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HomeMy WebLinkAbout1381DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.79 -1 -77 BOX 13 01381 L ' ko! 16 �j i� ,. 1. ly i ' I r �. . Ilk 01381 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Welf— LbcatibA i -• -' -' - Street Address: 15 Warren Drive TownNilIage: Patterson Tax Grid # Map 25 Block79-1 Lot(s) 77 Well Owner: Name: Address: Robert Maloney, 15 Warren Drive, Patterson, NY 12563 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 __ft. Length 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) 30' During yield test(ft) 340' Depth of completed well in feet 405' Well Log If more detailed information descriptions or sieve analyses_ are available, please attach,.— N�1 j'�Z1 \i iL-il^ 1 Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface 17 Drillincf in overburden clay and boulders Hit rock at 17' X17 _ _ 32_ Drily in rock set casingi _grouted _ 32 405 Drillin in rock aranite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity 5t Depth 360 Model 5GS07412 Voltage 230 IV 3/4 Tank Type Volume Date Well Completed 3/18/04 Putnam County Certification No. 006 Date of Report 6/7/04 Well i r (sign 1vu r>tr: >✓xact location of well wttn atstances to at least twgyermanent lanamarxs to be provinea qn a separate sneetiplan. Well Driller's Name P. F al & In d/. Address: 4 Put2ra¢n Ave,, Bray r, NY 10608 Signature: 4=7 Date: 6/7/04 Perry L. 1 White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES "PLICA'TION TO CONSTRUCT A WATER. WELL PCHD Permit #(p5 -(ice PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and..Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. �— --° --�� Date of Issue � Z / Permit Issi Date of Expiration Title: Permit is Non-Trad-sWrribld r White copy - HD file; Yellow copy - Building Iqspector; Pink r i WN F - Owner; Orange copy - Well driller Form WP -97 pease print or type Street Address: Town/Village Tax Grid # Well Location: 15 Warren Drive Patterson Map 25 Block 79_1Lot(s) 77 Well Owner: Name: Address: Robert Maloney 15 Warren Drive, Patterson, NY 12563 Use of Well: x Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought _ gpm #People Served 2 Est. of Daily Usage gal. Reason for x Replace Existing Supply . Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling 40�e,� Well Type x Drilled Driven Gravel OtKer Is well site subject to flooding? ................................................. ............................... Yes No _�- Is well located in a realty subdivision? ...................................... ............................... Yes No X_ Name of subdivision Lot No. Water Well Contractor: P. F. Beal & sons, Inc. Address: a nftm nay # Eh33,mterf jj_w5m Is Public Water Supply available to site? .................................. ............................... Yes No X_ Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be prov' ate et/plan. Date: 01 1-5 n3 - Applica" -t Si gnature: - - - - PermLL Bea" PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and..Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. �— --° --�� Date of Issue � Z / Permit Issi Date of Expiration Title: Permit is Non-Trad-sWrribld r White copy - HD file; Yellow copy - Building Iqspector; Pink r i WN F - Owner; Orange copy - Well driller Form WP -97 SEP -12 -2003 11:54 FROM:PUTNAM COUNTY DEPART 845 -278 -7921 TO:92797641 P:5/5 l cv cv ` M � %9 ` u'�' cv Cl 1 p • Rv f c m 1 co N N C a� CV tV p R'r {n �" � , C%l co g� oa °- 6 �, �- X44 • diP�' 00 1 cwt P ko A` E� 1 - •• �� `� idyl _ •4� '� Jr .. ® r ... _ _.. -.._.. rO w ,e � N N ro °.