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Home My WebLink About1213DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.63 -1 -33 BOX 12 01213 IN 1111 mile 1 1 IN 16 el 166d k. I f IP..r , r ' IN J61 ,; JON rr ka 01213 l••t?•+Y,,..l r•.� I4�Y ..+[��n SaW t t4� ?+,v r�` H �� :1n �y lr.4•�, 1 .... '�'Q'°fi. � t. 1W PUTNAM COUNTY DEPARTMENT OF :HEALTH - -- - -- DIVISION._0,F:.E.NVIROV. NTAL I LTH SERVI _ CERTIFICATE OF CONSTRUCTION COMPLIANCE F. ATMENT SYSTEM PCHD CONSTRUCTION PERMIT # ` 3 (o " y 1 Located at �D 4 A 7ES _D 2AV E Town or Villa e PA 1 VC S o 0 Owner /Applicant Name CTI o Lk A COS. (64- 6 4TC[ax Map 3 lock Lot T- Formerly Any Subdivision Name FAA. q4W 4q Subd. Lot # a;_ Mailing Address 4& 5 l� �.I btl�% YCD . $ 2cw s Te. } m y Zip 10 50 Date Construction Permit Issued by PCHD 8 IZ2- `C)� i Separate Sewerage System built by J;�Mf,_,S 6,46L I dU0 Address 31 6A+►IE- 1✓A04 KD . Pi}b U44 Mq Consisting of 2-50 Gallon Septic Tank and I , 25b GAL PV 14f CA AW1 OCk F 305 LF 2-4" 1A1 1DC c-KEIACAEIS Other Requirements: Water Supply: Public Supply From Address o : X Private Supply Drilled by Address a Budding Type KS 1� �A r; :Q'� Has erosion- control been com'pleted?'-"4ES ...t .. _ Number of Bedrooms 3 Has garbage grinder been installed? K) fl 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 actor a with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of P team County Department of Health. Date: 5/0216s--Certified by P.E. R.04� Address 971 r_o uk ,6 g g ,V'1.......T41 � 9 License # Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals subject to modification or change when, in the judgment of the Public Health Director, such revocatio , o ificatio change is necessary. By; Title: Date: �Z- White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 r-- _- :..__.�. _. - -. -_.. :. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location" Street Address: Gates Drive (Well #1) Town/Village: Brewster . Tax Grid Map Block Lot(s) Well Owner: Name: Address: Action Associates, 465.Doansburg Road, Brewster, NY 10509 Use of Well:' 1- primary 2- secondary X '.Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment X, Rotary Cable percussion X Compressed air percussion Other (specify) Well Type . Screened Open end casing ' X Open hole in bedrock Other Casing Details Total length 32 ft. Leogth below•grade 31 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials: X Steel Plastic Other Joints: _ Welded X Threaded _ Other . Seal: X Cement grout _ Bentonite Other Drive shoe: X Yes No Liner: Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test Bailed X Pumped X Compressed Air Hours 6 Yield 5 gpm Depth Data Measure from land surface- static (specify ft) 50' During yield test(ft) 485' Depth of completed well in feet 525' Well Log . If more detailed information descriptions or are available, please attach. De th From Surface Water Bearing 'Well. Diameter(in) Formation Description ft. ft.' Land surface .10 Dri . 11ing in over urden clay and boulders 10 Hit rock at 10' 32....* 1-Drilling 1-Drilling in. xock, -Get,- oasi.n. ,_:.`routed:.._ :::....:. _........ _` ... 32 525 Drilling in rock granite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Capacity Depth Model Voltage HP Tank Type olume Date Well Completed 12/21/01 Putnam County Certification No. 002 Date of Report 4/11/02 Well Dr' (si al NUTS: Exact location of well with distances to at least two peuYlattent landmarKS to De provtaeAon a separate sneeupian. Well Driller's Name P. F. Be 9 Vic. Address: 4 Patrlealt Ave., Brewsber, NY 10609 Signature: Date: 4/11/02 Perry L. White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 11 PUTNAM COUNTY DEPARTMENT OF HEALTH ^Q ^ DIVISION OF ENVIRONINMEN TAL HEALTH SERVICES FINAL SITE INSPECTIOM _ _Date: Ins ecte p y: Street Location e fir" Owner - _1vAz Town P4 r7-,!�Fn.j5261 Permit # F — 36 — o/ TM # 9- 6-, -7 / — — 7/ Subdivision Lot # 2 1. Sewage System' Area YES ISO ? CONTENTS a. STS area located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lgth. Width Avg.D P th c. Natural soil not stripped ................... ..............:................ d. Stone, brush, etc., greater than 15' from STS area.......... - e. 100' from water course / wetlands ...... ............................... II. Sewage System a. eptic tank size ,0 .........1,250 .........other ................ b. Septic tank insta ed level c. -10' minimum from foundation .......... ............................... d. Distribution Box n— a ®x Nm V- :V -3V., 1. All out ets at same elevation -water tested......... w4- ,Fh;s 2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box -properly set ........... ............................... f. Trenches . Length required 3 10 Length installed 3 / d 2. Distance to watercourse measured -/-ono Ft.......... 4. Slope of trench acceptable 1 /16 -1/32" %foot .:........... - 6. Depth �of trench X30 me es from surface.:.. .............. - S. Size. of gravel 3/4 -1 %:" diameter clean . ........... G� o . A:. a.o 6- 9. Depth of gravel in trench t2' minimum ........::......... 10 ' e 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. ouse/Buildin W&ewtr.5 '101WY14"XJ � a. house located per approved plans ...................... ...... b. Number of bedrooms ........................... ... IV. Well ... _- 0 0 b. Distance from S 106-t- - TS area measured ft........... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship , a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ........... ............................... 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 & dir.to exist watercourse _..L_ Footing drains discharge away from area........ —..: ' i 03/25/02 15.13 P W SCOTT -� 845- 278 —?921 N0.006 P02 845 -278 -7921 2002 01:33 FRGM:pLMw COUNTY DEPART 645-278 -7921 TO 9P-7132166 P. i -*i .11 a 21 FhW • KUTT 4 84.-278• -7921 NQ. rw"m CQmff Vv&Awm=QF=AY = DMIt W of Iii NOIF SUS, MAL= WZWWW wTr -lox a aIn AN and auwtbe l* peiat to aft Pm Coatui%a ParYa k # Four. =-� � 5ubdl+rri�ioet Is 'llid.dnu? L+ wait Iooiued a ear pWai i? An aod=daod in in I om%dmccvwoem(sj u li %4m& dm and vetted ** camp aft a in acaor&m H�a(t6. For: Fitt T gtaac .L. La r Dale: bra ben coamled Wd I hm wed iswed PCHD Couttvk*s Permit ad Addmu.- ` F PSR LV Pomp m-" MM -21 -SM TW M17 I L -845- 278 -?921 • NAM vR i" CMW N DEFFRiME r CIF P. 2 . QdR- a7R -74?1 NAME: PUTNAM COUNTY DEPARTMENT OF P. 2 ? COUNTY HEALTH-, DEPARTMENT. APPROVAL. UNAUTHORIZED ' MODIFICATIONS MADE TO THIS DRAWING AFTER THE DATE OF THE PUTNAAn COUNTY HEALTH DEPARTMENT APPROVAL VOIDS SAID APPROVAL. EXISTING ' `� �✓°� 1 WELL I � Typ v Q N86°1724OW 716.77' :c 0 PVC C POND 10. 13 � I � I� I I Lb im I-, �o I I ��'" I T T' i• � I I 1 DES �T =w I i l R C N� '�`r3� F F i + '• 408 ILFr i0� C4'_a'en T t s 1 � I FFSET o 4" PROP i FOF2CE AAAIIV 1 ; �, I 11p. 3ER �3 ` I Pr JTIOf .BO1C TO E TED WHILE .USING E FIELD: r p ♦ I' 12 GAL PNC r T ry 1 u ,. • II1 --2 GAS ERGE s TIC TANKi. f PULL- FF r l /l2 X25Q I \ f 13ED62� ( `¢10cip .RESIDENCE I �' % ° /F.r �o i T. ISTINGS,o PIS I r 11 WELL 7 r r Oo .L_� / Iz BRUCE R FOLEY Public Health Director April 8., 2002 DEPA] TN EN'S' OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLD4ARI RN., ' 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 7.6678 Fax (845) 278 - 6085 Early Intervention (8 45) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Peder Scott, PE -PW Scott Engineering 3871 Route 6 Brewster, New York 10509 Re: Field Inspection - Action Associates Real Estate Inc., Gates Drive, (T) Patterson Lot # 2, TM# 25.63 -1 -33.1 Dear Mr. Scott: The above referenced separate sewage treatment system can be backfilled. The following comments must be corrected in the field. 1. All silt fence must be properly installed per the approved plan. _ ..._..2. Expansion area fill pad must be _completed-- 3. Pump tank must be installed. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. Very truly yours, /4�e �D U-9 Gene D. Reed GDR:cj Environmental Health Engineering Aide BRfJd5'— Pub lic Health Director WOLINAR17. RXI- M.S.N. Associate Public Health Director "Irwwur of russuns oarVICtu DEPARTMENT, OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845)278-6130 Fax(945)2.78-7921 Nursing Services (945)278-6558 WIC (845)278-6678,. Fax(845)278-6085 Early Intervention (945) 178 - 6014 . Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 April 8, 2002 Peder Scott, PE PW Scott Engineering 871 Route 6 Brewster, New York 10509 Re: Field Inspection - Action Associates Real Estate Inc., Gates Drive, (T) Patterson Lot # 2, TM# 25.63-1-33.1 Dear Mr. Scott: The following items are in violation of Article III, Section 2C of the Putnam County Sanitary .Code: • Silt fence has not been installed below the well. A formal notice of hearing may be issued if the violation is not corrected within 5 days. It is truly hoped that the above violations are corrected without having to take legal action. Very truly yours, Gene D. Reed Environmental Health Engineering Aide GDR:cj _ BRUCE R.' -FOLEY - — Public Health Director DEPART ENT ®F BEA,TH 1 Geneva Road Brewster, New York 10509 LORETTA MOCINARI R.N.,_M.S.A1. - 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 CUTITIED RETURN RECEIPT REQDUESTEIlD Peder W.. Scott, P.E. PW Scott Engineering 3871 Route 6 Brewster, NY 10509 Re: Case No. 75 -02 -19 Gates Drive, Lot #2 Dear Mr. Scott: May 30, 2002 The Hearing scheduled for June 5, 2002 has. been rescheduled for July 10, 2002 at 10:15 A.M. in the Hearing Room, at Putnam County Department of Health, 1 Geneva Road, Brewster NY. ..Sincerely, .. - -- - - _ Rick Carano Supervisor, Public Health Protection RPC:tn cc: R. Morris G. Reed W. Hedges - •BRIkE -R :-:1;OL ~BY _ . Public Health Director . ., - _7.LORETTA MOMWARI Associate Public Health Director Director of Patient Services DEPARTMENT . OF HEALTH 1 Geneva Road Brewster,, New York 10509 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 F9: (845) 228 - 6113 CERTIFIED RETURNED RECEIPT REQUESTED May 30, 2002 Ms. Maureen V. Lobraico Action Associates Real Estate, Inc. 465 Doansburg Road Brewster, NY 10509 Re: Case No. 74 -02 -19 Gates Drive, Lot #2 Dear: Ms. Lobraico Let this letter serve to acknowledge and approve your request for an adjournment of the above- referenced case. Please be advised that Earle Warren Zaidins, Administrative Law Judge has ordered that the hearing for the above- reference case will be continued at 10:15 A.M. on July 10, 2002, at the Putnam County Department of Health, 1 Geneva Road, Brewster, New York 10509. Should you have any questions relative to this matter; telephone me at (845) 278 -6130 ext. 2216. Sincerely, r . Richard Carano Supervisor, Public Health Protection RC:tn cc: R. Morris G. Reed W. Hedges BRUCE- R: - 'FOLEY Public Health Director D EPARTWNT OF BEALTH 1 Geneva Road Brewster, New York 10.509 LORETTA MOLIlVARI 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)278-6649 Preschool (945)228-5912 Fax(945)228-6113 April 30, 2002 Mr. Paul Piazza Building Inspector Patterson Town Hall Routes 164 & 311 Patterson, NY 12563 Re: Notice of Compliance for Stop Work Order for: Action Association Real Estate, Inc. Gates Drive, Lot #2 (T) Patterson, TM## 25.63 -1 -33.1 . Dear Mr. Piazza: The stop work order requested for the above - mentioned Ypremises can be lifted at this time for --reasons stated- below: . _._ :o_ _ ..__. - �_ _.._�_._. _. , ._ . _ _ _. _ _ _..._ .. � __ .- 1. All silt fence has been properly installed and inspected by this Department on April 29, 2002. We appreciate your assistance in this matter. If you have any questions, please contact me (845) 278 -6130 ext 2166. Very^ yours, GYW Robert Morris, P.E. Senior Public Health Engineer RM:tn cc: G. Reed PW Scott Engineering DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OF PUTNAM- STATE OF NEW YORK IN THE MATTER OF THE COMPLAINT AGAINST: Action Association Real- Estate ;,.Inu`A.. - RESPONDENT(s), Arising out -of the Alleged Violations of the Public Health Law of the State of New York, the Sanitary NOTICE OF HEARING Code of the.State.of New York; the; Sanitary ,Code CASE NO. .74-02-19 of`& Couiity.of Putnam, and Administrative Rules, Regulations and Standards Promulgated Pursuant. Thereto: TO: Action Assoc. Real Estate, Inc. PREMISES: Gates Drive, Lot #2 465 Deanburg Road (T)Patterson, TM# 