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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13.07 -1 -27 BOX 6 X 111 14 1 Ll mL 16T Is 00259 ' .rl., y� •;'ZaS;7P. � •.i`5—'?µ PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAG SYSTEM PCHD C NSTRUCTION PERMIT # - - b td- .0 Located at {�,C�/`LIU �'� L-A-M 1r_- Town or Village Owner/Applicant Name I 12— 1 S C_-0 Tax Map Block_ Lot 2� Formerly Subdivision Name !���fwp Subd. Lot # Mailing Address ,?24 N N Efi IAN E N. ' Zip -26 (�3 Date Construction Permit Issued by PCHD Separate Sewerage System built by D I VIF-66-20 Address :PA` tORS - 12 -;La3 Consisting of Gallon Se tic Tank and ?�"7(n/ p Z',AAJ /DIE _ ��T-la Water analysis result for sodium (Na) is. MWL,. Water dontitninst more than 70 wizil - of sodium should not be uged for Other Water Supply: PUSIM WOgW diets. >!e containing PUTNAM C ,Qd&IsY DEPT. OF HEAL'T`H r: Private Supply Drilled by� Address �+�, ?j Building Type �Sti KA le �wt +) � Has erosion control been completed? Number of Bedrooms Has garbage grinder been installed? _ N0 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 wi the issued PCHD Construction Permit and approved plans and a standards, rules and r e oun De ent of Health. Date. `1 Z� ` Certified by P.E. �- R.A. RorNA Ell N Q5Zt1 Ord P^LEsign Professionals) I Address br'ri. at ell-0'24 ,Au'L CARWIFA, 98 19Sl2 License # � Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are ubjecttt4, modifica "on or change when, in the judgment of the Public Health Director, such revocation o fi'cafio change is, necessary. B 4 y: ? , Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional' Form CC -97 . Nr.cr_x.�:; ai�C.A��` i�w '• ,i' rty Y,. 3a.' i—— p,..... w �,t .�` a, k t 1• T` a. _. �:,�.�.�r�t:�«'�hs''?��, ii ...,yi. �� _ :■%tiY/r b.Pi "-pia _ �. _ :-. _ �^�w��'�'•,.�Y7?'�:53'E'i'ti"r� i1 Ike- PUTNAM COUNTY DEPARTMENT OF HEALTH v_3 7/! 3l9 DIVISION OF ENVIRONMENTAL HEALTH SERVICES C C FINAL SITE INSPECTION Date: 6 /Y.Z Street Location _ -6ONN C-T LANE Owner Inspecte y: C, Per, � i Fi? loco Town �i4T.T�`Zgc7N Permit # 71. — 96 °- F3� TM Subdivision Lot # ;L 'e -8655 ?a tDS 1. Sewage System Area a. STS area located as per approved plans ................... b. Fill section - date of placement 3:1 barrier Lgth. Width Avg.Dpth_ c. Natural soil not stripped ........... ............................... d. Stone, brush, etc., greater than 15' from STS area.. e. 100' from water course / wetlands ............................. II. Sewage System a. Septic tank size - 1,000 ..... 6S�o .......other....... b. Septic tank installed level .................... ................ c. 1 O' minimum m from foundation . ............................... _ d ,D. nuion Bx `same elevation -water tested........ 2. Protected below frost ......... ............................... 3. Minimum 2 ft. Original soil between box & tre e. Junction Box - properly set .... ............................... ff, Trenches T71_ength required Length installed 2. Distance to watercourse measured -F ji an Ft. 3. InstaRaid according tojaarr _, ...................... 4. Sl e f t ch acceptable 11/32 '/foot.... 5. 10 . fro property lirrfe - 20 ft.- foundations., 6. De tren <30 -inc s fr bs�fir a .. 7. Ro o f expa n, 1 ...... ........ 8. Siz of ra 3 '' /Z' e r cle 9. De of avel in trench 12" minimum........... 10. Pipe ends capped ............... ............................... g. Pump or Dosed Systems 1. Size ot pump chamber ....... ............................... 2. Overflow tank .................... ....... ......................... 3. Alarm, visual/ audio ........... ............................... 4. Pump easily accessible, manhole to grade....... 5. First box baffled ................ ............................... 6. Cycle witnessed by H.D.estimated flow /cycle. III. HouseBu_ildin� ate- ouse located per approved plans ......................... �b��Number of�bedrooms-°��-� . . ..........................:.... a. Nell located as per approved plans ....................... b. Distance from STS area measured *j®b ft.. c. Casing 18" above grade .......... ............................... d. Surface drainage around well acceptable .............. V. Overall Workmanship a. Boxes properly grouted .......... ............................... b. All pipes partially backfilled ....... :.......................... c. All pipes flush with inside of box .......................... d. Backfill material contains stones <4" diameter..... e. Curtain drain & standpipes installed according to f. Curtain drain outfall protected & dir.to exist wate g. Footing drains discharge away from STS area...... h. Surface water protection adequate ......................... i. Erosion control provided ........ ............................... Rev. 6/97 of FROM PUTNF M ENGINEERING PLLC -1 *AC 7-144 I 3i PHONE NO. 914 225 2955 Jun. 11 1999 04:34PM P2 05 22 0 Ile tq 7 VOL '16 t P1 If *as �ILL Al �s top 101 /00 CK? tf 1. f,ANi F7 FROM : PUTNAM ENGINEERING PLLC PHONE NO. : 914 225 2955 Jun. 10 1999 04:39PM P1 MEMO TO: FROM: PUTNAM ENGINEERING, PLLC DATE: RE: REQUEST FOR SSDS AS BUILT INSPECTION M a PROJECT TITLE: D ( T c t-2,t s6o pdss go�`C>S W-T STREET ADDRESS: SQ.NNe-r LAr46 5m -# ! o 12- f3> TOWN: ��T~�� -S off-+ TAX MAP #: / -3 ' C> ` - /- 2 -7 PERMIT #: P I (O PLEASE NOTIFY THIS OFFICE AFTER YOUR INSPECTION AT (914) 225-3060, IN ORDER FOR US TO NOTIFY THE CONTRACTOR/OWNER THAT BACKFILLING THE SYSTEM MAY BEGIN. ell .- I File"O1022 Y v 464�lj r— (rs tsHEtD THS Vt O-U F:O 7e- G -o-v t-,i l We UTNAM NEINEEF?INE,PLLE. Engineers and Planners November 1, 1999 Mr. Robert Morris Putnam County Department of Health Geneva Road Brewster, New York 10509 RE: DiFrisco Cross Roads, Lot #2 34 Sonnet Lane Patterson Dear Mr. Morris /Theresa:' . Iy This letter is to authorize your office to release the approved Construction Compliance for the above referenced application, to Joe or Victoria DiFrisco. Very truly yours, PUTNAM ENGINEERING, PLLC , By: KH:rk (Pile 990634) 102 GLENEIDA AVENUE, CARMEL, NEW YORK 10512 - PHONE (914)225 - 3060 -FAX (914) 225 -2955 � YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 1059E (914) 245-2800 Albert H. Padovani, Director LAB #: 93.904413 CLIENT #: 11023 NON STAT PROC PAGE 1 DIFRISCO, JOSEPH DATE/TIME TAKEN: 09/23/99 07:30A 34 SONNET LANE DATE/TIME REC'D: 09/23/99 09:30A PATTERSON, NY 12563 REPORT DATE: 09/25/99 . PHONE: (914)-878-4686 SAMPLING SITE: SAME SAMPLE TYPE..: POTABLE : PRESERVATIVES: NONE COL'D BY: TEMPERATURE..: NOTES..": KIT TAP COLIFORM METH: MF DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD 09/23/99 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATER NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDING�i4E NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. SUBMITTED BY: Albert H. PadvZ-0—ni, T. (ASCP) Director v ELAP# 10303 "I", YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director LAD #: 93.904186 CLIENT #: 11023 NON STAT PROC PAGE 2 DIFRISCO, JOSEPH DATE/TIME TAKEN: 08/27/99 11:00A 34 SONNET LANE DATE/TIME REC'D: 08/27/99 11:25A PATTERSON, NY 12563 REPORT DATE: 09/07/99 PHONE: (914)-878-4686 SAMPLING SITE: SAME : COLT BY: J. D7FRISCO NOTES...: BATHROOM TAP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEOURE is suggested. SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 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 NORMAL RANGE OF pH IS 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0-70 MG/L VERY HARD WATER: ABOVE 300 MG/L MODERATELY HARD WATER: 70-140 MG/L MG/L = MILLIGRAM PER LITER HARD WATER: 140-300 MG/L (1 grain/gallon = 17.2 MG/L) SUBMITTED BY: Albert H.kPadovani, M.T.(ASCP) Director ELAP# 10323 � YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director LAB #: ?3.904186 CLIENT #: 11023 NON STAT PROC PAGE I DIFRISCO, JOSEPH DATE/TIME TAKEN: 08/27/99 11:00A 34 SONNET LANE DATE/TIME REC'D: 08/27/99 11:25A PATTERSON, NY 12563 REPORT DATE: 09/07/99 PHONE: (914)-878-4686 SAMPLING SITE: SAME : COL'D BY: J. DIFRISCO NOTES...: BATHROOM TAP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 40 COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 08/27/99 MF T. COLIFORM PRESNT /100 ML ABSENT 1008 08/27/99 LEAD (IMS) <1 ppb 0-15 ppb 9101 08/27/99 NITRATE NITROG 1.58 MG/L 0 - 10 9139 08/27/99 NITRITE NITROG <0.01 MG/L N/A 9146 08/27/99 IRON (Fe) 0.168 MG/L 0-0.3 mg/l 2037 08/27/99 MANGANESE (Mn) 0.473 MG/L 0-0.3 mg/l 2037 08/27/99 SODIUM (Na) 33.2 MG/L N/A 08/27/99 pH 7.3 UNITS 6.5-8.5 9043 08/27/99 HARDNESS,TOTAL 356 MG/L N/A 08/27/99 ALKALINITY (AS 258 MG/L N/A 08/27/99 TURBIDITY <TUR 2.2 NTU 0-5 NTU 08/27/99 E. COLI (CONFI ABSENT 100/ML ABSENT COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATER (WAS F A SATISFACTORY SANITARY QUALITY ACCORDING TO TH W YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. ` Pb/Cu LEAD limits for p EPA Lead & Copper than 10% of their than 15 ppb and a treatment must be potential. ablic schools are set at 15 ppb. Rule for Public Systems requires that no more distribution points have a LEAD value of more COPPER value of 1.3 mg/L, else water undertaken to reduce the waters corrosive Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. Na No limits for Sodium are proscribed. Suggested guidelines state that for people on'a sodium restricted diet,the water should cuntsin no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: So h et�a� Town/Village: P�t-sos� Tax Grid # , Map Block y Lot(s) Well Owner: Name- Address: b / . fk1 s C-® 34 somk t- Lt_tgAsoic-1 / Use of Well: 1- primary 2- secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total lengthy ft. Length below grade Q _ft. Diameter _7in. Weight per foot _f 7 lb /ft. Materials: _ Steel _ Plastic _ Other Joints: _ Welded _ Threaded _ Other Seal: _ Cement grout Bentonite Other Drive shoe: Yes No Liner _ Yes _AelNo Screen Details Diameter (in) Slot Size Length(ft) IDepth to Screen (ft) Developed? First Yes—No Hours Second Well Yield Test _ Bailed _ Pumped /Compressed Air Hours Yield gpm Depth Data Measure from land surface- static (specify ft) 5 4ef During yield test(ft) Ro am Depth of completed well in feet �4S 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 6 0206- 'N/ If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type per Capacity X00 P Depth /020 Model A 6�S;A_< Voltage aid HP Tank Type I /iCtpI Volume 10 o�-' M Date Well Co pleted �� �q Putnam County Certification No. 0-07 Date of R port Well Driller (signature) NOT : Exa t location of well with distances to at least two penman t lan arks to be provided on a separat eet/plan. Well Driller's Name �` � dot - Address: % . 3 G a,0)1 / V •1 Signature: Date: q %� 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 GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchaser of Building Tax Map Block Lot Building Constructed by TownNillage n Location - Street Subdivision Name Building T e 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 ofthe 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 Day 4 Year Signature: r _ Title: General -) - Signature Corporation Name (if corporation) Address: 31 ,_A�)y1F_ State pA--rCE J?—Go-Iq Zip i f-A'o Corporation Name (if corporation) Address: - � ,nniT State 7A -gF U `I Zip tZ Form GS -97 AQUA ENVIRONMENTAL LAB 56 Church Hill Road • Newtown, CT 06470 • (203) 270 -9973 Report of Analysis Name: Vikki Difrisco Sample ID# Limits 34 Sonnet Lane Sample Type: Patterson, NY 12563 Sample Source: Sample Date: 10/25/1999 Sampler's Name: Receipt Date: 10/25/1999 mg/L Report Date: 10/27/1999 Sample Site: 34 Sonnet Lane, Patterson, NY Hardness 20455 Drinking Water 0 Parameter Sample Result Units Limits Metals Iron ND mg/L 0.3 Manganese ND mg/L 0.05 nera s Hardness ND mg/L No limit set Not eece = above specified limit ` �LC� s, Report signed by: � ' ,-- +.v�G�.•3 ,% CT Lic PH -0787 BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 �71; LO ;a► MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (914)278-6130 Fax (914) 278 - 7921 Nursing Services (914)278-6558 WIC (914)278-6678 Fax (914) 278-6085 Early Intervention (914)278-6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 Ken Hurley Putnam Engineering 102 Gleneida Avenue Carmel NY 10512 Re: Proposed Compliance: Difrisco 34 Sonnet Lane, Lot 92 (T)Patterson, TM# 13.07 -1 -27 Dear Mr. Hurley: October 7, 1999 Review of plans and other supporting documents submitted at this time relative to the ' above - regarded project has been completed. Comments are offered as follows: 1) Water analysis results exceed New York State Standards in the following: a) Maganese b) Combined limit for maganese and iron Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. RM:tn Ve your Robert Morris, P.E. Senior Public Health Engineer APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET for CONSTRUCTION PERMIT STREET LOCATION NAME OF OWNER BY B. HEDGES R.MORRIS OTHER DATE _J_/ TAX MAP # DOCUMENTS. Y��_ M PERMIT APPLICATION mil EE WELL PERMIT 03 PWS LETTER ,ED GINEERS AUTHORIZATION_ DESIGN DATA SHEET(DDS) m CORPORATE RESOLUTION m PLANS THREE SETS HOUSE PLANS - TWO SETS ED VARIANCE REQUEST SUBDIVISION ED LEGAL SUBDIVISION M SUBDIVISION APPROVAL CHECKED FT-1 PERC RATE ED FILL REQUIRED DEPTH M CURTAIN DRAIN REQUIRED mSTANDPIPES ,EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE IF PUMPED PIT & D BOX SHOWN & DETAILED MOUSE - NO. OF BEDROOMS ,WELLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM P OPERTY METES & BOUNDS f :- IP- OUSE SETBACK NECESSARY (TIGHT LOT) HOUSE SEWER - 1/47/FT. 4 "0; TYPE PIPE NO BENDS; MAX. BENDS 450 W /CLEANOUT FILL SYSTEMS .. ¢LAYBARRIER 110 FT HORIZONTAL: SLOPE 3:1 TO GRADE FILL SPECS m FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES ILL PROFILE & DIMENSIONS �LLUME GENERAL L IN EXPANSION AREA f..-DATA - APPROVAL SSDS ADJ. LOTS TLAND ( TOWN/DEC PERMIT REQ ?) TRENCH ON DDS PLANS & PERMIT SAME LF TRENCH PROVIDED =60 FT MAX E- 1969 - NEIGHBOR NOTIFIFICATION ARALLEL TO CONTOURS TTER BI/ZBA 100% EXPANSION PROVIDED YR. FLOOD ELEVATION REQUIRED DETAILS ON PLANS �rEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE m GRAVITY FLOW CONSTRUCTION NOTES (GRINDER NOTE) DESIGN DATA: PERC AND DEEP RESULTS IWO -FOOT CONTOURS EXISTING & PROPOSED AY & SLOPES CUT AIN DRAINS ION CONTROL; HOUSE,WELL, SSDS [ON CONTROL NOTE & DEEP HOLES LOCATED ?SENTATIVE OF PRIMARY AND EXPANSION LOCATION MAP TO P.L., DRIVEWAY, LARGE TREES } TOP OF FILL T TO FOUNDATION WALLS 15' WELL TO P.L 1 TO WELL, 200' IN D.L.O.D., 150' PITS TO STREAM WATERCOURSE LAKE (INC.EXPAN) 1 92 0' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 0' TO WATER LINE (PITS -20') 0' INTERMITTENT DRAINAGE COURSE 00 FT. RESERVOIR, ETCH 150 FT. GALLEY SYSTEMS 5' MIN TO C. D.' S= >5 %,20'- 4 %,251- 3 %,301- 2 %,35'- 1%,100' <l% 0' MIN TO C.D. DISHARGE A 00' WITH 182 CONS DAY DIS. SEPTIC TANK m 10' FROM FOUNDATION; 50' TO WELL COMMENTS: PC -1 PUT NAM COUNTY D E PART M E NT OF H EA EY H APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name and Address of Applicant: V/ V /a/ JaLe rr 90 9+57- 4AESO" PR14'r 2. Name of Project: - -Sjly <�L�L.y 3. Location T /V /C: i�/��i .