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HomeMy WebLinkAbout0360DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13. -2 -73 BOX 5 00169 .„ . . IN IN � IN IN y� r, i all Ili L -m d . 00169 i AM COUNTY DEPARTMENT OF HEALTH " DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCT, MPLIA FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # — Located at Town r Village -Ve �,Z Owner /Applicant Name T ,��Ah &,r_ p. Tax Map � Block j � Lot Formerly 'P iM ' 14 A k Subdivision Name 0 ` /4A9, A 5 gun o&J 0� Mailing Address 2,15 1 Subd. Lot # ID Zip JD Date Construction Permit Issued by PCHD % `� 1 Separate Sewer�ge System built by C-T ( i3ui�:D;0,,.LC1' Address I l 1 i, Consisting of j ��� Gallon Septic Tank and L-. Z q " TV C-,Okj G A Other Requirements: Water Sul Public Supply From Address — _ —G 1�� or: Private Supply Drilled b y �G -�si/ Address ,Z �r�UP, . y Building Type /. 5;�%xa1AL— Has erosion control been completed? 95 Number of Bedrooms Has garbage grinder been installed?. 4 Lo I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and th s dards, rules and regulations of the Putnam Date: e Certified by d A (Design �essi Address of Health. P. E. I" R.A. License # 7 z1 , _35 Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals subject to modification or change when, in the judgment of the Public Health Director, such revocatio , mo 'ficatio change is necessary. By: Title: !L Ali Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 I 1 YML ENVIRONMENTAL SERVICES ' 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 . Albert H. Padovani, Director � LAB #: 33.406835 CLIENT #: 114, NON STAT PROC PAGE I TORLISH & SONS . DATE/TIME TAKEN: 10/14/98 09:20A BOX 271 DATE/TIME REC'D: 10/14/98 10:50A ATTENTION: DWAYNE TORLISH . REPORT DATE: 10/21/98 ARMONK, NY 10504. PHONE: (914)-273-3448 SAMPLING SITE: LOT #10 RIDGEVI�W DR, PATTER��ON SAMPLE TYPE..: POTABLE ` , : . COL'D BY: ,TORLISH NOTES...: KT ~~-~~~~~~~~~~~~~~~~~~-~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE PRESERVATIVES: NONE TEMPERATURE..: ' 'COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE METHOD PUTNAMCNTY PROFILE 10/14/98 MF T. COLIFORM A 8SENT /100 ML ABSENT 1008 10/14/98 LEAD (IMS) 2.8 ppb 0-15 ppb 9101 10/14/98 NITRATE NITROG 2.16 MG/L 0 -�10 9139 10/14/98` ' NITRITE NITROG <0.01 MG/L N/A 9146 10/14/98 IRON (Fe) 0.165 MG/L 0-0.3 mg/l 2037 10/14/98 '� MANGANESE (Mn) <0.010 MG/L 0-0,3 mg/l 2037 10/14/98 SODIUM (Na) 3.39 MG/L N/A 10/14/98 pH 7.7 UNITS 6.5-8.5 9043 10/14/98 HARDNESS,TOTAL 148 MG/L N/A 10/14 '/98 ALKALINITY (AS 142 MG/L N/A 10/14/98 TURBID'ITY (TUR .2.0NTU 0-5 NTU COMMENTS: . ' BACT RESULTS INDICATE THAT THE WATE WAS NOT) OF A _THESE SATISFACTORY SANITARY QUALITY ACCORDI HE NEW YORK STATE AND EPA'FEDERAL DRINKING"ATER STANDARDS, FOR THE PARAMETERS TESTED, AT--THE TIME OF COLLECTION. Pb/Cu.LEAD limits for /ublic schools are set at 15 ppb. EPA Lead & Copper Rule for Public Systems requires that no more than 10% bf their distribution points have a LEAD value of more than 15 ppb and 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 sh ll no t excee d 0 . 5 mg /- . 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 mQ/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium is suggested. ` `. YML ENVIRONMENTAL SERVICES 321 Kear Street . Yorktown Heights, N.Y. 10598 ' (914) 245-2800 | Albert H. Padovani, Director ' ` ' . ` LAB #: 33.406835. CLIENT #: 114 NON STAT PROC PAGE .2 TORLISH & SONS ' DATE/TIMETAKEN: 10/14/q8 09:20A BOX 271 ' DATE/TIME REC'D: 10/14/98 10:50A ATTENTION: DWAYNE TORLISH REPORT DATE: 10/21/98 . ARMONK; NY 10504 PHONE: (914)_273-3448 SAMPLING SITE: LOT #10 RIDGEVIEW DR,. PATTERSON SAMPLE TYPE..: POTABLE . : PRESERVATIVES: NONE COL/D BY: TORLISH TEMPERATURE..: NOTES...: KT COLIFbRM