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Home My WebLink About0412DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13.-3-66 BOX 5 00221 - ri I r :� r �L ' 1 , ti 1 , 00221 i PUTNAM COUNTY;DEPARTMENT OF HEALTH Z l Rev..- 31864 !.Division of Environmental Health Services, Carmel, N.Y 10512. ` Engineer Mast Provide P.C.H D Permit N - P8 8 - 86 ) CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM T . Patterson I. Town or Village Located at Rte 311 Tai Map' 10 Block 2 I of 11.23 Alternatives, Inc. 3 Owner /applicant NgmeAffordable Ho is i ng Formerly Subdivision Name AS- V. Lot N 5tudi'o Apt: ari..yn ap an on sson MaHing Address Ratest H-16v en APets+ "rma l NY ZIP- 140951 2 Date Permit Issued 41 7 Separate Sewerage System built by es Const. rn. Ins Address RrnthPrc Rd_ Pntlghnitiag, NY 17570 Consisting of''' 1000 Gallon.Sepdc Tank and500' x1--24" wxl8" Deep laterals Water Supply:` Public Supply From Address ,Private Supply Drilled by 'Boyd A r f- e s i a n We 1.1 akddress R't e , 5 7TCarmel, NY 10512 Building Type Modular Has Erosion: Control Been Completed? As required Number of Bedrooms Three ; - Has Garbage Grinder Been Installed? No', Other Requirements` - =Q B'Fill sectionL .5600± Sq. Ft.x .'30" Deep AND -48" Deepxl32' Curtain.Drain w/ 60' I certify that. the system(s) �asI listed serving the above premises were' constructed essentially, as •shown on the plans of thes0 } e�l e 1 gpi &rade of.which are, attached), and in accordance with the standards, rules:agd, regul `tions, in accordance with the filed plan, and the permit issued by the Putnam County Department Of Health. i Date 21 October, 198:7x' Certified-by p.e:R.A. i Address RD• License No. 29906 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 sepaiate Sewerage, system shall become null and void as soon as a pubs': sanitary sewer becomes available and -the 'approval of the pilvate 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 Commissiofier, of Health IN re ation, modification or change is necessary, Dates Q G/. I T g/ Y n w'QKC0._ WLLL UVrirLn.L.LW v L\l:.L W".L DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only STREET ADDRESS: 1 i�� S WN /Vll / IY TAX GRID NUMSM . X11 - S1) . %JA'TT't�/r'�SOI�•1 ,L 0 T 3 WELL LOCATION WELL OWNER NAME: C/ O Re ADDRESS: FO PEEZ 7— / A 11&7V, f /Dqo /- L1 t ,L, �Ti5i� CAP- Al Ios � y PRIVATE 0 PUBLIC USE OF WELL 1- primary 2 -secondary . RESIDENTIAL O' PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑- ABANDONED ❑ BUSINESS ❑ FARM O TEST /OBSERVATION O OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL O STAND -BY 0 MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED] EST. OF DAILY USAGE gal. REASON FOR DRILLING ANEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA a ft WELL DEPTH 16-5- STATIC WATER LEVEL ft. DATE MEASURED DRILLING EQUIPMENT O ROTARY I<COMPRESSED AIR PERCUSSION ❑ DUG O WELL POINT ❑ CABLE PERCUSSION O OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. WOPEN HOLE IN BEDROCK O OTHER TOTAL LENGTH 21 ft MATERIALS: '.STEEL O PLASTIC 0 OTHER CASING LENGTH .BELOW GRADE fL JOINTS: O WELDED KTHREADED O OTHER DETAILS DIAMETER - °L` in. SEAL: ,CEMENT GROUT ❑ BENTONITE OOTHER WEIGHT PER FOOT Ib.lft DRIVE SHOE: PVES ONO UNER: OYES NO SCREEN DETAILS DIAMETER (in) 7SLOT SIZE LENGTH (fQ DEPTH To SCREEN (it) OEYELOPED? FIRST . ❑YES ONO HOURS SECOND GRAVEL PACK ❑ YES O NO GRAVEL SIZE DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH ft. WELL YIELD TEST 7co00: ❑ PUMPED MPRESSED AIR O BAILER ❑ OTHER If detailed pumpingIELL a tests were done is in- , formation attached? O YES ONO LOG ff more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water Bear- ing Wen Dia- mMeter WIUdAT10N DESCRIPTION poE_ ft WELL DEPTH tL DURATION hr. min. DRAWOOWN ft. YIELD gpm. Surtace 3 /!