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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 24. -1 -16 BOX 8 6-7 V V-A I Ll FL , �r I... , T ar 00739 BRUCE R. FOLEY Public Health Director DEPARTMENT OF 1 Geneva Road Brewster, New York HEALTH 1050.9 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient. Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Harry W. Nichols, P.E. Patterson Park Suite 106 2050 Route 22 Brewster NY 10509 Re: Proposed SSTS: Zambrano Country Hill Road, Lot #8 (T) Patterson, TM# 24 -1 -16 Dear Mr. Nichols: October 17, 2000 Review of plans and other supporting documents submitted at this time relative to the above - regarded project'has been completed. Comments are offered as follows: The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. If percolation tests were not witnessed by a representative of the New York City Department Environmental Protection on this lot, percolation tests must be witnessed by a representative of this Department. 1) System must be staked by licensed surveyor prior to construction. This must be noted on the fill and trench plan. 2) Volume of R.O.B., common and clay fill is to be noted on fill plan. 3) Dimension from the well to two property lines must be noted. 4) Location of the service connection to the house must be shown. 5) NYCEP notes mottling of 26 inches. Therefore, a curtain drain must be proposed and the curtain drain must be monitored through the seasonal high groundwater period (March 15 - June 30). 6) Title block notes the wrong street name. 7) Minimum distance from the toe of the fill to the stream is 100 feet. Upon receipt of a submission, revised to reflect the above comments, this application will be, considered further. RM:tn Ve truly yours, Robert Morris, P.E. Senior Public Health Er R Irl ^. b BRUCE R. FOLEY Public Health Director t DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 . Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 = 6648 August 2, 2000 Harry W. Nichols, P.E. Patterson Park Suite 106 2050 Route 22 Brewster NY 10509 Re: Proposed SSTS: Zambrano Country Hill Road, Lot #8 (T) Patterson, TM# 24 -1 -16 _ Dear Mr. Nichols: Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: . The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. If percolation tests were not witnessed by a representative of the New York City Department Environmental Protection on this lot, percolation tests must be witnessed by a representative of this Department. 1) Note #1 is not sufficie .Current codes requires that all existing and proposed wells and SSTS within 2 feet of the property lines must be shown. Soil data is greater than 10 years old, therefore, soil testing must be witnessed by a representative of this Department. Plan for "Preliminary design for fill section only", have not been submitted. Fill profile has not been shown on fill only plan. End of the SSTS is proposed on a slope greater than 15 %. North arrow has not been provided. The north arrow shown on the location plan is r- i Letter to: Harry W. Nichols, P.E. - August 2, 2000 -2- 8) Plin indicates fill is proposed at a depth of 5 feet. Current codes does not allow fill greater than 3.5 feet in depth. 112) Number of bedrooms is to be labeled on house. Fill is to extend 10 feet horizontally past the edge of all trenches. The upper part of the SSTS is not shown in a minimum of 3 feet of fill. Standard notes 1 -15 have not been provided on fill plan. X`olumeof_R.O:.B ; conmon:and clay fill s;to be.noted�on fill _p l an 14) Fill certification note has been provided on trench plan. 5) All separation distances for a fill section greater than 2 feet is taken from the toe of the fill section. Therefore, the minimum distance from the toe. of fill to the detention basin is 50 feet. 6) Trench detail has not been provided. 7) Minimum distance from the toe of the fill section to the property line is 10 feet. 18) Minimum distance from the toe of the fill section to the well is 1.00 feet. 1 '9)-- Dimension ffom the:well to two property lines must be noted 20) Location of the service_connection to the,house must be shown', , 21)'"NYCEP notes_mott�ng of 26 inches There %re, a;curtam dram must beproposed and (March 1S June 30) Title bloc. k n notes the wron _ street name 9 4 23)Mntnium distance °from the toe of the fill to the stream is :10.0 Upon receipt of a submission, revised to reflect the above comments, this 'application will be considered further. Ve ly yours Robert Morris, P.E... RM:tn Senior Public Health Engineer 01 -- m %e C' OI �VeW�r1C, October 23, 2000 Mr. Harry W. Nichols, JR., PE Department of Patterson Park, Suite 106 Environmental Protection 2050 Route 22 465 Columbus Avenue Brewster, New York 10509 Valhalla, New York 10595 -1336 Sent Via Facsimile Re: Country Hill Estates Lot 8 Joel A. Miele Sr., P.E. (A.k.a. Charles Zambrano) Commissioner Individual Residential Stormwater Permit Project Log No. 6093 Town of Patterson, Putnam County East Branch Reservoir Basin Bureau of Water Supply Dear Mr. Nichols: Michael A. Principe, Ph.D. Acting Deputy Commissioner The following are comments regarding the submission of Tel (914) 773 -4438 the following materials: Fax (914) 741 -0431 o Application for Review and Approval of Individual Residential Stormwater Permits. • Trench Plan Preliminary Design for Fill Placement Only,, Drawing No. SS -1, dated May 22, 2000, last revised October 10, 2000. • Fill Plan Preliminary Design for Fill Placement Only, Drawing No. SF -1, dated May 22, 2000, last revised October 10, 2000. • Full Environmental Assessment Form, revised October 10, 2000. • Calculation sheets 1 -4, revised October 10, 2000. Please address the following comments regarding the above - mentioned project. 1. It is unclear from the plans if you still plan on shifting the location of the gravel driveway from the current location. Please specify on the plan. 2. Because this project is considered a Type II action within SEQRA a Full Environmental Assessment Form would not be required in this instance. 3. As required for an IRSP application, provide the maintenance schedule for the stormwater management 'facilities and a description of the ma* 'ieriance activities' to rn+w...... ..ny.us� . be performed. (718) DEP -HELP Mr. Harry W. Nichols, Jr., PE Page 2 of 2 Re: Country Hill Estates Lot 8 October 23, 2000 4. As was explained in previous meetings, deep test holes and percolation tests, witnessed by a representative of the Department, shall be performed for any proposed infiltration practices. In accordance with the New York State Department of Environmental Conservation ( NYSDEC) General Permit a vertical separation distance of 4 feet must be maintained between the bottom of the proposed infiltration practice and the rock ledge or groundwater table. Reviewing the deep test information for hole 1, from the subsurface sewage treatment system (SSTS) area, there is groundwater at 26 inches below ground surface. The NYSDEC General Permit specifies that an infiltration practice must have a minimum 100 feet horizontal separation between the SSTS absorption field and the practice. Similarly, a 100 -foot horizontal separation shall be maintained between the water supply well and the infiltration practice. Due to site constraints an infiltration practice may not be practical for this particular site. Please investigate other possible treatment practices; such as a low -grade grass swale with a rock check dam and a rip -rap outlet. 5. Your letter states that the proposed stormwater management facilities will consist of a filter strip, between the driveway and the southerly property line. The filter strip must be clearly depicted on the plan. This area shall be deed restricted such that no disturbance will be allowed in this area. 6. The pollutant loading calculations provided for the IRSP are incorrect; however, they are not required for this project. 