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Home My WebLink About0537DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 22.16 -1 -3 BOX 7 JL •L�, "+,, all m :T�Ir k •. • 00537 ENGINEER MUST PUTNg� POVIDE E = , \6� - n Division of Enwronmendl Ailth Services," d"81, P. ERM I T # ;CERTIFI -QF, CONSTRUCTION COMPLIANCE FOR SEWAdOIDISPOSAL= SYSTEM - Town or Village iOCated at '•v. V I' "� Tax MaP p Block ;Owner / Formerly . Tax Map - Lot q - " gubd Lot.f 'Separate Sewerage system built by ' �'a(° �Il7. 1 XJt1c� n 1 AddreuR��(r1CLT Zle Consisting of JlL1L �'C3al.. Septic Tank and r /-` /. Other requirements Water Supply Public Supply From urv, Pi I Private Supply Drilled By — =Sens �f Al�,t-ir .M N �a, ;► Add ess G" 9 yP ` n No. of Bedrooms: Date Permit Issued ° f din •T e 1 \�c�' 1 Ct °� Has. Erosion. Control Been Completed? Has garbage grinder been installed? I certify that the, system (a),as'listed serving the above premises. were constructed e_ssentia3ly.as-sh6wn on.the plans of the completed: work ( copies of which are attached)',: and in accordance with the standards, rules and regulations; in accordance with the file __. an, and the permit issued by the . Putnam County Department : Of Health. Date y �s ►/ ��g Certifietl b P.E:R A ,Address 31 A;ny. person occupying Oremises served 'by the. abovesystem(iy. shall promptly take' eh�action'as` may bwnecessaryto securetho'correction of any unsanitary. - conditions'►esulting fro m such usage. .:Approval of.'itie'sepaiste sewbrage,rystsm'fhall- become_ null and vold.as soon as a. public,sanitairy sewer becomes available and the approval of, the private water- supply•shalCbecome null and - void when a. public' water supply .becomes availabla.' Such approviis are subject to modification or change when, In,the judgment `- of.,the Commissio"r of'Health,.such revocation, modification'or.•change Is recassary. 'title _ Rev., 6/145 1 I PUTNAM COLUrY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES A� &�to F>oWAVWA Owner or Purchaser of Building 4061,0 600AVVNiA Building Constructed by WD1070OW DAD Location - Street Firm 2504 Municipality 9951 DR411A I. Building Type 13 1- 1 C.o Section Block Lot Subdivision Na Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage disposal system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this ;�2-j day of 19_j?g Signature Title General-Contractor (Own ) - Signature L� cvi�2 Z Ulf Co ration Name (if Corp.) rev. 9/85 mk c Co ration Name (if Corp.) 3vi Address —C() � a WELL UUV1rLt _11%J V AzruAl DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only STREET ADORESS. WNIVIL / I Y TAX GRIO NUMBER: j 4,_4 on We WELL LOCATION WELL OWNER aoDRESS: NAME: ` Ca S CAI PRIVATE ❑PUBLIC USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE 6 ®() gal. REASON FOR DRILLING VNEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TESTIOBSERVATION ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH �� ft. STATIC WATER LEVEL ft. DATE MEASURED DRILLING EQUIPMENT ❑ ROTARY COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT O CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING, OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH ft. MATERIALS: STEEL O PLASTIC ❑ OTHER LENGTH.BELOW GRADE .2 aa tL JOINTS: ❑ WELDED THREADED ❑ OTHER DIAMETER 7 —in. SEAL: ❑ CEMENT GROUT BENTONITE ❑ OTHER WEIGHT PER FOOT � 1b./ft. DRIVE SHOE: YES ❑ NO LINER: ❑YES NO DIAMETER (in) SLOT SIZE . LENGTH (11) DEPTH TO SCREEN (ft) DEVELOPED? SCREEN DETAILS FIRST O YES ONO HOURS SECOND GRAVEL PACK ❑ YES O NO GRAVEL SIZE . DIAMETER OF PACK in. TOP DEPTH fL BOTTOM DEPTH It. WELL YIELD TEST 1. If detailed pumping Mp00: O PUMPED i tests were done is in- COMPRESSED AIR , formation attached? O BAILED ❑OTHER ; ❑YES ❑ NO It more detailed formation descriptions or sieve analyses WELL LOG are available, please attach. DEPTH FROM SURFACE water sear- in9 Well Dia In FORMATION DESCRIPTION poE. ft. 1t. WELL DEPTH 1t. DURATION hr. min. DRAWOOWN ft. YIELD Land Surface . o WATER CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? ❑YES ONO STORAGE TANK': TYPE CAPACITY GAL. PUMP INFORMATION TYPE mcf -Si6k CAPACITY MAKER T� �. •��4 �— DEPTH iyr I [BERT MODEL -TP Z — 10 VOLTAGEd36 HP . 