/ MR_b P.4/1/ W ,4- A,) WATa O CLEAR QUALITY ❑ CLOUDY O COLORED ANALYSIS ATTACHED? TEMP. HARDNESS ANALYZED? OYES ONO OYES ONO STORAGE TANK: TYPE CAPACITY GAL. PUMP INFORMATION TYPE MAKER MODEL CAPACITY DEPTH VOLTAGE HP WELL DRILLER NAME DATE /'- 4 -f ADORESS 4 sl . SIGs U �/ r I „iid any portion of the property described in this deed to regulation under Article 24 (the Freshwater Wetlands A(-I ! r,f thr- Envi.ronniental Conservation Law of the State of New York Hi(er.e shall be no construction, grading, filling excavating, C I -;-i r i.nc3 or other regulated activity as defined by Article 24 of the Rio/i i-oiwientaa Conservation Law on this property within the wetland (.)17 .1.00 :foot control areas as shown on the property map for lot Ik.3 (pi-epa.r.ed by John H. Prentiss, P.E. on 29 Oct. 1987 indicating the wetl�irid boundary and 100 foot control area - copy of which is included ,s ,-I P>Irt of this deed restriction) at any time without having first secu.r.ed,the necessary permission and permit required pursuant to the above noted Article 24._ This restriction shall bind the Grantee's, their successors and assigns and shall be expressly set forth in all subsequent deed to this property" ��- ol" / 1ryC ��'C.rocAl/ % PUTNAM COUNTY DEPARTr'IM OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Affordable Housing Alternatives, inc Owner or Purchaser of Building Owner Building Constructed by Rte. 311 Location — Street Patterson Municipality Modular a Building Type' Section Block Lo VonEsson and Von Esson Subdivision Name 3 Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal 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 disposal 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 Director of the Division of Environmental Health Services 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 this 21 day of Oct. 1987 Signature Title General Contractor (Owner) - Signature Ai�FD�hA�� I`tovsr�� i r ✓�s, lNc. Corporation Name (if Corp.) STUDIO lj'JWXAJ Adddress CA-grn g4- Al X r 63-12- rev. 9/85 mk 1466 s-t- Corporation Name (if Corp.) Address ou qu�g, r2-5-10 Yorktown Medical Laboratory, Inc. 321 Kear Street Yorktown Heights, N. Y. 10598 (914) 245 -3203 Director: Albert H.' Padovani M T. (ASCP) T_ LAKE CARMEL PHARMACY 149 Smadbeck'Ave Lake Carmel.," NY 10512 L J LABORATORY REPORT ON THE QUALITY OF WATER LAB CA.005633 Date Taken: 0 1/(- Time: (O:OD Date Rc'd: O 6 17 Time: _ Date Reported: Collected By: Referred By: Lakg Carmel Pharmacy Sample Location: LLC. 1J4- Phone N —'5( 7 Phone # Repeat Test? _ INORGANIC NON- METALS (mg /L) MICROBIOLOGICAL (CFU /100mL) Acidity _ Alkalinity Chloride _ Detergents, MBAS _ Hardness, Total _ Nitrogen, Ammonia _ Nitrogen, Nitrate Phosphate, Total _ Sulfate _ .Sulfide `Sulfite GENERAL BACTERIA Standard Plate Count (CFU /1.OmL) MEMBRANE FILTRATION TECHNIQUE .Total Coliform Fecal Coliform Fecal Streptococcus METALS (mg /L) _ CoDDer _ Iron _ Lead Manganese Mercury Sodium Zinc MISCELLANEOUS pH (units) Color (units): Odor (TON) Turbidity .(NTU) MOST PROBABLE NUMBER TECHNIQUE Total Coliform Index _ Fecal Colif.orm Index KEY FOR TERMINOLOGY .N /A = Not'Applicable. LT = Less . Than (< ) GT = Greater Than (�) TNTC= T.00 Numerous To Count CON = Confluent ( =TNTC) NR = Non - reactive REMARKS /COMMENTS (For Lab Use) Sample. Type : (check one) Potable Non- potable STP INF _ STP EFF Other: Sample Status: (check each) Outgoing — HNO3 _ HC1 H2SO4 NaOH' ZnOAc Na2S203 Other: Incoming LE 4 °C GT 4 °C pH LE 2 pH GE 9 pH GE 12 Other. THESE RESULTS INDICATE THAT THE WATER SAMPLE WAS) (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO TH N YORK STATE DRINKING WATER STANDARDS, FOR THE,PARAMETERS•TESTED, AT THE TIME OF COLLECTION. THESE RESULTS INDICATE THAT THE WATER.SAMPLE (DID) (DIDN'T) (N /A) MEET THE SATISFACTORY CHEMICAL QUALITY - STANDARDS OF THE NEW YORK STA NKING WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. 1 2 /86(Rvsd7 /87)RWE Albert H.•Padovsn,i,.M.T. (ASCP), Director APPENDIX C FINAL SITE INSPECT TION k�, '. TM # OR SUBDIVISION LOT t r It. JII . IV. V. VI. ION Date � - M Inspected by OWNER 4 1 10 ,s carm ENTs SEWAGE DISPOSAL AREA a. SDS area 1 as per approved plans b. Fill sectio 2:1 barrier 'Date of placement IG� wIDTx r AVG. DPTIO Lk C��`� e�i.0.