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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 24. -2 -34 BOX 9 1 I r .L r - .�.�, V PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # P 02- - 07 Located at 8 113- Flctst 6 kn Kc' L ko c j Town or Village N d Owner /Applicant Name A h, Srw, v e' 1 &4", 1 pe Z Tax Map 2-11 Block Z Lot 3� Formerly Mailing Address z�)'V7 P Subdivision Name Subd. Lot # Date Construction Permit Issued by PCHD a- 1-f - d-� Zip 10 0 Separate Sewerage System built by S. c� ; i �l �► h z. Address 5� �^�► Consisting of 10 00 Gallon Septic Tank and So a Other Requirements: Water Supply: Public Supply From Address or: Private Supply Drilled by Lx O&IJ zf Address Building-Type.-- i2tS i J-e, -ttt ct I Has erosion control been completed? Yt-S Number of Bedrooms ;'� Has garbage grinder been installed? NO 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 regulatigq of the Putnam County Department of Health. Date: )-11-00 Certified by Address P. 01 P.E.4Z R.A. License # S' . / ZA 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 are subject to modification or change when, in the judgment of the Public Health Director, such revocaf n, modification change is necessary. By: �� Title: Date: _ " V;Yellc White copy - HD Fi y - Building Inspector; Pink copy - Ow r; ge copy - Design Professional Form CC -97 �I January 14, 2008 Harry W. Nichols Jr., P.E. P.O. Box 252 Brewster, NY 10509 Tel (845) 855 -9275 Michael J. Budzinski, P.E., Director of Engineering Putnam County Health Department 1 Geneva Road Brewster, New York 10509 Re: Individual SSTS Compliance Mr. Samuel J. Ramirez — Existing Barn 815 East Branch Road Patterson, N.Y. 10523 T.M. #24. -2 -34 Dear Mr. Budzinski: Enclosed are the following: 1. Five (5) prints of Drawing S -1, "As Built SSTS ", dated 12- 21 -07. 2. "Certificate of Construction Compliance for Sewage Treatment System ", dated 1- 11 -08. 3.. Three (3) copies of "Guarantee of Subsurface Sewage Treatment System ", dated 12- 21 -07. 4. Laboratory Report, dated 12- 21 -07. 5. "Well Completion Report ", dated 06- 07 -07. 6. Application fee in the amount of $300.00 payable to Putnam County Health Department. 7. "E -911 Address Verification Form ", dated If there are any questions concerning the enclosed, please call. Very truly yours, Harry W. ichols Jr., P.E. HWN:his 06- 037.00 -PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF. ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM /Zawie .Z , Vr 2� 2- 3`I Owner or Purchaser of Building Tax Map Block Lot Building Constructed by Towne Is, j Location - Street - 91°1, 1 Je,-Ji `i. Building Type.' - ' . . Subdivision Name Stibdivision Lot # I represent that I., am wholly" and completely responsible for the location, workmanship, material, constructiorf andl'drainage of the sewageire'&ment'system serving tlie'above- desecibed" 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. 'parr -of said s�sterh constructed by' me which fails' to' operate fora 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 occ - system. Dated: Month J-e.G, D ear General Cofitractrr (0 ) - Cigna e . Corporation Name (if corporation) Signati Title: Corporation Name (if corporation) Address: a Address : State Zip 10 State /�[„ Zip / D a.o Form GS -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF. ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SU13SURFACE SEWAGE TREATMENT SYSTEM �M w. sa Z �- L 3 Owner or Purchaser (if Building Tax Map Block Lot -- -�• -• - .51- " , Building Constructed by Location - Street Ruilding.Type•' Town/ 'e Subdivision Name Subdivision Lot # I represent that I.. am wholly and completely" responsible. for the location, workmanship, material, construction and-dram "age of the sewageireatment 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 parr-of said *7*stetn constructed by * me which fails to operate fora 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 Dew, D ear General Contractor (0 . ) = Cigna e v . Corporation Name (if corporation) •'M . • 'Y' Signature: Title: Corporation Name (if corporation) Address: �,� Address: _,t State Zip Uau State Zip Form GS -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF. ENVIRONMENTAL HEALTH* SERVICES GUARANTEE OF SU$SURFACE SEWAGE TREATMENT SYSTEM y. Ste. -C,C T JQa � i k f,Z , �V �`�, �- Owner or Purchaser of Building. Tax Map Block Lot. _.. __... =�io9, file 'E.�.•`r' -�' "" !� / i c.'hi0 � / " Building Constructed by Tow ge )30L�-t OQ-d -------------- - Location - Street Subdivision Name _ � `� t c(�.L►1 i a, Building Type.' Subdivision Lot # I represent that I. am wholly and completely responsible for the location, workmanship, material, constnictiori and'draina'ge of the sewageireatment 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 parr -of said s�sterh coffAructed 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 thefailure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing. the system.. - — . I - Dated: Month De.G, D ear Signati Title: --' General Co ntractor (O ) = gigna e . Corporation Name (if corporation) Corporation Name (if corporation) Address. Address: State Zip I UCou State � Zip /Lao Form GS -97 Page 1 of 1 imsEnvlreamectal Services, Inc. 41 KenvsiaAvenue t'rAFEA, SOfL MY AJ.A ANAL YS) a fAt Danbury, Connecticut 068io I Telephone 203 -798 -2229 Mailing Information: Name: Nichols Address: P.O. Box 252 City: Brewster State: NY Zip: 10509 Phone: (845) 855 -9275 Fax: Sample's Information: Site: Kitchen Tap Preservative: HNO3 Temperature: <4 Matrix: Water Date Analyzed Test Name 12/24/07 Lead (flush) 12/24/07 Alkalinity Nichols Collector's Information: JMS ID: 064353 Name: Harry W. Nichols Jr. Address of site: Ramirez 815 East Branch Road City: Patterson State: NY Phone: Date Collected: 12/18/2007 Time Collected: Result <0.001 ppm 118 mg /L Zip: Date Received: 12/18/2007 Time Received: 1:40:00 PM Lab No.: J0712762 MCL Method 0.015 ppm EPA 200.7 N/A SMWW 2320 B 12/19/07 Manganese <0.05. ppm 0.3 ppm SM 3111 B 12/19/07 Sodium 3.49 ppm N/A SM 3111 B 12/18/07 pH 7.3 S.U. 6.5 -8.5 S.U. SM 4500 H B 12/18/07 Color ND 15 Units SMWW 2120 B 12/18/07 Turbidity 0.27 ntu 5 ntu SMWW 2130 B 12/19/07 Hardness 150 mg /L N/A SMWW 2340 C 12/18/07 Odor ND N/A SMWW 2340 C 12/19/07 Iron <0.05 ppm 0.3 ppm SMWW 3111B 12/20/07- -- Chloride- - ---7:01 -ppm - 250 ppm • SMWW 4110 B 12/20/07 Nitrate 0.389 ppm 10 ppm SMWW 4110 B 12/20/07 Nitrite <0.05 ppm 1 ppm SMWW 4110 B 12/20/07 Sulfate 12.7 ppm 250 ppm SMWW 4110 B 12/18/07 Chlorine Free Residual <0.1 mg /L N/A SMWW 