METH: MF' DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMALRANGE OF pH IS 6.5 TO'8.5. Hd TOTAL HARDNESS IS DEFINED A THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSEDAG CALCIUM CARBONATE, IN MG/L. THE HARDNESS MAY RANGE FROM 0 TO AS OFMG/Lp DEPENDS ON THE ��OURCE.AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: i�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 gr'ain/gallon = 17.2 MG/L) SUBMITTED BY: ELAP# 10323 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: i� 1E �IDJ 12t4/Village: C_-V S0ftj Tax Grid # IMap Block Lot(&) 0 Well Owner: Name. /� Address: ��• C: Use of Well: 1 -prima 2- secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussi67r --J Compressed air percussion Other (specify) Well Type Screened Open end casing Open hole in bedrock _ Other Casing Details Total length ft. Length below grade d ft. Diameter in. Weight per foot JI lb /ft. Materialr-,_j Steel Plastic _ Other Joints: _ WelcCeZiV Threaded _ Other Seale Cement grout _ Bentonite Other Drive Yes No I Liner:_ Yes No Screen Details Diameter (in) Slot Size Lerigth(ft) Depth to Screen (ft) Developed? First _ Yes No Hours Second Well Yield Test Bailed _ Pumpe�c V Compressed Air Hours Yield gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or sieve analyses are available,, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface 3 N !I jyd �j N If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type t Capacity .� Depth 100 ModeL!5,Gw��7,� Voltage d-.30 HP Tank Typdi.3§ LC L, Volume Date Well C mplete Putnam County Certification No. Date of Report We] riller signature NOTE: Exacf location of well with distances to at least two permanenf landrfidrks to be provided on a separate sheet/plan. r . Well Driller's N e /a'J- -SW DNS_ Address: �i Qignature: �ii�!► �` '� -- L_�. .�— � /! »', Date: K7= White copy: HD File; Yellow copy- Building Inspector; Pink copy - Owner; Orange copy- Well driller Form WC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH • DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: z 9,g Inspected by: �, .mr0 Street Location Owner `�r ©' AIZ —"`- To«n (�,� •r-- TE•rzs��U Permit # TM r 18 -_ Subdivision Lot # /O 1. Sewage SN-stem Area a. STS area located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lgth. 74' Width 196`Avg.Dpth 2- c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course/ wetlands ...... .................:............. II. Sewage System a. Septic tank size - 1,000.... .1,250 .......other ................ b. Septic tank installed level ................ ............................... c. 10' minimum from foundation .............. ................:........... -. d. Distribtuion Box 1. All out ets 'at elevation -water tested ................. 2. Protected below frost .................. ............................... 3. TMinimum 2 ft.Original soil between box & trenches Junction Box - properly set ....................... ............................... ength required 5-o o Length installed Eoo 2. Distance to watercourse measured -j- a. doFt.. ......... 3. Installed according to plan ......... ............................... 4. Slope of trench acceptable 1/16 -1/32" /foot ............. 5. 10 ft. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface..... .............. 7. Room allowed for expansion, 100 % ......................... 8. Size of gravel 3/4 -1 %" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... 10. Pipe ends capped ........................ ............................... g. dump or Dosed Systems I . Size of pump chamber ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual/audio .................. . .. ............................... 4. Pump easily accessible, manhole to grade.: ............... 5. First box baffled .......................