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Home My WebLink About1773DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35. -4 -112 BOX 16 01773 1 'I y '' L,-. ��.ON T . l4' I' I �. La I L ' 01773 PUTNAM COUNTY DEPARTMENT OF HEALTH ' MSION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR:SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # - O(o Located at 5 3 QUAIL L A� - Town Village PATT-E 91S!2j Owner /Applicant Named- tJ QdAM HO Tax.Man 35 Block Lot �� Z Formerly /A Subdivision Name W I.tJOSOQ WOODS Subd. Lot # Z y Mailing AddressgGol I f yyooD ewe BQ.eWSTE Y Zip OI 5o, Date Construction Permit Issued by PCHD 9/27106 Separate Sewerage System built by MAXX CAIJEaJ, TNG Address 12.4 RTE 22, PAWUfJG Consisting of I ZOO Gallon Septic Tank and 15-71 LF OF 24-11 w I DE Aax, ep: l TIZEf�Ic+- Other Requirements: I"I o t E Water Supply: --- A Public Supply or: Private Supply Drilled by BOY 2 A P ESIAf W ELt- I o54 RouTe 52 CCA1Z ME1-,iJY- 10512 Building TypeOJE FA M I Li R5-51 DEt -6Has erosion control been completed? Number of Bedrooms �O U (4) Has garbage grinder been installed? I 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 accor`'Ihissued PCHD Construction Permit and approved plans and the standards, rules and regulations of Date: 2-16 Jo--F Certified by Address Any person occupying premises served by the .Department of Health. P.E. R.A. ssigna�l ; ASTRONIO ACO . 0 �Zo License # 064 -410 zsil- promptly take such action as may be necessary to secure the correction of any unsanitary Y conditions il such usa g e. 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 tq modification or change when, in the judgment of the Public Health Director, such Pr change is necessary. By: ` "`�.t. f- Title: White copy -.,'HD File; Yelld'wlpy - Building Inspector; P Date O - Design Professional Form CC -97 t PUTNAM COUNTY DEPARTMENT OF HEALTH 4 DIVISION OF ENVIRONMENTAL ®NlNTAL I�[EALTIT SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # -P- 0 1 — O(o Located at 5 3 Q VA 1 L L At E Town or Village PATES giSi!2 1 Owner /Applicant Named --�N C)dAM HOHE JL.Tax Map 3 5 Block Lot Formerl Subdivision Name �I f,l pSog \AIppDS Subd. Lot # Z 0> Mailing Address g Go 1 I f WOO D D 2 IVE R,-)P -E-WS"f E Y Zips IDS Date Construction Permit Issued by PCHD 9/27106 Separate Sewerage System built by A� CAIJECJ, DC Address 124 RT>r 22, PAWUfJ� NY 125�- Consisting of Z50 Gallon Septic Tank and 5? 1 LF O F Z4" W l DF A P oo =-re r t lc+] Other Requirements: r4 o N E Water Supply: A& Public Supply From Address or: X Private Supply Drilled by WELL I o54 ROVTe 52 �ARMEL, 1052 Building.Type M I Li RE51 r7Et -6flas erosion control been completed? Number of Bedrooms �OUV— ��-� Has garbage grinder been installed? l 0 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 - sued PCHD Construction Permit and approved plans and the standards, rules and re ations of gul �, �rn. puiit�i,Department of Health. Date: 2 6 lo--7- _ Certified by Address _ P.E. R.A. .oMot,JAco License # D Any person occupying premises served by the abov l °s1ISromptly take such action as may be necessary to secure the correction of any unsanitary conditions re uffing mom 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 White copy - HD File; Y or change is necessary. Title: - Building Inspector; P Date- 91-a7- - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address . Town/Village: Tax Map # Map35 Block Lot(s) Well Owner: Name: Address: Use of Well: X _Residential _Public Supply Air conic /heat pump _Irrigation 1- Primary Business Farm Test/monitoring —Other(specify) 2- Secondary Industrial Institutional Standby Drilling Equipment Rotary _Cable percussion X Compressed air percussion _Other(specify) Well Type _Screened , _O en end casin g � Open hole in bedrock.,_Other Total Length ft. Materials: Steel Plastic Other Casing Details Length below gradel&ft. Joints: Welded X Threaded Other Diameter 6 in. Seal: 4cement grout Bentonite Other Weight per foot / Ib /ft Drive shoe: Yes _ No Liner: _Yes _XNo Diameter (in) Slot Size Length (ft) Dept to Screen ft Developed? Screen Details First I Yes _No Second Hours Well Yield Test _Bailed Pumped Compressed Air Hours Yield gpn► Depth Date Measure r m an surface-static (specify ft Durmg y ee tes 3 /- Well Log Depth From Surface Wel iam If more detailed ft. ft. Water Bearing in information _ La_n_d s_arfa- descriptions or / sieve analyses are available, Dlease attach. —'ver f yield was tested Feet Gallons Per Minute Pum 3t different depths Pump Type 1 luring drilling 9 3 a J&A Depth Ci' ist: / i 'y 6M Voltage rmation Description e Tank Information Capacity Model HPv -a&', q`/ �Paly/ 4h. volume 1641J14 _ NOTE: Exad Location of well with dis ances to at least two permanent landmaFks fo be provided a separate sheet/plan. White copy: HD File; Yellow copy - Building Inspector; Pink copy.- Owner; Orange copy - Well driller Form WC -97 Rev. 3/06 2006 -01 -24 15:52 I BRA R. FOM PUN&C meat* A e" r 8452792332 wM P 10/11 LORETTA M"ARI• ILN., bU.N. Pagkw s TAX NA e A Lv E911 ADDRESS: `OWN: A taW" Tyr ®MCIAL: (Sipature) AAT E: The Putnam County lDepartmwt of Health will net issue a Cerd&zte of Construction Compliance wdess the above form is completed, i.e.„ a legal E911 address is assiped by an su torized tvvm official. This form is to be submitted with the application far a Certificate of Constmction Compliance, (0i1VOMM4 \—C k 2� 2007 -01 -05 07:33 203 - 723 -1301 CHATFIELD FARMS P 112 Jan-03-0'/ 03;09P Ralph G- Mas tramonaco PE 914 271 4762 P-02 PUTNAM COUNTY DEPARTMENT OF REALTH DIVISION'-.'O-' ENVIRONMENTAL- REALTHI- SERVICES - GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM WYtJDt AM { i omEs.,1hL. -�>5 4- I f z Owner or Purchaser of Building Tax Map Block Lot e --?wId F- _._.._ Building Constructed by 53 Qu.AIL _LAI -_1E Location - Street - 0�f� FAM11~i Building Type I i~ RS©t Town/Village W 14D5aR W000)S Subdivision Name Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me, which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. '1•he undersigned 1urtlter agrees -to accept as-cot Ousive-the determination -of the- Public 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 utilizin the system. / 5 �PT�G Dated: Atlyrith _ l)ay Year o0 Signature: ii,General Contractor (owner) - Signature A N1 HomF- -s, C- Corporation Name (if corporation) Address: 6o l.-L State__. _.. .. _._ _ ... -.. — ZiP Qi_._._54�j Title: .S. Corporation Natnc (if corporation.' Address: State /. Zips/`-' Form GS -97 YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 . -' (914) 245--�!2800 Albert H. Padovani, Director LAB #: 1.700462 CLIENT #: 57197 NON ST AT PROC PAGE: 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ WYNDHAM HOMES DATE/TIME TAKEN: 01/24/07 03:45 185 RTE 312 DATE/TIME REC'D: 01/24/07 04:00 SUITE 301A REPORT DATE: 01/31/07 BREWSTER, NY 10509 PHONE: (845)-279-2022 SAMPLING SITE: 53 QUAIL LANE SAMPLE TYPE..: POTABLE : BREWSTER COL'D BY: JOSE QUICENO NOTES...: WELL TANK ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE PRESERVATIVES: NONE TEMPERATURE..: < 4C C0LIFORM META: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE PUTNAM CNTY PROFILE 01/24/07 MF T. COLIFORM ABSENT /100 ML 01/29/07 LEAD (IMS) 1.3 ppb 01/25/07 NITRATE NITROG 1.55 MG/L 01/24/07 NITRITE NITROG <0.01'MG/L 01/25/07 IRON (Fe) 0.104 MG/L 01/25/07 MANGANESE (Mn) <0.060 MIS /L 01/25/07 SODIUM (Na) 2.07 MG /L 01/24/07 pH 6.3 UNITS 01/26/07 HARDNESS, TOTAL 72.0 MG/L 01/26/07 ALKALINITY (AS 68.0 MG/L 01/26/07 TURBIDITY ("FUR <1 NTU ABSENT 0-15 ppb N/A 0-0.3 mg /l (-,I -0.3 mg /l N/A 6.5-8.5 N/A N/A 0-5 NTU COMMENTS: BACT THESE RESULTS INDICATE THAT THE WA-FE WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDIN@�Zl��HE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb /Cu LEAD limits for p EPA Lead & Copper than 1014 of their than 15 ppb and a treatment must be ` potential. -tblic schools are set at 15 ppb. Rule for Public Systems requires that no more distribution points have a LEAD value of more COPPER value of 1.3 mg/L, else water undertaken to reduce the waters corrosive 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 g."'L of Sodium METHOD 1008 9052 9162 9002 9002 9002 9043 9001 YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 ;. 19141 245-2800 Albert H. Padovani, Director LAB #: 1.700462 CLIENT #: 57197 NON STAT PROC PAGE: 2 WYNDHAM HOMES DATE/TIME TAKEN: 01/24/07 03:45 185 RTE 312 DATE/TIME REC'D: 01/24/07 04:00 SUITE 301A REPORT DATE: 01/31/07 BREWSTER, NY 10509 PHONE: (845)-279-2022 SAMPLING SITE: 53 QUAIL LANE : BREWSTER COL'D BY: JOSE QUICENO NOTES...: WELL TANK ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE METHOD is suggested. : pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0-70 MG/L VERY HARD WATER: ABOVE 300 MG/L `-'-MODERATIiY- HARD WAl�Ri :'70-140-MGJL . PEB�LITEF|-_ HARD WATER: 140-300 MG/L (1 grain/gallon = 17.2 MG/L) SUBMITTED BY: Alber- )Ri.Padovani, M.T. (ASCF) Director ELAP# 10323 RALPH G. MASTROMONACO, P.E., P.C. Consulting Engineers 13 Dove Court, Croton -on- Hudson, New York 10520 (914) 271 -4762 (9.14) 271 -2820 Fax . Mr. Michael Budzinski, P.E. February 6, 2007 Director of Engineering Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 Via UPS Re: SSTS AS -built for Wyndham Homes, Inc. Quail Lane, Patterson, NY (Map 35 - Block 4 - Lot 112- R.S. Lot 28) Dear Mike: Please find enclosed the following materials: 1. Five (5) signed and sealed copies of the drawing entitled SSTS As -Built Plan R.S. Lot 28 of Deer Wood Subdivision (Map 35, Block 4, Lot 112) Prepared for Wyndham Homes Inc., Located at Quail Lane, Town of Patterson, NY, dated January 8, 2007 2. Four (4) signed and sealed copies of the Certificate of Construction Compliance dated February 6, 2007 3. Four (4) signed copies of the Well Completion Report dated December 21, 2006 4. Three (3) signed copy of the Guarantee of Subsurface Sewage Treatment System dated January 6, 2007 5. One (1) copy of the Well Water Analysis dated January 31, 2007 6. One (1) copy of the E911 Address Verification Form 7. Check #490828 payable to PCDH in the amount of $300. We are requesting your review and approval of the completed works. Please call me if you have any questions. ly, h G. Mastromonaco RGM /jl Enclosures Cc: Joe Darnell w /plan SHERLITA AMLER, MD, MS, FAAP Commissioner of Health L',ORETTA MOLINARf, RN; MSN` . -,. Associate Commissioner of Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 Ralph Mastromonaco 13 Dove Court Croton -on- Hudson, NY 10520 Dear Mr. Mastromonaco: December 20, 2006 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health F Re: 53 Quail Lane (T) Patterson, TM # 35 -4 -112 Subdivision Lot 28 The above referenced separate sewage treatment system can be backfilled. The following comments must be corrected in the field. 