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HomeMy WebLinkAbout0340DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13. -2 -42 BOX 4 !7- 76 61 mod or IN o IN f - .�y� .1m; 1� . , 1 - IN No 00149 MAR- 08- 200- "M HARRY W NICHOLS - 914 279 4567 P.01 3RUC£ K FOL.EY Public Health— Dirccior LORETTA MO N00 R.N., M.S.N. Asroerate Public Health Director Director oj.Potitnt Services DEPARTNMNT OF' HEALTH 1 Gencva i Road Brewster, Now York 10509 ERQUEST FOR EI . +D IFEEING ATT' ENT IO`N: 0 ADAM STIEBELING ri GENE REED MI information beiow must be fW4 completed prior to any scheduling- DATE: 1016/05, W, -Ii Q:6. PHONE h: • ENGINEE.I� H01: - -- 'Z• °I REAS 0•N; y DEEPS: 8 PERCS: n PLINIPTEST: ❑ ROAD /-S Td ,F l°' Koo i th, 14 f L{, p4 Pro TOWN: TAX MAPY: SLJBDIV."S 0iN:... M lob LOT#: �a Otiti' K t .: p�Ni G • FOR JQJ ) MI SING. OF SOIL IESTINC ::()osed SSTS-within the drainage basin o('4'Yest Branch or B.oyds Corner Reservoirs. 0 Y, . ';•<;hosed SSTS within 500 feet of a reservoir, reservoir stem or control lake, G 0 P nposed-SSTS within 200 feet of a watercourse or a DEC wetland.' o rh Proposed SSTS design flow greater than 1000 gallons /day-or MES Permit required. O 9 Prcnosed SSTS for a Commerical Project. It is tiic ,•t,.sponsihi,ity of the design professional to provide the above information prior to soil testing. This will determine the NYCDEP project status (Joint or Delegated) based on the respon s ' . 'i° o answered y to any. of the questions, MYCDEP.must witness the soil testing. This Departmt!.t will coordinate a mutually suitable time for field testing with the PCDOH, the Design Professional and NYCDEP. If a pr;rj;:., h' l )ern determined to be Delegated based on the above response and then subsequent inform:r;:iori iwc.Ii as.es NYCDEP is.required to witness the soil testing, it will be the sole responsibility of the .d. s,vi; h„ :-�1C ssional to schedule re- witnessing of the soil testing with NYCDEP. FOR coOrrl usE onY D.aTE: TI�1 MAR -8 -2006 liED +:11 TEL: 845 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 1 gGf,u,m,p I FoGe OF r.A23)Std IN O 55 Vi f II W f ' r oar d! LU wg LL ST. ON PUTNAM COUNTY DEPARTMENT OF.HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET SUBSURFACE SEWAGE TREATMENT SYSTEM Owner ep L),4 -Zo Address Ikoo.ycy k Located at (Street) Tax Map 13, Block o2 Lot �Ia_ (indicate nearest cross street) Municipality �,¢TT,�2soit/ Watershed 4514-5 7- 7-Z!' 4fjc+ SOIL PERCOLATION TEST DATA Date of Pre - soaking 3 Z 3 0 Z0 6 Date of Percolation Test 3,3 / �o 1 2 3 4 5 1 2 3 4 5 1 2 3 4 1 1 5 NOTES: 1. Tests to be at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s I min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 DEPTH G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7:5' 8.0' 8.5' 9.0' 9.5' 10.0' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. HOLE NO. a HOLE NO. 3 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: 41all yll az -5 r-, ad `� �, �, j-j , Date *y--06 yp6 Design Professional Name: Address: Signature: Design ProfessionaI's Seal o!: BRUCE R. FOLEY Public Health..