25.63= 1- 33.1 Brewster, NY .10509 PLEASE TAKE NOTICE THAT CHARGES have been preferred against you to the effect that you have violate'd`the health laws as more fully set forth on the reverse side of this notice: .YOU ARE HEREBY SUMMONED..TO APPEAR at a hearing to:,be held under the provisions'of the Puhiam County Sanitary Code and Public Health Law of the State of New York before Earle Warren Zaidins, Esq., an Administrative Law Judge of the Department of Health of the County of Putnam on the 5' day of June at 10:30 AM, in the Hearing Room, located at Route 312, 1 Geneva Road, Terravest Corporate Park, Brewster, New York, at which time the charges will be informally discussed, and -such adjourned dates as.may,be designated. AT ALL. YOU WILL,,HAYE THE RIGHT to'be represented -by counsel and the right to deny the charges, in whole or impart; following which the matter will be rescheduled to .a date,certairi' .- - a dA—Fonal Hea�ag..Afl e. conducted_ eron; nacodefa*�pree- swill be �g - witnesses will be sworn and examined and:cross.examined,:and documentary evidence maybe offered and received, and you may produce witnesses and evidence in your behalf; IN THE:EVENT YOU WISH TO ADMIT TO THE CHARGES, the Hearing may be terminated by written stipulation of discontinuance provided the violations have been corrected; UPON YOUR FAILURE TO APPEAR, a warrant compelling your appearance may be issued or an Inquest Hearing conducted and a determination made; CIVIL PENALTIES up to $1,000 for a single violation, per day, may be assessed against you, and such further orders may be made herein as the circumstances may warrant; THE BOARD OF HEALTH may issue a warrant to any Peace Officer of the County,. pursuant to Section 309 of the Public Health Law, to bring to its aid the power of the County whenever it shall be necessary to do so, . with the same force and effect as if such warrant had been issued out of a court of record. PUTNAM UNTY BOARD OF HEALTH DATED: April 12, 2002 BY: Brewster, NY 10509 Bruce R. Fo k Public Health Director PUBLIC HEALTH LAW THE STATE OF N EW YORk Violations' of any and all provisions of the Public Health Law of the State of New York and the State and County Codes and Administrative Rules and Regulations promulgated pursuant thereto which shall be found to constitute a NUISANCE, particularly, and'not lunited fo the provisions of Article 13 of the Public Health Law. SAlY TARYCO DE OF. THE STA'G'E OF NEW YORK ' PUT NAM COUNTY SANITARY CODE Article Seed ®n 2; Paga��lln C ; Upon uispection on March 27; 2002 'silt `fence not talled below well ADJOURNMENTS: Public Health Law violations are serious. They affect or may affect the health; safety and welfare of the community. They cannot be. permitted to go on indefinitely. Casual adjournments or hearings will:be granted.: Applications for adjournments h"iust be made in person or by counsel, to the :Hearing., `_Officer: at afie time set for `hearings, 'except for legaC'excuses. ' Persons op -eral rig ai ,establishment, business! or:facility Mthouta'perni c; `fur wiYieli a permit is requued -` will not be.granted an- adjournment. Health- nnatterg. are ninvolved and- the Nblie Si6y is a ".DIarana®unnnt consideration. I DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OF t UTNAM -; State of Neew York IN THE MATTER OF THE COMPLAINT AGAINST fl C-rj d A) 435oci ASS Roo—G, Respondent(s) F—S'i wrt , .� �G, Arising out of the Alleged Violations of the Public Health Law of the State of New York, The. Sanitary Code of the State of New York, the Sanitary Code;of the county of Putnam, and Administrative Rules, Regulations and Standards Promulgated Pursuant Thereto. STIPULATION OF DISCONTINUANCE CASE-NO: 7q- 0.2 -17 r (T) VoTrx S,oOITH �`�,g'.63' l- 33.1 IT IS HEREBY STIPULATED AND AGREED by and between the respective hereto that the within matter is hereby terminated upon the following terms and conditions. 1. The Respondents) admit the .truth of the allegations set forth in the Statement of Charges. 