7. Prior to resubmitting the IRSP please make sure all of the changes for the SSTS are reflected on the plans. If there are any questions regarding the above - mentioned, please contact the undersigned at (914) 742 -2068. Si cerely, annine M. McColgan Associate Project Manager Engineering Design Review Bxc: C. Zambrano, owner /applicant Richard_ Williams, Town Planner, Town of Patterson AA 8'R� %e; 0� W�rl�, Department of Environmental Protection 465 Columbus Avenue Valhalla, New York 10595 -1336 Joel A. Miele Sr., P.E. Commissioner September 27, 2000 Robert Morris, PE Putnam County Department of Health Division of Environmental Health 4 Geneva Road Brewster, New York 10509 Re: Country Hill Estates Lot No. 8 (Charles Zambrano) Tax Map 24.1.16 Patterson, Putnam County Log #6093 East Branch Croton Reservoir Basin Dear Mr. Moms: This letter is to inform you that the New York City Department of Environmental Protection (the Department) has reviewed the joint review individual subsurface sewage treatment system and offers the following comments. Bureau of Water Supply The Department has reviewed the following materials: Michael A. Principe, Ph.D. Trench Plan - Proposed SSTS Charles Zambrano, Drawing No. SS -1, Acting Deputy Commissioner prepared by Harry W. Nichols Jr., PE, dated May 22, 2000, last revised Tel (914) 742 -2001 September 6, 2000. Fax (914) 742 -2027 Fill Plan - Proposed SSTS Charles Zambrano, Drawing No. SF - 1, prepared by Harry W. Nichols Jr., PE, dated May 22, 2000, last revised September 1, 2000. The following items must be addressed prior to the next submission. L. a variance is required from Section 18- 38(a)(5) of the City of New York's Rules and Regulations for the Protection from Contamination, Degradation and Pollution of the New York City Water Supply and its Sources. No part of any absorption field for a new conventional individual subsurface sewage treatment system shall be located within the limiting distance of 100 feet of a watercourse. As is currently shown on the plans, the fill pad falls within the 100 foot setback from the watercourse. 2. As groundwater was only observed at 34 inches below ground surface, the engineer should look into the installation of a curtain drain, which will not have to be monitored prior to installation of the absorption field. The curtain drain may alleviate the need for 3.5 feet of fill material, which may cause less encroachment on the 100 foot buffer to the watercourse. If proposed; the curtain drain should be a minimum of 15 feet upgradient from the absorption field. There should be an appropriate discharge point with proper erosion and sediment control for the outlet. 3. The junction box detail on Drawing No. SS -1 shows the outlet to the laterals at the bottom of the box. This is not acceptable, the outlet .pipe for the laterals should be located a minimum of 2 inches off the bottom of the junction box. 4. When using junction boxes it is best that the laterals be of equal length for even distribution. It is difficult to obtain even distribution when the lengths V.LIFN IAt 7,,%11 _,i.nyr..r,,.- a,dec. vary in length from 12 feet to 50 feet. Mr. Robert Morris, PE. Re: Country Hill Estates Lot 8 (Charles Zambrano) Page 2 of 2 September 27, 2000 The applicant shall be reminded that an Individual Residential Stormwater Permit is required from the Department. The Department is awaiting the submission. If you have any questions, please contact the undersigned at (914) 742 -2068. Sincerely, J ne McColgan taff Engineer Engineering Design Review xc: James Covey, P.E., NYSDOH PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner 7,41ij 73127,4A/ e:;p Address 4; w7ZX Located at (Street) 2-f-, % G Tax Map 9 Block Lot 6 (indicate nearest cross street) Municipality p Watershed 9A5 7— FR SOIL PERCOLATION TEST DATA Date of Pre-soaking 9. ae, ap Date of Percolation Test ....... ........... . . ........ .......... ..................... ................... .............. ............ .:: ........... . ... - ... ........ .......... ........... .. . .......... .......... ............... . .. ' h 0 .. Depth t . . ............. ....... . .. ... . ............. . ... . ..... .... ...... ...... - I. .. . ::- F om rou* n F Me " ...................... .. . ur aee: 6es Stop D r P In , Rate ..... . .......... ........ .... ............. ................ ... . ............. .................. .. ... n Y Start ...r ... .... . ...... .. ...e... .. ....... . 2 3 0 a-1 -Z 0 3 3-C-> 9-2- 9-3 4 5 2 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 I 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 AUG -16 -2000 11:46 AM HARRY W NICHOLS 914 279 4567 P.01 . C BRUCE R. F_ OLEY Public Healrk Director DEPARTMENT OF I Genova Road Brewster, New York HEALTH 10509 LORMA MOLINARI RN., M.S.N. kraclate Public Health Director Director of Patten$ Servlen REQUEST I'OR TE&TINQ . &T ATTENTION: o ADAM STIEBEI,ING At/GENE REED All information below must be lub completed prior to any scheduling. DATE: -1 7 d ENGINEER OR FIRM: REASON: DEEPS: o PERCSsY PUNIP TEST: 0 ROAD /STREET: If- /LO a, TOWN:. TAX M #: _ ,AI— I SUBDIVISION: LOTM NYCDEP -CRITERIA FOR JOINT REVIEJY_ AND jVIMSSiNG_ OF SQIL TF_, S„S1111is YES NO 0 Proposed SSTS within the drainage basin of Nest Branch or Boyds Corner Reservoirs. 0 Proposed SSTS within $00 feet of a reservoir, reservoir stem or control lake. Proposed SSTS within 200 feet of a watercourse or a DEC`wetland. o Proposed SSTS design flow greater than 1000 galloas/day or SPDRS Permit required. o Proposed SSTS for a Commerical Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This. - Department will determine the IVYCDEP project status (Joint or Delegated) based on the response. If you answered ya to any of the questions, NYCDEP must witness the soil testing. This Department will coordinate a mutually suitable time for field testing with the PCDOH, the Design Professional and NYCDEP. If a project has been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is required to witness the soil testing, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYCDEP. -- Pre — Sae- FOR COMY LSE ONLY Pewc5 0A1y DATE: ; 4) 25„22_ TIME- _ �� � tw (F>£LDTFST) I acknowledge receipt of this report:. 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FOLEY- Public Health Director LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director 'of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 Date: t9' / / 8 z on To: _�%/ -N NI N,E 14c COL 4AN Fax #: 7 7 67 j 6-5- From: Gene D. Reed Putnam County Department of Health /For your information For your review As discussed No. Pages (Including cover sheet) - Pleaserespond Attached as requested Please call Notes/Messages - i�� ?C; I'-�5 '77/.116' zlN In the event of transmission /reception difficulties, please contact this office at (914) 278 -6130 ext. 2261. n PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS REVIEW SHEET FOR CONSTRUCTION PERMIT NAME OF OWNER: STREET LOCATION: REVIEWED BY op- . AS SRDATE: �' TAX MAP (CONFIRMED) Y, DOCUMENTS Y /N- (REQUIRED DETAILS ON PLANS CONT'D) (__�_) PERMIT APPLICATION (__)OUSE SEWER - %/' FT. 4"0'; TYPE PIPE CAST IRON (G WELL PERMIT OR PWS LETTER (� /(__)NO BENDS; ALAX BENDS 450 W /CLEANOUT (__) )PC -97 ULETTER OF AUTHORIZATION (_)(_)DESIGN DATA SHEET (DDS) C--)I--)CORPORATE RESOLUTION (--)SHORT EAF (--)(__)PLANS -THREE SETS UUHOUSE PLANS - TWO SETS vUVARIANCE REQUEST z SUBDIVISION ( ]� )LEGAL SUBDIVISION ®( )SUBDIVISION APPROVAL CHECKED )PERC RATE 91 (�UFILL REQUIRED 7? DEPTH V( )CURTAIN DRAIN REQUIRED --- GENERAL ( /)( .—)LOCATED IN NYC WATERSHED 'IS SUBMITTED TO DEP EGATED TO PCHD APPROVAL, IF REQ'D P TEST HOLES OBSERVED CS TO BE— W4TATSSED G t ,' (SEX -APPR AL SSD DJ, LOTS (U WETLANDS OWN/DEC PERMIT REQ'D ?) (DATA ON DDS PLANS & PERMIT SAME IPRE 1969 NEIGHBOR NOTIFICATION TTE�I/ZBA1 100 YR. FLOOD ,LEVATION W/I200' SO G LOTS >10 YEARS OLD REOUIRED DETAILS ON PLANS (,5 SEWAGE SYSTEM PLAN - (NORTH ARROW) SSDS HYDRAULIC PROFILE (_ ),(/- )GRAVTTYFLOW CONSTRUCTION NOTES 1 -15 (, 1C. DESIGN DATA: PERC & DEEP RESULTS CONTOURS EXISTING & PROPOSED AY & SLOPES, CUT 3 /GUTTER/CURTAIN DRAINS SOIL TYPE BOUNDARIES ITTTLE BLOCK; OWNERS NAME ADDRESS TM#, PE/RA; NAME, ADDRESS, PHONE# (DATE OF DRAWING/REVISION IDATUM REFERENCE (LOCATION OF WATERCOURSES, PONDS LAKES,WETLANDS WITHIN 200' OF P.L. - FINISH FLOOR AND BASEMENT ELEVATIONS WELLS & SSDS'S WAIN 200' OF SSTS METES & BOUNDS COMMENTS: RENEWALS (� ITE NOTE (NO CHANGE) FILL SYSTEMS 10' HORIZONTAL; PAST TRENCH SLOPES 3:1 TO GRADE (� FILL SPECS / FILL NOTES 1 -5 U FILL PROFILE & DIMENSIONS UUFILL IN EXPANSION AREA FILL GREATER TH4N2 FEET Y BARRIER CERTIFICATION NOTE CH GAUGES ON PLAN FOR RO.B., UNCLASSIFIED & IMPERVIOUS ARATION DISTANCE FROM TOE OF SLOPE TRENCH F TRENCH PROVIDED 60FT MAX. ARALLEL TO CONTOURS 00% EXPANSION PROVIDED FREE CRUSHED STONE OR WASHED GRAVEL OTEXTILE COVER SEPARATION DISTANCES ON PLAN - FROM SSTS �10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL 20' TO FOUNDATION WALLS 100' TO WELL, 200' IN DLOD,150' TO PITS 100' TO STREAM, WATERCOURSE, LAKE (inc. eapan) 44,ZAt TA P• ATI' T A - I e I 1 iii ---- R11 Trr (.')(J50' INTERMITTENT DRAINAGE COURSE ( _J,(200'/500' RESERVOIR, ETC. _ 150' GALLEY SYSTEMS (_J(_)10' MIN TO LEDGE OUTCROP SEPTIC TANK r (_)10' FROM FOUNDATION; 50' TO WELL WELL (��DIMENSIONS TO PROPERTY LIKES (,�(�LOCATION OF SERVICE CONNECTION (�-l1IN 15' TO PROPER S O SLOPE IN SSTS (_)! (_)REGRADED TO 15 %, ff REQUIRED /I DOSE/PUMP SYSTEMS NOTES 75% OF PIPE VOLUME/DOSE VOLUME NOTED .L FOR FORCE MAIN, (PIPE TYPE, ETC.) ID D -BOX SHOWN & DETAILED STORAGE ABOVE ALARM CURTAIN DRAIN (__)USTANDPIPES, 5' BOTH SIDES, DETAIL UU15' MIN to CDS = >5 %, 20'4 %, 25' -3 %, 35' -1 %,100 % -<1% (__)U20' MIN to CD DISCHARGE /100' with 182 cons day discharge U(_J10' MIN to NON - PERFORATED PIPE 4: Harry W. Nichols Jr., P.E. Patterson Park, Suite 106 — 2050 Route 22 Brewster, NY 10509 Telephone (845) 2794003 Fax (845) 2794567 October 30, 2000 Putnam County Health Department 1 Geneva Road Brewster, NY 10509 ATT: Robert Morris, P.E. RE: Proposed SSTS - Zambrano Country Hill Road, Lot #8 - Patterson; N.Y. - -- T.M. #24 -1 -16. Dear Mr. Morris: In response to the recent review comments received, 'we note the following: A. Putnam County Health Department Letter dated October 17, 2000 .1. Note added to plans requiring surveyor to stake system pri6f to construction. 