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CORTLANDT PITCH - EAF PART 3 ENGINEERING REPORT – SUBSURFACE SEWAGE TREATMENT SYSTEM

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Page 1: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

CORTLANDT PITCH - EAF PART 3

ENGINEERING REPORT –

SUBSURFACE SEWAGE TREATMENT SYSTEM

Page 2: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along
Page 3: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

CORTLANDT PITCH

CORTLANDT, NEW YORK

ENGINEERING REPORT

SUBSURFACE SEWER

TREATMENT SYSTEM

Prepared for:

NY Indoor Sports, Inc.

2226 Crompond Road

Cortlandt, New York

Prepared By:

DIVNEY TUNG SCHWALBE, LLP

One North Broadway, Suite 1407 White Plains, New York 10601

March 2, 2016

Page 4: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

CORTLANDT PITCH CORTLANDT, NEW YORK

SUBSURFACE SEWER TREATMENT SYSTEM

TABLE OF CONTENTS

Page I. NARRATIVE SUMMARY No.

A. Background ......................................................................................... 1 B. Project Description ............................................................................. 1 C. Septic Area Soils ................................................................................. 1 D. Wetlands ............................................................................................. 4 E. Required Project Approvals ................................................................ 4

II. CONSTRUCTION PROGRAM

A. Duration of Activity ............................................................................. 4 B. Sequence Schedule ................................................................................ 4 C. Construction Refuse Control ................................................................ 5

III. SUBSURFACE DESIGN

A. Engineering Criteria and Testing .......................................................... 5 D. Design Flow and System Type ............................................................. 5 E. Tanks and Pump Station....................................................................... 5 F. Subsurface Treatment Area ................................................................... 6 G. Flooding ............................................................................................... 6

IV. APPENDIX A. Percolation and Deep Test Hole Data B. NYSDEC Table B-2 C. Soil Map Information

V. LIST OF FIGURES

Figure Page No. No. EC-1 Existing Conditions .................................................................. 2 FIG.-1 Soil Map ................................................................................... 3 FIG.-2 Tri-Galley Detail ....................................................................... 8

Page 5: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

VI. LIST OF TABLES Table Page

No. No. 1 Proposed Water Demand and Sanitary Loading ................................. 7

Page 6: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along
Page 7: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

1

I. NARRATIVE SUMMARY

A. Background

The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and

owned by New York Indoor Sports, Inc. The property is located along U.S. Route

202/ Crompond Road, set back at least 260-feet north through NYSDOT-owned land,

between the intersections of Rte. 202 and the Bear Mountain State Parkway to the west

and Maple Row to the east. The site is bounded by adjacent Bowling Alley driveway

(Lincoln Avenue) and parking lot to the east, Lincoln Titus Elementary School and

outdoor playing field to the north, and residential area to the west.

The property was previously owned as farmland and is currently largely meadow and

open space, except for a single family residence and two accessory buildings on-site. The

main house was originally located in the Right-of-Way and was relocated when the land

was taken by the State for a potential future parkway extension. The R.O.W. land is

currently undeveloped except for separate driveways to the on-site home and adjacent

Bowling Alley, with meadow and limited wooded areas along the roadways. The

majority of the site gradually slopes from south to north, with a portion separated by a

ridge that drains west to east to an existing off-site un-named watercourse. See Existing

Conditions Figure EC-1.

B. Project Description

The subject property is situated on a +/- 6.3 acre parcel with a current use of a

occupied single-family dwelling and supported by an accessory buildings, public water

supply and an onsite individual subsurface sewer treatment system. All existing

structures and utilities will be razed and removed from the site. The existing subsurface

septic tanks and/or infiltration pits will be demolished in place and backfilled in

accordance with the Westchester County Department of Health (WCDOH) rules and

regulations. The water supply will be removed and abandoned in accordance with the

Town of Cortlandt requirements. The proposed 56,680 square feet building foot print

for an indoor sports facility that will include soccer/multi use fields with attached

exercise rooms, offices, restrooms and eating facilities.

C. Septic Area Soils

Reported from the United States Department of Agriculture (USDA) Natural

Resources Conservation Service (NRCS), the soils within the septic area is Paxton

(PnB) fine sandy loam, 3-8 percent slopes. See Figure No. 1 Soil Map.

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Page 9: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

N81°37'50"W 542.30'

N08°44'00"W

357.7

6'

S87°06'00"E110.10'

S82°07'00"E 337.82'

S78°44'00"E284.18'

S79°29'00"E103.94'

S08°48'30"W

267.8

1'

S08°35'10"W

72.2

5'

R=5 7 3 0 . 0 0 ' L =1 8 5 . 2 8 '

CROMPOND ROAD (R

OUTE 202)

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34.06-1-7

N/F

LAKELAND CENTRAL

SCHOOL DISTRICT NO.1

SECTION 1 BLOCK 1

TAX LOT 20

PARCEL AREA = 275,191.291 SQ FT OR

6.318 ACRES

NYSDOT

RIGHT-OF-WAY

34.06-1-2

N/F

DUBAK REALTY

MANAGEMENT CORP.