2. That espondent(s) represent: it is in compliance with the Code(s). it Will 'b6 incompliance with the Code(s) by 3. Thdt �- PubiiRtIeaLfh Director ber Orcierw loch amo to civil penalty may be imposed by the ,.. , n , , P () Pp P y unt will be determined at the discretion of the Public Health Director. 4. That in mitigati that DATE: dc:X 01! a00 Z Brewster, New York 10509 F Administrativb Law Judge FH #3 -97 Putnam County Health Department DIVISION OF ENVIRONMENTAL HEALTH SERVICES CUUiNTY OF PUTNAM = State'of New York IN THE MATTER OF THE COMPLAINT AGAINST e p &&O—AWIA Respondents) Arising out of the Alleged Violations of the Public Health Law of the State of New York, The Sanitary Code of the State of New York, the Sanitary Code of the county of Putnam, and Administrative Rules, Regulations and Standards Promulgated Pursuant Thereto. STIPULATION OF DISCONTINUANCE CASE-NO: 75'° 09 -1 cr C-*M DR I ve koy *2 (T? R4rTf,000,- rH'aS.63-1. 33, p IT IS HEREBY STIPULATED AND AGREFD by and between the respective hereto that the within matter is hereby terminated upon the following terms and conditions. 1. The Respondent(s) admit the truth of the allegations set forth in the Statement of Charges. 2. That spondent(s) represent: it is in compliance with the Code(s). it will be in compliance with the Codes) by 3. That.Respondent(s) understand an appropriate civil penalty may be pVq§o ec� by the Public Health Director by Order which amount will be determined at the discretion of the Public Health Director. 4. That in mitigation Respondent(s) - that ��t ,� `:`v _ , , C, EIS _W.!9. UAJANh 14L l DATE: O ®'� ;Loo 2- Brewster, New York 10509 Putnam County Health Department FH #3 -97 P. W. SCOTT r — Engineering Architecture, P.C. LLB L�1 J �5l L �Lr� (J '� ��Ll� 1r,1,�L1 f jF \Ll... 3871 Route 6 BREWSTER, NY 10509 E -Mail: pws@bestweb.net (914) 278 -2110 _ FA�C..(9.14).278 -3156 .... TO Putnam County Dept. of Health 4 Geneva Road Brewster, New York 10509 WE ARE SENDING YOU ❑ Shop drawings ❑ Copy of letter GAfE 15-I V - SOB NU. GATE I A7ENr1CN.. ._. .... ... .._.. -.. .. - ._ .. ., RE:septic As —Built ❑ Approved as submitted 1 Certificate of Construction Compliance 1 I I 1 Well Completion Report 3 _ _ ;<2�1� I Guarantee of Subsurface Sewage Treatment System 3 ❑ Attached ❑ Under separate cover via the following items: G Prints ❑ Plans = Samples ❑ Specifications 0 Change order ❑ COPIES GATE I NO. �. DESCRIPTION ' 1 ❑ Approved as submitted 1 Certificate of Construction Compliance 1 I I 1 Well Completion Report 3 C Returned for corrections 1 I Guarantee of Subsurface Sewage Treatment System 3 I I 1 As —Built Septic Plan FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US Fee: $200 REMARKS 4 .THESE.ARE TaA ^fSM!�TMD as'checkea below: C For approval ❑ Approved as submitted _� Resubmit copies for approval -- For your use ❑ Approved as noted r Submit copies for distribution C As requested C Returned for corrections Return corrected prints G For review and comment G FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS _OP'( T C SIGNED: PUTNAM COUNTY DEPARTMENT GIF HEALTH iii `', ,a O ` , OF.ENVIRONMENTAL HEALTH A i SERVICES i GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM or Purchaser of Building A i . X A Constructed by -1,7 ey k; Aik Location - Street Building Type Tax Map Block Lot -o'er op- A,/iwn Town/Village 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 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 Y Day 0 -9 Year 0,2- Signature: Title: General Contractor (Owner) - Signature. ZZG//A !/G / /9 ,1A /►/ /.0 Corporation Name,(if corporation) orporatfon Name (if co oration) Address: Address: R � me % do ltd A t-lj State cw- 34,h Zip /)d'y/ Form GS -97 REPORT TO: U.)Oq(z(- Steer NoRvazAsT LABORATORTOF-DANBURY 304= PLAIN ROAD - DANBURY CT 06811- crc6rt: Pir-om NY CW. 1,1471 www.NORTEWAST LABORATORIESconr LABORATORY` REPORT ACTION ASSOCIATES DATE SAMPLE,COL1,ECTED- ATIN- MAUREEN V LOBRAICO- ME COLLECTID-.. 