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Home My WebLink About1783DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35. -4 -122 BOX 16 01783 K. No vL the T 16 .L I I r �' i. ` 01783 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: O(y Q Town/Vil age: T'ax Grid Map t6 , Block q- Lot(s) I Vj, Well Owner: Name: 'Address: / Use of Well: 1- primary 2- secondary Residential Public 9upply Air cond/heat pump Mrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion —)—( Compressed air percussion Other (specify) Well Type Screened Open end casing __X Open hole in bedrock Other Casing Details Total length ft. Length below grade ft. Diameter �in. Weight per foot �lb/ft. Materials: IX Steel —Plastic Other Joints: _ Welded ( Threaded _ Other Seal: Cement grout _ Bentonite Other Drive shoe: Yes No Liner _ Yes -.2 No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _ Bailed _Pumped Compressed Air Hours ( Yield 30 gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or sieve analyses .. .. are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft: Land Surface Z ..... _ _ ...... _.. . F v If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information % Pump Type 5 Aa. Capacity Depth 230-0 �, Model"? E 1411;--41 Z Voltage :2.3,0 V, HP 1 `% Tank Type V,\-2— Volume 1.176 ® Date W 1 Co p�leeted ilw Putnam County Certification No. Date of Report Well D 'ller ign ture) NOTE: Exact location of well with aistances to at least two permanent lanamartcs to oe p Well Driller's Name .tJi'1� D -12 Address: White copy: HEMile; Yellow copy -Building Inspector; Pink copy - Owner; tl JCpi1Ci11C�/S11GGU�la11. copy - Well driller Form WC -97 _V CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # P� 16-o4 Located at 9-1 A �— L4c H Owner /Applicant NameI Formerly Town or Village PlArTT-R-1DOH Tax Map Block 4 Lot Subdivision Name Subd. Lot #® Mailing Address ZipQ� Date Construction Permit Issued by PCHD i 104 �`i N ii �m �� O� Ca w-. J1 Separate Severe System built by 'Address 1-LI� �0►� �G-� �i► I�i�� Consisting of`,b'� d Gallon Septic Tank and Other Requirements: Water Suu ®iv: Public Supply From or: Private Supply Drilled by Building Type_ Address Sa f V 'eA5IAc ' Address 10T+ KSJ 10 Has erosion control been completed? Number of Bedrooms 4 Has garbage grinder been installed? 5 _ . ...- I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and a� regulatio of the Putnam Coun epartm nt of Health. yj �0 Date: Certified by P.E. X R.A. rroiess►onai) Address a�`0 `� �� W Ja �Le 011' 10 License # Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocatiorlo ficatio r change is necessary. By: � Tit le: Date: G� White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well'Location Street Address: - _ " !"q Town/Village: Tax Grid # Mapti, Block Lotsj�'� Well Owner: Name: Address: Use of Well: 1- primary 2- secondary Residential Public 9upply Air cond/heat pu p I igation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing Open hole in bedrock Other Casing Details Total length ft. Length below grade ft. Diameter �in. Weight per footlb /ft. Materials: Steel _ Plastic _ Other Joints: _ Welded ( Threaded _ Other Seal: A Cement grout _ Bentonite -Other _ Drive shoe: Yes No Liner Yes _.A No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _ Bailed _ Pumped X Compressed Air Hours Yield 30 gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or sieve analyses ..: are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. i ft. Land Surface a If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type 5'v , Capacity Depth 2-10A Model'7 E W-4I Z, Voltage 2°34,/, I-IP 1 t%Z Tank Type VA- 30Z. Volume V. Date W I Co pleted 9 11 AO 1 Putnam County Certification No. 19P9 Date of Report Well D 'ller ign ture) NOTE: Exact location of well with distances to at least two permanent landmarks to be pr Well Driller's Name Address:, Signature: Date: r White copy: Yellow copy -Building Inspector; Pink copy - Owner; t asseappaarratte/�/ hh ^Je/euplan. s 79,a./ �9 (.� 9 copy - Well driller Form WC -97 YML ENV lRONMENTAL SERVICES 321 Kear Street 4'ar 'A"��'' (914) 245-2800 Albert H. Padovani, Director LAB #: 9.501569 CLIENT #: 57197 NON STAT PROC PAGE: I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ WYNDHAM HOMES 8 COLLINWOOD DRIVE RALPH TEDESCO BREWSTER, NY 10509 DATE/TIME TAKEN: 07/12/05 11:50 DATE/TIME REC`D: 07/12/05 12:45 REPORT DATE: 07/20/05 PHONE: (845)-279-2022 SAMPLING SITE: 29 TEAL LANE, BREWSTER SAMPLE TYPE..x POTABLE : WELL TANK PRESERVATIVES: NONE COL'D BY: JOSE TEMPERATURE..: NOTES...: COLlFORM METH: N/A ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~^~~~ DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 07/12/05 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 07/14/05 LEAD ([MS) 3.1 ppb 0-15 ppb 9003 07/15/05 NITRATE NITROG 2.86 MG/L 0 - 10 9052 07/13/05 NITRITE NITROG <0.01 MG/L N/A 9162 07/15/05 IRON (Fe) <0.060 MG/L 0-0.3 mg/1 9002 07/13/05 MANGANESE (Mn) 0.012 MG/L 0-0.3 mg/1 9002 07/15/05 SODIUM (Na) 21.0 MG/L N/A 90(2 07/13/05 pH 6.3 UNITS 6.5-8.5 9043 07/15/05 HARDNESS,TOTAL 192 MG/L N/A 07/15/05 ALKALINITY (AS 78.0 MG/L N/A 9001 07/15/01 ' TURBIDITY' <TUR'- . <Y NTU 0-5 NTU COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATE WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDI��~��~�HE NEW YORK STATE AND EPAFEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb/Cu LEAD limits for public schools are set at 15 ppb. EPA Lead & Copper Rule for Public Systems requires that no more than 10% of their distribution points have a LEAD value of more than 15 ppb and a COPPER value of 1.3 mg/L, else water treatment must be undertaken to reduce the waters corrosive potential. Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. Na No limits for Sodium are proscribed. Suggested guidelines state rs that for people on a sodium restricted diet, the water should contain no no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium YML ENVIRONMENTAL SERVICES . 321 Kear Street ___'�+�,_��_�=_�,-_`� � '� �- --'�'^-- `Yorktbwd -Psi 6h' WOO -~-- ' (914) 245-2800 Albert H. paduvani, Director LAB #: 9.501569 CLIENT #: 57197 NON STAT PROC PAGE: 2 4YNDHAM HOMES 3 COLLINWOOD DRIVE, TALPH TEDESCO 3REWSTER, NY 10509 DATE/TIME TAKEN: 07/12/05 11:50 DATE/TIME REC'D: 07/12/05 12:45 REPORT DATE: 07/20/05 PHONE: (845)-279-2022 3AMPLING SITE: 29 TEAL LANE, BREWSTER SAMPLE TYPE..: POTABLE : WELL TANK PRESERVATIVES: NONE :OL'D BY: JOSE TEMPERATURE..: /OTES...: COLIFORM METH: N/A '~~~~~~~~~~~~~~~~~~~~~~~~~'~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD is suggested. H pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF- THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMlSTRY,, WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. j 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. WAT _()r70 MGYL ' '' '` V|RY HARD-UATERI'ABOVE'300 M&L ' MODERATELY HARD WATER: 70-140 MG/L MG/L = MILLIGRAM PER LITER HARD WATER: 140-300 MG/L (1 grain/gallon = 17.2 MG/L) 3MITTED BY: � �- Albert n - raoovanz n / �o��r/ ' ^ ' ^ ^ Director ' ^` ~ `� ELAP# 103223 PUTNAM COUNTY DEPARTMENT OF