81 • . - ` . PUTNAM COUNTY, DEPARTMENT OF ,HEALTH Permit q �f:j Division of :Environmental rHealth ,Seiwces, Carmel N Y 10512 a w. f T CONSTRUCTIO' N PERMIT FOR SEWAGE DISPOSAL SYSTEM i �) 1 own or, loge ) ,,, Located, at �� Tax Map �G� m tiiocic / / Lot `I" Subd. Lot it Renewal ;e Reviaioii, )( ❑<" TORP J RFy4f`,W 31 i/1A R1W_ U. ownei /AddressS1CYEd, , • Date Of Previous, Approval t�uilding; Type '_ t_et Area„ Fill section only ❑ Number. of Bedrooms 3 Design Flow G /F /D t1�d� P C. Nr D Notification Required 7 P' Separate Sewerage System to consist 'of Gal. Septic Tank' ' and ,'To be ,constructed, by l�L. [ "L f•����5 Address ���% �N• M "Water Supply: Public Supply From Private SuPPIY to be drilled, by P.H. AFE L- .! Address r'Other Requirements, Al' represent that 1 am wholly and completely, responsible -tor the designand location of ahe proposed systems) 7),, that the separate sewage`. disposal "system ::etiove described will be constructed -as shown on the approved amendment there to and in accordance with the'stariGards, rules an , regu a ons o a u nom' . r ,county Department. of ,Health, and that on completion . thereof a`! Certificate; of Construction Compliance" satisfactory. to the Commissioner of.Healthwill. ' ,be submitted -to the Department, and a _wriften gudrantee :will be. furnished the owner, his successors,,hei►sor assigns by'the builder :,that Paid builder WI_ place in good operating condition, any part of said sewage •disposal, system . during th �Q of two (2) year; Immediately following thedate,of. the isw lance of the approval of the Certificate of Construction Compliance'of theoriginal syIng any repairs thereto 2) that the .drilled well described above; dwill be located as shawWon the approved- plan -and that said.weh will be insta Ilk F M4Qdp'rdj@s�*,111irrLWA0fards,' ruI ie ons of the Putnam- , County y- Department of Health'.. N(�INtERS, Date P E. R.A. Adtlress License No APPROVED FOR CONSTRUCTION: This approval expires one year00m the date.. issued unless construction, of the buiidjng:has been.untlertiken eand is.. revocable for cause .or -may be amended or'modified when con ' ed necessary..by the m stoner of Health,: Any cha a,i)Iteration of `construction` requires a new permit, ADProve to► disposal Of•dorne rani ry'se e; a d /or `rivate ater .. - Detel' — °� ��` BY. Title. Rev. 9-81 • . - ` . ® KEANE C®PPELMAN ENGINEERS, P.C. Civil & Environmental Consultants 113 SMITH AVENUE - MOUNT KISCO, NEW YORK 10549 (914) 241 -2235 February 7, 1985 Mr. Robert Tutoni Putnam County Department of Health County Office Building Carmel, N..Y. 10512 Dear Bob: RE: SSDS PERMIT RENEWAL AND REISSUANCE LOT #2 - O'HARA SUBDIVISION PCHD FILE:' P -11 -81 Enclosed.is a.Cons.truction Permit Application and Authorization letter, and four new SSDS Plan and Profile Drawings. You will note that Mr. Steven Torres has purchased Lot #2 in the O'Hara subdivision. As indicated by the Putnam County Health Department file number, an existing Sewage Disposal Permit is in force under the name of O'Hara for this-lot. Mr..Torres desires a construction permit in his name, thus the reason for this letter. we respectfully request the permit be.re- issued in.the name of Steven Torres. If you have any further questions regarding this matter, please do not hesitate to contact me. Very truly yours, Arthur T. Travis Senior Field Engineer ATT:va Enc. A v, 41 