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HomeMy WebLinkAbout0488DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 14.-l-6 BOX 6 iyL � G;, ,d. ;, 1 9 1�. _ . ,� jyj I Ilo" 1- , r. IN 9r 6 NEImm .� - , ma 00297 % F -Mioiff Got CONSMUMON: COPMLMCE MIR SEWAGE DISPOSAL tYih!M ' 77 d Et% LOMW at ' T vmaQe Lot._s� —_ MaUbg Addr" - Su b( -L'A I X K Fee .Enclosed Amount:. Date , ermit..,._Issued Separate sewenyle System Cjl�� bWft by Cosuds of Gallon -e on' Privatti 7-7 77P 7- DWIdb TP�' Lot Site_ H a8,Et6si '0 n n. r M P — Number of Gdo&r Been -witaned Other Rjqgjrjjp�enta -4 I certify that the skstqn(s),&s listed 'qsrviiiq the "ve'pr;3iiise,8`1-1 of the Co�pletsd, 06. work copies of which iis r�, accordance vith,the standards ,'rules , latio in rd anE e NT ith the 11 dd plan, `and tfiep"imit'issued by the e ihat*r m County" Cute _ Ctrtifiad P.E. PA. Adanst Limnos N a P Any person OCCuoyji6v premisos Laved by,tht 06niptij take such action as novvssary to, socure the correction , of, any unsanitary C66ditions resulting frorn Mtn- 62119G.' Approval* separate soon as a piobuz' unitary 'moos becornes ovalle6le and Ahi. approval of 44, privets *st4k!- �Opply "shall, O'corne:4.0 -Od' lklooyl.boix" 4WMISIOW :Such 4000vals We 14A when. in 'the Judgment 6f,169'V6rnMIs*o.Z -oc r ion, wod Ication. or change Is nocasso y. subject -to or change ._F1go:w P T It' 5 10 QM Pumm coupe i DBPABYMm OF HEALTH Dhlalw a[ BiavbomaeW HeaNb Seevloes. Caamd. N.H. lildl? a• CM T8 OF COMPUANCB 175— f R P�k i COMMMON PEUM FOR SEWAGE DWOSAL SMUI n / ,GiYtrY9",S"O Stdldlwldw Ntune Sid. Lot i Tat Map Block at Owe /A�Yaot Name %�iol's�G c t ,�di /A �(��aS�'P V s� —� � . / ` /� r, Dote of Prevlo�as Approval � Address �tiuc d W 9&39,50 /Y 1�4i d3 Town 7I Date Subdivision Annrojved Fee Enclosed 0 Amr„i„t Bt GIft Type c / Lot Area ` �i A r , F)p SeeUon Oob fta vatame Nara bw of Bedeoow -3 DWW Flow G P D y . PCHD NeflBmdass 4 Bequked When FM le completed Sepuub Sewemp Syoien to cendet oit /Udc- rWJ= Septic Took -ad "47 • L. �tb.t . 1/Yhal P. r To be. by � /� Addmiss Water Sofftr:ee!%4�o pAUc Soppt9 Fsem . Ad&m an fdwaft SOP* Dented by Ad&m Otber I:egdeemaafe . 1 r•pr•sent'.that 1 am wholly and completely rosponsible for the design and location of the proposed system(s); 1) that the separate sewage di s•1 a stem .bow described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules a repo ns o Harm County Department of Health, and that on completion thereof a "Certificilt• of Construction Compliance" satisfactory to the Commissioner of H•althwfll be submitted to the Department, and a written guarantee will b•. furnished the owner, his successors, heirs or assigns by the builder, that aid builder will piece in good operating 'conditfon any part of said sewage dispofel system during the period of two (2) yeas immediately following the date of the Issue er4s of the approval of the Certificate of Construction Compliance f the original system or any repairs thereto; 2) that the drilled well described above will W located at shown on the approved Wan and that aid well w Instal fn ac anp ith the nda s, uks •g a�%ni oho Putnam County p•peg pf "Ith. Date ( /y" {{jj,, Sign j Me 5 P.E.- R.A. Atldro I/% / C1� S Uleenso No APPROVED FOR CONSTRUCTION: This approval expires two years from the date issuetl unless construction f he building .Ms been und•rtak•n and is revocable for cause or may be amended or when considered necessary by the Commissioner of Healt ny change or alteration of construction r•ouires a I . • w permit. Approved for di of domestic sanitar n ivate water supply only. 10/88 . PUENIPM COi = DEPP.FM/iiENT OF HEALTH DIVISIO^l OF EQVIMN'Z 7rxr• REALM SERVICES i Building Constructed by Location - Street Muiicipxl.ity Building Ty'_Ce Section Bock Lot Subdivision Names Subdivision Lot 7 GaAPA=L OF SUBSL?RFA(a; S0,LA —GE DISPOSAL SYSTEM I represent that I an wholly and completely responsible for the location, workrronship, mate_r.ial, construction and drainage of the sewage disposal system serving the above described: property, and. that it has -been constructed as shoran on the approved -plan or approved amendment. theretoi..and'. in accordance with the stanLrds, rules and regulations 'of the :Putnam