1 WELL DRILLER NAME DATE M. HYATT & SONS, INC. SIGTrfiTtIRE a Well Drilling Rte. 311 R. R. 2 Box 171A / 7 NEW YORK 12563 Yorktown Medical Laboratory, Inc. 321 Kear Street Yorktown Heights, N. Y. 10598 (914) 245 -3203 Director: Albert H. Padovani M. T. (ASCP) P r -6on is Vin A Cc).nC' • (�Jep , LAB # �! CA. 006178 I Date Taken: ' Time : : _ ,0M Date Rc'd: ''( - Time: ') VO Date Reported: JAN 2 2 1988 Collect.ed By: 6anAu c'.tiN Referred By: Sample Location: Gi E-. kud ` , 0 S' Phone # 5 i� Phone # Sample Type: Repeat Test? _ 1(check one) LABORATORY REPORT ON THE BACTERIOLOGICAL QUALITY OF WATER GENERAL BACTERIA Standard Plate Count (CFU /1.OmL) ��- (Agar Plate @ 35 °C) MEMBRANE FILTRATION TECHNIQUE (MFT) Total Coliform (CFU /100mL) 0. Fecal Coliform (CFU /100mL) Fecal Streptococcus (CFU /100mL) MOST PROBABLE NUMBER TECHNIQUE (MPN) Total Coliform: MPN Index (per 1.00mL) Fecal Coliform: MPN Index (per 100mL) OTHER ANALYSES REMARKS (For Laboratory Use) Potable _ __.Non_- .potable _ STP INF STP EFF Other: Sample Status: (check each) Outgoing _ Na2S203 Incoming }( LE 4 °C _ GT 4 °C KEY FOR TERMINOLOGY RDS = Recommend Disinfec- tion of Source TNTC= Too Numerous To Count CON = Confluent ( =TNTC) LE = Less Than or Equal to GT = Greater Than N/A = Not Applicable THESE RESULTS INDICATE THAT THE WATER SAMPLE (WAS) (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO TH NE YORK STATE DRINKING WATER STANDARDS,. FOR THE PARAMETERS TESTED, AT ME TIME OF COLLECTION. For Lab Use Only: H/C to Albert H. Padovani, M.T. (ASCP), Director { ENGINEER TO'PROVIDE'PERMIT # �� PUTN AM COUN'PY DEPARTMENT OF HEALTH oN I T F1_ CA 0 m& CE. A CE , 1 '{ Dfvfslon of.;'Environmenial: Health Services, Carme% 10512 PERM CONSTR._ ION PERMIT. FOR ,SEWAGE DISPOSAL SYSTERA_ATTQ�►.� Town or illage Located t, �3 Block - - Lot Tax.MaP .< a SUbdrvifion Subd" -.Lot .N Renew 1 Revision .Owner /Address J, I %a `f Date Of Previous Aophpr�ovfal ` ' Fill Section on Er - Building `.TYPe Lot' Area :Number of Bedrooms * Design.Flow G /P /D `mow - "P. C. H. D. Notification1'Required� ! L Separate Sewerage System to consist_ of. �� Gal. Septic Tank - and 12. ""tom ` , ��lu�� { -! To be constructed by 1 °. �.0 Address Water Supply: � Public Supply' From r'"Private �Suppiy to be drilled, by Ad dress Other Requirements ��l �-, Cl� �.�^ P `�U rat P I represent that I. am wholly and com p let eIy- respo nsib le for the design and IGCatIon - of the proposed system(S);. 1),, that the . separate :sewage disposal,. system above described will be constructed as shownon the approved amendment there to a`nd in,accordinca w,th'ihe standards, rules and r,egu a ions o e,, Putnam County Department of ::Health, and,thit on:completioh theieof a 'Certificate of,- Conitruction'.Compliance satisfactory to'the.Commissioner of Health will tie submitted .to: the Department; and a written guarantee :will be. furni4tied the ,owner, his successors;`heirs or assigns • by the builder, that said builder will place ,n .good' operating ,condition: any .part of said„ sewage: "dlspoiil systeffi ,durlhg the period of two (2) :years immediately toliowmg ;the date• of the issu- ance of ahe' approval of the Certificate of or Compliance, of,'ihe original system or any repairs thereto; 2):t. the drilled `well described above will be located as shown on the pproved plan.and that said, well will-be instalied ` , accordan with t e"'stand s, rule an r ' a ions of the- Putnam County Department 4f, Health Date v ( Signed P.E. R.A. Address,. L icense .NO. APPROVED FOR CONSTRUCTION: This' approval expues'.one year from the date 'Issued unless construc on of the.building has been undertaken and is revocable for cause or may be amended ,or mod! tied when considered'ne�essary by, the Commissioner of ' 'Ith, Any change :or alteration of construction :. requires -a. new 'permit.:..Approved` for disposal of <,dbmesticsa nit ary "sewage,'a- ._,.r:' atewater.aupply only: Date. / By �!'