- �- c. Natural soil t stritmecl d. Stone, brush, etc., greater than 15 ran SDS area VU e. 100 ft. fran water course /wetlands. SEWAGE DISPOSAL SYSTEM a. Septic tank size K1,000,1 1,250, b. Septic tank ins evel c. 10' minimum from foundation d. No 90 °. bends, cleanout within 10 ft. of 450 bend ----- e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested fY 2. Protected below frost 3. Minimum 2 ft. original soil between box and trenches f. JUNCTION BOX -- ro 1 set g. TRENCHES 1. Length required - Length installeda 2. Distance to watercourse measured. ft. 3. Installed accord-in to lan / u VI 4. Distance center to center I Wed 5. Slope of trench acceptable 1/16 - 1/32 " /foot. 6. 10 feet fran property line - 20 feet - foundations 7. Depth of trench < 30 inches fr face, 8. Roam allowed for expansion, 50%Vff AVU,4—e---W- 9. Size of gravel 3/4 - 1P diameter 10. Depth of gravel in trench 12" minimum -INK W 11: Pipe ends capped ,, l h. PUMP OR DOSE SYSTEMS 1. Size of puirp chamber 1- 2. Overflow tank 3. Alarm, visual /audio 4. Pum p easily accessible manhole to grade 5. First box baffled 6. Cycle witnessed by Health Department estimated flow per cycle HOUSE ' a. House located per approved plans. b. Number of bedroans WELL . a. Well located as approved plans b. Distance from SDS area measured 7 ry ft. e. Casing 18" above grade. d. Surface drainage around well acceptable. OVERAIL WORKMASHIP a. Boxes properly grouted. b. All i iall backfilled c. All pipes flush with inside of box d. Backfill material contains stones < 4" in diameter Y vct,r` C e. Curtain drain installed according to plan b e_. f. Curtain drain outfall rotected & dir.to exist.watercours g. Footing drains dischar e away fran SDS area C: i;Q h. Surface water protection adequate i. Errosion control provided on slopes greater than 15 %. i Woo,- C 4 1 10 ,s PUTNAMCOUNTY.DEPARTMENTOFHEALTH ; Rev. 31x86 Division of Environmental Health Seeviees. Carmel; N.Y 10512 Englneerto Provide Permit q. bn CERTIFICATE of COMrcIANCE p � '.8 8 - 8 6 .. . CONSTRUCTION PERMIT FORISEWAGE DISPOSAL,SYSTEM Permit . b Locates at Route 311 1 T • Town or V S n 111age subdlvtslonName Von Essen & Von• Ess 3 1D 2 11.23 %Vbd. Lot q Taz Map Block Lot owner /AppucantName 'Marilyn Caplan Renewal_❑ - -Revision _:C3 Job 4S.O. 2372 Date of Previous Approval 10/15/86 Forest Haven Apartments, Bullet Hole Rd. Carmel NY 10512 Mailing. Address Town ' Mp FILL SECT 0 C Building 'Type Modular 43350 Sq. Ft. Let Area Fill Section Only Depth 30, Volume 455 :Cu Yds. i . Number of Bedrooms Three Design Flow G /P /D 600• PCHD Notification Is Required When F l Is completed Separate Sewerage System to consist of 1000 Gal on Septic Tank and 5 0 0 . f t . x 24"r wide x 18" deep• laterals To be constructed by Roger Mayes Constr. , Co., Ajtl� ess Brothers Road, Poughquag, NY 12570 Water Supply: Ptiblic Supply From Address X . or: Private Supply Drilled by' ----Address. Other Regntrements R =;O; B_ Fih ,'Section: 5600 ,Sq: Ft. represent that 1. am wholly and icon 1 , P pletely responsible for the design and location of Me proposed system(s); 1p that. the separate sewage disposal system pipe above described will be'construci ed as shown on the approved amendment there to and in accordance with,.the standards, rules an regulations o a 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 m the original syste o► any repairs thereto; 2) that the drilled well described above will be located as,shown on the'approvetl plan antl that said well will be installed' in ac dance with th stand s, rules and regula ions f the Putnam County Department of .Health. , Date 19 March L98T Signed P.E. X R.A. _ .. RD '9: - Fair Street a el,' NY X105 2 29206 Address' License No APPROVED FOR CONSTRUCTION: This a y - approval expires�t year from date' issued unless construction of the building has been undertaken and is revocable-for cause or may be amenaetl.or modiiied when, co i erednec sary t Commissioner of Health. Any change or alteration of construction requires a n grmjJ$ q��y/oroved for. disposal of tlomestic itary age, d/ rival water s pp�y on Date ��1 II BY Title 132 ft. .x 48"-deep curtain drain w /60' soli DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914)'225-3641 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT # IS WELL SITE SUBJECT TO FLOODING? YES % NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Von Ess n & Von F.ssen Lot No. WATER