2. Fill volumes added to plan. 3. Dimensions from well to two property lines added. 4. Water service connection added to plan. _ . 5. P-er- Qur.prior discussion, the SSTS was moved out of the area of Test Pit.. #1, which showed mottling at 26 ". Three (3) feet of fill, with no curtain drain, is shown on the Plan. 6. Street - name - corrected: - 7. We have added the required toe of fill for the SSTS. The clay barrier will be installed at this location which is 100' minimum from the stream. B. NYCDEP Letter dated September 27, 2000 1. The toe of 'slope for the fill pad falls outside of the 100' setback from the existing watercourse and has been so noted on the Plan. 2. We have elected to stay with three (3) feet of fill within the SSTS. 3. Junction box detail revised. 4. With the drop box system, the upper trench will be filled prior to flow progressing to the next box down/gradient. Reflecting the above, we are enclosing five (5) prints of the following Drawings: • SF -1, "Fill Plan," revised 10- 27 -00. • SS -1, "Trench Plan," revised 10- 27 -00. -1- 00- 102.00 Kindly continue with your review of this application. Thank you. Very truly yours, Harry W. Nichols Jr., P.E. HIAN:his 00-102.00 -2- 00-102.00 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of C Lcvr 1 cJ Za, �.el nc� Located at T/� Ae f +,,rsdh Tax Map # Block 1 Lot / Subdivision of Cove, Subdivision Lot # c9 Filed Map #( Date Filed Gentlemen: This letter is to authorize Harv%;% , to • V,11 T , ?, c_' a duly licensed Professional Engineer" 1/ or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers* on my behalf in connection with this matter and to supervise the construction of said wastewater tretment and/or water supply systems in conformity with the provision — f Article 145 and /or 147 of the Education Law,. the Public Health Law, and the Putnam hi" .Code. Very to Signed: Mailing Address 3110,.,, l P >,S Mailing Address: X7 e��c !� �v �� State Zip 10 S-o Telephone: )L 7Q 4,60 3 State Zip !o S`3t Telephone: Z7 7 - 3 e,-. 4 9 Form LA -97 LU Countersigned:, P.E. R.A. # / `� Pda 612• f� Very to Signed: Mailing Address 3110,.,, l P >,S Mailing Address: X7 e��c !� �v �� State Zip 10 S-o Telephone: )L 7Q 4,60 3 State Zip !o S`3t Telephone: Z7 7 - 3 e,-. 4 9 Form LA -97 i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # -r `/ / 9 — v Il J Well Location: Street Ad Town/ Tax Grid # tress: Cvvh �( v��� P� c/h /(! Map 14 Block % Lot(s) Ae Well Owner: N e)j• Address: o� Use of Well: esidential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served Est. of Daily Usage t a.UO gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling t/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 Is well located in a realty subdivision? ...................................... ............................... Yes 4/ No Name of subdivision gd it /=-- t�► id`s Lot No. 8 Water Well Contractor: 7' R D Address: Is Public Water Supply available to site? .................................. ............................... Yes No r/ Name of Public Water Supply: /iJ -4— Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date:_ Applicant Signature: (�-,� .Ov- . 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. revision or alteration of the approved plan requires a new permit. Well to be constructed by a water ell filler certified by Putnam County. ILI, Date of Issue f - (3 4 J Permit Issuing 0ft19M Date of Expiration 6 12=/ ( � 1,12— Title: Permit is Non - Transferr White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 Harry W. Nichols Jr., P.E. Patterson Park, Suite 106 2050 Route 22 Brewster, NY 10509 Telephone (845) 279 -4003 Fax (845) 2794567 September 1, 2000 Robert Morris, P.E. Putnam County Health Department 1 Geneva Road Brewster, NY 10509 RE: Individual SSTS - Lot #8 Country Hill Estates Subdivision Country Hill Road Patterson, N.Y. T.M. #24.4-16 Dear Robert: Enclosed are the following: 1. Five (5) prints of Drawing FP -1, "Fill Plan," revised 9 -1 -00. 2. Two (2) prints of Drawing SP -1, "Proposed SSTS," revised 9 -1 -00. 3. "Construction Permit for Sewage Disposal System," revised 9 -1 -00. 4. "Design Data Sheet," revised 9 -1 -00. We have shifted the proposed SSTS to the west, out of area of PT -2 and TP -1. An additional percolation test in the expansion area was witnessed by the PCHD on 8- 29 -00, a copy of the results are enclosed. Kindly process this application for a fill permit at your earliest convenience. Very truly yours, t . Harry W. Ni - Cols ., P.E. HWN:his 00- 102.00 i COUNTRY HILL ESTATES DRC REALTY CORP. TEST PIT DATA 11EQUIM -D TO LSE *SUYti?"TTED l•:ITff APPL•ICATIO11 llESC111r]'IOII OT' SOJL:; ,,?I;�GiJ1 ?1'r�fiF,D 111 I.EW 110LE1.3 . 1 DEPT11 1101E 140:. 8A 1I0LE 110. 8B 110LE 140. 9A G.L. sand 61'' 1211 1811 2411 ,On J j611 4211 4 811 5411 GO" 6611 211 f� GW @ 4.5' GW @ -30" clayey loam RM �� s.la 6411 Rock @ 7 Rock ® 7' Rnrk R 7' INMATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE .LEVEL TO WIIICII WA'T'ER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MWE_..BY _.. __ .. Date - - Soil hate Used hltn/1'IDrop: S. D. Usable Area Provided NO oT Pndrooms Septic Tatik Capacity Gals. 'Type Absorption Areav%ec By �' ' L.F.x241_ 5' vidth Ereticli. Other Tlame Ugiiattu,e Address SEAL THIS SPACE FOR USE 13Y. 11=11 DEPAITMEHT ONLY: Soil Rate Approved Sq. Ft /Cal. Checked by 41 Date -Submitted By: Baldwin & Cornelius-, P.C. RD 6 - Route 22 Brewster, New York 10509 (914) 279 7115 .Q" .11, BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 R LORETTA 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 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 Harry W. Nichols, P.E. 311 Clocktower Commons Brewster NY 10509 RE: Zambrano Country Hill Road, Lot #8 (T) Patterson, TM# 24 -1 -16 Reservoir Basin Dear Mr. Nichols June 27, 2000 The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on June 12, 2000 is complete. The Department will notify you by July 16, 2000 of its determination. ❑ The Project has been delegated to the Putnam County Health. Department for review pursuant to the guidelines set forth in the Watershed Agreement. ® Joint review with the NYCDEP will commence pursuant to the guidelines set forth in the Watershed Agreement. If the Department fails to notify you within the above referenced time frame, you may notify the Department of its failure by certified mail, return receipt requested. The notice should be sent to my attention at the above address. This notice must include your name, the location of the project, the office with which you filed'the application originally, and a statement that a decision is sought.in accordance with section 18 -23 (d) (6) of the NYC Dept. of Environmental Protection Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed complete, subject to standard terms and conditions as set forth in the regulations. Please be advised that projects within the NYC Watershed may also require Dept. of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation Letter to: Harry W. Nichols, P.E. - June 27, 2000 -2- of impervious surfaces, and the project applicant should contact the.Department of Environmental Protection regarding such activities to see if Department of Environmental Protection review and approval is required. If you have any questions regarding this matter, please call me at (914) 278 -6130 ext. 2166. V ly yo Robert Morris, PE RM:tn Senior Public Health Engineer PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Ica" Address 2-7 Located at (Street) cc 0 &IV 141'11 &jj Tax Map �-¢. Block _� Lot (indicate neares cross street) Munici ali ty Ida�rrv� p MY _ _ Watershed aei SOIL PERCOLATION TEST DATA Date of Pre - soaking 7 7 Date of Percolation Test 5 1 2 3 4 5 NOTES: 1. Tests to he reneated st came denth until annroximately ennal nercolation 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 4 5 1 ` 2 �ia -=12 30 3 .2-'r3 - 3:23 30 �.L' - .24 /f 4 5 1 2 3 4 5 NOTES: 1. Tests to he reneated st came denth until annroximately ennal nercolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 DEPTH G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' . 7.0' 7.5' 8.0' 8.5' 9.0' 10.0' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. 5,;113 HOLE NO. ` 2 HOLE N0. .- 3 Ov. 01. �, t ►^ 6, l /Llo jr�� 30 3 l N J ti Indicate level at which groundwater is encountered 3-6 Indicate level at which mottling is observed :�P_�- Indicate level to which water level rises after being encountered Deep hole observations made by: 'J<r,:., )fur l Date 5 -2-97 �tMoha _ Lo sp., tiyGtl,�p Design Professional Name: Address: --� 11 C Signature: Design Professional's Seal J4'„� FJo.56i2 d FES 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: C L a,r / er 2.