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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35. -4 -107 BOX 16 ILL �� : - I III J ti IL T 1.6 IF 19.14 .0 P6 1 ■ Lr ■ 01768 PUTNAM COUNTY DEPARTMENT OF HEALTH VISI._ON;TOF ENVIRONMENTAL HEAL- THSERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYS' PCHD CONS RUCTION PERMIT # P O 2- O S Located Nat U,4 I L- L A fJ� Owner /Applicant Name YID D A M HDHE-5 Formerly WA Mailing Address Town or Village PATTERS O to Tax Map Block �_ Lot Subdivision Name V/ I f ��OV= WObpS Subd. Lot # 19 R Zip 105C9 Date Construction Permit Issued by PCHD 1 3 OS Separate Sewerage System built bAw%j < CAmr -od LwN !,:Ap , ress I ?k Pie ZZ FAH►L I1J Consisting of Z O Gallon Septic Tank and L , 11A E ZI R.o -a, Eo:IL.I. ; -% 1 I2ee-&IiU P AI fJ b2�1i 1J Other Requirements: Water Supply: WA Public Supply From Addres Z or: Private Supply Drilled bya2--fPA CSI AN ` W L6AddresseI f d-s,A4�� N.Y. 1 OS12 , Buildng �'yp� �AM IL'( �I G= Has erosion control. been completed? 1yiF115 Number of Bedrooms 4— Has garbage grinder been installed? tl O 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 accoom. the issued PCHD Construction Permit and approved plans and the standards, rules and regulations ty Department of Health. Date: Z -Z - Or!v Certified by i Ra Address Any person occupying premises served by the ft P.E. R.A. F-fAMM „ - promptly take such action as may be necessary to secure the correction of any unsanitary conditi m 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 revocat' n, modification r change is necessary. By: Title: Date: 7i COP White copy - HD Fie; Yell I wlpy - Building Inspector; Pink copyAwnO, Orange copy - Design Professional Form CC -97 2006 -01 -24 15:51 I �B iCS a. FWY PUNIC HaalaM Dftadr 8452792332 wM P 6/11 II.oRMA MDLD"N- RIB.. MAX • MdWe PWIc Hawk Db tww DA"WW of Pam saw= OVVVM NAME: TAX MAP NUNMEIL E911 AbDRESSo . TOWN: The ?utu m County Depart mW of Health will not issue a Certificate of Construction Compliance unless die above. form is completed, Le. a legal E911 address is assigned by an authorhd town official. 116 foam is to be submitted with the application fora CmAGmte of Construction Compii mm b� n PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location, _... _•,_., IW01.10wner: Street. Address: - : Town/Village: • ., Tax-Grid.# :.... • ._.. . Map �T Block 41 Lot(s) Name: Address: /,// I e9 Use of Well: 1- primary 2- secondary _X Residential Public upply Air con eat pump Irrigation Business Farm Test/monitoring .Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion NC Compressed air percussion Other (specify) Well Type Screened Open end casing jC Open hole in bedrock _ Other Casing Details Total length / ft. Length below grade ' Z2 ft. Diameter in. Weight per foot lb /ft.. Materials: ' Steel _ Plastic _ Other Joints: _ Welded ,v Threaded _ Other Seal: Cement grout _ Bentonite Other Drive shoe: Yes _ No Liner: Yes K No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _ Bailed _ Pumped Compressed Air Hours Yield �— gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) 751 9414 DUun2 Depth of completed well in feet (G ®� Well Log If more detailed information descriptions or sieve analyses Are available; _ please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface /6 lati t- , ) P. , Alla- -- _......_ _ _ .... - _ . _ , ...._.... -_.. .....,.� .. If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information i�// a AAA Pump Typ % Capacity Depth _%/ r� ModelC'���� Voltage HP f Tank Type; Volume ' ; ,_A t 11 Date Well omple d Putnam County Certification No. Date of R port Well Driller (sign re) NOTE: Exact location of well with distances to at least two permanent lAndmalks to be provid" on a separate sheet/plan. Well Driller's Narge Address: Signature: Date: White copy: File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 V YML ENVIRONMENTAL SERVICES 321 Kear Street � (914) 245-2800 Albert H. Padovani, Director LAB #: 9.600128 CLIENT #: 57197 NON STAT PROC PAGE: I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ WYNDHAM HOMES 8 COLLlNWOOD DRIVE RALPH TEDESCO BREWSTER, NY 10509 SAMPLING SITE: 58 QUAIL LANE : 8REWSTER ooL'o BY: JOSE NOTES...: KITCHEN TAP ~°~=~~°~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE PUTNAM CNTY O2/01/06 O2/07/06 02/03/06 02/03/06 02/02/06 O2/03/06 02/03/06 02/01/06 02/02/06 02/62 /06 02/08/06 PROFILE MF T. COLIFORM LEAD (INS) NITRATE NITROG NITRITE NITROG IRON (Fe) MANGANESE (Mn) SODIUM (Na) pH HARDNESS,TOTAL ALKALINITY (AS TURBIDITY (TUR . DATE/TIME TAKEN: 02/01/06 09:30 DATE/TIME REC'D: 02/01/06 10:00 REPORT DATE: 02108106 PHONE: (845)-279-2022 SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE—: < 4C COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE METHOD ABSENT /100 ML ABSENT 1008 1.1 ppb 0-15 ppb 9003 1.16 MG/L 0 - 10 9052 <0.01 MG/L ./A 9162 <0.060 MG/L 0-0.3 mg/1 9002 <0.010 MG/L 0-0.3 mg/l 9002 2.91 MG/L N/A 9002 6.5 UNITS 6.5-8 .5 9043 76.0 MG/L N/A 64.0 MG/L N/A 9001 COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATER (WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDI11=�931HE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION., Pb/Cu LEAD limits for public schools are set at 15 ppb. EPA Lead & Copper Rule for Public Systems requires that no more than 10% of their distribution points have a LEAD value of more than 15 ppb and a COPPER value of 1.3 mg/L, else water treatment must be undertaken to reduce the waters corrosive potential. Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium YML ENVIRONMENTAL SERVICES 321 Kear Street ' Yor.ktoyn Height :�10598 (914) 045-280O Albert1W [j^0 i, Director LAB #: 9.600128 CLIENT #: 57 � NON STAT PROC PAGE: 2 ' WYNDHAM HOMES ` DATE/TIME TAKEN4 02/01/06 09:30 _ 8COLLINWOODDRIVE DATBTIMEREC'D: 02101/0610:OO RALPH TEDESCO �' . ' ' REPORT DATE: 02/08/06 BREWSTER, NY 10509 PHONE: (845)-279-E;022 `��. SAMPLING SITE: 58 QUAIL LANE ' ��. SAMPLE TYPE. . : POTABLE ^ . : BREWSTER PRESERVATIVES: NONE COL'D BY: JOSE ' TEMPERATURE..: < 4C NOTES...: K%TCHEN TAP COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ . . DATE FLAG PROCEDURE � / ~ RESULT NORMAL - RANGE METHOD � .. is sugoested . ' pH H SCALE IN WATER RANGES FROM 1-� THE IMPORTANT AND FREQUENTLY USE07 TESTS IN WATER CHEMISTRY., WATER WITH A LOW pH MIGHT BE Cd0jR6SIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE: OF--��Vt,19 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS T OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESS LClUM CARBONATE, IN MG/L' THE HARDNESS MAY RANGE FROM 0 TO HU1jRREDS OF MG/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHlCH"TwE-WATER HAS BEEN SUBJECTED. SOFT WATER: 0-70 MG/L VERY HARD WATER: ABOVE 300 MG/L MODERATELY A �NU- WATER :- /O- J.'461 H- /' MG/L = ~LL�� R4- ~�7 iIT- R'- ' HARD WATER: 140-300 MG/L .'` ��'�` 0. grain/gallon = 17.2 MG/L) .`/ ' ' ` SUBMITTED BY: Director ELAP# 10323 'PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES iGUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM c4AHHojesplL,:�,- Owner or Purchaser of Building Tax Map Block Lot rr-- P" sol.1 Building Constructed byt T W000s l AdP, W 1 �DSOR= Location = Street Subdivision Name Building Type Subdivision Lot # I represe4t that I am wholly and completely responsible. for the location, workmanship, material, constructibn and sews drainage of the a treatment system serving the above - described property, and g that is has' been constructed as shown on the approved plan or approved amendment thereto, and in accordan0e with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs -ot assigns, to place in good operating condition any part o£ 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 pioperly 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 operatb was caused by the willful or negligent act of the occupant of the building uti system. Dated• vlont Day 30 Year DG - Signature: l Gen ra Contractor (Owner) - Signature W 1� hwwx C pia/✓ C 0 l �G Corporation Name (if co oration) Corporation Name (if corporation Address; rg� ��9r� 3/Z �u /� Address: �/ �1��_I.. State Zip %d State Alf tii Zip _L20 Form GS -9T i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH -SERVICES FINAL SITE INSPECTION Date: oc- Inspected by: Street Location ual P Lane Ownei Town t`�� -zc Permit # TM .4 , el : l ©7 Subdivision.Lot # I9 1. Sewage :System Area YE5' "NO COMMENTS a. STS area located.as, per;approved plans :...:..... .. ................ b... Fill section = date , of placement 3:1':barrier Lgth. Width. Ayg.Dpth c, Naturalaoil not :stripped ....... ..... ....... ...... ,d. Stone,:brushetc., greater than 15' from STS area..:::.:.:. .e.:100' from water course /wetlands ...........:. I I Sewage System a Septicaank size - 25 .........other :1,000 .1 .............. ,b. ' Septic'tank installed level ............... C., minimum from foundation ..:...... : .............. d. Distribution Bog L All outlets at . same: elevation -water tested......::, ....::. 2. Rrotected below. ..::........:. ......................... 3 .;Muiimum.2.ft:Original soil between box & trenches. e. Jun&ion;Box '- ........................... set..... ....... .6. ,properly Trenches 1 Ieiigth.required Length installed 6e-Ag, 2. Distance to .watercourse measured 4-.1 o OR........., , 3. Installed according to plan ............... 4. Slope of trench acceptable `1%1'6 - `1/32" /foot ............. 5. 10 ft. from,property'line'' 20 ft.- foundations.......... . b. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100 % ......................... s a 8. Size of gravel 3A - 11/2" diameter clean ...................: 9. Depth of gravel in trench 12" minimum .......:........... 10 :Pipe ends . capped ....................... ............................... Dosed g. PuniD or Systems 1. Size of pump chamber ................ ............................... 2. Overflow tank......... ....:............... ............................... 3. Alarm, wisuaVaudio :............. ................ .............. 4 Pump easily accessible, manhole to.grade ................. 