64 GATESDRIW COLLECTED BY: PATTERSON, NY DATE RECEIVED @, LAB: SAMPLE SITE- SAMPLE POINT: SOURCIO TREATMENT TEST PERFORMED PHYSICALS: • Color (Ah3arent): • Odor • PH • Turbidity CHEMISTRY: TESTEDBY. LAB LIX REPORT DATE: 64 GATES, DRIVE, PATTERSON, NY KrICBEN TAP WELL NONE' 05/01/02 11:00 AM UL 05901/0Z+ LAB#11471 NY46 05/09/02 MAXIMIUMCONTAMINANT RESULTS METHOD# LEVEL (MCQ . OR STANDARD 5, EPA 110.2 15• ND - N6t,to exceed value of 2 on: scale of 0-4* 7.39 EPA 1.50 * I 6.4:to:10•Rzmge* 0:85 NT-Us, EPA 180.1 5 NTUO • Chlorine Residual <0.05 m?X - • NitriW-Ni"en <0.005- mg/L:.as N EPA 354.1' l.oragIL • Nitrate Nitrogen 0.81. -m-/L las.N -mg /L SM-450ONO3D 10:mp)L • Alkalinity 136. mg/L SM 2320B NbAefiftW limits-* 370 -IPA-130.2' 20-O-'�ifiA • Chloride 180 H19A ISM450OB' 250.mg& • fivn 010 M91L EPA 23661 0.30.mg/L* • Manganese 0.,07 mg/L. EPA 243:1 O.Wrag/l,•• • Sodium 20J M91L 'EPA 273.1- 29.0 nWjL*- • Lead 41.001 MgJL EPA 239.2 0:015 n WA, • ral--milliffiter m&`L--milligrazas-per Liter ND=none detected. . MCL-Maximurn Contaminant Level TNTO--Too Numerous To. Count •No State of Connecticut,MCL established:. Levels noted are: United: States PublicMealth Service (USPII)recormnendations. **Nofification-Level: •••Action Level -All holding times: (were), met, SAMPLE,.AS TISTEI)ABOVE 010TABLE IoT POTABLE orFE1 RESULTS BASED, ON SAMPLES SUBMIT ED: 05/01102 Laboratory DireMr •ORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT. 06037• (860)828-9787 - FAX (860)829-1050 TOLL FREE wTmW.CT-. 800-826-0105 * OUTSIDE CT:. 800-654-1230 1 s W =&PLAN ROAD - DAMMY, CT 06812. PH-OW t-- 1-471 o www.N0 T ILA183 RAT0R1E&coim Q = L ® RY RT ACTION ASSOCIATES DATE SAMPLE COLLECTED: 05/01/02 ATM MAU: REEN V LOBRAICO TIME COLLECTED: 11:00 AM 64 GATES DRIVE COLLECTED BY: ML PATIERSON, NY DATE. RECEIVED Q LAB: 05/01/02 TESTED BY. LAB#11471 ]LAB LD # NY46 RIEPORT IDATIE: 05MIM St,\WM E- SM: 64 GATES DRIVE, PATTERSON, NY SAAtI LZ II%DRM KITCBEN TAP a WELL TRZATNWIM. NONE MANEWUM CONTAMTANT TEST RESULTS METHOD # LEVEL QCLJ OR STANDARD PHYSICALS- 0. Color (Ant) 5 - EPA 1102 150 o Odor ND - - Not to exceed value of 2 on scale of 0-50 o pH 7.39 - EPA 150.1 6.4 to 10 Ranges o Turbidity 0.85 NTUs. EPA 180.1 5 NTUsO CIE�R�S'H'RSYt • Chlorine Residual <0.05 mg/L - • Nitrite Nitrogen <0.005 mg/L asN EPA 354.1 1.0 mg/L • Nitrate Nitrogen 0.81 mg/L as N SM 450ONO3D 10 mgf L Cambhwd limit fbr Nrtriteplus Neste =10 mg/L as N o Alkalinity 136 mg/l, - ..., . SM 2320B No defined limits?- - - .._._...__........,- _.._.._._. _ n nel�ness . . - _ ..- 370...... riaig/L........ • Chloride 180. mg/L SM 4500B 250 mg/L • Iron 0.10 mg/L EPA 236.1 0.30 mg/L0 • IVlanganese 0.07 mg/L EPA 243.1 0.50 mg/L-** • Sodium 20.1 mg/L EPA 273.1 28.0 mg/L** • Lead <0.001 mg/L EPA 239.2 0.015 mg/L000 ml- milliliter IImg/IG milligrams per Liter N D none detected MC -Mm mum Contaminant Level TNTC =Too Numerous To Count "No State of Connecticut MCL established. ° Levels noted are United States Public Health Service (USPIS) recommendations. a °Notification Level ***Action Level COUNTS- -All holding Mines (vim) met. SAMPLE, AS TESTED ABOVE: MMTA13LE or DOT POTABLE RESULTS BABIED ON SAMPLES SUB ,'M : 05/0Il/02 VA� -U_� Laboratory Director oNORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 060370 (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 -826 -0105 o OUTSIDE CT: 500 -054 -1230 04/23/02 14:32 PW SCOTT -> 845- 278 -7921 NO.094 P03 PU' CNAM COUNTY DEPARTMENT OF HEALTH DPM)ON OF ENVIRONMENTAL HEALTH SERVICES ATTENTION 0 ADAM AE19E RE=ST F li FINAL INSPECTION For: Fill All information must be i /illy completed prior to any inspections being made. Trenches f Vhf C 4AA*t- PCHD Construction Pennit Located: 7 �►"l � ---D2t 9 (� - - Owner/Applicant Name: (AM 03 AC c,L -ROW.1am IM ^�lock l Lot-a3 Formerly. Subdivision Name: Subdivision Lot # Is systeth fill completed? Date: - ,---f' Is system complete? ._ f Date: `--" —' Is system constructed as act plans? f Is well drilled? yff Date: 0 Z Is well located as per p1ma? Are erosion control measures in place? s I certify that the system(sj as listed, at the above premises has been constructed and I have inspected and verified their comptedon in accordance with the issued PCHD Construction Permit and approved plans and the Standards, Rules and Regulati us of the Putnam County Department of Health. Date: 1 Certified by: PE gn Professional Adtess: 3971 '2.m Lic. # +� Comments: oral i Form FIR -99 M (Aj APR -23 -2002 TUE 01:27 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 3 03/25/02 15:13 PW SCOTT 4 845 -278 -7921 N0.006 901 - - V P.W. SCOTT .