34.06-1-19

N/F

EDUARDO REYES &

FIDELINA ESCOTO

REYES

CR

OT

ON

A

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WETLAND

BOUNDARY

WETLAND

BOUNDARY

Divney Tung Schwalbe, LLP

One North Broadway

White Plains, NY 10601

P: 914.428.0010

F: 914.428.0017

Figure No. SWM-1EC-1

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Page 11: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

Soil Map—Westchester County, New York

Natural ResourcesConservation Service

Web Soil SurveyNational Cooperative Soil Survey

8/16/2016Page 1 of 3

4571

900

4571

940

4571

980

4572

020

4572

060

4572

100

4572

140

4571

900

4571

940

4571

980

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020

4572

060

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594480 594520 594560 594600 594640 594680 594720 594760 594800 594840 594880

594480 594520 594560 594600 594640 594680 594720 594760 594800 594840 594880

41° 17' 43'' N73

° 5

2' 1

8'' W

41° 17' 43'' N

73° 5

2' 0

'' W

41° 17' 34'' N

73° 5

2' 1

8'' W

41° 17' 34'' N

73° 5

2' 0

'' W

N

Map projection: Web Mercator Corner coordinates: WGS84 Edge tics: UTM Zone 18N WGS840 50 100 200 300

Feet0 25 50 100 150

MetersMap Scale: 1:1,950 if printed on A landscape (11" x 8.5") sheet.

FIGURE No. 1

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Page 13: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

4

D. Wetlands

Within the 6.3-acre project site, there is a 0.28-ac wetland delineated by the wetland

scientist, The Town’s consultant indicates the wetland was previously disturbed and

isolated, resulting in limited importance for wildlife habitat. The wetland is not federally

regulated.

E. Project Permits and Approvals

The following are anticipated permits and approvals to be sought for the Project.

Town of Cortlandt

• Site Plan Approval

• Wetland Permit

• Watercourse Diversion

Westchester County (WC)

• Department of Health: Onsite Wastewater Treatment System, Backflow Devices

State of New York (NYS)

• Department of Environmental Conservation: SPDES Permit

• Historic Preservation Office: Historic and Archeology Sensitivity Review

• Department of Transportation: Highway Work Permit

Federal (US)

• Army Corps of Engineers: Wetland Permit (off site wetlands)

II. Construction Program

A. Duration of Activity

The construction activity is expected to be completed over approximately a one-year

period and will involve the grading and construction of new access roadways,

parking areas, underground utility systems, building footing and foundation systems,

building structures, stormwater management measures, subsurface septic system,

landscaping and other physical improvements.

B. Sequencing Schedule

The majority of the proposed project will be constructed in one phase. Which will

incorporate the clearing and demolition of existing buildings and construction of the

new facility, subsurface septic and utilities and driveway improvements.

Page 14: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

5

C. Construction Refuse Control All contractors working on the site will provide adequate trash containment services for the construction site at the start of work to maintain a clean, debris-free work area. Typical facilities may be covered containers with openings three inches or smaller or approved equal, and will be emptied on a regular basis. Refuse will be removed from site via a solid-waste contractor and be recycled or disposed per Federal, State and local requirements. Refuse will not be disposed of on site.

III. SUBSURFACE SEWER DESIGN

A. Engineering Criteria and Testing The design was completed to comply with the New York State Design Standards for Intermediate Sized Wastewater Treatment Systems March 5, 2014. The design includes the following. Five deep test holes were performed within the proposed subsurface sewer treatment area which the soil consists mostly of a sandy loam with water seep between 62 and 72 inches and one test hole mottled soils was observed at approximately 42 inches. Eight percolation tests were performed between depths 48 and 66 inches from existing grade. A soil percolation rate of 16-20 min./inch or 0.7 GPD/ft2 is used for the design of required absorption area. See Appendix for testing data sheets.

B. Design Flow and System Type

The average daily design flow was estimated to be 2,588 gallons per day. Excavated test pits indicated groundwater seep between five and six feet and mottled soils at 42 inches which were measured from finished grade. To provide the required separation from ground water the design includes placing a minimum of 36 inches of run-of-bank sand and gravel fill over the entire primary and expansion areas. The subsurface treatment systems primary absorption area will be located within a lawn area and the 100 percent reserve area will be located in a paved parking area. The system layout meets the required separation distances listed in Table 2 of the Design Manual. See Appendix for Table B-2.

C. Tanks and Pump Station Prior to the subsurface treatment system pretreatment tanks will include a 4,000 (1.5 x average daily flow) gallon septic tank and a Type II 2,000 gallon grease interceptor for the kitchen service area. A pump station will be required for the difference in elevation of the septic tank outlet pipe and absorption fields, this will also allow to dose the system to provide a system resting period.

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6

D. Subsurface Treatment Area

The projected daily sanitary load for the proposed development site is calculated to be 2,588 gallons per day (gpd), see Table 1 for detailed sanitary loading calculations. An 8-ft x 4-ft x 2.2-ft Tri-Galley subsurface infiltration system was chosen for the subsurface sewer treatment. The Tri-Galley provides a 5.2ft2 of effective infiltration per linear foot plus 15.5 ft2 for each end section. See Figure No. 2 for Tri-Galley Detail. Using an application rate of 0.7 GPD/ft2 and a sanitary load of 2,588 GPD, the disposal system will require 3,697 ft2 of Tri-Gallies.

E. Flooding The proposed sewer treatment system is not located within the 100-year floodplain, and therefore, should not be impacted by flooding.

Page 16: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along
Page 17: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

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Page 19: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

FIGURE No. 2

Page 20: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along
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9

APPENDIX

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Page 23: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

WESTCHESTER COUNTY DEPARTMENT OF HEALTH

Bureau of Environmental Quality 118 North Bedford Road Mount Kisco, NY 10549

DESIGN DATA SHEET – SEPARATE SEWAGE SYSTEM FILE NO.__________________

Owner_____________________________ Address________________________________________ Located at (Street)________________________________ Sec._______ Block_______ Lot________ (Indicate nearest cross street) Municipality_____________________________________ Watershed_________________________ SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH PPLICATION Presoak Date:_________________ Run Date:____________________ Hole # CLOCK TIME PERCOLATION

Depth to Water From Ground Surface

Hole Number

Run No. Start Stop

Elapse Time Min.

