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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 23.11 -1 -13 00OU60 ti r 4. ti 00676 �- PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR S `r MENT SYSTEM PCHD CONSTRUCTION PERMIT # P- d- 9 Located at ,+/ailA PlilAl VIEW /?/)[ "!FIJ J o r Village �T %C�25d11l Owner /Applicant Name ® A!! , NEB W e,4/ P6, 0 Tax Map' 43, i f Block -1 Lot / Formerly Subdivision Name Subd. Lot # .Mailing Address k / OVA1741141 VIEW D, JOA6 lI"CAJ /J� Zip le?563 Date Construction Permit Issued by PCHD 8,1-2- / 9 9 Separate Sewerage System built by/1,� iJEiiilMc�. Address A0 MWA/rJi /,y ✓ L -J1/ &-aM Consisting of Gallon Septic Tank and / %J L dF c' ' jDk5 Q6502P7;0d 'T1644 Other Requirements: c:P /? 67. 13- - 'S�WOI J Water Supply: Public Supply From ' p Address or: Private Supply Drilled by 101LAbAj 77 Address 1,00.. VI/ Armu � Building Type 5 AAA 4e rd0VZ- y Has erosion control been completed? Number of Bedrooms Has garbage grinder been installed? I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of the am County tment of Health. / Date: no, 629 aCM Certified by P.E. ✓ R.A. -- `L VJI� 1 IVLVJJaVaau� Address i A eAIOI IZ-r ii�.- !7l/T License # 12&W3'r&g N /v509 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^ subject to modification or change when, in the judgment of the Public Health Director, such revocati9% rnpdificatioA.9r change is necessary. By: IL �I� / White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 t - 0 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 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 September 11, 2002 Putnam Engineering 4 Old Route 6 Brewster, NY 10509, Re: Proposed Compliance: Memmel /Gardner Mountain Road & Elm Way (T) Patterson, TM# 23.11 -1 -13 Dear Sir: Review of plans and other supporting documents submitted at this time relative 'to the above - regarded project has been completed. Continents are offered as follows: Water analysis results for iron-and color exceed State standards. It is advised that the system is flushed and then re- sampled. . Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, Robert Morris, P.E. Senior Public Health Engineer RM:tn Englneers and Architects SEPTIC SUBMISSION FORM TO: PO,8,EVr PUTNAM COUNTY HEALTH DEPARTMENT PROJECT: 14471-11,174fA) 1/� e7V 10014 (Titi1), //-1 -13 DATE: 9' c;q• ao0a OAD ENCLOSED, PLEASE FIND: COPIES OF THE SSDS "AS- BUILT" PLAN CONSTRUCTION COMPLIANCE CERTIFICATE lJ✓ WELL LOG ILJ HEALTH DEPARTMENT FEE ($200.00) �1 WATER ANALYSIS l� GUARANTEE FORMS - 3 ORIGINALS LEI E 911 ADDRESS FORM ❑ LETTER OF EXPLANATION REMARKS: COPIES TO: SIG Al (5ep5AYnm1001) 4 OLD ROUTE 6, BREWSTER, NEW YORK 10509 - (845) 279 -6789 - FAX (845) 279 -6769 - EMAIL: puteng ®bestweb.net N� NORTHEAST LABORATORY OF DANBURY o \N Acccgo'ti 39 MILL PLAIN ROAD - DANBURY, CT 06811 CT Cert: PH -0404 �o` o\" (203) 748 -7903 - FAX (203) 748 -0652 NY Cert: 11471 LADS www.NORTHEAST LABORATORIES.com LABORATORY REPORT REPORT TO: HYATT PUMP SERVICES DATE SAMPLE COLLECTED: 09/24/2002 229 SOUTH ROAD TIME COLLECTED: 10:00 AM HOLMES, NY 12531 COLLECTED BY: M.H. DATE RECEIVED @ LAB: 09/24/2002 TESTED BY: LAB# 11471 LAB I.D. # HYATT PUMP- NY1194 REPORT DATE: 09/26/2002 SAMPLE SITE: MT. VIEW CONSTRUCTION, MT. VIEW ROAD, PATTERSON, NY SAMPLE POINT: TAP SOURCE: WELL TREATMENT: NONE NIAX %" CONTAMINANT TEST PERFORMED RESULTS METHOD # LEVEL (MCL) OR STANDARD CHEMISTRY: • Iron <0.03 mg/L EPA 236.1 0.30 mg/L 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. RESULTS BASED ON SAMPLES SUBMITTED: 09/24/2002 Quality Control Officer Laboratory Director -NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 060379 (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826- 0105.OUTSIDE CT: 800 - 654 -1230 NE NORTHEAST LABORATORY of DANBURY V IN ACCOgO 39 MILL PLAIN ROAD - DANBURY, CT 06811 CT Cert: PH -0404 (203) 748 -7903 - FAX (203) 748 -0652 NY Cert: 11471 ¢ LABS www.NORTHEAST LABORATORIES.com a _ LABORATORY REPORT REPORT TO:. HYATT PUMP SERVICE DATE SAMPLE COLLECTED: 07/12/2002 229 SOUTH ROAD TIME COLLECTED: 10:30 AM HOLMES, NY 12531 COLLECTED BY: M.H. DATE RECEIVED @ LAB: 07/12/2002 TESTED BY: LAB #11471 & 11301 LAB I.D. # HYATT PUMP -NY883 REPORT DATE: 07/23/2002 SAMPLE SITE: MOUNTAIN VIEW BUILDERS, 80 MOUNTAIN VIEW ROAD, PATTERSON, NY SAMPLE POINT: KITCHEN 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) 20 - EPA 110.2 15 • Odor ND - - 3 Units • pH 7.81 - ASTM- D1293 -99 No designated limits • Turbidity 4.5 NTUs EPA 180.1 5 NTUs CHEMISTRY: • " Nitrite Nitrogen <0.005 mg/L as N EPA 354.1 1.0 mg/L • Nitrate Nitrogen 0.02 mg/L as N EPA 353.2 10 mg/L • Alkalinity 70 mg/L SM 2320B No designated limits • Hardness 92 mg/L EPA 130.2 No designated limits • Iron 0.57 mg/L EPA 236.1 0.30 mg/L • Manganese 0.03 <Q mg/L EPA 243.1 0.50 mg/I., Combined limit for Iron plus Manganese = 0.50 mg/L • Sodium 5.6 mg/L EPA 273.1 20.0 mg/L ** • Lead <0.001 mg/L EPA 239.2 0.015 mg/L * ** • Chlorine Residual <0.05 mg/L - - - - -- ml= milliliter mg/Lr– milligrams per Liter ND =none detected MCL= Maximum Contaminant Level TNTC =Too Numerous To Count <Q= Analyte detected below quantitation limits. Data deemed estimated. Jac recovery results outside control limits. Data deemed estimated. * *Notification Level ** *Action Level COMMENTS:` - Sample, as received, complies with aU State of New York regulatory guidelines, however, the underlined results exceed USPHS recommendations. -All holding times (were) met. SAMPLE, AS TESTED ABOVE: D OTABLE or F0 POTABLE (PER STATE OF NEW YORK DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) RESULTS B _ DON AMPLES SUBMITTED: 07%12/2002 Quality Control Officer Laboratory Director *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 . PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH'SERVICES WELL COMPLETION REPORT Well Location Street Address: a Town/Village: y, Tax Grid # Map,73, // Block I Lot(s) /,3 Well Owner: Name: Address: r" Use of Well: 1- primary 2- secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion A Compressed air percussion Other (specify) Well Type Screened Open end casing Open hole in bedrock Other Casing Details Total length TO ft. Length below grade -7 q_ft. Diameter in. Weight per foot 2—lb/ft. Materials: Steel _ Plastic _ Other Joints: Welded _ Threaded _ Other Seal: XCement grout_ Bentonite _ Other Drive shoe: Yes No Liner: Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes—No Hours Second Well Yield Test Bailed _ Pumped A Compressed Air Hours _6 Yield gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or sieve analyses are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface p' X ® 4 r U h ' If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type SodNED'Capacity(o .4 6141, Depth 3u7" Model 76901 Voltage 22.0 HP Tank Type W�u ll -moc, Volume Date Well Com leted /o Putnam County Certification No. ooi Date of epo s a�-- Well Driller (signature) ^. 'NOT Y: act location of well with distances to at least two perm mentAa4marks to be provided on a separ sheet/plan. / �(,� Well Driller's Name (' Address: c3 60,h IJ , Signature: Date: White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchaser o Building Tax Map Block Lot Building Constructed by Town/Village /3 Z / Hov-o✓m g) 1/•-1 /low Location - Street /"1Y. ra43 14h9drl Building Type Subdivision Name 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. Month Day 7iO Year 0 Signat, Contractor (Owner) - Title: 1Vov,vm,,v XlAva /3v/,t,,Pw-s Anes 6;,ln-d, 4/;�. /-V. GerMetti= Name (if eefpefa4k:t� LfO14,0, Nh7A+& Corpor . on Name (if corporation) Address: 41,F-cd f2"v Address: _ 3 ' A oie )1�m State 1411 v Zip /,;0Z3 State +�. ' Zip �- Form GS -97 BRUCE R. FOLEY Public Health Director .I DEPARTMENT OF HEALTH 1 Geneva Road LORETTA MOLMARI. R.N., M.S.N. Associate Public Health Director Director of Patient Services a Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 . Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 E911 ADDRESS VERIFICATION FORM - - — O`VNERS NAME-- Ma TAX MAP NUMBER: E911 ADDRESS: lwduy rql'`J l/� d lea TOWN: The Putnam County Department of Health- will -not -issue -a--- Certificate - of Construction. Compliance unless the above -form is completed; .i.e., a legal E91-1 address is assigned by an authorized town official:- This form-is to-be submitted with the application for` a Certificate: of Construction .Compliance. . (E911VERF M) r] PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREAT TE , PERMIT # Located at Kb U-Nj-Aj nl RQA-'D Town or Village /1�lI Subdivision name Subd. Lot # Tax Map 23.1 1 Block Lot 13, 1�4 1S- Date Subdivision Approved Renewal ��� Revision Owner /Applicant Name _iAbu4yrA+ l Vjyuc! gu LLj>6F ,e5 Date of Previous Approval Amount of Fee Enclosed —' Building Type 'r vq le Fa4y) i'L4 Lot Area e ° No. of Bedrooms I Design Flow GPD Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of I bDa gallon septic tank and I-7 L.. F of 2' W iDF Other Requirements: FILL, &504-16 , (� To be constructed by _ � b - E -V0P ,2m i Nc�� Address Water Supply: Public Supply From Address or: >e Private Supply Drilled by 70'5F— 7,>E!:7F, Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the 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 o Signed: Address R.A. Date (O! 3 Aa License # OL —744 to 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 pe pproved for discharge of domestic sanita it age onl (4z y. By: Tit • It' J� Date: White c py - HD File, ellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAIII COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONhmEh" TAL HEALTH SERVICES FINAL SITE INSPECTION Date: ":I Inspecte Street Location 0 1'ka Owner NApy tj U ig- Town Permit # L TM Subdivision Lot # - N in i 1. SeNvage System Area a. STS area located as per approved plans ...... ..................... b. Fill section - date of placement 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped ........... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water cou wetlands ...... ............................... II. SeNgaue System . a. Septic tank s'i - .,000 .......1,250 ......... other ................ b. Septic tank in :v )el ................ ............................... c. 10' minimum from'foundation .......... ............................... d. Distribution Box 1. All out ets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box - properly set ........... ............................... f. ren'I c es length required Length installed " 2. Distance to watercourse measured Ft.!�n � 3. Installed according to plan ......... ............................... 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 ........ :......... 7. Room allowed for-expansion, 100% ........................: 8. Size of gravel 3/4 -1 %Z" diameter clean .................... 9. Depth of gravel in trench 12" minimum ................... 10. Pipe ends capped .................................. :.................... g. PumR or Dosed Systems ize of pump c am er ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual / audio .................... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled ............. ............................... ............. 6. Cycle witnessed by H.D.estimated flow /cycle........... III. ouseBuilding a. house locate d per approved plans ... ............................... b. Number of bedrooms ....................... ............................... . IV. Well a. Well located as per approved plans . ..........................:.... b. Distance from STS area measured . ft........... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable .............. .......... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ..............................I c. All pipes flush with inside of box ................... ........ d. Backfill material contains stone <4" di ete ............. e. *Curtain drain & standpipes ins lle ng to plan.. f. Curtain drain outfall protected ir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate... .. ............. ..........:....... i. Erosion control provided ........... :.................:. �.v 1 tz PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL "P— please + Q print or type PCHD Permit # Well Location: Street Address: TownNillage Tax Grid # t4VAA rAtryViCSv4'9D, Map23.1( Block Lot(s)13, 14,1 Well Owner: Name: Address: nA ou } E l D�t� E3 e F-a. Use of Well: _X Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield SoughtM,,At -gpm # People Served l-IFaNt. Est. of Daily Usage gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling _,z- New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No JC Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision Lot No. 241 ' + Water Well Contractor: Address: Is Public Water Supply available to site? .................................. ............................... Yes No k Name of Public Water Supply: /,//A Town/Village PA- tt-F— p-5yA1 Distance to property from nearest water main: 1- ,,Kj- Proposed well location & sources of contam' t' eet/plan. (0 13 IT7 Date: Applicant Signature: PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and 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 or their designated representative 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. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well 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 permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue 7/t/ 7 Permit Issuing Off cial Date of Expiration Title: Permit is Non -Trap rr le White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 UP TNAM NEINEERINEALE Engineers and Planners June 7, 1999 Mr. Robert Morris, P.E. Putnam County Department of Health Geneva Road Brewster, New York 10509 RE: Mountain View Builders Mountain View Road Town of Patterson TM #23.11-1-13,14,15 Dear Mr. Morris: In response to comments from your office's waiver meeting for the above project, we are submitting Plans for a one bedroom dwelling. Regarding the renewal fee, our client contacted Michael Budzinski asking for the fee to be . waived. Our client felt that since they had a valid permit that was withdrawn, they should not be responsible for paying for a renewal. Mr. Budzinski said that this should be requested in our submission letter. Please consider this a request to waive the renewal fee. Although this project has been submitted to your office various times by various engineers, our office has no previous approval records. We would ask you to please fill in the permit number and date of previous approval sections, if they are required for your review. Please contact this office should you have any questions or comments. Very truly yours, PUTNAM ENGINEERING, PLLC By: Ken Hurley KH:rk Enclosure cc: Ray Memmel (File 990382) 102 GLENEIDA AVENUE, CARMEL, NEW YORK 10512 ° PHONE (914)225 -3060• FAX (914) 225 -2955 r BRUCE . R. FOLEY. R.S. Acting Public Health Director DEPARTMENT OF HEALTH, Division Of Environmental -Health Services 4 ' Geneva Road, Brewster, New York 10309 (914) 278 -6130 PUTNAM COUNTY DEPARTMENT OF HEALTH SPECIFIC WAIVER NAME: M'1'►J i� ►�clMr� R U l Of QS ADDRESS: M ou a Mi U it W jDgz A L 6/0-" V+ A � SITE LOCATION: DATE : STAFF PRESENT: 7491 , SAL , NFL I K 0 S{A 1l,I J 6"r. SPECIFIC WAIVER ,I_, REQUEST: �D1U0 N SA Z'-1 S l (J 9 5copc.' DOES THE PROPOSED VARIANCE REQUEST POSE A HEALTH HAWRD OR ENVIRONMENTAL CONTAMINATION PROBLEM? YES NO WIL•_ DISSAPPROVAL RESULT IN A SIGNIFICAMNT HARDSHIP? YES NO DISCUSSION A P D US t Nt G GU4.,t.r, t-0 WS a F Z» G A L CJ PA REQUEST APPROVED OR DENIED APPROVED DENIED REASON FOR - DENIAL DI rCTOR OF P LIC HEALTH '01 — I — . — — 14.164 (2187) —Text 12 PROJECT I.O. NUMBER 617.21 SEOR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant or Project sponsor)- 1. APPLICANT /SPONSOR 2. PROJECT NAME i1 YIPW UII'De S J. PROJECT •LOCATION • A Municipality County /�k 4. 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc, or provide map) I�Dc�� tJ Vi" 200 if rOC.M 4 Ad 5. IS PRROPPOSED ACTION: L New ❑ Expansion ❑ Modificationialteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? CJ Yes ❑ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ❑ Residential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Park/Forest/Open space ❑ Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAU? ❑ Yes C No If yes, list agency(s) and permit/approva13 11. DOES ANY ASPECT OF THE ACT,:H HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? ❑Yes ❑N, If *Yes. !tat acency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes ❑ No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/sponsor name: Date: Signature: If the action Is In the,.Coastai Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER I PART II— ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes. coordinate the review process and use the FULL EAF. r Yes KNo B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.67 If No, a negative declaration may be superseded by another involved agency. '_: Yes KNo C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answe(s may be handwritten, if. legible) C1. 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? Explaip briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources: or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or t. :eatened or endangered species? Explain briefly: Ca. A community's existing plans or goals as officially adopted, or a change in use or :ntensity of use of land or other natural resources? Explain briefly. t1 �_ C °. Growth, subsequent - evelopment. or related activities likely to be induced by tre proposed action? Ex;latn briefly. n(v Co. Long term, short term. cumulative, or other effects not Identified in C1-CS? Explain briefly. 40 C7. Other impacts (Inclluciing changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? J Yes $No If Yes, explain briefly PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it Is substantial, large, important or otherwise signlficrnt. 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 materials. Ensure that 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 andlor 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 impsts AND provide on attachments as necessary, the ieasons supporting this determination: Print pr Type )Name of Responsible, Officer in lead Agency Z42�11 Tign re o si le Officer in lead Agency Vale To _ Title o Ressppon icer �h /I�iNO/' si Signatur6 of Preparer (if different from responsible of icer) C' 'R! December 16, 1998 Ken Hurley Putnam Engineering 102 Gleneida Avenue Carmel NY 10512 Re: Proposed SSTS: Mountain View Builders Mountain View Road (T) Patterson, TM# 23.11 -1 -15 Dear Mr. Hurley: 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. 1) On December 15, 1998, the revised plans were presented to the Putnam County Waiver Committee. However, the Waiver Committee will not review the project until new percolation tests are witnessed by a representative of this Department. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, Robert Morris, P.E. Public Health Engineer LR�M Letter to: Mrs. Beckerstaff - October 2, 1998 -2- 5) Percolation tests will be witnessed by a representative of this Department prior to the issuance of a renewal of the construction permit C- 44 -87. It is hoped this response address your concerns. If further assistance is required do not hesitate to contact me at. If you have any questions regarding the above matter, please contact me at (914) 278 -6130 ext. 166. Very truly yours, Robert Morris, P.E. Public Health Engineer RAM February 4, 1999 Gary Tretch Putnam Engineering PC 102 Gleneida Avenue Carmel, NY 10512 Re: Proposed Construction Permit Mountain View Builders Mountain View Road and Elm Way (T) Patterson, TM# 23.11 -1 -13, 14, 15 Dear Mr. Tretch: Review of plans dated July, 1998 last revision dated January 20, 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) SSTS design is based on a 150 gallon/day flow. Current codes require a design flow of 200 gallon/day. 2) Sixty percent expansion area is shown on the plan. Current code requires that 100% expansion area is provided. If you have any questions, please call me at ext. 166. Very truly yours, Robert Morris, P. E. Public Health Engineer - OV90 October 2, 1998 Mrs. Beckerstaff 68 Mt. View Road Patterson NY 12563 Re: Mountain View Builders Mt. View Road TM# 23.11- 1 -1.3, 14, 15 Dear Mrs. Beckerstaff: This Department is in receipt of your letter dated September 20, 1998. In response to your inquires, I have outlined comments below: 1) This Department is aware of the initial construction activity on the above referenced parcel. Representatives of this Department have met the owners and the owners engineer on the property several times in the past year. Representatives of this Department includes: Michael Budzinski, P.E., Director of Engineering, Robert Morris, P.E., Public Health Engineer and Gene Reed, Engineering Aide. 2) This Department has requested addition soil testing on this lot. The deep test holes were excavated and inspected by a representative of this Department on September 15, 1998. 