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HomeMy WebLinkAbout0460DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13.07 -1 -55.1 BOX 6 NO INN IN IN me J m � T ININ r V a,��� E. 00269 I'/ PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION-COMPI IANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # =4— Located at 'Z CO a �J*LL HI L-l. I26 f+PI'own or Village PA-rrVV-50 �J Owner /Applicant Name T A-e '�>'&� -Lit Tax Map 13 Block Lot J Formerly Subdivision Name S C kff c'/ k Subd. Lot # Mailing Address 9'13 1 ; Zip Date Construction Permit Issued by PCHD 1 1� Separate Sewerage System built by PX1 :]E N a A, LL— Address y Consisting of \ 0 G 0 Gallon Septic Tank and L :7 CAA Other Requirements: Water SUDDIV: Public Supply From Address or: Private Supply Drilled by E' X 157"1 �J Address Building Type r�X NJ OQ Jj r—M Al F— Has erosion control been completed? AP--C, Number of Bedrooms Has garbage grinder been installed? 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 the standards, rules and regulations of the Putn County Department of Health. Date: l0 Zb Certified by P.E. X R.A. l 1 _ �a h aj ' �� (Design Pro�fessiogal) Address Z � k.i�S �� �� l Z S� 3 License # YC7 "7 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 subject to modification or change when, in the judgment of the Public Health Director, such revocation, modification or change is necessary. rim��� - Title: Date: Wh"Py - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 1.0 CERTIFICATE OF CONSTRUCTION COMPLIANCE J 1. Certificate of Construction Compliance. OVA The Construction Compliance Permit is to contain the assigned "E911" address issued by the respective municipality. The "E 911" address is to be provided at the "Located at it section on the permit form. XThree (3) copies of a two (2) year guarantee, signed by the installer, and /or general contractor, or the owner. If the water supply is from a drilled well: a.Satisfactory results of a water analysis, for the parameters in Table I below, conducted and �— reported by a NYSDOH approved laboratory under the "Environmental Laboratory Approval �C Program (ELAP)." 1,4. A Well Completion Report signed by the well driller, including the results of at least a 6 -hour pump test (See Appendix K). X If the water supply is from a public water supply, satisfactory results of a coliform bacteriological analysis of a water sample taken from the service connection, performed by a laboratory approved by the NYS Health Department "Environmental Laboratory Approval Program." the Four (4) sets of "as- built" plans, signed and sealed by a Design Professional, licensed and registered to practice in New York State. These plans shall be scale (minimum 1 inch to 30 feet horizontal) and shall include: ,.a/Surveyed house location with respect to property lines. The plan shall make reference, by note, to the source of survey. !Metes and bounds description of property lines. ,Actual location of installed SSTS and water supply improvements. �he distances necessary to locate the septic tank, distribution boxes, junctions boxes, ends of the SSTS and well from two fixed points, preferably the corners of the building. ,,e-lhe plan must include a legend, which reads as follows: "This is to certify that the sewage treatment system was constructed as indicated on this plan and that the system was inspected by me before it was covered over. The system was constructed in accordance with all standard rules and regulations of the Putnam County Department of Health and the New rk State Department of Health." , r ne "as- built" plans must also include a title box, giving the information required on the %� J original design drawings. Minimum size of "as- built" plans should be 11 inches by 17 inches / with a minimum scale of 1 inch to 30 feet. Ug!fpace for Putnam County Health Department approval stamp (minimum 3" x 5 ") preferably at the lower right -hand portion of the plan. YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245 -2800 Albert H. Padovani, Director ** TEST REPORT ** LAB #: 9.500636 CLIENT #: 8466 NON STAT PROC PAGE: 1 of 1 KARELL, JOHN DATE /TIME TAKEN: 10/29/15 08:45A 121 CUSHMAN RD. DATE /TIME REC'D: 10/29/15 09:14A PATTERSON, NY 12563 REPORT DATE: 11/02/15 PHONE: (845)- 878 -7894 SAMPLING SITE: 423 CORNWALL HILL RD, PATTERSON SAMPLE TYPE..: POTABLE KITCHEN TAP PRESERVATIVES: NONE COLD BY: JOHN KARELL JR TEMP RECEIVED: 13.4C ON ICE NOTES...: COLIFORM METH: MF START DATE /TIME END DATE /TIME FLAG PROCEDURE RESULT NORMAL - RANGE ' METHOD 10/29/15 0430 10/30/15 0330 MF T. COLIFOR ABSENT /100 ML ABSENT SM 18 -20 9222B COMMENTS: N =TC To Coliform = This result indicates that the water. (was), (was not) of a` satisfactory sanitary quality according.,to w York State and EPA federal drinking water.standard.:for .. _.. this parameter. This comment applies to the Total Coliform test only. THE ABOVE TEST i, AND RELATE Y'P SUBMITTED BY: Albert Director MEET ALL REQUIREMENTS OF NELAC, SAMPLES RECEIVED BY THE LAB ni, M. T. (AS,CP.) a. S j ELAP# 10323 OCT -28 -2015 03:45PM FROM - ENVIRONMENTAL HEALTH 8452787921 T -295 P -001 /001 F -106 PU TNAM COUNTY DEPARTMENT OF HEALTH � - 73 - ► L/ DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchaser of Building Tax Map Block Lot Building Constructed by . TownNillage `1 Z-3 Corn wa 11 %4ill iq J_ -- o in Location - Street Sub ivision Name Re � je, Building Type 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 followingthe 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 ofHealth 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 ZQ Day 29 Year ZD�� General Contractor (Owner) - Signature Corporation Name (if corporation) Address: State Zip %G C'Oiporation Nime (if c oration) Address _-2149 ra, X71 Iled State Zip t Form GS-97 PYTTNAM CO*UNT'XIa"ARTMNT.OF ERAT.TH DIWSION OF ENVMPNMMNT.A.,L HEALTH SEMCLS ATTENTION CY JOSEPH 13 GENR BEQM T FOR aMPFC.P.0N For: Fill All it fonmtion must be fully completed prior to any Trenches inspections being made. PCID Coma lion P ' # Located:2 �yr�r fix) (Vj �7v.f✓ U�. Owner/Applicant Name; ri r, .rc /i c 4 h T M Block _ _.Lot s / Po=erly: " Subdivision. Marne: Subdivision Lot # Is system fill completed? Date: Is syste�a complete? o r . 911 Is system co6tructed as per plans? f / Is well drilled? f' X` �---- - Date: Is well looated as per plans? _ T Are erosion control measures in place? . —Te f I certify that the system(s), as listed, at the above premises and verified their Completion in accordance with the approved plans and the, Standards, Rules and Regulati4 Health, Date. q11 4 L/i Certified by: anal 1 hoveinspected auction Permit and uuty Department of PE / RA_ %rare kill" .,a _ 7 Address: Lic. # YD 2, 3l) .r4*0.,,1�A1, C/ // 6h Form. FIR -99 Z0 /T0 3Jdd Z8966tZVT6 L0:60 5ZOZ /T0/60 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date_ ��� �c?fNw �� Owner Inspected by. n� Street Location 4 i SC Town 4 �° �'I Permit # .4 -t75 TM # Subdivision Lot # 1. Sewage Svstem Area a. STS area located as per approved plans ........................... b.. Fill section - date of placement 3:1 barrier Lgth. Width . Avg.Dpth c. Natural soil not stripped ................. .. ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water tour e/ wetlands ...... .......................... ...... II. Sewage System a. Septic tank size -1,000 ..:.....1, 250 ......... other ................ b. Septic'tankinstall e1 ................ ............................... c. 10' minimum from foundation .......... ............................... d. Distribution Bog 1. All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................;:. I. Minimum 2 ft. Original soil between box & trenches e. Junction Bog - properly set .......... ............................... 