Start Inches

Stop Inches

Water Level Drop In Inches

Soil Rate Min/in Drop

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Perc test done by:_______________________ 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 from top of hole. DO NOT REPORT INCREMENTS OF LESS THAN ONE

INCH.

SAmato
Text Box
NY Indoor Sports, Inc.
SAmato
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2226 Crompond Road
SAmato
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Btwn. Bear Mtn. Parkway & Maple Row
SAmato
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34.06
SAmato
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1
SAmato
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20
SAmato
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Town of Cortlandt
SAmato
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Peekskill Hollow Brook Basin
SAmato
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12/7/16; Heavy Rain 12/6 & 12/7
SAmato
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12/8/16
SAmato
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P1-1
SAmato
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10:46
SAmato
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10:59
SAmato
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13
SAmato
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38"
SAmato
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39"
SAmato
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1
SAmato
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13.0
SAmato
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48" w/ 2" gravel
SAmato
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11:00
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11:14
SAmato
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14
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38"
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39"
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1
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14.0
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11:14
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11:28
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14
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38"
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39"
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1
SAmato
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14.0
SAmato
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P1-2
SAmato
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11:21
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11:45
SAmato
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24
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58"
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59"
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1
SAmato
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24.0
SAmato
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68" w/ 2" gravel
SAmato
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11:47
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12:12
SAmato
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25
SAmato
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58"
SAmato
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59"
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1
SAmato
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25.0
SAmato
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12:18
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12:43
SAmato
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25
SAmato
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58"
SAmato
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59"
SAmato
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1
SAmato
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25.0
SAmato
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3.0
SAmato
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Cosimo Reale/Michelle Grossman
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TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES

DEPTH HOLE NO._____ HOLE NO. _____ HOLE NO. _____ HOLE NO. _____ G.L.

6”

12”

18”

24”

30”

36”

42”

48”

54”

60”

66”

72”

78”

84”

WAS GROUNDWATER ENCOUNTERED INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATED LEVEL FOR WHICH WATER LEVEL RISES AFTER BEING ENCOUNTRED DEEPTEST MADE BY_________________________ DATE OF DEEP TESTS_______________

DESIGN Soil Rate Used__________ Min/1” Drop: S.D. Usable Area Provided___________________ No. of Bedrooms________ Septic Tank Capacity______ Gals. Masonry______ Metal _________ Absorption Area Prov. by _____ L.F. x 24”_____ width trench. Other___________ Name______________________________________ Signature___________________________ Address____________________________________ Seal ____________________________________ Westchester County Health Department Soil Rate Approved__________ Sq. Ft./Gal Checked by___________________________ S.D. 27.6 4/98

creale
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Meadow
creale
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Topsoil
creale
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Moderately compact sandy loam
creale
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Moderately compact med to fine sands Mottled @ 42"
creale
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Mod. to tight compact silty loam to 120" Seep @ 76" & water @ 84"
creale
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84"
creale
Arrow
creale
Arrow
creale
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Divney Tung Schwalbe
creale
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1/20/2016
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Divney Tung Schwalbe Gerhard M. Schwalbe, P.E.
creale
Text Box
One North Broadway White Plains, NY 10601
creale
Text Box
1
SAmato
Text Box
Meadow Topsoil
SAmato
Text Box
Meadow Topsoil
SAmato
Text Box
Meadow Topsoil
SAmato
Text Box
2
SAmato
Text Box
3
SAmato
Text Box
4
SAmato
Text Box
Moderately compact sandy loam
SAmato
Text Box
SAmato
Text Box
SAmato
Text Box
Moderately compact fine sandy loam
SAmato
Text Box
Mod. to tight compact fine sands/silts to 108"
SAmato
Text Box
108"-132" - Mod to tight compact med/fine sands
SAmato
Text Box
Seep @ 68" & water @108"
SAmato
Text Box
Moderately compact fine silt loam
SAmato
Text Box
Moderate to tight compact fine sands/silts
SAmato
Text Box
Mod.to tight compact fine sandy loam
SAmato
Text Box
96-132" Mod. to tight compact fine sandy loam Seep @ 62" & Water @ 96
SAmato
Text Box
Moderately compact fine sandy loam
SAmato
Text Box
Moderately compact fine sandy loam
SAmato
Text Box
48-132" - Mod. compact medium/fine sands & silts Seep @ 72" & water @ 120
SAmato
Arrow
SAmato
Arrow
SAmato
Arrow
SAmato
Arrow
SAmato
Arrow
SAmato
Arrow
creale
Text Box
16-20
creale
Line
creale
Text Box
Daily Flow
creale
Text Box
2,588 GPD
creale
Text Box
4,000
creale
Text Box
X
creale
Text Box
692
creale
Text Box
8'x4'x2.2' Concrete Tri-Galley
creale
Text Box
36" R.O.B. fill over entire SSTS & Expansion Area Pump Station Grease Trap
creale
Text Box
+/-24,000 SF
Page 25: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

WESTCHESTER COUNTY DEPARTMENT OF HEALTH

Bureau of Environmental Quality 118 North Bedford Road Mount Kisco, NY 10549

DESIGN DATA SHEET – SEPARATE SEWAGE SYSTEM FILE NO.__________________

Owner_____________________________ Address________________________________________ Located at (Street)________________________________ Sec._______ Block_______ Lot________ (Indicate nearest cross street) Municipality_____________________________________ Watershed_________________________ SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH PPLICATION Presoak Date:_________________ Run Date:____________________ Hole # CLOCK TIME PERCOLATION

Depth to Water From Ground Surface

Hole Number

Run No. Start Stop

Elapse Time Min.

Start Inches

Stop Inches

Water Level Drop In Inches

Soil Rate Min/in Drop

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Perc test done by:_______________________ 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 from top of hole. DO NOT REPORT INCREMENTS OF LESS THAN ONE

INCH.