° • o n° fv O ro S /Sod ib9L6L26:Ol i264- 8L2 -Sb8 iN"dM 1.MOO WUNIWd :WO8J bS :Zi 0002- 2Z -d3S LORETTA MOLINARI R.N., M.S.N. Public' Health Director 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/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 September 12, 2003 Lisa Williams U.S. Department of Housing & Urban Development Homeownership Center The Wanamaker Building 100 Penn Square East Philadelphia, Pa. 19107 -3389 Re: Maloney Residence 15 Warren Dr. (T) Patterson, TM# 25.79 -1 -77 Dear Ms. Williams: ROBERT J. BONDI County Executive The above referenced property is not located near a public water supply and must rely on the current well at this time. The well and septic setback .distances do not meet current code, but are acceptable because they are considered a pre- existing condition. There are no Health Department violations associated with this property at this time. Sincerely, Michael Luke Public Health Sanitarian MLJM LORETTA MOLINARI R.N., M.S.N. Acting 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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Rita & Robert Maloney 15 Warren Drive Patterson, NY 12563 July 18, 2003 SUBJECT: PUTNAM LAKE SURVEILLANCE PROJECT SAMPLE RESULTS SATISFACTORY Dear Owner/Resident, ROBERT J. BONDI County Executive Enclosed please find a copy of the results of your water test. The sample was collected by Putnam County Health Department staff on July 7, 2003. The results show that the coliform bacteria was satisfactory and the nitrate result is less than the New York State Standard of 10 milligram per liter (mg/1). We recommend that residents check their well water for coliform bacteria annually. Attached is a list of laboratories for your use. We also recommend that residents have their septic tanks pumped regularly. Please refer to the attached information on septic system maintenance to avoid a potential problem. Should you have any questions, please contact me at extension 2167 or Ed Bartos at extension 2233. Very y yours, Anne M. Bittner, M.S.P.H. Sr. Public Health Sanitarian cc: file 4- JUL -08 -2003 TUE 04.13 PM WELLS FARGO REVERSE MTG. FAX N0,.3368fi23 p. O� OG _1_1.6rrtmen� ®,"-- Hot0in anti Urban- Devciopment c/\ omeownershi H p Center °^N oevE`Q The Wanamaker Building -� 100 Penn Square L''ast JUL ®3 Philadelphia, Pennsylvania 19107 -3389 Wells Fargo Home Mortgage 20 -D Oak Branch Drive. Greensboro, NC 27407 nr' 737 , Attn: Ms. Kim Ro st �' c SUBJECT: Request for Waiver bf Requirement regarding 100 foot distance of domestic well from septic tank's drainfield. �- FHA Case # 374-419527-3. %C -- -J Property Address: 15 Warren Drive, Patterson, NY 12563 Dear Ms. Royster: This is in response to your request dated June 27, 2003, that HUD waive the 100 foot requirement for a domestic well from a septic tank's drainfield_ We are unable to process your request at this time since you did not submit .enough information to enable us to make a determination. When you request that - we waive a guideline, you must provide us with information When circumstances that justify regulation. Include in your justification extenuating circumstances tceegUest we waive a handbook t consider while reviewing this request. Please keep in mind that waivers axetnotegran ed simply because they are requested; and they must be adequately supported- In order for us to consider your waiver request, the following information is required; 1. Documentation from the local au e ` thorny. that th., subject property is unable to connect ' to. a public or community water /sewer system. If connection is available and the costs t o t he public or community systems are reasonable (3% or less of the property value); connection must be made; ' ?. Professional sketch showing the location of the well, septic tank, and drainfield with relation to the subject rd er J P P ty andA property,line, The sketch must Sp eci the actual distances separating the well and se..tie.s stem eom onents property also show the exact location of the well; ` p Y -- P - - ' p . perty line, and �-70- Visit our web page at hitp,// www. lrudiov/loca!