-1,,, kn'- � 4 2. Name of project 4. Design Professi 6. Drainage Basin: 7. Tvne of Proiect: ��G r X ` . S 3. Location T Q onal: 5. Address: //��/ i�or.►1 ed- Vk-p+r /Ukc4iS!a,^. Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 8. I,61his project subject to State Environmental Quality Review (SEAR)? Type Status (check one) ....................... ............................... Type I Exempt Type II Unlisted –� 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... /'o 10. Has DEIS been completed and found acceptable by Lead Agency? ............... A 11. Name of Lead Agency /A 12. Is this project in an area under the control of.local planning, zoning, or other ' officials, ordinances? ......................................................... ...............:...: ............. 13. If so, have plans been submitted to such authorities? ........ ............................... 14. Has preliminary approval been granted by such authorities ?.A /'a Date granted: 15. Type of Sewage Treatment System Discharge ................. surface water groundwater 16. If surface water discharge, what is the stream class designation? .................... _AIIA- 17. Waters index number (surface) ............................... A/ 18. Is project located near a public water supply system? ....... ............................... 19. If yes, name of water supply /Q/J'�- Distance to water supply -- 20. Is project site near a public sewage collection or treatment system? ................ ,.'Vo 21. Name of sewage system /(/ Distance to sewage system — 22. Date test holes observed S 12-1 517 23. Name of Health Inspector �hLh -G • al y GD ia p /fiG`rSu 24. Project design flow (gallons per day) ................................. ............................... bod 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... o 26. Has SPDES Application been submitted to local DEC office? .......:................. /—/+ Fo PC -97 2 27. Is any portion of this project located within a designated Town or State wetland? CJ 28. Wetlands ID Number ........................................................... ............................... 29. Is Wetlands Permit required? .............................................. ..................... ........... Has application been made to Town or Local DEC office? ............................... —All/ 30. Does project require a DEC Stream Disturbance Permit? .. ............................... X10 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 NO 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? Yes/No No DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ......................... 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ................................ ............................... 35. Are any sewage treatment areas in excess of 15% slope? . ............................... A-0 36. Tax Ma ID Number ....... Map ..................... ............................. Mapes_ Block I Lot 37. Approved plans are to be returned to ..... Applicant _ I 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 210.45 of the Penal L#w; SIGNATURES & OFFICIAL TITLES. J Mailing Address: ................................... fos ) 14.16.4 (9195) —Text 12 PROJECT I.D. NUMBER 617.20 SEAR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (O be completed by Applicant or Project sponsor) 1. APPLICANT /SPONSOR /� —;7 • �;I (}� •L.sy (d Q 2. PROJECT,gI� E � SS..T.S . t"' �h . 3. PROJECT LOCATION: f� ' �l/ Municipality . 104 `' VJ_VIN County 1 ," 4. PRECISE LOCATION (Street address and road (Intersections, prominent landmarks, etc., or provide map) !� h-t izi' ' Cp ✓h 1 CJ4�� ��Oa� 5. IS P!O�SED ACTION: IJNew ❑ Expansion ❑ Mod If lcatlonlalteratIon 6. DESCRIBE PROJECT BRIEFLY:. s �s; 7. AMOUNT OF LAND AFFECTED: / 1.� (� t Initially acres Ultimately acres 8. WILL POPOSED ACTION COMPLY WITH EXISTING ZONING OR -OTHER EXISTING LAND USE RESTRICTIONS? es ❑ No If No, describe briefly 9. WS PRESENT LAND USE IN VICINITY OF PROJECT? IYJ 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 AGEN Y (FEDERAL, STATE OR LOCAL)? y V" ` v`'y T u`l I1 N ► f 0 N If list agency(s) and tJves yes, permit/approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? 1:1 Y03 ( No If Y03, 113t agency name and permit/approval 12. AS A RESULT OF pFiOPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE C _ o Applicant/sponsor name: Date:. Signature: .24 , f� 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 II— ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? 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, potentlal 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 briefly C5. Growth, subsequent development, or related activities likely to be Induced by 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. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? ❑ Yes ❑ No E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATEb 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. If question D of Part II was checked yes, the determination and significance must evaluate the potential Impact of the proposed action on the environmental characteristics of the CEA. ❑ 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: Name of Lead Agency Print or Type Name of Responsible Officer in Lea Agency Title of Responsible Officer Signature of Responsi a icer in Lead Agency Signature of Preparer (if different from responsible officer) Dale PUTNAM CuUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUQBSURFACE SEWAGE TREATMENT SYSTEM j1j/1 ) - Owner Address •Z% ,�.��� /Qo Located at (Street) Tax Map .14,_ Block �_ Lot lC� (indicate neares )cross street) /� Municipality yr v - Watershed /Ja ,A-oar . SOIL PERCOLATION TEST DATA Date of Pre - soaking . Z�-Jf 9 7 Date of Percolation Test 5--I S-9 7 Hole No.. op.::::; X se.Time :.; :.:;�1VIin.) t.... th o W er De t a From Ground Surface (Inches) Start Stop . r .:;. <Wa e t `Level Drop In Ipcphes Percolatioti Rate Min/Inl:h 2 ; . : �u - �: S r i 3 0 � ' � z Y � - � lot 4 s �... u 2 1 : Sl - ;2.2, 3 I ' ;t,3' • — �f �f� 3/ 55 TO 3o 2340—.2 fl�' 3 • S3 - 323 �¢O I, „ G 4 3 1 1,22- 1:S2, 36 2- 334, 131y M3 2 1; s3 - z! Z3 36 22 2-3 �2 ��2- 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained al each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 DEPTH G.L. n C1 • a - TEST PIT DATA ' DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. HOLE NO. 2' HOLE NO. 3 "61Wr: 0 F '515 T-5' 1.0' 2.0' 2.5' 3.0, r .. . 12 V L 6.5' 7.5' �1A 4w (� 3-d�� .Ia cr 6� q, S' 8.0' `r Q, 2 -Z�� MC'�c nt _ 3 L0,1-T 8.5' ._ 9.01 a� 10.0' Indicate level at which groundwater is encountered Indicate level at which mottling is .observed Indicate, level to ,which water level rises after being encountered _r �: q- " Deep hole observations made by: -ptJ., Date '5 -2 -97 -1 -00 Design Professional Name: . Address: _ _. :. ... C1-jo s Signature: :. * r''� ;�'1�c�► `' Design Professional's Seal \'sF, No. 5612-4. A I;1 '�OFf.SS��� � Harry W. Nichols Jr., P.E. 311 Clock Tower Commons Route 22 Brewster, NY 10509 Telephone (914) 279 -4003 Fax (914) 279 -4567 June 5, 2000 Robert Morris, P.E. Putnam County Health Department 4 Geneva Road Brewster, NY 10509 RE: Individual SSDS - Lot #8 Country Hill Estates Subdivision Country Hill Road Patterson, N.Y. T.M. #24.4-16 Dear Robert: Enclosed are the following: 1. Five (5) prints of Drawing GS -1, "Grading & Stormwater Control Plan," revised 5- 22 -00. 2. Two (2) prints of Drawing SP -1, "Proposed SSTS," revised 5- 22 -00. 3. "Short EAF," dated 5- 30 -00. 4. "Application for Approval of Plans for a Wastewater Disposal System." 5. "Constructiori Permit for Sewage Disposal System," dated 6 -2 -00. 6. "Application to Construct a Water Well," dated 6 -2 -00. 7. "Design Data Sheet." 8. "Letter of Authorization." 