�d 4. Project Engineer: (Tl� �'9� , �/� 5. Address: PJ6 6QX COWL- NY 105 License Number: S JZ7 % Phone: % _ 6. Type of Project: Private /Residential Food Service Commercial Apartments Institutional Mobile 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? ............. No 9. Has DEIS been completed and found acceptable by Lead Agency? 10. Name of Lead Agency 11. Is this project in an area under the control of local planning, zoning, �O orother officials, ordinances? .......... ............................... 12. If so, have plans been submitted to such authorities? .................. 13. Has preliminary approval been granted by such authorities? Date Granted: 14. Type of Sewage Disposal System Discharge...... 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? .................. /Vo 18. If yes,, name of water supply Distance to water supply 19. Is project site near a public sewage collection or disposal system ?..... /V0 20. Name of sewage system Distance to sewage system 21. Date test holes observed: Vr-f-722. Name of Health Inspector: _%''1VOi'41-S 23. Project design flow (gallons per day) .......... ............................ 11/93 2. 24. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?.. 25. Has SPDES Application been submitted to local DEC Office? ............... 26. Is any portion of this project located within a designated Town or State wetland ?. ............. ............................ 27. Wetland ID Number ......................... ............................... 28. Is Wetland Permit required? .............. ............................... . /Vo Has application been made to Town or Local DEC Office? .................. ~� 29. Does project require a DEC Stream Disturbance Permit? ................... /VO 30. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ........ YES or NO 31. Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? ..............YES or NO DESCRIBE: 32. Is there a local master plan or file with the Town or Village? ........... 33. Are community water, sewer facilities planned to be developed within 15 years? 34. Are any sewage disposal areas in excess of 15% slope? ........................ '" y 35. Tax Map ID Number ... ........................ °..�... 7...................... 36. Approved Plans are to be returned to: ................ Applicant X,_ 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 may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, form is true to the best of my knowledge a herein are punishable as a Class A Misdel the Penal Law. A. i SIGNATURES & OFFICIAL TITLES: MAILING ADDRESS: ation provided on this a statements made Q Section 210.45 of NO PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE "TREATMENT SYSTEM Omer Address &., L_" Located at (Street) 64NAIFT �- /�- ���4 i AP Tax Map I_ Block !7 Lot ;Z. (indicate nearest cross street) Municipality fA t j!gZk ►� �°tT_ Drainage Basin 1X&J&7?_ . ) t/A VIAl /�yL SOIL PERCOLATION TEST DATA Date of Pre - soaking qj /0( (11 ?M Date of Percolation Test J1 16147 PM Hole No. Run No. Time Start - Stop Vag Time Min.) Depth to Water rom Ground Surface (Inches) Start Stop Water Level Dropp In Inches Percolation Rate Min/Inch ('� 1 2 ��34 haw 30 l �� 3 10 3 &Q q �'3 36 10 4 31 7v� 30 c ) 6 s 1 ' S�`l �� ► 2v 3 a 2 3 4 '/v �7�`/,/ v s 2 3 4 5 - NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. 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' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' 10.0' TEST PIT DATA. DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. HOLE NO. !� - S.�tVmy' HOLE NO. 2 Indicate level at which groundwater is encountered 5 Indicate level at which mottling is observed Indicate level to which water level rises after being encountered. Deep hole observations made by: KM!:911 Date Design Professional Name: ,l—s Address: tvd 491) X 6 W 4- ®f yo Signature Design Professional's Seal PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date ...rte Re: Property of ��- ���'��.,.��r¢j✓C% Located at 4mw�Yl XNu (T ) �TfZW150^/ Section Block_ Lot_ _ Subdivision of Subdv. Lot # Filed Map # Date Gentlemen: This letter is to authorize a duly licensed professional engineer. (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 R.A. , # o -a'75a •� �SGtG��t10 ��d� Address 10�6C (q�qQ 73� -6sd'a Telephone Very truly urs Signed Owner of Property Address Town Telephone /r \ DOdihl�ierdmoattltl an" savieaa.CaN"ILT.low �fra!