1. No. # 10 junction box cover appears to be missing, please replace before backfilling. If you have any further questions, please contact me at (845) 278 -6130. Sincer 1 . Joe D> 1t JD:mcb Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION � d Date: �h 6 _ .,. d by Inspecte StreetLocation�.. , ,. _ .` ,.� -. . _ � Owner �..._��,�aAr ! -10,N Town Permit # '49 Dl -O TM #— s nlU< o'� Subdivision Lot # 1. Sewage Svstem Area a. STS area located as per approved plans .......... :................. b.. Fill section - date of placement 3:1 barrier Lgth. Width . Avg.Dpth c. Natural soil not stripped ................:. ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course / wetlands ..... .................:............. II. Sewage System a. Septic tank size - 1,000 ...:.....1,250......... other .............. b. ' Septic'tank installed level ........... ............................... c. 10' minimum fr om foundati on ......... ............................... d. Distribution Box 1. All outlets at same elevation-water tested ................ 2. Protected below frost ................ ............................... 3.. Minimum 2 ft. Original soil between box & trenches e. Junction Box - properly set.. �....... 6. renc es 1. Length required Length installed 2. Distance to watercourse measured Ft.......... 3. Installed according to plan ......... ............................... 4. Slope of trench acceptable 1/16 - 1/32" /foot ............. 5. 10 ft. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface .................. 7. Room allowed for expansion, 100 % ......................... 8. Size of gravel 3/4 - 11/2" diameter clean ...................: 9. Depth of gravel in trench 12" minimum ....... :........... 10: Pipe - ends -capped ............:::.. :.:: ..:...:....,.:.:::.:.,..:..:... g. Pump or Dosed Systems 1. Size of pump chamber ............... ............................... 2. Overflow tank .......................... ............................... 3. Alarm, visual/audio.... 4. Pump easily accessible, manhole to grade ................ 5. First box baffled .............................. I....................... 6. C��yycle witnessed by H.D.estimated flow /cycle.......... DI. House/Buildiiig a. House located per approved plans . ......................:........ b. Number of bedrooms .................... ............................... IV. Well Well located as per approved plans. ...... : ........................ b. Distance from STS area measured ft.......... c. Casing. 18" above grade ............... ..............:... :............ d. Surface drainage around well . acceptable ...................... V. Overaff 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 watercou: g. Footing drains discharge away from STS area ............. h. Surface water protection adequate ........ :....................... i. Erosion control provided .............. ............................... Rev. 12/02 Dec -18 -06 05:44P Ralph G. Mastromonaco PE 914 271 4762 P.01 PUTNAM COUNTY DEPARTMENT— W-WALTH. -- _ DIVISION OF ENVIRONMENTAL HEALTH SERVICES ATTENTJON JOSEPH GENE RE UES FOR FINAL INSPECTION For: Fill All inforrr ation must be fully completed prior to any Trenches X inspection being made. � PCHD C+5ziction Permit # Located:. 3. _ I L 1 ( P•-C'�clLS�tJ Own erlA$plicant Name: W`e W l 1)kgm t+o"4E 5 TM 5 Block 4- Lot l l l Formerly; Subdivision Name: W l tN DSo 44 W ooQS Subdivision Lot # 28 Is system!fill completed? MIA Date:. Is system complete? ye-.5 Date: I?- I I's Loc.' Is systeZlled? constructed as per plans? `(E5 Is well `(E5 Date: Is well lo' ated as per plans? '(ES Are erosion control measures in place? YSS I certify . at the system(s), as listed, at the above premises has been constructed and I have inspected and ve ' ied their completion in accordance with the issued PCHD Construction Permit and approve4 plans and the Standards, Rules and Regulations of the Putnam County Department of Health. Date: Certified by.� _ PE RA j esign Professional i Address' 1 DOVC C+ 40U56r l VSY Lie. # c.25- 44 9 E3— Comme�ts: UECs6 o k,� dVLIC ta: Form FiR -99 i DIVISION OF ENVIRONMENTAL HEALTH SERVICES ' CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT Located at g5 3 a Q A I L L A 0E=- Subdivision name (W� u bd. Lot # Date Subdivision Approved 31141c,>2- Owner /Applicant Name WY�O� v HomeQL6 Town or Village I AIT C R SQf Tax Map 3 5 Block 4 Lot (� �. Renewal Revision Date of Previous Approval Mailing Address e> GD d I i � w DO p DP- Iy e B P— EWSTEQ , N Zip IDS Amount of Fee Enclosed 4—oo Building Typel F j. Lot Area No. of Bedrooms _!+ Design Flow GPDL Fill Section Only Depth Volume PCIID NOTIFICATION IS REQUIRED WHEN FILL, IS COMPLETED Separate Sewerage System to consist of 5 -11 LF or: -7,411 w 12-50 Other Requirements: 11 To be constructed by :Tz> 6E DET�121�11NE� Water Supply: A/A Public Supply From gallon septic tank and Address Address or:_ Private Supply,Drilled.by..TO .�E! E �A� I E tom' - 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 s,, em 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 d o ce of the approval of the Certificate of Construction Compliance of the original system or any repairs the ,rya \YO Signed: Address 1 P.E. R.A. Date 3.2 T 0& License # 6>54498 APPROVED FOR CO !4PC ,PE4' 1s approval expires two years from the date issued unless construction of the sewage treatment system has � °FESS�o ted 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 anew pe it. Approved for ischarge of domestic sanitary SA wage only. > /� By: 9,ir_ Title:` Date: ''White copy - HD File; / ellow c - Bui ding Inspector; Pink copy - 0 er; ge copy - Design Professional Form CP -97 I 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 # �%� II 3 OUA I L L A t E PATTE RS�(O f Map 5 Block Lot(s) I Z. Well Owner: Name: W Y o4A m Home5ao6--jli Address: dv\/a�>C> MP-. P;Q EMV5 N Y 10 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 S t gpm # People Served __4- Est. of Daily Usage dal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling X New Supply (new dwelling) Deepen Existing Well Detailed Reason V 1 De VVAT -5 V- SEIZV AGE F0 51 1,G LE4=AtA I L 2- I DE G for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision W I d('yjc�jZ WOD per' Lot No. Z S Water Well Contractor: To bETE1Z M1rJEC> Address: Is Public Water Supply available to site? .................................. ............................... Yes No _* Name of Public Water Supply: —" Town/Village NIA Distance to property from nearest water main: WA Proposed well location & sources of contamination to be provided on separate sheet/plan. .Date,. 05__ ..Applicant Signature: -.: _ _ _._ _ _. _....._._....:.. -.:. 4_w_:. L O AGO 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. A q, Date of Issue Z �%� Permit Issu' Date of Expiration -Z =ffic Title: Permit is Non - Transferrable White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owndr; Orange copy - Well driller Form WP -97 z� SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health s Mr. Joel Honig Honig & Hondel PO Box 911 DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York. 10509 Poughkeepsie, New York 12601 -0911 Dear Mr. Honig: ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health June 30, 2006 Re: Proposed SSTS for Wyndham Homes Lot # 28 @ Windsor Woods .Subdivision (T) Patterson This Department is in receipt of your June 26, 2006 letter regarding the wetland issue at the above referenced site. Upon review, I disagree with the conclusions reached in your letter. The previously approved subdivision showed a wetland on the property which at the time was under the jurisdiction of the Town of Patterson. The same wetland has changed jurisdiction and is now regulated by the NYSDEC. I believe the NYSDEC Policy Memorandum 87 -1 is based on wetlands which were already determined to be covered under the Freshwater Wetlands Act (Article 24)... Furthermore, the proposed development improvements, as shown on the septic design plan prepared by the office of Ralph Mastromonaco, PE, is different from the approved subdivision plan. The septic plan under review clearly shows a proposed well and a portion of the dwelling within the 100 -foot wetland buffer, thus necessitating the requirement for a NYSDEC wetland permit. Should you have any questions concerning this matter, please feel free to contact this office. Kindly advise us if there are any questions. Respectfully, G� JBu Michael J. zinski P Director oineering MJB:cj cc: M. Doebeler 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 Jun- '29 -06 02:39P Ralph G. Mastromonaco PE 914 271 4762 FAX TRANSMITTAL SHEET 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 Fax Phone: ( 4s _2-78 - 79-z 1 Date: (r>12910 v Number of pages f (including cover sheet) From: Ralph G. Mastromonaco Re: wrd,. lam► Phone (914) 271 -2620 Voice Phone: (914) 271-4762 Remarks: ❑ Urgent )4For your review ❑ Please comment ❑ Reply ASAP Message: NYSDEC FIrk a -1 -( P.01 TI IN- Pq -?0Ai THIS 17:56 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 1 I Jun -29 -06 02:40P Ralph G. Mastromonaco PE 914 271 4762 - — —MAY. 1' 2R6- 3:47?K-- -.NS_A_ 1LF NQ _: ...... - - - ,ti4 6 �Aj P fi ICJ✓ 1• MEMORANDUM i August 19, 1987' ' RECEIVE TO: Regional supervisors of Natural Resources AUG 2 4 1987 CHJU avREAU of FROM: Kerneth F. Mich r'unwrlo►o RE. Policy Memorand= Fit 87 -1: COMFIRKATION OF FRESHWATER WETIA.MDS DETERMINATIONS AND DE!IXEATION5 pun ose There is a need for enough stability in freshwater wetland determinations and boundary delineations made pursuant to 124 -0301 to allow property owners to use their property with some degree of confidence while preserving our ability to protect the wetlands resource. . Background ( Delineations The Freshwater Wetlands Act (Article 24) requires that jurisdictional wetlands be mapped as accurately as possible and show the approximate: locution at' -'oe :a.ctual boundaries of the wetlands (424 - 0301,3). In practice, wetlands are mapped et the scale of 1:24000. At this stele, it is difficult to determine where wetland boundaries are on the ground. The law makes provision for more precise delineations of wetland boundaries (124- 0301.3 and 424 - 0301.7) upon showing of good cause. For the purposes of this policy memorandums "dE in ations" will mean those efforts to identify more precisely on the ground, and in some situations on a larger scale map, where the boundary of a wetland occurs. Determinations Determinations are done to ascertain whether a particular area is a jurisdictional wetland, With the existence of final maps, some of these can be done in the office. They usually are perforated by the Division of Regulatory Affairs, pursuant to the Joint divisional delegation memorandum. Field determinations are done when final maps do not exist or when the maps are not precise enough to determine whether an area is in or out of a wetland (124 - 0703.5). In addition, as mapping is completed, field determinations may be ii done most frequently to determine whether: 1. a wetland is over 12.4 acres and is not on the nap because it was Inadvertantly missed and should be added to the map; 2. an area on the map no longer meets jurisdictional thresholds and should be removed frOM the map; or JUN -29 -2086 THU 1 r , TEL: 845-278 -7921 NAMP: PI ITNAM rnI INTY n1 =P0DTMCIJT nE' P.02 Jun -29 -06 02:40P Ralph G. Mas-tromonaco PE 914 271 4762 MAY, 1?. ��.C6- 3:47?" '---HSA LlP .. r N0, 746 Requests for delineations and determinations awst be specifically recorded in writing:ind include; P -04 ?. 