6. Irenches 1. Length required . Length installed T 170 p 2. Distance to watercourse measured Ft.. !t W' 3. Installed according to plan ......... ............................... 4. Slope of trench acceptable 1/16 - 1/32" /foot ............. 5. 10 ft. from property he : 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface ............. :.... 7. Room allowed for expansion, 100 % ............... ........... 8. Size of gravel 3/4 - 1' /2" diameter clean ...................: 9. Depth of gravel in trench 12" minimum..... ..:........... 10.. Pipe ends ca pppped ........................ ............................... g. PumD or Dosed Systems 1. 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. House/Duilding '/ a. house located per approved plans. `�[�,. . �� . .�... b. Number of bedrooms ....................... ............................... IV.. Well Well located as per approved plans . ......:........................ b. Distance from STS area measured UP f 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 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. 12/02 PUTNAM COUNTY DEPARTMENT OF HEAL DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # 113 - I Located at `�Z�� W �l ��1 / 40" Subdivision namesr Subd. Lot # Date Subdivision Approved Owner /Applicant Name ]:�Lr N i_ S C 14a C K Mailing Address 147-3 CayK w k I I f alt i Bye A Dvi T10 d Town or Village Pa� / San/ (r) Tax Map 13.01 Block / Lot SS I Renewal Revision Date of Previous Approval Pei � +".c un N Amount of Fee Enclosed Building Type WOOD r-a4M Lot Area 3,1 No. of Bedrooms Zip I ZS (93 Design Flow GPD I rD Fill Section Only Depth Volume PCHD NOTIFICATION'IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1000 gallon septic tank and L �- &LM fl2y S-0-Pt i C, A /- Other Requirements: To be constructed by T P Water Sunaly: Public Supply From Address Cf1LM" . J� Address or: Private Supply Drilled by C�a S zz A) Gi Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Director /Commissioner will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: P.E. Address R.A` Date 14 z l t 4 License # 5- �7-7:2 APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Director /Commissioner. Any revision or alteration of the approved plan requires a new permit. Approved for discharge of domestic sanitary sewage only. By. -,C. Title: / Date: l IL Whi e c py - HD File; Yellow copy - uilding Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E., MPH Director of Environmental Health June 1, 2015 DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Irene Schech Phone # (845) 808 -1390 Fax # (845) 278 -7921 423 Cornwall Hill Road Patterson, NY 12563 Dear Ms. Schech: MARYELLEN ODELL County Executive Re: Addition — Approval - Schech Increase in Number of Bedrooms with additional SSTS 423 Cornwall Hill Road (T) Pleasant Valley, T.M. 13.07- 1.55.1 I have received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from the Department dated June 1, 2015. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at one in the apartment and four in the main house without prior approval by this Department. 2. All plumbing fixtures must be updated with water saving devices (i.e. new low flush toilets, restrictors for shower heads and faucets, etc ...). 3. Approved SSTS must be constructed according to the approved plans certified by John Karell, Jr., P.E. Any deviation from the plan requires a revision be submitted to this Department. 4. The SSTS must be inspected by this Department before any backfilling. 5. A satisfactory water sample for bacteria only is to be provided before compliance is issued. 6. The main house and apartment must be inspected for bedroom count before the compliance is issued. 7. Once SSTS has been inspected and backfilled, a construction compliance package must be submitted for review and approval before operation of the new SSTS. 8. The approval is for the proposed changes only: This approval does not validate any construction shown as existing that has not obtained proper approvals. 