-Director LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of _Patienl Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 REQ E1 ST ME FIELD TESTING ATTENTION: 0 ADAM STIEBELI G a GENE REED All information below must be juU completed prior to any scheduling. DATE: le 5 joS' ENGINEER OR FIMI: W+ PHOLNE 9: REAS 0 t ROAD /STREET: TOWN: SUBDIVISION:.. 0 tiV NE R: �P} -11EL DEEPS: 19 PERCS: in PUhIP TEST: o PV ri 0 -1 1 141L 't, FLOPrO M 9 o8 K\�r► G - kaj TAX MAP✓: lob • m 412. LOT #: ,o �'ES NO 0 oft Proposed SSTS-within the drainage basin of West Branch or B.oyds Corner Reservoirs. 0 X Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. 0 is Proposed'SSTS within 200 feet of a watercourse or a DEC wetland. 0 K Proposed SSTS design flow greater than 1000 gallons /day -or SPDES Permit required. 0 9 Proposed SSTS fora Commerical Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If you answered y-a to any of the questions, NYCDEP must witness the soil testing. This Department will coordinate a mutually suitable time for field testing with the PCDOH, the Design Professional and NYCDEP. ��;;��m If a project has been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is required to witness the soil testing, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil, testing with NYCDEP. FOR COUNTY USE ONLY . COMMENT °o �rI ino�i{,¢�'vt9l 'y (FFELDTEST) 9SPUTO) WELL I —!�� 101 ± T w o tv f I r r W, Uf In N83 "55`40' MOONEY HILL ROAD 10 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Address 1%jao y : y Located at (Street) ; It Tax Map �_ Block Lot (indicate nearest cross street) Municipality T,¢7—%25 ©,t / Watershed j6,457'��,t/G SOIL PERCOLATION TEST DATA Date of Pre - soaking Date of Percolation Test �i F1 1 C, �i 1 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 DEPTH G.L. 0.5' 1.0' 2.5' 3.5�... 4.0' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' 10.0' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. 1 HOLE NO. HOLE NO. Indicate level at which groundwater is encountered Al o AZ 15 Indicate level at which mottling is observed 3 o" Indicate level to which water level rises after being encountered Deep hole observations made by: a, Z_—Uj2 , G, 'D , H Date �l Design Professional Name: Address: Signature: Design Professional's Seal ,1 4 Q2 �3 �y 2 BRUCE R. FOLEY Public Health Director ATTENTION LORETTA MOLINARI _R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 REQUEST FQR FIELD TESTING ❑ ADAM STIEBELING ❑ GENE REED All information below must be fully completed prior to any scheduling. DATE: ENGINEER OR FIRM: PHONE #: Z REASON: DEEPS: PERCS: PUMP TEST: ❑ ROAD /STREET: MzQ!21\ TOWN:� TABS: MAP #: SUBDIVISION: LOT #: 0 W NER: NYCDEP CRITERIA FOR JOINT REVIEW AND WITNESSING OI+ SOIL TESTING YES ..._ NO ❑ T Proposed SSTS within the drainage basin of West Branch or Boyds Corner Reservoirs. ❑ ,`� Proposed SSTS within 500 feet of a reservoir, . reservoir. stem or control lake. ❑ 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 Commerical Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This Department will determine the NYCDEP project status (Joint or Delegated) based on the response., If you answered yes to any of the questions, NYCDEP must witness the soil testing. This Department will coordinate a mutually suitable time for field testing with the PCDOH, the Design Professional and NYCDEP. If a project has been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is required to witness the soil testing, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYCDEP. r1l. DATE: Z-17- 67/115 COMMENTS: (FMLDTEST) TIME: 3 d S 6 SCALE IN 1 /10 OF AN INCH /0 3 122 -- 13a;61973r P/0 183•Nraq 29�� P/0 3'� �Oi M 3 1 I_? 