SAmato
Text Box
NY Indoor Sports, Inc.
SAmato
Text Box
2226 Crompound Road
SAmato
Text Box
Btwn. Bear Mtn. Parkway & Maple Row
SAmato
Text Box
34.06
SAmato
Text Box
1
SAmato
Text Box
20
SAmato
Text Box
Town of Cortlandt
SAmato
Text Box
Peekskill Hollow Brook Basin
SAmato
Text Box
12/7/16; Heavy Rains 12/6 & 12/7
SAmato
Text Box
12/8/16
SAmato
Text Box
P2-1
SAmato
Text Box
10:09
SAmato
Text Box
10:11
SAmato
Text Box
2
SAmato
Text Box
38"
SAmato
Text Box
39"
SAmato
Text Box
1
SAmato
Text Box
2.0
SAmato
Text Box
10:13
SAmato
Text Box
10:16
SAmato
Text Box
3
SAmato
Text Box
38"
SAmato
Text Box
39"
SAmato
Text Box
1
SAmato
Text Box
3.0
SAmato
Text Box
10:17
SAmato
Text Box
10:20
SAmato
Text Box
3
SAmato
Text Box
38"
SAmato
Text Box
39"
SAmato
Text Box
1
SAmato
Text Box
3.0
SAmato
Text Box
P2-2
SAmato
Text Box
SAmato
Text Box
Cosimo Reale/Michelle Grossman
SAmato
Text Box
4.0
SAmato
Text Box
10:22
SAmato
Text Box
10:41
SAmato
Text Box
11:15
SAmato
Text Box
10:38
SAmato
Text Box
11:13
SAmato
Text Box
11:47
SAmato
Text Box
SAmato
Text Box
16
SAmato
Text Box
32
SAmato
Text Box
32
SAmato
Text Box
56"
SAmato
Text Box
56"
SAmato
Text Box
56"
SAmato
Text Box
57"
SAmato
Text Box
57"
SAmato
Text Box
57"
SAmato
Text Box
1
SAmato
Text Box
1
SAmato
Text Box
1
SAmato
Text Box
16.0
SAmato
Text Box
32.0
SAmato
Text Box
32.0
creale
Text Box
48" w/ 2" gravel
creale
Text Box
66" w/ 2" gravel
Page 26: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES

DEPTH HOLE NO._____ HOLE NO. _____ HOLE NO. _____ HOLE NO. _____ G.L.

6”

12”

18”

24”

30”

36”

42”

48”

54”

60”

66”

72”

78”

84”

WAS GROUNDWATER ENCOUNTERED INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATED LEVEL FOR WHICH WATER LEVEL RISES AFTER BEING ENCOUNTRED DEEPTEST MADE BY_________________________ DATE OF DEEP TESTS_______________

DESIGN Soil Rate Used__________ Min/1” Drop: S.D. Usable Area Provided___________________ No. of Bedrooms________ Septic Tank Capacity______ Gals. Masonry______ Metal _________ Absorption Area Prov. by _____ L.F. x 24”_____ width trench. Other___________ Name______________________________________ Signature___________________________ Address____________________________________ Seal ____________________________________ Westchester County Health Department Soil Rate Approved__________ Sq. Ft./Gal Checked by___________________________ S.D. 27.6 4/98

creale
Text Box
Meadow
creale
Text Box
84"
creale
Text Box
Divney Tung Schwalbe
creale
Text Box
1/20/2016
SAmato
Text Box
5
SAmato
Text Box
Moderately compact fine sandy loam
SAmato
Text Box
Moderately compact med/fine sands & silts
SAmato
Text Box
SAmato
Text Box
42-132"
SAmato
Text Box
Seep @72" & water @ 120"
SAmato
Arrow
SAmato
Arrow
creale
Text Box
Divney Tung Schwalbe Gerhard M. Schwalbe, P.E.
creale
Text Box
One North Broadway White Plains, NY 10601
creale
Text Box
16-20
creale
Line
creale
Text Box
Daily Flow
creale
Text Box
2,588 GPD
creale
Text Box
4,000
creale
Text Box
X
creale
Text Box
692
creale
Text Box
8'x4'x2.2' Concrete Tri-Galley
creale
Text Box
36" R.O.B. fill over entire SSTS & Expansion Area Pump Station Grease Trap
creale
Text Box
+/-24,000 SF
Page 27: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

WESTCHESTER COUNTY DEPARTMENT OF HEALTH

Bureau of Environmental Quality 118 North Bedford Road Mount Kisco, NY 10549

DESIGN DATA SHEET – SEPARATE SEWAGE SYSTEM FILE NO.__________________

Owner_____________________________ Address________________________________________ Located at (Street)________________________________ Sec._______ Block_______ Lot________ (Indicate nearest cross street) Municipality_____________________________________ Watershed_________________________ SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH PPLICATION Presoak Date:_________________ Run Date:____________________ Hole # CLOCK TIME PERCOLATION

Depth to Water From Ground Surface

Hole Number

Run No. Start Stop

Elapse Time Min.

Start Inches

Stop Inches

Water Level Drop In Inches

Soil Rate Min/in Drop

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Perc test done by:_______________________ 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 from top of hole. DO NOT REPORT INCREMENTS OF LESS THAN ONE

INCH.