9. This approval is valid for two years and expires on June 1, 2017. Any permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Patterson. If you have any questions, please contact me at (845) 808 -1390 ext. 43157. Respectfully, JJseph S. Paravati, Jr., P.E. tant Public Health Engineer JSP:cw cc: BI (T) Patterson 77- JOHN KARELL, JR., P.E. 121 CUSHMAN ROAD PATTERSON, NEW YORK, 12563 845- 878 -7894 FAX 845 878 4939 j &4911na,dahoo.eom May 23, 2015 RESPONSE TO COMMENT JOE PARAVATI, MAY 21, 2015 SCHECH, 423 CORNWALL HILL ROAD; PATTERSON (T); TM # 13.07 -1 -55.1 1. SSTS's have been labeled 1. Label revised, it is existing. 3. Existing septic tanks shown 4. Subdivision information provided on plan and on forms. J010A ell, Jr., P.E. wi // GG 'u &V'e+ evu-o CLGW S L: i h ey '77J �.(�j. ell s' L�yj 7l/ I h ✓1 , ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E., NTH Director ofEnvironmental Health May 21, 2015 John Karell Jr., P.E., 121 Cushman Road Patterson, NY 12563 Dear Mr. Karell: DEPARTMENT OF HEALTH Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Re: MARYELLEN ODELL County Executive Proposed SSTS (Addition) — Schech 423 Cornwall Hill Road (T) Patterson, TM 13.07 -1 -55.1 This office has received and reviewed the most recent set of plans for the above mentioned project. We would like to offer the following comments for your review and consideration. 1. All SSTS's shown are to be labeled as to the respective building it serves. 2. Why is the existing apartment SSTS labeled as `proposed'? 3. Where is the existing septic tank for the existing our bedroom SSTS located? 4. All subdivision information is to be provided on all forms that require it. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 43157 if any questions arise. Sincerely, seph S. Paravati, Jr., P.E. Assistant Public Health Engineer JSP:cml ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E., MPH Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 April 24, 2015 Phone # (845) 808 -1390 Fax # (845) 278 -7921 John Karell, Jr., P.E. 121 Cushman Road Patterson, NY 12563 Dear Mr. Karell: MARYELLEN ODELL. County Executive Re: Complete Application Determination for Schech 423 Cornwall Hill Road (T) Patterson, TM 13.07 -1 -55.1 East Branch Reservoir Basin The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and revisions received by this Department on December 17, 2014 is complete. The Department will notify you by May 14, 2015 of its determination. ❑O The Project has been delegated to the Putnam County Health Department for review pursuant to the guidelines set forth in the Watershed Agreement. ❑ Joint review with the NYCDEP will commence pursuant to the guidelines set forth in the Watershed Agreement. If the Department fails to notify you within the above referenced time frame, you may notify the Department of its failure by certified mail, return receipt requested. The notice should be sent to my attention at the above address. This notice must include your name, the location of the project, the office with which you filed the application originally, and a statement that a decision is sought in accordance with section 18 -23 (d) (6) of the NYC Dept. of Environmental Protection Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed approved, subject to standard terms and conditions as set forth in the regulations. Please be advised that projects within the NYC Watershed may also require .Department of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should contact the Department of Environmental Protection regarding such activities.to see if Department of Environmental Protection review and approval is required. If you have any questions regarding this matter, please call me at (845) 808 -1390 ext. 43157. R ectfullly, oseph S. Paravati Jr., P.E. Assistant Public Health Engineer JSP:cml f. ALLEN BEALS, M.D., J.D. Commissioner of Health . ROBERT MORRIS,-P.E. Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 MARYELLEN ODELL County Executive' TO: NYCDEP DEPARTMENT OF ENGINEERING AND DESIGN REVIEW FROM: DELEGATION STATUS I m SUBSURFACE SEWAGE TREATMENT SYSTEM PROGRAM DELEGA TED New Application`[ Renewal 0 PROJECT: LOCATION: ; �� � , �tl #1 TOWN:?:�;y TM # > - ?. o ,) - i -- ;S` f DATE SUB'D APPROVAL NOTICE OF COMPLETE APPLICATION DATE: •' DELEGATED Q�v1`T°�N14r PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: —bzp A)e ctj 'OL Address: Located at (street): 4Y TM # 3,' D 7 Municipality: Plf A) Watershed: /V %G A1g57' =i/'— >fjj/G/ SOIL PERCOLATION TEST DATA Witnessed by: 4qe n e— lZPP �1 Date of Pre - soaking: j A h � Date of Percolation Test: D TK � Hole No. Hole depth (inches) Run No. Time Start — Stop Elapse Time (min.) Depth to water from ground surface (inches) Start - Stop Water level drop in inches Percolation Rate min /inch 1 r� 2 6 L j o 2 Z., 7,- t 3 - L l- 4 5 i q J 13 _ Z. 3 , 2 r0 /0. / -7 21 - 21 y 3 3 3/ _ 4 5 1 2 3 4 5 1 2 3 4 5 Notes: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e., < 1 min for 1 -30 min/inch, < 2 min for 31 -60 min/inch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97, pg I of 2 DEPTH G.L. 0.5' 1.0' 1.5' 2.0' 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 # i HOLE # HOLE # 7� 56 i l Si�Nb "Am �oYt v�ln, F r ©l1 Ve 6r�wh 61lye 6-q A, S,A w r SA 1" lQ Wi mist In b Owc ice• lllicl y�lO�f XY �7=1� Sche��, HOLE # HOLE # Indicate level at which groundwater is encountered _Vlty—e- Indicate level at which mottling is observed bFT h U /a 1) Indicate level to which water level rises after being encountered Deep hole observations made by: 4 re 1 I 1 &PP i Date 1 Design Professional Name: V D . Address: 12,1 ST/;l�h - OF NFv Signature: • • OA �� 532T� Design Professional's Seal Revised July 2013 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES RE: Property of Located at LETTER OF AUTHORIZATION �0& i4e— - 5_c,.(,.e, � 'f Z3 - C6-�W.ww &,,,j T/V S o r) ( Tax Map # �3 ► b Btock Lot �S Subdivision of Subdivision Lot # Filed Ma p# , p Gentlemen: Date Filed This letter is to authorize = 9�rTe" k t ' a duly licensed Professional Engineer or Registered Architect to apply for the required wastewater treatment and/or water suplffyy permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater tretment and/or water supply systems in conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public Health Law, and the Putnam County Sanitary Code. G � Very truly yours, gne :� Signed: Counte P.E., R.A., (Owner of Property) Mailing Address Mailing Address: `TG 3 60 jj (4gff A4 Aet'. /�Ws d 1J State _Zip State— —,,A/ Zip 12,93 Telephone: H -1 D�� Telephone: �(j 3 — �� ^� 71 V pF NEW Form LA -97 rj4 s•.�.�11 cs� 41 ' - ' PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner r A�;1067 5cf46-ct-1 Address zzr-' 1-f ".4- 20 *p pAVVE511J Located at (Street) 2dl 6,kz1t1w,4z` elect- 2oR-p Tax Map 13-07 Block l Lot SS-- (indicate nearest cross street) w: Municipality P�i5r-s °^J Drainage Basin Q-!n-rr DoT 1 SOIL PERCOLATION TEST DATA Date of Pre - soaking 1 I `l Date of Percolation Test Hole No. Run No. Time Start - Stop Eta se Time. �1VIin.) Depth to Water From Ground :Surface (Inches) Start Stop Water Level Drop In . Inches Percolation Rate Min/Inch f 1A 0, 6X FA If 0) 2 il�3S- tZ: oS 30 lI IZyf (Y4 Z+ 3 'Vf l y4- ?tJ- 4 It PIA AA A �z" c5ew" -MrXL- HOCC- P na c+ .Zl " 5 - Q 1 0; b8 -11;40 3Z 15 -Z4 14 6X. kfY. 2 ! S 3J� Z� 3 4z 30 l-5 3�¢ (8 z-y4- /3 4 # F 115 HAP A 7" f3ew al - r&rkC. ffoa b er, rY D Z 9" 5 1 , 2 3 4 5 NOTES: 1. Tests to be reheated at same denth until annroximately eaual nercolation rates are obtained at each percolation test hole. (i.e. ,-.q 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted forYeview. 