HEALTH - -- DIV S ON ENVIRONM XTAL :E4. LAL :V E�: - ti• GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Wf= ,Jp w k((\* rib- Owner or Purchaser of Building Tax Map Block Lot ..W - NOi�k& 40A0 [mod - A IT- al.) Building Constructed by TownNillage Location - Street Ree7l Opp Building Type.' Subdivision Name Subdivision Lot # 14LO I represent that I am wholly and completely responsible for the location, workmanship, material, construction and-draingge of the sewage-treatment system serving th�e'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 't9stem coris1ructed 6'3F* me which fails to operate . fora period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs made by me to such system,..except where the failure to operate properly is caused by willful or negligent act_of the occupant_of:the.building utilising the - system. The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the" failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the systems Dated: c; Day 2 Year Signature: ( 4W Lxj. 1/7W V I 1-(,PwL Title:' en ral Contract'or'(Owner) = ignature y . W �NOI+AN 110 .41 Ft7r (AI& Corporation Name (if corporation) Address: COW JVJJOO lily, p P-FVJ-IEiL State Zip 0 �Q ^/0 A vtY &4 loll Corporation Name (if corporation) Address: . CawN D4 0P\6 Bfk� LI State 1 Zip Faso ,j Form GS -97 Sep 12 05 12:53p TOWN OF PRTTERSO L a C J ' 1�- , ,! •f'tt 845 -878 -2019 P.1 P�ltc `ifectth 7reccr � LJREI MOLINARI P—N., &U.N. �� .tsaociara PWBtte X�a1tk DG'rucr �trastor of Pwilm services DEPARTI ENT OF MALTH Geneva Road Brrwst:r, New York 14509 iaTiuoamcniat Reaith {914} 278.6 (30 Peg (4:4) 278 - 7421 -Xvr%VA SVNIC41 (914;272 -assn WIC (s1e; 211.5Q'8 FOX (414) :78 - dOQ: 'tc1Y Iaeervel :Wm (914) 278 - 6014 I Mcka(Ii (914) M4082 Fix (914) 279- 6644 Alk MUM' T.A.,'t'41Ai'Pi "G?ViB ER: � �, — f�— 1•2 Z" E911 ADDRESS: vZ '¢L 1-4 N� TOW NN � /nfl/9t %%.��'S ate' AMORIZED TONVN. O1 FIC7AL: (Signature) ._ DATE: 2 The Patna County DepaErtmeat of Health will not issue a Certificate of Construction Compliance unless fhe above form is completed, i.e., a legal E911 addms.is assigned by an au hoxized town official. This form is to be submitted with the applicati= for a Certificate Hof +Consitruetion Coniplia•ace. September 21, 2005 Robert Morris, P.E. Putnam County Health Department 1 Geneva Road Brewster, New York 10509 Harry W. Nichols Jr., P.E. Patterson Park - Suite 106 2050 Route 22 Brewster, NY 10509 Fax: (845) 279 -4567 Email: hnengineer@aol.com RE: Individual SSTS Compliance — Wyndham Homes, Inc. 29 Teal Lane - Lot # 40 Deerwood (Windsor Woods) Subdivision Town of Patterson, NY T. M. # 35. -4 -122 Dear Mr. Morris: Enclosed are the following: 1. Five (5) prints of Drawing S -40, "As -Built SSTS ", dated 09/14/05. 2. "Certificate of Construction Compliance for Sewage Treatment System ", :dated 09/21 /05. 3. Three (3) copies of "Guarantee of Subsurface Sewage Treatment - T System ", dated 09/21/05. i 4. Laboratory Report, dated 07/12/05 5. "Well Completion Report", dated 07/25/0 . 6. Application. Fee in the amount of $300.00 payable to Putnam County Health Dept. 7. "E -911 Address Verification Form ", dated 09/12/05. If there are any questions concerning the enclosed, please call. Very truly yours, Harry W. Ni ols Jr., P.E. HWN:gav 03- 056.40 SHERLITA AMLER;,MD, -MS �FA7A t�-- Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Harry Nichols, P.E. Patterson Park, Ste 106 2050 Route 22 Brewster, NY 10509 Dear Mr. Nichols: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 .. _ . ROBERT. J. JIONDI COunty Executive September 28, 2005 Re: Field Inspection — Wyndham Homes 29 Teal Lane, (T) Patterson TM # 35.4-122, Lot # 40 The above referenced separate sewage treatment system can be backfilled. There are no open comments to be addressed at this time. - If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. GDR:kly Very truly yours, "Ov�� 0. Gene D. Reed Environmental Health Engineering Aide Environmental Health (845) 278 -6130 Fax (845) 278 -7921 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 Date: .. .... __ Inspecte by_. _ Street Location Y 1 Town Permit 4 TM # 3 S-, - - l 2 2 Subdivision Lot # 440 1. Sewaze 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. System a. Septic tank size - 1,000 ...:....1,25 .......other......... b. Septic tank ustalled level .......... ............................... c. 10' minimum -from foundation .... ............................... d. Distribution Bog 1. All outlets at same elevation -water tested........... 2. Protected below frost ........... ............................... 3... Minimum 2 ft. Original soil between box & trencl e. Junction Box properly set .... ............................... 6. 'I enches -^ . 1. Length required Length installed _ 2. Distance to watercourse measured f - / p 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 ca pped .....:.:.. ::: ......:.:.....::.:.:........... 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 .................. ............................... 6. Cycle witnessed by H.D.estimated flow /cycle...... IM House/Building a. house located per approved plans.......:... :: b. Number of bedrooms .......................... :... IV. Well Well located as per approved plans . ......:........................ b. Distance from STS area measured 113 ft..... c. Casing. 18" above grade ........... .................. .............. d. Surface drainage around well acceptable ................. V.. Overall Workmanship . a.. Boxes properly grouted ............. ............................... b All pipes partially backfilled ..... ............................... c. All pipes flush with inside of box ............................. d. Backfill material contains stones <4 diameter.......... e. Curtain drain & standpipes installed according to pl f. Curtain drain outfall protected & dinto exist waterc g. Footing drains discharge away from STS area......... h. Surface water protection adequate ........ : .................. i. Erosion control provided ......... ............................... Rev. 12/02 SEP -09 -2005 10:44 AM HARRY W NICHOLS 914 279 4567 P.01 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL ®'.ALTH SERVICES • 1 *3 019) *A 111, CA a 1z M016i Y@) PCHD Construction Permit # P. JA-04 For: Fill Trenches _ t/ Located: T'uL LA 01 ,"_ (T) (V) P.M"g , Owner /Applicant Name: ti.:g"%gjh lAnirtla TM ,35, Block �_ Lot AA& Formerly: Subdivision Name: _ "y ulon.'b Subdivision Lot # Is system fill completed? I's system complete? yrd Is system constructed as per plans? ................ Is well drilled? __ yes Is well located as per plans? _ y Are erosion control'measures in place? Its Date: Date: s!e IM4 &.5 Date: _ g ,�'j. A t /.0 5 I certify that the system(s), as listed, at the above premises has been constructed and I have inspected and verified their completion in accordance with the issued PCID Construction Permit and approved plans and the Standards, Rules and Regulations of the Putnam County Department of Health. Date eg.