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date . lckaeLMJ -4 7 1 264' Re : Property of �T�� J 76 Q-92,CS Located at P dur 31 I D4.TT 6 -4!so'D (� _ Section O Block �,Q Lot L�T a� Gentlemen: fE N G ,4'ZIE,R3 This letter is to authorize T)/aNi�Z � CoiR;dC-'- L/J9d.AJ rl a duly licensed professional engineer X or registered architect (Indicate) to apply for a Construction Permit for a separate sewage system; to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in V W111CL L1V11 wl girl Ulis Ilia c LeV anu to. supex -vise ine construcriun of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. FOR EN, IGIi` 'EEIR , P.C. A PROFESSIONAL. CORPORATION Coun 4 Very truly yours, '+AA\\ Signed Vkl lv � Q�- jZt, ett�t � 3I ,� _ ----- Address P.E., -i A., #� j .Z Address R. ' V-�sco M ,q 914 241 - *2,2,:�> Telephone 91q 6Jk 32- 3 Telephone ����� /Yp- IN t ` PUTNAM COUNTY DEPARTMENT OF HEALTH ENGINEER TO PROVIDE. PERMIT # / ON CERTIFICATE OF COMPLIANCE. Division of Environmental Health Services, Carmel, N. Y. 10512 PERMIT CONSTRU T�PERMIT FOR SEWAGE DISPOSAL SYSTEM .E1J AO Town or Village Located at �0�� �� I Tax Map /O Block Lot Subdivision TP,=-/CK Owner /Address �!� OI' •/A�Z,A .W' Lot `� Renewal Revision _Q_ Date Of Previous Approval V �� 311 P ^XT , I ' fS � �N N' Building Type RaFslr�Frxm Lot Area /b. "l Ae' Fill.Section.Only ❑ Number of Bedrooms Design Plow G /P /D 6040 yPIr-N. P.C. H. D. Notification Required Separate Sewerage System to consist of Gal. Septic Tank and G To be constructed by Y? L %V� Address 1� Water Supply: Other Requirements Public Supply From / y Private Supply to be drilled by Address �fW -ST. r I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regulations o e Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill 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 disposal system during the period of two (2) years immediately following the date of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be installed in accordance with Pbvndsirds, rules and regula sans of the Putnam County Department of Health. ��,�/ ��('� o"s - /t - 87 t�i^�,t�I= C ®4PE�MA1� � y -� Date Signed �{�} {�; q d i i"' i�•�- � -c���— Address No. APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless cons on of the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the Commissio of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestic sanitary sewage, and a water supply only. Date / //�`o %i / ?i By i� Title Rev. 6/85 \1`\� pUnQX C0UM 9WARTW=r of 8ZAl.'Ifl to coddle ltfaa* • DNIti� dNovkummm d ■� s..b... COONC X-T_ 14612 dd Cli j Im or FDYer FDt MWAM DIWOBAL::a:tml[ Route No. 311 swwb� Peter O'Hara ��� 2 hasolt a Patterson 71im Mop 10 Meth 13.1 tom. 13.14 Mr. Steven Torres R�W ° Owar /A�ost 1lefid Dab d hevltar App wdl Route 6N RFD7 Box 31 TWO Mahopac, NY � 05 NeftsAdhess Subdivision Auvroved Fee Enclosed [3 Ammint pate DdMbg Tma Residence la Am 16.6 t Ac. M Sadess owy LJ D"Fa v.t... 1laabrw d Dade [lbw G PD I PC® N- 0eellad b =altted ww. M b amolmbd >laFdetw lawaatt4e �afaw w aa�t d 100 _ " gam 250 L . F ABS. 24" wide V-02 O _ C . ,tilMassinktngiedby Costa & Ferreira New Rochelle, NY waow Frr Adi�r X�� Beale Brewster, NY Oiar ■a�la�ed` 1 rprossoR that 1 am wholly and Completely na @ nslbN for the design and location of the proposed systan(s)s 1) that the fa eta owaN disOoul system above described will be constructed es shown on the approved amendment there to and in accordance