4500CIG 12/18/07 4:30 PM E. Coli Absent Absent SMWW 9223 B 12/18/07 4:30 PM Total Coliform Absent Absent SMWW 9223 B Comments: At the time of the analysis the sample was Acceptable for Total Coliform At the time of the analysis the sample was Acceptable for E. Coli CFU = Coliform Forming Units MCL = Maximum Contaminant Level mg /L = milligrams per Liter NIA = Not Applicable ND = None Detected ntu = Nephelopmetric Turbidity Unit ppm = parts per million S.U. = Standard Unit Units = Units Signature: G� _ Reviewed By: �4 t'ti Michael Lapman Sharon Houlahan, Director President State #: PH -0218 ELAP #: 11715 co aji;c'rtcUT. NF -1-i YORK AND NELAC r-6RTIFIED Toll Free 8e6- JMS -sow I Corporate Fax 203- 798 -2408 1 Lab Fax 203- 798 -2107 I wwwjmsenvironmental.com PUTT' 14 COUNTY DEPARTMENT OF 1i_ 1LTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT 0(a -0--� ;;�' Well Location Street Address: Em tSmAd Town/Village: i1 Pg Tax Grid # Map Block 2 Lots) Well Owner: Name: Address: E (,ct rfti c Use of Well: 1- primary 2- secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing Open hole in bedrock Other Casing Details Total length ft. Length below gradeft. Diameter 7 in. Weight per foot J_Ib /ft. Materials: _ Steel _ Plastic _ Other Joints: _ Welded Threaded _ Other Seal: Cement grout _ Bentonite Other Drive shoe: Yes No Liner:_ Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _ Bailed _ Pumped _X Compressed Air Hours6l Yield _&_ gpm Depth Data Measure from land surface- static (sp ecify ft) / �G� Jlzc� During yield test(ft) '� ;"t Depth of completed well in feet c ©® Well Log If more detailed information descriptions or sieve analyses please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface v� Jo l cccd rock 7. _. .. If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type CapacityPy� Depth 4,20 Model VS1® Voltage n t~i HP Tank Type a-tr a Volume 270 0 Date W9 Comp ted Putnam County Certification No. Date of epoj 'q Well Dril ler (signature) NW: FAact location of well with distances to at least two permandht lajfdmarks to be provided on a separ sheet/plan. Well Driller's Name ► tJd i1 S Signature: Address: Date: White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 Jan 15 08 02:26p TOWN OF PRTTERSO 845 - 878 -2019 p.1 SAN -11 -2086 05:85 PM BARRY W NICHOLS 914 279 4567 P.e2 eRUCB R. TOLBY:•• L0RMTA`N0LNARJ`KM. M.S.N. ; �vblle Nreld� "Ov/dwv A•crookut MIR 886FA' Vecaar.•• • .. ... •. Ofiv'crcr F/ PWkRt f4rYiCll�•.' iWaTM ENT OF HEALTH 1 Geneva Road Brewster, New York 10500 • ¢attrosontsl Haltlt (DI <151►•dl!? Pa(D1d)l71.7D�i • Mvrsl�6�.- a�tDt�)srt.alsa .wtc {D1a }ita•4�7a .Pda(Dte)a1a•soa. . bari7'raur*io$oe'(91Ql7f • 014 ?ruA*0(F14)17'4M rut(914) r -640 B911 A11DRESS_ VER I SCATION FORM OWNERS NABS. _4:;-r"ti U.G( c1 . /Ca �t. i ►-�� _, r TAX MAY NVXBEFt: Z. � B911 ADnRtSS: TOWN: cL"ti r t•o>, R= TOWN 0MCIAU (Slgnaturc) DATE:: v The -Puts' sm" County Department 04 He'41th WiU not issue a Ceilif'cAte.of.' C0n3tructior Compliance unless the Above form is completed; I.e.; a legal--E911 address 19 asslgaed by an author ed town officlal. 'Phis form 1s to ba submitted wi. tb the zppkaeon for a Certificate of Cowtructlon Compliance, . • teD1►vER� • Harty W. Nichols Jr., P.E. VAV P.O. Box 252 -A Ay Brewster, NY 10509 Tel (845) 855 -9275 Date: i* 2-3 --(Jc , To: Job No.: r � Project q, rt fi.� (�v . l� . �. � t !�' �iSi rav►r 1, I � I �f Attention: -i ��({� �� e J ; l3 �: �� ht r J ; F. �i-� N c /U • , '�I MZ,L�c >r O� �'ICilyeZrlp� . Gentlemen: We enclose ( ) copies of RII-OW Prints O Reproducibles O Reports O Tracings O SSvecifications O Memorandum _ ❑ Copy of letter ❑ Description: Revision/Date No. c +? r �, lr is Pv : i' i�i��ice .- Sent Via: O Our Messenger O Blueprinter 0 First Class Mail O Special Delivery O Your Messenger O Hand Delivery O Copy to Very truly yours, P� Harry WN E SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Harry Nichols, P.E. P.O. Box 252 Brewster, NY 10509 Dear Mr. Nichols: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health January 17, 2008 Re: Construction Compliance for Ramirez at 815 East Branch Road (T) Patterson, TM # 24 -2 -34 This Department has received and reviewed the submitted application and plans for the above referenced project and the following comments are offered for your consideration. The well location is not shown on the as -built plan. ✓l. A survey plan showing the barn building is to be submitted. Upon completion of the above, this Department will continue its review. Kindly advise us if there are any questions. MJB:kly Respectfully, Michael J. Director of Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health -- LORETTA MOLINARI, RN, MSN Associate Commissioner of Health December 17, 2007 Harry Nichols, P.E. P.O. Box 252 Brewster, NY 10509 Dear Mr. Nichols: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Field Inspection — Ramirez 815 E. Branch Road (T) Patterson, TM # 24 -2 -34 The bedroom count was done today and there are no further concerns or comments. If you have any further questions, please contact me at (845) 278 -6130, ext. 2155. _ ...Sincerer JD:kly Environmental Engineering Aide Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 PUTNAM COUNTY DEPARTMENT OF HEALTH 12`e �- DIVISION OF ENVIROMVIENTAL HEALTH. SERVICES FINAL SITE INSPECTION Date: '1011a lo &=,-CE l I (mvcf 1 Owner erected by: Street Location _ Town T s Permit # Ps- O? -- d TM # - - Subdivision Lot # 1. Sewage Svstem Area a. STS area located as per approved plans .......... .. ................ . b.. Fill section - date of placement 3:1 barrier Lgth. Width . Avg.Dpth c. Natural soil not stripped ................ ...........:.................. d. Stone, brush, etc., greater than 15' from STS area.......... e. 1W from water course / wetlands ...... ............................... IL Sewage Svstem a. Septic tank size - 1,000 ........1, 250 .......... other ................ b. 'S eptic'tank installed level ................ ............................... c. 10' minimum from foundation ......... ............................... . d. Distribution Box 1. All outlets at same elevation -water tested ................. 2. Protected below frost ................................... I............. 3.., Minimum 2 ft. Original soil between box & trenches e. Junction Bog - properly set .......... ............................... 6. renc es 1. Length required A Length installed j 2. Distance to watercourse measured Ft.......... 3. Installed according to plan ........................................ ................. 4. Slope of trench acceptable 1/16 - 1/32" /foot ............. 5. 10 ft. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100 % ......................... 8. Size of gravel 3/4 - 1112' diameter clean ...................: 9. Depth of gravel in trench 12" minimum ................... 10. Pipe ends capped ........................ ............................... g. Pump or Dosed Systems 1. Size of pump chamber ....... :............. I......................... 2. Overflow tank .......................... . ... I .............................. 3. Alarm, visual/ audio ........:........... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffied .............................. ........... . ..... ...... 6. Cycle witnessed by H.D.estimated flow /cy e.. ....... DI House/Building '-� a.. House located er approved plans ................ .� —� ........ ........ b. Number of be rooms ......:. .............................:: IV. W ell Well located as per approved plans . ......:........................ b. Distance from STS area measured ft........... c. Casing 18" above grade ................ ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted ................... ............................... b. All pipes partially backf lied ........... ............................... c. All pipes flush with inside of box ... ............................... d. BacIcH material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dinto exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ........ :........................... i. Erosion control provided ................. ............................... Rev. 12/02 Imo•• • � • � •�•�� `I I� 0� MA-.' �w— WAI IVA WAKI 1AFN= ME EVAN';�, SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Harry Nichols, P.E. P.O. Box 252 Brewster, NY 10509 Dear Mr. Nichols: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 October 24, 2007 Re: Field Inspection- Ramirez 815 East Branch Rd. (T)Patterson, TM #24 -2 -34 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health The above referenced separate sewage treatment system can be backfilled. The following comments must be corrected in the field. _ .. _ . ..._._.... 1. _ Remove any large rocks at. top of system before_backfilling. _ 2. Call when ready for a bedroom count. If you have any further questions, please contact me at (845)278 -6130 ext. 2155. Sincerel JD:hn oseph Digit Engineering Aide .Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 OCT -22 -2007 10:21 AM HARRY W NICHOLS 914 279 4567 P.01 PUTNAM COUNTY DEPARTMENT OF REALTH DMSION OF ENVI ONMENTA1 EE,A►LTE SERVICES REQ.T 01 FOR EMAL ZISPECTIO For: Fill Date: 16 —1 Q -02 © <_ (3 -37 Trenches Lt's PCHD Construction Pennit # Located: v4 a (T) to's "Iel S Owner /Applicant Name: TM _ Block ...Z.— Lot Formcrly: �""" "- Subdivision Name: Subdivision Lot # Is system fill completed? Date: Is system complete? Date:. Is system constructed as per plans? Is well drilled? _ Date:-- [0-111 0-7 Is weal =located as per plans? Are erosion control measures in place? I certify that the system(s), as listed, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCHD Construction permit and approved plans and the Standards, Rules and Regulations of the Putnam County Department of Health. `� -bate: JCS �' „`+� � Certi£►ed by: � FE BRA D641gn Professional Address' Lic. # Comments: FOR: IJ ADAM 0 GENF, 01L, P0 1/41tt (NAME) Form Fitt -99 PUTNAM COUNTY DEPARTMENT OF HEALTH ION OF ENVIRONMENTAL HEALTH SE ST CES NSTRUCTION PERMIT FOR SEWAGE TREATMENT SY a PERMIT # Located at 61 S F q s�f ffi-cc. A R o,.aj Town or yahrg-e Subdivision name Subd. Lot # Tax Map Tfi llock Z Lot Date Subdivision Approved Renewal Revision '- Owner /Applicant Name M t, k S ;,;,T�/��1�► e z- y,Date of /Previous Approval Mailing Address Ca l,) �G �. c�.• 2 I �l/� 6k Al Y Zip 000 ov `0 Amount of Fee Enclosed 500 Building Type 4 Lot Area 1"T. No. of Bedrooms Design Flow GPD bCy Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1000 gallon septic tank and �`U o 4 Other Requirements: To be constructed by '7 ; B �1) Address Water Supply: Public Supply From or: _V Private Supply Drilled by Address Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Address R.A. Date 6,101 0'7-- License # APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered n essary by the Public Health Director. Any revision or alteration of the approved plan requires a new pq6nit. Approved discharge of domestic sanitary sews only. By: Title: Date: L4 —C)7 White copy - HD Fi ; Yell w py - Building Inspector; Pink copy - Owner ran py - Design Professional Form CP -97 AUG -14 -2007 10:44 AM HARRY W NICHOLS 914 279 4567 P.01 Harry W. Nichols Jr., P.E.' . P.O. Boa 252 Brewster, NY 10509 (845) 959 -9275 .8(1 d:z S k( loop. o p . TOO.,' Vtt;k, C��. INGOr �� From Faac• L 7 6 - % P�gMSS a , Ghana' DAN' TS` CC!* 13-urge Eww RrAew E3 Ple=* Commag Plom@ R&W iJ Pkme Reryr:i� ' e froenmotatsr . C r 0c e yr . ,+ .. is ', �' •. AUG -14 -2007 10:45 AM - - - ` ' - -- . . - - HARRY W NICHOLS 914 279 4567 P.02 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL- COMPLETION REPORT Well Location Street Address: " "`� %� Q.St,Bli9hC�i T wnNillage: Tax Grid # Map Z-4 Block ;2,- Lot(s) Well Owner: Name: Address: NEI C41-1041C Use of Well: 1- primary 2-secondary Residential . Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary _ Cable percussion Compressed air percussion Other (specify) Well Type Screened _ Open end casing Open hole in bedrock Other Casing Details Total length Lft. Length below grade ft. Diameter _in. Weight per foot lb /ft. Materials- _ Steel —Plastic _ Other Joints: _ Welded Threaded — Other Seal: Cement grout_ Bentonite Other Drive shoe: Yes No Liner: Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yas_„_No Hours Second Well Yield Test _ Bailed _Pumped -X Compressed Air Hours6l Yield _&_ gpm Depth Data Measure fmrn IvW su amvscat c (spo4 M Aut During Acid tost() '�7pot NpUi o comp et we m eet 500 Well Log If [more detailed information descriptions or sieve analyses are available, please attach. De th From Surface Water Bearing Well wameter(ie) Formation Description ft. ft. Land Surface imr44 Soil �j If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Capacity • Al Depth 4,W Model �%Q Voltage 0 HP Tank Type alr'tj Volume _6j2Zy4L jJ*A ATO D dl MW a mp to 7�qI foam only ert� cn 1 o, 007 Oak, h epp d' -767 Well r er s gmturo A O�t nt.n-L: react tocauon or wets wtm aistances to at least two permanent lartamarxs to De provtaeo on a separap sneettpian. Well Drilizes Name Al. +,56,h Address. 