�p„�.. J Certified by: PE v1 _ RA De ' rofesslonal Address: answ REwSiL 27 6P_t,)sAy_ #3Y 105,02 Lic. # $_ 124 Comments: FOR: 13 ADAM V GENE 17 (NAME) Form FM -99 .,tiw— — 1-1 .raw, ;- n I ,, P'K-f ^n-rMM IT mr, 0 2005-09-20 15:04 Wyndham Homes, Inc. 845-279-0222 >> 2786026 WYNDHAM HOMES, INC. Corporate Office - Southeast Executive Park 185 Route 312 - Suite 301 A • Brewster, NY 10509 845.279,2022 - Fax: 845279-0222 • www.Wyndhcm.Homes.com Drm Mw DE Dpmzwr' FAX COVER SHEET Date- To: Fax No.: C, From: Number, of Pages (including this cover sheet): Re: All, L!-A- 0) 211115 Wyndham Hoincs. Inc. All rights rescmd ■ P 1/3 2005 -09 -20 15:04 Wyndham Homes, Inc. 845 -279 -0222 >> 2786026 WYNUHAM HOMES, INC. 1 ' Corporate Office • Southeast Executive Park 185 Route 312 - Suite 301 A - Brewster, NY 10509 845.279.2022 -Fax: 845.279.0222 - m%w. VyndhamHnmcs.cnm Drwas MW hir Deral mW September 20, 2005 Dr. Sherlita Amler, MD Commissioner of Health i'utnatn County Department of Health 1 Geneva Road Brewster, NY 10509 Subject: Windsor Wood Lot 17 Dear Sherlita, P 2/3 ■ I am writing you to ask for your assistance in resolving a situation that has developed over the adoption of the new Bedroom Count Policy. Wyndham Homes, Inc. is the owner and builder of the Windsor Woods subdivision in Patterson, as well as Willow Ridge and Laurel Farms in Carmel. We have built well over one hundred homes in the Putnam County and have always enjoyed a professional relationship with the Department of Health. Our engineer submitted architectural plans for approval by your office for a home to be built in our Windsor Woods subdivision. The home is a four bedroom center hall colonial model that we have built -- several-tinles in this community and in our other communities in Putnam County. Our engineer recently received notice that the home we submitted was considered to have five potential bedrooms. Evidently the family room was considered to be a potential bedroom, rather then the typically allowed room, because it is not on the first floor. The home is in fact a four hedrooin home. We believe the difference in opinion to be due to the shift in position of the family ream on the first floor. The home has the garage located "half- under ", (to accommodate the change in topography) with the family room located above the garage. This puts the family room half a flight up from the other rooms on the first floor (like a split level home). We could imagine that this would be confusing because the room is neither on the first or second floor but is located in- between. Adding to the confusion, our architect arbitrarily showed this room on the second floor of the house plans; it could just as easily been shown on the first floor. While we agree the Bedroom Count Policy allows a family room on the first floor, we would like to believe that the intention of the Policy was not to mean the family room built in a split level configuration would be a potential bedroom. The home in question has all five of the allowed non- bedrooms (typical for a luxury center hall colonial) and four bedrooms. If the room in question was in addition to the typical five non - bedrooms, we would agree that the situation would be suspicious. However the home has tour bedrooms and a home office, so the concern that the family room would be used as a bedroom would seem just as remote as if it were located on the first floor. RJ 2W5 Wyndhim Hones. Inc. Page I of 2 Atnle,- rREhmbyRootnW1103092005 doc All rights rusurved 2005 -09 -20 15:05 Wyndham Homes, Inc. 845 - 279-0222 >> 2786026 P 3/3 Since the adoption of the Bedroom Count Policy, we have made sure not to market any house that didn't comply with the Policy. The house in question was sold to our customer without any belief on our part that there would be any question this was a four bedroom home. This belief was further enforced by the fact that we received approval for the same house on Lot #37 after the new policy was in effect. One might say that Lot #37 was grandfathered, but if so we would have had no idea that it was since there was no indication on that approval and since other plans that were grandfathered were so indicated. The solution to all this unfortunately is not as simple as us changing the home on this lot. We have sold this .home to a customer in good faith and based on a reasonable interpretation of the Bedroom Count Policy. We happen to have the same home in the neighborhood that has yet to he delivered to the customer. I believe seeing the actual layout of this home would quickly clear things up. As such, 1 kindly request we meet so 1 can personally bring you through the home and explain the layout. I may he reached at the office at (845) 279 -2022 Ext. 120 or at all times on any cell phone at (914) 462 -1551. I look forward to hearing from you. Sincerely, --fir Richard Schunk President Wyndham Homcs, Inc - Corporate Office Southeast Executive Park • 185 Route 312 - Suitt; 301 A • Brewster, NY 10509 845- 279.2022 r.tx. 845. 279.0222 • wwwAyndh4rnflomo.cum ri 2005 wyndhum Humes, Inc. All tights rescrvcd AmlcrLtrR C•fmmlyRornnWH03092005.doc Page 2 of 2 2005 -09 -20 15:04 Wyndham Homes, Inc. 845 - 279 -0222 >> 2786026 F WYNONAM HOMES, INC. ~ 1 ' Corporate Office • Southeast Executive Park 185 Route 312 - Suite 301 A - Brewster, NY 10509 845279.2022 • Fax: 845.279 -0222 m wwJVyndhamHnmes.cnm urpms Mw ne Da itma- ■ September 20, 2005 Dr..Sherlita Amler, MD Commissioner of Health Putnam County Department of Health 1 Geneva Road Brewster, NY 10509 Subject: Windsor Wood Lot 17 Dear Sherlita, I am writing you to ask for your assistance in resolving a situation that has developed over the adoption of the new Bedroom Count Policy. Wyndham Homes, Inc. is the owner and builder of the Windsor Woods subdivision in Patterson, as well as Willow Ridge and Laurel Farms in Carmel. We have built well over one hundred homes in the Putnam County and have always enjoyed a professional relationship with the Department of Health. Our engineer submitted architectural plans for approval by your office for a home to be built in our Windsor Woods subdivision. The home is a four bedroom center hall colonial model that we have built in. thiscommuni .ty.ard „in. our, other -communities in. Putnam . County_ .................. Our engineer recently received notice that the home we submitted was considered to have five potential bedrooms. Evidently the family room was considered to be a potential bedroom, rather then the typically allowed room, because it is not on the first floor. The home is in fact a four hedroom home. We believe the difference in opinion to be due to the shift in position of the family room on the first floor. The home has, the garage located "half- under ", (to accommodate the change in topography) with the family room located above the garage. This puts the family room half a flight up from the other rooms on the first floor (like a split level home). We cmuld imagine that this would be confusing because the room is neither on the first or second floor but is located in- between. Adding to the confusion, our architect arbitrarily showed this room on the second floor of the house