� - -— Title __.Rev._. 6/85 ---.- -..._.. _- °-_..- _- - - ...__ .._.: .._.__.- --- -__- ..____�...._..._... _- .____._.._...�...__.___--- - - .. -.._.. _.___..__- _.. ._.._.._..- ...._,_. -- ' 0 I 3 ,g 20.5 22.55 `A = 41 -, 073 S,F T HOUSE A icnO OAS, M4MP PIT M' 0 n� 1000 EAL MASONK -( P,L. SWric, TANS �f to 1=16L05 FILL tu- D6T 150n �n ` ova o 3 7 o I J t Ni�TE HOI.�E, Wf;U� DIFCI' PRN� • �OCaTION�' A6 1°e12 SUKV �i 15Y ) ,A fIeKc*14 DOKFP PATeD'. ]Af4UMZ2 13, t98a f Kn'D; , (2) 1000 &4 M46ONKY 5Ef'TIG7ANKS, ONE W/ 44TLET5 5L06KE6 P6 PUMP f IT W i TH pUM'' > A /V ALAKA V9 LF OF -Xl fC LL�Ys 7' DEEI° G I KTAIW 0 A1N I NSTA LL, EDI" (1) 1000 eALAMG0N1Cf SEPTIC- TANKS oN� � /OUTLETS 'Et4U-'ab 16 PUMP PIT WITH PNMP > AN A1,AKM tSn �F OF TKi- &A"6N T D6EP GU�Wfl DKM4 futnam'County Department us aeairu Oivision of Environmental Health Service, approved as notcl for conformance with applicable Rules and Regulations of the Putnam County Health_ Department. �iRl14ta2'w �, - tlw o }w z..T,,..... ,,,.a, -.cam •ern <.- ,•�++,r; �OGATIc7eJS :. . A. �• TANK -- MAMP PIT 16'- 0 ° r0' -O° l 1)15T [5X OS /3,j, Ids 59! 3° fib GUILT SEPTIC 5-NTe* ANGt; %,OOEOWAV E tW IA 7* -A 15 -2- (o LUDIN6ToI lftLF, ROAD TOWN OP PATTEIZSOt4 $Y M DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT # / -7/'DI WELL LOCATION Street Address Town/Village/City Tax Grid Number 'P I WELL OWNER Name 04CESIDENTIAL ❑ BUSINESS ❑ INDUSTRIAL Address r-- ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP 0 FARM ❑ TEST /OBSERVATION O INSTITUTIONAL O STAND -BY EPPrivate ❑ Public 0 ABANDONED 0 OTHER (specify 13 USE OF WELL 1 - primary 2.- secondary AMOUNT OF USE YIELD SOUGHT_ gpm /# PEOPLE SERVED /EST. OF DAILY USAGE __a_gal REASON FOR DRILLING SUPPLY O PROVIDE ADDITIONAL SUPPLY ❑ REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL O TEST /OBSERVATION DETAILED REASON FOR DRILLING Ll WELL TYPE G211RILLED ODRIVEN ®DUG .[]GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES c_-� NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name "�'e a. Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED f-JON REAR OF THIS APPLICATION OPdls) HEET (date) (signa ure) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the 1 provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the.Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. ti Date of Issue• 19 Z>,% Date of Expiration !!! 19� ermit Issueng i Permit is Non - Transferrable 8/86 IV. V. VI: APPENDIX C '.� FINAL SITE INSPECTION Date CATION v U ( ✓ j/0 04 # OR SUBDIVISION LOT Q Inspected by GWNER / G' P 7 - `,C� NCl CODn`�fIS Sn"tivAGE DISPOSAL AREA a. SDS area located as per approved plans b. Fill section- Date of placement 2:1 barrier_ LGTH WIDTH AVG.DPTH Z c. Natural soil not stripped d. Stone, brush, etc., greater than 15' fran SDS area. e. 100 ft. from water course /wetlands. SEW-AGE DISPOSAL SYSTEM! , a. Septic tank size 1,00 1,250 b. Septic tank install level c. 10' minimun from foundation X d. No 90° bends, clear-cut within 10 ft. of 450 bend e. DISTRIBUTION, BOX 1. All outlets at same elevation - water tested 2. Protected below frost 3. Minimum 2 ft. original soil between box and trenches f. JUNCTION BOX --prope-rly set g. TRENCEIES 1. Le-pgth required - Len h installed I 2. Distance to watarcourse measured_ f•. x 3. Installed according to plan y 4. Distance center- to center � 5. Slope of trench acceptable 1/16 - 1/32 " /foot. 6. 