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. HouseBuildina a. use ocated per approved plans ... ............................... b. Number of bedrooms ....................... ............................... IV. Well a. Well located as per approved plans......... ................. � lo' �to b. Distance from STS area measured /, ft ........... c. Casing 18" above grade .................. ............................... d. Surface drainaje around well acceptable ... .. ................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dinto exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ... ............................... i. Erosion control provided ................. ............................... __= Rev. 1/97 YES NO COMMENTS I o'r K x tic K �C ec .X x i< MOVe T'aRGlc See Fie 1,e r?a rk v� B^Preows (a Noted See Magrk up e( 7 ., ,5 xs- orm PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM T. 1. k g u'a nk `ar ?orcd1v .j Owner or Purchaser of Building I3 Z -73 Tax Map' Block Lot Building Constructed by TownNillage L10+ # vtivi nwR, Rid 01e S+ q4 IQ. Location - Street Subdivision Name Sine 1v, Building Type IL1d Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Month l l Day 9 Year 9 8 General ontractor (Owner) - Signature V � n 4 P Corporation Name (if corporation) Address: State N S Ole m W1 Zip 10,<60 Si ature: C VQAUL gn 9S�d1�a�- Title: ?('310 7. CorP Corporation Name (if corporation) Address: Z S �Jc, i I State -W S4 tvn %Y Zip�OS�o� Form GS -97 .Rev 4 * P1 nUM COUM MWARTUMM OF HEAMS Dldi d>lrabam mwd sedan I Csd. P.T. lost? E1a/b�ar fo Pnslie Pratalt C�'iQIt7A1E FCOfQIJAMM POFO>! !O>t UWAGE DOROSAL ► • a Dadp Flow G P D w Ptta■ll PA --rvs K fztQN er -• Tom 111" 3 n,k 7,, ■fit i z ' I z 5CC b d.ra al Oman Sw* Trek,,- /%� �1 a•�i z'Y 7L�M` n To ba' anowaded b �' e 3 • �• Addled. Winer Sam: 'Pd& sib Fn. Adhom �!' Oct,,,,, Sw* DOW by ' — - - - addrom r p►•sanc tkat 1 apt wholly area completely responsible for the design and krcatlon:'of the Proposed syebm(fi1 1) that the separate fswa2a disposals •m . above dewibed will be constructed a$ ~non the approved amendment there to and in accordance with the standards. runs a regu Oearty DOW, M Of MmIth. and that on complet10n.1hareof a - Cwtificat• of Construction Complience'• satisfactory to the Commissioner Of HMNhw1N be fte mReed to the 06P tmaR14 and a written guarantee will be furnished the Owner. his succesaors. heirs or ageigns by the bulkier. that ON builder win gfslbb IN "" .MMIM obmdRbn. any part Of geld Owego disposal system during the period Of two (2) Years Immediately following thodate of the Issu- ames Of the appma Of the Certificate at Construction Compliance of the original system or any r-p-rs ~1110; 2) that the drUM well described absnxk wen be bated as shim m M the approved goo and that said well will be Instal in accordance ith the red- s, rule and ragia ens of the Putnam Cowin" moms IIMRR O-te Signed I.E. "a. �F z ` � Ltm . _ No 3 S APPROVED FOR CONSTRUCTIONS This approval expires two yew r the ante issued union construction of the building has ban undertaken and is fevelfa♦le for fw/aa a may M a111emde0 M medlllad when eon Y OY the IgeiOlnw of IWRIs. Any change w alteration Of cOhatruttbn tiaulrM a..' A /a M domestic gem and/or •water supply only. rule OIIga iy 161WIA3 REV. PUMAM COURff DVAR1111M OF KLMU DNM= d nadmmoaw Ha m Saevlaa. Cataal. N.T.1lOU BW40MWIDPMV Ne POOR 1 FEUM FOR SEWAGE DISPOSAL Lot i i o Oefs-dAppreaat Name O • Fit ti m Malls Address as CERTUVATE OF COACKJAN t )Nczi Twit or V0 fte Tax MV ► at Bleat "a- red Reaawd_ ❑ Revldee ❑ Date of Previon Apprwd Towa zip ZAA Enclosed l+- A,,,^11"A -_-SM,E0o 9.2+kas TYPE iD l A. l+ Lot Am 11 � 90 1 — F0 Secdoo Oslo 1 V Deptil 1­1 veieloe�. �D G