� eman Vwswtt®rcn.com ENOWEERING & AF CHITECTURE, P.C. 3871:ROUTE a. _ ......; _ (846) 27 8-2110 BFIEWSTER, NY It 608 .. r FAX 1948) 278.2188 FM T'RANS91ITTAL PROJECT: TO: aC4 Td: FAX: eaD FAX: TO: TO: FAX: FAX: r� NO OF PAGES INCL TRAM: NITTAL: DATEI- FROM: ..,__._ • Go�nms�a .. i Please ce11845 -278 -2110 if this tri"ssi,on is illegible or unclear MAR -25 -2002 MON 02:09 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 1 SENNDMG CONF U NTION DATE : MAR -25 -2002 MON 01:33 NAME : PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845- 278 -7921 PHONE :.92782166 PAGES : 1/1 START TIME : MAR -25 01:32 ELAPSED TIME : 00125" - MODE : ECM RESULTS : OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED.•. 03rM,82 11,21 FYI 9WTT i 84fi-2M -7421 ME% Dm 7DF3'f PVWAKC0Wf'9rDBPAM TODffiULM mgy U'llOF 1 VVMNINZTALWALTMMetv/MM ATrmTmx 13 ARM F�1G2ft a / ` For FM AR Ttea *. _ FmCPenehA -o1 Low& G TP.Lic cn (v) Wmd= tAtn (/ D= o Is oy— CMEOW Is womrn�.00 1 e r�a1 Ian » Ys � tip pary4ua9 Are avamtc*wd m==mplesdl I =T*Finaelnraj tub" t1mod6oca ploocsel Am9natutnmucW cadI bon m� and ve . dw comooft m ccmnb= "aid the lasted FM COnwucbn Peamit and approved pkZo cad ft lko hula od 1 the Pub= Conow Dvam- of Had& Frol Adms= Lis. p . G�aesta �, PC=F�49 MqR -21-eM THU 22117 7g-M-278-7921 ' FWFDi,F41INAM U1MY 01PHRTMW (IF F. e 03/22/02 11:21 PW SCOTT + 845 -278 -7921 �oa3y PU niAM COUNTY DEPARTMENT OF HEALTH DIVISK 1N OF ENVMONMENTAL. HEALTH SERVICES ATTENTION 13 ADAM GENE RF. UEST FO, Ah] NSP TIN For: 'Fill Ail•informatioa roust be.fi lly completed prior to any Trenches inspection being made. PCHD Construction Perot it # rO iR si5+lUt Located: �� (T) (V) _� � �' Owner /Applicant Name: ]'�,:� %,1f� ^�r� t -Block- Lot +! __ Fo.imerly: Name: Subdivision LoDate: Is•system.SIl completed? Is system completes Date: Is system constructed as, i er plans? IS.' well drilled?,. Date: Is well located as per plu s? Are- erosion control amaa tres in place? „ Y certify that the system(s), as listed, at the above premises has been constructed and I have inspected and verified their compl etion in accordance - with the issued PCHD Constriction Permit and approved plans and the lkandards, holes and Regvlati f the.Putnam County Department of Health. Date: r'. Certified by: PE -��• - i°' Address: Lic. # Form FIR-99 MAR- 21-2002 THU 22:17 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2 � r Form FIR-99 MAR- 21-2002 THU 22:17 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2 03/22/02 13:39 PW SCOTT 4 845- 278 -7921 720'A:i � PU7 NAM COUNTY DEPARTNX1qT 01' ffiULM DMW IN OF ENWROMENTAL EMALUS SIERWC10 ATTEN l ON ADAM Kalwx Q M FOR ENAIf,, For: Fill All Wfoemtion must be A illy completed prior to any Trenches inspections being made. pCHP Consmuctiors Pern at # Located. , �,� l �� MM errlApplicant Name: ! fn,��.�_��.�c� 'IIM Block Lot ov erly: Subdiv Won Name: Subdivision Lot 4 Is'systew fill completed? � Date: Is system complete? Date: Is system constfucted as D cR- plans? Is vaefl drilled? Date: Is well located as per plan 10 Are erosion. control mean ices in place? I that the s), as lasted, at the above premises bs been conmued and II have inspected and verified their comp] lion in accordance with the issued PCHD Const aiction Permit and app8ovied plans and the I tandards, Rules and Regulatio f the Put= County Department of Date: ^" Certified by: Address: ]Lie. # comments. ]FOwn IF- 99 PE'�Zm�� MAR -22 -2002 FRI 00:35 TEL :845 - 278-7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2 0V22i02 13:39 PW SCOTT 4 845 -278 -7921 2 LL p4 a P.W. SCOTT email Pwwott@►an.com ENGINEERING & ARCHITECTURE, P.C. 4871. ROUTE 6 18451,2711 -31.16 WSTL% NY 10509 FAX i945121841 i8 .