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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 15. -1 -13 BOX 6 J L-16 AN ti 00504 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT ' OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ADDITION APPLICATION RESIDENTIAL ONLY v STREET: A�w N TAX MAP# l J NAME41,Z A:Z�� PHONE Cj cL�--32 e— OS23PCHD# f� • � � ` `i MAILING ADDRESS DESCRIPTION OF ADDITION an - /4 ' NUMBER O E �STI BEDROOMSPROPOSED # OF BEDROOMS D (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) "Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Professional Engineer.or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Brewster, NY 10509, Phone: (845) 278 -6130. /1. Certified check or money order for $100:00. 2. Skejch se of existing floor plan (drawn to scale, all living area including basement) 3. Two sets of proposedfloor plan (drawn to scale — with name, strbet and tax map #) / on-professional sketches are acceptable 4. Copy of survey showing well and septic locations to the best of your knowledge. Include date of installation if known. Label all wells'and septic systems within 200 feet of the property line. Contact this office with any questions. �5. Copy of Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC(845)278-6678 Fax(845)278-6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 1050.9 ROBERT J. BONDI County Executive a PUTNAM COUNTY DEPT. OF HEALTH 1 GENEVA ROAD BREWSTER, N.Y. 10509 To Whom It May Concern: RE: - Z- al� Residence TAX MAP# /'-'r - / ��• TOWN`c?�t According to records maintained by the Town, the above noted dwelling: IS IS NOT IN CO LIANCE WITH town code and the total number of bedrooms is This information has been obtained from: CERTIFICATE OF OCCUPANCY ASSESSOR'S RECORD Environmental Health (845) 278 -6130, Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 r. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES R CERTIFICATE OF CONSTRUCTION COMPLIANCE 'FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # �y , Located at at�j . 0.$ A&9"A4A ?-Op Town or Village pXM11601 Owner /Applicant Name MIAMI U W641ai Tax Map Block Lot . Formerly $'rG,....i.if1a l.s,7l�JG11`GCAA[,H ..S,ubdivision Name Subd. Lot #' Mailing Address 5G3 N1PPNIA AN F_ �i ��►'T' R- , l� zip, ! 1 a5o'� Date Construction Permit Issued by PCHD 411 �q a Separate Sewerage S, s� tem built by _r�RAW � -P_ � i 1 t { Address IiV°1Q -ViM A'- Rk-oa i b: � 1F /\151) -rpfy- C-'f� Consisting of Gallon Se tic Tank and g P Other Requirements: Water Supply: .Public Supply From Address or: .Private Supply Drilled by Address Building Type 10 �-+ Has erosion control been completed? yee Number. of Bedrooms ' Has garbage grinder been installed? �Q I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- `. built plans (dppies of which are attached), in accordance. with the issued PCHD Construction Permit and approved plans and the standards, rules and regulatio of the Putnam County apartment of Health. / 0 Date: j - - Certified by L J4 P.E:�' R.A. Des Professional) Address 704_7'10 4. 2.2- byzV it License # fir 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 seiner becomes available and the approval of the private water supplyo;,h ltecome.n . 7,vbxd w ej:a p iblic water supply becomes available. Such ,. approvals area °subject to modification. or chagc�uvlien, itther }udgment of the Public Health Director,. such. revocation, �ddificati rid' change is necessary By: t �' �'' Title:;" Date:" . White copy. - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design, Professional. FOrrbXC =97 up i r• ,� o - F o Y: E . R- U `` boa I'I. 41 IT i _ I e � 3 to . /'iti' 9' �irL F� per. 'w GN 4Z 9 . DH .32 032 DN 3051 0 � O 13'- 4 It' �' — - - - - -- D e U r - Le ul (cj DM Ojp� 'Vf— i+ (2)DH 7031 u1 1{ 1 r frl "r,J e, �i.T U DY i ReF }J jI (xi)2xiow /'i1�`I" 3xe c -_ or�B.Sr. DP- 3e6e co. l w 1 i i' � �•- ' I I r� � � I �i�- Dn- ' 0 I u I� o u IT V ne, � t9 ti �' C. 2x 1 o w 1 41',. 9 -21f L. f- PL-. 9432 DN 309:1+ L�H 50 52 DM DH Rio 52. ON 3og'j 1 ! 0 mop, Eff �7' 8 Co'- A' eJ'-q. Ca Cv Co fo i� -�} l� 4 ,�_4• 2.. O C C.LG J RN or &-T.,,- vN) i2'+ F T 1 (A) 112. cr FF W-F) -2 rFE L- wep- C) prt- TY? ir— R-r—F C- . o e� ' PO FILL... Or P.�L-.-5 UP 1-1pe wb." ci-,o Joao 4L r-P a y � a 1p iii ♦ i =� ♦ , � . I A r r - :r IV m I' 2 LE P NO. 2425v wd�A . 1.903 ACM5t �. MAC. aA'MR e • AAEtER WMA1N5 OF W&L U.C. 5r wAU- PoLe 2 Pcr pm 516'3T00 "W'. 512 '29 "W W 85.99' g" g 5-"AGF G4ACH R O.AP VPM" BE WG LOr NO. 26 AS 5MOMRJ ON "P#sft 51MVI%0N NO: 26 & LOr NO. 2-1 AS 5HOM4 ON ( LOr 26) ' PROMWrY WAWW PCI'W t;N LOr NO. 25 ANP LOrNO. 26.` DLH+ICi FLW Z4251� PLE17 it 8 C C LOT 27) .FW -AAL VM51 5U 0N COACH PWFM L5. INC.' PeW PLEt7 MAP NO; 2425, . 0-89 ", FLW MAP NO, 24250, .,L0I7 5-- 6-95.: 5URVY...Y Or razor i21'Y f&PAi2E17 ro; 'TOWN OP PAmR50N PUTNAM Co.. N.Y, 111 — 50 I AA MR >O, 1999 corma< p 1999 WRRY SLRI.iWOWF COI LaVS: W I:• or4, '.RVEI7 NOWMBL{Z If. IW9 <mss. C*LY) . F IR5 r AA�ERICm NOVEAAOEIZ 19. 1999 41�V. Ce . ONLY) AA[Y & . PEOAWY 6.2002 C PWAW •a 4 44rl tM 51 59085 *V1 OR III A MATION OM %$MY MAP. FtH15 A IWN V n wt LEG CC* A V Nor POR WELPA S ANC? ON-Off OF IM P1 CA3.� �?tA't)1:` tION LICE LMD .S�VIrYORS SHAI SHERLITA AMLER, MD, MS, FAAP Comm(�br>C�cHealth LORETTA MOLINARI, RN, MSN Associate Commissioner of Health October 5, 2005 Patrick Hamilton 233 Stage Coach Road Patterson, NY 12563 Dear Mr. Hamilton: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Addition — Hamilton 233 Stagecoach Road (T) Patterson, T.M. 15.4-13 ROBERT J. BONDI County Executive I have received and reviewed the plans for the proposed addition at the, above mentioned residence. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: • Two sets of plans showing the entire proposed house construction need to be submitted. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. If you have any questions, please contact me at your convenience. GDR: cw Sincerely, -4L 1�34 Gene D. Reed Environmental Health Engineering Aide Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health September 20, 2005 Patrick Hamilton 233 Stage Coach Road Patterson, NY 12563 Dear Mr. Hamilton: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Addition — Hamilton 233 Stagecoach Road (T) Patterson, T.M. 15. -1 -13 ROBERT J. BONDI County Executive I have received and reviewed the plans for the proposed addition at the above mentioned residence. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: . Two sets of plans showing the entire existing house need to be submitted. ~ 2. Two sets of plans showing the entire proposed house construction need to be submitted. f3. All existing and proposed rooms must show dimensions and be labeled as to their use. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. If you have any questions, please contact me at your convenience. GDR: cw Sincerely, Gene D. Reed Environmental Health Engineering Aide Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 rp r" SENDING CONFIRMATION DATE : SEP -20 -2005 TUE 12:17 NAME PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845-2-78-7921 PHONE = 919143377185 PAGES 1./1 START TIME SE.P -210 12:16 ELAPSED TIME 00' 25" MODE ECM RESULTS OK 1-PST PAGE OF RECENT DOCUMENT TRANSMITTED... SMIRLITA AMLER. MD, M9, FAAF ROtIRRT J. BONDI f'nmm>_trinner of Health �I Cnam srr«vre« 'rat: r, ^n MOLINAW, FIN, MEN ... ue; !- 'unnhdnnrvgf7(mlth DEPARTMEN7 OF HEALTH I flmm Road, Bi —,tor. Nrcx York 10567 {:'Ftcvtbcr 7.0, 78115 ('nuiA Haitulton .. 3 stage Coach Road l.utrrstm. W 125!3 Rc•. Addition 11,unilum 233 $tagecuach Rnnr ;Tlpnneraro,'h,bt.1,. -I i- ' Dear Mr. flamiltom 1 have received and reviewed the plans for the propoecd addition At the above mentioned residence. Based on the information submitted. tht-, al-u- nw- 116orted uddilim, •:annoy lu approved for the following reasons: 1, I'— sets of plans chowing the entire evl vnng house need to be submitted. 2. Two sets of plans sbowing lbc entire proposed home. cnnntruntion ncctl to hc. avhmitted. 3. All eti oing and proposoi mnms must shone diwensinn+ and be Ia hr. Im as to ineir u:c. Upon ree:ipt of a subnussien. revived lu reflect dtc nbnve r.ounn emu,, thi. nppl:c:uion will he mtsideled fudhcr. I f you have any questions, please coatac.t me at your convenience. Irene O. Recc I ;nvironmcnrnl Health Fngineerivlt A.iA fiDR:cw It..'Imno.adl fled!, (845)Z?"IJO F..(0451776 ''9^ "_i.q 9011— (A43)VA -0558 FSra M117796076 WIC (M!)T.'I nn':a N."Ne 11—c— F,, Ia 451 TIM Early lat�rvenlbMPrc.eh.N'&15/�'+B M1C'.t f••(a. ". :''�..r rl,l Harry W. Nichols Jr., P.E. Patterson Park, Suite 106 2050 Route 22 Brewster, NY 10509 Telephone (845) 2794003 Fax (845) 2794567 May 21, 2002 Robert Morris, P.E. Putnam County Health Department One Geneva Road Brewster, New York 10509 Re: Individual SSTS Compliance Lot # 26 237 Stagecoach Road Patterson, New York Dear Robert: Enclosed are the following: 1. Five (5) prints of Drawing SS -3, "As Built SSTS," dated 5/2/02. 2. "Certificate of Construction Compliance for Sewage Treatment System," dated 5/4/02. 3. Three (3) copies of "Guarantee of Subsurface Sewage Treatment System," dated 5/3/02. 4. Laboratory Reports, dated 5/4/02. and 5/15/02. 5. Application Fee in the amount of $200.00 payable to Putnam County Health Department. 6. `T -911 Address Verification Form," dated 1/3/02. If there are any questions concerning the enclosed, please call. Very truly yours, Harry W. Nic ols Jr., P.E. HWN:JM:j 00 -011.26 A S NORTHEAST LABORATORY OF DANBURY { 39 MILL PLAIN ROAD - DANBURY, CT 06811 CT Cert: PH -0404 (203) 748 -7903 - FAX (203) 748 -0652 NY Cert: 11471 LABORATORY REPORT REPORT TO: HYATT PUMP DATE SAMPLE COLLECTED: 5/2/2001 299 SOUTH ROAD TIME COLLECTED: 8:30 A.M. HOLMES, N.Y. 12531 COLLECTED BY: C. HYATT DATE RECEIVED @ LAB: 5/2/2001 TESTED BY: LAB# 11471 LAB LD. # NY42 REPORT DATE: 5/4/2001 SAMPLE SITE: STANBY KRASNIGI, STAGE COACH, PATTERSON, N.Y. SAMPLE POINT: TANK SOURCE: WELL TREATMENT: NONE MAXIMUM CONTAMINANT TEST PERFORMED RESULTS METHOD # LEVEL (MCL) OR STANDARD BACTERIAL: • Total Coliform (Bacteria) 0 per 100 ml SM 9222B 0 per 100 ml PHYSICALS: • Color (Apparent) 15 - EPA 110.2 15 • Odor ND - - 3 Units • pH 6.45 - EPA 150.1 No designated limits • Turbidity 4.6 NTUs EPA 180.1 5 NTUs CHEMISTRY: • Nitrite Nitrogen <0.005 mg/L as N EPA 354.1 1.0 mg/L • Nitrate Nitrogen <0.20 mg/L as N SM 4500D 10 mg/L • Alkalinity 36.0 mg/L SM 2320B No defined limits • . Hardness 54.0 mg/L EPA 130.2 No defined limits • Iron 0.977 mg/L EPA 236.1 0.30 mg/L • Manganese 0.072 mg/L EPA 243.1 .0.50 mg/L Combined limit for Iron plus Manganese = 0.50mg/L • Sodium 5.2 mg/L EPA 273.1 20.0 mg/L ** • Lead <0.001 mg/L EPA 239.2 0.015 mg/LT ". ml= milliliter mg/L--milligrams per Liter ND =none detected MCL= Maximum Contaminant Level TNTC =Too Numerous To Count " "Notification Level ** *Action Level COMMENTS: -All holding times (were) met. SAMPLE, AS TESTED ABOVE: MOTABLE , or ONOTPOTABLE RESULTS BASED ON SAMPLES SUBMITTED:5 /2 /2001 4X41 h e 4 'A Laboratory Di�r`�tc gr *NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 -826' -0105 •OUTSIDE CT: 800 - 654 -1230 YML ENVlRONMENTAL SERVICES 321 Kear Street Yorktown Height,:.:-,. N.Y. 10598 (914) 245-2800 Albert H. Padovani. Di-rector LAB #: 93.201294 CLIENT #: 55498 NON STAT PROC PAGE KRASNIQI, ARlANIT DA-FE /TlME TAKEN: 05/09/02 09:00 56MARVlN AVENUE DATE/TIME REC'D: 05/09/02 0110 BREWSTER, NY 1O509 REPORT DATE: 05/15/O2 PHONE: (845)-278-2730 SAMPLING SITE:., 235 STAGE COACH RD, PATTERSON, NY SAMPLE TYPE.": POTABLE KITCHEN TAP PRESERVATIVES: NONE COL'D BY: SAME - - TEMPERATURE�.: NOTES...: COLlFORM METH: N/A DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD 05/09/02 IRON (Fe) 0.075 MG/L 0 -0.3 mg/l 2037 COMMENTS: ' Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. � SUBMITTED BY Director 10323 `� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM *1fA,H j-T � 6H 1 a I Owner or Purchaser of Building APAH 01 9-P-A6H I a l Building Constructed by V91 ?_mD Location - Street Building Type IZ�, I i` . Tax Map Block Lot TownNillage 6TA 66C OP;U44 Subdivision Name )-G. Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Month ) Day Year UOiL General Contractor (Owner) - Signature Corporation Name (if corporation) Address: '56 W-F-vt ,,J . Rv . State N 11-1 Signature: Title: OWA,6 Corporation Name (if corporation) %3i26i^'ST Address: 56 1►�\4&1 AJ. 13j2t�i `►ti. Zip 10 5��j , State Zip Form GS -97 BRUCE 'R. FOLEY LORETTA MOLINARI•R.N., M.S.N. Public Health DWelor 'Akodw Pwk' -Hsdth "Gtncta . Ofnetor Q%.Potfeat Savka , - DEPARTMENT OF HMALTFL . _.. 