County Depa l rent of Health, and Jzereby 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 operat w. e for a period of two years inediately following the :date of approval of the "Certificate of Construction. Compliance" for the sewage disposal system; or any repaixs 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 detersuination of the Director of the Division of Environ rental 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 the system. willful or negligent act of the occupant of the building utilizing Dated this / day of 190 , Signature 4c_ontractor (O"'-ner - Sig ture Title M.sx- I Corporatiai tarn✓ (if Corp.) Corporation us (if Corp.) S �,� cG ta 4a- Pd&ess /ZS63 .F.ddreSS rev. 9/85 n1k PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Re: Property of_ Date �• 5 �%� 4,;rl P Located at (T)'j:?j b0 n Section Block Lot Subdivision of Subdv. Lo k. ;1 ' Filed slap 1 --- Date Gentlemen: This letter is to authorize Z. ..a duly licensed professional engineer X or registered architect (Ind4cate) to-apply for a Construction Permit for a separate -sewage system, to serve the above noted property in accordance with the standards., ruleq or regulations -.as promulagated by the Commissioner of the Putnam County Department of aealzh, and to sign., alll ,necessa.ry 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 •Publ:ic Health Law, and the Putnam County Sani- tary Code. X Counters n jy z w Millbroo4 Office L Address $rewster,,NY 10509 914 - 278 -6108 Telephone: ; Very truly y rs, Si ned Oi.-ner of Prope ty ouC' Address. pot Soh, FU•�. To ism Telephone PUTNAM COUN'T'Y DEPAR'B'ZEIVT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES •- DESIGN DATA-SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner I k'ecs�Uy Address _ ,y� %Ic( Ni Located at (Street) 60uo� Sec. / Block_ Lot & (indicate nearest cross street) Municipality /tea #er.5o,, Watershed SOIL PERCOLATION TEST DATA -REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre - Soaking 5� `� -�%� Date of Percolation Test HOLE NUM]3ER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water-Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. :Start Stop Drop In Min /In Drop Inches Inches Inches 1 S67 2 // -•12 - //-32 ; Zy. _ 22 ... ?5 " 3 6.67 1/ "37- 7 9 3 - /2.24 = 20 2 •-/2.28 Z 3 12:3e - / =yo _o „ ZI Zy ' 3' /O,o 1 2 - .- - 3 4 5 NOTES: 1. Tests to be repeated at same depth .until . approximately - equal. soil: rates are.obtained at each percolation test hole. All data to be submitted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS EDiCOUNTERED IN TEST -HOLES DEPTH HOLE NO. / HOLE NO. Z HOLE NO.' 0- G.L. �ywh the �ro.✓N �i'N� 1 . 2 H y L tM /aa "i ' 3 5 j�n� � 4� 3 s 61 flAe_ 7.' l✓ Ofc-�p 0(iVe�O�dw� ?C� .�xtt -td 8�6v �rh0 �Sa�e iHOr� /iGia IVY 9' 10' 12' 13' 14' INDICA'T'E LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: y,'�ti„t,�, (�`,�) 1 4gy ") DATE: ...,61 ,2411915 DESIGN Soil Rate Used 0-lo Min /1" Drop: S.D. Usable Area Provided No. of Bedrooms �3 Septic 'Tank Capacity /000 gals., Type foWC. Absorption Area Provided By _ _ L.F. x 24" Width trench Other Name �nurf%res ,�G. Signatur Address f�l. / /bz�i`�v_ o�'�i�� lr,�� SFAL *� -22 le- • ...... sFG R'o.1;;;5781 w THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Sail Rate Approved sq.ft %gal. Checked by Date LAURENT ENGINEERING ASSOCIATES, P.C. MILLBROOKE OFFICE CENTRE Route 22 & Milltown Road Brewster, New York 10509 RANDOLPH W. LAURENT, P.E. (914)278-6108 - (FAX) 278 -2858 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS June 5, 1995 Mr. William Hedges Putnam County Health Department 4 Geneva Road Brewster, NY 10509 RE: Individual SSDS Repair Couch Road Patterson, N.Y. Dear Bill: Enclosed are the following: 1. Four (4) prints of Drawing SR -1 "SSDS Repair ", dated 6 -5 -95. 2. "Construction Permit for Sewage Disposal System Repair ", dated 6 -5 -95. 3. "Design Data Sheet ". 