with the SUMWIS16 rules a ateo county Dpartm a of espRA, a ul that en eomple- lon,thenof a "certificate of construction compliance" satisfactory to the comma lion it ef Ho lthwill M albmltted to this DaprtmwN. and a wraten dwnntee will be furnished the ewW. his successors. heba er aeslbns by the builder. that said bfA"W will /weer in flood Nratom cemdltlem, env part of said saws" dhposel system during the perled of two (2) yeers Immediately following thegte Of the lash - eaae of the aggav al of this Certificate of construction compliance of the erlomel system or any repairs tha►etel 2) that Hied was dome" limn. wail be soated as shmom M the aaalreaed film and that said wail will be Installed p with the sunder" runts a ns a< the Putnam eewey Dow"Werlt Of HlaeNh. 113 SMIT K§ANE COPPEL A Deer 11-05-90 bIOl7N a A- piterrmalSK04wma A 71111M APPROVED frost cONiTRUCT10NsThN soprmgl im a the data Issued nl�astrlcronstruction of the buimum has begin undertaken and is rusubea of maw m Approved few dints" M win 4101 r1 Al // /M �/] // �/1 only. Any change �er!tk►n of construction Per, J( /'* ® P EANE C®PPELIVIAN ENGINEERS, PmC- Civil � Environmental Consul4ants 113 SMITH AVENUE • MOUNT KISCO, NEW YORK 10549 (914) 241 -2235 November 5, 1990 Mr. Bill Hedges Putnam County Health Department Division of Environmental Services 110 Old Route Six Center Carmel, New York 10512 RE: SSDS Permit Renewal Mr. Steven Torres Route 311 Patterson, NY Dear Bill: Enclosed.are the updated construction.permit applications for Steven Torres in Town of Patterson. There has been no'substantial change made to the lot since the issuance of the original permit. Mr. Torres respectfully requests renewal of the permit for an additional year. If you have any further questions, please do not hesitate to contact us. Very tr ly yours, Peter Lind Design Draftsman Enclosures PUTNAr-1 COUNTY DEPARTMENT. OF HEALTH 4� DIVISION nr r^;'. "y.,,,NMENTAL HEALTH SERVICES 11 -05 -90 Date Re: Pr.operty of Mr. Steven Torres Located at Route No. 311 (T) Patterson Section 10 Block 13.1 Lug 13.14 Subdivision of Peter,O'Hara Subdv. Lot # 2 Filed Map # Date FOR KEANE COPPELMAN ENGINEERS, P.C. Gentlemen: A PROFESSIONAL CJRPORATION This letter is .to authorize Daniel P. Coppelman �16-, a duly licensed professional engineer X or registered architect (Indicate) to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or rPm111 ations as promul. '­1_ by the Comirli ssioner of the Putnam Count, Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to inspect the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. FOR Very trul ours, KEANE COPPELMAN F_NG'N_ERS. P.C. ...r A PROFLSSION:*.'_ ' _ _ Signedy' Countersi -,Owner of Property yak�����3I Address Address Telephone NTVVIN 6rC. Q�- - l ysg . 'gown q i q Pelephone Other Reotilremente 1 represent that I am _wholly and completely responsible for the design an4 location of -the proposed system(s); .1) that - the separate sewage..disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules -an regu a ionvo e u nam County Department of Health, and that on completion thereof .a 'Certificate of Construction Compliance'! satisfactory. to the Commissioner of Healthwill be submitted to Vie 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 o/ said sewsS' �a disposal- .system :during the period of two (2),years Immediately following thedate of the issu- e pence of thq, approval_.of_ the Car tif{cate'of Conitr.uctioq,.i®fiance„ of the'oriyinal cyste ' s thereto, 2) that the drilled well tlsscnbed above ., will be located as shown on the approved plan'�p�t t�pv�µ 1 qsta�I, s snce ith st dards, rules and regu a- 1�'ons of -'the'. - Putnam County Department of Health. 