4 ¢-�� " - - -- P/0 3-1 a P/0 3 -I --Fe 3B ' 24 ^ 25 _ " 26 • -23 27 x,28, 4' I. 66 / x,l AG AL 8PN -� 1 90 iC -- .Ln 4r- 1019.25 1.7� HILL &CAL IG88 g .48 .t zp0, ��a za0- :3.65 AC.. 36 `, t\c1] 16o C.CAI ]x 3519. � /Sao, 41 6 40 � 1 '� o {4 - 43 q 0.n 38&09 ba ` ' , q "216• CAL 354i� s I 1.60AC 'Ai• rr 1 AU 9 f ,yu f 1 ,CAI x�2tn AC 14C 61.65 41 40 539 >; 138 46 ? 1.46 AC.{ }``.' n a _ 1,7 $ fff. 1.25 AG �a :57e.96 a q 9 37 ,< $.2 n 6 " .38 A . 2.2 6' :' H4 w I tir`� ' u ' 1..9&5 '5.12 ' = 9.86 AC. -x4.13AC.A\ ,2 a � J °Na oI40AC. - � `'� °" n l.lx AG -80 (AC .CAL . ` , 3.99'AC69CAL u - COAL CAL Y is $ 33 e �1 « ''•i �. 31 ` sll r ; 37 a16xe 48 lxo yco.Ox AGCAL AC. CAL. " AG 15l �� 3 4AC: e9 '• 32 �. 4f. 10 : 36 1y�3.64 m 49 698AG I.fiO I.se ., °3, 51 i1.9 AGCAL SAO, y �, �13 35 3.3 AC. CAL �, g `8 4 AC. 90 91 �� {� f 1.12 X4.09 13.83 AC. CAL. 21B AC. mr >6 0 $ 0 34 � �1. ' A, 103 1.64 AGE �� AC. •• Ac. a4 30' AGCAL p� ++ �• � x3.59 AC CA +. ? \ 87 3 i. AG � x9i '�R• � c°' 261.40 f X69 J, 405.00 8 w 8 2/ 0 `� 51.. it ''`b� 3.01 4C. 86 119 AC. es . ~FiICpLAC ti��0` 52 1r :222 AC- a 8 32 AC. CA 618.93 n 26 114AC. E �25AC' n� ` 3.50 AC. a 2 16 AGCAL 1>`" 6 52 ' - BI 82 84 ' s I _ „ L034 1.2TAC. a 29 c 57L '• 1.07 Ac9 Ae IA '- P` ' 8 - $ ,." +f ,0 ° 4.67 c 2.34 1.72 33 •• 6 .• % 6 AC. AC. 1.01 \ �tA' . 6 b N $ . 11 4?i ticW rCAL i r/ $AtCAL.l,� 2 3.36 AC. 3+ / 53 2.0. AC. • AC. TS ]00.0 �r� r�5.0J9'AC. 00 �"`5 '� x1S 'i �°A• / 54 � $ .d� 92 �� 7a AC. 26,75 AC. B J 79 l6B ' n 5232c 9 3aze 6.21 AC. CAL 6x {,S6 6 8 / a 55 s 2.45 AC. C AL x90.65 _ s AC. 1.71 AG. a28 d �' 10 ' c "�O �;oe 54 At w 36 n >� 251.98 665 ' .. / 4C' p A 5.24 AC 5.59 AC. e0t.4e _ ' 57 23 ' 1.44 A - 62189 a• + Ot,Np1 4.69 AC. " �ro158 91 ' 1 - C 27.52 A s2so 26 ,a 4.95 AC. '1 S9 . ✓' v'• � ZS � 1,44 AG g' CA 86 A � .2 inn 8 6r0.OB 60 / / 1 5.35 AG CAL. a 3a34 57 519_.2.612 Y /131.04 ' 6.49 AC. / .0 4G 2. a 58 ti 1 z f '', /• 61.1 6]316 s O 163.20 � / / O w ° e �0 163. 118.63 1 5 7.47 AC. ' fv.0 „f 39,.= 59 „ 21 1 103.86 AC. CAL. 569]i 193.5 . 21.97 AC. 2.7 AC. 66 2S0 20.69AC._ 20 w ` 60 / 4.73 AC. s ,24f 61 Id99 _ 3, &865.7c 62 e ' 665.00 40235 1` Ia .86 1 9 AC. i'- i 8 0 306.62 106 r- A ` � AC. ' 19 206 1 / 1 ` MIM 10 �.� 16.64 AC. ' 163 ' 4r � I 19 MR �e 1 4 /. ` AC. 18.92 , # + A L00 AC 65 I o 5.71 Al I� , 1.73 AC g,03 pG 11 63.92 AC. CAL. \ s4.0 �d+ p.0 . 15 ?i, ;8 u a 1 , A1 f 63 I.T7 A A1Qaf 69o.9c , 11.10 AC. CAL. 3114 3.2 1x85 AC. 1 f C eDSTB• 1.83AC. 64 131. f �..� MAY -11 -2001 02:23 AM JOHNKARELLJR 9148787894 :UPI -16-00 SAT 9'08 AM PUNAM GTY ENV HEALTH PAX N4, 19142787921 F. 2 :. DEPARTNMNT OF HE.