plans; it could just as easily been shown on the first flour. While we agree the Bedroom Count Policy allows u family room on the first floor, we would like to believe that the intention of the Policy was not to mean the family room built in a split level configuration would be a potential bedroom. The home in question has all five of the allowed non- bedrooms (typical for a luxury center hall colonial) and four bedrooms. If the room in question was in addition to the typical five non-bedrooms, we would agree that the situation would be suspicious. However the home has four bedrooms and a home office, so the concem that the family room would be used as a bedroom would seem just as remote as if it were located on the first floor V) 2005 Wyndh.tm Homes. Inc. Page I of 2 AtnlerLtrREFamilyRt antnWI103092005 doc All tights reserved P 2/3 2005 -09 -20 15:05 Wyndham Homes, Inc. 845 -279 -0222 >> 2786026 P 3/3 Since the adoption of the Bedroom Count Policy, we have made sure not to market any house that didn't comply with the Policy. The house in question was sold to our customer without any belief on our part that there would be any question this was a four bedroom home. This belief was further enforced by the fact that we received approval for the same house on Lot #37 after the new policy was.in effect. One might say that Lot #37 was grandfathered, but if so we would have had no idea that it was since there was no indication on that approval and since other plans that were grandfathered were so indicated. The solution to all this unfortunately is not as simple as us changing the home on this lot. We have sold this .home to a customer in good faith and based on a reasonable interpretation of the Bedroom Count Policy. We happen to have the same home in the neighborhood that has yet to he delivered to the customer. I believe seeing the actual layout of this home would quickly clear things up. As such, I kindly request we meet so I can personally bring you through the home and explain the layout. ]'may be reached at the office at (845) 279 -2022 Ext. 120 or at all times on my cell phone at (914) 462 -1551. I look forward to hearing from you. Sincerely, �r Richard Schunk President Wyndham Homcs, Inc. Corporate Ofticc Souchcast Executive Park • 185 Rourc 312 - Suitu 301 A • Brewster, NY 10509 845.279.2022 Fax. 845.279.0222 • www.Wyndhnm/•lomes.coin tj 2005 wyndhum Humes, Inc. All aghs rcscrvM AmlertdrR [FamilyRoomWH03092005.doc Page 2 of 2 2005 -09 -20 15:04 Wyndham Homes, Inc. 845 - 279 -0222 >> 2786026 P 2/3 WYNDHAM HOMES, INC. �µ v Corporate Office • Soutlieast Executive Park 185 Route 312 - Suite 301 A • Brewster, NY 10509 845279.2022 • Fax: 845.279-0222 • HMno.lVyndhamHnmcs.Cnm Drixas Kw ne Dom' ■ September 20, 2005 Dr. Sherlita Amler, MD Commissioner of Health Putnam County Department of Health 1 Geneva Road Brewster, NY 10509 Subject: Windsor Wood Lot 17 Dear Sherlita, I am writing you to ask for your assistance in resolving a situation that has developed over the adoption of the new Bedroom Count Policy. Wyndham Homes, Inc. is the owner and builder of the Windsor Woods subdivision in Patterson, as well as Willow Ridge and Laurel Farms in Carmel. We have built well over one hundred homes in the Putnam County and have always enjoyed a professional relationship with the Department of Health. Our engineer submitted architectural plans for approval by your office for a home to be built in our Windsor Woods subdivision. The home is a four bedroom center hall colonial model that we have built _ ... . . ... .::.:...severe!- times.ir_this community and. in. our. other..comniunities -in.. Putnam .Co;jnfy.._.........._.....__.. Our engineer recently received notice that the home we submitted was considered to have five potential bedrooms. Evidently the family room was considered to be a potential bedroom, rather then the typically allowed room, because it is not on the first floor. The home is in fact a four bedroom home. We believe the difference in opinion to be due to the shift in position of the family room on the first floor. The home has the garage located "half- under ", (to accommodate the change in topography) with the family room located above the garage. This putts the family room half a flight up from the other rooms on the first floor (like a split level home). We cotald imagine that this would be confusing because the room is neither on the first or second floor but is located in- between. Adding to the confusion, our architect arbitrarily showed this room on the second floor of the house plans; it could just as easily been shown on the first floor. While we agree the Bedroom Count Policy allows a family room on the first floor, we would like to believe that the intention of the Policy was not to mean the family room built in a split level configuration would be a potential bedroom. The home in question has all five of the allowed non- bedrooms (typical for a luxury center hall colonial) and four bedrooms. If the room in question was in addition to the typical five non - bedrooms, we would agree that the situation would be suspicious. However the home has tour bedrooms and a home office, so the concern that the family room would be used as a bedroom would seem just as remote as if it were located on the first floor. 09 2005 Wyndhan Wines, hic. Page I of 2 AmlerUrREFamilyRomnW1103092005 doc All riflus reserved 2005 -09 -20 15:05 Wyndham Homes, Inc. 845 -279 -0222 >> 2786026 P 3/3 Since the adoption of the Bedroom Count Policy, we have made sure not to market any house that didn't comply with the Policy. The house in question was sold to our customer without any belief on our part that there would be any question this was a four bedroom home. This beliefwa,s further enforced by the fact that we received approval for the same house on Lot 437 after the new policy was :in effect. One might say that Lot #37 was grandfathered, but if so we would have had no idea that it was since there was no indication on that approval and since other plans that were grandfathered were so indicated. The solution to all this unfortunately is not as simple as us changing the home on this lot. We have sold this .home to a customer in good faith and based on a reasonable interpretation of the Bedroom Count Policy. We happen to have the same home in the neighborhood that has yet to he delivered to the customer. I believe seeing the actual layout of this home would quickly clear things up. As such, 1 kindly request we meet so I can personally bring you through the home and explain the layout. I may be reached at the office at (845) 279 -2022 Ext. 120 or at all times on roy cell phone at (914) 462 -1551. look forward to hearing from you. Sincerely, �r Richard Schunk President Wyndham Homcs, Inc. Corporate Office Sounccast Excculivc Park • 185 Roucc 312 - Suitc 301 A • Brewster, NY 10509 945.279.2022 Fax. $45479-1222 - www.WyndhamHoma.s.coin tj 20115 wyndhum Humes, Inc. All rights reserved AmlcrLlrRB •FamilyRonmWHO3092005.doc Page 2 of 2 2005 -09 -20 15:04 Wyndham Homes, Inc. 845 -279 -0222 >> 2786026 P 2/3 a WYNUHAhi ti�OMES, tNC: ......... _... _...... ,......... ...._ .... _._ , ...... .._ ... ,...,,....,.,._...........