5. First box baffled ... ............................... .; 6. C� ycle witnessed by H.Destimated flow /cycle........... IIL House/Buildidg a. b.: House located pper approved plans........:.. :,........ Number of bedrooms......... .......... .. IV. Weill Well located as per approved plans . ......:........................ - b.. Distance, from STS :area measured too ft........... c. Casing. 18" above grade ................ ............. ................... d. Surface drainage around well . acceptable ....................... V. Overall Worlananshin . 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 g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ........ :........................... i. Erosion control provided ................. ............................... Rev. 12102 6-r-E-ST73 Jan -26 -06 03:40P Ralph G. Mastromonaco PE 914 271 4762 P.01 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ATTENIhON ❑ JOSEPH Xr-ENE RE UESt FOR FINAL INSPECTION For: Fill All info4ation must be fully completed prior to any Trenches ?� inspections being made. PC HD C ) nstruction Permit # P- 02 ° 05. Located: R UAiL LA (� (� P�•TrE �So Owner/ plic Name: TM_ Block Lot -4 Formerly:-. ,.. _ t Subdivision Name: Subdivision Lot # in- Is syste fill completed? YES Date:.--- { 0(0 Is systeo complete? Yes Date: 11 U0 0 Is sy constructed as per plans? Is well lied ?. `� Date: 1 ��Co 0& Is well located as per plans? il✓S Are eroion control n)easw' es inplace ?.' I certif:M esy th stems) „as listed, at the above premises has been constructed and I have inspected and. ve their c ompletion in accordance with the issued PCHD Construction Permit and approved play: and the Standards, Rules and Regulations of the Putnam County Department of Health, _. Date: --F ZLo O(o Certified by: PE ?_ RA Design Professional Addre4 { 3 D v! G G Ro -ON- Lie. Comm*ts: PIF --�- L914-) tau LE i�sPria� 271- 4-7 Form OJ K. -99 SHERLITA AMLER, MD, MS, FAAP . , Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 Ralph Mastromonaco 13 Dove court Croton -on- Hudson, New York 10520 Dear Mr. Mastromonaco: February 2, 2006 ROBERT J. BONDI County Executive v Re: Field Inspection — Wyndham Homes Quail Lane, (T) Patterson TM# 35.4-69, Lot # 21 Upon inspection it was noted that the SSTS was not installed per the approved plans. Kindly re- evaluate the installed system and contact this Department of any and all changes your Department may require in order to conform to the approved plan. Please note that changes to the system that are not conforming to the approved design will require the submission of revised plans to this Department for review. If you have any further questions, please contact me at (845) 278 -6130, ext. 2261. GDR:cj Very truly yours, Gene D. Reed Sr. Environmental Health 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 RALPH G. MASTROMONACO, P.E., P.C. Consulting Engineers 13 Dove Court, Croton -on- Hudson, New York 10520 (914) 271 -4762 (914) 271 -2820 Fox Mr. Robert Morris, P.E. February 15, 2006 Public Health Engineer Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 Via UPS Re: SSTS AS -built for Wyndham Homes, Inc. 58 Quail Lane, Patterson, NY (Map 35 - Block 4 - Lot 107- R.S. Lot 19) Dear Robert: Please find enclosed the following materials: 1. One (1) copy of the Well Water Analysis dated February 8, 2006 2. Check in the amount of $300. payable to the Putnam County Dept. of Health These items were inadvertently left out of the earlier submission. We are requesting your continued review and approval of the completed works. Please call me if you have any questions. q Sincerely, 19z�zDoe� Ralph G. Mastromonaco RGM /jl Enclosures RALPH G. MASTROMONACO, P.E., P.�` Consulting Engine(Jrg:.. 13 Dove Court, Croton -on- Hudson, New York 10523, (914).271-4762,,---, .(91:4).271,2820 Fax.: Mr. Robert Morris, P.E. Public Health Engineer Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 Re: SSTS AS -built for Wyndham Homes, lnt.` r 58 Quail Lane, Patterson, NY ; . (Map 35 - Block 4 - Lot 107- R.S. Lot.19) Dear Robert: February 8, 2006 Via UPS Please find enclosed the following materials: 1. Five (5) signed and sealed copies of. the drawing entitled SSTS As -Built Plan R.S. Lot 19 of Deer Wood Subdivision (Map 33 `Block 4, Lot 107) Prepared for Wyndham Homes Inc., Located at Quail Lane, Town. of .P.Aterson, NY, dated February 1, 2006 2. Four (4) signed and sealed copies' of I)e Certificate of Construction Compliance dated February 2, 2006 3. Four (4) signed copies of the Well CcrOi letion Report dated January 12, 2006 4. Three (3) signed copy of the Guarantee of Subsurface Sewage Treatment System dated January 30, 2006 5. One (1) copy of the Well Water Analysis 6. One (1) copy of the E911 Address VerW* pa tion Form We are requesting your review and approval of.the completed works. Please call me if you have any questions. Si erely, Ralp G. Mastromonaco RGM /jl Enclosures Cc: Joe Darnell DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM - PERMIT # Located at Q L)A I L L , KIE Town or Village PATrE R—SC.V Subdivision named dQ5ow VA/poj9SSubd. Lot # _ft Tax Map :3 5 Block _4—_ Lot (,o9_ Date Subdivision Approved 3 1 OZ Renewal Revision Owner /Applicant Name Date of Previous Approval Mailing Address e G0LLI NW ©0,C) DP=iVC-- &FeW5T C- P— Zip ps-oq Amount of Fee Enclosed Building Type I FAM. L Lot Area 3. Z No. of Bedrooms 4— Design Flow GPDj�3C)zfD Fill Section Only Depth . Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL. IS COMPLETED Separate Sewerage System tem to consist of I G.`L--> U gallon septic tank and yU od TR-F, Other Requirements: Z r R: D. B ;FILL %' To be constructed by -rbP Address Water SuppN: Public Supply From Address or: Private Supply Drilled by a (D bp. LLo�tS '* _ 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 opera i'bndi ' art of said sewage treatment system during the period of two (2) years immediately following the date -of th e ' icy roval of the Certificate of Construction Compliance of the original system or any repairs thereto.. y�PQ1 MA.V -M — �o —�a 1r RN Signed: I Wit i • ``► s r� • ,E� a s p _1057—o License # APPROVED FOR CONST T 'fi a al expires two years from the date issued unless construction of the sewage trea t ystem has betplete inspected by the PCHD and is revocable for cause or may be amended or modified whe nsider cessary by the Public ealth Director. Any revision or alteration of the approved plan requires a new permi , A prov discharge of domestic sanitary sew a only. By: Title: Date: r bf White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 6 8. LORETTA MOLINARI 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 Ralph Mastromonaco 13 Dove Court Croton -on- Hudson, NY 10520 Dear Mr. Mastromonaco: ROBERT J. BONDI County Executive November 4, 2004 Re: Proposed SSTS: Wyndham Homes, Inc. Quail Lane, Lot # 11 (T) Patterson, TM # 35 -4 -69 Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: 1. House plans are considered to have 5 potential bedrooms. 2. Is the curtain drain existing or proposed? The approved plat shows an 80 ft. curtain drain. The submitted individual plan shows a 120 ft. curtain drain. Please clarify. 3. Fill is required to extend 10 feet horizontally past the edge of any trench. 4. In Putnam County the direct line of drainage keyhole is shown by connecting straight lines tangent to the 100 ft. radius curve and connecting these lines to the ends of the 100 ft. line drawn 200 feet from the well. 5. Erosion control measures should not be shown perpendicular to the contours. This only enhances erosion. Erosion control measures should be shown directly below the primary SSTS. 6. The minimum of 1 ft. of fill is to be provided for the entire SSTS (primary & expansion). Fill is to extend 10 feet horizontally past the edge of any trench and then slope 3:1 to grade 7. Absorption trench detail is to show the side view. Furthermore 2 feet of solid pipe is to be shown between the junction box and perforated pipe. The plans view of the SSTS is to show the 2 feet of solid pipe. 8. Fill notes 1 and 5 are not applicable to this project and should be crossed out or removed. 9 -The -consttucti6n`-6f this sewage? disposal "systern may be subject to local wetland regu ations: You should contact local wetlands officials in this regard. If percolation test were not witnessed by a representative of the New York City Department Environmental Protection on this lot, percolation tests must be witnessed by a representative of this Department. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. RM:km Very truly yours, Robert Morris, P.E. Senior Public Health Engineer SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Ralph Mastomonaco 13 Dove Court Croton -on- Hudson, NY 10520 Dear Mr. Mastromonaco: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 March 15, 2005 ROBERT J. BONDI County Executive Re: Proposed SSTS: Wyndham Homes, Inc. Quail Lane, Lot # 19 (T) Patterson, TM # 35 -4 -69 Review of plans and other supporting documents submitted at this time relative to the above regarded project has been completed. Comments are offered as follows: 1. Fill exceeds two feet in depth, therefore fill plans are required. 2. Current code allows a maximum of 3.5 feet of fill. Fill is shown at depths of up to 5 feet. 3. Curtain drain stand pipes are to be shown and a, detail provided. 4. All storm drains within 100 feet of the property line are to be shown. 5. House sewer is to note a minimum slope of 1 /4 " /ft. 6. Absorption trencli'detail is to show two feet of solid pipe between the box and the perforated pipe. The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. If percolation tests were not witnessed by a representative of the New York City Department Environmental Protection on this lot, percolation tests must be witnessed by a representative of this Department. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. RM:kly Ve 1 yours; obert Morris, P.E. Senior Public Health Engineer Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early InterventiowPreschool (845) 278 -6014 Fax (845) 278 -6648 PC -1 PU-�VNAM COUNTY DEPARTMENT O F HEALTH APPLICATION FOR' APPROVACOF PLANS` FOR A" WASTEWATER `- DISPOSAL SYSTEM __ 1. Name and Address of Applicant: Vc/YtJPHA " H oM ES, I�I� 2. Name of Project: W I�lpaow 3. Location T /V /C: 4. .Project Engineer: PALO? LI P=QIIQ X60 .5. Address: 1!:> vc>,/eC 14) 544-98 License Number: Ph6ne• 2 6. Type of Project: X Private /Residential. Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEAR)? Type Status (:Check One) Type I.. Exempt X_ Type II. Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? ............. 9. Has DEIS been completed and found acceptable by Lead Agency? ........... 0. Name of Lead Agency 1. Is this project - in.an area -under the control of local planning, zoning, o-- r7other.officials,.ordi6ances? .......:. .....::...:::.::..........::... 2. If so, have plans been submitted to such authorities? .................. N 3. Has preliminary approval been granted by such authorities? Date Granted: 4. Type of Sewage Disposal System Discharge...... Surface Water ^ Ground Waters 5. If surface water discharge, what is the stream class designation ?........ 6. Waters index number (surface) .................. 7. .Is project located near a public water supply system? .................. 8. If yes, name of water supply Distance to water supply 9. Is project site near a,-public sewage collection or disposal system ?..... �0 0. Name of sewage system N �� Distance to sewage system 1. Date observed: "' �a'- I 23. Name .of Health. Inspector:.�7Ut7Z I 4. Project design flow (gallons per day) ...... ............................... 00 G� 2. 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?.. 26. Has SPDES Application been submitted :to local�DEC Office? ............... _ 27. Is any portion of this project located within a designated Town or State j wetland ?..... s ........ ... ........................ O 28. Wetland ID Number ........................ ............................... N 29. Is Wetland Permit required? .................. a .... ..................... Has application been made to Town or Local DECOffice? ................. LA _ 30. Does project require a DEC Stream Disturbance - Permit? ................... 0 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ........ YES or NO O 32. Is project located within 1,000 feet•of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or I� any other potential known source of contamination? ..............YES or NO DESCRIBE: x 33. Is there a local master plan or file with the Town or Village? ........... 34. Are community water, sewer facilities planned to be developed.within 15 years? N O 35.- Are any sewage disposal areas in excess of 15X slope? O 4 36. Tax Map ID.Number .................................................. ........35 3.7. Approved -Plans are to be returned to: ..... Applicant X Engineer If the.application.is signed by- a,- person:other than the applicant shown in Item 1, the application must be accompanied by a Letter of Authorization. Failure to comply.with this provision may be: grounds for the rejection of any submission. . I hereby affirm, under penalty of perjury, that information provided on this form is true,to the best of my knowledge and belief. False statements made herein are punishable as a Class A Misdemeanor pursuant to Section 2!'� ofd ; the Penal Law. �� w SIGNATURES & OFFICIAL TITLES: K A L 83J so MAILING ADgf�,SS < 'j :::� ! :r't t r t r�•'' 'Adz IV/ A5 F—QMC*4 �o oc :� a t` q�; 14 -18.4 (919 —Tem 12 PROJECT LD. NUM 617.20 SEAR Appendix State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART 1— PFtO_Iwr --r INFORMATION (To be completed by Applicant or Project sponsor) P PLLIC�AaNT JSPONSO N iI oM ESG • 2. P NAME ` / ► t��w W oo DS OJECT LOCATi IP, Municipality County 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, eta, or provide Map) j12- OF= ApFLE HILL I2oA17 5. IS PRO SED ACTION: ew ❑ Expansion ❑ Modlficationfalteretlon .6- DESCRIBE PROJECT BRIEFLY: C c»`Is-f 1�cK.�'��� of �r1E s►>�G1✓� 9[7:) �`-t � �-f R.�s� b!✓f�� W I -�-� SF IC,, wEU-1 E)P-W. NArAd Q 7. AMOUNT OFj j1!DrECTED: G Initially acres Ultimately acres 8. WILL( PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 1aa�res ` [IN, 1( No, describe brIefly 8. WH T 15 PRM04T LAND USE IN VICINITY O PROJECT? Uesidentlal . ❑ Industrial Commercial ❑ Agriculture ❑ ParklForest(Open space ❑ Other Describe: 10. DOES ACTIONINVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STACALi? R LC es ❑ No If yes, list agency(s) and permittapprovais P�DN- e•o.�1.A - Taw P& E � -Pau tip I �6k 11. DOES ANy ISPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ;54r-es :3 No If yes, list agency name and permiUapproval Taw >F P,4,so>a - Sv�vISIo)J A pPAL 12. AS A FtI ESOLTOF PNOPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE - �.p 1" 1 rT M o Dates ZZ f� A,nyr n,� 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 11-- 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 •- BJ WlL"CTION,,$ECEIVE C09 HOINAT.ED..13EVIEW.