SAmato
Text Box
NY Indoor Sports, Inc.
SAmato
Text Box
2226 Crompond Road
SAmato
Text Box
Btwn. Bear Mtn. Parkway & Maple Row
SAmato
Text Box
34.06
SAmato
Text Box
1
SAmato
Text Box
20
SAmato
Text Box
Town of Cortlandt
SAmato
Text Box
Peekskill Hollow Brook Basin
SAmato
Text Box
12/7/16 Heavy Rain 12/6/16 & 12/7/16
SAmato
Text Box
12/8/16
SAmato
Text Box
SAmato
Text Box
3-1
SAmato
Text Box
11:55
SAmato
Text Box
12:19
SAmato
Text Box
24
SAmato
Text Box
38"
SAmato
Text Box
39"
SAmato
Text Box
1
SAmato
Text Box
24.0
SAmato
Text Box
12:23
SAmato
Text Box
12:47
SAmato
Text Box
24
SAmato
Text Box
38"
SAmato
Text Box
39"
SAmato
Text Box
1
SAmato
Text Box
24.0
SAmato
Text Box
12:47
SAmato
Text Box
1:12
SAmato
Text Box
24
SAmato
Text Box
38"
SAmato
Text Box
39"
SAmato
Text Box
1
SAmato
Text Box
24.0
SAmato
Text Box
3-2
SAmato
Text Box
12:05
SAmato
Text Box
12:11
SAmato
Text Box
6
SAmato
Text Box
56"
SAmato
Text Box
58"
SAmato
Text Box
2
SAmato
Text Box
3.0
SAmato
Text Box
12:13
SAmato
Text Box
12:15
SAmato
Text Box
2
SAmato
Text Box
56"
SAmato
Text Box
57"
SAmato
Text Box
1
SAmato
Text Box
2.0
SAmato
Text Box
12:17
SAmato
Text Box
12:19
SAmato
Text Box
2
SAmato
Text Box
56"
SAmato
Text Box
57"
SAmato
Text Box
1
SAmato
Text Box
2.0
SAmato
Text Box
12:22
SAmato
Text Box
12:24
SAmato
Text Box
2
SAmato
Text Box
56"
SAmato
Text Box
57"
SAmato
Text Box
1
SAmato
Text Box
2.0
SAmato
Text Box
SAmato
Text Box
SAmato
Text Box
1.0
SAmato
Text Box
Cosimo Reale/Michelle Grossman
creale
Text Box
48" w/ 2" gravel
creale
Text Box
66" w/ 2" gravel
Page 28: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

WESTCHESTER COUNTY DEPARTMENT OF HEALTH

Bureau of Environmental Quality 118 North Bedford Road Mount Kisco, NY 10549

DESIGN DATA SHEET – SEPARATE SEWAGE SYSTEM FILE NO.__________________

Owner_____________________________ Address________________________________________ Located at (Street)________________________________ Sec._______ Block_______ Lot________ (Indicate nearest cross street) Municipality_____________________________________ Watershed_________________________ SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH PPLICATION Presoak Date:_________________ Run Date:____________________ Hole # CLOCK TIME PERCOLATION

Depth to Water From Ground Surface

Hole Number

Run No. Start Stop

Elapse Time Min.

Start Inches

Stop Inches

Water Level Drop In Inches

Soil Rate Min/in Drop

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

Perc test done by:_______________________ 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 from top of hole. DO NOT REPORT INCREMENTS OF LESS THAN ONE

INCH.

SAmato
Text Box
NY Indoor Sports, Inc.
SAmato
Text Box
2226 Crompound Road
SAmato
Text Box
Btw. Bear Mtn. Parkway & Maple Row
SAmato
Text Box
34.06
SAmato
Text Box
1
SAmato
Text Box
20
SAmato
Text Box
Town of Cortlandt
SAmato
Text Box
Peekskill Hollow Brook Basin
SAmato
Text Box
12/7/16; Heavy Rain 12/6 & 12/7
SAmato
Text Box
12/8/16
SAmato
Text Box
P4-1
SAmato
Text Box
12:52
SAmato
Text Box
1:06
SAmato
Text Box
14
SAmato
Text Box
57"
SAmato
Text Box
57"
SAmato
Text Box
1
SAmato
Text Box
14.0
SAmato
Text Box
1:07
SAmato
Text Box
1:24
SAmato
Text Box
17
SAmato
Text Box
56"
SAmato
Text Box
57"
SAmato
Text Box
1
SAmato
Text Box
17.0
SAmato
Text Box
1:25
SAmato
Text Box
1:42
SAmato
Text Box
17
SAmato
Text Box
56"
SAmato
Text Box
57"
SAmato
Text Box
1
SAmato
Text Box
17.0
SAmato
Text Box
P4-2
SAmato
Text Box
12:33
SAmato
Text Box
1:33
SAmato
Text Box
60
SAmato
Text Box
57"
SAmato
Text Box
57"
SAmato
Text Box
0
SAmato
Text Box
N/A
SAmato
Text Box
2.0
SAmato
Text Box
DTS / WCDOH
creale
Text Box
46" w/ 2" gravel
creale
Text Box
67" w/ 2" gravel
Page 29: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

2

Required

100 50 200 200 200

50 50 100 200 150

10 10 10 10 10

50 50 100 100 150

75 50 150 200 150

50 25 100 100 100

50 50 100 100 100

100 100 200 200 200

4

5x 5

6x 5

7

8

9.