member d'Bod •s Des%p Flow G P D ��® PC® Nofficatles is Rep hed When FM In completed S- peefde Sena w Syetag to amen d � rMen Sq* Teak aced ' z)e) Lj (i PT -ZA +k To be. •aaabiekat -by T` 8'-0 1 Address Welter Semi Pgyt yuppty F"M Addrow .l adbom ors �••b Sap* Dow by 1 represent'.that I am wholly and completely responsible for the design and location of the Proposed system($); 1) that the separate sawa a di real s stem above described will be constructed as shown on the apD►OVSd amendment throe to and in accordance with the standards. rules 1, rpm a ns o e na County Department of Health. and that on completion thereof a "Certificate of Construction Compliance^ satisfactory to the Commissioner of Health will be mabmltted to the Department. and a written guarantee will be furnished the owner. his succamors. heirs or assigns by the builder. that said bulkier will of ce in good opwating condition any pert of said an'age disposal system during the period of two (2) y s Immediately following thedate Of the issue once Of the approval of the Certificate of Construction Compliance of the original system or any r Is at ; 2) that the drilled wail described -bow will be located as shown on the approved plan and that said well will be =1niran with t st ules and repu a� MWns of the Putnam County Depart Health. Dale tO9� 9 Signed P.E. �� RA. — Address.— License No'(1M APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction f the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the Commissioner of Halth. Any change or alteration of construction requires ova now par It. Approved for disposal of domestic sanlury nd /or private water supply only. —^i v, z *' _ r � LL' .s �" � .'r. d �•a'y'° r� a's, � `'� . t� . , punqm, �DI'ZYDPZA�NI'Oi►�ALTH, IO Dliltl off 8aevlees: �Lttsei. Pi:Y iosa 1� Ptah 1�'1lIICnOp !� !OZ $aWA6D D�9lOAI: SYS!'P�1t Iti CSnII+iGi$ 0 00 Sr6i.Y1w Diana A�'A �� Tsa Mop�oet cot r ' o...d,1�eRt Naaa�' ;( Waite of r!r�evlo.e,Approwl 10 � l 9 � � � , ibdivisiori` ` Fee Enclosed ^ * secUm Dolt, DepttivdiaoeG `C Na>•6ar a[ Beitee�a _ Dsal�t Plow G P D _ YCHD NdlOatlos Is Yega4ed When P19 M aY�plebd . . Seweea0e SJata� d eaaiit et�CsoBoR.Saptle Tack . ., � TE +., ice; . • T G T. w e...rasN w stt P■a orb eddee. A. noes ✓ vi.a� Stlpaf D�Bsd'by 1 OtMr G 1 representahat I am wholly and compNtelY raponsiple fo�,tM dssiyn and location of IM proposal sYSt!m(s1s `tMt tM wpar•t'saw :di fal':J stem apow deser pad will tie oonstiuded as snows Ore "tM apWOwd amendment thane to and in accordanp with tM standards, ►ules;a rpu_ ns,o _ �a County. O pNtment o1 a*Ith and flat on eompNtbn tMraof a �Certifieala of Construetione.Complianp Ytistatt to tM Commissioner of Mealthwill O�.wpmltts0 to tM l]ep�Kmant an0 `i written yw►inte0 will be,furn►sM0 the owns his wca L_ MNtor eas s' y,Ah bui that ii Cupdar will ONO in '/ooA opMatitq ootldltlon any,,part 9, „slid 0, ii a disp 46 tarsi duririO:,tM piriii0 of two (2) yav `i istt` ' olbvri�Iq tM'daN Of ttN Ialu- Mq of tlia ''ap" p 41 iof MM' Certiticate of Construcfio �';Compliarice of ;tha aginal s-sl" any ap in, t drilled wNl i6eir ea above w48 "W locataA as thaws on tM aplN",plen ansl. that Nid.well will 'tia Installed in a with M ;ata r an rpu „aT oiT ni ot.' t�Potn�m CeurKY O� merit f MMlth.' , - z � Data i V�Q S Address_-' a' a tacensa 1VO . ' APPROVED FOR CONSTRUCTION This app!ovatl expMN two years from the date issued untsss construction oft puiWinq Ms been undertaken and is revocaliN for avte oi;,maY M:'amendid'or modified when`considered ' neeesury Oy tha_;COmmisaiorr�r of, Nealth. `Any itiiA a'or altoration,of `construction "quires 8, mw p . w t App►ov": fc� dis"I Of dor"Ic ntary ie'.water supply only. Rev . iO/88 »s J DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New-York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT WELL LOCATION Street �ddress To Village City Tax Grid Number WELL OWNER Name1 1 Mailing Address QMivate O Public SE OF WELL 1 - primary - secondary SIDENTIAL 0 BUSINESS 0 INDUSTRIAL ❑PUBLIC SUPPLY ❑AIR /COND /HEAT P OABANDONED O FARM O TEST /OBSERVATION ❑ OTHER (specify O INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT � —gpm /# PEOPLE SERVED_ /EST. OF DAILY USAGE �� 8a1 REASON FOR DRILLING 13 REPLACE EXISTING SUPPLY O TEST /OBSERVATION Q ADDITIONAL SUPPLY B-EW SUP LY (NgK DWELLING) 13 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING 5 WELL TYPE [28AILLED DRIVEN DUG [:]GRAVEL C] OTHER IS WELL SITE SUBJECT TO FLOODING? YES 4----'NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: 6) Lot No. j WATER WELL CONTRACTOR: Name c �,� Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YESO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: /1 LOCATION SKET H & OURCES'OF CONTAMINATION PROVIDED ON ARATE SHEET 10 1()194�z (date) (signature PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of 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 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 attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise ��.urff�ace or groundwater. Date of Issue:..�'� 19 Date of Expiration 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller A DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 Sean Daly Box 243 Shenorock NY 10587 Re: Proposed SSDS: O'Hara Ridge View Drive, Lot #10 (T) Patterson, TM# 13 -2 -73 Dear Mr. Daly: May 8, 1998 �.r 011 BRUCE R. FOLEY Public Health Director Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." 1) Current codes requires fill be place in the expansion area. 2) Expansion trenches are to be shown. 3) Proposed contours are to be shown. 4) Trench detail is to be revised. Upon receipt of a submission, revised to reflect the above, this application will be considered further. Ve ly yours, Robert Morris, P. E. Public Health Engineer awl l Z14 �A 1G , 0 2, �p DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 Sean Daly Box 243 Shenorock, New York 1087 Dear'.Mr. Daly: -X /�- I BRUCE R. FOLEY Acting . Public Health . Director November 3, 1997 Re: Proposed SSDS: O'Hara Lot 13 (T) Patterson Review of plans and .other supporting documents submitted at this time relative to the above captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." Engineer's authorization has not bee s gned by the property owner. ?) Trench cover is to be noted as geoteltile. 3) Erosion control measures are to be shown and detailed for the house well and SSDS. Furthermore, a note is to be added stating all erosion control measures are to be installed prior to the start of any construction. /4) Plan has not been signed and sealed by the design engineer. ) Remove or cross out fill settlement note. This is not applicable for fill sections 2 feet or less. 6) Add fill specifications, i.e., the % allowed to pass a 100 and 200 sieve. "You are referred to Article 128.1 of the official compilation of Codes, Rules and regulations of the State of New York, Title 10, relative to the need for approval of individual sewage disposal systems by the City of New York. You should contact city Officials in this regard." Upon receipt of a submission revised to reflect the above, this application will be considered further. RM/mh watershed Very truly yours, �b� Mov Robert Morris, P. E. Public Health Engineer / �� 0� C,�'T DEPARTMENT OF HEALTH Division of. Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 BRUCE R. FOLEY Acting Public Health Director Sean Daly November 3, 1997 Box 243 Shenorock, New York 10587 Re: Proposed SSDS: O'Hara Lot 10 (T) Patterson Dear Mr. Daly: Re -view of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands. regulations. You should; contact local wetlands officials in this regard." 