3) A permit to construct a subsurface sewage disposal system was issued by this Department on June 19, 1987, construction permit number P- 54 -87. The owners engineer must apply for a renewal of this permit. When the application is submitted it will be reviewed using the current guidelines for construction permit renewals. 4) The minimum distance is 200 feet if a well is below a septic system and in direct line of drainage, regardless of the degree of the slope. Otherwise, the minimum distance is 100 feet. Q e Date L I 9 g. RE: Property of KOL OJT &- t O V l ELO a u l L b F—V S, Located at IM O U 0-TX t Q U 1 E-W R-O A-th (Town) ( PAW _VSOf3 Section 23. 11 Block Lot _Z�LN, /S"� Subdivision of Subdv. Lot # '05 34 Filed Map # Gentlemen: Date This letter is to authorize PUTNAM ENGINEERING PLLC, a duly licensed professional engineer to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulgated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147,, Edu 'off , e Public Health Law, and the Putnam County Sanitary Code. • �l t � Very truly ours, Signed sFO p '' l ° ne Owne Property Countersigned: S11131 ' 914 - 225 -3060 Telephone go Myu�T� -�� A dress Town V) t- q1 0 t3 Telephone 14.16 -4 (2187)—Text 12 PROJECT I.D. NUMBER 181 %2i SEOR ;I* Appendix C State Environmental Quality Review SHORT .ENVIRONMENTAL ASSESSMENT FORM, For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant.or Project sponsor) 1. APPLICANT /SPONSOR 2. PROJECT NAME, u.T-m M /<(G 6 ,~ E i? 1 /PLC -o V✓I p '(� I /�1 ( W •FL Q L-D E 3. PROJECT LOCATION: Municipality P"R-TrtF_'0-5DA County 01-T/ M 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) S E L-© CAeTlorld M. A iP D AJ PL-P S . i=o 12 -5. 1 Ld 6a.7"1ar4 . 5. IS PROPOSED ACTION: New ❑ Expansion ❑ Modificationialteration 6. DESCRIBE ROJECT BRIEFLY: �� �%�l L Y -Y 1 vic! i�/c/ �1 �l�tlOP �77i Vts / 0AJ (� i L4,:: r> , Q T'S 7. AMOUNT OF LAN A//F__FECTED: 1• ( � Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 9 Yes ❑ No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? r� ® Residential ❑ Industrial ❑ Commercial ❑ Agriculture LJ Park/Forest/Open space ❑ Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAL)? ❑ Yes ®No If yes, list agency(s) and permit/approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? ❑ Yes ® No If yes, list agency name and permltlapproval 12. AS A RESULT PROPOSED ACTION WILL EXISTING PERMIT/APPROVAL REQUIRE MODIFICATION? IOF ❑ Yes l^J No . I- CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Appllcantlsponsor Date: Q name: Signature: If the action is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART 11— ENVIRONMENTAL ASSESSMENT (To be completed by agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 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 ❑ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, If legible) C1. 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 resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats,.or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain C5. Growth, subsequent development, or related activities likely to be induced-0y the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not Identified In C1-05? Explain briefly. C7. Other impacts (including changes In use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes ❑ No If Yes, explain briefly PART III — 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 materials. Ensure that 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 impacts AND provide on attachments as necessary, the reasons supporting this determination: Print or Type Name of Responsible Officer in Lea Agency Signature of Responsible Officer in Lead Agency Name of Lead Agency Date 2 Title of Responsible off icer Signature of reparer (if different from responsible officer) 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: f30 M ou nV TA Q V/'rw RVA . 'PA TrE;05Z:�,V NCI. 10 <j cq • r 2. Name of project: 'MoWxIYN yi Pint *,uy- yF,eS3. Location TN: 4. Design Professional: Address: (6;L- A.v6 6. Drainage Basin: 6p►S1- SG+4 7. Type of Project: C _ Private/Residential Food Service Apartments Institutional Office Building Realty Subdivision GA RM E[, u(/, rosl>- Commercial Mobile Home Park Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ....................... ............................... Type 1 Exempt Type II Unlisted 9. Is a Draft. Environmental Impact Statement (DEIS) required? ......................... No 10. Has DEIS been completed and found acceptable by Lead Agency? ............... 11. Name of Lead Agency 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? .........:.............. ............................... k/ 13. If so, have plans been submitted to such authorities? ........ ............................... ///A 14. Has preliminary approval been granted by.such authorities? Date granted: /V-/A 15. Type of Sewage Treatment System Discharge ................. surface water C groundwater 16. If surface water discharge, what is the stream class designation? .................... I" A 17. Waters index number (surface) ........................................... ............................... 111 18. Is project located near a public water supply system? ....... ............................... No 19. If yes, name of water supply Distance to water supply &V0'' 20. Is project site near a public sewage collection or treatment system? ................ 21. Name of sewage system NIA Distance to sewage systems !,' 22. Date test holes observed q / IS 118 23. Name of Health Inspector G CMS TSF-D 24. Project design flow (gallons per day) ... ............................... 2,0d 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... 26. Has SPDES Application been submitted to local DEC office? ......................... r! 27. Is any portion of this project located within a designated Town or State wetland? NO 28. Wetlands ID Number ........................................................ ............................... 29. Is Wetlands Permit required? .............................................. ............................... Has application been made to Town or Local DEC office? ............................... 30. Does project require a DEC Stream Disturbance Permit? .. ............................... �D 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? ............................ Yes/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 DESCRIBE: l� O 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? . ............................... 36. Tax Map ID Number .......................... ............................... Map2 -3.1 I Block 1 L Olt 'Iq,�S 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 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 210.4�t #e Pena aw. SIGNATURES & OFFICIAL TITLES. :26&WNA M�, Mailing Address: ................................... lo-,'-- A,1E. CAPMF-1- y, 101:;-IDL jL v x lvrsivt %, %-o qj iv il l umri-In I JYMIN g VJV 2=1-kL 131. DIVISION OF ENVIRONMENTAL HEALTH SERVICES H DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner A-"5_D t c j n[ l!lEt c/ iEu.cLMP5 Address OD P40uA.trAW Vot---Vil PP- , Located at (Street) Mauw-re�i/q oi�yj i;j�Ap Tax Map�3� (� Block L_ Lot e//4(1!5 (indicate nearest cross,street) Municipality TA 1T E V-5 Di\l Drainage Basin SOIL PERCOLATION TEST DATA Date of Pre - soaking V R f 7 q Date of Percolation Test X=Iqq NU'1 ES: 1 2. 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. Depth measurements to be made from top of hole. Form DD -97 Depth to Watec ' ` Water Level Percolation -rom Ground Hole No. Run No. Time Start - Stop Ela se Time Time Surface (Inches) Start Stop Dro In Inc�es Rate Nun/Inch 2 32 3 lo-) -11.32 30 2---7 2 1 4 5 Z 1 D%022- U7.16 14 77"-36 47 2 . 2- _Z 2 -7 30" 3 -7, 3 .4o. ; D 2-3 2'7''- 3a' 4 5 2 J LI 4 r., NU'1 ES: 1 2. 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. 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' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. IL Pm vi S I i-`TY %�m WISOMS- t?ocv- HOLE NO. z HOLE NO. 3 le2A-N D Y '5(L-:7-Y' L-OAM FA Cr t pr/A�4 01 Cn P— AUE-l- Indicate level at which groundwater is encountered NIA Indicate level at which mottling is observed /,//R Indicate level to which water level rises after being encountered /`//,4 Deep hole observations madeby: � �© � r,2�or�c Yo"G Date S" p, Design Professional Name: pw -IWAm Address: `�"� ink► t E��t�c �cL e -\0Y� f���FE+ ;: 1 Signature Design Professional's Seal 5 067446 \ 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 MoU gip` V DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. "I HOLE NO.—'6 p 5a) L- M Y 1� tki�r AG1-- A1� S L-aAt-'�- HOLE NO. Indicate level at which groundwater is encountered IgIA- Indicate level at which mottling is observed Indicate level to which water level rises after being encountered 111114 Deep hole observations made by: (zC,)2z)0r f YaL,�nc h Date Design Professional Name: �Pa)rN p m C, — Address: l O -;- WtE /4: ! o 5-1 Signature: Design Professional's Seal J 1 rdonfant that ibo dss&" CouMY `Dd0ir1 a fubmlttW >1 Mae NI �; MKi r Of tM _at *A sa kwAtildi County DaMrt o.a , 4 P. AMROVEO'Ff .... MrOCaON lor'.G raOuNayCf�Mw n riih011Y and eompMttaly rafponsieka fp'tM dafgh rind location o/ tno p►oposad syftom {� lj''tlNt tM `fapa►atd ": tewaya difpoal fyfNm If tie const►uetid ss flown on 6 approved amarWMent thgs to and, M acewdinp.with'tM ftapdartlf, ruNt rMu of Putnam It of NMlth; and tMt on eoih Atbn.thp�ot a "Ca►tificati of Construdk Con►pltaeor"_Ytfsfaetory to tM ,Commiplona) of Maatthwill Aa'OpNtnNnt anll iSwrlttin -vw n wUl Oa fumifhaA tM ownir his,wfepaorf.;Mksoi.iagns by, 114 11i`6ikt . wit $Did WildM will ntNq cohdttbn ahY= OwtMof sskt siwa,a difpoMl dsystam during.,. pirbd of two.