4 a. name, address and telephone number of requesting Party; b. name, address and telephone number op landowner, if different; c. general reap showing location of area to be investigated; d. whether the requester wishes to be present for the field visit or for a field review of flagged boundary; and e. Oood cause justification for why the request is being trade (e.g. add a wetland of unusual local importance.or proposing project). In addition, for delineations, the request should include the identification number of the wetland being delineated. For determinations, the requester roust provide in indication of why the wetland deterrrrinatton is needed. Did we miss it when we napped? Is it of unusual local importance? 3. Determinations and delineations will be done in a timely manner, consistent wfth §24.- 0703.5 and depending upon: a. field conditions; b. urgency of request (e.g, 'pending sale of land); c. availability of requester if requester desires to be present; {. d.' competing agency priorities. 4. Freshwater wetlands determinations and delineations will be done only by qualified regional 'Fish and wildlife staff that have been assigned that fundtion by the Regional Supervisor of natural Resources. _ DerOrminationt- and.�boundary delineations will be made according to established division policies and- approprtate--rules and regulations. Staff „ will employ appropriate scientific and professional standards when rendering a decision. 6. If the person designated to render a decision has a question about that dec=ision, the staff person should consult with another qualified fish and wildlife staff person, if necessary, to ensure a sound, defensible decision. Noviever, only one final decision will be issued. 7. The 100 -foot adjacent area of a wetland is measured horizontally from the e t dga of the wetland. In relatively flat terrain, this can be measured with little problem. However, if the terrain is steep enough to cause potential prpblems for the landowner in identifying the outer (landward) edge of the 10b feet, as measured horizontally* the staff person delineating the welt =and boundary tray help to identify the edge of the adjacent area as we'll, Alternatively, if a survey is being performed, the surveyor may survey or stake the edge of the adjacent area, as measured horizontally from the edge of, the staked wetland. S. All decisions regtrding determinations and delineations will be recorded in writing, with the date, nine of staff person rendering the decision, any appropriate field notes, and any other supporting.rationale that may help support the decision. A copy of any maps produced also will be kept in the f`i7e, JUN -29 -2005 THU 1. :5., TEL:845 -278 -7921 NAME: AI irrrorn ��w �. �r. Jun - r?9 -06 02:41P Ralph G. Mas Y'Ornonaco PE 914 271 4762 ;,; --- -: -,MAY. 1 i J:06-- 3 4 7 FV — NSA_ L' tF NO. 746 P. 5 "P • The requester (and landowner, if different) will be notified in .writing of the decision rendered, regardless of whether the requester was present in the field and received a verbal answer. 'The letter will include the nature, date and location of the request; the date of the field visit; name, title and telephone number of responsible staff person; and the nature of the decision. Any explanation that would help the requester understand the decision is also appropriate (e.g. wetland is.not jurisdictional because it, is less than 12.4 acres in size). A copy of the letter sent to the requester will be kept in the wetland file. 9. Delineated boundaries may be sketched onto large-scale maps (e.g. tax map or plat) and be of "sufficient clarity to permit the ready identification of individual buildings and of other for wen -made structures or facilities or significant geographical features" with respect to the wetland boundary (124- 0301.7). The Wrap will be provided by the requester and a copy put in the file. The requester will be notified both verbally, if p©ssible, and in writing that the sketched boundary is only approximate and is subject to change in subsequent years. If the landowner wants a precise map (e.g. for the purposes of a development plan), it will be the responsibility of the requester to perform a professional survey of the delineated boundary. It is strongly urged that the survey be performed while the biologist is in the field or at Least the same day. If the biologist is not present for the survey, flagging should be done with' permanent marking (e.g. spray paint on trees or boulders), if possible., to preclude movement of markers. _ On1 _.boundartes._that_ have- been professionally surveyed will be honored pursuant to number 10 below. KIT other Douiries" will be "considered __,..._ -.. approximate and subject to change in following years. If a requester wishes the surveyed map to be honored pursuant to number 14 below, the map must include a warrant of accuracy that the surveyed boundary reflects the bou dary flagged by the Department. The surveyor must then apply his /her seal over the signed warranty. The delineator then will verily, to the best of her or his abilities, whether the map accurately reflects the boundary delineated. If to, the map will be signed by the biologist, dated and a copy put in the file. 10. Unless otherwise ordered by the Commissioner or the courts, determinations and surveyed delineations will be considered fixed if within three years the landowner has: a. begun on the ground work; b. filed a complete Article 24 permit application; C, obtained local approval for a project, which must include complete and detailed.architechtural and /or engineering designs and specifications; or � d. invested any other irreversible or irretrievable resources in the project that the Natural Resource Supervisor, after consulting with the Regional Permit Administrator, deems appropriate for the purposes. of this provision. TI 1KI- �3Q -Zoppr TL J1 1 •1 7. 4ci TCI • ❑4�_770_7QD4 ►lnnnr. n. . P. 05 • Jun X29 -06 02:42P Ralph G. Mastr^omonaco PE 914 271 4762 P.06 — VY. i 20'6 3 :48 ?N -- —HSA_ lLP N0. 746 P. 5 Otherwise, the site is subject to a now determination or delineation based on existing wetland conditions. At the time the initial decision is rendlered, the landowner will be inforined in writing of the time limitations for 'any determinations or delineations. 11. Not*ithstanding. the fixed nature of any determination or delineation as stated in number'10I above, staff should make fair and reasonable attempts to biter projects, seek alternatives and mitigation and otherwise minimize negative wetland impacts at the time any applieaol• permit applications are being reviewed. However, the original decision Jill be respected, as appropriate. ne + Director Division of F,sh and Wildlife CC,- H.~Doig D. 'Grant D. Luciano L.'Concra P. Riexinger / Golquhoun _ TUN -29 —PROF. THI I 1 —�: c�4 TPI : P4':;— a7P -74 ?1 h10MC . MI It. ine.. - a Jun -29 -06 02:42P Ralph G. Mastromonaco PE 914 271 4762 P.07 1',. 204- 3:48 ?V NSA_ LLP -- ho. 146giy. 7� M Z K 0 R A N D U M October 2, 1992 To:. - Regional Supervisors of Natural. Resources and Parm c Administration FROM;' Kyle N. Williams RE: Policy Memorandum rw 87--1: Tisas iPexiod for- xreshwater Wetlands Determination and Delineation 10Hold11. This memorandum constitutes a policy cofiriaation that 1 have prepared, with Ran Vich's concurrence and support, based on continents received from program staff.. I would like to thank eve4yone who provided comment on the Freshwater wetlands del 4neati.on "hold" issue pursuant to Policy Memorandum rw 87 -1: confirmation of Freshwater Wetlands Determinations and Delineations. In all, 13 response mhos were received, with inpdt from fear Regional BOW, three DRA and two SEP Units plus two central office BOW, one DRA and one DLA Unit (a) of the " co ent memos received, seven favored leaving the delineation "hold" at three years and si.x favored changing the "hold" period to love years. -: ..Staff provided sound justification for their positions on this - issue.- The principal reasons„ for staying with the three year "hold' worst ecological dynamism of wetlanda; ease of reaffirming a delineated line after three years compared to entire redalinsation after five years; -- consistent with COE three year '°hold" period; - three years is ample time for applicant to submit complete application, receive local approval or start groundwork; - will cost little, if any, extra staff time; and, - watural Resource supervisor currently has option to extend "hold" if "the landowner has invested any other irreversible or irretrievable resources". The principal reasons given for changing the "hold" to five years were three yaoxe not sufficient to 6scura all necessary permits for large projects, especially phased development, or if SEQRA positive declaration; need because of human errors, which delay process; landowner needs to be able to rely On the delineation; d Jun -29 -06 02 :42P Ralph G. Mastromonaco PE 914 271 4762 ---- -MAY. V. k0. 746 P. E » will save staff time; arid, will not significantly coarproxise resource. sane comments did not favor changing the "hold" period, but rather claxi.fying the existing Policy Memo. Axeas of needed clarification included: does this apply to delineations conducted pursuant to SS24- 0301(7) and 24- 0707(3)7; What.if delineation criteria change ?; Are ve bound by the '"hold" it on -site conditions change?; and, alari''iy . "determinationr' . The reasons given for loaving the "bold" period at three years reflect the rational* behind selecting this interval originally. The reasons given to exterA the "hold" to Live years are .valid, however, they can be addressed through clarification of -the existing policy. After consideration of all comsseats, personal communications and'programmatic implications, it.vill continue to be the policy of 4he Division of Fish:and Wildlife, to honor surveyed freshwater wet ands detarminations and delineations conducted pursuant to 524- ;0301(7), and satisfying all criteria of Policy Memorandum Fw V -i, folr a period of throe years. This memorandum will be followed -Up by an amended policy memp to clarity any ambiguities, gaps, undefined terms, etc. in Policy Memorandum FW 87 -1. 44 -aAA-Jt�Z s COnWarva i.on bloroqist Tca ogy) Imo: cb cct R. hendick A. Dciq L. Cone" S. Quin* P. Riexinger M. Gerstuan J. Colgahoun G. Parsons I* . MM/ C92 4 L, TI IN -P9 -. )ppF, THI I 14: GIct TR : R4S- ?7R -74a1 I.