9. Two (2) copies of residence floor Plan(s), for Bedroom Count Only." 10. Review Fee in the amount of $300.00. If there are any questions concerning the enclosed, please call. Very truly yours, Harry W. Nic ols Jr., P.E. HWN:JM:his 00- 102.00 Department of Environmental Protection 465 Columbus Avenue Valhalla, New York 10595 -1336 Joel A. Miele Sr., P.E. Commissioner Bureau of Water Supply Michael A. Principe, Ph.D. Acting Deputy Commissioner Tel (914) 773 -4438 Fax(914)741 -0431 November 14, 2000 Robert Morris, P.E. Putnam County Department of Health 1 Geneva Road Brewster, New York 10509 Re: Country Hill Estates Lot #8 - SSTS (T) Patterson; (C) Putnam East Branch Reservoir Basin DEP Log #6093 (Joint Review) Tax Map # 24 -1 -16 Dear Mr. Morris: This letter is to inform you that the New York City Department of Environmental Protection (Department) has no objection to the approval of the above - referenced regulated activity. This determination is based on the review of submitted documents including the plans prepared by Harry W. Nichols, Jr., PE: ■ Trench Plan, dated May 22, 2000 with a latest revision date of October 27, 2000, ■ Fill Plan, dated May 22, 2000, with a latest revision date of October 27, 2000. The applicant must contact Jannine M. McColgan of my staff at (914) 742- _ 2068_at least 2 days prior.to .the start of construction of the SSTS so that the Department may inspect and monitor the installation. Sincerely, Margaret Lloyd, P. E. Supervisor Engineering Design Review xc: James Covey, P.E., NYSDOH �r www.ci.nyc.ny.us c T - �1ULI� c!, -pw •� /ids! 0 GNi Department 465 Columbus Avenue Valhalla, New York 10595 -1336 Joel A. Miele Sr., P.E. Commissioner Bureau of Water Supply Michael A. Principe, Ph.D. Acting Deputy Commissioner Tel (914) 773 -4438 Fax(914)741 -0431 Mr. Harry W. Nichols, Jr., PE Patterson Park Suite 106 2050 Route 22 Brewster, New York 10509 —� e" November 14, 2000 Sent Via Facsimile Re: Country Hill Estates Lot #8 (a.k.a. Charles Zambrano) Individual Residential Stormwater Permit Project Log No. 6093 East Branch Reservoir Basin Town of Patterson, Putnam County Dear Mr. Nichols: This letter is to inform you that your application to engage in the above referenced regulated activity pursuant to the "Rules and Regulations for the Protection from Contamination, Degradation, and Pollution of the New York City Water Supply and its Sources" (Regulations) was approved on November 14, 2000. The Department reserves the right to modify, suspend, or 'revoke this approval based on the grounds set forth in Section 18 -26 of the Regulations The activity proposed in your application only apply to the terms of .this approval and are subject to the Regulations cited above. Failure to comply with the conditions of the approval may be the cause for suspension of this approval and initiation of an enforcement action. Should modification, suspension or revocation of an approval be necessary, DEP will notify the regulated party, via mail or personal service, prior to modifying, suspending or revoking the approval. The notice will state the alleged facts or conduct which appear to warrant the intended action and explain the procedures to be followed. The Regulations provide that an applicant may appeal the imposition of a substantial condition in an approval by filing a petition, in writing, with NYCDEP and with the New York City Office of Administrative Trials and Hearings ( "OATH ") within thirty (30) days of the date if this determination was mailed. If you have any questions regarding this approval, or regarding the �0*0 appeal procedure, please contact Jannine M. McColgan at (914) 742 -2068. www.C1. nyc. rv.us SinC (718) DEP -HELP Margare loy Supervisor ' Engineering esign Review Xc: Charles Zambrano, owner /applicant Patrick Ferracane, PE; NYSDEC John Calbo, Building Inspectgr,,Town of Patterson vs tMicc-hhael Bu'dzmslc l?E ;LP -CD OH� Ken Markussen, NYSDEC Richard Williams, Town Planner, Town of Patterson Herb Schech, Chairman, Town of Patterson Planning Board Ted Kozlowski, Wetlands Commission R. Gene Richards, Dufresne -Henry Consulting Engineers I r INDIVIDUAL RESIDENTIAL STORMWATER PLAN DETERMINATION (XX) Approved ( ) Denied Conditions of Approval: This approval is granted with the following conditions: • The regulated activity must be conducted in compliance with the plans as approved, listed in Appendix A, all applicable accepted standards, and all applicable laws, rules and regulations. Any alteration of the plans must be approved by NYCDEP prior to construction. • Alteration or modification of any activity in a manner which would require an amended SPPP pursuant to Part III C of the New York State Department of Environmental Conservation General Permit No. GP -93 -06 shall require NYCDEP review and approval. • All erosion and sediment controls must be properly installed and maintained until the site has been stabilized and the risk of erosion eliminated. Final stabilization is defined in the General Permit as "all soil disturbing activities at the site have been completed, and that a uniform perennial vegetative cover with a density of 70% cover for the area has been established or equivalent stabilization measures (such as the use of mulches or geotextiles) have been employed." • The applicant must schedule a pre - construction conference prior to the start of construction. Present at the meeting should be the applicant, the engineer, the contractor, and NYCDEP staff. • The applicant must notify NYCDEP at least . forty -eight (48) hours prior to the commencement of construction activity so that inspections can be scheduled by NYCDEP. • This approval shall expire and thereafter be null and void unless construction is completed within five (5) years of the date of issuance or within any extended period of time approved by NYCDEP upon good cause shown. • In the event that the material submitted is inaccurate or misleading, this approval is not valid and construction of this project is in violation of NYCDEP Regulations • Failure to comply with any of the conditions of this approval is a violation of this approval and the Rules and Regulations For The Protection From Contamination, Degradation and Pollution Of The New York City Water Supply and Its Sources. • The stormwater management facilities must be maintained in accordance with the maintenance schedule included in the IRSP and approved by NYCDEP. • The applicant is required to submit as -built plans for all stormwater management and water quality facilities. INDIVIDUAL RESIDENTIAL STORMWATER PLAN DETERMINATION 1. This approval and all conditions of the approval are binding on the owner of the property where the Country Hills Estates Lot #8 is to be located. Any references to the "applicant" in this approval or in any conditions of this approval shall be deemed to refer to the owner of such property. 2. If the applicant sells or otherwise transfers title to the Country Hill Estates Lot #8, the applicant shall require the new owner ( "Buyer ") to comply with the stormwater pollution prevention plan approved by the New York City Department of Environmental Protection on November 14, 2000 ( "IRSP ") including, but not limited to, all provisions relating to erosion and sediment control during construction and to maintenance of the stormwater management facilities once construction is complete. In particular, the applicant shall provide the Buyer with a copy. of the IRSP and shall cause the following real covenants and restrictions to be recorded with the deed for the Country Hill Estates Lot #8 with the following provisions: a) Buyer hereby acknowledges, covenants, warrants, and represents that he /she shall install and maintain any and all erosion controls and stormwater management facilities on the premises in accordance with the IRSP, such IRSP being attached hereto as Exhibit A. b) Buyer's installation and maintenance of the erosion control and stormwater management facilities shall be for the benefit of the consumers of the New York City drinking water supply system as well as for the owners of Country Hill Estates Lot #8. c) Buyer's obligation to install and maintain any and all erosion controls and stormwater management facilities on the premises in accordance with the attached IRSP shall be perpetual, shall run with the land, and shall be binding on Buyer's heirs, successors, and assigns. d) Buyer hereby covenants, warrants and represents that any lease, mortgage, subdivision, or other transfer of the individual residence and driveway, or any interest therein, shall be subject to the restrictive covenants contained herein pertaining to the installation and maintenance of erosion control and stormwater management facilities, and any deed, mortgage, or other instrument of conveyance shall specifically refer to the attached IRSP and shall specifically state that the interest thereby conveyed is subject to covenants and restrictions contained herein. Prior to conveying title to Country Hill Estates Lot #8, the applicant shall submit to the New York City Department of Environmental Protection a proposed deed containing the aforementioned real covenants and restrictions. Date: November 14, 2000 Determination ma Margaret Llo , Supervisor Engineering Design and Review commended for Approval: amine M. McColgan Staff Civil Engineer Engineering Design and Review This determination letter must be maintained by the applicant and be readily available for inspection at the constriction site. e C� I •,�P• 'mo' .0 YeOro;k w Department of i Environmental Protection 465 Columbus Avenue Valhalla, New York 1 0595 -1336 Joel A. Miele Sr.,'P.E. ' Commissioner 'Bureau of Water Supply 'Michael A. Principe, Ph.D. Acting Deputy Commissioner Tel (914) 742 -2001 • Fax (914) 742 - 2027. y °RR CITY DEPART,NF T ti DP aO'YMFMAI PR °SEA www. ct. nyc. ny. u-,'/d e p (718) DEP -HELP July 19, 2000 Mr. Rob Morris Putnam County Department of Health Division of Environmental Health 4 Geneva Road Brewster, New York 10509 Re: Country tates Lot o. AW, A try Hill E L N 8 �,s I 6 Application for SSTS Individual Residence Project Log No. 6093 Patterson, Putnam County East Branch Reservoir Basin Dear Mr. Morris, The applicant should address the following prior to resubmittal: 1. Mottling was observed 26 inches below ground surface. The applicant is proposing 4.5 feet of fill material to maintain the 4 feet separation to groundwater: The applicant must investigate the feasibility of a curtain drain in order to lower the groundwater table and the amount of fill proposed. 