WELL CONTRACTOR: Name Boyd Artesian Wells, Inc. Address: Rte. 52, Carmel, NY 2 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES x NO NAME OF PUBLIC WATER SUPPLY: None TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED By John H. Prentiss, P.E. (See Dwg. #1, Job O ON REAR OF THIS APPLICATION 00 SEPARAT S S.0.2372) 6 November 1986 A , (date) 0 (signatu e PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is:g� anted 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 waterDwell 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. Date of Issue: 19 Date of Expiration: 19 Permit is Non - Transferrable Permit Issuing Official Street Address Town /Village /City Tax Grid Number WELL LOCATION Rte. 311 T Patterson - - Name Address e5Private WELL OWNER Maril Ca lan- Forest H ❑ Public USE OF WELL Q RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP 0 ABANDONED 1 - primary 0 BUSINESS O FARM ❑ TEST /OBSERVATION ❑ OTHER (specify 2- secondary 0 INDUSTRIAL O INSTITUTIONAL. O STAND -BY O AMOUNT OF USE YIELD SOUGHT Five gpm /# PEOPLE SERVED 6 /EST. OF DAILY USAGE 325 gal REASON FOR ffNEW SUPPLY O PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION DRILLING O REPLACE EXISTING SUPPLY O DEEPEN EXISTING -WELL DETAILED 3 Bedroom Resi dpnee Rnp REASON FOR _ DRILLING WELL TYPE DRILLED ❑ DRIVEN ®DUG ® GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES % NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Von Ess n & Von F.ssen Lot No. WATER WELL CONTRACTOR: Name Boyd Artesian Wells, Inc. Address: Rte. 52, Carmel, NY 2 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES x NO NAME OF PUBLIC WATER SUPPLY: None TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED By John H. Prentiss, P.E. (See Dwg. #1, Job O ON REAR OF THIS APPLICATION 00 SEPARAT S S.0.2372) 6 November 1986 A , (date) 0 (signatu e PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is:g� anted 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 waterDwell 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. Date of Issue: 19 Date of Expiration: 19 Permit is Non - Transferrable Permit Issuing Official RECORD OF TELEPHONE CONVERSATION PUTNAM COUNTY DEPARTMENT OF HEALTH E Division of Environmental Health Services S Program: / Town Facility: Time: /c?,' v5 Date: ?.f.,Telephone r Caller's Name: 4o, i DISCUSSION: e4o �,�' i .s o&-I jF'i c,+, d<p ..,, ,'t" , !r^yk -••�, ei� -R+n, / h S G -'i�` �/ 1 G.' r � s'' �.a � �,• -�•. <•� .r ..•- -•...� a ;X=r- ..,� ..,�- 1 � d' NEW YUR!( STATE DEPARTMENT OF ENVIRUN.MLNIAL CONSLRVAIIUN PERMIT F3724-29-1 UNDER THE ENVIRONMENTAL CONSERVATION LAW 8 ARTICLE 15, (Protection of Water) ARTICLE 25, (Tidal Wetlands) ARTICLE 24, (Freshwater Wetlands) HARTICLE 36, (Construction in Flood Hazard Areas�r PERMIT ISSUED 10 _ Affordable Housing Alternatives, Inc. AUURESS OF PERMIITEE cfo Paul _Lill, Forest Haven Apartments Cam 1, NY 10512 LOCATION OF PROJECT (Section of stream, tidal wetland, dam, building) East side of NYS Rt. 311 about 0.5 miles north of NY_S_Route 164. DES( RIPTION OF PROJECT Construct a leachfield for a single family sanitary_w�jste disposal system and a portion of a drivew�!y in the adjacent area of freshwater wetland DP -22 in accordance with the drawings s- ibmitted with the application. Cr)MMUNITY NAME (City, Town, Village) (.r7UNTY F I A COMMUNITY GENERAL 1. The permittee shall file in the office of the appropriate Regional Prrmil Administrator, a notice of intention to commence work at least 48 hours in advance of the time of commencement and shall also notify him promptly in writing of the completion of the work. 2. The permitted work shall be subject to inspection by an authorized ropre"enlative of the Department of Environmental Conservation who may order the work suspended if the public interest so requires. 3. As a condition of the issuance of this permit, the applicant has ac- cepted expressly, by the execution of the application, the full legal respon- sibility for all damages, direct or indirect, of whatever nature, and by whom- ever suffered, arising out of the project described herein and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and description resulting from the said project. 