�o%rC • 61 ITA In�w .- ...-.. �.. -. . P. 08 R HIANIG & HIANDEL, ATTORNEYS AT LAW, LLP JOEL D. HANIG POUGHKEEPSIE OFFICE: Legal Assistants: • EVAN B. HANDEL ` ° - '' ' "' - ' " "- ""319 Main Street Rear, P. O. Box'919 "` � " ' ' °� -'� � °- LISA PECCHIA* LYNN M. SMOOKLER Poughkeepsie, NY 12602 -0911 COLLEEN M. VanBENSCHOTEN* STANLEY A. SCHUTZMAN (845) 471 -7177 • FAX: (845) 790 -1212 DIANA E. FRAILEY RICHARD D. FORBES Closing Dept. Phone Number: KRISTEN S. GUTHRIE* (845) 452.3434 JESSICA T. MARINA* VISIT US AT: www.hanigandhandel.com LAURA.STRANSKY* Please Reply to Poughkeepsle Office. NEWBURGH OFFICE: ' *Certified Paralegal 6 Jeanne Drive, P. O. Box 7229 Newburgh, NY 12550 (845) 566 -8888 o FAX: (845) 566.3886 June 26, 2006 Putnam County Department of Health 1 Geneva Road Brewster, NY 10509 ATTN: MICHAEL J. BUDZiNSKI, DIRECTOR OF ENGINEERING RE: PROPOSED SSTS FOR WYNDHAM HOMES WINDSOR WOOD SUBDIVISION LOT #28, Town of Patterson, T.M. # 35 -4 -112 Dear Mr. Budzinski: The undersigned represents Wyndham Homes and Wyndham Development at Windsor Woods, LLC, which is the developer of the Windsor Woods Subdivision in Patterson, New York. Your letter June 12, 2006 has been forwarded to me for review and comments. We respectfully disagree that there has to be any new Freshwater Wetlands Permit issued by - - the NYSDEO.or•thatthe'DEC-must -sigh any- wetlands: validation. block.on. any. new.SDS..plan.:. submitted to the Department of Health. The Windsor Woods Subdivision which is represented by Filed Map #2891, E,F,G,H, & I, filed in the Putnam County Clerk's Office on May 30, 2003, was previously reviewed by the NYSDEC, as well as by the Putnam County Health Department. In fact, as I am dictating this letter, I am looking at a copy of the filed map which has the stamp of the Putnam County Health Department signed by yourself, showing an approval date of May 2, 2003 for the water supply and private sewerage disposal systems as laid out on the subdivision maps, which approval, under your signature, has an expiration of May 2, 2008. It is very clear that the subdivision maps have a wetlands delineation set forth and that there is also declared on the maps the delineation of the 100 foot wetland buffer line. With regard to Lot #28, no part of the proposed location of the house or well location or sewerage disposal system location intrudes on or violates the 100 foot buffer, with the exception of certain grading which is shown on the filed map. Unless I am wrong, it is my assumption that the plan which has been provided is in accordance with the approved subdivision map. I am sure that you are familiar with the position of the Department of Environmental Conservation and their Policy Memorandum 87 -1, which clearly states that "determinations and survey delineations will be considered fixed if within three years the land owner has: (a) Begun on the ground work; (b) Filed a complete Article 24 Permit Application; (c) Obtained local approval for a project which must include complete and detailed architectural and /or engineering designs. and specifications; or -(d) . _ Invested in any other irreversible or irretrievable resource! - the -project that the National. Resource Supervisor, after consulting with the Regional Permit Administrator, deems appropriate for the purposes of this provision." I am advised by my client that this project qualifies fora .fixed delineation as all items under (a), (b), and (c) have been satisfied. I enclose a copy of the Memorandum of the DEC dated August 19, 1987 for your information. I believe at one time after 1987 there was a proposal to increase the qualification period to five years, but the DEC held to the three year qualification period. May I suggest that there is no justification for your request for there to be a separate DEC wetland validation block to be superimposed on any individual plat for construction on individual lots and that certainly without a wetland's disturbance, a DEC Freshwater Wetlands Permit is not or should not be required. Accordingly, we would request that your department review the application that has been previously submitted for Lot #28 without there being any further requirements for new DEC action. Sincerely, Mme: MUO P JDH elr Enc. cc JWyndha�Homes csimile 79 -Q2� RNEYS AT LAW, LLP j,- (Attn: Jay Metcaffe, Vice President of Operations) - (Via SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Ralph Mastromonaco, PE 13 Dove Court Croton -on- Hudson, New York 10520 Dear Mr. Mastromonaco: May 5, 2006 ROBERT J. BONDI County Executive h ROBERT MORRIS, PE - Director of Environmental Health Re: Proposed SSTS for Wyndham Homes Windsor Woods Subdivision, Lot # 28 (T) Patterson, TM# 35-4 -112 This Department has received and reviewed the submitted application and plans for the above referenced project and the following comments are offered for your consideration. 1. The proposed improvements within the 100 foot wetland buffer will require the issuance of a wetland permit by the NYSDEC. +i' 2. The lowest expansion system trench is less than 35 feet from the stormwater drainage piping and less than 20 feet from the swale. 1,/3. Please submit house floor plans for the four (4) bedroom dwelling. Upon completion of the above, this Department will- continue its r- e'view. " Kindly advise us ,if - there are any questions. Respectfully, Michael J. Director of MJB:cj cc: S. DeLaOssa, DEP 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) "27 -1 -2820 Fox --:......_:...__...._.......... Mr. Michael Budzinski, P.E. Director of Environmental Engineering Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 Re: SSTS for Wyndham Homes, Inc. Windsor Woods - Lot 28 Patterson, NY (TM# 35 - 4 - 112) Dear Mike: Please find enclosed the following materials: May 10, 2006 1. Four (4) signed and sealed copies of drawing entitled SSTS Plan R. S. Lot 28 of Deer Wood Subdivision (Map 35, Block 4, Lot 112) Prepared for Wyndham Homes Inc. Located At 53 Quail Lane, Town of Patterson, NY, dated November 17, 2005, last revised May 10, 2006 2. Three (3) signed and sealed copies of the proposed architectural plans for the four - bedroom house As per your review memo dated May 5, 2006, we offer the following responses: 1. A wetlands permit application was submitted to the NYSDEC. 2. The expansion system has been revised to reflect the required setbacks to the proposed swale and drain pipe. 3. Architectural plans for the proposed four - bedroom house are included. We are requesting your continued review and approval of the submitted materials. Please call me if you have any questions. Sii erely, Ralph G. Mastromonaco RGM /jl Enclosures Date: January 5, 2006 Permit is hereby issued to WETLANDS/WATERCOURSE PERMIT TOWN OF PATTERSON Routes 164 & 311 Patterson, New York 12563 Permit #0805 -01 Wyndham Homes, Inc. 8 Collinwood Drive Brewster, NY 10509 Location of work: Windsor Woods (a k.a. Deerwood Subdivision) Lot 28 Tax Map No. 35.-4 -112 i. To conduct work as follows: Construct a deck, lawn area and well in a Town controlled Wetland/Watercourse in accordance with the approved application form and plans prepared by Ralph G. Mastromonaco, P.E. P.C.dated August 15, 2005. GENERAL CONDITIONS 1. No activity shall be permitted within controlled areas except as identified in the approved application and plans. 2..._ All work shall.be performed in accordance with the.New York Guidelines for Urban Erosion and Sediment Control 3. The Permit Holder shall notify the Environmental Conservation Inspector (E.C.I.) in writing, at least five business days in advance of the Date on ' which project construction is to begin. 4. The Permit shall be prominently displayed at the project site during the undertaking of the activities authorized by the permit. 5. The boundaries of the project shall be clearly staked or marked and maintained. In addition, any wetlands contained within the boundaries of the project shall also be staked or marked. 6. The Environmental Conservation Inspector (E.C.I.) or his designated representative WETLAND/WATERCOURSE PERMIT Wyndham Homes Lot 28 January 6, 2006 Pg. 1 shall have the right to inspect the project. 7. The Permit shall expire on completion of the acts specified and unless otherwise indicated shall be valid for a period of one year. 8. As a condition of the issuance of this permit, the applicant has accepted expressly by the execution of the application, the full legal responsibility for all damages, direct or indirect, of whatever nature, and by whomever suffered arising out of the project described herein and has agreed to indemnify and save harmless the town from Suits, Actions, Damages, and costs of every Name and description resulting from the said project. SPECIAL CONDITIONS 1. That the stone wall be restored and repaired to fill any existing gaps in the stonewall, and that the wall remain in its current location and condition and shall not be altered without prior Planning Board approval. ISSUED BY: L, k CHAIRMAN PATTERSON PLANNING BOARD cc: Environmental Conservation Inspector Town Engineer Codes Enforcement Officer WETLAND/WATERCOURSE PERMIT Wyndham Homes Lot 28 January 6, 2006 Pg. 2 May _4, 2006 Michael Budzinski, P.E Putnam Co. Health Dept. 4 Geneva Road Brewster, NY 10509 Re: Deerwood Subd. Lot 28 53 Quail Lane Patterson, Putnam East Branch Reservoir DEP Log # 2005 -BB -0117 (Joint Review) Dear Mr. Budzinski: This letter is to inform you that the New York City Department of Environmental Protection (Department) has determined that the above - referenced application is complete. In addition, the Department has no objection to the approval of the above - referenced regulated activity. This determination is based on the review of submitted documents including the plan titled "SSTS Plan R.S. Lot 28 of Deerwood Subdivision" prepared for Wyndham Homes Inc., dated. 11/ 17/05 and last revised on 03/27/06. The applicant must contact Sissy La Ossa of m staff at 914 773 -4416 at least 2 days prior to the start of construction of the SSTS so that a Department representative may inspect and monitor the installation. Sincerely, Danny Shedlo, P.E. Civil Engineer II Engineering Review Group xc: Roger Sokol, P.E., NYSDOH Town of Patterson Planning and Zoning Office Town of Patterson Building Department SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Ralph Mastromonaco, PE 13 Dove Court Croton -on- Hudson, NY 10520 Dear Mr. Mastromonaco: June 12, 2006 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Proposed SSTS for Wyndham Homes Windsor Woods Subdivision, Lot # 28 (T) Patterson, T.M. # 35 -4 -112 This Department has received and reviewed the revised plans for the above referenced project and the following comments are offered for your consideration. 