#L-W. Me r S LORMA MOLiN= RN., M.S.N. Mmetan Padtk lfW*h Of�+esta 1 Gee Road t � i tI ""r 8rawster, New ow York 10509 _ t / -- ATTENTION: o ADAM STIEBELING GENE REED Alt idorm lion below must be bib completed prior to any scheduling. DATE: 5 L//—O I ENGINEER OR FIRM: PHONE #: d REASON: DEEPS: ! _ PERM: a PUMP MM:: �n AINSTREET: L(— j W _ TAX MAP#: _ L �� •_ 2._.. SWiDIVISION:/� }} / L �Q OWNER: =Dbt CR ILIUA FOR rO1NT REVIEW AM yi►t'1'IV�JStNt= OF SO1L TFq YES NO o Proposed SSTS within the drainage basin of West Branch or Boyds Corner Reservoirs. Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. Q tE. Proposed SSTS within ZOO feet of a watercourse or a DEC wvtiaad. o Proposed SSTS design flow greater than 1000 gslloadday or SPDES Permit required. 0 Proposed SSTS for a Commerical Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This Department will determine the NYCDEP project statas (Joint or Delegated) based on the response. If you answered ya to any of tke questions, NYCDEP most witness the son? testing. This Depart cant w0l coordinate a mutually suitable time for Add testing with the PCDOH, the Design Professional and NYCDEP. If a project has been determined to be Delegated based on the above response and then subsequent information indicstes NYCDEP is required to witness the soil testint, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYCDEP. "a covrm Uhl ONLY DATA TIM14 ZD r7T qs 11 :yiu Wiq_% AyqC,d--'* P-M&W Matti Arcets'r Abettor ofP41iont Services -STIEBELUM a GENE REED g ow.'must.be IqLlv_ com'p. inted piler ti; ary schedtaia-'. DATE: 0 2— /C>/ 2 $��j C) PHONE 0: DER PERCS-. X PUbT TEST; 13 )1,/ o o 1-f e-,c7 'Y,*"-- , the r'e'sp q I DtFartE, few .SoN V — '7 — TAXMAPO. 7- 4- EW-AND WITNESSING OF SOIL TESTING k: ►sed SSTS -within the drainage basin of West Branch or Boyds Corner Reservoirs- within 500 feet of a reservoir, reservoir stem or control lake. 3� within 200 feet of a watercourse or a DEC wetland. 3sedSSTS. design POW greater than 1000 ZaHojastday or SMS Permit x-eq'uired- ,Pposed,SSTS for a Commerical ProjecL Wof,the'..,design professional to provide the above information prior to sail testing. ?'ditirmln.c the NYCDEP project status (Joint or Relegated) based on the .annieredg�_ to any of the questions, NYCDEP must witness thi soil testing. This ;PqrAnge'a mutually suitable time for field testing with the PCDOH, the Design' Pra;essionai and MOM lia,oroject1as been determined to be Delegated based on the above response and then subsequent infdrmationindicates NYP . EF is required to witness the sail testing, it Will be the sole res'powibifity of the design professional to schedifle re-witnessing of the soil testing with NYCDEP. FOR COUNTY USE 0j?LY '2, 'T BRUCE 'L FOLEY Public Ifeakh. M mkir HEALTH DEPARTNENT -OF HBAU1 I -Geneyt -Read JI" l York 10509 Brewster New Mill 7? qs 11 :yiu Wiq_% AyqC,d--'* P-M&W Matti Arcets'r Abettor ofP41iont Services -STIEBELUM a GENE REED g ow.'must.be IqLlv_ com'p. inted piler ti; ary schedtaia-'. DATE: 0 2— /C>/ 2 $��j C) PHONE 0: DER PERCS-. X PUbT TEST; 13 )1,/ o o 1-f e-,c7 'Y,*"-- , the r'e'sp q I DtFartE, few .SoN V — '7 — TAXMAPO. 7- 4- EW-AND WITNESSING OF SOIL TESTING k: ►sed SSTS -within the drainage basin of West Branch or Boyds Corner Reservoirs- within 500 feet of a reservoir, reservoir stem or control lake. 3� within 200 feet of a watercourse or a DEC wetland. 