10 feet fran prct:rty line - 20 feet - foundations 7. Depth of trench < 30 inches from sar =ace 8. Roan allowed for exo nsion, 50% 9. Size of gravel 3/4 - 11" diameter 7, 10. Depth of gravell in trench 12" minimum 1 11: Pipe ends capped ZP h. PUMP OR DOSE SYSTEMS 1. Size of pump chamber (J717J . 2. Overflow tank X 3. Alarm, visual /audio 4. Punp easily accessible manhole to S rade 5. First box baffled X Izve 6. Cycle witnessed by Health Department estimated flow per cycle HOUSE ' a. House located per approved plans. b. Number of bedrooms a. Well located as per approved plans b. Distance from SDS area measured ea ft. 0 1 c. (5-sing 18" above grade. d. Surface drainage around well acceptable. LIZ _ OVERALL WORKMASHIP a. Boxes properly grouted �- b. All pipes partially backfilled c. All pipes flush with inside of box d. Backf ill material contains stones < 4" in diameter e. Curtain drain installed according to plan f. Curtain drain outfall protected & dir.to exist_watercours g. Footing drains discharge away fran SDS area d! h. Surface water protection adeauate _ i. Errosion control rovi.ded on slopes qreater than 15 %.ra m 9! -Y0-6 (9/85) DEC PERMIT NUMBER 3724 -33 -1 FACILITY /PROGRAM NUMBER(s) ❑Article 15, Title 5: Protection of Water ❑Article 15, Title 15: Water Supply ❑Article 15, Title 15: Water Transport ❑Article 15, Title 15: Long Island Wells ❑Article 15, Title 27: Wild, Scenic and Recreational Rivers ❑6NYCRR 608: Water Quality Certification NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION 0 PERMIT Under the Environmental Conservation Law Article 17, Titles 7, 8: SPDES ❑Article 19: Air Pollution Control ❑Article 23, Title 27: Mined Land Reclamation ®Article 24: Freshwater Wetlands ❑Article 25: Tidal Wetlands EFFECTIVE DATE EXPIRATION DATE(s) December 31, 1988 ❑Article 27, Title 7: Solid Waste Management ❑Article 27, Title 9: Hazardous Waste Management ❑Article 34: Coastal Erosion Management ❑Article 36: Floodplain Management ❑Articles 1, 3, 37; 6NYCRR 380: Radiation Control N —New, R— Renewal, M— Modification C— Construction, O— Operation, (If Applicable) PERMIT ISSUED TO Anizelo Bonavenia ADDRESS OF PERMITTEE RD 6 Old Road. AGENT FOR PERMITTEE /CONTACT PERSON TELEPHONE NUMBER NAME AND ADDRESS OF FACILITY (if different from Permittee) LOCATION OF PROJECT --Ulster LC-14. Ludingtonville COUNTY TOWN /CITY/VILLAGE Patt-PrQnn UTM COORDINATES DESCRIPTION OF PROJECT /FACILITY Drill a well and install.water lines fora Private residence, LC -14 in accordance with materials submitted .as. art of the application GENERAL CONDITIONS By acceptance of this permit, the permittee agrees that the permit is contingent upon strict cmWliance with the ECL, all applicable regulations and the conditions specified herein or attached hereto. 1. The permittee shall file in the office of the appropriate regional permit administrator, or other office designated in the special conditions, a notice of intention to commence work at least 48 hours in advance of the time of commencement and shall also notify him/her promptly in writing of the completion of the work. 2. The permitted work shall be subject to inspection by an authorized representative of the Department of Environmental Conservation which may order the work suspended if the public . interest so requires. 3. The permittee has accepted expressly, by the execution of the application, the full legal responsibility for all damages, direct or indirect of whatever nature, and by whomever suffered, arising out of the project described herein and has agreed to indemnify and save harmless the State from suits, actions, damages and costs of every name and descrip- tion resulting from the said project. 