/phi/phihome.i;tmI JUL- 08- 2003.TUE 04:13 PM WELLS FARGO REVERSE MTG FAX NO. 3368348123 P. 02 i 3. Evidence of the Local Authority's approval that the separation distances between the well, property line, septic tank and drain field are in compliance with the local codes for the subject property, If the subject property does not meet the Local Authority's requirements, a waiver granted by the Local Authority must also be submitted with your request; 4. Information regarding the plan for servicing, mainten the well; ance, repair or replacement of le �'► 5.' Evidence that the system is working properly; and } 6. A letter from the borrower acknowledging that the property does not meet current FHA/HUD regulations. G Because waivers are granted on a case-by -case basis, you, as the Direct Endorsement Underwriter, must determine that there is good cause to waive the requirement, and you should submit enough information to support your request. The issues addressed above are not intended to be an all inclusive list of items you should submit, but were provided to you to show you the extent of the review you need to perform prior to requesting we waive a guideline or regulation. .As noted above, there are many deficiencies in your submission and the information provided does not justify a waiver. We are returning your package to you so that you can use the information in it to compile a fully supported request. After we receive your resubmission, We will review your justification and support documentation and advise you of our - determination_. If ou have any ��t� _... -.- - - -- - -- _. -Y . q uesti6p _ y _era...gs ]z;;i,'please°coriiac Ms: Lisa 1Nilliams, oi`the Technical Support Branch, whose telephone number is (215) 656 -0578, option 6. Sincerely, EL 1 4 Dennis Roger Chief Technical Support Branch 1 . i I i i n ides• -i" ' .F - e� i �y• r r— a0vc-e ovcf Al -ro� 0 Auf AGREEMENTS AGREEMENT entered into this 25th day of August, 1937 by and betws'n GOLDIN HEOK, 109 Orient Wsy, Rutherford, New Jersey, and YETTA BEER, 57 _ alt.. Au"therford ' reruns; W , Now Jersey. ... ._� . WHEREAS GOLDIE BECK AND YETTA BEER have been owners in common of A '/*reel of land situate and being in the Town of Patterson, Putnam County, New York, described as followet Lot Numbers B -2216, B -2217, B -2218, B -2219, B -2220, and WHEREAS the parties hereto desire that deeds be executed whereby 1/ YETTA BEER shall be deemed t1s sole owner of lot numbers B-2220 and B -2219, and GOLDIE HECK shall bicoms owner of lot number@ 8..2218 and B -2217, and that lot number 9-2216 shall be owned in common by both of them, and WHEREAS the parties hereto have cooperated and shared the expense of digging a well now situate on lot number B -2219, and .WHEREAS the parties hereto are agreed that they shall oontinud'to use the well in common, IT I8 THEREFORE AGREED that GOLDIE BECK and YETTA BEER, the parties hereto, and their respective heirs, executors, administrators and assigns shall contribute, $hers and share aline in all the expenditures inoldent to , keeping the aforementioned well in working condition at all times. IT I8 FURTHER AGREED by YETTA BEER that GOLDIE BECK, her heirs, executors, administrators and assigns shall have a permanent easement in and a perpetual right to and access to the aforementioned well at all time@. IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and goals this 25th day of August, 1937, ADDISON E. PALMER (L.S.) Notary Public Putnam Co. STATE OF NEW YORK COUNTY. OF PUTNAM _ GOLDIE BECK YETTA BEER On the 25th day of August, nineteen- hundred and thirty -eeven before k ms .came GOLDIE BECK and YETTA BEER, to me known' and known tone to be the indi- riduals desoribed. tat and who executed the foregoing instrument, and they severally duly acknowledged to me that they executed the same. RECORDED AUGUST 25th, 1937 at 2101 P.L. Deputy Clerk ADDISON E. PALMER (L-1.) Notary o s u nam oounty ooa B-222S (`I �p / 0 8-2246. 