4

Page 30: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

5010

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10

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25 10 35 35 35

25 25 50 50 50

25 50 50 50

20 10 35 35 50

10 20 20 20

10 10 10 10 10

25 25 50 50 50

100 100 100 100 100

10

11

5

Page 31: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

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Page 32: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

Map Unit Legend

Westchester County, New York (NY119)

Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI

PnB Paxton fine sandy loam, 3 to 8percent slopes

6.1 51.1%

RdB Ridgebury loam, 3 to 8 percentslopes

2.4 20.4%

Ub Udorthents, smoothed 0.0 0.3%

Uf Urban land 0.1 0.5%

WdB Woodbridge loam, 3 to 8percent slopes

3.3 27.7%

Totals for Area of Interest 11.9 100.0%

Soil Map—Westchester County, New York

Natural ResourcesConservation Service

Web Soil SurveyNational Cooperative Soil Survey

8/16/2016Page 3 of 3

Page 33: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

Westchester County, New York

PnB—Paxton fine sandy loam, 3 to 8 percent slopes

Map Unit SettingNational map unit symbol: 2t2qpElevation: 0 to 1,570 feetMean annual precipitation: 36 to 71 inchesMean annual air temperature: 39 to 55 degrees FFrost-free period: 140 to 240 daysFarmland classification: All areas are prime farmland

Map Unit CompositionPaxton and similar soils: 80 percentMinor components: 20 percentEstimates are based on observations, descriptions, and transects of the

mapunit.

Description of Paxton

SettingLandform: Drumlins, ground moraines, hillsLandform position (two-dimensional): Backslope, summit, shoulderLandform position (three-dimensional): Side slope, crest, nose slopeDown-slope shape: Linear, convexAcross-slope shape: ConvexParent material: Coarse-loamy lodgment till derived from gneiss,

granite, and/or schist

Typical profileAp - 0 to 8 inches: fine sandy loamBw1 - 8 to 15 inches: fine sandy loamBw2 - 15 to 26 inches: fine sandy loamCd - 26 to 65 inches: gravelly fine sandy loam

Properties and qualitiesSlope: 3 to 8 percentDepth to restrictive feature: 18 to 39 inches to densic materialNatural drainage class: Well drainedRunoff class: MediumCapacity of the most limiting layer to transmit water (Ksat): Very low

to moderately low (0.00 to 0.14 in/hr)Depth to water table: About 18 to 37 inchesFrequency of flooding: NoneFrequency of ponding: NoneSalinity, maximum in profile: Nonsaline to very slightly saline (0.0 to

2.0 mmhos/cm)Available water storage in profile: Low (about 3.1 inches)

Interpretive groupsLand capability classification (irrigated): None specifiedLand capability classification (nonirrigated): 2s

Map Unit Description: Paxton fine sandy loam, 3 to 8 percent slopes---Westchester County, NewYork

Natural ResourcesConservation Service

Web Soil SurveyNational Cooperative Soil Survey

8/16/2016Page 1 of 2

Page 34: CORTLANDT PITCH - EAF PART 3 · The proposed Cortlandt Pitch Project is located in the Town of Cortlandt, NY and owned by New York Indoor Sports, Inc. The property is located along

Hydrologic Soil Group: C

Minor Components

WoodbridgePercent of map unit: 9 percentLandform: Drumlins, ground moraines, hillsLandform position (two-dimensional): Backslope, footslope, summitLandform position (three-dimensional): Side slopeDown-slope shape: ConcaveAcross-slope shape: Linear

RidgeburyPercent of map unit: 6 percentLandform: Depressions, ground moraines, drainageways, hillsLandform position (two-dimensional): Toeslope, backslope,

footslopeLandform position (three-dimensional): Base slope, head slope, dipDown-slope shape: ConcaveAcross-slope shape: Concave

CharltonPercent of map unit: 5 percentLandform: HillsDown-slope shape: LinearAcross-slope shape: Linear

Data Source Information

Soil Survey Area: Westchester County, New YorkSurvey Area Data: Version 11, Sep 25, 2015

Map Unit Description: Paxton fine sandy loam, 3 to 8 percent slopes---Westchester County, NewYork

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Westchester County, New York

RdB—Ridgebury loam, 3 to 8 percent slopes

Map Unit SettingNational map unit symbol: bd9cElevation: 50 to 1,000 feetMean annual precipitation: 46 to 50 inchesMean annual air temperature: 46 to 52 degrees FFrost-free period: 115 to 215 daysFarmland classification: Farmland of statewide importance

Map Unit CompositionRidgebury, somewhat poorly drained, and similar soils: 50 percentRidgebury, poorly drained, and similar soils: 35 percentMinor components: 15 percentEstimates are based on observations, descriptions, and transects of the

mapunit.

Description of Ridgebury, Somewhat Poorly Drained

SettingLandform: Hills, till plains, drumlinoid ridgesLandform position (two-dimensional): Footslope, summitLandform position (three-dimensional): Base slopeDown-slope shape: ConcaveAcross-slope shape: LinearParent material: Loamy till derived mainly from granite, gneiss, and

schist

Typical profileH1 - 0 to 8 inches: loamH2 - 8 to 26 inches: gravelly fine sandy loamH3 - 26 to 60 inches: gravelly loam

Properties and qualitiesSlope: 3 to 8 percentDepth to restrictive feature: 14 to 30 inches to densic materialNatural drainage class: Somewhat poorly drainedCapacity of the most limiting layer to transmit water (Ksat):

Moderately low to moderately high (0.06 to 0.20 in/hr)Depth to water table: About 6 to 18 inchesFrequency of flooding: NoneFrequency of ponding: NoneAvailable water storage in profile: Low (about 3.4 inches)

Interpretive groupsLand capability classification (irrigated): None specifiedLand capability classification (nonirrigated): 3wHydrologic Soil Group: B/D

Map Unit Description: Ridgebury loam, 3 to 8 percent slopes---Westchester County, New York

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Description of Ridgebury, Poorly Drained

SettingLandform: Hills, till plains, drumlinoid ridgesLandform position (two-dimensional): Footslope, summitLandform position (three-dimensional): Base slopeDown-slope shape: ConcaveAcross-slope shape: LinearParent material: Loamy till derived mainly from granite, gneiss, and

schist

Typical profileH1 - 0 to 8 inches: loamH2 - 8 to 26 inches: gravelly fine sandy loamH3 - 26 to 60 inches: gravelly loam