1 ngineer's authorization has not bee signed by the property owner. P � 0 Il,�, 2) Trench cover is to be noted as geotext e. /3) Erosion over measures are to be shown and detailed for the house well and SSDS. �Furtherrnore, a note is to be added stating all erosion control measures are to be installed prior to the start of any construction. ✓4) Plan has not been signed and sealed by the design engineer. 7) Remove or cross out fill settlement note. This is not applicable for fill sections 2 feet or less. 6) Add fill specifications, i.e., the % allowed to pass a 100 and ,200 sieve. "You are referred to Article 128.1 of the official compilation of Codes, Rules and regulations of the State of New York, Title 10, relative to the need for approval of individual sewage disposal systems by the City of New York. You should contact city Officials in this regard." . Upon receipt of a submission, revised to reflect the above, this application will be considered N Very truly yours, Robert Morris, P. E. Public Health Engineer RMNmh watershed BEgN J.. DALLY, P.E. P.O. Box 243 8henorock, N.Y. 10587 �914� 776 - 5773 2ffFP c4 �r April 21, 1998 Mr. Robert Moms, P.E., Public Health Engineer Putnam County Department of Health Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Re: Proposed SSTS: O'Hara Subdivision Section II Lot #'s 10 -17, 3546 (T) Southeast TM #'s 13 -2 -73 Thru 13 -2 -92 Dear Mr. Morris: Enclosed please find (3) copies of Subsurface Sewage Treatment System plans for lot #'s 10 through 17 and 36 through 46 O'Hara Subdivision Section H with revisions in accordance with your letter dated November 3, 1997. I have also enclosed one copy of Subsurface Sewage Treatment System plans for lot #35. I did not receive written comments from you regarding this lot when I submitted it along with the others. I suspect that the required revisions for lot #35 will be similar to those for which I did receive written comments. If you require any further information, please do not hesitate to call. Thank you. V truly yours, ' '47 Sean J. Daly, .E. r PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Z Property of Located at ,E��y�� //,F —w pwjhle (T) i/'9.7701S A) /3 Block Lot 73 hw Subdivision of C19 / Subdv. Lot # -'ZO Filed Map # Date Gentlemen: C This letter is to authorize � y a duly licensed professional engineer L----or _ (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. Countersigned: P.E. , R.A. , # 7 [t/ 2 Address 914- --776- - 5-77 -3 Telephone Very truly yo Signed Address /1011/ 1ie_r Town l'/y- B'),Y -yesS Telephone %2s ; _,r _ vL L+Ivd1%A_AVU:AI1111J 1L11U111 QWVII.XS �p T DESIGN. bATA SiAMr- SU8SUFACC SDIAGE DISEOShL SYSi'Q4 FILE IJJ. . Omer PETER O'HARA Ad&ess P.O. BOX 282, PATTERSON, NY Located at (Street) ROUTE. 31 1 /CROSS ROAD Sec. ._10 Block 2 Lot � 1 (indicate nearest cross street) ikulicipaiity PATTERSON Watershed. - CROTON SOIL PERMLMICN mr DATA RWJIMZ TO HC SUM117M lam hppL1GYr1(NS Date of'Pre- Soaking 9/07/88 Date of Percolation Test 9/06/88 HOLE No. Time Ground Surface In Inches , Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 1) ]. 10:22 -10:52 30 24 27 3 10 2 10:52 -11:22 ',30 24 26.5 2.5 11.66 3 11:22 -11:52 30 24 26.5 2.5 11.66 4 4 5 c * •iC;�R 2) ], 10:28 -10:46 18 24 27 3 6 2 10:46-11:10- 24 24 27 3 ' 8 3 11:10-11:34--24 24 27 3 8 4 IlYMSs 1. Tests to be repeated* at came depth until appro:dmately equal soil rates are obtained At each percolation test hale. All data to' !r suhnitUd for review. 2. 12pUi measuratents to be made fran top of Iml.e. rev. 9/45 M. ..aurrrrrrrr : i �.., _ L 4 393,• `,� :�•.'i;i; c * •iC;�R 1. •. .