2. Due to the following conditions the applicant should investigate the feasibility of moving the SSTS to the lower area closer to Country Hill Road. A) The existing grade of the primary absorption field is between 15 and 22 percent. B) The toe of the fill pad is within 100 feet of the watercourse. C) A minimum ten foot separation distance is required between the property line and the toe of slope..of the absorption system. 3. The applicant has not provided 100 percent reserve area. 4. The applicant shall show all wells and septic system within 200 feet of the property line. 5. The fill detail and applicable notes should be shown on the plan. 6. Provide a detail of the absorption trench. 7. The detail for the septic tank is unclear, whether there are one or two baffles. 8. The final determination for the SSTS application'cannot be made until the Notice of Violation regarding the Individual Residential Stormwater Permit is resolved. The applicant is currently consulting with the Town of Patterson regarding the use of the drainage easement. If there are any question please contact the undersigned at (914) 742 -2068 Sincerely, J e McColgan ssociate Project Manager Engineering Design and Review xc: James Covey, NYSDEC I C -.neva Road BmAs:er, New Yeek IM9 Phone 914 - 278-6130 Fax 914-27 &7921 7o: A .j —u� i From: X- 10, / Fax: C� " 1p {�jr Pages: Phone: Date,. f� ©! r Re: - CC: Q Urgent O.For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle r' Department of Environmental Protection Harry W. Nichols, Jr., PE 311 Clock Tower Commons Route 22 Brewster, New York 10509 Re: Country Hill Estates, Lot #8 465 Columbus Avenue Individual Residential Stormwater Permit Valhalla, New York Patterson, Putnam County 10595.1336 Project Log # 6093 May 4, 2000 Joel A. Miele Sr., P.E. Dear Mr. Nichols, Commissioner On Wednesday April 19, 2000, a NYCDEP representative visited the site to inspect the sites erosion and sediment controls. The site has not been property stabilized as requested by the Department. The contractor /owner must keep in mind that these erosion and sediment control devices will need maintenance, especially after storm Bureau or water supply events. The following items shall be addressed by May 10, 2000. William N. Stasiuk, P.E., Ph.D. 1. Seeding and mulching of all disturbed areas. Mulching shall be applied such Deputy Commissioner that the soil cannot be seen through the mulch material. Please see the New Tel (914) 742 -2001 York Guidelines for Urban Erosion and Sediment Control. Fax (914) 742 -2027 2. Every soil stockpile,shall be seeded and mulched in addition to the silt fence installed at the base. 3. Silt fence shall be installed parallel to the driveway between the driveway and the watercourse. The following are items that need to be provided for the individual residential - - stormwater permit. Carefully read and follow the instructions in the Applicant's Guide to Individual Residential Stormwater Permits, specifically page 8, the Application Checklist. 1. Provide the. NYCDEP Application for Review and Approval of Individual Residential Stormwater Permits. 2. Because construction activities have already begun at the site please provide a site survey of the site as it currently exists. The plan titled 'Grading and Stormwater Control Plan' dates April 14, 2000, does not accurately depict the current site conditions, specifically, the location of the watercourse. 3. Provide a detail of the topsoil stockpile, including the seeding and mulching notes. 4. The plans calls for a diversion swale adjacent to the driveway. Provide a detail of the swale. 5. Provide a description of the stormwater best management practice proposed. Provide a detail of the basin outlet including elevations and thicknesses of the 3/8 `inch - dnd::1.5 inch crushed stone. ,\ � 1 Your client, Mr. 'Charles Zambrano, has'been advised that the construction activities, l� the framing of the-house,--is allowed, however it is at the expense' and •risk' of the �f, O contractor /owner. The construction of the driveway or the installation of the nun of nyt.ny.us /dew bank material for the.subsurface sewage treatment fill pad may not be constructed. �718i PF.P•HEI.P d' . Mr. Harry.W. Nichols, Jr., P.E. Re: Country Hill Estates, Lot No If there are any questions, contact the undersigned at 914 - 742 -2068. Sincerely, Jannine M. McColgan Associate Project Manager "Engineering Design and Review xc: Charles Zambrano, owner /applicant Rob orris; utnam onfy�Depart -in —en t of^Heal John Calbo, Town of Patterson Building Inspector Richard Williams, Town of Patterson Town Planner James Covey. P.E. Page 2 of 2 May 4, 2000 CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL PROTECTION NOTICE OF VIOLATION TO: Charles Zambrano, General Contractor LOCATION: Country Hill Estates Lot 8 27 Bedell Road Country Hill Road Katonah, New York 10536 Patterson, New York DATE: April 6, 2000 PLEASE TAKE NOTICE THAT: Pursuant to Section 1100 et sea. of the New York State Public Health Law, Title 10, Part 128 of the New York Codes, Rules and Regulations ( "NYCRR), and Title 15, Chapter 18 of the Rules of the City of New York ( "RCNY "), the New York City Department of Environmental Protection ( "NYCDEP ") is authorized to inspect the sources of the drinking water supply of the City of New York and determine whether any conduct within its watershed constitutes or threatens to constitute a temporary or permanent source or act of contamination of the water supply. Upon investigation conducted by Jannine M. McColg_an , it has been determined that there is reasonable cause to believe that you have violated the following section(s) of 10 NYCRR Part 128 and 15 RCNY Chapter 18 (copies of the violated sections are attached): _ 10 NYCRR § 128 -2.1; 15 RCNY § 18 -21: Contamination from a Regulated Activity _ 10 NYCRR § 128 -3.1; 15 RCNY § 18 -31: Pathogenic Materials _ 10 NYCRR § 128 -3.2; 15 RCNY § 18 -32: Hazardous Substances and Hazardous Wastes 10 NYCRR § 128 -3.3; 15 RCNY § 18 -33: Radioactive Materials _ 10 NYCRR § 128 -3.4; 15 RCNY § 18 -34: Petroleum Products 10 NYCRR § 128 -3.5; 15 RCNY § 18 -35: Human Excreta _ 10 NYCRR § 128 -3.6; 15 RCNY § 18 -36: Wastewater Treatment Plants _ 10 NYCRR § 128 -3.7; 15 RCNY § 18 -37: Sewerage Systems, Service Connections, and Discharges to Sewerage Systems _ 10 NYCRR § 128 -3.8; 15 RCNY § 18 -38: Subsurface Sewage Treatment Systems X 10 NYCRR § 128 -3.9; 15 RCNY § 18 -39: Stormwater Pollution Prevention Plans and Impervious Surfaces _ 10 NYCRR § 128 -3.10; 15 RCNY § 18 -40: Miscellaneous Point Sources _ 10 NYCRR § 128 -3.11; 15 RCNY § 18 -41: Solid Waste _ 10 NYCRR § 128 -3.12; 15 RCNY -§ 18 -42: Agricultural Activities 10 NYCRR § 128 -3.13; 15 RCNY § 18 -43: Pesticides 10 NYCRR § 128 -3.14; 15 RCNY § 18 -44: Fertilizers _ 10 NYCRR § 128 -3.15; 15 RCNY § 18 -45: Snow Disposal and Storage and Use of Winter Highway Maintenance Materials _ 10 NYCRR § 128 -2.7; 15 RCNY § 18 -27 Violation involves Noncomplying Regulated Activity Other: Description of Violation(s): Construction of an impervious surface (residence and driveway) within 100 feet of a watercourse. In accordance with Section 18- 39(a)(5)(iii) the construction activities will require the preparation of an Individual Residential Stormwater Permit. See Section 18 -39(e) regarding the application requirements for an Indivisual Residential Stormwater Permit. The above violation was observed at or about 12pm on the 4h day of April 2000. YOU ARE HEREBY ORDERED IMMEDIATELY TO CEASE AND DESIST FROM VIOLATING THE RULES AND REGULATIONS CITED ABOVE. Failure to comply within five (5) days of the date of this Notice with the Rules and Regulations listed above shall entitle the City: (A) pursuant to Public Health Law § 1102(3)(b), to maintain an action against you for the recovery of penalties incurred by your violation(s) and for an injunction restraining you from violating these Rules and Regulations or continuing a nuisance, and/or (B) pursuant to Public Health Law § 1102(3)(a), to summarily enforce compliance with the Rules and Regulations listed above and to summarily abate or remove the cause of the violation(s) of such Rules and Regulations or the nuisance resulting from such violation(s). You must