2. Depth : rleasui'ements to be made from top of hole. Form DD -97 — APPROXIMATE LOCATM: OF " `('EXlS�ING SSTS EXVING WELL PER OWNER PER Ot4vER \~ s_ G 7'. SiiN 1` w \� [`y / - r /S'T //VV' RESiD /� OtA V% fYCE Q e 1: PTA c� T l DEDK,A PON AREA 0.04 (1801 SF1 SEE GENERA 7... ,9.C... +,. NOTE #9, % SF �� EXIS "RNG "'WELL ` }\ j:: '�, . `;., � •�; , � ....a - X90 5.28 f 1 iron Pin Found on Line ' Ln cs, C v+ 0 0 0 2. 3120/98 REVISED PER TOWN ENGINEER COMMEN I 2125198 REVISED PER P.'C H D. COMMENTS N0:._ .. �DATLr : REVISION , • ENGINEERING SIRV'YNG; Route 22. Brewster Nei► i tk..10569• (914):278-4 PROJECT Schech Subdivision TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES (�x�5 >►,a( r-I ovsE Ek P.t.�s,orJ) (Eyas fi �� � rte' . F��A.JS i �-.� DEPTH HOLE NO. D i R HOLE NO. 1 v HOLE NO. ,I" 0.51 1.0' 1.5' G•(, Br2�w N 2.0' 2.5' 3.0' 3.5' MOP, comp 4.0' pu►6 vcg 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' 10.0' -rg pcI E- e�� S��Y laRr"1 v (,olr 5 t vey hA'� WKctE5AJ3> ,2 . Indicate level at which groundwater is encountered Sa " Indicate level at which mottling is observed N o N Indicate level to which water level rises after being encountered Deep hole observations made by: joo a M , t,.�,4 r�� r Eh FKq Date r 8 qg> Design Professional Name: V U''l /�I `i/ Tr �� 6 F NEW '� Address: 124 CU 5&d,6 °y�P �AHF(z Signature: Design Professional's Seal Revised July 2013 JOHN KARELL, JR., P.E. 121 CUSHMAN ROAD PATTERSON, NEW YORK, 12563 845- 878 -7894 FAX 845 878 4939 Aack4911Ayahoo.corn April 12, 2015 Joe Paravati, P.E. Putnam County Department of Health Geneva Road Brewster, New York, 10509 Re: Schech House Addition —1 BR 423 Cornwall Hill Road Patterson (T); TM # 13.07 -1 -55.1 Dear Mr. Paravati: Attached herewith is one copy of a plan and design data sheets revised to reflect the location of the new deep and soil percolation test holes. It is noted that the new deep and soil percolation test results are similar to the ones performed originally. It is requested that this project be approved as soon as possible. Ve 1 o s, Joh ell, Jr., P.E. . JOHN KARELL, JR., P.E. 121 CUSHMAN ROAD PATTERSON, NEW YORK, 12563 845- 878 -7894 FAX 845 878 4939 jack4911(,'4),yahoo.com December 9, 2014 Joe Paravati, P.E. Putnam County Department of Health Geneva Road Brewster, New York, 10509 Re: Schech House Addition —1 BR 423 Cornwall Hill Road Patterson (T); TM # 13.07 -1 -55.1 Dear Mr. Paravati: Attached herewith are copies of documents relative to an application for a one bedroom addition to the existing house. Please be advised as follows relative to the project: 1. The existing house contains 4 bedrooms. 2. It is proposed to convert the garage and lower floor.area into a 1 bedroom apartment to include a kitchen and a bathroom. 3. The approved plans for the subdivision of this property identified an expansion area for this existing house. One deep hole and one soil percolation hole were excavated and tested in this area. The deep hole indicated no water or rock to 7 feet. The percolation rate was 24 minutes per inch. 4. It is proposed to provide a separate septic system for the 1 bedroom addition in the approved expansion area which at a soil rate of 21 -30 minutes per inch requires 125 linear feet of two foot trench for the primary area and 125 linear feet for the expansion area, total 250 linear feet. 5. The existing house at 4 bedrooms requires 500 linear feet of expansion area. 6. The approved expansion area is 100 feet by 60 feet and therefore can fit 11 trenches at 100 feet each, total 1100 linear feet. 7. The primary and expansion area for the 1 bedroom addition requires 250 linear feet and the existing house expansion area requires 500 linear feet, total 750 linear feet, therefore the approved expansion area contains more than the required trench area for both the existing house expansion area and the proposed one bedroom apartment, primary and expansion areas. 