3sedSSTS. design POW greater than 1000 ZaHojastday or SMS Permit x-eq'uired- ,Pposed,SSTS for a Commerical ProjecL Wof,the'..,design professional to provide the above information prior to sail testing. ?'ditirmln.c the NYCDEP project status (Joint or Relegated) based on the .annieredg�_ to any of the questions, NYCDEP must witness thi soil testing. This ;PqrAnge'a mutually suitable time for field testing with the PCDOH, the Design' Pra;essionai and MOM lia,oroject1as been determined to be Delegated based on the above response and then subsequent infdrmationindicates NYP . EF is required to witness the sail testing, it Will be the sole res'powibifity of the design professional to schedifle re-witnessing of the soil testing with NYCDEP. FOR COUNTY USE 0j?LY '2, 'T �- - 8 SCALg IM 1110 Of AN INCH 1 2 4 5 __ Rco� �j I- - -- _ _ P/0 3 -1.67 667.37 . 19 n _ - _ _ -__., - - 15456 197.31 103 170.1 29x00 P/Q 3- � � P/0 3 1 22 + , P/0 /l - 39% 90 f soo.4e 3. T Ir 24.E 25 26, 323 27 44�? Ac CAL /e1 r AC.* +s - AC.. . _ g N .48 1 4 xop/ �tt °P° i yt : s 1 a AGe 617.46 ° LT o • G t$ ;19.09 x35. K 1019.26 HIC( COAL 2.27 1.88 PJ C \y, / t5 41 22.2 , 23 160 • e2 SA6 220 160.x0 . >; f >, }. �.2.6T AC, 24 1.60AC. p% °5�a oJ� q6 au 9 a 13! �5 w sse. `a 018. p yy ° R j0 1.84 AC `y0 x 55 /h1�7 ba� ' r + q CAL „ AC. 1.23 a 3B tAt �.p 44 " 43 478 3es o9 y,m �'aG CAI z;zxt y 37 *1.13 Atba 2.2 AC. n ' I '� 46 s 1.46 AC ?'t �+ - ~ 2 m 140 AG 46 0 1 761.65 41 40 s39 k, 36 - S . 0 9.98 AC. q » • ego± 4.o2AC `4T . I.so'1.7 AG • :• 8. 9 1 . •90469 4; , ► , ,33 \4i 14 3.1 r , Iq AL s u - 44 t At 3.4AC. 485 dl 1 . 1..9G5 AG .80 5.121A°c.CAL. 3.99 AC. CA g C. 13 .a 89 '+ 32 +,' K .8 .A 6 :! bpt.lx �• CAL COAL CAb Jt o 37 �\ S e16xB 8 �� _ 5 BAC. I.6B 1.60 AG v' ` °'• 4 es Ito IZO 1.9 AGCAL ° .. i wp N3.64 AC. CA 3;'� $p e - 50 ]60.02 � +� a• 36 �' ` ��4.09 AC. A. ' 1.9 AGCAL + 1.12 1,64 AC.� +�� 1 AC.pt '�� 51 Ly r »ao 3g b 3.3 AC. CAL. S a, 603 r .30'' tan d*r� CA . S 21BAC.�usn `8 t56 0 u 7� :iaC• ° 3 1.26 AC. k 295 216, kqp 13.63 AC. CAL $ o� 34 3.59 A 8o CA " 8 5 of AC. 2.11 AGCAI t:o•�' / J ° Ty s Lsj 405.00 s n ° 33 \ `Pr �.,1i 126 U4AC. 1.25 AC. mw \ f'1.93 \5.12 AC .05 A has 6a` 2I 52.22 AC.CAL s 14 ti. 52 : zr 32 �'�� . 4�AC. CA aC. B4 s y53a _ �A 4 , . B I 82 +r L03 A ` l2T AC 29 $ \tis °, 1 8 216 AC.CAL t>< {a 52 2, x s „ 3.8 AC. CA�� �„ 3.50 AC. 53 - ,s64s g `o 3 2,3d 1.72 + 15.1 454.19 r » _ 00 a I7 p AC. 4C. 1.01 l23 AG a62AC. Hato + 91 s� ? y00. tr�s��4Gt4 ° g is 4.67 AC. CAL tier a X355. '4i I.BT AC i g. ou. 30 � 681.76 AC. � ya 1Z.t• •191. ' J L 12 \t2 ',r . 54 `bj $ 1.4 '.���:� gyp' �ru 1.26!• AC. /B 11 $r ticA' , 11/ AC.CaI ' . ii d ° TB AC: 13 $ ° • 4° i /bt 53 92 w > 79 l68 li 15 2 ' 3.36 AC. 2.06 AC. �� ,i 5.0>9 SAC. °A IP"'54 %,� . 26.75 AC. f .i x28 t5 s0o.o ep'' / ' 6.21 AC. CAL. 8 98 AC. 1.71 AC a 202 AC. 5.41 s6. 6t5 s s2> z6 9 '% 3sae /�: 55 �� 2.45 AC. CAL x90.6s 44 tit 90 50. i- • �Y Ac. ; u� C' I 4tA• 6i4,9 8 c A 366.56 �� b x /\,tb1. 