4. "Letter of Authorization ", dated 6 -5 -95. We would appreciate your review, approval and issuance of the Construction Permit at your earliest convenience. Sincerely, LAURENT ENGINEERING ASSOCIATES, P.C. Randolph W. Laurent, P.E. RWL:TR:bd 95053 cc: Mr. & Mrs. Keasby w /enc. D MEN P Mr. Randolph Laurent, P.E. . Laurent Engineering Associates, P.C. Bureau of Water Supply & Wastewater Collection Sources Division (914) 742 -2002 Dear Mr. Laurent: June 27, 1995 RE: Edith and Thomas Keasbey SSDS Repair, Town of Patterson, County of Putnam East Branch Reservoir; Project Log 3039 Enclosed please find the New York City Department of Environmental Protection's (DEP) SUBSURFACE SEWAGE TREATMENT SYSTEM DETERMINA TION for the above referenced property located on, Couch Road in Patterson, New York. 465 Columbus Ave. Please contact Margaret Lloyd at 742 -2033 at least 2 days prior to the start of Valhalla, New York 10595= 1336 construction of the subsurface sewage treatment system so that we may inspect and monitor the installation. A copy of this determination must be available at the project site during construction. MARILYN GELBER Commissioner ROBERT P. LEMIEUX First Deputy Commissioner Acting Director Printed on recycled paper One set of plans bearing our conditioned stamp of approval is enclosed. Very truly yours, J s W. Roberts, P.E. Program Engineer Encl:plans XC: Director of Environmental Health w /encl. Putnam County Department of Health 4 Geneva Road Brewster, New York 10509 Millbrooke Office Centre New York city Route 22 and Milltown Road Department of Environmental Brewster, New York 10509 Protection Bureau of Water Supply & Wastewater Collection Sources Division (914) 742 -2002 Dear Mr. Laurent: June 27, 1995 RE: Edith and Thomas Keasbey SSDS Repair, Town of Patterson, County of Putnam East Branch Reservoir; Project Log 3039 Enclosed please find the New York City Department of Environmental Protection's (DEP) SUBSURFACE SEWAGE TREATMENT SYSTEM DETERMINA TION for the above referenced property located on, Couch Road in Patterson, New York. 465 Columbus Ave. Please contact Margaret Lloyd at 742 -2033 at least 2 days prior to the start of Valhalla, New York 10595= 1336 construction of the subsurface sewage treatment system so that we may inspect and monitor the installation. A copy of this determination must be available at the project site during construction. MARILYN GELBER Commissioner ROBERT P. LEMIEUX First Deputy Commissioner Acting Director Printed on recycled paper One set of plans bearing our conditioned stamp of approval is enclosed. Very truly yours, J s W. Roberts, P.E. Program Engineer Encl:plans XC: Director of Environmental Health w /encl. Putnam County Department of Health 4 Geneva Road Brewster, New York 10509 New York City Department of sr Environmental Protection SUBSURFACE SEWAGE TREATMENT SYSTEM DETERMINATION Pursuant to the authority granted under: Section 1100 of the Public Health Law; Section 18 -03 of 15 RCNY; and Section 128.1 of 10 NYCRR; and in accordance with the standards of 10 NYCRR Appendix 75 -A Wastewater Treatment Standards - Individual Household Systems; NYSDEC Design Standards for Wastewater Treatment Works; and NYCDEP Procedures and Practices for the Approval of Septic Systems and Wastewater Treatment Plants. the New York City Department of Environmental Protection makes the following determinations with respect to the sewage disposal system(s) plan described below: Name of Project: Edith and Thomas Keasbey SSDS Repair aka: Location: Couch Road Owner: Edith and Thomas Keasbey Address: Couch Road Patterson, New York Drainage Basin: East Branch Reservoir Type of Sewage Treatment System and General Description: A shallow absorption trench system is being proposed with a 1000 gallon septic tank and 336 lineal feet of trench. This system will replace a two cesspit system for the existing three bedroom house. Dates of Site Inspections and Soils Test (Reports Attached): Deep hole and percolation tests: May 24, 1995 DETERMINATION (XXX) Approved ( ) Disapproved ( ) Conditionally Disapproved ( ) Accepted design CADATAWISOUASBEY 2 r Conditions of Approval: Prior to the commencement of any construction requiring a building permit, the applicant must provide at least 48 hours actual notice to the NYCDEP engineer or his representative making this determination. 2. The facility shall be constructed and completed in accordance with the engineering report, plans submitted, specifications provided, which form the basis of this approval, and in _accordance with the conditions of this determination. 