1 e � ' /, 49 Signature: . I Date; 7 White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 Harry W. Nichols Jr., P.E. P.O. Box 252 Brewster, NY 10509 Tel (845) 855 -9275 August 13, 2007 Putnam County Health Department 1 Geneva Road Brewster, NY 10509 ATT: Michael J. Budzinski, P.E. Director of Engineering RE: Proposed SSTS — Ramirez East Branch Road Patterson, N.Y. T.M. #24. -2 -34 Dear Mr. Budzinski: In response to your August 13, 2007 review letter, we note the following: 1. The existing well serving the existing barn is a drilled well and has been labeled on the plan. D2. Milton Hyatt, the well driller, is currently researching his files for the original well log and a copy will be forwarded to the PCHD. 3. Note added to plan stating the water quality of existing well to be tested in accordance with Section 6.3 of Bulletin ST -19. 4. Enclosed is a copy of the Land Development Permit #2 -1206, dated December 18, 2006, as issued by the Town of Patterson Planning Board, permitting agency for local wetlands. Reflecting the above, enclosed are five (5) prints of Dwg. SS -1, "Proposed SSTS," revised 8- 13 -07. Kindly review the enclosed at your earliest convenience and should you have any questions, please call. Very , ly yours, Harry W. Nic is Jr., P.E. HWN:his 06- 037.00 cc: Mr. S. Ramirez w /enc. SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA'MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 August 13, 2007 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Harry Nichols, PE P.O. Box 252 Brewster, NY 10509 Re: Proposed SSTS for Ramirez at East Branch Rd. (T) Patterson, TM #24 -2 -34 Dear Mr. Nichols: This Department, in conjunction with the NYCDEP, has received and reviewed the submitted application and plans for the above referenced project and the following comments are offered for your consideration. v 1. Please indicate the type of construction (i.e. drilled or dug) for the Existing well. 2. Please provide awell.log for the existing well /S. A note is to be added to the plan stating the existing well is to be sampled for water quality in accordance with Section 6.3 of Bulletin ST -19: A copy of the issued Town Wetland Permit is to be provided to this Department. Upon completion of the above, this Department will continue its review. Kindly advise us if there are any questions. MJB:lm Respectfully, Michael J. Bud;Anski, P E Director of Endineerine Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 W PLANNING DEPARTMENT P.O. Box 470 1142 Route 311 Patterson, NY 12563 Melissa Brichta Secretary Richard Williams Town Planner Telephone (845) 878 -6500 FAX (845) 878 -2019 Date: December 182 2006 Permit is hereby issued to: .Location of work: TOWN OF PATTERSON PLANNING & ZONING OFFICE LAND DEVELOPMENT PERMIT TOWN OF PATTERSON P.O. Box 470 1142 Route 311 Patterson, New York 12563 Samuel J. Ramirez 61 Broadway New York, NY 10006 815 East Branch Road Tax Map No. 24. -2 -34 Permit #2 -1206 ZONING BOARD OF APPEALS Howard Bu=utto, Chairman Mary Bodor Marianne Burdick Martin Posner _ -- Lars Olenius PLANNING BOARD Herb Schech, Chairman Michael Montesano David Pierro Shawn Rogan Maria Di Salvo To conduct work as follows: Construction of a grass (polo) field, an outdoor riding ring, an indoor riding ring and a horse barn in accordance with the Erosion Control Plan prepared by Harry W. Nichols Jr. P.E. dated October 11, 2006 and last revised on December-4,2006. GENERAL CONDITIONS 1. All work shall be performed in accordance with the requirements of Chapter 133 and the Town of Patterson's Technical Standards including the New York State Stormwater Design Manual and New York Standards and Specifications for Erosion and Sediment Control. 2. The applicant or developer ofthe land development activity shall at all times properly operate and maintain all facilities and systems of treatment and control (and related appurtenances) which are installed or used by the applicant or developer to achieve compliance with the conditions of this permit. Facilities and systems shall be LAND DEVELOPMENT PERMIT December, 18, 2006 Mr. Samuel J. Ramirez Pagel of 2 f maintained as provided by any plans or stormwater pollution prevention plans approved -by this permit. Where no such documents have been prepared Arid approved, any facilities or systems shall be maintained in accordance with Chapter 133 of the Town Code and the Town of Patterson's Technical Standards including the New York State Stormwater Design Manual and New York Standards and Specifications for Erosion and Sediment Control. 3. The Permit Holder shall notify the Town Planner in writing, at least five business days in advance of the Date on which project construction is to begin. 4. Right to Inspect. The permittee shall allow the Town Planner or other authorized representative of the Town of Patterson charged with the administration or enforcement of Chapter 133, upon the presentation of credentials and other documents as may be required by law, to: a. Enter upon the permittee's premises for which a permit has been issued or regulated activity is located or where records must be kept under the conditions of this permit, b. Have access to and copy at reasonable times, any records that must be kept under the conditions of this permit; and C. Inspect at reasonable times any facilities or equipment (including monitoring and control equipment). 1. Prior to beginning work in Phase 1, Temporary Sediment Trap A and the swales for Phase 1 shall be installed and stabilized: prior -to beginning work in Phase 2; Temporary Sediment Trap C and the swale for Phase 4 swale shall be installed. � W4.0 ISSUED BY: Richard Williams Sr. PATTERSON TOWN PLANNER cc: Environmental Conservation Inspector Town Engineer Codes Enforcement Officer LAND DEVELOPMENT PERMIT December 18, 2006 Mr. Samuel J. Ramirez Page 2 of 2 SHERLITA AMLER, MD, MS, FAAP - -- Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Harry Nichols, P.E. Patterson Park, Ste 106 P.O. Box 252 Brewster, NY 10509 Dear Mr. Nichols: ROBERT J. BONDI - - — County Executive , DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 RE: Ramirez 815 East Branch Road (T) Patterson, TM # 24 -2 -34 East Branch reservoir Basin ROBERT MORRIS, PE Director of Environmental Health July 25, 2007 The Putnam County Department of Health. (Department) has determined that the above referenced application, including fee, and revisions received by this Department on July 24, 2007 is complete. The Department will notify you.by August 13, 2007 