4. Any material dredged in the prosecution of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of the waterway or flood plain or deep holes that may have a tendency to cause injury to navigable channels or to the banks of the waterway. S. Any material to be deposited or dumped under this permit, either in the waterway or on shore above high -water mark, shall be deposited or dumped at the locality shown on the drawing hereto attached, and, if so prescribed thereon, within or behind a good and substantial bulkhead or bulkheads, such as will prevent escape of the material into the waterway. 6. There shall be no unreasonable interference with navigation by the work herein authorized. 7. That if future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause * unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or loss or destruction of the natural resources of the State, the owner may be ordered by the Depart- ment to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State; and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. TORN _ __ . Patterson NO. DAM N0. PERMIT EXPIRATION DATE December 31, 1987 CONDITIONS . 8. That the State of New fork shall in no case be liable for any damaf or injury to the structure or work herein authorized which may be caused by result from future operations undertaken by the State for the conservation r improvement of navigation, or for other purposes, and no claim or right compensation shall accrue from any such damage. 9. That if the display of lights and signals on any work hereby authorize is not othenAise provided for by law, such lights and signals as may be pr scribed by the United States Coast Guard shall be installed and maintains by and at the expense of the owner. 10. All work carried out under this permit shall be performed in acce dance with established engineering practice and in a workmanlike manner. 11. If granted under Articles 24 or 25, the Department reserves the rig to reconsider this approval at any time and after due notice and hearing continue, rescind or-modify this permit in such a manner as may be found be just and equitable. If upon the expiration or revocation of this permit, tl modification of the wetland hereby authorized has not been completed, tl applicant shall, without expense to the State, and to such extent and in sur time and manner as the Department of Environmental Conservation may requii remove all _or an) portion of the uncompleted structure or fill and restore tl site to its former condition. No claim shall be made against the State of N( York on account of any such removal or alteration. 12. This permit shall not be construed as conveying to the applicant a, right to trespass upon the lands or interfere with the riparian rights of othe to perform the permitted work or as authorizing the impairment of any right title or interest in real or personal property held or vested in a person not party to the permit. 13. The permittee is responsible for obtaining any other permits, a provals, lands, easements and rights -of -way which may be required for th project. 14. If granted under Article 36, this permit W granted solely on the bas of the requirements of Article 36 of the Environmental Conservation Law a Part 500 of 6 NYCRR (Construction in Flood Plain Areas having Special Flo hazards — Building Permits) and in no way signifies that the project will free from flooding. 1S. By acceptance of this permit the permittee agrees that the pern is contingent upon strict compliance with the special conditions on t reverse side. 95 -10 -4 (9/75) (SEE REVERSE SIDE) j SPECI,�I "fON ^1ITIONS n 16. To satisfy the requirement of General Condition No. 1, the permittee or a representative shall contact, by telephone, the Division of Law Enforcement in New Paltz (914/255 -5453) 48 hours prior to the commencement of any por- tion of the project authorized herein. 17. The permittee shall require that any contractor, project engineer, or other person responsible for the overall supervision of this project reads and understands. this permit and all special conditions. 