1 LIVt "L:CLIVI /% Date ENGIN'tF&M&d �'�' P.E. R.A..— Address :.R.OFE:'SS{ONAL, lON License No_ APPROVED FOR CONSTRUCTION: This approval-expires two years; from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or rnotlifieD when considered necessary by the Commissioner of Health. Any change 'or alteration-of construction requires a permit Approved for Disposal `of, Domestic sanitary sewage, . a nd/o rivate water supply only. /— 1/81 Date By' Title M HEALTH DIVISION OF ENVIRONMENTAL )HEALTH SERVICES r. - Date 07- ::V '99 Re: Property of M;�. STFVA'N 'ToR7v,-E5. Located at R0u7F NO. 3l (T)-'F >AT T -l'; ?S 0,V Section /o Block 1--3-1 Lot,, ''►3. 14 Subdivision of PETER D '+-1A3�_-A I f 1 Subdv. Lot # Filed Map # Date — Gentlemen: _NG rNi':DR S, P. C,' CORFORATiOK This letter is to authorize DANIEL F'. GoPpE2j." J a duly.licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the •Putnam Count) Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction o.f said system or systems in. conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. FOR KEANE CGO�PPELMAK h1VGINEEF:S, P.C. Very trul ours, A PROF£SSSJNAL. CORPORATION Signed✓ Owner of Property Counters' x�e' 777 'P. , •, # Address 113 'S ITi4 AVEIQUE Address MT. K I St_o , N .FW yoFzl� Telephone Town qIq "X ?Z)11\ Telephone MW June '23, 198.9 KEANE COPPELMAN ENGINEERS, P.C. Civil & Environmental Consultants 113 SMITH AVENUE • MOUNT KISCO, NEW YORK 10549 (914) 241 -2: MA. Mahe Budz.insh.i Putnam County Heatth Dept. 110 Otd Rt.-_ 6 Centers . Canmet, New yonh 10512 Re: Steve Tonnes U.S. Route No. 301 Patten-son N. y. 12563 Lot No 2 Btoch 13.1 Pete& O' Hana Subd.iv.is. ion o Dean Mike: ° Enctozed pteaze 4-i.nd a &eviewat apptidatton 4on a pnevLousty approved SSDS appticat.ion bon Steve Tonnes. The Zot' z SSDS area indicated on the encZoa ed pZan is s ub- ztant.iatty in the same condition as it was when the penm.it was 6i&zt .issued to Mn. Tonnes in 1981. Steve Tonnes, tezpect6utty, tequeztz a tenewat ob the above Aso that he may proceed with con4tnuct.ion. � 14 you have any quationz, pteaze do not hesitate to Batt. Very t.nuty yo 1 6, David A. PeZZetien Design Dna6tzman DAP: PM Enc. KEANE COPPELMAN ENGINEERS, P.C. 113 Smith Avenue MOUNT KISCO, NEW YORK 10549 (914) 241.2235 Tor��� �ucfrrvr v� �7.y [LIE171Ea OF MUMS OM0V L DATE JOB NO. ATTENTION RE: eQ cr�SON iv 9- 9 - .61 For your use 5✓DS jlk,4 ° ❑ 1� WE ARE 'SENDING YOU N Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints W Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION ❑ Approved as submitted 9- 9 - .61 For your use 5✓DS jlk,4 ° ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ° ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 REMARKS VY • Resubmit copies for approval • Submit copies for distribution • Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US SIGNED: .