contact Jannine M. McColgan, at 914 - 742 -2068, within five (5) days of the date of this Notice to discuss resolution of your violation(s). I swear under penalty of perjury that this above information is correct. :19'tit. �6 f ✓' C annine M. McColgan Associate Project Manager Bxc: Rob f- s _;CDOH Richard Williams, Town Planner, Town of Patterson John Calbo, Building Inspector, Town of Patterson Amy Flavin, NYCDEP Protection 0 1 Z V3 .p o i W �.. i .P EX�S� oErJGE RE i IOZ a a v I IQ MI H te W DIMENSION CHART (in feet) - Number � 13.5' i9i 3 10395' 140' 5 110' 142' 1n, 15, . to 151' 1QD3, 11 159,5' 190' 12 1(�25' 192' 13 1(�(�' 194' 15 IT 1 005, 1 U5, 114' 20 9g' 11 1.5' 21 1015' 120,x' PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: Country Lane Town/Village: Patterson NY Tax Grid # Map Block Lot(s) g Well Owner: Name: Address: Charles Zambrano 27 Bedell Road, Katonah, NY Use of Well: `Lprimary 2- secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment . Rotary . . Cable.percussion Compressed air. percussion Other (specify) Well Type Screened Open end casing X . Open hole in bedrock Other Casing Details Total length .40 ft. ' Length below grade 39 ft. Diameter 6i n. Weight per foot 17lb /ft. Materials: Steel _ Plastic Other Joints: Welded X Threaded _ Other Seal: _ Cement grout X 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 _X_ Compressed Air Hours -b-- Yield gpm Depth Data Measure from land surface- static (specify ft) 4 During yield test(ft) 180 Depth of completed well in feet 200 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 20 Sand and qravol 20 41 Grey granite. 41 100 Med-ha-rd grey granite- .100 . '�f5Q Limestone. 80 .200 Limestone. If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information 2.00 20 Pump Typeg V Capacity Y O Depth L!�_Q Model 0 6� . Voltage SL30 HP "' 14 Tank Typed - a ($$Volume Date Well Completed .4/3.0/01 Putnam County Certification No. 2 Date of Report 5/.3 01. We Driller (signature) ivu i E: t;xact location or well wrtn instances to at least two permanent landmarxs to be provtuea on a separate stieevpian' WellDriller's ,nme MILL DRILLING, INC. Address: 75 PUTNAM AV., BREWSTER, NY Signature: Date: 5/3/01 White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 D� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTIOnN COMPLIANCE FOR SEW T SYSTEM PCHD CONSTRUCTION PERMIT # 1° q " ©O I!M Located at 1` C0 UN T Ky 4ILL_ RQAb Town or-vitlage PATT ECZ.SON Owner /Applicant Name CN KI.�E5 GAM @>RANO Tax Map 24. Block Lot � b Formerly. Subdivision Name C0UNr9_y HILL P-ST A-TES Subd. Lot # S Mailing Address 2,1 QEb ELL R0Ab N Zip 109 -30 Date Construction Permit Issued by PCHD _ ! `i ` Separate Sewerage System built by .LAS _Z_N i W %Rddress SW-__ Consisting of 100 0 Gallon Septic Tank and 4' 2.q U, o� A RSOR PTI NJ TRENC � —S Other Requirements: �' RO_ Water S upply: Public Supply From or: V / Private Supply Drilled by M ILL KI LLB N G, � N C` Building Type p'�S \ D N T- W' Address 75 P UT N l� M Ave, Address Has erosion control been completed? Y ES Number of Bedrooms Has garbage grinder been installed? NO A. 'f,4 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 Putnam County E Aepartmenj of Health. Date: 0 ' l4 ` Certified by P.E. R.A. Address 2,0 ij n 2 Desig T 2-2 Q��� T � rofe siol�al) �/ �� 0q License # 24- 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 s bject to modification or change when, in the judgment of the Public Health Director, such revocation, d' ication hange is necessary. By: Title: (� Date: Gi d White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 roe August 8, 2001 Robert Morris, P.E. Putnam County Health Department One Geneva Road Brewster, New York 10509 Re: Individual SSTS Compliance 18 Country-Hill Road Country Hill Estates Subdivision Town of Patterson T.M.# 24.4-16 Dear Robert: Enclosed are the following: Harry W. Nichols Jr.; P.E. Patterson Park, Suite 106 2050 Route 22 Brewster, NY 10509 Telephone (845) 2794003 Fax (845) 279 -4567 o I 1. Five (5) prints of Drawing SS -1, "As Built SSTS," dated 8/6/01. 2. "Certificate of Construction Compliance for Sewage Treatment System," dated 8/6/01. 3. Three(3) copies of "Guarantee of Subsurface Sewage Treatment System," dated 8/8/01. 4. Laboratory Report, dated 5/9/01, 7/17/01 and 7/30/01. 5. Application Fee in the amount of $200.00 payable to Putnam County Health Department. 6. "E -911 Address Verification Form," dated 8/6/01. 7. "Well Completion Report," dated 5/3/01. If there are any questions concerning the enclosed, please call. Very truly yours, Harry W. Nic o Jr., P.E. HWN: JM: j 00- 102.00aug PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM C�ARIJ s 2A -MBEA, Owner or Purchaser of Building Tax Map Block Lot O,WNE�, Building Constructed by Location - Street (,�-_S I W�, NT 1A �- Building Type P PTT ERA O./V TownNillage Co UN-T 9- y » ) Ll E �'TA .T ES 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. Dated: Month ,i ''Day' � Year D— Si General Contractor (Owner) - Signature Corporation Name (if corporation) Address: State Zip H Corporation Name (if corporation) Address: 2:1 LL State Zip 105_`) Form GS -97 YML ENVIRONMENTAL SERVICES 321 Fear Street Yorktown.'Heights, N.Y. 10598 (914) 245 -2800 Albert H. Padovani, Director LAS #: 32.102911 CLIENT #: 13321 NON STAT PROC PAGE 1 -------------- N N N N N N N N N N N--------- m N N N N --------- N_ m--- N --- w-------------- N N N N N ZAMBRANO, CHARLES DATE /TIME TAKEN: 05/03/01 12:OOP P.O. BOX 313 DATE /TIME REC'D: 05/03/01 01 :OOP CROTON FALLS9 NY 10519 REPORT DATE: 05/09/01 PHONE: (845) - 277 -3192 SAMPLING SITE: COUNTRY HILL RD. SAMPLE TYPE..: POTABLE PATTERSON9 NY PRESERVATIVES: NONE COLD BY: DENNIS MALANCHUCK TEMPERATURE..: C 4C NOTES...: WELL COLIFORM METH: MF N N N N N N N NNNNNNN N N N N N NNN NNN N N N M N N N N N N N N N N N NNN NNNNNNNN N N N N N N N N N N N N N NNN NNNN N N N N N N N DATE FLAG PROCEDURE RESULT NORMAL- RANGE METHOD 05/05/01 MF T. COLIFORM ABSENT /100 ML ABSENT COMMENTS: PICK UP BY DENNIS MALANCHUK COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATER'(WA ,(WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS4 FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. SUBMITTED BY: 4Ubre'r H. Padovani ,M.T.(ASCP) Director 1008 ELAP# 10323 \ \ \ � YML ENVIRONMENTAL ICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director LAB #: 32.104843 CLIENT #: 13321 ~~~~~~~~~~~~~~~~~~~~~~~~~ AMBRANO, CHARLES P.O. BOX-313 'ROTON FALLS, NY 10519 SAMPLING SITE: LOT 8, COUNTRY LANE : PATTERSON, NY C8L'D BY: DENNIS MALANCHUCK NOTES...: WATER TANK ~~~~~~~~~~=~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE NON STAT PROC PAGE 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~"~~~~~~ DATE/TIME TAKEN: 07/1t/01 09:00A DATE/TIME REC`X}: 07/11/01 10:40A REPORT DATE: 07/17/01 PHONE: (845)-277-3192 SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: COLIFORM METH: N/A �----------------����������������������� RESULT NORMAL - RANGE 1,11ETH8D pUTNAM-CNTY PROFILE 07/11/01 LEAD (IMS) 9.0 ppb 0-15 ppb 9101 07/11/01 NITRATE NITROG 0.23 MG/L 0 - 10 9139 07/11/01 NITRITE N%7R8G <0.01 MGyL N/A 9146 . 07/11/01 IRON (Fe) 0.4B5 MG /L 0-8.3 mg/l 2037 07/11/01 MANGANESE (Mn) <0.010 MG/L 0~0.3 mg/l 2037 07/11/01 SODIUM (Na) 3.80 MG/L N/A 07/11/01 pH 7.0 UNITS 6.5-8.5 9043 07/11/01 HARDNESS,, TOTAL 184 NG/L N/A 07/11/01 ALKALINITY (AS 168 MG/L N/A ()7/11/01 TURBIDITY (TkJR 4°7 NTU 0-5 NTU COMMENTS: Pb/Cu LEAD limits for public schools are set at 15 ppb. , EPA Lead & Copper Rule for Public Systems requires that'no more than 10% of their distribution points have a LEAD value of more than 15 ppb and a COPPER value of 1.3 mg/L, else water treatment must be undertaken to reduce the waters corrosive potential. Fe/Mn If both iron and manganese are present., their total value combined shall not exceed 0.5 mg/L. Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium is suggested. pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE T8 METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. �N YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y.. 10598 (914) 245-2800 Albert H. Padovani, Director LAB #: 32.104843* CLIENT #: 13321 NON STAT PROC PAGE 2 ------------ - m ------------ m-N-m -------- m ------- ZAMBRANOv'CHARLES DATE/TIME TAKEN: 07/11/01 09:. 0O8 P.O. BOX 313 DATE/TIME REC'D: 0-7/11/01 10:40A CROTON FALLS, NY 10519 REPORT DATE: 07/17/01 PHONE: (845)-277-3192 SAMPLING SITE: LOT 8, COUNTRY LANE : PATTER.SON9 NY COLT BY: DENNIS MALANCHUCK NOTES...: WATER TANK ----------- mw --------- m---W-m--WW ------ DATE FLAG PROCEDURE SAMPLE TYPE—;: POTABLE PRESERVATIVESt NONE TEMPERATURE..: .COLIFORM METH: N/A RESULT NORMAL' - RANGE METHOD Hd TOTAL HARDNESS IS DEFINED AS THE. SUM OF THL CALCIUM & MAGNESIUM CON . CENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG /L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0-70 MG /L VERY HARD WATER: ABOVE 300 MG /L. MODERATELY HARD WATER: 70-140 MG/L MG/L = MILLIGRAM PER LITER HARD WATER: 140-300 MG/L (I grain/gallon = 17.2 MG/L) SUBMITTED BY: I Albert-14'. Padovani, M.T.