18. The permittee shall make every effort to restrict construction activities and the use of construction equipment to an area not wider than 15 feet around each' of the two activities authorized herein. 19. The permmittee is prohibited from undertaking any additional clearing or grading by the use of construction equipment within the freshwater wetland or its 100 foot wide adjacent area. 20. Th,e Filed Map No. 2164 for Lot 3 shall be revised and submitted to the Regional Permit Administrator here in New Paltz within 90 days of the date of this permit. The revision shall indicate the boundary of Freshwater Wetland DP -22 and its 100 foot wide control area as delineated by Mr. Joseph Steeley of this Department. i r 21 �Lot #-3 con;tai nswport o sn of��Freshwater -0 tl and DP -, 22`'0 Y is , addacent 100 0foo control area, , t {he deed° fore chi s ch ,proper�t shal 1 contai na r'estrfi-,re on y: r �-- as w.r�i t t en b e t ow 3m a,.z For as long —as� any= port'i °o`nofthe property = described i n this deed is sub- c to regulation under Article 24 (the Freshw er Wetlands Act) of the Enrvironmenta1 Conservation Law of the State of New York (ECL), there shall be no? construction gradrng,efillin:g, excavating, clearing or other regu- la ted =acti v:� ty as— .:as -Tned'� by A�rti cl=e'24 =, f�'th.e�Envi ronmental Conservation _ate Law on this property within the wetland area "or�100 foot control areas as shown on the:..Fi_]edMap No�2164 forL�ot 3 atany time without having first secured the necessary permission and permit requTred-�pursu-ant to the above noted Article 24.' This restri ction.� s_hal l -bi nd� -the _Grante s; their successors and ass n� s and.sh,a11 be ex reslsl set'- orths�n1a' }l 1" subsequent deed to this 9� . _p P Y property A .co,o_v. of. tW- "-d'bed of ubmitted to the within 4°5,Odays' after the f 22. All necessary 'precautions shall be taken to prevent contamfi A' ttVon of the waters of Wetland DP -22 by silt, sediment, fuels, solvents, lubricants, epoxy ;coatings, concrete leachate, or any other pollutant associated with construction and construction procedures. Page 1 of 2 PERMIT ISSUE DATE PERMIT ADMINISTRATOR ADDRESS s Affordable Housing Alternatives, Inc. Permit No.:3724 -29 -1 Page 2 of 2 November 20, 1986 23. All areas of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass seed and mulched with hay or straw within one week of final grading. Mulch shall be maintained until a suitable vegetative cover is established. SEQR: Under the State Environmental Quality Review Act (SEQR), the project associated with this permit is classified as an Unlisted Action and the Department of Environmental Conservation (DEC) has determined that it will not have a signifi- cant effect on the environment. Other involved agencies may reach an indepen- dent determination of environmental significance for this project. DISTRIBUTION: P. Keller Law Enforcement G. Cole /J. Steeley R. Wood J. Karell, PCHD J. Prentiss, P.E. PUTNAM COUNTY DEPARTMENT OF HEALTH Rev' . ' 31q6 i Division of Environmental Health Servicei- Carmel. N.Y. 10512- Engineer to Provide Permit # _ �+ l on CERTIFICATE OF COMPLIANCEQ 1 t7W f Permit ' q STRUCTION PERMIT FOR. SEWAGE DISPOSAL SYSTEM T. Patterson , at R te . • 311 Town or. Village Von Essen & Von'Ess @n�� 10 2' 11.23 Subdivision Name' Snbd. Lot H Tax Map Block LID n Ca tan c/o Paul Lill Renewal_❑ Revision ❑ Owner /Applicsit Name y P Date of Previous Approval' MallingAddress Forest Haven Apts.' . Town Carmel, NY ZIP 10512 {'Bullet. Hole Road Modular One Acre 8 �P y Depth Volume Building a Lot Area FillSectle, Onl X- 3 455CU. dS. Ndmb'er, of Bedrooms Three , . Design Flow G /P /D 600 PCHD. Notification is Required' When Fill Is completed 1000 500'x 24 wide x Deep Laterals Separate Sewerage System to consist of Gallon Septic Tank and To be constructed By - Address C Water Supply: Public Supply From. Address or: X Prlvate Supply DrWed lily - _Address Other 0 B Fi l $ecai�Q�}; sej t �,Ve -5600 _+ sq:. 'ft. - &_rExisting 1321x 24" wide x 4' Deep eq 1 1i3 -�%c� rR—.rr PV— I. represent that I am wholly'ana 'completely responsible for the design and .location of the proposed system(s); 1) that the separate sewage disposal -system above described will be constructed. 