�_. F" TRANSMI "AL PROJECT: TO: r TO: FAX:. FAX: T0: TO: FAX: FAX NO OF PAGES INCL. TRAW)WITTAL: e comet mm DATE: Please call 845- 278 -2110 if this transiiniWon is illegible or unclear MAR -22 -2002 FRI 00:35 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 1 03/22/02 11:21 PW SCOTT 845 -278 -7921 NO.006 P02 rD�3 f IPUII'I4AM COUNTY DUARTMNT OF EMALM IMSK'N OF YZNV1R(DNMN AL BMITIE 5MIMCIES ADAM HE MEN= For: Fill All ndormation must be fu uy complatad prior to any Trenches i pwdons being node. PC Ht Con su I Uct ion P Located: (wo-W /Applic= blame: y `ter or�� l�..fa�,r -�� _TM Block � � Lot Formerly: �--� � -- - SubdivWoa lame: 06 Subdivision Lot 0 Is-system � completed? Date: o is system.coffiplete? Date: Is system constructed &s 1 or plans? Is weE. drilled? Date: Is VV& located as per plat s? Arc erosion control r @m arcs in place? I caWfy that the systems), as listed, at the above premises has bean constmaed wd. I[ have impected and verified .their coaffipl etion is accordance with the issued IPCHD ConstrtWon Permit and approved plas and the I }t ands, Rules and Replati f the Putnam County Department of _. .Rolgh. Date- �' Ceetifiedd by: 1�IE —�' I'DCaRp Professional Address: ILic. commewx r r fFonn -99 MAR -21 -2002 THU 22:17 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2 -BRUCE-k- Public Health Director April 16, 2002 LoRBTTA MOL.INARI RN:, M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New. York 10509 Environmental Health (945)278-6.130 fax(945)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 OFFICIAL REQUEST FOR; STOP -WORK ORDER P.W. Scott Engineering 3871 Route 6 Brewster, New York 10509 Re Dear Mr. Scott: Stop -Work Order Request: Action Associates Real Estate Inc. Gates Drive, (T) Patterson Lot # 2, TM #- 25.63 -1 -33.1 The permit P =36 -01 for Action Associates Real Estate Inca Gates Drive, Lot # 2, (T) Patterson has been suspended by this Department for the reasons noted below: • Silt fence has not been properly installed as requested per comment letter dated April 8, 2002 and, Notice of violation dated April 8, 2002. It is respectfully requested that a Stop -Work Order be issued until these items have been satisfactorily resolved. Thank you in advance for your cooperation in this matter. Should you have any question or care to discuss this matter, please contact me at (845) 278 -6130 ext. 2166. Very truly yours, Robert Morris, PE Senior Public Health Engineer RM:cj cc: .Patterson Building Inspector Gene Reed a ^BRUCE R. - FOLEY Public Health Director April 16, 2002 DEPARTNIENT 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 OFFICIAL REQUEST FOR STOP -WORK ORDER Paul Piazza, Building Inspector Town of Patterson 2 Route 164 Patterson, New York 12563 Re: Stop -Work Order Request: Action Associates Real Estate Inc. Gates Drive, (T) Patterson Lot # 2, TM4 25.63 -1 -33.1 Dear Mr. Piazza: The permit P -36 -01 for Action Associates Real Estate Inc. Gates Drive, Lot # 2, (T) Patterson has been suspended by this Department for the reasons noted below: Silt fence has not been properly installed as requested per comment letter dated April 8, 2002 and Notice of Violation dated April 8, 2002. It is respectfully requested that a Stop -Work Order be issued until these items have been satisfactorily resolved. Thank you in advance for your cooperation in this matter. Should you have any question or care to discuss this matter, please contact me at (845) 278 -6130 ext. 2166. Very truly yours, Robert Morris, PE Senior Public Health Engineer RM:cj cc: P.W. Scott Gene Reed is j --,-4447 LOT #2 1. is 7:24 P'W 467 IRON ROD SET "voft 5 V, LID"B' Fl, 10 o./ 10 7 IRON ROD SET GRA VZZ DRIVE 14 12 — .11 10 CLOT ,1 IRON RODS c AT ANGLE Pt ALONG LINE LOCATION. CHART- LOCATION.' DESCRIPTION FROM POINT A B C 1 TRENCH -. 47' -2" 2 TRENCH -. 53' -0" 52' -4" 3 TRENCH- 59' -0" 56' -9" 4 TRENCH- 65' -1» 61' -5" 5 TRENCH= 71' -1" 66' -4" 6 TRENCH- 77'' -6" 71' -3" 7 TRENCH_. 83''- 6" 8 TRENCH- 95' =3" 110' -0" 9 TRENCH- 89'' 4" 106' -1 " 10 TRENCH= . 83' -0" 101' -10" 1't TRENCH- 78'-3" 99' -3" 12 TRENCH- 73' -0' 96'=1" 13 TRENCH- 68' -3" 93' -8" 14 TRENCH- 61' -0" 88' . 1" r C/L TANK 16' -5" 23' -6" C/L TANK LID A . 15' -9" 24' -10" C/L TANK LID B 17' -2" 23'-4" 0