•P.aWl�slt t 1� = CXRTEWATZ Of COMMAMM Emil pC f\\\ 1�1� l0! f�►AQi DMWOYL STEM ! ltlnllt / p �6 X86 2e-v. LV/00 t:•�,� l Z i- Mate Subdivision ARgroved Fee Enclosed • s..• �t TM i� ====� �%f%i� set Lwt_T M Sector 0* D� a — V�e l�.tite .r —. tDlis2 Dtlip Flow G ! D DD Nedeendest la Resided+ wti..1� Y ewl�idatt :slue Seweow hub= 00 *onta1��R7d sloe Taps � Ted be "Movegd by zzwl l�A.✓D WOW S"* Fto_ an ✓ >..aea. S.Ay Deed i rMreaant that 1 am who" a" compmety responsaw4or ten Ms!M and location Of :M proposed system(s); 1). that the 9604rata disposal system •bore described will be constructed as shown on the apPre.+d awMwdewtt there to and in accordance with the standard; ruins a sego o Cewwgr Docert -ent of NaaK14 and that on eompbttow "sweet a "Certificate of Construction Complunoa" satisfactory to the Commissioner of Healthw{ll be 00000" to thin Oeperbnewt, and a written guaraeeee was M furnished the owner, his succossM16 hairs or assigns by the builder, that nod bu"er will pre+e M good Meriting condition any part of 00 nOMM dispoW system during the period of two f2 s knmedutNy following thedate of the Now ante of ten approval W the Certificate W Comtrvdbw Cawpfiweo 01 t iginal system p a s then o; t) that the drilled well Oesc►Aed abase we he bate of 000rw on ten approve pun and that mid wen we be katal in nos N he a ; rules and r e—uGT i of the Putnam Cetswty Oeq o1 tR f `� / Oeb /1 S>rha 2'�L — P.E C _ R.A. - Addr �� License No APPROVED PON CONSTRUCTION: This approval e=06 se "we yeas from ten data i unless construction of the building has then undertaken and is Nroeable for cause or may be arnerlaed or modified when considered necessary by ten mmiss{oner of Hutt& Any change or alteration of construction � irea nTSV�mK./ OOrWad for disposal Ofk in►>tary Nwage. and /or cater tu00M one' t le) I ►eprpant:ahat 1 im• wholly a w conipNblyi , i4sib allow daspiba0 will be,constructed as shown on•ti ss County: 'Dsbartmant ,, of HiMkh, "snd.that on compm be SmIlmifted to the, DepertniaM. and, a' nivilliSPI 'gw plate I* flood .ojerathtg -condition _any pat oh said am" of 'the appr"al of tow Certificate of Comtrus wMl N lotatad at thoYin on thi;appri m plan e4that .Count :Oapar ant of I/Mitk- . Wte Addy APPROVED FOR CONSTRUCTION' TeNapproiial,at nvoubIs for cause or may be aniMlds ow'.Mo0ifiell w Ntluhes a mit, Approved- for dis"I of Rev. �� /' 10/88 . w'for tM deign an0 location Of .�M 'propOSSd,r fystomtg i, l), that- the reel Mw dl >fit atom proved arrNrdn7ent •thee to and in accordance with the sgndards, rules a regulations or ' Pultnam ion, thsreof•a "Certificate of Construction;Conipliams" satisfactory to the Commissioner of Heelthwlll rent wit fumishid :the owner, hi; sucpsaors Mt►s or,assipii by the ttuiMar, that said builds will sawage-OiWOYI syftin► Au►ing ths.petioa.of' two (21% bnm<tOtgbly following the date of tM,ifau- tlori` Compliance or; C 191MI slrstenl o. $ ttw► of 2) that the drilling well Oast r10m0 above raid well wili'M Instal in ,a Mang; it M a 1 % rules and repu aMMis of the Putnam e ; Slgnedt^ P.E. R.A. 6 9EZ.' Lieensa No pNet two year "s from the.. 'dati •i ed unless conit►uction', of the b0ildin4 has bean undertaken and r� hen eonsidenA naeestaiy _by 'tiia• ominissioner,' of Health. Any change or alteration of construct bi' ssilesik anRa ►y sesiratie, and /o► ate wpb only. IV Tom L C�—` '. ..1Dete 'dime WH16 E Yo iiIERE-OUT- 21M C ^<Phon® v f ; rea -Code Number Ezien$ion - TELEPHONED 1, PLEASE CALL CALLEO TO SEE YOU Wltl CALL AGAIN r` 6. WANTS TI SEE YOU =- URGENT 4 { RETURNED YOUR CALL lNeseaee - .r�✓ - AMPAD 23 -000 50 SHT PAD :. EFFICIENCYQ 23 -001 250 SHL DISPENSER BOX DESIGN DATA SHEET-SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. fi Owner dozar 2ze-�/ o Address 2 e Located at (Street):�ff,&:r,- 44 P Block' Lot 9 (indicate nearest cross street) 11 cipality Watershed \SOIL PERCOLATION TEST DATA MMED TO BE SUBMIT= WITH APpjj=QN*S" Date Of Pke�-So&king Date of Percolation TLt ,-S 2 3 4 5 2 3 4 5 2 3 4 �j .i-3 , IJ RA e7 gl- F-A 9 ,&a . //.,97 z . Is---5 lg,d N►: 1. Tests.. to be repeated'. At same depth until approximately equal soil rates are e . obtainedat each percolation . test hole. All data to* be suhdtUd for review. 2. Depth masurenents to be made fran top of hole. rev. 9/85 HOLE NOMER CLaM, TIME PERCOLATION PERCOLATION Run 'NElapse Depth to Water Fxm Water Level No.. Time Ground Surface In Inches Soil Rate Start-Stop Min. Start stop Drop In Min/In Drop Inches Indies Inches 2 3 4 5 2 3 4 5 2 3 4 �j .i-3 , IJ RA e7 gl- F-A 9 ,&a . //.,97 z . Is---5 lg,d N►: 1. Tests.. to be repeated'. At same depth until approximately equal soil rates are e . obtainedat each percolation . test hole. All data to* be suhdtUd for review. 