1 Geneva, Road. Browucr, New ' Yoo 10509 _........... . BurlroomeaW Healtb (914) 21: ;'6i7o;'_Fapt4) 271.792.1.. Nurdq Savka (014)271-053 WIC (911) 271.6678 :Fa (914) 271.6011 _. EirlyI k6J4ff6a'(911) 211' - 6011, Pracb9c1'M4) 2784012 Fu(914)27f.6648 E911 ADDR ,4S V ,RIFICATIQN FORM OWNERS NAME: _�._.. TAX MAP NUMBER: l�j �, _ •;� E911 ADDRESS: TOWN: I� Pf 0-4vQ� AUTHORIZED TOWN OFFICLQ: - -(Signature) - .. DATE:...: ... The Putnam County .Department of Health will not issue' a Certificate of . Construction Compliance unless the above form is completed; i.e., a legal E911 address is assigned by an authorized town official. This -form is to be submitted with the application for a. Certificate of Construction Compliance. ....:....... ._ . (E9I 1 VERMO . BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 -6.648 Date: From: Gene D. Reed Putnam County Department of Health For your information For your review As discussed Fax #: 2 7 No. Pages (Including cover sheet) Please respond Attached as requested Please call Notes/Messages a TN,6 -DAcT&S - btAill; S� N 7z�s9DyI D a 7r-M65 ExWAj5lani A1Z9A 042E-5 a»T AfOkt W-65 /I off In the event of transmission /reception difficulties, please contact this office at (845) 278 -6130 ext. 2261. ,� PUTNAM COUNTY DEPARTMENT OF HEALTH DMSION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION r Date: o Inspecte y: G, 7z Street Location —:57-A coAc It -r,0,4r Owner ) C UXN so y Town Permit # -P – TM r j ! i zs Subdivision Lot # ,266`5��., �,,�►, � ;' 1. Sewage Svstein 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. SeN aQe System a. Septic tank size 1,000 .......:1250, .....other ................ b. Septic tank installed level ` c. 10' minimum from foundation .......... ................. ............... d. Distribution Box 1. All outlets at same elevation -water tested ................. 2. Protected below frost ............. ............................... . 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box -properly set ........... ............................... f. Trenches 1. Length required e C 7 Length installed G '7 2. -Distance to watercourse measured .S Ft.......... 3. Installed according to plan... S ..T.j .......................... 4. Slope of trench acceptable 1 /16 -1/32" /foot ............. 5. 10 ft. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface NO j COMMENTS . Size—of-gravel 3/4 -'1 %z" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... 10. Pipe ends capped .......:................ . ..........:.................... g. Pump or Dosed Systems Size ot pump chamber ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visuaVaudio .................... ............................... *� 4. Pump easily accessible, manhole to grade. .. ............... t 5. First box baffled ............................. 6. Cycle witnessed by H.D.estimated flow /cycle.......... III. rIouseBuildin a. J ouse_ ocated perapproved pla/ n ..:...:........................ 97-N r of_ bedrooms ....... .....:..ad'lal!.E'.r.!.....Pv�? IV. We11 ��- -p 0V 5 a. Well located as per approved plans . ............................... b. Distance from STS area measured 100 ',-- ft........... c. Casing 18" above grade .................. a 5 f.. r .$nk........... 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 & dir.to exist watercourse g. Footing drains discharge,away from STS,a haSurface water protection P�e_:A i. Erosio ocn rn of provided ............ ........:.........::........... 9 0 0111''f ---�� - �- r� M, X f -,,P _.- - I I GJ C-7 ;,,L.1 14 13 BRUCE R. FOLEY Public Health Director DEPARTMENT' OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 April 4, 2001 Harry Nichols, P.E. Patterson Park Suite 106 2050 Route 22 Brewster NY 10509 Re: . Field Inspection: Levinson Stage Coach Road, Lot #26 (T) Patterson, TM# 15.4-13 Dear Mr. Nichols: The following comments must be corrected in the field: • The expansion area does not meet the required 100% due to the driveway and curtain drain locations. • The extra room downstairs is considered a potential bedroom giving the dwelling a 5 bedroom count. • The stilt fence must be installed in the ground. If you have any further questions, please contact me at (914) 278 -6130 ext. 2261. Very truly yours, Gene D. Reed GDR:tn Environmental Health Engineering Aide BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Date: zz /O r , '. , From: Gene D. Reed Putnam County Department of Health For your information /For your review As discussed Notes/Messages Fag #: a 79 — SG 7 No. Pages 41 (Including cover sheet) Please respond Attached as requested . Please call In the event of transmission /reception difficulties, please contact this office at (845) 278 -6130 ext. 2261. PUTNAM COUNTY DEPARTMENT OF MLALT$ DIVISION OX ZNVI RONMENTAL MALTZ SZRViCES ATTENTION 0 ADAM AGENZ - ltt?AitFCT FdA AL 1NSpECTIQN For:. Fill All idarmatlan must be Nally completed prior to ecy Trenches X inspections being made. PCHD Consuxwdoa Permit # N Located: 5TH Oft R-o�_ (xj (v) ►� Owaer/Applicant N (ki TM __.16�- Block ► Lot _ A Formerly Irt;V ►l-4 }J SubdiviuooName: Ogrhbt C� Subdivision Lot # Is system all completed? Nh Date: Is ayift complete? «..,,, Date: Is system construoted.as par p 7 _. Is wou dri w? 1 its Date:.., Is well located as pa plans? Are erosion coturol meantres is place? 1 ? I ccr* that the sysa ft u listed„ at the above premises has be nswctil sad 1 have lraspeeted and verified their completion In accordaare with th atioa permit and approved plans and the Standards, Rubs and Re gu A aty Deputmeot of HWUL r, —40 Date. 0 CwMed by: ^ w PE .y— RA 1k UXA- ?: i c, Form M -99 BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva ..Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 April 4, 2001 Harry Nichols, P.E. Patterson Park Suite 106 2050 Route 22 Brewster NY 10509 Re: Field Inspection: Levinson Stage Coach Road, Lot #26 (T) Patterson, TM# 15.4-13 Dear Mr. Nichols: The following comments must be corrected in the field: • The expansion area does not meet the required 100% due to the driveway and curtain drain locations. • The extra room downstairs is considered a potential bedroom giving the dwelling a 5 bedroom count. • The stilt fence must be installed in the ground. If you have any further questions, please contact me at (914) 278 -6130 ext. 2261. Very truly yours, Gene D. Reed GDR:tn Environmental Health Engineering Aide J PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES C NS RUCT ON PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # Located at 151 h (A C- C-6�%� i F—'�ND Subdivision name Subd. Date Subdivision Approved 10111 Lot # rLb- Town or Village p�lpN Tax Ma p Block Lot it Renewal Revision Owner /Applicant Name HLJCZ- �,GVIH5tH,t 1,N1hff PUAA Date of Previous Approval Mailing Address 10 1 H-041 P4K i;%h'S.