8-2223 2244 r 76 r o � 1 11-11 8-2222 po 8 -2243 / 68 / lel 9-2242 l r i o � r � s•22za� � e -2241 � � r r 8-2219 / B _ 2240 6-2216 -2239 , ,� / 8 -22 8.2238 B' 6 6 -2237 8 -2215 g_c21v� 8 -2235 • �, `ap Oa 8.221 B • 2234 0 9 l0 /� 8- � 0 79 � � 12 r 8-2210 B .2209 / •o 8-2211 80 8 -2150 LORETTA MOLINARI R.N., M.S.N. Public Health Director 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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 FACSIMILE TRANSMITTAL To • Fax: Z '7 f 76 `� Frorn: Al t , L'Alc 4 Date: 7/ v/o 3 Re: Pages: CC: ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ROBERT J. BONDI County Executive y , CONFIDENTIALITY STATEMENT: The information contained in this facsimile may contain CONFIDENTIAL and legally protected information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissension, distribution, or copying of this telecopy is strictly prohibited. If you have received this telecopy in error, please immediately notify us by telephone (845 -278 -6130) and destroy all documents associated with this facsimile. LORETTA MOLINARI R.N., M.S.N. Public Health Director 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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 September 12, 2003 Lisa Williams U.S. Department of Housing & Urban Development Homeownership Center The Wanamaker Building 100 Penn Square East Philadelphia, Pa. 19107 -3389 Re: Maloney Residence 15 Warren Dr. (T) Patterson, TM# 25.79 -1 -77 Dear Ms. Williams: ROBERT J. BONDI County Executive The above referenced property is not located near a public water supply and must rely on the current well at this time. The well and septic setback .distances do not meet current code, but are acceptable because they are considered a pre - existing condition. There are no Health Department violations associated with this property at this time. Sincerely, Michael Luke Public Health Sanitarian ML:lm Environmental Laboratories, Inc. 587 East Middle Turnpike, P.O.Bog 370, Manchester, CT 06040 Tel. (860) 645 -1102 Fax (860) 645 -0823 Analysis Report July 09, 2003 . Sample Information Matrix: WATER Location Code: PUTNAM Rush Request: P.O. #: .ACCpRO c Q 2 FOR: Attn: Ms. Anne Bittner Putnam County Health Dept. Env. Health Services 1 Geneva Rd Brewster, NY 10509 Custody Information Date Time Collected by: CG 07/07/03 11:30 Received by: KJB 07/07/03 16:41 Analyzed by: see "By" below Comments: ND =Not detected BDL = Below Detection Limit RL= Reporting Limit If there are any questions regarding this data, please call Phoenix Client Services at extension 200. Phyllis 9,2003 , Labotatory Director. July lid kj Page 1 of 8� `� 38 Laboratory Data SDG I.D.: GAE91269 Phoenix I.D.: AE91269 Client ID: 15 WARREN Parameter Result RL.. Units Date . Time By Reference E. Coli Absent 0 /100m1s 07/07/03 17:45 KMC SM9223B Total Coliforms Absent 0 /100m1s 07/07/03 17:45 KMC 9223B Nitrate as Nitrogen 6.3 0.25 mg/L 07/08/03 14:31 ESG 300.0 Comments: ND =Not detected BDL = Below Detection Limit RL= Reporting Limit If there are any questions regarding this data, please call Phoenix Client Services at extension 200. Phyllis 9,2003 , Labotatory Director. July lid kj Page 1 of 8� `� 38 LORETTA MOLINARI R.N., M.S.N.T Acting Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 T ROBERT J. BONDI County Executive Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 -.6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Rita & Robert Maloney 15 Warren Drive Patterson, NY 12563 July 18, 2003 SUBJECT: PUTNAM LAKE SURVEILLANCE PROJECT SAMPLE RESULTS SATISFACTORY Dear Owner/Resident, Enclosed please find a copy of the results of your water test. The sample was collected by Putnam County Health Department staff on July 7, 2003. The results show that the coliform bacteria was satisfactory and.the nitrate result is less than_ the New York State Standard of 10 milligram per liter (mg/1). We recommend that residents check their well water for coliform bacteria annually. Attached is a list of laboratories for your use. We also recommend that residents have their septic tanks pumped regularly. Please refer to the attached information on septic system maintenance to avoid a potential problem. Should you have any