1. The NYSDEC wetland validation block is to be provided on the plans and signed by a representative of the NYSDEC. 2. A copy of the issued NYSDEC Freshwater Wetlands Permit is to be submitted to this office prior to approval by this Department. Upon completion of the above, this Department will continue its review. Kindly advise us if there are any questions. MJB:mcb 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 Z 'd d0 1N3WiNdd30 Jl1Nnoo WdNind : 3WdN a.:..Y Z. par#11aeJ1Vci Elivirdhmen Michael Budzinski, P.E - - _�;:�=:�ra�8:'.'; -;r;�� , ., :�F >_:'•« Putnam Co- Health Dept �ta�. Sri•, -' 4 Geneva Road Brewster, NY 10509 7 - -ra ZO ..d Re: Deerwood Subd, Lot 28 53 Quail Lane Patterson, Putnam East Branch Reservoir DEP Log # 2005 -BB -0117 (r Dear Mr. Budzinslci: This letter is to inform you that the N Protection (Department) has detezmir complete. In addition, the Depaztmel above - referenced regulated activity. submitted documents including the p: Deerwood Subdivision" prepared for last revised on 03/27/06. The applicant must contact Sissy De .least 2 days•prior to_the.start ref consl representative may inspect and moni Sincerely, Danny Shedlo, P.E_ Civil Engineer 11 Engineering Review Group xc: Roger Sokol, P-E., NYSDOI4 Town of Patterson Planning and Town of Patterson Building Dep OC :91 a011r-', V A8W T86L- 8L2 -SV8 :X31 '- ;T : -i 1,11 +1. '=+��OZ -b -AdW .t Review) v -York City Department of E,nviromneutal I that the above- referenced application is has no objection to the approval of the pis determinatioxl is based on the review of 2 titled `•`SSTS Plan R. S. tot 28 of Jyndham Homes Inc., dated 11/17/05 and a Qssa of ray staff at (914):7734416 at lotion of the SSTS so that a Department r the installation ..- ...._ ...._...... • ,... � ......... _.. office OCO- ICLL -V l :xa� Apr -24 -06 10:49A Ralph G. Mastromonaco PE 914 271 4762 P -01 _ SHERLiTA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI county Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 REQUEST FOR FIELD TESTING - All information below must be fully completed prior to any scheduling. DA'L'E: 4 Z4-1 CY, ENGINF*FRING FIRM: R�Lpd MAhTWHoJACO PHONE #:(� 141 Z71 -47 &Z PERSON TO CONTACT: I�1K -E. P'Ve6E z_P_ XN)ti: W CONSTRUCTION. ❑ REPAIR PROGRAM ❑ ADDITION PROGRAM REASON: DEEPS: ❑ PERCS: PUMP TEST: ❑ ROAD /STREET: 58 QOAIL L,&JF- TOV4'N:_ P,A1TE25ot•I TAX MAP #: 35- 4- I I Z SUBDWISION: 1 A>50?. �1� LOT #: Z 8 OWNE.R:_�Y>Joi4AM HoME5,Da. NY•CDE YES NO z�. r� P CRITERIA FOR JOINT REVIEW AND. WITNESSING OF SOIL TESTING Proposed SSTS within the drainage basin of West Branch-or Boyds Corner & Croton Falls Reservoirs. Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. Proposed SSTS within 200 feet of a watercourse or a DEC wetland. Proposed SSTS design.fiow greater than 1000 gallons /day or SPDES Permit required. Proposed SSTS for a Commercial Project. It is .the responsibility of the design professional to provide the above information prior to soil testing. The Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If y u answered ves to any of the questions, NYCDEP must witness the soil tests. This Department will coordinate a mutually suitable time for field testing with the Design Professional and NYCCEP. If ,a 1rroject has been determined to be Delegated based on the above response and then subsequent inf-orn. -ation indicates NYCDEP is required to witness the soil tests, it will be the sole responsibility of thc., 1(esign professional to schedule re- witnessing of.the soil testing with NYCDEP. FOR COUNTY USE ONLY TIME: Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (843),278-6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early interventioulPreschool (845) 278 -6014 Fax (845) 278 -6648 APR- 24- 2E106 110!.; 1.0-011' : TEL: 845- 278 -7921 NAME: PUTNAM COUNTY DEPARTMENT OF P i 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: April 18, 2006 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health V Re: Proposed SSTS for Wyndham Homes Lot # 28, Windsor Woods (T) Patterson, TM# 35 -4 -112 With reference to the above referenced project, please find a comment letter, dated April 11, 2006, from the NYCDEP. Upon completion of the above, and the submittal of revised plans, this Department will continue its review. Kindly advise-us if. there- are.any..questions.._ - a.....,._. 4.._. _ _.... MJB:cj Respectfully, r- Michael J. zins , Director of gineen 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 Department.'of Environmental Protection pril l.l, 2006 Michael Budzinski, P.E Putnam Co. Health Dept. 4 Geneva Road Brewster, NY 10509 Re: Deerwood Sub. Lot 28 SSTS. Quail Lane Patterson, Putnam Co. NY Emily. Uo yd East Branch Reservoir Commissioner . DEP Log # 2006 -BB -0117 (Joint Review) Tel: (71.8):595 =6565 Fax (718) 595 -3557 . Dear Mr. Budzinski: Bureau:oi,water:suppiy The New York City Department of Environmental Protection (Department) has ass Columbus Avenue Valhalla; =New York determined that the percolation test shows on the plan submitted b the applicant p p Y Pp 105954336 recently, does not indicate the exact location as those observed by NYCDEP on November, 1996. To accept the new percolation rate, the Department request the applicant schedule a new percolation test at the same locations or beside to David S. Warne ` ' Acting:Deputy.comrnissioner that exact location where the test was run in 1996 (49 min, peres rate # 2). Please contact us to schedule the test date. Tel (914)742 -2001 Fax (914) 741 -0348 ::. ...:...._...:.....- .If.you.have any questions regarding. this ..matter,:you_may.contaet.me at -(914) r- JosephSMaggio; P.E. 773 -4416. Deputy Director . Engineering DivisioncEOH Sincerely, Tel (914) 773 -4470 Fax (914) 773 -0343 Sissy De La Ossa Assistant Civil Engineer Engineering Review Group xe: Roger Sokol, P.E., NYSDOH DgK CITY DEPART ENTAL?VL - www.nyc.gov /dep (7 18) DEP -'HELP Cl -April 11, 2006 ✓p.. _ _ -. �ewrrl� Department of .Environmental Michael Budzinski, RE Protection Putnam Co. Health Dept. 4 Geneva Road Brewster, NY 10509 Re: Deerwood Sub. Lot 28 SSTS. Quail Lane Patterson, Putnam Co., NY Emily �Ioyci East Branch Reservoir Commissioner DEP Log # 2006 -BB -0117 (Joint Review) Tet,gi 6),595 -6565 Fax (71 8) 595 -3557 Dear Mr. Budzinski: Bureau of Water suPpry The New York City Department of Environmental Protection (Department) has ass co)umbus Aven ue determined that the percolation test shows on the plan submitted b the applicant valtialia kew.York p P Y PP 105%'t�s recently, does not indicate the exact location as those observed by NYCDEP on November, 1996. To accept the new percolation rate, the Department request Davin s wame the applicant schedule a new percolation test at the same locations or beside to Acting pepul com mssionev. that exact location where the test was run in 1996 (49 min, peres rate # 2). ret'(s14) i42-200 1 Please contact us to schedule the test date. Fax. (914) 741. -0348 If you have questions_regardir ,this matter,,you_may contact.`me_at (91.4).- Joseph Maggio,-PE., 773 -4416. Deputy Director Engirteering;Division EOH Sincerely, ,oi (914) 773 -4476 Fax (PI 4) 773 -0343 j bm Sissy De La Ossa Assistant Civil Engineer Engineering Review Group xc: Roger Sokol, P.E., NYSDOH o CITY DEpggT ,a�NMEMAL PROSE ., w w.ny'c.gov iaP' (718) DEP - HELP.,. SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Ralph Mastromonaco 13 Dove Court Croton -on- Hudson, New York 10520 Dear Mr. Mastromonaco: March 29, 2006 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health . i Re: SSTS for Wyndham Homes at - Windsor Woods Subdivision, Lot # 28 (T) Patterson, TM# 35 -4 -112 Reservoir Basin The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on March 28, 2006 is complete. The Department will notify you by April 18, 2006 of its determination. ❑ The project has been delegated to the Putnam County Health Department for review pursuant to the guidelines set forth in the Watershed Agreement. 0 Joint review with the NYCDEP will commence pursuant to the guidelines set forth in the Watershed Agreement. If the Department fails to notify you within the above referenced time frame, you may notify the Department of its failure by certified mail, return receipt requested. The notice should be sent to my attention at the above address. This notice must include your name, the location of the project, the office with which you filed the - - -- application ot iginally;- and.astate.-gentthat -a- decision is sought.iri- accordance -with se6tion.- 1- 8- 23- (& }(6),ofthe New York City Department of Environmental Protection Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed approved, subject to standard terms and conditions as set forth in the regulations. Please be advised that projects within the New York City Watershed may also require Department of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should contact the Department of Environmental Protection regarding such activities to see if Department of Environmental Protection review and approval is required. If you have any questions regarding this matter, please call me at (845) 278 -6130 ext. 2148. Respectfully, t Michael J. Bu nski, MJB:cj Director of Eng' eerin Environmental Health (845) 278 -6130 Fax(845)278-7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of-.Health._..._.._ LORE'TTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 LA, 0-ISSA ROBERT J. BONDI C.oun-ty.. Executive ROBERT MORRIS, PE Director of Environmental Health TO: DEPARTMENT OF ENGINEERING AND DESIGN REVIEW DELEGATION STATUS FOR SUBSURFACE SEWAGE TREATMENT SYSTEM PROGRAM JOINT REVIEW Pb" P6.r 3I 2-7 /oco \kf ylv% tbouk E: S PROJECT: La,-( Z b — W (4 6-sc)CZ- TOWN: SUB'D.APP DATE 3 `14 -o2- \TOTICE OF COMPLETE APPLICATION: DATE: 3 1-4? ocp ❑ Within the drainage basins of West Branch, Boyds Corner Reservoirs or Croton Falls. ❑ Within 500 feet of a reservoir, reservoir stem or control lake. Within 200 feet of a watercourse or a DEC wetland and appearing on a subdivision map approved after December 31, 1992. ❑ Design flow greater than 1000 gallons /day. ❑ Commercial SSTS. jtreview Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool(845)278 -6014 Fax(845)278 -6648 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM OwnerW Y�WAm-Hom 15 Dc. —Addresse—c-0.1 I i�m0'0D-D;P_z_yF- [3P_F_wSTFF- Located at (Street) 53 Q uAiL LAfJE_. Tax Map Block Lot I I Z A (indicate neares cross street) Municipality E Watershed SOIL PERCOLATION TEST DATA Date of Pre-soaking 3 - 1,5 - oto Date of Percolation Test 3-11.o-OG g .............. .. ...... ...... lid, P .-Ako r 1 jo:05-1o:►6 13 21 24 2 12:15 - 10:34 1(o21 Z4--. -3 5.5 3 JD�35 -10:51 1 (Ao 21 Z4- 3 5; 3 .4 la-52-1 1:'08 l l0 21 c?-,r/.Tt 3' 5.3 5 110,.23_10,.43 2 20 21 Z4. 3 (0. t4 3 10.44 - 1 1.04- Zo 21 Z4- 3 .4. 11,.05- .11:25 2-P. 21 24 3 i.6. 