<,.., 1 Corporate Office • Southeast Executive Park 185 Route 312 - Suite 301 A • Brewster, NY 10509 845.279.2022 • Fax: 845.279.0222 viww.WyndhomHomes.com vraas Kw ne Drnxmv - ■ September 20, 2005 Dr. Sherlita Amler, MD Commissioner of Health Putnam County Department of Health I Geneva Road Brewster, NY 10509 Subject: Windsor Wood Lot 17 Dear Sherlita, I am writing you to ask for your assistance in resolving a situation that has developed over the adoption of the new Bedroom Count Policy. Wyndham Homes, Inc. is the owner and builder of the Windsor Woods subdivision in Patterson, as well as Willow Ridge and Laurel Farms in Carmel. We have built well over one hundred homes in the Putnam County and have always enjoyed a professional relationship with the Department of Health. Our engineer submitted architectural plans for approval by your office for a home to be built in our Windsor Woods subdivision. The home is a four bedroom center hall colonial model that we have built stye ;ri.l..tiinesJn. this. colmmunity and in our gther eorpmunities_in Putnam County;.. Our engineer recently received notice that the home we submitted was considered to have -- - five potential bedrooms. Evidently the family room was considered to be a potential bedroom, rather then the typically allowed room, because it is not on the first floor. The home is in fact a four hedroom home. We believe the difference in opinion to be due to the shift in position of the family room on the first floor. The home has the garage located "half- under ", (to accommodate the change in topography) with the family room located above the garage. This putts the family room half a flight up from the other rooms on the first floor (like a split level home). We emild imagine that this would be confusing because the room is neither on the first or second floor but is located in- between. Adding to the confusion, our architect arbitrarily showed this room on the second floor of the house plans; it could just as easily been shown on the first floor. While we agree the Bedroom Count Policy allows a family room on the first floor, we would like to believe that the intention of the Policy was not to mean the family room built in a split level configuration would be a potential bedroom. The home in question has all five of the allowed non- bcdrooms (typical for a luxury center hall colonial) and four bedrooms. If the room in question was in addition to the typical five non - bedrooms, we would agree that the situation would be suspicious. However the home has four bedrooms and a home office, so the concern that the family room would be used as a bedroom would seem just as remote as if it were located on the first floor. 0.1 2005 Wyndhum Hmms, Inc. Page I of 2 AmIcrl rREFmnilylkomnW1103092005 doc All rights resnrvcd 2005 -09 -20 15:05 Wyndham Homes, Inc. 845 - 279 -0222 >> 2786026 P 3/3 Since the adoption of the Bedroom Count Policy, we have made sure not to market any house that didn't comply with the Policy. The house in question was sold to our customer without any belief on our part that there would be any question this was a four bedroom home. This belief was further enforced by the fact that we received approval for the same house on Lot 437 after the new policy was ;in effect. One might say that Lot #37 was grandfathered, but if so we would have had no idea that it was since there was no indication on that approval and since ether plans that were grandfathered were so indicated. The solution to all this unfortunately is not as simple as us changing the home on this lot. We have sold this . homme to a customer in good faith and based on a reasonable interpretation of the Bedroom Count Policy. We happen to have the same home in the neighborhood that has yet to he delivered to the customer. I believe seeing the actual layout of this home would quickly clear things up. As such, I kindly request we meet so I can personally bring you through the home and explain the layout. 1 may be reached at the office at (845) 279 -2022 Ext. '120 or at all times on xny cell phone at (914) 462 -1551. I look forward to hearing from you. Sincerely, Richard Schunk President b" Wyndham Homcs, Inc. Corporate Ofticc Soudicast Executive Pork • 185 Rourc 312 - Suite 301 A • 13rewner, NY 10509 845.279.2022 • P.m. 845. 279.0222 • www.Wyndhaml-lnme. >.curn Iri 2005 wyndhum Fturncs. Inc. All rights reservM Amlerl-trRl : Faintly RootnIN H03092WS.dnc Page 2 of 2 k- SHERLITA AMLER, MD, MS, FAAP LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Memo DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 To: ALL ENGINEERS AND ARCHITECTS From: Sherlita Amler, MD, Commissioner of- Health Cc: Loretta Molinari, Associate Commissioner of Health Date: March 9, 2005 Re: Bedroom Count Policy ROBERT J.' BONDI Please be advised that the Putnam County Health Department policy for bedroom count related to new septic system installations is as follows: 1. The Department will allow on the first floor of a single family, stand alone dwelling, the following rooms: a. Living room b. Dining room ...__...�_...� -.. - _ a._...- .,,._,c.- -.-Kitchen d. Family room e. Home office /den /study Any other rooms beyond the 5 above mentioned rooms, regardless of openings, will be considered potential bedrooms, except for rooms which meet the following criteria: • If the room has a floor area less than 80 square feet. • If the room has a horizontal dimension .less than 7 feet. • If the room in question can only be accessed through another room with no other means of potential egress, one of the rooms will be considered a potential bedroom, if the dimension criteria for a potential bedroom is met or exceeded by one or both rooms. 2. Any room proposed on the second floor will be considered a potential bedroom, regardless of openings, whether the room is finished, bonus room, or loft areas. Noted below are the exceptions: • If the room has a floor area less than 80 square feet. . If the room has a horizontal dimension less than 7 feet. Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 F.ariv Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 • If the room in question can -only be accessed through another room with no o'theF-Wheans °of potential egress, one of the roorns will be considered �v_. -: potential bedroom, if the dimension criteria for a potential bedroom is met or exceeded by one or both rooms. The bonus room will not be considered a potential bedroom if it can only be accessed through the garage and if it has no potential access through the living area of the house. 