-r '� �'t � I� �`I� Zip Amount of Fee Encloseda� 10 S,4i% Building Type 106 Lot Area I;� b No. of Bedrooms � Design Flow GPD ' (A Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of �Q gallon septic tank and Other Requirements: X c dPrM14 To be constructed by Address Water Supply: Public Supply From Address or: Private Supply Drilled by Address Ul by K'1 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 Public Health Director 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: Address P.E. LT-4c l R.A.- _......- tv- evj'Sl� 1y1 'rj 0 License # Date - 5GI1A 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 Public Health Director. Any revision or alteration of the approved plan requires a new p it. Approved for discharge of domestic sanitary sewage oJnl . q ce By: Titlep1�F;O Date: : White copy - File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Community Sanitation and Food Protection Name of Applicant ,s, w 7—T7 Specific Waiver from Requirements of Part 75 and Appendix 75- A,10NYCRR for Individual Household Sewage Treatment Systems Address t0 A4f tkA,4 JAAD 44TCWAH Site Location -S.ilmot C,,*e-*t UOND 1. Reason why she does not meet 10NYCRR Appendix 75 -A (check appropriate box(es)): Y Separation distance cannot be achieved. Excessive slope. High groundwater. Inadequate depth to bedrock or impermeable layer. Soil unsuitable. 0 Other (explain) ............................................................................................. ............................... M .................................................................................................................................................................... ............................... ........ ------------ - - - - -- -.-------------------------- 2. Proposed design or conditions of waiver: ................................................................................................................................................................................................................. ............................... .......... � .... " ..... w..... E- t�P ...AUScon�...- .......�:¢crti.T SWI ...................... ............................... .... .........................B.DI.� ls[.?l�i....... APPRa+'P L ...................................................................... ............................... 3. The proposed design may have the following limitations (check appropriate box(es)): EJ Increased risk of well or spring contamination. Increased risk of surface water contamination. Expected design life of the system will be diminished. Operation of sewage system is subject to mechanical problems. Other(explain! ................................................:................................................ .:.......I..................... ................................................................... ............................... Additional information attached Construction pursuant to this waiver request should not pose any foreseeable health or environmental problems. In accordance with New York State Department of Health Administrative Rules and Regulations, Part *75.6 (b), a waiver is hereby granted. This waiver may be revoked by the f ing official for a change in conditions for which this waiver was granted. REP SE TATIVE OF C MMISSIONER OF HEALTH ................ .. ORIGINAL - Local Health Agency COPY - Applicant/Design Professional ........y . DATE (GEN -152) PART II— ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EX EED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes. coordinate the review process and use the FULL EAF. Yes No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. Yes o C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) Cl. Existing air quality. surface or groundwater. quality or quantity, noise levels. existing traffic patterns.. solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resocrces;.or community or neighborhood character? Explain briefly: �0 C3. Vegetation or fauna, fish, shellfish or wildlife species. significant habitats, or t`reatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or stensity of use of land or other natural resources? Explain briefly. C5. Growth, subsequent clevelopment, or related activities likely to be induced by tre proposed action? Explain briefly. O C6. Long term, short term, cumulative, or other effects not identified in C1-05? Expiam briefly. !y� C7. Other impacts (Inclucing changes in use of either quantity or type of energy)? Explain briefly. D. IS E, OR IS_ TF�ER TFjERE LIKELY TO BE, CONTROVERSY RELATED 70 POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? es LXNo If Yes, explain briefly PART 111 — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting matedals..Ensure.flat explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. ❑ Check this box if you have identified one or more potentially large or significant adverse Impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box If you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental imps.. ^.ts AND provide on attachments as necessary, the reasons supporting this determination: 1 _ � QV 2 -- RAponsible O icer PC-- _ different from responsible otticed C1.1 -. ! BATH 1 `I } j BEDROOM 4 o ORESSING' BEDROOM 3. WALK 13• -0'• x 10' -0' !N CLOSET r r T f .. i MASTER BEOROOM BEDROOM 2 OPEN 17•-0 a 18'•8" 13 • o • 1 s. 8... , i � PCt'j NAy f ,CiQ NTY DEl AR' ENT O ' 1 HOUSE PLANS APPROVED FOR <: BEDROOM COUNT ONLY,\ I .0 O �. < 1 SECOND FLOOR _ C�1 8 = .'1344SF • � tore Im " KITCHEN DINING ROOM p MORNING ROOM Mo-Al r 13' 01• w 12•.0.. L. LIVING MOO&A 13••0•• s 10'•O" FIRST FLOOR f-EN OVE ' w FOYER x IN FAMILY ROOM 13'0" ■ 17'0" 4828 i DEPARWENT OF HEALTH Qivision Of Environmental Health Services 4 Geneva Road, Brewster, tiew York 10309 (914) 278 -6130 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAIVER NAME: 1.- V iAl scAl ICATZIAJ hcoRESS: LO Wr KATo rJA K SITE LOCATION: St'�GE. Goku��y1w AI DATE: 6 6) 7-77 BRUCE R. FOLEY, R.S. Acting. Public Health Director STAFF PRESENT: 13•�/G�.