{2 yaan'NnmWfstsly folawln/ tMOdta of fM ifeu tM oil -iu tM Cirtiflcm* :6 Conitractioo 60inimi q of tM ' nda in:' NA1`fft any'npa tlwr to ► 2M) ithaini it Ykl wwiH In t tM "d►i1Nd wNl'd♦fo►i0�`0 P itbnoaw m iow o tM,wpYna Sgn!A. 0 E X R.A fi j:AG -Main Sfreet : wir N 12564 ueora. No 61468. yorf from tlii t l ' e ftruetioe o Wilding Nf tNn unQartakan and s CONTR 10Ne This approve. aapiraf two or,MfIV be ntMndid of moOHiad whan,conNdws+d 1 of Mhalth F Any sMnOa or aK era tbn of coMtrudbn Holt: ApprOi►M f0! dNpOY1 0< `domafluk fanNwy PUunm COUNTY DEPARTMENT OF HEALTH Role / o f 2 DIVISION OF =.HEALTH SEWICES DESIGN . DATA SHEET- SUBSUFACE SMM DISPOSAL SYSTEM Fn E NO. Owner Mau v'RiN f/1EW Be DERS Address RT- 2 -sax 284 - o o �QS�wT N.Y. 12s43 Ajovovr, by VISw ROAD .(E 80,31,32 Located at (Street) JUNcT/nN wITH a&m wAy Sec. 14 Block S-C Lots, 3�;jLpyq . (indicate nearest cross street) Municipality y,9TTEQSoN 'TOwA/SPi /P Watershed ERsr BRANcy SOIL PERCOLATION TEST DATA REQ[TIREO TO BE SUBMITTED WITH APPLICATIONS /`Iota 0 -- 6 -22 -tC 'a" G -zs -SG Date of Pre - Soaking AC-p - 3-14 d 3 -17- 87 Date of Percolation TestA, e d v - 3•/7- & 7 HOLE 1:55 J110 Is- z 9 a• 7 N(241M 2 S: t o CLOCK TIME PERCOLATION 2 PERCOLATION Run 19 3 Elapse Depth to Water Frain Water Level No. C 3 Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min/In Drop 4 :3z 6 :sz 20 •• Inches Inches Inches NOTES:;: ";1, -i:,Tests.to be repeated at same depth until approximately equal soil rates are obtained' at• .each percolation, test hole. 5 1 S:Zt 5:31. IC 2.4 2. S.33 rev. 9/85 2 S:yo S:Si t� •• 3 s•�� B 3 5:578 6:15 11 4 G.: 15 C:34 19 •' 3 6.33 5.r.:34 G33 17 . •1 3 e..33 1 1:55 J110 Is- z 9 a• 7 2 S: t o S: i7 17 '' '' 3 S. 6 2 Vrz. G li 19 3 G•33 C 3 r.; iz -6: 3z is ., 3 4 :3z 6 :sz 20 •• 3 �•6L NOTES:;: ";1, -i:,Tests.to be repeated at same depth until approximately equal soil rates are obtained' at• .each percolation, test hole. 5 C'31 7:1�. 20. .• �•�� 1 4'. SS S: 1e 15' 2,g 70 3 5• a 2 S: t o S: i7 17 '' '' 3 S. 6 A 3 5; 2 8 T:,4 b 18 '' '' 3 G• o x•33 NOTES:;: ";1, -i:,Tests.to be repeated at same depth until approximately equal soil rates are obtained' at• .each percolation, test hole. All data to be submitted for- review. 2. Depth measurements to be made from top of hole. P4 9G / of 2 rev. 9/85 TEST PIT. DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOUS ENCOUNIMED IN TEST HOLES DEPTH HOLE NO.. ( HOLE NO. 2 HOLE NO. 3 G.L. LT Bk s i t•rY toRNf �Ac1�s Ra ��M� �� 2' Sit wm Y M 3' 4' " 5' 6' TIACPS 4 .0 /aY 71 8' fl �1 9' 10' 12' 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED Ne vE INDICATE LEVEL TO WHICH DATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: &j DATE: DESIGN , Soil Rate Used ( Min /1" Drop: S.D. Usable Area Provided 3 ®q2 4a SgAer a ts$ No. of Zedrocros 6{ Septic Tank Capacity t a.sa gals. Type pre c4tt rame . Absorption Area Provided By L.F. x 24" width trench Other a/�8 Rvws of -4x9 x� G/��t�afES 0 64 Name JOSEPH ZARECKI, P.E. Signature Address 3 East Main'Street SEAL Pawling, New York 12564 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: �pN zqR� 466', Soil Rate Approved sq.ft /gal. Checked by " Date PUTNAM COUNTY DEPARIMENr OF HEALTH 4 ,.� DIVISION OF ENVIRONMENTAL. HEALTH SERVICES DESIGN DATA SHEET - SUBSUFACE SDgAAGE DISPOSAL SYSTEM FILE NO. Owner M&1 U.VTA /N 11Iew /.3a� /W�-,s Address g f - 2 - /.?a x Z84 - Oa tfrrse T N Y /2 S'G3 "OdN TAI N V /$W ,pq1 Located at (Street) Tvmc ti o &j wi t h FLT &Ja a Sec. ! .4_ Block S'- Lot 3 q (indicate nearest cross street) Municipality 7- geWAISH :a ¢ Pa t Ye erCo p Watershed E Asr &-Vo eW SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre- Soaking 3-1 & a, 17 / 9 8 7 Date of Percolation Test 3-17-9 7 HOLE NMM CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Mina Start Stop Drop In Min/In Drop Inches Inches Inches 1 /t:oy 12la9 _ ZY 2.7 -� /•GG 2 /2;aq D 3 12 . /s /z: z 4 /2:22- / u c,, 5 /2: 3o 12:3 1 2 3 . 4 5 1 K, 3 .. a 7 41 7 �• r NOTES: 1. '.Tests to_.be repeated` at same depth until approximately equal.soil rates are = :obtained at each percolation test hole. All data -to' be submitted for-'review. 2. Depth measurements to be made fran top of hole. rev. 9/85 DEPTH G.L. 1' 2' 3' 4' 5' 6' 7' . 8' 9' 10' 11' 12' TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION � DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. HOLE NO. HOLE NO. 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: DATE: DESIGN Soil Rate Used Min /1" Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity gals. Type Absorption Area Provided By L.F. x 24" width trench Other Name JOSEPH ZARECKI, P.E. Signature Address 3 East Main Street SEAL Pawling, New York 12564 THIS SPACE FOR USE BY HEALTH DEPARDIENT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date PMNAM COUN'T'Y DEPARn4 NT OF HEALTH DIVISION.OF ... ENVIPDRCN1AVHEALTH SERVICES DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Address /Z T Z - 0 eX 2 S y - A .Jfrrso*, N Y.1 -3 • /rloae.Y9u flora, / ?oaa� ZY� 30,8 �, 3 2. Located at (Street) /G y Sec. c Block 5 Lot (indicate nearest cross street) Municipality Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMI= WITH APPLICATIONS 4.7 -z -9G ' 7-3 -f14 • No /es /-;¢teS Date of Pre- Soaking Date of Percolation Test c4 6 . HOLE NUMBER CL= TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 1"1 SIM, 5.37 14, .24 211 3 S.33 2 S ;ye S• S7 17 3 S.`�. A 3 S -.SB G :IS l7 3 4 G; IS' G �3�1 tq 3 G.33 5 .4 13 19 3 G33 1 4:33 A'13 2 4.49 S :o7 18 N 3 G•o B 3 s;10 5;30 20 •• 3 G.GG 4 5 :31 S:S2 21 5 5: SA' G:Ir 21 1 q:2-3 3C 13 `' 3 11 133 2 9 ;3G 933 17 u 3 5.33 4 0, NJ VAR ,, ., •3 G.33 ti lo:;3t NOTES:1Tests be repeated at same depth until approximately equal soil rates ined at each percolation• test hole. All data to' be sutmitU d for review. 2. Depth measurements to be made from top of hole. rev. 9/85 61 . v -S. DEPTH HOLE NO. HOLE NO. A ;OYt IMCO +` G.L. as L*U . I6Z' loud. J 1' SAI•�b`I LeAw► 21 31 , 4' , 5' r 6' s11T �eAM w f �•r�Acc, 7' .. 81 w i:4TIN 9' 101 12' 1 13' ;., t w ? A 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED — DEEP HOLE OBSERVATIONS MADE BY: A4i , �ire%s fL S fv A a t DATE: 19-/7-94 DESIGN Soil Rate Used 1. e> Min /1" Drop: S.D. Usable Area Provided Pae • e � st No. of Bedrooms 9 Septic Tank Capacity i So gals. Type e e us c- Absorption Area Provided By 94. L.F. x width trench (3 /sZ` Le*1t4s) Other 111 ?� b X G- Ii L l E eR t E S AE NEB Nameo��Q� Signature Address SEAL 6'14+® USE BY HEALTH DEPARUTM ONLY: Soil Rate Approved sq.ft /gal. Checked by Date PUI M QOUN'i'Y DEPAP=I OF r HEALTH = av Mkt; DIVISION OFD 4K HEALTH tSERVIC�Sx ` �'. - .:14 J . DESIGN :DATA,, SHEET =SU UFAd .SWAGE DISPOSAL - SYSTEM � r FILE NO Owner- .�tildsr Tom.., y�.� Via, /airs Address i7 f z =/3ax v'i t y = -xPA r7. E4 "sotJ iV Sec Lott � (indicate nearest:` cross` "; street) -.�,.;,..naa.. .- H+-, •- .. t. ... v-`'•` -< ."c }.y ,Y �.d;.'.. ,.,�.< :,,,{„�•..• -; a•. ..• y,, a.. - `,c � :s ... Municipaiity ruse Aj 'T - Watershed �,+ -•t+wK :e(b..,}. b '�Y�+Y..- Y.?•. 7ro ^ryt t . -i�x Wih i'. pie?Ar'fr+,'•u •`i+i" x°!,1'"..w i`�;f -tiv ,� y,.,vh:?1 iJ �1.±'u M SOIL :"PERCO=CN TEST DATA RDQUIlZID TO HE SUBNIITTID WITfi ,APPLICATIONS , Date of Pre = Soaking 9�8 Date' of Percolation Test .. 9. G is G, .:+'fir. ♦r L+J+r.,', A"+W �!..(•Y�tx'> - A.u'.KSN+t �•+, " +. ^.t:U•'M'PI^ v; �'h' -' -SH• !{�"yS"t�`�s!1bM. tM4.a?';. ,:'t, +1..A�+*kk;:i...'hf.. -..3 a:i!i% -'a.. .'�`Jc�'WSYw .icY�yl} �.:iC! - __ - HOLEr N[E -ffM i �Q�OCR .TIME = ,_ PERCOLATION.. _ •Run Elapse Depth to Water ,From Water Level No. .- Tune Grouridp Surface ` a In Indies Rate Start Stop Min. S�t�ar�t� Stop+ ' Dro�p^f^'In Min/Jri Drop • ches.y. i ♦W •"f..T .`S`'.- ..IncheS� ., ri.a+{ _Y,..IncheS tir: `'< Z 1 1,3 =2 y ?7 't ; `i 3 \ a y : ,: �K ...� • `� f Y ti t } 3..�.: .. .., ' 3 - Y3r 8:;!i o.. -, q• °flr :... 2 0 ; - .�,..,:;. �. a�. .� .: :� . ... �r'� - ,._ �.` 3. � ,� .�. �� G . `�� • . ; 21. �..�q.S G�:,� b %s ' Z d: % �. : � C � t 3 � � • -,. y ,� o , e �• �. •.���.,. .� .� �.� .,3' �. ,�., ���. PUTNAM.COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date July 1st, 1986 Re: Property of Mountain View Builders Located at- Mountain View Road - Patterson—N.Y. 12563 r- (T) 14 Section c Block 5 Lots 29 thru 32 Subdivision of Mountain View Estates. Subdv. Lot # .29 thru 32 Filed Map # Date.. Gentlemen: This letter is to authorize Joseph Urecki a duly licensed professional.engineer P,E or registered architect (Indicate to apply for a Construction Permit.for a separ.ate.sewage system,.to serve the above not property in accordance with the standards, rules or regulations as promulagated by-the Commissioner of the Putnam County Department of Health, and to sign .all necessary papers on my, behalf in connection with this.matter and to supervise "the.construction of.said system or systems in conformity with the provisions of-Article 145 or. 147, Education Law, the,Public Health Law, and the Putnam County.Sani tary Code. Very truly yours, Signed tAuv l C er of Property'.' ountersigne. P.E_ , R.A. , # Rt 2 - Box 284: Patterson, .NY 12563 I�(�� Address .. Jos h re i Patterson 125.63 3 East Main Street N=X N-Y_ X7PI& Address Town .Pawling, N.Y. 12564 878 0 9013 Telephone 8553771 Telephone OF Q011111FI1ALM 54 =;87 N.EW 'YORK 5c.", thr0, 34 dee` <0 6/1;6193 s.. 12563 . nt d Irbes .m b oar letw rson NY`;`;'1'2563 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER WELL /*0— 5 . -� PCHD PERMIT # WELL LOCATION Street Address Town/Village/City Tax Grid Number Mountain View Road Patterson 14- 5C- 30thru 34 WELL OWNER Name Mountain View Mailing Address ®Private Builders Rt 2 Box 284 Patterson NY 12563 0Public USE OF WELL 1 - primary 2- secondary ® RESIDENTIAL 0 BUSINESS O INDUSTRIAL 0 PUBLIC SUPPLY Q AIR /COND /HEAT PUMP 0 ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify, O INSTITUTIONAL O STAND -BY 0 AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 5 /EST. OF DAILY USAGEm._�al 13 REPLACE EXISTING SUPPLY O TEST/ OBSERVATION Q ADDITIONAL SUPPLY ® NEW SUPPLY NEW DWELLING 10 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE DRILLED DRIVEN DDUG OGRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES x NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Mountain View Estates Lot No. 30 thru 34 WATER WELL CONTRACTOR: Name to be decided Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _X__NO NAME OF PUBLIC WATER SUPPLY: n/a TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: n/a LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED OON SEPARATE SHEET (date) (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirt -y (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. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. Date of Issue: .�- 19 `f'��--- �-� °-- ••.•... Date of Expiration 19 '�74 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller November 16, 1986 This letter is`also directed to the agencies involved who have the responsibility in monitoring all construction and enginee- ring projects within the town of Patterson N.Y. William Hedges Senior Environmental Health Technician Div. of Environmental Health Service Putnam County Carmel N.Y. 10512 Dear Mr. Hedges Thanks for your speed and cooperation in handling our request for investigating a distance requirement between our well and a proposed septic field on lot # 29 map 14 -5 om Mt. View Rd. Patterson N.Y. Being that the percolation problem in this area is a well known fact, any standard engineering septic system will certainly be suspect in our eyes. The gravitational flow, even with natural water has been a problem to us for many years and we are concer ned because of this proposed project above us that pollution will be a greater problem. The agencies that are responsible in monitoring this project I hope will see that all laws within the jurisdiction regarding construction-and engineering are strictly adhered to. - - To insure that our concerns are met and our rights protected this letter and copies will be duly notorized and sent to all agencies concerned. In closing I'm hopeful that these.concerns that I have outlined will be monitored and brought to an amiable conclusion during this proposed project. ,! Respectfully VVILLIAM41. °A7,ARLi ?G, «:i> - (\ct2iy P:,Llic; �e cr` N�b,!•'4ork IN , :;_ 2 ,.. Edward J. Bickerstaff :mils(i nExpiresNlarc Coun9 Mt. View Rd. Patterson N.Y. Commission [xpiras ?�,•i rch 30, " % 14 -5 Please 'sign enclosed copy with date'and mail with self addressed envelope. an 1 1 ipr nt that 1 am wholly &" compM ely nsponfibN for the dIK4 ' atiob�'fMieriOod.w111 dt 000ftruead if gofrn on_4hs •OOrowA anNnA to6nty; Offtrolint `:ot tNlkh, xn0 that on eompNtloi�.fM►wt a Ae ili itad to 4", D�lwrtliwnt •ne "a wilttal *NnntM w01 a Mle� iw peA ow - at oonANan anyy put o! .ffa sews dk'pa allca of t1» "bpp►aiN or t1» GrtNkatq o9 Calsl►udNn;`ConipllN ww N ae±tw i4 iUeive oe: ,'h "s p•oe.a w•n sea'tha ffld wNl virNGl ear wty c r<w ff..Rn • Wt• � :s�. ,t, rt Si�1N i►aa -� 6 Albermac Cdull APPROVEO.�FOR CONSTRtJCT10N: TKU apw►odel ox�Ma two yat: raocabN'1or uufe;oi sn+ft►sstl >or Ad led when'confai►�I rpuNN a w pf►n tt Awprowaf Ior= AkwofaP'ol Ooii�pslk "iii Rev.- } n f'}'- -r'•.- ,Y: •.. -.v. 'i£�.'�T ^S . "'�r ^- Tr.•Ye- '-? —� �. Tr' � � 'a 'i k PUTNAM COIINTY DEPARTMENT OF HEALTI I , b Rev. 3/86 D1vleion of Environmental Health Seivlces. Carmel N.j CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM MOUNTAIN' VIEW ,ROAD - Located at Sabdivlelon Name MOiintaln �%1 @W ESQ 'yot q 3 U thru 34 .T� Renewal. Owner Appucaut Name 'MOUNTAIN 'VTEW BUILDERS Date of P Maur' ads a : Route 2. Box ° 2 84 To*nPc 8 _ Date subdiv:siori approved 1928 B�d>og �. Frame :Glass 5 Lot , 1.4`5 acres...- s Number of Bedrooms 4 Design Flow G /P /D - •$ 0 0 C Separate. Sewerage System to consist of - •Ga11on Septic Tank sat12;/ 4 8 ' un G To be'conetzucted by'MOUntalri View Bulldera� Rte: Water ;S 1 WELT ` nPP J Public Supply From Address or Prlvate'Supplp:ndHedbyto be deC1 ec ddreee ,Other'Re4nirement8 nt that 9 am wholly and c 1 repress ompletely responsible for the design,and location of the propose above described will" be,constructed4s shown on thea,pp'roved amendment there to and 'in- accordanc County Department of, Heilth;;and that onlcompletion thereof -a '!6rt,fi6te Hof Constr..uctiio4i ;0 be> submitted ;to the - Department, and -,a wrdten,guarentee will De ;lurmshed'fhe owner, his succ . . place -in good .operating.. con, dition.any,p_art of -;said sewage' disposal_, systihi,du►liij, the period -c once of the approval, of the C igjph ate:of Conslruct�on: Compliance of the',originat syitem or e will'be located as shown on the•approved plan and that said well will be: instal n'acc nc wilt County .Daps tme of, Health. Date Address 6 ALBERMAC COURT A NG APPROVED "F6R CONSTRUCTION This approval expires one yeai fiom the dat ssued unless" revocable for cause or'mayApp�d be amended of moditieC:when corisidered necessary. -y the Commissioi reouires a new permit.. fo disposal of domestic.'sanitary sews "9 r sit Date 0 I i F�' Y FUTNAM COUNW.1 rD1YIs1on of 13tvkwmeatal H R&P OF HEALTH does. Crmel N Y 1051? « 12, to Provide Pesmlt N,: ' 54 8 n�uANCB a C170N PEWI�1 FOIi S8WA0$'D1SlOSAI. SY$!EM p PATTERSON N Y- own or VM , Lem -�ITWMMA-T ATT W.. idwhildom N Mountan.'.Uiew °Estat:e 30 thru 34 Tu 14 5C� 30 thru 34' 1100 tienewal C Revision p 1 Owntir7Appikant NattieT?nnntii I n V3:PW B ii der "S AtbLes� Route 2 -Box 28.4 Town z)p Patterson 125., 3 :.1928 Date :,§ubdivis o,n ,approved k ,.. , Frame 1 4 a5 : cres Var: y s Wift , Type Lot Ana Simlim Otl�y , Depth %Vime Nttmloer of Heootas 4 Design PCHD.N Required Wb n,Flll mpie Flow G P D 800 b e' is co ted i Soo '1250''T„o:.a2/48' runs lif:4 'X, 4 Box Galleries' - Ban ; To be eomtroeted by �: QllnJ i n �Ti Pw Rtti l rice r¢ A� RtP `i Rix �R4- Pattersnn N V 1 95Fi� Water Sappy • poOblk St1 Feom r " A to he AP'[ • ' or:�_Pelvate Sappy!.DeDled by ddeoss `': Otter Ret�abemenb 1, represenhthat 1•am wholly, aed?cornpletely ►ssponsrDli foi-the des;Vn'antl loc tion of the D ►oposed system(q 1) _that a- Solis ate 'sewa9e Cis al s" stem above- discritied will be constructed as'shown on the approved amendinint there io and. inaccordance witti the'staridartls, rules and regulations o s u nam county _ci*Partrr i t of kaoith,- and that on iomOlatronahsrwf a `'Cartrfiute of Gonstructloh Compliance sat'istactory_toahi Commissioner of Health will submitted to ihe'Di{Nrimont and a ,written.'gwgnNa will Durrlishad,tM ownlr hi ccesso►;;;heirs or augns by the puildN; tMt sai0 Duildir will ' :.a _- plac ,.5 in good oPanting coral {t ion any `part `of said sewaga dispouh SYStln!,•tlurinq MS pe :of tvvo (2) ►� ' metliatily followinq;thW0ate'o1, the issu >' ,enci.of'-tM apicwm,ofthe;C rtif{ate:of• Cogstrudion,,Compllance of th4 ^orgfnalsYstein, ;any_rapaira t ;Z) that t�etlrillaC well Aeia{pitl above will be loeatad as iliorrn on the ippovetl: plan and tMt said'.well will Oanstalled `,in accoidanee, h the: s<a rd rubs an ►pu a ons of tM Putnam co-, nty aepartment •o/ MMIt11: s r Oats 4,` 1'8' -91 ' Atltlress el haY,nai� =Cq License No P APPROVED FOIL CONSTRUCTION Thi apDrowl'expNas wo it`.tr m the tlate issued unlasi nitre c ion the building has`beee+ undertaken and is F for ca so or may ba mended ;or'motlifiW when eon `the mmissio bf : Ith. . Any chbnge or: lte► Mon :ob const►uction j raquiies a nave mite. App o for disposal of tlomestl N atia tl/ vat atel wpp only c. 22 % Rev. J` _ tle . 1/87 Oslo 8Y Ti 0 ki Consulting Engineers Land Surveyors Land Planners Frank G. Fowler, 111, PE, LS Joseph Zarecki, PE Licensed in NY & CT 1 1 West Main St. Pawling, NY 12564 (91 A) 855 -3771 (914) 855 -3772 Fox 31 Bailey Ave. Ridgefield, CT 06877 (203) 438 -7094 (203) 438 -7157 Fax Civil, Sanitary Site Design, Wetlands Environmental Planning Construction Management Feasibility Studies Permit Acquisition Title & Mortgage Surveys Boundary, Topographic Subdivisions Construction Layout May 18, 1995 Putnam County Department of Health Division of Environmental Services Carmel,-NY 10512 RE: Renewal of Construction Permit for SDS (Permit #P- 54 -87) Dear Sir: Please find enclosed an application form for renewal of construction permit for sewage disposal system for Mountain View Estates Lots 30 through 34. At this time, no work has been done on these lots. Should you have any questions, please do not hesitate to contact our office. Sincerely, J Enc. P.E. 5 PUTNAM COUNTY DEPARTMENT OF, HEALTH : i { ' ` Q,ReV 3%86. l' Division of Envlronmenta! $ealth Seirvlces Carmel`N Y 1051 ?_ Engineer'to Provide Permit N ' on CERTiFIGATE OF COMPLIANCE. ONSTRUCTION PERIb11T IrOR SEWAGE DISPOSAL SYSTEM F'!� ?Ea�sa'ap Iocateda<�C/%'`19�� Town° or'vtllage.. 3 -C9 3 IV Subdivision Name Mvus+I7�N' it�rEw :: Sabd. •Lot # Ta: I�. 3.0 1�1"2c� 3 Block Lot . .Owner /Applicant Name /SOD iCJl3!' ?�l� ' � /EG!/ �3C/f'L ®��5. 'Renewal _O a Date of. Prevloa's Approval Meiling Address ? °� �V Zip i , BuildingAM f° Lot Aiea. TcS �c'�^ra5 Fill §ectlon Ody Depth'yI1B�FsVolame ` Number of Bedrooms Design Flow G /P /D PCHDNotificadon is Required When Fill to completed ' Sepaeate Sewerage System'to consist of i. d Gallon Septic Tank and To.be constructed by' -a �f�sa I�tli t'epps Addteee a :l Water'SaPPI);, " Palbllc'Sa 1 Flom `•.Address PP Y. , orsPrivate Supply Drllled.bv-O Other - Requirements ...; , . 1 represent that l am wholly grid complete) respo`risible for he desigdaritl location of 'the proposed system(s); lj that `the fe y parate sewage disposal system above tlescribed will b, constructeC as shown on the. approved'amer dment thereto antl rn accordance with' "the•standards, rules an regu a ions.o - e u nam ' County, ;Department'' of 'Health, anG ,that on completion thereof a Certificate • of •Construction Compliance' satisfactory to the Comrrmissioner of Healthwill be submitted ao the Department,` and 'a written .guarantee';will De furnrshetl` the owner, his successors, lielrs,or assigns by the builder; that said builder will tr place':,i good.:opera, !ng. -Condit ion any part of'said sewage disposal system: during' the period" of two (2)' Immediately following the date of the issu• . ance of the approval '.of 'the' Certif,icate'of Consiruction,,Complrance; of the original syttem.or any repairs thereto; 2) that 'the drilled well described above ' will De locatedpsishown , on the approved'plan and that said well will be lost led' "in acco an with th standards, rules and regu a "Nona of the Putnam i County Oe rtme t Of '.Health V Date : 'r Signed , P.E: IRA' r_ 4ddr" license 'N ! APPROVED fOR CONSTRUCTION Thn approval exDrres, one year from the d issu d unle `construction of the building has been undertaken and is revocable for "cause or.',m,ay be amended or'inodifled. when consideretl nets sary.