3. The basement area can be converted into one large room. Any other rooms proposed in the basement, laundry rooms, storage rooms, etc... will be considered potential bedrooms regardless of opening, whether it is finished or unfinished or whether or not it has windows. Noted below are the exceptions: • If the room has a floor area less than 80 square feet. • If the room has a horizontal dimension less than 7 feet. 4. The following is concerning special circumstances: a. Utility /mechanical rooms will be allowed in the basement where the purpose is to enclose the furnace, water heater, etc... b. Architectural house plans will be required for a two bedroom house. The two bedroom house plans if approved by the waiver committee must be the house constructed on the lot. c. Raised ranches will be considered to have a basement and 1St floor, i.e. the lower area will be considered the basement. 5. All submitted house plans must have a title block noting the owner's name, street address of the property, and tax map number. All house plans approved by this Department must be original prints, i.e. hand revisions will not be acceptable. - ...... - _.. --.- - The above policy will 1-1; 20.05. P16e ige advise-alI new-septic System- - - -- - -- installers of this change in policy. ® Page 2 ll PUTNAM COUNTY DEPARTMENT OF HEAL -OF- ENVIRONMENTAL HEALTK.SER CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT Located at Lavf. e_ Town or Village )04. ��; o� 3 ~ Block Lot 12 Subdivision name iJ��,.ruo�r� Subd. Lot # � Tax Map " S , � _� Date Subdivision Approved I Renewal Revision _ Owner /Applicant Name lie, \, �` Date of Previous Approval Mailing Address 77 L a i t-L GuGO i )) r 1 v -2— J6 re-1w al Zip 00 Amount of Fee Enclosed -V.2-6 d J Building Type KM6t u LotAreaho'71 No. of Bedrooms I_ Design Flow GPD 6100 Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of % z.�-d gallon septic tank and Other Requirements: To be constructed by `moo iC-- De-tr v �. s. � e Address _. ._,Water Supply: ,... ;....; Public- Sapply-From- _ .:Address.: or: _k,< Private Supply Drilled by _T 1 Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewaa treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors; heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Address R.A. Date �=L /241J_6 License # l 21 APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage tryw] system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified nsidered nec essary by the Public Health Director. Any revision or alteration of the approved plan requires a new pe prov for disc arge of domestic sanitary sewage only. By: Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _..APP$�l'C�ATI�OIV TO �;Olet�'f'RU`C'i' °�,.�%dt�Tl✓R't�`EI;, :: , - -.. _:.:: - � �... � 77^^ - � ...,,.. please print or type PCHD Permit # y Well Location: Street Address: Town/V ge Tax Grid # Map �,J Block Lot(s) Z Well Owner: Namei - Addr e J d l pat�46� ° ��t w► � l N ✓e, � w�7 I i Use of Well: 1/Residential Public Supply Air /Cond/Heat Pump Irrigation I- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 4r gpm # People Served f2� _ Est. of Daily Usage A gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling f./ New Supply (new dwelling) Deepen Existing Well Detailed Reason �L for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes 1/ No Name of subdivision Lot No.(,� Water Well Contractor: %�j Address: Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: ) Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separa sheet/plan. Date: li) Applicant Signature: 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. y revision or alteration of the approved plan requires a new permit. Well to be constructed by a water/.we; 1 driller ertified by Putnam County. Date of Issue 4- . 0 Permit Iss ' Of f] Date of Expiration Title: Permit is Non- Transfer able White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 Harry W. Nichols Jr., P.E. Patterson Park - Suite 106 2050 Route 22 r .�-. Brewster, NY 1.0509 Fax: (845) 2794567 Email: hnengineer@aol.com October 22, 2004 Putnam County Health Department 1 Geneva Road Brewster, New York 10509 ATT: Robert Morris, P.E. Re: Individual SSTS Deerwood Subdivision - Lot # 40 Teal Lane Town of Patterson T.M. # 35.4-122 Dear Mr. Morris: We have revised the architectural plans for the proposed residence and are supplementing our Sept. 9, 2004 resubmission with the following: 1. Five (5) prints of SS -40, "Proposed SSTS ", dated 07/09/04. 2. "Construction Permit for Sewage Disposal System ", rev. 10/22/04. 3. "Application to Construct a Water Well ", rev. 10/22/04. ...-' ' ce (a) copies- of-Resider_ce. Floor3?l.s,n(s)._ _ ....__.... _.._ ..:._ .. We would appreciate your review, approval and issuance of the Construction Permit at your earliest convenience. . Very truly yours; Harry W. Ni is Jr., P.E. HWN:gav 03- 056.40 0/ September 9, 2004 Putnam County Health Department 1 Geneva Road Brewster, New York 10509 ATT: Robert Morris, P.E. Harry W. Nichols Jr., P.E. Patterson Park - Suite 106 2050 Route 22 , Brew •,'.ei'.,;idY..:1.4509:..,. -p, _,�_..�..>., ..... . .....�.,..____:w..._.,..;....., ».� . , • . -, <. •...... Tel: (845) 2794003 Fax: (845) 2794567 Email: hnengineer@aol.com RE: Proposed SSTS Wyndham Homes, Inc. Deerwood Subdivision - Lot # 40 Teal Lane Town of Patterson T.M. # 35. -4 -122 Dear Mr. Morris: In response to your August 13, 2004 review letter, we note the following: 1. System has been configured to provide for 1 percolation and 1 deep test hole in the primary and expansion SSTS. 2. Original corporate affidavit is enclosed. 3. 13' separation is now provided from the property line to the SSTS. 4. dill is novv shown "extending 'a minirrium''of-te iJ10) feet' horizontally-pdsfi.-- the SSTS trench. 5. Minimum sewer line slope is -now noted on the SSTS profile. 6. Volume of fill is shown in the fill section detail. 7. Comment noted. Future submissions will include this information. We trust the enclosed have addressed your concerns and request that you continue with the review and approval. Very truly yours, Harry twlols Jr., P. E. HW N:gav 03- 056.40 6S :1 1J 6 - dgS �0 UTNAM COUNTY DEPARTMENT OF HEALTI- SION OF ENVIRONMENTAL HEALTH SERVI ' -SYSTEA . ON�2U TIO� PERMIT F tS WKG RE TMENTO # N Located at -MA), L-Wi Subdivision name DM9-\rJWV Subd. Lot # Date Subdivision Approved Q 11141 m= Owner /Applicant Name � �i ooi- y R CM66 Mailing Address t Amount of Fee Enclosed C o"At1w ESQ D p4f5 a Town or Village PXr-rEH Tax Map 'N, Block 4- Lot Renewal Revision Date of Previous Approval Zip I Kol Building Type k6i PE'Hk�' Lot Area P11 No. of Bedrooms 4 Design Flow GPD Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of gallon septic tank and (y6-1 Lf— Nod T4W� Other Requirements: i f d I To be constructed by TA6 Address Water Supply: Public Supply From Address "fh Address - --�r:_ Priaate_Cupply- Drilled..biX. _.._._..�...._. G .... _ _ .. -. I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Address R.A. Date 01)0,110+ License # 45 61 M APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Approved for discharge of domestic sanitary sewage only. Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 July 9, 2004 Putnam County Health Department 1 Geneva Road Brewster, New York 10509 ATT: Robert Morris, P.E. Re: Individual SSTS Deerwood Subdivision - Lot # 40 Teal Lane Town of Patterson T.M. # 35. -4 -122 Dear Mr. Morris: Enclosed are the following: Harry W. Nichols Jr., P.E. Patterson Park - Suite 106 2050 Route 22 isrcwstet N? ..10509 _ _ _ _......._. _... ... �, . Tel: (845) 279 -4003 Fax: (845) 279 -4567 Email: hnengineer@aol.com 1. Five (5) prints of SS -40, "Proposed SSTS ", dated 07/09/04. 