+ R-0 �i61�'LII4- r0�%SJ+AWAJ 01 SPECIFIC WAIVER REQUEST: l� tl P �µ Sa oJf't ttDG. OPA~ AA" Sa f F-0a0• 1N Tex mtffewr DOES THE PROPOSED VARIANCE REQUEST POSE A HEALTH HAZARD OR ENVIRONMENTAL CONTAMINATION PROBLEM? } - - -1 + , YES NO WILL DIS.k.0PROVAL RESULT IN A SIGNIFICAN HARDSHIP? +T + ---1 YES ti'0 DISCUSSION so If SEpA4*t1od LS 9*'*&fitetE0 chi 14r9O QaJ�O h16� �� �Stotil REQUEST APPROVED OR DENIED APPROVED DENIED REASON FOR. DENIAL kad DIFIECTOR OF tUIBLIC HEALTH nATF - BRUCE R. FOLEY Public Health Director LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York ` 10509 Environmental Health (914) 278 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 January 21, 1999 Jeff Moore Laurent Associates Millbrook Office Centre Route 22 & Milltown Road Brewster NY 10509 Re: Proposed SSTS: Levinson and Kstzin Stage Coach Road, Lot #26 (T) Patterson, TM# 15 -1 -13 Dear Mr. Moore: I 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: The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. If percolation tests were not witnessed by a representative of the New York City Department Environmental Protection on this lot, percolation tests must be witnessed by a representative of this Department. 1) The SSTS has been designed outside the area approved on the subdivision plat titled "Stage Coach Properties, Phase 1 ". During our phone conversation on January 20, 1999, you stated that the deep test holes did not pass in a portion of the approved SSTS area. Therefore, the locations of all deep test holes and the soil profiles in this area are to be submitted. This information will be used to assist in the review of the project. Letter to: Jeff Moore - January 21, 1999 -2- Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. V truly yo , Robert Morris, P.E. RM:tn Senior Public Health Engineer IO`J; 74H19 fKU111 HARRY W. NICHOLS JR., P.E. February 18, 1999 Mr. Robert Morris, P.E. Putnam County Health Department 1 Geneva Road Brewster, NY 10509 RE: ]Proposed Construction Permit Levinson & Katzin Stage Coach Road, Lot #26 Dear W. Morris: �r. 1 P IV IAURENT. ENGINEERING ASSOCIATES. P.C. MILLBROO" OFFICE CENTRE Route 22 0 MOWM RON OWMaW. Mara rat 10409 Ie/o12�1oI<. Isalq t7s -2568 CONSULTING SITE ENGINEERS This letter is to respond to the denial of Lot 26 of the Stage Coach Subdivision, Phase 1, per the letter received February 4, 1999. The purpose of this letter is to request that the property be reconsidered for the following reasons: The area approved on the subdivision plat for primary and expansion is too small to fit in the system for a four bedroom residence due to the fact that per the original subdivision plat dated on 6122/89 by John Lehman, P.E. provides for a one minute perk rate. Percolation tests conducted by Laurent Engineering yielded results in the 21 -30 range and were witnessed by a representative of the PCHD. 2. Deep Test "A" on the above mentioned plat notes a depth of 8'. Subsequent deep test dug by Laurent Engineering yielded a depth of only 18 ". In this area, rendering the eastern half of the proposed area unusable for SSTS purposes. 3. The area of approved SSDS per the plat falls within 100' of the intermittent drainage way. 4. This 100' setback from the existing well drilled on Lot 25 fall` within out 109/0 of proposed SSTS area, further revealing the si7e of the approved septic area. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. t Harry W. W Nic 1,' Jr. P.E. HWN:JM:1ds 98047 TOTAL P.03 BRUCE R. FOLEY Public Health Director DEPARTMENT 1 Geneva Brewster, New OF HEALTH Road York 10509 . -y LORETTA MOLINARI RN., 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 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 February 4, 1999 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Harry Nichols Laurent Associates Millbrook Office Centre Route 22 & Milltown Road Brewster NY 10509 Re: Proposed Construction Permit Levinson & Katzin Stage Coach Road, Lot 926 (T) Southeast, TM# 15 -1 -13 Dear Mr. Nichols: Review of plans dated December 9, 1998 last revision dated January 25, 1999 and other materials relative to a construction permit for the above captioned property has been completed by the Department. Based upon such review, and pursuant to the provision of Article III of the Putnam County Sanitary Code; you are hereby advised that the proposed method providing water supply and sewage disposal are considered inadequate as set forth below. Therefore, approval of these plans cannot be granted. 1) Expansion area is outside the area approved on the subdivision plat titled "Stage Coach Properties Phase P" approved January 27, 1994. 2) The proposed relocated expansion area is within 100 feet of the shown intermittent stream. J If you have any questions, please call me at ext. 166 Ve ly your Robert Morris, P. E. RM:tn Senior Public Health Engineer 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 (J po—) pta--) HOLE NO. 9 HOLE NO. HOLE NO. L Indicate level at which groundwater is encountered M%W_ Indicate level at which mottling is observed MA Indicate level to which water level rises after being encountered # Deep hole observations made by: J CAC- �W - %,� Date Design Professional Name: A 9V. hjLffoo, J14 P6. Address: f# mill'TWH Roo Signature: Design Professional's Seal z'I. -. y� , t{ \SS cc LQ l q G Na. ,6924 Or E5S1QI ..s 2 January 25, 1999 Robert Morris, P.E. Putnam County Health Department 4 Geneva Road Brewster, NY 10509 RE: Proposed SSTS Levinson & Katzin Stage Coach Road, Lot #26 Town of Patterson Dear Mr. Morris: In response to your review letters dated January 21, 1999, we offer the following: 1. All deep tests dug are now sliown on the plan. We trust the above adequately addresses your concerns and request the issuance of the Construction Permit at your earliest convenience. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. Harry W. Nichols, Jr., P.E. HWN:JM:hs 98036 -26 LAURENT ENGIN =ERIN G \ MI1�800 CENTRE 2 6 Mf j 1 /\ \\ Be*- -%tor, Nqw York 1CSC9 (31 t)27a -61Ca -(FAX) 273.21:3 HARRY W. NICHOLS JR., P.E. \\ ENGINEERS CONSUITiNG 51Te c January 25, 1999 Robert Morris, P.E. Putnam County Health Department 4 Geneva Road Brewster, NY 10509 RE: Proposed SSTS Levinson & Katzin Stage Coach Road, Lot #26 Town of Patterson Dear Mr. Morris: In response to your review letters dated January 21, 1999, we offer the following: 1. All deep tests dug are now sliown on the plan. We trust the above adequately addresses your concerns and request the issuance of the Construction Permit at your earliest convenience. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. Harry W. Nichols, Jr., P.E. HWN:JM:hs 98036 -26 TEST PIT PROFILES Hole #_ Lot # Hole # Lot # `�. Hole # � Lot # c1 Depth to water Depth to water Ale -A Depth to water ./1/0 oe _ I Depth to mottling .4 Depth to mottling.