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 legiblei 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 species; significant habitats, or threatened or endangered' species? Explain briefly C4. A community's existing plans or goals as officially adopted, or a change In use or intensity of use of land or other natural resources? Explain briefly CS. Growth, subsequent. development, or related activities likely to be Induced by the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not identified in C1-057 Explain briefly. C7. Other Impacts (including changes in use of either quantity or type of energy)? Explain briefly. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? ❑ Yes ❑ No E IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? En ❑ Yes ❑ No If Yes, explain briefly ; c� W s PART Ill— DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect Identified above, determine whether it is substantial, large, important or otherwislilsigniff ,' t. Each effect should be assessed In connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) rata irreversibility; (e) geographic scope; and (f) magnitude. If necessary, ad. d attaciimehts or reference supporting materials. Ensure tha#� explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. Icy question 0 of Part ii was checked yes, the determination and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the• CEA. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY 'occur. Then proceed directly to the FULL EAF and /or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental Impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (if different from responsibTe officer) Date PUMAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRaMNML HEALTH SERVICES DESIGN` DATA- SL EEr- SUEtSUFACE' SEWAGE DISPOSAL; SYSTEM FILE N0. Owner W Y D A M qQME1!jL. Address 8C-o l WWOOD Y Located at ( Street) QUA (L L. A d'a Sec,. ?3 5 Block Lot 69 os� ( indicate nearest cross 'street) Municipality ,4TTF-2.S0f watershed_ E >c>cnt ' SOIL PERCLLATION TEST.DAATA RDQUIRED TO BE SUEIMITTED WITH APPLICATIONS Date of Pre- Soaking I 1 -18- I (o (AH) Date of Percolation Test, I -.I '9 (4o PM) HOLE NUKBER mcm TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop - Inches Inches Inches 11 *34.1 56 24 Zo -z 3 g 21 :59 - 2:27 Z 32.28 - 2.54 2 Co 2 0 Z 3 3�g. g 4 5 2. 1135 -..2:08. 33 _..22.C.+ •..4 2 I 32 203/4 23'/4. 2' 2D 31� 3 2 ..2, 3: I I 29 2 D 2.3'/4 2 Z23 /4 Z 5 1 � ' 13.2 12.8 4 NOTES 1. Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2. Depth measurements to be made from top of hole. rev. 9/85 TEST.PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES . :.; DEPTH - : HOLE- NO.- - G.L. u ToI L• eel) �(�LLOW ��oWrl lo�l �F_ LLoy�! 1v3�oVJlJ 20. , i LTY l o,� I�t S�,�I 0-Y LOAM' ZVI SAt Cr-f LOAM 7_7u OLIVE 5R•OW1,1 VJ �o C3F3t.�5 SA r->'f L oA0 41 6° OT .T U 7' I 8' -7•5 go 10, WATT 11° 12' 13° 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED I7EP) 742 INDICATE LEVEL TO WHICH WATER LEVEL RI ES BEING EN000NTERED i-(O' b ,41 6' I'� . i Ic. o�s,Tr�•R� 12.10.94 PC— DEEP HOLE OBSERVATIONS MADE BY: . L LOYOLPEJ, {�. �jt�p21N5� -1 {) DATE: _ 12 -34 - - - DESIGN Soil Rate Used (5 Min /1" Drop: S.D. -Usable Area Provided 7 0005 No. of Bedrooms A: Septic Tank Capacity 2.�� gals. Type Absorption Area Provided .By � L.F. x 24" iaidth trench Other 21(Z D. g. F I LL SE�Tlor ; i 67 p L) R-SAI4 . i Name V1 AST W O D Signature SEAL �rjv-i. a S ' $PACE FOR BY HEALTH DEPARTMENT ONLY Soil Rate Approved sq.ft /gal. Checked, by 0 f l?6FE ISS 0 ,i Date r u t lv A1V1 C 0 U N 1 DUARTMENT OF�, HEALTH I DIVISION OF ENVIR D AL- . HEMj S•E VICES j DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM >rvf-C-, 0- MA,-f IT ....Owner M l e, 4A t;1 � Nt At 'Fp Addre s. s ' � r� X ' j og-r, . �— Located at (Street) _r,-yd a. Tax Map 35 :Block Lot T (indicate nearest cross street) Municipality _ !'�T 13a . Drainage Basin rc& r4g=y.. SOIL PERCOLATION TEST DATA Date of Pre- soaking (0 nn)� Date of Percolation Test A 118 -q L.Cprn ) _ Percolation Rate* Min/Inch- Ffole No., _. Rua No..... Time Start - Stop .. Ela se Time amn.) De th to Water From Ground Surface (Inches) Start Stop. -Water Level Droclp In ..Ir es- I 2 2!d 3 22%4 .. 2 4 1 NOTES'. ,:1'.. Tesmto klepeated at same depth until approximately equaVpercolation. rates are obtained at each F . percolatiotrtest hole. (Leer. s l min for t•30 iinrncli; °s 2 mini for 31- 60'minlinch) Al! data to be s4bm fitted- for review. ' 2: : Deptfi measurements to be made from top'of hole:' ... -97 Form DD Indicate level atwhich gro undwater is encountered: 6'-j; "(y Indicate level atwhich'mottling is observed. *-, Indicate leye to which water level rises after being encountered .Dee hol e' o.b§6i.VW6fti: ffi(fe'- by: ob0Zjmsj<i r4t2) Date. 2 4, �4� 14 0) e$19a Professional Name., A"ress: 0. Signature:'_� gn, Yroftssioual's Seal ia? NEW, TO "Ic'"o No. 50124 FESSIO 2 - n"; -9�Tj? AT DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH ::"AOLt.NO.* I -..'HOLE NO. a . HOLE NO 71701'50 1 .0.5 • 1.0 1.5 s L 2.0 1�2 gAqo,,( L/2AVI 2.50 3.0 . ....... .. 5.5 6.