5 o'. aq - o3i 30-, 21 22/2 11.2 .20 2 ID:4o J 1. lo 30 .21 22/2 zo 3 11:41* 3o 2j 22'/2 I%Z 20 4 -5 A1%.VAAU%J• A. JL rniL3 LU UC yepeatea aT same aepm until approximatmy equal percolation rates are obtained at each percolation test hole. (i.e. s I min for 1-30 min/inch, s 2 min for 31-60 min/inch) All data to be submitted for review. 2.. Depth measurements to be made from top of hole. Form DD-97 DEPTH G.L. 811 1.0' 1611 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES 2 HOLE NO. HOLE NO. HOLE NO. Tofto I L I O PSOI L TOPso I L % � LLOW �ViN 8" 10- SAM EAST,ARE I(DnSAM��I�il -��E1� EWE 'SA 0QY LOAM HE D. PSROvQd FI►- IUL9d'SAME AS I -"I T4REE 2.0' SANDGR,A,VEL 2.5' LIGNTL`iCOMPACT 3.0' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0 1 011 .1.5' �'s !o" '00 MOTT L 11 8.0' -- Flo MO Li I�G�ln1 00 ►✓lo1'TLl tJG 8.5' 9.0' 9.5' 10.0' Indicate level at which groundwater is encountered o Indicate level at which mottling is observed No E. Indicate level to which water level rises after being encountered I4OT lr-- Deep hole observations made by: 9C- R9Eb- FtD j3 � Date 2 2 O!c ��QC.r f1 _t I`r/'flafl: ' f -T _ / AA/^'�,.�r. Design.Professional Name: Design Professional's Seal 47-1. . Ae�,--Of N PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM OwnerW HOM Y�W AH DC,. _Address DRIVE 13R-r-WSTFF- Located at (Street) 53 Q UA i t.-LA�e Tax Map :Y5'Block 4 —Lot I I Z (indicate cross street) Municipality E Watershed _R>c;> , GYj Date SOIL PERCOLATION TEST DATA Date of Percolation Test ---- ------ T 3 3 11W.0 r. ve thl ?w M-I'M MEMEL, . . ... ....... . . 2 3 4 5 2 • 3 4. 2 3 4 %'a 1.41 uv 1 upuatcu namne WPM U111ii approximateiy equal percolation rates are obtained at each percolation test hole. (i.e. & I min for 1-30 min/inch, -< 2 min for 31-60 min/inch) All data to be submitted for review. 2.. Depth measurements to be made from top of hole. Form DD-97 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST BOLES DEPTH _ HOLE NO. (� G.L. 1.0' E O-( L-OAW HOLE N0. HOLE NO. 01 Indicate level at which groundwater is encountered IJo�e Indicate level at which mottling is observed t,lo � E Indicate level to which water level rises after being encountered too Deep hole observations m#de by:4:�; et p— ',eep pep Date -.,- r,--42.3. Design Professional Name: Address: 13 Doves G Signature: Design Professional's Seal MEP, BRowa F-We 20 SAO RAVE L. 2.5 ' L t�Nr Yc�M PA�fEO 3.0' 3.5' 4.0' 5.0' 5.5' . 6.0' 6.s' 7.0° -7 L(11 8.0' l o Ko %t L I taw 8.5' 9.0' 9.s' 10.0' Indicate level at which groundwater is encountered IJo�e Indicate level at which mottling is observed t,lo � E Indicate level to which water level rises after being encountered too Deep hole observations m#de by:4:�; et p— ',eep pep Date -.,- r,--42.3. Design Professional Name: Address: 13 Doves G Signature: Design Professional's Seal PUTNAM COUNTY DEPARTMENT OF HEALTH. DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address. of applicant: \/VY N PH A M H D M 1r 5 ,I t� . g G0L LI1JWooC. DR IV* _BREWSTER , IJY 1,0509 2. Name of project: �I1 PS012 WCt-.)PS, 3. Location TN: a=E2Sct� 4. Design Professional: RA L pa G. W*TgoMuLIA�o5. Address: ��oTo�l -ot•�- uD��1. IJl : 105?0 6. T e of Pro'ect: Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subidvision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ....................... ............................... Type I Exempt X Type 11 Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? ............ ......... 9. Has DEIS been completed and found acceptable by Lead Agency? ............... 10. Name of Lead Agency 11.. If this project is an area-under the control of local planning, zoning, or other . officials, ordinances? ......................................................... ............................... YES 12. If so, have plans been submitted to such authorities? ....................................... N LA 13. Has preliminary approval been granted by such authorities? 4- Date granted: IJ /A 14. Type of Sewage Treatment System Discharge ................. surface water XC groundwater 15. If surface water discharge, what is the stream class designation? .................... i A 16. Waters index number (surface) ....................................:....... ..........................a.... IJ A 17. Is project located near a public i#ater supply system? ....... ............................... N0 18. If yes; name of water supply ,.,C� Distance to water.supply 19. Is project site near a public sewage collection or treatment system? ................ ►J o 20. Name of sewage system �LA Distance to sewage system AIA 21. Date test holes observed I I -18- (0 22. Name of Health Inspector M. p ! SKY Form PC -97 2 23. Project design flow (gallons per day) .................................................. ............... (OOD 24. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... �J p 25. Has SPDES Application been submitted to local DEC office? ......................... 26. Is any portion of this project located within a designated Town or State wetland ? Yj?�-_. 27. Wetlands ID Number.... ........................................................ ...................:........... L. - 3R) 28. Is Wetlands Permit required? .......................................:....:. ............................... YES Has application been made to Town of Local DEC office? ................................ 29. Does project require a DEC Stream Disturbance Permit? .... ............................... O 30. Is of was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, 11 landfilling, sludge application'or industrial activity? .....................:...... Yes/No 31. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? ... ...........................:... Yes/No DESCRIBE: 32. Is there a local master plan on file with the Town or Village? ......................... YES 33. Are community water and/or sewer facilities planned to be developed within I ..._ 15. years in or.adjacent to project site?........... ........................ ............................... N O 34. Are any sewage treatment areas in excess of 15% slope? . ............................... SID 35. Tax Map ID Number ............................. ............................ Map 3 5 Block Lot 112 36. Approved plans are to be returned to ..... Applicant_ Design Professional If the application is signed by a person other than the applicant shown in Item l.,the application must be accompanied by a Letter of Authorization (Form LA- 97).Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNVATURES & OFFICIAL TITLES. Mailing Address: .................................... 699 o _ ©� _ I- OQ52� ; 141( l U5ZO PUTNAM COUNTY DEPARTMENT OF HEALTH _.._. DIVISION OF ENVIRONMENTAL HEALTH SERVICES AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for:. L cT 26 - represent that I am an officer or employee of the corporation and am authorized to act for: Name of Corporation: Hai in; offices at: e-� Whose Officers Are: President - Vice President - Name: Address: Secretan, -NamC$ 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 thereto. Signed: Title: Swom to before me this day of N\ � (m (year) to Wau bIi c _. ,.. 1N,—'; � E ROSADO r:u1;1, Public, Stats of Nex Yo V Corporate Seal iii. >. o,aoe,oasas P .uii'irs.i ;;; rautilem GOUM" Form CA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH: DIVISION- OF-ENVIRONMENTAL HEALTH •SERVICES.::.:::`:.: LETTER OF AUTHORIZATION RE: Property Located TN PATTE?_5 Tax Map Block.---- _Lot 2 Subdivision of `t c,�- \� •, ;�c�c�� Subdivision Lot # 2� Filed Map # 2g°I II Date Filed.._ 3- 4-OZ Gentlemen: This letter is to authorize a duly licensed Professional Engineer or Registered Architect to amply for the, required wastewater treatment and/or water supply permit(s) to serve the above-noted property in.aecordaiice with the standards; rules or regulations as promulgated by the Public Health Director ofthe.Piiti%am County Health Department, and to sign all necessary papers on my behalf in connection .with this matter and to supervise the construction of said wastewater tretment and/or water supply systems in conformity: with_ the p 6o L6,p ,Article 145 and/or. 147 of the Education• Law -the Public Health Law, and the Putna�itySafi Code. - - .�•ti Very truWOwnof -. . Countersigned: �.'.Y Signed: �• 05Ai�'± � "� P.E., R.A., # 05 `��' erty) Ma iling Address 1' p0\/E GG)027- Cr�o-rorf State ICI. ELI\, O I/-- Zip (c�5 2 y Telephone: 0 2-7 - -7(o2- Mailing Address: State Zip c Q) Teleplfone: Form'LA -97 r/Ad/ 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. Michael Budzinsky, P.E. Director of Engineering Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 Re: SSTS for Wyndham Homes, Inc. 58 Quail Lane, Patterson, NY - Lot 28 Dear Mike: Please find enclosed the following materials: March 27, 2006 Via UPS 1. Four (4) signed and sealed copies of the drawing entitled SSTS As -Built Plan R.S. Lot 28 of Deer Wood Subdivision (Map 35, Block 4, Lot 112) Prepared for Wyndham Homes Inc., Located at 53 Quail Lane, Town of Patterson, NY, dated November 17, 2005, last revised March 27, 2006 2. One (1) signed and sealed copy of the Design Data Sheet reflecting the new deep test hole description and percolation testing 3. Four (4) signed and sealed copies of the construction Permit dated March 27, 2006. We are requesting your continued review and approval of the submitted works. Please call me if you have any questions. Sincerely, RalpDk G. Mastromonaco RGM /jl Enclosures Cc: Joe Darnell ,F March 16, 2006 Michael Budzinski, P.E Putnam Co. Health Dept. 4 Geneva Road Brewster, NY 10509 Re: Deerwood Subd. Lot 28 53 Quail Lane Patterson, Putnam East Branch Reservoir f DEP Log # 2005 -BB -0117 (Joint Review) Tel; (718) 5� -6565 t: Fax(718) 595 -3557. , Dear Mr. Morris: Bureau a tersuppiy This letter is to inform you that the New York City Department of Environmental 465,.CdWnbLisAvenue veu(�a Mew.rodL Protection (Department) has determined that the above - referenced application is 11336 " complete. In addition, the Department has no objection to the approval of the above- referenced regulated activity. This determination is based on the review of Mn:hael A. Principe, PhD submitted documents including the plan titled "SSTS Plan R.S. Lot 28 of Deputycorixnissioner Deerwood Subdivision" prepared for Wyndham Homes Inc., dated 11/17/05 and Ted :(st4) 742 2001 last revised on 03/01/06. Fax (914)741 -0348'; The - applicant must contact Sissy De La Ossa of my staff at (914) 773 -4416 at least 2 days prior to the start of construction of the SSTS so that a Department Joseph Macjgioe P E representative may inspect and monitor the installation. Deputy Director P Y P Engineennig Division EOH rTel ;(914) 773 -4470 Sincerely, Fax (914) 773 0343... Danny Shedlo, P.E. Civil Engineer 1I Engineering Review Group xc: Roger Sokol, P.E., NYSDOH Town of Patterson Planning and Zoning Office CITY oEpgaT Town of Patterson Building Department D�P,o2 ' ENTAL www.nyc;gov /dep'. (718) DEP -HELP T 'd JO IN3WidUd3a AiNnoo WUNind:3WHN let. New Yoirk City Department of Ei Bureau of Water Division of Engi 465 Columbus ) Valhalla, New Yo FROM: PHONE: FAX: T2G,L-8,L2-St,8:-131 'Vii. 90021-9T-abw Y c 105951 FAX. tal Protectioii DATE: #of pages: i Ncluding this cover sheet), SL-BfECT: YMM M S an an on KEMEMOEM Boom MEMO a M a ME M M MI dillIMIN I ■PROMMIX SEEN on no Runs on 4MUM No -M, S; co"7. LO 'd LC : 11 9006' 9[ AeW E:PCG-CLL-VL6:X6J PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _Z DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner 0 clsnr - 4jovrds' Address 'jt - 0-> Located at (Street) Tax Map _ Block Lot (indicate nearest cross street). Municipality Watershed SOIL PERCOLATION TEST DATA Date of Pre-soaking Date of Percolation Test e /W ..... ....... ....... .. ... . . Ruts .. ................. ........ ....... ....... ...... ..... .. ......... ...... . . Ilia se Time ... ... At. ace:41ne CST ........ 0. W dole . . . . . -... ...... ....... .......... t 0- t ............. start h .......... G f of tie 14 M 3 L6, 4 5 I Olr 2 .3 3 Zzo —3 4 tC 7, 2 1 5 C 2 IC '12 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s I min for 1-30 min/inch, :5 2 min for 31-60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD-97 TEST }SIT DATA 2 DESCRIPTION OF SOILS ENCOUNTERED IN TEST MOLES DEPTH : ^ :.. , '90L- E_NO': = �: HOLE NO. • :. HOLE NO:. G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0'. 7.5' 8.0' 8.5' 9.0' 10.0' Indicate level at which groundwater is encountered Indicate level at which mottling is observed Indicate level to which water level rises after being encountered Deep hole observations made by: Date Design Professional Name: Address: Signature: Design Professional's Seal 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. Michael Budzinsky, P.E. March 1, 2006 Director of Engineering Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 Via UPS Re: SSTS AS -built for Wyndham Homes, Inc. - Lot 28 58 Quail Lane, Patterson, NY Dear Michael: Please find enclosed the following materials: 1. Four (4) signed and sealed copies of drawing entitled SSTS Plan R. S. Lot 28, Deer Wood Subdivision (Map 35, Block 4, Lot 112) Prepared For Wyndham Homes Inc., Located at 53 Quail Lane, Town of Patterson, NY, dated November 17, 2005, revised March 1, 2006 2. One (1) signed and sealed copy of the additional Design Data Sheet The New York City Department of Environmental Protection required additional deep test holes for the proposed SSTA. Four test holes were dug and observed by the NYCDEP, PCDH and our office. We have provided this information for your review. We are requesting your continued review of this project. Please call me if you have any questions. Si erely, Ralp G. Mastromonaco RGW)1 Enclosures i 00 MAR -2 Department of Environmental Protection Emily Uoyd Commissioner Tel. (718) 595 -6565 Fax (718) 595 -3557 Bureau of Water Supply 465 Columbus Avenue Valhalla, Now York 10595 -1336 Michael A. Principe, Ph.D. Deputy Commissioner Tel (914) 742 -2001 Fax (914) 741 -0348 Joseph Maggio, P.E.. Deputy Director Engineering Division EOH Tel (914) 773 -4470 Fax (914) 773 -0343 �Q CITY DEPART,I,F _ 'R�NMEKTAI eAO'G` . . w ww.n Y c..6 O vl d e p ' (718) DEP - HELP January 31, 2006 Robert Morris, RE Putnam Co. Health Dept. 4 Geneva Road Brewster, NY 10509 Re: Deerwood Sub. Lot 28 SSTS. Quail Lane Patterson, Putnam Co., NY East Branch Reservoir DEP Log # 2006 -BB -0117 (Joint Review) Dear Mr. Morris: 9? V`' The New York City Department of Environmental Protection (NYCDEP) has determined that the above referenced application is incomplete. The soil test report submitted by the applicant doen not indicate the depth of ledge as observed by NYCDEP on December 9, 1996. The applicant proposed new tests to be run. Please contact us to schedule the test date. If you have.-any questions regarding this matter, you may contact me at (914) 773 -4416. Sincerely, Sissy De La Ossa Assistant Civil Engineer Engineering Review Group xc: Roger Sokol, P.E., NYSDOH ti 06 FEB �-6 P iN 3: 51 ti SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Ralph Mastromonaco 13 Dove Court Croton -on- Hudson, NY 10520 RE: Wyndham Homes, Inc. 53 Quail Lane, Lot 28 (T) Patterson, TM # 35-4 -112 Reservoir Basin Dear Mr. Mastromonaco: ROBERT J. BONDI County Executive January 17, 2006 The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on January 4, 2006 is complete. The Department will notify you by February 9, 2006 of its determination. ❑ The Project has been delegated to the Putnam County Health Department for review pursuant to the guidelines set forth in the Watershed Agreement. . ❑x Joint review with the NYCDEP will commence pursuant to the guidelines set forth in. the Watershed Agreement. If the Department fails to notify you within the above referenced time frame, you may notify the Department of its failure by certified mail, return receipt requested. The notice should be sent to my-attention. at the above address. This notice must include your name, the location of the project, the office 'witli which you filed the application originally, and a statement that a decision is sought in accordance with section 18 -23 (d) (6) of the NYC Dept. of Environmental Protection Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed approved, subject to standard terms and conditions as set forth in the regulations. Please be advised that projects within the NYC Watershed may also require Department of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should contact the Department of Environmental Protection regarding_ such activities to see if Department of Environmental Protection review and approval is required. If you have any questions regarding this matter, please call me at (845) 278 -6130 ext. 2166. RM:kly e trulv y s, Robert Morris, PE Director of Environmental Health Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (843) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Ralph Mastromonaco 13 Dove Court Croton -on- Hudson, NY 10520 Dear Mr. Mastromonaco: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive February 13, 2006 Re: Proposed SSTS:.Wyndham Homes, Inc. 53 Quail Lane, Lot # 28 (T) Patterson, TM # 35 -4 -112 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: • Please see the attached response from NYCDEP and respond accordingly. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. RM:kly Enc. Very,4kuly yours, Robert Morris, P.E. Director of Environmental Health Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (843) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 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. 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 112 - R. S. Lot 28) Dear Robert: Please find enclosed the following materials: December 30, 2005 1. Five (5) signed and sealed copies of the drawing entitled SSTS Plan R.S. Lot 28 of Deer Wood Subdivision (Map 35, Block 4, Lot 112) Prepared for Wyndham Homes Inc., Located at Quail Lane, Town of Patterson, NY, dated November 17, 2005 2. Four (4) signed and sealed copies of the Construction Permit Application dated November 17, 2005 3. Four. (4) signed copies of the Application to Construct a Water Well dated November 17, 2005 4. One (1) signed copy of the Corporate Affidavit dated November 3, 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..(a.)- signed. . copy ..of_the..Short_Environmental. Assessment .Form .dated Novernber...17 f 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. Three (3) sets of architectural plans for a three - bedroom house 11. Check payable to the PCDH in the amount of $400. This application represents a joint review with the New York City Dept. of Environmental Protection. Please forward materials as necessary. We are requesting your review and approval of the submitted materials. Please call me if you have any questions. Sincerely, XtLbQ& Ralph G. Mastromonaco RGM /jl Enclosures Cc: Jay Metcalf, Wyndham Homes 611:4 i-d C- NVf 90 14-164 (9195) —Text 12 PROJECT I.D. NUMBER 617.20 SEAR _....._ ... _... _.._ Appendix, C . - - State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I-- PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPUCA !SPONSOR 2. P NAME Y o 045c) 3. PROJECT LOCATION; Municipality I I E County 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc, or provide map) LE- W EST o f P OU-rr= OFF A ppLr H I t-L- P - ©,A •D . 5. IS PROPOSED ACTION: ❑ Expanslon O Modifioatlordalteration B. DESCRIBE PROJECT BRIEFLY: • Go>�IST"�L 1-1 oN of A -S I IJ G l.� FAN! 1 LY R Esl tl VJ I'T� SEPj"IG, WEL.1 -� t�21�/� 1N,4'� Ai� D,�.55�IATf 7. AMOUNT OF LAND T -Z-35 Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? WYes ❑ No It No, describe briefly 8. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? 0 Resldentlal ❑ Industrial ■ Commerclai O Agriculture O ParldForestlOpen space O Other 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? EYes O No If yes. list agencAs) and permitlapprovels PT L-,- PEP- M iT Tow �i OP ArTe(z50�J - BL> I L_DI" PEt? M IT 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? 0 Yes O No It yes, list agency name and permit/approval TovJ� of= PAT-TERsotA - ,5L)5Pi *5ic)d A PPP-o\/AL- - 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? ❑ Yes No 1 CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE I� ApplicanUsponsor n= - L f�.� Date: I I J Signature: V 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 B WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. Cl Yes ❑ No C. COULD ACTION RESULT IN ANY ADVERSE EaFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage.or flood)ng 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 C1-05? Explain briefly. C7. Other impacts (including changes In use of either quantity or type of energy)? Explain briefly. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CEA? ❑ Yes ❑ No E IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes ❑ No If Yes, explain briefly PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting p.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure. that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL. EAF andfor 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 Tide of Responsible Officer Signature of Responsc a Officer in Lead Agency Signature of Preparer (If different from responsible officed Date N ,DEP_TH. G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.5' 4.0' 4.5' 5.0' 5.5' 1< 6.0' s 6.5' 7.0' 's 7.5' 8.0' ;. 