4. The Department reserves the right to modify, suspend or revoke this permit at any time after due notice, and, if requested, hold a hearing when: a) the scope of the project is exceeded or a violation of any condition of the permit or provisions of the ECL and pertinent regulations are found; or b) the permit was obtained by misrepresentation or failure to disclose relevent facts; or c) newly discovered information or significant physical changes are discovered since the permit was issued. 5. The permittee is responsible for keeping the permit active by submitting a renewal application, including any forms, fees or supplemental information which may be required by the Department, no later than 30 days (180 days for SPDES or Solid or Hazarduous Waste Management permits) prior to the expiration date. 6. This permit shall not be construed as conveying to the applicant any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work or as authorizing the impairment of any rights, title or interest in real or personal property held or vested in a person not a party to the permit. 7. The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights -of way which may be required for this project. 8. Issuance of this permit by the Department does not, unless expressly provided for, modify, supersede or rescind an order on consent or determination by the Commissioner issued heretofore by the Department or any of the terms, conditions, or requirements contained in such order or determination. 9. Any modification of this permit granted by the Department must be in writing and attached hereto. PERMIT ISSUANCE DATE PERMIT ADMINISTRATOR ADDRESS 21 South Putt Corners Road m a (q 8'% RUTH X TURE ED SIGNA m I n �wrf/S�— W. E . S . Pagel of 3 J AQ,DIT t9 /esl Freshwater Wetlands ADpITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (Title 5), 24, 25, 34 and 36 10. 11 12 13 That if future operations by the State of New York require an al- teration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause .loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be com- pleted, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. That. the State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. That if the display of lights and signals on any work hereby authorized is not otherwise provided for by law, such lights and signals as may be prescribed by the. United States Coast Guard shall be installed and maintained. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. CONTINUED ON NEXT PAGE DEC PERMIT NUMBER PROGRAM/FACILITY NUMBER 14. Any material dredged in the prosecution of the work herein permitted' shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. 15. If any material is to be deposited or dumped under this permit, either in the waterway or on shore above high-water mark, it shall be deposited or dumped at the locality shown on the drawing hereto attached, and, if so prescribed thereon, within or behind a good and substantial bulkhead or bulkheads, such as will prevent escape of the material into the waterway. 16. There shall be no unreasonable interference with navigation by the work herein authorized. 17. If.granted under Articles 24 or 25, and if upon the expiration or re- vocation of this permit, modification of the wetland hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require,.remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. 18. If granted under Article 36, this permit does not signify in any way that the project will be free from flooding. 19. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved plans were prepared by on SPECIAL CONDITIONS of 3 9S2t►ge ADDITIONAL GENERAL CONDITIONS FOR ARTICLE 24 Freshwater Wetlands SPECIAL CONDITIONS 1. All excess excavated material shall be removed from the wetland and deposited upland of the stonewall.. 2." All necessary precautions shall be taken to prevent contamination of the waters of wetland LC -14 and the adjacent stream by silt, sediment, fuels, solvents, lubricants, epoxy coatings, concrete leachate, or any other pollutant associated with construction and construction procedures. 