54 AG ' 1.44 at 5.24 eeiA, : 57 io\ Isa 153 5.59 AC. - ' fir^ toy\ _ j� 26 _ 9 IAAC Zoe 62ze9 , / ^ 4.69 AC. \�M to\ �, 27.52 A{/. ISZSO 31= 4.95 AC. t5�59 CA 96 A 6tyt9 _ k 60 834 X5.35 AC. CAL. � 131,04 / O 163.20 41e.63 S. ° to po 163.0 eo•e 7.47 AC. $ °°NN 194.19 Li 5 96 &]2 � / 103.86 AC. CAL. 1 2z z 3 °4,66 �•/ / / � .x50 a 20.89 AC._ .. �'' 2,0 S' ' 4.73 AC. , 's �, 128.79 atar 62 66'1.00 /0236 ~ 19.86 AC. G 18 d I 1 t 19 206044 N I ° + to.w 217.02 6 II ` IT. 1 ; 10 �. 1 6.64 AC. 1.59 AAC. �' X1:00 A 02.98 AC. CAL. I I 18.92 N+ 16 8' - 5+ f I 4 /y'g A�AL 173 A i 03 AC 8 11 st u4a 11 \83.92 AC. CAL. 454.22 , Q3 1,77 A 11 fi90'96 ` 11.10 AC. CAL. s AC, 1 1111 6.85 AC. 6413 1\ \� 10.58 AC., CAL 2 1.5o 9 AC.,� 1 'r 1x16.p181 65 9.78 AC. m 1 12 I 1 3.t y Ixe3.41 ° ia Ie.eeAC. 66 2.35` 1 I 509.42 „ AC. 8.82 AC. CAL. 1061.23 11 6zsp�1.3 VINCENT A. ETTARI, P.E., P.C. CONSULTING ENGINEERS 1065 SPILLWAY ROAD SHRUB OAK, N. Y. 10588 (914) 245 -6320; Fax (914) 245 -6335 Vincent A. Ettari, P.E. Licensed Professional Engr. October 30, 2002 The Putnam County Dept. of Health Division of Environmental Services Geneva Road - Route 312 Brewster, New York 10509 Attention: Robert Morris, PE Re: Septic Construction Permit for Patterson Lot Dear Mr. Morris: Enclosed with this letter are the following items with regard to the parcel on Mooney Hill Road designated as Section 13, Block 2, Lot 42. That parcel is a vacant piece of land for which the owner would like to secure a septic construction permit and a well permit. 1. Topographical Survey by J. Charles Boolukas, LS, 2. Completed Authorization Form, and 3. Request Form for Field Testing. On the survey, I have marked a location for the proposed SDA. At this time, we would like to schedule the witnessing of Deep Hole Tests and Percolation Tests on this site. Please advise me as to when you, or a representative from your Department, would be available to witness such testing. Sincerely Yours; r i Vincent A. Ettar , P.E. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of ,C/Z /TA6C C U M 1n X-X C,/AC lh,y /I/466C /WJb7 Located at q,), 177001vrL.( 141(.(. R,0,40 TN 77X4-f,0,1 Tax Map # Yd- Block a Lot t r Subdivision of IN0 y- y 14(C.C. Subdivision Lot # /0 _Filed Map # _ qO Date Filed /t'-4 0?GILI _ old,, 6' / Gentlemen: This letter is to authorize V IA16 FAIT A F %/ A/Z (� .0 . - -- - - -- a duly licensed Professional Engineer or registered Architect to apply for the required wastewater treatment and/or ware* supply permits) to serve the above -noted property in accordance with the standards, rules or reg latiorz as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater tretment and /or water supply systems in conformity with the provisions of Article 145 andfor 147 of the Education Law, the Public Health Law, and the Putnam iouaty)S'anitary Coale. x k6 Very tn� y s, 2i Counters gned (� W ed ► P.E., RA., 0. (O a s / (Owner of Property) /o..G,, • ;;: t, ll�✓ !ailing Address: /9 L I Di�JG TD// /�L e Mailing Address State Zin State �L/J'al 1v, -/ lc:�S- 3 Zip "Telephone: ..zQ Telephorc: (7 i q0:3 — c�l 597 �6LG � - -- Form LA -97 LOT NO_ lZ ------_-------- _---- �iDFC.aRAINRGEEASEl,AENC - - - -- _ ^ - - -_ LFi'. �D100D STDC Z V E Gr- OF GPAn'LN I ftDD SET i0& o -107 + 0 3 a 1 4 G fall wnlEx�= t .o,�s hc-_ \N f .. 43 FT. OVt0. ....'' "n SET � I , � l t I ri 11 i .— iPUIE SET SP1Vlt SET WRTEA spiv T SWV.0 SGT a // • WRTG0. IrXWLT r� 1