8.5' 9.0' -10.0' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES .HOLE NO.. -HOLE NO. HOLE NO. � 2 6 _.mow 5-."e rtt't. Ca,,:111, 9 No W ctc4 IV O /A/O-/e'r - - - :AI Mo /'�_ Me Md i�n�_ AL!, Al.a Indicate level at which groundwater is encountered Ale-Ply L Indicate level at which mottling is observed Nn Indicate level to which water level rises after being encountered Deep hole observations made by: Os sa Date z o6 Design Professional Name: Address: Signature: Design Professional's Seal 1- Jan -27 -06 0:3:51P Ralph G. Mastr-omonaco PE' 914 271 4762 P.Ol saw 2078 --7921 BRUCE R. FOUY Public Health Dire fo.' DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LOREM MOLINARI RN., M.S.N. Associate Public Health Director Director of Patient Services REQUEST FOR FIELD TESTING ATTENIJO.N, ❑ JOSEPH PARAVATI XGI, -n REED All inforroation belo-w must be fully completed prior to any scheduling. DATE: I 2 —y ENGJ- NEf;R. OR FIRM: RALEd� A TP-oMa " PHoNE #:914 - 2 -71 •47(oZ ATTO, M C:*EgaLeP.- RE,4.so tea I°r : 1J:GPe P=kST: ❑ DEEPS: �Zcfpr,%T' P ROAD /SJREET. 6 �) I'S2 UA [L t A � E TOWN: Sulmn'1 slwq: Tax MAP#: 2---,5 --4 -11-4 LOT#: _ z e oiwNt :. 'V: /ytt Z;. AM MO 1, f C� CRITERIA_'FORJOINT REVIEW AND WITNESSING OF SOIL. TESTING YES =a._. 0 Proposed SSTS within the drainage basin ofWest Branch orBoyds Corner Reservoirs. 0 Proposed SSTS within ,500 feet of a reservoir, reservoir stem or control lake. Proposed SSTS within 200 feet of a watercourse or a DEC wetland. El Proposed SSTS design flow greater than 1000 gallonslday or SPDES Permit required. ❑. Proposed SSTS for a Commercial Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This Deoartment will determine the NYCDEP project status (Joint or Delegated) based on the response4 if you answered yes to any of the ,questions, NYCDEP must witness the soil tests. This Departm�ut will coordinate a mutually suitable time for field testing with the Design Professional and NYCDEt. If a proj�t has been determined to be Delegated based on the above response and then subsequent informat on indicates NYCDEP is required to witness the soil tests, it will be the sole responsibility of the desio professional to schedule re- Witnessing of the soil testing with NYCDEP. FOR COUNTY USE ONLY DATE:..2- COIVL4E,NT5: / �. G t�►'t ' wt (FIE?:: C;'l'i , Tatil_a7- �t�f.ir= V -P*1 1'= 1-14 tF1 ':R45- ?7FI -79P'i NAMF : PI ITNAM [ ni INTY nFPnPTMFNT np, P _ 1 t BRUCE R. FOLEY -_ -.--Public--Health Director -- DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N.,-M.S.N. Associafi Public Health • Diricfor Director of Patient Services 'Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Date: 106 To: Fax #: 7 7 3 - v 3 -:�/3 From: Gene D. Reed Putnam County Department of Health 'For your information For your review —Z As discussed No. Pages (Including cover sheet) _ Please respond Attached as requested Please call Notes/Messages%� Lf�� ly�( Go�c�FlTz�i' 77© Min In the event of transmission /reception difficulties, please contact this office at (845) 278 -6130 ext. 2261. n 1, • SENDING CONFIRMATION DATE : FEB-1-2006 WED 09:37 NAME : PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845-278-7921 PHONE 919147730343 PAGES ili START TIME FEB-01 09:36 ELAPSED TIME 00' 22" MODE ECM RESULTS OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... a. kRUCE R. WLPY LORE-rTA MOLTMARI R.N., XLS.N. Db-1- f P.17'm SerW- DEPARTWNT Or HEALTH I (3sneva Road Brewster. New York 10509 (W) 21- 613- F- (11-5)711 1921 %MA278.6feg EAXJ:QxULSBLKi T-k FAA#: No. • (Including covershert) I-rom: Gene D--Br&q Putnnm County Department of Health For your information Please rrqpond For your r.t.view AtIarbed As requested /AS discussed Please (-All Note.%/tMr.v,qago4---_. Ilk -I Fn the even) of transmissiontreceptin n rilfficultim, please contact this office At (845) 1•8-6130 estt 2261. OCT -31 -2004 01:49 PM HARRY W NICHOLS 914 279 4567 P.02 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES "' DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner. m16. At1L, 6,11.. AM9V? X�i'! dCZL1� Address I.ocated at (Street) _goNAgg5 g4Ap Tax Map .35 Block Lot G�.`t._,•.. (indicate nearest cross street) T^ mur icipality p Drainage Basin _ . _ SOIL PERCOLATION TEST DATA Date of pre- soaking I o 1�4621A) Date of Percolation Test i 1 -1,! De th to Water Water 1'cprotn Ground Level Percolatis Time Ela se Lime Surface (Inches) brop In Rate 1101C No, Run No. Start - Stop �Miq•) Start Stop Inches Min/1n1:r.1 _ 1 2 2.o3- 2;�a 3o 20 !21!�1 3 21S4• �'.474- r50 d 'r,. 4 5 3 ' G7 ', �/4 •051 ' e � ��'_... .4 1 2 3 4 NU'fE3; 1. Tests to be repeated at same depth until approximately equal percolation rate's are obtained at c 2 percolation test hole. (i.e. s 1 min for 1.30 min/inch, s 2 min for 31 -60 min/inch) All data to ix: submitted for review,. 2. Depth measurements to be made from top of hole. Fnrrn nta -97 OCT -31 -2004 01:50 PM HARRY W NICHOLS 914 279 4567 P.03 TEST PIT DATA DES+CRIPT� ®1V OF SmxLS E14r-nL- rw,,rr SEA XIy -I-EST HOLES DEPTH No. .. . . . I�OE I?G,L. --L-- HQ ' .No! 0 0'5 ' 1.5' .. --- I - • 2.01., • �� 1 N � SAS L�`j ...... 4,r •0•rr 4,0' 4.51. 1�►jtiN — 'T' _._. 5.�' 6.01 , 6.5' �_ ... 7,01_ 8;0' ....._. U•J ..... 1.00' '•• •. .. .. Indicate Level at „which groundwater is encountered Indicate IeveI at which mottling is observed Indicate level to which water level rises after being encountered Deep hole obsexvations'made by; �INSKI Date Design rrofessional Name- W. L4 It, Address; i Signature: uesign Professional's Seal ,ZiOf NEW - Ac y`b A9oPewa�� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES *V FIN WELL COMPLETION REPORT Well Location Street AddressQ� .d7�' Town /Village:. / Tax Map # N Map35 Block Lots) Well Owner: Name: Address: Use of Well: 1- Primary 2- Secondary _,>C—Residential Business Industrial _Public Supply Air cond /heat pump _Irrigation Farm Test/monitoring _Other(specify) Institutional Standby Drilling Equipment Rotary _Cable percussion X Compressed air percussion Other(specify) Well Type Screened _Open end casing. _Le Open hole in bedrock Other Casing Details. Total Length 41 ft. Length below grade -91ft. Diameter in. Weight per foot I lb/ft Materials: -'Steel Plastic Other Joints: Welded >C Threaded Other Seal: Xcement grout _Bentonite Other Drive shoe: �G' Yes _ No Liner: _Yes �eNo Screen Details Diameter in Slot Size Length (ft) Dept to Screen ft Developed? First _Yes No Hours Second Well Yield Test _Bailed _Pumped Compressed Air Hours Yield gpm Depth Date Measure from land surface - static (sped During yield test (ft) Depth of completteej well in If more detailed information descriptions dr sieve analyses are available, please attach. it ylela was testea at different depths during drilling list: ueptn rrom curt ft. ft. Land Surface ' vvelvnlameter Water Bearing in Formation Description Be-all/ nute Pump /SI Pump Type &W Depth` Voltage 9AU Y� Tank Tvne ekhijtj If nK intormatlon Capacity AA Model HPt,3 -�.0. 1 "Pais/ Volume /_ / Date of Fpori NOTE: Exact Location of well with distances to at least two permanent landmarks fo be provided 2ya separate sheet/plan White copy: HD File; Yellow copy - Building Inspector; Pink copy.- Owner; Orange copy - Well driller Form WC -97 Rev. 3/06 D - 20Q7 -02 -08 13:29 845 - 279 -0222 . Wyndham Homes, Inc. r 1%1 PUTNAM COUNTY DEPARTMENT OF If_EALTJR: -.1. TVVISION OF ENVIRON- MENTAL- REALTH SERVi APPLICATION TO CONSTRUCT A WATER WELL ploase print „t typ(, PCIID Permit 4P-0 ° W01 Location- Street Addrus.w Town/village Tax Grid # ' _ 6i r��l L LA r3"" J Map ✓ Block ' . Lots) Well Owner: Name; Address: , M o ! 111 WOOD PF- - b2 C-VV ;2 ;'i, l cS• -Residential Public Supply _ "Air /C:ond/Heat Pump Irtigation Use of Well: 1- primary Business _ Farm "_ TestlMonitonng _ Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served h st. of Daily Usage' teal: Reason for Replace ftisting Supply Test/Observation Additional Supply Drilling X. New , iff ly (new dwelling) Deepen. Existing Well Detailed Reason �'�VI DI W�7' �.'5C -F-02 L l i i ► fbi Drilling V,ell Type Drilled Driven Gravel 000T , .. . EK Is well site subject to flooding? ....................... ..':......,........,..,.,.. ........... .....:............... Yes No ........................... Is weli'located in a realt 3abdivision'? .......... ............................... . Yes _ No Nantc of subdivision �1r lid + :....r IAA NO..2 ,1%"?........_ Water Well Contractor. L) "� A dress: l3� tatyT�.�Mlr�l�t.� d .�._. Is Public Water Supply available; to site:? ................................................. ................. Yes No Name of Public Water Supply: /A Town/Village Rl — Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plaii. Uate: I I7 Applicant Signature: Vim` ' 1T u o PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth.above, is granted under pfovisions. of Article 10 of the Putnam County ;unitary Code and Subpart 5 -2 of .Part 5-of the'Ncw Fork- State.Sanitary Code and provided that within thirty..(30) days Of the completion -of water well'e;otwtruction, the applicant or.their designated representative shall: 1) Pump the well until tine water is clear, 2)- Disinfect the well .in accordance rvrth the requirements of the Putnam County I lealth Department. 3) - Submit a We1lto ' letion Report on ,a forin provided by the Putnam County. Health Depart merit. burins all well drilling operations,' the applimi and/or. well driller shall take appropriate action to assure ttiat any'and all water and waste products from -Stich well drilling operations be contained on this property and in such a manner as not-to degrade or otherwise contaminate surface or groundwater. APPROVI+;I), FOR C ONSTRIK"I'llON: This approval expires:tvvo -years from the date issued unless construction of the well has been completed and inspecned-..by_ihe PCHD: acid 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 Hermit. Well to be constructed by a water well driller certified by Putnarii county. Date of Issue � " Z �� =� _.. Permit Issui Official: 'Title; Date of Expiraiion - f' _.__.__,._. — _ Permit is Non - Transferrable White copy • 11D tile- Yellow iopy - tiuilding ]nspcck»; fink copy - Own r: orange copy - Well driller Form WP -57- ` LOT 19 1 -3 ,G ?B3� 00 1 E.S. 1 -18 M. 663.0 I I fw °2\ 4. V ryryM1 X2 & 1 II If 2 f k` I OF �w �" r 1 '71. P , 4 EXISTING I 1G, 5 WELL 1 I+ I 11 1 .� tDRIVEWAY 1 I . j BUILDING &R 1 1250 GAL SEPTIC TANKGNC, T 1 q 5C. 'H40 1 No \ TIE POINT 'C L O _ •!� ti// 124, / / tiN 1 + 1 1 �l 6.000 ..f. J I z 2. BE IF / DMH 1 —IA l aL RIM /p(f // INV. 88488 / / / h°i • / cl Ir •"/ /� // / Y/ // lop/, ALL LATERALS HAVE CAPPED ENDS (TYP.) % / y loox / /N� 0/ ^/ �• 100' WETLANDS SETBA EXPANSI AREA ON o/ I �101 21 Iq 00. / N _J i / tg ADS ,----- - - ---0 / DMH 1 -1 LOT 26 f TIE DISTANCES J� O l LOT TRENCHES REQUIRED = 571 L.F. I c TRENCHES PROVIDED = 571 L.F. I EXIST A B C` T1 11.8' 21.1' T2 16.0' 24.9' J81 47.7' 81.3' J132 44.0' 76.4' J133 41.2' 71.9' J134 38.9' 67.5' JB5 38.0' 63.7' J136 37.1' 59.5' JB7 37.6' 55.9' J138 39.1' 53.1' J139 41.1' 50.4' j JB10 44.2' 48.8' J131 47.6' 47.5' j JB12 51.2' 46.9' L1 87.2' 113.7' i L2 91.8' 116:3' L3 92.1' 114.7'' L4 90.2' 111.0' L5 89.1' 108.3' L6 89.0' 106.1' L7 88.5' 103.6' L8 88.8' 101.5'. L9 88.4' 98.6' L10 88.0' 96.1' L11 94.3' 100.1' 1-12 93.3' 1 96.7' J� O l LOT TRENCHES REQUIRED = 571 L.F. I c TRENCHES PROVIDED = 571 L.F. I EXIST