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. ❑x 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 originMly, 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 approved, subject to standard terms, and conditions as set forth in the regulations. Please be advised that projects within the NYC Watershed may also require Department of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and.the project applicant should contact the - 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 (845) 278 -6130 ext. 2148. MJB:kly Re pectfull , Michael J. udzi ski PE Director o Engin ng Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health ;LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health TO: DEPARTMENT OF ENGINEERING AND DESIGN REVIEW DELEGATION STATUS FOR SUBSURFACE E - SEWAGE TREATMENT SYSTEM PROGRAM JOINT REVIEW PROJECT: �7-�l�%161�� BI� �=a4'7 &w)0— q—, TOWN:� SUB'D APP DATE NOTICE OF COMPLETE APPLICATION: DATE: 7" Z,� ^-Ol ❑ Within the drainage basins of. West Branch, Boyds Comer Reservoirs or Croton Falls. ❑ Within 500 feet of a reservoir, reservoir stem or control lake. l Within 200 feet of a watercourse or a DEC wetland and appearing on a _subdivision map approved after December 31, 1992. ❑ Design flow greater than 1000 gallons /day. ❑ Commercial SSTS. jtreview• Environmental Health (845) 278 -6130. Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 O Go -o 3.7 PUTNAM COUNTY IDEPA.RTMENT OY HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES; DESIGN-DATA. SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner ►-, Q u.�, �G{ ls� • R ��� Address i 11 oa !� AI Located at (Street) c Tax Map Block 2 Lot 3 .(indicate nearest cross street) Municipality Watershed C v-,0 0 �, SOIL PERCOLATION TEST DATA Date of Pre - soaking 2 Date of Percolation Test o 7, .:.•:: •......:... r:.r.{.. �:::: v } >x } }Y- } }i'r}}:. r... r......... ::4Y.!4;:::::.. • .. n:: {::::lr...:: n.. r.}i:9 { }::::: ;.•.•:: • �.: }': •: � } }• {; }v' .v.. .... 'u' yi;:;:'•, .... rv::: - .::..: •.. ......... u., r......r. �::. � :::::.:.:.....: rr:.�::.c•..::...:::::.:::.: n•r.:...: r. n..v: }: w:::: r.....n....: .. ... •: { \...,. ... n....,n..... ..... n.. n.. r..... .... .rr ... r ...................... .. . .. r:• }>y?}i •: }... : ........:....:... •;:,;} }:a;•:- - ....,.......r........ r....... ......... .: ............... .... r:. ., ...:................. ...,..... rr. ... p :...::v: ...... :::. j:} '. . :x' }. ....w:.....r ... .. .. • .,.:.::.: ..:......:.,.., {:3 ::.:..::.:::. .. . }':: {.: :::.....� > }�: >:..... G .. , } }...:..: ... �'e':�{ir�ai�a • ..:..........::. ..:::::.�:;:: .:::::: �.�.: ... :' ? }.:ii::: 4:Vn :: v:.:. v: :•.�.r i. {v:rr 4: {: r. ..• . }.;. ':rYv. S >:.l,,: •r :::.::::.... .... {. >•. }} { ; {::r..:r:::.:,.,...;....:r:... ...... rf ce:....nc es .. XXX r% ... tart....:5 t 1 101.0 - (0. 3 a ` l q 3 'l:.�t3 - 1�1:� G Ibis `' •��� 3� • 4 .5 .. 1 10 :14" to;2 1 f zoo, 23,,. 3 ,, 3.7 z3u _...3.1� -... 3,7. 3 ta! 47 - /O: S'8 t j 20!' 23 3 317 4 2 . /. 4,0. 3 16!- 49 -11: v I7 19 22-1 3'' S,7V . - 4 2j- NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test'hole. (i.e. s 1 min for 1 -30 min/inch, s 2 minfor 31 -60 min/inch) All data to be submitted for .review. 2. Depth measurements to •be•made from top of hole. f s 1 r '' Form DD -97 1 L'.J 1 rl l Lx l Li: L DESCRIPTION OF' SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO'. HOLE NO S HOLE NO. Cp G.L. - - 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' - . - 4.5' ' 5:0' 6.0' 6.5' 7.0' . 7.5'. 8.0' r s:s' Nd 9.5' P� . 10.0' t..__ Indicate leveLat which groundwater is encountered: Indicate level• at which mottling is observed e__ _ Indicate level to.which'water level rises after being encountered ce, .Deep hole observations made by: �) vs� 0c, y, ay 40--.7-1-0-7 Design Professional Name: Address: Signature Design Professional's.Seal No %124 A�QF rSSIflNPi 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: /9/l 21'atIm R cc 2. Name of project: 4. Design Professio 6. Drainage Basin: top04-, V a z - G•c_ e._i - 3. Location T/ nal: 5. Address:,i f ,rat Kc:L►v� J! 7. Type of Pro' ect: Private/Residential Food Service Commercial Apartments institutional Mobile Home Park .Office Building. Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review -(SEQR)? . Type Status (check one) ....................... .......................:....:.. Type I Exempt . • Type II Unlisted ' 9. Is a Dtaft Environmental Impact Statement (DEIS) required? .............................. .10. Has'DEIS-been completed and found acceptable by Lead*Agency? ............... I L Name of Lead Agency 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? f-sDate granted: ► 3-� (�1 _U . 15. Type of Sewage Treatment System Discharge .......... :...... surface water groundwater 16. If surface water discharge. what. is the stream class designation? .................... 17. Waters index number -(surface) .... , ............ . ......................:.....:.. 18-. Is project located near a ................. ublic water su PP s stem? ............ 19. If yes,'name .of water. supply N Distance to water supply ----- 20. -Is project-site-near a public sewage collection or treatment system? ......:::::..:. 21. Name of sewage-system �1%/ -�- Distance to sewage system - f 22. Date test holes observed 5.23- -c7? 23. Name of Health Inspector 24. Project design flow (gallons per day) ................................. ............................... _ 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?:.. NO 26. Has SPDES Application been submitted to local DEC office? ......................... Form PC -97 2 -27. Is any port ion of this project located within a designated Town or State wetland? A/0 28. Wetlands ID Number.:....... ...::............:...:........................... ............................... U �- 29. Is Wetlands Permit required? .... ........................................... ............................... AJO . Has application been made to Town,or Local DEC office? .:....................... 30. Does project require a DEC Stream Disturbance Permit? .. ....:.......................... 31. Is or.was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfllin g� 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 'DESCRIBE: . 33. Is.there a local master plan.on file with the Town or Village.? .:............. �e 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 -area's in. excess of 15% siope? J V G 36. Tax Map ID Number ....................... ........................ ............ Map Block Lot .-3 37. Approved plans are to be. returned to ..... Applicant 1,,"" Design'Professional N&T :.All applications. for review and approval of anew SSTS to be located within the NYC. Watershed shall . - be sept 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 ofa project, such as stormwater plans or the creation of impervious surfaces; and the project applicant should obtain the appropriate forms for such activitt from, DEP and submit those forms to DEP for review and approval. :..:'.. , iz -1 rr If the application is signed by a person other than the applicant shown in Item �1.,the application must ,, be accompanied by a Fetter of Authorization (Form LA -97). Failure to comply -with.this proms sioir C� may be grounds for the rejection of any submission. I hereby affirm, underpenalty of perjury, that information provided on this form fis ttig , 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. SIGNATURES, & OFFICUL TITLES: .e� JQ, r �A o 2_ Mailing Address:.... ......... .. ..................... SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN- -- Associate Commissioner of Health July 12, 2007 Harry Nichols, P.E. Patterson Park, Ste 106 P.O. Box 252 Brewster, NY 10509 DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health RE: Application to Construct a Subsurface Sewage Treatment System Ramirez — East Branch Rd (T) Patterson, TM # 24 -2 -34 Dear Mr. Nichols: The Putnam County Department of Health: (Department) has determined that the above referenced application, received by the Department on July 10, 2007 is incomplete. Please be advised that the following information is :required before the Department may commence its review. The parcel plan at 1" = 500' is illegible. Please submit a parcel plan at a larger scale which is legible. ✓r The location of the NYSDEC wetland boundary is to be shown on the plan. The submitted Short EAF indicates a NYSDEC permit is required. Please indicate the type of permit required from the DEC. The review of your application will commence once the Department receives the requested information and determines that the application is complete. The Department will notify you within 10 days of its receipt of the requested information as to the completeness of your application. Please be advised that failure to submit information to the Department or to follow procedures is sufficient grounds to deny approval, pursuant to the New York City Department of Environmental Protection Watershed Regulations and Putnam County Department of Health regulations. Should you have any questions or care to discuss this matter, please contact me at (845) 278 -6130 ext. 2148. MJB:kly Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 I'm (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 •a PUTNAM COUNTY .DEPARTMENT OF HEALTH . DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of Located at TX_ Win Tax Map # Block 2— Lot 3 Subdivision of Subdivision Lot # Filed Map # Date Filed Gentlemen: This letter is to authorize /4avey W I v i c,4cl I a duly licensed Professional Engineer 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 provisions of Article 145 and/or 147 of the Education Law, the Public Health Law; and the Putnam _ganitary Code. . C. Countersi i P.E., # Mailing Address t' tffoS uW h�cus �e-r State �� Zip 6 Telephone: _ �� �- �' ' – 172-7 Very tru Signed: Mailing Address: State N I �; Zip / o oo & Telephone: Form LA -97 July 24, 2007 Putnam County Health Department 1 Geneva Road Brewster, N.Y. ATT: Michael J. Budzinski, P.E. Director of Engineering RE: Proposed SSTS – Ramirez East Branch Road Patterson, N.Y. T.M. #24. -2 -34 Dear Mr. Budzinski: Harry W. Nichols Jr., P.E. P.O. Box 252 Brewster, NY 10509 Tel: (845) 855 -9275 In response to your July 12, 2007 comment letter, we note the following: 1. Enclosed are five (5) prints of Drawing EC -1, "Erosion Control Plan," revised 6- 27-07, .at a scale of 'l " =100'. This plan reflects the survey located NYSDEC regulated wetlands and local wetlands. 2. See 1. 3. The reference to a NYSDEC permit is in regard to conformance with the requirements of GP- 02 -01. The SWPPP has wet those requirements. We trust the enclosed has addressed your concerns and should you have any additional questions, please call. Very truly yours, Ha W. Nicho� Jr., P.E. HWN:his 06- 037.00 July 9, 2007 Putnam County Health Department 1 Geneva Road Brewster, New York 10509 ATT: Joseph S. Paravati, Jr. Assistant Public Health Engineer Re: Individual SSTS — Ramirez 815 East Branch Road Patterson, N.Y. T.M. # 24. -2 -34 Dear Mr. Paravati: Enclosed are the following: Harry W. Nichols Jr., P.E. P.O. Box 252 Brewster, NY 10509 Tel: (845) 855 -9275 1. Five (5) prints of SS -1, "Proposed SSTS ", dated 6- 28 -07. 2. "Short EAF ", dated 6- 28 -07. 3. "Application for Approval of Plans for a Wastewater Disposal System" 4. "Construction Permit for Sewage Disposal System ", dated 6 -8 -07. 5. "Design Data Sheet ". 6. "Letter of Authorization ". 7. Two (2) copies of Residence Floor Plan(s), for "Bedroom Count Only" 8. Review Fee in the amount of $500.00. We would appreciate your review, approval and issuance of the Construction Permit at your earliest convenience. Very truly yours, Harr6W. ic s Jr., P.E. HWN:gav 06- 037.00 1446.4 (9/95) —Text 12 PROJECT I.D. NUMBER .617:20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant or Project sponsol) SEQR 1. APPLICANT /SPONSOR 2. PROJECT NAME 3. PROJECT LOCATION: Municipality &-1:±_-'y5 oil County U+ "-.Ct tit 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) rct 5. IS PROSED ACTION: IEGI New ❑ Expansion ❑ Modlticatlontalteratlon 6. DESCRIBE PROJECT BRIEFLY: �zkp `� �J`�YLI �D � �•1.C�I L �lC. ' � rJ r�i �C..�•J� �K(,s�i Y'aC��►'i ��ClC.�i�hL J . 