*0 7 7.5 fz,,04-0"N12) 9.5 J-7,1010, Indicate level atwhich gro undwater is encountered: 6'-j; "(y Indicate level atwhich'mottling is observed. *-, Indicate leye to which water level rises after being encountered .Dee hol e' o.b§6i.VW6fti: ffi(fe'- by: ob0Zjmsj<i r4t2) Date. 2 4, �4� 14 0) e$19a Professional Name., A"ress: 0. Signature:'_� gn, Yroftssioual's Seal ia? NEW, TO "Ic'"o No. 50124 FESSIO PUTNAM COUNTY DEPARTMENT OF HEALTH.'.. DM.SION.OF.IENVIRONMENTAL..HE.ALTH. -SERVICES--,:"*"' LETTER OF AUTHORIZATION RE: Property of Located at T/VPA-TTEEP_5oi . Tax Map # 50 Block Lot A Subdivision of_(,yjj4mc,oj__ WzfDS Subdivision Lot # Filed Map# 7— 89 1 Date Filed. 'S -14 -62 Gentlemen: This letter is to authorize o 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 - ipc6i&n66` with the standards, rules or regulations as promulgated by the Public Health Director 8fth."o-Puth ' am County Health Department, and to sign all necessary papers on my behalf in connect-ion with -this matter and to supervisqte construction of said wastewater tretment and/or water supply systems in conformity with tho,',o.ro icle - 145- and/or 147- of the Education. Law, tie Public Health Law d the Putnain ode. an K W-5351, Mailing Address I C Q.oTo►� —o�— i-�v ��� State zip 105ZO Telephone 14) 2 -71-47(o2_ Very truly 0 urs, Signed: w4 of Propcny) Mailing Address:'12> State Zip Teltplfbne: RLI-A - Form LA-97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF. ENVIRONMEN - AL..HE LT-H,, .E.R.VICE.S. AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERNET APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for: 1/V 1NpSov0 WOO'G2S gptyl5to� represent that I am an officer or employee of the corporation and am authorized to act for: Name of Corporation: Having offices at: . Whose Officers Are: Vice President - Name: Address: Secretary - Namc7p � P q Address: c�� \�.c�.� �•��"��L .. �C`� Treasurer - Name: Address: and that I am and will be individually responsible for any and all acts of the corporation with respect to the approval requested and all subsequent acts relating ther to. Signed: Title: Sworn to before me this !�) . day of "�cN_ T(month ) (year) t '.o�jl NO- OGRE Corporate Seal Form CA-97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL. - - please print or type PCHD Permit #� Well Location: Street Address: [�Town/Village Tax Grid # Q UA 1 L dF- I A TE RSoI Map 3cj Block q-- Lot(s) 6> Well Owner: Name: Address: WyE (?dA OME61SCel I1 woo DR. BP-Evvs u ICY lo5cR 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 _15L gpm # People Served Est. of Daily Usage 00 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason P2 o OS U L I L L I KJ for Drilling Well Type �_ Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No ><-_ Is well located in a realty 5ubfdivision? ...................................... ............................... Yes No _X Name of subdivision Lot No. Water Well Contractor: -r LSD Address: Is Public Water Supply available to site? .................................. ............................... Yes No _ Name of Public Water Supply: d A Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: 2-22-05 Applicant Signature:.. - RALN 6•. ST 2D v AGo Ri= . PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. revision or alteration of the approved plan requires a new permit. Well to be constructed by a water ell filler ce ified by Putnam County. Date of Issue Permit Issu' Date of Expiration Title: 0 Permit is Non- Transfer abl White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Forth WP -97 RALPH G. MASTROMONACO, P.E., P.C. Consulting Engineers 13 Dove Court, Croton -on- Hudson, New York 10520 _ . ,(1;J4),2714762_, (Q1,4),2712820 Fax Mr. Robert Morris, P.E. Public Health Engineer Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 Re: Proposed SSTS for Wyndham Homes, Inc. Quail Lane, Patterson, NY (Map 35 - Block 4 - Lot 69 - R.S. Lot 19) Dear Robert: Please find enclosed the following materials: February 23, 2005 Via UPS 1. Four (4) signed and sealed copies of the drawing entitled SSTS Plan R.S. Lot 19 of Deer Wood Subdivision (Map 35, Block 4, Lot 69) Prepared for Wyndham Homes Inc. Located at Quail Lane, Town of Patterson, NY dated February 18, 2005 2. Four (4) signed and sealed copies of the Construction Permit Application dated February 22, 2005 3. Four (4) signed copies of the Application to Construct a Water Well dated February 22, 2005 4. One (1) signed copy of the Corporate Affidavit dated January 5, 2005 5. One (1) signed and sealed copy of the Letter of Authorization .6. One (1) signed and sealed -copy of the__ Application _for Approval of Plans for A Wastewater Treatment System 7. One (1) signed copy of the Short Environmental Assessment Form dated February 22, 2005 8. One (1) signed and sealed copy of the Design Data Sheet 9. One (1) copy of the original Design Data Sheet for the subdivision approval 10. Two (2) sets of architectural plans for a four - bedroom house 11. Check #448714 payable to the PCDH in the amount of $400. We are requesting your review and approval of the submitted materials. Please call me if you have any questions. cerely, G. Mastromonaco RGM /jl Enclosures Cc: Wyndham Homes w /copy of plan RALPH G. MASTROMONACO, P.E., P.C. Consulting Engineers 13 Dove Court, Croton -on- Hudson, New York 10520 .,-(9-14)273-4762, . (91.4) 271 -2820 Fax Mr. Robert Morris, P.E. Public Health Engineer Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 Re: Proposed SSTS for Wyndham Homes, Inc. Quail Lane - Lot 11, Patterson, NY (T. M. 35 -4 -69) Dear Robert: February 17, 2005 Please find enclosed two (2) signed and sealed sets of architectural plans for the proposed four (4)- bedroom house. At this time, we are requesting your continued review and approval of the submitted materials. Please call me if you have any questions. Sincerely, Ralph G. Mastromonaco RGM /jl Enclosures IM ,'t, (1' gg t , S E 1 , ®NSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM (OD _0. Located at QUAI L L A4 Town or Village PATTER-SoK1 Subdivision name Subd. Lot # Tax Map_ Block Lot Date Subdivision Approved S 62- Renewal Revision Q Owner /Applicant Name Y6 �� AM HOME-5D � Date of Previous Approval 1z5 1 O --5 Mailing Address E3 � ©L L W ®O ® ®e B VE; W • 9 . Zip Amount of Fee Enclosed Building Typeag J:AM I Ly Lot Areal. 2- No. of Bedrooms 4- Design Flow GPDZ-00 Fill Section Only Depth Volume PCHD NOTIFICATION IS RE UIRED WHEN FILL IS COMPLETED Sel actuate Sewerage System to consist of 2-50 gallon septic tank and II®s L+w1 �i A f� i /1 ' 1 ♦ J . s.. o t� �f � _ ®.mss. � �.� ti w w Other Requirements:?-, 12.0.B,; F To be constructed by Address Water Supply: Public Supply From Address bti.�- Private-SupplyDrilledby--ro Pt,--r 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. License # APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage trea ystem has been completed and inspected by the PCHD and is revocable for cause or may be amended or modifieff�enc idpred essary by the Public Health Director. Any revision or alteration of the approved plan requires a new p d ischarge of domestic sanitary sewage only. By: Title: Date: White copy HD File; Yellow copy Building Inspector; Pink copy Owner; Orange copy Design Professional , Form G RALPH G. MASTROMONACO, P.E., P.C. Consulting Engineers 13 Dove Court, Croton -on- Hudson, New York 10520 (914) 271 -4762 (914) 271 -2820 Fax Mr. Robert Morris, P.E. Senior Public Health Engineer Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 Re: Windsor Woods Quail Lane - Lot 19 Patterson, NY (TM #3&4-4-07-Y Dear Robert: Please find enclosed the following materials: July 11, 2005 Hand Delivery • Four (4) signed and sealed copies of the drawing entitled SSTS Plan R.S. Lot 19 of Deer Wood Subdivision (Map 35, Block 4, Lot 69) Prepared for Wyndham Homes Inc. Located at Quail Lane, Town of Patterson, NY dated February 18, 2005, revised June 11, 2005 • Two (2) sets of architectural plans for a four (4)- bedroom house • Four (4) signed and sealed copies of the Construction Permit dated June 11, 2005 Based upon the Patterson Planners' review, we have made the following revisions to the drawing: 1. The tax map number has bee corrected_a`s noted 2. The grass -lined swale shown behind the proposed house has been adjusted The architectural plans have been revised to reflect a billiard room instead of the home office. We are requesting your review and re- approval of the subject project. Please call me if you have any questions. Sincerely, Ralph G. Mastromonaco RGMfI Enclosures LOT 1 9 140,124 s. f. 91ti / 3.217 acres 3e ' y/ J'7 CIO EXISTING CI. WELL tee. O/ THERE ARE NO SEPTICS LOCATED WITHIN 100• UPSLOPE OR 200' DOWNSLOPE IN DIRECT LINE OF DRAINAGE OF THE EXISTING WELL LOCATION AS SHOWN. THERE ARE NO EXISTING OR PROPOSED WELLS LOCATED WITHIN 100' UPSLOPE OR 200' DOWNSLOPE IN DIRECT LINE OF DRAINAGE OF EXISTING SSTA ' FOOTING DRAIN , ROOF DRAIN � - EXISTING: 'DRIVEWAY 7 DEEP CURTAIN DRAIN I� / .0 WITH MONITORING PIPES �� / // LB b 1250 GAL CONC. 'DUAL COMPARTMENT SEPTIC TANK '(TYPCAD)PVC T1 .T2 / 4' PVC Imo' / 60i/ / /// �06 L1' L2 6O /�P�Oii C / // // C�.�i POINT'S' L5� i ALL LATERALS HAVE CAPPED ENDS (TYP.) APPROXIMATE LIMITS � OF 2' R.O.B. FILL SSTS AREA 8,500 a. f. N 74'54.38° W 15.01' TIE DISTANCES A B T1 18.1' 61.5' NO EXISTING OR- PROPOSED - WELLS'._ THIN 100' UPSLOPE OR 200' DOWNSLOPE v / �J INE OF DRAINAGE OF EXISTING SSTA SSTS AREA 6,500 s.f. ' r N 15.01' W y,z TIE DISTANCES TRENCHES REQUIRED = 500 L.F. TRENCHES PROVIDED = 500 L.F. �c NOTE: DUE TO THE INSTALLATION OF EXTRA TRENCHES THE LATERALS OUT OF JB5 HAVE BEEN CAPPED. THESE TRENCHES WILL BE PRESERVED FOR USE AS PART OF THE FUTURE 100% EXPANSION AREA. A B T1 18.1' 61.5' T2 25.3' 69.1' JB1 66.4' 107.2' JB2 71.3' 109.1' JB3 76.3' 111.1' J B 4 81.5' 113.4' * JB5 86.6' 115.9' J B 6 91.5' 118.3' L1 45.4' 46.9' L2 51.1' 48.0' L3 56.4' 50.4' L4 62.5' 53.8' * L5 68.2' 58.1' L6 80.2' 96.8' L7 114.6' ; 166.4' L8 118.6' 168.3' L9 121.5' 169.5' L10 125.4' 171.6' * L11 131.0' 174.9' TRENCHES REQUIRED = 500 L.F. TRENCHES PROVIDED = 500 L.F. �c NOTE: DUE TO THE INSTALLATION OF EXTRA TRENCHES THE LATERALS OUT OF JB5 HAVE BEEN CAPPED. THESE TRENCHES WILL BE PRESERVED FOR USE AS PART OF THE FUTURE 100% EXPANSION AREA.