3. The project construction must be commenced within two (2) years of the date of the determination. 4. The applicant will provide "as built" plans to NYCDEP, certified by the engineer, where required or requested. 5. When installed the system must be operated and maintained in accordance with NYCDEP Regulations and all other applicable regulations and/or standards. 6. In the event that the material submitted is inaccurate or misleading, or the owners of the project do not have the legal right to develop or use the property where and as shown on the material submitted to this office, this approval is withdrawn. 7. This determination constitutes approval only of the physical design of the septic system for proposed installation and operation on a watershed of the New York city Water Supply. . An approval of the septic system design does not effect any existing property rights, title, or interest, including without limitation, any public or private restrictions upon the use of the land. Therefore this determination shall not be considered to be a grant or waiver of any property right. 8. The sewage disposal system shall be constructed in conformity with the data and plans as approved or commented upon. Any significant change in the system must be approved in advance of construction by the Department of Health and this Department. 9. The system shall receive only the domestic sewage from the structures shown on the plans. The nature and quantity of flow from the structures shall not be changed without prior approval of this Depart ment and the Department of Health. 10. All parts of this system are to be operated and maintained properly. In no case is sewage or sludge to be exposed or any other unsanitary or unsafe condition to be created because of the use of this system. Guidance on standards is found in the Waste Treatment Handbook issued by the New York State Department of Health under New York State Code of Rules and Regulations (10 NYCRR 75). CADATAMMKEASBEY 3 11. Whenever sludge and scum shall so accumulate in any septic tank so as to occupy together at any point more than one -fourth of the distance. between the bottom and the flow line, the tank shall be cleaned. 4 12. Whenever sludge and scum are removed from any septic or settling tank or any part of the system it shall be done in such a manner as to cause no nuisance, and the material shall be disposed of in accordance with applicable regulations. 13. This approval shall not be construed to invalidate any rule or regulation enforceable by local authority having jurisdiction. 14. All duly enacted rules and regulations for the protection of the water supply shall be complied with (Administrative Rules and Regulations for the Protection from contamination to the Public Water Supply of the City of New York adopted under the authority of Section 70, 71 and 73 of the New York State Public Health Law). 15. This system shall be abandoned and a connection made to a public sewer if and when a public sewer is built that is available to this project. 16. _ Whenever it is determined by this agency that additional replacement or improved sewage treatment facilities are necessary such facilities shall be professionally designed at the expense of the owner or owners of this project. Plans are to be submitted to this agency and the Health department for review and approval, and facilities shall be constructed and maintained at the expense of the owner or owners of this project. 17. All material removed from the area of the failing subsurface treatment system shall be hauled and disposed of in accordance with all local, state, and federal laws or regulations, including those of this Department, pertinent thereto. NEW YORK CITY DEPARTMENT OF ENVIRONMENTAL PROTECTION Determination made by: Date: June 27, 1995 J s W. Roberts, P. E. Program Engineer Environmental Programs Recommended for Approval: igmeer Environmental Programs CADATANISCIKEASBEY 4 t � .r t t 4 1= 4 \ 4 ff 17'�NJENSJ` N , N 2o5 _ 20 7 3 2095 1075. 5 ` /56 5 i :• �8 / Z 0 9 y � • ro.. r� S3 5 5 7 , . t Z(N �j y � �ug' 999 594,1 { a sTONE WAL L i � � Screen / I Porch I / h Zx / T kI I BR /CK WALK 7 / VE N�,, I m nti �>O n n 4 N n