-j Irr- GrUm, M= 01471. If enclosures are not as noted, kindly notify us at once. 7 ��11t l✓ �Y PUTNAM COUNTY DEPARTMENT OF HEALTH Permit Division of Environmental Health Services, Carmel, N. Y. 10512 C4D # CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Located at 7�'- ,`nO��E a' i +s Subdivision PP—; e? �A� &A +a Subd. Lot k G1 Owner /Address & �-c 311fo �12t - '� • Building Type fzm.. Lot Area 4,41 A� //�� LA C_ Number of Bedrooms 2) Design Flow G /P /D 47tJ Separate Sewerage System to consist of % 0042p Gal. Septic Tank To be constructed by LA Eu'_`S Water Supply: Public Supply From Town or village A Tax Map j Block . Lot '7 Renewal Revision _ [3 Date Of Previous Approval 1-2 ••7 • J Fill Section Only ❑ P.C. N. D. Notification Required and 2-GO LE 24k" 7' CMG Address PA2ME ,e)A, /J °ILI' / Private Supply to be drilled by �• �LJ' Address Other Requirements I represent that I am wholly and completely responsible for the design and location of Wir p16c above described will be constructed as shown on the approved amendment there 4dt0fe County Department of Health, and that on completion thereof a "Certificate be submitted to the Department, and a written guarantee will be furnished place in good operating condition any part of said sewage disposal system ance of the approval of the Certificate of. Construction Compliance of the will be located as shown on the approved plan and that said well will be installed County De rtment of Health. pa Date R�`� a Signed Address AVE. APPROVED FOR CONSTRUCTION: This approval expires one year from the date is$ '61 revocable for cause or may be amended or modified when considered necessary by the CorAm requires a new permit. Approved for disposal of domestic ary sewage d ;o ►_private Date ^ _ r By Rev. 9 -61 1) that the separate sewage disposal system ndards, rules an regu a ions o e rutharn tisfactory to the Commissioner of Healthwill %assigns by the builder, that said builder will 44mmediately following thedate of the issu- reto; 2) that the drilled well described above !s, ?rules and regu a Ens of the Putnam P.E.__ R.A. ' License No- 4 1 1 b 3 in of the building has been undertaken and is Ith. Any change or alteration of construction Title r������- i PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 i CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Locate Subdiv Owner Building Type 2Ir<.I D e-1,X F Lot Area Number of Bedrooms Design Flow Separate Sewerage System to consist of I 1 c;� n> Gal. Septic Tank To be constructed by eAj_) I-- - A iE Town or village Tax Map I C_� Block Lot 4 .—SU6 Lc:s Job Address kt- , •1 �iA: a'i'd✓3L St�� 4v �G Total Habitable Space i -1 C� Square Feet and =9,' 3 L,r- `7. `t "71 �G... Address%EI�vi1`': Water Supply: Public Supply From t� - O' Private Supply to be drilled by Address Other Requirements - 1 represent that I am wholly and completely responsible for the design and above described will be constructed as shown on the approved amendment County Department of Health, and that on completion thereof a "Certil be submitted to the Department, and a written guarantee will be furn place in good operating condition any part of said sewage disposal Sy ance of the approval of the Certificate of Construction Compliance o' will be located as shown on the approved plan and that said well will be insl County Department of Health. Date c'1 ' e �a i Signed_ Address �c" 6 ,t:,�c APPROVED FOR CONSTRUCTION: This approval expires one year frdl revocable for cause or may be amended or modified when considered nece requires a new permit. Approved for disposal of domestic sa Date By r system(s); 1) that the separate sewage disposal system 'Eel, h the standards, rules and regulations o e u nam