`tiy the ^Commissioner of'.Health. 'Any khange or alteration of'constructlon ;. requires permit, ,;Approvetl /for disposal of domestic sanitary .sewage an s! ter. s ly. z Date / l Bye' DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 RENEWAL APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT # P -54 -87 WELL LOCATION Street Address MOUNTAIN VIEW ROAD Town/Village/City Tax Grid Number PATTERSON 14 -5C -Lots 30 thru 34 WELL OWNER Name Mailing Address Private Mountain View Builders Route 2 -Box 284 Patterson,NY 12563 O Public USE OF WELL 1 - primary 2 - secondary 0 RESIDENTIAL 0 BUSINESS ® INDUSTRIAL 0 PUBLIC SUPPLY O AIR /COND /HEAT PUMP 0 ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify, O INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 6 /EST. OF DAILY USAGE750 gal 0 REPLACE EXISTING SUPPLY O TEST /OBSERVATION CIADDITIONAL SUPPLY EINEW SUPPLY NEW DWELLING 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING ' ' e dwelling WELL TYPE DRILLED ®DRIVEN []DUG' ®GRAVEL. 0OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: view Estates Lot No. Lots 30 thru 34 WATER WELL CONTRACTOR: Name To be decided Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES ___NO NAME OF PUBLIC WATER SUPPLY: DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: TOWN /VIL /CITY LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED []ON SEPARATE SHEET Renawa 1 (date) (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirt�� (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. During all well drilling operations, the applicant any and all water or waste products from such wel l property and in such a %manner as not to degrade o Date of Issue: 141A z 19 q/ Date of Expiration � 19 shall take appropriate action to assure that dri ng operations be contained on this r er ise contaminate surface or groundwater. ( X � &A-V ermit Issuing Official Permit is Non- Transferra le White copy: HD File 3/89 Yellow copy: Bldg. Insp. Pink copy: Owner Orange copy: Well Driller IS . WELL SITE. SUBJECT TO- FLOODING ?''. YES ✓ NO IF .WELL IS.., LOCATED :IN A .REALTY SUBDIVISION, NAME-,OF SUBDIVISION:',�17`a LOT NOS: 29 WATER', WELL' CONTRACTOR: 'Name Address: `,IS PUBLIC WATER SUPPLY AVAILABLE TO `-,SITE: _ YES. ✓ NO •' NAME OF PUBLIC -WATER SUPPLY: TOWN /V /.0 •'DISTANCE :TO PROPERTY FROM NEAREST " WATER..MAIN ;/ M I,& ' , LOCATION SKETCH & SOURCES OF CONTAMINATION, _. SEE .3 tePrr�d•f lJ�ry� MV- 'B- SO - /`'. — 4 TTd• t f•3o �8•G; ' (date) ign tune) PERMIT TO CONSTRUCT A.WATER WELL This permit to construct, one. water well •as set :'forth above is. granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and .provided 'that within. thirt"('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. �. Date of Issue: 19 �'— ..Perm -Issuing Official Permit is Non— Tr_ansferrahlP c a 55. w�u iuwnaGEJC1Tr lax t;Riu Nuh +6EH WELL .LOCATION �o: -s z ,,A TrQa sew N h p p Al B�.�K C.-T- L. OT' a hn�arAiN VIEW ?oqo Y• WELL OWNER- NAME 'noovrA,w f /I..a 0 AOORESS a�,/�..�: Qr•z =9ax zf'V 0*- rreos.y ay. i :rts ,... Q' P91VAT[ ❑ PUBLIC US : JELL` Gar ESIOENTIALI•• . ❑ PUBLICSUPPLY ❑ 'AIR /COND. /HEAT PUMP 0. ABANDONED pnmar ❑ BUSINESS` . ❑ FARM [,].TEST/OBSERVATION ❑OTHER (specify) 2 - secondary'.. ❑, jNDUSTRIAL; ❑. INSTITUTIONAL ❑ STANQ =BY.. .0 MOUNT OF. USE . YIELO SOUGHT gpm. /N0. PEOPLE SERVED 1 o / EST..OF DAILY USAGE ' pcc gal. REASON FOR ' NEW SUPPLY O PROVIDE ADDITIONAL SUPPLY : ❑ TEST /OBSERVATION GRILLING ❑ flEP.LAC.E EXISTING SUPPLY.' O DEEPEN EXISTING WELL WELL TYPE ['DRILLED, �J DRIVEN Q DUG GRAVEL OTHER IS . WELL SITE. SUBJECT TO- FLOODING ?''. YES ✓ NO IF .WELL IS.., LOCATED :IN A .REALTY SUBDIVISION, NAME-,OF SUBDIVISION:',�17`a LOT NOS: 29 WATER', WELL' CONTRACTOR: 'Name Address: `,IS PUBLIC WATER SUPPLY AVAILABLE TO `-,SITE: _ YES. ✓ NO •' NAME OF PUBLIC -WATER SUPPLY: TOWN /V /.0 •'DISTANCE :TO PROPERTY FROM NEAREST " WATER..MAIN ;/ M I,& ' , LOCATION SKETCH & SOURCES OF CONTAMINATION, _. SEE .3 tePrr�d•f lJ�ry� MV- 'B- SO - /`'. — 4 TTd• t f•3o �8•G; ' (date) ign tune) PERMIT TO CONSTRUCT A.WATER WELL This permit to construct, one. water well •as set :'forth above is. granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and .provided 'that within. thirt"('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. �. Date of Issue: 19 �'— ..Perm -Issuing Official Permit is Non— Tr_ansferrahlP i aAM CMG DAVID D BRUEN JOHN SIMMONS. M.D. County Executive DOWY CommYuYone. DEPARTMENT OF HEALTH Division Of Environmental Health Services Date Engineer's name and address l a s ~e Dear Mr. S f �wdd Review of plans and at this time relative to completed. Comments are Re: Proposed SSDS other supporting documents submitted the above- captioned project has been. offered as follows: e 5,d a e is c���,ell - r cs' l `.r 9 ,�. -" ,,, , er °... i� s� ar �✓ G 5 $ °°-� r aw.�cs S G. S 4:2 �y 6 J G '^ �i� •r s o er •^ v s 9 °' '� ✓ ✓�. ay. w"�%' / ''! t° �1/ L' /S •�/D -S sue"%% � C 5 �� as � ® °"i //°�/�.�/'� $ G` 16 -e Upon receipt of a submission,.revised to reflect the above comments, this application will be considered further. Yours very truly, TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225-364 DAVID D. 'BRUEN County Executive Joseph Zarecki, PE 3 East Main Street Pawling, New York 12564 ATT: Jack Steward DEPARTMENT OF HEALTH Division Of Environmental Health Services November 12, 1986 RE: Proposed SSDS Mountain View Builders Mountain View Road (T) Patterson ZM 14 - 5C'-29 JOHN SIMMONS. M.D. Deputy Commissioner Dear Mr. Steward: Review of plans and other supporting documents submitted at.this'time relative to the above - captioned project has been completed. Comments are offered as- follows: 1.. A corporate resolution is required. 2. The existing well located on Bickerstaff residence is considered in direct line of drainage from the proposed .sewage disposal system. Therefore', a minimum of 200 feet separation must be maintained. The well was measured on November 12, 1986 and found to be 121 feet fran the property line. This must be shown and addressed on the plans. Upon receipt of a submission revised to reflect the above camTents, this application will be considered further. WH:mk Very truly yours, William Hedges, Jr. Public Health Technician TWO COUNTY CENTER - CARMEL, N.Y. 10512 .(914) - 225 -3641 PUTNAM C OLWY DEPARTMM OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS o714-1 y i e ) (Name of Owner) COMMENTS 2 REVIEW SHEET - CONSTRUCTION PERMIT d q DATE REVIEWED: \1 a Ct� d 0) I BY: (Street Location)t��� {� YES NO DOCUMENTS h' Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log iq Consistent Perc Results 30" Perc Hole Other House Plans - Two sets If PWS - Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage SystEan Hydraulic Profile - Gravity Flow i F' ll Profile & Dimensions.- Volume r J Box;Trench /Gallery; Pump pit details eptic Tank - Size, -D-e7U i`1 �2 ! � Well Detail, Service Line if over Construction Notes Design Data Two -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage & Expansion Area Expansion Area;shown;gravity flow,suff. size --If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Property Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCE'S SPECIFIED ON PLAN Fields Located 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains- Curtain,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' fran Foundation 50' to Well 15' Well to PL GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town/DEC Permit R & D) Data On DDS Plans & Permit Same DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 BRUCE R. FOLEY, R.S. Acting Public Health Director June 25, 1995 Joseph Zarecki 11 W. Main Street Pawling, NY 12564 Re: Proposed SSDS: Mountainview Building Mountainview Road (T) Patterson P 54 -87 TM #14- 5 -30 -34 Dear Mr. Zarecki: Review of plans and other supporting documents submitted at this time relative to the above- captioned project has been completed. Comments are offered as follows: "You are referred to Article 128.1 of the official compilation of Codes, Rules and Regulations of the State of New York, Title 10, relative to the need for approval of individual sewage disposal systems by the City of New York. You should contact City Officials in this regard." 1. The plans must be revised showing,trenches and not 4 x 4 galleries. 2. 100% expansion must be provided. 3. Erosion control measures must be shown. , 4. A note must be added to the plan indicating that the site has been inspected and conditions within the SDS area are the same as the original proposed. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. WH/j P Very truly - yours-; _ William Hedges Sr. Public Health Sanitarian �r POItiAM CbDNTY DBARib�M OF EALTH k ° „ Dlrlalen d RsrhmmenW Hadlh Seeyleei. Canseal. N Y 161? of ER I III TCATR OF COIYIPIlAN(� qtr ` Paealt % f ZfON' PZB#Rr FOR S MADE D�OSAL SY$i'®I - C NNTRIIC OVN1'TA\N V�EW��oAU - o a> LoeWdat- „� S M1 � .. Ssi6dlyrM;= Ray.�.► \l � Eu ° E9'C : S Lot 0, ^ Tim Map Hloek `� 3, o..r(AYe.a1t Naas �`oy�,,J D Toted S ;pat Subdivision' Anaroved 1'o�� Fee _Enclosed °0 Amnnnt �cawrng.' C1.a Let ,,. `! 5� w40.