` IlYMSs 1. Tests to be repeated* at came depth until appro:dmately equal soil rates are obtained At each percolation test hale. All data to' !r suhnitUd for review. 2. 12pUi measuratents to be made fran top of Iml.e. rev. 9/45 O'HARA SUBDIVISION • '1'EG'f 1'1'1' DATA 1ZUJU110.) 10 13C SUl'141.'l'rW M111 Al'1'L1VYr10I1 SECTION 2 DLSCRLL''1'ION Of SOLLS 114M JNl'I:1ZL•1) IN TIESr HOLES 1)WL11 rr 110LC IM 10A 1IOLE NU. 1 nR HOW PU. 10C 6" TOPSOIL TOPS IL TOPS OIL 18" BROWN BROWN BROWN 24" SANDY SANDY 30" 36" 42" 4811 54" 60" 66" 72" 78" 84" SANDY LOAM LOAM W /.TRACE OF CLAY Rock ® 5.5 Ft. Rock 3 5 FT. * r a *• h•.• t � a• a �• ra• of • • a • •. WIN rv• a 111103 kta;MLI ra• a 0 cl a• of DF-M BOLE OBSERV7ITIONS MADE BY: J. F. E B E R L E Dti'i'E: 9/6/88 DESIGN Soil Pate Used 14 Mit%W Drop: S.D. Usable Area Provided 6000 S __ F _ 110. of Bedroa. 4 Septic Tank Capacity 1 ' 496 gals. Tyly -A, hbsarption Area Provided i3jr 500 x 24" width trends 2' Fill required tkvma BALDWIN & CORNELIUS, P.C. AddLmss RD 5. Route 22. • Rrpmsj r. New York 1Q509 '111ISrSPACC MR USE 8Y tiCAI1111 DEPAf2MUr ONLY: o� ,+iceMAKIN '01 I� 'lftAL « K iWo pF C� SoMftte Approved sq. f Vgal. (.'hecked by Date DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER WELL e 0 PCHD PERMIT # /- 7/ WELL LOCATION Street Ad ress -' o Village City Tax Grid Number -43 WELL OWNER Name Mailing C) Address d rivate O Public SE OF WELL 1 - primary - secondary ... `. 04ESIDENTIAL ❑PUBLIC SUPPLY ❑AIR /COND /HEAT PUMP D BUSINESS O FARM O TEST /OBSERVATION D INDUSTRIAL b INSTITUTIONAL O STAND -BY DABANDONED ❑ OTHER (specify Q AMOUNT OF USE YIELD SOUGHT- S— PEOPLE SERVED S /EST. OF DAILY USAGE (o© al REASON FOR DRILLING ❑ REPLACE EXISTING SUPPLY "EW S PLY (NEW DWELLING ❑ TEST /OBSERVATION M ADDITIONAL SUPPLY Ll DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING N1 FeW - WELL TYPE ©DRILLED DRIVEN ODUG OGRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES �� NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. \(� WATER WELL CONTRACTOR: Name Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES 41-ONO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH && SOURCES OF CONTAMINATION PROVIDED U N 10 SEPARATE SHEET (date) (signatu e) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of 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 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 attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or 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. Date of Issue: 0 C���� 19 Date of Expiration 19_ Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of Located at (T) C n 1 Block O�. Lot 47� Subdivision of Subdv. Lot # , 2 Filed Map # C) Date C/I T. MICHAEL DALY, P.E. Gentlemen: CONSULTING ENGINEER P. 0. BOX 243 This letter is to authorize SHENOROCK N X 10587 a duly licensed professional engineer or r-e i1erPd °r ^h' +°°t (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. Very truly yours, ne d Countersign�� / P.E., R.A., h T. MICHAEL DALY, P.E. Address P. 0. BOX 243 SHENOROCK, N. Y. 10587 Telephonb Owner of Property Ci Address C, C) "Y' 12- S7 6 Town Telephone r • pUT NAM C O U N TY D E PARTM ENT O F H EAL TH APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name and Address of Applicant: ownr• 2. Name of Project: ��ll 3. Locatlon(fV /C: 4. Project Engineer: V C 7� L 5. Address: WOK IQ 41 License Number: �� o Phone: 6. Jype of Project: t. _ Private /Re'sidential Food Service Comihercial , Apartments Institutional Mob.ile Home. ;Park Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality .Review (SEAR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? 9. Has DEIS been completed and found acceptable by Lead Agency? Yap 10. Name of Lead Agency 11. Is this project in an area under the control of local planning, zoning; 1. or other officials,•ord:inan.ces? ........... ..............................