I49 n _ ce" satisfactory to the Commissioner of Healthwill is s� rs, heirs or assigns by the builder, that said builder will od o years immediately following thedate of the issu- an> epa thereto; 2) that the drilled well described above th .aft Bards, rules and regu atiTons of the Putnam P.E.. R.A. DISSk; License No. 4:�LI &'_5 ion of the building has been undertaken and is alth. Any change or alteration of construction Title PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Located at /�_ I �_ -ter I Subdivision Owner Building Type , /C�e- « Lot Area /G Number of Bedrooms —,3 Design Flow ��� '!q S9parate Sewerage System to consisrt of r ®, v ' Gal. Septic Tank To be constructed by PA L.; Z, fl � G Q o ( Town or Village Tax Map ���� D�p FjTy Block _ �� J Lot S6 -60 _ Job Address )EY-Oi 3/1 PA .saw )Uj !q Total Habitable Space �J OV Square Feet and 7- —4 2- r/ % IOG. £ Address � 1 /V • q Water Supply. Public Supply From Private Supply to be drilled by r • Address Lk' / Other Requirements I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of C.on'Wuetiyin�gmpliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished t ' r, his lwzcei$ ors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal syste `� offt'Wb�,(2) years immediately following the date of the issu- ance of the approval of the Certificate of Construction Compliance of t Sri 10 re &irs thereto; 2) that the drilled well des €ribed above will be located as shown on the approved plan and that said well will be instal l-i rG i e st, ndards, rules and regulations of the Putnam County Department of Health. ,? Date � IF Y /� - Signed P.E. V, R.A. Address %-JM / /�,H _F APPROVED FOR CONSTRUCTION: This approval expires one year from revocable for cause or may be amended or modified when conside eces: requires a new permit. Approved, for posal of domes ' sani sew; Date �� U By RECEIVE DEC 171982 PUTNAM COUNTY DEPT, OF HEALTH License No. � /2S3 ion of the building has been undertaken and is alth. Any change or alteration of construction � r 4 rC #,b rim p_ 11'rl PUTNAM COUNTY DEPARTMIT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES • I i Date T--r, a t Re: Property of . C7T --, 2 1+a, aA , • I I, Loca -ted at Section 4 0 Block l Lot - Sys d. T 41 1 Gentlemen; This letter is to authorize a duly licensed professional engineer or registered architect (Indicate) to apply..for a Construction Permit for a separate-sewerage system; to serve the above noted property in accordance with the standards, rules ! i or regulations as promulgated by the Commi6sioner of the Putnam County Department of Health,. and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system•or systems in conformity with the provisions of Article 145 or 1473 Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very yours, .moo of NF►v y Si d o� . • gn e A. caner o roperty_ Countersigns "(' Address {- " P E Al. Telephone ® y`k•4 A A rv�eyys s SR 981 ,.e. ep� one CdUNTY �E?U�P'T. of r� tit PUTNAM COUNTY DEPART EDIT OF HIIALTH DIVISION OF ENVIRONKEDITAZ, HEALTIi SERVICES COUNTY OFFICE BUILDING, CARKI -L, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner L ()' 4Ae,6, Address Located at (Street) ?D1 Sec. I'D Block j3• Lot (<'k3D.. � � ( Indicate nearest cross street) Municipality Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUISMITTED WITH APPLICATIONS Hole Number CLOCK TIPS 2y. PERCOIATION 3 /1'" - /.:I c °v r PERCOLATION Run Elapse Depth to :a ter water Eevei No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop DIop in Min. /in drop Inches Inches Y4. 