questions, please contact me at extension 21.67 or Ed Bartos at extension 2233. Very y yours, Anne M. Bittner, M.S.P.H. Sr. Public Health Sanitarian cc: file c9 IC7 ' N Di \M C j N . to to Ad C13 m l � � UD ,N N i ca o CC„` NJ o a) N N r7. p �5. SENDING CONFIRMATION DATE JAN -6 -2004 TUE 10:32 NAME PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845 - 278 -7921 PHONE : 918663192588 PAGES : 2/2 START TIME : JAN -06 10:31 ELAPSED TIME : 00'39" MODE : ECM RESULTS : OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... a� a LOP=A MOUTNARI R,., M.S.N. P-BMe X.11h bbraxnr ROBERT J. BOND! J{ County E—i•e DEPARTIvx NT OF HEALTH 1 Gc=va Rand, 'Brewster, Now York 10509 X'** 9W BmIth (945)2? - 61]0 - (945) 378 .7921 Nuntng S.MM (a45)378 -6558 WIC (8{5)278.6678 Pa•X845)378 -6065 rN InterventlooM—heat (845)378.6014 Fax(845)378 -6644' FACSTMME TAANSAIITTAL - _ .- _...... _ From: Q,� /10>�• ✓c Date: Pages! / 7 'Urgent ❑ ForRev :ew 7 Flease.Comment ❑ please Roply o tin, ' cy'— a CONMItN ATAUTY STATEMENT: The le[aimad. cat�ined in Ns faaimlle may oonm!n CONFIDENTIAL --A legellp pmfaeted Jntonard=fnhn4ed only for ate. of tM Jndividnal or enthy named abm. Jf the reader of this Message is sot the Jatmded redptear, you am hereby notlfled that any di =SW% dieaibotlon, or aopylAg of this telempy ie ffWcdy pmbNtud. le you have recdved this teteoopy is error, gleam immed)etaly notify us by telephone (345-2796130) and dcstmy all doonnents associated with this Jherimtte. b CONMItN ATAUTY STATEMENT: The le[aimad. cat�ined in Ns faaimlle may oonm!n CONFIDENTIAL --A legellp pmfaeted Jntonard=fnhn4ed only for ate. of tM Jndividnal or enthy named abm. Jf the reader of this Message is sot the Jatmded redptear, you am hereby notlfled that any di =SW% dieaibotlon, or aopylAg of this telempy ie ffWcdy pmbNtud. le you have recdved this teteoopy is error, gleam immed)etaly notify us by telephone (345-2796130) and dcstmy all doonnents associated with this Jherimtte. LORETTA MOLINARI R.N., M.S.N. Public Health Director 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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 ' FACSIMILE TRANSMITTAL ROBERT J. BONDI County Executive To: Fax: S From: j3,-Y/ /���s_s Date: / G �J �-, C l� jS�.cG L � Re: ✓ vf��i�/ ��` /� Pages: o-7 �y ❑ Urgent ❑ For Review ❑ Please Comment ❑ Please Reply Ul/ /!/! C CONFIDENTIALITY STATEMENT: The information contained in this facsimile may contain CONFIDENTIAL and legally protected information intended only for the use of the individual or entity named above. If the reader of this message is not the intended recipient, you are hereby notified that any dissension, distribution, or copying of this telecopy is strictly prohibited. If you have received this telecopy in error, please immediately notify us by telephone (845- 278 -6130) and destroy all documents associated with this facsimile. �o �N ACCOgOq C-N: DX Environmental Laboratories, Inc. 587 East Middle Turnpike, P.O.Bog 370, Manchester, CT 06040 Tel. (860) 645 -1102 Fax (860) 645 -0823 Analysis Report July 09, 2003 Sample Information Matrix: WATER Location Code: PUTNAM Rush Request: P.O. #: FOR: Attn: Ms. Anne Bittner Putnam County Health Dept. Env. Health Services 1 Geneva Rd Brewster, NY 10509 Custody Information Date Time Collected by: CG 07/07/03 11:30 Received by: KJB 07/07/03 16:41 Analyzed by: see "By" below SDG I.D.: GAE91269 Laboratory Data Phoenix I.D.: AE91269 Client ID: 15 WARREN Parameter Result RL. Units Date . Time By Reference E. Coli Absent 0 /100m1s 07/07/03 17:45 EMC SM9223B Total Coliforms . Absent 0 /100mis 07/07/03 17:45 KMC 9223B Nitrate as Nitrogen 6.3 025 mg/L 07/08/03 14:31 ESG 300.0 Comments: ND =Not detected BDL = Below Detection Limit RL= Reporting Limit If there are any questions regarding this data, please call Phoenix Client Services at extension 200. P4,2003 , Laboratory Director. J 19 -.2 kd h 17or to J.7 w �r. 41011 .4JAj j0,!, ;. V,..a,1I,N3 0311 ;. 1 � �f�nd Page 1 of 8