( P) Director ELAP# 10323 YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.-Y. 10598 (914) 245-2800 Albert-H. Padovani., Director LAB #: 32.105142 CLIENT 13321 NON STAT PROC PAGE I ----- ------------------- ZAMBRANO, CHARLES DATE/TIME TAKEN,. 07/19/01 11330A P.D. BOX 313 DATE/TIME RECD„ 07/19/01 01:45P CROTON FALLS,, NY 10519 REPORT DATE: 07/30/01 PHONE: (845)-277-3192 SAMPLING SITE: LOT #13 COUNTRY HILL RD SAMPLE TYPE..,. POTABLE PATTERSON, NY PRESERVATIVES,.- NONE COLD BY.- CHARLES ZAMBRANO TEMPERATURE..: NOTES...: HOLDING TANK COLIFORM METH: N/A N N NNN NNNNN NNN NNNN NNNN NNN NNN NIV ------------ --------- NIV AI DATE FLAG PROCEDURE RESULT NORMAL RANGE METHOD 07/19/01 IRON (Fe) . 0.1E6 MG /L 0-0.3 mg/1 2037 COMMENTS: FAX TO: 277-8274 COMMENTS: Fe /Mn. If' both .iron an d manganese are present, their total value combined shall not exceed 0.5 mg/L. SUBMITTED BY: Albert Direr Padovani, M.T.(ASCP) ELAP# 10323 J��P ti a � BRUCE R_ FOLEY. LORETTA MOLINAR! - R.N., M.S.N. Public Health Director y�t+w �0�� Ar:ociate Public Health Director Director of Patient Serviced DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278.6130 Fa (914) 278.7921 Nursing Services (914) 278.6118 WIC (914) 278.6678 Fax (914) 278.6085 Eariy'Toterveri 0(914)111'. 6014 Preschool (914)27M82 Fax (914)178'• 6648 OWNERS NAME: TAX MAP NUMBER: E911 ADDRESS: CQo Ki TOWN: PR } F (ZSO) y q AUTHORIZED TOWN OFFICIAL: (Signature) Q— DATE: v 0 The Putnam County Department of Health will not issue a Certificate of Construction Compliance unless the above form is completed, i.e., a legal E911 address is assigned by an authorized town official. This form is to be submitted Nvith the application for a Certificate of Construction Compliance. (E911 VERFR2vi) PUTNAM COUNTY DEPARTMENT OF HEALTH a DMSION OF ENVIRONMENTAL HEALTH SERVICES / /oi Q FINAL SITE INSPECTION l / Date: Street Location Gry Inspected by:4 2c Owner T ZzA A/ z7 �p Town - pgtrETZ5o,u Permit # ? — #9 — o o TM 4 — 1 — / 6 Subdivision Lot # 0 1. Sewage System Area YE NO COMMENTS a. STS area located as per approved plans ........................... b. Fill section - date of placement se e r111 P "aQ .7 , ,p 3:1 barrier . Lgth. Width Avg.Dpth c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands ...... ............................... H II. SeivaQe System a. Septic tank size - 1,000 .......1;25 ....:....other ................ 7-- b. Septic tank installed level ................ ............................... c. 10' minimum from foundation .......... ............................... d. Distribution Box . All outlets at same elevation -water tested ................. 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box -properly set... . ............................... _ f renT chs —. --� _ r r _- -� T Zength requir`ed� 2 Length installed — 1. . ,ttV .., _ '�`�` y� 2..Distance to watercourse measured -lo `Ft.......... 3. Installed according to plan ......... ............................... s 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. Pump or Dosed Svstems T Size of pump chamber ................ ............................... 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. Houseffluildgig ahouse ocated per approved plans b r = Number .of bed"rooms, ...:... .................. a: Well located as per approved plans . ............................... ea b. Distance from STS area measured c_> o ft........... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dtr to exist watercourse Footing drains discharge away: from STS area:;.° `h: �- --— f Surface water n— r� of t on adequate...:..... o � IV 5a �• � wW " , , , o- i , ar r u• e' c .. �a _ -+ a:. tih ,v o• 4 <r < t ` .. 4 u. „ r., r : , , JUL -25 -2001 11:08 AM HARRY W NICHOLS 914 279 4567 P.01 oD- IO2•0a _p C PUx"NAM COUNTY DEPARTIl= 011 BLALM. A,InNTLON. 0 ADAM GEI AR eommaft ttusat be My =p1mad pdor to aay impecdoat beitlg made. /I II 13/ vv 1 Pot., , Fill PCHD ComWactiou Pant Located- y (T) Q OwnerlApphcaat N Q V tech •.,1 Lot • I Pormeriy SubdiividooNam.. S ubdiviaWoa Lot i Is ayatsm lilt CoWpletod? Date: :Z:a --,0 1. Is sys= oomglets? _ _ Dam 2-29 —W h gaam consuvdad ea ps glans? Is well drww Is wep located as pot puss? Are emsioa eoauoi maattms In glace? Date: rr-72 i certify the tba sy sl as listed, a the ftn premiss has bow coastmcoed W i have laspected &ad verified their ootapioWoa to ♦oeotdawee with the imed PCHD Consssuedoa permit tad approved pleas sad the Staadatds, Rules ad Regul4oas of the lutaaaa Couaty DoDutmeat of Hcalti D&W. Cmdodby-. h� . - Dc jj proftwoai t Commcw. Form m -" s BRUCE R. FOLEY Public Health Director July 3, 2001 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 Harry Nichols, PE Patterson Park, Suite 106 2050 Route 22 Brewster, New York 10509 Re: Field Inspection - Zambrano Country Hill Road, (T) Patterson Lot # 8, TM# 24 -1 -16 Dear Mr. Nichols: An inspection of the fill pad at the above referenced project has been completed. The shape of the fill pad has changed slightly from the approved fill plan but appears sufficient. Four (4) sets of trench plans must be submitted to this Department for review and approval of such plans. Please note that field measurements by this Department in no way suggests the exact size and, location of the fill pad. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. Very truly yours, Z4'2�t� V puax . - Gene D. Reed GDR:cj Environmental Health Engineering Aide PUTNAM COUNTY DEPARTMn OF VALTil1 DIVION Olt ENVMNMZ"AL SbCALTB SYRVICSS ATTENTION Q ADAM �xn 1;E gES8L JUSPIPd.T MI iror:. Fill Ail informathm oust be llMy =plcted prior to eny Trewbes iaspecdoas being made PCHD Consu etio ermi -06 Locate 14s (T) W �► OwnedApplicaat Name: Th1 �� Block —I-- Lot Pormedy. — Subdmivisioe Name: ~'1 Subdividoa Lot # Is system fill completed? r Date; Is systam oamplete? Date: is system eoa:tnicxaed a gat plans? Is well drilled? Is well looted as pct plans? Are erosion control mesmvs is p1u.e? Data I certify tW the sy$=(4 as listed, a the Above pnt douses bas been consuucted and 1 have inspected and verified. their completion-14 tccosdsace with the issued PCHD Commetios permit sad .- approved -pleas sad the Standards. Rules ad Regulations of the Putnam County Depmeot of Health. Dt►k , .Gs,'�8 : D i ....., CwMed by: ply R11,._, � ' ' ' . sign Profwsioo address: 2 tore A & U — ' r l0.0 4 e cow Form M99 ~ � ~ � 4.�Y�~�'--��vy�_����.-_-___--__�_,_____________ � � - '-- - __ -- --__- �+ -------_�-.-� _ -'' '_ __---------__-- ------''---�-----�-'------------------ � ' ------ ---------------------'-! � ---'---------------------'-----------'-' ' 00- '-------------'-- � ~- ~ � ~ � 4.�Y�~�'--��vy�_����.-_-___--__�_,_____________ � � r 1 b , 1 •� � J'• i vj�� � . � ' r 1 o tsl ° , r ! / Y/ LA tp r v , 5 ALE G'X 10 EXIVT!fy(21 aASEMI�1 -+ r �� r N , • l , 1 / � �• � I I I / 1 'C CL 1 1 N � i I.oYJ -GRAOI�N- 1'- 11 I. to WITH 5-TONS c O\ 111 II I �I I I. •�.. � Q � � 1 1 ` W LL 1 1 FIP - I;AP APRON 1 � r I _ n ^, I -- /).•,) oa f� ... .... , ..., .. � .. . .. .. .. .. - .. .i - .,''s. ,.v `!i •, ten--. m..S. `:,"C,- . PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # 10- c/ 9 00 0 Located at Cv v -n �_ 4", /1 Town or vie pa �►..�� �, Subdivision nam c4 w,.,e�� Subd. Lot # Tax Map , Block _�_ Lot C� Date Subdivision Approved J ) Owner /Applicant Name c —7, ,-4 � u Mailing Address Renewal Revision Date of Previous Approval Zip 16 573 Amount of Fee Enclosed 366 Building Type Lot Area 4q1:1 No. of Bedrooms 3 Design Flow GPD Fill Section Only Depth 3 Volume PCHD NOTIFICATION IS RE UIRED WHEN FILL IS COMPLETED Separate Sewerage -System to consist of 1 ,0.0 13 gallon septic tank and -4 2_9 l Other Requirements: To be constructed by , 13, 0 Address Water Supply: Public Supply From Address or: p` Private- Supply Drilled by 13 0 . - _ Address ...._: I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the 5$ arate 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, toat siiid':, builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years.... immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Address R.A. Date q-1 —00 License # SYe l Z!q 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, o idered nec sary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. A roved for harge of domestic sanitary sew ly. / a� V By; r Title: Date: �- White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 I'MS4,151P sromr- :r_ MAM 00 DAMS CROSS SECI lo FIZ r.-R A48A -.L ONGITUDINAL RAKE S1Df5,4jY,0 50U4 70PUCINC CR.4Y.0 SN4ZI 9.1 C4PPrO. 7 .TYPICAL ABSOX 0 vie 11 aw-M NOT T0J 0-- Q 0 j Vo 0 00' IS 0, A6� 0 ollb.0 U 11 6 BADE _ t \31 .......... .. "74 ourTlow 1p� 4-A OWALf, r")c IL 0F:kAlt.4AGF_ S At, F- f*l I- M 7- "rip. 0 L4N-GKAQf:-;.N-r SINA1.4 %p WITH STONE C4466c C \ ':. I I I'1 AL IPJF-KAP APRON O-Z L COUNTRY HILL •D.-