2. Depth masurenents to be made fran top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. -l- HOLE NO. HOLE NO. _=7 G.L. 4' 5' 6' ir 7' 8' 9' 10' 11' 12' . 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED, INDICATE LEVEL TO WHICH MATER LEVEL RISES AFTER BEING 'ENCOUNTERED A161A �" DEEP HOLE OBSERVATIONS MADE BY: /'�� DATE: j e DESIGN Soil Rate Used / ®' / Min/1" Drop: S.D. Usable Area Provided y No. of Bedroans Septic Tank Capacity IZ,® g Type Z�NXy Absorption Area Provided By L.F. x 24" width trench Other d� o� ° z� Name �i Signature Address $' %�1/' SEAL w °• 05761 �U� RpF f ��y�L THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved ..sq.ft/gal. Checked by Date =i PUTNAM COUNTY DEPARTMENT OF HEALTH - D SI F HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS (Name of Owner) COMMENTS �J REVIEW SHEET - CONSTRUCTION PERMIT DATE REVIEWED: BY: (Street Location) YES NO DOCUMENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results (3) 30" Perc Hole Other House Plans - Two sets If PWS - Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan go //,/ -/ 2f-"--W Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions.- Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data Two -Foot Contours Existing Proposed Driveway & Slopes Cut Footing /Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage & Expansion Area Expansion Area;shown;gravity flow,suff. size If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Property Located Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 "0; Type pipe No Bends; Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in'D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains- Curtain,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' from Foundation 50' to Well 15' Well to PL GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Toms /DEC Permit R & D) Data On DDS Plans & Permit Same PUTNAM COUNTY DEPARTMENT OF HEALTH APPENDIX K DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 8/27/86 Re: Property of Carme Terfacciano Located at Sonnet Lane,Patterson (T) Section 1 Block 7 Lot 2 Subdivision of Crossroads Subdv. Lot # 2 Filed Map # 1012B Date 10/26/84 Gentlemen: This letter is to authorize Anthony S. Pissari a duly licensed professional engineer X or registered architect_ (Indicate) to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in 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 y urs, ww Signed Countersigned: weer of roperty 57572 Westwood Dr. P.E. ,- R.rA,, # Address P.O. Box 665 Address Bedford Hills,N.Y. 10507 (914)245 -8797 Telephone Mt- Kisco, N.Y. 10549 Town _ (914) 666 -8240 Telephone DAVID D. BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services _. September 22, 1986 Anthony Pisani PO.Box 665 Bedford Hills, New York 10507 RE: PROPOSED SSDS Carme Terracciano Sonnet Lane (T) Patterson JOHN SIMMONS. M.D. �^ Deputy Commissioner Dear Mr. Mr. Pisani :. 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 ,�SSDS design must be based upon the most conservative perc rate, i.e., that of the subdivision approval. This requires 667 LF.of 2 ft trench in primary area.and 337 in expansion urea . 2.r` Design data, ,perc rate and soils types;. are nqt shown on the plan. J Proposed contours are not provided. Fill detail must show a clay barrier. t,,i5. The well looted on lot 4 should be shown. 6. On the plan drawing show top of fill slope and toe. Upon receipt of a submission; revised to reflect the above comments, this application will be considered further. JK:mk y ours, . 1 , . , P. Environmental Health Services TWO. COUNTY CENTER CARMEL, N.Y. 10512 (914) 225 -3641 (914) 245 -8797 � •1 Construction Consultants, Inc. Residential 8 Commercial Inspections Sub- Divisions 8 Septic Designs Architectural Design & Site Plan Review November 6, 1986 John Karelle, Jr., P. E. Putnam County Department of Health Two County Center Carmel, New York 10512 RE: Proposed SSDA Carme Terracciano Sonnet Lane (T) Patterson, N. Y. Dear Mr. Karelle: P.O. Box 665 Bedford Hills, N.Y. 10507 In reference to your letter dated September 22, 1986, regarding the above captioned SSDA, the following amendments have been made: 1. SSDA has been redesigned to provide 672 LF of 2 foot trench in the primary area and 337 in the expansion area. 2. Design dates, perc rates and soil types are shown on plan. 3. Proposed contours are provided. 4. Fill detail indicates a clay barrier. 5, 6. ASP :gs Well location on lot #4 is noted to be over 200 feet from proposed SSDA. Plan drawing shows 2 :1 slope and toe. cc: Carme Terracciano ft MOO AS *IOM ON rOgftfM rM '*90t ML9 NO. PA. 10060 y r LM NO.2 " ruft, Stbf91v1sm PLA- or CtRO<s61tt At* riLw mw No. 10129. rLw Io- 26-+84 . ' • �ttlN►iE N -rGVVN Or- PArlrf.R ON PUrNAM •CO., N.Y, 5C&D: 1.11 50' MAIN s. 1999 COPVI a•tt• © 1999 TCR RY MZC"OWF COLLINS, N.4IRkitt^ ISl mW 1f" Owv. � APRL- 10,1999 C LAC. !3X15c i mwr. V0.4-5) PIR7 f0,. AnaL 24.1994 ( "Aft) �,� � 61/�1C /�tKJ 15f It, 1999 ( IWAft) RA551" i kimA XAcrL?C / I.AVW O TM.L INSIR/V a rOMIM rOR 7t'RIR Me NO. PX 1006O t?9C/ oN51wI mw mwoN SIawy im MY WA$ rla AMP N /iGCOW*a - WITH 11e . . ?m.comi Or t'R1YG'I•ICn POR ~ X15 PM 9Y 7!