2 L1'�°- `� � 3 f% 1 C y4 zC4 2- S_ C� 53� 1� Z` Z/4- 2 3�14 i 102` ��4° `"1 Z3 i4 Z�y l • 0 3 I MIJ 4 SEP 14 1981 5 PUTNAM COUNTY DEPT. OF HEALTH Notes: 1) Teets to be repeated at same depth•until a Proximately equal soil rates are obtained at each "percolation test hole. AU data, to Ue submitted for review. 2) Icpth measurements to be made from top of hole. 2//`�- t /4� � E`I Z1�Z 2y. 3 /1'" - /.:I c °v r Z I Y2 -2411 3 4 /�t�y., /,� lot 24 i2. l • 0 3 I MIJ 4 SEP 14 1981 5 PUTNAM COUNTY DEPT. OF HEALTH Notes: 1) Teets to be repeated at same depth•until a Proximately equal soil rates are obtained at each "percolation test hole. AU data, to Ue submitted for review. 2) Icpth measurements to be made from top of hole. 6 TEST PIT DATA REQUIRED TO BE SUBM'IrITED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH ROLE NO. HOLE NO. Lz;—, -4 HOLE NO. G.L. 611 1211 1811 2411 3011 3611 4211 .4811 5 11 4 6011 � JTOE5 6611 (�tbo. Cow:) 721• 7811 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY Date_ "S- Soil Rate Used &--6 C) Pan D. /1"Drop: S. Usab' e \pM A. V, No. of Bedrooms Septic Tank Capacit S. Absorption Area Provided By -'x L. F. x24 X r c _gna7F-Ure Address V. 6DX SEAL 0. S iotOV THIS SPACE, FOR USE BY HEALTH DEPARPENT. ONLY: Soll, Rate., Approved Checked�.by Date R -CEIVE E U S•P - 14 1981 PUTNAM' COUNTY DtPT. . , . ,nm.c ..L_., -'--F: ^ M- aRe ,�ram;,.,�"v'n'^^.'•.vS�'..�. "—�'"�r ."�F" ... �^"_�'..'�- vn.-.. �.�°. .... W��.. � � 7 . 6 :Y PUTNAM COUNTY DEPARTMENT OF HEALTH ENGINEER TO PROVIDE PERMIT; #'' N CERT {,FICAT OF C MP,LLANCE, Division E RM I T ff / ` ion of Environmental Health Services, Carmel N 'Y 10512 P CONSTRUCTION :PERMIT FO SEWAGE .DISPOSAL ;SYSTEM . Town or illage ou7F 31' 1 Jot a�o�>< • .13 I. 13 �d Located at Tax Map Lot Subdivision p � I - Subd. Lot' 8 Renewal .' - Revision __ 0 owner /Address F_�i►iT .Qh.�' Date Of Previous Approval - Building Type ItESIDFNLF i� Lot Area LL A-& Al_ Fill Section Only ❑ Number of Bedrooms Design Flow G /P /D 600 G'Pn, P.C. R. D..Notification Required Sepa rate. sewerage System to consist of �QDO Gat. Septic Tank .antl_ Z� 1T: " f, 24 W1DF'..: To be constructed by p ZY�4t U5 Address – PAVWe.SV u�F)q/ YOLK Water Supply: — Public Supply From Private Supply to be drilled by p h.1F Address B FWS ?F� NEW. YOi,' 1R Other Requirements 'I represent that l am wholly and ,completely responsible for the design and location of. the proposed system(s)i 1) that the separate, - sewage..disposal ,sysfem above- described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regu a ions o e Putnam County ..Department of 'Health; :and that on completion thereof a "Certiticate 'of ,Construction compliance^ satistactory,to the.Commissioner of Healthwill 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. sewageaisposal system during the period of two(2)'yearsImmediately fo_llowing'thedate- of'the issu- ance of the approval of the ,certilicate of, Construction Compliance of the original system or;any,'thereto; 2) that the drilled well described, above will be located as shown on the approved plan and that said weh.will be installed in accord��pp with the andsrtls; rule's'.