�j �m sectbn oaf, vale Nadler 4 He�oo ` DeeiQn .Flow G P D Bepatted When b oompleLed { O.. o • 1 � � PCHD "NottliCtlon b pfll" Sepgaft Seweeye Sja�es b ael "add L�:]�r GaUca Septic Tilok � �i 1. "� To ;a5 i Q��E 4 �aa�i,P,� t��s� 'a`C•1Z�6 . Wa�ar = W `F�. pdblle Soppb pram ; Address Aleata , Del9sd by �N Q�.AI�� _ sddra�ae � � • + $ } war�cs®wM$ r-t a c c t rep►etant'tMb l am: wholly and compptely responsible fM the detiyn and- '"tion .ot the proposal systems) l) that he separate sways• disposal system above descry bid will be constructed asshown ory'tM approved amendment there to and in accordinea.with tha stin' cis, rules a reyu ns o - dam ` County ` WWrtmant of 'MMlth, anu:Ehat on compNtwnthereof a. Certificate or;Construct±on Compliance setisfactwy to tM „Commisslorwr of,,Heanhwill l' M wtimittb to the pepartment and {a writtan quaranteexwill bo furn�sMd tM owner hissuepssers. Mks'or assiyot.by the,bu ”. that said_buikier will glace in 'pod operatMq Coriditbn any part of si0 aawayi tlisposl sYSlemtrduriq the perbd of,!" (t) YM!slirlmWiately:tollowiny . tlisdatp of.tM afro= N1Ce of; CM approval of -.4": Certifkate of :Constructbn `Compliance of ;the orginal system, or any iipai►s ehe►eto;'2) that tM drilled well daserbed aGor', ' wNl M kleatal.aa s/ioain on ttN approval pNn and tMt teal well _will be. installed ins den with t 'standards, ruNa an0 riyu ns ' of .the; 'Putnam County O rt of MNIt11 Y Date -.\ 5by�al P E A �T W Z �.. Addreisy �SQ Ala l�r ueense No `� APPROVED FOR CONSTRUCTION This apl.owl unless coAtruction of the `buildiny'has' been ,undertaken ind is 'rev is for ause;or may;of amaitial or "nwdified wMn considered necessiry,by the Coinmisfio�wr= of;HeNth Any,cMrge or alteration of construction repuires a .Mw pe►eait Approved {for disposal of domestic seni4ary sewage and /or prwatd water supply only 'Rev - oats er Title ,1��88... 0 State of New York J.L. STUART Tefephonz) CEO Registration ROUTE 2 -BOX 233 (914) 378 3361 #0190 -7644A CORNWALL HILL RD. PATTERSON ,NY 12563 ENVIRONMENTAL ENGINEERNG CONSULTING - COMPLETE DRAFTING SERVICE - SSDS REVUE & TESTING - BUILDING AND LAND INSPECTIONS - CONSTRUCTION SUPERVISION - SINCE 1958 MOUNTAIN VIEW BUILDERS ROUTE 2 -BOX 284 PATTERSON, NY 12563 GENTLEMEN: RE: EROSION AND.SEDIMENT CONTROL ON LOTS 30 AND 31 TAX MAP 14, 14 BLOCK C.PATTERSON NY 12563, YOU MAY RECALL THE FIRST SET OF DRAWINGS(SET THAT IN- CLUDED HE PROPOSED DESIGN'OF THE DWELLING) AND THAT IN 1986 RECEIVED DEPARTMENT OF HEALTH APPROVAL, THE LAST SHEET OF THAT SET PROVIDED "EROSION AND SEDIMENT CONTROL REQUIRE- MENTS". THESE REQUIREMENTS LIST TEN POINTS OF THE DEVELOP - ER'SRESPONSIBILITIES IN THIS REGARD. ALSO INCLUDED IN THAT SET OF DRAWINGS WERE THE FOLLOWING: 1 - THE U. S DEPARTMENT OF AGRICULTURE'S FIGURE 5A.38 WHICH DEALS WITH STABILIZED CONSTRUCTION ENTRANCE DETAILS AND SPELLS OUT NOT ONLY THE CONSTRUCTION SPECIFICATIONS IN POINTS 1 THROUGH 9 BUT PROVIDES BOTH PLAN AND PROFILE DRAW- INGS THEREOF. 2 - ALSO INCLUDED ON THAT DRAWING IS A THREE DIMENSIONAL DRAW- ING ENTITLED ANTI - TRACKING PAD DETAIL (AT CONSTRUCTION EN- TRANCE) . 3 - A DRAWING DEPICTING A DIVERSION DITCH DETAIL INCLUDING A CROSS SECTION OF THE DETAIL PROVIDED. 4 - A DRAWING DEPICTING THE USE AND INSTALLATION OF STAKED HAY BALES WHICH CAN BE USED, WHERE INDICATED, AS AN EROSION CONTROL MEASURE. 5 - A CROSS SECTION DRAWING OF HAY BAIL METHODOLOGY. 6 - A DETAIL SHOWING THE CORRECT METHODOLOGY OF INSTALLING A "TREE WELL" FOR PROTECTING TREES TO BE LEFT AND THEIR ROOT SYSTEMS. 7 - SILT FENCE DETAILS - FIGURE 5A.9 PAGE 5A 20 FROM THE NEW YORK STATE GUIDELINES FOR URBAN EROSION AND SEDIMENT CONTROL. COPIES OF THE ABOVE MENTIONED EXHIBITS ARE ATTACHED TO THIS LETTER. IT IS COMMON PRACTICE FOR THE ENGINEER OF RECORD OR HIS DES- IGNATED PROJECT ENGINEER TO VISIT THE SITE AS THE WORK PRO- GRESSES OR AS REQUESTED BY THE DEVELOPER. SUCH SITE VISITS ARE CHARGED TO THE DEVELOPER UNTIL THE PROJECT IS COMPLETED AND APPROVED BY LOCAL DEPARTMENT OF HEALTH OFFICIALS. AT LEAST TWO AND POSSIBLY THREE OF THESE VISITS WERE SO REQUESTED BY THE DEVELOPER SINCE THE LAST RENEWAL APPROVAL.WAS GRANTED BY THE DEPARTMENT OF HEALTH. IN ADDITION OVER THE YEARS THE DESIGNATED PROJECT ENGINEER HAS VISITED THE SITE AT LEAST NINE TIMES ... ES FOR WHICH VISITS NO CHARGES WERE EVER MADE. THE DEVELOPER REQUESTED THAT THE ENGINEER PROVIDE HIM WITH IN- FORMATION AS TO THE AMOUNT OF CUBIC YARDAGE OF THE VARIOUS RE- QUIRED FILL ELEMENTS THAT THE SSDS PORTION OF THE PROJECT WOULD REQUIRE. THIS WAS DONE. THE PROJECT ENGINEER WAS ALSO ASKED TO CHECK THE QUALITY OF FILL THAT TWO POTENTIAL PROVIDERS HAD QUOTED ON. A SAMPLE FROM ONE OF THE POTENTIAL SUPPLIERS WAS OBTAINED AT THE SUPPLIERS SITE AND DELIVERED TO THE DE- VELOPER. THE PROJECT ENGINEER ALSO VISITED THE OTHER SOURCE SITE AND RAN PERCOLATION TESTS ON THAT SOIL. NO SAMPLE WAS TAKEN SINCE THE PERCOLATION TESTS INDICATED THAT THE SOIL TESTED WAS TOTALLY UNSUITABLE FOR USE IN AN SSDS FIELD DUE TO ITS INORDINATELY HIGH CLAY CONTENT. THE DEVELOPER WAS BILLED FOR ONE OF THESE VISITS BUT DECLINED TO ACCEPT THE BILL SINCE HE FELT HE HAD NOT AUTHORIZED THE VISIT FOR WHICH BILLING WAS MADE. HE STATED THAT UNLESS THE PROJECT ENGINEER WAS GIVEN OR COULD PRODUCE A WRITTEN REQUEST FOR SPECIFIC WORK TO BE PERFORMED HE DID NOT FEEL THAT HE SHOULD BE EXPECTED TO PAY FOR ANY WORK DONE THAT HAD NOT BEEN REQUESTED IN WRITING. OVER THE ELEVEN YEARS OF THIS PRO- JECT PAYMENTS HAVE ALWAYS BEEN LATE. THE PROJECT ENGINEER, WHO HAD ORIGINALLY TOLD THE DEVELOPER THAT HE STRONGLY ADVISED AGAINST PURCHASE OF THE PROPERTIES NO MATTER HOW ATTRACTIVE THE PRICE BECAUSE FOR USE, OTHER THAN TO ACT AS A BUFFER FOR HIS CONTIGUOUS PROPERTY, AS IT WOULD BE DIFFICULT TO ENGINEER AS A BUILDING SITE AND IF IT WERE POSSIBLE THE COST OF DEVELOP- MENT WOULD BE INORDINATELY EXPENSIVE. AT THIS LAST MEETING HE THEN TOLD THE DEVELOPER THAT HE WOULD CANCEL ALL OUTSTANDING CHARGES. HE ADDED THAT IF HE DEVELOPER FELT HE HAD ANY NEED FOR FURTHER ENGINEERING ASSISTANCE THAT HE SHOULD CONTACT THE PROJECT ENGINEER'S PRINCIPAL SINCE HE NO LONGER HAD ANY WISH TO BE INVOLVED ON THIS PROJECT. SINCE THAT TIME WE HAVE HAD SEVERE WEATHER CONDITIONS IN THE AREA ANDjSINCE THE DEVELOPER HAD NOT INSTALLio TIC RE00,1RED EROSION CONTROLS A PROPERTY OWNER LIVING "DOWNSTkEl�' FROM THE CONSTRUCTION SITE LODGED A COMPLAINT WITH THE LOCAL HEALTH AUTHORITIES. THIS AUTHORITY CONTACTED THE ENGINEER OF RECORD ASKING THAT THE SITE BE VISITED WITH A VIEW TO SEEING THAT ALL EROSION CONTROLS BE BROUGHT UP TO THE VARIOUS APPLICABLE CODES. HE IN TURN CALLED THE PROJECT ENGINEER WHO.EXPLAINED THAT THE DEVELOPER WOULD ONLY PAY FOR WORK FOR WHICH HE HAD.SPECIFICALLY ORDERED IN WRITING AND,SINCE THE OUTSTANDING AMOUNTS UNPAID WERE LESS THEN MONIES DUE HIM HE HAD CANCELLED THE PROTESTED BILLS AND STATED HE NO LONGER CARED TO WORK ON THE.PROJECT. THERE UPON THE ENGINEER OF RECORD REMINDED HIM THAT, SINCE HE WAS RELATIVE- LY LESS KNOWLEDGEABLE ABOUT THE SITE,THAT THE PROJECT ENGINEER SHOULD RECONSIDER HIS POSITION SINCE NEITHER OF THEM WOULD EVER T. WISH TO MAKE THE HEALTH DEPARTMENTS PROBLEMS ANY MORE DIFFICULT SINCE THEIR RELATIVELY RECENT DOWN- SIZING AS WELL AS NEW YORK CITY'S D.E.P'S NOW SIGNIFICANT LOCAL INVOLVEMENT WAS INCREAS- ING..THEIR WORK LOAD TO A MARKED DEGREE. THE PROJECT ENGINEER FULLY CONCURRED WITH THIS SUMMATION AND CONTACTED THE HEALTH DEPARTMENTS REPRESENTATIVE THAT WAS HANDLING THIS CASE AND SUGGESTED .THAT:IF THE PCDH•REPRE SENTA- TIVE'WOULD CONTACT THE DEVELOPER AND SET UP AN APPOINTMENT -TO REVIEW THE CONDITION OF THE SITE HE WOULD BE AVAILABLE FOR THIS MEETING. ON THIS DATE OF JULYI4TH ,1997 THIS IS THE STATE OF THE SUBJECT PROJECT. ENCLOSURES: 7 ITEMS MENTIONED Z' IN PARAGRAPH FOUR J. L. STUART OF THIS LETTER COPIES TO: MR. WILLIAM HEDGES PCDH t4R.. JOSEPH ZARECKj, L'... E... OF FOWLER AND ZARECKI,'CONSULTING ENGINEERS. i I . �_ . II. I �� i �� I- . , I � II����__ r ,I I i�l�� I,. II .�\ �` I ,!I it � �/ Porous material Porous .material to cover root to cover root spread spread or width or width as as directed directed 3' -0" I min �� I r!in. Mulch 3" depth I Mulch 3 "depth For fills of over / ����\ For fills of 8" to 3' -0 3' -0 ", depth of porous depth of porous material to be material to be l' -0" from 3" to l' -0" and for width as directed , TREE WELL AND ROOT-PROTECTION i i Aktr1 - 7TP.IC e1V4 * PAD DCr,4 /L 'Lam U o0�1i J �`` D��eczslonl oiTr-4 FLOW DIVERSION DITCH DETNI_L.- 74 i y " 5Tb0-1 E R.eve, oLIaFxe SJt3�Qaoe SJ¢Fp,CE !a AIL i - �I J o¢tcinlAL, ' cQOSS- 5c�c.T►o�1 BRUCE R FOLEY Public. Health Director Gary Tretch Putnam Engineering PC 102 Gleneida Avenue Carmel, NY 10512 Dear Mr. Tretch: DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 RETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 February 4, 1999 Re: Proposed Construction Permit Mountain View Builders Mountain View Road and Elm Way (T) Patterson, TM# 23.11 -1 -13, 14, 15 Review of plans dated July, 1998 last revision dated January 20, 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) SSTS design is based on a 150 gallon/day flow. Current codes require a design flow of 200 gallon/day. 2) Sixty percent expansion area is shown on the plan. Current code requires that 100% expansion area is provided. If you have any questions, please call me at ext. 166. Very truly yours, Robert Morris, P. E. Public Health Engineer RM:tn UTN4M P MA L.= tj�finl7l NG,PLLE. elanners January 20, 1999 Mr. Robert Morris, P.E. Putnam County Health Department Geneva Road Brewster, NY 10509 RE: Mountain View Builders Mountain View Road Town of Patterson Dear Mr. Morris, We are submitting the enclosed Plans, revised per the recent percolation tests, for review at your variance meeting. The following waivers would be required: • 150 GPD/BR with installation of water saving devices (see note #5 on Plan) .00i • 60% expansion . • 2H:1 V grading • 100' well to trench (not fill) separation We would ask for a determination of the requested waivers. If your office determines this design as acceptable, "fill only" plans and a complete application will be submitted. Thank you for your consideration of this matter. Very truly yours, PUTNAM ENGINEERING, PLLC KH:In Enclosure cc: Ray Memmel (File 990130) 102 G LEN EIDA AVENUE, CARMEL, NEW YORK 10512 •PHONE (914)225- 3060•FAX (914) 225 -2955 _ / . ' 4. OV FEN rL 7 77-2 ��� / -_--.. / \ C C - \ \ r� � \ \ 4. OV FEN rL 7 77-2 ��� / -_--.. DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner _ 1`A ou A 7-A j At Fy] Eu1LMi 5 Address Op Wu./u7A170 Vtf, -- w gp- J Located at (Street) KMA F,4�14 VtCW )�Ap Tax Map,-q, I I Block L_ Lot e, 14, I S' (indicate nearest cross street) Municipality TA TT E RS D1\1 Drainage Basin SOIL PERCOLATION TEST DATA Date of Pre - soaking YJ R AI q_ Date of Percolation Test I - --r- - - - -rr - -.