2. "Short EAF ", dated 07/09/04. 3. "Application for Approval of Plans for a Wastewater Disposal System ". 4. "Construction Permit for Sewage Disposal System, ", dated 07/09/04. _ . 5. "Applicatiopvto �Co :struct a Water- Welff "., -dated 07/09/04. -- 6. "Design Data Sheet". 7. "Letter of Authorization & Corporate Resolution ", dated 07/09/04. 8. Two (2) copies of Residence Floor Plan(s), "Bedroom Count Only". 9. Review Fee in the amount of $400.00. We would appreciate your review, approval and issuance of the Construction Permit at your earliest convenience. Very truly yours, Harry W. N ols Jr., P.E. HWN:gav 03- 056.40 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS ... _..... ,.., P.EVEL Y;' -S BTL OPtCONSTRU IOP: PE>R.M]Ci NAME OF OWNER: STREET LOCATION: REVIEWED BY: RM, OR, AS, SRDATE: TAX MAP #: (CONFIRMED) 4 Y /N - DOCUMENTS ERMIT APPLICATION }WELL PERMIT ORPWS LETTER LETTER OF AUTHORIZATION (_) DESIGN DATA SHEET (DDS) L�CORPORATE RESOLUTION SHORT EAF - (__)UPLANS- THREE SETS LPL )HOUSE PLANS - TWO SETS L /J� ,(___)VARIANCE REQUEST SUBDIVISION ( , r )LEGAL SUBDIVISION SUBDIVISION APPR CHECKED C_ )PERC RATE UFILL REQUIRED DEPTH (_ )C _ )CURTAIN DRAIN RE UIRED A^) _ /GENERAL 66LOCATED IN NYC WATERSHED PLANS SUBMITTED TO DEP DELEGATED TO PCHD DEP APPROVAL, IF REQ'D DEEP TEST HOLES OBSERVED PERCS TO BE WITNESSED TEX- APPROVAL SSDS ADJ, LOTS WETLANDS (TOWN/DEC PERMIT REQ'D ?) DATA ON DDS PLANS & PERMIT SAME PRE 1969 NEIGHBOR NOTIFICATION LETTER BI/ZBA lt I _SOIL TESTING LOTS >10 YEARS OLD REQUIRED DETAILS ON PLANS ( ,}<� }SEWAGE SYSTEM PLAN - (NORTH ARROW) 7( )E'�}— SSDS HYDRAULIC PROFILE (_) �" GRAVITY FLOW CONSTRUCTION NOTES 1 -15 L_, DESIGN DATA: PERC & DEEP RESULTS 2' CONTOURS EXISTING & PROPOSED WAY & SLOPES, CUT FOOTING /GUTTER/CURTAIN DRAINS ( )C )USDA SOIL TYPE BOUNDARIES TITLE BLOCK; OWNERS NAME ADDRESS TM#, PE/RA; NAME, ADDRESS, PHONE# DATE OF DRAWING/REVISION DATUM REFERENCE U LOCATION OF WATERCOURSES, PONDS LA.KES,WETLANDS WITHIN 200' OF P.L. L_)PROPOSED FINISH FLOOR AND BASEMENT ELEVATIONS WELLS & SSDS'S W/IN 200' OF SSTS PROPERTY METES & BOUNDS (--)EROSION CONTROL FOR HOUSE, WELL & SSTS, EROSION CONTROL NOTE COMMENTS: (REVSHEBT)09 /01 /00 Y (REQUIRED DETAILS ON PLANS CONT'D) HOUSE OUSE SEWER - %" FT. 4 "0'; TYPE PIPE CAST IRON L�(.ZNO BENDS; MAX BENDS 45° W /CLEANOUT RENEWALS SITE NO GE) S S E S (_)�) ' HORIZONT T TRENCH SLOPES 3:1 TO GRADE L-�)L-)F ILL NOTES 1 -5 (�(�FILL PROFILE & DIMENSIONS ((__)FILL IN EXPANSION AREA FILL GREATER THAN FEET �) C AY BARRIER (_) L CERTIFICATION NOTE EPTH GAUGES (_) VOL. ON PLAN FOR RO.B., UNCLASSIFIED & IMPERVIOUS L—) SEPARATION DISTANCE FROM TOE OF SLOPE TRENCH LF TRENCH PROVIDED 60FT MAX. PARALLEL TO CONTOURS (� 100 % EXPANSION PROVIDED (�DETAIL/DUST FREE CRUSHED STONE OR WASHED GRAVEL L_) GEOTEXTILE COVER SEPARATION DISTANCES ON PLAN - FROM SSTS I 0' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL 0' TO FOUNDATION WALLS 00' TO WELL, 200' IN DLOD,150' TO PITS 00' TO STREAM, WATERCOURSE, LAKE (inc. eapan) 0' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER 0' TO WATER LINE (pits - 20') _ 00' /500' RESERVOIR, ETC. 150' GALLEY SYSTEMS 0' MIN TO LEDGE OUTCROP SEPTIC T0' FROM FOUNDATION; 50' TO WELL WELL IMENSIONS TO PROPERTY LINES OCATION OF SERVICE CONNECTION C--)(,, JMIN 15' TO PROPERTY LINE SLOPE 4�SLOPE IN SSTS AREA (520 %) (_)L_)REGRADED TO 15 %, IF REQUIRED 'UMP NOTES IOSE 75% OF PIPE VOLUME/DOSE VOLUME NOTED IETAIL FOR FORCE MAIN, (PIPE TYPE, ETC.) 9 AND D -BOX SHOWN & DETAILED DAY STORAGE-ABOVE ALARM CURTAIN DRAIN TANDPIPES, T BOTH SIDES, DETAIL 5' MIN to CDS =>5 %, 20'-4 %, 25 -3 %, 35' -1 %,100 % -<1% 0' MIN to CD DISCHARGE /100' with 182 cons day discharge 0' MIN to NON - PERFORATED PIPE 14.16 -4 (2/87) —Text 12 PROJECT I.D. NUMBER 617.21 SEQR Appendix C State Environmental VOiiallty Review�� SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (ro be completed by Applicant or Project sponsor) 1. APPLICANT /SPONSOR I 2'. PROJECT NAME 3. PROJECT LOCATION: 'Municipality �� ®� 1 1 1 County 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) TEA{, / �a o"D RI 1�'N �L{; LA/ iV t 5. IS PROPOSED ACTION: ! % New ` El Expansion ❑ ModificatioNalteration 6. DESCRIBE PROJECT BRIEFLY: 7. AMOUNT OF LA D AFFECTED: + `� Initially acres Ultimately 1 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes ❑ No If No, describe briefly 9. WdAT IS PRESENT LAND. USE IN VICINITY OF PROJECT? Residential ❑ industrial ❑ Commercial ❑ Agriculture -Park/Forest/Open space Other ] . Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL. STATE OR LOCAL)? Yes ❑ No If yes, list agency(s) and permlUapprovals �L��rQ CO hV' 'C1Q Q iii oTiN N W-A 0 - &W01 rn� 11. DOES ANY ASPECT OF THE'ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? &es ❑ No If list yes, agency name and permllfapproval �Wv ' 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes o I CERTIFY THAT THE INFORMATION IS TRUE TO THE OF MY KNOWLEDGE /PROVIDED BEST J 1ABOVE � o4o ` � ` Y! "' "`" aU � n�� I � u C' bate: ApplicanUsponsor name: f Signature: If the action Is In the Coastal Area, and you are a state agency, complete'tht Coastal Assessment Form before proceeding with this assessment OVER PART II— ENVIRONMENTAL ASSESSMENT (O be completed by Agency) A. DOES ACTION EXCEED 'ANY TYPE 1 THRESHOLD IN 6 NYCRR, PART 617.12? If yes, coordinate the review process and use the FULL F-AF. ❑ Yes ❑ No B. ,WILL ACTION RECEIVE -CQ i4�,^I41 ;gEklt lnlAS -P iOL'IDED 60R Wr&ASTeD-ACTIONS'iN °6 NYCAR, PART 67% If No, a negative declaration maybe superseded by. another Involved agency., ❑ Yes ❑ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, It legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: 04. 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 C5. Growth, subsequent development, or related activities likely to be Induced by the proposed action? Explain briefly. .r 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.`IS 5'HERE;'OFt IS'THERE LIKELY TO BE, CON RT OVERSY 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 (i.e. urban or rural) ;* (6) "probability of occurring; (c) duration; (d) Irreversibility; (e) geographic scope; and (i) 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. ❑ Check this box if you have identified one or more potentially large or, significant adverse Impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the Information and analysis above and any supporting documentation, that the proposed. action WILL NOT result In any significant adverse environmental Impacts AND provide on'attachments as necessary, the reasons supporting this determinatlon: Name of Lead Agency Print or ype Name of Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Date PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL. HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR __.._ A WASTEWATERTRE: ATMENT- SYSTEM 1. Name and address of applicant: �a m 2. Name of project: 40 rS 3. Location TN: 4. Design Professional: O�UW JH� 5. Address: U5_0 K Et 6. Drainage Basin: 9 7. T e of Project: Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ....................... ....:.......................... Type I Exempt Type II Unlisted 9. Is a Draft Environmental Impact Statement EIS required? No 10. Has DEIS been completed and found acceptable by Lead Agency? .............. 