8. A 1000 gallon concrete septic tank will be provided to serve the 1 bedroom apartment. Since soil tested has already been conducted in the approved expansion area I assume that further soil testing will not be required. Your comments on my proposal will be appreciated. i w1.i4AAm tIvUlNil LjrDrltl%llvlL.'L'vl wr NITS APPROVED FOR BEDROOM COUNT ONLY, L4 i K mk;-.i REVISION I ALTERATIONS TO THESE Ho "S& LIST l) E. SUBMITTED TO THE PCDOH FOR APPROVki !mo TZ TZ 1 • �(�QC1•U�� � �V��- 0`i�Ni � , i��'�C���p,� a iia6'�BNC� � o L,vi "cl I bA-T4. 0 *5eM &N v�P 0-7 tzLiol r�{- . 44 LL A04 D o�CT iii Sri u ol Liv/0 C, MA fL.00 w9 13,07 -1- mss/ Q1tiyy ?�Nfq► a C%1M' PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES REQUEST FOR FIELD TESTING ATTENTION: ❑ Michael J.. Budzinski, PE ❑ Joseph S. Paravati, Jr. 10 All information must bed completed prior to any scheduling. Date: Engineer or Firm: Phone #: J`Y-J 7 2,1- 4 Reason: Deeps Peres Road /Street: L(2- 3 Town- Tax Map #: 13,0-7-1- SS-- I Subdivision: S C 1-�-Ec-ff- Lot #: I Owner: SGhFc G 7� ❑ Project not within NYC Watershed 14- zUi_iftd,J NYCDEP CRITERIA FOR JOINT REVIEW AND WITNESSING OF SOIL TESTING YES NO ❑ 19- Proposed SSTS within the drainage basin of West Branch, Croton Falls, or Boyds Corner reservoirs. ❑ Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. ❑ ®. Proposed SSTS within 200 feet of a watercourse or a DEC wetland. ❑ 55 Proposed SSTS design flow greater than 1000 gallons/day or SPDES Permit required. ❑ Proposed SSTS for a Commercial Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If you answered yes to any of the questions, NYCDEP must witness the soil tests. This Department will coordinate a mutually suitable time for field testing with the Design Professions and NYCDEP. If a project has. been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is required to witness the soil tests, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYCDEP. FOR COUNTY US � ONLY DATE: TIME: �fc� COMMEN'CS: (FIELDTEST'im 7113 t 7s p V -t PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: Address: i,Z CdrfnCr/c� %� Located at (street): TM # Municipality: � ��2nW Watershed: SOIL PERCOLATION TEST DATA Witnessed by: Date of Pre - soaking: Date of Percolation Test: Hole No. Hole depth (Inches) Run No. Time Start— Stop Elapse Time (min.) Depth to water from ground surface (inches) Start - Stop water level drop in inches Percolation Rate min /inch 1 .. '3 '�- � 2 3o 2!— e2 33 3 la,, 0 4 5 ] g 7 S N 2 za uy r In-3i 3 V 2 / °L. 4 5 1 2 3 4 5 1 2 3 4 5 Notes: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e., < 1 min for 1 -30 min/inch, <2 min for 31 -60 min/inch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. Forth DD -97, pg l of 2 DEPTH G.L. 0.5' 1.0' 1.5' 2.0' 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 # HOLE # e HOLE # HOLE # HOLE # Indicate level at which groundwater is encountered. Alj= Indicate level at which mottling is observed Indicate level to which water level rises after being encountered — Deep hole observations made by: �' t`� N Date Design Professional Name: Address: Signature: Design Professional's Seal Revised July 2013 �•. ` •' fie.: '.� r ! 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AS NOTED FO IQ004ANCEITITK -E RULES AND I RE'dULATIONS'.0 ' F THE ,OUNTY HEALTH DEPARTMENT. Z BUILT" TIES ITL ATE FEET A B 1000 GALLON HDPE SEPTIC TANK 39 44 2 J BOX'- 116 113 3 124 119 4 129 124 5 109139 129 6 END 140 144 7 144 149 8 150 152 9 155 158 .. .. .......... ..... .... SURVEY INFORMATION PER FINAL PLAT FOR "SCRECH SUBDIVISION APPROVED BY THE PCDH FEBRUARY 25, 1999, FILED SEPTEMBER 28,1999 AS FILED MAP 2805 rOIT KA,RELL, JR. P*Efk, 121 CUSIRWAN ROAD PATTBRSON, NEW YORK 12563 945 878-7894 JACK-49110YAHoo.com SCHE 423 CORNWALL HILL ROAD PATrERSON, M TM 013.07 -145.1 s1,01 k rrc! s FLAN it A45 sv I L,-r 11 SSA q p 3 4 N0. DATE MVISIONS rOIT KA,RELL, JR. P*Efk, 121 CUSIRWAN ROAD PATTBRSON, NEW YORK 12563 945 878-7894 JACK-49110YAHoo.com SCHE 423 CORNWALL HILL ROAD PATrERSON, M TM 013.07 -145.1 s1,01 k rrc! s FLAN it A45 sv I L,-r 11 SSA q p