's shown on the approved amendment there to and in accordance with the standards, rules an regulations of the Putnam County Department ;off, Health;, and that on completion thereof a' "Certificate of Construction Compliance" satisfactory to the Commissioner of. Healthwill be submittetl: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 ;n,'gooO operating condition any part ofr said sewage disposal .system duffing the period of two (2) years immediately following thedate.of the lssu- . ante 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. b'e located as shown on the approved plan and that said well will be installed accordance with the arils, rules and regu aeons of , the Putnam County Department of Health..., 'Date 16 OctDbek 1986'. Signed. P.E. R R.A. RD9 -Fair S t r License NO t .0 Addre mel; NY 10 12 29206. ss APPROVED FOR CONSTRUCTION: This approval expire! revocable for:cau or ay be amended or, modified when c `requires a new -kmit A proved' 'for disposal. of domest Date BY � �f O the'.dat iSS UnleSS Onst, cXry 'bv /(h missiuei sof of the building has been undertaken and is Ith. Any change or alteration of construction only. :P14E_ Title ,r PUTNAM COUNTY DEPARDM OF HEALTH ra. ' DIVISION OF HEALTH SERVICE'S DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. .Marl Cal P !ef n Owner = Address t2 ( t Located at ( Street) CIO ,, (� ,,4, a N � d • Sec. %k /D . Block z Lot / 2,3 .( indicate nearest cross street) den rsen S'a,6�:� (e-3 Municipality Pq- E�- F,a -Sar, Watershed Date of Pre- Soaking G ( 10 18,6 Date of Percolation Test G f 16 /64 ROLE NUMBER CROCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Mina Start Stop Drop In Min/In Drop Inches Inches Inches l l t 10 t t�0 3 0 '?.� ZC t• 2 140 1110 30 3144 1'LjQ 30 ' 24"yr 14- 4 t 40 t u 30 1 U 1 -Z- z 30 1Y- 3�1~ 12-K 30 ' W IA 4 Yo 2 5 NOTES: 1. Tests to be repeated at same depth until apprcocimately equal soil rates are obtained at each percolation test hole. All data to'be.submittiod for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 DEPTH G.L. if 21 31 40 51 61 71 81 TEST PIT DATA REQUIREQ-.TO BE SUBMITTED WITH APPLICATION HOLE NO 6 "-[oar,; IN TEST HOLE NO. -2,.• Q 14 (4/4 13' 141 INDICATE IMM AT WHICH GROUNDWATER IS ENODUNTERED INDICATE LEVEr, To WHICH WATER LEVEL RISES AFTER BEING EN,MNTERED is. F, DEEP HOLE OBSERVATIONS MADE BY: -Eij i steer- DATE: C/14/84 DESIGN Soil Pate Used '2-(-3() Min/1" Drop: S.D. Us'able Area Provided 0010 No. of Bedroams irp e Septic Tank Capacity 1 0 o a gals. Type .Migking Absorption Area Provided ByZ L.F. x 24" width trench Other ve,* x4 mant 5,-9ud Pvme �2��Vo:fE�Sslokl er 5e &,,04', -7oo* t (434 Nam Signature JOHN H. PRENTISS, P.E. Address RD9 - - SEAL ay p CARREL, NEW YORK 10512 t� /Vo. 292 )r THIS SPACE MR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft,/gal. Checked by Date Iteorth settling or sing' is a to be Tam n ghtty 'around distribution box 4!# solid�pipes es from septI Y3. OVERFLOW ' SYSTIEIA rV I� U ftl t� y - X11 �I i I r ,I li. oodn ono orb t` �' 44 p t ch ilerfoot Z g /'4 -ji 00 3/4 rai"t roundgoter $,°,ll /2max. �minabovo 4 "ADorforated level•U.min, —e d lodge rock ,Pipe L'to dl „erals ECTION A - A SECTION B - B DETAILS OF DISPOSAL FIELD Inlet In P out I ` rig povetnment.aa agency. / s kI 4. Minimutn well j+eld of 5 gpm < eax 4I+5/o V Y.ic.lds less than .5 +gpm wN'l- Z reported to the Putlam Cot%, P1rt y �21h��/` T i% 11 of Health:' ; PampAevst rcinlordcdremcn / "v1ob.'>'r 7r+ i In ft,� I poowoylrtynpuair, Prordv { reel F� kolrn9wAen'reguenrd.. Mai °rc 4S8 + /GL 5,0e_T, \ aols,de cnfmg or.dnl/ &Xe 4 /r�F ibt n.srdc iu /ny (2t 'm;m le b 1 711 .t L./ 44--'�N dj� JCL _r'�o5. m ,-ter �>✓�. �� Vg�' 'arc TK / r ,- l4/G=LL/ //Gr.. 10F,o i. .0 1 Q \ r\ 4-✓ Tf ?+SAL SfC110At \ L DR11.£0 -W£'1 F;2oP 3 444 �• 22r G� I f , �1 'I 53 S 0 ° 07' i � � rLA �JL, LI l\ Q SSDS shall be removed. 2. .SSDS to'be inspected by the PLAN � N architect and the .1'u -tonm CDI : D6pnrCmctit af.C,er cOnst.rUCt.'L. to backtil..1.'.' to abso I t + m limit' at { 3. 