11. Name of Lead Agency 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ............................................................ :............................ 1.3. If so, have plans been submitted to such authorities? ...:.... ...........a............... ..... _ 14. Has preliminary approval been granted by such authorities? NO Date granted: tjA 15. Type of Sewage Treatment System Discharge ................. surface water X groundwater 16. If surface water discharge, what is the stream class designation? .................... 17. Waters index number (surface) .......:................................... ............................... 18. Is project located near a public water supply system? ........................... : ........... _ 19. If yes, name .of water supply i� �- Distance to water supply i�- 20. Is project site near a public sewage collection or treatment system? ................ 21. Name of sewage system Distance,to sewage system ' 22. Date test holes observed (Qt �� 23.. Name of Health Inspector c Mlil4��°'t 24. Project design flow (gallons per day) ................................. ............................... 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... 26. Has SPDES Application been submitted to local DEC office? ......................... (,,(A, Form PC -97 2 27. Is any portion of this project located within a designated Town or State wetland? 1 "p 28. Wetlands ID Number ........................................................... ............................... 29. Is Wetlands Permit required? ............................................ ............................... Has application been made to Town or Local DEC office? .. .............................�i 30. Does project require a DEC Stream Disturbance Permit? .. .................... :.....:.... o 1. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling; sludge application or industrial activity? ............... ......... ...... Yes/No 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? ............................... Yes/No� 'DESCRIBE: r 33. Is there a local master plan on file with the Town or Village? ....................... ... ' 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ................................ ..............................: Ph _ 4v0 35. Are any sewage treatment areas in excess of 15% slope? 36. Tax Map ID Number .......................... ............................... Map s' Block 4 Lot (11" 37. Approved plans are to be returned to ..... Applicant _\Zj _ Design Professional _ NOTE" "All applications. for re_v_iew and approval of a "new S.STS to be located within the -NYC Wa +e_shvd shill - - be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval of the! SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects ofa project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item 1 .,the application must be accompanied by a Letter of Authorization (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 SIGNATURES & OFFICIAL TITLES. Matt " 6sS < ca_., _ NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 4d PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES �DESIGIN-DAT-A-SHEET -:- SUB - TREATMENT SYSTEM K� Owner �` a tl 1d� . k ft� 1 HG- Address � CLL�rap ��d� rNr Located at (Street) -U�- 4 Pffl� N Ik �V l Tax Map �1► .Block �f" Lot (indicate nearest cross street) Municipality PA Tl�? 60H Watershed 80(4 SOIL PERCOLATION TEST DATA Date of Pre-soaking .i��`� <a��'1t�r�i Date of Percolation Test :. :.........:.::. :::::: ::::::.- .. >:. >::; .:....:::..... fur#' >::: >:: >::::. :.:: ::......gin..:, :::.::...:.::::. c7its. :..:.::::.1�3........n..:: >:::; >: f 2 4 5... A fu - 3 ... °� 4 5 2 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 TEST. PIT DATA , DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. i HOLE NO. HOLE NO. G-b 0.5- zft -060A, TPA 4w, uw, - I 'N MILL! C) 3.51 'Debi kq— (AW IPtN 4.01 4.51 5 .0 1 5 1 .5 TO: ft .6.0 1. toc'A( T 7.01 7.51 8.01 8.5' .9.01, 9.51 10.01 Indicate level at which groundwater is encountered Indicate level at which mottling is observed r ( Indicate level to which water level rises after being encountered ,(e Deep hole observations made by: Rip ko)— Date Design Professional Name: mnM TV; %,QkL/tq)LL 15c; Address: Signature: Design Professionals Seal .13f NEW V. NICH C:p LU .41 590FEW OA 4"V PVTNAM COUNTY DEPARTMENT OF HEALTW.,.". -SER ES.-- .. DIVISION OF ENVIRONMENTAL HEALTH Y LETTER OF AUTHORIZATION TN Tax Map Subdivision of Block Lot An Subdivision Lot # —1 Filed Map # bate Filed. _*o Gentlemen: This letter is to authorize HAW W t. Okbt+� I-S j a duly licensed Professional Engineer'_ or Registered Architect to-Apply for the required wastewater treatment and/or water supply permit(s) to serve the above-noted-property:in aic"66'ri with the.standards, rules or regulations-as promulgated by the Public 14eialth Direict6ri 6f. County Health Department, and to sign all necessary papers on my behalf in connection;' With-- iliis" . . matter and to supervise the construction of said wastewater tretment and/or water supply systems in conformity with the pro-visions. of Article 145 and/or. 147 of the Education. Law 2 die Health- Lawj and the Putnam County 8dhitaty d'&. YON I C_0' -Countersiped: P.E., R.A., 4 _ Mailing Address BR�wSi�(L LU 1q/ State - Zip. �0� Telephone: ,(W) Very truly yours, Signed Mailing Address: State :_ J, Teleplfbne:.. (Owner Arope' -Ml rty) Form LA-97 LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 September 30, 2004 Harry Nichols, P.E. Patterson Park, Ste 106 2050 Route 22 Brewster, NY 10509 Re: Proposed SSTS: Wyndham Homes, Inc. Teal Lane, Lot 40 (T) Patterson, TM # 35 -4 -122 Dear Mr. Nichols: ROBERT J. BONDI County Executive Review of plans and other supporting documents submitted at this time relative to the above- regarded project has been completed. Comments. are,, offered as follows: 1. Additional soil testing is required in the expansion area. The minimum of one deep test hole and on percolation hole is to be provided. Expansion trenches are shown over 60 feet from the nearest deep test hole. Extensive ledge and rock is known to be within this subdivision. 2. Original corporate affidavit with seal is to be submitted. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. T Ve ly yo s, M �' Robert Morris, P.E. Senior Public Health Engineer RM:km 6 M ti m 0 o p D oD o r o4�D N W 4' b 100 0�� XPANSt0N Ln O .. - -- -.. -.-, - - - - M - .� - - DIMENSION CHARrQ'i-n-"-f&6i Number I A -. 350 04 a. »s L-- IC (.4 22. 2 52 Be 3 58 90 4 44 5 69 6 7 81 107 9 93 1-11 10 93 79 1 1 87 13 12 82 68 13 76 63 14 71 58 15 165 53 16 S I 134- 17 83 135 18 !91 13'7 139 20 94 140 21 gg 142 2 23 106 147 A -. 350 04 a. »s L-- IC