•C MW.YQM 9017!`. A55OCLknO J °ROF09494- t.*V YOi@5. W. tt rAtima -swA. taN ONCY.TO 71•L PeR50N 7F£ A.Miritmm Or Welly M*15 9Y ANYC' OftRlHM IM OMM44, t''ftFMIZ 15 MI5• LCli", COJ' M4Q AW NOr N IM aW WELrm AqP owertr Ar: 7FC N owc. WON= Lmw %RVCYom 8•tq.L NOt' &1, SUWY MIO°9. SLk% PL -*.%M fm 4 eTmv n '�. .yr$' ".(, ,.>klala• .��� X51: .."+• Y -. -,�.,. iY " °i• '4:• ...i;'.: MiEva", agm 0.9a n0,01 If . 093 4Q�' ot ew Opt' re.CLM y r LM NO.2 " ruft, Stbf91v1sm PLA- or CtRO<s61tt At* riLw mw No. 10129. rLw Io- 26-+84 . ' • �ttlN►iE N -rGVVN Or- PArlrf.R ON PUrNAM •CO., N.Y, 5C&D: 1.11 50' MAIN s. 1999 COPVI a•tt• © 1999 TCR RY MZC"OWF COLLINS, N.4IRkitt^ ISl mW 1f" Owv. � APRL- 10,1999 C LAC. !3X15c i mwr. V0.4-5) PIR7 f0,. AnaL 24.1994 ( "Aft) �,� � 61/�1C /�tKJ 15f It, 1999 ( IWAft) RA551" i kimA XAcrL?C / I.AVW O TM.L INSIR/V a rOMIM rOR 7t'RIR Me NO. PX 1006O t?9C/ oN51wI mw mwoN SIawy im MY WA$ rla AMP N /iGCOW*a - WITH 11e . . ?m.comi Or t'R1YG'I•ICn POR ~ X15 PM 9Y 7!•C MW.YQM 9017!`. A55OCLknO J °ROF09494- t.*V YOi@5. W. tt rAtima -swA. taN ONCY.TO 71•L PeR50N 7F£ A.Miritmm Or Welly M*15 9Y ANYC' OftRlHM IM OMM44, t''ftFMIZ 15 MI5• LCli", COJ' M4Q AW NOr N IM aW WELrm AqP owertr Ar: 7FC N owc. WON= Lmw %RVCYom 8•tq.L NOt' &1, SUWY MIO°9. SLk% PL -*.%M fm 4 eTmv n PUTNAM ENGINEERING, PLLC 102 Gleneida Avenue Carmel, New York 10512 Phone: 914 - 225 -3060 Fax: 914 - 225 -2955 a7FPi LETTER OF TRANSMITTAL Date: 'I h <9 RE: 'n i FZFSC_© �A L-AVqF- `FAITf-�SD/\.t . -rM it 115. G7-7- (- 27 P/E Job # We are sending you attached -X— under separate cover, the following items via 1st Class Mail, Originals Prints Colored Prints Copies Date Overnight, Hand Delivery, Pick Up: Reports Plans Photographic Exhibit Specifications Other: Dwg. No. 1-� W AvP0 ANAL -- � Fa-e� _ Description These are transmitted: __�_ For approval _ Approved as submitted _ For your use _ Approved as noted _ As requested _ Returned for corrections — For review /comment _ Resubmit copies for approval Submit _ copies for distribution REMARKS: Copies to: SIGNED: A� if enclosures are not as noted, kindly notify this office. (Ufi/ansmH.wpa.2) PURNAM �T COMUi DEPARrAUM �� d SQL �e0, N.Y. 10312 QO Fidylt9e Finattk Y. sit CaMTERCATE OF C CO N mil' FQF; SSWABB SAL SHSiffi1S, 1 represent'.that I am wholly 'and completely responsible r0► the design and location bf the proposed system(s); 1) 'that the separate': sewage di HI s stem above dexribed will be, constructed as shown on the.approved amendment there to and. in accordance with the standards, rules a regu ns o nem county Department o9 Health, 'and that on completion thereof a ^Certificate of Constrt iction `Comotiance" satisfactory.to the Commissioner of Heslthwill be submitted to the Department, and a written guarantoo. will Oe furnished the owner, his successors, holes or assigns by. the builder, that said builder will ploce in good' op ating condition any part "of said sewage Aispotil,- system d, using the period of two (2) years Immediately following thegate of the isau- Once of the approval of the Cortiflaato of Construction Cornplionce of the riginal system any repairs thereto; 2 that the drilled well destribod above will be located es shommn on the approved, plan, and that said droll will be Instal n a ban It r s and rcgu ons of the Putnam county Department at tfalaltb. " Date �� --9"7 Signed AdAr® a APPROVED FOR CONSTRUCTION: This approval expires two „ rs f om the date revocable for cause or may be amondod or modified whencon Lary by,, requires o v6mit. proved for disposal of domestic age an Rev. 10/88 Date By P.E. R.A. _ License No S32-77 ed unless construction of the building has been undertaken and is Commissioner ofHeal in. Any change or alteration of construction p 'vats water supply only. Title W tRe V 5 PUTr4AM DEPARTMENT OF HEALTH -COUNTY-DEPAIrn DIvIslondE vironme�fid'Hiwtigim,�ii�caiiiiel.N.Y—.,16�i2 n- -. � '. &rtdProAdeTeiibii# WT OF.d)w :6im CERTIFICATE .,C, NSTRUMON PERMIT FOR - SEWAGE DISPOSAL SYSTEM Permit County Departmini of!*Healtti, - and that on completion ,be, submitted to.. the . Depa►t I hien.t*" 'and -.a- •writtengivaran place i , n good 'op6iit ling ., condition a . ny .part ,of said.'. sio ante Of the approval of the Certificate of Constructloi will•be located as shown ,66 the approved' plan and that iiii count*y, DePartmeji 'of H 0"alth. Date' Ktln APPROYED FOR C ,revocable for cause requires a new_ perk I . � ThWapproval expires one led- or modified when 6qnsid, for disposal By isfactbry to*the Commissioner of Healthwill I si gn,s by the builder; that said , builder will m medlately fol,lo w i n I g-thedate . 