* 4l4 .e Depth to mottling , Qt4p ' Depth to rock/imp. Depth to rock/imp. -G " Depth to rock/imp.. q r`4- G.L. G.L. G.L.. 0.5 ` ° 0.5 ' 0.5 ` 1.0 (� t`3 P& 1.0 w 1.0 v ,-,4: eie R, 2.0 F ", 2.0 2.0 3.0 A, lr_ 3.0 ,,- 3.0 4.0 4.0 4.0 5.0 5.0 6.0 6.0 �`� (� mod- f� 6.0 i�o c k "B ©opt k v c All Y 8.0 8.0 .8.0 9.0 9.0 9.0 10.0 10.0 10.0 Hole # S Lot # Hole # � Lot # 2 �✓J; Hole # Lot # :✓c.a-er, 5e",; `-y 0 Depth to water ,_,% yi r Depth to mottling Alo vi e Depth to water wet 5, >,a aj! f6 Depth to mottling 4h0 e "Depth to water Depth to mottling Depth to rock/imp. L.4 Depth to rock/imp. Alylic Depth to rock/imp. G.L. G.L. G.L. 1.0 1.0 Lo tj tj 2.0 n 2.0 ; h e 2.0 S 3.0 3.0 1 r 3.0 ,b -j 4.0 0 4.0 4.0 5.0 5.0 "� - " 5.0 nom- 1-714, 13 N_>tL/n 6.0 6.0 6.0 7.0 7.0 7.0 8.0 8.0� -ft �,� ` -a " 8.0 �.�'- 10.0 10.0 10.0 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 6 DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner 4.c yi s ,eN Address 5 -rA g a GcsAc FJ %?d Located at (Street) 1jr4,y yo-0- RJ, Tax Map 16- Block 1 Lot (indicate nearest cross street) Municipality PAT-7- r-p -4A/ Watershed SOIL PERCOLATION TEST DATA Date of Pre - soaking /a. A Z,7,5 Date of Percolation Test 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 Y3epth t Water Water From Ground Level Percolat<on loo Tame Ela se Time Surface (Igcbes) Start propp In Inches Rate Hole RuttNo Start StoItn) 1? Stop M�WInch 1 - O 02 - oL S Ja a o 2 11,418 ,- all A 4 5 2 3 aal~-a,, 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. 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 Cp Shect . of }TNAM COUNTY DEPARTiVIENT _OFtHEALTH y .� DIVISION OF ENVIRONMENTAL HEATLII SERVICES' FIELD ACTIVITY REPORT ; M A rF AI-)n F.c Street Town State Zip PERSONM IN- CHARGE - v Name and Tide'- TYPE OF FACILITY �v i gt� ml %wo = �� r�rzen'oieL�= 'e1/liw� FINDINGS �r�Pi^Gfe� gay, e , u .a. • ��' .. Signature Arid TW6 FTI RV• RFLOR'T R FC`FT • 1 -T _ackno'wledge:receipt of _this,report r SIGNATURE; 02/96 -; Title. . PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address.of applicant: to !'lr lt�'i= o(Dh�si 2. Name of project: 4-70HP�Y� l N'-e i D 5"" (0 I N.Di` WkJ 4-'5% � 3. Location TN: 4. Design Professional:' I-W'� `�' M`�� -S ,J`�' 5 6. Drainage Basin: V A4.5C' fp�l 60N Address: U (TiW -L� — b�NO 9--Q(G 7. Tyne of PrWect: _ Private/Residential Food Service Apartments Institutional Office Building Realty Subdivision Commercial Mobile Home Park Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ....................... ............................... Type I Exempt X, Type II Unlisted 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... HO 10. Has DEIS been completed and found acceptable by Lead Agency? Y? ............... 11. Name of Lead Agency 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? .................... _ ......................... ..... ............................... ye i 13. If so, have plans been submitted to such authorities? ......... ..............................Q 14. Has preliminary approval been granted by such authorities ? Date granted: w 15. Type of Sewage Treatment System Discharge ................. surface water 'A groundwater 16. If surface water discharge, what.is the stream class designation? .................... 17. Waters index number (surface) NA 18. Is project located near a public water supply system? ....... ............................... N 19. If yes, name of water supply. NA Distance to water supply N � 20. Is project site near a public sewage collection or treatment system? ................ RPt 21. Name of sewage system tA N Distance to sewage system 10, 22. Date test holes observed ti • 1(, , T; 23. Name of Health Inspector 24. Project design flow (gallons per day) .................... `.............................................. '�04 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?...0 26. Has SPDES Application been submitted to local DEC office? ......................... la� Form PC -97 2 27. Is any portion of this project located within a designated Town or State wetland? NO 28. Wetlands ID Number .............. ......................................... ............................... NA 29. Is Wetlands Permit required? ......................................:....... ... ............................. No Has application been made to Town or Local DEC office? ............................... NA 30. Does project require a DEC Stream Disturbance Permit? .. ............:.................. 31. 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? ................... I........ Yes/No No 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? ............................... Yes/No No DESCRIBE: 33. Is there a local master plan on file with the Town or Village? .........................�:� 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ................................ ............................... 35. Are any sewage treatment areas in excess of 15% slope? . ............................... NQ 36. Tax Map ID Number .......................... ............................... Map I Block Lot 0) 37. Approved plans are to be returned to ..... Applicant Design Professional NOTE: All applications for review and approval of a new SSTS to be located within the NYC Watershed shall be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater,plans or the creation of t impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item l .,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of th Penal ' aw. r SIGNATURES & OFFICIAL TITLES: Mailing Address: ................................... • ��=�5 i� Sa; � � � coq BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Jeff January 11 1999 Tel. (914) 278 - 6130 Fax (914) 278 - 7921 Y Moore Laurent Associates Millbrook Office Centre Route 22 & Milltown Road Brewster NY 10509 RE: Levinson and Katzin Stage Coach Road, Lot 26 (T) Patterson Reservoir Basin East Branch Dear Mr. Moore: The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on December 28, 1998 is complete. The Department will notify you by January 27, 1999 of its determination. 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 complete, subject to standard terms and conditions as set forth in the regulations. Please be advised that projects within the NYC Watershed may also require Dept. 