7. AMOUNT.OF LAND AFFECTED: ZO a"U Initially acres Ultimately acres a. WILL pROPOSED ACTION COMPLY WITH EXISTING ZONING OR -OTHER EXISTING LAND USE RESTRICTIONS? Yes ❑ No It No, describe briefly 9. WHAT I PRESENT LAND USE IN VICINITY OF PROJECT? Residential ❑ industrial ❑ Commercial ❑ Agriculture ❑ ParkfForestlOpen space '❑ Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE � OR LOCAL? }� /� L(QYes ❑ No It yes, list agency(s) and permitlapprova13 P "' � ah /3 4" � j i "ke 1✓ c Plw44 "V I 11. DQM ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL7. . JJYes ❑ No If yes, list agency name and permitlapproval i /� �iwK �l �0 vj �ti'iJ 12. AS A RESULT OF P SED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE �u L411 r O ADplicantlsponsor name: ✓ Date: Signature:- u 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, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife apecles; 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? l xpfitaih�6t'Iefly C5. Growth, subsequent development, or related activities likely to be Induced by the proposed action? Explain briefly. �0 < C6. Long term, short term, cumulative, or other effects not Identified in C1-05? Explain briefly. _7 . Ct7 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 RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes ❑ No if Yes, explain briefly PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it insubstantial, large, important or otherwise significant. Each effect should be assessed in connection with Its (a) setting (i.e. urban or rural);'(b) probability of occurrift:(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 inforniation 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 Response e O icer in Lead Agency Title of Responsible Officer Signature of Responsible Officer. in Lead Agency Signature of. Preparer (It'different from responsible officer)- Date 2 I; SRERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 REQUEST FOR FIELD TESTING 0� -U37 ROBERT J. BONDI County Executive All information below must be fully completed prior to any scheduling. DATE: -f '24 —G ENGINEERING FIRM: �lawiq I Ali c, PHONE #: PERSON TO CONTACT: a�n. .NEW CONSTRUCTION O REPAIR PROGRAM Q ADDITION PROGRAM. REASON: DEEPS: PERCS: PUMP TEST: 0 ROAD /STREET: 8/5-- F Ls+ ,(Jl -,cv 4 /& TOWN: Pal � -�o� ��� TAX MAP #: 2d —2 -3� SUBDIVISION: LOT #: OWNER:_�� k ? �� g vt.► o �e.Z NYCDEP CRITERIA FOR JOINT REVIEW AND WITNESSING:OF SOIL TESTING YES 0' A�i�tC���urc•` S',i'u$'Xc„h�`�ivh. 0 Proposed SSTS within the drainage basin of West Branch or Boyds Corner & Croton Falls Reservoirs. ❑ o Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. ❑ ❑ Proposed SSTS within 200 feet of a watercourse or a DEC wetland. p ❑ Proposed SSTS design flow greater than 1000 gallons /day or SPDES Permit required. ❑ ❑ Proposed SSTS for a Commerciai Project. It is the responsibility of the design professional to ,provide the above information prior to soil testing. The Department'will determine the NYCDEP-project status (Joint or Delegated) based on the response. If you answered ves to any of the questions, NYCDEP must witness the soil tests. This Department will coordinate a mutually suitable time for field testing with the Design Professional and NYDCEP. 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 tests, it will be the sole responsibility df -the design professional to schedule re- witnessing of the soil testing with NYCDEP. FOR COUNTY USE ONLY pnw5a ur 0 A@W& 3. 3u PM DATE: TZM: or e• f'e:us.G t ©M" 1 olel 5/io COMMENT REQ. FOR FMLD TMTINO:KLY Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (843) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 PUTNAM C OUNTY DEPARTMENT OF HEALTH, DMS101,q OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET SUBSURFACE SEWAGE TREATMENT -SYSTEM - �ti Owner 2 Address Located at (Street) f7vixi Tax Map Block Lot dicate nearest cross sireet). 1/vIlaw A-A) Municipality Watershed rZA-W it SOIL PERCOLATION TEST DATA Date of-Pre-so Pre- soaking Date of Percolation' Test 5;" 0 ArwFvi%Lru AV same QCPM unui approximarmy equal percolation rates are obtainea at each Percolation test hole. (Le. k I minfor 1-30 min/imch, s'2 min for 31-60 minlinch) All data to be submitted for review. ...L ..L. . ... I . . . I I . . . . ... . I I... . . ..subm 2.- Depth measurements to be made from top of hole.' Form DID-197 .1h,400 RAW", N.Nq. . . . . . . . . . . . . 2 1". 09 jfj, jj 3- 3- 3 4a:,g� ,; :.. tip" 9 , _ a .3 to 0.1- if X 05 as. ram. 2 3 4 5 3 0 ArwFvi%Lru AV same QCPM unui approximarmy equal percolation rates are obtainea at each Percolation test hole. (Le. k I minfor 1-30 min/imch, s'2 min for 31-60 minlinch) All data to be submitted for review. ...L ..L. . ... I . . . I I . . . . ... . I I... . . ..subm 2.- Depth measurements to be made from top of hole.' Form DID-197 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DES N DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner A i IJ. < �p Address nJ ,a, Located at (Street) = Tax Map Block _ Lot �t1L (indicate nearest cross street) (� r Municipality �:5+��,\,� SOIL PERCOLATION TEST DATA Date of Pre - soaking Date of Percolation Test NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from.top of hole. Form DD -97 1 14 , 01 •- 16 3� to" 213��„ 2 -. t1:4 30 I s� 3 " 3o ao _ �t ►` I 30 4 5 ; 2�. L 3. 5 r� 2 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from.top of hole. Form DD -97 DEPTH G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0'. 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' 10.0' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. HOLE NO. HOLE N0. Indicate level at which groundwater is encountered(�� Q Indicate level at which mottling is observed lsayL2 Indicate level to which water level rises after being encountered Deep hole observations made by: Date �7 Design Professional Name: Address: Signature: Design Professional's Seal K 1 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF -ENVIRONMIENfAL HEALTH SERVICES INITIAL INDIVIDU /COMMERC SITE INSPECTION FORM SECTION A. GENERAL INFORMATION Name of Project "�'n' '''�"Z P&44�ol- Coun J �) t3' Site Locatiori * r6,V1 r A fiyo �' Building construction begun - 5 Extent���'"n -- Is property within NYC Watershed ? ................. ,Yes No / 9v-i�cv(,Iv�. SECTION B. TOPOGRAPHY (Please check all appropriate boxes) ILa 't-L✓ ;;.a. l . '101y ' . Rolling Q Steep slope Gentle slope Flat ' " 2. Evidenc6 of wetlands a Low area subject to flooding a Bodies of water. *: Zb.rainage ditches Rock qutcrops - 3. Property lines or comers evident ................. ............. =Yes No 4. 'Do water courses exist on or adjoin the property ............................. Yes No 5. Will fihese affect the design of the sewage system facilities ?......... ..... Yes 1,;o 6. Do watershed regulations apply in this development ? .................: Yes ' No��� 7 Will extensive grading be necessary? ....... ........................ .. ............ :.. 0 Yes No vo 8. Will extensive fill be necessary for SS' T. S? ..... ............................... Yes - No' 9. Do filled areas exist within the SSTS area? ........ .................:......:.:.... Yes . No If yes, what is the condition of the fill? a SECTION C. SOIL OBSERVATIONS 10. Appearance of soil: Sand Gravel T5' Loam Cla .'