� ...1..... r ................ ........ .... -_. Percolation test hole. (i.e. s 1 min for 1 -30 min/inch, < 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 Depth to Water Water Hole No. Run No. Time Start - Stop Ela se Time Min.) rom Ground Surface (Inches) Start Stop Level Dro In Inc�es. Percolation Rate Min/Inch 1 lc'.0o- to .w 3 b w 27 ,I -. 26 , I �j0 2 la'1 rc a 27 ;26 I D 3 11:0*) - 11;3 -1 30 ' 2 0 4 5 ' 14 ¢.% 3 .4o- /1: 23 2�7 -30" 4 5 1 �F OF NEW GN , I\ 2 3 4 2S� 06744 -. o. \� ,. NOTES: 1 _ Tectc to hp rPnPnrPl1 At Cnmp dianth until 1....:.....4 .. nnnif I - --r- - - - -rr - -.� ...1..... r ................ ........ .... -_. Percolation test hole. (i.e. s 1 min for 1 -30 min/inch, < 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 1jooNr-41N VIEW SV1LarNg TEST PIT PROFILES 0- ?', 3 0 Hole # �_ Lot # 3/ Hole #_ Lot #�� Hole # Lot # 3/ Depth to water A119 4 e { Depth to water 0 g e Depth to waterer P Depth to mottling Depth to mottling. jjP_ Depth to mottling A/' RP Depth to rock/imp. p - " . Depth to rock/imp. ,�/D� Depth to rock/imp.. 4t - o G.L. G.L. Topso, 0.5 D&OC . rower -o 0.5 B 0.5 7opso�l /7e X , Bro4,1P7, 1.0 © 4.,/ M l Xe'g 1.0 1.0 0 doM t ` 2.0 and i JCe 2.0 2.0 s ��- U1 �1 Dar am/oc�r 3.0 �� �� mr ;�:Ncr -roes" "l rl A If IA �B ) 3.0 2� �� ec f „ i c7 3.0 wf Souse ofQv�� � v 9 � 'i3Noc,�7 , S 4.0 4.0 r 4.0 o 5.0 w 647me 5.0 5.0 6.0 oam'w 6.0 v rV 7.0 7.0 RO.0 k 7.0 N 8.0 8.0-1' �8emvti, ? '- 6 '' 8.0 0 9.0 9.0 9.0 v 10.0 10.0 10.0 v X91 309, Hole # 4 Lot # 30 Hole # Lot # 3 Dole # Lot # .'O S Depth to water Na 4 Depth to water 4/ p h e Depth to water Depth to mottling Ajad.e Depth to mottling A1,vtje Depth to mottling . Depth to rock/imp. ., 0 '' Depth to rock/imp. 5 D " Depth to rock/imp. Q G.L. - G.L. G.L. 9 G� T •►TUpScq/ s 0.5 0.5 0.5 n v 7z vg� rou, h 1.0 2vyt 4dwh 1.0 1.0 s. d 2.0 loo. hl 2.0 /dam»'► 2.0 14- 9Z v 3.0 �+ Fee, �� 3.0 �'�" 3.0 p LOy►gpQG -} 'SAN �, i9h"f i3i0d✓ c:oM , 4.0 s / 4.0 5; ®a 4.0 + 5.0 wl ra vie/ W/. el r ve 5.0 5.0 ® 6.0 2a4 k -R,.-4tcm 6.0 6.0 7.0 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0_ 10.0 10.0 iii MSC y 3- r-- f PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM owner 1_S'louN7-A/A/ VIEW Bujkr>gR6 Address MouNrAiN yiEw gX, gt gi-M W 4Y Located at (Street) ]Z-�, Tax Map 23, 11 Block ,) Lot (indicate nearest cross street) Municipality _pAT- rggs50& Watershed eAs-r B-gANe_N SOIL PERCOLATION TEST DATA Date of Pre - soaking f Lao', % Date of Percolation Test r 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 Bole. Form DD -97 1 0X0 —j0'3o 30 ;27 - Is 30 2 -- t a 7- 13 0 3 lflol- 0 -30 2 7 - 30 4 5 1 !0101 - /01116' a7 - 3o q!.-7. 2 0,-:? 9-a 17-3 o 3 T3 3 a- vZ 3 �-7 - 4 a 3 4 5 ,: 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 Bole. Form DD -97 RECORD OF PHONE CONVERSATION Time: Date:. Person calling: ",e L% y lv Phone #: Reason ( ) Inspection: } Deeps and/ <5D Scheduled Field Meeting Pre - y perms- . Time: ate, . �� Q, Dated �.• - �..� m.ne,ae..,3 ors.+ =.:s++ � r Y N Tent ative /t be confirmed () ( ) Town- FAT: Road /Street: _ +-, � ew ��?, �o aiZ- M VV4 y Tax Map #: Comments: ya►e C orner is • Ese a e CLa Dean Pond , �,j D 52 Raymond cem B ' PonYr %, . 12531 0 84 % W 4k 4, \t P- _F -- �i —' 6 j 'Pori \Fi mers 84 v KIU el *CARMEL Hs DI y Bllildin, bil Ludington u ent 6 312 J .II � I DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York .10509 TeL (914) 278 - 6130 Fax (914) 278 - 7921 December 16, 1998 Ken Hurley Putnam Engineering 102 Gleneida Avenue Carmel NY 10512 Re: Proposed SSTS: Mountain View Builders Mountain View Road (T) Patterson, TM# 23.11 -1 -15 Dear Mr. Hurley: BRUCE R. FOLEY Public Health Director 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. 1) On December 15, 1998, the revised plans were presented to the Putnam County Waiver Committee. However, the Waiver Committee will not review the project until new percolation tests are witnessed by a representative of this Department. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very ly yours, Robert Morris, P.E. Public Health Engineer RM:tn EAAM' P T GINEERING,PLLC. Engineers and Planners December 11, 1998 Mr. Robert Morris, P.E. Putnam County Health Department Geneva Road Brewster, NY 10509 RE: Mountain View Builders Mountain View Road Town of Patterson Dear Mr. Morris, We are submitting the enclosed Plans for review at your yanan' cesmeeting. The following waivers would be required: • 150 GPDBR with installation of water saving devices (see note #5 on Plan) • 85% expansion • 2H:1 V grading • 100' well to trench (not fill) separation We would ask for a determination of the requested waivers. If your office determines this design as acceptable, "fill only" plans and a complete application will be submitted. Thank you for your consideration of this matter. Very truly yours, PUTNAM ENGINEERING, PLLC I: =_ Ken Hurley r KH:rk . Enclosure cc: Ray Memmel (File 980598) 102 GLENEIDA AVENUE, CARMEL, NEW YORK 10512 • PHONE (914)225 -3060• FAX (914) 225 -2955 4;naz" BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster,. New York 10509 Tel. (914) 278 - 6130 Fax (914) 278 - 7921 October 2, 1998 Mrs. Beckerstaff 68 Mt. View Road Patterson NY 12563 Re: Mountain View Builders Mt. View Road TM# 23.11 -1 -13, 14, 15 Dear Mrs. Beckerstaff: This Department is in receipt of your letter dated September 20, 1998. In response to your inquires, I have outlined comments below: 1) This Department is aware of the initial construction activity on the above referenced, parcel. Representatives of this Department have met the owners - and the owners engineer on the property several times in the past year. Representatives of this Department includes: Michael Budzinski, - P.E., Director of Engineering, Robert Morris, P.E., Public Health Engineer and Gene Reed, Engineering Aide. 2) This Department has requested addition soil testing on this lot. The deep test holes were excavated and inspected by a representative of this Department on September 15, 1998. 3) A permit to construct a subsurface sewage disposal system was issued by this Department on June 19, 1987, construction permit number P- 54 -87. The owners engineer must apply for a renewal of this permit. When the application is submitted it will be reviewed using the current guidelines for construction permit renewals. 4) The minimum distance is 200 feet if a well is below a septic system and in direct line of drainage, regardless of the degree of the slope. Otherwise, the minimum distance is 100 feet. 1-J e Letter to: Mrs. Beckerstaff- October 2, 1998 -2- 5) Percolation tests will be witnessed by a representative of this Department prior to the issuance of a renewal of the. construction permit C- 44 -87. . It is hoped this response address your concerns. If further assistance is required do not hesitate to contact me. at. If you have any questions regarding the above matter, please contact me at (914) 278 -6130 ext. 166. RM:tn Ve truly yours, Robert Morris, P.E.• Public Health Engineer Putnam County Health Dept. 9 -20 -98 4 Geneva Rd. Rt. 312 Brewster N.Y. 10509 Dear Mr. Robert Morris I talked to you a number of months ago by phone that we needed assis•cance in determining whether a construction site that is going om above us is within DEP -guide rules, especially the septic location. They started up again in excavating for the septic system wednesday Sept. 16, 1998. I went up there to see what all the noise was about when a worker asked me " Where is your well located ?' I told him your digging for a septic system and you don't know where my well is located ? I suggested for him to look on his site plan, and he ans- wered he did not have any. This gets me very nervous with an answer like that ! What I'd like to know is, the rule regarding proper distance of a- septic system from someones well, especially when the incline is appox 50 %. We're concerned with.surface runoff and well contamination. A number of years ago we wanted to put an additional home on.our property. We called in an engineer and he said, " This area's,perco lation is very poor and advised not to build unless an expensive I. sep- tic system was employed ". So in order to insure that everything is done legally, we're asking for your help in determining legality.of this project. Thanking you in advance for your advise and help,I remain Lots in question 23.11 -1 -13 23.11 -1 -14 23.11 -1 -15 My Lot 23.11 -1 -6 Copy: John Calbo Patterson Building Inspector Respectfully P r I-,/ Ursula Bickerstaff 68 Mt. View Rd. Patterson N.Y. 12563 RECORD OF PHONE CONVERSATION Time: / d Date: 2 Person calling. uR Phone Reason () Inspection: eeps and /o eres: Scheduled Field M� eeting. Da Tentative /to be confirmed ( ) ( ) Town: Road /Street: 496= �� Tax Map #: Continents: t� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Address Located at (Street) IZte.. l C -I Tax Map)3. If Block Lot 15 ndicate nearest cross street) Municipality Drainage Basin SOIL PERCOLATION TEST DATA Date of Pre - soaking Date of Percolation Test Hole No. Run No. Time Start - Stop Ela se Time Else De th to Water rom Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch 1 2 3 4 5 - 1 2 3 4 y 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 RECORD OF PHONE CONVERSATION Time: Date-. z Z-2 - - i Person calling: �eii llurl, Phone# Reason () Inspection: SchSd Meetinc, Date: I 'Y N Tentative/to be confirmed () ( ) Town: Pn Road/Street- Tax Map g- Comments: F I I 1 1 1 I 1 I 1 1 1 oi`y I �h' -# x 187.16 x 186.63 ter, I I 190 It 1 1 -- p� 7AVEMENt S -y0„W EDP MOLWAN 1 NORTH x 195.56 VIEW 120A1v - roro6l2APHIG 5L IZVF-Y PIZFF'AIW FOR x 195.54 ppl.E � 16173 � 1 1 1 1 1 x 195.13 O�M 1 C1 rizoM TOdNN -1 un y °\ g3.V +_8 1 I 1 ! I I AMA - 75,032 SF t I - 1.722 AGtT5 t 1 1 1 WPLL ! 1 1 I 1 0'"00 \ \ FI cft 1 I 41 Q y0 W m NOb 7 f A f i / ZQ fury"! x 6 �4� N u IN '6v -- uo 105 12 112 - 106 x .AS�BU��LT. ME. Ts E . N. FE��'�t�� 105 12 112 - 106 x 1.3 .. 1`3 38' 71 71 .. 71 72 37 37 .. 3S 105 12 112 - 106