-and regulations e' Putna Count Department of Health. "'�w F I1= the, ti_iqG NNE --ERS, P.C. Date �FI Signed Address W-1 SM 11 A49. M1 KI FW K License.N0. � APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued less co on of .the building. has been undertaken and is revocable for cause or may.be amended or modified when considered.necessary ly the Co m sio r of Health. Any Chang r' aIteration of construction requires a new per t. App ved 'for disposal of domestic sane ary ' ewa e, end /or pr' a water 'Su only.._ _._. . Date -1- BY Title PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date OZ -Zo -86 Re: Property of MR. STFVZ'N T01ME15 Located at 1ROUTF No. 31) (T) PATTFiZ'S0,V Section IO Block 13.1 Lot 13. l.4 Subdivision of PETER O'44M -,A Subdv. Lot # z Filed Map # Date — FOR KEAN E COPPELNIAN Gentlemen: ENGINEERS, P.C. A PROFESSIONAL COPRPORATION This letter is to authorize D•4NIF.4 P. CoPpFLMAN/ V.t, a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. FOR KEANI: COPPE.r MAN Very trul ours, ENG!NE.ERS, P.C. A PROFESSIONAL COIRPORATION Signed '�. Countersig Owner of Property 4 as U ���'1 3 P.E., Address 113 $ ITA AyEmOF Address MT K'SGo NFw yoRK (cl)4) Zdl -z23S Telephone 'm Ak r - wj�i- l cis // Town 9l A IyA!t_� Telephone KEhNE COPPELMAN ENGINEERS, P.C. 113 Smith Avenue MOUNT KISCO, NEW YORK 10549 (914) 241.2235 TO -PU TA/A fA CoV�V T `f -M -=1174 cAizzMz4 )UFk / yok-K WE ARE SENDING YOU ((Attached ❑ Under separate cover via_ ❑ Shop drawings IX Prints ❑ Plans • Copy of letter ❑ Change order ❑ L LIEUTEM OF MUSA DUMIL DATE 0'2,— W — 86 1 JOB NO. ATTENTION Mph Bo r3 Tv � o,v l RE: P�4TTF 606/ For your use ❑ Approved as noted - i the following items: ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION -4 For your use ❑ Approved as noted - i As requested ❑ Returned for corrections ❑ Return corrected prints I For review and comment ❑ 40T44. --o )Z:H ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US THESE ARE TRANSMITTED as checked below: xFor approval ❑ Approved as submitted ❑ Resubmit copies for approval • For your use ❑ Approved as noted ❑ Submit copies for distribution • As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS - TZEA)t WA L - COPY TO SIGNED: PRODUCT 21047 Xle-U-97 Im, ktn am 01471. if enclosures are not as noted, kindly notify us at once. ® KEANE C®PPELMAN ENGINEER G P.C. Civil & Environmental Consultants 113 SMITH AVENUE - MOUNT KISCO, NEW YORK 10549 (914) 241 -2235 February 20, 1986 Mr. Robert Tutoni Putnam County Health Dept. Carmel, N.Y. 10512 RE: SSDS PERMIT RENEWAL MR. STEVEN TORRES RT. 311- PATERSON, N.Y. PCHD FILE #P -11 -81 Dear Bob: Enclosed are updated construction permit applications for Steven Torres in the town of Patterson. There has been no substantial change made to the lot since the issuance of the original permit. Mr. Torres respectfully requests renewal of the permit for an additional year. If you have any further questions, please do not hesitate to contact us. . PAL:va Enc. Very tr ly yours, Peter A. Lind Design Draftsman FOR . KCAME COFFi::,L IN/lAN ENG'i E-ERS, P.(-;. A PR©FESSiOiRAL t .ID aPOR T iOIN �o mr ° �y�,'� vi \ t a ���. i .Ur � .I •.�` µms,*' ��. \`,\ \\ � � -, •,M. /. _ � /i .'.. .. � � . ¢ - \ �; (n s'�'Qlp .�\ �,'�. it i t r i;��J'r + ! .�i t .�i ,� \ •li, � � - r / 1 • (1 - f .. / /- �.li 1'" •, Oi It t •• Y..:'•' -T' ... :. � • • 'yips• ..- f 1 ' .. � • f tee% J ` � �t \ :y � J 1 y ft,i y, ,,.�, ` � �' �e \ \',�.'. s � F' 'r` �,` / t�/ / � � � u '' � �• /( !` � ` i t� � f` � ' �/ .;l) ; ' 1 � tl t, `t '