=Hardpan fixture PP Lam` � y p 11. Observed. from: a Borings Q Bank cut Backhoe excavations 12. Soil borings /excavations observed by l�aw . on Lo ' S *tom 13. Depth'to groundwater on. .14. Depth'to mottling on 15. Are test holes representative of primary & reserve areas ...... ................. ............... ;ZIYes No 16..,Soil percolation tests made by a lU iG y�S on 17. Soil percolation tests witnessed by n, �Cail� on SECTION D (on back) Form ST -1 F-1 SECTION D. DRAINAGE 19. Will proposed grading materially alter the natural drainage in this or adjacent areas? Yes No 19. Will groundwater or surface drainage require special consideiation? ..................... 7 yes L,2No F 20. Will gullies, ditches, etc.-, be filled and watercourses be relocated? ........................... F7-yes F210 SECTION E. REMARKS 21. If a co=on water I supply is proposed, has an inspection been made of the existing or proposed source and facilities? ........................................... U Yes Q No Inspection data 22. Do adjacent wells and/or sewage systems exist? ...................................................... . TsYes Q -No 23. Additional comments 24. Site observer/inspector and title 25. Date(s)-of .cibservation(s)inspe6tion(s) 5-13-1 ':�/-;3 TEST PIT PROFILES 19�Al Hole 4 Lot # -Hole 4 'Lot # Depth to water P� JA - Depth to water N 4 f Depth to mottling Depth to mottling 5 Depth to rockrimp. Depth to rock/imp. Hole 4 3, Lot fr Depth to water - Al LX Depth to.mottling 4 I.' Depth to rock/imp. G.L. G.L. 0.5 .0.5 / 12 1 1.0 Aoki 1.0 2.0 2.0 v a 3.0. 7- F 3.0 4.0 4.0 no 5.0 7 5.0 -PAm kNCY 6.0 Y* 6.0 7.0 L"') if .,L S'o 8.0 'A 9.0 WIN 5 7TY 2'.0 3.0 4.0 5.0 .111 7.0 9.0 10.0 10.0 10.0 J "U414 DR r J �n 12563 °, MOUrt ak \a' Is _W CT � I%,. m ►[7 YATES pP �lob 'q� 2 rn UAN — , KENUq h XENIA V NIC s m 3 &AW ehm . 164 6 C J - SRS 0 2 O PE !{µlE 1C`F. p9 TT Q i1 YOUNG Q x )r y RED alnes cc Corners e s oO 9 24 �F • C! t tE ° P z o 0 � > �, � �IpNpRY LA cc DN ° d►:� F /",.,c t . wog co sta 7 - R FOR ADJOINING AREA SEE MAP NO. 13 19 -- �E � ! _ (w D D ld •' 2 -c N m W m Y- 3 cn D D T m n 0 4t D D O to m 68 s ph. 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I I ... � I . . . . + 372400 PATTERSON i.iva.i., a "ivUl�UUl'1L1V1 11VuV1111 lltilz V0/L1 /LUU7 SCHOOL BREWSTER CENTR ROLL SEC TAXABLE PRCLS 117 HORSE FARM TOTAL RES SITE 1 24. -2 -34 * *TAX CODE SPLIT TOTAL COM SITE 815 EAST BRANCH RD ACCT NO = OWNER & MAILING INFO === I =MISC I== = = = = == = = = = == ASSESSMENT DATA = __________ COLONIAL RIVER.FARMS INC IRS -SS I * *CURRENT ** - RES PERCENT C/O MIKE CARBONE 1 1 (LAND 168,500 * *TAXABLE ** 28 LAWRENCE AVE I BANK ITOTAL 614,500 COUNTY 474,325 BEDFORD HILLS NY 10507 * *PRIOR ** TOWN 474,325 1 ILAND 168,500 SCHOOL 474,325 1 (TOTAL 579,478 == DIMENSIONS === 1= = = = =_= SALES INFORMATION ACRES 127.82 IBOOK 907 SALE DATE 00 /00 /00 FRONT 1461.00 (PAGE 00231 PR OWNER =======TOTAL EXEMPTIONS 1 _ _________ _ _ _1 == TOTAL SPECIAL DISTRICTS 2 CODE AMOUNT PCT INIT TERM VLG'HC OWN .CODE UNITS PCT TYPE VALUE 41730 140,175 05 H IFDO08 IRGO03 1.00 F1 =NEXT PARCEL F3 =NEXT EXEMPT /SPEC F4 =PREV EXEMPT /SPEC 75.10- 03 -050 F6 =G0 TO INVENTORY F9 =G0 TO XREF F10 =G0 TO MENU 9,t4 p 0- PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Ao-m, if-2 --Address Located at (Street) gj� ja.s�-: Balwi, _4A_iA Tax Map Block Lot (indicate nearest cross street) 6ravu_� Municipality ✓ Watershed SOIL PERCOLATION TEST DATA Date of Pre-soaking 'Date of Percolation Test NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 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 ... ........ . ....... depth e r Water .... ..... N ..... . ....... ..... .... .... No .. ......... ...... T t ..... Ufa �e Time ::,. From ncBes) *Run Brop )la Rate ...... ........ Afti ... .. ...... .... Stogy R9 �es M�njInch 0-) 3 2 3 4 5 � 1 0:03 _/o,' 31 as 1,9so'- 2 3 4 I ^JA 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 glrf I)PI"J TEST PIT DATA 2 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. �j HOLE NO. HOLE NO. G.L. — ay —A 0—& 0--1 0.5 L( 1.0' _ 1.5' �'�' %iD ILe.c��`�' gq 2.5' 7 3.5' G°ul �` Y " by 4.0' 4.5' ptr 5.0' 05 51 7.5' k 8.0' 9.0' 9.5' 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 Deep hole observations made by: Design Professional Name: Address: Signature: Design Professional's Seal Date PUTNAM COUNTY. DEPARTMENT OF HEALTH IVISION OF ENVIRONMENTAL HEALTH SERVICES _ D_ ESIIJGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner vr. %.rte 2 Address Located at (Street) �� i�/� -4- Tax Map Block Lot (indicate nearest cross street) At�~�) Municipality Watersheds--ti-L- C�I.�Ynr 1F i 5 •Prr.n.C� SOIL PERCOLATION TEST DATA w%I ray Iv1�-A-Cs Gsp Date of Pre - soaking 1.2d-lo -7 Date of Percolation Test s 2.r :3w 7 P.q�� i"y iG ,Ay dr�.y4 3 ® l �`- 19.as.. I.S �- 2 I � 3o 4 5 101 Q7 -3 2 3 c� p_ ; sX 1 ao 3 �. 3 3 -� 4 5 i � � a 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be•made from top of hole. Form DD -97 Indicate level at which groundwater is encountered Indicate level at which mottling is observed Indicate level to which water level rises after being encountered Deep hole observations made by: Date Design Professional Name: Address: Signature: Design Professional's Seal TEST PIT DATA 2 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES gam_ _ DEPTH HOLE NO. HOLE NO. HOLE NO. G.L. _ t), 31 CT,,,t - 0.5' D c���`c � 1 r) 1.0' - 1.5' 2.0' Wig•- �-es-i N � � �. �,y;'. r. 2.5' 3.0' - ✓tom+^ -- `7 ►''w 3.5' Nl� 4.5' 5.0' 5.5' 6.0' 6.5' 7.51. .:..� 8.0' 8.5' 9.0' 9.5' 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 Deep hole observations made by: Date Design Professional Name: Address: Signature: Design Professional's Seal NP V 44I�F Fr-s rtrrru a. -Cym) It _- - - - - -- rrrrrrrrttr MT71111 A '40 - - - tit I 77--- immt( ((((T( I it mulbollimill . It 1111 I'll imm it VT \�y o" -ci-lo rryklrf "fit D 12 D.- 13 E-i3 . E79� .............. 1 2� sric tit It( altl000 E-3 . `\ � r. � '' 11 .111 �9 \` � \ �' ®` \\���� i Atc-inw- E-4 1 i / \- 1` \\ ` �` �`` .. „rp;1: VII �- Nolm- 174 - - - - - - - - - - -7 1 PROI TA S I Polo 0 .Hate, Nolen It 54-h DIMENSION CHART (in feet) Number A g I 4o. 0 3g .0 Z coo. 0 83.0 3 112.0 130.50 4 110.50 133.50 5 121 . 50 1 9-7 . o co 126, . 0 140-0 7 131 .O 144.0 8 13x0.0 145.0 9 142.0 152.0 10 141.0 156.0 II 153.0 161 .O 12 158.0 IG5.50 13 IG4. 0 110.0 14 IG9.0 175.0 15 154.0 149.0 IG 141.0 143.0 17 141.0 138.0 18 134.50 132.0 19 128. O 127. O 20 122.0 121.0 21 IIG.0 11r0.0 22 109.0 110.50 23 109.0 IOG.O 24 97.0 101.0 25 91.0 56.50 2Co &C o. O 92.50 i