110 truck, inn chincry., build: nor cscn'vnage earth shall ht / 8 + 1 gravel / \ -- _ _ _ — nlef ' + Building ope g 6 "top Solt tot on f to next grade I' box I2tleop3 - p to absorption tra ? �o 3/4 "stone 6r �-0 N :(Both boxes) om of box must ba z or l g firmly Supported to graded 0perforated bolow ground level stones' TYPICAL 24� pipe CURTAIN. DRAIN 11!W1 Ewa tarproofod maoonry a IT Ba s to ptpo 4rom , Ba lea to Inauro oqul PLAN SECTION ' C�iii:.� l`HUU I'I Uta NOTES Basic Required tiotcs' I • O v'— \Z41- I70/ 1 1. .•91.1 trees . }ai•ta i n !0 Pcct of ` rig povetnment.aa agency. / s kI 4. Minimutn well j+eld of 5 gpm < eax 4I+5/o V Y.ic.lds less than .5 +gpm wN'l- Z reported to the Putlam Cot%, P1rt y �21h��/` T i% 11 of Health:' ; PampAevst rcinlordcdremcn / "v1ob.'>'r 7r+ i In ft,� I poowoylrtynpuair, Prordv { reel F� kolrn9wAen'reguenrd.. Mai °rc 4S8 + /GL 5,0e_T, \ aols,de cnfmg or.dnl/ &Xe 4 /r�F ibt n.srdc iu /ny (2t 'm;m le b 1 711 .t L./ 44--'�N dj� JCL _r'�o5. m ,-ter �>✓�. �� Vg�' 'arc TK / r ,- l4/G=LL/ //Gr.. 10F,o i. .0 1 Q \ r\ 4-✓ Tf ?+SAL SfC110At \ L DR11.£0 -W£'1 F;2oP 3 444 �• 22r G� I f , �1 'I 53 S 0 ° 07' i � � rLA �JL, LI l\ Q SSDS shall be removed. 2. .SSDS to'be inspected by the i - ``''✓ I 1 r ((D- 20 -8CO). � N architect and the .1'u -tonm CDI : D6pnrCmctit af.C,er cOnst.rUCt.'L. to backtil..1.'.' ¢361 3. 110 truck, inn chincry., build: nor cscn'vnage earth shall ht / ill the sewage d.i. ^,pos;:.l. arci. Of SSDS to Le 1n'ac6ordancc / \ plans, any rc,vis+onp ):'bcrett rules and regulation!; gP tilt issui ` rig povetnment.aa agency. / s kI 4. Minimutn well j+eld of 5 gpm < eax 4I+5/o V Y.ic.lds less than .5 +gpm wN'l- Z reported to the Putlam Cot%, P1rt y �21h��/` T i% 11 of Health:' ; PampAevst rcinlordcdremcn / "v1ob.'>'r 7r+ i In ft,� I poowoylrtynpuair, Prordv { reel F� kolrn9wAen'reguenrd.. Mai °rc 4S8 + /GL 5,0e_T, \ aols,de cnfmg or.dnl/ &Xe 4 /r�F ibt n.srdc iu /ny (2t 'm;m le b 1 711 .t L./ 44--'�N dj� JCL _r'�o5. m ,-ter �>✓�. �� Vg�' 'arc TK / r ,- l4/G=LL/ //Gr.. 10F,o i. .0 1 Q \ r\ 4-✓ Tf ?+SAL SfC110At \ L DR11.£0 -W£'1 F;2oP 3 444 �• 22r G� I f , �1 'I 53 S 0 ° 07' i � � for or go.p - F-1 LL 'T Lj I �v, ":D,=) , X Putnam County DeparrMout U_r fle&ILI, division Of Environmental Health Servii dp 1 proved as note•1 for conformance with. ,applicable Hales and Regulations of th4 In !Putnam County Health Department. 0) — "AS BUILT" DATA. Structure located from survey by surveyor noted belowig - - - - - - - Well to coted by: surveyors survey.- Well drillers report -- —EL Engineerti'mesurements-0— Tor k,.0oxes, pits, galleries 5 laterols-lo-cated by: Contractor: Eng weer: ❑ He 0 Ith da.pt: ❑ Field inspection by: Health dept do I Engineer date 4 ? , j, C--:-, i I-i as NOTES: 'I, ;hr, I.I.- and 'hat the by 1110 i-C h)'', It rile qvstem WE- Ind '0.p%"IjLio-, f Q I ME N S I O N S Cy is A 8 A D B D T A F 6 F A i -n E, G n- T1 T -/T' A H a H `- --��Lz 1 IT i '0B J ZZ rr I A K B K C-ANITARY SYSTEM DESIGN "AS BUIL WNER7 LOCATION street: �Z 7-:C- Tow n: 0/l/C 0 Y A S U 8 D I VV I ON Map X08 �l Block � LOT N--�//-� — Drawn W D- 0-1 T; �i 27, C—>7 I �0/ 71 3 e9 Jo N °,2, 3 T 1 Dwg JOHN H, - -PR ENTISS J42 • ti F- 4 ior)a, r tj goifl X Putnam County DeparrMout U_r fle&ILI, division Of Environmental Health Servii dp 1 proved as note•1 for conformance with. ,applicable Hales and Regulations of th4 In !Putnam County Health Department. 0) — "AS BUILT" DATA. Structure located from survey by surveyor noted belowig - - - - - - - Well to coted by: surveyors survey.- Well drillers report -- —EL Engineerti'mesurements-0— Tor k,.0oxes, pits, galleries 5 laterols-lo-cated by: Contractor: Eng weer: ❑ He 0 Ith da.pt: ❑ Field inspection by: Health dept do I Engineer date 4 ? , j, C--:-, i I-i as NOTES: 'I, ;hr, I.I.- and 'hat the by 1110 i-C h)'', It rile qvstem WE- Ind '0.p%"IjLio-, f Q I ME N S I O N S Cy is A 8 A D B D T A F 6 F A i -n E, G n- T1 T -/T' A H a H `- --��Lz 1 IT i '0B J ZZ rr I A K B K C-ANITARY SYSTEM DESIGN "AS BUIL WNER7 LOCATION street: �Z 7-:C- Tow n: 0/l/C 0 Y A S U 8 D I VV I ON Map X08 �l Block � LOT N--�//-� — Drawn W D- 0-1 T; �i 27, C—>7 I �0/ 71 3 e9 Jo N °,2, 3 T 1 Dwg JOHN H, - -PR ENTISS J42