0 i Ahe issu- _... I z reto; 2) that the drilled well describid above is,-r . ulai -'and �rag.V7on_sof the Putnam P. R.A. License 146 of the building ha . s'been undertaken and is Anv thane or alteration of construction FROM : PUTNAM ENGINEERING PLLC PHONE NO. : 914 225 2955 Jul. 13 1999 08:15AM P1 MEMO TO: FROM: PUTNAM ENGNEERING, PLLC DATE: RE: REQUEST FOR SSDS AS BUILT INSPECTION PROJECT TITLE: D t Fgtsco -- STREET ADDRESS: 501,j i jr,--r TOWN: 42A TALC MAP #: PERMIT #: ! '� pI & L,o-r.;,;;L PLEASE NOTIFY THIS OFFICE AFTER YOUR INSPECTION AT (914) 225 -3060, IN ORDER FOR US TO NOTIFY THE CONTRACTOR(OWNER THAT BACKFILLING THE SYSTEM MAY BEGIN. / -F k 6 L V�S Lr-�" PAOr o 7Ttg 5 c 4T, i re —V[4 Denton `1 . iOl�e Lake r`f;: I F 292 Q6-3-1 t Akins I': I \ c C 8 '.SoLake . n 1 rSSt G7ila4�r em 0. 311 n'a�, d a 7ui 91 S,. y ESi tG'' 11 t -N 1 ; 12531 I -. _`_ . •� _ _ .. �� - � __._.. -_ � .. � I t 64 .o'1 Brook >. 311 12563 . I . e ° "•< 22 own tU ' a OR 4 May Mendel Pond Corn ,.� ��.._: s t °+ antes 311 Corners i 62 E �\! oaf p � 4 A,. ill 46 =%' Yeinbeck . Corners 22 rners t84 1� Ique Area Mount E Cor Po r: 62., nn HS OES g °^ ae BretusterF. ° Pond r. >: } eman MS +roq Estate ■oldSout, }t 1- 800 - 345 -7334 ' N 976000 iF P/0 WI It7 I s 13 16', j° ,' 1 t .14 1 13 �$ 1 � 1.00 AC. CAL 13 12 2.93 AC. CAL. Q 0 Ra 9 1 1 a tozsi /0 10 11 9 r SCALE IN 1110 OF AN INCH 4 J / i 1.01 AC. CAL 3 1 1.04 AC. CAL 1.99 AC. CAL. ��7 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278 -.6130 Fax (914) 278-7921 Anthonv Pisani 3 Rosalind Drive Peekskill, NY 10566 1-i BRUCE R. FOLEY Acting Public Health Director July 22, 1997 Re: Proposed SSDS: Terracciano Sonnet Lane (T) Patterson Dear IA4r. Pisani: Review of plans and other supporting documents submitted at this time relative to the above - captioned project has beep. 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." "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." 1. Current codes requires that soil testing be performed on all lots approved prior to 1987. Therefore, deep test holes and percolation tests must be witnessed by a representative of this Department. Contact this office to arrange a mutually suitable tune. 2. Trench cover is to be noted as geotextile material or equivalent. 3. Remove fill not;; This is not applicable for fill sections tw-o feet or less. 4. Standard nog-`5 must be added (enclosed). 5. Renewal note must be added (enclosed). 6. Current codes requires that 100NO expansion area be available. Furthermore, fill must be placed in the expansion area. 7. Current codes requires that fill extend 10 feet past the edge of the trench and then slope 3:1 to made. 8. The top and bottom of the fill is to be shown and labeled. 9. Sewer line is to be noted as dosing a minimum slope of 1 /4 " /ft. 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 RXVJP 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 5 Street dress �4 Town/Village City a Tax Grid Number WELL OWNER Name T',L-11 Mailing Address 10 L C*u"reL fly /U11,,L— private ,11 U O Public USE OF WELL 1 - primary 2- secondary I&RESIDENTIAL 0 BUSINESS 0 INDUSTRIAL 0 PUBLIC SUPPLY O FARM b INSTITUTIONAL Q AIR /COND /HEAT PUMP 0 ABANDONED s O TEST /OBSERVATION O OTHER (specify O STAND -BY O AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGELjjnjL,,$al CI REPLACE EXISTING SUPPLY 0 TEST /OBSERVATION 12-ADDITIONAL SUPPLY' NEW SUPPLY NEW DWELLING O DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE 0ILLED DRIVEN ODUG ® GRAVEL. ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: S Lot NO. WATER WELL CONTRACTOR: Name Address: /1Ymlzll ._� IS ,PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _ NO NAME OF PUBLIC WATER SUPPLY: ^'-�'�^ TOWN /VIL /CITY DISTAQCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ' M /17_ �ON SEPARATE SHEET (signature PERMIT TO CONSTRUCT A WATER WELL This P;-,rmit to construct one water well as set forth above is granted under the provisions of S utoart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thir t1'(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. Dur insall well drilling operations, the applicant shall take appropriate action to assure that any a4 all water or waste products from such well drill operations be contained on this prop et.y and in such manner as not to degrade or othe contamin a surface or groundwater. Date d" Issue: Z 191 Date c Expiration 19_ Permit Issuing Official Perm iris Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller 1 -6 -n AS -BUJ L T MEA50REMENTS ( IN FEET E `M REVISIONS •I NO. DATE 61 PLLC u '-DESCRIPTION ENGINEERS PLANNER NEI ®A AVENUE, CARMEL, NEW YORK . 10512 4) 225 -3060 FAX (914) 225 -2955 :: "... .. -:, .- � ". r.: --G Y ., x.- ' . -..+ �"' •: Y. �3" %q ". -.. ,Y, N..,r. R. .. .� Y �. r, �.. -•.r .. 2.. 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