► -emu -06-:;r 12. If so, have plans been submitted to such authorities? .................. . "� 0 13. Has preliminary approval been granted by such authorities? Date Granted: 14. Type of Sewage Disposal System Discharge.�� '� > 6v ' Surface Water Ground. Waters 15. If surface water discharge, what is the stream class designation ?........ _ 16. Waters index number-( surface) ............ ............................... 17. Is project located near a public water supply system? .................. If yes, name of water supply Distance to water supply project site near a public sewage collection or disposal system ?..... \of sewage system Distance to sewage system \served: 23. Name of Health Inspector: isign flow (gallons per day) .......... (R 0 .................... 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?.. b 26. Has SPDES Application been submitted to local DEC Office? ............... 27. Is any. portion of this project located within a designated Town or State U wetland ?.... ........ .................... ............................... 28. Wetland ID Number ........................ ............................... 29. Is Wetland Permit required? ... ... ,� .. Has application been made to Town or Loc&t.!, EC-­ Off i ce?, 30. Does project require a DEC Stream Disturbs a Permit? 31. Is or was project site used for...ag'ricultural activity involy ing= application .... •. of pesticides to orchards or other crops, solid,or'hazardous waste disposal', landfilling, sludge application or i. ndustr. ial ..activIty....._•,•..''..,YES or 32. Is project located within i3OWfeet of existence of abandoned landfill' hazardous waste site, salt stockpile, landfill, slddge` disposal site or O any other potential known source of contamination? ....YES or NO DESCRIBE: :, 33. Is there a local master plan or file with the Town er Village? -` 34. Are community water, sewer facilities planned to be developed within 15 years? �b 35. Are any sewage disposal areas in excess of 15% slope? .............,,.....,....... 36. Tax Map ID Number .......... : 1;:�?.. 37. Approved Plans are to be returned to: Applicant `Engineer 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. Failure to comply with this provision maybe grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A Misdemeanor pursuant;. o Section 210.45 of the Penal Law. E; SIGNATURES & OFFICIAL TITLES: MAILING ADDRESS: X G46 D ,T, I -141 ON, T MICHM DALY,' P.E. BOX 243 SHENOROCK, N.Y. 4 BE12R•OM COLONIAL SIN&LE FAMILY RESIDENCE F:fl 5ECOND FLOOR 1/611 = 11-011 L MUD Room Y EATING C C, AREA 24 j KITCHEN FAMILY L. I ROOM BATH I I DINING ROOM 24 STUDY FOYER. C-L. L, FIRST FLOOR 1/819 c 11—on PUTMAM CO3Ul)MTY LEc l�RlFll-lEf-l)ql 1—T, ITE �T Ste' LIVING ` ROOM 24' C, BATH L. BATH Rictom 5DRM #1 CL. C, L. r.,L; HALL L. MA577ER WRM #2 BuRm #5 BDRM F:fl 5ECOND FLOOR 1/611 = 11-011 L MUD Room Y EATING C C, AREA 24 j KITCHEN FAMILY L. I ROOM BATH I I DINING ROOM 24 STUDY FOYER. C-L. L, FIRST FLOOR 1/819 c 11—on PUTMAM CO3Ul)MTY LEc l�RlFll-lEf-l)ql 1—T, ITE �T Ste' LIVING ` ROOM 24' LOT SECT: ao j PROF. ELL NO �. �� CF yV l `T' ,.I o .. �' � � PLOP: . ' _ .. ; • �, GI i 4"/> =T. i HOUSE± 5� 1 50 GAL. I SONRY G O 5 PTIG KZ Qi .MIN 1: 10 DH I- ry F?ROR:..55D5_DH MIN. O )THIN'(oo i00% EXP 10N AREA O *. 1E. SGLE r : . rf:5 .y, t�'k�'�"t���.SY'` �'',� e. �"+i_;•.}+Y' "`�i — - r -�-- — t-— .- .�.....- _ 5. Y t , •rn 3 M, r ni o �4 ' 7 y J= —$O QNt }>6 R.-VEv LL A'${�p°J���' ��if'�'�J� • s a , � 6 x T v ' v FROM .} ;y'7M�+l�, ,p�w��/.��!(��'! ��{�����(j (�y4��� ref +�jy.�] {{,Y..+�• �• ..:.. '. SATED JULY .16jJqcla : i m AVON$ 1 x -75 to Al Df aim r , - t1b 116 f 2 - t{ L -:_115 A. FI I •' T NOW, ; AT 2W"TRE ..