3. In accordance with the above condition a row of staked haybales or silt fabric fence shall be maintained between the drilling operation and the stream to prevent runoff of slurry from the drilling from entering the stream. 4. All areas'of soil disturbance resulting from this project shall be seeded with an appropriate perennial grass seed and mulched with hay or straw within one week of final grading. Mulch shall be maintained until a suitable vegetative cover is established. SEQR NOTE: - - -- Under- the -- State- :En i- ronmental - -Qual i- ty--- Review - -Act (SEQR -)- - the - -- project - associated with this permit is classified as an Unlisted Action and the Department of Environmental Conservation (DEC) has determined that it will not have a significant effect on the environment. Other involved agencies may reach an independent determination of'environmental significance for .this project. DISTRIBUTION: P. Keller J. Steeley R. Wood Law Enforcement DEC PERMIT NUMBER 3724 -33 -1 PROGRAMIFACILITY NUMBER Page 3 of 3 O New York State Department of Environmental Conservation ryas Forest t 21 South Putt Corners Road, New Paltz, ''nnial ( 914) 255 -5453 Crntennial :... N..ry .r wr...,a...rr p r. F..• IMPORTANT NOTICE TO ALL PERMITTEES New York 61 -169.6 Henry G. Williams Commissioner The permit you requested is enclosed. Please read it carefully and note the sl2ecial conditions that are included in it.. The permit .is valid for only that activity expressly authorized therein; work beyond the. scope of the permit may be considered a violation of law and be subject to appropriate enforcement action. If a permit 'sign is enclosed, please protect it from the weather and post it at a conspicuous location at the project site until all work has been completed. If the permit is associated with a project that will entail construction of new pollution control facilities or modification to existing facilities, plan approval for the system design will, be required from the appropriate Departmental Office or delegated local health department. Please note the expiration date of the permit. Applications for permit renewal should be :made well in advance. of the expiration date. For specific instructions contact the office below. If you have any questions on the extent of work authorized or your obligations under the permit, please contact the staff person indicated below at (914) 255 -5453. For " a r9 a rc t b(--t Ke- Jep, -41 Regional Permit Administrator Division of Regulatory Affairs Region 3 By 1 /jb �- Lo ! —,Ltxlvw DRA -10/85 New York State Department of Environmental Conservation NEW NOTICE AM . The Department of Environmental Conservation (DEC) has issued permit(s) pursuant to the Environmental Conservation Law for work being conducted on this site. For further informa- tion regarding the nature and extent of work approved and any Departmental conditions on it, contact the Regional Permit Administrator listed below. ,Please refer to the permit number shown when contacting the! DEC. Regional Permit Administrator Regional Permit Administrator Permit No. _�T -- ? 3 � Department of Environmental Conservation Region 3 New ; altz, New York 1 2561 -1 696 Expiration Date Telephone (914) 255 -5453 955M71 r1/82, NOTE: This notice is not a permit r TIZ r u E b1NE TO 'L%MNT . p15T21BU11Dt� BOX � � 56T LEVFII ON [OWG P00T1N (D Foo ' 8&IAW. ;,pBPj►f 1 -MIN 5 wPE ' 1000 Pt11, mA6oAJXY SEPTIG aNK SITO 4090 &&- MA50NP_r SBPTIG TANK W 1111 , p OUTWS U060D AS PUMP PIT WITA PUMP'. VFR 't" -10 PIzOP 55ta4 I I c�anprJ AAAF' \ ,{ •�A� t'= 2000± Pt?4P vd1ow VACAWT h a tlo0 °�F(oI00� b11 j STAYW HAY'I5AWV- PP.oP v f�A � ''� \ 1 . 1 cdAY =�iIK�1P,� � • ' ,�+ � ` r Q No i c f Wb 100 WA 4' i�: ' AfPRbX 9GC e Y Ai 2 0 an - 2't$+ S 1 10-alm �_ 311��,', ,,F?KCi1266'TDOPFi'd ( oRAD2 ?o x i hT- �, r5v�r 130 lea ' SGALa I