Properties and qualitiesSlope: 3 to 8 percentDepth to restrictive feature: 14 to 30 inches to densic materialNatural drainage class: Poorly drainedCapacity of the most limiting layer to transmit water (Ksat):

Moderately low to moderately high (0.06 to 0.20 in/hr)Depth to water table: About 0 to 12 inchesFrequency of flooding: NoneFrequency of ponding: NoneAvailable water storage in profile: Low (about 3.4 inches)

Interpretive groupsLand capability classification (irrigated): None specifiedLand capability classification (nonirrigated): 3wHydrologic Soil Group: B/D

Minor Components

SunPercent of map unit: 5 percentLandform: Depressions

LeicesterPercent of map unit: 3 percent

WoodbridgePercent of map unit: 3 percent

PaxtonPercent of map unit: 2 percent

Ridgebury, very stonyPercent of map unit: 2 percent

Data Source Information

Soil Survey Area: Westchester County, New YorkSurvey Area Data: Version 11, Sep 25, 2015

Map Unit Description: Ridgebury loam, 3 to 8 percent slopes---Westchester County, New York

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Westchester County, New York

WdB—Woodbridge loam, 3 to 8 percent slopes

Map Unit SettingNational map unit symbol: 2w688Elevation: 0 to 1,280 feetMean annual precipitation: 36 to 71 inchesMean annual air temperature: 39 to 55 degrees FFrost-free period: 145 to 240 daysFarmland classification: All areas are prime farmland

Map Unit CompositionWoodbridge, loam, and similar soils: 85 percentMinor components: 15 percentEstimates are based on observations, descriptions, and transects of the

mapunit.

Description of Woodbridge, Loam

SettingLandform: Drumlins, ground moraines, hillsLandform position (two-dimensional): Summit, backslope, footslopeLandform position (three-dimensional): Side slope, crestDown-slope shape: ConvexAcross-slope shape: LinearParent material: Coarse-loamy lodgment till derived from gneiss,

granite, and/or schist

Typical profileAp - 0 to 6 inches: loamBw1 - 6 to 18 inches: gravelly loamBw2 - 18 to 29 inches: gravelly loamCd - 29 to 65 inches: gravelly loam

Properties and qualitiesSlope: 3 to 8 percentDepth to restrictive feature: 20 to 39 inches to densic materialNatural drainage class: Moderately well drainedRunoff class: Very highCapacity of the most limiting layer to transmit water (Ksat): Very low

to moderately low (0.00 to 0.14 in/hr)Depth to water table: About 18 to 30 inchesFrequency of flooding: NoneFrequency of ponding: NoneSalinity, maximum in profile: Nonsaline to very slightly saline (0.0 to

2.0 mmhos/cm)Available water storage in profile: Low (about 4.7 inches)

Interpretive groupsLand capability classification (irrigated): None specifiedLand capability classification (nonirrigated): 2w

Map Unit Description: Woodbridge loam, 3 to 8 percent slopes---Westchester County, New York

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USE OF INFORMATION All information contained in this application will, upon request, be made available to the public forinspection and copying. A separate sheet entitled "Confidential Answers" must be used to set out informationwhich is considered by the applicant to constitute trade secrets. The information must clearly indicate theitem number to which it applies. Confidential treatment can be considered only for that information for whicha specific written request of confidentiality has been made on the attached sheet. However, in no event willidentification of the contents, volume and frequency of a discharge be recognized as confidential orprivileged information, except in certain cases involving the national security.

POPULATION SERVED For residential subdivisions, apartment or condominium developments or mobile home parks, give totalnumber of lots or dwelling units. For retail or commercial establishments, give total number of employeesand/or customers per day. For summer camps, resorts, etc., give total number of residents.

DISCHARGE DATA For discharges to surface waters, each separate outfall pipe shall be assigned an outfall number. Surfacewater discharges are outfalls to streams, lakes, ponds, ditches, oceans, etc. Subsurface disposal systemsare discharges to groundwater from such facilities as seepage pits, seepage lagoons, tile fields, etc. Designflow is the average gallons per day of wastes that the disposal system is designed to handle. Examples oftypes of wastes are: sanitary (e.g. toilet, lavatory, showers, etc.), cooling, kitchen wastes (restaurants),laundry wastes (laundromats), filter backwash, etc. Examples of type of treatment are: septic tank-tile fields(or seepage pits), activated sludge, biodiscs, sand filtration, etc. Name of water should be given fordischarges to surface water if water body has a name, or designated as a tributary or subtributary of thenearest downstream named body of water. Class (official classification) and waters index number arepublished in the Official Compilation of Codes, Rules and Regulations of the State of New York, Title6-Conservation, Volumes B. C, D, E, F. The name of and distance to the nearest surface water shall begiven for subsurface disposal systems as well as the soil type (sand, gravel, etc.) and depth to the watertable below the ground surface. If this application is for a facility or subdivision which will have a number ofsimilar disposal systems to handle the same type of wastes (for example, a 40 lot residential subdivisionwhich will have an individual septic tank and leach field system on each lot), then the Discharge Data portionof this application should be completed using the following example as a guide.

SAMPLE:

DISCHARGE DATA (Use additional forms, if necessary) See Instructions

OUTFALL NO.1 - 40

X Proposed Replacement

Existing Expansion

TYPE OF WASTE Sanitary

TYPE OF TREATMENTseptic tank & leach field

DESIGN FLOW

600 Gal/Day

SURFACE DISCHARGE If YES, Name of Receiving Waters Classification Waters Index Number

SUBSURFACE DISCHARGE If YES, Name of Nearest Surface Water Distance SOIL TYPE Depth of Water Table

X Yes No Brown Brook 500 ft. Sandy Loam 10 feet

SIGNATURE ON APPLICATION An application submitted by a corporation must be signed by a principal executive officer of at least thelevel of vice president or his duly authorized representative, if such representative is responsible for theoverall operation of the facility from which the discharge(s) described in the form originate. In the case ofa partnership or sole proprietorship, the application must be signed by a general partner or the proprietor,respectively. In the case of a municipal, state, federal or other public facility, the application must be signedby either a principal executive officer, ranking elected official or other duly authorized employee.