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 Dept. of Environmental Protection regarding such activities to see if Dept. of Environmental Protection review and approval is required. If you have any questions regarding this matter, please call me at (914) 278 -6130 ext. 166. V tr uly your §' h� Robert Morris, PE RM :tn Senior Public Health Engineer PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of �RVC-IE �-005E OT7,►N Located at 15TkAF- z)1�H 94Pp T/V Tax Map # f� Block Lot . 1' Subdivision of 5TR61 t':;- UAG) -1 , 1N(-,( Subdivision Lot # ZG piled Map # 0"A Date Filed Gentlemen: This lette:- is to authorize W PV-A-i \N, Jl _, a duly licE.nsed Professional Engineer >k, or Registered Architect to apply for the required wastewater treatment and/or water supply 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 treatment 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 PutnaiA�gnty�ry Code, Countersigned: P.E., R.A., # Mailing Address DR-EW6-,'FP- 10 i FP- i "Very truly yours, Signed: (Owner of Property) P r'`'1% Mailing Address: 10 Mr- kLi-Y 4. 6 -"-p1-4 X14 State W Zip _ 10P)01 _ State l`qi Zip 101�No Telephone: .0m `- -15 - Gm Telephone: (1141 Forrn LA-97 TOTAL P.03 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner B�UL6 t-C-4 IN 9,5tHl- .UU155 077-0 Address 0 mfi P-A#;t)rVr R i 81 0 '�G Located at (Street) '`' '&E CcPiu i kfko 10,4,1+ 1 iw!STax Map `ID- Block d Lot (indicate nearest cross street) Municipality Drainage Basin F"-) NW4 SOIL PERCOLATION TEST DATA Date of Pre - soaking i "�-'` �r Date of Percolation Test Hole No. Run No. Time Start - Stop Ela se Time Min.) Depth to Water From Ground Surface (Inches) Start Stop Water Level Dropp In Inches Percolation Rate Min/Inch 4 5 2 lie �. �' fns °' 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. 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' 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' 2 -` TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. 1 HOLE NO' HOLE NO. MEO AX Ma g i sAS�o Indicate level at which groundwater is encountered Indicate level at which mottling is observed Indicate level to which water level rises after being encountered `- Deep hole observations made by: C% - �-GeD I (�s o� J, Kr'N�-E �{— % -A�) Date O WU Design Professional Name: 1 1 Address: % ML1VT0VJN �1-0 R p Signature: . Design Professional's Seal 30" fry �r�.vel :JCP1 .0 to rave,l PUTNAM COUNTY DEPARTMENT OF HEALTH L�fi DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM / Owner L � vI SO-41 Address S , A 6 r= G oAc- i4 7zi. Located at (Street) j3 lgc-H 141 Le- RZ Tax Map I- Block �_ Lot I �3 (indicate nearest cross street) Municipality pA =ERSani Watershed �5,45-T- B-pe,,gnre�N SOIL PERCOLATION TEST DATA Date of Pre - soaking 104 21,7 9 Date of Percolation Test 4g 1'0 0 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 >: >.: > >' De `th to.�Water...: 'Vk' a at From Ground Level Perco14% t<btI Time Eta se Time : Surface (Inches) pro Ia Rate M�n/Inch Hole No Ruu No Start Sto F...... ; (pNf�n) :::.:.................:........ Start Stag Inches l 1 0'0- -- 10 `'33 30 1 - � .� � %z z0 2 10;Sq -1/.04 so - X51 1 %a 0'�o 3 4 5 1 to;o5 -10:g 10;56 2.7 a a% - �% `�, 3 11 :ov - 1/ 30 3a 1 % - L$r 3 / p 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. 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 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS REVIEW SHEET FOR CONSTRUCTION PERMIT t , STREET LOCATION l�!`IK— CZ A{-14 NAME OF OWN R�'"�`' REVIEWED B RM, GR, AS, MB, BH 014 DOCUMENTS PERMIT APPLICATION PC -1 nLL PERMIT PWS LETTER LETTER OF AUTHORIZATION S3E9I N DATA SHEET (DDS) CORPORATE RESOLUTION C SHORT EAF PLANS - THREE SETS H ,OUSE PLANS -TWO SETS VARIANCE REQUEST SUBDIVISION L SUBDIVISION IVISION APPROVAL CHECKED RATE Pkt-REQUIRED DEPTH CURTAIN DRAIN REQUIRED STANDPIPES GENERAL LOCATED IN NYC WATERSHED PLANS SUBMITTED TO DEP DF.1,EGATED TO PCHD l,P APPROVAL, IF REQ'D 1 EEP TEST HOLES OBSERVED PERCS TO BE WITNESSED EX�4PPROVAL SSDS ADJ. LOTS ETLANDS (TOWN/DEC PERMIT REQ'D ?) D A ON DDS PLANS & PERMIT SAME Pw969 NEIGHBOR NOTIFICATION ER BI/ZBA 100 YR. FLOOD ELEVATION OTHER REQ'D PERMITS) REQUIRED DETAILS ON PLANS SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE (GRAVITY FLOW !'wA PERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY & EXPANSION OCATION MAP E AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE F PUMPED, PIT & D BOX SHOWN & DETAILED OUSE - NO.OF BEDROOMS WELLS & SSDS'S WAN 200' OF PROPOSED SYS. PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) 7. HOUSE SEWER - 1/4" FT. 4 "0; TYPE PIPE FT�NO BENDS; MAX.BENDS 450 W /CLEANOUT . FILL SYSTEMS CLAY BARRIER 10- FT. HORIZONTAL;SLOPE 3:1 TO GRADE FILL SPECS i FILL NOTES FILL CERTIFICATION NOTE DEPTH GAUGES FILL PROFILE & DIM NSIONS VOLUME FILL IN EXPANSION AREA TAX MAP # % '>,, — /—/-? TRENCH /// JF TRENCH PROVIDED (0(p 60 FT MAX. ARALLEL TO CONTOURS 100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN - FROM SSTS 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL 20' TO FOUNDATION WALLS _15'WELL TO PL 00' TO WELL, 200' IN DLOD, 150' PITS 0' TO STREAM WATERCOURSE LAKE (inc. expan) 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 0' TO WATER LINE (pits -20') '0' INTERMITTENT DRAINAGE COURSE 200'/500' RESERVOIR, ETC. _150' GALLEY SYSTEMS CONSTRUCTION NOTES 15'MIN to CDC >5 %,-10'- 4 %,25'- 3 %,30'- 2 0/,,35' -1 %,100' - <1% DESIGN DATA: PERC & DEEP RESULTS 20'MIN to CD discharge /100'with 182 cons day discharge T CONTOURS EXISTING & PROPOSED SEPTIC TANK DRIVEWAY & SLOPES, CUT 1 'FROM FOUNDATION; 50' TO WELL FOOTING /GUTTER/CURTAIN DRAINS WELL SOIL TYPE BOUNDARIES DIMENSIONS TO PROPERTY LINE TITLE BLOCK; OWNERS NAME,ADDRESS LOCATION OF SERVICE CONNECTION 'TM #,PE/RA; NAME,ADDRESS,PHONE# 15ATE OF DRAWING/REVISION DATUM REFERENCE LOCATION OF WATERCOURSES, PONDS LAKES AND WETLANDS WITHIN 200 FEET PROPOSED FINISH FLOOR AND BASEMENT EL. COMMENTS: dl " ll�lz' I December 9; 1998 Robert Morris, P.E. Putnam County Health Department 4 Geneva Road Brewster, NY 10509 RE: Individual SSTS Bruce Levinson & Louise Katzin Stagecoach Subdivision, Lot 926 Patterson, N.Y, Dear Mr. Morris: Enclosed are the following: 1. Five (5) prints of SS -26 "Proposed SSTS ", dated 12/9/98. , 2. "Short EAF ", dated 12/9/98 3. "Application For Approval of Plans For a Wastewater Disposal System ". 4. "Construction Permit for Sewage Disposal System ", dated 12/9/98. 