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Hydrologic Soil Group: C/D

Minor Components

PaxtonPercent of map unit: 7 percentLandform: Drumlins, ground moraines, hillsLandform position (two-dimensional): Shoulder, summit, backslopeLandform position (three-dimensional): Crest, side slopeDown-slope shape: Linear, convexAcross-slope shape: Convex

RidgeburyPercent of map unit: 7 percentLandform: Depressions, drumlins, ground moraines, drainageways,

hillsLandform position (two-dimensional): Toeslope, footslopeLandform position (three-dimensional): Base slope, head slopeDown-slope shape: ConcaveAcross-slope shape: Concave

SuttonPercent of map unit: 1 percentLandform: Ground moraines, hillsLandform position (two-dimensional): FootslopeLandform position (three-dimensional): Base slopeDown-slope shape: ConcaveAcross-slope shape: Linear

Data Source Information

Soil Survey Area: Westchester County, New YorkSurvey Area Data: Version 11, Sep 25, 2015

Map Unit Description: Woodbridge loam, 3 to 8 percent slopes---Westchester County, New York

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91-19-1 (2/85)NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION

APPLICATION FORM “D”for a State Pollutant Discharge Elimination System (SPDES) Permit

(A SPDES Application When Signed by a Permit Issuing Official Becomes a SPDES Permit) PLEASE PRINT OR TYPE

APPLICATION TYPE

New Re-Issuance Modification

IF RE-ISSUANCE OR MODIFICATION, GIVE PREVIOUS NUMBER

NY ---

OWNER’S NAME (Corporate, Partnership, Individual) TYPE OF OWNERSHIP

Corporate Individual Partnership Public

OWNER’S MAILING ADDRESS (Street, City, State, Zip Code)

REFER ALL CORRESPONDENCE TO: (Name, Title and Address) TELEPHONE NUMBER

( )

FACILITY NAME FACILITY LOCATION (Street or Road) CITY, TOWN OR VILLAGE

COUNTY GIVE EXPLICIT DIRECTIONS TO LOCATION

NATURE OF BUSINESS OR FACILITY POPULATION SERVED (See Instructions)

FREQUENCY OF DISCHARGE

All Year? Yes No If No, Specify Number of Months All Week? Yes No If No, Specify Number of Days

DOES YOUR DISCHARGE CONTAIN OR IS IT POSSIBLE FOR YOUR DISCHARGE TO CONTAIN ONE OR MORE OF THE FOLLOWING SUBSTANCES ADDED ASA RESULT OR YOUR OPERATIONS, ACTIVITIES OR PROCESSES?

Please Check Aluminum Ammonia Beryllium Cadmium Chlorine Chromium Copper Cyanide

Grease Lead Mercury Nickel Oil Phenols Selenium Zinc None of These

DISCHARGE DATA (Use additional forms, if necessary) (See Instructions)

OUTFALL NO. Proposed Replacement

Existing Expansion

TYPE OF WASTE TYPE OF TREATMENT DESIGN FLOW Gal/Day

SURFACE DISCHARGE If YES, Name of Receiving Waters Classification Waters Index Number

Yes No

SUBSURFACE DISCHARGE If YES, Name of nearest surface waters Distance SOIL TYPE Depth to Water Table

Yes No Ft.

OUTFALL NO. Proposed Replacement

Existing Expansion

TYPE OF WASTE TYPE OF TREATMENT DESIGN FLOW Gal/Day

SURFACE DISCHARGE If YES, Name of Receiving Waters Classification Waters Index Number

Yes No

SUBSURFACE DISCHARGE If YES, Name of nearest surface waters Distance SOIL TYPE Depth to Water Table

Yes No Ft.

OUTFALL NO. Proposed Replacement

Existing Expansion

TYPE OF WASTE TYPE OF TREATMENT DESIGN FLOW Gal/Day

SURFACE DISCHARGE If YES, Name of Receiving Waters Classification Waters Index Number

Yes No

SUBSURFACE DISCHARGE If YES, Name of nearest surface waters Distance SOIL TYPE Depth to Water Table

Yes No Ft.

I hereby affirm under penalty of perjury that the information provided on this form and any attached supplemental forms is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to section 210.45 of the Penal Law.

APPLICANTS SIGNATURE (see Instructions) DATE PRINTED NAME TITLE

PERMIT VALIDATION SECTION(Department of Environmental Conservation Use Only)

This SPDES permit is issued in compliance with Title 8 of Article 17 of the EnvironmentalConservation Law of New York State and in compliance with the provisions of the Federal WaterPollution Control Act, as amended by the Federal Water Pollution Control Act Amendments of 1972,P.L. 92-500, October 18, 1972 (33 U.S.C. §1251 et. seq.) (hereinafter referred to as “the Act”),and subject to the attached conditions.

Signature of Permit Issuing Agent Date

APPLICATION NUMBER

NY --EFFECTIVE DATE EXPIRATION DATE

ATTACHMENTS:

CARD

1

TypeEst.66

TypeOwn68

SIC CODE

70

# OutFalls74

Dis. Class76

CARD

3

Region

71

County

72

Major Basin74

Sub Basin76

CompactArea78

CARD

6

Latitude

53

Longitude

59

CARD

7

Lim Ind

57

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