5. "Design Data Sheet ". 6. - "Letter of Authorization." 7. Two (2) copies of Residence Floor Plan(s), for "Bedroom Count Only ". 8.- Review Fee in the amount 0.11300.00. We would appreciate your review, approval and issuance of the construction permit at your earliest convenience. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. HarMW.Nich Is, Jr., P.E. HWN:JDM:his - 98023-26 N jASSOCIATES, j j \ LAURENT ENGINEERING P,C. MILLBROOKE OFFICE CENTRE % I \� Route 22 6 Milltown Road Brewster, New York 10509 (914)278.6108 -(FAX) 278.2558 HARRY W. NICHOLS JR., P.E. CONSULTING SITE ENGINEERS December 9; 1998 Robert Morris, P.E. Putnam County Health Department 4 Geneva Road Brewster, NY 10509 RE: Individual SSTS Bruce Levinson & Louise Katzin Stagecoach Subdivision, Lot 926 Patterson, N.Y, Dear Mr. Morris: Enclosed are the following: 1. Five (5) prints of SS -26 "Proposed SSTS ", dated 12/9/98. , 2. "Short EAF ", dated 12/9/98 3. "Application For Approval of Plans For a Wastewater Disposal System ". 4. "Construction Permit for Sewage Disposal System ", dated 12/9/98. 5. "Design Data Sheet ". 6. - "Letter of Authorization." 7. Two (2) copies of Residence Floor Plan(s), for "Bedroom Count Only ". 8.- Review Fee in the amount 0.11300.00. We would appreciate your review, approval and issuance of the construction permit at your earliest convenience. Very truly yours, LAURENT ENGINEERING ASSOCIATES, P.C. HarMW.Nich Is, Jr., P.E. HWN:JDM:his - 98023-26 N 617.20 r` Appendix C . State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only 'art 1. - PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT /SPONSOR: LEv1Hhh►�4 + 2. PROJECT NAME: i)� iio j1$c I`—!j1 Z 1H I ' j�IpIvIDURL. jsj' 3. PROJECT LOCATION: �g Municipality r Jn County N HAH 4. PRECISE LOCATION: (Street address and road intersections, prominent landmarks, etc., or provide map) '51-N1,45 C,-O NL VA F-OAP 5. PROPOSED ACTION IS: XNew OExpansion ❑Modification /alteration 6. DESCRIBE PROJECT BRIEFLY: I iii l�► �1 I ���y � `='�• i� 7. AMOUNT OF LAND AFFECTED: Initially i , acres Ultimately I° acres 8, WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? KYes ONo If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑Industrial., .__ ❑ComTer,cial ❑Agricultural ❑Park /Forest /Open space 00ther Describe: 604t4L45 FAI-Aky -•? 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ❑Yes Cko If yes, list agency(s) name and permit /approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑Yes ko If yes, list agency(s) name and permit /approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? ❑Yes A"0 I CERTIFY THAT T E INr- ORMATIOr PR OVI D OVE IS TRUE TO THE BEST OF I.tY KNOWLEDGE ;: m .'.n r;or naes _ D<.. I 1 J - -- I If the action is in a Coastal Area, tend you are a state agancy, compla.a a Coastal .ssessntent Form before proceeding with this assessme::: �! T T PIJTIdM' COUNTY( HEALTH -ll)V T T 0' 4.0 1 Geneva Road (845) 278 6130! Brewster, NY 10509 Date � /oa ti R of nceived Tha ,Dollars $ coo o For THANK YOUR �] Cash []Check . Ca'R�10 ❑ Gredit Card gy _ ; ' oa' �A3�\ PUTNAM COUNTY DEPARTMENT OF HEALTH ��. DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # P-'^00-q1 Mage Located at �j� �'I Ac�3�t�A $ F—DAP ��u7 To oATT1 5F �'0H Owner /Applicant Name MWIT- t 06AI &I Tax Map 165 Formerly WC5 LENOkH t L-oji% �,"H Subdivision Name Subd. Lot # Block 1 Lot og '5T'Mr - 5UA04 0 Mailing Address ��%'�'`� ��1 �� J Zip Date Construction Permit Issued by PCHD N Separate Sewerage System built by APAW- �/ ,55 H1 6.1 Address �G o-�iiH . AZ W -0+Vi .0 —S 0- Consisting of D-60 Gallon Septic Tank and Other Requirements: Water Supply: Public Supply From. W LF P M TP-ENC44 Address or: Private Supply Drilled by �9� M 00 Address Building Type RE605 HCIE Has erosion control been completed? Number of Bedrooms Has garbage grinder been installed? Y65 M4 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 regulatio s of the Putnam County ; partment of Health. J Date: 02.. Certified by P.E. A R.A. �,�Desi n P�ro�essional) Address 2v�o 9-"/ 2 � B q' r t , o' License # z5a l, "C 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 a subject to modification of change when, in the judgment of the Public Health Director, such revocatio I ificati r change is necessary. By: f, l+' `� Title: Date: AFZ-62— White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 Harry W. Nichols Jr., P.E. Patterson Park, Suite 106 2050 Route 22 Brewster, NY 10509 Telephone (845) 2794003 Fax (845) 279.4567 June 4, 2002 Robert Morris,-P.E. Putnam County Health Department 1 Geneva Road Brewster, NY 10509 C L RE: Proposed Compliance: Krasniqi 237 Stage Coach Road, Lot #26 Town of Patterson T.M. #15 -1 -13 Dear Robert: In response to May 31, 2001 review letter, we note the following: 1. Distance from driveway to expansion trenches has been revised to 10' min. 2. As -Built has been corrected to show the curtain drain a minimum of 15 feet from septic trenches. Kindly continue with your review of the SSTS application. Very truly yours, r Harry'. Nichols , P.E. HWN: his 00- 027.00 BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH I Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Harry Nichols, P.E. Patterson Park Suite 106 2050 Route 22 Brewster, NY 10509 Re: Proposed Compliance: Krasniar 237 Stage Coach Road, Lot #26 (T)Patterson, TM# 15 -1 -13 Dear Mr. Nichols: May 31, 2002 Review of plans and other supporting documents submitted at this time relative to the above - regarded proj ect has been completed. Comments are offered. as follows: 1. Minimum distance from the driveway to a trench is 10 feet. Revise accordingly. 2. Minimum distance from the curtain drain to a trench is 15 feet. As built shows trenches within 8 feet of.the curtain drain. The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. If percolation tests were not witnessed by a representative of the New York City Department Environmental Protection on this lot, percolation tests must be witnessed by a representative of this Department. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. V, ly yours Robert Morris, P.E. Senior Public Health Engineer RM:tn "3 ,,61 �ZZ o9LS w 0 W N 0 w N G. 1� I W6 ' DIMENSION CHART (in feet) Number 4 8 1 17 28 2 21 Z3 3 23 2 4 26 22 5 3 1 2A 6 36 27 7 41 32 8 46 35 9 51 40 10 56 4 5 1 1 62 50 12 67 55 13 72 60 14 82 84 15 82 813 16 82 82 17 83 83 I8 86 85 19 88 85 20 89 86 21 91 87 22 93 88 23 95' 90 24 99 93 25 68 62